Advanced Korean Hand Therapy Workshop: Improving Health through Acupuncture Energy Balance

Lawrence Li, MD, MPH and Dan Lobash, Ph.D., L.Ac. AANP Annual Conference June 10 - 11, 2004
Objectives: Following this presentation, the participant will be able to: 1. Review Basic Correspondence experience by participants; Q & A 2. Apply new correspondence points for the internal organs (Mu points) 3. Understand the concept of energy circulation and balance in health and the role of lifestyle and Traditional Chinese Medicine diagnostic and therapeutic approaches to improve energy balance. 4. Demonstrate the following diagnostic skills: a. O-ring muscle testing (applied kinesiology) to determine appropriate treatments. b. Identify which acupuncture body meridians are involved for musculoskeletal problems. Describe their location on the hand under the KHT system. 5. Demonstrate the following treatments: a. Sedation and Tonification of meridians using pellet bandaids. b. Upper, Middle & Lower Heater patterns c. Gender patterns d. Eight extraordinary meridians to balance posture and energetics e. Five element theory for the Three Constitutional Treatments (Spleen, Kidney or Large Intestine excess) to balance overall energy. 6. Be able to use KHT formulas to apply press pellets to address common internal medicine problems. Sinus/Nose/Ear Womens Health Digestive Anxiety/Depression: Energetic Valium All participants should have taken the Basic KHT Workshop as there will be no review of this material.

Correspondence Therapy Enhancements

1. Add Mu or Shu points (organ balance)

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Table 1: Mu points for Yang, Yin, Kidney excess syndromes Organ Point Liver N19 Spleen F19 Large Intestine E22 Bladder A3 Stomach A12

Figure 1

2. Add an energetic Heater pattern

To improve energy balance in the chest, abdomen or pelvis

Fig. 2: Upper, Middle & Lower Heater patterns

Table 2: Three Heaters (Triple Warmer) Heater KHT points Organs Upper A12, 16, 18, 20 Circulation, Respiration: Heart, Lung Middle A8, 12, 16 Digestive: Gall Bladder, Liver, Spleen, Stomach Lower A1, 3, 8, 12 Reproduction, Elimination

Symptoms Chest pain/tightness, Cough, Dyspnea, Dysphagia Nausea, loss of appetite, indigestion, motion sickness Low Energy, constant illness, LBP, lower GI/GU problems, decreased libido, urinary difficulties

Traditional Chinese Medicine

TCM considers the patient as a microcosm of the universe, subject to the influences of the environment and internal harmony. Patients are subject to the interplay of external factors such as wind, heat, dryness, dampness and cold which act on the elemental qualities of the human body such as wood, fire, earth, metal and water. Internal factors such as anxiety, sadness, anger, and elation also influence health as well as the interplay between the classic polar stations of yin and yang. TCM has a different anatomical and physiological construct which is internally logical and consistent but different from the Western model. To explain TCM in Western terms is difficult, but to explain TCM from an Eastern philosophical standpoint is easy. Ultimately, a Western practitioner must accept acupuncture as a scientifically validated treatment without fully understanding its mechanism of action. Many drugs in the Western pharmacopeia work clinically but are without adequate physiological

Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

June 10 11, 2004

explanations as to their effectiveness. Aspirin was used for more than 100 years before its mechanism of action was recently elucidated, and this scientific achievement was awarded the Nobel prize.

Energy Circulation
Life energy, or Qi (chee) must circulate throughout the body and in the anatomical territory of each of the internal organs. Qi is said to normally flow along meridians, which are theoretical channels to carry and distribute Qi. The meridians divide the body into six sagital territories of influence. Blockages in the flow of Qi are said to cause disease much like blockages of blood flow can cause damage downstream. KHT Treatment of Energy Imbalance: Overview 1. Five Element Theory > Three Constitutions: Excess Kidney, Large Intestine or Spleen Determine by Muscle Testing or Pulse Taking (hard; 6 months skill) Balance with pellet bandaids or rings 2. Micromeridian: Balance through Sedation or Tonification of Energy Flow 3. Eight Extraordinary Meridians: composite superhighway: Balance posture, energetics

Yin - Yang Cycle

Figure 3 Figure 4

Everything flows in cycles. Every organ interacts with other organs. Problems seldom occur in isolation.

