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Journal of Acuherb in Medicine


Ear Acupuncture flashcard

J. of Acuherb in Medicine By: | 2013.05.14
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Ear Acupuncture  flashcard    82 terms

Terms

Definitions

What are the convex structures of the ear?

Anti-helix, Superior anti-helix crus, Inferior anti-helix crus, helix crus

What are the concave structures of the ear?

Cavum, cymba, external auditory meatus, scapha, trangular fossa

When building an ear prescription, how many zones are used?

5 (including 1 master)

How long are needles retained in an ear prescription?

25 minutes

How long are needles retained in the NADA protocol?

45 minutes

How do you choose the zones to build an ear treatment?

Match the zones to the diagnosis

If the patient’s complaint is one-sided (ex. frozen shoulder, sprained ankle, bell’s palsy on the right side of the face), which ear do you treat?

The affected side

If the patient’s complaint is systemic, which three things can you do to determine which ear to treat?

1. Visually inspect each ear for discoloration, texture, broken blood vessels, etc.
2. Probe for tenderness
3. Have patient interlace their fingers and see which thumb is naturally placed on top to find the dominant side and needle that.

Name the 6 zones of the scapha.

Clavicle, shoulder, elbow, wrist, fingers,urticaria (internal tubercle)

Name the 5 zones of the superior anti-helix crus.

Toes, heel, ankle, knee, hip

Name the 3 zones of the inferior anti-helix crus.

Buttocks, ischium, sympathetic

Name the 6 zones of the anti-helix.

Cervical vertebrae, thoracic vertebrae, lumbo-sacral vertebrae, neck, chest, abdomen

Name the 11 zones of the lobe.

Anterior tragic notch (eye 1), inferior tragic notch, posterior tragic notch (eye 2), tongue, jaw, anterior ear lobe (neurasthenia), eye, interior ear, helix 5, tonsil, helix 6

Location: Finger

At the top of the scapha

Location: Interior Tubercle (urticaria)

Midpoint between Finger and Wrist

Location: Wrist

Midway between Elbow and Finger

Location: Elbow

Midway between Finger and Clavicle

Location: Shoulder

Midway between Elbow and Clavicle

Location: Clavicle

On scapha at level with helix-tragic notch

Function: Finger

Pain and dysfunction at corresponding area of the body

Function: Interior tubercle

Expelling wind and stopping itching

Function: Wrist

Pain and dysfunction at corresponding area of the body

Function: Elbow

Pain and dysfunction at corresponding area of the body

Function: Shoulder

Pain and dysfunction at corresponding area of the body

Function: Clavicle

Pain and dysfunction at corresponding area of the body, peripheral arthritis of the shoulder, Takayashu’s disease (pulseless disease)

Location: Toe

Superior and lateral angle of the superior anti-helix crus

Location: Heel

Superior and medial angle of the superior anti-helix crus

Location: Ankle

Midway between Heel and Knee

Location: Knee

Middle portion at superior antihelix crus

Location: Hip

At inferior 1/3 of the superior antihelix crus

Function: Toe

Pain and dysfunction at corresponding area of the body

Function: Heel

Pain at the corresponding area of the body

Function: Ankle

Ankle sprain, pain and dysfunction at corresponding area of the body

Function: Knee

Pain and dysfunction at corresponding area of the body

Function: Hip

Pain at corresponding area

Function: Buttocks

Pain at corresponding area

Function: Ischium

Sciatica

Function: Sympathetic (end of inferior antihelix crus)

Antispasmotism and analgesia, nourishing yin and supporting yang.

Indications: Sympathetic (end of inferior antihelix crus)

Pain of internal organs, palpitation, spontaneous sweating, night sweating, functional disorders of autonomous nerve system

Location: Buttocks

At lateral 1/3 of the inferior antihelix crus

Location: Ischium

At medial 2/3 of the inferior antihelix crus

Location: Sympathetic

The terminal of inferior antihelix crus

Location: Cervical, Thoracic, Sacral Vertebrae

A curved line from helix-tragic notch to the branching area of superior and inferior anti-helix crus can be divided into 3 equal segments

Function: Cervical, Thoracic, Sacral Vertebrae

Strengthening spine and nourishing marrow

Location: Neck

On the border of cavum conchae of Cervical Vertebrae

Location: Chest

On the border of cavum conchae of Thoracic Vertebrae

Location: Abdomen

On the border of cavum conchae of Lumbosacral Vertebrae

Function: Neck

Strained neck, wry neck, pain or dysfunction of the neck

Function: Chest

Pain and stuffiness of the chest, or pain at the corresponding part of the body

Function: Abdomen

Abdominal or gynecological diseases, lumbago

Location: Shen Men

At bifurcating point between superior and inferior antihelix crus and at the lateral 1/3 of triangular fossa

Function: Shen Men

Sedation, easing mind, relieving pain, clearing heat

Location: Anterior Tragic Notch (eye 1)

On medial and anterior side of intertragic notch

Function: Anterior Tragic Notch (eye 1)

Clearing up liver and brightening vision.

