Transcript of the Seminar:
Acupuncture in Gynecology
Neuromuscular Pain

© 1990 Jung Tao Productions

"If you want to develop acupuncture, if you want to make it grow and spread, you
have to be very strict in the way that you learn things, rigorous or strict in the way that we
learn the words. Because if we employ words which are not accurate, we are not going to
learn anything. Because in chinese medicine, every single word has a deep meaning, and
if we don't use them correctly, we may end up making errors. And if there are errors in
comprehension we cannot help our patients, we cannot get results. And a medical science
where there are no results is a science that has no future. That is why we are very strict
about the terminology. "
Dr. Tran Viet Dzung

"There are three things that I am sure about that I would like to explain to you in a
very simple way: First of all, the further I get into my studies of acupuncture the more I
realize how little I know, that I know nothing; Two: among my patients there are lots of
failures, I fail to cure a lot of people. But there is one thing I am sure about: that if I don't
succeed in curing my patients, it is not the fault of acupuncture: I haven't reached the
height of my prowess, I haven't reached the peak of my possibilities and achievements.
There is acupuncture and there are acupuncturists. Thirdly, I notice that often when I fail
to cure someone, it's because I haven't properly grasped the technique; that is, I use a
technique, often, that I haven't really understood. That's why I believe, that when you
puncture a point in acupuncture, you have to understand the meaning of that action, you
have to understand the meaning of what we do. We have to understand the deeper
meaning of acupuncture. Because if you puncture a point, and you don't understand why
you're puncturing it, if you're just doing it because the Chinese say you that have to do it,
or other people say you have to do it, if it's just a 'reflex' point, without any proper
interpretation or real understanding, according to my experience, the results are not
good. "
Dr. Tran Viet Dzung

ABOUT THE LECTURERS: NGUYEN VAN NGHI.FOREWORD These transcripts represent. the 17th and 18th of September. Director of Chinese Medicine in Lausanne. Minnesota. Widely published in European and American journals. Originally practicing both Western and Chinese medicines. he is Adjunct Editor-in-Chief of the revue française de médicine traditionnelle chinoise. in 1954 he devoted his medical practice to acupuncture based on the classic Chinese model. France. M. all funds are devoted to further research in chinese medicine. and is a graduate of the University of Marseilles. Dr. Technical Director of the National Institute of Acupuncture in France. discussing such essential topics as San Jiao energetics. ABOUT JUNG TAO PUBLICATIONS: Jung Tao Publications is dedicated to the global dissemination of accurate study and application of classical chinese medicine. Viet Dzung is a graduate of the Medical Faculty of Paris. The Doctors presented two full days of lecture on Chinese Medicine. the lectures of Drs. Maladies évolutives des 3 Yin 3 Yang (Shang Han Lun de Zhang Zhongjing) and Art et Pratique de l'Acupuncture et de la Moxibustion (Zhen Jiu Da Cheng) (the latter in 2 vols. has collaborated with Dr. Van Nghi and Tran in. and towards making further important works in this field available. of superficial perverse energy invasion. TRAN VIET DZUNG. and President of the World Association of Acupuncture. 1988.D. treatment of cephalgias and traumas. Van Nghi completed his medical studies at Monpelier in France. His most recent efforts include a pediatric hospital in Marseilles and the release of his edition of the chinese medical classics. Bloomington. M. the energetics of gynecologic functioning and the treatment of gynecologic conditions. Van Nghi for fifteen years. . and. He has published Sémiologie et thérapeutique en médecine énergétique orientale and Pharmacologie en médecine orientale. and is in charge of the course in Acupuncture at the Faculty of Medicine in Marseilles. most especially. is a member of the Council of Administration of the French Association of Acupuncture. A non-profit educational corporation. in the English language and to the North American practitioner. We are committed to making accessible.D. in the most accurate fashion possible.). Dr. much of what has heretofore been available only to the European practitioner.

........................ 18 September 1988 morning session ........ 17 September afternoon session ................1 Saturday...Index Day One: Saturday........... 28 Day Two: Sunday. 17 September morning session ...... 44 Sunday................ 18 September afternoon session . 62 ....

therefore.Day One: Saturday. Nguyen Van Nghi. They have asked me to talk about gynecology. 17 September morning session Dr. And so. afterwards. Sean Marshall: Good morning. This physiology includes the study of channels [meridians]. He has published over eighteen major textbooks on Chinese Medicine. Nguyen Van Nghi Thank you Dr. I would like to introduce my long-time mentor and friend. the channel of the Spleen and Stomach. it is the prinicipal channels which are the most important: the channel of the Liver and the Gall Bladder. the problems of the internal part. We are very happy to have him with us today. we first have to study the problems of the external area. Van Nghi is president of the World Association of Acupuncture and a member of the Council of Administration of the French Association of Acupuncture. Chong Mai [Penetrating Vessel]. there are many of these channels: there are principal channels. Dr. and finally. In order to study gynecology. I'm sure we're all in for a treat here today. The secondary channels which concern the genital area of the woman are [of] the Ren Mai (Conception Vessel. CV). 1 . Dr. This is why we've been invited here to talk about Chinese Medicine. This is a very heavy program. Dr. And the United States really only began to learn about acupuncture fifteen years ago. Today I am pleased and honored to have been invited to come talk about acupuncture again. You know that currently acupuncture is becoming very important in the world. Nguyen Van Nghi. the channel of the Kidney and Bladder. But this is not a problem. and in addition there are a couple of other channels which deal with the external part of the genital area of the woman. GV). and here we're going to try to do a synethesis in five hours. that is energetic physiology. This is why we have to do a synthesis of all the channels. secondary channels. and the Du Mai (Governing Vessel. and lectures throughout the world. I'd like to thank you all for coming.. Our first speaker this morning is Dr.. Tran will be talking about the formation of the different types of energy. The channels which deal with the external part of the genital apparatus of the woman are the Tendinomuscular channels. You know that in Western Medicine it takes at least five years to learn about gynecology. Of this group of three types of channels. then. Sixteen years ago I came and spoke about acupuncture in this country. We're first going to talk about female physiology. Marshall. without further delay. and our colleague Dr..

That is. because if I go into more detail. the Belt channel. The bowel is an organ of transit. This Li-3 point is the point which corresponds to Humidity. and a point which is at the level of the foot. we will waste time. which is nutritive energy. From Li-14 a vessel goes towards the skull. when it has arrived at GB-21. I've just talked to you about thte Liver-Gall Bladder system as it concerns the genital area of the woman. point. and terminates at Li-14. arrives at GV-1. you have to suppress. Therefore if you tonify this point it builds up the earth and puts out the fire.First we're going to talk about the Liver-Gall Bladder system. which receives. a vessel goes around the center of the body. They give you tranquilizers and there is no cure. and then it releases the fetus. For we gynaecologists. Dr. from there it sends two vessels. From there it returns to GB-30. the organ is a viscera which receives energy. the organ receives and 2 . and then it rejoins GB-30. that is above the shoulder. GB-29 is situated in front of and below the iliac crest. to put out this heat. or source. You know that in Western medicine. you have to know where to puncture: you have to puncture GB-29. this whole area concerns us. Before arriving at the iliac crest. You know that the uterus is a so-called 'curious organ'. It's curious. and from there it returns to the Liver organ. From GB-23. Li-3 and Li-5. the fetus. The Gall Bladder channel. the uterus receives the male sperm. it joins a point which we call GB-26. The anterior vessel goes around the genital area. in order to better understand the uterus. The posterior branch leaves GB-29. But whereas we acupuncturists. one anterior and one posterior. Now we're going to talk about the Spleen and Stomach. also we have to understand what an organ. Li-3 is the Yuan. which can be translated by 'quintessence'. arrives at the sacral area. This point has the property of directly reaching the genital region. of women. goes around the genital area. So you see. 30. and terminates at the penis. to GV-20. it descends to the iliac crest. Li-5 is the Luo point of the Liver. It then arrives at GB-29. but it is not marvellous. for example. And then this organ metabolizes this energy into Jing. and goes around the five sacral foramina. normally they do not treat pain in the penis or clitoris. When there is neuralgia that means there is a sensation of heat. and what a bowel is. and emerges at GB-23. We're talking of Ying energy. we simply need to know the physiology of the genital area to help western medicine to treat certain diseases which they can't treat. this is very important. and from GB-30 it descends to the leg. and in the female at the clitoris. in a neuralgia or in an inflammation of the penis or clitoris. This is why we have to tonify Li-5. You know that the Liver channel begins at Li-1. afterwards it gives back. that is what fertility is about. <This is the female genital apparatus. it descends to the axillary region to GB-22. or fantastic (because western people translate it by 'extraordinary' or 'marvellous'). for example. which is called Dai Mai. This channel ascends towards the abdomen. therefore it's curious. Baihui. From this point. and it ends at the glans itself. Tran is going to explain much more on this subject. It's curious in that it is a system that absorbs. and from there it goes around the internal surface of the thorax.

of mutation--energetic mutation. When the Spleen channel has reaches Sp-12. because the genital organ of the female needs to be humid. We're now talking in terms of space. the role of receiving and the role of releasing. they pass through the genital area. the humidity of the spleen penetrates into the uterus. But they do not know where this organic heat of the organism is produced. As far as the Spleen and Stomach is concerned. when they arrive at the area of St-30. they send heat. So in western medicine we would say that the kidney plays a great role in the production and conservation of heat in the body. This is why in Chinese medicine. thanks to the energy which comes from the sky. which we could describe as 'fertile energy'. we are created as a result of earth energy.and animals have to go by the same conditions: in other words. the plants. the bowel plays a role of transit. There is a bad spermatogenesis. The uterus. you have to have humidity in order to create. it sends a vessel towards CV2. to bring a very special kind of energy to this area. In other words. Kidney and Bladder. This is why the energy of the spleen plays an important part in the fertility of a woman. that is the Spleen--). to be fertile. It is necessary to know the Kidney channel in a very detailed way because according to Chinese theory the kidneys play a triple role : the first role is that of sexuality. expelling. the sky: the heavens do not produce. to CV-3. to Sp-12. these are people who are always impotent. We are on the earth. substances which are created by earth and heaven energy are substances which are material. The earth is the element of transmutation. when you have the word 'earth' it means mutation or change. this is why the St and Sp meridans (--that is the Stomach. which you can see. In Chinese Medicine they have proved that the 3 . that is. It plays the role of both organ and bowel. So the Kidneys play a role in sexuality. That's why it's curious. and from there it penetrates deeply into the genital apparatus. transformation. or giving back. Here. a faulty formation of sperm.metabolizes. Whereas people who have an insufficiency of the Kidneys always have a low sperm count. procreation. needs to be moistened. the Spleen goes from down to up. Organic heat. which causes a kind of continuous transmutation. Sp-12 is situated 3 cun from CV-2. which is no more than humidity. Whereas normal people are capable of producing. they send out many smalll vessels into the interior of the organism to nourish and support the uterus. because the term 'organic heat' is also mentioned in western medicine. that is the curious organ. in other words. in Chinese medicine it is a system of production and of transformation. Now we're going to talk about the Kidney channel. Those of you who are MD's here will be surprised to hear that the Kidney plays a role in procreation. plays a double role. when it reaches the area of the groin. procreation. or not enough sperm. I will give you an example: if it is the case of a person who has a chronic nephritis. the Spleen and Stomach constitute the system of the creation of human energy from food. But in Chinese medicine the kidney also plays a very important role in thermogenesis.

It's thanks to this Jing that we can see. all these terms are the same. The whole pathway of the Ki. it penetrates into the Kidneys. or in the woman of ovules. When it reaches the area of the second Lumbar. not the exterior--water comes from the interior. Organic cold is also mentioned in western medicine To be more specific about the terms thermogenesis and hydrogenesis. Roughly speaking. from the Ki it goes to the Bladder to constitute the system known as Yin-Yang. But the Kidney also plays another very important role. is on the interior surface. it is a cross section>. it reaches the exterior. the Hun. etc. reaching Ki-27. <this represents the abdomen. or if you prefer. the mouth. This is why they give a special name to the Kidneys. eg: the skin.) and then these points reach the exterior. In another words. alternatively. because the Ki is a source. (This particular path still has to be explained by the chinese. The chinese speak of the Po. they call the Kidneys the organ which is the Source. which is in the formation of Jing. Remember among the five organs there is only one organ which has the name of 'Source'. This is why we have to go into some detail with regard to the Kidney channel. When it has reached the Bladder it reaches the internal surface of the abdomen. as a result of this situation. ie: the quintessence. The Kidney channel begins at Ki 1. the ears. It ascends to Ki-10. on the plantar surface of the foot. the source of water is from the interior. and not on the exterior part. the drawing. these are the seven sentiments or emotions of man--all of this comes from the Kidneys. the point of acupuncture is a point. such as the eyes. the chinese speak of Kidney yang and Kidney yin. we can understand exactly the existence of the points. the fire of the Kidney and the water of the Kidney.Ki is the source of organic heat. hear. not from the exterior. The Jing also plays an important role concerning the orifices of the body. Another example to prove that 4 . I've already spoken to you about sexuality. from there it penetrates into the anus<> and it follows the anterior surface of the coccyx and the interior surface of the sacrum and the interior surface of the Lumbar vertebrae. So the Kidney is very important. the hole from where the water comes. which is the Kidneys. a channel. the Zhi. but to the oriental mind. they speak of Ear Nose and Throat. a very small channel. In western medicine. the dermis. small and speak. when it reaches the peritoneum it makes a point. at that point. in other words it produces organic water and organic cold. because it's the source--they represent the well. the Shen and the Yi. the muscles. below the foot. Ki-Bladder. or. the point is a canal. there are three types of Jing: there is the Jing which supports and maintains the external layers of the body. therefore. To the occidental mind. and from there it continues up the internal surface of the abdomen. etc. when we talk about sexuality it means that the Kidney plays an important role in the formation of sperm. because that pathway of the Ki which is described by our colleagues the chinese is the Chong Mai and not the Kidney. Another type of Jing is the mental Jing. It also plays an extremely important role in hydrogenesis. Kidney heat and Kidney cold.

it is the meeting place of the crossroads. the posterior branch is called the Du Mai. I have visited many different schools in the world. This is why when you needle.the point is actually a small channel and not a point: <this is the surface of the skin> below the skin you have the 24 meridians. I would ask you to try and understand very clearly this particular area. Now you know the origin of the Du mai and the Ren mai. If not. (Yesterday I showed Dr. The anterior branch is called the Ren Mai. SI-4. in order to get good results in acupuncture. the 'road to the crossroads'. but the principal meridians have points. it's the Chong Mai. there are certain acupuncturists who simply put the needle on the skin when they treat. you have to go through these crossroads.<this is the bladder. To go from one area to another. But as I said the Kidney is the source. and not just the point on the exterior. otherwise the physiology of the genital system is incomplete and not completely known. and from there it divides into two branches: an anterior branch and a posterior branch. So we've just learned that from <here to here> the Kidney channel is not really the Kidney channel. The chinese give [it] a name-you have to wait for Deqi to arrive: this simply means that you have to touch the point in the interior. Van Nghi an Outline of Acupuncture. you have to penetrate into this opening and you have to slide the needle into the place where the point is on the interior. because in the diagrams you're going to find in Chinese editions it's somewhat vague. and the fallopian tubes. this is a type of crossroads. but this way of thinking is too chinese--we're americans. we have to know: where does this Conception vessel come from? Now we know--it comes from the Kidneys. So therefore the Chong Mai reaches a point and it joins up with other points. 5 . Secondary vessels don't have points. which is situated between the vagina and the other words they are not going to get any results. or whatever. So the point is a channel and not only a point on the surface. so we say. etc. I've been speaking about the Kidney channel. Because the Kidney is so important in its role as source. We're Americans... for example. behind it is the uterus. it's your fault. it's not the fault of acupuncture. called secondary vessels.. after it comes out at CV-1. Bl-12. I've been talking about the existence of the Kidney points in the interior part of the abdomen. and the needle is hanging like that. There. it plays a lot of different functions. or Spring . they [the Chinese] say that the Ren Mai and the Du Mai start off at CV-1. these are the roads. and the principal meridians send a lot of small vesssels. in another words. to control or commmand the uterus. they follow the points of the principal meridians. What does 'Chong" mean? 'Chong' means 'meeting place'. there is a channel called Chong Mai: we're going to talk about that in a moment. in another words with other crossroads or with other meeting places--in another words the Chong Mai really means 'meeting place on all the crossroads'.> The Kidney sends a vessel towards the uterus to support and maintain the uterus. the Essentials of Acupuncture) When you talk of curious meridians. or 'crossroad'.. If you don't get good results. and these points emerge on the exterior. such as the Ren Mai and the Du Mai.

the Ren Mai and the Du mai have a very important role to play in the genital apparatus of the woman. where the point CV-8 is found. This channel goes towards the Kidney channel and joins up all these points. this is the Ren Mai or Conception Vessel. 'chiao' means 'meeting'. down here is Yin. CV-4 is the place where the second vessel coming from the Kidney arrives. which literally means 'the area of the productive rice paddy'. the San Jiao system has hardly begun to be known in China. But this is not enough. But the term 'yin' also refers to the uterus. So now you understand that the Chong Mai. Because now you're specialists in gynaecology. This is also the point where the San Jiao brings water to the Kidneys. When there is a communication between Yang and Yin there is production. transformation and creation. called 'Shimen'. For we western people. Between CV-6 and -4 is CV-5. there are points of the Kidney channel. whereas the word 'kidney'. in western medicine simply refers to an excretory organ. without the San Jiao there would be no energetic system. 'Gate of the Source'. also very important. You have to divide [this area] into three parts. The Kidney sends out another branch. 'Sea of Energy'. the 'Triple Heater'. which is given the name of Tan T'ien. so: 'the meeting point of water'. then you divide each part into two again. of women. Up until this moment. of the 'source'--'source' means Kidney. 'yin' means high. because all physical and mental activity depends on the surrenal capsule. that's what's called the Chong Mai. they are flooded with water. Guanyuan. it follows the anterior branch up to the point CV-4. This point is a direct link to the Kidney. that is Kidney yang. and above is the sun. <This is the Ren Mai. or the Conception Vessel. [which can be] compared to the rice fields which feed and nourish the people. It's a very important area. This is CV-4. this is CV-6. also means 'uterus'. called Yinchiao. we can compare Kidney yang to the surrenal capsule [adrenal gland]. or barrier. which doesn't make any sense. the sun is Yang. which we call Guan Yuan. Dr. Tran will talk this afternoon about the San Jiao. This is why CV-7 is used to treat sterility. But how? 6 . for example. how to find these points. The area between these two points--CV-2 and CV-8--is very important: when we speak about gynaecology we are talking about this zone.> Above the pubic bone is CV-2. until it reaches Ki-27. but there is not a Kidney channel. which follows the previous one. you see the rice fields. They just tell you that it is the system which sends water into the different parts of the system. Here is the umbilicus. This is why this particular area is called an area of procreation. But our french friends translate it by 'Cinnabar'. this is the pubic bone. with the name Qihai. and it sends a branch to the exterior> A moment ago I explained about the Kidney points which are located there.I just said a moment ago that the Kidney plays an important role in thermogenesis. just 'kidney'. now we have to study it in more detail. Because in Chinese Medicine. and you have CV-7. From there it divides <this is CV-4. When you go to China. which means 'stone gate'. 'reunion'. here is the Chong Mai arriving to this point. this is why this place is called the gate. Now.

