Chinese Qigong

Outgoing-qi Therapy

Written by Bi Yongsheng
Translated by Yu Wenping
Translation revised by
John R .Black

Shandong Science and Technology Press

CHINA
 Foreword

The past decade has seen a new upsurge in the mass parti-
cipation in Qigong exercises in the Orient-The great vitality of
Qigong, with its waves spreading towards many parts of the
world, has been pounding at various disciplines of science .
While medical Qigong is an important salubrious and
curative means of traditional Chinese medicine, outgoing-qi
therapy is a wonder of it . Owing to the miraculous curative
effect, the therapy has been widely accepted . The physiolog-
ical effect produced by outgoing-qi (waigi) on the human
body has aroused attention of scientists both at home and
abroad .
Having summarized the experiences in guiding-qi massage
(Tuina) and outgoing- qi treatment of diseases for many years, I
published my paper Curative Guiding-emitting-qi Technique in
Shandong Journal of Traditional Chinese Medicine in 1983, which
has been appreciated by medical workers and Qigong fans . To
The second edition 1997 meet the needs for teaching and research, I compiled successively
ISBN 7-5331 - 1041 - 2/R • 277 books of Guiding-emitting-qi Technique, Qigong Massage and
Published by Shandong Science and Technology Press some others, which have been taken as the teaching materials of
16 Yuhan Lu, Jinan, 250002, China the subjects of curative Qigong and Qigong-massage in tradition-
Printed by Shandong Juxian Printing House
al Chinese medicine colleges of Shandong, Anhui, Jinan, etc . The
Distributed by China International Book Trading Corporation
present book is written right on this basis . Adhering to the philos-
35 Chegongzhuang Xilu, Beijing, 100044, China
ophy of Qigong, Zhouyi (the Book of Changes) and traditional
P . 0 . Box 399, Beijing, China
Printed in the People's Republic of China te
hinese medicine, it combines outgoing-qi therapy, massage and
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acupuncture in one on the basis of the results of experiments and Guanyong, professor and head of the Department of Medical
researches and the experiences in clinical application and teaching . Palaeography of Shandong College of Traditional Chinese
Divided into eight chapters, the book expounds Medicine, and to Dai Jianguo, head of the Massage Depart-
extensively the general knowledge and the theoretical basis of ment of Wuhu Secondary School of Traditional Chinese Medi-
outgoing-L11 therapy, the points, the training of gi,the guid- cine of Anhui Province, for their enthusiastic support and as-
ance of qi,the emission of qi, the diagnosis of illnesses by sistance in the compilation of this book . Thanks are also given
outgoing qi, the principle of treatment,the specific methods of to Bi Ke who helped in the demonstration of the Qigong exer-
treatment and the techniques for correcting the deviations oc- cises .
curring during Qigong practice . Introduced are also twenty
methods of training and guiding qi, twenty-nine hand ges- Bi Yongshetng
tures for emitting qi and the skills of differential diagnosis and
treatment of forty-five main and common diseases . To pro-
vide scientific proof, some of the results of laboratory experi-
ments of the effect of outgoing -qi are included .
The eminent physician Zhang Jiebin (about 1563-1640) of
the Ming Dynasty stated, " Without the understanding of the
Change (Yi), one is not worthy of the narhe of an imperial phy
sician" ,and "The philosophy of the Change implicates that of
medicine while the practice of medicine benefits from that of
the Change" . Adhering to this principle, the book, as a mono-
graph of outgoing-qi therapy, applies the three aspects-the
philosophy of the Changes (Yi), the philosophy of medicine
and the philosophy of qi is training qi, guiding qi, differential
diagnosis and treatment and so forth . It may serve as a text
book or a reference for medical professionals, Qigong fans and
students of medical schools and universities .
I am most grateful to Mr Zhang Jingtao, special consul-
tant of Shandong Provincial Government and director-gener-
al of Shandong Provincial Qigong Association, to Mr Shao

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 Acknowledgements

The difficulty of defining accurately the sources of one's

ideas, points of view, and information is well known . The
translation of this book, a book involving many ancient and
modern ideas of Qigong practice, the philosophy of Zhouyi(the
Book of Changes) and medical sciences, has been influenced by
the thoughts and efforts of so many colleagues and friends that
to most of them I can offer only this general acknowledgement
of my indebtedness .
To Dr Zhao Shili, professor and director of Shandong
Provincial Anti-epidemic Station, who has been an unfailing
source of constructive advice throughout the years when the
translation of this book and many of my other translations and
compilations concerning Qigong, massage, preventive medicine
and health education and promotion were taking shape, I ex-
press my gratitude especially . For much immediate help and
suggestions in my mastery of the theory of traditional Chinese
medicine and in the preparation of the translation of the text of
this book, I thank Dr Yu Changzheng, professor and director
of Traditional Chinese Medicine Research Institute of
Shandong Province .
I am deeply grateful to Mr Sun Xigang, a senior translator
and medical information specialist as well as the director of
Shandong Provincial Medical Information Institute, for his
kind help in the translation of the book . Finally, I would like to
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,in ological and computer Contents

--epidemic Station, for his
(1)
::Iways provides timely
Acknowledgements (1)

Chapter One An Introduction to Outgoing-qi

(1)
Section One The Definition and Characteristics of
Yu Wenping Outgoing-qi Therapy (1)
Section Two The Origin and Development of
Outgoing-qi Therapy ( 5)
Section Three The Relationship between Outgoing-qi
Therapy and Massage (Tuina) and
Acupuncture (11)

Section Four Indications of Outgoing-qi Therapy

and Points For Attention (17)
Chapter Two The Theoretical Basis of Outgoing--qi
(21)

Section One The Theory of Traditional Chinese

Medicine and Outgoing-qi Therapy (21)

The Concept of Wholism (21)

Yin and Yang (26)

The Five Elements (W u Xing) (31)

The Five Viscera (Wu Zang) (35)

Essence, Vital Energy and Spirit (Jing, Qi and Shen) (41)

The Channels and Collaterals (51)

Section Two Application of the Book of Changes to

Medicine and Outgoing-qi Therapy (63)

The Eight Diagrams (74)

The Yao Image and the Human Body (74)

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)iagrams (83)
Massaging the Abdomen to Strengthen the Active Substance
Moon Embraces the Heavenly Stems) (93)
in the Body (223)
no the Luo River Graph (100)
The Exercise of Heaven-Earth Rotation (Qian Kuu
i hrt:,c The Points (106)
Yun Zhuan Gong) (227)
One Dantian (Elixir Field) and Sanguan Chapter Five The Guidance of Qi (230)
(Three Passes) (107)
Linear Guidance of Qi (230)
Section Two The Points of the Fourteen Channels Guidance of Qi in Fixed Form (235)
and the Extrachannel Points Commonly Used in Guiding Qi in Circle and Spiralty (237)
Qigong (110)
Cold and Heat Guidance of Qi (240)
Points at the Head and Face (110)
Guiding Qi of the Five Elements (241)
Points at the Chest and Abdomen (115) Chapter Six Emission of Qi (246)
Points at the Back and Waist (126)
Section One Hand Gestures in Emission of Qi . . . (246)
Points at the Upper Limbs . . (131)
Five-'Thunder-Fingers (W uleizhi Shi) (246)
Point at the Lower Limbs (134) Buddha's-Warrior-Attendant-Fingers (Jingangzhi Shi) (247)
Other Points (136)
One- Finger-Meditation (Yizhichan Shi) (248)
Chapter Four The Training of Qi (153)
Flat-Palm (Pingzhang Shi) (249)
Section One The Essentials of the Training of Qi (153)
Sword-Fingers (Jianjue Shi) (249)
Section Two Essential Factors in Training Qi (157)
Middle-Finger-Propping (Zhongzhi Duli Shi) (251)
Section Three The Time and Direction for Training Spreading-Claw (Tanzhua Shi) (251)
Qi and The Points for Attention (170) Dragon-brak (Longxian Shi) (252)
The Time for Training Qi (170)
Bird-brak (Quezui Shi) (253)
The Direction for Training Qi (170) Section Two The Hand Manipulations in Emission
Points for Attention in Training Qi (173)
(255)
Section Four Static Qigong for Training Qi (176) Distant Emission of Qi (255)
The Three Regulations (176)
Massage Manipulations in Emission of Qi (259)
Methods of Practice of Static Qigong (177)
Auxiliary Hand Manipulations ( 263)
Section Five Dynamic Exercise for Training Qi . .. (180)
Section Three The Forms of Qi on Emission . . . ( 266)
The Twelve-Form Sinew-Transforming Exercise (Yijin Jing) ° • (180)
Linear Form (266)
Double-Nine Yang Exercise (206)
Fixed Form (267)
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. .. ... .. ... . .. . .. . .. .. . . . . . .. . .. . .. ... ... . .. . .. .. . ... . .. . .. . .. (268) Insomnia

(haptcr ~i e An Outline of Treatment . . . (269) Seminal Emission (361)

One Function and Principles of Outgoing-qi Impotence (364)

(269) Premature Ejaculation ` (368)

ction Two The Sensation and Effect of Qi (276) Vertigo (371)

Annex : The Phenomenon of Syncope Induced by Qi (280) Hypertension (374)

Section Three The Discharge of Turbid Qi (281) Hypochondriac Pain (377)

Section Four Outgoing-qi Diagnosis (284) Headache (381)

Section Five The Number of Times Required for Diabetes (385)

(295) Hemiplegia (389)

Section Six The Tonification, Purgation, Regulation Facial Paralysis (Bells Palsy) (391)

and Guidance and the Closing Form of Arthralgia Syndrome (393)

Treatment (299) Flaccidity Syndrome (397)

Chapter Eight Treatment of Diseases (303) Lumbago (400)

Section One Internal Syndromes (303) Section Two Surgical and Gynecological
Common Cold (303) Syndromes (403)

Cough (307) Mammary Abscess (Cyst) (403)

Asthma (311) Angiitis (406)

Gastralgia (315) Dysmenorrhea (408)

Vomiting (322) Chronic Pelvic Inflammation (411)

Hiccup (327) Hysteroptosis (413)

Diarrhoea (329) Section Three Traumatological Diseases : . . . (415)

Constipation (333) Stiffneck (415)

Dysentery (337) Cervical Spondylopathy (417)

. . • . . . .
Disorders of the Biliary Tract (341) Omalgia (420)

Abdominal Pain : (345) Prolapse of Lumbar Intervertebral Disc (422)

Palpitation (349) Sprain of the Elbow Joint (425)

Dysuria (353) Sprain of the Knee Joint (426)

Enuresis, (355) Sprain of the Ankle Joint (427)

4 - 5 -
 -Section Four Disorders of the Eye, Ear and Nose
and Pediatric Diseases (429) Chapter One An Introduction to
Myopia (429)

Tinnitus and Deafness (432)

Outgoing-qi Therapy
Sinusitis (435) Section One The Definition and
Infantile Convulsion (436)
Characteristics of Outgoing-qi Therapy
Section Five Qigong Deviations (437)

ANNEX : Selected Treatises on Experimental Studies

of the Effect of Outgoing-Qi (Waiqi) (451) 1. Definition
The Influence of Qigong Outgoing-Qi on the Cardiac Qigong therapy falls into two categories : internal qi
Functions of Toad (451) therapy and outgoing-qi (waigi) therapy . The former, as the
Effect of Qigong Outgoing-Qi on the Tensity of the term implies, refers to qigong practice by patients themselves to
Otddi's Sphincter of Rabbit (456) keep fit or to cure their own illnesses,while the latter is the skill
Myoejet. trographic Observations on the Dynamic of qigong adapted to treat patients by emitting qi from their
Phenomenon Induced by Qigong bodies.
Outgoing-Qi (459) The terminology of the latter is rather diversified . Besides
Myoelectrographic Observation of the Influence of outgoing-qi therapy (waiqi therapy), other terms include
Outgoing-Qi on the Oddi's Sphincter of qigong therapy by emitting outgoing -qi, emitting-qi therapy,
Rabbit via Needles (463) guiding-qi therapy, emitting-qi qigong, guiding-emitting -qi
technique, distant gigong,distributing - qi therapy and, in all
ancient term, "distributing qi" . The therapy requires the gigong
therapist to undergo a strict experience of training gi,guiding qi
and emitting qi to get his intrinsic qi substantial and to facili-
tate his qi circulation all over his body before he can emit his
genuine qi toward the channels and collaterals, the points or a
certain location of the patient's body surface to activate the
patient's qi dredge the channels and collaterals balanced yin
and yang, regulate qi and blood readjust solid and hollow in-

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ternal organs (zang and fu organs), replenish deficiency and therapists without the touch of his hand on the body surface of
purge excess, and eventually, cure the illness . There were three the patient . The combination of "strength" valued in Chinese
general ideas of the term "distributing qi" in ancient China . massage or acupuncture and " qi" merited in qigong
One explanation was that the, universe spread genuine qi to the outgoing-qi therapy is termed in modern times as qigong-mas-
human beings and all the things on earth . It is said in Su Wen - sage or qigong-acupuncture .
Tian Yuan Ji Da Lun (Plain Questions - Great Treatise on the 2.Characteristics
Universe) that "qi of the Five Elements fills the universe which (1) Treating Diseases by Regulating Qi of the patient
in turn spreads it to all things" . Another explanation referred This is the main feature of outgoing-qi therapy . A
to the self gigong exercise through guiding qi to circulate inside therapist cures the illnesses just by emitting his internal qi to
the body of the practitioner . Dao Zang Jing Hua Ling - Xi the patient to regulate the patient' s qi activities . It is believed
Shan Qun Xian Hui Zhen Ji (Records of Essence Preservation that the disorder of the human body is mainly due to two fac-
by Taoists - Chronicles of Gathering of the Spirit Immortals on tors : failure of the vital-qi (vital energy) and exuberance of the
the Western Mountain) states, " A method of nourishing the evil-qi (pathogenic factor) .The former includes insufficiency
body through distributing qi is to sit upright to facilitate the (asthenia), disorder or stagnation of vital-qi while the latter re-
generation of qi and spread it all over the body to dredge all the fers to the affect by pathogenic factors in terms of wind, cold,
channels and collaterals moisten and regulat the body" . The summer-heat, dampness, dryness, fire and turbid-qi . So the
last explanation is almost identical with the modern idea, refer- therapist can treat diseases through outgoing-qi therapy, either
ring to the emission of internal qi by the versed qigong masters by emitting his internal qi to the patient to replenish his
towards the patient to cure his illness . This doctrine monopo- vital-qi, dredge his channels and activate his qi activities to re-
lizes a great deal of records in ancient times . Jin Shu - Fang Ji store the normal function of the organism, or by emitting his
Zuuan (The History of Jin Dynasty - Biography of Methods internal qi to the patient to guide the flow of the patient's
and Techniques), for example, says "Those engaged in Taoist channel qi and drive the evil-qi out of his body . A patient with
studies and nourishment of qi are able to spread their internal pain in a certain location the cause of which cannot be found
qi to others when they are well nourished with qir which is cal- by routine biochemical or mechanical examinations is a fre-
led' distributing qi"' . quent clinical encounter, and treatment with modern tradition-
In Chinese massage (Tuina) and acupuncture, stress is laid al Chinese and Western methods often fails . However, detec-
on the stimulating and regulating function of "strength" (force) tion with outgoing-qi may reveal apparent stagnation of qi at
to the organism, while in qigong outgoing -qi therapy, it is laid the painful region, and treatment with outgoing-qi may result
on the same function of "qi", which is often emitted by qigong in instant disappearance of the symptom .
 and can carry out embryo respiration" .
- (2) Verified Qi-emitting Methods
Many parts can be taken as qi-emitting locations and a (5) Wide Range of Indications
great variety of hand gestures may be assumed . Besides the As the functions of the internal organs,channels and
commonly used palm or finger emission of qi, qi can also be collaterals,extremities, bones, muscles and the tissues of the
emitted from places such as the eye, and the point Tianmu human body are all related to the nourishment and the activi-
(around the forehead), Shanzhong (Ren 17),'Dantian (the elixir ties of qi, those who gain qi will live and those who lose qi will
field) and Yongquan (K 1) . This diversified technique provides, die . Diseases of the human beings are no doubt closely related
favourable prerequisite for treatment of diseases according to with the function of qi . So outgoing-qi therapy, through regu-
the actual conditions of the individuals, the nature of the dis- lation of qi of the patient, can heal many functional and organ-
.
ease and the symptoms, and is proved to be very effective ic diseases or relieve the symptoms . This is why qigong has so
(3) Distant Emission of Qi wide a range of indications .
In massage (Tuina), acupuncture, physiotherapy and sur- (6) Satisfactory Curative Effect with No Side Effects
gical operation, effect takes only when the doctor or device No facilities and medical equipment are needed for qigong
touches the body of the patient, while in qigong, diseases can outgoing-qi therapy . Instant curative effect may be achieved in
be cured by distant emission of outgoing-qi toward the treatment of diseases caused by disorder of qi . More important,

patient ; the therapist may not touch the patient's body surface unexpected results are frequently obtained in treatment of
some knotty cases . Clinical practice for many years has proved
at all .
(4) Requisite Competence for Emitting Qi that there is no side effect of the therapy provided that the
-
Baopuzi Neipian - Zhili (The Internal Piece of'Baopuzi diagnosis and qi-emitting methods are correct .
The Maxim) says, "The human being lives in a world of qi and
qi exists in the human being ; the Heaven, Earth and all the Section Two The Origin and
things in the universe cannot exist without qi" . Every living Development of Outgoing-qi Therapy
person has qi of the human being, and everyone can practise
distributing qi . However, emission of outgoing-gi needs the Distributing-qi therapy" or outgoing-qi therapy of
prerequisites of experience and competence of qigong practice . qigong goes back to remote antiquity . Legend has it that as ear-
Que Bing Jian
As stated in Zun Sheng Ba Jian - Yan Nian ly as the primitive society more than 2000 years ago there ex-
(Eight Annotations on Health Preservation -- Records of Lon- isted the "Zhuyou" specialty, which included treatment of dis-
gevity and Disease Prevention) that a person can distribute his eases by "distributing qi" through directing qi and uttering
qi to treat diseases only when "he is versed in cultivation of qi sounds . Yi Jing Bian Qi Lun (On Transformation of
Essence in-
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to Qi), a chapter of Su Wen (Plain Questions) says, .`" In the is a main characteristic of the specialty of Zhuyou, with which
past when they lived among birds and beasts, the ancients con- qi is directed and emitted by uttering the five words with differ-
ducted movements to avoid cold, lived in the shade to prevent ent phones, "si", "ke", "chui", "hu" and "xu",on the basis of
sunstroke, had no burden of family dependents and sought no the doctrine of interpromotion and interrestraint of the Five
officialdom . Being indifferent to fame or gain, they were Elements (metal, wood, water, fire and earth) . The philosophy
resistant to pathogenic ; evils . So they needed no treatment in- is rather obscure and not yet fully understood . It should not be
ternally by drugs or externally by needles . It was enough for dismissed, simply under the label of superstition . To the contra-
them to transform essence into qi according to Zhuyou ry, it should be analysed and studied on the principle of dis-
specialty" . Again, "I learn that in ancient times that the treat- carding the dross and selecting the essence .
ment of diseases was done by transformation of essence into Outgoing-qi treatment can not only be performed at a
qi" . Transformation of essence into qi is to refine essence into short distance without the qi-emitting part of the therapist
qi and in turn heal illnesses with qi . It is stated, in Xuan Yuan touching thethe patient's body surface, but be carried out at
long distances . A typical example is Ge Yue (with the Taoist
Huang Di Zhu You Ke (The Zhuyou Specialty of the Xuan Yuan
Yello,~ , Emperor),that " Inhale qi from the right heel and name of Huang Luzi) of the Han Dynasty (206 B .C . - A .D .
Yongquan (K 1) into the mouth, then the teeth will feel cold . 220) who was quite famous for his long-distance treatment
Close the mouth and utter 'xu' and 'si' in burst to spread qi with outgoing-qi . Shenxian Zhuan (Biographies of Spirit An-
onto the magic figures (Taoist drawings)" ; " . . . like the rising mortals) compiled by Ge Hong of the Eastern Jin Dynasty (317
- 420) holds, "A patient can be cured just by writing his name
sun that glitters . Inhale it into the throat then send it to the
lung to get it mixed with that of the lung . Close the eyes and to the therapist without the therapist seeing him" . Ge Hong re-
blink several times, then utter ` ke' and ` si' to spread qi onto corded in Baopuzi- Neipian - Shizhi (Elimination of Stasis, In-
the magic figures to store the glittering qi" ; "Take a breath to ternal Chapter of Baopuzi), "When one is bitten by poisonous
get in qi-of Heaven and then spread it onto the paper", to men- insects, he may be treated with the therapist uttering 'xu' and
tion but a few . All this explains that with the methods in the distributing qi to his own hand (left for male victim and right
specialty of Zhuyou, qi can be spread onto paper or other for female) . The condition can be cured immediately though the
things, and no doubt can be spread onto the human bbdy to victim is dozens of miles away" . Sun Simiao of the Tang Dynasty
treat diseases . Another technique included in the specialty of (618 - 907) mentioned the similar thing in his She Yang Zhen
Zhuyou is to draw magic figures on the human body and then Zhong Fang (Health Preservation Prescriptions) ,adding facts to its
utter sounds to spread qi to it, which in fact is the direct emis- practice . In another chapter of Baopuzi, it is recorded that Shi
sion of qi to the human body . To spread qi by uttering sounds Chun, a Taoist priest of the Period of the Three Kingdoms,
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 books such as Song Shi - Fang Ji Zhuan (The History of Song
was able to distribute qi to treat diseases, saying ::" The Wu
Dynasty - Biography of Methods and Techniques) and Jiu Jiang
Kingdom had a Taoist priest Shi Chun who, whenever distrib-
Tong Zhi (A General History of Jiujiang) .The Ming (1368 -
uting qi to treat patients, would not eat until the disease was
1644) and Qing (1644 - 1911) dynasties saw the improvement
cured or ate once every hundred or thirty days" . It is explained
and progress of qigong outgoing-qi therapy in its curative
in the same book that bleeding from wound due to weapon can
methods and mechanism owing to the further development of
be stopped by emitting qi, and snake bite heals quickly with the
medical, Taoist and Buddhist practice of qigong . It is said in
same method, and the like, indicating the application of outgo-
Zun Sheng Ba Jian - Yan Nian Que Bing Jinn (Eight Annota-
ing-L11 therapy in the fields of trauma, weapon wound, bleed-
tions on Health Preservation - Records of Longevity and Disease
ing, snake, insect or beast bite, fracture, cough and many
Prevention) compiled by Gao Lian of the Ming Dynasty (1368
others. - 1644) that " To distribute qi for treatment of diseases, one
In Jin Shu (The History of Jin Dynasty), an acount is
must take in qi of the different viscera and distribute it to the
made of a doctor by the name of Xing Ling who became widely
related . viscerum . The patient who should be asked to face a
known because "he cured, with outgoing qi, Lu Yi's mother of
proper direction, with heart clear and pure, when qi is distributed
her itiness tlaccidity-arthralgia - syndrome from which she had
to him . After the distribution of qi, ask the patient to swallow
suffered for more than ten years, and enabled her to walk" . As
qi . In so doing, the ghosts and thieves (evils) will flee all by
a result, "There was a flow of people coming to see the wonder,
themselves and the evil-qi will be eradicated" . This paragraph,
either by land or by water" .
as a summary, explains in detail the different steps of
During the Tang (618 - 907) and Song (960 - 1279) dyn-
outgoing-qi therapy in terms of regulation of qi, diagnosis, ad-
asties, the scope of outgoing-qi therapy was expanded .Huan
justment of direction and curative methods, and effects .
Zhen Xian Sheng Fu Nei Yuan Qi Jue (Master Huan Zhen' s
Han Mao, a physician of the Ming Dynasty (1368 - 1644),
Pithe Formula for Intake of Primordial Qi) of the Tang Dynas-
wrote Han Shi Yi Tong (Han's Book on General Medicine), in
ty has a record of "Formula of Distribution of Qi", introducing
which he recorded the treatment of pain syndrome in the
the essentials, methods and other aspects of distribution of qi .
shoulder, back, extremities, joints and wrists with human qi .
The book Wunengzi written by an anonymous person in the
Qing Shi Gao- Yi Shu Zhuan (The Manuscript of the History
late Tang Dynasty gives an account on how Wunengzi cured
f f ' the Qing Dynasty r- Biography of Arts)
his bosom friend Yuzhongzi of his precordial pain by distribu- has an account of Gan
Fengchi, a master of martial arts in the days of Emperor Kang Xi,
tion of outgoing-qi .
ho treated the infectious disease tuberculosis,saying, "The son of
The Song Dynasty had more contributions to the doctrine
townsman Tan attracted tuberculosis that failed to heal
and practice of distributing qi for treatment of diseases in
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with medical treatment . Gan Fengchi sat at night in a : quiet cancer cells, outgoing qi has a lethal dose of 30% and more .
room, windows closed,with his back against that of the patient Animal experiments we made from 1986 to 1987 revealed obvi-
and the patient recovered in forty-nine days" . ous regulating function of outgoing-qi on both the Oddi' s
Owing to the rapid development of qigong since the sphincter of rabbit and the cardiac muscles of toad . Similar
founding of P .R China, the theory of outgoing-qi, the method tests were made by others on animals with cancer, which
of its emission and the scope of its clinical application have showed ; marked prolongation of survival time .Other results
gained much progress . In 1980, Zhao Guang firstly had its con- showed prominent function on the regulation of blood pressure
tribution On Emission of Outgoing-Qipublished in the journal and obvious improvement of the immunity level of the animals .
Qigong" , which introduced the procedures for practice of In a word, abundant scientific experiments and clinical conclu-
outgoing-qi emission and the measures for its detection . In sions have proved that outgoing-qi therapy of gigong is a de-
1983, we published, in The Shandong Journal of Traditional sirable curative approach in traditional Chinese medicine . With
Chinese Medicine and The National qigong Corpus, the papers its long history, rich experience and reliable curative effect, it
of Clinical Technique of Outgoing-Qi Emission and Guidance, will certainly play an active role in health preservation and
exp,)undirng the specific skills and clinical applications of treatment of diseases .
outg<ing-gi therapy in terms of training qi, guiding qi, emit-
ting qi and treatment, then Reports on Correction of qigong De- Section Three The Relationship between
viations in Sixty-eight Cases, Treatment of ' Twenty- two Outgoing-Qi Therapy and
Mastitis Cases with Outgoing-qi, and the like, presenting de- Massage (Tuina) and Acupuncture
tailed results of clinical observations and researches . In the
sane year, the same topic was discussed by Ma Jiren, Lin Zhou Qianchuan, the eminent qigong master and scholar
Houxing et al in their publications of Chinese qigongand Three of traditional Chinese medicine, says in his Diet Therapy and
Hundred Questions on Qigong . Wang Yin gave an exposition of Deviation-rescue Techniques in qigong, "Definitely speaking, all
the rudiments and clinical experience of outgoing -qi therapy in the well-known masters and seniors of acupuncture, bone-set-
his monograph Qigong Outgoing-qi Therapy . ting and massage of various generations have consummate at-
A great deal of scientific experiments on the effect of tainments in qigong, or at least know qigong" . He repeatedly
outgoing-qi have been carried out in recent years .The results explains the relationship between qigong and traditional
show that outgoing-qi can kill the Gram-positive and Chinese medicine, especially the close link between qigong and
Gram-negative bacteria or promote their growth and -multipli- massage, bone-setting and acupuncture . These wise remarks
cationi incompliance with the will of the qi emitter. Acting on are conclusions made on the basis of his rich experience and
-10- -11-
 pressed in two-seven (fourteen) when hotness sensation pro-
penetrating analysis of data .
No doubt, outgoing-qi therapy, massotherapy and duced by hand manipulation is mentioned, which conforms to
the number of yang-fire (positive fire) of the theory " Earth
acupuncture treatment are all important means of prevention
produces fire in two and Heaven compensates it in seven" .
and treatment in traditional Chinese medicine .
" The turbulence" on pressing implies the feeling of evil-qi
In outgoing-qi therapy, diagnosis or treatment of diseases
(pathogenic message) by the therapist through hand manipula
is confirmed or performed through "emitting qi", and its prom-
tions .And "hot as fire down to the two feet", refers to the sen-
inent feature' lies in qi" regulation ; 'while' in modern Chinese
sation of qi by the patient . That is the reason why great atten-
massotherapy and acupuncture, the treatment of diseases is ob-
tion is paid to the sensation of qi when the manipulation of
tained through massage manipulations and needle-puncturing
"guiding-qi massage applied . The manipulation described by
and needle-manipulations, with its prominent feature lying in
Wang Yaru in hisbook Digital Acupoint-pressing
" strength" regulation. Both the brilliant massceurs and
Massotherapy According to the Chart of Internal Organs' is in
acupuncturists of the old days laid emphasis on practice of
fact "guiding-qi massage", for the method mentioned in this
qigong and . on the combination of qigong with manipulations
book is actually created by the Taoist priests, with which mas-
of massage and acupuncture . By combining qi regulation"
sage manipulation is carried out based on the doctrine of the
with " strength regulation" in treatment, they raised the cura-
transposed Five' Elements. So the principle of the book is close-
tive effect to a great extent and, this, according to Zhou
ly related to the philosophy of qigong practice of the Toaist
Qianchuan, may be where the wisdom of "all the well-known
priests . The book mentions many phenomena of smooth circu-
masters and seniors of acupuncture and moxibustion,
bone-setting and massage of various generations" lies . lation of qi when sensation of qi by the therapist is described .
For example, the sensation of the appearance of a mass or sev-
Anmo Jing (Massage Classic) written by an anonymous
eral masses, the sensation of "water flow",the sounds "zhi zhi",
person of the Qing Dynasty (1644 - 1911) says, "The pathogen
the sensation of successive bubble bursts and other
enters the body by way of Shuitu (St 10) . . . . On pressing Shuitu
(St 10), the patient may feel slight pain in the subaxillary area phenomena,are all the signs indicating the beginning of the free
circulation of qi . With the routine massage manipulations,
and numbness of the fingers ; elevating the thumb, he may feel
these sensations of qi are difficult to get and the therapist may
the release of hot qi-from his arm and fingers" . "Press the tight
not be able to make a clear judgement of whether qi is circu-
part with the right thumb . . . with two-seven (fourteen)
lating or stagnated . So only when the manipulations of mas-
respiratory cycles, then remove the thumb . . . the evil heat des-
cends along the channels to the legs and, hot as fire, down to sage are combined with those of qigong, or in other words,
when "strength" is combined with "guidance of qi", can the
the two feet," and the like . In this book, respiratory cycle is ex-
-12- -13-
 ..ss or coldness, vital qi or pathogenic qi, and asty - Biographies of 'Methods and Techniques) cites a quota-
li or stagnated qi be identified . tion from Guo Yuzhi, "The striae of skin, muscles and viscera
: . .- applies to the curative effect, which can only be are so fine and minute that the manipulation on them should
through combination of qigong and massage . be performed with regulation of qi . .. . The effect of mind con-
.f lly, when the treatment needs more stimulation and reg- centration on the heart and the hand is within tacit under-
tion by "strength", "strength regulation" should be taken as standing but beyond words" . This indicates that the needling
the main aspect with "qi regulation" as the accessary, and vice level of an acupuncturist rests with whether he can "concen-
versa . Generally, it is rather difficult to distinguish "strength" trate his attention on the heart and hand" during operation, for
and "qi" . However, "qi" here means the outgoing-qi emitted, as a therapist, qi follows will (in the adept at qigong), and when
while "strength" means the power of force exerted as well as its attention is concentrated on the heart and hand, qi can he
direction and frequency, for which the therapist manipulates "governed" by will and the "channel qi" of the patient can then
with his hand touching the body surface of the patient . be controlled and led to the focus of the disease . Zhen Jiu Du
As the combination of qigong and acupuncture is con- Cheng (Great Compendium of Acupuncture and Moxibustion)
cerned, Yang Jizhou of the Ming Dynasty (1368 - 1644) atta- introduces in detail the methods of training qi for
ched great importance to it in his book Zhen Jiu Da Cheng acupuncturists, pointing out that the practice of gigong should
(Great Compendium of Acupuncture and Moxibustion) . He held be started with the training of small circle of qi (qi circulating
that the posture, mental activities and respiration of the along the Ren and Du Channels), and through strict, arduous
therapist should conform to the principle of "three regulations" training of qi circulation, to attain the realm in which the prac-
in qigong, saying that when the reinforcement manipulation titioner "feels the body and mind in Chaos as if he has entered
was performed, the acupuncturist must stand or sit straight, into nihility that he does not know whether his body is for him
keep sedate and concentrate the mind without slackness . . . . The and he is for his body and spirit is for qi and qi is called spirit ;
importance of acupuncture lies in concentration of the mind" . he does not intend to confine himself but he is confined ; he is
He -also pointed out that the reinforcement and purgation not able to make fetal breath but fetal breath accours automat-
should be carried out in compliance with the sun, the moon ically ; water (fluid) circulates without guidance by will, fire is
and the variations of qi of the universe, with the body posture expelled with no suggestion ; light generates in void and needle
proper, mind concentrated, guidance of qi by will, regulation of is threaded in the darkness; he knows that things are so but
qi by respiration and manipulation of the needle by strength so does not know why they are so, and he does not know whether
that the genuine qi could be led to the focus of disease . Hou the Ren Channel is Du or the Du Channel is Ren" . If an
Han Shu - Fang Shu Lie Zhuan (History of the Late Han Dyn- acupuncturist can reach the realm described in the book, to
-- 14 - -15-
perform qigong-acupuncture for treatment of diseases will be
as easy as turning his hand over . So when the adept performs Section Four Indications of
" lighting the mountain fire" , real hotness may be induced ; Outgoing-qi Therapy and Points
when he conducts "cooling the Heaven real coolness will oc- For Attention
cur . And once he combines qi with strength in treatment of dis-
eases, he will attain a kind of curative effect hard for common 1. Indications
healers to come by . Outgoing-qi therapy is a special curative method of regu-
It is generally considered that when qigong therapists emit lation of the organism of the patient with "qi" and "strength" .
qi to a patient, they do not touch the body surface of the pa- As the viscera, tissues and life activities of the human body are
tient, and the farther they are away from the patient, the better all related to "qi" , "qi" is the first to be regulated whenever
the curative effect and the more brilliant the therapist will be . functional or organic disorders of the organism occur . This
This is actually a prejudice . In fact, an experienced qigong lengthens the scope of indications to a certain extent, though
therapist ; can emit his qi into the body of the patient no matter the nature of qi and its mechanism of action await for further
whether he touches the patient or not . The difference lies in research . Based on clinical experimental studies in China, a
that emitting qi with hand away from the body surface of the conclusion may be drawn that the degree of curative effect de-
patient embodies "qi regulation" ; and with hand touching the pends on the competence and versatility of the qigong therapist
patient embodies "strength regulation", which is a combination and the extent of response of the patient to outgoing-qi . In pa-
of strength and qi, or, the facilitation of strength by qi . This is tient whose channels and points are very sensitive to
the reason that we say that it is not enough for a good outgoing-qi, miraculous results are often expected even if their
outgoing-qi therapist to have the experience in qigong practice conditions may be rather complicated . For those whose chan-
and the skill of emission of outgoing-qi,moreover, he should nels and points are not so sensitive to qi, repeated stimulation
have a profound understanding of the philosophy of the tech- and regulation are needed to raise their sensitivity and make qi
nique, have a good grasp of the skills of massage and activities more vigorous and synchronized so that satisfactory
acupuncture, and be able to combine them as an organic whole effect can be, as it is often, achieved .
so that he can carry out treatment with high proficiency to en- The results of clinical application and scientific research
sure the quality of treatment and to avoid misdiagnosis and er- have proved that outgoing-qi therapy is fairly effective for in-
roneous treatment of diseases . ternal, surgical, gynecological, traumatological and pediatric
complaints and those of the five sense organs, e.g ., headache,
stomachache, chest pain, lumbago, cough, constipation,
-17-
_mastitis, dysmenorrhea, common cold, cholecystitis, too much emission of qi, or not to emit qi to these kinds of pa-
hypertension, angiitis, pelvic inflammation, myopia as well as tients at all .
qigong deviations . (4) Desirable effect can be attained only when the patient
2. Points for Attention is cooperative with the therapist . The patient should try to
(1) As emitting outgoing-qi consumes qi and energy, the create good conditions for outgoing-qi therapy by way of con-
therapist may, after successive emission of qi, feel tired, dizzy, centrating attention, regulating respiration and relax the whole
cold in the extremities and discomfort in the hepatic region and body or only the part that receives qi .
the lower abdomen . This means that he has consumed more qi Patient whose channels and collaterals are sensitive may
and energy than could be replenished, which may impair his get the sensation of qi easily or present spontaneous moving
own health . So the qi-emitting time should not be too long and phenomenon . Some are not so sensitive at first but may be-
the number of patients to be treated in one day should not be come sensitive step by step along with the repetition of treat-
too large . It is advisable to manage the treatment according to ment . Anyhow, good curative effect may occur in those who
one's own gigongacomplishments and health status . Constant has no sensation of qi or spontaneous dynamic phenomenon at
suppienient of nutrients and fluid and frequent exposure to all, while in some,although sensation of qi is obvious and dy-
free , air are helpful to replenishing energy, regulating qi activi- namic phenomenon occurs easily, the curative effect may not
ties and leading qi back to its origin . be satisfactory owing to their specific conditions of health and
(2) Emission of qi should be avoided by all means if the illness . The therapist should make the patients aware of the fact
therapist has fallen ill or feels feeble, tired, starved, overfed, that sensation of qi and spontaneous movement are not the
drunk, overjoyed, deeply grieved or indignant. Washing hands criteria of effect lest they misunderstand the therapy and be
or bathing with cold water immediately after emission of qi is misled .
harmful to the health . (5) Outgoing-qi therapy is no omnipotence . While it is
(3) The disordered qi or pathogenic qi of the patient may very effective for some diseases or for a certain type of diseases
invade into the body of the therapist and interfere with his own and can cure them completely, it may only relieve the symp-
qi activities, causing discomfort, lassitude, soreness, distention, toms of others and in such cases may serve only as an auxiliary
i and numbness of certain parts . When this occurs, the treatment. For patients with acute diseases or in a critical con-
therapist should timely drive the evil-qi out of his body and dition, it is advisable to take comprehensive measures by com-
1 e zis own qi activity to get it normal as soon as possible . bining traditional and westen treatment . Lavish praise on the
Patients suffering from cancer may affect the therapist's qi ac- technique and superstitious practice of it should be strictly
tivity more seriously, so care should be taken not to carry out guarded against so as to avoid delay of treatment .
 (6) Qigong exercises described in Chapter Eight of this
book, serving as the methods of accessory treatment, are for Chapter Two The Theoretical
patients to practise 2 - 4 times,a day, or following the doctor's
advice.
Basis of Outgoing-qi Therapy
Section One The Theory of Traditional
Chinese Medicine and Outgoing-qi Therapy

The Concept of Wholism

The concept of wholism, by taking the universe and the
human being as one, is one aspect of the basic theory of tradi-
tional Chinese medicine and qigong . Zang Fu Tu Dian Xue Fa
(Digital Acupoint Pressing Based on Chart of the
Viscera)states, "Qi of Heaven is that of man . The Heaven is a
large circle of qi and man a small circle of qi" . The ancient
qigong masters took not only the cosmos and nature as one
whole and the human being as one whole, but also the human
being and the nature as an organic whole in unity. Thus the
theory taking the universe and the human being as one has
been established as a system and used to guide qigong exercise
and medical practice .
1 . The Human Body Is an Organic Whole
Su Wen - Liu Jie Zang Xiang Lun (Plain Questions - On
Appearance of the Six- section Viscera) holds that "The heart
he source of life and the derivative of spirit" . Lei Jing Tu Yi
- Yiyi (Illustrated Supplementary to the Classied Canon - Ap-
ition of the Book of Changes to Medicine) by Zhang Jiebin
he Ming Dynasty (1368 1644) says, "The heart is the
parch of the body . . .. The human body is a small universe in

-20-
which all things are connected together without an iota of of the skin and hair, the spleen is in charge of the extremities
interspace" . This explains that the human body itself is an or- and the kidney has its specific opening in the ears . So when we
ganic whole . And the five viscera, as the centre of the whole, carry out outgoing-qi therapy for treatment of a disease, the
keep close relations with the tissues and organs of all parts of body as a whole rather than one organ or tissue should be
the body through the channels, qi and blood . The function of taken into account in determination of the channels, points,
this organic setup can be seen clearly under both normal physi- hand gestures and manipulations for emitting qi so that desira-
ological and pathological conditions . ble effect can be achieved .
As "the monarch of the body governing consciousness and 2. The Relationship between Man and Nature
spirit", the heart occupies an important place in the life activi- The concept of holism regarding the universe and the hu-
ties . Under the command of the heart, the viscera, tissues and man being as one has its special emphasis on the relationship
all the organs of the human body carry on normal physiologi- between the human being and nature. According to the an-
cal activities . In qigong exercise and outgoing-qi therapy, great cients,the concrete incarnation of holism is " correspondence
importance is attached to the function of spirit or mind concen- between man and universe" and "the relationship between the
tration or will . The physiological activity of any one of the five human body and the natural environment" .
zang-organs is conducted with the close cooperation of the When we say "correspondence between man and universe",
other organs . For example, the spleen functions to transport and we mean that the life activitity of the human being is closely re-
transform nutrients and the stomach works to receive food ; the two lated to nature . Su Wen - Yin Yang Ying Xiang Da Lun (Plain
together accomplish the digestive process of food . In turn, the trans- Questions On Conclusions of Correspondence of Yin and
porting and transforming function of the spleen is carried out with the Yang) holds, " The essence of Heaven corresponds with the
assistance of the dispersive effect of the liver, and the transfusion lung, of Earth with the pharynx, of wind with the liver, of
and distribution of the essential substance derived from water thunder with the heart, of food-stuff with the spleen, and of
and cereals or food staff transported and transformed by the rain with the kidney" . And it is said in Lei Jing Tu Yi - Yiyi
spleen rest with the physiological activities of the heart, lung (Illustrated Supplementary to the Classified Canon - Applica-
and kidney . So it goes without saying that the spleen needs tion of the Book of Changes to Medicine), "Qi of the universe is
the coordination of the liver, heart, lung and kidney in its that of man; the body of man is that of universe" ; "Wherever
work for transportation and transformation . On the other there is will, there will be qi ; and as spirit goes with qi, one may
hand, the zang-organs and fu-organs areinterrelated with correspond with Heaven, Earth, ghosts and immortals" . From
the different tissues and the body surface . The liver, for in- the above scriptures, it can be seen that man and all the things
stance, has its specific opening in the eyes . The lung is in charge of the universe are products derived from the primordial qi,
-22- -23-
and the primordial qi spreads all over the universe amongest twelve rendezvous (hui) of the twelve stars, man has twelve
Heaven, Earth and man . Qi of man communicates with that of channels ; the universe has twelve two-hour periods of the day,
the universe, and qi of the universe influences the life activities man has twelve sections of the body . If this is understood, the
of man . As the climate varies with the four seasons in a year, circulation of ying-energy (nutrients) and wei-energy (resist-
prominent changes will take place in physiology and qi activity ance) and the relationship between the exterior and interior of
of the human body accordingly . For example, man has more the channels and collaterals are clear" .
sweat and less urine in summer and vice versa in winter ; the The theory "correspondence between man and universe" is
pulse becomes taut in spring, full in summer, superficial in au- considered as utmost important for qigongpractice and outgo-
tumn and deep in winter . ing-qi therapy . The practitioner and the therapist must first
The overwhelming variation of the climate with the four be good at adaptation to the law of natural variations so as to
seasons that goes beyond the adaptability of the human body correspond with nature, then they can have a good grasp of the
will impel the origination, development and changes of methods of mind concentration, respiration regulation and
diseases . Measles and epidemic meningitis are often prevalent qi-emitting manipulation . The ancient qigong masters believed
in spring, malaria and epidemic encephalitis B usually occur in that Heaven, Earth and man had three treasures each the
th,_ Net season summer, storm may worsen heart diseases, and sun, the moon and the stars ; water, fire and wind ; and jing (es-
cloudy, rainy and wetn days often give rise to joint pain, to sence), qi (vital energy) and shen (spirit) respectively . qigong
mention but a few. practice is right aimed at the combination of each group of the
In the long process of development, man and nature are three treasures in one so as to reinforce the essence, vital energy
interrelated with and interact on each other . The human being and spirit . Attention should also be paid to acting "in line with
has absorbed various messages of nature, replenished himself yin and yang", "in correspondence with the four seasons" and
and improved the adaptability to the environment . As a result, " in accord with the application of numbers" , as well as
man has his individual ability and functions corresponding "avoiding pathogenic factors and evil wind" . Only in this way,
with natural environment, which, in the ancient times, was cal- can one strengthen the resistance of the organism to diseases,
led " correspondence between man and universe" . Lei Jing Tu adapt to the variable environment, and get the primordial qi
Yi - Yiyi (Illustrated Supplementary to the Classified Canon substantial and circulating continuously . From this point of
Application of the Book of Changes to Medicine) by Zhang view, we say that the training of qi, guidance of qi, and
Jiebin of the Ming Dynasty states, "The physique of the human diagnosis and treatment of diseases by outgoing-qi
body is the structure of the universe .
The universe has twelve concretely embody the concept of wholism in terms of
months, man has twelve internal organs ; the universe has Heaven, Earth and man as one .
--24- -25-
 Yin and Yang Yin and yang are by nomeans in a state of absolute
staticness . There exists between them constant struggle of wan-
The doctrine of yin (negative) and yang (positive) is a
ing and waxing . "While yin waxes, yang wanes, and vice versa" .
summarization of the opposition of all things . Neijing - Yin
They keep, to some extent, a state of dynamic equilibrium .
Yang Ying Xiang Da Lun (Canon of Internal Medicine - On
If the waning and waxing of yin and yang exceed the normal
Conclusions of Correspondence of' Yin and Yang) says,
limit and break through the state of dynamic equilibrium,
Yin-yang is the law of the universe, the principle gov-
excess or deficiency of yin and yang will occur, leading to
erning all things, the parents of changes, and the origin of
development of abnormalities .
life and death" . Generally speaking, all that are
(3) The Transformation between Yin and Yang
hyperfunctional, exciting, hot, dynamic, strong, bright,
As the two opposite components of things, yin and yang do
invisible, light, upward, outward, clear and the like, belong
not always stay at a standstill . Under certain conditions, they
to yang (positive) . On the contrary, all that are waning, re-
may transform toward the opposite aspect, i .e ., yang may trans-
straining, cold, static, weak, turbid, and the like, belong to
form into yin and yin can transform into yang . This phenome-
yin (negative) . The same opposition exists in Heaven and
non is clearly stated in Su Wen - Yin Yang Ying Xiang Da Lun
Earth, sun and moon, day and night, hotness and coldness,
(Plain Questions - On Conclusions of Correspondence of Yin and
male and female, superior and inferior, outside and inside,
Yang), saying "Yin in overabundance will transform into yang
motion and rest, fire and water,exhale and inhale, and ex-
and yang in overabundance will transform into yin" , and
cess and deficiency . So all things of the natural world con-
" Overabundance of cold may bring about false heat and
taining two opposite components can be divided into yin
overabundance of heat may bring about false cold" .
and yang .
2. The Application of Yin and Yang in Outgoing-qi
1. The Motion Law of Yin and Yang
Therapy
(1) The Opposition and Interdependence of Yin and Yang
(1) Yin and Yang in Explanation of the Physiological
Yin and yang are not only opposite but also interdependent,
Structure of the Human Body
without the other, neither can exist . The saying"Without yang,
As far as the whole human body is concerned, the upper
yin can not grow while without yin, yang can not develop", or
part is yang while the lower is yin ; the back is yang, the abdo-
Yang can by no means work without yin and yin can never live
men is yin ; the left is yang and the right is yin ; the exterior is
without yang" fully explains the relationship between yin and
yang and the interior is yin . So far as the internal organs of the
yang in terms of interdependence and interconnection .
human body are concerned, the six fu-organs (six hollow or-
(2) The Waning and Waxing of Yin and Yang

- 26 - -27-
gins referring to the gallbladder, stomach, large intestine, small well as the direction and nature of qi can be detected with
intestine, urinary bladder and Sanjiao or three warmers) are outgoing-qi at their corresponding body surfaces so that data for
yang while the five- zang or viscera (five solid organs referring diagnosis and treatment can be provided . For example, strong,
to the heart, liver, spleen, lung and kidney) are yin . As for an dense, dry and hot sensation of qi around the head may mani-
individual organ, the function of the organ is yang and the sub- fest in the syndrome of excess in the upper and deficiency in the
stance is yin ; qi is yang while the blood is yin. It is hence lower and excess of yang and deficiency of yin, a case that re-
written in Su Wen - Jin Gui Zhen Yan Lun (Plain Questions - quires the therapist to guide yang to descend and yin to ascend
Synopsis of Genuine Words of the Golden Chamber) that "It is to restore the normal physiological function with yin and yang
said that, of the human being,the lateral aspect is yang and the balanced and water and fire coordinated .
medial is yin ; of the body, the back is yang and the abdomen is (2) Training Qi and Treating Diseases According to the
yin" . According to Neijing (Canon of Internal Medicine), the Motion Law of Yin and Yang
human body can be divided into three pairs of yin and yang : As, for,, example, the spring and summer are regarded as
with the navel as a horizontal demarcation line, the part above yang_ and the autumn and winter as yin ; the six two-hour
the navel (from the navel to the head) is yang and below that periods of ZZ, Chou, Yin, Mao, Chen and Si as yang and the
(from the navel to the feet) is yin ; with the points Baihui (Du si two-hour' periods of Wu, Wei, Shen, You, Xu and Hai as
20) and Huiyin (Ren 1) as a vertical demarcation line, the left yin ; exhalation as yang and inhalation as yin, patients with
half of the bodyis yang and the right is yin ; the posterior half exuberance of yang and hyperactivity of fire should practice
is yang and the anterior half is yin (Fig . 2-1) . Qi activities of training qi daring the yin periods, facing north, and with
stress laid oniexhaling, while the therapist should adhere to
the principle of replenishing yin to invigorate yang and lead-
ing yang to descend to supplement yin .
(3) Yin and Yang in Explanation of the Pathological
Changes of the Human Body and in Diagnosis of Diseases
If the equilibrium of the dynamic state of yin and yang is
disturbed, overabundance or deficiency of yin or yang will
Fig . 2-1 The Yin and Yang Aspects of the Human Body develop, and dice ses will occur accordingly . Generally speak-
these yin-yang unities and the internal organs and tissues, in ing,t , over-exuberance of yang may lead to deficiency of
terms of evil or vital, excessive or deficient, strong or weak, as yin, giving rise to illness ; while the over-exuberance of yin

- 28 - -29--
may lead to deficiency of yang, similarly giving rise to illness . The Five Elements (Wu Xing)
Hot syndrome can be the result of either overabundance of
The doctrine of the Five Elements was originated in the old
yang or deficiency of yin while cold syndrome may result
days when,people took the five substances of wood, tire,
from either overabundance of yin or deficiency of yang . Once
earth,metal and water as representatives to explain the attribu-
the nature of yin and yang is determined, proper method of
tion of things and the relationship between them . Zhang Jiebin
outgoing-qi emission can be selected to regulate the excess
of the Ming Dynasty (1368-1644) expounded the relationship
and insufficiency of yin and yang so as to' .cure the disease . between yin- yang and the Five Elements in his Lei Jing Tu Yi -
The principle of treatment is explained in Su Wen - Zhi Zhen
Wu Xing Tong Lun (Illustrated Supplementary to the Classified
Yao Da Lun (Plain Questions - Great Conclusions' of Genuine
Cannon - General Conclusion of the stating "The
Five Elements),
Essentials), saying "Cold-syndrome should be treated with
Five Elements are the essence of yin and yang and yin and yang
warm-natured drugs and heat-syndrome' with cold-natured
are the qi of the Five Elements ; while qi will not exist without es-
drugs" ; and in Su Wen - Yin Yang Ying Xiang Da Lun (Plain sence, essence will not act without qi . So the action of the Five
Questions - On Conclusions of the Correspondence of Yinand
Elements is the circulation of qi of yin and yang ."
Yang), saying "Treat yin for yang diseases ; treat yang for yin 1. The Basic Contents of the Five Elements
diseases" . This means that treatment should be aimed at (1) The Correspondence of Things with the Five Elements
purging the excess to replenish the insufficiency and regu-
The ancient medical masters made comprehensive compar-
lating the over-exuberance or deficiency of yin and yang so
isons and studies on the organs and tissues of the human body,
that the normal, balanced state of the body can be restored .
its physiology and pathology, as well as all kinds of things of
For instance, intake of cold food or drinks may lead to
the natural world that are related to the human life, attributing
overabundence of yin which in turn gives rise to cold-
them to one of the Five Elements according to their different
syndrome of spleen and stomach manifested by pain, diar-
properties, functions and forms . The following table summa-
rhoea, aversion to cold and cold extremities . Here rizes the correspondence of the Five Elements with the human
outgoing-qi therapy can be preformed in line with "treating body and nature on the basis of Ne#ing(Canon of Internal Med-
cold-syndrome with warm-natured drugs", that is, to guide
icine) and related books on qigong (Table 2-1) .
hot yang qi and emit it toward the points such as Zhongwan
(Ren 12) and Tianshu (St 25), and then guide the cold qi of
the patient out of the body by way of Zusanli (St 36) and
Yinlingquan (Sp 9), etc .

- 30 -


qigong and traditional Chinese medicine attribute the or-

Table 2-1 Correspondence' of the Five Elements

with the Human Body and Nature

gans and tissues of the human body and the phenomena of the
natural world to the Five Elements, and explain the relationship
Five Elements Wood Fire Earth Metal Water among them . For example, the liver, gallbladder, tendons, and
Five Zang-organs Liver Heart Spleen Lung Kidney eyes are attributed to "wood" of the Five Elements, at the same
(Solid)
Urinary time, they are related to spring, wind, green colour of nature, the
Six Fu-organs Gall- Small Stomach Large
(Hollow) bladder intestine intestine bladder
numbers three and eight, Jia and Yi of the Heavenly Stems and
Five Sense Organs Eye Tongue Mouth Nose Ear
Gen and Xun of the Eight Diagrams . This classification
Five Tissues Tendon Vessel Flesh Skin Bone
a method, though based on the Five Elements, does not indicate
Five Emotions Anger Joy Anxiety Grief Fear
v Laughing Singing Crying Moaning wood, tire, earth, metal and water per se, rather, it is an abstract
Five Sounds Shouting
h Spirit Spirit Intention Material Essence concept of the attribution of different things drawn in the light
Five Spirit
Manifestations soul soul
of the characteristics of the Five Elements, a method easy to ap-
Five Material Extremity ComplexionLip Hair Hair
MAnifestaions (body) (head) ply in qigong practice and clinical treatment .

