Easy Methodof

ACUPUNCTURE
Based onMeridian Theory

WATANABE Hiroshi M.D.Ph.D.

BookWayAuthor's Biography
Author Family Name : WATANABE Given Name : Hiroshi
Address : 3-11-32, Chuo, Kofu-City, Yamanashi Pref., JAPAN
Postal Code : 400-0032,Japan
TEL : +81-55-233-7223
e-mail : watnbeh@ybb.ne.jp
Date of Birth : 1926,Jan.29
Author's Affiliation : Yumura Spa Hospital

Academic background
1951
1951
1960

Bachelor of Medicine, University of Tokyo
Internship at University of Tokyo
Ph. D., University of Tokyo

Professional background
1952
Member of the 2nd Faculty of Surgery of Tokyo University
1961-65
Chair, Dep. of Surgery at Kokuho Asahi Chuo Hospital
1968-70
Chair, Dep. of Surgery at Moro Hospital
1970-82
Chair, Dep. Surgery at Yamanashi Prefectural Central Hospital
1982-87
Chair of the Board and Director at Ichinomiya Spa Hospital
1988-93
Chair, Dep. of Surgery at Isawa Spa Hospital
1993-95
Vice-director at Ryuo Surgical Hospital
1996-2002 Vice-director at Kyosai Central Clinic
2002-05	Chair, Dep. of Oriental Medicine at Shirane Tokushukai Hospital
2005-12
Director at Fujien Nursing Home
2012-17
Director at Tamaho Care Center Nursing Home
2018
Member of Yumura Spa Hospital

Teaching profession
1974-98
1979-92

Docent at Department of Education, University of Yamanashi
Docent of Surgery II, Yamanashi Medical University

Experiences regarding Oriental Medicine
1973-78	Studied acupuncture under Dr. MANAKA Yoshio & Dr.TANIMichio at Japanese Association of Eastern Medicine.

1984-86	Chair,Yamanashi district, Councilor at Japan Society of
Acupuncture and Moxibustion (JSAM)
1986-2000 Board member at JSAM
1990	Certified as Kampo medical specialist by the Japan Society for
Oriental Medicine
1999
Certified as academic specialist by JSAM
2000-04
Auditor at JSAM
2001	Advisor of Financial group of Buenos Aires Society of Anesthesiologists
2004	Medical instructor of Kampo Medicine authorized by the Japan
Society for Oriental Medicine.

Published books (in Japanese)·Hari wo shiranakutemo dekiru tsubo chusha chiryo(Acupoint Injection for Those not Familiar with Acupuncture) from Kimpodo,
1996, revised edition 2002
·Ika no tameno wakariyasui hari-chiryo(Intelligible Acupuncture Treatment for Doctors) from Kimpodo 2001

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PREFACEIn 1972, news of acupuncture anesthesia was widely reported in newspapers,causing a worldwide sensation as an unbelievable story. This news strongly
impressed me too, and made me interested in acupuncture. By chance, a colleagueof mine had an opportunity to visit the Department of Anesthesiology of Tokyo
Medical-&-Dental University and observe acupuncture treatment. We tried toapply acupuncture therapy by “the Tokyo Medical-&-Dental University's method”
on patients complaining lumber pain and asking for acupuncture therapy. We werequite astonished by and satisfied of the excellent effects. There I started studying
acupuncture seriously. It was in April 1973.
Yet after reading many books, attending lectures, and observing acupuncture
treatment by many professional acupuncturists, I was further impressed by thediversity in the principles and technical methods practiced by different
acupuncturist. The enormous amount of the names and functions of acupuncture
points etc. were also a surprise. Indeed, the barrier between the concept and termsof acupuncture world and those of Occidental Medicine is revealed to be more solidand higher than expected. Some may look Five Element Theory suspicious or
superstitious. Perhaps, it is cleverer to take the acupuncture world as a new field
or a different world for human body function. So I tried to establish more
simplified system by modifying the Tokyo Medical-&-Dental University method
based on the Meridian Theory, probably based on the method of the late Dr.
NAGAYAMA Kunzou.
The method of Tokyo Medical-&-Dental University which we understood is asmentioned below.
1. Meridian selection: Those passing through the location of complaints.
2. Point selection: On the meridian, distal from elbow-or-knee joint, bilaterally.
3. Needle insertion: Vertical.
4. Stimulation: 45Hz cathode rectangular electric stimulation.
As strong as the patient can endure.
Strength of each point is to be felt equal.
Today, this method is largely modified through experiences. But the fundamental
conditions such as the meridian-&-point selection and balance taking stimulation
are still in the same way.
Hereinafter the system described here was established by myself. The
characteristics of this system are as described below.
1. The system is completely due to Meridian Theory.
Fundamental meridian selection is to select the meridian that passes
through the location of complaint or the meridian that has close relation withcorresponding ORGAN (in the meaning of Oriental Medicine). Thereby the

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meridians of classic literature are considered important, and relation ofsimilarity between ORGAN and anatomical organ bearing other name (such as
KIDNEY and adrenal body) or special ideas of Oriental Medicine (such as therelation between LUNG and skin & hair) is taken into consideration.
This method does not require difficult dialectics or consideration of “ORGAＮ
Diagnosis” under complicated diagnosis of Oriental Medicine.
2. Meridians to be treated are selected at the beginning of the treatment according
to the above mentioned principle, being different from generally adopted method
in other schools.
3. Points are selected on above mentioned meridian, without consideration of“function of the point” which is described minutely in other textbooks.
Principally “local point locating” is not adopted.
4. Points are taken principally at periphery of extremities, i.e. distal from elbow
and knee joint, bilaterally.
5. Basic method of treatment is electro-acupuncture. Supplementation-&-Draining
is performed according to the oral teaching of the late Dr. MANAKA Yoshio.
Stimulation is controlled so as the patient feels the stimulation comfortable andequal at all points.
6. Retaining needle, moxa needle, intradermal needle, thumbtack needle andacupoint injection are performed under the completely same principle as electroacupuncture.
7. In acupoint injection, injection is used mainly as stimulation, without expecting
pharmacological effects. So, in most cases any substances for subcutaneous-orintramuscular use can be used. This method is useful also as an entrance ofacupuncture. When pharmacologically active substances are used, the effects
are much stronger with less dose, and it continues much longer.
These principles of acupuncture treatment are (often widely) different fromusually adopted ones. They may look easygoing methods. However, excellent
effects are obtained for many symptoms and diseases by the treatment underthese principles as mentioned later.
This method has no side effect except slight pain of needle insertion and bruise
due to subcutaneous bleeding. Other “side effects” such as infection, needle
breakage or burn by moxa needle are completely avoidable by normal attention.
There are numerous indications of acupuncture. In textbooks or clinical reports,
many points and methods for many diseases are described. But, in this book, only
my experiences with sure results are described.
I believe that this method is one of the easiest methods of acupuncture. Especially
Acupoint Injection of my style can be used by medical doctors, dentists and nurses
who have almost no knowledge of acupuncture under the same principle.

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HOW TO USE THIS BOOK
This book is written mainly for the medical doctors and dentists who have noexperiences in acupuncture up to the present. As acupuncture is a method ofOriental Medicine, principles and using instruments are quite unfamiliar ones
from those used in Occidental Medicine.
The approach of the system of acupuncture described in this book is almost
absolutely based on the Meridian Theory, and it is a very simple systemestablished by myself. It will encourage beginners to learn acupuncture practice.
A number of same words are used both in Oriental Medicine and in Occidental
Medicine that have quite different meanings. For example, water in Occidental
Medicine is H2O, whereas in Oriental Medicine it is colorless fluid circulating in
the body, like lymph fluid, extracellular fluid or intracellular fluid etc. To avoid
confusion, words used in Oriental Medicine are written in capitals like WATER in
this book.
The use of this book will be more efficient by following the orders given below.
[1st] To Comprehend Meridians and the Outline of Meridians' Routes
The present method is based on the Meridian Theory. So, it is very important tounderstand meridians and their routes. For this purpose, read Part 1 (OUTLINE OF
ACUPUNCTURE) carefully with the following comments in mind.
① Go through briefly PART1, Chapter 1 §1 & §2 and Chapter 2, leaving §2 (p.5)
and Chapter 3 (p.9~11).
② Read carefully PARTⅠChapter 4 §1 to 3 (Meridian and Acupuncture point,
p.12~43). Chapter 4 may be one of the most incomprehensive part of this book.
But, in this step, there is no need to make effort to remember details. It isenough to read the descriptions of individual meridian in the frame seeing
meridian chart (or meridian doll, if possible) and to get overall idea of themeridian routes. There are some differences in the routes among different
charts. But there is no need to mind minute differences of charts. In this step,
the main purpose of Chapter 4 is to understand and to get rough idea about themeridians and points. Here, at least, the names of meridians such as “LUNG
Meridian” etc. and the outline of their routes are to be remembered.
③ Go through descriptions PART1 Chapter 4 §4［1］and ［2］(p.44~46).
Description ［3］ (names and locations of acupuncture points p.46~63 ) should
be regarded as a telephone book. This part can be used not only for theaffirmation of the location of points but also for the reconfirmation of the routes
and local distribution & their flow direction. This troublesome work will begood help for understanding meridians and acupuncture points very much.

iv
iv[2nd] To Understand Diagnosis for Acupuncture (Part2 Chapter 3 & 4, p.70~79)
Medical examination for acupuncture is quite different from that of Occidental
Medicine. Here questioning and pulse diagnosis are the most important.
To understand the questioning, it is necessary to read PART2 Chapter 1 §3(Questioning p.66) and PART4 Chapter 1 §3 (106~107) carefully.
In PART2 (Medical Examination for Acupuncture ), Chapter 1 §1, 2, 4 (p.64~67)
can be run over lightly. But much more effort must be given to read Chapter 2(p.68 ~69) and Chapter3 and Chapter 4 (p.70~79).
For the pulse diagnosis, it is important to read the description of PART2 Chapter3
carefully. That is:
1. To remember the location of “Sunkou(Jp.) (or “Sun(Jp.)” or Front Position),“Kanjou(Jp.)” (or “Kan(Jp.)” or Middle Position) and “Shakuchuu(Jp.)” (or “Shaku(Jp.)”
or Rear Position).
2. To understand the pulse of “Fu(Jp.)” (Float) and “Chin(Jp.)” (Sink), and to practicethe method of examination of “Fu” and “Chin”.
3. To master the relations between Sun/Kan/Shaku-&-Fu/Chin(Jp.) and 12
Meridians.
Methods of pulse diagnosis are mentioned in PART2 Chapter3 (p70~74) in detail.
[3rd] To read through PART2 Chapter 4 (Meridian Selection), Chapter 5 (Point
Selection) and Chapter 6 (Point Search) (p.75~85)
This part is very important only in practicing acupuncture therapy. So in the firststep, there is no need to read this part too seriously. Read those again carefully
when you start acupuncture therapy.
[4th] To Practice “Puncture with Fine Needle”
Before the start of practicing, it is necessary to read PART3 Chapter 1 §2
(Management of Filiform Needle (p.89~93) carefully.
1. It is recommended to start training on soft test bench.
2. Read PART3 §2 [3] and [4] (p.89~93) carefully, and practice puncture following
to the directions given in [4] D (Training of Skin Cutting and Needle Penetration,
p.93)
3. Before applying acupuncture on the patient, it is necessary to read again §2(management of filiform needle, p.89~93) carefully, and understand thedescriptions well.
th[5 ] To Understand the Method of Supplementation and Draining
For this purpose, it will be useful to read this book in following order.
① Read again PART2 Chapter2 (Deficiency-&-Excess and Supplementation-&-Draining p.68~69)② Read again PART3 Chapter 2 §1 (Management of Needle and Supplementation-&-Draining, (97~98) and §2 (method of stimulation and Supplementation-&-Draining p.98~103) carefully.

