2006 Conf Binder

AAOM
2006 International Conference & Exposition

Conference Binder
Oriental Medicine...
Healing the Body, Mind and Spirit
October 19-23, 2006 Phoenix, AZ
Note: All regular workshops run from 8:00 am – 12 Noon and 2:00 – 6:00 pm.
Except Thursday, Sunday and Monday Workshops Identified from 1:30:5:30
Thursday, October 19 Friday, October 20 Saturday, October 21 Sunday, October 22 Monday, October 23
Auxiliary Meetings 6:30 am
7:00 am 7:00 am 6:30 am 7:30 am
Thursday, October, 19, 2006 Registration Opens Registration Opens Registration Opens Registration Opens Registration Opens
5:30-7:30 pm
8:00 am – 12 Noon 8:00 am – 12 Noon 7-8:00 am – 10 am 12 Noon 7-8:00 am – 10 am 12 Noon 8:00 am – 12 Noon
HAOMA Meeting, Public Meeting
Arizona Room A. Chinese Medical D. AAOM Conference 7:00 am – 8:00 am 7:00 am – 8:00 am gg. The Way of Master Tung,
Nomenclature - General Session V. Qi-Gong in Motion Part I Palo Verde Room
7:30-10:00 pm J. Qi-Gong in Motion Front
Debates, Part I Sachem West Front Lawn Part I & II – Chinese with
HMC Meeting, Public Meeting Sachem West Lawn
Arizona Room 8:00 am – 12 Noon simultaneous translation to English
8:00 am – 10:00 am
W. Shen Disturbance in TCM hh. Qi Gong for Healing
K. AAOM Annual Mtg – No Heart and Mind, Part I
Classes Sachem Hall Wigwam Pavilion
Friday, October 20, 2006 Sachem West
2:00-5:00 pm 10:00 am – 12 Noon X. Scalp Acu-Theory & Clinical
NCCAOM Empower Yourself Sachem West
L. Business Pearls Plenary
Public Workshop Arizona Room Y. Female Infertility & Chinese
Palo Verde North *Required Attendance Med Part I Kiva/Sahauro
M. Intention & Imagery
6:00-7:00 pm by Students receiving Wigwam Pavilion Z. Esoteric Acupuncture, I
the $60 Student Rate. Sachem East
Pediatrics Specialty Board N. Feng Shui of Practice
Public Meeting Must be AAOM Student Mgmt Kiva/Sahauro aa. The Way of Master, I
Sachem East Members. Arizona Room
O. Student Caucus*
Sachem East
Saturday, October 21, 2006 12 Noon – 1:00 pm 12 Noon – 1:00 pm 12 Noon – 1:00 pm 12 Noon – 1:00 pm 12 Noon – 1:30 pm
10:00 am – 12 pm Luncheon Luncheon Sachem Terrace & Luncheon Sachem Terrace & Luncheon Sachem Terrace & Lunch
State Association President Roundtable On Your Own Wigwam Terrace Wigwam Terrace Wigwam Terrace On Your Own
Assoc Presidents Only
Friday, Saturday and Sunday ONLY 1:00 - 2:00 pm Meet and Greet Exhibitors Wigwam Ballroom
Sachem West
10:00 am – 4:00 pm 1:30 pm – 5:30 pm 2:00 pm – 6:00 pm 2:00 pm – 6:00 pm 2:00 pm – 6:00 pm 1:30 pm – 5:30 pm
Chinese Advisory Council B. Chinese Medical E. Channels, Stages & P. Clinical Research in bb. I Ching Acupuncture ii. The Way of Master Tung,
Bacabi Suite Nomenclature - Warps Sachem West Herbal Med Sachem East Wigwam Pavilion Part II Palo Verde Room
12:00 – 2:00 pm Debates, Part II 2 – 4 pm Q. Native American and OM 1:30 – 5:30 pm Part I & II – Chinese with simul-
AzSOMA, AzSoma Members & Guests Sachem West F. Understanding Tai Chi Sachem West cc. Laser Acu– Theory/ taneous translation to English
Wigwam Pavilion Sachem West 4 – 6 pm R. Clinical Pearls Master’s Application Sachem West jj Qi Gong for Healing Heart
G. TCM and SARS Class Arizona Room 1:30 – 5:30 pm and Mind, Part II
2:00-3:00 pm
Suppliers Advisory Committee (SAC) Arizona Room S. Diabetes–Treat./Preven. dd. Female Infertility & Sachem West
Wigwam Pavilion H. Holistic Pediatrics Wigwam Pavilion Chinese Med, Part II
Sachem East Kiva/Sahauro
6:00-7:30 pm T. Practice Survival Tactics 101 5:30 pm
Informational meeting for ee. Esoteric Acupuncture,
ACAOM Doctoral. Public Hearing pediatric certification immediately Kiva/Sahauro CONFERENCE
Part II Sachem East
Arizona Room following ADJOURNS
1:30 – 5:30 pm
6:00 pm – 10:00 pm 7pm – 10:00 pm 7:00 pm – MIDNIGHT ff. The Way of Master Tung,
Sunday, October 22, 2006 C. Ethics ❑ I. Pow-Wow Friday Part I Arizona Room
10:00 am – 12:00 pm U. Annual Awards
Sachem West East Pool Patio Evening: You’re On Your Own
Banquet Sachem Hall
AATOM, Public Meeting to Enjoy the Sights of
Palo Verde South Note: Ticket required! Note: Ticket required! Phoenix!
1:00 pm – 1:45 pm
ABORM, Public Meeting
Kiva/Sahauro TO BE AWARDED YOUR CEU’S FOR WORKSHOPS, YOU MUST SIGN-IN AND SIGN-OUT OF ALL CLASSES YOU ATTEND.
Kan Herb Company—Jade Sponsor of the AAOM Expo 2006
“Continuing the Path of the Great Unification…"
-William R. Morris, OMD, MSEd, LAc
AAOM Letter of Greeting October 20, 2006
Greetings Colleagues:
On behalf of the staff and Board of Directors of the American Association of Oriental Medicine
(AAOM), we wish to extend our sincere welcome to the AAOM Conference Attendees, Exhibition
Vendors, Students and Volunteers.
It takes many people to bring value to such a huge endeavor, and the role of each individual is
essential in contributing to the success of the whole. Everyone’s effort on this behalf has been
seen and appreciated. We extend special thanks to Conference Co-Chair, Lloyd, and the
Arizona Association of Acupuncture and Oriental Medicine (AzSOMA), for their tireless
assistance with this year’s event. Thanks as well, to John Scott, LAc, on behalf of the AAOM
Suppliers Advisory Committee (SAC), in promoting greater involvement of the exhibitor
community at this event and into the future.
Please join us for morning and afternoon breaks and luncheon dessert in the Wigwam Exhibit Hall
each day. As a new feature, from 1:00 – 2:00 PM each day, no classes are scheduled. We felt you
would like to enjoy shopping at your leisure with your favorite exhibitors, as well as have the
opportunity to meet old and new friends as well as evaluate new products and services.
PowWow Friday presents a wonderful opportunity to unwind with food and drink and experience the
richness of the Arizona Indian culture. This is a festive evening with many surprises in store. Our
Annual awards banquet will feature entertainment and a keynote address covering the History of
Oriental Medicine…”Once Upon a Time in America – OM in the New World.” A year of research
and effort has been put into the evening and we guarantee you’ll find the evening equal to the
investment made. Following the banquet you are invited to “dance into the night” with the Bill Frain
Blues Band. For conference attendees not purchasing or receiving a banquet ticket, we’ll open the
“after-hours” dancing as a free event to one and all. So join us in Sachem Hall at 10:00 PM!
We hope that all participants will partake of the many rich educational and networking experiences
offered this weekend. May this event bring new friendships and greater prosperity as we work
together in the advancement of our profession.
Sincerely,
Deborah Lincoln, LAc, Conference Chair Lloyd Wright , LAc, Conference Co-Chair
TABLE OF CONTENTS
Exhibitors ........................................................................................................................... 7
Speakers ........................................................................................................................... 15
Nomenclature Debates (A) .............................................................................................. 23
Nomenclature Debates (B) ............................................................................................... 25
Ethics (C) ......................................................................................................................... 27
General Session (D) ......................................................................................................... 29
Channels, Stages, and Warps (E) ..................................................................................... 31
Understanding Tai Chi (F) ............................................................................................... 47
TCM and SARS (G) ......................................................................................................... 49
Holistic Pediatrics (H) ...................................................................................................... 67
Empower Yourself ......................................................................................................... 101
Qi-Gong in Motion (J) ................................................................................................... 103
AAOM Annual Meeting (K) .......................................................................................... 105
Business Pearls Plenary (L) ........................................................................................... 107

Intention and Imagery (M) ............................................................................................. 109
Feng Shui of Practice Management (N) ......................................................................... 115
AAOM Student Caucus (O) ........................................................................................... 123
Clinical Research in Herbal Medicine (P) ..................................................................... 125
Native American Medicine and OM (Q) ....................................................................... 157
Clinical Pearls Master’s Class (R) ................................................................................. 171
Diabetes – Treatment and Prevention (S) ...................................................................... 173
Practice Survival Tactics (T) ......................................................................................... 179
Annual Awards Banquet (U) ......................................................................................... 181
Qi-Gong in Motion (V) .................................................................................................. 183
Shen Disturbance in TCM (W) ...................................................................................... 185
Scalp Acupuncture – Theory and Clinical (X) .............................................................. 197
Female Infertility and Chinese Medicine (Y/DD) ......................................................... 215
Esoteric Acupuncture (Z/EE) ......................................................................................... 243
Way of Master Tung (Chinese Only) (AA/FF) .............................................................. 275
I Ching Acupuncture (BB) ............................................................................................. 291
Laser Acupuncture – Theory and Application (CC) ...................................................... 305
Way of Master Tung (Translated) (GG/II) .................................................................... 323
Qi Gong for Healing Heart and Mind (HH/JJ) .............................................................. 335
Exhibitor Advertising ..................................................................................................... 341

Exhibitor Listing – Booth Locations

24
AcuTech Holistics, Inc OM Medical Equipment
105-20 Godstone Rd Electronic devices for Oriental Medicine; AcuScan, Artsakh, pulse
Toronto, ON M2J 3C5 diagnostics, ryodorakm diagnostics, AcuVision
647-299-7097
www.acutechmed.com
29
AcuWebSites.com Websites for the Acupuncturist
524 Sunshine Dr. AcuWebSites.com is a successful vision of Jim Dazet inspired by
Wake Wales, FL 33859 acupuncturist and wife, Anne Dazet. AcuWebSites.com knows their
800-581-3511 clients will benefit greatly by a successful website but only if it is
www.acuwebsites.com easy to use and takes very little time and knowledge to maintain.
AcuWebSites.com enlisted the aid of Campana Smart Systems and
the input of several acupuncturists to create the most flexible web
solution available to Acupuncturists by far!
1
American Acupuncture Council Malpractice Insurance
1851 E. 1st St., Suite 1160
Santa Ana, CA 92705
800-838-0383
www.acupuncturecouncil.com
18
American Association of
Oriental Medicine
866-455-7999
www.aaom.org
60
American Healing Technologies Classical formulations for licensed professionals - color-coded to
396 Broadway #501 the Five Elements.
New York, NY 10013
888-236-3164
www.ahtherbs.com
25
American Herbal Labs & Vita Meridian Energy Analysis
Meridian Analysis System The new Vita Meridian Energy Analysis and herbal system can
8526 E Garvey Ave help you become an instant and successful TCM doctor.
Rosemead, CA 91770
626-307-0928
www.newvita.com
9
American Specialty Health
777 Front St
San Diego, CA 92101
619-578-2000
www.ashcompanies.com
35
Arbor USA / Yin-Care TCM's premier clinical solution for dermatological, topical, and
1705 S Pearl St Suite 7 gynecological complaints.
Denver, CO 80210
866-272-6745
www.yincare.com
19
Avazzia
www.avazzia.com
29
Bamboo Software Ltd. AcuPArtner
Yuvalim 112 The multilingual software tool of Acupuncture Knowledge and
Yuvalim, ISRAEL 20142 Clinic Management, for therapists and students.
www.acupartner.com
5
Bio Essence Corp Herbal and nutritional products.
1030 Ohio Ave
Richmond, CA 94804
800-538-1333
www.bioessence.net
37, 47
Blue Poppy Enterprises Books and Supplies
5441 Western Ave
Boulder, CO 80301
303-447-8372
www.bluepoppy.com
30
Bright Imaging Systems Offering practitioners the most advanced infrared technology and
315 Doris Dr software, featuring unparalleled ease in capturing and reporting
Lakeland, FL 33813 patient studies. Creative ownership or rental options are
800-709-9565 available.
www.brightit.com
17
Brion Herbs Corp
9200 Jeronimo Rd
Irvine, CA 92618
800-333-4372
27
CHI/KHT Systems Korean Hand Therapy
PO Box 5309 KHT products, herbs, CD's, energy medicine products.
Hemet, CA 92544
877-244-4325
www.khtsystems.com
54, 55
Chinese Medical Report
39-07 Prince St Ste 5B
Flushing, NY 11354
718-359-5676
42
Crane Herb Company
745 Falmouth Road
Mashpee, MA 02649
800-227-4118
www.craneherb.com
35
Dr. Dave's Herbal Medicine Chinese Herbal Remedies
483 Mesa Verde Ave Herbal remedies in tincture form, specifically formulated for the
Carbondale, CO 81623 arid climate of the desert southwest and Rocky Mountain regions.
970-704-1310
www.drdaves.com
22
Eastland Press TCM books, CD's, and other publications
PO Box 99749
Seattle, WA 98139
800-453-3278
www.eastlandpress.com
3
East-West College of Natural
Medicine
3808 North Tamiami Trail
Sarasota, FL 34234
941-355-9080 x 102
26
Elsevier Books
6407 E Betty Elyse Ln
Scottsdale, AZ 85254
800-523-4069 x3594
www.elsevier.com
53
Far East Summit Chinese Classics and Modern Prescriptive & Lifetyle Solutions
PO Box 2486 We manufacture the Chinese Classics liquid line of extracts and
Culver City, CA 90231 concentrates and the Modern Prescriptives line of concentrated
323-933-9237 powdered extracts.
www.fareastsummit.com
With over 40 years of herbal manufacturing experience, ou staff
carefully crafts all production in our own local and state certified
facility. We also provide all aspects of private label, packeging
and contract manufacturing services to companies and
professionally licensed practitioners.
51, 52
Golden Flower Chinese Herbs
2724 Vassar Pl NE
Albuquerque, NM 87107
505-837-2040
20
Golden Sunshine USA, Inc Produces pain management, skin care, and nutritional support
2880 East Imperial Hwy products sold through licensed healthcare professionals.
Brea, CA 92821
800-798-3977
www.golden-sunshine.com
16
Grand Stone Corp.
1403 N Batavia St Suite 102
Orange, CA 92867
714-538-7801
www.grandstone.com
45
GreensFirst / Wellness Wholesale wholefood nutritional supplements exclusively through
Watchers healthcare professionals.
8618 N Tatum Blvd
Phoenix, AZ 85028
877-647-3369
2
Health Concerns Herbal Supplements
8001 Capwell Dr Herbal Formulas in tablet and liquid.
Oakland, CA 94621
800-233-9355
www.healthconcerns.com
32
Health Source Products Inc
11137 Rush St. #K
South El Monte, CA 91733
866-626-5666
36
Heel, Inc Homeopathic Pharmaceuticals
10421 Research Rd SE
Albuquerque, NM 87123
800-621-7644
www.heelusa.com
40, 41
Helio Medical Supplies Acupuncture Supplies
606 Charcot Ave
San Jose, CA 95131
800-672-2726
www.heliomed.com
33
HerbalMax A full line of clinical herbal formulas.
1441 Westwood Blvd Ste E
Los Angeles, CA 90024
888-611-4372
www.herbal-max.com
58
HerbMax, Inc
12155 Mora Dr. #13
Santa Fe Springs, CA 90670
562-941-8881
4
Honso USA, Inc
4602 E Elwood st Suite 6
Phoenix, AZ 85040
888-461-5808
www.honsousa.com
28
Japanese-American
Acupuncture Foundation
21 Tamal Vista Blvd Suite 110
Corte Madera, CA 94925
415-924-5223
www.jaaf.org
67
Kairos Institute of Sound
Healing / Acutonics
157 Pacheco Rd Box 8
Llano de San Juan, NM 87543
505-587-2689
www.acutonics.com
38, 39
Kan Herb Company Herbal Products
6001 Butler Lane Chinese herbal formulas of exceptional quality.
Scotts Valley, CA 95066
800-543-5233
www.kanherb.com
43
KPC Products, Inc. Herbal Products
16 Goddard Premium concentrated Chinese herb extracts.
Irvine, CA 92618
949-727-4000 Modern scientific processing methods and rigoous quality control
www.kpc.com set KPC Herbs apart from all other sources of Chinese herbs.
50
Lhasa OMS, Inc
230 Libbey Pkwy
Weymouth, MA 02189
800-722-8775
www.lhasaoms.com
62
Lotus Bodycare Theraputic bodycare products, combining TCM and the healing
4638 Park Blvd qualities of aromatherapy.
San Diego, CA 92116
619-220-0878
www.lotusbodycare.com
61
Marlyn-Naturally Vitamins Enzyme specialists at Wobenzym USA present naturalenzyme
4404 East Elwood St formulas, supported by over 50 years of research and science.
Phoenix, AZ 85040
480-991-0200
www.naturallyvitamins.com
56, 57
Mayway, Inc
1338 Mandela Parkway
Oakland, CA 94607
510-208-3113 x 135
www.mayway.com
59
Medical Laser Systems, Inc Laser Therapy Systems
20 Baldwin Dr
Branford, CT 06405
800-778-0836
www.luminexlaser.com
10, 19
MedicalQuant / ApexEnergetics Laser Equipment and Acupuncture Lasers
16592 Hale Ave
Irvine, CA 92606
877-200-1402
www.apexenergetics.com
46
Miridia Technology, Inc AcuGraph Digital Meridian Imaging System
940 East Carol St
Meridian, ID 83642
888-647-4342
www.acugraph.com
65, 66
NCCAOM NCCAOM's mission is to establish, assess, and promote
11 Canal Center Plaza #300 recodnized standards of competence and safety in Acupuncture
Alexandria, VA 22314 and Oriental Medicine.
703-299-5893
www.nccaom.org We are providing answers and materials to questions relating to
certification and Diplomate services.
64
nuherbs Co.
3820 Penniman Ave
Oakland, CA 94619
800-233-4307
www.nuherbs.com
6
Pacific Biologic Co. Pacific Biologic Products
PO Box 520
Clayton, CA 94517-0520 Committing ourselves to manufacturing products for your health,
800-869-8783 our formulas address today's modern health maladies.
www.pacificbiologic.com
23
Pleomorphic Sanum Literature, DVD's, CD's, Books
5170 W Phelps Rd German Homeopathic / Isopathic remedies to heat acute and
Glendall, AZ 85306 chronic illnesses.
866-861-2639
www.pleosanum.com
21
Qpuncture, Inc
5824 E Camino Piyzon
Anaheim, CA 92807
800-650-8222
www.qpuncture.com
48, 49
Seirin-America, Inc
230 Libbey Pkwy
Weymouth, MA 02189
800-337-9338
www.seirinamerica.com
34
The Wood Insurance Group Medical Professional Liability Insurance
4835 E Cactus Rd, Suite 440 An independently operated insurance brokerage that specializes in
Scottsdale, AZ 85254 the healthcare industry, providing insurance services throughout
602-230-8200 the United States for over twenty years.
www.woodinsurancegroup.com
63
Total Health Advanced High Quality, full-line of nutrition supplements and herbal
Nutrition, Inc medicine fro professional practices. Private labeling available for
1027 E Moore Lake Dr all products.
Minneapolis, MN 55432
763-586-1010
www.nutrivityrx.com
31
World Society for the Information source on herbal alternatives.
Protection of Animals Ancient practices and new trends and technology meet as
34 Deloss St Traditional Medicine moves into the 21st century to embrace an
Framingham, MA 01702 earth-friendly philosophy. Please stop by.
508-879-8350
www.tcmupdate.org
44
Xymogen
725 S Kirkman Rd
Orlando, FL 32811
800-647-6100
www.xymogen.com
7
Zyto LSA Balance Pro
1448 W Business Park Dr Biointeractive software and equipment for healthcare
Orem, UT 84058 practitioners.
801-224-7199
www.zyto.com
AAOM 2006 Speaker List

Marilyn Allen, MS, a practice management consultant for the OM profession whose expertise
spans office management, marketing, professional ethics and jurisprudence, risk management,
insurance, and 3rd party billing/payments, she is editor in chief of Acupuncture Today, serves on
the California State Oriental Medical Association (CSOMA) board, teaches at a majority of the OM
colleges in California, and the Director of Marketing for the American Acupuncture Council.
Jason Blalack, LAc, graduated from Pacific College of Oriental Medicine (PCOM) and has since
spent time doing advanced study in Asia. He teaches the Chinese Language and Medical
terminology class and is a clinic supervisor at Southwest Acupuncture School (SWAC). He has been
translating Chinese Medical texts for 8 plus years. He maintains a private practice in Boulder, CO.
Claudette Baker, LAc, DiplAc, DiplCH, AAOM past President, and member of the 2005-2006
Convention Committee, has been an AAOM member since 1983. Claudette has been practicing
Oriental Medicine for 22 years, and is founder and director of the Glenview Healing Arts Center in
Glenview, IL. She is President Emeritus of the ILaaom, is greatly responsible for the passage of
both Acupuncture bills in Illinois and is a member of the National Congress on the Future of
Traditional Medicines. She teaches Chinese herbs and TCM oncology locally and nationally.
Dan Bensky, DO, is a graduate of the Macau Institute of Chinese Medicine (1975) and Michigan
State University College of Osteopathic Medicine (1982), and holds a Master’s degree in classical
Chinese from the University of Washington (1995). He is currently a director of the Seattle
Institute of Oriental Medicine and is in private practice. He is medical editor of Eastland Press, a
well-known translator of Chinese medical works, and has lectured on Chinese medicine and
osteopathy in the United States, Europe, and Japan.
Adam Burke, PhD, MPH, LAc, is senior research advisor to the AAOM. He is an associate
professor at San Francisco State University and co-director of the Institute for Holistic Healing
Studies. Dr Burke is a published author and researcher with interests in cross-cultural studies of
traditional medicines (US, India and China), curricular innovation in holistic health, and exploration
of meditation and imagery in healing. He is co-chair of the American Public Health Association
(APHA) Alternative and Complementary Health Practices Special Interest Group and is on the APHA
Governing Council.
Shane Burras, LAc, DNBAO, has spent 18 years in the commercial insurance industry working for
the largest commercial insurance companies in California, before transitioning into the career of his
choice as an acupuncturist. He graduated from Yo San University and has completed his
acupuncture orthopedics board certification. Currently, he is the Chair of the Insurance
Committee, and Treasurer for the American Association of Oriental Medicine (AAOM). His
experience as a practitioner and in the insurance industry provides his students with actual,
tangible, immediate return on their investment.
Gene Bruno, OMD, LAc, AAOM President Emeritus, began his studies in acupuncture and
Oriental Medicine in 1969 with the Institute for Taoist Studies. He is a graduate of the Hong Kong
Acupuncture College. He co-founded the first two colleges of acupuncture in the U.S. and was a
staff acupuncturist at the UCLA Medical School and also was a staff acupuncturist at Harvard
Medical School. He has over 36 years experience and has practiced in Oregon since 1976. Currently
he serves as President Emeritus on the AAOM Board of Directors.
Christina A. Captain, MA, MOM, AP, SLP, is the CEO of The Family Healing Center, an
integrative holistic medical clinic, founded in 2000. As a practicing Acupuncture Physician, she has
a primary focus in neurological disorders as well as a general family practice. She has extensive
experience in medical settings, such as hospitals, rehabilitation centers, long term and acute care
centers and home health. She is a professional feng shui consultant and is senior faculty at The
East West College of Natural Medicine.
Charles Chace, DiplAc, DiplCH, graduated from the New England School of Acupuncture in 1984.
He is the author and translator of a wide variety of books and articles on acupuncture and Chinese
medicine including, A Qin Bowei Anthology,; with Yang Shou Zhong, a translation of the first
textbook of acupuncture from 100 C.E.: The Yellow Emperor’s Systematic Classic of Acupuncture
and Moxibustion (Huang Di Zhen Jiu Jia Yi Jing), and with Miki Shima, Channel Divergences,
Deeper Pathways of the Web. He maintains a clinical practice in Boulder Colorado.
Christine Chang, DAOM Candidate, MTOM, DiplOM, LAc, is in private practice and lectures on
Chinese Nutrition, Chinese Medical Language, Herbal Formulas and Chinese Patent Medicines in
Santa Monica, California. Christine serves as an Herbal consultant to Crane Herb Company and KPC
Chinese Herbal Manufactory in USA as well as the AAOM Board of Directors. She translates Ancient
Chinese essence to western society and continues the way of the Chinese Doctor (Yi Dao)
internationally.
Rebekah Christensen, AAOM ED, is past ED of the California State Oriental Medical Association
(CSOMA) and brings 24 years of professional business management experience. Ms. Christensen
has worked with UCLA, Department of Family Medicine, and CSOMA in conducting Acupuncture
research; The Licensed Acupuncturist Collaborative Study. Rebekah is the past national director of
a technology transfer program for the US DOE and DoD, and a municipal bond broker for EF
Hutton. Rebekah is responsible for day-to-day oversight of all operational and fiscal activities for
the AAOM.
Misha Ruth Cohen, OMD, LAc, DiplAc, DiplCH, has practiced Asian medicine for 30 years. She
is Director of Chicken Soup Chinese Medicine, Research and Education Chair of Quan Yin Healing
Arts Center and Assistant Researcher in Integrated Medicine at the UCSF Institute for Health and
Aging. Dr. Cohen is the author of three popular Chinese medicine books, several book chapters and
numerous scientific and lay articles. Since the mid-1980's she has conducted herbal and
acupuncture research.
Weiyi Ding, MD (China), RN, Dipl. O.M. (NCCAOM), earned an MD from Shanghai University of
TCM in 1976 and an RN degree from Indiana University of Pennsylvania in 1993. Ding was a core
faculty member at Shanghai University of TCM for 10 years and is a core faculty member at Bastyr
University since about 1996. She has practiced acupuncture and Chinese herbs combined with
Western medicine for 30 years which include 8 years RN experience at University of Pittsburgh
Medical Center and the University of Washington Medical Center. She is the co-author of several
TCM books published in China and has been a member and chair of several NCCAOM examination
developing committees for the last 7 years. (Representing NCCAOM)
Laura Culver Edgar is the Deputy Director of the NCCAOM. In her role, she is primarily
responsible for all areas of certification and testing. She has brought a wealth of experience from
previous positions in the testing industry in which she has overseen more than 26 certification and
5 qualification programs. Culver Edgar is currently completing her dissertation towards a doctorate
in Organizational Leadership from Argosy University-Chicago. She earned her MBA through Olivet
Nazarene University and her BS in Medical Laboratory Sciences from the University of Illinois at
Chicago.
Marnae C. Ergil, MA, MS, LAc, began her study of Chinese language in 1981 at Middlebury
College. She has completed her Master’s Degree in anthropology and she completed her
dissertation fieldwork at the Tianjin College of TCM. She is the translator of Practical Diagnosis in
Chinese Medicine and a co-translator of Ten Lectures on Chinese Medicine by Jiao Shu Du. Ms.
Ergil is an Associate Professor at the New York Chiropractic College Dept. of AOM, in Seneca Falls,
NY. She teaches courses in Chinese internal medicine, diagnostics, acupuncture techniques and the
history of Chinese medicine.
Kevin V. Ergil, M.A., M.S., is a licensed acupuncturist in NY and CA. He is past president of the
American College of TCM, founding Dean of PCOM, NY and currently serves as the Director of the
Graduate Program in Oriental Medicine at Touro College. Kevin has been involved in the
translation of medical texts into English since the early 80’s when he began translating Tibetan
medical texts. He is the editor of Practical Diagnosis in Chinese Medicine and the author of
numerous articles and chapters on Chinese medicine. Kevin received his BA from UC Santa Cruz in
Anthropology and his Master’s in Anthropology from the University of Washington.
Robert L. Felt, partner, Redwing Book Company, Inc., and publisher of the Paradigm Publications
Imprint.
Master Li Jun Feng is a faculty member at the Academy of Oriental Medicine, advisor to the
World Academic Society of Medical Qigong and the Qigong Science Research Association of China,
and President of International Sheng Zhen Society. Master Li was the head coach of the Beijing and
Chinese National Wushu teams and coached movie star Jet Li.
Bob Flaws, DiplAc, DiplCH, FNAAOM, RegAc [UK], is one of the best-known Western teachers
and authors of Chinese Medicine in the West. Bob has written, edited, or translated over 80 books
and hundreds of articles on Chinese medicine. A specialist in gynecology, Bob has treated
thousands of women, hundreds of them for complaints associated with infertility. Bob has taught at
Chinese Medical colleges and conferences worldwide, and his books have been translated into
several languages. Bob has served as president of the Acupuncture Association of Colorado, as a
board member for the National Academy of Acupuncture & Oriental Medicine, as a founding
member of the Council of Oriental Medical Publishers, and president of Blue Poppy Enterprises, Inc.
Jake Paul Fratkin, OMD, LAc, DiplAc, DiplCH, has been in practice since 1978. His education
includes one year advanced hospital training in Beijing. He is the author of Chinese Herbal Patent
Medicines, The Clinical Desk Reference (2001), and is the recipient of Acupuncturist of the Year,
1999 (AAOM). Jake writes The Herbalist’s Corner for Acupuncture Today, and teaches topics on
Japanese acupuncture and Chinese herbal medicine throughout the year in the US and Europe.
Jake maintains a private practice in Boulder, CO, where he specializes in acute and chronic
infections, internal medicine and pediatrics.
James Goodin is a recognized Native American Spiritual healer/helper known in the Native circles
as “Arrowhawk”. He has 30 years of practice with Native Ceremonies which he combines with his
experience as an operating room technician for over 15 years at the Veterans Hospital in Columbia,
MO. He is also an ordained minister.
Martin Herbkersman, DAc, MTOM, is an Acupuncturist and Herbalist with a private practice in
Columbia, South Carolina. He holds licenses in California, Rhode Island, and South Carolina. He is a
founder and board member of the NABORM (the North American Board of Oriental Reproductive
Medicine), which sets standards for the use of Oriental Medicine in the field of reproduction. He is
currently the Vice President on the AAOM Board of Directors and Chairman of the South Carolina
Acupuncture Advisory Committee to the Board of Medical Examiners.
Jeannie Kang, LAc (CA), has studied abroad at Sussex University in Brighton, England, and has
received a BA from UC Riverside. She completed a Psychology Residency, Patton State Hospital,
Highland, California. She received her MA from South Baylo University. Dr. Kang sat on the Board
of Directors and Executive Committee of the California State Oriental Medical Association (CSOMA)
from 2002-2006. She currently is the AAOM’s representative (advisor) to the World Health
Organization (WHO).
Mina Larson serves as the Director of Communications and Marketing for the NCCAOM. She is the
primary staff member that handles public relations, communications matters and media relations
for the NCCAOM. In the past, she has also handled many of the governance issues for the
NCCAOM. Prior to arriving at the NCCAOM, she served as former California Governor Pete Wilson's
Executive Assistant and also worked in his Communications Office. Ms. Larson holds a dual
bachelor's degree in Journalism and Government from California State University, Sacramento.
SiFu Lim, Tai Chi Master, 8th Degree Taekwondo, Sing Ong Tai Chi, was work in a Malayan
family of Kung Fu practitioners; his uncle was Head of the Eagle Claw division of Ching Wu and his
grandmother a practitioner of Lotus style of Kung Fu. In 1963, Master Lim began his training in
Taekwondo under the legendary Choi Chang Kim in Penang. He has been teaching professionally
since 1970 and is fluent in eight languages. He holds a BS from Waikato University - Hamilton,
New Zealand, and was the US Representative to Tae Kwon Do International and Sing Ong Tai Chi.
Deborah Lincoln RN, MSN, RAcp, DiplAc, is the AAOM's 2005-2006 Convention Chairman. She
is President of the Michigan Association of Oriental Medicine, and in February 2006, saw a 20-year
endeavor culminate in the passage of Michigan's first-ever Acupuncture Law. Deborah's
extensive education in Western and Chinese Medicine spans over 36 years. She has been in private
practice in Acupuncture and Chinese Herbs and Oriental Medicine over 24 years in Lansing,
Michigan. Deborah is the VP on Corporate Events of the AAOM Board of Directors.
Steve Liu, LAc, has a BS in Electrical Engineering, San Jose State University, San Jose, CA. He
specializes in Laser Acupuncture in Tucson, Arizon and has written articles on Laser Acupuncture,
published in the California Journal of Oriental Medicine (CJOM), by the California State Oriental
Medical Association (CSOMA). Dr. Liu is President of the Arizona Society of Oriental Medicine and
Acupuncture (AzSOMA).
Yuxing Liu, PhD, Associate researcher, OMD, LAc, graduated from Hunan College of
Traditional Chinese Medicine (TCM) and Chengdu University of TCM. Dr. Liu served as director of
the Research Lab of Acupuncture & Tuina College of Chengdu TCM University, directed and
participated in over 15 research projects, and has published dozens of research papers and articles
as well as several TCM Books. Dr. Liu is currently an instructor, faculty, dean of research, LAc (TX)
at the Academy of Oriental Medicine at Austin (AOMA).
Craig Mitchell, MSTCM, LAc, , received a Master of Science degree in Traditional Chinese
Medicine from the American College of Traditional Chinese Medicine in San Francisco (1993). He
then studied Chinese language and medicine in Taiwan for several years. He has written numerous
articles and translated several Chinese medical texts including the classic Shäng Hán Lùn. He is the
Academic Dean at the Seattle Institute of Oriental Medicine, where he sees patients, supervises in
clinic and teaches classes on herbal medicine and medical Chinese.
William Morris, OMD, MSEd, LAc, serves as the President of the AAOM as well as President of
the Academy of Oriental Medicine at Austin. He has focused on an academic specialty in pulse
diagnosis since 1980, teaching and publishing on the subject. Will serves as a site team chair for
the Accreditation Commission and a member of the Commission’s Doctoral Task Force. Among the
many interests related to academic medicine, Dr. Morris also provides prepublication editorial
review for Elsevier projects that involve Oriental Medicine.
Randall Neustaedter OMD, LAc has practiced Oriental Medicine for over 20 years, specializing in
child health care. He has written The Vaccine Guide: Risks and Benefits for Children and Adults. His
new book, Child Health Guide: Holistic Pediatrics for Parents (North Atlantic Books, 2005),
represents a state of the art guide to raising children with natural medical care.
Cynthia O'Donnell, LAc, AP, has been practicing Oriental Medicine and Classical Homeopathy
since 1990. In 1995 she founded the East West College of Natural Medicine in Sarasota FL which
offers a master's degree in Oriental Medicine. She has served as the CEO of the college since its
inception and has been an active member in the Council of Colleges of Oriental Medicine. Cynthia is
a past member of the AAOM Board of Directors, and past Vice President of AAOM. Currently she is
the Chair of the AAOM Student Affairs committee.
William (Bill) Prensky, OMD, LAc, received his B.A. (1968) and M.A. (1970) in psychology from
UCLA, and his Doctor of Acupuncture from the Institute for Taoist Studies in 1972, and the degree
of Doctor of Oriental Medicine (O.M.D.) from the California Acupuncture College in 1985. Dr.
Prensky and colleagues from UCLA founded the UCLA Acupuncture Research Project in the UCLA
School of Medicine in 1972. Current Dr. Prensky serves as Senior Policy Advisor to the AAOM Board
of Directors.
Dennis Robbins, PhD, MPH, is a mover and shaker in health care with a strong interest in both
OM and Native American Medicine. His distinguished career with over 25 years work in health care
is complemented by his eight books, over 250 articles and activity as a columnist for several
healthcare journals. He has been an advisor to Presidential & White House Commissions, National
Healthcare Organizations and Associations and is head of Zyto’s Scientific Advisory Board.
Z'ev Rosenberg, LAc, OMD, Chairman of the Department of Herbal Medicine at Pacific College
of Oriental Medicine, San Diego, California, has been practicing Chinese medicine in the USA for
20 years. He is trained in both Chinese and Western herbal medicine, having studied Chinese
medicine at Southwest Acupuncture College, Santa Fe, New Mexico, and Emperor's College of
Oriental Medicine, Santa Monica, California, and Western herbal medicine at the Institute of
Traditional Medicine, Santa Fe, New Mexico.
Dr. Mikio Sankey, OMD, LAc, received his initial degree in traditional acupuncture and Chinese
herbal medicine from Samra University in Los Angeles, California. He received a Doctor of
Philosophy in Oriental Medicine from American Liberty University in Fullerton, California, and has a
Doctorate in Health Sciences from Honolulu University. He has been studying the Ageless Wisdom
teachings for over 40 years. Dr. Sankey is in private practice in the Los Angeles area with his wife
Kathleen, who has a doctorate in OM and is also a licensed acupuncturist in the California.
Michael Schroeder, Esq., is a nationally recognized expert in alternative healthcare law. As

an attorney, he has received the highest ratings given by Martindale-Hubbell for legal ability
and ethics. Over the last 22 years he has handled more cases in the country relating to the
acupuncture profession than any other attorney. He has served as Vice-President and General
Counsel of the American Acupuncture Council since 1986.
Master Xiaotian Shen, OMD, LAc, was a physician of traditional Chinese medicine at the
Teaching Hospital of Sichuan College of Medicinal C.E, a contributor to various professional
journals, and a participant of several research projects. He is a frequent presenter at international
conferences. His educational experiences in China and abroad and his interest in public health
have furthered AOMA's clinical training collaborations in the Austin healthcare community. Xiaotian
Shen is currently serving as the Dean of Clinic at the Academy of Oriental Medicine.
Miki Shima, OMD, LAc, served on the California Acupuncture Board and as President of the
California Acupuncture Association (now known as CSOMA). He is the author of The Medical I
Ching – Oracle of the Healer Within, and Channel Divergences. Dr. Shima is an internationally
recognized Master of Oriental Medicine. Dr Shima and Charles Chase, DiplAc, DiplCH, have co-
authored: "Personal Expositions on the Eight Extraordinary Vessels" by Li Shi-zhen, which is the
definitive book on the subject, published by Eastland Press in 2006. AAOM is honored to
have awarded Dr. Shima the Lifetime Achievement Award in 2004.
Betsy Smith is the Associate Deputy Director of the NCCAOM. In her role, she is primarily
responsible for management of the Professional Ethics and Disciplinary Department and all areas
relating to federal and state legislative matters. Ms. Smith speaks regularly before legislative
committees and state boards on behalf of the importance of maintaining national standards. Ms.
Smith has extensive experience in government, public, and client relations with over twenty years
in television production, both in front of the camera and behind the scenes.
David Twicken, DOM, LAc, as a faculty member at Chinese Medical Schools since 1994, has
taught Acupuncture, Oriental Philosophy, Medical History, Tai Chi Chuan, Qi Gong, Feng Shui,
Chinese Astrology and I Ching. Dr.Twicken specializes in the Taoist Arts and has written twelve
books, teaches Taoist Arts internationally and is in private practice in Los Angeles, California.
Kory Ward-Cook, Ph.D., MT(ASCP), CAE, holds a masters’ degree in Clinical Laboratory
Technology from the University of Dayton and a doctoral degree in Pathology from The Ohio State
University. She serves as the Chief Executive Officer for the NCCAOM and has held a number of
leadership positions in several professional societies within the clinical laboratory industry. Dr.
Ward-Cook has gained national visibility through her many presentations and publications for the
clinical laboratory industry and is also active in association management, especially as it relates to
certification activities.
Young Wei-Chieh, OMD, PhD, LAc, is the direct disciple of Master Tung and is the founder of The
World Association of Tung's Acupuncture, the only orthodox association of Tung's Acupuncture in
the United States. He is a certified California acupuncturist, having received his PhD from Samra
University of OM. He holds his Doctorate Degree in Medicine from Beijing University of TCM, and
PhD in Philosophy from Beijing University, and was recognized as "The Best Chinese Medical
Doctor”, 1990 in the field of Acupuncture by the Oriental Internal Medicine and Gynecology in
Taiwan.
Lloyd G. Wright, DNBAO, LAc, has practiced Acupuncture and Traditional Chinese Medicine for
over 20 years. He has served on the Board of Directors for the CAA, CSAOMA, and currently serves
as the Treasurer for the Arizona Society of Oriental Medicine and Acupuncture. He served 5 years
as a member of the California Acupuncture Board, served on a Scientific Review panel for NCCAM,
as a QME for California Worker’s Compensation, and participated as a site visitor for ACAOM. He is
Board Certified with the National Board of Acupuncture Orthopedics and currently practices in
Scottsdale, AZ.
Joseph Changqing Yang, PhD, LAc, was a faculty member and a medical doctor in Traditional
Chinese Medicine University of Heilongjiang, Harbin, China. He has a master degree in TCM
diagnosis and PhD. degree in psychiatry. He also has published over ten papers and books for the
psychiatry research, TCM diagnosis and TCM psychiatry.
A. The Chinese Medical Nomenclature Debates, Part I

