Acupressure(Manual( for(the(Martial(Artist( ( (
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( ( ( Henry(McCann,(DAOM,(LAc( Institute(for(Classical(Asian(Medicine( www.asianmedicine.org. !
Copyright © 2011 by Henry McCann All rights reserved. No part of this book may be used or reproduced in any manner whatsoever without written permission from the author, except in the case of brief quotations embodied in critical articles and reviews. Please consult a licensed health care provider before attempting any technique in this manual. Information is provided in good faith although nothing in this book is intended to replace professional medical care. Any injury sustained by practicing any method in this book is the sole responsibility of the reader.
Published by INSTITUTE FOR CLASSICAL ASIAN MEDICINE 12 Main Street, Suite 12-3, Madison, NJ 07940 www.asianmedicine.org
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! ! CONTENTS! ! ! Overview(
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Medical(Theory(Basics(
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Treatment(
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Tuina( Manipulations(
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Cun(Measurement(Diagrams(
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Points(of(the(Upper(Limb(
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Points(of(the(Lower(Limb(
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Points(of(the(Head,(Neck(and(Trunk(
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Distal(Point(Correspondences(
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Treatment(of(Basic(Conditions(
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Bibliography( (
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OVERVIEW! ! East!Asian!Medicine!and!Acupressure! ( East( Asian( Medicine( (EAM),( sometimes( known( as( Oriental( Medicine( or( Chinese( Medicine,(describes(a(family(of(medical(systems(which(all(have(their(origins(in(the( traditional( medicine( of( China.( ( EAM( has( a( unique( core( theory( and( clinical( applications(that(have(wide(application(for(the(management(of(disease.(((The(earliest( methods(of(treatment(that(fall(under(the(heading(of(EAM(include(for(example(herbal( medicines,(moxibustion((heat(therapy),(and(manual(therapies((i.e.,(various(types(of( massage(and(bodywork).((Later,(around(the(time(of(the(Han(dynasty((206(BCE(–(220( CE),(acupuncture(therapy(with(fine(needles(was(developed.( ( Acupressure( (zhi$ ya(
)( is( the( use( of( manual( stimulation( of( specific( points( or(
zones(of(the(body(used(in(acupuncture(therapy,(without(the(use(of(needles.((It(works( on(the(same(general(theory(as(acupuncture(and(other(EAM(therapies,(although(basic( acupressure( is( easy( to( learn( and( apply( as( a( type( of( home( therapy.( ( In( China( acupressure( is( a( part( of( a( larger( approach( to( remedial( bodywork( therapy( and( manipulation(called(Tuina(
,(literally(“pulling(and(grasping.”((
( ( East!Asian!Medicine!and!the!Martial!Arts! ! The(study(of(medicine(and(martial(arts(were(linked(closely(in(ancient(China.((In(an( era(where(medical(care(was(scarce(martial(artists(and(martial(arts(teachers(needed( to(know(at(the(very(least(the(rudiments(of(first(aid(when(faced(by(traumatic(injuries.(( Furthermore,( knowledge( of( anatomy( was( an( asset( in( fighting( so( as( to( better( understand(the(vulnerabilities(of(the(human(form.((The(basic(study(of(medicine(was( thus( considered( part( of( the( standard( curriculum( for( serious( martial( artists.( ( Some( martial(artists,(because(of(their(familiarity(with(traumatic(injury,(made(their(livings( (
