CMAC212. Session 2. Five Shu Points. Chinese Medicine.

Transcription

1 CMAC212 Session 2 Five Shu Points Chinese Medicine

2 Session 2 - Objectives o Understand the value & clinical relevance of point groupings. o Gain an in-depth understanding of the five shu points including their actions and clinical applications. Endeavour College of Natural Health 2

3 Point Classification o Why are points grouped into different classifications? _who, what, where, when, why_? (Vitellozzi, 2006). Endeavour College of Natural Health 3

4 Point Classification o Many point classifications happened historically and reflect the practice of acupuncture at that time. o Point groupings provide important clinical clues as to a points function and use. Endeavour College of Natural Health 4

5 The Five Shu Points

6 Session 2 You need to have read the discussion about shu points pages in A Manual of Acupuncture by Deadman & Al-Khafaji, Endeavour College of Natural Health 6

7 The Five Shu Points What are they? What do they do? How and when do we use them? Endeavour College of Natural Health 7

8 The Five Shu Points The five shu points are the most commonly used acupuncture points. Having a thorough knowledge of them and their application hugely informs the development of a good point prescription. Endeavour College of Natural Health 8

9 Self-directed learning o You need to memorise every shu point on every channel including which element they belong to. For example Liver 2 is the ying spring & fire point on the Liver channel. o You will need this information for the rest of your acupuncture career & the quicker you learn these point categories the easier life will be o There is a point table included as a handout under week 1 on LMS. Put it somewhere you will see it everyday. Endeavour College of Natural Health 9

10 Qi-gong_brocart-old-3 (No-Stress, 2013). Historical Context The Five Shu points were first mentioned in the Ling-Shu (Spiritual Pivot), a section of the Huang Di Nei Jing (Yellow Emperor s Inner Classic), created between the Warring States period ( BCE) and the early Han period (206 BCE 220 CE) If you are interested in reading the original discussion see the Ling Shu translation by Wu Jing-Nuan (2004. pp.8-13) Scroll One The roots of the acupuncture points. Endeavour College of Natural Health 10

11 The Five Shu Points o The Five Shu points are extremely important and make up a large portion of clinical practice. o They are situated below the elbows and knees where the Qi is more dynamic and therefore able to affect change within the body more rapidly. Endeavour College of Natural Health 11

12 The Five Shu Points o The Five Shu describe a flow of Qi within the body which is different to the normal flow of Qi through the 12 main meridians. o It describes a flow of qi from Heaven into Human rather than the circulation of qi through the normal meridian circuit. (Think of the image of a person standing on the earth with arms outstretched). Endeavour College of Natural Health 12

13 Krka Waterfall Croatia Nature Park (fjaka, 2015) Five Shu Points Jing-Well Ying-Spring Shu-Stream Jing-River He-Sea Endeavour College of Natural Health 13

14 Lets explore how the Qi flows through these points. Endeavour College of Natural Health 14

15 5 shu on arm (adapted from Deadman & Al-Khafaji, 2007). The flow of Qi through the Meridian The flow of Qi can be likened to a river, emerging through a well, starting to flow at the spring and gathering in width and depth until it enters inwards at the Sea. Endeavour College of Natural Health 15

16 Jing-Well & Ying-Spring o The flow of Qi emerges from the tips of the fingers or toes or the bottom of the feet. (This may be through the points at the end or start of the meridians). o These points are called Jing-Well and the Qi is described as bubbling. o The Qi then flows towards the Ying-Spring points which are located between the webbing of the fingers and toes or at the same level. o These are the points where the Qi is described as gliding. Endeavour College of Natural Health 16

17 Shu-Stream o Shu-Stream are the points where the qi pours through or flourishes. o On yin channels the Shu-Stream points are also the Yuan Source points. Endeavour College of Natural Health 17

18 Jing-River & He-Sea o The Qi continues to flow from the extremities inwards and the next Five Shu is the Jing-River. Jing-River points are located proximal to the ankles or wrists. o Whereas before the qi may have been described as trickling the qi now flows. o The He-Sea represents the uniting of the rivers into the Sea and this is where the Qi goes inwards. o He-Sea points are located around the elbows and knees. Endeavour College of Natural Health 18