Moderators: Will Morris, OMD, MSEd and Master Xiaotian Shen
Panelists: Miki Shima, OMD, LAc; Dan Bensky, DO; Charles Chace, DiplAc, DiplCH; Marnae
C. Ergil, PhD Candidate, MA, LAc; Bob Flaws, DiplAc, DiplCH, FNAAOM, RegAc [UK]; Jake
Fratkin, OMD, LAc, DiplAc, DiplCh; and others.
Language is the root of medical practice. The ability to convey medical practices from one
culture to another is dependant upon the translational and linguistic assumptions in both the
language of origin and the language of arrival. Is standardization necessary? If so, then how
does the profession of Oriental medicine concede? This panel provides a forum for the
discussion of these vital concerns by recognized experts in the field of Oriental medical
education, certification and publication. Morning panelists will each present their position
paper, followed by attendee questions and answers.
Handouts: Nomenclature Binder Only for Pre-Conference Attendees

B. The Chinese Medical Nomenclature Debates, Part II of II

Part II of this workshop will continue with a moderated open debate between all panelists.
Audience members will be given an opportunity to provide their positions (limited to 5
minutes per person, based on time availability.) The day’s activities will conclude with a
moderated Q&A discussion among panelists and attendees. In this two-part workshop,
attendees will take away a keen understanding of the depth and breadth of the divergent
historical, cultural, and scientific translational complexities involved, but more importantly
its impact on their day-to-day practice of OM and the future sustainability and growth of this
profession.
Handouts: Nomenclature Binder Only for Pre-Conference Attendees

C. OM Ethics: Definition and Use; Feng Shui of Practice Management

-Christina Captain, MA, MOM, AP, SLP
This informative course on OM ethics will delve into the foundations of definition and use. A
framework of the ethical decision making process will be discussed as well as the concept of ethics.
The current climate we face as OM professionals creates the ability to teach the challenging and
sometimes difficult situations; being prepared is the only viable option. As we rush into the
integrated model of medicine, it is imperative that we protect not only our patients but also
ourselves. This seminar will explore identification of ethical issues and accountability, including
documentation and communication. Other current issues such as medical acupuncture and
appropriate referrals will be presented in case study format.
Handouts: For pre-conference attendees only of OM Ethics Workshop

D. General Session
-Will Morris, OMD, MSEd, LAc; Dan Bensky, DO; Deborah Lincoln, RN, MSN, Rasp, DiplAc, Lloyd
Wright, DNBAO, LAc; Martin Herbkersman, DAc, MTOM; Steve Liu, LAc; Michael Schroeder, Esq.;
Claudette Baker, LAc, DiplAc/Herbs (NCCAOM)
-Business Pearls Plenary Session: Jake Fratkin, OMD, DiplAc, DiplCh; Master SiFu Lim; & Randy
Neustaedter, OMD, LAc
The Conference will open with an exciting General Session – concluding with Business Pearls
Plenary Session. The featured key-note speaker is prominent OM Master and professional
colleague, Dan Bensky, DO, addressing Standards - A double-edged source for Chinese
Medicine.
East Asian medicine has its own inherent characteristics and forces, including
pluralism, context, fluidity, and appropriateness. These are the bases from which this
medicine operates and has grown over the millennia. In the last hundred years this
medicine has met the forces of modern society and the modern state, and has had to
deal with issues relating to standardization. We will consider what is gained and
lost in this process and discuss some ways to move our profession and our own
practices forward.
Also in the line-up will be experts that encapsulate the “State of the Profession” from
perspectives of our access to herbs, scope of practice issues, advancements in malpractice
coverage and insurance billing and practice and more.1Our general session will conclude
with a plenary session, comprised of our afternoon instructors. They will share with our
attendees the business pearls that have served as their fundamental business foundation
within their clinical practice. 2 N
Handouts: Not Available

E. Channels, Stages, and Warps: Clinical Applications and Implications of the Discussion
of the Cold Damage
-Dan Bensky, DO
The theories and practices of the Discussion of Cold Damage are underutilized in modern American
clinics. In this workshop we will examine the clinical implications of how this book looks at disease
and treatment with a focus on the treatment of our patients. The workshop is designed not only to
provide the participant with some concrete clinical pearls, but more importantly some tools to
expand their understanding of East Asian medicine and enable them to use it more flexibly and
effectively.
Selections from draft translation of Discussion of Cold Damage ©2006 Shouchun
Ma/Dan Bensky Do not cite, copy or distribute without express permission of the authors.
1 of 14
Channels, Stages, and Warps: Clinical Applications

& Implications of the Discussion of the Cold Damage
Dan Bensky, DO
AAOM Convention October 2006
Introduction
理/本 Root/Background
Why should there be traditional medicine in the 21st century?
What does it mean to do traditional medicine in the 21st century?
What does traditional Chinese medicine/TCM mean in the 21st century?
What directions is TCM going in the 21st century?
理/標 Branch/Manifestation
How to best understand patients’ problems = diagnosis
How to best understand the process by which we can help them = strategies
How to best utilize what we know
法 Strategies Of Engangement
Texts/Traditions/Contemporary approaches
Transmission through stages/warps/channels (傳經 chuán jïng)
Consistent (順 shùn) vs. contrary (逆 nì)
Snapshots vs. movies
Illustration of the above by a discussion of a few concepts and

formulas from the greater yang and yang brightness sections of
the Discussion of Cold Damage, along with some relevant case
histories.
2 of 14
Draft Selections from the Shäng hán lùn 傷寒論

Part 1: Text
TàiYáng 太陽
Basic Definitions
太陽之為病脈浮頭項強痛而惡寒.(1)
Greater yang disease consists of a floating pulse, a stiff and painful head and nape, and chills.
Diseases
Wind-attack (zhòng fëng) 中風
太陽病發熱汗出惡風脈緩者名中風.(2)
Cases of greater yang disease with fever, sweating, aversion to drafts, and a lax pulse are called wind-attack.
Cold-damage (shäng hán) 傷寒

太陽病或已發熱或未發熱必惡寒體痛嘔逆脈陰陽俱緊者名為傷寒.(3)
Cases of greater yang disease that may or may not yet have developed fever but must have chills, along with whole
body pain, nausea and vomiting, and tightness of all the yin and yang of the pulse are called cold-damage.
Focal distention (pî) 痞

脈浮而緊．而復下之．緊反入裡．則作痞．按之自濡．但氣痞耳. (151)
If the pulse is floating and tight but the person is then purged, the tightness will instead enter the interior and form a
focal distention. As it will be soft when pressed, it is merely a qi focal distention.
若心下滿而硬痛者．此為結胸也．大陷胸湯主之. 但滿而不痛者．此為痞． (149)
If the area below the Heart is full and firmly painful, this is knotted chest and Major Sink into the Chest Decoction
(dà xiàn xiöng täng) masters it. If it is only full and not painful, this constitutes focal distention.
Basic Concepts Natural Progressions

太陽病脈浮緊發熱身無汗自衄者愈(47)
Those with a taiyang disease with a floating, tight pulse, fever, and no sweating, are cured with a nosebleed.
凡病若發汗若吐若下若亡血亡津液陰陽自和者必自愈. (58)
For diseases where the yin and yang harmonize themselves no matter if there has been sweating, vomiting, diarrhea,
great loss of blood, or great loss of fluids, they will certainly get better by themselves.
Cinnamon Twig Decoction (guì zhï täng) and relations 桂枝湯類

太陽中風陽浮而陰弱.陽浮者熱自發陰弱者汗自出.嗇嗇惡寒淅淅惡風翕翕發熱鼻鳴乾嘔者桂枝湯主之. (12)
Greater yang wind-attack with the yang floating and the yin weak. When the yang floats, fever manifests
spontaneously; when the yin is weak, sweat spontaneously emerges. For huddling chills, shivering aversion to wind,
shuddering fever, nasal resonance, and dry heaves, Cinnamon Twig Decoction masters it.
3 of 14
太陽病頭痛發熱汗出惡風桂枝湯主之. (13)
For taiyang disease with headache, fever, sweating, and aversion to wind, Cinnamon Twig Decoction masters it.
太陽病發熱汗出者此為滎弱衛強故使汗出欲救邪風者宜桂枝湯. (95)
A taiyang disease with fever and sweating, this is considered to be the nutritive is weak and the protective strong.
For this reason cause sweating in order to rescue from the pathogenic wind. Cinnamon Twig Decoction is
appropriate.
Various circumstances
太陽病下之後其氣上衝者可與桂枝湯方用前法.若不上衝者不得與之. (15)
For taiyang diseases, if there is an upward gushing of qi after being purged, the formula Cinnamon Twig Decoction
can be given using the above methods; if no upward gushing, do not give it.
太陽病外證未解脈浮弱者當以汗解宜桂枝湯.(42)
For a taiyang disease where the external pattern has not yet been released and the pulse is floating and frail, it should
be resolved by sweating. Cinnamon Twig Decoction is appropriate.
病人藏無他病時發熱自汗出而不愈者此衛氣不和也. (a) 先其時發汗則愈宜桂枝湯. (b) (54)
When a patient has recurrent fevers and sweats that cannot be cured and their organs do not have any other disease,
it is a disharmony of the protective qi. (a) If one induces sweating before one of the attacks it will be cured.
Cinnamon Twig Decoction is appropriate. (b)
傷寒發汗已解半日許復煩脈浮數者可更發汗宜桂枝湯. (57)
For cold-damage with sweating that has already been released with a return of some irritability and a pulse that is
floating and rapid about a half a day later, one can induce sweating again and Cinnamon Twig Decoction is
appropriate.
病常自汗出者．此為榮氣和．榮氣和者．外不諧．以衛氣不共榮氣諧和故爾. (a) 以榮行脈中．衛行脈外．
復發其汗．榮衛和則愈．宜桂枝湯. (b) (53)
As for a patient who usually has spontaneous sweating, this is the nutritive qi being harmonious. When the nutritive
qi is harmonious, it is the external [aspects] that are not congruent, and it is because the protective qi is not
congruent and harmonious with the nutritive qi. (a) As the nutritive proceeds inside the vessels and the protective
proceeds outside the vessel, once you further induce [the patient] to sweat the nutritive and protective will be
harmonious and they will get better. Cinnamon Twig Decoction is appropriate. (b)
Contradictions
若酒客病不可與桂枝湯得之則嘔.以酒客不喜甘故也. (17)
If a drinker becomes ill, you cannot give them Cinnamon Twig Decoction), as after taking it they will vomit. This is
because sweetness does not agree with people who drink heavily.
Variations
太陽病項背強几几反汗出惡風者桂枝加葛根湯主之. (14)
Taiyang disease with the nape and back stiff and craned, but there is sweating with aversion to wind, Cinnamon
Twig Decoction plus Kudzu masters it.
4 of 14
喘家作桂枝湯加厚朴杏子佳.(18)
When a wheezer has an attack, Cinnamon Twig Decoction plus Cortex Magnoliae Officinalis and Semen Pruni
Armeniacae is best.
太陽病發汗遂漏不止其人惡風小便難四肢微急難以屈伸者桂枝加附子湯主之.(20)
When a sweating treatment is given to someone with taiyang disease, but the sweat leaks out continuously and the
person has an aversion to wind, difficulty urinating, and a slight tension in the limbs such that they are difficult to
flex and extend, Cinnamon Twig Decoction plus Prepared Aconite Accessory Root masters it.
太陽病得之八九日如瘧狀發熱惡寒熱多寒少其人不嘔清便欲自可一日二三度發.(a) 脈微緩者為欲愈也 (b) 脈
微而惡寒者此陰陽俱病不可更發汗更下更吐也 (c) 面色反有熱色者未欲解也以其不能得小汗出身必癢宜桂枝
麻潢各半湯. (d) (23)
After having taiyang disease for eight or nine days with a malarial-like conditions with fever and aversion to wind.
There is much heat and little cold. The person does not vomit and the urine is clear and able to come out when
desired. There are two or three cycles a day. (a) If the pulse is faint and lax, the person is about to get better. (b) If
the pulse is faint but there is chills, both the yin and yang are deficient. You cannot cause them to further sweat, be
purged, or vomit. (c) If, however, the face has heat colors, the person is not just about to get better as they do not get
a little sweat. They must be itchy. Half Cinnamon Twig and Half Ephedra Decoction is appropriate. (d)
服桂枝湯大汗出脈洪大者與桂枝湯如前法若形似瘧一日再發者汗出必解宜桂枝二麻潢一湯. (25)
If after taking Cinnamon Twig Decoction profuse sweating results with a overflowing and large pulse, give them
Cinnamon Twig Decoction according to the original method. If the form [of the symptoms] takes on a malaria-like
appearance with two attacks a day, when they sweat the [disease] will definitely be released. Two-parts Cinnamon
Twig Decoction and One-Part Ephedra Decoction is appropriate.
Ephedra Decoction (má huáng täng) 麻黃湯

太陽病頭痛發熱身痛腰痛骨節疼痛惡風無汗而喘者麻潢湯主之. (35)
For a taiyang disease with headache, fever, body pain, lower back pain, pain in the bones and joints, aversion to
wind, and wheezing, Ephedra Decoction masters it.
脈浮者病在表可發汗宜麻黃湯. (51)
When the pulse is floating the disease is in the exterior and one can induce sweating. Ephedra Decoction is
appropriate.
脈浮而數者可發汗宜麻黃湯. (52)
When the pulse is floating and rapid one can induce sweating. Ephedra Decoction is appropriate.
Five-Ingredient Powder with Poria (wû líng sân) 五苓散

太陽病發汗後大汗出胃中干煩躁不得眠欲得飲水者少少與飲之令胃氣和則愈. (a) 若脈浮小便不利微熱消渴
者五苓散主之. (b) (71)
Cases of greater yang disease where there is profuse sweating after inducing sweating, the stomach is dry and there
is irritability and restlessness with inability to sleep along with a desire to drink. If you bit by bit give them drink,
allowing the stomach qi to be harmonized, they will get better. (a) If there is a floating pulse, urinary difficulty,
slight fever, and unquenchable thirst, Five-Ingredient Powder with Poria masters it.
5 of 14
發汗已脈浮數煩渴者五苓散主之. (72)
If the pulse is floating and rapid and there is irritability and thirst immediately after inducing sweating, Five-
Ingredient Powder with Poria masters it.
中風發熱六七日不解而煩有表裡証渴欲飲水水入則吐者名曰水逆五苓散主之(74)
Wind-attack and fever that is not released after six or seven days with irritability and [both] exterior and interior
signs in those who are thirsty and drink, but vomit immediately after drinking is called water rebellion. Five-
Ingredient Powder with Poria masters it.
Pinellia Drain the Epigastrium Decoction (bàn xià xiè xïn täng) 半夏瀉心湯
傷寒五六日．嘔而發熱者．柴胡湯證具．而以他藥下之．柴胡證仍在者．復與柴胡湯. (a) 此雖已下之．不
為逆．必蒸蒸而振．卻發熱汗出而解. (b) 若心下滿而硬痛者．此為結胸也．大陷胸湯主之. 但滿而不痛者．
此為痞．柴胡不中與之．宜半夏瀉心湯. (c) (149)
For a cold-damage for five or six days with vomiting and feverishness and the presence of all the Bupleurum
Decoction symptoms that was purged with other medicines, if the Bupleurum Decoction symptoms are still present,
still give Bupleurum Decoction. (a) Here although they have already been purged it did not have an adverse effect
and there certainly will steam and tremble and it will be released once there is feverishness and sweating. (b) If the
area below the Heart is full and firmly painful, this is knotted chest and Major Sink into the Chest Decoction masters
it. If it is only full and not painful, this constitutes focal distention. As is not all right to give Bupleurum [formulas],
Pinellia Drain the Epigastrium Decoction is appropriate.
Rhubarb & Coptis Drain the Epigastrium Decoction (dà huáng huáng lián xiè xïn täng) 大
黃黃連瀉心湯
心下痞．按之濡者．其脈關上浮者．大黃黃連瀉心湯主之. (154)
Focal distention below the Heart that is soft when pressed and the pulse is floating in the hinge [position]; Rhubarb
& Coptis Drain the Epigastrium Decoction masters it.
Aconite Accessory Root Drain the Epigastrium Decoction (fù zî xiè xïn täng) 附子瀉心湯
心下痞．而復惡寒汗出者．附子瀉心湯主之. (155)
With focal distention below the Heart if there is also chills and sweating, Aconite Accessory Root Drain the
Epigastrium Decoction masters it.
Yángmíng 陽明
Basic Definitions
問曰．病有太陽陽明．有正陽陽明．有少陽陽明．何謂也．(a) 荅曰．太陽陽明者．脾約是也．正陽陽明者
．胃家實是也．少陽陽明者．發汗利小便已．胃中燥煩實．大便難是也. (b) (179)
Someone asked, “Among diseases there are taiyang-yangming, pure yang yangming, and shaoyang-yangming. What
about them?” (a) [The teacher] answered, “Taiyang-yangming is Spleen binding. Direct yang yangming is
excess/fullness in the Stomach group. Shaoyang-yangming is dryness in the Stomach with irritability and
excess/fullness and difficulty with bowel movements after the induction of sweating or promotion of urination. (b)
陽明之為病．胃家實是也. (180)
Yangming disease consists of excess/fullness in the Stomach group.
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問曰．何緣得陽明病．荅曰．太陽病．若發汗．若下．若利小便．此亡津液．胃中乾燥．因轉屬陽明．不
更衣．內實大便難者．此名陽明也. (181)
Someone asked, “For what reason does one get a yangming disease?”(a) [The teacher] answered, “A taiyang disease
if it is [incorrectly] sweated, or purged, or has had urination promoted will have devastated fluids. The Stomach will
be dry and parched and so [the disease] will shift and pertain to the yangming. (b) If one does not loosen one’s
clothes [have a bowel movement] and there is internal excess such that bowel movements are difficult, this is known
as yangming.” (c)
Exterior conditions
陽明病．脈遲．汗出多．微惡寒者．表未解也．可發汗．宜桂枝湯. (234)
When a yangming disease has a slow pulse, profuse sweating, and slight chills, the exterior is not yet released and
sweating can be induced. Cinnamon Twig Decoction is appropriate.
陽明病．脈浮．無汗而喘者．發汗則雨愈．宜麻黃湯. (235)
Yáng míng bìng, mài fú, wù hàn ér chuân zhe, fä hàn zé yù, yí má huáng täng.
When a yangming disease has a floating pulse,no sweating, and wheezing, it will get better after sweating is
induced: Ephedra Decoction is appropriate.
Manifestations
問曰．陽明病外證云何．荅曰．身熱汗自出．不惡寒反惡熱也. (182)
Someone asked, “What do you have to say about the external signs of yangming disease?”(a) [The teacher]
answered, “[They are] a hot body, sweat that comes out by itself, and no aversion to cold [chills], but instead an
aversion to heat.”
問曰．病有得之一日．不發熱而惡寒者．何也. 荅曰．雖得之一日．惡寒將自罷．即自汗出而惡熱也. (183)

Someone asked, “What about a disease that has been gotten for [only] one day when there is no feverishness, but
chills?” (a) [The teacher] answered, “Although it has only been gotten for one day the chills will stop on their own
and [the patient] will be averse to heat once they start sweating on their own.” (b)
問曰．惡寒何故自罷 (a) 荅曰．陽明居中．主土也．萬物所歸．無所復傳．始雖惡寒．二日自止．此為陽明

病也. (b) (184)
Someone asked, “For what reason do the chills stop by themselves?” (a) [The teacher] answered, “The yangming
resides in the middle and governs earth. It is what the ten thousand creatures return to and there is no more
transmission again [after reaching it]. In the beginning although there are chills, they will stop within two days by
themselves. This is what constitutes a yangming disease. (b)
Transmission
本太陽．初得病時．發其汗．汗先出不徹．因轉屬陽明也. (a) 傷寒發熱．無汗．嘔不能食．而反汗出濈濈
然者．是轉屬陽明也. (b) (185)
If what was originally a taiyang [disease] is induced to sweat in its early stages and at first the sweating is not
thorough, [the pathogen] shifts and pertains to the yangming. (a) When there is cold-damage with feverishness,
absence of sweating, vomiting and inability to eat yet the sweat comes out like a [constant] drizzle, it has shifted and
pertains to the yangming. (b)
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傷寒脈浮而緩．手足自溫者．是為繫在太陰. (a) 太陰者．身當發黃．若小便自利者．不能發黃. (b) 至七八日

大便硬者．為陽明病也. (c) (187)
When cold damage [presents with] a pulse that is floating and lax and warm hands and feet, this is because it gets
tied up with the taiyin. (a) In cases of taiyin, the body should become yellow; if the urine flows freely, they will not
be able to become yellow. (b) [For these cases] if by day seven or eight the stool is hard, it constitutes a yangming
disease. (c)
傷寒轉繫陽明者．其人濈然微汗出也. (188)
When cold damage shifts and gets tied up with the yangming, the person will have drizzly slight sweating.
White Tiger Decoction (bái hû täng) and relations 白虎湯類

傷寒脈浮滑．此表有熱．裡有寒．白虎湯主之. (176)
For cold-damage with a floating and slippery pulse, this is heat in the exterior and cold [glossed as “heat”] in the
interior. White Tiger Decoction masters it.
傷寒脈滑而厥．裡有熱．白虎湯主之. (350)
For cold-damage with inversion and a slippery pulse, there is heat in the interior. White Tiger Decoction masters it.
三陽合病．腹滿．身重．難以轉側．口不仁面垢譫語遺尿. (a) 發汗則譫語．下之則額上生汗．手足逆冷. (b)

若自汗出者．白虎湯主之. (c) (219)
With a combination disease of the three yang there is abdominal fullness, a heavy body that is hard to rotate or bend,
lack of sensation in the mouth, dirty face, incoherent speech, and enuresis. (a) If sweating is induced there will be
incoherent speech and if purged there will be sweat produced above the forehead and rebellious inversion [extreme
coldness] of the hands and feet. (b) If there is spontaneous sweating, White Tiger Decoction masters it. (c)
Variations
服桂枝湯大汗出後大煩渴不解脈洪大者白虎加人參湯主之. (26)
If profuse sweating occurs after taking Cinnamon Twig Decoction and there is intense irritability and thirst without
resolution and the pulse is overflowing and large, White Tiger plus Ginseng Decoction masters it.
傷寒若吐若下後．七八日不解．熱結在裡．表裡俱熱. (a)時時惡風．大渴．舌上乾燥而煩．欲飲水數升者．
白虎加人參湯主之. (b) (168)
If a case of cold-damage that has either been caused to vomit or purged and does not resolve within seven or eight
days, heat clumps in the interior and both the exterior and interior are hot. (a) If there is occasional aversion to wind,
intense thirst, a dry and parched upper surface of the tongue, irritability, and a desire to drink several shëng of fluids,
White Tiger plus Ginseng Decoction masters it. (b)
傷寒無大熱．口燥渴．心煩．背微惡寒者．白虎加人參湯主之. (169)
For cold damage with a floating pulse, feverishness, and no sweating, the exterior has not been released and one
cannot give White Tiger Decoction. (a) When there is thirst with a desire to drink water without an exterior
presentation, White Tiger plus Ginseng Decoction masters it. (b)
傷寒脈浮．發熱無汗．其表不解．不可與白虎湯．渴欲飲水．無表證者．白虎加人參湯主之. (170)
For cold damage with a floating pulse, feverishness, and no sweating, the exterior has not been released and one
cannot give White Tiger Decoction. (a) When there is thirst with a desire to drink water without an exterior
presentation, White Tiger plus Ginseng Decoction masters it. (b)
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Gardenia & Prepared Soybean Decoction (zhï zî chî täng) 梔子豉湯

發汗吐下後虛煩不得眠若劇者必反復顛倒心中懊嶩梔子豉湯主之. (a) 若少氣者梔子甘草豉湯主之. 若嘔者梔
子生薑豉湯主之. (b) (76b)
For those who have deficiency irritability with inability to sleep after sweating, vomiting, and purging, when severe
they well certainly toss back and forth and have anguish and vexation in their hearts. Gardenia & Prepared Soybean
Decoction masters is. (a) If there is a shortage of breath, Gardenia, Licorice, & Prepared Soybean Decoction masters
is; if there is vomiting Gardenia, Fresh Ginger, & Prepared Soybean Decoction masters is. (b)
發汗若下之而煩熱胸中窒者梔子豉湯注之. (77)
For irritability and heat with stuffiness in the chest with purging after inducing sweating, Gardenia & Prepared
Soybean Decoction masters it.
傷寒五六日大下之後身熱不去心中結痛者未欲解也梔子豉湯注之. (78)
For cold-damage for five or six days that is then intensely purged [with the result being] a bodily heat that does not
go away and a clumping pain in the heart, [the disease] does not want to be released. Gardenia & Prepared Soybean
Decoction masters it.
陽明病．下之．其外有熱．手足溫．不結胸．心中懊嶩．飢不能食．但頭汗出者．梔子豉湯主之. (b) (228)
For a yangming disease that has been purged but there is heat on the outside, the hands and feet are warm, there is
no clumping in the chest, there is anguish and vexation in the heart, hunger with an inability to eat and sweating only
from the head, Gardenia & Prepared Soybean Decoction masters it.
下利後更煩．按之心下濡者．為虛煩也．宜梔子豉湯. (b) (375)
If after diarrhea there is an increase in irritability and the area below the heart is soft when pressed, it is considered
to be deficiency irritability; Gardenia & Prepared Soybean Decoction is appropriate.
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Part 2: Formulas
Cinnamon Twig Decoction (guì zhï täng)
Ramulus Cinnamomi Cassiae (guì zhï) - remove bark 3 liâng
Radix Paeoniae (sháo yào) 3 liâng
Radix Glycyrrhizae Uralensis (gän câo) - honey-toasted 3 liâng
Rhizoma Zingiberis Officinalis Recens (shëng jiäng) - sliced 3 liâng
Fructus Zizyphi Jujubae (dà zâo) - broken apart 12 pieces
Take the above 5 ingredients (coarsely chop the first three), place in 7 shëng of water and cook over a low fire until 3 shëng
remain. Remove the dregs and take 1 shëng, not too hot and not too cold). After taking, quickly swallow more than 1 shëng of hot
congee in order to aid the force of the medicine. Keep the patient warm with a blanket for about two hours with the best result
being that the entire body is moist as if it there slightly was a sweat. Do not allow [the sweat] to pour out like water or the disease
will certainly not be eliminated. If the disease goes away with the sweating from one dosage, stop from taking any more and it is
unnecessary to finish the decoction. If there is no sweating, take again using the above method. If there is still no sweating,
slightly shorten the time between doeses such that all three doses are taken within half a day. For severe cases take decoctions
during one day and night watching the patient for 24 hours. If the disease is still there after finishing one decoction, take another.
If there is no sweating, take 2-3 decoctions. Avoid foods that are raw and cold, rich and greasy, contain meat or flour, spicy,
fermented, and bad-smelling.
Half Cinnamon Twig and Half Ephedra Decoction (guì zhï má huáng gè bàn täng)
Ramulus Cinnamomi Cassiae (guì zhï) —remove bark 1 liâng 16 zhü
Radix Paeoniae (sháo yào) 1 liâng
Rhizoma Zingiberis Officinalis Recens (shëng jiäng) —sliced 1 liâng
Radix Glycyrrhizae Uralensis (gän câo) — honey-toasted 1 liâng
Herba Ephedrae (má huáng) —remove nodes 1 liâng
Fructus Zizyphi Jujubae (dà zâo) — broken apart 4 pieces
Semen Pruni Armeniacae (xìng rén) — remove shells and tips 24 pieces
For the above 7 herbs, take 5 shëng of water; first put in the Herba Ephedrae (má huáng) and cook it until it boils once or twice,
remove the froth and add the rest of the herbs. Cooks until 1 shëng and 8 gê remain. Remove the dregs and take 6 gê warm. It
originally said 3 gê of Cinnamon Twig Decoction (guì zhï täng) and 3 gê of Ephedra Decotion (má huáng täng), swallowed.The
instructions are as given above.
Two-parts Cinnamon Twig Deocotion and One-Part Ephedra Deocotion (gui zhi èr má
huáng yi täng)
Ramulus Cinnamomi Cassiae (guì zhï) —remove bark 1 liâng 17 zhü
Radix Paeoniae (sháo yào) 1 liâng 6 zhü
Herba Ephedrae (má huáng) — remove nodes 16 zhü
Rhizoma Zingiberis Officinalis Recens (shëng jiäng) —sliced 1 liâng 6 zhü
Semen Pruni Armeniacae (xìng rén)— remove shells and tips 16 pieces
Radix Glycyrrhizae Uralensis (gän câo) — honey-toasted 1 liâng 2 zhü
Fructus Zizyphi Jujubae (dà zâo) — broken apart 5 pieces
For the above 7 herbs, take 5 shëng of water; first put in the Herba Ephedrae (má huáng) and cook it until it boils once or twice,
remove the froth and add the rest of the herbs. Cooks until 2 shëng remain. Remove the dregs and take 1 shëng warm. Take the
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next dosage later in the day. It originally said to take two parts of Cinnamon Twig Decoction (guì zhï täng) and one part of
Ephedra Decotion (má huáng täng).together to make 2 shëng and divide into two doses. Now the are combined into one formula
with the instructions are as given above (in §12).
Ephedra Decotion (má huáng täng)

Herba Ephedrae (má huáng) - remove nodes 3 liâng
Ramulus Cinnamomi Cassiae (guì zhï) - remove cortex 2 liâng
Radix Glycyrrhizae Uralensis (gän câo) - honey-toasted 1 liâng
Semen Pruni Armeniacae (xìng rén) - remove shells and tips 20
Take the above 4 herbs and 9 shëng of water. First put in the Herba Ephedrae (má huáng) and cook it until 2 shëng are gone,
remove the froth, add the other herbs and cook until 2 and one-half shëng remain. Remove the dregs and take 8 gê. Again take
until there is [something] slightly like a sweat. It is not necessary to quickly swallow congee. The rest of the instructions and
prohibitions are the same as for Cinnamon Twig Decoction (guì zhï täng).
Five-Ingredient Powder with Poria (wû líng sân)

Sclerotium Polypori Umbellati (zhü líng) (remove cortex) 18 zhü
Rhizome Alismatis Orientalis (zé xiè) 1 liâng 6 zhü
Rhizoma Atractylodis Macrocephalae (bái zhú) 18 zhü
Sclerotium Poriae Cocos (fú líng) 18 zhü
Ramulus Cinnamomi Cassiae (guì zhï) (remove cortex) half a liâng
Take the above 5 ingredients and pound them with a pestle until they become a powder. Take one spoonful three times a day and
drink lots of warm water. When thereis sweating [the patient] will get better. They should rest in accordance with the [correct]
method.
Pinellia Drain the Epigastrium Decoction (bàn xià xiè xïn täng)
Rhizoma Pinelliae Ternatae (bàn xià) [washed] 0.5 shëng
Radix Scutellariae Baicalensis (huáng qín) 3 liâng
Rhizoma Zingiberis Officinalis (gän jiäng) 3 liâng
Radix Ginseng (rén shën) 3 liâng
Radix Glycyrrhizae Uralensis (gän câo) [honey-toasted] 3 liâng
Rhizoma Coptidis (huáng lián) 1 liâng
Fructus Zizyphi Jujubae (dà zâo) [broken] 12
Take the above seven ingredients in 1 dôu of water and cook down to 6 shëng, remove the dregs and cook down to 3 shëng.
Administer 1 shëng warm three times a day.
Rhubarb & Coptis Drain the Epigastrium Decoction (dà huáng huáng lián xiè xïn
täng)
Radix et Rhizoma Rhei (dà huáng) 2 liâng
Take the above 2 ingredients and steep in 2 shëng of water that is just beginning to boil. Quickly press out the dregs and divide
into two warm doses.
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Aconite Accessory Root Drain the Epigastrium Decoction (fù zî xiè xïn täng)
Radix et Rhizoma Rhei (dà huáng) 2 liâng
Radix Scutellariae Baicalensis (huáng qín) 1 liâng
Radix Lateralis Aconiti Carmichaeli Praeparata (fù zî) [treated, cortex removed, broken up, separately decocted to
get liquid] 1
Take the above 4 ingredients, chop [the first] three and steep in 2 shëng of water that is just beginning to boil. Quickly press out
the dregs and divide into two warm doses.
White Tiger Decoction (bái hû täng

Rhizoma Anemarrhenae Asphodeloidis (zhi mu) 6 liâng
Gypsum (shi gao) (broken-up and placed in a cotton bag) 1 jïn
Radix Glycyrrhizae Uralensis (gan cao) (honey-toasted) 2 liâng
Nonglutinous rice (geng mi) 6 gê
For the above 4 herbs, take 1 dôu of water and cook until the rice is cooked at which time the decoction is ready. Remove the
dregs and take 1 shëng warm. Administer 3 times a day.
White Tiger plus Ginseng Decoction (bái hû jiä rén shën täng)
Rhizoma Anemarrhenae Asphodeloidis (zhi mu) 6 liâng
Gypsum (shi gao) (broken-up and placed in a cotton bag) 1 jïn
Radix Glycyrrhizae Uralensis (gan cao) (honey-toasted) 2 liâng
Nonglutinous rice (geng mi) 6 gê
Radix Ginseng (ren shen) 3 liâng
For the above 5 herbs, take 1 dôu of water and cook until the rice is cooked at which time the decoction is ready. Remove the
dregs and take 1 shëng warm. Administer 3 times a day.
Gardenia & Prepared Soybean Decoction (zhï zî chî täng)

Fructus Gardeniae Jasminoidis (zhï zî) (broken) 14
Semen Sojae Praeparatum (dàn dòu chî) (placed in a cotton bag) 4 gê
Take the above two ingredients and 4 shëng of water. First cook the Fructus Gardeniae Jasminoidis (zhï zî) until 2 shëng remain
and then add the Semen Sojae Praeparatum (dàn dòu chî). Cook until one and a half shëng remain, remove the dregs, and divide
into two doses. Take the first dose warm. If this results in vomiting, refrain from giving any more.
Part 3: Cases
1. Li XX, 53 y.o. woman with attacks of flushing and sweating for over a year. Two to three
attacks a day. She has been treated for yïn deficiency with more than 20 packets of herbs.
Appetite, BM fine. Tongue is slightly pale with white coat, pulse is lax and forceless.
2. XX 42 y.o. woman. She was thin & week & her tongue was red with multiple cracks. She
frequently came down with colds. Three days previously she has started to have a tickle in
her throat with pain along with headache, nasal congestions, clear nasal discharge,
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generalized muscle aches, no sweating, & a rapid, forceful pulse. The diagnosis was exterior
wind-heat & she was given Honeysuckle & Forsythia Pills to Relieve Toxicity (yín qiáo jiê
dú piàn) 3 pills, 3 times a day with hot congee in order to induce sweating. The next day she
felt no better & had not sweated. She was told to add 2 sliced scallions to the congee. After
taking this she sweated continuously & she felt better temporarily. The next morning she was
still sweating had an aversion to wind, scanty, yellow urine, & a relapse of the cold
symptoms.
3. XX, 40 y.o. man. He came to the clinic because he remained chilled after a cold and fever
during which he had profuse sweating. No headache or cough, no problems with limbs, but
felt tired. Hx of soft stool for over 10 yrs. Pulse was submerged, thin, and forceless. Tongue
coat thin, white, slippery
4. Li, XX, 30 y.o. woman. History of dysmenorrhea for >10 years that is increasing in severity.
Starting 1-3 days before her menses she begins to have attacks of severe lower abdominal
pain, sometimes with distention. About day 2 or 3 of the period a membranous thing is
expelled and then the pain disappears. Simultaneously she has distention and pain in her
breast and flanks. She saw a Western doctor who did a D & C. Next cycle the pain was even
more excruciating and she was so upset that she hit her head against a wall. She suffered
from lower abdominal distention, a wiry and slow pulse, and a dark tongue with a white
coating. The skin over volar aspect of forearm was lacking in warmth. She had been treated
with formulas that invigorate blood and transform stasis as well as those that soothed the
Liver and relieved constraint without effect. Her lower abdomen is almost always cold and
distended. Hands and limbs are cold, and she’s always averse to cold., and has profuse, thin,
clear leukorrhea. Menstrual blood was very dark with clots. During her flow if she was
exposed to cold, the pain increased. She felt a little better with a hot pack on her low
abdomen.
5. Lu, 9 y.o. boy. Since he was a toddler he’s never sweated. Every year when it was hot
outside, his skin would get red, dry, & itchy. He would scratch to point of scars & scabs. It
was all painful & difficult to bear. Diagnosis was autonomic dystonia. Treated with gamma-
oryzanol witih no result Came to clinic in. early July with red, dry skin whole body, with lots
of scabs & scars. Breathing was slightly rough, occasionally restless & irritable, mouth &
nose dry, pale red tongue with white coat. Rapid floating pulse.
6. In 1987 Liu Du-Zhou saw a woman who had lost her voice for over four months. It had
gotten to the point where she was totally incapable of talking and had to bring relatives with
her to explain her situation. She had taken large dosages of western pharmaceuticals as well
as herbs to enrich the yin and clear heat, all without any effect. She was not able to make any
sounds, her throat felt blocked, she was both felt thirsty and wanted to drink, and she felt
dizzy and light headed. Bowel movements were normal but urination was not smooth. Her
urine was clear and not yellow. Her pulse was submerged, her tongue pale and delicate-
looking with a watery, overly moist tongue coating.
7. Ma, 18 y.o. man with recurrent stiff neck. 3-5 x / year. When having an attack, he can’t lie on
side. Pain extends from nape of neck to upper back pai. Gets 3-5x acupuncture or massage
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treatments and then feels better, but recurs. He want herbs for a radical cure. Happens when
exposed to wind or cold and with the attacks he: sweats and is sensitive to wind. Tongue:
pale thin white coat. Pulse: floating & slow.
8. Chen X, 17 y.o. woman. A week earlier she had a cold with two to three attacks a day of
fever and chills [more fever than chills]. She also had dizziness, no vomiting, and normal
elimination. Her sweat did not come out smoothly and she was itchy and smelled bad.
Bathing did not help. The school doctor thought she had malaria, but all blood tests were
negative. Then they diagnosed her with endocrine dysfunction, but treatment did not change
her problem so she decided to try CM. Tongue: pale with a thin white coat. Pulse: weak and
frail.
9. XX, 48 year-old clerk with the Jinan Housing Authority. The patient is thirsty, but vomits up
immediately anything that he drinks. He also has had epigastric focal distention for over a
week. He was treated twice at a local ER with anti-emetics, tranquilizers, and intravenous
fluids, but did not respond. He suspected that there was a growth in his stomach and as he
was very upset and afraid he went to the hospital. At that time his face was pale, his tongue
was pale with a moist and white coating, and his pulse was submerged and wiry. While his
urine was clear, urination was not smooth
10. XX, 53 year-old woman. Intense problem with sleeping for over 6 months. She takes either a
sedating antidepressant or a hypnotic every night and still only can sleep 3-4 hours. Also has
palpitations and hot flushes for which she has taken biological estrogen and progesterone
with only slight improvement. Frequent pulling pain in lower abdomen and consitpation with
bowel movements every 3 days. Drinks a lot with less than expected urine output, thirsty, no
sweating. Pulse - reverse with softness in middle burner on right and harder lower burner on
left. Tongue - teeth-marks, pale, dark, greasy white coat, dry, 1+ veins.
11. 10. Wang XX, 42 y.o. woman. Complaint of epigastric fullness and focal distention that was
not painful when pressed. Didn’t want drink or food, scanty, dark urine, dryish stoo,l dry
mouth, irritability,.dizziness, and tinnitis. Western medical diagnosis was autonomic
dystonia. Tongue: red with white slippery coating. Pulse: submerged, wiry and slightly rapid.
12. 11. Li XX, ~60 y.o. woman. Hx of recurrent bouts of insomnia. Not whole life. This year
had one and despite treatment was getting worse and worse. Irritable, restless, not eating. No
sleep all night - only gets one hour of sleep if takes western hypnotic drugs. Epigastrium felt
extremely full and stuffed but rest of abdomen without distention or pain.. Mulitple bowel
movements a day. Pulse was choppy and not smooth flowing. Tongue: coating was yellow,
thick, sticky, and greasy.
13. Chen XX, 35 y.o. man. Headache for more than three years. They reoccur and can be very
painful. Western medicine, Chinese herbs, acupuncture and tuina all without success.
Various imaging studies and doppler tests were all normal and was given a diagnosis of
tension headache. Treated with sedatives without much help. Primarily frontal headahces
with a lot of lateral tightness. Inside nose was distended and there was a stifling sensation in
the bridge of the nose area. He felt out of it, had a poor memory, was quite irritable, could
not control his thoughts, and found it hard to get to sleep along with bad dreams. Dry lips and
14 of 14
mouth but no thirst. Tongue: red with slight thin yellow coat. Pulse: floating, rapid.
14. Zhu XX, male, 25 y.o. First visit December 5, 1986. The patient had been sweating only
from his hands, feet, and nose for more than eight years. The sweating stopped when he slept
and started again upon awakening regardless of the season. The symptoms had become more
severe the last two years and now he when he held a pen to write, the paper would become
soaked in the blink of an eye. His suffering was almost unendurable. He had taken many
formulas without effect. The only strategies used were augmenting the qi and restraining
sweat or regulating and nourishing the Heart spirit. At the time of his visit his tongue was
pale with a thin yellow coat and the pulse was wiry and moderate. This physician Lin first
tried such formulas as Cinnamon Twig Decoction (guì zhï täng) and (Tonify the Middle and
Augment the Qi Decoction (bû zhöng yì qì täng) with Oyster Shell Powder (mû lì sân) all to
no avail.
15. A sixty year-old women came in about 10 days after catching a cold during which she
vomited a yellow, viscous sputum. After this she had an irritable, unsettled feeling in her
chest and tossed and turned all night so that she was unable to get to sleep. She felt so bad
that she wanted to go see a doctor but as her legs had become so weak, she was unable to do
so. This made her feel so bad that she attempted to drown herself in a pool near her house
and was prevented from doing so at the last minute. She was thin with a rapid pulse and a
slightly pale tongue with a thin, yellow coating.
F. Understanding and Reading Tai Chi

-Master SiFu Lim
The "warming up" is the whole art! The principles within Tai chi are hidden in the warm ups. If you
understand the governing principle of how the body moves when one practices Taichi, then within
it are the defense moves and the way to tune up the form. Rather than asking me how many forms
I know, I believe the real question is to ask how to evolve within the form.

