Auricular Therapy - Acupuncture and Massage College：耳穴疗法-针灸推拿学院.ppt

Auricular TherapyAcupuncture Ear Points,Dr.Chuanxin Wang,DAOM,L.Ac,Whats it?,Auricular Acupuncture is acupuncture that is done on the ear.Your ear is a“microcosm”of your body.That means your entire body can be treated from your ear.Your ear,being close to your brain,is very neurologically active.,History-TCM,Stimulating the ear to treat illness is recommended in ancient Chinese medical texts dating back over 2,000 years in“Huang Di Nei Jing”(The Yellow Emperors Classic of Internal Medicine)Tang Dynasty,Dr.Sun,Si-Miao described treatments of jaundice and epidemic diseases by using ear points in“Qian Jin Yao Fang”(Formulas of Thousand Gold),History-Modern,Combination of Traditional Chinese Medicine and modern medicine.Modern Auricular therapy founded by Paul Nogier in 1950s.Also developed in 1960s China.Some differences in point location but overall very similar.Fetal/“Upside-down man”representation.,History-Moden-2,More recently,auricular(ear)acupuncture began to be effectively used in China to treat opium withdrawal symptoms2 Ear acupuncture was subsequently used as an effective treatment for alcoholism3 Ear acupuncture is now used throughout the world as a cost-effective method to treat problems arising from drug and alcohol use4 Indeed,ear acupuncture is used extensively in drug and alcohol treatment facilities,hospitals and prisons in Europe and the USA4,5,The Theory of Biological Holographic,1980s Dr.Zhang,Ying-Qing(Shan Dong University,China)published his theory in“Nature Journal”.Holographic UnitHolographic Fetus,Reflexology-Ear,Treatments,NeedlingPress tacksSeedsBleedingMassageElectric stimulationCold laserInjection,Ear Seeds&Ear Tacks,Ear acupuncture points may be stimulated for a longer period of time by using ear seeds or ear tacks.Ear seeds are small seeds from the Vaccaria plant(Wang-Bu-Liu-Xing).These seeds are held in place on the ear with a small piece of adhesive tape.Ear seeds may be left in the ear for a few days or up to two weeks.Ear tacks are very small needles with an adhesive backing.Ear tacks are inserted into the ear and left in the ear for a few days or up to one week.,Effects,Qi meridians(energy pathways),as described in Chinese medicine,congregate in,or have connections to the ear Ear acupuncture stimulates the movement of vital Qi energy through meridians and facilitates the state of balance and harmony that the human form naturally desires,Effects-2,Interruption and re-routing of neural messagesStimulation of endorphin releaseFacilitation of detoxification from drugs and alcoholAlleviation of withdrawal symptomsReduction of cravings,Effects-3,Restoration of equilibriumRestoration of energy and vitalityRelief of restlessnessReduction of hypersensitivityReduction of anxietyRelief of painPromotion of sleepPromotion of physical and psychological wellbeing,Precautions,Do not needle if external ear is infected or inflamedContraindicated for pregnancy with history of miscarriage;caution otherwiseCaution weak constitutionDo not leave tacks or seeds more than 1 week,Anatomy,Anatomy-2,Structure,Mostly made of cartilage connective tissue and fat(The auricle 3/4-4/5 based elastic cartilage,1/4-1/5 containing fat and connective tissue of the earlobe.)Ample nerve,blood vessels,and lymph glandsSome muscle on the posterior to give ear some mobility,C2、3、4 Section somatic nerves Bran(Cranial nerve)Sympathetic,The structure of the auricle.,Innervation：Ear helix,ear boat and the helix area-Spinal nerve(Auricular nerve and lesser occipital nerve distribution)Concha area-Cranial nerve(Auriculotemporal nerve and vagus nerve,mixed branch of the glossopharyngeal nerve and facial nerve).Triangular fossa:nerve extremely rich,almost all of auricular nerve has a branch to the triangular fossa.,Very rich nerves on Auricle,Sympathetic N：Along the carotid vascular plexus,density of the N fibers with the arterial diameter smaller reduced in thickness ranging from fiber wall.While Only sparse distribution of fibers in the vein wall,Most N fiber distribution in the artery and vein tube anastomosis.