Ear Acupuncture ver 5 · considerations for auriculotherapy. NEEDLING 1)Once the point has been located, apply the head of the needle at the point, leaving a mark that can be found

EAR ACUPUNCTUREAcupuncture: A Comprehensive Text from Shanghai College of Traditional Medicine

A large number of sites have been identified on the ear which become spontaneously tender or otherwise react to the presence of disease or injury elsewhere in the body. Stimulation of these ear points in turn exerts certain therapeutic effects on those parts of the body with which they are associated. The range of indications in ear acupuncture is broad, the method is relatively simple and economical, and there are few side effects.

DEVELOPMENT

The theoretical origins of auriculotherapy derive in the first instance from classical descriptions of the pathways of the channels.

6 Yang Channels traverse or skirt portions of the ear, either directly or through a branch channel

6 Yin Channels indirectly linked through their Inner/Outer relationships with the Yang channels

Among the Miscellaneous channels, the Yin and Yang Heel channels as well as the ____________ channel have connections with the ear.

POP QUIZ Three Primary Channels enter the Ear = ________, ________, ________

Channel Pathology (Handbook p.107)

SI SJ GBdeafness deafness, tinnitus

Similarly, traditional medical literature abounds with references to the close relationship between the ear and specific Organs.

Spiritual Axis 靈樞(영추)

Ch. 28 “All the vessels congregate in the ear.”Ch. 17 “The Kidney Qi communicates with the ear.”

Simple Questions 素問(소문)

Ch. 4 “The Heart opens at the ear.”

Ch. 22 “As for diseases of the liver... when there is Deficiency, the ears cannot hear... when the Qi is rebellious, there are headaches and the ears are deaf.”

There are traditional references to treating certain diseases by direct manipulation of the auricle. The famous Tang Dynasty physician, Sun Simo, in his Thousand Ducat Prescriptions, recommended that a site corresponding to the modern Lower Abdomen point above the opening of the external auditory meatus be needled or warmed with moxa to treat jaundice and Cold contagious diseases most common in the summer.

The Ming Dynasty classic, Great Compendium of Acupuncture and Moxibustion, prescribed that moxa be burned at the apex of the ear to treat membranes on the eye. In addition, there are prescriptions in traditional folk medicine for treating redness of the eye by pricking the ear lobes or by letting blood from the posterior auricular vein in the treatment of pain and redness in the eye. The ear lobes were pulled upward as one means of coping with headache, or massaged in the treatment of infantile convulsions.

Lower Abdomen Ear Apex Ear Lobe

EAR ACUPUNCTURE (version 5) Page 1

HB Kim, www.AcupunctureMedia.com

Although it is true that many of the channels cross the ear and there are several important acupuncture potions around its perimeter, ancient practitioners did not place even one of the 365 traditional points on the auricle itself. Furthermore, although traditional Chinese doctors, like their Western counterparts, noted the relationship between diseases of the Organs and manifestations of the ear, these were by and large symptoms of the middle and inner ear such as tinnitus, deafness and vertigo rather than alterations on the auricle itself.

As a comprehensive system of diagnosis and treatment, however, ear acupuncture is of recent origin. A French physician by the name of Nogier, writing in a German acupuncture periodical in 1957, first drew serious attention to the correspondences between specific sites on the auricle and other parts of the body. After years of careful observation relating points of tenderness, reduced electrical resistance, morphological and coloration changes on the ear to disease elsewhere in the body, more than 200 sites were charted on the auricle by Chinese medical workers. Ear acupuncture is not only effective in the treatment of a wide range of common diseases, it can also be used with good results in the treatment of difficult diseases or as an analgesic during surgery.

French System German System Chinese System

Paul Nogier (1908‐1996)Created the first mapping of the ear

Frank Bahr and Beate Stritmatter discovered the frequency system and

lasers to treat conditions

Adopted from French mapping system and developed

LOCATION AND FUNCTION OF THE EAR POINTS

Surface Anatomy of Auricle Innervation of Auricle

Images from Acupuncture A Comprehensive Text Shanghai College of Traditional Medicine p.473

Unlike most traditional acupuncture points on the body, the ear points have been named according to their associated anatomical position or pathologic indications, e.g., the Lung point or the Hepatitis point. Because their arrangement on the ear often parallels the anatomy of a fetus, the location of many of the principal points is relatively easy to learn. About 180 auricular points together with their primary indications are shown in “Acupuncture A Comprehensive Text Shanghai College of Traditional Medicine.” It is important to remember that because of the differences among ears on different individuals, the locations of the points vary somewhat from person to person.

Handbook p.297



Most significant when exploring for the point are sites which are unusually sensitive or appear abnormal. ‘Point’ is perhaps a poor choice of words to describe a site which more often has a spatial dimension much larger than the head of a pin. Nevertheless, if a physician is unable to find an alteration in the region of the ear associated with the disease, he may still needle the ‘point’ he has learned here.

Surface Anatomy of Auricle Distribution of Auricular Points

Ear Body

Lobule Head and facial region

Scapha Upper limb

Superior & Inferior crus Lower limb

Antihelix Trunk

Cavum & Cymba conchae Internal organ

Handbook p.297

POP QUIZ Match the body areas to the correct auricular region.

Shoulder, Elbow, Wrist, Fingers ■ □ Cavum conchae

Brain, Vertigo, Parotid Gland ■ □ Cymba conchae

Lung, Heart, Spleen ■ □ Scaphasa

Kidney, Liver, Colon ■ □ Antitragus

Tongue, Eye, Ear, Face ■ □ Triangular fossa

Neurogate, Uterus, Constipation ■ □ Lobule

Hip, Knee, Ankle, Heel ■ □ Inferior crus

Sacrum, Buttocks, Sciatic nerve ■ □ Superior crus

Ear Apex, Hemorrhoid, Anus ■ □ Helix



SELECTION OF POINTS

The following methods should be considered when selecting points for a specific disease.

Point Selection Methods ExamplesAccording to the associated anatomical location of the disease

Stomach point for stomach ache Elbow point for pain in the elbow

According to Western physiological and pathological relationships

Endocrine point for irregular menstruation Sympathetic and Cerebrum points for ulcers

According to concepts of TCM Liver point for eye diseases (because the Liver is said to 'open' at the eyes) Lung point for cutaneous diseases (because the Lungs control the skin)

According to points of clinically proven effectiveness (i.e., points whose functions are varied or whose name bears little if any relation to the disease.)

Parotid Gland point for neurodermatitis Pricking the Ear Apex point to treat fever

The examples cited above chart are illustrative of the principles which should be considered when selecting a point. Usually, more than one point is chosen.

METHODS

Methods previously introduced for regular acupuncture points on the body such as simple needling, embedding or warming the needle, electro‐ and injection acupuncture, as well as moxibustion and blood letting can all be used on the ear. Below are some special considerations for auriculotherapy.

NEEDLING

1) Once the point has been located, apply the head of the needle at the point, leaving a mark that can be foundfor inserting the needle. Then clean the area with alcohol.

2) Usually a #28 gauge needle, half an inch in length is used on the ear (larger and thinner needles tend to fallout). The needle is inserted with a quick motion to a depth of approximately 0.1 inch, reaching but notpenetrating the ear cartilage. The needle is then twirled a few times to elicit the Qi sensation characteristic ofacupuncture. The needle is usually retained, depending on the disease, from 30‐60 minutes. For certain acute,inflammatory or painful diseases as well as those characterized by seizures, the needle may be retained forlonger periods (up to 2 hours). While the needle is in place it should be manipulated once every 5‐10 minutes.

3) Treatments are given once a day or on alternating days. Ten treatments is considered an average course,although most chronic diseases may require from 10‐20 treatments (acute cases, 5‐10). If another course or cycleof treatments is necessary, 5‐15 days should be allowed to elapse in between.

4) Unlike acupuncture on the body, needling the auricle often causes pain in addition to the characteristic sensationsof soreness, distension, warmth, heaviness and perhaps numbness.

5) It is preferable to use only a few (3‐5) points at a single session. Usually only points on one ear correspondingto the side of the disease are selected, although in a minority of cases the opposite ear or both ears are used.

6) If the needle is inserted transversely, it is possible to join two or more neighboring points.

Embedding the needle

Special intradermal ear needles or tacks can be embedded in ear points and held in place with adhesive tape,usually from one day to a week or more. While in place, the patient should be instructed to press them severaltimes each day so as to stimulate underlying tissues. The ear will otherwise adapt itself to the needle's pressure.Care must be exercised to see that the ear is kept clean during this period so as to avoid infection. During hotweather or if the patient is engaged in strenuous physical activity, it is best not to use this method.

