Jprot Tungbmpain LN

Master Tung's Acupuncture and the
Balance Method for Pain

By
Jean-Sylvain Prot, L.Ac.
Leading Acupuncture CE Provider

For On Demand CEU/PDA in the office, at home or on the go.
Choose from videos, audio, articles or streaming Live webinars.
Lotus Institute of Integrative Medicine

PO Box 92493, City of Industry, CA 91715
Tel: 626-780-7182 Fax: 626-905-6887
Website: www.eLotus.org Email: info@elotus.org
www.eLotus.org
LEARN THE SCIENCE. PRACTICE THE ART. HEAL.
READ FIRST
Welcome to eLotus.
Before beginning your course, please read through our copyright information.
GENERAL POLICIES / GUIDELINES
2.
1.
CEUs/PDAs: CEU Certificates for distance learning and live

webinar courses can be immediately printed after you pass a
quiz (70% or higher).
2.
GIFT CERTIFICATE: We are the only organization offering

live CEU webinars where your full tuition is subsidized with a
gift certificate good towards the purchase of high-quality
herbs. The intention of this is to provide affordable and
effective CEU classes to help you maximize clinical success
and eventually reach our goal of helping the TCM profession
become an active, vital, and integral resource in the health
needs of the community. (Live CEU Webinars Only)
a. For educational purposes, each of our webinars are

recorded for future broadcast. Any information,
comments, or questions you post in the meeting room is
recorded. You understand that the Internet is not a
secure medium and that any material posted can be
accessible to anyone with Internet access.
b. You give Lotus Institute of Integrative Medicine, LLC. the
right and permission to use, reproduce, publish, transmit,
distribute, and display any of your postings for use in
promotional or educational materials, including but not
limited to articles, brochures, newsletters, CD, DVD,
audio and video recordings, company website, etc.
3.
COPYRIGHT AND CONSENT

1.
4.
b. Taping of webinars, online video recordings, and online

audio recordings is not allowed. All the relevant
information given (oral, written, or in any other format)
are copyrighted and intended for personal and
professional use in your clinical practice only. The
information you receive shall not be copied, duplicated,
or distributed in any format or be used for teaching
without prior written consent from Lotus Institute of
Integrative Medicine (eLotus).
c. Any information shall not be shared with any other
organization for any purpose. Association and/or
affiliation with any other organizations that may be
viewed as a competitor, i.e. organizations providing CEU
seminars, distance or live; herbal manufacturer or
distributor, instructors, schools, educational organization,
shall be disclosed.
Consent and Disclaimer Part III (Copyright)

a. Multimedia images used in this presentation are obtained
from various internet sources. No infringement of
copyright is intended in the usage of any multimedia
images in this presentation. Any multimedia images used
are purely for educational purposes by the instructor and
eLotus, to comply with Fair Use laws for multimedia
usage from internet sources.
Consent and Disclaimer Part I (Copyrighted Information)

a. Lotus Institute of Integrative Medicine,
PO Box 92493, City of Industry, CA 91715
Tel: 626-780-7182.
Fax: 626-609-2929.
Website: www.eLotus.org.
Email: info@eLotus.org
Consent and Disclaimer Part II (Webinar Recording)
Consent and Disclaimer Part IV (Speaker/Author)

a. Where expressly indicated, eLotus is engaged in
providing a forum to participants for information
exchange purposes only. eLotus does not make any
representations or warranties (express or implied) as to
the accuracy, currency or authenticity of the information,
services and materials presented at its seminars,
webinars, or publications written by any of its speakers.
b. eLotus, its employees and agents, do not accept any
liability to any person for the information, service,
materials or advice (including the use of such
information, services, or material or advice) which is
provided by any of the speakers at eLotus seminars,
webinars, or the speakers publications. Any such
information, service, materials, or advice provided by any
of the speakers at eLotus seminars, webinars, or
speaker's publications, shall remain the sole
responsibility of the author.
Our Mission
To provide the highest quality, clinically relevant information readily accessible to the
TCM community.
Our Vision
All TCM practitioners operate in the highest level of efficiency and effectivity
in the healing of patients and the professional practice becoming an active,
vital and integral resource in the health needs of the community.
Our Promise
To help you maximize clinical success and to make TCM the first choice
when it comes to healthcare.
www.eLotus.org
Services and Products by eLotus

For years, Lotus Institute of Integrative Medicine has taken pride in the presentation of the most qualified and experienced speakers and
practitioners of Oriental Medicine in their respective specialties. This allows us to fulfill our mission of providing the highest quality, clinically
relevant, and readily available information to the TCM community. Most of our speakers have over twenty-five years of clinical experience.
They have preserved and developed clinically effective approaches that now serve as testaments to their longevity of successful practice.
Our speakers are individuals who are respected by their peers, beyond the readily apparent scholastic and professional achievements,
but more so by their willingness to share their highly-valued insights so you will be able to utilize them immediately, the very next day in
your practice.
Like Lao-tzu's adage - when you do better, we all do better

LotusCEU WEBINARS
Get live CEU webinars (web-based seminars) streamed
right to your computer, wherever you are! This counts
as LIVE attendance for CA Acupuncturists!
LotusCEU SEMINARS
Want to attend a class in person instead? Join us
at a live 8-hour CEU seminar!
Lotus Website:
www.eLotus.org
Lotus OnlineCEU VIDEOS

Missed a webinar? Enjoy on-demand CEU video
recordings that you can view anytime, anywhere,
at your convenience!
Lotus OnlineCEU AUDIO

Missed a webinar? Enjoy on-demand CEU audio
recordings that you can listen to anytime, anywhere,
at your convenience.
Lotus OnlineCEU ARTICLES

Get CEUs with articles that you can read anytime,
anywhere, at your convenience!
DRUG-HERB
REFERENCE
GUIDE SET
2ND EDITION
is an invaluable suite of reference tool
that will serve as a catalyst to support
and multiply your skills for an effective
acupuncture and herbal practice.
Lotus WEBINAR Weekdays

A FREE 1-hour webinar every week! Sign up for
eLotus Updates to receive exclusive invitations!
TCM Wisdom Tube

Missed our free 1-hour webinars? Watch them FREE
on-demand in our TCM Wisdom Tube!
FREE Articles for Download

Auricular Acupuncture Acupuncture Disorders
Herbs Herb-Drug Interactions / Pharmacological
Effects of Herbs Pulse Diagnosis Practice
Management / Legal Aspects Others
eLotus Updates
FREE subscription to current events of ancient wisdom!
Get enriching articles emailed to you monthly. Be the
first to receive news, promotions, or invitations to our
webinars. Sign up today!!
nd
Clinical Manual of Oriental Medicine, 2 edition

CD Manual of Oriental Medicine, v.2
nd
Mini Manual of Integrative Medicine, 2 edition
www.eLotus.org
eLotus GOLD PASS

365 Days of 24/7 Unlimited CEUs
& Full Tuition Credit in Herbs*!
now available with
risk-free 7-day trial & 2 payment options
eLotus Gold Pass is everything you love

about the Full Access Pass & more!
The best deal for

CEU renewal. One
purchase, get all
your money back in
herbs, no worries!
- Mark
Webinars, videos, audios and articles from 70+ experts
This is the second

year that I have had
the Annual Pass
and it has totally
transformed my
practice and my
life. I have gained a
new level of clinical
effectiveness that
I did not think
possible.
Alistair
Unlimited CEUs (NCCAOM, CA, FL, IL, TX, CTCMA, IVAS, ABORM)
Automatically registered for ALL Live webinars throughout your Gold Pass
Live chat and phone support, plus easy sign up and payment
CEU/PDA Certificates issued immediately upon course completion
FULL TUITION back as a gift certificate from Evergreen Herbs
1295.00
OR
$125/mo
for 12 months
order/learn more @ www.eLotus.org/Gold

toll-free (866) 905-6887 or scan with smart phone g
*The Gold Pass is an yearly contract non-refundable after the 7-day trial. Please read the disclaimer in its entirety on our product webpage prior to purchasing.
LotusInstitute Of Integrative Medicine

LEARN THE SCIENCE. PRACTICE THE ART. HEAL..
www.eLotus.org
Toll-Free Tel: (866) 905-6887
Website:
Master Tung's Acupuncture and the

Balance Method for Pain
Jean-Sylvain Prot
Licensed Acupuncturist
Optimal Acupuncture and

The Channels Test
Lotus Institute Of Integrative Medicine

Tel: (626) 780-7182 Fax: (626) 609-2929
Website: www.eLotus.org Email: info@eLotus.org
Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine

Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine
Acknowledgments
Yin Shui, Si Yuan

When you drink water,
remember the source
Graduated in TCM & Medical Qi Gong (2005)

2 years as Dr Zhang Yun assistant (Paris)
Have studied with many different masters, teachers but
also extensively researched on my own, not only
chinese medicine but also Greek philosophers, the
hermetic western tradition, alchemy, astrology,
numerology, geometry and music syncretism is
essential and achievable through perseverance.
Still studying with great teachers & masters:
Dr Robert Chu optimal acupuncture (Tungs style,
microsysytems, chrono-acupuncture, Yi Jing Ping Heng
Acupuncture methods )
Dr Wang Ju Yi channels palpation
Dr Yoshito Mukaino M-Test (or meridian test)
Dr Zhang Yun TCM acupuncture
Background informations
20 years experience in Korean Yoga &
Martial Arts
Private practice in Ibiza, 30-40 patients
per week
Integral coaching, retreats, seminars (Qi
Gong, Daoist Yoga, Natural Fitness
Training)
CM teacher in France (http://mtcqigong.fr) 3rd largest TCM school in
France (350 students) with strong
emphasis on Medical Qi Gong (Zhineng
Qigong)

Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org
Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine.
Yoshito Mukaino
Yoshito Mukaino
Dr. Mukaino is a medical doctor and a professor

of Sports Science at Fukuoka University.
Dr. Mukaino found that the distribution of meridians is

closely related to body movement and when there is
abnormality in a meridian, movement of our body is
restricted somewhere along this meridian.
"The M-Test (Meridian Test) is an easy and quick

method to find the meridian that needs treatment.
I developed it for acupuncturists who have just
graduated from school and started to practice. It
is easy to learn and always accurate. You can
say goodbye to your guessing work in your
diagnosis."
Any symptom that appears along with an abnormality of

the body, accompanies some abnormality in movement of
the body. We observe clinically that the loss of smooth
movement of the body is not limited to disorders of the
organs of locomotion, but also to many disorders of
internal organs."
What is the Channels Test ?
It is a simple method that elucidates the

abnormalities in channels and points in
terms of a series of physical movements.
Anyone can learn to use the Channels
Test because it is easy to understand and
it can serve as a valuable first step for
treating pain and maintaining health.
Channels, Points and Movement
The channels system is a signal transmission

system which is involved in movement.
Same mechanism applies to pain and symptoms that
come from movements in daily life.
The pathological mechanism of channel imbalance
causing restrictions and pain in movement in other
parts also applies to symptoms that cannot be
explained by modern medicine.
59-year-old man who had pain in both

shoulders for over a year
59-year-old man who had pain in both

shoulders for over a year
Pain was not relieved no matter how many places he

received treatment, and the cause of the pain was
unknown.
Lateral rotation of the arm in a horizontal position
aggravated the pain, and in this case PC-9, PC-7, TB-3
and TB-10 were candidates for treatment.
PC-7 and TB-10 reduced the pain.
After treating these points, I also stimulated the 5
Phases combination points SP-2 and ST-41
This immediately relieved the shoulder pain.
I asked the patient: By the way, what have you been

doing everyday?
He told me he had been doing 50 pushups everyday
from a year ago.
The points I treated were in areas that are stressed by
pushups.
Examining the effect of 5 Phases point
combinations on various patients, often the
stimulation of points that are located in areas
stressed by movements that aggravate the pain is
most effective.
The insight possessed by the ancient acupuncturists is
astounding !!!

