Tungs Acupuncture For Respiratory Conditions

Tung’s Acupuncture for Respiratory Conditions www.asianmedicine.
org
(Ireland 2019)
Distant Point Needling

Tung’s Acupuncture
Treatment of Respiratory Disorders ! “Hence, those who know well how to use the
needles [i.e., the superior acupuncturist], from the
yin they pull the yang and from they yang they pull
董氏針灸肺臟處方學 the yin. With the right they treat the left and with
the left they treat the right.”
HENRY MCCANN, DAOM, LAC ! Yin Yang Ying Xiang Da Lun, SW5; tr. Unschuld, 2011,
vol I, p.120
馬爾博中醫博士
故善用鍼者，從陰引陽，從陽引陰，以右治左，以左治右
Principle Principle
《述而》子曰：不憤不啟，不悱不發,
舉一隅不以三隅反，則不復也。
The Master said, "I do not open up the truth to one who is
理
not eager to get knowledge, nor help out any one who is
not anxious to explain himself. When I have presented
one corner of a subject to any one, and he cannot from it
learn the other three, I do not repeat my lesson.” 理：治玉也。
Analects Chapter 7
© Dr. Henry McCann, 2019

All right reserved, copying prohibited 1
Tung’s Acupuncture for Respiratory Conditions www.asianmedicine.org
(Ireland 2019)
Tung Family Acupuncture Master Tung Ching Chang
! Family lineage
dating back to Han ! Last member of the
Dynasty* Tung family to
practice acupuncture
! Passed down from
father to eldest son ! Born in 1916, Ping
Du Cty., Shandong
! Incorporates unique
Province, ROC
set of extra points, as
well as 14 channel
points
Master Tung Ching Chang Master Tung Ching Chang
! Treated patients with ! 1949 fled to Taiwan

with Chiang Kai
father as young man Shek’s army
! Joined KMT Army to ! Treated fellow
fight the Japanese soldiers while
and then enlisted
Communists ! Retired from military
! Unable to finish in early 1960’s and
formal education due opened his first
to chaotic times clinic in Taipei

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Cultural Renaissance Movement

Master Tung Ching Chang 文化復興運動
! While in Taipei became ! Begun in 1966 by Chiang Kai

well known for his Shek in opposition to
effective treatment; Cultural Revolution in the
many patients came as PRC
referrals from other ! Touched Tung deeply and
Chinese medical made him decide to take
practitioners students; first student was
Lin Ju Chu in 1962
! Treated over 300,000 ! 1973 agreed to the
patients in his career publication of a book on his
! Treated Pres. Lon Nol of acupuncture in Chinese;
Cambodia written with Yuan Guo Ben
Master Tung Ching Chang Characteristics of Tung’s Acupuncture
! Eventually directly
trained 73 students, 簡 – (jiǎn) Simple
memorialized on his
burial epitaph
! Denied a license in
易 – (yì) Easy
Taiwan as a Chinese
doctor 效 – (xiào) Effective
! Died of stomach cancer
in 1975 shortly after
closing his clinic for Wang CM, Yi L. Clinical Study of Master Tung’s Acupuncture. Paper presented at the WFAS
International Acupuncture 2010 Conference.
good

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Characteristics of Tung’s Acupuncture Tung’s Points
! “Orthodox channel extra points” 正經奇穴

! Pre-TCM classical acupuncture systemExtensive use
! Distributed over entire body
of unique extra points
! Almost exclusive use of distal point treatment; ! Organized by zone of distribution; have an original
points needled mostly contralaterally Chinese name and a modern numbering system
! Minimal number of needles per treatment (usually < (e.g., Ling Gu 22.05)
6 needles) ! Not associated with channels, but rather “reflex
! Use of special point combination and stimulation areas” 神經
techniques, including bleeding ! Literally, “nerves”; these are Tung’s original channel
concept
! Each zone functions similar to a microsystem
Point Distribution Zone Characteristics
Zone Location Number of Points

1 Fingers 27 (55)
! Certain zones have special characteristics
2 Palm and dorsal hand 11 (22)
3 Forearm 16 ! Finger, hands, head treat more acute conditions
4 Upper Arm 17 (9) and get faster symptom relief
5 Plantar aspect of foot 6 ! Leg and thigh (especially thigh) treat more chronic
6 Dorsal Foot 6 and recalcitrant conditions
7 Leg/Calf 28 (2)
! Trunk points are mostly bled, not needled
8 Thigh 32 (12)
9 Ear 8
10 Head 25 (2)
VT and DT Ventral and Dorsal Trunk 160+

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Point Locations Point Indications

Points of the dorsal trunk 33.04 Huo Chuan (Fire Threaded) Palpitations, forearm pain, carpal
3 cun proximal to the wrist on the dorsal tunnel syndrome, constipation
forearm on the San Jiao channel,
overlaps with Zhi Gou (SJ-6)
33.05 Huo Ling (Fire Mound) Chest pain or sense of chest
5 cun proximal to the wrist, 2 cun oppression, pain of the arm or
proximal to Huo Chuan (33.04) on the forearm, sciatica
dorsal forearm on the San Jiao channel
33.06 Huo Shan (Fire Mountain) Chest pain, pain in the forearm
6.5 cun proximal to the wrist, 1.5 cun or hand, sciatica
proximal to Huo Ling (33.05) on the
dorsal forearm on the San Jiao channel
33.07 Hua Fu Hai (Fire Bowel Ocean) Cough, asthma, common cold,
8.5 cun proximal to the wrist, 2 cun rhinitis, dyspnea, anemia,
proximal to Huo Shan (33.06) on the dizziness, blurry vision, eye
muscular prominence of the dorsal strain, sciatica, aching of legs
forearm, on the San Jiao channel, close and low back
to Shou San Li (L.I.-10)
33.08 Shou Wu Jin (Arm Five Metal) Sciatica, abdominal pain, calf
6.5 cun proximal to the wrist, on the pain, leg pain, pain or
ulnar side of the dorsal forearm, 0.5 cun numbness of the feet and calves
ulnar to the San Jiao channel and to due to spinal problems
Huo Shan (33.06), between the San
Jiao and Small Intestine channels
33.09 Shou Qian Jin (Arm 1000 Metal) Sciatica, abdominal pain, calf
1.5 cun proximal to Shou Wu Jin pain, leg pain, pain or
from (33.08), on the ulnar side of the dorsal numbness of the feet and calves
forearm, 0.5 cun ulnar to the San Jiao due to spinal problems
McCann & Ross, 2014 channel, between the San Jiao and
Small Intestine channels
As one can see, Tung uses Western terminology !