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also( as( physicians( who( practiced( orthopedics( or( traumatology( –( the( specialty( commonly(known(in(Chinese(as(Die(Da.( ( Eventually(more(specific(medical(knowledge(was(integrated(into(martial(practice(so( as( to( make( it( easier( to( injure( or( subdue( an( opponent.( ( Based( on( a( detailed( understanding(of(the(physical(and(energetic(body,(martial(artists(began(developing( specialized( techniques( such( as( Fen( Jin( 分筋(dividing( or( grabbing( the( muscles( and( tendons),(Cu(Gu(錯骨((misplacing(or(dislocating(bones(and(joints),(bone(breaking,(Bi( Qi( 閉氣( (sealing( off( the( breath( causing( an( opponent( to( loose( consciousness),( Dian( Xue( 點血( (striking( veins( and( arteries),( and( Dian( Xue( 點穴( (different( from( the( previous( Dian( Xue)( or( Dian( Mai( 點脈( (striking( acupuncture( points,( known( as( Dim( Mak(in(Cantonese).( ( Acupressure(is(closely(related(to(Dian(Xue((striking(acupuncture(points),(except(in( acupressure( the( intention( is( to( use( points( to( treat( or( prevent( disease( rather( than( cause(injury.((Basic(acupressure(is(easy(to(learn,(easy(to(apply,(and(effective.((Thus(it( is( an( ideal( way( for( martial( artists( to( start( reincorporating( traditional( medical( knowledge(into(their(own(martial(arts(practice(regimens.( (
MEDICAL!THEORY!BASICS! ( Qi!and!The!Channel!System! ( Qi( 氣 is( a( core( concept( in( EAM( that( also( permeates( all( of( Asian( culture.( ( It( is( sometimes(translated(as(“energy”(or(described(as(a(bio`electric(force,(although(this( is(a(simple(glossing(of(a(very(complicated(concept.((Qi(is(hard(to(define(precisely,(but( it( can( be( thought( of( as( the( most( essential( vital( substance( in( the( body,( the( normal( functions( of( the( different( organ( systems( in( the( body,( and( even( the( relationship( between(the(organ(functions(internally.((All(of(this(is(Qi.( ( (
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Qi( and( blood( are( said( to( move( through( the( body( in( a( system( of( interconnected( networks( known( as( the( channels( and( network( vessels( 經絡.( ( The( channels( are( drawn(as(lines(on(the(surface(of(the(body,(although(in(actuality(they(move(between( and( connect( the( internal( organs( with( each( other( and( with( the( surface( areas( of( the( body.( ( Broadly( speaking( disease( is( a( breakdown( in( the( normal( harmonious( relationships( between( different( parts( of( the( body,( or( the( normal( functions( of( the( body.( ( Since( the( channel( system( represents( the( normal( harmonious( relationships( and( functions( of( Qi( in( the( body,( disease( is( just( a( manifestation( of( some( sort( of( imbalance(present(in(the(channel(system.( ( In(EAM(there(are(several(channel(systems(in(the(body,(although(the(most(commonly( used( are( known( as( the( Primary( Channels.( ( There( are( 12( primary( channels,( each( named(for(the(main(internal(organ(to(which(they(pertain.((Only(the(primary(channels( and(two(extra(vessels((the(Du(Mai(on(the(midline(of(the(back,(and(the(Ren(Mai(on(the( midline(of(the(front)(have(their(own(acupuncture(points.((All(other(channels(in(the( body( share( the( borrow( points( from( the( primary( channels,( and( thus,( the( primary( channels(are(the(main(area(of(study(in(EAM(and(the(main(areas(where(treatment(is( applied.( ( ( Points! ( Acupuncture( points,( the( same( as( acupressure( points,( are( areas( on( the( channels( where( the( Qi( mechanism( can( be( effectively( regulated( with( the( purpose( of( reestablishing( normal( function( and( movement( of( the( Qi,( and( normal( relationships( between(the(surface(and(the(interior,(or(between(the(internal(organs.((Points(can(be( stimulated( with( needles,( magnets,( heat,( or( just( simple( pressure.( ( The( method( of( locating(points(will(be(described(below.( ( (
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Pain!in!EAM! ( One( of( the( most( common( problems( that( martial( artists( will( have( to( deal( with( is( injury( and( pain,( and( therefore( it( is( helpful( to( understand( pain( from( a( Chinese( medical(perspective.((Simply(speaking,(pain(is(a(state(of(stagnation,(or(non`freeflow( movement(of(the(Qi(and(blood(in(a(given(area(of(the(body.((There(is(a(famous(saying( in(Chinese(that(says(“when(there(is(no(free(movement,(pain(results”((bu$tong$ze$tong$ ).((The(treatment(for(pain(then(is(simple.((Reestablish(movement(and(pain( disappears( (tong$ze$bu$tong$
).( ( Acupressure( and( basic( massage( moves( Qi(