Nei Ke and the Channels Test

Some practitioners tend to think that this
approach is useful only for musculoskeletal
problems because the diagnosis and treatment is
based on movements of the body.
It is my experience, however, that imbalance in
physical movements are often associated with
diseases other than musculoskeletal problems.
In this way, the chain reaction of abnormalities
in movement is related to the occurrence of
symptoms.
More examples
Burning pain during urination and nocturnal

polyuria after three laparoscopic surgeries for
prostatic hypertrophy.
Patricks test on the left side was positive and
needling points on the channels associated with
this movement alleviated the symptoms in just
two treatments.
Movement, channels, and points
Examples
Movement, channels, and points
We can determine which sector has a problem by noting

reactions of pain, tightness, fatigue, or any other abnormal
sensations with each movement.
Other positive findings are when a movement causes dizziness or

shaking, or when note a difference between the right and left sides in
range of motion or resistance to movement.
The findings are each rated on a scale of 1 to 10, and treatment

of the findings with the highest score takes precedence.
Often the various minor findings naturally resolve when the most significant
findings are treated.
Looking the 12 regular channels, their pathways and

their points basically consist of 3 groups that are
located on the anterior, posterior, and lateral
aspects respectively.
Each of these aspects can be divided into superior
and inferior halves, so basically there are 6 sectors.
By designating movements that stretch the
channels and points in each of these sectors, we
can identify the channels and areas that are
abnormals.
Four Types of Abnormal Reactions
Low back pain did not resolve for a long time

even after the patient received laser surgery for
a herniated disk.
Patricks test on the right and posterior flexion
exacerbated the back pain
The abnormal channels can be identified just
from these two findings, and giving acupuncture
to the corresponding points cured the back pain.
Pain and stretched feeling are attributed to Excess (Shi) of

Yang channels.
In addition, these are two Yin channels can exhibit Excess

symptoms (pain and stretched feeling). They are Pericardium
and Liver channels (Jue Yin).
The Excess symptom of a Yin channel suggests Blood Stasis

(Yu Xue).
Dullness and malaise are attributed to Deficiency (Xu).
Dullness and malaise in the anterior-posterior parts of the four

extremities are Yin Deficiency.
Dullness and malaise in the posterior torso (neck, back and

waist) are Yang Deficiency.
Dullness and malaise in the anterior torso are Qi Deficiency.

The five steps

The channels test protocol
1)Perform the test : check for abnormalities in movement with the
channels test findings chart.
2)Identify abnormal areas or aspects : find abnormal areas
based on abnormal movements.
3)Select the acupuncture points to treat : select the primary
points from those in the abnormal area
Approach to treatment
4)Confirm the effect of the points : check the effect of the points
and choose the most effective ones.
5)Treat using the chosen approach : treat the affected area by
stimulating points or by other means.
Perform the channels test

Neck Movements
1.Extension
1A. Rotation
2. Flexion
3. Lateral Flexion
Perform the channels Test
Arm Movements
Arm Movements
4. Extension
5. Medial Rotation
6. Flexion
7. Lateral Rotation
8. Horizontal flexion
9. Elbow flexion
10. Horizontal extension
11. Elbow extension
Wrist Movements
Leg Movements
12. Ulnar flexion

13. Radial flexion
14. Flexion
15. Extension
16. Extension
17. Knee flexion
18. Flexion
19. Hip & knee flexion

Leg Movements
Ankle Movements
20. Lateral rotation

21. Adduction
22. Abduction
23. Plantar flexion

24. Dorsiflexion
25. Supination
26. Pronation

Torso Movements
27. Extension
28. Flexion
29. Lateral flexion
30. Rotation
All Channels Test movements are combinations of

basic movements that stretch the meridians and
points
The movements that we make can be called a
combination of basic movements that stretch the
meridians.
A movement that is repeated over and over generates
fatigue in the aspect that is stretched, and influences
the linked movements in the same meridian group.
It follows that the occurrence of pain and decline in
performance among athletes, as well as the exacerbation
and amelioration of various symptoms and diseases of
working people are most likely under the influence of
imbalance in movement linked by the meridians.
Even when the channels test

movements are done carefully
to confirm abnormal findings,
they can be completed in about
10 minutes.
The five steps


Anatomy and acupuncture

The deeper you dive into anatomy, the more relationships
you see between acupuncture and the physical structure
of the body.
A good place to begin is with fascia. Fascia is a type of
connective tissue primarily made up of collagen.
It spreads through the body providing form and
stabilization for muscles and organs.
This complex structure holds the body together, providing
unity, and interconnectedness.
What Does It Mean?
Fascia and channels of acupuncture

Fascia located in one area can affect tissue located in another more
distant area. When the body is dissected along "lines of tension and pull"
we can see patterns incredibly similar to acupuncture channels.
The more refined images of
fascial dissections show the
familiar branching we are
accustomed to within
acupuncture. The primary
acupuncture channels, which
branch into smaller more
delicate channels, share a
similar structure to what is
seen with fascia.
Do these findings about fascia explain

everything about acupuncture?
To see and realize the channels have a physical

and tangible underpinning is powerful powerful for
working acupuncturists, students of acupuncture, and
clients alike.
When talking to potential clients who are skeptical about
acupuncture, explaining the fascial connections in the
body helps them see how acupuncture can be a helpful
treatment option.
Likewise, when discussing my clinical work with a medical
doctor, nurse or physical therapist, this fascia discussion
gives me solid footing.
Not at all. Qi, Blood, Shen, Yin, Yang, all of these remain
powerful and independent concepts separate from fascia
and the patterns they produce.
Traditional Chinese herbal medicine has lost nothing
acknowledging the existence of chemical compounds. In
the same manner, nothing is lost by embracing the
similarities between fascial connections and the channels
of acupuncture. The fascial patterns outlined by Mr. Myers
are wonderful, powerful tools which can be used
by acupuncturists and acupuncture students alike.
What is Fascia?
The Saran Wrap of the Body

Like saran wrap wraps around a
sandwich, fascia wraps around
muscle, tendons, ligaments and
organs.
It is strong but it can stretch, moving
with the various body parts. It can
stretch to the point of tearing.
Fascia is a connective tissue.

It connects things, it separates things, and plays a crucial role in movement.
It is like a spider web wrapping around and running through the

internal body.
Just as you cannot move part of a spider web without affecting the whole web, you
cannot move any part of your body without affecting the entire fascial web.
Fascia wraps around everything in the body, bones, muscles,

arteries, veins, and organs.
It provides support for tissues and organs while also separating the
individual components in our bodies.
Through the web of fascia, everything in the body is connected.
Unlike saran wrap, fascia

is wet and slippery,
allowing individual parts of
the body to slide against
each other.
It can move with various
body parts or it can initiate
its own movement.
Over stretched fascia can cause binding

and restriction, limiting movement of
structures.
Torn fascia will cause pain and
inflammation.

Fascia and medical history
Fascia and Biomechanical Regulation
Fascia has been largely ignored throughout medical history.

It was considered the messy, slick, tough gristly stuff that stood
between doctors and the internal body.
Anatomists cut it away from muscles and organs during dissections
thinking it was a covering that was not important.
From http://www.anatomytrains.com/fascia/
Our fascial fabric constitutes one single biomechanical
regulatory system.
Fascia is, in fact, our system of Biomechanical Regulation
just as our circulatory system is a chemical regulator and
the nervous system is a timing regulator and needs to be
studied and treated as a system, not only as a series of
parts.
Our single fascial system starts about 2 weeks into
development as a fibrous gel that pervades and surrounds
all the cells in the developing embryo.
While every anatomy lists around 600 separate muscles, it is more

accurate to say that there is one muscle poured into six hundred
pockets of the fascial webbing. The illusion of separate muscles is
created by the anatomists scalpel, dividing tissues along the planes
of fascia. This reductive process should not blind us to the reality of
the unifying whole. Tom Myers from his book Anatomy Trains
Fascia and Biomechanical Regulation
Fascia and the San Jiao
Structure without function is a corpse. But

function without structure is a ghost. It is
now abundantly clear that fascia is part of
the whole picture, and a part less studied
than muscle or nerve, therefore the need to
include it to get the complete picture.
Individual muscles acting on bones across
joints simply does not adequately explain
human stability and movement.
The current bio-medical explanation for how

Acupuncture and Moxibustion is able to affect
change in the body is leaning heavily towards a
theory based upon the stimulation of the microcurrents of electricity which exist in the fascial
tissue.
When stimulated with Acupuncture, at the
correct depth, and at the key points, in the
fascia, which re-connect or enhance the existing
electrical circuits, systemic change results.
The San Jiao according to the Classics
The San Jiao Space
Su Wen, chapter 8: holds the office of

irrigation and water pathways issue from it
Nan Jing, chapter 66: the pathway of
source qi
Nan Jing, chapter 38: has a name but no
form
Nan Jing, chapter 38: the disseminator of
source qi and determiner of all other qi
Consists of the 3 specific environments in the

torso:
UJ = mist
MJ = fermentation pot
LJ = drainage ditch
Dr. Wang Ju Yi expands this idea of the San

Jiao to include the spaces within the whole
body.
Regular channels reside within the San Jiao
throughout the body.
From the perspective of Chinese Medicine, the formation of channel

abnormalities involves the five tissues: skin, vessel, muscle, sinew, and bone.
Modern medical explanation of these abnormalities involves changes in the
composition of metabolites, interstitial fluids, skin, subcutaneous connective
tissue, adipose tissue, blood vessels, muscles, tendons, fascia and ligaments.

Identify Abnormal Areas
Sternocleidomastoid
Sternal Head:
Origin: Upper part of the anterior surface of the
manubrium
Clavicular Head:
Origin: Superior surface of the medial one third
of clavicle
ANTERIOR UPPER BODY

Sternocleidomastoid
Pectoralis major
Biceps brachii (lateral)
Brachioradialis
Extensor carpi radialis
Muscles of 1st and 2nd digits
Insertion: Lateral surface of the mastoid

process of the occipital bone, from its apex to its
superior border, and by a thin aponeurosis to the
lateral half of the superior nuchal line
Action: Bilaterally: flexion of the head and neck,
extension of the head and neck
Unilaterally: rotation of head to opposite side,
lateral flexion
You use the SCM muscle to bend your head
down and side to side, turning your head and
the SCM assists with chewing and
swallowing.
Clinical diagnoses to which the SCM

symptoms may contribute
What pain and symptoms are associated

with the SCM ?
Sternal Division
Pain maybe felt in these areas: Cheek and jaw, Sinuses, Back
of head at the bottom of the skull, Around one eye, Top of head.
May also be associated with these symptoms: Tearing of

eye, Visual disturbances when viewing parallel lines, Chronic sore
throat when swallowing, Chronic dry cough.
Clavicular Division
Symptoms maybe felt in these areas: Pain across the
forehead, Frontal sinus-like headache, Ear ache, Nausea, Dizziness,
Car-sickness, Faulty weight perception of held objects, Hearing loss in
one ear.
Pectoralis Major
Origin: Clavicular Head: Anterior surface of the
medial half of the clavicle.
Sternal Head: Lateral aspects of the manubrium and
body of the sternum, the upper six costal cartilages
and the aponeurosis of the abdominal oblique.
Insertion: Clavicular Head: Lateral lip of the bicipital
groove of the humerus and anterior lip of the deltoid
tuberosity
Sternal Head: Lateral lip of the bicipital groove of the
humerus and the anterior lip of the deltoid tuberosity.
Action: Shoulder flexion, Internal rotation, Adduction
You use the pectoralis major muscle to raise
your arms in front of your body, twist the arms in
toward the body, and move your arms across the
body.
Spasmodic torticollis (Wryneck syndrome)

Headaches, Whiplash
Mnires disease
Dizziness
Vertigo
Motion sickness
The sternocleidomastoid muscle is the muscle most injured in whiplash and

as such can cause a number of symptoms and refer pain to many areas of
the upper body.
The SCM muscle should be examined anytime you have pain in the
head or neck area.
If dizziness, nauseous, loss balance and falling are present and have eluded
diagnoses, the clavicular branch of the SCM should be examined. Trigger
points in the clavicular branch of the SCM can cause problems with balance,
vision and hearing.
What symptoms and pain are associated

with the pectoralis major muscle?
Chest pain
Pain in the front of the shoulder
Pain in the inner arm, inner elbow traveling down
to the middle and ring fingers
Breast pain
Upper back pain between and around the
shoulder blades
Rounded shoulder posture

Clinical diagnoses to which this muscle

Bicipital tendonitis
Costochondritis
Supraspinatus
tendonitis
Subacromial Bursitis
Medial epicondylitis
Lateral epicondylitis
Pleurisy
Osteoarthritis
Osteoporosis
Ankylosing spondylosis
Biceps brachii (lateral)

Origin:
Long head: supraglenoid tubercle and
the superior portion of the glenoid
labrum
Short head: lateral aspect of the apex
of the coracoid process of the scapula
Angina pectoris
Esophagitis
Gastroenteritis
Hiatal hernia
Gallbladder dysfunction
Insertion: Radial tuberosity and the

bicipital aponeurosis.
Action: Flexion of forearm, Supinates
forearm, Flexion of the arm at the
shoulder
You use the biceps brachii muscle
when you lift something, rotate
your arm, bend your elbow and
raise your arm.

with the biceps brachii muscles?
Clinical diagnoses to which the biceps

brachii muscle symptoms may contribute

Pain in the crease of the elbow
Weakness in the arm
Difficulty straightening arm with palm facing
down
Pain at the top of the back of the shoulder
(between the neck and shoulder joint)
Bicipital tendinitis
Subdeltoid bursitis
C5 or C6 radiculopathy
Shoulder pointer (a separation or sprain of
the acromioclavicular joint)
Radiculopathy (from Wikipedia)