(2) The Generation, Restriction, Subjugation and Re-

Seasons Spring Summer Late Autumn Winter
summer
verse Restriction of the Five Elements
Germination Growth Trans- Reaping Storing The doctrine of the Five Elements explains the relationship
Growth &
Development formation
between different things by means of generation and restriction
Environmental Wind Heat Dampness Dryness Cold
Factors among the Five Elements . The generation relationship of the
v
I. Green Red Yellow White Black Five Elements is : wood generates fire, fire generates earth, earth
Five Colours
cz
Five Tastes Sour Bitter Sweet Acrid Salty generates metal, metal generates water, and water generates
Five Orientations East South Centre West North
wood, in endness cycles . The restriction relationship is : wood
Time Dawn Midday Sun settingSunset Midnight
restricts earth, earth restricts water, water restricts fire, fire re-
Five Shapes Straight Sharp Square Thin Round
stricts metal, and metal in its turn restricts wood . Every element
Five Stars Sui Yinghuo Jinzhen Taibai Chen
has two aspects generating and being generated, and re-
Generating NumbeWhree Two Five Four One
stricting and being restricted . The element that generates is re-
Resultant Number Eight Seven Ten Nine Six
-I' garded as mother, while the element that is generated as child .
v Heavenly Jia-Yi Bing--DingWu - Ji G eng-Xin Ren-K ui
Chen-Wei Shen-You Hai-Zi Hence the relationship between generating and being generated
Earthly Branches Yin-Mao Si-W u
C Xu-Chou is also termed "the relationship between mother and child" .
Eight Diagrams Zhen-Xun Li Kun-Gen Qian-Dui Kan
Similarly, the element that restricts is the successful side while

-33-
-32-
that being restricted is the defeated side . Lei Jing Tu Yi- Wu cise of taking essence from the moon, the exercise of nourishing
Xing Tong Lun (Illustrated° Supplementary to the Classified the kidney to replenish yin (nourishing water to replenish

Canon' General Treatise on the , Five Elements)' written by wood), the exercise of uttering "xu" (purging the liver-qi), and
Zhang Jiebin of the Ming Dynasty says," In the process of the exercise of uttering "ke" (purging fire of the child-organ);
growth and development, both generation and restriction are if with outgoing-qi therapy,by taking in water-q' and emitting
needed .' Without generation, growth will have no origin while qi for 6 respiratory cycles during the period of Zi or Hai to help
without restrict, growth will be rampant and turn into harm" .' nourish the kidney-water (water restricts fire), then guide qi of
Outgoing-qi,
2. The Application of the Five Elements in the heart and small intestine out of the body for 7 respiratory
Therapy cycles for purgation (purging the child to cure the mother) .
(1) In Explanation of Physiology and Pathology The most difficult and dangerous condition is named
The law of generation and restriction may be used to ex- "triple factors affecting one", which means one organ may be
plain the inter- generating and inter-restricting relationship affected by the abnormal function of three different organs
between the internal organs . For instance, the vital essence of simultaneously . Take the disorder of the spleen as an example,
the kidney (water) nourishes the liver (wood) . The heat of the it may be due, simultaneously, to the failure to generate the
heart (fire) warms the spleen (earth) . On the other hand, the spleen- earth caused by extreme asthenia of heart-fire, the re-
origination of diseases of the human body is the result of the striction of the spleen- earth caused by hyperactivity of the
breakdown of the normal equilibrium of generation, liver-wood, and reverse restriction of the spleen-earth caused
restriction, subjugation and reverse restriction among the or- by adverse up-flowing of kidney-water .
gans and tissues . Take disorder of the liver for example, if the The Five Viscera (Wu Zang)
illness spreads to the spleen, it is regarded as "wood usbjugat-
; to 1. The Liver
ing earth" ; to the lung, as "wood reversely restricting metal"
and to
the heart, as " mother-organ involving child-organ , The liver-gallbladder is attributed to wood . The liver is
the kidney,' as "child- organ involving mother-organ" . regarded as the Green Emperor, belonging to Zhen in the Eight
(2) In Outgoing-qi Treatment Diagrams, in image of the Green Dragon, in shape of a sus-
Hyperactivity of the liver-fire may be manifested, by blue pending gourd, and pertaining to Jia-Yi of the Heavenly Stems
complexion and congested eyes, vexation, irritability, taut and Yin-Mao of the Earthly Branches . Located below the
pulse, dry mouth and reddened tongue . According to the gen- right ribs, it stores spirit soul, its energy (qi) moves along the
erating and restricting law of the Five Elements, the syndrome left side, its channels and vessels spread over the hypochondria
can be treated, if with qigong exercise, by practising the exer-
-35-
 the nails. The liv- 2. The Heart
- of both sides, and its condition is reflected at
er bears the dispersing effect and has its upper orifice' in the The heart is attributed to south-fire and regarded as the
eyes (the left is Jia and the right Yi) . The gallbladder is the hol- Red Emperor, which pertains to Li in the Eight Diagrams . It is
low organ of the liver and is interior-exteriorly related with the rosefinch in image, suspending inverted lotus stamen in shape,
liver . Bing-Ding of the Heavenly Stems and Si-Wu of the Earthly
Patients with diseases of the liver may have dry eyes, pain Branches . The heart is located in the centre of the chest to the
in the hypochondria which may radiate to the lower abdomen, left, coated by the pericardium, and is interior-exteriorly relat-
and changing moods, accompanied by flushed left cheek in case ed to the small intestine . It controls blood circulation, stores
of excessive liver-heat, by liability to be frightened and feel the spirit, and takes charge of perspiration . The tongue is the
cold in case of liver-deficiency, by dreaming mountains, forests orifice to the heart and the complexion reflects its condition .
and the like in case of yin exuberance, and by headache, Patients with excessive heat in the heart may have a
deafness and swelling cheeks in case of adverse up-stirring of flushed complexion, full pulse, sptum, and pain in the chest,
liver-qi . When liver disorders occur, there may be moving qi hypochondrium, shoulder, back and arms ; patients with
below the left side of the navel which feels hard on pressure, asthenia of the heart may have radiating pain in the abdomen
pain and fullness in the hypochondria, cramps, drowsiness, and dreams of weapons, flames, red clothes or other red-col-
blurred vision, pterygium, etc, oured things, flaming stoves and various terrifying events . In
In qigong treatment, patients with syndrome of deficiency the case of heart disease, there is arterial impulse above the na-
and cold of the liver should practice the exercise of taking in vel which often disappears upon pressing,hot sensation in the
green qi and that of nourishing the kidney (nourishing the soles and palms, dry mouth, stiffness of the tongue and absent
mother to replenish the child) ; those with syndrome of sthenia of mindedness .
and heat of the liver should practice the exercise of uttering qigong treatment of sthenia-heat syndrome of the heart
"xu" and that of uttering "ke" (purging the child to treat the can be conducted either by the patient himself through prac-
mother) . In this respect, Yi Shen Ji - She Sheng Xiao Xi Lun tising the exercise of uttering " ke" to guide water-qi
(Keep fit Collections - On Regime Information) by Qiu Chuji (kidney-qi) to suppress fire, or by the therapist who may guide
of the Yuan Dynasty (1271 - 1368) says, "In treatment of liv- the evil-qi out of the body of the patient along the Heart
is Channel and the Small Intestine . Channel with pulling and lead-
er diseases, uttering ` xu' (exhaling) purges, while inhaling
replenishing" Hypochondriac pain and stuffiness and spasms ing manipulations . It is stated in Yi Shen Ji - She Sheng Xiao
due to derangement of the liver-qi should be treated by guid- Xi Lun (Keep-fit Collections - On Regime Information) that
ing qi back to the origin of the liver with outgoing-qi . - Heart diseases should be treated by uttering `ke', the charac-

36- -37-
ter with the sound helpful to expel of the evil-qi of the heart" . wind which may be improved in the morning and aggravated in
It also says, "Calm the heart-fire, rest the mind, be indifferent the afternoon and evening .
to outside happenings and have light and proper amount of In qigong treatment of sthenia-heat syndrome of the lung,
food" . This is a principle of treatment of asthenia syndrome, it is advisable for the patient to practise the exercises of uttering
which can be treated by practising "taking yellow qi" (replen- si" and "chui" and, for the therapist, to guide the evil-qi of
ishing the child to nourish the mother), or by pushing and guid- the patient out of the body along the Lung Channel and the
ing manipulations to reinforce the heart-qi and gi,in Dantian . Large Intestine Channel with pushing, pulling and guiding ma-
3. The Lung nipulations .Qiu Chuji of the Yuan Dynasty stated in his Yi
The lung belongs to west-metal and is regarded as the Shen Ji - She Sheng Xiao Xi Lun (Keep-fit Collections - On
White Emperor and pertained to Dui in the Eight Diagrams . It Regime Information, "phlegm in the lung should be drawn out
is the White Tiger in image, suspended chine stone in shape, by uttering 'si', and unintentional uttering of 'si' is a sign of
pertaining to Geng-Xin of the Heavenly Stems and Shen-You disorder" . For treatment of asthenia syndrome of the lung, ei-
of the Earthly Branches . The lung, located in the chest, ther self- practice of qigong or outgoing-qi therapy should be
connect, above with the air passages, and has its orifice in the aimed at replenishing the spleen (the mother) to nourish the
nose . The lung, the air passages and the nose are given the col- lung and guiding qi back to its origin, the lung .
lective term of the pulmonary series . The Lung Channel is con- 4 . The spleen
nected below lower with the large intestine and is interior- The spleen is attributed to earth of the Five Elements,
exteriorly related with it . In charge of respiration, it controls qi Kun-Gen of the Eight Diagrams, Wu-Ji of the Heavenly
(vital energy),skin and hair,regulates the metabolism of body Stems and Chou, Chen, Wei and Xu of the Earthly Branches .
fluids and is responsible for keeping qi pure and descendant . It is sickle shaped, connecting with the stomach by way of the
Patients with lung disease may have pale complexion, dry membrane . Its main functions are transporting, distributing
hair, dyspnea, hyposmia, stuffy nose, dryness and itching of the and transforming nutrients, transporting nutrients or qi up-
skin, and discomfort and pain in the chest and back . The pa- wards,and controlling blood circulation and the activities of
tient may dream of sexual acts with beauties or meeting with the extremities and muscles . Lips reflect the condition of the
long narrow funeral flags, armour, sun and moon, clouds and spleen . The mouth is the orifice to the spleen .One of the char-
cranes, and nobles . Heat syndrome of the lung may be mani- acteristics of the spleen is its preference to dryness and aversion
fested by flushed right cheek ; asthenia-syndrome by shortness to dampness . Failure of the normal transporting and trans-
of breath and failure to regulate breath ;dryness- syndrome by forming functions of the spleen may lead to poor appetite, ab-
dry throat ; and wind syndrome by perspiration and aversion to dominal distention, loose stool, or edema and retention of
-38- -39-
 kidney-energy flows' to the brain .
phlegm . The sinking of qi of the middle jiao due to deficiency
Kidney disease is characterized by dark complexion, with-
of the spleen is liable to cause shortness of breath ; disinclina-
ered teeth, big abdomen, heavy body, dyspnea, perspiration,
tion to talk, persistent diarrhoea, prolapse of anus or uterus,
and moving qi below the navel which may be eliminated by
gastroptosia, etc . Failure of the spleen to control blood circula-
pressure . Heat syndrome is manifested by flushed cheeks ; defi-
tion because of deficiency may be manifested by bloody stool,
ciency syndrome by pain in the middle of the waist . According
metrorrhagia and metrostaxis, and subcutaneous hemorrhage .
to Qiu Chuji, the author of Yi Shen Ji She Sheng Xiao Xi Lun
Qiu Chuji holds in his Yi Shen Ji She Sheng Xiao Xi Lun
(Keep fit Collections - On Regime Information), "Kidney dis-
(Keep fit Collections - On Regime Information)," Spleen dis-
ease should be treated by purgation through uttering `chuff'
eases should be treated by uttering 'hu', which is effective for
and by reinforcement through laying stress on inspiration . The
removing evil and noxious qi accumulated in the spleen, and
sluggishness and stagnation of kidney-qi can be relieved grad-
helpful to digestion" . To treat insufficiency of the middle jiao,
ually by uttering `chuff' with force" . That means qigong prac-
the therapist should emit outgoing-qi to Zhongwan (Ren 12)
tice of the exercise uttering "chui" is effective for dredging the
and Huangting (the Lower Dantian) for reinforcement ;
kidney-qi and can improve its sluggishness and stagnation,
asthenia-heat syndrome of the spleen should be treated by
which belongs to the sthenia syndrome . The deficiency
guiding qi along the Spleen Channel and the Stomach Channel
syndrome should be treated by replenishing the kidney through
with pulling and leading manipulations to expel the evil-qi of
inhaling qi into the kidney and the waist . Decline of fire from
the spleen and stomach .
Mingmen,(Du 4) should be treated by emitting outgoing-qi to
5. The Kidney
the Lower Dantian and Mingmen (Du 4) with pushing and ro-
The kidney is attributed to north-water and regarded as
tating manipulations, so as to invigorate kidney-qi and replen-
the Black Emperor . The two kidneys lie respectively on the two
ish the fire from the gate of life .
sides of the spinal column, opposite to the navel . It is dark pur-
ple in colour, belongs to Kan of the Eight Diagrams, Ren and Essence, Vital Energy and Spirit
K3.u of the Heavenly Stems and Hai and Zi of the Earthly (Ding, Qi and Shen)
Branches and is interior-exteriorly related with the urinary
Essence Oing), vital energy (qi) and spirit (shen) constitute
bladder . The kidney stores essence, controls the bones and
the essential substances for the vital activities of the human
produces bone marrow, governs water metabolism and fire
body . This theory is underlined by Lin Peiqin (1839) of the
from Mingmen (Du 4, gate of life) and regulates respiration.
Qing Dynasty, who wrote in his Lei Zheng Zhi Cai(Classif ied
The ear and the two yin (the anus and the external genital and
urethral orifice) are the orifice to the kidney, and the
-40-
Treatment) that "The treasures the body stores are nothing but training. To raise' the quality of training, one should abide by
essence, vital energy and spirit" . the principle of being moderate in sexual life in order to pre-
1. Essence (Jing) serve essence (turbid essence) .
According to the understanding of the medical doctors 2 . Vital Energy (Qi)
and qigong masters of various generations, essence Oing) can As it is the basic substance and the dynamic force for
be classified as congenital and acquired . maintaining normal life activities of the human body, vital en-
(1) Congenital Essence (Primordial Essence) ergy (qi) implicates two aspects, material and functional . It is
Inherited from parents, congenital essence constitutes the also classied into congenital and acquired . Congenital vital en-
original substances of the human body, being the material basis ergy (qi) is also named primordial vital energy (qi), which is in-
for growth, development and reproduction . Ling' Shu - Jing herited from parents and derived from congenital essence . Ac-
Mai (Miraculous Pivot - Channels and Vessels)says, "Essence quired vital energy (qi) refers to the combination of the pure
exists at the beginning of life", vital energy (qi) one receives from air and the food essence
(2,) Acquired Essence transformed into by the spleen and stomach . In the light of its
It refers to essence derived from food . The spleen and distribution and function, vital energy (qi) can be further di-
stomach transform food into essence and then transport it vided into four kinds : primordial qi, pectoral qi, nourishing qi
through the channels and vessels to nourish the five viscera and defensive qi .
(solid organs) and irrigate the six fu-organs (hollow organs) . (1) Primordial Qi (Yuan-qi)
Acquired essence is the material basis for the functional activi- Also called original qi, congenital qi, kidney-qi and genu-
ties . Infused into the internal organs, it is called in traditional ine qi, this kind of qi includes congenital yang-qi and yin-qi . It
Chinese medicine "essence from the five viscera and six hollow is innate or inborn, and is the original motive force for main-
organs" . taining the normal growth and development of the human
Congenital and acquired essence are interdependent and body and for activating and promoting the functional activities
mutual promotive . Only with the nourishment of the acquired, of the internal organs . This is what Ling Shu - Ci Jie Zhen Xie
can the congenital be enriched and play its role . On the other (Miraculous Pivot -- Acupuncture in Regulation of the Healthy
hand, without the function of the congenital, the acquired can and Pathogenic Factors) says, "The genuine qi is obtained from
by no means be transformed . Heaven and is combined with food essence to nourish the
Much emphasis is laid on the role of essence in qigong body" .
therapy . A common practice is called "transforming essence in- (2) Pectoral Qi (Zong-qi)
to qi", which requires painstaking effort of the practitioner in Pectoral qi is a combination of the fresh air inhaled by the
-42- -43-
lung and the food essence derived by the spleen and stomach pectoral qi, nourishing qi and defensive qi, which, through
from food . It is formed in the lung and accumulated in the practice of the three regulations (posture, respiration and mind
chest,bearing the function of helping the lung in respiration concentration), develops its special function with increased en-
and assisting the heart in blood circulation . So it is stated in ergy, and can gather, disperse and conduct exchanges with qi
Ling Shu - Ci Jie Zhen Xie (Miraculous Pivot - Acupuncture in outside the body .
Regulation of the Healthy and Pathogenic Factors), "If pectoral 1) Qi and Qi Field
qi fails to descend, blood in the vessels will congeal and After qi of qigong has been trained and refined, it will be-
stagnate" come strong and be able to circulate inside the body, forming a
(3) Nourishing Qi (Ying-qi) certain "field" as that formed by the flow of electricity . It can
Nourishing qi is one kind of the substances derived from exchange with, response to and activate qi of nature . Everyone
food essence . It enters the vessels to join the blood as one com- has qi and his own qi field ; the individual difference lies in the
ponent and, as the name implies, produces blood and nourishes degree of perception to qi and the amount of its energy . The di-
the whole body along with the circulation of blood . rection, intensity and frequency of the flow of the internal and
O'Defensive Qi (Wei-qi) external qi influence the physiological activities of the human
Defensive qi is one part of the substances composing body all the time.
yang-qi (positive qi) of the human body . It originates in the There exists a regular system of internal qi within the hu-
Lowerjiao (the Lower Warmer), is enriched in the man body, which is composed mainly by channels, collaterals
Middle jiao (the Middle Warmer) and distributed in the Up- and their points . This internal qi system is closely related to the
per- jiao . It is innate, coming from yang-qi (positive qi) stored thinking activities of the brain . Though it can not be observed
in the kidney, as the saying holds, "Defensive qi comes from by the eyes through anatomy as can be done for internal
the Lower jiao" . In the process of its functional activities, it re- organs, nerves, muscles and other tissues under modern condi-
lies on the continuous replenishment of food essence in the tions of scientific experiment, the shape, nature, rhythm, direc-
Middle jiao . Defensive qi circulates not inside but outside and tion and tensity of this system as well as of the internal and ex-
along the channels and vessels to all parts of the body to warm ternal qi can be perceived by the qigong adept who is especially
and nourish the internal organs and the skin and hair, and to sensitive to perception of qi . And because of this, Li Shizhen, a
regulate the opening and closing of the points and sweat pores . distinquished pharmacologist and scientist of the Ming Dynas-
(5) Qi of qigong ty (1368 - 1644) holds in his book Qi Jing Ba Mai Kao(Re-
This kind of qi is called " internal qi" or "external qi" search on the Eight Extra- Channels), "The inner scene and
(outgoing-qi) of gigong . It is a combination of primordial qi, channels can only be perceived by those who can see things by
-44- -45--
in ard-vision ."
2) The Circulation of Qi
Internal qi circulates in the channels and collaterals in the
direction of the course of the Twelve Channels, being in order
and interior-exteriorly related to them . The course of the
Twelve Regular Channel is : the Three Yin Channels of Hand
run from the chest to the hand, the Three Yang Channels of
Hand from the hand to the head, the Three Yang Channels of
Foot from the head to the foot, and the Three Yin Channels of
Foot from the foot to the abdomen and chest (Fig . 2-2) .
Through training of the
three regulations, the internal
qi will be able to circulate not
only along the course of the
channels, but also against
them or along several chan-
nels at the same time toward
one direction to one area and, Fig . 2-3 The Qi Field of the Human Body

inducting or being inducted External qi refers to the outgoing internal qi emitted by

by qi of' the natural world, to the experienced qigong practitioner under the control of his
form a qi field . For example, will . This kind of qi takes form and changes its shape, nature,
if the right side of the body is circulating direction and frequency following the will of the
yang (positive) and the left is practitioner .
yin (negative), the ascending 3) The Characteristics of Qi
Fig . 2-2 The Course of the Yin
of qi at the left and des- The following characteristics are summarized based on the
and Yang Channels
Bending of it at the right with conclusion made by the ancients and the author's personal ex-
response to qi of the natural world will form a left-descending periences in practice, observation and experimental studies .
and right- ascending qi field outside the body (Fig . 2-3) . Universality : Zhang Jiebin of the Ming Dynasty
(1368-1644) held in his book Lei .Zing Tu Yi - Yiyi (Illustrated
-46- -47-
Supplementary to the Classified Canon - Application of the and sensation, which may last for a certain period of time .
Book of Changes to Medicine) that "Qi of Heaven is that of Synchronism :, Qi posseses the nature of synchronism .
man ; the body of man is that of Heaven" . Similar remarks were When the frequency and nature of outgoing-qi are similar to
made by Tang Rongchuan of the Qing Dynasty (1644-1911) in those of the patient's qi, resonance and synchonism may be
his book Yiyi Tong Lun (A General Treatise on the Application triggered and the patient's qi activities can be activated and
of the Book of Changes to Medicine),, saying, "All things in the regulated rapidly . In patiens or practitioners who . are not so
universe that rely on qi for their growth originate from qi of the sensitive to qi, this reflect may also be obtained after repeated
congenital divinatory diagrams" . These statements explain that treatment with outgoing qi or after some qigong practice .
qi is a kind of substance existing all over the cosmos and in all Sensitivity : People vary in sensitivity to qi . Those with
animals and plants of the natural world . It is generated from high sensitivity may receive outgoing-qi immediately or be lia-
and influenced by qi of Heaven and Earth . ble to be influenced by qi of animals, plants and other things of
Systematism : Lei Jing Tu Yi - Yiyi (Illustrated Supplemen- the outside world . Those with low sensitivity may have diffi-
tary to, the Classied Canon The Application of the Book of culty to perceive qi . And in some, though they do not perceive
Changes to Medicine) by Zhang Jiebin says, "Qi of Heaven is qi, they may be influenced by qi all the same .
that of man . . . . The human body is a small universe" . This Controlment : Qi of the human -body can be controlled .
means qi of Heaven, Earth and man is not only inter-linked, This is easy for the adept of qigong . However it is not all the
but also exists as a system within the human body - "a small case . As mentioned in Ling Shu - Jiu Zhen Shi Er Yuan
universe" . Like the respiratory, circulatory and digestive sys- (Miraculous Pivot-Nine Kinds of Needles and Twelve
tems, the system of qi has its own organizational structure and Source points) "He who understands the pivot of qi can regu-
law of activity, bearing the responsibility of regulating the func- late qi readily, while he who does not understand the pivot can
tions of the organs and tissues and the adaptability to the out- not regulate qi at all" .
side environment of qi, so as to absorb qi beneficial to the hu- 3. Spirit (Shen)
man body and ex/pel that harmful to it . Spirit, or vitality, is a general term for the life processes of
Transmissibility: Qi has the nature of extending, dissemi- the human body . It refers to the appearance of mentality, con-
nating, diffusing and flowing . It circulates endlessly and period- sciousness and the external conditions of essence (jing) and vi-
ically . tal energy (qi) of the internal organs . The life activity of the
Excitation : When the outgoing-qi of the therapist acts on human body depends on essence (jing) and vital energy (qi) as
the channels and points of the patient, it can stimulate and ac- its material basis . It can be said that spirit is developed from es-
tivate the patient's muscles and tissues to arouse movement sence and qi . For example, Ling Shu Ben Shen (Miraculous
48
-49-
-Pivot The Original Spirit) says, "The intercourse between outgoing-qi therapy . There existed in ancient times methods of
two kinds of essence produces spirit" . Ling Shu - Ping Ren Jue accumulating and refining essence, invigorating and regulating
Gu (Miraculous Pivot - The Fast by Normal Man)holds. that qi and preserving spirit, which are commonly called "refining
"Spirit is the essence of grain and water (food)" . So, that which essence into qi" , " refining qi into spirit" and the like .
derives from congenital essence is taken as yuan shen Specificaly speaking, qigong practice is to train the acquired
(primordial spirit or mentality), which further develops with turbid essence, the perceptual spirit and the inhaled air in order
the nourishment of the essence of food, while that which bears to replenish the primordial so that life can be prolonged and
thinking and conciousness is taken as shi shen (perceptual diseases can be prevented and cured .
spirit) .
The Channels and Collaterals
4 . The Relationship between Essence, Vital Energy and Spirit
and qigong Practice Channels and collaterals are the passageways or routes by
Shou Shi Chuan Zhen (Portraiture of Longevity) written which the points per se, the points and internal organs, the in-
by Xu ;M enbi of the Qing Dynasty (1644 - 1911) states, "Es ternal organs and sense organs (eye, ear, nose, tongue, etc .),
sence is° what nourishes the body ; qi is what circulates through- and the internal organs per se are interlinked with each other .
out the body ; and spirit is what governs the body" . And Only by circulating along the channels and collaterals and link-
"Primordial essence is innate true essence, not reproductive es- ing with qi of the outside world through the skin and points,
sence ; primordial qi is energy in the void, not inhaled air ; and can the human qi play its normal role . The passageways of the
primordial spirit is original soul, not that of thinking . The channels and collaterals, together with the function of qi, con-
so-called primordial essence, primordial vital energy and stitute a particular channel-qi system within the human body,
primordial spirit are those congenital which originate before a system . according to which and on which' outgoing-qi
birth, while the productive essence (turbid essence), air inhaled therapy is carrird out so that qi activities can be facilitated,
and thinking and consciousness (perceptual spirit) are dredged and regulated, and evil-qi can be expelled .
acquired, which develop after birth" . The network of channels and collaterals consists of chan-
The concept of essence, vital energy and spirit is different . nels, collaterals and their affiliated parts such as tendon chan-
However, they are inter-linked and mutual promotive . Of the nels and skin zones . Channels include the Twelve Regular
three, essence is fundamental, vital energy is motive and spirit Channels running through the muscles and flesh of the body,
is dominant . the twelve branches of the regular channels and the Eight Extra
The training and regulating of essence, vital energy and Channels not being considered as regular . The collaterals refer
spirit are of great importance in qigong practice and
-50-
to the Fifteen Reticular Branch Conduits of Channels (All the lateral aspect is also divided into the above three sides, and the
Twelve Regular Channels, the Du Channel, the Ren Channel yang channels running along them are called yangming,
and the Great Reticular Conduit of the Spleen have one of shaoyang and taiyang accordingly . At the torso and head, the
these conduits), the horizontal collaterals and the minute three yang channels of hand and foot are distributed along the
collaterals . The Twelve Tendon Channels do not run into the anterior, lateral and posterior sides of the head and torso, while
internal organs, while the Twelve Skin Zones are linked only to the three yin along the chest and abdomen (Fig . 2-4) .
the channels . All these constitute a communicative network Each of the Twelve Regular Channels pertains to a certain
within the body and between the body and the outside world . viscerum . The yang channels pertain to the hollow organs and
1. The Twelve Regular Channels communicated with the solid while the yin channels pertain to
As the Three Yin Channels and Three Yang Channels of the solid and communicated with the hollow . This forms an in-
Hand and Foot are the principal part of the channel doctrine, terior- exterior (yin-yang) relationship of communication . All
they are given the name of "The Twelve Regular Channels", the channels are inter-linked with each other and bear the re-
whic t include the Lung Channel of Hand-Taiyin, the Heart sponsibility of a thorougfare, along which spread the points-
Channel of Hand-Shaoyin, the Pericardium Channel of the locations for qi and blood to circulate to the surface of the
Hand-Jueyin (the Three Yin Channels of Hand) ; the Large In- body .
testine Channel of Hand-Yangming, the Small Intestine The motion of qi and blood within the Twelve Regular
Channel of Hand-Taiyang, the Sanjiao
Channel of Channels is circulative and continuous, starting from the Lung
Hand-Shaoyang (the Three Yang Channels of Hand) ; the Channel of Hand-Taiyin, passing through all the others to the
Spleen Channel of Foot-Taiyin, the Kidney Channel of last-- the Liver Channel of Foot-Jueyin, and then to the
Foot-Shaoyin, the Liver Channel of Foot-Jueyin (the Three Lung Channel of Hand-Taiyin again to restart the cycle . The
Yin Channels of Foot) ; and the Stomach Channel of terminus of one channel connects with the starting point of an-
Foot-Yangming, the Urinary Bladder Channel of other, forming an endless cycle in the order of .. the Lung Chan-
Foot-Taiyang, the Gallbladder Channel of Foot-Shaoyang nel of Hand-Taiyin -; the Large Intestine Channel of
(the Three Yang Channels of Foot) . Hand-Yangming -the Stomach Channel of Foot-Yangming
At the extremities, the yin channels run along the medical -the Spleen Channel of Foot-Taiyin - -the Heart Channel of
aspect, while the yang channel along the lateral aspect . As the Hand-Shaoyin -> the Small Intestine Channel of
medial aspect of the extremities are divided into anterior, mid- Hand-Taiyang - the Urinary Bladder Channel of
dle and posterior sides, the yin channels running along these Foot-Taiyang - the Kidney Channel of Foot-Shaoyin --the
sides are called Taiyin, Jueyin and Shaoyin respectively . The Pericardium Channel of Hand-Jueyin,- the Sanjiao Channel
-52- -53-


HS-T.tGCoLFiahfu
the Urinary Bladder Channel of Foot Taiyang

-54-
the Lung. Channel of Haul-Taiyin

the Pericardium Channel (of .Hand-Jueyin

the Heart Channel of stand-Shaoyin

the Kidney Channel of Foot Shioyjo

the Spleen Channel of Foot Taiyin

the Liver Channel of Foot-Jueyin

the Kidney Channel of . Foot-Shaoyin

(2)
.d head 1'ant;nung

,he I ilIlihukIet Ch :uau •I of

Fit ,a at

(3)
the Lung lhauuvI
.4 Mood hi"' .

tile Spleen Ch ; u,m•1

.A Ih~ol I :oc,u

Fig . 2-4 The Distribution of the Fourteen Channels

2 The Eight Extra Channels
"The Eight Extra Channels" is a general term for the Du,
Ren, Chong, Dal, Yinwei, Yangwei, Yingiao and Yanggiao
Channels . They have neither direct connection nor
interior-exterior relationship with the internal organs . Gener-
ally speaking, their physiological function is to regulate qi and
blood of the Twelve Regular Channels .
(1) The Du Channel
The Du Channel is regarded as "the sea of yang channels"
because it governs all the yang channels of the body . It origi-
nates in the lower part of the abdomen, makes its downward
way through the perineum, and then ascends along the middle
of the spinal column to the brain, where it continues to ascend
to the vertex and descend along the midline of the head to the
apex of nose, then the point Renzhong (Du 26) and lastly the
-55-


point Yinjiao (D ){see Fig . 2-4(2)] .

"') The Ren Channel
As it takes charge of all the yin channels of the body, it is
regarded as " the sea of yin channels" . The Ren Channel origi-
nates in the lower abdomen, descrads through the perineum,
then ascends along the midline of the abdomen and chest to the
throat and the mandible, where it separates into two branches
which turn so round the mouth and up to the inferior regions
of the eyes [see Fig . 2-4(1)] .
(3) The Chong Channel
The Chong Channel extends to the anterior, posterior,
upper and lower part of the body, and is able to regulate qi and
blood of the Twelve Regular Channels, so it is termed "the sea
of,f the Twelve Regular Channels" . This channel originates in Fig . 2-5 The Chong Channel Fig . 2-6 The Dai Channel
the lower abdomen, descends and emerges at the perineum, and (5) The Yinwei Channel
then ascends through the spinal column . The superficial branch The Yinwei Channel lies
of it passes through the point Qichong (St 30), meets the Kid- in the interior and serves to
ney Channel of Foot-Shaoyin, and ascends along both sides of maintain and communicate all
the umbilicus to the throat, where it goes round the lips (Fig . the yin channels in the interior
2-5) . of the body . This channel
(4) The Dai Channel (The Belt Channel) starts from Zhubin (K 9, a
Running transversely round the waist like a belt, the Dai point of the Kidney Channel
Channel binds and joints all the channels of the body . It starts running along the medial as-
from the lower border of the hypochondrium and runs trans- pect of the shank), ascends
versely round the waist (Fig . 2-6) . along the midline of the inter-
nal aspect of the lower extrem-
ities to the lower abdomen,
where it passes Fushe (Sp 13) Fig .2-7 The Yingwei Channel

and Daheng (Sp 15) and the

-56- -57--


ribs to Qimen (Liv 14, a point of the Liver Channel) up to the

chest . It then turns to go obliquely to the neck to join the
points Tiantu (Ren 22) and Lianquan (Ren 23) (Fig . 2-7) .
(6) The Yangwei Channel
The Yangwei Channel lies superficially and serves to
maintain and communicate the superficial yang channels of the
body . The channel starts from Jinmen (UB 63) of the Urinary
Bladder Channel, goes upward to Yangjiao (UB 35) of the
Gallbladder Channel, ascends along this channel to Bishu (a
point inferior to the iliac crest) and then along the posterior as-
pect of the libs to the posterior end of the axillary fold, then the
shoulder upwards to meet the points Yamen (Du 15), Fengfu
(Du 16) and Fengchi (GB 20), where it ascends along the
Gallbladder Channel to the vertex, and ends at Yangbai (GB Fig. 2-8 The Yangwei Channel Fig . 2-9 The Yingiao Channel
14) (Fig . 2-8) . (8) The Yanggiao Channel
(7) The Yinqiao Channel This channel controls the
This channel controls the yin of the left and right sides of yang of the left and right sides of
the body . It originates from the point Rangu (K 2) at the the body . It originates at the
medial side of the foot, passes through Zhaohai (K 6) to the point Shenmai (UB 62) below
superior borber of the medial malleolus, where it ascends along the external malleolus, makes its
the medial aspect of the lower limb, passes through the way upward along the lateral
perineum, the adbdomen and chest to Quepen (St 12) . Then it aspect of the lower limb to
continues its way and passes the anterior aspect of Renying (St Juliao (femur, UB 29), which is
9) and the medial side of the zygomatic region and reaches the located above the iliac bone, to
inner canthus of the eye, where it meets with the Channel of the posterior aspect of the
Hand-Taiyang and the Yangqiao Channel (Fig . 2-9) . hypochondrium . Via the should
and neck, it goes up to Dicang
(St 4) at the corner of the
mouth, then passes Juliao (St 3) Fig . 2-10 The Yangqiao Channel
-58- -59-
and Chengqi (St 1) to Jingming (U B 1), where it ascends into based on different channels and their collaterals . These divi-
the hairline, goes behind the ear, meets the Gallbladder Chan- sions are called the Twelve Skin Zones .
nel and ends at Fengchi (G B 20) (Fig . 2-10). 6 . The Application of the Theory of Channels and
3 . The Collaterals Collaterals to Outgoing-qi Therapy
The collaterals are the branch conduits from the channels . Without knowing the doctrine of channels and collaterals,
They spread all over the body like a net . While the channels be- a qigong therapist can neither conduct the practice of training
long to the interior, lie deeper and are thicker, the collaterals qi, guiding qi and emitting qi nor can he carry out differential
are superficial and much thinner . The main function of the treatment of patients, just as the old saying holds, "Without the
collateral is to transfuse qi and blood of the channels to all understanding of the viscera, channels and collaterals, mistake
parts of the body to nourish the tendon, bone, skin and the five will follow whenever one starts to talk or act" .
sense organs (nose, eye, lip, tongue and ear), and to link the in- (1) Guiding qigong Practice
terior with the exterior . The large one are altogether fifteen in Zhen Jiu Zhi Nan (A Guidebook on Acupuncture and
number, i.e ., the twelve from the Twelve Regular Channels Moxibustion) says "He who intends to learn acupuncture must
respectively, plus the other three from the Du, Ren and Spleen take up exercises first . . . .the skill of sitting in quiescence, to
Channels. These fifteen collaterals are all horizontal, con- realize the circulation of qi along the channels and collaterals
necting the internal and superficial channels . and the opening and closing of points so that he can have a
4. The Twelve Tendon Channels good ground in acupuncture practice and can be clear-minded
The tendon channels are of tendon-flesh nature affiliated in determination of points . Otherwise he may have no idea of
to the system of channels and collaterals . They lie along the where to operate ." This means qigong practice can help to un-
four extremitis, the body surface, the chest and abdomen . They derstand the circulation of the channel qi within the human
do not enter the internal organs . Physiologically they mainly body, for it actually can facilitate a smooth flow of qi and
coordinate the movement of the limbs and bones . blood along all the channels and collaterals, or in other words,
5. The Skin Zones the circulation of qi can be controlled by will .
The Skin Zones are the superficial parts of the system of The Eight Extra Channels, especially the Du and Ren
the channels and collaterals . Although the channels lie within Channels, are of utmost importance in qigong practice . Zhang
the flesh and muscles, not superficially near the skin, the Ziyang, lived in Song Dynasty (420-479), explained this in his
collaterals from the channels go everywhere . Qi and blood at book Ba Mai Jing(The Eight Extra Channels), saying, " The
the skin part right rely on the collaterals for nourishment . So Eigla Extra Channels of the common people are of yin nature
physiologically, the body surface is divided into twelve zones and are closed . Only the spirit immortals have theirs burst open
-60- -61-


with yang-qi (positive energy) . So they get the knack . The So, the practitioner of qigong can, besides training the circula-
Eight Extra Channels are the root of the main congenital tion of qi, of his own, absorb qi which is beneficial to his health
channels and the ancestor of qi . "Li Shizhen (1578) stated in his from the natural world to replenish and facilitate qi within his
Qi Jing Ba Mai Kao(Reserch ;on the Eight Extra Channels), body . As, regards outgoing-qi therapy, it means that the
"The Ren Channel and Du Channel are the prime meridians of therapist mobilizes and activates qi of the natural world and
the human body, the routes along which the qigong adepts that of the patient with his own qi to get the patient's qi active,
make the yang-fire and yin-materials go up and down, and then regulates it with the method of purgating the excess and
the home where the Kan-water and Li-fire have their inter- replenishing the deficiency, dredging the channels and leading
course ." The practitioners generally refer to the sensation of qi back to its origin .
channel qi flowing along the Ren and Du Channels as the
"small circle of qi" and that along the Ren and Du channels as Section Two Application of the Book of Changes
well as the Twelve Regular Channels as the "large circle of qi" . to Medicine and Outgoing-qi Therapy
(2) Guiding Emission of Q*
The Training of guiding qi and emitting outgoing-qi, The theory of application of the Book of Changes to med-
comprises the training of qi circulation within the channels and icine is one of, the principle guiding Qigong outgoing-qi
collaterals, tendon collaterals and skin zones . Only when one is therapy. One who knows only the science of medicine without
able to control the circulation, the coming in and going out and the understanding of the Change or vice versa can speak noth-
the spread and convergence of qi voluntarily, can he carry out ing of treatment of diseases by emission of outgoing-qi, for
emission of outgoing-qi . outgoing-qi therapy is the application off a clinical combina-
The channels and their branches, the extra channels, the tionn of the philosophy of the Change, medicine and qi which
tendon channels and the skin zones altogether compose a qi requires the therapist firstly has a deep understanding of the
circulation whole or a channel-collateral -qi system of the doctrine of exchanges and changes between the universe
human body . This system interlinks the interior and the exteri- (Heaven and Earth) and the humann being, the (Taoist) theory
or,
or, the upper and the lower, the left and the right, and extremi- and skills of training gi,and cultivating oneself, as well as the
ties, bones, internal organs and all tissues of the human body, modern physiology and pathology of the human body . Just as
making the human body a complete, systematic organic stated by Zhang Jiebin (1624) in his book Lei Jing,7u Yi (Illus-
whole,a structure closely bound up with " qi" of the natural trated Supplementary to the Classified Canon), " Without the
world by way of the skin zones and points, and a three-in-one understanding of the Change one is not worthy of the name of>
combination of the "three gifts" Heaven, Earth and man . an imperial physician ." According to Zhang Jiebin, the truth of
62 :- -63-
.the universe lies in the creation of all things with yin-qi and then more, in a binary system, to the infinite (Fig . 2-11).
yang-qi while' the truth of human being lies in growth and de-
velopment of bones with yin-qi and yang-qi, both being the
consequence of movement, rest, waning and waxing of yin and
yang . So he also stated that "the similarity of medicine and the 1 18lir •®
1M1®
Change in their origin is the similarity of them in their varia-
tion", "the philosophy of the Change implicates that of medi-
cine, and the philosophy of medicine benefits from that of the
Change" and "the variation of the Change rests with the uni-
verse while the application of medicine rests with the human
being"

The Eight Diagrams

Fig . 2-11 The Sequence of the Eight Diagrams
1. The Composition of the Eight Diagrams 2 . The Congenital Eight Diagrams
Xici,a chapter of the book Zhouyi(The Book of Changes) Another term for the Congenital Eight Diagrams is Fu
states "Yi (the change) has Taiji (The Great Ultimate) ;Taiji ar- Xi' s Eight Diagrams,with which Heaven and Earth are
ticulates itself into two principles ;- the two principles articulate orientated based on Qian and Kun . In the Congenital Eight
themselves into four symbols ; and the foursymbols articulate Diagrams, Heaven and Earth, wind and thunder, water and
themselves into eight diagrams" . The ancients believed that the fire, and mountain and marsh are all defined aS couple yin and
Chaos (the nihility) when Earth was separated from Heaven yang opposite to each other (Fig . 2-12) . This kind of diagram
was the phenomenon of Taiji (The Great Ultimate) . The is taken as the body aspect which governs qi and can generate
movement of Taiji produced the two principles of yin and all things .
yang . Yin-qi and yang-qi then developed and transformed 3 . The Acquired Eight Diagrams
themselves into the four symbols of Taiyin, Shaoyin, Taiyang Another term for it is King Wen's Eight Diagrams, with
and Shaoyang, which in turn articulated into the Eight Dia- which south and north are orientated based on Li and Kan . In
grams of Qian, Kun, Kan, Li, Zhen, Dui, Xun and Gen repre- the Acquired Eight Diagrams, the five orientations of east,
senting-Heaven, Earth, water, fire, thunder, marsh, wind and west, south, north and centre and the five elements of metal,
mountain, .which then divided into sixty-four diagrams and wood, water, fire and earth are all matched with the Eight Dia-
grams (Fig . 2-13) . This kind of diagram is taken as the applica-
-A4- --65-


tion aspect, which controls movement and is able,, to . form all 4. The Essential Factors of the Eight Diagrams
The Eight Diagrams are matched with yin and yang, the
things .
Five Elements, male and female, the body, the internal organs
and the number in a way of classification and analogy to sum-
marize and explain the interrelations between all ' the things
(Table'2-2) .
Table 2-2 The Essential Factors of the Eight Diagrams

Eight Qian Kun Zhen Xun Kan Li Gen Dui

Diagrams
v
nt
Picture

Jd Appearance Three Three A One Unbroken Broken An One

AG in the
unbroken broken vessel broken in the inverted broken
lines lines line middle middle bowl line
`;` 4t 1 e4 / below above
//„
Congenital South North North-South- Weat East North- South-
positions east west west east

4t5 Aquired North South- East South- North Sorth North- West
unN
positions west west east east
Fig. 2-12 The Congenital Eight Diagrams Sequence Father Mother Eldest Eldest Middle Middle Youngest Youngest
son daughter son daughter son ddaughter
South
The body Head Abdomen Foot Thish Ear Eye Hand Mouth

Internal Large Spleen Gall- Liver Kidney Heart Stomach Lung

Organs Intestine bladder

Five Metal Earth Wood Wood Water Fire Earth Metal

6 Elements

Yin-Yang Yang Yin Yang Yin Yang Yin Yang Yin

v ~ ~ ~ vo m~~ ~'^
ts~ ! ~ tv 3 w. G ' Congenital One Eight Four Five Six Three Seven Two
number

Acquired Six Two Three Four One Nine Eight Seven

number
~ate4t /
uey
..
- >
a'v 5. The Application of the Eight Diagrams

4ta'N
(1) The Eight Diagrams and the Configuration of the
Human Body
Fig . 2-13 The Aquired Eight Diagrams
-67-
-66-
 All things, from the universe in, a macroscopic concept, to Liver Channel of Jueyin . The liver is in charge of the tendons
animals, plants and all parts of the human body in a specific and the main tendons extend downward to the thigh, so Xun
concept, may, be, viewed as individual models of the, Eight Con- couples with the thigh to correspond with Zhen, also forcing a
genital Diagrams. They emanate from the models and take pair of yin and yang . Kan is regarded as water, belongs to yin
shape of their own "bodies" . As it should be, "bodies" are di- and couples with the kidney . The kidney has its upper orifice in
vided into live and dead . The live body emanates from qi, while the ear which, with a thin membrane to hold yang-qi, can hear
the dead body has no qi. Things without qi will lose their vitality . sound . Kan looks full in the middle, so it is coupled with the
The physique of the human body is the body of the Eight ear . Li is regarded as fire which belongs to yang and is related
Diagrams . Qian is regarded as Heaven which belongs to yang . to heart-fire . Fire manifests itself in the eye . One awakens at
As the head is on the top of the human body, it assumes the day time when the heart-vitality comes out into the eye .So the
appearance of Heaven, with the nose as a passage for respira- eye should be coupled with Li .The ear and the eye, one being
tion and a link with the Heavenly-qi . And as all the Three yin and another yang, form the main sense organs of the hu-
Yang Channels run up and converge at the top of the head and man body .The Gen Diagram is regarded as yang ; yang comes
take charge of the functional activities of the whole body, Qian out of yin and stays at the upper . In his works Yiyi Xiang Jie
should be corresponded with the head . Kun is regarded as (Detailed Explanations of Application of the Book of
Earth which belongs to yin . The abdomen is taken as the oppo- Changes to Medicine), Tang Rongchuan stated, " The
site of the head . All the Three Yin Channels converge in the lucid-yang ascends from the gallbladder into the stomach and
abdomen which also pertains to yin, so Kun should be coupled spreads externally to the hand ." The hand has the appearance
with the abdomen . With the head as Qian and the abdomen as of stopping things, so Gen is coupled with the hand . The Dui
Kun, a yin-yang body with one yin and one yang is diagram is of yin nature, which controls the generation of fluid .
configurated . As to the Zhen Diagram beside Qian, it has one With an opening at its upper line, Dui pertains to the lung . The
yang at the bottom, appearing to be yin with one yang ., Tang lung-qi comes out of the mouth and nose, and fluid gushes in
Rongchuan of the Qing Dynasty (1644-1911) said in his works the mouth, so the mouth should be coupled with Dui . Gen and
Yiyi Xiang Jie(Detailed Explanations of Application of the Book Dui, or the hand and the mouth, being one yin and one
of Changes to Medicine)," If yang is exuberant at the yang, form a pair of main functional organs .
Lower-jiao, the feet will be warm" . Yang-qi (positive qi) of Because every specific portion of the human body em-
the human body originates at the lower part, so Zhen should be braces the message of the whole body, this portion, even its in-
coupled with the foot .. The Xun, Diagram beside Qian is of yin dividual cells, can be explained with the Eight Diagrams . One
nature with one yin at the bottom ; yang has, yin growing at its example is the points arranged based on the Eight Diagrams in
bottom and yang should be at the upper and coupled with the child massage, which expresses the relationship between the

-68- -69-
-eight points (diagrams) and the internal organs (Fig . 2-14) . liquid which corresponds with Dui-two and controls the body
The explanation of the human bodyaccording to the Eight'Di- fluid ; in the third, month, qi and fluid combine with each other
agrams concretely embodies the body aspect, application as- and transform into heat in correspondence with Li-three ; in
pect, qi and movement of the Congenital and Acquired Eight the fourth month, the fetus begins its movements in correspon-
Diagrams, indicating the law that the human being is linked dence with Zhen-four ; in the fifth month, the fetus begins its
with Heaven and Earth, and that Heaven, Earth and man are fetal respiratory movement along with maternal respiration in
one . correspondence with Xun-five ; at the sixth month, the
(2) The Eight Diagrams amniotic fluid becomes sufficient in correspondence with
and the Congenital and Ac- Kan-six ; at the seventh month, the fetal stomach and intestines
develop in correspondence with Gen-seven ; and at the eight
quired Qi
Tang Rongchuan of the month, the muscles and fleshes are termed, which is in corre-
spondence with Kun-eight So the fetus makes its original qi
Ming Dynasty (1644 1911)
says in his book Yiyi Xiang substantial and the physique complete in eight months in its
Tie (Detailed Explanations of mother' s body, and attains all the fetal development in ten
Application of the Book of months . The above-mentioned may be taken as an example
Changes to Medicine), "At which, through the formation of a human fetus, explains the
the embryonic phase, man philosophy that the Congenital Eight Diagrams governs the
first - develops the head,
Fig. 2-14 The Eight Diagrams body and qi . It is for this reason that when outgoing -qi
which is termed in the Eight
as Points for Child therapy is applied, the correspondence relationship between yin
Diagrams as Qian-one, then Massage (Tuina) and yang should be taken into full consideration in selection of
the lung as Dui-two, and in turn, the heart as Li-three, the points and channels for emission of qi, digital point-pressing
or acupuncture . Only in this way, can yin and yang be well reg-
liver and gallbladder as Zhen-four and Xun-five
respectively, the kidney as Kan-six, the stomach and intes- ulated and diseases be cured .
tines as Gen-seven, and last the muscles as Kun-eight . . . a In its maternal body when its physique is not completed,the
process that corresponds with the image of the Eight Dia- child transports, transforms and produces qi and blood mainly
grams" . From the Eight Diagrams, the process of qi transfor- relying on the function of the Eight Extra-channels, while the
mation of the embryo can be perceived . So he said again, "Dur- Twelve Regular Channels are in the process of gradual devel-
ing the process of development, the fetus in the first month is opment . And when the child leaves its mother's body and
only a bit of yang-qi, the source of life process which corre- comes into the world of qi (atmosphere), it begins to accom-
sponds with Qian-one ; in the second month, qi transforms into plish the circulation of qi and blood relying on the Twelve

-70-
Regular Channels, while the Eight Extra-channels, only func- ever the alchemists always have the two diagrams Kan and Li
tion to regulate the channel qi . Or to put it differently, the in mind because they are positioned at Mao and You of the
Eight Extra-channels may be considered as the body aspect Earthly Branches . So the large circle of qi is also called
and the original qi of the Congenital Eight Diagrams, and the Mao-You circle of qi .
Twelve Regular Channels as the application and transportation (3) The Eight Diagrams and the Development of Male
aspects of the Acquired Eight Diagrams . And this is taken as and Female
the principle guiding Qigong practice and treatment of clinical Shang Gu Tian Zhen Lun (On the True Heaven in the

cases . In Qigong practice, the opening of the circulation of qi Ancient Times) of the book Su Wen (Plain Questions) says,
along the Ren and Du Channels as well as the Eight "In female, the kidney-qi becomes substantial at the age of
Extra-channels and the transformation of the mouth-nasal seven . .., and menarche begins at double-seven (age fourteen) ;
respiration into patent one is actually a process of transforma- in male, kidney-qi is full at the age of eight . . ., and sexual func-
tion towards the congenital aspect . Similarly, illnesses are di- tion begins at double-eight (sixteen) when the kidney-qi is
vided into congenital and acquired .In case of congenital substantial . . ." . The, reason why eight and seven are used for
insufficiency of qi or disorder of qi activities, it is advisable to male and female as the base for analogizing the life process of
dredge the Eight Extra-channels to regulate and consolidate birth, growth, adulthood and decline can be ascribed to the
the primordial qi ; while for acquired diseases of the internal or- number in the Eight Diagrams . Kui of the Heavenly Sterns cor-
gans, channels or vessels and qi, satisfactory curative effect can responds with the sexual function and is regarded as water, and
only be obtained when the selection of points and the methods as the kidney is ascribed to water too, it is then taken as
of emitting qi are determined according to the characteristics of Kan-water in the Eight Diagrams . The Gen Diagram
qi circulation in the Twelve Regular Channels . No doubt, nei- means young male and is given the number eight in the Ac-
ther the congenital nor acquired factors should be neglected quired Eight Diagrams, Dui Diagram -= means young fe-
owing to the fact that the origination and development of dis- male and is given the number seven in the Acquired Eight Dia-
eases may result from both the congenital and acquired factors, grams . Again, why it is believed that the sexual functions of
the factors which are interdependent and mutually influential . male begin at double-eight (sixteen) and of female at
The practice of the "small circle of qi", according to the il- double-seven (fourteen)? The reason lies in that in the Congen-
lustration of the Acquired Eight Diagrams, is called taking ital Eight Diagrams, the number for male is counted starting
Kan to fill Li, the intercourse between yin and yang, or the from the Gen Diagram leftwards to the number sixteen while
coordination of water and fire . On the other hand, the practice for female is counted starting from the Dui Diagram
of the "large circle of qi" is based on the Congenital Eight Dia- rightwards to the number fourteen, both ending just at the po-
grams, known as the intercorse between Qian and Kun .How- sition of the Kan Diagram, which indicates kidney-water (Fig .