and(blood(in(the(channels(and(thus(effectively(treats(pain.( ( Stagnation(that(results(in(pain(can(come(from(many(causes,(although(probably(the( most(common(cause(for(the(martial(artist(is(traumatic(injury.((The(typical(example(of( this(phenomenon(of(course(is(traumatic(injury(that(causes(bruising.((When(an(area(is( hit,(blood(vessels(break.((The(leaking(blood(and(other(factors(cause(local(swelling(in( the(area.((Both(fluids(and(blood(are(not(moving,(and(the(resulting(swelling(leads(to( pain.( ( Other( conditions( can( also( lead( to( stagnation( and( pain,( which( are( described( in( Chinese(as(common(sayings(similar(to(the(one(mentioned(above.((The(first(is(bu$rong$ ze$tong((
)(–(“when(there(is(no(nourishment,(pain(results.”((When(the(body’s(
vitality(is(weak(there(can(be(a(state(where(there(is(inadequate(strength(to(propel(the( normal( movement( of( Qi( and( blood.( ( For( example,( as( the( body’s( vitality( declines( in( the(normal(aging(process(painful(diseases(such(as(arthritis(become(more(common.(( In(EAM(terms,(as(vitality(diminishes(there(is(inadequate(nourishment(in(the(joints,( tendons(and(channels,(and(arthritis(–(a(condition(of(pain(–(results.( ( The(second(saying(is(bu$song$ze$tong$(
)(–(“when(there(isn’t(relaxation,(pain(
results.”((Muscular(tension(over(time(can(lead(to(stiffness(and(pain.((When(martial( arts(techniques(are(performed(with(a(stiff(and(rigid(body(rather(then(with(smooth( (
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relaxed(movements((relaxed(movements(can(still(be(strong(and(fast),(injury(is(more( likely(to(result.(Likewise,(especially(in(modern(times,(emotional(stress((i.e.,(when(a( person(cannot(enter(a(state(of(relaxation)(leads(to(pain,(both(physical(and(emotional.(( Both(the(lack(of(nourishment(and(lack(of(relaxation(can(be(helped(with(acupressure( techniques(that(strengthen(and(relax(the(body.((Thus(when(the(body(is(strengthened( (rong$ze$bu$tong(
),(or(relaxed((song$ze$bu$tong(
),(pain(is(relieved.(
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TREATMENT! ! Locating!Points( ( Acupressure(points(are(located(along(channels.((There(are(basically(two(methods(of( locating( points:( (1)( in( relationship( to( identifiable( anatomical$landmarks,( or( (2)( by( determining(proportional$distance(between(parts(of(the(body.(( ( Anatomical$landmarks(refer(to(parts(of(the(body(that(can(be(seen(or(felt(by(hand.((A( simple( anatomical( landmark( might( be( the( tip( of( the( nose( or( the( corner( of( the( eye.(( These( are( examples( that( anyone( even( without( specific( anatomical( knowledge( can( find.( ( Other( anatomical( landmarks( are( for( example,( the( ends( of( bones( or( the( locations( where( tendons( attach( to( bones.( ( These( require( some( basic( training( in( human( anatomy( although( are( still( easy( to( learn( and( understand.( ( Anatomical( landmarks(are(basically(just(landmarks(as(in(when(finding(a(building(while(driving.(( For(example,(when(driving(instructions(may(say(“take(a(left(at(the(third(traffic(light.”(( The(traffic(light(in(this(case(is(the(landmark.((In(point(location,(the(instructions(may( say(that(a(“point(is(located(at(the(tip(of(the(ear.”((In(this(case(the(ear(is(the(landmark.( ( Proportional$ distance( is( the( other( method( of( locating( points,( and( it( refers( to( the( distance(between(two(known(anatomical(landmarks,(or(measured(distances(from(a( single(anatomical(landmark.((This(distance(is(measured(in(cun(寸,(sometimes(called( (
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anatomical( inches.( ( The( length( of( a( cun( is( different( for( every( person,( based( on( the( size(of(their(own(body.((EAM(defines(the(distance(of(a(cun(as(the(width(of(the(thumb( at(the(interphalangeal(joint((the(joint(in(the(middle(of(the(thumb).((The(width(of(the( four(fingers,(without(the(thumb,(is(three$cun.((For(example,(if(a(point(is(located(three( cun$ below( the( knee,( it( can( be( located( at( one( hand`breath( from( the( knee( as( a( landmark.( ( Parts( of( the( body( are( also( described( as( being( a( certain( distance( apart( in( cun.( ( For( example,(there(are(12(cun(between(the(wrist(and(the(elbow.((Remember,(this(is(not(a( predefined(measurement,(so(each(person(will(be(different.((However,(the(proportion( is(the(same(on(every(person.((For(example,(when(a(point(is(located(three(cun(up(from( the(wrist,(it(is(actually(one(fourth((¼)(the(distance(from(the(wrist(to(the(elbow((3(is( ¼(of(12).(( ( Points(are(living(phenomenon(and(as(such(can(be(slightly(different(on(each(person,( or( even( on( the( same( person( at( different( times.