Dkaraba Neijing TCMWT Handout

TCM Wisdom TubeTM
Acupuncture from the Neijing
by
David Karaba, L.Ac., O.M.D.
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Purpose
Acupuncture from the

Hungd Nijng
()
This webinar is the provide insight and

perspective to the upcoming class:
"Acupuncture from the Neijing for Fantastic
Clinic Results, By Dr. Donald Kendall next
weekend, 6/26/10!
The origins of needling therapy

and Acupuncture
Remembering our Roots
Honoring our Tradition
Reviewed will be:

Essential Concepts and
Why we should expand our understanding
of the Hungd Nijng ()
by
David Karaba, O.M.D., L.Ac.
Copyright
Overview
Pictures have been purposely removed from the

handout for copyright reasons
Keys to fully appreciate and grasp the subtleties of

the Hungd Nijng () are:
The importance and need for Integrative
Concepts (.i.e. Why scientific understanding is
essential for consistent repeatable results)
Nomenclature used (and why)
Longitudinal Organization
The importance of the

Hungd Nijng
( )
Hungd Nijng ( )
Yellow
Emperors Internal Classic

(Hungd Nijng most
important text to evolve perhaps
during ca. 600 300BCE
Some
evidence shows Neijing may have

been compiled ca. 200 100BCE
First comprehensive Medial Text

Is a compilation (c.200 BCE) of all knowledge
related to Chinese medicine
Provides an amazing understanding of human
anatomy, physiology, and pathology
Provides first complete description of blood
circulation by cardiovascular system and also
the lymphatic system
Neijing provides foundation of needling
therapy including description of 9 needles
Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: info@eLotus.org
Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute.
9 needles
Used For:
Needling - Blood letting - Minor surgery- Acupressure
Hungd Nijng ()
Hungd Nijng ()
First medical text to correctly describe:

Cardiovascular blood circulation consisting of:
Hungd Nijng ()
Inhaled air
Nutrients absorbed by small intestine veins
Hormones
Immune substances (wi ) (can leave circulation and
drain into lymphatic system)
Brain, spinal cord, and peripheral nerves

Longitudinal body organization with segmental
dominance (fundamental to all vertebrates)
Longitudinal distribution of muscles and vessels
giving rise to neurovascular nodes (acupoints)
Somatovisceral relationships,
organ referred pain &
Organ Vitalities and emotions
mediated by refined substances
(shen jing)[]
Organ referred pain, four hollows, vessel distributions

Significance with regards to needling
Vitality, emotions, and endocrine glands

Zhi drive; will - adrenals
Hun Mood pineal (controlled by eyes)
Po vigor thyroid
Yi intent; desire pancreas
Shen spirit heart; pituitary
Notes that ancient Chinese physicians

performed postmortem autopsies
First account of continuous blood circulation
and rudimentary immune system
Provided anatomical measurements of internal
organs and blood vessels
Mentioned neurovascular connections to heart
and eyes
Observed propagated sensations (PS) along
vessel and muscle distribution pathways
First medical text to correctly describe (cont):

Internal organs
Did not differentiate the endocrine glands but included
their functions, vitalities, and emotional contributions
with specific viscera
Rational concept of pathology involving the interplay of
physiological balance, external environment, and
emotional stress and strain
Provided treatment approaches using:
Treatment based on herbs and needling therapy
The character of Yi
Others: exercise, breathing exercise, moxa,
Organ referred pain

To increase the blood flow and innervation
feedback
Viscerosomatic effects (organ referred pain)
Somatovisceral effects (treating the extremities
to effect the organs needling patches, etc.)

