CM SD Index - Differential Diagnosis

Condition Details
TCM Diagnosis
Yin deficiency with heat
Herbal Formula
Balance (Heat)
- 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.
- Needle muscle to treat the muscle, needle tendon to treat the tendon, needle ligament to treat the ligament, needle the bone to treat the bone. Treat the most painful areas first.
- General points: Fengshi (GB 31), Yanglingquan (GB 34), Zhengjin (T 77.01), Zhengzong (T 77.02), patellar tendon, Tianjing (TH 10), Yangxi (LI 5)
- Neck pain : Two points from Lingdao (HT 4) to Shenmen (HT 7) two points from Lieque (LU 7) to Taiyuan (LU 9), Shangqiu (SP 5), in between Shangqiu (SP 5) and Sanyinjiao (SP 6), 3 needles from Zhongfeng (LR 4) to Ligou (LR 5), two needles from Taixi (KI 3) to Fuliu (KI 7), Zhenjing (T 1010.08), Boqiu (T 77.04)
- Shoulder pain : Shangqiu (SP 5), Zhongfeng (LR 4), Jiexi (ST 41), Qiuxu (GB 40), two needles from Kunlun (BL 60) to Pushen (BL 61), needle halfway between Jiexi (ST 41) and Qiuxu (GB 40), 2-3 needles from Fenglong (ST 40) to Jiexi (ST 41). Neelde the opposite ankle or hip.
- Whole arm pain : Zusanli (ST 36), Yanglingquan (GB 34), Weizhong (BL 40), Feiyang (BL 58), Xuanzhong (GB 39), Fenglong (ST 40), Sanyinjiao (SP 6)
- Elbow
- Elbow pain (lateral) : Needle in front and behind Yanglingquan (GB 34) or the fibula, Yangjiao (GB 35), Waiqiu (GB 36), Guangming (GB 37)
- Elbow pain (medial) : Yingu (KI 10), thread needle from Ququan (LR 8) to Yinlingquan (SP 9)
- Wrist
- Wrist pain (on the HT channel) : Needle ashi points from Taixi (KI 3) to Fuliu (KI 7)
- Wrist pain (on the PC channel) : Needle ashi points from Zhongfeng (LR 4) to Xiguan (LR 7)
- Wrist pain (on the Lu channel) : Shangqiu (SP 5), Zhongfeng (LR 4), needle ashi points from Ligou (LR 5) to Zhongdu (LR 6), Xiguan (LR 7)
- Wrist pain (on the LI channel) : Needle ashi points from Fenglong (ST 40) to Jiexi (ST 41)
- Wrist pain (on the SI channel) : Needle ashi points from Fuyang (BL 59) to Kunlun (BL 60)
- Wrist pain (on the TH channel) : Xuanzhong (GB 39), also needle in front and behind the tibia and fibula
- Hand and finger pain : Needle opposite side foot and toe images. For example, left lateral finger pain on the metacarpal phalangeal joint, needle right lateral metatarsal phalgeal join on the toe.
- 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)
- Knee
- Lateral and front of the knee pain, patella pain: Quchi (LI 11) and ashi points all around there.
- Medial knee pain : Shaohai (HT 3), Quze (PC 3) Chize (LU 5), Shousanli (LI 10) thread to Quze (PC 3).
- Back of the knee pain : Xiaohai (SI 8), Xinmen (T 33.12)
- Ankle
- Lateral ankle pain : Needle ashi points from Yangchi (TH 4) to Waiguan (TH 5)
- Medial ankle pain : Needle ashi points from Lieque (LU 7) to Taiyuan (LU 9), Daling (PC 7)
- Front of the ankle pain : Needle ashi points from Yangxi (LI 5) to Pianli (LI 6)
- Achilles pain : Needle ashi points from Wangu (SI 4) to Yanglao (SI 6) on the tendon
- Foot and toe pain : Needle opposite side hand and finger images. For example, left lateral toe pain on the metatarsal phalangeal joint, needle right lateral metacarpal phalgeal join on the thumb.
- Bilateral - insert 2 needles on each of the yin channels on the base of the hands.
- Foot Pain: If the sole of the foot is in pain, needle both the top and the bottom of the opposite foot. Needle the top or bottom of both hands in the correct corresponding anatomical areas. For pain of the extremities, it is better to use anatomical points, which match the area of the pain on the affected area.
