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(PPT) Noriko Shimizu - Animal YNSA and Tail Acupuncture
(PPT) Noriko Shimizu - Animal YNSA and Tail Acupuncture
1
Development of animal YNSA
After 5 years of clinical study I recognized
that canines/felines also have a YNSA
system and that it can be utilized for
treatment of, for example, locomotory and
nervous system disorders. However, the
canine/feline YNSA system is not exactly
the same as that for humans, but is rather
simple in comparison.
2
Development of Tail Acupuncture
The canine/feline YNSA system was effective for
treating disorders of the upper half of the body.
However, in the case of the lower half of the
body, it was not enough, and some other system
was needed to complement it.
Through clinical observation, I found there were
also Microsystems on the tail and in the gluteal
region. I named these “Tail Acupuncture”. Tail
Acupuncture is utilized for spinal disorders and
joint disorders of the pelvic limbs.
MICROSYSTEM ON CANINE
3
The Basic YNSA somatotope
The Basic YNSA somatotope is located
bilaterally on the forehead. Note that
although in humans the Basic YNSA
somatotope is located on both the
forehead (Yin position) and the occipital
scalp (Yang position), in canines and
felines the Basic YNSA somatotope is
located only on the forehead (Yin position).
4
5
YNSA POINTS
and Diagnostic Areas
BASIC POINTS
SENSORY POINTS
BRAIN POINTS
YPSILON POINTS
NECK DIAGNOSTIC AREAS
6
YNSA Points
BASIC POINTS
Y POINTS
BRAIN POINTS
7
BASIC POINTS
A:head,cervical
I D spine,shoulder
H B:cervical spine,shoulder,
C shoulder joint,scapular
B region
E A C:scapular region,
shoulder joint, thoracic limb
D:lumbar spine,pelvic limb
E:thoracic spine, ribs,
(lungs and heart)
F:sciatic nerve
G:knee
H & I:Lumber (Extra Points)
F G
8
Basic A Point
The YNSA Basic A Point is located approximately 0.5-1
cm bilateral to the midline, at the frontal line on the
muscle frontalis, or approximately 5 cm upper to the
vertical line of the medial angle of the eye.
The A Point is subdivided into A1-A8 following a vertical
line from anterior to posterior, and it has an approximate
total length of 1 cm.
The Points A1-A8 represents the head and cervical
spine as well as those parts of the body supplied by
nerves derived from this region.
Basic A Point
I A:head,cervical
D
H spine,shoulder
C
B
E A
9
Basic A Point (side view)
H I
A B C D
E
F G
10
Indications for
the Basic A Point
All reversible conditions within the areas
innervated by the cervical nerves .
All pain relief after injury or after surgery
Headaches
Cervical syndrome
Trigeminal neuralgia, or any facial, neck,
or shoulder neuralgia
Toothache, gingivitis
Cerebral disturbances
Facial paralysis
11
Basic B Point
The YNSA Basic B Points are approximately 0.5-
1cm bilateral to the Basic A Point, or 1-1.5 cm
lateral to the midline, at the frontal line on the
muscle frontalis. The Basic B Point has no
subdivisions. It represents the cervical spine
region and areas innervated by the cervical
nerves – the shoulder, the clavicular region,
and sometimes the shoulder joint.
Basic B Point
B:cervical spine,
I D
H shoulder,
C shoulder joint,
B
E A scapular region
12
Basic B Point (side view)
H I
A B C D
E
F G
Indications for
the Basic B Point
All reversible conditions within the areas
innervated by the cervical nerves, internal or
external, deep and superficial areas.
For example:
・ All pain relief after injury or after surgery
・ Neck-shoulder-arm syndrome
・ Shoulder pain due to immobility after
arm fractures
・ Hemiplegia, etc.
13
Basic C Point
The YNSA Basic C Point is located
approximately 1-1.5 cm lateral to the B point or
2-3.5 cm lateral to the midline, at the frontal line
of the muscle frontalis. The C Point with its
division runs in an imaginary line at an angle of
45 degrees from the root of the nose to roughly
the border of the muscle frontalis and the
muscle interscutularis, stretching over an area
of about 1 cm in a slightly oblique line following
the shape of the skull.
