4.3.19 Advanced Korean Hand Therapy Workshop: Improving Health through Acupuncture Energy Balance Lawrence Li, MD, MPH and Dan Lobash, Ph.D., L.Ac. AANP Annual Conference June 10 - 11, 2004 Objectives : Following this presentation, the participant will be able to: 1. Review Basic Correspondence experience by participants; Q & A 2. Apply new correspondence points for the internal organs (Mu points) 3. Understand the concept of energy circulation and balance in health and the role of lifestyle and Traditional Chinese Medicine diagnostic and therapeutic approaches to improve energy balance. 4. Demonstrate the following diagnostic skills: a. O-ring muscle testing (applied kinesiology) to determine appropriate treatments. b. Identify which acupuncture body meridians are involved for musculoskeletal problems. Describe their location on the hand under the KHT system. 5. Demonstrate the following treatments: a. Sedation and Tonification of meridians using pellet bandaids. b. Upper, Middle & Lower Heater patterns c. Gender patterns d. Eight extraordinary meridians to balance posture and energetics e. Five element theory for the Three Constitutional Treatments (Spleen, Kidney or Large Intestine excess) to balance overall energy. 6. Be able to use KHT formulas to apply press pellets to address common internal medicine problems. • Sinus/Nose/Ear • Digestive • Women’s Health • Anxiety/Depression: Energetic Valium All participants should have taken the Basic KHT Workshop as there will be no review of this material. Correspondence Therapy Enhancements 1. Add Mu or Shu points (organ balance)
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4.3.19
Advanced Korean Hand Therapy Workshop: Improving Health through Acupuncture Energy Balance
Lawrence Li, MD, MPH and Dan Lobash, Ph.D., L.Ac. AANP Annual Conference June 10 - 11, 2004
Objectives: Following this presentation, the participant will be able to: 1. Review Basic Correspondence experience by participants; Q & A 2. Apply new correspondence points for the internal organs (Mu points) 3. Understand the concept of energy circulation and balance in health and the role of lifestyle and
Traditional Chinese Medicine diagnostic and therapeutic approaches to improve energy balance. 4. Demonstrate the following diagnostic skills:
a. O-ring muscle testing (applied kinesiology) to determine appropriate treatments. b. Identify which acupuncture body meridians are involved for musculoskeletal problems.
Describe their location on the hand under the KHT system. 5. Demonstrate the following treatments:
a. Sedation and Tonification of meridians using pellet bandaids. b. Upper, Middle & Lower Heater patterns c. Gender patterns d. Eight extraordinary meridians to balance posture and energetics e. Five element theory for the Three Constitutional Treatments (Spleen, Kidney or Large Intestine
excess) to balance overall energy. 6. Be able to use KHT formulas to apply press pellets to address common internal medicine problems.
• Sinus/Nose/Ear • Digestive
• Women’s Health • Anxiety/Depression: Energetic Valium
All participants should have taken the Basic KHT Workshop as there will be no review of this material.
Correspondence Therapy Enhancements1. Add Mu or Shu points (organ balance)
Figure 1
Table 1: Mu points for Yang, Yin, Kidney excess syndromes
Organ Point Liver Spleen Large Intestine
N19 F19 E22
Bladder Stomach
A3 A12
2. Add an energetic Heater pattern To improve energy balance in the chest, abdomen or pelvis
Traditional Chinese Medicine TCM considers the patient as a microcosm of the universe, subject to the influences of the environment and internal harmony. Patients are subject to the interplay of external factors such as wind, heat, dryness, dampness and cold which act on the elemental qualities of the human body such as wood, fire, earth, metal and water. Internal factors such as anxiety, sadness, anger, and elation also influence health as well as the interplay between the classic polar stations of yin and yang. TCM has a different anatomical and physiological construct which is internally logical and consistent but different from the Western model. To explain TCM in Western terms is difficult, but to explain TCM from an Eastern philosophical standpoint is easy. Ultimately, a Western practitioner must accept acupuncture as a scientifically validated treatment without fully understanding its mechanism of action. Many drugs in the Western pharmacopeia work clinically but are without adequate physiological
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 3 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance
4.3.19
explanations as to their effectiveness. Aspirin was used for more than 100 years before its mechanism of action was recently elucidated, and this scientific achievement was awarded the Nobel prize. Energy Circulation Life energy, or Qi (“chee”) must circulate throughout the body and in the anatomical territory of each of the internal organs. Qi is said to normally flow along meridians, which are theoretical channels to carry and distribute Qi. The meridians divide the body into six sagital territories of influence. Blockages in the flow of Qi are said to cause disease much like blockages of blood flow can cause damage downstream. KHT Treatment of Energy Imbalance: Overview 1. Five Element Theory —> Three Constitutions: Excess Kidney, Large Intestine or Spleen
• Determine by Muscle Testing or Pulse Taking (hard; 6 months skill) • Balance with pellet bandaids or rings
2. Micromeridian: Balance through Sedation or Tonification of Energy Flow 3. Eight Extraordinary Meridians: composite superhighway: Balance posture, energetics Yin - Yang Cycle Figure 3 Figure 4
Everything flows in cycles. Every organ interacts with other organs. Problems seldom occur in isolation.