Radiculopathy refers to a set of conditions in which one or
more nerves are affected and do not work properly (a neuropathy).
The location of the injury is at the level of the nerve root (radix =
"root"). This can result in pain (radicular pain), weakness, numbness,
or difficulty controlling specific muscles.
In a radiculopathy, the problem occurs at or near the root of the
nerve, shortly after its exit from the spinal cord. However, the pain or
other symptoms often radiate to the part of the body served by that
nerve.
For example, a nerve root impingement in the neck can produce pain and
weakness in the forearm. Likewise, an impingement in the lower back or lumbarsacral spine can be manifested with symptoms in the foot.
Polyradiculopathy refers to the condition where more than one spinal

nerve root is affected.
UB11
UB12
UB13
UB14
UB15
UB17
UB18
UB19
UB20
UB21
UB23
UB25
UB27
UB28

Brachioradialis
Origin: Upper lateral supracondylar
ridge of the humerus (between triceps
brachii and brachialis.
Insertion: Superior aspect of the
styloid process of the radius and the
lateral side of the distal half to onethird of the radius.
Action: Flexion of the forearm at the
elbow.
You use the brachioradialis to bend
your elbow.
What symptoms and pain are

associated with the brachioradialis?
Clinical diagnoses to which the brachioradialis

muscle symptoms may contribute
Pain in the back of the forearm near the elbow

Pain in the back of the hand at the base of the
thumb extending into the web of the thumb and
up toward the wrist
Pain is noticeably pronounced when you twist
your hand
Numbness on the thumb side of the hand
Noticeable weakness in grip strength
Extensor carpi radialis

Origin: Proximally to the lateral
supracondylar ridge of humerus.
Insertion: Distally, to the back
base of the second metacarpal
bone
Action: Extension of the wrist
You use the extensor carpi
radialis longus muscle to
straighten the wrist, and twist
the wrist.
Lateral Epicondylitis (tennis elbow)

Carpal tunnel syndrome
Thoracic Outlet Syndrome
Tenosynovitis
Ganglion Cyst
Sprain/Strain of the elbow, wrist, or thumb

with the Extensor Carpi Radialis Muscle?
A burning sensation or constant ache is felt
just above the elbow going down the
forearm into the wrist, back of the hand,
and into the first finger.
Pain becomes worse when twisting the
arm and wrist.
Weak unreliable grip.

10
Clinical Diagnoses To Which The Extensor

Carpi Radialis Muscle May Contribute
Anterior Channels and Loads of

Movement in the Upper Body
Lateral Epicondylitis
Carpal Tunnel Syndrome
Tennis Elbow
Lung-Large Intestine channels and

movement (METAL)
Interesting Facts About The Extensor Carpi Radialis

Longus Muscle:
It is one of three muscles that support the wrist. Without these muscles
the wrist would hang limply from the forearm.
It as well as the extensor carpi radialis brevis muscle are known as the
fist clenchers muscles.
It is a prime contributor to tennis elbow
Lung and Large Intestine channels relate

to movement of the anterior upper body.
Movement of the neck extends the anterior
neck and chest.
The movement of shoulder and elbow
extends the anterior shoulder and elbow.
The movement of the wrist extends the
anterior (Radial side) wrist.
Any of these movement extends Lung and
Large Intestine channels.
Nuchal ligament
POSTERIOR UPPER BODY

Splenius capitis
Trapezius
Triceps brachii (medial)
Anconeus
Extensor carpi ulnaris
The nuchal ligament extends

from the external occipital
protuberance on the skull and
median nuchal line to
the spinous process of
the seventh cervical
vertebra in the lower part of
the neck.
The trapezius and splenius
capitis muscle attach to the
nuchal ligament.
Muscles of 5th digit

with the splenius capitis muscle?
Splenius Capitis
Origin: Lower half of the nuchal
ligament, the spinous processes
and supraspinous ligaments of
C7 to T3
Insertion: Lateral occipital
bone, between the superior and
inferior nuchal lines
Pain at the top of the head can be an indication of

splenius capitis muscle dysfunction.
Pain at the crown of the head
Blurred vision
Occasionally neck pain
Action: Extends the head and

cervical spine, Lateral flexion of
the head and cervical spine
Interesting facts about the splenius capitis muscle:
You use the splenius capitis

muscle to straighten the head
and neck, turn your head and
bend the head and neck
toward the shoulder.
The splenius capitis muscles are a major contributor to tension

headaches. These muscles should also be examined and treated
in all whiplash injuries.

11
Clinical diagnoses to which the splenius

capitis muscle symptoms may contribute
Trapezius
Origin:
Upper part: External occipital proturberance, medial
third of the superior nuchal line, the ligamentum
nuchae, and the spinous process of C7
Medial Part: Spinous processes of T1 to T5.
Lower Part: Spinous processes of T6 to T12
Insertion:
Upper Part: Lateral third of the clavicle and the
medial aspect of the acromion process of the
scapula
Middle Part: Medial edge of the superior surface of
the acromion process of the scapula and the
superior edge of the scapular spine.
Lower Part: Tubercles of the apex of the scapular
spine
Herniated disc
Bulging disc
Prolapsed disc
Whiplash
Migraine headaches
Military neck
Eye Strain
Cervical Spine Hyperlordosis
Post Concussion Syndrome
Action:
Upper Part: Upward rotation of the scapula,
elevation of the scapula
Middle Part: Retraction of the scapula
Lower Part: Upper rotation of the scapula,
depression of the scapula
You use the trapezius muscle to raise and lower
your shoulders, lift and lower your arms, tilt
your head side to side, turn your head side to
side, and straighten your neck.
What pain and symptoms are

associated with the trapezius muscle?
Clinical diagnoses to which the trapezius

Headache in the temple area

Pain in the jaw that travels down into the neck and over
behind the ear
Pain behind one eye
Tension headache
Contributes to dizziness
Pain at the base of the skull
Stiff neck
Ache or burning sensation in the middle of the back
Pain or tingling during raising or lowering the arms
Degenerative disc
disease
Tension headaches
Eye strain
Whiplash
Sprain/Strain injury
Shoulder pointer
Shoulder separation
Glenohumeral
separation
Adhesive capsulitis
(Frozen shoulder)
Triceps Brachii (medial)
Triceps Brachii (medial)
Spasmodic torticollis
(Wryneck)
Temporomandibular
disorder (TMD)
Thoracic outlet syndrome
Spondylosis
Stenosis
Concussion and Post
Concussion Syndrome
Triceps Long Head

Origin: Infraglenoid tubercle of the scapula
Insertion: Posterior surface of the olcranion
process of the ulna
Action: Extension of the arm at the shoulder,
adduction of the arm at the shoulder, extension of
the forearm at the elbow
Triceps Lateral Head
Origin: Superior half of the posterior surface of
the humeral shaft, lateral to the spiral groove
Insertion: Posterior surface of the olecranon
process of the ulna
Action: Extension of the forearm at the elbow
Triceps Medial Head
Origin: Posterior shaft of the humerus, medial
and distal to the spiral groove (deep to the long
and lateral heads of the triceps brachii)
Insertion: Posterior surface of the olecranon
process of the ulna
Action: Extension of the arm at the elbow
The triceps brachii

muscle connects
the shoulder and
upper arm to the
elbow. You use it to
straighten the
elbow, pull the arm
back behind the
body and bring the
arm down from
raised position.

12

with the triceps brachii muscles?
Clinical Diagnoses To Which The Triceps

Brachii Muscle May Contribute
Pain in the back of the shoulder

Pain at the base of the neck
Pain on the outside of the elbow
Pain throughout the back of the elbow
Pain in the back of the upper arm
Can make elbow hypersensitive
Pain down into the fourth and fifth fingers
Difficulty straightening and bending the elbow
Pain is usually dull and aching, rarely is the pain sharp or
stabbing

associated with the Anconeus Muscle?
Anconeus
Origin: Posterior aspect of the
lateral epicondyle of humerus.
Insertion: Lateral aspect the
olecranon process extending to
the lateral surface of the ulna
body.
Action: Extension of the elbow
You use the anconeus muscle
when you straighten the elbow.
Clinical Diagnoses To Which The

Anconeus Muscle May Contribute
Tennis elbow
Golfers elbow
Olecranon bursitis
Cubital tunnel syndrome
C6, C7 or C8 radiculopathy
Lateral Epicondylitis (Tennis elbow)

Carpal Tunnel Syndrome
Cubital Tunnel Syndrome
Pain is localized toward the outside and

around the point of the elbow.
The anconeus is a prime contributor to
tennis elbow.
Some anatomists believe that the
anconeus is part of the triceps brachii
muscle and not a separate muscle.
Extensor carpi ulnaris

Origin: Lateral epicondyle of
humerus via the common
extensor tendon.
Insertion: Tubercles on the
medial side of the base of the fifth
metacarpal
Action: Extension of the wrist
You use the extensor carpi
ulnaris when you straighten
your wrist and side bend the
wrist toward the pinky

13

with the Extensor Carpi Ulnaris Muscle?

Carpi Ulnaris Muscle May Contribute
Sharp pain and aching on the outside of the

wrist, feels like a sprain.
Weak unreliable grip.
Pain can be intense when twisting the wrist.
Prime contributor to writers cramp.
Carpal Tunnel
C8 radiculopathy
Charcots Joint (progressive degeneration of
a weight bearing joint, a process marked by bony
destruction, bone resorption*, and
eventual deformity).
*Bone resorption is the process by which osteoclasts break down bone and release
the minerals, resulting in a transfer of calcium from bone fluid to the blood.
Abductor Digiti Minimi

Origin: Volar surface of the pisiform,
the tendon of flexor carpi ulnaris, and
the pisohamate ligament
Insertion: Medial aspect of the base
of the proximal phalanx of the fifth
digit and, occasionally, a slip to the
ulnar side of the extensor apparatus
of the fifth digit
Action: Abduction of the fifth digit
You use the abductor digiti minimi
when you move the little finger
away from the other fingers.
Posterior Channels and Loads of

Movement in Upper Body
Heart-Small Intestine channels and
movement (IMPERIAL FIRE)
Heart and Small Intestine channels relate

to movement of extending the posterior
upper torso.
The flexion of the neck (Illustration 1 and 2)
extends the posterior neck and shoulder.
Movement of the shoulder and elbow extends
the posterior shoulder and elbow.
Movement of wrist extends the posterior
wrist.
Any of those movements extends Heart
and Small lntestine channels.

with the Abductor Digiti Minimi?
Pain is located on the outside of the back of the
hand just below the little finger
Pain extends up into the lower half of the little
finger
Clinical diagnoses to which the abductor digiti

minimi muscles symptoms may contribute:

Cubital tunnel syndrome
Peripheral neuropathy
LATERAL UPPER BODY

Splenius capitis*
Triceps brachii (lateral)*
Extensor digitorium communis
Muscles of 4th digit

14
Extensor digitorium communis

Origin: Lateral epicondyle of the humerus via
the common extensor tendon.
Insertion:
Main attachment: dorsal aspect of the base of
the proximal phalanx of each of the four digits.
Central slip: dorsal aspect of the base of the
middle phalanx of each of the four digits.
Lateral bands: via two slips to the dorsal
aspect of the base of the distal phalanx of
each of the four digits.
Action: Extension of the fingers
You use the extensor digitorum
when you straighten your fingers
and wrist.

Digitorum Muscle May Contribute
Pain and stiffness caused by the extensor
digitorum muscle in the fingers is often
thought to be arthritis
It is a contributor to tennis elbow
Lateral Epicondylitis
Ganglion cyst

with the Extensor Digitorum Muscle?
Pain in the middle finger extending into the back of the
hand
Pain can extend up the back of the forearm toward the
elbow
Pain is occasionally felt in the front of the wrist just below
the palm
Weak unreliable grip
Finger stiffness
MEDIAL UPPER BODY

Biceps brachii (medial)*
Palmaris longus
Muscles of 3rd digit

with the Palmaris Longus muscle?
Palmaris longus
Origin: Medial epicondyle
of the humerus via the
common flexor tendon
Insertion: Central portion
of the flexor retinaculum
and superficial portion of the
palmar aponeurosis.
Action: Assists with flexion
of the wrist
You use the palmaris longus
when you cup the hand and
bend the wrist.
Pain is a burning or tingling sensation, not aching or pounding pain

Pain is felt in the palm of the hand extending toward the thumb pad,
but pain is not felt in the thumb itself.
Cupping the hand will cause pain
Pain is felt in the palm when gripping items with the hand
Pain will sometimes extend up into the forearm
Interesting facts about the palmaris longus muscles:
Because of the burning and tingling pain in the hand palmaris longus dysfunction is
often diagnosed as cervical radiculopathy
Dysfunction in this muscle can cause the ring and little finger to curl into the palm
of the hand. This condition is associated with Dupuytrens contracture
Muscle is absent in 10% of the population

15
Clinical diagnoses to which the palmaris

longus muscle symptoms may contribute

C7, C8 or T1 radiculopathy
Peripheral neuropathy
Dupuytrens contracture
Lateral-Medial Channels and Loads of

Movement of the shoulder and elbow

extend the medial shoulder (axilla) and the
medial elbow.
The dorsal flexion of the wrist extends the
medial wrist.
Any of those movement extends
Pericardium channel.