Basic C Point
C:scapular region,
I D
H shoulder joint,
C thoracic limb
B
E A
14
Basic C Point (side view)
H I
A B C D
E
F G
15
The Basic C Point represents
the upper extremities as a whole, but can
also be subdivided into 9 smaller parts.
From back to front, the C Point begins
with the shoulder joint, followed by the
upper arm, the elbow, forearm, and hands.
16
Indications for
the Basic C Point
Post-traumatic and post-operative pain
·
Frozen shoulder
Dislocation of the shoulder joint,
for easier manipulation
Sprained joints, Fractures
Rheumatoid arthritis
Bursitis, Tendosynovitis
Hemiplegia, paraplegia
Paresthesia, Circulatory disturbances, etc.
Basic D Point
There are two kinds of YNSA Basic D
Points; one is the main D Point and the
other is the divided D point (D1-D8). The
main D Point represents the whole lower
part of the body, including the lumbar
vertebrate and lower extremities. The
divided D Point represents D1-D8 lumbar,
and sacrum.
17
Basic D Point
I D D:lumbar spine,pelvic
H limb
C
B
E A
F G
18
The main D Point
The main D Point is located on a crossing
between the upper line of the muscle
zygomaticus and its adhesive line on the
scutular cartilage in the temporal region,
approximately 0.5~1cm above the
zygomatic arch, and 1cm in front of the
ear over the muscle frontallis. The main D
Point is bilateral.
19
Indications for
the Basic D Point
All reversible conditions, post-traumatic or post-
operative pain, and motor disturbances.
Lumbago
Herniated intervertebral disk
Circulatory disturbance of the legs
Neuralgia, ・ Rheumatism
Arthritis, ・ Muscle cramps
Sciatica, ・ Hemiplegia, paraplegia
Fracture and sprains
20
Basic E Point
The YNSA Basic E Points are located above the
superior orbit approximately 1cm lateral to the
midline and follow the curve of the orbicular
muscle of the eye laterally. Each line is about 1-
1.5cm long. The E Points are bilateral, with
about 13 subdivisions.
E1 is most superior and represents thoracic
vertebrae 1.
E1-E13 represent the thoracic vertebrae, the ribs
and thoracic cavity, and the internal organs
innervated by the thoracic nerves.
21
Basic E Point
F G
22
Indications for
the Basic E Point
All reversible conditions, post-traumatic
or post-operative pain.
For example:
・ Intercostal neuralgia
・ Fractures
・ Asthma
・ Dyspnea
・ Bronchitis
23
External occipital
protuberance Basic F&G Points
F:sciatic nerve
G:knee
G F =mastoid
process
F G
24
Basic F and G Points
C1
G C2
F(mastoid process)
Zygomatic arch
Basic F Point
The YNSA Basic F Point is located in the
retroauricular area, over the highest point
of the mastoid process. The canine/feline
mastoid process is, however, too small to
recognize exactly. Instead of the mastoid
process we can use the highest point
behind the ear. Sometimes the Basic F
Point and Basic G Point are difficult to
recognize separately.
25
Indications for
the Basic F Point
The Basic F Point represents the sciatic
nerve.
The indication for theBasic F Point is
sciatica.
Basic G Point
The YNSA Basic G Point is divided into three
parts:
1. G1: medial knee area
2. G2:frontal knee area
3. G3: lateral knee area
The Basic G Points are situated around the
edge of the mastoid process, and they turn
approximately 60 degrees backwards compared
with humans.
26
Indications for
the Basic G Point
Disturbance and all types of post-traumatic pain
of the knee joint and patella.
For example:
・ bruising
・ rheumatism
・ arthritis
・ patella fracture
・ slipping patella
・ sprains
27
Basic H and I Points
H I
A B C D
E
F G
Basic H and I
Points
H&I:
I D
H Lumber (Extra Points)
C
B
E A
28
Indications for
the Basic H and I Points
The same as for those for the Basic D
Point.
The effects of the Basic H and I Points are
increased when used in combination with
the D Point, especially for chronic
lumbago or chronic pain or numbness of
the pelvic limbs.