Indications: Anterior Tragic Notch (eye 1)

Glaucoma, pseudomyopia and other eye diseases

Location: Inferior Tragic Notch (raise blood pressure)

On the inferior aspect of intertragic notch

Function: Inferior Tragic Notch (raise blood pressure)

Reinforcing qi and elevating yang

Indications: Inferior Tragic Notch (raise blood pressure)

Hypotension

Location: Posterior Tragic Notch (eye 2)

On lateral and inferior aspect of intertragic notch

Function: Posterior Tragic Notch (eye 2)

Clearing up liver fire and brightening vision.

Indications: Posterior Tragic Notch (eye 2)

Ametropia, external eye inflammation, etc.

Location: Tongue

In the center of the second section of lobule

Function: Tongue

Clearing up heart fire

Indications: Tongue

Glossitis

Location: Jaw

In the center of the third section of lobule

Function: Jaw

Toothache, submandibular arthritis, etc.

Location: Anterior Ear Lobe (neurasthenia)

In the fourth section of lobule

Function: Anterior Ear Lobe (neurasthenia)

Communicating water and fire, tranquilizing heart and easing mind

Indications: Anterior Ear Lobe (neurasthenia)

Toothache, neurasthenia

Location: Eye

In the fifth section of lobule

Function: Eye

Brightening vision

Indications: Eye

Acute conjunctivitis, electric opthalmia, myopia, and other eye diseases

Location: Internal Ear

In the sixth section of lobule

Function: Internal Ear

Relieving vertigo and improving hearing

Indications: Internal Ear

Tinnitus, impaired hearing, auditory vertigo, etc.

Location: Tonsil

In the eighth section of lobule

Function: Tonsil

Relieving throat problems

Indications: Tonsil

Acute tonsillitis

Location: Helix 6

At bottom tip of lobule, in section

Location: Helix 5

At edge of lateral lobule, midway between dividing lines of section 6

Function: Helix 5 & 6

Clarifying heat and relieving pain, pacifying liver and removing wind

Indications: Helix 5 & 6

Fever, tonsillitis, hypertension

 

 

 

point for fever, inflammation, hypertension, revival from hepatic coma, or for analgesic or sedative effect. Use moxa for keratitis

Ear apex

where is the ear apex point?

when ear is bent toward tragus, this point can be found at the tip of fold on superior aspect of helix

point for allergic diseases

allergy

where is the allergy point?

on scapha, medial to wrist point

point for nephritis, pyelonephritis

nephritis

where is nephritis point?

lateral and inferior to clavicle point, in the depression on lower margin of scapha

point for disruption in both autonomic (sympathetic and parasympathetic) nervous system

sympathetic

point that has strong analgesix and relaxant effect upon internal organs (esp. for relieving pain associated with ulcers, stomach spasm, roundworms in bile duct, gall and urethral stones)

sympathetic

point that dilates blood vessels

sympathetic

point useful in treating circulatory and ophthalmologicaldiseases, and excessive sweating: important point for anesthesia

sympathetic

 

 

where is sympathetic point located?

at the intersection of the superior border of the inferior crus of antehelix and medial border of the helix

point used to treat acute mastitis, lumps in the breast

mammary glands

where is the mammary gland located?

two points on the antehelix, both below the chest point, one medial, the other lateral

point used for inflammation, allergies, shock, rheumatism and serious poisoning symptoms resulting from bacterial infection

adrenal

point used to stimulate adrenalin and adrenocortical hormones

adrenal

point that affects the dilation and constriction of blood vessels, hyper and hypotension, capillary hemorrhage

adrenal

point that regulates excitation or inhibition of respiratory function

adrenal

point used for fever, certain skin diseases, and chronic illness

adrenal

point used to relieve thirst, diabetes, polyuria

thirst

point used to relieve hunger, diabetes, compulsive eating

hunger

 

where is the thirst point located

above external nose point on the tragus

where’s the hunger point located

below external nose point on the tragus

where is parotid gland located?

on antitragus, medial to stop wheezing point

* parotitis, obstruction of parotid ducts

* relieves itching symptoms of many diseases

parotid gland

 

aximum number of zones one can treat?

How many needles in a zone maximum?

5 zones in one treatment

As many as make sense, but usually @ 3.

How to decide which ear to treat?

1) systemic or sided
R pain = R treatment

2) look for “story” i.e. broken vessels, redness, etc.

3) probe for tenderness

4) find dominant ear, have patient intertwine fingers

Retention time?

usually 20-25 minutes

NADA = 45 minutes

Pregnancy Cx

1st trimester:
no lower back or abd points

2nd trimester:
LI 4, SP 6, GB 20, GB 21, UB 60, UB 67
no upper, lower back or sacrum

General Cx

Patients who are:
unfed
on drugs or drink

Infant heads (fontanelles)
not on vessels
caution @ chest, heart, major vessels

Top 5 Accidents:

1) sycope

2) stuck needle

3) bent needle

4) broken needle

5) hematoma

How to diagnose / choose points?

1) Disease location

2) TCM theory

3) Clinical experience

Nogier basics

ear lx = what kind of treatment?

concha = disc d/o

scapha = muscular d/o

Scapha

How many zones?
Names, locations, functions?

