CM SD Index - Differential Diagnosis

Condition Details
TCM Diagnosis
Blood stagnation
Herbal Formula
Flex (SC)
- Use Dr. Tan’s Balance Method accordingly as determined by where the pain is (use mirror or image system).
- Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
- Calf cramp: Needle all ashi points on and from Chize (LU 5) to Lieque (LU 7).
- Lower abdomen: Feiyang (BL 58), Zusanli (ST 36), Zulinqi (GB 41), Rangu (KI 2), thread the needle from Dazhong (KI 4) to Taixi (KI 3), Zhaohai (KI 6), Gongsun (SP 4), Sanyinjiao (SP 6), Zhongfeng (LR 4), Shangqiu (SP 5), Linggu (T 22.05), Shousanli (LI 10), Lieque (LU 7)
- Back spasm: 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)
- 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.
- Pelvic Pain (Rectus Abdominis, Obturator Externus/ST Channel): Bilateral - 3 needles evenly spaced from Dubi (ST 35) to Chongyang (ST 42), Gongsun (SP 4) to Yinlingquan (SP 9), Hegu (LI 4) to Quchi (LI 11), Quze (PC 3) to Laogong (PC 8)
- Pelvic Pain (Pectineus or orgin of the Sartorius/SP Channel): Bilateral - 3 needles evenly spaced from Taibai (SP 3) to Yinlingquan (SP 9), Dubi (ST 35) to Chongyang (ST 42), Chize (LU 5) to Yuji (LU 10), Zhongzhu (TH 3) to Sanyangluo (TH 8)
- Pelvic Pain (Pubococcygeus/LR Channel): Bilateral - 3 needles evenly spaced from Taichong (LR 3) to Xiguan (LR 7), Yangjiao (GB 35) to Qiuxu (GB 40), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Abdominal Pain (Iliacus, Psoas, Rectus Abdominis/ST Channel): Bilateral - 3 needles evenly spaced from Tianshu (ST 25) to Jiexi (ST 41), Yangxi (LI 5) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Daling (PC 7)
- Leg Pain (Iliotibial Tract, Biceps Femoris/Short Head, Peroneus Tertius/GB Channel): Bilateral - 3 needles evenly spaced from Xingjian (LR 2) to Ququan (LR 8), Yemen (TH 2) to Tianjing (TH 10), Shaohai (HT 3) to Shaofu (HT 8)
- Leg Pain (Biceps Femoris Long Head, Semitendinosus, Plantaris, Popliteus, Lateral Soleus/BL Channel): Bilateral - 3 needles evenly spaced from Rangu (KI 2) to Yingu (KI 10), Qiangu (SI 2) to Xiaohai (SI 8), Chize (LU 5) to Yuji (LU 10)
- Leg Pain (Sartorius, Vastus Medius, Tibialis Posterior, Flexor Digitorum Longus, Flexor Hallucis Longus, Abductor Hallucis/SP Channel): Bilateral - 3 needles evenly spaced from Chize (LU 5) to Yuji (LU 10), Qiangu (SI 2) to Xiaohai (SI 8), Tianfu (LU 3) to Jingqu (LU 8)
- Leg Pain (Adductor Longus, Semimembranosus, Medial Soleus, Adductor Brevis and Magnus, Gastrocnemius Medial Head/KI Channel): Bilateral - 3 needles evenly spaced from Kunlun (BL 60) to Weizhong (BL 40), Shaohai (HT 3) to Shenmen (HT 7), Yangxi (LI 5) to Quchi (LI 11)
- Leg Pain (Rectus Femoris, Vastus Lateralis, Vastus Intermedius/ST Channel): Bilateral - 3 needles evenly spaced from Hegu (LI 4) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Laogong (PC 8)
- Leg Pain (Gracilis/LR Channel): Bilateral - 3 needles evenly spaced from Yanglingquan (GB 34) to Xiaxi (GB 43), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Boqiu (T 77.04), Sizhi (T 77.20), Zhongjiuli (T 88.25), Jianzhong (T 44.06)
- Bleed jing (well) points of affected channels and other areas by location
- Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Shangjiuli (T 88.26)
- Elbow pain: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Tianhuang (T 77.17)
- Wrist pain: Sizhi (T 77.20), Shuiyu (T 44.17)
- Knee pain: Jianzhong (T 44.06), Xinxi (T 11.09)
- Ankle pain: Wuhu (T 11.27), Zhongbai (T 22.06), Xiabai (T 22.07)
- Finger pain: Haibao (T 66.01), Huozhu (T 66.04), Menjin (T 66.05), Wuhu (T 11.27)
- Big toe pain: Wuhu (T 11.27)
- Spasms, cramps: Zhongjiuli (T 88.25), Qili (T 88.51)*, Sanchasan (T 22.17)*
- 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), Wanshunyi (T 22.08), Wanshuner (T 22.09), Zhongguan (T 22.25)*, Zhengjin (T 77.01), Zhengzong (T 77.02), Zhengshi (T 77.03), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21)
- Leg cramps: Zhongbai (T 22.06), Xiabai (T 22.07), Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Dan (T 11.13), Boqiu (T 77.04). Bleed the affected area. Bleed before needling for the best results.
- Medial calf pain: Ganlingsan (T 33.18)*, Xinmen (T 33.12), Changmen (T 33.10), Ganmen (T 33.11)
- Restless leg syndrome: Zhengjin (T 77.01)
- Facial spasm: Ersan (T 99.08), Quling (T 33.16)
- Foot cramps: Sanlingyi (T 88.48)*, Sanlinger (T 88.49)*, Sanlingsan (T 88.50)*, Quling (T 33.16)
- Intestinal spasm: Sihuazhong (T 77.09). On the lower limb, bleed the dark veins visible on the LU area. Bleed before needling for the best results.