29
Eye Point A and B
The Eye Point A is in the occipital region
and the Eye Point B is on the sacrum.
External occipital
protuberance
Nose A Eye A Point
Eye A
Eye A point in the
occipital region
30
Eye B Point
Eye B
31
Indications for the Eye Point
All ophthalmic disturbances and pain
impaired vision
glaucoma
conjunctivitis
strabismus
epiphora
post-traumatic or post-operative pain and
discomfort
32
Nose Point A and B
The Nose Point A is in the occipital region
and the Nose Point B is on the tail.
External occipital
protuberance
Nose A Nose A Point
Eye A
Nose A Point in
the occipital
region
33
Nose B Point
Anus
Nose
Nose BB
Anus
Sacrotuberous
Sacrotuberous
ligament
ligament
Mouth
Mouth BB
Tuber
Tuber
ischiadicum
Nose B Point in the
ischiadicum
coccygeal region
Ischiadic
Ischiadic
arch
arch
34
Mouth Point A and B
The Mouth Point A is in the temporal
region and the Mouth Point B is on the
base of the tail.
Mouth A Point
Zygomatic arch
Mouth A
35
Mouth B Point
Anus
Nose B Sacrotuberous
ligament
Mouth B
Tuber
ischiadicum
Mouth B Point in
the coccygeal
region
Ischiadic
arch
36
Indications for
the Mouth Point
All conditions affecting the mouth which
show swelling of mandibular lymph node.
stomatopathy
stomatitis
gingivitis
toothache
swelling of mandibular lymph node
feline gingivostomatitis
External occipital
protuberance
Nose A SENSORY POINTS
Eye A
Sensory points in
the occipital
region
- Eye A
- Nose A
37
Sensory Points
Sensory points on
the sacrum
- Eye B
Eye B
Sensory Points
Anus
Nose B Sacrotuberous
ligament
Mouth B
Tuber
ischiadicum
Sensory points in the
coccygeal region
- Nose B
Ischiadic
arch
- Mouth B
38
Sensory Point(Mouth A)
Zygomatic arch
Mouth A
39
Locations of YNSA Brain Points
The Cerebrum Point and the Cerebellum Point
are approximately 0.5cm from both sides of the
midline in the forehead region.
Basic A Points are located on a line behind the
Cerebrum Point and the Cerebellum Point.
The single Basal Ganglia Point is located
between the Cerebrum and Cerebellum Points
on the midline. The Basal Ganglia Point has an
elongated shape.
BRAIN POINTS
Basal ganglia
Basal
ganglia
Cerebellum
Cerebellum
Cerebrum
Cerebrum
40
41
42
43
Indications for
the Brain Points
Neurological diseases and disturbances
for example:
all motor disturbances
hemiplegia and paraplegia
trigeminal neuritis
endocrine disturbances
epilepsy, ・ insomnia
depression and psychological disturbances
44
Summary of Basic Points
The nine Basic Points are mostly used to
treat motor nerve dysfunctions, as in
paralysis, hemiplegia, and paraplegia.
Indications include dysfunctions and pain
of the kinetic apparatus caused by injury,
surgery, and inflammation, and
pathological changes, such as herniated
intervertebral discs or spondylosis.
Summary of
YNSA Sensory Points
The Eye Point is used to treat all of the
ophthalmic disturbances and pain.
The Nose Point is used to treat all conditions
affecting the nose. It is specially used for canine
rhinostenosis in brachycephalic species.
The Mouth Point is used for all conditions
affecting the mouth with swelling mandibular
lymph nodes. It is specially used for feline
gingivostomatitis.
45
Summary of
YNSA Brain Points
The Brain Points are used to treat only
central nervous system disorders.
46
YNSA Y Points
The canine/feline YNSA Y Points are 12 points
which form a somatotope representing the 12
internal organs, and they are located in the
frontal, parietal, and temporal regions. (The
human Y Points are originally located only in the
temporal region, but the frontal and parietal Y
Points have been added recently.)
The configuration of the canine/feline Y Points is
different from that of humans, and is similar to
the configuration of YNSA Neck Diagnostic
Points themselves.