- Primary points: Shouwujin (T 33.08), Shouqianjin (T 33.09), Zhongjiuli (T 88.25), Dabai (T 22.04), Linggu (T 22.05), Renzong (T 44.08), Dizong (T 44.09), Tianzong (T 44.10)
- Secondary points: Huoying (T 66.03), Huozhu (T 66.04), Muliu (T 66.06), Mudou (T 66.07), Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07), Waisanguan (T 77.27), Tianhuang (T 77.17), Tianhuangfu [Shenguan] (T 77.18), Jianzhong (T 44.06)
- All neuropathy: Tianhuangfu [shenguan] (T 77.18), Yanglingquan (GB 34), Chize (LU 5)
- Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zuwujin (T 77.25), Zuqianjin (T 77.24), Tiaokou (ST 38)
- Elbow pain: Tianhuangfu [shenguan] (T 77.18), Shangjiuli (T 88.26), Zhongjiuli (T 88.25), Xiajiuli (T 88.27), Fengshi (GB 31), Yanglingquan (GB 34)
- Wrist pain: Tianhuangfu [shenguan] (T 77.18), Cesanli (T 77.22), Cexiasanli (T 77.23), Yanglingquan (GB 34), Chize (LU 5)
- Knee pain: Tianhuangfu [shenguan] (T 77.18), between Dabai (T 22.04) and Linggu (T 22.05), Neiguan (PC 6), Yanglingquan (GB 34). Bleed Gaohuangshu (BL 43) with cupping
- Ankle pain: Tianhuangfu [shenguan] (T 77.18), Xiaojie (T 22.13)*
- Finger pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 1,2,3
- Big toe pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 3,4,5, Baihui (GV 20)
- 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.
- Peripheral neuropathy:
- Erjiaoming (T 11.12), Wanshunyi (T 22.08), Wanshuner (T 22.09), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21), Zhengshi (T 77.03), Zhengjin (T 77.01), Zhengzong (T 77.02).
- Bleed Weizhong (BL 40), Sihuashang (T 77.08), Sihuawai (T 77.14), Sihuazhong (T 77.09), Sihuali (T 77.13), Sihuafu (T 77.10), Sihuaxia (T 77.11) or dark veins nearby. Bleed before needling for best result.
- Poor circulation: Tongshan (T 88.02), Tongguan (T 88.01), Tongtian (T 88.03)
- Leg numbness: Simashang (T 88.18), Simazhong (T 88.17), Simaxia (T 88.19), Jianzhong (T 44.06), Zhongjiuli (T 88.25), Zhoushui (T 1010.25), Shenjian (T 44.19)
- Limb pain: Quchi (LI 11), Fengshi (GB 31), Waiguan (TH 5), Yanglingquan (GB 34), Sanyinjiao (SP 6), Shousanli (LI 10)
- Limb numbness: Jianyu (LI 15), Quchi (LI 11), Hegu (LI 4), Wangu (GB 12), Fengshi (GB 31), Kunlun (BL 60), Xingjian (LR 2), Zusanli (ST 36), Xuanzhong (GB 39), Weizhong (BL 40), Tongli (HT 5), Yanglingquan (GB 34)
- Polyneuritis:
- Source 16 :
- Upper body : Dazhui (GV 14), Dashu (BL 11), Jianyu (LI 15), Quchi (LI 11), Hegu (LI 4), Jianzhen (SI 9), Shousanli (LI 10), Waiguan (TH 5), Baxie (Ex-UE9), Huatuojiaji (Ex-B2).
- Lower body : Huantiao (GB 30), Biguan (ST 31), Zusanli (ST 36), Jiexi (ST 41), Sanyinjiao (SP 6), Shenshu (BL 23), Xuehai (SP 10), Taixi (KI 3), Yanglingquan (GB 34), Xuanzhong (GB 39), Qiuxu (GB 40), Zulinqi (GB 41), Jinggu (BL 64), Bafeng (Ex-LE10), Huatuojiaji (Ex-B2).
- Source 29 : Fengchi (GB 20), Fubai (GB 10), Hegu (LI 4), Taiyang (Ex-HN5)
- Source 16 :
- Foot cramps: Sanlingyi (T 88.48)*, Sanlinger (T 88.49)*, Sanlingsan (T 88.50)*, Quling (T 33.16)
- Hua Tou Jia Ji, local ah shi points
- Hegu (LI 4), Shenshu (BL 23), Pishu (BL 20), Sanyinjiao (SP 6), Taichong (LR 3)
- Leg Numbness:
- Bleed Weizhong (BL 40) and the dorsal area on the foot. Bleed before needling for the best results. Do not use cups to draw out blood at Weizhong (BL 40) or the popliteal fossa.