- Shousanli (LI 10), Waiguan (TH 5), Zusanli (ST 36)
- Zhigou (TH 6), Zusanli (ST 36), Zhongwan (CV 12), Neiguan (PC 6), Guanyuan (CV 4), Taichong (LR 3)
- Source 23 : Weizhong (BL 40), Chengshan (BL 57), Kunlun (BL 60), Yinmen (BL 37), Yanglingquan (GB 34), Zusanli (ST 36)
- Source 27 : Kunlun (BL 60), Chengshan (BL 57), Zhaohai (KI 6). Moxa the lateral malleolus, Kunlun (BL 60)
- Source 29 : Chengshan (BL 57), Taixi (KI 3)
- Source 23 : Renzhong (GV 26), Fengchi (GB 20), Fengfu (GV 16), Baihui (GV 20), Quchi (LI 11), Quze (PC 3), Waiguan (TH 5), Houxi (SI 3), Huantiao (GB 30), Fengshi (GB 31), Weizhong (BL 40), Chengshan (BL 57), Yanglingquan (GB 34), Mingmen (GV 4), Yaoshu (GV 2), Shenshu (BL 23), Shangwan (CV 13), Zhongwan (CV 12), Xiawan (CV 10), Tianshu (ST 25), Qihai (CV 6). Bleed Dazhui (GV 14), Zhiyang (GV 9)
- Tightness of the back: Dashu (BL 11), Changqiang (GV 1), Shenmai (BL 62), Gaohuangshu (BL 43), Weizhong (BL 40), Yaoshu (GV 2)
- Leg cramps:
- Leg stiffness:
- Facial spasm:
- Source 12: Baihui (GV 20), Yintang (Ex-HN3), Jiaosun (TH 20), Hegu (LI 4), Yingxiang (LI 20), Xiaguan (ST 7)
- Source 6: Sibai (ST 2), Xiaguan (ST 7), Quanliao (SI 18), Jiache (ST 6), Dicang (ST 4), Hegu (LI 4), Taichong (LR 3)
- Source 16: Yingxiang (LI 20), Chengjiang (CV 24), Yuyao (Ex-HN4) , Sibai (ST 2), Qihai (CV 6), Sanyinjiao (SP 6), Zhongwan (CV 12), Zusanli (ST 36), Houxi (SI 3), Shenmai (BL 62), Taichong (LR 3), Fengchi (GB 20), Waiguan (TH 5), Hegu (LI 4), Lieque (LU 7), Taixi (KI 3), Jiache (ST 6), Yifeng (TH 17), Taiyang (Ex-HN5), Dicang (ST 4)
- Foot cramps:
- Intestinal spasm:
- Spasm: Sympathetic, Nervous Subcortex, Shenmen, corresponding points (to the area affected). Bleed Ear Apex.
- Calf cramps: Calf, Popliteal Fossa, Lesser Occipital Nerve, Liver, Spleen, Coronary Vascular Subcortex
TCM Diagnosis
Stomach heat
Flex (SC)
- Use Dr. Tan’s Balance Method accordingly as determined by where the pain is (use mirror or image system).
- Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
- Calf cramp: Needle all ashi points on and from Chize (LU 5) to Lieque (LU 7).
- Lower abdomen: Feiyang (BL 58), Zusanli (ST 36), Zulinqi (GB 41), Rangu (KI 2), thread the needle from Dazhong (KI 4) to Taixi (KI 3), Zhaohai (KI 6), Gongsun (SP 4), Sanyinjiao (SP 6), Zhongfeng (LR 4), Shangqiu (SP 5), Linggu (T 22.05), Shousanli (LI 10), Lieque (LU 7)
- Back spasm: 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)
- 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.
- Pelvic Pain (Rectus Abdominis, Obturator Externus/ST Channel): Bilateral - 3 needles evenly spaced from Dubi (ST 35) to Chongyang (ST 42), Gongsun (SP 4) to Yinlingquan (SP 9), Hegu (LI 4) to Quchi (LI 11), Quze (PC 3) to Laogong (PC 8)
- Pelvic Pain (Pectineus or orgin of the Sartorius/SP Channel): Bilateral - 3 needles evenly spaced from Taibai (SP 3) to Yinlingquan (SP 9), Dubi (ST 35) to Chongyang (ST 42), Chize (LU 5) to Yuji (LU 10), Zhongzhu (TH 3) to Sanyangluo (TH 8)
- Pelvic Pain (Pubococcygeus/LR Channel): Bilateral - 3 needles evenly spaced from Taichong (LR 3) to Xiguan (LR 7), Yangjiao (GB 35) to Qiuxu (GB 40), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Abdominal Pain (Iliacus, Psoas, Rectus Abdominis/ST Channel): Bilateral - 3 needles evenly spaced from Tianshu (ST 25) to Jiexi (ST 41), Yangxi (LI 5) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Daling (PC 7)
- Leg Pain (Iliotibial Tract, Biceps Femoris/Short Head, Peroneus Tertius/GB Channel): Bilateral - 3 needles evenly spaced from Xingjian (LR 2) to Ququan (LR 8), Yemen (TH 2) to Tianjing (TH 10), Shaohai (HT 3) to Shaofu (HT 8)
- Leg Pain (Biceps Femoris Long Head, Semitendinosus, Plantaris, Popliteus, Lateral Soleus/BL Channel): Bilateral - 3 needles evenly spaced from Rangu (KI 2) to Yingu (KI 10), Qiangu (SI 2) to Xiaohai (SI 8), Chize (LU 5) to Yuji (LU 10)
- Leg Pain (Sartorius, Vastus Medius, Tibialis Posterior, Flexor Digitorum Longus, Flexor Hallucis Longus, Abductor Hallucis/SP Channel): Bilateral - 3 needles evenly spaced from Chize (LU 5) to Yuji (LU 10), Qiangu (SI 2) to Xiaohai (SI 8), Tianfu (LU 3) to Jingqu (LU 8)
- Leg Pain (Adductor Longus, Semimembranosus, Medial Soleus, Adductor Brevis and Magnus, Gastrocnemius Medial Head/KI Channel): Bilateral - 3 needles evenly spaced from Kunlun (BL 60) to Weizhong (BL 40), Shaohai (HT 3) to Shenmen (HT 7), Yangxi (LI 5) to Quchi (LI 11)
- Leg Pain (Rectus Femoris, Vastus Lateralis, Vastus Intermedius/ST Channel): Bilateral - 3 needles evenly spaced from Hegu (LI 4) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Laogong (PC 8)
- Leg Pain (Gracilis/LR Channel): Bilateral - 3 needles evenly spaced from Yanglingquan (GB 34) to Xiaxi (GB 43), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Boqiu (T 77.04), Sizhi (T 77.20), Zhongjiuli (T 88.25), Jianzhong (T 44.06)
- Bleed jing (well) points of affected channels and other areas by location
- Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Shangjiuli (T 88.26)
- Elbow pain: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Tianhuang (T 77.17)
- Wrist pain: Sizhi (T 77.20), Shuiyu (T 44.17)
- Knee pain: Jianzhong (T 44.06), Xinxi (T 11.09)
- Ankle pain: Wuhu (T 11.27), Zhongbai (T 22.06), Xiabai (T 22.07)
- Finger pain: Haibao (T 66.01), Huozhu (T 66.04), Menjin (T 66.05), Wuhu (T 11.27)
- Big toe pain: Wuhu (T 11.27)
- Spasms, cramps: Zhongjiuli (T 88.25), Qili (T 88.51)*, Sanchasan (T 22.17)*
- 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), Wanshunyi (T 22.08), Wanshuner (T 22.09), Zhongguan (T 22.25)*, Zhengjin (T 77.01), Zhengzong (T 77.02), Zhengshi (T 77.03), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21)
- Leg cramps: Zhongbai (T 22.06), Xiabai (T 22.07), Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Dan (T 11.13), Boqiu (T 77.04). Bleed the affected area. Bleed before needling for the best results.