-72- -73-


2-15) . As is stated in Yiyi Xiang lie (Detailed Explanations of bolized by the unbroken line-), the former representing yin
Application of the Book of Changes to, Medicine) written, by and the latter representing yang . The overlap of three yao may
Tang Rongchuan, "In 'Canon of Internal Medicine', (it is re- form different trigrams of the Eight Diagrams . For example,
corded) the number eight for male and seven for female, but no the trigram ___ is the overlap of the two positive yao and one
schools give correct explanations and it is not known that be- negative yao, which is taken as the Xun Diagram, with two
fore the sexual functions begin, male and female are just young yang above one yin . Two yang and one yin can also from
boy, and young girl. Actually, it should be explained in response the Li Diagram, and - , the Dui Diagram, which have dif
with the Gen and Dui Diagrams, from which the number for ferent meanings . If two diagrams (trigrams) are overlapped,
male and female is counted respectively" . then sixty-four diagrams (hexagrams) can be formed, with
each diagram having six yao . Expressed in number, the positive
(yang) yao is nine, and negative (yin) yao six . The order of the
diagrams is arranged' from the bottom to the top in six yao po-
sitions, termed respectively as bottom-yao, the 2nd--yao,
3rd-yao, 4th-yao, 5th-yao and top-yao . As it can be seen in
which is termed Tai Diagram, the picture is formed by an
overlap of three negative yao (three yin lines, the Kurt
Diagram) and three positive yao (three yang lines, the Qian Di-
agram) .To express its position and its attribution (yin or yang),
the Tai Diagram is expressed in terms of bottom-nine,
nine-two, nine-three, six-four, six-five and top-six (Fig .

a
2-16) .
Ba1gnoqu1 aS!M'
Top Yao mw ~ Top-six
Fig . 2-15 The Relationship between the Sexual Function 5th Yao six-five Yin Lines
of Male and Female and the Eight Diagrams 4th Yao six-four
3rd Yao nine-three
2nd Yao nine-two Yang Lines
The Yao Image and the Human Body Bottom Yao Bottom-nine

1 . The Yao Image

Fig . 2-16 The Tai Diagram
Yao (yin or yang line) is the basic element of the picture of
the diagrams . It falls into two categories: the negative yao 2. The Yao Image and the Body Partitions
Tang Rongchuan of the Ming Dynasty held in his book
(symbolized by the broken line-) and the positive yao (sym-
Yiyi, Xiang Jie (Detailed Explanations of Application of the
-74- -75--


Book of Changes to Medicine), "So far as the human body is xiphoid process to supraclavicular notch the 3rd-yao,from
concerned, . .. the part from the foot to the knee'is the bottom- supraclavicular notch to the tip of the nose the 4th-yao, from
yao, from the knee to the root of the thigh is the 2nd-yao, the tip of nose to brow the 5th-yao, and from brow to the
from the lower abdomen to the navel is the 3rd-yao, from the vertex of the head the top-yao . The upper limb is also divided
navel to the diaphragm is the 4th- yao, from the diaphragm to into three yao,which correspond with those of the lower limb
the chest and neck is the 5th-yao, and from the neck to the and the head and neck . In this way, the three yao of the lower
vertex is the top-yao" . Here Tang divided the human body and upper hexagrams interlock at the chest and abdomen (Fig .
based on the positions of the six yao [Fig . 2-17(1)]. According 2-17) .
to this doctrine, the lower two yao can be considered as Earth,
the middle two as man, and the upper two as Heaven, meaning
Qian being the head and Kun being the abdomen : Similar to
the composition of yin-yang as well as the Eight Diagrams and
the Five Elements, the position of the yao images is arranged in
line with the principle of yin-yang encompassing yin-yang and
yao image encompassing yao image, and parts closely related
with the whole and man closely related with nature . The same
principle is applicable to outgoing-qi therapy the human
body may be divided into two diagrams (hexagrams), the upper
and the lower in the light of the relations between the upper
and lower partitions for convenience of detecting qi, making
diagnosis and performing outgoing-qi treatment . To enter into
particulars, the part - from the foot to the ankle is the
bottom-yao of the lower hexagram, from ankle to knee is the
2nd-yao, from knee to pubic symphysis the 3rd-yao, from ()) (z)
pubic symphysis to navel the 4th-yao, from navel to xiphoid of Yao (Yin and Yang Lines)
Fig. 2-17 The Position
process the 5th-yao, and from xiphoid process to This relationship of the yao positions is suitable to both
supraclavicular notch the top-yao . As for the upper hexagram, the channel system and the nervous system . The part of the
the part from the pubic symphysis to the navel is the spinal column and waist, for example,is the 4th-yao of the
bottom-yao,from navel to xiphoid process the 2nd-yao, from lower hexagram and at the same time the bottom-yao of the
-76- -77-
 upper hexagram ; disorders of this part may bemanifested by treatment of diseases and even for perception and prediction of
symptoms of the lower limbs . When stagnation of qi and other certain future life particulars . All this embodies the doctrine
abnormal conditions occur in one part of the body, imbalance that Heaven, Earth and man are a combination of one and ex-
of internal and external qi may be detected at this part or its ist in the same world of qi .
corresponding region . Furthermore,the yao image of the dia- Again, Tang Rongchuan stated in Yiyi Xiang Jie (Detailed
grams is not limited to the division of the six yao positionson explanations of Application of the Book- of Changes to
the upper and lower part of the body, it can be positionedat Medicine), "Taking a herb as an example, the root of the herb
the anterior and posterior, and the left and right, of which the is the bottom-yao, the stalk the 2nd-yao, the upper stem the
posterior and left are taken as the upper hexagrams while the 3rd-yao, the branch the 4th-yao, the leaf the 5th-yao and the
anterior and right as the lower hexagrams . flower and fruit the top-yao" . So when the plant serves as a
The yao image may also be divided into three or six yao medicine, its height of the yao position may manifest its prop-
sections (a trigram or hexagram) and positioned in a specific erty in terms of ascending, descending, floating and sinking .
location of the body on the basis of the natural body parti- Take achyranthes root as an example, it corresponds with the
tions, such as the hand, foot (Fig. 2-18), nose or ear, so that bottom-yao, so it can penetrate down to the tibia and foot . In
contract, honeysuckle flower and chrysanthemum flower corre-
spond with the top-yao, so they are effective for diseases of the
head, eyes, etc .
3. The Yao Image and the Internal Organs
In Yiyi (Application of the Book of Changes to Medicine)
of Lei Jing Tu Yi (Illustrated Supplementary to the Classified
Canon) written by Zhang Jiebin, it is stated' that "as the images
of the zang and fu organs are concerned, the part from the bot-
tom-six, which initiates from Mingmen (Du 4), to the top-six
Fig . 2-18 The Position of Yao on the Hand and Foot is regarded as yin and related to the zang organs, . . . while that
the relationship between this specific part and the whole body from the bottom-nine, ' which originates- from the urinary
or even the natural environment can be observed . As the hu- bladder, to the top-nine is taken as yin and related to the
man body is "a small circle of qi" and the epitome of the "large fu-organs . ... Being aware of this, one will be clear about the
circle of qi" - of the universe, the manifestations of the inner image concerning the yin or yang aspect of zing or fu or-
hand,foot,face, ear or nose may provide basis for diagnosis and gans, and the position of them" . This indicates that the internal
-78- -79--


organs (the tang and fu organs) of the human body are, too, ::.,pressed by yang lines at the lower and with yang ascending
conform to the law of the yao image . Relating the yao image :and yin descending and the two coordinative, this hexagram is
with the zang and fu organs, the inner yin and yang nature and the symbol of strong and healthy constitution with balanced
the function of the internal organs can be deduced . Speaking in and coordinative yin and yang . During Qigong practice and
detail, the Kun Diagram is attributed to yin and ascribed to the outgoing-qi therapy, the Tai Diagram can be obtained by
five zang (solid) organs and Mingmen (Du 4), with its guiding yang-qi down and yin-gi-up .
bottom-yao being Mingmen (Du 4), the 2nd-yao the The Pi Diagram = ! In this hexagram, it can be seen
kidney,the 3rd-yao the liver, the 4th-yao the spleen,the that the Kun trigram is below Qian and yin lines are below
5th-yao the heart, and the top-yao the lung . Qian is attributed yang, meaning yang ascending and yin descending and yin and
to yang and ascribed to the six fu (hollow) organs, with its bot- yang disassociated and incoordinative, which is an evidence of
tom-yao being the urinary bladder, the 2nd-yao the large in- stoppage of life .
testine, the 3rd-yao the small intestine, the 4th-yao the The Jiji Diagram : In this hexagram, the Li trigram is
gallbladder, the 5th-yao the stomach and the top-yao the below the Kan . Li is referred to as fire and related to the heart;
Sanjiao (the three warmers) (Fig . 2-19) . while Kan-referred to as water and related to the kidney . With
4. The Appearance of the Kan-water above the Li-fire, which means the descending
the Diagrams and Diseases The Qian Diagram (Fu-organs) of water and ascending of fire, it is the symbol of coordination
The ancients took the Top-nine Sanjiag between fire (heart) and water (kidney) . The same principle is
appearance of the diagrams
nine-five Stomach explained in Yiyi (Application of• the Book of Changes to Medi-
nine-four a-mnmp"~ , Gallbladder
to explain the etiology, the
nine-three Small intestine cine) of Lei Jing Tu Yi (Illustrated Supplementary to the Classi-
nine-two ~~ Large Intestine
pathology, the clinical man- Bottom-nine fied Canon) written by Zhang Jiebin of the Ming Dynasty
Urinary Bladder

ifestations and the princi- (1368 - 1644), who held " The Jiji Diagram means the
(1) ,
ples_of treatment of coordination between the heart and the kidney" . During
The l(un Diagram (Zang-organs)
diseases . The mechanism Qigong practice and outgoing-qi therapy, one should guide the
Top-six ~~
can be seen from the follow- six-five
heart-fire down to the kidney and the kidney-water up to the
ing examples . six-four heart so as to achieve the state of Jiji Diagram .
six-three
The Tai Diagram six-two The Weiji Diagram : From the hexagram it can be
With the Kun trigram ex-
Bottom-six
seen that the trigram Kan is below Li and the Li-fire is above
pressed by yin lines at the
(2) the Kan-water, indicating incoordination between water (kid-
upper and the Qian trigram ney) and fire (heart) and discordance between yin and yang,
which is an evidence of incoordination between the heart and
-80- -81-


the kidney. The clinical manifestations may include insomnia, gradual weakening of yang-qi ; the latter has the trigram Kun
vexation,hot sensation in the heart, palms and soles and below the Gen, indicating the gradual collapse of yang-qi . The
dreaminess because of hyperactivity of the heart-fire due to weakening of yang is often manifested by short breath, perspi-
insufficiency of the kidney-yin and failure of kidney-water to ration- and thready pulse while the collapse of yang by
coordinate with the heart-fire . To correct this, one should clamminess of the body, weakness of breath and loss of con-
nourish the kidney-yin and purge the heart-fire and try to at- sciousness .
tain the Jiji Diagram mentioned above, which is the symbol of
recovery and fitness . In Qigong practice, if the practitioner The Twelve Informatory Diagrams
does not concentrate himself and keep a calm heart, he may fail The Twelve Informatory Diagrams (hexagrams) are also
to guide the heart-fire down to the kidney . As a result, termed Twelve Pi diagrams . The doctrine was put forward by
disassociation between yin and yang as manifested by the Pi Meng Xi of the Han Dynasty (206 B .C. - A.D. 220) who took
Diagram other than positive effect of Qigong may occur . the Twelve Pi diagrams as the representative of the order of the
The Daguo Diagram === and the Xiaoguo twelve months of the year . The twelve diagrams consist of
Diagram The former has the trigram Xun below the Dui seventy-two yao lines, which symbolize seventy-two climatic
while the latter has the Gen below the Zhen, both having seasons . As the changes of the seventy-two yao lines, termed
yin-yao (negative line) at the top and bottom,with yang lines hardness and softness (yin and yang), embody the process of
in between . The two hexagrams symbolize the gradual invasion waning and waxing of yin and yang, Wei Boyang of the East-
of yin-cold and failure of yang to extend, which is an indica- ern Han Dynasty (25-220) took them to analogize the extent
tion of stagnation, stasis and abdominal mass . As Zhang Jiebin of small or large circle of qi in practice of training qi, and the
states in Yiyi (Application of the Book of Changes to Medicine) physicians of the ancient time then used them to interpret the
of his work Lei Jing Tu Yi (Illustrated Supplementary to the relationship between nature and growth and development as
Classified Canon)," The Daguo and Xiaoguo represent the well as the visce- ra, channels and circulation of qi .
gradual invasion of yin-cold and abdominal mass" . 1 . The Contents of the Twelve Informatory Diagrams
The Zhongfu Diagram = = and the Yi Diagram They refer to the twelve hexagrams of Fu ^ , Lin
The former has the trigram Dui below the Xun while the latter - _ Tai = Dazhuang , Guai = , Qian
has the Zhen below the Gen, both with the yang-yao (positive Gou = Dun - , Pi = Guan= , Bo = _ and
lines) embracing yin-yao in between, which are indicative of Kun = M . The first six hexagrams, from the Fu to Qian, indi-
gradual waning of yang-q i (p ositive qi) and tympanites . cate the process of gradual waxing of yang-yao and gradual
The Guan Diagram M =and the Bo Diagram= = The waning of yin-qi; while the other six, from Gou to Kun, repre-
former has the trigram Kun below the Xun, indicating the sent the process of gradual waxing of yin-yao and the increase
-82- -83-


of yin-qi .They are given the general term of - Twelve 2 The Practice of Qigong According to the Twelve
Informatory (Waning and Waxing) Diagrams right for the rea- Informatory Diagrams
son that the first six implicate the wax of yang and the wane of The process of waxing and waning of yin and yang of the
yin and the second six implicate the wax of yin and the wane of human body in all one's life, or a year, a month, and even a day
yang . The Twelve Informatory Diagrams represent the law of can all be manifested by the Twelve Informatory Diagrams .
the changes of hardness and softness (the domination and Take, for example, a year as one week, a month is then one di-
yield) and the growth and decline of yin and yang, and agram ; a month as a week,, two and half days are then a dia-
explicate the close relationship between the seasons, the time,
gram; and a day as a week, the one two-hour period is a dia-
the zang and fu organs, the channels, and the transformation gram . Now let us take a month as one week, which has two and
and circulation of qi. They are taken as the theoretical principle
half days in one diagram, as an example . The process of fluctu-
guiding Qigong practice and diagnosis and treatment of dis-
ation of yin and yang starts at the beginning of the month
eases with outgoing-qi (Table 2-3) .
when yang-qi begins to grow, which is regarded as the Fu Dia-
Table 2-3 The Relationship between the Twelve Informatory
Diagrams and Time and the Internal Organs gram_ indicative of the generation of vitality, or to put it
Diagram Picture Month Season Time Earthly Organs Pulse Channels for differently, one yang generates from the Kun Diagram = = ,
Branches Qi Flowing
which is of whole yin . Then the yang aspect continues to grow
s Nov . Winter 23-1 Zi Kidney - Deep Gallbladder
Chou Sanjiao Deep Liver
while the yin aspect begins to decline to enter into the state of
Lin = = Dec . Winter 1-3
Tai M-M Jan . Spring 3-5 Yin Liver Taut Lung yin and yang in equilibirium, a state of Tai Diagram= in-
Dazhuang 1--- Feb . Spring 5-7 Mao Gall- Large dicative of coordination between yin and yang, then into the
bladder Taut Intestine
Guai Mar . Spring 7-9 Chen Peri- Taut Stomach Qian Diagram = indicative of the period of full bloom of
cardium yang, just at a time of the fifteenth day of the month . From the
Qian Apr . Summer 9-11 Si Small Full Spleen
Intestine beginning of the next half of the month, yang will wane gradu-
Gou == May Summer 11-13 Wu Heart Full Heart ally and yin begins to flourish, entering the state of yang de-
Dun Y 3 June, Summer 13-15 Wei Spleen Full Small
cline expressed by the Gou Diagram _ _ then into Pi Dia-
_ Intestine
Pi July Autumn 15-17 Shen Stomach Super- Urinary gram = , which is indicative of incoordination between
racial Bladder
Aug . Autumn 17-19 You Lung Super Kidney Heaven and Earth and discordance between yin and yang, a
Guan
ficial state at which vitality is at its lowest ebb . The same thing hap-
Sept. Autumn 19-21 Xu Large Super- Pericardium
Intestine ficial pens, in a year, a month, a day and during the physiological and
Kun Oct . Winter 21-23 ; Hai Urinary Deep Sanjiao pathological processes. The life process from its beginning to
Bladder
its prime, decline and death, is also in accord with this law (Fig .
- 84 - -85-


2-20) . Tai"' can be attained and the physiological function of the body
V1~
Par can be maintained in a normal state with coordination of yin
and yang, which is a state of Tai Diagram .
~~ o Liver
ICJ sii,~, Y,II 3. The Twelve Informatory Diagrams and the Physiologi-
// G Jan .
cal Function
IIIIII .~ ~~ ~ : Of the Twelve Informatory Diagrams, the Tai _ and
1 ill II 1 q :; j+ . d
Pi -represent the best and the worst stages of the physiologi-

\\\\ ,
cal function of the human body respectively . The Tai Diagram
f

\\\\\ ~,~0 Fy C~o

consists of half Yin and half Yang with the former located
0o b (6)
"av(In[ above the latter,indicating the descending of yin and ascending
"`Md5 /
v\~~
\ y'~wP'S
a?~~
of yang, a stage of smooth circulation of qi inside the body,and
.,-A Q. a stage of physiological equilibrium between yin and yang, the
state which, as tradition has, is " the coordination of yin and
yang that reveals vigorous life vitality" . On the contrary, the Pi
Fig. 2-20 The Twelve Informatory Diagrams
Note : 1 . The months are in lunar canlender .
Diagram has yang above yin, which indicates the disorderly
2 .The numerals in brakets from (1) to (12) refer respectively to : descend and ascend of yin and yang and the incoordination be-
the Winter Solstice, Great Cold, Rain Water, the Spring Equinox, tween them, showing the decline of the physiological function
Grain Rain, Grain Full, the Summer Solstice, Great Heat, the Limit
which, as tradition holds, is "the state of separation of yin and
of Heat, the Autumn Equinox, Frost's Descent and Slight Snow .
yang that indicates the end of life" .
So long as Qigong practice is concerned, at the stage of the Fu
The modern biorhythm doctrine has proved that the phys-
Diagram= which means more yin than yang, the practitioner
iological function of the human body changes in a regular way
should regulate himself with the stress put on nourishing yang,
during a year, a month or even a day . The law of its changes is
which requires long inhaling and short exhaling . While at the
hereof explained in the light of the ebb and flow of yin and
stage of Gou Diagram - , which represents more yang and
yang of the Twelve Informatory Diagrams, with a year as an
less yin, one should do short inhaling and long exhaling . It is
example . Of the Twelve Informatory Diagrams, The Tai,
for this reason that when the time and direction for Qigong
Dazhuang and Guai are related to the spring, or the first,
practice and the methods of respiration and mind concentra-
second and third' months of the lunar year . As this period is the
tion required are determined properly in accordance with the
time when yang flows and yin ebbs gradually and the wood-qi
Twelve Informatory Diagrams, the result of "turning Pi into
or the liver and gallbladder qi is vigorous, the pulse is often felt
-86- -87-
taut . And because the exuberance of the spring .-wood restricts And yang and stored seclusively in the kidney-water . The Zi
the spleen-earth, diseases due to asthenia of the spleen* and period is in accord with the Fu = _ , a diagram with five yin
stomach occurring at this time may be imputed to the disad- lines at the top and one yang line at the bottom . This is right
vantage of the climate . the period when qi of the natural world and yang-qi (positive
If the law of growth and decline of yin and yang included energy) in the kidney are in full accord, generating
in the Twelve Informatory Diagrams is used to explain' the hu- continuously and vibrating vigorously . To practice during this
man life, the Kun Diagram then means the period of fetus, Fu period is highly effective and can get twice the result with half
refers to the period of newborn and childhood, Tai the puberty, the effort.
Qian the prime of life or the middle age, Pi the geratic period, Mao is the period when the sun rises and yang progresses . It
and Kun the death . The physiological status of the aged is is in accord with the Dazhuang Diagram = which has two
identical with the Pi diagram, which indicates the waning of yin lines of yin and four lines of yang withthe yang waxing and the
and decline of yang and incoordination between them, so' the yin waning . This is a period during which yang-qi of the hu-
aged- should practise Qigong against this physiological law to man body is in full bloom . So practice at this period helps the
try to gain the state of Tai Diagram back through regulation of vigorous growth of yang .
posture, respiration and mind concentration to suppress yin The Wu period is matched with the diagram Gou = . with
and help recuperate yang. Only in this way, they can build up five yang lines and one yin line, meaning the exuberance of yang
their health and prolong the life . at the top . Wu is regarded asheart-fire . The channel qi of the
4 . The principle of Qigong Practice During the Zi, Wu, human body flows right along the Heart Channel . As the heart
Mao and You Periods is considered Taiyang in the yang, the combination of the two
Most of the Qigong practitioners advocate the practice of yang will naturally result in the flourishing of yang . However,
Qigong during the Zi, Wu, Mao and You periods, which are as the one line of yin is the dominating aspect, yang-qi tends to
given the term of "the four principal periods" . We here analyse wane other than to grow . And because yin and yang are
the mechanism of Qigong practice during these periods on the interdependent, to practice at this period will certainly help the
basis of the growth and decline of yin and yang of the Twelve growth of yin-qi and the suppression of the hyperactivity of
Informatory Diagrams . Traditional Chinese medicine holds yang, leading to, the tranquilization of the five yang along with
that Zi'is related to the kidney ; the kidney is the source of qi . the development of one yin to avoid generation of pathogenic
The kidney-qi is called "ministerial fire of Mingmen (Du 4 or dryness.
the gate of life)" , or " young fire" , which is the root of life The You period is matched with the diagram Guan
formed through . the supreme combination of the primordial yin which has four lines of yin and two lines of yang . It is a period
-88- -89-
when qi of the natural world turns from lucid to turbid, a time liver / gallbladder-wood restricts the spleen-earth ; the
when Qigong practice is helpful to the progress of primordial lung-metal restrics the gallbladder-wood whilethe flourishing
yin and the conservation and nourishment of yang . of the gallbladder-wood impairs the lung-metal ; kidney-wat-
To practise Qigong during the Zi, Wu, Mao and You pe- er generates gallbladder-wood and the flourishingg of wood
riods is right to facilitate the vigorous growth of the internal qi results in hyperactivity of water gallbladder-wood generates
along with the changes of qi of nature . However, because of the
difference of the individuals in health status and constitution,
" to practise during the four principal periods" can only be
taken as a principle guiding the selection of the time for prac-
tice . The actual conditions of the individuals, the number of yin
and yang in nature and the fluctuation of yin and : yang should
also be taken into consideration .
5. The Twelve Informatory Diagrams and the Circulation of

As a law, qi and blood circulate, in terms of time, in the

Gallbladder Channel during the Zi period, in the Liver Chan-
nel during Chou, in the Lung Channel during Yin, in the Large
Intestine Channel during Mao, in the Stomach Channel during
Chen, in the Spleen Channel during Si, in the Heart Channel
Fig . 2-21 The Twelve Jnformatory Diagrams and
during Wu, in the Small Intestine Channel during Wei, in the
the Flowing Order of the Channels
Urinary Bladder Channel during Shen, in the Kidney Channel Note: The names of the internal organs represent the channels .
during You, in the Pericardium Channel during Xu and in the heart-fire, but when fire purges wood, the gallbladder will
Sanjiao Channel during Hai (Fig . 2-21);. The Gallbladder weaken, and when gallbladder-wood is vigorous,' the heart-
Channel belongs to yang, to wood and to the diagram Fu at fire is benefited . The relations of generation, restriction, subju-
the Zi period, a time when one yang of nature is beginning to gation and reverse restriction between the Five Elements
grow and qi and blood of the body circulate in the Gallbladder changeat different time with the changes of qi of nature and
Channel .So qi of the liver and gallbladder is vigorous . at this the increase and decrease of qi and blood in the viscera . This re-
time. , , So long as the relationship between gallbladder-wood lationship can be seen clearly from the illustration of the
and the internal organs is concerned, the prosperity : of
-90-
Twelve Informatory Diagrams and the circulation of qi and is 'stressed that-the practice of the small or large circle of qi
blood along the channels and collaterals . In the practice of should be started at the Zi period when one Yang is beginning
Qigong to keep fit or cure diseases and in outgoing-qi treat- to generate . The reason lies in that Zi is the period related to
ment of patients, full consideration should be given to the rela- Fu_ of the Twelve Informatory Diagrams, which indicates
tionship between the time of practice or treatment and the sta- the generation of one yang . Practising at this period, which is
tus of the viscera so thatthe guideline for practice or emission called : "the live Zi period ", in old-times,-the internal qi will ac-
of outgoing-qi and the proper methods can be determined . Only in cumulate continuously and form a flow of energy, bringing
this way,can satisfactory effect be attained. about the first phenomenon, among others, of "the impulse of
6. The Twelve Informatory'Diagrams . and the Crucial Mo- the scrotum" This is right the crucial moment for attainment
ment for Attainment of Small or Large Circle of Qi of circle of qi, at which one should use "wuhuo" or vigorous
Circle of qi is divided into small and large . The small circle conscious breathing, mind concentraing and posturing to help
of qi refers to the level of attainment of transforming essence the accumulation and circulation of energy in a progressive
into ;qi . Its main characteristic lies in circulation of qi along the way to experience the state of the hexagrams of Lin, Tai,
Ren and Du Channels . The large circle of qi means a more so- Dazhuang, Gui and Qian, a process traditionally called " the
phisticated skill . The most important thing is that neither can progression of yang-fire" . But when the yang-fire reaches its
be attained without a good understanding and seizing of the climax, it will turn naturally to the yin aspect, which, illustrated
crucial moment for practice . on: -the Twelve Diagrams _ , is the Gou , which indicates the
The crucial moment here refers right to the favourable generation of one yin, a moment that requires one to use
turn for generation and transformation of qi in Qigong "wenhuo" or gentle breathing and mind concentrating till the
practice . Taking advantage of this turn, the practitioner can period representative of Kun = ^ is attained . This is
regulate his own posture, respiration and mind concentration traditionally called "retrogression of yin-symbol" .
according to the law of Qigong practice at will ; otherwise, he
Yueti Najia (The Moon Embraces the Heavenly
will loose the favourable opportunity for achivements . To facil-
Stems)
itate the understanding and mastery of this doctrine, , the an-
cient Qigong masters explarued the crucial moment for attain- The doctrine of Yueti Najia is applied to training of active
ment of small or large circle of qi and the changing property of substance inside the body . It. is ` put forward in Zhouyi Can
the qi field by way of the Twelve Informatory Diagrams and Tong Qi (Tally to the Book of Changes) by Wei Boyang of the
Yueti Najia (the Moon Embraces the Heavenly Stems) . Eastern Han Dynasty (25 - 220) . The doctrine is used to ex-
Take the Twelve Informatory Diagrams as an example . It
-92- -93-
plain the law of growth and decline of qi inside the human yin and yang while Ren and Kui represent the termination of
body during Qigong practice, in,which the crucial moment for yin and yang. To match Qian and Kun with Jia, Yi, Ren and
Qigong practice changes with the waxing and waning and the Kui indicates yin and yang from beginning to end, as is stated
position of the moon and, it is for this reason that the poem; by Wei Boyang of the Eastern Han Dynasty (25 - 220) in his
"When one asks me about my practice of Taoism, I just show book Zhouyi Can Tong Qi (Tally to the Book of Changes) that
him the remote moon in the sky" was prevalent among the al- Ren and Kui are combined with Jia and Yi, and Qian and
chemists (fangshi) . Kun comprise the beginning and end" . The symbol of the
1 . The Contents of Yueti Najia trigrams used inn the doctrine of Najia is explained as = = in-
The Ten Heavenly, Stems in the order of Jia,,Yi, Bing, dicating the appearance of the moon at the third of the lunar
Ding, Wu, Ji, Geng, Xin, Ren and Kui represent the positions month; - - indicating an up-stringed moon at the eighth of
of the moon . Or to put it differently, Jia-Yi-wood represents the month ; - indicating the appearance of a full moon at
east, Bing-Ding-fire south, Geng-Xin-metal west, the fifteen, - indicating the appearance of the moon at the
Ren-Kui- water north and Wu-Ji-earth the centre . On the sixteenth; = indicating a downstringed moon at the
Congenital Eight Diagrams, the symbols of the trigrams repre- twenty-third ; and = indicating a dark moon at the thirtieth
sent the appearance of the moon, the Heavenly Stems ; represent of the month-The appearance of the moon during the first half
the positions of the moon . Literally, "Yueti" means "the body of the lunar month symbolizes the waxing of yang and waning
of the moon" and "Najia" means "embracing Jia" (one of the of yin, while that during the second half symbolizes the waning
Ten Heavenly Stems) . Yueti Najia is so termed because every- of yang and waxing of yin . _ = and indicate medica-
one of the Eight Diagrams (trigrams) embraces one or two of ments (the component for training qi, referring to the sun and
the Ten Heavenly Stems. And as Jia is the first stem, which is moon) (Fig . 2-22). In fact, the ancients divided the month into
embraced by Qian, the first in the Congenital Eight Diagrams, six sections, each being five days . Except that Kan and Li rep-
it is taken as the representative of the other stems . Specifically, resent medicaments, each of the other six trigrams represents
Qian = embraces Jia and Ren, Kun = E embraces Yi and one section . For example, Zhen represents the first five days of
Kui, Zhen =-= embraces Geng, Xun = embraces Xin, a month,with the third day representative of the phase of the
Gen embraces Bing, Dui embraces Ding, moon at this section . The same arrangement is applied to other
Kan = ^embraces Wu, and, Li embraces Ji . Of the Eight trigrams.
Diagrams, Qian and Kun embrace two of the Ten Heavenly Why the diagrams are so matched with the Ten Heavenly
Stems while the others embrace one respectively . This is be- Stems? The explanation is that at the Bask of the third of a lu-
cause Jia and Yi of the ten stems represent the origination of nar month, a new moon appears in the west, which means that
-94- -95-
ZhenE contains Geng ; at the eighth when an up-stringed
four seasons are caused by the waxing and waning of the sun and
moon appears in the south, Dui =-= contains Ding ; at the the moon, Qigong practice and treatment of illnesses should
dask of the fifteenth, a full moon appearsin the east, meaning comply with the climatic changes. The time and orientation for
that Qian = contains Jia; at' dawn of. -the sixteenth, the slight' Qigong practice and the methods of breathing regulation
dent moon appears in the west, meaning that Xun = con- should be determined in the light of the law of Yueti Najia in
tains Xin ; at dawn of the twenty-third, a down-stringed moon order to facilitate the intake of essence of the universe to nour-
appears in the south, meaning that Gen. =_ contains Bing; ish the body and live one' s full span . To explain it,when
and at dawn of the thirtieth, a dark (Hui) moon appears in the Zhen== contains Geng which implies two yin and one
east, meaning Kun = = contains Yi . primarily generating yang, at a time from the first to the fifth of
a lunar month when the moon appears in the west at dask with
its surface accepting less sunlight, breathing regulation should
be carried out with the practitioner facing east and the duration
for intake of qi should be longer in order to absorb yang to
nourish yin . Dui =- - containing Ding is from the sixth to the
tenth when the moon appears in the south at dask with its
shape turning from crescent to half and its surface accepting
more sunlight. The practitioner should practise even breathing
facing south . Qian containing Jia is from the eleventh to
the fifteenth when the moon is full with its surface accepts
sunlight best (called full yang in yin), and at dask a bright
moon will appear in the east. This is the time to carry out
breathing regulation `facing east, and as yin-qi and yang- qi
are plentiful at this time, even breathing should be taken . The
above mentioned are the regulation methods at the first three
periods of a lunar month from the beginning of the month till
Fig. 2-22 Yueti Najia (The Moon Embraces the moon is full. Xun containing Xin is from the sixteenth
the Heavenly Stems)
to the twentieth when the sunlight on the moon surface be-
2. Regulation of Breathing. at Fixed Time and Orientation
comes less, yang wanes and yin waxes and the moon appears in
Now that it is clear that the changes of yin and yang of the
the west at dawn . It is a time to face west for regulation .
-96- -97-


Gen containing Bing is from the twenty-first, to .the twen- sufficient, and no purgation when they are deficient" . To pro-
ty-fifth when the moon accepts much less sunlight and appears vide reference for qigong practice and clinical treatment, the
in the south, at dawn, a time for the practitioner to face south Eight Diagrams,' the Ten Heavenly Stems, the appearance of
for regulation . Kun - .=containing Yi is from the the moon and the tide as well as their relations with the princi-
twenty-sixth to the, thirtieth when the, moon surface ; is dark ple of tonification and purgation of qi and blood of man are
which leads to the period of yin (Kun), and the practitioner listed below .
should face east for regulation . As yin, grows and yang declines Table 2-4 The Relationship between Yueti Najia and the
Principle of Tonification and Purgation
from the sixteenth to the end of the month, regulation off
Diagrams Date Appearance Position Cause of Tide Qi & Regula-
breathing at this period should be aimed at replenishing yang & Stems of Moon of Moon the Moon Blood tion
Appearance
to help yin to nourish the yin essence .
3. Tonification of Deficiency and Purgation of Excess_ Zhen West Moon between Spring Turning No tom-
contains 1st New at dask th sun and excessive fication
The doctrine of Yueti Najia ; demonstrates the definite Geng earth
influence of the changes of the position of the earth,sun and Dui Up-, South Moon 90 Neap Deficient No purga-
contains 8th stringed at Bask degrees tion
moon on man, which can be seen from the changes of the Ding east of sun
moon. Ling Shu Sui Lu Lun (Miraculous Pivot - On the Qian Moon opposite No toni-
contains 15th Full East sun with earth Spring Execessive tication
Year)states, "Man is closely related to the universe and corre- Jia in between
Xun West Ditto (but Turning No purga-
sponds with the sun and the moon" . Su Wen - Ba Zheng Shen contains 16th Dent in the to the west) Medium deficient tion
Xin mornngn
Ming Lun (a chapter of Plain Questions) holds " When the
Gen Down- South Moon 90 No purga-
moon begins to wax, qi and blood of man start to be contains 23th stringed in the " degrees Neap Deficient tion
Bing morning west of sun
nourished, when it is full, they are substantial ; when it wanes,
Kun East Moon between No purga-
the muscles become thinner and the channels and collaterals contains 30th Dark in the the sun and Medium Deficient tion
Yi morning earth
deficient" The ancients came to the conclusion that qi and
blood of man are influenced by the turning of the sun and the For example, yang-qi of the natural world becomes plen-
moon on the basis of their observation of the tide of the sea tiful gradually from the 11th to the 15th . Influenced by this,
water, which is influenced by the sun and the moon . They spring tide occurs at the 15th when the moon is full, and qi and
therefore put forward the tonifying and purging principle for blood of man will become vigorous, too . This is a good oppor-
gigong .practice in terms- of "performing no tonification at the tunity for gigong' practitioners suffering from qi deficiency to
fifteenth when the moon is full, no, purgation at the thirtieth replenish qi . However, those with sufficiency of qi should not
when the moon is dark, no tonification when qi and blood are
-98- _99-
take the tonifying method lest over-exuberance of qi occur. cated at the bottom, two and seven at the top . three and eight
on the left, four and nine on the right, and rive and ten in the
The River Chart and the Luo River Graph centre" .,The two passages introduce in detail the arrangement

The River Chart (Hetu) and the Luo River Graph of the River Chart, in which the yang numbers are odd, repre-
(Luoshu) are two very old drawings . Legend has it that one day senting yang and Heaven, the yin numbers are complex, repre-
senting yin and Earth . The numbers in the River Chart are ar-
in the reign of King Fu Xi, a dragon horse with a pattern of
ranged with, yin and yang mutually connected and supple-
spots on its back appeared from under the water of a river. The
pattern was then given the name "River Chart" King Fu Xi mented, an arrangement from which qi of the Five Elements
(wood, tire, water, metal and earth) is generated . Yang grows
himself drew the Eight Diagrams based on the spots . And when
Yu, the reputed founder of the Xia Dynasty (c . 21th - 16th on the basis of yin and vice versa ; the extremity of yang results
in generation of yin and vice versa . In this way, yin and yang
century B.C .) carried out his engineering to regulate rivers and
watercourses, an immortal turtle came out of the Luo River, connect with and replace each other to generate qi, or to say,

with a graph carved on its shell, which was given the name the intercourse between one yin and one yang results in
qi .Speaking of the arrangement of the River Chart again, the
"Luo River Graph" . Yu then drew down the graph and ar-
ranged it in nine scopes . So Zhouyi - Xici (a chapter of the numbers one and six are in the north and regarded as
Book of Changes) says that "The River Chart and the Luo Ren-Kui-water, two and seven in the south as
River Graph come from the rivers and are developed by the Bing-Ding-fire, three and eight in the east as Jia-Yi- wood,
four and nine in the west as Geng-Xin-metal, and rive and ten
sages" .
in the 'centre as Wu-Ji-earth (Fig . 2-23) .
1 . The Contents of the River Chart and the Luo River Graph
(1) The River Chart
Nan Yi Xun Yuan (Searching for the Source of Difficulty Fire
Front Suuth
and Simplicity) states, "Heaven-one generates water and re-
sults in Earth-six ; Earth-two generates fire and results in
Heaven-seven ; Heaven-three generates wood and results in
Earth-Eight Earth-four generates metal and results in Heav-
en-nine ; and Heaven-five generates earth and results in
Earth-ten" . Lei Jing Tu Yi (Illustrated Supplementary to the Back North
Classified Canon) describes, "The numbers one and six are lo- Water
Fig-2-23 The River Chart

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(2) The Luo River Graph Elements are arranged in nine positions . The yang numbers go
Tan Rongchuan says in his book Yiyi Tong Shuo' (A Gen- leftwards ; while the yin go rightwards, indicating the evolution

eral Description of Application of the Book of Changes to Medi- and exchanges between them. The Five Elements also turn

cine)," In the centre stands the number five, with the number rightwards, which is indicative of the interrestraint between
nine above, one below, three on the left, seven on the right, two them . So the Luo River Graph represents Earth, the applica-

and four as its shoulders, six and eight as its feet, yang' numbers tion aspect and the acquired structure . As stated in Xuan Zhen
as Heaven, yin numbers as Earth, yang numbers turning Yin-Yang Wuxing Zhuj i (The Foundation of Yin-Yang and
leftward (clockwise), and yin numbers turning rightward the Five Elements by Xuanzhen), "The River Chart results from

(Counterclockwise)" . This explains the composition of the Luo the harmonious copulation of yin and yang while the Luo Riv-

River Graph . The arrangement is : the number one is in the er Graph, from the evolution and exchanges of them ; the for-
north, three in the east, nine in the south, seven in the west, the mer is congenital while the latter acquired . The combination of
yang numbers going leftwards ; the yin going rightwards, two in the congenital (as the body aspect) and the acquired (as the ap-
the southwest, four in the southeast, eight in the northeast, and plication,,aspect) will bring about growth and development of
six in the northwest (Fig . 2-24). all things, of the universe" .
2. The Difference be-
Front South 3. The Numbers in the River Chart and the Luo River Graph
tween the River Chart and
4. and Their Relationship with Tonification and Purgation in
a
Qigong
the Luo River Graph Left Right

The River Chart and East West

The numbers in the River Chart are congenital which are
Centre Earth

the Luo River Graph are all o

matched with congenital qi of man, with the generating domi-

composed of yin and yang 4~ a

nating the resultant . The north kidney-water is copulated with
f one and six, south heart-fire with two and seven, east
numbers of Heaven and Back North

Earth .The difference be- liver-wood with three and eight, west lung-metal with four
Fig . 2-24 The Luo River Graph and nine, and centre spleen-earth with five and ten . With one
tween them lies in their
structure . In the River Chart, yin and yang as well as the Five aspect generative and the other resultant in each pair, the gen-
Elements are ranged in five positions with appropriate erating and restricting functions of the internal organs ex-

copulations . The Five Elements turn leftwards, indicating the pressed by the Five Elements are established . Congenital
interpromotion between them . So the River Chart represents insufficiency will lead to disorder of the internal organs and the
Heaven and is regarded as the body aspect and the congenital Five Elements, which should be regulated with the numbers in

structure . In the Luo River Graph, yin and yang and the Five the River Chart . For instance, deficiency of kidney-essence

-102- -103-
and congenital q should be replenished with , , the resultant' uous circulation of yang-qi and is helpful to tonification of qi
number (six) of north kidney-water first, then with the and replenishment of deficiency ; while rotating
resultant number (nine) of west lung-metal (to tonify the counterclockwise along with yin and against yang means "yin
mother). killing evils" , which helps to purgate excess and expel
The numbers in the Luo River Graph are, acquired . The . pathogenic evils .
kidney is copulated with north, water, and one ; -the liver with 4. The River Chart and Essence, Spirit, Spirit Soul, Materi-
east, wood and three ; the -heart with south, fire and nine ; the al Soul and Intention
lung with west,-metal and seven; and the spleen with centre, Zhang Jiebin stated in Lei Jing Tu Yi - Yiyi(Illustrated
earth and five . So pathogenic excess of the lung should be re- Supplementary, to the Classified Canon Application of the
stricted with-south-fire-nine. Book of Changes to Medicine), "So far; as spirit manifestations
In the Luo River Graph, the positive (yang) numbers are are concerned, north-water-one is my essence of life, so it is
arranged in an endless cycle from one to three, then to nine, to said that the kidney stores essence ; south-fire-two is my spirit,
seven and; back to one; the negative (yin) numbers from two to so it is said the heart stores spirit ; east-wood-three is my spirit
four, to eight, to six and then back to two . To :explain it in de- soul, so it is said the liver stores spirit soul ; west-metal-four is
tail, the negative numbers-rare the results of multiplication of my material soul, so it is said that the lung stores material soul;
two by two which equals four,- by four which equals- eight, by and centre-earth-fire is my intention, so it is said that the
eight which equals sixteen (but ten is not counted), and by six spleen stores intention" . This explains the relationship between
which equals twelve : (ten is not counted). The positive numbers the generating numbers, the Five Elements as well as the five
are the results of multiplication of three by one which equals viscera and essence, spirit, spirit soul, material soul and inten-
three, by three which equals nine, by nine which equals tion . As the numbers three and two in the River Chart have the
twentyseven (twenty is not counted), and by seven which equals same aim for .gi, four and one have the same origin of qi and
twenty-one (twenty is not counted) . The cycling of the nega- five in the centre governs qi of the four aspects, Zhang Jiebin
tive (.yin) sand -positive (yang) numbers indicates the law of mo states in thesame book that, "spirit and spirit soul are stored in
tion I of yin and yang inall things . So : the principle "to rotate the southeast" , "essence and material soul are stored in the
leftwards (clockwise) - for tonification" and "to rotate' northwest", and as earth- governs qi of the four aspects, inten-
rightwards : (counterclockwise) for purgation" is adhered to in. tion is in the centre coupled with the number five . :
Chinese qigong, . massage , (Tuina), -and- acupuncture and •
moxibustion, for it is widely accepted that rotating, clockwise
means "yang promoting growth",,, which facilitates the co itin.
-104- -105-
 based on his own sensitivity to qi and the ability of his points to
open and close in order to regulate the qi activities of the pa-
Chapter Three The Points, tient and to expel the pathogenic qi to cure diseases .

Section One Dantian (Elixir Field)

Other names for the points (Xueqiao) used in qigong in- and Sanguan (Three Passes)
clude Shuxue, Xuedao, Xuewei, and Qixue. In outgoing-qi
therapy ; they' are habitually termed Qiqiao (qi orifice) or 1. Dantian (Elixir Field)
Xueqiao (point and orifice) . A point is the locus where qi and (1) Location
blood of the zang (solid) and fu (hollow) organs and the chan- Dantian is a collective term for the Upper Dantian ; the
nels and collaterals of the human body comes in and goes Middle Dantian and the Lower Dantian . The Lower Dantian is
out .It interrelates the internal organs and tissues through' the also called Qihai (sea of vital energy), Shenlu (stove of spirit)
channels and collaterals and can manifest the physiological and and Tiangen (root of Heaven), which is located 1 .3 cun below
pathological changes in the organs and tissues . A point can al- the umbilicus and 3 cun inside the lower abdomen . The syno-
so serve as an exchanger of qi (vital energy) between the human nyms for the Middle Dantian are Huangting, Shangjin and
body and' the universe . It responds to the stimulations triggered Xuanqiao, which is located 3 cun inside the point Shanzhong
off by needling,moxibustion, massage (Tuina) and electricity
(Ren 17) . The Upper Dantian is otherwise named Qianding,
and, similarly, to provocation by outgoing-qi . through- which Tiangu, Neiyuan'and Niwan (Mud Ball), which is located 3 cun
it regulates the functions of the inner related zang and fu or- inside Yintang (Extra 1) . Dacheng Jieyao (Essentials of Great
gans and the channels to cure diseases . Achievements) holds that a point is " a void spherical space 1
A point plays a special role in Qigong practice . Having cun and 2 fen in diameter" . Some people consider Dantian to
undergone the self-training of mind concentration, breathing be three areas of the human body, stating that the Lower
and posturization, a skilled Qigong practitioner can direct Dantian spreads between Huiyin' (Ren 1) and Qihai (Ren 6),
some of his points to " open" or "close" Once the point is the Middle Dantian between Shenque (Ren 8) and Shanzhong
opened,' the practitionerwill be sensitive to qi, able to perceive (Ren 17), and the Upper Dantian between the two eyebrows up
and differentiate the healthy qi, the pathogenic qi and qi of to the forehead .
other types . This function was called " shen" , (spirit) by the an- (2) Application
cients . Outgoing-qi therapy is right developed from this phi- Dantian is not only an important point for self applied
losophy. The therapist detects diseases and emits outgoing-qi
-106- -107-
Qigong in terms of cultivation and conservation of genuine qi, when qi is emitted with the method of making three points
attainment of small or large circle of qi and the circulation of qi linear, the patient may develop the symptoms of dizziness, ver-
along the Ren Channel, but also an important location toward tigo or even syncope . This calls for special attention .
which the Qigong therapist emit outgoing-qi to activate and 2 . Sanguan (The Three Passes)
regulate the qi activities of the patient . (1) Location
The Lower Dantian is the priority point for mind concen- Sanguan refers to the three important places on the Du
tration and for transformation of essence into qi (the small cir- Channel (the Back Midline Channel), namely, Weiluguan
cle of qi) . "Concentrating the mind on the qi point",, a, popular (Coccyx pass) or Luluguan, which is located at the lowerest
term in ancient China, refers to concen-tration of the mind on segment of the spine and posterior to the anus near the point
the Lower Dantian for training qi . When regulating the de- Changqiang (Du 1) ; Jiajiguan (Spine pass, a pair of points),
ranged qi of the patient, the therapist must guide qi of the pa- which are located at the lateral sides of Mingmen (Gate of life,
tient to Dantian, which is termed "leading qi back to its origin" . Du 4); and Yuzhenguan (Occiput pass), which is inferior to the
Emission of qi toward the Lower Dantian may encourage, facili- occipital bone where the brain originates .
tate and train the qi activities of the patient to make it easier for (2) Application
the pathogenic qi to be expelled . As the three suguan points are the places most difficult for
The Middle Dantian is the place for transforming qi into qi to circulate through' the Du Channel in practice of the small
spirit . Failure to guide qi in a proper way during Qigong prac- circle of qi, they are given another name, " Tiebi" , meaning
tice or emission of outgoing -qi may lead to adverse flowing of "iron wall" ; `Qi -may pass through them smoothly or be im-
qi to the Middle Dantian, which often condenses there causing peded at any of them . If it is impeded at Weiluguan (Coccyx
stuffiness and pain in the chest and suffocation . pass), the practitioner will have aching-pain, heaviness sensa-
The Upper Dantian is where spirit is trained to achieve the tion and a sensation of impeded qi in that place. When this
state of "nihility" . Concentrating the mind on this point may happens, he should lead qi to flow upwards with faint will on
help improve intelligence and open up the potentials of the the one hand, and on the other hand, he may prop the tongue
human brain . But for those who are not experienced or who against the palate, inhale deeply and contract the anus to facili-
are careless with practice, concentration of mind here may tate its -passage . Jiajiguan (Spine pass) is usually easier for qi to
cause headache and dizziness . Emitting qi to this point via pass through except that those who have disorders in • this loca-
Yintang (Extra 1) with vibrating and quivering manipulations tionmayy have aching-pain and a sensation of fracture of waist
has the function of inducing sleep, tranquilizing the mind and and spine when qi circulates through there . Impediment . of gi.is
regulating qi in the Upper jiao (the Upper Warmer) . However, most commonly felt at Yuzhenguan (Occiput pass), manifested
-108- -109-
as stiffness of the neck and heaviness and aching-pain in the tant point for Qgong exercise and outgoing-qi therapy .,
occipital region as if there was something sticking to it which (1) The head is the place where all the yang channels con-
can not be got rid of readily . If this happens, the practitioner verge. As Baihui is located at the top of the head and joints the
may close his eyes and look upward with inward vision, with Three Yang Channels of Hand and the Three Yang Channels
the head raised slightly, to lead qi to pass by will . When qi is of Foot with the Du Channels, it has the function of linking up
not able to get through Sanguan because of the poor back- the channel qi, invigorating the vital function and qi and re-
ground in Qigong practice, the practitioner should not plenishing and refreshing the mind . Concentrating the mind on
carelessly guide it to pass by will lest Qigong deviations should Baihui in Qigong practice may help the collapsed yang-qi (pos-
occur . If disorders of qi activities and impediment of qi in the itive vital energy) due ; to dificiency of qi to ascend to cure col-
Du and Ren Channels develop, outgoing-qi therapy by emit- lapse of uterus, gastroptosia, and collapse of anus and enuresis .
ting qi toward the three passes' is the method of choice because When qi flows up to but is not able to pass Yuzhenguan
of its function of facilitating and regulating the qi flow in the Occiput pass) during practice of small circle of qi, concentra-
Du Channel . So the three passes are also essential for treatment tion of the mind on Baihui with the head held up in combina-
of diseases in the neck and the lumbosacral region . tion with breathing will facilitate the passage of it .
(2) The line joining Baihui and Huiyin (Du 1) divides the
Section Two The Points of the Fourteen human body vertically into yin and yang-This also stresses the
Channels and the Extrachannel importance of Baihui in Qigong exercise and outgoing-qi
Points Commonly Used in Qigong therapy. To open through the qi vessels between Baihui and
Huiyin (Du 1) or Yongquan (K 1) with a certain qi-emission
Points at the Head and Face
hand gesture can facilitate qi activities, balancing yin and yang
Baihui (Du 20) and expel pathogenic factors . And emitting qi to Baihui with
Location: Right on the vertex, the midpoint of the line vibrating and quivering or pushing and pulling manipulations
joining the apexes of the ears . can help replenish the brain, transquilize the mind, reduce sleep
= Headache, dizziness, vertigo, apoplexy,
Indication : and activate yang .
epilepsy, tinnitus, deafness, nasal obstruction, and prolapse of Tianting,(Extra, the Middle Part of the Forehead)
anus or uterus . Location : The midpoint of the line joining Yintang (Extra
Application : Also named Sanyang, Wuhui, Tianman, 1 nd the front hairline .
Weihui and Niwangong Mud Ball Palace), Baihui is an impor- Indication : Sticking sensation at the forehead, headache,
dizziness, amnesia and palpitation .
_110-
 Application : The - synonyms of
the point are Tianmen ;seated by emitting outgoing-qi toward this point as well as.
(Heavenly Gate), Tianmu (Heavenly Eye),
Tiangen and Baihui (Du 20) and . Taiyang (Extra 2) to, make the circulation
Tianxin
. There has been some controversy over its position as of qi along the Du Channel,- Ren Channel and the Shaoyang
to a little higher or lower than the location-mentioned above Channels facilitated .
. It
is the place where mentality and consciousness store and gener- Hanyan (GB 4); ,
ate . As the old
sayingg goes, "The success in training of vital es- Location : Posterosuperior to the hairline of, the temporal
sence,, qi and 'spirit brings' about light shining over the region . There is a slight movement here during chewing .
forehead" Here the forehead refers to Tianting, which, if
Indication Migraine, vertigo, tinnitus,,toothache, epilepsy ;
opened through when qi is sufficient after persistent practice of induced by terror and clonic convulsion .
Qigong, can conduct exchanges with the outside world, view Application : Digital kneading and flicking manipulations
the inner sight of the human body and followed by emission of outgoing-qi toward it and guiding of
detect diseases , through
perspective and4 remote sensing . Emission of
outgoing-qi to- the patient's; qi along the Shaoyang Channels ; with pushing
ward this point with specific manipulations may and pulling manipulations can be taken to open the point,
facilitate qi ac-
tivities of the qi recipient and induce his specific
physiological dredge the channels to facilitate qi, soothe the liver and sup-
function, or putting it differently, "open Tianmu (the Heavenly press the sthenic yang and balance yin ; and yang between the
eye)" . Carelessness should be
avoided when emission left and right of the body . In clinical application, the usuage of
ofoutgoing-qi toward it with the qi-guiding method of mak- the point at: the . two sides is oftenn compatible and the left is
ing three points linear lest disorders of qi activities, syncope usually regulated first in male and the right first in female .
and dizziness Should occur .
Fengfu (Du 16)
Yintang (Extra 1)
Location : 1 can superior to the midpoint : of the posterior
Location : The midpoint between the medial ends of the
hairline .
two eyebrows .
Indication heaviness and pain in the back of the head, ap-
Indication Headache, dizziness, epilepsy, infantile'
convul- oplexY, hemiparalysis, common cold, headache, neck ; stiffness,
oplexy,
sion, eye congestion with pain, insomnia and vertigo .
vertigo, sore throat and nausea .
Application : As Yintang is located on the ken Channel, it
Application : Also called Sheben, Guizhen, ; Guilin, Caoxi
is the key . point for regulating qi in Tianting (Extra),-Baihui
and Xingxing, it is the converging point of the Du Channel and
(Du 20) and the Gallbladder Channel. Qigong deviations' such
the Yangwei Channel . The point is considered the gate of
as heavy sensation in the vertex and sticking sensation at the pathogenic wind invasion . The pathogenic wind may enter
forehead, migraine, dizziness and eye 'congestion can be Fengfu, spread over the brain and affect the Taiyang and
well
--112-
-113-
Shaoyang Channels, causing chills and fever, dizziness, neck
Points at the Chest and Abdomen
stiffness, sore throat and the like . Emission of qi-toward this
point to open it may facilitate the expelling of the pathogenic Quepen (St 12)

wind . In regulation of qi activities, it is often used together with Location : Directly above the nipple, in the middle of the
Fengchi (GB 20) and Yanglingquan (GB 34).'i- supraclavicular fossa .
Fengchi (GB 20) Indication: Dyspnea, sore throat and pain in Quepen .
Location : Lateral to Fengfu (Du 16), in the triangle de- Application: Also called Tiangai and Chigai, it is the place

pression between the sternocleidomastoid 'muscle- and the where , the channels of Foot-Yangming, Hand-Shaoyang,
trapezius muscle . Hand-Taiyang and Hand-Yangming pass . So emitting qi to it
Indication: Migraine, occiput pain, vertigo, neck stiffness and guiding qi along the channels can help regulate qi circula-
and pain, apoplexy, exopathy, and pain in the back . tion in the above-mentioned channels to get qi balanced inside
Application : Also called Refu, it is a point of Gallbladder and outside . Emission of qi to it together with guidance of qi to
Channel of FootShaoyang and a converging point of the flow along the Stomach Channel and Gallbladder Channel can
Sanjiao`Channel of Hand-Shaoyang, the Gallbladder Channel treat chest stuffiness, cough, hot sensation in the chest and other
of Foot Shaoyang, the Yangwei Channel and. the Yangqiao disorders.
Channel. Located at the back of the head, it is the hub where It deserves special attention that during outgoing-qi
pathogenic wind' often invades into the brain . Emission of treatment, the pathogenic qi of the patient may invade via
outgoing-gi'to it followed by guiding qi along the Gallbladder Quepen into the internal organs of the therapist and cause
Channel can help dredge the channels and collaterals, regulate chest distress, chest pain and other symptoms due to stagnation
qi and blood, expel pathogenic wind from the body surface, of qi .
dispel wind and remove heat, restore consciousness and reduce Zhongfu (Lu 4)
resuscitation, and improve visual and auditory acuity . Location : 6 can lateral to the thoracic midline, in the
To treat neck -stiffness and pain by expelling pathogenic interspace of the 1st and 2nd ribs .
factors, pushing and pulling are the manipulations of choice for . Indication : Cough, chest distress and pain in the shoulder
emitting qi' toward Fengchi to' drive pathogenic factors to go and back .
along the Gallbladder Channel and finally out from Application : Also called Yingzhongshu, Fuzhongshu and
Yanglingquan (GB 34) . Yingshu and located on the Lung Channel of Hand-Taiyin as
a Front-mu point related to the lung, it is the place where qi

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gathers and stores and where the Channels of Hand-Taiyin Bid Dipper and "Ji" refers to the third . Xuan and Ji rotate
and Foot-Taiyin converge . Emission of qi to this point has the along with the automatic rotation of the Big Dipper . The
function of removing heat from the Upper jiao (the Upper health preservers take Xuanji as the rotation phenomenon of
Warmer), dredging and regulating > the lungqi and subduing the laryngeal periosteal bone circle . Therefore, emission of
outgoing qi toward this point can promote the dispersing func-
cough and asthma . Emitting qi toward it together with guiding
qi along the Channels of Hand-Taiyin and Foot-Taiyin with tion of qi in the Upper-jiao, remove stagnation and stasis,
pushing and pulling manipulations can help dredge the channel subduing swelling and pain, moistening the dryness, and check
qi and expel the pathogenic qi out of the Taiyin Channels . the adverse flowing of qi to allay asthma . Clinically, the point
is often used in combination with Qihai (Ren 6) and Dantian
Tiantu (Ren 22)
for emission of outgoing-qi . As Xuanji is located above Qihai
Location: Right at the centre of the suprasternal fossa .
(Ren 6), and Dantian, it is important for clearing heat of
Indication: Cough, difficult expectoration, sore
lung-qi while Qihai and Dantian are important . for
throat,chest distress, nausea and vomiting .
supplemen- ting primordial qi.The combination of the three,
Application : Also called Yuhu and Tianju, it is a point on
the Ren Channel and a_ converging place of the Ren and Du which are mutual supplementary, is quite effective for regu-
(the vital energy) lating qi activities of the zang-organs and fuorgans, clearing
Channels . As the thoracic part controls qi <

and,Tiantu is located at the top of the chest, emission of outgo- and regulating the lung, and improving inspiration to relieve
toward this point can ventilate the lung and resolve asthma . In the case of Qigong deviations manifested as chest
ing-qi

phlegm, keep the adverse qi flowing downward to relieve asth- and hypochondriac pain, the therapist should first emit qi to-
ma, and relieve sore throat to recover voice . Emission of outgo- ward Xuanji to get the patient's qi circulation smooth, and
ing-qi toward it as well as Fengmen (GB 12) and Feishu (GB then guide qi with pushing and leading manipulations to flow
13) can regulate yin-qi (negative energy) and yang-qi (positive back to its origin .
energy) between the anterior and posterior . Huagai (Ren 20) -;
Location : 1.6 can inferior to Xuanji (Ren 21) .
Xuanji (Ren 21)
Indication: Dyspnea, cough, and fullness and pain in the
Location : In the depression 1 .6 can inferior to Tiantu (Ren
chest and hypochondrium .
22) .
Application Huagai is a point of the Ren Channel . Inside
Indication : Sore throat, stuffiness and pain in the chest and
hypochondrium, hiccup and adverse rising of lung-qi, cough, this point lies the lung, where all the vessels converge and nor-
mal gas exchanges take place, a time when yang-qi is
dyspnea, pulmonary abscess, etc .Application : It is a point of the in exu-
berance . So emitting qi toward this point can soothe the chest
Ren Channel . Literally, "Xuan" refers to the second star of the
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 Application: Also called Yuanwu, Yuanjian, the Upper
oppression and regulate qi . The point at the same level of it,
Qihai and the Middle Dantian, it serves as the sourse of qi of
which belongs to the Kidney- Channel, is Yuzhong (K 26), a
the Ren Channel, the sea of pectoral qi and the converging
point having the function of suppressing the kidney-water and
place of general .g i . Emission of outgoing-qi toward this point
nourishing the lung-metal . So Huagai is often used together
can therefore. regulate qi and check its, upward adverse flow,
with Yuzhong (K 26) to attain the effect of mutual< promotion
clear away heat from the lung and resolve phlegm, and soothe
of the lung and the kidney and curing the mother (lung) and
the chest and regulate qi . Emission of qi toward it in combina-
child (kidney) simultaneously (the lung and the kidney are of
tion with Neiguan (P 6) can regulate qi of the chest, heart and
mother-child relationship) . When . emitting qi to Zhongwan
stomach as a whole, which is applied specially to soothe the
(Ren 12) and Qihai (Ren 6) to expel pathogenic factors,' it is
chestand regulate regulate qi of the chest, heart : and stomach as
advisable no to forget emission of qi toward-Huagai, Xuanji
a whole, which is apliedscytohecstandregu-
(Ren 21) and Yuzhong (K 26) so as to avoid the upward rush-
late qi, invigorate : the heart and tranquilize the mind and acti-
ing of turbid qi .
vate the collaterals,to relieve pain . : As Shanzhong is located be-
Yuhong (K 26)
tween the Upper and Lower Dantian, stagnation of qi of the
Location: 2 can lateral to Huagai (Ren 20) .
three elixir fields (Dantian) should all-be treated by emitting qi
Indication : Cough, chest- distress, phlegm accumulation,
toward Shanzhong to dredge the channels and facilitate gi .back
distending pain in the chest and hypochondrium and loss of
to its origin . Emission of qi to it in combina tion with Feishu
appetite .
(U B 13) has the function of regulating qi activities of the Up-
Application : Emission of qi toward this point may clear the
perjiao (lung) and the Upper Dantian, and that of balancing
lung and regulate qi, check the upward adverse flow of'gi and
yin and yang in the anterior and posterior to activate qi all over
resolve phlegm and regulate qi activities . Clinically, it is of-
the body .
ten applied in combination with Shanzhong (Ren 17), Huagai
Zhongwan (Ren 12)
(Ren 20) and Xuanji (Ren 21) so as to prevent stagnation of
Location: 4 can superior to the umbilicus .
pathogenic factors and adverse rising -of qi of the Chong Chan-
Indication Stomachache, abdominal distention, acid
nel to the chest .
regurgitation, vomiting, diarrhoea, dysentery, jaundice and
Shanzhong (Ren 17)
asthenia of the spleen and stomach .
Location : At the midpoint between the breasts .
Application : Its synonyms are = Taicang, Weiwan, and
Indication : Chest distress, dyspnea, cough, chest pain,
Zhongji . As a point of the Ren Channel, it serves as a con-
hypogalactia after delivery, mammary abscess, and painin the
verging place of the Ren Channel and the Channels of
back .
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-118-
Hand-Taiyang, Hand-Shaoyang, and Foot-Yangming, as a combination . Emitting qi toward Lanmen together with
Front-mu point related to the stomach and as the converging Zhongwan (Ren 12) may regulate qi of the Middle-jiao; with
point of the fu-organs . With the help of outgoing-qi, this Qihai(Ren 6) may regulate qi of the Lower jiao and can guide
point has the virtue of calming the nerves, checking the as- qi ; back to its origin ; and with Shanzhong (Ren 17) may regu-
cending and discending of-qi, soothing the stomach-qi, regu- late qi of the Upper-jiao .
lating the Middle-jiao, resolving dampness accumulation and Shenque (Ren 8)
removing phlegm stagnation . Clinically, emitting qi toward it Location : Right in the middle of thee umbilicus .
together with Fenglong (St 40) can resolve dampness accumu- Indication: Abdominal pain, diarrhoea, stagnation of qi
lation and remove phlegm stagnation ; with Zusanli (St 36) can and congenital and acquired insufficiency .
strengthen the spleen and soothe the stomach ; with Pishu (U B Application: Also termed Qishe, Mingdi, Qizhong and
20) can regulate the spleen-qi and stomach-qi as well as Weihui, the point is both the house of acquired qi and the res-
yin-qi and yang-qi at the anterior and posterior . Because it lo- ervoir of congenital qi . Emitting qi toward this pointand guid-
cates between the Lower and Middle Dantian, it is of utmost ing qi here can facilitate the congenital and acquired qi, culture
important for regulating qi of the two elixir fields with outgo- the, primordial qi to consolidate the origin, recuperate depleted
ing-gi. Emitting qi toward Zhongwan with vibrating and yang and rescue the patient from collapse, and diagnose dis-
quivering manipulations has the function of inducing sleep and eases . Guiding qi to rotate round Shenque by will is termed at-
tranquilizing the nerves . taining the "circle of,gi" or "automatic circular rotation of qi
Lanmen (Extra, Ileocecal Junction) which is quite effective for regulating qi activities of all the
Location : 1 .5 can superior to the umbilicus . channels and for treatment of diseases of the digestive,
Indication: Abdominal distention and pain, diarrhoea, cardiovascular and other systems.
constipation, vomiting, and stagnation of qi between the upper Qihai (Ren 6)
and the lower . Location : 1 .5 can inferior to the umbilicus .
Application: Lanmen is located on the Ren Channel, join- Indication : Abdominal pain and distention,' dysmenorrhea,
ing the stomach and the small intestines . Emitting outgoing-qi amenorrhea,disorder of qi activities, and failure of qi to flow
toward it can correct the disorder of qi, regulate the stomach back to its origin .
and the small intestines and facilitate qi of the Mid- Application: Also called Boying, Xiahuang and Dantian,
dle-jiao .In clinical treatment of diseases of the zang-organs Qihai is the origin of qi of the Ren Channel and the source of
and fu-organs with emission of-outgoing-qi, qi of this point qi of the male, the returning place of primordial qi and the
should be the first to be facilitated, then the other points in fundamental point for abdominal inspiration . Emitting qi to it
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can activate and mobilize the primordial qi, invigorate the kid- dampness . ; In clinical . treatment,, emitting qi to Guanyuan in
ney-qi, warm the Lower jiao, dispel the pathogenic cold* and combination with Shenshu (U B 23) can replenish qi, nourish
dampness and replenish the kidney qi to relieve asthenia type yin and keep qi in the Lower jiao, which in turn can help re-
asthma . Qihai is very important for training qi, guiding qi and plenish,the congenital ; and acquired qi and facilitate inspiration
emitting outgoing-qi . Abdominal respiration depends to relieve asthma . Emitting ; qi in combination with Mingmen
whollyon the oscillation of qi in Qihai . In clinical applica- (Du 4) can invigorate qi, strengthen yang and activate qi activi-
tion, qi is often emitted to it in combination with Shanzhong ties, which ususlly induces spontaneous movements of the pa-
(Ren 17) and, Xuanji (Ren 21) for mutual assistance . Purgation tient . Qi may be better activated if Dazhui (Du ;14) and Feishu
manipulation on Qihai or guiding the pathogenic qi out from (U B 13) are added for outgoing-qi emission . So Guanyuan is
this point should be avoided lest the vital qi (vital energy) be the main point for ;training qi, guiding qi and emitting qi .
impaired . Huiyin (Ren 1)
Guanyuan (Ren 4) Location; In the centre of the perineum, between the anus
L,pcation : 3 can inferior to the umbilicus . and, the scrota in the male or the posterior labial commissure in
Indication :Deficiency of vital-qi, abdominal pain, the female.
dysmenorrhea, amenorrhea, enuresis, diabetes and vertigo . Indication : Disorder of qi in the Ren Channel and Du
Application: With many synonyms such as Dantian, Channel, deranged qi activities, seminal emission, impotency,
Dahai, Jinglu, Liji, Dazhongji and Huangzhiyuan, Guanyuan prospermia, irregular menstruation, headache, epilepsy induced
is a point of the Ren Channel, a Front-mu point related to the by terror and syncope.
small intestine, a converging point of the Three Yin Channels Application: Also called Haidi, Xiajidihu, . Digen and
of Foot and the Ren Channel, and a place where qi of Sanjiao Yiingiaoku (yinqiao storehouse), Huiyin is the originating point
(three warmers) generates . Qihai is considered as the reservoir of the Ren Channel, Du Channel and Chong Channel, and a
of essence of the male and of blood of the female, a hub of life, collateral point (point where the collaterals originate) of the
a storehouse of genuine qi and a place where the kidney-yin Ren Channel . During Qigong practice, the accumulation and
and kidney-yang meet . So emitting outgoing-qi to this point circulation of qi often makes this point throb, a phenomenon
can invigorate the kidney to consolidate the fundamental es- indicative of the activation and mobilization of qi of the Ren,
sence, nourish and replenish the primordial qi, supplement the Du and Chong Channels . So emitting outgoing qi toward
brain and the spinal cord, facilitate qi activities, check the men- Huiyin can regulate qi of the Ren, Du and Chong Channels in
tal activity, strengthen the waist and knee, warm yang and help overall . And . as Huiyin joints Baihui (Du 20) forming a line of
the transformation of qi> and promote diuresis and remove demarcation of yin and yang inside the body, emitting qi to-
-122- -123-
ward these two points can facilitate the exchange of qi `inside with reddish discharge, hernia, and pain in the lumbocostal re-
and outside the body . This is a favourable opportunity for gion and the lower extremities .
training and regulating qi and for facilitating qi activities of the Application: Daimai is a converging point of the Dai
whole body to balanced yin and yang and circulate qi Channel and the Channels of Foot-Shaoyang . Literally, "Dai"
smoothly, and by -this way, the purpose of diagnosis and treat- means "belt" so the Dai Channel is regarded as "the waist
ment of diseases can be achieved . belt", which joints all the vertically lying channels of the body .
Zhangmen (Liv 13) Qigong masters attach' great importance to the smooth-circula-
Location:' On the free end of the 11th rib . tion of qi along this channel . Emitting outgoing-qi toward
Indication Distending pain in the costal region, abdominal Daimai-may activate and regulate all the vertically lying chan-
distention, borborygmus, mass in the abdomen, vomiting, 'ver- nels . When Daimai is opened through, qi of the three elixir
tigo, insomnia, and vexation . fields (the three Dantian) will be easy to communicate . If this
Application: Also named Zhoujian, Changping and point is kept tense, there will be stagnation of qi activities of the
Xiello, Zhangmen is the Front-mu point related to the spleen, Dai Channel, leading to disorder of qi flow in the Ren, Du and
a, converging point of the zang-organs and a meeting place of Chong Channels and all the other channels of the body .
the Channels of Foot-Shaoyang and Foot-Jueyin . Emitting Guilai (St 29)
outgoing-qi toward it can-facilitate and regulate the qi activi- Location : 4 can inferior and 2 can lateral to the umbilicus .
ties of the Liver Channel and the Gallbladder Channel, so it is Indication : Pain in the abdomen and the lumbosacral re-
often applied to soothe the liver and regulate qi,-promote blood gion, asthenia of the lower extremities accompanied with pain,
circulation to remove stasis and to disintegrate masses . Emit- amenorrhea, irregular menstruation, leukorrhea, coldness,
ting outgoing-qi to open qi in Zhangmen and the Inner swelling and pain in the genitals, prolapse of uterus, impotency
Laogong (P 8), which are mutually promotive, is very effective and prospermia .
for guiding the pathogenic fire to descend, clearing away the Application : Another name for Guilai is xigu . The point is
heart-fire and liver-fire and soothing the liver` and regulating important for lowering the abdominal qi along with exhaling to
the stomach. get qi to its origin during Qigong exercise . Emitting
Daimai (GB 26) outgoing-qi toward it may help activate qi in Dantian, lower qi
Location Directly inferior to the free end of the 11th rib, to the Lower Dantian along with exhaling, and warm the
level with the umbilicus . channels to expel cold and replenish Chong and Ren Channels .
Indication: Disorder of qi of the Dai Channel and the Qichong (St 30)
Gallbladder Channel, abdominal pain, amenorrhea, leukorrhea Location : 5 can inferior and 2 can lateral to the umbilicus .
-124- -125-
 Indication: Stagnation of qi in the Chong and Ren Chan- also serves as a point for the overall regulation of qi after clini-
nels, abdominal distention and pain, borborygmus,' hernia, cal treatment.
swelling of the genitals, impotency and irregular menstruation . Dazhui (Du 14)

