FCM(foundation of chinese medicine) Point selection

Sooth lv qi: lv3(move qi and blood) + gb34(move lv qi) : basic point

Lv qi stag: lv3, gb34 + sj6, pc6, lv13, lv14
lv3(lv qi stag in the head), sj6 and gb34(side of body), pc6(chest, qi stag d/t emotion),
lv13(lv qi stag invading sp b/c front mu of lv), lv14(lv qi stag invading st)
If you combine sj6, gb34: good for hypochondriac pain(lv14 is basic point) d/t lv qi stag
In general: men hold stress in head, women hold stress in the chest (cv17 area tender)
Lv blood stasis: lv3, gb34 +ub18, ub17, sp10, cv6(abdomen), st29(uterus), pc4+pc6, kd14(chong
point), lv5+lv6(lv qi, blood stag)
Basic point for blood stasis: ub17, sp10
St29- front local for women/s blood stasis / ub32 back point
Excess fire: lv2, li11, lv3(drain lv fire), gb20(drain lv fire), sp6(lv fire deplete fluid, sp6 nourish fluid, tai
yang(headache),gb13(calm mind),gb1+gb6(local), gb8+sg9(local), sp6(nourish yin), lv1(subdues lv yang)
Damp heat: gb34(lv,gb), lv2, li11, sp9, sp6, lv14(front mu of lv), ub18, cv12(tonify sp)
(Lv, gb) damp heat: sp9, li11(basic point)+gb34(most important for damp heat in gb)
(li) damp heat: st37(lower he sea)
(ub)damp heat: cv3(front mu)
(sp)damp heat: cv12(local)
Lv fire(eye lv2), st fire(gum st44), ht fire(tongue ht8), lu heat(throat lu10)
Lv2- sedate only, better for lv fire, lv yang rising
Lv3-both sedate and tonify, more for lv qi stag, source point tonify),but for lv, lv8 is better for
nourish lv blood, lv ying rising, spasm
Lv fire : red eyes + painful eyes lv yang rising: red eyes only
Gb20- is very good for clearing heat from the eyes(gb20 is like, two eyes on the back)
Cold: lv1(clear lv channel), lv3(resolve spasm), lv5(for genitals), cv3(cold, moxa)
Cold in the lv channel: testicular pain, vaginal shrinking(damp heat also affects genital area, but
that is itching in genital area). Lv1 most important for cold in lv channel
Blood def: lv8(tonify lv blood), ub18, st36(tonify sp, post source of blood), sp6, ub20, ub23,
cv4(menstrual), ub17, yu yao(local for vision)
ub20, ub23: combination of postnatal qi and prenatal qi
In yin organ, back shu +yuan source are very important for tonifying. In the lv channel, instead
of Lv3, ub18 , we use lv8, ub18. / ub17, lu5: hemoptysis/ ub17, sp10: move blood
Liver - yang aspect(soothe qi), yin aspect(store blood)
Lv yang rising(excess above, def below):
lv3(subdue lv yang), sj5(headache), pc6(calm mind), li4(regulate qi), gb20(subdue lv, good for
red dyes), gb43(water point), gb38(fire), lv8(nourish lv yin), st36, sp6(nourish lv yin), kd3,
kd6(nourish kd yin), ub2 and tai yang(local), gb6, gb8, gb9(local)
Basic point for Internal lv wind: lv3(extinguish wind), gb20, du16, du20
1.​ Internal lv wind d/t extreme heat: lv3, gb20, du16, du20(enter brain at du16, and exit at
du20) +du8(stop convulsion), shixuan(wind, bleed), du14(wind, bleed)
 *Lv3: good for soothe lv qi, lv yang rising, lv wind
2.​ Internal lv wind d/t lv yang rising: li4, sj5, du19(sedate lv yang) + sp6, lv8, kd3(tonify
yin) +kd6, cv4(nourish kd yin)
3.​ Lv blood def: li4, sj5, du19(subdue wind)+sp6,lv8,kd3(nourish blood)+cv4, u17(blood)
Order of lv qi stag: when you needle, points on the limbs first, then trunk, then head(cv,du)
When withdraw: head first, trunk, then limbs(
ex) in clinic needling order for lv qi stagnation, gb34, lv3, pc6, sj10 + can add du20, si shen chong
Order: pc6(1st), sj10(2nd), gb34(3rd), lv3(4th), and then lv13, lv14 +du20 and si shen cong
When you withdraw: du20, si shen chong, lv13, lv14, lv3, gb34, sj10, pc6
(one yang, one yin treatment in paired channel, in this case needle gb34 first, then lv3 on the leg,
on the arm, pc6 first and then sj6)
on hand: 3 arm yin channel start from the chest to hand, 3 arm yang, start from hand to head,
On leg: 3 leg yin channel start from the toe to the head, 3 leg yang , start from head to toe
lv/gb pattern
Excess damp heat(gb only): gb34, li11,sp9, gb24(mu of gb), ub19, dannangxue(damp heat,
cholecystitis), du9(resolve dampness for jaundice, empirical), lv14 +sj6(soothe lv qi for
hypochondriac pain), ub20+cv12(tonify sp to resolve damp), st19(descend st qi, nausea and
vomiting)
Damp heat in lv/gb: add lv3(soothe lv qi), lv5(sooth lv qi, resolve damp in the geneital area,
ub18(resolve damp from lv), in addition to damp heat in gb
Key symptoms for damp heat in lv/gb: hypochondriac fullness, bitter taste, thick siticky yellow
coating on the right side
Back shu point tonify yin organ, front mu sedate yang organ,
Yin organ’s front mu and yang organ’s back shu:regulate, that is the reason ub19 used for damp heat
Gb34- treat damp heat in gb, soothe lv qi, spasm and muscle bi syndrome(influential of sinew)
Gb def- gb40(source point effect on mental aspect), ub47(regulate ethereal soul, effect on mental
aspect), ub18, cv4(tonify lv) +(lv8, st36, sp6) tonify lv blood
Ht pattern
Basic point for Qi and yang def: pc6(basic point-tonify ht, calm the mind) + ht5(tonify ht qi),
ub15, cv17, cv6(tonify qi of the whole body), du14(tonify ht qi, yang w/ moxa)
Ht yang collapse: points from ht qi and yang def + cv4, 6, 8, du20(rescue yang) +du4, ub23(kd
yang) +st36, pc6(ht yang)+du14, ub15(ht yang)
Basic point for Ht blood yin def: ht(nourish ht, calm mind), cv14(mu), cv15(tonify ht for
anxiety), cv4(tonify blood, yin to ground mind)
Ht blood def: basic point + ub17, ub20(tonify sp)
Ht yin def: sp6, ht6(night sweat), kd7(night sweat)
ht5(qi-aphasia), ht6(yin-night sweat), ht7(blood, insomnia), ht8(fire), ht9(orifice)
Ht fire: ht8, ht9, li11, ht7(calm mind),cv15(calm mind), du24(calm mind), du19(calm mind),
sp6, kd6(fire damaged yin, so nourish yin)
*we add points to calm the mind b/c ht fire derange and irritate the mind
Basic point for Phlegm: ht9(open ht orifice), pc5(resolve ht phlegm, open orifice), st40,
cv12(tonify sp to resolve resolve phlegm), ub20(tonify sp to resolve phlegm), ub15(clear the ht,
stimulate speech)
For phlegm fire: phlegm basic point + ht8, lv2, cv15(pacify mind), ht7, pc7, sp6(calm mind),
du20(consciousness) , du24(calm mind), gb13(calm mind), gb17(open orifice)
Phlegm fire Symptoms: all the various mental symptoms, red tongue w/ sticky yellow coating
Phlegm symptom: mental confusion, rattling sound in throat, swollen tongue, w/ sticky coating
Yang def: qi def + cold yin def: blood def+heat
St40 - both visible and invisible phlegm st40+lu5: phlegm in the lu/ st40+ht9: phlegm misting ht orifice
Ht blood stasis(stabbing pain): pc6(move ht blood), pc4(chest pain), ht7(calm mind), cv17(move
qi, blood), ub14(move ht blood), ub17, sp10, kd25(local)
Pain in the chest(angina), we use pc4 instead of ht6, ht6 is more like to use in nourish yin to stop night sweat
Qi def: ht, sp, kd, lu
Yang def: ht, sp, kd
Blood def: lv, ht,
Yin def: lv, ht, st, kd, lu (li is not yin def, but dryness)