“After 1929 when Chinese physicians decided to move their In his own writing Tung himself said
medicine into the domain of state to gain for it equality before that he used western disease terms for
the law, a new strategy was needed … An initial suggestion
put forward by the newly established Institute of National
the purpose of modernizing and
Medicine under the directorship of Lu Yuanlei was to popularizing his system, and promoting
accomplish this integration by abolishing Chinese medical an aspect of traditional Chinese culture.
disease terms altogether and replace them with biomedical
nosologies.” 爰用現代語文。撰述本書。旨在發揚國粹。
Tung CC. 董氏鍼灸正經奇穴學 [Tung Lineage Acupuncture
Scheid, V. Patterns, syndromes, types: who should we be and what should
Study of Orthodox Channel Curious Points]. Privately
we do? Eur. J. Oriental Med. 11: 2014.
published notes, 1968.

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Acupuncture
Location Indication
Needling
? Results
Core Theory 理論
Black box: causal chains are unknown
A model is required which links acupoints and

their effects in a reliable way
The model of Tung’s Acupuncture

Analysis… is based on classical references to
But with which the harmonic interaction of man
Model ? and universe
! Zhi Zhen Yao Da Lun (Su Wen Ch. 74)

! 天地之大紀，人神之通應也。
! Tian di zhi da ji, ren shen zhi tong ying ye.
! Heaven and earth are the great principle, man’s

shen-spirit penetrates and reflects it.

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Classical References to Point Functions Classical References to Point Functions
! Si Qi Yi Ri Fen Wei Si Shi (Ling Shu Ch. 44) ! Zhen Jiu Da Cheng Volume V (Quoting Nan
Jing Ch. 65, 74)
! 黃帝曰：願聞四時之氣。岐伯曰：春生，夏長，秋收，
! 又曰：春刺井，井者東方春也。萬物之始生，故言井。冬
冬藏，是氣之常也。人亦應之。刺合，合者北方冬也，陽氣入藏，故言合。
! Huang Di asked: I hope to hear about the Qi of the four ! It
is also said: in spring needle the well point. The well
seasons. Qi Bo replied: spring engenders, summer [belongs to] the east and spring, the beginning of life
flourishes, autumn harvests, winter stores. This is the for the ten thousand things; thus it is called the well. In
constant of Qi. Man also responds to this movement. winter, needle the uniting point. The uniting [belongs
to] the north and winter, when yang qi enters storage;
thus it is called uniting.
" Yang JZ, Wilcox L. (trans.) The Great Compendium of Acupuncture and
Moxibustion: Zhen Jiu Da Cheng Vol IX. Portland, OR: The Chinese Medicine
Database, 2010.
Man and Nature are in Harmony Guiding Principle: Correspondence

“Heaven, Earth and Humanity [are] in Harmony”
! Tian Di Ren He 天地人合 (天地人和 tian di ren he)
! Man is a Microcosm or Hologram of the natural Interpretation:

world According to Chinese philosophy man is a microcosm or
hologram of the natural world with structural and functional
! In the body we have numerous Taiji Holograms
characteristics corresponding to those of its immediate
(Taiji Quanxi 太極全息） environment and nature, as well as to those of the universe.
" Quan Xi = Microsystem/Hologram On a smaller scale, analogous rules of correspondence can be
observed within the human organism: parts of the body can
Yang L. 周易与中医学 [The Zhou Changes and Chinese Medicine]. Beijing:
Beijing Science Technology Publishing House, 1999.
be viewed as microsystems or holograms representing the
whole. Likewise, channels and tissues have various
correspondences. This provides us with a reliable tool for
point selection.

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Rules of Diagnosis and Treatment Holographic Correspondence
! Holographic Correspondence ! Large Taiji

! Identifying diseased locations of the body to choose ! Body mapped out onto large regions of the body
treatment location ! Limb to limb, trunk to limb
! Channel Correspondence ! Elbow and knee are pivot points
" Originally described in martial arts and Qigong classics
! Identify diseased channels to choose treatment channels
! Medium Taiji
! Tissue Correspondence
! Body mapped out onto distal extremities
! Identify diseased Zang-Fu and tissues to choose point
location and needling methods ! Five Shu points make a microsystem
McCann H, Ross H-G. Practical Atlas of Tung’s Acupuncture. Munich: Müller and Steinicke,
! Wrist and ankle are pivot points (i.e., location of Shu-stream pt.)
2012. ! Small Taiji
Shubs J. The foundations of channel theory. Journal of Chinese Medicine 100 Oct 2012:53-61.
Young WC. Lectures on Tung’s Acupuncture: Therapeutics. Rowland Heights, CA: American ! Body mapped out onto small structure, such as long bones
Chinese Medical Culture Center, 2008.
Wang M. 董氏奇穴精要整理. Shenyang: Liaoning Science and Technology Publishing House, ! Ear, hand or scalp acupuncture are examples of this mapping
2011.
Tung’s Correspondence of the extremities [Large Taiji]

Tung’s Correspondence of arm and Leg [Large Taiji]
Projection arm ! arm Projection leg ! leg
Correspondence correspondence
Projection Arm ! Leg Projection Arm ! Leg
Correspondence Inverse Correspondence
Projection arm ! arm Projection leg ! leg

Inverse correspondence Inverse Correspondence

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Correspondence between head, trunk & distal parts of the extremities

Large Taiji: Correspondence between head, trunk and extremities [Medium Taiji]
Top of the head
Knee-navel-elbow level
Genital area
Small Taiji Small Taiji
! Most completely described by Zhang Yingqing,

developer of ECIWO theory in early 1970s (prior to
publication of any material on Tung’s acupuncture
correspondences)
! Similar time period of other microsystem
development such as Korean hand acupuncture by
Tae Woo Yoo
! ECIWO describes that all small parts of the body are
microsystems (全息), and all long bones can be
microsystems
! ZhangYQ. ECIWO and Its Applications to Medicine. Jinan: Shandong Science and Technology Press,
1991.
Zhang YQ. ECIWO and Its Applications to Medicine. Jinan: Shandong Science and Technology Press, 1991.