Application: Also called Qijie, it is the originating point of Location: Between the spinous processes of the 7th cervical
the Chong Channel, a-channel that receives qi and blood of all vertebra, and the 1 st thoracic vertebra .

the Twelve Regular- Channels . When inhaling, the abdominal Indication: - Stagnation of qi in the Du Channel, occiput
qi will rush upward from this point and join with qi of the pain due to qi stagnation, rush of qi into Baihui (Du 20),

Middle jiao ; when exhaling, the abdominal qi will descend dysfunction of yang-qi (positive energy), vertex pain, febrile
diseases, epilepsy, , hectic fever due to yin- deficiency, night
from Guilai . (St 29) . So Qichong and Guilai (St 29) work to-
sweat, andd visual and auditory hallucination .
gether as " a qi pump" for training qi in Dantian . Emitting
outgoing-qi toward Qichong has the function of regulating Application : The synonyms are Bailao and Shangshu . The
and facilitating the qi activities of the Ren Channel, Chong Du Channelis the back midline throughfare of the small circle
Channel and the Stamoch Channel, promoting circulation of qi of qi . ; The point Dazhui is referred to as the yang aspect of

and* blood, and dispelling cold and dampness . yang, a crux for regulating and replenishing yang-qi, and a
place where the : Du Channel meets the Channels of
Points at the Back and Waist
Hand-Taiyang, Hand-Yangming and Hand-Shaoyang . So it
Jianjing (GB 21) is often used to regulate yin or yang when they interclock or
Location : At the midpoint of the line joining the inferior when either of them is over exuberant . Before emitting and
aspect of the 7th cervical vertebral process and the acromion . guiding qi to regulate the Du Channel and the Urinary Bladder

Indication : Stiffness and pain in the neck, pain in the Channel of Foot-Taiyang, the point Dazhui should be first
shoulder and back, inability to raise the arm, and mammary regulated together with some adjunct points because it is most
helpful to excitation and activation of yang-qi . Emitting
abscess .
outgoing-qi to Dazhui and its adjunct points Mingmen (Du 4)
Application: It is a converging point of the Channels of
Hand-Shaoyang, Foot-Shaoyang and Foot-Yangming and and Weiluguan (Coccyx pass) tends to induce the dynamic
the Yangwei Channel, and a place for the Gallbladder Channel phenomenon (spontenous movement) of the patient . However
to join with all the Yang Channels when it passes through the it may also cause the phenomenon of syncope in some patients .

shoulder . So emitting outgoing-qi toward Jianjing can regulate This calls for special attention of the therapist in clinical treat-
qi activities all over and dredge qi of all the Yang Channels . It ment.
Mingmen (Du 4)

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 Location:, Inferior to the lowerborder of the spinous pro- from the lung,and replenish qi to subdue asthma . By opening
cess of the 2nd lumbar vertebra . through Feishu with outgoing qi together with exciting its ad-
Indication: Asthenia of yang-qi (positive energy), junct point Xinshu (UB 15) to achieve' the result of will follow-
insufficiency of kidney-yang, coldness and pain in the waist ing the circulation of qi, the effect of dynamic phenomenon of
and knee, soreness of the waist and back, rigidity and pain, the patient can be most easily induced . Emitting qi toward
impotency, seminal emission, diarrhoea and leukorrhea. Feishu and its adjunct point Zhongfu (Lu 1), one in the ante-
Application : Also named Jinggong and Zhuzhang, it is lo- rior and the other posterior, has the function of regulating the
cated between the two kidneys . As the storage of essence, the lung-qi and keeping the lung-qi downwards .
kidney is the root of life, the originof innateness, and the crux Xinshu (UB 15)
thoroughfare of qi flowing along the Du Channel . So emitting Location : 1 .5 can lateral to the lower border of the spinous
outgoing-qi to Mingmen can regulate the , Du Channel in gen- process of the 5th thoracic vertebra .
eral, excite yang-qi, strengthen yang and replenish the kidney, Indication : Precordial pain, insomnia, vexation, palpita-
and facilitate qi to go through the three' passes to reach the de- tion due to fright ;, amnesia, epilepsy and hysteria.
!
sired ',points . Emission of outgoing-qi to it together with its ad- Application: As a key point for treatment of heart diseases,
junct points Weiluguan (Coccyx pass), Dazhui (Du 14) and it is a place for transformation and exchange of the heart-qi at
Yuzhenguan (occiput pass) has the function of regulating the the back . Emitting outgoing qi to it can help nourish the
Du Channel and ° exciting yang-qi to open through the small heart-qi and regulate the heart and kidney . Emitting qi to it
circle of qi . together with its adjunct points Shanzhong (Ren 17) and Juque
Feishu (UB 13) (Ren 14) and guiding qi between the anterior and posterior can
Location : 1 .5-cun lateral to the lower border of the spinous balance yin and yang of the above two aspects .
process of the 3rd thoracic vertebra . Ganshu (UB 18)
Indication: Cough, dyspnea, hemoptysis, hectic fever due to Location: 1 .5 can lateral to the lower border of the spinous
yin-deficiency, chest distress, hypochondriac pain and rigidity and process of the 9th thoracic vertebra .
pain in the back. Indication: Chest and hypochondriac pain, margins of eye-
Application : As the lung lies inside it, Feishu is a-place lids, dizziness, depressive psychosis, epilepsy.
where the lung carries out exchanges of qi, serving as an impor- Application It is internally related to the liver, serving as
tant point for treatment- of the lung diseases . Emitting the location for the liver .-qi to transport and exchange at the
outgoing-qi toward it for conduction of qi may help dredge back and a point for treatment of the liver diseases . Emitting
and regulate the channel qi, nourish yin and clear away heat outgoing-qi toward it together with guiding qi can help regu-
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late the circulation;of qi along the Liver Channel, calm the liver spontaneous emission:-and removing dampness to relieve
to, stop pathogenic wind, and improve the visual acuity and edema. And with Dantian as its adjunct ;point for emittng and
check the exuberance of yang. Clinically, it is often used with guiding qi, the effect of facilitating the congenital qi and guid-
Zhangmen .(Liv 13) and Qimen (Liv ;14) as the adjunct points . ing qi back to its origin ; can be, achieved.
Pishu (UB 20) Points at the Upper Limbs
Location: 1 .5 can lateral to . the lower border . of the spinous
process of the l 1th thoracic vertebra . . Jiquan (H 1)
Indication: Vomiting, abdominal distention, diarrhoea, Location : At the centre of the axilla, on the medial side of
dysentery, edema, pain in the waist and back and lassitude of the axillary; artery.
the extremities . Indication : Precordial pain, pain and fullness in the
Application : It is internally related to the spleen and serve hypochondrium and pain in the arm .
as a location for the spleen-qi to transport and exchange at the Application: The, point is where ,the transformation of
back *and a key point for treating diseases of the spleen and heart-yang into yin takes place . It is internally related to the
stomach . Emiting outgoing qi toward this point can activate qi heart, joins the lung and has its outer opening at the axilla.
of the Spleen Channel, reinforce the spleen to remove damp- Emitting outgoing qi to this point has the function of general
ness, and replenish qi and regulate blood circulation . Emiting regulation of qi of the Lung Channel of Hand-Taiyin and the
qi toward it with Dantian as the adjunct point can help activate Heart Channel of Hand-Shaoyin,, the function of promoting
and regulate both the congenital and acquired qi . circulation of qi and blood and that of regulating the blood
Shenshu (UB 23) vessels . Emitting_ outgoing-qi to, . it and Xiaohai (SI $),, Hegu
Location : 1 .5 can lateral to the lower border of the spinous (LI 4) and Quchi (LI 11) with rotating manipulation can help
process of the 2nd lumbar vertebra . activate, check and promote the qi flow in the upper limb .
Indication : Pain in the loins and legs, enuresis, seminal Shaohai (H 3)
emission, impotency, irregular menstruation, vertigo, tinnitus Location : In the depression at the ulnae end of the
and deafness. transversal cubital crease which appears when .the elbow is
Application : It is internally related to the kidney, serving as bent .
a place for the kidney-qi to transport and exchange at the back Indication : Precordial pain, pain in the axillary and
and a key point for treating diseases of the kidney . Emitting qi hypochondriac region, epilepsy and scrofula,
toward it together with conducting qi has the function of sup- Application : Shaohai is the He (Sea) point, or the con-
plementing the congenital qi, tonifying the kidney to arrest
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verging point of the ; Channels of ' Hand-Shaoyin Emitting Indication : Headache, toothache, -conjunctival congestion
outgoing-qi toward it together with guiding qi can help dredge and pain, deafness, sore throat, deviation of the eye and
the channels and collaterals, regulate `the blood vessels and re- mouth, syncope, manic-depressive psychosis and epilepsy ."
solve phlegm to calm the heart . Clinically it is often applied to- Application: Alsoo termed Hukou, Hankou and Hegu, it is
gether with Jiquan (H 1), Quchi (LI 11) and Hegu (LI 4) . a source point (the point where the primordial qi of the viscera
Quchi (L 111) flows and stays) of the Large Intestine Channel of
Location : In the depression at the radial end of the trans- Hand-Yangming . Emitting qi toward it together with guiding
verse cubital crease when the elbow is flexed . qi can clear and activate the channels and collaterals, promote
Indication : Vertigo, common cold, sore throat, gingivitis, circulation of qi to induce resuscitation, dispel pathogenic wind
dryness in the throat, thirst, manic-depressive psychosis, ab- from the - bodyy surface, and relieve muscular spasm and
dominal pain, vomiting and diarrhoea, pain in the shoulder, tranquilize the mind . When it is applied in combination with
arm and elbow, and flaccidity of the upper limb . Taichong(Liv 3) for emission of qi, satisfactory effect is often
Ap ication Quchi is also termed Guichen and Yangze . It attained in the treatment of joint pain, syncope, epilepsy, and
is the,,;place where qi of the Large Intestine Channel- of the like . Patients who are sensitive to outgoing-qi can readily
Hand-Yangming eaters . Emitting outgoing-qi toward this feel the effect of qi or feel the vibration of qi when the therapist
point together with guiding qi can help dispel pathogenic wind emits it toward his Hegu point.
from the body surface, regulate the stomach and intestines, re- Inner Laogong (P 8)
solve stasis and swelling, and relax the muscles and tendons to Location: In the middle of the palm, between the 3rd and
lubricate the joints . As Quchi' is in charge of desending and 4th metacarpal bones .
Zhongchong (P 9) in charge' of ascending, the combination of Indication : Manic-depressive psychosis, epilepsy, hysteria,

the two for emission and guidance of qi may achieve harmony vomiting, halitosis and aphthae.
of qi descending and ascending, making the heart, lung and the Application : Also named_ Guilu, Yinggong, Wuli and
large intestine pure and clear, the stomach regulated with Zhangzhoi}g, it is a point of and representative of the
adversely-rising qi checked, vomiting relieved and vertigo im- Pericardium Channel of Hand-Taiyin, the place where qi of
proved . this channel passes, a spring point (one of the five shu points),
Hegu (L 14) and a point : of great importance for emission and guidance of
Location : Between the -1st and 2nd metacarpal bones, qi. A well versed Qigong practitioner ; can get this point open
approximately level with the midpoint of the 2nd metacarpal and emit qi out of his body . When the therapist emits
bone . outgoing-qi toward the Inner Laogong of the patient, the pa-
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tient, if sensitive to outgoing-qi, can feel' qi apparently . Emit- Zusanli (St 36)
ting outgoing-qi toward this point may help clear away the Location : 3 can inferior to the lateral depression of the
heart-fire, tranquilize the mind, remove dampness-heat, dissi- knee .
pate stasis and disperse the accumulation of pathogen, lower Indication : Stomachache, abdominal distention, vomiting,
the adversely ascending gi :to soothe the stomach and remove dysphagia, edema, constipation, and pain in the waist, knee
heat from the blood to stop pathogenic wind . and leg.
Application: Also called Xialing and Guixie, it belongs to
Point at the Lower Limbs
the Stomach Channel of Foot-Yangming, serving as a con-
Yanglingquan (GB 34) verging point at the lower part of the channel . Emitting qi to
Location : In the depression anterior and inferior to the this point together with guiding qi can help regulate the stom-
small head of the fibula. ach and intestines, tacilitate qi to relieve distention, dissipate
Indication: Pain in the knee, paralysis, hemiplegia, eye dis- stagnation and obstruction, promote the circulation of qi to al-
ease, bitterness in the mouth and dryness of the throat, dizzi- lay pain, alleviate water retention to subdue swelling, and acti-
ness, vertigo, hypochondriac pain, pain in the shoulder joint vate the flow of qi and blood in the channels and collaterals .
and sciatica . Emitting qi toward it in combination with Quchi (LI 11) has
Application : Also named Jinhui and Yangling, the point the functions of general regulation of qi of the yang channels,
belongs to the Gallbladder Channel of Foot-Shaoyang, serv- regulation of the spleen, stomach and intestines and of general
ing as the entrance of qi of this channel . Emitting qi toward health care .
this point together with guiding- qi can help relax the muscles Weizhong (UB 40)
and tendons and activate the flow of qi and blood in the chan- Location : Exact the midpoint of the popliteal transverse
nels and collaterals, relieve spasm and pain, clear away damp- crease .
ness-heat, treat shaoyang disease, and disperse the stagnated Indication : Lumbago, flaccidity of the lower limbs, abdom-
liver-qi and gallbladder-qi . Emitting qi to Yanglingquan in inal pain accompanied with vomiting and diarrhoea, and swell-
combination with Zhigou (S J 6), with one in the upper and the ing and pain in the neck .
other in the lower, can ensure a smooth flow of qi in the two Application: Weizhong belongs to the Urinary Bladder
channels (the Gallbladder Channel and the Sanjiao Channel), Channel of Foot-Taiyang as a converging point at its lower
facilitate qi in Sanjiao (three warmers) and resolve stagnation part . Emitting outgoing-qi toward it to guide qi can relax the
and masses . muscles and tendons and activate the flow of qi and blood in
the channels and collaterals, reinforce the waist and knee and
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cool the blood to stop bleeding . Indication: Cough, dyspnea, pain in the chest, shoulder
and back, and hot sensation in the cheSt
Yongquan (K 1)
Location : In the depression when the toes are plantar
Chize (LU 5)
Location : In the middle of the cubital crease, at the radial
flexed .
Indication: Vertex pain, dizziness, vertigo, infantile convul-
side of the tendon of brachial biceps .
Indication : Contracting pain in the elbow : and arm, cough
sion, depressive psychosis, sore throat, aphonia, and hot sensa-
tion in the sole . with dyspnea, fullness in the chest and hypochondrium and in-

Application : The synonyms are Diheng, Dichong, and

fantile convulsion.

Juexin . It belongs to the Kidney Channel of Foot-Shaoyin, Lieque (LU 7)

Location : Superior to the styloid process of radius, 1 .5 can
serving as an exit of the channel qi . Emitting qi toward it can
above the transverse crease of wrist
help restore consciousness and reduce resuscitation, tranquilize
Indication : Cough, sore throat, hemiplegia, stiffness of the
the mind, clear away heat and purge pathogenic fire and calm
neck with pain, headache, facial paralysis and toothache .
the litter to stop the pathogenic wind . Yongquan is a point
connected with the Earth qi . Emitting qi toward it in combi- Yuji (LU 10)
Location: On the palmar surface, in the middle of the first
nation with Laogong (P 8) can facilitate the coordination of qi
metacarpal bone at the junction of the "white and red" skin .
inside and outside the body and regulatee the internal qi .
Indication: Pain in the chest and back, headache, vertigo,
Other Points sore throat, fever and aversion to cold .
Shaoshang (Lu 11)
Besides the above-mentioned commonly used points,
Location : On the radial side of the thumb, about 0 .1 can
there are some other regular points and extrachannel points
posterior to the corner of nail .
used as adjuncts in outgoing-qi therapy, which are listed in
Indication : Apoplectic coma, contracture of the fingers
brief below .
with pain and infantile convulsion .
Table 3-1 List of Other Commonly-used Points
Channel: The Large Intestine Channel of Hand-Yangming
Channel : The Lung Channel of Hand-Taiyin Yangxi (LI 5)
Yunmen (LU 2) Location: On the radial side of the back of the wrist, in the

Location: 6 can lateral to the thoracic midline, inferior to hollow between the tendons of m . extensor pollicis 'Iongus and

the lateral end of the clavicle, 1 can above Zhongfu (LU 1) . brevis .
Indication: Headache, tinnitus, toothache, soreness and
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pain in the arm, sore throat and edema . the angle of jaw, at the prominence of the masseter muscle
Shousanli (LI 10) when the jaw is shut tight .
Location: 2 can direct below the point Quchi (LI 11) . Indication : Facial paralysis, toothache and swelling of
Indication: Spasm of elbow with difficulty:, in extension and cheek .
flexion and numbness and aching-pain in the arms. Xiaguan (St 7) ,
Jianyu (LI 15) : Location: In the depression at the lower border of the
Location: In the, depression ; of the acromion when the arm zygomatic arch, at the prominence of the masseter muscle when
is raised . the jaw is shut tight .
Indication: Pain in the shoulder and arm, dysfunction of Indication : Facial paralysis and toothache .
the shoulder joints and hemiplegia . , Touwei (St 8)
Yingxiang (LI 20) Location : 0 .5 can directly above the midpoint of the front-
Location: 0 .5 can lateral to the nasal ala, in the naso-la- al hairline .
bial groove . Indication: Headache and vertigo .
Indication : Rhinitis, stuffy nose and facial paralysis . Renying (St 9)
Channel: The Stomach Channel of Foot-Yamgming Location : 1 .5 can lateral to the, thyroid cartilage .
Sibai (St 2) ; Indication : Sore throat, asthma and shortness of breath .
Location : In the depression at the infra-orbital foramen, Shuitu (St 10)
directly below the pupil when one is looking straight ahead . Location: On the anterior border of m . stemocleidomastoideus, l
Indication : Facial paralysis and conjunctival congestion can inferior to Renying (St 9) .
with pain and itching . Indication : Fullness in the chest, cough with dyspnea,
Dicang (St 4) stiffness of the neck and sore throat .
Location: 0 .4 can lateral to the corner of mouth . Tianshu (St 25)
Indication : Slobbering and ;facial hemiparalysis . Location: 2 can lateral to the umbilicus .
Daying : (St 5) Indication : Diarrhoea, constipation, abdominal pain and
Location: In the depression at the lower border of m . irregular menstruation .
masseter, 1 .3 can anterior to the angle of jaw . Biguan (St 31)
Indication: Lockjaw and toothache . Location : On the line- between the anterior-superior iliac
Jiache (St 6) spine and the lateral border of the patella, at they level of the
Location: In the .depression one finger -width superior to gluteal'groove . ,
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 the posterior border of the medial aspect of the tibia .
Indication : Pain in the waist and legs, numbness and
Indication: Insomnia, abdominal distention, indigestion,
flaccidity of the lower limbs with contracture and spasm of
enuresis and irregular menstruation .
muscles with stiffness and difficulty in extension and flexion .
Futu (St 32) Yinlingquan (Sp 9)
Location : 6 can above the superolateral border of the Location: In the depression on the inferior border of the

patella. medial condyle of tibia .

Indication : Soreness of the knee joint and pain in the knee .
Indication: Cold and numbness of the knee with pain ; lower
limbparalysis . Xuehai (Sp 10)
Liangqiu (St 34) Location : 2 can superior to the medial border of the

Location: 2 can above the superolateral border of the patella .

patella . Indication : Irregular menstruation and pain in the knee.

Indication : Pain, cold and numbness in the knee . Daheng (Sp 15)
Location: 4 can lateral to the navel .
Waixiyan (Dubi, St 35)
Indication: Diarrhoea of deficiency-cold type, constipa-
Location: At the lower border of the patella, in the depres-
siolT'lateral to the patellar ligament . tion and pain in the lower abdomen .
Indication : Aching pain in the knee with difficulty in Channel: The Heart Channel of Hand-Shaoyin
movement. Jiquan (H 1)_

Shangjuxu (St 37) Location: At the centre of the axilla .

Location: 3 can inferior to the point Zusanli (St 36) . Indication : Stuffiness in the chest, hypochondriac pain and
coldness and numbness of the arm and elbow .
Indication : Pain around the navel, diarrhoea, lower limb
paralysis . Shaohai (H 3)
Jiexi (St 41) Location : In the depression at the ulnar end of the
transversal cubital crease which appears when the elbow is
Location: On the midpoint of the dorsum of foot at the
transverse malleolus crease, between the tendons of m . extensor flexed .
Indication: Numbness and pain in the arm and elbow .
digitorum longus and hallucis longus .
Indication : Sprain of the ankle and numbness of the foot . Shenmen (H 7)
Channel : The Spleen Channel of Foot-Taiyin Location : On the transversal crease of wrist, at the radial

Sanyinjiao (Sp 6) side of the tendon of m . flexor carpi ulnaris.

Location:- 3 can above the tip of the medial malleolus, on Indication, Palpitation due to fright, severe palpitation, in-
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somnia and amnesia .
Indication: Soreness and pain in the shoulder joint with
Channel: The Small Intestine Channel of Hand-Taiyang
difficulty in movement, and upper limb paralysis .
Shaoze (SI 1)
Tianzong (SI 11)
Location : At the ulnar side of the little finger, about 0 .1
Location : In the centre of the superior fossa of
can posterior to the corner of nail .
spinascapula .
Indication : Fever, apoplectic coma, hypogalactiaa and sore
Indication : Soreness and pain in the shoulder and back,
throat.
dysfunction of the shoulder joint and upper lim paralysis .
Xiaohai (SI 8)
Quanliao (SI 18)
Location: In the depression between the olecranon of the
Location : Directly below the outer canthus, in the depres-
ulna and the tip of the medial epicondyle of the humerus when
sion below the lower border of the zygomatic bone .
the elbow is flexed .
Indication : Facial hemiparalysis .
Indication : Toothache, pain in the neck and soreness and
Channel: The Urinary Bladder Channel of Foot-Taiyang
pain in the upper extremities .
JWgmWg(UBl)
fBingfeng (SI 12)
Location : 0.1 can lateral to the inner canthus .
Location: In the centre of the superior fossa o
Indication : Diseases of the eye .
spinascapula, directly above Tianzong (SI 11) .
Zanzhu (UB 2)
Indication : Pain in the scapular area, difficulty in raising
Location: In the depression proximal to the medial end of
the arm and soreness and numbness of the upper arm .
the eyebrow .
Jianwaishu (SI 14)
Indication: Headache, insomnia, pain in the supra-orbital
Location: 3 can lateral to the lower border of the spinous
bone, conjunctival congestion and pain .
process of the Ist thoracic vertebra .
Tianzhu (UB 10)
Indication : Pain in the shoulder and back, stiffness of the
Location: 1 .3 can lateral to the point Yamen (Du 15), in
neck and coldness and pain in the upper limb .
the depression at the-external border of the trapezius muscle .
Jianzhongshu (SI 15)
Indication: Headache, rigidity in the neck, stuffy nose, pain
Location : 2 can lateral to the point Dazhui (Du 14) .
in the shoulder and back .
Indication: Cough, shortness of breath, pain in the shoul-
Dashu (UB 11)
der and back and blurred vision .
Location: 1 .5 can lateral to the lower border of the spinous
Jianzhen (SI 9)
process of the 1st thoracic vertebra .
Location : 1 can superior to the posterior axillary fold .
Indication: Fever, cough, rigidity in the neck and pain in
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-143-
the shoulder and back. diarrhoea.
Fengmen (UB~12) Baliao (the Eight Liao)
Location : 1 .5 can lateral to the lower border of the spinous Location: A-collective term for .Shangliao (UB 31), Ciliao
process of the 2nd thoracic vertebra . (UB 32), Zhongliao (UB 33) and Xialiao (UB 34), located in
Indication : Cold, cough, rigidity in the neck and pain in the 1st, 2nd, 3rd and 4th posterior sacral foramen respectively .
the shoulder and back . Indication : Pain in the waist and lower ; limbs and diseases
Weishu (UB 21) of the urogenital system .
Location: 1 .5 can lateral to the lower border of the spinous Zhibian (UB 54)
process of the 12th thoracic vertebra . Location : 3 can lateral to the lower border of the 4th sacral
Indication: Gastric diseases, vomiting of milk in infants, process .
and indigestion . Indication Pain in the waist and lower limb, flaccidity of
Sanjiaoshu-(UB 22) the lower extremities, difficulty in micturition, and
Location : 1 .5 can lateral to the lower border of the spinous constipation .
process of the 1st lumbar vertebra . Yinmen (UB 37)
w~Indication : Intestinal gargling and distention, vomiting, ri- Location : 6 can inferior to the midpoint of the gluteal fold .
gidity and pain in the waist and back . Indication : Sciatica, paralysis of the lower extremities, pain
Qihaishu (UB 24) in the waist and back .
Location: 1 .5 can lateral to the lower border of the spinous Chengshan (UB 57)
process of the 3rd lumbar vertebra. Location: At the top of the depression between the two
Indication: Pain in the waist and lower limbs . gastrocnemius muscles . Indication : Pain in the waist and legs
Dachangshu (UB 25) and systremma.
Location : 1 .5 can lateral to the lower border of the spinous Kunlun(UB 60)
process of the 4th lumbar vertebra . Location : In the depression between the posterior border
Indication: Pain in the waist and lower limbs, lumbar mus- of the lateral malleolus and the medial aspect of the tendo
cle strain and enteritis . calcaneus.
Guanyuanshu (UB 26) Indication Headache, stiff neck, lumbago and sprain of
Location : 1 .5 can lateral to the lower border of the spinous ankle.
process of the 5th lumbar vertebra . Channel : The Kidney Channel of Foot-Shaoyin
Indication: Pain in the waist and lower limbs and Taixi (K 3)
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 Location : In , the depression between the tip of medial Channel: The Sanjiao Channel of Hand-Shaoyang
malleolus and tendo calcaneus . Zhongzhu (SJ 3)
Indication: Sore throat, insomnia, toothache, impotency Location: On the dorsum of the hVnd, between the small
and irregular menstruation . ends of the 4th and 5th metacarpal bones, in the depression
Shuiquan (K 5) posterior to the metacarpophalangeal joint when, the hand
Location: 1 can directly inferior to Taixi (K 3) . corms a fist
Indication: Irregular menstruation, dysmenorrhea, diffi- Indication : Migraine, pain in the palm and fingers or in the
culty in micturition, dizziness and blurred vision . elbow and arm .
Zhaohai (K 6) Waiguan (SJ 15)
Location: In the depression on the inferior of the medial Location : 2 can above the transverse crease of dorsum of
malleolus . wrist, between the radius, the ulna .
Indication : Irregular menstruation . Indication : Headache, pain in the wrist or fingers with dif-
Channel: The Pericardium Channel of Hand-Jueyin ficulty in stretching and flexing .
Quze (P 3) Yangchi (SJ,4)
Location : In the middle of the transverse cubital crease, at Location : On the dorsum of wrist, in the depression lateral
the ulnar side of tendon of m . biceps brachii . to the medial border of m . extensor digitorum .
Indication: Aching-pain in and trembling of the upper Indication: Pain in the shoulder and arm or wrist, diabetes,
limbs. deafness .
Neiguan (P 6) Jianliao (SJ 4)
Location: 2 can above the transverse carpal crease, be- Location: Lateral' and inferior to the acromoin, in the de-
tween the tendon palmaris and the mediocarpal tendon . pression about 1 can posterior to the point Jianyu (L 1 15) .
Indication : Stomachache, vomiting, palpitatiom and men- Indication: Aching-pain in the shoulder and arm, and diffi-
tal disorders. culty in shoulder joint movement .
Dating (P 7) Channel : The Gallbladder Channel of Foot-Shaoyang
Location : At the midpoint of the transverse crease of wrist, Tongziliao (GB 1)
between the tendon palmaris and the mediocarpal tendon . Location : Lateral to the outer canthus, in the depression at
Indication : Pain in the costal region, palpitation, the lateral border of the orbital bone .
stomachache, vomiting and pain - in the chest and Indication : Headache, conjunctival congestion, irritated
hypochondrium . epiphora. .
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 Yangbai (GB,14) pain in ; the lower limbs .
Location : 1 can superior to the midpoint of the eyebrow . Qiuxu (GB 40)
Indication : Headache, vertigo and pain in the eye . Location : Anterior and inferior to the external malleolus,
Juliao (GB 29) in the depression on the lateral side of the tendon of the m .
Location : At the midpoint of the line between the extensor digitorum longus .
anterosuperior iliac spine and the highest point of the greater Indication: Pain in the knee joint, chest and,hypochondrium .
trochanter femur. Channel: The Liver Channel of Foot-Jueyin
Indication : Pain in the loins and legs, soreness and pain in Taichong(Liv 3)
the hip joint and sacro-iliilis . Location: On the dorsum, in the depression distal to the
Huantiao (GB 30) articulation of the 1stt and 2nd metatarsals .
Location : At the junction of the external one third and the Indication : Headache, dizziness, hypertension and infantile
internal two thirds of the distance between the highest point of convulsion .
the greater trochanter of femur and the hiatus of sacrum . Zhongdu(Liv 6)
Indication: Pain in the loins and legs, sciatica, hemiparalysis Location : 7 can superior to the tip of the malleolus, on the
and flaccidity of the lower extremities . posterior border of tibia .
Fengshi (GB 31) Indication:, Abdominal pain, diarrhoea, hernia, metrorrhagia
Location : On the lateral midline of the thigh, 7 can superi- and metrostaxis, and lochiorrhea .
or to the popliteral transverse crease . Qimen(Liv 14)
Indication : Hemiplegia, flaccidity and numbness of the Location : Directly below the nipple, in the intercostal
lower extremities and aching-pain in the knee joint . space between the 6th and 7th ribs .
Guangming (GB 37) Indication : Pain in the chest and hypochondrium,
Location : 5 can above the tip of external malleolus, close vomiting, abdominal; distension and diarrhoea .
to the anterior border of fibula . Channel : The Ren Channel
Indication :' Pain in the knee, flaccidity of the lower limb, Shimen (Ren 5)
pain in the eye and distention of the breaSt Location : 2 can inferior to the umbilicus . . ;
Xuanzhong (GB 39) Indication Abdominal pain, irregular menstruation, fullness in
Location : 3 can above the tip of external mallelus, close to the epigastric region, amenorrhea and dysmenorrhea .,
the anterior border of fibula . Juque (Ren 14)
Indication: Headache, rigidity in the neck and soreness and Location: 6 can superior to the umbilicus .

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 Indication : Precordial pain, gastric regurgitation,-manic Indication : Infantile convulsion, facial hemiparalysis, coma
depressive psychosis and painful syndromes . and dizziness .Extrachannel Points

Jiuwei Men 15) Yuyao (Extra)

Location: 7 can superior to the umbilicus and inferior to Location : In the middle of the eyebrow .

the sternum . Indication: Precordial pain, gastric regurgitation, Indication : Congestion of the eye with pain, blepharoptosis
gastric diseases and pain and fullness in the cheSt and facial hemiparalysis .

Channel: The Du Channel Anmian (Extra)

Changqiang (Du 1) Location: On the midpoint of the line joining Fengchi (G B

Location: 0 .5 can inferior to the tip of the coccyx . 20) and Yiming (Extra).

Indication : Diahorrea, constipation and prolapse of anus . Indication: Insomnia, headache, vertigo, palpitation,
Yaoyangguan (Du 3) deafness and hypertension .
Location: Inferior to the spinous process of the 4th lumbar Weishang (Extra)
Location: 4 can lateral and 2 can superior to the umbilicus .
vertebra .
"' Indication : Pain in the waist and `back, flaccidity of the Indication : Gastroptosia, stomachache and abdominal
lower limbs and irregular menstruation . distention .

Jizhong (Du 6) Dingchuan (Extra)

Location: Inferior to the spinous process of the 11th Location : 0 .5 can lateral to the midpoint of the lower bor-
thoracic vertebra . der of the spinous process of the 7th cervical vertebra .
Indication : Rigidity and pain in the waist and along the Indication : Cough with dyspnea, pain in the shoulder and
spine, diarrhoea, and prolapse of anus . back, stiffneck and pain in the the upper limbs with difficulty in
Taodao (Du 13) raising the arm.

Location: In the depression inferior to the spinous process Jiaji (Extra, a group of points)
of the 1st lumbar vertebra . Location : 0.5 can lateral to the lower borders of the

Indication : Headache, rigidity in the neck, aversion' to cold, spinous processes from the 1st thoracic - vertebra to the 5th
fever, cough with pain in the chest and soreness and pain in the lumbar vertebra .

back and along the spine . Indication: Rigidity and pain in the spinal collumn and

Renzhong (Du 28) diseases of the extremities and the viscera .

Location : At the junction of the upper one-third' and low- Shiqizhui (Extra)
er two-thirds of the midline of the nasolabial groove . Location : At the lower border of the spinous process of the

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.5th lumbar vertebra. ;

Indication : Pain in the waist and legs, dysmenorrhea and
pain in the lumbo- sacral portion . Chapter Four The Training of Qi
Shixuan (Extra)
Location : At the tips of the ten fingers, 0 .1 can from the
nails . Training of qi is the basic step of guiding and emitting qi .
Indication : Syncope, sore throat and infantile convulsion . A qigong therapist usually has to undergo long-term painstak-
Jianneiling (Extra) ing dynamic (physical) and static (internal) exercise before his
Location : At the midpoint of the line connecting the upper functional activities of qi can be voluntarily regulated, replen-
end of the anterior axillary fold and the point Jianyu (L 1 15) . ished and circulated down to Dantian, and his qi can flow free-
Indication : Soreness and pain in the shoulder joint with ly all over the body through the channels . Wherever his mind is
dysfunction of shoulder movements . concentrated, there is qi ; and wherever there is qi, there is
Sikeng (Extra) strength. This is the foundation for qigong therapists to guide
Location : On the palmar surface in the tranverse crease of qi and emit waiqi (outgoing-qi) . Training of qi is achieved
the proximal interphalangleal joint of the index, middle, ring mainly through static exercises, dynamic exercises and Daoyin
and small fingers of both hands, 8 points in all . selfmassage, or in a general term, qigong dirigation .
Indication : Infantile malnutrition, pertusis and infantile di-
arrhoea . Section One The Essentials of the
Qiaogong (Extra) Training of Qi
Location : The line posterior to the ear connecting Yifeng
(SJ 17) and Quepen (St 12) . 1. Being Both Dynamic and Static
Indication : Headache, dizziness and hypertension . Qigong exercise calls for selection of methods which suit
Taiyang (Extra 2) the health status of the individuals . The practice of static
Location : In the depression about I can lateral to the line qigong is aimed at training and accumulating qi to get the func-
connecting the lateral end of the eyebrow and the outer tional qi substantial in Dantian, and with more practice, to get
canthus. qi circulating through the Ren and Du Channels and all the
Indication: Migraine headache and conjunctival congestion . other channels, or further, to open the large and small circule
of qi . On the other hand, static qil i .g is aimed at promoting
the functional activities of qi to guarantee the free pass of it
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through all the channels of the human body, which in turn may facilitate good relaxation .

facilitate the static training of qi . The two methods are supple- Both the relaxation and tranquillity mentioned above
.
mentary to each other provided they are combined as one . should be achieved naturally,so should the regulation of pos-
No matter which of the two is practised, the principle ture, breathing and mind concentration .
3 . Coordinating Will . and Qi (Vital Energy)
" quiescence in motion and motion in quiescence" should be
adhered to . When dynamic qigong is practised, while keeping The coordination of will and qi, as the term implies, means
physical movements going on, one needs to keep the mind con- that in qigong exercise, will should follow qi and vice versa .
centrated on the effectiveness of limb movements and the circu- The practitioner should not put undue emphasis on exerting
lation of qi along the channels and collaterals . When static will to guide qi, which usually leads , to forced "gentle, fine, even
qigong is practised,the more serene and relaxed one is, the and long" breathing other than that acquired naturally through
more one can feel the effectiveness of the circulating qi along correct practice ; nor should he force unnecessarily abdominal

the channels and collaterals . A correct realization of the respiration which leads him to buldge his belly and throw out
reffectiveness of motion can help one to concentrate himself , his chest on purpose,losing naturalness . Another deviation can
expgll distracting thoughts and raise the quality of exercise . be seen in the fact that when the motion off qi is felt inside the

2. Being Relaxed and Tranquil Naturally body, the practitioner forces it by will to flow in a definite di-
Relaxation, a principle in qigong exercise, means both rection .This is also against the principle which needs the func-

physical and mental, for only when one is relaxed mentally can tion to be formed naturally through practice .Xue Yanggui of
the Qing Dynasty (1644-- 1911) wrote in his book Mei Hua
he be so physically . However, relaxation here does not mean
with
slackness or inattentiveness,but means relaxation Wen Da Pian (Questions and Answers of Meihua) that "the
attentiveness, relaxation with tension and tension without rigid- tranquillity of the mind regulates the breathing naturally and in
ity, dominated by the conscious mind . turn regulated breathing brings on concentration of the mind
naturally ; this is what is said that mind and breathing are
" Tranquil" here means to keep a serene mind during
qigong exercise . Tranquillity is relative, there exists no absolute interdependent and regulated respiration produces serene
mind" .
tranquillity . The so called "falling into quiescence" in qigong is
It is not advisable to put undue emphasis on realization of
different from natural sleep and general rest . It implies a special
tranquil state with consciousness, or in other words, a special the flow of qi either . The cold, hot, tingling, distending, itching,

conscious state with tranquillity . light, heavy, floating, deep or warm sensation experienced dur-
Relaxation and tranquillity are mutually promotive prop- ing qigong exercising will go along a certain route . It is improp-
er relaxation often results in tranquillity and tranquillity can er to pursue such kind of sensation intentionally or to exagger-

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 mind activities ; and lastly, the practice ofg outgoing-qi,
emitting
ate it, or force oneself to gain it .
which needs the practitioner to grasp the hand manipulations
4 . Combining Active Exercise with Inner Health Cultivation
"Active exercise" means a series of procedures controlled and to improve the hand sensitivity , the qi-emitting technique
and the skills for eliminating pathogenic , filthy qi . Only in this
by consciousness during qigong exercise in terms of determina-
tion of a proper posture, adjustment of the body, achievement way, can one learn the correct methods of treating diseases
with : outgoing-qi . < Inconstancy in practice should be avoided
of internal and external relaxation, regulation of respiration, as .
that
well as the elimination of distracting thoughts . The saying Negligence of one's own advantages and disadvantages to pur-
"active exercise is vigorous breathing (wu- huo)" , means to sue merely "super skill" and "emission of outgoing qi" will lead
only to the opposite.
conduct breathing training under strong domination of con-
sciousness . "Inner health cultivation" refers to the static state Section Two Essential Factors
one falls into after active exercise, in which one carries out in Training Qi
" wen huo" breathing (gentle breathing), feeling relaxed and 1 . Posture
comfortable, with his will and respiration feeble and faint .
In qigong practice, active exercise and inner health cultiva- Posture in qigong is also called regulation of the body or
adjustment of posture. It is especially important for the begin-
tion are done alternately and the two are interpromotive . For
instance, one may have static inner cultivation after active ex- ners of static or dynamic qigong to have a good command of
proper posturization .
ercise has been practised or - vice versa to achieve the
Four postures may be assumed in qigong exercise-sit-
effectiveness of "active exercise in static cultivation" or "static
we can say, "a combination of ting, lying, standing and walking . Static qigong usually requires
cultivation in active exercise", or
a sitting,lying or standing posture while dynamic qigong often
the two", to raise the quality of qigong exercise .
needs the standing and walking . The formal training of outgo-
5 . Proceeding in an Orderly Way and Step by Step
ing qi therapy often needs a strict posture ; however, the skill
qigong exercise needs :to be proceeded in an orderly way
can also be trained during walking, standing, sitting and lying
and step by step . Be aware of the old saying "Haste makes
qi therapy, the basis for guiding in daily life .
waste" . In qigong outgoing -
and emitting qi is, firstly, the hard practice of static and dynam- (1) The Sitting Posture
1) Upright Sitting
ic exercises ; which is required to get the internal qi substantial
and all the channels and collaterals unobstructed ; secondly, the Sit upright on a large, even square stool . Ground the feet
training of guidance of qi, which is the skill to make the,inter- apart at shoulder width . Bend the knees to form an angle of 90
nal qi circulate with the changes of posture, respiration and

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.between the trunk and two palms in front of the chest to form a Fo Zhang Shi (a
degrees . Keep the tr4tnk erect, the angle cross-legged Buddha-greeting sitting posture) (Fig . 4-3) . Or
the thigh being 90 degrees . Rest the palms gently on the thighs put the two hands on the two knees naturally to form a Jin
with the arms bent at the elbows naturally, look straight for-
Gang Shi (a crossed-legged Buddha's-warrior--attend,int sit-
ward, draw in the chin a little, let down the shoulders and draw
ting posture) (Fig . 4-4) .
: the back straight, close the
the chest slightly inwards to keep
eyes, and mouth gently and apply the tongue against the palate

(Fig . 4-1) .

Fig . 4-3 The Crossed-legged Fig . 4-4 The Cross-legged

Buddhist-Greeting Buddha's-Worrior-
Sitting Posture Attendant Sitting
Posture
(2) The Lying Posture
1) Lateral Recumbent Posture
Fig. 4-2 The Cross-legged Zi- Lie on bed in lateral recumbent posture (usually on the
Fig . 4-1 The Upright Sitting
Posture Wu Sitting Posture right side but either side will do ), the trunk being kept slightly
2) Sitting Cross-legged bent . Rest the head on a pillow and lean it towards the chest a
Sit cross-legged on bed steadily with the two feet under bit . Keep the eyes and mouth slightly closed and the tongue
. Cushion the hips to raise them a little, with the body against the palate . Put the hand of the lying side comfortably
the legs
leaning slightly forwards . overlap the hands before the abdo- on the pillow with the palm upwards, and place the other palm
men with the left above the right and the thumb of the right on it, the tips of the little, ring, middle and index fingers of the
hand pressing Ziwen (the crease joining the palm and the ring upper hand on the metacarpophalangeal creases of the corre-
: and the middle finger of sponding four fingers of the lower hand, the thumb of the up-
finger) of the left hand and the thumb
the left hand jointing together to form a Zi-Wu Jue Shi (a per hand resting on the outside part between the thumb and the
cross-legged Zi-Wu sitting posture) (Fig . 4-2) . Or close the
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-158-
 arm of the head straight, the trunk erect, the chest slightly inward,the
index finger of the ld*er hand . Or place the upper
side of the body (Fig . 4-5) . knees at ease and the arms raised and bent a little . Keep the
above side naturally on the same
ringers apart ; naturally, and hold the two hands close to the ch-
Stretch the leg of the lying side naturally, with the above bent
est or the lower abdomen as if holding a ball (a ball-holding
and resting naturally on it .
standing,Post Lire) (Fig . 4-7) . or close the two palms in a way as
2) Supine Posture
Lie on bed in a supine posture with the face upward and if doing Buddhist greeting ( a Buddha's greeting standing pos-
ture ), or press the palms downwards (a palm pressing stand-
the neck straight, stretch the extremities naturally with the two
ing posture)(Fig . 4-8)): or get the right (left) hand upwards
hands at the sides of the body or on the abdomen, overlapping
with the left (right) palm held erect with the root of the palm
one another'. (the right, above the left in male and vice-versa in
female), keep the eyes' and mouth gently closed and the tongue pointing at the midpoint of the medial side of the root of the
against the palate to form a'-Die Zhang Shi (a supine, lying pos- right (left), palm to form a Zhan Zhuang Fang Yuan Shi (a
square-round standing posture) (Fig . 4-9) . The two hands can
ture with hands overlapped) (Fig . 4-6) .
also be overlapped against the lower abdomen . The mouth and
eyes should be closed gently and the tongue should be propped
against the palate during practice .

Fig . 4-5 The Lying Posture

V'>

Fig. 4-6 The Lying Supine Posture with Hands Overlapped

(3) The Standing Posture
Stand with feet apart as wide as the shoulders . Keep the Fig . 4-7 The Ball-holding Standing Posture

1611


2) Picturing. Supporting an Object on the Head

Also called "Suspending the Crown of the Head" , it is
necessary to prop the head upward gently, pull in the chin
slightly and lift the neck a little to get it straight and relaxed .,
3) Relaxing : the Shoulders and Dropping the Elbows
This should be done with ease ; avoid stiffness of the el-
bows.