Embedding is utilized for certain chronic diseases, or diseases with repeated seizures. However, it is notconsidered as effective as regular needling.

Moxibustion Moxibustion (usually above the inserted needle) may be used in cases of chronic rheumatic or Cold diseases, ifthe physician so desires. Usually 3‐5 minutes of moxa warmth is sufficient.

Pricking Pricking auricular points with the tip of a surgical knife or pyramid needle to let blood is a common technique

in the treatment of certain acute inflammatory diseases. Usually 3‐5 drops of blood is sufficient, once a day,with 3‐5 visits constituting a course of treatment

Electro‐ acupuncture

When electrical stimulation is used for ear acupuncture, usually only two needles are utilized. The level ofstimulation is raised to the patient's tolerance and continued for 15‐30 minutes.

Injection therapy

Various substances are injected in amounts ranging from 0.1‐0.3 ml., daily or on alternating days. Indicated forpulmonary tuberculosis, bronchial asthma, and anesthesia



Needling Ear Seed

Pricking Electro‐acupuncture

OTHER CONSIDERATIONS

1

When the ear needles are in place there is usually a sensation similar to that of an insect bite (local soreness, warmthand distension). If this sensation is absent, it is generally believed that the effects of the treatment will be negligible.

For this reason, once the needle is in place, it should be manipulated from time to time so as to restore the needlesensation.

2 If, while the needle is retained, there is suddenly pain at a location unrelated to the disease, the angle or position of theneedle can be changed slightly and the reaction should disappear.

3 As with all medicine, proper diagnosis is essential in identifying the fundamental source of a disease. If points are selected which only affect superficial symptoms, the physician may find that the patient shows some relief at

first but no further improvement despite continued treatment.

4 Similarly, although a patient may respond well to initial treatment and his condition appear to have been cured, he should be encouraged to continue treatments through the duration of the recommended course.

5 A physician should not be discouraged if, after apparent success, the condition returns. Studies have shown that the condition is rarely as severe the second time, indicating that some progress has been made.

6 Strict measures must be taken to assure that the ear is properly cleaned both before and after treatment Auricularinfections are quite serious and stubborn to cure.



FINDING POINTS ON THE AURICLE

Examination of the ear can serve either as an aid in diagnosis, or, having already diagnosed a disease and selected appropriate points, examination can help to pinpoint the most sensitive or tender site within the selected area There are three general methods of finding the points:

Direct examination Probing Measuring electrical resistance

Direct examination

The physician looks for alterations in the color or morphological changes on the surface of the skin. The ear should not be cleaned or otherwise disturbed prior to the examination.

Alterations which may be caused by disease should be distinguished from scars, marks, or diseases (boils, ulcers, etc.) which are purely local in nature. Often, the latter do not respond painfully to pressure and show no reduction in electrical resistance.

The site of an alteration may directly correspond to a pathologic change in the organ with which it is associated, or it may be related indirectly to a disease in a body system or through traditional Inner/Outer connections between important Organs.

Both ears should be examined, and features compared. The thumb and index finger can be used to palpate for differences in thickness, ridges, etc., on the surface of the ear. The age, environment, and occupation of the patient must be taken into consideration before drawing any conclusions from the ears.

Signs of Positive Response

Color changes The area has a different color than the surrounding region—either more pale, redder, or darker. If

the color does not change upon pressure, then it is not a 'positive response' point (Le., the color is an intrinsic property of the area).

Shape changes The area may have a nodule, strand, protuberance or depression.Rashes Often there is a white or red macular rash, or a small blister in the area

Accumulations Normal wax or dirt accumulations in the ear are easily wiped away and have no significance. When the accretions are not easily wiped away, they may be signs of a 'positive response' point

Probing

Use a blunt‐tipped probe or head of a pin to lightly press against a site which the physician has determined through diagnosis to be related to a certain disease. The most tender spot, often quite painful, is the point used for therapy. Care must be taken to see that all points are probed with uniform pressure and for a similar length of time, long enough for the patient to make a comparative judgment

If points of tenderness cannot be found, the physician may still needle those sites on the ear associated with the illness.

Measuring electrical resistance

A special electrical probing device, often included as an accessory on electro‐acupuncture machines, may be used to measure changes in the electrical resistance of the skin at various sites on the ear. Points at which the electrical resistance is significantly lower than other points are selected for therapy since this often indicates disease in the related Organ or region of the body. The probe is simple to use and the method is by and large painless.

The ear should be cleaned with alcohol and allowed to dry before beginning. The examination should take place in a quiet room. Electric current is adjusted to the individual patient by placing the probe on the Spinal Cord point at the back of the auricle and increasing the current until there is a slight stinging sensation.

There are several factors which have a considerable influence on the electrical resistance of the ear, including changes in the weather (resistance greater in cold weather), age (younger people whose ears are more moist and soft have a lower electrical resistance), and location (the Uterus, Bladder, Large Intestine, Esophagus, Triple Burner, and Endocrine points usually have low resistance; likewise, areas where overlying skin is relatively soft usually have a somewhat lower electrical resistance than more 'exposed' and less soft areas, e.g., the helix and tragus.) These factors must be kept in mind and compensated for in practice. Areas with typically lower electrical resistance are pressed with less force than those which are predictably higher.

Finally, if one point is probed repeatedly, or pressed too long, it will become tender and the electrical resistance will decline, causing it to be misinterpreted as a point for therapy.

It should be remembered that the physician is measuring a relative difference so as to discover those points which react most to a disease and whose manipulation might in turn be expected to affect that disease most significantly. It is not an absolute measurement, and other methods of observation should not be neglected.



Images are from “Acupuncture: A Comprehensive Text from Shanghi College of Traditional Medicine” p.478



HELIX AND HELIX-CRUS 耳輪(이륜)

NAME LOCATION INDICATIONSMIDEAR Center of crus of helix Indications not listed

DIAPHRAGM On crus of the helix Spasm of diaphragm, hemorrhage, pruritis, hemorrhagic skin disorders, hemotological diseasesBRANCH On crus of helix, midway between Bladder and Brain points Usually used for incontinenceNERVOUS DYSFUNCTION Superior aspect of crus of helix Indications not listed

DISTAL SEGMENT RECTUM

On helix, almost level with Large Intestine point on the cymba conchae

Hemorrhoids, anal fissure, prolapsed anus, dysentery, enteritis, constipation

URETHRA On helix, level with Bladder point on the cymba conchae Urinary tract infection, incontinence

ANUS On helix, midway between Distal Segment Rectum and Urethra points Hemorrhoids, anal fissure, prolapsed anus, itching around anus

EXTERNAL GENITALIA On helix, level with inferior crus of antehelix Sexual dysfunction, inflammation of scrotum or penis, cervicitis, low back pain, sciatica

COMMON COLD On the margin of helix, slightly anterior to superior margin of superior crus of antehelix Common Cold (Prick point)

HEMORRHOIDS On helix bordering lateral margin of triangular fossa Hemorrhoids, anal fissure

EAR APEX When ear is bent toward tragus, this point can be found at tip of fold on superior aspect of helix Prick point for fever, inflammation, hypertension, revival

from hepatic coma, or for analgesic or sedative effect. Moxibustion for keratitis

TONSIL #1 On helix, posterior to Ear Apex point

Tonsillitis, PharyngitisTONSIL #2 On helix, level with the Shoulder point of the scapulaTONSIL #3 On the 'tail' of the helix

HELIX #1‐6 Six points evenly spaced along helix from inferior margin of Darwin's tubercle to inferior margin of ear lobeLIVER YANG #1 Superior border of Darwin's tubercle

Chronic hepatitisLIVER YANG #2 Inferior border of Darwin's tubercle

Which technique is used on the Ear Apex for fever, inflammation, hypertension, revival from hepatic coma, or for an analgesic or sedative effect?A. Electro acupuncture B. Ear Seed C. Pricking D. Moxibustion

Which technique is used on the Ear Apex for keratitis (corneal inflammation)? A. Electro acupuncture B. Ear Seed C. Pricking D. Moxibustion

Which technique is used on the Common Cold point?A. Electro acupuncture B. Ear Seed C. Pricking D. Moxibustion

What are the common indications of Hemorrhoids, Anus, and Distal Segment Rectum points?A. hemorrhoid, anal fissure B. itching around anus C. dysentery, enteritis, constipation

What is the common indications of Helix #1‐6 and Tonsil #1‐4?A. sinusitis B. tonsillitis, pharyngitis C. chronic hepatitis

Which auricular point is located on the crus of the helix and is used to treat hemorrhage, hemorrhagic skin disorders, pruritis, and hemotological disease?A. Branch B. Midear C. Nervous Dysfunction D. Diaphragm

