APPENDIX
ACUPUNCTURE PRESCRIPTIONS
1980
(See Appendices 1-3 of the paper "Choice of AP points for particular conditions" for a later Cookbook)
INTRODUCTION
These prescriptions have been compiled by the frequency ranking method for points and prescriptions in more than 30 textbooks and many other articles on human AP. Prescriptions are available from such sources for more than 800 human disorders and symptoms, of which less than 10% are listed in this Appendix. This material is presented to students as a guide to the selection of points in the more common conditions.
The prescriptions concentrate mainly on the Channel points and some of the more commonly used "Strange", "New" and "Hand" points. They ignore the "Scalp points", "Earpoints", "Foot Zone points", "Nose points", "Face points" and other valuable reflex points. (Students interested in these methods should consult the relevant texts).
AP therapy is not a panacea, nor is it equally effective for all conditions listed below. Certain condition, such as muscular lameness, vomiting, diarrhoea, anaesthetic apnoea, hormonal infertility and convulsions are said to respond quickly and successfully. Others, such as lameness in severe spinal trauma, osteoarthritis, chronic bronchitis etc require longer courses of AP therapy man may have failure rates of 30-40%. Still other conditions, such as peripheral nerve paralysis, paraplegia, paralysis after cerebrovascular accident, urinary incontinence, severe arthritis (especially polyarthritis) are even more difficult to treat successfully.
Acute conditions often respond in 1-4 sessions at intervals of 12-14 hours. Chronic and more difficult conditions may require up to 14 or more sessions at intervals of 3-7 days. As a general rule, if some improvement is not seen by the 6th session, the probability of success becomes less and less with each subsequent non-responding session.
AP is frequently combined with other forms of therapy, such as hyperbaric oxygen and physiotherapy in nerve paralysis; antibiotic therapy in acute, progressive infections, artificial respiration, transfusion and vasodilator therapy in severe toxaemic shock (Chinese Medical Journal, Beijing, November 1978 p.497); herbal medicine in cough and many other conditions. However, concurrent use of large doses of sedatives, narcotics, opiate antagonists, corticosteroids and analgesics is unwise according to some authorities. These drugs may antagonise the effects of AP at the level of the specific or non-specific receptors in the brain, spinal cord or other target areas. If possible, patients should be weaned off these drugs before AP is used. However, other authorities dispute this claim. Therefore, at this time, the question remains unresolved. In emergencies and in very serious conditions, AP is given despite the concurrent use of "antagonistic drugs". Examples are GV26 + KI01 in narcotic- induced apnoea and the use of Earpoint "Lung" to prevent withdrawal symptoms in narcotic addicts being detoxified by intravenous naloxone injections.
Channel codes used in the Index are: LU= Lung; LI= Large Intestine, colon; ST= Stomach; SP= Spleen-Pancreas; HT= Heart; SI= Small Intestine; BL= Bladder; KI= Kidney; PC= Pericardium, Circulation-Sex, Heart Constrictor; TH= Triple Heater; GB= Gallbladder; LV=Liver; GV=Governing Vessel (Du, dorsal midline); CV=Conception Vessel (Ren, ventral midline).
Z 01-31; Y 01-19; X 01-35; A 01-44; L 01-42 are the "Strange Points" for Head & Neck; Thorax and Abdomen; Loin and Back; Upper Limb and Lower Limb respectively.
NZ01-35; NY01-06; NX01-16; NA01-15; NL01-36 are the "New Points" for Head & Neck; Abdomen; Loin and Back; Upper Limb and Lower Limb respectively, H are the Hand points".
In this system, ST08 (TouWei) is on the temple and BL40 (WeiZhong) is in the popliteal crease.
Thus, the point identification system used in these prescriptions is that adopted by IVAS. The name of each point is listed in the Appendix to the paper on the Study of the Points and Channels.
CHOOSING POINTS FROM THE INDEX
These prescriptions are usually in the format of a Primary + Secondary + Tertiary list. The Primary (P) list is the most important. They are regarded as the Main Points. Points in the Secondary (S) and Tertiary (T) lists are added only if the symptoms dictate. For example, in chronic debilitating diseases, Primary (P) points are: BL43; ST36; X 18. Secondary (S) points are: BL17,20,23; CV06; PC06. If abdominal pain or uterine pathology is present: add CV06; if kidney disease is present: add BL20 (or BL21) etc.