4) Drawing in the Chest and Straightening the Back

The practitioner should not ease his back at will or lean it
against anything . Instead, he should keep it erect, and on this
basis, draw in his chest a little .
5) Keeping the Waist and the Abdomen Relaxed
The waist and abdomen are two important parts in train-
ing and guiding qi . The abdomen is usually taken as the fur-
Fig .4-9 The Square-round nace for refining qi and the waist, as the residence of the kid-
-Fig . 4-8 The' Palm-pressing
Standing Posture
Standing Posture neys,the gate of life and the important pass of qi and blood cir-
culation . Relaxation of the waist and abdomen without slack-
(4) Essentials of Posturization
So far as the requirementss for posture in qigong are con- ness is helpful to the training and circulation of qi .
Nian Que Bing Jian (Eight 6) Contracting the Buttocks and Relaxing the Knees
cerned, Zun Sheng Ba Jian - Yan
Contracting': the hips a little helps to straighten' the spinal
Annotations on Health Preservation - Annotations on Longevity
(Ming Dynasty, column ; relaxing the knees permits free flow of qi through the
and Disease Prevention) by Gao-, Lian
1368-1644) says, "Sit on a thick-padded cushion, loosen the Three Yang and Three Yin Channels of Foot .
clothing, keep the back straight up, get the lips close to the 7) Keeping the, Toes Clutching the Ground
teeth, stick the tongue against the palate, keep the eyes slightly When the standing posture is taken,stretch the feet and let
open and stare at the apex of the nose" . Although there is a va- the five toes of each foot clutch the ground to keep the body as
riety of postures in qigong exercise, the essential requirements firm as Mount Tai (as stable as possible) .
8) Curtain-fallingg and Inward Vision
for them remain the same .
1) Loosening the Clothes It refers to dropping the eyelids to create inward vision on
This step is essential to ensure a smooth flow of qi through the spot where qi is trained or circulates . Yin Fu Jing claims
the unobstructed channels and collaterals . that "the functional activities of qi are determined by the eyes" ;

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fuqi (inhaling qi), shiqi (eating qi),jinqi (entering qi),yanqi

- on Elusiveness)
Ling Shu - Da Huo Lun (Miraculous Pivot
eyes are the messengers of the mind, and the (swallowing qi),xingqi (circulating qi) and caiqi (taking in qi) ;
holds that "the as for breathing methods, there are terms such as shangxi (up-
mind is the home of vitality" . Eyes are of great importance in
keep per breathing), xiaxi (lower breathing), manxi (full breathing),
qigong exercise . Curtain-falling and inward vision can
chongxi (blurted breathing), chixi (lasted breathing), changxi
mentality undisturbed, turning off ;. hallucination as well as
(long breathing) and shenxi (deep breathing) . The following
sunlight . The eyes should neither be tightly closed nor left wide breathing methods as required for training of qi are usually
open ; in the former, drowsiness may occur because of darkness used .
and in the latter, vitality may be deranged' because of too much
(1) Natural Respiration
light. Natural respiration is the ordinary breathing under nor-
9) Closing the Mouth and "Stopping the Ears"
mal"physiological condition. Because of the difference in physi-
Laozi (Laotzi) once said " Close the mouth to shut the
. Shutting the gate' here refers to closing the mouth slight- ology between male and female and in the breathing habits of
gate" individuals,natural respiration can be further divided into nat-
ly without clenching the teeth or tightening the lips, while stop-
ural thoracic respiration, natural abdominal respiration and
ping the ears means to focus one's hearing to oneself so as to
. the combination of the two . Any of the above should be domi-
be free ; from outside interference (inward-hearing) nated by certain consciousness, performed naturally, and taken
10) Sticking the Tongue against the Palate
as the usual way of breathing in qigong exercise .
Traditionally called "propping, the palate with the tongue
the tongue against (2) Orthodromic Abdominal Respiration It refers to
tip" or "tongue propping" ,it means to apply
trained natural orthodromic abdominal breathing formed
the palate naturally and gently to join the Ren and Du Chan-
gradually through practice of natural' respiration' under guid-
nels . In the course of practice, the strength of the tongue stick- ance of will . To train orthodromic abdominal respiration, one
mg against the palate will increase automatically and the
ing . employs a little consciousness to relax the abdominal muscles
tongue substance will be gradually pulled backward in accord
during inhaling to make the abdomen bulged naturally, and
This is a phenomenon occurring in the course of qigong prac-
during exhaling, uses some consciousness to get the abdominal
tice,and should not be pursued intentionally .
muscles contracted . The contraction and relaxation of the ab-
2. Respiration dominal muscles are intensified gradually and naturally
Respiration is also called regulation of breathing, breath-
through a certain period of practice . Forced exertion must be
ing method, or venting and taking in (tu na) .It is an important avoided. : The orthodromic abdominal respiration tends to ap-
link in qigong exercise . The ancients attached great importance
. A great many terms about breathing ex- pear when one concentrates his mind on the navel .
to breathing, exercises (3) Antidromic Abdominal Respiration
ercises can be found in books written in ancient times, such as
 stage in practice.
Antidromic abdominal respiration is the main breathing
method used in training qi, guiding qi and in emitting (6) Essentials of Respiration Training
outgoing-qi .To get it, one uses will to guide the abdominal 1), It is preferable to train mainly posturization first when
muscles to contract and make the abdomen sunken during in- one starts practising dynamic or static qigong . Training of res-
piration should begin when one is skilled and natural in
haling and , during exhaling , relaxes the abdominal muscles
posturization . Otherwise adverse effects such as respiratory dis-
gradually to get the abdomen bulged . Training in this way for a
certain period of time will make, antidromic abdominal respira- tress, emotional upset, chest stuffiness and headache may
occur .
tion a natural one in qigong exercise .
When antidromic abdominal respiration becomes more or 2) The final goal of respiration training is to achieve deep,
less natural, it can be done in cooperation with contraction of long, even and fine respiration . This is the result gained from
the anus, which means to contract the anus and pudendum long term practice ; forced lengthened breathing or oppressed
slightly during inhaling and relax them during exhaling . breathing should be guarded ; against .
3) ; The ancients laid much stress on the manner of breath-
(4) Latent and Embryo ; Breath
Latent breath may occur when respiration of the practi- ing in their practice of regulation of respiration, stating four
phases (xiang), of respiration : wind phase (feng xiang), gasp
tioner is in an extremely, gentle state which is built up through
long-term qigong exercise . Embryo breath is a kind of abdom- phase (chuan xiang), air phase (qi xiang) and rest phase (xi
xiang) . With the wind phase, one can hear the rough sound of
inal respiration much more : gentle than the latent, breath, with
his own breath ; with the gasp phase, though he may hear no
which there is almost no movement of the abdominal muscles
and the practitioner can only feel respiratory rhythm at the na- sound of his breath, he may feel stagnated and obstructed ven-
tilation of air ;, with air phase, he may neither hear the rough
vel. The method is considered somewhat mysterious and
miraculous in ancient literatures . They may be achieved when sound of breath nor feel the stagnated and obstructed ventila-
the training of qi hasreached the peak period . One, should not tion of air yet his breath is not even ; and with the rest phase,
which is a state of extreme quietness, he may achieve deep, long
try to get it by importunity .
(5) Other Breathing Methods and even respiration . It was believed in ancient times that
Apart from the above mentioned main breathing meth- "concentrating on the wind phase may derange the mentality,
ods, others that can be trained may include long inhaling and on the gasp phase ; may cause knotted mentality, on the air
short exhaling, short exhaling and long inhaling, nasal exhaling phase may strain the mentality, and only on the rest phase can
the mentality be set peaceful" .
and inhaling, nasal inhaling and oral exhaling and respiratory
pause after exhaling or inhaling . The selection of the breathing 4) Before starting respiration training,it is desirable to
methods is based on the methods of qigong exercise and the open the mouth to exhale, imagining that the obstructed parts

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of all the vessels are<=dredged and the turbid qi is expelled from (2) Directive Mind Concentration
the body along with exhaling ; then to close the mouth' to take It refers-to mind concentration following the circulation of
in the fresh . The above inhaling- and exhaling should be carried qi along the channels when gigong' exercise is practised or when
out three times and then natural breathing should be taken, qi is emitted ; or the sensation obtained when the mind is con-
which should be further adjusted by will to be one desired for centrated on the two handsor on , a certain part of the body .
training . (3) Rhythmical Mind Concentration
3. Mind Concentration It occurs repeatedly or vibrates rhythmically or moves
Mind concentration is also known as will control or regu- subtly with normal respiratory cycles during qigong exercise or
lation of the mental activities. The training of mind concentra- emission of qi, like the vibration produced by driving a pile and
tion is an important link in training qi . She Sheng San Yao the quivering of the hand in emission of outgoing-qi
(The Three Gists of Regime) says," Preservation of essence of (4) Power-strengthening Mind Concentration
life rests with cultivation of vital energy-(qi) which in turn rests During qigong exercise or emission of qi, one may think
with mental focalization. Mental focalization is to vital energy that he had as much strength as he could imagine . For
as mother is to child . So concentration of the mind would have example, he may imagine that . he is strong enough to push
vital-energy consolidated while distraction of the mind would down a hill, to hold up the sky or to pull nine oxen back by the
have it dispersed . He who only tries to save essence of life but tails . This kind of mind concentration is named
neglects mental concentration knows the how but does not power-strengthening
strengthening mind concentration .
know the why" . Here the relationship between essence of life, (5) Suggestive Mind Concentration
vital energy' and mental concentration needed in qigong exer4 It refers to training of the thought during qigong exercise
cise is stressed and importance is attached to mental activities . and emission of qi, by which the movements are induced in
An essential thing in training of qi is the training of mind coordination with language, e .g ., saying some words silently or
concentration . This is especially true of guiding qi and emitting meditating the results one wishes' to achieve by exercise .
outgoing-qi . (6) Representative Mind Concentration
(1) Localized Mind Concentration While practising qigong exercises, one may perform some
During qigong exercise, concentration of the mind on a imaginary movements and, get qi response, in the long run . For
certain part or a point of the body such as the Upper Dantian, instance, he may imagine he is stroking ,a ball, pressing qi, in-
Lower Dantian and Middle Dantian, Yongquan (K 1), the In- stilling qi and expelling unhealthy qi, and he may feel qi as hot
ner Laogong (P 8), the fingertips or palms, or on something or as fire, as cold as ice, : as sharp as a sword, or as soft as cotton .
a spot fixed outside the body is known as localized mind'con- (7) Essentials of Training Mind Concentration
centration . 1) Mental activities should be coordinated naturally with

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respiration and posture . For example, in dynamic qigong exer- ishing yin in autumn and winter" . In one day, the first six of the
cises or Daoyin, mental activities must be adapted to the pos- 12 two-hour periods (the twelve Earthly Branches by which
ture and the lifting, lowering, opening and closing ;manipula- the 24-hour day is divided), i.e., Zi (11 pm - I am), Chou (I -
tions of the hand . 3 am), Yin (3 - 5 am), Mao (5 - 7 am), Chen,(7 - 9 am) and
2) Mental activities should be carried out naturally in a Si (9 11 am ) are called the sixyang periods, while the second
composed state of mind . The mind should be kept clear and the six, i.e., Wu (11 am - 1 p in), Wei (1 -,3 pm ), Shen (3 - 5 pm
distracting thought should be expelled . While ; one should not ), You (5 - 7 pm ), Xu (7 9 pm) and Hai (9- 11 pm ), are
forget mind concentration, one should : not force himself to get called the six yin periods . The antients believed that during the
it. six yang periods of the day the external world is filled with ac-
3) Training of mind concentration cannot go without tive force (the force promoting growth and development) while
"confidence" . No matter what kind of mental activity one is during the six yin periods the external world is enveloped in
training, one should be confident that he can realize the goal, stagnant force . So it is advisable to train qi during the six yang
though he, should not expect unpractical quick results . periods .
4) Do not be overjoyed or frightened if something The beginners can practise training of qi mainly in the
unexpected happens or something is perceived by conscious- morning and evening based on their own conditions of consti-
ness during exercise . Do not worry or talk about it . Take ad- tution and their working habit, and can practise some more
vantage of this good effect to keep the mind ; concentrated, and flexibly at the free hours . When one's qi-activities inside the
qi consolidated . body are vigorous, his vital energy is replenished and he can
Section Three The Time and Direction for realize that there is a kind of vital qi enveloping him or envel-
Training Qi and The Points' for Attention oping around him, he can begin to practice during the Zi, Wu,
Mao and You periods, or during the period when he is most
The Time for Training Qi
sensitive to qi or his qi activity is most vigorous, to achieve
The training of qi should be adapted to nature. The twice the result with half the effort .
qigong exercises to be practised should be selected according to A master qigong practitioner usually practises qigong ex-
the season or even to the month or the date, and to the physical ercises during the Zi, Wu, Mao and You periods when he has
conditions of the individuals . The time of exercise is determined gained certain experiences . In the concrete, training of qi is per-
on the basis of the time of advance and retreat of yin and yang . formed during the Zi and Wu periods, and nourishing of qi
Su Wen - Si Qi Tiao Shen Da Lun (Plain Questions Treatise (muyu) during the Mao and You periods . And because the Zi,
on Regulation of Vitality, in Four Seasons) emphasizes the prin- Wu Mao and You periods represent the fluctuation of yin and
ciple of " nourishing yang in spring and summer and replen- yang in terms of its advance and retreat in winter, summer, spr -
ing and autumn respectively (there are one yang and five yin The Direction for Training Qi
during the Zi period, one yin and five yang during the Wu pe-
riod, four yang and two yin during the Mao period and four Su Wen - Ci Fa Lun (Plain Questions - On Acupuncture)
yin and two yang during the You period), the number °"and ad- states that " Those with lingering kidney disorder can face
vance and retreat of yin and yang during the four periods are south during the-Yin period quietly with no distractions" . Be-
geometrically symmetric and balanced, which can keep the cause the Yin period pertains to the spring-wood and relates
practitioner's yin and yang in equilibrium and is helpful to and to the liver, ; training of qi during this period, i.e., "the early spr-
ideal for the training of qi . ing" period when the Shaoyang Channels are vigorous, will
Because of the difference between people in physique, such render the exuberant wood (liver) to control earth (spleen) to
as shaoyang physique, taiyang physique, shaoyin physique, prevent earth from inter- restraining water, (kidney), which
taiyin physique and yin-yang- balanced physique, the time for "enables water (kidney) .to develop and become healthy",just as
practice should be determined according to one's own condi- the saying, goes, "Kidney diseases heal, in spring (Yin- period)" .
tions and to the fluctuation of yin and yang in a whole= day . On the other hand, the intrinsic gi is in the Lung Channel in the
Those with yang deficiency should do some practice during the Yin period, and ; because the lung-metal can generate
six - yang periods to replenish yang-qi ; while those deficient in kidney-water, " the kidney deficiency can be cured by rein-
yin should practise more during the six yin periods to get the forcing its mother" (the kidney and the lung are in child-moth-
kidney-yin (kidney essence) sufficient, which in turn may facil- er relationship).. It is generally believed that practising qigong
itate the preservation of yang qi . facing south- and east is helpful to yang, while facing west and
For a patient, the time for practice should be selected in north helpful to yin .
line with the philosophy- of yin, yang, the Five Elements, the The majority, of qigong schools in ancient times attached
,
time of circulation of qi and blood along the course of the emphasis on practice of qigong in certain directions . The rea-
channel as well as the severity of illness . For instance, the Hai son for that is just because the directions east, west, south
and Zi periods are good for regulating the function of the kid- and north, as well as the sun, moon and stars of the universe
ney, the Yin and Mao periods for the liver, the Si and Wu peri- have direct influence on the human body .
ods for the heart, the Shen and You periods for the lung, the Zi- Generally speaking, beginners may practise qigong facing
period for the Gallbladder Channel, the Chou period for the east or southeast, or in the day time facing the sun and in the
Liver Channel, the Yin period for the Lung Channel, the Mao evening facing the moon . As the purpose of qigong practice is
period' for the Large Intestine Channel, and the Chen, Xu, to train yang-qi inside the body to make genuine qi (pure
Chou and Wei periods for the Spleen Channel . yang-qi) accumulated and activated to link up with qi of the
universe, the direction of yang (positive aspect) should be taken

-172- -173-
as the main direction for qigong practice so as to take qi from tention both to the teacher's instructions and to one's own ini-
Heaven and Earth to nourish the human body . However, when tiatives . Be confident and do the exercises in sequence and step
one has practised qigong to a certain extent with his vital ener- by step .
gy rendered sufficient, his qi circulation active and his percep- 2.Once ' a method of practice is determined, one should be
tion to qi sensitive, he can choose the place and direction all by constant and persevere with it . - Do not waste - the time on
himself according to his own experiences and understandings . changing the practice methods.
3. The frequency and duration of training-qi practice
This will be more efficient. The method of direction selection is,
when a proper place is determined, the practitioner may as- should be determined flexibly in line with the physique and
health status of the individuals and their skill in qigong . It is
sume a suitable posture and get into " quiescence" a state in
which he may feel -qi clearly and his qi-activity is vigorous, then advisable to increase the practice frequency and duration grad-
ually .
try attentively to perceive at which direction, say' east, west,
south or north, his body is most stable and his qi is most active . 4. It should be taken as a principle that the practitioner
This direction is therefore the optimal one for training qi . For should choose a quiet environment with fresh air for practice .
example, the practitioner is standing or sitting' facing south and Better results can be achieved if the dynamic exercise is done in
feels that his body is enveloped' with qi but he is being turned the open or in a place with flowers, grass and trees . Practice in

by force toward southeast and can not stand or sit stably, the hot sun or against cold, strong wind and rain with thunders
then he can change his direction to southeast, and the like . The and lightening, or in a place near old, withered trees or near old
desired place and direction are those in which the practitioner graves should be avoided.
can stand or sit as stable as Mount Taishan . Some beginners 5. The training of qi should be combined with cultivation
may feel no qi around though he may feel turning of the body . of one' s moral character . Qian An Yao Fang (Valuable Pre-
This is mostly caused by improper mind concentration and scriptions) written by Sun Simiao (Tang Dynasty, the middle of
posturization, and the practitioner- should' corrects it through 7th century) says, "The way to keep in goodhealth is to avoid
long-time sole walking, standing, sitting,' lying, looking and lis-
regulation of mental activities- and posture so that good effect
can be attained rather than being misled by the suspicion that tening." and "He who is good at health preservation is who
he himself has attained real perception of qi, lest qigong devia- knows the twelve mottos or the twelve lesses-less thinking,
tions occur. longing, desire, meddling, talking, laughing, anxiety, amuse-
ment, joy, anger, readiness and wickedness" Practice under
Points for Attention in Training Qi overfatigue, starvation and overeating should be avoided . The
practitioner should keep a;light heart and lead a regular life .
1 . Have a good understanding of training qi and study
6. To be ready for the practice, go defecate, loose the
carefully the essentials of it and adhere to its principles . Pay at-

-174- -175-
 clothes and wear soft flat-sole shoes . of respiration should be guided by consciousness at the begin-
7 . Adhere to the principle of the three steadiness-stead- ning . After some practice, it can be done with neither negli-
starting, steady performance and steady closing of the exercise . gence nor forcibility .
8. Do ; not premeditate qigong effect, e .g ., to force yourself 3. Mind Concentration
to experience hot sensation in the lower abdomen or a certain Setting the mind on the Lower Dantian is the main meth-
sensation of qi . If qi effects occur during practice, do not try to od of mental concentration in training qi in static qigong. The
identify it or to be overjoyed or frightened . Just let it take its method is literally called " concentration on the qi point" ,
own course . which is practised to gain substantialness of qi in Dantian and
9. Attention should be paid to avoid sudden panic . If one to open "Zhou Tian" (the circule of qi) when one can guide qi
is suddenly frightened during exercise, one should not be to flow inside the body by consciousness on the requirements
panic=striken . The proper way is to find out the cause of the for training qi .
panic and to guide qi to its origin (the Lower Dantian), then
Methods of Practice of Static Qigong
continue or terminate the exercise.
1 . Be in a proper posture, relax all over and get rid of dis-
.-Section Four Static Qigong for Training Qi tractions .' Imagine that the turbid qi within the body is expelled
The Three Regulations through the mouth,nose and pores all over the body along with
exhaling .After three times'' exhaling,get the upper and lower
1. Posture
teeth tapping each other 36 times, then move the tongue within
Sitting, standing or lying posture may be selected for the
the mouth and swallow the saliva three times, imagining that
training of qi. One may select the standing, upright sitting or
the cross-legged sitting that is most suitable for him as the the clear qi of Heaven and Earth comes together with the saliva
main posture and take the other postures as the supplementary down to Dantian to nourish the whole body .
ones so that he can take the advantage of any opportunities to 2 . Regulate the breath' to get it even and smooth, expel dis-
practise . tractions, concentrate the mind on the Lower Dantian, close
2. Respiration the mouth and focus the hearing to the Lower Dantian, and
Antidromic abdominal,respiration is mainly adopted . The close the eyes- gently to look inwardly at the Lower Dantian .
beginners may practice natural and then orthodromic abdomi- All these should be carried out naturally and lively . Voluntary
nal respiration at the first stage and, when used to it, shift to stop of respiration and rigid mind concentration should be
antidromic, respiration . The purpose forsuch respiration train- avoided . While one should not forget qi, one should not speed
ing is to get the breath deep, long,- fine and even . . The training up its circulation but simply follow it naturally as it progresses .
- 1 76- -177-
F
 3 . Training o qi should be, combined with nourishing of hered to . Then it is the time to guide the genuine qi to flow in

qi . Conditions permit- ting, it is better to do qi training the Ren and Du Channels, with mind concentration carried out
sometime in the period from 11 :00 pm to 1 :00 am (Zi period) in cooperation with breathing . Inhaling, conduct qi to flow
and from 11 :00 a .m . to 1 :00 pm (Wu period) . During the other along the Du Channel to the Upper Dantian ; exhaling, conduct
. It it down along the Ren Channel to the Lower Dantian . This is
periods, inner cultivation of qi should be mainly carried out
goes without saying that in any episodes of training, neither of traditionally called "small circle of qi" (Xiao Zhou Tian) . As
the two aspects (training qi and inner cultivation of qi) should the time passes, qi gathered in Dantian will not disperse ; it will
be neglected . During the exercise, when one has entered circulate naturally along the Ren and Du Channels without the
" quiescence" by practising antidromic abdominal respiration guidance by will and the help of breathing .
and mind concentration on Dantian, the soft, even and fine 5. Carry out the closing process seriously after each exer-
breathing can be achieved . cise session . This is the skill with which one may shift the atten-
4. This step can be called "qi generating in Dantian and tion slowly off the point he has been concentrating on, lead qi
circulating all over" . After a certain period of practice, qi will to the Lower Dantian, relax all over, open the eyes slowly, and
be substantial in Dantian during exercise, and one may have a do some self-massage .
feeling of substantialness, warmth, or movement of qi cluster Self-massage include rubbing the hands,bathing the face
or other strange but comfortable feeling . This sensation of qi (rubbing the face with the palms), combing the hair with the
will become stronger and stronger as time goes by . When one fingertips and dredging the Twelve Regular Channels . Rub
has entered "quiescence", he may feel hot in Dantian and a from the chest to the hands to dredge the Three Yang Channels
stream of warm air (qi) rushing from Dantian towards the of Hand, and from the hands, the shoulders and the lateral
coccyx area, which makes him relaxed and comfortable all sides of the head down to the chest and abdomen to dredge the
over . Sometimes the point Huiyin (Ren 1) will throb first . Un- Three Yin Channels of Hand . Rub from the waist and hips to
der this circumstance, one should guide the genuine qi to circu- the feet to dredge the Three Yang Channels of Foot, from the
late along the Du Channel towards the two qigong passes- feet to the abdomen to dredge the Three Yin Channels of Foot .
Jiajiguan (spine pass) and Yuzhenguan (occiput pass) and fur- The above procedures should be performed 7 times each fol-
ther, through Baihui (Du 20) and go along the Ren Channel lowed by limbering oneself up to end the exercise .
down back to Dantian . In this aspect, the principle of " fo-
cusing attention merely when qi has not started to move and
leading qi to circulate when it is about to move" should be ad-
-178- -179
 Posture and Essentials
Section Five Dynamic Exercise First, step out with the left foot to set the feet apart at
for Training Qi shoulder-width, hands hanging naturally, head and neck up-
right, eyes slightly open and looking straight ahead, tongue
The Twelve-Form Sinew-Transforming Exercise stuck against the palate, shoulders relaxed with elbows drop-
(Yijin Jing) ping, chest drawn in and back straightened, abdomen con-
Sinew-transforming exercise (Yijin Jing) is one of the set tracted and buttocks relaxed, knees at ease and slightly bent,
of dynamic qigong exercises . Here it is taken as the and feet set steadily on the ground . Relax all over .
foundamental exercise for guiding and emitting qi in Second, turn' hands into yin palms (palms facing the
outgoing-qi therapy . Literally, "yi" means "transform', "jin" ground) and lift them slowly to shoulder-level .Turn hands into
means "sinew" and "jing" means " method" As the term im- yin-yang-palms (palms facing each other) and draw them to-
plies, "sinew- transforming exercise" is the method to train the wards each other and close them before the chest . Bend the el-

tendons and muscles . The exercise is designed according to the bows slowly to get the fingertips pointing upward, the point
course and the characteristics of qi circulation in the Twelve Shaoshang (Lu 11) on the two thumbs touching each other
gently . Relax the shoulders and drop the elbows (Fig . 4-10).
Regular Channels and the Du and Ren Channels . It has been
passed from generation to generation without recession at any Respiration and Mind Con-
centration
times. Qigong emphasizes coordinative practice of dynamic ex-
ercise and static exercise so that qi activities of the channels and Take natural respiration
the extremities can be kept smooth . During practice of when performing the first step,
sinew-transforming exercise, qi and blood usually circulates with the mind clear and calm
appropriately with proper speed and no sluggishness or and concentrated . Take abdom-

stagnation . The exercise is a highly salubrious one of its kind . inal respiration during the sec-
1 . Form One Wei Duo Presenting the Pestle ond step, with qi guided down to
Pithy Formula
Dantian . When you feel the flow
Keep erect when standing, of qi, have your mind follow the
Hold the hands before the chest as if praying . flow of qi and, during inhaling,
Set the breath even and keep the mind calm, guide qi to flow out of the
With the heart clear, soft and warm . fingertips, enter the nostrils and
go down to Dantian . During ex-
-181--
haling, guide qi from Dantian to the chest and then to the And the eyes and mouth widely open
palms along the Three Yin Channels of Hand to fill the as if stunned .

fingertips . Do the exercise for 6 or 12 respiratory cycles . Posture and Essentials

Effect ,: Proceed from the last stance . Turn both palms slowly into
The Lung Channel of Hand-Taiyin is 3 chi and 5 can yin palms (palms facing the ground) and move them sideways
(about 117 cm) long, along which qi circulates from the chest respectively to form a straight parallel line . Simultaneously, lift
to the hand . The qi activities induced : during the practice of this the heels slightly to stand on tiptoe (when skilled one may
form can be felt most apparently in this channel, then it dif- touch the ground with only the big toes). Concentrate the mind
fuses . gradually to the Channels of Hand-Jueyin and and look fixedly ahead, with the chest drawn inn and the back
Hand-Shaoyin . At the first stage of practice, the practitioner strainghtened, abdomen contracted and buttocks relaxed, and
may have a slightly tingling sensation along the medial side of tongue stuck against the palate (Fig . 4-11) . Do it for 9 or 18
respiratory cycles .
the arm, and an itching and worm-crawling one along the ex-
ternal side, indicating that qi has been activated . After long
term practice, the effect, that the lung governs qi, connects all
the vessels and can spread qi to various parts of the body can
be realized. The practitioner may feel that he is holding a hot
inflated ball, his ten fingers distending and slightly throbbing as
if something thready was being released from them . The sensa-
tion is usually accompanied with mental activities .
This form is the foundamental step for training flat-palm
pushing and pulling manipulations in emitting waiqi
(outgoing-qi) .
2. Form Two Carrying A Monster-Vanquishing Pole Across
on the Shoulders
Pithy Formula
Fig . 4-11
Stand on tiptoe upright, Carrying a Monster-Vanquishing
Pole Across on the Shoulders
Stretch the two arms wide,
Respiration and Mind Concentration
Set the mind quiet,
Breathe naturally, concentrate the mind on Laogong (P 8)
the breath even,
-182-
and on the toes. Turn natural :respiration into abdominal when
Stand on front sole and upright .
one gets familiarr with the exercise ; concentrate the mind on
The whole body is planted as a sturdy pine,
Laogong (P 8) when inhaling, and when exhaling, guide qi
And the teeth are clentched tight .
along the Channel of Hand-Yangming to the Channel of
Saliva gushes as the tongue is pressed against the palate,
Foot-Yangming then to the big toes, on which the mind is
With nasal breathing the mind is set quiet .
then concentrated .
As the two fists are slowly lowered,
Effect
Strength is exertedd as if pulling a heavy weight .
The Large Intestine Channel of Hand-Yangming origi-
Posture and Essentials
nates from the head . It is identical with the Stomach Channel
Proceed from the last
of Foot-Yangming in the nature of qi . At the beginning of
stance . Raise the hands (in yin
practice, the practitioner may feel heaviness in the two shoul-
palms) slowly from their
ders and hotness in the palms . When he is well versed he may
respective side in an arch till
feet a qi flow coming out from Laogong(P 8), his fingertips
they are above the head . Turn
itching and distending, accompanied by a flood of qi of yin-es-
the yin palms into yang
sence from the earth towards' Laogong(P 8) . At this time, the
(palms facing upwards),with
practitioner should exert will and internal strength to suppress
fingers of the two hands
qi to prevent its flooding upwards, with his toes setting steadily
pointing each other and the
on the ground as if they were attracted by magnet, so that qi
back of the hands toward
can be activated all over the body with the Channels of
Tianmen (2 can above the
Hand-Yangming and Foot-Yangming as the hub, and ren-
front hairine), -as if holding
dered to flow continously especially along the vessels of the ex-
the heavenly gate. Lift the
tremities, which may make the practitioner extremely ralaxed
heels simultaneously to stand
and comfortable . This form is the basic exercise for training Fig. 4-12 Holding the Heavenly
on tiptoe, the heels inclining
qi-emitting manipulations, in terms of one- finger-meditation Gate with Hands slightly outwards to set the
and flat-palm pushing, pulling and leading .
"Yinqiao Storehouse" (the point Huiyin, Ren l) closed, at the
3 . Form Three Holding the Heavenly Gate with the Palms
sane time set the point Huiyang (UB 35, 5 fen lateral to the
Pithy Formula
coccyx, a point of the Urinary Bladder Channel) open . Clench
Hold the heavenly gate with the palms and look inwardly
the teeth and rest the tongue against the palate . Apply
up,
inward-vision to stare through Tianmen (Heavenly Gate) at
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. The procedure one an extremely graceful feeling . When the teeth are clenched,
the space betweenithe two hands (Fig . 4-12) quivering of the root of the ears may occur and the quivering
may last for 14 or 28 respiratory cycles . will ; spread to the temples . The mouth will be full of
Make fists, the arms falling slowly along the original arc saliva
which should be swallowed and sent mentally down to
until they are in the stance "Carrying a Monster-vanquishing
Dantian.
Pole Across on the Shoulders" .
This form is essential ; for exerting "internal strength" and
Respiration and Mind Concentration
guiding qi in emission of,gi with manipulations with pushing,
Take nasal inhaling and oral exhaling first . When the pos-
ture of the form is assumed, turn both inhaling and exhaling in- pulling and leading and hand gestures of one-finger-medita-
tion, flat-palm and sword-fingers .
to nasal and guide qi down to Dantian . The breath should be
4 . Form Four Plucking and Resetting the Stars
fine, even, long, slow and continuous . During inhaling, the
Pithy?Formula
mind is set on Dantian and, during exhaling,lifted to between
in circulation, let the mind follow qi . Over the head hold the sky with one palm,
the two palms . When qi is Stare at Inner Laogong in calm .
Effect' Inhale by nose and exhale by mouth,
After the posture "holding the heavenly gate" has been as-
Attentively shift the
sumed with the breath even, qi sent down to Dantian, and the
eyesight to another palm .
point Huiyin (Ren 1) closed and Huiyang (U B 35) open, qi will
Posture and Essentials
be activated along and around the Yangming Channels and all
Proceed from the last
the qi vessels of the body will be filled with qi naturally . The
adversely stance . Lift the right hand slowly
practitioner may feel qi of the Three Yin Channels go
in an arc to about : one fist off the
up along the Three Yang Channels to Huiyin (U B 35), where
forehead . Lower the left hand
it continues to flow upward along the Du Channel, opening up
simultaneously and rest the back
Sanguan (the three passes) automatically . The flow of qi is felt
of it on the left side of the small
most apparently when it goes along the Stomach Channel, the
of the back (Yaoyan, Extra) .
Liver Channel, the Gallbladder Channel and the Large Intes-
Concentrate the sight on Inner
tine Channel. Sometimes qi is still active and in circulation af- Laogong (P 8) of the right palm
. When staring at Tianmen (Extra), the beginners of
ter exercise (Fig . 4-13).
the exercise may feel a force of attraction between the two Fig. 4-13 Plucking and
Lift the left hand to about
palms while the experienced may feel that there is white cloud Resetting the Stars
one fist off the forehead and lower the right one and rest its
floating between the two palms, a lingering charm that gives
-187-
-186-
back on the right side of the small of the back . Concentrate the
5 . Form Five Pulling Nine Oxen by Tails
sight inwardly on' Laogong (P 8) of the . left palm. Exchange
Pithy Formula
hands and do the same . Practise for 11 or 22 respiratory cycles .
The front leg is a bow and the back an arrow ;
Respiration and Mind Concentration
The lower abdomen is filled with qi as if hollow .
Take nasal inhaling and mouth exhaling and make the
The strength is directed to the two arms,
breathing even . While concentrating the mind on Laogong (P
As if seizing something with the palms,
8) of the raised hand, make the Inner Laogong (P 8) of the
And the eyes look inwardly at the hand they follow .
raised hand, the two eyes and the Outer Laogong (P 8) at the Posture and Essentials
back of another hand linear, and as one exhales and inhales,
Proceed from the last stance . Take the right hand off the
the point Yaoyan • (Extra, the small of-, the back) will fluctuates .
right Yaoyan (Extra), drop it slightly, turn it naturally into yin
Concentrate the attention on the Inner Laogong (P 8) of the
palm and thrust it forward until it is up to shoulder level . Then
raised hand when exhaling and -on the Outer Laogong (P 8) of
bring the fingers together to form a spreading-claw gesture
the'lower hand when inhaling . The mind, the Inner Laogong (P
with the wrist bent a little, the fingers pointing inwardly to the
8), the eyes and Yaoyan (Extra, the small of the back) should
right and the strength focused on the inner side of the wrist .
move slightly along with the fluctuation .
Along with the above movements, the right leg takes a big step
Effect
forward and bends, the left leg stretches straight to form a for-
The hands and the eyes are linear as if they are attracted
ward lunge (the front leg is like a bow and the back an arrow as
by something to the line . Along with breathing, mind concen- in martiar arts or gymnastics) .At the same time, drop the left
tration and the movements of the eyes and Yaoyan (Extra) ; the
hand and thrust it backwards to the left with the fingers close
practitioner may feel itching of the eyes at first, but after some
to each other, the tips pointing upwards ; and outwards and the
practice he may feel very comfortable . This form emphasizes
wrist and arms bent a little. The right hand is held at the level
the Spleen Channel of Foot-Taiyin . It may help-collect-and
of the forehead, and the left completes an angle of 15 degrees
preserve qi of the Three Yin Channels and convey it to the
with the straightened- left leg (Fig . 4-14).
Three Yang Channels, making qi in the Three Yang Channels
Change the last stance, getting the left leg bent, the right
flowing upwards . The well versed practitioner may perceive a
straight and the left hand up and the right down in the same
-cluster of white cloud circling around Laogong (P 8) . way as required in the first procedure . Perform each procedure
The form is foundamental for training qi-emitting manip-
6 or 12 respiratory cycles .
ulations of pushing, pulling and leading with spreading-claw,
Respiration and Mind Concentration
dragon-mouth and flat-palm hand gestures .
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Posture and Essentials

Proceed from the last stance . Take the advantage of the
"backward-pulling", get the bent leg back to stand with heels
closed . Draw back the hands and hold them at the
hypochondria, fingers straight upward and palms facing the
front, to form "mountain-toppling palms" .
JIAI
Then push the " mountain-toppling palms" slowly for-
ward .The forward pushing is very gentle as if pushing a win-
dow open . Stop the pushing when the shoulders, elbows and
wrists are at the same level, then separate the fingers forcefully,
keep the body straight, hold the breath, open the eyes widely,
look straight ahead without any movement of the eyeballs or
Tails
Fig. 4-14 Pulling Nine Oxen by the even a blink, and concentrate the mind on the palms (Fig .
This form needs also nasal inhaling and mouth exhaling . 4-15) .
Imagine that your hands are in a line as if pulling the tail of an
vision
. When inhaling, look at the front hand with inward -
ox -vision
and pull it ; when exhaling, look at the hand with inward
tail,
and lean the body forward a little as if to seize the
forward and backward movement -of the sy he be
iv
coordination with the fluctuation of qi in Dantian at the lower
. The legs, waist, back, shoulders and the elbows, too,
abdomen
move or vibrate correspondingly with the forward-seizing and
backward-pulling movement .,
6 . Form Six Stretching Paws and Spreading Wings
Pithy Formula
Stand erect and stare glaringly,
Push the window open to look at the moon steadily .
Topple the mountain and return the tide,
With respiration in guide,
Fig . 4-15 Stretching Paws and Spreading Wings
And do it seven rounds straightly .
-190-


f inally draw the "mountain-toppling palms" back slowly Hold the head and pull the ear,
until they touch the hypochondria . Do the pushing and with- Keep the right armpit open and the left closed,
drawing for 9 or 18 respiratory cycles . Vibrate Kunlun with the right'hand,
Respiration and Mind Concentration And touch the interscapular region with the left .
Take nasal inhaling and mouth exhaling . Exhale when Change 'hands and repeat the same with the body
pushing gently forward, but hold breath somewhat when the stretched and erect .

arms are straight and begin to push with force to stretch the Posture and Essentials
arms as much as possible as if gathering all the strength to top- Proceed from the last stance .
Stretch the arms sideways with the
ple a mountain . Exhale when drawing the palms back . Concen-
trate the attention on the two palms . palms downwards . Raise the right
arm towards the back of the head
Effect
This form is designed mainly for training qi of the Chan- and apply the palm to
nels of Hand-Taiyang and Foot-Taiyang . When respiration Yuzhenguan(the occiput pass) .
and movements are quite coordinative after a certain period of Press and pull the tip of the left ear
practice, qi will circulate alll over the body . With the help of the (point Tiancheng, G B 9) with the

movements and breathing, the palms and fingers are full of en- index, middle and ring fingers, and
keep the shoulder and the elbow
ergy . When they are pushed out and fully strectched, the practi-
tioner can get a sensation like electric discharge at Laogong (P parallel and the right armpit open . Fig . 4-16 Nine Ghosts
The left hand draws the half circle
8) . The versed practitioner may feel that he is enjoying the sight Pulling Out Sabres
of a bright moon as if a white light revolves around the two leftwards until the back of the palm touches the interscapular
region . Keep the left armpit closed tightly (Fig . 4-16).
palms or the bright moonbeam spreads all over the sky . When
the hands are drawn back, he may feel that qi is returning from Then stretch the arms sideways again . Exchange the
the palms to the body like the returning of the tide . The form is movements of the hands and do the same procedure mentioned
above. Perform the two procedures alternately for 14 or 28
important for training pushing, pulling and leading manipula-
respiratory cycles .
tions with flat-palm and spreading-claw hand gestures in
Respiration and Mind Concentration
outgoing-qi therapy.
This form needs nasal inhaling and mouth exhaling . When
7. Form Seven Nine Ghosts Pulling Out Sabres
inhaling, concentrate on the tip of the lifted elbow, which is
Pithy Formula
pulled upward a little, and move the head and neck in
Turn the head and bend the elbow,
-192- -193-
coordination wi(h the manipulation of the hand . When ex- The feet are set firm and the body straight .
haling, concentrate on the Outer Laogong (P 8) of the hand set Posture and Essentials
at the interscapular area, and move qi down to Dantian. Proceed from the last stance . Raise and stretch out the
Effect , . ~, arms to both sides to form a straight line at shoulder level, with
The practicee of this form activates qi of the Channels of the palms facing floor . At the same time, the left foot takes a
Hand-Taiyang and Foot-Taiyang to make the two channels big step to the left to keep about 0.7 - 1 . 7m between the two feet
1
connected with the channels of Hand-Shaoyin and (the distance can be altered according to the height of the indi-
Foot-Shaoyin . During practice, the posture, breathing and the vidual practitioners) .
mental activities are in perfect harmony and the circulation of Then bend the knees and squat down slowly to form a
qi is continuous . In cooperation with breathing and the horse stance,with the chest drawn in, the back straightened, the
hand-pulling, the head and the elbows tense and relax angle between the thigh and shank being 90 degrees .
alternately, with qi descending slowly down to Dantian . Qi Simultaneously, press the two yin palms downwards until they
should flow naturally and should not be guided to go up and are at the knee level . The movement should be slow, and the
down . The breathing should be gentle, the body should be re- strength exerted steadily, with tongue pressed against the palate
laxed and the,qi circulation should be particularly slow and and . eyes wide open (Fig . 4-17).

deep . The back of the hand is rested on the back of the body
naturally as if it were attracted by the back, and it is as ifthat is
a line joining the two hands through the ear . The form is essen-
tial for training pushing, pulling and leading manipulations
with one- finger-meditation, sword-fingers and flat-palm
sand gestures .
8. Form Eight Three Dishes Falling to the Ground
Pithy Formula
The tongue is rested on the hard palate,
The eyes are open and the teeth gnashed,
The legs are bent in a horse stance,
And the hands are pressing and holding ;
The palms are turned and raised upwards,
Fig . 4-17 Three Dishes Falling to the Ground
As if a . great amount of weight is added ;
Finally turn palms up into yang palms . Picturing holding
With oral exhaling and nasal inhaling,
-194- -195-
 upwards along' the straightening The right braves the wind forward,
something, move the palms
Do the exer-
movement of the legs until they are -at chest level. And the left "cloud gate"is exposed .
repeatedly at the first stage of Qi is fixed in the shoulders and back,
cise for 3 - 5 respiratory cycles'
And the waist and abdomen twist .
practice, and up to 11 when one is experienced .
While uttering "xu"gently,
Respiration and Mind Concentration
down`to The breath is regulated
Exhale by mouth when squatting down and let qi
the two palms as if pressing And the movements of dragon and tiger are imitated .
Dantian . Concentrate the mind on
Posture and Essentials
an elastic thing . Inhale by nose at rise and concentrate the mind
Proceed from the last stance . Withdraw the left foot back
also on the palms as if holding a
heavy thing.
to stand with feet shoulder-width apart . Turn the left palm to
Effect
During the practice of this form with yin and yang corre- face floor to form a "dragon paw" (the joints of the fingers
move in endless circles along bent, the centre of the palm "empty", and round) . By force of
sponding with each other, qi will
the Channels of Hand-Shaoyin, Foot- Shaoyin, HandTaiyang the waist, draw the left hand backwards with the elbow tip in
. When the hands are pressed downwards, the lead; at the same time turn the right palm to face floor and
and Foot-Taiyang
into "dragon paw" . Take advantage of the backward drawing
the practitioner may feel his hands extends, and the centre of
- of the left hand, stretch the right hand leftwards as if to brave
his palms tingles as if electricity was being discharged from the
pressing should be slow and the wind and the wave,_ to open left the Qimen (Liv 14) and
point Laogong (P 8) . The
. At Yunmen (Lu 4) points and close the right ones closed . As the
continous like pressing a force recoiling from the ground
this time, one may feel that he is holding some heavy things, left hand draws and the right stretches, turn the waist and ab-
and qi will rush from the fingertips straightly through the domen correspondingly and relax them as much as possible, by
descend to Dantian . This which the Dai Channel (Belt Channel) can be . trained to be as
palms and the upper arms and finally
form is the basic exercise for training pushing, pulling and lead- flexible as silk and its tightness moderate (Fig .4-18) .

ing manipulations with one-forger-meditation and five-thun- Then withdraw the right hand and stretch the left
rightwards in the same way mentioned above . Whichever hand
der-fingers hand gestures of guiding and emitting qi .
. Form Nine The Green Dragon Stretching Out Paws > being stretched forward, one should utter "xu"in cooperation
9 4„d should turn the head and neck along with the movements
Pithy Formula
the hands . Do the exercise for 6 or 12 respiratory cycles .
The green dragon stretches its paws,
With the left one following the right .
The paws roll and tumble along the hypochondrium ,
-197--
-196-
 giving the point Laogong (P 8) and the fingertips an
electricity discharging sensation . One may feel that all his
channels are governed by the Dai Channel, and the waist and
abdomen are circled by something as soft as silk . This kind of
feeling is beyond description but can be perceived automatical-
ly through long-term practice .
The form is essential for training, guiding and emitting qi
with pushing, pulling, rotating and leading manipulations and
spread-claw and flat-palm hand gestures .
10 . Form Ten The Hungery Tiger Pouncing on Its Prey
Pithy Formula
Squat with feet apart to incline forward,
Make the right leg an arrow and the left a bow .
Fig . 4-18 The Green Dragon' Stretching Out Paws' Hold up the head and chest to prostrate forward,
Respiration and Mind Concentration Raise the hips towards the sky up and down .
The exercise needs nasal inhaling and mouth exhaling . In- Inhale and exhale the breath is evenly regulated,
hale during the process of withdrawing the left hand and Touch the ground by fingertipsin support .
f stretching the right and vice versa and send qi slowly down to Lower the waist and back to flutuate,

Dantian ; exhale when the withdrawing and stretching are done And withdraw the legs to resume upright standing .
to the utmost, while uttering "xu", scratching gently for once Posture and Essentials
with the third segments of the ten fingers and concentrating the Proceeding from the last stance . Shift the body weight to

mind on the two palms . the right leg, lean the left knee against the right and place the
Effect arms sideways . Make a step forward to the left with the left leg
This form is for training qi in Sanjiao (three warmers) . Qi to make a forward lunge . Simultaneously stretch the hands
activities are most sensible in the Lung Channel, Gallbladder forward to set the fingers on the ground, with the palms sus-
Channel, Liver Channel and Dai Channel (Belt Channel) . Qi pended (beginners may set the palms on the ground instead)
during inhaling, and during exhaling
falls down into Dantiang and head raised slightly [Fig . 4-19(1)] .
when "xu" is uttered and the scratching movements are carried Withdraw the left foot and rest its back against the right
out, the practitioner may feel that qi rises vividly to his palms, heel [Fig .4-19(2)] . Do a push-up first and then lower the body

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 Hold up the head, prostrate the chest to about 4 can fron,
and withdraw the buttocks slowly, with the eyes looking the ground and get the head, waist, buttocks and extremities
straight ahead, the waist relaxed and the arms stretched like a moving forward up and down like waves . Assuming a tiger
tiger ready to pounce on its prey [Fig . 4-19(3)] .- ready to pounce on its prey, get the two eyes looking ahead .
Throw out the chest a little when the arms are straight and
withdraw it when the arms are bent . Do this repeatedly 8 or 16
times (beginners may do it 1 - 3 times) and return to the left
forward lunge .
Draw the right foot back to stand upright . The left foot
takes a step forward to the left to make a left forward lu ig2 .
Do right the same- mentioned above . Return to the posture of
the left forward lunge and then to the standing posture with
feet shoulder-width apart.
Respiration and Mind Concentration
The exercise requires nasal inhaling and mouth exhaling .
When the two palms are rested on the floor in a forward lunge,
regulate the breath evenly When doing the push-up, inhale
when the body is raised and exhale when it is lowered . And in-
hale when withdrawing the body and contracting the abdomen
with eyes looking forward as if going to pounce on something .
Qi is sent along the Ren Channel down to Dantian . Exhale
when the body is sent forward to get qi- to rise along the Du
Channel.
Effect
This form is, in a low position of the body, to facilitate q .
circulation along the Ren and Du Channels as well as thf
Twelve Regular Channels . Long-term practice of it may result
in maximum activation of qi in all the channels and collaterals,
or in other words, a climax of qi circulation that should be ac-
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quired in the practice of Sinew-transforming Exerccise . At this drum" .

stage, the practitioner may firstly feel qi in Dantian substantial Then, after striking,with hands still holding the head, bend
and the back and shoulders hot. Then he may feel qi circulating slowly down as much as possible to get the head between the
all over the body. Following various movements and the in- legs, with the legs straightened, the waist and buttocks relaxed,
haling and exhaling, qi circulates with Ren and Du Channels as the tongue rested on the palate and the teeth clenched . Take a
the hub throughout the whole body, making the practitioner view , of the horizon for a moment through the interspace be-
sweat slightly and feel indescribably comfortable and relaxed . tween the legs [Fig . 4-20(2)].
This form is very important for training the skill of push-
ing, pulling, rotating and leading manipulations needed in
flat-palm, spreading-claw, one- finger-meditation, dragon
mouth and sword-fingers hand gestures.
11 . Form Eleven Bending the Waist and Striking the Drum
Pithy Formula
Hold the hind head with the palms and bend the waist
ow,
Bring the head between the legs with teeth clenched and
mouth closed ;
Rest the tongue gently on the palate and bend the elbows,
Cover the ears to strike the heavenly drums,
As if an orchestra plays the eight tones .
Posture and Essentials (1) (2)
First, proceed from the last stance . Stand upright with feet Fig . 4-20 Bending the Waist and Striking the Drum

apart as wide as the shoulders . Finally, rise to get the body upright and beat the
Second, clasp the head with both hands,palms covering "heavenlydrum" again . Do this 14 times . Then return to the up-
the ears,the two middle fingers against Yuzhenguan (occiput right standing posture .
pass) with the tips touching each • other gently. The elbows are Respiration and Mind Concentration
bent and raised to shoulder level [Fig .4-20(l)] . Strike with the Do nasal respiration during the exercise . Hold breath
two middle fingers on Yuzhenguan repeatedly to give slightly when bending down and rising (the breath can be held
rub-a-dub in the ears . This is called "striking the heavenly completely on rising after a certain period of practice) . Concen-
--202- -203-
 middle, the left and the right once each, with the head nodding
trate the mind o 'Dantian when bending down and on the two accordingly (Fig . 4-21).
palms when rising .
Effect
This form is the transition to the ending of the whole series
of Sinew-transforming Exercise . So far qi has circulated all
through the Fourteen Channels (the Twelve Regular Channels
plus the Ren and Du Channels) and finally runs to the channels
A Foot-Shaoyang and Foot-Jueyin, still with the Ren and Du
hannels as the hub of qi activities . The experienced practi-
tioner may feel at this time the whole body light and relaxed,
his mind sober and his sight and hearing refreshed . Fig. 4-21 Head and Tail Wagging
14. Form Twelve_ Head and Tail Wagging Finally straighten the waist slowly to lift the palms . Let go
Pithy Formula the crossed fingers .
Straighten the knees, stretch the arms and Respiration and Mind Concentration
push the palms to touch the ground, Do natural respiration during practice . Keep the mind on
Widely open the eyes, turn the head and the centre of the palms while pushing the palms to the ground,
focus the attention to be profound, and on the tip of the nose while standing straight .
Erect the body, stamp the feet, stretch the arms and Effect
swag for 7 rounds, This is the last and ending step of Sinew-transforming
And when this supurb exercise is practised, Exercise .; The methods of it seem simple, however, it can regu-
Disease would be prevented and late qi activities of the total of twenty channels of the body .
life would be prolonged . The practitioner may feel extremely relaxed and comfortable
Posture and Essentials after practice.
Proceed from the last stance . Push the hands forward from 15. The Closing Form
the back of the head . Keep the arms stretched at shoulder level. Proceeding from the last stance, push the hands (palms
Then cross the ten fingers with palms facing floor . With- facing each other) forward and lift the heels slightly to stand on
draw the palms slowly towards the chest until they are two fists sole . When the arms are straight, abduct the palms slowly and
away from the chest, then push them downwards till the palms then separate the arms to draw an arch toward the armpit . Set
reach the floor,' with legs straightened . Push towards the
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-204-
the palms upwards, fall the heels simultaneously and lift the Take a standing-vibrating posture .
t,,
toes . Then push the hands forward again to repeat the proce- Stand relaxed and quiet, with feet apart as wide as shoul-
dures for altogether 7 times. Finally resume the posture in ders, toes clutching at the ground, hands falling naturally, head
Form One-Wei Duo Presenting the Pestle, to end the whole picturing supporting an object on its top, eyes looking straight
series of exercise . The closing form requires natural respiration . ahead but seeing nothing, tongue stuck against the palate, chest
The practitioner should imagine that his qi is now separated slightly out, buttocks slightly in, knees relaxed and bent some-
from nature and taken into his body and stored in Dantian . what, mind concentrated, and breath natural .
It is advisable to complete the 12 forms step by step in se- After adjustment of the posture, expel the turbid qi three
quence to keep qi activities of the twenty channels of the body times along ; with exhaling as done in static qigong . Then bend
coordinated all over . It is allowable to select one or several and stretch the knees alternately to cause Dantian and even the
forms, according to the actual conditions of the individuals, for whole body to, quiver and vibrate . The amplitude of vibration
practice . If the whole series are practised successively, the be- may be too large and unnatural at first . After some practice,
ginners of the exercise may perform 3 - 7 respiratory cycles however, the vibration will become easy and will converge to-
(times) for each form and increase the times gradually to the wards Dantian, and eventually, occur with Dantian as the cen-
number required . tre . With Dantian vibrating, qi will diffuse rhythmically

Double-Nine Yang Exercise throughout the whole body .

(2) Massaging the Dai
This exercise is often practised on the ' basis of Channel
Sinew-transforming Exercise. The practitioner shakes his body Proceed from the last
in a spring vibration (like -a pile being struck down) in a certain stance . Put the palms on the Dai
posture and with proper breathing and mind concentration to Channel and massage it in
make qi in Dantian rippling and get it to circulate throughout cooperation with antidromic
the body . The exercise is to build up the physique and to acti- abdominal respiration . During
vate the vitality of qi . It is the foundamental skill for inhaling, take advantage of the
outgoing-qi therapy with vibrating, quivering and fixing ma- vibrating force to push qi of the
nipulations and other qi guiding and emitting methods . Dai Channel with the palms (the
1. Preparatory Methods right is preceded by the left) to
(1) Basic Posture (low leftwards, mind following
palms to try to sense qi, with the
I)ai Channel
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yes slightly clos d to get inward-vision on the Dai Channel

LFig. 4-22) . 'During exhaling, push qi of the Dai Channel
-ightwards with the left palm preceded by the right in the same
way mentioned above .. Repeat the sequence for 9 respiratory
cycles . Carry out the same but with palms rightwards when in-
haling and leftwards when exhaling for another 9 respiratory
cycles .
Breathing, posture and mind concentration should be well
coordinated during practice. The waist should be relaxed at the
utmost . Turn the waist in small amplitude along with hand
manipulations . One may feel the waist as soft as silk, the Dai
Channel warm,-qi flowing round the waist and circulating free-
ly and vigorously all over the body .
(3) Opening and Closing of the Three Dantian (1) (2)
Take the standing pile-driving vibrating posture . When Fig . 4-23 Opening and Closing the Three Dantian
inhaling, get the back of the palms facing each other (the Outer Next, move the hands up to the level of the Middle
Laogong points pointing at each other) in front of the Lower Dantian (around Shanzhong, Ren 17) and do the same hand
Dantian [Fig . 4-23(1)] . Move the hands sidewards to get them movements for 9 respiratory cycles, lifting qi to the Middle
apart at shoulders width. Meanwhile contract the abdomen Dantian while inhaling and sending the genuine qi down to the
and the anus, imagining that Dantian is open and voluminous Lower Dantian while exhaling .
qi enters the body by way of Dantian . When exhaling, turn the The next step is to open and close the Upper Dantian .
palms to get the Inner Laogong (P 8) facing Dantian . Draw the Move the hands up to the Upper Dantian (around Yintang,
hands toward each other [Fig . 4-23(2)] till they are one fist Extra 1) and do the same hand movements for 9 respiratory cy-
apart . Bulge the abdomen and relax the anus simultaneously, cles . However, qi may only be lifted up to the Middle Dantian
and combine mind concentration, the vibrating movement, the at the first stage of practice . It can be conducted to the Upper
hands and Dantian in one . Gather the qi that has been sensed Dantian gradually as the practice is carried on for a longer pe-
into Datian and lead the qi breathed in from the mouth and riod of time . Guide qi-down to the Lower Dantian during ex-
nose down to Dantian too . Repeat the above process for 9 haling.
respiratory cycles. Continue to do the exercise in a standing-vibrating pos-
-208-- -209-


ture . Raise the hands till they are above the forehead with the Qi activities is vigorous throughout the body, fills the three
palms facing downwards and the fingertips pointing each other Dantian, and further is made mixed with qi of the . universe. Qi
[Fig . 4-24(1)] . When exhaling push the hands to the region of inside and outside the body interflows and resonates
the pubic symphysis and lead qi by will to the Lower Dantian continuously, making Heaven, Earth and the body a whole to
to get qi' in the Upper, Middle and Lower Dantian lay solid foundation for training qi and guiding the vibrating qi
coordinative . When inhaling, turn the hands to get the palms to the palms and fingertips in various postures . To this stage, qi
upwards [Fig . 4-24(2)], and raise them till they are above the (vital energy) and strength (force) can be coincident with each
forehead while leading qi by will to get it in the three Dantian other when other exercises are practised,-'and- the practitioner -
coordinative . Perform the process 10 times . can guide qi by, will and facilitate strength with qi at high profi-
ciency .
2. Posture Training
Posture training is done on the basis of practice of the
preparatory methods. Qi is made vibrating with Dantian as the
centre and circulating along with the vibration, controlled by
will . Posture training needs also the standing vibrating posture
as its basis, but one must combine the vibrating and the chang-
ing of posture in one to get qi to flow following the changes of
the posture .
(1)Form One The Immortals Pointing Out' the Way
First,contract the abdomen- and anus during inhaling and
lift qi from the Lower Dantian up to the Middle Dantian, the
two hands moving upwards simultaneously, palms facing up-
wards and elbows bent backward , to the sides of the waist.
(I) (2) Second, exhaling, gather the genuine qi into Dantian and,
Fig . 4-24 Opening Through the Three t)anlian with it vibrating in Dantian, guide it by will and in turn get will
NOTE: The preparatory methods (massaging the Dai following it to spread it to the right upper arm, with the four
Channel and opening and closing the three Dantian) should be fingers of the hand close together,the thumb stretched, and the
practised 55 times in order to rnactch with the number of yin joint of the wrist bent up a little . By guiding qi, direct internal
and yang of the universe (Heaven and Earth' or Qian and Kun) . strength to the arm, push the hand (palm erect) forward, and
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gather strength~,in the thenar eminence minor of the hand (Fig . Dantian continuously and going back into it continuously like
4-25) . a chain of rolling pearls . This form is basic for emission of qi
Finally, inhaling, make with pushing, pulling and leading manipulations .
fist and draw it back to the (2) Form Two Pushing Eight, Horses Forward
chest . Turn fist into palm Proceedd from the last stance . Exhaling, direct qi to the
facing downwards and Middle Dantian and then to the shoulders and arms . With the
press down . Turn . the left ' two palms facing, each other, the thumbs stretched and the four
palm up and lift itt to hold fingers of each hand close to each other, push the hands out
qi up to the Middle slowly ; till the elbows, palms and shoulders are at the same
Dantian . Exhaling, push level . Bend the thumbs backwards hard and lower the palms
the left hand forward in the with strength to make qi fill the tips of the four fingers of both
same method as described hands [Fig.. 4-26(1)] .
for the right hand . Repeat
the process for 9 respiratory
cycles for each hand .Finally
Pointing Out the Way place the hands back in
front of the chest and hold qi up to the Middle Dantian . Then
get the palms facing each other to get prepared for the next
step .
NOTE : This form is used to train qi of the Shaoyin,
Taiyang, Taiyin and Shaoyang Channels . During exhaling, by
means of the strength produced by arm-pushing, guide qi in
the Middle Dantian, which has been lifted from the Lower, to
flow to the arms, the thenar eminence minor and the small fin-
ger, and to flow along the Shaoyang sand' Taiyang Channels .
During inhaling,return qi to the' Middle Dantian along the
Taiyin and Yangming Channels too join with qi rising from the (1) ' (2)
Fig . 4-26 Pushing Eight Horses Forward
Lower Dantian . Qi flows rhythmically along with the vibration
of Dantian and the whole body, coming out from the Lower Then inhaling,relax the four fingers . Bend the thumbs

-212- -213-
back and pull 4the elbows gently, and draw the hands back to sides of the chest to be prepared for the next step .
the hypochondria . At the same time make qi from the Lower
Dantian and that returning from the hands converge in the
Middle Dantian . Repeat the above two steps for 9 respiratory
cycles . Finally' draw thepalms back and cross them in front of
the chest [Fig . 4-26(2)].
NOTE: This form is to train the Three Yin Channels and
the Three Yang Channels of Hand and the energy in the
fingertips . Qi is directed mainly through the Channels of
Hand-Taiyin and Hand-Yangming to the palms and the
fingertips, and then back by way of the Three Yang Channels
of Hand and the Channel of Hand-Taiyin . The distending' or
hot sensation in the fingertips means that qi has reached there .
This form is essential for emission of qi with pushing, pulling,
leading and fixing manipulations . Fig . 4-27 The Phoenix Spreading Wings
(3) Form Three The Phoenix Spreading Wings NOTE: This form is aimed at training of the Channels of
Proceed from the last stance . Exhaling, set the crossed, Hand-Jueyin and Hand-Shaoyang. Qi is accumulated in the
erect palms apart from each other slowly . Direct gi in the Mid- Inner Laogong (P- 8) when the hands are pushed out, in the
dle Dantian'>down to the Lower Dantian and up to the two Outer Laogong and then is sent back to Dantian when the
arms, with the fingers bent back (the four fingers close to each hands are drawn back . As a result of persistent training of this
other) as if the Inner Laogong (P 8) was going to protrude . form, the line of qi will always be kept round the palms, the
Turn the palms sidewards and push them apart until the centre of it is between the Inner and Outer Laogong . It is the
hands,elbows and the shoulders are on the same level, with fin- basic step for traing emission of outgoing-qi with pushing, pul-
gers still bent back and the Inner Laogong (P 8) protruding and ling, quivering and fixing manipulations .
qi gathered in the centre of the palms (Fig . 4-27) . (4) Form Four Holding the Sky with the Hands
Then inhaling, turn the palms so that they face each other, Proceed from the last stance .
bend the elbows and draw palms closer and closer to each oth- Exhaling, lift the palms slowly . When they get to the point
er and finally get them crossed in front of the chest . Repeat the Lianquan (Ren 23), abduct them slowly as if to hold
procedure for 9 respiratory cycles . Then get the hands to the something . Continue to lift them until they are above the head,
-214- -215-


(5) Form Five Scooping the Moon from Water

with the arms s .etched=and the fingertips of the two hands
pointing at each other about a fist apart . The fingers should be Proceed from the last stance .
closed together with the thumbs apart from them (Fig . 4-28) . Exhaling, get hands apart sidewards . Bend forward and
At the same time, direct qi in the Middle Dantian to flow in hang down the arms, and draw hands towards each other be-
two directions-upwards to the palms and fingertips follow- tween the feet with fingertips pointing at each other . Draw
ing the movements of the upper limbs to gather together be- . hands towards each other until they are one fist apart . Accu-
tween the hands, and downwards to the Lower Dantian follow- mulate energy at the fingertips as if holding a bulky weight

ing the discending of the diaphragm. (Fig. 4-29) . Meanwhile, direct qi in the Middle Dantian in two
Then inhaling, rotate the directions- downwards to the Lower Dantian and upwards
wrists to get the fingertips point- to between the two hands .
ing upward . Lower the hands Then inhaling, straighten the
with the Inner Laogong (P 8) waist naturally to hold the
facing the Ren Channel to gath- "moon" up to the chest and direct
er qi back from the Inner qi to Dantian . Repeat the above
Laogong (P 8) and up from the process for 9 respiratory cycles .
Lower Dantian . Repeat the Place the two palms upwards at
steps for 9 respiratory cycles . the chest for the next step .
Put the hands' in front of the ch- NOTE : When bending for-
est with palms facing upward in ward, one should keep lithe and
preparation for the next step. slow movement of the waist-The
NOTE : This form is aimed Fig . 4-29 Scooping the eyes are closed appropriately to
at training qi of Sanjiao (three Moon from Water look at the "moon" (a round ob-
Fig. 4-28 Holding the Sky Warmers) and the Shaoyang, ject or a light mass or a tiny glittering spot that can be taken as
with the Hands Taiyang and Shaoyin, Channels the moon) between the legs, and the hands groping, trying to
to make qi of the Yin Channels flow via the Yang Channels catch the "moon" and then hold it up to Dantian . The exercise
upwards to the palms, then via the Yang Channels downwards is good for nourishing Dantian and reinforcing the kidneys and
to Dantian then to the toes . This form is essential for training can regulate both the Ren Channel and the Du Channel . It is
the emission of gi',with pushing, pulling, leading and quivering essential for training emission of qi with pushing, pulling and
manipulations . quivering manipulations .