Y Points and
Neck Diagnostic Areas
SM
ST
S/P
LA
HE
TH
LU
PC
LI GA
KI
BL
47
Approximate position of cervical
vertebrae on the scalp for Y POINT
48
The aim of inserting needles
into Y Points is
To neutralize all active Neck Diagnostic
Areas.
If all Neck Diagnostic Areas are
neutralized by treating correct Y Points,
the neck of the canine/feline patient is
naturally stretched and its motility
increases.
49
Liver Point(LI) and
Liver Diagnostic Area
M. brachiocephalicus
M. Trapezius
pars cervicalis
M. supraspinatus
Muscle(M.)
sternocephalicus
M. omotransversarius
12 Y POINTS
ST TH LA
KI SM S/P
PC LI
HE
BL
GB
LU
50
Y Points and
Neck Diagnostic Areas
SM
ST
S/P
LA
HE
TH
LU
PC
LI GA
KI
BL
S/P
TH 12 Y Points
KI:Kidney
KI
BL
BL:Bladder
LA LI PC:Pericardium
ST GA HE:Heart
PC
SM ST:Stomach
LU
HE TH:Triple Heater
SM:Small Intestine
S/P:Spleen/Pancreas
LU:Lung
LI:Liver
GA:Gall Bladder
LA:Large Intestine
51
Indications for the Y Points
Any dysfunction or imbalance of the
internal organs
Any kinetic or motor disorders or
disabilities
52
The process of treatment in YNSA
53
Position of the Y Points
54
For example
When a feline/canine patient is limping
chronically, cervical problems are latent in most
cases, and usually can be improved by the
YNSA Y Points.
If a patient has been treated unsuccessfully
with Basic Points, the root of dysfunction or
imbalance can be surmised to be deeper in
origin.
In such cases, Y Points are used. This occurs
very often in feline/canine patients with limping
or hemiplegia.
M. brachiocephalicus
M. Trapezius
pars cervicalis
M. supraspinatus
Muscle(M.)
sternocephalicus
M. omotransversarius
55
Indications for the Y Points
Cerebral disturbances, such as hemiplegia,
paralysis, cerebral palsy,
Many kinds of kinetic disorders
Cervical, thoracic, lumbar, and coccygeal
pains of various origins
Osteoporosis
56
The concept of the 12 internal
organ system of TCM-2
5: Stomach system (stomach, interior-exterior
related organ of the Spleen)
6: Triple heater system (lymphatic system,
interior-exterior related organ of the pericardium)
7: Small intestine system (small intestine,
interior-exterior related organ of the heart)
8: Spleen/Pancreas system (spleen, pancreas,
saliva, muscles and limbs, lips, mouth, interior
related organ of the stomach)
57
The connection between the 12 Neck
Diagnostic Areas and the 12 Y Points
58
YNSA Neck Diagnosis
YNSA Neck Diagnosis consists of
palpating the neck to find active areas.
If you find some active areas on the neck
and then palpate the same side of the
scalp, you can find some active Y Points
which correspond to the active Neck
Diagnostic Areas.
59
If you palpate a correct
Y Point, an active Neck
Diagnostic area reduces
in size or disappears immediately.
60
How to palpate the neck
Repeat the next procedure(1-5) until all active Neck
Diagnostic areas are neutralized.
(1) Palpate on both sides of the neck and find an active
Neck Diagnosis area
(2) Palpate the same side of the scalp and find a correct
Y Point
(3) Treat the Y Point by inserting a needle
(4) Palpate the neck and confirm that the active areas on
the neck have been neutralized
(5) Palpate on both side of the neck and find other
active Neck Diagnostic areas
61
3 Extra Neck Diagnostic Areas
The 3 Extra Neck Diagnostic areas are
observed only in canines/felines.
The 3 Extra Neck Diagnostic Areas have
their own treating Points. If you insert
needles into these Points, the active Extra
Neck Diagnostic Areas can be reduced in
size or disappear immediately.
62
Extra Neck Diagnostic Area
2. Superficial cervical lymph nodes
3. Muscle spraspinatus
Mouth B
Extra neck
diagnostic area
1 (=Mandibular
lymph nodes)
63
The Extra Neck Diagnostic Area 2
Means the swollen superficial cervical
lymph nodes.
