Four Needle Technique in Acupuncture

(Korean Acupuncture)

Sheng and Ko cycle

(Generating and controlling)
 5 elements points on 12 primary meridians
YIN WELL SPRING STREAM RIVER SEA
WOOD FIRE EARTH METAL WATER
TAI YIN LU 11 10 9 8 5
SP 1 2 3 5 9
SHAO YIN HT 9 8 7 4 3
KI 1 2 3 7 10
JUE YIN PC 9 8 7 5 3
LV 1 2 3 4 8

YANG WELL SPRING STREAM RIVER SEA

METAL WATER WOOD FIRE EARTH
YANG LI 1 2 3 5 11
MING ST 45 44 43 41 36
TAI YANG SI 1 2 3 5 8
UB 67 66 65 60 40
SHAO SJ 1 2 3 6 10
YANG GB 44 43 41 38 34
 Step by step approach

A 48-year-old male with a past medical history of chronic hepatitis complains of persistent
fatigue, dizziness, vertigo, blurring of vision, floaters in the eyes, dryness of the eyes, and
night blindness as well as dull pain beneath the rib cage and spasm of the tendons. His
fingernails are brittle and pale. His tongue is pale, and pulse is thin.

What is the Zang Fu pattern identification?

A. Liver Blood deficiency

B. Liver Yin deficiency

C. Spleen Qi deficiency

D. Kidney Qi deficiency

What is the Five Element pattern identification?

A. Wood deficiency

B. Fire deficiency.

C. Earth deficiency

D. Water deficiency
According to the Sheng cycle, which of the following points should be tonified?

A. Grandmother points

B. Mother points

C. Son points

According to the Sheng cycle, which point should be tonified of the affected channel?

A. Tonify LV1

B. Tonify LV2

C. Tonfy LV3

D. Tonify LV4

E. Tonify LV8

According to the Sheng cycle, which of the following horary points should be tonified?

A. Tonify LV2

B. Tonify HT8

C. Tonify PC8

D. Tonify SP3

E. Tonify LU8

F. Tonify KD10
According to the Ko cycle, which of the following points should be sedated?

A. Mother points

B. Son points

C. Grandmother points

D. Confluent points

According to the Ko cycle, which affected channel point should be sedated?

A. Sedate LV1

B. Sedate LV2

C. Sedate LV3

D. Sedate LV4

E. Sedate LV8

According to the Ko cycle, which of the following horary points should be sedated?

A. Sedate LV2

B. Sedate HT8

C. Sedate PC8

D. Sedate SP3

E. Sedate LU8

F. Sedate KD10
According to the Sheng cycle, which of the following treatments is most appropriate?

A. Tonify LV1 and LV8

B. Tonify LV2 and HT8

C. Tonify LV3 and SP3

D. Tonify LV4 and LU8

E. Tonify LV8 and KD10

According to the Ko cycle, which of the following treatments is most appropriate?

A. Sedate LV1 and LV8

B. Sedate LV2 and HTS

C. Sedate LV3 and SP3

D. Sedate LV4 and LU8

E. Sedate LV8 and KD10

Which of the following treatments is correct according to the Four Needle technique?

A. Tonify KD7 and LU8; Sedate KD3 and SP3

B. Tonify LV8 and KD10; Sedate LV4 and LU8

C. Tonify HT9 and LV1; Sedate HT3 and KD10

D. Tonify SP2 and HT8; Sedate SP1 and LV1

E. Tonify LU9 and SP3; Sedate LU10 and HT8

 Approach for Excess pattern.

A 52-year-old female presents to your clinic with a chief complaint of migraine headache.
The pain is throbbing and is accompanied by dizziness, red eyes, and irritability. She feels
frustrated and is easily angered. She feels nervous and tense all the time. Her premenstrual
syndrome (PMS) is extreme with breast distension and irritability. Her tongue is red and her
pulse is wiry and rapid.

What is the Five Element pattern identification?

A. Wood excess

B. Fire excess.

C. Earth excess

D. Metal excess

E. Water excess

Sheng Ko

Affected LV2 Affected LV4

channel channel

Horary point HT8 Horary point LU8

According to the Sheng cycle, which of the following points should be sedated?

A. Mother point

B. Son point

C. Grandmother point

D. Grandmaster point

According to the Ko cycle, which of the following point should be tonified?

A. Mother point

B. Son point

C. Grandmother point

D. Influential point

Affected channel Horary points

Sedate LV 2 Sedate H8

Tonify LV4 Tonify LU8

According to the Sheng cycle, which of the following points should be sedated?

A. Sedate LV2 and HT8

B. Sedate LV3 and SP3

C. Sedate LV4 and LU8

D. Sedate LVS and KD10

According to the Ko cycle, which of the following points should be tonified?

A. Tonfy LV2 and HT8

B. Tonfy LV3 and SP3

C. Tonfy LV4 and LU8

D. Tonfy LV8 and KD10

Which of the following treatments is correct according to the Four Needle Technique?

A. Sedate LV8 and KD10; Tonify LV4 and LU8

B. Sedate LV4 and LU8; Tonify LV3 and SP3

C. Sedate LV3 and SP3; Tonify LV8 and KD10

D. Sedate LV2 and HT8; Tonify LV4 and LU8