Worsely’s 5 elements Acupuncture

Notes from the book: “The Clinical Practice of Chinese Medicine”, by Lonny S. Jarrett recommended by Michelle Gellis in her book, “Treating the Face”. Worsley
Resolving shock for continual treatment	heal the false sense of separate self
Evil qi/aggressive energy AE	obscuring the authentic self
Possession	when possessed you are denied benefits.
Husband Wife	yin and yang at terminal point of separation
Exit/Entry E/E	blockages with broad clinical implications
Ren and Du (CV/GV)	E/E impact on the Ren and Du
Akabane imbalances	flow of qi blockage in the paired yin yang meridians
Umbilical pulse	for functional integrity.
Quieting the mind protocols	Relax the agitated patient
Herbal formulas	stabilize pulse, clear blood stagnation, calm mind, open senses, clear E/E
	treat possession, and clear pathogens
Blockages based on lifestyle	treatment protocols
65 element points	4 needle technique to balance the 5 elements
Source points	treatment under guiding influence of nature, primordial qi to renew life.
Luo points	Venting pathogenic qi to the exterior
Xi-Cleft	moving stagnation in the officials. Combine with Luo for mental/emotional.
Mu points	diagnosis and treatment, moving stagnation and tonifying true yin.
Back Shu points	Strong reservoirs of qi, relationship between inner and out points
Window of heaven points	strong in revitalizing spirit and authentic self.
Meeting points	how they integrate treatment
heart Kidney axis	Axis of spirit and virtue, Zheng qi “upright Qi”, Ren and Du mai.
	Imbalances: Aggressive energy, possession, wife/husband imbalance,
	Created self/ego, a defense mechanism depletes jing, qi, shen
	Wood: benevolence/anger, argue to the point of belligerence when confronted and perceiving injustice.
	Taiji pole: align self with absolute, conditioned cycle of 5 elements ignorance, delusion.
	Transcend the thoughts, feelings, emotions of karmic speech and behavior. Lessen ego’s influence.
	Earth: Integrity.
Aggressive energy (AE)	causes cancer, heart disease, mental illness, degenerative diseases.
	treating the Back Shu points of the yin organs, central Qi deficiency.
	Toxic emotions, look for vibration in the pulse.
	AE: Later heaven /Hout tien qi: disrupts our capacity to know our true nature. Taints healthy Qi.
Water	Fear, paranoid, secrecy, intimidating, impotent.
Wood	Anger, resentment, passive aggressiveness, seething, injustice
Fire	joy, bitterness, Lying, sarcastic, Betrayal
Earth	Sympathy, disgust, ingratiation, complaining, abandonment
Metal	Grief, Disdain, Pontification, Snide, Insult
Luo and Xi-cleft to clear/vent and move	BL58 Luo and BL63 Xi
(good for addictions)	GB37 Luo, and GB36 Xi
	SI7 luo and Si6 Xi
	TB5 luo and TB7 xi
	ST40 Luo and ST34 xi
	LI6 Luo and LI7 xi
	AE appears as dark red circle on skin around the needle. Keep needle in until red goes away.(erythema)
Addiction	water: heroin/coffee, promises no pain/energy, erodes: will to live, kidney yin and yang. Exhausted
	Wood: marijuana, promises creatives, erodes Liver yang. User is bored.
	Fire: Sex, promises connection, erodes intimacy. Sex becomes a way of avoiding intimacy
	Earth: sugar, promises satiation, erodes contentment. User is hungry all the time.
	Metal: tobacco, promises no emptiness, erodes receptivity. Users lungs become frail.