HOW TO USE THIS BOOKv
v

③ Read carefully PART3 §2 [5] (Electro-acupuncture p.103), then read PART4
Chapter 2 §2 (Electro-acupuncture109~115), especially [2] (Instrument forElectric Stimulation111~115) carefully.
th[6 ] To Confirm Understanding about Meridians, Meridian Selection andPoint Selection
It is useful to read again PART2 Chapter 4, 5, 6 (p.75~85) carefully for thispurpose.
Thus the lecture of basic outline about the system of my method of acupuncture iscompleted. Read again Part 4 and Part5, and try to practice acupuncture referring
to PART6.
It is important to pay enough attention to next 3 points.
1. Faultless disinfection is necessary not to cause infection.
2. When a needle is bent, change the needle immediately to avoid needle breakage.
3. Careful attention must be paid to avoid burn by moxa needle.
Except these three possible accidents, there is no risk in this method of
acupuncture. The best way to become proficient in acupuncture is to practice. Ideal
objects of acupuncture for beginners are pain, shoulder stiffness, pollinosis,
dysmenorrhea and attack of bronchial asthma. They are easy to make a plan oftreatment, and the effects appear quickly and clearly.
Some doctors may vaguely feel opposition to acupuncture. For such cases, it isrecommended to begin with acupoint injection.
The world of acupuncture is multiple. This method is only a small part ofacupuncture. Those who have enough experiences of acupuncture will feelincongruous with this description. But methods of acupuncture may be (or shouldbe) essentially diverse, and any method is valuable as far as it is effective.

The easiest acupuncture
Probably, there are many doctors who want mainly (or only) to get prompt resultsof acupuncture, not expecting to be a specialist of acupuncture. For this purpose,
there is an excellent and very easy method.
That is ACUPOINT INJECTION.
Acupuncture is a therapeutic method to insert needles to some points (acupoints)
and to give some stimulation.
Theoretically any kind of needle and any kind of stimulation can be used asacupuncture. When the needle is switched from acupuncture needle to injectionneedle, and stimulation from electricity to injection, that is namely my method of
acupoint injection. Acupoint injection involves more pain than usual acupuncture,and causes bruise more frequently. But it is much easier to practice than any
method of acupuncture. It does not demand paying consideration to Deficiencyor-Excess of meridians nor exact hitting on acupoint. I believe that this is theeasiest introduction to acupuncture.

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For this purpose, please use this book as mentioned below:
1. Read “Acupoint Injection” (PART4 Chapter 3 §5, p.121 ~ 122) over and over until
you understand well. (That may not be difficult for doctors.)
2. Use “Frequently Used Points and Their Location” (PART1 Chapter 4 [3] B p.46 ~63) and “Practice of Acupuncture” (PART6, p.134 ~ 219) as “telephone directory”.
The direction of needle puncture is vertical to the skin.
The late Dr. MANAKA published an introduction book named “The Layman’s
Guide to Acupuncture”. Acupoint injection may be also suitably called “TheLayman’s Practical Acupuncture”.
Anyway, at your start of present purpose, there is no need to read other parts ofthis book NOW.
However, it is strongly recommended:
1. To confirm every time the location of aimed point by “Frequently Used Points
and Their Location” (PARTⅠChapter 4 [3] B (p.48 ~ 63). Frequently used points
are written in bold letters.
2. To habituate to stroke softly around the aimed point before injection. This habit
will help you to get tactile sense of acupoint so much.
3. In PART 6 , there may be found many matters which you hardly understand.
You had better not to avoid the troublesome work to seek their explanation inthis book as far as you have time.
When you get skillful with this method with good effects, and yet you get interestin acupuncture, please read this book again. Thereby, it will be the best way toread in the next order. That is:① “My Method of Meridian selection” (PART2 Chapter4 §1( p.75 ~ 79).
② “Methods of Point Search” (PART2 Chapter6 (p.83 ~ 85)
Then, you will gradually understand the meaning of my method. If you have stillinterest in acupuncture, please read this book again in the recommended order of“How to Use This Book”. It will lead you to a new world of acupuncture.

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CONTENTSPage
HOW TO USE THIS BOOK ················································································· ⅲ
The easiest acupuncture··············································································· ⅴ
EXPLANATORY NOTES ············································································· ⅶ
CONTENTS······························································································· ⅻ

PART 1 INTRODUCTION – OUTLINE OF ACUPUNCTURE – ······························ (1)Chapter 1 Principle and Characteristics of Acupuncture ································· (1)§1 Principle of Acupuncture ······································································ 1§2 Merits and Demerits of Acupuncture ······················································ 2[1] Merits of Acupuncture ········································································· 2[2] Demerits of Acupuncture······································································ 3
Chapter 2 Indications and Methods of Acupuncture ······································· (5)§1 Indications of Acupuncture ··································································· 5§2 Methods of Acupuncture ······································································· 5[1] Principles of Acupuncture Therapy ························································ 6[2] Methods of Stimulation········································································ 6[3] Acupuncture without Acupuncture Needle ·············································· 7
Chapter 3 Acupuncture Needles ································································· (9)§1 Filiform Needle(毫鍼 Goushin)······························································· 9§2 Intradermal Needle (in Narrow Sense)·················································· 10§3 Thumbtack Type Needle (En-pishin) (Thumbtack Needle) ························ 11
Chapter 4 Meridian and Acupuncture Point ················································ (12)§1 Meridian & Acupuncture Point (Acupoint or Point) ······································ 12§2 Flow of KI(QI) and Ketsu(BLOOD) in the Meridian ··································· 14§3 Fourteen Meridians and Acupuncture Therapy ········································· 15[1] LUNG Meridian(LU) ·········································································· 15[2] LARGE INTESTINE Meridian (LI)··························································· 17[3] STOMACH Meridian (ST) ····································································· 18[4] SPLEEN Meridian (SP) ······································································· 20[5] HEART Meridian (HT) ········································································ 22[6] SMALL INTESTINE Meridian ································································ 24[7] BLADDER Meridian (BL) ····································································· 25[8] KIDNEY Meridian (KI)········································································ 28[9] PERICARDIUM Meridian (PC) ······························································· 31[10] TRIPLE ENERGIZER Meridian (TE) ······················································ 32[11] GALLBLADDER Meridian (GB) ···························································· 34[12] LIVER Meridian (LR) ········································································ 37[13] GOVERNOR VESSEL (GV) ··································································· 39

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xiii
[14] CONCEPTION VESSEL (CV) ································································· 41[15] Important Meridians That are not Described in Usual Charts················· 42§4 Acupuncture Point (Acupoint) ··························································· 44[1] What is Acupuncture Point? ······························································· 44[2] Name of Points and Their Notation ······················································ 45[3] Frequently Used Points and Their Location··········································· 46
A. Bone Proportional Cun(abbreviation B-cun) (尺度法 Shakudohou) ············ 46
B. Points of Each Meridian ···································································· 47
1 Points of LUNG Meridian (LU) ·························································· 48
2 Points of LARGE INTESTINE Meridian (LI) ··········································· 49
3 Points of STOMACH Meridian (ST)······················································ 51
4 Points of SPLEEN Meridian (SP) ························································ 52
5 Points of HEART Meridian (HT) ························································· 53
6 Points of SMALL INTESTINE Meridian (SI)············································ 54
7 Points of Bladder Meridian (BL) ······················································· 55
8 Points of KIDNEY Meridian (KI) ························································ 56
9 Points of PERICARDIUM Meridian (PC) ················································ 58
10 Points of TRIPLE ENERGIZER Meridian (TE) ······································· 59
11 Points of GALLBLADDER Meridian (GB) ············································· 60
12 Points of LIVER Meridian (LR)························································· 61
13 Points of GOVERNOR VESSEL (GV) ···················································· 62
14 Points of CONCEPTION VESSEL························································· 63

PART 2 MEDICAL EXAMINATION FOR ACUPUNCTURE ······························· (64)
Chapter 1 Medical Examination of Oriental Medicine ·································· (64)
§1 Diagnosis by Observation ··································································· 65§2 Diagnosis by Hearing & Smelling ························································ 65§3 Diagnosis by Questioning ··································································· 66§4 Diagnosis by Palpation······································································· 66[1] Palpation of Abdomen ········································································ 66[2] Palpation of Meridians······································································· 67[3] Pulse Diagnosis ················································································ 67
Chapter 2 Deficiency & Excess and Supplementation & Draining··················· (68)
Chapter 3 Pulse Diagnosis ······································································· (70)
§1 Method of Pulse Taking ······································································ 72[1] Condition of Patient ·········································································· 72[2] Posture of Patient and Position of Examiner·········································· 72§2 Method of Pulse Examination······························································ 72§3 Judgment and Recording of Pulse ························································ 73[1] Estimation of Pulse ··········································································· 73[2] Recording of Pulse ············································································ 73
Chapter 4 Meridian Selection ··································································· (75)xiv
§1 My Method of Meridian Selection ···················································· 75§2 Meridian Selection According to the Location of Complaints ···················· 75§3 Meridian Selection according to the Relation
between ORGAN and Organ &/or Tissue ········································· 76§4 Meridian Selection According to the Resemblance
between ORGAN and organ in Different Name ································ 77§5 Meridian Selection according to FIVE ELEMENTS Theory ·························· 78
Chapter 5 Point Selection ········································································ (80)
§1 Strategy of Point Selection ·································································· 80§2 Points at Auricle ··············································································· 81§3 HIRATA’s Twelve Reaction Zone···························································· 81
Chapter 6 Methods of Point Search ··························································· (83)
§1 Bone Proportional CUN (B-CUN) (Shakudohou) ······································· 83§2 Point Search by Electric Resistance of the Skin ······································ 83§3 Point Search by Palpation or Inspection ················································ 84§4 Point Search by Tenderness for Pressure or Puncture Pain ······················· 85

PART 3 MANAGEMENT OF NEEDLE AND
STIMULATION & SUPPLEMENTATION-DRAINING ···························· (86)

Chapter 1 Management of Needle ····························································· (86)
§1 Position and Posture by Acupuncture ··················································· 86[1] Position of the Patient ······································································· 86[2] Position of the Leg ············································································ 86[3] Position of the Arm ··········································································· 87[4] Position of Practitioner ······································································ 88§2 Management of Filiform Needle··························································· 89[1] Preliminary Massage········································································· 89[2] Disinfection ····················································································· 89[3] Skin Cutting and Needle Insertion······················································· 89
A. Needle Tube Method········································································· 89
B. Insertion without Needle Tube ··························································· 91[4] Penetrating Needle into the Skin························································· 92
A. Direction of the Needle······································································ 92
B. Prevention of Contamination ····························································· 93
C. Depth of Insertion ············································································ 93
D. Training of Skin Cutting and Needle Insertion ······································ 93§3 Getting KI (QI) (“Tokki” or “Hibiki”) ····················································· 94§4 Management of Intradermal Needle ····················································· 94§5 Thumbtack Needle (En-pi-shin) ··························································· 95
Chapter 2 Stimulation and Supplementation-&-Draining ····························· (97)§1 Management of Needle for Supplementation and Draining······················· 97[1] Type of Needle and Supplementation and Draining ································ 97

xv[2] Procedure of Insertion & Removing and Supplementation and Draining ···· 97[3] Stimulation and Supplementation & Draining ······································· 98§2 Method of Stimulation and Supplementation & Draining ························· 98[1] Retaining Needle Method ··································································· 98
A. Retaining Needle ············································································· 98
B. Intradermal Needle ········································································ 99
C. Thumbtack Needle (Drawing PinShaped Needle)s ······························· 99[2] Moxa Needle ···················································································· 99[3] Manipulation ··················································································· 99
Burning Mountain Method ·································································· 100
Penetrating Heaven Cooling Metod······················································· 101[4] Bloodletting ··················································································· 102
Bloodletting at WELL POINT ·································································· 102[5] Electro-acupuncture ········································································ 102[6] Acupoint Injection ··········································································· 103§3 Frequency of Acupuncture Therapy and Attention after Treatment ·········· 103[1] Frequency of Acupuncture Therapy ···················································· 103[2] Attention after Acupuncture Treatment ··············································· 104

PART 4 MY METHOD OF ACUPUNCTURE ··············································· (105)
Chapter 1 Medical Examination for Acupuncture ······································· (106)§1 Inspection ······················································································ 106§2 Auscultation & Olfaction ·································································· 106§3 Questioning ··················································································· 106§4 Palpation ······················································································· 107§5 Meridian Selection ·········································································· 107§6 Point Selection and Point Taking ······················································· 108
Chapter 2 Treatment with Filiform Needle (Body Acupuncture) ···················· (109)§1 Needle Insertion ············································································· 109§2 Electro-acupuncture (Electric Acupuncture) ········································· 109[1] Principled ······················································································ 109
A. Supplementation & Draining with Electro-acupuncture ······················· 109
B. Balance of Stimulation····································································· 110[2] Instruments for Electric Stimulation ··················································· 111
A. Structure and Merits of “Tokki” ························································· 111
B. How to Operate “Tokki”···································································· 112
C. Troubles of the Stimulator “Tokki” ····················································· 114§3 Other Treatment with Filiform Needle (Body Acupuncture) ····················· 115[1] Retaining Needle and Manipulation···················································· 115[2] Moxa Needle ··················································································· 115
Chapter 3 Other Acupuncture Therapies ··················································· (119)§1 Intradermal Needle & Thumbtack Needle ············································ 119