( ( The( only( reliable( way( to( find( the( precise(location(of(points(is(by(touch.((Once(a(landmark(or(distance(is(identified,(the( surface(of(the(body(is(palpated((touched)(to(feel(if(there(is(an(indentation(present.(( Alternately,( the( precise( location( of( the( point( can( be( determined( by( pressure( sensitivity.((In(other(word,(when(the(point(is(pressed(the(patient(will(feel(it(as(slight( tenderness(or(pain.((Points(are(also(sometimes(located(when(there(cold(or(flaccidity( (indicating( a( weakness( of( the( qi),( or( heat( and( hardness( (indicating( excess( or( stagnation)(are(felt(on(the(body.( ( ( Stimulating!Points( ( In(acupressure(or(Tuina,(points(are(mechanically(stimulated(with(pressure,(mainly( using(the(fingers(or(hands,(although(other(parts(of(the(body(such(as(the(elbows(or( feet( can( be( used.( ( This( pressure( activates( the( point’s( functions( and( stimulates( movement( in( the( channel( the( point( is( on.( ( Other( methods( of( stimulation( can( be( (
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stroking,( rubbing,( or( tapping.( ( Points( can( be( stimulated( by( other( means( such( as( magnets(or(heat((e.g.,(moxibustion).( ( (
TUINA!MANIPULATIONS! ( Below( are( the( most( commonly( used( manipulations( in( Tuina,( Chinese( remedial( bodywork( therapy.( ( All( of( these( methods( can( be( used( to( stimulate( acupressure( points,(although(some(are(more(commonly(used(than(others.( ( Pushing!!(Tui!Fa)!!
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Pushing(is(executed(by(pushing/sliding(along(various(muscles(of(the(body.((To(push,( the(therapist(can(use(one(or(more(fingers,(the(palm,(the(thenar(eminence,(the(fist,(or( knuckles.((This(technique(is(often(performed(with(oil,(herbal(liniment(or(some(other( skin(lubricant.((This(technique(relaxes(muscles,(and(moves(and(quickens(the(Qi(and( Blood.((When(channels(are(massaged(in(the(direction(of(Qi(movement(this(maneuver( is( supplmenting( and( when( channels( are( massaged( in( the( direction( opposite( their( flow(this(technique(is(draining.( ( (
•Yi$Zhi$Chan$Tui((One(Thumb)(
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•Luo$wen$Tui((whirled(surface(of(thumb)(
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•Zhong$Feng$Tui((tip(of(thumb)(
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•Chan$Fa((smaller(amplitute(tip(of(thumb)(
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•Pian$Feng$Tui((side(edge(of(thumb)(
( Grasping!!(Na!Fa)!!
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This(maneuver(is(performed(usually(by(grasping(various(areas(of(the(body(with(the( thumb(and(fingers.((Massaging(and(grabbing(someone’s(shoulders(is(an(example(of( (
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Grasping( Technique.( ( Grasping( is( also( commonly( executed( on( the( neck,( limbs( and( lower( back.( ( This( technique( can( relax( tendons( and( muscles,( relieve( pain,( move( Channel(Qi(and(quicken(Blood.( ( Pressing!!(An!Fa)!!
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Fingers( or( the( palm( are( pressed( down( into( an( area( or( into( a( specific( acupuncture( point.( ( Shiatsu( or( acupressure( is( an( example( of( Pressing( Technique.( ( Pressing( can( activate(the(function(of(different(acupuncture(points.( (
•Mu$Zhi$An((pressing(with(thumb)(
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•Zhong$Zhi$An((pressing(with(middle(finger)(
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•Zhang$An((pressing(with(palm)(
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•Zhang$Gen$An$(pressing(with(palm(base)(
( Round!Rubbing!!(Mo!Fa)!!
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The( fingers( or( palms( are( used( to( gently( rub( an( area( or( a( point( on( the( body( with( a( circular(motion.((The(hand(or(fingers(should(be(allowed(to(slide(over(the(area(being( massaged( and( thus( this( technique( is( often( performed( with( oil,( herbal( liniment( or( another(lubricant.((Round(Rubbing(can(be(done(on(various(areas(of(the(body.((It(can( move(Qi(and(quicken(Blood.( (
•Zhang$Mo$(rubbing(with(palm)( •Zhi$Mo((rubbing(with(four(fingers)(
! Kneading!!(Rou!Fa)!!
