3.14.15 Ymok Painmgmt LN Images

Pain Management Strategies
Using Acupuncture
By
Dr. Yue Patrick Mok, M.D.
Leading Acupuncture CE Provider

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Website:
Pain Management Strategies

Using Acupuncture
Yue Patrick Mok, M.D.
Lotus Institute Of Integrative Medicine
Tel: (626) 780-7182 Fax: (626) 609-2929
Website: www.eLotus.org Email: info@eLotus.org
Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine
Objectives
1. To review the concept of clinical strategies in
acupuncture, a step-by-step approach to
development of a treatment plan.
2. To review the schools of acupuncture in the
United States, their advantages and
disadvantages.
3. To incorporate different forms of acupuncture in
your treatment plans.

Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org
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Table of Contents
I. Introduction
II. Symptomatic treatments
A.
B.
C.
D.
Mid-day mid-night circadian

Auricular acupuncture
Hand Acupuncture (KHT)
Scalp Acupuncture
III. Meridian Therapies

A.
B.
C.
D.
Energetic cycles
Inverse-contrary law
Curious/Extraordinary meridians
TCM Pattern Treatment
IV. Constitutional Balance

V. Summary
Pain
An unpleasant sensory and
emotional experience associated
with actual or potential tissue
damage, or described in terms of
such damage.
by the International Association
of the Study of Pain

Western Medicine
Perception
Modulation
Transmission
Transduction
Transduction
At the origin of pain
Treatments
1. Remove the source
2. Treat the injury/disease
* antibiotics
* anti-inflammatories
* surgical wound care

Transmission
Conveying pain signals through the nervous system
Treatments
1. Nerve/Epidural Blocks
2. Anticonvulsants
Gabapentin (Neurontin)
Pregabalin (Lyrica)
Carbamazepin (Tegretol)
Phenytoin (Dilantin)
Milnacipran (Savella)
Modulation
Neural activity may be altered along the pain pathway
Treatments
TENS
1. TENS
2. Biofeedback
3. Endogenous Opioid System

Perception
Subjective sensation of pain
Treatments
1. Analgesics/Narcotics
* Morphine
*Hydrocodone (Vicodan)
* Oxycodone (Oxycontin
2. Anti-depressants
*Amitriptyline (Elavil)
*Fluxetine (Prozac)
*Sertraline(Zoloft)
*Doxepin(Sinequan)
3. Biofeedback, hypnosis
(psychological intervention)
Anatomical
(Surgery)
Chemical
(Medicine)
Energetic
Acupuncture
KHT
Etc.

I. Introduction:
Qi (Chi)
Bi-digital o-ring test
(Kinesiology)
Pulse Diagnosis
A. Traditional Pulses
B. New TCM pulses
C. Curious meridian pulses
D. Yin-yang pulses
E. Seven-Star pulses
Pulse Diagnosis
A. Traditional Pulses (Five Element Pulses)
Right
Left
Cun
Guan
Chi
Superficial
LI
ST
TH
Deep
LU
SP
PC
Superficial
SI
GB
BL
Deep
HT
LR
KI

Pulse Diagnosis
28 pulse types occur in combinations
Tight
Slippery
Full
Big
Wiry
Choppy
Empty
Thin
Knotted
Floating
Hollow
Rapid
Intermittent
Sinking
Flooding
Slow
Frail
Hidden
Leather
Long
Scattered
Soggy
Moderate
Short
Confined
Hurried
Spinning beam
Intermittent
Pulse Diagnosis
Normal Moderate, Slippery
Excess Full, Long, Flooding
Deficient
Empty, Hollow, Short, Choppy, Thin,

Spinning beam, Scattered, Frail, Minute
Heat Rapid, Hurried

Cold Slow, Tight
Exterior Floating
Interior Sinking
Dampness Sinking, Soggy
Obstruction, Stagnation Knotted, Wiry, Choppy, Flooding

Pulse Diagnosis
B. New TCM Pulses
Focuses on overall quality and
types of pulses
Pulse Diagnosis
C. Curious Meridian Pulses
1.
Symmetrical pulses quality (tight and full)

a. Yang Wei
-Cun
-Guan
-Chi
b. Yin Wei
-Cun
-Guan
-Chi
c. Du Mo
(superficial)
-Cun
-Guan
-Chi
d. Dai Mo
(superficial)
-Guan
-

