November 2020

November 2020

The Office: Treating Vertex Headaches with DNA

  • Where is the pain?  Galea Aponneurotica and the SCM muscle (referred)
  • What are the TCM Anatomical Regions and their representative Jing JIn(S)?  
    • Foot and Hand Medial Medial (Jue Yin Jing JIn) and Foot and Hand Posterior Medial (Tai Yang Jing JIn).
  • What Jing Jin(s) do we needle?  Foot and Hand Jue Yin and Foot and Hand Tai Yang.
    • First: needle PL (UB) and MM (SP) at the ankles.  UB 60, SP 5 bilateral.
    • Second: needle PL (SI)  and MM (P) at the wrists.  SI 5, P 7 bilateral.
    • Third: add needles along the same Jing Jin stated above (Tai Yang and Jue Yin) to take advantage of imaging for the top of the head. Images to use are the extremities of the hands and feet and, if needed, the elbows and knees. We also have to consider that the SCM muscle is involved in the pain. This is a muscle of the neck and is best imaged by needling proximal to the ankles and wrists. Here you can use Ashi points.
      • In this case, needle from the Jing Well points on the UB, SP, SI and P in the hands and feet all the way a little above the wrists and ankles to image not just the top of head but the neck SCM muscle as well.
      • Add: Bilaterally: UB 67,66,65, 58    SI 1,2,3,6,7    SP 1,2,3,4     P 9,8
    • Fourth add needles to take advantage of the relationship between Lateral Lateral and Medial Medial Jing Jin muscles of the arms – SJ treats the P. Also, Posterior Lateral muscles of the arms can be treated by the Posterior Medial Jing Jin of the arms – HT treats the SI. This also applies for the legs. PL can be treated by PM – K treats the UB. Medial Medial can be treated by Lateral Lateral on the legs – GB treats the SP.
      • Imaging needles can be added on the HT, SJ, K, GB on the hands and feet to target a vertex headache.
      • Note, this level of needling takes advantage of the cross body functional muscle relationship between Anterior Lateral and Anterior Medial muscle groups and Posterior Lateral and Posterior Medial muscle groups.  It also represents the relationship between Medial Medial and Lateral Lateral muscles. 
      • You can add:   Bilaterally: K 1,2,7     GB 44,43,41
    • Fifth imaging needles can be added to take advantage of the relationship between Medial Medial muscle groups of the arms with Lateral Lateral muscle groups of the Legs. Posterior Lateral muscle groups of the legs can be treated by Anterior Medial muscle groups of the arms. I.e. LU treats UB.  
  • Therefore, you can add Bilaterally:  LU 11,10,7,6 to treat the UB Jing JIn(s) at the top of the head and the neck

The Office: Treating Temporal Headaches with DNA (Headache on the Sides of the Head)

  • What muscle groups are associated with the pain?
    • Temporalis muscle
    • Temporopparietalis muscle
    • SCM muscle
  • What Jing Jin(s) and TCM Anatomical Regions do these muscles belong to?
    • Temporalis muscle – Foot Shao Yang (GB) – Foot Lateral Lateral
    • Temporoparietalis muscle – Hand Shao Yang (SJ) – Hand Lateral Lateral
    • SCM muscle – Foot Tai Yang (UB) – Foot Posterior Lateral
  • What Jing Jin(s) and TCM Anatomical Regions should be needled?
    • Foot Shao Yang (GB) – Foot Lateral Lateral (GB) treats itself
    • Hand Shao Yang (SJ) – Hand Lateral Lateral (SJ) treats itself and it also treats Foot Lateral Lateral (GB)
    • Foot Tai Yang (UB) – Foot Posterior Lateral (jUB) treats itself
    • Hand Tai Yang (SI) – Hand Posterior Lateral (SI) treats Foot Posterior Lateral (UB)
    • Foot Jue Yin (SP) – Foot Medial Medial (SP) treats Foot Lateral Lateral (GB)
    • Hand Jue Yin  (P) – Hand Medial Medial (P) treats Hand Lateral Lateral (SJ)
    • Foot Shao Yin (K) – Foot Posterior Medial (K) treats Foot Posterior Lateral (UB)
    • Hand Tai Yin (LU) – Hand Anterior Medial (LU) treats Foot Posterior Lateral (UB)
  • Where should I needle on the chosen Jing JIn?
    • The First set of needles are to be inserted into the wrists and ankles of the chosen Jing Jin. In this case SJ at the wrists bilaterally and GB and UB at the ankles bilaterally. (Steps 3 a,b,c above) – GB 40, SJ 4, UB 60 all bilateral.
    • The Second set of needles to add are within the same Jing Jin pair at the wrists and ankles. In this case we have already needled both Hand and Foot Shao Yang. All that needs to be added for balance is Hand Tai Yang (SI) which treats the UB muscle groups that are probably in pain. (Step 3d above) – SI 5 Bilateral
    • The Third set of needles to add will use DNA imaging on the Jing Jin chosen in 3a and 3b above. They will be inserted into the hands and feet and also above the wrists and ankles to target the head pain and its possible causes in the neck area. (More needles on the GB, SJ, UB, SI – above and below the ankles and wrists based on imaging).
    • The Fourth set of needles to be added, and only if necessary, are to utilize the functional movement relationship between anterior muscle groups and posterior muscle groups and lateral muscle groups. This relationship is the classic TCM Biao/IBen relationships of SI to HT, SJ to P, LU to LI, GB to SP (below the knee), UB to K, and ST to LV (below the knee),  With respect to Temporal headaches we want to specifically  use the relationship between SJ and P, GB and SP, and UB and K .
      • Here you can needle along the P, SP and K Jing Jin at Ashi points in the hands and feet and above the wrists and ankles to image a headache on the side of the head. (Use needles in the Hands, Feet, and above the ankles and wrists along the P, SP, K based on imaging – steps 3 e,f,g above)
    • The Fifth set of needles to be added, and only if necessary, is to utilize the agonist/antagonist function movement relationships of muscle groups. This is an Up/Down relationship and if means anterior muscle groups in the upper part of the body can be used to treat posterior muscle groups in the lower portion of the body and vice versa. In this case the SJ Jing Jin (LL) can be treated with the GB Jing Jin (LL) which we have already done. The UB Jing Jin (PL) can be treated by the LU Jing JIn (AM), which we have not yet done. Therefore, needles could be added along the LU Jing Jin at the appropriate areas of the body which image the side of the head and the neck area. Step 3 h above.