- Source 27 : Ciliao (BL 32), Xingjian (LR 2), Qiuxu (GB 40), Kunlun (BL 60), Yangfu (GB 38), Yanglingquan (GB 34), Zusanli (ST 36)
- Source 30 : Bleed Waiqiu (GB 36)
- Numbness of the limbs: Quchi (LI 11), Fengshi (GB 31), Waiguan (TH 5), Yanglingquan (GB 34), Sanyinjiao (SP 6), Shousanli (LI 10)
- Neuropathy: Neiguan (PC 6), Yanglingquan (GB 34), Yinlingquan (SP 9), Zusanli (ST 36), Jiexi (ST 41), Sanyinjiao (SP 6), Taichong (LR 3)
- Foot cramps:
- Foot numbness:
- Source 21 : Huantiao (GB 30), Yinlingquan (SP 9), Yangfu (GB 38), Taixi (KI 3), Zhiyin (BL 67), Xuanzhong (GB 39), Xingjian (LR 2), Kunlun (BL 60), Qiuxu (GB 40)
- Source 27 :
- Fengfu (GV 16), Yingu (KI 10), Kunlun (BL 60), Jinggu (BL 64), Chengshan (BL 57), Chengjin (BL 56), Shangqiu (SP 5), Rangu (KI 2), Zhongdu (LR 6), Yinlingquan (SP 9), Fuliu (KI 7), Shenshu (BL 23), Ciliao (BL 32), Pangguangshu (BL 28), Tianzhu (BL 10), Xingjian (LR 2). Moxa Huantiao (GB 30), Fengshi (GB 31)
- Weizhong (BL 40), Zusanli (ST 36), Ququan (LR 8), Yanglingquan (GB 34), Fengshi (GB 31), Kunlun (BL 60), Jiexi (ST 41), Chengshan (BL 57), Rangu (KI 2), Xialian (LI 8), Fuliu (KI 7), Shenmai (BL 62), Lidui (ST 45), Shenshu (BL 23), Taichong (LR 3), Qiuxu (GB 40), Taixi (KI 3). Moxa Chengshan (BL 57), Jinmen (BL 63).
- Taixi (KI 3), Yanglingquan (GB 34), Jiexi (ST 41), Fengshi (GB 31), Zusanli (ST 36), Yangfu (GB 38), Yangjiao (GB 35), Xingjian (LR 2), Kunlun (BL 60), Xuanzhong (GB 39), Qiuxu (GB 40), Xuanzhong (GB 39)
- Affected area, Adrenal Gland, Lung
- Embed magnetic balls and switch ears every five days.
- Peripheral neuropathy: Large Auricular Nerve, Lesser Occipital Nerve, and corresponding points (Finger, Toe). Bleed Ear Apex.
- Intercostal neuralgia: Intercostal Area, Large Auricular Nerve, corresponding points (to the area affected)
- Supplementary points: Liver, Gallbladder, Chest, Occiput
TCM Diagnosis
Qi and blood stagnation
Herbal Formula
Arm Support
- 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.
- Needle muscle to treat the muscle, needle tendon to treat the tendon, needle ligament to treat the ligament, needle the bone to treat the bone. Treat the most painful areas first.
- General points: Fengshi (GB 31), Yanglingquan (GB 34), Zhengjin (T 77.01), Zhengzong (T 77.02), patellar tendon, Tianjing (TH 10), Yangxi (LI 5)
- Neck pain : Two points from Lingdao (HT 4) to Shenmen (HT 7) two points from Lieque (LU 7) to Taiyuan (LU 9), Shangqiu (SP 5), in between Shangqiu (SP 5) and Sanyinjiao (SP 6), 3 needles from Zhongfeng (LR 4) to Ligou (LR 5), two needles from Taixi (KI 3) to Fuliu (KI 7), Zhenjing (T 1010.08), Boqiu (T 77.04)
- Shoulder pain : Shangqiu (SP 5), Zhongfeng (LR 4), Jiexi (ST 41), Qiuxu (GB 40), two needles from Kunlun (BL 60) to Pushen (BL 61), needle halfway between Jiexi (ST 41) and Qiuxu (GB 40), 2-3 needles from Fenglong (ST 40) to Jiexi (ST 41). Neelde the opposite ankle or hip.
