December 2020

December 2020

The Office: How to Treat Menstrual Pain with DNA

  • Where is the pain? Anatomical Region, Muscle groups, and Jing Jin
    • Anatomical Region: Foot Lateral Lateral (GB), Foot Anterior Lateral (ST), Foot Posterior Medial (K)
    • Muscle groups and related Jing Jin: 
      • External Obliques, Internal Obliques, Deep Transverse Abdominis (GB – Foot Shao Yang)
      • Rectus Abdominis, Iliacus (ST – Foot Yang Ming)
      • Quadratus Lumborum (K – Foot Shao Yin)
      • JIng JIn: GB – Foot Shao Yang, ST –  Foot Yang Ming, K – Foot Shao Yin
  • Sequence of needling: 
    • First set of needles: Both Ankles at GB 40, ST 41, K 6
    • Second set of needles: Both wrists at SJ 4, LI 5, HT 7
    • Third set of needles: Spread the image above and below wrists and ankles on Hand and Foot Shao Yang, Hand and Foot Yang Ming and Hand and Foot Shao Yin. Use ashi points to reduce the amount of needles. Abdominal pain is imaged all the way for the feet and hands to the knees and elbows. Stop needling when the pain is completely or almost completely gone.
    • Fourth set of needles
      • SP treats GB below the knee. Therefore, needle ashi on the SP Jing JIn from the foot to the knee.
      • LV treats ST below the knee. Therefore, needle ashi on the LV Jing Jin in the lower leg from the foot to the knee.
      • UB treats the K. Therefore, needle ashi on the UB from the feet to the knee.
    • Fifth set of needles
      • SJ treats the GB. (Medial Medial treats Lateral Lateral).  Needle ashi on the SJ from hands to elbows.
      • HT treats the ST. Posterior Medial (HT) on the arms treats Anterior Lateral (ST) on the legs ipsilateral. Needle ashi on the HT from hands to elbows ipsilateral to the area of abdominal pain.
      • LI treats the K. Anterior Lateral on the arms (LI) treats Posterior Medial (K) on the legs. Needle ashi on the LI from the hands to the elbows ipsilateral to the area of abdominal pain.

The Office: How to Treat Lower Back Pain with Chinese Herbs

  • Kidney Yang Deficiency
    • Pulse: Left Chi is very thin (Kleenex Pulse), deep, weak. Other pulses are similar with cold hands and an aversion to cold. Lower back is cold or cool to the touch.
    • Herbs: 
      • Sheng Di Huang 15
      • Shu di huang 15
      • Shi hu 15
      • Huang jing 15
      • Gou qi zi 15
      • Gui ban 15
      • Wu jia pi 15
      • Sang ji sheng 15
      • Du zhong 15
    • Herbal Additions
      • If the Right Guan pulse is weak and low appetite add: Huang qi 15, Shan yao 15, Dang Shen 10, Cang zhu or Bai zhu 10.
      • If the Yang Deficient signs are pronounced add: Lu Rong 10, Yin yang huo 10, Ba ji tian 10
      • If signs of Yin Deficiency, i.e. Left Guan is higher than its proper depth then add: Zhi mu 10, Huang bai 10, and take out Du Zhong
  • Blood Stasis
    • Pulse: All pulses are deeper than their normal depth and the Left Chi is Blocked
    • Herbs:
      • Yan hu suo 10
      • Ru xiang 10
      • Mo yao 10
      • E zhu 10
      • Sang leng 10
      • Quan xie 10
      • Wu gong 5
      • Shui zhi 10
      • Di bie chong 10
      • Du huo 5
      • Shen tong zhu yu tang 20
  • Inflammation, Heat, Infection
    • Pulse: Left Chi is pounding – usually thicker and higher than its normal depth
    • Herbs: 
      • Herbal ABX or Wu wei xiao du yin 20
      • 3 Yellows 10
      • Huang bai 10
      • Huang lian 10
      • Huang qin 10
      • Astringents 20
      • Bone spur or Flex Spur 20
      • Xiang sha ping wei san 10
    • Herbal Additions: If the Left Chi pulse is at depth or lower or the Guan pulses are deeper than normal then there is Blood Stasis. Use: Dan shen 10, Yi mu cao 10, Di bie chong 10