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Kneading( is( performed( by( placing( fingers( or( palm( against( an( area( of( the( body( and( then(rubbing(it(in(a(circular(motion.((The(muscles(under(the(skin(should(be(kneaded.((
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This(technique(differs(from(Round(Rubbing(in(that(the(hand(or(fingers(should(not(be( allowed(to(slide(over(the(skin(but(rather(remain(in(one(place,(moving(the(skin(over( the( muscles( underneath.( ( This( technique( does( not( need( lubrication.( ( Kneading( can( course(Qi(and(quicken(Blood(as(well(as(dispel(and(break(up(static(Blood.( (
•Zhong$Zhi$Rou$(middle(finger(kneading)(
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•Mu$Zhi$Rou((thumb(kneading)(
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•Zhang$Gen$Rou((palm(base(kneading)(
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•Du$Yuji$Rou$(major(thenar(kneading)(
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•Zhou$Rou((elbow(kneading)(
( Rubbing!!(Ca!Fa)!!
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The(hands(are(vigorously(rubbed(back(and(forth(in(a(straight(line(along(an(area(of( the(body.((This(technique(differs(from(Round(Rubbing(in(that(Rubbing(is(performed( in(a(straight(line(and(is(executed(more(vigorously.((This(technique(can(be(performed( with( or( without( lubrication.( ( Rubbing( should( be( performed( briskly( to( create( a( pleasant(heat(sensation.((Rubbing(can(move(Qi(and(quicken(Blood(as(well(as(warm( the(channels(and(muscles.( ( Beating!!(Ji!Fa)!!
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Various(parts(of(the(body(are(rhythmically(and(gently(struck(with(the(fingers,(palm,( loose(fist(or(stick((traditionally(mulberry(is(often(used).((It(is(important(not(to(injure( the( area( being( struck.( ( The( shoulders,( head,( neck( and( back( are( commonly( treated( with(this(technique.( ( ( ( (
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Rolling!(Gun!Fa)!
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Rolling( technique( utilizes( a( rolling( motion( of( the( hand( and( forearm( with( contact( maintained( by( the( back( knuckles( of( the( therapist’s( hand.( ( This( manipulation( can( result( in( either( light( or( heavy( force( and( is( applicable( to( larger( areas( of( the( body,( especially(on(the(back,(neck,(shoulders,(hips(and(legs.(
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CUN!MEASUREMENTS! ! ! ! ! ! ! (
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POINTS!OF!THE!UPPER!LIMB!
( ( He!Gu!(LI4)( ( ( Location:( On(the(back(of(hand(between(the(thumb(and(first(finger,(at(the( midpoint(of(the(second(metacarpal(bone( ( Indications:(( Headache,(general(fatigue(or(weakness,(shoulder(pain,(pain(anywhere( in(the(upper(part(of(the(body( ( Notes:( Do$not$use$on$pregnant$women$ (
( ( ! Nei!Guan!(Pc6)! (( ( Location:( On(the(palm(side(of(the(forearm,(2(cun(above(the(crease(of(the(wrist( between(the(two(large(tendons((palmaris(longus(and(flexor(carpi( radialis)( ( Indications:( Chest(pain,(difficulty(breathing,(loss(of(breath,(nausea,(vomiting( ( ( ( ( (
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Tai!Yuan!(Lu9)( ( ( Location:(( On(the(palm(side(of(the(forearm,(on(the(crease(of(the(wrist(on(straight( line(drawn(down(from(the(first(finger( ( Indications:( Loss(of(consciousness,(fatigue,(coughing,(chest(pain,(supplements(lung( function( ( Notes:( This(point(treats(these(indications(more(for(when(it(stems(from( weakness(of(the(qi(internally;(Nei(Guan((Pc6)(is(better(for(acute(injury( for(conditions(such(as(chest(pain(or(difficulty(breathing( ( (
( ( ( Chi!Ze!(Lu5)( ( ( Location:( In(the(bend(of(the(elbow((on(the(crease),(on(the(straight(line(drawn( down(from(the(first(finger( ( Indications:( Shoulder(pain,(low(back(pain,(knee(pain( ( ( ( ( ( (
(
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( Zhong!Zhu!(SJ3)( ( ( Location:( On(the(back(of(the(hand,(between(the(joints(of(the(small(and(ring( fingers( ( Indications:( Shoulder(pain,(low(back(pain,(neck(pain,(headache( ( ( (
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( ( ( ( ( Shou!San!Li!(LI10)( ( ( Location:( Two(cun(distal(to(the(elbow(on(the(outside(of(the(arm,(on(the(line( connecting(the(end(of(the(crease(of(the(elbow(when(bent(and(the(first( finger( ( Indications:( Fatigue,(weakness(in(the(arm,(pain(or(sweeling(of(the(elbow,(wrist,( shoulder(or(upper(limb(( ( ( ( (
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POINTS!OF!THE!LOWER!LIMB!