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Small Taiji – Long Bones
McCann H, Ross H-G. Practical Atlas of Tung’s Acupuncture. Munich: Müller and
Steinicke, 2012.
Zhang YQ. ECIWO and Its Applications to Medicine. Jinan: Shandong Science and Technology Press, 1991.
Wu Zang Bie Tong 五臟別通: Branching Connections of the

Channel Correspondence – Same Name Channels Five Zang [Su Wen 6 & Yi Xue Ru Men]
! Branching connections describe Yin-Yang channels

! Taiyang tx Taiyang ! UB treats SI pairings (as opposed to Yin-Yin or Yang-Yang as
! Shaoyang tx Shaoyang ! GB treats SJ described already)
! Yangming tx Yangming ! St treats LI ! Described in many early classics such as the Yi Xue
! Taiyin tx Taiyin ! Sp treats Lu Ru Men (Entering the Gate of Medicine – Ming
! Shaoyin tx Shaoyin ! Kd treats Ht Dynasty); derived also from Su Wen Chapter 6
! Jueyin tx Jueyin ! Lv treats Pc ! Also known as Zang Fu Bie Tong 臟腑別通 (Yang)
McCann H, Ross H-G. Practical Atlas of Tung’s Acupuncture. Munich: Müller and Steinicke, 2012.
Young WC. Lectures on Tung’s Acupuncture: Therapeutics. Rowland Heights, CA: American Chinese Medical Culture
Center, 2008.
Wang M. 董氏奇穴精要整理. Shenyang: Liaoning Science and Technology Publishing House, 2011.

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Yin Yang Li He Lun (SW6) Wu Zang Bie Tong 五臟別通

陰陽離合論 Branching Connections of the Five Zang
Yang Channels
Tai Yang Open SI ! Sp
Three Yang Three Yin Tai Yang ! Tai Yin Hand ! Foot
Shao Yang Pivot
Lu ! UB
太陽為開太陰為開 Yang Ming Close
Taiyang is the open Taiyin is the open

SJ ! Kd
陽明為闔厥陰為闔 Shao Yang ! Shao Yin Hand ! Foot
Yangming is the close Jueyin is the close Ht ! GB
少陽為樞少陰為樞 Yin Channels
Shaoyang is the pivot Shaoyin is the pivot Tai Yin Open
LI ! Lv
Shao Yin Pivot
Yang Ming ! Jue Yin Hand ! Foot
Jue Yin Close Pc ! St
Clock Channel Correspondence Tissue Correspondence
Needle depth should target appropriate tissues and

location of disease
! “Diseases include those at the surface and those
deep; piercing includes shallow and deep. Always go
to the respective structures; never go too far in this
way.” (Discourse on the Essentials of Piercing,
SW50)
! 《刺要論》歧伯對曰：病有浮沈，刺有淺深，各至其理，無過其道
! According to Gao Shishi this refers to the different tissues of

the body (i.e., skin, flesh, vessels, sinews, bones)

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Tissue Correspondence
Tissue Correspondence From Guan Zhen 官針 (Ling Shu 7)
! “Huang Di asked: I would like to hear about piercing the ! 一曰半刺，半刺者，淺內而疾發針，無針傷肉，如拔毛狀，以取皮氣，

此肺之應也。
shallow and deep sections. Qi Bo replied: When piercing ! The first is called one-half needling (ban ci). For one-half needling,
the bones, do not harm the sinews; when piercing the shallowly insert, then quickly withdraw the needle without needling to
sinews, do not harm the flesh; when piercing the flesh do injure the flesh. It is like removing fine hair and is used to treat the skin
qi. It is in resonance with the lungs.
not harm the vessels; when piercing the vessels do not ! 二曰豹文刺，豹文刺者，左右前後針之，中脈為故，以取經絡之血者，此心
harm the skin. When piercing the skin do not harm the 之應也。
flesh; when piercing the flesh do not harm the sinews; ! The second is called the leopard's spots acupuncture (bao wen ci). The
leopard's spots form of needling involves needles in left and right, front
when piercing the sinews do not harm the and back. This affects the center of the channels, and is used to treat the
bones.” (Discourse on the Restrictions of Piercing, SW51) blood of the major channels. It is in resonance with the heart.
! 《刺齊論》黃帝問曰：願聞刺淺深之分. 歧伯對曰：刺骨者無
傷筋，刺筋者無傷肉，刺肉者無傷脈，刺脈者無傷皮，刺皮
者無傷肉，刺肉者無傷筋，刺筋者無傷骨.
Tissue Correspondence Tissue Correspondence

From Guan Zhen 官針 (Ling Shu 7) From Guan Zhen 官針 (Ling Shu 7)
! 三曰關刺，關刺者，直刺左右盡筋上，以取筋痺，慎無出血，此肝之應也。 ! 五曰輸刺，輸刺者，直入直出，深內之至骨，以取骨
! The third is called gate needling (guan ci). Gate needling is to needle left
and right directly to exhaust the upper muscles. This is used for 痺，此腎之應也。
rheumatism of the muscles. Take care not to draw blood. This is in ! The fifth is called transmitted needling (shu ci). Transmitted
resonance with the liver.
needling is to insert directly and withdraw directly. The depth
! 四曰合谷刺，合谷刺者，左右雞足，針於分肉之間，以取肌痺，此脾之應也
of the insertion reaches the bones. This is used to treat
! The fourth is called adjacent valleys acupuncture. Adjacent valleys
rheumatism of the bones. It is in resonance with the kidneys.
acupuncture is to needle left then right from the same hole, like a
chicken's foot. Needle to the division between the flesh. This treats
rheumatism of the muscles. It is in resonance with the spleen.

