Reflections on Point R Blockages to healing. Written by Jim Chalmers. Early references by Nogier and Bourdiol identify this point as the Reactional Brain (phase2) Point, an influential point of the corpus callosum. Various others have called it the psychic point, point recall, the psycho-analytical point, the past life point and the autonomic master point. Point R is found on the superior aspect of the tragus where the tragus meets the skin of the face almost at the junction of the tragus and the curve of the ascending helix. Point R is considered an obstacle to healing. Nogier attributed special status to the points on the tragus. Its complex enervation (sympathetic and parasympathetic) and embryonic origins (ectodermal phase 1) afford it a special place in the hierarchy of auricular therapy protocols. Bourdiol noted in "Elements of Auriculotherapy" that initially Nogier associated the tragus with the ren and du mai meridians of traditional Chinese medicine, but later research included concepts of a lateralised, potentialising tragus . Attention was then drawn to the functional/master points, Point Zero Prime (master oscillation) Point E(epiphyseal) and Point R, (Reactional – later recall) “and surprising integration systems(vigilance system) that stressed the preponderance of the tragus on the auricle, which it always conditions, sometimes directs, and often orientates.” (Bourdiol "Elements of Auriculotherapy" 1982) Three major points dominate the external surface of the tragus, Point R, Point Zero Prime, and Point E. Point R – its location already described – Point Zero Prime at the middle of the external tragus and Point E at the inferior end of the tragus where it connects with the lobe. Each of these points is included in the "obstacles to healing" so often mentioned in auriculotherapy and auriculomedicine. None should be used without reference to the others or to the consideration of the pathology of the patient and appropriate treatment protocols. The whole of the tragus and therefore the points on the tragus have reference to the habenular commissure, the corpus callosum, right-left hemispheric communication and lateralisation of the patient, particularly point Zero prime. The utilisation of Point R in treatment is of special consequence and should be investigated with some consideration of the psycho-emotional state of the patient.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Reflections on Point R
Blockages to healing.Written by Jim Chalmers.
Early references by Nogier and Bourdiol identify this point as the Reactional Brain
(phase2) Point, an influential point of the corpus callosum. Various others have
called it the psychic point, point recall, the psycho-analytical point, the past life
point and the autonomic master point. Point R is found on the superior aspect of
the tragus where the tragus meets the skin of the face almost at the junction of the
tragus and the curve of the ascending helix. Point R is considered an obstacle to
healing.
Nogier attributed special status to the points on the tragus. Its complex enervation
(sympathetic and parasympathetic) and embryonic origins (ectodermal phase 1)
afford it a special place in the hierarchy of auricular therapy protocols. Bourdiol
noted in "Elements of Auriculotherapy" that initially Nogier associated the tragus
with the ren and du mai meridians of traditional Chinese medicine, but later
research included concepts of a lateralised, potentialising tragus . Attention was
then drawn to the functional/master points, Point Zero Prime (master oscillation)
Point E(epiphyseal) and Point R, (Reactional – later recall) “and surprising
integration systems(vigilance system) that stressed the preponderance of the
tragus on the auricle, which it always conditions, sometimes directs, and often
orientates.” (Bourdiol "Elements of Auriculotherapy" 1982) Three major points
dominate the external surface of the tragus, Point R, Point Zero Prime, and Point
E. Point R – its location already described – Point Zero Prime at the middle of the
external tragus and Point E at the inferior end of the tragus where it connects with
the lobe.
Each of these points is included in the "obstacles to healing" so often mentioned in
auriculotherapy and auriculomedicine. None should be used without reference to
the others or to the consideration of the pathology of the patient and appropriate
treatment protocols. The whole of the tragus and therefore the points on the
tragus have reference to the habenular commissure, the corpus callosum, right-left
hemispheric communication and lateralisation of the patient, particularly point
Zero prime.
The utilisation of Point R in treatment is of special consequence and should be
investigated with some consideration of the psycho-emotional state of the patient.
Point R allows for the non traumatic processing of suppressed psychological
trauma in a way that facilitates the individual to identify (consciously or
unconsciously) and neutralise the inhibiting negative psycho-neuro-immuno
feedback. It may be that the individual recalls a past trauma and finds that they no
longer are constrained by that incident.
