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Auriculotherapy

Auricular Acupuncture
0 Auricular acupuncture refers to the
therapeutic method of using filiform
needles, varia seeds, or other devices or
procedures to stimulate the points of the
ear to achieve the goal of healing. It is an
important component of traditional
Chinese acupuncture and moxibustion.
Origins
Canon of internal medicine
0 Yang Shang-Shan, a famous physician in the Sui Dynasty,
wrote in the Great Collection of the Internal Canon, “the front
of the ear (referring to the area around the lower A*pex of
the Tragus (MA-T2)) feels hot if The disease is related to the
small intestine.”
0 “bleeding the Center of the Ear and Inner Nose with Chinese
onion will treat cerebral bleeding and cerebral thrombosis
and shock.”
0 In 1956, Paul Nogier, a French doctor, drew a chart of
acupuncture points that depicted the shape of an inverted
fetus. This was the first complete ear chart in history. The
introduction of this letter to China in 1958 began many
developments in auricular acupuncture.
0 In general auricular acupuncture has an effectiveness
rate of 85%, and 60 different disorders can be treated
with a 60% complete cure rate.
0 Clinical data show that auricular acupuncture is easy
to learn, effective, and free of side effects. It can be
used in the prevention, diagnosis, and treatment of
many disorders.
Theoretical Explanations of auricular acupuncture

0 According to traditional Chinese theories of the canals and


vessels of the network, and of the viscera and entrances,
the ears (and the other parts of the body) are connected
and related to all the other parts of the body.
0 In fact, some practitioners consider specific parts of the
body, such as the soles of the feet, as whole-body
microsystems that can be used to treat the entire body.
This still begs the question of a specific mechanism
explaining how auricular acupuncture works.
0 In China, Professor Zhang Ying Ping is credited with having
established the theory of Complete Embryonic Information
of the Holistic Organ. One aspect of this is the theory of
holism, which in holistic medicine means that a living
organism is correctly viewed as a whole that is more than
the sum of its constituent parts.

0 The other aspect of this theory is that 1) information from


embryonic representations of an organism can reveal a
complete diagnostic picture, and 2) applying treatments on
such embryonic representations can supply the body with
"information" it needs to heal itself. .
Features of acupuncture
handset
0 Wide range of applications and rapid therapeutic
effects
0 Easy to learn and practice
0 Safe and free of harmful side effects
0 Cheap and convenient
Primary indications for
auricular acupuncture
0 Traumatic disorders
0 Inflammatory conditions
0 Post surgical pain
0 Neuralgia
0 Tumor pain
0 Inflammatory diseases
0 Allergies and collagen diseases
0 Disorders caused by disturbances of the nervous system and the
endocrine system
0 Chronic diseases
0 Infectious diseases
0 Other diseases
POINTS FOR ATTENTION AND
CONTRAINDICATIONS

Strict sterilization procedures should be followed, it should not be


performed if the patient has an empty stomach. In older adults and
those who are particularly sensitive, strong stimulation from strong
manipulations and invasive methods such as scooping therapy or
bleeding should be avoided.
hypertension, coronary heart disease, and arteriosclerosis, you should
rest adequately before applying auricular acupuncture.
Sensitive points should be detected before manipulation begins, as
treating sensitive points is more effective.
Contraindications

Avoid strong stimulation in patients with severe heart disease.


Only acupressure with seeds can be used for patients with severe,
chronic illnesses, particularly those who tend to bleed or have
severe anemia. auricular acupuncture should not be enhanced if the
ear has skin disorders.
auricular acupuncture is contraindicated for at least the first
trimester of pregnancy. After the 5th month, a medium stimulation
can be used. Points O* reproductive organs (MA-TF), Abdomen (MA-
AH), and Endocrine (MA-IC3) are prohibited.
Commonly seen reactions
to treatment
0 Responses to ear treatment
0 Obvious pain in the ear will be felt in most cases when the
stitches are treated.
0 Swelling, numbness, distension, and coldness may be felt in
some cases.
0 Afterwards, congestion and heat will be felt in the treated
points or even throughout the entire ear. These reactions are
considered to obtain Qi in auricular acupuncture.
0 In general, patients who have this kind of response have
received effective treatment.
Treatment responses in the region of the
disease

0 The area of the body or part that has the disease will
sometimes feel hot and/or uncomfortable when the
corresponding points are acupunctured;
0 sometimes spontaneous movements are induced. For
example, when treating facial paralysis, tremors of the
orbital eye muscle or the facial and frontal muscles may
occur when acupuncture points are manipulated.
Treatment responses in the canals and vessels of the network

0 A radiating sensation of pain, irritation, numbness, or an


electrical sensation along one of the channels is sometimes
felt when the ear points are treated, particularly in the Tai
Yang channel of the bladder and the Yang channel. Ming of
the stomach.
0 For example, when treating sciatica by acupuncturing the
Glutes (MA-AH5) and the Sciatic Nerves (MA-AH6), the
sensation from the needle can radiate to the foot along the
Tai Yang channel of the bladder.
0 This sensation is directly related to manipulation
techniques. In general, stronger stimulation will induce a
stronger radiation of needle sensation.
Generalized responses to treatment

0 Some patients will find that after treatments they have


an elevation in energy and immune function.

0 Others may experience more vigorous gastrointestinal


peristasis.

0 When skin disorders are treated, in some cases hot or


cold sensations are felt on the skin.
0 Lightning responses to treatment
0 Replies chain
0 Residual responses
0 Desensitized reactions
0 Absence of response to treatment
0 Negative treatment responses
Management of accidents
acupuncture
0 Fainting: Causes, Signs, Management, Prevention.
0 Skin infection:
0 Auricular cartilage infection
Features of selection
ear points
0 The patient can be sitting or lying down. The basis for
selecting ear points is that the precise location will be
sensitive when pressed. The location must be carefully
determined because the size of the ear points is smaller
than that of the body points.
Selection of points according to the
corresponding areas or organs

0 Examples of this include using Heart (MA-IC) for heart


disorders. Stomach (MA-IC) for gastric disorders. Kidney
(MA-SC) for acute or chronic nephritis or pyelonephritis,
and Neck (MA-AH10), Shoulder (MA-SF4), Ankle (MA-
AH2), and Hip (MA-AH4) for neck, shoulder pain , ankle,
or hip respectively.
Selection of points according to theory
of Traditional Chinese Medicine (TCM)

0 For example, Lung (MA-IC1) can be used for dermatological diseases


because the lung governs the skin.
0 Eye (MA-L1) can be used for liver disorders because the liver opens into
the eyes.
0 Kidney (MA-SC) can be used for tinnitus and deafness because the
kidneys open into the ears.
0 Heart (MA-IC) can be used for insomnia because the heart governs the
light of the spirit.
0 Liver (MA-SC5) can be used for menstrual disorders because the Liver
Jue Yin channel runs along the medial side of the thigh, around the
external genitalia, and into the abdomen.
Wood Fire Land Metal Water

Yin Organ
Liver Heart spleen pancreas Lung kidney

Yang Organ Gallbladder Small intestine Stomach Large intestine Bladder

Colors Green Red Yellow White Black

Flavors Sour Bitter Sweet Spicy Salty

Climate Wind Heat Humidity Dryness Cold

sense organ Eyes language Mouth Nose Ears

Fabrics Tendons Blood vessels Muscles Fur Bones

Emotions Anger Joy Enjoyment Thoughtfulness sadness Fear

Sounds Shout Laughter Singing Cry Moan

Seasons Spring Summer late summer Otonium Winter


The functions of the
Heart
0 Rules the blood.
0 Controls blood vessels.
0 It manifests itself in the
complexion.
0 It houses the mind (shen).
0 It is related to enjoyment-joy.
0 It opens on the tongue.
The functions of the
Heart
0 Control sweat.
The functions of the
Liver
0 Stores blood.
0 Ensures smooth flow of Qi.
0 Control the tendons.
0 It manifests itself in the nails.
0 It opens in the eyes.
0 Control the tears.
0 It houses the ethereal soul.
0 He is affected by anger.
The functions of the lungs
0 It governs Qi and breathing.
0 Controls the channels and blood vessels.
0 Controls the diffusion and descent of Qi and body fluids.
0 Regulates all physiological activities.
0 Regulates water passages.
0 controls the skin and the space between the skin and the
muscles.
0 They manifest themselves in body hair.
0 It opens at the nose. Controls nasal mucus.
0 It houses the corporeal soul.
0 It is affected by worry, grief and sadness.
The functions of the
spleen
0 It governs transformation and transportation.
0 Controls the rise of Qi.
0 Control the blood.
0 Controls the muscles and all 4 limbs.
0 Control saliva.
0 It opens in the mouth and appears on the lips.
0 It houses the intellect.
0 It is affected by thoughtfulness.
0 Controls the elevation of Qi.
The functions of the
Kidneys
0 They store the essence and govern birth, growth,
reproduction and development.
0 It produces emulation, fills the brain and controls the
bones.
0 Rule the water.
0 Controls the reception of Qi. It opens in the ears.
0 It manifests itself in the hair.
0 Control saliva.
0 Control the 2 lower holes.
0 It houses will-power. Zhi.
0 Control the door of Life.
MAPPING OF THE POINTS OF THE EAR
lesser occipital
nerve decreased arterial
puntntsorej pressure

wind current finger womb

dopie
finger
heel internal genital .■
annexes
ankle
constipation
shenmen
hip 9 impaiti*0
yangde doll cytic pahis
liver fever
prostate
bladder
pnercas halix 1 cubit and - abdomen
ureter
—______________—
gallbladder ebrs kidney inbestinogross ureta
lumbo-sacral cantral abdomen
spot-------— -------------------i pe ndi í c
pancreatitis 0------—
kérntino _
OUdD ■ q0to
... .J...
helix 2
shoulder duodenal liver external
vertebra center of
Joreja oatómago
ear
torckea
0
_ nsetago
Eerd-aS
pacho punR

spleen
Agargant
lung dotrago together with sad
helix 3
9 external nose punid
dolhnmbre
cue': the heart
Tyrolds adrenal gland nrañn Upper root
vürtnbra
ear
rkcal edge Internal nose
Spot central trunkcatrndor or point for hypertension Line for
cerebral
antitragus tip
nephrite arberial prehension

gland of
internal secretion
oceipital spleen
liver lung
bomporal
middle ear root
eye f
tongue even point»
maxLn dionts insomnia
point for kidney
testicle ■
hypothesis n^io-
hea
cheer up
ft
eye lobe
rd
himself
former
ear

subshorts ovary amygdala

mej Ila
Selection of points according to modern
medical theory (biomedicine )

0 Adrenal Gland (MA-T) can be used to lower blood pressure,


inflammation, allergic disorders, and rheumatoid arthritis because
the adrenocortical hormone (ACH) has anti-inflammatory, anti-
allergic, and analgesic functions.

0 Subcortex (MA-AT1) and Sympathetic (MA-AH7) are used for ulcers


of the digestive tract that are caused by mental stress, melancholy,
and excessive fatigue due to functional disturbances of the
sympathetic and vagus nerves.

0 Pancreas/Gallbladder (MA-AT), Endocrine (MA-IC3), and Border


Central (MA-AT) are used for diabetes, which is caused by a
disturbance of endocrine functions.
Selection of points according to the
point functions
0 Some points on the ear have their own functions. For
example, Shen Men (MA-TF1) of the ear not only clears the
mind and quiets the spirit but also serves as the primary
point for relieving pain; It is used to treat almost all pain
disorders.
0 Occiput (MA-AT) relieves dizziness, such that it is used to
treat dizziness and headaches that can be aspects of
several disorders.
0 A* ear pex (MA-H6) has anti-allergy, anti-inflammation
effects, drains fever, calms the spirit, and lowers blood
pressure, so it is used to treat allergic disorders, fever,
insomnia, and hypertension.
Selection of points according to the
clinical experience

0 According to the Chinese experience of many acupuncturists, Shen


Men (MA-TF1) of the ear in combination with Occiput (MA-AT)
calms the mind and relieves pain and thus these points are used in
the treatment of insomnia and various pain disorders.
0 Kidney (MA-SC), Spleen (MA-IC), Lung (MA-IC1), Triple Burner
(MA-IC4), and Endocrine (MA-IC3) are regularly used to treat
nephritis, ascites, and edema due to that the Kidney governs the
water.
0 Bladder (MA-SC8) is effective in treating diabetes insipidus,
enuresis, and frequent urination because the bladder governs
water storage.
MAPPING OF THE POINTS OF THE EAR
occipital nerve
minor drop in blood
ear tip
pressure
Wind finger cervix
current
foot heel
internal genital
finger ankle anus knee adnexa
constipation
shenmen
hip nice
yangde doll liver
sciatic pelvis genitals
fever external
abdomen .. prostate
pancreas helix 1 cubit bladder.
and---------------—— vertebra buttockskidney urethr 1 -
ureter
gallbladder lumbo-sacral a large intestine
point------------- central abdomen
pancreatitis Straight small - appendix
intestine
helix 2 shoulder OR liver duodenum • center of ear
stomach
thoracic vertebra
EITHER ear
• mouth external
esophagus
carolas 9 heart organ point
chest

helix 3
splee
n lung
To even throat, or
thirst point external
nose hunger point
e■m
neck heart trachea
thyroid-------------—____ adrenal
heart Upper root
vertebra-----------------——- gland
ear
cervical helix 4 () internal nose
clavicle edge
Spot---------——9
for
trunk _ centralcaierrdor > point for hypertension
antitragus tip
- Line to • lower
blood pressure
cerebral — ... (
nephritis
forehead -----------internal
secretion gland
occipital spleen
liver
temporary ? lung
eye 2 • i • - ■ .middle root
eye 1 point for
language insomnia , ear
maxillar teeth
y point for
testicle A hypotension
Cheer up
inner eye lobe
ear former 0 lower root
ear
subcortex ovaries amygdala
cheek
The ear, the points and
areas of the ear
1. helix
1a. Helix Root :
1 B. Helix-lobe notch:
1 C. Tubercle of the Helix (tubercle of
Darwin):
1d. Helix Cauda:
2. Scaphoid fossa:
3. Antihelix: .
3a. Superior crus of the Antihelix
3b. Lower crus of the Antihelix
3c. Antihelix Body
4. Triangular Trench:
5. Upper Shell:
6. Lower Shell
7. Concha Ridge
8a. Drink:
8b. Upper Tragus Apex
8c. Inferior Apex of the Tragus
9. Anti-trago:
10. Lobe:
11. Antihelix-Antitrago notch:
12. Supratragic Notch:
13. Inter tragic notch :
í ■ ■■ DISTRIBUTION
, ■ not PATTERN AND CLASSIFICATION
‘ ■ n OF ‘ ■ No ‘
Anatomical THE POINTS
areas OF THEon
EARSthe surface

posterior of the atrium


Points located in: They are related to:
1. Posterior surface of the Helix:
2. Posterior surface of the Cauda Helix:
Earlobe head and face
3. Posterior surface of the Lobe:
scaphoid fossa Superior limbs
4. Posterior cleft of Antihelix (body):
Antihelix Trunk
5. Posterior cleft of the superior Crus of the
Crus bottom of Buttocks Antihelix:
antihelix 6. Posterior cleft of the inferior Crus of the
Superior antihelix crus Lower extremities Antihelix:
7. Posterior cleft of the Crest of the Shell:
helix root Diaphragm 8. Antitrago posterior slit:
upper shell Abdomen 9. Posterior prominence of the scaphoid
lower shell Chest fossa:
Antitrago head and brain
10. Posterior prominence of the Triangular
Drink Adrenal gland and nose
Fossa:
11.Posterior prominence of the Superior
Inter tragic notch Endocrine system
Concha:
triangular fossa Pelvis 12. Posterior prominence of the Inferior
Concha:
Ear Apex
Wind Stream

Liver Yang
Blood
Pressure

Areas and points on


Toe Anus Lowering
Point
inger
AK and
Ovary/
Fallopian

the
Superior **
Triangula Tube
Fossa
Middle Internal
Tnangul Reproductive

previous appearance
ar Fossa Ge Organs
ear External
shen
Menu Genitals

of the
LLI 120- Movies
Rheumatic
Sacral Sciatic Nenve
line Vertebrae

ear (english)
_bo Sympathetic
Buttocks
Angle of Superior
Concha Prostate

Bladder Urethra
Hot Point Ureter
Kidney Rectum •
Gall-
Appendix
Biadder
Smal External Ear
Biliary Duc test r

Drunkenness Far Center Middie of Superior


Point 'Diaphragm! Concha
l see tomach

Duodenum
THAT- Upper Apex of Tragus
(ardiac

Spleen Pharynx & Larynx

toilet
Trace

arotid Internal Nose


ent a R m
Lower Apex OTrag
i fit
Apex of Anüt _. .