Pericardium-San Jiao channels
and movement (MINISTERIAL
FIRE)
Pericardium and San Jiao channels relate to
extension movement of the lateral upper
torso.
Movement of the shoulder and elbow extend
the lateral shoulder and elbow.
The palmar flexion of the wrist extends the
lateral wrist.
Any of those movements extends San Jiao
channel.
ANTERIOR LOWER BODY

Rectus abdominis
Internal oblique
Quadriceps femoris
Latero-flexion of the neck is affected by

Pericardium AND San Jiao channels.
Tibialis anterior
Muscles of 1st & 2nd digit

associated with the rectus abdominis?
Rectus abdominis
Origin: Pubic crest and the pubic
symphysis
Insertion: From the fifth to seventh
costal cartilages, and the inferomedial
costal margin and posterior aspect of
the xiphoid process of the sternum
Actions: Flexion of the vertebral
column, posteriorly tilts the pelvis,
compresses abdominal contents,
assists with forces expiration.
You use the rectus abdominis to
bend over and straighten the trunk.
It also helps with breathing.
Pain that runs horizontal across the mid back under

the shoulder blade
Pain that runs horizontal across the low back
Pain around the sternum between the breasts
Pain in the low abdomen
Feeling bloated
Heartburn and indigestion
Testicle pain
Pain in the pelvic area

16
Interesting facts about the rectus

abdominis
Clinical diagnoses to which the rectus

abdominis muscle symptoms may contribute
The rectus abdominis muscle extends from the bottom of the ribs to
the top of the pubic bone without attaching to bone. The horizontal
bands of connective tissue called tendinous intersections helps the
muscle maintain proper length.
The abdominal muscles can cause a range of symptoms that can be
worrisome and mimic other medical conditions such as appendicitis,
gallbladder disease, irritable bowel syndrome, colitis, endometriosis,
and urinary incontinence.
Lingering or sudden onset of abdominal pain should be checked out
by a physician.
Degenerative disc
disease
Painful rib syndrome
Costochondritis
Stenosis
Appendicitis
Ulcer
Gallbladder disorder
Colic
Constipation
Pain in the middle and low back, abdominal pain, heartburn and
indigestion can indicate rectus abdominis muscle dysfunction.
Pain can occur in one area or multiple areas.
Internal oblique
Urinary tract disease

Endometriosis
Hiatal hernia
Inguinal hernia
Pancreatitis
Diverticulosis
Ovarian cyst
Pelvic pain
Internal oblique
Origin: Lumbar fascia, anterior twothirds of the iliac crest, and the lateral
two-thirds of the inguinal ligament
Insertion: Costal margin,
aponeurosis of the rectus sheath,
conjoined tendon to the pubic crest
and pectineal line, 10-12 rib
Action: Compresses abdomen;
unilateral contraction rotates
vertebral column to same side.
External Obliques
Primary Actions of the Internal Obliques:

1. Lateral flexion of the thoracic spine when acting unilaterally
2. Lateral flexion of the lumbar spine when acting unilaterally
3. Ipsilateral rotation of the trunk when acting unilaterally
Secondary Actions of the Internal Obliques:

1. Assists with flexion of the thoracic spine when acting
bilaterally
2. Assists with flexion of the lumbar spine when acting
bilaterally
3. Assists with forced expiration
External Obliques
Origin:
Anterior fibers: external surfaces of
ribs 5 to 8, interdigitating with serratus
anterior.
Lateral fibers: external surfaces of 9th
rib, interdigitating serratus anterior,
and those ribs 10 to 12, interdigitating
with lattissimus dorsi.
Insertion:
Anterior Fibers: into a broad flat
aponeurosis, terminating at the linea
alba.
Lateral fibers: into the anterior iliac
spine and pubic tubercle, and into the
external lip of the anterior half of the
iliac crest.
Primary Actions of the External Obliques:

1. Lateral flexion of the thoracic spine when acting unilaterally
2. Contralateral rotation of the lumbar spine when acting
unilaterally
3. Lateral flexion of the spine when acting unilaterally
Secondary Actions of the External Obliques:

1. Assists with flexion of the thoracic spine when acting
bilaterally
2. Assists with flexion of the lumbar spine when acting
bilaterally
4. Assists with forced expiration
Action: Flexion and rotation of

the spine

17
What pain and symptoms are associated with the

external and internal oblique muscles?
Pain in the side, in the waist area

Pain in the groin area
Pain in the low abdomen
Heartburn and indigestion
Testicle pain
Bladder pain and incontinence
Pain in the pelvic area
Clinical diagnoses to which the oblique

muscles symptoms may contribute
Painful rib syndrome

Slipped Rib
Costochondritis
Acid Reflux
Heartburn
Appendicitis
Gallbladder Disorder
Hiatal Hernia
Inguinal Hernia
Colic
Constipation
Urinary Incontinence
Urinary Tract Infection
and Disease
Pancreatitis
Diverticulosis
Testicle Pain
Ovarian Cyst
Endometriosis
Prostatitis
Interesting facts about the obliques muscles

The oblique muscles can contribute to pain and
discomfort in the abdomen and groin area. It can also
contribute to burning and discomfort in the urinary tract,
bladder and can contribute to incontinence.
Pain and symptoms of the oblique muscles mimics many
acute and chronic conditions, some of which can be lifethreatening.
It is important that a medical evaluation is conducted to
rule out what could be serious medical conditions.
Quadriceps femoris
Origin:
Straight head: from the anterior
inferior iliac spine
Reflected head: on a curved line
along the upper part of the
acetabulum at the ilium
Insertion: The quadriceps tendon
along with the three vasti muscles,
enveloping the patella then by the
patellar ligament into the tibial
tuberosity.
Action: Extension of the leg at the
knee

with the rectus femoris muscle?
Interesting facts about the rectus

femoris: Knee Bugs
Knee pain
Pain in the front of the thigh extending
down into the inside of the knee
Inability to fully straighten knee
Pain walking down stairs
Restless Leg Syndrome
Sharp pain deep in the front of the thigh
while sleeping
The rectus femoris is responsible for the

condition known as knee bugs. Knee bugs
is a creepy crawly type feeling and pain
that occurs under the knee cap.
This condition is often caused by a trigger
point in the rectus femoris.

18
Clinical diagnoses to which the rectus

femoris muscle symptoms may contribute
Patella femoral dysfunction

Floating Patella
Subluxation / Dislocation of the knee
Buckling knee (trick knee)
Anterior Cruciate Ligament sprain or tear
Posterior Cruciate Ligament sprain or tear
Torn meniscus (cartilage)
Quadriceps muscle tear
Sprain / Strain of the thigh or knee
Iliotibial tract friction syndrome
Phantom limb pain
Tibialis anterior
Origin: Lateral condyle and proximal

half to two-thirds of the lateral surface
of the tibial shaft, the adjoining
anterior surface of the interosseous
membrane and the intermuscular
septum between it and the extensor
digitorum longus.
Insertion: Inferomedial aspect of the
medial cuneiform and base of the first
metatarsal.
Action: Inverts and adducts the free
foot, assists in plantar flexion.
Prevents excessive pronation of the
foot during walking.
You use the tibialis anterior muscle when
you turn the bottom of your foot
inward and when you bend your foot
up toward your body.

with the tibialis anterior muscle?
Clinical diagnoses to which the tibialis

anterior muscle symptoms may contribute
Pain in the big toe

Pain in the front of the ankle going up the
front of the shin
Occasionally there will be swelling along
the shin bone
Can contribute to shin splints
Can be a cause of weak ankles
Can contribute to drop foot
Trigger points and a tight shortened tibialis anterior can

make it difficult to pick up the foot and can contribute to
tripping over your own feet.
Is often the primary cause of growing pains in the feet
and ankles of children.
Anterior compartment syndrome
Shin splints
Diabetic neuropathy
Hammer toe
Claw toes
Gout
Anterior Channels and Loads of

Movement in Lower Body
Spleen-Stomach channels and movement
(EARTH)
Spleen and Stomach channels relate to

movement of extension of the anterior
lower extremities.
Lumbar extension, extension of the hip joint
and flexion of the knee in the prone
position, and the plantar flexion of the ankle
joint extend the anterior lower extremities.
Any of these movement extends Spleen
and Stomach channels.
POSTERIOR LOWER BODY

Erector spinae
Latissimus dorsi
Biceps femoris
Semitendinosus & semimembranosus
Popliteus
Gastrocnemius
Muscles of the 5th digit

19
Erector spinae
Latissimus dorsi
Origin : Spinous processes of

T9-T12 thoracic vertebr,
medial slope of the dorsal
segment of illiac crest.
Insertion : spinous processes of
T1 and T2 thoracic vertebrae
and the cervical vertebrae.
Actions : extends the vertebral
column.
Antagonist : rectus abdominis
muscle

with the latissimus dorsi muscles?
Pain reaching forward with the arms

Pain lifting arms overhead
Pain around and under the shoulder blade
Pain on the side of lower abdominal area
Pain down the arm into the hand including the fourth and fifth fingers
Difficulty Breathing
Pain along the top of the hip bone (ilium).
Pain in the shoulder, upper arm, lower abdominal area, hand and
difficulty breathing can signal latissimus dorsi muscle dysfunction.
Pain in the low back around the top of the hip bone can also be a
result of a lat dorsi strain.
Long head of the Biceps femoris
Origin: Upper and inner surface of the

posterior side of the ischial tuberosity,
conjoined with semitendinosus
Insertion: The main attachment is to
the styloid process of the fibula, forming
a semicircle around the lateral collateral
ligament. The remainder splits into
three laminae: the intermediate lamina
fuses with the lateral fibular collateral
ligament, the others pass superficial
and deep to the ligament to attach to
the lateral condyle of the tibia.
Action: Flexes knee joint, laterally
rotates knee joint, extends hip joint
Origin: Spinous processes of thoracic

T7-T12, 9th to 12th ribs, the lumbar and
sacral vertebrae (via the thoracolumbar
fascia), and the posterior third of the
external lip of the iliac crest. Occasionally
by a slip from the posterior surface of the
inferior angle of the scapula.
Insertion: Ends as a flattened tendon in
front of the attachment of teres major to
the floor of the bicipital groove of the
humerus. As the muscle curves around
the inferolateral border of teres major,
the fiber bundles of latissimus dorsi
rotate around each other, so that fibers
that originate lowest insert highest on the
humerus, and fibers that originate
highest insert lowest on the humerus.
Action: Adducts, extends and internally
rotates the arm at the shoulder
The lats are responsible for movement of the
arms, bending at the waist, and tilting the
hips.
Clinical diagnoses to which the latissimus

dorsi muscle symptoms may contribute

Brachial plexus entrapment
Adhesive capsulitis (Frozen shoulder)
Ulnar Neuropathy
C6 C7 or C8 radiculopathy
Bicipital tendinitis
Charcots joint
Slipped rib syndrome
Bruised ribs
Kidney Infection
Gallbladder Pain
Short Head of Biceps Femoris
Origin: Middle third of the linea

aspera, lateral to the supracondylar
ridge of the femur.
Insertion: Joining with the long head
in the distal thigh, it attaches to the
styloid process of the fibular head
forming a semicircle around the
lateral fibular collateral ligament.
Remaining splits into three laminae.
The intermediate lamina fuses with
the fibular collateral ligament while
the other two pass superficial and
deep to the ligament to attach to the
lateral condyle of the tibia.
Action: Flexes knee joint, laterally
rotates knee joint

20

associated with the biceps femoris?
Clinical diagnoses to which the biceps

femoris muscle symptoms may contribute
Pain in the back of the knee

Pain toward the outside of the knee going
up the outside of the thigh
Pain worsens while walking
Pain in the back of the leg when rising from
a sitting position
Semimembranosus
Origin: Upper outer quadrant of the

posterior surface of the ischial tuberosity,
deep to the conjoined tendon of the
semitendinosus and the long head of the
biceps femoris.
Insertion: The posterior aspect of the
medial condyle of tibia, below the joint
line, sending fibers into the fascia over
popliteal ligament.
Action: Extension of the thigh at the hip,
flexion of the leg at the knee, internal
rotation of the knee when knee is flexed
You use the semimembranosus muscle to

straighten the thigh and bend the knee.