and you have to know all this. of Tai Yang. there is CV-3. tonifying it. CV-5 is the front mu point of the lower Jiao. <Here is CV-3. the point CV-3 is the front mu point of the Bladder. CV-7 and CV-8. which we also refer to as 'energetic capillaries'. Afterwards. That is. the diagrams which they present you are synthetic. So you have to know the point. in the Da Cheng--'Da Cheng' means 'The Compendium of All Acupuncture Techniques'. CV-4 is the front mu point of the Small Intestine.> In all books. artificial. all of that is 7 . because these two points are specific points for gynaecology. the Ren Mai arrives at CV-3. <This is the abdominal wall and the peritoneum. that is the front mu point of the Bladder> That is why. We know that CV-3 sends vessels into the uterus. in other words. <This is the Bladder. as I already mentioned. small vessels of the Small Intestine bring the water from the Small Intestine toward the Kidney by means of the mesenteric branch. And our colleague Dr. how. from the source.> There is a sort of mesentery system which goes to the Kidneys. CV-6. You can't needle through the abdominal wall to find these points. or antique books. it reaches CV-4. whereas here. to calm this pain. without exception. in certain cases of uterine inflammation. however. to the uterus. in other words. To study gynaecology and to get good results. because the Ren Mai or Conception vessel comes from the Kidneys. which we call small secondary vessels. here is the point. that's the way it is. [with] sensations of heat and pain. we have to study it in detail. so there's a special technique. front mu of the Small Intestine. From there. the meaning of the point and the function of the point. [According to] the Nei Ching Su Wen. ancient books: for example in the Nei Ching Su Wen. Now we are in the region of the abdominal wall. or humidity. And our colleague Dr. and it also brings water. we puncture CV-3. so therefore that is the area. Tran will explain that in detail to you later. that is. <This is the small intestine. This is the front mu point of the Bladder. whereas the points that are on the exterior are points which are emerging from the interior. it's a little more difficult than that. That is why. when the vessels from CV-3 arrive at Cv-4 they immediately go internal and irradiate around the small intestine. to stop this pain. in another words. Tran will explain that later.We're americans. We know that the Bladder and Small Intestine together are known as the Tai Yang. Tai Yang means 'water' or 'cold'. And these points are situated on the interior. And to study them in detail we have to look at the older. But now we're talking about physiology. internal vessels. we want to know why. After CV-4. the name of the point. But since we're specialists. there are only points. from CV-7 to CV-3 there isn't a line or a channel. it penetrates deeply into the bladder and the uterus. you'll bring about a peritonitis. the channel emerges at CV-5. I am just talking to you primarily about the importance of CV-4. the zone. when there is a diagram of the Conception Vessel.

reanimation technique. which means that Yin and Yang are separated. we acupuncturists have points which can bring the patient back to consciousness. This is very important. And our profession involves keeping our clients. and you begin to make rotating movements. not brutally. there will be loss of consciousness. if you do a quick manipulation it provokes abundant perspiration under the arm. we call it reanimation method.e. Fortunately. syncope]. and never standing up. and there is lipothymia. The needle can also go through into the thorax. the points situated on the extremity of the [digits]. you'll have to call the ambulance and the police. I'm sure that it's the same in the States. You keep pushing the needle in and suddenly you feel a slight resistance. This is why we have points of reanimation. in and out movements. Naturally. It happens in Europe. Because if the patient becomes unconscious it means that Yang cannot penetrate into Yin and Yin is no longer penetrating into Yang. or Well points are at this position. I'm just doing some examples of points (if we went into a lot of detail we wouldn't do any more gynaecology): GV-26. or extra point called 'Shi Xuan'. loses consciousness. When you puncture points on the back or in the thorax you [can] provoke lipothymia [faintness. clumsy acupuncturists. That is. I'm sure it will happen here too. which is extremely serious. This is the point at which we reestablish the Yin-Yang polarity.> You put the needle in. it causes extreme pain--you will lose your client. This is why: there are certain points which can very easily cause a lipothymia. first of all. This is why we acupuncturists have to be very careful--that can happen. or go through the thorax and cause a pleurisy. the first Su-Antique point. through the skin--you must not turn the needle while it's still at the level of the skin. reanimate the patient. as in the States. only about a milimeter or so. and then you begin to manipulate the needle. And then the patient becomes completely pale and falls over. <Here is the finger. there are some unskilled acupuncturists. progressively. these acupuncturists are barred from practicing for life. subaxillary.the point. The patient should always be lying down or partially lying down. who go through the peritoneum and cause a peritonitis. 8 . And this point is a curious point. So you have to go through the skin. both in the United States and in Europe: you should never needle people when they're sitting down. because they reestablish the circulation of Yin and Yang. Dr. for example. and all the Jing-well points. not in China. The Jing-well point really means points which are at the ungual angle [i. GB-21. But don't go through it--you immediately pull back the needle. Do it gently. because we're in the States. we have to be extremely careful. Because in France. with very light fingers.. The Jing. in France there are medical laws. there is the nail. if the patient becomes unconscious. St-36. if you're still at the level of the skin and you start turning the needle. a lot of perspiration. When you puncture it deeply and you turn the needle. Tran is going to talk to you about this. this means you're touching the peritoneum. either to tonify or to disperse. corner of the nail] of the digits.

<Here is the point. the left-hand side. each of these holes has a point: Bl-31. I've been talking about the Bladder channel. they're very important points in gynaecology. Now we're going to talk about the Bladder. the foramen. and from there to clinical experimentation.I've just talked about the Kidneys. the western medicine speaks about the sacral plexus.> When you have the phenomena of sacralization. you'll feel a resistance.> The energy of the Bladder reaches this point and sends small branches inwards. and here are the Lumbar vertebrae. and there are the points. This is why in western medicine when you talk about medical theory. That means that the word 'theory' in occidental and oriental medicines has a completely different meaning. In the case of pain you have to puncture one of these points. a little hole. which means all these openings [the sacral foramina] begin to close up. But for women it is an important problem. there's a sort of a . theory means something which you establish from something unknown. and in oriental medicine. or there. same thing--there are the holes. However. they're called the sacral points. theory is the opposite: the clinical results are what makes the theory in oriental medicine. So only a small hole is left. first straight. but actually [it is] since the creation of man. however. [and] she frequently presents signs of rheumatism. or it might be there. and the channel circulates <like this. <Here is the coccyx and the sacrum. and this plexus innervates or irrigates the uterus--and in oriental medicine it's the same thing--but when western medicine speaks about the sacral plexus. towards the uterus. exactly where the sacral foramina are found <this is the sacrum and the coccyx. -34. <like that>. and what is admirable about what western medicine says. these openings are where the nervous and vascular vessels enter and leave.> You have to know these points by heart. <This is the right hand side. whereas in our case as soon as you talk about the theory we have a clinical example. and in western medicine there is a phenomenon of 'sacralization'. how can you puncture them if they're closed up? <Here is the opening. you should puncture these points. In that case. from the left to the right. So how can you puncture it? You have to put in the needle. Now the other side. and there are the sacral foramina>. I said two thousand years. it changes every six months. there are branches toward the right-hand side of the uterus. because when they have their periods they can get a lot of pain in the abdomen. here's an example: if you meet a woman of 40 or 45. it has to come from clinical results. the area Dan Tien. the uterus is the point where energetic vessels cross. It would be better to puncture Bl-32 because the opening is larger than that of the other points. and veins. especially in gynaecological conditions where there is extreme pain caused by serious conditions in the uterus. -33. or in less serious problems--because most of the men here are not aware about painful periods. and -35.> the energy goes through these holes. but you'll feel a 9 . In western medicine. it doesn't have a method of curing the pain. which means that there's a calcium deposit which is deposited there.> At the level of the coccyx and the sacrum. Bl-32. whereas in oriental medicine the theories stay the same for thousands of years. In other words.

it's very simple. the Bladder also corresponds to water. and you turn it. because I just showed you how the Kidney is the Source of the genital area. Kidney corresponds to water. cervicitis. there is a lot of salt on the dishes. which is pain during the period. When there is a worry or disturbance psychologically. not much of meat. they don't pay attention to temperature. and it causes a syndrome known as damp-cold. for example. it's a semi-vegetarian diet. their husbands. the Ren Mai and the Chong Mai don't function properly. or diet. problems with children. I've given you a broad description of the genitourinary apparatus. in other words. and this can provoke a syndrome called a deficiency of 10 . In this case. the food is. endometritis. if they do a lot of sports in damp weather. the women of these countries have more heat. [I think] that in the United States there is less dysmenorrhea than in Europe because I see how the American people eat. If you manipulate your needle well. richer. especially psychological or mental types of problems. plays a very important role. or cold-damp. energetically speaking. And the prolonged stagnation of cold-damp in the vagina transforms into damp heat. which also means 'the channel which brings water'. energetic circulation is frequently obstructed. at least 2 cm. almost. the humidity can penetrate into the genital area. This damp heat can burn the vaginal tissue and then you have salpingitis. family problems. lot of tea. too much sex. heat that comes from the diet. I've noticed that in the fifteen days since I've been here. with dysmenorrhea. the diet is stronger. women are not like men.resistance when you reach the calcium deposit. When the Kidney is deficient. Food. When you put the needle in you have to put the needle right into the interior. which can reach the genital area to cause genital problems. the patient will feel a sensation of coolness or freshness in the affected area. and they ignore. for example. a lot of spices. you would just needle straight. you have to turn. which is where the pain and inflammation occur. I've been trying to explain or to show you that chinese medical theory is established from that which is known: because the Bladder means the Tai Yang. If you're dealing with a young girl of eighteen. But unfortunately. they have a lot of problems. In this case there is stagnation of energy or blood at the level of the genital system. In this case they have the result of an exhaustion of Kidney energy. therefore there is often a lot of disturbance or worry on a mental level. Americans like to exercise and do sport. So you manipulate the needle with the idea of bringing the water from the Bladder channel into the affected area. In Europe. But you know. So you can see that the climate also plays a very important role in female problems. incline the needle and you try to find the place where you can put your needle in further. There are also women who overdo sexuality. and then the Kidneys will cause problems in the other organs. etc. They eat a lot of salad.

the disease is more serious. whereas the word phlegm means that there is a materialization of humidity). In the case of real uterine hemorrhage. women have periods which prolong for a long time. which is where hemorrhage comes from. Because we must always consider the similarities of the two medicines. every month she may be unwell for twenty days. there are uterine fibromatosis and fibroma. origin of cancer. gets bigger. When there is too much heat in the uterus. But when we talk about fibroma in western medicine. the equivalences. I would immediately send her to a surgeon specializing in obstetrics to do a complete examination. you mustn't insist on treating it. But if the fibroma is the size of a head. and I will establish that there are some doubts. This damp heat of external origin can establish or localize itself in the uterine wall and it will not. because now I am a western gynaecologist. you mustn't keep this client. develops. In this case. increases in size and we call it fibroma. this substance. it may not transform into heat. We're not going to exaggerate what we can do. if this patient comes with a hemorrhage. we say in western medicine that the heat dilates the vessels and can burst vessels. we have to be careful. I won't keep this patient. Because we are in the United States. ---morning break-- 11 . We call that prolonged periods. and this is when we find syndromes such as amenorrhea and oligomenorrhea. they might last twenty days. it transforms into phlegm (the word mucus in the western sense of the word is something which is secreted by the organs. because this could be of a cancerous nature. whereas in the case of small fibroma acupuncture can treat this condition. then you have to operate. Cold-humidity. we describe this as a case of menometrorrhagia--and that we can treat. In the case of fibromatosis it also always entails metrorrhagia. Even in western medicine there are limits. or it comes from another very serious illness. when it is in the uterine muscle.blood and energy in the genital apparatus. This way of treating fits in with the way of thinking of both types of medicine. In gynaecology. I will examine. this heat damages or interferes with the blood. you must send her to a specialist. because this kind of hemorrhage is often of cancer. when it stagnates for a long time. when we use the word hemorrhage. We Americans have one word to describe this illness. turns into drops of a substance.

serious illness. either excess or deficiency. in another words she cannot carry out her daily activities. next the physiopathogenesis. and this causes pain. and cause disease. in the case of convalesence after a long. economical-financial problems. which is the detailed study of symptoms. The intensity of the pain varies greatly according to the individual. and then. Van Nghi continues) Now that we have studied the pathology. they give cortisone. that is the study of the cause of the disease.(Dr. in Chinese Medicine a disease may present itself in different forms. into the body. Now. of course a disease has one name but it may have several forms. And then there is the study of what is called nosology. In case of an excess. In these two cases. We have to define this term: it's a painful state of the abdomen. irregular diet. which means they give the same treatment. deficiency: deficiency is often due to a deficiency of blood and energy. that is the word dysmenorrhea. Study of the causes: roughly speaking. As an example. if I had rheumatism. in both these cases there is always a deficiency of blood and energy. Repeated sexual activity may also disturb the 12 . Now I'm going to give you a little example of the disease known as dysmenorrhea. occasionally the pain forces the woman to stay in bed. For example. First. and this is what we describe as an exogenous cause. family problems. which cause psychological distress can also cause a blockage of energy and blood at the level of the uterus. the physiopathogenesis. These three phenomena cause the phenomenon known as stagnation. for example being subject to a lot of external climatological influences for a long time. because cold slows down activity. there is stagnation of blood in the uterus. But dysmenorrhea can be caused by problems with the diet. we're going to start with the easiest of the diseases--dysmenorrhea. it can be of exogenous origin. in the case of post-partum hemorrhage. there is the application of therapeutics. coming from the exterior. whether it's form A or form B. in Chinese Medicine you have to distinguish: which type of rheumatism is it? This is very important. before and during the menstrual period. Eating too much cold food can cause a slowing down of the circulation of blood and energy in the uterus. and then I will describe how a disease presents itself to you. it seems that it's best to describe a disease often in the western fashion. The excess condition can also be caused by psychological or emotional disorders cause it. definition of the medical term. And finally. there is greater activity. And we use the clinical symptoms as the basis for choosing the points. The uterus is in an undernourished condition. Now the causes. and when there is heat. Western medicine nowadays seems to treat the name and not the cause. As I said this morning. because each form presents completely different clinical symptoms. which means that the cosmic perverse energy can penetrate into the organism. because often when you read the chinese texts it's confusing. So excess is of exogenous origin--perverse energy--or diet.

For the rest of us. which we call the centers or the burners of the San Jiao. you have to wake up the Shen. And in Chinese Medicine. The movement of the diaphragm causes the energy to descend and ascend. But in both ancient and modern texts they propose that this point should always be associated with Bl-17. and we know that the fundus. You know that in front of the diaphragm there is descending energy and another energy which ascends.> This constant movement of the diaphragm causes movement in this area. whereas that point [Bl-17] has no connection with the blood. myself. The organs which regularize and regulate the production of blood are the following: the Liver--the Liver conserves the blood volume. You have to prove this to me. the middle burner. So I'm going to demonstrate it to you. This morning I explained that the Spleen corresponds to the Earth [phase]. If it's psychoaffective. 'Sea of Blood'. in other words the energy of the Stomach and of the Spleen. and also deficiency dysmenorrhea. in other words also the uterus. which Dr. the Kidneys make blood. one of the burners. in occidental terminology it is the fundus. you have to look for the cause. or dispersion technique. In excess dysmenorrhea. which contains three zones. and then keep it in balance. If it's of a dietary origin. For example. Bl-17 is the shu point of the diaphragm. Dr. Sp-10. I've very roughly given you a way of distinguishing two types of dysmenorrhea in Chinese Medicine: excess or fullness. there are organs which regulate and regularize the production of blood. and can provoke signs of deficiency in the uterus. <Here is the Stomach. have an American type of mind.> What is the diaphrgam? It's a muscle which causes continuous movement. causing pain . we all know that we have a diaphragm which never stays still. it constantly moves up and down.Kidneys. and I have accepted that point [Sp10] because it has the name Xue Hai. the phenomenon of digestion 13 . you have to regularize the Spleen and Stomach system. Once you've learned about this point you will never forget it. circulate--produce the volume of blood and make it circulate. you have to destroy the perverse energy by applying sedation technique. I. Tran will explain better. Xue Hai. which is the shu point of the diaphragm. when food arrives at the level of the fundus. Tran will explain to you in more detail the embrylogy of this movement. we are considering the case of undernourishment of the uterus and you have to treat blood and energy. it's the place which is the source of all the transformations of the body. if it's caused by perverse energy. in other words psychological-emotional origin. if I have an American way of thinking. that is the center. this is an innate movement. corresponds to humidity. it's a classical point which everyone knows. In the case of deficiency. And there are specific points which you need to learn by heart. To treat the blood. For example. The Chinese say that the three Yin produce. the Spleen spreads the blood. to treat it. <Here is a picture of the diaphragm. In the case of blood deficiency you should always use this point. This movement regulates the circulation of the Spleen and the Stomach. Among these organs the Spleen plays a very important role. in other words harmonize the mind and spirit.

. there is an enormous difference between deficiency and excess: in the case of dysmenorrhea of excess origin. [I look] at the tongue. tight. Now you know why the ancient and modern texts talk about Bl-17. and there is a sensation of relief after these clots are evacuated from the uterus. in the case of deficiency. there would be a whitish moss. the blood is red and there is a possibility that there will be clots. And the reason for doing the palpation is to study deficiency and excess. the pulse is actually secondary. it doesn't cause her problems. The blood is pale. the pain is improved by palpation. You have to know how to distinguish the two types of dysmenorrhea. On the other hand. and the examination of the complexion.occurs. and this pain is exacerbated. Now dysmenorrhea from deficiency. and when you palpate the abdomen the patient has no discomfort. But in the case of deficiency. you have to study the pulse. but for now. well what about the pulse? The pulse represents the control of clinical signs and also [of] what the patient tells you. she's slightly thirsty. the woman feels quite good when you touch her stomach. whereas if the patient presents with pain and nausea you know it's deficiency. [there is] no nausea or vomiting. This phenomenon of metabolism gives off energy and blood. This is why Bl-17 has the important property of accelerating the movement of the stomach in order to accelerate the production of blood and energy. made worse. yellowish tongue is the sign of the presence of heat. and the pulse is weak. supposing [she] came along with dysmenorrhea of excess origin. which is more exactly a phenomenon of alimentary metabolism. The patient always presents with signs of nausea and vomiting. and [I] would notice that [her] complexion is nice and pink and normal. In the case of a blood deficiency. the pain arrives before and during the period. 14 . In another words. And I know that you're going to ask me. there are no clots. etc. These are the signs of dysmenorrhea of excess origin. Since we're talking about the cause of the disease we have to talk about symptomatology: in the case of a dysmenorrhea of excess origin. when you've become a great acupuncturist. because when [I palpate] the abdomen there is pain. the tongue is pale. For example. but [they] didn't explain why--now you know why. therefore. in this case I would check my findings according to the pulse--because in the case of deficiency the pulse would be deficient. by palpation. This is why in the case of the woman you have to know how to palpate the abdomen. with the clinical signs. [I] would look at [her] complexion. And again. it's slightly yellowish. the tongue. Later on. In other words. in the case of dysmenorrhea from excess. to treat the disease it's fine to take the pulse. but you must first examine the clinical symptoms: the complexion. you have to needle Sp-10 and Bl-17. and abdominal palpation: that is actually enough for gynaecology. and tense. In this case you would expect there would be a rapid pulse.