Correlates to the Lymphatic Point inside
the sacrotuberous ligament.
Extra neck
diagnostic area 2
(=Superficial
cervical lymph node)
64
The Extra Neck Diagnostic Area 3
Means the active area or nodule on the
muscle supraspinatus.
Correlates to the Scapula point A on the
occipital and the Scapula point B in the
gluteal region.
Scapula A Point
Scapula A
and Extra Neck
Diagnostic
Area 3
Scapula A and B
Points are treating
points for active
Extra Neck
Diagnostic Point
Area 3
Extra neck diagnostic
point area 3
(=M. supraspinatus)
65
Scapula B Point
Scapula B
66
TAIL ACUPUNCTURE POINTS
Nose B
Mouth B
Scapula B
Lymphatic
Point
Points in the
Nose A
Occipital region
Eye A
Eye A
Nose A
Scapula A
Scapula A
67
The type of needle
No.01 - No.1 stainless steel needle is
encouraged for both canine/feline patients.
No.1×30mm is suitable for canines.。
No.01×30mm is suitable for felines and
sensitive canines.
For the treating points on the buttocks
No.1×30mm or No.3×50mm is suitable for
canines
No.1x30mm is suitable for felines.
68
Length of treatments
The length of treatment depends entirely
on the canine/feline patient’s endurance. If
the patient can endure it, 5 - 15 minutes
with the needles for each treatment is
effective.
Number of needles
The number of needles for each treatment
depends on the canine/feline patient’s
progress.
Acute ailments need fewer needles, and
chronic ailments need many more needles.
Basically, canine/feline patients need
many more needles in comparison to
humans.
69
How to insert
a needle in the scalp
Keep a palpated
point by your finger
when you insert a
needle into the point
under your
finger.
70
How to insert
a needle in the buttock
Keep a palpated
point outside by
your forefinger so
as not to hurt the
internal organs
when you insert a
needle into the point.
71
Tail Acupuncture
Tail Acupuncture was accidentally
discovered during the treatment of a
canine patient with a herniated disk in
2001. When I pressed the tip of the tail of
the patient, his paralyzed pelvic limbs
moved reflexively. It suggested to me a
new possibility for the treatment of disk
disorders.
72
The first report
on Tail Acupuncture
It was reported as a new microsystem
which can complement YNSA in 2003. It is
mainly utilized for spinal disorders and
joint disorders of pelvic limbs.
73
Anatomy of the canine tail
SKELETON:
Canine tails consist of 6-23 pieces of
caudal vertebrae, normally approximately
20 pieces .
74
The origin and the termination
of 6 right / left tail muscles
(1) muscle sacrocaudalis dorsalis medialis
: from L7 to the last Co.
(2) muscle sacrocaudalis dorsalis lateralis
: from L1 to the last Co.
(3) muscle intertransversarius dorsalis caudalis
: from Sacrum& Co3 to Co5(or Co6)
(4) muscle intertransversarius ventralis caudalis
: from Co3 to the last Co.
(5) muscle sacrocaudalis ventralis lateralis
: from S1 to the last Co.
(6) muscle sacrocaudalis ventralis medialis
: from S3 to the last Co.
Traditional Points
In traditional veterinary acupuncture there
are only 5 treatment points on the tail, all
located on the midline.
They are mainly considered when treating
canine/feline muscular-skeletal disorders.
75
ACUPUNCTURE
POINTS ON THE TAIL
Tail Acupuncture
zone includes
sacrum,caudal
vertebrae and pelvis.
All directions around
the tail are potential
points in Tail
Acupuncture.
76
77
Treatment Points
in Tail Acupuncture
In Tail Acupuncture many points on the tail can
be utilized.
The 5 traditional veterinary points are also
included among the Tail Acupuncture Points, if
these points show some activity when you
touch them.
Some active reaction of the animal patient when
you touch a point on the tail is a major
indication to insert a needle into that point.
78
The location of
the treatment point is not fixed
The location of the treatment point
changes depending on the injured part of
the spine and the pelvic limbs.