G. TCM and SARS

-Jake Fratkin, OMD, LAc
The SARS epidemic of 2003 serves as a wake-up call for potential viral pandemics that may attack
our population in the near future. In this presentation, we will detail how TCM herbal medicine was
successfully employed to reduce hospitalization and death rates by combining the classical Wen
Bing approach with the utilization of newly discovered herbs having strong antiviral properties.
THE USE OF TCM DURING THE
SARS EPIDEMIC OF 2003
1. OVERVIEW OF SARS EPIDEMIC, 2003
And It’s Application
To Epidemic Influenza SARS is an acute respiratory illness with
typical symptoms of fever, cough and
difficult breathing.
Jake Paul Fratkin, OMD, L.Ac.
By March 18, over 200 cases and 4 deaths had

been reported in China and Hong Kong.
By May 2003, the World Health Organization
During a period of the following three weeks, cited 8,422 cumulative cases worldwide, most
the number of SARS cases soared to over 2,000, of them in China, Hong Kong, and Taiwan,
with about 75 deaths, triggering alarms with 916 deaths - 11% of those infected.
worldwide.
The disease disappeared by July.
By early April, there were nearly 1,000 new
cases per week until mid-May while frantic
steps were taken to inhibit its spread.
The Centre for Disease Control and Prevention 2. CLASSICAL WEN BING THEORY
in China has classified SARS as a disease
A. HISTORY
related to Wen Bing (meaning “feverish disease”
in TCM), based on the close resemblance Until the widespread introduction of
between the two illnesses. antibiotics in the 1940s, Chinese medicine
excelled at shi bing – seasonal disorders.
The Centre also advised health practitioners to
These included the infectious diseases of
refer to traditionally prescribed treatments and
colds, influenza, cholera & meningitis.
recommendations.
Jake Paul Fratkin, OMD, L.Ac. 1

Wen Bing contained many diverse opinions,
Wen Bing replaced Shang Han etiology, which coalesced in the 19th century. Many of the
“damage by cold”, with a new universe of doctor-writers were from warm-damp areas
pathogens and pathologies. The new theory south of the Yangzi River.
had to account for diseases arriving from the
In 1920s and 30s, compilation of textbooks were
Silk Road trade as well as contact with devoted to systematic study of warm diseases.
European, and included smallpox, diphtheria,
Since the 1980s, warm disease studies (wen
tuberculosis, typhoid, typhus, etc.
bing xue) has been a core subject in TCM
colleges.
A. WARM-HEAT DISEASES
b. ORGANIZATION OF WEN BING
1. WIND-WARMTH 3. AUTUMN-DRYNESS
(WARM DISEASES) a) Wei Level a) Wei Level
b) Qi Level b) Qi Level
c) Ying Level
A. WARM-HEAT DISEASES 2. SPRING-WARMTH 4. WARM-TOXIN

a) Wei and Qi Level a) By Burner
B. DAMP-HEAT DISEASES
b) Qi Level b) Putrefying Throat
c) Ying or Blood Level Granular Disorder
B. DAMP-HEAT DISEASES
3. TREATMENT OF SARS, 2003 AND ITS
1. SUMMERHEAT-WARMTH e) Deteriorated Patterns of
a) Summerheat-Warmth Damp-Heat POTENTIAL FOR AVIAN FLU
b) Summerheat & d) Remnants of .
Dampness Dampness & Heat SARS demonstrated global havoc when its epidemic
broke out worldwide, including mainland China,
2. DAMP-WARMTH 3. LURKING SUMMERHEAT
Taiwan, Hong Kong, Vietnam, Singapore, Macao,
a) Dampness Predominant a) Initial Onset
North American and Europe.
b) Equal Damp and Heat b) Lurking Summerheat in
c) Damp-Warmth with the Qi Level The first case was found in Foshan, Guangdong
Heat Predominant c) Lurking Summerheat in Province, China on November 16, 2002, but did not
Ying and Blood Levels become highly contagious until March, 2003.

MORTALITY In Hong Kong, a total of 1755 SARS patients
occurred, and 300 of them died.
In a total of in 8,422 cases, 916 SARS patients
The mortality was about 17%.
died. The overall mortality was about 11%.
In mainland China, a total of 5327 SARS patients In Taiwan, a total of 655 SARS patients
occurred, and 349 of them died. occurred and 180 of them died.
The mortality was about 7%. Mortality was 27%.
WESTERN MEDICAL TREATMENT FOR SARS

There was no evidence to support the
Western medical treatment included aliment effectiveness of general or routine use of
therapy (IV sustenance support), respiratory ribavirin and steroids, or to confirm the risks
auxiliary ventilation, anti-infection agents such and benefits of Western medicine in the
as ribavirin, and glucocorticoid therapy.
treatment of SARS.
2) Other symptoms:
SYMPTOMS
• loss of appetite
1) Influenza-like symptoms:
• confusion
• fever
• dizziness
• chills
• rash
• muscle pain
• headache • sleeping problems
• “heavy feeling” • night sweats
• cough • nausea
• fatigue • diarrhea

b. THE TCM RESPONSE TO SARS 1) Initial Stage
WIND-WARMTH, Wei Level

Based on the theory of Traditional Chinese
Px: Yin Qiao San
Medicine, SARS can be divided as: Sang Ju Yin
WARM-TOXIN, Upper Burner

Initial stage
Px: Pu Ji Xiao Du Yin
Acute stage
Critical stage SUMMERHEAT AND DAMPNESS
Recovery stage Attacking Lung and Wei Level
Px: Sang Ju Yin
2) Acute Stage – 2) MODERN FORMULAS USED

IN THE SARS EPIDEMIC
SPRING-WARMTH
Qi Level, Excess Heat in Stomach In order to provide formula recommendations
Px: Bai Hu Tang to masses of people without access to
SUMMERHEAT-WARMTH
experienced TCM doctors, the Chinese
Summerheat Attacking the Stomach Government Health Authority recommended a
Px: Bai Hu Tang number of herbal formulas to strengthen the
immune system and fight
DAMP-WARMTH, Heat Predominant,
early exposure to the virus.
Stagnation of Qi by Damp-Heat
Px: Gan Lu Xiao Du Yin
2) General immune enhancement

1) Early wind invasion with sore throat.
Atractylodes Cang Zhu
Phragmites Lu Gen Atractylodes Bai Zhu
Lonicera Jin Yin Hua Astragalus Huang Qi
Forsythia Lian Qiao
Ledebouriella Fang Feng
Cicada Chan Tui Agastache Huo Xiang
Bombyx Jiang Chan Glehnia Sha Shen
Mentha Bo He Lonicera Jin Yin Hua
Glycyrrhiza Gan Cao Dryopteris Guan Zhong

2) Antiviral formulas:
Other popular formulas included the following:
a) b)
1) Immune Enhancement: Isatis Ban Lan Gen Isatis Da Qing Ye

Polygonum Hu Zhang Isatis Ban Lan Gen
Ginseng Ren Shen Dryopteris Guan Zhong Dryopteris Guan Zhong
Tremella Bai Mu Er
Chrysanthemum Ju Hua
Andrographis Chuan Xin Lian
THE CHINA NATIONAL ADMINISTRATION OF FORMULA 1

TRADITIONAL CHINESE MEDICINE Benefit qi, remove damp, clear heat,
resolve toxin
The following Chinese herbal prescriptions
Astragalus Huang Qi
were recommended to the Chinese population
Patrinia Bai Jiang Cao
for preventing SARS.
Coix Yi Yi Ren
Platycodon Jie Geng
Glycyrrhiza Gan Cao
FORMULA 2 Department of Health, China

Clear heat, resolve toxins, resolve turbidity Transform phlegm, clear heat, dispel wind-heat, resolve
pathogenic toxin, stop cough.
Houttuynia Yu Xing Cao Astragalus Huang Qi 12 g.
Ledebouriella Fang Feng 12
Chrysanthemum Ye Ju Hua
Pueraria Ge Gen 8
Artemesia Yin Chen Hao Fritillaria Chuan Bei Mu 8
Eupatorium Pei Lan Scutellaria Huang Qin 8
Moutan Mu Dan Pi 7
Amomum Cao Guo Isatis Da Qing Ye 12
Lonicera Jin Yin Hua 12
Curcuma Yu Jin 9
Dryopteris Guan Zhong 12

Report A: A Herbal Formula for the Prevention
of Transmission of SARS During the SARS
“Abstract. Traditional Chinese medicine (TCM) has a long
Epidemic in Hong Kong Special Administrative
history of being used to treat respiratory ailments. Many
Region — A Prospective Cohort Study.
clinicians in China have used TCM to treat SARS patients
Leung PC, Lau TF, Cheng KF and Lam CWK with favorable outcomes as the symptoms of SARS closely
resemble those of wen bing (feverish disease). The use of
http://whqlibdoc.who.int/publications/2004/9241546433_reportA.pdf TCM for the treatment of respiratory illnesses in China has
shown promise in the prevention of SARS particularly
This is the first study to explore the possibility among high-risk groups.”
of using TCM to prevent SARS in a high-risk
population (health care workers).
“SARS attack rates on two groups of health care workers

“Results. None of the health care workers who used the
from 11 hospitals in Hong Kong, one using a herbal
supplements subsequently contracted SARS as compared
supplement for a 2-week period (n = 1063) and a control
to 0.4% of the health care workers who did not use the
cohort comprising all health care workers who did not
supplements (p = 0.014).
receive the supplement (n = 36 111), were compared.
Improvements in influenza-like symptoms and quality of life
Changes in quality of life and influenza-like symptoms of the
measurements were seen among users of the herbal
herbal supplement users were examined at three time
supplements.”
points.”
The entire formula consisted of 12 herbs, combining Sang Ju Yin

herbs from Sang Ju Yin and Yin Qiao San with the
Origin: Wu Jutang, 1798
addition of Isatis Da Qing Ye, Scutellaria Huang Qin
and Astragalus Huang Qi.
√ Morus Sang Ye
√ Phragmites Lu Gen
Morus Sang Ye Glycyrrhiza Gan Cao
Phragmitis Lu Gen √ Prunus Armeniaca Xing Ren
Chrysanthemum Ju Hua
√ Forsythia Lian Qiao
Armeniaca Xing Ren Astragalus Huang Qi
√ Chrysanthemum Ju Hua
Forsythia Lian Qiao Ledebouriella Fang Feng
√ Mentha Bo He
Mentha Bo He Isatis Da Qing Ye
√ Platycodon Jie Geng
Platycodon Jie Geng Scutellaria Huang Qin
√ Glycyrrhiza Gan Cao

Yin Qiao San
Origin: Wu Jutang, 1798 RESULTS
Lonicera Jin Yin Hua None of the 1063 research subjects who used
(√) Forsythia Lian Qiao the herbal supplement contracted SARS.
Arctium Niu Bang Zi
(√ ) Platycodon Jie Geng None of the 3160 health care workers who
(√) Mentha Bo He received the herbal supplement had contracted
Glycine Soja Dan Dou Chi the virus, based on hospital admissions.
(√ )Glycyrrhiza Gan Cao
Lophatherum Dan Zhu Ye
Schizonepeta Jing Jie
Following this research the following occurred: GOVERNMENT RECOMMENDED
“The chairman of the Administrative Committee

PATENT MEDICINE COMBINATIONS
Research Center of Hong Kong Chinese University
recommended the manufacturing an initial batch of 1) Sang Ju Yin plus Yu Ping Feng San
40,000 packets of these powdered granules, to be
consumed within 10 days. 2) Huo Xiang Zheng Qi Pian plus
Shuang Huang Lian
The committee is planning to provide for medical (Lonicera, Scute and Forsythia)
personnel first and then subsequently made available to
the people of Hong Kong in general.” 3) Huo Xiang Zheng Qi Pian plus
Bao He Wan
4. UTILIZED ANTIVIRAL HERBS

2) Modern:
1) Classical:
Agastache Huo Xiang Andrographis Chuan Xin Lian
Artemisia Qing Hao Belamcanda She Gan
Forsythia Lian Qiao Coix Yi Yin Ren
Indigo Qing Dai Dryopteris Guan Zhong
Isatis Ban Lan Gen Evodia San Cha Ku
Isatis Da Qing Ye
Helicteris Shan Zhi Ma
Lonicera Jin Yin Hua
Houttuynia Yu Xing Cao
Taraxacum Pu Gong Ying

IIex Gang Mei Gen Most promising herbs for SARS:
Ilex Mao Dong Qing
Andrographis Chuan Xin Lian
Paris Qi Ye Yi Zhi Hua
Coix Yi Yin Ren
Patrinia Bai Jiang Cao
Dryopterus Guan Zhong
Polygonum Hu Zhang
Forsythia Lian Qiao
Verbana Ma Bian Cao
Lonicera Jin Yin Hua
Viola Zi Hua Di Ding
Polygonum Hu Zhang
Golden Flower: Seven Forests:

GAN MAO LING FORMULA BELAMCANDA 15
VIOLA CLEAR FIRE FORMULA BIDENS 6
5. MODERN CHINESE HERBAL YIN CHIAO FORMULA FORSYTHIA 18
ZHONG GAN LING FORMULA
PRODUCTS WITH ANTI-VIRAL EFFECT ILEX 15
ISATIS 6
Herbal Times PARIS 7
PU JI XIAO DU WAN PATRINIA 7
a. Chinese Patent Medicines SCROPHULARIA 12
Patent Medicines:
b. American Herbal Products CHUAN XIN LIAN
GAN MAO LING
2A-2
CHUAN XIN LIAN
ANTIPHLOGISTIC PILLS
United Pharmaceutical Manufactory;
Guangzhou Andrographis Chuan Xin Lian 50. % DD
chuan xin lian kang yan pian Taraxacum Pu Gong Ying 25 DD

"Andrographis Fight Inflammation Pills" Isatis Ban Lan Gen 25 DD
Packing and Dosage:
Bottles of 36 or 100 coated pills, each 1.3 g.
Take 2 to 3 pills, 3 x day.

Ilex Gang Mei Gen 34.3 % DD
GAN MAO LING FORMULA Evodia San Cha Ku 21.7 DD
United Pharmaceutical; Guangzhou Vitex Huang Jing Cao 13.0 BB
gan mao ling pian Chrysanthemum Ju Hua 13.0 BB
“Common Cold Effective-Remedy Tablets” Isatis Ban Lan Gen 13.0 DD
Lonicera Jin Yin Hua 4.8 DD
Packing and Dosage:
Mentha Bo He Nao 0.01 BB
Bottles of 100 tablets.
Take 5 to 6 tablets, every 3 hours as needed.
1B3-12
Sophora Shan Dou Gen 15. % DD
GAN MAO MIX HERBAL BEVERAGE Ilex Mao Dong Qing 15 DD
Yulin Pharmaceutical Co.; Yulin
Forsythia Lian Qiao 15 DD
gan mao zhi ke lu Armeniaca Xing Ren 14 CC

Helicteres Shan Zhi Ma 12 DD
“Common Cough Stop Cough Liquid”
Pinellia Ban Xia 11 CA
Packing and Dosage: Lonicera Jin Yin Hua 10 DD
Bottles of 3.38 fl. oz, liquid. Chrysanthemum Ju Hua 8 BB
Take 1 teaspoon each time, as needed.
ZHONG GAN LING FORMULA (GF) 1B3-14
Ilex Mao Dong Qing 19.6 % DD ZHONG GAN LING

Pueraria Ge Gen 19.6 BB Plum Flower Brand
Isatis Da Qing Ye 14.5 DD zhong gan ling
Verbena Ma Bian Cao 13.0 K
“Heavy Cold Effective-Remedy”
Oldenlandia Bai Hua She She Cao 13.0 DD
Isatis Ban Lan Gen 9.9 DD Bottles of 100 tablets.
Artemisia Qing Hao 4.9 DE Take 4 to 6 tablets, 3 x day.
Gypsum Shi Gao 2.9 DA (Frequency of dosage can be increased

Notopterygium Qiang Huo 2.2 BA to every three hours as needed.)

INFLUENZA
Ilex Mao Dong Qing 27.% DD
In TCM called Shi Xing Gan Mao
Pueraria Ge Gen 27 BB
Verbena Ma Bian Cao 18 K An infectious disease of the respiratory tract,
Isatis Ban Lan Gen 14 DD caused by a variety of influenza viruses.
Artemesia Qing Hao 7 DE
• Strongly infectious
Gypsum Shi Gao 4 DA
• Transmitted by droplets
Notopterygium Qiang Huo 3 BA
• Can be isolated or in pandemics
• In all seasons but most prevalent
in winter and spring
DIAGNOSIS OF INFLUENZA Respiratory tract symptoms of stuffy or runny

nose (rhinorrhea), sneezing. Cough once the
Large number of patients with similar symptoms fever subsides, with profuse sputum.
Fever, headache, myalgia
Sore or dry throat, usually mild
CLINICAL FEATURES Sometimes digestive tract symptoms: nausea,

Onset is abrupt with toxic symptoms of chills, vomiting, abdominal pain or diarrhea
fever, headache myalgia, weakness.
Severe cases; high fever, chest pain, cough
with bloody sputum, dyspnea, coma
PHYSICAL EXAMINATION LABORATORY
• Acutely ill • Decreased leukocytes

• Pale with malar flush • Decreased ratio of neutrophils to leukocytes
• Congestion of conjunctiva and nasal-
• Lymphocytes elevated.
pharyngeal mucosa
• Possible to see virus on nasal mucus
• Secondary symptoms:
taken from close to nares.
Shortness of breath or difficulty in breathing.
• Blood test to confirm: hemagglutination
With stethoscope diffuse moist rales can be
heard. inhibition test or complement fixation test.

Lonicera Jin Yin Hua 9 DD
INFLUENZA, WIND-HEAT Forsythia Lian Qiao 9 DD
Formula for custom modification: Soja Glycine Dan Dou Chi 5 BB

Arctium Niu Bang Zi 9 BB
YIN QIAO SAN, Modified Mentha Bo He 6 BB
Origin: Wu Jutang, 1798 Schizonepeta Jing Jie Sui 5 BA

Platycodon Jie Geng 6 CA
Glycyrrhiza Gan Cao 5 AA
Phragmites Lu Gen 9 DA
Modifications:
Plus: High fever
Gypsum Shi Gao 30 DA
Isatis Ban Lan Gen 9 DD
Severe cough
Pueraria Ge Gen 9 BB
Fritillaria Chuan Bei Mu 10 CB
Morus Sang Ye 6 BB
Severe sore throat
Taraxacum Pu Gong Yin 8 DD
Chrysanthemum Ju Hua 8 BB Sophora Ku Shen 10 DB
Scrophularia Xuan Shen 10 DC
Smilax Tu Niu Xi 12 DD
Severe headache: Nausea:

Morus Sang Ye 9 BB Pinellia Ban Xia 12 CA
Chrysanthemum Ju Hua 9 BB Chest oppression:
Thirst: Citrus Aurantium Zhi Ke 10 G
Trichosanthes Tian Hua Fen10 AD Platycodon Jie Geng 10 CA
Pueraria Ge Gen 10 BB Lung fire:
Alternating fever and chills: Belamcanda Shi Gan 12 DD
Bupleurum Chai Hu 12 BB Scutellaria Huang Qin 10 DB
Scutellaria Huang Qin 12 DB Gardenia Zhi Zi 10 DA

1. Wind-Heat (acute dry cough)
PLOTTING A COUGH
TEMP.
2. Lung Fire (barking painful cough)
Hot 2
3. Profuse phlegm-heat (rattling cough)
3 4 1
4. Sticky phlegm-heat (harsh unproductive
7
cough)
5
5. Profuse phlegm-damp (rattling cough)
Cold 6 6. Watery phlegm-damp (wet cough)
Watery Wet phlegm Sticky Phlegm Dry
7. Yin deficiency (weak dry cough)
VISCOSITY
2B2-5 Ingredients:
HUANG LIAN SHANG QING WAN Gardenia Zhi Zi 12.8 % DA
(CLEAR UPPER FIRE PILL) Forsythia Lian Qiao 12.8 DD
Bio Essence Brand Schizonepeta Jing Jie 12.8 BA
huang lian shang qing wan Scrophularia Xuan Shen 12.8 DC
“Coptis Upper Clearing Pills” Scutellaria Huang Qin 12.8 DB
Chrysanthemum Ju Hua 12.8 BB
Packing and Dosage: Bottles of 200 pills. Mentha Bo He 12.8 BB
Take 6 to 8 pills, 2 to 3 x day. Rheum Da Huang 6.4 PA
(Dosage may be increased to 14 pills.) Coptis Huang Lian 3.9 DB
LUNG PHLEGM HEAT

Arisaema Dan Nan Xing 16.7 % CB
(Acute Productive Cough)
Pinellia Ban Xia 16.7 CA
QING QI HUA TAN WAN Trichosanthes Gua Lou Ren 11.1 CB
PINELLIA & SCUTE FORMULA (KPC) Scutellaria Huang Qin 11.1 DB
qing qi hua tan wan Citrus Chen Pi 11.1 G
“Clear Qi, Transform Phlegm Pills” Prunus Armeniaca Xing Ren 11.1 CC
Origin: Wu Kun, 1584, Citrus Aurantium Zhi Shi 11.1 G
and later, Zhang Jiebin, 1624. Poria Fu Ling 11.1 FC

NING SOU WAN
FRITILLARIA & PLATYCODON FORMULA (KPC)
Mentha Bo He 7.9 BB
Platycodon Jie Geng 10.5 % CA Armeniaca Xing Ren 7.9 CC
Dendrobium Shi Hu 10.5 AD Morus Sang Bai Pi 7.9 CC
Pinellia Ban Xia 10.5 CA
Citrus Ju Hong 5.3 G
Fritillaria Zhe Bei Mu 10.5 CB
Oryza Gu Ya 5.3 H
Perilla Su Zi 10.5 CC
Glycyrrhiza Gan Cao 2.7 AA
Poria Fu Ling 10.5 FC
continued
3F-1
Rehmannia Sheng Di Huang 26.3 % DC
YANG YIN CHING FEI TANG JIANG
Scrophularia Xuan Shen 21.0 DC
Tientsin Drug Manufactory; Tianjin
Ophiopogon Mai Men Dong 15.8 AD
yang yin qing fei tang jiang
Moutan Mu Dan Pi 10.5 DC
“Support Yin, Clear Lung Decoction
Fritillaria Chuan Bei Mu 10.5 CB
Thick-Syrup”
Paeonia Bai Shao 10.5 AB
Origin: Zheng Meirun, 1838. Glycyrrhiza Gan Cao 5.3 AA
3F-12
HSIAO KEH CHUAN:
SPECIAL MEDICINE FOR BRONCHITIS 2B3-2
Harbin Second Chinese Medicine Factory COMPOUND WATERMELON FROST
xiao ke chuan zhuan zhi qi guan yan Guilin Chinese Medicine Factory; Guangxi
“Disperse Cough, Asthma
fu fang xi gua shuang
Specific Treat Bronchitis”
“Medicinal Compound Watermelon Frost”
Rhododendron Man Shan Hong 100 %
Sugar, Distilled water Origin: Gu Shicheng, 17th century.
Also available in capsule form.

Citrullus Xi Gua Shuang 50. % DB
PU JI XIAO DU WAN
Fritillaria Chuan Bei Mu 15 CB
SCUTE & CIMICIFUGA COMBINATION (KPC)
Borneol Mei Pian 10 R
pu ji xiao du yin wan “Universal Benefit
Sophora Shan Dou Gen 5 DD
Disperse Toxin Cool-Decoction Pills”
Belamcanda She Gan 5 DD
Indigo Qing Dai 5 DD
Origin: Luo Tianyi, Yuan Dynasty (1271-1368).
Glycyrrhiza Gan Cao 5 AA
Also attributed to Li Ao (Li Dong-Yuan), 1300.
Menthol Bo He Nao 5 BB
Forsythia Lian Qiao 3.8 DD

Scutellaria Huang Qin 18.9 % DB
Isatis Ban Lan Gen 3.8 DD
Coptis Huang Lian 18.9 DB
Lasiosphaera Ma Bo 3.8 DD
Citrus Chen Pi 7.6 G
Arctium Niu Bang Zi 3.8 BB
Glycyrrhiza Gan Cao 7.6 AA
Mentha Bo He 3.8 BB
Scrophularia Xuan Shen 7.6 DC
Bombyx Jiang Can 2.6 O
Bupleurum Chai Hu 7.6 BB
Cimicifuga Sheng Ma 2.6 BB
Platycodon Jie Geng 7.6 CA
Continued
BIBLIOGRAPHY WARM DISEASE THEORY,Jian Min Wen and Garry Seifert,

Paradigm Publications, 2000
PRACTICAL THERAPEUTICS OF TRADITIONAL CHINESE

SARS AND CHINESE MEDICINE: HOW THE CHINESE PEOPLE
MEDICINES, Wu Yan, Warren Fischer, edited by Jake Paul Fratkin.
AND INSTITUTIONS RESPONDED WITH HERBS,
Paradigm Publications, Brookline, 1997.
Subhuti Dharmananda, Ph.D., Institute for Traditional Medicine,
Portland, Oregon, May 2003.
TRADITIONAL CHINESE TREATMENT FOR INFECTIOUS DISEASES,
http://www.itmonline.org/arts/sars.htm
Hou Jinglun et al. Academy Press (Xue Yuan), Beijing, 1997.
WARM DISEASES, A CLINICAL GUIDE, Guohui Liu, Eastland Press,

Seattle, 2001.

CODES FOR THE HERB CATEGORIES DA CLEAR HEAT AND DRAIN FIRE
DB CLEAR HEAT AND DRY DAMPNESS
AA TONIFY QI
AB TONIFY BLOOD DC CLEAR HEAT AND COOL BLOOD
AC TONIFY (KIDNEY) YANG DD CLEAR HEAT AND RESOLVE TOXINS

AD TONIFY YIN DE CLEAR HEAT DUE TO YIN DEFICIENCY
DF CLEAR AND RELIEVE SUMMER HEAT
BA WARM-PUNGENT RELEASE EXTERIOR
BB COOL-PUNGENT RELEASE EXTERIOR
E WARM THE INTERIOR (Spleen Yang)
CA TRANSFORM PHLEGM-DAMP
CB TRANSFORM PHLEGM-HEAT FA DISPEL WIND AND DAMPNESS
CC RELIEVE COUGH & ASTHMA FB TRANSFORM (SPLEEN) DAMPNESS
FC DRAIN DAMPNESS (Diuretics)
G REGULATE (STAGNANT) QI
PA PURGATIVES
H RELIEVE FOOD STASIS
J STOP BLEEDING PB LUBRICATING PURGATIVES
K INVIGORATE BLOOD AND BREAK BLOOD STASIS PC DIURETIC PURGATIVES
L STABILIZE AND BIND (astringents)

Q EXPEL PARASITES
M OPEN ORIFICES (SENSES)
N CALM SHEN (SPIRIT)
R EXTERNAL APPLICATION
O EXTINGUISH (ENDOGENOUS) WIND AND STOP
TREMORS

H. Holistic Pediatric Treatment of Respiratory Illness: Colds, Coughs, and Asthma

-Randall Neustaedter, OMD, LAc (4-Hour Workshop)
Attendees will gain tools to confidently manage acute illness from the fevers stage through
congestion, ear pain, and cough using homeopathic medicines and Chinese herbal formulas. We
will also discuss an integrative approach to the treatment of asthma including an understanding of
the physiological, nutritional, and constitutional basis of asthma from the perspective of holistic
pediatrics, integrating the use of pharmaceutical agents, homeopathy, Chinese herbs, nutritional
supplements, and lifestyle changes.
H. (1) Interested in Pediatrics Certification 6:00 – 7:00 PM (Same classroom) The Holistic Pediatric
Association is developing a certification program in Chinese Medicine Pediatrics. We invite all conference attendees
to hear about it and give their input at a meeting following Dr. Neustaedter's workshop on holistic pediatrics in
respiratory conditions. (Free – No CEUs)
Pediatric Asthma
Randall Neustaedter OMD
Asthma- an Inflammatory Disorder

1. Thickening of smooth muscle
2. Edema, swelling of mucosa
3. Inflammatory cell infiltration and

accumulation of mucus
1
Asthma—Etiology
Inflammatory mediators & Environmental factors
triggers Intestinal, skin, respiratory
Immune dysfunction illnesses
Autonomic/endocrine Family & genetic history
dysfunction Lifestyle, over scheduling,
Diet school, stress
Airborne particles Psychological factors,
Allergens emotions
Trauma
2
Asthma—Clinical Presentation
Symptoms Danger Signs

• Airway hyper-
responsiveness • Grunting
• End-expiratory wheezing, air • Nasal flaring
trapping • Tripodding
• Inspiratory rhonchi
• Little to no wheezing
• Coughing
• Shortness of breath • Color change (pale, ashen,
(dyspnea) blue, cyanotic)
• Rapid breathing (tachypnea) • Change in mental status
• Rapid heart rate • Irritable from decreased
(tachycardia)
oxygen
• Labored breathing
(retracting) • Somnolence, coma from
increased CO2
Holistic Approach to Asthma

• Use acute treatment that supports and
alleviates symptoms
• Identify, reduce, modify, or eliminate

contributing dietary and environmental
factors
• Strengthen immune function
Asthma Treatment
Acute symptomatic management
• Homeopathic acute remedies
• Chinese herbs and acupuncture
• Allopathic medications
Constitutional care
• Avoidance of triggers, nutritional support
• Homeopathy
• Chinese herbs and acupuncture
• Chiropractic, osteopathic manipulation
3
Assessing the Case
• Intermittent or persistent
• Severity of symptoms
(mild, moderate, severe)
• Drug treatment
Acute only
Maintenance therapy
Need for systemic steroids
• Diet
• Constitutional case
• Physical Exam
Peak Flow Meter
Peak Flow Meter
4
Peak Expiratory Flow
Height PEF
44 inches 160
48 inches 214
52 inches 267
56 inches 320
60 inches 373
64 inches 427
Asthma Severity
Classification Days PEF
Mild 2/week 80%
Moderate Daily 60-80%
Severe Continual <60%
Drugs for Asthma

• Beta-2 agonists (bronchodilators)
– Albuterol (Proventil, Ventolin)
– Levalbuterol (Xopenex)
– Pirbuterol (Maxair)
• Inhaled corticosteroids
– Flovent, AeroBid, Azmacort, Vanceril
• Cromolyn sodium - Intal
• Leukotriene modifiers
– Singulair tablets
5
Develop a Treatment Plan
• Withdrawing, replacing drugs
• Management of acute episodes
• Constitutional treatment
• Dietary changes
• Lifestyle modifications
Exercise, breathing, visualization
Whole Foods Diet

• Fruits, vegetables
• Soups, stews
• Whole grains
• Beans, nuts
• Organic and free range meats and eggs
Foods to Avoid
• Corn syrup, sugar, fruit juices
• Partially hydrogenated oils
• Fried foods
• Polyunsaturated oils
• Processed grains
• Artificial sweeteners, preservatives, colors
• Dairy products, soy
6
Nutritional Support
• Omega 3 fats
– DHA 250-500 mg (fish oil or algae)
– Cod liver oil – 1-2 tspn/ 50 lb
• Vitamin E 200-400 IU mixed tocopherols
• Colostrum
• Vitamin C 1-2 gm
Chinese Medicine
Assessment and Treatment
of Asthma
Lung - Wei Qi Disturbance

• Causation
– Wind, cold, heat, dryness, damp, pollution
• Symptoms
– Cough, wheezing, constipation, perspiration
7
Kidney Unable to Grasp Qi
• Causation
– Heredity, pregnancy, birth, early immune
disorders
• Symptoms
– Gasping, SOB, irregular respiration
– Fatigue, fear, sweating
Liver Qi Uprising
• Causation
– Allergens, emotions, stimulants, diet
• Symptoms
– Rib pain, pressure, sharp pains, cramps
Heart – Disturbed Mind,

Movement of Blood and Qi
• Causation
– Anxiety, panic, heat, stimulants
• Symptoms
– Chest pain, heat, hyperventilation, sweating,
flushing, dizziness
8
Spleen - Disturbed
Transformation of Food
• Causation
– Poor diet, food quality, preparation,
digestibility, additives
• Symptoms
– Poor appetite, indigestion, distension, reflux,
IBS, disappointment, overwhelmed
Acupuncture Points
Acute Asthma
Lu 6- kong zui St 36- zu san li
Extra Point -ding chuan St 40- feng long
Lu 7- lie que
Sp 6- san yin jiao
Lu 11- shao shang
GV 14-da zhui Li 3- tai chong
LI 4- he gu GB 40- qiu xu
LI 11- qu chi Pe 6- nei guan
LI 20- ying xiang
Extra Point- yin tang CV 12- zhong wan
CV 17- shan zhong
Acupuncture Points
Chronic Asthma
Lu 5- chi ze Ki 3- tai xi
Lu 8- jing que Ki 7- fu liu
Lu 9- tai yuan
LI 4- he gu St 36- zu san li
LI 10- shou san li St 40- feng long
LI 11- qu chi St 41- jie xi
Sp 2- da du Li 3- tai chong
Sp 3- tai bai Li 4- zhong feng
Sp 5- shang qiu
Sp 6- san yin jiao UB 12- feng me
UB 13- fei shu
CV 6- qi hai UB 20- pi shu
CV 12- zhong wan UB 23- shen shu
CV 13- shang wan
9
Acupuncture Point Combinations
Chronic Asthma
With Spleen-Stomach Weakness