Adrenal Gent
Endocrine I i

Subcortex

—Eye 1
Brain Stem
Vertigo eye 2
Brain blood pressure
Tongue Raising Point
Toot

Before or
Internal
. ar i. oDe

Calm Panting

Testicle
Tor S
MAPPING OF THE POINTS OF THE EAR

Wind Stream occipital nerve


minor drop in blood
ear tip pressure
Liver Yang blood
pressure
Wind finger cervix
current standing , ..
Tce
point heel
63
At kle Ovary/
Fallopian finger
internal genital
Superior
Trianqul Tube adnexa
Fossa
Middle Internal
shenmen -
knee constipation
Triangular Reproductive
Fossa Organs
hip J nice
external yang of
shen Genitals
wrist liver sciatic pelvis -genitals
Menu fever ______external
LumbO-
Pels
■ Q — prostate
Rheumatic
line
SacraJ
Vertebrae
Sciatic Nerve
pancreas helix 1 elbow abdomen buttocks bladder ureter
Sympathetic and --------------- 6 vertebra urethra large intestine
Bh:■ kidne central abdomen
Angie of Superior
Concha/ Prostate gallbladder lumbo-sacral y
'adder Urethra spot------------- ----appendix
'Hot* Point
- Ureter pancreatitis intestine
Kianey slim straight
B adder
Appendix helix 2 shoulder 6liver duodenum
External Ear
Biliary Duc
YE . thoracic vertebra • center ear
Middle of Superior - ear
Drunkenness tar Center
Concha stomach 9 externa
Point 'Diaphragm)
stomach mouth l
cardia
Duodenum -Upper Apex of Tragus chest
Cardiac
THAT- tip
Spleer Pharynx & Larynx He swallows
splee -9
helix 3 lung thirst point
Bronchi n
Trace

. heart hunger point


9a; tid Internal Nose neck trachea
thyroid-------— adrenal
- Lower Apex of Trags
heart Upper root
vertebra----- gland
ear
inpie Burner cervical edge internal nose
Adrenal Ger'S
Spot central-triple trunk. , and heater point for line for
: indocrine
for cerebral hypertension
Subcortex antitragus tip • lower blood
nephritis pressure
Eye 1 forehead ----------gland
Brain Stem occipital internal secretion
spleen lung
vergo eye 2
blood pressure temporary liver middle root
Raising Point eye 2 of ear
Tongue
Tootf
eye 1
maxillar langua point for
ge teeth insomnia
Internal Former
Ear Lobe
y
a)
testicle A , . point for ® i kidney
Calm Panting Cheer up hypotension
ear lobe
Testic eye
Thor s internal former lower ear root

subcortex ovaries amygdala


cheek
0 Points and areas named to correspond to
anatomical regions
0 Many of the points on the ear are regions of the ear
that take their names from the anatomical regions to
which they correspond. That is, when a specific organ
or part is diseased, a positive reaction will be seen in
its corresponding region in the ear, and this region in
the ear will be used to treat the diseased part.
Points and Areas named by the 5 viscera and the 6 entrails
The 11 areas named for the 5 viscera and the 6 entrances are:
Heart, Large Intestine, Small Intestine, Liver, Spleen, Lung, Kidney,
Bladder, Gallbladder, Stomach, and Triple Warmer. Their names
refer to the TCM theories of the viscera and entrails, and the
channels and vessels of the network.
These areas of the ear individually 1) reflect diagnostic signs for
specific disorders and 2) can treat multiple disorders. For example,
according to TCM, the lungs govern the body's skin and hair,
opening into the nose, and the throat is the gateway to the lung.
Thus, Lung (MA-IC1) is used to treat not only disorders related to
the lung, but also disorders of the skin, nose and throat. The
Bladder (MA-SC8) can be used to treat sciatica because the Tai
Yang channel of the Bladder travels through the painful area.
0 Points and areas named for the nervous system
0 Of the points and areas of the ear related to the
nervous system, some points are named for
corresponding parts of the nervous system, including
the Sympathetic (MA-AH7), Forehead (MA-AT),
Temples (MA-AT), Occiput (MA-AT), and Sciatic Nerve
(MA-AH6), while Shen Men (MA-TF1) and Subcortex
(MA-AT1) regulate excitation and inhibition of the
cerebral cortex.
0 In addition, anterior ear lobe is used to treat neuroses,
and Subcortex (MA-AT1) is an important point used
to treat nervous system disorders.
0 Points and areas named for the endocrine system
0 There are 8 areas named for the corresponding areas
of the endocrine system:
0 Endocrine (MA-IC3), Central Border (MA-AT, Yuan
Zhong) (the Aire corresponding to the Pituitary
Gland), Thyroid (MA-AH, Jia, Zhuang Xian),
0 Testis (MA-AT, Gao Wan), Ovary (MA-AT, Luan Chao),
Prostate/Superior Concha Angle (MA- SC, Qian Lie
Xian),
0 Adrenal Gland (MA-T, Sheng Shang Xian), and
Pancreas/Gallbladder (MA-SC6).
0 Usually several points are used to achieve the goal of
regulating total endocrine function.

0 For example, amenorrhea can be treated with very


strong effectiveness by the use of Endocrine (MA-IC3),
Ovaries (MA-AT), Central Border (MA-AT), and Internal
Reproductive Organs (MA-TF).

0 The combination of Endocrine (MA-IC3),


Pancreas/Gallbladder (MA -SC6), and Central Border
(MA-AT) can quickly improve certain symptoms, such as
a dry mouth, poor appetite, and numbness and
listlessness in the patient diabetics, which shows that
they can effectively regulate insulin metabolism.
0 Special Points
0 Special points of the ear are those that have specific functions in
diagnosis and treatment. Generally speaking, a positive reaction at
one point can reflect different disorders, and one disorder can lead
to positive reactions at several points.
0 These phenomena must be interpreted with theoretical knowledge
of TCM and/or biomedicine.
0 However, a positive reaction at one of the special points on the ear
indicates a very specific disorder.

0 For example, Wind Flow (MA-SF) is an important point indicating an


allergic constitution and allergic disorders, and Raising/Lowering
Blood Pressure (MA-PS) can be used to diagnose and treat low blood
pressure.
0 These points can clarify the diagnosis and treatment in some cases of
the diseases to which they belong.
0
MAPPING OF THE POINTS OF THE EAR
occipital nerve
minor drop in blood
Puntatzoreja pressure

wind current finger cervix

dopi internal genital

e heel .. annexes

constipation

aede' .. hip and nice

yangde world n adoooma Fever

' " '.' ■ prostate


pnercas hlix 1 elbow abdomen in bladder ureter

vertebrae large intestine


and ----------'
gallbladder
lumbo-acra butto
kidney cantral abdomen
-----------------3 pC index

pancreatitis
cks eing "_2L
aekaar reeto

helix2 liver duodenum


shoulder I went in
by ear ear
thoracic stomach external
vertebrae
asetagu
m
chest Eerd-as ° tip

spleen
—9 lung Agargant
helix 3 swallowed
sad point
external nose
puncture hunger pain
Euello majan
thyroid gland «rra™
vertobra. . — adrenal
Internal nose Rnzsuparior
bervical hel4 stride
point for hypertension,
smoke
clavcu barde
antitrago puncture d «? ñ-Line even-A
descend

nephrite arterial pressure

gland of
internal secretion
spleen
lung
aralz media
eye f da oneja
punishment for
insomnia
point for • rinn
hypnotension

Oratz inferlor
of ear
subcortex ovary amygdala
cheek
Points and areas of the
helix
Center of the Ear (Diaphragm) (MA-H1)
Location: on the root of the Helix.
Features:
■ Resolves tetanus and restricts hiccups
▪ brings down the counterflow of stomach
Qi and stops vomiting ▪ rectifies the blood
and clears the wind
Indications: Hiccups, vomiting due to
diaphragm spasm and other reasons; all
diseases due to emptiness of blood; stasis of
blood, and heat in the blood;
bleeding such as hemoptysis, dripping-
spotting of menstrual blood.

H6
0 Straight (MA-H2)
0
0 Location : at the end of the helix near the
supratragic notch, at the level of the Large
Intestine (MA-SC4).
0 Functions : releases stool and stops diarrhea.
0 Indications : Constipation, diarrhea, prolapse of
the rectum, hemorrhoids, tenesmus occurring in
dysentery.

0 Urethra (MA-H3)
0
0 Location : in the helix, superior to the Rectum
(MA-H2), level with the point of the Urethra
between the Kidney and Bladder areas.
0 Features :
0 clears heat and disinhibits urine.
0 Indications : Frequent, urgent and painful
urination, frequent urination at night, urine
retention.
0 External genitalia (MA-H4)
0
0 Location : in the helix, superior to the Urethra (MA-H3), at
the level of the Sympathetic (MA-AH7).
0 Features :
0 clears and drains heat, moisture from the liver and
gallbladder
0 cools the blood,
0 clears the wind and stops the itching.
0 Indications : Balanitis, orchitis, swelling and discomfort of
the external genital organs after fallopian tube surgery,
vulvar pruritus, and scrotal eczema.
0

0 Year (MA-H5)
0
0 Location : in the helix, opposite the anterior edge of the
superior crus of the antihelix.
0 Features :
0 Speeds up blood, unclogs network vessels and relieves pain.
0 Indications : Hemorrhoids, prolapse of the rectum, itching
of the anus.
0 Apex (Tip) of the ear (MA-H6)
0 Location : at the top of the helix, opposite the posterior edge of
the superior Crus of the antihelix (superior root of the antihelix).
Fold the ear forward to locate the point in the crease of the fold.
0 Features :
0 clears heat and resolves toxins
0 calms the liver and extinguishes the liver wind
0 cools the blood and relieves itching
0 disperses swelling and relieves pain
0 Indications : Fever, hypertension, headache, dizziness, eye
disorders, skin itching.
0

0 Liver Yang (MA-H)


0 Location : This point is on the tubercle of the helix, a small notch
on the helix that is superior to the wrist area.
0 Features :
0 calms the liver and subdues the yang
0 drains fire and resolves toxins
0 Indications : Headache, dizziness, bloody eyes, hypertension,
acute and chronic hepatitis, pain in the ribs and distension due to
ascending hyperactivity of the liver yang.
0 Helix 1-6 (H1, H2, H3, H4, H5, H6)
0
0 Location : the area of the helix from the lower edge
of the helix tubercle to the midpoint of the lower
edge of the earlobe is divided into 5 equal parts (6
points).
0 The points that mark the divisions are named H1,
H2, H3, H4, H5, and H6, respectively. To locate
them clinically, mark the lower edge of the helix
tubercle as H1 and mark H6 (the lowest point of
the earlobe). Divide the area between 5 equal parts.
The remaining H points are on the division lines.
0 Features :
0 clear heat and resolve toxins
0 disperse swelling and relieve pain
0 Indications : Fever, tonsillitis, sore throat, upper
respiratory tract infection.
0 Points and areas of the scaphoid fossa Wind Stream

(MA-SF)
0

0 Fingers (MA-SF1)
0 Finger
0 Location : divide the scaphoid fossa into 5 parts from the top to the
bottom, this area is the first portion of the scaphoid fossa.
0 Features :
0 quickens the blood and clears the wind
0 releases network vessels and relieves pain
0 Indications : Sprain and bruise of the finger joints, skin disorders,
profuse sweating, pain and numbness of the fingers due to cervical
spondylopathy.
0

0 Doll (MA-SF2)
0 Wrist
0 Location : This area is the second portion of the scaphoid fossa.
0 Features :
0 accelerates the blood and clears the wind
0 unclogs collaterals and relieves pain
0 Indications : Sprain and bruise of the wrist, allergic skin disorders.
0 Wind Current (MA-SF)
0 Wind stream
0 Location : This is the only point on the scaphoid fossa, and
is located halfway between Fingers (MA-SF1) and
Mun<eca (MA-SF2).
0 Features :
0 accelerates the blood and clears the wind
0 unclogs collaterals and relieves pain
0 Indications : Urticaria, pruritus and allergic dermatitis,
rhinoallergosis.
0
0

0 Elbow (MA-SF3)
0 Elbow
0 Location : This area is the third portion of the scaphoid
fossa.
0 Features :
0 accelerates the blood and clears the wind
0 unclogs collaterals and relieves pain
0 Indications : External humeral epicondylitis and elbow
pain.
0 Shoulder (MA-SF4)
0 shoulder
0 Location : This area is the fourth section of the
scaphoid fossa.
0 Features :
0 accelerates the blood and clears the wind
0 unclogs collaterals and relieves pain
0 Indications : Periarthritis of the shoulder joint, crick in
the neck, subacromial bursitis, and shoulder pain.
0
0

0 Clavicle (MA-SF5)
0 clavicle
0 Location : This area is the fifth portion of the scaphoid
fossa.
0 Features :
0 clears the wind, unclogs collaterals and relieves pain
0 Indications : Shoulder pain resulting from any cause.
Points and areas of the
Antihelix
0 Toes (MA-AH)
0
0 Location : posterior upper corner of the crus
superior of the antihelix, near the apex of the ear.
0 Features :
0 accelerates the blood and clears the wind
0 reduces swelling and relieves pain
0 Indications : Paronychia and pain in the fingers
feet, Raynaud's syndrome and erythromelalgia.
0

0 Heel (MA-AH1)
0
0 Location : anterior upper corner of the superior crus
of the antihelix, near the upper end of the triangular
fossa.
0 Features :
0 accelerates the blood and clears the wind
0 strengthens tendons and strengthens bones
0 Indications : Pain in the heels.
0 Ankle (MA-AH2)
0
0 Location : air between the Heel (MA-AH1) and the Knee (MA-
AH3).
0 Features :
0 accelerates the blood and clears the wind
0 strengthens tendons and strengthens bones
0 reduces swelling and relieves pain
0 Indications : Sprain and bruise of the ankle joint, arthritis in
the ankle joint.
0

0 Knee (MA-AH3)
0
0 Location : the middle third of the superior crus of the
antihelix.
0 Features :
0 clears wind, eliminates humidity
0 unclogs collaterals and relieves pain
0 Indications : Pain in the knee joint and limited range of
movement of the lower extremities as seen in several
disorders.
0 Hip (MA-AH4)
0
0 Location : the lower third of the superior crus of
the antihelix.
0 Features :
0 accelerates blood, unclogs collaterals
0 clears the wind and relieves pain
0 Indications : Sciatica and pain in the lumbosacral
area and around the hip joint.
0
0
0 Glutes (MA-AH5)
0
0 Location : the posterior third of the inferior crus of
the antihelix.
0 Features :
0 accelerates blood, unclogs collaterals
0 clears the wind and relieves pain
0 Indications : Sciatica, pain in the sacral area and
buttocks.
0 Sciatic Nerve (MA-AH6)
0
0 Location : the anterior two-thirds of the inferior crus of the antihelix.
0 Features :
0 strengthens tendons and strengthens bones,
0 accelerates blood and unclogs collaterals
0 reduces swelling and relieves pain
0 Indications : Sciatica, sagging of the lower extremities, painful
impediment, paralysis.
0
0

0 Sympathetic (MA-AH7)
0
0 Location : a point on the interior aspect at the junction of the
antihelix and the helix, at the level of the Sciatic Nerve (MA-Ah6).
Clinically, the point is etched in the antihelix part, as close as possible
to the cleft.
0 Features :
0 regulates the sympathetic and parasympathetic nervous systems
0 relieves spasm of smooth muscles
0 regulates vascular contraction and relieves pain in internal organs 0
Indications : Various disorders caused by disturbance of the
autonomic nervous system, such as insomnia, profuse sweating,
dysfunction of sympathetic nerves, colic of internal organs, sexual
dysfunction, angina pectoris , pulseless syndrome, thrombophlebitis
and Raynaud's syndrome.
0 Lumbosacral vertebrae (MA-AH)
0 Location : upper third of the body of the antihelix. The line of; inter
tragic notch until the antihelix crus is divided into three. The upper third
are the Lumbosacral Vertebrae.
0 Features :
0 strengthens the lumbus and fortifies the kidney
0 unclogs and accelerates channels and collaterals
0 disperses swelling and relieves pain Cátente Point

0 Indications : Pain in the lumbosacral area, limited range of motion of the


lower extremities as found in various disorders such as sprain and
contusion of the lumbosacral vertebrae, hyperosteogeny of the
lumbosacral vertebrae, sprain of the lumbar muscle, rheumatoid
arthritis, pyelitis, and nephrole
0

0 Abdomen (MA-AH)
0 Location : upper part of the body of the antihelix, in the anterior aspect
of the Lumbosacral Vertebrae (MA-AH), near the edge of the upper
concha.
0 Features :
0 unclogs channels and collaterals
0 softens muscles and resolves tetanus
0 disperses swelling and relieves pain

0 Indications : Acute or chronic colitis, abdominal pain, constipation,


dysmenorrhea, pain in the lower abdomen after childbirth, muscle pain
after surgery, weight loss.
0 Thoracic Vertebrae (MA-AH9)
0 Location : the middle third of the body of the
antihelix.
0 Features :
0 accelerates channels and collaterals
0 disperses swelling and relieves pain.
0 Indications : Disorders in the thoracic
vertebrae, pain in the back and chest due to
sprain and bruise, mastitis.
0

0 Chest (MA-AH11)
0 Location : The middle part of the antihelix on
the anterior aspect of the Thoracic Vertebrae
(MA- AH9), near the edge of the Inferior Concha.
0 Features :
0 Accelerate channels and collaterals
0 Disperses swelling and relieves pain.
0 Indications : Pain in the chest and
hypochondria, tightness in the chest, mastitis,
and disorders in the thoracic cavity.
0 Cervical Vertebrae (MA-AH8)
0 Location : on the body of the antihelix, the line from the inter-tragic notch to the bifurcation of the upper crus of the
antihelix and the lower crus of the antihelix divided into 3 parts. The lower third are the Cervical Vertebrae (MA-
AH8).