( ( Ran!Gu!(Kd2)( ( ( Location:( In(the(depression(inferior(to(the(the(navicular(bone( ( Indications:( Testicular(pain,(fear,(restlessness( ( ( Gong!Sun!(Sp4)( ( ( Location:( On(the(instep(of(the(foot,(distal(and(inferior(to(base(of(first(metatarsal( bone( ( Indications:( Testicular(pain,(abdominal(pain( ( (
( ( ( Tai!Chong!(Lv3)! ( ( Location:( Between(the(metatrsals(of(the(first(and(second(toes,(just(distal(to(the( tarsometatarsal(joints( ( Indications:( Headache,(muscle(cramps,(spasms( ( ( ( ( (
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Kun!Lun((Bl60)( ( ( Location:( In(the(depression(behind(the(outer(ankle( ( Indications:( Neck(pain,(back(pain,(headache,(generalized(pain(from(trauma( ( ( ( (
( ( ( ( ( Xuan!Zhong!(Gb39)( ( Location:( One(hand`breath(above(the(outer(ankle( ( Indications:( Ankle(pain/sprain,(pain(or(injury(on(the(lateral(foot,(neck(pain,( weakness(in(the(legs(or(back( ( ( ( ( Yang!Ling!Quan!(Gb34)( ( ( Location:( In(front(of(and(slightly(below(the(head(of(the(fibula( ( Indications:( Tendonitis,(rib`side(pain((e.g.(from(injury,(fracture)( ( ( ( ( ( ( (
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Wei!Zhong!(Bl40)( ( ( Location:( At(the(middle(of(the(back(of(the(knee( ( Indications:(( Back(pain,(pain(in(the(back(of(the(legs,(sciatica( ( (
( ( ( ( ( ( Zu!San!Li!(St36)( ( ( Location:( One(hand`breath(down(from(the(lateral((outside)(eye(of(the(knee,(just( next(to(the(bone( ( Indications:( Fatigue,(nausea,(poor(appetite,(fatigue(or(weakness(in(the(leg,(pain(or( swelling(of(the(knee(or(lower(limb;(main(point(for(strengthening(the( body,(treats(all(types(of(chronic(pain( ( Notes:( Applicable(for(moxibustion(to(strengthen(the(body(and(lengthen(life( ( ( ( ( (
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! Bi!Guan!(St31)( ( ( Location:( At(the(junction(of(the(line(drawn(down(from(ASIS(and(across(from( inferior(border(of(symphysis(pubis( ( Indications:( Gate(of(the(lower(limb((name(means(“thigh(gate”),(leg(pain,(hip(pain,( fatigue(or(poor(circulation(in(the(leg( ( Notes:( Use(with(St36(for(increasing(circulation(of(qi(and(blood(in(the(lower( legs( ( ( ( ( (
(
(
( ( (
(
22(
POINTS!OF!THE!HEAD,!NECK!AND!TRUNK!