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§2 Auricular Acupuncture ······································································ 119§3 Eyelid Acupuncture ········································································· 120§4 SSP ······························································································ 121§5 Acupoint Injection ··········································································· 121§6 Finger Pressure to Acupuncture Points ··············································· 123§7 Pasting Silver Grain or Magnetic Grain ·············································· 123
Chapter 4 Appearance and Course of Effects ··············································· 124

PART 5 COMPLICATIONS, SIDE EFFECTS & CASES OUT OF ACUPUNCTURE ···· (126)

Chapter 1 Complications and Side Effects of Acupuncture ···························· (126)§1 Leaving Needle ··············································································· 126§2 Bleeding ························································································ 126§3 Needle Breakage ············································································· 127§4 Infection ························································································ 127[1] Contamination due to Imperfect Disinfection of the Skin ······················· 128
A. Dirty Skin······················································································ 128
B. Unsuitable Disinfectants ·································································· 128
C. Contaminated Disinfectants ····························································· 128[2] Contamination by Contaminated Needle Body ····································· 129
A. Contamination by Imperfect Disinfection of Needle······························· 129
B. Contamination due to Improper Use of Needle ····································· 129§5 Side Effects of Acupuncture······························································· 130
Chapter 2 Diseases out of Indication & Contraindications of Acupuncture······· (131)§1 Diseases out of Indication of Acupuncture············································ 131§2 Cases out of Indication of Electro-acupuncture ····································· 132§3 Contraindication of Intradermal acupuncture & Thumbtack Needle ········ 132§4 Contraindication of Acupuncture ······················································· 133

PART 6 PRACTICE OF ACUPUNCTURE·········································· (134)
Chapter 1 Pain (Including Stiffness & Numbness) ······································ (134)§1 General Rule ·················································································· 134§2 Head (Except Face)·········································································· 135[1] Around the Center Line ··································································· 136[2] Outer Side of the Centre Line to Parietal Region ·································· 136[3] Temporal- & Retro-auricular Region, Temple & Lateral Neck ················· 137[4] Forehead and Lateral Part of the Forehead ········································· 137[5] Pain at Broad Area or Obscure Region ················································ 137§3 Face and Mouth ·············································································· 138[1] Eye······························································································· 139[2] Toothache ······················································································ 140[3] Oral Cavity and/or Tongue································································ 141[4] Throat ·························································································· 141[5] Face ····························································································· 142xvii1) Lower Jaw ···················································································· 142
2) Upper Jaw & Zygomatic Region ························································ 143
3) Around the Nose ············································································ 144
4) Forehead ······················································································ 145§4 Neck ····························································································· 146[1] Back of the Neck············································································· 146[2] Anterior &/or Lateral Part of the Neck················································ 147§5 Shoulder & Shoulder Joint································································ 148[1] “Shoulder” ····················································································· 148[2] Around the Shoulder Joint ······························································· 149§6 Arm & Hand ·················································································· 151[1] General Rule·················································································· 151[2] Elbow Joint ··················································································· 152[3] Hand Joint & Fingers ······································································ 152§7 Anterior- & Lateral Chest ································································· 152§8 Abdominal Pain ·············································································· 154[1] Epigastrium (So Called “Stomachache”)·············································· 155[2] Hypochondrium·············································································· 155[3] Pain around Navel ·········································································· 155[4] Lower Abdomen·············································································· 155[5] Inguinal Region ·············································································· 155§9 Back & Lumbar Pain ······································································· 156§10 Sacral Region and around Gluteal Region ·········································· 158§11 Genital Area and around Anus ························································· 158§12 Lower Extremity ··········································································· 160[1] Pain of the Leg ··············································································· 160
1) Dorsal Side of the Leg ····································································· 161
2) Inner Side of the Leg······································································· 161
3) Lateral Side of the Leg ···································································· 161
4) When the Localization of Pain is Too Wide or Indistinct ························ 161[2] Pain in the Hip Joint ········································································ 161[3] Pain in the Knee Joint ····································································· 162[4] Pain of the Foot ·············································································· 163§13 Pain of Malignant Tumor ································································ 163
Chapter 2 Acupuncture in Surgery, Orthopedics & Anesthesiology················· (165)§1 Acupuncture Related to Operation ····················································· 165[1] Acupuncture as Premedication ·························································· 165[2] Acupuncture for Postoperative Pain ··················································· 165[3] Acupuncture for Postoperative Paresis of Intestine ······························· 165[4] Aupuncture Anesthesia ···································································· 166§2 Acupuncture Therapy for Fresh Injury················································ 167

xviiixviii[1] General Fresh Injury (Wound, Fracture etc.) ······································· 167[2] Compression Fracture of Vertebra ····················································· 167§3 Refractory Fistula ··········································································· 168§4 Whiplash Syndrome ········································································ 168[1] Method of Treatment ······································································· 168[2] Effect and Process of Acupuncture Therapy ········································· 170[3] Acupoint Injection for Whiplash Syndrome ·········································· 171§5 Cervicobrachial Syndrome & Thoracic Outlet Syndrome ························ 171§6 Lumber & Back Pain ······································································· 171§7 Spinal Canal Stenosis ······································································ 172§8 Acupuncture Therapy for Articular Pain·············································· 172
Chapter 3 Diseases of Nervous System ····················································· (174)§1 Central Nervous System··································································· 174§2 Neuralgia ······················································································ 174[1] Trigeminal Neuralgia and Diseases with Similar Symptom···················· 174[2] Intercostal Neuralgia ······································································ 176[3] Sciatica ························································································· 176[4] Post-herpetic Neuralgia (PHN)·························································· 176[5] Diabetic Neuralgia ·········································································· 179§3 Motor Paralysis ·············································································· 179[1] Facial Nerve Paralysis ····································································· 179[2] Recurrent Nerve Paralysis ······························································· 181[3] Motor Paralysis of Extremities (According to Mr. AOYAGI’s oral teaching) ·· 182[4] Myasthenia Gravis·········································································· 183
Chapter 4 Acupuncture in Psychiatric Area ··············································· (184)§1 Depressive State ············································································· 184§2 Somatoform Disorder ······································································· 184
Chapter 5 Diseases of Digestive Organ & Metabolic Diseases ······················· (185)§1 Nausea and Vomiting······································································· 185§2 Hiccup··························································································· 185§3 Dehydrated Feeling of the Mouth ······················································· 186§4 Constipation··················································································· 186§5 Obesity ·························································································· 187[1] Method of Treatment ········································································ 187[2] Meal during Treatment ····································································· 188[3] Process of the Effect ········································································· 188[4] Attention by This Treatment ······························································ 188
Chapter 6 Diseases of Respiratory Organs ················································· (190)§1 Bronchial Asthma ··········································································· 190§2 Diseases with Asthma-like Symptom ·················································· 191
Chapter 7 Acupuncture in Gynecology ······················································ (192)

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§1 Dysmenorrhea ················································································ 192§2 Menopausal Disorder ······································································· 193§3 Emesis (Morning Sickness) ······························································· 193§4 Painless Delivery ············································································ 194
Chapter 8 Acupuncture in Dermatology ···················································· (195)§1 General Rule for Acupuncture for Dermal Disease ································ 195§2 Urticaria························································································ 196§3 Erosion around Artificial Anus··························································· 196§4 Fresh Herpes Zoster ········································································ 197[1] Method of treatment ········································································ 197[2] Meridian & Point Selection································································ 197[3] Effect of Acupuncture and the Course·················································· 198[4] Frequency and Length of Treatment ··················································· 199§5 Atopic Dermatitis ············································································ 199§6 Palmoplantar Pustulosis ·································································· 199
Chapter 9 Acupuncture for Complaints of Ear, Nose and Throat···················· (200)§1 Acupuncture for Disorder of the Ear ··················································· 200[1] Meridians and Points Related to Ear ·················································· 200[2] Pain of the Ear ··············································································· 201[3] Tinnitus, Dizziness, Hearing Loss ······················································ 201
A. Hearing Loss ················································································· 201
B. Tinnitus ······················································································· 202
C. Dizziness ······················································································ 203[4] Symptoms of the Nose ····································································· 203[5] Pollinosis······················································································· 204[6] Complaints of Pharyngo-Laryngeal Region·········································· 204
Chapter 10 Acupuncture in Ophthalmology ··············································· (206)§1 General Rule ·················································································· 206§2 Pain of the Eye ··············································································· 207§3 Diplopia························································································· 207§4 Ocular Hypertension ······································································· 207
Chapter 11 Acupuncture for Urinary Organ and Impotence ·························· (208)§1 Dysuria ························································································· 208§2 Urolithiasis ···················································································· 208§3 Impotence ······················································································ 208§4 IgA Nephropathy ············································································ 208
Chapter 12 Allergic or Autoimmune Disorders ··········································· (209)§1 General Rule ·················································································· 209§2 Bronchial Asthma ··········································································· 210§3 Pollinosis (Allergic Rhinitis and Conjunctivitis) ···································· 210§4 Chronic Urticaria ············································································ 212

xx§5 Atopic Dermatitis ············································································§6 Palmoplantar Pustulosis ··································································§7 IgA Nephropathy ············································································§8 Myasthenia Gravis ··········································································§9 Sjӧgren's Syndrome ·········································································§10 Fibromyalgia ················································································§11 Alopecia Areata ·············································································INDEX ····································································································

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1

PART 1INTRODUCTION― OUTLINE OF ACUPUNCTURE ―
Chapter 1 Principle and Characteristics of Acupuncture§ 1 Principle of Acupuncture
Acupuncture is a therapeutic method by which needles are inserted into certain
points of the skin to give suitable stimulation through the needles. Some of its
mechanism of effect is clearly explained by the Occidental methods as “GateControl Theory” or “Endorphin Theory” etc. But various effects of acupuncture are
not elucidated by these theories yet.
On the other hand, there are classic principles of acupuncture. From theviewpoint of Occidental Medicine, they may appear absurd because of lack of any
evidence. But by the acupuncture therapy, on the assumption that these principles
are true, extremely excellent effects, often better than Occidental Medicine, areobtained. I would like to admit the classic theories free from bias.
The principles are as described below:
1. There are “Meridians” in the body, and “KI(Jp.) (QI(Ch)) and “BLOOD” flow throughMeridians.
KI(QI) is something having its function but no shape. “BLOOD” flows throughbody (meridians) like blood, but it is not same as “Occidental concept of blood”).
2. When the flow of KI(QI) & BLOOD become unfavorable, the body becomes ill.
3. By insertion of needle to certain points to give some stimulation, the flow of
KI(QI) & BLOOD can be affected.
4. Ill body can be cured by stimulating some points with needle, which normalizes
the flow of KI(QI) & BLOOD.
5. There are two types of disorder in the flow of KI(QI) & BLOOD, namely Deficiency(lack of correct KI(QI)) and Excess (meridians are full of pathogen KI(QI)).
6. Methods of therapy is as follows:
Supplementation for Deficiency: To sapply correct KI(QI)
Draining for Excess: To remove pathogen KI(QI)
Those who are educated by Occidental Medicine may feel puzzled with the terms
and theories of acupuncture. But, at this stage, please accept the concept ofpredecessors humbly.

2
2

PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―§ 2 Merits and Demerits of Acupuncture[ 1 ] Merits of Acupuncture
The following merits of acupuncture are known.
1) Acupuncture is Simple and Easy to Perform, Less Invasive, and Quite Effective.
Acupuncture therapy can be practiced with a few needles and small dose of
disinfectant. Large instrument for sterilization of the utensils is not necessary, andby using disposable needles, the instrument for sterilization of the waste is notnecessary. Large space is not needed for treatment of one patient because necessary
instruments are not large. The only necessary special equipment is ventilator formoxibustion. For electro-acupuncture, a special instrument is necessary. But it is
not so big, and not so expensive. Everything needed to acupuncture is smaller insize and in expenditure. This is a marked merit of acupuncture therapy.
The pain due to needling puncture is unavoidable. Acupuncture needles, however,are so fine, that the pain is much less than that due to usual injection. Except
willful children or those who have excessive reflex like patients with cerebral
disorders, there is no problems to practice acupuncture therapy.
2) Effects Appear Promptly
Usually the effects come to light after one or two treatment, excepting for a few
cases such as motor paralysis or post-herpetic neuralgia and the like. The quickshowing of the effect will encourage patient to continue treatment.
3) Effective Therapy is Possible without Definite Diagnosis
In Occidental Medicine, radical treatment without definite diagnosis is
impossible. And there are some diseases that have no treatment method available
even though the name of disease is identified. In Oriental Medicine, the treatment
is performed according to the patient’s “Shou(Jp.)” (symptom complex in themeaning of Oriental Medicine). Thus, treatment can be performed as if the nameof the disease is not identified. Or rather, strategy of treatment is different fromthe diagnosis of the disease in the meaning of Occidental Medicine.
This fact does not mean “Treatment of Oriental medicine is only symptomatictherapy”. For example, for many kinds of cold or influenza, Kampo(Jp.) treatment
under correct Oriental diagnosis produces more delicate and better effect than
Occidental Medicine.
In Occidental Medicine, treatment of pain must be performed under strictly
correct diagnosis. Treatment of pain without diagnosis of disease is only asymptomatic therapy. Thereby diagnosis as well as treatment is often very difficult.
On the other hand, acupuncture therapy is performed according to the “Shou(Jp.)” of
the patient. For the patient with same “Shou”, same treatment is given
independent of the Occidental diagnosis. If the patient’s “Shou)” is different,
different treatment is given each, even if the Occidental diagnosis is same. Effects
are often superior to Occidental Medicine.