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Tissue Correspondence Needle Rules and Methods
Needle To Treat ! Needle distal and contralateral; bleed

ipsilateral
! Dao Ma (Coupled Horses) Technique 倒馬針
! Skin ! Skin and Lung
法
! Vessels ! Vessels and Heart ! Also known as Hui Ma 回馬
! Flesh ! Flesh and Spleen ! Dao Yin (Guiding) 導引針法 or Dong Qi

(Moving) Technique 動氣針法
! Sinew ! Sinew and Liver
! Simple stimulation technique, long retention
! Bone ! Bone and Kidney
McCann H, Ross H-G. Practical Atlas of Tung’s Acupuncture. Munich: Müller and Steinicke, 2012.
Li GZ. 台灣董氏針灸倒馬針刺療法 [Taiwan’s Tung Lineage Dao Ma Needle Therapy]. Taipei: Zhi Yuan
Bookstore, 1999.
Wang M. 董氏奇穴精要整理. Shenyang: Liaoning Science and Technology Publishing House, 2011
Classical References to Lung Pathology

Commonly Used Points for
Lung Disorders ! “In the case of a Lung disease, one pants and coughs from
qi moving contrary [to its regular course]. There is pain in
the shoulders and back. Sweat flows. The sacrum, the yin
[region], the thighs, the knees, the thigh bone, the calves,
常用穴位 the shin, the feet – they all have pain. In the case of
depletion, and if one is short of Qi, one is able to breath
consecutively. The ears are deaf and the throat is
肺 dry.” (Zang Qi Fa Shi Lun, SW22)
! 肺病者，喘欬逆氣，肩背痛，汗出尻陰股膝髀腨胻足皆痛，
虛則少氣不能報息，耳聾嗌乾

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Classical References to Lung Pathology Xiao Jian 11.02 小間穴, Ce Jian 側間穴
• “All Qi oppression and stagnation, without exception they

! Location: (Xiao Jian) on the palmar aspect of the index finger,
are associated with the Lung.” (Zhi Zhen Yao Da Lun,
midway between Da Jian (11.01) and the PIP joint on the radial
SW74) margin of the phalangeal bone; (Ce Jian) on the palmar surface
" 諸氣膹鬱，皆屬於肺 of the index finger, midway between Da Jian (11.01) and the
proximal digital crease on the radial margin of the phalangeal
! “The Lung is the official functioning as chancellor and bone
mentor. Order and moderation originate in it.” (Ling Lan ! Functions: benefits the Lung, stops cough, clears heat and
Mi Dian Lun, SW8) swelling, stops pain (Lung, Heart, Six Fu Reaction Area)
" 肺者，相傅之官，治節出焉 ! Indications: Dyspnea, eye pain, chronic bronchitis, expectoration
of yellow mucous, palpitations, mounting pain (疝 Shan), knee
pain, enteritis, Small Intestine Qi (小腸氣), asthma, tonsillitis
! Needle: 0.2-0.3" insertion
Xiao Jian 11.02 小間穴, Ce Jian 側間穴32 Shuang Chuan 雙喘穴
! Location: 2 point group; on the palmar surface of

the index finger, at the ulnar and radial margins of
the PIP joint
! Functions: benefits the Lungs and transforms
phlegm, frees the channels and quickens the
network vessels, clears heat and settles pain (Lung
Reaction Area)
! Indications: Bronchitis, shortness of breath, lung
inflammation, high fever
! Needle: 0.1-0.2" oblique insertion, or prick to bleed

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Mu 11.17 木穴 Mu 11.17 木穴
! Location: 2 (alternately 3) point group; evenly distributed

on the palmar proximal phalanx of the index finger along
the ulnar margin of the phalangeal bone
! Functions: Courses Liver and rectifies qi, quickens blood
and expels wind (Lung Reaction Area)
! Indications: Dry eyes, tearing, excessive sweating,
dermatitis of the hands, common cold, acute eczema,
itching of the skin, nasal discharge, sinusitis
Zhi Si Ma 11.07 指駟馬穴 Zhi Si Ma 11.07 指駟馬穴
! Location: 3 point group; evenly distributed on the dorsal

middle phalanx of the index finger along the ulnar margin
of the phalangeal bone
! Functions: courses Wind and resolves the exterior;
regulates and harmonizes Qi and Blood (Lung Reaction
Area)
! Indications: Dry eyes, tearing, excessive sweating,
dermatitis of the hands, common cold, acute eczema,
itching of the skin, nasal discharge, sinusitis

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Ling Gu 22.05 靈骨穴 Ling Gu 22.05 靈骨穴
! Location: On the dorsum of the hand, at the junction of the first

and second metacarpal bones, on the Large Intestine channel
! Functions: Frees the channels and quickens the network vessels,
clears and regulates Lung qi, frees and descends the Stomach
and intestines, frees the qi and disperses stasis
! Indications: Migraine, low back pain, sciatica, facial paralysis,
hemiplegia, tinnitus, deafness, menstrual disorders (irregular,
scanty, profuse, absent), polyuria, incontinence, foot pain,
intestinal pain, difficult labor, angina pectoris, emphysema,
pneumonia
! Needle: 0.5-2.0" perpendicular insertion; can be needled through
to the thenar eminence (Hand Taiyin Channel)
! Notes: Contraindicated in pregnancy
Da Bai 22.04 大白穴 Da Bai 22.04 大白穴
! Location: On the dorsum of the hand, in a depression 1 cun distal to

the junction of the first and second metacarpal bones (locations vary
based on source)
! Functions: Effuses sweat and resolves the exterior, clears the lung
and relaxes the chest, clears and rectifies the upper jiao, clears the
Lung and courses the exterior, rectifies qi and transforms stasis
! Indications: Headache, migraine, lung cancer, emphysema,
pneumonia, sciatica, lumbar pain, back pain, pediatric asthma, high
fever
! Needle: 0.5-1.0" perpendicular insertion, or prick to bleed
! Notes: The combination of Ling Gu 22.05 and Da Bai 22.04
supplements and frees the qi, and also scatters stagnation and
disperses stasis