! ! Ren!Zhong!(Du26)! ( ( Location:( Under(the(nose(at(the(midpoint(of(the(philtrum( ( Indications:( Loss(of(consciousness( ( Note:( Apply(strong(pressure(with(the(nail(on(the(thumb( ( ( Da!Zhui!(Du14)( ( Location:( Under(the(spinous(process(of(the(7th(cervical(vertebrae( ( Indications:( Fainting,(dizziness,(knockout(revival( ( (
( ( Ling!Tai!(Du10)( ( ( Location:( Under(the(spinous(process(of(the(6th(lumbar(vertebrae( ( Indications:( Fainting,(dizziness,(knockout(revival( ! ! (
(
23(
Feng!Chi!(GB20)( ( Location:( On(the(back(of(the(neck,(just(below(the(occipital(bone( ( Indications:( Headache,(dizziness,(fainting,(knockout(revival( ( ( (
! ! ! ! ! ! Tian!Zong!(SI11)( ( ( Location:( Over(the(scapula,(in(the(tender(spot(one(third(of(the(distance(down(on( the(line(connecting(the(scapular(spine(and(the(inferior(angle(of(the( scapula( ( Indications:( Gate(of(the(upper(limb,(shoulder(pain,(arm(pain,(elbow(pain( ( Notes:( This(point(is(often(very(tender(to(the(touch(and(can(send(a(numb( sensation(radiating(into(the(arm( ( ( ( ( ( ( (
24(
( ( ( Shen!Shu!(BL23)( ( Location:( Located(1.5(cun(to(the(side(of(the(space(below(the(2nd(lumbar(vertebra( ( Indications:( Weakness,(fatigue,(back(pain( ( (
(
( ( ( (
25(
DISTAL!POINT!CORRESPONDENCES! ( (
( ( ( (
( ( ( (
(
(
26(
( ( Acute!Injury( •
TREATMENT!OF!BASIC!CONDITIONS(
Apply(pressing(to(general(analgesic(points(such(as(He(Gu((LI4)(and(Kun(Lun( (BL60)(
•
Apply(pressing(or(pushing(to(distal(points(that(relate(to(the(affected(area(
•
Have(the(patient(gently(mobilize(the(area(of(pain(
•
Rest,(ice,(compression(and(elevation((RICE)(are(used(for(acute(injuries(
! ! Contusions( A(contusion(is(a(bruise(and(in(EAM(they(are(localized(stagnation(of(Qi(and(stasis(of( blood.((As(previously(discussed,(the(main(treatment(strategy(is(to(move(stagnation( to(relieve(pain.(( •
Rest,(ice,(compression(and(elevation((RICE)(are(used(for(acute(injuries(
•
Apply(pressing(or(pushing(to(distal(points(that(relate(to(the(affected(area(if( the(area(is(particularly(painful;(have(the(patient(gently(mobilize(the(area(
•
Apply(pressing(or(pushing(to(points(that(move(qi(and(blood(in(the(specific( limb(or(other(part(of(the(body( o E.g.,(Bi(Guan((St31)(for(the(lower(limb(
•
Gently(round(rub(or(knead(the(bruised(area(starting(from(the(center(and( working(out;(use(an(herbal(liniment(as(applicable(
•
Apply(heat(to(any(bruise(that(is(not(new((cold(creates(more(stagnation(of(Qi( and(stasis(of(blood)(
( ( ( ( ( (
(
27(
Sprains!and!Strains( A(sprain(is(an(injury(to(ligaments(when(they(are(stretch(beyond(their(normal(range.(( A(strain(is(an(injury(to(muscle(fibers(or(tendons(when(there(is(tearing.((Both(are( considered(“sinew(injury”((shang$jin( •
)(in(EAM.((
For(sprains(and(strains(with(swelling(follow(the(general(guidelines(of( contusions(above(
( For(more(chronic(conditions(or(when(there(is(no(significant(swelling:( •
Apply(pressing(or(pushing(to(distal(points(that(relate(to(the(affected(area(if( the(area(is(particularly(painful;(have(the(patient(gently(mobilize(the(area(
•
Gently(rub(the(local(area(to(warm(it;(apply(appropriate(liniment(as(applicable(
•
Apply(grasping(technique(to(the(tendons(or(muscles(in(the(area(of(pain(to( relax(the(area(
•
Round(rub(the(areas(of(discomfort(to(patient’s(tolerance(
•
Apply(pressing(or(pushing(to(points(that(move(qi(and(blood(in(the(specific( limb(or(other(part(of(the(body(
•
Apply(pressing(or(rubbing(to(points(that(generally(move(qi(and(blood(to(treat( tightness(in(the(muscles(such(as(He(Gu((LI4),(Tai(Chong((Lv3)(and(Yang(Ling( Quan((Gb34)(
( ( ( Tight!Muscles! Follow(guidelines(from(above(for(chronic(sprains(and(strains( ( ! ! ! ! !