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

June 10 11, 2004

Five Element Cycle

Figure 5 YANG (outer circle) Gall Bladder Small Intestine / Triple Heater Stomach Large Intestine Bladder YIN (inner circle) Liver Heart / Pericardium Spleen Lung Kidney

Table 3: Five Elements characteristics Organ 3 Liver Heart Spleen Table

Season Element Paired Yang organ Emotion Spring Wind Gallbladder Anxiety Summer Heat Small Intestine Joy Harvest Damp Stomach Thought

Lungs Fall Dryness Large Intestine Sadness

Kidney Winter Cold Bladder Fear

Meridian Excess - Deficiency

Figure 6: SEE SAW

Dynamic Energy balance Illness, injury Diet, Activity, Herbs, Acupuncture One change creates many changes; meridian relationships

Increase/Decrease Yin <> Decrease/Increase Yang

Chinese Body Acupuncture Map

Internal organ names NOT necessarily correlated with organ disease. 12 Meridians (6 pairs) each side of the body Italicized = Key Diagnostic meridians in KHT Yin meridians flow out to fingers, in from toes. Yang meridians flow in from fingers, out to toes.

Table 4

YANG ORGAN Large Intestine Stomach Bladder

YIN ORGAN Lung Spleen Kidney

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

June 10 11, 2004

Fig. 8: Chinese Body Acupuncture Map, Front & Back views

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

June 10 11, 2004

Fig. 9: Chinese Body Acupuncture Map, side view + head

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Fig. 10:

LU Lung PC Pericardium HT Heart GB Gall Bladder BL Bladder KI Kidney

TH Triple Heater SI Small Intestine LI Large Intestine

LR Liver SP Spleen ST Stomach

Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

Korean Hand Therapy Micromeridian map

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June 10 11, 2004

Back of Right hand

Meridians flow one way in the direction of the arrow. Tonification: encourage movement in SAME direction as meridian Sedation: Encourage movement in OPPOSITE direction as meridian

Palm of Left hand

Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

June 10 11, 2004

OPTIONS TO IMPROVE RESULTS BEYOND CORRESPONDENCE THERAPY:

KHT pellets create directional flow, from Aluminum (Silver) negative > Brass (Gold) positive 1. the weaker meridian: apply pellets in the same direction as the meridian flow. Usually this is a Yin Organ. Example: Tonify LUNG: Apply aluminum pellet on PIP, brass pellet on DIP on C meridian
TONIFY SEDATE

2.

a meridian: apply pellets in the opposite direction to the meridian flow.

Usually this is a Yang organ. Example: Sedate Large Intestine: Apply aluminum pellet on PIP, brass pellet on DIP on D meridian Table 5: Chinese & KHT Acupuncture Meridian Pairings (Tai = Great, Xiao = Small, Ming = Bright) Energy Yin organ Abbrev. KHT Energy Yang organ Abbrev. KHT Axis Axis
Conception Vessel (Ren) Lung (arm) Spleen (leg) Heart Kidney Pericardium (Master Heart) Liver CV LU SP HT KI PC (MH) LR A C F G J K N Yang Ming Tai Yang Xiao Yang Governing Vessel Large Intestine Stomach Small Intestine Bladder Triple Warmer (San Jiao, Triple Heater) See Table 2 Gallbladder GV LI ST SI BL TW (SJ, TH) GB B D E H I L M

Tai Yin Xiao Yin Jue Yin

3. Creating energetic movement across a meridian pair or an energy axis

e.g., Meridian pair: Tonify LUNG: Apply a brass pellet at C9, aluminum pellet at D2

4. Tonify the Gender pattern (improves energy balance)

Female: A1, 4, 6, 8, 12 Male: A1, 3, 6, 8, 12 A4 corresponds to the uterus A3 corresponds to the bladder and prostate

5. Eight Extraordinary meridians (8 EM) for Treating Excess Large Intestine, Spleen & Kidney Energy Excellent for creating global improvement in energy balance, improving posture