Interesting facts about the
semimembranosus muscle:
Pain and stiffness in the semimembranosus is often diagnosed as
hamstring tendinitis or sciatica.
Pulled or torn Hamstring, Sprain / Strain injury

Bruised ischial tuberosity
Deep vascular thrombosis
Cauda equina syndrome
Pulled or torn Hamstring

Sprain/Strain
Interesting facts about the biceps femoris:

Like the biceps in the arm, the biceps femoris splits
into two heads, the short head and the long head. The
short head of the muscle is absent in some people.

with the semimembranosus muscle?
Pain just below the buttock
Pain down the back of the thigh and into the
knee, occasionally going into the upper calf
Pain intensifies while walking
Deep aching pains in thigh and knee while
sleeping
Deep pain in the back of the thigh when rising
from a seated position
Semitendinosus
Origin: Upper inner quadrant of the

posterior surface of the ischial tuberosity,
conjoined with the long head of biceps
femoris
Insertion: Upper part of the medial surface
of the tibia, behind the attachment of the
sartorius and distal and slightly anterior to
the attachment of the gracilis.
Action: Extension of the thigh at the hip,
flexion of the leg at the knee, internal
rotation of the knee when knee is flexed.
You use the semitendinosus muscle to

straighten the thigh and bend the knee.

21

with the semitendinosus muscle?
Clinical diagnoses to which the semitendinosus

Pain just below the buttock

Pain down the back of the thigh and into the
knee, occasionally going into the upper calf
Pain intensifies while walking
Aching pain down the back of the thigh while
sleeping
Deep pain when rising from seated position
Interesting facts about the semitedinosus muscle:
Pulled or torn hamstring

Sprain / Strain hamstring
Hamstring tendinitis
Deep vascular thrombosis

associated with the popliteus muscle?
Popliteus
Origin: The lateral surface of the
lateral condyle of the femur.
Insertion: Medial 2/3rds of the
triangular area above the soleal
line on the posterior surface of
the tibia.
Action: Internal rotation of the
knee; Assists with flexion of the
leg at the knee
Popliteus muscle unlocks the knee
joint allowing the knee to bend.

Pain and stiffness in the semitendinosus is often diagnosed as

hamstring tendinitis or sciatica.
Popliteus tendinitis
Bakers cyst
Deep Vein Thrombosis (DVT)
Avulsion of popliteus tendon
Injured meniscus and other knee ligaments
and tendons
Pain in the back of the knee

Pain behind the knee when straightening the leg
Inability to lock the knee
Pain in the back of the knee when walking or
running
Pain behind the knee when crouching or bending
the knee deeply
Pain is worse walking down an incline or stairs
Gastrocnemius
Origin: Medial head: the depression at the

upper and posterior part of the medial
condyle of the femur and continuing behind
the adductor tubercle to a slightly raised
area on the popliteal surface of the femur,
just above the medial condyle.
Lateral head: area on the lateral surface of
the lateral condyle of the femur and to the
lower part of the corresponding
supracondylar line.
Insertion: Receives the tendon of soleus on
its deep surface to form the Achilles tendon
to attach to the middle of three facets on the
posterior surface of the calcaneus
Action: Plantarflexion of the foot at the
ankle, assists with flexion of the leg at the
knee.
You use the gastroc muscle when you stand on
your toes, point your toes and bend your
knee

22

associated with the gastrocnemius?
Clinical diagnoses to which the

gastrocnemius muscle symptoms may contribute
Pain toward the outside of the back of the knee

Pain toward the inside of the back of the knee
Pain going down the inside of the inside of the lower leg
Pain around the inside ankle
Pain on the inside of the foot in the high arch
Interesting facts about the gastrocnemius

Trigger points and a short tight gastroc muscle is a prime source
of lower leg cramps or charley horses.
Chills when you are sick will cause the gastroc to shorten and
tighten causing lower leg pain.
Posterior Channels and Loads of

Kidney-Bladder channels and movement
(WATER)
Kidney and Bladder channels relate to extension

movement of the posterior lower body.
Kidney channel runs the posterior extremities and
the anterior torso.
Thus movement that extends Kidney channel differs
in the lower extremities and in the torso. Even
though, movement of the lower extremities affects
whole Kidney channel.
Flexion of the hip joint, flexion of hip joint and knee
joint in the supine position and dorsiflexion of foot
extend the posterior body.
Any of those movements extends Kidney and
Bladder channels.
Leg cramping at Night

Tennis leg
Post exercise soreness
Posterior compartment
syndrome
Buckling knee syndrome
Dislocation/Subluxation of the
knee
Torn lateral meniscus
Peripheral vascular disease
(PVD)
Thrombophlebitis
Deep vein thrombosis (DVT)

Superficial vascular thrombosis
(SVT)
Varicose veins
Rupture or torn Gastrocnemius
Muscle sprain/strain of the calf
Bakers cyst
Rupture Achilles tendon
Achilles tendinitis
Plantar fasciitis
LATERAL LOWER BODY

Intercostals
External oblique*
Transverse
abdominis
Gluteus
Tensor fasciae
latae
Iliotibial tract
Peroneus
Muscles of the 4th & 5th digit

with the intercostal muscles?
Intercostals
Origin: From the first to the

eleventh ribs, on the inner surface
and inferior border, from the
tubercles of the rib posteriorly to the
costocartilage anteriorly.
Insertion: The rib immediately
below the level of proximal
attachment, on its superior surface.
Action: Draw adjacent ribs
together, elevate and depress the
ribs in inspiration
The intercostal muscles help you

breath and assist with upright
posture.
Pain in between or under the ribs

Can cause a stitch or sharp pain in the
side
Pain in the rib area when lying on your side
Pain when twisting the body side to side
Sharp pain while taking a deep breath,
sneezing, coughing and laughing

23
Clinical diagnoses to which the intercostal

muscles symptoms may contribute
Transverse abdominis
Interesting facts about the intercostal muscles:
Origin: Iliac crest, inguinal ligament,

thoracolumbar fascia, and costal
cartilages 7-12
Insertion: Xiphoid process, linea
alba, pubic crest and pecten pubis
via conjoint tendon
Actions : Compresses abdominal
contents
Pain around the bottom of the ribs is often diagnosed as inflammation of the ribs,
separated ribs, ulcers or gallbladder trouble. This symptom can be trigger points in
the diaphragm and intercostal muscles
Rib Subluxation/dislocation
Rib separation
Costochondritis
Bruised ribs
Rib fracture
Slipping rib syndrome
Pleurisy
Cardiac disease
Intrathoracic disease
The transverse abdominal helps to

compress the ribs and viscera,
providing thoracic and pelvic stability.

associated with the gluteus minimus?
Gluteus Minimus
Origin: Outer surface of the ilium,
between the anterior and inferior
gluteal lines, and the edge of the
greater sciatic notch.
Insertion: Anterior surface of the
greater trochanter of the femur.
Action: Abduction of the
thigh, internal rotation of thigh.
You use the gluteus minimus muscle
when you move the thigh sideways
away from the body and when you
twist the thigh in toward the body.
Pain in buttocks
Pain in the outside of the hip
Pain in the back and outside of the thigh
Pain in the back of the calf down to the ankle
Numbness in buttocks, hip and thigh traveling down to
ankle
Pain while walking
Difficulty rising from a sitting position
Pain while laying on affected side
Interesting facts about the gluteus

minimus
Clinical diagnoses to which the gluteus

minimus muscle symptoms may contribute
Three combined symptoms that point to

gluteus minimus problem:
1.
2.
3.
Difficulty crossing the legs

Limping because of hip pain
Pain is excruciating and constant
Trigger points in the gluteus medius are

often misdiagnosed as sciatica
Sciatica
Trochanteric bursitis
Intervertebral stenosis
Hip dislocation
Hip Pointer
Piriformis syndrome
Tensor fasciae latae syndrome
Sacroiliac joint displacement
Ankylosing Spondylitis

24

with the gluteus medius muscle?
Gluteus Medius
Origin: Outer surface of the ilium,
between the iliac crest and the
posterior gluteal line above and
the anterior gluteal line below
Insertion: Posterolateral surface
of the greater trochanter of the
femur.
Action: Abduction of the hip,
internal rotation of thigh.
The gluteus medius muscle moves
the thigh sideways away from the
body and twists the thigh in and
away from the body.
Pain in the lower back around the beltline

Pain in the hip
Pain in the buttock
Pain can extend down the outside of the leg
Pain can extend into back of the leg
Pain when laying on the affected side
Pain will prevent sitting on the afflicted buttock
Pain worsens when sitting or standing for extended
periods of time
Pain when sitting slouched
Interesting facts about the gluteus

medius

As you walk, the two gluteus medius

muscles take turns supporting your full
upper body weight. Every one pound of
extra body weight adds two pounds to the
gluteus medius workload.
The gluteus medius stabilizes the hip to
allow you to stand on one leg.
Gluteus Maximus
Origin: From a broad area on the posterior surface of

the ilium, the posterior gluteal line, the rough area of
bone superior and inferior to this line, upward to the iliac
crest, the aponeurosis of erector spinae, the dorsal
surface of the lower part of the sacrum and the side of
the coccyx, the sacrotuberous ligament, and the fascia
that covers gluteus medius.
Insertion: The muscle has both an upper portion and a
lower deep portion. The upper part of the muscle, along
with the more superficial fibers of the lower part, end in a
thick flat tendon that passes lateral to the greater
trochanter and attaches to the iliotibial band of the fascia
lata. A bursa is usually found between the greater
trochanter and the muscle-tendon unit. The deeper
fibers of the lower part of the muscle attach to the
gluteal tuberosity, a raised portion of the bone between
the attachments of vastus lateralis and adductor
magnus.
Action: Extension of the thigh at the hip, Abduction of
the thigh at the hip.
Sacroiliac joint dysfunction

Sacroiliac joint displacement
Inflammation of the sub gluteus medius bursa
Hip Pointer
Hip dislocation
Piriformis syndrome
Tensor fasciae latae syndrome
Intervertebral stenosis
Ankylosing spondylitis
What pain and symptoms are caused

by the gluteus maximus muscle?
Low back pain

Outer hip pain near and or around the joint
Pain around the tailbone
Pain and burning in the buttocks
Increased pain when walking uphill or up an
incline
Interesting facts about the gluteus maximus:
The gluteus maximus is the muscle that allows
humans to walk upright.

25
Clinical diagnoses to which the gluteus

maximus muscle symptoms may contribute
Sacroiliac Joint Dysfunction
Sacroiliac Joint Displacement
Inflammation of the Sub Gluteus Medius Bursa
Sciatica
Hip Dislocation
Hip Pointer
Intervertebral Stenosis
Ankylosing Spondylitis
Tensor Fasciae Latae Syndrome
Tensor fasciae latae
Origin: Outer surface of the anterior iliac

crest, between the tubercle of the iliac
spine. A thick fascia covers the outer
surface of the muscle, making it appear to
be sandwiched between the layers of
fasciae latae.
Insertion: By the iliotibial band anterior
surface of the lateral condyle of the tibia.
Action: Assists with flexion of the thigh at
the hip, assists with adduction of the thigh at
the hip.
The TFL Muscle (red) and the IT Band (orange)

twist the thigh toward the body, lifting the
thigh and moving the thigh forward.
What pain and symptoms are associated with the

tensor fasciae latae muscle and iliotibial band?
Interesting facts about the tensor fasciae

latae muscle and iliotibial band muscle
Pain in deep in the hip going down the

outside of the thigh
Pain at the front of the hip joint
Discomfort sitting
While standing knees and hips tend to be
flexed (bent)
Pain intensives when foot hits the ground
while walking or running
Pain from trigger points in the tensor fasciae latae

muscle is often diagnosed as bursitis of the hip or
thinning of the hip cartilage.

Iliotibial tract friction syndrome
Sacroilitis
Peripheral Nerve entrapment
Iliotibial Band Syndrome

ITBS is the most common pain syndromes in runners,
weightlifters, dancers, tennis players and basketball players. Pain
or a stinging burning sensation is felt on the outside of the thigh
down to the lower knee. Pain is more pronounced when the foot
hits the ground while walking or running.
Peroneus Longus and Peroneus Brevis

You use the peroneus
longus and brevis
muscles to turn the
bottom of your foot
outward and when
pointing your toes
downward.