In short prescriptions, the Secondary (S) list could be added as a routine. For example in skin diseases involving malignant pustules, the Primary (P) point is GV12 and the Secondary (S) points (LI04; BL40) could be added routinely.
The Laws governing the choice of Points (see the preceding paper) should be kept in mind and at least two of them should be fulfilled by the points used. Also consider alternating the choice of points between sessions.
AP PRESCRIPTIONS IN ANIMALS
(Transposition Method)
The convention x to y means a needle penetrating from point x to point y (for example GB39 to SP06); the convention x-y means any or all points between point x and point y (for example SI10-14).
GENERAL CONDITIONS
To stimulate immune reaction (antibody production (immunostimulant effect), leucocytosis, phagocytosis in infections or leucopenia) P: LI04,11; GV14; ST36; GB39 to SP06; S: In localised infections add points for the region or organ affected.
Chronic disease (slow convalescence; to improve constitution after debilitating diseases) P: BL43; ST36; X 18; S: BL17,20,23; CV06; PC06.
Weak constitution (fatigue, poor general health, general weakness (as a tonic) P: CV03,04; ST36; SP06; LI11; BL20,43; S: PC06; SP21; CV12; LI04; HT09; BL10,11; LV03; GV14; GB34,38; X 18.
Fever, hyperthermia P: LI04,11; GV14; S: ST36,44; LU10; Bleed Earpoint "Apex"; Dehydration, thirst: add KI07.
Allergies, hypersensitivities (immunosuppressant effect) P: LI04,11; ST36; GV14; LV03; GB39 to SP06; S: Local allergies: add local and distant points for the region or affected organ; Urticaria: add SP10.
Anaemia P: GV14; ST36; BL17; CV04,06; LI11; S: GV04; CV12; BL18,20,22,23; T: PC06; SP06,10; LI04; KI01; GV20
Anaesthetic emergencies (apnoea, respiratory and cardiac arrest), neonatal asphyxia P: GV26; S: KI01; T: strong stimulation of ear canal.
Recumbency, downer-cow syndrome: Injection of 2% procaine solution into BL22,23,24,28 (bilateral), GV03; 5 ml per point, at a depth of 35-40 mm. Alternative is 250 ml 1% methylene blue solution (i/v) into jugular vein. (Take great care not to allow perivascular leakage !)
Muscle cramp, poor finish in racing animals P: AhShi points in muscles; Forelimb: search forelimb, neck, thoracic muscles. Hindlimb: search hindlimb, lumbosacral and abdominal muscles). Add main points for cramping region; (Hindlimb, esp. BL23,40,57; GB30,34; Lowback especially BL23,25,27,31; GV02,03,04; X 35 (L1-S4); S: BL40,60; GB30,34; Forelimb especially GB21; LI11,15; TH05,14; BL11,12,41; X 35 (C1-T6 area)).
Paralysis of peripheral motor nerves, spinal paralysis P: Stimulate nerves (bilaterally), with strong stimulation on affected side. Use local points for the region or affected limb, especially a chain of points over affected nerves. Use AhShi points, if present (but they are seldom present). Use the Scalp points (on the opposite side) for the Motor Areas; S: Massage and physiotherapy, if possible. If cerebral anaemia is suspected, add GV26. Consult textbooks for further details.
DISORDERS OF THE SKIN
Neurodermatitis, dermatitis, eczema, urticaria, pruritus P: LI04,11; SP06,10; KI09; ST36; S: LI04,15; GV14; BL13,17,23,25,40; PC07; GB20; ST25; SI03.
Malignant-pustules, carbuncles, furuncles, boils, folliculitis (anywhere on the body) P: GV12; S: LI04; BL40.
Abscess, felon, whitlow (nailbed) P: GV10; S: BL40.