What is the common indication for Urethra (on helix) and Branch (on crus of helix)?A. urinary tract infection B. incontinence C. spasm of diaphragm



SCAPHA 舟狀窩(주상와)

NAME LOCATION INDICATIONSFINGERS On scapha, above Darwin's tubercle Pain or hindered movement of finger jointsWRIST On scapha, level with prominence on Darwin's tubercle Pain or hindered movement of the wristELBOW On scapha, midway between Shoulder and Wrist points Pain of elbow jointSHOULDER On scapha, level with supratragic notch

Pain or hindered movement of shoulderSHOULDER JOINT On scapha, midway between Shoulder and Clavicle pointsSHOULDER PAIN On scapha, superior and medial to Shoulder Joint pointCLAVICLE On scapha, level with Neck point on antehelix Diseases of clavicle

AXILLA On scapha, above Shoulder Pain point Swelling of subaxillary lymph glands and other diseases of this region APPENDIX #1 On scapha, midway between the Toe and Finger points

AppendicitisAPPENDIX #2 On scapha, midway between Shoulder and Elbow pointsAPPENDIX #3 On scapha, medial and inferior to Clavicle point CHEST WALL On scapha, above Shoulder Joint point Pain of chest and ribs, gallstones

ABDOMINAL WALL On scapha, above Shoulder point on border of antehelix and scapha Abdominal pain, pain in hypochondriac region, renal colic

ALLERGY On scapha, medial to Wrist point Allergic diseases

NEPHRITIS Lateral an inferior to the Clavicle point, in the depression on lower margin of scapha Nephritis, pyelonephritis

THYROID #1 On border of scapha, lateral to Neck point on antehelix Regulates function of thyroid gland; May also be used in shock to raise blood pressure

The Allergy point is located on the scapha, medial to the ________ point which is level with the prominence on Darwin’s tubercle.A. Finger B. Wrist C. Elbow D. Shoulder

Which of the following points is located on the scapha, level with supratragic notch?A. Shoulder Pain B. Shoulder Joint C. Shoulder

Which of the following points is located on the scapha, midway between the Toe and Finger points?A. Appendix #1 B. Appendix #2 C. Appendix #3

Thyroid #1 is located on?A. Tragus B. Antehelix C. Scapha

What is the indication for the auricular point located lateral and inferior to the Clavicle point, in the depression on lower margin of scapha?A. allergic disease B. nephritis, pyelonephritis C. hemorrhoid

Which of the following auricular points can be used if Finkelstein’s test positive?A. Wrist B. Elbow C. Shoulder

Which of the following auricular points can be used if Cozen’s test positive?A. Wrist B. Elbow C. Shoulder

Which of the following auricular points can be used if Hwakins‐Kennedy test positive?A. Wrist B. Elbow C. Shoulder



ANTEHELIX CRUS (SUPERIOR AND INFERIOR) 對輪脚(대륜각)

NAME LOCATION INDICATIONSHEEL On the medial, superior angle of superior crus of antehelix Pain or functional hinderance of the heel

ANKLE On the medial, superior angle of superior crus of antehelix (below Heel point) Pain or functional hinderance of the ankle

TOES On the lateral, superior angle of superior crus of antehelix Pain or functional hinderance of the toes

KNEE On the superior crus of antehelix, level with superior border of inferior crus of antehelix Pain or functional hinderance of the knee

KNEE JOINT On the superior crus of antehelix, 1/3 the distance from the Ankle to the Knee point

HIP JOINT On the superior crus of antehelix, 1/3 the distance from the Knee to the Ankle point Pain or functional hinderance of the hip

GASTROCNEMIUS On the superior crus of antehelix, medial and inferior to the point Pain or functional hinderance along the gastrocnemius muscles

POPLITEAL FOSSA On the superior crus of antehelix, medial to the Knee point Pain or functional hinderance in the popliteal fossaHOT On antehelix, directly below the Popliteal Fossa point Low‐grade fever LOWER ABDOMEN On antehelix, lateral and inferior to the Knee point Pain of lower abdomen

BUTTOCKS Slightly lateral to mid‐point on superior margin of inferior crus of antehelix Pain of hip and sacroiliac joints, atrophy of gluteal muscles

SCIATIC NERVE (ISCHIUM)

Slightly medial to mid‐point on superior margin of inferior crus of antehelix Sciatica

SYMPATHETIC At the intersection of the superior border of the inferior crus of antehelix and the medial border of the helix

Used for numerous diseases related to disruption in autonomic (both sympathetic and parasympathetic) nervous system

Strong analgesic and relaxant effect upon internal organs. (esp. for relieving pain associated with ulcers, stomach spasm, roundworm in bile duct, gall and urethral stones)

Dilates blood vessels Useful in treating circulatory and ophthalmological diseases,

and excessive sweating. Important point of anesthesia

A patient reports pain, tingling, and numbness in the right buttock. He states that pain extends down through the sciatic nerve. The patient was diagnosed with Piriformis syndrome. Which part of the ear likely to be tender on palpation by probing?

Superior crus of antehelix B. Inferior crus of antehelix C. Triangular fossa

Which of the following is NOT a function of the Sympathetic point?A. Constrict blood vessels B. Strong analgesic C. Relaxant effect upon internal organs

The Sympathetic point is used for?A. Sympathetic disruption B. Parasympathetic disruption B. Both A and B

Which of the following points is used for baker’s cyst?A. Hot B. Hip Joint C. Popliteal fossa

What is the indication for the point located in the superior crus of the antehelix, 1/3 the distance from the Ankle to the Knee point? A. Knee arthritis B. Hip arthritis

Which point is located on the superior crus of the antehelix, 1/3 the distance from the Knee to the Ankle point?A. Knee Joint B. Hip Joint

What is the indication for the point located on the medial, superior angle of superior crus of antehelix? A. Morton’s neurom B. Sprained ankle C. Plantar fasciitis

Point on antehelix directly below the Popliteal Fossa point can be used with?A. High fever B. Low‐grade fever



ANTEHELIX 對輪(대륜)

NAME LOCATION INDICATIONS

SACRAL, LUMBAR, THORACIC AND CERVICAL VERTEBRAE

These vertebral points are found along the curved, medial margin of the antehelix from a point level with the Urethra point (above) to Shoulder Joint point (below).

The curved line can be divided into four segments each corresponding to one of the vertebral groupings, from the Sacral (above) to the Cervical (below)

Each segment corresponds to pain or dysfunction along that part of the spine

LUMBAR VERTEBRAE On the prominence of the antehelix, level with Distal Segment of Rectum point Lower back pain LUMBAGO Near medial border of antehelix, level with Lumbar Vertebrae point Acute lower back sprain, chronic low back pain ABDOMEN (A) On the antehelix, level with the inferior border of the inferior crus of antehelix Pain of mid or lower abdomen ABDOMEN (B) On antehelix, between Lumbar Vertebrae and Chest points Pain of upper abdomen

CHEST (THORAX) On antehelix, level with supratragic notch Intercostal neuralgia, soreness of depressed sensation in chestMAMMARY GLANDS Two points on antehelix, both below Chest point, one medial, the other lateral Acute mastitis, lumps in the breastNECK In notch at the intersection of the antehelix and antitragus Pain or dysfunction of the neck

THYROID #2 On medial margin of antehelix, medial to Neck point Regulates function of thyroid gland; May also be used in shock to raise blood pressure (same as Thyroid #1)

What is the indication for the point located in notch at the intersection of the antehelix and antitragus?A. Neck pain B. Intercostal neuralgia C. Lower back pain

Which of the following points is used for upper abdominal pain?A. Abdomen (A) B. Abdomen (B)

A patient suffers from an infection of the tissue of the breast during the time of breastfeeding. Which of the following auricular points can be used?A. On the prominence of the antehelix, level with Distal Segment of Rectum pointB. Near medial border of antehelix, level with Lumbar Vertebrae point C. On antehelix, between Lumbar vertebrae and Chest pointsD. Two points on antehelix, both below Chest point, one medial, the other lateral

What is the point located on medial margin of antehelix, medial to the Neck point? A. Thyroid #1 B. Thyroid #2 C. Thyroid #3

Thyroid #4 is located on which part of the ear?A. Scapha B. Antehelix C. Cavum conchae D. Tragus

Thyroid #1 Thyroid #2 Thyroid #3 Thyroid #4Scapha Antehelix Cavum conchae Tragus



TRAGUS 耳舟(이주)