The Office: Treating Headaches with DNA – Occipital (Headache in the Back of the Head)

  •  IN WHAT TCM ANATOMICAL REGION IS THE PAIN LOCATED (or is the pain originating)?
    • Occipital headaches are in the Posterior Lateral Anatomical Region, the Posterior Medial Anatomical Region and the Lateral Lateral Anatomical Region  (PL, PM, LL)
  •  WHAT JING JIN ARE REPRESENTED BY THE ANATOMICAL REGIONS OF PAIN?
    • Posterior Lateral are the muscles of the posterior neck – (Hand (SI) and Foot (UB) Tai Yang Jing JIn)  including the Levator scapula, Trapezius, and referred pain from the SCM.  Posterior Medial are the deep muscles next to the spine (Foot Shao YIn (K) Jing Jin, and Lateral Lateral are the muscles of the back of the neck and upper back (Hand Shao Yang (SJ) Jing JIn – including the Posterior Scalenes and the Supraspinatus muscles).
    • Summary: Hand Tai Yang (SI), Foot Tai Yang (UB), Hand Shao Yang (SJ), Foot Shao Yin (K).
  • WHICH JING JIN DO I CHOOSE TO NEEDLE?
    • The first JIng Jin to choose are the same JIng Jin associated with the pain: PL, LL, PM. In this case needles can be inserted at the ankles and wrists at PL, LL, PM
    • The second Jin Jin to choose utilizes the relationship between PL and PM, LL and MM, and PM and PL. In this case new needles can be added to: PM, MM, PL (Note: this is the classic cross-body Biao/Ben pairing)
    • The third Jing Jin to use utilizes the agonist/antagonist relationship between PL and AM, LL and MM, PM and AL. IN this case new needles can be added to: AM, MM, and AL.
  • WHERE DO I NEEDLE ON THE CHOSEN TREATMENT JING JIN(S)?  
    • First set of needles will be into the same JIng JIn where the pain is either located (or referred from) at the ankles and wrists
      • Hand PL – SI 5 (Levator),           Foot PL – UB 62 (Trapezius, SCM)
      • Hand LL – SJ 4 (Posterior Scalene, Supraspinatus),       Foot LL – GB 40 (support needles for SJ muscles)
      • Foot PM – K 6 ( Spinal muscles)       Hand PM – HT 7 (Spinal muscles)          
    • Second set of needles will be to treat PL with PM, LL with MM, and PM with PL. Cross body relationships – Biao/Ben
      • Therefore: 
        • PL(SI)  with PM (HT) – Ht 8, 7, 6, 5
        • PL(UB) with PM (K) – K 2, 7, 10
        • LL (SJ) with MM (P) – P 8, 6, 5, 4
        • PM (K) with PL (UB( – UB 65, 64, 58, 57
    • Third set of needles will be to use Agonist / Antagonist pairs. Hand to Foot and Foot to Hand.
      • Therefore: 
        • PL (SI) with AM (LV) – LV 3, 4, 7
        • PL (UB) with AM (LU) – LU 10, 7, 3
        • LL (SJ) with MM (SP) – SP 3, 4, 5, 9
        • PM (K) with AL (LI) – Li 2, 3, 4, 10
    • SUMMARY:
      • In the DNA method the system is so powerful that rarely would the practitioner need to use all of these needles. However, we have provided all possibilities just in case.