Western Exposure
Fantastic Clinical Results
Some
are due the results of unique

functions or capability of certain
neurovascular nodes
Most
are result of understanding unique

view of body developed by the Chinese
Most important is longitudinal () body
with segmental nerve dominance
Marco
Polo (1275-1292),
in a letter to the Doge of
Venice, mentioned
needles that cure
Western Exposure
Jesuit Missionaries of the fifteenth century

reported and practiced needling therapy
In the late 1600s Willem ten Rhijne was first
western trained physician to observe Chinese
medicine practice while serving the Dutch East
India Co. in Japan
He learned from practitioners that vessels involve
related nerves as well
Japanese physicians constructed hydraulic
machines to illustrate how blood continually
circulates through the body
Western Exposure
Western Exposure
During early 1900s a bank clerk from France

named Soulie de Morant spent several years in
China
Around 1930 he started teaching a few physicians
and lay people about his ideas of Chinese medicine
in France
With no training in anatomy or physiology he
made several critical errors in his interpretation of
Chinese medicine
Willem ten Rhijne also learned that branching of

vessels was a critical part of Chinese theory
He indicates that this branching was unknown in
Europe at the time
He wrote a dissertation in 1683 on Chinese medicine
and needling therapy
His report was used in early 1800 France, Italy, and
US to experiment with needling and electric
stimulation to inserted needles
Soulie de Morant
The most devastating error was to translate vital

breath (q []) as energy for lack of a better
word
He then translated the longitudinal and collateral
vessels (jnglu ) as meridian although
meridian is jngxin
He also then translated word for blood vessel (mi
) as meridian as well

Original Chinese Discovery
Continuous circulation of blood to internal and

superficial region by means of cardiovascular
system
Branching of arteries into progressively smaller
vessels including capillaries which communicate
with return flowing veins
Vital breath circulated in blood along with
nutrients, defensive substances, and biologically
active substances of vitality that mediate emotions
William Harvey
William Harvey (1578 -1657) was an English
medical doctor, who is credited with first
correctly describing, in exact detail, the
properties of blood being pumped around the
body by the heart.
This developed the ideas of Ren Descartes who in his
Description of the Human Body said that the arteries
and veins were pipes which carried nourishment
around the body. Although Spanish physician Michael
Servetus discovered circulation a quarter century
before Harvey was born, all but three copies of his
manuscript Christianismi Restitutio were destroyed
and as a result, the secrets of circulation were lost until
Harvey rediscovered them nearly a century later.
Retrieved 1/1/19/07 @ http://en.wikipedia.org/wiki/William_Harvey
In contrast Four Great

Inventions of China
Bridging the Divide

Integrating Medicine
Between the East and West
History and origins

Gunpowder was invented in China and is considered
one of the Four Great Inventions of ancient China.
The 'Four Great Inventions of ancient' China: the compass,

gunpowder, papermaking, and printing.
The blood circulatory system is not included as an

original discovery (yet).
From Wikipedia, the free encyclopedia
A Need for Greater Understanding
NIH 5 year plan
Must be able to Communicate with allied

health providers
Standards of Care
Know the Self (i.e. know how the body works)
Things by mouth
Herbs botanicals
Diets
Mind/Body (expectation / condition effecting any therapy)
Acupuncture, Chiros, Osteopathy
Energy Medicine (Gov hasnt invested much money
in because it hasnt been able to produce repeatable
models) (lower Priority)
Whole medical systems TCM, Native American
healthcare, Aryuveda, as opposed to the herb or the herbs
or the modality used in the system (not reduce via an ultra
reductionistic manner)

NIH 5 year plan
(Three new)
International collaboration joint efforts to
investigate: reproducibility, improving
training,
Cost Effectiveness (Show me the money)
Ethical, legal (malpractice), and social
ramifications of making CAM therapies
accessible, advising patients to use them or
avoid them, training people of advised
conversations with patients
NIH 5 year plan
Not so much that it works

Show me how it works
NIH 5 year plan
Summary: It emphasizes
Mechanism
Mechanism
Mechanism
NIH 5 year plan insufficiencies
In absence of scientific explanatory model none

of the treatments will be accepted by the
medical elite
Especially if it comes from outside the elite sphere
of influence
we must understand or at least be able explain

how something works if we are going want the
greater healthcare system to accept it.
Cost effectiveness virtually absent

Practice based research nonexistent
NIH 5 year plan insufficiencies
Systems reconciling complimentary and

conventional diagnosis do not exist (acc. To
Dr. Eisenberg)
However,
Donald Kendall has rediscovered basic
Oriental Medicine perspectives that allude to
and link them to the standard world body
knowledge of pathopysiological diagnosis.
We are stuck in our tribal robes

without any written truce
We need people that are utterly comfortable in
the others domain.