NERVOUS DISORDERS
Epilepsy, during attack P: GV26; KI01; LU11; SI03; BL62; Between attacks P: GV14,20; PC06; HT07; ST36,40; BL15; CV12; Y 29; S: GV06,08,13,24; PC05; HT05; GB20: CV15; SI03; BL62; T: GV01,12,15,16,17; KI06,09; SP01; PC07,08; GV06,17; LI04,11; BL03,05,61,63,64,65; GB09,13,15; ST41,42,45; SI08; TH17; LV02,03; A 01; Z 01.
Convulsions, during attack P: KI01; GV26; Between attacks P: LI04; LV03; SI03; BL20; ST36; S: LU11; LI11; SP01; BL60,63; GB20; LV02; CV04,06,12; GV12,14,21,22.
Hysteria, during attack P: KI01; GV26; Between attacks P: PC06; HT04,07; SP06; GV08; KI01,05: LI04; BL15,22; CV12; GV13,26; ST36,40; SI03; GV14,20.
Unconsciousness, coma P: GV26; KI01; LU11; A 01; S: GV20; PC06,08,09; LV03; HT09; T: LI01,04; ST36; CV06; GV24,25.
DISORDERS OF THE NECK AND THORACIC LIMB
Neck pain, sprain, rheumatism, spasm, arthritis, slipped disc, wry neck and paralysis P: GB20,21,39; BL10,11; GV14,16; SI03,07; X 35 (C2-T4); A 23; AhShi; S: BL12,41; SI06,14,15; LI04,11; LU07; TH05,15; BL40,43,60,64,65; SI10,11,16; GB34,36; GV13,18; CV24; TH10,12,16; HT07; LI15; KI01; A 22.
Upper limb pain, sprain, rheumatism, spasm, arthritis P: LI04,11,15; TH05; AhShi (neck, back, shoulder area and arm) and local points; S: SI03,06,08; BL11; LI10; T: TH07,14; BL18,40,62; GB34; ST44; NZ23; A 30,32.
Upper limb paralysis P: LI15; LI11 to HT03; TH09 to TH10; TH05 to PC06; LI04 to PC08 (or LI04 to SI03); S: LI09,10; SI09; A 30; NX04; SI06; GB21; TH03,04.
Shoulder, pain, cramp, rheumatism, stiffness, arthritis, bursitis P: TH14,15; LI11,15,16; BL11; SI09,11; AhShi; S: TH10; SI03,10,13; GB21; T: TH03,06,11,13; GV12,14; SI12,14,15; LI04,10; BL13,41,44; A 42.
Shoulder, Shoulder muscles and thoracic back pain, spasm etc P: LI11,15; SI09,10,11,12,13,14; GB21; TH14; AhShi; S: BL11; SI03,08,15; LU02,09; LI02; T: TH03,11,13,15; SI06; LI04; BL12,13,41,42,44; GB20; HT02.
Shoulder and arm muscles: pain, cramp, rheumatism P: LI04,11,15; TH05,14; AhShi; S: LI10; TH06,15; GB34; ST36; T: LI07,16; TH10,11,13; SI11.
Elbow pain, sprain, arthritis, rheumatism P: AhShi; LI11 to HT03; LI12; LU05; TH05; S: LI04,10; GB34; SI04; T: LI08,12,13,14; SI07,08,11; PC03; TH01,10; LU06; GB21; HT01,04.
Wrist, carpal pain, sprain, rheumatism, arthritis P: (Choose according to the affected Channel and side): AhShi (local and shoulder girdle); LI04,05,06; SI04,05; TH04,05; HT05,07; PC07; LU07; S: SI06,11; TH06; LU08; A 09,22; T: SI03,05,08,10-14; LU06,09; LI03; HT06; PC04; TH02,03,13,14; BL12-17; BL41-46.
Metacarpal pain, sprain, rheumatism P: LI03,04; LU01,07; PC01,07,08; HT01,07; A 22; SI04; TH04; AhShi; S: LI05,06,11,20; LU05,08; SI03,07; TH02,03,05,23.
Finger (digital, upper limb) pain, sprain, rheumatism, arthritis P: AhShi; A 22; PC07; LU07; LI03,04; SI03,04,07; S: LI05; HT07; TH03,04,05; local periosteal AP (Thumb: esp. LU07 and periosteal local AP; Index: especially LI03,04,05; PC07; Middle: especially PC07,08; Fourth finger: esp. TH03; HT07; Little finger: especially SI07; TH03; HT07; T: LI06; HT03; TH06,13,14; A 09,17; PC04,06,08; GV14; SI06,08,10-14; BL12-17,41-46.