Pulse Diagnosis
e. Chong Mo
(Deep)
-Guan
-
f. Yang Qiao
(Superficial)
-Chi
g. Ren Mo
(Deep)
-Cun
-Guan
-Chi
h. Yin Qiao
(Deep)
-Chi
2. Pulse quality changes (from tight to soft) by interaction to master points.
Pulse Diagnosis
D. Yin-yang Pulse (Constitutional Balance),
comparing arterial pulses diameter
at both sides LU9 and ST9
ST9 pulse diameter larger: yang-type pulse
LU9 pulse diameter larger: yin-type pulse
(See Chapter IV)

Pulse Diagnosis
E. Seven Star Pulses
Head/neck
Cun upper heater
Diaphragm
Guan middle heater
Sacroiliac
Chi lower heater
Legs
Hara/abdominal Diagnosis

10
Tongue Diagnosis
Heat yellow coating
Cold white coating
Pale blood deficiency
Purplish blood stasis
Scalloping margin Qi stagnation
Cracks Yin deficiency
To construct a treatment plan, one must

consider the three essential levels:
Symptomatic treatment
Meridian balance
Constitutional treatment
Acupuncture
Symptomatic Treatment
Meridian Therapy
Constitutional Treatment
Battle Field
Special Force/Tactical
Army/Strategic
International Policy

11
To determine which form of acupuncture to use in each level of treatments, one

must get familiar with the different schools of acupuncture, their
characteristics, functions, advantages, and limitations.
The following are the most popular schools available in

the US:
A.
Traditional Chinese Medicine

- Classic Form
- New TCM
F.
Auricular Acupuncture
- Chinese
- French
B.
French Energetics
G.
C.
Five Element Acupuncture
Scalp Acupuncture
- Chinese
- YNSA
D.
Japanese Meridian Therapy
H.
E.
Hand Acupuncture
- Korean (KHT)
- Sujok
- Chinese
Others
- Ryodorakn
- MARIA
Acupuncture
Schools
Symptomatic
Treatment
Meridian
Therapy
Constitutional
Treatment
French Energetics
+++
++
TCM Classical
++
+++
+++
TCM New
++
++
++
Five Element
++
+++
Japanese
++
+++
++
Auricular
+++
-/+
Hand Acupuncture
+++
+++
+++
Scalp Acupuncture
+++
-/+
-/+
Others

12
II. Symptomatic Treatments (Selected

Methods)
A. Mid-day Mid-night Circadian (Simplified Systems)
This is an extremely complicated and powerful treatment
system in acupuncture. Considerations include:
Years (60 years cycle)
Moon signs (month)
Days of each month
Time (hours) of the day
The ten pivots and the twelve branches
Five elements
It is not practical in modern medical practices. Today, we
discuss a simplified system, based only on hours of the day
and meridians correlation, which can be applied easily at any
hour, day, month and year. The primary function is immediate
symptomatic (pain) control.
Circadian Clock
With
Entry and Exit Points on the Main Meridians
Triple Heater 22
Exit
Triple Heater 1 Entry

Pericardium 8 Exit
Pericardium 1 Entry
Kidney 22 Exit
Gallbladder 1
Entry
Exit
Triple
Heater
(San Jiao)
9 11 pm
Gallbladder
11 pm 1 am
Gallbladder 41
Entry Liver 1
Liver
1 3 am
Pericardium
7 9 pm
Kidney
5 7 pm
Exit
Liver 41
Entry
Lung
3 5 am
Kidney 1 Entry
Urinary Bladder 67 Exit
Urinary Bladder
3 5 pm
Urinary Bladder 1 Entry

Small Intestine 19
Exit
Lung 1
Large Intestine
5 7 am
Small Intestine
1 3 pm
Stomach
7 9 am
Heart
11 am 1 pm
Entry
Entry
Lung 7
Large Intestine 1
Large Intestine 20
Stomach 1
Spleen
9 11 am
Small Intestine 1 Entry

