Knees joint pain

1. NeiGuan (PC6) on the healthy side (therapeutic point)+ TaiChong (Liv 3) on the
diseased side (Guiding point)
2. XinMen on the healthy side as the therapeutic point TaiChong of the diseased side is
taken as the guiding point to make the therapeutic effect better and faster.
3.Needling SiHuaZhong (77.09) and SiHuaXia (77.11) along the border of the bone, the
therapeutic effect could be even better
4. Can also needle XinMen and TaiChong, and then bleed SanJin once a week to
speed up the cure.
5. Wu Hu 11.27 (Young)

Location
Five points located on the A line of the proximal
phalangeal joint of the thumb. Point 1 (also called Yi)
is the most distal of the grouping. Point 5 (Wu) is the
most proximal. Yi/1 is located right at the proximal
edge of the interphalangeal knuckle joint while Wu/5
is located at the distal margin of the MCP joint. Point
3 (San) is the mid points between 1 and 5.

Needle it perpendiculary.

Indications
Use all five points for general swelling in the body
and joints. Use it if you have a patient that complains
of all their joints hurting (like osteoarthritis or
rheumatoid arthritis patients). This series of points is
in the reaction area of the Spleen (drains damp) and the Kidneys (which treat bones). And
that’s why that works.

Wu Hu 1 (most distal) to treat pain in the head.

Wu Hu 2 to treat finger pain and wrist pain.

Wu Hu 3 is a supplemental point. Use it like a dao ma point to enhance the others.

Wu Hu 4 and 5 treat dorsal pain of the foot and heal. Use them together most of the time.
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Heart Knee
11.09 Heart Knee/Xin Xi (Young)

Location
3rd digit (middle finger). 2 point unit. Locate the
points on the F and H lines right in the middle of
the middle phalangeal segment of the finger.

Indications and Clinical Applications

 Spinal pain
 Knee arthritis – this point and 11.13
Gallbladder/Dan are the top two knee points in the
Master Tung arsenal.

Notes
Use Heart Knee with Gallbladder 11.13 point to treat knee pain. This point is on the reaction
area for the Gallbladder…and it will work for gallbladder problems, but way better for knee
problems.

If you think about imaging and imagine the MIP joint as the knee and the knuckle as the hip,
then bracketing the Heart Knee and Gallbladder points around that joint would be much like St
34/Sp 10 and St 36/Sp 9. Why not just use those TCM points? Well, you could. But what if the
knee is so sore they don’t want you to touch it? What if the person you are treating is an
amputee and is experiencing phantom limb pain? There’s also an old chinese saying about not
hurting the baby when the baby is hurt. Just something to think about, eh?

Da Jian (11.01 and Xiao Jian (11.02)

Da Jian (11.06) – Great Space
Indications: Heart organ disease, knee pain, small
intestine qi (oblique hernia), mounting qi (funicular
hernia, inguinal hernia. Internal hernia, direct hernia),
inner canthi eye pain
Location: B-Line, with the palm facing upward,
measure 3 fen to the radial side from the median line in
the center of the proximal phalanx of the index finger.
Needling method: Use a 5 fen needle. Needling 1
fen deep accesses the heart organ reaction area.
Needling 2 – 2.5 fen fen deep accesses the small
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intestine reaction area and is indicated for the

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treatment of hernia.
 Xiao Jian (11.02) Small Space
Location: With the palm facing upward, measure 2 fen distal to Da Jian (11.01).
Indications: Bronchitis, spitting up yellow phlegm, shest stuffiness and oppression, heart
palpitations, knee pain, small intestine qi (oblique hernia), mounting qi (other types of hernia,
inner canthi eye pain, knee pain with swelling and edema due to herat and spleen imbalance.
Needling method: Use 5 fen needle. Needling down 1 fen treats the heart organ. Needling
2 – 5 fen accesses the lung phase reaction area.

- Heart/Knee disorders: Young: “any point that treats heart disease treats knee pain” and
somewhat vice-versa - e.g., PC-6 for knee pain, Ht-3 for knee pain St-36 for Heart disorders

Whenever encounter the pain, first select the Shu-stream point of the disease channel,
because Shu-stream points govern the pain syndromes.
Shu-stream points for heaviness of the body and pain of the joints,
Shu-Stream points treat pain - acute or chronic - along a meridian. Can treat any joint pain.
- LI-3 for LI channel pain. - BL-65 for back pain, waist pain, hip pain, etc. - SJ-3 good for pain
along back and the side of the body. Shu-Stream points treat diseases that come and go. Shu-
Stream points are in the middle of the 5 command points. (Jing-River and He-Sea points are
somewhat slower to act than Jing-Well and Ying-Spring points, which are fairly immediate in
their action.) Shu-Stream points, middle in action, are appropriate for most diseases. They are
wood points on Yang meridians and Earth points on Yin meridians. Also useful for diseases
which are half in / half out – like Shaoyang disorders & Xiao Chai Hu Tang. In addition to
treating a contralateral distal point (e.g., left Ling Gu for right hip pain) can use an ipsilateral
distal point on the same channel as problem area (ashi). Young often uses a shu-stream point
as the ipsilateral point. An ipsilateral point on a limb (for that limb) should be ying-spring or
shu-stream point.