19 Class Discussion o How does the flow of Qi through the Five Shu points differ from the normally considered flow of Qi through the meridians? o The flow of qi through the five shu points is conceptualised as flowing from the extremities to the centre rather than following the normal numbered circuit. (See Deadman & Al-Khafaji, 2007, p.30 for a detailed discussion). Endeavour College of Natural Health 19

20 The Five Shu Points & their Functions

21 Class Activity o As we discuss the shu points consider using coloured pens to locate each of these points. o Pay attention to their functions and consider how their 5 shu grouping and element may contribute to their super powers. o These are the points you will be using most frequently in practice so you NEED to have a thorough understanding of them. Endeavour College of Natural Health 21

22 Jing Well Points Yin channels = Wood Yang channels = Metal o Used to revive consciousness o Able to strongly clear heat (they are often bled for this purpose). o Treats diseases at the upper reaches of the channel, (a distal approach to treatment). Endeavour College of Natural Health 22

23 Classical Use Jing Well Points o Treats fullness below the heart 68 th difficult issue from the Nan Ching (1986, p.577). o When the disease is at the zang, needle the jing-well point chapter 44 of the Ling Shu (2004, p.157). o Needle in Winter - classical indication from chapter 2 of the Ling Shu (2004, p.13). Endeavour College of Natural Health 23

24 6 Yin Channels Jing Well Points 6 Yin Channels Wood Fire Earth Metal Water Jing- (Well) Ying- (Spring) Shu- (Stream) Jing- (River) He- (Sea) Lung Hand-Taiyin L 11 (Shaoshang) L 10 (Yuji) L 9 (Taiyuan) L 8 (Jingqu) L 5 (Chize) Pericardium Hand-Jueyin P 9 (Zhongchong) P 8 (Laogong) P 7 (Daling) P 5 (Jianshi) P 3 (Quze) Heart Hand-Shaoyin H 9 (Shaochong) H 8 (Shaofu H 7 (Shenmen) H 4 (Lingdao) H 3 (Shaohai) Spleen Foot-Taiyin Sp 1 (Yinbai) Sp 2 (Dadu) Sp 3 (Taibai) Sp 5 (Shangqui) Sp 9 (Yinlingquan) Liver Foot-Jueyin Liv 1 (Dadun) Liv 2 (Xingjian) Liv 3 (Taichong) Liv 4 (Zhongfeng) Liv 8 (Ququan) Kidney Foot-Shaoyin K 1 (Yongquan) K 2 (Rangu) K 3 (Taixi) K 7 (Fuliu) K 10 (Yingu) Endeavour College of Natural Health 24

25 6 Yang Channel Jing Well Points 6 Yang Channels Metal Jing- (Well) Water Ying- (Spring) Wood Shu- (Stream) Fire Jing- (River) Earth He- (Sea) Large Intestine Hand-Yangming LI 1 (Shangyang) LI 2 (Erjian) LI 3 (Sanjian) LI 5 (Yangxi) LI 11 (Quchi) San Jiao Hand-Shoyang SJ 1 (Guanchong) SJ 2 (Yemen) SJ 3 (Zhongzhu) SJ 6 (Zhigou) SJ 10 (Tianjing) Small Intestine Hand-Taiyang SI 1 (Shaoze) SI 2 (Qiangu) SI 3 (Houxi) SI 5 (Yanggu) SI 8 (Xiaohai) Stomach Foot-Yangming S 45 (Lidui) S 44 (Neiting) S 43 (Xiangu) S 41 (Jiexi) S 36 (Zusanli) Gallbladder Foot-Shaoyang G 44 (Zuqiaoyin) G 43 (Xiaxi) G 41 (Zulinqi) G 38 (Yangfu) G 34 (Yanglingquan) Bladder Foot-Taiyang B 67 (Zhiyin) B 66 (Zutonggu) B 65 (Shugu) B 60 (Kunlun) B 40 (Weizhong) Endeavour College of Natural Health 25