26
What symptoms and pain are associated with

the peroneus longus and peroneus brevis
muscles?
Clinical diagnoses to which the peroneus longus

and peroneus brevis muscles symptoms may
contribute
Pain all around the outside ankle bone

Pain going down the outside of the foot
Can cause numbness in the lower leg, ankle and
top of the foot
Pain on the outside of the leg just below the knee
Weak ankles
Interesting facts about the peroneus muscles:
A tendency of ankle sprains can be an indication of

trigger points in the peroneus muscles.
MEDIAL LOWER BODY
Abductors
Soleus & tibialis posterior
Muscles of the 1st & 2nd digit
Peroneal Nerve Entrapment Syndromes

Diabetic neuropathy
Morton foot structure
Lateral Compartment Syndrome
Ankle Sprain/Strain Syndrome
Gout
Plantar fasciitis
Achilles tendon rupture or tear
Abductor Brevis
Origin: Inferior ramus and body of the

pubis, between gracilis and obturator
externus.
Insertion: Along a line from the lesser
trochanter to the linea aspera, the
upper third of the linea aspera,
downward along the upper third of the
linea aspera, immediately behind the
pectineus and the upper part of
adductor longus
Action: Adduction of the thigh at the
hip, assists with internal rotation of the
thigh at the hip.
You use the adductor brevis muscle to
move and twist the thigh inward toward
your other leg.

with the adductor brevis muscle?
Clinical diagnoses to which the adductor

brevis muscle symptoms may contribute
Floating Patella
Obturator or Genitofemoral nerve
entrapment
Pubic stress fracture
Pubic stress symphysitis
Muscle strain (groin pull)
Inguinal hernia
Groin pain during activity, pain subsides with rest

Pain in the front of the outer upper thigh near the hip joint
Deep pain in the hip joint
Pain above the knee
Restricted movement in the hip and thigh
Interesting facts about the adductor brevis muscle:
Because of the common attachment to the pubic bone and its
attachment into the adductor longus muscle, the pain pattern of
the adductor brevis is the same as the adductor longus. Both
muscles are treated simultaneously.

27

with the adductor longus muscle?
Adductor Longus
Origin: Anterior surface of the pubis, in

the angle between the crest and pubic
symphysis.
Insertion: Lower two-thirds of the medial
lip of the linea aspera on the posterior
surface.
Action: Adduction of the thigh at the hip,
assists with internal rotation of the thigh
at the hip, assists with flexion of the thigh
at the hip
You use the adductor longus muscle to

move the thigh in toward the other leg
and to twist the thigh inward.

longus muscle symptoms may contribute
Groin pain during activity, pain subsides with rest

Pain in the front of the outer upper thigh near the
hip joint
Deep pain in the hip joint
Pain above the knee
Restricted movement in the hip and thigh
Interesting facts about the adductor longus
muscle:
Trigger points in the adductor longus is the most
common cause of groin pain.
Adductor Magnus
Origin:
Anterior: Inferior pubic ramus and the
ramus of the ischium
Posterior: Inferolateral aspect of the
ischial tuberosity
Insertion:
Anterior: Medial margin of the gluteal
tuberosity of the femur, medial to gluteus
maximus.
Posterior: By a broad attachment into the
linea aspera and the proximal part of the
medial supracondylar line and by a small
tendon to the adductor tubercle.
Action: Adduction of the thigh at the hip,
extension of the thigh at the hip
You use the adductor magnus muscle to pull
and twist the upper leg inward toward the
other leg.
Floating Patella
Obturator or Genitofemoral nerve
entrapment
Pubic stress symphysitis
Muscle strain (groin pull)
Inguinal hernia

with the adductor magnus muscle?

magnus muscle symptoms may contribute
Groin pain during activity, pain lessens at rest

Pain in the front of the inner upper thigh
Pelvic pain
Interesting facts about the adductor magnus
muscle:
Trigger points in the adductor magnus can cause pain
deep in the pelvic area. Pain may present as a dull
ache, or a sharp stabbing pain.
Those suffering with adductor magnus symptoms often
sleep with a pillow in between the knees to ease pain.
Obturator or Genitofemoral nerve entrapment

Inguinal Hernia
Iliac or femoral thrombosis
Prolapsed Uterus
Endometriosis
Ovarian Cyst
Hemorrhoids
Constipation
Muscle Strain (groin pull)

28

associated with the soleus muscle?
Soleus
Origin: Posterior surface of the head and

proximal quarter of the shaft of the fibula,
spanning over to the soleal line and the
middle third of the medial border of the
tibia, and a fibrous band, which arches over
the popliteal vessels and tibial nerve,
between the tibia and fibula
Insertion: Joins with the tendon of the
gastrocnemius to form the tendo calcaneus
to attach to the middle of three facets on
the posterior surface of the calcaneus. The
muscle is covered proximally by
gastrocnemius and is accessible on both
sides.
Actions: Plantarflexion of the foot at the
ankle
You use the soleus muscle when you stand on
your toes and point your toes.
Pain in the heel often to the point of not being able to put
weight on the heel
Pain in the ankle
Pain in the calf sometimes extending into the back of the
knee
Deep aching in the back of the knee
Deep pain in the low back
Hypersensitivity to touch in the lower back
Poor circulation in the lower legs and feet
Pain in the jaw and on the side of the head
Interesting facts about the soleus

muscle
Clinical diagnoses to which the soleus

The soleus is sometimes called the second heart

because it helps pump blood up from the feet and
lower leg.
A trigger point in the soleus muscle can cause
jaw pain and pain on the side of the face and
head. If you are suffering with pain in the under
eye, cheek and jaw area and cannot find relieve,
you should consider examining the soleus
muscle.

(PVD)
Thrombophlebitis
Deep vein thrombosis (DVT)
Superficial vascular thrombosis
(SVT)
Varicose veins
Nocturnal cramping
Tennis leg
Post exercise soreness
Posterior compartment
syndrome
Buckling knee syndrome
Dislocation/Subluxation of knee
Heel spur
Posteromedial Shin splint
Bruised periosteum of the
tibia
Bakers cyst
Rupture Achilles tendon
Achilles tendinitis
Plantar fasciitis
Plantars wart
Bone spur
Sciatica
Hip rotator dysfunction
Temporomandibular joint
Dysfunction (TMD)

with the tibialis posterior muscle?
Tibialis Posterior
Origin: Proximal two-thirds of the

posterior surfaces of the tibia and the
fibula and the interosseus membrane.
Insertion: Passing behind the medial
malleolus to attach to the bones that form
the arch of the foot: the navicular, each
cuneiform and cuboid the calcaneus and
metatarsals 2,3,4
Action: Inverts and adducts the free foot,
assists in plantar flexion. Prevents
excessive pronation of the foot during
walking.
You use your tibialis posterior muscle when
you rotate your foot inside and stand on
your toes or point your toes.
Pain in the back of the lower leg, just above the

heel
Pain can go into the heel and down into the
bottom of the foot
Pain will sometimes radiate up into the calf
Interesting facts about the tibialis posterior
muscle:
Pain from trigger points in the tibialis posterior is
sometimes misdiagnosed as Achilles tendinitis.

29
Clinical diagnoses to which the tibialis

posterior muscle symptoms may contribute
Diabetic neuropathy
Posteriomedial Shin splints
Deep posterior compartment
syndrome
Tibialis posterior tendon
dysfunction
Tarsal tunnel syndrome
Hammer or claw toes
Plantar fasciitis
Plantar wart
Gout
Sprain/strain of the ankle
(PVD)
Deep Vascular Thrombosis

(DVT)
Ruptured Achilles tendon
Achilles tendinitis
Calcaneal spur syndrome
Overuse syndrome

Another movement of the hip, knee

and ankle joints extend the medial
side of the hip, knee and ankle.
Any of these movement extends
Liver channel.
The movements below increase the
extension load on both of Liver
AND Gallbladder channels.
Diagnosing Ren Mai (Dr Wang)
Ren21 xuan ji
Ren14 ju que
Ren12 zhong wan - Ren13 shang wan
Soreness = heat in the lung (upper respiratory tract)

Tension, spams, tightness = disorders of the diaphragm which are often manifested as heart
pain
Softness/weakness = chronic stomach issue, lowgrade inflammation due to spleen deficiency.
Strong pulse = excess condition affecting the spleen and/or stomach.
Ren11 jian li - Ren10 xia wan
Ren6 qi hai
Ren6 qi hai - Ren4 guan yuan area
Hardness = heat in the middle/lower burners (stomach, or duodenal ulcers, colitis,

diverticulitis,Crohn disease )

Liver-Gallbladder channels and Movement
(WOOD)
Liver and Gallbladder channels relate
to extension movement of the both
lateral and medial side of the body.
Movement of the hip, knee and ankle
joints extend the lateral side of hip, knee
and ankle.
Any of these movement extend
Gallbladder channel.
Ren channel and Movement
Ren channel is related to all

movement that extend Lung,
Large Intestine, Spleen and
Stomach channels.
Du channel and Movement
Du channel is related to all the

extension movements of Heart,
Small Intestine ,Kidney and
Bladder channels.
Soreness = cold stagnation in the ren mai or womb

Nodules = cold phlegm in the ower burner (womb)
Softness/weakness = kidney deficiency
Hardness = chronic lower burner (blood) stasis
Strong pulse = cold stagnation in the lower burner

30
17
Ya
ng
Ta
iY
an
g
M
in g
Ya
ng
Yi
n
Sh
ao
SJ
KI
SI
SP
Tenderness = upper burner excess condition (heart or lung)
13
12
Tenderness = external condition (often heat) affecting pericardeum or stomach

Swelling (located more between spinous processes) = excess heat affecting internal organs (heart, stomach
or pericardeum)
Nodules (located more on the spinous process) = chronic heat condition in organs, often involving fire-toxin
Grainy = Qi stagnation, often liver overacting on stomach-type pattern
Any change between T5-T8 could be related to emotional disorders leading to digestive problems.
Du9 zhi yang Du7 zhong shu
Du8 jin suo Du6 ji zhong Du4 ming men
ST
BL
ST
24
SI
20
SJ BL
SP
SI
LV
BL
KI
4,3
17
KI
Nodules = qi stagnation (liver)
14
LV
SP
26
ST
10
Nodules = cold accumulation or blood stasis in Du, often with back pain.
Pain = qi deficiency or cold, lack of circulation in the lower burner.
Grainy = acute qi, blood stasis in local collaterals or organs of the lower burner.
DU
28
ST
Soreness, thickening of the area = exterior cold condition or chronic blockage of multiple yang channels
affecting Du (back pain, stiffness of the spine, sensation of cold in the body)
Du11 shen dao Du9 zhi yang
24
Du12 shen zhu
REN
Du14 da zhui
Ta
iY
in
Tenderness = Qi stagnation in the Du Mai

Pain = Cold and Blood stagnation in the Du Mai (chronic lumbago, back and nape pain, headache, dizziness,
insomnia).
Ju
Du21 qian ding Du19 hou ding
Sh
ao
Yi
n
Ren Mai, Du Mai and the Regular

Channels
Diagnosing Du Mai (Dr Wang)
KI
LV
BL
GB
13
1
Sacrum
Any palpable change = gynecological and /or emotionnal troubles (including insomnia) (gn y ()
Cold and swelling = qi stagantion with kidney yang deficiency
Dai channel and Movement
Dai Mai
Dai channel is a transverse axis that

governs Pericardium, San Jiao, Liver and
Gallbladder channels, which are distributed
in the lateral and medial sides of the body.
Dai channel relates to all extension
movements of Pericardium, San Jiao,
Liver and Gallbladder channels.
Palpate the
following points :
Du4
Liv13
GB26
GB27
GB28
GB41
Chong Mai
Palpate the
following
points :
Ren7
KD11-21
ST30
SP4
Yin Qiao Mai
BL1
ST12,9
Ren9
KD6 =Jiao Hui
KD8 = Xi-Cleft
KD2

31
Yang Qiao Mai
BL1
ST1,3,4
GB20
SI10
LI15,16
LI10
GB29
BL61
BL59 = Xi-Cleft
BL62 = Jiao Hui
Yin Wei Mai
Ren22,23
PC6 = Jiao Hui
SP12,13,15,16
LV14
KI9 = Xi-Cleft
Yang Wei Mai
ST8
GB13-21
Du15,16
SI10
SJ13,15
SJ5 = Jiao Hui
GB35 = Xi-Cleft
BL63
Things to Remember
The five steps

It is important to remember that the stretched

channel decides the affected channel, not the
location of any abnormal reactions.
Abnormal reactions can appear on any part of the
body along the affected channel when an affected
channel is stretched.
If the channel shows any abnormality (pain,
stretched feeling, dullness or malaise), this
channel is affected.
This finding allows you to decide the channel you
have to treat.
Locating Effective Points

First we use the Five Phases points, and if this
doesnt resolve the problem we use Luo
Connecting and Xi Cleft points.
Then we try points in large muscle groups of the
upper arms or thighs, and then points on the torso
like Front Mu and Back Shu points.
Finally we try cranial points, and points in the spine
and pelvic area as well as auricular points.
In order to increase the effect we may use a
combination of these points.