Commonly treatment at Point R results in the patient experiencing significant
dreams that recall aspects of past trauma and allow a subconscious release of that
trauma. One of my patients experienced four years of depression after her
husbands’ death. Her doctors were keen to prescribe antidepressants but she had
an instinctive distrust of medication. After three treatments of needling point R
and the Omega points she returned to say that she had seen her husband in a
dream, that he was ok and that she felt released from her grief. From that point on
she made great progress moving towards personal growth and fulfilment;
something especially heartening for a practitioner to witness. I see examples like
this regularly, some dramatic others happily subtle. I was taught to take care and
watch how the patient responds as there is a chance that the patient may go into
shock. I have never seen this and, on the contrary, have noticed this process to be
benign. In her book Insights of a Senior Acupuncturist, Miriam Lee describes "a
patient had experienced a period of intense depression, anger, and sadness,
following the ending of a relationship...excessive emotions, especially those
associated with a broken heart, sadness, anger, depression, worry, constant replay
of mental dialogues—" he said...I said..." - were the deeper root of her problem.
These mental dialogues were destructive, never-ending loops that can bind up a
person’s qi with a chain as strong as iron and consume it with nothing to show but
suffering..." Point R is indicated for this. It helps neutralise those negative
feedback loops.
In childhood trauma, especially in-utero trauma, the glucocorticod receptors in the
hippocampus develop an altered response that affects adult stress adaptation
(Nature Neuroscience 2004,7:847-854).I believe that point R influences this
process allowing the individual to have appropriate stress responses.
Point R can have surprising results but it is not a miracle point (remember the
words of Bourdiol and Nogier, "there is no miracle point!") and the practitioner
needs to remember that auriculotherapy alone will not solve every problem. The
patient"s diet, lifestyle, energetic imbalances and psycho-emotional well-being
have to be addressed. Point R is one factor in the healing equation and should only
be used only when it is revealed by the VAS as an appropriate treatment. It may be
active on either or both ears regardless of the handedness of the patient. It is
important that the patients laterality is corrected. Needle Point R on both ears if
both are VAS positive. Nogier recommended that these ‘higher level’ points are
best treated with Laser. In practice needles have been shown to be very effective.
Other points to consider using in combination with Point R should be those judged
appropriate to the presenting condition that test positive with the VAS and have a
direct relationship with the patients presenting condition. Whilst this advice
sounds somewhat imprecise, the practitioner should be aware that prescriptive
treatments are not the most appropriate. Consider the master points, Point E , the
Omega points, the Tranquillity point. Consider also the spiritual/emotional
concordances of the zhangfu organ systems; seek the appropriate organ locations
on the auricle and test the VAS response in all phases. Treat the strongest
responder/s.
Given the effect that Point R may have on promoting the psycho-emotional well-
being of a patient it is easy to understand how Point R can be considered an
obstacle to treatment. How many times have practitioners reached a conclusion
that an emotional issue is inhibiting healing and resolution of a complex condition?
Using Point R may well be the key to facilitate progress.
Utilizing the VAS
Treating scars.Written by Jim Chalmers.
Scars improperly healed can constitute an impediment/blockage to healing. In fact
they can be the whole cause of a metabolic dysfunction, pain, mental or emotional
disorders. Always ask patients for any history of accidents, operations, tooth
extractions (did they heal quickly?) cuts or scars. The slow to heal ones are more
often the cause of blockage but not the only cause. Point R, Point Zero, Laterality
and Point E, First Rib is also implicated in blockages to healing. This article
considers the treatment of scars.
The TCM treatment is to bridge the scar. A needle is placed at either end of a scar.
This is often effective and provides a basic method of dealing with superficial scar
tissue. Before the discovery of the VAS there was no clear method to determine
whether a scar was 'toxic' ' an impediment to healing. Practitioners routinely
bridged scars with no clear understanding of the nature of the scar. Sometime
after needling scars there would be a dramatic change in the condition of the
patient. The scars could be normal well-healed scars with no subsequent impact on
the energy balance of the patient or the focus of the blockage maybe on only one
small point along the scar, unaffected by a bridging treatment. By using the VAS it
is possible to determine whether or not a scar is 'toxic' and exactly where along
the scar the blockage manifests, and therefore the appropriate place to needle.
