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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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