CM SD Index - Differential Diagnosis

Condition Details

Weakness of the legs and knees

TCM Diagnosis

Kidney deficiency

Herbal Formula

Back Support (CR)

Knee & Ankle (CR)

Back Support (CR)

Acupuncture

Balance Method — Dr. Richard Tan

Needle the following points on the side opposite the pain: Hegu (LI 4), Houxi (SI 3), Wangu (SI 4), Linggu (T 22.05), Dabai (T 22.04), Zhongbai (T 22.06), Dazhong (KI 4) or ah shi points nearby, and Fuliu (KI 7), Ququan (LR 8) or ah shi points nearby.
Needle the following points on the same side as the pain: All ah shi points nearby Chize (LU 5), Kongzui (LU 6), Shaohai (HT 3) to Lingdao (HT 4), Shugu (BL 65).
Needle ah shi points around Fengfu (GV 16) to Houding (GV 19).

BodyMapping Acup — Cole Magbanua

Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
Acute and chronic back and hip pain: Needle the opposite side of the pain Chize (LU 5), two needles on Kongzui (LU 6); needle the same side of the pain, two needles from Chengshan (BL 57) to Feiyang (BL 58), three needles on ashi points around Feiyang (BL 58)
Gluteus muscles or rotators involved: Needle two points on the opposite side of the pain from Jianzhen (SI 9) to Naoshu (SI 10), 3 to 5 more needles on ashi points around Naoshu (SI 10) and make sure the needle is DEEP into the muscles.
Needle the same side of the pain Zulinqi (GB 41) deeply.
Sacroiliac Joint: Needle Cole’s SI joint point on the opposite side of the pain. It is is distal to the ulnar, lateral and medial to Yanglao (SI 6). This point is directly opposite of Shenmen (HT 7). Angle of needling should be towards Shenmen (HT 7) as well.
Spinal or disc: Needle the CV points directly in front of the pain.
Bone Spur: 2 to 5 needles on the pisiform bone, tapping the bone, ashi points on the occipital bone.
Psoas pain: deeply on the same side of the pain Zulinqi (GB 41).

DNA — Bob Doane

Identify the location of the pain and determine the muscle group involved. Second, choose a vessel that deliver blood to this jingjin. Third, choose vessels that treat the painful muscles. Finally, choose the correct area or zone based on imaging to needle. Usually when the pain is an acute onset, BL channel is involved. If the pain is chronic or long-term, KI channel is involved.
Low Back Pain L1-L5 (Iliocostalis Lumborum/BL Channel): Bilateral - 2 needles on each of the following points: Chize (LU 5), Zhizheng (SI 7), Xiaohai (SI 8), Weizhong (BL 40), Weiyang (BL 39), Yingu (KI 10), Zhubin (KI 9), 5-10 needles on the abdomen at the same level as the back pain.
Low Back Pain L1-L5 (Gluteus Maximus/BL Channel): Bilateral - Lieque (LU 7), Jingqu (LU 8), Taiyuan (LU 9), Feiyang (BL 58), Fuyang (BL 59), Kunlun (BL 60), Fuliu (KI 7), Jiaoxin (KI 8), Zhubin (KI 9), Wangu (SI 4), Yanggu (SI 5), Yanglao (SI 6), 5-10 needles on the abdomen at the same level as the back pain.
Low Back Pain L1-L5 (Serratus Posterior Inferior, Iliocostalis Lumborum and Thoracis, Latissimus Dorsi/BL Channel): Bilateral - 3 needles evenly spaced from Weizhong (BL 40) to Kunlun (BL 60), Zhaohai (KI 6) to Yingu (KI 10), Wangu (SI 4) to Xiaohai (SI 8), Tianfu (LU 3) to Taiyuan (LU 9), 5-10 needles on the abdomen at the same level as the back pain.
Low Back Pain L1-L5 (Intertransversarii, Quadratus Lumborum, Multifidus/KI Channel): Bilateral - 3 needles evenly spaced from Zhaohai (KI 6) to Yingu (KI 10), Weizhong (BL 40) to Kunlun (BL 60), Shaohai (HT 3) to Shenmen (HT 7), Yangxi (LI 5) to Quchi (LI 11), 5-10 needles on the abdomen at the same level as the back pain. This set of points is better for chronic low back pain.
Low Back Pain L1-L5 (External and Internal Oblique, Transverse Abdominis/GB Channel): Bilateral - 3 needles evenly spaced from Yangjiao (GB 35) to Qiuxu (GB 40), Zhongfeng (LR 4) to Xiguan (LR 7), Waiguan (TH 5) to Huizong (TH 7), Shenmen (HT 7) to middle of the forearm, 5-10 needles on the abdomen at the same level as the back pain.
Sacral Spine Pain (Multifidus, Coccygeus, Iliococcygeus/KI Channel): Bilateral - 3 needles evenly spaced from Yongquan (KI 1) to Zhaohai (KI 6), Kunlun (BL 60) to Zhiyin (BL 67), Shaofu (HT 8) to Shaochong (HT 9), Shangyang (LI 1) to Yangxi (LI 5)
Sacral Spine Pain (Piriformis, Gemellus Superior and Inferior, Obturator Internus, Quadratus Femoris, Gluteus Maximus, Iliocostalis Lumborum/BL Channel): Bilateral - 3 needles evenly spaced from Kunlun (BL 60) to Zhiyin (BL 67), Yongquan (KI 1) to Zhaohai (KI 6), Lieque (LU 7) to Shaoshang (LU 11), Qiangu (SI 2) to Yanggu (SI 5)
Tailbone Pain: Bilateral - Yongquan (KI 1), Rangu (KI 2), Shangyang (LI 1), Quchi (LI 11), ah shi points from Jinggu (BL 64) to Zhiyin (BL 67), 3 needles deep into Weizhong (BL 40); Baihui (GV 20), needle either the top or the bottom of sternum Jiuwei (CV 15), Tiantu (CV 22)

