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Auricular acupuncture

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Auricular acupuncture Lecturer: Qu Hongyan Contents Relationship between the ear, channels and zang-fu organs 2. The anatomy of the auricle 3. – PowerPoint PPT presentation

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Title: Auricular acupuncture


1
  • Auricular acupuncture

Lecturer Qu Hongyan
2
Contents
  • Relationship between the ear, channels and
    zang-fu organs
  • 2. The anatomy of the auricle
  • 3. The concept and distribution of
    auricular points
  • 4. Locations and indications of some points
  • 5. Exploration of auricular points

3
Concept
  • Auricular acupuncture is one of the
    acupuncture therapies used to prevent and treat
    diseases. It is done by needling or stimulating
    areas on the ear.

? a wide range of indications ? a good
therapeutic effect ? convenient for everyday
use and easy to perform ? safe and no side
effect
Features
4
The origin of auricular acupuncture
  • Auricular diagnostic and therapeutic
    methods were first recorded in Chapter 20 of Ling
    Shu that when pathogenic factors attack the
    liver, it will cause pain in the
    hypochondrianeedle the blue vessels around the
    ear to relieve the dragging pain. In the 24th
    chapter of Ling Shu it says, for the deaf who
    cant hear, needle the center of the ear. It is
    also recorded in Qian Jin Yao Fang( Prescriptions
    Worth a Thousand Gold (Invaluable ) for
    Emergencies that needling Point Center is an
    appropriate treatment for jaundice, diseases due
    to cold, summer-heat or epidemic, pathogenic
    factors. In other classic medical literary texts
    there are descriptions of stimulating the ears
    and certain auricular areas with needles,
    moxibustion, massage and herbal suppositories to
    treat and prevent diseases as well as inspecting
    and palpating the auricles to assist in disease
    diagnoses. These methods are still used as folk
    remedies, which demonstrates that auricular
    therapy has a very long history associated with
    the diagnosis and treatment of diseases in China.

5
Relationship between the ear and channels
  • The channels of the hand-taiyang,
    hand-shaoyang, foot-shaoyang and the collateral
    of the hand-yangming enter the ear
  • The channels of foot-yangming and
    foot-taiyang travel to the front of the ear and
    above the ear respectively
  • The divergent channel of the hand-jueyin
    comes out from the back of the ear
  • The vessels of the yang heel and yin heel go
    to the back of the ear
  • The six-yin meridians connect to the ear by
    means of their divergent channels that separate,
    enter, resurface and finally join their
    interior-exterior related yang channels
    respectively.

6
Relationship between the ear and zang-fu organs
  • The ear has close relation with zang-fu
    organs as well. According to records in Nei Jing,
    the ear links to the five-zang organs
    physiologically.
  • In Li Zheng An Mo Yao Shu(The Extensive
    Techniques of Massage) the back of the ear is
    divided into five parts that correspond to the
    five-zang organs respectively.

7
The anatomy of the auricle
8
The concept and distribution of auricular points
  • Auricular points are the specific areas
    distributed over the ear. When there is an
    illness in the body, it may manifest on the ear
    as tenderness, deformities, discoloration, and
    disturbance in the skins electrical properties.

concept
9
Points related to the portion of the head are
located on the ear lobe Points related to
the upper limbs are located on the scapha
Points related to the trunk and lower limbs are
located on the body of the antihelix and superior
and inferior antihelix crus Points related
to the organs in the abdomen are located on the
cymba concha Points related to the organs in
the chest are located on the cavum concha
Points related to the digestive tract are
distributed around the helix crus
Regularities
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11
Locations and indications of some points
12
Points on the Helix
  • Erjian(HX6,7 ) ear apex
  • ?Location? At the apex where the ear is
    folded forward at the juncture of area 6 and 7 of
    the helix
  • ?Indication? Fever, hypertension, ocular sty,
    acute conjunctivitis, toothache

13
Points on the Antihelix
  • Jiaogan(AH6) sympathesis
  • ?Location? At the junction of the end of the
    inferior antihelix crus and the medial edge of
    the helix in the front of area 6 of the antihelix
  • ?Indication? spasm of the stomach and
    intestines, angina, biliary colic, ureterolith,
    functional disorders of autonomic nerves

14
Points on the Triangular fossa
  • Shenmen(TF4)
  • ?Location? At the upper part of the
    posterior 1/3 of the triangular fossa, at area 4
    of the triangular fossa
  • ?Indication? Insomnia, profuse dreaming,
    withdrawal syndrome, epilepsy, hypertension,
    neurasthenia, pain disorders

15
Points on the concha
  • Neifenmi(CO18) endocrine
  • ?Location? On the inside of the notch of
    the intertragus and anterioinferior part of the
    cavum concha at are 18 of the concha
  • ?Indication? dysmenorrhea, irregular periods,
    menopause syndrome, acne, malaria,
    hyperthyroidism or hypothyroidism

16
  • Exploration of auricular points
  • ? Inspection
  • ? Detection of the tender spot
  • Measurement of electrical resistance

17
Inspection
  • Auricular inspection is to check for
    abnormal changes on the ear in order to diagnose
    diseases or disorders.
  • The most commonly seen positive changes
    include deformities, discoloration, pimples,
    desquamation, nodules, congestion, depression
    blister and so on.