- Medial calf pain: Ganlingsan (T 33.18)*, Xinmen (T 33.12), Changmen (T 33.10), Ganmen (T 33.11)
- Restless leg syndrome: Zhengjin (T 77.01)
- Facial spasm: Ersan (T 99.08), Quling (T 33.16)
- Foot cramps: Sanlingyi (T 88.48)*, Sanlinger (T 88.49)*, Sanlingsan (T 88.50)*, Quling (T 33.16)
- Intestinal spasm: Sihuazhong (T 77.09). On the lower limb, bleed the dark veins visible on the LU area. Bleed before needling for the best results.
- Shousanli (LI 10), Waiguan (TH 5), Zusanli (ST 36)
- Zhigou (TH 6), Zusanli (ST 36), Zhongwan (CV 12), Neiguan (PC 6), Guanyuan (CV 4), Taichong (LR 3)
- Source 23 : Weizhong (BL 40), Chengshan (BL 57), Kunlun (BL 60), Yinmen (BL 37), Yanglingquan (GB 34), Zusanli (ST 36)
- Source 27 : Kunlun (BL 60), Chengshan (BL 57), Zhaohai (KI 6). Moxa the lateral malleolus, Kunlun (BL 60)
- Source 29 : Chengshan (BL 57), Taixi (KI 3)
- Source 23 : Renzhong (GV 26), Fengchi (GB 20), Fengfu (GV 16), Baihui (GV 20), Quchi (LI 11), Quze (PC 3), Waiguan (TH 5), Houxi (SI 3), Huantiao (GB 30), Fengshi (GB 31), Weizhong (BL 40), Chengshan (BL 57), Yanglingquan (GB 34), Mingmen (GV 4), Yaoshu (GV 2), Shenshu (BL 23), Shangwan (CV 13), Zhongwan (CV 12), Xiawan (CV 10), Tianshu (ST 25), Qihai (CV 6). Bleed Dazhui (GV 14), Zhiyang (GV 9)
- Tightness of the back: Dashu (BL 11), Changqiang (GV 1), Shenmai (BL 62), Gaohuangshu (BL 43), Weizhong (BL 40), Yaoshu (GV 2)
- Leg cramps:
- Leg stiffness:
- Facial spasm:
- Source 12: Baihui (GV 20), Yintang (Ex-HN3), Jiaosun (TH 20), Hegu (LI 4), Yingxiang (LI 20), Xiaguan (ST 7)
- Source 6: Sibai (ST 2), Xiaguan (ST 7), Quanliao (SI 18), Jiache (ST 6), Dicang (ST 4), Hegu (LI 4), Taichong (LR 3)
- Source 16: Yingxiang (LI 20), Chengjiang (CV 24), Yuyao (Ex-HN4) , Sibai (ST 2), Qihai (CV 6), Sanyinjiao (SP 6), Zhongwan (CV 12), Zusanli (ST 36), Houxi (SI 3), Shenmai (BL 62), Taichong (LR 3), Fengchi (GB 20), Waiguan (TH 5), Hegu (LI 4), Lieque (LU 7), Taixi (KI 3), Jiache (ST 6), Yifeng (TH 17), Taiyang (Ex-HN5), Dicang (ST 4)
- Foot cramps:
- Intestinal spasm:
- Spasm: Sympathetic, Nervous Subcortex, Shenmen, corresponding points (to the area affected). Bleed Ear Apex.
- Calf cramps: Calf, Popliteal Fossa, Lesser Occipital Nerve, Liver, Spleen, Coronary Vascular Subcortex
TCM Diagnosis
Liver qi stagnation
Herbal Formula
Flex (SC)
- Use Dr. Tan’s Balance Method accordingly as determined by where the pain is (use mirror or image system).
- Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
- Calf cramp: Needle all ashi points on and from Chize (LU 5) to Lieque (LU 7).
- Lower abdomen: Feiyang (BL 58), Zusanli (ST 36), Zulinqi (GB 41), Rangu (KI 2), thread the needle from Dazhong (KI 4) to Taixi (KI 3), Zhaohai (KI 6), Gongsun (SP 4), Sanyinjiao (SP 6), Zhongfeng (LR 4), Shangqiu (SP 5), Linggu (T 22.05), Shousanli (LI 10), Lieque (LU 7)
- Back spasm: 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)
- 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.