Tung Acup — Brad Whisnant

Primary points: Feixin (T 11.11), Erjiaoming (T 11.12), Dabai (T 22.04), Linggu (T 22.05), Zhongbai (T 22.06), Xiabai (T 22.07), Wanshunyi (T 22.08), Wanshuner (T 22.09), Houzhui (T 44.02), Shouying (T 44.03), Guciyi (T 44.21)*, Gucier (T 44.22)*, Gucisan (T 44.23)*, Pianjian (T 44.20)*
Secondary points: Chongzi (T 22.01), Chongxian (T 22.02), Xinmen (T 33.12), Zhitong (T 44.13), Luotong (T 44.14), Haibao (T 66.01), Zhengjin (T 77.01), Zhengzong (T 77.02), Zhengshi (T 77.03), Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14), Simazhong (T 88.17), Simashang (T 88.18), Simaxia (T 88.19), Zhongjiuli (T 88.25), Zhoushui (T 1010.25)

Tung Acup — Henry McCann

Wanshunyi (T 22.08), Wanshuner (T 22.09), Tongshen (T 88.09), Tongwei (T 88.10), Tongbei (T 88.11), Weizhong (BL 40), Weiyang (BL 39), Fengfu (GV 16), Shuifu (T DT.14)
Bleed Weizhong (BL 40), Lumbar Kidney Water Zone, Buttocks and Ischial Zone

Tung Acup — Esther Su

Tianhuangfu [shenguan] (T 77.18), Wanshunyi (T 22.08), Wanshuner (T 22.09), Wangu (GB 12), Shugu (BL 65), Linggu (T 22.05), Dabai (T 22.04), Xiangu (ST 43), Zhongbai (T 22.06), Xiabai (T 22.07), Zhongzhu (TH 3), Xiaxi (GB 43)
Bleed Weizhong (BL 40)

Tung Acup — Dr. Chuan-Min Wang

For acute pain, bleed first then needle.
For chronic pain, needle first then bleed.
Mid back pain: Needle contralaterally Chongzi (T 22.01), Chongxian (T 22.02), Zhengjin (T 77.01), Zhengzong (T 77.02). Bleed ipsilaterally popliteal fossa or local tender spot.
Low back pain: Bleed ipsilaterally popliteal fossa or local tender spot.
- L1-L3 pain: Needle contralaterally Zhongbai (T 22.06), Xiabai (T 22.07).
- L4-L5 pain: Needle contralaterally Dabai (T 22.04), Linggu (T 22.05).
- S1-S2 pain: Needle contralaterally Wanshunyi (T 22.08), Wanshuner (T 22.09).
Hip pain: Needle contralaterally Jianzhong (T 44.06), Xiaqu (T 44.15), Shangqu (T 44.16), Yunbai (T 44.11), Libai (T 44.12). Bleed ipsilaterally popliteal fossa or local tender spot.
Sciatic pain: Needle contralaterally Dabai (T 22.04), Linggu (T 22.05), Wanshunyi (T 22.08). Needle ipsilaterally Weizhong (BL 40), Kunlun (BL 60), Zuqianjin (T 77.24), Zuwujin (T 77.25).