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

June 10 11, 2004

Table 6: Eight Extraordinary Meridians

Excess Meridian
Large Intestine Large Intestine Spleen Spleen
Yin Yang Yin Yang

+
gold F4 H2 C8 L4

silver K9 I38 J2 M31

Large Intestine Excess: Tend to be thin, athletic Symptoms: constipation, hyperacidity, low back pain, herniated disk, lower jaw toothache, nasal congestion, dry cough, tennis elbow, deltoid pain, feels stressed tired Spleen Excess: Tend to be overweight Symptoms: Diabetes, pancreatitis, malabsorption, anemia, nausea, hypoacidity, stroke, oversleep, overly instrospective Kidney Excess: No particular physical stereotype Symptoms: Gynecological problems, kidney stones, nephritis,decreased hearing, tinnitus, dry inflamed throat, allergies, cold hands & feet, hypotension, spinal arthritis, sooty comlexion, fearful, anxious

Kidney Kidney Kidney Kidney

Yin Yin Yang Yang

J2 K9 M31 I38

C8 F4 L4 H2

Tongue findings

Red perimeter signifies Liver energy excess; common in the Spring. Irritability, resentment/anger, ligament problems Scalloped tongue edge (tooth edema marks) = Spleen imbalance. Excessive introspection Red tip = Heart overactive, poor recent sleep. Overactive emotions, mania

Fig. 11: Liver excess tongue

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Lawrence B. Li, MD, MPH & Dan Lobash, Ph.D. AANP Annual Conference Advanced KHT Workshop: Improving Health through Acupuncture Energy Balance

June 10 11, 2004

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Muscle Testing (Applied Kinesiology)

History: Research by George Goodheart. Benign physical stimuli (e.g., nutritional supplements) would increase the strength of certain indicator muscles. Inimical stimuli would cause those muscles to weaken suddenly. John Diamond, M.D.: Indicator muscles would strengthen or weaken in the presence of positive or negative emotional and intellectual stimuli, as well as physical stimuli. Books: Diamond, J. Your Body Doesn't Lie:How to Increase Your Life Energy Through Behavioral Kinesiology. New York: Warner Books, Inc.; 1979. Behavioral Kinesiology. New York: Harper & Row; 1979. David Hawkins: comprehensive analysis of the emotional and spiritual development of individuals, societies, and humanity in general. Important book: Hawkins, David R. Power versus Force: An Anatomy of Consciousness. Sedona, AZ: Veritas Publishing; 1998. Potential uses: Distinguish Truthful from False statements Identify which Constitutional pattern to use. Identify improvement in acupuncture energetic balance Beneficial/Harmful Foods, Supplements, Medications; Dosing Fig. 13: O-ring test with gauge

Fig. 12: O-ring test

Acupuncture does not resolve all cases. Reconsider the following:

a. Anatomic Diagnosis b. Etiology c. Ergonomics d. Stress Management (increases tension, decreases sleep) e. Other therapies

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AANP Advanced KHT Workshop Lawrence Li, M.D. & Dan Lobash, Ph.D.

July 2-3, 2003

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This table is for advanced practitioners Table 7: Individual Organ with Reactive points and 8 Extraordinary Meridian Patterns Organ Pulse* Site Reactive points Syndrome +8em Brass Yin Leg Liver 1Rs N18, E22, A12 Kidney J2 Yang F4 Kidney 2Rs J23, I19 Kidney K2 K9 Spleen 3Rs F19, N17, A3, A16, A18, C1 Yin C8 Pericardium 1Rr Yang F4 Arm Heart 2Rr A18,16, A3, E22 Yin C8 Yang F4 Lung 3Rr C1, A3, N1, F19, J23, I10 Yin C8 Kidney J2 K9 Yang GB 1Cs N17, C1, F19, I10 Yin L4 Leg BL 2Cs S2, A3 Yang H2 Yin L4 ST 3Cs A12 (CV 12), (T8) Kidney M31 I38 Yang H2 Arm TH 1Cr Kidney H2 L4 SI 2Cr A4-5, Du channel Kidney H2 M31 LI 3Cr E22, A16, N18 Yang H2 Yin L4 *C = Carotid, R = Radial; r = rough, s = smooth -8em Al C8 K9 C8 F4 J2 K9 J2 K9 J2 C8 F4 M31 I38 M31 L4 H2 I38 I38 M31 I38 L4 I38 M31

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AANP Advanced KHT Workshop Lawrence Li, M.D. & Dan Lobash, Ph.D.