Si pattern: basic point si st39

Si heat(comes from ht fire): si2(water), si5(fire), ht5(clear ht fire, connect ht&si), ht8(ht fire), cv3
Ht fire transmit to si: abdominal pain, tongue ulcer, scanty dark painful urination(uti like symptom)
Basic point for si qi pain and qi tied: cv6(move qi in lower burner, relieve pain), gb34(move qi in
lower burner, relieve pain, lv3(relieve lv qi stag), sp6(stop abdominal pain)
For si qi pain: basic point + lv13(harmonize lv and sp, for chronic), st27(move qi lower
abdomen), st29(move qi in lower abdomen) / like hernia pain
For si qi tied: basic point +st25(stop abdominal pain), lan wei xue(for appendicitis)
Bai chong wou: 1cun above sp10

Sp pattern:
Basic point for qi, yang, qi sinking, not containing blood: st36, sp3, sp6, cv12(tonify sp), ub20, ub21
Sp yang def: basic points + sp9(resolve damp), cv9, st28, ub22 / sp def lead water retention
St36, sp3: horary combination / sp3, ub20: yuan source and back shu combo
Qi sinking: basic points + du20(raise qi, moxa), cv6(tonify qi, raise qi),st21(st prolapse), du1(for anus, rectal
prolapse), zi gong xue(uterus prolapse), ti tuo(uterus prolapse, 4-4)
Qi sinking basic points: st36, cv6(triangle shape)+ du20
*clinically, needle limb point(st36)first, then trunk(cv6), and then head(du20)
Not controlling blood: basic points+sp10(hold blood in the vessel), ub17(stop
bleeding),sp1(moxa for uterine bleeding), sp4(stop bleeding related to sp)
Dampness basic points: sp9,sp6,ub20,cv9,cv11(mj damp),st22(mj damp),st28(lj damp), ub22(lj damp)
For cold damp: sp3(resolve damp), cv12(tonify sp), st8(headache d/t dampness)
For damp heat: li11, du9(resolve damp heat), gb34(resolve damp heat)
Sp6 - nourish kd, and lv yin, but can also nourish st yin, b/c internal external pair
-​ Genetial area issue b/c 3 leg yin cross again at cv3, cv4 at lower abdomen
-​ Amenorrhea basic point(PT): amenorrhea is either d/t blood def or blood stasis
-​ Damp heat: sp(is source of damp), ub(uti, urinary issue),li(stool issue),lv/gb(genital issue)

St pattern identification
Basic points for St qi, deficiency cold, yin def: st36, cv12
Qi and deficient cold: basic point +ub21, cv6, ub20
Yin def: basic points +sp6(nourish st yin), sp3(nourish fluid)
Basic point for Excess pattern of st such as st fire(phlegm fire), cold invading, qi rebellion, food
retention): st21(descends st qi)
For st fire: basic point(st21) + st34(xi-st pain), cv13(descends st qi), st44, li11, cv12(regulate st
qi), li4, cv11(clear st qi), sp15(for constipation)
Cold invading: basic point(st21)+st34(xi-st pain), cv13(descends st qi) +sp4(expel st cold)
Sp4: used for 3 stagnations: cold, blood and food stag. For food stag, combine w/ pc6
*cv13-(upper part of st, esophageal sphincter): for excess condition, rebellious qi
Cv12-(body of st): used for both excess and def
Cv10 -(lower part of st, pyloric sphincter) : for excess condition, like food stag
St qi rebellious - st21(descends st qi), cv10(descends st qi), pc6+sp4(regulate st qi)
st19(descends st qi), cv13(descends st qi)
Food retention: st21(descends st qi), cv10(descends st qi), pc6+sp4(regulate st qi) + st44(nei
ting, +inner neiting),45(insomnia or dream disturbed sleep d/t food retention),cv13(descend st qi)

Lu pattern identification
Lu1- open lu, lu5-better for phlegm heat than phlegm cold, good for sedating b/c son point
Lu6- hemoptysis(ub17) lu7-wind cold, lu7+kd4, head and neck issue
Lu9- yuan(combine w/ ub13), influential of vessel used for irregular pulse
Lu10- fire in the lu lu11- bleeding for sore throat
Basic point for qi, yin, dryness: lu9
Lu Qi def: lu9 + lu7(descends qi), cv6(tonify qi), st36(mother point of metal), cv12(sp, mom),
du12(for chronic), ub13
Lu yin def: lu9+cv4(3 leg yin), lu7, kd6(nourish kd yin, for throat), sp6(nourish fluid),
cv12(tonify st, origin of fluids), lu10, 11(clear the heat), ub43(chronic)
Lu dryness: lu9, cv4, lu7, kd6, sp6(nourish fluid), cv12(tonify st, which is origin of fluid),
st36(nourish fluid)
Wind cold: lu7(expel wind, regulate luqi/water, ub12, du16 / lu7 particularly for wind cold & wind water
Wind heat: lu7, ub12, li4(expel wind), du16, gb20(wind heat), du14, sj5(influential for yang wei,
which control pores, ) , li11, lu11(for throat)
Wind water: lu7, ub12, li4(expel wind), li6, li7, cv9, du26, ub13
Basic point for phlegm: st40, lu5(clear lu phlegm), ub13(descend lu qi, basic point for cough and
asthma), cv12(tonify sp)
Damp phlegm: basic point+lu7(descends lu qi), lu1(clear the lu, front mu), cv22(stop cough),
cv17(descends lu qi), cv9( promote t/t function), pc6(open chest), ub20(tonify sp)
Phlegm heat: basic point+lu7(descends lu qi), lu1(clear the lu, front mu), lu10(clear lu),
li11(clear heat)
Phlegm fluid: basic point +cv17(descend qi), cv9, lu9(for chronic), ub43(for chronic),
st36(stonify sp), ub20, ub23

Li pattern identification
Excess case: st37 is the major point
Damp heat: (st37+ st25, treat most of excess li condition), sp6(regulate lj), li11, ub25 + sp9,
cv3(lj damp), ub22(lower jiao damp), ub20, cv12(tonify sp), st27(abdominal apin), cv6(move
qi), sp10(stop bleeding)
Heat in li: (st37+ st25, treat most of excess li condition), sp6(regulate lj), li11, ub25 + li2(clear
organ heat), st44(clear st heat), kd6(promote fluid), cv12(promote fluid)
Heat obstruct: (st37+ st25, treat most of excess li condition), sp6(regulate lj), li11, ub25 +
li2(clear organ heat), st44(clear st heat) + li4(clear li heat), sj6(constipation), sp15(constipation)
Cold in li: (st37+ st25, treat most of excess li condition), sp6(regulate lj) + st36(expel cold,
moxa), lv3(move qi, calm spasm), st27(expel cold)
Def: st36 is the major point
Dryness: st36(regulate abdomen, command point of abdomen), st25(regulate
intestine)+sp6(promote fluids), kd6(promote fluid), cv4(promote fluid), sp15(moisten intestine)
Cold in li: st36(regulate abdomen, command point of abdomen), st25(regulate
intestine)+cv6(tonify qi), ub20(tonify sp qi), st37(stop diarrhea), ub25(dairreha, back shu)
Collapse(sp qi sinking, rectal prolapse): st36(regulate abdomen, command point of abdomen),
st25(regulate intestine)+cv6(tonify qi), ub20(tonify sp qi), sp3(tonify sp), ub21(tonify st), du20(raise qi)
*chronic diarrhea, and prolapse of anus