Tung Acup — Classic

Needle contralateral to the pain. If the pain is in the center, needle bilaterally or the side with the more ah shi points. If the pain is bilateral, needle bilaterally.
Linggu (T 22.05), Chongzi (T 22.01), Chongxian (T 22.02), Wanshunyi (T 22.08), Wanshuner (T 22.09), Zhongbai (T 22.06), Zhengjin (T 77.01), Zhengzong (T 77.02), Zhongjiuli (T 88.25), Tongshen (T 88.09), Tongwei (T 88.10), Simashang (T 88.18), Simazhong (T 88.17), Simaxia (T 88.19), Shuijin (T 1010.20), Shuitong (T 1010.19), Chengshan (BL 57), Biyi (T 1010.22), Zhitong (T 44.13), Dihuang (T 77.19), Renhuang (T 77.21), Sanshen (T 44.27)*, Shuixiang (T 66.14)
Dan (T 11.13), Wanshunyi (T 22.08), Wanshuner (T 22.09), Simashang (T 88.18), Simazhong (T 88.17), Simaxia (T 88.19), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21), Shuitong (T 1010.19), Shuijin (T 1010.20), Zhengji (T 44.24)*, Zhongjiuli (T 88.25)
Sciatica: Linggu (T 22.05), Dabai (T 22.04), Zhongbai (T 22.06), Xiabai (T 22.07) , Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Wanshunyi (T 22.08), Wanshuner (T 22.09), Shoujie (T 22.10), Erjiaoming (T 11.12), Shangqu (T 44.16), Xiaqu (T 44.15), Yunbai (T 44.11), Shouwujin (T 33.08), Shouqianjin (T 33.09), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21), Huaguyi (T 55.02), Huagusi (T 55.05), Mufu (T 88.38)*, Muliang (T 88.39)*, Muchang (T 88.40)*, Pianjian (T 44.20), Huochang (T 88.43)*, Huoling (T 33.05), Tianhuangfu [shenguan] (T 77.18), Yuhuo (T 1010.21), Zhengjin (T 77.01), Zhoujin (T 1010.24), Zhoukun (T 1010.03). Bleed the dark visible from the hip to Weizhong (BL 40). Bleed before needling for the best results.

TCM Acup

Back pain:
Huatuojiaji (Ex-B2) in the back from L3 to L5 for lower back pain.
Huatuojiaji (Ex-B2) from T1 to T12 for upper back pain.
Hegu (LI 4), Yaotongxue (Ex-UE7), Huantiao (GB 30), Yaoyan (Ex-B7), Shenshu (BL 23), Weizhong (BL 40)
Source 16: Zhongji (CV 3), Shenshu (BL 23), Weizhong (BL 40), Mingmen (GV 4), Zhishi (BL 52), Taixi (KI 3), Qihai (CV 6), Kunlun (BL 60), Houxi (SI 3), Ciliao (BL 32), Yaoshu (GV 2), Huantiao (GB 30). Cupping on Yaoshu (GV 2) and Yaoyan.
Source 18: Shenshu (BL 23), Dachangshu (BL 25), Zhibian (BL 54), Yinmen (BL 37), Huantiao (GB 30), Fengshi (GB 31)
Source 21: Shenshu (BL 23), Weizhong (BL 40), Taixi (KI 3), Baihuanshu (BL 30).
Source 27: Shenshu (BL 23), Yanglingquan (GB 34), Weizhong (BL 40), Jianjing (GB 21),
Source 29 : Zulinqi (GB 41), Shenshu (BL 23), Jizhong (GV 6), Weizhong (BL 40), Shenmai (BL 62), Rangu (KI 2), Gaohuangshu (BL 43). Moxa the back.
Sciatica:
- Source 12 : Tongziliao (GB 1), Fengchi (GB 20), Zanzhu (BL 2), Huantiao (GB 30), Chengfu (BL 36), Yanglingquan (GB 34), Chengshan (BL 57), Qiuxu (GB 40), Huatuojiaji (Ex-B2) from L4 – S1
- Source 6 : Yaoyangguan (GV 3), Zhibian (BL 54), Huantiao (GB 30), Yinmen (BL 37), Weizhong (BL 40), Chengshan (BL 57), Yanglingquan (GB 34), Xuanzhong (GB 39), Kunlun (BL 60)
- Source 13: Zhibian (BL 54), Huantiao (GB 30), Chengshan (BL 57), Kunlun (BL 60), Yanglingquan (GB 34), Xuanzhong (GB 39), Qiuxu (GB 40), Yinlingquan (SP 9), Fenglong (ST 40), Zusanli (ST 36), Shenshu (BL 23), Dachangshu (BL 25), ashi points.
- Source 14: Zhishi (BL 52), Huantiao (GB 30), Yinmen (BL 37), Chengjin (BL 56), Guanyuanshu (BL 26), Zhibian (BL 54), Chengshan (BL 57), Feiyang (BL 58)
- Source 16 : Dachangshu (BL 25), Guanyuanshu (BL 26), Huantiao (GB 30), Yaoshu (GV 2), Weizhong (BL 40), Weiyang (BL 39), Shangliao (BL 31), Ciliao (BL 32), Zhongliao (BL 33), Xialiao (BL 34), Yinmen (BL 37), Yanglingquan (GB 34), Chengshan (BL 57), Kunlun (BL 60), Baihuanshu (BL 30), Chengfu (BL 36), Yangjiao (GB 35), Xuanzhong (GB 39), Fuyang (BL 59)
- Source 18 : Huatuojiaji (Ex-B2) around L4,5, Huantiao (GB 30), Zhibian (BL 54), Chengfu (BL 36), Yinmen (BL 37), Weizhong (BL 40), Chengshan (BL 57), Yanglingquan (GB 34)
- Source 19 : Huantiao (GB 30), Weizhong (BL 40), Shenshu (BL 23), Kunlun (BL 60), Dadu (SP 2)
- Source 23 : Huantiao (GB 30), Weizhong (BL 40), Yinmen (BL 37), Zusanli (ST 36), Sanyinjiao (SP 6), Kunlun (BL 60), Qiuxu (GB 40), Yanglingquan (GB 34)