- Whole arm pain : Zusanli (ST 36), Yanglingquan (GB 34), Weizhong (BL 40), Feiyang (BL 58), Xuanzhong (GB 39), Fenglong (ST 40), Sanyinjiao (SP 6)
- Elbow
- Elbow pain (lateral) : Needle in front and behind Yanglingquan (GB 34) or the fibula, Yangjiao (GB 35), Waiqiu (GB 36), Guangming (GB 37)
- Elbow pain (medial) : Yingu (KI 10), thread needle from Ququan (LR 8) to Yinlingquan (SP 9)
- Wrist
- Wrist pain (on the HT channel) : Needle ashi points from Taixi (KI 3) to Fuliu (KI 7)
- Wrist pain (on the PC channel) : Needle ashi points from Zhongfeng (LR 4) to Xiguan (LR 7)
- Wrist pain (on the Lu channel) : Shangqiu (SP 5), Zhongfeng (LR 4), needle ashi points from Ligou (LR 5) to Zhongdu (LR 6), Xiguan (LR 7)
- Wrist pain (on the LI channel) : Needle ashi points from Fenglong (ST 40) to Jiexi (ST 41)
- Wrist pain (on the SI channel) : Needle ashi points from Fuyang (BL 59) to Kunlun (BL 60)
- Wrist pain (on the TH channel) : Xuanzhong (GB 39), also needle in front and behind the tibia and fibula
- Hand and finger pain : Needle opposite side foot and toe images. For example, left lateral finger pain on the metacarpal phalangeal joint, needle right lateral metatarsal phalgeal join on the toe.
- 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)
- Knee
- Lateral and front of the knee pain, patella pain: Quchi (LI 11) and ashi points all around there.
- Medial knee pain : Shaohai (HT 3), Quze (PC 3) Chize (LU 5), Shousanli (LI 10) thread to Quze (PC 3).
- Back of the knee pain : Xiaohai (SI 8), Xinmen (T 33.12)
- Ankle
- Lateral ankle pain : Needle ashi points from Yangchi (TH 4) to Waiguan (TH 5)
- Medial ankle pain : Needle ashi points from Lieque (LU 7) to Taiyuan (LU 9), Daling (PC 7)
- Front of the ankle pain : Needle ashi points from Yangxi (LI 5) to Pianli (LI 6)
- Achilles pain : Needle ashi points from Wangu (SI 4) to Yanglao (SI 6) on the tendon
- Foot and toe pain : Needle opposite side hand and finger images. For example, left lateral toe pain on the metatarsal phalangeal joint, needle right lateral metacarpal phalgeal join on the thumb.
- Bilateral - insert 2 needles on each of the yin channels on the base of the hands.
- Foot Pain: If the sole of the foot is in pain, needle both the top and the bottom of the opposite foot. Needle the top or bottom of both hands in the correct corresponding anatomical areas. For pain of the extremities, it is better to use anatomical points, which match the area of the pain on the affected area.
- Primary points: Shouwujin (T 33.08), Shouqianjin (T 33.09), Zhongjiuli (T 88.25), Dabai (T 22.04), Linggu (T 22.05), Renzong (T 44.08), Dizong (T 44.09), Tianzong (T 44.10)
- Secondary points: Huoying (T 66.03), Huozhu (T 66.04), Muliu (T 66.06), Mudou (T 66.07), Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07), Waisanguan (T 77.27), Tianhuang (T 77.17), Tianhuangfu [Shenguan] (T 77.18), Jianzhong (T 44.06)
- All neuropathy: Tianhuangfu [shenguan] (T 77.18), Yanglingquan (GB 34), Chize (LU 5)
- Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zuwujin (T 77.25), Zuqianjin (T 77.24), Tiaokou (ST 38)
- Elbow pain: Tianhuangfu [shenguan] (T 77.18), Shangjiuli (T 88.26), Zhongjiuli (T 88.25), Xiajiuli (T 88.27), Fengshi (GB 31), Yanglingquan (GB 34)
- Wrist pain: Tianhuangfu [shenguan] (T 77.18), Cesanli (T 77.22), Cexiasanli (T 77.23), Yanglingquan (GB 34), Chize (LU 5)
- Knee pain: Tianhuangfu [shenguan] (T 77.18), between Dabai (T 22.04) and Linggu (T 22.05), Neiguan (PC 6), Yanglingquan (GB 34). Bleed Gaohuangshu (BL 43) with cupping
- Ankle pain: Tianhuangfu [shenguan] (T 77.18), Xiaojie (T 22.13)*
- Finger pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 1,2,3
- Big toe pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 3,4,5, Baihui (GV 20)
- 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.