-216- -217-


(6) Form '$ x Holding the Ball and Stroking It Three tions .
Times (7) Form Seven
Moving the Palms As If Setting Tiles on
Proceed from the last stance . the Roof
Exhaling, move the hands to the right side of the body Proceed from the last, pose . Exhaling, stretch the left hand
with the palms facing each other, the left below the right, as if forward to send out qi of ,the Three Yin Channels and
pull
holding a ball . Inhaling, pull the palms a little farther away back the right hand, to draw the qi of Three Yang Channels
from each, other as if the ball were being inflated (Fig . 4-30). back (Fig . 4-31) . Inhaling, stretch out the right hand and pull
Then adduct the left palm and abduct the right while pulling back the left to get qi of the Three Yin Channels out and that
them to make qi rotate between the palms and direct qi in the of the Three Yang Channels back
. Along with the stretching
Middle Dantian down to the Lower Dantian and up to the out and pulling back of the hands, qi of the Three Yin and
hands. Press the ball as if to compress the air inside it while ex- Three Yang Channels of Hand begins to circulate . Perform the
haling and then adduct the left palm and abduct the right to process for 9 respiratory cycles . Place the hands at the sides of
make qi rotate between the palms . Meanwhile, lift qi from the the chest, palms upwards, to be prepared for the next step .
Lower Dantian and draw' it back from the upper limbs to the
Middle Dantian . Repeat the above for 3 respiratory cycles .
While the palms are rotated, bring the right hand above the left
to turn the "ball" upside down in front of the abdomen, and do
the same "inflating" and "compressing" for 3 respiratory cycles
there. Finally shift hands to the left side of the body and turn
the "ball" upside down to get the left hand above the right,and
do the "inflating"' and _"compressing" 3 respiratory cycles. Let
the hands stay at the left side for the next step .
NOTE : This form is practised for directing qi of the Three
Yang and Three Yin Channels of Hand and Foot to the palms .
Yin-qi : and yang-qi will circulate between the hands like the
rotation of a ball. The inflation and deflation of the ball is
coordinative with mind concentration . Yin is interlocked with
yang . Qi flows endlessly . This form is the art to train emission 4-30 Holding the Ball and Fig .4-31 Moving the Palms As
of qi with pushing, pulling, rotating and quivering manipula- Stroking It Three Times If Setting Tiles on the Roof
-218-
-219-
 NOTE: This form is aimed at guiding qi of the Three Yin
and Three Yang' Channels of Hand out to the palms and back
to Dantian, with yin and yang interlocked and qi circulating
endlessly . It is essential for emission of outgoing-qi with push-
ing, pulling, leading and quivering manipulations .
(8) Form Eight The Wind Swaying the Lotus Leaf
Proceed from the last stance. Exhaling, cross the palms
with the left above the right and both facing upwards . Stretch
them out slowly to get the palms and the elbows' at shoulder
level [Fig. 4-32(1)] . Simultaneously direct qi in the Middle
Dantian down to the Lower Dantian and up to the palms to
connect qi of the Yin Channels of Hand with that of the Yang .
Tiien separate the arms sidewards and press them down gently
to get qi to reach the thenar eminence major and the tip of the
(1)
thumbs [Fig . 4-32(2)]. Inhaling, stick up the thenar eminence
minor gently and withdraw the arms, with the palms crossed,
back to the chest . Do the above for 9 or 18' respiratory cycles .
Put the hands (palms upward) at the chest to be prepared for
the next form .
NOTE: This form activates qi of the Three Yin and . Three
Yang Channels . The stretching out of the hands is to make qi
of the Channels of Hand-Taiyin and Hand-Yangming facili-
tate qi of the Yueyin and Shaoyin Channels to the palms and
fingertips.; The withdraw of them is to activate qi of the
Shaoyin and Taiyang Channels to facilitate' qi of the, yin chan-
nels to the Middle Dantian . This form is essential' for training
guidance and emission of qi with pushing, pulling and leading
manipulations . (2)
Fig. 4-32 The Wind Swaying the Lotus Leaf
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-221-
 (9)Form Nine Regulating Qi All Over
human qi m. one and to regulate qi of the whole body to get
Proceed from the last stance. Exhaling, turn the palms to prepared for the closing of the exercise.
get the fingertips pointing forward and stretch the palms out
(1O)Closing Form of Double-Nine Yang Exercise
till the shoulders, elbows and wrists are at the same level [Fig. Overlap the two hands with the right over the left (vice
4-33(1)] . At the same time direct qi in the Middle Dantian versa in female) and,apply,them to the Lower Dantian. Stop
down to the Lower Dantian and up to the palms and
vibrating gradually and gather qi into Dantian . Breathe natu-
fingertips . Inhaling, turn the hands to get the back of the palms rally and concentrate on Dantian for a while . Rub the hands
facing each other . Separate the palms'; to draw an arc with them
and face and move freely to end the exercise .
till they are below the armpits, palms upwards and fingertips of
the two hands pointing at the sides of the chest [Fig . 4-33(2)] . Massaging the Abdomen to Strengthen
Stretch the palms out again when exhaling to repeat the process the Active Substance in the Body
for 9 or 18 respiratory cycles . The exercise is an auxiliary to static and dynamic qigong
in training qi . The practice of it in combination with static and
dynamic exercises can stren- then the internal organs, reinforce
intrinsic : qi, accumulate qi without leaking, multiply the
strength, and open and close the points sensitively so that any
risk of deviations can be avoided . This is especially important
for those who carryout treatment of patients by emitting
outgoing-qi because though they may be able to open the
small or large circle of qi and can direct qi to the extremeties at
will, they can not ensure his internal qi substantial all the time.
If they do not practise the exercise Massaging the Abdomen to
Strengthen the Active Substance in the Body but treat patients,
they may become insufficient in active substance, deficient in qi
and weak in strength . If they emit outgoing-qi to treat
patients, their health will be impaired easily by pathogenic qi
because they are not strong enough internally, their points are
easy to open as soon as qi reaches them and their resistance to

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external pathog 'c factors is weak . This can cause local dis- increased gradually to one hour but overfatigue of the arm
comfort or morbid physical state which leads to a general dis- should be avoided .' Carry out the kneading three times a day : in
order of qi activities, resulting in collapse of the achievements the morning, at noon and in the evening; or twice a day: in the
gained through long-term practice . So Massaging the Abdo- morning and in the evening .
men to Strengthen' the Active Substance in the Body is not only (3) After about a month's practice and as qi accumulates
an auxiliary exercise for strengthening the intrinsic qi, but also gradually, one may feel that his stomach-qi is consolidated
an indispensable exercise for those who treat patients with and his appetite and sleep improved, apd he may have "the feel-
outgoing-qi . ing of qi" in the mid-upper abdomen when it is pressed . The
1. Methods straight muscles of the abdomen may have become more solid
(1) Lie supine on bed with both legs stretched naturally, or bulged-gradually, which may appear more apparently when
hands at the sides of the body, the whole body (especially the one directs qi or exerts strength to it . At this stage, the midline
viscera) relaxed, distracting thoughts expelled, breath natural, from the xiphoid process to the navel may be still soft and
tongue pressed against the palate, belt released and the region dented, indicating that qi in the Ren Channel (the Front
to be massaged exposed . Midline Channel) is still not substantial . To improve it, mas-
(2) Apply the right palm (left palm for a female) to the ab- sage the midline with the palmroot and strike along it gently
domen; under the xiphoid process and rotate the palm to knead with a "hollow" fist . The dent will disappear then, and qi in the
the upper abdomen clockwise (for a female massaging with the Ren Channel is now rendered substantial . This usually takes
left palm counterclockwise to coincide with yin is tonifying, as one a hundred days to attain .
it is so for a male to massage with the right palm clockwise to (4) As a following step, conduct massage on the right side
coincide withh yang) . Do not exert force intentionally lest the of the abdomen with the right palm first, in a way of spiral
hand become stiff . The correct manipulation should be natural kneading from under the ribs down to the groin, 12 times . Do
and gentle, which gives a soft sensation under the palm -inside the same with the left palm to the left abdomen
the upper abdomen . Avoid distractions. Keep inward-vision counterclockwise 12 times . Then massage with the right palm
attentively' and concentrate the mind on the Middle Dantian . the lower abdomen where the Lower Dantian is located
One should neither forget the flowing of qi, nor should he circularly for 15 - 30 minutes, with the same method of respi-
speed up its flow ; just let it progress naturally . Maintain natu- ration and mind concentration . Pat the same site with a "hol-
ral breath with a calm mind and try to get the pleasant feeling low fist" for some time after the massage . By so doing, Dantian
of warm, gentle and continuous flowing qi under the palm . and even the whole abdomen will become substantial with qi
Each session of practice needs 15 - 30 minutes ; the time can be and will be strong and solid in about a hundred days .
-224- -225-
 (5), The next %tep is to strike with a "hollow fist" on the The Exercise of Heaven-Earth Rotation
midline of the chest and the right, and left sides of it, followed (Qian Kun Yun Zhuan Gong)
by massaging . .the Lower, Dantian in the way mentioned : in step The exercise is aimed at facilitating the qi activities of yin
(4) . Long-term practice will make both the chest andd the ab-
and yang of the whole body by means of hand manipulation at
domen substantial with qi, indicating that both, the Ren and
the upper and lower, left and right and anterior and posterior
Chong Channels are full of qi .
parts of the body so as to make yin-qi and yang-qi reach the
(6) At this stage, one can direct gi .into the Du Channel
hands and circulate there alternately to refine qi activities and
(the Back Midline Channel) . Then, use a ready-made mulberry improve the sensitivity of the hands to qi . It is the essential ex-
club or a wooden hammer to carry out self-patting, or ask ercise for guiding and emitting qi .
someone to pat with a hollow fist, along the Du Channel and 1 . Preparation
along „the first . and second collaterals of the, Urinary Bladder Either a standing or sitting posture can be taken . The
Channel, up and down and vice versa alternately . Ask ; him to standing posture is hereof taken as an example.
rub these places with his palm root in order to > make qi even Stand quiet and relaxed, with the feet at shoulder width,
and full. In this way, the Du Channel will be substantial with qi the whole body relaxed, respiration natural, distractions expel-
in about a hundred days .
led, eyes slightly closed, tongue rested against the palate and
(7) When the Ren and Du Channels are filled with consol- hands in front of the chest in a pose of Buddhist greeting .
idated qi, one can carry out self-patting or ask someone to pat 2 . Holding and Rotating the Ball with Hands at Its Upper
with a hollow fist or a readymade tool on the upper and lower and Lower Sides
extremities from above to below, with emphasis on the regions
Set the hands naturally in front of the chest and the ab-
where there are flably muscles . domen respectively as if holding a ball (the left hand above the
The patting or striking of the above-mentioned parts can
right in male and vice versa in female), the thumb of the upper
also be done with a specially made tool .
hand toward the point Shanzhong (Ren 17), the thenar emi-
With about one year's practice of the exercise, one may
nence minor of the lower hand toward the navel, and the Inner
feel that he is full of substantial and vigorous gi'all over . His re-
Laogong (P 8) of the two hands pointing at each other . Breathe
sistance to external pathogenic factors will be strong, his points
naturally and imagine holding a ball (Yin-Yang Taiji Ball) and
will be highly sensitive in opening and closing and will not be yin-qi and yang-qi circulating between the two hands . Firstly,
affected by turbid qi . On this basis, he can take some time ev- inhale to send qi to Dantian by will and exhale to direct qi from
ery day to massage the abdomen and pat the extremities as, a
Dantian to between the palms, followed by pushing and pulling
routine.
-226- -227-


. When a sensa- exhaling direct' it to the space between the palms, followed by
the hands with internal strength several, times
congestion has been obtained, push and pushing and pulling the hands with internal strength several
tion of attraction or , times .' When the sensation of attraction
rotate the "inflated" ball with the left hand turning leftwards or congestion is ob-
and the right rightwards as if rubbing the ball, 25 times (the tained, rotate the "inflated" ball with the palms, the left hand
. Then exchange the hands and push and ro- turning leftwards and the right rightwards, 25 times (the Heav-
Heaven number) en number)
tate the ball in the opposite direction 30 times (the Earth num- . Then rotate the ball in the oppisite direction 30
. With natural respiration, concentrate the times (the Earth number)(Fig . 4-35)
. With natural respiration,
ber) (Fig. 4-34)
quietly for a moment . concentrate the mind on the palms and hold the ball quietly for
mind on the palms and hold the ball a moment .
4. Rotating the Sun and Moon in
Turn
IV Set the left hand at the level of
the point Tiantu (Ren 22) and the
right hand at the level of Shenque
5

ri
1110milps , 1,
(Ren 8), with the centre of the two
palms facing each other as if holding
something in the arms. Firstly take a
breath and send qi down to Dantian
then exhale to guide qi to the space
between the palms. Pull the hands
toward each other, and pull them in
y w4e,
the opposite directions alternately
with internal strength several times . Fig, 4-36 Rotating the Sun
Fig . 4-35 Turning the Ball
Fig. 4-34 Turning the Ball Up When the feeling of q1`has been at-
Left and Right and Moon Alternately
and Down
Rotating the Ball with Hands at Its Left and tained, turn the hands and the forearms clockwise and
3 . Holding and
counter- clockwise alternately 25 times (the Heaven number) .
Right Sides
Set the hands at the two sides of the hyp ochondria Then turn the hands and forearms counterclockwise and
respectively as if holding a ball, with the point Laogong (P 8) of Uockwise alternately 30 times (the Earth number)(Fig . 4-36)
.
the two hands pointing-at-each other' and the two thumbs lev- Close the two palms in front of the chest like a Buddhist greet-
qi to Dantian and g to end the eri .
-xecse
eling Shanzhong (Ren 17) . Inhaling, send

-228- -229-
 die finger touching each other to form a ring;the right hand (in
the same gesture as- the left) at the right side of the abdomen ;
Chapter Five The Guidance of Qi the index fingers of the two hands pointing at each other to
form a straight line (Fig . 5-1) .
(2) Guiding Qi
Breathe naturally
Guiding qi, or directing qi, means to guide intrinsic gi to a and
concentrate the attention on
certain part (a hand, a point, etc.) where outgoing-qi (waiqi) is
se- Dantian . As soon as qi in
emitted . This is usually made only when one has undergone
Dantian is activated, begin to
40

rious training of qi and qi-guiding exercises for long . On guid-

114 #k4
ARP breathe slowly to direct qi to
ing qi, one should have qi follow the mind and should be able
the tip of the right index fin-
to control and feel the pattern, nature and amount of intrinsic
ger, and when one feels that qi
qi as, well as the direction it flows in . The exercise is aimed at
laying foundations for hand-emission of outgoing-qi (waiqi) . has reached there (one will
feel his fingertip hot and dis-
Linear Guidance of Qi tending as if something is be-
Linear guidance of qi refers to the formation of a straight ing released from it), direct qi
line of inductive outgoing-qi between the two hands or be- from Dantian to the tip of the
Fig . 5-1 'Guiding Qi with
tween the hand and a certain point outside the body by means index finger of the left hand .
One-finger-meditation
of different qi-guiding methods such as hand- manipulation, As one feels that there is an
attractive force between the tips of the two fingers caused by qi,
mind concentration and breathing . Its characteristic is that qi is
kept still in a line when the practitioner keeps himself in a static start to rap with the tip,of the left index finger on the qi column
being emitted from the right ; one will get strong feeling of qi at
state and moves to and fro when he is in a dynamic state. It is
the two hands . Then direct qi to the left index finger to emit it
the main qi-guiding method of outgoing-qi-therapy.
to the right hand, driving the top of the qi column to beat the
1 . One-finger-Meditation to Guide Qi
tip of the right index finger ; one will also get a strong feeling of
(1) Posture
qi . Then change the posture and position of the two hands to
Take the standing vibrating posture, with the left hand
train qi .
lifted to the shoulder level, the wrist bent, the index finger
(3) Time
straight and the rest curved, the tips of the thumb and the mid-
Do the exercise once or twice a day, 5 - 30 minutes each

-230- -231-
time . a table or one can take a similar object as a point . Take the
2. Palm-pushing and Plam-pulling to Guide Qi standing-vibrating posture, the right palm stretched naturally
(1) Posture in front of the incense,the burning tip of the incense pointing at
Take the standing-vibrating posture . Relax the fingers of the Inner Laogong (P 8) ; the left palm, in the one-finger-medi-
both hands. Stretch the right hand naturally forward to the tation or sword-fingers or flat-palm gesture, is put at the back
right and bent the left to get it in front of the chest, the centre of the tip of the burning incense, the fingertip pointing at the
of the two palms facing each other to form a straight line . Ex- incense tip . The three points-the tip of the left index finger,
change hands and carry out the same procedure (-Fig. ;5-2) . the tip of the burning incense and the Inner Laogong (P 8) of
(2) Guiding Qi the right palm are thus made linear (Fig . 5-3) .
Breathe naturally and
concentrate the mind on
Dantian . When qi is activated,
lead it to the Inner Laogong
(P8) of the left palm and emit
it, towards the Inner Laogong
of the right palm .- Push the
palms toward each other
while emitting qi Holding qi
.between the palms, draw the
WWI
Fig . 5-2 Guiding Qi by
palms back-to -the original' po-
sition . One will get strong feel-
ing of qi when doing that . Ex-
i
Pushing-Pulling the Hands Fig . 5-3
change hands and :carry' out Making Three Point Linear to Guide Qi
(2) Guiding Qi
the same procedure.
(3) Do the exercise once or twice a day, 5 -'-30 minutes Proceed from the last stance . Breathe naturally and con-
centrate the attention on Dantian . Divert the attention onto
each time.
e tip of the incense and concentrate there . Continue to emit
3. Making Three. Points Linear to Guide Qi
4 : and send it farther ; on
(1) Posture . One will have strong feeling of qi in
Inner Laogong (P 8) of the right hand .
Light & stick of sanitary incense . Put the incense burner on
-232- -233-
 (3) Time Guidance of Qi in Fixed Form
Do the exercise once or twice a day, 5 - 30 minutes each
Guidance of qi in fixed form is carried out on the basis of
time . practice of Double-Nine Yang Exercise, at a time when qi can
4. Jumping to Guide Qi in Burst oscillate in Dantian naturally . With a proper hand posture,the
(1) Posture practitioner directs qi oscillating in Dantian to flow to the
Stand with feet apart
hands and makes qi vibrate there in a certain form with differ-
at shoulders width, and ent frequency under the control of will ; at the same time, the
bend the knees slowly .
internal qi is released along with the vibration . The feature of
Rest the thumb on the this kind of guidance of qi is that qi is guided in fixed form
back of the four bent fin-
when the practitioner assumes a static state and is oscillating
gers to form a five-thun-
when he assumes a dynamic state and qi flows bit by bit .
der-fingers (Wuleizhi 1. Standing Vibrating with Palms Closed to Guide Qi
Shi) gesture to gather qi . (1) Posture
Concentrate the attention Take a standing-vibrating
on Dantian when in- posture . Keep feet shoulder-width
haling ; when exhaling, apart. Bend the arms to set the
Fig. 5-4 Jumping to Guide Qi in Burst
jump and suddenly palms closed in front of the chest,
stretch out the fingers of the hands in front of the chest, palms fingertips pointing upward and el-
facing forward, to present a gesture of " speading claw" (Fig . bows and wrists at the same level .
5-4) . Picture supporting an object on the
(2) Guiding Qi head . Draw in the chest and
When inhaling, concentrate the attention on Dantian . Lift straighten the back . Relax the hips
qi to the chest and gather it in the palms . : When exhaling, con- and knees . Rest the tongue on the
centrate-the attention on the centre of the palms with qi burst- palate . Close the eyes slightly (Fig .
ing out from the Inner Laogong (P 8) . Guide qi by will to the 5-5) .
simulated spot . (2) Guiding Qi Fig . 5-5 Standing
(3) Time Breathe naturally and concen- Vibrating with Palms
Do the exercise once or twice a day, 24 or 48 respiratory trate the mind on Dantian . When Closed to Guide Qi

cycles each time .

-234- -235-
the motion of qi in Dantian is felt (a sensation of warmth and tremer will change with mind concentration . Practise repeated-
qi circulation) ; guide qi by will to the palms and the fingertips ly. When qi gets to the palm, fills the palm and seethes there,
through the Three Yin Channels of Hand during exhaling ; one will feel as if there were an inflating ball under the hand .
when inhaling, have the mind follow qi back to Dantian along Yet qi is always centred on the Inner Laogong (P 8), gathering
the Three Yang Channels of Hand . When the internal qi is cir- together without dispersion .The motion of qi and the
culating freely, keep the attention on the palms and the movements of the hand are in perfect harmony .
fingertips with gentle natural breathing . One will feel the palms The exercise is usually done in a sitting or a standing pos-
hot, the fingertips thicker, distending and tingling . Lead the vi- ture . The hand poses required for the training of guiding qi in
brating qi in Dantian to the fingertips and make the fingers vi- vibrational fixed form include middle-finger-propping (the
brating slightly as if something were coming out of them bit by other fingers bent) or a spreading-palm (the five fingers touch-
bit. ing something) . After some practice of the exercise when the
(3) Time right hand can vibrate in fixed form, one can practise guiding
Practice the exercise once or twice a day, 3 - 10 minutes qi in different frequency, different intensity and different wave
each time . peak.
2 . Oscillating to Guide Qi (3) Time
(1) Posture Do the exercise 1 - 2 times a day, 30 - 60 minutes each
Sit on or stand by a bed . Rest the left hand naturally on time. Generally, the skill can be preliminary mastered in three
the left knee; put the right hand on the bed, the periphery of months .
the palm touching the bed but the centre of it suspended, with
Guiding Qi in Circle and Spiralty
the elbows bent a little, shoulders and elbows dropped and
wrist relaxed. Guiding qi in circle and spiralty is to lead the internal qi to
(2) Guiding Qi whirl inside the body and guide it to the palms or the fingertips
First of all, get the breath even and concentrate the atten- to be emitted in circular or spiral form . It is characterized by
tion on . Dantian . When qi in Dantian is activated, turn the the flowing of qi in a circle when the practitioner is in a static
waist gently counterclockwise or clockwise . When inhaling,, lift state and in spiralty when he is in a dynamic state .
qi to the chest, the intrinsic qi vibrating and ascerding little by 1. Making Three Points Circular to Guide Qi
little from Dantian and finally reaching the palms along the (1) Posture
arms on exhaling . The vibration of the intrinsic qi make the Stand vibrating . Light a stick of sanitary incense and put
palms tremer rhythmically, and the frequency and force of the
-236- -237-
the burner (olan: object) on a ,table . Stretch the two hands nat- In this exercise, a tree or a flower can also be taken as an
urally, the three points the Inner Laogong (P 8) of both object to make the three points circular.
hands and the tip of the burning incense forming an equilateral (3) Time
triangle . Draw a circle mentally based on the centre and the Do the exercise once or twice a day, 5 - 30 minutes each
three points of the triangle and guide qi to fill the circle (Fig . time .

5-6) . 2. Guiding Qi in Spiralty

(1) Posture
Any of the three postures (standing, sitting and lying) will
do . The standing posture is taken hereof as an example .
Stand feet apart, place the right hand in front of the right
side of the chest with the elbow bent, palm facing forward and
fingertips pointing upward .
(2) Guiding Qi
On guiding qi, get qi in Dantian to turn inside the body
counterclockwise in spiralty (qi following mind concentration)
through the chest and the upper extremities to the palms . Make
qi in Dantian to spiral(taking the navel as the centre)
synchronously with that in the palms (taking the Inner
Laogong as the centre) . Beginners should do it slowly and in-

Fig . 5-6 Making Three Points Circular to Guide Qi crease the speed gradually and naturally . The turning is flexible
(2) Guiding Qi and one should not be too anxious for quick results . The exer-
Afteryou have drawn the circle mentally, get the breath cise can also be carried out with the index and middle fingers or
natural and concentrate the attention on Dantian . When qi in only the middle finger stretched . Qi is turned to whirl from the
Dantian is activated, lead qi to the Inner Laogong (P 8) of both smallest to the largest circle, or vice cersa, or in other ways .
(3) Time
hands. Exhale lightly to emit qi towards the incense tip so as to
make the three points attract one another . Picturing holding a The skill of guiding qi described above can not be mas-

ball with the hands, move the hands in response to the sense of tered overnight ; it should be practised frequently, making full
use of the standing, lying and sitting postures .
qi; while one hand pulls, the other pushes or vice versa
alternately .
-238- -239-
 t o1d'and Heat Guidance of Qi 2. Cold Guidance of Qi
(1) Posture
This form of qi-guiding exercise is to give the part where
Refer to the posture in "Heat Guidance of Qi" .
qi is -emitted the. function of producing coldness or hotness
(2) Guiding Qi
through breathing and mind concentration . It conforms to the
Cold guidance of qi should also begin with the regulation
treatment principle of TCM in terms of " treatingthe
of even breathing and concentration of mind on Dantian .
cold-syndrome with hot-natured drugs and heat-syndrome
Gather qi from the heels and the point Yongquan (K 1) and di-
with cold- natured drugs" .
rect it via the chest and arms to the palms, imagining that the
1. Heat Guidance of Qi
palms are as cold as ice . Concentrate the mind on_ the coldness
(1) Posture
there and guide it to penetrate into the object the hand touches .
Take a standing, lying or sitting posture . Sitting posture is
The practitioner should not imagine that his whole body is
hereof taken as an example .
such cold,, nor should he direct such cold into his body lest it
Sit on a square stool on requirement for qigong practice
affect the coordination of qi activities .
With the left palm resting naturally on the left thigh, and the
(3) Time
right palm stretched on the bed or a table with the centre of the .
Practise the exercise facing west or north at night, 20-40
palm suspended . Take natural respiration, close the eyes gently
minutes each time.
and prop the tongue against the palate .
(2) Guiding Qi Guiding Qi of the Five Elements
Make the breath even and concentrate the mind on
Guidance of qi of the Five Elements is one subject of the
Dantian . Imagine that qi in Dantian is as hot as the burning
ancient specialty "Zhuyou", which combines the Five Elements
sun and spreads all over the body . Collect qi back into Dantian
with the five zang-organs (the heart, liver, spleen, lung and
and turn it into light and heat . Then shift qi of the light and
kidney), the six-character formulae, time, direction and
heat to the chest, the arms and further to the palms and the
finger-nail pressing in general exercise and guiding and emit-
fingertips, and imagine that it is burning and giving off heat be-
ting qi . With this method, qi is divided into five kinds : wood
tween the palm or fingertips and the object' touched and pene-
(liver), fire (heart), earth (spleen), metal (lung) and water (kid-
trating into the object .
ney), and in clinical practice, methods of guiding qi is deter-
(3) Time
mined by the deficiency and excess of the viscera and the phi-
Practise the exercise when there is sun light, facing south,
losophy of interrestraint of the Five Elements .
or east, 20 - 40 minutes each time .

-240- -241-
 When on' is skilled in this exercise, -he can continue to to send it (the water-qi) out of the body by way of the
practise it in combination with guidance of qi in fixed form, sword-fingers or the palm of the right hand.
making three points linear to guide qi, making three points cir- (3) Time
cular to guide qi and other qi-guiding methods, to create a The exercise can be done facing west and south during the
qi-emitting complex . period of Hai(9-11 pm ), Zi (11 pm -. 1 am ), Shen (3 - 5 pm
1 . Guiding Water-qi or You (5 - 7 pm ), or it can be practised in cooperation with
(1) Posture other Daoyin (dynamic) exercises, 36 respiratory cycles each
Take a T-shaped standing posture with the right foot be- time .
hind the left, and with the chest_ drawn in, the back straight- 2 . Guiding Metal-qi
ened, the abdomen contracted, the knees relaxed, the tongue (1) Posture
rested against the palate, the eyes slightly closed and the neck (Refer to that described in "Guiding Qi of Water" .)
straightened picturing-supporting an object on the head . (2) Method
(2) Method Press the mid-stripe of the thumb deeply with the left in-
First, press deeply with dex finger, imagining that there is a golden building inlaid with
the left thumb the Shen (the jade which is glittering like the rising sun . Guide qi by will to
ninth of the Twelve Earthly the Lower Dantian and Zhongwan (Ren .12) to get qi there
Branches) or the You (the mixed with that inhaled by nose from the universe . Then press
tenth following Shen) stripe the Shen or You stripe (metal stripes) deeply with the left
(water stripes) (Fig . 5-7), and thumb and exhale while uttering " si" , to guide qi out of the
put the right hand in front of body by way of the palm of the right hand .
the chest in a hand gesture of (3) Time
sword fingers or flat-palm . Practise the exercise facing west during the priod of Shen
Then inhale qi in front of the (3-5 pm)andYou(5-7pm)orChen(7-9am),Xu(7-9
left hand and send it by will to pm ), Chou (1 - 3 am) or Wei (1 - 3 pm ), for 36 respiratory
the kidneys and then to cycles each time .
Dantian to get it mixed with 3 . Guiding Wood-qi
Earthly Branches on the Palm (1) Posture
qii there . When exhaling, lift
the mixed qi in Dantian,-with the thumb pressing the Hai or Zi (Refer to that described in ."Guiding Water-qi" .)
stripe (water stripes) and uttering "chui" in a very low sound, (2) Method
-242- -243-
 r
With the lefe,thumb pressing deeply the Hai' or' Zi stripe (2) Method
(water stripes) of the same , hand, inhale the liver-qi from the Press the Zi or Wu fire stripe deeply with the left thumb
side of the left elbow and the chest and guide it into the chest to and gather qi all over the body in the region of Zhongwan (Ren
get it mixed with that taken in by natural respiration . When 12), and then lift it to the lung to get it mixed with that inhaled
exhaling, press the Yin or Mao stripe (wood stripes) deeply from the universe . When exhaling, press the mid-stripe of the
with the left thumb while uttering " xu" to get qi out of the left thumb deeply_ withh the left thumb and utter "hu"- to guide
body by way of the sword-fingers and the palm of the right qi out by way of the sword-fingers or the palm of the right
hand. hand.
(3) Time (3) Time
Practise it facing east or northeast during the period of Practise it facing south, southeast or east during the period
Yin (3 - 5 am), Mao (5 7 am), Hai (9 - 11 pm) or Zi (11 pm of Yin (3 - 5 am ), Mao (5 - 7 am ), Si (-
11 am) or Wu (i l
-1 am ), for 24 or 48 respiratory cycles. am - 1 pm ), for 10 or 30 respiratory cycles .
'4. Guiding Fire-qi
(1)Posture
(Refer to that described in "Guiding Water-qi" .)
(2) Method
Press the Yin or Mao stripe (wood stripes) deeply with the
left thumb and inhale the liver-qi from the left elbow and the
side of the chest into the lung to get it mixed with that rising
from the Lower Dantian . When exhaling, press the Si and Wu
fire stripes while uttering "ke" to guide qi out of the body by
way of the sword-fingers or the palm of the right hand .
(3) Time
Practise it facing east, southeast or south during the period
of Yin(3-Sam), Mao (5 - 7 am), Si (- 11 am) or Wu (11
am - 1 pm ), for 14 or 28 respiratory cycles .
5. Guiding Earth-qi
(1) Posture
(Refer to that described in "Guiding Water-qi"
-244- -245-


Application : The hand gesture was used to guide and gath-

er qi before emitting it onto the magic figures (left) in ancient
times . On emitting qi, the practitioner should exhale and sud-
Chapter Six Emission of Qi
denly stretch the five fingers to form a flat-palm, a
spreading-claw or a dragon-mouth hand gesture, or he can
stretch out the index and middle fingers to make a sword-fin-
Emission of qi is also called -"emitting outgoing-qi"
gers hand gesture or only the middle finger to make a
(Fafang Waiqi), and in an antient term, "distributing qi" (bu 11 middle-finger-propping When the emission of qi is
qi) . It is a method adopted by those experienced in training qi
finished, he should inhale and resume the five-thunder-fingers
and guiding qi, who direct their intrinsic qi to the palms and
hand gesture, with qi gathered in the centre of the palm .
the fingertips or to other parts of the hand to emit it to the
channels and points of the patient . Buddha's-Warrior-Attendant-Fingers
(Jingang zhi Shi)
Section One Hand Gestures
in emission of Qi Hand' Gesture : Make a tight fist, with the thumb put down
on the nails of the small and index fingers, the middle finger on
Five-Thunder-Fingers (Wuleizhi Shi) the thumb, the ring finger on the first segment of the middle
finger, and the index finger on the nail of the ring finger . (Fig 6
Hand Gesture : The four fingers are bent to the centre of
2) . .
the palm and the thumb is bent and rested on the nails of the
Essentials : The index, ring
four fingers (Fig . 6-1) .
and small fingers and the thumb
Essentials : The four fingers
should be bent forcefully and
are bent yet propped against the
strength is gathered between
thumb, while the thumb pressing
them . The middle finger: is bent
down to close tightly with the
naturally' without exertion to al-
four fingers, with the centre of
low qi to reach its tip . Fig . 6-2 Buddha'
the palm hollow . Qi is gathered
Application : This hand ges s-warrior-attendant
in the palm. This kind of qi-guid- Fig . 6-1 Five-thunder-fingers Hand Gesture
tore is the main method used in ancient times to guide and emit
ing-gathering skill should be Hand Gesture
qi onto the magic figures . The practitioner should take a breath
practised constantly.

-246- -247-


and move the four fingers first before emission of qi to direct qi Flat-Palm (Pingzhang Shi)
i
to the middle finger, then stretch the middle finger or turn the
Hand Gesture: The five fingers are stretched naturally (Fig .
hand gesture into middle-finger-propping to emit qi . When 6-4) .
ending the emission of qi, take in a breath and gather qi in the Essentials :The stretching
palm, then send it down to Dantian . out of the five fingers should be
One-Finger-Meditation (Yizhichan Shi)- natural without tention . The de-
gree of tightness of the palm
Hand Gesture : The index finger is stretched, the middle,
should be regulated by the alter-
ring and small bent naturally, the thumb bent and put gently
nation of gentle crooking and
on the middle and ring fingers (Fig. 6-3) .
stretching of the five fingers and
Essentials: With the index Fig . 6-4 Flat-palm
the tension and relaxation of the
finger stretched, qi is gathered wrist . Hand Gesture
,between the middle and ring Application: Flat-palm is the main hand gesture for emit-
fingers. The emission of ting outgoing-qi to the channels,the points and the disordered
outgoing-qi from the index part of the patient . Qi-guiding methods used include linear,
finger is regulated by the force
circular or cold and heat guidance of qi, guidance of qi in fixed
produced by the pressure of form and guidance of qi of the Five Elements . Qi is emitted
the thumb and the propping Fig. 6-3 One-finger-meditation with the hand of the therapist on or off the body surface of the
out of the middle and ring fingers . Hand Gesture
recipient by means of pushing, pulling, rotating, quivering,
Application: One-finger-meditation is the main hand ges-
leading and fixing manipulations . The five-thunder-fingers
ture for emitting qi toward the points and the painful localities .
can also be used to direct qi first and then it should be changed
It usually takes linear guidance of qi, guidance of qi in fixed
into flat-palm to gather qi in the centre of the palm,with the
form or in spiralty, cold and heat guidance of qi and guidance periphery of the palm as the qi-guiding circle and the Inner
of qi of the Five Elements as the main qi-guiding methods . Qi
Laogong (P 8) as the qi- emitting spot . The emission of qi can
is emitted with the index finger of the therapist on or off the
be done with one palm or both palms together .
body surface of the disordered part of the patient, and with
hand manipulations of pushing, pulling, quivering, leading and Sword-Fingers (Jianjue Shi)
others. Hand Gesture : The middle and index fingers are kept close

-249-


together, their ing and small' fingers bent naturally and the Middle-Finger-Propping (Zhongzhi Duli Shi)
thumb laid gently on their nails (Fig . 6-5) .
A Hand Gesture : The middle finger, is stretched and therest
Essentials : The thumb should
are bent naturally (Fig . 6-6) .
be put on the nails of the ring and
Essentials : The wrist may either be bent or stretched natu-
small fingers with pressure and the
rally. The degree of tension of the middle finger is adjusted by
ring and small fingers should sup-
the degree of force produced by bending the rest fingers, so- is
port the thumb forcefully so that
the speed of circulation of qi .
the three can form a loop where qi
Application:' Middle-finger-propping is derived from the
is to be gathered . The degree of /
'Buddha's-warrior- attendant-fingers hand gesture, so on
tension of the ring and small fin- Fig . 6-5 Sword-fingers,
emission of qi, the latter may be assumed first . Qi is guided
gers may be regulated : by the force Hand Gestureothers
with linear, fixed or heat method or that of guidance of qi of
the practitioner exerts . Qi is guided Nature The
the Five Elements, and 'is' emitted with pushing, pulling, quiv-
to the tip of the index and middle fingers. Human Body
ering, leading and fixing manipulations, with the tip of the
Application : Sword-fingers was the main qi-guiding and
emitting hand gesture used to distribute qi onto the magic fig- middle finger on or off the disordered part of the patient .

ures in ancient times .The index finger is taken as the Spreading-Claw (Tanzhua Shi)
liver-wood, and the middle finger, the heart-fire . The joining
of the two fingers with each other can activate qi of wood and
Hand Gesture: The five fingers are half stretched naturally
(as if to touch something) (Fig . 6-7) .
fire, which is of yang nature, simultaneously . So sword-fingers
is the main hand gesture for guiding yang-heat .The qi-guiding
methods required include linear guidance of qi, guidance of qi 4

in fixed form, heat guidance of qi and guidance of qi of the

Five Elements . On emission of qi, qi is firstly gathered in the
loop formed by the thumb and the ring and small fingers, and
then emitted through the tip of the index and middle fingers,
which are placed on or off the body surface of the disordered
part of the patient, by way of pushing, pulling, leading, fixing
Fig 6-6 Middle-finger-propping Fig .6-7 Spreading-claw
and other manipulations .
Hand Gesture Hand Gesture

-2 5 0- -251-


a
Essentials: he five fingers are firstly stretched to make Essentials : The four fingers should be stretched naturally
flat-palm hand gesture, then the joints of the fingers are bent
and the thumb should be separated naturally from them and
the palm still
slightly (the joint connecting the fingers and , set facing them or only facing the index and middle finger as if
is ad-
stretched) . The degree of tension of the pahn andifingers a dragon keeping a ball in its mouth
. The intensity of qi and
justed by the bending and stretching of the wrist and fingers .
force between the thumb and the four fingers is regulated by
Application : The guiding of qi is carried out with the
. Qi is first the gentle movement of the joints of the fingers .
five-thunder-fingers , followed by the flat-palm
gathered in the centre of the palm and then emitted from the This hand gesture is transformed from the
Application :

qi-guiding method of the five - thunder-fingers . Qi is emitted

five fingers in a straight line toward the qi-receiving spot . The
methods of qi guidance include linear, fixed, cold and heat and from the five fingers and gathered together between the thumb
that of the Five Elements, and the emission of qi is performed and the four fingers . Linear, fixed, circular and cold and heat
through the pushing, pulling, quivering and rotating manipula- guidance of qi as well as guidance of qi of the Five Elements
tions, with the tip of the fingers of the therapist on or off the can be adopted, and qi is emitted by hand manipulations such
as ' pushing, pulling, quivering, rotating and fixing with the
part being treated .
fingertips of the therapist on or off the qi-receiving part . This
Dragon- Mouth Longxian Shi)
hand gesture is often used to emit qi toward the needle inserted
Hand Gesture : The four fingers or only the middle and in- in the body of `the patient or toward some special parts such
as
dex fingers, are close to each other with the thumb separated the fingers, ears, shoulders or a tumor or mass .
and facing them (Fig . 6-8
Bird-beak (Quezui Shi)
Hand Gesture : The thumb is stretched and set opposite
to
f the index, the middle, the ring or the small fingers to form a .
shape of an open bird beak (Fig . 6-9) .
Essentials: The thumb'is stretched to face any` one of
the
other four fingers as if a bird holding food in its mouth, with
the rest' three straight, whose tension and relaxation can regu-
late the degree of tension between the thumb and the opposite
finger.
(1) (2)
Fig . 6-8 Dragon-mouthHan Gesture • ;

-.25 2- -253-


the nature of the Five Elements and the yin and yang . For ex-
ample, qi emitted with the bird-beak gesture formed by the
thumb and the middle finger is yang-qi within the heart, which
i has the function of replenishing yang and regulating the heart .
Bird-beak is derived from the dragon-mouth hand ges-
ture, so the accumulation of qi in the palm should be preceded
by the latter and followed by the linear, fixed, circular, cold
and heat, guidance of qi as well as guidance of qi of the Five El
ements . Qi is emitted with the fingertips of the therapeutist
touching or off the qi-receiving part with pushing, pulling, ro-

(1)_
(2) tating, quivering, leading and fixing manipulations . The-meth-
Fig . 6-9 Bird-,beak Hand Gesture od is often applied to emission of qi toward the needle inserted
Application : The five fingers match with the . Five; Elements in the body of the patient or toward some certain points or
and the five viscera, i.e ., the thumb stands for earth and parts .
t } matches with the spleen, the index finger for wood and with the
liver, the middle finger for fire and with the heart, the ring fin- Section Two The Hand Manipulations
ger for metal and with the lung, and the small finger for water in Emission of Qi
and with the kidney . And because metal combines with water, Distant Emission of Qi
which stands for yin, and wood combines with fire, which
stands for yang, the combination of the index and middle fin- Distant Emission is the main approach of outgoing-qi
gers represents yang and that of the ring and small fingers rep- therapy,referring to the skill inemitting outgoing-qi through
resents yin . However, the kidney-yang is the yang aspect of yin proper . guidance of qi and with the hand gesture of the
and the liver-yin is the yin aspect of yang, so they are further therapist kept 10 - 100 centimetres away from the qi-receiving
divided into two aspects yin and yang . The thumb stands points_ or parts (the distance may be adjusted depending on the
for earth and matches with the spleen, so if it combines with capability of the therapist for emitting qi) .
the four elements of the four fingers, i.e ., metal, water, wood 1 . Pushing
and fire, it can accumulate qi of all the five fingers . In a sense, Hand Gesture: Flat-palm, one -finger-meditation, sword-
the thumb (earth) can form a hand gesture with any of the oth- fingers, dragon-mouth and bird-beak can be assumed for
er four fingers and the qi emitted with such hand gestures bears

- 254- -255-
 the-body of the patients . During ; treatment, the therapist may
emission of qi wi pushing manipulations .
feel, the attraction of qi between his hand and : the point or the
Procedure : Select a proper hand gesture . Locate the hand
part, of the patient, or feel the pathogenic factors, being pulled
about 10 - 100 centimetres- off the point or region to be
out from the point or part manifested by the sensations of
treated . Make two points or three points linear or three points
coldness and chilliness, : dryness-heat and tingling
circular to guide qi"slowly . When the sensation of qi is attained, and
push the hand gently with "internal strength" to emit - qi to the heaviness . The manipulation is usually applied together with
the pushing, leading and rotating . For instance, the combina-
region being treated or to the related' points .
tion of pushing . and pulling in guidance of qi can open the
Application : Pushing is the essential manipulation for
opening' the qi-receiving points or parts of the patient to get points of the patient and make qi inside and outside, ; the body
his qi activated and replenished . During the treatment, when interflow, and the combination of pulling and quivering may
the therapist has achieved a feelingof attraction or repulsion facilitate the patient's qi activities, guide his qi to flow, and may
between the hand of the therapist and the points of the patient, promote and induce his spontaneous dynamic phenomenon .
well, 3 . Rotating
the"patient will feel an invisible qi rushing against him as
ox feel local hotness, condensation or stickiness, tingling and Hand Gesture: Flat-palm, - dragon-mouth, bird-beak ,
one -finger-meditation, sword-fingers, etc .
distention, or the flow of active qi . Some patients may incline
his body or the related part spontaneously in the hand-pushing Procedure: Select a suitable, hand gesture and keep the
hand off the affected Area-Apply spiral, qi-guiding method to
direction of the therapist . This manipulation is often applied in
combination with the pulling, quivering, leading and rotating . guide qi slowly . When the sensation of qi is attained,rotate the
hand clockwise or counterclockwise to, guide qi to flow in
2. Pulling
spirally way : and emit it into the affected area,
Hand Gesture Flat-palm, one-finger-meditation; sword- or into the relat-
ed points . One can also use the methods of making threee points
fingers, dragon-mouth, bird-mouth, etc .
Procedure : Select a proper hand gesture . Position the hand circular to guide qi slowly, and when the sensation of qi is at-
off the region to be treated . Guide qi slowly with the qi-guid- tained, pull one hand and push the other with " internal
ing methods of making two points or three points linear or strength" to make circular motion to emit qi to the affected
area.
three points circular . When the sensation of qi has been
achieved, pull the hand gently with 'internal strength" to emit Application: Rotating is the main manipulation for acti-

qi to the affected area . vating the channel qi and guiding qi to circulate up and down
and alll around . The emission of qi by flat-palm preceded by
Application: Pulling is essential for opening' the qi-re-
ceiving points or parts to expel the pathogenic factors out of guidance of qi ,by, making three points circular to the points

-256- -257-


decided according to the severity of illness .

such as Jianyu 115), I)azhui (Du 14) and Mingmen (Du= 4)
may induce' the patient' s body to turn and sway : This manipu- the channel and point qi has been acti-
Application : When

lation has the function of activating the channel q4 regulating vated with other hand manipulations, the therapist, should seize
the opportunity to make use of the leading : method, to guide qi
the fu and zang organs and balancing yin and yang . It is espec-
ially effective for allaying pain when combined with the quiv- and make its flow smooth and regulated . So leading is the
common manipulation for guiding the circulation of channel
ering .
qi, regulating the excess and deficiency of yin and yang and
4. Quivering
spreading-claw ; dragon-mouth, sending qi back to its origin .
Hand Gesture : Flat-palm,
6. Fixing
bird-beak, one finger-meditation, sword-fingers and
Hand Gesture: One-finger-meditation, sword-fingers, flat-
middle-finger -propping .
palm, dragon-mouth and bird-mouth .
Procedure: Select a suitable hand gesture and locate the
Procedure : Select a proper hand gesture . Position' the hand
hand off the region to be treated . Adopt the method of guiding
off the region to-be treated and guide- qi slowly . When the sen-
qi in fixed form to guide qi slowly . When the feeling of qi is at-
sation of qi is attained, use one or several qi-emitting methods
tained; quiver the hand lightly to emit qi to the region being
to make fixed emission of gi'toward the region being treated .-
treated or to the related points .
will be most easily Application : In this manipulation, the hand of the therapist
Application : In clinical application, qi-
activated when the frequency of hand quivering of the therapist is fixed toward the point or part to be treated and qi is emitted
in a direct line . The method has the function of opening the
is made synchronized with the frequency of qi vibrations of the
point, facilitating qi activitiess and restoring and replenishing qi .
patient . So this manipulation is mainly used to emit qi to acti-
vate the patient's channel qi, and can be combined with the For example, fixed emission of qi to Mingmen (Du 4) can
tonify the kidney and strengthen yang and, to Dantian, can
pushing, pulling, rotating, and leading manipulations .
nourish the genuine qi .
5 . Leading
Hand Gesture :
Flat-palm, one-finger-meditation, sword Massage Manipulations in Emission of Qi
fingers, dragon-mouth, bird beak etc.
. Position the Massage' manipulation for emitting qi, or qigong-massage
Procedure : Select a suitable hand gesture
is a modern term, referring to the emission of qi with the hand'
hand off the region to be treated and guide qi slowly . When the
sensation of qi-is attained, emit qi toward the affected area, and or fingers of the therapist touching the diseased part of the pa-
flow with or against the course of the tient . By combining massage with his skill of qi-guidance, the
lead the channel qi to
channels, leftwards or rightwards and upwards or downwards,
-259-
-258-
 t make use of will' and respiration to adjust the frequency and
therapist direc his internal qi to the fingers and palms, and
emit qi while exerting strength of massage to adjust the amplitude of vibration,' the shape and nature of qi and the
"strength" and qi of the patient so that the quality of treatment amount of strength and qi . When flat-palm hand gesture is

can be improved . Besides, the function of qi emitted with the taken, the therapist should gently touch the part to be treated
. from that with only the periphery of his palm and emit qi with the Inner
hand off the body surface of the patient is different
. In the former, :gi of the pa- Laogong (P'8) as the centre, to make the force produced by the
emitted with the . hand touching it
vibrations of the hand and qi emitted from Laogong (P 8) a
tient tends to be activated : and balanced easily and both the
; while in the single entity. This may bring about desirable results in acti-
therapist and patient can get a strong ; feeling. of qi
latter, the channels are easily dredged and yin and yang are of- vating and regulating the qi activities of the patient . For in-
ten adjusted more quickly because of the stimulation produced stance, emitting qi with this technique toward Baihui (Du 20)
; and points, al- may results in ascending' of yang ;' toward Dazhui (Du 14) and
by the strength of the hand on the channels
though it is not as efficient as the former in activation and regu- Mingmen (Du 4) may activate qi of the Du Channel
; toward
Dantian can facilitate and supplement'gi in Dantian and can
lation of qi activities . So in clinical practice, neither of the two
; with lead qi back to its origin ; and toward Zhongwan (Ren' 12) may
. . should be neglected, and only when they are combined
each other . properly, can the quality of outgoing-qi therapy be replenish qi and regulate the stomach and induce sleep .
Sword-fingers and one -finger-meditation are often adopted
ensured . Introduced hereafter are a dozen common massage
manipulations used in emission of qi . to emit qi directly to the points, such as Zhongwan (Ren 12),
Qihai - (Ren 6), Jingming (UB 1) and Yintang (Extra 1)
1 . Vibrating .
-finger-meditation, middle-
Hand Gesture : Flat-palin one Dragon-mouth and bird-beak are often used to emit qi to-
sword fingers, bird-mouth, ward the needles inserted into the points . In any 'case , the
finger-propping, dragon -mouth ,
therapist should have his hand touch the body surface of the
etc .
Procedure : Select a proper hand gesture and lay the hand patient very gently or try to touch it but not really touch it .
or fingers on the parts to be treated or on the related points . Hard pressure should be avoided lest the guiding and emitting
With the waist as the axis, turn the body slowly clockwise and of qi be hindered.
counterclockwise to guide the vibrating qi in Dantian to go 2. Kneading'
through the chest and arms to the palms .or fingers, which also Hand Gesture: One-finger-meditation,
sword-fingers,
fiat-palm or thumb-flat .
vibrate to emit qi .
conditions of qi activities Procedure: Select a proper hand gesture and apply it to the
Application : Depending on the
and the severity of illness of the patient, the therapist should s to be treated . By combining will with respiration, guide qi

-260- -261-
 4 . Scrubbing
with heat or, spiral qi- guiding method or guidance of qi of the
Five Elements to the palms and fingers and then conduct Hand Gesture: Flat-palm or the flat of the four fingers .
rotatory kneading forcefully and emit gi simultaneously to the Procedure: Rest the palm or the flat of the four closed fin-
gers on the part to be treated . Guide qi to the palm or the fin-
patient .
gers with heat and cold qi- guiding methods and guidance of qi
Application: When guiding qi in spiralty is adopted, the
of the Five Elements . Then push-scrub the affected part in a
whirling frequency of qi should synchronize with that of hand
straight line while emitting qi .
kneading, which can be achieved most easily by combining the
Application: Scrubbing is the manipulation for guiding qi
frequency of pulse and respiration . The kneading force is de-
to flow in or against the direction of the channel course or to
termined according, to the severity of illness and it is generally
flow all round the body . With the function of clearing and acti-
believed that more force should be exerted by therapists who
vating the channels and collaterals, promoting the flow of qi
stress strength in regulating the patient's qi and less by those and relaxing the tendons and balancing yin and yang, it is often
who emphasize guidance of qi for that purpose . Kneading ma- used to treat disorders of the head and face, chest, abdomen,
nipulation, is often, used to emit qi to, the points of the hand, back and waist and the extremities .
chest, abdomen and extremities . 5 . Pressing-deeply
3. Rubbing Hand Gesture: Flat-palm, one-finger-meditation, sword-
Hand Gesture : Flat-palm or the flat of the four fingers . fingers or thumb tip, thumb joint and middle finger joint .
Procedure : Rest the palm or the flat of the four closed fin- Procedure: Select a proper hand gesture and apply it to the
gers gently on the point or the part to be treated . Guide qi to point or the part to be treated . Guide qi to the palm and fingers
the palm or the flat of the four fingers with vibrating, spiral, with spiral, cold and heat and quivering qig methods .
guiding
cold and heat qi guiding methods and guidance of qi of the Then press hard while emitting qi . The manipulation can also
Five Elements . Then rub the body surface of the, patient and be performed in cooperation with others such as, plucking,
kneading and pressing-intervally.
simultaneously emit qi .
Application: Pressing-deeply has the function of dredging
Application :- This, manipulation is often used in combina-
the channels, collaterals and points and relieving spasm and
tion with guidance of qi in spiralty . Generally, the hand pres-
pain. It can be applied to all points_ of the body .
sure should not be too hard and the rubbing should, be con-
ducted along with the frequency of pulse and respiration . Hav- Auxiliary Hand Manipulations
ing the function of dredging the channels and regulating and
activating qi, rubbing is often used to alleviate pain in the They refer to other common massage manipulations,
which are taken as accessory treatment methods and often ap .
chest, abdomen and extremities .
-262- -263-
 gion, or, along the channels, or on the points .
plied prior to after the emission of qi to facilitate the open-
~f 4. Hitting ,
ing and closing of points, relax the muscles, relieve spasms, de-
Make a ; hollow fist and . beat with its back or other aspects
tach adhesion, lubricate the joints, dredge the channels and
on the disordered region, or along the channels, or on, the
collaterals,'regulate yin and yang, guide the flow of qi and ad-
points .
just the body for ending the treatment .
5. Pressing-intervally
These manipulations, although taken as accessory in
Press on the disordered region or along the channels or on
outgoing-qi therapy, are very important for regulating the
the points with the tip of the thumb or the palm, or the joint of
"strength" of the organism . One typical example is the treat-
the bent thumbb or index finger .
ment of prolapse,of lumbar intervetebral disc, which is mani-
6. Stroking
fested by a-series of symptoms due to compression of the sciatic
Push and stroke with one palm or both palms along the
nerve by pulpiform nucleus . Because the reposition of the
channels or on the points or the affected area .
pulpiform nucleus is very difficult with only regulation of qi of
7. Plucking
the patient, accessory manipulations such as repeated pressing
Pluck the selected points' with the fingers or the joint of the
pulling-obliquely and rocking are necessary in this case . How-
bent fingers .
ever,
ever, the dislocation of the pulpiform nucleus will certainly
8. Rubbing-to-and-fro
cause obstruction or disorder of qi flow, so regulation of qi
Press a' certain part from both sides with the two palms or
should be not neglected . This is why it is believed that the
with the flat of the thumb and the index and middle fingers .
treatment of the disease should be carried out with adjustment
Rub the part to and fro gently by exerting force symmetrically .
by "strength as the main approach and the regulation by qi as
9. Rocking
the assistant .
Rock or pull to and fro the joints of the extremities with
1. Tapping
Tap with the middle finger or the three closed' fingers one hand holding the near end of the limb and the other hand
(thumb,' index middle) or the five fingers lightly along the holding the far end .
10. Rolling
channels or at the points.
Roll with the lateral side of the back of the hand on the
2. Nipping
Nip and press the points and the disordered parts with the healing region, with the forearm and the wrist turned, bent and
stretched repeatedly, to make the strength produced through
thumb nail .
manipulations act continuously on the points or the disordered
3. Patting
Pat with the palm (fingers stretched) on the disordered re- parts .