- Pelvic Pain (Rectus Abdominis, Obturator Externus/ST Channel): Bilateral - 3 needles evenly spaced from Dubi (ST 35) to Chongyang (ST 42), Gongsun (SP 4) to Yinlingquan (SP 9), Hegu (LI 4) to Quchi (LI 11), Quze (PC 3) to Laogong (PC 8)
- Pelvic Pain (Pectineus or orgin of the Sartorius/SP Channel): Bilateral - 3 needles evenly spaced from Taibai (SP 3) to Yinlingquan (SP 9), Dubi (ST 35) to Chongyang (ST 42), Chize (LU 5) to Yuji (LU 10), Zhongzhu (TH 3) to Sanyangluo (TH 8)
- Pelvic Pain (Pubococcygeus/LR Channel): Bilateral - 3 needles evenly spaced from Taichong (LR 3) to Xiguan (LR 7), Yangjiao (GB 35) to Qiuxu (GB 40), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Abdominal Pain (Iliacus, Psoas, Rectus Abdominis/ST Channel): Bilateral - 3 needles evenly spaced from Tianshu (ST 25) to Jiexi (ST 41), Yangxi (LI 5) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Daling (PC 7)
- Leg Pain (Iliotibial Tract, Biceps Femoris/Short Head, Peroneus Tertius/GB Channel): Bilateral - 3 needles evenly spaced from Xingjian (LR 2) to Ququan (LR 8), Yemen (TH 2) to Tianjing (TH 10), Shaohai (HT 3) to Shaofu (HT 8)
- Leg Pain (Biceps Femoris Long Head, Semitendinosus, Plantaris, Popliteus, Lateral Soleus/BL Channel): Bilateral - 3 needles evenly spaced from Rangu (KI 2) to Yingu (KI 10), Qiangu (SI 2) to Xiaohai (SI 8), Chize (LU 5) to Yuji (LU 10)
- Leg Pain (Sartorius, Vastus Medius, Tibialis Posterior, Flexor Digitorum Longus, Flexor Hallucis Longus, Abductor Hallucis/SP Channel): Bilateral - 3 needles evenly spaced from Chize (LU 5) to Yuji (LU 10), Qiangu (SI 2) to Xiaohai (SI 8), Tianfu (LU 3) to Jingqu (LU 8)
- Leg Pain (Adductor Longus, Semimembranosus, Medial Soleus, Adductor Brevis and Magnus, Gastrocnemius Medial Head/KI Channel): Bilateral - 3 needles evenly spaced from Kunlun (BL 60) to Weizhong (BL 40), Shaohai (HT 3) to Shenmen (HT 7), Yangxi (LI 5) to Quchi (LI 11)
- Leg Pain (Rectus Femoris, Vastus Lateralis, Vastus Intermedius/ST Channel): Bilateral - 3 needles evenly spaced from Hegu (LI 4) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Laogong (PC 8)
- Leg Pain (Gracilis/LR Channel): Bilateral - 3 needles evenly spaced from Yanglingquan (GB 34) to Xiaxi (GB 43), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Boqiu (T 77.04), Sizhi (T 77.20), Zhongjiuli (T 88.25), Jianzhong (T 44.06)
- Bleed jing (well) points of affected channels and other areas by location
- Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Shangjiuli (T 88.26)
- Elbow pain: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Tianhuang (T 77.17)
- Wrist pain: Sizhi (T 77.20), Shuiyu (T 44.17)
- Knee pain: Jianzhong (T 44.06), Xinxi (T 11.09)
- Ankle pain: Wuhu (T 11.27), Zhongbai (T 22.06), Xiabai (T 22.07)
- Finger pain: Haibao (T 66.01), Huozhu (T 66.04), Menjin (T 66.05), Wuhu (T 11.27)
- Big toe pain: Wuhu (T 11.27)
- Spasms, cramps: Zhongjiuli (T 88.25), Qili (T 88.51)*, Sanchasan (T 22.17)*
- 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), Wanshunyi (T 22.08), Wanshuner (T 22.09), Zhongguan (T 22.25)*, Zhengjin (T 77.01), Zhengzong (T 77.02), Zhengshi (T 77.03), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21)
- Leg cramps: Zhongbai (T 22.06), Xiabai (T 22.07), Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Dan (T 11.13), Boqiu (T 77.04). Bleed the affected area. Bleed before needling for the best results.
- Medial calf pain: Ganlingsan (T 33.18)*, Xinmen (T 33.12), Changmen (T 33.10), Ganmen (T 33.11)
- Restless leg syndrome: Zhengjin (T 77.01)
- Facial spasm: Ersan (T 99.08), Quling (T 33.16)
- Foot cramps: Sanlingyi (T 88.48)*, Sanlinger (T 88.49)*, Sanlingsan (T 88.50)*, Quling (T 33.16)
- Intestinal spasm: Sihuazhong (T 77.09). On the lower limb, bleed the dark veins visible on the LU area. Bleed before needling for the best results.
- Shousanli (LI 10), Waiguan (TH 5), Zusanli (ST 36)
- Zhigou (TH 6), Zusanli (ST 36), Zhongwan (CV 12), Neiguan (PC 6), Guanyuan (CV 4), Taichong (LR 3)
- Source 23 : Weizhong (BL 40), Chengshan (BL 57), Kunlun (BL 60), Yinmen (BL 37), Yanglingquan (GB 34), Zusanli (ST 36)
- Source 27 : Kunlun (BL 60), Chengshan (BL 57), Zhaohai (KI 6). Moxa the lateral malleolus, Kunlun (BL 60)
- Source 29 : Chengshan (BL 57), Taixi (KI 3)
- Source 23 : Renzhong (GV 26), Fengchi (GB 20), Fengfu (GV 16), Baihui (GV 20), Quchi (LI 11), Quze (PC 3), Waiguan (TH 5), Houxi (SI 3), Huantiao (GB 30), Fengshi (GB 31), Weizhong (BL 40), Chengshan (BL 57), Yanglingquan (GB 34), Mingmen (GV 4), Yaoshu (GV 2), Shenshu (BL 23), Shangwan (CV 13), Zhongwan (CV 12), Xiawan (CV 10), Tianshu (ST 25), Qihai (CV 6). Bleed Dazhui (GV 14), Zhiyang (GV 9)
- Tightness of the back: Dashu (BL 11), Changqiang (GV 1), Shenmai (BL 62), Gaohuangshu (BL 43), Weizhong (BL 40), Yaoshu (GV 2)
- Leg cramps:
- Leg stiffness:
- Facial spasm:
- Source 12: Baihui (GV 20), Yintang (Ex-HN3), Jiaosun (TH 20), Hegu (LI 4), Yingxiang (LI 20), Xiaguan (ST 7)
- Source 6: Sibai (ST 2), Xiaguan (ST 7), Quanliao (SI 18), Jiache (ST 6), Dicang (ST 4), Hegu (LI 4), Taichong (LR 3)
- Source 16: Yingxiang (LI 20), Chengjiang (CV 24), Yuyao (Ex-HN4) , Sibai (ST 2), Qihai (CV 6), Sanyinjiao (SP 6), Zhongwan (CV 12), Zusanli (ST 36), Houxi (SI 3), Shenmai (BL 62), Taichong (LR 3), Fengchi (GB 20), Waiguan (TH 5), Hegu (LI 4), Lieque (LU 7), Taixi (KI 3), Jiache (ST 6), Yifeng (TH 17), Taiyang (Ex-HN5), Dicang (ST 4)
- Foot cramps:
- Intestinal spasm:
- Spasm: Sympathetic, Nervous Subcortex, Shenmen, corresponding points (to the area affected). Bleed Ear Apex.
- Calf cramps: Calf, Popliteal Fossa, Lesser Occipital Nerve, Liver, Spleen, Coronary Vascular Subcortex
TCM Diagnosis
Damp-heat in the intestine
Herbal Formula
Flex (SC)
- Use Dr. Tan’s Balance Method accordingly as determined by where the pain is (use mirror or image system).
- Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
- Calf cramp: Needle all ashi points on and from Chize (LU 5) to Lieque (LU 7).
- Lower abdomen: Feiyang (BL 58), Zusanli (ST 36), Zulinqi (GB 41), Rangu (KI 2), thread the needle from Dazhong (KI 4) to Taixi (KI 3), Zhaohai (KI 6), Gongsun (SP 4), Sanyinjiao (SP 6), Zhongfeng (LR 4), Shangqiu (SP 5), Linggu (T 22.05), Shousanli (LI 10), Lieque (LU 7)
- Back spasm: 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)
- 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.
- Pelvic Pain (Rectus Abdominis, Obturator Externus/ST Channel): Bilateral - 3 needles evenly spaced from Dubi (ST 35) to Chongyang (ST 42), Gongsun (SP 4) to Yinlingquan (SP 9), Hegu (LI 4) to Quchi (LI 11), Quze (PC 3) to Laogong (PC 8)
- Pelvic Pain (Pectineus or orgin of the Sartorius/SP Channel): Bilateral - 3 needles evenly spaced from Taibai (SP 3) to Yinlingquan (SP 9), Dubi (ST 35) to Chongyang (ST 42), Chize (LU 5) to Yuji (LU 10), Zhongzhu (TH 3) to Sanyangluo (TH 8)
- Pelvic Pain (Pubococcygeus/LR Channel): Bilateral - 3 needles evenly spaced from Taichong (LR 3) to Xiguan (LR 7), Yangjiao (GB 35) to Qiuxu (GB 40), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Abdominal Pain (Iliacus, Psoas, Rectus Abdominis/ST Channel): Bilateral - 3 needles evenly spaced from Tianshu (ST 25) to Jiexi (ST 41), Yangxi (LI 5) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Daling (PC 7)
- Leg Pain (Iliotibial Tract, Biceps Femoris/Short Head, Peroneus Tertius/GB Channel): Bilateral - 3 needles evenly spaced from Xingjian (LR 2) to Ququan (LR 8), Yemen (TH 2) to Tianjing (TH 10), Shaohai (HT 3) to Shaofu (HT 8)
- Leg Pain (Biceps Femoris Long Head, Semitendinosus, Plantaris, Popliteus, Lateral Soleus/BL Channel): Bilateral - 3 needles evenly spaced from Rangu (KI 2) to Yingu (KI 10), Qiangu (SI 2) to Xiaohai (SI 8), Chize (LU 5) to Yuji (LU 10)
- Leg Pain (Sartorius, Vastus Medius, Tibialis Posterior, Flexor Digitorum Longus, Flexor Hallucis Longus, Abductor Hallucis/SP Channel): Bilateral - 3 needles evenly spaced from Chize (LU 5) to Yuji (LU 10), Qiangu (SI 2) to Xiaohai (SI 8), Tianfu (LU 3) to Jingqu (LU 8)
- Leg Pain (Adductor Longus, Semimembranosus, Medial Soleus, Adductor Brevis and Magnus, Gastrocnemius Medial Head/KI Channel): Bilateral - 3 needles evenly spaced from Kunlun (BL 60) to Weizhong (BL 40), Shaohai (HT 3) to Shenmen (HT 7), Yangxi (LI 5) to Quchi (LI 11)
- Leg Pain (Rectus Femoris, Vastus Lateralis, Vastus Intermedius/ST Channel): Bilateral - 3 needles evenly spaced from Hegu (LI 4) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Laogong (PC 8)
- Leg Pain (Gracilis/LR Channel): Bilateral - 3 needles evenly spaced from Yanglingquan (GB 34) to Xiaxi (GB 43), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Boqiu (T 77.04), Sizhi (T 77.20), Zhongjiuli (T 88.25), Jianzhong (T 44.06)
- Bleed jing (well) points of affected channels and other areas by location
- Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Shangjiuli (T 88.26)
- Elbow pain: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Tianhuang (T 77.17)
- Wrist pain: Sizhi (T 77.20), Shuiyu (T 44.17)
- Knee pain: Jianzhong (T 44.06), Xinxi (T 11.09)
- Ankle pain: Wuhu (T 11.27), Zhongbai (T 22.06), Xiabai (T 22.07)
- Finger pain: Haibao (T 66.01), Huozhu (T 66.04), Menjin (T 66.05), Wuhu (T 11.27)
- Big toe pain: Wuhu (T 11.27)
- Spasms, cramps: Zhongjiuli (T 88.25), Qili (T 88.51)*, Sanchasan (T 22.17)*
- 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), Wanshunyi (T 22.08), Wanshuner (T 22.09), Zhongguan (T 22.25)*, Zhengjin (T 77.01), Zhengzong (T 77.02), Zhengshi (T 77.03), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21)
- Leg cramps: Zhongbai (T 22.06), Xiabai (T 22.07), Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Dan (T 11.13), Boqiu (T 77.04). Bleed the affected area. Bleed before needling for the best results.
- Medial calf pain: Ganlingsan (T 33.18)*, Xinmen (T 33.12), Changmen (T 33.10), Ganmen (T 33.11)
- Restless leg syndrome: Zhengjin (T 77.01)
- Facial spasm: Ersan (T 99.08), Quling (T 33.16)
- Foot cramps: Sanlingyi (T 88.48)*, Sanlinger (T 88.49)*, Sanlingsan (T 88.50)*, Quling (T 33.16)
- Intestinal spasm: Sihuazhong (T 77.09). On the lower limb, bleed the dark veins visible on the LU area. Bleed before needling for the best results.