Whilst using your left hand to feel for the VAS on the patients left hand move the
white end of your Black/White hammer, your probe or point of white light or even
the tip of your middle finger (I use this because of the link with my pericardium
channel) and note the response. Note any point along the scar where there is a
significant VAS response; say six or more VAS pulses. For absolute accuracy let
your needle placement also be guided by the VAS. Whilst feeling for the VAS move
the needle tip slowly either side of the active area of the scar and a millimeter or
two above. Where the VAS is the strongest and greatest number of pulses, needle.
This will clear toxic scars. You may need to treat like this several times to clear;
check each time to ascertain whether the blockage has cleared.
For scars that are internal e.g. a trans-vaginal hysterectomy, tooth extraction
scars, tonsillectomy, internal injuries, even mental scars ' use the ear.
Look at your charts. A line drawn from point Zero through any projection of the
vertebrae on the anti helix will reflect the dermatome for that vertebra on the
helix. (See Figure 1).
For example a caesarian scar usually is in the dermatome of T12/L1 (Fig 2).
Draw an imaginary line from point Zero through T12/L1 to the helix and probe that
region with your white light/white probe or pointer and check for a positive VAS.
Several distinct VAS pulses is an indication of scar blockage and a requirement to
needle or laser that location. Dental scars may be found in the projection of the
cervical region on the helix and at the inferior/lateral border of the helix.
A scar may also project onto the region of an organ. For example a laparoscopic
excision of a diseased gall bladder may leave a toxic scar which projects on to the
region of the gall bladder or even, given its proximity and TCM association, the
liver. Scanning these regions on the ear may present a very strong VAS signal that
should be treated. The actual incision at the point of entry may also become a
focus of blockage and so should be checked both locally and at its representation
on the helix.
Psycho-emotional scars may well be treated with Point R, but be prepared for the
possibility of some emotional release after any scar treatment. Watch for shock.
Point R allows for the recall, often in dreams one or two days after treatment, of
traumatic incidents (emotional, psychological, physical) from any time of the
patients life, in an objective non-traumatic manner. This allows the release of the
'cellular memory' or the breaking of the wired loops in the brain that in their
perpetual regeneration of the trauma, inhibit the healing process. Stress in early
childhood has been shown to alter the neurological response in the adult
hippocampus to stress. I believe that Point R also resets that response to a more or
less normal value.
The identification and treatment of scars as a blockage to treatment is an
important part of a comprehensive treatment protocol. By using Auriculotherapy
and local points identified with the VAS this process can be accurately and readily
facilitated.
Auriculotherapy
Modern ear acupuncture.Written by Jim Chalmers.
Auriculotherapy is a term used to describe the treatment of pain, muscular skeletal
disorders, and a broad range of medical conditions by the application of massage,
low energy laser or acupuncture needles to specific locations on the ear.
Auriculotherapy, and by extension, Auriculomedicine, was discovered and
developed into a profoundly effective treatment protocol by Paul Nogier, a French
doctor. In the early 1950's he was able to determine the somatotopic presentation
of the inverted fetus in the ear, the anatomic regions of the fetus corresponding to
specific zones of the ear. This led to a lifetime of continued research which took
auricular therapy from the initial simple reflexive treatments to a powerful therapy
that can both identify and treat specific body systems, parts or functions that are
in disharmony.
Although there are historical references to ear acupuncture in China, it was not
until Dr Nogier's discoveries that advances in ear acupuncture progressed in
China. In respecting that, the Chinese acknowledged his contribution by
describing him as the 'Father of modern Ear Acupuncture'.But Auriculotherapy is
much more than ear acupuncture. Traditional Chinese Medical training provides a
powerful background, a theoretical basis for diagnosis and an approach to
treatment, but it is not Auriculotherapy or Auriculomedicine.
Dr Nogier noticed that there was a distinct change in the amplitude and dimension
of the pulse when certain points on the auricle were stimulated. This occurs
consistently and is both repeatable and measurable by modern equipment. Dr
Nogier called it the Vascular Autonomic Sign (VAS). Being able to detect the VAS
on the radial pulse of (generally) the patientsâ?? left hand enables the practitioner
to precisely determine the location of a point, whether there is a pathology in the
region of the body that relates to specific points, and whether certain substances
(foods, medicines, herbs, etc.) are indicated. Accurate employment of the VAS in
diagnosis and treatment is essential to Auriculotherapy and Auriculomedicine.