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 4 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance
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Five Element Cycle Figure 5
YANG (outer circle) Gall Bladder Small Intestine / Triple Heater Stomach Large Intestine Bladder
Dynamic Energy balance • Illness, injury • Diet, Activity, Herbs, Acupuncture • One change creates many changes; meridian relationships
Figure 6: SEE – SAW
Increase/Decrease Yin <—>
Decrease/Increase Yang Chinese Body Acupuncture Map Table 4
Internal organ names NOT necessarily correlated with organ disease.
12 Meridians (6 pairs) each side of the body
Italicized = Key Diagnostic meridians in KHT
Yin meridians flow out to fingers, in from toes. Yang meridians flow in from fingers, out to toes.
Organ Liver Heart Spleen Lungs Kidney Season Spring Summer Harvest Fall Winter Element Wind Heat Damp Dryness Cold Paired Yang organ
Gallbladder Small Intestine
Stomach Large Intestine
Bladder
Emotion Anxiety Joy Thought Sadness Fear
YANG ORGAN YIN ORGAN
Large Intestine Lung Stomach Spleen Bladder Kidney
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 5 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance
4.3.19
Fig. 8: Chinese Body Acupuncture Map, Front & Back views
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 6 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance
4.3.19
Fig. 9: Chinese Body Acupuncture Map, side view + head
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 7 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance
4.3.19
Fig. 10: Korean Hand Therapy Micromeridian map
TH T
riple
Hea
ter
SI
Smal
l Int
estin
e LI
La
rge
Inte
stin
e
GB
Gal
l Bla
dder
B
L B
ladd
er
KI
Kid
ney
LU L
ung
PC P
eric
ardi
um
HT
Hea
rt LR
Liv
er
SP
Sple
en
ST
Stom
ach
Palm
of L
eft h
and
Back
of R
ight
han
d M
erid
ians
flow
one
way
in th
e di
rect
ion
of th
e ar
row
. T
onifi
catio
n: e
ncou
rage
mov
emen
t in
SAM
E di
rect
ion
as m
erid
ian
Seda
tion:
Enc
oura
ge m
ovem
ent i
n O
PPO
SITE
dire
ctio
n as
mer
idia
n
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 8 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance
4.3.19
OPTIONS TO IMPROVE RESULTS BEYOND CORRESPONDENCE THERAPY: KHT pellets create directional flow, from Aluminum (Silver) negative —> Brass (Gold) positive
1. TONIFY the weaker meridian: apply pellets in the same direction as the meridian flow. Usually this is a Yin Organ. Example: Tonify LUNG: Apply aluminum pellet on PIP, brass pellet on DIP on C meridian
2. SEDATE a meridian: apply pellets in the opposite direction to the meridian flow. Usually this is a Yang organ. Example: Sedate Large Intestine: Apply aluminum pellet on PIP, brass pellet on DIP on D meridian
Table 5: Chinese & KHT Acupuncture Meridian Pairings (Tai = Great, Xiao = Small, Ming = Bright) Energy Axis
Yin organ Abbrev. KHT Energy Axis
Yang organ Abbrev. KHT
Conception Vessel (Ren)
CV A Governing Vessel GV B
Lung (arm) LU C Large Intestine LI D Tai Yin Spleen (leg) SP F Yang Ming Stomach ST E Heart HT G Small Intestine SI H Xiao Yin Kidney KI J Tai Yang Bladder BL I Pericardium (Master Heart)
PC (MH)
K Triple Warmer (San Jiao, Triple Heater) See Table 2
TW (SJ, TH)
L
Jue Yin
Liver LR N
Xiao Yang
Gallbladder GB M
3. Creating energetic movement across a meridian pair or an energy axis e.g., Meridian pair: Tonify LUNG: Apply a brass pellet at C9, aluminum pellet at D2
4. Tonify the Gender pattern (improves energy balance) Female: A1, 4, 6, 8, 12 A4 corresponds to the uterus
Male: A1, 3, 6, 8, 12 A3 corresponds to the bladder and prostate
5. Eight Extraordinary meridians (8 EM) for Treating Excess Large Intestine, Spleen & Kidney Energy
Excellent for creating global improvement in energy balance, improving posture
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 9 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance
4.3.19
Table 6: Eight Extraordinary Meridians
Tongue findings • Red perimeter signifies Liver energy excess;
common in the Spring. Irritability, resentment/anger, ligament problems
• Scalloped tongue edge (tooth edema marks) =
Spleen imbalance. Excessive introspection • Red tip = Heart overactive, poor recent sleep.