Chapter 1 Principle and Characteristics of Acupuncture33

Of course, diagnosis of “Shou(Jp.)” is always necessary, and it demands sometraining. But it is much easier and less expensive than Occidental training
This merit contains a kind of risk. What needs to be paid attention is that
acupuncture is very effective. Especially, acupuncture for pain sedation, most of
pain is sedated (often it vanishes). Then, the patient sometimes misunderstands
that the disease has cured.
Because of the excellent effect of acupuncture, there is another problem thatpatient's important symptoms can be buried, and it can mislead diagnosis. By
acupuncture therapy, we must never be content with the effect of acupuncture, but
we must make effort for definite diagnosis in the meaning of Occidental Medicine.
4) Broad Range of Indications
Pain or stiffness is good target for acupuncture. But there are plenty of otherdiseases and symptoms which can be cured more easily by acupuncture therapy,
sometimes more efficiently than Occidental Medicine.
5) Less Side Effects and Complications
Kampo medicine (Japanese herbal medicine) has less side effects than Occidental
medicine. Acupuncture has much less side effects than Kampo medicine.
Unavoidable pain by needling and fatigue due to too strong stimulation or bathing
after acupuncture or overwork on the next day of the treatment may trigger rather
unique minor side effect.
The complication that most frequently appears is subcutaneous bleeding.
Complete prevention of this “complication” is almost impossible. But it is rather
unusual, and it surely disappears at most in a few weeks. In my method,
treatment region is mainly peripheral parts of extremities. So, this complication
seldom causes cosmetic problem.
Other possible complications such as infection, pneumothorax, needle breakage orburn by moxa needle etc. are almost completely evadable by normal attention.
[ 2 ] Demerits of Acupuncture
There are, however, some demerits of acupuncture as described below.
1) Training is necessary
Training is indispensable in all the fields of medical practice. But acupuncture isa field out of the Occidental Medicine. So, for ordinary medical doctors or dentists
this training may be a big barrier.
2) Effects vary markedly according to the ability of the practitioner
It is quite reasonable to say that the effect of therapy by an unskilled practitioner
is not good. But the fact that “Unskilled practitioner hardly gives good effects”
seems much more evident by acupuncture than the result of surgical operationeven for early stage gastric cancer by unskilled surgeon.

44PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―3) Risk of delaying or misleading diagnosis
Effects of acupuncture are often quite excellent at removing pains or othercomplaints of patients, so that the patient miscomprehend to the degree that thecausative disease is completely cured by acupuncture. And the patient sometimes
discontinues necessary therapy. “Excellent effects” can hide important symptoms,
and correct diagnosis can be delayed or misled by excellent effect of acupuncture.
4) Adverse reaction to needle puncture
Pain of needle insertion is inevitable though it is usually much lighter than theusual injection pain. There are some methods of painless acupuncture. But somepatients feel “needle puncture” just like surgical operation. In such a case, just givethe patient finger pressure to the relevant acupuncture point, which is fairly
painful. Then tell the patient that acupuncture is less painful than the finger
pressure, which often persuade patients successfully5) Low economic efficiency
Usually practicing acupuncture therapy takes time. To treat many patients, aspacious room is necessary. When doctors or dentists practice acupuncture bythemselves, these factors may be the greatest barrier.

1212PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―

Chapter 4 Meridian and Acupuncture Point§ 1 Meridian & Acupuncture Point (Acupoint or Point)
On the human body surface, there are many particular points connected withORGANs. These points are called “Tsubo(Jp.)” or Acupuncture Point or Point or
Acupoint. There are points, resembling each other to form a group. Connecting
those points of similar character, some line, like a meridian, is observed on thesurface of the body. By needle insertion or stimulation, occasionally some unusual
sensation appears. When some medicine is injected at a point, sometimes thepatient feels as if something flows along the meridian. This kind of sensation is called“Meridian Phenomenon”. The concept of “Meridian” may originate in such experiences.
According to the classic literatures, there are some groups of meridians in thebody, through which KI(JP.)(QI(CH.)) and Ketsu(Jp.) (BLOOD) flow. When their flow issmooth, the body is healthy, whereas when it becomes irregular, the body gets ill.
Someone said that there was a person who could see meridians on the surface of the
body. However, nobody could prove the presence of meridians on solid scientific evidences.
Any acupuncture practitioners scarcely neglect the acupuncture points. Yet there
are acupuncturists who doubt the existence of meridians, and they practiceacupuncture ignoring meridians.
Among those who believe the existence of meridians, their opinions are various.
Someone says that the meridian may be the blood vessel, others say that it may be
the lymph duct. The manner of spreading of meridian phenomenon or its
spreading speed suggest me that the meridian is a kind of pathway of very finenon-myelinated nerve fiber. Anyway, none of those stories have sufficient scientificevidence. It is, however, undoubted fact that acupuncture therapy under theclassic meridian theory produces excellent effects, sometimes much better than
Occidental Medicine. It may be the best way to accept the classic theory as it is.
Many textbooks on acupuncture say that “The meridian connects with some
ORGAN”. “Connect with something” may be analogous to the meaning of the term of“control of the nerve” by anatomy in Occidental Medicine. That is, “to distribute tosome organ and to influence on the function of the organ”. ORGAN is not the same as
the anatomical organ. They can be completely different. In Chinese books, pathwaysof meridians are represented like “general chart” and distribute to the anatomicalorgans of the same name of ORGANs. It sounds unreasonable to me, though the ideathat “meridians exists not only on the surface of the body but also in the deep part ofthe body” can be agreed. Indeed, the real meridians may exist in the deep part of thebody, and the meridians of body surface may be just their projection.
Even very shallow acupuncture is almost always effective. Injection toacupuncture point creates a sensation of flow along the correspondent meridian.
From these facts, functional activity of points of body surface is evident. But“getting KI(JP.)(QI(Ch.))”(explained later) is felt better rather by deeper insertion. This

Chapter 4 Meridian and Acupuncture Point

13

fact may suggest that the real meridians are situated not on the body surface but
deep in the body, and the points of the body surface may be the connecting points
with the corresponding meridians.
The relation between the ORGAN and the acupuncture point is: according to thelate Dr. MANAKA, similar to the relation between a country and its embassy or
consulate. It is a quite excellent metaphor.
Meridians (and collaterals) are composed of 12 pairs of main meridians and 8
extra meridians. (There are other analogous pathways called “muscle meridian” or“divergent meridian”. But as I have no chance to use them, these meridians are notdescribed in this book.)
Main meridians are where “K(Jp.I(QI(Ch.)) and Ketsu(Jp.)(BLOOD) flow through likewater flows though the river, whereas extra meridians play a role of flood
retarding basin or marsh or lake to support the smooth flow of the river. Amongthe extra meridians, GOVERNOR VESSEL (GV) and CONCEPTION VESSEL (CV) havetheir own acupuncture points, and they are regarded to be specifically important.
Accordingly, 12 pairs of main meridians, together with these two important extra
meridians, are called “Fourteen Meridians”.
In my practice, extra meridians are not so frequently used except GOVERNORVESSEL (GV) and CONCEPTION VESSEL (CV), although many acupuncturists use
those extra meridians as important acupuncture points. It may be better to use
those extra meridians as well. But it is also true that without the use of those extra
meridians, excellent effects are obtained in wide range.
Each meridian has its own name. Meridians
are called by the name of IN (Jp.)(YIN(Ch.)) or YO-U
(Jp.) (YANG(Ch.)) ORGAN which corresponds to themeridian. Each meridian has its character ofIN (YIN) or YO-U (YANG). Meridian which has
Yo-u(Yang)
name of IN (YIN) ORGAN is IN(YIN) meridian,and meridian which has name of YO-U (YANG)
ORGAN is YO-U (YANG) meridian. YO-U(YANG)
meridians (except STOMACH Meridian) pass
IN (YIN)through the area on which the sun shines,
namely the back side of the trunk, the extensor
Fig.5 Concept of IN(YIN) and YO-U(YANG)
side of upper extremities and back-and-out sideof the lower extremities, whereas IN(YIN)
meridians pass through shadow part, namely the abdominal side of the trunk, theflexor side of the upper extremities and the inner side of the lower extremities (Fig.5).
The character “IN(YIN)” and “YO-U(YANG)” of meridians is very important by
acupuncture treatment (it will be mentioned later).
ORGAN and organ is, as if the name is the same, hardly considered to be equal
because their function is often extremely different like SPLEEN and spleen.

14PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―However, the name of the meridians is convenient to estimate the character IN(Jp.)
or YO-U(Jp.) of the meridian. Meridians (also ORGANs) which have the name ofparenchymatous organs (except PERICARDIUM and HEART) are IN(YIN) meridiansor ORGANs, and that of hollow organs are YO-U(YANG) meridians or ORGANs.

§ 2 Flow of KI(Jp.) (QI(Ch.)) and Ketsu(Jp.) (BLOOD) in the Meridian
The meridian is considered to start as LUNG Meridian which rises from
“Chuushou(Jp.)” (MIDDLE ENERGIZER), located near CV12, which is situated at the
middle of xiphoid process and the navel. LUNG Meridian starts from Chuushou(Jp.)
and, via LARGE INTESTINE → entrance of STOMACH → diaphragm → LUNG →front of the shoulder joint → radial side of the upper extremity → the end of thethumb, and links with LARGE INTESTINE Meridian. LARGE INTESTINE Meridian
links with STOMACH meridian, and then the meridian’s flow with the following
order: →SPLEEN Meridian, → HEART Meridian → SMALL INTESTINE Meridian→ BLADDER Meridian → KIDNEY Meridian → PERICARDIUM Meridian →TRIPLE ENERGIZER Meridian → GALLBLADDER Meridian → LIVER Meridian.
After that, it goes back to LUNG Meridian. KI((Jp.)QI(Ch.)) and BLOOD are consideredto circulate in this order through meridian. Direction of this flow is very
important for the acupuncture treatment. Putting it simply, the direction of flow ofIN(Jp.)(YIN(Ch.)) meridians is upward and that of YO-U(Jp.) (YANG(Ch.)) meridian
downward. It is very simple. But beginners often misunderstand the flow in theupper extremity. “Up” or “down” is meant by holding-up style (Fig.6).
Up

Up

Down

Down

Down

Up

Down

Fig.6 Direction of Flow “IN up, YO-U down”

The direction of extra meridians is not clear. The direction of GOVERNOR VESSEL
and CONCEPTION VESSEL, the routes of which are vertical, is obscure even inclassic literature. Under the hypothesis that “the function of extra meridians islike marsh or lake”, it may be rather reasonable that the direction of flow in extra
meridians is not defined.

Chapter 4 Meridian and Acupuncture Point

15§ 3 Fourteen Meridians and Acupuncture Therapy
In many classic books, including Reisuu(Jp.) （霊枢）, detailed description of
meridians are given (Hereafter,the meridians of this sort are reffered to “classic
meridian”). Routes of classic meridians are different from those in general
meridian charts (Fig.1). The difference between classic literatures and generalcharts are as shown below.
1) In the general charts, the routes in the deep part of the body are not shown.
2) The meridians in the classic literatures have branches. In the general charts,
only STOMACH(ST) Meridian and BLADDER(BL) Meridian have branches andothers do not. Moreover, in some meridians of the general charts, some parts(sometimes whole !) of the chief meridians are omitted.
3) Some routes of classic literature extend further beyond the end of the meridianof the general charts.
4) Routes of meridians of classic literature and those of the general charts are notalways the same.
Some of classic meridians have highly complicated routes. The beginners, forexample, may not comprehended the classic routes of GALLBLADDER Meridia at
one glance.
Many cases can be treated according to the general chart with excellent effects. In
many cases, however, better effects are obtained by the treatment following theclassic literature. Therefore, in this book, routes of both of general chart and classic
literature are given. The relation to acupuncture therapy are explained in detail.