26 Ying Spring Points Yin channels = Fire Yang channels = Water These points clear heat in the body. Endeavour College of Natural Health 26

27 Class Discussion Why are Ying Spring points good at clearing heat? o They are either fire points (Yin channel for draining) or water points (yang channel for cooling). o They are also located distally and are easily able to clear pathogenic qi from the body. o REMEMBER: Fire points are used to drain fire and clear heat, not to tonify yang qi. Endeavour College of Natural Health 27

28 Ying Spring Points o Ying-Spring points of the yin channels can treat disorders of the zang (as well as the shu-stream) (Deadman & Al-Khafaji, 2007, pp ). o If the complexion changes in colour, needle the yingspring point - chapter 44 of the Ling Shu (2004, p.157). o Treat diseases of the yang channels especially full pathogenic factors such as stagnation and heat (Deadman & Al- Khafaji, 2007, pp ). o Needle in Spring time - chapter 2 of the Ling Shu (2004, p.13). Endeavour College of Natural Health 28

29 6 Yin Channels Ying Spring Points 6 Yin Channels Wood Fire Earth Metal Water Jing- (Well) Ying- (Spring) Shu- (Stream) Jing- (River) He- (Sea) Lung Hand-Taiyin L 11 (Shaoshang) L 10 (Yuji) L 9 (Taiyuan) L 8 (Jingqu) L 5 (Chize) Pericardium Hand-Jueyin P 9 (Zhongchong) P 8 (Laogong) P 7 (Daling) P 5 (Jianshi) P 3 (Quze) Heart Hand-Shaoyin H 9 (Shaochong) H 8 (Shaofu H 7 (Shenmen) H 4 (Lingdao) H 3 (Shaohai) Spleen Foot-Taiyin Sp 1 (Yinbai) Sp 2 (Dadu) Sp 3 (Taibai) Sp 5 (Shangqui) Sp 9 (Yinlingquan) Liver Foot-Jueyin Liv 1 (Dadun) Liv 2 (Xingjian) Liv 3 (Taichong) Liv 4 (Zhongfeng) Liv 8 (Ququan) Kidney Foot-Shaoyin K 1 (Yongquan) K 2 (Rangu) K 3 (Taixi) K 7 (Fuliu) K 10 (Yingu) Endeavour College of Natural Health 29

30 6 Yang Channels 6 Yang Channel Ying Spring Metal Jing- (Well) Water Ying- (Spring) points Wood Shu- (Stream) Fire Jing- (River) Earth He- (Sea) Large Intestine Hand-Yangming LI 1 (Shangyang) LI 2 (Erjian) LI 3 (Sanjian) LI 5 (Yangxi) LI 11 (Quchi) San Jiao Hand-Shoyang SJ 1 (Guanchong) SJ 2 (Yemen) SJ 3 (Zhongzhu) SJ 6 (Zhigou) SJ 10 (Tianjing) Small Intestine Hand-Taiyang SI 1 (Shaoze) SI 2 (Qiangu) SI 3 (Houxi) Mother SI 5 (Yanggu) SI 8 (Xiaohai) Son Stomach Foot-Yangming S 45 (Lidui) S 44 (Neiting) S 43 (Xiangu) S 41 (Jiexi) S 36 (Zusanli) Gallbladder Foot-Shaoyang G 44 (Zuqiaoyin) G 43 (Xiaxi) G 41 (Zulinqi) G 38 (Yangfu) G 34 (Yanglingquan) Bladder Foot-Taiyang B 67 (Zhiyin) B 66 (Zutonggu) B 65 (Shugu) B 60 (Kunlun) B 40 (Weizhong) Endeavour College of Natural Health 30

31 Shu Stream Points Yin channels = Earth (& yuan source) Yang channels = Wood On yin channels treat the zang. On yang channels treat the meridian. Endeavour College of Natural Health 31