-264- -265-
 11 . Pullingtobliquely namic phenomenon. It is a basic form for inducing the channel
Hold the two far end of one limb or a certain part of the qi, supplementing its deficiency and purging its excess .
body respectively with the two hands and pull it in opposite di- This form requires the hand manipulations for emitting qi,
rections .' i.e., pushing, and pulling the hand in a longitudinal or trans-
verse- straight line, to be stable and slow, breathing to be deep
Section Three The Forms of Qi and long and will to follow the movement of the hand .
on Emission Fixed Form : This is the most common qi form in which qi
usually flows like spaced or dense waves or like a chain of
Clinical experience in emitting qi indicate that in treatment
pearls. It is carried out with vibrating and fixed qi-guiding
with outgoing-qi , one of the keys to success is to emit qi in dif-
method as the basic skills, and can be also conducted with va-
ferent qi forms according to needs . Qi is emitted in three basic
rious hand manipulations to form a combined qi-emitting
forms ; linear, fixed and spiral . Having grasped the three forms,
complexwith which, for, example, qi emitted can flow in linear
one can apply them flexibly in clinical treatment in accordance
longitudinal successive waves . Emiting qi this way gives
with the conditions of the illness, e.g., one may apply one form,
marked stimulation to the activities of qi in the channels, points
' or two forms in combination, or develop some special forms on
and Dantian .. The patient often has a sensation of quivering ;
the basis of the three . The application of the three basic forms
hotness, tingling, radiation transmission and qi circulation and
can be put into practice in combination with the cold and heat
develops spontaneous involuntary dynamic phenomenon .
guidance of qi and guidance of qi of the Five Elements so that
The method usually requires one to take an upright sitting
a combined qi-guiding,-emitting process can be developed.
posture or a horse stance and natural and slow respiration .
Linear Form : Qi emitted in linear form flows like
With the waist as the axis and the abdomen as the pump, qi in-
longitudinal or transverse wave . The methods of making two
side the body -is made of vibrate and flow to the part of the
points or three points linear or other similar qi-guiding meth-
hand where qi is emitted to the diseased part of the patient . Qi
ods are taken' as the basic skills in training of the linear form
emitted flows like pearls, coming out one after another, or like
emission of qi. Pushing, pulling, fixing, leading and other' hand
spaced or dense successive waves . Will should follow the vibra-
manipulations are generally adopted . Because patients vary in
tion of the qi flow and give guidance to its flowing direction .
sensitivity to the longitudinal or transverse wave of qi flow, the
It merits special attention that when one carries out fixed
therapist' should try carefully to understand the influence of
emission of qi, one must not hold his breath or, make his hand
different waves on the patient during clinical practice . Qi'emit-
vibrate by vibrating his muscles, otherwise stagnation of qi wily
ted in linear form is relatively mild which' often gives the pa-
occur, resulting in stuffiness in the chest, pain in , the
tient a sensation of constriction, tugging, warmth, coldness,
hypochondria, sharp pain in the arms as if there is fracture, o .
tingling and heaviness or cause the patient's spontaneous dy-
-267-
laceration of t1 muscles.
To have a good grasp of this qi-emitting method, one
should -first master the qi-vibrating method to ensure that qi is Chapter Seven An Outline
emitted naturally :; Generally, one should do the exercises in the of Treatment
order of training qi (Double-Nine Yang Exercise), guiding qi
(Pile-driving Vibrating Exercise) and hand manipulations . A
good grasp of this method is no easy thing for though one can Section One Function and Principles
expect to have a basic grasp of it in 3 6 months if he perse- of Outgoing-qi Therapy
veres in doing the exercises, he ' can not expect to apply it
skillfully to clinical treatment with only 3 - 6 month's practice. 1 . The Functions of Outgoing-qi Therapy
Spiral Form : It is developed from the method "guiding qi
Because outgoing-qi (waiqi) therapy has a wide range o -
in spiralty" . Qi emitted thisway goes spirally (clockwise or
indications which generally involves a variety of diseases of in-
counterclockwise) toward the affected area and penetrates deep
ternal medicine, surgery, osteologic injury, pediatrics,obstetrics
into the body of the .patient . Clinical application proves that it
and the five sense organs, its function is no doubt diversified .
,has special effective function in regulating qi activities, and
Based on the features of outgoing-qi, its effect can be summa-
most of the patients may get a feeling of qi penetration and
that of light, sound and mild electric' shock . rized as follows .
The emitting of qi is accompanied by natural respiration (1) The Reinforcing : and Reducing Function
and spiral mind concentration . Qi starts whirling from the vor- One of the basic principles in traditional Chinese medicine
tex in Dantian and moves in loops linked one with another to is "to treat deficiency syndromes with tonification method and
the part of the hand where it is emitted . The therapist should excess syndromes with purgation and reduction" . Tonification
not begin to emit qi until he feels the whirling flow of it.. means to supplement the, insufficiency strengthen the body
The learning of this skill needs not only constant practice resistance while- purgation and reduction means to reduce the
of qi rotation in Dantian but also the synchronized'gi rotation excess and expell the pathogenic evils. The final aim of the
in Dantian and in a certain hand gesture . It is essential to culti- methods is to balance yin and yang and regulate the physiolog-
vate a fixed conditioned reflex so that when qi in Dantian be- ical functions of thee organism . outgoing-qi therapy is practised
gins to rotate, it begins to whirl at the hand gesture in the light of the TCM philosophy in explanation of illnesses
simultaneously . Only then, can one start to apply the method concerning the zang and fu organs, yin and yang and deficiency
to clinical treatment . and excess . Qi is emitted : to a certain part with the methods of
cold and heat .t guidance of qi and guidance of qi of the Five El-
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ements together with manipulations such as pushing, pulling, meaning to dispel the pathogenic evils out of the body by way
rotating, leading, quivering and fixing, which, after a certain of channels and, points with linear qi-guiding method and ma-
duration of emission, can produce the function of reinforcing nipulations such as pulling and leading . This is a special ap-
the body resistance, replenishing the zang and fu organs and proach different from the purgation with traditional medicines,
supplementing the mind and improving intelligence, to mention acupuncture and massage (Tuina) .
but a few . For example, for patients with insufficiency of qi in (2) The Function of Activating the Channel Qi
the Middle-jiao manifested by pale complexion and weakness Under pathogenical conditions, `qi of the viscera and
of the extremities, linear' guidance of qi and pushing, pulling channels may be weak and stagnated manifested by symptoms
and fixing manipulations can be taken to emit qi toward the of listlessness, general asthenia or hypofunction of certain or-
points Zhongwan (Ren 12), Dantian and Pishu (UB 20) to gans and tissues . This may be adjusted by outgoing-qi emitted
produce the function of replenishing qi and reinforcing the with corresponding qi-guiding methods and hand manipula-
Middle-jiao. Modern animal experiments have proved that tions, which can stimulate the qi activities and make qi active
outgoing-qi can improve the immunity of the animals and circulatory continuously, so that the function of the viscera
markedly . The same result is observed in animal swimming and tissues per se can be reinforced .In the case of weak and
tdsts, which shows that the animals which have received outgo- hypofunctional lung qi, guidance of metal-qi and pushing,
ing-qi have higher immunity level and better adaptive capabili- quivering and leading manipulations can be adopted to emit qi
ty to adverse circumstances . All these fully explain the "tonify- so as to activate the lung-qi and make the channel qi flow
ing" function of outgoing-qi . freely over . This may improvethe function of the lung . Exper-
Emission of qi-with purgation and reduction methods can iment shows that when qi is emitted toward the heart of a toad,
expel pathogenic evils . This includes two aspects . One is that the heart rate of the toad may be slowed down and the
outgoing-qi ;functions on the pathogenic factors (viruses, bac- ventricular systole time may be prolonged, resulting in de-
teria and other pathogenic agents) directly to expel : them. :A creased heart energy consumption and increased stroke output .
large amount of clinical' and other kind of experiments have (3) The Function of Dredging the Channels and Allaying
been done which have proved that outgoing-qi can kill the Pain
gram-positive and negative grame bacteria and hepatitis B vi- Stagnation of qi and stasis of blood will make the channels
rus or suppress their reproduction . The other aspect is to expel obstructed, and " obstruction of the channels- may result in
pathogenic evils (the meaning of pathogenic here is different pain" . Pain may also be caused by outside pathogenic factors,
from the westen medical meanigs of viruses, bacteria and other trauma, inflammation, muscular spasms, adhesive degenera-
agents), which is termed in TCM as "discharging morbid qi", tion and other factors . In these circumstances, the virtue of
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outgoing-qi therapy, which usually needs pushing, pulling and the specific methods of treatment is confined by and pertain to
leading manipulations, lies in dredging the channels, promoting a certain principle of treatment . It is of great significance to
blood circulation to remove stasis, relieving spasms and al- have a correct grasp of the principle of outgoing-qi therapy .
laying pain . Determination of nail fold microcirculation proves (1) Searching for the Primary Cause of Disease in Treat-
that the number of capillary loops of nail fold ofthose who ment
have received outgoing-qi increases, their blood circulation is "Treatment must aim at the cause of the disease" . This is
speeded up and the circulation mode improved from indistinct one of the most fundamental principles of TCM in terms of
to distinct . This explains the theory that outgoing-gi_can pro- differential diagnosis and treatment . Searching for the primary
mote blood circulation, remove blood stasis and dredge the cause means to understand the nature of the disease and treat-
channels . Experiments reveal that when qi is emitted toward ment is aimed at the most important etiological and pathologi-
the Oddi's sphincter of rabbit, the degree of tension of the cal aspects of the diseases .In clinical treatment with
sphincter is reduced, which facilitates the discharge of the bile outgoing-qi, the phrase means outgoing-qi treatment with
and gallstones and alleviates pain and inflammation . certain qi-guiding methods, hand gestures and manipulations
(4) The Function of Regulating Qi Activities aimed at the most important aspect determined by overall and
Every organ of the human body has its specific circulatory comprehensive analysis of all the data of the disease, which are
principle of-qi (message) . When the normal function of the or- sorted out from complex clinical symptoms and signs with the
gan is affected, the circulation of qi may be disturbed and the " four diagnostic methods . " the eight principal syndromes
disturbance of qi in one organ may influence the functional serving as guidelines in diagnosis" and "disease determination
balance of the whole qi system, even that of the whole body, with outgoing-qi" in combination with some clinical examina-
outgoing qi therapy in this case may help correct the qi disor- tions of modern medicine .
der of the organ and further regulate the qi activities of the In clinical application of this principle, the extent of im-
whole body to balance yin and yang and bring about recovery portance of the incidental and fundamental aspects of the dis-
of the diseased part of the organ . ease must be determined so that the relationship between "rou-
2. The Principles of Treatment tine treatment" and " treatment of a disease contrary to the
The principle of treatment in TCM is different from the routine" and that between "treatment aimed at etiology" and
method of treatment . It refers to the principle with universal "treatment aimed at manifestations" can be handled correctly .
instructive significance laid down_ for clinical cases in line with (2) Regulating Yin and Yang
the basic TCM theory and the, philosophy of Yiyi (Application The cause of a disease, fundamentally speaking, is the rela-
of the Book o : Changes to Medicine) and Qigong . Any one of tive imbalance of yin and yang, and this imbalance may be man-
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ifested by various pathological changes, i.e ., "the excess of yang are adopted to strengthen the constitution and improve the
brings about heat syndromes, the excess of yin brings about cold body resistance so that the pathogenic evils can be expelled and
syndromes, the dificiency of yang causes cold syndromes, and the illness can be cured .
the deficiency of yin results in heat ; syndromes" . It is for this rea- (4) Combining Qi Regulation with Strength Regulation
son that the saying "treatment must aim at the cause of the dis- Diseases are usually caused by congenital and acquired
ease and be based on the theory of yin and yang" has been given disorders, stagnation and insufficiency of qi or by injuries of
priority ever since the ancient times . In clinical outgoing-qi the organs and tissues.So in diagnosis and treatment' with
therapy, the prinple of "treating yin for yang disease and-treat- outgoing-qi, the first important thing is to find out whether
ing yang for yin disease" must be adhered to, and satisfactory the disease is due to qi- disorder or due to organic disorder so
curative effect can ; only be achieved when emphasis is put on that the main aspect of regulation, e.g., regulation mainly with
regulting yin and yang all over the body including the organs outgoing-qi or that mainly with strength or the combination
and tissues to restore their balance . of the two, can be determined . For instance, in the treatment of
(3) Strengthening the Body Resistance to Eliminate lumber pain due to disorder of the small joint caused by exter-
Pathogenic Factors nal injuries, the therapist should first reposition the joint with
The course of the origination and development of a dis- strength produced through hand manipulations, and then re-
ease is in essence the process of the struggle between the body move qi stagnation resulting from the joint disorder by emis-
resistance and the pathogenic factors . During this process, if sion of outgoing qi, and only in this way satisfactory curative
the vital energy of the body is sufficient for resisting the effect can be obtained . If the syndrome, for example, palpita-
pathogenic evils, disease will not occur, otherwise pathogenic tion or abdominal distention, is caused by disorder of qi activi-
evils will get ,into the , body causing illness . The same is ex- ties, regulation of qi activities through emission of outgoing-qi
plained in Neijing (Canon of Internal Medicine), which states : is enough to relieve the symptoms .
"Pathogenic evils can not invade into a person whose healthy (5) Combining Outgoing-qi Therapy with Self Qigong
energy is fully preserved" and "Whenever the body is exposed Exercise
to the evils, deficiency of vital energy must be present" . There- Because the regulation and activation of the patient's in-
fore the final aim for treatment is to change the balance of ternal qi through emitting outgoing-qi are closely related to
force between the healthy and pathogenic factors, and by rein- the patient's qi quality and mental status, the combination of
forcing the vital energy and eliminating the evils, to cure "the outgoing-qi treatment by the therapist with qigong exercise by
disease . In outgoing-qi therapy, certain qi-guiding methods the patient himself is advised in order to ensure a better sensi-
and qi-emitting manipulations as well as self Qigong exercise tivity to outgoing-qi by the patient and to make this sensitivity
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 well as the patient's feeling of qi.
easy to synchroniffl with outgoing qi to achieve resonance in
: effect can be (1) The. Sensation of Genuine Qi
the treatment. In case of replenishing qi, better The message of genuine qi is often manifested as a slightly
gained when the emission of outgoing-qi is carried out with the. warm, cold, tingling, constricting or dragging sensation, or that
; concentration and inspiration
patient's cooperation in mind of the flow of qi . In most cases, the direction, density, nature
While in case of expelling pathogenic evils with outgoing-qi, and - wave type - of the genuine qi can be sensed . When the
quick results can be achieved if the patient at the same time ex- therapist receives the genuine qi, he may have a sensation of re-
pels distractions, exhales and imagines that the pathogenic qi is laxation and comfort in the extremities .
being expelled from the point selected by the therapist for emis- (2) The Sensation of Turbid Qi
sion of outgoing-qi . It is more effective if the patient does self Dirtyy qi is also termed evil qi or pathogenic qi
. . The sensa-
Qigong exercise in cooperation tion of turbid qi is otherwise named "pathogenic message" ac-
(6) Applying Treatment in Accordance with Seasonal quired by the therapist during his emission of qi to the patient,
Conditions, Local Conditions and the Physique of Individuals which is different from pathogenic factors of infectious disease
"Various aspects should be taken into consideration in
in modern medicine . According to clinical experience, the
treatment of a disease, as the origination and progress of the pathogenic message can be classified as :
disease may be affected by many factors, such as the climatic Cold Feeling : The qi felt is especially cold . It may be so
variations with the four seasons, the geographical and cold that when one gets such feeling of qi, his fingertips get
environmental characteristics, the age, sex, physique, living cold immediately, and . - the coldness transmits from the
habits and profession of the patient as well as his degree of sen- fingertips upwards, causing even shivering and contraction of
; effect,
sitivity to outgoing-qi . To achieve the desirable curative the sweat pores . This will give one a particular feeling of cold
a carefull selection of the time, direction, qi-guiding methods, and discomfort . Cold feeling often serves as a message of defi-
.
hand manipulations and qi forms is necessary ciency and cold syndromes such as rheumatism, rheumatoid
disease, deficiency of kidney-yang and cancer
.
Section Two The Sensation and Effect of Qi Feeling of Dryness-heat The message of qi reacts on the
y or the hands of the therapist who gets a feeling of
1 . The Sensation of Qi J°yness-heat which makes him, fidgety as if he were near a fire
Sensation of qi is actually the response to qi by both d being scorched . It may serve as an indicator of syndromes
. A
Qigong therapist and patient during outgoing-qi therapy excessheat and hyperactivity of fire due to yin deficiency
.
Qigong therapist can diagnose the disease of the patient and Feeling of Soreness and Numbness The therapist may ex-
adjust the procedures of treatment according to his feeling as
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the patients may get some effect of qi manifested as follows .

perience an uncomfortable feeling of local soreness or pain,
. The feeling of soreness and (1) Qi-sensitive Effect
heaviness, numbness and itching When the therapist emits qi, some patients may gradually
numbness often indicates syndromes of hyperactivity of the liv
get the feeling of qi manifested as cold, hot, depressing, towing,
-yang and exuberance of the wind, cold, dampness or
er creeping, tingling, heavy, light, floating, sinking, distending and
arthraigia syndrome and cancer .
phlegm evil, be felt when the aching. This represents a kind of qi- sensitive effect occurring
Feeling of turbidity : Such tur bidity can
when qi circulates in the channels and acts on the affected area
apist is standing opposite the patient or when he is emitting
ther to reach the focus . The most commom sensation of qi is cold,
. It gives one an undescribable - offen -
qi towards the patient hotness, depressing, towing and tingling . Our experience in
. It is often felt when the flat-palm hand gesture
sive feeling clinical practice shows that 60 - 70% of the patients may get
is used to detect a disease . the sensation of qi after one or several times of treatment . .
factors such as the seven
Other Kinds of Feeling : Other (2) Photoelectric Effect
anger, melancholy, anxiety, grief, fear and
emotions (joy, On receiving outgoing-qi, some patients may get some
terror) and the six climatic conditions (wind,' cold, summerheat,
. photoelectric effect manifested by a sensation of electric shock
"dampness, dryness and fire) in excess will also cause illness
in the extremities. Others may see photopictures of different
such illness, the therapist
During detection and treatment of shapes, most of which are circular, patchy or lightening-like .
feel these evils of different nature and response to them
may (3) Sound Effect
. For example, he may have a special feeling of
correspondingly Some patients may hear some kinds of sound when they
xcessive joy.
if the disorder of the patient is due to e receive outgoing-qi, such as " la-la" " long-long" or
joy After detection and treatment of diseases, the therapist
the "zhi-zhi" .
must apply certain manipulations to prevent and
must (4) Smell Effect -
pathogenic qi, otherwise he himself may develop the symptoms Some patients may smell a special odor on receiving
ponding locations . For in-
of the illness of the patient in corres outgoing-qi . The odor usually varies with individuals . It may
the hepatic area,
stance, if the patient has headache or pain in be the fragrance of sandalwood or that of flowers.
therapist may have a feeling of discomfort, numbness, itch-
in clinical (5) Dynamic Effect
the or pain in his head and hepatic region too . So
ing When the therapist emits qi, the patient may immediately
practice, a deep understanding and correct judgement of the
or gradually show dynamic phenomenon spontaneous
pathogenic evils is compulsory movement of a certain part of the extremities or of the whole
2, The Effect of Qi body, or muscular tremers, contraction and stiffness or
When a qigong therapist emits qi to treat patients, most of
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-278-
 . The phenom- during acupuncture when they are under outgoing-qi treat-
movements of thejextremities in large amplitude
enon is known as spontaneous moving Qigong activated and ment or have received qi while waiting for treatment .Some pa-
tients may get syncope as well although they may have no ap-
induced by outgoing-qi .
Clinical myoelectric tests on part of our patients shows parent sensation of qi and dynamic phenomenon . : In this case
that the myoelectric potential of those having dynamic effect the therapist should make the patients lie supine, unbutton the
on the muscles or muscular groups is more than double that of collar and carry out digital pressing on Baihui (Du 20),

those who contract their muscles voluntarily . Mingmen (Du 4), Jianjing (G B 21) and Yintang (Extra 1), and
Clinical observations on more than 400 cases have demon- grasping manipulation on Jianjing (G B ;21), Quchi (L I 11),
Hegu (L 14) Chengshan (U B 57) and Taichong (Liv ;3), fol-
strated that 2-3%o of the patients developed the phenomenon
of dynamic, effect on the muscles and extremities . lowed by guiding qi to flow along the Ren-and Du Channels
The above-mentioned are the common phenomena of qi and then back to its origin (Dantian) .,The patients can recover
effect, of which phenomenon of qi-sensitive effect occurs most quickly this way .
frequently, dynamic phenomenon occurs in a few patients and In some patients, illness ; may improve markedly after the
- syncope induced by activation of qi . The therapist should then
other- phenomena occur rarely . Some patients may get no
qi-sensitive effect at all yet can get the same curative effect . take advantage, of this to carry out regulatory treatment to gain
The phenomenon of effect of qi represents a special dy- better results . Discontinuation of treatment because of syncope
namic state of the sense or other organs of the patientswho should be avoided lest the good opportunity for regulation and
treatment by outgoing-qi be missed . . However he should not
have received outgoing -qi . It is rather a factor that decides the
sensitivity of a certain organ or the tissues of the patient than try to pursue such phenomenon . Close observation is required
the pure therapeutic effect produced by qi working on the dis- during treatment to ensure sufficient emission of qi with no in-
duction of syncope .
eased site . Some patients may show no apparant effect of qi but
recover very quickly after several courses of treatment and gain
Section Three The Discharge of Turbid Qi
sensation of qi gradually . Some may have no marked
therapeutic effect, though they show strong qi effect . This is in-
deed a rather complicated and mysterious problem which Su Wen - Yi Pian Ci Fa Lun (Plain Questions The
Unpublished Issue on Acupuncture) states: "To enter the room
awaits further studies .
of an infectious case,one should firstly imagine, that the green
Annex: The Phenomenon of Syncope Induced by Qi
A few patients may sweat all over with faster heart rate qi comes out from the liver, flows leftwards toward the east
and dizziness followed by syncope, as canbe seen in fainting and turns wood,, then imagine that the white qi comes out from

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the lung, flows twards to the west and becomes metal, then the normal qi circulation, causing disorders in part of or the
imagine that the red qi comes out from the heart, flows up- whole qi circulatory system . In mild cases, qi may stagnate in a
wards to the south and becomes fire, then imagine that the certain part (e.g., shoulder, arm, chest, back), causing tingling
black qi comes out from the kidney, flows downwards towards pain,, cold, contraction, heaviness, soreness and distention ; and
the north and becomes water, and lastly imagine that the yel- stuffiness in the chest ; or may interfere with the mental activity
low qi comes out from the spleen, gathers in the centre and be- causing . dizziness, headache, : heaviness in the head, vexation
comes earth . When. the protection of the body with the Five El- and restlessness .; In severe cases, the victim may for some time
ements is done, one can imagine thatthere is a sparkling light have all the symptoms the patient has yet positive signs can not
like the Big Dipper above his head . Then one can enter the be detected on physical examination . Vigilance should be
room of the patient, safe and - protected" This is a method aroused . in those who develop the symptoms of the patient after
adopted in Nei Jing (Canon of Internal Medicine) of applica- they perceive the turbid qi .
tion of will to guiding qi of the five zang-organs (solid organs), It is very important for a doctor who treats patients with
making qi substantial and leading gi :back to its origin to pre- outgoing-qi to possess, the ability to prevent and expel_ the tur-
vent invasion by pathogenic qi . During emission of qi, the bid qi so that it can rarely or can not, at all disturb his qi activi-
filthy (pathogenic) qi from the patient is easy to, by chance of ties . Damage of qi activities is often seen in those who treat pa-
qi emission, enter the body of the therapist and interfere with tients with outgoing qi after they have gained some qigong
his -qi circulation . This pathogenic message may also be-trans- knowledge with no experience, even in those who are veteran in
mitted into the body of normal people or other patients. How. Qigong-practice, and the interference of turbid qi is often an
ever, those who have not practised Qigong and whose qi circu- important factor of the damage.
lation is not yet so smooth, the points not open and the ex- When a therapist perceives the interference by turbid qi, he
changes of qi in and outside the body not good, are not prone must expel it with proper hand manipulations and readjust his
to the interference of this message because they have a natural own qi activities.. If the dirty qi invades into his fingers, or into
"barrier", or they are not sensitive to the message because the a certain channel or certain points, he should guide qi by will to
degree of sensitivity of their mentality (perceptive ability) is the points, the channel and the fingers and then relax locally
poor; while those who are experienced in,Qigong can percieve and quiver the hands to discharge the turbid qi while exhaling
and differentiate all kinds of qi message' because of their strong The therapist should be able to stop the turbid qi before it
perceptive ability . So whenever the pathogenic turbid qi enters reaches Dazhui (Du 14) at the back, Tianzhu (Ren 22) and
their body, they may sense it . Quepen (St 12) in the front and Fengfu (Du 16) and Fengchi
When the turbid qi enters the body, it will interfere with (G B 20) in the superior. The proper way is to expel it when it
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 1 . Methods of Disease Detection with Outgoing-qi
has just reached the fingers, wrists, elbows and at most the
shoulders. There are a variety of methods concerning the diagnosis of
If the therapist is not able enough to expel; the turbid qi at diseases by induction of qi-between the therapist and the pa-
the right, time because he is not skilled or his internal qi is not tient and by specific physiological functions, such as -perspec-
substantial, the turbid qi may enter his body by way of finger tive, remote sensing, hand detection and physical (body) obser-
vation . .
to wrist and then elbow, or from Baihui (Du 20), Tanzhong
(Ren 17), Fengchi (G B 20), Yintang (Extra 1) and Yongquan (1) Flat-palm Detection' (Hand Sensing Method)
(K 1) and cause adverse reactions . At this time, the therapist There is a qi fieldr around everybody, and when certain or-
should not persist in emission of qi but should close it with gans and tissues are affected, changes will take place in the
normal procedures and expel the turbid qi by turning the wrist, corrresponding regions of the,gi field around the body surface .
rubbing the hands and face and moving the shoulders until he Detection of the changes with the palm for ; diagnosis is termed
feels no discomfort . If the turbid qi can not yet be discharged, flat-palm detection .
he should practise Qigong exercises to regulate his qi activities The following is the procedure of flat-palm detection : Ask
first and then he may succeed in expelling turbid qi . the patient to take a standing, upright sitting or lying posture
and set the whole body relaxed, mind concentrated and breath
Section Four Outgoing-Qi Diagnosis natural. Position the palm 10 100 centimeters from the pa-
tient with the Inner Laogong (P 8) or the fingertips facing the
In outgoing-qi therapy, the diagnosis is confirmed based patient's body surface. . Emit qi faintly and then conduct slow
on the comprehensive analysis of the data gained with the four pushing, pulling and leadingi manipulations to detect qi of the
TCM diagnostic methods (inspection, auscultation, interroga- patient from, firstly , the upper and lower, left and right and an-
tion and palpation) and the eight principles (yin and yang, ex- terior andd posterior aspects, and then from the body surface of
the corresponding regions of the internal organs and tissues
terior and interior, cold and heat and deficiency and excess) .
and based on the detection of diseases by outgoing-qi which Make comparisons between the sensations gained in different
usually reveals the intensity, density and circulating direction- of places to : find out the part where qi is felt abnormal and decide

the healthy qi as well as the intensity and' nature of the the nature of it . Analyze the sensations on the basis of the rela-

pathogenic qi . Then curative measures can be taken' in terms of tionship between the eight principles (yin and yang, exterior
determination of the channels and points to emit qi toward, the and interior, cold and heat, deficiency and excess) and the Yao
qi-guiding methods, hand gestures and manipulations and image (yin and yang lines) and the parts, internal organs and
treatment procedures . the healthy and pathogenic factors to deduce the location, na-
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ture and severity'pf the disease . The , location - and the nature of qi detected with
For example, a great difference in intensity of qi between outgoing-qi are expressed with the moving lines of the six
the two sides of the Stomach Channel of Foot-Yangming in hexagrams,of which the position of the lines symbolizes the
the anterior aspect of the body means the imbalance of qi>circu- specific part or organs of the body, and theprinciple of the
lation between the left and right side . The deficiency and cold lines (yin or, yang) symbolizes the attributes as to whether they
syndrome of the spleen and stomach may be manifested by a are pathogenic or healthy, negative or positive . To add "+",
cold and contracted sensation in the epigastric region. "++" ;and "+++" inside "O" indicates the extent of the healthy
The location and nature such as pathogenic or healthy, qi in terms of weak, moderate, strong ; while to add "'-" , " = "
cold or heat, deficiency or excess and so forth can be expressed and "=" in "0" indicates the extent of pathogenic qi in terms
by the six Yao image (yin and yang lines) which constitute the of mild, moderate and severe . And when the above symboles

sixty-four diagrams (hexagrams) . Specifically, the hexagram are added on the right of the moving lines (the lines corre-
Qian __ (the 1st of the sixty-four hexagrams ; yang - lines) sponding with, the parts' or organs where qi is sensed), they ex-
symbolizes the qualities of the yang aspects-male, fu-organs press the nature of qi (pathogenic or healthy) and its extent .
(hollow organs),positive and so forth ;Kun_-= symbolizes the For instance, moderate extent of densified and cold qi is
opposite qualities femal,zng-ors(lidgan),e- detected at the surface of the thoracic region of a male patient .
As Qian represents male and the 5th Yao line correspondes to
tive, etc . This principle is used to indicate the status of qi equi-
librium . Then the symbol-"O" is used to symbolize the qi sensa- the thoracic region, the nine-five line of Qian ' hexagram

tion in or around the body, which, with the symbol "-"(taken moves to the position of six-five (yang turns into yin because
as the diaphragm) added to it, indicates the region of the chest cold means yin) and the hexagram becomes Dayou
and abdomen ; with the symbol" I "at its top on the middle, in- Sow= should be recorded and then "Q" should be drawn be-
dicates the head ; with " =" added to each of its sides,indicating low it to express that the record is taken with six Yao lines as a
whole, and " = ." should be drawn to the right of the six-five
the upper and lower limbs . In this way,the position of the three
Yao at the head, three at the chest and abdomen, three at the line to express that the pathogenic -qi detected is moderate . If
lower limbs and three at the upper limbs are illustrated clearly . moderately dense and dry-hot pathogenic qi is detected in this
Then words such as male, female, zang-organs or fu-organs patient, the record should be taken with the same method ex-
are written below the related one of the six hexagrams like Qian cept that the nine-five line- remains unmoved as the original
and Kunn to express the qualities of the diagram in terms of Qian hexagram, which means that the pathogenic evil at the
male, female, zang-organs, fu-organs and -the parts of the nine-five region is of yang nature and is moderate . The meth-

body . od may also be used to record the results of qi detection at the

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3rd Yao of the upper limbs and of the head, the 3rd Yao of the feelings and the feature of the feelings are representative of the
abdomen-chest and the head, the 3rd Yao of the lower limbs locality and nature of the illness that the patient suffers from .
and the abdomen-chest or the results detected on the right and The versed therapist may emit qi out of his Laogong (P 8) of
left and at the anterior and posterior aspects of the body based one hand toward a certain point of the patient, and accept qi
on the six Yao lines. Again, strong dry-heat, densified, aching with Laogong (P 8) of another hand and infuse it all over the
and distending qi is detected at the hepatic region or at the re- body to make the diagnosis .
lated points of a female patient . As Kun represents female and (3) Hand Diagnosis, Foot Diagnosis and Ear Diagnosis
the six-three line matches with the liver, the six-three line of The law of bio-hologram holds that one part of the body
the Kun hexagram = =moves to the position of the nine- three contains the message of the whole (including various parts, the
Yao and the hexagram becomes Qian- (the 15th of the viscera, qi and blood), and the local message may reflect the
sixty-four hexagrams) . After this is taken, the word "female is condition of the whole body . Such parts may include the hand,
written below the hexagram to show the sex and •" ' "drawn foot, eye, nose, ear, face, etc . The locations on these parts that
to the right of the nine-three line to indicate the severe extent represent the other different parts and organs are termed as
of•p athogenicyang (yang Yao) . points or zones, or respectively, as hand points (Fig . 7-1), foot
(2) Body Detection Based on Biological Correspondence points (Fig. 7-2), ear points (Fig . 7-3) and so forth .
According to the law' of bio-hologram,' a bit of qi of the The following is their procedure : Take the diagnosis
patient may be a message of the whole qi system . When the through hand points as an example . The therapist first swings
therapist receives a little amount of qi of the patient and infuses his hands or rubs one of his hands with which he is going to de-
it through' out his body, he may get some abnormal feelings in tect diseases gently with another to get its sensitivity even ; then
the locations that correspond to that of the patient, the feelings he leads qi of the patient by will into the palm, spreads qi over
by which he judges the location and nature of diseases . it (concentration on one point should be avoided), and try
The following is the procedure of this method : Stand-fac- carefully ; to sense the reaction of the patient's illness on his
ing the patient . Emit qi by will toward the Baihui (Du 20) point palm . He may then get some kinds of special sensation at the
of the patient' and infuse it from Baihui (Du 20) to Yongquan points onhis palm, which indicates the location of the diseases
of the patient . The different sensations such as distention,
(K 1) . Then lead qi from the patient's Yongquan (K 1) to yours
and guide it to flow upward to your Baihui (Du 20) to form heaviness, numbness, hotness, itching and throbbing corre-
one circulatory cycle of qi between you and the patient . Then spond with the feature of the diseases the patient suffers from .
infuse qi of this cycle throughout your body and try to feel the
reaction of it carefully . The locality where you have abnormal
-288- -289


0
4
s
S
-' 12 x 10 .
11 13 14 I
Is 6 18 9 1
zo , go
?2%'- 23 11
41 24 25 16
as
27 of 31 [If 32 t`21-1
36
39
a It, 4

Fig . 7-1 An Illustration of Points for Hand Diagnosis -

1 .spleen-earth 2-liver-wood 3 .heart-fir 4-lung-metal Fig . 7-2 An Illustration of Points for Foot Diagnosis
5 .kidney-water 6 / 13/ 26/ 35 .large intestine 7 .left brain 1 / 2 .head 3 / 4 .thyroid gland 5 / 6 .shoulder 7 / 8' .lung
8 .brain 9 .right brain 10 / 12 / 31 .small intestine 9 / 10 .elbow joint 11 / 12 .adrenal gland 13 .spine 14.liver
11 .gallbladder 14 / 37 .urinary bladder ; 15 .left shoulder 15 .gallbladder 16 .stomach 17 .heart 18 .spleen 19 / 20 .kidney
16 .left cheek 17 .nose 18-mouth 19 .right cheek 21 .pancreas 22 .duodenum 23 / 24 / 25 .large intestine
20 .right shoulder 21 .stomach 22 .left lung 23 .right lung 26 / 27 / 28 . small intestine 29 / 30 .urine duct 31 / 32 .knee cap
24.the whole body 25 .heart 27 .vitality / mentality 28 .navel 33 / 34 .thigh 35 .urinary bladder' 36 .right foot 37aeft foot
29 .veneral diseases 30 .uterus 32 .elbow 33 .left kidney
34.right kidney 36 .knee 38 .reproductive organs 39 .hip
40 .waist 41 .left lower limb 42 .right lower limb
43 .the back of the head 44 .cervical vertebra 45 .chest
46.sacrolumbar region

-290- -291-
 special feeling represents the :location of diseases of the patient,
and different feelings represent different features of the disor-
ders .
Another method is to make the diagnosis while the patient
is waiting to see the doctor . The therapist leads the patient's qi
17
by will to his own hand, foot or ear to feel the reaction-on the
points to make diagnosis .
(4) Diagnosis by Observing Qi
At

41
Ask the patient, to take a sitting or standing posture with
40 - the whole body relaxed, breath even, distractions expelled and
fs
mind concentratedd on the location of his disorder . Observe
4
with the naked eyes the space within 30 cm radius around to
patient while,concentrating the mind on the Upper Dantian .
Then transparent or opaque qi flow or mass of different' densi-

Fig. 7-3 An Illustration of Points for Ear Diagnosis

ty and colour (red, white, yellow, green, blue, black, etc .) may
9 .Shenmen (H 7)of Hand- be observed,-, which may be taken as the basis for determination
1-6 .helix 7 .ear apex 8 .uterus
l1 .external reproductive organ
Shaoyin l0 .sympathetic nerve of the location and feature of diseases . ;
.urinary bladder 14 .urinary tract
12 .sacrolumbar vertebra 13 (5) Detection by Will,
16 .kidney 17-small intestine
15 .the lower segment of rectum It refers to diagnosis through observation of the image of
20.gallbladder 21 .stomach
18 .1arge intestine 19 .duodenum the patient by will . . The therapist firstly observes . the image of
.liver 25 .spleen 26 / 28 .1ung
22 .diaphragm 23-esophagus 24 the patient as a whole, then imagines a sketch picture of the pa-
.antilobium apex 31 .adrenal gland
27 .heart 29 .trachea 30
.endocrime, system 34 / 35 .eye 36.tongue
tient in mind , and further imagines his interior . If the part or
32 .thyroid gland 33
40.Pingchuan (Extra) 41 .subcortical organ that the therapist imagines is darkish or gives him a feel-
37 .eye 38 .cheek 39 .teeth
.thoracic vertebra ing of turbibness, it will be the location of diseases .
system 42 .cervical vertebra 43
Alternatively, the therapist may ask the patient to get The sense of smell, the sense of taste, straight perspective
breathe evenly, concentrated and turn one of his palms upward and remote sensing are also useful diagnostic techniques . The
while keeping it relaxed . He then moves his index or middle points and zones for diagnosis are also indicated in' emission of
10 cm off the patient's palm) gently from one hand qi or in stimulation by pressing, kneading and needling . -
finger (5 -
. The point where he gets the 2 . Differentiation of Symptoms and Signs
point of the patient to another
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-292-


Generally, hectic fever, flaccidity ; perspiration, vexation palpation) as well as modern techniques using ; instrument De-
and so forth are included in the yang and heat syndromes ; tection of qi may reveal the general conditions of genuine qi,
chills, contracture or rigidity and stagnation are included in the pathogenic qi - and - other approximation , which can only be
taken as one aspect in diagnosis of a disease . Comprehensive
yin and cold syndromes . Deficiency syndrome is manifested by
analysis of all the data acquired ; with various techniques should
contracted, numb and weak feeling of qi ; excess syndrome by
distending, turbid, outflowing, tingling and densified qi . not be, neglected. Deliberate mystification of the detection of
Soreness and distention are indicators of swelling due to exter- diseases by the use of outgoing-qi alone may lead to forfeiture
of the chance for treatment .
nal injury . Lightness and superficiality reveal exterior
syndromee while heaviness and deepness suggest interior Section Five The Number of Times
syndrome . Turbidity flowing with the course of channel means Required for Treatment
transmission of pathogenic qi to the interior which should be
prevented, in` time, and that flowing against the course of chan- The number of times required for treatment or for emis-
nel means the initial generation of pathogenic qi . Thinness in- sion of outgoing-qi is often calculated in respiratory cycles .
dicates insufficiency ; denseness means accumulation of One option is the duration of time .
pathogenic qi or stagnation of qi . Knottiness and sluggishness 1. The Number of Yin and Yang
represent stagnation of qi and stasis of blood . Disorderliness The therapeutic dose required for regulation of yin and
indicates disorder of qi activities . The feeling of joy, anger, an- yang, expressed as number of respiratory cycles, is calculated
xiety, sorrow or fright means that the pathogenic factors of the on the basis of the number of Yin or yang channels (or the yin
patient have influence on others . and yang aspect of diseases) matching with the number of yin
Qi of diffe rent viscera have different colours . The and yang related to the River Chart, the Five Elements, the
heart-qi is red, lungqi white, spleen-qi and stomach-qi Luo River Graph and the Acquired Eight Diagrams. For ex-
yellowish green, liver-'qi green, gallbladder - qi blue, and kid- ample, the number of yang is used to calculate the respiratory
ney-qi dark purple . Qi of the healthy organ is clear, lucid and cycles for tonification or purgation of the yang channels ; the
clean while that of the diseased organs darkish, grey and number of yin for that of the yin channels . Table 7-1 provides
turbib . Whether an organ is disordered and the extent of disor- a-general basis for calculation .
der may right be revealed by these colours of qi . Table7-1 TheNumber' of Yinand Yang
Initial
The diagnosis of diseases with outgoing -qi must be com- Young Old

bined with the four diagnostic methods of TCM (inspection ;

9 270 x 9) or 49(7 x 7) 81(9 x 9)
180 x 6) or 36(6 x 6)
auscultation and olfaction,interrogation , and pulse feeling and 64(8 x 8)

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from the numbers in the Acquired Eight Diagrams, and the Luo
2 .-The-Number Related to the River Chart and the Five ; El-
River Graph in combination with those of the Five Elements
ements
The number in the River Chart and the Five Elements is and their attributing viscera . This approach is mainly used in

described as: " Heaven-one generates water and results in the interrestraint between the Five Elements and the viscera

Earth-six ; Earth-two generates fire and results in (Table 7-3) .

Heaven-seven ; Heaven-three generates woodd and results in Table 7-3 The Number Related to the Acquired

Earth-eight ; Earth-four generates metal and results- in Eight Diagrams and the Luo River Graph

Heaven-nine; and Heaven-five generates earth and results in Eight Qian Kan Gen Zhen Xun Li Kun Dui
Diagr-
Earth-ten" One, two, three, four and five are the generating ams
numbers of yin and yang of the Five Elements-while six, seven, Orien- north- north north- east south- south south- west
eight, nine and ten are those of resultant numbers of yin and tation west east east west

yang. The number of respiratory cycles required for treatment Five metal water earth wood wood fire earth metal'
of disorders of the five viscera comes from the, multiplication of Elem-
ents
the resultant numbers (the base numbers) by their multiples .
This approach is mainly applied to disorders related to the Viscera Large kidney,stomach gall liver heart, spleen lung
intes- urinary bladder small
interpromotion and interconstraint of the Five Elements,or to tine bladder intes-
tine
put it differently, to whether the mother-organ should be
tonified or the child-organ should be purged (Table 7-2) . Numbers
in Luo, 2&5
Table 7-2 The Generating and Resultant Numbers Related to
River
the River Chart and the Five Elements graph
Five Elements Water Fire Wood Metal Earth

Generating Number one two three four five 4. The Length of the Channels and the Respiratory Cycles
Resultant Number six seven eight nine ten' This calculation may be taken as a reference in treatment,
mainly' concerning with the conduction and activation of the
Five Viscera kidney heart liver lung spleen
circulation of the channel qi . During one respiratory cycle (one
3. The Number Related to Acquired Eight Diagrams and the inhalation, one exhalation), the channel qi flows about 6 can
Luo River Graph (Table 7-4) .
It refers to the number of the respiratory cycles required
for treatment of the disorders of the five viscera, which comes
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-296-
 Table 7-4 The Length of the Channels and
tiple of 6 defined
by the yin channels . However, clinical treat-
the Number of the Respiratory Cycles
ment calls for determination of all this in the light of the facts ;
flexibility is advisable, Rigid adherence to the formalities
Channels Length Respiratory Ourfiow of Qi
(in chi) Cycles over the< should be avoided.
Required Length of Channels
(in cun)
Section Six The Tonification, Purgation,
The Three Yang
Channels of Hand
Regulation and Guidance and the Closing
The Three Yang 8 14 Form of Treatment
Channels of Foot
The Three Yin 3 .5 1. Tonification and Purgation
Channels of Hand
The Three Yin 6 .5 11 To reinforce the deficiency and reduce the excess is a radi-
Channels of Food cal' curative measure used in every field of TCM . In
The pu & Ren Channels 4 .5(each) 8 3 outgoing-qi therapy, satisfactory effect can be anticipated only
when , the doctor adheres to the principle ; of " treating
asthenia-syndrome with tonification, sthenia-syndrome with
The above-mentioned number of treatment times is ex-
purgation and non-asthenia-non :.-sthenia syndrome with reg-
pressed in number of respiratory cycles for emission of outgo-
ulation-along the channels" . Introduced here-are the major
ing-qi . Clinically, it should be decided based on the location of
methods of tonification and purgation adopted in outgoing-qi
the diseases and on the nature of them (yin or yang, deficiency
therapy.
or excess, and exterior or interior) to ensure sufficient
(1) Tonification and Purgation with Respiration
therapeutic dose . For example, diseases due to deficiency of yin
Thiss is a definition in which tonification and purgation are
should be treated with tonification method by emitting qi for 6,
classified according to which respiration methods (exhalation
18 or 64, respiratory cycles ; deficiency of lung-metal should be
or inhalation) the therapist adopts in , emission of qi .
treated by replenishing the ,mother organ spleen-earth, with
Tonification means that the therapist exhales when he guides
emission of qi for 10 respiratory cycles ; adverse flowing of
his own.gi and emits it into the channels, points and the inter-
yang-qi due to excess of liver-wood should be suppressed by
nal organs and tissues of the patient, purgation meaning that
emitting qi for 7 respiratory cycles; and stagnation of qi or de-
he inhales when he guides and emits qi to lead qi of the patient
ranged flow of qi in the Lung Channel of Hand-Taiyin should
to flow ; following that of the therapist or pull the pathogenic
be corrected by emitting qi for 6 respiratory cycles or the mul-
evils out of the body of the patient. During treatment, the pa-

-298- -299-
tient should coo*rate with the therapist by means of respira- breath to cooperate with the treatment by exhaling qi toward
the focus. of the disease mentally.
tion . He should first assume a proper posture, expel distrac-
tions, relax all over and concentrate the-mind-on the location (3) Tonification and Purgation with Rotative Hand Ma-
which the therapist will emit qi to . When the therapist exhales nipulations
and emits qi toward him (tonification), he should inhale to take According to the attributes of yin and yang, the upper part
in the therapist's qi naturally from the designated location, and of the body isyang and the lower is yin ; the left is yang and the
where the therapist does the opposite (purgation), he should ex- right yin the back is yang and the abdomen yin . But concern-
hale to get qi out in the same way . ing sex, there is some difference in circulation of qi, blood, yin
(2) Tonification and Purgation with Emission of Qi along and yang : in male, the left is yang, the right yin ; the back is
and against the Course of the Channels yang and the abdomen yin ; while in female, the right is yang
Zhen Jiu Da Cheng(A Complete Works in Acupuncture and and the left yin ; the abdomen ; yang and the back yin . In short,
male and female have three pairs of yin and yang each ,
Moxibustion) states, " The classics say that puncturing along
the direction of the channels yields tonifying effect,while going which determine the difference in turning clockwise and
against it induces purgation" . This is also a principle of outgo- counterclockwise for tonification and purgation.
ing-qi therapy, i .e ., emitting and guiding qi along the course of As for the direction of rotation, for a male, making cycles
the Fourteen Channels means tonifying, and against them, re- with the hand against the trunk from the top to the left and
bottom to the right following yang is tonification, and the op-
ducing . In TCM, the Three Yang Channels of Hand run from
the hands to the head, the Three Yin Channels of Hand from posite direction against yang and along with yin is purgation ;
the chest to the hands, the Three Yang Channels of Foot from and for a female, making circles from the top to the right and
the head to the feet, and the Three Yin Channels of Foot from bottom to left along with yang is tonification and the opposit
the feet to the abdomen and chest . So the deficiency and excess against yang and along with yin is purgation . And because the
of the Twelve Regular Channels can be readjusted according to body gathers yang-qi from the extremities and yin-qi from the
the course of them, while ; that of the Two Extra Channels- five zang-organs, and the outside is yang and inside is yin,
the Ren Channel and the Du Channel can be done according to guiding qi from outside into inside means tonification, : and vice
versa, purgation .
the course of the "small circle of qi" described in qigong exer-
2. Regulation and Guidance
cises.
During treatment, the patient should assume a proper pos- Regulation is a uniform reinforcing-reducing technique
ture, relax the whole body, expel distractions, concentrate his which is applicable to asthenia-sthenia syndromes (asthenia
accompanied with sthenia or vice versa) to readjust the defi-
mind on. the manipulations of the therapist and regulate - his
-300- -301-
 of yin and yang. If qi goes adversely upward
ciency and exces*f
densely, the therapist should guide it downward . The same
principle is applicable to the deficiency or excess of qi in the left Chapter Eight Treatment of
or right side of the body. Regulation also includes purgation Diseases
after tonification and vice versa .
The method of guidance is used when stagnation of qi and
stasis of blood or disorders of the channel qi develop, to, by Section One Internal Syndromes
guiding manipulations, regulate the channel qi and dredge the
Common Cold
channels and collaterals to facilitate qi circulation or lead qi
back to its origin . Etiology
3. The Closing Form of Treatment 1.Wind-Cold Syndrome Due to Exogenous Evils
(1) The Closing Form for the Patient The Wind-cold usually enters by way of the body surface,
When the therapist emits qi to the patient, the patient will and because the skin and body hair are connected with the
respond as if he himself were doing the exercises . So when the lung, it may cause failure of the lung to , keep the lung-energy
p.
treatment is over, the therapist should relax the patient by re- pure and descendant and obstruction of the sweat pores, re-
storing the patient's qi back to its origin by means of hand sulting in wind-cold syndrome .
manipulations such as finger-pressing, tapping, percussing, 2 . Wind-Heat Syndrome Due to Exogenous Evils
rubbing and rocking, as the condition of the patient requires . The Wind-heat usually. enters the body by way of the
(2) The Closing Form for the Therapist mouth and nose, and because the nose is the orifice to the lung,
To stop emitting qi, the therapist should direct his qi slow- it may also cause failure of the lung to keep the lung-energy
ly back to Dantian and draw his hands back from the patient pure and descendant and failure of the sweat pores to expel
(resume the hands from the qi-emitting gesture), and then pathogenic evils, resulting in wind-heat syndromes .
readjust his mind, breathing and posture properly, relax all Symptoms
over and get the genuine qi to its origin . If he is affected by 1. Wind-Cold Syndrome Due to Exogenous Evils
pathogenic qi, he should first expel it and then carry out the Severe aversion to cold, slight fever or absence of fever,
readjustment . headache, soreness and pain in the extremities, nasal obstruc-
tion with discharge, low-voice speaking, itching of the throat,
cough with thin and clear phlegm, pale tongue with thin coat-

-302- -303-
ing and tense, guperficial pulse . Detection with flat-palm hand of Foot-Taiyang with pulling, and guiding manipulations to
gesture reveals' a sensation of dense, cold and obstructed qi kake the functional activities of qi balanced .
around the head and imbalance of qi between the upper and (3) Lastly, press and knead Fengchi (GB 20), Dazhui(Du
the lower and the left and right aspects of the body . 14) and Fengmen(UB 12), dig-grasp Quchi (LI 11) and Hegu
2. Wind-heat Syndrome Due to Exogenous Evils (LI 4) and shake the two upper limbs to end the emission of qi .
Severe fever, slight aversion to cold, headache, sweating, Modification : In the case of wind-cold syndrome, add
sore throat, cough with yellowish thick phlegm, thin, white or heat qi-guiding method to emit qi to Fengmen (UB 12): and
slightly yellow tongue coating and rapid, superficial pulse . De- Dazhui (Du 14) and guide qi downward along the Urinary
tection with flat-palm reveals dense, hot and tingling sensation Bladder Channel of Foot-Taiyang to facilitate the qi activities
of qi around the head and apparent imbalance of qi between of the patient ; in case of wind-heat syndrome, add cold
the upper and the lower or the left and the right aspects of the qi-guiding method to emit qi to Feishu (UB 13), Dazhui (Du
body. 14), Fengchi (GB 20) and guide qi to flow along the Stomach
Treatment Channel of Foot-Yangming to facilitate qi activities ; for pa-
1 . Emission of Outgoing-Qi (Waiqi) tients , with nasal obstruction, add middle-finger-propping
(1) With the patient sitting, pinch and knead Yintang (Ex- hand gesture and quivering manipulation to , emit qi to
tra 2), Kangong (Extra) and dig-grasp Quchi (LI 11) and Hegu Yingxiang (LI 20) and Shangen (Radix Nasi) for 9 respiratory
(LI 4) to open up the points and normalize the functional activ- cycles ; and for those with cough, chest stuffiness and abundant
ities of qi . Assume the flat-palm gesture andpushing and pul- phlegm, add flat-palm or sword-fingers hand gesture and
ling manipulations to emit qi toward Yintang (Extra 1) and quivering manipulation to emit qi to Shanzhong (Ren 17),
Taiyang (Extra 2) . Then' use pulling and leading manipulations Zhongfu (Lu 1) and Yunmen,(Lu 2) for 8 respirotary cycles .
to guide qi to flow downward along the Ren Channel and the 2. Qigong-Acupuncture
Stomach Channel of Foot-Yangming to both feet, 3 - 7 times Insert the filiform needles into Taiyang (Extra 1), Quchi
are sufficient for expelling the wind-cold or wind-heat out (LI 11) and Hegu (LI,4), then apply the dragon-mouth hand
from the feet. gesture and pushing,. pulling and leading manipulations to emit
(2) Press and knead Fengfu (Du 16),Dazhui (Du qi to -the points and guide qi to Hegu (LI 4) .
14),Fengmen (UB 12) and Feishu (UB 13) . Emit qi toward 3. Self Qigong Exercise as Accessory Treatment
Dazhui (Du 14), Fengmen (UB 12) and Feishu (UB 13) with (1) Daoyin Exercise, for Expelling Pathogenic Wind from
flat-palm gesture and pushing-pulling manipulation . Then the Body Surface (Qufeng Jiebiao Daiyin Gong)
guide qi to flow downward along the Urinary Bladder Channel Take the upright sitting posture . Relax all over, close the
-304- -305-
eyes slightly, expel distractions and breathe naturally' . Cough
Pushing the Forehead Put the index, middle and ring fin-
Etiology
gers of both hands close to each other and push the forehead
1 . Cough Due to Exogenous Evils
with them from the midpoint of the two eyebrows straight up-
It is often caused by invasion of the lung by exogenous
ward to the front hairline 24 - 50 times, then push from the
pathogenic factors . The wind-cold or wind-heat as pathogenic
midpoint of the forehead sidewards 24 50 times . Push with
factors usually invades the body surface externally and injuries
more force while exhaling and less while' inhaling . Try to feel
the lung internally, causing obstruction of the lung-qi and
the flowing of qi beneath the hands while pushing .
impairment of the purifying and descending function of the
Kneading-Motioning Taiyang (Extra 2) : Put the middle
lung, resulting in cough .
fingers against the point Taiyang (Extra 2) and press and 2. Cough Due to Internal Injury
knead-motion them counterclockwise 24 - 50 times .
Apart from lesions of the lung itself,it is often involved in
Sweeping the Gallbladder Channel: Put the four fingers
diseases of other internal organs . For instance, dysfunction of
close to each other and curve them slightly . Scrape with the
the spleen in transport may result in damp phlegm accumula-
fingertips along the Gallbladder Channel from above the ears
tion and obstruction of the lung-qi ; stagnation of the liver-qi
backwards via the frontal angle of the forehead towards the
may cause the liver-fire to attack the lung; hyperactivity of fire
back of the head 5 10 times .
due to yin deficiency of the liver and spleen may also involve
Bathing the Nose : Rub the dorsal sides of the thumbs the lung . All this may result in failure of the lung to perform its
against each other till they are hot . Rub with them the sides of
purifying and descending function, and the reversed flow of qi
the nose gently up and down . Rub 5 times during each inspira- causes cough .
tion and each expiration for altogether 9 respiratory cycles .
Symptoms
(2) Diaphoretic Exercise by Holding the Head (Pannao
1 . Cough Due to Exogenous Evils
Fahan Gong)
Wind-cold type is manifested by abundant white, thin
Sit cross-legged on bed . Put the hands on the region of
phlegm, stuffy nose with discharge, thin and white tongue coat-
Fengfu (Du 16) and Fengchi (GB 20) at the lower part of the
ing and superficial pulse Wind-heat type by cough with thick
occipital bone with the fingers interlocked, and rub for 9
sticky phlegm, sore throat, thirst, fever, thin yellow coating and
respiratory cycles . Then with hands holding the back of the rapid superficial pulse . Detection with flat-palm reveales a sen-
head, bend forward until the head reaches the bed . Set the
sation of dense, cold qi or that of imbalance of qi between the
body straight and restart the whole procedure till sweat is re-
left and right sides .
duced .
-306- -307-
 2. Cough Dig to Internal Injury Modification: In case of cough due to exogenous evils, add
The phlegm-dampness type is manifested by cough with the manipulations of opening Tianmen (Extra, life pass) push-
abundant white and sticky phlegm, stuffiness in the chest, ing Kangong (extra), motioning Taiyang (Extra 2) and
white greasy tongue coating and soft, slippery pulse, while that pressing-kneading Fengchi (GB 20) 24 . times each . For cough
due to invasion of the lung by the liver-fire manifested by due to internal injuryy with phlegm caused by dampness reten-
choking cough due to adverse flow of qi, flushed complexion, tion due to ; dysfunction of the spleen-yang,, add flat-palm
dry throat, hypochondriac pain due to cough, thin yellow hand gesture and pulling and leading manipu- lations to emit
tongue coating with little fluid and rapid, wiry pulse . qi toward Zhongwan (Ren 12) and guide qi down to Fenglong
Flat-palm detection reveals dense, obstructed and tingling and (St 40) along, the Stomach Channel of Foot-Yangming . Then
distending sensation of qi at the region of the chest and abdo- emit qi with flat-palm gesture and vibrating and quivering
men. manipulations toward Zhongwan (Ren 12) and Dantian for 24
Treatment respiratory cycles .
1 . Emission of Outgoing-Qi (Waiqi) In case of failure' of the lung to main keep its purifying and
(1) Ask the patient to assume a sitting posture . descending function caused by the liver-fire attacking the lung,
Press-knead Tanzhong (Ren 17), Feishu (U B 23), Zhongfu add flat-palm , gesture and vibrating and quivering manipula-
(Lu 1), Yunmen (Lu 2) and Fengmen (U B 12) . tions to emit qi toward Ganshu (UB 18), Zhangmen (Liv 13)
(2) Use the flat-palm gesture and pushing, pulling and and Qimen (Liv 14) for 11 respiratory cycles, and then guide qi
quivering manipulations to emit qi towards Shanzhong (Ren down to the lower extremities along the Liver Channel of
17), Zhongfu (Lu 16), Yunmen (Lu 2) and Feishu (U B 23) for Foot-Jueyin ;and the Gallbladder Channel_ of Foot-Shaoyang
6 . or 12 . respiratory cycles respectively, and to guide qi from with pushing and leading manipulations, to get qi balanced .
Zhongfu (Lu 1) and Yunmen (Lu 2) to flow along the Lung 2. Qigong .-Acupuncture
Channel to the hand to get qi balanced between the upper and Insert the filiform needles into Shanzhong (Ren 17),
the lower . Neiguan (P 6) Hegu (LI 4) and Feishu (UB 13) . Then apply
With flat-palm hand gesture and vibrating and quivering dragon-mouth or bird-beak hand gesture and pushing, pul .
manipulations, emit qi to Shanzhong (Ren 17) and Zhongwan ling and rotating manipulations to facilitate qi activities of the
(Ren 12) for 14 respiratory cycles, and guide qi to flow down- patient and balance qi between the needles .
ward along the Stomach Channel of Foot-Yangming with pul- 3. Self Qigong Exercise as Accessory Treatment
ling and leading manipulations to make qi activities balanced (1), The Exercise of Rubbing the Chest and Uttering "Si"
between the upper and the lower . (Moxiong Sizi Gong) Take the standing or upright sitting pos-
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ture . Tap the u per and lower teeth against each other 36 times the upper-left sidee of the chest obliquely downward to the pit
while stiring the saliva with the tongue . Swallow the saliva 3 of the stomach 9 times . Do the same with the right palm to the
times during the tapping and sent it mentally down to the lung right side of the chest .
and to the skin and hair and lastly to Dantian . Then push with Removing Fire in the Lung and Resolving Phlegm: Put the
the flat- palms on the respective sides of the chest and inhale two palms on the infraclavicular fossa of their respective side
slowly . Utter "si" during' exhaling with the two hands rubbing and push slowly downwards to the lower abdomen of the same
the chest at the same time, for 7 respiratory cycles . side 9 times .
The exercise is effective for lowering the lung-qi and clear- Regulating Qi and Dredging the Channels: Push with the
ing away the lung-fire . It is indicated for cough due to left palm from the right side of the chest to the fingertips via
exogenous evils and should be done 2 - 4 times a day . the right shoulder and the medial aspect of the arm, then from
(2) The Exercise of Taking White Qi (Fu Baiqi Gong) the dorsal side of the fingertips back to the chest via the ante-
Take the same posture and do the same teeth tapping and rior-lateral aspect of the arm and the shoulder,9 times . Do the
saliva swallowing as mentioned above . Then imagine white qi . same with the right hand upon the left side another 9 times .
Inhale the white qi through nose and fill the mouth with it . The manipulation is indicated for cough due to either
Send it slowly down' during inspiration to the lungs and then exogenous evils or internal injury and should be performed 2
spread it all over the skin and hair . Repeat the procedure 7 4 times a day .
times . Asthma
The exercise has the function of tonifying the lung-qi and
is indicated for patients with deficiency of the lung-qi . It Etiology
should be done 2 - 4 times a day . Asthma is mostly caused by retention of damp phlegm in
(3) The Lung Regulation Exercise (Lifei Gong) the lung. When a person is affected by exogenous evils, disor-
Patting-Thumping the Back : Raise the right arm and rest der of qi in ascending, descending, flowing in and flowing out
the centre of the palm against Dazhui (Du 14) and pat it 9 will develop, and phlegm will ascend with qi and adversely ob-
times, accompanied by teeth-tapping . Do the same with the struct qi, leading to obstruction of the air passage manifested
left palm, and then thump both the back and the chest with the by symptoms of dyspnea and rales . The disease may also result
two hollow fists alternately 9 times, accompanied by tapping from obstruction of the lung due to phlegm retention caused by
the teeth . failure of the spleen to transport, or from failure of the kidney
Soothing the Chest Oppression to Regulating Qi (Shuxiong to regulate qi because of kidney insufficiency . So the etiology
Tiaoqi Gong) Push-rub the chest with the left palm first from
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 f
of the disease is asdnbed to the dysfunction of the three : the throat and mouth, dry cough or cough with little
expectoration, hectic fever, night sweating, reddish tongue with
lung, the spleen and the kidney . no coating and rapid, thready pulse . In some patients, there
Symptoms may be hernoptysis and hoarseness .
Evils
1 . Wind-Cold Type Due to Exogenous
The main symptoms are shortness of breath, cough and Flat-palm detection may reveal dense and sluggish qi at
the chest and the upper and lower abdomen.
expectoration -of abundant thin, clear phlegm with foam ac-
Treatment
companied with superficial wind-cold syndrome, white tongue
1 . Emission of Outgoing-Qi (W aiqi)
proper with thin coating, and superficial, tense or taut, slippery
(1) Conduct digital-press'-kneading first on Dingchuan
pulse . (Extra), Tiantu (Ren 22), Shanzhong (Ren : 17), Guanyuan
Flat-palm detection may reveal dense and cold qi sensa-
(Ren 4) and-Feishu (UB,13) .
tion at the chest and thin, scattered at the lower_ abdomen - and
(2) With flat-palm hand gesture and vibrating and quiv-
the lower extremities . ering manipulations, emit qi to Dingchuan (Extra) and Feishu
2. Accumulation of Phlegm-Dampness in the Lung (UB 13) with the palm touching the body surface of the patient
This is manifested by shortness of breath, cough, abun-
for 14 or 28 respiratory cycles . Then with the palm off the body
dant thick and sticky expectoration, stuffiness in the chest and
surface, guide qi along the Du Channel and the Urinary Blad-
epigastric region, white greasy tongue coating and wiry, slip-
der Channel of Foot-Taiyang down to Mingmen (Du 4) and
pery pulse . Shenshu (UB 23) repeatedly 3 - 7 times.
Flat-palm detection reveals that qi is dense and sluggish
(3) Emit qi toward Tiantu (Ren 22), Shanzhong (Ren 17),
at the thoracic and epigastric region and imbalanced in density
Zhongfu (Lu 1) and Yunmen (Lu 2) with middle-finger-prop-
between the upper and the lower .
ping or sword-fingers hand gesture and vibrating and -quiv-
3 . Insufficiency of the Lung and Spleen Qi ering manipulations Then with the fingers off the body surface
The manifestations include dyspnea, shortness of breath,
of the patient, guide qi to flow downward from the chest to the
spontaneous perspiration, aversion to wind, expectoration of
clear, thin phlegm, weak-voice speaking, lassitude, loss of ap- abdomen along the Stomach Channel of Foot-Yangming and
the Ren Channel to make qi weak in the upper and strong in
petite,loose stool, pale tongue and feeble pulse .
the lower .
Flat-palm detection reveals that qi is thin at the chest and
Modification In case of wind-cold syndrome due to
dense at the lower limbs .
exogenous evils, add opening Tianmen (Extra), pushing
4. Insufficiency of the Lung and Kidney Yin
The main symptoms are dyspnea, shortness of breath, dry Kangong (Extra), motioning Taiyang (Extra 2) and sweeping
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 ward the right side for another 10 respiratory cycles . Lastly,
the Gallbladder channel at the head . For accumulation of
phlegm-dampness in the lung, add emitting qi with flat-palm push-rub with the two palms from the subaxillary regions to
toward Zhongfu (Lu 1) and Yunmen (Lu 2) and guiding qi the sides of the abdomen 10 - 20 times .
with pulling and leading manipulations toward the fingertips (2) The Exercise for Relaxing the Lung
along the Lung Channel of Hand-Taiyin to facilitate the This should be done when asthma attacks . Sit or stand
channel qi and expel the pathogenic factors . For insuffiency of with all distractions removed . Relax the muscles of the chest
the lung and spleen qi, add emission of qi with flat-palm and and back and then the whole body first, then take in a deep
vibrating and quivering manipulations toward Qihai (Ren 6), breath and say "relax" silently, and simultaneously imagine
Zhongwan (Ren12), Feishu (UB 13) and Pishu (UB 20) for 9 or that the lungs are relaxed to facilitate qi to descend along the
bilateral sides of the body to the soles . Repeat the procedures a
18 respiratory cycles respectively .. And for insufficiency of the
lung and kidney yin, add emission of qi with flat-palm and vi- certain number of times till the attack of asthma is relieved .
brating and quivering manipulations toward Guanyuan (Ren (3) Modification
4), Shenshu (UB 23) and Feishu (UB 13) for 6 or 12respiratory Patients with insufficiency of the lung-qi should do the
above exercises in combination with "taking white qi" , and
cycles respectively .
those with domination of pathogenic factors, in combination
2. Qigong-Acupuncture
Insert the filiform needles into Dingchuan (Extra 17), with "rubbing the chest and uttering `si' "(Refer to "Cough") .