Heart 9 Exit
Heart 1
Exit
Entry
Exit
Entry
Exit Stomach 42
Spleen 1
Exit
Spleen 21

13

14

15

16
B. Auricular Acupuncture
- French
(Auricular therapy and Auricular Medicine)
- Chinese
C. Hand Acupuncture
- Korean (KHT / Dr. Yoo)

- Sujok
- Chinese

17
Figure 3.0:
Relationship of the
right and left sides
of the palms and
the front of the
body
Figure 3.1:
Relationship of the right
and left sides of the
back and hands
Figure 3.4: Left arm and left hand correspondences
Figure 3.6: Right arm and right hand correspondences
Figure 3.5: Left leg and left hand correspondences
Figure 3.7: Right arm and right hand correspondences

18

19
Five Element Points
D. Scalp Acupuncture
- Chinese
- Yamamoto New Scalp Acupuncture

20
YNSA

21
YNSA
S. Sciatic
K. Knee
1. Lateral
2. Medial
3. ?
III. Meridian Therapies

A. Energetic Cycles
For systematic and/or symmetrical problems
Tai Yang (SI, BL) Shao Yin (KI, HT)
Shao Yang (TH, GB) Jue Yin (PC, LR)
Yang Ming (LI, ST) Tai Yin (SP, LU)

22
B. Inverse Contrary Law

Contrary
Tai Yang
Jue Yin
SI, BL
PC, LR
Yang Ming
Shao Yin
LI, ST
HT, KI
Shao Yang
Tai Yin
TH, GB
LU, SP
[Inverse]

23
Version I
Problem
Inverse
&
Contrary
Same cycle
point
Ipsilateral
Contralateral
Problems
Extremity
Inverse
Contrary
Tai Yang
SI
BL
Upper
Lower
LR
PC
SP
LU
Shao Yang
TH
GB
Upper
Lower
SP
LU
LR
PC
Yang Ming
LI
ST
Upper
Lower
ST
LI
KI
HT
Tai Yin
LU
SP
Upper
Lower
GB
TH
BL
SI
Shao Yin
HT
KI
Upper
Lower
KI
HT
ST
LI
Jue Yin
PC
LR
Upper
Lower
BL
SI
GB
TH

24
Version II
Problem
Inverse
Inverse
Contrary
C. Curious (or extraordinary) Meridians
This system is being used only in significantly

excess conditions. Acute pathologies or acute
exacerbation of chronic disease.
This procedure could be used alone, or in
combination to symptomatic treatment, meridian
balance, and constitutional balance; or in place
of meridian/constitutional balance.

25
Channel
Derivation
Chong Mo
KI
Yin Wei
Mo
Du Mo
SP; KI; LR
None
Master Coupled
Point
Point
SP-4
PC-6
F-4
K-9
PC-6
SP-4
(GV-9)*
K-9
F-4
SI-3
BL-62
H-2
I-38
Classic
Name
Classic
Function
Western Medicine
Integration
Assault
Vessel;
Mother of
the 12
Meridians;
Sea of
Blood
Organizes the 5
organs and six
energies by
receiving,
organizing and
propelling
Ancestral energy
through the
curious and
principle
meridians
Signal to open the entire

endocrine axis: adrenals,
ovaries, uterus, prostate,
seminal vesicles, thyroid,
pituitary; sexuality:
impotence/frigidity; infertility;
pelvic problems; backaches
from dysmenorrheal or cystic
ovaries that is diffuse, axial,
rhythmic, intermittent, hard to
localize
Chain
(linking,
binding) of
Yin
Equilibrates
energy on the Yin
(interior); controls
and protects
movement in the
3 Yins of the foot
Cardiac pain that is knife-like

and exits at GV-9;
palpitations (related to
emotions); fullness in chest;
excessive emotional
sympathy of others
problems; phobias
Governing
Vessel;
Sea of the
Yang
Meridians
Receives and
controls all of the
Yang channels
and concentrates
them
Full-length backache; lumbar,