- Shousanli (LI 10), Waiguan (TH 5), Zusanli (ST 36)
- Zhigou (TH 6), Zusanli (ST 36), Zhongwan (CV 12), Neiguan (PC 6), Guanyuan (CV 4), Taichong (LR 3)
- Source 23 : Weizhong (BL 40), Chengshan (BL 57), Kunlun (BL 60), Yinmen (BL 37), Yanglingquan (GB 34), Zusanli (ST 36)
- Source 27 : Kunlun (BL 60), Chengshan (BL 57), Zhaohai (KI 6). Moxa the lateral malleolus, Kunlun (BL 60)
- Source 29 : Chengshan (BL 57), Taixi (KI 3)
- Source 23 : Renzhong (GV 26), Fengchi (GB 20), Fengfu (GV 16), Baihui (GV 20), Quchi (LI 11), Quze (PC 3), Waiguan (TH 5), Houxi (SI 3), Huantiao (GB 30), Fengshi (GB 31), Weizhong (BL 40), Chengshan (BL 57), Yanglingquan (GB 34), Mingmen (GV 4), Yaoshu (GV 2), Shenshu (BL 23), Shangwan (CV 13), Zhongwan (CV 12), Xiawan (CV 10), Tianshu (ST 25), Qihai (CV 6). Bleed Dazhui (GV 14), Zhiyang (GV 9)
- Tightness of the back: Dashu (BL 11), Changqiang (GV 1), Shenmai (BL 62), Gaohuangshu (BL 43), Weizhong (BL 40), Yaoshu (GV 2)
- Leg cramps:
- Leg stiffness:
- Facial spasm:
- Source 12: Baihui (GV 20), Yintang (Ex-HN3), Jiaosun (TH 20), Hegu (LI 4), Yingxiang (LI 20), Xiaguan (ST 7)
- Source 6: Sibai (ST 2), Xiaguan (ST 7), Quanliao (SI 18), Jiache (ST 6), Dicang (ST 4), Hegu (LI 4), Taichong (LR 3)
- Source 16: Yingxiang (LI 20), Chengjiang (CV 24), Yuyao (Ex-HN4) , Sibai (ST 2), Qihai (CV 6), Sanyinjiao (SP 6), Zhongwan (CV 12), Zusanli (ST 36), Houxi (SI 3), Shenmai (BL 62), Taichong (LR 3), Fengchi (GB 20), Waiguan (TH 5), Hegu (LI 4), Lieque (LU 7), Taixi (KI 3), Jiache (ST 6), Yifeng (TH 17), Taiyang (Ex-HN5), Dicang (ST 4)
- Foot cramps:
- Intestinal spasm:
- Spasm: Sympathetic, Nervous Subcortex, Shenmen, corresponding points (to the area affected). Bleed Ear Apex.
- Calf cramps: Calf, Popliteal Fossa, Lesser Occipital Nerve, Liver, Spleen, Coronary Vascular Subcortex
TCM Diagnosis
Severe qi and blood stagnation
Herbal Formula
Flex (SC)
- Use Dr. Tan’s Balance Method accordingly as determined by where the pain is (use mirror or image system).
- Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
- Calf cramp: Needle all ashi points on and from Chize (LU 5) to Lieque (LU 7).
- Lower abdomen: Feiyang (BL 58), Zusanli (ST 36), Zulinqi (GB 41), Rangu (KI 2), thread the needle from Dazhong (KI 4) to Taixi (KI 3), Zhaohai (KI 6), Gongsun (SP 4), Sanyinjiao (SP 6), Zhongfeng (LR 4), Shangqiu (SP 5), Linggu (T 22.05), Shousanli (LI 10), Lieque (LU 7)
- Back spasm: 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)
- 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.
- Pelvic Pain (Rectus Abdominis, Obturator Externus/ST Channel): Bilateral - 3 needles evenly spaced from Dubi (ST 35) to Chongyang (ST 42), Gongsun (SP 4) to Yinlingquan (SP 9), Hegu (LI 4) to Quchi (LI 11), Quze (PC 3) to Laogong (PC 8)
- Pelvic Pain (Pectineus or orgin of the Sartorius/SP Channel): Bilateral - 3 needles evenly spaced from Taibai (SP 3) to Yinlingquan (SP 9), Dubi (ST 35) to Chongyang (ST 42), Chize (LU 5) to Yuji (LU 10), Zhongzhu (TH 3) to Sanyangluo (TH 8)
- Pelvic Pain (Pubococcygeus/LR Channel): Bilateral - 3 needles evenly spaced from Taichong (LR 3) to Xiguan (LR 7), Yangjiao (GB 35) to Qiuxu (GB 40), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Abdominal Pain (Iliacus, Psoas, Rectus Abdominis/ST Channel): Bilateral - 3 needles evenly spaced from Tianshu (ST 25) to Jiexi (ST 41), Yangxi (LI 5) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Daling (PC 7)
- Leg Pain (Iliotibial Tract, Biceps Femoris/Short Head, Peroneus Tertius/GB Channel): Bilateral - 3 needles evenly spaced from Xingjian (LR 2) to Ququan (LR 8), Yemen (TH 2) to Tianjing (TH 10), Shaohai (HT 3) to Shaofu (HT 8)
- Leg Pain (Biceps Femoris Long Head, Semitendinosus, Plantaris, Popliteus, Lateral Soleus/BL Channel): Bilateral - 3 needles evenly spaced from Rangu (KI 2) to Yingu (KI 10), Qiangu (SI 2) to Xiaohai (SI 8), Chize (LU 5) to Yuji (LU 10)
- Leg Pain (Sartorius, Vastus Medius, Tibialis Posterior, Flexor Digitorum Longus, Flexor Hallucis Longus, Abductor Hallucis/SP Channel): Bilateral - 3 needles evenly spaced from Chize (LU 5) to Yuji (LU 10), Qiangu (SI 2) to Xiaohai (SI 8), Tianfu (LU 3) to Jingqu (LU 8)
- Leg Pain (Adductor Longus, Semimembranosus, Medial Soleus, Adductor Brevis and Magnus, Gastrocnemius Medial Head/KI Channel): Bilateral - 3 needles evenly spaced from Kunlun (BL 60) to Weizhong (BL 40), Shaohai (HT 3) to Shenmen (HT 7), Yangxi (LI 5) to Quchi (LI 11)
- Leg Pain (Rectus Femoris, Vastus Lateralis, Vastus Intermedius/ST Channel): Bilateral - 3 needles evenly spaced from Hegu (LI 4) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Laogong (PC 8)
- Leg Pain (Gracilis/LR Channel): Bilateral - 3 needles evenly spaced from Yanglingquan (GB 34) to Xiaxi (GB 43), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Boqiu (T 77.04), Sizhi (T 77.20), Zhongjiuli (T 88.25), Jianzhong (T 44.06)
- Bleed jing (well) points of affected channels and other areas by location
- Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Shangjiuli (T 88.26)
- Elbow pain: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Tianhuang (T 77.17)
- Wrist pain: Sizhi (T 77.20), Shuiyu (T 44.17)
- Knee pain: Jianzhong (T 44.06), Xinxi (T 11.09)
- Ankle pain: Wuhu (T 11.27), Zhongbai (T 22.06), Xiabai (T 22.07)
- Finger pain: Haibao (T 66.01), Huozhu (T 66.04), Menjin (T 66.05), Wuhu (T 11.27)
- Big toe pain: Wuhu (T 11.27)
- Spasms, cramps: Zhongjiuli (T 88.25), Qili (T 88.51)*, Sanchasan (T 22.17)*
- 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), Wanshunyi (T 22.08), Wanshuner (T 22.09), Zhongguan (T 22.25)*, Zhengjin (T 77.01), Zhengzong (T 77.02), Zhengshi (T 77.03), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21)
- Leg cramps: Zhongbai (T 22.06), Xiabai (T 22.07), Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Dan (T 11.13), Boqiu (T 77.04). Bleed the affected area. Bleed before needling for the best results.