I would propose moxibustion. which means that the energy of the Kidneys can produce blood. 15 . because the three Yin. 'the Liver is a general'? ( i. produce blood. Before treating dysmenorrhea. of the disease. In dysmenorrhea. A while ago I told you that the Kidney plays an important role in the formation of blood. it's the same thing. which is CV-3. We're talking about the pain of gynaecology. warm up the circulation of the Ren Mai and the Chong Mai. the Spleen. The chinese say that in the case of deficiency you have to warm the point. And the real treatment.. but they don't know how to activate or tonify the marrow. Then. is moxibustion. before treating the form.Now. there is another specific point. Now we're coming back to the United States--the marrow produces blood. but it's the same meaning. If you tonify this point. The Kidney rules the marrow: so you see. where there is stagnation there is pain. the military officer ) What does that mean? In western medicine. should you employ acupuncture or moxibustion? Personally. If you have a good grasp of western medicine. five or ten minutes afterwards. <Here is> the channel of the Liver. you use little needles and you pretend to needle. the specific point is Bl-32. the western medical people are talking about another thing. and I said that you have to regulate the blood and energy. it's very important. western medicine says that marrow produces blood. to activate the production of blood and energy of the Kidneys. as I said a moment ago. I explained that this morning: this point. if a woman comes to you to be needled. I explained a moment ago that in the case of excess there is the phenomenon of stagnation. For me. or the type. I told you before that the specific point is Bl-32. This is why in my opinion the ideas of the two systems of medicine are exactly the same. Because the one is a general of an army. Another example: the chinese say 'the Liver is a general'. Bl-32--so you have to puncture this point. This morning I already told you a point. In other words. and this is the way that you make blood and energy circulate. They join at that point. we have to choose specific points. Sp-6. In the case of deficiency. you have to encourage the circulation of blood and energy. how to treat it. you can prove all of the chinese ideas. In the case of the excess type. but since we're in the United States. they say the Liver plays an important role in the defense of the organism. That's the Chinese term. the ideas are the same. So these are the three points you should use first. the Kidney.e. and in order to regulate blood and energy you have to choose a point whose branches go to the uterus. and the other is defense--it's the same thing: the chinese are talking about one thing. it's to harmonize and regulate the blood. Bl-32 is a point to treat the pain of all gynaecological disorders. And CV-3 means 'the uterus'. Sp-6 is a specific point in all gynaecological disorders. I'm an american person--what are they talking about. But we know: you have to tonify the Kidneys because the Kidney sends its Jing to the marrow to support and nourish it. Our most important duty as doctors is to fight the pain.

Now in the case of a short cycle. We're going to talk about the easiest diseases: irregular menstrual periods. I must always add CV-12. we respect those three points [ ] but we don't respect the other one [ ]. which are the Xi-cleft points. we can talk about another gynaecological disease. But the most important thing is to know the specific points for each disease. We know that heat accelerates the blood--in other 16 . For example. when we use the term 'irregular period' we either mean a short cycle. the Source [Yuan] point of theStomach. it's to dissolve and unblock the stagnation. I explained a moment ago that the Spleen plays an important role in moisturizing the apparatus of the woman and also in the mutation [transformations in the organism]. which are: GV-20. The two classical points are CV-4 and St-36. GB-39. In the case of a deficiency of blood. etc. or in the case of dietary dysfunction. in the case of psychological-emotional disorders. then. which is Sp-8. These three points are enough to activate the formation of blood and energy. You puncture those points first. In Chinese Medicine. and St-42. But we acupuncturists of a long time. which means that I needle the Backshu point of the Spleen. For example: in gynaecology. especially in the United States. what you're doing is taking this increased blood and energy and making sure that it reaches the uterus. If you puncture the Xi point. in the case of perverse energy. the Source [Yuan] point of the Spleen. and St-36. These are the points you use. In oriental medicine we have specific points in each case where there is a blockage or stagnation. This means that the formula in Chinese Medicine is not rigid. This is where you add points to the classical formulas. now we are traditional acupuncturists. These are classical formulas. Yintang (Curious point #3). which is [done by means of] Sp-10. You know that in the West. which is [done by means of] CV-6. or an irregular cycle. there is bleeding before there should be. and in the case of stagnation you add the following three points. we would also have to add points having an anti-depressive effect. in central nervous system diseases. and in the case of emotional problems--you're obliged to dissolve this stagnation. in the case of dietary problems. Bl-21. and He-7.In the case of stagnation--in the case of perverse energy. CV-17. If the problem is of dietary origin I wouldn't use those points. <Here is stagnation. And then you have to regularize the blood. I've just dealt with dysmenorrhea. St-36: when you tonify this point you activate the production of blood and energy in general. GB-37. the blood arrives before it should. in opthalmology.> I have to puncture Sp-8. everything depends on the knowledge of each one of us. with the idea of regulating the Spleen-Stomach system. we must of necessity ask 'why?'. Li13. a classical formula is a type of formula reserved for students. This is very important. a long cycle. We have another half-hour. This is extremely important. When you add the point CV-4. and to regulate the energy. Now. Sp-8 is a Xi-cleft point. or psychoaffective disorders. I'd use Bl-20. Sp-3. which is actually a lack of blood. Sp-6. you have to activate the production of blood in the uterus. [and] the Back Shu point of the Stomach. in the case of deficiency.

by heat. and the superior part by the Spleen energy. you have to open the eye to look at these vessels. How to treat: how should we treat it? In the case of irregular periods you have to look for specific points. in the long cycle. and the pupil. they always have this type of irradiation of the vessels. and the color is red because there is fire. because there is heat. If it's dietary in origin there are little blood vessels which ascend [like that]. 17 . the iris is irrigated by the Liver energy. Since we're gynaecologists. after when it should arrive? Because the lady in question has a problem with cold.. You puncture these two points to harmonize Yin and Yang: the Spleen is blood.. we have to ask her about this. Now the long cycle--we have to ask: why does the blood arrive late. horizontally. <That's an eye. In the short menstrual cycle. this also always means that there are digestive disturbances. she may be very nervous. For example. In the case of a short cycle. of dysmenorrhea of the short cycle. by the three Yin.words a short menstrual cycle is caused by yang. you should ask about the pulse. and the white of the eye by the energy of the Lungs.) In the case of the short cycle. (In order to earn your forty dollars. women often have bloodshot eyes. And all these signs are seen in the change of character of this woman: she'll have good moods and bad moods. But you have to know one or two clinical signs. In which case we have to regulate her Yin and Yang. In the case of deficiency the eye is normal. this is also always a sign of a heat syndrome or a psychological syndrome. she might have her periods twice in one month. the iris. and the color of the eyes. you look at his eyes. what the blood is like [in] color. the periods are heavy. and the part in the middle by the Kidney. In irregular periods. in the case of a very angry person. from the Source. is Yang. In the case of pathology. the woman always presents with signs like that. This is very important. the white of the eye the sclera. and the cold contracts [while] the heat dilates.. Qihai. And this cold or this heat is from the Kidneys. caused by the Kidneys. in the case of short cycles which is caused by heat-heat means fire--fire means the Heart--the part which is irrigated by the Heart has little blood vessels. And the blood vessels of the uterus contract when the female patient has signs of cold. the color of the blood is pale pink. whereas in a long cycle the menstrual periods arrive always between ten and twenty days after the date when they're supposed to arrive. There is the canthus. When there are small vessels going from below to above. Yin. who insults his father or mother. 'Sea of Energy'. And when the vessels irradiate from the canthus. We know that cold retards all human activities. or vice versa. [also] CV-6. now there is too much heat. CV-6. and the part below the eye by the Stomach. you have to puncture Sp-6 because it governs the blood fabricated. who punches his friends. or twenty-five dollars. In western medicine they're always talking about irregular cycles. what is this about? This means that in the body of this woman the cold and the heat are in a state of disorder: now there is too much cold. etc. it is irrigated by the Heart. made. Where do we find her Yin and Yang? In the Kidneys. we also have to ask why is this. Here is the canthus of the eye. And in the other case.

In conclusion. Why Li-2? Because it's the Yung [-spring] point. which is the second antique point. Fortunately. such as viral hepatitis. Li-2 is the sedation point. you use it in the case where there is too much Yang. energetically speaking. because it is your essential energy. if perverse energy is in the principal meridians it automatically causes problems in the organs and bowels and it means the disease is extremely serious. all acupuncture points can be tonified or dispersed. corresponds to heat. Li-2. which stops this aggression. we have to know exactly what the answer is. of the Yang Ming. And we put it out with Earth points. For example. we have the defensive energy. St-29 has the name Guilai. so we have to tonify the heat point. there is always more or less fire. and the heat is caused by these microbes. the Earth point. everything depends on context. you regulate the circulatory system with fire. in certain cases of hepatic diseases. it is to remove or give back energy at the level of the meridians. Because in the case of dysmenorrhea. no. if I puncture this point and sedate it what it means is that I remove the heat . in other words the humidity of the Liver. which penetrates into the uterus to fight cold. Because in the case of the long cycle there is a lack of heat. This is why I have to sedate Li-2: because there are microbes. Now in the case of the short menstrual cycle. Where should you heat up? You heat the Yang Ming. In this case you have to heat up. more or less Yang. Li-3--the Liver governs the genital system--the Yuan point of the Liver. I don't use it like that. of Yin and Yang. The long cycle is called a cold cycle. When you talk about tonification or sedation points. if you puncture these points you cause a little fire. in other words St-25 and St29. the fire point of the Liver to combat the cold in the genital area. it's the secondary channel of the 18 . If I have periostitis of the shoulder. You must not put out the fire of the body. This is a very important idea. you would say 'it is your Large Intestine channel which is at fault'. which means 'making things come back'. it's not that. which causes fever. where there is fire. So when you puncture these points it is to regulate the circulatory system of blood and energy. this fever is nothing more than the exhalation of ministerial fire. But it does give just as good results. in other words. Those are specific points that you have to know. because we are americans. In principal. I would say I have a pain here. in other words. too much fire. for example. you mustn't think that a tonification point always has to be tonified. But perverse energy: is it found in the principal meridians or elsewhere? Now. This is the technique you will find in all the chinese books. You have to slow down the circulation or put it out. The Yang Ming corresponds to dryness. There are two ways to do it: you know that the Liver controls or commands the genital system. you have to put out the fire. I have to produce heat. St-25 is the front mu point of the Large Intestine.When you puncture these two points. everything depends on the clinical form. But now if I want to produce this heat I tonify Li-2. and so I have to tonify. Therefore in the majority of cases the perverse energy is found in the secondary vessels.

But there is a technique. How do I put it in? That's a secret--the Grand Masters know it but don't tell you. If you leave me a few minutes. I have to ask my teacher how to treat. the Source point. because it's too long. This is extremely important. I've got a toothache. you can't treat the pain. In the end. not disperse. I've got five minutes left. Dr. you puncture LI-11 and you reinforce the action of this point by using LI-4. In other words. In other words. the Luo system. Tran is going to talk about San Jiao energetics and the formation of energy. and you'll be able to cure all diseases of external origin. In all the cases of pain. in subcutaneous manner. This is only really a very small part of acupuncture. we have to open the book to find out how to do it. you disperse the painful point and tonify. It's enough to cure the pain. After lunch. distinct meridians: there are six or seven groups of meridians that you have to know. Longitudinal Luo system. And then you have to find which principal channel circulates through this area. Yuan point. subcutaneous needling. [Here is the shoulder. But our chinese colleagues have not yet determined the different systems of meridians. I insert the needle and disperse.] I have to sedate this painful point. We use the technique of the tendinomuscular meridians. (--Lunch break--) 19 . And put it in at least 2 or 3 cm. Here is the pain--ths patient shows you that. the principal channel. I'm going to give you this technique. Suppose it's the Large Intestine: you have to tonify the Large Intestine principal channel. This is very important. and they now evidently only teach you the principal meridians and the points. because our chinese colleagues don't yet know this. We have the tendinomuscular system. curious meridians. I will finish what I was saying. In order to puncture these points in the shoulder you have to puncture obliquely.Large Intestine.

So they never give you a synthesized.when they talk about ideas. or global. you've got the muscles. the bones. the organs and bowels--how can you say that you treat everything by means of the San Jiao?' The doctor answered him: 'This is such a difficult and important subject that I can only tell somebody who has sufficient knowledge of the subject. Sean Marshall: Our next speaker is Dr. in the ancient texts. Thank you for coming. And everyone knows that. He sent for this doctor to come to his court.' The emperor. you know that at that time chinese emperors were well known for being very erudite. they're not exactly sure. We have had the occasion to not only visit the United States but also other countries of the world quite often. not only in poetry and music but also medicine. Tran Viet Dzung Hello. But as you already know. idea of the whole thing. And since this. he told me that he met Dr. 20 . in fact. This is why what I'm going to tell you is important as a basis of acupuncture. You know that acupuncture is a technique of oriental medicine.Dr. Everything I'm going to tell you is found in the Nei Ching. whether it is the Nei Ching or the Da Cheng. It's so important that I'm going to tell you a story: you know that in the eleventh century in China. and he asked him: 'Why --in the human organism. crazy with rage. there was an emperor. I'm going to try to do a synthesis of all these ancient books and to try to give you a complete idea of the San Jiao. But when you talk about what energy. Tran Viet Dzung. Van Nghi about fifteen years ago -. One day he heard talk of a chinese doctor who only treated people by means of the San Jiao. Dr. When you talk about the formation of energy. Van Nghi. another one in book five. and we have established the following: that lots of acupuncturists know that they have to practice a medicine of energy. they talk about one idea in book one. and then the third one they come back to in book three. had him beheaded.. you have the meridians. He has been a long-time collaborator with Dr. And in talking about the formation of the different types of energy I have to talk to you about the San Jiao. they can't tell you exactly how this energy is formed. the generations of the doctors who came afterwards always get together to study the idea of the San Jiao. We're going to begin first of all straight away with the formation of energy. And you know that oriental medicine is a medicine of energy. Tran Viet Dzung. especially in the Da Cheng ("Art and Practice of Acupuncture").. whom I recently met this spring in Connecticut. Dr.and he hasn't slept since. You know that the San Jiao is something extremely important.

Once it has arrived at the Spleen. I'm going to present several ideas: I'm going to talk about the formation of Ying energy. metabolism of blood. which doesn't mean anything. and if you really want to use the term in a western way. energy of the grains. energy.> The Lungs are the child of the Spleen. And the three 'burners' together make the San Jiao. <Here is >the food. As you know. This energy which is produced from the cereals--where does it go? It goes to the Spleen. they both have the same energetic level: the Spleen is the Tai Yin of the foot. energy of the Earth. and metabolism of organic liquid. when you talk about 'triple heater' it has an idea of heat. <Here is the Spleen. I'm going to also talk about Wei energy. I'm going to talk about the formation of Jing energy. we have the habit of calling it the 'triple heater'. it comes into the digestive tube and reaches the fundus.You've noticed that I've been using the word 'San Jiao'.> This is the anatomy described in western medical terminology. and the food comes from cereals. which we could regard as Ancestral energy. In other words. which is very important here in the United States because it concerns allergy a lot. Today we're going to speak about energy. or Yang. First. 'Jiao' means 'metabolism'. As you know it's also called Nutritive. but you should understand that that is a term which has been badly translated. which you know is the energetic quintessence. which in western medicine we call calories. So the energy of the cereals which reaches the Spleen reaches the Lungs. 'San ' means 'three'. [I'm] going to continue to use that term. Also the energy of the Spleen and the Lungs together is Tai Yin. <This is the Stomach: the cardia. Because for us this word means nothing. And then to conclude everything. the Spleen send this energy to the Lungs. You've never heard me speak of the 'Triple Heater'. it would be better to call it 'triple metabolism'. cereals come from the earth. the function of the San Jiao is the function of the division into three metabolisms. Why? Because the Spleen and the Lung are in a mother-son relationship [Earth creates Metal]. reaches the Lungs. and the pylorus is the lower Jiao. and the Lungs are the Tai Yin of the hand. This gives off an energy. whether it is in Europe or in the States. You know that man is between Heaven and Earth. in Chinese Medicine the cardia is the upper Jiao. We prefer to use the term San Jiao. for the reasons I described earlier. So this energy of the cereals goes to the Spleen. And then I'm going to talk of the energy Tong Qi. what arises is a phenomenon of metabolism. Why? Because all the ideas about the San Jiao show that it is concerned with the metabolism of water. or if you prefer. it's the defensive energy of the body. here are the Lungs. When it reaches the fundus. I'm going to explain how to treat by using the San Jiao. the Lungs have two roles: the first role is the absorption 21 . We're only alive because of the food we eat and the air we breathe. as a result of this metabolism. the fundus is the middle Jiao. but which we call the energy of the cereals. the fundus. These three metabolisms are: metabolism of energy. Ying energy. Why to the Spleen? Because you know that the Spleen and Stomach are the YinYang system. and the pylorus. because it comes from food. When this energy of the cereals. And since in the west. or nourishing.

then into the Large Intestine. not hypoactive. Van Nghi this morning told you that as far as the bowels are concerned. That is. Nutritive energy. Yin and Yang meet. in other words. for example. then Stomach (following the cycle of Ying energy which we just talked about). you have to tonify the Lung energy-. what does the Lung have to rule the nose? What energy? It's not the Ying energy. then it goes into a channel. the Ying energy is formed. Jing which is formed in the Lungs as a result of the metabolism of Ying energy. Ying energy arrives and then leaves. This is following the cycle known as the circadian cycle of 24 hours.--> This is the circulation of the Ying energy. Bladder. which is Lu-1.. then into the Spleen organ. etc. It is this Jing of the Lungs which governs the nose. you will see that they always teach you first about the channel of the Lungs. First it goes to the organ of the Lungs. and it reaches the Kidneys. That's roughly what you need to know about the formation and circulation of Ying energy. energy which is transformed into an even more pure form known as Jing. <--illus. This energy goes to the superior part of the thorax. that is. when you have a problem in the skin. Gall Bladder. then it reaches the Pericardium.but the Jing energy of the Lung. You know that Dr. it's Jing. in any country. 5 to 7 in the Large Intestine. This is the circulation of the Ying energy. When. Large Intestine. that the energy circulates in the Lungs from 3 to 5 am.. Jing of the Lungs. This is why--open any book of acupuncture. always finishing by the Liver. Then it goes into the Lung channel. and returns to the Lungs from 3 to 5 am once more. And it is this Jing of the Lungs which goes to govern the skin and the body hair. what is its role? It is to metabolize the Ying energy into Jing. when it's functioning normally. You may have heard several times that the Lung rules the nose. etc. oxygen. Ying energy circulates in the principal meridians and it then goes into the organs. Stomach.> The energy of the sky is Yang. whereas the energy of the Earth is Yin. What is it about the Lung. 22 . etc. as far as the Liver channel. Because what happens in the organs is a phenomenon of metabolism-metabolism of what? There is metabolism of Ying. <This is oxygen from celestial energy. in the Lungs. that is Nutritive. when it arrives in the Lung. at which point it returns to the Lung.of the Earth energy coming from the Spleen. then it reaches one of the bowels. the Ying energy arrives in the Lung organ. and emerges at the point which you all know. they form a function of transit. into an organ. It's Nutritive Energy. We're now going to discuss Jing energy. or the sky. As I said. Spleen. and the other role is the absorption of the Celestial energy coming from the heavens. and terminates at the Liver. But what is extremely important is what happens in the organs. in other words. This is in agreement with the circadian cycle of Ying energy. This means that when you have a problem with your sense of smell. if the Lung is in a period of normal activity. then into the Heart--we're continuing according to the circulation of the Ying energy--then into Small Intestine. and then it comes back into the meridians. then the San Jiao. and then this pathway. and it is this Jing of the Lungs which allows us to have a sense of smell.