Overactive emotions, mania
Fig. 11: Liver excess tongue
Excess Meridian + gold
- silver
Large Intestine Yin F4 K9 Large Intestine Yang H2 I38 Spleen Yin C8 J2 Spleen Yang L4 M31
Kidney Yin J2 C8 Kidney Yin K9 F4 Kidney Yang M31 L4 Kidney Yang I38 H2
Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference June 10 –11, 2004 10 Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance
4.3.19
Muscle Testing (Applied Kinesiology)
History: • Research by George Goodheart. Benign
physical stimuli (e.g., nutritional supplements) would increase the strength of certain indicator muscles. Inimical stimuli would cause those muscles to weaken suddenly.
• John Diamond, M.D.: Indicator muscles would strengthen or weaken in the presence of positive or negative emotional and intellectual stimuli, as well as physical stimuli. Books: Diamond, J. Your Body Doesn't Lie:How to Increase Your Life Energy Through Behavioral Kinesiology. New York: Warner Books, Inc.; 1979. Behavioral Kinesiology. New York: Harper & Row; 1979.
• David Hawkins: comprehensive analysis of the emotional and spiritual development of individuals, societies, and humanity in general. Important book: Hawkins, David R. Power versus Force: An Anatomy of Consciousness. Sedona, AZ: Veritas Publishing; 1998.
Potential uses: Distinguish Truthful from False statements • Identify which Constitutional pattern to use. • Identify improvement in acupuncture
AANP Advanced KHT Workshop July 2-3, 2003 13 Lawrence Li, M.D. & Dan Lobash, Ph.D.
4.3.19
Resources Lawrence Li, MD, MPH; [email protected] Community Health Centers of the Central Coast 805-938-9200, fax 805-938-0920 2801 Santa Maria Way, Suite A, Santa Maria, CA 93455 Dan Lobash, Ph.D., L.Ac. [email protected] KHT Systems (877) 244-4325 phone, fax; www.KHTSystems.com; [email protected] P.O. Box 5309, Hemet, CA 92544. KHT supplies, charts, training videotapes. Seminars: $250 for level I weekend course. American Academy of Medical Acupuncture; 800-521-2262; to find MD’s that provide acupuncture www.medicalacupuncture.org National Certification Commission for Acupuncture and Oriental Medicine; www.nccaom.org; to find qualified acupuncturists (Dipl. Ac.) and Chinese herbalists (Dipl. C.H.) KHT References 1. “KHT Health and Well Being Through Koryo Hand Therapy.” Dan Lobash, 1996, $42 manual that
teaches hand micromeridian and point location, Correspondence Therapy, and several hand pellet prescriptions for a variety of conditions.
2. Dale RA. The systems, holograms and theory of micro-acupuncture. Am J Acupunct 1999;27(3-4):207-42.
3. Hida K. Critical evaluation of Koryo Sooji Chim (Korean hand acupuncture) diagnosis by application of the Bi-Digital O-Ring Test. Acupunct Electrother Res 1986;11(3-4):251-7.
4. Jodorkovsky R. Hand acupuncture. Phys Med Rehabil Clin N Am 1999;10(3):563-71. 5. Jodorkovsky R. Hand acupuncture experience in pediatric patients.
Medical Acupuncture 1999;11(1):25-28. 6. Jodorkovsky R. Hand acupuncture treatment for chronic asthma in children. Medical Acupuncture
2000;12(2):52. 7. Jodorkovsky R. Treatment of Primary Nocturnal Enuresis with Hand Therapy: A Randomized,
Double-Blind, Placebo-Controlled Trial. Medical Acupuncture 2003;14(2):28-31. 8. Schlager A. Korean hand acupuncture in the treatment of chronic hiccups [letter] [see comments].
Am J Gastroenterol 1998;93(11):2312-3. 9. Schlager A, Boehler M, Puhringer F. Korean hand acupressure reduces postoperative vomiting in
children after strabismus surgery. Br J Anaesth 2000;85(2):267-70. Bibliography 1) Beinfield H, Korngold E. Between Heaven and Earth: A Guide to Chinese Medicine. New York:
Random House, Inc., 1991. Good introduction to TCM and herbs; extensive five phases personality. 2) Gunn CC. The Gunn Approach to the Treatment of Chronic Pain. Intramuscular Stimulation for
Myofascial Pain of Radiculopathic Origin. Second ed. New York: Churchill Livingstone; 1996. 3) Helms, JM. An overview of medical acupuncture. Alt Therapies 1998. Vol 4 (3): 35-45. 4) Kaptchuk TJ. The Web that has no Weaver: Understanding Chinese Medicine. New York: Congdon
& Weed, Inc., 1983. Easy point of entry to understand contemporary expression of TCM from a practitioner’s perspective.
5) Travell JG, Simons DG. Myofascial Pain and Dysfunction: The Trigger Point Manual. Baltimore: Williams & Wilkins, 1992. vol 2.