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Detection of the tender spot
  • This method searches for the tender spots
    on the ears with a probe, the head of an
    acupuncture needle handle, or the end of a
    matchstick by pressing and moving on the surface
    of the ear gently and smoothly.

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21
Measurement of electrical resistance
  • This technique detects decreased electrical
    resistance in points with an electrical detector
    that has an indicator lamp or special sound.

22
Clinical application of auricular acupuncture
  • 1. Assistant diagnosis
  • 2. Principles for selecting auricular
    points
  • 3. Indications of auricular acupuncture
  • 4. Manipulations
  • 5. Retaining and withdrawing of needles

23
Assistant diagnosis
  • When there is an illness in the
    body, especially the organic disease, it may
    manifest on the ear as positive reactions. There
    maybe tenderness, deformities, discoloration, and
    disturbance in the skins electrical properties.
    We can establish the diagnosis according to these
    reactions combined with symptoms, signs and
    medical history.

24
Principles for selecting auricular points
? Choosing the corresponding point to the
location of the diseased or affected part of the
body e.g. Select the stomach (CO4) for the
treatment of stomachache
? Choosing the points based on the visceral
manifestation theory e.g. Choose the kidney
(CO10) for alopecia Choose the lung
(CO7) and large intestine (CO14) for skin
diseases
25
Principles for selecting auricular points
? Choosing the points based on the channel
pattern identification e.g. Select the bladder
(CO9) or pancreas and gallbladder (CO11) for
sciatica Choose the large intestine
(CO7) for toothache
? Choosing the points based on modern medical
theory e.g. Choose Shenmen (TF4) and Subcortex
(AT4) for painful conditions and inflammation
Select the endocrine (CO18) for irregular
periods
26
Principles for selecting auricular points
? Choosing the points based on clinical
experience e.g. Select external genital (HX4)
for pain in the lower back and legs
Ear apex (HX6,7i) for bloodletting and for red,
swollen and painful eyes.
27
Indications for auricular acupuncture
  • Painful disorders
  • Inflammatory and infectious diseases
  • Allergic diseases
  • Endocrinal and metabolic disorders
  • Others

Beauty therapy, smoking and drug addiction,
anti-aging and disease prevention
28
Manipulation
  • Select points According to the diagnosis to
    determine the prescription and appropriate
    auricular points
  • Disinfection Beside disinfect the needles and
    fingers of doctors, the auricular points should
    be swabbed with 2 iodine first and then with 75
    alcohol as routine asepsis.

29
Manipulation
  • Treatment methods
  • Filiform needles that are 0.5 cun in length or
    specially made thumbtack type needles are
    selected for auricular acupuncture. To begin with
    the procedure, stablize the ear with the left
    hand and insert the needle with right hand for
    the thumbtack type intradermal needle insertion,
    the needle should be fastened to the ear with a
    piece of adhesive tape and kept in place for 2 to
    3 days.
  • The points may also be treated with the
    ear-pressing method. Magnetic beads or wang bu
    liu xing are fastened to the ear with a piece of
    adhesive tape on the auricular points and kept in
    place for 3 to 5 days. The patient is asked to
    press the selected points 2 to 4 times a day.

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  • There will be local pain or heat
    sensation in most of the patients after the
    needle insertion. They may experience soreness,
    numbness, heaviness or coldness due to the
    needling sensation traveling along certain
    channels. General speaking, patient who
    experience these sensations obtain a relatively
    better therapeutic outcome.

32
Retaining and withdrawing of needles
  • Filiform needles are allow to be
    retained for 20 to 30 minutes. However, they may
    be prolonged by 1 to 2 hours or even longer for
    chronic conditions. During the needle retention,
    the needles should be rotate intermittently, when
    removing the needles, stabilize the ear with the
    left hand, and withdraw the needles with the
    right hand and press the needle opening quickly
    with dry cotton balls if bleeding occurs.

33
Precautions
  • The ears should be disinfected carefully to
    prevent infection
  • Filifrom needling on auricular areas may produce
    strong pain, so explanation is necessary before
    treatment in order to obtain cooperation from
    patients
  • When treating a sprain or other soft tissue
    injuries, the patient should be encouraged to
    move the affected part in order to increase the
    therapeutic outcome
  • Needling fainting should also be prevented from
    happening during auricular acupuncture. Prompt
    intervention is needed if this happens.

34
Contraindications
  • Auricular acupuncture should be contraindicated
    for pregnant women or women who are prone to
    abortion
  • This therapy is not advisable for patients with
    frostbite, ulceration, eczema and so on
  • It is not recommended for patients with severe
    diseases or bad anemia
  • In the treatment of severe heart disease or
    severe hypertension, strong stimulation should be
    avoided
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