St 36 + LI 10 +Sp 3 + Lu 9 + Lu 6 +CV 12+ CV 13 + UB 20 + UB 13
With Kidney Weakness
Ki 7 + Lu 8 + Lu 5 + CV 6
+ UB 13 + UB 23 + GV 14
With Liver-Lung Disharmony
LI 4 + St 36 + Li 4 + Lu 8 + Lu 9
+ Sp 6 + GB 40 + Extra Point yin tang
With Heart-Lung Disharmony
Pe 6 + Lu 8 + Ki 3 + Sp 6 + LI 11
+ St 36 + CV 12 + Extra Point yin tang
CMS Pediatric
Respiratory Formulas
Windbreaker—early stage of colds, allergies, “itis’s”
Chest Relief—simple cough with or without phlegm
Pipe Cleaner—deep cough with tenacious phlegm and hard to

breathe
Open Air—early/acute stage of asthmatic cough or wheezing
Deep Breath—late or chronic stage of asthmatic cough or

wheezing
10
Acute Homeopathic
Asthma Remedies
Dry Cough
Lobelia
Lobelia is the first medicine to think of

when wheezing is accompanied by short,
dry coughs. Shortness of breath is brought
on by exposure to cold air and any
exertion. The chest is tight and
constricted.
Cuprum metallicum
Cuprum is characterized by spasms,

spasmodic coughing and spasmodic
vomiting. These children feel a painful
constriction of the chest. Their cough is
better from drinking cold water and worse
in hot weather.
11
Kali carbonicum
During a Kali-carb attack, children must sit

up and lean forward in order to breathe
more easily. They wake characteristically
at 2-3 AM with a dry cough and wheezing.
They must have open air when an attack
occurs, but their cough is often brought on
by cold weather.
Sambucus
Sudden, suffocative, gasping spells of asthma

that resemble croup in their intensity. The child
awakes nearly suffocated, gasping for air until
the attack passes. She lies down afterwards only
to awaken again with the same symptoms.
Sambucus fits these sudden, dramatic attacks,
usually at night, with a hollow dry cough, which
is worse lying down and worse in cold air.
Acute Homeopathic
Asthma Remedies
Loose Cough
12
Ipecacuanha
Ipecac corresponds to more childhood asthma

symptoms than any other medicine. Racking,
rattling coughs with rumbling in chest and
wheezing. Coughing with every breath,
accompanied by nausea, gagging, or vomiting.
Attacks occur in warm or damp weather, and
symptoms are better in the open. air. Mucus
collects in the throat or chest, causing a loose
gagging cough. Loud bubbling noises from the
congestion can be heard in the chest on
breathing.
Antimonium tartaricum
So much mucus in the chest, and very little is

expectorated. Children seem weak and wheezy.
This is a worrisome sounding cough. These
children seem sicker than those who need
Ipecac, though the Ipecac children may have
more rumbling chest sounds. Children must sit
up to breathe. The chest is rattly and the cough
is loose, worse in the evening and at night.
Loose Cough Differential

• Ipecac • Antimonium-tart
• Loose cough with • Loose cough
gagging, vomiting • Weak, wheezing
• Paroxysms of • Must sit up to breathe
coughing
• Tightness in chest, • Rapid breathing
wheezing
• Moist, crepitant
• Moist, sonorous sounds
sounds in chest
13
Constitutional Case
Asthma
Girl 17 months
• Colds stimulate wheezing episodes
• Vomits with coughing
• Parents use albuterol by nebulizer
• History of reflux an an infant with pain
when lying, parents used a bouncer to
keep her asleep
14
Constitutional Case
• Very active, restless, constantly moving
and exploring
• Pulls her own hair when tired or frustrated,
twists it and then pulls it out
• Constant squirming to get out of her car
seat
• Never gentle, hits and screams if mad
• Craves: chalk, meat, milk
Treatment
• Rx Tarentula hispanica 1M (Lycosa tarantula,
Wolf Spider, or Latrodectus tredecimguttatus)
Treatment
• Grow and Thrive + Deep Breath
• Cod liver oil ½ tspn
• Colostrum chewable 2/day
• Probiotic ¼ tspn
• Use Open Air prn
• Stop dairy
15
Follow-up
• At one month: much better within 24 hours, more
relaxed, better naps
• Regression to previous behaviors within past
week
• Repeat Tarent 1M
• At five months: itching eczema eruption on back
and hand
• No asthma or respiratory symptoms while on
maintenance Windbreaker
• Rx: Fire Fighter
Follow-up
• At seven months: respiratory and skin
symptoms gone
• Return of screaming, squirming, hair
pulling behaviors
• At one year: cold symptoms progressed
into wheezing episode
• Began old screaching behaviors again
Follow-up
• At 18 months: 2 colds in the winter/spring
and prior to the colds has screaming
episodes
• Now has cough with gagging
• Rx Tarent 10M + Chest Relief
• At 2 years: doing well on maintenance
herbs, no return of asthma
16
Pediatric Respiratory
Illness Patterns
Randall Neustaedter OMD
Managing Acutes
Illness patterns
• Fevers
• Colds and sore throats
• Earaches
• Coughs
Treatment methods
• Chinese herbs
• Homeopathy
• Acupuncture, laser, sho ni shin, tui na
Building Immune Function

Constitutional treatment
• Recurrent colds and ear infections
• Chronic sinus congestion
• Allergies
• Asthma
1
Chinese Medicine
in Acute Illness Patterns
Dosage of Herbs
• Liquid extracts
1 dropper 2-3 times/day
2 droppers 2-3 times/day
• Granules, pills, or powders dissolved
in boiling water make into gravy
1 cc + 1 for every year old
5-6 cc max = 1 tspn
3 times/day
Pediatric Homeopathy
in Acute Illness Patterns
2
The Homeopathic Principle
Law of Similars
Use a medicine which is capable of

causing similar symptoms to those of
the disease state.
Gk. homoios – similar pathos - disease
Knowledge of Medicines
• Testing substances on healthy subjects to
determine symptoms
• Provings – the first double blind studies
• Catalog symptoms by body part or system
• Construct a materia medica
• Index the materia medica (Repertory)
Totality of Symptoms
The Homeopathic Case
1. Mental
2. Emotional
3. Physical
Modalities (modifiers)
3
Sore throat case
• Irritable, cranky • Irritable, cranky
• Left sided sore throat • Sharp, sticking pain
– Worse during sleep – Better hot drinks,
– Better from eating worse cold drinks
– Worse hot drinks,
better cold drinks
• Tender lymph nodes • Tender lymph nodes
• Patient is hot • Patient is cold
Rx: Lachesis Rx: Hepar-sulph
Samuel Hahnemann
1755-1843
Hahnemann Monument
Washington DC 1900
4
Homeopathic Pharmacology
Homeopathic Attenuation
• Provings, poisonings, crude remedies
• Dilutions – curiouser and curiouser
• High potency – Low potency
• Decimal X – Centesimal C
• 6, 12, 30, 200, 1M, 10M
• Beyond Avogadro
• The memory of water
Homeopathic Styles
5
Classical Homeopathy
Consensus Agreement 1986
Law of Similars (provings essential)

Single Medicine (no combinations)
Minimum Dose
No Use of Diagnostic Machines
Totality of Symptoms
Evaluation of Progress
Constitutional Prescribing
• Functional medicine
– GERD
– Headaches
• Immune system disorders
– Allergy, eczema
– Asthma
– Recurrent Infections
• Emotional/behavior disorders
Acute Prescribing
• Viral illness (colds, flus, otitis, pneumonia,
meningitis, herpes, exanthems)
• Bacterial illness (strep throat, bronchitis)
• Colic, teething,
• Allergic reactions, poison oak
• Food poisoning
6
Posology in Acute Prescribing
• Low Potency (6, 12, 30 X or C)
• Repeat q 3hr until symptoms change
• Stop, wait, re-evaluate
• Prescribe second remedy if needed
• High Potency (200, 1M) single dose

• Observe for change
Child Health Guide

Home Prescribing
Abdominal Pain Fevers
Bites and Stings First Aid and Injuries
Chicken Pox Headaches
Colds Rashes and Hives
Colic Red Eyes
Coughs Sore Throats
Diarrhea Styes
Earache Teething
7
Acute Prescribing Books
• The Homeopathic Emergency Guide, Thomas
Kruzel, 1992
• American Institute of Homeopathy Handbook for

Parents, Edward Shalts, 2005
• Everybody’s Guide to Homeopathic Medicines,

Dana Ullman & Stephen Cummings, 1997
• Homeopathic Self-Care, Robert Ullman & Judyth

Reichenberg-Ullman, 1997
Repertories
Kent - Murphy
Fever & Colds

Herbal Extracts
Windbreaker CMS
Yin Chao Junior HC
Homeopathic Medicines
Belladonna
Allium cepa
Pulsatilla
8
Acute Case at Onset - 5:00 PM
3 year old girl
Symptoms Treatment
• Sudden onset of fever • Rx: Belladonna 30 q h

after school
• Windbreaker
• Hot, red, wiped out
• Vitamin C, Echinacea
• Goes to bed
• Fluids
• Mom calls the doctor
Fever Danger Signs

• Any fever in a child under three months of
age
• Fever of 105°F (40.5°C)
• Appearance: lethargic, pale skin,
unresponsive, weak crying
• Symptoms: repeated vomiting, severe
headache, or stiff neck
Belladonna – Classic Fever
• Red, flushed face

• Radiating heat
• Tired, dull, glassy-eyed
• Headache
• Signs of inflammation (red throat)
9
Fever & Colds
Fang feng
Windbreaker CMS Siler root
Huang ju hua Jing jie
Yellow chrysanthemum flower Schizonepeta herb
Gui zhi Gan cao
Chinese cinnamon twig Chinese licorice root
Ge gen Lu gen
Kudzu root Phragmites rhizome
Xin yi hua Bai mao gen
Magnolia flower Imperata rhizome
Lian qiao Jie geng
Forsythia fruit Platycodon root
Jin yin hua Qiang huo
Honeysuckle flower Notoptergium root
Bai zhi Sang ye
Fragrant angelica root White mulberry leaf
Bo he Zi su ye
Chinese mint herb Perilla leaf
Chen pi Sheng ma
Tangerine dried rind of mature fruit Chinese cimicifuga rhizome
Fa ban xia Niu bang zi
Treated pinellia rhizome Burdock fruit
Fever & Colds

Yin chao junior HC Pu er cha
Gua lo pi
Lian qiao Trichosanthis peel
Forsythia Ban xia
Sang ye Pinellia
Morus leaf Ju hua
Shen qu Chrysanthemum
Shi hu Bo he
Dendrobium Mentha
Zhe bei mu Qian hu
Peucedanum
Fritillaria
Zhi shi
Jie geng
Aurantium
Platycodon Zhi zi
Pi pa ye Gardenia
Eriobotrya Pei lan
Po bu ye Eupatorium
Microcos Zi su ye
Perilla leaf
Fever and Colds

Acupuncture Points
• LI 11, DU 14 (for all fevers)

• LU 11, LI 1, PC 9 or DU 14 (high fevers)
bleed
• LI 4, LU 7, SJ 5, GB 20 (wind invasion)
• ST 40, LU 1, 5, 6, UB 13, CV 17
(phlegm and cough)
10
Stages of Colds
1. Allium cepa 3. Kali
• Sneezing, watery nasal bichromicum
discharge
• Green, viscid mucus
• Irritation of nose
• Sinus blockage
2. Pulsatilla
• Yellow mucus (nose, • Postnasal drainage
eyes) • Chilly, < cold, damp
• Warm, thirstless air
• > Open air • < Morning, 2-3 AM
• Clingy
Fever & Flu

• Chinese herbs
Gan mao ling
Zhong gan ling
• Homeopathy
Bryonia
Gelsemium
Rhus tox
Fever & Flu Differential

Gelsemium Bryonia
• Chilly, with chills down • Warm, with desire for
spine cool air
• Thirstless • Thirsty
• Dull, sleepy, heavy • Dull, but irritable, worried
• Worse from movement • All symptoms worse from
movement, but restless
• Headache at back of • Headache in forehead,
head, stiff neck better from pressure,
worse with motion
11
Fever & Flu Differential
Gelsemium Rhus tox
• Chilly, with chills down • Chilly, and better from

spine heat
• Thirstless • Thirstless
• Dull, sleepy, heavy • Extremely restless,
cannot get comfortable,
anxious
• Worse from movement • Better from movement
Acute Case 9 Hours Later - 2:00 AM

3 year old girl
Symptoms Treatment
• Barking cough, chokes on • Rx Hepar-sulph

phlegm
• Hoarse voice
• Chilly • Steam
• Cough worse from
uncovering • YangYin Qing Fei
• Irritable, cranky, touchy Cough Syrup
Croup
• Chinese herbs
Yangyin Qingfei
• Homeopathy
Aconite
Hepar
Spongia
12
Croup Differential
• Aconite • Hepar
• Sudden onset • Larynx painful (sharp)
• Gasping for breath • Loose, rattling phlegm
• Fearful, panic, terror in throat
• Intensely restless • Cough < cold air
• First night • Next day
Croup Differential
• Spongia • Hepar
• < Warm room • < Cold air, uncovering

• > Warm drinks • > Warm drinks
• Dry, hoarse, hollow • Loose, rattling cough,
cough phlegm in throat
Acute Case Day 3

3 year old girl
Symptoms Treatment
• Loose cough with

• Rx Ipecac
gagging, vomiting
• Paroxysms of
coughing • Chest Relief
• Tightness in chest
• Loquat & Fritillary
• Moist sonorous Cough Syrup
sounds in chest
13
Loose Cough Differential
• Ipecac • Antimonium-tart
• Loose cough with • Loose cough
gagging, vomiting • Weak, wheezing
• Paroxysms of • Must sit up to breathe
coughing
• Tightness in chest, • Rapid breathing
wheezing
• Moist, crepitant
• Moist, sonorous sounds
sounds in chest
Earaches
• Chinese herbs
Children’s ear formula GF
• Homeopathy
Belladonna
Pulsatilla
Hepar sulph
Chamomilla
Children’s Ear Formula GF

Huo xiang Qian hu
Agastache Peucedanum
Fu ling Bai zhi
Poria Angelica
Ju hua Chai hu
Chrysanthemum Bupleurum
Huang lan Zhe bei mu
Coptis Fritillaria
Lian qiao Ban xia
Pinellia
Forsythia
Man jing zi
Chi shao
Vitex
Paeonia
14
Earaches
Acupuncture Points
• SJ 5, GB 38
• GB 20, LI 4, GB 41-44
• GB 2, SI 19, SJ 21
• GB 34, ST 40, SP 6 or 9 (for
damp/phlegm)
• LI 11, DU 14 (for fever)
Earaches Differential
Hepar Pulsatilla
• Intense, sharp pain • Dull pain, but crying
• Chilly, < cold air • < warm, > cool, open air
• > Warmth • Clingy, sad, must be held
• < Touch, pressure
• Irritable, resistant to exam Chamomilla
• Intensely irritable
• Must be rocked
• Severe pain & teething
15
Empower Yourself (Add-on Workshop)

Use NCCAOM as a Resource for Promotion and Lobbying
Course Instructors: Kory Ward-Cook, PhD, CAE – Chief Executive Officer

Betsy Smith, Associate Deputy Director
Mina Larson, Director or Communications and Marketing
Want to find out many new and innovative ways to promote your NCCAOM certification? Would you
like to see more reporters covering stories about acupuncture and Oriental Medicine? Are you interested
on finding tips on how to lobby your state legislature? If you said yes to any of the above, then this
course is for you. Join the staff of NCCAOM as you explore the answers to these questions and become
enlightened about how you can reach out to the members of the media, the legislature, and find
innovative ways to promote your certification. Let the NCCAOM guide you through the maze of
helpful information as you learn how you can become a more informed and involved Diplomat. This is
also a great opportunity for you to share your ideas about how we can shine more media attention
toward acupuncture and Oriental medicine.
Handouts: Available for class attendees only

J. Qi-Gong in Motion
-Cynthia O’Donnell, LAc, AP
Qi-Gong in Motion will provide the tools for self-cultivation of Qi to replenish your internal life
force, allowing you to create and sustain optimum health and long life for you and your
patients.

K. AAOM’s Annual Meeting will be conducted. The annual report will be presented, and new
board members will be elected. You must be an AAOM member to attend. Members
joining prior to the meeting, or at our event, are welcome to attend.
Handouts: Handouts at Meeting

L. Business Pearls Plenary Session

-Misha Cohen, OMD, LAc, DiplAc/CH; Jim Goodin, Native American Spiritual Healer; Lloyd G.
Wright, DNBAO, LAc, Dennis Robbins, PhD, Dennis Robbins, PhD, MPH, Xiao Tian Shen, OMD,
LAc; and Miki Shima, OMD, LAc
Join our afternoon speaker line-up as they share with our attendees the “business pearls” that
have served as their fundamental foundation in their clinical practice.

M. Intention, Imagery, and Healing in Clinical Practice

-Adam Burke, PhD, MPH, LAc
If acupuncture works by creating a receptive state, then the healing intention conveyed by the
provider through words, images evoked, and suggestions, will be critical components in the
curative process. The role on intention in effective patient-provider communication, patient
education, and adherence/motivation will be discussed.
AAOM Annual Meeting October 19-22, 2006 Pheonix, Arizona
Intention, Imagery and Healing in Clinical Practice

Saturday October 21, 2006 10am – noon
Adam Burke, PhD, MPH, LAc
Instructor Biographical Sketch

Adam Burke, PhD, MPH, LAc brings extensive experience teaching imagery, guided meditation,
breathing techniques and related mind-body methods, including teaching at several universities,
the Esalen Institute, and international workshops for therapists and health care providers. Dr.
Burke is a pioneer in the use of combined imagery and acupuncture for pain and stress-related
disorders. He is a research psychologist, licensed acupuncturist, faculty member at the Institute
for Holistic Healing Studies at San Francisco State University. Dr Burke is also the author of the
recently released book, Self-Hypnosis: New tools for deep and lasting transformation, Crossing
Press, 2004, in addition to numerous articles on traditional medicines and mind-body healing.
Rationale
According to the CDC over 90 million Americans live with chronic diseases, such as
cardiovascular disease, cancer, and diabetes. Together they account for 70% of deaths annually,
in addition to significant disability and reduced quality of life. It is estimated that three-quarters
of the $1.4 trillion annual costs for medical care in the US are for the treatment of these
conditions. Despite these major expenditures it has been suggested that the majority of these
patients are not adequately treated. Increasingly, individuals with chronic illness are seeking
complementary and alternative medicine (CAM) modalities, such as East Asian traditional
medicine (EATM), to include in their treatment in an effort to improve therapeutic outcomes.
One challenge to addressing the issue of chronic illness is that the US medical system was
designed to treat acute health problems, not chronic conditions. In response to this issue a
number of large health plans and employers have turned to new chronic care management
methods in an effort to help reduce costs and improve quality of care. Self-care education is an
integral component of such medical services. Beyond providing information, these programs
teach important self-care skills, empower patients to make informed healthcare and lifestyle
decisions, improve symptom self-management, and help patients address emotional and related
needs.
One efficient strategy for providing essential self-care support for acupuncture patients is via
East Asian traditional medicine (EATM)-based imagery. Giovanni Maciocia writes in The
Practice of Chinese Medicine that the Hun residing in the liver corresponds to “the world of
image…The role of the Hun can be observed in the phenomena of guided day-dreams, coma and
sleepwalking.” Use of imagery in the form of guided meditation, breathing techniques,
affirmations, and suggestion fits naturally in EATM, and is profoundly accessible via the Five
Phase doctrine espoused in the Nei Jing. Each of the Zang organs is involved in regulating
major functions of the body in addition to reciprocally interacting with spirit and emotional
functions. The concept of wu xing or five phases organizes the zang organ’s body-behavior-
mind-spirit aspects into a manageable system of ‘elements’ each of which is characterized and
concretized as non-abstract material representations (e.g. season, direction, taste). Each element
reflects our intextricable association with nature and the cosmos, and is a fundamental concept in
Adam Burke 2006 -- 1

Chinese medicine and in the therapeutic application of the medicine. The characterizations of
the elements and their qualities can be used for both provider-based therapeutic enhancement as
well as for effective patient self-care practices. Simple to use and helpful for keeping patients
motivated and focused on their healing intent, these methods can be an invaluable resource for
helping providers manage the long term rehabilitation of chronically ill patients. It also naturally
increases patient understanding of the unique principles of EATM in a very practical and
meaningful fashion.
Used in this way, the five element paradigm becomes a simple focus for imagery, guided
meditation, breathing techniques, affirmation, and suggestion content for providers and patients
for use in healing, most importantly in self-care practices. The combination of these techniques
will be demonstrated to attendees for purposes of chronic or preventative health care regimes to
promote and enhance the normalization of physiological functions. The role on intention in
effective patient-provider communication, patient education, and adherence/motivation will also
be discussed. Such simple methods can help to maintain healing intent, motivation and positive
movement toward improved well-being. The efficacy of conventional imagery has been shown
in numerous research efforts. Many NIH funded studies, such as investigations of imagery prior
to surgery, have shown shortened hospitalization, reduced use of analgesics, greater satisfaction
and many other positive benefits. The traditional medicine of China is symbolically rich, and as
such provides an invaluable tool for working in this valuable self-care arena.
Course Description
This course provides a basic foundation in EATM imagery practices effective in helping clients
enhance mind-body healing, modifying behaviors, and manage chronic disease conditions via
self-care.
Recommended Readings
Burke, A. Self-Hypnosis: New tools for deep and lasting transformation, Crossing Press, 2004.
also
Erickson, M. & Rossi, E. Hypnotic Realities. Irvington, 1976.
Hudson O'Hanlon, W. Taproots: Principles of Erickson's Therapy. Norton, 1987.
Rosen, S. My Voice Will Go With You: Teaching Tales of Milton Erickson. Norton, 1982.
Watzlawick, P. (Ed.). The Invented Reality. Norton, 1984.
Contact Information:
Adam Burke, PhD
Health Education, HSS327
San Francisco State University
1600 Holloway Ave.
San Francisco, CA 94132
415-338-1774 phone
415-338-0570 fax
aburke@sfsu.edu

Course Outline
1. Introduction
2. Current research
3. Principles of imagery
4. Interviewing techniques for imagery
5. Exploring Five Element imagery
6. Relaxation
7. Breathing Techniques
8. Guided meditation
9. Deepening with Imagery and Hypnotic phenomena
10. Self-care application - Priming
11. Evaluation
Eight Step Priming Process
1. Determine outcomes and five element content
2. Relax using breath & somatic awareness
3. Visualize relaxation and deepening
4. Mentally re-affirm state and outcome
5. Intentionally generate positive somatic state
6. Use hypnotic phenomena for deepening
7. Integrate with breath
8. Conclude with anchoring affirmation

N. Feng Shui of Practice Management

-Christina Captain, MA, MOM, AP, SLP
This course will combine the concepts of modern school feng shui with the practice of Oriental
Medicine. Both practice management and treatment strategies will be discussed. Attendees will be
introduced to the concept of applying feng shui to office design and treatment plans. Attendees will
be able to utilize these concepts to enhance prosperity and overall qi flow immediately upon return
to their practices.
Feng Shui
Christina Captain, L.Ac, FSC
Christina Captain, L.Ac, FSC

Christina is a board certified acupuncture
physician and the founder of The Family Healing
Center. She earned a degree in Oriental
Medicine from the East West College of Natural
Medicine, Sarasota, Florida, where she is a
faculty member and advisory board chairperson.
Christina Captain is a certified advanced
practitioner of Jaffe Mellor Technique. Christina
is an expert Feng Shui practitioner and teacher
who studied under Nancilee Wydra of the Feng
Shui Institute of America, before originating her
own style, Essential Balance Feng Shui.
Christina’s knowledge and enthusiasm for
integrated medicine has earned her a reputation
as a qualified lecturer, keynote speaker, and
experienced teacher throughout Florida.
Introduction to Feng Shui

Feng Shui manipulates the experience of
environment and the qi flow there in, much
like acupuncture manipulates the qi flow in
the meridians.
1
History of Feng Shui
Form School
Compass School
Modern School
Black Hat Sect
Qi Flow
• Clutter
• Clutter has a direct relationship to liver qi
stagnation.
• Organizing and un-cluttering is a
technique to further continue your
treatment to soothe the liver
• Clutter creates indecision
Yin / Yang
• Color
• Lighting / Texture / Furniture
• Creating a more yin environment for
treatment is beneficial for both the patient
and practitioner
• Patient dress relative to diagnosis
2
5 Elements
• Controlling and supporting cycles relative to the
environment
• Energetic
FIRE EARTH METAL WATER WOOD
Red Yellow Silver & Black Green

Grey
Plastic Stone Glass Wood &
Metals Plants
Triangle Square Wavy
Circle Rectangle
Aroma
• Physiological reaction to smells
• Example, Grandma’s House, Jasmine
Bagua Map
Wealth & Prosperity Fame & Reputation Love & Relationship

Blue, Purple, Red Fire Red Red, Pink, White
Family & Health Creativity & Children

Self
Wood Metal
Yellow, Orange, Brown
Blue, Green White
Career
Knowledge & Wisdom Helpful People & Travel
Water
Blue, Green, Black White, Grays, Black
Black
3
Bagua
• Treatment Rooms & Offices
– Consultation Room
– Treatment Room
– Treatment and Consultation Room
– Recognition and fame & reputation issues
Front Entrance
• Link to nature, bring the TAO inside
Check Out
• Practice information
• Patient appreciation, the last thing the
patient hears is thank you
• Feng Shui items related to abundance
– Toads
– Bagua coins
– Bamboo
– etc
4
Size of Practice
• Sole practice vs integrated practice
Planning
• How does Feng Shui integrate with the
treatment plan?
• Example, liver Qi stagnation
• Check color for greens?
• Clutter
• Wood furniture, elemental imbalance or
scarcity of these items... due to xu
Marketing with Feng Shui

• Marketing Materials
• Business Cards
• Brochures
• Logo in power corner
• Use of color, contrasting
• Over use of one element
5
O. Student Caucus
-Cynthia O’Donnell, LAc, AP, AAOM SO Chair
An AAOM tradition - we are again offering the Student Caucus conference enrollment package to
students. The student caucus is a forum for students to discuss and share their opinions on
pressing national matters, thereby having a voice as an AAOM constituent. Joining Cynthia in the
leadership of this meeting will be student officers from the AAOM Student SO. You’ll learn about
AAOM, a myriad of issues on the state and national front, and the importance of student advocacy.
Students will be allowed to attend the entire conference (minus the pre-conference workshops) for
$60. To receive this rate the student MUST attend the student caucus. (Free – No CEUs -
Registration Required)
Handouts: Provided Separately

P. Role of Clinical Research in Modern Herbal Medicine

-Misha Cohen, OMD, LAc, DiplAc/CH
Clinical herbal research is important to the practice of Asian traditional medicine. This workshop
aim is to explore the interrelationship and integration of clinical Chinese herbal medicine practice
and Chinese herbal research using lecture and interactive learning techniques. Participants will
learn how to begin to participate in clinical herbal research trials.
The Role of Clinical Research in
Modern Herbal Practice
Misha Ruth Cohen

Research/Education Chair, Quan Yin Healing Arts Center
Clinic Director, Chicken Soup Chinese Medicine
Assistant Researcher, UCSF Institute for Health and Aging
Author, The Chinese Way to Healing: Many Paths to Wholeness
HIV Wellness Sourcebook, Hepatitis C Help Book
San Francisco, California
Why Do Clinical Research?
Society for Acupuncture Research
©Misha Cohen, Chicken Soup

Chinese Medicine, 2006
Herbal Research
Methodology Review
1.DEFINE OUTCOMES of CLINICAL RESEARCH
A. What are we going to study?
Are we studying Chinese Medicine
in its traditional form, a Chinese
formula
for a Western disease, Chinese
medicine as a system or something
else? ©Misha Cohen, Chicken Soup
1
Herbal Research
Methodology Review
A. PRIMARY OUTCOME EXAMPLES
1. To determine efficacy in relief of a
certain symptom or combination of
symptoms with a specific standardized
herb formula
(ex: Does Source Qi relieve HIV-related
diarrhea?)
(This is a Western diagnosis/Chinese
treatment) ©Misha Cohen, Chicken Soup
Herbal Research
Methodology Review
2. To determine if an herbal formula
changes specific Chinese diagnostic
patterns
ex: Does Xiao Yao Wan alleviate
Liver Qi Stagnation?)
(This is Chinese diagnosis/Chinese
treatment)

Herbal Research
Methodology Review
3. To determine if the Chinese system of
medicine has efficacy in conjunction
with or separate from Western medicine
ex: Will adding Chinese medicine
diagnosis & treatment improve viral
clearance with interferon treatment in
HCV?
(This is a system/system approach)
2
Herbal Research
Methodology Review
SECONDARY OUTCOME EXAMPLE
4. To determine correlation of
Chinese
traditional diagnosis (or a
diagnostic
technique) to a specific Western
disease
(ex: Is there a correlation of a
swollen pale wet tongue in chronic
HIV diarrhea?)?
Herbal Research
Methodology Review
2. DETERMINE RESEARCH METHOD
A. Compare to a standard Western
treatment
B. Compare two different herbal
formulas
C. Compare an herbal formula to placebo
D. Compare two systems of medicine
E. Add a system of medicine to another
system ©Misha Cohen, Chicken Soup
Herbal Research
Methodology Review
CHOOSE HERB OR HERBAL FORMULA
A. Based on clinical experience
B. Based on Western research
C. Based on case/anecdotal reports
D. Based on classical herb use
E. Combination of all four

3
Herbal Research
Methodology Review
4. DETERMINE TARGET POPULATION
A. Inclusion Criteria
B. Exclusion Criteria
Characteristics
©Misha Cohen, Chicken Soup not
demographics
Herbal Research
Methodology Review
5. DETERMINE STUDY GROUP SIZE
A. Bio-Statistician consultation
B. Need to estimate treatment effect
•Pilot Study
•Group size can be small or large--
cannot
necessarily determine efficacy only
trends/used to determine treatment
effect for a larger study
Herbal Research
Methodology Review
B. Need to estimate treatment
effect
•Pilot Study
•Determine if trial
is to be open label
or blinded
•If blinded,
is it single or
double blinded?
4
Herbal Research
Methodology Review
•Treatment Study
•Group size must be large enough
to determine treatment efficacy

Herbal Research
Methodology Review
•Treatment Study
•Determine if trial is to be open
label
or blinded
•If blinded, is it single or double
blinded?
•Can enough people be recruited within
a reasonable amount of time to
efficiently complete the study? What
are the factors?
Herbal Research
Methodology Review
6. OTHER NEEDS
A. Finding a funding source $$$$$
1. Answering an RFP or RFA
2. Government or Industry
B. Develop study questionnaire
1. Previous study questionnaires
2. Use validated questionnaires such
as SF-36 for specific disease
processes ©Misha Cohen, Chicken Soup
5
Herbal Research
Methodology Review
C. Develop Study Protocol
D. Acquire a Treatment IND
E. Advertising and Recruitment
F. Hire Staff
G. Implement Study
H. Complete Study
I. Evaluate Data
J. Publish Results in a Peer-
reviewed
Journal
Herbal Research
Methodology Review
•All herbal studies which are
performed at institutions that receive
federal funding must have a treatment
IND (Investigational New Drug) license
•The license is for a specific
study/purpose
•All human studies (regardless of
location) must have the approval of an
Institutional Review Board (IRB) or
Human Review Committee (HRC)
Herbal Research
Methodology Review
•NIH provides the format for
acquiring a Treatment IND.
A. Provide historical data for
efficacy
B. Provide historical data for
safety
C. Provide animal data for safety
(must be done with any formula with
no historical data) or to
speed IND process
D. For Phase III, need human data
6
Herbal Research
Methodology Review
•Need to provide accurate
information on all herbs in formula
•Need to provide how the formulas
are produced, tested for safety and
accuracy of herbs, all ingredients
and the percentages
contained, safety of
combinations, any possible
interactions
•Certificate of Analysis
(COA)/AssaysChinese Medicine, 2006
SOURCE QI® Study
Use of a Chinese
Herbal Medicine for
Treatment
of HIV-Associated
Pathogen-negative
Diarrhea
UCSF School of Medicine
HIV Community Consortium
SOURCE QI® Study
• INVESTIGATORS
–Misha R. Cohen, OMD, L.Ac.
–Thomas F. Mitchell, MPH
–Peter Bacchetti, Ph.D.
–Carroll Child, RN, M.Sc.
–Sherill Crawford, RN
–Andrew Gaeddert
–Donald I. Abrams, MD
7
SOURCE QI® Study
• INSTITUTIONS PARTICIPATING
– Quan Yin Healing Arts Center, San
Francisco, CA
– UCSF Community Consortium, SFGH AIDS
Program, San Francisco, CA
– UCSF Department of Epidemiology and
Biostatistics, San Francisco, CA
– Health Concerns, Oakland, CA
SOURCE QI® Study
• INTRODUCTION
– Diarrhea is frequent in HIV/AIDS
patients and may adversely affect
survival
•Decreased lean body mass
•Side effect of HAART, esp. nelfinavir
•Difficulty in adhering to medications
•Only palliative, toxic measures exist
currently within Western medicine
treatment
SOURCE QI® Study
• INTRODUCTION
– Previous Enhance® and Clear Heat® trial
in 1991 showed trend to decreased
gastrointestinal problems (JAIDS,
Burack, et al, 1996)
– New formula, Source Qi®, designed in
1994 specifically to target chronic
diarrhea associated with Spleen Qi and
Yang Deficiency and used clinically
– Study took place in 1997/98 at the UCSF
Community Consortium SFGH AIDS Program
8
SOURCE QI® Study
• METHODS: Study aims

– Eight-week open-label pilot study
– Primary aim to assess reductions in
number of stools per day associated
with cryptosporidium-negative
chronic diarrhea
– Secondary aim was to assess symptom
reduction such as bloating/cramping
– Tertiary aim was to assess safety
SOURCE QI® Study
• METHODS: Measurements
–Measurements of diarrhea
included:
• # of bowel movements per day
• # of abnormal bowel movements per
day
•# of liquid bowel movements per
day
–Tools:
•Thygeson stool tool (standardized)
•Daily diary
SOURCE QI® Study
• METHODS: Measurements
–Secondary endpoints
•Symptom changes in daily diary
•Worsening of Grade III or higher
clinical or laboratory events
9
SOURCE QI® Study
• METHODS: Eligibility
•Inclusion criteria
»Documented HIV infection
»17 years or older
»Chronic diarrhea (more than 3
or more loose stools for at
least 14 days)
SOURCE QI® Study
• METHODS: Eligibility
•Exclusion criteria
»Fevers greater than 101 degrees
Fahrenheit more than seven days
»Alternating
constipation/diarrhea
»Hospitalization for any health
problem within one month prior
to entering study
SOURCE QI® Study
• METHODS: TCM diagnoses

– No TCM diagnosis was
made, however the attempt
to control for TCM
diagnoses was through
exclusion criteria by
trying to eliminate those
whose diarrhea does not
belong to the pattern of
Spleen Qi Xu and Spleen
Yang Xu.
10
SOURCE QI® Study

•Crude but relatively effective
way to control for Chinese
diagnostic patterns without using
full diagnostic techniques
•Trying to create reproducibility
in other settings inside or
outside Chinese medicine clinics
SOURCE QI® Study

– Source Qi® is designed for diarrhea
generally associated with Spleen Qi
Xu and Spleen Yang Xu type diarrhea.
The following examples of this are
people were:
– excluded with high fevers
– excluded with bloody diarrhea (except
hemorrhoids)
– Excluded with alternating constipation/diarrhea
SOURCE QI® Study
• METHODS
– Source Qi® was taken 12-20 tabs per
day
• Ailanthes (Chun Pi) Nutmeg (RouDouKou)
• Baked Astragalus (Huang Qi) Baked Licorice (Gan Cao)
• White Ginseng (Ren Shen) Fermenta Massa (Shen Qu)
• Fried Atractylodes (Bai Zhu)
• Rz. Atractylodes(Cang Zhu)
• Poria (Fu Ling)
• Rz Cimicifuga (Sheng Ma)
• Euralyes (Qian Shi)
• Lotus Seed (Lian Zi)
• Charcoaled Ginger (Gan Jiang)
11
SOURCE QI® Study
• RESULTS: Overall stool reductions
– 17 male participants
– 1 discontinued due to treatable
pathogen
– Large decreases in abnormal stools,
especially in weeks 3,4,6 and 8
– Median decrease in total number of
stools and number of liquid stools
reached significance in weeks 6 and 3
SOURCE QI® Study
• RESULTS: Nelfinavir vs. other ARV

– At enrollment, 8 people taking
nelfinavir, and 8 taking other ARV
drugs. Participants not taking
nelfinavir had more favorable changes
– In non-nelfinavir, the reduction in
number of stools per day reached
significance in weeks 1 (p=.05), 3
(p=.02 ), and 4 (p=.04), while
nelfinavir had a slight non-significant
increase
SOURCE QI® Study
• RESULTS: Abnormal and liquid

stools
– Greatest reductions were seen in
number of abnormal stools and number
of liquid bowel movements in both
groups
– Non-nelfinavir group reported
greater reductions in number of
abnormal stools and number of liquid
bowel movements than nelfinavir
group, but not statistically
significant
12
SOURCE QI® Study
• RESULTS: Symptom scores
– Median symptom score in pre-
treatment week was 0.5, with a
slight increase in week 1 (p=.19)
– Median symptom score decreased by
week 8 (p=.11)
– Smallest p-values were attained by
median change in lack of appetite
at week 8 (p=.092) and pain at
week 8 (p=.13)
SOURCE QI® Study
• RESULTS: Number of pills ingested

– Only two participants reported
taking less than 12 tablets per day
– 11 participants reported taking 12-
16 tablets per day (except in week
1)
– 2/3 participants reported taking 17-
20 tablets a day during weeks 2-8
SOURCE QI® Study
• CONCLUSIONS:
– A modest but sustained decrease in
average number of stools per day was
observed. The entry criteria, two-
week run-in period, lack of benefit
in week one, and sustained benefit
thereafter suggest that improvement
is not due to bias.
– A larger study is needed to confirm
these results.
13
SOURCE QI® Study
• Published in
Integrative Medicine
Vol. 2, Nos. 2/3, pp. 79-84, 1999
Use of a Chinese Herbal Medicine for
Treatment of HIV-Associated
Pathogen-Negative Diarrhea
– Misha R. Cohen, OMD, L.Ac., Thomas F.
Mitchell, MPH, Peter Bacchetti, Ph.D, Carroll
Child, RN, M.Sc., Sherill Crawford, RN,
Andrew Gaeddert, Donald I. Abrams, MD
Why Might
This Study
Be Useful to
Us as
Chinese
Medicine
Practitioner
s?
PREVENTION OF ANAL
CANCER:
HSIL Treatment Study
Barbara Klencke, MD, Principal Investigator
UCSF Medical School Cancer Center
Naomi Jay, NP, RN, Co-Principal Investigator
UCSF Medical School, Dept of Stomatology
Misha Cohen, OMD, L,Ac., Co-Investigator
UCSF Institute for Health and Aging
14
PREVENTION OF ANAL
CANCER:
HSIL Treatment Study
WHY AND HOW?
Methodological Issues in a Pilot
Study of Treatment of Anal High
Grade Squamous Intraepithelial
Lesions (HSIL) and
Anal Carcinoma
PREVENTION OF ANAL CANCER:

Epidemiological Issues in Anal HSIL
and Carcinoma
Anal CA Epidemiology
•UCSF studies have shown that the pre-cancerous anal
changes (Anal HSIL) are common. and that HSIL is found in
much higher amounts in HIV+ men and women than HIV
negative.
•In the general population, anal cancer is affects
approximately 1:100,000 men and women,with a ratio of 2:1
Female: Male.
•However, anal cancer in at-risk populations (immuno-
suppressed individuals male and female, and gay men) is
35 -70x higher than in the general population.