0 Features :
0 strengthens tendons and bones
0 Unclogs collaterals and relieves pain.
0 Indications : Cervical spondylopathy, neck pain of all causes (such as crick in the neck), rheumatoid arthritis,
spondylitis, hypothyroidism and hyperthyroidism.

0 Neck (MA-AH10)
0 Location : the lower part of the antihelix on the anterior aspect of the Cervical Vertebrae (MA- AH8), near the edge of
the Inferior Concha.

0 Features :
0 accelerates the channels and collaterals relieves pain.
0 Indications : Cervical spondylopathy, sprain and bruise of the neck, stiff neck, hypothyroidism and hyperthyroidism.
0 Ear Shen Men (MA-TF1) Points and areas of the
0 Location : above the triangular fossa in the superior aspect of the
bifurcation point of the branches of the antihelix (superior and Trench
inferior).
0 Features : Triangular
0 quiet the spirit
0 resolves tetanus and relieves pain
0 clears heat and resolves toxins
0 clears the wind and relieves itching
0 Indications : Insomnia, disturbed sleep, dysphoria, hysteria, various
inflammations and pain occurring in the face, head, body and internal
organs, neuralgia, hypertension, and allergic disorders.
0

0 Internal Reproductive Organs (MA-


TF)
0 Location : the lower half of the anterior third of the triangular fossa.
The upper portion of this area relaxes the adnexa (Fu Jiang), the
ovaries and the fallopian tubes. The middle portion corresponds to the
uterus, and the lower portion to the cervix (Gong Jing).
0 Features :
0 supplements kidney and stimulates-increases essence
0 regulates menstruation and stops vaginal discharge
0 unclogs collaterals and relieves pain
0 Indications : Irregular menstrual cycle, dysmenorrhea, amenorrhea,
aelvic
dysfunctional uterine bleeding, profuse vaginal discharge,

inflammation, impotence, prostatitis, sexual dysfunction_


0 Middle Triangular
Fossa
0
0 Location : the third middle of the
triangular fossa. Triangular
Fossa
Ovary.' Fallopian
0 Features : I'riangnlar trench 4 M4 middle. ■
,:'
Tube

0 stops coughing and calms wheezing


Organs
Interos Players
Shen
Men

0 calms the liver and resolves depression


Pelvis
0 Indications : Cough, asthma, acute and Low point: blood

chronic hepatitis. pressure

0
0 Upper Triangular Fossa
0
0 Location : upper half of the anterior
third of the triangular fossa.
0 Features:
0 calms the liver and subdues the yang
0 extinguishes the wind
0 Indications: Hypertension, dizziness.
0 Pelvis (MA-
0TF)
0 Location : posterior third of the
triangular fossa, at the point of the
bifurcation of the crus of the
superior and inferior antihelix, is
shared by Shen Men of the ear (MA-
TF1) and Pelvis (MA-TF). The lower
half is Pelvis (MA-TF).
0 Features:
0 unclogs and accelerates the
channels and collaterals and
relieves pain
0 Indications: Pelvic inflammation,
prostatitis, pain in the lower
abdomen and dysmenorrhea.
0
0 Drink Points (MA-T)
0
0 External nose (MA-T1)
0 Location : anterior to the middle of the
lateral aspect of the tragus, on the external
surface.
0 Features:
0 clears stasis and unclogs collaterals
0 blows the wind and relieves the pain outer ear

0 Indications: Nasal disorders such as Superior apex of


tragus
Rhinoallergosis. Pharynx and larynx
external nose

inner nose
0 Inferior apex of the Tragus (MA-T2)
Apex inf. of the tragus
0 Location : tip of the inferior prominence of adrenal gland

the tragus.
0 Features:
0 clears heat and resolves toxins
0 calms the spirit and relieves pain
0 Indications: Fever and toothache
as seen in various disorders.
0 Adrenal Gland (MA-T)
0 Location : inferior to the inferior apex of the tragus, at
the level with Endocrine (MA-IC3) on the medial
(internal) side.
0 Features:
0 regulates the function of the adrenal gland and
adrenocortical hormones
0 anti-inflammatory, disperses swelling, treats allergic
disorders and rheumatoid arthritis
0 regulates the functions of the cardiovascular system
and excites the respiratory aspect of the central
nervous system
0 Indications: High fever, medium fever, rheumatoid
arthritis, mumps, cough, asthma, pruritus,
hypertension, pulseless syndrome, coma, angiitis.
0

0 Pharynx and Larynx (MA-T3 )


0 Location : the upper half of the medial (inner) surface
of the tragus.
0 Features:
0 clears heat and resolves toxins
0 disperses swelling and relieves pain
0 Indications: Acute and chronic pharyngitis, tonsillitis,
loss of voice, bronchitis.
Internal Nose (MA-T)
Location : the lower half of the inner surface
of the tragus.
Features:
blows away the wind and resolves the
outside, unclogs and uninhibits the nose.
Indications: Common cold, rhinitis, nasal
sinusitis, nasal bleeding. external ear

Superior apex of the


tragus
Pharynx and larynx
external nose
Location : superior to the supratr notch inner nose
Apex inf. of the tragus
External ear (MA-T) •Adrenal gland

near the helix, inferior to the Rectum (MA-


H2).
Features:
clears stasis and unclogs collaterals
Indications: Inflammation of the external
auditory canal, otitis media, tinnitus.
0 Antitrago Points (MA- AT)
0

0 Antitrago Apex (MA-AT)


0 Location : A* pex of the antitrago. According to the
WHO International Standard Scheme, the apex of
antitragus includes Ping Chuan (Calming Snorting), Sai
Xian (Parotidal), and Gao Wan (testicle). The Parotid is
located within the antitragus line. Testicle is located
by visualizing a line running diagonally and
posteriorly, slightly outside the prominence of the
apex on the anterior aspect. Calming Snort is located
along the same diagonal line and about the same
distance from Testicle as Testicle is from Parotid.
0 Features:
0 stops coughing and calms wheezing
0 ride the wind and unlock the collaterals
0 Indications: Cough, asthma, difficult breathing,
mumps, orchitis.
0 Central Rim (MA-AT) Pituitary
0
0 Location : along the upper line of the
antitragus, posterior to the A*pex of the
antitragus. There is a 1cm curve above and
inside the Center Edge. This area includes Brain
Stem (upper part), Vertigo (middle part), Brain
(lower part).
0 Features:
0 regulates the functions of the brainstem and
pituitary gland
0 stimulates the brain and calms the spirit
0 Indications: Cerebritis, post-concussion
syndrome, poor brain development, dizziness,
dysmenorrhea, dysfunctional uterine bleeding.
0 Occiput (MA-AT)
0
0 Location : upper-posterior corner of the lateral aspect
of the antitragus.
0 Features:
0 clears heat and extinguishes wind
0 still the spirit,
0 nourishes the liver and brightens the eyes
0 Indications: Dizziness and headache due to
insufficient blood in the brain; movement sickness,
seizures, stiff neck, and opisthotonos seen in
cerebritis and traumatic brain injury; blurred vision,
myopia, and cataracts.
0

0 Temples (MA-AT)
0
0 Location : in the middle of the lateral aspect of the
antitragus.
0 Features:
0 courses and disinhibits the liver and gallbladder
0 unblocks collaterals and relieves pain
0 Indications: Headache, migraine, drowsiness.
0 Front (MA-AT)
0

0 Location : in the anterior-inferior corner of the lateral aspect


of the antitragus.
0 Features:

0 still the spirit,


0 unclogs collaterals and relieves pain

0 Indications: Headache, dizziness, insomnia, rhinitis, nasal

sinusitis, myopia.
0

0 Subcortex (MA-AT1)
0

0 Location : on the lower aspect of the antitragus, at the level of


the Endocrine area (MA-IC3) of the lower concha, on the
lateral side. To locate, pull down on the antitragus or lobe; Use
an ear tester to locate the sensitive spot.
0 Features:

0 regulates the excitatory and inhibitory functions of the cerebral


cortex
0 still the spirit,

0 relieves pain

0 stops vomiting and ensures desertion

0 Indications: Insomnia, sleeping with or disturbed sleep,

forgetfulness, prolonged inflammation, pain, vomiting,


hiccups, headache, hysterical paralysis, pseudo myopia, state
of shock.
0 Lower Shell Points
(MA-IC)
0 Heart (MA-IC)
0 Location : in the center of the lower concha, below the end of the root
of the helix.
0 Features:
0 Regulates the functions of the cardiovascular and central nervous
system
0 Stabilizes the heart and calms the spirit
0 Regulates and harmonizes blood
0 Clear heart and drain fire
0 Indications: Arrhythmia, angina pectoris, hypertension, neurosis,
mental disorders, pharyngitis, loss of voice.

0 Lung (MA-IC1)
0 Location : around the center of the lower shell. The anterior portion of
the lung area at the level of the Heart (MA-IC) is Bronchi/Trachea (MA-
IC2) (Qi guan).
0 Features:
0 Moves Qi and accelerates blood
0 Stops coughing and calms wheezing
0 Disinhibits water and unclogs stool
0 Indications: Acute and chronic bronchitis, asthma, chest pain;
common cold; rhinitis, pharyngitis, night sweats, spontaneous
sweating; hives, eczema, acne; constipation, diuresis, edema.
0 Bronchi/Trachea (MA-IC2)
0
0 Location : the lower concha between the opening
of the external auditory canal and the Heart (MA-
IC).
0 Features:
0 Diffuses the lung and disinhibits Qi,
0 Stops cough and clears phlegm
0 Indications: Acute and chronic bronchitis, cough,
asthma, pharyngitis, common cold.
0

0 Spleen (MA-IC)
0
0 Location : superior-posterior aspect of the
inferior concha, posterior to the Lung (MA-IC1).
0 Features:
0 strengthens the spleen and harmonizes the
stomach
0 stimulates Qi and engenders flesh
0 Indications: Abdominal pain, distention in the
abdomen, diarrhea, stools containing blood,
epistaxis, atrophy, progressive myodystrophy;
prolapse of the rectum and uterus.
0 Endocrine (MA-IC3)

0 Location: bottom of the lower shell, in the inter-tragic notch.


0 Features:
0 ▪ regulates the functions of the endocrine system
0 anti-inflammatory, anti-allergy, anti-rheumatoid arthritis.
0 Indications: Hyperthyroidism, obesity, irregular menstrual
cycle, dysmenorrhea, amenorrhea, premenstrual syndrome,
climacteric syndrome, prostatitis, seminal emission,
sterility, urticaria, rhinoallergosis, rheumatoid arthritis.

0 Triple Heater (MA-IC4)

0 Location: bottom of the inferior concha, superior to


Endocrine (MA-IC3) in the inter tragic notch.
0 Features:
0 ■ diffuses the dynamics of Qi
0 ▪ unclogs and regulates water paths
0 Indications: Edema, diuresis, deafness, tinnitus, painful
impediment.
0 Mouth (MA-IC5)
0
0 Location : anterior third of the upper portion of the
inferior concha, posterior to the supratragic notch.
0 Features:
0 clears stasis and unclogs collaterals,
0 relieves pain and stops cough.
0 Indications: Disorders occurring in the mouth and
throat such as ulcers, pharyngitis, bronchitis,
tracheitis.
0
0
0 Esophagus (MA-IC6)
0
0 Location : Middle third of the upper portion of the
inferior concha, between Mouth (MA-IC5) and
Cardiac (MA-IC7).
0 Features:
0 releases the chest and disinhibits the diaphragm
0 Indications: Inflammation in the esophagus,
tightness in the chest, difficult breathing.
0 Cardiac (MA-IC7)
0 Location : posterior third of the upper portion of the
inferior concha, inferior to the root of the helix.
0 Features:
0 accelerates Qi, resolves tetanus and relieves pain
0 Indications: Pain in the upper abdomen, nausea,
vomiting, chest tightness, poor appetite, distention in
the upper abdomen.
0

0 Stomach (MA-IC)
Mout
0 h

0 Location : posterior to the root of the helix, on the


crest of the concha. Bornchios
_& Triple

0 Features:
Trachea
[Heater

0 harmonizes the stomach and brings down the


counterflow
0 resolves tetanus and relieves pain.
0 Indications: Gastric ulcer, gastritis, poor digestion,
hiccups, vomiting, headache, tooth pain.
0 Duodenum (MA-SC1) Shell Points
0
0 Location : superior concha, the superior and
Higher (MA-SC)
posterior aspect of the root of the helix.
0 Features:
0 resolves tetanus and relieves pain
0 Indications: Duodenal ulcer, cholecystitis,
cholelithiasis, pylorus spasm.
0

0 Small intestine (MA-SC2 )


0
0 Location : on the superior concha in the superior
and middle aspect of the root of the helix.
0 Features:
0 disperses accumulations and transforms food.
0 Indications: Poor digestion, abdominal distension,
diarrhea, sore throat, mouth sores.
Supplementary point to treat arrhythmia.
0 Appendix (MA-SC3)
0
0 Location : a point on the upper concha, between
the Large Intestine (MA-SC4) and the Small
Intestine (MA-SC2).
0 Features:
0 clears stasis and unclogs collaterals
0 resolves tetanus and relieves pain.
0 Indications: Appendicitis, loose stools.
0
0
0 Large Intestine (MA-SC4)
0
0 Location : superior concha, superior and anterior
aspect of the root of the helix.
0 Features:
0 clears the wind, clears the heat, and unclogs the
intestines.
0 Indications: Loose stools, constipation, cough,
toothache, acne.
0 Liver (MA-SC5)
0
0 Location : posterior portion of the inferior aspect of the
superior concha, anterior to the Chest (AM-AH11) and
superior to the Spleen (MA-IC).
0 Features:
0 cursa-treats the liver and rectifies the Qi
0 brightens the eyes and extinguishes the wind.
0 Indications: Acute and chronic hepatitis, cholecystitis,
cholelithiasis, distention and pain in the upper abdomen,
repeat and acid regurgitation, dizziness, convulsion,
hemiparesis; myopia, acute conjunctivitis.
0

0 Pancreas/Gallbladder (MA-
SC6)
0
0 Location : Superior shell, between the Liver (MA- SC5)
and Kidney (MA-SC).
0 Features:
0 courses and disinhibits the liver and gallbladder
0 unclogs collaterals and relieves pain.
0 Indications: Cholecystitis, cholelithiasis, parasitic
diseases of the biliary tract, acute and chronic
pancreatitis; migraine, deafness and tinnitus.
0 Kidney (MA-SC)
0
0 Location : superior shell, inferior to the Glutes (MA- AH5)
and posteriorly at the level of the Bladder (MA-SC8).
0 Features:
0 supplements the kidney and stimulates the essence
0 strengthens the lumbus and invigorates the bones.
0 Indications: Disorders of the urinary and reproductive
systems such as nephritis, cystitis, impotence, seminal
emission; dysmenorrhea, amenorrhea; deafness, tinnitus,
hearing loss, hair loss; nervous system disorders such as
poor brain development, headache, retrograde
degeneration of the spine, pain in the lower back,
rheumatoid arthritis, chronic diarrhea, frequent urination
at night, bedwetting.
0

0 Ureters (MA-SC7)
0
0 Location : a point on the superior aspect of the superior
concha between Kidney (MA-SC) and Bladder (MA-SC8).
0 Features:
0 clears heat, disinhibits urine and unclogs stranguria
0 Indications: Urinary infection , colic due to
_ stones in the ureters
0 Bladder (MA-SC8)
0
0 Location : an area on the superior aspect of the superior
concha between Kidney (MA-SC) and Angle of the
Superior Concha/Prostate) (MA-SC).
0 Features:
0 clears heat and disinhibits urine
0 unclogs collaterals and relieves pain.
0 Indications: Acute cystitis, pyelonephritis, prostatitis,
bed-wetting, urine retention, urinary incontinence,
headache, pain in the lower back and spinal area, sciatica.
0
0

0 Upper Half Shell (MA- SC)


0
0 Location : in the center of the upper concha, a point in the
Small Intestine area.
0 Features:
0 regulates the flow of Qi and relieves pain.
0 Indications: Pain around the navel, abdominal pain,
dysmenorrhea, parasitic diseases of the biliary tract,
prostatitis, urinary system calculus.
0 Superior Concha/Prostate Angle (MA-
SC)
0 Location : in the narrow upper
corner of the upper shell.
0 Features:
0 treats prostate disorders.
0 Indications: Prostate disorders
including prostatitis, urethritis,
UTI, prostatic hypertrophy, and
prostate cancer.
0

yes,
0 Lobe Points (MA-L)
0 On the earlobe, draw 3 horizontal
proportional lines from the lower
edge of the cartilage of the inter tragic
notch, to the lower edge of the earlobe
and another 2 vertical and
proportional lines from the second
horizontal line. This divides the
earlobe into 9 regions from front to
back and top to bottom.
0 It is worth noting that there are 2
points above regions 1 and 2 on the
lobe. The point before is called Eye 1
and the point after is called Eye 2.
They are useful for all kinds of eye
disorders.
Eye (MA-L)
Location : Fifth region of the ear lobe.
Features:
clears the liver, drains the fire, and brightens
the eyes.
Indications: Acute conjunctivitis, retinitis,
sty, pseudo myopia, electric ophthalmia.