A look at Roots
A look at Roots
Spire
Cosmological Anatomical Order
Anatomical Correlations
Yang = Lateral
Tai Yin = Moon

(variable )
Shao Yin = Planets
(variable)
Jue Yin = The Space
between
(That which
surrounds us;
the gestalt)
Yang Ming = Brightness

(Morning Sunshine)
Tai Yang = Sun
(Hottest in the afternoon)
Shao Yang = Stars
(All around, shining at
night)
Yin = Medial
Anterior Medial Hand

Hand Tai Yin (Lu) = AMH
Anterior Medial Foot
Foot Tai Yin (Sp) = AMF
Posterior Medial Hand
Hand Shao Yin (Ht) = PMH
Posterior Medial Foot
Foot Shao Yin (Kd) = PMF
Medial Hand
Hand Jue Yin (PC) = MH
Medial Foot
Foot Jue Yin (LR) = MF
Anterior Lateral Hand =

Hand Yang Ming (LI) = ALH
Anterior Lateral Foot
Foot Yang Ming (St) = ALF
Posterior Lateral Hand
Hand Tai Yang (SI) = PLH
Posterior Lateral Foot
Foot Tai Yang (UB) = PLF
Lateral Hand
Hand Shao Yang (SJ/IM)=LH
Lateral Foot
Foot Shao Yang (GB) = LF
(Lu)
= AMH
(Sp) = AMF
(Ht) = PMH
(Kd) = PMF
(PC) = MH
(LR) = MF
(LI)
= ALH
(St) = ALF
(SI) = PLH
(UB) = PLF
(SJ/IM)=LH
(GB) = LF

Internal Membrane (IM) System

(San Jiao and Pericardium)
Chinese anatomical division nomenclature for neurovascular

nodes (acupoints) versus Souli de Morants usage
Chinese
French
Chinese
French
Arteries
Meridians
Veins
Meridians
AMH 1 to 11 Vs LU 1 to 11 ALH 1 to 20 Vs LI 1 to 20
ALF 1 to 45
Vs ST 1 to 45 AMF 1 to 21 Vs PN/SP 1 to 21
PMH 1 to 9
Vs HT 1 to 9
PLH 1 to 19 Vs SI 1 to 19
PLF 1 to 67
Vs BL 1 to 67
PMF 1 to 27 Vs KD 1 to 27
MH 1 to 9
LF 1 to 44
Vs PC 1 to 9 LH 1 to 23
Vs GB 1 to 44 MF 1 to 14
Dissection realities
Fu organ concepts
San Jiao functions
Internal membrane physiological features
Vs IM1 1 to 23
Vs 1 to 14
1. Internal Membrane System (snjio )
Longitudinal View of Body
Longitudinal Importance ()
Ancient Chinese system of vessel

organization based on
longitudinal distributions
Arteries and Veins identified
and related to anatomical
locations, internal organs,
muscles, referred pain patterns,
and cutaneous nerve
distributions
Treatment Approaches
Needling follows simple guidelines

LAPD
Local
Adjacent
Proximal
Distal
somato-somato
somato-somato
Segmental innervation
Somato-somato and somato visceral /
Proprioceptive / Lonigitudinal organization
Chinese observed longitudinal organization and

segmental influence on body
Major blood vessels, muscles, nerves, and
propagated sensation distribute longitudinally up
and down body
Organ referred pain, somatovisceral relationships,
and neurovascular nodes (acupoints)
somatotopically organized
Provides systematic means to stimulate body to
provoke restorative processes
Visceral
Relationships
|
Recognized in terms of organ referred pain reflecting

in certain body regions
Also produce organ traction as noted during surgery
Viscerovisceral relationships occur as well where

function or treatment stimulation of one organ
produces autonomic reflexes in another organ