The Office: How to Treat Lower Back Pain with DNA

  • The first question to ask is where is the problem? (JingJIn, Muscles and Anatomical Region)
    • The JingJin involved with lower back pain are: Foot Shao Yin (K), Foot Tai Yang (UB), and possibly Foot Shao Yang (GB). The lower back pain muscles of these JingJIn are as follows:
      • Foot Shao Yin muscles are: Multifidus, Intertransversarii, and Quadratus lumborum
      • Foot Tai Yang muscles are: Latissimus Dorsi, Iliocostalis Lumborum, Piriformis, gemellus Superior and Inferior, Obturator, Quadratus Femoris, and Gluteus Maximus.
      • Foot Shao Yang muscles are: Gluteus Medius
    • The Anatomical Regions to target are:
      • Foot Shao Yin – Foot Posterior Medial
      • Foot Tai Yang – Foot Posterior Lateral
      • Foot Shao Yang – Foot Lateral Lateral
  • DNA needling sequence
    • First set of needles: Ankles at K 6, UB 60, GB 40 all Bilateral. Make sure to needle deeply into the ankle joints by angling the needles upwards towards the upper leg.
    • Second set of needles: Wrists at HT 7, SI 5, SJ 4 all Bilateral. Make sure to needle deeply into the wrist joints by angling the needles downwards towards the hands.
    • Third set of needles (if needed): Spread the image on the K, HT,  UB, SI, GB, SJ above and below the wrists and ankles. The HT, SI, SJ can be needled contralaterally from their JingJin pair on the legs.
    • Fourth set of needles (if needed). Spread the image using the cross body relationships of PM with PL and vice versa and LL and MM and vice versa. In this case you have already needled K (PM )and UB (PL) points. The only additions would be to use the SP (MM) to treat the GB (LL) if there is any sign of Gluteus Medius involvement.
    • The Fifth set of needles (if needed) use the Anterior / Posterior relationships. Here the needling is ipsilateral. LU (AM) treats the UB (PL). LI (AL) treats K (PM). P (MM) treats the GB (LL). Spread the image to include ashi points associated with the area of pain experienced by the patient.

The Office: Treating Headaches with Chinese Herbal Medicine

  • Main etiologies in order of importance
    • Tightness in the neck and upper back (Wind, Heat, and Blood Stasis)
    • Blood Deficiency
    • Liver Yang Rising
    • Phlegm disturbing the sinuses
  • Tightness in the neck and upper back
    • Pulse:   The Right Chi is too high, wiry, goes proximal and strong. Can be thin relating to neck spinal trauma (whiplash) or wide indicating muscle tightness in the neck and upper back.
    • Herbs:
      • Chuan xiong cha tiao san 25
      • Ge gen tang 25
      • Zhen ren huo ming yin 25
      • Clear Heat 25
  • Blood Deficiency
    • Pulse:   The whole Left Cun, Guan, Chi are higher than normal and thin and weak. Kleenex pulse. The skin is dry and energy is weak. 
    • Herbs:
      • Si wu tang 45
      • He shou wu 15
      • Gou qi zi 10 
      • Ju hua 10
      • Man jing zi 10
      • Ci shi 15 (if palpitations)
      • Bai zi ren 10 (If insomnia and anxiety)
      • Suan zao ren 10 (If insomnia and anxiety)
      • Huang qi 10 and Dang shen 10 (If fatigue, shortness of breath or sweating)
  • Liver Yang Rising
    • Pulse: Left Guan is too high, convex and pounding or wiry and pounding. This pattern is typical of a headache due to high blood pressure
    • Herbs:
      • Hu zhang 20 (lowers blood pressure)
      • Cha chi huang 20 (lowers blood pressure)
      • Tian ma 10
      • Gou teng 10
      • Sang ye 10
      • Ju hua 10
      • Jue ming zi 10
      • Bai ji li 15
      • Mu li 20
      • Zhi zi 10 (If Liver Fire)
      • Xia ku cao 15 ((If Liver Fire)
      • Sheng di huang 20 (If Liver and Kidney Yin Deficiency)
      • Gou qi zi 15 (If Liver Blood Deficiency)
  • Phlegm disturbing the sinuses
    • Pulse: Right Cun is either convex and pounding or wiry and pounding. It can also be Blocked with or without strength). This is a typical headache due to a sinus infection or sinus congestion.
    • Herbs:
      • Resolve EM 40
      • Huang qin 15
      • Wu wei xiao du yin 15
      • Lu gen 10
      • Sha shen 10
      • Astringents 15
      • Huang lian shang qin wan 15
      • Qing zao jiu fei tang 20 (If a lot of sinus dryness)
      • Shi hu 15 (If a lot of sinus dryness)
      • Long dan xie gan tang 20 (If Liver Fire – Liver invading the Lung)