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Metacarpal Three Needles 掌三針 Chong Zi 重子穴 22.01, Chong Xian 重仙穴 22.02
! Dao Ma Point Group on second metacarpal (Zhang 掌 ! Location: (Chong Zi) on the thenar eminence, about 1 cun
stands for ‘metacarpal’ 掌骨) proximal to the margin of the skin fold, between the first
and second metacarpal bones; (Chong Xian) on the thenar
! Ling Gu 靈骨 22.05, Da Bai 大白 22.04, and Zhong Kui
eminence, at the junction of the first and second metacarpal
重魁 bones
! Indications: Emphysema, back pain, hemiplegia, ! Functions: Course Wind and resolve the exterior, clear and
irregular menses, dysmenorrhea, pneumonia, sciatica, drain Lung Qi
lumbar pain, pediatric asthma, high fever, headache, ! Indications: Scapular and back pain, knee pain, shoulder
nasal pain, trigeminal neuralgia; all chronic diseases, and neck pain, muscle cramps, pneumonia, influenza,
unusual diseases, all diseases of Qi stagnation or that common cold, asthma, chronic obstructive pulmonary
lead to stagnation of the Qi disease, cough
! Needle: 0.3 – 0.5” perpendicular insertion
Huo Chuan 33.04 火串穴, Huo Ling 33.05 火陵穴, Huo Chuan 33.04 火串穴, Huo Ling 33.05 火陵穴,
Huo Shan 33.06 火山穴 Huo Shan 33.06 火山穴
! Location: 3, 5 and 6.5 cun proximal to the wrist on the

dorsal forearm on the San Jiao channel; Huo Chuan 33.04
overlaps with Zhi Gou (SJ-6)
! Functions: Dredge qi and blood, free the network vessels,
stop pain (Heart Reaction Area; Huo Chuan also Lung
Reaction Area)
! Indications: Palpitations, chest pain or oppression, forearm
pain, carpal tunnel syndrome, constipation, sciatica,
anterior-lateral lower leg pain
! Needle: 0.5 – 1” perpendicular insertion

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Ren Shi 33.13 人士穴, Di Shi 33.14 地士穴,

Huo Fu Hai 33.07 火腑海穴 Tian Shi 33.15 天士穴
! Location: 8.5 cun proximal to the wrist, 2 cun proximal to ! Location: 4, 7, and 10 cun proximal to the wrist crease on
Huo Shan (33.06) on the muscular prominence of the the ulnar side of the radius of the anterior forearm (1) on
lateral surface of the forearm, on the San Jiao channel, the Pericardium channel or (2) on the Lung channel
close to Shou San Li (L.I.-10) ! Functions: Courses the Heart and recitifes Qi, clears and
! Functions: Expels wind and depurates the Lungs, diffuses the Lung Qi (Heart and Lung Reaction Areas)
supplements and benefits Kidney water (Heart and Lung ! Indications: Ren: Asthma, coughing, pain in the palm or
Reaction Areas) fingers, frozen shoulder, (upper) back pain, heart disease,
! Indications: Cough, asthma, common cold, rhinitis, palpitations; Di: Asthma, rhinitis, arm pain, common cold,
dyspnea, anemia, dizziness, blurry vision, eye strain, dyspnea; Tian: Asthma, headache, common cold, chest pain
sciatica, aching of legs and low back ! Needle: 0.5 – 1” perpendicular insertion
Ren Shi 33.13 人士穴, Di Shi 33.14 地士穴,

Tian Shi 33.15 天士穴 Qu Ling 33.16 曲陵穴, Fen Jin 44.01 分金穴
! Location: Qu Ling: in the cubital fossa, lateral to the biceps

brachii tendon on the Lung channel; overlaps Chi Ze
(LU-5); Fen Jin: 1.5 cun proximal to Qu Ling
! Functions: Clears and diffuses Lung Qi, unobstructs the
networks of the Heart (Heart and Lung Reaction Areas)
! Indications: Muscle spasm, digestive disorders, asthma,
elbow joint pain, palpitations, common cold, rhinitis,
laryngitis
! Needle: 0.3 – 0.5” perpendicular insertion, or prick to bleed

(Ireland 2019)
Yi Zhong 77.05 一重穴, Er Zhong 77.06 二重穴, Yi Zhong 77.05 一重穴, Er Zhong 77.06 二重穴,
San Zhong 77.07 三重穴 San Zhong 77.07 三重穴
! Location: Between Gallbladder and Stomach channels;1 cun

anterior to the fibula and 3, 5 and 7 cun proximal to the lateral
malleolus
! Functions: Removes accumulations and clears stasis, breaks qi
and moves blood (Heart, Lung and Spleen Reaction Areas)
! Indications: Hyperthyroidism, tonsillitis, deviation of the eye and
mouth (facial hemiparesis), migraine, mastitis, fibrocystic breast
disease, breast tumors, meningitis, liver disease, splenomegaly,
rib-side pain, abdominal masses, brain tumor, pain on the
medial upper arm
! Needle: 1 – 2” perpendicular insertion, or prick to bleed with
three-edged needle
Si Hua Shang 77.08 四花上穴 Si Hua Three Needles 四花三針
! Location: 3 cun distal to Xi Yan (ST-35); on the

Stomach channel, located at Zu San Li (ST-36)
! Functions: Courses the Heart and clears the Lung,
regulates the Spleen and Stomach (Heart and Lung
Reaction Areas)
! Indications: Asthma, toothache, dizziness,
palpitations, coronary artery disease, vomiting, sudden
turmoil
! Needle: Shallow perpendicular needling for Lung
problems, deeper needling for Heart problems

(Ireland 2019)
Si Hua Zhong 77.09 四花中穴 Si Hua Xia 77.11 四花下穴
! Location: 4.5 cun distal to Si Hua Shang (77.08 = ST-36), ! Location: 5 cun distal to Si Hua Zhong 77.09
on the Stomach channel, 0.5 cun proximal to Tiao Kou
! Functions: Rectifies the Spleen and harmonizes the
(ST-38)
! Functions: Courses the Heart and clears the Lung, regulates
Stomach (Heart, Lung and Six Fu Reaction Areas)
the Spleen and Stomach (Heart and Lung Reaction Areas) ! Indications: Enteritis, stomach ache, dyspnea,
! Indications: Asthma, coronary artery disease, carditis, edema, bruxism; treats bone spurs when needled
arteriosclerosis, eye pain, pain in the heart or sensation of against the bone
suffocation and discomfort, stomachache, swelling of the
bones, frozen shoulder, index finger pain, elbow pain
! Needle: Shallow perpendicular needling for Lung problems,
deeper needling for Heart problems
Wai San Guan 77.27 外三關穴 Wai San Guan 77.27 外三關穴
! Location: 3 point group; on the line connecting the head of

the fibula and the lateral malleolus between mm. peroneus
brevis and extensor digitorum longus; at the 1/4, 1/2 and
3/4 junctions, on the Gallbladder channel
! Functions: Disperses stasis and scatters binds, diffuses the
Qi and Blood (Lung Reaction Area)
! Indications: Tonsillitis, mumps, laryngitis, abscesses,
tumors, fibrocystic breasts, pain in the shoulder and arm
! Needle: 0.5 – 1.5” perpendicular insertion