The treatment points consist of all points
which show sensitivity when you touch
them, you need to palpate all of the tail,
i.e., from the tail base (Co1) to the tip of
the tail and in all directions around the
caudal vertebrae.
79
ACUPUNCTURE
POINTS ON THE TAIL
Tail Acupuncture
zone includes
sacrum,caudal
vertebrae and pelvis.
All directions around
the tail are potential
points in Tail
Acupuncture.
80
The points on the buttocks
The points on the buttocks consist of the
5 points, which I have already explained ,
namely Eye B Point, Nose B Point, Mouth
B Point, Lymphatic Point and Scapula
Point B.
81
Points on the
buttocks 1
Sensory points on
the sacrum
- Eye B
Eye B
Nose B
Mouth B
Scapula B
Lymphatic
Point
82
Tail-Pelvic Limb Reflex
“Tail-pelvic limb reflex” is a syndrome which
follows spinal disorders.
When a blockage between the spinal nerves
and paralytic symptoms is observed, the tail is
the most sensitive part in the lower half of the
body.
Even when a deep sense of pain is weakened
by the blockage, stimulating the tail causes
standing and walking movement of both pelvic
limbs.
83
Utilization of Tail-Pelvic limb reflex
In a seriously paralyzed case, even if standing
or walking movement does not happen when
you touch the tail, at least the muscles of the
pelvic limbs will contract reflexively.
“Tail-pelvic limb reflex” can be utilized for
treating spinal disorders by acupuncture.
If the human can do some finger-pressure
therapy (SHIATSU) on the canine tail instead of
using needles at home, it also helps the animal
patient recover.
84
Microsystems on the caudal
vertebrae
85
SPINAL SYSTEM ON THE
CAUDAL VERTEBRAE
86
For example
If a canine patient has a problem of subluxation
between C1-C2, you will find stiffness and
indurations around both C1-C2 and Co1-Co2.
Both of the displacements of C1-C2 and Co1-
Co2 are observed in the same direction. A
problem of the right C1-C2 joint produces
stiffness and indurations of the right Co1-Co2
joint.
The pain from the subluxation between C1-C2 is
relieved by acupuncturing the sensitive points
around Co1-Co2.
87
Pelvic Limb System on the Tail
88
PELVIC LIMB SYSTEM
ON THE TAIL
89
Indications of Tail Acupuncture
(1) Spinal disorders
Cervical vertebrae
Thoracic vertebrae
Lumbar vertebrae
Sacrum
(2) Joint problems of the pelvic limb
Hip joint
Knee joint
Tarsus joint
90
Locating the Points & Inserting
Needles
There are two kinds of techniques
according to the region in Tail
Acupuncture.
(1)Tail
(2)Pelvis and Sacrotuberous Ligament
Tail
(1)Touch the tail slowly from the base to the tip, and find
some twists or nodules.
(2)Apply some finger-pressure (Shiatsu) to the top of the
twist, and confirm whether pelvic limb muscles move
reflexively. If a patient doesn’t have any paralytic
syndrome, the pelvic limb reflex can not be observed.
However, you can observe some other reaction by the
patient.
(3) Needles can be inserted into all of these twist points.
(4) Insert needles obliquely into the top of the twist on
the tail toward the head about 0.5cm.
(5) Keep the needles in the tail for 5~10 minutes, then
take them all out.
91
How to insert
a needle on the tail
92
Movie 3(Tail Acupuncture)
93
How to insert
a needle in the buttock
Keep a palpated
point outside by
your forefinger so
as not to hurt the
internal organs
when you insert a
needle into the point.
94
Types of needles
For the tail:
No.1×30 mm is suitable for felines
No.1~No.3×30mm is suitable for canines.
For the pelvis:
No.1×30mm is suitable for felines
No.3×45mm is suitable for canines.
For the sacrotuberous ligament
No.1×30mm is suitable for both
canines/felines.
95
Movie 4(additional points)
96
“YNSA and Tail Acupuncture”
Noriko Shimizu,D.V.M.
Nashiku Shimizu,D.V.M.
(Publisher)
Medical Tribune
OBRIGADA!
fwny9250@mb.infoweb.ne.jp
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