- Peripheral neuropathy:
- Erjiaoming (T 11.12), Wanshunyi (T 22.08), Wanshuner (T 22.09), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21), Zhengshi (T 77.03), Zhengjin (T 77.01), Zhengzong (T 77.02).
- Bleed Weizhong (BL 40), Sihuashang (T 77.08), Sihuawai (T 77.14), Sihuazhong (T 77.09), Sihuali (T 77.13), Sihuafu (T 77.10), Sihuaxia (T 77.11) or dark veins nearby. Bleed before needling for best result.
- Poor circulation: Tongshan (T 88.02), Tongguan (T 88.01), Tongtian (T 88.03)
- Leg numbness: Simashang (T 88.18), Simazhong (T 88.17), Simaxia (T 88.19), Jianzhong (T 44.06), Zhongjiuli (T 88.25), Zhoushui (T 1010.25), Shenjian (T 44.19)
- Limb pain: Quchi (LI 11), Fengshi (GB 31), Waiguan (TH 5), Yanglingquan (GB 34), Sanyinjiao (SP 6), Shousanli (LI 10)
- Limb numbness: Jianyu (LI 15), Quchi (LI 11), Hegu (LI 4), Wangu (GB 12), Fengshi (GB 31), Kunlun (BL 60), Xingjian (LR 2), Zusanli (ST 36), Xuanzhong (GB 39), Weizhong (BL 40), Tongli (HT 5), Yanglingquan (GB 34)
- Polyneuritis:
- Source 16 :
- Upper body : Dazhui (GV 14), Dashu (BL 11), Jianyu (LI 15), Quchi (LI 11), Hegu (LI 4), Jianzhen (SI 9), Shousanli (LI 10), Waiguan (TH 5), Baxie (Ex-UE9), Huatuojiaji (Ex-B2).
- Lower body : Huantiao (GB 30), Biguan (ST 31), Zusanli (ST 36), Jiexi (ST 41), Sanyinjiao (SP 6), Shenshu (BL 23), Xuehai (SP 10), Taixi (KI 3), Yanglingquan (GB 34), Xuanzhong (GB 39), Qiuxu (GB 40), Zulinqi (GB 41), Jinggu (BL 64), Bafeng (Ex-LE10), Huatuojiaji (Ex-B2).
- Source 29 : Fengchi (GB 20), Fubai (GB 10), Hegu (LI 4), Taiyang (Ex-HN5)
- Source 16 :
- Foot cramps: Sanlingyi (T 88.48)*, Sanlinger (T 88.49)*, Sanlingsan (T 88.50)*, Quling (T 33.16)
- Hua Tou Jia Ji, local ah shi points
- Hegu (LI 4), Shenshu (BL 23), Pishu (BL 20), Sanyinjiao (SP 6), Taichong (LR 3)
- Leg Numbness:
- Bleed Weizhong (BL 40) and the dorsal area on the foot. Bleed before needling for the best results. Do not use cups to draw out blood at Weizhong (BL 40) or the popliteal fossa.
- Source 27 : Ciliao (BL 32), Xingjian (LR 2), Qiuxu (GB 40), Kunlun (BL 60), Yangfu (GB 38), Yanglingquan (GB 34), Zusanli (ST 36)
- Source 30 : Bleed Waiqiu (GB 36)
- Numbness of the limbs: Quchi (LI 11), Fengshi (GB 31), Waiguan (TH 5), Yanglingquan (GB 34), Sanyinjiao (SP 6), Shousanli (LI 10)
- Neuropathy: Neiguan (PC 6), Yanglingquan (GB 34), Yinlingquan (SP 9), Zusanli (ST 36), Jiexi (ST 41), Sanyinjiao (SP 6), Taichong (LR 3)
- Foot cramps:
- Foot numbness:
- Source 21 : Huantiao (GB 30), Yinlingquan (SP 9), Yangfu (GB 38), Taixi (KI 3), Zhiyin (BL 67), Xuanzhong (GB 39), Xingjian (LR 2), Kunlun (BL 60), Qiuxu (GB 40)
- Source 27 :
- Fengfu (GV 16), Yingu (KI 10), Kunlun (BL 60), Jinggu (BL 64), Chengshan (BL 57), Chengjin (BL 56), Shangqiu (SP 5), Rangu (KI 2), Zhongdu (LR 6), Yinlingquan (SP 9), Fuliu (KI 7), Shenshu (BL 23), Ciliao (BL 32), Pangguangshu (BL 28), Tianzhu (BL 10), Xingjian (LR 2). Moxa Huantiao (GB 30), Fengshi (GB 31)
- Weizhong (BL 40), Zusanli (ST 36), Ququan (LR 8), Yanglingquan (GB 34), Fengshi (GB 31), Kunlun (BL 60), Jiexi (ST 41), Chengshan (BL 57), Rangu (KI 2), Xialian (LI 8), Fuliu (KI 7), Shenmai (BL 62), Lidui (ST 45), Shenshu (BL 23), Taichong (LR 3), Qiuxu (GB 40), Taixi (KI 3). Moxa Chengshan (BL 57), Jinmen (BL 63).