Auriculotherapy uses the ear to help determine whether the right and left
hemispheres of the brain are functioning as a dynamic whole, whether there are
specific neurological, musculo-skeletal or organ systems that are in imbalance, and
whether there are any blockages to treatment, such as scar tissue or emotional
disorders. It is diagnostic. Treatment is specific and points are precisely located by
reference to the VAS. Accuracy is important.
Auriculotherapy can be used to treat the same range of health conditions as
Traditional Chinese Medicine. It is safe, comfortable and highly effective. It is
important to note that painful conditions often respond very quickly to
Auriculotherapy.
Differences between Auriculotherapy and the Chinese system of Auricular Therapy
The earliest records of auricular treatment for health conditions date from China
(Su Wen) and Egypt (Hippocrates 450BC). More recent historical documentation
occurs in Europe in the 17th and 18th centuries, detailing ear cautery for the
treatment of various complaints including sciatica and sexual dysfunctions. There
certainly appears to have been a continuity of this knowledge within the
therapeutic communities since ancient times and it appears clear that those
treatments were functional treatments of specific conditions, empirical formulae.
However there was no systematic approach to the use of the auricle as a micro-
system to treat the whole body until the discoveries of the French physician, Paul
Nogier.
In the early 1950's Paul Nogier, a French physician noted that some patients
attending his clinic had a small scar from a burn on part of their ear. On enquiring
into this, he was told that a very small area of their ear had been cauterized by a
certain Madam Barrin for the treatment of sciatic pain - a treatment that proved
very rapid and effective.
This first observation put Dr Paul Nogier on the search for an explanation, a quest
that led to the discovery and development of Auriculotherapy and
Auriculomedicine. His first great insight was the recognition of the homunculus,
'the man in the ear', of the representation and anatomical correlation of the
inverted fetus in the ear. Points on the body, for example the knee, corresponded
precisely with the fetal representation of the knee in the auricle.
Dr Paul Nogier tells the story of this discovery in his book (now out of print) called
'The Man in the Ear'. (Maionneuve 1985) He collaborated with a group of medical
colleagues who, in a spirit of cooperation and discovery, shared their experiences.
One of those colleagues, Dr Jacques Niboyet, convinced Nogier to introduce his
discoveries to the Congress of the Mediterranean Society of Acupuncture in
February of 1956. Attending that Congress was Dr Gérard Bachmann who
published his research, translated into German, in a German Acupuncture journal
in 1957. This journal had an international circulation and it was not long before
Japanese acupuncturists became familiar with Nogier's reflex system. The
discovery of the system spread to China and led to intensive research by the
Chinese medical authorities at a time of renewed interest in Traditional Chinese
Medicine. The outcome of that research was very positive and resulted in the
utilization of this therapy by the 'Barefoot Doctors' of the Cultural Revolution. The
Chinese published an Ear Chart remarkably similar to that of Dr. Nogiers in 1958.
Nogier acknowledged that the Chinese had been using ear points for acupuncture
prior to his discovery, but these had been considered empirical points for
particular treatments and were not associated with a somatotopic representation
of the homunculus in the ear. This oversight appears to have inhibited an
awareness that options lay open to recognize and treat other points in the ear
following an anatomical relationship to the points already known at the time.
In recognition of Nogier's discoveries and research on the auricle, the Chinese
Government honored him by awarding him a formal title 'Father of Modern
Auricular Therapy'. The Chinese charts of the auricular points were published in
1958 and these have been the basis and reference point for teaching Auricular
Therapy in China. The first to apply this form of auricular therapy were the
Barefoot Doctors, young medical trainees who, during the Cultural Revolution,
were sent out to provide basic traditional medical care for the masses. In
researching the points Chinese medical authorities treated thousands of patients
and outlined a prescriptive approach for the treatment of many conditions. A TCM
diagnosis was unnecessary. Points could be found, as Nogier had noted, by
palpation; tender points indicated a dysfunction or pathology. Later, electrical
point detectors were used to find points that exhibited different electrical
resistance to the skin immediately adjacent to the point. This was also an
indication of a pathological point.
This is where the Chinese approach to auricular therapy stands today. Points are
either identified by visual reference to a chart and or a grid system, by palpation
for tender points or by electrical detection. Another interesting difference between
the Chinese and Nogier approach is in the identification of different locations for
similar points. At first this may seem strange and contradictory until an awareness
of Nogiers later research is understood.
The Vascular Autonomic Signal and the Phases.