Hip pain:
- Source 19: Huantiao (GB 30), Weizhong (BL 40), Fengshi (GB 31), Yanglingquan (GB 34), Yinlingquan (SP 9), Xiyan (Ex-LE5), Chize (LU 5), Quchi (LI 11), Jianyu (LI 15)
- Source 23: Huantiao (GB 30), Fengshi (GB 31), Weizhong (BL 40), Juliao (GB 29)
- Source 27:
  - Jiquan (HT 1), Weizhong (BL 40), Baihuanshu (BL 30), Zhongliao (BL 33), Chengfu (BL 36), Huantiao (GB 30), Yinmen (BL 37), Yanglingquan (GB 34), Zusanli (ST 36), Chengshan (BL 57), Kunlun (BL 60), Sanyinjiao (SP 6), Fengshi (GB 31).
  - Fengfu (GV 16), Fengchi (GB 20), Shenshu (BL 23), Zhibian (BL 54), Chengfu (BL 36), Huantiao (GB 30), Yinlian (LR 11), Qichong (ST 30), Yingu (KI 10), Ququan (LR 8), Zusanli (ST 36), Weizhong (BL 40), Xuanzhong (GB 39), Sanyinjiao (SP 6), Feiyang (BL 58), Guangming (GB 37), Fenglong (ST 40), Gongsun (SP 4), Ligou (LR 5), Dazhong (KI 4), Shenmai (BL 62), Zulinqi (GB 41)
  - Shenmai (BL 62), Yinbai (SP 1), Xingjian (LR 2), Taichong (LR 3), Yongquan (KI 1), Fuyang (BL 59), Feiyang (BL 58), Fuliu (KI 7), Zhiyang (GV 9), Lidui (ST 45), Tiaokou (ST 38), Sanyinjiao (SP 6), Neiting (ST 44), Huantiao (GB 30), Yinshi (ST 33), Jianjing (GB 21), Weizhong (BL 40), Zusanli (ST 36), Chengshan (BL 57), Kunlun (BL 60), Baihuanshu (BL 30), Dadu (SP 2).
- Source 29: Jiexi (ST 41), Tiaokou (ST 38), Qiuxu (GB 40), Taibai (SP 3), Huantiao (GB 30), Shugu (BL 65), Sanyinjiao (SP 6), Zulinqi (GB 41)
Leg weakness:
- Zhenghui (T 1010.01), Jianzhong (T 44.06), Tongtian (T 88.03), Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14), Zhoukun (T 1010.03), Zhoushui (T 1010.25)
- Source 21 : Weizhong (BL 40), Zusanli (ST 36), Chengshan (BL 57), Gongsun (SP 4), Xuanzhong (GB 39), Shenmai (BL 62), Kunlun (BL 60), Yangfu (GB 38)

Ear Acup — Traditional

Back, Lumbago, Small Intestine, Adrenal Gland, Pituitary Gland
Embed ear needles or use ear seeds.
Ten treatments equal one course.

Auricular Medicine — Dr. Li-Chun Huang

Low back pain due to Kidney qi deficiency: Corresponding points (to the area of pain in the Lumbar and Lumbar Muscle Area), Kidney, Liver, Spleen, Endocrine, Coronary Vascular Subcortex, Large Auricular Nerve

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CM SD Index - Differential Diagnosis

Symptom-Disease Index

Leg (weakness)

Condition Details

Weakness of the legs and knees

Back Support (CR)