32 Shu Stream Points o Also used for heaviness of the body and pain of the joints - chapter 44 of the Ling Shu (2004, p.157). o When the disease attacks intermittently, needle the shu-stream point - chapter 44 of the Ling Shu (2004, p.157). o Needle in Summer - chapter 2 of the Ling Shu (2004, p.13). Endeavour College of Natural Health 32

33 6 Yin Channels Shu Stream Points 6 Yin Channels Wood Fire Earth Metal Water Jing- (Well) Ying- (Spring) Shu- (Stream) Jing- (River) He- (Sea) Lung Hand-Taiyin L 11 (Shaoshang) L 10 (Yuji) L 9 (Taiyuan) L 8 (Jingqu) L 5 (Chize) Pericardium Hand-Jueyin P 9 (Zhongchong) P 8 (Laogong) P 7 (Daling) P 5 (Jianshi) P 3 (Quze) Heart Hand-Shaoyin H 9 (Shaochong) H 8 (Shaofu H 7 (Shenmen) H 4 (Lingdao) H 3 (Shaohai) Spleen Foot-Taiyin Sp 1 (Yinbai) Sp 2 (Dadu) Mother Sp 3 (Taibai) Sp 5 (Shangqui) Sp 9 (Yinlingquan) Liver Foot-Jueyin Liv 1 (Dadun) Liv 2 (Xingjian) Liv 3 (Taichong) Liv 4 (Zhongfeng) Liv 8 (Ququan) Kidney Foot-Shaoyin K 1 (Yongquan) K 2 (Rangu) K 3 (Taixi) K 7 (Fuliu) K 10 (Yingu) Endeavour College of Natural Health 33

34 6 Yang Channel Shu Stream points 6 Yang Channels Metal Jing- (Well) Water Ying- (Spring) Wood Shu- (Stream) Fire Jing- (River) Earth He- (Sea) Large Intestine Hand-Yangming LI 1 (Shangyang) LI 2 (Erjian) LI 3 (Sanjian) LI 5 (Yangxi) LI 11 (Quchi) San Jiao Hand-Shoyang SJ 1 (Guanchong) SJ 2 (Yemen) SJ 3 (Zhongzhu) SJ 6 (Zhigou) SJ 10 (Tianjing) Small Intestine Hand-Taiyang SI 1 (Shaoze) SI 2 (Qiangu) SI 3 (Houxi) SI 5 (Yanggu) SI 8 (Xiaohai) Stomach Foot-Yangming S 45 (Lidui) S 44 (Neiting) S 43 (Xiangu) S 41 (Jiexi) Mother S 36 (Zusanli) Gallbladder Foot-Shaoyang G 44 (Zuqiaoyin) G 43 (Xiaxi) G 41 (Zulinqi) G 38 (Yangfu) G 34 (Yanglingquan) Bladder Foot-Taiyang B 67 (Zhiyin) B 66 (Zutonggu) B 65 (Shugu) B 60 (Kunlun) B 40 (Weizhong) Endeavour College of Natural Health 34

35 Shu Stream Points Yin Shu Stream HT 7 SI 3 Yang Shu Stream LR 3 GB 41 LU 9 LI 3 o Compare the actions and clinical use of these shu stream points. o What do you notice? Endeavour College of Natural Health 35

36 Jing River points Yin channels = Metal Yang channels = Fire o Jing-river points are indicated for cough and shortness of breath, chills and fever - chapter 44 of the Ling Shu (2004, p.157). Endeavour College of Natural Health 36

37 Jing River points o When the disease manifests as changes in the patient s voice, needle the jing-river point (Deadman & Al-Khafaji, 2007, pp.35-36). o When the disease is at the sinews and bones, needle the jing-river point (Deadman & Al-Khafaji, 2007, p.36). o Needle in late summer - chapter 2 of the Ling Shu (2004, p.13). Endeavour College of Natural Health 37