axial, deep pain aggravated
by movement; rheumatic
arthritis of the spine; neck
pain
( )*=Mussat6 directing points can be added to any Extraordinary meridian treatment
Channel
Derivation
Yang Qiao
Mo
BL
Dai Mo
Yang Wei
Mo
None
GB
Master Coupled
Point
Point
BL-62
SI-3
I-38
H-2
GB-41
TE-5
M-31
L-4
TE-5
GB-41
L-4
M-31
Classic
Name
Classic
Function
Western Medicine
Integration
Motility
(heel,
rising-up)
of Yang
Assures
movement of
energy on Yang
surfaces; exit
point of deep
disturbances
Pain or problems aggravated

by movement (lumbar, neck,
scapular, leg); often
unilateral; occipital headache;
insomnia; fear of cold
Belt
Meridian
Regulation
between bottom
and top; holds
everything
together;
connects inside
and outside;
connects Yin and
Yang; disorders
predominantly
affect females;
principle effect on
meridians below
the waist
Menstrual problems; fibroids;

pelvic pain; discharges;
circular lumbar pain
(backfront) below T-12;
venous stasis circulatory
problems; cold buttocks and
feet; hot flashes; everything
that evokes a dissociation
between bottom and top (cold
on bottom, hot on top)
Chain
(linking,
binding) of
Yang
Equilibrates
energy on the
Yang surface of
the body;
controls and
protects
movement of the
three Yangs of
the foot
Migraine headaches from

back of neck to behind eyes;
lumbar pain radiating to hip;
muscle cramps; cholecystitis

26
Channel
Derivation
Jenn Mo
Ren
None
Yin Qiao
Mo
KI; BL
Master Coupled
Point
Point
LU-7
KI-6
C-8
J-2
KI-6
LU-7
J-2
C-8
Classic
Name
Classic
Function
Western Medicine
Integration
Conceptio
n Vessel;
the
Tchong
Mo of
women
Receives all of
the Yin channels
and sends them
out again;
principally
feminine
symptomatology
Symptoms similar to
Tchong Mo, but more
diffuse autonomic
dysfunction; problems of
sexuality menses,
fibroids, digestion, lungs
and bronchi
Motility
(heel,
rising-up)
of Yin
Assures the
movement of
Energy on the Yin
surface (interior);
puts Yin into
movement;
regulates Yin and
Yang meridians
on medial and
lateral surfaces,
especially in the
legs
Insomnia; problems with

water and adrenal
metabolism; diffuse and
dull pelvic pain; frontal
headaches between the
eyebrows; prostatitis;
impotence; chronic
pharyngitis; bladder
spasms; difficult labor
D. TCM Patterns Treatments

27
IV. Constitutional Balance

There are many ways to achieve an
individuals constitutional balance.
Today, we discuss the KHT System
specifically. In my experience, this is
the most effective and fastest way to
achieve this goal.
Yang-Type Pulse (Carotid) Radial in Diameter

Treatment Selection
Ratio
Smooth
Rough
3x or more
ST or SP
LI or LU
2x
BL or K
SI or HT
1x
GB or LR
TH or PC

28
Yin-Type Pulse (Radial) Carotid in Diameter

Treatment Selection
Ratio
Smooth
Rough
3x or more
SP or ST
LU or LI
2x
K or BL
HT or SI
1x
LR or GB
PC or TH
Tonification in deficient/chronic conditions

Sedation (disperse) in excess/acute
conditions
Meridian direction
Tonification
Sedation
SilverGold
GoldSilver
or (-) (+)
or (+) (-)

29
Three Constitutions
CONSTITUTION
SYNDROME
PULSE
Type
DEFICIENT & EXCESS ORGANS FOR THE

SYNDROME AND PULSE TYPE
EXCESS
LI
ST
UB
Lg. Intestine
Sedation
DEFICIENCY
SI
SJ
GB
Gall Bladder
Tonification
EXCESS
LV
PC
Heart
Sedation
DEFICIENCY
SP
LU
KD
Lung
Tonification
EXCESS
SJ
SI
ST
Sm.
Intestine
Sedation
DEFICIENCY
LI
UB
GB
Lg. Intestine
Tonification
EXCESS
LV
KD
LU
Kidney
Sedation
DEFICIENCY
PC
SP
Heart
Tonification
YANG
YANG EXCESS
SYNDROME
YIN
YANG
KIDNEY EXCESS
SYNDROME
POSSIBLE
PRESCRIPTIONS
YIN
Three Constitutions
CONSTITUTION
SYNDROME
DEFICIENT & EXCESS ORGANS FOR THE