6 zones

clavicle @ level of helix-tragic notch: P, Takayashu’s dz

finger @ top of scapha: P

elbow mdwy btwn clavicle and finger: P

shoulder mdwy btwn elbow and clavicle: P

wrist mdwy btwn finger and elbow: P

interior tubercle/urticaria mdwy btwn finger and wrist: expel wind, stop itching

Antihelix

How many zones?
Names, locations, functions?

6 zones, antihelix divided into 3rds. ALL 3 TX P, STR SPINE and NOURISH MARROW

Cervical in lower 1/3rd
-Neck on cavum concha border: neck d/o

Thoracic in middle 1/3rd
-Chest on cavum concha border: chest P

Lumbar in upper 1/3rd
-Abdomen on cavum concha border: abd or gyne dz, low back pain

Inferior Antihelix Crus

How many zones?
Names, locations, functions?

3 zones, IAC divided into 3rds

Buttocks @ lateral 1/3rd: P

Ischium/Sciatic @ medial 2/3rds

End of IAC/Sympathetic @ terminus of IAC: 
nourish yin/yang
anti-spasmotic
tx autonomic system
analgesic
fxnl d/o of nervous system

Superior Antihelix Crus

How many zones?
Names, locations, functions?

5 zones, SAC divided into 3rds

Toes @ superior/lateral angle of SAC: P (“toes” in SAC touch “fingers” in scapha)

Heel @ superior/medial angle of SAC: P

Ankle @ mdpt btwn heel and knee: P, sprain, dysfxn

Knee @ middle 1/3rd of SAC: P

Hip @ inferior 1/3rd of SAC: P

Lobule

How many zones?
Names, locations, functions?

11 zones (none in 7 or 9)

ANT Tragic Notch/Eye 1 @ med/ant to IN: clear LV, brighten vision (glaucoma, pseudomyopia)

POST Tragic Notch/Eye 2 @ lat/inf to IT: clear LV fire, brighten vision (inflammation, ametropia)

INF Tragic Notch/Raise BP (1) @ med/ant to ITN: raise BP, elevate yang, str qi

Tongue @ center of 2: heart fire, glossitis

Jaw @ center of 3: toothache, P

ANT Ear Lobe/Neurasthenia @ 4: 
communication btwn fire & water, calm spirit, toothache

Eye @ 5: vision, conjunctivitis, myopia, electric ophthalmia

Internal Ear @ 6: vertigo, hearing, tinnitus

Tonsil @ 8: throat d/o, tonsillitis

Helix 5 @ edge of 6: CH, relieve pain, pacify LV/wind (fever tonsillitis, HTN)

Helix 6 @ edge of 8: as above + DU 20-like (prolapse, fatigue, depression)

clavicle

scapha @ level of helix notch: P, Takayashu’s dz

finger

scapha @ top of scapha: P

elbow

scapha @ mdpt btwn clavicle and finger: P

shoulder joint

scapha @ mdpt btwn elbow and clavicle: P

wrist

scapha @ mdpt btwn finger and elbow: P

interior tubercle/urticaria/allergy

scapha @ mdpt btwn finger and wrist: expel wind, stop itching

Cervical

antihelix in lower 1/3rd: nourish marrow, P

Neck

antihelix @ cavum concha border of Cervial: neck d/o

Thoracic

Antihelix in middle 1/3rd: nourish marrow, str spine, P

Chest

Antihelix on cavum concha border of Thoracic: chest P

Lumbosacral

Antihelix in upper 1/3rd: nourish marrow, str spine, P

Abdomen

Antihelix, on cymba concha border of Lumbosacral: abd or gyne dz, low back pain

Buttocks

Inferior Antihelix Crus @ lateral 1/3rd: P

Ischium/Sciatic

Inferior Antihelix Crus @ medial 2/3rds

End of IAC/Sympathetic

Sympathetic @ terminus of Inferior Antihelix Crus: 
nourish yin/yang
anti-spasmotic
tx autonomic system
analgesic
fxnl d/o of nervous system

Buttocks

Inferior Antihelix Crus @ lateral 1/3rd: P

Ischium/Sciatic

Inferior Antihelix Crus @ medial 2/3rds: sciatica

Maxilla/Jaw

lobe @ center of 3: toothache, P, gum swelling, stiffness of the TMJ, mouth ulcers, submaxillary lymph swelling, anesthesia for tooth extraction.

ANT Ear Lobe/Neurasthenia

lobe @ border btwn 1 and 4: “Neurasthenia,”
communication btwn fire & water, calm spirit, toothache

Eye

lobe @ 5: vision, conjunctivitis, myopia, electric ophthalmia

Inner Ear

lobe @ 6: vertigo, hearing, tinnitus

Tonsil #4

lobe @ 8: throat d/o, tonsillitis, pharyngitis

Helix 5

lobe @ edge of 6:tonsillitis pharyngitis (CH, relieve pain, pacify LV/wind,fever, HTN)

Helix 6

lobe @ edge of 8: tonsillitis pharyngitis + DU 20-like (prolapse, fatigue, depression)
       

 

 

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