Epidemiological Issues in HSIL
and Carcinoma
•Anal cancer rates among gay men BEFORE the
AIDS epidemic (data from the late 70's)
showed rates of anal cancer to be
35:100,000.
•Anal tissue and Cervical tissue are highly
similar tissues. Both are susceptible to
HPV and the development of HSIL
and subsequent development of carcinoma.
15
and Carcinoma
•The current rates of anal cancer, in populations
that are at risk for it, is approximately the same as the
rates of cervical cancer before pap smear screening began or
in UNSCREENED populations
•Anal cancer incidence has increased sharply since the
advent of the AIDS epidemic
•Effective method of high-resolution anoscopy identify and
map pre-cancerous lesions
Normal
Cervical

Tissue
☯
Epidemiological Issues in
Anal & Cervical High Grade Squamous
Normal
Intraepithelial Lesions (HSIL)
Anal
and Carcinoma
Tissue
16
Abnormal
Transition
Zone
(Anal)

High
Grade
Anal
Lesion
(Male)

High
Grade
Anal
Lesion
©Misha Cohen, Chicken Soup (Female)
17
and Carcinoma
•There are very limited treatment options.
•Anal surgeons more commonly treat warts or
cancer, rarely anal dysplasia.
•If left untreated HSIL may progress to anal
cancer

Epidemiological Issues in HSIL
and Carcinoma
Western anal treatment is more problematic for several

reasons:
•1. Current treatment is highly invasive, partially
effective and has risk of causing anal strictures
leading to pain
•2. The surgeons are not trained in anoscopy and cannot
always find the areas identified by colposcopy for
treatment.
•3. Recurrences post treatment is common.
Non s rgical tre
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
☯
Pilot Study for Chinese
Traditional Medicine
Treatment of Anal HSIL
Misha R. Cohen, OMD, L.Ac.
18
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
PILOT STUDY AIMS
Our primary goal is to investigate
the safety and efficacy of a
Chinese traditional medicine
treatment for anal high-grade
squamous intraepithelial neoplasia
(HSIL) with or without co-infection
with HIV. ©Misha Cohen, Chicken Soup
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
PILOT STUDY AIMS
We are conducting a pilot, Phase I/II
non-randomized, open-label intervention
study that will test the safety and
effectiveness of a Chinese traditional
intervention consisting of acupuncture,
moxibustion and topical herbal cream in
persons both with histologically
. Medicine, 2006
confirmed HSILChinese
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
PILOT STUDY AIMS
•Aim 1:Evaluate the efficacy of 9
months of a Chinese traditional
medicine intervention in treatment
of HSIL, as determined by
histopathologic examination of anal
tissue.
19
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
PILOT STUDY AIMS
•Aim 2: Determine the safety of a
Traditional Chinese Medicine
intervention for treatment of HSIL in
patients with HIV.
•Aim 3: Assess the virologic
consequences of the TCM intervention
on HPV viral ©Misha
expression
Cohen, Chicken Soup
in the anal
canal. Chinese Medicine, 2006
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
PILOT STUDY AIMS
•Aim 4: Evaluate the impact of TCM
intervention on the phenotype and
function of circulating T lymphocytes.
•Aim 5: Define the specific TCM diagnoses
that are associated with HSIL, and
investigate whether improvement rates
under TCM vary according to the patient’s
initial TCM diagnosis.
PREVENTION OF ANAL
CANCER:
Methodology of Choosing Study Type
STUDY TREATMENT:
•Open-Label Study
•Acupuncture, Moxibustion, Herbs
•HPV and Lesion Abatement

20
PREVENTION OF ANAL CANCER
Methodology of Choosing Study Type:
Chinese Diagnoses
Diagnoses previously proposed in the

literature on Cervical Dysplasia:
☯Toxic Heat
☯Kidney and Liver Yin Deficiency
☯Heat Dampness in Lower Triple
Burner
No diagnoses have been proposed in the
literature for anal dysplasia: this
study will begin
Chinesethat
Medicine,process
2006 with AIM
5
PREVENTION OF ANAL
CANCER:
Methodology of Choosing Treatment
•According to acupuncture channel theory, anal
HSIL is treated by manipulating the channels
flowing through the anal area, including the
Du (Governing) Channel, Bladder Channel, and
Kidney Channel.
•Acupuncture points commonly used for problems
in the anal area include the points from Du 1
- Du 5, Du 26, BL 25, BL 31 – 36 and BL 57
(Deadman and Al-Khafaji, 1998).

PREVENTION OF ANAL
CANCER:
HSIL TCM Study
•When cervical or other genital tract HPV is
present, acupuncture points on the Liver Channel
or Ren Channel may also be manipulated.
•Acupuncture treatment is also specifically
recommended for cervical dysplasia and viral
warts (Flaws 1986, Lyttleton 1988, Jingze and
Juncheng, 1991).

21
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
CURRENT HSIL ACUPUNCTURE THERAPY
• Patients receive a standardized acupuncture
treatment, based on acupuncture channel theory
including the theory of local and distant points:
Anal treatment includes Du1, Du20, Du26, Bl57,
Bl31-34, Bl60, Ki3. Cervical treatment includes
Ren2, Ren 4, Ren 6, Zigong, St25, Li5, Li2.
•Other acupuncture according to individual
diagnosis.
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
ACUPUNCTURE TREATMENT:
Therefore, in our study, patients
will receive a standardized
acupuncture treatment, based on
acupuncture channel theory
including the theory of local and
distal points: Du1, Du20, Du26,
Bl57, Bl31-34, Bl60, Ki3.
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
ACUPUNCTURE TREATMENT:
•Acupuncture treatment will be given two
times a week for 12 weeks, then once a
week for an additional 6 months, for a
total of 9 months of acupuncture
treatment.
•Acupuncture treatment will be performed
by licensed acupuncturists.
22
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
MOXIBUSTION THERAPY FOR HSIL
Moxibustion is prescribed for use
directly over the sacrum, as well as
points related to the specific TCM
differential diagnosis for each patient
(Flaws 1986).

PREVENTION OF ANAL
CANCER:
HSIL TCM Study
MOXIBUSTION TREATMENT:
•Patients will receive a standardized
moxibustion treatment (Moxa over the
sacrum) Moxa treatment will be provided in
the clinic by a licensed acupuncturist.
•Patients will also be directed to apply
moxa at home.


HSIL TCM Study
Methodology of Choosing Treatment:
Historical Literature
TOPICAL HERBAL THERAPY FOR HSIL

• The topical herbal formulas found in sources
translating the Chinese literature often
include Zi Cao (Radix Arnebiae) and Huang Bai
(Phellodentron) as some of the main
ingredients, (Chen 1987).

23
HSIL TCM Study

• Qing Dai (Indigo Pulverata Levis) is the main
ingredient in Xiao Yan Wan (inflammation relief
pill), derived from Chinese folk descriptions
(Chen 1987), and used traditionally to clear
heat toxins, especially as a topical treatment
for swelling and inflammations in the oral
cavity (Bensky 1993).
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
• Jade and pearl are used in the topical creams to
promote healing and generate flesh, and are used
traditionally for chronic nonhealing ulcers (Bensky
1993, Hsu 1986). Jade and pearl creams have also
been used in Chinese Medicine for pre-cancerous and
early cancerous skin conditions (Shen et al, 1995.
Hsu 1986, Chang 1980).
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
• Golden-Yellow Ointment, is a traditional
formula indicated for toxic swelling due to
skin inflammation (Wu Qian, 1742).

24
HSIL TCM Study
Modern Usage
CURRENT TOPICAL HSIL HERBAL THERAPY

•Patients receive a combination of the
topical herbal cream formulas Jade Cream
and Spring Wind Ointment.
•They apply the herbs to the affected
areas of the anal canal.
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
Modern Usage
CURRENT HERBAL THERAPY FOR HSIL
Jade Cream contains: Jade, Pearl, Myrrh,
Lithospermum(Arnebia),Frankincense, Sesame Oil
Spring Wind Ointment contains:
Sesame oil, Beeswax, Rehmannia extracts,
Arnebia, Coptis, Safflower,Dang Gui, Peach Pit
, Licorice
PREVENTION OF ANAL
CANCER:
HSIL TCM Study

• The topical cream is applied twice per day,
including one application before bed onto the
affected area. After colposcopic examination,
a UCSF neoplasia nurse or MD instructs the
patient where to apply the cream.
Approximately one-quarter teaspoon is used at
each application.
25
HSIL TCM Study

Patients using the study topical herbal cream may
have a local inflammatory response. In this case,
they are instructed to apply Golden-Yellow Ointment
which includes Sesame Oil, Beeswax, Trichosanthes
root, Phellodendron bark, Rhubarb Root, Turmeric,
Angelica root, Arisaematis, Citrus peel, Licorice,
Red peony, Atractylodes root and Coptis.

PREVENTION OF ANAL
CANCER:
HSIL TCM Study
STUDY HERBAL THERAPY FOR HSIL
In addition, we have added Indigo (Qing Dai)
to the study formulas because of the
historical use found in the literature for
this substance. Hopefully, this will improve
the efficacy of the applied formulas that we
have found anecdotally in the clinic.
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
HERBAL STUDY CREAMS:
Therefore, study participants will receive a
topical herbal formula based on a mixture of
Jade Cream and Spring Wind Ointment with
additional Indigo: The formula is called
Arnebia, Indigo, Jade, and Pearl Cream.

26
PREVENTION OF ANAL
CANCER:
HSIL TCM Study
HERBAL STUDY CREAMS:
Golden-Yellow Ointment will be used
additionally if a person shows signs of
increased heat according to Chinese
medicine diagnosis (inflammation
associated with possible sloughing off of
tissue).

Why Might
This Study
Be Useful to
Us as
Chinese
Medicine
Practitioner
s?
Herbal Research
How Could Clinical Trials
Help?
•One in-vitro study using human liver cells
indicated that there is a negative
interaction between Milk Thistle (Silymarin)
and Interferon Alpha with Milk Thistle
possibly up-regulating the P450 cytochrome
in the liver and therefore decreasing
Interferon’s effectiveness in HCV.
•A well-designed clinical study could help
determine of there is any clinical outcome
of this possible negative interaction
27
Herbal Research
Help?
•For example, insurance companies rarely,
if ever, cover common herbal treatments
because of lack of clinical trial
evidence.
•Well-designed clinical studies would add
to the database of evidence which would
lead to possible reimbursement by
insurance companies as consumers become
aware of these studies and pressure
insurance companies for coverage.
Herbal Research
Help?
•Physicians often tell their patients “not to
use Chinese herbs” during chemotherapy, HAART
or interferon therapy because “we don’t know
what herbs do”.
•Well-designed clinical trials showing
improved adherence or Western treatment
outcomes would be a crucial step in reversing
that trend. These could be as varied as case
control series, blinded placebo-controlled
randomized trials, or unblinded randomized
trials depending©Misha
onCohen,
theChicken
conditions.
Soup
Herbal Research
How Can You Participate?
•You can work with staff at hospitals to
help design trials based on traditional
formulas or individual herbs or others
•You can design a clinical trial with data
gathered from your own practice case series
•You can begin doing a series of herbal
case studies determining the parameters you
want to collect in advance
ex: lab tests collected
at periodic intervals ex: tongue photos
collected at periodic
©Misha Cohen, intervals
Chicken Soup
28
Herbal Research
How Can You Begin to
Design a Clinical Study?
AAOM conference participants
may now begin to design
clinical studies from your
practices, experience,
classical texts or other
Chinese herbal knowledge base.
For Seminars and Writing

Misha Cohen
can be reached at
Chicken Soup
Chinese Medicine
(415) 864-7234
For Clinic
(415) 861-1101
or
found on the Web at
www.DocMisha.com
29
Q. Exploring the Interface Between Native American and Oriental Medicine

-Jim Goodin, Native American Spiritual Healer
- Dennis Robbins, PhD, MPH
-Lloyd G. Wright, DNBAO, LAc
This interactive session will offer a glimpse into the intricacies of age-old sacred ceremonies and
wisdom while exploring the interface and uniqueness of diverse yet complementary approaches. It will
expose the participant to the rich perspectives of a respected and gifted Native American healer, Jim
(Arrowhawk) Goodin, Dennis (Eagle Medicine Bear) Robbins, Arrowhawk’s adopted brother, and
Lloyd Wright, an experienced OM practitioner. This distinctive and dynamic session will encourage
ample opportunity for interchange, hands-on demonstration and lively discussion.
Exploring the Interface
Between Native American
and Oriental Medicine
Jim Goodin (Arrowhawk)
Dennis Robbins, PhD, MPH
Lloyd Wright, L.ac
An Invitation for Collaboration

• Integrating Native American techniques
with Chi Gong and Asian Medicine
• Establishing the Benchmark
Revisiting/Rethinking Integration
• Dilution Issues in Moving Towards the Middle
• The Hunter Dog Metaphor
• Working Together vs Waiting for Scraps
• Homogenization Issues
• Striving to be the Best I can
• Patient Oriented Goals- The Best he/she can be
• Balance and Harmony
1
Foundations
Wholism or Holism?
• Who Cares?----Together we are Much
MORE Than the Sum of the Parts
• Doing More, Helping More, Feeling Better
• Doing the Right Thing for the Right
Reasons at the Right Time in the Right
Way
Healing Energies
• The 7 Directions
• Chi
• Stone People
• Cultivating Life Force
2
Rethinking Stagnation
• Moving Energy
• Political and Social Stagnation
• Integrity
• NA and AM complementarities: both begin with
the observation of nature and the direct
experience of intuition, and use tools such as
acupuncture points, harmony with nature, and
herbs.
• Superseding impeding constraints and
roadblocks
• Rethinking Profession
Native American Healing 101

• Drawing upon the resources and Energy
of Heaven and Earth
• The Sacredness and Charge of the Gift
• Heart, Mind and Spirit
• Spirit Driven Intuition
– Being hollow, without judgment or attachment
Chi and Spirit Driven Healthcare

• Technique is not healing, only a beginning:
• Body is nourished by Blood, Blood follows Qi, Qi
is moved by the emotions, emotions are
controlled by the mind, and mind is lead by the
Spirit. Where you focus is where you go.
• Chi and Spirit are infinite
• Needles and Feathers to gently stimulate a
healing response
3
Feather Work
• Wing tip
– Long & pointed
– React when moved over the body
– Direct energy flow
• Tail Feathers
– Round at tip
– Good for draining stuck energy & past life
experiences
• Whatever else Spirit guides you to use
Feathers Commonly Used

• Woodpecker
• Sparrow Hawk
• Eagle
• Owl
Tip of the Iceberg

• Energy Based Spiritually Infused Healing
Modalities:
• Not all is immediately available to
consciousness
• Synergistic Healing
• Chi Wiz and Woo-Woo
4
Sacred ceremonies and their role
and impact in healing
• Getting closer to the Mother
• Ancestors
• Stones and the medicine of the
grandfathers and grandmothers
• Ceremony
• Back to basics
Teaching & Learning
• Raising the knowledge bar and keeping it

high
• Expanding vision and clinical work: The
use of wisdom in the clinic.
• Insight, imagery and reflection
• Utilizing meditation and the search for
harmony to arrive at a state of peace and
health.
Stewardship
• What Does Stewardship Entail?
– Taking responsibility for our actions and our
world.
– Lead by example, lead with serenity.
5
Needles and Feathers
• Moving Energy: TCM= stimulating a
physiologic function or moving a vital force
life energy? There is evidence for both.
• Helping the patient restore balance
• Greatest healer teaches to patient how to
live.
• Fish metaphor
When your only tool is a hammer

you see the who world as a nail
• Live outside of the defined Box
• TCM is a different box with different
dimensions, the more “boxes” one can
utilize the more possibilities there are to
expand our vision.
• Openness to a rich universe of possibilities
• Hammering Vs Trailblazing New Ground
East Meets West
• Hippocrates told what to actively exclude,

not what not to do. In his famed oath,
Hippocrates wanted us to rely on much
more than vague opinion.
• Lao Tzu urges Harmony with the Universe,
walk the gentle path, lead by following.
• Feather Wisdom to ensure harmony and
flow
6
Spiritual Foundations
• TCM= Tao Te Ching, Buddhism, the
practice of Qi Gong leads the practitioner
to direct insight into the workings of Spirit.
• The Mongolian/Mayan Influence on NA
Similarities and Disparities

• Points: TCM= selected on the basis of
physiological dysfunction as assessed
through a TCM DX and designed to move
Qi (vital life force) through the body
• Herbs
• Cultivating Life Force: TCM= breathing
techniques, movement, diet, harmonious
living with the Tao.
Being Open Without Being Out

There
• Expanding horizons, Maximizing Potential

and growth
• Grounded in Practical Wisdom: Healing
systems with history
• Cultivating Receptivity without Sacrificing
Judgment and Rigor
• Promise and Perils of Openness
7
Sources of Inspiration
• Mindfulness
• Receptivity
• The Search for the Elusive “Right” Model
• Life as constant learning and integrating
Woo-Woo
• Things are not always as they appear
• Health is multi-dimensional
• Can be affected at the physical, energetic,
emotional, mental, or spiritual level.
• Promise and Peril of A New Age Mentality:
• The Danger and Promise of Looking and
Learning Deeper
Taking the Best From the Best

• Chinese Medicine:
– TCM theory, the tools of acupuncture, herbs,
diet exercise, meditation. Humility and
harmony with nature are strong underlying
elements of Chinese medicine and culture.
• Native American Medicine
• Clear and Simplified Solutions that Make
Sense
• Pushing the Energy Envelope
8
Mens Corporis-
Corporis-Mens Sanis
• Healthy Mind, Healthy Body

• Dynamic Homeostasis
• Balance
• Harmony
Diatia and Krisis

• How we live and how we decide
• Opinion to Wisdom
Complementarities
• Colors: TCM= red, yellow, white, blue-black,
green
• Directions: TCM= South, Center, West, North,
East
• Animals: TCM refers to animal movements for
healing, parts as medicine, and some legends
that teach humans.
• The Seasons: TCM= Spring, Summer, late
Summer, Fall, Winter
• Climate: TCM= Wind, Heat, Humid, Dry, Cold
9
Technique less Important than
Healing and Helping
• Priorities
• Focus
• Mind, Spirit and Intent
Demonstrable Legitimacy
• A closer look at the “anecdotal”

• Verifiability criteria
• Gold wrapped in paper is not afraid of fire
Transforming abstraction into

practical solutions:
• TCM begins with observation of nature,
develops simple techniques of healing,
sophisticated philosophy to explain
phenomena that leads to more complex
theories of healing and improved
techniques
• NA healing is grounded in nature and
guided by Spirit
10
11
R. Clinical Pearls Master’s Class

-Miki Shima, OMD, LAc
Join Miki Shima as he evaluates three live case studies. Patient histories will be provided with
onsite evaluation followed by a discussion of proposed treatment options and protocols. This is an
extraordinary opportunity to gain understanding of Japanese-style acupuncture and to learn at the
hands of a master. Audience interaction will be encouraged.
Handouts: Patient Case Studies – Provided to Class Attendees

S. Diabetes: The Treatment and Prevention with TCM

-Xiao Tian Shen
Diabetes is becoming more common in the United States, effecting about 14.7 million Americans in
2004. Traditional Chinese medicine, with all of its modalities: acupuncture, herbs, diet, tai chi, etc.,
is considered to be very helpful in treating various types of diabetes. This lecture will highlight the
TCM understanding of this complex condition, including discussions on the physiology, etiology and
pathology of this disease with a focus on the various approaches TCM takes to treat diabetes.
Diabetes: The Treatment and Prevention
with TCM
Xiao Tian Shen, MPH, L.Ac

Academy of Oriental Medicine at Austin
V approximately 150 million people have diabetes

Prevalence of Diabetes
mellitus worldwide, and that this number may

well double by the year 2025. Much of this
increase will occur in developing countries and
will be due to population growth, ageing,
unhealthy diets, obesity and sedentary lifestyles.
V By 2025, while most people with diabetes in
developed countries will be aged 65 years or
more, in developing countries most will be in
the 45-64 year age bracket and affected in their
most productive years.
V Total Prevalence of Diabetes in the United
States, 2005
Total: 20.8 million people, or 7% of the US population.
Diagnosed: 14.6 million people
Undiagnosed: 6.2 million people
(Sources: WHO & NIH)
Diabetes Trends* Among Adults in the U.S.,

(Includes Gestational Diabetes)
BRFSS, 1990,1995 and 2001
1990 1995
2001
Source: Mokdad et al., Diabetes Care 2000;23:1278-83; J Am Med Assoc 2001;286:10.
1
V Yellow Emperor’s Inner
TCM History of Diabetes
Classics
V Zhang Zhong Jin’s Synopsis of
Prescriptions from the Golden
Chamber
V Sun Si Miao’s Important
Formulas Worth a Thousand
Gold
V Improper diet: greasy food,

TCM Etiology of Diabetes
alcohol
V Lack of physical activities and
exercises
V Sexual indulgence
V Emotional imbalances
V Diseases from other organs
6%
Pattern Identifications of
12%
39%
Qi and Yin Deficiency
Empty Heat due to Yin Deficiency
Yin and Yang Deficiency
Diabetes
Qi and Blood Stagnation

20% Damp-phlegm Accumulation
23%
2
V Qi and Yin deficiency
V Empty heat due to Yin
Symptoms and Pattern
deficiency
Identifications
V Yin and Yang deficiency
V Qi and blood stagnation
V Damp-phlegm accumulation
A Literature Review on Chinese
V The most commonly used

Chinese single herbs for
diabetes
Herbs for Diabetes
V The most commonly used

Chinese herbal combinations for
diabetes
V A comparison of the herbs used
in ancient classic formulas and
recent formulas
V Herbal treatment based upon

Clinical Herbal Treatment for
pattern identifications
V Modifications for the
accompanied symptoms of
diabetes
Diabetes
3
V Acupuncture treatment based
upon pattern identifications
Acupuncture for Diabetes
V Acupuncture for diabetic

neuralgia
Diet , exercises and home care
V Diet
V Physical exercises
for Diabetes
V Domestic life
V Emotion care
Thank you
Xiao Tian Shen
clinic.dean@aoma.edu
4
T. Practice Survival Tactics 101

-Shane Burras, MTOM, LAc
Practice Survival Tactics 101
You will learn what you NEED to know about how to successfully get the best return on your
investment in your practice. The health care market is changing and your practice needs to adapt,
grow and evolve to stay profitable. Attendees will learn best practices techniques for charting,
billing, and report writing - the information the insurers don't want you to have. We will go over
emerging trends in the health care industry and give you the necessary tools to position yourself
for profit, success and set yourself above the rest.

U. AAOM Annual Awards Banquet (No CEUs – Registration Required)

- Annual Awards will be presented, and a delicious dinner will be served.
Keynote Presentation: Once Upon a Time in America –Oriental Medicine in the New World -
William L. Prensky, OMD, LAc & Gene Bruno, OMD, LAc
In the late 1960’s Acupuncture and Oriental Medicine were largely unknown in the United States
outside of ethnic Far East Asian communities. These were times of great change in the world,
resulting in Cultural Revolutions that forever shifted the landscape of medicine’s philosophy. This
year’s presentation begins a journey of rediscovering the origins of our medicine in the West;
starting with an exploration of the earliest beginnings of Acupuncture and OM as a separate
profession in America. We will examine the tribulations, false steps and the progress comprising
our early history. Drs Prensky and Bruno were present at the start of this journey, helping to found
the very beginnings of our professional institutions in the 1960’s. They will share an intimate
recollection of the life and times of the founding of OM in America, and the world into which
Acupuncture burst onto the scene in the 1970’s.

V. Qi-Gong in Motion
- Master Jun Feng Li
Relax. Experience the opening of your heart with this moving meditation. Qigong can also help
the mind in becoming more focused and increase ones power of concentration. These beautiful
movements calm one's mood, helping to alleviate worries and nervousness. It nurtures and
balances the qi, magnifying the inner love and bringing one into harmony with the universe -
the essence of human health.
W. Shen Disturbance in TCM

-Joseph Chang Qing Yang, PhD, MD, LAc
Learn a highly refined method of distinguishing Shen diagnoses. The Shen will be discussed in the
context of types, qualities and properties. Doctor and patient Shen concepts will be used as a
model for analyzing the clinical relationship. Learn about Shen conservation for the TCM doctor
working with Shen disturbed patients. In addition, attendees will examine constitutional concepts
and pattern identification that are used to treat the patient with Shen concerns. The major Shen
disorders including Kuang, Dian, Jian, Chi and Yu syndromes are considered along with the five
disease types.
Shen
Disturbance
A Guideline for Psychiatry
In Traditional Chinese Medicine
Joseph. Changqing. Yang

Ph. D. L. Ac
（杨常青）
©02/2005 First Edition

___________________________________
Shen Disturbance ___________________________________
___________________________________
JOSEPH CHANGQING YANG ___________________________________
Ph.D. L.Ac
___________________________________
___________________________________
7/25/2006 Concept and Principle 1
___________________________________
___________________________________
History and Concept
___________________________________
Historical background
___________________________________
Philosophy. Yin Yang. Five Elements.
Nei Jing Time
___________________________________
Jing, Qi and Shen
Harmony
___________________________________
Dian, Kuang, Xian, Chi, Yu
___________________________________
___________________________________
___________________________________
Shen Concept
___________________________________
God (heaven. Supreme power, authority)
Nature (heaven and earth. Universe)
___________________________________
Spirit (inside spiritual activity, Five Shen)
Power (unique universe power) ___________________________________
Unknown (mystery. Secret. Beyond eyes)
Admiration (knowledgeable, Shen) ___________________________________
Vitality (Shen expression. Shen Qi)
___________________________________
___________________________________
___________________________________
Spiritedness
___________________________________
Shen Unity (Integration)
___________________________________
Shen awareness
Shen clarity
___________________________________
Shen flexibility
Shen stability
___________________________________
___________________________________
___________________________________
___________________________________
Spiritedness
___________________________________
Shen balancing
___________________________________
Shen power
Shen Reactivity
___________________________________
Shen Initiation
Shen Processing
___________________________________
___________________________________
___________________________________
___________________________________
Brain Shen
___________________________________
Big Shen?
___________________________________
Generation, formation, property, function,
etiology, pathology, conservation
The relationship with five organ Shen
___________________________________
The universal consciousness
The Shen harmony
___________________________________
___________________________________
___________________________________
___________________________________
Five Shen
___________________________________
Heart Shen disharmony
___________________________________
Liver Hun disharmony
Spleen Yi disharmony
___________________________________
Lung Po disharmony
Kidney Zhi disharmony
___________________________________
___________________________________
___________________________________
___________________________________
Consideration of Etiology
___________________________________
Pre-heaven. Yin and Yang Essence
___________________________________
Post-heaven:
Shen injury. Emotion disharmony. Zang Fu
___________________________________
disharmony. Pathogens attack. Medications.
Shen-related activities. Physical injury.
___________________________________
___________________________________
___________________________________
___________________________________
Modern Time Factors
___________________________________
Today’s lifestyle is against the nature
High speed lifestyle. Abnormal sleep. Stress.
___________________________________
Low physical activity. Long sitting position.
Chemical contamination. Cross-culture. ___________________________________
Substance abuse. Difficult communication.
Divorce. Small family size. Abnormal sex. ___________________________________
Unnatural food diet. Light control.
___________________________________
___________________________________
___________________________________
Spiritlessness
___________________________________
Shen lassitude
___________________________________
Shen insufficiency
Shen tiredness (Weakness)
___________________________________
Shen irritability
Shen clouded
___________________________________
Shen floating
___________________________________
___________________________________
___________________________________
Spiritlessness
___________________________________
Shen confused
___________________________________
Shen scattering
Shen inflexibility
___________________________________
Shen numbness
Shen over-sensitivity
___________________________________
Shen loss
___________________________________
___________________________________
___________________________________
Shen Conservation
___________________________________
Following the seasonal changes
___________________________________
Communicating with others
Exercising Shen
___________________________________
Improving lifestyle
Controlling emotions
___________________________________
Harmonizing Shen and body
___________________________________
___________________________________
___________________________________
Basic Treatment Theory
___________________________________
Yin Yang principle
___________________________________
Five Elements principle
Shen treatment principle
___________________________________
Zang Fu regulating principle
Evil Qi releasing principle
___________________________________
Others
___________________________________
___________________________________
___________________________________
Treatment Techniques
___________________________________
Quick Shen diagnosis
___________________________________
From eyes
Communication techniques
___________________________________
Trust between doctor and patients
More of a partner than doctor
___________________________________
Patience and listening
___________________________________
___________________________________
___________________________________
___________________________________
Sharing events inpatients lives
___________________________________
Walk through the patient;s Shen world
Discussion the situation in a friend manner
___________________________________
Give suggestion not demand
Give the explanation of the treatment
___________________________________
Work as a lifestyle adviser
___________________________________
___________________________________
___________________________________
___________________________________
Discretely handle the personal privacy
___________________________________
Additional information from third party
The doctor’s Shen behind the white coat
___________________________________
Doctor’s role, duty and responsibility
Review the diagnosis
___________________________________
___________________________________
___________________________________
___________________________________
Cautions and Failures
___________________________________
Misdiagnosis in TCM
___________________________________
Herbal medication restrictions
Western medicine information
___________________________________
Medicine side effect
Acute situation control
___________________________________
___________________________________
___________________________________
___________________________________
Cautions and Failures
___________________________________
Cooperation with others
___________________________________
Relationship with patients
TCM treatment strategy
___________________________________
Laws and regulation
Clinic and continuing education
___________________________________
___________________________________
___________________________________
___________________________________
Case study 1
___________________________________
A woman who is 57 complaint of depression
which has been diagnosed for about 5 years. ___________________________________
She has started this situation since her husband
passed away. She is taking Wellbutrin and ___________________________________
Zoloft. She has an irregular sleep schedule
and wakes up very early. Skips meals and
keeps all the staff left by her husband. She is ___________________________________
cry and feels very depressed.
___________________________________
___________________________________
___________________________________
Case study 1
___________________________________
TP: Puffy body with greasy coat. Wiry deep
Dx: Shen weakness and inflexibility ___________________________________
Middle burner phlegm damp misting Shen
Tx: Du 20, 21, 24, Yin Tang. St 36, 40. Ki 3 ___________________________________
Hb: Er Chen Tang, Shi Cang Pu Wan
Ex: Regulate sleep and daily schedule,
communicates with others. Clean up the
___________________________________
house, and morning ex.
___________________________________
___________________________________
___________________________________
Case study 2
___________________________________
A lady is around 60 complaint of irritable and
upset for her all life. She is very sensitive to ___________________________________
the heat weather all the time. Her psychiatric
diagnosis is unclear. She cry and anger easily
and her body is thin, feels hypochondriac and
___________________________________
sad, melancholy and moody all the time.
Busy mind and insomnia. ___________________________________
___________________________________
___________________________________
___________________________________
Case study 2
___________________________________
TP: Thin red with cracks. Wiry rapid
Dx: Shen irritable and weakness ___________________________________
Lv and Ht Yin Xu with fire burning,
Tx: Du 24, Gb 13, Yin Tang. Lv 2, Ht 7, Ki 6 ___________________________________
Hb: Tian Wang Bu Xin Dan, Bu Gan Tang
Ex: Listening to her carefully and slow down ___________________________________
her daily schedule. Meditation.
___________________________________
___________________________________
___________________________________
Case study 3
___________________________________
Male 28 years old complaints of words of a
song repeatedly in his mind for about a week. ___________________________________
He has obsessive mind when he was in his
high school. He is tall-thin and pale body. He
is nervous when talks with others, and timid
___________________________________
in public. He likes stay along and working on
his own. ___________________________________
___________________________________
___________________________________
___________________________________
Case study 3
___________________________________
TP: Pale body with thin coat. Weak deep
Dx: Shen inflexibility and weakness ___________________________________
Sp and Ki Qi Xu, phlegm obstructing
Tx: Du 20, 24, Gb 8, 34, 40, Lv 3 ___________________________________
Hb: Dao Tan Tang, Chai Hu Shu Gan Wan
Ex: Body movement, replacement with other ___________________________________
interests. Outdoor activity.
___________________________________
___________________________________
___________________________________
Case study 4
___________________________________
A boy is 14 years with 5’7” tall body. He has
impulsive behaviors frequently at school and ___________________________________
family but no injuries on his self and others
for about few years. ADHD history. ___________________________________
He has red face and big-opened eyes, moves
the head, shoulder and eyes all the time.
Sweating easily on the palms. Does football
___________________________________
and marshal arts.
___________________________________
___________________________________
___________________________________
Case study 4
___________________________________
TP: Red with thin coat. Slippery
Dx: Shen irritable and confused ___________________________________
Ht and Lv fire with phlegm heat misting
Tx: Du 24, Ht 7, Gb 8, St 40, St 44, Lv 2, Sp 6 ___________________________________
Hb: Wen Dan Tang, Chai Hu Shu Gan Wan
Ex: Slow down activities, more readings. No ___________________________________
late night gaming. Meditation.
___________________________________
___________________________________
X. Scalp Acupuncture – Theory and Clinical Applications

Yuxing Liu, PhD, LAc
During the 1970’s, scalp acupuncture was developed as a complete acupuncture system. Early
contributors proposed different models of point groupings including the motor and sensory areas,
writing (speech) and reading (memory) centers, as well upper, middle, and lower burner areas. Dr.
Liu will address these historical models and break out some newer models that are returning to the
channel theories of scalp acupuncture based upon the new International Standards of Scalp
Acupuncture. Loaded with images, Dr. Liu's presentation will also address some of the newer
neuroanatomical considerations of scalp acupuncture.
Scalp Acupuncture Theory
and clinical Applications
Yuxing Liu
Academy of Oriental Medicine at Austin
General introduction
Conception
Scalp acupuncture is a therapeutic method by needling
the specific areas or lines of the scalp, and often
used to treat cerebral diseases.
Introduction
Scalp acupuncture: 2 schools, and 2 system
School-A. Theory base:cerebral physiology and anatomy
Jiao’s scalp acupuncture, Fang’s and Zhu’s Scalp
acupuncture
Shool-B. Based on Meridian theory and acupoints on
the head.
International standard scalp line
History of Jiao’s Scalp Acupuncture
Began in 1958 and popularized in 1970s
Founder: Dr. Jiao, Shunfa, MD of Shanxi

province
Dr. Fang, Yunpeng, MD
1
Theory of Traditional Scalp
Acupuncture
Relationship between Head and
Channels
1. All Yang Channels go to the head
2. Yin Channels: HT, LIV
Different Areas of Brain
2
Functional Areas of the
Cerebral Cortex
The different
central area in the
brain controls the
different body
areas’ functions
They have the

corresponding
reflex area or line
on the scalp
Motor area
Anatomic structure:
precentral gyrus, Paracentral lobule
Physiology
control muscular contraction on the
opposite side, but Extraocular
muscles,frontal muscles, masticatory
muscles of both sides
Reflex image
upside down, but face is upright
3
Sensory area
Anatomic structure:
postcentral gyrus,
post side of Paracentral
lobule
Physiology:
feeling the nerve pulses
coming from the

correspondent area of
the opposite side
Speech area
Wernicke’s
area: Sensory
speech
Broca’s area:
Motor speech
Aphasia:
Absent or
defective speech
or language
comprehension
Visual Area
Occipital lobe: Visual
• Medial surface: primary visual
cortex (striate cortex)
• input: thalamus (lateral
geniculate nucleus)
• contralateral
representation
• Rest: visual association

cortex:
interpretation of visual stimuli
4
Location of Stimulating Scalp
areas and their indications
Standard lines on
the scalp
Anterior-posterior midline
Eyebrow-occipital line
Anatomical
landmark
Ear apex,
parietal tubercle
external occipital
protuberance
Frontal hair line (or angle)
Motor Area
Locations:
1. Upper point
2. Lower point
Indications:
upper 1/5: lower limbs, trunk; For paralysis of the opposite side
middle 2/5: upper limbs; For paralysis of the opposite side
lower 2/5: facial area or Speaking Area 1; For contralateral central facial
paralysis; Motor aphasia, salivation and dysphonia.
Sensory Area
Locations:
the parallel line 1.5 cm behind to motor area
Indications:
upper 1/5: lower limbs, trunk, head; For contralateral lumbar, leg pain, numb,
paralysis; occipital headache, pain in the nape area; tinnitus
middle 2/5: upper limbs; For contralateral upper limb pain, numbness,
paralysis, abnormal senses
lower 2/5: facial area; For contralateral facial numbness, migraine, TMJ;
trigeminal neuralgia, toothache.
5
Chorea-trembling Controlled Area
Locations:
the parallel line 1.5cm anterior to
motor area
Indications:
Chorea, Parkinson’s disease;
trembling palsy
If the symptom is unilateral,

needle the contra-lateral
stimulation area.
If bilateral needle bilaterally
Vertigo-auditory Area
Locations:
2 cm anterior and posterior
horizontal straight to the points 1.5
cm right above the auricular apex
Indications:
Tinnitus, hearing losing,
dizziness, auditory
vertigo, etc.
Speaking area 3
Locations:
1. midpoint of Vertigo-auditory
area draw a line of 4 cm
backwards
2. 4 cm horizontal posterior to
the point 1.5 cm above the ear
apex
Indications:
Sensory aphasia
6
Speech area 2
Locations:
2cm- posterior+inferior
parietal tubercle draw a
3cm-long line, paralleled to
anterior-posterior midline
Indications:
nominal aphasia
Usage area
Locations:
Taking the parietal tubercle as a starting
point. Draw a vertical line from the point,
and draw the other two lines from the
point separately forwards and back
wards, at 40 degree angle with the
vertical line; each line is 3 cm long.
Indications:
Apraxia (normal muscular tension, but
disability to finish refined movement
such as picking up coins)
Foot motor-sensory area

Locations:
starting from 1cm bilateral to midpoint of
anterior-posterior midline draw two
line 3 cm straight lines backward parallel to
the anterior-posterior midline
Indications:
Contralateral lower limb pain, paralysis,
numbness.
acute lumbar sprain;
enuresis, cerbro-cortical polyuria, nocturia;
prolapse of uterus.
7
Optic area
Locations:
1 cm evenly bilateral to the
external occipital protuberance,
draw 4 cm long lines upwards
parallel to the anterior-
posterior midline.
Indications:
Cerebro-cortical visual
disorders
Balance area
Locations: 3.5 cm evenly bilateral to
the external occipital protuberance, draw
a 4 cm long lines downwards parallel to
the anterior-posterior midline.
Indications:
Equilibrium disturbance caused by
cerebellum disease.
(incoordination;dystaxia; ataxia, disability
to balance, dizziness, headache, the
opposite paralysis due to the brain stem. )
Stomach area
Locations:
Directory above pupil of eyes,
draw 2 cm line upwards to the
hairline,
Indications:
Stomach pain (gastritis,
stomach ulcer) epigastric discomfort.
8
Thoracic Area
Location:
mid point between front-back midline and
stomach area, draw a line of 2 cm
upwards and downwards to the hair
margin
Indications:
Chest pain, stuffiness of chest
Palpitation, coronary artery insufficiency
Asthma
Reproductive area
Location:
Draw a 2 cm straight line from the front
angle (ST8) upward parallel to the
anterior-posterior midline
Indications:
Functional uterine bleeding,
Pelvic inflammation;
Leukorrhagia
To treat prolapse of uterus with Foot
motor sensory area
Clinical Applications
Mainly for cerebral diseases , like
paralysis, numbness, aphasia, vertigo, tinnitus,
Chorea.
Various nerve pain, trigeminal neuralgia
Other common diseases, like lumbar-leg
pain, Frozen shoulder, nocturnal urine.
9
The Principle for selecting
scalp area
Selecting the stimulating area according to
different diseases;
Using the contra lateral stimulating area for
the unilateral limbs diseases; the bilateral
stimulating areas for bilateral limbs disorders.
Internal-zang or whole body diseases, diseases
can not distinguish the position, bilateral
sides could be selected.
Accompany with other related stimulating area.
Needling Techniques
1.Posture：
Sitting or lying position
2.Inserting needle：
Sterilize local area,
1-2cun, Gauge No.28-32.
Swiftly insert the needle at a 30
degree angle to the scalp,gets
to the lower layer of cap-
shaped aponeurosis
Then push the needle along the
direction of stimulation to a
needed depth.
3.Needle manipulation：
Only twirling no thrusting
Fix the needle at the same depth
Frequency:about 200/minute, continue1-2 minute,
keep the needle for 5-10 minutes, repeat doing
it for 2-3 times.
4、E-stim：
Frequency:200-300次/minute，
Wave:refer to electro-acupuncture
Stimulating intense:based on patient’s reaction
10
Taking off needle
Withdraw the needle slowly while twirling the needle;
if there is no heavy sensation along the needle pull it
out quickly.
Then press over the needle hole with a sterilized
cotton ball for a moment to prevent bleeding
Treatment course
Once a day or every two days. (twice a week in America)
10 times as one treatment course.
Precautions
1.The stimulating intense should be suitable;lying or
sitting position should be taken to prevent needle fainting.
2.Strict sterilization should be carried out to prevent
infection.
3.If the operator feels the needling resistance or the
patient feels pain while pushing the needle, the needle
should be withdrawed a little bit, then change the
direction.
4. In case the patient has such a complication as high
fever, acute inflammations or heart failure, scalp
acupuncture is not advisable.
5. For patients with hemi-paralysis due to cerebral
hemorrhage, wait until the bleeding stops and the condition
of illness is stable to use scalp acupuncture. But for case
caused by cerebral thrombosis should do scalp acupuncture
as earlier as possible.
Case Study
Male, 57Y, has hypertension for 10 years, Sep,22
1996, he falled down on the floor and lost
consciousness; WM diagnosed as cerebral
hemorrhage; after 1 month WM treatment, he has
the symptoms like right arm and leg paralysis;
salivation and difficult to speak.
Treatment with Scalp acupuncture

