Transcript of the Seminar:
Acupuncture in Gynecology
and
Neuromuscular Pain
NGUYEN VAN NGHI, M.D.
TRAN VIET DZUNG, M.D.

PRESENTED 17-18 SEPTEMBER 1988
© 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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
49

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
50

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

51

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

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

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

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

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

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

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

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

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

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

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

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

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