[ 1 ] LUNG Meridian (LU)
Outline of the Meridian
LUNG Meridian (LU) starts at the upper abdominal area, and via LARGEINTESTINE → entrance of STOMACH → diaphragm → LUNG → front of theshoulder joint → radial side of the upper extremity. From here it arrives atthe end of the thumb where it connects with LARGE INTESTINE Meridian.
Details of the Routes
LUNG Meridian starts at Chuushou(Jp.) (MIDDLE ENERGIZER), which is at the
middle of the area between xiphoid process and navel. It goes down to LARGEINTESTINE (LI), turns back to the entrance of STOMACH, passes through thediaphragm and belongs to LUNG, then it comes out in front of the shoulder joint.
From here, it goes along the radial side of the flexor side of upper extremity, andreaches the end of the thumb. One branch separates at LU7, which goes to the endof the index finger, connecting with LARGE INTESTINE Meridian there.
In the general charts, only the route from LU1 to the end of the thumb is shown.

16

PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―

LU2
●

LU

UE: UPPER ENERGIZER UE
ME: MIDDLE ENERGIZER ME
LE: LOWER ENERGIZER LE

LU1

ST
LI

Fig.7 LUNG Meridian (LU)

LUNG Meridian and Acupuncture Therapy
Points of LUNG Meridian are used for the following cases with good effects.
1) Treatment of the complaints of shoulder joint
Many patients suffering from shoulder pain have complaints at the front of theshoulder joint where LUNG Meridian passes. Most cases need treatment of LUNG
Meridian.
2) Treatment of complaints of the lung
LUNG Meridian belongs to LUNG. The word “belong to” is used in the same
meaning of “connect with”. LUNG and anatomical lung are not exactly the same,
though the function of LUNG is partially similar to that of lung. Treatment of thepoints of LUNG Meridian is usually effective for toss, asthma or dyspnea and thelike.
3) Treatment of constipation or diarrhea
LUNG Meridian belongs to LARGE INTESTINE. For the treatment of constipation
or diarrhea, points of LARGE INTESTINE Meridian (LI) are usually used. But thetreatment on the points of LUNG Meridian is sometimes effective.
4) Treatment of dermal diseases“Skin and hair belong to LUNG” is a unique concept of Oriental Medicine.
Actually, treatment of LUNG Meridian is often surprisingly effective for thedermal diseases such as itching, urticaria, atopic dermatitis or palmoplantar
pustulosis and the like.

28
28

PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―[ 8 ] KIDNEY Meridian (KI)
Outline of the Meridian
KIDNEY Meridian starts from under the little toe, and goes via center of the soleof foot, the medial side of the heel, and the medial side of the leg to coccygeal
region. Then changing the course to abdominal side of the body, it goes up parallelto the centerline of the anterior body to pass through the bronchus, the throat,and then finally reaches the route of the tongue.
Details of the routes
KIDNEY Meridian starts from under the little toe, and going through the center ofthe sole, under the scaphoid bone, the medial side of the heel, the medial side ofthe leg (at SP6 it connects with SPLEEN Meridian and LIVER Meridian), arrives atcoccygeal region where it connects with GOVERNOR VESSEL (GV). Then themeridian changes the course to abdominal side, to appear at the upper edge of the
pubic bone (KI11). Thereafter it goes up in parallel to the ventral center line of the
body (width of one or half a thumb apart from the centerline of the body). The
meridian connects with KIDNEY at the height of the navel, then goes down andconnects with BLADDER. The other meridian passes LIVER and diaphragm, goes up
to LUNG, and arrives at the root of the tongue (end of CONCEPTION VESSEL) via thebronchus and throat. A branch divides from LUNG, which connects with HEART andflows into the chest.
Marked differences are seen in the pathway and points of KIDNEY Meridian between
different literatures, especially in the route between KI2 and KI7.
In general charts, the pathway is shown: KI2 → KI3 → KI4 → KI5 → KI6 → KI7,
drawing a loop. There are another type of the route which does not make loop-shaped
pathway (SAWADA’s chart or Ruikei-zuyoku(Jp.) 類経図翼(Illustrated Appendices to theCategories). According to my experience of acupoint injection, the route of generalcharts seems more reasonable. In PART1 Chapter 4 § 3 of this book, both, generalcharts and SAWADA’s chart, are given. As regards the pathway of this meridian andlocation of points, there are many different opinions. This may be due to individual
difference of human body. But I cannot abandon the idea that the shape of KIDNEY
Meridian is not linear but band shaped in this area.
General charts are different from classic chart as described below.
In general charts:
1) The meridian starts from the center of the sole.
2) The chief meridian ends at around the medial end of the clavicle, and the routeto the throat and the tongue is absent.
3) The route that connects with KIDNEY and BLADDER is absent.
4) A branch starting from LUNG, going to HEART, and flows into the chest is absent.

Chapter 4 Meridian and Acupuncture Point

HT

29

LU

LR
KI
BL

Classic Route(around ankle is due to SAWADA’s chart)

General chart around the Ankle

Fig.14 KIDNEY Meridian

KIDNEY Meridian and Acupuncture Therapy
In my practice, the most basic principle of meridian selection is to selectmeridians that pass the place of complaints. KIDNEY Meridian is often selected on
the different principles.
Points of KIDNEY Meridian are used in the following cases.
1) Treatment of the complaints at the medial and back side of leg and thecomplaints at the abdomen or the anterior chest2) Treatment of pain around anus
CV20 is mostly used for the anal pain treatment. However, as the anal region isnear to the coccygeal bone, the points of KIDNEY Meridian are often tried for anal
pain with fairly good effect.

30
30PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―3) Treatment of bronchial asthma
Many patients with asthmatic attack suffer from strong discomfort at sternal
region &/or throat where KIDNEY Meridian passes. According to the classic
literatures, KIDNEY Meridian enters into LUNG. Furthermore, Oriental Medicine
regards asthma as the disorder of WATER. KIDNEY is the ORGAN that controls
WATER. Thus the treatment of KIDNEY Meridian for bronchial asthma may bequite reasonable. Actually, it always gives excellent effects.
Relation among KIDNEY and immunity and allergy will be explained later.
4) Treatment of pain or abnormal sensation of the throat5) Treatment of hoarseness6) Treatment of dysphagia4)～6) is based on the classic literatures which says that KIDNEY Meridian
passes through throat and arrives at the root of the tongue. Sometimes auricularacupuncture is also performed along with body acupuncture.
7) Treatment of the urogenital organs
According to the classic literatures, this meridian connects with KIDNEY and
BLADDER. The points on KIDNEY Meridian are used for the treatment of pain or
urinal disorders due to diseases of prostate, cystitis or dysmenorrhea. They areoften used along with SPLEEN Meridian &/or LIVER Meridian.
8) Treatment of tinnitus or vertigo
Classic literature says “KIDNEY controls the Ear.”, and that these symptoms are
due to disorder of WATER. Following based on this concept, points of KIDNEY
Meridian are used even though this meridian does not pass the ear. Often thismeridian is used along with other meridians &/or auricular acupuncture.
9) Treatment of disorders of the bone
Classic literature says “KIDNEY controls bone”. Accordingly, points of KIDNEY
Meridian are used for the treatment of disorders related to the bone disease in
my practice.
10) Treatment of allergic disease (This will be mentioned in PART6 §12).
I do not believe that KIDNEY and kidney are the same. According to thedescription of classic literatures, function of KIDNEY is almost the same as thatof the system of hypothalamus-adrenal body-gonads, especially adrenal body. In
that sense, in my practice, the points on KIDNEY Meridian are always used forallergic diseases or autoimmune disease for which steroid hormones are used,and excellent effects are always obtained. The effect for bronchial asthma may
contain this factor. For the disorders of the joint, the points on KIDNEY Meridian
are used in the same reason.

44
44PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―§ 4 Acupuncture Point (Acupoint)[ 1 ] What is Acupuncture Point?
“Toothache suddenly reduced by applying finger pressure at a point between the
thumb and the index finger!”That kind of experiences may not be rare. Like this case, there are points thatcause some reaction in the body by some stimulation. Such points are called“acupuncture point” or “acupoint” or simply “point” (in Japanese “Tsubo”). Eachpoint is well known to have close relation with certain part of the body. By
connecting points with similar character, a line is drawn on the surface of the skin.
The concept “meridian” must be formed by the insight into such phenomena.
Certainly, acupuncture points are not only the window of organs but also thewindow of meridians.
Strategy of point selection for treatment is quite different by each school, and byeach practitioner. If a beginner wants to investigate a point for some disease, themore he read books, the more he will be confused.
There are many hypotheses about the structure of the point, but theory about it
has not been established yet. There is no doubt that acupuncture points actuallyexist. Points may have some construction. But I have some doubt if acupuncture
point would have definite structure, because point seems to move.
In ancient China, there was “Copper-man (Fig.22)”. It is a doll made of copper
punched small pits at the acupuncture points. It was used by qualifying
examination of acupuncturist, being covered with wax and filled with water inside.
That must be on the promise that acupuncture points are immobile.

Fig.22 Copper-man(Photographed by the author at Palace Museum in Beijing)Chapter 4 Meridian and Acupuncture Point45

On the other hand, there is Japanese saying “Sanri sara hitotsu”. “Sanri” is ST36,“sara” is dish (here it means patella) “hitotsu” is one. Namely, this phrase meansthat the location of Leg-SanriST36 is not definite but it is situated (or moves) in therange of size of patella. There is a difference of opinion if the position of points isfixed or not. But many professional acupuncturists actually feel that position ofacupuncture points is not fixed but varies subtly by person to person, every othertime. Someone says that “point of fishing” is not only different for each fish, but not
the same according to weather or condition of tide, even for the same fish.
Assuming that acupuncture point has both morphological and functional aspects,
this phenomenon may be easily understood.
It is said that international agreement of the position of acupuncture point isgroped under the leadership of WHO. But, as it will be mentioned later, there isindividual difference in the position of acupuncture points, and even in the same
person, the position is not always constant. Therefore, it may become irrelevant
when the position of points are rigidly followed to the description of textbook. The
position of points in meridian chart is better to be regarded as rough standard.
Meridians (and acupuncture points) have connection with ORGANs? or organs?
ORGANs of Oriental Medicine and organ of Occidental Medicine are evidently not
the same. But acupuncture influences both ORGAN and organ. So, it may be betterto take this phenomenon that meridians (and acupuncture points) are connectedwith both morphological organs and functional ORGANs.
[ 2 ] Name of Points and Their Notation (c.f. pⅸ)
In a classic literature of about 2000years ago, 138 names of points are described.
After various transitions, about 1000 years ago, present 361 names are
established9)
As acupuncture therapy extends out of Chinese letter area, translated naming
appeared in each region, and same point became to bear various names. The
People’s Republic China proposed to unify the name into modern Chinese name.
But no matter who thinks over, it is quite unreasonable. First of all, Chinese
Roman transcription (Ping-in), as well as pronunciation and accent, is extremely
difficult. Probably nobody, except Chinese, can read “Hegu（合谷）” as “huukuuu”,
and this pronunciation is also completely different from Chinese itself.
WHO made plan to enact universal name of acupuncture points. Tentative plan
was agreed, for the moment, in 1982 at the conference in Manila, and finally it was
decided in 1989 at the conference in Geneva.
That is: as the name of meridians, two letters are chosen from the English nameof meridian written in capital letters, and after the meridian name, number ofpoints which are given following the order of the meridian’s flow. (STOMACH
Meridian and BLADDER Meridian are exceptional because they have two lines).
Thus the points are quite obvious by this code number. In this book, names ofpoints are always shown by this WHO code number (code name).