（This auricular point prick blood provides a theoretical basis）,Very rich nerves on Auricle,Nomenclature of Acupoint,Names related to their therapeutic propertiesLower blood pressure point,flu point,etc.Names related to the shape and location of the earApex of the ear,etc.Names related to the system functionEndocrine,sympathetic,etc.Names according to the location of acupointsFace-cheek area,hunger point,etc.,Nomenclature of Acupoints,Names related to the anatomyShoulder,elbow,abdomen,etc.Names related to the meridian and zang-fuHeart,spleen,liver,etc.Names related to the nervesSciatic nerve,etc.Names related to the diseaseHypertension,hepatitis,etc.,Somatatopic Representation,Lobe:Face&sensoryAntitragus:Cranial&brainInternal organs in concha:Thorax=Inferior(Cavum)conchaAbdomen=Superior(Cymba)conchaDigestive=around helix crus,Somatatopic Representation-2,Spine on antihelixUpper limb on scaphoid fossaLower limb on upper antihelix crusTriangular fossa=Chinese:Reproductive French:Lower limb,Distribution of Points,1.Ear lobe Head and face2.Antitragus Head and brain3.Notch between antihelix and antitragus brain stem4.Tragus Throat,internal nose,and adrenal5.Antihelix Trunk6.Inferior crus of the antihelix-Buttock,2,1,3,4,5,6,Distribution of Points,7.Superior crus of the antihelix Lower limb8.Scaphoid Fossa Upper limb9.Triangular Fossa Pelvic cavity and internal organs10.Helix crus Diaphragm11.Peripheral area of the Helix Digestive tract12.Cymba Conchae Abdominal Cavity13.Cavum Conchae Thoracic Cavity14.Intertragic Notch Endocrine Gland,7,8,9,10,11,12,13,14,Triangular Fossa,General Location Triangular depression between the upper and lower antihelix crusPoints1.Decrease blood pressure Upper top part of the triangular fossaHeadache,dizziness,hypertension2.Pelvis Located at the corner of the triangular fossa where the upper and lower antihelix crus originate Pelvic inflammation,prostatitis,abdominal pain,dysmenorrhea,1,2,Triangular Fossa,Points3.Constipation Draw a line from pelvis to the lower outer border of the triangular fossa.It is located in the second 1/3.Constipation4.Shenmen Line from decrease blood pressure point to pelvis is divided into 3 parts.It is located at the top of the first lower part.Insomnia,dream disturbed sleep,stress,pain,hypertension,allergy,main point for anesthesia,3,4,Triangular Fossa,Points 5.Hepatitis Midpoint between decrease blood pressure and shenmenJaundice,hepatitis symptoms6.Uterus/Genitals Middle of the front edge of the depression in the triangular fossaIrregular menstruation,dysmenorrhea,uterus,impotence,infertility,seminal emission,decreased sexual function7.Groin Lower border of triangular fossa.Forms an equilateral triangle with the sciatic nerve and the buttock.Line from pelvis to the lower outer border of the triangular fossa,it is at the first 1/3.,6,5,7,Antihelix,General Location Prominence opposite the helixDivide trunk into 5 equal parts from the bottom of the antihelix to the fork of the superior and inferior antihelix crus1.Lower 1/5 Cervical2.Middle 2/5,3/5 Thoracic3.Middle 4/5 Lumbar4.Upper 1/5 Sacral5.Coccyx is at the branching and inferior to the antihelix crus,5,Antihelix,PointsCervical vertebrae Neck trauma,degeneration in the cervical regionThoracic vertebrae Swelling and pain in the thoracic regionLumbar Sacral vertebrae Lumbo-sacral pain and dysfunction in the lower extremitiesNeck On