(
28(
Nosebleed! •
Wrap(a(string(tightly(around(the(hand(at(the(level(as(in(the(diagram(
•
Close(fist(to(apply(pressure(with(the(string(
•
Squeeze(the(soft(area(of(the(nose(
(
! ! ! Low!Back!Pain( •
Apply(pressing(or(rubbing(to(Zong(Zhu((SJ3),(Kun(Lun((Bl60)(and(Wei(Zhong( (Bl40)(
•
Apply(gently(rubbing(and(then(round(rubbing(and(kneading(to(the(lower( back(
•
Apply(pressing(or(rubbing(to(Shen(Shu((Bl23)(
•
Apply(pressing(or(rubbing(to(points(that(generally(move(qi(and(blood(to(treat( tightness(in(the(muscles(such(as(He(Gu((LI4),(Tai(Chong((Lv3)(and(Yang(Ling( Quan((Gb34)((optional)(
•
Apply(rolling(or(beating(to(the(lower(back(as(tolerated(
•
For(chronic(conditions(when(the(patient(feels(more(pain(with(cold,(gently( knead(along(the(spine(from(bottom(to(top;(apply(pressing(or(rubbing(to(Xuan( Zhong((Gb39)(and(Zu(San(Li((St36);(moxa(pole(can(be(used(over(these(points( and(over(Shen(Shu((Bl23)(
( ( (
(
29(
Neck!Pain( •
Apply(pressing(or(rubbing(to(Zhong(Zhu((SJ3),(Kun(Lun((Bl60)(and(Xuan( Zhong((Gb39)(while(the(patient(gently(moves(the(neck(
•
Apply(gentle(rubbing(and(round(rubbing(to(the(neck(to(warm(and(relax(the( muscles(
•
Apply(grasping(and(kneading(to(the(neck(
•
Apply(pressing(or(rubbing(to(Feng(Chi((Gb20)(and(Tian(Zong((SI11)(
•
Apply(rolling(or(beating(to(the(affected(area(as(tolerated(
( ( General!Fatigue!or!Weakness!of!the!Body! •
Press(points(that(supplement(the(body(such(as(Shou(San(Li((LI10),(Zu(San(Li( (St36),(Shen(Shu((Bl23)(and(Xuan(Zhong((Gb39)(
( ( ( Cautions! Whenever(a(fracture(or(serious(injury(is(suspected(go(to(a(local(emergency(room(or( contact(a(licensed(health(care(provider(as(soon(as(possible(for(evaluation(and( treatment.((Any(condition(that(does(not(respond(to(normal(palliative(measures(at( home(should(likewise(be(referred(to(a(licensed(healthcare(professional.( ( If,(after(an(injury,(there(is(a(deformity(in(the(normal(shape(of(a(joint(or(limb(suspect( fracture(or(dislocation(and(refer(for(immediate(medical(care.((Likewise,(for(head( injury(or(bleeding(that(does(not(stop(refer(for(immediate(medical(care.( ( ( ( ( ( ( (
30(
BIBLIOGRAPHY! ( Bisio(T.(A$Tooth$from$the$Tiger's$Mouth.(Fireside,(2004.( ( Deadman(P,(Al`Khafaji(M.(A$Manual$Of$Acupuncture.(East(Sussex,(England:(Journal(of( Chinese(Medicine(Publications,(1998.( Flaws(R.(Tieh$Ta$Ke:$Traditional$Chinese$Traumatology$&$First$Aid.(Boulder:(Blue( Poppy(Press,(1985.( ( Serizawa(K.(Tsubo:$Vital$Points$for$Oriental$Therapy.(Japan(Publications,(1998.( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ABOUT( ( Henry! McCann,! DAOM,! LAc,( is( a( doctor( of( acupuncture( and( Oriental( medicine( in( clinical( practice( in( Madison,( NJ,( and( he( regularly( lectures( on( advanced( topics( in( Chinese( medicine( throughout( the( United( States( and( Europe.( ( Dr.( McCann( is( a( long( time( martial( arts( practitioner(and(teacher,(and(it(was(his(study(of(martial(arts(that(lead(him(to(the(practice(of( medicine.((He(lived(and(trained(in(Okinawa(and(was(awarded(a(3rd(Dan(in(Shorin((Kobayasi)( Ryu( at( the( Kodokan( in( Naha( City.( ( He( also( holds( a( 3rd( Dan( in( Isshin( Ryu( and( a( 2nd( Dan( in( Ryukyu( Kempo.( ( After( exploring( Japanese( martial( arts( for( several( decades,( Dr.( McCann( turned( his( attention( to( Chinese( systems.( He( is( a( 12th( Generation( lineage( holder( (indoor( disciple)( of( Chen( Style( Taijiquan,( a( 3rd( Generation( lineage( holder( of( Hunyuan( Chen( Style( Taijiquan,( and( a( lineage( disciple( of( a( Neigong( (Qigong)( system( originating( with( the( Daoist( Immortal( Chen( Tuan.( ( He( can( be( reached( at(
[email protected]( or( at( his( clinic( at( (973)(660`0110(
(
31(