SYNDROME AND PULSE TYPE
PULSE
Type
EXCESS
GB
Bladder
Sedation
UB
YANG
YIN EXCESS
SYNDROME
POSSIBLE
PRESCRIPTIONS
DEFICIENCY
SI
SJ
LI
ST
Stomach
Tonification
EXCESS
SP
LU
PC
Spleen
Sedation
YIN
DEFICIENCY
ED
LV
Kidney
Tonification

30
Yang Excess Syndrome

Organs/meridians in excess state:
Liver, heart, pericardium, large intestine, stomach,
urinary bladder
Organs/meridians in deficient state:
Spleen, lungs, kidney, gall bladder, small intestine,
triple heater
Yang excess syndrome most commonly affects the left side. First diagnostic clue
would be fullness and tenderness at ST-25 on the same side. As the condition is
successfully treated (balanced). The tenderness (or sensitive reactive point) on ST25 will disappear.
Symptoms: Headaches, pain at T1 and cervico-dorsal-scapular area, insomnia,
hypertension, peptic ulcer. Low back pain, impotency, pain in extremities and
lingering cold symptoms. Emotional and psychiatric problems are common
(dreams of sex with demons). Symptoms tend to reduce in the morning, worse from
afternoon on.
Contraindications: Needle CV-12 (Ren-12)
Kidney Excess Syndrome

K, LR, Lu, Si, ST, TH
HT, PC, SP, BL, GB, Li
Yin excess syndrome most commonly affects the right side. Abdominal
palpation found a lump under the umbilicus, fullness, and tender at CV-7 and
CV-5 (spreading sensitivity along the abdominal part of conception vessel).
Symptoms: Occipital headaches, stiffness, right shoulder (scapular pain,
anorexia, constipation, rectal prolapse, hemorrhoids, hypotension, acid reflux,
dermatitis, red cheeks, hernias, GU and GYN problems, infertility, and chronic
fatigue.
Contraindications: Needle CV-12

31
Yin Excess Syndrome

SP, Lu, HT, PC, GB, BL
LR, Ki, ST, Li, Si, TW. Palpitation found tenderness at SP-15.
Symptoms: Big eaters, greedy, sleepers, over-weight, anemia, kyphosis C7,
protruding T3, 4, 5 depressed, neuralgia, chest pain, sciatica, CNS diseases,
diabetes conditions worse at night.
Contraindications: Needle Li-4, Li-11, LR-3, ST-36
Most effective treatment for Yin excess is CV-12 (besides constitutional
balance).
Summary
I.
II.
III.
Symptomatic Treatments
A. Hand KHT, Sujok, Chinese
B. Ear Auricular/French, Chinese
C. Scalp YNSA, Chinese
Meridian Balance/Treatment
A. Energetic Cycles (Systemic/Symmetrical Problems)
B. Inverse Contrary Law (Asymmetrical Problems)
C. TCM Patterns and Special Effect Points.
Constitutional Balance
A. KHT
B. Others
By no means that this is the only way to treat a patient with acupuncture. There are
different interpretations and uses of these terms and methods that I have put together. I
find that this is the most cost-effective and time-effective combination with
comprehensive consideration to the patients energetic system.
Pharmacodynamics vs. Acu-dynamics
Pharmacokinetics vs. Acu-kinetics

32
Pharmacodynamics:
What is the drug doing to our body?
Effects on target site
Effects on other organs
Toxicity, etc.
Acu-dynamics:
What would happen if I stimulate this acupuncture point this way at this time?
Pharmokinetics:
What is the body going to the drug?
Means of delivery
Absorption
Blood/target concentration
Volume of distribution
Half-life
Biotransformation and elimination, etc.
Acu-kinetics:
How is the body perceiving this point(s)
Stimulation and use for our benefit, to pursue and main your best personal state, and to
reject the undesirable effects.
Perioperative Acupuncture
Y. P. Mok, M.D.
2014 ASA