Kd pattern identification:
kd1(excess above, def below, lv yang rising), kd2(clear def heat), kd3, kd6(yin), kd7(yang)
cv4(kd yin, but moxa can tonify kd yang) / du4(kd yang)
Basic points for kd def: kd3(yuan), cv4(tonify kd)
Kd yin def: kd3(yuan), cv4(tonify kd) + lu7 &kd6(tonify kd yin), kd9(anxiety), kd10, sp6(tonify
kd, calm the mind), cv7(nourish yin)
Kd yang def: kd3(yuan), cv4(tonify kd) +du4(tonify kd, moxa), ub23(all kd def except for yin),
ub52(tonify kd, willpower), jinggong(tonify kd for essence), cv6(tonify kd), kd7(tonify kd yang)
Kd qi not firming: kd3(yuan), cv4(tonify kd) +du4(tonify kd, moxa), ub23(all kd def except for
yin) + ub52(tonify kd, willpower), jinggong(tonify kd for essence,3.5 cun lateral/L2), cv6(tonify
qi &firm qi), du20(raise qi), kd23(tonify sperm gate), ub32(firm sexual organs)
Kd not receiving qi: kd3(yuan), cv4(tonify kd) +du4(tonify kd, moxa), ub23(all kd def except for
yin), kd6(tonify kd yin & essence), cv6, cv17(descends lu qi), kd23(tonify kd), kd25(improve
breathing), lu7(descends lu qi), kd7(tonify kd), st36(for chronic case), du12(tonify lu qi),ub13
Kd essence def: kd3(yuan), cv4(tonify kd) +du4(tonify kd, moxa), ub23(all kd def except for
yin), kd6(tonify kd yin & essence), + gb39, ub11, kd23(tonify kd essence), ub15(tonify ht and
brain), du14(for brain marrow), du16(for brain marrow), du17(brain marrow), du20
Kd yang def +excess water: basic point(du4, kd7,kd3)+ub23, ub20, ub22(back shu sj, water
transformation), sp6(resolve damp), sp9(damp), cv9, st28(water passage)
Kd yin def+empty fire: basic point(kd3, kd6, cv4) + kd2(clear empty heat), kd10, kd9(kd yin,
calm the mind), sp6(kd yin, calm mind), ht5(luo, conduct heat down), lu7(luo, conduct heat
down), lu10(clear lu heat), ht6(clear ht heat), du24(calm mind), li11(clear heat)

Bladder pattern identification

basic damp points: (ub28, cv3) + (sp9,sp6, ub22, st28)
Excess damp heat: (ub28, cv3) + (sp9,sp6, ub22, st28) + ub63(xi cleft, pain on urination),
ub66(clear ub heat, water point)
Excess damp cold: (ub28, cv3) + (sp9,sp6, ub22, st28) + cv9(resolve dampness, water passage)
Deficiency cold: (ub28, cv3) + ub23(tonify kd &ub, moxa), du4(tonify kd &ub, moxa),
cv4(strengthen yang, moxa), cv6(tonify qi in lj), du20(tonify, lift qi for enuresis, incontinence)
*frequent abundant urination

Lv pattern
Lv overacting sp: lv13+lv3, gb34(soothe lv) +st36(tonify earth), cv6, sj6(move lv qi), pc6(lv qi,
mind), sp4(chong), cv12(tonify sp), sp6(tonify sp), st25(for stool), sp15(for stool)
Lv overacting st: lv14+ lv3+gb34(soothe lv) +st36(tonify earth) +cv13, 10, 21, 19(descends st
qi), st34(xi, for pain), ub21(chronic)
Lv fire insulting lu: lv2(clear lv fire), lv3(subdue lv), li11, pc6(chest), lv14(chest), cv22(descends
lu qi), cv17(descends lu qi), lu7(descends lu qi)
Basic point for sp def: st36, sp3(horary of earth), ub20, ub21, cv12(tonify sp,st, front mu)
Sp & lu qi def: basic sp def + sp6(tonify sp), cv6(tonify qi), lu7(descends lu), lu9(yuan), ub13, du12(chronic)
Sp qi and lv blood def: basic sp qi def +lv8, sp6, ub18, ub23, cv4(tonify blood), ub17
Sp damp +lv qi stag: ub20, cv12(tonify sp) + sp9, sp6, sp3, st19(damp) + gb34, lv3, lv14, gb24(soothe lv qi)
Basic point for kd def: kd3 + cv4, sp6, kd6(kd yin)
Kd & lv yin def: basic point + ub23, kd13(for kd yin), lv8, ub10(headache)
Kd & lu yin def: basic point + lu7,kd6(yin), kd13, ub43(chronic), lu9(lu yin), lu1(stop cough)
Kd & ht hot harmonized: basic point + ht5(empty heat), ht6(night sweat), kd7(night sweat),
ub15, cv15(calm mind), ht7(calm mind), kd9(calm mind), kd10(yin), yin tang(mind), du24(calm mind)
Kd & sp yang def: kd3, cv4(yang, moxa), kd7(yang), du4(yang), cv6(yang, moxa), ub23(kd
yang), ub52(will power), jinggong(will power), ub20(sp yang), ub21(sp yang), cv12(sp yang),
st36 &sp3(sp yang), cv9(promote t&t), st37(diarreha), st25(diarreha), ub25(diarrhea)
 Cam point selection 1(know basic point)
Internal disease(syndromes caused by pathogens)
1.​ Wind stroke
Attack on zang fu
Tense syndrome(sedate): du20, du26, st40, lv3, kd1, 12 jing well on both hands
For clenched jaw: st7, 6, li4
Aphasia and stiffness of tongue: du15, cv23(right under tongue), ht5(luo channel goes to tongue)
Flaccid syndrome(mostly tonify): cv8, cv6(indirect moxa with salt), cv4
Attack on meridian: du20, ub7(tong tian-open heaven), du16
Upper limbs: li15, li11, sj5, li4(yang ming and shao yang point)
Lower limbs: gb30, gb34, st36, st41(yang ming and shao yang point)
Lv yang rising(kd,lv yin def): sedate lv yang (gb20, lv3), tonify kd,lv ( kd3, sp6)
Lv yang rising(5 element diagnosis): water not generating wood, cause yang rise
Ht fire: sedate pc7, lv2, tonify kd3
Extreme heat invading ht/pc in the late stage of febrile disease, where extreme heat penetrates
deep into blood level, generates wind, causes high fever, delirium, convulsion, and coma.
Deviated mouth: st4, st6
*prevention: moxa at st36, gb39 prevent wind -stroke, internal wind
*moxa on st36, ub12 prevent external wind(yu ping feng san)
2.​ Syncopy: basic point(du26)
Defi(qi): du20, pc6, cv6, st36
excess: li4, lv3(4 gate for excess pattern), pc9, pc8, kd1
3.​ Sunstroke : basic point (ub40)/ ub40 for LBP/ ub40: skin issue(urticaria d/t heat), herpes zoster
Mild: du14, pc6, li11
Excess: du26, du20, shixuan, pc3
4.​ Common cold: basic point: li4(either external or internal wind, command of face)
*wind cold: du16, ub12, gb20, lu7(primary for wind cold)
*wind heat: du14, li11, sj5(both wind cold or heat), lu10(sore throat), lu11(bleed for sore throat)
*du14: clear exterior wind heat, clear shao yang stage(alternating chills and fever, yang ming
channel syndrome-4 big symptom)
Prevention: moxa at ub12, st36(strengthen wei qi) / moxa on st36, gb39 prevent stroke
Vitamin A and Zink: help with wei qi
li11+sp10(blood heat)/ li11+sp9(damp heat)/li11+st40(phlegm heat) / li11+ du14 + gb20
(wind heat)/li11+ying spring(organ heat)
*gb20: is like chrysanthemum/ white chrysanthemum: wind cold / yellow: wind heat
5.​ Malaria: basic point: du14, du13, si3, pc5(most important, emperical), (sj2,gb41 -
alternating chills and fever)
High fever: li11(-)
With splenomegaly: lv13, moxa at pigen(3.5cun lateral/L1)
Jing gong(3.5cun lateral / L2) / yao yan(3.5 cun lateral/L4)
 1.​ Cough: ub13( basic point): cough d/t any pattern
Exogenous pathogenic invasion:
Wind cold: lu7, li4
Wind heat: pain & swelling of throat: lu11
Fever & aversion to cold: du14, sj5
Internal injury
Phlegm in the lu: cv12, lu5, st36, st40
Lu dryness d/t yin def: lu1, lu7, kd6
Coughing up blood: lu6, ub17
*cupping on ub12, ub13, cutaneous needle on du
Case study:
In treating a cough caused by the lung being attacked by lv fire, which of the following
prescription is the best selection? Lv2(ying spring, clear lv fire), lv3, lu5, ub13
2.​ Asthma: ub13
Excess
Wind cold: lu7, li4, ub12, du14
Phlegm heat: st40, lu5, cv22, ding chuan(stop asthma and wheezing, 0.5 lateral C7)
Deficiency
Lu def: lu9, st36, sp3
Kd def: kd3, ub23, cv17, cv6
3.​ Epigastric pain: cv12, pc6, st36
food stag: inner nei ting
lv overact st: lv14, lv3
st def w/ cold stag: cv6, ub20
4.​ Vomiting: cv12, st36, pc6, sp4(chong)
Food retention: cv10
Lv overact st: lv3
sp/st def: ub20
Persistent vomiting: bleeding jinjin yuye
Case study:
The prescription composed of cv12, st36, pc6, sp4, lv3 is commonly used to treat vomiting
caused by (the sp being attacked by lv qi)
5.​ Hiccup : ub17, cv12, pc6, st36
Food retention: cv14, inner nei ting(planter side, opposite side of st44)
Lv qi stag: lv3, cv17
St cold: cv13
Cupping: ub17, ub46, ub18, cv12, st18
Case study: best prescription utilized for hiccup is (ub17, cv12, pc6, st36)
6.​ Abdominal pain: basic point: cv12, st36
cold accumulation: add cv8, sp4(used for stag of blood, food and cold)
 yang def: add ub20, ub21, lv13, cv6
food retention: add st25, cv6, inner nei ting, st44
*food retention: use 4 doors: cv6, cv12, st25
Case study #1
Best treatment for abdominal pain d/t food retention?
Abdominal pain basic point(cover most abdomen): cv12(influential fu),
st36(command abdomen),
If you add cv12, st36, pc6(cover chest, diaphragm area) cover only upper
abdomen such as epigastric pain, vomiting, hiccup
For cold accumulation: add cv8, sp4
Fro yang def: add ub20, ub21, lv13, cv6
For food retention: add st25, cv6, inner nei ting
Case study #2
Best prescription for a patient who complains of dizziness,irritability,flushed face, red eyes,
tinnitus, bitter taste in the mouth and dream disturbed sleep would be ?
Dizziness:
lv yang rising: gb20(calming down lv yang), ub18(tonify lv yin), ub23, kd3(tonify kd yin),
lv2(good for lv fire or yang rising)
qi and blood def: du20, ub20, cv4, st36, sp6
phlegm damp retention: pc6, cv12, ub20, st8 st40
Case study #3
Some one who complains of chills and fever, headache, soreness, and pain in the limbs, nasal
obstruction, running nose, cough, no sweating, profuse thin sputum, a thin, white, tongue
coating, and superficial and tense pulse? Lu7, li4, ub12, gb20
7.​ Diarrhea: st36
Acute diarrhea: add st25 / due to cold damp: cv12, cv6
Due to damp heat: st44, sp9
Chronic diarrhea: add ub20/ due to sp def: lv13, sp3, cv12
Due to kd def: ub23, du4, cv4, kd3
Case study #4
Diarrhea d/t kd yang def: du4(yang def)/st25(acute)/sp9(damp heat) /st36(basic for diarreha)
Jaundice: (basic point) sp9, st36, ub18(bile produced in lv), ub19(stored in gb), du9
Yang jaundice(damp heat): lv3, gb34(damp heat in lv/gb)(bright yellow color)
Yin jaundice(cold damp): ub20, ub48(outer shu of gb)(smoky yellow, more yellow)
Jaundice: yellow(sclera) and skin carotenemia: white sclera, yellow skin
Case study: best prescription for treatment for jaundice of yang type?
Ub19, gb34, sp9, st44, lv3, ub18