38 6 Yin Channels Jing River Points 6 Yin Channels Wood Fire Earth Metal Water Jing- (Well) Ying- (Spring) Shu- (Stream) Jing- (River) He- (Sea) Lung Hand-Taiyin L 11 (Shaoshang) L 10 (Yuji) L 9 (Taiyuan) L 8 (Jingqu) L 5 (Chize) Pericardium Hand-Jueyin P 9 (Zhongchong) P 8 (Laogong) P 7 (Daling) P 5 (Jianshi) P 3 (Quze) Heart Hand-Shaoyin H 9 (Shaochong) H 8 (Shaofu H 7 (Shenmen) H 4 (Lingdao) H 3 (Shaohai) Spleen Foot-Taiyin Sp 1 (Yinbai) Sp 2 (Dadu) Sp 3 (Taibai) Sp 5 (Shangqui) Sp 9 (Yinlingquan) Liver Foot-Jueyin Liv 1 (Dadun) Liv 2 (Xingjian) Liv 3 (Taichong) Liv 4 (Zhongfeng) Liv 8 (Ququan) Kidney Foot-Shaoyin K 1 (Yongquan) K 2 (Rangu) K 3 (Taixi) K 7 (Fuliu) K 10 (Yingu) Endeavour College of Natural Health 38

39 6 Yang Channel Jing River points 6 Yang Channels Metal Jing- (Well) Water Ying- (Spring) Wood Shu- (Stream) Fire Jing- (River) Earth He- (Sea) Large Intestine Hand-Yangming LI 1 (Shangyang) LI 2 (Erjian) LI 3 (Sanjian) LI 5 (Yangxi) LI 11 (Quchi) San Jiao Hand-Shoyang SJ 1 (Guanchong) SJ 2 (Yemen) SJ 3 (Zhongzhu) SJ 6 (Zhigou) SJ 10 (Tianjing) Small Intestine Hand-Taiyang SI 1 (Shaoze) SI 2 (Qiangu) SI 3 (Houxi) SI 5 (Yanggu) SI 8 (Xiaohai) Stomach Foot-Yangming S 45 (Lidui) S 44 (Neiting) S 43 (Xiangu) S 41 (Jiexi) S 36 (Zusanli) Gallbladder Foot-Shaoyang G 44 (Zuqiaoyin) G 43 (Xiaxi) G 41 (Zulinqi) G 38 (Yangfu) G 34 (Yanglingquan) Bladder Foot-Taiyang B 67 (Zhiyin) B 66 (Zutonggu) B 65 (Shugu) B 60 (Kunlun) B 40 (Weizhong) Endeavour College of Natural Health 39

40 Jing River points Q. Why might jing-river points be indicated for cough and dyspnea? A. Jing-river points on yin channels all belong to the metal element. The qi at jing-river points is said to flow, like our breath should. The metal element rules the lungs. Endeavour College of Natural Health 40

41 He Sea Points Yin channels = Water Yang channels = Earth Are great at treating digestive disturbance. Including Counterflow qi and diarrhea - 68 th difficult issue from the Nan Ching (1986, p.577). Diseases of the stomach - chapter 44 of the Ling Shu (2004, p.157). Diseases resulting from irregular eating and drinking - chapter 44 of the Ling Shu (2004, p.157). Endeavour College of Natural Health 41

42 He Sea Points They also treat o Diseases of the fu (Deadman & Al-Khafaji, 2007, pp.36-37). o Diseases of the skin (Deadman & Al-Khafaj,i 2007, pp.36-37). Needle in Autumn - chapter 2 of the Ling Shu (2004, p.13). Endeavour College of Natural Health 42