The Office: Treating headaches with DNA- Frontal (Headaches in the front of the head)

  • FIRST QUESTION TO ASK:  IN WHAT TCM ANATOMICAL REGION IS THE PAIN LOCATED
  • SECOND QUESTION: WHAT JING JIN ARE REPRESENTED BY THE ANATOMICAL REGIONS OF PAIN?
  • WHICH JING JIN DO I CHOOSE TO NEEDLE?
  • WHERE DO I NEEDLE ON THE CHOSEN TREATMENT JING JIN(S)?  What images do I choose?
  • FRONTAL (FOREHEAD) HEADACHES:
    • TCM anatomical region for a frontal headache is the Frontalis muscle which is Lateral Lateral
    • Associated Jing Jin is: Foot Shao Yang Jing Jin (GB)
    • Secondary TCM anatomical region due to referred pain from the SCM muscle is Posterior Lateral
    • Associated Jing JIn for the SCM muscle is Foot Tai Yang Jing JIn (UB)
    • Which Jing Jin do I choose to needle?  Keep it simple. Start out with needling both Hand and Foot Shao Yang and Tai Yang.
    • Where do I needle?  Start with wrists and ankles. 
      • SI 5, SJ 4 and GB 40 and UB 62 – all bilateral
      • The next needles to use are based on imaging. In this case I would recommend using the hands and feet to represent the head.
      • Spread the area of needling from the wrists and ankles to the hands and feet along the same Jing Jin.
      • Needle SJ 2,3    SI 2, 3, 4    GB 41, 42, 43    UB 63 to 66. 
    • Alternate Jing Jin to use:  In the DNA method Foot Lateral Lateral can be treated by both Foot and Hand Medial Medial which is the Jue YIn Jing Jin (SP treats GB below the knee and LV treats GB above the knee) and also P can treat the GB.  As for the referred pain site from the SCM you can target the UB by needling the K. In this case both Foot and Hand Shao Yin treat Foot Tai Yang. K treats UB and HT treats UB. 
      • For the GB portion of the headache needle: SP 8,9  and above the knee on ashi points on the Liver Jing JIn. You can also needle P 8, 3.
      • For the UB portion of the headache needle: K 2, 6  and / or K 9,10. You can also use points on the HT to treat the pain on the UB muscle which in this case the SCM muscle.  You can use HT 8 and 3.
    • Alternate Jing JIn to needle: In the DNA method Foot Posterior Lateral pain (UB) can be treated by needling Hand Anterior Medial (LU). 
    • If need be extra needles can be added along the wrists, ankles, hands and feet along any of these DNA Jing Jin relationships. 
  • SUMMARY:
    • First needles to insert are at the wrists or ankles of the Jing Jin that is in pain. In this case it is the GB and UB at the ankles. Do this bilaterally.
    • The second set of needles is to insert at the wrists on the Hand Shao Yang and the Hand Tai Yang. (SJ and SI). This is using Hand Tai Yang to treat Foot Tai Yang and Hand Shao Yang to treat Foot Shao Yang.
    • The third set of needles to insert are using the Biao Ben relationships of TCM. Foot Posterior Lateral (UB) can be treated by Foot Posterior Medial (K). Foot Lateral Lateral (GB) can be treated by Foot Medial Medial (SP/LV). 
    • The fourth set of needles to insert are using the Agonist / Antagonist muscle relationships involved in the automatic movement of the human body. Muscle groups associated with the Foot Posterior Lateral area (UB) have to cooperate with the Hand Anterior Medial muscle groups of the body (LU) in order to move the body without thinking about it. In this case UB muscle groups have to either contract or relax in cooperation with upper body Anterior Medial muscle groups which also have to contract or relax in complete harmony with their counterpart muscles in the lower part of the body.. Thus the LU (Anterior Medial) can treat Posterior Lateral (UB). LI (Foot Anterior Lateral) can treat Hand Posterior Medial. LI treats the K and K treats the LI. 
    • It will normally not be necessary to use all of the above suggested needles. Usually the first set of needling will take 80 percent of the pain away which is enough to resolve the problem over a series of acupuncture treatments.