- Taixi (KI 3), Yanglingquan (GB 34), Jiexi (ST 41), Fengshi (GB 31), Zusanli (ST 36), Yangfu (GB 38), Yangjiao (GB 35), Xingjian (LR 2), Kunlun (BL 60), Xuanzhong (GB 39), Qiuxu (GB 40), Xuanzhong (GB 39)
- Peripheral neuropathy: Large Auricular Nerve, Lesser Occipital Nerve, and corresponding points (Finger, Toe). Bleed Ear Apex.
- Intercostal neuralgia: Intercostal Area, Large Auricular Nerve, corresponding points (to the area affected)
- Supplementary points: Liver, Gallbladder, Chest, Occiput
TCM Diagnosis
Qi and blood stagnation
Herbal Formula
Neck & Shoulder (AC)
- 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.
- Needle muscle to treat the muscle, needle tendon to treat the tendon, needle ligament to treat the ligament, needle the bone to treat the bone. Treat the most painful areas first.
- General points: Fengshi (GB 31), Yanglingquan (GB 34), Zhengjin (T 77.01), Zhengzong (T 77.02), patellar tendon, Tianjing (TH 10), Yangxi (LI 5)
- Neck pain : Two points from Lingdao (HT 4) to Shenmen (HT 7) two points from Lieque (LU 7) to Taiyuan (LU 9), Shangqiu (SP 5), in between Shangqiu (SP 5) and Sanyinjiao (SP 6), 3 needles from Zhongfeng (LR 4) to Ligou (LR 5), two needles from Taixi (KI 3) to Fuliu (KI 7), Zhenjing (T 1010.08), Boqiu (T 77.04)
- Shoulder pain : Shangqiu (SP 5), Zhongfeng (LR 4), Jiexi (ST 41), Qiuxu (GB 40), two needles from Kunlun (BL 60) to Pushen (BL 61), needle halfway between Jiexi (ST 41) and Qiuxu (GB 40), 2-3 needles from Fenglong (ST 40) to Jiexi (ST 41). Neelde the opposite ankle or hip.
- Whole arm pain : Zusanli (ST 36), Yanglingquan (GB 34), Weizhong (BL 40), Feiyang (BL 58), Xuanzhong (GB 39), Fenglong (ST 40), Sanyinjiao (SP 6)
- Elbow
- Elbow pain (lateral) : Needle in front and behind Yanglingquan (GB 34) or the fibula, Yangjiao (GB 35), Waiqiu (GB 36), Guangming (GB 37)
- Elbow pain (medial) : Yingu (KI 10), thread needle from Ququan (LR 8) to Yinlingquan (SP 9)
- Wrist
- Wrist pain (on the HT channel) : Needle ashi points from Taixi (KI 3) to Fuliu (KI 7)
- Wrist pain (on the PC channel) : Needle ashi points from Zhongfeng (LR 4) to Xiguan (LR 7)
- Wrist pain (on the Lu channel) : Shangqiu (SP 5), Zhongfeng (LR 4), needle ashi points from Ligou (LR 5) to Zhongdu (LR 6), Xiguan (LR 7)
- Wrist pain (on the LI channel) : Needle ashi points from Fenglong (ST 40) to Jiexi (ST 41)
- Wrist pain (on the SI channel) : Needle ashi points from Fuyang (BL 59) to Kunlun (BL 60)
- Wrist pain (on the TH channel) : Xuanzhong (GB 39), also needle in front and behind the tibia and fibula
- Hand and finger pain : Needle opposite side foot and toe images. For example, left lateral finger pain on the metacarpal phalangeal joint, needle right lateral metatarsal phalgeal join on the toe.
- 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)
- Knee
- Lateral and front of the knee pain, patella pain: Quchi (LI 11) and ashi points all around there.