and it reaches the Kidney organ. And it's the Jing of the Spleen which rules the dermis (don't forget that the Jing of the Lungs rules the epidermis). the Jing of the Heart. And it's the Jing of the Heart which rules the blood vessels. but you will also help to put the disease into reverse. because these are bowels not organs. eyesight: for example when someone comes to you with the problem like a cataract. So often it is very hard to treat these patients. past the Bladder. and speech. is transformed and metabolized into Jing. On the medial branch you have all the shu points of all the different organs on the back.So the Ying energy arrives at the Lungs. This is why you have to treat the Jing of the Spleen--not the Ying of the Spleen. transformed into Kidney Jing. you know that all cataracts are often operated on. if they haven't reached the point where they absolutely have to be operated on. That is why you often have patients who come to see you with problems of anosmia. which we call the Jing of the Spleen . the tongue. but you know that cataracts. and how the Jing rules the different systems. The Ying energy arrives at the Heart organ. the marrow. which governs the bones. and the sense of taste. and it is the Jing of the Liver which governs the neuromuscular system. So now you know a little about how Ying energy is turned into Jing energy. it governs these functions. and then it continues: it passes by the Stomach. This is why often you have patients who come with speech problems. and on 23 . The Heart is an organ. Where do we treat this Jing? <Here is the Bladder channel of Tai Yang. and arrives at the Liver: once again there is a transformation. and arrives at the Spleen. but for the moment we're just talking about physiology. it's the Jing of the Liver which rules the eyes. here again you have to treat the Jing of the Heart. if you really want the result to last. And it's the Jing of the Kidneys which governs the ears and hearing. This is why if you have a problem of deafness you have to treat the Jing of the Kidneys. into a more pure substance. The Ying energy continues. which is an organ. and the Gall Bladder. it governs the lips. which means they are unable to smell different odors. in the Kidney organ there is metabolism of the Ying energy. you can get excellent results with acupuncture. and it goes past the Small Intestine. So the Ying energy continues and it passes by the San Jiao. a problem with vision. vision. I'm going to tell you how to do these treatments. You will not only help the patients avoid surgical intervention. and the brain. We're going to continue. its function is to metabolize the Ying energy into Jing. and it's the Jing of the Liver which enables us to see. The Pericardium is the same as the Heart. Again. Since it's an organ it's going to metabolize the Ying. into Jing of the Liver. but often there are patients who come to see us with both a loss of the sense of smell and loss of the sense of taste. So when you have an eye problem. But if you don't even know where to treat them you are never going to be able to completely cure them.> You know that the Bladder channel has two branches: a medial branch and a lateral branch.

if you want to make it grow and spread. non-material part of Jing. they very rarely use the word Shen. we cannot get results. rigorous or strict in the way that we learn the words. the point of concentration of the Kidney Jing is on the same horizontal line as the back shu point of the Kidneys (which is Bl-23): Bl-52. you have a lot of deficiencies. That is why we are very strict about the terminology. So now I'm going to talk about the immaterial. and he has always said this to me: if you want to develop acupuncture. because in the West. We continue some more and we reach the Jing of the Kidneys: and as you know. Take the example of the term 'Shen': ask any Vietnamese. and to help the advancement of this science. you have a lot of diseases such as diabetes. or cure these types of illnesses. Bl-49. We will continue with the Spleen: you know that the back shu point of the Spleen is Bl-20. and if we don't use them correctly. Chinese or Asian person. this is where you have to work. This is very important. and you know that acupuncture can help these. But what I've been describing is the material Jing. etc. So that when you want to treat the Jing of the Lungs. which means 'the quintessence of Shen'.the lateral branch you have the points of concentration of the different types of Jing I am describing. Van Nghi for at least fifteen years and you know that he can share his knowledge with you--his mission is to develop oriental medicine. the Jing which governs the different parts of the body: the epidermis. the dermis. in chinese they say 'Jing-shen'. you might say 'shen'. Because if we employ words which are not accurate. This is another term we don't like very much. For example. every single word has a deep meaning. because man does not only consist of anatomy. In the case of the Liver. especially here in the States. but on the lateral branch: Bl-44. we may end up making errors. on the same horizontal line. we were talking about the Jing of the Lungs. Each time that you want to treat the Jing of an organ you have to treat at these points which are on the lateral branch of the Bladder. You know that on the medial branch of the Bladder there is a point Bl-13. You have to treat the Jing. obesity. we are not going to learn anything. We come to the Jing of the Heart: where do we treat it? The back shu point of the Heart is Bl-15. which is the shu point of the Lung. And I'm still talking about Jing. So when we speak about Shen we're talking about the quintessence--this is why I'm going to talk about 'Jing-Shen'. And if there are errors in comprehension we cannot help our patients. laterally. But there is also a non-material part: you know that when you talk about the mental. the back shu point is Bl-18. But we're not finished yet. I've been working with Dr. they say 'Chen' in Vietnamese. but we also have a non-material 24 . which is Bl-42. And a medical science where there are no results is a science that has no future. and the point for treating the Jing of the Liver is Bl-47. I've been talking to you about Jing. Because in Chinese Medicine. you have to be very strict in the way that you learn things. and the point of concentration of Heart Jing is on the same horizontal line as Bl-15. you have the point which is correspondent to the Jing of the Lungs. on the same horizontal line but on the lateral branch [is the point of concentration of the Spleen Jing].

they say too much fear injures the Kidneys. But if there is a dysharmony. In the Kidneys is the Zhi. How can we understand this? <Here is the law of the Five Phases. the Will. I would now like to present an idea which is not known very well by many doctors of acupuncture--you've often heard the saying that too much anger injures the Liver. which means that the Spleen conserves the Yi. this is when we feel--what are we going to feel? If I walked up to you and gave you a kick in the 25 . the Lungs and the Kidney. Among the immaterial parts of the Jing of the Kidneys is the Will. which you can translate by 'Thought' or 'Reflection'. Example: here is the Liver. which we call 'Po'. whether it's the Hun or the Shen or the Yi or the Po or the Zhi. which we call 'Yi'. What is the Po? It's the sensitive soul. which we call the 'Hun'. the Hun in the west can be translated as 'soul'. we will have the JingShen of the Liver. in the Liver it's the same procedure. therefore it conserves the thoughts and reflections. <This is Shen. What is immaterial? This means that the Ying energy is going to transform into a Jing-shen. and transformation into Jing. The vegetative soul is creative. mental and psychosomatic diseases. So when you want to increase willpower you have to tonify the Kidneys. which we don't feel--why don't we feel them? Because there is a harmony between these different categories of psychic or mental activity within us.part. the Jing-Shen of the organs. Here is the Liver. the Hun of an architect is more developed than ours because he has a creative mind. the 'vegetative soul'. in the Spleen there's the Yi. But in the normal physiological state--as I speak to you and you answer me--we are not aware of all these elements. according to the Po which is contained in your Lungs. which means that when you're faced with an occurrence you may be more or less sensitive than another person. and in the Kidneys the immaterial Jing we call 'Zhi'. All of these are the quintessence of immaterial energy which is contained in the organs. the Liver keeps or conserves the Hun. in other words.> The Shen is the mental (Heart). and that too much joy injures the Heart.> I have told you that in each organ there is metabolism of Ying energy. These are all things which exist in the normal state of our bodies. which we call 'Shen'. because everything is in harmony. the Spleen. but it can also be immaterial. are normal feelings which exist in our organism. I told you that in the Liver. This is not correct. in the Lungs there is conservation of the Po. at the Spleen there is material Jing of the Spleen but also immaterial Jing of the Spleen. We only recognize them when there is a pathological phenomenon. the Heart. Everything I've just told you. which means the possibility of creation'. So important that everywhere we go now people talk only of psychological. they say that too much thought injures the Spleen. and we see that this Jing can be material. In other words. which is extremely important. they say too much grief or sadness injures the Lungs. in our body. in the Heart it's the same: there is transformation into immaterial Jing. which is specific to each organ: in the Lungs there will be the immaterial Jing of the Lungs.

but if they got stuck in a traffic jam on the way to your office they'll arrive in a state of anger. and the Spleen. extreme fear. for whatever. and tears. but excessive joy. this is Water. You will find patients who are always sad and are always complaining. sadness. I already explained to you that the Liver is associated with anger. regarded from the oriental medical perspective. And it's the same for the Yi. paranoia even. So why did I say seven? Because there is complaining or lamentation. or fear. You know that Wood controls or inhibits Earth. that is when you disturb the thought and reflection. you will have emotion. joy. If I want to diminish the anger I have to increase Metal. and all of this is because you are disturbing the Shen. you would feel angry. When you disturb the normal physiological element. thought and reflection--when you disturb the Yi. With the use of one single point you can treat their anger. and Metal is the voice--so they complain all the time. Here is the law of Five Phases: the Liver. Here is the principal channel. you will have sadness.shins. the Will. When this Zhi is disturbed you get fear. Spleen. and fear. It's because I disturbed this person's Hun that there is anger. And this would provoke anger. The Nei Ching talks about the cycle of inhibition. Hun is physiological. But it's not because there's too much anger that it damages the Liver. For example. what about your sadness or fear?' And they'll say. Anger is an abnormal feeling corresponding to Wood. Earth inhibits Water. this is Metal. And the reason there is anger is because we have disturbed the Hun. Does everybody grasp the nuance there? Anger is pathological . if they come presenting one of these emotions--joy. because Metal destroys Wood. and the Lung sadness. these are five. if I want to treat anger. In other words they are patients who are afraid and they cry all the time. <This is the Zhi.> The Will is a normal physiological component of our organism. Lung and Kidney. These are what we call the seven psychological entities: anger. 'well. this is Earth. here is the law of inhibition: you know that this is Wood. Water inhibits Fire. what are you going to do? I would disturb your Hun. anxiety. Fire inhibits Metal. And tears. So for whatever reason they're coming to see you. But the Liver is not going to be hurt by anger. or whatever--you can treat them with one single point. Occasionally you have patients who come to see you in your office. This a problem of Jing-Shen. 'it's completely disappeared'. according to the law of inhibition (Ko cycle). So I have to find a point corresponding to Metal. and the Kidney. joy. you will have joy. Why? because Lungs correspond to Metal. To treat it: in the Nei Ching they say that you have to use the laws of the Five Phases (Wu Xing). This [the Lung] is the same. And that's why they are described as the seven psychological elements. and Metal inhibits Wood. what do you have? You have worry and anguish. worry or anxiety. this is Fire. which also corresponds to Wood and 26 . fear. Heart. You will have problems with patients who laugh without knowing why. I gave you the example of anger. and the Heart. worry. the Po. Same here: when the Shen is disturbed. and then at the end of the treatment you can ask them.

between Water and Fire. But you have to be careful: what I've just told you here are little techniques. Jing-river and Ho: Wood. Fire. So I'm going to use a point found on the Liver principal channel. which point? I explained that when you treat anxiety it's Earth. I took the example earlier of somebody who comes to your office who is late. and next time I come you'll be able to tell me your results. Because it's the Yung point. the Yu point to Earth. which point would you puncture? Water--the Ho point. Why? Because Sp-1 corresponds to Wood. Taking the example of anxiety or worry. which is Fire. many times on our patients. I'm going to treat anger. we tonify the Earth to control the Water. we have to develop this reasoning a little further and treat the Shao Yin axis: the Kidneys and Heart. Yu. you would puncture Li-4 in order to diminish this anger so that you can get on with your regular treatment. Because it is frequrently a problem of the separation of the Heart and Kidneys. But everything I've just described to you is excellent for treating minor psychological disturbances. but excessive joy is a bit too much. and the Jing-river point of the Liver channel is Li-4. Yung. she comes to see you very excited and angry because she is late. the Jing-river point to Metal. So we're going to try to diminish it somewhat. because Ki-3 corresponds to Earth. serious problems of psychological disturbance. We're going to take the example of the Liver. Another example: sadness. why? because they were stuck in a traffic jam. So in order to bring down a person's anger I would needle Li-4. and on this Liver channel I have to treat a point corresponding to Metal. the Spleen. He-3. Fear: which point? Ki-3. And Fire controls Metal. Joy is very nice. Earth. and Wood controls Earth. not just 'blah-blah-blah'. and Metal controls Wood. the fear. Sp-1. 27 . Yung point. Because we have used these techniques many. So which point will I choose? The Jing-river point. How should we do this? What point would you puncture? <Here is the principal channel of the Heart: here is the Jingwell point. separation between the Will power and the Mental. But in real.> To diminish joy. I have to treat a point on the Liver channel. Jing-river and Ho points. Which point on the Spleen? The Jing-well point. Here is the principal channel of the Liver. And you have to do the deepest type of treatment. I've just explained. So you have to choose a point on the Spleen channel. Metal and Water. Everything I've just told you is not just theory. Try it. since that is the one that corresponds to Metal. such as those you find very frequently in the west. And you know that from <here to here> are the Su-Antique points: the Jing-well. to treat minor psychological disturbances. the Yung point corresponds to Fire. What point? Lu-10. such as nervous breakdown and depression. You know that the principal channel of the Liver is Yin. and the Ho point to Water. The Jing-well point of a Yin channel corresponds to Wood. Yu.

and production or giving off of the energy of the cereals or the grains (Ge Qi). or defensive energy. here is the pylorus. and here is liquid. here is the fundus.> and that is what we refer to as decantation. which goes to the Lungs. there is material and liquid. at this point there is a separation into material and liquid. where does it go? It goes to the pylorus <Here is the pylorus>. 28 . in another words Jing-Shen. And at the same time as this second decantation there is the first purification. because it's the second decantation.> Why does it go to the Kidney? Because there are mesentery vessels which join the digestive tract to the Kidneys: it is called the mesentery system. Now we're going to talk about Wei energy. So at this level [the pylorus] there is the first decantation. at this point there is already the liquid part. feces. I was talking about Ying energy. the pure part goes to the Kidneys. Where does it go? It goes to the Small Intestine: you have the pylorus [1st decantation] and the Small Intestine [2nd decantation]. of the liquid portion]. And at the same time as the third decantation there is a second purification [ie. and here there is the phenomenon of metabolism. and here something happens which is called a phenomenon of decantation. 17 September afternoon session Now we're going to attack something of great importance. which is celestial energy. What remains from the metabolisation of food. <This> is the cardia. the separation of the material and liquid for the first time. Where does the pure part go? It goes to the Kidneys. and here in the Large Intestine there is a third decantation: here there is the impure part which has come from the Small Intestine. which is again going to be separated into pure and impure. <Here is the Kidney. <Here is the material. But what remains here from food metabolism. Formation of Wei energy [in English!]: Are you ready? Let's go! <This> is the Stomach.>. I'm first going to talk to you about the formation of Wei energy. the Upper Jiao. and the impure part which results from the second purification rejoins the material part which remains here and is eliminated by the anus as stool. where it combines with the energy of the air (Da Qi). the same phenomenon: <Here is the Small Intestine> you have material element on one side and liquid on the other. following the mesenteric system. and then I'm going to talk to you about the circulation of Wei energy. the terrestrial energy. Wei energy. which as you know is an energy of defense. and Lower Jiao. of the liquid part: so there is a purer part of the liquid and an impure part.Saturday. Middle Jiao. And the impure part goes to the Large Intestine <Here is the Large Intestine. and I talked about Jing: material Jing and immaterial Jing. At the Small Intestine. But here you have more liquid than material. Where does the pure part go? Again. I told you a moment ago that food arrives at the fundus. and it forms Ying energy.

which is the Wei Qi. and since the Liver corresponds to the color green. because the Kidneys and Bladder form a Yin-Yang system [of Water]. Once the bile has been formed. This is why western medical doctors frequently prescribe bile pills to treat constipation. at the Liver] it's a vapor. as Dr. the third decantation. the third purification: the pure part goes to the Liver <this is the Liver>. This is why we call Wei Qi the defensive energy. with the aim of preventing constipation. and let's go through what is impure. because the Gall Bladder is the son of the Bladder. So the pure part goes to the Liver. Why is it volatile and mobile? So that it can reach all the areas of the body quickly to defend the organism against external attacks or agression. At the Liver there is the fifth purification. and you heat it in one area [ie. volatile. and at the end you obtain a product which is volatile. from the impure part coming from the Liver. and is eliminated in the stool. and the impure part is eliminated as urine. Van Nghi told you this morning. at the Bladder there is a fourth purification: the pure part goes to the Gall Bladder. At the Kidney. because it keeps what is pure. the second decantation. And the energetic physiology of oriental medicine gives the reason why. The impure part goes to the Bladder.> The Kidney is the mother of the Liver. of the Small and Large Intestines. where does the pure part go? When you prepare a medicine you make it go through several levels of tubing. third stage of purification [at the Kidneys]. second stage of purification [at the Large Intestine]. process of distillation]. That's what happens here in the Liver. the active principle. But they don't know why. Why does it go to the Liver? Because the Liver is the son of the Kidney. At the Liver there is a fifth purification: the impure elements go to the Gall Bladder and associate with the pure part coming from the Bladder. to humidify or moisten the intestinal mucosa. but the pure part is given off in the form of a vapor. This is why Wei energy is a very mobile energy: it's mobile because it's volatile. you often see that bile is green. forming bile. This is why at the Bladder there is a separation between what is pure and what is impure. in the Large Intestine we have the second purification. as I said: the impure part goes to the Gall Bladder. where does it go? It rejoins the digestive tract at the Small Intestine. via the choliduct. and the pure part coming from the Bladder. which is very volatile: these are the phases of distillation. the one who guards the frontier. but the purification goes on. fifth stage of purification [at the Liver]: it's exactly the same as if you were preparing a medicine: when it arrives at that point [ie. every time that you learn about the Liver they tell you it's a 29 . The impure part goes to the Gall Bladder.That's it for decantations: the first decantation. It's the last stage of separation into pure and impure. And since Wei energy is formed in the Liver. and fourth stage [at the Bladder]. <Here is the Kidney. here is the Liver. the pure part goes to the Kidneys and the impure part follows the rest of the material part. That's why when you read in the ancient texts about the Bladder they always say that the Bladder is the 'customs official'. In the human organism you have the first stage of purification [at the Small Intestine]. it's vaporized. In the Small Intestine we have the first purification.

whereas in Chinese Medicine they know it is because that is where the Wei Qi is formed. Then it goes up to Sp-6. That's roughly what you need to know in regards to Wei Qi. I've just told you about the formation of Wei energy. and then it reaches the Yin areas. Wei. has a circulation which looks like this. But now that you know the different stages of the formation of the Wei energy. why wouldn't you stimulate at each stage of the formation of Wei Qi--that is to say. here is the Liver. Liver. Li-1. and arrives at the eye: <here is an eye> to be precise. once it arrives at GB-1. The circulation of Wei energy is completely different: it follows a day-night cycle. Large Intestine. 30 . in other words. crossing the neck and face. So you see that the circulation of Wei energy is a circulation according to night and day--different from the cycle of Ying energy. as soon as you begin the movement of your eyelids. Bladder. Yang Ming> so the Wei energy. lateral. It's like a general who leads his troops into combat. and there it stays during the night. and even in western medicine they say about the Liver that it has the role of the defense of the organism. for example. energy is formed. and the area of the Shao Yang. and they give you points to use. and below we have the area of Yang Ming. Ki-1. Kidney. from Li-14 it ascend towards the upper areas. and that's why the Liver is called a general. it arrives at the point GB-1. the Shao Yang.g. during the day the cycle recommences. blinking. it reaches the whole of the Yang area of the body.General. Let's think about the area of GB-1: here is the area of Tai Yang. Now we're going to talk about the circulation of Wei energy. and here is the Wei energy> it follows the Liver channel and arrives at Li-14. That is how Wei energy circulates during the day. the posterior parts. they often say that you have to treat the Lower Jiao. arrives at the Liver. it then follows the principal channel of the Liver <and here is the principal channel of the Liver> and penetrates into the Liver. But western medicine only makes that statement. when we talk about Wei energy. following a twenty-four hour cycle. to treat the lower Jiao in order to augment the energetic potential of the Wei energy. Sp-1. stimulate at the level of the Small Intestine. because that is where the defensive. which is a circadian cycle of 24 hours. it doesn't explain why that is. in other words at the level of the Shao Yang. the Wei energy which is being produced.: CV-5. During the night the Wei energy concentrates itself at the Jing-well point of the Yin meridians. <here is the Tai Yang. GB-1 is at the level of the Shao Yang. and if you want to have broader action than this. I told you a while ago that Ying energy goes to the Lung. In the morning when you get up. etc. you immediately begin to make the Wei energy circulate. Stomach. I would like to draw your attention to this: up 'til now. Iwill explain: <here is the vapor which is given off. the circadian cycle. and starts the cycle all over again at the Lung. Large Intestine. and it immediately answers and goes to the Yang areas of the body. this is GB-1.. e.