1. Stimulating area:
2: The accompanied movement: During twirling or

retaining the needle, ask the patient to move the
affected limbs
11
International
Standard Scalp
Acupuncture
History and Characters

1984 Tokyo WHO
Principle:
1.Define the channel in different area,
2. select points on the channel,
3. combining ancient threading techniques
Name:
MS (Micro-system and Scalp points)+Number; Chinese
Pingyin and Chinese
Frontal Head Area

MS1 (e-zhong-xian) Middle line of forehead
Location:on the front head, 1 cun(3cm) line long from Du24,
straight down along the meridian
Indication:Headache, dizziness, red swollen and pain of the

eyes, epilepsy; mental disorder
Needling Method:needling downwards subcutaneous,

manipulate the needle swiftly
12
MS2 (E-pang-Xian-I) Lateral line 1 of forehead
Thoracic area
Location
on the front head, 1 cun(3 cm) long from BL3,
straight down along the meridian
Indication
Lung system disorders: allergic asthma, bronchitis;
Heart System disorders: angina pectoris,heart
diseases.Palpitation, flustered
Needling Method
needling from BL3 downwards subcutaneous,
MS3 (E-pang-Xian-II) Lateral line 2 of forehead

[Stomach area, Liver & Gallbladder Area]
Location
on the front head, 1 cun(3 cm) long from GB15 , straight
down along the meridian
Indication
Digestive disorders：acute & chronic gastritis, gastroduodenal
ulcer;gastrointestinal ulcer. diarrhea or constipation,dysentery.
Liver & Gallbladder disorders：Hepatitis, cholecystitis
Needling Method
needling from GB15 downwards subcutaneous, manipulate the
needle swiftly
MS4 (E-pang-Xian-III) Lateral line 3 of forehead

Location
on the front head, 1 cun(3 cm) long from the point 0.75
cun medial to ST8 straight down. Between GB and ST
channels
Indications
Reproductive system disorders：femal：FUB,Prolapse of
uterus,dismenorrhea,Amenorrhea, irregular
menstruation
Male ： importance,Spermatorrhea; Seminal emission,
premature ejaculation
Urine system disorders ： acute cystitis(urinary
frequency、urgency of urination). polyuria。
Needling Method
needling from the upper border of this line downwards subcutaneous,
13
Vertex area
MS5 (Dingzhongxian)
Location
From Du20 to Du21 along the midline of head
Indications
Local:headache, dizziness, hypertension
Mental disorders ： faint,syncope,asphyxia;mania; epilepsy, aphasia from
apoplexy,insomnia
Lumbar and leg pain, numbness, or paralysis
Two lower orifices disorders：cerebra-cortical polyuria、nocturia (infant),
prolapse of anus
Needling Method:inserting needle from Du20, needling to DU21
subcutaneous, manipulate the needle swiftly
MS6 (Dingnieqianxiexian) Anterior oblique line of

vertex temporal [motor area]
Location
From qian shenchong (anterior point of sishenchong)
obliquely to GB6, divided into 5 parts.
Indications;Needling Method
Same as motor area
MS7 (DingnieHouxiexian) Posterior oblique line of

vertex temporal [Sensory area]
Location
From Du20 obliquely to GB7, divided into 5 parts.
Indications;Needling Method
Same as sensory area
MS8 (Dingpanyixian) Lateral line 1 of vertex

Location
1.5cun lateral to middle line of vertex, 1.5 cun long from BL7 backward
along the meridian
Indications
Local：headache,dizziness, tinnitus, blurred vision
Lumbar & leg disorders: paralysis, numbness, pain
Needling Method
From BL7 needling posterior 1.5 cun subcutaneously,
manipulate the needle quickly
14
MS9 (DingpanEr xian) Lateral line 2 of vertex
Location
2.25 cun long lateral to middle line of vertex, 1.5 cun long
from GB17 backward along the meridian
Indications
Local：headache,dizziness, migraine
Shoulder, arm & hand disorders: paralysis, numbness, pain
Needling Method
From GBL7 needling posterior 1.5 cun subcutaneously,
Temporal Area
MS10 (Nie Qian xian) Anterior temporal line
Location
From GB4 to GB6
Indications
Head & facial disorders ： migraine, outer canthus pain, tinnitus,
epilepsy, motor aphonia, peripheral facial paralysis;oral cavity
disorders（gingivitis,tonsillitis); Throat disorders
Needling Method
Inserting from GB4 needling to GB7 subcutaneously, manipulate the needle
quickly
MS11 (Nie Hou xian) Posterior temporal line

Location
From GB8 to GB7
Indications
Head & facial disorders：migraine, tinnitus, deafness
Needling Method
Inserting from GB8 needling to GB7 subcutaneously, manipulate the
needle quickly
15
Occipital area
MS12 (Zhenshangzhengzhongxian )
Location
From Du18 to Du17
Indications
Local：Occipital headache, dizziness, blurred vision, stiff neck
Mental disorders:Epilepsy, mania-depression
Eyes disorders：角膜炎keratitis、结膜炎conjunctivitis
足癣 tinea pedis; athlete’s foot; hongkong foot
Needling Method
Inserting from DU18 needling to DU17 subcutaneously, manipulate the
needle quickly
MS13 (Zhenshangpang xian ) Upper-lateral

line of occiput Visual area
Location
0.5 cun lateral and parallel to upper-middle line of occiput，4cm down
to up
Indications
All Kinds of Eye disorders ： cerebra-cortical visual disturbance 、
cataract; near sighted, myopia; farsightedness,hyperopia; Glaucoma
Needling Method
Inserting from the lower border of the line upwards subcutaneously,
MS14 (Zhen Xia pang xian ) Lower-lateral

line of occiput [Balance area]
Location
2 cun long from BL9 straight down
Indications
equilibrium disorder caused by cerebellum disease; balance
disturbance caused by cerebellum disease、incoordination; dystaxia;
ataxia
dysfunction of brain stem: numbness and paralysis of the limbs;
Head and nape pain, dizziness
Needling Method
Inserting from the upper border of the line downwards 4cm
subcutaneously, manipulate the needle quickly
16
Y & dd. Treating Female Infertility with Chinese Medicine (Part I & II)
-Bob Flaws, DiplAc, DiplCH, FNAAOM, RegAc [UK]
If you treat women in your practice, you know that they usually arrive at your clinic with a pre-
established Western medical diagnosis. In women with fertility problems, this can include
endometriosis, luteal phase defect, immune infertility, and many others. How do we translate these
Western medical conditions into Chinese medical words and concepts? and how do we treat these
conditions effectively? How do we integrate our treatments effectively with In Vitro Fertilization and
other assisted reproductive technologies to increase a woman's chances of a successful pregnancy?
All this and more will be covered in this full and fast-paced class.
Treating Infertility
With
Chinese Medicine
by
Bob Flaws
Copyright © Blue Poppy Enterprises, 2004.

All rights reserved.
Goals of this class
1. To learn the Chinese disease mechanisms &

patterns associated with infertility and how to
treat them
2. To learn the disease mechanisms & patterns

associated with common Western gynecological
conditions associated with infertility and how to
treat them
3. To learn how to phase treatment for infertility
4. To learn how to integrate Chinese medical

treatment with assisted reproduction
technologies (ART)
5. As requested by my sponsors, we will also

cover some material related to menopausal
syndrome.
2
Infertility affects
20% of North American couples
Its increasing incidence partly reflects
deferment of marriage and of birth of first child
Etiologic factors:
1. Sperm disorders (35% of couples)
2. Ovulatory dysfunction (20%)
3. Tubal dysfunction (30%)
4. Abnormal cervical mucus (5%)
5. Unidentified factors (10%)
According to Western medicine,

The ovaries begin to decline
At 32 years of age
Therefore,
Treatment must be more rapid
After 35 years of age
3
Studies have demonstrated that over the age of
40 almost 50% of women will experience
infertility.
The average 25 year old woman who is trying to

conceive may have a 25% per month chance for
pregnancy, if all fertility factors are optimal.
Compare this with the 5% per month chance for

conception that the average 40 year old woman
has.
What Did Chinese Traditionally Know

About Conception?
1. Women needed to reach menarche before

conception
2. Women could not conceive after menopause
3. Intercourse necessary with a man with
ejaculation
Ergo, conception is the result of the Union of

Semen & Blood
I.e., the white male essence
And red female essence
4
Fu Qing-zhu on Female Essence
“In women, the menstruation is not blood. It is

essence. Therefore, the liver is the former heaven
viscus in women.”
Fu Ren Yi Xue Wei Zhu

“In women, the main thing is blood.”
The Three Viscera Which

Engender & Transform the Blood
Heart . Spleen . Kidneys
The Three Viscera Which

Control the Blood
Heart . Spleen . Liver
The Functions of the Blood

Constructing & nourishing
Moistening & enriching
5
Two Basic Disease Mechanisms
Of Infertility
1. Malnourishment & lack of enrichment of the

uterus
2. Blockage & obstruction to the free flow of the

qi, blood, and essence to and through the uterus
When treating infertility,

First, Regulate menstruation
Early menstruation
Delayed menstruation
Early, late, no fixed schedule menstruation
Profuse menstruation/flooding & leaking
Scanty menstruation/blocked menstruation
Menstrual movement diseases
Painful menstruation
6
Pathological Bleeding Disorders
Early menstruation
Profuse menstruation
Flooding & leaking
Mechanisms of Gynecological Bleeding
1. Heat
Replete
Vacuity
Depressive
Damp
2. Qi vacuity
Spleen qi vacuity
Kidney qi vacuity
3. Blood stasis
7
Disorders of Insufficient Menstruation
Delayed menstruation
Scanty menstruation
Blocked menstruation
Disease Mechanisms Of Menstrual Movement

& Painful Menstruation
1. Non-free flow
Qi stagnation
Blood stasis
Phlegm dampness
2. Vacuity & weakness
Qi &/or blood (spleen vacuity)
Yin &/or yang (liver-kidney vacuity)
Mechanisms of Insufficient Menstruation
1. Insufficient blood
Spleen vacuity
Kidney vacuity
2. Non-free flow
Qi stagnation
Blood stasis
Phlegm obstruction
8
Statements of Fact
The spleen is the latter heaven root of engen-

derment and transformation of the qi and blood
The qi moves the blood. If the qi moves, the blood

moves. If the qi stops, the blood stops.
The qi moves water fluids. If the qi moves, fluids

move. If the qi stops, fluids stop.
Blood and fluids move together
Blood & fluids share a common source
Static blood hinders the engenderment of new

blood
The kidneys are the former heaven root
The kidneys store essence
The kidneys govern reproduction
Former and latter heavens are mutually rooted
9
The liver governs coursing and discharge
If the liver is diseased, first treat the spleen
Liver disease is spleen disease
In adults, blame the liver
The liver is the thief of the five viscera and six

bowels
Liver depression engenders phlegm
In humans, depression causes hundreds of

diseases
10
Causes of Liver Depression
1. Unfulfilled desires
2. Fulminant anger
3. Blood vacuity
4. Yin vacuity
5. Yang vacuity
6. Any of the four yin, material depressions
7. Anything which causes lack of free flow of the qi
More statements of fact
Enduring disease enters the network vessels
In enduring disease, there must be stasis
Enduring diseases damage the kidneys
Enduring spleen disease reaches the kidneys
11
Nei Jing Su Wen
At two [times] seven, the tian gui arrives, the ren mai is
free-flowing, the tai chong vessel is exuberant, the
menstruate descends periodically, and thus they can get
with child.
However,
“The kidneys become exuberant at puberty because the

spleen first becomes fortified and healthy at six or
seven.”
Li Shi-zhen:
“Jing [as in yue jing, menstruation] means
regularity.”
Chen Yu-cang:
“This means, like the moon, it waxes and wanes,
and, like the tides, it comes regularly.”
Wang Zi-heng:
“Women’s menstruation has a constant time [or
periodicity]. This schedule is due to the rise and fall of
the whole body’s yin and yang. Thus one can know
safety and danger [i.e., health and disease].”
12
The Four Phases of the Menstrual Cycle
1. Preovulation (days 7-14) = Yin

2. Postovulation (days 14-21) = Yang
3. Premenstruum (days 21-28) = Qi
4. Menstruation (days 1-6) = Blood
Four Phases Treatment Principles
1. Nourish the blood & supplement yin

2. Free the flow of the qi mechanism & warm yang
3. Rectify the qi
4. Rectify the blood & regulate menstruation
Patterns of Infertility
Kidney yang vacuity

Kidney yin vacuity
Blood vacuity
Liver depression qi stagnation
Blood stasis
Uterine cold
Phlegm dampness
Damp heat
13
When Pattern-discriminating
Must take into Account:
1. Age
2. Body type
3. Complexion
4. Environment
Most Western Infertility Patients Will present

3-8 patterns simultaneously
Therefore,
1. Identify the patterns in order of predominance
2. State the treatment principles in the same order
3. Erect the treatment plan according to these principles
4. Plan & administer treatment multi-phasically
14
Basal Body Temperature
1. An indication of the body’s basal metabolic rate

2. The temperature when you first wake and before you
get up or do anything
3. A nadir of temperature signals impending ovulation
4. An increase of 0.9° F characterizes the postovulatory
period
5. In Chinese medicine, an indication of the state of the
body’s basal yang qi
BBT Curves
Normal biphasic sine curve
Monophasic high
Monophasic low
Prolonged hypothermal
Prolonged transition to hyper
Horse-shaped luteal phase
Saw-toothed luteal phase
Prolonged transition to hypo
Shortened hypothermal
15
Western Medical Diseases
Associated with Infertility
Hypothyroidism
Luteal phase defect
Premature ovarian failure
Habitual miscarriage
Endometriosis
Fallopian tube blockage
Uterine myomas
Galactorrhea-amenorrhea syndrome
Hyperprolactinemia
Polycystic ovarian syndrome (PCOS)
Immune infertility
Hypothyroidism
Spleen-kidney dual vacuity
Liver-spleen disharmony
Qi stagnation & blood stasis
Phlegm & stasis mutually binding
Qi vacuity & blood stasis
Yang vacuity & blood stasis
Yin & yang vacuity
16
Luteal Phase Defect, Premature Ovarian
Failure, Habitual Miscarriage
Spleen-kidney yang vacuity
+ depressive heat
+ phlegm dampness
+ damp heat
+ blood stasis
+ blood vacuity
Yin & yang vacuity
Endometriosis
Blood stasis
Concretion & conglomerations
Stasis entering the network vessels
Qi stagnation
Damp heat stasis & stagnation
Cold damp congelation & stagnation
Qi vacuity
Spleen qi vacuity
Kidney qi vacuity
Blood vacuity
Heat & cold, vacuity & repletion
17
Fallopian Tube Blockage

Phlegm nodulation
Damp heat
Liver-kidney vacuity
Qi & blood vacuity (spleen vacuity)
Uterine Myomas
Phlegm nodulation
Damp heat
Qi & blood vacuity (spleen vacuity)
Cold congelation
18
Polycystic Ovarian Syndrome
Phlegm dampness
Kidney yang vacuity
Kidney yin vacuity
+ liver depression qi stagnation
+ spleen vacuity
+ depressive heat
+ blood stasis
Galactorrhea-amenorrhea Syndrome

Phlegm dampness obstruction & stagnation
Blood stasis
19
Hyperprolactinemia
Liver-kidney yin vacuity

Liver depression transforming heat
Spleen qi vacuity
Spleen-kidney yang vacuity
Yin & yang vacuity
Blood stasis
Immune Infertility
Damp heat
Depressive heat
Any other presenting pattern(s)
20
Western Medical Work-up for Infertility
Semen analysis of partner
Evaluation of ovulation
BBT
Midluteal serum progesterone level
Urine LH test
Ultrasound monitoring of follicular development
Evaluation of uterus
Bimanual palpation
Ultrasound
Endometrial biopsy
Evaluation of fallopian tubes

Hysterosalpingogram
Evaluation of ovarian reserve

Day 2-3 serum FSH level
Clomiphene challenge test
21
Assisted Reproductive Technologies (ART)
Intrauterine insemination (IUI)
In vitro fertilization (IVF)
Intracytoplasmic sperm injection (ICSI)
Gamete intrafallopian tube transfer (GIFT)
Zygote intrafallopian tube transfer (ZIFT)
2001 ART PREGNANCY SUCCESS RATES

Type of cycle: Fresh Embryos from Nondonor Eggs
Age of women <35 35-37 38–40 41–42
Number of cycles 35,984 17,791 16,283 7,044

Percentage of cycles resulting 40.6 34.4 26.2 17.3
in pregnancies
Percentage of cycles resulting 35.2 28.4 19.6 10.4
in live births
Percentage of retrievals 38.9 33.1 23.8 13.2
resulting in live births
Percentage of transfers 41.1 35.1 25.4 14.5
resulting in live births
Percentage of transfers 24.8 22.9 18.5 11.9
resulting in singleton live births
Percentage of cancellations 9.6 14.1 17.9 21.4
Average number of embryos 2.8 3.1 3.4 3.7
transferred
Percentage of pregnancies
with twins 33.1 28.6 22.7 14.5
Percentage of pregnancies
with triplets or more 8.1 7.8 6.2 2.9
Percentage of live births
having multiple infants 39.7 34.7 27.2 17.9
22
The Benefits of Combining Chinese
Medicine With ART
1. Increased effectiveness of ART
2. Elimination or minimization of ART side effects

& adverse reactions
3. Identification of appropriate medications and

procedures based on pattern discrimination
Liang Li-fang’s C.M.-ART Protocols

As found in Acupuncture & IVF (Blue Poppy Press, 2003)
Preparing for IVF: Females

Acupuncture:
St 36, Sp 6, Liv 3, LI 4, Sp 8, M-HN-3
For more yang vacuity, add: GV 4 & Ki 7
For more yin vacuity, add: Ki 3
Plus other points which are empirically disease
specific
Chinese herbal medicine: Regulate menstruation as

necessary
Treat for 90 days or until menses are regulated
23
Preparing for IVF: Males
Acupuncture:
CV 6, CV 4, Bl 15, Bl 17, Bl 18, Bl 20, Bl 23, Bl 25
For more yang vacuity, add: Ki 6 & GV 4

For more yin vacuity, add Ki 3
Plus other points which are empirically disease
specific
Chinese herbal medicine: Treat based on a

combination of pattern and disease
Treat for 90 days
Dr. Liang’s Protocols During IVF

1. One month prior to IVF, start OCs & prescribe Huo Jing Zhong
Zi Fang (Quicken the Essence & Plant the Seed Formula)
Acupuncture: St 36, Sp 6, Liv 3, LI 4, M-HN-3
2. On days 2-3 of next cycle, start Follistim, etc. & prescribe Ding
Jing Fang (Stabilize the Menses Formula)
Acupuncture St 36, Sp 6, Liv 3, LI 4, Ki 3, GV 20, M-CA-18
3. Night before and morning of IVF, prescribe Huo Jing Zhong Zi

Fang (Quicken the Essence & Plant the Seed Formula) again
Acupuncture: St 36, Sp 6, Liv 3, LI 4, Ki 3, M-HN-3, Ki 13, GV 20, M-
HN-1, Ear Shen Men, Kidney, Liver, Spleen
24
4. After IVF, prescribe C.M. Rx depending on predominantly yin or
yang vacuity
Yang vacuity: An Tai Fang (Quiet the Fetus Formula)
Yin vacuity: Yang Tai Fang (Nourish the Fetus Formula)
Acupuncture: St 36, Ki 3, M-HN-3, GV 20, Ear Shen Men, halfway

between Liver & Spleen
Only needle St 36 and Ki 3 until positive pregnancy test.
Concluding Advice
1. Regulate the menstruation
2. Treat primarily based on the patients personally
presenting pattern(s)
3. Treat secondarily based on their disease
diagnosis
4. Use a multi-phasic treatment plan working with
the patient’s body
5. Be sure to include dietary and lifestyle
counseling as part of the treatment plan
Good Luck & Best Wishes
25
Z. & ee. Esoteric Acupuncture (Parts I & II)