NAME LOCATION INDICATIONSEXTERNAL EAR In depression slightly anterior to supratragic notch Tinnitus, deafnessHEART (HT) Ⓐ On tragus, posterior and inferior to External Ear point Tachycardia, arrhythmia, and other heart disordersTRAGUS APEX The prominence on superior part of tragus Inflammation, fever, hypertension, pain (in general), Prick point

ADRENALAt the prominence on inferior part of tragus (if the ear has only one such prominence, the point is on the inferior border)

Functions to stimulate adrenalin and adrenocortical hormones Used for inflammation, allergies, shock, rheumatism and serious

poisoning symptoms resulting form bacterial infection Affects the dilation and constriction of blood vessels, hypertension and

hypotension, capillary hemorrhage Regulates excitation or inhibition of respiratory function Used for fever, certain skin diseases, and chronic illnesses

EXTERNAL NOSE At the middle of the anterior aspect of the tragus Brandy‐nose THIRST Above External Nose point on tragus Relieves thirst, diabetes, polyuriaHUNGER Below External Nose point on tragus Relieves hunger, diabetes, compulsive eating CLEAR NOSE/EYES Behind Thirst point on tragus Acute and chronic rhinitis, eye inflammationHYPERTENSION Below Hunger point on tragus HypertensionTHROAT On upper half of medial aspect of tragus Acute and chronic laryngitis, hoarseness, tonsillitis, edema of the uvulaINNER NOSE On lower half of medial aspect of tragus Rhinitis, nosebleed

THYROID #4 Lateral and superior to Throat point on tragus Regulates function of thyroid gland; May also be used in shock to raise blood pressure (same as Thyroid #1)

Where is the location of Adrenal point?A. The prominence on superior part of tragus B. The prominence on inferior part of tragus

For the people who have an ear with one prominence of the tragus, what is the location of the Adrenal point?A. On the superior border B. On the inferior border

Which of the following is NOT a function of the Adrenal point?A. Functions to stimulate adrenalin and adrenocortical hormonesB. Used for inflammation, allergies, shock, rheumatism and serious poisoning symptoms resulting form bacterial infection C. Regulates excitation or inhibition of respiratory functionD. Used for fever, certain skin diseases, and chronic illnessesE. Used for hypertension and contraindicated for hypotension

Which of the following points is used to relieving hunger, diabetes, and compulsive eating?A. Above External Nose point on tragus B. Below External Nose point on tragus

Which of the following points is used for hypertension?A. Above Thirst point on tragus B. Below Hunger point on tragus

Which of the following points is used for Atrial fibrillation?A. On tragus, posterior and inferior to External Ear pointB. Above External Nose point on tragusC. Below External Nose point on tragus



ANTITRAGUS 對舟(대주)

NAME LOCATION INDICATIONSFOREHEAD On anterior, inferior part of antitragus Frontal headache, rhinitis

OCCIPUT On posterior, superior part of antitragus

Used for neuropsychiatric disorders and symptoms due to meningeal irritation: convulsions, locked jaw, stiffness along nape of neck, psychosis, etc.

Also useful in preventing motion or sea sickness Used for various skin and eye diseases, inflammation, pain, shock

TEMPLE On antitragus, between Forehead and Occiput points Headache at the temple, migraine headache, vertigo, lassitude

VERTEX On antitragus, between and below Temple and Occiput points Headache at the vertex, vertigo

STOP WHEEZING At apex to angle of antitragus (if angle unclear, mid‐point on medial border of antitragus Regulates excitation or inhibition of respiratory center Used for coughing, panting, and/or itching

PAROTID GLAND On antitragus, medial to Stop Wheezing point Parotitis, obstruction of parotid ducts Relieves itching symptoms of many skin diseases

BRAIN On antitragus, between Stop Wheezing and Brain Stem points Regulates excitation or inhibition of the cerebral cortex Used for disease of nervous, digestive, endocrine, and urogenital

systems; hemorrhage

BRAIN STEM On the border of the lower segment of the antitragus, near Neck point

Disorders of the cerebral blood vessels and meninges (e.g., apoplexy, hemiplegia, convulsions, stiffness along nape of neck, etc.)

Also used for sequelae of cerebral shock, incomplete development of the brain

VERTIGO On antitragus, between Brain point and Brain Stem point Aural vertigo, prevents motion sickness THROAT & TEETH On antitragus, superior and posterior to Occiput point Toothache, swelling of gums, pharyngitis, tonsillitis VISION #1 Inferior and anterior to the intertragic notch Glaucoma, atrophy of optic nerve, diseases below the eyesVISION #2 Inferior and posterior to the intertragic notch Astigmatism and other ophthalmological diseases

ENDOCRINE At the extreme anterior portion in the bottom of the intertragic notch

Regulates disturbance of endocrine function, aids in metabolic function of absorption and excretion

Has antiallergic and antirheumatic function Used for gynecological and urogenital diseases, for dysfunction of

the digestive system, blood and skin diseases, malaria

OVARIES On anterior, inferior part of the inner wall of the antitragus Irregular menstruation, painful menstruation, infertility, developmental gynecological disorders

SUBCORTEX On anterior side of the inner wall of the antitragus Regulates excitation and inhibition of cerebral cortex Often used for insomnia, lassitude and other neuropsychiatric

disorders Also for inflammation, excessive sweating, and pain

HORMONE On medial side in the bottom of the intertragic notch Inflammation, allergies, shock, rheumatismTESTICLES On superior part of inner wall of antitragus Sexual dysfunction, orchitis, eczema of scrotumEXCITATION On inner wall of antitragus below Testicles point Narcolepsy, depression, emotional withdrawal

NERVE On inner wall of antitragus, below and posterior to Excitation point Facial nerve paralysis, severe muscle weakness, oculomotor nerve paralysis

TOOTHACHE On inner wall of antitragus, below and posterior to Nerve point Toothache

PITUITARY At the bottom of inner wall of antitragus

Regulates function of pituitary Used for dwarfism, acromegalic gigantism, polyuria Also used for shock, improper contraction of uterus after childbirth,

sexual dysfunction, and disease resulting from disturbances of endocrine function

Which of the following points can be combined with the Toothache point for treating a toothache?A. Maxilla + Mandible + Tragus Apex B. Inner Nose, Adrenal, Endocrine

The Brain + Subcortex + Occiput + Neurogate + Heart + Kidney + Stomach combinations is used for: A. Hypertension B. Epilepsy C. Hyperthyroidism

Which of the following combinations is used for diabetes mellitus with frequent urination?A. Endocrine + Lung + Thirst B. Endocrine + Stomach C. Endocrine + Kidney + Bladder

Which of the following auricular point combinations is used for Epidemic Parotitis (Mumps)?A. Parotid gland + Face area + Subcortex B. Parotid gland + Lung + Kidney + Stop wheezing

The Eye + Vision #1 + Vision #2 + Liver combination is used for:A. Glaucoma B. Electric opthalmia C. Optic neuritis D. All of the above

Which of the following points is NOT used for Whooping Cough (Pertussis)?A. Lung B. Stop Wheezing C. Neurogate D. Sympathetic E. Brain



TRIANGULAR FOSSA 三角窩(삼각와)


UTERUS Slightly above the parting of the two crura of the antehelix, in the triangular fossa Obstetrical and gynecological diseases, sexual dysfunction in the male

PELVIC CAVITY In the lateral angle of the triangular fossa near the intersection of the superior and inferior crura of the antehelix Pelvic cavity inflammation, painful menstruation

NEUROGATE (EAR‐SHENMEN)

In the triangular fossa, medial and superior to the Pelvic Cavity point

Regulates excitation and inhibition of cerebral cortex Sedative, analgesic, anti‐allergy effects Neuropsychiatric disorder (hysteria, psychosis, etc), hypertension,

coughing, allergic asthma, itching symptoms, and pain Important point for anesthesia

WHEEZING In the triangular fossa, between the Uterus and Pelvic Cavity points Anti‐allergy, suppresses wheezing, bronchial asthma

HEPATITIS In the triangular fossa, between the Wheezing and Pelvic Cavity points Acute and chronic hepatitis

HIP JOINT In the triangular fossa, below the Hepatitis point Often used for pain of lower limb joints or buttocksADNEXA In the triangular fossa, lateral and inferior to the Uterus point Inflammation of the adnexa, painful menstruationCONSTIPATION In the triangular fossa, below the Adnexa point Constipation, bleeding from hemorrhoids LOWER BLOOD PRESSURE

In the superior angle of the triangular fossa where the superior crus meets the helix Hypertension, headache (due to hypertension)

(NEW) DISTAL SEGMENT RECTUM

At the inferior angle of triangular fossa where the inferior crus of the antehelix meets the helix Enteritis, constipation, hemorrhoids, prolapsed anus