A/E Points.	Bl13: T3/T4 2 cun lateral (Lung back shu)
	BL14: T4 2 cun lateral (PC back shu)
	BL15: T5 2 cun lateral, (Heart back shu)
	BL18: T9 , 2 cun lateral, (Liver back shu)
	BL20: T11 , 2 cun lateral (Spleen back shu)
	BL23: L2, 2.5 lateral, (Kidney back shu)
Ghost Points	Du 26 ghost palace
	Du16 Ghost pillow
	Du23 Ghost hall
	Ren24 ghost market
	Lu11 ghost faith
	St6 ghost bed
	SP1 Ghost fortress
	PC7 Ghost heart
	PC8 Ghost cave
	BL62 Ghost path
	Ren1- ghost seal
Internal Dragon points	Master point: between Ren 14 and ren15
(Phlegm in heart points)	St25
	St32
	St41
External dragon points	Du20
(cold to internal/Tai yang)	BL11
	BL23: L2, 2.5 lateral, (Kidney back shu)
	BL61
Husband Wife points( yuan qi)
Restoring True nature	Losing self-nature and having ego leads to imbalance of 5 elements.
	Yijin: mingmen: spiritual alchemy to nourish destiny,
	Zhuangzi” “Comprehend great destiny, become a part of it, comprehend lesser destiny resigns to the inevitable”.
	Yin and yang in harmony: pulse on left (yang/husband) will be stronger than right (yin/Wife)
KD3, KD7, BL67	Kidney: governs our will to assert original nature in world and manifest destiny.
Liv4	Liver: governs aspiration as we draw on and will and tap its potential to channel our resources toward heaven.
	Fire governs opening heart flow, joy and illumination as light of depth (kidney fire) joins heaven light (heart fire).
	Left hand : jing, Qi shen
	right hand Digestive system
	When wife follows husband, water and fire balance each other: Liu Yiming
	Yin and yang separate as child and we forget true nature and abide in imagined self, off interpretations of life.
	This causes cracks in the true self, constitution, and results in illness. False beliefs and interpretations.
	H/W imbalance patients feel trapped in a situation that is harmful and appears outside their control.
	Usually self-destructive tendencies: cut self, burn self, addictive behavior, harming self.
	Return to the “root of life” yuan qi, store it. Stabile metal and water, “coming to being” eventually eternal Dao.
	KD7 is good for this.”beyond destiny” waiming point.
Kidney tonify	tonify: KD7 and Lu8
	sedate: KD3 and SP3
Liver tonify	tonify KD10 and Liv8
	sedate: Liv4 and Lu8
Exit/Entry Blocks	Blockage between channels. 12 channels macrocosm/12 earthly branches. 2 hour period.
Based off Chinese clock	Heart centered inner tradition based on shen, ling, yuan qi all found in the pulse.
1. heart	1am to 1 pm HT1 and HT9
2. small intestine	1pm to 3pm: Si 1 and Si 19
3. Bladder	3pm to 5: bl1 and bl67
4. Kidney	5pm to 7pm: Kd1 and KD22
5. pericardium	7pm to 9pm: PC1 and PC8
6. Triple warmer	9pm to 11pm: TB1 and TB22
7. Gall bladder	11pm to 1am: GB1 and GB41
8. Liver	1am to 3am: Liv1 to Liv14
9. Lung	3am to 5am: Lu1 to Lu7
10. large intestine	5am to 7am: Li4 and Li20
11. Stomach	7am to 9am: St1 and ST42
12. Spleen	9am to 11am: Sp1 and Sp21
Blockage is found between channels	Exit of one channel and the Entry of next. Example: Sp21 and HT1 can be found in the pulse.
	The pulse for example will be strong in Spleen but weak in heart.
	example constitutionally: patient with earth, prone to damp and heat, sinusitis: block at Li20 and ST1
	Most imbalances are between elements: examples. SP21 (earth) to HT1 (Fire) or KD22 (water) to PC1 (M.fire)
	Heart and Lung issues (betrayed intimacy): look to the Yin channels in the chest: ex. Liv14 to Lu1, or KD22 to PC1
	Yang, in head, stagnation of mind/obscuring spirit: near sensory organs.
Yin meridians
Spleen-/Heart	Spleen/heart: spleen blood to heart, an unbalanced relationship to intimacy.
	SX: appetite disorders, bulimia, anorexia, oral compulsions, heart deficiencies, SOB, palpitations, insomnia.
	Feeling of insubstantial nourishment, abandonment, pulling away, unbalanced relationship with mother early.
	SP21: earthly mothers embrace, embracing the one, returning to dao.