Two further highly significant discoveries by Nogier advanced the European
practice of Auricular therapy towards an extremely sophisticated methodology. It
also, almost as a by-product, added the 'art' back into medicine. This is the epitome
of the good doctor, a scientist, researcher and artist. A healer. I digress.
Nogier was adept at reading the Chinese pulses and with this skill, a considerable
measure of patience and his incredible powers of observation, he recognized a
distinct change in the patient's pulse as points were investigated and as
substances were brought close to the skin. The pulse change was consistent and
reproducible. This was in 1966. Nogier called the pulse the ACR (auricular cardiac
reflex) but changed this to the Vascular Autonomic Sign (or signal), the VAS, when
he realized that it was a generalized autonomic signal that appeared on all arteries
in the body. The ability to detect the VAS allows the practitioner to accurately
locate active points, identify dysfunctional points that are not painful to palpate,
test for and locate areas of blockage to healing that are reflected in the auricle and
to question and identify hemispheric laterality. The VAS is essential in identifying
substances that provoke an allergic response or are toxic to the human organism.
Nogier found that on occasions the same point, would present in more than one
place. He postulated that the point might change according to the progression of
the disease from acute to chronic to degenerative. The outcome of this was
validation of the phases or the representations of the homunculus according to the
phase of the illness. The pathology may present in more than one phase, but
possibly only one phase is tender to palpation. The VAS can be used to check for
pathology in any of the phases and is an indicator of the progression of the
pathology and of the importance of a comprehensive treatment to receive a
satisfactory outcome.
The phases may well explain how a point appears at one place on a European chart
and at another on a Chinese chart.
Another reason is that the Chinese have named some points according to their
functional outcome e.g. Shenmen. These points may overlay anatomical zones of
organs, glands or neurological structures that produce those functions.
The Nogier system recognizes the fluid dynamic of points that are found in zones
rather than being fixed points. The projection, or neurological representation of a
particular organ or anatomical entity is not a fixed point but is found within a zone.
Its location within each phase and zone varies with the changes in pathology
and/or physiology of the dysfunction. The precise point is found with the VAS. This
is in contrast to the Chinese system that identifies fixed points in fixed locations in
a single phase.
The original Nogier system of auricular therapy and its development into auricular
medicine leaves all other systems wanting. Being able to ask of the organism a
question that can be answered with that organism's own response, the VAS; being
aware of the progression of a pathology through the phases and being able to
detect its location with the VAS, allows for a quantum leap in therapeutic
effectiveness and validity. This is the legacy of Doctor Paul Nogier.
Treating Sciatic Pain
Using Nogiers Phases & the VASWritten by Jim Chalmers.
The term sciatica describes a set of symptoms including pain, sometimes severe, in
the low lumbar region of the back, and or the buttocks, hip and along the course of
the sciatic nerve down the leg to the foot. It is most commonly the result of
compression of the vertebral nerve roots of L4 and L5 or of S1, S2 or S3. The
cause of the compression is the diagnosis; this may be due to a herniated disc, disc
degeneration, spinal stenosis or spondylolisthesis where lumbar vertebrae slip
forward and compress the nerve. Other causes include the simple and transient
sublaxation of lumbar vertebrae and the rarer but more serious causes such as
tumours and infections.
Conditions that mimic sciatic pain are piriformis syndrome and referred pain from
arthritis and possible hip joint dysfunction. Sciatica is treated with Western
medicine by addressing the cause using surgery or treating the resultant
inflammation and pain with analgesics, muscle relaxants and anti inflammatory
medication.
Chinese Medicine considers sciatica a type of Bi syndrome. Depending on the
presentation it can be either Hot, Cold or Damp Bi or a combination of these.
Typical TCM (Traditional Chinese Medicine) acupuncture treatment involves
needling Back Shu points, Bladder Channel points, Huato Jiaji points and GB
Channel points on the buttock and the leg. Cupping and or moxibustion may also
be applied as appropriate.
Correct auriculotherapy treatment of sciatic pain requires the simple skill of being
able to recognise the pulse quality known as the Vascular Autonomic Signal (VAS).