DISORDERS OF THE THORACIC AREA, HEART, LUNGS, TRACHEA
Pain, trauma, rheumatism, stiffness, spasm, arthritis, slipped disc in thoracic spine and thoracic back muscle area P: Spinal AhShi; X 35; GV points esp. 09,12,13,14; GB30; S: GV05,06,08,11; BL23,46,49,50; GB21,26; SI11,14; T: GV01,02,03,07,10,15,16; KI01,02,03,04,08; CV04,06,12,22; ST13,37,39,41; BL40,56,60,64; LI05; GB20,25; LU02; LV13.
Palpitations, atrial fibrillation, functional cardiac disorders P: HT05,07,09; PC06,07; BL15; S: HT06,08; PC03,05; BL10,14; CV14; T: HT03; PC04; BL11,12; LU04; LI04; ST36; LV01,03; GB20; CV06,12,17; GV24.
Bronchitis P: LU05; BL11,12,13,43; CV17,22; S: LU01; LI03; ST13,14,15,40; SI15; BL42,44; KI22,23; PC06; CV18,19,23; GV10,12,14; NX04; T: LU09; ST36; BL08,14,17; CV14; X 01; Acute P: LU05; BL13; CV22; LI04; GV14; S: PC06; TH05; BL12; ST40; GB20; T: LU07,08,09; LI06; SI17; BL10; SP06; GB21; CV17; GV16; Chronic P: LU05; BL13; CV22; ST40; CV12,17; BL12; S: PC06; BL08,20; LU06,07; CV06; GV12; LI04; T: LU01; ST36; BL11,17; CV18; NX04.
Asthma, bronchospasm, functional emphysema P: CV17,22; NX04; X 01; BL13; PC06; ST40; S: LU01,02,05,07,09,10; ST36; LI04; CV06,12; BL11; GV14; T: LU03,06,08; ST09,10,12,13,16; KI04,27; CV04,16,18,23; GV10,12; SI15; GB19,23,35,44; SP06.
Chronic rhinitis, sniffles P: LI04,20; Z 03,14; GB20; GV23,25; S: LI11,19; GV14,20,24; Z 15,16; BL07,08; LU05; GB04.
Soft moist cough, excess phlegm P: ST40; CV12; S: LU07; BL20; LI18.
Cough P: BL13; LU05,07; CV17,22; ST40; S: LU02,06,08,09,10,11; LI04; ST36; KI03,27; CV21; T: LU01,04; LI18; ST16; SP18; BL11,12,43; KI24,25,26; PC02; CV12,16,20; GV11,14.
Tracheitis (see laryngitis) P: CV22; BL11,13; S: LI04; GV14; ST40; LU05,07.
DISORDERS OF ABDOMINAL AREA, DIGESTIVE, REPRODUCTIVE, URINARY SYSTEMS AND LOW BACK; DISORDERS OF THE DIGESTIVE TRACT
Malabsorption, ill-thrift, weight loss P: ST36; BL20,21; CV06; bleed A 09; S: CV12; KI03; LV13; BL17.
Anorexia, total inappetance P: ST36, KI17; CV12; S: CV10; GV07; ST21,22; SP04; HT07; BL20.
Poor appetite, inappetance P: BL20; ST36; S: KI17; CV12; GV07; ST22; SP06; HT07; BL18,21; LI04.
Digestive upsets, indigestion P: ST36; CV12; S: BL21; SP06; ST25; CV10; T: ST45; BL20,22,47,49; LV13,14; GV05,11; SP04,05,16; PC06; T: GV06,13,14; BL66; LI04; ST21,23; SP15,21.
Vomiting P: ST36; PC06; CV12; S: ST25; SP03,04; BL20,21; KI20; GV18; CV11,13,14,18,22; T: BL45,46,49,50; KI20,21,25,26; TH19; GB23; CV06,08,15,16; SI04; LV03,13; LI04; Neurogenic, nervous vomiting P: ST36; PC06; CV12; BL17.