Mikio Sankey, OMD, LAc
Part I: This workshop will inspire all who are interested in Spiritual Healing for the 21st Century.
Attendees will receive an overview of Esoteric Acupuncture theory and its connection between
Sacred Geometry, Qabbala, Chinese Acupuncture theory and Chakras. Esoteric Shaoyin theory will
be explored followed by hands-on demonstration of select new encoding patterns.
In Part II of this workshop, attendees will explore the theory of the energetics behind the
acupuncture points used in Esoteric Acupuncture and a continuation of Chakras and Acupuncture.
Acupuncture patterns used in Esoteric Acupuncture will be discussed in the context of hands-on
demonstration. The practice of Esoteric Acupuncture can produce profound shifts in consciousness,
within practitioners and patients.
aa. & ff. The Way of Master Tung – Parts I and II (Chinese Only)
-Master Young Wei-Chieh, OMD, PhD, LAc
-Christine Chang, DAOM Candidate, MTOM, DiplOM, LAc (Interpreter)
Learners will explore essential concepts of Master Tung's method from his most senior student and
heir apparent, Young Wei-chieh. Dr Young brings 40 years of experience building upon and
teaching the methods. Ranging from Master Tung's core philosophy of tissue correspondences to
the special points of the Tung system, Dr Young will work to "throw the brick out to guide a jade
back."
Dr. Young, Wei Chieh
董氏奇穴及學術思想應用
(董氏奇穴之方法與要領)
前言
董氏奇穴近年風行世界，不論在歐美及大陸皆掀起一片學習及研
究熱潮，個人忝為董氏嫡傳門生，並首先編寫發揮董氏奇穴之專著，
至感榮興。三十年來，曾多次應邀赴世界各地講述董氏之學。有關董
老師之學術淵源及理論基礎，個人於 1973 年董師出版「董氏正經奇穴
學」時，曾向老師提問。老師曾說：「此係祖傳而來，自己亦有發現發
揮，原理與易經及內經有關。」此外即未再多言，至其 1975 年去世，
亦未再提及其淵源學理。個人據此線索，努力探求，深入研究，結合
自己之大量臨床經驗，攢研其間三十多年，每隨經驗而有新悟，益覺
其博大精深，今不揣淺陋，將個人對恩師學術思想之體會及心得概介
如下：
董氏奇穴係董氏紹衍祖學，研究發展，自成一派的一家之學，是
一種療效高，應用容易的針灸之學。
董師景昌，山東省平度縣人，生於民國五年，逝於民國六十四年，
臨床四十年，臨診四十萬人次，其中包括對軍公教及貧困民眾之義診，
即達十萬人次，曾數度榮膺好人好事代表。並於民國六十年至六十三
年間五度前往高棉為龍諾總統治療半身不遂，功在邦交，而榮獲先總
統蔣公頒贈最高榮譽狀，為中醫界獲得此項殊榮之第一人。
董師除對奇穴頗多發明外，對於臨床應用各家學說亦多發揮，恩
師學問精深，學生雖窮數年心力，但所能領悟者僅其十之一、二，願
就所知內容儘量述介於後：
一、董氏奇穴之穴位與取穴
(一 ) 董氏奇穴之分布
董氏奇穴內容計有七百四十餘穴，分別散布於手、臂、足、腿、
耳及頭面等處，雖不若十二經絡之循環不斷，相接無端，但亦有一定
脈絡可尋，規律而簡單，例如手指部稱「一一部位」，手掌部稱「二二
部位」
，小臂部稱「三三部位」，大臂部稱「四四部位」，足趾部稱「五
五部位」，足掌部稱「六六部位」，小腿部稱「七七部位」
，大腿部稱「八
八部位」，耳朵部稱「九九部位」，頭面部稱「十十部位」，另有「前胸
部位」及「後背部位」。也是十二個部位，並不難於找尋。同時，這些
穴位的分布，在效用方面和十二經穴亦有一定的聯繫，比如肝門能治
急性肝炎，位於小腸經上，腕骨能退黃亦在小腸經上，這是認識到小
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腸為分水之官，能清利濕熱的應用。又如心門與小海相近而治心臟病
變，其門其正其角在大腸經上能治痔瘡，解穴能治氣血錯亂與梁丘相
近……等等，便都足以說明董師對經絡及臟象學說有深刻認識，才能
創見這麼多新穴。
此外董師對神經學說的應用，也有特別的發揮。神經解剖學知識
指出，人體各部在大腦皮層上的投射代表區的大小，與該部的功能繁
簡成正比，手是勞動器官，足是運動器官，功能都很複雜，它們在大
腦皮層上的投射代表區也就較人體其它部份為大，如此，在大腦皮層
上與其相連繫的神經元數量也就較多，其主要機能就較大，而有利於
臨床的應用，董氏奇穴大部分布於肘膝以下，就是此一原理的發揮。
還有在手上腳上，拇指、拇趾的功能都比其它的指趾複雜，療效當然
更為廣泛，這也就是董師何以樂用大敦、隱白、太沖等穴並在拇指附
近研創婦科、制污、止涎、五虎、靈骨等穴的原因。
(二 ) 董氏奇穴之命名
董師雖然創見奇穴甚多，但從無一穴以自己姓名命名，他認為醫
學為救人之利器，為社會之所需，不應私秘而主張公開，編寫奇穴之
目的，亦無一絲名利之圖，其偉大精神令人欽佩，反觀時下偶有一見，
尚未定論，恐或為別人所據，即迅速冠以某某合谷、某某血海、某某
三陰交者，又豈可以道里計。至於那些剽竊別人創見將穴改名，企圖
偷天換日之人，則又豈能不覺愧恥。
在董師感召之下，個人多年來雖亦發現數十奇穴，亦不敢冠以維
傑某某穴，仍從恩師命名之法，命定穴名(例如小節穴)。
董氏奇穴之命名有以部位名命者，如正筋、靈骨、正會、肩中、
側三里、四花中、外穴等。有以效用命名者，這一類比例極大，又分
以五行命老者如土水、木穴、水金、木火、木斗、木留等，以臟象命
名者如明黃、天黃、肺心、心膝穴等，或逕以主治所在直接命名者如
婦科、脾腫；眼黃、肝門、腸門等，也有以部位與效用結合命名者如
手解、指腎等。還有以穴位之數字命名者如三重、三江、雙河、七星、
五嶺等，瞭解了董氏奇穴命名的方法，不但對奇穴的位置易於控制，
對於其應用更能掌握。
(三 ) 董氏奇穴之取用
1.暗影及青筋
暗影有時亦可稱之為發烏，亦係病變之一種反應，即當某臟腑或
某經絡有病變時，常常在某處發現暗影，一般而言，在手掌及面部較
易出現，身體其他地方也會有此現象，不過較難發現而已，這種方法
除了反應病變有助診斷外，並且有些可以以之施針發生治療作用，此
法董師甚為精通，以此形成固定治療穴位，例如水金治咳喘，五虎穴
治手腳痛，重子、重仙治肩背痛……等，就是此一方法之發揮。
此一法則與兒科三關診斷法之原理頗為接近，主要與靜脈壓有
關，靜脈壓愈高，暗影越明顯。它可以在某種程度上反映體內缺氧的
程度，缺氧愈甚，血中還原血紅蛋白量就愈高，青紫色的紋路(暗影)
楊維傑博士 2
就越明顯。由於各臟腑之壓力不同，反應之部位亦不盡相同。
青筋相當於靜脈瘀，據經驗血壓心臟病變及呼吸病變較為常見，
其它痛痺證亦可見及。這種靜脈形狀特別顯著，顏色特別紫藍，俗稱
「青筋」，此症多發生在委中、尺澤、臂上部；間或四肢外側及魚際、
然谷部也有、更有發生在腸骨前沿及肩胛與腹壁的。
凡全身都可因此引起病患。若不注意此症，其所有患處則永不能
根治；若能治此、其病患常在一兩週後，最遲一兩個月，不加治療就
霍然而癒。
據個人經驗，有些病治療一次，即有全癒者，一般經針治一次後
即大見減輕，數次後，其病就根治。治療時用三稜針刺破絡脈，流出
些黑血，每隔五六天再放一次，到脈管不再現瘀脹為止。董師亦常根
據手掌及手指之青瘀部位診斷疾病，發展出獨門之「董氏掌診學」。
2.全息
在中醫天人合一學說中認為每一個局部均與全體相關，每一個局
部均能反應全體，也皆能以之治療全體，這就是全息論的觀點。因此
有掌針、眼針、耳針、足針、頭針等多種針法的發明。當然最重要的
是體針，體針雖以十四經絡對應五臟六腕。但若將手臂足腿每一部份
再予區分，每一部份仍能各自治療全身疾病。這種事實充分反映了人
身整體相關。全息論的出現深化了中醫學的整體觀念，按生物全息論，
人體任一肢節都是整體的縮影。都有與整體相應的穴位，例如第二掌
骨側，這裡的穴位從指根向掌根歧骨，對應有頭、頸、上肢、肺、肝、
胃、十二指腸、腎、腰、下腹、腿、足等各部位穴位，第五掌骨側也
有這樣的對應。在各個節肢及其它較大的相對獨立的部份中，都有著
與第二掌骨側相同的穴位分布規律，各節肢的各穴分布都遵循著與第
二掌骨側同一比例：頭穴和足穴連線的中點是胃穴。胃穴與頭穴連線
的中點為肺穴。肺穴與頭穴連線分為三等分，從頭穴端算起的中間兩
個分點依次是頸穴和上肢穴。胃穴與足穴的連線分為六等分，從胃穴
端算起的中間的五個分點依次是十二指腸穴、腎穴、腰穴、下腹穴和
腿穴。上述穴位只是具有代表性的點，其它穴位可以以這些穴位為參
考點得出。
董氏奇穴的穴位分布與全息律亦有極相似之處，董師強調任一局
部皆能治療全身疾病，董師雖將全身區分為十二治療部位，但每一部
位均可獨立治療全身疾病。臨床施治時，常藝術化的由病人決定針手
或腳而治療病人。同類性質作用的穴道在手及腳皆有分布，例如指五
金、手五金、足五金；指駟馬、足駟馬即是顯例。再如一個穴組本身
即常蘊有全息意味。例如靈骨、大白並用為董師溫陽補氣要穴，治病
之多，幾乎全身無所不包，療效之高，亦非其它穴位所可比擬。大白
位置與三間相符，而貼近骨頭，三間係大腸經俞穴，靈骨穴在合谷後
叉骨前，兩穴合用涵蓋俞原所經之處，若以全息律而論，大白主上焦，
靈骨主下焦。又大白、靈骨皆以深針為主，又深透側面之上、中、下
三焦，因此不論縱橫，此二針皆涵蓋三焦，其效果之大，自是可知。
再如五虎穴，自指尖向手掌，依序為五虎一、五虎二、五虎三、五虎
四、五虎五。五虎穴董師原治全身骨腫。按此五穴之分布及主治本身
楊維傑博士 3
即有全息意味，五虎一常用於治療手指痛、手掌痛及腱鞘炎；五虎三
用於治療腳趾痛，(五虎二則用於加強五虎一、二之作用)；五虎四用
於腳背痛；五虎五用於治療腳跟痛。再如八八(大腿部位)七七(小腿部
位)之一些主治全身病變的穴組，例如駟馬上、中、下之治肺系疾病；
天黃、明黃、其黃之治肝系疾病；腎關、人皇、地皇之治腎系疾病。
每一部位全息下點與另一全息上點相交之處，則上下病變皆能治療。
例如靈骨可治腳根痛，也能治頭暈。曲池能治頭暈，也能治下部之膝
蓋痛。
董師的倒馬針法常兩三針並列，雖說因為並列加強了治療作用，
但何嘗不是藉著全息作用，全體互應的結果。尤其是八八部位三針並
列的臟腑治療系列，更與全息律有著不謀而合的關係。例如：治肺臟
病的駟馬上、中、下；治心臟病的通關、通山、通天；治肝臟病的明
黃、天黃、其黃；治腎臟病的通腎、通胃、通背。就有上針治上部、
中針治中部、下針治下部的作用。整體合用，全體照應，療效當然突
出。
3.對應
標幽賦說：「交經繆刺，左有病而右畔取，瀉絡遠針，頭有病而腳
上針。」董師善用上病下治，下病上治，左病針右，右病針左，絕不
在局部針刺，其治病常採對應取穴，效果卓著。董師常用之對應取穴
法有下列八種：
(1) 等高對應即在痛點對側相等部位施針，左側病痛可取右側
等高點，右側病痛也可取左側等高點，例如左曲池痛可針右曲池。這
與物理學說之共振理論，有其相合之處，推廣應用治療內科病也可不
採用雙側同穴針刺，而採用單側或雙側異穴針刺。
(2) 手足順對將上肢與下肢順向並列，以肘對應膝為中心對
應，可有下列對應：即肩對髖、上臂對大腿、肘對膝、下臂對小腿、
手對腳。如髖有病可取肩部穴位(例：肩中穴)施治；膝部有病取曲池
或尺澤(肘後歌)施治(反之肩部有病也可取髖部穴位施治，肘部有病也
可取膝部穴位施治)。個人常以五虎穴治腳趾痛，以小節穴治腳踝痛，
即係此一對應之運用。
(3) 手足逆對將上肢與下肢呈逆向排列，可有如下對應：即肩
與足、上臂與小腿、肘與膝、下臂與大腿、手與髖。如足踝部有病可
取肩部穴位治療，大腿有病可取下臂穴位治療(反之肩部有病可取足部
穴施治，下臂有病也可取大腿穴施治)，董師常取手上靈骨、後溪等穴
治療坐骨神經痛，個人亦常取支溝、外關治大腿痛痠，均係此一原理
之應用。
(4) 手軀順對法上肢除與下肢有對應關係外，與軀幹亦有對應
關係，將上肢自然下垂與軀幹呈順向並列對置，則有如下對應：即上
臂與胸 (或背) 脘，肘與臍 (腰) ，下臂與下腹 (腰) ，手與陰部。
如腰或下腹有病可取下臂穴位治療，陰部病可取手部穴治療(反之下臂
病也可取下腹或腰部穴位施治)。董師以手上大間等五間穴治疝氣即與
此一原理有關。
(5) 手軀逆對法將上肢與軀幹呈逆向並列，可有下列對應關
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係：即手 (腕)與頭(頸)，前臂與胸(背)脘，肘與(腰)，上臂與下腹(或
腰)，肩與陰部。如胸脘有病可取前臂穴位施治(如用內關或董氏奇穴
火串、火陵治心悸、胸悶等)，下腹有病可取上臂穴位施治(反之前臂
及上臂有病，亦可取胸脘及下腹穴位施治)。董師以肩部之天宗、雲白
等穴治婦科陰道病，及目前流行之手針以手指治頭病都與此一原理有
關。
(6) 足軀順對法下肢除與上肢有對應關係外，與軀幹亦有對應
闢係，將下肢與軀幹順向並列對置，則有如下對應：即大腿與胸 (背)
脘，膝與臍(腰)，小腿與下腹(腰)，足與陰部。如胸背有病可針大腿，
下腹有病可針小腿，反之大腿及小腿有病，亦可在胸腹施治。臨床常
以大腿部位之駟馬治肺、三通治心，個人常以門金治經痛，大敦、隱
白治崩漏，以及復溜治腰痛，三陰交治下腹病……等，其運用皆與此
一原理相合。
(7) 足軀逆對法將下肢與軀幹呈逆向排列，可有下列對應關
係：即足與頭、踝與頸項、小腿與胸 (背)脘、膝與臍(腰)、大腿與下
腹(腰)。如胸脘有病可針小腿，下腹有病可針大腿，反之胸脘及下腹
亦能治大小腿病。董師亦以正筋、正宗治頸項不適，個人常以臨泣冶
偏頭痛、陷谷治陽明頭痛、束骨治後頭痛，都與此一對應法有關。
(8)頭對應法除了手與腳及手腳與軀幹的對應外，頭面與尾亦形
成一種對應。例如臨床以部之長強治癲狂之腦病；以頭部之百會治療
脫肛就是常見的例子，董師亦常以沖宵穴治頭痛，也是此一原理之運
用。
(9) 頭足對應頭頂百會與腳底之涌泉也形成對應，即所謂的「天
頂對地門」，所以用涌泉治療頂痛及腦部病變。
(10) 前後對應人身前後亦有對應關係，如胸背對應，腰腹對應，
頸口對應等，董師常以頸部之總樞穴治發音無力，嘔吐等，一般十四
經穴則以承漿治項強，就是這種對應的應用。
4.體應
體應是董氏奇穴在治療方面最有針對性的發明及應用，掌握此一
原則，不只能將董氏奇穴應用得更深入更有效，以之於用在十四經穴
方面，也能加強及突出其效果。體應之要點即：以骨治骨；以筋治筋；
以肉治肉；以脈治脈。
(1) 以骨治骨治骨刺常用削骨針，即四花中及其下三寸的倒馬
針，兩針緊貼骨頭才有作用。本組穴位治療膝蓋骨刺，肥大性、退化
性關節炎療效很好。董師扎針，能貼骨就儘量貼骨，例如靈骨、火主、
大白等穴貼骨而入，不但針感強而且療效高。又如常用九里(風市) 穴
每每深至貼骨，治療各種風病、疼痛以及半身不遂，療效甚好。目前
有一派說法強調骨膜傳導，認為骨膜有傳導作用，因此扎針時儘量貼
骨或抵骨，療效較佳。
(2) 以筋治筋貼筋進針可治筋病，例如尺澤在大筋旁，可治全
身的筋病，對運動病變效果很好。又如正筋、正宗(阿基里斯腱)是一
大筋，針刺入正筋、正宗可治療頸筋強硬，小腿筋緊等多種筋病。
(3) 以肉治肉例如駟馬及肩中皆是肌肉較為豐富的部位，最常
楊維傑博士 5
用來治肌肉方面的病變，尤其是肌肉萎縮，療效甚好。在十四經方面，
曲池、手三里、合谷都是肌肉較豐富的地方，治療肌肉病變效果也較
好。當然肌肉萎縮多為陽明濕熱或火爍肺金，針這些穴位對清陽明及
肺金的療效都很高。駟馬、肩中、曲池、手三里、合谷等穴治療皮膚
病效果也很好。
(4) 以脈治脈緊貼脈管的穴位可治脈病，例如針人宗、地宗，
因靠近血管，調整血液循環，治心臟病及血管硬化效果很好。肺經的
太淵穴在脈旁為脈會，治療脈管病效果很好。此外，根據五行對應原
理，還能以骨治腎，以筋治肝，以脈治脾，以皮治肺等，董師書中隨
處可見，這裡就不再多與例證
楊維傑博士 6
附錄「體應全息」針法應用
體應針法包含體與體之對應，及體與臟之對應，可以說是全息針
法的一部份，也是董氏奇穴學之中心思想之一，早在《黃帝內經》中
就可以找到其刺法淵源。許多古人的經驗也與此相合，目前雖也能看
到些零星的應用經驗，但整體性全面性的論述並不得見，這理綜合董
師景昌及個人近四十年之臨床經驗，將理論與臨床做一簡要闡述。體
應全息亦稱「刺五體法」即：以骨治骨；以筋治筋；以脈治脈；以肉
治肉；以皮治皮。又可以五體治五臟，其原理及源流應係來自《內經》
。
董師應用頗多，個人應用尤多，現分述如下：
一、以體治體
(一 ) 以骨治骨
以骨治骨相當於古法之刺骨法，《刺齊論》說：「刺骨無傷筋」，此
一刺法之要則有二，一是進針抵骨，此法相當於《內經》之《輸刺法》。
《官針篇》說：「輸刺者，直入直出，深內之至骨，以取骨痺」。二是
貼骨進針，此法相當於《內經》之《短刺》，《官針篇》說：「短刺者，
刺骨痺，稍搖而深之，致針骨所，以上下摩骨也。」。董氏奇穴貼骨進
針之穴位甚多，進針抵骨之穴位也不少。清代周孔四先生在《周氏經
絡大全》說：
「凡病在內而上下行者，經脈也；左右行者，絡氣也。其
為穴也，經行至此而為之凝，故穴必附於骨。」。近代研究有「骨膜傳
導」之說，骨膜富含神經及血管，針刺抵骨或貼骨，透過骨膜傳導，
治療一些骨關節的疾病，效果甚佳。例如靈骨貼骨治坐骨神經痛特效
〈配大白貼骨更佳〉；人中、後溪、束骨均能治療腰頸骨刺，配風市穴
抵骨更佳。靈骨貼骨治療腳跟骨刺甚效。加取束骨穴貼骨牽引更佳。
曲池穴貼骨進針治肱骨外上踝炎〈網球肘〉；太沖貼骨治手腳痛，尤其
是治療膝痛更有效。
(二 ) 以筋治筋
以筋治筋相當於古法之刺筋法，《刺齊論》說：「刺筋者無傷肉」，
此一刺法之要則有二，一是刺在筋上，此法相當於《內經》之《關刺
法》
，《官針篇》說：「關刺者，直刺左右盡筋上，以取筋痺，慎無出血。」。
一是刺在筋旁，此法相當於《內經》之《恢刺法》，
《官針篇》說：「恢
刺者，直刺傍之，舉之前後，恢筋急，以治筋痺也。」。
這兩種刺法，對於治療筋病效果均甚佳，包括身體的拘攣，強直，
抽掣，弛緩皆有療效。例如董氏奇穴之「正筋」穴在阿基里斯腱之大
筋上，刺入筋中，治療頸項強直及疼痛甚效，治療腰扭傷效果亦佳。
再如尺澤穴位於大筋旁，貼筋刺入尺澤穴，可治全身拘急攣縮的病變，
治療五十肩之肩臂強硬不舉，治療手掌攣縮不伸，都甚為有效，治半
楊維傑博士 7
身不遂也極為常用。因本穴為肺(金)之子(水)穴，瀉之能使金不剋木，
筋自然就舒弛伸展。但又何嘗不是以筋治筋之作用？其它如承山、陽
陵能治筋病，也都可以說是此一刺法及理論的應用。
(三 ) 以脈治脈
以脈治脈相當於古法之刺脈法。《刺齊論》說：「刺脈無傷皮」，此
一刺法亦有兩種，一種是刺絡出血，即刺血療法；《官針篇》中的絡刺、
豹文刺、贊刺可說均屬此法之範疇。《官針篇》說：「絡刺者，刺小絡
之血脈也。」；「豹文刺者，左右前後針之，中脈故也，以取經絡之血
者。」；
「贊刺者，直入直出，數發針而淺之出血，是謂治癰腫也。」。
另一種刺法，則是刺入至大血管〈動脈〉旁，不傷血管不出血，緊貼
血管以治血管之病，此種針法在古書未見記載，為董師常用之針法之
一，亦當屬刺脈法。
刺絡法臨床極為常用，對於難病及痼疾有特殊療效，對於急性大
病及熱病也常有極好之療效。因臨床應用實在太多，不克在此一一列
述，僅舉出數例，便足以瞭解此法應用之廣泛及實用。如：在十二井
穴刺出血可治中風昏厥、高熱、咽喉腫痛…等。在委中刺血可治後頭
痛、頸項腰背痛、坐骨神經痛、腰扭傷、下腿痛、痔瘡、瘡癰、霍亂、
急性吐瀉……等。在肘彎點刺出血可治五十肩、手臂痛、氣喘、心臟
病、霍亂…等。
在耳背刺血可治眼病、口歪眼斜、皮膚病、失眠、多汗等均甚效。
董師另採「瀉絡遠針」法，在背部刺血治腳痛、膝痛、在下腰刺血治
上臂痛，在小腿之四花中、外穴刺血治軀幹之內臟病甚效，都是很平
常的用例。尤其難能者，董師常採取貼脈治脈之法，此法對一般人並
不陌生，如各書所載「脈會太淵」，以太淵穴治療各種血脈之病，早即
為針灸醫師索所熟悉，董師更將此法發揮，應用範圍更廣。
例如地宗穴，貼近動脈，主治「能使陽症起死回生，心臟病及血
管硬化」；又如火硬穴及火主穴下有太沖脈經過，亦常以此治血脈
病。
(四 ) 以肉治肉
以肉治肉相當於古法之刺肉法。《刺齊論》說：「刺肉無傷脈，刺
肉無傷筋」，《官針篇》中的浮刺、分刺、合谷刺可說都屬刺肉法。《官
針篇》說：「浮刺者，旁入而浮之，以治肌急而寒者也。」，
「分刺，次
分肉之間也。」「合谷刺，左右雞足，針於分肉之間，以取肌痺。」
浮刺為刺淺層的肌肉，亦可採斜刺或橫刺，治肌急而寒就是治肌怕冷
及攣縮拘急等。分刺則是刺較深層的肌肉，治療肌肉痛，麻木不仁或
萎縮。合谷刺則是直刺至一定深度後，將針提至皮下，再向左右或前
後各斜刺一針，形同雞足般的「个」字，治療感受風寒濕所致的肌痺
症。
例如臨床上常以合谷、曲池、手三里、足三里及大腿駟馬穴等肉
多處治療肌肉萎縮甚為有效，雖說「萎症獨取陽明」，又怎能說不是以
肉治肉的療效使然呢？這些穴位治療肌肉攣縮拘急或末梢神經沿炎亦
楊維傑博士 8
有效。承山及肩中在肌肉較多處，治肌肉病亦甚效。
(五 ) 以皮治皮
以皮治皮相當於古法針灸的刺皮法。《刺齊論》說：
「刺皮無傷肉」。
《官針篇》中的毛刺、半刺即係刺皮法。《官針篇》說：
「毛刺者，刺浮痺皮膚也。」「半刺者，淺內而疾發針，無針傷
肉，如拔毛狀，以取皮氣。」。毛刺敘述刺淺恰如毫毛之浮淺細微，手
法輕虛；半刺則指淺刺，淺內疾發亦如拔毛狀，也可說類同毛刺，只
是較毛刺略深，只淺刺皮膚，不傷肌肉，相當於近代的皮膚針〈梅花
針〉的叩打刺激法。毛刺多用於局部麻木不仁的浮痺症和一些皮膚病。
相當於半刺之梅花針刺法，其治療以微充血或微出血為度，治療皮膚
感覺異常、神經性皮炎、斑禿、脫髮、酒齄鼻都有很好的療效，也可
用三錂針淺刺散刺代替。但《官針篇》曾說：「膚白勿取」，可以瞭解
本法鑱針〈淺刺出血〉原係為陽盛而設，膚色變赤有血熱者較宜，例
如皮膚病皮膚色赤、丹毒、多發性癤腫或帶狀皰疹色赤等均可以此法
治之，上述治法多在病變局部施治。
董師之刺皮法別開生面，其多在肌肉肥厚處針治皮膚病，此有補
土生金之意，也有以皮治皮之應。如駟馬穴治皮膚病極效，
此處為陽明經所過，多氣多血，調理氣血作用甚好，但不宜深刺，
以應皮毛。或以瀉營法刺之，即先針至地部，然後再提至人部，施以
強捻瀉針後，再提至天部，然後留針，此即《難經》所說：「當瀉之時，
從營取氣。」，此種針法對皮膚變赤之皮膚病尤為有效。曲池穴治皮膚
病亦同此理此法。
二、以體治臟〈體臟對應〉
五體刺法，除能以體治體，即以骨治骨，以筋治筋，以脈治脈，
以肉治肉，以皮治皮外，還能透過腎主骨，肝主筋，脾主肉，心主脈，
肺主皮，而以骨治腎，以筋治肝，以肉治脾，以脈治心，以皮治肺，
達到體臟對應的治療效果。《官針篇》說：「半刺者，……以取皮氣，
此肺之應也。」，「豹文刺……以取經絡之血者，此心之應也。」，「關
刺者，……以取筋痺，慎無出血，此肝之應也。」，「合谷刺……針於
分肉之間，以取肌痺，此脾之應也。」，「輸刺者……深內至骨，以取
骨痺，此腎之應也。」，這就說明了五體刺法與五臟的相應。以下即簡
單舉述一些治例略作發揮。
(一 ) 刺皮應肺
臨床治療咳嗽氣喘等肺病，針水金或水通穴採皮下針施治。在少
商商陽淺刺點刺治肺熱喉痛或發熱，又如淺針食指之木穴治鼻病等，
皆係採皮與肺相應的刺法。
(二 ) 刺肉應脾
楊維傑博士 9
刺肌肉能應脾，肉厚之處有補氣理氣之效用，合谷太沖在手指及
腳趾之間肌肉較豐厚之處，理氣作用甚強，雖說因係「原穴」之故，
但脾〈氣〉肉相應也有關係。針駟馬穴能治皮膚病也能健脾補氣。董
氏奇穴如治肺之駟馬，治心之通關、通山、通天，治腎之通腎、通胃、
通背，治肝之天黃、明黃、其黃，及鎮痛要穴風市都在肌肉豐厚之大
腿處，實亦健脾，重視脾胃學說之故。
(三 ) 以脈治心
刺血治療心臟病最為有效。筆者以肘彎、四花中外〈條口、豐隆
附近〉刺血治癒多例嚴重心臟病患。刺脈如地宗穴能使陽症起死回生
〈強心〉
，能治心臟病及血管硬化；又如火硬火主夾太沖穴，下有動脈
應手，針此能強心，並治心臟麻痺。太沖穴亦有強心作用，曾以太沖
治療昏厥，經針人中百會未效，而太沖即效者數例。
(四 ) 以筋治肝
陽陵泉為治筋病要穴，也是治肝膽病的要穴，以承山治腳攣急抽
筋有效，治療胃痙攣痛及治月經痙攣痛也有效，這些也都與肝有關。
(五 ) 刺骨應腎
靈骨穴貼骨進針治腰痛，亦能補腎治足跟痛及腎虧各病。婦科穴
及還巢穴皆應貼骨進針，始能達到補腎治腎治不孕的效果。腕順穴所
治各症與腎有關，針刺時貼骨療效較佳，三陰交穴貼骨進針補腎之作
用更強。
某些穴位透過筋骨或筋肉的對應關係，能與多臟對應，治療病症
更多，例如手三里刺在筋上，曲池穴貼骨進針治療肱骨外上踝炎及手
肘肌腱病變甚效。此即由於筋骨皆治，肝腎並補之故。又如手千金穴
在太陽經及少陽經中間，在筋下骨前，能筋骨並治通於肝腎。所治各
病與筋骨肝腎有關。再如個人最常用的液門穴，在筋下貼骨進針，進
至中白〈中渚〉及下白肉多處，如此則與脾肝腎皆相關，脾肝腎之病
皆能治，主治之病既多而有效，為個人常用十大要穴之一。
楊維傑博士 10
奇穴與經絡
(一 ) 循經
循經取穴是針灸辨證取穴的最基本原則與方法。董氏奇穴大致亦
不例外。董師由於研究奇穴的突出，以致竟有些人對其在十四經穴的
成就懵然不知，這的確是一件可惜的事，殊不知董師因為對十四經穴
的深入與擴大，才有數百奇穴的發明，而董師在十四經穴之應用方面
確有許多發前人所未發之處，例如以髀關治感冒，以伏免治心悸、心
臟病，犢鼻治唇生瘡，公孫治腰痛、手麻，三陰交治腰痛、落枕，陰
陵泉治前頭痛，腕骨治眼病，肩外俞治小腿痛，'膏育稜針點刺治膝痛，
承扶治瘰，風市治肩痛、脅痛、半身不遂，陷谷治偏頭痛、腹瀉，
風府點刺治嘔吐……等等，董氏奇穴雖名之為「奇穴」，但董老師常說
其奇穴為「正經奇穴」，其原著亦稱「董氏正經奇穴學」，亦即穴位之
分布與十四經有密切關係，若非對十四經穴有極為深刻之認識，斷難
發現如此多之奇穴，在其原著書後亦附有「董氏對十四經穴主治病症
之修訂」可資參考，．這裡再舉幾個奇穴中的例子，與各位說明：董
師常用肝門穴治肝病，中醫認為肝病多濕，小腸為分水之官，小腸之
原穴腕骨即為治黃要穴(通玄指要賦、玉龍歌、玉龍賦)，肝門穴位於
手臂小腸經中央，即合經絡，又合全息治中焦肝病之理、其效顯著，
自無疑義。又如正筋、正宗之治療頸項，即合對應(詳見七七部位正筋
之說明)又與膀胱經有關，治療頸項病當然有奇效。再如搏球之治背
痛；其門、其正、其角之治痔瘡；天黃、明黃、其黃之治肝病；下三
皇之治泌尿、脾胃、婦科病包含三陰交穴在內；人士、地士、天士及
曲陵穴等之治氣喘感冒與肺經有關；門金之治腸胃病變與胃經有
關……等等，真是不勝枚舉，這些皆足以說明董氏奇穴是以十二正經
為基礎發展起來，而又兼顧對應全息，因此效果更為突出。
此外循經取穴除包括本經取穴外，尚有表裡經取穴，例如以脾經
之火菊治療前頭(陽明頭痛)；以內關治療三焦之氣機不順；在四花中、
外、豐隆點刺出血治療痰(脾聚痰濕)瘀阻滯之病……等亦是，不勝枚
舉。
(二 ) 交經
交經又名通經取穴法，或稱六經同名經相通取穴法，即太陰通太
陰，陽明通陽明，少陰通少陰，太陽通太陽，厥陰通厥陰，少陽通少
陽的三陰三陽相通，實際上就是六經同名經相通。這種關係，對人體
的病理生理均有影響，例如心腎之氣必須相交，就是因於手足少陰相
接的特點；包絡相火可以寄附於肝膽，專賴手足厥陰通連為之維繫。
六經相通，在傷寒論中，記之甚詳，並以之辨證論治，但在針灸
治療之應用方面卻少人知。但應用的機會則不在少數，效果也很好。
董師在奇穴方面也常應用通經法。例如，以腕順一、二穴治療膀胱經
腰痛，還可治對應的足外側痛。又如以魚際可治公孫(手太陰通足太陰)
部位痛，再擴展演伸出五虎穴治大趾痛。這種方法有時不需要有固定
楊維傑博士 11
的穴位也能治療疾病，只要掌握經絡、掌握對應比例即可，例如小腿
承山部位痛，可在手臂的中段(太陽經)找穴位治療即可。
(三 ) 五臟別通用法
這是董氏奇穴應用最突出、最廣泛及最精華的部份，雖然在董師
書中從未提及這方面的理論，但其應用則時時處處與之相合。五臟別
通首先見於李挺「醫學入門」，引自臟腑穿鑿論。唐宗海之「醫經精義」
有較細的發揮。但他們都並未深入瞭解其源流，五臟別通應係由六經
之開閤樞變化發展而來(開闔樞則又係由易經演變而來)。)。靈樞根結
篇說：
「太陽為
開，陽明為
閤，少陽為
樞」，又
說：「太
陰為開，厥
陰為閤，少
陰為樞」，
以三陰三
陽同氣相求，作手足相配之表如下：
這樣就構成了肺與膀胱通，脾與小腸通，心與膽通，腎與三焦通，
肝與大腸通。除五臟別通外，胃也應與包絡通。從此一原理來探源董
氏奇穴之原理及應用，許多疑惑自可不言而解，以此原理發揮應用更
能揮灑自如，早在 1992 年個人重新修訂之「董氏奇穴針灸學」已將此
一原理之應用明註於該書各穴位之說明中，現將其中部份用例再提出
看看，當能更瞭解其應用。
例如：重子、重仙在肺經上，但可治膀胱經之背痛，及肩胛部疼
痛。肝門穴在小腸經上，小腸為分水之官，清利濕熱之效甚好，所以
能治肝炎。眼黃穴在心經上，透過心與膽通，所以能治眼發黃；還巢
穴在三焦經上，因三焦經與腎相通，故透過治理三焦，疏肝補腎能治
婦科病、不孕症等。又如火包穴在胃經第二腳趾上透過胃與心包通，
治心痛甚效。通關、通山在胃經上治心臟病亦甚效。木穴在大腸經上，
但能治肝經之疝氣痛，其它大、中、小浮間皆在大腸經上，都能治疝
痛。又五十肩病痛多在肩背小腸經處，針腎關(在脾經上)特效。
十四經穴應用五臟別通之原理取穴，療效亦非常好，例如，以曲
池治頭暈，就是透過大腸與肝通的應用。腕骨在小腸經，能清脾濕，
治黃疸，自古為治黃要穴。中渚在三焦經上，治腎虧腰痛甚效。足三
里為胃經穴，但治心臟病甚效。內關為心包絡穴位，但治膝痛甚效，
此因通過膝部最主要之經絡為胃經。
此種方法應用極靈活，例證甚多，療效極好，在此不再多舉。
楊維傑博士 12
結語
學習中醫，尤其是針灸，能具備深厚的現代醫學知識，當然更為
有利，但設若脫離中醫的學理，亦決不可能產生好的成績。因此深入
瞭解掌握中醫原理將有助於針灸臨床的更大發揮，董師的學術成就及
臨床效果，就是此一事實的明證。董師之針灸醫術，浩如瀚海，深若
淵壑，並不只前述幾項，其它如精通掌診、重視辨證論治，往往治療
不同病患，所針部位相同，而收效良好；取穴靈活機動，雖有定穴並
無定點，常就病變反應取穴；用針精要，反對一病多針，要求一穴多
病，臨床從不超過六針，用針常在二、三針內，然每能針之至，立起
沉，令人嘆服。總之，董師景昌幼承祖學，專攻針灸，醫術精湛，
超邁前賢，個人得以入其門下，並承厚愛，盡授絕學，無限感念，僅
就所學所知，舉其犖犖大者於前，雖不能概括董師學術精華之什
一……，但已足見董師學術之博大微奧。堪稱當代針聖而無愧。
無可置疑的，三十年來，台灣針灸界雖是百家爭鳴，各有發揮，
但若無董師景昌的出現，及董氏奇穴的發明風行，這些成果不會顯得
如此突出。針灸界必須珍惜這份既有的成果，也希望各位能以即有的
條件，從更廣更深的角度來研究董氏奇穴，相信必能作出更輝煌的成
就與貢獻。
近幾十年來，中國針灸迅速傳遍世界，國內針灸界近幾年亦有長
足的進步，但董氏奇穴這塊瑰寶，仍有待各位去發掘琢磨，擴大流傳，
使其更光輝的為世人健康作出更大的貢獻。1999 年元月於中華中醫學
說學理學會(時任該會理事長)
按：「一談董氏奇穴及其學術思想」於 1981 年 3 月 25 日講於台

灣三軍總醫院針灸科
「再談董氏奇穴及其學術特色」於 1988 年春天講於美國針灸學
會
「三談董氏奇穴學術思想與特色」於 1998 年冬講於中華中醫學
說學理學會
(本文原刊於 1975 年拙著「針灸經緯」，2003 年 3 月修改刊於加

州針灸中醫師公會)
楊維傑博士 13
bb. I Ching Acupuncture

-David Twicken, DOM, LAc
I Ching Acupuncture and the Balance Method is a clinically proven method of point selection
based on the principles of the I Ching and Ba Gua. This unique method of Acupuncture contains
principles and applications from the Chinese medical classics Nei Jing and Nan Ching, which will
be presented revealing the theory for I Ching Acupuncture. It includes the first public
presentation of the Daily Balance Method. Attendees will be able to immediately select
Acupoints for their clinical practice based on the Ba Gua and I Ching.
Page 1 of 1
I Ching
Acupuncture
The Balance Method
A Study of Clinical Applications of the I Ching
Dr. David Twicken, DOM, L.Ac.
Copyright 2006 David Twicken, DOM, L.Ac.

Page 2 of 2
Chinese Dynasties
Dynasty Years
Longshan 2500 B.C.
Xia 2100-1600 B.C.
Shang 1600-1045 B.C.
Zhou 1045-221 B.C
Western Zhou 1045-771 B.C.
Eastern Zhou 770-256 B.C.
Spring and Autumn Period 722-481 B.C.
Warring States Period 403-221 B.C.
Qin 221-206 B.C.
Han 206 B.C.-220 A.D.
Western Han 206 B.C.-24 A.D.
Eastern Han 25 A.D.-220 A.D.
Three Kingdoms 220-280
Jin (Western and Eastern) 265 -420
Southern and Northern 420-589
Sui 581-618
Tang 618-907
Five Dynasties and Ten Kingdoms 907-960
Song 960-1279
Liao 916-1125
Jin 1115-1234
Yuan (Mongol) 1271-1368
Ming 1368-1644
Qing (Manchu) 1644-1911
Republic of China 1912-1949
People’s Republic of China 1949-present
Legendary leaders:
Fu Xi 2852-2737 B.C
Shen Nong 2737-2697 B.C.
Huang Di 2697-2597 B.C
Yu 2205-2197 B.C.

Page 3 of 3
Wu
Ji
Yang Yin
Add a Yang and Yin line to each
Tai Yang Shao Yin Shao Yang Tai Yin
Add a Yang and Yin line to each
Qian Dui Li Zhen Xun Kan Gen Kun

1 2 3 4 5 6 7 8

Page 4 of 4
Early Heaven Ba Gua

Xian Tian Ba Gua

Page 5 of 5
Ba Gua and 14-Channels

Page 6 of 6
Ba Gua1 and 2-ZangFu Channels

Page 7 of 7
Five Phases
Wood Fire Earth Metal

Water
GB Si St Li
BL SJ
Five Phases, Sheng Cycle
Wood Fire Earth Metal

Water
Liver Heart Spleen Lung

Kidney PC

Page 8 of 8
64-Hexagram (Gua)
Symbol-Image Favorable Gua
Qian-1 Dui-2 Li-3 Zhen-4 Xun-5 Kan-6 Gen-7 Kun-8

Q
i
A
n 1 43 14* 34* 9* 5 26* 11*
D
u
i
38 41
10 58 54 61* 60 19*
L
i
49 30 37* 36
13* 55* 63* 22
Z
h
E
n 25 17 21 51 42* 3 27 24*
X
u
n
44 57 48 46
28
50* 32* 18*
K
a
n
6 47 59 29 4
64 40* 7*
G
e
n
56 62 53 39
33 31* 52 15
K
u
n 23
12 45 16 20 2
35 8*
* = Favorable Symbol-Image Gua

Page 9 of 9
Hexagram and Six Channel Pairs
Tai Yang 3_______ 6

Shao Yang 2_______ 5
Yang Ming 1_______ 4
Tai Yin 3_______ 3
Shao Yin 2_______ 2
Jue Yin 1_______ 1
Six Channel Pairs:
a. Jue Yin-Yang Ming (1-4)

b. Shao Yin-Shao Yang (2-5)
c. Tai Yin-Tai Yang (3-6)
Corresponding Pairs
1-4
2-3
3-6

Page 10 of 10
Meridian Clock

Page 11 of 11

Page 12 of 12
David Twicken, DOM, L.Ac.

www.HealingQi.com
Continuing Education Distant Learning

I Ching Acupuncture, 7.5-CEU’s
Medical I Ching, 7.5-CEU’s
Tao Time Acupuncture, 15-CEU’s
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E-Books
I-Ching Acupuncture
Tao Time Acupuncture
Introduction to Auspicious Date Selection
Introduction to Water Placement Feng Shui
Flying Stars Feng Shui Made Easy 4th Edition
Introduction to Qi Gong
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Spiritual Qi Gong
Spiritual Astrology
CD’S
Chinese Astrology-Four Pillars CD
Feng Shui CD
Feng Shui Consultations-Contact David
Chinese Astrology Consultations-Contact David
Workshops, Classes and Retreats:

www.healingqi.com

cc. Laser Acupuncture – Theory, Research and Application

Steve Liu, LAc
This workshop will introduce the history of laser acupuncture, and its clinical applications. Laser
acupuncture was investigated and clinically applied in China since the late 60’s. More advanced and
portable laser acupuncture systems were developed and spread throughout Europe in the 1990’s.
Early laser acupuncture techniques were confined to the stimulating of one acupoint at a time. With
development of the new devices, simultaneous stimulation of multiple points becomes possible.
Austrian research and that of the presenter will be cited.
Laser Acupuncture:
History, Science, Research, and Clinical Application
An AAOM 2006 Conference Presentation
By
Steve Liu, L.Ac., BSEE
October 22, 2006
About the Speaker
• Steve Liu, L.Ac., B.S.E.E. – Steve received his electrical engineering degree from San Jose State University, San Jose,
California in 1989
• He was involved in a research and development project between 1985 and 1995 on magneto-optical disk drive in Silicon
Valley. He was the chief designer for laser diode driver and pre-amplifier in an optical disk drive design
• In 1997 he completed TCM study in American College of Traditional Chinese Medicine, San Francisco, CA. and interned
with his acupuncturist mother, Dr. Grace Liu
• Steve was first exposed to laser acupuncture when he was visiting Shanghai TCM University in 2000. In 2001 and 2002 he
received laser and laser acupuncture training from Dr. Naeser and Dr. Rindge
• Steve’s publications include Laser Acupuncture Primer (2001) and Treatment of Carpal Tunnel Syndrome with Laser
Acupuncture (2002) for the California Journal of Oriental Medicine
• He is currently developing a commercial laser acupuncture unit called Laserpuncture that allows treating multiple
acupuncture points simultaneously. He has extensive knowledge in this unique approach and has used this laser acupuncture
modality in his clinic since 2001
• Steve is the founder of American Society of Laser Acupuncture Therapy (ASLAT), an active member of North America
Association for Laser Therapy (NAALT), American Association of Oriental Medicine (AAOM), and president emeritus of
Arizona Society of Oriental Medicine and Acupuncture (AzSOMA)
Presentation Objectives
• Learn about the nature of light and its role in the Einstein’s Theory of Relativity
• Learn the history and science of laser light
• Learn the development and researches of laser and laser acupuncture therapy
• Learn what laser can do in an acupuncture clinic
• Learn why laser acupuncture is the choice of therapy of the future
1
Presentation Topics
• Introduction to Light
• Introduction to Light Physics
• Einstein and Light
• History of Laser
• Physics of Laser Light
• History of Low Level Laser Therapy (LLLT)
• Science and mechanism of LLLT
• Research and Development of LLLT
• History of Laser Acupuncture Therapy (LAT)
• Science of Laser Acupuncture
• Research History of LAT
• Clinical Application of LAT
• The Future
Seven Important Event Timelines mentioned in This Presentation
• 1879: _____________________________
• 1905: _____________________________
• 1917: _____________________________
• 1957: _____________________________
• 1960: _____________________________
• 1967: _____________________________
• 2002: _____________________________
• 2006 and Beyond: ___________________
Light
• Light has been a source of information about our immediate world, sun, moon, planets, stars, and other heavenly bodies
• Back in the first century A.D. a Greek engineer believed that light was a kind of “feeler” or antenna sent out by the eyes to
detect the things we saw. About 900 years later, an Arabian physicist figured out that light comes from a source, such as sun,
and everything we see reflects light from the source to our eyes
• Two theories arose about the nature of light. One theory said that light was a stream of particles that traveled in straight lines.
The other said that light was made of waves
2
Light Physics
• Speed, or velocity, of light: finite, constant, and absolute. In the emptiness of space (vacuum), light travels at a rock-solid
186,282 miles per second, and nothing can travel faster!
• Nature of light: Scientists found that, through experimentation, light can be blocked, bent, bounced, broken up, caught,
filtered, and scattered
Einstein and Light
• The most obvious and most important source of light is the sun. Other manmade sources include fire, candles and oil, gas
lamps, electrical arc lamp, fluorescent lamp, and incandescent electrical light bulb (Thomas Edison, 1879)
• Vision, our ability to detect light, is the most dominant of our five senses. So it’s no surprise that many people have spent
time thinking about the nature of light. Albert Einstein was no exception
Einstein and Light
• Albert Einstein was born in Germany on March 14, 1879. He published his Theory of Special Relativity (E=m0c2) in 1905.
This is the most celebrated equation of twentieth-century physics, which expresses the fundamental equivalence of mass and
energy
• In the equation, E is energy; m0 refers to the mass at rest, and c is the velocity of light (in vacuum it is equivalent to
299,792,458 meters per second). It means even when an object is at rest it represents a tremendous amount of energy. To give
an idea, it means that in one kilogram (about 2.2 pounds) of any form of matter about 1017 joules is stored - the same amount
of energy one gets from burning more than a million tons of coal!
• In 1917, Einstein first theorized about the process which makes laser possible called “Stimulated Emission”
3
History of Laser light
• 1917 - The physics of lasers were first imagined and described by Albert Einstein – assuming in his Theory of Relativity
(E=MC2) that light shares characteristics of both particles and waves, Einstein proposed that when a photon of the correct
energy level collides with an atom which has been energized under the right condition, two photons of precisely the same
energy would be emitted – “Stimulated Emission of Radiation”
• 1957 – A Columbia University doctoral student, Gordon Gould, first coined the word “laser” – an acronym for Light
Amplification by Stimulated Emission of Radiation - and conceived a process to construct a physical laser. Gordon Gould is
the true inventor of the laser
• 1960 – American physicist Theodore Maiman first constructed and demonstrated a functional Ruby laser
10
Laser Light Physics
• L.A.S.E.R. is an acronym for Light Amplification by Stimulated Emission of Radiation
• Stimulated Emission - Emission in the form of a photon (a quantum of electromagnetic energy - generally regarded as a
discrete particle having zero mass, no electric charge, and an indefinitely long life time) is generated when an electron makes
a transition from an upper to a lower energy level (state). The electrons are stimulated to produce additional photons in a
laser because the photons are partially "trapped" in a optical cavity to build the optical wave through positive feedback
11
Laser Light Physics
• Radiation - refers to the emission of photons. The type of radiation emitted from low-energy lasers in the red or infrared
wavelength range is non-ionizing radiation, not known for cancer-causing. The photons emitted with very short wavelength, such
as gamma rays, x-rays, or ultraviolet rays in the sunlight, are cancer causing
• In a laser light the radiation is considered to be coherent since all the emitted photons are in phase both in temporal and spatial
planes, just like a perfectly synchronized group of dancers
• The laser light is coherent and monochromatic (one color)
12
4
Laser Light Physics
• 3 important parameters: power, wavelength, and energy density (or power density)
• Power - refers to emission power. A laser emits more or fewer photons according to its emission power; the more energy per
second, or photons, it emits, the more powerful it is (and it costs more $)
• Watt (power unit) and Joule (energy unit):

1 Watt (P) = 1 joule (E) / second (t) or P = E / t or E = P x t
The low-energy laser in this lecture refers to lasers which are 5 to 500 milliwatts (mW) in emission power. One milliwatt is
one-thousandth of a watt. When a 5 to 500 mW laser beam is shown onto the skin, it produces no heat, no cold, no pain. A
laser will begin to burn the skin when it is over 500 mW and it produces pain. The cutting lasers used in surgery are often
above 300 watts; some vaporize the tissue away
13
Laser Light Physics
• Wavelength - When a periodic variation is considered with respect to distance, one cycle includes the wavelength, which is
the length of one complete wave or cycle. The visible lights (i.e. red, orange, yellow etc.) that our eyes can see are between
400 nanometer (nm) and 800 nm. Ultraviolet is below 400 nm and infrared above 800 nm. Most wavelengths of low-energy
lasers used in the LLLT and LAT are in the 600 - 1000 nm range, or red to infrared. The wavelengths in the visible spectrum
do not cause cancer.
• nanometer (nm): 1 nm = 1 billionth of a meter and 1 meter = 39.37 inches
14
Laser Light Physics
• Energy Density - Often a "dosage" of a particular LLLT or LAT is expressed in the terms of
energy density, or energy ( in joules) / area (in cm2) or E/A or
(P x t)/ A where the area (A) is the beam spot size of the laser. Usually the area can be
approximated by the laser probe tip aperture (ie. The opening of the probe tip)
• The formula for the calculation of the area A = 3.14 x r2 where r is the radius of the laser
beam
• The following formula is used to calculate the necessary time to produce 1 joule/cm2:
(Output Power in Watts x Seconds)/Beam Area in cm
= 1 joule/cm2 or (P x t )/ A = 1 J/ cm2
15
5
Laser Light Physics
• With a 5 mW Laser (0.005 Watts), P = 0.005

with a 5 mm( about 2 tenth of an inch) diameter aperture on the probe tip, the Beam Spot Size is 0.196 cm2 (use formula A =
3.14 x r2 )
The necessary time to emit 1 Joule per cm2 (Energy Density) is computed as follows:
(0.005 Watts) x (X Seconds) / 0.196 cm2 = 1 Joule/cm2 0.005 X = 0.196 cm2
X = 0.196 / 0.005
X = 39.2 Seconds
It means it takes about 40 seconds of treatment time to obtain one joule of energy using a 5 mW laser with a 5 mm diameter
of probe tip opening !
Thus, if a specific dosage for a treatment calls for 4 joules/cm2 and still use the laser probe from above, the treatment time
then will be about 160 seconds (4 x 40 seconds)
16
History of Low Level Laser Therapy (LLLT)
• In the 6th century B.C. Herodotus observed that exposure to sunlight was required for normal bone growth. Ancient Egyptian,
Greek, and Roman physicians used solar therapy to address a wide variety of medical conditions
• In 1904 Danish physician Nils Finsen was awarded the Nobel Prize for successfully using UV light sources to treat diseases
• The laser light wasn’t used on biological tissues for healing purpose until 1967 when a Hungarian physician, Dr. Endre
Mester, first did experiments on rats and discovered the “bio-stimulation” effect of the low level laser light
• Dr. Mester demonstrated that red and infrared laser light at low intensity accelerated wound healing and hair growth,
increased collagen synthesis, enhanced the formation of new blood vessels, and promoted enzyme synthesis. He was regarded
as the father of low level laser therapy (LLLT)
17
• In the late 1960s LLLT was widely practiced throughout Eastern Europe, Soviet Union, and China. Since 1967, more than
2,000 clinical studies have been published worldwide, mainly in Russia and Europe, on low level laser therapy. The studies
showed the laser light treatments are safe and effective
• With the advent of new and relatively inexpensive solid state laser diodes and the collapse of Soviet Blocs in the 80s and 90s,
low level lasers quickly spread throughout Western Europe where they enjoy widespread research and acceptance
18
6
• In the U.S., Dr. Margaret Naeser, a research professor of neurology, Boston University School of Medicine and a Licensed
Acupuncturist, helped to establish the first Investigational Review Board in 1987 in Boston to oversee LLLT and laser
acupuncture therapy research to treat paralysis in stroke
• In 2002 FDA cleared few low level laser devices to be marketed for specific conditions
• In current LLLT research the question is no longer whether light has biological effects but rather how energy from
therapeutic lasers works at the cellular and organism levels and what are the optimal light parameters for different uses of this
light source
19
LLLT Science and Mechanism:

What we do know and what we don’t know
• The first law of photobiology states that for low power visible light to have any effect on a living biological system, the
photon must be absorbed by electronic absorption bands belonging to some chromophore or photoacceptor
• It was suggested in 1989 that the mechanism of LLLT at the cellular level was based on the absorption of monochromatic
visible and near-infrared radiation by components of mitochondrial respiratory chain. The complex transfer of electrons in
the chain leads to increased production of ATP
20

• Both the absorption and scattering of light in tissue are wavelength dependent (both much higher in the blue region of the
spectrum than the red) and the principle tissue chromophores (hemoglobin and melanin) have high absorption bands at
wavelengths shorter than 600 nm. Water begins to absorb significantly at wavelengths greater than 1150 nm. Thus there is a
so-called “optical window” in tissue covering the red and near-infrared wavelengths, where the effective tissue penetration of
light is maximized.
• Therefore the use of LLLT in animals and patients exclusively involves red and near-infrared light (600 to 1000 nm)
21
7
Cell Healing Pathways Induced by LLLT
• Cellular chromophores are responsible for the effect of visible light on mammalian cells, including cytochrome c oxidase
(with absorption peaks in the near-infrared) and photoactive porphyrins
• Mitochondria are thought to be a likely site for the initial effects of light, leading to increased ATP production, modulation of
reactive oxygen species (ROS) and induction of transcription factors
• These effects in turn lead to increased cell proliferation and migration (particularly by fibroblasts), modulation in levels of
cytokines, growth factors and inflammatory mediators, and increased tissue oxygenation
22

Unresolved Questions
Wavelength – Wavelengths in the 600 to 700 nm range are chosen for treating superficial tissue, and wavelengths between 780 and
1000 nm are selected for deeper tissues due to longer optical penetration distances through tissue. Wavelengths between 700
and 770 nm are not considered to have much activity – but what is the best wavelength for what particular condition?
Laser vs non-coherent light – Does the coherence and monochromatic nature of laser light have additional benefits as compared
with more broad band and non-coherent light from a LED with the same center wavelength and intensity?
Dose – Choosing the optimal dosage of light in terms of energy or power density for any specific medical condition is difficult
23

Unresolved Questions
Pulsed or CW – The underlying mechanism for the effect of a pulsed light is unclear. For instance some studies found better effects
using 1 or 2 Hz pulses than 8 Hz or CW 830 nm laser on rat bone cells
Polarization status – Is the polarized light better in LLLT applications than otherwise identical non-polarized light?
Systemic effects – Although LLLT is mostly applied to localized diseases and its effect is often considered to restricted to irradiated
area, there are reports of systemic effects of LLLT acting at a site distant from the illumination – so called primary,
secondary, and tertiary effects
24
8
• There are three main areas of medicine where LLLT has a major role to play :
• Wound healing, tissue repair, and prevention of tissue death

• Relief of inflammation in chronic diseases and injuries with its associated pain and edema
• Relief of neurogenic pain, neurological disorders, and acupuncture application
25
LLLT Research and Development
• LLLT has been used to stimulate tissue repair, the healing of acute and chronic skin wounds since the 1970s
• Over 1500 LLLT studies were collected by Drs. Jan Tuner and Lars Hode, the authors of Laser Therapy – Clinical Practice and
Scientific Background. They found many pitfalls such as extremely low energy density, lack of control group, techniques, etc. in
the negative studies
• In last 5 years progress were made in the LLLT researches in acute spinal cord injuries, heart attacks, stroke, nerve injury, and
retinal toxicity
• However, one of the most important limitation to advancing the field into mainstream medical practice is the lack of
appropriately controlled and blinded clinical trials. The trials should be prospective, placebo controlled and double blinded and
contain sufficient subjects to allow statistically valid conclusions to be reached
26
LLLT Clinical Applications
• LLLT is used by physical therapists to treat a wide variety of acute and chronic musculoskeletal aches and pains
• By dermatologists to treat edema, non-healing ulcers, burns, and dermatitis
• By orthopedists, DCs, L.Ac.s to relieve pain and treat chronic inflammations
• LLLT is also widely used in veterinary medicine (especially in racehorse-training centers) and in sports medicine and
rehabilitation clinics to reduce swelling and hematoma, relieve pain, improve mobility, and treat acute soft-tissue injuries
• Also LLLT cab be applied directly to the respective areas (e.g. wounds, injuries sites) or to various points on the body such as
muscle-trigger points or acupuncture points (Laser Acupuncture Therapy, or LAT)
27
9
Laser Acupuncture Therapy (LAT) History
• Laser stimulation is the most recent technology to be applied in acupuncture therapy. Laser acupuncture is defined as the stimulation of
traditional acupuncture points with low-intensity, non-thermal laser irradiation
• Beginning in 1973, extensive clinical laser acupuncture was conducted and results were published in China. At the time a Helium-Neon
gas laser with 632.8 nm wavelength and 1.6 mW output power was used in the treatment of over 200 medical conditions from internal,
gynecological, to pediatric and neurological disorders. In 1990’s the technique was further refined, developed, and practiced throughout
Europe
• In the United States one of the most notable laser acupuncture researchers is Dr. Margaret Naeser, Ph.D., L. Ac. who has been doing
laser acupuncture research since 1984
28
Dr. Margaret Naeser, PhD, L.Ac.