(NEW) URETHRA In the triangular fossa, medial to Uterus point and near the border of helix Frequent and urgent urination, painful urination, incontinence, retention of urine

(NEW) EXTERNAL GENITALIA In the triangular fossa, anterior and superior to Uterus point Sexual dysfunction, leukorrhea, excessive menstruation

(NEW) PROXIMAL SEGMENT RECTUM In the triangular fossa, above the (New) Urethra point Functional disturbance of the colon

The Neurogate point is used for:A. Hypertension B. Skin itching B. Cough and Asthma D. Hysteria E. All of the above

Which of the following points is the BEST for inflammation of the fallopian tubes, ovaries, and ligaments?A. Uterus B. Urethra (New) C. Adenxa

Which of the following point at the triangular fossa is used for headache due to Liver Yang Rising?A. In the superior angle of the triangular fossa where the superior crus meets the helixB. In the triangular fossa, between the wheezing and Pelvic cavity points

Which of the following Auricular points is located in the triangular fossa, between the Wheezing and Pelvic Cavity points?A. Uterus B. Neurogate C. Hip Joint D. Hepatitis

Which of the following points is MOST suitable to be combined with ST36 + RN6 + DU20 + DU1 and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) for prolapsed anus?

A. Proximal Segment Rectum B. Distal Segment Rectum

Which of the following points is NOT an important point for anesthesia?A. Neurogate B. Sympathetic C. Relax Muscle D. Endocrine

Which of the following points is located at the bifurcation point between the superior and inferior antihelix crus, and at the lateral 1/3 of triangular foassa?

A. Ear‐Shenmen (Neurogate) B. Uterus C. Constipation



CONCHAE (CAVUM AND CYMBA) 耳甲介腔(이갑개강)


MOUTH On superior, posterior wall of the opening of the external meatus Ulcers in the mouth, stiffness in the temporomandibular joint

ESOPHAGUS In the cavum of conchae, below Midpoint of the crus of helix Functional constipation of larynx, difficulty in swallowing due to hysteria, belching

PYLORUS In the cavum of conchae, below the crus of helix and posterior to the Esophagus pointPyloric spasm, belching, constriction of diaphragm causing regurgitation

STOMACH (ST) In the cavum of conchae, where the crus of helix 'disappears'Diseases of ST including indigestion, acute and chronic gastritis, peptic ulcer, distension of ST, belching, insomnia, etc.

PROLAPSE In the cymba of conchae, above the ST point and posterior to the Duodenum point Prolapse of the viscera

DUODENUM In the cymba of conchae, between Prolapse and SI points Duodenal ulcer, pyloric spasm, hypoacidic STSMALL INTESTINE (SI) In the cymba of conchae, above midpoint of crus of helix Indigestion, enteritis, distension of intestine by gas, heart disease

LARGE INTESTINE (LI) In the cymba of conchae, above crus of helix, anterior to SI pointEnteritis, dysentery, diarrhea, constipation, hemorrhoids, diseases of respiratory system

APPENDIX In the cymba of conchae, between LI and SI points Acute and chronic appendicitisCOLON #1 In the cymba of conchae, between LI and UB points

These 3 points treat allergic colitis, ulcer of the colon, intestinal polyps, bleeding in lower digestive tract, diarrhea due to schistosomiasis

COLON #2 In the cymba of conchae, between Appendix and Ureter points

BLOOD BASE In the cymba of conchae, between the Prostate and LI points

PROSTATE In the cymba of conchae, medial to the UB point Prostatitis, urinary tract infection, blood in the urine, painful urination, spermatorrhea, premature ejaculation

BLADDER (UB) In the cymba of conchae, above the LI point Cystitis, frequent and urgent urination, incontinence, retention of urine, enuresis, low back pain, neck pain

KIDNEY (KD) In the cymba of conchae, above SI point

Strengthening point, beneficial to the cerebrum, kidneys, and hematopoietic system

Used for incomplete development of brain, amnesia, neurasthenia, vertigo, headache, lassitude, nerve deafness, tinnitus, advancing deafness, loss of hair, diseases of the eyes, gynecological and urogenital system diseases, assists in bone mending, loose teeth, aplastic anemia, leukemia, edema, chronicpharyngitis, electrolyte imbalance, etc.

URETER In the cymba of conchae, between UB and KD points KD stones, renal colic ASCITES In the cymba of conchae, above the SI points Electrolyte imbalance, ascites, cirrhosis of liver, intestinal adhesions

PANCREAS In the cymba of conchae, above Duodenum point Acute and chronic pancreatitis, diabetes, indigestion, pancreatic diarrhea

RELAX MUSCLES In the cymba of conchae, posterior to ST point Used for relaxing muscles, and is important point in anesthesia Also for hepatitis and cirrhosis of LV

LEFT HEPATOMEGALY AREA

Above Relax Muscle point and lateral to Prolapse point (approximately 5mm long and 2mm wide) Hepatitis, enlargement of LV (hepatomegaly)

LIVER (LV) In the cymba of conchae, above Left Hepatomegaly Area

Acute and chronic hepatitis, eye diseases, iron deficient anemia and other blood diseases, arthritic pain, neuralgia, headache, vertigo, ST gas and pain, gas in the GI tract, hemiplegia, seizures, muscle spasms

PANCREAS/GALL BLADDER (GB) In the cymba of conchae, between LV point and KD point

Indigestion, pancreatitis, diabetes, cholecystitis, GB stones, roundworm in bile duct, chest and rib pain

RIGHT HEPATOMEGALY AREA

In the cavum of conchae, between Relax Muscle and SP points (approximately 5mm long and 2mm wide) Hepatitis, enlargement of LV (hepatomegaly)

SCHISTOSOMIASIS LINE A straight line from Relax Muscle point to the Right Hepatomegaly Area in the cavum of conchae Cirrhosis of LV due to schistosomiasis, as well as enlargement of SP, diarrhea, indigestion

HEPATITIS AREA Between ST point and Right Hepatomegaly Area in the cavum of conchae Acute and chronic hepatitis

SPLEEN (SP) Between Blood point and Right Hepatomegaly Area in the cavum of conchae

Indigestion, muscle atrophy (in general), blood diseases, abnormal uterine bleeding, prolapsed anus, weakness following a disease, prolapse of viscera, muscle weakness

BLOOD In the cavum of conchae, below the SP point and level with the Neck point Hemorrhagic diseases

HEART (HT) Ⓑ In depression at the center of the cavum of conchae Strengthens HT, anti‐shock, regulates blood pressure Used for various mental diseases, HT diseases, glossitis, Buerger's

disease, anemia



Which of the following auricular points is located on the Cavum Conchae?A. Duodenum B. Pancreas C. Liver D. Spleen

Which of the following auricular points is located on the Cymba Conchae?A. Right Hepatomegaly B. Left Hepatomegaly C. Hepatitis Area D. Hepatitis

Which of the following points is used for jaw pain, difficulty chewing as well as clicking and locking of the jaw joint?A. Eye B. Tonuge C. Mouth D. Inner Ear

Which three points are used together to treat allergic colitis?A. Colon #1 + Colon #2 + Blood Base B. Colon #1 + Colon #2 + Allergy

Which of the following points is used for allergic colitis (with Colon #1 and #2), ulcer of the colon, intestinal polyps, bleeding in lower digestive tract and diarrhea due to schistosomiasis?