in the earlier times. which is moving. The chinese colleagues in Shanghai translate this term 'Dong Qi' as 'the energy of the thorax'. now there is a movement going 31 . why? It is as the result of the up-and-down movement of the diaphragm that the energy of Yang Ming can descend and the Tai Yin can ascend. combine. 'Qi' is 'energy'. In order to understand Dong Qi we have to understand energetic embryology. We're going to digress for just a moment to discuss energetic embryology now: when there is copulation between male and female. Since there is movement. here. The upper Jiao is where the Dong Qi exists. at the level of the cardia. and you will tell me of course that I haven't yet spoken of the Upper Jiao: we're going to talk about it now. which is none other. the fundus. This center. why he uses that term.I've spoken about Ying Qi. So the diaphragm: the first point is that the formation is very important. Wei. And the lateral mass which is formed from the concentration of energy. which form a type of umbrella. which had to be moving. 'Dong' could be translated as 'innate' or 'hereditary'. we talked about the Lower Jiao. Yang and Yin join. I will explain to you in a minute why. Are there any gynecologists or obstetricians here? Is there anyone here who has done lots of births? Is there anyone here who has done a lot of deliberate abortions? Has anyone done curettage here? But: if you do a curettage--in other words. is at the level of the cardia. at the cardia. there is yin and yang. in fact. still moving. First there is the formation of two lateral masses. There is a type of center. or this concentration. Jing. 'thoracic Qi'. moves up and down. from this area. but not completely accurate. Therefore the movement of the diaphragm is an innate or hereditary movement. <here is the cardia. and the pylorus. so they don't examine the product which is taken from the uterus). Doctor Van Nghi preferes to translate this term by 'creative energy'. which is constantly moving. From this movement you try to imagine the phenomenon of creation. so they were told always to look for this small core. is also a meeting point of the blood. and from here immediately you have a movement. This is why the point Bl-17. That's why this morning when we talked about Bl-17 we told you it was the shu point of the diaphragm and we said it was a reunion point for blood. and if there was no movement that meant that the abortion was incomplete and there was still a pregnancy. and we will understand that in a moment. than the diaphragm. so there is procreation and transformation. they always used to examine what was removed. if you translate. or 'ancestral'. of transformation of the movement. and it results from this descending of Yang Ming and ascending of Tai Yin that there is the formation of blood. if you cause an abortion on a woman who is pregnant approximately 28 to 21 days (now they use aspiration. such as the time of Doctor Van Nghi. So first we have the lateral movements from the concentration of the Dong Qi. The Dong Qi is found at this level. Coming from this movement there are lateral movements: try to imagine this small concentration which is still beating. because there is yin and yang there is constant movement. mutation or change. a core.> We spoke about the Middle Jiao. it is only part. This is accurate. which commands the movement of the diaphragm.

this is already very important. we noticed that there were not. they all talk about three points: the three mu points of the San Jiao. We're going to try now to understand why. only when both organs are attacked [do you use the mu point for that Jiao]. which Dr. and the lower Jiao governs the Liver and the Kidneys. The Art and Practice of Acupuncture. because if only the Lungs are being attacked then you only use Lung points. and the term 'creative energy'. which was translated by our Chinese colleagues in Shanghai. the neuromuscular system is formed. That means that everything I told you earlier about the formation of the Ying Qi. now we're going to talk about treatment. So. secondly. you can see how. they say that the mu point of the upper Jiao is CV-17. the middle Jiao governs the Spleen and Stomach. simply refers to the fact that from Dong Qi. But in 1982. When you talk about treatment. So. and. And this is the Dong Qi. I would also like to point out that the upper Jiao. because 'thoracic' really only applies to this part. Van Nghi put out the book. and once the Kidneys have been formed. three mu points of the San Jiao. and again. when Dr. you have the formation of all the elements which I've just described. therefore. which forms the center of the Middle Jiao. and you talk about the San Jiao. forming the Heart and its cardiac movement. then you would use the point of the upper Jiao. and it's the same for the middle Jiao and. There is also a movement downwards to form the Kidneys. all the rest is created. I told you it was correct but it wasn't enough. and of the lower Jiao is CV-5. a cardiopulmonary condition. There is a movement ascending to the Heart. which we just discussed. where both organs are involved. to recap: first there is lateral movement. Normally to treat the upper Jiao--you should only treat the upper Jiao when both of the two organs are being attacked. So let's go back to this: you know that all the organs and bowels have only one mu point but you see that the San Jiao has three mu points. again. cannot exist without this point of concentration. why? To form the Lungs and their respiratory movement.downwards. this means that from this point of Dong Qi there is movement which forms another point of concentration in the lower Jiao. Then there is movement towards the Lower Jiao. for the lower Jiao. for example. thirdly. 'thoracic energy'. Coming back to this term. starting with Dong Qi. governs the Lungs and the Heart. if it's only the Heart you use Heart points--but when you have. There is also a movement downwards to form the Liver. once the Liver has been formed. there is the formation of the osteomedullary system. there is movement upward. the ancestral or hereditary energy. So now I've talked to you about the different types of energy. in fact. We noticed that when we translated 32 . as you know. but it doesn't include all this other part.. which is a translation of commentary on the Da Cheng. movement downward. of the middle Jiao is CV-12. and thanks to that there is the formation of Wei Qi. ther are seven mu points for the San Jiao. etc. Van Nghi prefers.

to help with the creation. and here there is CV-6. So therefore CV-5 can also be a mu point of the lower Jiao. the rice field. So we've already got four [mu] points [for the San Jiao]. we first have to know the name of the point. and we have to understand the idea that we talked about this morning. This is why the Dantien region is extremely important in women. When I talked about Wei Qi a moment ago. in order to be fertile. At this level it's considered to be the Dantien. so this point represents the sun. when you go to asian countries you frequently see statues of the Buddha.and did the commentary on this book. and he said the following: "I agree with this point [CV-17]. because it is a sacred region. therefore the lower Jiao really is the metabolism of Water. I talked about the lower Jiao. 'chiao' means 'reunion' or 'meeting'. for Pienn Tsio. sunshine. And the point Yinchiao. and 'men' is 'gate': 'Gate of Stone'. And bones are what? they are the Kidney. of the Dantien. But for the modern [choice]. 'Sea of Energy'. between CV-2 and CV-8 you can divide [this area] into three parts. this corresponds to this part. this is because he is hiding this region." Why not? The reasons that the doctor gave were: he said that the mu point of the lower Jiao was not CV-5 but CV-7. and also this point [CV-12]. he lived 200 years before Christ. of course. CV-4 is the front mu point of the Small Intestine. 33 . And you know that the lower Jiao is the Kidney. and you see the Buddha putting his hand in this position. 'Shih' means 'stone'. which means 'the reunion. and you see them always full of water. is a point which helps procreation. because the Kidney governs the bones.> At this level you have CV-2. which is <here>. for this doctor was a Water point which governed the lower Jiao. This is why. they're also correct about it. and it's a wonderful point to treat for sterility. We'll consider that all in a moment. but I don't agree about that point [CV-5]. <here is CV-4. Because the uterus. Energy is Yang. So in the lower Jiao you have: CV-5 and CV-7. the point CV-5. his name was Pienn Tsio. of liquids'. we learned about the famous doctor of ancient times in China. has to be moistened or humidified. and the umbilicus. Why? To understand that. because it leads water to the uterus. And the point CV-7. We're now going to talk about CV-7: it's called Yinchiao: 'yin' means 'liquid'. for the rice to grow there has to be sun. To help the water at those points. the Da Cheng. CV-7 is a point which commands or rules the lower Jiao. to the point where. we talked about this morning. And what is stone? It is bones. <Here is the pubis. here is CV-6> between CV-2 and CV-4 you have CV-3. you saw that from the pylorus right up until the final phase of the formation of Wei Qi you only see water. which is 'Qihai'. and the Small Intestine and Bladder together constitute the Tai Yang: Tai Yang equals Water. And you will see. and it is an area of procreation for the reasons which I described. or meeting. Now at the level of CV-3. Yinchiao. 'meeting point of liquids. we know that it's the front mu point of the Bladder. when you travel in asian countries you see that there are many rice fields. Why? Because it's called 'Shihmen'. Yang is heat.

CV-12.The following generations of doctors said that they agreed about CV-17. St-39 which corresponds to the Small Intestine. of the middle Jiao. but not about CV-12. In the Stomach there are points which govern or command the centers: the center of the upper Jiao. The point which commands the center of the upper Jiao is CV-13. and CV-5 and CV-7. it's the point which you use to treat hiatus hernia. to treat stomach ulcers. So you could use both St-25 and CV-12 equally well. and of the lower Jiao. I haven't had a lot of time. And to respond to all of these seven points of the San Jiao. finally. you have the back shu point of the San Jiao. as far as they were concerned. CV-13. and not three. CV-10 and St-25. CV-5. about the San Jiao. So now we've got five points. CV-12 could also be the front mu point of the middle Jiao. because. CV-7. Thank you. I hope that you've understood. but similarly for the moderns as for the ancients. and I've tried to do a synthesis. Thank you. the point for them which governed the middle Jiao was St-25. and Bl-39 which corresponds to San Jiao. we have: <count them> CV-17. There are three points: ST-37 which corresponds to Large Intestine. So. pretty much. And you see that Stomach and Large Intestine form the Yang Ming. which can be used to treat duodenal ulcers. And the point of the lower Jiao is CV-10. And that's what I wanted to say. so when you want to act on this point you need to use moxibustion. So: seven mu points of the San Jiao. St-25 is the front mu point of the Large Intestine. And for the middle Jiao you have CV-12. which you use to treat certain pathologies but not specifically of the San Jiao. But that's another problem. Question: Can you tell us something about the point Bl-39? Answer: It's a special Ho point of the San Jiao. Why? Because CV-12 is also the front mu point of the Stomach. which is Bl-22. 34 .

But what is remarkable is that he can still move his arm quite freely. if a patient came presenting these signs of atrophy in these muscles. we would say that the patient had multiple sclerosis. the lefthand pulses are stronger. So we're talking about a chronic problem. The woman has more energy than a man. This morning I told you that in order to treat pain you have to look for the A Shi points. Why? Because often at the beginning. Here's one--the pain is deep. Now we know that in this part is the pulse of the Lung. the Japanese people are very small and American people are very tall. We can apply this theory to this patient. without having had an accident. The pulses are normal--he's had acupuncture treatment--since we're here. so we have to treat this point. this is why they say women have more energy than men. the French say. he has muscular laxity. in men. which is the area where the blood and energy arrive.Dr. Look: we are two human beings. so the woman only has energy. In the man. at the same time as having muscular atrophy. our president has asked us to relieve his pain and help his headaches. to get that scar? 11 years ago. This is proved by the Ren Mai and the Chong Mai: these come from the lower abdomen. the right pulses are stronger. these meridians originating in the Dan Tien ascend to the face. So we can tell that there are nerves which have been attacked. in other words the region back there we were talking about. which is already a considerable advantage. So its a point reserved for boxers: You've often seen on the television. But to come back to our patient. I'm looking for the most significant point--which is GB-21. once there's muscular atrophy. and if he did not have pain like now. It's a very important point. the atrophy can spread to other muscles and the patient cannot lift his arm. So now I'm looking for the painful points. So we have to puncture this point. Nguyen Van Nghi--clinique demonstration When did you have the accident. that we put it there out of politeness. In other words. this patient would be presenting with very serious signs and symptoms. and that's why he has a beard and moustache. and that the man has more blood than the woman. the Japanese aim for this point. so we would put the needle in obliquely and deeply. the right hand belongs to women. because in principle. Woman has no blood at the time of her menstrual period. but she loses blood every month. always not intending to go through the Lung. energy. 35 . in other words. and the Ren Mai and Chong Mai are at that time in a state of deficiency of blood and energy--which is why women do not have beards and moustaches. So if the patient had not had an accident. whereas the man has his energy and blood. And that the energy of the Lungs is the master of all the energy. and you can see that he has muscular atrophy. we'll talk generally about the pulses: in women. Remember I mentioned this morning that when puncturing this point you can easily cause lipothymia in the patient. and to tonify the points of the corresponding channel. and it's painful. and they box on TV.

<This is the skin. there is no perverse energy in the system. therefore this foreign body causes pain. There are about ten of these points. not [just] the occipital headaches. you have to not only tonify the principle channel. And if you don't know these points. because the Heart and the Small Intestine constitute a Yin-Yang energetic system. I have established that the points situated on the three Yang are painful. This is why the blood can no longer circulate properly towards the end of the arm. This is penetration of perverse energy. It can't go in these directions. So there is a blockage of blood here. For example: here is the Small Intestine channel. he has told us it's on the posterolateral portion of his arm. we have to disperse not only the pain. But if there is infiltration of perverse energy. here is the principle channel. how shall I treat him?--this whole area.Our patient has explained to us the path of the pain. which is the tonification point. you have to puncture it properly: this point is deep. but to puncture it. And the last Yang is the Yang Ming: which also has a point of tonification. in the case of this patient. tennis elbow. all the three Yang of the arm are under attack. you've turned into an acupuncturist who needles and doesn't understand anything. 36 . on the shoulder he has also indicated a point corresponding to the Small Intestine. so I will disperse these points. I also have to tonify it. I will puncture the painful points. and here there is a very important point: SI-10--and it hurts. Now. the perverse energy is still foreign in relation to our organism. In my opinion. Now we're going to talk about the case of this patient. and as a result the blood and energy are circulating normally. This is the case of a traumatic shock. which you have to learn by heart. and he's indicated a point which corresponds to the Small Intestine channel. The blood and energy can no longer nourish the muscles and tendons. So therefore you have to learn and understand the classification and the use of these points. and it goes down as far as LI-11. this causes muscular atrophy. but we also have to unblock this stagnation. LI-11. So now we have to unblock this. so I would puncture SI-3. the Shao Yang: the San Jiao has a tonification point at SJ-3.> Under normal circumstances. nerves and energetic vessels. And over the long term. What I am about to tell you is applicable in all cases of pain: lumbalgia. you have to push it in so that it touches He-8. In other words. and here we have the secondary meridians. which localizes itself at <this point>. and then tonify the corresponding principle meridians. And this morning I told you we have to use the xi-cleft points. And we know the name of the group of points and their function. After the Tai Yang. there have been no traumatic shocks. we can also find pain on the posteromedial part of the arm. all kinds of pain. This is why there is muscular hypotonia. There has been a rupture or break of the vessels at this level--there's been a break of the blood vessels. as we said this morning.

always opens the corresponding Curious Vessel. Sixth. Thirdly. which means that his skeletal or articulatory system at this level is disturbed. the Luo. the opening point of the Curious Vessels. if you've seen on American television. after having punctured the point of the principle meridians. --For example: in the case of this patient you have to tonify not only the muscles and tendons. and on the other hand. For example: now we're in Summer. because a good acupuncturist. You have to know these points in order to treat the afflictions of the marrow and brain.Now I'm going to give you the classification: First. and you will change my state. Fifth. and tonify it. This group of points is extremely important--it is the basis of all practice of Chinese Medicine. on the lower part of the body the marrow point is GB-39. Fourth. Ah Shi points. --this is a very important group. and bring me some heat. Now the Chinese are speaking about them. certain acupuncturists have said acupuncture treats pain. So the Shu and the Mu points treat the 37 . warm me up. my pulse is tight. If you know about this group you can vary the energetic potential of the human being. Bl-11 governs the whole skeletal system of Man. with these points I can manipulate so that my energy corresponds to the cosmic energy. the Mu points and the Shu points (Front-Mu and Back-Shu). he's already told us that this point is painful. but if you don't know about this technique. --both of these types of points are extremely important. you will puncture the point corresponding to Summer. so if we're in Summer. you're not going to succeed. because the wiry pulse is a pulse which corresponds to Springtime. So if I go to your office. you can look for a point and manipulate it. I'm shivering. so we have a point for marrow--on the arm this is SI16. And now I'll give you another example: Bl-11. which is located here. Second. the Wu Shu (the Five Su-Antique) points. we have a group of points called Hui points--the Reunion. but they still haven't demonstrated the certain way of practicing. and you will help Springtime become Summer--which means that the wiry pulse of Spring will change into a full pulse of Summer. in order to reinforce or activate further the points of the principle meridians. the wiry pulse is abnormal. I touched it a moment ago and it was painful. but also the marrow. it's abnormal. I'm the first person in the world to describe the action of these points. For example: if I'm cold. --you should know these. because you are cheating--because at the same time you are prescribing medicine. or Meeting points.

in the Nei Ching. within Yang there is Yin.D. we tonify. there is always Yin within Yang. that they can cure disease. in using moxa one can also use techniques of tonification and dispersion.D. Under normal circumstances. We always say 'Acupuncture and Moxibustion': Jin Jhiu. the Bladder channel represents Water and the Yang part of the organ is Fire. a living organ. The Mu point and the Shu point are the points with which we treat diseases of the organs and bowels. to be a good acupuncturist. There are acupuncturists and there are acupuncturists. in fact. This is why. this means that you have to use moxa. the spine. I'm going to give you an idea. and the channel of the Bladder. And this is very important. but they don't know how to treat them. can treat any affliction. acupuncture is Yang. there is an automatic autoregulation. Because. There are M. which means that acupuncture uses not only dispersion but also tonification. the word 'acupuncture' in Chinese Medicine does not exist. you must manipulate or activate the action. Yang means activity. A moment ago. if we have cardiac insufficiency. But of course. and moxibustion serves to tonify. for example: if I have a Liver which has too much Fire. moxibustion is Yin. If this is the Liver. there is a movement. without a penetration of perverse energy--for example. you have to understand the nuances in the terms used. The results depend on the knowledge of the doctor--exactly the same as in Western Medicine. The Fire part is also known as the Yang part. And now--where does the Yin part go? Most of it goes to the Yin of the anterior part of the body. As a result.'s. they say: you should never puncture the Back Shu points of the organs and bowels more than five times.organs and bowels. like Western Medicine. In my case. You introduce the heat of the moxa into an area where there is not enough Yang. <This is an organ. it has a function. the thoracoabdominal region. the point where the Fire of the organ meets the Water of the Bladder. <here is the back. we have to warm up this point. And this is why. We have to know why that is. This means that acupuncture is to disperse. You 38 . Since this is the first time we've met. so there's also always Yin and Yang. When there is deficiency in an organ. this Back Shu point will regulate this because it will bring in Water. It's not because everybody's an M.D. When there is a function. and Yang within Yin. So when you use needles. Therefore it's functioning. to show you how important acupuncture is. without movement. when there is hypofunction. This means that Chinese Medicine. The reunion point. And since here the Yang is lacking.'s and there are M. Shu simply means 'movement'. We acupuncturists have a very precise technique for dealing with these problems. there is never only Yang or only Yin. But the idea of Yin and Yang is much more complicated than that. is the Back Shu point. we have Bl-18 here. Whereas moxibustion is very calm--it just burns in one place. For us. in other words. and action is Yang. this is the Back Shu point of the Liver. I said that in the case of perverse energy I have to disperse. This Fire continually communicates with water at the level of the Bladder channel. or hepatic deficiency. or renal insufficiency-these are terms which are often used in Western Medicine.