Constipation: (basic point) ub25, st25, (sj6, kd6) -dui xue(point pair)
Excess: heat accumulation: li4, li11
 Qi stag: cv12, lv3
Def: qi and blood def: ub20, ub21, st36
Cold agglomeration: moxa cv8, cv6
Case study: a patient w/ the infrequent and difficult defecation every three to five
days(sometimes longer), fullness and distending pain in the abdomen, and hypochondriac region,
frequent belching, loss of appetite, a thin, sticky tongue coating and a string taut pulse?
Ub25, st25, sj6, cv12, lv3

Sj6, gb34(dui xue-paired point)- hypochondriac pain

St36, gb39 -moxa to prevent stroke
St36, ub12- moxa to prevent exterior wind
St36, sp3(horary)- tonify sp
Low back pain: (basic point) ub23, du3(yao yang guan), ub40
Etiology (pattern) point: cold damp: ub25, ub26
Kd yang def: du4, yao yan
Kd yin def: ub52, kd4
Traumatic injury: du26, yao tong xue, ashi point
*du26-very good for consciousness b/c it is crossing of du, yangming(li, st)
li , st= abundant qi and blood(yangming channel goes around the mouth and lips)
du = sea of yang
Du26- ren zhong(center of human)- lbp(acute traumatic)
Du26-shui you - yang edema
Stiffness and shoulder pain: best answer is si3+ub62
Which of the channels enter the ear and cross si19? (si, sj, gb)
Si19- anterior to tragus, gb2- anterior to intertragic notch, sj21- anterior to supratragic notch
A 5 year old female patient has fever for 3 months, fever occurs or is aggravated after activity
and low or high grade fever accompanies headache and fatigue. She has poor appetite,
constipation and sometimes profuse sweating during the cold weather. Which of the following
group of points should be used?(here, fever is d/t sp def pattern)
For spontaneous sweating: we can use li4, kd7, so find the answer that contains these points
This patient also has sp def, so find the point that has tonify sp qi, so the answer is ub20, st36,
li4, kd7, du20(when you find the points, find basic points + etiology points
Dysentery: basic points st25, st37
For damp heat: li11, li4 / cold damp: cv12, moxa cv6, sp9/food stag: cv12, pc6
Ub12- not for both interior and exterior wind
Li4, du16, du20- both for interior and exterior wind