- Medial calf pain: Ganlingsan (T 33.18)*, Xinmen (T 33.12), Changmen (T 33.10), Ganmen (T 33.11)
- Restless leg syndrome: Zhengjin (T 77.01)
- Facial spasm: Ersan (T 99.08), Quling (T 33.16)
- Foot cramps: Sanlingyi (T 88.48)*, Sanlinger (T 88.49)*, Sanlingsan (T 88.50)*, Quling (T 33.16)
- Intestinal spasm: Sihuazhong (T 77.09). On the lower limb, bleed the dark veins visible on the LU area. Bleed before needling for the best results.
- Shousanli (LI 10), Waiguan (TH 5), Zusanli (ST 36)
- Zhigou (TH 6), Zusanli (ST 36), Zhongwan (CV 12), Neiguan (PC 6), Guanyuan (CV 4), Taichong (LR 3)
- Source 23 : Weizhong (BL 40), Chengshan (BL 57), Kunlun (BL 60), Yinmen (BL 37), Yanglingquan (GB 34), Zusanli (ST 36)
- Source 27 : Kunlun (BL 60), Chengshan (BL 57), Zhaohai (KI 6). Moxa the lateral malleolus, Kunlun (BL 60)
- Source 29 : Chengshan (BL 57), Taixi (KI 3)
- Source 23 : Renzhong (GV 26), Fengchi (GB 20), Fengfu (GV 16), Baihui (GV 20), Quchi (LI 11), Quze (PC 3), Waiguan (TH 5), Houxi (SI 3), Huantiao (GB 30), Fengshi (GB 31), Weizhong (BL 40), Chengshan (BL 57), Yanglingquan (GB 34), Mingmen (GV 4), Yaoshu (GV 2), Shenshu (BL 23), Shangwan (CV 13), Zhongwan (CV 12), Xiawan (CV 10), Tianshu (ST 25), Qihai (CV 6). Bleed Dazhui (GV 14), Zhiyang (GV 9)
- Tightness of the back: Dashu (BL 11), Changqiang (GV 1), Shenmai (BL 62), Gaohuangshu (BL 43), Weizhong (BL 40), Yaoshu (GV 2)
- Leg cramps:
- Leg stiffness:
- Facial spasm:
- Source 12: Baihui (GV 20), Yintang (Ex-HN3), Jiaosun (TH 20), Hegu (LI 4), Yingxiang (LI 20), Xiaguan (ST 7)
- Source 6: Sibai (ST 2), Xiaguan (ST 7), Quanliao (SI 18), Jiache (ST 6), Dicang (ST 4), Hegu (LI 4), Taichong (LR 3)
- Source 16: Yingxiang (LI 20), Chengjiang (CV 24), Yuyao (Ex-HN4) , Sibai (ST 2), Qihai (CV 6), Sanyinjiao (SP 6), Zhongwan (CV 12), Zusanli (ST 36), Houxi (SI 3), Shenmai (BL 62), Taichong (LR 3), Fengchi (GB 20), Waiguan (TH 5), Hegu (LI 4), Lieque (LU 7), Taixi (KI 3), Jiache (ST 6), Yifeng (TH 17), Taiyang (Ex-HN5), Dicang (ST 4)
- Foot cramps:
- Intestinal spasm:
- Spasm: Sympathetic, Nervous Subcortex, Shenmen, corresponding points (to the area affected). Bleed Ear Apex.
- Calf cramps: Calf, Popliteal Fossa, Lesser Occipital Nerve, Liver, Spleen, Coronary Vascular Subcortex
TCM Diagnosis
Yin and fluid deficiencies
Herbal Formula
Flex (SC)
- Use Dr. Tan’s Balance Method accordingly as determined by where the pain is (use mirror or image system).
- Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
- Calf cramp: Needle all ashi points on and from Chize (LU 5) to Lieque (LU 7).
- Lower abdomen: Feiyang (BL 58), Zusanli (ST 36), Zulinqi (GB 41), Rangu (KI 2), thread the needle from Dazhong (KI 4) to Taixi (KI 3), Zhaohai (KI 6), Gongsun (SP 4), Sanyinjiao (SP 6), Zhongfeng (LR 4), Shangqiu (SP 5), Linggu (T 22.05), Shousanli (LI 10), Lieque (LU 7)
- Back spasm: 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)
- 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.