43 6 Yin Channels He Sea Points 6 Yin Channels Wood Fire Earth Metal Water Jing- (Well) Ying- (Spring) Shu- (Stream) Jing- (River) He- (Sea) Lung Hand-Taiyin L 11 (Shaoshang) L 10 (Yuji) L 9 (Taiyuan) L 8 (Jingqu) L 5 (Chize) Pericardium Hand-Jueyin P 9 (Zhongchong) P 8 (Laogong) P 7 (Daling) P 5 (Jianshi) P 3 (Quze) Heart Hand-Shaoyin H 9 (Shaochong) H 8 (Shaofu H 7 (Shenmen) Son H 4 (Lingdao) H 3 (Shaohai) Spleen Foot-Taiyin Sp 1 (Yinbai) Sp 2 (Dadu) Sp 3 (Taibai) Sp 5 (Shangqui) Sp 9 (Yinlingquan) Liver Foot-Jueyin Liv 1 (Dadun) Liv 2 (Xingjian) Liv 3 (Taichong) Liv 4 (Zhongfeng) Liv 8 (Ququan) Kidney Foot-Shaoyin K 1 (Yongquan) K 2 (Rangu) K 3 (Taixi) K 7 (Fuliu) K 10 (Yingu) Endeavour College of Natural Health 43

44 6 Yang Channel He Sea points 6 Yang Channels Metal Jing- (Well) Water Ying- (Spring) Wood Shu- (Stream) Fire Jing- (River) Earth He- (Sea) Large Intestine Hand-Yangming LI 1 (Shangyang) LI 2 (Erjian) LI 3 (Sanjian) LI 5 (Yangxi) LI 11 (Quchi) San Jiao Hand-Shoyang SJ 1 (Guanchong) SJ 2 (Yemen) SJ 3 (Zhongzhu) SJ 6 (Zhigou) SJ 10 (Tianjing) Small Intestine Hand-Taiyang SI 1 (Shaoze) SI 2 (Qiangu) SI 3 (Houxi) SI 5 (Yanggu) SI 8 (Xiaohai) Stomach Foot-Yangming S 45 (Lidui) S 44 (Neiting) S 43 (Xiangu) S 41 (Jiexi) S 36 (Zusanli) Gallbladder Foot-Shaoyang G 44 (Zuqiaoyin) G 43 (Xiaxi) G 41 (Zulinqi) G 38 (Yangfu) G 34 (Yanglingquan) Bladder Foot-Taiyang B 67 (Zhiyin) B 66 (Zutonggu) B 65 (Shugu) B 60 (Kunlun) B 40 (Weizhong) Endeavour College of Natural Health 44

45 He Sea Points The modern uses of the yin he-sea points include : o Tonifying yin o Clearing phlegm and damp o Clearing heat Why? Endeavour College of Natural Health 45

46 He Sea Points COMPLETE AT HOME FOR NEXT WEEK: Research and discuss each of the he sea points, Yin and Yang channels, including their function and clinical application. Consider how their function may relate to the catergorisation as a shu point, as an element point, as a channel point, as an organ point etc etc. Endeavour College of Natural Health 46

47 Yin Meridian Shu points of the Yin Jing- Well Wood Meridians Ying- Spring Fire Shu-Stream Earth Jing-River Metal He-Sea Water Lung LU-11 LU10- LU-9 LU-8 LU-5 Spleen SP-1 SP-2 SP-3 SP-5 SP-9 Heart HT-9 HT-8 HT-7 HT-4 HT-3 Kidney KD-1 KD-2 KD-3 KD-7 KD-10 Pericardiu m PC-9 PC-8 PC-7 PC-5 PC-3 Liver LR-1 LR-2 LR-3 LR-4 LR-8

48 Yang Meridia n Large Intestine Shu points of the Yang Jing- Well Metal Meridians Ying- Spring Water Shu-Stream Wood Jing-River Fire He-Sea Earth LI-1 LI-2 LI-3 LI-5 LI-11 Stomach ST-45 ST-44 ST-43 ST-41 ST-36 Small Intestine SI-1 SI-2 SI-3 SI-5 SI-8 Bladder BL-67 BL-66 BL-65 BL-60 BL-40 Triple Energiser Gall Bladder TE-1 TE-2 TE-3 TE-6 TE-10 GB-44 GB-43 GB-41 GB-38 GB-34