A 39 year old male patient has insomnia for 6 months, also he has dizziness and blurring of
vision, poor memory, tinnitus, palpitation, dry mouth w/ preferring of cold drinks, sometimes the
hot sensation on the chest, constipation, short and yellow urination, red tongue w/coating,
thready, rapid pulse. (tinnitus and palpitation : target organ could be kd and ht, urination: could
lower jiao issue, blurred vision: lv organ , poor memory-sp, lv, kd involved)
Ht7, kd3, kd6, pc6(deal w/ palpitation)
Insomia: basic point: ht7, sp6, anmian
d/t ht and sp qi def: ub20, ub15, moxa on sp1
Ht and kd disharmony: ub15, ub25, kd3
Lv fire disturbing upward: ub18, ub19, gb12
St dysfunction(food retention): ub21, st36
Kd3-nourish all aspect of kd/ kd6-mainly kd yin/kd7-mainly kd yang
Which vessel is considered a sea of blood, and also the aorta? Chong
Chong mai- thoroughfare (important for gynecological issues)- start from lower dan tian, then
cv1, then st30, then kd11-kd21
Pathology: asthmatic breathing(key), spasm and pain in the abdomen, irregular menstruation, infertility
Indirect moxa with(salt) at cv8 is for yang collapse(excessive sweating, cold limbs,minute pulse)
Indirect moxa with(ginger) is for sp/stp def such as diarrhea, abdominal pain d/t sp yang def
So, MJ yang def use ginger, LJ yang def use salt
Indirect moxa with garlic for skin conditions, TB, scrofula,skin ulcer with boils,insect bite
Garlic- good for infections
Empirical points:
Du9-juandice, du10-boils,pc5-malaria,ht5-aphasia,ub57-hemorrhoid,inner neiting- food retention
Li14- scrofula(TB bacteria infection)
Pathology of yang heel(yang steeping) vessel: epilepsy, insomnia, redness and pain in the inner
canthus, pain in the back and lumbar region, eversion of the foot and spasm of the lower limbs
Yang qiao,yin qiao meet at ub1: ub62(too much yang energy can't close eyes, kd6, ub1- for insomnia
Yang qiao is excess- sprained lateral ligament / yin qiao is excess-sprain medial ankle ligament
In real case, inversion ankle sprain is more common, kd6(-), ub62(+) / too much yin qiao energy
Lateral side of ankle ligament: anterior talofibular ligament, calcaneofibular ligament, posterior talofibular
ligament. Out of three, anterior talofibular ligament is most commonly rupture w/ inversion of the foot
Yin qiao - lethargy, epilepsy, pain in the lumbar and hip region referring to the pubic region,
spasm of the lower limbs and inversion of the foot
Yin wei- interior syndrome, such as chest pain, cardiac pain, st
A patient visits your clinic w/ the symptoms of small red vesicles like beads forming a girdle
around the waist and mainly in the lumbar and hypochondriac region. The patient’s MD
diagnosed him as herpes zoster. What could be the points? Li11, sp10, ub40, gb34, lv3
Herpes syndrome:
Prick to skin around the herpes zoster w/ 3 edged needle to cause a little bleeding. 5 pricks at 0.5
cun from the head of the herpes zoster area, and then five pricks at 0.5cun form the tail(close to
spine), and also several pricks along both sides. Then select li1(clear heat), sp10(clear blood
heat), ub40(clear heat for skin issue), gb34, lv3
Ub40- basic point for sunstroke, very good for cooling the heat
Earlobe crease - indicate cardiovascular disease(coronary artery disease, stroke, hypertension)
Frank’s sign, a wrinkle that extends 45 degree backward from the tragus to the auricle.
Insufficient lactation: cv17, st18, si1(basic point)
Qi and blood def: ub20, st36, sp6 / Lv qi stag: lv3, lv14, pc6
Thick, sticky nasal discharge: lu7, l4, li20, bi tong, yin tang
Epistaxis: basic point(li20, li4, du23)/ d/t lu heat(li11), st heat(st44), yin def w/ fire(kd6)
Toothache: basic point(st6, st7), d/t st fire(st44, li4), wind fire(sj2, gb20, li4, sj5), kd yin def(kd3)
Contraindication for du22, du23: metopism(does not use for infant, some adult has open suture)
A 42 year old female complained of nose bleeds with a dry mouth, reddish cheeks, and hot
[Link] tongue is red with scanty [Link] pulse is thready, [Link] are the best points?
First, epistaxis is usually d/t heat. Then is this case excess or def heat? Def heat
Li4, li20, du23(basic point) + kd6(etiology point)
Li4, li20, du23 + (gb20, tai yang- good for eye problem d/t yang rising, not for nose), so wrong
Acute conjunctivitis: tai yang(bleed)
A 39 year old man has epistaxis w/ fever, foul breath, and thirst w/ preference of cold drink. The
tongue is red w/ yellow coating(excess). The pulse is full and rapid. What is the best selection?
Li4, li20, du23(basic point) + st44(etiology point) / excess st heat
Gb20- is used more for wind heat, lv fire, or eye issues
A 39 year old has an acute onset of sore throat, fever, aversion to wind, and dysphagia(difficulty
swallowing. The tongue is red w/thin yellow coating. The pulse is superficial and rapid(exterior
excess). What is the best point selection?
Sore throat(excess heat): lu11(bleeding, lu channel goes to throat), li4(wind heat/), st44, si17
Sore throat (yin def): either kd3, lu10(clear heat for sore throat, cv23 / kd6, lu7(open ren), li18
St9 goes right below the throat, st44 is distal for throat, si17- local for throat
*ht5, du15(aphasia d/t stroke), cv23- aphasia
Ht5- luo connecting point goes to tongue- treat aphasia
Which are least likely selection to sore throat d/t yin def? c
a)​ Kd3, lu10(clear def heat of lu), cv23
b)​ Lu7, kd6(nourish yin), li18 c) Lu11, li4, st44, si17
d) Kd3, kd6, lu7(nouish yin), cv23
Optic atrophy: (condition affect optic nerve, carries impulses for eye to the brain)
Basic point: gb20(like 2 eyes on the back), ub1(5 channel cross), qiu hou, gb37\
Qiu hou - half way b/t st1 and gb2
d/t lv , kd def: basic point + lv3, kd3, ub18, ub23(yuan+back shu), you can also use lv8(lv yin)
Yuan source + back shu: tonify yin organ
d/t qi and blood def: basic point + st36(post natal source of qi and blood, horary of earth),
sp6(particularly nourish blood b/c crossing of 3 leg yin)
Sp- post natal source of qi and blood /tonify lv blood
d/t lv qi stag: basic point + lv14(mu), lv3, gb34
A 59 year old male has atrophy of the optic nerve with blurred vision, shortness of breath, and
low appetite. The tongue is pale with thin white fur. The pulse is thready and weak. What is the
best point selection? Pattern id is qi and blood def, so gb20, ub1, gb37, qiu hou +sp6, st36
A 65 year old female presents with atrophy of the optic nerve with dry eyes, blurry vision,
tinnitus, dizziness, and nocturnal emissions, red with little coating, thready and weak. Beside
gb20, bl1, qiu hou, gb37, what points would you add to this point selection?Lv3, ub18, ub18, lv3

CAM point selection 2

A 39 year old female has menstruation w/ shortened cycle, bleeding is profuse w/dark red and
thick blood, restlessness, and dark urine. The tongue is red w/ yellow coating. The pulse is fast
and forceful. What is the best prescription?
antedated(early) menstruation d/t Excess heat: move the blood recklessly, mense come early,
Li11, sp10(blood heat), cv3(local blood stasis), kd5(xi cleft-used for acute case)
If lv qi stag, transforming into fire: lv2
If yin def w/ internal heat: kd2
Qi def: not holding blood, mense come early : cv6(tonify, and move qi), sp6(regulate menses),
cv12, st36(tonify qi)

A 29 year old female has shortened menstrual cycle, profuse, thin, and light red blood, shortness
of breath, and fatigue. The tongue is pale with a thin coating. The pulse is thin and weak.
This is sp qi def not holding the blood / Cv6, sp6, + (st36, cv12- tonify qi)

Postdated (delayed) menstruation

d/t blood def and cold in the blood: cv4, cv6, sp6(dizziness, blurred vision add du20/ palpitation
and insomnia add ht7)
d/t qi stag: st25(lower jiao qi stagnation),kd13,sp8(xi clef-excess patten, lv3(for chest bi add
pc6,distention in the hypochondria and breast:lv14)
A 42 year old female has irregular menses w/ a delayed cycle, blood is scanty and light red,
empty painful feeling in the lower abdomen, pale face, palpitations, and insomnia. The tongue is
pale, and the pulse is thin-week. What is the best point prescription? Cv4, sp6(tonify blood, yin
to regulate menses, cv6, ht7(for palpitation, insomnia)
Why is menses delayed? Maybe there is nothing to come out/ maybe there is blood is qi is
stagnate, and blood is stagnate/ maybe there is cold in the blood so blood is stagnated,doesn't come out
(menstruation is usually involved with lv blood)

Irregular menstrual cycle:

d/t lv qi stag: cv6(tonify and move qi),kd14(si man, use for excess case),pc5(regulate mense, lv5)
(pc5, lv5-both jue yin point, lv5 is luo connecting, most important for genital itching, priapism /
pc5 is more important for malaria for board exam)
Distention in hypochondriac region and breast: cv17, lv14
Mental depression: ht7, lv3
d/t kd def: cv4(tonify kd yin, yang), ub23, kd8(xi of yin qiao, useful for irregular menses)
Sore and weak low back and knee: yao yan, kd10
Dizziness and tinnitus: du20, kd3