32
Locating Effective Points
Five Phases (Wu Xing)
We also use Yin-Yang crossover point

combinations as much as possible.
The point location and combinations
vary by the condition treated, but the
Five Phases points are most useful in
terms of understanding the effect.
The Five Phases point selection based on chapter 69 of

the Classic of Difficulties (Nanjing) uses a total of 24
points, two points each from each of the 12 channels.
Treating five phases points on the opposite side of
channels in a generating cycle serves to
counterrestore Normal Channel function the
treatment on the affected areas and channels.
Ling Shu Chapter 4 (Disease Patterns of

Zang Fu as Caused by Pathogenic Qi)
Ling Shu Chapter 6 (Longevity, Premature

Death, Strength and Weakness)
The Divergent branches of the Yang

channels reach into the interior and
connect with the Fu ... the Ying-Spring and
Shu-Stream points treat the channel, the
He-Sea points treat the Fu.
Distinguishes when to needle particular Shu points depending on the

site/depth of the disease:
There is Yin within Yin and Yang within Yang ... Internally the five
zang are Yin whilst the six Fu are Yang. Externally the sinews and
bones are Yin whilst the skin is Yang.
Thus it is said:
Ling Shu chapter 44 (The Sequence of Qi

and the Four Seasons Within a Single Day)
According to Season:
The five zang correspond to Winter, in Winter needle the Jing-Well points.
The five colours correspond to Spring, in Spring needle the Ying-Spring points.
The seasons correspond to Summer, in Summer needle the Shu-Stream points.
The musical sounds correspond to Late Summer, in Late-Summer needle the JingRiver points.
The flavours correspond to Autumn, in Autumn needle the He-Sea points.
According to Symptomatology:
When the disease is at the Zang, needle the Jing-Well point.

If manifesting as a change in the colour, needle the Ying-Spring point.
When the disease attacks intermittently, needle the Shu-Stream point.
When the disease manifests as changes in the patients voice, needle the JingRiver point.
If there is disease of the stomach and irregular appetite, needle the He-sea point.
There is no need for any abnormal finding associated with

the channels that follow in the generating cycle.
When the disease is at the Yin within Yin (zang), needle the Ying-Spring and the
Shu-Stream points of the Yin channels.
When the disease is at the Yang within Yang (skin), needle the He-Sea points of
the Yang channels.
When the disease is at the Yin within Yang (sinews and bones), needle the JingRiver points of the Yin channels.
When the disease is at the Yang within Yin (fu), needle the Luo points.
Nanjing (68th Difficulty)

The 5 Shu-Points are indicated in the following
situations:
Jing-Well points for fullness below the heart,
Ying-Spring points for heat of the body,
Shu-Stream points for heaviness of the body and
pain of the joints,
Jing-River points for dyspnea, cough, chills and
fever,
He-Sea points for rebellious Qi and diarrhea.

33
(Fire)
Posterior & Medial
aspects of arms
(Wood)
Medial & Lateral
aspects of legs
(Earth)
Anterior aspect
of legs
(Water)
Posterior
aspect of legs
(Metal)
Anterior aspect
of arms
Yuan Source points move the qi along

the channels
They are in control of the Qi of the San jiao
and control the Yuan Qi in the channels.
If one needs to activate the channels, the
Yuan Source point is utilized.
The Jia Yi Jing states that the Yuan Source
points combine with the Jing River points to
correspond with the season and treat
problems in the season.
Luo Connecting points transfer qi from

one channel to another channel
Xi-Cleft points are used for pain
In TCM acupuncture, they are used to transfer qi

from the internal and externally related channels,
for example, the Lung to the Large Intestine.
In Optimal Acupuncture, because we are very
flexible in the interrelationships of the
channels, we know we can always direct Qi to
an affected channel through the use of the
Luo connecting points.
Xi Cleft points are underutilized in TCM

Acupuncture.
In Optimal Acupuncture, the Xi Cleft
points are used for any type of pain and
bleeding.
They are our trauma points, used for
any pain, whether acute or chronic.
Five Phases (Wu Xing)
Yin-Yang crossover
Yin
Wood & Fire
LV-2
HT-9 & PC-9
Fire & Earth
HT-7 & PC-7
SP-2
LU-9
Earth & Metal
SP-5
Metal & Water
LU-5
KI-7
Water & Wood
KI-1
LR-8
Wood & Fire
GB-38
SI-3 & SJ-3
Fire & Earth
SI-8 & SJ-10
ST-41
Earth & Metal
ST-45
LI-11
Metal & Water
LI-2
BL-67
Water & Wood
BL-65
GB-43
Yin-Yang crossover point combination

is the use of points on the opposite
meridian in a Yin-Yang and Five Phases
relationship.
Yang

34
Yin-Yang crossover
Anterior points
Yin
Wood & Fire
Fire & Earth
Earth & Metal
Metal & Water
Water & Wood
LV-2
HT-7 & PC-7
SP-5
LU-5
KI-1
SI-3 & SJ-3

ST-41
LI-11
BL-67
GB-43
Wood & Fire

Fire & Earth
Earth & Metal
Metal & Water
Yang
GB-38
SI-8 & SJ-10
ST-45
LI-2
H-9 & PC-9

SP-2
LU-9
KI-7
Water & Wood
BL-65
LR-8
LU9, LU5, LU8, LI2, LI11, LI1

SP2, SP5, SP3, ST45, ST41, ST36
Front Mu points : LU1, ST25, LR13, Ren12
Back Shu points : BL13, BL25, BL20,
BL21
Posterior points
Lateral points
HT9, HT7, HT8, SI3, SI8, SI5

KI1, KI7, KI10, BL67, BL65, BL66
Front Mu points : Ren14, Ren4, GB25,
Ren3
BL28
PC9, PC7, PC8, TB3, TB10, TB6

LR2, LR8, LR1, GB43, GB38, GB41
Front Mu points : Ren17, Ren5, LR14,
GB24
BL19
The five steps

Confirm the Effect of the Points

Apply finger pressure successively to the points selected
in Step 3, as the patient performs the problem movement,
to determine wether there is an improvement in the
movement or the symptom.
If there is no change or improvement on pressing the
first point, then the other points and their related
abnormal areas are pressed, one point at a time, to
see if there is any improvement.
If there is no change at all with finger pressure on any of
the points, the patient should be referred for orthopedic
examination.

35
The five steps
Example
Problem
with neck
extension
Check LU9
Check LU5
Check LI11
Check LI2
Step 5:
Treat
with
chosen
approach
Abnormal Areas
Change / Improvement

Refer to Doctor
No change / Improvement
Treat Using the Chosen Approach
Stretching Anterior Aspect
Acupuncture & moxibustion (for acupuncturists and medical

professionals)
Filiform needles or intradermal needles (press tacks)
Press tacks are recommended from the standpoint of safety
For moxibustion, products that do not leave a burn on the skin are
recommended (stick-on moxa cones with adhesive)
Stretching (for the general public and sports trainer)

Appropriate stretching can be effective for self-conditioning and
prevention of injury.
Apply finger pressure on corresponding points during the stretching is
effective for increasing the ROM.
Massage (for the general public, sports trainers and massage

therapists)
When the channels test is performed first to identify the area most in
need of treatment.
Stretching Posterior Aspect
Stretching Lateral Aspect

36
LV2 / SI3 & SJ3 (Wood/Fire)
LV2 / SI3 & SJ3 (Wood/Fire)
Liver Foot Jue Yin is medial aspect of the leg

Tong Ming Jing is PC
Yin/Yang Related Channel is SJ
Zi Wu is SI
Add SI5, SJ6
Add LV3 (shu-stream), LV6 (xi-cleft)
Add BL18 and LV14
Medial aspect is governed by Chong Mai, add
Sp4, then points from regular channels crossing
Chong Mai, for example Ren7, then PC6 if there is
any abnormal reaction while moving the trunc.
Tung s points :
SI3, SI5
(HT9)
SJ3, SJ6
(PC9)
PC6
Knee & calf pain
11.20 Mu Yan (SJ channel)

Hepatomegaly, hepatitis, liver cirrhosis,
hypocondriac pain
66.03 Huo Ying (Lv channel, Lv2)
LV2
LV3
LV6
SP4
88.15 Huo Zhi, 88.16 Huo Quan (Lv

channel)
Back pain, cholecystitis (stop pain from
gallstones), heel pain
RA : Lv/GB/HT/Spine
PC7 / ST41 (Fire/Earth)
HT Hand Shao Yin is posterior

aspect of the arm
PC Hand Jue Yin is medial aspect of the

arm
Add ST36
Add HT5, HT6
Add BL15 and Ren14
Posterior aspect is governed by Du
Mai, add SI3 then Du Mai points and
BL62 if there is any abnormal reaction
while moving the trunc.
Bie Jing is Yang Ming

Sp and Pc connects through the
extraordinary vessels
HT7
HT6
HT5
SI3
ST41, ST36
(SP2)
BL62
HT7 or Pc7 / ST41 (Fire/Earth)

Tungs points :
22.06 Zhong Bai, 22.07 Xia Bai (SJ
channel; SJ3 + Yao Tong Xue)
Migraine, mastitis, rib-side pain
PC7
PC6
PC4
Add ST36
Add PC6, PC4
Add BL14 and Ren17
Medial aspect is governed by Yin Wei Mai,
after adding Pc6 add points from regular
channels crossing Yin Wei Mai, then Sp4 if
there is any abnormal reaction while moving
the trunc. You can also add Kd9.
ST41, ST36
(SP2)
SP4
SP5 / LI11 (Earth/Metal)
HT7
HT6
HT5
SI3
SP Foot Tai Yin is anterior aspect of

the leg
Yin/Yang Related Channel is LI
Tong Ming Jing is LU
ST41, ST36
(SP2)
BL62
LBP, Sciatica d/t Kd patterns, edema of

the limbs, blurry vision, hypertension
Yi/Er/San Zhong (between ST and

GB channels)
LV2
LV3
LV6
SP4
Chin pain, TMJ pain, commonly used with

Huo Zhu (Lv3)
HT7 / ST41 (Fire/Earth)
ST Jing Bie goes through the Heart
SI3, SI5
(HT9)
SJ3, SJ6
(PC9)
PC6
11.10 Mu Huo (Pc channel)
PC7
PC6
PC4
ST41, ST36
(SP2)
SP4
Add LI1
Add Sp3, Sp8
Add BL20, LV13
Anterior aspect is governed by Yin
Qiao Mai, add KI6 then points from
regular channels crossing Yin Qiao
Mai, for example Ren9 or Kd2, and
LU7 if there is any abnormal reaction
while moving the trunc. . You can also
add Kd8.
LI11, LI1
(LU9)
LU7
SP5
SP3
SP8
KI6

37
SP5 / LI11 (Earth/Metal)
LU5 / BL67 (Metal/Water)
Tungs points :
LU Hand Tai Yin is anterior aspect

of the arm
Hua Gu Yi (opposite Lv channel)

Nasal pain, headache,
toothache
Yi/Er/San Zhong
Bie Jing is BL
LI11, LI1
(LU9)
LU7
SP5
SP4
SP8
KI6
Pain in the shoulder, arm, wrist,

neck
Bi Yi
Sciatica, pain in the limbs,
general vacuity patterns
Add BL66
Add LU9, LU6
Add BL13, LU1
Anterior aspect is governed by

Ren Mai, add Lu7, points on
the Ren Mai, then add KI6 if
there is any abnormal reaction
while moving the trunc.
LU5 / BL67 (Metal/Water)
KI1 / GB43 (Water/Wood)
Tungs points :
KI Foot Shao Yin is posterior aspect of

the leg
Bi Yi
Ma Jin Shui (SI18)
Zu Wu Jin, Zu Qian Jin (between ST
and GB channels)
Pain in the shoulder region (supraspinatus
tendinitis) and back, Mei He Qi
Si Hua Xia, Fu Chang (ST channel)

Bone spurs when needled against the
bone, dyspnea, edema
Liu Wan, Shui Qu (GB41, 43)
LU5
LU6
LU9
LU7
BL67
(KI7)
BL66
KI6
LU5
LU6
LU9
LU7
BL67
(KI7)
BL66
KI6
Bie Jing is Shao Yang
Migraine, LBP, swelling (removes fluids

from the body), neck pain
Li Bai (between LI and LU channels)
Add GB41
Add KI3, KI5
Add BL23, GB25
Posterior aspect is governed by Yang
Qiao Mai, add BL62 then points from
regular channels crosing Yang Qiao and
SI3 if there is any abnormal reaction
while moving the trunc. . You can also
add BL59.
SI3
KI1
KI3
KI5
BL62
GB43
(LV8)
GB41
Calf pain, foot pain
Mu Guan, Gu Guan
Heel pain
KI1 / GB43 (Water/Wood)
GB38 / H9 & PC9 (Wood/Fire)
Tungs points :
GB Foot Shao Yang is lateral aspect of

leg
Huan Chao (SJ channel)

Dysmenorrhea, reproductive disorders
related to Lv and Kd patterns.
Zhi San Zhong (SJ chanel)