there are other vessels which penetrate there. our president asked us another friendly question. we acupuncturists can treat any diseases of the organs and bowels. it is a Yang channel. it allows this penetration of perverse energy. If we call a channel Yin. And here. --Bl-39 is the Lower Ho point of the San Jiao. There is another group of points: the Jing points. and it's called the point of meeting and reunion. for example. but they haven't been able to show us the vessel which penetrates the lower jaw. In other words. it brings Water--if you don't understand the idea of Yin and Yang. This Water. Yin-Yang. when it is in abundance. --I translate this term by 'Meeting and Reunion points'. In the case of an acute illness. and Bl-39. it means that it travels in the Yin part of the body. all cases of edema of the lower limbs (but edema which originates in the organs and bowels. So therefore it's in your own interest to learn very carefully the Mu and Shu points. of which I already spoke to you. there is always hypofunction. What I mean is they don't understand WaterFire. The Chinese say that St-6 is a point which governs the lower jaw. In all. In other words at St-6. there are 198 of these meeting and reunion points. which is the Mu point. but in reality.know that in this area there are only Yin meridians that ascend. <this is Yin. there are only three points: St-37. it treats all instances of problems of the Bladder. 39 . it brings Yang into the Yin. but. Seventh: there are the Xi points. But it never comes in at the Back Shu point. and the Bladder channel. and the vessel penetrates deeply into the maxillary area to govern the gums. because there is also edema with its origin in the Central Nervous System). the San Jiao and Gall Bladder meet at this point. because the organ is in deficiency. all types of pathology. Points of Passage. and they're just experimenting. in reality. for example in the case of hepatitis. you disperse the perverse energy in the Liver by using Li-14--because Li-14 is the Front Mu point of the Liver. So the front is the part where the Yin meridians bring Fire. For example: there are no vessels which penetrate the jaw. You have to have a lot of patience to learn all of this group. because it travels in the Yang part of the body. So the Mu point is a point which allows penetration of perverse energy into the organ. ST-39. is automatically neutralized at the point of meeting of <this vessel and this vessel. Eighth: the lower Ho points. this means Water. and you know that the Yin meridians travel in the Yin areas of the body. Cold. A perverse energy enters at the Mu point to penetrate into the organ. when you're talking about points and meridians. how do you dare to do scientific experiments? That's why I've already said that all the scientific experiments of our time could be destroyed by me or you. this is why. This point is the meeting point of the San Jiao.

it was broken up into different treatments. it causes a lot of pain. I'm just touching the skin. This is SI-10. I'm tonifying. Now. so we won't puncture it. 40 . you need at least 180 degrees. all of the area from here down to his feet would have been paralyzed. it's not painful. I'm going to push it through right up to He-8. Now I'm touching GV-16. the pain ascends up the lateral part of the head. I'm touching Bl-10 now. But this pain is caused by trauma. has already done dispersion. especially in that part. and he says its painful. now I'm going through the skin. and these needles are presterilized. 'are these needles which claim to be sterilized--are they really sterilized?'--I doubt it. So I'm going to disperse Bl-10. I turn very slowly. Notice my technique of dispersion. you see the change of color at this point.I will use the same technique: I will disperse the painful points. Normally. Small Intestine. Here is LI-4. If I want to tonify. No. so we know that the problem is external. in other words in the skull or the neck. I've just gone through the skin. and if you put real silver in a sterilizer it will melt. So the fact that they say they are sterilized is just to calm the patient down. [however] it wasn't in a continuous fashion. and he says its painful. Here we're not talking exactly about the hemicrania. Now because of the AIDS problem needles have to be sterilized. I'm looking for the painful points. because I turn it slowly. I'll tell you why in just a moment. It's not painful. I'm tonifying the three Yin. which is GB-8. and here I'm going to tonify the San Jiao. I'm touching GV-14. because hemicrania often begins in anterior and goes posterior. It's at the angle formed by the fifth and the fourth metacarpal bones. San Jiao. you have to tonify LI-4. everytime there is a disease in the upper part of the body. and these Japanese needles are mixed with silver. because I've done a lot of sterilization of needles at the time of surgical operation. you would disperse with electrical apparatus. As he said. because you have to have a continuous dispersion. Dr. This is why I have to puncture a point to provide this induction. with this type of problem. and we can relieve the pain. because if it had really affected the marrow. I turn the needle very quickly. this point is found at the distal extremity. but we can't talk about hemicrania or cephalgia. look. Here there is a very important point. But now we're going to question. there is a theory. Our colleague. to reestablish the connection between the external areas. I'm touching GB-20. To treat this patient I have to have him lie down. as the marrow has not been affected. If you just begin to break the skin with the needle and you begin to turn it. you see the 'head' line of the hand. But it's very deep. and only now do I begin to turn the needle. this is about right. you will notice the skin changes color just here. it's not painful. Youcha. Watch how I puncture SI-3. exactly the same as the surgical instruments. that's why the results were not completely satisfactory. Now the disease is external. it's situated below the metacarpophalangeal joint. so I'm sedating it--dispersing it.

so I would use three circuits. And. because LI-4 and St-36 are important points of the Yang Ming. and I've regulated his body with energy of the sky and earth. are going to simplify everything: what does that mean--sky. It is located between the two bones. they are all Su-Antique points. which is the opening point of the Yang Wei. But. it takes too long. and it would have to remain in place for fifteen to twenty minutes. and the legs. which means that I also have to puncture GB-41. in America. And Man has to respond to both heaven and earth. I'm needling in the direction of GV-6. When you see that it's going very quickly. you would have to stay with the patient and continue to turn the needles-which is not possible. man's body is ill--I've punctured all the effective points. You have to have at least two painful points. Why have I said now that this acupuncture treatment is correct? You know that the hands belong to the sky. are Su-Antique points. If you look at these points. so automatically I have to puncture St-36. of course. Now I'm going to propose to our president: this is a demonstration. We Americans.Wai guan means 'external barrier'. But if we're using the electical 41 . one would have to manipulate the needle in a continuous manner. So here you have six points. So we say. This is the Ho point of the Large Intestine. Now I have to look: have I used any points of the Curious Vessels? Notice that SI-3 is the tonification point of the Small Intestine. So we have a piece of electrical equiptment. Which means that I have to puncture Bl-62. Following the technique of dispersion. in a while he will definitely feel a bit better. So all the points from the fingers to the elbows. Here I punctured SJ-5. or it has one circuit with two clips. if it goes very slowly. he would be having about the same reaction as he did in the treatment by hand.and then I sedate. What are distal points? They are the Su-Antique points. The Yang Wei is associated with the Dai Mai. And I am using the associated technique. which means that sometimes I tonify . no--because we can't stay there and do this by hand. In order to really cure this patient. belong to the earth. the light blinks on and off like that. SI-3 is the Yu point. but actually it is also the opening point of the Governing Vessel. because the electrical apparatus has two leads. But the Governing Vessel is also associated with the Yang Qiao. this is the Yu point. Now I want to reinforce the action of these points. in the foot. it's tonification. it means that it's dispersion. this is the Yuan point. because we have other patients to see as well. Here I punctured LI-4. Now. the points corresponding to the illness. this would mean that the points are correct. and eats the products of the earth in order to live. Then you would take the needles out. anyway. In other words. Man breathes in order to live. I have to use the Curious Vessels. you look at each unit and it has a light. first of all you treat the local points. in order to treat an illness. and regulate these points with distal points. It's a very important theory in Chinese Medicine. time equals money. earth? It shocks us a little bit. And with this patient you would have to use a dispersion technique. and from the knees to the feet. the feet correspond to the earth. and then the patient will feel a lot better than if you had done this by hand. and I'm pumcturing it very deeply. that's the Luo point. In other words.

he would be radiant at the end of the treatment. and disperse it with your hand. he would feel very much better. so you put heat on it and it disappears. Question: Does it make any difference if you use copper. but this electricity is separated into different wires. Because if they stay a long time in the tissue. You have to use 42 . and even further back in time.. or plane. Here there is chronic phlegm. It makes no difference where you put positive or negative. The heat of the moxa follows the needle and reaches the deep and chronic painful area. I have always fought against this. it's very serious because it actually causes a necrosis of the cartilage. for example in the case of auriculotherapy. they used to use a lot of gold or silver needles. they used to use fishbones.. In other words they only act on movement. And we're in the States. in the case of chronic pain we have methods. and then you put moxa here and burn it. It's the same question as: is there a difference if you use gold or silver needles--because in France. they always use different colors to show positive and negative. but in the United States this is important. I'm against that method. And that cures the pain in coxatrosis--arthrosis of the coccyx. We mustn't do that. Any more questions? Question: What about the use of acupuncture staples? Answer: That's the same as needles that stay in for a long time. The electric stimiulators were invented by the Chinese to replace the human hand. Question: Is there a preferred direction. you follow the direction of the pain. Question: What areas would you treat with electrical equipment--that is. <Here is the Bladder channel. Whatever is chronic there is always the phenomenon of what we call the transformation into phlegm. or silver wires? Answer: Makes no difference.> I feel that the pain will reach the lumbar region. This is what we call the technique of the heated needle. that's all. As a result.equiptment. and this is why I stop it at this point. You simply need something that's hard.. with which to puncture: for example.. Because we're in America. because they couldn't get them very pointed. You pursue the direction the pain is traveling in. or gold. for the insertion ? Answer: In principle. they used to use jade needles--but these hurt. a toothpick--you would get the same reaction. intradermal needles. In China it doesn't matter. why don't you use them? In all cases of chronic pain you have to use a technique known as 'heated needle': <here is a needle. when they leave a needle in the ear. Then I continue to disperse at this level. a long time ago. here is the painful area> insert it deeply. In ancient times. where would you put the positive and the negative leads? Answer: In all electrical stimulators they show it scientifically.

And our colleague will also discuss neurological problems and how to treat them. heaadache. But all this is Chinese. for example: paraesthesia. if your patient arrives on the fifteenth day of the month you have to do it fifteen times the same day. Pain is a very vague topic. when you use the heated needle technique you have to use it according to the lunar cycle. all types of pain. 43 . etc. So you have to use this technique. For example: the Chinese month has thirty days. sciatica. you only do it twice. because in the case of pain in this area there is always a pinching between the cartilage. and then we'll either finish up with pain or do an examination of a patient.the heated needle technique. To show you that acupuncture can treat all illnesses. But the Chinese are very Chinese: the ancient Chinese said: if you want to have a good result. I just do it once. We're going to give as examples facial neuralgia. and in the afternoon we'll be talking about craniopuncture. You just have to know what they are. and if he came on the twenty-eighth day. I will be more precise. and then the moon wanes. Just to show you that Chinese Medicine is complicated. lumbalgia. multiple sclerosis. on the fifteenth day of the month the moon is always full. rheumatic pain. So tomorrow morning we'll be talking about the treatment of pain.

the problem of hygiene. Italy and the United Kingdom. This is why I'm in the process of inviting certain american doctors to come to the Council of Europe in the faculty as observers. At the present time there are twelve universities officially teaching acupuncture. As far as 44 . I'm confident that eventually the United States will adapt a similar program to that which is being recommended by the Council of Europe. will have acupuncture studies which are very different from those now. psychological problems. 18 September 1988 morning session Dr. with the idea of eventually establishing a program in the whole of the West. for example. but also for the M. the way of practicing. they will be obliged to do two years of western medical sciences. and these studies will either be at a private school or at the University. three years in Germany. and in Italy there are official acupuncture services recognized by the Council of Europe--Italy is rather special. either at a private university or at the university of their choice. as in Europe. and the Council of Europe is going to meet at least five times to resolve this problem. also for the scientists at the universities. there are acupuncture services. Soon Europe will be unified: countries like Germany. there are lots of mental problems. not including the considerable number of private institutions. scientific problems.Day Two: Sunday. In the United States.D. because in the West there are lots of problems: for example. acupuncture remains something of a vague subject. not only for we acupuncturists. The problem of pain.'s. in other words. whereas in Germany. I am president of the European Commission. which have faculty professors who are in charge of them. It's completely impossible that an acupuncturist goes into the body of a patient. for example: in Italy it takes two years. the second is going to be in December of this year. at this time. Now we're going to talk about pain. Because acupuncture as practiced in China cannot really be applied in the West. which is in the process of organizing a common program. three years of study in acupuncture for doctors. I've roughly described the situation with acupuncture. there are problems in acupuncture which have to be resolved. has not really been resolved. we are trying to resolve this problem. five months in Spain. It's impossible to make a united Europe with regards to practicing acupuncture this way. whereas in France. and especially anatomical problems. and that's why they are the only country at the moment to have acupuncture treatment paid for by the state. etc. anatomy and physiology. You know that pain is a very current problem. because in that country there is a lot of drug abuse. the government is beginning to deal with the situation. In other words. there are lots of handicapped people. as in Europe. before learning acupuncture. The first meeting was in June. But for people who are not doctors. Nguyen Van Nghi: I know that in the United States. three years in France.

in this part> --and this part is normally irrigated by blood and energy. pain with numbness. first of all. because the Lung rules the skin and the body hair. 45 .> The capillaries. or channel. may be attacked by Cold Wind. which causes pain. it's exactly like an artery < here's an artery>. or caused by stagnation of blood and energy. So energetic physiology is esactly like anatomic physiology of Western Medicine. here is the TM channel. branches of the artery. the word 'channel' has been very translated: 'Jing' really means 'way' or 'path'. We. that the word 'meridian' is a poor translation. So if we're using the term meridian. as the meridians of the sky--abstract. that the professors at the universities are refusing to accept acupuncture: and now they're beginning to understand. which is the type of pain like a fist hitting you. due to perverse energy. but we really mean channels which are material. it's always because of the blood and energy. and traumatic pain. which we call Luo. and then there are small vessels [arterioles]. that is to say. physical pain. which they have to find. or a cutting pain. which means that you can't feel anything anymore. And this pain can also present in another form. which has branches and then smaller branches. major freeway. <Here is the skin. by Ying energy and Wei energy. or county roads. So we're going to translate it as principle 'pathway'. 'pathway'--a pathway we can walk along. here are the secondary vessels. in fact. we distinguish several different types of pain: emotional pain (eg: if you lose your mother). Now we're going to talk about pain of external origin. <Here are the capillaries arriving at this level. there are. But when there's a deficiency of blood and energy in one part of our body. whereas this pain. And then it is protected by the energy of the Lungs. and then there are capillaries. and below it the PM. Yesterday I told you that when there is a penetration of your body by a foreign object it causes pain. this causes stagnation. and national roads. But if there is pain there has to be an obstruction of some type in the Luo vessels. 'meridian'. there are secondary 'roads'. for example. a stabbing or a pricking pain. is a burning type of a pain. it can also cause pain. And after the 'freeway'. The Chinese call it Sun Luo. or a prickling type of a pain. where there is perverse energy. 'Luo' means 'secondary way'. and we've been folowing them ever since. It's because of this term. we translate it as 'capillaries'. This is the first cause of pain. and that we're really talking about an energetic pathway. a route we can take.Chinese Medicine is concerned. If there is a deficiency of blood and energy it causes a type of algoparaesthesia: 'algo-' means 'pain'. however. it causes a type of paraesthesis. there are freeways. this is very important. So the Jing and the Luo and the Sun Luo are exactly like a major thoroughfare. a numbness. as if you're being cut.> In Chinese Medicine we first distinguish the Jing. But perverse energy can also cause pain <there. and county roads. concrete--not abstract. Whereas the word channel is more abstract. The first Jesuits who went into China translated it as meridian. because we are acupuncturists because we are doctors. This pain is depressive in nature. When there is algoparaestheia.

etc. You've just learned about traumatic pain. and the Kidneys. I'm going to show you this according to the Law of Five Phases. In Man. means 'vegetative'. ear. And then there is a Jing which rules the seven orifices. etc. or 'material' soul. in balance: you don't see my psychological faults. the Heart. a feeling. But certain types of traumatic pain are of purely material origin. On the opposite end of anger we also have a normal emotion connected with the Lung. psychological Jing. Under normal conditions the Liver has an emotion. Apart from these two types of pain we also have a traumatic type pain. I am in harmony. Blood and energy can no longer circulate. and Jing which governs different parts of the body. different layers. So the Hun is the normal state. The word 'emotional'. which is the excess type of pain. this vegetative or material soul turns into anger. Now I'm going to talk about mental Jing. Reagan has a very sensitive soul. in normal times. If we lose a close friend. there are seven emotions or feelings. 46 . the muscle. For example. The Law of Five Phases concerns the five organs: the Liver. from the point of view of emotional feeling. Roughly speaking. could be translated by 'sensitive soul'. which is very important.So I've talked to you about two types of pain: a pain like a burning feeling. 'Hun'. the Lungs. in this case there is obstruction. which means that every one of us has feelings of sensitivity. I am now going to define for you the feelings of a healthy normal person. This type of pain is included in the traumatic pain. a sad type of person. to be specific. however. Picasso had the feeling or emotion or creativity to produce beautiful pictures. the Spleen. that is when there is tearing of the ligament. You know that Man has many different feelings: I'm now talking about mental pain. because I am not able to do what I would like to do. in other words: eye. if there is a blow or a shock to the skin there. there are people who create very well and others who create very badly. but when I'm sick. is capable of the feeling of creativity. nose and throat. Fortunately. The Liver has its normal Jing. This type of pain is just as difficult to treat as physical pain. such as the flesh (dermis). For example: the ligaments. also cause pain. This means that all of us. which we also call psychological pain. which is given the name Hun. Whereas I am completely incapable of drawing the body of a woman. transforms it into Jing. He talked about mental Jing. Anger is pathology. We wøuld say that his Hun was extremely powerful. Mrs. And I'm often angry. Yesterday Dr. which is called Po. you can see that I may be an angry type of person. in which case I would of course say that my Hun is deficient. for example. The last type of pain is the emotional pain. of creating something. as we said yesterday. or 'psychoaffective' has not been very well defined in the West. and this causes pain. which join the joints together. when the joint is separated for some reason. Tran explained to us that the Liver absorbs Ying energy and gives off its Jing. and the deficiency type of pain. etc. for example. it causes a pain which is more a psychological pain. it's the mental physiology of the human being. and when I'm incapable of doing what I want to.