	HT1: source, heart of heaven, utmost respect, polestar of heaven, align heart with universe/primal source.
kidney/Pericardium	Caution (PC! Is next to nipple) patient sensitive/get permission.
	SX: heart palpitations, chest pain, breast diseases, anxiety, insomnia, depression, betrayal, cold, joyless.
	KD22: transition of fears to empowering joys and pleasures
	PC1: window of sky point, spiritual levels of intimacy, restore memory of heart and safety, clear past pain.
Liver/Lung	Sx: Liver qi stagnation, Lung deficiency, breast tenderness, signing, gas pain,
	SOB, asynchronous heartbeat, breath rhythms. Stagnation between middle and upper burners.
	Stagnation of qi, heat, or both in diaphragm.
	Repression of feelings, divorce, separation, repress feelings for someone loved. Anger rises.
	Liv14: Gate of hope. Aspiration, top of a tree, help to see light at end of tunnel.
	Lu1: Middle palace. Optimism and vision, spiritual connections with heaven. Zhong qi “treasure in chest”
	sx: “Caved in chest” when repressing trauma, hunched forward, frustration, giving was to despair, Liv Qi stag.
	Could be some internal emptiness, loneliness, failing to see ones inner worth “treasure”.
Yang meridians	head, mind, spirit
Small Intestines/Bladder	Si19 to BL1
	Sx: inability to perceive or accept life accurately and in the moment. Ego blocks people’s ability to see and listen.
	Unable to hear what people are exactly saying. What is said and hear bears no resemblance to reality.
	The patient may often feel unheard as well as they lack ability to communicate clearly.
	Sx: ringing in the ears, TMJ. Ear infections, headaches, dizziness, bladder issues.
	SI19: Listening palace. Ting “listen skill” and power of intuition. Hearing one’s heart
	BL1, Eyes bright, when ming men burns brightly, eyes shine with radiance and purity of the essence “jing”.
	Mingmen left kidney in yuan yin, right kidney is yuan yang, above is shen, below is jing. Mingmen connects to BL1.
Triple burner/Gall Bladder	GB empowers vision, TB represents external world as the outer frontier.
	TB as body’s thermostat and balance inner/outer worlds. Lack of clear vision and projection of our own judgements.
	Bitterness, anger, resentment, projecting judgement onto self and others.
	SX: migraines, headaches, visual disturbances, glaucoma, cataracts, TMJ, grinding teeth, clenched jaw.
	TB22 harmony bone, fire can cause imbalance in sight and hearing, Assist mental clarity.
	GB1: Orbital bone, discernment and perspective of own inner nature. Drain heat and wind. Frustration.
	Something blocking our progress, causing frustration and heat. Unable to discern clear picture of the world.
Large intestines/Stomach	Inability to let go of undigested aspects of experience. Inability to cry.
	sx: chronic sinusitis, candida, nasal polyps, face rash, allergies, loss of smell/taste, digestive issues.
	LI20, welcome fragrance, open nasal passages, dispersing wind and heat, inability to digest life.
	ST1, receive tears, digest and integrate life’s contribution to physiological function.
	Undigested emotional material feels heavy like undigested food. Help to flush out undigested material in all realms.

Exit and entry points of Ren and Du	Primordial Yin and Yang. Form an Axis that orients the 12 channels. Heaven and Earth poles.
	Ren and Du: Need clear communication with Each other. Yin and yang.
Nature of Vessels: 8 Extraordinary	8 vessels are a template with Physical Body and all functional mechanisms develop.
	Embryogenesis: kidney and acquired (spleen) jing, our attempt to survie in an unlivable environment.
	Sexual and physical abuse can lead to suppression, sexuality and intimacy.
	Ren 1 and Du 1 are at sexual organs and anus. Sexual impulse
	With a REN/DU block tonify root of yin and yang.
	Ren: from ren1 to ren 24 on front surface and then down inner midline to Du1.
	Du: from du1 up to GB28 and down inner midline to Ren1
	Ren 1: Meeting of Yin. Infertility and sexual deficiencies. Golden gate to womb. Jing, Yin, and blood tonic.
	Restores the self when mundane influences have extinguished the fires of evolution aka Kidney yang.