A 35 year old woman complained of irregular menstruation, sometimes early and other times
late. The menstrual blood is thick, sticky, and purple with a difficult flow. Other signs and
symptoms include in the distention in the breast and lower abdomen, frequent sighing.
Thin-white coating and wiry pulse. What is the best point?
Cv6, pc5, lv5(lv qi stag) +, kd14, lv14, cv17(distention in the breast)
*most important point for soothe lv qi is lv3, pc5, lv5(soothe lv qi for irregular menses too)

A 32 year old female has irregular menstruation with scanty light red blood flow, dizziness,
tinnitus and weak back. The tongue is pale with a thin coating, the pulse is deep and weak.
(it looks like kd yang def- pale tongue, deep and weak pulse)
Cv4, ub23, kd8, kd3, du20(dizziness)
(cv3- more for excess, cv4 def, cv6 is more about qi def or qi stag)

Dysmenorrhea
Excess: cv3, ub32, li4, sp10, sp8, lv3 /li4, li3 used open 4 gate
(cv3- mu of bladder used for bladder issues, but also gynecological issue d/t excess condition)
For distending pain in the lower abdomen: kd14(si man- four fullness), st28
Pain w/ cold feeling in the lower abdomen: st29, st27
Deficiency: cv4, ub20, ub23, st36, sp6

Amenorrhea : sp6(basic point, for blood stag, sedate sp6, for blood def, tonify sp6)
(sp6 regulate uterus, if you want open uterus you sedate, if you want to close uterus, you tonify)
Blood stagnation: cv3, st29, sp10, lv3, li4
For pain in lower abdomen w/ hard mass aggravated by pressure
Blood def: cv4, ub18, ub20, ub23, st36

A 36 year old female complains of dysmenorrhea. She has tried heating pads, avoiding caffeine,
massaging lower abdomen, taking ibuprofen w/o any success. She also complains of scanty and
dark menses w/ clots, and distending breast pain. The tongue is purple and the pulse is wiry.
(Purple tongue, wiry pulse- excess pattern, may be stag or blood stasis, we have move qi and blood)
Cv3, ub32, sp10, lv3, sp8 / ub32 is good for dysmenorrhea, st29 is good for amenorrhea
Sp8 - xi cleft of yin qiao, regulate menses
Sp10 combine w/ ub17 - move bloodA 43 year old female complains of painful menstrual
periods. The pain is dull and better with warmth and pressure. She also presents w/ scanty thin
menses, pale complexion, pale tongue, and weak pulse. Sp6, cv4, ub20, st36, ub23
 (pain is dull and better with warmth and pressure- indicate def cold, you have to tonify and
warming point, in def case eliminate li4, lv3, b/c this is excess condition, also eliminate sp10 b/c
this point is also for eliminate excess heat)
For dysmenorrhea, defi we use sp6, excess condition we use sp10 to move blood

A 45 year old female presents with amenorrhea for several months, lower abdominal pain w/a
hard mass, and fullness in the chest. The tongue is purplish and the pulse is deep-wiry. The urine
pregnancy test is negative and she denies use of birth control pills. (we have to move qi and blood)
(amenorrhea first rule out the pregnancy, urine test negative)
Cv3, st29, li4, sp6, sp10, kd14(si man, excess case), lv3
(if you have only one needle, sp6 is best point)

A 34 year old female complains of absence of the menstrual period. She denies use of birth
control and the urine pregnancy test is negative. The symptoms include gradual decrease of
menses, poor appetite, loose stools, and dizziness. Upon examination, you hind sallow
complexion, pale tongue w/ little coating, and weak pulse.
Cv4, ub18, ub20, ub23, sp6, st36
(li4-mostly used for excess case)

Uterine bleeding: moxa sp1(put needle on top of skin, and then push in w/o guiding tube)
Excess heat: cv3, sp10, lv8(nourish blood from bleeding)
External heat(move blood recklessly): li11
Ht fire: ht8 / Lv fire: lv3, lv2
Qi deficiency: du20, cv4, st36, sp6(tonify blood), sj4(yang chi- yuan qi spread through the sj)
Qi def manifested by anorexia and loose stools: ub20, ub21

A 40 year old female complains of acute onset of abdominal uterine bleeding b/t monthly
periods. She also complains of profuse and continuous blood which is deep and red, insomnia
and restlessness, red eyes, and chest distention. The tongue is red with yellow coating. The pulse
is rapid. Cv3, sp10, lv8, moxa sp1

A 34 year old female has abnormal uterine bleeding which is continuous and scanty, light red
and thin blood, lassitude, and sob, and poor appetite. The tongue is pale. The pulse is thin and
weak. (this case is like sp qi def not holding blood in the vessel)
Du20, cv4, sp6, sp1, st36, sj4
(cv4, sp6- regulate menses in the lower jiao)
(cv3, sp10 points are used for excess condition, not def)

Leukorrhea:
Sp def: gb26, cv6, ub30, sp9, st36 / Kd def: ub23, cv4, kd12, gb26, kd7
(ub30, bai huan shu, 1.5cun lateral, level w/ 4th sacral foramen)
(kd 12 is used for def, spermatorrhea)
Damp heat: cv3, ub32, sp6, lv3
Itching in vulva: add lv5
Reddish leukorrhea: sp10
Excessive heat: li11

A 44 year old female has profuse, thick, leukorrhea w/o smell, poor appetite, loose stools, and
edema in the legs. The tongue shows pale body color w/ white sticky coating. The pulse is weak
and slow. (sp def leading to dampness- sticky coating, white,sticky coating- damp cold)
Cv6, sp9, st36, gb26, ub30

A 49 year old female has profuse and continuous vaginal discharge which is thin and clear, lower
back pain, and frequent urination. The tongue is pale and the pulse is deep. (kd yang def)
Gb26, cv4(moxa tonify yang), kd7(tonify yang), ub23, kd12(located Lj, kd point)

A 51 year old female has sticky, thick, offensive, and yellow leukorrhea caused by candida
infection. There is itching in the vulva, dry stool, scanty urine. The tongue shows a greasy
coating. The pulse is rapid. (clear damp heat)
Cv3(clear lj damp), sp6(lj), lv3(lj, genital area) , lv5(genital itching), ub32(gynecological excess)

Morning sickness: basic point: cv12, pc6, st36

Sp and st def: cv13, sp4
Lv and st disharmony: cv17, lv3

A female with a 12 week pregnancy visits your clinic with complaints of morning sickness. The
signs and symptoms include vomiting of undigested food right after eating, lassitude, pale tongue
with white coating, and slippery weak pulse. (slippery pulse d/t pregnancy)
Cv12, cv13, sp4, pc6(cong), st36
(li4, sp6 is contraindicated in pregnance, but cv12 can needle at week12 of pregnancy)

A 28 year old woman was diagnosed with hyperemesis gravidarum(severe vomiting). The signs
and symptoms include vomiting sour liquid, epigastric fullness, frequent belching and sighing,
depression, wiry-slippery pulse. (lv qi stag-belching, sighing, depression, wiry)
Cv12, st36, cv17, pc6, lv3 (although this is lv qi stag, we dont use li4 b/c contraindicated)

Prolonged labour: sp6, ub67(contraindication point help)

Qi and blood def(no enough power to push): st36
qi and blood stag(baby is stagnated there): li4
A 36 year old pregnant woman has prolonged labor with failure to progress. The signs and
symptoms include pale complexion, dull paroxysmal pains, bleeding with light colored blood,
pale tongue, and weak pulse. Ub67, sp6, + st36(push)

A 34 year old pregnant woman is in labor. A baby is not born after 22 hours of contraction. Other
signs and symptoms include sharp pain in the abdomen, scanty dark bleeding, dark complexion,
and deep-forceful pulse. Sp6, ub67 + li4
Sp6 - direct uterus point, if you want to open the uterus, you have to sedate, needle against channel)
(gb21- is good for ease labor, b/c it is same line as uterus line and has strong descending action)

Which is the appropriate technique used on ub67 for treating malposition of the fetus? Moxa

Insufficient lactation- basic points: st18, cv17(any problem around chest), si1(dandelion)
Qi and blood def: ub20, st36, sp6(nourish yin, fluid)
Lv qi stag(milk is inside, but stagnated): lv14(local), pc6(soothe lv qi, esp chest area), lv3(soothe lv qi)
Inhibit lactation: gb41, gb37

A 25 year old female complains of insufficient breast milk after giving birth. Other signs and
symptoms include pale face, dry skin, poor appetite, pale tongue, thin-weak pulse.
Si1, cv17, st18+sp6(nourish yin,fluid), st36

During the postpartum period, a woman complains of insufficient lactation, depression, chest
distress w/ distending breast pain. Si1, lv14(local), cv17, st18, lv3, pc6
(lv channel pass through the breast)

Mai ya(fructose) helps new mothers to stop breastfeeding gradually.

