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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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