Tooth (MA-L)
Location : First region of the ear lobe.
Features:
nourishes the liver and brightens the eyes
Indications: Glaucoma, retinitis, sty, optic
atrophy, iridocyclitis, myopia.
Language
Location : Second region of the ear lobe.
(MA-L)
Features:
clears heat and resolves toxins, clears stasis
and unclogs collaterals.
Indications: Inflammation of the mouth and
tongue

Mandible (MA-L)
Location : third region of the ear lobe.
Features:
unclogs collaterals and relieves pain.
Indications: Tooth pain, temporomandibular
joint syndrome.
Anterior ear lobe
(EVIL)

Location : fourth region of the ear lobe.


Features:
calms the spirit, unclogs the channels and
relieves pain.
Indications: Insomnia, sleeping with
disturbed sleep, neurosis, tooth pain.
Inner Ear (MA-L)
Location : Sixth region of the ear lobe.
Features:
clears the wind, clears the heat and unclogs
the hole.
Indications: Otitis media, Meniere's disease,
deafness, tinnitus.
Cheek (MA-L)

Amygdala (MA-
L)
Location : halfway between regions 5 and
6.
Features:
The wind blows and the heat clears; clears
stasis and relieves pain.
Indications: Facial paralysis, mumps,
trigeminal neuralgia, acne, chloasma,
cosmetic facial treatments.
Location : Eighth region of the ear lobe.
Features :
Clears heat and resolves toxins; disperses
swelling and relieves pain.
Indications : Acute or chronic tonsillitis,
sore throat, fever in various disorders.
Points and areas of the Posterior Surface (MA PS)
Slit to raise/lower
Heart of the Posterior Surface (MA PS) blood pressure

Location : top of the back of the ear. Heart of the


Slit of the
Back Surface
Upper Root of
the Ear
Features : Posterior
Surface

Nourish the heart and calm the spirit.


Indications : Palpitations, insomnia, sleeping with
disturbed sleep, headache.

Posterior Surface Lung (MA PS)


Location : from the area of the Posterior Surface Posterior Posterior Posterior
Surface Liver Surface
Spleen (MA-PS) to the Inferior Root of the Ear. Surface Lung Root of the ear
Spleen

Features :
Diffuses the lung and disinhibits Qi, stops coughing
and calms wheezing Ririon of the
Surface
Later

Lower root of the


ear
Posterior Surface Spleen (MA-PS)
Location : the posterior ear, in the area where
the root of the helix ends (anterior to the Slit to raise/lower
blood pressure
Posterior Surface Lung). Slit of the Upper Root of
Features : Heart of the
Posterior
Back Surface the Ear

▪ Strengthens the spleen and harmonizes the Surface

stomach.
Indications : Gastritis, pain and distension of
the abdomen, poor digestion, poor appetite as in
gastroduodenal ulcer.

Surface Liver
Posterior Posterior Posterior
Surface Liver Surface Surface Lung Root of the ear
Spleen

Posterior (MA-PS)
Location : from the Posterior Surface Spleen
(MA-PS) to the helix area. Ririon of the
Features: Surface
Later

■ Cures the liver and disinhibits the gallbladder. Lower root of the
ear
Indications : Cholecystitis, cholelithiasis, pain in
the upper abdomen, distension in the
hypochondrium, eye disorders.
Posterior Surface Kidney (MA-PS) Location : bottom of the
back of the ear.
Features : Slit to raise/lower

Supplements kidney and stimulates-increases


blood pressure

essence. Indications : Dizziness, headache, Heart of the


Slit of the
Back Surface
Upper Root of
the Ear
dysphoria, insomnia, sleeping with disturbed sleep
Posterior
Surface

due to kidney failure.

Posterior Surface Cleavage (MA PS)


Location : in a Y-shaped depression on the back of
the ear that is surrounded by the superior groove of
the superior crus of the antihelix and the posterior Posterior
Surface Liver
Posterior
Surface
Posterior
Surface Lung Root of the ear
groove of the inferior crus of the antihelix. Spleen

Clinically, many acupuncturists use only that


portion of the depression that is parallel to the cleft
closest to the helix. Ririon of the

Features : Surface
Later

Calms the liver and extinguishes the wind; Lower root of the
ear
unclogs collaterals and relieves pain Indications :
Hypertension, angioneurotic headache, facial
paralysis.
Upper ear root (MA-PS)
Location : the tip of the ear root that marks the Slit to raise/lower
blood pressure
upper insertion point of the ear. Features : Slit of the Upper Root of
It unclogs the hole and stops the bleeding. Heart of the
Posterior
Back Surface the Ear

Indications : Epistaxis. Surface

Vagus root of the ear (MA-PS)


Location : corresponding to the root of the helix, Posterior Posterior Posterior
at the junction between the posterior ear and the Surface Liver Surface
Spleen
Surface Lung Root of the ear

mastoid process.
Features :
It heals and disinhibits the liver and gallbladder;
unclogs collaterals and relieves pain. Ririon of the
Posterior

Indications : Cholecystitis, cholelithiasis, Surface


Lower root of the
ascariasis of the biliary tract, abdominal pain, ear

diarrhea. Supplementary point to treat arrhythmia.


Inferior root of the ear (MA Slit to raise/lower

PS) Slit of the


blood pressure

Upper Root of
Heart of the Back Surface the Ear
Posterior
Location : at the lower edge of the root of Surface

the ear, where the ear cartilage feels


attached to the head.
Features:
Regulates endocrine functions.
Indications : Low blood pressure,
endocrine disruption. Posterior
Surface Liver
Posterior
Surface
Posterior
Surface Lung Root of the ear
Spleen

Ririon of the
Posterior
Surface
Lower root of the
ear
Auricular
Acupuncture
part II

huu
The theoretical bases of ear diagnosis
□ The ear can be considered a complete microcosmic representation that
manifests the physiological and pathological information of the entire body.

□ Thus, when certain organs, tissues, or extremities are diseased, one can
find positive reactions (that is, show the presence of a specific condition) in
the corresponding points of the ear.

□ These positive reactions may present as low electrical resistance, low pain
threshold, changes in color or appearance, peeling, papular rash, or
congestion.

□ Such positive reactions can be found even before a disease appears; They
may disappear after treatment or remain forever. Furthermore, such
reactions change over the course of a disease.

□ In general, positive reactions not only identify the location and properties
of a disorder, but also predict the onset of diseases and their dynamic
changes.
Diagnostic Methods

The three most commonly used diagnostic methods in auricular


acupuncture are

1) inspection , or visual observation, of changes in skin color and texture,

2) various palpation procedures, and

3) electrical detection of changes in the ear .


Ear point inspection methods

Ear spot inspection refers to visually observing the


pathological changes in the ear in terms of □ color, □
appearance, □ scaling, □ papular rash, and □ congestion
Application
□ Under natural light, pinch the ear; Look inside first, then outside.
Always look at the ear by looking from the top of the ear to the bottom.

□ When a positive reaction is found, use the index finger or middle


finger to support the indicated area on the back surface and
completely expose the position of the positive reaction to clearly
observe its shape, size, color, hardness, and location.

□ Observe both ears for comparison.

□ If a bead or notch is found, you can use your thumb, index finger, or
feeler bar to feel around it and determine its hardness, mobility,
boundary, and sensitivity.

□ A detection bar or finger can be used to better expose the areas


around the root of the helix or crus of the antihelix.
Clinical significance of positive reactions

Color change
Red reaction :

□ bright red, light red, or dark red, which may be in spots or spots, or
have an irregular shape.

□ Bright Red is seen in acute and painful disorders;

□ Light or dark red is usually seen in recovery stages, chronic disorders,


or prolonged cases.

□ For example, the area around the Kidney (MA-SC) may present as a
bright red spot in acute sprain of the lumbar area;

□ Redness with peeling can be found in the area around the uterus (MA-
SC) in endometrial hyperplasia, cervicitis, and leucorrhoea.
White reaction :

□ white papular spots, shiny spots, or white spots with a red border.

□ A white reaction is commonly seen in chronic diseases such as chronic


superficial gastritis.

□ White dots with red border are seen in chronic diseases with acute onset,
such as gastritis and rheumatic heart disease.
Gray reaction :

□ gray, light gray, or dark gray.


□ Gray is mostly seen in chronic diseases or various cancers.
Physical shape changes
Projections:
□ the projections can be as small as sesame seeds, as large as a bean, or as hard
as a soybean;

□ they all project from the skin. Multiple projections can be linked together.

□ Notched projections are most commonly seen in hypertrophic arthritis;

□ cord-like projections are seen in arthritis or myofibrositis;

□ Spot-like projections are seen in abdominal distention.


Holes:
□ holes, linear, like points, or areas.

□ Hole-points are seen in tinnitus, or astigmatism;

□ pit-areas are seen in duodenal or gastric ulcers;

□ Linear pits are seen in coronary heart disease, tinnitus, deafness, tooth decay,
and tooth loss.

Rough, abnormally thickened, or wrinkled ear skin:


□ seen in dermatological disorders.
Papular rash:

□ Papular eruptions may be red, white, white with red border, or dark gray
eruptions, which are seen in acute or chronic organic disorders, or in
allergic dermatitis.

□ For example, papular dot-like eruptions are seen in cholelithiasis,


bronchitis, or diarrhea;

□ A flat, clustered rash is seen in nodular prurigo.


Peeling
□ With peeling there is shedding of straw-white, flake-like skin.
□ For example, peeling occurring in
□ a) the triangular fossa indicates obstetric inflammation or leucorrhoea;

□ b) in the esophagus (MA-IC6) and cardiac (MA-IC7) indicates poor


digestion;

□ and c) in the entire ear it indicates seborrheic dermatitis.


Vascular filling or filling
□ The filling or shapes of blood vessels have several meanings. a) Net-like
filling indicates acute inflammation, such as pharyngitis, tonsillitis, or
mastitis;

□ b) Vascular filling like a star indicates ulcer;

□ c) circular or curved vascular filling indicates rheumatic heart disease;

□ d) vascular interruption indicates cardiac infarction.


Classification of positive reactions and
their regularity
o Acute inflammation : a red, irregular congestion with seborrhea and
luster, or red with white borders in some cases.

o Chronic organic diseases : projections such as spots or moles or holes, white


papular eruption without seborrhea and luster. There may be swelling.
□ Various types of dermatitis : straw-like scaling, papular rash, dark
brown, rough skin.


Cancer : nodular or dot-like projection, dark gray millet.

□ Surgical scar: Linear or crescent-shaped marks that are white or dark


gray.
The principles for inspection of ear points can be summarized as
follows:

□ A red color indicates an acute condition while a white color with a hole or
projection indicates a chronic condition.

□ Scaling indicates inflammation and tuberculous scaly disorders on the skin.


□ Linear or semilunar white color or a dark gray color indicates surgical scar;
□ Nodular projections that are dark gray indicate cancer.
Primary points for attention
□ Acupuncturists should be familiar with the location and distribution pattern of
points, and should fully understand the theories of TCM and Western medicine
(biomedicine).

□ The inspection must be done with natural lighting.

□ The ear should not be washed before inspection to avoid disturbing any
positive reaction. If necessary, use a cotton swab to clean the ear, sliding it in
one direction, but do not scrub.

□ Visual inspection should be done in combination with palpation.


□ Pseudopositive reactions, such as may occur with nevi (moles) or frostbite,
should be excluded. If the points visually appear to present a positive
reaction, but pressure with a detection bar does not register any sensation
of irritation, pain, or numbness, the appearance should be considered a
pseudo-positive reaction.

□ Individual constitution, race, skin color, sex, age, and season of the year
should be taken into account during the inspection.

□ Identification of the pattern according to the theory of organs and viscera


should be applied when a positive reaction is found.
Methods of palpation of the ear points Palpation should be done on the basis of
inspection. It can be done with fingers, a detector bar, or an electrical detector.

Palpation of sensitive points


□ Palpating sensitive points is useful in diagnosing the location and properties of
acute illnesses and painful disorders.

□ Sensitive points should also be used for treatment. The severity of pain in degrees
for ease of comparison; The severity of the pain is determined by the patient's
reaction when the point is pressed. In general, the stronger the pain, the more
severe the disease.
Pressing external elements
□ Pressing an external element is useful in diagnosing the location and
properties of chronic diseases during follow-up of a patient's visits, as well as
for monitoring health.

□ Screening should be done in an orderly manner, such as according to


anatomical areas (as described below).

□ Projections, pits, nodes, cords, cartilage hyperplasia, and edema should be


inspected with this method.
Rubbing
□ Rubbing is suitable for the diagnosis of chronic and organic diseases. Using
your index finger and thumb, palpate deeply within the auricular tissue to
find subdermal pathological changes.

□ Hyperplasia of the cartilage, nodes, projections, and cords, and the size,
hardness, and sensitivity of each, can be identified by touch.
Electrical detection
□A variety of electrical sensing devices can be used to determine electrical
resistance at points on the ear.

□ Because information about the body is collected in the ear, when an organ or
part of the body is getting sick, the electrical resistance at the corresponding
points in the ear will change significantly.
Exam order
When diagnosing the ear, the convention is to work through the different areas in
the following sequences.

According to anatomical areas:


□ triangular fossa
□ shell
□ helix root
□ antitragus
□ inter tragic notch
□ drink
□ lobe
□ antihelix
□ superior antihelix crus
□ inferior antihelix crus
□ scaphoid fossa
□ helix
□ posterior surface of the ear.
According to the physiological systems:

□ blood pressure
□ obstetric and reproductive system
□ urinary system
□ liver and gallbladder
□ stomach and intestines
□ cardiovascular and respiratory system
□ nervous system
□ face and eye, nose, mouth, tongue, and throat
□ trunk and extremities.
Positive reaction
Beeps will be heard when the electrical detector is located over areas where
electrical resistance is low. Positive reactions are divided into 3 degrees:

Medium (+) positive reaction: the beeps occur slowly, with low
sound, low tone, and low frequency, there is no specific pain in the tested area.

Positive reaction (++): beeps occur quickly with high sound, low pitch,
and unchanged frequency; There is a sensitivity in the tested area.

Strong positive reaction (+++): beeps occur quickly with loud


sound and the pitch changes from low to high; There is pain in the tested area.
Auricular diagnosis in commonly seen disorders
Internal diseases

ACUTE GASTRITIS
Inspection : red spot with gloss on Stomach (MA-IC).
Palpation : sensitivity in the stomach (MA-IC).
Electrical detection : positive reaction in the stomach (MA-IC).*
CHRONIC GASTRITIS
Superficial gastritis
Inspection : white projection of a spot without clear edges on the stomach.
Palpation : projection like a spot, hard and cord-like, in the Stomach.
Electrical detection : positive reaction in the stomach.