Gb41(exit connect lv channel)+gb37(luo connecting point connect lv channel) : and lv channel
pass through the breast
Drink mai ya(digestive) tea daily continue for 3-5 days w/ large doses stop lactation

Uterus prolapse: mj and lj jiao qi sinking

(mj qi sinking cause all organ prolapse)
Qi def: du20, cv6, st36(3 basic point for organ prolapse), cv12, st29(use in excess amenorrhea
Kd def(frequent urination, tinnitus): cv4, zigong, lv8, kd6

A 59 year old female visits your clinic with a chief complaint of a prolonged uterus. She
complains of feeling of heaviness around her lower tummy and genitals. Other signs and
symptoms include sob, fatigue, low appetite, pale tongue, and weak pulse. You decide to
prescribe BU ZHONG YI QI TANG.
St36, cv6, du20(3 basic points for organ prolapse), + cv12, st29
A 65year old female patient complains of feeling like there’s something coming down into
vagina, frequent urination, dry vagina, tinnitus, and lower back pain. She states that she was
diagnosed with stage 2 uterus prolapse. The pulse is deep and thready at chi position.
Cv4, zi gong, lv8, kd6, du20(bring up) / contrast kd 1(bring down)

Shanghai point selection

Site of disease Local points Distal points

Frontal headache Yin tang, gb14, S8(ST) LI4, S-44(yang ming channel)
Distal for face issue too

Temporal headache Tai yang, gb8(gb4,5,6) TB3, GB41(both shu stream, good for
opening the channel)

Occipital headache Gb20, B-10 SI3, B65(both shu stream, opening the
channel, relieve pain)

Vertex headache GV20 Li 3(liver3),(LI- large intestine)

Liver, ub goes head and reaches to vertex
So, ub67 can also treat vertex headache
Si3 open du mai to to treat vertex headache

Eyes B1, S1, GB20 (needle toward LI4

opposite side of eye)

Nose Yin tang, LI20, bi tong, du23 LI4

Mouth and gums S6, S7, S4(st-upper gum, teeth LI4

Li- lower gum and teeth)

Ears TB17, SI19, GB2 , TB21 TB3(shu stream), TB5(yang wei

opening point, good ear issue)

Tongue Co-23/ shang lian quan/ du15 LI4, ht5(luo connecting)

Throat SI-17 LI4, lu10(clear heat to treat sore throat)

*lu channel enter the throat
(tonsillitis, swollen throat) *bleeding on lu11 also help w/ throat

Trachea Co22 L7

Lungs B13, L1, Co17, Co22 L7, kd6, , L5(excess phlegm in lung)

Heart B15, B14, Co17, Co14 P6, H7, P5(cardiac pain, throat), P4

Stomach B21, Co12 P6, S36

Liver B18, Li14 Li3

Gall bladder B19, gb24 Gb34, Dannangxue(1-2cun below find

tender spot)

Intestine(SI, LI) B25(shu), B27(shu), S25, Co4 S37, S39, S36

Kidney B23, B52(Shanghai B47) K3

Bladder B28,B32(same level), Co3 Sp6, Sp9

Basic for lin: Co3(mu), Sp9(damp), B28(shu)

Reproductive organ Co3(excess), Co4(def), zigong Sp6(crossing of 3 leg yin, all of them
go to LJ to help reproductive organ)

Anus Gv1, B54(Shanghai B49) B57(resemble anus, b/t gastrocnemius)

Upper limb LI15, LI11, LI4(yangming has Jia ji from C5-T1(brachial plexus,
(yangming) abundant qi & blood) trauma to the neck cause weakness
and numbness in the arm and hand)

Lower limb GB30(hip), B40(Shanghai B47), Jia ji from L3-S1(lumbosacral plexus)

(gb, bladder GB34(knee, sinew), GB39(ankle, *yangming & shao yang channel
channel) influential of marrow) important for bi and wei syndrome

Hua tuo jia ji

C1-C4: head region
C1-C7: neck region
C4-C7: upper limb
C3-T9: chest wall & thoracic cavity
T5-L5: organs in abdominal cavity
T11-L5: lumbar & sacral region
L2-L5: lower limbs
L1-S4: pelvic cavity
Huan zhong: midway b/t gb30 & du2 / sciatica, low back pain(lumbar), thigh pain

Selected points for common symptoms

Symptoms Common points

Fever Gv14(all yang channel cross, good for yang ming channel
heat), LI11, LI4(expel wind heat)

Fainting Shixuan, Gv26(revive consciousness b/c du is sea of yang,

(needling du26, actually also hand and foot yang ming channel(abundant qi and
stimulate 3 channels) blood) cross du26.

Shock Moxa Gv20, Co8, Co4/needle S36

(sudden drop in blood flow through the body, d/t loss of
blood,burn,bacterial infection)

Spontaneous sweating /inhibit LI4, K7 (li is yang which means move, kd7 is yin which
means stop. If you want to stop sweating, tonify kd7, if you
want to promote sweat, you tonify li4)

Night sweating SI3(empirical for night sweat), ht6(xi), kd7

Insomnia H7, Sp6(yin of whole body), an mian + K3(nourish kd yin)

kd3 - good for ht & kd disharmony

Excessive dreaming B15, H7(calm shen),Li3(li fire or li yang rising)

Hoarse voice LI18, LI4(good for eye, nose, mouth, teeth, neck, frontal
head), P5(empirical for malaria, hoarse voice, chest pain,
cardiac pain, pc4-xi clef, pc6 command point of chest

Spasm of the masseter S7, S6, LI4

muscle(lockjaw)

Paralysis of hypoglossus muscle Gv15, Co23, LI4

Congested throat Co22, LI18, LI4

Salivation Gv26(LI,S cross du26), S6(stimulate parotid gland), LI4

Palpitation P6(command of chest, master point of yin wei), P4(xi)

CAM basic point for palpitation: HT7, CV15, UB15

Chest pain Co17(major point on chest, ht, breast, lu), P6

Cough Co22, L7, L5(if there is phlegm)

Dysphagia(difficulty swallowing) Co22, P6(swallowing GI track, esophagus)

Fullness in chest/epigastrium Co12, P6(goes to chest and epigastric area)

Nausea, vomiting P6(basic),Sp4 + ( S36 + Co12:any kind of abdominal issue)

Hiccups B17, P6, P8

Pc8, pc9 - most important is wen bing disease of ying level heat
Pc8, pc7 - carpal tunnel syndrome

Abdominal distension S25, Co6, P6(better for epigastrium than lower abdomen), S36
(4 door is good: st25, cv6, cv12) Co12 +S36: good for st pain
 Rib pain TB6- has 3 indications
TB6(+GB34): acute hypochondria pain(hand & foot shaoyang)
TB6+K6: constipation
TB6+GB31: skin condition such as herpes zoster

Indigestion S36, Sp4

(Co13-upper, Co12-middle, We can combine S36+Co12, and Sp4 + P6
Co10-lower part Clinically, can also use inner nei ting and local point(Co13, 14)