Uniqueness of Organization
Jnglu
The grouping of
longitudinal (up &
down) vessels with
related nerves,
muscles and skin
regions enabled
needling therapy to
effect distant parts of
the body.
(proprioceptive
nervous system)
Chinese Vessel Circulation
Chinese medicine theory

describes the organization
of the blood vessels.
Early practitioners
described the dividing of
vessels into finer branches
Innervation of smooth
muscle is controlled by the
ANS
Where there are nerves,
there are blood vessels to
supply them
Chinese Vessel Circulation

(Jnglu )
Needling Therapy
Needling therapy effects

the body first at the
capillary / cellular level
(Sun Mai)
Second sensory nerves
that affect the CNS
Ji Mai [] Singular Vessels

Chong Mai Thoroughfare (Aorta)
Ren Mai Conception - (Vena Cava)
Du Mai Governing (Azygos, hemiazygos, ascending lumbar)
Shu Mai Communication; transporation
Jing Mai Longitudinal distribution vessels
Luo Mai Collateral vessels
Sun Mai fine vessels (arterioles, cappillaries,
venules)

VEINS
Sun
Luo
Foot Yang-Ming Vessel (Stomach)

[Anterior Lateral Foot Vessel (ALF)]
ARTERIES
Luo
Jing
To: Head, Neck, Brain,

Upper Extremities,
and Trunk
Jing
Shu
Superficial temporal a.
8
External carotid a.
Common carotid a.
Subclavian a.
Shu
CO2
12
13
14
Internal thoracic a.
O2
9
10
Ren
Du
19
20
21
22
23
24
25
26
27
28
29
Superior and inferior

epigastric aa.
Chong
Arteries suppling
teeth are not shown
Celiac trunk
18
Left
Heart
Facial a.
Brachiocephalic trunk
Aorta
16
Lungs
Zygomaticoorbital a.
Anugular a.
Dorsal nasa a.
Superior and inferior labial aa.
11
15
17
Right
Heart
1
2
3
4
Splenic a.
Right
Left
gastric a. gastric a.
30
External iliac a.
31
Internal
Organs
Femoral a.
32
33
34
Lateral superior
and inferior aa.
Shu
Shu
Jing
Jing
Luo
Blood Circulation Direction
Luo
Sun
35
36
To: Lower Extremities

and Trunk
Anterior tibial a.
37
40
Dorsal metatarsal a.
1, 2
Dorsal digital aa.
Lotus Institute of Integrative Medicine. Shall not be copied, duplicated, or

distributed in any format or be used for teaching without prior written consent from Lotus Institute.
Dao of Chinese Medicine, Donald Kendall
Upper
Extremities
Subclavian v.
Jugulars and
Vertebral v v.
Underlying Arteries that Supply

the Stomach Nodal Pathway and
Internal Regions
41
42
43
44
Arcuate a.
45
Lotus Institute
1. Medial aspect
of ofIntegrative
the third toe and lateral
Medicine.
side of the secondShall
toe
not be copied, duplicated, or
2. Lateral and medial dorsal digital arteries of the first toe and
distributed in any format
or aspect
be used
fortoeteaching without prior written consent from Lotus Institute.
medial
of the second
Subclavian a.
Common Carotid
and Vertebral aa.
Head, Face,
Neck and Brain
Brachiocephalic v.
38
39
Dorsalis pedis a.
Brachiocephalic a.
R. Coronary a.
L. Coronary a.
Coronary Sinus
Right
Heart
Left
Heart
Lungs
Pulm. v v.
Pulm. aa.
Bronchial aa.
Celiac Trunk
Hepatic a.
Liver
Cystic a.
Portal Vein
Cystic v.
Gastric v.
Splenic v.
Inferior
Superior
Mesenteric v v.
Renal v.
Internal Iliac v.
External Iliac v.
Stomach,
Spleen,
Pancreas,
Small Int.,
Large Int.
Gastric a.
Splenic a.
Muscle distributions
Superior
Inferior
Mesenteric aa.
Kidney
Renal a.
Urinary
Bladder
Vesical aa.
Common Iliac a.
Common Iliac v.
Vesical v v.
Gallbladder
Peripheral Arteriesof Trunk
Hepatic v.
ChongMai - Aorta
Bronchial v v.
RenMai - VenaCava
Peripheral Veins of Trunk
DuMai - AscendingLumbar, Azygos&HemiazygosVeins
Coronary v v.
Lower
Internal Iliac a.
External Iliac a.
Lotus Institute of Integrative Medicine.