(Ireland 2019)
Zu Si Ma 足駟馬 Zu Si Ma 足駟馬
! Location: Si Ma Zhong 88.17 is located 3 cun anterior to the point

touched by the middle finger when the patient is standing with hands at
their side (i.e., at Feng Shi GB-31), on the Stomach channel; Si Ma
Shang 88.18 is located 2 cun proximal to Si Ma Zhong; Si Ma Xia 88.19
is located 2 cun distal to Si Ma Zhong (all on the Stomach channel, on
the lateral margin of the femur)
! Functions: Frees and regulates the water passages, courses wind and
resolves the exterior, regulates Lung (Lung and Liver Reaction Areas)
! Indications: Ribside pain, back pain, sciatica (due to weakness of
Lung), chest pain, pulmonary tuberculosis, coughing, lung disorders in
general, facial paralysis, conjunctivitis, asthma, pleurisy, breast pain,
rhinitis, tinnitus, dermatological disorders, otitis, hemiplegia
! Needle: 1” – 2” perpendicular insertion
Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20 Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20
! Location: 0.4 cun inferior to the corner of the mouth

(Shui Ting), and 0.4 cun obliquely medial (and a little
inferior) to Shui Tong
! Functions: Benefits the Kidneys, secures the Root,
warms the channels and frees the network vessels
(Kidney Reaction Area)
! Indications: Low back pain, acute lumbar sprain,
rheumatism, vertigo, dizziness, fatigue, dyspnea,
asthma
! Needle: Oblique needling from medial to lateral to
connect Shui Tong 1010.19 and Shui Jin 1010.20

(Ireland 2019)
Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20
TRUNK ZONES
POSTERIOR
Back Heart and Lung Zone
後背心肺區 Lung Zone 肺區
! Location:
! Location: ! On the lateral leg. It extends
! On the posterior upper back from T1 down to the level from the area lateral to Zu
San Li (ST-36) down to about
of T5–6 3 cun above the lateral
malleolus
! Indications:
! Indications:
! Severe common cold, chills and fever, sudden turmoil ! Disorders of the lungs and
(霍亂), chest pain, chest oppression, back pain, upper jiao, including
pneumonia, asthma,
enlarged heart, nausea and vomiting from externally bronchitis, chronic
contracted disease evils, mental illness, bone spurs, obstructive pulmonary
disorders, chest pain,
coronary heart disease, shortness of breath, asthma, pulmonary edema, dyspnea,
eye diseases, myocardial infarction arrhythmias, etc

(Ireland 2019)
LUNG ZONE - MESOTHELIOMA LUNG ZONE - MESOTHELIOMA
Heart Zone 心區, or

Lower Leg Yang Ming Zone 小腿陽明區 Acupuncture Points
! Location:
! On the anterior lower leg from
the knee down to just above
the ankle over the leg Yang
Ming channel
! Indications:
! Weakness of the Heart zang,
cardiovascular disease,
palpitations, chest pain,
angina, arrhythmias,
pulmonary edema, congestive
heart failure, disorders of the
eye due to Heart patterns, etc

(Ireland 2019)
Tung’s rules simpliﬁed: Acupuncture Points

from diagnosis to therapy
Diseased Diseased Diseased

Channels Tissues / Zang Fu areas
Channel Tissue / Zang Fu Holographic

Correspondence Correspondence Correspondence
Potentially effective
acupuncture points
Huo Ying 火硬穴 66.03 Huo Ying 火硬穴 66.03
! Location: On the dorsum of the foot; between the 1st and 2nd toes, 0.5
cun proximal to the MTP joints, on the Liver channel, overlapping Xing
Jian LR-2; according to Li Guo Zhen this point is 0.5 cun proximal to
Xing Jian LR-2
! Functions: Frees and benefits the water passageways, strengthens the
Heart and settles palpitations
! Indications: Syncope, myocardial infarction, palpitations; tumors of the
uterus, uterine leiomyomas, retained placenta, inflammation of the
uterus; chin pain, pain of the temporo-mandibular joint, grinding teeth
(from stress), dizziness, enlargement of the bones
! Needle: 0.3 – 0.5” perpendicular insertion; or bleed small spider nevi in
this area

(Ireland 2019)
Huo Zhu 火主穴 66.04 Precision in Point Location
! Location: On the dorsum of the foot; between the 1st and 2nd toes,
proximal to Huo Ying (66.03) at the metatarsal junction, on the Liver
channel, overlaps with Tai Chong LR-3; according to Li Guo Zhen this
point is 0.5 cun distal to Tai Chong LR-3 ! Are Huo Ying 66.03 and Huo Zhu 66.04 really
! Functions: Frees and benefits the lower jiao, sooths the Liver and different points from Xing Jian LR-2 and Tai Chong
rectifies qi LR-3?
! Indications: Emergency point for myocardial infarction, enlargement
of the bones, headache, inflammation or tumors of the uterus, gastro-
intestinal diseases, liver diseases, neurasthenia, pain in the hands and
!
feet
Needle: 0.3 – 1” perpendicular insertion
No!!!
! Notes: combined frequently with Huo Ying 66.03 as a Dao Ma group;
combine with Ling Gu 22.05 for headache, pain in numerous areas of
the body (upper and lower balance point combination)
Precision in Point Location Precision in Point Location
! “Acupuncture points are hard to locate on healthy individuals.