ShuangFeng (DT.05)
This is in fact two bilateral lines of points going from HuoFeng(XLIV), which is 1.5 inches
lateral to the point between the second and third vertebrae from DaZhui (Du 14), with each two
points one inch apart, altogether fourteen points on the two bilateral lines. The other points are
HuoZhu, HuoMiao, HuoChao, HuoChong, HuoHua and HuoMi(XLV-L).

Indications: Pains and numbness of the hand and foot and angiosclerosis of the hand and
foot.
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 SanJin (DT.07) including JinDou (XXIV), JinJi (XXV) and JinLing (XXVI).
Indications: Knee pain.

Remarks: These three points are three inches lateral to the third, fourth and fifth vertebrae
respectively, which coincide with PoHu (BL 42), GaoHuang (BL 43) and ShenTang (BL 44) of
the bladder channel. Pricking the points to let out little blood and knee pain is relived instantly.
Even long-lasting serious diseases can be cured in this way.

JingZhi (DT.08), including JinJing (XXXVIII) and JinZhi (XXVII)

Indications: Distention and pains of the leg.

Remarks: These two points are six inches lateral to the second and third vertebrae
respectively. They are very effective for distention and pains of the leg.

Diseases of the upper limbs

General Treatment: First prick the cubital fossa and then treat the diseases according to
different conditions.

1. Wrist pain: SiHuaZhong (77.09), SiHuaFu (77.10); ZuLinQi (GB 41), XiaXi (GB 43),
DiWuHui (GB 42); ShuiYu (44.17)
2. Shoulder pain: SiHuaWai (77.14)
3. Finger numbness: HouXin (DT.11); ShuangFeng (DT.05)
4. Redness and swelling of the back of the hand and finger pain:
SiHuaZhong (77.09), ShuangFeng (DT.05)
5. Hand pain and numbness, angiosclerosis of hand and foot: ShuangFeng
(DT.05); SiHuaWai (77.14); ShuiYu (44.17)
6. Arm pain: ShuangHe (DT.16); SiHuaWai (77.14); ShuiYu (44.17)
7. Shoulder and arm pain: ShuangHe (DT.16); SiHuaWai (77.14)
8. Ganglionic cyst: Applying chicken –claw pricking at the local area to let out mucus and
blood.

Diseases of the lower limbs

General Treatment: First prick WeiZhong (BL 40) and then treat the diseases according to
different conditions.
1. Soreness of the legs: JinLin (DT.09), JinZhi (DT.08-XXVII)
2. Sciatica: pain of the TaiYang channel – WeiZhong (BL 40) or JinLin (DT.09); pain of the
ShaoYang channel – SiHuaWai (77.14) or JinLin (DT.09)
3. Knee pain: SanJin (DT.07)
4. Leg pain and distention: JingZhi (DT.08)
5. Swelling and pain of the ankle: WeiZhong (BL 40), YangLingQuan (GB 34)
6. Heel Pain: WeiZhong (BL 40)
7. Foot numbness and pain: ShuangFeng (DT.05); YinBai (LR 9)
8. Toe Spasm: Center of the external malleolus
9. HongKong foot with yellow discharge: pricking the blue vein from the center of the
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external malleolus to ZuLingQi (GB 41); ZhiWu (11.26)

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10. Numbness and pain of the four limbs: Jing-well points.

 3. Mrs. Xie was a 33 year old woman with rheumatalgia of the knees for many years; she
had sharp pains when she went to see us. We first pricked SanJin (DT.07) to let out little blood
and her pain was greatly relieved. We then applied acupuncture at NeiGuan (PC 6) bilaterally
and asked her to move the legs. She was thus cured of the disease after only one treatment
without recurrence for 10 years.

General Knee Pain Options

Master Tung points offer some excellent options for knee pain. The following options come
from Dr. Wei-Chieh Young‟s book, Lectures on Tung’s Acupuncture: Therapeutic Systems.

I‟ve used several of them for arthritis pain, for post-surgical pain, and for chronic pain after an
old injury that wasn‟t properly cared for. If you are treating knee sprain, look at the options in
the next section. I think they work best for sprains.

Bleed – best for chronic knee pain Sanjin DT.07

Needle Jian zhong 44.06
Zhongjian 11.05*
Dan 11.13*
Mu Huo 11.10
Xinmen 33.12
Si Hua Zhong 77.09 + Si Hua Xia 77.11
Along border of bone
Neiguan (PC 6) on the healthy side +
Taichong (Lv 3) on the diseased side.

A 03 San Cha ‘Er

Knee joint pain, acute lumbar sprain, and diseases of the five
sense organs. Strengthens the heart due to it’s location and
relationship to the PC and SJ meridians. It also removes
obstructions from the stomach.

XinMen This is on the Small Intestine channel, 1.5 cun distal to the elbow.
4 cun bove Gan Men (33.11)
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+ Along border of bone

Si Hua Zhong (77.09) – 4.5 cun below Si Hua Shang

(77.08) (ST36). Reaction area of the heart, lungs, and
the six bowels.

Si Hua Xia (77.11) - 5 cun below Si Hua Zhong.

Fu Chang (77.12) – 1..5 cun above Si Hua Xia (77.11)

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