NOTES: Also see Spleen pp 268-271, and also check Liver pp 299 407

Drug Therapy -> hormonal prescriptions: contraception, HRT,

steroids etc

Anatomical -> Chronic sinusitis, Sphenoid Bone Imbalance,

Spinal Curve, TMJ problems, teeth grinding

Indications: Any patient with sensitivity to sugar, sugar craving or adverse reaction
Also any patient with Ren 12 , ST 21, LIV 13 "pancreatitis" abdomen

ETIOLOGY

Adrenal TX

Trauma to to reflex zones including injury and scarring

Spleen TX - bilateral needling of SP 3.2, SP 9, Oddi pt

Huato of T10-11 or T 11-12 to reduce PPR around umbilicus

Adrenals, Thyroid, Sugar, Female Hormone imbalances

Treatment Strategy
(Liver Spleen pancreas):

Disturbance in metabolism of fat, protein and carbohydrates

Bulimia, eating disorders and gastrointestinal problems

ODDI -> Balances functions of Liver, pancreas and Spleen.

Kyutoshin if cold
TX should strengthen Spleen pulse
SP 3.2, SP 9 -> if cold feet

Frequent urination despite low fluid intake

Multitude of signs and symptoms -> Autonomic Nerve System
imbalance + Pituitary
TX aimed at correcting these rather than individual symptoms

INDICATIONS
IF muscular pain of any kind:
ODDI pt - 90 until resistance is felt

SUGAR

Check ADRENALS
Sugar lump - needle 45 towards umbilicus, gentle stimulation

Area of BL 1 & 2 and YuYao, about 1 cun above BL 10,

the SI 13 area and Ren 3

KID SUPPORTING PT - 3 fingers above SP 10 (find tender pt)

PITUITARY MU -> Area of BL 2 - if one sided ->

check Sphenoid Bone

Treatment Strategy
(Spleen Perspective)

PITUITARY

SI 13 area (vasopressin)
1 cun above BL 10 -> PITUITARY SHU -> also Sphenoid
Bone
Consider as Pituitary reflex zone if other PPR indicate
hormonal imbalance

Diagnosis

Hypo (slow pulse?) -> Ventral-> Kawai Ear pts to release ST 9

LU 4 - release PPR on ST 9 further - use
SJ 4 in patients intolerant of temperature change
Magic pt - benefits tight GB 21 area - reduce PPR ST 9 and C6/7
Huato
Also check Vascular Compression of Neck - do before above
Dorsal -> BL 43 if Thyroid hereditary - arms hanging find tightest
point
Check DU 2, 4, 6, 11, 12 and 14 for PPR

SI 3 should release BL 2 area by 45 to 75%

MAGNETS -> SI 3 North Pole -> SI 13 South Pole
THYROID

SI 13 -> into hard or gummy area

Mostly associated with frequent urination / bedwetting
With BL 2 reduces PPR at Ren 3

Treatment
TREATMENT

PPR on ST 9 - palpate towards thyroid cartilage

Can be swelling with no PPR
Also palpate medial aspect of SCM
NB Unilateral PPR on SCM -> Autonomic Imbalance
Huato of C6 - C7 -> Thyroid Shu
General area of Du 14 thick and puffy in hypothyroid

SI 3 - should reduce PPR at BL 2, SI 13 and/or above BL 10

Also can help clear Oketsu, ST 28 (ovaries) and KID 13
(uterus), 2nd Sacral Liao
IF SI 3 effective then root is likely to be Pituitary / Hormonal

1 cun above BL 10 -> Pituitary Shu -> sensitive with pituitary and
sphenoid bone
Always needled if gummy or tender -> needle towards occiput

DORSAL: Palpate T 10, 11, 12 -> Feel for spinous processes

too close together & PPR
DU 6 & 7 needled with the flow of DU MAI 15 7
MID BACK SPASM -> Huato pts gently stimulated until gumminess
loosens - possible Kyutoshin if very tight.
If too loose and wide -> 7 -> do not needle
BL 20 to 21 tightness -> Needle SP 3.2 to relax then Kyutoshin

DIAGNOSIS

HORMONAL
IMBALANCE

BL 2 -> Needled after SI 3 and SI 13 esp with Middle Jiao

problems
Shallow insertion towards BL 1 or 90
Magnets: North facing BL 2, South facing above BL 10 or SI 13

LIVER SHI - LIV 2 PPR -> LIV 4 & LIV 8

LIV 3 RIGHT if LIV 14 PPR without subcostal congestion
If congestion & PPR over Liver -> Right KID 7, SP 7, HE 3, PC 4

Hyper -> Check Kid 2 for PPR - if PPR KID 7 + 10

If no PPR at KID 2 -> KID 9 and SJ 9.5 (in depression 2/3's up from SJ 4
Also check LU 10 PPR - metal and water of Lung
Rapid Pulse -> use Ren 6 or Ren 4 (if autoimmune condition) Kyutoshin if cold
After 15 minutes remove upper limb needles -> LI15 15 to reduce ST9 PPR
+ KID9. Check pituitary PPR at BL 2
ST 44 + 45 if Thyroid is inflamed
Insert Kawai ear pts at this stage
check SUGAR at T11-12 Huato