The Mother of American Laser Acupuncture
• Received her B.A. from Smith College, and her Ph.D. degree in Linguistics from the University of Wisconsin (1970)
• A 1983 graduate of NESA (New England School of Acupuncture)
• A Principal Investigator, Neuroimaging/Aphasia Research, V.A. Boston Medical Center and the Boston University Aphasia
Research Center
• In 1985, she was invited by the Shanghai Medical University to exchange research information. While in China, she studied
the use of acupuncture and laser acupuncture in the treatment of paralysis in stroke patients
• She is a Research Professor of Neurology, Boston University School of Medicine. Dr. Naeser has conducted research with
acupuncture and laser acupuncture to treat paralysis in stroke patients, and laser acupuncture to treat pain in carpal tunnel
syndrome
• In addition to authoring over 80 articles on brain imaging and aphasia, four articles on acupuncture treatment of paralysis in
stroke, and two articles on laser acupuncture to treat carpal tunnel syndrome, Dr. Naeser has published two books, including
Laser Acupuncture: An Introductory Textbook for the Treatment of Pain, Paralysis, Spasticity and Other Disorder
• Dr. Naeser is a frequent lecturer on low level laser and clinical applications in acupuncture practices at New England School
of Acupuncture, Watertown, MA
29
Science of Laser Acupuncture
• In 1998, after a Consensus Conference the United States National Institute of Health concluded the acupuncture was proven effective
in many medical conditions
• Since then many more studies were funded by NIH and private researches were published. Currently over 200 scientific publications
dealing with the elementary mechanisms of acupoint-analgesia exist
• Many animal experiments showed that the ability to block the analgesic effect of acupuncture by injecting an opiate antagonist in the
acupoint is a strong indication the afferent nervous system plays a role in transmitting the effects of acupuncture
30
10
• Although the fundamental mechanism of LAT is still not clear, it is reasonable to

assume the combination of bio-stimulation effects of LLLT and metal-needle
acupuncture can also be applied to LAT
• It is suggested that using molecular-dynamical methods of theoretical physics, it is

possible to calculate and predict the interaction of photons with complex molecules
• If we assume that elementary stimulation in acupuncture is generated on a

molecular level, the molecular-dynamic calculation shows that optical stimulation
show physiologically identical results and also generate and maintain a rhythmic
cascade of action potentials at the nociceptive structures as those produced when
chemical transmitters such as substance P and bradykinine are released after needle
acupuncture
31
• Based on a recent published Laser Acupuncture study by Medical University of Graz of Austria, it was suggested that for
this technique to mimic the effect of needle acupuncture there are three criteria: (for information only. Not as golden
rules)
1) Simultaneous stimulation of all prescribed acupoints – many past studies were done with the stimulation of one acupoint
at a time. Possible a “synergetic effect”, which exists in needle acupuncture, is lost if acupoints are not stimulated
simultaneously
2) The laser should be operated in “Continuous Wave” or CW mode – The needle acupuncture is a continuous constant
stimulation which lasts as long as the needle is inserted. Frequency-modulated laser light is generally not equivalent to the
application procedure of the classic needle acupuncture
3) Minimum threshold of laser optical power density is required in order to activate the physiological effects of needle
acupuncture and there is a desirable power density to achieve metal needle equivalent acupuncture
32
Research History of LAT
• In 1985 Dr. Naeser observed the use of low-level energy HeNe laser stimulation on acupuncture points to treat paralysis in
stroke patients in Shanghai, China
• In 1989 Dr. Naeser presented a paper titled “Laser Acupuncture in the Treatment of Paralysis in Stroke Patients: A CT Scan
Lesion Site Study” in Germany
• In 1993 Dr. Naeser began a first randomized, double-blind, placebo-control, crossover trial on Carpal Tunnel Syndrome pain
treatment with Low level laser acupuncture and TENS
33
11
• In 1996 Dr. Naeser’s study paper was presented at the American Society for Lasers in Surgery and Medicine’s 16th annual
meeting; at the National Institute of Health Consensus Development Conference on Acupuncture in 1997; and at the 2nd
World Congress Meeting of the World Association for Laser Therapy in 1998
• In 2002 the study was finally accepted and published by the Journal of American Academy of Physical Medicine and
Rehabilitation
34
• Dr. May Loo, an assistant clinic professor at Stanford University and the author of the book Pediatric acupuncture, was the
first researcher recipient of a National Institute of Health (NIH) research grant to study the efficacy of laser acupuncture in
the treatment of children with attention deficit hyperactivity disorder (ADHD)
• In this unpublished preliminary pre-post single-blind study, data from students in grades K to 3, found improvements in
Conners 10-item scores by teachers (n=7) from 17.0 to 12.0 and in analogous parent scores (n=6) from 23.1 to 15.5.
35
• Dr. Peter Whittaker from the department of Emergency Medicine, University of Massachusetts Medical School, has recently
published a study of laser acupuncture for pain treatment
• A rodent model, measures the time taken before a rat withdraw its tail from a heat source, provides a well-established and
objective assessment of analgesia. Acupuncture needle and electro-acupuncture at the acupoint Spleen-6 has been found to
increase tail-flick time in rats
36
12
• In this study, a 550 µm diameter optic fiber was used to irradiate acupoint Spleen-6 for 2 minutes (690 nm, 130 mW) in rats. The
baseline tail-flick time was measured and 15 minutes later the laser acupuncture or the control protocols were performed and tail-
flick time re-measured 10 minutes after treatment. Additional experiments were done in which the opioid-blocker naloxone was
administered one hour before laser acupuncture treatment
• Tail-flick time increased after laser acupuncture (P=0.0002). In contrast, no increase was found after sham treatments.
Pretreatment with naloxone attenuated the increase in tail-flick time
• The study proved laser acupuncuture exerts an analgesic effect which may act via an opioid-mediated mechanism
37
• Latest development from Europe: University of Graz, Austria has done a very extensive 5-year research on the validity of laser
acupuncture in clinical applications
• Clinical studies include pain therapy, gynecological issues, asthma, migraines and trigeminal neuralgia, and depression and anxiety
• One of their studies using fMRI demonstrated that laser acupuncture of the vision-related acupoint UB67 on the little toe activates
the visual cortex of the brain, together with the known ability of laser irradiation to induce cellular effects at subthermal threshold
provides impetus for further research
38
• In last two years over 750,000 acupuncture treatments with “laserneedles” were performed worldwide. The medical potential
of this new acupuncture technique is huge
• At the moment ten university clinics in Germany, Austria, Switzerland, and France are performing scientific studies
• All of the laser acupuncture studies will contribute to a better understanding and objectification of effects not only for
acupuncture with laser but also for classic acupuncture and promote the use of this comprehensive and natural medical
treatment method
39
13
Future Research Concerns
• Although the therapeutic use of laser acupuncture is rapidly gaining in popularity, objective evaluation of its efficacy in
published studies is difficult because treatment parameters such as wavelength, irradiance, and beam profile are seldom fully
described
• The depth of laser energy transmission, likely an important determinant of efficacy, is governed not only by these parameters,
but also by skin properties such as thickness, age, and pigmentation—factors which have also received little consideration in
laser acupuncture research studies
40
Clinical Application of LAT
• Clinical LAT advantages over traditional metal needle acupuncture: painless, non-invasive, and “green”
• Target patient groups: pediatrics, geriatrics, and general needle-phobic public
• With LAT photons will not only stimulate the acupuncture points to yield the same therapeutic results as manipulation of inserted
needles, but also provide healing effects from LLLT applications in musculoskeletal and neurological conditions
41
• There are no specific, cookbook-type treatment protocols available with low-level laser acupuncture, just as there are no
specific, cookbook-type treatment protocols with needle acupuncture. The practitioner needs, rather, a sophisticated
knowledge of Traditional Chinese Medicine, understanding of the actions of the acupuncture points, and basic knowledge of
LLLT and laser devices, to be a successful laser acupuncture practitioner
42
14
• With red-beam laser (e.g. 600 to 700 nm), there is only a shallow penetration suitable for treating points such as Jing-Well
points at the ends of the fingers and toes
• Infrared lasers (e.g., 780 to 1000 nm), on the other hand, have up to 1 - 1.5 inches of penetration and are best used on arm or
leg points, back shu and ahshi points
• When a 5 to 500 mW laser beam is shown onto the skin, it produces no feeling - no heat, no cold, and no pain. The only
possible risk is that the laser will harm the retina if one stares directly into the source of the laser beam
43
Future
• Scientists agree that the 21st Century will be the Century of Photons, like the 20th Century was the Century of Electrons. It is
certain that exact understanding of the elementary interaction of photons with biological molecules will lead to new, natural
medical treatment methods which will reach beyond acupuncture
44
Useful websites and laser acupuncture seminars
Dr. Margaret Naeser and Elaine Walsh, L.Ac. laser acupuncture class – www.nesa.edu/ce
Dr. Margaret Naeser’s note on laser acupuncture - http://gancao.net/ht/laser.shtml
Dr. David Rindge Laser Therapy Certification Training – www.HealingLightSeminars.com
Steve Liu’s articles on “Laser Acupuncture primer” and “Carpal Tunnel Syndrome Treatment with
Laser Acupuncture” – www.laserpuncture.com
The North American Association for Laser Therapy – www.naalt.org
15
gg & ii The Way of Master Tung – Part I and II (Chinese translated to English)
-Master Young Wei-Chieh, OMD, PhD, LAc
-Christine Chang, DAOM Candidate, MTOM, DiplOM, LAc (Interpreter)
Learners will explore essential concepts of Master Tung's method from his most senior student and
heir apparent, Young Wei-chieh. Dr Young brings 40-years of experience building upon and
teaching the methods. Ranging from Master Tung's core philosophy of tissue correspondences to
the special points of the Tung system, Dr Young will work to "throw the brick out to guide a jade
back."
Translated by Dr. Christine Chang
The Academic’s Thought and Application of Tung's Extra Points
Pre-View
Tung's Extra Points applied to the clinical treatments in recent years, is increasingly studied
in America, Europe also Japan, Korea and China. I, personally, was handed down in a direct line
from master Tung, and was honored to be the first person to revitalize and write about Tung's
Extra Points. Over the past 30 years, I have been invited to lecture throughout the world about
Tung’s Extra Points.
I was asked my teacher Tung about the academic origin and theoretical foundation of
Tung’s Extra points in 1973. At that time, teacher Tung published his only book “Tung's
ordinary channels extra points”. He said: “this is handed down from Tung’s ancestors, also
discovered by self-practiced, but the principles are relevantly to Nei Jing and Yi Jing.” This was
only explanation I received and he did not mention the origin and lineage again until his passing
in 1975. According to his recommendation, I conducted deeper research and further
investigations, combined with a large amount of clinical experience for the past thirty years. I
systematized and classified Tung's therapeutic ideas with greater clarity as I began to understand
it much more profoundly. I have analyzed Tung's academic thoughts from different angles so as
to allow my students to understand the essence of Tung's extra points.
Tung, Chin-Chang, my teacher, a native of Pingdu, Shandong province, was born in 1916
and passed away in 1975. He served as a TCM physician for forty years and treated about
400,000 patients. Among these, about 100,000 were in the army, governmental works, teachers,
and the poor; and were treated free of charge. For this service he won the title of “The
Representative of Fine People and Fine Deeds”. Tung was invited to give treatment to the
Cambodian ex-President Long Nuo, who was suffering from hemiplegia, five times between
1971 and 1974. Because of his meritorious diplomatic service, he was awarded the highest honor
certificate issued by the President Chiang, Kai-Shik; being the first in the field of traditional
Chinese medicine to win such outstanding award.
Master Tung not only discovered many extra points, but also elucidated the theories of
various medical schools. The following is an introduction to what I know about Master Tung's
doctrine.
I. Location of Tung's extra points

Master Tung's doctrine of extra points was handed down as a family tradition and after
an intensive exploration it became a school of acupuncture. According to him, there are
主講:楊維傑博士 1 校譯:張瑋
more than 740 extraordinary points, located on the hands, arms, feet, legs, ears, head, and
face.
Although they are not like the points of the twelve regular meridians, which travel
without ending, they are located at some collaterals according to simple rules. For example,
points of the finger are defined as "11.00", those of the hand "22.0 0", those of the forearm
"33.00", those of the upper arm "44.00", those of the medial and superior foot "55.00",
those of the lateral and superior foot "66.00", those of the leg "77.00", those of the thigh
"88.00", those of the ear "99.00", those of the head and face "1010.00", those of the back
"(DT 00)", and those of the chest (VT 00).
In total there are twelve areas and they are not difficult to find. Besides, the
distribution of these points has some connection with the points of the twelve regular
meridians functionally. For example, Ganmen (33.11) of the Small Intestine Meridian can
treat acute hepatitis; Wangu (SI 4) is of the Small Intestine Meridian too and counteracts
jaundice; which are based on the understanding that the Small Intestine Meridian functions
to eliminate dampness and heat. For another example, Xinmen (33.12) close to Xiaohai (SI
8) can deal with pathological changes of the heart. Qimen (33.01), Qizheng (33.03), and
Qijiao (33.02) of the Large Intestine Meridian are indicated for hemorrhoids and Jiexue
(88.28) close to Liangqiu (St 34) treats disturbance of qi and blood.
The above information indicates that Master Tung had profound comprehension of the
theory of meridians and collaterals, and the Zang Fu doctrines. Consequently, he discovered
so many extra points. Furthermore, Master Tung elaborated on the application of the
nervous system theory. It is known in anatomy that the size of the projecting area in the
cerebral cortex of various parts of the body is in direct proportion to the functional
condition to these portions. Hands are the laboring tools and the feet the mobile tools; they
have complicated functions and their respective projecting area in the cerebral cortex is
larger than other parts of the body. The number of the connecting neurons in the cerebral
cortex is greater too. Therefore they have multiple functions, which is clinically helpful.
Most of Master Tung's extra points are located below the elbows and knees, which is a
further development of his nervous system theory. In addition, points on the hands, feet,
thumbs, and big toes function more extensively than those on other fingers and toes,
because the former has much greater curative effects. This is why Master Tung preferred
selecting Dadun (Liv 1), Yinbai (Sp 1), and Taichong (Liv 3). He also discovered points
close to the thumb such as Fuke (11.24), Zhiwu (11.26), Zhixian (11.25), Wuhu (11.27),
and Linggu (22.05).
II. Name of Tung's extra points
Master Tung had discovered a number of extra points, but he never named any after his
own name. He held that medicine was a sharp weapon against disease, which should serve
society rather than be used for gaining fame and profit. Medicine should be open to the public
instead of keeping it secret. When he published the extra points discovered by him in a book, he
admirably never thought of his own personal fame and gain. Some people who happen to find
something new and are afraid others will claim their discovery, immediately choose a name for it
with their name, i.e. "So-and-so's Hegu", "So-and so's Xuehai", or "So-and-so's Sanyinjiao". As
for those who take someone else's achievements or a point discovered by others, they should feel
ashamed for such a gigantic fraud.
Under the instruction of my teacher Master Tung, the points discovered by me over the
years are never called after my own name (e.g. Wei-Chieh's xx point), but are named according
to Tung's nomenclature. Master Tung's nomenclature of extra points follows the rules below. For
example, points are named according to their location such as Zhengjin (77.01), Linggu (22.05),
Zhenghui (1010.01), Jianzhong (44.06), Cesanli (77.22), Sihuazhong (77.09), Sihuawai (77.14).
A large number of his points are named according to their actions; and some are named after the
five elements, like Tushui (22.11), Muxue (11.17), Shuijin (1010.20), Mudou (66.07), Muliu
(66.06), etc. Points named after the Zang Fu include Minghuang (88.12), Tianhuang (77.17),
Feixin (11.11), Xinxi (11.09), etc. Or some are directly named after indications, such as Fuke
(11.24), Pizhong (11.18), Yanhuang (11.23), Ganmen (33.11), Changmen (33.10), etc. Some are
named after the location and action, like Shoujie (22.10) and Zhishen (11.15); and some are
named according to number, such as Sanzhong (77.07), Sanjiang (DT 15), Shuanghe (DT 16),
Qixing (DT 03), and Wuling (DT 04). Comprehension of Master Tung's nomenclature of the
extra points helps not only to understand their locations, but also their applications.
III. Needling methods for Tung's extra points
Master Tung's needling methods are very simple since he advocated perpendicular
insertion, oblique insertion, shallow insertion, deep insertion, skin insertion, and retention of
needle; all of which will exert the desired effect. To lessen the suffering of the patients and
fainting during needling treatment, he did not use flicking, shaking, or rotating manipulations.
He did not rigidly adhere to the theory of supplementing and draining.
Since he did not adhere to supplementing and draining, he developed a series of special
even needling methods: DONG QI (active qi) technique and DAO MA (guiding horses -
coupling) technique. He believed that human body had the natural resistant capacity and a rela-
tive balance spot; as a result, he adopted the cross meridian, opposing needling techniques.
Striking effectiveness can be seen in distal needling combined with the DONG QI (active qi)
technique, especially indicated for pains. For instance, Tung needled Cesanli (77.22) and
Cexiasanli (77.23) of the healthy side, and asked the patient to grip his teeth or move his chin for
trigeminal neuralgia. The pain immediately disappeared. The same happened to sciatica when
Linggu (22.05)- Dabai (22.04) were needled and the patient was advised to move his lower back
and leg. Although the extra points have specific functions, the effectiveness of the active qi
moving needling technique can never been neglected. This technique is not only applied to the
extra points, but to the points of the fourteen meridians. It is effective for pain and internal
diseases as well.
The operation of the DONG QI (active qi) technique is as follows:
(1) First, select the points.
(2) Insert the needle and reached the sensations of numbness, soreness, or distension,
rotating the needle and asking patient to gently move the affected side.
(3) When the suffering subsides, indicating the union of the point qi with that of the
affected area, the qi is successfully dredged and balanced. Then stop the rotation of the
needle, retain or withdraw the needle according to the specific condition.
(4) For a chronic case, the needle should be retained longer and rotated in order to lead the
qi to arrival. The patient is asked to move the affected part to cause the needling
sensation.
(5) If the diseased located in the chest or abdomen, ask patient to take the deep breathing or
massage local area to bring the needle qi up and drive pathogenic evils away. For
example, in the treatment of chest pain or stuffiness in the chest, Neiguan (PC 6) is first
choice to needle and then asking the patient to take the deep breathing. The symptoms
will immediately relieve.
DONG QI technique is very easy to learn, useful and can be used without knowing the
deficiency or excess condition. However, the needle only is applied to distal points because the
diseased part must be moveable or easy to massage. According to my own experience, I usually
select the Yuan-Source points, Luo-Connecting points, Shu-Stream points, Front-Mu points,
Xi-Cleft points and connecting points. This method is becoming more popularized and should
continue.
DAO MA (guiding horses - coupling) technique is another one invented by Master Tung. It
is a way in which two or three points on a line are needled at the same time to promote the
curative effect of the extra points or points of the fourteen regular meridians. It is often used
together with the active qi moving needling technique with marked effect.
The operation of dao ma technique is as follows:
(1) First, selected a first point, e.g. Neiguan (PC 6).
(2) Chose the second point is to be a neighboring point of the same meridian; for example,
Jianshi (PC 5) or Daling (PC 7). This is the so-called dao ma needle technique.
(3) The tonifying or sedating method is used, or the technique is combined with the DONG
QI technique to enhance the treatment effect.
The result of the two points needle on the same line is much more strongly than when
several needles are applied. For instance, if the effect of acupuncture applied to Neiguan (PC 6)
is one, then when Jianshi (PC 5) is needled the strengthened effect is three, instead of two. The
reason lies in the coordination of points, giving the effect in one vigorous effort.
To strengthen the treatment effect, dao ma technique can be applied to many parts of the
body. For example, the following pair of points are often selected to improve the effect: Neiting
(St 44) and Xiangu (St 43) for gastrointestinal disorders; Neiguan (P.6) and Jianshi (P.5) for
heart diseases; Zhigou (SJ 6) and Waiguan (SJ 5) for hypochondriac pain, leg pain and sciatica;
Shousanli (Ll 10) and Quchi (Ll 11) for dizziness, rhinitis, shoulder and arm pain, lower back
and knee pain. Other point combinations are Hegu (Ll 4) and Sanjian (Ll 3); Fuliu (K 7) and
Taixi (K 3); Shenmai (UB 62) and Jinmen (UB 63); and others too numerous to mention one by
one.
Based on my clinical experience and dong qi technique, I developed a new acupuncture

method called the drawing needling technique. The latter is much more effective than the former.
For details, please read the book I wrote, "The Essence of Acupuncture and Moxibustion".
IV. The five elements and Zang Fu theory with Tung's extra points
Master Tung specific emphasis uses five elements and zangfu theory to treat disease. So, he
used points named after the five elements and zangfu have the corresponding treatment effect.
For example Shuijin (1010.20) means communication between Water and Metal and deals
with disturbance in the diffusing and descending function of the Lung; as well as the failure of
the Kidney to receive air. It is indicated for blockage of Water and Metal manifested by
coughing, asthma, hiccup, abdominal distension, vomiting, and dry cholera.
Simazhong, Shang, and Xia (88.17,18,19) are indicated for lung diseases, because
according to the theory of traditional Chinese medicine, the lung dominates qi and skin. That is
why these points are especially effective for rhinitis, psoriasis, acne, and various skin diseases. In
addition, in the five elements they can treat conjunctivitis because fire fails to control metal.
They are also effective for thyroid enlargement because metal controls wood.
Tianhuang(88.13), Minghuang (88.12), and Qihuang (88.14) are indicated for cirrhosis,
hepatitis, blurred vision, and eye pain. Tongguan (88.01), Tongshan (88.02), and Tongtian
(88.03) can treat heart disease, rheumatic heart disease, knee pain, and edema of the lower limbs.
Tongshan (88.09), Tongwei (88.10), and Tongbei (88.11) deal with nephritis, general body
edema, lower limbs edema, thirst, and sore throat. Shenguan (77.18) is the essential point to
boost the kidney. It is very helpful for sciatica, back pain, headache, and lower back pain.
Those above are obvious examples elucidating the application of the Zangfu theory. Based on
the theory of the five elements and the idea of preventive medicine, this kind of treatment is
adopted more flexibly; e.g. cough and asthma, we should follow the classic instruction: "Treating
the lung when it attacked by evil and treating the kidney in healthy time". It means that at the
stage of attack, acupuncture is applied to Shuijin (1010.20) in association with Chize (Lu 5),
Renshi (33.13), or Dishi (33.14) or Tianshi (33.15), while in the healthy time needle
Tianhuangfu (77.18) or Dihuang (77.19) or Renhuang (77.21).
V. The spleen and stomach theory Pi Wei Lun with Tung's extra points
Master Tung had a profound comprehension of Li Dong-Yuan's spleen and stomach theory,
and he developed many therapies in regulation of the spleen and stomach. He believed that
regulating of the disturbance in the ascending and descending function of the spleen and stomach
brings about normal health. When he dealt with the disorders of the Heart and Lung meridians,
he started by treating the Stomach Meridian, e.g. Simazhong, Shang, and Xia (88.17,18,19).
Tongguan (88.01), Tongshan (88.02), and Tongtian (88. 03) are crossed by the Stomach
Meridian (Tushui (22.11) on the Lung Meridian is effective for stomach disorders and can be
considered further evidence of the principle). He advocated that treatment of the Spleen Meridian
cures kidney problems because strengthening the spleen could restrain Water, Tongshang
(88.02), Tongwei (88.10), and Tongbei (88.11) are all located on the Spleen Meridian. When
there appears to be a deficiency syndrome of both the spleen and kidney, it is preferred to
reinforce the Spleen rather than Kidney; a way to strengthen the acquired essence. Master Tung
believed that the "Three Huang" [Tianhuangfu (77.18), Renhuang (77.19), and Dihuang (77.21)],
function to invigorate the kidney, but in fact, they are located at the Spleen Meridian. The above
shows that Master Tung's discovery and use of points are consistent with the theory.
VI. Bleeding theory in Tung's extra points
Master Tung was especially good at bloodletting with a three-edged needle. When I was an
apprentice, I often saw him treating successfully by using a three-edged needle. A persistent
ailment for years or sharp pain would be cured in an instant; the effectiveness is really beyond
imagination.
“Best location for bleeding: elbow pit, back of knee, lateral temple, sublingual part, twelve
Jing (well) points, Shixuan (Extra 30) and the back of the ear”, Master Tung conducted
blood-letting on many parts of the body, such as the forearm, leg, ankle, instep, and acromion.
He also performed bloodletting on the back and low back to treat pathological changes of the
whole body. He had investigated many medical books on the use of blood circulation to resolve
blood stagnation through ages, and had a profound understanding of the following concepts
listed in the Nei-Jing: "In protracted illnesses, impeded flow of qi and blood in the meridians is
caused by disturbance in Ying & Wei systems", "Accumulation of blood stasis is due to
traumatic injury", "Retention of pathogenic cold produces obstruction of the meridians", and the
saying by Ye Tian-Shi: "The meridians and collaterals are impaired in chronic diseases". He
advocated eliminating the protracted problem, dealing with blood first. When smooth circulation
of the blood is restored, Pathogenic wind is automatically removed. Based on these concepts, he
treated various disorders by a three-edged needle, for example, blood-letting applied to
Weizhong (UB 40) for sciatica, low back pain, stiff neck, rheumatalgia of the lower limbs, and
hemorrhoids; Chize (Lu 5) for stuffiness in the chest, asthma, periarthritis of the shoulder;
Zusanli (St 36) for gastric disorders, enterogastritis; Taiyang (Extra 2) [corresponding to the
location of Hanyan (GB 4) for migraine, dizziness, conjunctivitis; Sanjin (DT 07) for knee pain;
Jinlin (DT 09) for thigh pain; Jingzhi (DT 08) for leg pain; Shuangfeng (DT 05) for numbness of
the hand and foot; Sanjiang (DT 15) for gynecological diseases; Zongshu (1010.07) for child
high fever, and vomiting. This bleeding technique included: internal, external, gynecological,
pediatric, and traumatic problems. This blood -letting method was often applied to a spot far
from the affected part, which was consistent with his theory: "using the distal points to do the
bleeding".
VII. The seasonal treatment of Tung’s extra points
Although chrono-therapeutics is a newly emerging branch of clinical medicine, as far as

two thousand years ago in Nei Jing found, there were many expositions about the essentials of
chronotherapeutics and treatment according to seasonal conditions. For example, in terms of the
seasonal rhythm, it says: "Ying-Spring, Shu-Stream, He-Sea, and Jing-Well points are needled in
spring, summer, autumn, and winter respectively." It also says: "Liver, Heart, Spleen, Lung, and
Kidney problems occur mainly in spring, summer, long summer, autumn, and winter
respectively." Facing these universal disorders, my teacher Master Tung knew clearly the
implications of this book, and he tended to give acupuncture to the points connected to the
internal organs that are related to the disorders. For instance, in spring he needled Minghuang
(88.12), Tianhuang (88.13), and Qihuang (88.14); Tongguan (88.01) and Tongshan (88.02) in
summer; Simazhong (88.17), Simashang (88. 18), and Simaxia (88.19) in autumn; and
Tianhuangfu (77.18), Renhuang (77.2 1), and Dihuang (77.19) in winter.
For debilitated patients, points on the mother meridians are needled in accordance with the
seasonal conditions to invigorate. The seasonal arthritis syndromes are, in spring, since wind
prevails so migratory arthritis is often seen; but in winter, cold prevails and arthritis aggravated
by cold is usually found; in summer and autumn, dampness prevails so non-wandering arthritis is
often seen. Treating Liver, Spleen, or Kidney is mostly taken into consideration respectively. In
view of the season in which a specific illness occurs, also, the other related internal organs are
dealt with to cure quickly.
In addition, acupuncture was given in different hours in a day. For example, according to
Nei Jing mentioned, to treat cough, Shuijin (1010.20) was needled first, then Yuji (Lu 10) or
Taiyuan (Lu 9) or Chize (Lu 5). Nei Jing said that Yin-Spring, Shu-Stream, He-Sea, and
Jing-Well points are needled respectively in the morning, at noon, in the evening, and at night.
For each treatment, only two points were selected but marked effectiveness was usually found.
Although he did not emphasized the importance of the theory of midnight noon ebb flow, he
contended that when blood-letting was done from 3--5 p.m., double effectiveness was achieved
for pathological changes in the UB meridian. This shows that he understood the value of
chronological therapy, because he was able to use the theory of midnight noon ebb flow in
practice.
VIII. The fourteen meridians with Tung’s extra points
Master Tung was not only outstanding in the extra points but also in the ordinary
fourteen meridians. Because of exploring them intensively, he discovered several hundred extra
points. Furthermore, he discovered some wonders that surpassed any of his predecessors. For
example he selected: Biguan (St 31) for common cold, Futu (St 32) for palpitation and heart
diseases, Dubi (St 35) for lip abscess, Gongsun (Sp 4) for low back pain and numbness of the
hand, Sanyinjiao (Sp 6) for low back pain and stiff neck, Yinlinquan (Sp 9) for headache, Wangu
(SI 4) for eye problems, Jianwaishu (SI 14) for leg pain, Gaohuang (UB 43) for knee pain
(blood-letting given), Chengfu (UB 36) for scrofula, Fengshi (G 20) for shoulder and hypochon-
driac pain and hemiplegia, Xiangu (St43) for migraine and diarrhea, and Fengfu (Du 16) for
vomiting (blood-letting given).
He paid attention to the differentiation of syndromes and he had remarkable curative
effect in treatment. I can never forget his meticulous scholarship. I still remember the days when
I was serving as his apprentice. He was sick at that period, but he liked to sit in his consulting
room pondering over acupuncture techniques. Whenever he had a new idea, he called me in and
told me what he was thinking about. Then he put his ideas into practice on patients to verify. My
teacher was always concerned about his patients and tried to cure them in the shortest period and
with fewest points. His selflessly style working for patients was always an example for us to
follow.
IX. Conclusion
In the study of traditional Chinese medicine, especially acupuncture and moxibustion, it is

quite helpful to command profound knowledge of modern medicine. But if one divorces oneself
from the theory of traditional Chinese medicine, no achievements can be made. Hence, it is
imperative to master the theory of traditional Chinese medicine so that clinical acupuncture can
be further developed. Master Tung proved this by his academic success and good clinical results.
There is no doubt that in the past thirty more years, acupuncture and moxibustion in Taiwan has
flourished because of the hundreds of clinical teachings. Master Tung and the discovery and
popularity of his extra points made this success possible. It is expected that acupuncturists will
cherish these gains and conduct extensive research on his extra points. I believe even more
brilliant results and contributions will be obtained.
The Acupuncture and Moxibustion Department, Tri-Services General Hospital, Taipei, Taiwan
Feb. 25. 1981, Aug. 28. 2006 (amended)
hh & jj Qi Gong for Healing Heart and Mind – Parts I & II

-Master Jun Feng Li
This Healing Qigong uses the unlimited reservoirs of transpersonal power and the principles of
mind-body medicine to facilitate healing. The main medical benefits are to allow the Qi to directly
enter and nourish the blood and acupuncture meridians in the human body, assisting in the
removal of negative emotions such as worry, sadness, anger, nervousness, fear, anxiety and also
disease.
Sheng Zhen Healing Qigong:
Qigong for Healing Heart and Mind
Master Li Jun Feng

Sheng Zhen Healing Qigong
The practice of Sheng Zhen Healing Qigong celebrates one's humanity and allows
you to experience the power of an open heart, helping you to embrace the Supreme Truth
that exists within. This form invites each participant to experience within themselves the
true meaning and power of unconditional love. Qigong consists of slow, meditative
movements for the cultivation and mastery of Qi, or life-force energy. These beautiful
movements calm one's mood, helping to alleviate worries and nervousness. It nurtures
and balances the qi, magnifying the inner love and bringing one into harmony with the
universe - the essence of human health.
All body types and fitness levels are welcome. Health care professionals and
body therapists can easily incorporate this qigong into their practice.
Master Li Jun Feng is perhaps best known as having been the head coach of the world-
renowned Chinese National Wushu (Marital Arts) Team, consistently winning first place
for over 12 years. During those years Master Li also achieved international fame as a
martial arts film actor and director. One of his most famous students is movie start Jet Li.
Today, Master Li serves as advisor to the World Academic Society of Medical Qigong
and the Qigong Science Research Association of China. He resides in Texas where he
teaches Medical Qigong at the Academy of Oriental Medicine at Austin. Master Li also
travels extensively around the world, sharing how he has been transformed by this
remarkable practice.
Recommended Reading: Sheng Zhen Healing Qigong: Removal of Disease in Three

Parts By: Li Jun Feng
International Sheng Zhen Society

www.shengzhen.org
Part I
The Gathering of Healing Qi fron the Universe
The power of intention is immense

When one summons the qi,
the universe responds
And then, one accepts the gift with faith
Breathing in, breathing out
Qi flows in, qi flows out
Traveling all four directions
Blowing the dust from the human stove
Jolting the body from deep slumber
Qi engages the body with love
Body responds with remembering
The heart dances with the playful qi
The heart breathes with the nourishing qi
The qi understands discomfort of the body
The qi massages the tired and weary soul

Part II
The Processing of Qi in the Human Stove
The qi makes a home in the human stove

It gets to work with the human heart
Expanding with love while in the stove,
It bursts into peals of joy and laughter
Who is laughing? Who is playing?
Is it the qi? Is it the person?
Is it the universe? Is it all?
What does it matter when there is joy!
There is laughter in the cells
There is joy in the bones
No room in the house for starvation
No room in the home for disease
The heart is the home of perfect well-being
Welcoming the qi with love
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AAOM

2006 International Conference & Exposition

AAOM Letter of Greeting October 20, 2006

Nomenclature Debates (A) .............................................................................................. 23

Nomenclature Debates (B) ............................................................................................... 25

Ethics (C) ......................................................................................................................... 27

General Session (D) ......................................................................................................... 29

Channels, Stages, and Warps (E) ..................................................................................... 31

Understanding Tai Chi (F) ............................................................................................... 47

TCM and SARS (G) ......................................................................................................... 49

Holistic Pediatrics (H) ...................................................................................................... 67

Empower Yourself ......................................................................................................... 101

Qi-Gong in Motion (J) ................................................................................................... 103

AAOM Annual Meeting (K) .......................................................................................... 105

Business Pearls Plenary (L) ........................................................................................... 107

Feng Shui of Practice Management (N) ......................................................................... 115

AAOM Student Caucus (O) ........................................................................................... 123

Clinical Research in Herbal Medicine (P) ..................................................................... 125

Native American Medicine and OM (Q) ....................................................................... 157

Clinical Pearls Master’s Class (R) ................................................................................. 171

Diabetes – Treatment and Prevention (S) ...................................................................... 173

Practice Survival Tactics (T) ......................................................................................... 179

Annual Awards Banquet (U) ......................................................................................... 181

Qi-Gong in Motion (V) .................................................................................................. 183

Shen Disturbance in TCM (W) ...................................................................................... 185

Scalp Acupuncture – Theory and Clinical (X) .............................................................. 197

Female Infertility and Chinese Medicine (Y/DD) ......................................................... 215

Esoteric Acupuncture (Z/EE) ......................................................................................... 243

Way of Master Tung (Chinese Only) (AA/FF) .............................................................. 275

I Ching Acupuncture (BB) ............................................................................................. 291

Laser Acupuncture – Theory and Application (CC) ...................................................... 305

Way of Master Tung (Translated) (GG/II) .................................................................... 323

Qi Gong for Healing Heart and Mind (HH/JJ) .............................................................. 335

Exhibitor Advertising ..................................................................................................... 341

Exhibitor Listing – Booth Locations

AAOM 2006 Speaker List

Michael Schroeder, Esq., is a nationally recognized expert in alternative healthcare law. As

A. The Chinese Medical Nomenclature Debates, Part I

Handouts: Nomenclature Binder Only for Pre-Conference Attendees

B. The Chinese Medical Nomenclature Debates, Part II of II

Handouts: Nomenclature Binder Only for Pre-Conference Attendees

C. OM Ethics: Definition and Use; Feng Shui of Practice Management

Handouts: For pre-conference attendees only of OM Ethics Workshop

Handouts: Not Available

Channels, Stages, and Warps: Clinical Applications

Illustration of the above by a discussion of a few concepts and

Draft Selections from the Shäng hán lùn 傷寒論

Cold-damage (shäng hán) 傷寒

Focal distention (pî) 痞

Basic Concepts Natural Progressions

Cinnamon Twig Decoction (guì zhï täng) and relations 桂枝湯類

Ephedra Decoction (má huáng täng) 麻黃湯

Five-Ingredient Powder with Poria (wû líng sân) 五苓散

問曰．病有得之一日．不發熱而惡寒者．何也. 荅曰．雖得之一日．惡寒將自罷．即自汗出而惡熱也. (183)

問曰．惡寒何故自罷 (a) 荅曰．陽明居中．主土也．萬物所歸．無所復傳．始雖惡寒．二日自止．此為陽明

傷寒脈浮而緩．手足自溫者．是為繫在太陰. (a) 太陰者．身當發黃．若小便自利者．不能發黃. (b) 至七八日

White Tiger Decoction (bái hû täng) and relations 白虎湯類

三陽合病．腹滿．身重．難以轉側．口不仁面垢譫語遺尿. (a) 發汗則譫語．下之則額上生汗．手足逆冷. (b)

Gardenia & Prepared Soybean Decoction (zhï zî chî täng) 梔子豉湯

Ephedra Decotion (má huáng täng)

Five-Ingredient Powder with Poria (wû líng sân)

White Tiger Decoction (bái hû täng

Gardenia & Prepared Soybean Decoction (zhï zî chî täng)