However, when Qi stagnates or pathological Qi invades from the
! In the Zhen Jiu Zi Sheng Jing 針灸資生經 (written outside, the point becomes depressed or protrudes. Qi, which is
in the Song dynasty, c. 1180) Tai Chong LR-3 is invisible, is thus transformed into a ‘quality’ that can be palpated and
distinguished. This is what is known as an active point, which serves as
located either 1.5 or 2 cun posterior to the “base both a point for diagnosis as well as treatment.” [Denmei, S.: Finding
joint” (MTP joint) of the big toe (在足大指本節後二 effective acupuncture points. Eastland Press, 2003, p. 5]
寸或寸半陷中).
! “... the actual location of any point is not necessarily where that point
is located by techniques of proportional measurement. Rather, the
point is the place where one can best get the Qi and facilitate the
arrival of Qi. It is not fixed.” [Wang Ju-Yi & J.D. Roberson: Applied
Channel Theory in Chinese Medicine, Eastland Press, 2008, p. 535]

(Ireland 2019)
Acupuncture Points Precision in Point Location
We need to palpate for the “live” or active point,

! “... the actual location of any point is not
even in Tung’s acupuncture…
necessarily where that point is located by
techniques of proportional measurement.
Rather, the point is the place where one can best Point location is not fixed!
get the Qi and facilitate the arrival of Qi. It is
not fixed.” [Wang Ju-Yi & J.D. Roberson: Applied Channel い　　つぼ
Theory in Chinese Medicine, Eastland Press, 2008, p. 535]
生きた壺
Criteria for identifying Acupuncture Points which can be

expected to be therapeutically useful
Reactivity: on palpation with medium pressure potentially effective points or
areas exhibit an enhanced sensitivity. The manifestations are either pain or
other unpleasant perceptions which cannot be elicited when moving away from
the sensitive area.
Ling Shu 51 (Bei Shu, On Back Shu Points):

“When locating points one presses the region to see if the patient feels sore or
if the patient’s existing pain is relieved. In this case the point has been located
with accuracy.”
Sometimes pufﬁness and unusual skin colorations are observable.
The location of effective points can differ from their TCM textbook location.

(Ireland 2019)
Common Cold 感冒
! Ling Gu 22.05, Da Bai 22.04
LUNG 肺
! Mu 11.07
! Huo Fu Hai 33.07
! Bleed ear apex
! Bleed Back Heart and Lung Zone
! Bleed Tao Dao (Du-13) and bilateral Po Hu (BL-42)
! i.e., Gan Mao San (Common Cold Three) 感冒三穴
! Can apply direct moxa to these points for cold patterns
! Propensity to colds, or general aversion to cold/wind:
! moxa Huo Fu Hai 33.07
! Ling Gu 22.05, Shen Guan 77.18, moxa Da Zhui DU14
Pneumonia 肺炎 Nasal Problems
! Qu Ling 33.16 ! Lack of Sense of Smell

! deep needle ! Zu Si Ma Dao Ma group
! replete Lung pulse (why?) ! Ling Gu 22.05, Da Bai 22.04, Zhen Jing 1010.08, Shang
! Chong Zi 22.01, Chong Xian 22.02, with Zu Si Ma Li 1010.09
! Blocked Sinuses
! Bleed San Zhong points or Si Hua Wai 77.14; needle
! Ling Gu 22.05, Da Bai 22.05, Jian Zhong 44.06
Zu Si Ma
! Dry Nose
! Ling Gu 22.05, Da Bai 22.04, Shuang Chuan
! Zu Si Ma Dao Ma group, Jian Zhong 44.06
! Bleed upper Back Heart and Lung Zone
! Allergic Rhinitis
! Mu 11.07

(Ireland 2019)
Jian Zhong 肩中穴 44.06 Jian Zhong 肩中穴 44.06
! Location: On the midpoint (center) of the deltoid muscle, 2.5 – 3

cun distal to Jian Yu (L.I.-15), on the Large Intestine channel,
overlaps extra point Nao Shang (N-UE-14)
! Functions: Quickens the blood and expels stasis, frees the
channels and quickens the network vessels
! Indications: Knee pain or injury, foot pain, hemiplegia, post-
polio syndrome, coronary artery disease, epistaxis, pain in the
shoulder and arm, skin diseases (especially in the neck region)
! Needle: 1” – 2” perpendicular insertion
! Notes: to treat whole body joint pain and inflammation, or
wandering Bi pain, pair with Tong Guan 88.01, Tong Tian 88.03,
and Shen Guan 77.18
Tracheal Discomfort 氣管不順 Jin Wu (Metal Five) 金五穴
! Location:
! Bleed Five metals
! 5 point group located on the sternal midline (Ren
! Needle Ling Gu 22.05, Da Bai 22.04, paired with Ren channel). The first point is located at the upper
Shi 33.13, Di Shi 33.14, Tian Shi 33.15 border of the manubrium, and each successive
point is located on the midline 1 cun inferior to
the previous one.
! Indications:
! Sudden turmoil (霍亂), ribside pain, indigestion,
dyspnea, acute exterior heat conditions resulting
in eruptions or rashes

(Ireland 2019)
Jin Wu (Metal Five) 金五穴 Cough 咳嗽 and Panting 氣喘
! Shui Tong 1010.19, Shui Jin 1010.20 (can combine with

Ling Gu 22.05)
! Qu Ling 33.16 (needle or bleed)
! Zu Si Ma Dao Ma group
! Ling Gu 22.05, Da Bai 22.04, Xin Chang 11.18
! Bleed Lung zone, or area of Si Hua Wai 77.14
! Bleed vessels at cubital fossa, Si Hua points; needle Da
11.01, Xiao Jian 11.02, Ce Jian
! Ren Shi 33.13, Di Shi 33.14, Tian Shi 33.15
! Ling Gu 22.05, Da Bai 22.04, Nei Guan PC6
! Huo Fu Hai 33.07
Shui Tong 水通穴 1010.19 & Shui Jin 水金穴 1010.20 Xin Chang 11.18 心常穴
! Location: 2 point group; evenly distributed on the palmar

proximal phalanx of the middle finger between the PIP
joint and the proximal digital crease along the ulnar margin
of the phalangeal bone
! Functions: Regulates the Heart and quiets the Spirit,
courses Heart Qi, clears the wrapper network vessels
(Heart Reaction Area)
! Indications: Palpitations, rheumatic heart disease, coronary
artery disease

(Ireland 2019)
Xin Chang 11.18 心常穴 Bronchitis 支氣管炎
! Ling Gu 22.05, Da Bai 22.04, Huo Fu Hai 33.07, Ren