July 2-3, 2003

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Common Disease-Problem Treatment Patterns and Major Treatment Points and Patterns a. Sinus/Nose/Ear
Correspondence points Upper Heater Meridians LU/LI SP/ST: allergies

b. Digestive
Correspondence points

Middle Heater Meridians LU/LI SP/ST:

c. Menstrual
Correspondence points: Womens

Pattern/Lower Heater Meridian: SP-6 (F6)

d. Anxiety/Depression:
Energetic Valium: A14, G5, K10, J3, I38, N4 GV20 (A33)

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AANP Advanced KHT Workshop Lawrence Li, M.D. & Dan Lobash, Ph.D.

July 2-3, 2003

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Resources Lawrence Li, MD, MPH; spiritLL@earthlink.net Community Health Centers of the Central Coast 805-938-9200, fax 805-938-0920 2801 Santa Maria Way, Suite A, Santa Maria, CA 93455 Dan Lobash, Ph.D., L.Ac. KHTdan@aol.com KHT Systems (877) 244-4325 phone, fax; www.KHTSystems.com; KHThealth@aol.com P.O. Box 5309, Hemet, CA 92544. KHT supplies, charts, training videotapes. Seminars: $250 for level I weekend course. American Academy of Medical Acupuncture; 800-521-2262; to find MDs that provide acupuncture www.medicalacupuncture.org National Certification Commission for Acupuncture and Oriental Medicine; www.nccaom.org; to find qualified acupuncturists (Dipl. Ac.) and Chinese herbalists (Dipl. C.H.) KHT References 1. KHT Health and Well Being Through Koryo Hand Therapy. Dan Lobash, 1996, $42 manual that teaches hand micromeridian and point location, Correspondence Therapy, and several hand pellet prescriptions for a variety of conditions. 2. Dale RA. The systems, holograms and theory of micro-acupuncture. Am J Acupunct 1999;27(3-4):207-42. 3. Hida K. Critical evaluation of Koryo Sooji Chim (Korean hand acupuncture) diagnosis by application of the Bi-Digital O-Ring Test. Acupunct Electrother Res 1986;11(3-4):251-7. 4. Jodorkovsky R. Hand acupuncture. Phys Med Rehabil Clin N Am 1999;10(3):563-71. 5. Jodorkovsky R. Hand acupuncture experience in pediatric patients. Medical Acupuncture 1999;11(1):25-28. 6. Jodorkovsky R. Hand acupuncture treatment for chronic asthma in children. Medical Acupuncture 2000;12(2):52. 7. Jodorkovsky R. Treatment of Primary Nocturnal Enuresis with Hand Therapy: A Randomized, Double-Blind, Placebo-Controlled Trial. Medical Acupuncture 2003;14(2):28-31. 8. Schlager A. Korean hand acupuncture in the treatment of chronic hiccups [letter] [see comments]. Am J Gastroenterol 1998;93(11):2312-3. 9. Schlager A, Boehler M, Puhringer F. Korean hand acupressure reduces postoperative vomiting in children after strabismus surgery. Br J Anaesth 2000;85(2):267-70.

Bibliography
1) Beinfield H, Korngold E. Between Heaven and Earth: A Guide to Chinese Medicine. New York: Random House, Inc., 1991. Good introduction to TCM and herbs; extensive five phases personality. 2) Gunn CC. The Gunn Approach to the Treatment of Chronic Pain. Intramuscular Stimulation for Myofascial Pain of Radiculopathic Origin. Second ed. New York: Churchill Livingstone; 1996. 3) Helms, JM. An overview of medical acupuncture. Alt Therapies 1998. Vol 4 (3): 35-45. 4) Kaptchuk TJ. The Web that has no Weaver: Understanding Chinese Medicine. New York: Congdon & Weed, Inc., 1983. Easy point of entry to understand contemporary expression of TCM from a practitioners perspective. 5) Travell JG, Simons DG. Myofascial Pain and Dysfunction: The Trigger Point Manual. Baltimore: Williams & Wilkins, 1992. vol 2. 4.3.19