48
48

PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―same, and there are also various other opinions about the position. But, from thestandpoint of view that the position of points should be regarded to be roughstandard, the difference may be negligible

1. Points of LUNG Meridian (LU) (Fig.24)
LU55（尺澤）(ᑻ⃝㸧
㸸Ch’ih-Tze,：Ch’ih-Tze,Short-narrow
Short-narrowmarsh
marsh
(Jp.)
(aboutThis point is situated on the flexor side line of the elbow joint, 0.5 Sun(Jp.)
of thethe little
littlefinger
fingerbreadth)breadth)fromfromthetheradialradialend
endofof
the
line.
This
point
the nail of
the
line.
This
point
is
important as the standard point of B-cun.
(ኴῡ)㸸Tai-Yuen,
Great
gulf
：Tai-Yuen,
Great
gulf
LU99（太淵）This point is situated on the line of the hand joint, above the radial artery. This
point is important as the standard point of. B-cun(Ꮝ᭱)㸸K’ung-Tzuei,
Supremecave
LU66（孔最）：K’ung-Tzuei,
Supremecave(Ch.)) 5.5
(Ch.)
andLU
LU
7Sun(Cun(Cun
This point isis situatedsituated onon thethelinelinebetween
betweenLU
LU) from
5 5and9,9,7Sun
Sun(Cun)from LUfrom
2/59,near
LU
mostisconvenient
for moxa
9, at LU
9. ThisLU
at 2/5near
LU5point. Thisispoint
most convenientfor5, 5.5 Sun(Cun)needletreatment.
moxa needle treatment.
(ิ⨃): Lieh-Ch’ƈeh,
Extremeshortcoming
LU77（列缺）:Lieh-Ch’ūeh,
ExtremeshortcomingThis point is situated on the line between LU55 and LU99, 2.5 Sun(Cun) (about 2fb.) from LU99, at 1/8 near LU99.
㸦⥂Ὼ㸧㸸Ching-Ch’ó, Meridian gutter：Ching-Ch’ū,
LU88（經渠）This point is situated between LU77 and LU99, at 1/3 near LU77.
LU

LU55

Width ofof nailnail ofof little
little finger
finger inside
inside fromfrom
(Widththe endend ofof lineline byby strongly
strongly bended
bended elbow)
elbow)
the5.5 Sun (Over 7 fb.)

2/
5
7/
8

3/
5

LU66
7 Sun (over 9 fb.)

1/ 1
8 2

LU77
LU
LU88
LU
LU
U
99

Fig.24 Points of LUNG MeridianChapter 4 Meridian and Acupuncture Point

49
49

Attention: When seeking the points, the position of the arm should be at cardinal
position, namely with stretched elbow joint and the palm upwards. By pronation,
the position of points changes so much. (Fig.25）

Cardinal Position

Pronated Position

Fig.25 Deviation of Points of IN(Jp.)(YIN(Ch.)) Meridians by Pronation

2. Points of LARGE INTESTINE Meridian (LI)
LI3（三間）： San-Chien, Three intervals
This point is situated at the boundary of the head and the diaphysis of the 2nd
metacarpus.
LI4（合谷）：Ho-Ku, Connecting valleys
This point is situated near the proximal end of the 2nd metacarpus.
：Yang-Hsi, Sunny stream
LI5（陽谿）This point is situated on the hand joint, between the tendon of long & shortmuscle of the thumb. This point is important as the standard point of B-cun.
LI7（温溜）：Wen-Liu, Warm stagnant
This point is situated on the line between LI5 and LI11, at the middle point
between them.
LI10（手三里）：San-Li, Three liThis point is situated on the line between LI5 and LI11, 2 Sun(Jp.) (Cun(Ch.)) (about
2.5 fb.) apart from LU11.

50

50 PART 1 INTRODUCTION ― OUTLINE OF ACUPUNCTURE ―50
LU11（曲池）：Ch’ū－Ch’ih. , Bent pond
This
point
is situated at, Bent
the radial
LU11（曲池）：Ch’ū－Ch’ih.
pond end of the line which appears when the
elbow
joint isis situatedstrongly at
bent.
point
as theappears
standardwhen
pointtheofThis point
theThisradialendisofimportantthe line which
B-cun
elbow joint is strongly bent. This point is important as the standard point of

B-cun

LI3
LI3
LI5
LI5

LI4
LI4

6 Sun (About 8 fb.)
6 Sun (About 8 fb.)
LI7
LI7

LI10
LI
LI10
11 (End of the crease when elbow is strongly bent)of the crease
when elbow is strongly bent)
LI11 I(End
Fig.26 Points of LARGENTESTINE
MeridianFig.26 points,
Pointstheof Lposition
ARGE INTESTINE
Meridian
Attention: When seekingof the forearm
should be at cardinal
position.
pronation,
thepoints,
positionthe points
at theforearmchanges
Attention:ByWhen
seeking
theofpositionof theforearmshouldbe atmarkedly
cardinal(Fig.27).
In
order
to
locate
LI
and
LI
,
it
is
better
to
mark
LI
and
LImarkedly
710
511, in theposition. By pronation, the positionof thepoints at the forearm changes
cardinal
arm LI
beforelocating.
(Fig.27). position
In orderoftothe
locate7 and LI10, it is better to mark LI5 and LI11, in the

cardinal position of the arm before locating.

Cardinal Position

Pronated Position

Cardinal Position

Pronated Position

Fig.27 Deviation of Points of YO-U(YANG) Meridians by Pronation
Fig.27 Deviation of Points of YO-U(YANG) Meridians by Pronation

86PART 3
MANAGEMENT OF NEEDLEAND

STIMULATION & SUPPLEMENTATION-DRAINING
Chapter 1 Management of Needle§ 1 Position and Posture by Acupuncture[ 1 ] Position of the Patient
Theoretically acupuncture can be performed in any position, i.e. sitting-, spine- or
prone position. In my practice, points on the back are not used except withacupoint injection, and spine position is mostly used. Sitting position is used only
by intradermal needle or thumbtack needle treatment and acupoint injection.
Some say that spine position of the patient affects tonus of the autonomic nervous
system. But according to my experiences of treatment for bronchial asthma,treatment in spine position gives always excellent effects. So, in acupuncture, thestate of autonomic nervous system seems not to be affected by the position ofpatient so much.
Some patients cannot take supine position. If the reason is pain, he/she can easily
take supine position after the treatment of acupoint injection. For the patient who
cannot take spine position at any cost, treatment with electro-acupuncture ormoxa needle is difficult. They must be treated with other method such as acupoint
injection or intradermal acupuncture or thumbtack needle.
[ 2 ] Position of the Leg
Acupuncture on the legs &/or feet can be performed also by spine position.
However, this position is sometimes inconvenient for the simultaneous treatment
on the arms &/or hands. The best position for the treatment of the legs &/or feet isspine position with knee-flexion using soft pillow (Fig.45).
In this position, sometimes legs of the patient show extreme external rotation andthe treatment of BLADDER Meridian becomes difficult. For this case, supportermade of elastic bandage is very useful (Fig.46). This supporter must be made ofsoft material.
In extreme equinus foot, treatment of BL60 is difficult. If correction is difficult, it isbetter to select other points.

Chapter 1 Management of Needle

87
87

Fig.45 Position of Leg by Acupuncture Fig.46 Prevention of External Rotation[ 3 ] Position of the Arm
For the treatment of the arm, the position must be placed convenient for needlingand also the position must be kept during the treatment. If the treatment islimited only for IN(JP.) (YIN(Ch.)) meridians, extended (palm up) position is adequate.
After needling, the patient's arm often pronates slightly, but it is almost harmless.
If the patient cannot keep extended position, soft pillow under the hand joint(Fig.47) is useful.

Fig.47 Prevention of Extreme Ppronation of Arm

For the treatment of both IN(JP)(YIN(Ch)) and YO-U(JP)(YANG(Ch)) meridians
simultaneously (this treatment is fairly difficult), recommended position of thearm is “styloid process of ulna on the iliac spine”. Sometimes marking is necessary(mentioned later). If this position is difficult for the patient, soft pillow under the
elbow joint is useful (Fig.48).

Fig.48 Position of Arm by Treatment of YO-U(YANG)-&-IN(YIN) Meridians

88PART 3 MANAGEMENT OF NEEDLE AND STIMULATION & SUPPLEMENTATION-DRAINING

But, usually, in these positions, forearm of the patient is kept in somewhat
pronated position. In the pronated forearm, meridians shift to ulnar side. It is not
negligible. To locate correct points, the best way is to put guiding mark of meridianin cardinal position (Fig.49).
As the standard point, the following points are useful.
Large Intestine Meridian (LI): LI6 & LI11 or LI7
Triple Energizer Meridian (TE): TE4 & TE6 (Fig.49)
Small Intestine Meridian (SI): SI5 or SI6 & SI8
FOR SMALL INTESTINE Meridian, marking is usually not necessary except for SI7.
Marking is made in cardinal position of the arm. Namely, from extended forearmin palm up position, then to bend elbow 900 as it is (Fig.49), and marking is madeat that position.

TE4

TE5
TE6

Cardinal Position

Pronated Position

Fig.49 Guiding Mark of TRIPLE ENERGIZER Meridian[ 4 ] Position of Practitioner
For the needling of the arm or the hand, operator had better stand or sit down at
the side of puncture. For the leg or the foot, the best position is between the legs ofthe patient. Sitting position (on the movable chair, if possible) is recommended.

Chapter 1 Management of Needle

8989§ 2 Management of Filiform Needle
Needling is usually performed as following process. Needless to say that it is very
important to wash hands and to keep hands as clean as possible before needling.
① Massage of the needle insertion site (Preliminary Massage).
② Disinfection of the needle insertion site.
③ Putting the needle at the point and stick the needle into the skin (Skin
Cutting).
④ Insert the needle to the necessary depth (Insertion).
The method of needle insertion is different in Japan and in China. Even in Japan,
the method is not unified, and from my viewpoint as a surgeon, there are someproblems on the disinfection or aseptic technique.
There are good textbooks for the practical skill of acupuncture 19) 20). But, in thisbook, only my method is described.
[ 1 ] Preliminary Massage
This is to seek point with fingertip (usually index finger) and to massage thesurroundings of the point. With this handling, needling pain can be minimized.
This technique is also useful in usual injection.
[ 2 ] Disinfection
Skin around the point should be disinfected about 3 to 4 cm in diameter. This is toprevent needle tip from contamination, as if the tip touched the neighboring skin.
Some patients have very dirty skin. For such cases, “cleaning the skin before
disinfection” is very important.
70% ethyl alcohol is practically enough useful as for usual injection. Managementof disinfectant is same as usual injection. One swab should be used at most for twoparts. Disinfected parts must not be touched with practitioner’s finger.
Most part of the skin of the auricle adheres to cartilage. Cartilage is susceptible toinfection. So, disinfection and aseptic technique must be performed with extremecare. In auricular acupuncture, disinfection should be strict as surgical operation.
Usually, after careful cleaning with alcohol swab, disinfection with povidone-iodine
is given without bleaching with hypo-ethanol.
Joint and/or tendon sheath or synovial bursa is also susceptible to infection. In
such places, also strict attention is necessary.
[ 3 ] Skin Cutting and Needle Insertion
A. Needle Tube Method (Fig.51)
Horny layer of the skin is most resistant against needle penetration. To overcome
this barrier, SUGIYAMA Waichi, a Japanese acupuncturist in the Edo period,
invented needle tube method. This method is to insert needle through fine guidetube, so as to let the needle easily pass the strong horny layer. This guide tube iscalled “Needle Tube”.

90PART 3 MANAGEMENT OF NEEDLE AND STIMULATION & SUPPLEMENTATION-DRAINING

Originally modern needle tube is made of metal, and its management is not soeasy. Recently, however, disposable needle attached to sterilized plastic needle tube
is widely used. From the viewpoint of aseptic technique, disposable needle of thistype is evidently better than conventional metal tube. So, in this book, only themethod with this type of disposable needle is explained.
There are two types of disposable needle with needle tube. One is the tube withvisible stopper, and the other is the tube with invisible function of stopper. The
latter seems more convenient, but the technique to remove the function of stopper
is sometimes comparatively difficult. Occasionally the function of stopper loosens,
and freely moving needle tip breaks the package. In this type of the needle,
attention must be paid in the function of the stopper. If function of the stopper is
not intact, the needle must be scrapped because microscopic pinhole is hardly
visible.
Principle of Needle Tube

Original Type of Needle Tube

Disposable Needle with Stopper

Stopper

NeedlePlastic Needle Tube
Disposable Needle without Stopper

Disposable Needle with Sterilized Plastic Needle Tube

Fig.50 Needle Tube

The process of skin cutting is as described below.
① Hold the needle tube with the thumb and the index finger of the left hand, andfit the tip on the point. (① of Fig.51)② Loosen the stopper or stopper-function of the needle tube with right hand. (②)③ Fix the direction of the tube according to supplementation or draining. (③Chapter 1 Management of Needle

91
91④ Tap the top of handle of the needle with right index finger. (④)(This work is called “skin cutting”.)⑤ Remove the needle tube with the right hand and hold the needle body with theleft thumb & index finger at the part near handle of the needle, in order not totouch the part to be inserted into the body. (⑤)⑥ Insert needle under collaboration of the right-&-left hand. (⑥)
①
②
③
④

⑤

⑥

⑦

Needle is inserted.