A. Blood B. Blood Base

Which point is located in the depression at the center of the cavum of conchae?A. Stomach B. Lung C. Tragus Apex D. Heart

The Triple Burner point is located in:A. the cavum conchae B. the cymba conchae

Auricular acupuncture has been used extensively in substance abuse treatment programs, hospitals, and prisons throughout the USA and the world for the past 40 years. In the mid‐1970s, a medical doctor at Lincoln Hospital in the South Bronx area of New York, modified an existing system of auricular acupuncture into a simple technique for the treatment of many common drug addictions as an alternative to methadone. This selection of ear points proved to be extremely effective in the treatment of addictions, and became what is now referred to as the “NADA (National Acupuncture Detoxification Association) protocol.” The points used in the NADA protocol are:

A. Neurogate, Endocrine, Kidney, Liver, LungB. Neurogate, Endocrine, Kidney, Liver, Large IntestineC. Neurogate, Sympathetic, Kidney, Liver, LungD. Neurogate, Sympathetic, Kidney, Liver, Large Intestine

UPPER LUNG (LU), LOWER LUNG (LU)

Two points, one above and one below the HT point, near the center of cavum of conchae Various respiratory system and skin diseases, rhinitis, mutism,

night sweats, spontaneous sweating Also used as analgesic points in acupuncture anesthesia LATERAL LUNG (LU) Posterior to and between the LU points, near the cavum of conchae

BRONCHI Two points anterior to and between the LU points, near the center of cavum of conchae Acute and chronic bronchitis, asthma

NEW EYE Between and below the Esophagus and Pylorus points, above the LU point Ametropia, disease below the eye

TRACHEA Between and medial to the two Bronchi points Diseases of trachea

TRIPLE BURNER Below Trachea point, above Bronchiectasis point, in the cavum of conchae Hepatitis, tracheal disorders, diseases affecting mesentery or peritoneum; diuretic function

BRONCHIECTASIS Above Hormone point in the cavum of conchae Bronchiectasis

EMPHYSEMA Anterior and inferior to Pituitary point in the cavum of conchae Emphysema, wheezing

LUNG (LU) Posterior to the Pituitary point

Various respiratory system and skin diseases, rhinitis, mutism, night sweats, spontaneous sweating

Also used as analgesic points in acupuncture anesthesia (Same as other LU points)



EAR LOBE 耳垂(이수)


9 SECTIONSIf the earlobe from below the intertragic notch is divided by three parallel, horizontal lines, then sub‐divided by two parallel vertical lines, the lobe will be comprised of 9 sections (numbered left to right, top to bottom).

EYE The Eye point is in section 5 Eye diseasesTOOTH EXTRACTION ANESTHETIC

One Tooth Extraction Anesthetic point is in section 1, and the other Tooth Extraction Anesthetic point in section 4 Toothache, anesthesia for tooth extraction

NEURASTHENIA This point is between sections 1 and 4 Neurasthenia TONGUE This point is in the center of section 2 Glossitis, nervous aphasiaUPPER AND LOWER PALATE

The Lower Palate point is in the anterior, superior part of section 2; and the Upper Palate point in the posterior, inferior part of section 2

These points are used for toothache, swelling of gums, stiffness in TMJ, ulcers in the mouth,swelling of submaxillary lymph glands

Also anesthesia points for tooth extractionMAXILLA AND MANDIBLE

The Mandible point is at the top of section 3; the Maxilla point in the lower part of section 3

INNER EAR This point is in section 6 Aural vertigo, tinnitus, deafness TONSIL #4 This point is in section 8 Tonsillitis, pharyngitis

FACE AREA An elongated region stretching between the Eye and the Inner Ear points on the earlobe Facial paralysis, spasms of facial muscles, trigeminal neuralgia, parotitis

SPECIAL TUMOR AREA A line extending from Helix #4 to Helix #6 on the earlobe Definite analgesic effect for pain from tumors

In the auricular acupuncture, the ear lob will be comprised of ______ sections.A. 3 B. 6 C. 9 D. 10

The Eye point is in section ____ of the earlobe in auricular acupuncture.A. 1 B. 2 C. 3 D. 5

Which section of the earlobe must be searched with probe for treating Meniere’s disease, vertigo, tinnitus, and deafness?A. 2 B. 4 C. 6 D. 8

Tooth Extraction Anesthetic points are composed of two points and they are used for toothache, before or after the dental procedure. Which two sections of earlobe consist of these points?

A. Section 1 and 4 B. Section 2 and 5 C. Section 3 and 6 D. Section 7 and 9

Which of the following points can be used for the condition resulting from an exhaustion of the central nervous system's energy reserves which presents with fatigue, anxiety, headache, heart palpitations, high blood pressure, neuralgia, and depressed mood?

A. Ear Apex, Tragus Apex, Liver, Heart, Spleen, Lung, KidneyB. Neurogate, Sympathetic, Subcortex, Endocrine, Heart, Kidney, Spleen

Shanghai CAMNeurogate, Subcortex, HT, KD, Endocrine

Sympathetic, SP Brain, LV

Which of the following points can be used for Toothache?A. Tooth Extraction Anesthetic B. Maxilla and Mandible C. Tragus Apex and Ear Apex D. All of the above

Shanghai CAMMaxilla, Mandible, Tragus Apex Ear Apex

Which of the following area has an analgesic effect for pain from tumors?A. A line extending from Helix #1 to Helix #2 on the helixB. A line extending from Helix #4 to Helix #6 on the earlobe

Fill in the blank with the correct section number.

Raise BP Tongue, Palates Maxilla/Mandible Eye Inner Ear Tonsil #4Section 1 Section ___ Section ___ Section ___ Section ___ Section ___



BACK OF EAR 耳介背(이개배)

NAME LOCATION INDICATIONSLOWER BLOOD PRESSURE GROOVE

In trough along the backside of antehelix on the back of ear. This groove is divided into Upper, Middle and Lower segments Hypertension (prick point)

UPPER BACK On back of ear, on lower cartilaginous prominenceAcute sprain of lower back, back pain; pruritusMIDDLE BACK On back of ear, between Upper and Lower Back points

LOWER BACK On back of ear, on upper cartilaginous prominenceVAGUS ROOT At midpoint on back of ear where the auricle intersects the mastoid process Diseases of internal organs SUPERIOR ROOT OF AURICLE At intersection of superior border of auricle with the skin of face

Hemiplegia, hardening of funiculus lateralis spinalis INFERIOR ROOT OF AURICLE At intersection of inferior border of auricle with the skin of face

SPINAL CORD #1 Posterior border of superior auricular root Muscle atrophy, paralysis

SPINAL CORD #2 Superior border of inferior auricular root YANG LINKING Lateral and inferior to Vagus Root point, on back of ear Tinnitus

Which of the following points regulates parasympathetic control of the cardiac, respiratory, and digestive tract?A. Vagus root – At midpoint on back of ear where the auricle intersects the mastoid processB. Yang Linking – Lateral and inferior to Vagus Root point, on back of ear C. Vagus root – Lateral and inferior to Vagus Root point, on back of earD. Yang Linking – At midpoint on back of ear where the auricle intersects the mastoid process

Which of the following auricular points is used for spinal cord injury?A. Superior Root of Auricle B. Inferior Root of AuricleC. Spinal Cord #1 and #2 D. All of the above

What is the indication of the point located on upper cartilaginous prominence on back of the ear?A. Upper Back pain B. Middle Back pain C. Lower Back pain

Upper Back Middle Back Lower Backon lower cartilaginous prominence between Upper and Lower Back points on upper cartilaginous prominence

The Lower Blood Pressure Groove in the back of the ear located:A. In the trough along the backside of Antehelix on the back of ear. B. In the trough along the backside of Scapha on the back of ear. C. In the trough along the backside of Cavum and Cymba Conchae on the back of ear.

What is the indication of the Auricular point located at the lateral and inferior to the Vagus Root point, on back of ear? A. Conjunctivitis B. TinnitusC. Epistaxis D. Glossitis

Which of the following points is used for the tinnitus and deafness? A. External Ear B. Inner Ear C. Both A and B

Shanghai CAMExternal Ear, KD

Inner Ear, Neurogate, Endocrine, Occiput LV



PRECAUTION OF AURICULAR ACUPUNCTURE

1 If sudden dizziness, nausea, stuffiness of the chest or other fainting symptoms occur during treatment, the patient should be

managed in the same manner as during ordinary body acupuncture During initial visits, patients should be in a reclining position in order to avoid fainting

2 STRICT ANTISEPSIS is necessary to avoid infection of the auricle In case of inflammation or redness of the needle hole or distension and pain of the auricle, timely and appropriate measures

should be taken such as applying 2% iodine or oral administration of anti‐inflammation drugs Needling is contraindicated if frost‐bite or inflammation is present on the auricle in order to avoid diffusion or inflammation

3 Ear acupuncture is not advisable for WOMEN DURING PREGNANCY IF THERE IS A HISTORY OF MISCARRIAGE Aged and weak patients with hypertension and arteriosclerosis should have proper rest before and after needling

4 While there are extensive indications for ear acupuncture, it still has its limitations The therapeutic effects for some diseases are not satisfactory, or only symptomatic relief is achieved, therefore, in treating

some disorders, it is necessary to combine some other therapies

TERMINOLOGY COMPARISON SHANGHAI VS. CAM

SHANGHAI CAMAdrenal Infratragic Apex Allergy Interior Tubercle Brain Middle Border Diaphragm Middle EarEndocrine Intertragus Lower Blood Pressure Groove Groove of inferior Antihelix crusNeurogate Ear‐shenmenParotid Gland Antitragic Apex Siactic Nerve IschiumStop Wheezing Antitragic ApexSympathetic End of inferior Antihelix crus Uterus Depression in Triangular FossaVagus Root Root of Auricular vagusVision #1 Anterior Tragic Notch Vision #2 Posterior Tragic Notch