Retention of urine Sp6, Sp9, Co3, B28

Sp6- crossing of 3 leg yin help LJ issue, affecting BL and genetal area

Spermatorrhea, impotence, Co4, Sp6

premature ejaculation Co4- tonify of yin, essence even yang w/ moxa

Enuresis Co2, Sp6

Co3 is better b/c mu of bl

Constipation St 25(+B25), TB6 +(K6)

Prolapse anus Gv1, B57 + basic point(st36, cv6, du20)

B57-1. Spasm of gastrocnemius muscle 2. hemorrhoid

Spasm of gastrocnemius muscle B57

Pruritis LI11(all kind of heat), Sp10, Sp6(when you clear the hear,
you also have nourish blood and yin to stop itching)

General weakness Co4, S36

Co4- more like LJ, tonify kd qi, yin, yang , essence

Five element & Four needle technique

Six energy:
Tai yin - earth / yang ming-metal / shao yin-king fire / taiyang-cold water
Jue yin - wood / shao yang - minister fire

Treatment principle(for sp def)

Sheng cycle: tonify the mother point of the affected chanel(sp2)
Tonify the mother point of the mother channel(ht 8)
Ko cycle: sedate the grandmother point of the affected meridian(sp1)
Sedate the grandmother point of the grandmother chanel(lv1)
Use 2 points from affected channel(sp2, sp1), and use 2 points form horary points(ht8, lv1)
Treatment principle(for sp excess)
Sheng cycle: sedate the son point of the affected channel(sp5)
Sedate the son point of the son meridian(lv8)
Ko cycle: tonify the grandmother of the affected channel(sp1)
Tonify the grandmother point of the grandmother channel(lv1)

Use 2 points from affected channel(sp5, sp1), and use 2 points form horary points(lu8, lv1)
3 hand yin jing well point: last point 3 foot yin jing well point: first point
3 hand yang jing well point: fist point 3 foot yang jing well point: last point

Five element points

lu li sp st ht si ub kd PC SJ GB LV

Mother 9 11 2 41 9 3 67 7 9 3 44 8

Horary 8 1 3 36 8 5 66 10 8 6 41 1

Child 5 2 5 45 7 8 65 1 7 10 38 2

Tonification Sedation
Yin + + - - - - + +

Lv kd10 Lv8 Lu8 Lv4 Ht8 Lv2 Lu8 Lv4

Ht Lv1 Ht9 Kd10 Ht3 Sp3 Ht7 Kd10 Ht3

Pc Lv1 pc9 Kd10 pc3 Sp3 pc7 Kd10 pc3

Sp Ht8 Sp2 Lv1 Sp1 Lu8 Sp5 Lv1 Sp1

Lu Sp3 Lu9 Ht8 Lu10 Kd10 Lu 5 Ht 8 Lu10

Kd Lu8 Kd7 Sp3 Kd3 Lv1 Kd1 Sp3 Kd3

Yang + + - - - - + +

Gb Ub66 Gb43 Li1 Gb44 Si5 Gb38 Li1 gb44

Si Gb41 Si3 Ub66 Si 2 St36 Si8 Ub66 Si2

Sj Gb41 Sj 3 Ub66 Sj2 St36 Sj10 Ub66 Sj2

St Si 5 St41 Gb41 St43 Li1 St45 Gb41 St43

Li St36 Li11 Si 5 Li5 Ub66 Li2 Si5 Li5

Ub Li1 Ub67 St36 Ub40 Gb41 Ub65 St36 Ub40

A 48 year old male w/ a past medical history of chronic hepatitis complains of persistent fatigue,
dizziness, vertigo, blurring of vision, floaters in the eyes, dryness of the eyes, and night blindness
as well as dull pain beneath the rib cage and spasm of the tendons. His finger nails are brittle and
pale and his tongue is pale, pulse is thin. (pale tongue is not yin def)
1.​ What is zang fu pattern: lv blood def
2.​ What is 5 element pattern identification? Wood def
According to the sheng cycle, which of the following points should be tonified? mother
According to the sheng cycle, which affected channel should be tonified? Lv 8
According to the sheng cycle, which of the following horary points should be tonified? Kd10
According to ko cycle, which of the following points should be sedated? grandmother point
According to ko cycle, which affected channel point should be sedated? Lv4
According to ko cycle, which of the following horary point should be sedated? Lu8
According to sheng cycle, which of the following treatments is appropriate? Tonify lv8, kd10
According to ko cycle, (sedate lu8, lv4)
Which of the following is the correct 4 needle technique? Tonify Lv8, kd10, sedate lu8, lv4
4 needle technique: 2 point from affected channel, 2 point from the horary point / tonify 2 points,
sedate 2 points, either they are excess or def)

A 52 year old female presented to your clinic w/ chief complaint of migraine headache. The pain
is throbbing and is accompanied by dizziness, red eyes, and irritability. She feels frustrated and is
easily angered. She feels nervous and tense all the time. Her premenstrual syndrome is extreme
w/ breast distension and irritability. Her tongue is red and pulse is wiry and rapid.
1.​ 5 element pattern identification: wood excess
According to the sheng cycle, which point should be sedated? Son point
According to the ko cycle, which of the following points should be tonified? Grandmother
According to the sheng cycle, which of the following points should be sedated? Lv2, ht8
According to ko cycle, which of the following points should be tonified? Lu8, lv4
Which of the following is the correct 4 needle technique? Sedate lv2, ht8, tonify lu8,lv4

A 24 year old male w/ slender build complaints of frequently easily startled. He also complains
of lack of courage and initiative, timidity, dizziness, frequent sighing, blurred vision, and
nervousness. He wakes early in the morning but does not get up and falls asleep again. His
tongue color is normal and pulse is weak.
1.​ What is the 5 element pattern identification?
According to the shen cycle, which of the following should be tonified? Gb43, ub66
According to ko cycle, which of the following points should be sedated?ub66, gb43
Which of the following is the correct 4 needle technique?tonify ub66, gb43, sedate li1, gb44
A 35 year old female complains of upper abdominal fullness and pain after eating a heavy lunch
at P.F Chang’s. She presents with nausea, vomiting, foul belching, sour regurgitation, anorexia,
slight constipation. Her tongue coat is thick and sticky. Her pulse is slippery. (food retention)
1.​ 5 element pattern identification? Yang earth excess
Which treatment is correct? Sedate li1, st45
Which of the following is the correct 4 needle technique? Sedate li1, st45, tonify gb41, st43

A 45 year old female had chronic anemia for 8 years. She complained of palpitation, insomnia,
dream disturbed sleep, poor memory, anxiety, and tends to get startled. Her lips and complexion
are pale. Her tongue is pale and thin, and her pulse is weak and thready.
Treatment points for sheng cycle? Tonify ht9, lv1
Treatment points for sheng and ko cycle: Tonify ht9, lv1, sedate kd10, ht3

A 55 year old female w/ history of severe chronic illness complains of fatigue and low energy
level. She reports poor appetite but craves sweet donuts and caramel macchiato coffee. She
presents with sallow complexion, lassitude, emaciation, abdominal distension, loose stools, and
dislike of speaking. Her tongue is pale with a thin white coating. Her pulse is weak and thin.
Points for 4 needle techniques? Tonify ht8, sp2 and sedate sp1 and lv1

A 52 year old male who smokes complains of cough and dyspnea. He states that his sob is worse
on exertion. He also complains of clear watery sputum, a lack of desire to talk, low voice,
lassitude and aversion to wind. He easily catches colds and experiences spontaneous sweating.
His complexion is bright white. He has a pale tongue w/ a thin white coating and weak and
empty pulse. Tonify sp3, lu9 and sedate ht8, lu10

A 47 year old male presents to your clinic with a chief complaint of impotence. His hearing is
poor and he has a constant dull ringing in his ears. He also presents w/ soreness and weakness of
the lumbar region and knee joints, dizziness, and cold limbs. His hair is thin and began to turn
grey in his early 30s. His tongue is pale w/ white coating, his pulse is deep and weak.
Tonify kd7, lu8, sedate kd3, sp3
Kd is shao yin-king fire (in 6 energy)
Ub is tai yang- cold water
Hottest point of body: ht8 / coldest point of body: ub66