49 Chinese Medical Diagnostic Method Refresher

50 How do we diagnose in Chinese Medicine? Observation Shen, Demeanour, Movements, Channels, Tongue, Skin etc. Interrogation Asking the Right Questions, Identifying Symptoms. Palpation Pulse, Channels, Points, Abdomen, Skin. Listening and Smelling Listening to the breathing, coughing, voice etc. What does a patients breath or body odour smell like? Endeavour College of Natural Health 50

51 How might our diagnostic method impact on our point selection? Observation Observation may lead us to a specific point category. For example a patient with a disturbed Shen may lead us to consider a Sun Si Mao ghost point such as PC 8. Crazy man deserves a crazy edit (Cajandig, 2015). It may also lead to the employment of a specific approach e.g. a patient with a red face and lots of heat rising may lead you to a point prescription that utilises the idea of needle below to treat above for example KI 1. Endeavour College of Natural Health 51

52 Szerelmi gyikossagok (Kommunikalco, 2013). How might our diagnostic method impact on our point selection? Interrogation Identifying a particular symptom may lead us to an empirical point e.g. PC6 for nausea. It may also lead us to a internal pattern made up of multiple symptoms and we may apply a Zang Fu approach to treatment. Endeavour College of Natural Health 52

53 EricEisenmann_Anma_Massage_0489 (Eismane, 2014). How might our diagnostic method impact on our point selection? Palpation Palpation helps us to identify channel involvement and a Jing Luo approach may become the crux of our treatment strategy. Palpation of points along a specific channel may further help us refine our point prescription. Endeavour College of Natural Health 53

54 How might our diagnostic method impact on our point selection? Hearing and Smelling A quiet voice reflects lung deficiency and might lead us to a constitutional approach to treatment addressing the ben (root). Any point suggestions? Relics of a bygone age sounds you ll probably never hear again (Townsend, 2013). Smell might lead you to pathology based approach using point indications. For example a stinky patient may have a systemic damp heat problem so your point selection may include points that focus on clearing this pathology. Smell my shoe (Moss, 2014). Endeavour College of Natural Health 54

55 How might our diagnostic method impact on our point selection? o Any other ideas????? Endeavour College of Natural Health 55

56 Pre-Readings Next week we are doing 5 element treatments. Some people find this tricky to get there head around. You need to read 2 sources that discuss this topic before next week and bring any questions along. (Not the Worsley schools entry/exit approach as this will be discussed later). Here are some possible sources: Chapter 9 Five Element treatments in Ross,J. Acupuncture Point Combinations: The Key to Clinical Success Philadelphia. U.S.A. Churchill Livingstone. The Nan-Jing this is the book where 5 element treatments are first mentioned. Meridian therapists use five element theory to dictate their point selection, so you may find some discussion of this theory in scholarly articles that reference Japanese acupuncture. Happy Hunting!! Endeavour College of Natural Health 56

57 Assessment Checkpoint Have you brought along the case study you plan to use for your assignment next week so we can ensure you are on the right track? Endeavour College of Natural Health 57

58 References Cajandig, (2015). Crazy Man deserves a Crazy Edit [Image]. Retrieved February from, cj4rz3-5wovqy-qb6qv4-4qwxwf-h5pxe-d34hh3-bbeuhh-69q9j-3lzfte-6bawt3- Pm51-5o47qG-aPBCy-8ctgN3-6nZ4Xw-5rKRMh-d35cUf-fmt3Wb-oUWLy1-ep542- ep58x-69xl2y-6nfdn8-7m42h6-oskzgt-7gq8qg-8qpjin-rtmgna-eawnil-77toxa- ve1xh-a5rgdw-521iyp-bjq1x6-nxvarw-dublrt-eeam44-cypqre-ykn6dy-fsxnt4-77jgzp-gq5cm1-obnvbw-dahhq8-8zz45v-kvkwh-4ybczm-dswkhn-zp1n4y Deadman, P. & Al-Khafaji, M. with Baker, K. (2007). A Manual of Acupuncture. East Sussex, England. Journal of Chinese Medicine Publications. Eismane, (2014). EricEisenmann_Anma_Massage_0489 [Image]. Retrieved February from, 7GM3FE-9Gxub3-5BnyQ-dCkNNb-d6z257-mVJDsM-5a3YYN-59T8qg-59Znhe- mvjebr-cj5lpq-6zcxxu-5wbxwt-fqrmys-dfr4lj-8dz4pt-9pnbyo-9pjusa-fqrmea- 75kXYg-hX7hdf-9YLxpV-8KPqk2-dCfnjk-irJPEo-9bxsdw-qVpgo6-5ovECy-7maZ7NxfKfmi Endeavour College of Natural Health 58