You know that the Spleen controls the Kidneys. for example --'sense of humor' is another way to translate it. she writes a little letter: "I'm very sad that I can't go. however. The Chinese don't say it that way. man finds himself in a depressive situation. so it's said I have a sense of humor. So now I've talked to you about how to treat psychological pain. when they're describing a patient with mental disturbances. A person who has a mind.. Will Power. You consider the Liver channel. how would we treat her? Same principle. you look for the point on the Liver channel corresponding to the Lungs-which is Li-4. are the Lungs for the Autumn: you have to open your book. so emotion and excess of joy are pathological signs of the Shen. Now I'm talking about psychology. Jing-river. The Heart: the normal feeling or emotion is Shen. Now. among the Antique points. after the Spleen. because psychology is very important in psychiatric treatment. When the 'mental' cannot act appropriately. you would come to see me and you would say. not psychologists. We're acupuncturists. You look for. For example: a person like myself. Late Summer means the Spleen. if I'm exhibiting a lot of anger among my friends and so on. which dominates the other feelings or emotions. so we have to find a point on the patient's body with which to treat his anger. the 47 . they say that when the Shao Yin axis is broken. the Yu point corresponds to the Late Summer. If I am angry. you would increase sadness: for example. You have to know the Law of Five Phases. Yung. because we are practitioners. Shen means the 'mental'. imagine a lady patient arrives who has no Will. which has its home in the Kidneys... a man without any Will is a lost man.every Sunday she goes to poor peoples' houses and helps them. it causes emotion. I go to see you. this means Will. the point corresponding to the Lungs.The Jing-well point corresponds to Wood. During the day she can't go there. but the French translate it by 'mind' or 'spirit'. Van Nghi. I give little examples from time to time to make people laugh. Yu/Yuan. In practice. I think. the sensitivity transforms into sadness. you know that anger corresponds to the Liver. This means that the Will is an extremely important emotion or feeling. end of Summer--Summer means the Heart. What they mean by mental is a noble feeling. And what is remarkable is that Western psychiatrists. in other words. Whereas 'mental' means something else. the Yung point corresponds to Summertime.. "Dr. So now. is the same as Oriental psychiatry. your son has just broken his leg". you have to puncture this point: Jing-well. Opposite the Shen we have the Zhi. you have to treat according to the cycle of inhibition (Ko cycle). they say there is a separation of the Will and the mental aspect.. it causes madness. with a person who is angry. Ho. so you puncture Li-4 to treat anger. how should we treat this? This is what we should be interested in. So our patient arrives angry. This is why modern psychiatry." So in abnormal states. In other words. and I am against this term. either an excess of joy.

this pain stops a person from walking. It's a tear in this ligament that causes pain. How do we 48 . What you have to do is look for another pain point. Yung. you'd say: 'what emotion is it. and you notice that the Yu point for the Kidney is Ki-3. you open your book and you find that it's He-3. tonify it. So we can count seven emotions altogether. this sadness is always followed by lamenting or complaining. thinking. This is why I told you yesterday that you have to know the Antique points by heart. Ho: Kidney corresponds to Winter. Jing-well points.Kidney channel corresponds to the Will. So I've talked to you about the seven psychological entities of Chinese Medicine and how to treat them. in general terms. So GB-40 will be very painful. So you open your book. Now. He-3 treats an excessively emotional state--because there are people who are much too emotional. Let's take the case of nervous breakdown. since there is a tear. Because if you know them you can treat all illnesses. so you have to use the Kidney point of the Heart [channel]. so we search for the Ah Shi point. is under attack. or someone important. that is the Lungs. worried. Now we're going to talk about how. weeping. How would we treat this? We would puncture the painful point. or reflection. and the calcaneus. we have to mend it--you have to give it moisture. nervous depression. So. the patient is always preoccupied. you have to add additional points in your treatment. bulemia or maybe anorexia. when the emotional aspect of the Kidneys is attacked. Yu. in other words a tear of the ligament. and in front of the joint there is an area where GB-40 can be located. You have to puncture He-3. normally it is the part which is in front of the external malleolus which is painful. Let's talk about something very common. water. so again you use the technique of the Antique points. I forgot to talk about the Spleen: the emotional aspect of the Spleen is the Y: the thought process. they can't be in front of the director of a company. for example: insomnia. and he presents other signs. When there is no reflection or thought. and this fear is always followed by tears. But Chinese Medicine does not talk about five emotions but rather seven: sadness--if the Pro. <here is the Heart> it goes from up to down. they've lost their joie de vivre. imagine that there is a ligament tear right here. or even in front of their friends--they're always withdrawn. You have to use the cycle of inhibition. Imagine you have a sprain. what organ does it correspond to?' Supposing it was the Heart. we talk about worry. In this case the patient is often extremely anxious. I would have to puncture the point corresponding to the Spleen on the Kidney channel: the Spleen corresponds to Late Summer. so it's Ki-3. so you need to puncture the Ho point of the Heart. Here is the ligament. If a young girl comes to you in a very emotional state. which is the sprain of the ankle: <here is the external malleolus. we will treat physical pain. there is always fear. joy of life. So again I've talked to you about how to treat psychological pain. you have to puncture it. Jing-river. So there are seven altogether.

do this? <Here is the foot, here is the point. This is Bl-60, the Jing-river point, which
corresponds to Fire: you have to needle this point, you cause an evaporation of Water.
<Here is the channel of the Bladder; within it there is Water; if you warm up this point it
causes heat, and this warmth accelerates the circulation of Water. In other words, to treat
a sprain, use the Ah shi point, GB-40, Bl-60, and you have to tonify this channel. This is
the tendinomuscular technique. You open your book, and you look for the tonification
point, and you will see it is the Jing-well point, Bl-67. You obviously see that the SuAntique points are very important. And you always have to use them.
As I told you yesterday, to disperse a point you have to manipulate rapidly. We
don't have the time to stay there and manipulate, we only have about twenty minutes;
there are lots of patients in other rooms who are waiting for us. So we will join the Ah Shi
point [using the stim. machine] and, for example, GB-40, so there will be a quicker
manipulation. And then we will go off and take care of other patients. For example, if
there's a lumbar pain, you would deal with it and then go to see another patient. So you'd
do it in such a way that in four hours of work you'd work continuously and your secretary
or nurse would come and take out the needles. In other words, in one day, if you work
eight or ten hours a day, you can treat from eighty to one hundred people every day, as I
did when I used to practice. But I wouldn't advise you to work too hard. Why not?
Because in France, they have to pay 60-80% of their earnings to the government, so it's
not worth it. For example, my children only work two days a week now; so in a day they
see eighty people, that's enough. Just two days. And you can play tennis the other days. So
now I've told you how to treat a purely external pain of traumatic origin.
Now we're going to talk about the pain following penetration of Perverse energy. I
told you yesterday how to do it. I'm just going to remind you: <here is the skin, and the
secondary vessels, and here it the penetration of Perverse energy, which causes pain.
Below this is the principal channel, and these little vessels join up with the
tendinomuscular meridians. Here the penetration causes pain, in other words it causes an
excess condition. So below, there is automatically deficiency. Because we're going to
reason this out according to Yin/Yang principles. When Yang is in excess, the Yin is
automatically deficient. So we would disperse painful points, and tonify the principle
channel. For example: this is an example of an area corresponding to the Large Intestine.
We would puncture the Ah shi points; since it is an area corresponding to the Large
Intestine we would puncture LI-4 and LI-11. Why LI-11? Because it is the tonification
point. Why LI-4? Because it is the Yuan-Source point, and when you puncture the Source
point it aids the tonification point of the channel. In principle, what I've told you can cure
any pain. I've told you how to puncture the painful point: for example, the shoulder, you
mustn't push the needle up into the bone, you follow the direction of the pain, and you
slide the needle under the skin in a subcutaneous puncture. You should always treat two
points. Why? Because we're going to join these two points up with an electrical

stimulator. Because I can't stay there and manipulate by hand. Since we're coming into
the twenty-first century, we have all kinds of technology that we can take advantage of.
And you will have 100% recovery with this technique. We're going to leave tomorrow; but
I'm sure some of you will begin practicing this technique, and you will be extremely
happy; you will even be delighted and amazed.
I also talked a moment ago about pain caused by a deficiency of Blood and energy.
For example: in the case of facial neuralgia, in Western Medicine they always talk about
neuralgia of the Trigeminal Nerve--and they don't cure it, they never cure it. Whereas
Chinese Medicine is very precise; when we talk about facial neuralgia, we have to look for
the cause: is it the Cold, is it Blood stagnation, is it psychological, or is it because of a
deficiency of Blood and energy? When it's a pain caused by a lack of Blood and energy, we
first puncture the painful points. Then we tonify Blood and energy. <Here, I will disperse
the painful points. Where would be dispersed? You have to disperse on the opposite side.
Suppose I have a neuralgia here, caused by a lack of Blood and energy: there is no blood
or energy, so if you put in a needle to disperse it you're just going to cause pain. you have
to puncture the opposite side. Here the term dispersion really means to eliminate, to
move the Blood and energy from one side to the other side, to cause a circulation of Blood
and energy from the side which is not under attack to the side which is attacked. This is
why the terms 'tonification' and 'dispersion' in the West are always badly understood.
'Tonify' can also mean 'regulate' and 'harmonize'. So everything really depends on your
knowledge of Chinese Medicine.
Now, how do we tonify Blood? You have to know that there are three organs
governing Blood: the Liver, the Spleen and the Kidneys. Here, however, in this case, we're
just talking about a local deficiency. In the case of leukemia, for example, or anemia, you
would have to use points on these three organs' channels. We know that there is a point
which joins the energy of these three meridians--which is Sp-6. And now we've activated
the source for the production of energy. And St-36. A conclusion: in minor illnesses, little
illnesses, when we talk of a deficiency of Blood and energy you only have to regulate on
the exterior, a bit, on the channels of the Spleen and Stomach. It's enough to puncture St36 and Sp-6.
Question: Are you always going to do the contralateral side?
Answer: Not in that case; on the face, when I talk about dispersion you have to
disperse the opposite side. But in this case we're talking about blood; we're trying to
activate the circulation of Blood from the interior to the exterior. So this will be bilateral.
Here I've been talking about neuralgia; this means you have to use a specific point
to treat all problems of the upper part. I said that you could apply it to all illnesses. If
there is anosmia, gingivitis, headache, anything you want, you always use LI-4,
automatically. And, below, you would use St-36. Because when there is a pain, or some

type of problem in the upper part of the body, the head, there is always a deficiency or
disturbance of essential energy, vital energy, tthat is, the energy of the Spleen and
Stomach. This is a theory that you're not going to see--I don't accept this, I just state the
theory because, as I said, in Western Medicine theories only last six months and then they
change. Now we say: I can't change it; I will have to explain it to you. <Here is the face;
you know that the Yang Ming of the Hand (LI) follows this pathway, up to LI-20; then
there is a little vessel which goes to the internal corner of the eye, where Bl-1 is located;
from there, the same vessel goes around the inferior orbit of the eye, and here there is a
suborbital depression where the Facial Nerve passes; then from there is descends to the
lower jaw, and it ascends to the top of the skull. <Here is St-8; here is St-5. And from St-5,
the pathway descends. Here is St-8, and on the other side. So the Tendinomuscular
channel of the Large Intestine, <here is the Large Intestine on both sides>, reaches this
point and then it's the same thing, exactly like the other side. However, the
Tendinomuscular channel, from LI-1, there are many little vessels which in a general sort
of way ascend to the face, and arrive at St-8; and from St-8, there are, again, a whole lot of
little vessels which go across the forehead and reach <here>; and from there, they go
down on the opposite side and they spread into the cervical region of that side. And on
this side, the same thing; it goes up, it turns around and it descends <like that>. And it
terminates on the opposite side. This is why, when you have a problem at the level of the
head or the face, you always have to puncture LI-4 in order to free up these small vessels.
<Here is the head; and the vessels which follow this pathway. This means that the whole
face, all the vessels have a pathway which makes it look like you're wearing a scarf around
your head; when you go to Viet Nam, or China, or Japan, the country people wear scarves
around the face like that; they cover them. In other words, everthing that man invents
copies natural phenomena. And in all afflictions of the skull you have to use LI-4 and St36. I've just talked about pain caused by stagnation of Blood; now we're going to talk a
little about the pathology of various illnesses:
Facial Neuralgia: You know that as far as facial neuralgia is concerned, there are
some acupuncturists who cure it and some who can't. (Let's not even mention Western
Medicine because they never cure it.) I would like everyone to apply the same technique
so that everyone can cure it. For facial neuralgia, it's always caused either by Cold or by a
compression of the pathways of the meridians of the face, or Stomach heat which ascends
towards the face, or by a deficiency of Blood and energy in the face. Whereas, for us, the
Trigeminal Nerve doesn't really have anything to do with facial neuralgia. In general,
there is a point which corresponds to the second branch of the Trigeminal Nerve; we have
to compare treatments of the two types of medicine: Western Medicine uses injections of
alcohol to treat facial neuralgia; they inject alcohol into the Trigeminal Nerve; or else they
inject a solution of cortisone. For the moment the patient will be calmer, but the next day
there will be the same pain. This would seem to indicate that it is not the Trigeminal


This is why. and we say that we're treating according to the Western idea of physiology. if I were really traditional. we say. I'm whole--ask me about my eyes. I have to reestablish the connection between my shoulder and the other parts of my body. the external parts. SI-18 is located there. or to reestablish the connection between the sick part and the other parts. but if you had a stomach ache. As I sit here at this moment. we say that it's accurate. looking at your treatment. But we don't describe it that way. if this lady needled this gentleman. here is the masseter muscle. and I observed how she was doing it. before treating you. right? You're listening. I don't feel my arms. if I had a stomach ache--because you don't even know that you have a stomach right now. Let's suppose that it is the Trigeminal Nerve. especially the second branch. if you're really traditional. so we are very clever--to keep our colleagues the MDs happy. But it isn't. it's separated from the other parts of my body. I would turn quickly. you're not being conscious of your stomach. and the meridians are often found in the muscles. I would know exactly what she was doing. 'Of course--you've punctured the second branch of the Trigeminal Nerve. Waiguan. Now. here is the zygomatic bone. but if I have dyspnea. <in this area> the point SI-18. because we have the 52 . I'm always thinking about my shoulder. as far as I'm concerned I don't have any. then once you inject an analgesic product it would be immediately cured. because science has told us this. the human being in good health like me. there are tears.> And for we acupuncturists. So in all external problems. 'guan' means 'barrier'. when there is pain it injures the pathways of the meridians. there are no meridians. which is SI-19. this point is always very painful. would say. and the MD. 'Wai' means 'external'. to treat all external afflictions. that is. This is why.' So we all agree on that. to treat external diseases. I'm showing you the existence of the channel because under normal circumstances. I would be very aware that I have a problem with my Lungs. but if I have a pain in my shoulder. the Chinese Medicine doctors say. would reestablish the connections between your Stomach and the other organs and bowels. I don't know if I have a Heart or Lungs. If there's pain. Because in every case of facial neuralgia. <here is the face. So we would puncture SI-18. during an attack of the pain. For example. And this pain often radiates to <this area>. But of course we are really only doing it because of SI-18. because you're feeling OK. But we have points.Nerve that is the cause of the problem. that is. and the second branch is just at that point. and we have to listen: so we say that on the Trigeminal Nerve. you would use SJ-5. if it were the Trigeminal Nerve. my shoulder. and this pain also often goes to the eye. A good acupuncturist. you're stomach is separated from the other organs and bowels. and the twisting of the face because of the pain--because the pain is also causing muscular spasms in the face. eyes closed like that. I would have no reason to ask anything. and that's why there are muscular spasms. we have to use SJ-5. So the Chinese say: when there is pathology. Health.

or for one to two minutes. in this hole. 'guan'. Q: After the needle is in. may be painful. you have to ask your patient to open his or her mouth. We've established that SI-18 is always painful. when you open the mouth: <here's the tragus. the point opposite from SJ-5 (which is Waiguan. when there's a deficiency of Kidney energy you press on this point and the condition will continue to manifest. energy. you can put your finger <there is a finger>. by the lips. During an attack there are always muscular spasms. Before opening it. you have to press on this point. of Blood. you hit the bony protuberance of the jaw. you can relax the jaw. you can't get the needle in. Now if it's a question of an internal illness. Remember that in cases of pain of facial neuralgia. But this is only to show students.same knowledge. SI-19 may be painful. the middle point is slightly over to the side. there are three points. for example. or it could be due to a deficiency at the level of the face. when you open up your mouth. which is at a deeper level. When you ask your patient to open the mouth. an opening <shaped like that>. deeply--you put it in to two or three centimeters. Open--there's the hole. Lungs. If you are talking about the Kidney channel. above it is SJ-22: therefore.. if you were puncturing SJ-5. I would know that it was because he had an external problem with his shoulder or his leg or whatever. So if you look in your book. below is GB-2. If it's of external origin. you can't put the needle in. so you're blocked. you put the needle in. because this point is situated between the ascending branches of the mandible. the pain may also radiate toward the region of the chin. there is a hole. So we have to puncture and disperse these points. it could be caused by an invasion of cold wind. But don't bite down. there is always an excess of yang. you won't get results. and this point is SI-19. this also often involves LI-20 which is also painful. especially if caused by wind. etc. in practice. Spleen. This is why the technique of manipulation and the technique of acupuncture is very important. about one cun--if you don't ask your patient to open the mouth. means barrier. When there is a deficiency of yin. I ask her to open her mouth. it could also be caused by Stomach heat. On the forehead. you have to use Pe-6. when you press 53 . GB-14. This morning I talked about a neuralgia which causes a pain that is like a burning sensation. The pain during an attack may last only one second. Pe-6 is Neiguan: 'nei' meaning 'internal'. To puncture SI-19. Let's suppose we want to needle <this lady>. It is the only way to get good results. Heart. but the central area is always SI-18. you know that the Kidney rules the ears. it's blocked. If you don't reach the point. Blood. it could be due to a compression of the nerve of the pathway of the channel. This is why we must reach the painful points on the face. Another example: when you treat tinnitus. in other words a deficiency of yin. can you then close the mouth? A: Yes. you see "1-2-and-3". Wai means external).

ringing of the ears. These energies belong to the heavens [Cosmos]. In other words. in other words. you have all the techniques possible to treat the origin of the disease. This is very important. For example. blocks. This is local treatment. <Here is the ear. When you're talking about Perverse energy in general. I received a lot of letters form my colleagues. it will come back. or if it invades the energy of the Spleen. They have to be carried in by the Wind. If it's caused by the Gall Bladder. Now let's talk about wind. towards CV-24 ( in other words. the wind hides in the face and causes pain. Whereas if you don't know this technique and you don't cure your patient. in this case it is also perverse. our organisms. You know that in Chinese Medicine we distinguish six types of climatological energy: Wind. If it's caused by the Kidneys you have to treat at the level of the Bladder or the Kidneys. to relieve pain. three hours later it comes back. The first time I used the word "Perverse" in the West. you don't know why not. that's why I've noticed that many of my colleagues who treat this condition of ringing of the ears treat the name of the illness and not the form. If you only treat the term tinnitus. or the sky. The pain may radiate towards SI-19. [Dry. Cold.on this point the ringing stops. the energy of the Liver. and we describe them as the six celestial energies. "Hidden Wind". If you have pain and you don't treat the cause. This is the most important point to treat when wind is causing problems in the face. and not as ancient as they thought. if I lived at the North 54 . Heat and Humidity. or towards Bl-1. at the bottom of this depression you will find SJ-17. this is a great error. you will see a slight depression. it invades the Spleen channel. wind--because the Gall Bladder and the Liver constitute an inseparable system of energetics which corresponds to wind--you have to treat at the level of the Shao Yang. and I replied: 'When a woman leaves her family to go and live with another man. for example. The other energies. Here we're talking about wind cold. towards the chin). Damp and Glare]. behind the ear. I would call this woman "perverse". in 1969. you're only going to succeed one time out of a thousand." Certain people propose that the word 'Perverse' should be replaced by the word 'pathogenic energy'. I just told you that the principle point to puncture in the case of a facial neuralgia is SI-18. I would say the word "Perverse woman" is ultra-modern. for example: the point to puncture would be the point of wind. And then when we cure our patient we are happy. cannot penetrate into our bodies. in which case you would puncture GV-26. they cause pain. etc. When they penetrate into our bodies. Heat. because our energy. when it's disturbed. When you know the cause. You don't know the cause of the pain. exactly the same way as if you made an injection of cortisone. we're talking about cosmic energy which penetrates into our bodies. This is the secret of acupuncture. or may radiate towards the labial region. such as Cold. you lift up the ear. and then we regard them as Perverse energy. of which the name is Yifeng. and now we're in the scientific age. who complained that I had introduced terms from the Middle Ages.

Wind-Humidity. because if I puncture straight I will touch the skull. Even in Chinese literature. Wind-Heat. and here. the mouth looks like this. These terms have to be understood well. This is why in Chinese Medicine you often come across the terms. And since the central area of pain is in <this> area. you orient the needle towards the ear to treat the ear. Good acupuncturists have to know very well the pathways of the Channels. Supposing the pain of facial neuralgia was located in <this> area. So when you talk about Cold. you should massage a little bit. and in this case there will be a sensation of coolness in this area. Before puncturing. according to the diagrams in the books. for example. and you turn it. and as a result you puncture there. Wind-Cold. so you look for the jugular nerve. I would orient the needle towards that area. Supposing that this lady has a pain <here> which is radiating up towards the forehead. If the pain is <here> I would puncture <here>. the so-called secondary pain points. and <this> is GV-26. deeply. So you massage <like this>. I have to use two needles in order to join up the electrical stimulator. <here's the needle>. To puncture this point in this case. And Wind-Heat may also cause facial neuralgia. and here. and <here> obliquely. I would orient the needle towards the upper part of the ear. What points shall we puncture? This is very important. but I would orient towards GV-26. <Here> is St-3. which are not completely accurate. I manipulate the needle. facial neuralgia: it's the opposite direction. And then I would join the points with an electrical stimulator to disperse them. But. You have to be very careful. otherwise you could come across these terms in American literature. So we need to treat Wind. the Wind itself can also cause it. but this Cold wouldn't penetrate into my body. I would feel cold. You should understand this. and I would have to puncture <here>. Now. and you're not going to understand them. SI-19. This is very important. tinnitus. But if I don't use SJ-17. I wouldn't catch cold. in other words you look for where the pain is radiating. there's only Cold up there. it looks like <this> would be the channel [Foot] Yang Ming. what you really mean is Wind-Cold. there isn't much Wind. and radiated towards the upper lip: <this> is the principal point. <here> there is GB-14. but that's not exact: this is just for students. The 55 . it's very often Wind-Cold which penetrates. I just explained the case of someone who comes with ringing of the ears. and not the drawings which you see in the books. Frequently.Pole. the Stomach. This sensation of coolness immediatlely gives a sense of relief to the patient. So in the treatment of facial neuralgia. when I stop the manipulation she's going to feel the pain more. etc. and then you look for the points. During the manipulation of the needle she immediately feels better. I would puncture <this> point straight in. In the case of facial neuralgia. it's an area where the jugular vein passes. But there are illnesses which are caused only by Wind. the principal point is SI-18. of course. you have to orient the needle towards the face. St-4. And I suggest puncturing SI-19. we need something better. If the pain is <here> I would orient it in <this> direction. there is the point <here>. and you try very hard not to puncture it.