Nausea P: PC06; CV12; ST36; S: HT03; BL21; CV02,03,13,14; Continuous: add KI01; Neurotic: add BL17; ST21.
Gastritis P: PC06; ST21,36; CV12,13; BL21; S: BL18,20; ST20,25; CV06; T: BL17,19,22; SP04,05,06; ST19,23,37.
Colic, gastric: see vomiting.
Enteritis P: BL22,25,29,53; GV05; S: ST25,36,37,39; BL21,27; CV06,08,10; GV03; SP05; Chronic: add Moxa CV08.
Gastroenteritis P: PC06; ST25,36; S: BL21; SP04; CV12; moxa CV08; needle points 0.5" near CV08; A 09 (4 points 1" near umbilicus)).
Ulcerative colitis, colic, spasm P: ST25,36; SP15; CV06; BL25,27; S: CV12; BL20,21; LI04; HT07. T: LI10; ST17,28,37,40,44; HT03; BL22,24,31; PC06; GB28,34; LV03; CV03,04,08,13.
Diarrhoea P: ST25,36,37; CV04,06,12; SP04,06,09; BL20,25; LV13; S: ST34; moxa CV08; SP03,14,15; BL21; KI07; GV05,06; T: LI03,04: KI08,13,14,20,21; GV01,03; LV14; Chronic: add moxa CV08.
Constipation P: TH06; KI06; SP15 (or) ST25,26; CV06; BL25; SP03; KI16; S: CV12; BL27,28,33,36,38,50,51,57; SP03,16; GV01; GB34; T: ST40,44; CV03; LV01,02; LI02,11; GB28.
Colic (intestinal) P: ST25,36; CV06; moxa CV08; S: LI04; BL25; CV12; LV03; T: ST37; LV02,05; SP14.
Paralytic ileus P: ST25,36; SP15; BL25,27.
Anal/perineal pruritus, pain P: GV01,20; BL57; SP10; S: BL25,32; TH06.
Tenesmus, anal ptosis, protrusion P: GV01,20; BL57; CV08 (moxa); S: GV02,06; CV06; ST25,36.
DISORDERS OF REPRODUCTIVE SYSTEM
Pseudopregnancy (to terminate); to induce birth near term, misalliance (to abort) P: SP06; ST36; BL32; CV05,06; LI04; KI08; "labour points" (in human, 2" lateral and 2" below umbilicus, bilateral; S: ST25; CV02; SP09.
To facilitate calving, relaxation of pelvic ligaments in dystocia P: GV02,03,04; BL32,53; S: BL23,24,26,31,33,34,54.
To facilitate reposition of prolapsed uterus P: GV02,03,04; BL23,26,31,53; S: BL24,32,33,34,54.
Placental retention P: CV03; BL60,67.
Uterine inertia, failure to regress postpartum P: CV02,04; GV20; SP06; Y 16 to Y 18; S: ST29,36; CV03,06.
Lochiorrhoea P: CV07; Y 15.
Vaginal discharge, leucorrhea P: CV03,04,06; SP06; ST25; LV03; GB26; S: CV02,05; BL27,31-35; KI10,12; ST29; LV11; T: CV07; BL23,30; GV04; SP10; ST36; LV04.
Metritis P: BL30; SP12; GB26,27; S: BL27,28,31,32; GV04; CV07; GB28,29; T: BL25,33,35; SP06,10; ST29,36; LI04; CV02,03,04; Y 18.
Anoestrus, cystic ovaries, repeat breeders in cows, infertility P: Main point is 4" from mid-line in L5-L6 space (bilateral); use also AhShi points in lumbosacral area (i.e. in area BL23 to BL34); S: points from GV02,03,04; BL23,24,26,31-34,44,53.
DISORDERS OF URINARY SYSTEM
Urinary tract disorders P: CV03,06; ST25; BL31-34; AhShi; S: CV04,05; SP06; LV08; BL23; GV04; X 35 (Sacral 1-4).
Bladder disorders P: CV03,06; SP06; BL23,28; S: BL32; CV04; SP09.
Cystitis P: BL28,38,58; CV03,04; KI02,03; ST28; S: BL23,25,26,31-33,54; GB26,29; SP06,09; CV02; T: ST27.