59 References Ling Shu (2 nd ed.). (2004). (W. Jing-Nuan, Trans.). Honolulu: University of Hawai I Press. Kommunikalco, L. (2013). Szerelmi gyilkossagok (3.evad) [Image]. Retrieved February from, Fjaka. (2015). Krka Waterfall Croatia Nature Park [Image]. Retrieved March from, Moss, B. (2014). Smell my shoe [Image]. Retrieved February from, 4Dt93c-kEAUV-yNHUs-8z4dJ-7eeEXq-ev8cko-e5Wiaj-vwqJ3-4DmGQ4-5Qbnob-8TEKSd-4JidXc-eHVkrL-vwqJ9- yhypty-bhrge8-82ge2a-82gejy-mmwwcn-82d4yr-839wfn-82b8jm-56wnbh-7yxgxy-9gomj8-82gekb-4qd6jf- 6nBguC-857X1-ny6Gn8-zPpHW Nan-Ching The classic of difficult issues. (1986) (P. Unschuld Trans.) Berkley: University California Press. Endeavour College of Natural Health 59

60 References No-Stress, (2013). Qi-gong_brocart-old-3 [Image]. Retrieved January from, 5mUGg4-RRfrH-RPjzj-nixbV-nixJ5-6hGYmZ-7szViX-6ekaNd-5mYXmh-nhn8D-mkHE2-6hM9dW-6ekbnf-6eg1f8-9faTPS-5mUFZB-do7cmn-9f8WLs-axry1U-RRf7i-RReCe-RPjwS-RPipJ-RRmvT-RPm1Y-RRgDr-RRmD8- RPjV5-RRmzc-RRhYk-RRgp8-RPkdq-RPjCL Townsend, P. (2013).. Relics of a bygone age sounds you ll probably never hear again [Image]. Retrieved February from, oqjbvc-9f7yx8-6mc6px-79dajd-dccqjw-8bsm9j-56drwh-5ugm7-4gpjgo-6yorxt-78vnsv-7j7j3g-5ywvmi- 7uhkZB-dGdB3m-fkUnMZ-AWQQyy-e1aqh4-dGry9D-ehoUQH-e1Ehj9-ftAurH-88qSYM-dGx5JU-78VnQtdVUtuT-8Np5ZD-h8ZkkA-dGruMr-fpGnUn-AUhtBw-byVRUv-83KxNg-nvq63T-dQUKyp-e1v6Wb-dFeBaWdwSz7F-78VnUD-k29Y2R-e5iYKQ-4gTkbN-jWxAg8-b4Xmvn-bgKxnr-dQUsHg-gC2Nh-9DALWX Vitellozzi, C. (2006). _who,what,where,when,why_?. Retrieved January from, djnqhw-zc7s1-nxadg-9yaos5-megyrz-9lf9xn-777ars-4unlpk-7j6xfk-fh7tf-5fibhe-cerj83-hzguk-6eblcb- btk1xa-bsscp-aya8pn-otu8nk-cuciqw-cmbaf9-8y44ia-pl8hs-asxg8d-ayga7-fqraq6-geuyp-9f773z- Lw1Ar-bmqbhQ-2CRkgx-3nLMEw-akR2K9-5vZTUH-BsSBE-wNq8B-nxAs6-ap9Y7V-8oCGsL-afA5Xn-8fzLkT- 9Jbqr1-5T4C6N-92m4a3-6CaRNc-aH4vLM Endeavour College of Natural Health 60

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