Shi 33.13, Di Shi 33.14, Tian Shi 33.15
! Qu Ling 33.16
! Shuang Chuan, Da Jian 11.01, Xiao Jian 11.02, Ce
Jian
! Bleed Leg Yangming Zone
Bronchial Asthma 支氣管喘息 Pulmonary Emphysema 肺氣腫
! Shui Jin 1010.20, Shui Tong 1010.19

! Bleed dark vessels near the cubital fossa, needle Da ! Ling Gu 22.05, Da Bai 22.04, Xin Chang 11.18
Jian 11.01, Xiao Jian 11.02, Ce Jian ! Ling Gu 22.05, Da Bai 22.04 with Chong Zi 22.01,
! Bleed Jin Wu, Back Heart and Lung Zone Chong Xian 22.02; Da Jian 11.01, Xiao Jian 11.02
! (see other points for Cough and Panting) ! Ling Gu 22.05, Da Bai 22.04 with bleeding Leg Lung
or Yangming Zones
! San Zhong points with Da Jian 11.01, Xiao Jian 11.02

(Ireland 2019)
Pulmonary Edema 肺水腫 Pulmonary Tuberculosis 肺結核
! Zu Si Ma with San Zhong points, Ling Gu 22.05, Da

Bai 22.04 ! Bleed area of San Zhong points, Leg Lung Zone, or
Back Heart and Lung Zone; needle Ling Gu 22.05,
Da Bai 22.04, Yu Ji LU10
! Congestive Heart Failure
! Jian Shi PC5, Zu San Tong, San Zhong points
! Shui Qu 66.09 (i.e., Zu Ling Qi GB41)
Bronchiectasis 支氣管擴張 References
! Hu BQ. 董氏針灸全集驗證（上下冊）[A Complete Inventory of Tung’s

! Ling Gu 22.05, Da Bai 22.04 with Da Jian 11.01, Xiao Acupuncture, Vol. 1 and 2]. Taipei: Zhi Yuan Bookstore, 1998.
! Hu BQ. 董氏奇穴圖譜治療學 [Illustrated Study of Treatment by Tung’s
Jian 11.02, Ce Jian
Lineage Curious Points]. Taipei: Zhi Yuan Bookstore, 1999.
! Qu Ling 33.16 (needle or bleed) ! Li GZ. 台灣董氏針灸倒馬針刺療法 [Taiwan’s Tung Lineage Dao Ma
Needle Therapy]. Taipei: Zhi Yuan Bookstore, 1999.
! San Zhong points, or Si Hua Wai 77.14 (needle or
! Li GZ. 台灣董氏針灸處方學 [Point Prescriptions from Taiwan’s Tung
bleed) Lineage Acupuncture]. Taipei: Zhi Yuan Bookstore, 2011.
! Zu Si Ma ! Unschuld P. Tessenow H. Huang Di Nei Jing Su Wen. Berkeley:
University of California Press, 2011.
! Wang M. 董氏奇穴精要整理. Shenyang: Liaoning Science and
Technology Publishing House, 2011.

(Ireland 2019)
References Thank you for attending!
! Diagrams taken from or based on:

" McCann H, Ross H-G. Practical Atlas of Tung’s Acupuncture, 6th Dr. Henry McCann, DAOM, LAc, Dipl OM
Ed. Munich: Verlag, Müller and Steinicke, 2018.
" McCann, H. Pricking the Vessels: Bloodletting Therapy in Chinese
www.asianmedicine.org
Medicine. London: Singing Dragon, 2014. www.newjerseyacupuncture.com
! For more information, including expanded

reference lists, please see these texts


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Distant Point Needling

© Dr. Henry McCann, 2019

Tung Family Acupuncture Master Tung Ching Chang

Master Tung Ching Chang Master Tung Ching Chang

! Treated patients with ! 1949 fled to Taiwan

© Dr. Henry McCann, 2019

Cultural Renaissance Movement

! While in Taipei became ! Begun in 1966 by Chiang Kai

Master Tung Ching Chang Characteristics of Tung’s Acupuncture

© Dr. Henry McCann, 2019

Characteristics of Tung’s Acupuncture Tung’s Points

! “Orthodox channel extra points” 正經奇穴

Point Distribution Zone Characteristics

Zone Location Number of Points

© Dr. Henry McCann, 2019

Point Locations Point Indications

As one can see, Tung uses Western terminology !

© Dr. Henry McCann, 2019

Black box: causal chains are unknown

A model is required which links acupoints and

The model of Tung’s Acupuncture

! Zhi Zhen Yao Da Lun (Su Wen Ch. 74)

! Heaven and earth are the great principle, man’s

© Dr. Henry McCann, 2019

Classical References to Point Functions Classical References to Point Functions

Man and Nature are in Harmony Guiding Principle: Correspondence

! Man is a Microcosm or Hologram of the natural Interpretation:

© Dr. Henry McCann, 2019

Rules of Diagnosis and Treatment Holographic Correspondence

! Holographic Correspondence ! Large Taiji

Tung’s Correspondence of the extremities [Large Taiji]

Projection arm ! arm Projection leg ! leg

© Dr. Henry McCann, 2019

Correspondence between head, trunk & distal parts of the extremities

Top of the head

Small Taiji Small Taiji

! Most completely described by Zhang Yingqing,

© Dr. Henry McCann, 2019

Small Taiji – Long Bones

Wu Zang Bie Tong 五臟別通: Branching Connections of the

! Branching connections describe Yin-Yang channels

© Dr. Henry McCann, 2019

Yin Yang Li He Lun (SW6) Wu Zang Bie Tong 五臟別通

Taiyang is the open Taiyin is the open

Clock Channel Correspondence Tissue Correspondence

Needle depth should target appropriate tissues and

! According to Gao Shishi this refers to the different tissues of

© Dr. Henry McCann, 2019

! “Huang Di asked: I would like to hear about piercing the ! 一曰半刺，半刺者，淺內而疾發針，無針傷肉，如拔毛狀，以取皮氣，

Tissue Correspondence Tissue Correspondence

© Dr. Henry McCann, 2019

Tissue Correspondence Needle Rules and Methods

Needle To Treat ! Needle distal and contralateral; bleed

! Flesh ! Flesh and Spleen ! Dao Yin (Guiding) 導引針法 or Dong Qi

Classical References to Lung Pathology

© Dr. Henry McCann, 2019

• “All Qi oppression and stagnation, without exception they