Fig.51 Skin Cutting and Needle Insertion with Needle Tube

B. Insertion without Needle Tube (Fig.53)
・Chinese acupuncture needle has a knot at the tip of the handle. So needle tube
cannot be used.
・Using needle tube, exact hitting is difficult at extremely small point.
・When some hindrances (such as blood vessel etc.) exist under the point, or
extreme attention must be paid to avoid contamination by needling.
In such cases, application of needle tube method is difficult or impossible, andneedle insertion without needle tube is necessary.
The most important point “to insert needle without needle tube” is “not to touchfingers at needle body that will be inserted into the body”.
My method is as described below.
① Hold the handle of needle with the right thumb and index finger, and put theaneedle tip at the aimed point. ○② Pinch the needle body with the left thumb-&-index fingers. The part to pinch
needle should not have possibility of entering into the body during treatment.
Direction of needle is kept with the left fingers according to the purpose ofb
supplementation or draining. 〇92PART 3 MANAGEMENT OF NEEDLE AND STIMULATION & SUPPLEMENTATION-DRAINING③ Softly push the needle with the left fingers so as not to bend the needle, andsimultaneously push the handle of the needle softly twisting with the rightfingers, and penetrate the horned layer.
ⓐⓑ

Fig.52 Skin Cutting without Needle Tube

The merit of this method is practicability of smooth transitional penetration into
the skin. It seems difficult to perform, but it can be performed with some practice.
The demerit of this method is a little stronger pain than needle tube method.
Usually it is tolerable. But for patients who have strong reflex, this method is often
difficult to use.
Short needles less than 30mm can be easily used with this technique with theright hand only.
[ 4 ] Penetrating Needle into the Skin
This is a technique to let the needle tip arrive at the necessary depth. This
technique is indispensable for acupuncture, and it is very important to acquire
proficiency in this technique. Next 3 factors must be paid good attention.
1. Correct direction of the needle.
2. Finger should not touch the needle body where the needle enters the skin.
3. Send the needle tip at the proper depth.
A. Direction of the Needle
The direction of needle insertion is decided according to Deficiency or Excess ofthe meridian. For supplementation of the meridian, the direction is along the flowof the meridian, and for draining of the meridian, the direction is against the flowof the meridian. This relation is called “Geizui(Jp) (along or against the direction of
the flow of the meridian)”. For correct selection of this relation, it is the mostimportant to keep needle in correct direction at skin cutting.
Sometimes “to keep correct direction of needle tube” is difficult because of thelength of the tube. Then “Insertion without Needle Tube” must be used.
That is: after putting the needle tip at the point, the needle is given suitable curveso as to keep the needle “correct direction at the needle tip”, and then the needle ispushed with fingers as mentioned before. Practice of this method is possible
together with the practice of penetrating needle (mentioned later).

106
105

PART 4
MY METHOD OF ACUPUNCTURE
The fundamental principle of my acupuncture is electro-acupuncture with
filiform needle by the following method.
1) Treating points are on the meridians that pass the area of complaints.
(There are some exceptions)2) Points are selected distant from the area of complaints, principally at theextremities distal from the elbow and knee joint.
3) Points are selected bilaterally.
4) Basic method is electric stimulation of rectangular wave.
5) Supplementation or draining is performed according to Deficiency or Excess ofthe meridian, taking balance of the stimulation.
For the electric stimulation, the instrument “Tokki” (made in Japan) is used.
This instrument has 6 channels and the strength of stimulation can be controlled
by each channel. So it can stimulate 3pairs of points electrically taking balance. If
the treatment is necessary more than 3 pairs, those points are treated by retaining
needle, moxa needle, manipulation or acupoint injection and so on.
Auricular acupuncture is used together with body acupuncture, for diseases ofjoints, diseases of the eye, dental pain and so on. Auricular acupuncture is usedalso for the treatment of obesity independent of the body acupuncture. Eyelid
acupuncture is used mainly for the treatment of motor paralysis together withbody acupuncture.
Intradermal needle and Thumbtack needle are used for almost the same
indications of electro-acupuncture as simple acupuncture, and also as
supplemental use for body acupuncture.
Acupoint injection is used for almost all objects of acupuncture with excellent
effects. Especially it is very useful for pain sedation (above all for cancer pain),bronchial asthma, pollinosis or dermal diseases. It is also useful when time islacking for electro-acupuncture, for predicting the effect of acupuncture or as
supplemental use of other acupuncture therapy.
When the needle insertion is difficult, SSP can be used, and as the most
simplified acupuncture, finger pressure for acupuncture point is often used.
In this part, my method of acupuncture will be explained minutely.

108 PART 4 MY METHOD OF ACUPUNCTURE

109§ 6 Point Selection and Point Taking (cf. PART1 Chapter5)
In auricular acupuncture and eyelid acupuncture, points are automaticallydetermined according to the purpose of the therapy. In body acupuncture, after
meridian selection, points to be treated must be selected. About point selection, it
is mentioned before (p.80). Basically, “convenient points for needle insertion” on
the aimed meridian is selected. It is enough useful for the treatment independentof the "character of the point". Points are selected at extremities distal from theelbow and the knee joints, avoiding points near the place of complaints. When thetreatment is less effective than predicted, MOTHER- or SON points (p.80) &/or
HIRATA’s 12-zones (p.81) can be considered. However, for the good effects, it seems
more important to select suitable meridian, to hit needles at correct points and not
to mistake supplementation or draining.
Points are selected almost always bilaterally. This is very useful for the control ofstrength of the stimulation. “Treatment for points of opposite side” very often
produces excellent effects. Bilateral point selection may be reasonable also fromthis viewpoint.
The number of treating points is the less the better. In my method, mainly 3 to 6
pairs of points (except intradermal needle, thumbtack needle and acupoint
injection) are used. When treatment of many meridians is necessary, the“multipurpose” points as SP6, SP10, PC5, PC6, GB35 etc. are very useful.

135

134

PART 6 PRACTICE OF ACUPUNCTURE
Chapter 1 Pain (Including Stiffness & Numbness)§ 1 General Rule
Method of treatment for stiffness and numbness is the same as treatment of pain.
Effects for numbness are often inferior to pain. Electro-acupuncture and acupoint
injection are most often used, and moxa needle is also used together with electroacupuncture. For severest pain, acupoint injection with analgesics is very useful. It
is also useful for meridian-&-point selection when the practitioner worries about it.
Thumbtack needle or intradermal acupuncture is useful as supporting use ofacupuncture, and sometimes they are used as the main treatment.
Principle of meridian selection for pain is to select meridians that pass throughthe area of the pain as mentioned before (PART 2). It is effective almost without
exception. There, classic meridians which are not illustrated in general meridiancharts are sometimes very important.
The most important factor by meridian selection is to confirm the localization ofpain exactly as mentioned before (PART 2 and PART 4). If it is not correct, goodeffect is never obtained. Any point on the suitable meridian can be used regardlessof function of the points. Usually, points that are easy to use are selected.
Effect is excellent. Process of effect is not uniform according to the cause of thedisease or the method of treatment. Appearance of effect is very rapid by acupoint
injection. Whereas effect of electro-acupuncture often appears a little later, but its
effect is mostly better and longer lasting.
The principle of the treatment of pain is the fundamental principle of my method.
This principle can be applied for many other complaints.
In following cases, effect of the acupuncture is (sometimes apparently) not clear.
1) Patients with Sensory Paralysis
Acupuncture at anesthetic part is ineffective. By such case, acupuncture must be
given at sensory sound parts as the trunk or the head.
2) Post-herpetic Neuralgia (PHN)
Many patients of PHN do not feel effect after the treatment subjectively, as if theeffect is objectively marked. This phenomenon will be mentioned later.
3) Pain Caused by Injury of Central Nerve
In acupoint injection with Pentazocine or opiates, almost all kinds of pain, such as
severest cancer pain, can be sedated. However, in my experiences, good effect was
not obtained for the patient of thalamic pain or the pain caused injury of the spinal
cord. My method may not be indication of that kind of pain.

136

Chapter 1 Pain (Including Stiffness & Numbness)

1354) Fresh Injury
Electro-acupuncture is difficult to use for fresh injury except compression fractureof vertebra. There, acupoint injection with analgesics is mainly used if necessary.
5) Pain Caused by Excessive Deformity
For the pain which is caused by high grade deformity, acupuncture is often
ineffective, or, as if it is effective for a while, its duration is often short.
6) Psychogenic Pain
Among patients of whiplash syndrome, although fairly rare, some cases show
unexpectedly insufficient effect. One type is effect itself is insufficient (this type israre), and the other is “good but short lasting” effect continues for a long time.
Almost all patients have no unreasonable symptoms. But some of such patients do
not come after settlement of compensation. It is uncertain if this is malingering or
no, but the pain of such patient may be strongly affected by psychogenic factor.
Principle of acupuncture therapy for pain has many common points with thetreatment of other diseases or symptoms. At the start of acupuncture therapy,
comprehension of this chapter will be surely helpful.

§ 2 Head (Except Face)
Pain in the head and/or the face is one of the best indications of acupuncture.
There are numerous causes of headache including obscure origin as generalmalaise, postmenopausal syndrome or autonomic ataxia etc. Symptomaticheadache such as brain tumor, intracranial hematoma, temporal arteritis,
meningitis or glaucoma etc. is absolute indication of Occidental Medicine, and theyshould be excluded from the indication of acupuncture (except as supportive
treatment). But the patients suffering from functional headache (which occupies
from 70% to 80% of headache) expect only to sedate the pain even in Occidental
Medicine. For such cases acupuncture is very useful. And the strategy of treatment
is, regardless of the cause of the pain, with the same pattern according to thelocation of the pain.
Point selection is only to select on the meridians that pass through the part of thepain as described below. The meridians to be treated are:
1. Around the center line of the nape, occipital region, parietal region, aroundcenter of the forehead or the zone including them.
2. Outer side of the nape, temporal to parietal region, outer side of the forehead or
the part including them.
3. Posterolateral side of the neck, temporal to retro-auricular region, the temple
or the range including them.
4. Forehead
5. Broad area or obscure region

137
137

136 PART 6 PRACTICE OF ACUPUNCTURE(GeneralChart)(GeneralChart)BL BL(Classic
Meridian)(Classic
Meridian)

TE TE GBGB LR LR GVGV

Fig.66of headFig.66Meridians
Meridiansof head

GB43
GB43

●

TE2TE2

5

TE3TE3

GB44

5

BL64
BL64
BL65
BL65
GBGB
41 41

BL64
BL64

TE5TE5

BL65

TE6TE6

GB41
GB41

TE8TE8

BL65

GB42
GB42

GB43
GB43

BL BL

TE TE

GBGB

Fig.67
forforTreatmentof Headache
Fig.67Points
PointsTreatmentof Headache[ 1[]1AroundthetheCenterLine] AroundCenter
Line
Here
the
leadingrole
isB
Meridian(BL).
ByWithelectro-acupuncture
BL64 BL
is 64
Here the leading role isLADDERBLADDER
Meridian(BL).
electro-acupuncture,mostuseful.
Byacupoint
injection,
BL
,
Bl
,
BL
or
BL
are
used
takingthe
60 60, 61
62 62 BL64
63, or BL65 are used taking
is most useful. By acupoint injection, BL
BL61, BLeffectinto
account.
Using
thepointsof
G
ALLBLADDER
Meridian(GB) asas
GBGB
GB41, 4142 42
the effect into account. Using the points of GALLBLADDER Meridian
, GB
or or
GBGB
together,effects
areareoftenmarkedlyintensified.
43 etc.
together,effects
often
markedlyintensified.
43 etc.
[ 2[]2Outer
Side
of
the
CentreLine
toParietal
Region] Outer Side of the Center Line to Parietal RegionHerethetheleadingrole
is G
Meridian(GB).
GBGB
G,42GorGBGB41, 4143 is
Hereleadingrole
isALLBLADDERGALLBLADDER
Meridian(GB).
is most42 or
43 most
often
used
by
electro-acupuncture.
Using
the
pointsof
B
LADDER
Meridian(BL)
often used by electro-acupuncture. Using the points of BLADDER Meridian
(BL)

138

Chapter 1 Pain (Including Stiffness & Numbness)137

such as BL64 or BL65 etc. and the points of TRIPLE ENERGIZER Meridian (TE) suchas TE2, TE3 or TE5 together, effects are often markedly intensified.
[ 3 ] Temporal- & Retro-auricular Region, Temple & Lateral Neck
Here the leading role is TRIPLE ENERGIZER Meridian (TE). TE2, TE3, TE5 and TE8
are most frequently used. Using points of GALLBLADDER Meridian (GB) such as
GB41, GB42 or GB43 etc. together, effects are often markedly intensified.