	Ren 24: receiving fluid. Qi flows from this point down inner path to Du1, uniting with Stomach and large intestines on the way.
	Ren24 is where we last attached to mother from breast, unresolved issues from separation can be found here.
	Combine St4, Ren24 and Du28 for oral issues.
	Du 1: Long strength. Root of yang and self in universe. Raise yang qi to top of head. “Stairway to heaven” point.
	Primordial yang as invested from heaven at conception, rises through us during our lifetime as our spirit ascends,
	fueled by the good work we do in this world.
	Du28 Mouth crossing. Exits here and returns to Ren1 via internal path. Intersection with ST channel. Saliva as “Clear yang”.
	Saliva to cook food in the mouth.
Ren/Du blockage:	patients who internalize pain, suppress response to it. Something has happened to them at existential level, compromising
	who they are. This can be a deep trauma like abuse, incest, sexually abused, abused by a spiritual teacher, betrayal.
	Physical trauma, illness, bleeding during childhood, menopause.
	Dang gui Buxu Tang: Tonify the blood formula good for this.
	Caution on using Ren 1 in sexual area, may have to use woman with woman, or woman in room.
	Female with Female, male with male due to sensitive nature of Ren1.
	TX: in this order: Ren1, Ren24, Du1, Du28. Other: Lu7/KD6 and SI3/BL62
Umbilical Pulse	Hara defines physical center of the body and being. Umbilicus was our connection to our mother.
	A healthy center empowers grace and balance through transitions in life,
	Quality of Hara is strengthened by living a life with the type of integrity that nurtures and is nurtured by the earth element.
technique	press gently with 4 fingers as patient exhales to feel the pulse. It should be felt under the umbilicus on center line.
	You can massage it back to center if it is off to left or right.
	Bu zhong yi qi tang: if patients’ pulse is frequently off balance.
	Gui Pi tang as well when they are more on emotional side.
	Umbilicus map: water North, south is fire. Right is wood, left is metal. (Think of facing south at head of patient).
	This is first step in dealing with Akabane imbalances
AkaBane Imbalances	12 meridians are bilateral in the body, the relative amount of qi on each side should be equivalent.
	Resolve unilateral imbalances affecting the flow of qi in paired meridians.
	External: injury that blocks the flow of qi in affected channel. Surgery, piercing, tattoos, anything that cuts or insults the channel.
	Blow to body, bone break, subluxation of the spine can cause imbalance.
	Internal: Gall Bladder throwing off multiple meridians.
	Sx: One sided issues like sciatica, headaches, shoulder pain, knee pain, visual, trigeminal neuralgia
	Tx: move incense across finger and toe well points and see how long it takes for them to feel warm. Take note.
	Key:
Incense passes for each organ	HT: 4 passes
	SI: 4
	BL: 8
	Kd: 5
	PC: 3
	TB: 3
	Gb: 9
	Liv: 5
	Lu: 3
	Li: 4
	St: 8
	SP: 5
	If a left or rt. Side take longer to feel the heat on incense, then that one is deficient.
TX:	ways of treating the deficient channel:
	1. tonify luo point, deficient side
	2. tonify yuan point on deficient side
	3. tonify luo and yuan point deficient side
	4. Moxa luo and yuan point deficient side
	5. sedate luo and yuan points, but tonify luo and yuan point on deficient side
	6. Tonify back shu point on deficient side
	7. Sedate back shu point on excess side
	8. if not working look for trauma area of body and treat that as well.
	9. Consider deeper blocks like H/W, AE, possession, etc.
Luo/Yuan points:	LU7/LU9
	LI6 / LI4
	ST40/ST42
	SP4/SP3
	HT5/HT7
	SI7/SI4
	BL58/BL64
	KD4/KD3
	TB5/TB4
	GB37/GB40
	Liv5/Liv3
	Other Luo: Du1 (spine), Ren15 (Abdomen), SP21 (Chest/ribs.)
Treatment	may have to use the umbilical pulse first. Left/right imbalances can be secondary to pulse moving left or right.
	Try with needle on suspect channel luo point.
	Continue to other channels with imbalance, until they feel balanced using luo points.