- Medial knee pain : Shaohai (HT 3), Quze (PC 3) Chize (LU 5), Shousanli (LI 10) thread to Quze (PC 3).
- Back of the knee pain : Xiaohai (SI 8), Xinmen (T 33.12)
- Ankle
- Lateral ankle pain : Needle ashi points from Yangchi (TH 4) to Waiguan (TH 5)
- Medial ankle pain : Needle ashi points from Lieque (LU 7) to Taiyuan (LU 9), Daling (PC 7)
- Front of the ankle pain : Needle ashi points from Yangxi (LI 5) to Pianli (LI 6)
- Achilles pain : Needle ashi points from Wangu (SI 4) to Yanglao (SI 6) on the tendon
- Foot and toe pain : Needle opposite side hand and finger images. For example, left lateral toe pain on the metatarsal phalangeal joint, needle right lateral metacarpal phalgeal join on the thumb.
- Bilateral - insert 2 needles on each of the yin channels on the base of the hands.
- Foot Pain: If the sole of the foot is in pain, needle both the top and the bottom of the opposite foot. Needle the top or bottom of both hands in the correct corresponding anatomical areas. For pain of the extremities, it is better to use anatomical points, which match the area of the pain on the affected area.
- Primary points: Shouwujin (T 33.08), Shouqianjin (T 33.09), Zhongjiuli (T 88.25), Dabai (T 22.04), Linggu (T 22.05), Renzong (T 44.08), Dizong (T 44.09), Tianzong (T 44.10)
- Secondary points: Huoying (T 66.03), Huozhu (T 66.04), Muliu (T 66.06), Mudou (T 66.07), Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07), Waisanguan (T 77.27), Tianhuang (T 77.17), Tianhuangfu [Shenguan] (T 77.18), Jianzhong (T 44.06)
- All neuropathy: Tianhuangfu [shenguan] (T 77.18), Yanglingquan (GB 34), Chize (LU 5)
- Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zuwujin (T 77.25), Zuqianjin (T 77.24), Tiaokou (ST 38)
- Elbow pain: Tianhuangfu [shenguan] (T 77.18), Shangjiuli (T 88.26), Zhongjiuli (T 88.25), Xiajiuli (T 88.27), Fengshi (GB 31), Yanglingquan (GB 34)
- Wrist pain: Tianhuangfu [shenguan] (T 77.18), Cesanli (T 77.22), Cexiasanli (T 77.23), Yanglingquan (GB 34), Chize (LU 5)
- Knee pain: Tianhuangfu [shenguan] (T 77.18), between Dabai (T 22.04) and Linggu (T 22.05), Neiguan (PC 6), Yanglingquan (GB 34). Bleed Gaohuangshu (BL 43) with cupping
- Ankle pain: Tianhuangfu [shenguan] (T 77.18), Xiaojie (T 22.13)*
- Finger pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 1,2,3
- Big toe pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 3,4,5, Baihui (GV 20)
- 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.
- Peripheral neuropathy:
- Erjiaoming (T 11.12), Wanshunyi (T 22.08), Wanshuner (T 22.09), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21), Zhengshi (T 77.03), Zhengjin (T 77.01), Zhengzong (T 77.02).
- Bleed Weizhong (BL 40), Sihuashang (T 77.08), Sihuawai (T 77.14), Sihuazhong (T 77.09), Sihuali (T 77.13), Sihuafu (T 77.10), Sihuaxia (T 77.11) or dark veins nearby. Bleed before needling for best result.
- Poor circulation: Tongshan (T 88.02), Tongguan (T 88.01), Tongtian (T 88.03)
- Leg numbness: Simashang (T 88.18), Simazhong (T 88.17), Simaxia (T 88.19), Jianzhong (T 44.06), Zhongjiuli (T 88.25), Zhoushui (T 1010.25), Shenjian (T 44.19)
- Limb pain: Quchi (LI 11), Fengshi (GB 31), Waiguan (TH 5), Yanglingquan (GB 34), Sanyinjiao (SP 6), Shousanli (LI 10)
- Limb numbness: Jianyu (LI 15), Quchi (LI 11), Hegu (LI 4), Wangu (GB 12), Fengshi (GB 31), Kunlun (BL 60), Xingjian (LR 2), Zusanli (ST 36), Xuanzhong (GB 39), Weizhong (BL 40), Tongli (HT 5), Yanglingquan (GB 34)
- Polyneuritis:
- Source 16 :
- Upper body : Dazhui (GV 14), Dashu (BL 11), Jianyu (LI 15), Quchi (LI 11), Hegu (LI 4), Jianzhen (SI 9), Shousanli (LI 10), Waiguan (TH 5), Baxie (Ex-UE9), Huatuojiaji (Ex-B2).