Hypertrophic Gastritis
Inspection : large projection with clearly defined borders on Stomach.
Palpation : large projection with hardness in the Stomach.
Electrical detection : positive reaction (++) in the stomach.

Atrophic gastritis
Inspection : flat on or a hole with wrinkles in red alternating with white on
Stomach.
Palpation : sensitivity in the stomach.
Electrical detection : positive reaction in the stomach.
CHRONIC GASTRITIS WITH ACUTE ATTACK

Inspection : white projection like a spot alternating with a shiny red spot.

Palpation : sensitivity in stomach.

Electrical detection : positive to strong reaction (+ to +++).


GASTRIC ULCER

Active phase
Inspection : Congestion like spot or spot with clearly defined border and gloss,
sometimes with a millet-like hole in the middle of Stomach.
Palpation : hole caused by touching, tenderness in the stomach.
Electrical detection : positive reaction in the stomach.

Rest phase
Inspection : Holes like dark purple spots or dots on Stomach.
Palpation : hole caused by touching the stomach.
Electrical detection : medium positive reaction (+) in the Stomach.

Recovery Phase
Inspection : projection like spot or point with clearly defined borders on
Stomach.
Palpation : cord-like projection in the stomach.
Electrical detection : medium positive reaction (+) in the Stomach.
DUODENAL ULCER
Active Phase
Inspection : millet-like pit in red, with clearly defined edges in Duodenum; a
defect occurring in the lateral third of the upper border of the root of the helix;
vascular filling radiating towards Pancreas/Gallbladder.
Palpation : severe sensitivity in Duodenum.
Electrical detection : strong positive reaction (+++) in Duodenum.

Rest Phase
Inspection : Dark purple millet-like pit with clearly defined edges in
Duodenum, vascular filling radiating towards the upper edge of the Root of the
Helix.
Palpation : sensitivity in Duodenum.
Electrical detection : positive reaction (++) in Duodenum.

Recovery Phase
Inspection : dark brown millet-like pit, with clearly defined edges in
Duodenum, vascular filling radiating towards the upper edge of Helix Root.
Palpation : cord-like projection without sensitivity in the Duodenum.
Electrical detection : medium positive reaction (+) in Duodenum.
DUODDENAL BULBAR INFLAMMATION
Inspection : Redness like spots with defined edges are in Duodenum.
Palpation : middle pit in Duodenum.
Electrical detection : positive reaction (++) in the Duodenum.

ACUTE ENTERITIS
Inspection : vascular filling as a red spot with luster and seborrhea in the large
intestine. Sometimes papular eruptions can be found in the area.
Palpation : plane or hole, sensitivity in the large intestine.
Electrical detection : positive reaction (++) in the Large Intestine.

CHRONIC DIARRHEA
Inspection : dark red pit like spot with seborrhea in the large intestine.
Palpation : hole like spot, sensitivity in the large intestine.
Electrical detection : positive reaction (++) in the Large Intestine.
ALLERGIC COLITIS
It is indicated if a positive reaction is found in Current of the Wind, and
Endocrine along with large intestine.

CONSTIPATION
Inspection : projection like a cord or spot with flaking like straw in the Large
Intestine.
Palpation : cord-like projection, hard, in the Large Intestine.
Electrical detection : medium positive reaction (+) in the Large Intestine.

INTESTINAL FUNCTIONAL DISTURBANCE


Inspection : projection as a white patch in the Small Intestine. Dark red or
purple flat or pit in the Large Intestine.
Palpation : projection as a spot in the Small Intestine, flat or hole in
Large intestine without sensitivity.
Electrical detection : positive reaction (++) in Large Intestine, Small Intestine,
Wind Current, Spleen and Subcortex.
CHILD MALNUTRITION
Electrical detection : Positive reaction (++) in Spleen, Endocrine and Subcortex.

ACUTE HEPATITIS
Inspection : redness like a spot or shiny spot on the Liver.
Palpation : red hole after pressing, sensitivity in the Liver.
Electrical detection : positive reaction (++) in the Liver.

CHRONIC HEPATITIS
Inspection : white projection like spot on the Liver.
Palpation : projection like a spot, sensitivity in the Liver.
Electrical detection : positive reaction (++) in the Liver.
LIVER CIRRHOSIS
Inspection : dark color in Liver; projection as a spot on the Spleen.
Palpation : no sensitivity in the Liver but cord-like projection in the Spleen and
Esophagus.
Electrical detection : positive reaction (++) can be found in Subcortex,
Endocrine, Spleen, Esophagus, and Liver.

HEPATOMEGALY
Inspection : white projection with clearly defined borders on the Liver.
Palpation : cord-like projection in the Liver.
Electrical detection : medium positive reaction (+) in the Liver.

ACUTE CHOLECYSTITIS
Inspection : redness like shiny patch on Pancreas/Gallbladder
Bile.
Palpation : Obvious sensitivity in the Gallbladder.
Electrical detection : positive reaction (++) in Pancreas/Gallbladder.
CHRONIC CHOLECYSTITIS
Inspection : projection like a cord or white spot on the Pancreas/Gallbladder.
Palpation : projection like a cord or spot, hard, in the Pancreas/Gallbladder,
sensitivity.
Electrical detection : average positive reaction in Pancreas/Gallbladder.

CHOLELITHIASIS
Inspection : one or more papular eruptions or nodes in Posterior Surface Liver;
projection as a white spot on the Pancreas/Gallbladder.
Palpation : round nodes or cords in the Pancreas/Gallbladder and Liver of the
Posterior Surface.
Electrical detection : positive to strong positive reaction (++ to +++) in
Pancreas/Gallbladder and Liver of the Posterior Surface.

CHRONIC CHOLANGITIS
Inspection : Redness like spot, or a dark purple pit or capillary filling in
Pancreas/Gallbladder and Duodenum.
Palpation : a pit, projection like a spot or cord, sensitivity in the
Pancreas/Gallbladder.
Electrical detection : positive reaction to strong positive reaction (+ + to +++) in
Pancreas / Gallbladder.
SPLENOMEGALY
Inspection : dark red projection on Spleen in left ear.
Palpation : cord-like projection, pit when pressing in the area above
Spleen.
Electrical detection : positive reaction (++) in Spleen.

COMMON COLD
Electrical detection : positive reaction (++) in the Lung, Pharynx and Larynx,
Internal Nose and Bronchus/Trachea.

CHRONIC BRONCHITIS
Inspection : spot-like projection, white on Bronchi/Trachea, dull papular
eruptions in some cases.
Palpation : projection like a cord or spot in the bronchus/trachea, no obvious
sensitivity.
Electrical detection : positive reaction (++) in Bronchi/Trachea.
BRONCHIAL ASTHMA
Inspection : flat, white projection in Bronchi/Trachea; dull white rash in the same
area in some cases.
Palpation : linear or flat projection in Bronchi/Trachea, slightly sensitive.
Electrical detection : positive reaction (++) in Bronchi/Trachea, Lung, Wind
Current, Endocrine, and A*pex of Antitragus.

BRONCHIOSTASIS
Inspection : projection like a dark red cord, without luster, on Down and Trachea; a
capillary refill can be found in Lung.
Palpation : several projections like cords in the Lung and Trachea.
Electrical detection : positive reaction (++) in Bronchi/Trachea.
PULMONARY TUBERCULOSIS
Active Phase
Inspection : papular eruptions, red, spot-like, with luster on Lung.
Palpation : bump on lung.
Electrical detection : strong positive reaction (+++) in the area around Lung.
Calcification Phase
Inspection : one or several areas of pits alternating with dark gray dots or spot-like
eruptions (patches), with clearly defined borders, in the creditor area of the Lung.
Palpation : projection as a cord or node in the Lung.
Electrical detection : positive reaction (++) in the Lung.

HYPERTENSION
Inspection : plane (-) or projection (+) at Point to Raise Pressure
Sanguine (Sheng Ya Dian, on the lower edge of the root of the ear, in the Teeth
area).
Electrical detection : strong positive reaction (+++) at Point to Lower Blood
Pressure (in the Upper Triangular Fossa).
CORONARY HEART DISEASE
Palpation is mainly performed on the left ear for this disease.
Palpation : edema with pit in Heart; undulating edema when pressure is applied
to the area around the Heart: cord or patch-like projection on the Heart; thin,
easily brittle skin in Corazon.
Electrical detection : positive reaction to strong positive reaction (++ to +++) in
Corazon.

PAROXYSMAL TACHYCARDIA
Palpation : cord or patch-like projection in the lower quarter of the heart,
sensitivity.
Electrical detection : positive reaction (++) in Heart, Posterior Surface Heart, and
Subcortex.

BRADYCARDIA
Inspection : the normal physiological hole disappears in the Heart, which appears
flat or with a slight bulge.
Palpation : lump in heart.
Electrical detection : positive reaction (++) in Corazon.
VENTRICULAR ATRIUM BLOCK
Inspection : Red, papular eruptions, the size of the tip of the needle on Heart are
seen on an incomplete block of a bunch.

PREMATURE HEARTBEAT
Palpation : edema with a pit, like a ring in the heart.
Electrical detection : positive reaction (++) in the Heart and Subcortex.

RHEUMATIC HEART DISEASE


Inspection : hard change of an irregular shape and dark color and capillary filling
with a clear border in the Heart involving the lower edge of the root of the helix and
Spleen.
Palpation : hard change of irregular shape in Heart, sharp pain (stab). Electrical
detection : strong positive reaction (+++) in Heart.
HEART ENLARGEMENT
Inspection : wrinkled, red, round or ellipsoid shape of 0.5 x 0.5 cm near the
Heart.
Palpation : undulation in heart.
Electrical detection : positive reaction (++) in Heart.

FRONT HEADACHE
Inspection : Front projection.
Palpation : projection like cord or patch, round, soft in quality in
Forehead.
Electrical detection : positive reaction (++) in Front.

MIGRAINE HEADACHE
Inspection : projection as a patch on the temples.
Palpation : Sensitivity in temples.
Electrical detection : positive reaction (++) in Temples.
OCCIPITAL HEADACHE
Inspection : projection as a patch on Occiput.
Palpation : projection, soft in quality, in Occiput.
Electrical detection : positive reaction (++) in Occiput.

HEADACHE IN THE WHOLE HEAD


Inspection : patch-like projection on the lateral surface of the Antitragus, Occiput,
Temples, and Forehead.
Palpation : undulation, unevenness, on the lateral surface of the antitragus, or
cord-like projection.

DIZZINESS
Inspection : hole like stain, cord, red with luster on Occiput.
Palpation : Hole in Occiput.
Electrical detection : positive reaction (++) in Occiput.
NEUROSIS
Inspection : irregularly shaped projection between Cervical Vertebra and Occiput.
Palpation : patch-like thickening or hardened cord of cartilage that can be felt by
pinching the area between the Cervical Vertebra and Occiput.
Electrical detection : positive reaction to strong positive reaction (++ to +++) in the
Heart, Subcortex and in the area between the Cervical Vertebra and Occiput.

FUNCTIONAL DISTURBANCE OF THE NERVOUS SYSTEM


AUTONOMOUS
Electrical detection : positive reaction (++) in Sympathetic, Heart, Kidney, Occiput,
Forehead, and Subcortex.

TRIGEMINAL NEURALGIA
Palpation : severe sensitivity in the jaw, tongue, eye, and cheek; The pain threshold
in the ear on the affected side is obviously lower than on the healthy side.
Electrical detection : positive reaction (++) on Cheeks, Mouth, and Triple Warmer.
CHRONIC NEPHRITIS
Inspection : projection as a white patch or papular rash, with luster on
Kidney.
Palpation : stabbing pain in Kidney, Endocrine, Wind current, and Posterior Surface
Kidney; Edema with hole in Kidney.
Electrical detection : positive reaction (++) in Kidney, Endocrine, Wind Current
and Posterior Surface Kidney.

CHRONIC PYELONEPHRITIS
Palpation : sensitivity in Kidney and Urethra; projection as a cord in the urethra.
Electrical detection : positive reaction (++) in Kidney and Urethra.

CHRONIC CYSTITIS
Palpation : sensitivity in the Bladder and Urethra; projection as a cord in the
urethra.
Electrical detection : moderate positive reaction (+) in the Bladder and Urethra.
DIABETES
Inspection : white swelling in Pancreas/Gallbladder.
Palpation : pit edema in Pancreas/Gallbladder.
Electrical detection strong positive reaction (+++) in Pancreas/Gallbladder and
Endocrine.

CHRONIC PROSTATITIS
Palpation : sensitivity in Prostate/Upper Concha Angle and Urethra.
Electrical detection : positive reaction (++) in Prostate/Upper Concha Angle and
Urethra.

PROSTATIC HYPERTROPHY
Inspection : Bulging and dull change of Prostate/Upper Concha Angle.
Palpation : hardened projection in Prostate/Superior Concha Angle; cord-like
projection in urethra.
Electrical detection : positive reaction (++) in the Urethra and Prostate/Upper
Concha Angle.

URINARY TRACT INFECTION


Palpation : sensitivity in Urethra, Bladder, and Prostate/Upper Concha Angle; cord-
like projection in urethra.
Electrical detection : positive reaction (++) in the Urethra, Bladder, and
Prostate/Upper Concha Angle.
EXTERNAL DISEASES
ACUTE TRAUMATIC INJURY OF THE JOINT AND
SOFT FABRIC
Inspection : red spot with swelling in the corresponding points.
Palpation : pit edema with sensitivity in the corresponding points.
Electrical detection : positive reaction to strong positive reaction (++ to +++) in
the corresponding points (e.g., shoulder disorder – shoulder point; heel disorder –
heel point).

OLD TRAUMATIC INJURY OF THE JOINT AND


SOFT FABRIC
Inspection : projections at the corresponding points.
Palpation : projection like a cord or patch at the corresponding points.
Electrical detection : moderate positive reaction to positive reaction (+ to + +) at
the corresponding points.
CHRONIC ARTHRITIS
Inspection : projections as dots, targets at the corresponding points.
Palpation : undulations on the surface of the corresponding points; cord-like
projections.
Electrical detection : positive reaction (++) at the corresponding points.

ACUTE ARTHRITIS
Inspection : spot-like redness, bright red capillary filling at corresponding points.
Palpation : red patch or spot or edema with a point pit, severe sensitivity in the
corresponding points.
Electrical detection : positive reaction to strong positive reaction (++ to +++) at
the corresponding points.

LUMBAR MUSCLE SPRAIN


Inspection : for chronic sprain, irregularly shaped white projections are observed
on Lumbosacral Vertebrae; For acute sprains, red projections with luster and
capillary filling are seen.
Palpation : deformation in Lumbosacral Vertebrae.
Electrical detection : strong positive reaction (+++) in Lumbosacral Vertebrae.
HYPERPLASIA OF LUMBOSACRAL VERTEBRAE
Inspection : nodule or bead-like projection in Lumbosacral Vertebrae.
Palpation : cord-like projection in Lumbosacral Vertebrae.
Electrical detection : positive reaction (++) in Lumbosacral Vertebrae.

MYOFIBROSITIS OF THE SHOULDER AND BACK


Inspection : white projection on the lateral edge of the antitragus.
Palpation : hyperplasia and deformation of cartilage, hard in quality.
Electrical detection : positive reaction (++) in the corresponding area in the
atrium.

CALCANEUS HYPERPLASIA
Palpation : sensitivity, cord-like projection on the heel.
Electrical detection : positive reaction (++) on Talon.
CALF SPASM
Electrical detection : positive reaction (++) at the corresponding point in the atrium.

SCIATICA
Electrical detection : positive reaction (++) in Hip, Buttocks, Knee, Ankle, Heel, and
Finger.

SPONDYLOPATHY
Inspection : nodules or bead-like deformation in Cervical Vertebrae. Palpation :
cartilage hyperplasia, cord-like projection on Cervical Vertebrae.
Electrical detection : moderate positive reaction (+) to positive reaction (++) in
Cervical Vertebrae.

CHRONIC APPENDICITIS
Inspection : projection as white patch in Appendix.
Palpation : cord-like projection in Appendix.
Electrical detection : moderate positive reaction (+) in Appendix.
HEMORRHOIDS
Inspection : Ripples on the surface around the Anus, redness like spot or spot or
capillary filling in Anus is observed in cases of thrombotic external hemorrhoids.
Palpation : cord-like projection in the anus in external hemorrhoids.
Electrical detection : moderate positive reaction (+) in the Anus in cases of
thrombotic external hemorrhoids.