	Use the Yuan point if the luo is not enough.
	If there is still no change then start sedating the luo and yuan points on excess side.
	If it is still not balanced, sedate the excess, and tonify the deficiency on
	If not try to tonify back shu on the deficient side.
	If not correcting, try sedation on the excess side.
	Most treatments are resolved by tonifying the Luo and yuan on deficient side.
	*Caution using the method on feet with patients with diabetic neuropathy
	Start left side on men and right side on women.
	If multiple meridians then choose the major one first based on their constitution: Earth, metal, Water, Wood, fire
	example earth type (SP/ST) work on SP and ST channels
	Based on injury area: low back, use the BL meridian, or channel of that location.
Calming the mind	People “in their head” relaxation becomes impossible. No room for meditation and contemplation.
	Heart kidney axis restoration.
	Jing well and jing spring points.
	Distal BL66 and local BL2 with Yintang
	Distal GB43 with local GB4 and Du20
	Distal Si2 and local si19
	Distal TB2 and local TB22
	Distal ST44 and local ST8
	Distal Li2 and local Li20
	Nervous system: Bladder channel as related to Tai yang. Longest channel, sciatic longest nerve,
	afferent and efferent innervation of spinal cord
	Water points on the yang channels have a cooling and calming quality on the mind.
	BL66 water horary point on the Tai yang best for quieting the nervous system.
Treatment	Pairing BL66 with another 5-element point: example: obsessive person is earth type patient. BL66 with ST44
	The choose point on the head: above example earth: ST8
	Then use yintang at the end. “point of visions of the sages that rolls duality back to the one”. Mingtang “illuminated palace”.
	Du20 can be added for its effect in centering the mind and draining destabilizing influence of wind.
	Caution: use small needles, retain 20 to 40 minutes.
Clearing blockages with herbs	Phelgm, damp, pathological heat, internal wind, stagnant Qi and congealed blood will
	obscure fundamental relationships of Shen, Qi, jing and later heaven (post heaven)
	Restore the heart-kidney axis formulas:
	Shengmai San
	Yunnan Bai yao
	Banxia Houpo tang
	Zhi gan cao tang
	Blood stasis:
	Meridian passage
	Women’s chamber
	Spirit:
	Calm Spirit (Dingxin Wan)
	Bupleurum and Dragon bone
	Schizandra Dreams
	Open orfices:
	Niuhuang Qingxin (GB clear the heart pill)
	Erchen tang with changpu and chuanxiong Chatiao san (Ligusticum poweder with green tea)
Shen and heart importance	Heart is emperor, if emperor is not at peace at home then the nation is not in harmony.
	Heart is the foundation of insight and understanding of self and life. Heartbeat is momentary presence.
	Changes in heart and pulse result in struggling to rule efficiently according to principles of WuWei.
	First order of business is to stabilize heart. Previous methods: umbilical pulse, draining AE, ect and help pulse.
	Can treat source on any constitutional meridian can assist as well.
Spirit block and Nourishing destiny	Patients’ progression in life is limited by some clouded aspect of spirit that can be cleared by treating right acupoints.
	Practitioners need to treat the patient’s spirit, how illness is an expression of the ego’s personalization of thoughts and feelings.
	Self-image can grow and smother spirit. Treating the spirit block can provide important motivation for only choosing actions
	Treating spirit block can provide important motivation for choosing actions that express the evolutionary movement of spirit.
	In this way stagnation can be broken as we generate a positive momentum in life and cease the creation of karma.
Structural blocks	Structural alignment of the skeletal system can prevent progress in treatment. Pilates, Yoga, Tai Chi, Qigong, Zero balancing.
Scars	Scars that cross a channel. Use exit/entry points for this.
Lifestyle	Abusive relationships vs healthy sexuality
	Addictions: sex, gambling, food, drugs, alcohol, etc.
	Exposure to toxic chemicals, metals, at work or home
	$ basic areas of Life: quality of food, air, water and sleep.
	Cardiovascular exercise.
	Relationships of work and family.
Dependence on illness	Patients are not willing to “Let go” of it. Holding on as a form of “sympathy” from others. Failing to change their situation.

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