33
Learning Objectives
To examine the philosophy and
indications of applying acupuncture in
the perioperative setting
To describe the application of
acupuncture in the levels of
perioperative stages
To discuss the concept of reversal of
acupuncture treatment
Disclosure
Dr. Y.P. Mok has no financial interest in
any of the subjects in this presentation

34
Structural
Anatomical
(Surgery)
Chemical
(Medicine)
Energetic
Acupunctur
e Physical
Medicine
Acupuncture Schools in US
1.
2.
French Energetics
TCM
1.
2.
3.
4.
5.
Five Element
Japanese Meridian Therapy
Auricular Therapy/Medicine
1.
2.
6.
KHT
SUJOK
Scalp Acupuncture
1.
2.
8.
French
Chinese
Korean Hand Acupuncture

1.
2.
7.
New Style
Ancient/Classical
YN SA
Chinese
Others

35
Acupuncture Strategy
I.
II.
Meridian Therapy/Balance
III. Constitutional/Spiritual Treatment
Acupuncture
Meridian Therapy
Constitutional
Treatment
Battle Field
Special Forces/Tactical
Army/Strategic
International Policy

36
Acupuncture
Schools
Symptomatic
Treatment
Meridian
Therapy
Constitutional
Treatment
+++
++
TCM Classical
++
+++
+++
TCM New
++
++
++
++
+++
Japanese
++
+++
++
Auricular
+++
-/+
Hand
Acupuncture
+++
+++
+++
Scalp
Acupuncture
+++
-/+
-/+
French
Energetics
Five Element
Others
Pre-Operative Preparation With

Acupuncture
Not to replace proper medical evaluation,
anesthesia assessment, and surgical
planning.
Not to replace medications, PT/OT,
respiratory therapy, etc.

37
1-4 Weeks Pre-operative

Constitutional Balance
Meridian Balance
Mind Body Balance
Same Day Pre-operative

To Supplement Medical Pre-op
1. Pain Control ????
2. Other symptoms related to proposed
surgery ????
3. Chronic medical problems, only if
uncontrollable

38
Pre-Operative Acupuncture
Indications & Applications
I.
Uncontrollable respiratory symptoms

(except respiratory failure)
1. Auricular Acupuncture
2. Hand Acupuncture
- Basic prescription upper heater
- Lung Shu-Mu, etc.
Lung Shu-Mu Points

39
LUNG
HEART
LUNG

40
Indications & Applications
II.
Uncontrollable cardiac symptoms

refractory angina
(in non-cardiac surgery)
1. Auricular Acupuncture
2. Hand Acupuncture
- Correspondence Points
- Pericardium Shu-Mu, etc.
Pericardium Shu-Mu Points

41
Heart Shu-Mu Points
LUNG
HEART
LUNG

42
Indications & Application
III. Extraordinary (curious) Meridian
(in KHT)
Intra Operative
Acupuncture effects were proven,
limitations were defined.
Interpretations of effects are subjective,
unreliable, and variable.

43
Acupuncture Assisted Anesthesia

First: Proceed with planned standard
anesthesia technique for induction
No waste of time and manpower.
Avoided inadequacy of acupuncture
(incomplete block of incisional pain and muscle
relaxation, etc.)
Provide unconsciousness and amnesia where
indicated.
Allows changes of surgical plan.
Second: Apply simple acupuncture

treatments after initiation of surgery;
Where the part of patient anatomy is
accessible, and when time is convenient
for the anesthesiologist.

44
Third: Progressive reduction of anesthetics

as feasible, with closed monitoring.
Maintain amnesia as indicated.
Maintain muscle relaxation as indicated.
Fourth:
Allow rapid/early emergence
Preemptive analgesia

45
Attenuation of A-delta Pain

(Incisional)
1. Scalp points, between GV20-GV22
2. Ear points, upper and lower lung
3. Electrostimulation along both sides of
the proposed incision line
Occasional Uses
1. Correspondence point treatments to
reduce pain of injections (local
anesthetics injection, regional anesthesia,
vascular access, bone marrow biopsy,
etc.)
2. Pre-Op sedation for patients who cannot
tolerate or refuse pre-medications.