This is an easy pulse quality for most practitioners to learn. It is present and
detectable at precise locations on the ear that reflect pathology in the anatomical
region represented by that location. The VAS pulse allows the practitioner to
identify which auricular points are appropriate to treat and to determine their
precise location. It is not possible to accurately treat with auriculotherapy by
judging a pointâ??s location from a chart. The practitioner needs a method to
identify exactly where the point is located and whether it needs treating. This is
accomplished by using the VAS. Electrical detection is an option but it may
interfere with the subtle dynamics of the energetic system of the auricle by
introducing an electric current. Using the VAS is the ideal method as it involves an
intimate energetic exchange between the practitioner and the patient; the
practitioner connects with and listens to the patients pulse whilst seeking the VAS.
Treatment precisely at these active points is the key to resolving the patientâ??s
condition.
Auriculotherapy treatment should initially address the specific anatomical areas
that are associated with the causal factors of the pain where they are reflected on
the auricle. The auriculotherapy practitioner familiar with the Vascular Autonomic
Signal (VAS) will look for positive VAS signals in the projected areas of the lumbar
and sacral vertebrae, the paravertebral muscular structures at L4-5 and the sacral
region on the ear. Needling those precisely located points can address the Bi, the
blockage, reduce inflammation and relieve pain. It can be used as a stand alone
treatment or in conjunction with TCM treatments such as cupping, moxibustion,
herbal compresses or supplements.
The VAS
The VAS results from a vasomotor change in the tone of the vascular wall, a reflex
mediated by the sympathetic nervous system. It is the bodyâ??s initial response to
changes in its immediate environment; a response that happens at a very
elementary biophysical level. In general, stimulus of the skin, be it by light or laser,
by heat, touch or even by proximity of a substance, will provoke a VAS (a few
slightly enlarged pulsations) as the nervous system responds and adjusts. It is a
sympathetic autonomic vasculo-cutaneous reflex, a cellular awareness of, and
response to, its immediate environment. In TCM terms the VAS pulse quality has
been described as an initial rising of the bodyâ??s wei qi. The VAS response can
now be documented by bidirectional Doppler ultrasonography.
Finding the VAS.
It is easier to feel for the VAS using your left hand to palpate the left radial artery
of your patient. Ideally have the patient lie supine, sit at the head of the treatment
table and hold their left hand (Fig 1). Place your thumb on the pulse, flexing the
thumb and facing the thumbnail toward their elbow. Ensure your thumb is flexed
and rest the pulpy tip of your thumb on their radial artery at the descending
portion of the apophysis of the styloid process of the radius. The axis of the thumb
and radius should be aligned. This gives a bony structure beneath the pulse for
ease of detection (Fig 2). The VAS response is a whole body response and
theoretically it could be felt anywhere on the body but the left radial pulse appears
to be the best location partly because of its proximity to the heart, partly because
of its location above a bony surface and because of the practicality of being able to
use your own left hand to detect whilst using your right hand to probe and treat.
[Figure 1] The practitioner sits at the head of the couch.
To learn to recognise the VAS, feel the left pulse with your thumb and bring a
white, preferably halogen light to the right ear. Immediately the beam of light
contacts the ear you should feel a change in the pulse for several beats. Initially it
will feel like an increase in amplitude of the pulse for several beats and then the
pulse will settle to its regular amplitude. Note the number of pulses before the
pulse returns to its normal resting state. (Fig 3)
[Figure 2] Correct position for VAS.
Various other stimuli have been suggested to evoke a VAS for the purpose of
recognizing (or calibrating your response to) the VAS. A single Polaroid filter just
above Yintang and rotated so that different polarized light falls on Yintang will
evoke a VAS. Crossed polarized filters placed on the midline of the body will also
evoke a VAS. There are instruments e.g. the 3-volt hammer as used by the Frank
Bahr school of Auriculotherapy, but the white light is as good as any. Once you are
comfortable with recognizing the VAS, these methods can be used at any time
during treatment to confirm the patients VAS response (i.e. confirm that you are
actually feeling and recognizing their VAS).
Not every patient will present with a strong and easily detectable VAS so the above
test is useful. There may be other reasons that the patient does not have that
strong and easily discernable VAS. It may be because of a blockage at the patient's
first rib or an occluded artery in their left arm, leaving the radial pulse very weak.
Figure 3. Principal treatment points for Tinnitus & Meniere's Diseases
1. Occiput (Ear Point according to Frank Bahr) 2. Phase 2 CN VIII 3. Phase 3 CN VIII (hidden surface of tragus) 4. Shen Men 5. Sympathetic Nerve 6. CN VIII - Mastoid Surface 7. Phase 1 CN VIII ( Internal Ear)