ANAL FISSURE
Inspection : red or serrated nodular change in Anus.
Palpation : projection like cord or nodular in Anus.
Electrical detection : positive reaction (++) in Anus.

SEXUAL HYPOFUNCTION
Electrical detection : positive reaction (++) in Internal Reproductive Organs,
Pelvis, Prostate/Upper Concha Angle, Urethra, Testicle, Kidney, and Endocrine.
Gynecological and Obstetric Diseases
PELVIC INFLAMMATION
Inspection : patch-like projection and point-like redness in Pelvis.
Palpation : cord-like projection in Pelvis.
Electrical detection : positive reaction (++) in Pelvis.

ANNEXITIS
Inspection : projection as a cord or patch and redness as a point in the Annexes (Fu
Jiang) (corresponding to the annexes of the Uterus), located in the portion of the upper
third of the Internal Reproductive Organs.
Palpation : projection like cord or patch on Fu Jiang, the corresponding point of the
adnexa of the uterus on the ear. Inflammation may be occurring in both adnexa
(ovaries) if the changes are in both ears.
Electrical detection : positive reaction (++) in Fu Jiang.

CERVICITIS
Inspection : pits like spot, redness, seborrhea, peeling, and papular rash on Cervix
(Gong Jing).
Palpation : the skin on the cervix becomes thinner, breaks easily, or has capillary
filling and sensitivity.
Electrical detection : positive reaction (++) in Cerviz.
------
MENSTRUAL DISORDERS
Advanced, profuse menstruation
Inspection : edge with redness with gloss due to white swelling in Uterus.
Palpation : edema with pit in U*tero.
Electrical detection : positive reaction to strong positive reaction (++ to +++) in
U*tero.

Delayed, scant menstruation


Inspection : flat change in the Triangular Trench.
Palpation : projection like a cord or hardened patch in the Uterus.
Electrical detection : positive reaction (++) in the Uterus.

DYSFUNCTIONAL UTERINE BLEEDING


Inspection : white, spot-like swelling in the triangular fossa.
Palpation : pit edema involving the Triangular Fossa.
Electrical detection : strong positive reaction (+++) in Uterus; moderate positive
reaction (+) to positive reaction (++) in Liver, Spleen, and Kidney.
HYSTEROMYOMA
Palpation : hyperplasia like cord or node in Uterus; cord-like projection in
internal reproductive and endocrine organs.
Electrical detection : positive reaction (++) in the Uterus.

LEUKORRHEA
Inspection : redness, seborrhea, and peeling or spot-like papular rash in the
triangular fossa.
Palpation : red hole in the Triangular Fossa.
Electrical detection : positive reaction (++) in the Triangular Trench.
Dermatological diseases
ACUTE HURTICARIA
Inspection : redness in Wind Current.
Palpation : pit edema, red, in Corriente del Viento.
Electrical detection : positive reaction to strong positive reaction (++ to +++) in
Wind Current.

CHRONIC HURTICARIA
Inspection : redness in Wind Stream; bran-like peeling in lung.
Palpation : pit edema, white, in Corriente del Viento.
Electrical detection : positive reaction (++) in Wind Current.

NEURODERMATITIS
Inspection : bran-like peeling in Lung; rough, dark brown change on the surface in
this area.
Palpation : sensitivity in the lung.
Electrical detection : moderate positive reaction (+) in the Lung.
SEBORRHEIC DERMATITIS
Inspection : seborrheic desquamation in the entire auricle; Occasionally, redness
as a shiny spot may be found.
Electrical detection : positive reaction (++) in Lung and Endocrine.

SKIN ITCH
Inspection : dry skin and dull peeling in the entire atrium, particularly in the Lung
and Windstream.
Electrical detection : positive reaction (++) in Lung and Wind Current.
Eye, Nose, Ear, Mouth and Throat Disorders
CHRONIC PHARYNGITIS
Inspection : Edema in the Mouth and Bronchi/Trachea.
Palpation : pit like point in Bronchus/Trachea.
Electrical detection : positive reaction (++) in the Pharynx and Larynx,
Bronchus/Trachea, and Mouth.

CHRONIC TONSILLITIS
Inspection : projection as dark red or purple patch on Tonsil.
Palpation : cord-like projection in Tonsil.
Electrical detection : positive reaction (++) in the Mouth, Pharynx, Larynx, and Tonsil.

CHRONIC RHINITIS
Inspection : no deformation or color change on Inner Nose.
Electrical detection : positive reaction (++) in the Inner Nose.
ALLERGIC RHINITIS
Inspection : white patchy projection resembling edema in the inner nose.
Palpation : pit edema in the inner nose and wind current.
Electrical detection : positive reaction (++) in the Inner Nose and Wind Current.

NASO SINUSITIS
Inspection : patch-like projection on the Inner Nose, irregularly shaped projection
on the Front.
Palpation : hardened projection in the inner nose.
Electrical detection : positive reaction (++) in the Inner Nose, Lung, and Forehead.

GINGIVAL BLEEDING
Inspection : patch-like projection and edema in the Mandible and Mouth involving
the Bronchus/Trachea.
Palpation : pit edema in Bronchus/Trachea and Mouth; soft projection in mandible.
Electrical detection : positive reaction (++) in the Mouth and Jaw.
GINGIVITIS
Inspection : patch-like projection and edema in the mouth and jaw.
Palpation : projection like a cord or patch, soft, in the mouth and jaw.
Electrical detection : positive reaction (++) in the Mouth and Jaw.

DENTAL CARIES
Inspection : hole like point or filament with wrinkled skin on Jaw.
Palpation : a hole is made when the jaw is pressed.
Electrical detection : positive reaction (++) in the Mandible.

ULCERS IN THE MOUTH


Inspection : projection in Mouth and Tongue.
Palpation : projection like a cord or patch in the mouth and tongue.
Electrical detection : positive reaction (++) in the Ear Lobe.
MYOPIA
Inspection : patch-like projection on the back of the inter-tragic notch.
Palpation : smooth, irregular projection, in the posterior part of the inter tragic
notch.
Electrical detection : positive reaction (++) at the back of the inter-tragic notch.

ASTIGMATISM
Inspection : irregular hole or spot between the back of the inter tragic notch and
the forehead.
Palpation : hole between the back of the inter tragic notch and the forehead.
Electrical detection : positive reaction (++) in Front, Eye, and the back of the inter
tragic notch.
Therapeutic Methods
Acupressure with seeds

□ In seed acupressure (which is sometimes called pill acupressure or bead


acupressure), plant seeds, medicinal pills, or magnetic beads are attached to ear
points with adhesive tapes as an alternative to using needles.

□ This method is simple to use, widely applicable, and has a superior effect because it
provides continuous stimulation. It is also safe, free of side effects, and affordable.
Its popularity in the clinic has grown steadily, especially in the treatment of the
elderly and infants.
SEEDS, PILLS AND OTHER MATERIALS FOR PRESSURE
□ Any seed or pill that has a smooth surface, a suitable size and hardness can be
used for seed acupressure, including cow seed (wang bu liu), radish seed (lai fu
zi), white mustard seed ( bai jie zi), dodder seed (tu si zi), colsa (canola) seed
(you cai zi), stink cassia seed (jue ming zi), jujuba seed (suan zao ren), alpine
seed (yi Zi ren), rice grain (chi xiao dou), and mung bean (lu dou).

□ Choose mature seeds (or beans) with a diameter of 1.0 to 1.5 mm. Boil them in
water for two minutes, then dry them for use. Magnetic beads and borneol are
also commonly used for this treatment method.

□ Certain medicinal pills can also be used, such as Liu Shen Wan (Six Spirit Pills)
and Hou Zheng wan (sore throat pills).

□ Of all these materials, the most used are vacaria seeds and magnetic beads.
EQUIPMENT
□ Duct tapes, cut into pieces approximately 14mm by 14mm;
□ alcohol 75%,
□ tincture of iodine 2.5%;
□ dry, sterilized cotton swabs;
□ a surgical knife; and tweezers.

Points for attention


□ Do not allow the adhesive tapes to become wet, as this may cause skin
infection. For those who have an allergic reaction to adhesive tapes and present
with red, itchy papular rashes on the ear, perform ear apex bleeding or provide
allergy medication.
□ Use fewer points in summer. The course of treatment should also be shorter to
avoid infection of the skin in the ear.
□ Do not use acupressure with seeds on patients with dermatological
disorders such as frostbite and eczema.

□ If pain occurs in the treated ear while sleeping, the adhesive tape with
the seed can be released or even removed according to the patient's
desire.

□ Handle seeds gently for infants and pregnant women.


□ Patients with hypertension, coronary heart disease, and
arteriosclerosis should obtain adequate rest before treatments. Careful
observation should be made after treating such patients to prevent
accidents .
Procedure
IDENTIFICATION OF SENSITIVE POINTS
First, determine the prescription according to the ear diagnosis; Next, identify the
sensitive points in the selected areas of the point according to the inspection,
sensitivity, and electrical detection.

STERILIZATION OF THE AREA TO BE TREATED


Sterilize the area to be treated or, if necessary, the entire ear with 75% alcohol.

APPLY THE BANDAGE


Place the seed in the center of a small piece of masking tape. Hold the ear gently
using your thumb, middle finger and index finger, then fix the prepared bandage
over the selected point on the ear with the tweezers. Press the seed firmly into
place.
ACUPRESSION
□ Gradually apply increasing pressure to the seeds until the patient's tolerance
level is reached.
□ Continue pressing until warmth, distension, or a rush of blood is felt in the
atrium.
□ In general, use moderate stimulation for weaker patients, older adults, pregnant
women, and infants; Use stronger pressure for acute, febrile, or painful disorders.
For painful disorders, maintain pressure until the pain is relieved.

COURSE OF TREATMENT
□ In general, the treatment is performed on only one ear in 3 to 5 points, changing
every 5 to 7 days. Both ears can be treated when necessary.
□ Following the treatment done by the acupuncturist professional, the patient
should press the seeds 3 to 5 times each day, holding the pressure for 2 to 3
minutes each time.
Seeds commonly used for acupressure

COW SEED
□ The most commonly used seed for acupressure is the cow seed with a diameter
of 2mm. Most disorders can be treated with cow seed acupressure.

MUNGO BEANS
□ Mung beans clear heat and resolve toxins and summer heat; They are used to
treat diseases of a hot nature. Due to their large size, mung beans should be cut
in half; Apply the smooth surface to the ear point.

CASSIA FETIDA SEEDS


□ Cassia seeds clear heat and brighten the eyes, moisten the intestines and
release stool; Thus, acupressure with Cassia seeds is used to treat eye and head
disorders as well as constipation.
WHITE MUSTARD SEEDS
□ White mustard seeds have a pungent and acrid nature. They warm the lungs,
sweep away phlegm, and disinhibit Qi; They also disperse what is imprisoned,
frees the vessels from the network (clears the collaterals), and relieves pain. It is
used to treat coughing and snorting due to cold phlegm, distension and pain of
the ribs and chest, ulcers spilling phlegm-dampness, pain and numbness of the
joints, swelling of toxins, yin flat abscesses, and other phlegm disorders.

COLSA (CANOLA) SEEDS


□ With a mild flavor and warm nature, canola seeds move blood and break Qi,
disperse swelling and dispel bondage. They are used in the treatment of
postpartum disorders, hemorrhoids, bloody dysentery, and toxin bloating.

DOdder SEEDS
□ Dodder seed is pungent and slightly bitter; warms the spleen, controls diarrhea
and contains saliva. And it warms the kidney, secures the essence, and reduces
urine. It is used to treat diarrhea due to cold-spleen with abdominal pain due to
cold, copious drool, enuresis due to empty kidneys, frequent urination, cloudy
white leucorrhoea, and seminal emission.
THINNY JUJUFFEA SEEDS
□ They are sour and sweet in taste and hot in nature, Prickly Jujube seed
supplements the liver, quiets the spirit, restrains sweat, and engenders fluids. It
is used to treat agitation, emptiness and insomnia, palpitations of terror and
profuse sleep, general emptiness and profuse sweating, and dry mouth due to
damaged fluids. The seed should be cut in half, then worn with the smooth
surface against the ear point.

BORNEOL SEED
□ Borneol is a pungent-cooling medicinal; It opens the orifices and awakens the
brain, clears heat and relieves pain. It is used to treat heat illnesses marked by
darkened spirit, tetanic inversion, embolism (stroke) with phlegm inversion,
coma, mouth ulcers, bloody eyes, and sore throat. Switch treatment to the
opposite ear every 3 days as borneol can dissolve and be absorbed during this
time.
ACUPRESSURE WITH MAGNETIC BEADS-PEARLS
□ Pressing with a 500 Gauss (500G) magnetic ball or bead can stimulate a point on
the ear and achieve the function of magnetic therapy.

ACUPRESSURE WITH 6 SPIRITS PILLS (Liu Shen Wan)


□ As a prepared medicine, 6 Spirit Pills (Liu Shen Wan) is effective in treating sore
throat and tonsillitis. It is composed of bovine bezoar, musk, pearl, borneol,
realgar, toad venom; clears heat and resolves toxins, opens orifices and moves
blood, and disperses swelling and relieves pain. Acupressure with 6 Spirit Pills is
used to treat various heat and inflammation illnesses.
Acupuncture with filiform needles
For this method, use 30 gauge (0.30mm) or 32 gauge (0.25mm) half inch needles.

Procedure
IDENTIFICATION OF SENSITIVE POINTS
□ First, determine the prescription according to the ear diagnosis; Next, identify
the sensitive points in the selected areas of the point according to the
inspection, sensitivity, and electrical detection.

STERILIZATION OF THE AREA TO BE TREATED


□ Sterilize the area to be treated or, if necessary, the entire ear with 75% alcohol,
particularly the Triangular Fossa, the Upper and Lower Concha, and the
External Auditory Canal.
PATIENT POSITION
□ The patient will usually be seated. Lying supine is acceptable for patients who feel
nervous or weak.
□ Fix the auricle with the thumb and index finger of one hand. Place your middle
finger on the back surface of the ear, behind the area to be acupunctured, to control
the depth of the needle and relieve pain.
□ Hold a needle between the thumb and index finger of the other hand, and insert it
into the sensitive point.

□ Two methods can be used for needle insertion:


Quick Insertion: Using force, quickly insert the needle into the sensitive point in the
ear cartilage.
Quick Insertion – Slowly insert the needle while rotating it with uniform force in a
clockwise direction.

INTENSITY OF STIMULATION AND MANIPULATIONS


□ The intensity of stimulation for ear needle manipulations is determined by the
individual condition of the patient, including the severity of the disease, age,
constitution, and pain tolerance.
Intensity of acupuncture application
Strong Stimulation : It is also called drainage method. It is used regularly to
treat acute cases, heat patterns, excess patterns, and patients with strong
constitutions.

Moderate stimulation : This is also called the supplementation method. It is


primarily used to treat chronic conditions, emptiness patterns, and patients with
weak constitutions.

Medium stimulation : it is also called the equal supplementation and


drainage method. As the most commonly used method, it can be used in the
treatment of almost all disorders.
Manipulations
The 4 most commonly used manipulations are:
Simple acupuncture : insert the needles into the sensitive points and hold
them. This is used for older adults, the frail, infants, and chronically ill patients.

Scraping : insert the needles into the sensitive points, fix the inserted needles
with the thumb and index finger; then quickly scrape up and down the handle of the
needle with the nail of your thumb or finger; scrape for 20 to 30 seconds. This is
commonly used for chronic illnesses, a weakened constitution, or for children.

Rotation : Insert the needle into the selected sensitive point, then rotate the
needle with your thumb and index finger. The rotation should be done with medium
intensity. Continue rotating for 20 to 30 seconds. This is suitable for treating
commonly seen chronic disorders.

Lift and stab : Insert the needle into the sensitive point, and forcefully lift and
stab the needle in a pumping action for 10 to 20 seconds. This is used to treat acute
disorders and painful disorders.
Insertion Depth
□ The depth of insertion depends on the thickness of the patient's atrium . In
general, insert the needle until it reaches the ear cartilage and can stand on its own.

□ Most acupuncturists think that cartilage should be punctured to treat patterns


of heat or excess pain , as well as to achieve strong stimulation; but the needle
should be inserted only far enough to reach the ear cartilage for those who are
weak or whose illness is long-term.

□ However, the needle should not pass completely through the atrium , or
infection may result.