The Office: DNA – Contralateral or Ipsilateral Needling

  • Question: The question often arises should I needle contralateral or ipsilateral with certain needling sequences?
  • Answer: For best results we recommend bilateral needling. However, it might be interesting to explore the topic and see if we can use less needles to produce the same result.
  • The first sequence of needles chosen are to treat the painful or diseased Jing JIn on the same side as the problem appears in the body, either at the wrists or ankles, depending on the Jing Jin. For instance, if the SCM is hurting on the patients left side then needle UB 60 on the left side of the body. The second set of needles will be on the opposite wrist at Hand Tai Yang –  SI 5.
  • Would this be the best choice?  Maybe not. Maybe the best would be to needle UB 60 on the opposite side of the pain and SI 5 on the same side. We have found that one way works better for some and the opposite for others. To circumvent the problem we recommend needing bilaterally to avoid any weakness in the treatment.
  • Having said this we do notice one pattern that stands out as more effective than another. This has to do with adding needles according to imaging. This has produced some advanced DNA strategies for treatment.
    • The first advanced rule is muscle groups of the same anatomical region are best treated contralaterally. What does this mean? Let us say you are needling Anterior Lateral (LI) in the upper body and want to add points on Anterior Lateral (ST) on the lower body then needle contralaterally.
      • This seems to be associated with how the body moves. If the body is moving forward in a walking motion the Anterior muscles are either contracting or releasing together but on opposite sides of the body. If the left arm moves forward the right leg moves forward. If the posterior muscle group on the left arm are relaxing the posterior muscle groups on the right leg are relaxing. The brain is organizing this synchronicity contralaterally.
    • This might be why needling across the body within the same Hand / Foot Jing Jin pair or the same Hand / Foot Anatomical Region seems to work best. 
    • What about crossbody relationships where Anterolateral treats Anterior Medial, and so on. In this case if the Anterior Lateral Jing Jin on the arm (LI) is to be needled then the cross body choice to complement the LI needle is to needle the LU on the opposite arm and not Anterior Lateral (LV) on the opposite leg.
    • The last DNA needle relationship has to do with the upper body and lower body relationship between Anatomical regions. In this case if Anterior muscle groups on one side of the body are contracting Posterior muscle groups on the same side of the body must be contracting as well but in the opposite direction.There is a neural relationship between these groups that we as acupuncturists can take advantage of. However, in this case we would recommend ipsilateral needling. The reason is that if the left arm is moving forward the left leg is moving backward. The brain is organizing these simultaneous activities of contracting within ipsilateral muscle groups located in the upper and lower body. For the LI and LU muscle groups on one side of the body to contract and move forward the UB and K muscle groups on the same side of the body have to contract to move the leg backwards. The brain is doing all of this subconsciously. 
    • The relationships we are talking about are as follows: LU treats UB and vice versa. LI treas K and vice versa. P treats GB and vice versa. HT treats ST and vice versa. SI treats LV(below knee) and SP(above knee) and vice versa. SJ treats the SP(below knee) and LV(above knee).  
    • We would recommend the above relationships are needled ipsilaterally for best results.
    • SUMMARY: TO PERFORM WALKING THE BRAIN PERFORMS THE FOLLOWING FUNCTIONS AUTOMATICALLY. THE ANTERIOR MUSCLE GROUPS OF THE LEFT ARM SWING FORWARD WHILE AT THE SAME TIME THE SAME ANATOMICAL REGIONS OF THE OPPOSITE LEG ARE ALSO CONTRACTING MOVING THE RIGHT LEG FORWARD. THUS LI TREATS THE ST CONTRALATERALLY AND THE LU TREATS THE LV CONTRALATERALLY. AT THE SAME TIME AS THE LEFT ARM SWINGS FORWARD THE POSTERIOR MUSCLE GROUPS OF THE LEFT LEG ARE CONTRACTING MOVING THE LEFT LEG BACKWARD. HERE THE LI TREATS THE K AND THE LU TREATS THE UB BUT IPSILATERALLY.

DNA TECHNIQUE:  RELATIONSHIPS BETWEEN: JING JIN – TCM ANATOMICAL REGIONS – SEQUENCE OF NEEDLING

What Jing Jin(s) are associated with the pain TCM Anatomical Location Ist Set of Needles:
Ankles and Wrists
2nd Set of Needles
Wrists and Ankles
3rd Set of Needles
Spread the Image
4th Set of Needles
Spread the Image
5th Set of Needles
Spread the Image
Hand Tai Yin – LU Hand Anterior Medial LU LU( AM) LV LU LI UB
Foot Tai Yin – LV/SP Foot Anterior Medial – LV/SP LV (AM) below knee
SP(AM) above knee
LU LV (AM) below knee
SP(AM)above knee)
ST SI
Hand Jue Yin – P Hand Medial Medial – P P (MM) SP(MM) below knee
LV(MM) above knee
P SJ GB
Foot Jue Yin – SP/LV Foot Medial Medial SP/LV SP (MM) – below knee
LV (MM) – above knee
P SP(MM) below knee
LV(MM) above knee
GB SJ
Hand Shao Yin – HT Hand Posterior Medial – HT HT (PM) K HT SI ST
Foot Shao Yin – K Foot Posterior Medial K K (PM) HT K UB LI
Hand Yang Ming – LI Hand Anterior Lateral LI LI (AL) ST LI LU K
Foot Yang MIng – ST Foot Anterior Lateral ST ST (A) LI ST LV(AM) below knee
SP(AM) above knee
HT
Hand Shao Yang- SJ Hand Lateral Lateral SJ SJ (LL) GB SJ P SP(MM) below knee
LV(MM) above knee
Foot Shao Yang – GB Foot Lateral Lateral –GB GB (LL) SJ GB SP(MM) below knee
LV(MM) above knee
P
Hand Tai Yang – SI Hand Posterior Lateral SI SI (PL) UB SI HT LV(AM) below knee
SP(AM) above knee
Foot Tai Yang – UB Foot Posterior Lateral UB UB (PL) SI UB K LU
Muscles to Jing Jin Jing Jin to Anatomical Region Needle painful Jing Jin Needle painful Jing Jin pair Use Imaging technique Biao Ben
Use Imaging
Anterior/Posterior
Use Imaging