Ear acupuncture is NOT advisable for:A. women during pregnancyB. women during pregnancy if there is a history of miscarriageC. women with a history of miscarriageD. women during menstruation

What is the alternative name for Lower Blood Pressure Groove in auricular acupuncture?A. Groove of inferior antihelixs crusB. Infratragic ApexC. End of inferior Antihelix crusD. Root of Auricular Vagus



EAR ACUPUNCTURE PRESCRIPTION Minibook (Source: Shanghai)DISEASES EAR POINTS

Amenorrhea Endocrine, KD, LV, SP, Neurogate, SubcortexAppendicitis Sympathethic, NeurogateArthritis Sympathetic, Neurogate, Point of tenderness on the ear associated with the location of painAural Vertigo (Meniere’s Disease) Forehead, HT, Sympathetic, Neurogate, KD, Endocrine, Adrenal, OcciputBacterial Dysentery LI, SI, Subcortex, Sympathetic, NeurogateBronchial Asthma LU, KD, Adrenal, Sympathetic, Stop Wheezing (during an asthma attack)Bronchitis LU, KD, Stop WheezingBuerger’s Disease Sympathetic, KD, Adrenal, LV, Endocrine, Occiput, HT, Subcortex, point corresponding to affected limbCerebrovascular Accident (Stroke) KD, Brain Stem, Neurogate, HT, Occiput, SubcortexChronic Sinusitis External Nose, Inner Nose, Adrenal, Endocrine, ForeheadComa HT, Subcortex, Neurogate, Brain, SympatheticCommon Cold LU, Bronchi, Inner Nose, Throat, ForeheadConjunctivitis Prescrip. 1: LV, Eye, Vision #2 / Prescrip. 2: Temple, Ear Apex, Lower BP Groove, Posterior auricular veinsConvulsions Subcortex, Occiput, HT, LV, Neurogate (if there is high fever), Ear Apex (prick) Diabetes Mellitus Thirst: Endocrine, LU, Thirst / Hunger: Endocrine, ST / Frequent urination: Endocrine, KD, UBDisease Affecting the Soft Tissues of Shoulder Point of tenderness in the shoulder area of the ear, Subcortex, Neurogate, AdrenalDisease of Biliary Tract Pancreas/GB, LV, Sympathetic, Neurogate, SubcortexDysmenorrhea Ovaries, Neurogate, Endocrine, AllergyEczema LU, Neurogate, AdrenalElectric Opthalmia Eye, LV, Vision #1, Vision #2, SubcortexEnuresis Sympathetic, Brain, KD, UB, Occiput, Urethra, Other points of tenderness on the earEpidemic Parotitis (Mumps) Parotid Gland, Face Area, Subcortex, Point of tendernessErysipelas Neurogate, Adrenal, Subcortex, OcciputFainting HT, Subcortex, Adrenal, NeurogateFuruncle (Boil) Neurogate, Adrenal, Subcortex, Occiput, Point associated with the affected siteGlaucoma Principal: Allergy, LV, Eye, Lower Blood Pressure Groove / Supplementary: Vision #1, Vision #2Headache Subcortex, Forehead, Occiput, KD, Pancreas/GB and other points of tenderness on the earHeat Exhaustion or Sunstroke Neurogate, Subcortex, Sympathetic, HT, Adrenal, Occiput, Ear Apex (prick to let blood)Hemorrhoids Distal Segment of Rectum, Neurogate, SubcortexHiccup Neurogate, Diaphragm, SubcortexHypertension Subcortex, Lower Blood Pressure Groove, Neurogate, HT, SympatheticHyperthyroidism Neurogate, Subcortex, Endocrine, Thyroid, Stop WheezingHysteria HT, KD, Subcortex, Brain Stem, NeurogateImpotence External Genitalia, Testicles, Endocrine, Subcortex, NeurogateIndigestion Sympathetic, Neurogate, ST, LI, Other tender pointsInduction of Labor Uterus, EndocrineInfectious Hepatitis Hepatitis, LV, SJ, Sympathetic, Pancreas/GB, LV YangIntercostal Neuralgia Thorax, Neurogate, Sympathetic, Occiput, LU and other points of tenderness in the earIntestinal Obstruction LI, SI, ST, Abdomen, Sympathetic, Neurogate, SubcortexIrregular Menstruation Ovaries, KD, Endocrine, UterusLeukorrhea Uterus, UBLow Back Pain Lumbar Vertebrae, Lumbago, Neurogate, Subcortex, AdrenalMalaria Adrenal, Subcortex, Endocrine, Neurogate, SPMastitis Mammary Glands, Neurogate, Occiput, Adrenal, SubcortexMorning Sickness LV, ST, Neurogate, SympatheticMultiple Neuritis Neurogate, Sympathetic, Points associated with affected areaNeurasthenia Subcortex, Sympathetic, HT, KD, SP, Endocrine, NeurogateNeurodermatitis (Chronic Lichen Simplex) LU, Neurogate, Adrenal, LV, SubcortexOptic Neuritis or Atrophy Eye, LV, Vision #1, Vision #2, SubcortexPerforation of Gastric/Duodenal Ulcer ST, Abdomen, Neurogate, Sympathetic, SubcortexProlapse of Uterus Uterus, KD, SubcortexProlapsed Rectum Distal Segment of Rectum, SubcortexProstatitis KD, UB, Urethra, Pelvic CavityPsychosis (Schizophrenia) Sympathetic, Neurogate, HT, LV, Subcortex, Endocrine, ST, OcciputPulmonary Tuberculosis LU, Occiput, Sympathetic, Neurogate, Stop WheezingRenal Colic KD, Ureter, Subcortex, SympatheticRhinitis Inner Nose, Adrenal, EndocrineSciatica Ischium, Adrenal, Buttocks, Neurogate, Lumbar Vertebrae, SacrumSeizures (Epilepsy) Neurogate, HT, KD, Occiput, ST, Subcortex, BrainShock Principal: Adrenal, Raise BP, Subcortex, HT / Supple.: Thyroid, Hormone, Neurogate, LU, LV, SympatheticSimple Goiter Endocrine, Thyroid and other appropriate pointsSpermatorrhea KD, UB, Urethra, Pelvic CavitySprain of Lower Back Lumbar Vertebrae, Lumbago, Neurogate, Subcortex, AdrenalStenosing‐Tenosynovitis of Radial Styloid Process Wrist, Neurogate, SubcortexStiff Neck Neck, Cervical VertebraeStomachache ST, Sympathetic, Subcortex, DuodenumTendinitis of the Elbow Point of tenderness in the Elbow Area, Subcortex, Neurogate, AdrenalTetanus Subcortex, Occiput, HT, Brain, NeurogateTinnitus and Deafness Ear, Inner Ear, Neurogate, KD, Endocrine, OcciputTonsillitis Prescription 1: Throat, Tonsils / Prescription 2: Helix #1, #2, #3, Posterior auricular veinsToothache Maxilla, Mandible, Tragus ApexTrigeminal Neuralgia Forehead, Mandible, Maxilla, SympatheticUrinary Retention and Incontinence UB, Urethra, Sympathetic, External GenitaliaUrinary Tract Infection KD, UB, UrethraUrticaria Point corresponding to the site of the urticaria on the body, Endocrine, LU, AdrenalUterine Bleeding Uterus, Subcortex, Endocrine, Ovaries Whooping Cough (Pertussis) LU, Stop Wheezing, Neurogate, Sympathetic



AURICULAR ACUPUNCTURE PRESCRIPTION Handbook (Source: CAM)

COMMON DISEASES EAR POINTS (SHANGHAI TERMINOLOGY)

Ascariasis in the biliary duct LV, GB, Duodenum, Vagus Root

Bacterial dysentery LI, SI, Lower Portion of Rectum

Bronchial asthma LU, Trachea, Adrenal, Stop wheezing, Neurogate / Vagus Root, KD, SJ, LI

Bronchitis LU Trachea, Neurogate, Occiput, Adrenal, Vagus Root

Cholecystitis and gallstones Ⓡ Neurogate→Abdomen, Sympathetic, GB, 0.2mm below GB→Duodenum / Ⓛ GB→DuodenumChronic gastritis ST, Sympathetic, LU / LV, SP, Mouth, Endocrine

Colic pain due to urethral calculus KD, Abdomen, Sympathetic, Subcortex

Congestive glaucoma Bloodletting on Lower Blood Pressure Groove, Ear Apex / Eye, LV, Vision #1, Vision #2