the border of cavum concha of the cervical vertebraeStiff neck,cervical vertebrae,upper extremity atrophy,paralysis,numbnessThyroidBetween the neck and brain stemThyroid disease,obesity,Brain Stem,Neck,Cavum Conchae,General Location The part of the concha inferior to the helix crusPointsHeart Center of the deepest portion of the cavum conchaHeart diseases,palpitation,insomnia,mental disordersLung Upper and lower area adjacent to the heart.Upper is on the opposite lung.Respiratory problems,cough,asthma,skin diseases,profuse sweating,Cavum Conchae,PointsSpleen Midpoint between where the helix crus disappears(Stomach)and the antihelix-antitragus notchDigestive disorders,controlling blood,prolapse,edema due to nutrition problemsTrachea Midpoint of the horizontal line drawn between the heart and the hole of the external auditory canalRespiratory disorders,phlegmTuberculosis Formed by an equilateral triangle with the heart and lower lungsTuberculosis,Lobe,General Location Skin tag without cartilage on the lowest part of the auricle.Create 9 areasDraw a horizontal line immediately below the intertragic notch.Drop 2 perpendicular lines to the bottom of the lobule dividing the lobe into 3 equal partsDraw 2 more lines dividing the ear horizontally into 3 sections.Number them from left to right,top to bottom(1-9),1,2,3,4,5,6,7,8,9,Lobe,PointsEyeCenter of the 5th section of the ear lobeEye diseases such as acute conjunctivitis,near sightednessUpper jawIn the middle of the 3rd section of the lobeUpper toothache,submandibular arthritis gingivitisLower palateIn the superior line,medial 1/3 of 2nd section of the lobeTrigeminal neuralgia,inflammation of the mouth muscle,1,2,3,4,5,6,7,8,9,Lobe,PointsUpper palateIn the posterior lateral line,lower of the 2nd section of the lobeTrigeminal neuralgia,inflammation of the mouth muscleTooth Center of area 1Tooth disordersInternal EarIn the center of area 6Tinnitus,impaired hearing,auditory vertigoNeurastheniaCenter of area 4Toothache,light sleep,awakening early,fatigue,weakness,loss of memory,aches,1,2,3,4,5,6,7,8,9,Cymba Conchae,General Location The part of the concha superior to the helix crusPointsLiver Lateral inferior area of the cymba conchaHepatitis,eye disorders,dizziness,convulsions,menstrual disorders,depressionKidney Lateral superinterior corner of the cymba conchaNephritis,genitalia disorders,tinnitus,hair loss,bone disorders,Cymba Concha,Prostate Upper(super-anterior)corner of cymba conchaProstate disordersUreter-Located in the posterior 1/3 of the line between kidney and prostateUrinary disorders,stonesUrinary Bladder Located between the kidney and prostate,approximately medial 2/3Urinary disorders,urine frequency,sciatica,nephritis,Cymba Concha,Gallbladder and Pancreas Midway between kidney and liverNote:Pancreas is on the left ear,gallbladder is on the right earJaundice,gall stones,hepatitis,migraine,Area Around the Helix Crus,General Location Transverse prominence entering the cavum conchaPointsMouth Located midway between upper 1/3 of the hole of the external auditory canal and the beginning of the Helix Crus.Digestive disorders,mouth ulcers,weight management,Area Around the Helix Crus,PointsLarge Intestine Located at the beginning of the superior outer border of the helix crus.Dysentery,diarrhea,constipation,indigestionStomach In the concha where the helix crus disappearsStomach ulcer,gastritis,indigestion,vomiting,nausea,Area Around the Helix Crus,PointsSmall Intestine It is located 1/3 of the way of the superior outer border of the helix crusDiarrhea,indigestion,abdominal distension,sore throat,infection of the mouth and tongueEsophagus Inferior aspect of the helix crus directly below the small intestineWeight management,speech impairment,acid