□ In some cases, the discomfort will be relieved immediately as the needle is inserted
and there is a sensation from the needle indicating that Qi has been obtained; If
there is no needle sensation, the direction of the needle tip should be gently
adjusted until needle sensation is induced.
Needle retention
□ Retention refers to keeping the needle inserted in the ear point for a period of time,
usually 30 to 60 minutes.
□ Needle retention may be longer in chronic and painful disorders.
□ Repeated manipulation while retaining the needle reinforces the therapeutic effect.
When treating older adults or infants, hold the needle for a shorter time.

Drainage and Supplementation


□ Drainage and supplementation is achieved by the duration of needle retention and
the intensity of stimulation.

□ Drainage refers to inserting the needle deeply while rotating, and retaining the
inserted needles for a longer time.
□ Supplementation refers to inserting the needle superficially without rotation and
retaining the needles for a shorter time or none at all.

□ Drainage is generally used to treat patterns of heat and excess, or to treat pain;
□ Supplementation is used for cold emptiness patterns, weak patients, older adults,
women, and infants.
NEEDLE REMOVAL
The needles must be removed after treatment. There are two methods to remove
needles.

Direct needle removal


□ Fix the auricle with one hand and hold the needle handle with the thumb and index
finger of the other hand, then remove the needle directly. Because this method does
not cause pain, it is frequently used in the clinic.

Removal of the needle by rotating it


□ Fix the auricle with one hand and hold the needle handle with the thumb and index
finger of the other hand; rotate the needle as you remove it.

□ Because stimulation is continued while the needle is withdrawn, this method is


generally used for heat and excess patterns and painful disorders that require
drainage methods.

□ Press a sterile cotton swab on the point where the needle was removed to prevent
bleeding and infection.
COURSE OF TREATMENT

□ Treatments are generally carried out every day or every other day.

□ Allow 7 to 10 days for each treatment course with a 2 to 3 day interval between
treatment courses.
Needle implantation
Intradermal needles are implanted into points that treat a specific disorder. With its
persistent and weak stimulation, this method is suitable for treating chronic and
painful disorders, or for patients who for some reason cannot return to the clinic.

Procedure

IDENTIFICATION OF SENSITIVE POINTS


First, determine the prescription according to the ear diagnosis; Next, identify the
sensitive points in the selected areas of the point according to the inspection,
sensitivity, and electrical detection.

STERILIZATION OF THE AREA TO BE TREATED


Sterilize the area to be treated or, if necessary, the entire ear with 75% alcohol,
particularly the Triangular Fossa, the Upper and Lower Concha, and the External
Auditory Canal.
NEEDLE INSERTION
Fix the auricle with one hand, stretch the area to be treated. Gently insert an
intradermal needle with the forceps, then secure the inserted needle with an
adhesive tape.

COURSE OF TREATMENT
One ear is treated first in 3 to 5 points. The patient will need to press the implanted
needles 3 to 5 times each day, maintaining the pressure for 2 to 3 minutes each time.
Switch to the opposite ear every 5 to 7 days. A treatment should last 10 days.
Points for attention
□ Carefully sterilize the atrium before treatment to avoid infection.
□ This method cannot be used on patients with ear infection or frostbite of the ear.
□ Following the treatment, the patient should press the implanted needles 3 to 5
times each day to improve the therapeutic effect.
□ For those who have difficulty sleeping due to pain in the area where the needle
was implanted, the direction of the needle tip and the depth of insertion should
be adjusted until the patient feels comfortable.
□ Keep the implantation area dry to avoid infection. The duration of implantation
should be shorter in the summer to avoid infection.
□ Local swelling and discomfort in the implantation area should be treated
immediately. The needle should be removed and anti-inflammatory treatment
given if redness and swelling occur at the point where the intradermal needles
were implanted.
Electro acupuncture
□ Electro acupuncture combines electrical stimulation with the insertion of needles in
order to reinforce the therapeutic effect.
□ Almost all disorders that can be treated with ear needling can be treated with
electroacupuncture, particularly psychological disorders, nervous system disorders,
spasms of internal organs, and asthma.

Procedure
NEEDLE INSERTION
□ Insert filiform needles into the selected points in the same manner as standard
acupuncture with filiform needles.

CONFIGURE THE EQUIPMENT


□ Connect the inserted needles to an electrical stimulator. Select the prescribed wave
type and frequency, then turn on the machine and gradually increase the current to
the patient's tolerance. Each treatment generally lasts 10 to 20 minutes.

COURSE OF TREATMENT
□ Treat daily or every other day for 7 to 10 days. The treatment course can be repeated
after 2 to 3 days interval.
Points for attention
□ The patient's condition determines the intensity of the stimulation. In general,
medium stimulation is used to the patient's tolerance. Stronger stimulation is used for
those with severe and prolonged pain.
□ Connect both electrodes of one cable to the same ear, place and pair the electrodes
separately when more than 2 or 3 needles are inserted.
□ During the treatment, ensure that the inserted needles are not touching each other, to
avoid a short circuit, which would decrease the therapeutic effect and even damage
the electroacupuncture device. If only one needle is used, a separate electrode can be
fixed over the edge of the atrium or held by the patient.
□ Prior to treatment, inform the patient of possible sensations that may occur such as
drowsiness, heaviness, irritation, distension, or pain.
□ Start with a low current for several minutes, then gradually increase it.
□ If the output is intermittent, it could indicate poor cable connection. Stop treatment
and check the electroacupuncture device and repair it if necessary before use.
□ Regularly check the battery and other parts of the electro acupuncture device to
ensure that it is working properly.
Plum Blossom Acupuncture
Plum blossom acupuncture originated as a treatment in standard body acupuncture and
was later adapted to auricular acupuncture. It courses and frees the channels and
collaterals, clears heat and eliminates toxins, clears stagnation and generates new blood,
and regulates the organs and entrails.

INDICATIONS
Facial paralysis, neuritis of the lateral cutaneous nerve of the thigh, dermatological
disorders such as acne, acne rosacea, brandy nose, flat warts, seborrheic dermatitis,
chloasma, leucoderma, neurodermatitis, skin pruritus, and cosmetic facial treatments.

Procedure

PREPARATION OF THE NEEDLES


Plum blossom ear needles are made by grouping 5 0.5 inch needles. Intradermal needles
can also be used to make plum blossom ear needles. Plum blossom needles for auricular
acupuncture can also be purchased ready to use.
NEEDLE INSERTION
□ The patient should massage both ears until the capillaries are full.
□ After sterilizing the ear, fix the auricle with one hand and hold the plum blossom
needles with the other. Peck the selected points like a bird pecking. Gradually
increase the force of the pecking until the atrium feels warm and a few drops of
blood can be seen.
□ Clean the atrium with 75% alcohol after treatment.

COURSE OF TREATMENT
□ Treatments should be done every other day or once every 3 or 4 days. A course of
treatment lasts 7 to 10 days; Allow 5 days between courses of treatments.

Points of attention
□ Examine the needles before treatment. Do not use needles with damaged tips.
□ The points on the earlobe can be used with the body points on the face and cheeks for
facial beauty treatments.
Bleeding
□ Bleeding can be done with a 3-edged needle or a surgical blade on the veins on
the back surface of the ear. This procedure courses and frees the channels and
collaterals, clears stasis and engenders new blood, extinguishes wind and
controls tetanus, calms the patient and discharges heat, and relaxes tension and
relieves pain.

□ It is also used to treat pain patterns due to blood stasis, high fever and convulsion
caused by exuberant and intense malignant heat, or dizzy head and dizzy vision
produced by ascending hyperactivity of liver yang.
Procedure
SELECTION OF THE AREA TO BE TREATED
Bleeding is usually done on the earlobe, the apex of the ear, or on the bulging veins
in the atrium.

STERILIZATION
Sterilize the atrium with 75% alcohol, first on the medial side, then on the lateral
side, paying particular attention to the bleeding areas.

METHOD
Massage the auricle until redness or warmth is felt. Fix the auricle with your hand
while holding the 3-edged needle or surgical blade with the other hand; pick or cut
the skin to draw 3 to 5 drops of blood, then stop the bleeding with pressure.
COURSE OF TREATMENT
In general, a treatment is done every other day (one day if not one day). However,
it should be done once a day for acute febrile illnesses. Allow 5 to 7 days for each
treatment course with a 2 to 3 day interval between courses.

Points of attention
□ Massage the auricle before treatment to reinforce the therapeutic effect.
□ Carefully control the depth of the cuts to avoid damaging the ear cartilage.
□ In the patient who was bled from the posterior surface veins, use the distal veins
first. Apply pressure after drawing blood to prevent subcutaneous hematoma
formation.
□ This method cannot be used for hemophilia patients, pregnant women, or
anyone using blood-thinning medications.
□ Careful sterilization is necessary to avoid infection.
□ In general, if bleeding is performed on the veins on the back surface of the ear,
the treatment is performed on one ear only and is changed to the other ear in
the next session.
Medicine injection
The combination of inserting needles and injecting small amounts of drugs into
the ear points can achieve a good therapeutic result.

Medicine selection
Choose medicines that (1) are moderate stimulants, (2) do not cause thermal
tissue necrosis, and (3) are easily absorbed.

COMMONLY USED MEDICINES


Surface anesthetic agents : Novocaine and Lidocaine.
Vitamins : Vitamin B1, B12 and Vitamin E.
Sedatives : Phenobarbitol and chlorpromazine hydrochloride.
Antibiotics : penicillin and Gentamicin.
□ Analgesics : Petidine hydrochloride and anadolum.
□ Antispasmodics : atropine sulfate and scopolamine hydrobromide.
□ Antiasthmatics : epinephrine and aminophylline bitartrate.
□ CNS stimulants : lobeline hydrochloride, niketamide, strychnine, and
securininum.
□ Hormones : Hydrocortisone and insulin.
□ Hemostatics: Adrenaline, salicylates, and vitamin K.
□ Biological products : placenta tissue fluid and brain tissue fluid.
□ Medicinal Herbal Products : Huang Qi Zhu She Ye (Astragalus Fluid
Injection), Dang Gui Zhu She Ye (Tangkuei Fluid Injection), Chai Hu Zhu She Ye
(Bupleuro Fluid Injection) and Ban Lan Gen Zhu She Ye ( Isatis Root fluid
injection).
□ Distilled water and normal saline can also be used in injections.
Procedure
SELECTION OF THE AREA TO BE TREATED
Determine the prescription for acupuncture points and medications according to the
diagnosis.

STERILIZATION
Sterilize the atrium with 75% alcohol.

MEDICINE INJECTION
Put the selected medicine into a syringe. Hold the atrium with one hand to stretch the
area to be treated, then inject the drug with the other hand. Inject 0.1 to 0.5ml of the
medicine into each point until a bladder is seen in the injected area. This may induce
redness, swelling, heat, or local pain.
Gently wipe spills from around the injected area. Avoid pressing hard.
TREATMENT COURSE
Inject the points into alternate ears every other day (every other day).
Allow 5 to 7 treatments per course with a 2 to 3 day interval between courses.

Points of attention
□ Only a small amount of the drug is needed.
□ Careful sterilization is needed to avoid infection.
□ Do a skin test for any medicine that may cause an allergic reaction.
□ Adequate attention to the pharmacological functions of the drug and its
contraindications. Avoid medicines that have severe side effects or drugs that are
stimulants.
□ Start with a small dose and gradually increase, particularly for older adults, those
who are weak, or those who have never been treated with this method.
□ Use points alternately to benefit drug absorption.
Ear moxibustion
Ear moxibustion achieves an effect of warm and hot nature. This method warms the
channels and dissipates cold, and courses and frees the channels and collaterals. It is
recommended to treat patterns of cold emptiness and impediment syndrome.

Procedure
MOXIBUSTION WITH INCENSE
Light a stick of incense. Two or three points are selected for treatment. Hold the
incense stick close to the skin for 2 or 3 minutes, until the patient feels a moderate
burning pain. Treat one ear at each session, and alternate ears every other day.
Allow 7 to 10 treatments for each course. This method is used to treat conditions such
as pain in the lower back and legs, popping in the neck, and periarthritis of the
shoulder joint.
MOXIBUSTION WITH REED
Cut the rush into 1cm segments and soak it in canola oil to prepare it for use. Light the
soaked reed and quickly apply moxibustion to the selected spot until the “pah” sound
has been heard. This counts as one cone. Treat daily or every other day, using 3 to 9
cones for each treatment. Treating one or both ears at the same time will be
determined by whether the disease involves one or both sides of the body. This
method is used to treat mumps, conjunctivitis, and shingles.

MOXIBUSTION WITH MATCHES


Light a matchstick and then quickly press the lit match on the selected spot for 1 to 2
seconds. Treat one or two points over the ears, alternating them.

MOXIBUSTION WITH PURE MOXA


Use a puree of moxa over the entire auricle until it is red and a sensation of heat is
induced. This method is used to treat painful impediment, withering pattern,
discomfort and pain in the lower back area and knees.
Points of attention
□ Take care that the hair does not catch fire.

□ In order to avoid burns, continue moxibustion only until redness of the auricle, a
sensation of heat, or moderate burning pain is induced.

□ Treat all selected points in turn.

□ Moxibustion is not recommended for patients with nervousness or severe heart


disease, or for infants or pregnant women.
ear massage
Ear massage is another method to treat ear spots. A variety of massage techniques
can be applied to the entire ear or to specific points. The purpose of this therapy
may be either general prevention of the disease or specific remedy for the disease.

Procedure
Various rubbing, pinching, and kneading techniques are performed with the fingers
or palms on different areas in the ear. This method works for the treatment and
prevention of diseases.
Complete ear massage
□ The acupuncturist should vigorously rub his palms until heat is induced, then
press his palms on the patient's auricles, rubbing up and down as well as back and
forth over the anterior and outer surfaces of the ears; This should continue until
heat and redness are induced in the patient's ears.
□ This method is used to treat disorders of the channels and collaterals and the
organs and bowels. Continuous daily treatments will prevent diseases and
strengthen the body.

Rubbing the helix with the palms


□ This method was practiced in ancient China. According to ancient longevity
methods, “use your hands to rub the helix, rub as much as you can^. “This
supplements kidney Qi to prevent deafness.”
□ The actual method is to make loose fists with the hands, then rub up and down
along the outer helix of both ears with the thumb and index finger until heat and
redness of the helix is induced.
□ To strengthen the brain, brighten the eyes, supplement the kidneys, sharpen the
hearing, and strengthen general health, this method can be used to treat and
prevent withering of yang, frequent and urgent urination, hemorrhoids, pain in
the area. lumbar and legs, diarrhea, spondylosis, chest tightness, dizziness, and
headache.
Lift and pinch the earlobe
□ Use both hands to lift while pinching both earlobes, gradually increasing the
strength of the manipulation. Treat 2 times per day, once in the morning and once
at night, for 3 to 5 minutes per treatment.
□ This method can be used to treat headache, dizziness, high fever, and convulsions
in infants, as well as for eye disorders and prevention of the common cold,
improvement of vision and hearing, and for physical beauty.

Massage on the ear points


There are 3 methods for ear point massage commonly used.

Point pressure
With a detection wand, press on the points related to the disorder. Using gradually
increasing force, continue point pressure for 1 to 2 minutes until distension, heat, or
a painful sensation is induced in the treated area.
Press pinching
□ Place your thumb on a selected point on the anterior surface of the ear with
your index finger on the posterior surface and pinch pressure, gradually
increasing the strength of the pressure. Select 1 to 3 points per treatment.
□ This method is mainly used to treat pain disorders and to prevent the
common cold.

Pressure with kneading


□ Knead in a clockwise direction, using the tip of your index finger or a sensing
wand, until distension and heat is induced in the selected area.
□ This method is suitable for treating pain disorders and poor digestion in
infants, as well as for those with a sensitive constitution.

Points of attention
□ Increasing the duration of the ear massage improves the therapeutic
effect. Do not use ear massage on patients with inflammation or frostbite in the
atrium. „
Plasters with medicine
In this method, medicated bandages, or plasters, are attached to the ear such that
stimulation of the medicine over the contacted points of the ear will treat the
disease.
This method is used to treat laryngopharyngitis, cough, asthma, bronchitis,
headache, dizziness, hypertension, pain in the upper abdomen, lumbar area and
legs, and coronary heart disease.

TYPES OF PLASTERS
Medicinal plasters can be purchased ready-made.