Bladder pain, spasm (in obstruction, calculi, colic) P: BL23,28; SP06; S: SP09; BL24,25,27,31,33; CV03,04,06; ST30,36
Dysuria, pain or difficulty on urination P: SP06,09; CV03,04; BL32; S: HT08; BL23,27,28,31,33,34,52; SP11; CV02,05,06,09; LV05,08; KI01,04,05,11; ST28,36; GV20.
Haematuria P: BL23,27; CV04,06; S: SP06; LV03; BL28; KI07.
Spastic bladder P: SP06; CV04; S: BL23; KI10; CV06; LV03.
Polyuria, diabetes insipidus P: BL23; CV04; S: GV04; BL21,22,24; LV13; CV03,06; SP06; KI07.
Urinary incontinence P: CV03,04; GV04; SP06; BL22,23; X 35 (L2-S5); S: CV02,06; GV20; BL25,27,28,67; LV01,02,03; KI02
Bladder paralysis P: CV02,03,04; S: GV03; LV02; KI11; BL23,28,40.
Urine retention, postoperative urethral stricture, sphincter spasm; to evacuate bladder in cerebrovascular accident, stroke etc P: SP06; CV04; S: SP09; CV03; BL28; T: BL23,32,43; CV02; ST28
Anuria, retention with coma, unconscious P: KI01; S: GV26
DISORDERS OF LUMBOSACRAL AREA
Lumbar, loin, renal area, sacral area pain, rheumatism, stiffness, lowback syndrome, arthritis, spondylitis P: AhShi; X 35; BL23,25,27,31,40,52,60; GB30,38; GV02,03,04; S: BL22,24,26,32,37,57; SI03; LV09; GV01; GB26,29,34; T: BL33,34,36,39,54,63,64,65; KI03,07; SP08; ST31; GB27.
Lower limb paralysis, posterior paralysis, paraplegia P: X 35; GB30,31,39; ST36; local points for region; GB34 to SP09; S: ST31,32,38,39,41,42; BL11,37,40,54,57,60; KI03; GB33; T: ST33,37,40; SP03,04,06; BL23,25,32,38,39,55,61,62; GB37,40,43; LV03,11; KI07,08; GV02,03; L 24.
Hip, thigh pain/rheumatism, arthritis etc P: AhShi; GB30,31,34; BL23,24; LV08,11; S: GB28,29,32,39; BL30,60; KI03.
Hip dysplasia (dogs) Prevention: Avoid breeding from carriers. Treatment P: GB30,34; Peck periosteum of femoral trochanter; S: GB29,31; BL40,60. (Lumbar pain add BL21,23; GV03). Alternative: under anaesthesia, implant 5-8 gold beads around acetabulum (anterior, dorsal and posterior ridge). This method is safe and highly effective
Knee (stifle) pain, rheumatism, arthritis etc P: AhShi; GB34 to SP09; GB33 to LV08; L 16 to L 16; GB30,38,39; ST33,35; BL40; S: ST34,36; LV07; BL57,60.
Ankle (hock) pain, strain, spavin, arthritis, rheumatism etc P: AhShi; BL60 to KI03; GB39,40; ST41; S: BL59,62,63; SP05,06; GB37
Metatarsal pain, rheumatism, sprain, inflammation P: AhShi; BL60; ST42,43; L 05; S: BL57; ST41,44; KI03; LV03; T: GB34,39,41; SP04,05; KI06; LV02.
Toe (hind digit) pain, arthritis, rheumatism etc P: AhShi; L 08; SP04; LV03; S: ST41,43; GB34,40; BL60; KI03.
AP ANALGESIA
Abdominal surgery in large animals: LU01 with TH08 to PC04.5 (i.e. between PC04 and PC05). See the paper on AP Analgesia.
Abdominal surgery in small animals: BL23 (bilat) with ST36 (bilat) (or) SP06 to BL59 (bilateral).
Thoracic, head and upper limb surgery in small animals: Needle penetrating through the limb at level of PC06 and TH08 (both bilateral).
Inguinal and lower limb surgery in small animals: SP06 to BL59 (bilateral) +\- BL23 (bilateral).