reflux,Tragus,General Location Cartilaginous projection in front of the exterior meatus of the earPointsApex of the tragus center of the upper parts outer borderAdrenal Gland center of the lower parts outer borderHyper/hypotension,capillary bleeding,temperature problems,anticough,antiasthma,inflammation,Tragus,PointsExternal nose Forms and equilateral triangle with the apex of the tragus and adrenal gland.Rhinitis,nose infectionThirst Point Between tragus apex and external noseDiabetes,excessive thirstHunger Point Midpoint between external nose and adrenal glandWeight management,excessive hunger,Intertragic Notch,Location Depression between the tragus and antitragusPointsEndocrine Base of cavum concha in the intertragic notchHyperthyroidism,obesity,irregular menstruation,dysmenorrhea,amenorrhea,allergy,skin diseases,impotence,endocrine system dysfunctionRaise blood pressure Inferior aspect of the intertragic notchHypotension,Antitragus,Location Protusion at the top of the earlobe opposite to the tragusPointsBrain Antitragus midway between the apex of the antitragus and the antitragus-antihelix notch(inside)Pituitary dysfunctions,parkinsons disease,loss of balance,paralysis,memory problems,Antitragus,PointsTempleMidpoint of the line placed at the lower border of the exterior antitragusHeadachesOcciput(Dizziness Area)Midpoint of the line on the exterior antitragus going from temple to brain stem.Convulsion,stiff neck,insomnia,dizziness,nervousness,pain relief,sedation,Brain Stem,Superior Crus of Antihelix,General Location The superior branch of antihelixPointsToeOuter corner of the superior antihelix crusTrauma,pain,infectionSoleMidpoint of the line from toe to heelBottom of the foot painHeelInner corner of superior antihelix crusHeel pain,Superior Crus of Antihelix,PointsKnee JointCenter of superior antihelix crusTrauma,arthritis,painAnkleMidpoint of the line going from the heel to the knee jointTrauma,infection,pain,sprainHip JointMidpoint of the line where the superior antihelix crus originatesPain,arthritis,Inferior Crus of Antihelix,General Location Inferior branch of the antihelixPointsButtock Located at the beginning of the lower crus,in the centerHip pain,arthritisSciaticMidpoint of the line from the beginning of the lower crus to the endSciatic pain,atrophy,paralysis and numbnessSympatheticAt the end of the upper edge of the lower crusPain of internal organs,palpitation,spontaneous sweating,night sweating,autonomic nervous system,Scapha,General Location Depression between helix and antihelixPointsDivide the scapha into 5 equal parts ClavicleOn the scapha at the level of the heartPain,cervical vertibrae degeneration,shoulder pain,neck pain,Scapha,PointsFingerTop of Scaphoid fossaPain,arthritisWristTop of the 2nd partWrist pain,tendon painElbowTop of the 3rd part Tennis elbow,pain,joint trauma,paralysis,numbnessShoulderTop of the 4th partShoulder pain,paralysis,motion issuesAllergyArea in between finger and wristAny allergy diseases,skin allergies,asthma,Helix Crus,Location-Transverse prominence entering cavum conchaPointsDiaphragm Located at the midpoint of the line from which the helix crus originates.Directly above the entrance to the external auditory canal.Hiccup and vomiting,hiccup due to gastrointestinal issues,respiratory issues,Helix,General Location Lateral curling rim of the auriclePointsEar Apex Located at the top of the helix.When the ear is folded from the middle,the ear apex is the tipAny infections of the head,tonsillitis,facial nerve infection,analgesia,pacifying liver,hypertension,Helix,PointsRectumLocated at the beginning of the helix crus and leveled with large intestineConstipation,diarrhea,prolapse of the anus,hemorrhoids,chronic colitis,dysentery,urgencyExternal genitaliaLocated