46
Post Operative Acupuncture

I. Treatments or Prevention of Surgical and
Anesthesia Complication
Pain
Nausea/Vomiting
Paralytic ileus
Urinary retention
Prolonged sedation and drowsiness
Laryngeal/bronchial spasm
Hyper- / Hypo-tension
Agitation ?
Etc.
(Supplement Standard Conventional Treatments)

II.
Stabilize Chronic diseases (COPD,

cardiac conditions, etc.) to allow smooth
and early discharge.
(Supplement Standard Conventional
Treatments)

47

III. Energetic Reversal
(Balance the patient, and reverse
undesirable acupuncture effects prior to
discharge)
Acu-dynamics (vs. pharmacodynamics)

Acu-kinetics (vs. pharmacokinetics)
Summary
Principles of Perioperative Acupuncture
1. Simple Minimal Time Consumption.
2. Safe Avoid Complications before and
during surgery.
3. Politically Correct
Patient (and family) selection.
Surgeon factors.
Red tapes (Institutional, Regional, State, etc.)

48
Summary
Goals
Types of Acupuncture
Available
Pre-Op
Rapid and temporary symptomatic

control of chronic conditions.
Noninvasive, and mobile (use
press pellets, vaccaria seeds,
etc.)
KHT, Auricular, Sujok, Etc.
Intra-Op
To facilitate anesthesia, preemptive

analgesia, prevention of post-op
problems, to avoid interference
of surgical procedure
KHT, Auricular, Sujok, Special

effect meridian points (Li-4,
TH-6, PC-6, ST-36, etc.)
Post-Op
Symptomatic treatment, meridian

balance, constitutional balance
(Reversal of what we have
done, the undesirable portions)
KHT, Auricular, 5 Element, TCM,

Energetics, All Applicable.
To read articles by todays speaker, watch

online videos, or to see his/her complete
seminar/webinar schedule for this year,
please visit www.elotus.org

49
More information on the classic single herbs mentioned

in this seminar/webinar can be found in the Chinese
Medical Herbology and Pharmacology
More information on the classic formulas can be found
in the Chinese Herbal Formulas and Applications
Collection formulas can be found in the Lotus Clinical
Manual of Oriental Medicine
All the above texts are available through www.elotus.org
Herbs mentioned in this seminar/webinar,

are available through our sponsor
Evergreen Herbs & Medical Supplies.
Please contact them for a catalog and
pricing information.

50
This webinar is sponsored by:
Evergreen Herbs & Medical Supplies

Toll-free Tel: 866-473-3697
Website: www.evherbs.com
Email: sales@evherbs.com

51
Evergreen Herbs is not just an Herbal company, we are an

environmentally friendly, health conscious contributor to the healthcare community at large. Evergreen was founded by Dr. John Chen
and Tina Chen, siblings and coauthors of the Chinese Medical
Herbology and Pharmacology, and the Chinese Herbal Formulas
and Applications books.
Evergreen is a family business that is run by professionals like you
who care about Chinese medicine. And as a family business, we
have the well-being and satisfaction of our customers at the top
of our list. We care about the quality of our herbs, because we
care about our consumers, and have your best interest at heart.
Our goal is to support you in improving your clinical skills, and
enhancing the well-being of your patients.
To learn more about Evergreen Herbs and our products, please

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Pain Management Strategies

Dr. Yue Patrick Mok, M.D.

Leading Acupuncture CE Provider

Lotus Institute of Integrative Medicine

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Pain Management Strategies

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Mid-day mid-night circadian

III. Meridian Therapies

IV. Constitutional Balance

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Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Empty, Hollow, Short, Choppy, Thin,

Heat Rapid, Hurried

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Symmetrical pulses quality (tight and full)

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2. Pulse quality changes (from tight to soft) by interaction to master points.

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To construct a treatment plan, one must

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To determine which form of acupuncture to use in each level of treatments, one

The following are the most popular schools available in

Traditional Chinese Medicine

Five Element Acupuncture

Japanese Meridian Therapy

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II. Symptomatic Treatments (Selected

Triple Heater 1 Entry

Urinary Bladder 1 Entry

Small Intestine 1 Entry

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