- Pelvic Pain (Rectus Abdominis, Obturator Externus/ST Channel): Bilateral - 3 needles evenly spaced from Dubi (ST 35) to Chongyang (ST 42), Gongsun (SP 4) to Yinlingquan (SP 9), Hegu (LI 4) to Quchi (LI 11), Quze (PC 3) to Laogong (PC 8)
- Pelvic Pain (Pectineus or orgin of the Sartorius/SP Channel): Bilateral - 3 needles evenly spaced from Taibai (SP 3) to Yinlingquan (SP 9), Dubi (ST 35) to Chongyang (ST 42), Chize (LU 5) to Yuji (LU 10), Zhongzhu (TH 3) to Sanyangluo (TH 8)
- Pelvic Pain (Pubococcygeus/LR Channel): Bilateral - 3 needles evenly spaced from Taichong (LR 3) to Xiguan (LR 7), Yangjiao (GB 35) to Qiuxu (GB 40), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Abdominal Pain (Iliacus, Psoas, Rectus Abdominis/ST Channel): Bilateral - 3 needles evenly spaced from Tianshu (ST 25) to Jiexi (ST 41), Yangxi (LI 5) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Daling (PC 7)
- Leg Pain (Iliotibial Tract, Biceps Femoris/Short Head, Peroneus Tertius/GB Channel): Bilateral - 3 needles evenly spaced from Xingjian (LR 2) to Ququan (LR 8), Yemen (TH 2) to Tianjing (TH 10), Shaohai (HT 3) to Shaofu (HT 8)
- Leg Pain (Biceps Femoris Long Head, Semitendinosus, Plantaris, Popliteus, Lateral Soleus/BL Channel): Bilateral - 3 needles evenly spaced from Rangu (KI 2) to Yingu (KI 10), Qiangu (SI 2) to Xiaohai (SI 8), Chize (LU 5) to Yuji (LU 10)
- Leg Pain (Sartorius, Vastus Medius, Tibialis Posterior, Flexor Digitorum Longus, Flexor Hallucis Longus, Abductor Hallucis/SP Channel): Bilateral - 3 needles evenly spaced from Chize (LU 5) to Yuji (LU 10), Qiangu (SI 2) to Xiaohai (SI 8), Tianfu (LU 3) to Jingqu (LU 8)
- Leg Pain (Adductor Longus, Semimembranosus, Medial Soleus, Adductor Brevis and Magnus, Gastrocnemius Medial Head/KI Channel): Bilateral - 3 needles evenly spaced from Kunlun (BL 60) to Weizhong (BL 40), Shaohai (HT 3) to Shenmen (HT 7), Yangxi (LI 5) to Quchi (LI 11)
- Leg Pain (Rectus Femoris, Vastus Lateralis, Vastus Intermedius/ST Channel): Bilateral - 3 needles evenly spaced from Hegu (LI 4) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Quze (PC 3) to Laogong (PC 8)
- Leg Pain (Gracilis/LR Channel): Bilateral - 3 needles evenly spaced from Yanglingquan (GB 34) to Xiaxi (GB 43), Quze (PC 3) to Laogong (PC 8), Hegu (LI 4) to Quchi (LI 11)
- Boqiu (T 77.04), Sizhi (T 77.20), Zhongjiuli (T 88.25), Jianzhong (T 44.06)
- Bleed jing (well) points of affected channels and other areas by location
- Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Shangjiuli (T 88.26)
- Elbow pain: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Tianhuang (T 77.17)
- Wrist pain: Sizhi (T 77.20), Shuiyu (T 44.17)
- Knee pain: Jianzhong (T 44.06), Xinxi (T 11.09)
- Ankle pain: Wuhu (T 11.27), Zhongbai (T 22.06), Xiabai (T 22.07)
- Finger pain: Haibao (T 66.01), Huozhu (T 66.04), Menjin (T 66.05), Wuhu (T 11.27)
- Big toe pain: Wuhu (T 11.27)
- Spasms, cramps: Zhongjiuli (T 88.25), Qili (T 88.51)*, Sanchasan (T 22.17)*
- 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), Wanshunyi (T 22.08), Wanshuner (T 22.09), Zhongguan (T 22.25)*, Zhengjin (T 77.01), Zhengzong (T 77.02), Zhengshi (T 77.03), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21)
- Leg cramps: Zhongbai (T 22.06), Xiabai (T 22.07), Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Dan (T 11.13), Boqiu (T 77.04). Bleed the affected area. Bleed before needling for the best results.
- Medial calf pain: Ganlingsan (T 33.18)*, Xinmen (T 33.12), Changmen (T 33.10), Ganmen (T 33.11)
- Restless leg syndrome: Zhengjin (T 77.01)
- Facial spasm: Ersan (T 99.08), Quling (T 33.16)
- Foot cramps: Sanlingyi (T 88.48)*, Sanlinger (T 88.49)*, Sanlingsan (T 88.50)*, Quling (T 33.16)
- Intestinal spasm: Sihuazhong (T 77.09). On the lower limb, bleed the dark veins visible on the LU area. Bleed before needling for the best results.
- Shousanli (LI 10), Waiguan (TH 5), Zusanli (ST 36)
- Zhigou (TH 6), Zusanli (ST 36), Zhongwan (CV 12), Neiguan (PC 6), Guanyuan (CV 4), Taichong (LR 3)
- Source 23 : Weizhong (BL 40), Chengshan (BL 57), Kunlun (BL 60), Yinmen (BL 37), Yanglingquan (GB 34), Zusanli (ST 36)
- Source 27 : Kunlun (BL 60), Chengshan (BL 57), Zhaohai (KI 6). Moxa the lateral malleolus, Kunlun (BL 60)
- Source 29 : Chengshan (BL 57), Taixi (KI 3)
- Source 23 : Renzhong (GV 26), Fengchi (GB 20), Fengfu (GV 16), Baihui (GV 20), Quchi (LI 11), Quze (PC 3), Waiguan (TH 5), Houxi (SI 3), Huantiao (GB 30), Fengshi (GB 31), Weizhong (BL 40), Chengshan (BL 57), Yanglingquan (GB 34), Mingmen (GV 4), Yaoshu (GV 2), Shenshu (BL 23), Shangwan (CV 13), Zhongwan (CV 12), Xiawan (CV 10), Tianshu (ST 25), Qihai (CV 6). Bleed Dazhui (GV 14), Zhiyang (GV 9)
- Tightness of the back: Dashu (BL 11), Changqiang (GV 1), Shenmai (BL 62), Gaohuangshu (BL 43), Weizhong (BL 40), Yaoshu (GV 2)
- Leg cramps:
- Leg stiffness:
- Facial spasm:
- Source 12: Baihui (GV 20), Yintang (Ex-HN3), Jiaosun (TH 20), Hegu (LI 4), Yingxiang (LI 20), Xiaguan (ST 7)
- Source 6: Sibai (ST 2), Xiaguan (ST 7), Quanliao (SI 18), Jiache (ST 6), Dicang (ST 4), Hegu (LI 4), Taichong (LR 3)
- Source 16: Yingxiang (LI 20), Chengjiang (CV 24), Yuyao (Ex-HN4) , Sibai (ST 2), Qihai (CV 6), Sanyinjiao (SP 6), Zhongwan (CV 12), Zusanli (ST 36), Houxi (SI 3), Shenmai (BL 62), Taichong (LR 3), Fengchi (GB 20), Waiguan (TH 5), Hegu (LI 4), Lieque (LU 7), Taixi (KI 3), Jiache (ST 6), Yifeng (TH 17), Taiyang (Ex-HN5), Dicang (ST 4)
- Foot cramps:
- Intestinal spasm:
- Spasm: Sympathetic, Nervous Subcortex, Shenmen, corresponding points (to the area affected). Bleed Ear Apex.
- Calf cramps: Calf, Popliteal Fossa, Lesser Occipital Nerve, Liver, Spleen, Coronary Vascular Subcortex
Important! The information is intended as a reference for professional TCM practitioners. It's important to recognize that a single symptom may point to multiple potential diagnoses, and a specific diagnosis can require different treatment protocols due to varying clinical presentations and underlying causes. Informed professional judgment and careful evaluation must be exercised prior to recommending any treatment protocols to patients.