(General Chart)
ST
ST

SI

(Classic Meridian)
TE

GB

BL
BL

Fig.68 Meridians of Temporal & Retro-auricular Area

[ 4 ] Forehead and Lateral Part of the Forehead
Mainly points of GALLBLADDER MERIDIAN (GB41, GB42 or GB43 etc.) and TRIPLE
ENERGIZER Meridian (TE3, TE5 or TE8 etc.) are used for the pain inof this area. If
effectsarenotenough,using
thepointsof
S
TOMACH
Meridian(ST
44 etc.)effect is not enough, using the points of STOMACH Meridian (ST4343,, ST44
concurrently, often good effect is
is obtained.
obtained. Sometimes
Sometimes excluding
excluding point
pointonof STOMACH
Meridian, treatment is not effective.
[ 5 ] Pain at Broad Area or Obscure Region
In this case, treatment of points of BLADDER(BL)-, TRIPLE ENERGIZER(TE)- and
GALLBLADDER(GB)- Meridian are used. Combination of BL64, TE5 and GB41 is mostconvenient to use. If forehead is contained, it is better to add the point of STOMACH
Meridian such as ST43 or ST44. To detect most important point (or meridian),
acupoint injection is useful. Using bilateral injection, the most important point
becomes clear automatically.

210

209

Chapter 12 Allergic or Autoimmune Disorders§ 1 General Rule
Recently, immunology has marvelously advanced. Diagnosis and therapy of
diseases related with allergy or autoimmunity is making rapid progress.
Especially improvement of molecular targeted therapy is remarkable. However,catastrophic medical cost and side effects of new therapies may be not negligible.
Treatment of acupuncture is effective for some allergic diseases and autoimmune
diseases with low cost and without side effects. In this category, many experiencesof excellent effects were obtained under the basic concept of my acupuncture. A
kind of innovation of the idea of immunology may be achieved under my method.
From the early period of starting acupuncture, I doubted equality of ORGAN in
Oriental Medicine and organ in Occidental Medicine. ORGAN in Oriental Medicine
seemed me to be a concept which has both morphological and functional aspects.
From that point of view, some ORGANs are very similar to other organs ofOccidental Medicine with different anatomical name as described below.
1. Function of SPLEEN is not that of spleen, but it seems almost equal to thefunction of pancreas. In Spanish speaking world, SPLEEN Meridian is called“Meridiano vazo-pancreatico (Spleno-pancreatic Meridian”). That seems me very
reasonable.
2 Function of KIDNEY is not of kidney. Its function seems just function of adrenalbody.
3. According to the description of the classic literature8) of PERICARDIUM, its role is
to guard HEART and it is provided shape of network. This description actually
implicates thymus as the corresponding organ.
Thymus produces T-cell, and it is regarded to be the center of immunity. From
adrenal medulla, adrenaline (which is used by allergic shock at first) is secreted,and from adrenal cortex, cortical hormones which are widely used for thetreatment of allergic diseases and autoimmune diseases.
From these points of view, for the treatment of diseases which is related withimmunity, points of KIDNEY Meridian (usually KI2) and PERICARDIUM Meridian(usually PC5) are selected at first, and then points according to the symptoms are
selected. The reason to select KI2 is, because it is easiest to use in the KIDNEY
Meridian, and it seems most effective in my impression. PC5 and PC6 are regarded
to have close relation with LUNG Meridian (LU) & HEART Meridian (HT) whichhave often close relation with targeted diseases. Both PC5 and PC6 are situated at
tendon-rich area, but tendons are rather sparser around PC5. That is why I selectPC5 rather than PC6. Some of these diseases are already mentioned before, but I
would like to explain here again in a lump.

211
213

210 PART 6 PRACTICE OF ACUPUNCTURE

PC
PC55
PC
PC66
KI
KI77

KI
KI22

PC
PC

KI
KI

Fig.115
Fig.115 Fundamental
Fundamental Points
Points forforAutoimmune
Autoimmune Disease
Disease§§ 22 Bronchial
Bronchial Asthma
Asthma (cf.
(cf. Chapter6
Chapter6 §1)§1)By
By thethe attack
attack ofof bronchialbronchial asthma,
asthma, usuallyusually patientspatients complain
complain strongest
strongest anguish
anguishatthesternalregion
where
K
IDNEY
Meridianpasses.
The
first
at the sternal region where KIDNEY Meridian passes. The first experience
experience ofof
acupuncture
treatment
forbronchialasthmawas
acupoint
injection
to
LU
and
7
acupuncture treatment for bronchial asthma was acupoint injection to LU7 andKI
KI22 with
with vitaminvitamin B
B1,1, forfor aa patientpatient ofof status
status asthmaticus.
asthmaticus. It
It waswas surprisingly
surprisingly
effective.
Afterseveralyears,
treatment
of
PC
and
KI
startedfordiseases52effective. After several years, treatment of PC5 and KI2 started for diseases related
relatedwithwith allergy.
allergy. Now
Now point
point selection
selection forfor thethe treatment
treatment ofof bronchialbronchial asthma
asthma isis LU
LU77,, KI
KI22
and
PC
.
Effectisnotevidently
different
fromtreatment
of
LU
and
KI
,
but
5
7
2
and PC5. Effect is not evidently different from treatment of LU7 and KI2, but
duration
duration ofof effecteffect seems
seems elongated.
elongated. Using
Using intravenous
intravenous use
use ofof aminophylline
aminophylline
together,theeffect
seems
to
be
equal
to
(sometimes
betterthan)
together, the effect seems to be equal to (sometimes better than) drip
drip infusion
infusion ofofcorticosteroid
hormone.
corticosteroid hormone.
This
This treatment
treatment isis effective
effective also
also forfor asthma-like
asthma-like diseases
diseases as
as cardiac
cardiac asthma
asthma etc.
etc.
But
durationofeffectfor
otherdiseasesisevidently
shorter.
It
seems
to
be
a
proof
But duration of effect for other diseases is evidently shorter. It seems to be a proof
ofof thethe effecteffect ofof KI
KI22 andand PCPC55 forfor diseases
diseases related
related with
with allergy
allergy oror immunity.
immunity.

§§ 33 Pollinosis
Pollinosis (Allergic(Allergic Rhinitis
Rhinitis andand Conjunctivitis)
Conjunctivitis)
Main
Main symptoms
symptoms ofof pollinosis
pollinosis areare sneezing,sneezing, rhinorrhea,
rhinorrhea, nasal
nasal obstruction
obstruction and
and
(Jp.)
itching
of
the
eye.
Kampo
medicinesareveryeffectiveforthetreatment
and(Jp.)
itching of the eye. Kampo
medicine is very effective for the treatment andprevention.
But
its
effectdoes
notprevention. But its effect does not appear
appear promptly,
promptly, andand selection
selection ofof formula
formula isis notnotsoeasy.
Acupunctureissuperior
at
the
point
of
easy
application
and
rapid
so easy. Acupuncture is superior at the point of easy application and rapid
appearance
appearance ofof effecteffect without
without any
any side
side effecteffect except
except pain
pain fromfrom needingneeding oror injection.
injection.
Accordingtoclassic
literatures,
main
meridians
related
with
the
nose
According to classic literatures, main meridians related with the nose areare LLARGE
ARGE
IINTESTINE
Meridian(LI)
andS
TOMACH
Meridian
(ST),
and
main
meridians
relatedNTESTINE Meridian (LI) and STOMACH Meridian (ST), and main meridians related

214
212

Chapter 12 Allergic or Autoimmune Disorders

211

with the eye are LIVER Meridian (LR) and CONCEPTION VESSEL (CV). Treatment ofwith the eye are LIVER Meridian (LR) and CONCEPTION VESSEL (CV). Treatment of
LR3 is always excellent for complaints of the eye. So, for the treatment of pollinosis,
LR is always excellent for complaints of the eye. So, for the treatment of pollinosis,
LR3,3LI4 and ST43 or ST44 were used with excellent effect.
LR3, LI4 and ST43 or ST44 were used with excellent effect.
Later, adding treatment of KI2 and PC5, effect has evidently improved. Direct
Later, adding treatment of KI2 and PC5, effect has evidently improved. Direct
effects are not so different, but durationof effect became much longer. Usuallyeffects(Jp.)
are not so different, but duration of effect became much longer. UsuallyKampo
medicine is used together with acupuncture. So, exact comparison is
Kampo(Jp.) medicine is used together with acupuncture. So, exact comparison isdifficult. But frequency and total count of treatment decreased markedly (often
difficult. But frequency and total count of treatment decreased markedly (often
Kampo medicine became unnecessary). Many patients who were treatedKampo medicine became unnecessary). Many patients who were treatedsuccessfully with acupuncture, symptoms in the follwing year become muchsuccessfully with acupuncture, symptoms in the follwing year become muchslighter. Such patients increased by new method.
slighter. Such patients increased by new method.
‫ە‬●

Fig.116-1 Classic Meridians around Nose and Eye
Fig.116-1 Classic Meridians around Nose and Eye

PC5
PC5

LI3
LI3

LI4
LI4

PC6
PC6

LI7
LI7

LI10
LI10

Fig.116-2 Points for Treatment of Pollinosis (Arm and Hand)
Fig.116-2 Points for Treatment of Pollinosis (Arm and Hand)
LI

ST

SI

TE

GB

CV

PC

215
213

212 PART 6 PRACTICE OF ACUPUNCTURE

ST36
ST36
BL64
BL65 BL64
BL65
ST40
ST40

KI7
KI7

BL64
BL64

LR3
LR3

ST41
ST41

KI2
KI2

LI
LI

ST43
ST43
ST44
BL44

ST
ST

BL
BL

KI
KI

GB
LR
GB

CV
CV

Fig.116-3 Points for Treatment of Pollinosis (Leg and Foot)
Fig.116-3 Points for Treatment of Pollinosis (Leg and Foot)My point selection for electro-acupuncture is KI2, PC5 and one of LR3 or LI4 (orMy point selection for electro-acupuncture is KI2, PC5 and one of LR3 or LI4 (orST43 or ST44) for electric stimulation, and moxa needle for other two or three of LR3
ST43 or ST44) for electric stimulation, and moxa needle for other two or three of LR3
or LI4 (&/or ST43-or-ST44).
or LI4 (&/or ST43-or-ST44).
Selection is due to the heaviness of complaint of the nose and the eye. If theSelection is due to the heaviness of complaint of the nose and the eye. If thecomplaint of the eye is more severe, LR3 is stimulated by electricity and vice versa.
complaint of the eye is more severe, LR3 is stimulated by electricity and vice versa.
Selection of LI4 and ST43-or-ST44 for electric stimulation is according to usability.
Selection of LI4 and ST43 or ST44 for electric stimulation is according to usability.
Acupoint injection is very convenient to use. With any substances such as saline
Acupoint injection is very convenient to use. With any substances such as saline
solution etc. excellent effect is obtained. It is better to start injection from KI2 andsolution etc. excellent effect is obtained. It is better to start injection from KI2 andPC5. When the patient’s symptom disappeared, treatment can be discontinued
PC5. When the patient’s symptom disappeared, treatment can be discontinued
thereafter. For the prolongation of the effect, it is very useful to put thumbtack
thereafter. For the prolongation of the effect, it is very useful to put thumbtack
needle at every point. Only by putting thumbtack needle (without any otherneedle at every point. Only by putting thumbtack needle (without any otheracupuncture), excellent effect is often obtained.
acupuncture), excellent effect is often obtained.

§ 4 Chronic Urticaria (cf. p196)§ 4 Chronic Urticaria (cf. p196)

Acute urticaria is fairly easy to cure by acupuncture treatment of LUNG Meridian
Acute urticaria is fairly easy to cure by acupuncture treatment of LUNG Meridian(mainly U7). There acupoint injection &/or thumbtack needle is mainly used. In(mainly U7). There acupoint injection &/or thumbtack needle is mainly used. In
most cases, itch sensation disappears rapidly after the injection, and sometimes
most cases, itch sensation disappears rapidly after the injection, and sometimes