- Lower body : Huantiao (GB 30), Biguan (ST 31), Zusanli (ST 36), Jiexi (ST 41), Sanyinjiao (SP 6), Shenshu (BL 23), Xuehai (SP 10), Taixi (KI 3), Yanglingquan (GB 34), Xuanzhong (GB 39), Qiuxu (GB 40), Zulinqi (GB 41), Jinggu (BL 64), Bafeng (Ex-LE10), Huatuojiaji (Ex-B2).
- Source 29 : Fengchi (GB 20), Fubai (GB 10), Hegu (LI 4), Taiyang (Ex-HN5)
- Source 16 :
- Foot cramps: Sanlingyi (T 88.48)*, Sanlinger (T 88.49)*, Sanlingsan (T 88.50)*, Quling (T 33.16)
- Hua Tou Jia Ji, local ah shi points
- Hegu (LI 4), Shenshu (BL 23), Pishu (BL 20), Sanyinjiao (SP 6), Taichong (LR 3)
- Leg Numbness:
- Bleed Weizhong (BL 40) and the dorsal area on the foot. Bleed before needling for the best results. Do not use cups to draw out blood at Weizhong (BL 40) or the popliteal fossa.
- Source 27 : Ciliao (BL 32), Xingjian (LR 2), Qiuxu (GB 40), Kunlun (BL 60), Yangfu (GB 38), Yanglingquan (GB 34), Zusanli (ST 36)
- Source 30 : Bleed Waiqiu (GB 36)
- Numbness of the limbs: Quchi (LI 11), Fengshi (GB 31), Waiguan (TH 5), Yanglingquan (GB 34), Sanyinjiao (SP 6), Shousanli (LI 10)
- Neuropathy: Neiguan (PC 6), Yanglingquan (GB 34), Yinlingquan (SP 9), Zusanli (ST 36), Jiexi (ST 41), Sanyinjiao (SP 6), Taichong (LR 3)
- Foot cramps:
- Foot numbness:
- Source 21 : Huantiao (GB 30), Yinlingquan (SP 9), Yangfu (GB 38), Taixi (KI 3), Zhiyin (BL 67), Xuanzhong (GB 39), Xingjian (LR 2), Kunlun (BL 60), Qiuxu (GB 40)
- Source 27 :
- Fengfu (GV 16), Yingu (KI 10), Kunlun (BL 60), Jinggu (BL 64), Chengshan (BL 57), Chengjin (BL 56), Shangqiu (SP 5), Rangu (KI 2), Zhongdu (LR 6), Yinlingquan (SP 9), Fuliu (KI 7), Shenshu (BL 23), Ciliao (BL 32), Pangguangshu (BL 28), Tianzhu (BL 10), Xingjian (LR 2). Moxa Huantiao (GB 30), Fengshi (GB 31)
- Weizhong (BL 40), Zusanli (ST 36), Ququan (LR 8), Yanglingquan (GB 34), Fengshi (GB 31), Kunlun (BL 60), Jiexi (ST 41), Chengshan (BL 57), Rangu (KI 2), Xialian (LI 8), Fuliu (KI 7), Shenmai (BL 62), Lidui (ST 45), Shenshu (BL 23), Taichong (LR 3), Qiuxu (GB 40), Taixi (KI 3). Moxa Chengshan (BL 57), Jinmen (BL 63).
- Taixi (KI 3), Yanglingquan (GB 34), Jiexi (ST 41), Fengshi (GB 31), Zusanli (ST 36), Yangfu (GB 38), Yangjiao (GB 35), Xingjian (LR 2), Kunlun (BL 60), Xuanzhong (GB 39), Qiuxu (GB 40), Xuanzhong (GB 39)
- Affected area, Adrenal Gland, Lung
- Embed magnetic balls and switch ears every five days.
- Peripheral neuropathy: Large Auricular Nerve, Lesser Occipital Nerve, and corresponding points (Finger, Toe). Bleed Ear Apex.
- Intercostal neuralgia: Intercostal Area, Large Auricular Nerve, corresponding points (to the area affected)
- Supplementary points: Liver, Gallbladder, Chest, Occiput
TCM Diagnosis
Bi zheng (painful obstruction syndrome)
Herbal Formula
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.