In the case of deficiency of blood and energy. and from St-5 directly to St-8. And the cure is almost instantaneous. in order to be able to apply an appropriate therapy. And the meeting point of Water on the head is Bahui. She has to respect her colleague. 56 . by heart and in depth. Don't do it--because the MD's don't like it! And your colleagues. you always have to have water to keep it cool. encephalalgia. the skull. in other words in the interior part of the skull. which are our energetic physiology. Conclusion: To treat neuralgia. so you do 10 or 12 treatments. because this is a question of ethics. [Note: this was said tongue firmly in cheek. But since it is a disease which is difficult to treat by an MD. is also the point where the Jing is concentrated. like the engine in your car. It's the same thing: you need to know the cause. it can cause cephalgia. you have to take advantage. or a serious illness of long duration. In general. and then it goes to St-5. but in this case the headache is of internal origin. you have to do it 12 or 15 times. This is why we have to know. even if the patient feels better. cephalgia. it causes a cephalgia which is intracranial. But don't cure them too quickly. SI-18 plus the Ah Shi points. and I feel better. which is the case. Now I'm going to talk about headache. This is what medicine is all about--it's also commerce. you have to add GV-26. You know that the Yang Channels bring Water towards the head. because the brain is the place of mental activity. When there is a deficiency of Jing. it also causes pain. the pain will come back". CV-24. in the three months my colleague has been treating me I haven't felt better. in Western medicine. especially disturbances caused by a penetration of Perverse energy. it is the 'quintessence'. so I go to this lady. when it's reached <this point> first of all goes to GV-26. you absolutely have to tell them that "if you don't continue these treatments. I know that she knows a lot about acupuncture. But there are also vessels carrying blood and energy to the head. According to where the pain radiates of the Stomach. And so <there> there is no joining. you have to know the clinical signs. and then it goes to St-4. So you should see your patients at least 10 or 12 times. LI-4. so the brain is always overheated. In the case of deficiency. the Jing is located in the interior of the skull. If he or she gets better the third treatment. she uses these points. GV-20. For example. But the head. heaadaches of so-called exogenous origin. or a post-partum metrorrhagia. too. So when there is a disturbance of the three Yang of the hands. and our body has to constantly bring Water to it to cool it down. caused for example by a hemorrhage. and then it goes to CV-24. or St-4. all of those are Ah Shi points: SJ-17. otherwise you don't earn any money. St-36. Especially acupuncture! Never cure an illness in two or three treatments.] I've just talked about facial neuralgia. you need to know that all the Yang Channels ascend to the head. This is why the pain radiates in <these> directions. which is called. it doesn't join at all between <those> points. this can also cause cephalalgia. SJ-5. the pathways of the channels.

she won't want to sit down. They did research. When Wind-Cold attacks the Shao Yang. But Western medicine also talks about headaches at the vertex. the Cold attacks the Tai Yang. we say when Wind-Cold attacks the Shao Yang there is a temporal headache. she is immediately better. ascends towards top of the head and causes a headache which we describe as an occipital headache. This is very important. otherwise you won't get any results. This is why at the moment in Europe the question of channels of energy is already proven. Again. or hemicrania. I also mentioned that GV-20 is the Meeting Point of Water. and she says. when you have angina of the chest. And you turn the needle quickly. Unfortunately. We know that we have three Channels: Tai Yang. that is why when the Liver channel reaches Li-14 automatically there must be a vessel which ascends towards GV-20. Shao Yang and Yang Ming. Plants are the root. you puncture this point. in this case we have frontal headache. which is what they do now to prove that acupuncture is a reality. with a full atttack of hemorrhoid pain. Another example: if this lady comes with hemorrhoids. If this lady comes in with a headache of the vertex. also ascends towards GV-20. but Chinese Medicine has proved that there is an energetic pathway that goes from the heart to this point. and then I had to convince the Americans. They've talked about headaches which are at the vertex. This is very important. but the channel of the Liver. you would ahve to disperse GV-20 and you have to puncture Li-2. when it reaches Li-14. and it's since that visit to the United States acupuncture has begun to spread in the United States. in Western medicine they haven't been able to prove that the heart has a nerve which reaches the little finger. We have to be precise. Another example. And in 1971 I showed the Americans in the important areas here in acupuncture. causing headache. <like that>. So there isn't any point in doing scientific experiments on animals. you simply puncture GV-20. I already said that GV-20 is where the three Yang join or meet. Wind-Cold attacks the Channels. She comes to see you. and I said this morning that the Yang Ming covers the forehead. the reality. at that time I had a lot of things to do. which we describe as headache of external origin. you have a pain which radiates from the thorax to the little finger. Once you puncture Li-2. you orient the needle towards the back. in other words at the top of the head. in other words cardiac pain." Once again this demonstrates the existence of the Du Mai. But we can treat them for sure. and she is still much better immediately. In the case of headaches of the vertex. but they are not able to treat them successfully. lateral headache. She immediately feels a freshness or coolness in the area of the anus. the existence of the Channels. they look for a place where there is water. "I have no more problem with the hemorrhoids. we're demonstrating the reality. This is always caused by Wind-Cold. So now 57 .Now we're going to talk about headache of external origin. because my duty was to convince the Europeans first. you do a strong stimulation. Or you disperse <this> point. however. which as you know travels in <this> area [temple]. <here> are three Yang Channels. When Perverse energy attacks the Yang Ming.

and pathology. that acupuncture is a medicine--it's not a therapeutic technique. whereas we base it [i. diagnostics. Chinese medicine] on energy. and the Bladder has another branch called the Yangqiao. we have the Yangqiao. But it's still not finished. I hope that we can reach our goal. and not just for a little treatment as an adjunct to Western medicine. you treat the Liver. we have to open this point--Bl-62. Bl-62 you've already used. In other words. and frontal headaches. which goes from the lower part to the upper part. when it's a question of occipital headache. lateral headaches. So Yangqiao has to associate with Dumai. is traversed by the Dumai. it is a medicine. You 58 . So which point do we use? SJ-5. But we live in the United States. We are traditional. in the case of frontal headaches. When Perverse energy attacks this area it causes lateral headache. for example about headaches. and a headache of the vertex. different therapeutic methods. to develop opposite Western medicine. you puncture Bl-10. you have to treat the Shao Yang. when they leave your office. But we always have to use the Curious Vessels. you have to treat the Tai Yang. at the moment Europe is becoming interested in traditional medicine. you have to treat the Yang Ming. which ascends. So it's easy. which is GB-8. We can't talk. above the ear. When the two types of medicine are considered together. I'm very proud that. we will have a medicine which we can call universal. So when you do this treatment. when you have a temporal headache. and we've established that there is one very important point. and the patients. So you puncture SI-3 and Bl-62. GV-20. I've already showed you the reasoning of Oriental medicine: for you. we have to talk like the MDs: there are occipital cephalgias. Man is a mass. and you look for the most important points in this area. they will be very happy. the Governing Vessel. about two fingers' width. this mass has to contain energy. because the illness is of external origin. the first treatment you will have at least 70-75% satisfaction. The treatment is easy: you puncture the painful (Ah Shi) points. those of the top of the head. energetic physiology. and I think that's beginning now. it depends on how heavy the person is. Occipital headache. But we're going to show the reasonings of Oriental medicine. We have to obey the law of the Americans. I've just talked about headaches of external origin. Now temporal headaches: you know that the Shao Yang travels on the lateral area of the head. This area <here>. temporal and parietal sutures. it is a complete medicine. so you have to add SI-3 so the treatment will be complete.e. Because you had a headache. especially the center. and now you've rejoined your head with the rest of your body. Governor. We have a duty to confront the two types of medicine: because Western medicine is based on the material. But since the Bladder goes from the head to the feet. because you're traditional you say you have to look for a point where the three sutures meet: the frontal. And on the foot. It consists of studying anatomy.I've come to convince you. You see that this part [the forehead]. This is the way we treat occipital cephalgia. and the Ah Shi points. It is not adjunct to Western medicine.

I've just explained how to treat a hemicrania. You only need to take the page and look at the points. This is to show you that the Curious Channels are used a lot by traditional doctors who know acupuncture very well. We're more elegant about it. they're only open at certain times. you have to puncture GB41. Whereas in modern books coming from China. you can cut the artery if you like. You have to bleed Curious Extra point-9. <Right there> <Here is the artery. which is nutritive energy. this is the central point for treating hemicrania. or lateral headache. and the patient might even faint. because you're using SJ-5. not deliberately. which radiates towards the front or the back. They've always told us that the points are on Channels. We shouldn't make a very large wound in the artery. you feel a pulsation. you always have to puncture these points. The Chinese take a needle they call the triangular needle.touch it <like this>. In other words. it's as hard as a tight string. this point is located on the superficial part of the temporal artery. and at the same time. This is the first time that I've met you. What are points that are apart from the Channels? It simply means that they 59 . the points have to be open. We know that Principal Channels have points. because they're not on a channel. I'm going to give you the greatest number of ideas that I can. -3 and the Lo. The pain is atrocious. and now we are learning there are points that aren't on the Channels. and from these points there are many small irradiations which lead to the area which you're considering. which nourish. you have to associate this point with the Belt Channel. because we're talking about Ying energy. an arterial pulsation. With a lancet or a needle we just make a little hole and push on it to get blood. we don't need to learn anything. we also have curious points--they're very curious. in which case you must not puncture. This is very advanced. You know that. she feels the pain. When the Perverse energy is in the Lo vessels. Apart from these points. the Dai Mai. It's too easy. The artery here is swollen and hard. if I come back in a couple of years. We also have to add a temporal point. It's the place of confrontation of Ying energy. to treat an illness. because it's Shao Yang. You know that acupuncture points--it's not because all the points are open. You know that SJ-5 is the opening point of the Yangwei. Now we have to define the points of the Principal Channels. Because they are unable to really show the existence of these vessels scientifically in treatment. which are called channel points. but this is too advanced. <this> point is obstructed because it is unable to circulate. And the patient immediately feels a lot better. To be able to circulate. the curious point of Taiyang. and then puncture the points. then we'll really be able to talk about acupuncture. you again have to puncture SJ-5. Don't worry. they put it into the artery and they cut. In other words. You know that among our clients we frequently come across a disease called arteritis. real acupuncture. they use the Curious Vessels but just <like that>. in the hand. <here>. and the point is <here> When I press on it. But this is very brutal. if you put your finger on this point.

which is where the technique of auriculopuncture arose. if I have a problem with my Liver. But it makes circles that are so deep that it stays down below. the Yintang is the meeting point of the Jing of the Lungs. we have to know the meaning of the word. The new points are not quoted in the Classics. so it's not a channel. They've taught us. etc. it accumulates. Which means that the Curious points were discovered at the same time as the points of the Principal Channels. and they say that they're talking about 'auriculomedicine'. for example. They're just talking about technique. If the energy has made its circle in this area. Now I'm talking about the skin. To be a good acupuncturist. But there are areas where it's much deeper. because the Jing of the Kidney ascends to the ear and spreads out towards the outer ear. The Curious Points belong to the Jing. Zhongquan. I have a pain in the wrist. then it continues to circulate. We have the Jing of the skin. whereas the real Curious points are those points which are mentioned in the Classical literature. The energy circulates in <this way. they've shown how energy circulates in the Cosmos. The energy circulates like <that>. "Yintang"--it means "the sign of the forehead". in the United States they copied the French method. For example. they don't know why there are points on the ear. that's the definition of "Yintang". but when it arrives there in plentiful supply. at the level of the ear there are points of all the organs. not serious. Tran talked to you yesterday about Jing. the energetic pathway. there is a point on the ear 60 . so the Jing energy stays there. I will tonify or disperse the middle point of the ear. always. And that's not true. I have described approximately 200 Curious points. For example: if my Liver is ill. and our contemporary colleagues of China have invented another group of Curious points called "new points". the Jing of the Spleen goes to the dermal area. The trace of the energetic line. In classical literature. even in modern Chinese texts. you have to know the whole medical system. What type of pathway? You know that the Curious Vessels have points which were discovered at the same time as the Principal Channels. Dr. in this direction>.are points which do not form part of a channel. But. of the Lungs. such as the Nei Ching. And they are the Curious Points. So the Curious points are equally as important as the points of the Principal Channels. and this Jing continues to circulate. they talk a lot about Curious Channels. and not just one small part. it's just a trace of a pathway. not a medicine. And it's exactly the same thing in Man. it makes another circle and continues. Yesterday Dr. You might have seen it on the television. Tran told you that the Kidneys contain the Jing of the other organs. The points on the ear are part of these Curious points. Example of these points: Yintang. As a result. A therapeutic method is quite different from a medicine. in reality these are Ah Shi points. this is the reunion point of the Jing of the Heart. Now I've given you a definition of these Curious Points: it's the place of reunion of Jing energy.

But this treatment has always got to be associated with somatic puncture. The Jing. For example: there are peasants with dysmenorrhea. This is why our French and American colleagues have not yet managed to establish real statistics. We immediately know. But this is too western. is created in the interior of the body. Whereas. I will puncture that point. into the Ching (ie: the Principal Channels). at this present moment in the west. the different types of Channels. and the Lo Mai and the secondary vessels. All internal disturbances can be treated by the points on the ear. After lunch. if one of our colleagues were treating a patient by ear points who doesn't get better. it calms the dysmenorrhea. It's beautiful: the treatment's very easy. But in other cases it does not cure. The treatment's not like that! That's the Franco-American way. That means that all problems are of 'hormonal' origin. in addition. therefore. we can still use Western medical terminology.corresponding to the wrist. we will continue talking about neuropsychiatry. they puncture the point corresponding to dysmenorrhea. the subject will think that puncture of the ear is enough. I'm sorry I have to stop there. that the dysmenorrhea. Because in Western medicine. And since we're acupuncturists. pain as a whole is regarded. They can't prove it. 61 . that you're practicing Oriental medicine. if you want to use the term. when the patient comes to us we know we have to puncture points of the Principal Channels. is of psychological and internal origin. is considered to be neuropsychiatry. therefore. as we saw. The Chinese technique is different -. Because. but it never penetrates into the Jing. Which means that you have to puncture points on the Principal Channels. Thank you. could be regarded as 'hormonal'. if we still have time. It never gives satisfactory results. when we talk about have to define: perverse energy only penetrates the Channels. although we're traditional. Jing.

This includes the function of spermatogenesis. where they are only involved in the filtration mechanism. I fail to cure a lot of people. I use a technique. It also includes the process of ovulation. It's an organ of procreation. You know that the Kidneys in oriental medicine is something extremely complex. and we can treat problems such as spermatorrhea. I began to have better results. that I know nothing. That's why I believe. I notice that often when I fail to cure someone. and we can treat. for example. that is. or other people say you have to do it. The third function of the Kidneys is that of sexuality and procreation. that I haven't really understood. often. you have to understand the meaning of that action. There are lots of things I am not sure about. The Kidneys in oriental medicine have several functions: the first is what we'll call the function of hydrogenesis. I haven't reached the peak of my possibilities and achievements. it is not the fault of acupuncture: I haven't reached the height of my prowess. and you don't understand why you're puncturing it. I didn't have the results because I just used the zones that I'm going to talk about without really thinking about them. There is acupuncture and there are acupuncturists. 18 September afternoon session Dr. if you're just doing it because the Chinese say you that have to do it. it's not like in western medicine. As I said. so as of yet it has been nearly twenty years that I have been practicing it. if it's just a 'reflex' point. and the second is Jing. We're going to think about the idea of the Kidneys first. We have to understand the deeper meaning of acupuncture. And this function of hydrogenesis happens as a result of what we call Kidney yin. Thirdly. Because if you puncture a point.Sunday. I've been practicing acupuncture for almost twenty years. without any proper interpretation or real understanding. it's because I haven't properly grasped the technique. And we attribute this function to the yang of the Kidneys. the further I get into my studies of acupuncture the more I realize how little I know. production of sperm. The day on which I really began to really understand it. During the first four years that I used this method. this function is to produce heat. Two: among my patients there are lots of failures. which enables us to have what we call organic Cold. the heat of our bodies. But there is one thing I am sure about: that if I don't succeed in curing my patients. problems such as sterility. that when you puncture a point in acupuncture. There are three things that I am sure about that I would like to explain to you in a very simple way: First of all. I didn't have a clear understanding of my actions. according to my experience. I didn't have a lot of results. organic heat. You have to understand two basic ideas: the first is the idea of the Kidneys. glomerular filtration and urine excretion. The second function is that of thermogenesis. you have to understand the meaning of what we do. Tran Viet Dzung: I personally have practiced acupuncture since 1969. as a result of two channels: the Curious Vessels 62 . the results are not good.

there are zones corresponding to all of the parts governed by the Jing of the other organs. the Du mai [Governing Vessel] ascends the posterior midline. and connects the Kidney points together. in the brain. you know that. You just needle these two points for bone marrow. So. First. where it ascends with the Kidney channel starting at Ki-11. It travels more superficially than the Kidney energy. CV-1. Right where I make a little chalk mark. it has to go somewhere. The Ren mai [Conception Vessel] ascends the anterior midline. That is why. it cannot be produced. You see that the Jing of the Kidney goes to the marrow. and goes anteriorly and posteriorly. there is the projection (which I spoke about earlier) of all these different aspects of the other organs. But I told that you that. You will remember <this diagram>: the Jing of the Kidneys governs the bone marrow. So where does it go? To the Kidneys. GV-20. and in the superior portion. the point would be right <there>. and the point of intersection with the sagittal line is the point -. it is at the anterior angle [anterior-most point] of the posterior fontanelle. the point is at the anterior angle of the posterior fontanelle. in the Kidneys. because it is very important -. The brain is the "Sea of Marrow". So you see that in the Kidneys there is the Jing from all the organs (I spoke about earlier) there. which has the role of conserving all the excess of the Jing. in reality. because of the reasons I described earlier. What are they? <This is the Kidney. Yuan Qi is limited. and the uterus. or from the Chinese text know that you take the tip of the two ears. the two points that correspond to the marrow. OK? Now. but separately. For example. when you talk about GV-20 -.and I'm going to repeat this. We first have to find GV-20 for orientation. When it circulates. in the inferior portion.> A vessel leaves the Kidney and descends on the interior to the perineum.known as the Ren mai [Conception Vessel] and the Chong mai [Penetrating vessel]. It surfaces at CV-4. and you draw a line between them. GV-20 is further back. There it surfaces at Huiyin. on our friend here [chooses member of audience with some loss of scalp hair]. in the same way. 63 .but this is not true! In reality. LI-16. GB-39. if you determine it from the intersection of a line between the two ears with the sagittal line. So don't forget to tonify these two points corresponding to bone marrow. There are two lines that we use as landmarks: first there is a line that goes from GV-20 towards SI-18. that is. and the brain is the Sea of Bone Marrow. This Jing goes into the bone marrow and reaches the brain. You also know that the Kidney governs the bone marrow and the brain. According to what you have learned here in the United States. To tonify the bone marrow in the lower part of the body. The Chong mai also descends internally. <Here is the Kidney and here is the bone marrow.

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