Plasters that resolve toxins


These include Da Ping Gao (Blue Green Major Plaster), Da Jiao Gao (Simple Horn
Plaster), Da Bu Gao (Toxin Removing Plaster). These plasters have the following
functions of clearing heat and resolving toxins, and are suitable for the treatment
of various febrile disorders and inflammatory conditions, particularly those that
occur in infants.
Plasters that accelerate blood
□ These include Dong Fang Huo Xue Gao (Oriental Blood-Invigorating Plaster) and
Zhen Jiang Gao (Zhen Jiang Plaster). With the functions of activating channels and
collaterals, and accelerating bleeding and transforming stasis, they are suitable for
treating arthritis. DO NOT treat pregnant women with these plasters.

Plasters that relieve pain


□ Pain-relieving plasters include Shan Shi Zhi Tong Gao (Moisture Damage Pain
Relieving Plaster), and Zhi Tong Gao (Pain Relieving Plaster). With the functions of
draining inflammation and relieving pain, these are suitable for treating arthritis.
Pregnant women and patients who are allergic to these plasters should not be
treated with them.
Plasters to lower blood pressure
Jiang Ya Gao (Blood Pressure Lowering Plaster) is used to treat hypertension.

Procedure

□ First, determine the prescription according to the ear diagnosis; Next, identify
the sensitive points in the selected areas of the point according to the
inspection, sensitivity, and electrical detection.
□ Sterilize the area to be treated or, if necessary, the entire ear with 75% alcohol.
Cut the plasters into 0.6 centimeter square pieces, and apply them to the
selected points.

COURSE OF TREATMENT
□ The ears can be treated together or alternately. Change the plaster every 3 days.
Treatment courses should be shorter during summer time.
Points of attention
□ Choose plasters according to their functions and the patient's conditions.
□ Keep plasters dry and clean.
Magnet Therapy
□ A magnetic bead or small magnetic pad is attached to the ear points to treat
diseases by the effect of magnetic force on the points.
□ This method calms pain, relieves itching, controls panting, and regulates
autonomic nervous function.

Procedure
Sterilize the atrium with 75% alcohol to remove oils.

DIRECT MAGNETO THERAPY


Place a bead or pad in the center of a sticky tape. Then fix the prepared tape to the
selected point. A second bead or pad should be attached to the opposite side of the
ear, with the opposite pole facing the first bead or pad.
INDIRECT MAGNET THERAPY
□ Wrap a magnetic bead or pad in a thin layer of absorbent cotton and place it in the
center of an adhesive tape. The prepared tape is then attached to the selected point
and a second bead or pad is positioned on the opposite side of the ear, just as in
direct magnet therapy. The cotton layer prevents unpleasant stimulation and local
skin necrosis that can be caused by direct contact.
□ Treat deafness and tinnitus by placing a wrapped magnetic ball in the outer ear
canal.

NEEDLE IMPLANTATION IN COMBINATION WITH MAGNETO


THERAPY
□ Implant the needles at the points described, then join or adhere the magnetic beads
to the needle handles to conduct a magnetic field into the patient's body via the
needle. Treat once a day.
□ This method is effective in treating dermatological diseases and pain disorders.
MAGNETIC ELECTROACUPUNCTURE
□ Use magnetic beads or pellets. Solder or attach pellets to both positive and negative
poles of a lead wire. Attach the soldered magnetic beads or pellets to the selected
points and then connect them to an electrical stimulator. The pulsed current is
conducted into the body through the magnetic beads. Select a pair of electrical
poles for each treatment, every other day, for 10 to 30 minutes each treatment.
□ This method is effective in relieving pain and calming the spirit.

MAGNETIC CLAY THERAPY


□ Grind a prepared mixture of magnetic rock powder, hyoscyamine, menthol,
sulfamehoxypyrldazine, and berberine into powder, then add Chinese holy leaf oil
to make a paste. Apply the paste to selected spots in the day, and wash it off at
night.
Points of attention
□ Dizziness, nausea, languor, drowsiness, or a burning or itching sensation in the
treated areas may occur in 5-10% of patients who are treated with magnet therapy.
They may also occur in very few cases: palpitations, excitement, or insomnia.
Discontinue treatment if the patient experiences persistent discomfort.

□ Depending on the patient's condition, a combination of 2 or 3 magnetic therapy


methods can be used to increase the therapeutic effect. Only a few points are used.

□ The positive and negative poles should be placed on opposite sides of the atrium to
make a line of magnetic force through the intended point of the ear.

□ Continue treatment for up to 2 weeks after symptoms disappear to strengthen the


therapeutic effect.
Other treatment methods
□ Since 1950 there has been much research in China considering effective ways to
treat ear spots. In addition to the methods already explained, work has been done
with laser therapy, radioisotope therapy, the use of ear clips, scraping therapy, and
a compound therapy method.
□ Briefly, laser and radio isotope therapies attempt to apply these modern forces to
the ear to restore health.
□ Some doctors, especially pediatricians, bend a paper clip-like device into a shape
that applies constant pressure to a point on the ear.
□ In scraping therapy, selected points are physically scraped.
□ In a version of compound therapy, the ears are first massaged, then bled, and finally
the blood is reinjected into certain acupuncture points on the body. These therapies
are mentioned only in passing as we believe they have limited use.
Treatments for common disorders
Infectious disorders Primary points Supplementary points
Common cold Lung, Inner Fever: Apex of the ear
nose, Kidney, and Helix 1-6 Headache
Shen Men and discomfort: Kidney
and Spleen Sore throat:
Pharynx and larynx
Cough:
Bronchus/Trachea and
Calms panting Diarrhea
and vomiting: Stomach
and Spleen
Epidemic Tx1: Apex of the Endocrine, Subcortex,
Parotitis/Mumps antitragus, Cheeks, Stomach,
Adrenal gland and Pancreas/Gallbladder
Apex of the ear and Shen Men
Tx2: Parotid Gland,
Apex of the ear and
Shen Men
Tx3: Apex of the ear
3 Spasmodic cough
Hepatitis Bronchi, Lung, Shen
pertussis Tx1:
Men Liver,
and Sympathetic
Pancreas/Gallbladder, Poor appetite:
MT: A, bleeding
Spleen, Stomach MT: abdomen andApex
Early stage: pancreas
of the
A, IN, VB + novocaine Pain in the upper
ear and Apex of the right
abdomen:
antitragusShen Men
Spasmodic
and Subcortex
cough stage: Subcortex,
Abdominal
Adrenal Gland distension:
Large intestine
Recovery Stage: and
Kidney
Pancreas Insomnia:
and Shen Men
4 Tuberculosis Tx1:Lung, Endocrine, Shen
Cough Men
andand
chest pain:
Shen Men MT: A, S Subcortex Liver
Chest, Kidney
functions affected:
Poor appetite: Spleen,
Yang of
Stomach, the liver and
Apex of the
Irregular ear
menstrual cycle
Tx2: Liver, Bleed: Apex of ear
and amenorrhea: Internal
Pancreas/Gallbladder, Distension
reproductiveof organs,
the
Spleen, Stomach, San abdomen:
Pelvis Yang of the
Jiao and Center of the Liver
MT: INandNovocaine
Abdomen Pain
Tx2: Lung, Endocrine, near the liver: Bladder,
Ear
MT:
ShenEA, S. Heart, Spleen,Shen Men, Chest
Men,
Subcortex, Kidney
Dysentery/ Large, Straight and High fever: Apex of the
Bacillary Sympathetic Intestine ear and Adrenal Gland
Dysentery MT: A, IN VB, Severe abdominal pain
novocaine, IA. and diarrhea: Spleen and
Stomach
7 Malaria Adrenal Gland,
Subcortex, Endocrine

8 Bronchitis Tx1: Lung, Acute bronchitis:


Bronchus/Trachea Adrenal gland and
and Shen Men Vagus root of the ear
Chronic bronchitis:
Spleen and Kidney
Pulmonary
emphysema: Calm
panting

Tx2: Lung, Kidney,


Calm Gasping,
Bronchus/Trachea
9 Bronchial asthma/ Lung, Kidney, Shen Severe cough:
wheezing and Men, Adrenal Gland Bronchi/Trachea
gasping and Sympathetic Severe wheezing:
Chest, Subcortex
12 Sequence of stroke Subcortex, Liver, Affected shoulder
Kidney, Spleen muscles:
San Jiao, Large
Intestine, Lung
Affected muscles of
the upper extremity:
Clavicle, Shoulder,
Elbow Muscles of the
lower extremity: Hip,
Knee, Ankle
Aphasia: Heart,
Spleen
Difficulty
swallowing: Mouth,
Pharynx and Larynx

13 Post Stroke Edema Spleen, Liver, San Jiao,


Wind Wrist and Fingers
14 Transient ischemic Liver, Kidney, Spleen, Difficulty speaking:
attack Occiput and Temporal Heart and Tongue
Motor problems and
limited range of
motion: Shoulder,
Elbow, Knee and Hip
Sensory disturbance:
Shen Men and
Subcortex

15 Coronary heart disease Tx1: Irregular heartbeat: Nei


Angina Pectoris Group 1: Sympathetic, Guan 6PC
Shen Men, Heart, MT: Yes, A
Subcortex, Kidney
Group 2: Lung, Spleen,
Endocrine and Adrenal
Gland

Tx2: Heart, Chest, MT: L Shen Men, Sucrotes, Adrenal


Gland
16 Myocardial ischemia Heart, Lung, Liver, MT: Yes
Kidney, Shen Men

17 Arrhythmia Heart, Friendly, Shen Organic pathological


Men changes: Small intestine,
MT: IA, S, L Root of the ear vagus
Insomnia: Kidney,
Subcortex
Endocrine dysfunction:
Endocrine, Subcortex
Hypertension: SP cleft

18 Rheumatism heart Group 1: Small MT: A, S


disease Intestine, Subcortex,
Heart, Shen Men Group
2: Heart, Adrenal Gland,
Chest, Rheumatic Line
19 Viral Myocarditis Heart, Shen Men, MT: A, S, L
Adrenal Gland, Small
Intestine, Endocrine,
Chest
20 Hyperlipidemia Stomach, San Jiao, Small Pancreas/Gallbladder
Intestine, Heart Biliary, Liver
MT: Yes
21 Gastritis Tx1: Stomach, Shen Spleen, Large intestine
Men, Apex of the ear TM: A
Tx2: Stomach, Spleen, Apex of the Ear, Kidney,
Lung, Sympathetic MT: San Jiao,
S, INB12 Pancreas/Gallbladder,
Liver, Shen Men,
Subcortex
22 Sore Tx1: Stomach, Emptiness Cold Spleen
Gastroduodenal Duodenum, Sympathetic, Stomach: Mouth, Liver,
Shen Men Kidney, Vagus Root
MT: A, S Liver Disharmony
T: severe pain in upper Stomach:
abdomen San Jiao, Subcortex
Bleeding in the Stomach:
SP Cleft
2723 Gastroptosis
Diarrhea Spleen, Stomach,
Tx1: Intestine MT: Yes, A pain:
Abdominal
Shen
Large,Men,
Intestine Sympathetic, Shen
Subcortex
Thin, Spleen Men
Acute diarrhea: Apex
24 Chronic Ulcerative Large
MT: A, intestine,
S Small Spleen, Rectum,
of the ear San
Chronic
Colitis Not specified intestine, Sympathetic Jiao, Endocrine
diarrhea:
Liver, Kidney,
MT: A, S
Endocrine

25 Neurosis TX2: Men,


Shen Large Intestine, Liver, Adrenal Gland,
MT: INB12
Gastrointestinal Shen Men, Spleen,
Sympathetic, Heart, Occiput,
Sympathetic
Subcortex Pancreas/Gallbladder,
Spleen, Stomach,
28 Biliary Ascariasis MT: S, A, EA
Pancreas/Gallbladder, Duodenum,
Large Root
Intestine, of
Small
Liver, Shen Men, Lazy, Stomach MT: A
Intestine
Sympathetic

29 Threw up Stomach, Center of the Occiput, Cervical


ear, Subcortex, Shen Vertebra, Liver,
26 Constipation Large Intestine, Emptiness: Spleen,
Men, Sympathetic Spleen
Rectum, Sympathetic Lung
MT:
MT: A,A, S,
S M, Excess: Subcortex,
Rectum
30 Hiccup Tx1: Diaphragm MT: EA
(center of the ear),
Stomach

Tx2: Center of the Nice,


ear, Stomach, Shen Subcortex, Kidney,
Men Spleen
MT: M, IA
3 Esophagi Esophagus, MT: A,
1 tis Cardiac, Stomach, S
Shen Meen,
Duodenum
32 Cholecystitis Liver, Fever: Apex of the
Pancreas/Gallbladder, ear, Poor digestion
Sympathetic, Shen and abdominal
Men distension: Stomach,
Large Intestine +
+Small Intestine, San
MT: A, S, EA Jiao, Endocrine,
Duodenum
33 Nephritis Tx1: Bladder, Acute Nephritis:
Kidney, Adrenal Lung and Urethra
Gland, Sympathetic, Chronic Nephritis:
San Jiao Spleen, Endocrine
Hypertension: Shen
MT: A, S Men, Cleft +
+Occiput
Tx2: Kidney MT: 6 hours manip
every 30 minutes
34 Pyelonephritis Kidney, San Jiao, Acute pyelonephritis
Bladder with fever: Apex of
the ear, Lung Chronic
pyelonephritis:
Spleen, Adrenal
MT: A, S Gland +
+Sympathetic
35 Chiluria Tx1: Kidney, MT: INB12
Bladder, Subcortex,
Shen Men
Tx2: Kidney, San Jiao, Urethra,
Endocrine, Bladder, Subcortex, Shen Men
MT: A
36 Excess waste urine Ureters, Kidney, Sympathetic,
Bladder Subcortex, Shen
Menu
MT: Yes, A
37 Urinary incontinence Tx1: Bladder, Shen MT: A, S
Men, Subcortex,
Kidney
Tx2: Kidney, Bladder MT: INB1

38 Frequent Urine Bladder, Kidney, Kidney-Bladder


Subcortex Emptiness: Adrenal
Gland, Endocrine,
Spleen
Heat Humidity:
MT: A, S Sympathetic, Shen
Men, San Jiao ++
Central Edge,

39 Urinary retention Kidney, Bladder, Ureters, San Jiao, Shen


Subcortex Men, Urethra MT: EA,
S
40
43 Erectile
Diabetesdysfunction Kidney, Subcortex, MT:
(impotence) External genitalia ShenA Men,
Tx1: Endocrine, Spleen,
Right ear: Stomach,
Endocrine, Lung, Sympathetic, Heart
Stomach, MT: A, S
41 seminal issue Kidney, Heart,
Pancreas/Gallbladde
Subcortex,
r, Central Shen Men
Border,
Adrenal Gland Adrenal Gland, San
MT:
LeftA, S Endocrine,Jiao, Liver, Spleen,
Ear:
Lung, Spleen, Endocrine, Internal
Kidney, San Jiao, reproductive organs
42 Prostatitis Internal reproductive
Antitrago Apex Acute prostatitis:
organs,
Tx2: Bladder, Apex of the
Kidney, Sanear, Helix
Jiao,
Endocrine, Shen Men 1-6
Pancreas/Gallbladder, Vagus Root, Shen
Endocrine MT: S, IN Painful perineum:
Men, Heart, Liver,
Insulin External genitalia
Spleen, Stomach,
Sexual
Bladderhypoesthesia:
Heart,
MT: A, S
44 Hyperthyroidism Endocrine, Subcortex,Subcortex, Adrenal
Liver, Lung,
Shen Men Gland ++Pelvis,
Kidney, Stomach,
Ureters
Sympathetic,
MT: A, S Adrenal Gland,
Vagus Root
MAPPING OF THE POINTS OF THE EAR
lesser occipital
nerve disconso do
tip ear prestón liter til

Wind cutio deuterus


finger
current
*heel Internal genital -
finger length
ankle annex»
constipation
shenmen
hip
yangde
scia
tic prostate
pancreas halix_1vertebra
eodo . ureter
ureta large intestine
and

kidne
lumbo-acra gallbladder y central abdomen
vesicut appendix
pancreatitis racto

MM2
shoulder ■ ® liver duodenum
center ear
thoracic
stomach external
vertebra

tip

bato
He swallows
helix 3 lung thirst point

hunger pain point


neck Cdr Tuna
Tyroldes —l euprarrerul gland Upper root
virtobri Narlz Internal
cervical
acentral point for
Point Line for
brain stem border
for hypertension
netritie anti-trago tip blood pressure

internal secretion
gland

temporar
y eye 2
eye 1 point stop
insomnia
maxillary
new
testicle A
4
encouragement
diontes point for
hypotension
kidne
y
ear eye lobe
Internal antorlor
ear

subcortex ovary amygdala


cheek

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