Conjunctivitis Bloodletting on Ear Apex or on Minor Veins of Retroauricle / Eye, Neurogate, Ear Apex

Diarrhea LI (3 needles), ST

Dysmenorrhea Uterus, Endocrine, Vagus Root

Electric ophthalmalgia & snow blindness Eye / Eye, LV, KD

Enuresis KD, UB, LV, Subcortex / Endocrine, Brain, Urethra

Epidemic parotitis (mumps) Parotid Gland, Cheek, Subcortex

Facial neuritis Eye, Cheek, LV, Mouth / SP, Forehead, Neurogate, Adrenal

Functional bleeding of uterus Uterus, Endocrine, Neurogate / SP, Subcortex, LV, Diaphragm

Gastric or duodenal ulcer ST, Duodenum, Sympathetic, Subcortex, Mouth / SJ, Neurogate, LV, SP, Diaphragm

Headache Forehead, Occiput, Subcortex, Brain, Neurogate

Herpes zoster LU, Subcortex, Endocrine, Corresponding areas

Hiccough Sensitive spots near Diaphragm or Vagus Root

Hoarseness LU, Throat, Neck, Trachea, HT, LI, KD

Hypertension Adrenal, Lower Blood Pressure Groove, Helix, Neurogate / Endocrine, Forehead, Temple, LV, KD

Hysteria HT, Subcortex, Occiput, Brain / LV, Endocrine, Neurogate, Corresponding points

Insufficient lactation Chest (Puncture most sensitive spot)

Itching of the skin Neurogate, LU, Subcortex, Adrenal, Allergy / LV, SP, HT, Endocrine, Pancreas and GB

Migraine Forehead, Temple, Occiput, Neurogate / Neck, HT, LV, Ear Apex, Helix #6

Neurasthenia Neurogate, HT, Subcortex, Brain / KD, LV, Endocrine

Neurodermatitis LU, Adrenal, Endocrine, Corresponding points

Pain caused by cancer or tumor Subcortex, HT, Ear Apex, Corresponding areas / Sympathetic, LV, Neurogate

Paroxysmal tachycardia HT, Sympathetic, Neurogate, Subcortex

Perifocal inflammation of the shoulder Shoulder, Shoulder Joint, Clavicle, Adrenal / LV, SP, Brain, Tender spots in the cavum conchae

Phantom limb pain Neurogate, Forehead, Subcortex, Corresponding areas

Postoperative abdominal distension LI, SI, ST, Sympathetic, SP

Postoperative incision pain Neurogate, Subcortex, Ear Apex, LU, Corresponding areas

Sciatica Sciatic Nerve

Sequelae of cerebrovascular accident Subcortex, Brain, LV, SJ, Corresponding areas / Aphasia: HT, SP / Dysphagia: Mouth, Vagus Nerve, Throat

Sprain Neurogate, Subcortex, Sprained area (Tender spot)

Stiff neck Forehead, Cervical Vertebrae (Tender spot)

Stye Ear Apex / Vision #1, Vision #2

Tertian malaria Adrenal, Subcortex, Endocrine

Tinnitus and impaired hearing Ear, LV, KD

Tonsillitis Bleeding the Veins of Retroauricle, Ear Apex, or Helix #3,4,6,

Toothache Ear Apex

Transfusion reaction Neurogate, Adrenal, Subcortex

Urticaria Allergy, Adrenal, Parotid Gland, LV

Verruca plana Neurogate, LU, Subcortex, LI, Occiput, Endocrine

Vomiting ST, LV, SP, Neurogate



EAR ACUPUNCTURE PRESCRIPTION SHANGHAI (BLUE) + CAM (RED)DISEASES EAR POINTS (SHANGHAI TERMINOLOGY)

Amenorrhea Endocrine, KD, LV, SP, Neurogate, SubcortexAppendicitis Sympathethic, NeurogateArthritis Sympathetic, Neurogate, Point of tenderness on the ear associated with the location of painAscariasis in the Biliary Duct LV, GB, Duodenum, Vagus Root Aural Vertigo (Meniere’s Disease) Forehead, HT, Sympathetic, Neurogate, KD, Endocrine, Adrenal, OcciputBacterial Dysentery LI, SI, Lower Portion of Rectum Bacterial Dysentery LI, SI, Subcortex, Sympathetic, NeurogateBronchial Asthma LU, Trachea, Adrenal, Stop wheezing, Neurogate / Vagus Root, KD, SJ, LIBronchial Asthma LU, KD, Adrenal, Sympathetic, Stop Wheezing (during an asthma attack)Bronchitis LU Trachea, Neurogate, Occiput, Adrenal, Vagus Root Bronchitis LU, KD, Stop WheezingBuerger’s Disease Sympathetic, KD, Adrenal, LV, Endocrine, Occiput, HT, Subcortex, point corresponding to affected limbCerebrovascular Accident (Stroke) KD, Brain Stem, Neurogate, HT, Occiput, SubcortexCholecystitis and Gallstones Ⓡ Neurogate→Abdomen, Sympathetic, GB, 0.2mm below GB→Duodenum / Ⓛ GB→DuodenumChronic Gastritis ST, Sympathetic, LU / LV, SP, Mouth, Endocrine Chronic Sinusitis External Nose, Inner Nose, Adrenal, Endocrine, ForeheadColic pain due to Urethral Calculus KD, Abdomen, Sympathetic, Subcortex Coma HT, Subcortex, Neurogate, Brain, SympatheticCommon Cold LU, Bronchi, Inner Nose, Throat, ForeheadCongestive Glaucoma Bloodletting on Lower Blood Pressure Groove, Ear Apex / Eye, LV, Vision #1, Vision #2 Conjunctivitis Bloodletting on Ear Apex or on Minor Veins of Retroauricle / Eye, Neurogate, Ear ApexConjunctivitis Prescrip. 1: LV, Eye, Vision #2 / Prescrip. 2: Temple, Ear Apex, Lower BP Groove, Posterior auricular veinsConvulsions Subcortex, Occiput, HT, LV, Neurogate (if there is high fever), Ear Apex (prick) Diabetes Mellitus Thirst: Endocrine, LU, Thirst / Hunger: Endocrine, ST / Frequent urination: Endocrine, KD, UBDiarrhea LI (3 needles), STDisease Affecting Soft Tissues of Shoulder Point of tenderness in the shoulder area of the ear, Subcortex, Neurogate, AdrenalDisease of Biliary Tract Pancreas/GB, LV, Sympathetic, Neurogate, SubcortexDysmenorrhea Uterus, Endocrine, Vagus Root Dysmenorrhea Ovaries, Neurogate, Endocrine, AllergyEczema LU, Neurogate, AdrenalElectric Ophthalmalgia & Snow Blindness Eye / Eye, LV, KDElectric Opthalmia Eye, LV, Vision #1, Vision #2, SubcortexEnuresis Sympathetic, Brain, KD, UB, Occiput, Urethra, Other points of tenderness on the earEnuresis KD, UB, LV, Subcortex / Endocrine, Brain, Urethra Epidemic Parotitis (Mumps) Parotid Gland, Face Area, Subcortex, Point of tendernessEpidemic parotitis (Mumps) Parotid Gland, Cheek, Subcortex Erysipelas Neurogate, Adrenal, Subcortex, OcciputFacial Neuritis Eye, Cheek, LV, Mouth / SP, Forehead, Neurogate, AdrenalFainting HT, Subcortex, Adrenal, NeurogateFuruncle (Boil) Neurogate, Adrenal, Subcortex, Occiput, Point associated with the affected siteGastric or Duodenal ulcer ST, Duodenum, Sympathetic, Subcortex, Mouth / SJ, Neurogate, LV, SP, DiaphragmGlaucoma Principal: Allergy, LV, Eye, Lower Blood Pressure Groove / Supplementary: Vision #1, Vision #2Headache Subcortex, Forehead, Occiput, KD, Pancreas/GB and other points of tenderness on the earHeadache Forehead, Occiput, Subcortex, Brain, Neurogate Heat Exhaustion or Sunstroke Neurogate, Subcortex, Sympathetic, HT, Adrenal, Occiput, Ear Apex (prick to let blood)Hemorrhoids Distal Segment of Rectum, Neurogate, SubcortexHerpes Zoster LU, Subcortex, Endocrine, Corresponding areasHiccup Sensitive spots near Diaphragm or Vagus Root Hiccup Neurogate, Diaphragm, SubcortexHoarseness LU, Throat, Neck, Trachea, HT, LI,

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Ear Acupuncture ver 5 · considerations for auriculotherapy. NEEDLING 1)Once the point has been located, apply the head of the needle at the point, leaving a mark that can be found