Shall not be copied, duplicated, or
Extremities
Femoral a.
v.
distributed in any format Femoral
or be used
for teaching without prior written
from
Lotus Institute.
Dao ofconsent
Chinese
Medicine,
Donald Kendall
Foot Yangming
Stomach
Foot Taiyang
Urinary Bladder
Posterior Lateral
Foot
Anterior Lateral
Foot
Dao of Chinese Medicine, Donald E. Kendall, Oxford University Press

Foot Shaoyin
Kidney
Foot Shaoyang
Gallbladder
Mid Lateral
Foot
Posterior Medial
Foot
Dao of Chinese Medicine Donald E Kendall Oxford University Press
Disclaimer
Multimedia images used in this presentation are obtained from various
internet sources. No infringement of copy right is intended in the usage
of any multimedia images in this presentation. Any multimedia images
used are purely for nonprofit, educational purposes by the Instructor
and the Lotus Institute of Integrative Medicine. These multimedia
images used are not intended for commercial purposes nor for resale, to
comply with Fair Use Laws for multimedia usage from internet sources.
More info on the classic single herbs mentioned in this

seminar/webinar can be found in the Chinese Medical Herbology
and Pharmacology
More info 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
Pictures have been purposely removed from the handout
Herbs mentioned in this seminar/webinar, are

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TCM Wisdom TubeTM

Acupuncture from the Neijing

LEARN THE SCIENCE

PRACTICE THE ART

LEARN THE SCIENCE

PRACTICE THE ART

to our TCM Wisdom Tube

TCM Wisdom TubeTM

Consent and Disclaimer Part II (Copyright)

Consent and Disclaimer Part III (Speaker/Author)

LEARN THE SCIENCE

PRACTICE THE ART

Services and Products by Lotus Institute Of Integrative Medicine

Like Lao-tzu's adage - when you do better, we all do better

Lotus Website: www.eLotus.org

Lotus hosts 8-hour live CEU seminars in a city near you!

Missed a seminar or webinar? Enjoy on-demand CEU audio recordings

LEARN THE SCIENCE

PRACTICE THE ART

TCM Wisdom Tube

FREE Articles for Download

DRUG-HERB REFERENCE GUIDE SET 2ND EDITION

Clinical Manual of Oriental Medicine, 2nd edition

LEARN THE SCIENCE

Lotus Institute of Integrative Medicine

PRACTICE THE ART

Acupuncture from the

This webinar is the provide insight and

The origins of needling therapy

Reviewed will be:

Pictures have been purposely removed from the

Keys to fully appreciate and grasp the subtleties of

The importance of the

Emperors Internal Classic

evidence shows Neijing may have

First comprehensive Medial Text

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

First medical text to correctly describe:

Brain, spinal cord, and peripheral nerves

Organ referred pain, four hollows, vessel distributions

Vitality, emotions, and endocrine glands

Notes that ancient Chinese physicians

First medical text to correctly describe (cont):

Organ referred pain

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

are due the results of unique

are result of understanding unique

Jesuit Missionaries of the fifteenth century

During early 1900s a bank clerk from France

Willem ten Rhijne also learned that branching of

The most devastating error was to translate vital

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

Original Chinese Discovery

Continuous circulation of blood to internal and

In contrast Four Great

Bridging the Divide

History and origins

The 'Four Great Inventions of ancient' China: the compass,

The blood circulatory system is not included as an

From Wikipedia, the free encyclopedia

A Need for Greater Understanding

NIH 5 year plan

Must be able to Communicate with allied