Mastitis, migraine, wei syndrome
(muscular atrophy)
Zhi Shen (SJ chanel)

Back pain, thirst
Chang Men (SI channel)
KI1
KI4
KI5
HT9
(SI3)
HT8
PC9
(SJ3)
PC8
SJ5
Zi Wu or Bie Jing is HT
Yin / Yang Related Channel is PC
SI3
GB43
(LV8)
GB41
BL62
Pain ofthe lower leg, thigh pain, various

diseases of the LI
Zhi Tong, Luo Tong (SI channel)
Add HT8, PC8

Add GB37, GB36
Add BL19, GB24
Lateral aspect is governed by Dai Mai,
add GB41 and SJ5 if there is any
abnormal reaction while moving the

trunc.
GB38
GB37
GB36
GB41
LBP, dizziness, fatigue, HTA

38
SI8 / SP2 (Fire/Earth)
SJ10 / SP2 (Fire/Earth)
SI Hand Tai Yang is posterior aspect

of arm
SJ Hand Shao Yang is lateral aspect of

arm
Bie Jing is Tai Yin
Add SP3
Add SI7, SI6
Add BL27, Ren4
Posterior aspect is governed by Du Mai,
add SI3 and BL62 if there is any
trunc.
Zi Wu is SP
SI8
SI7
SI6
SI3
SP2
(ST41)
SP3
BL62
Add SP3
Add SJ3, SJ6
Add BL22, Ren5
Lateral aspect is governed by Yang Wei
Mai, add SJ5 and GB41 if there is any
trunc.
ST45 / LU9 (Earth/Metal)
LI2 / KI7 (Metal/Water)
ST Foot Yang Ming is anterior aspect

of leg
LI Hand Yang Ming is anterior

aspect of arm
Yin / Yang Related Channel is PC

Tong Ming Jing is LI
Add LU8
Add ST43, ST34
Add BL21, Ren12
Anterior aspect is governed by Yin Qiao
Mai, add KI6 and LU7 if there is any
trunc.
SJ10
SJ6
SJ3
SJ5
SP2
(ST41)
SP3
GB41
Zi Wu is KI
LU9
(LI11)
LU8
LU7
ST45
ST43
ST34
KI6
Add KI10
Add LI3, LI7
Add BL25, ST25
Anterior aspect is governed by Ren
Mai, add LU7 and KI6 if there is any
trunc.
LI2
LI6
LI7
LU7
KI7
(BL67)
KI10
KI6
BL65 / LV8 (Water/Wood)
14 scenarios are missing
BL Foot Tai Yang is posterior aspect

of leg
Add LV1
Add BL63, BL58
Add BL28, Ren3
Posterior aspect is governed by Yang
Wei Mai, add BL62 and SI3 if there is
any abnormal reaction while moving
the trunc.
but now youre getting the idea !

Needling the same channel in succession is
called Dao Ma in master Tungs acupuncture.
You would use it all the time.
In Optimal Acupuncture, we are able to
combine the functions of all the 5 phases
points.
SI3
LV8
(GB43)
LV1
BL65
BL63
BL58
BL62

39
The paradigm of Optimal Acupuncture

Example : Shu stream point combos
Other Acupuncture Methods
Shu Stream/Yuan Source - weakness of the joints,

arthritis, fibromyalgia, fatigue, heaviness of the body
Shu Stream/Luo Connecting - chronic joint problems
and pain
Shu Stream/Xi Cleft - acute joint pain with internal
bleeding/bruising
Shu Stream/Jing River - cough with joint pains,
lingering cough
Shu Stream/He Sea - chronic organ diseases and
rebellious Qi patterns, diarrhea with joint pains
You can use ANY of the Yi Jing Ping Heng

ACUPUNCTURE (AS DR. CHEN CHAO
CALLED IT) methods to restore normal
channel function.
You can use ANY logical method you like
as soon as you are able to diagnose the
diseased channel(s) correctly.
Use Optimal Acupuncture (Dr Robert Chu).
How do you know if you're a good

acupuncturist? (Dr Robert Chu)
Blueprint for acupuncture efficiency
Fewer Points selected

Careful selection of points
Needling not applied at the diseased site
Instant results for acute or painful cases
Flexibility in strategies
Compassionate
Problem Solver
Able to research problems
Uses Time, Day, Month, Season, and Year
No need to Tonify or Sedate
Pricking, Bloodletting, cupping, Gua Sha, Moxa, Tui Na, all done
appropriately
Use of the Penetrating or threading method
Applying the channels test with Optimal

Acupuncture
Perform the channel test to diagnose the most diseased channel
Select an acupuncture method that pertain to the disease
Use micro-systems, holography, multiple imaging as you would
normally do
Exemple : sacro-illiac pain.
Channels test is positive for Patricks Test => GB/LV issue
GB43 is alleviating pain and restriction to movement so you know that GB
is diseased and must be restore Normal Channel functiond :
You could use KI1/BL65 of course
You can use GB, LV, SJ, HT right ?
SJ is great because using San Cha San for example you could treat SJ3/SI3/HT8 and
then get both GB, LV, BL and KI channels
Imaging strategies like Shou Ju Ni Dui Fa - Hand and Body opposite Flow Image or Deng
Gao Gui Ying - Imaging the same height also suggest using these points
Diagnose the diseased channel(s).

Select the channel(s) to balance the most diseased
channel first.
Select points on those channels according to the skills at
hand and that pertain to the disease.
If needed, select any secondary channels and treat the
channels accordingly to the secondary disease.
Remove the needles, and check with the patient
regarding their signs and symptoms.
7 Rules
1) Check all of the movements first.
2) Treat the channel with the greatest restriction first.
3) When the abnormality affects both an arm and a leg,
always begin with treatment of the leg.
4) Do not forget to stimulate the central axis.
5) Before treating a point, first check its effect by striking
or applying pressure to see if it improves the
movement.
6) Stimulation of the local area should be done last.
7) If there is no effect with treatment, refer to an
orthopedist or other health professional.

40
Case 1 : Shoulder Pain
Case Studies
Case 1 : Shoulder Pain

Restriction in stretching posterior aspect of
right arm (right H & SI channels)
SI4,8,9,11, H3 on the right side
Restriction in stretching lateral aspect of

right arm (right TB channel)
TB10,15 on the right side
Sp2 on the left side

Two sessions with the same points.
Case 2 : long distance runner with

knee pain
1 & 4 : LU1,5
3 : TB10
16 & 23 : ST36,41
20 & 26 : GB38,41
27 : CV12
29 : (Girdle vessel) GB26
Knee pain improved after first treatment. One
month treatment, twice a week.
Chief complaint:
pain in anterior
right shoulder.
Right shoulder pain
increased by lateral
rotation with fixed
elbow.
Some resistance
felt with 6, 7, 8 and
14.
Case 2 : long distance runner with

knee pain
Chief complaint : pain in
the right knee.
Positive findings:
Anterior : 1 righ & left, 4
right & left, 16 right & left,
23 right, 27 right & left
Posterior : none
Lateral : 3 right, 20 right &
left, 26 right, 29 right
Pain was especially
pronounced with
movements 23 & 26
Case 3 : sprinter with leg pain

Chief complaint : pain
in posterior right leg.
M-Test positive
findings:
Anterior : 1-A left,16
right, 27 right & left
Posterior : 2 right & left,
18 right & left
Lateral : 3 right & left,
20 right

41
Case 3 : sprinter with leg pain
Case 4 : violonist with cervicalgia
Female, 32 years old, professional violinist with chronic cervicalgia.

Pain is aggravated while flexing the neck.
Hears a creak when she turns her head left.
Also expresses pain in the left hip and sciatica in the path of the
bladder channel.
Chronic fatigue.
Treatment :
1-A : left LI4

27 : right & left ST36
2 : left SI8
16 : right ST41, left TB10
18 : right & left K1, LR8
3 : right & left GB21
20 : right LR2
Seirin Red (0.16mm) 30mm needles were inserted just a few mm in
each of the above points and the needles were not retained.
First treatment the pain was decreased and it did not bother the
patient while running. After 4 more treatment in 6 days, the pain
disapeared.
Note: we probably could have done right ST41 => left TB10, Pc7, SI8,
H7 and K1 => LR8, GB43.
UB67 on the left + Lu5/LI2 on the right

Ren12 area with special technique (consecutive needling 5 needles in
total) to take care of the cracking noise.
When we re-mention sciatica, puncture of UB2 left takes care of residual
pain.
I add Lu8, Xia San Huang, St36,37 to help with chronic fatigue.
No more pain or creak after only one session, patient also reported a
noticeable increase in her vitality. Qi Gong exercises is recommended as
the main treatment strategy.
Jean-Sylvain Prot
https://www.facebook.com/acupunturaibiza
http://www.acupuncture-ibiza.com
jsprotlux@gmail.com
Images are from Wikipedia

Case study charts are from Dr. Mukaino
To read articles by todays speaker, watch

online videos, or to see his/her complete
seminar/webinar schedule for this year,
please visit www.elotus.org
Herbs mentioned in this seminar/webinar,

are available through our sponsor
Evergreen Herbs & Medical Supplies.
Please contact them for a catalog and
pricing information.

42
This webinar is sponsored by:
Evergreen Herbs & Medical Supplies

Toll-free Tel: 866-473-3697
Website: www.evherbs.com
Email: sales@evherbs.com

43
Evergreen Herbs is not just an Herbal company, we are an

environmentally friendly, health conscious contributor to the healthcare community at large. Evergreen was founded by Dr. John Chen
and Tina Chen, siblings and coauthors of the Chinese Medical
Herbology and Pharmacology, and the Chinese Herbal Formulas
and Applications books.
Evergreen is a family business that is run by professionals like you
who care about Chinese medicine. And as a family business, we
have the well-being and satisfaction of our customers at the top
of our list. We care about the quality of our herbs, because we
care about our consumers, and have your best interest at heart.
Our goal is to support you in improving your clinical skills, and
enhancing the well-being of your patients.
To learn more about Evergreen Herbs and our products, please

Jprot Tungbmpain LN

Enviado por

Dados do documento

Título original

Direitos autorais

Formatos disponíveis

Compartilhar este documento

Compartilhar ou incorporar documento

Opções de compartilhamento

Você considera este documento útil?

Este conteúdo é inapropriado?

Direitos autorais:

Formatos disponíveis

Jprot Tungbmpain LN

Enviado por

Direitos autorais:

Formatos disponíveis

Master Tung's Acupuncture and the

Balance Method for Pain

Jean-Sylvain Prot, L.Ac.

Leading Acupuncture CE Provider

Lotus Institute of Integrative Medicine

CEUs/PDAs: CEU Certificates for distance learning and live

GIFT CERTIFICATE: We are the only organization offering

a. For educational purposes, each of our webinars are

COPYRIGHT AND CONSENT

b. Taping of webinars, online video recordings, and online

Consent and Disclaimer Part III (Copyright)

Consent and Disclaimer Part I (Copyrighted Information)

Consent and Disclaimer Part II (Webinar Recording)

Consent and Disclaimer Part IV (Speaker/Author)

Services and Products by eLotus

Like Lao-tzu's adage - when you do better, we all do better

Lotus OnlineCEU VIDEOS

Lotus OnlineCEU AUDIO

Lotus OnlineCEU ARTICLES

Lotus WEBINAR Weekdays

TCM Wisdom Tube

FREE Articles for Download

Clinical Manual of Oriental Medicine, 2 edition

eLotus GOLD PASS

risk-free 7-day trial & 2 payment options

eLotus Gold Pass is everything you love

The best deal for

Webinars, videos, audios and articles from 70+ experts

This is the second

order/learn more @ www.eLotus.org/Gold

LotusInstitute Of Integrative Medicine

Master Tung's Acupuncture and the

Optimal Acupuncture and

Lotus Institute Of Integrative Medicine

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Yin Shui, Si Yuan

Graduated in TCM & Medical Qi Gong (2005)

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Dr. Mukaino is a medical doctor and a professor

Dr. Mukaino found that the distribution of meridians is

"The M-Test (Meridian Test) is an easy and quick

Any symptom that appears along with an abnormality of

What is the Channels Test ?

It is a simple method that elucidates the

Channels, Points and Movement

The channels system is a signal transmission

59-year-old man who had pain in both

59-year-old man who had pain in both

Pain was not relieved no matter how many places he

I asked the patient: By the way, what have you been

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Nei Ke and the Channels Test

Burning pain during urination and nocturnal

Movement, channels, and points

Movement, channels, and points

We can determine which sector has a problem by noting

Other positive findings are when a movement causes dizziness or

The findings are each rated on a scale of 1 to 10, and treatment

Looking the 12 regular channels, their pathways and

Four Types of Abnormal Reactions

Low back pain did not resolve for a long time

Pain and stretched feeling are attributed to Excess (Shi) of