Tiantu (Ren 22), Shanzhong (Ren 17), Neiguan (P 6) and Gastralgia

Lieque (Lu 7), then with dragon-mouth gesture and pushing,
pulling and rotating manipulations, emit qi and guide qi Etiology
1 . Hyperactive Liver-Qi Attacking the Stomach
downward .
Emotional factors such as worry, anxiety or anger may
3. Self Qigong Exercise as Accessory Treatment
(1) The Exercise for Relieving Asthma and Guiding Qi cause stagnation of qi which, being functionally impaired, of-
Take a sitting or standing posture, expel distractions, close the ten flows transversely instead of downward to the stomach and

eyes slightly and relax all over . Firstly, push with the face of the cause stagnation of qi there, resulting in stomachache .
index, middle, ring and small fingers from the sternal notch to 2. Cold of Insufficiency Type of the Spleen and Stomach

the xiphoid process repeatedly 36 times . Then when exhaling, Cold may originate from the interior of the body if a per-
push with the right palm from the thoracic midline to the left son has congenital insufficiency of yang in the Middle jiao
5-10 times and pause when inhaling, for altogether 10 (function of the spleen and stomach), and stomachache will oc-
palm to-
respiratory cycles . Do the same pushing with the left
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 for 14 respiratory cycles . Lastly push the abdomen with the
cur whenever tl4p diet is improper or cold evil attacks .
palms separately and straightly and then rub and knead it .
Symptoms
(4) Emit qi toward Zhongwan (Ren 12) with the flat-palm
1 . Hyperactive Liver-Qi Attacking the Stomach
The victim often has distention and fullness in the off the patient's body surface and with pushing, pulling and

epigastric region, abdominal pain which involves the quivering manipulations for 14 respirotary cycles, then guide
hyperchondria, frequent eructation or eructation with vomiting the channel qi= to flow to the Lower Dantian along the Ren
of sour or bilious fluid, thinwhite tongue coating and wiry, Channel or the Stomach Channel of Foot-Yangming to make
qi balanced between the upper and the lower.
deep pulse .
Flat-palm detection reveals dense and tingling and dis- (5) Ask the patient to lie prostrate , then knead with the
tending qi at the epigastric and hypochondriac regions . flat of the thumb the points of Pishu (UB 20), Weishu (UB 21),
Ganshu (UB 18) and the Urinary Bladder' Channel and the Du
2. Insufficiency Type Cold of the Spleen and Stomach
Channel . Then emit qi with the flat-palm gesture and vibrating
It is manifested as dull pain in the stomach which may be
relieved by pressure, vomiting of clear fluid, preference for and quivering manipulations toward Pishu (UB 20) and
Weishu (UB 21) for 14 . respiratory cycles, and guide qi to flow
warmth and aversion to cold, lassitude, white tongue coating
along the course of the channels .
and feeble, soft pusle .
Flat-palm detection may reveal dense or thin and cold qi Modification : In case of hyperactivee liver-qi attacking the
stomach, add emission of qi to . Ganshu (UB 18) for 1 I
at the epigastric region .
respiratory cycles with the flat-palm gesture and pulling and
Treatment
leading manipulations and guide qi with pulling manipulation
1 . Emission of Outgoing-Qi (Waiqi)
toward the lower extremities along the Gallbladder Channel of
(1) Ask the patient to lie . supine and relax all over, dispel
Foot-Shaoyang and the Liver Channel of Foot-Jueyin-to dis-
distractions, get breath even and guide qi by will to the painful
perse the stagnated qi and get it balanced between the left and
area of the upper abdomen when exhaling .
right and the upper and lower . In case of cold of insufficiency
(2) Knead Lanmen (the ileocecal junction) with the right
hand and press Jiuwei (Ren 15) with the middle finger of the type of the spleen and stomach, add emission of qi to
Zhongwan (Ren 12) Dantian and Pishu (UB 20) with the
left to regulate the patient's qi activities .
(3) Press the stomach lightly with a flat-palm and emit qi flat-palm gesture, pushing and leading manipulations and the
methods of heat guidance of qi or guidance' of earth-qi .
with quivering manipulation for 14 respiratory cycles . Then
2 . Qigong-Acupuncture
emit qi to Zhongwan (Ren 12) and Qihai (Ren 6) with
Insert the filiform needles into Zhongwan (Ren 12) and
middle-finger -propping gesture and vibrating manipulation
-316-
-317-
 Zusanli (St 36) wand then emit qi to them with pushing, pulling This exercise is indicated for syndrome of , excess type,
and rotating manipulations to get qi balanced . hyperactive liver-qi attacking the stomach as well as
3. Self Qigong Exercise as Accessory Treatment stagnation of the cold pathogen in the stomach .
(1) The Psychosomatic Relaxation Exercise (4) The Daoyin Exercise for Regulating the Spleen and
Sit- or stand quietly . Relax the body in an orderly way Stomach
from the head to the chest, the abdomen, the back, the waist Pushing the Abdomen : Rub the palms against each other to

and the lower limbs and lastly relax the epigastric region again, get them warm, then overlap them (right above the left in male
imagining "quiescence" when inhaling and murmuring "relaxa- and vice versa in female) and put them below the right
tion" when exhaling, for 5 - 10 minutes. breast-Push from the chest downward to the right side of the
(2) The Exercise of Taking Yellow Qi lower abdomen when exhaling and reposition the palms when
Sit quietly breathing naturally and distractions expelled . inhaling 10 times . Do the same along the midline and the left
Get the upper and lower teeth tapping each other 36 times side of the chest and abdomen 10 times respectively .
while stirring the saliva with the tongue . Swalloww the saliva 3 Rubbing.. the Abdomen: Rub the palms against each other
times after the tapping and at each time send it down to to get them warm and put them overlapped on the abdomen
Zhongwan (Ren 12) mentally . Then imagine yellow qi . Breathe with the Inner Laogong (P., 8) against the navel . Rub clockwise
in the yellow qi through nose, fill the mouth with it and, during and counterclockwise 36 times respectively while guiding qi-to
exhaling send it slowly down to Zhongwan (Ren 12) and then circulate with the movement of the palms .
disperse it through to the extremities and the skin and hair . Case One-

&:
Repeat the procedures 10 times . Wu, female, aged 48, came for the first visit on April 14,
This exercise isindicated for insufficiency of the spleen 1979 .
and stomach . Complaints Pain in the epigastric area for 2 years which
(3) The Exercise of Rubbing, the Abdomen and Exhaling was more severe in the second year and radiated to the back
Q and the hypochondria, accompanied by gastric discomfort with
Take the same posture and conduct the same teeth-tap- accid regurgitation, dizziness and insomnia . Frequent admini-
ping and saliva-swallowing as mentioned above . Then put the stration of Western and traditional drugs failed to take effect .
right palm gently on the epigastric region . Inhale_ slowly to get Examination Physical examination revealed soft abdo-
the mouth filled with qi, and murmur "hu" when exhaling while men, impalpable liver and spleen, tenderness in the right-upper
rubbing the abdomen with the right palm clockwise for alto- abdomen, reddish tongue proper with thin yellow coating
gether 11 respiratory cycles . (thick yellow coating at the root of the tongue) and deep, taut
-318- -319-
 Flat-palm detection revealed densely stagnated,' tingling
p ulse . abdomen, slight tenderness in the upper abdomen, impalpable
and distending qi at the upper abdomen, and densely stagnated liver and spleen, reddish tongue proper with thin yellow coat-
qi between the 8th and 12th thoracic vertebrae' of the right side ing and thready, taut pulse . Flat-palm detection revealed
of the back . Barium meal examination showed irritable symp- dense, stagnated and tingling qi at the epigastric and
toms of the duodenum with local tenderness and bad filling, hypochondriac regions. Barium meal examination- showed
and dotted soybean-sized niches' beside the greater curvature prolapse of the stomach and reduced gastric tension ; the lowest
at the duodenal fundas . point of the lesser curvature was 3 cm below the
Diagnosis Gastralgia (Duodenal ulcer) . inter-iliac-crest line .
Treatment Qi was emitted with flat-palm' hand gesture Diagnosis Gastralgia (Gastroptosis)
and pushing, pulling, rotating, quivering, leading , and fixing Treatment Emision of qi was performed with flat-palm
manipulations to the points Shangwan (Ren 13), Zhongwan gesture and pushing, rotating, leading and fixing manipulations
(Ren 12), Liangmen (St 21), Shiguan (K 18), Ganshu (U-B 18), toward Zhongwan (Ren 12), Liangmen-(St 21), Baihui (Du 20),
Weishu-(U B 21) and Pishu (U B 20), once every other day . Pishu (U B 20), Weishu (U B 21) and Zusanli (St 36) then
Emission of'gi twice relieved the
a Course of Treatment needles were inserted into Zhongwan (Ren 12) and Zusanli (St
pain in 'the stomach and turned the stools normal and sleep 36) and qi emitted toward the needles with dragon-mouth-ges-
even . Allthe symptoms and signs disappeared after 15 sessions ture and pushing, rotating and leading manipulations . The
of treatment . Barium meal examination showed normal treatment was carried out once every other day .'
duodenum . The follow-up visit in 1980 found no relapse and Course of Treatment During emission of qi the patient
the patient was healthy . felt warm in the epigastric region and the warmth- went along
Case Two the Ren Channel and the Stomach Channel . During emission
Gao,-female, 35 years old, came for the first visit on May of qi to the needle inserted in-Zusanli (St 36), thee patient felt
18, 1982, who was given an outpatient number of 121651.' that a warm flow of qi ran from the point to Shangwan (Ren
Complaints Distending pain in the abdomen for 8 years 13) along the Stomach Channel The symptoms were obviously
which had been aggravated in the last three months, accom- alleviated after 5 sessions of treatment, and disappeared after
panied with preference for warmth and aversion to -cold, ag- 20 times . Barium meal examination showed that the stomach
gravated pain after taking cold food or even abdominal dis- was normally repositioned and the disease was completely
comfort at the sight of cold food, dizziness, vertigo, insomnia, cured.
cold extremities, lassitude and watery stools .
Examination Physical examination found fullness of the
-320- -321-
 fullness of the abdomen that may be aggravated by intake of
Vomiting
food, vomiting thatcan relieve the discomfort of the stomach,
Etiology thick greasy tongue coating and slippery pulse . Flat- palm de-
1 . Invasion of the Stomach by Pathogenic Factors tection may reveal dense, stagnated and heavy qi sensation at
Invasion of the stomach by wind-cold, summer dampness the gastric region.
and turbid qi may all cause failure of descending of the stom- 3 . Insufficiency of the Spleen and Stomach
ach-qi, which in turn leads to vomiting . It is manifested by vomiting after intake of more food
2. Improper Diet than usual, pallor, lassitude, watery stools, pale tongue and
Overeating or taking raw, cold or contaminated food may feeble pulse . Flat-palm detection often reveals thin and slightly
cause stagnation of food in the stomach and make the impaired tingling sensation of qi at the gastric region and all the other
stomach-qi to rise adversely resulting in vomiting . parts of the body .

3. Insufficiency ofthe Spleen and Stomach Treatment

Vomiting may also be caused by abnormal ascending of qi 1 . Emission of Outgoing-Qi (Waigi),
a
due to phlegm-dampness and obstruction of the stomach-qi (1) Conduct digital kneading on Pishu (UB 20), Weishu
resulting from dysfunction of the stomach in digestion and (UB 21), Shanzhong (Ren 17), Zhongwan (Ren 12), Neiguan
transport. (P 6) and Zusanli (St 36) first .
In short, vomiting is most commonly related to the stom- (2) Emit qi with the flat-palm gesture and pulling and
ach . Any factors that impair the stomach and affect the descent leading manipulations to Pishu (UB 20) and Weishu (UB 21)
of the stomach-qi may be the cause of vomiting . and guide qi to circulate downward to the lower limbs along
Symptoms the Urinary , Bladder' Channel to get it balanced between the

1 . Vomiting Due to Invasion of the Stomach by Pathogenic upper and the lower . Then emit qi to Shanzhong (Ren 17),

Factors Zhongwan (Ren 12) and Liangmen (St 21) and guide qi to flow
Sudden vomiting which is often accompanied by aversion toward Zusanli (St 36) along the Ren Channel and the Stom-
to cold and fever, white thin tongue coating and superficial ach Channel of Foot-Yangming to make the stomach-qi des-
pulse . Flat-palm detection often reveals cold or hot or turbid cend .
and dense qi sensation at the gastric region . (3) Emit qi to Shenque (Ren 8) with flat-palm gesture and

2. Vomiting Due to Improper Diet pushing, rotating and leading, manipulations, and, then with
Vomiting of sour and foul food, belching, anorexia, Shenque (Ren 8) as the centre, push-rotate counterclockwise
to lead the stomach-qi to descend .

-322- -323-


breath while thinking "quiescence", then exhale while thinking

Mo micatioh "relaxation" to relax the chest and then the abdomen, for 14
In case of invasion of the stomach by pathogenic factors respiratory cycles . Apply the same to, relaxation of the lungs
and improper diet add flat-palm hand gesture and pulling and and the stomach for 14 respiratory cycles to guide the
the stomach or lead it
leading manipulations to lead qi out of stomach-qi to descend.
nc y
. In case of insufficie
to Zusanli (St 36) and discharge it there Case One
of the spleen and stomach, add flat-palm and vibrating and Du, female, aged 6, came for the first visit on August 22,
an Ren 12),
quivering manipulations to emit qi to Zhongw 1979 .
Pishu (UB 20) and Guanyuan (Ren 4) for 14 reapiratory cycles Complaints The patient complainted of vomiting of
respectively . watery yellowish undigested food in frequent spells (more than
2. Qigong-Acupuncture 10 in a day) for five days, chest stuffiness, bitter mouth, dry
Insert the filiform needles into Neiguan (P 6), Zusanli (St throat, vomiting after drinking water, listlessness and fidgets .
and guide the
34) and Zhongwan (Ren 12) and emit qi Gentamicin, and antiemetic drugs failed to take any effect.
pathogenic qi to Neiguan (Ren 4) and Zusanli (St 36) with Examination, The abdomen was soft, liver impalpable,
dragon-mouth hand gesture and pulling, leading and rotating the centre of the palms and soles hot, throat congested and
manipulations . neck feeble . The tongue coating looked thin and white (thick
Qigong Exercise as Accessory Treatment
3 . S elf and ,yellow at the root), the pusle was slippery and the body
(1) The Exercise for Regulating the Stomach and Check- temperature 36 .9 1C Flat-palm detection revealed densed, tin-
ing the Adverse Flow of Qi Push with the face of the index, gling and distending sensation of qi at the epigastric region .
middle and ring fingers from the sternal notch to the xiphoid Diagnosis Vomiting (Acute gastritis) .
process 36 times, followed by kneading Shanzhong (Ren 17) 36 Treatment Pushing and kneading massage was carried
. Then when exhaling, push with the four fingers or the out on Tianzhugu (UB 10), Zusanli (St 36), Shanzhong (Ren
times
rom the xiphoid process to the pubic symphysis alo ng 17), Zhongwan (Ren 12), Tianheshui (Extra, the medial aspect
palm f
. Lastly push with the face of
the abdominal midline 36 times of the forearm), Zusanli (St 36) and Neiguan (P 6), then emis-
the four fingers of both hands from Zhongwan (Ren 12) sion of qi was conducted with flat-palm gesture and pushing,
.
obliquely to either side of the abdomen 36 times rotating and leading manipulations toward these points and qi
(2) The Exercise for Regulating the Chest, Abdomen and was guided to flow along the Yangming Channels to the lower
Stomach to Send Down the Abnormally Ascending Qi and upper extremities .
Take a tying or sitting posture, breathe naturally, close the Course of Treatment The patient took in 200 ml of water
. Take in a
eyes slightly, expel distractions and relax all over -325-
-324
immediately after ithe first treatment and was told to take fluid tions, once a day .

diet. All the symptoms disappeared and the patient recovered Coarse of Treatment Vomiting and abdominal
after 3 sessions of treatment . distention were relieved after the first treatment . All the symp-
Case Two toms disappeared and the patient could take meals normally
Wang, male, a worker of 35 years old, came for the first after the fifth treatment . Reexamination by barium meal on
visit on October 27, 1980 . November 17, 1980 revealed a normal stomach, and the patient
Complaints Continous vomiting for more than half a recovered completely .

month; stomachache and vomiting due to consumption of al- Hiccup

cohol, distention, discomfort and gravistatic pain in the
epigastric region after every meal accompanied by frequent Etiology
vomiting, borborygmus and intestinal flatus from anus ; no his- Hiccup is usually caused by spasm of the diaphragm due
tory of other diseases . to excessive intake of raw, cold or pungent food, emotional de-
*Examination Physical examination found abdominal pression, and adverse rising of the stomach-qi resulting from
distention, tenderness below the xiphoid process, impalpable liver-qi attacking the stomach .
liver and spleen, thick, greasy tongue coating and taut, slippery Symptoms
pulse. Flat-palm detection revealed a sensation of stagnated, Hiccup is continuous, usually lasting several minutes or
densified qi at the epigastric region . X-ray film showed cross hours and then ceasing without treatment in the mild cases;
conformation of the esophageal and gastric mucosa, double while in the severe cases, it may lasts days and nights, which se-
magenblases and fluid levels with the greater gastric curvature riously interferes with eating and sleep, cousing a state of utter
above, the lesser . The position of the pyloric antrum was exhaustion in the patient .: If hiccup occurs at a time when the
vertically higher than the duodenal bulb, inverting the patient has been sick for a long time orr in a state of severe
duodenal bulb . illness, it serves there as a sign of crisis which deserves special
Diagnosis Vomiting (Volvulus of stomach) . attention .
Treatment Pushing, kneading rubbing and grasping ma- Detection with the flat-palm hand gesture may gain a sen-
nipulations were carried out on Lanmen_(ileocecal junction), sation of densified and stagnated qi at the chest .
the right Shiguan (K 18), Liangmen (St 21), Qihai (Ren 6), Treatment
Zusanli (St 36), Pishu (U B 20), Weishu (U B 21) and Jianjing` 1. Emission of Outgoing-Qi (Waiqi)
(GB 21) ; qi is emitted toward these points with the 11at-palm (1) Ask the patient to sit or stand, face south, relax and
hand gesture and the pushing, pulling and leading manipula-
-326- -327-
take normal breaol ing . Pinch Zhongge (Extra, at the end of the 60 minutes, accompanied by insomnia, hypochondriac pain
line between the first two segments of the middle finger of the and discomfort, chest stuffiness, pain in the upper abdomen,
thumb side), press and knead Pishu (UB 20), Geshu (UB 17), lassitude and listlessness .
Shanzhong (Ren 17), Zhongfu (Lu 1) and Yunmen (Lu 2) . Examination ; The tongue coating was thin and white and
(2) Flat-palm hand' gesture and pushing-pulling-leading the pulse deep and slow . Flat-palm detection revealed
manipulation should be applied to emit qi towards Shanzhong densified and stagnated qi sensation at the chest .
(Ren 17) and Rugen (St 18) and then, guide qi-to flow down to Diagnosis Hiccup (Phrenospasm) .
the lower limbs along the Stomach Channel of Foot-Yangm Treatment Pressing and kneading were conducted on the
ing, which helps regulate the functional activities of qi . Still points Geshu (UB 17), Weishu (UB 21), Ganshu (UB 18),
then, emit qi toward Pishu (UB 20), Weishu (UB''21) and Shanzhong (Ren 17), Huagai (Ren 20), Yunmen (Lu 2),
Ganshu(UB 17) on the back, and guide qi to flow down to the Zhongfu (Lu 1)and Zusanli (St 36) first, and then emission of
lower extremities along the Urinary Bladder Channel of qi was carried out toward these points with the flat-palm hand
Foot-Taiyang. gesture and pushing, pulling and leading manipulations .
(3) If the patient shows no improvement, ; emit qi again to- Course of Treatment Recovery took place after the sec-
wards the point Baihui (Du 20) and guide qi to flow to Dantian ond treatment .
along the Ren Channel with the flat palm gesture and
Diarrhoea
pushing, pulling and leading manipulations .
2. Self Qigong Exercise . As Accessory Treatment Etiology
Sit or stand facing south, keep the feet- apart at Improper diet and exopathogenic factors may cause
shoulder-width and relax the whole body . Then with gastrointestinal dysfunction which results in diarrhoea . The
antidromic abdominal respiration, take a deep breath and dur- disease is most prevalent in summer and autumn when damp-
ing exhaling guide qi to flow downward to Dantian and further ness and heat, the two exopathogenic factors, are rampant . On
down to the point Dadun (Liv 1), for a period of 3 or 9 the other hend, deficiency of the spleen-yang and the
respiratory cycles . kidney-yang, the internal pathogenic factor, may also cause
Case chronic diarrhoea . An old saying holds that deficiency of the
Liu, male, aged 36, came for the first visit on May 23, kidney leads to frequent defecation, and deficiency of the
1983 . spleen impairs its normal function in transportation .
Complaints Hiccup with frequent spells (more than 10 in
a day) for two days caused by cold, each spell lasting for 30 -
-328- -329-
 Patients with diarrhoea due to cold generally suffer from (Ren 8) and Guanyuan(Ren 14) for 14 respiratory cycles
intestinal gurgling and abdominal pain, loose stool with respectively. Then massage the abdomen 36 times (It has the ef-
undigested food, watery stool, frequent clear urination, and fect of-tonification in a deficiency syndrome and of purgation
deep and slow pulse . Flat-palm detection often reveals in an excess one) .
densified and cold qi sensation around the navel . (3) Apply flat-palm gesture and pushing, pulling and
2. Diarrhoea Due to Heat rotating manipulations to emit qi towards the abdomen and,
As for diarrhoea due to heat, the symptoms include foul at the same time, guide qi to rotate clockwise or
smelling, yellow and loose stool, burning sensation in the anal counterclockwise, and then guide qi to flow downward
area, thirst, restlessness, dark urine, frequent urination, along the Stomach Channel .
yellowish tongue coating and wiry and rapid pulse . Flat-palm (4) Push from the coccyx up to the seventh thoracic
detection reveals densified, tingling, distending and hot qi sen- vertebra with the face of the four fingers 300 times, then press
sation around the navel . and knead the Urinary Bladder Channel (both sides) and the
.3. Diarrhoea at Dawn point Zusanli (St 36) .
Diarrhoea at dawn is due to weakness of kidney-yang Modification : For patients with diarrhoea at dawn,
which results in indigestion of food . The patient usually flat-palm gesture and pushing and leading manipulations
defecates (loose stool) 2 - 3 times every day before dawn . should be added to emit qi towards Mingmen (Du 4), Dantian
Flat-palm detection may reveal cold and thin sensation of qi at and Shenshu (UB 23) for 9 - 10 respiratoty cycles.For patients
the navel and the lower abdomen . with diarrhoea due to cold, add emission of qi to Pishu (UB
Treatment 20), Shenque (Ren 8) and Guanyuan (Ren 4) with flat-palm
1. Emission of Outgoing Qi (Waiqi) hand gesture and pushing and leading manipulations and heat
(1) Carry out digital pressing on Pishu (U B 20), Weishu guidance of qi . For diarrhoea due to heat, add emission of qi to
(UB 21) and Dachangshu (UB 25) to open through the Shu Zhongwan (Ren 12) and Tianshu (St 25) with flat-palm ges-
points (stream points) . Then press and knead, with the tip of ture, pulling and leading manipulations and the method of cold
the middle finger of the right hand, the point Lanmen (ileocecal guidance of qi, to guide the pathogenic qi along the Stomach
junction) while pressing the point Jiuwei (Ren 15) with the tip Channel of Foot-Yangming down to Zusanli (St 36), where it
of the middle finger of the left hand to help normalize the func- is discharged .
tional activities of qi there . 2. Qigong-Acupuncture
(2) Apply flat-palm gesture and vibrating . and quivering Insert the filiform needles into Zhongwan (Ren 12),
manipalations to emit qi toward Zhongwan (Ren 12), Shenque Tianshu (St 25), Zusanli (St 36) and Neiguan (P 6) . Then emit

-331-
qi to the point,, and guide qi to flow to Zusanli (St 36) and 1982 .
Neiguan (P 6) Svith the dragon-mouth hand gesture and the Complaints Repeated diarrhoea (2 4 episodes a day)
rotating, pulling and leading manipulations to get qi balanced for successive 8 years . Defecation was urgent with indigested
between the needles . food . Other complaints included discomfort in the abdomen,
3. Self Qigong Exercise as Accessory Treatment preference to warmth and aversion to cold, abdominal gurgling
(1) Patients with diarrhoea due to heat may practise the and diarrhoea that would occur after intake of even a small
exercise of rubbing the abdomen and "hu" (exhaling) qi ;those amount of cold food or drinks or even at the sight of them,
with diarrhoea due to cold may practise the exercise of taking dribbling clear urine, insomnia and lassitude.
yellow qi (Refer to "Gastralgia") . Examination , Physical examination revealed emaciation,
(2) The Exercise of Automatic Circulation of Qi for Re- cold extremities, pale complexion, soft abdomen with the liver
lieving Diarrhoea and spleen impalpable, pale tongue proper with thin, white
Lie latericumbent, relaxed and quiet, with the breath even coating and deep, thready pulse . Flat-palm detection revealed
and tongue rested against the palate . Lead qi to circulate with densified and cold sensation of qi at the abdomen .
the navel as the centre . The moving starts during inhaling from Diagnosis Diarrhoea (Irritable / allergic colitis) .
the point left of and beneath the navel clockwise to the point Treatment Emission of qi was carried out with flat-palm
right of and above the navel, and during exhaling, from this gesture and pushing, rotating, leading and quivering manipula-
point to the starting ; point to complete a counterclockwise cir- tions toward the points of Pishu (UB 20), Dachangshu (UB
cle . Guide the circulation of qi round the navel from the smal- 25), Shenque (Ren 8), Guanyuan (Ren 4), Tianshu (St 25) and
lest circle to the largest for 81 rounds . Continue the guidance of Zusanli (St 36) .
qi from the largest circle to the smallest from the sides of the Course of Treatment On emitting qi to Shenque (Ren 8)
abdomen to the navel for another 81 rounds. This procedure and . Tianshu (St 25), the patient felt warmth on the abdomen
requires the patient to contract the anus and abdomen during and a flow of warm qi descending to the lower extremities
inhalation and relax them during exhalation . Beginners of this along the Stomach Channel. Diarrhoea was relieved after the
exercise may at first try to direct qi to rotate with the help of first' treatment and cured completely after 17 sessions of treat-
respiration and the movement of the abdominal muscles . As ment .
soon as they are skilled they will be able to direct the intrinsic
Constipation
qi to rotate round the navel by will alone .
Case Etiology
Wang, female, aged 38, came for the first visit on June 20, 1. Constipation of Excess Type

-332- -333-
 It is usually due to accumulation of heat in the stomach 1 . Emission of Outgoing Qi (Waiqi)
r (1) Press and knead Dachangshu (UB 25), Shenshu (UB
and intestines caused by exuberance of yang in the body and
consumption of pungent or hot food,' or due to impairment of 23) and the eight liao points of Shangliao (UB 31), Ciliao (UB
the body fluid and obstruction of fu-qi (qi of the hollow or- 34), Zhongliao (UB 33) and Xialiao-(UB 34) to break through
gans) resulting from intense' heat inside the body, or due to the Shu points (stream points) . Then, push from the 4th
stagnation of qi and failure of fluid transportation caused by lumbar vertebva down to the end of coccyx 50 times .
emotional depression. (2) Break through the point Lanmen (Extra, ileocecal
2. Costipation of Deficiency Type junction) and Jiuwei (Ren 15) by pressing and kneading them
It is mostly seen in those who have just recovered from an with the thumbs and the middle fingers of both hands . Then,
illness or have just given birth when they are still deficient with emit qi with flat-palm gesture and vibrating and quivering
qi and blood, or in those suffering from insufficiency of manipulations towards the points Zhongwan (Ren 12) and
yang-qi of the Lower jiao and accumulation of yin-cold, Liangmen (St 21) for 14 respiratory cycles, and emit qi with the
which makes it difficult for the intestine to perform normal dragon-mouth-hand gesture and vibrating and quivering ma-
transporting function . nipulations towards the point Tianshu (St 25) for 14
Symptoms respiratory cycles, followed by guiding qi to rotate
1 . Constipation of Excess Type counterclockwise with the flat-palm gesture and rubbing ma-
Difficult defecation or reduced frequency of defecation nipulation .
(once every 3 - 5 or 6 - 7 days) of dry and hard stools, feverish (3) Emit qi with flam-palm gesture and pushing, pulling
body, thirst, poor appetite, taut or slippery, replete pulse and and rotating manipula- tions to Zhongwan (Ren 12), Shenque
thin, greasy or yellow dry tongue coating . Flat palm detection (Ren 8), Tianshu (St 25) and Guanyuan (Ren 4) .' Then guide qi
may reveal stagnated, hot and distending sensation of qi . to rotate counterclockwise with rotating, quivering and leading
2. Constipation of Deficiency type manipulations to facilitate the functional activities of qi and to
Dry and hard stools hard to pass, pale and dim complex- lead qi to flow to the lower extremities along the Stomach
ion, mental fatigue and palpitation due to deficiency of qi, cold Channel of Foot- Yangming.
pain in the abdomen, preference to warmth and aversion to Modification: For treatment of constipation of excess type,
cold, feeble, thready or deep, slow pulse and pale tongue with add emission of qi with flat-palm hand gesture, cold gi-guid-
thin coating. Flat-palm detection may reveal sparse, cold, tin- ing method and counterclockwise rotating, quivering and lead-
gling and distending and stagnated sensation of qi . ing manipulations for 14 respiratory cycles ; for treatment of
Treatment constipation of deficiency type , add emission of qi' with

-334- -335-
 flat-palm hated gesture, the method of guiding water-qi Zhang, female, 59, came for the first visit on October 23,
vib rating and quivering manipulations to Dantian 1981 .
Shenshu (UB 23) for 8 or 16 respiratory cycles each . Complaints The patient complained of constipation for
2. Qigong-Acupuncture cessive 10 years, which was manifested as dry and hard
Insert the filiform needles into Tianshu (St 25), Zhigou (Sl stools and difficulty in defecation (once every 3 - 4 days), ac-
6), Shangjuxu (St 37) and Dachangshu (UB 25) and emit qi companied by dizziness, dryness in the mouth and
with dragon-mouth - or bird-beak hand gesture and pushing,
hypertension for many years .
pulling and rotating manipulations to regulate qi activities and Examination Physical examination revealed flushed
balance it between the needles . umplexion, fat physique, reddish tongue proper with thin yel-
3. Self Qigong Exercise as Accessory Treatment low coating and taut pulse, and blood pressure of 140 / 100
(1) The Automatic Qi Circulation Exercise for Bowel mmHg . Flat-palm detection revealed densified, distending and
Movement
tingling sensation of qi .
Lie supine, relaxed and quiet . breathe evenly and put the Diagnosis Constipation (Senile constipation) .
tongue against the palate . Taking the navel as the centre of a
Treatment Emission of qi was conducted with the
Circle, move the abdominal muscles with qi following will . The flat-palm hand gesture and counterclockwise pulling, leading
moving of qi starts during inhalation from the point right to and quivering manipulations toward Dachangshu (UB 25),
and beneath the navel clockwise to the point left to and above Mingmen (Du 4), Tianshu (St 25), Shenque (Ren 8), Daheng
the navel, and continues to flow forward during exhalation (Sp . 15) and Zusanli (St 36) .
back to the original point to complete the circle Course of Treatment Stools became soft and bowel
. Conductthe
moving of qi for 81 circles from the smallest circle at the navel movement smooth after the first treatment . The disease was
to the largest at the sides of the abdomen . Beginners of the ex- completely cured after the second treatment . Follow-up visit in
ercise may at first try to direct qi to rotate with the help of res- 1982 found no relapse .
piration and the movement of the abdominal muscles . When
Dysentery
skilled, one will be able to guide qi to turn only by will .
(2) Patients with constipation of excess type may practise Etiology
the exercise of rubbing the abdomen and "hu" (exhaling) qi ; 1 . Dysentery of Damp-heat Type
and patients with constipation of deficiency type may practise It is due to impairment of qi and blood of the intestines
the exercise of taking yellow qi (Refer to "Gastralgia") . caused by retention of dampness and heat in the stomach and
Case
-336- -337-
intestines resulting from invasion
of the body by domen .
summer-darhp-heat (an exgenous factor) or from intake of 3. Chronic Dysentery (Persistent Dysentery)
raw and cold food (an endogneous factor) . This is the type of dysentery with a chronic course and a
2 . Dysentery of Cold-damp Type tendency of relapse characterized by lassitude and preference to
It is due to retention of cold-dampness in the intestines lying in bed, tenesmus, pale tongue peoper with greasy coating
caused by cold invasion in summer or by careless intake of raw, and soft, thready or feeble, large pulse . Flat-palm
cold and contaminated food . detectionoften reveals thin, tingling of tensified, cold sensation
3. Chronic Dysentery (Persistent Dysentery) of qi at the abdomen .
It often results from prolonged duration of dysentery Treatment
when the pathogenic factors linger, causing insuffiency of qi of 1. Emission of Outgoing Qi (Waiqi)
the Middle-jiao and failure of the stomach and spleen to (1) Conduct digital kneading first on the points Pishu (UB
transport, or causing damage of the primordial energy, 20), Weishu (UB 21) and Dachangshu (UB 25) to open the Shu
insufficiency of the kidney-qi and weakened body resistance to points at the back ; then press- knead Lanmen (Extra,ileocecal
prevailing pathogenic factors . junction) with the middle finger of the right hand while
Symptoms press-knead Jiuwei (Ren 15) with that of the left to facilitate
1 . Dysentery of Damp-heat Type the qi activities there; then press-knead Zhongwan (Ren 12),
It is characterized by abdominal pain, bloody mucous Tianshu (St 25) and Guanyuan (Ren 14) .
stools, tenesmus, burning sensation of the anus, scanty dark (2) Emit qi with middle-finger -propping hand gesture
urine, yellowish greasy tongue coating and slippery, rapid and vibrating and quivering manipulations to Zhongwan (Ren
pulse. Flat-palm detection may reveal deeply stagnated, dry 12), Tianshu (St 25) and Guanyuan (Ren 14) for 14 respiratory
and hot and strongly distending sensation of qi at the cycles each . Then rub the abdomen 36 times (this has the effect
abdomen . of tonification in deficiency syndrome and of purgation in ex-
2. Dysentery of Cold-damp Type cess syndrome) .
It is characterized by passage of whitish purulent stools, (3) Guide qi to flow clockwise and counterclockwise for 81
preference to warmth and aversion to cold, distending stress of respiratory cycles respectively with flat-palm hand gesture and
the epigastrium, flat taste in the mouth, absence of thirst, pushing, pulling, rotating and leading manipulations .
whitish greasy tongue coating and soft, rapid or soft, slow (4) Emit qi with the flat-palm gesture and pushing and
pulse . Flat-palm detection often reveals densified, cold, tin- leading manipulations to Pishu (UB 20), Weishu (UB 21) and
gling and distending and stagnated sensation of qi at the ab- Dachangshu (UB 25), then guide qi downwards to the lower
-338- -339-
extremities aldng the Urinary Bladder Channel of Foot- muscles . When skilled, one will be able to guide qi to turn only
Taiyang . by will . The above method is suitable for chronic dysentery .
Modification: Add the method of heat-guidance of qi to Patients with dysentery of cold-damp type should guide qi to
treatment of dysentery of cold damp type and cold-guidance rotate only clockwise for 81 circles and those with dysentery of
of qi to treatment of damp-heat type . For chronic type, add damp-heat type, only counterclockwise for 81 circles .
flat-palm gesture and pushing and leading manipulations to (2) The Turbidity Elimination Exercise (Dihui Gong)
emit qi to Dantian, Mingmen (Du 4), Weishu (UB 21) and Take sitting or lying posture . Relax all over with the
Pishu (UB 20) and guide the channel qi toward the lower ex- tongue against the palate, the eyes slightly closed, and the
tremities to balance qi . breath even .
2. Qigong-Acupuncture Imagine that qi whirls in by mouth via stomach and circu-
Insert the filiform needles into Hegu (LI 4), Tianshu (St lates in void to make the genuine qi fill the large intestine and
25) and Shangjuxu (St 37) . Then guide the pathogenic qi of the drive the virulent heat-evil to wind from left to right clockwise
patient to go out from these points with dragon-mouth or and revolve through the intestines, and then come out of the
bird-mouth hand gesture and pushing, rotating and leading anus . Then inhale and ;contrat the anus gently to close it . Guide
manipulations . the genuine qi to wind from right to left counterclockwise in
3 . Self Qigong Exercise As Accessory Treatment the opposite direction through the intestines and finally come
(1) The Exercise for Guiding Qi to Rotate Automatically out from the upper orifice of the stomach . Repeat the proce-
Lie supine, relaxed and quiet . Get the breath even and the dures 5 - 10 times .
tongue against the palate . Taking the navel as the centre of a After the exercise, concentrate the mind on Dantian for a
circle, move the abdominal muscles with qi following will . The moment to get the genuine qi back to its origin, then rub the
moving of qi starts during inhalation from the point right to abdomen gentally with the hands to end the exercise .
and beneath the navel clockwise to the point left to and above
Disorders of the Biliary Tract
the navel, and continues to flow clockwise during exhalation to
the original point to complete the, circle . Conduct the moving Etiology
of qi for 81 circles from the smallest circle at the navel to the Disorders of the biliary tract mainly include cholecystitis,
largest at the sides of the abdomen, then guide qi to rotate cholelithiasis and ascariasis ofthe biliary tract . Traditional
counterclockwise for another 81 circles in the same way . Be- Chinese medicine holds that the first two diseases belong to the
ginners of the exercise may at first try to direct qi to, rotate with category of "hypochondriac pain" or "jaundice", while the last
the help of respiration and the movement of the abdominal
-340- -341-
is called "biliary ascariasis" . These disorders are mainly caused (1) With the patient in a sitting posture, press and knead
by mental depression, excessive intake of fatty food, the points Pishu (UB 20), Weishu (UB 21), Ganshu (UB 18),
exopathogenic invasion, stagnation of gallbladder-qi and fail- Danshu (UB 19), and Dannang (Extra, a point of tenderness 2 .
ure of biliary dredge resulting from stagnation, of dampness can below the point Yanglingquan, GB 34) . Stress is laid on
and heat and obstruction by ascarid . Though causes and symp- the points of the right side .
toms of these disorders are different, gigong,
exercise for them (2) Emit qi towards the gallbladder area of the front side
and treatment with outgoing-qi are almost the same ." That is for 24 respiratory cycles with the flat-palm hand gesture and
why they are jointly introduced hereof as one . pushing, pulling, quivering and leading manipulations . Then
Symptoms pulling and leading manipulations should be used to guide qi to
The onset of these disorders are usually acute, and pain is flow downward to the lower extremities along the Gallbladder
felt on the right upper abdomen and on the right Channel of< Foot-Shaoyang and . the Stomach Channel of

hypochondrium . Other symptoms are nausea,-vomiting,rigor, Foot-Yangming to promote the circulation of gallbladder-qi
high fever, yellow stained skin and sclera, or whitish-grey stool and regulate qi by relieving epigastric distention and regulating
the stomach .
when the biliary tractt is completely blocked, and tenderness of
the gallbladder when breathing deeply . Patients with biliary (3) Emit qi towards the points Pishu (UB 20), Weishu (UB
21), Ganshu (UB 18), Danshu (UB 19) and Dannang (Extra)
ascariasis may feel severe colic or a tearing pain below the
on the right side of the body for 28 respiratory cycles, then emit
xiphoid process . The pain is so severe that the patient is wet
qi towards the pain location at the front side of the body for 28
with sweat, accompanied by nausea and vomiting . If the
respiratory cycles with the flam-palm hand gesture and vi-
ascarid has withdrawn from the biliary .tract, the pain is re-
brating and quivering manipulations .
lieved immediately but can recur intercurrently . If the ascarid
(4) Press the point Danshu (UB 19) on the right side for 12
has moved completely into the gallbladder, the pain becomes
respiratory cycles . Press and knead downward along the
continuous and distending ; jaundice, rigor and high fever may
Urinary Bladder Channel of Foot- Taiyang on the two sides of
appear ; tenderness on the right part of the xiphoid process may
the back and waist 3 times .
be felt upon deep pressing.
MModii ication : For treatment of ascariasis of the biliary
Flat-palm detection may reveal stagnated, hot, cold,
tract, rubbing' the abdomen counterclockwise 81 times should
densified and strong tingling sensation of qi at the gallbladder
be included . Cholelithiasis and cholecystitis are often treated by
area .
guiding qi downward to the lower extremities along the Liver
Treatment Channel and the Gallbladder Channel and by balancing the qi
1.Emission of Outgoing-qi(Waiqi)
-342- -343-


activities between the upper and lower and the left and the which may be aggravated by intake of fatty food, and discom-
right .
I fort in the, right-upper limb . Administration of traditional

2. .Qigong-Acupuncture drugs, yielded, no apparent effect .

Insert the filiform needles into Neiguan (P 6), Danshu (UB Examination There were tenderness and percussing pain
19), Dannang (Extra), Yanglingchuan (GB 34) and -Zusanl (St in the right-upper abdomen and reddish tongue proper with
36) and emit qi toward the needles with the dragon-mouth or thin, yellow coating. Flat-palm detection revealed hot, tingling
bird-beak hand gesture and pushing, pulling, quivering and ro- and densified qi sensation at the right-upper abdomen .
tating manipulations to get qi balanced' between them . Ultrasonogram showed inflated gallbladder with dysfunction
of contraction .
3 . Self Qigong Exercise as Accessory Treatment
(1) Rubbing the Chest and "Xu" Qi Diagnosis Cholecystitis (the hyperactive liver-qi at-
Taking a standing or sitting posture . Put the palms against tacking the stomach) .
the hypochondria and guide qi slowly to the hypochondria dur- Treatment Emission of outgoing-qi was performed with
in$ inhaling, and during exhaling, utter "xu" while rubbing the flat-palm hand gesture and pushing, pulling, quivering, ro-
hypochondria gently with the palms . Do the exercise 10 or 20 tating and leading manipulations toward Ganshu (UB 18),
'respiratory cycles . Danshu (UB 19), Zhangmen (Liv 13), Qimen (Liv 14),
(2) Relaxation of the Liver and Gallbladder- Yanglingquan (G B 34), Liangmen (St 21) and Zusanli (St 36) .
Pratise relaxation exercise with a lying or sitting posture . Course of Treatment Nausea and vomiting occurred
Inhaling, think the word "quiescence" and exhaling, the word immediately after guiding qi to turn clockwise was performed
"relaxation" to relax in sequence' from the head, chest and ab- with the qi-guiding method of making three points circular . So
domen, back and waist, the upper limbs and the lowerr limbs, guiding qi to turn counterclockwise was taken instead in com-
and then the liver and gallbladder, for 14 or 28 respiratory cy- bination with guiding qi to go downwards to the lower extremi-
cles respectively . ties along the Liver Channel and the Stomach Channel, which
resulted in a comfortable sensation in the abdomen . All the
Case
Zhao, male, 43 years old, came for the first visit on April symptoms disappeared after 6 times of treatment, and with 3

6, 1983 . more times of treatment for consolidation of the effect, the pa-
Complaints The patient complained of pain in the tient recovered completely .
gallbladder region for two months, characterized by abdominal Abdominal Pain
distention, persistent dull pain in the right hypochondrium,
burning sensation in the stomach, nausea, belching, indigestion Etiology

-344- -345-
 1 . Abdomipal Pain Due to Internal Accumulation of Cold vere tenderness, aversion to food, acid regurgitation, greasy
The pain is induced by cold which may either accumulates tongue coating_ and slippery pulse . Flat-palm detection may
internally due to excessive intake of raw or cold' food' or due to reveal intensified stagnated heavy and distending sensation of
invasion of the navel by pathogenic cold during careless sleep- qi at the painful region.

ing in the open . Treatment

2. Abdominal Pain Due to Dysfunction of the Spleen-Yang 1 . ,Emission of Outgoing-qi (Waiqi)

In those who are usually deficient in yang-qi and weak in (1) Knead Lanmen (Extra, ileocecal junction) first to open
digestive functions, pain often occurs following invasion, no the point,then press- knead Pishu (UB 20), Weishu (UB 21)
matter how mild it may be, by cold, or following starvation, Zhongwan (Ren 12), Tianshu (St 25) and Zusanli (St 36) .
overeating and over-exertion . Press-knead along the . Urinary Bladder Channel of Foot-

3. Abdominal Pain Due to Stagnation of Food Taiyang on the back and waist from the upper to the lower 3 -
The pain is induced by stagnation of qi resulting from mu- 5 times to open the Shu points .
tual interference between the clear and turbid qi caused by fail- (2) Emit qi, with flat-palm hand gesture and vibrating and
, ure of the stomach and intestines to digest and transport . quivering manipulations toward Zhongwan (Ren 12), Tianshu
Symptoms (St 25), Pishu (UB 20) and Weishu (UB 21), then guide qi with
1 . Abdominal Pain Due to Internal Accumulation of Cold pushing, pulling and leading manipulations to go from the ab-
The pain occurs abruptly manifested as pain which may be domen and back toward the lower extremities along the Stom-
relieved by defecation warm, the stools are and loose and there ach Channel of Foot-Yangming and the Urinary Bladder
is, white tongue coating and deep, tense pulse . Flat-palm de- Channel of Foot-Taiyang to make gi,of the two channels bal-
tection may reveal densified, cold and stagnated sensation of qi anced between the upper and the lower .
at the painful region . (3) Emit qi with flat-palm hand gesture and, pushing, pul-
2 . Abdominal Pain Due to Dysfunction of the Spleen-Yang ling and fixing manipu- lations toward Zhongwan (Ren 12)
It is characterized by continuous recurrent pain which may and Tianshu (St 25) for 14 respiratory cycles, then with pulling
be relieved by pressure, loose stools, mental fatigue, aversion to and leading manipulations, guide qi of the patient to flow to
cold, thin white tongue coating and deep, thready pulse . the lower extremities along the Stomach Channel of
Flat-palm detection may reveal thin, cold and tingling sensa- Foot-Yangming to get qi balanced between the upper and the
tion of qi at the painful region . lower.

3 . Abdominal Pain Due to Stagnation of Food (4) Taking the navel as the centre, rub the abdomen with a
It is characterized by gastric and abdominal distention, se- flat-palm for 81 respiratory cycles .

-346-- -347-
 Modificatqn: In case of abdominal pain due to internal (Refer to "Dysentery")
accumulation of cold, add the method of heat-guidance' of qi (3) The Exercise of Taking Essence from the Sun (Cai
and guidance of fire-qi ; in case of pain due to dysfunction of Rijinghua Gong)
the spleen-yang, add heat-guidance of qi to emit qi to Pishu The exercise should be done when the sun rises from the
(UB 20), Weishu (UB 21) and Mingmen (Du 4) ; in case of pain horizon .
due to stagnation of food, add emission of qi with'flat-palm Stand facing the sun, quiet and relaxed, with the breath
hand gesture and rotating and leading manipulations to even, distractions expelled and eyes slightly closed (not too
Zhongwan (Ren 12), Tianshu (St 25) and Guanyuan (Ren 4), tightly closed so that the soft, reddish sunlight can be seen) . In-
to facilitate qi activities of the patient in the upper and the low- hale the sun essence naturally and fill the mouth with it mental-
er. ly . Stop inhaling and tranquilize the mind, and swallow the es-
2. Qigong-Acupuncture sence slowly during exhaling down to Dantian . Do the inhaling
Insert the filiform needles into Zhongwan (Ren 12), and swallowing 9 or 18 times .
Guanyuan (Ren'4), Tianshu' (St 25) and Zusanli (St 36), then This exercise is suitable for patients suffering from
emit qi toward the needles with dragon-mouth or bird-beak dysfunction of the spleen-yang with aversion to cold .
hand gesture and pulling and rotating manipulations, to get qi
Palpitation
balanced' between the needles .
3 . Self Qigong Exercise as Accessory Treatment Etiology
(1) The Abdominal Exercise for Regulating Qi Several factors contribute to palpitation . In patients suf
Rest the right' palm on Zhongwan (Ren 12) and knead fering from deficiency of qi and blood and insufficiency of
clockwise and counter clockwise 36 times respectively, then heart-energy, palpitation may occur following sudden mental
knead around the navel clockwise and counterclockwise irritation . It may also be caused by deficiency of the
respectively 36 times each way . Push with the four fingers of heart-blood that fails to nourish the heart . Internal disturb-
both hands from the xiphoid process to the pubic symphysis ance by phlegm- fire and disorder of heart-energy may also
along the abdominal midline during exhaling 36 times . Lastly, give rise to palpitation . Another causing factor is the
overlap the hands (the right' over the left' in male' and vice versa dysfunction of heart-yang that leads to fluid retention .
in female), apply them to the midpoint' of the lower' abdomen Symptoms
and knead clockwise and counterclockwise 36 times The patient may note unduly rapid heart beat accom-
respectively . panied, in case of deficiency of heart-energy, with pallor, rest-
(2) The Exercise of Guiding Qi to Rotate Automatically
-348- -349-
less sleep at night, dizziness and vertigo, light red tongue prop- 12) and Fenglong (St 40) with middle-finger-propping hand
er and thready, feeble pulse ; in case of internal disturbance of gesture and vibrating and quivering manipulations, and guid-
phlegm-fire, with fidgets, dreaminess, yellow tongue coating ance,of qi from Zhongwan (Ren 12) to Fenglong (St 40) with
and slippery, rapid pulse ; and in case of fluid retention, with pulling and leading manipulations . In case of fluid retention,
epigastric stuffiness, dizziness, salivation, mental fatigue, white add emission of qi to Weishu (UB 21) and Sanjiaoshu (UB 22)
tongue coating and taut, slippery pulse . Flat-palm detection for 14 or 24 respiratory cycles with flat-palm hand gesture and
may reveal densified, stagnated, tingling or sparse sensation of pulling and leading manipulations .Then guide qi to flow to the
qi at the precordial region . pointof Weizhong (UB 40) along the Gallbladder Channel of
Treatment Foot-Taiyang to balance qi .
1 . Emission of Outgoing-qi (Waiqi) 2. Qigong-Acupuncture
(1) First, press-knead Xinshu (UB 15), Ganshu (UB 18), Insert the filiform needles into Xinshu (UB 15), Juque
Shanzhong (Ren 17), Jiuwei (Ren .15) and Lanmen (Extra 33) (Ren 4), Shenmen (H 7) and Neiguan (P 6) and emit qi toward
to get these points open . the needles with dragon-mouth or bird-beak hand gesture and
(2) Emit qi with middle .-finger -propping or sword-fin- pushing, pulling and rotating manipulations to get qi balanced
gers hand gesture and vibrating and quivering manipulations to between the points .
Xinshu (UB 15), Ganshu (UB 18), Shanzhong (Ren 17) and 3. Self Qigong Exercise as Accessory Treatment
Jiuwei (Ren 15) for 6 or 12 respiratory cycles each . Then guide (1) The Exercise of Taking Red Qi
qi back to Dantian . Take a sitting or lying posture . Relax all over, breathe
(3) Emit qi to the precordial region with flat-palm hand naturally, expel distractions .
gesture and pushing, pulling and leading manipulations . Then First, tap the upper and lower teeth together 36 times
guide the channel qi to circulate ; to the fingertips along the while stiring the saliva in the mouth with the tongue . Swallow
Heart Channel of Hand-Shaoyin and the Pericardium Chan- the saliva 3-times after the tapping and send it mentally down
nel of Hand-Jueyin, to balance qi betweenn the upper and the to Dantian . Then imagine red qi .Inhale the red qi nasally and
lower . fill the mouth with it . Send the red qi slowly down to the heart
Modification; In case of insufficiency of the heart-blood, and then to Dantian during exhaling to get the heart and kid-
emission of qi to Geshu (UB 17) and Pishu (UB 20) with ney coordinated and then all the channels of the body commu-
flat-palm gesture and pushing and fixing manipulations may nicated with each other . Do this 7 or 14 times .
be added for 6 or 12 respiratory cycles . In case of internal dis- This exercise is suitable for treatment of palpitation due to
turbance of phlegm-fire, add emission of qi to Zhongwan (Ren insufficiency of the heart-blood .

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 (2) The Exercise of Rubbing the Chest and "Ke" Qi precordial region . 'Auscultation found accentuation of the first
Tap the teeth and stir the saliva with the tongue as pre- heart sound and weakening of the second .
scribed above . After the saliva is swallowed, put the left palm Electrocardiographic examinaton showed ventricular
against the precardium and inhale slowly followed by slow ex- extrasystole.
hale while pronuncing "ke" . This is suitable for treatment of re- Diagnosis Palpitation (Ventricular extrasystole) .
tention of phlegm-fire and fluid . Treatment Emission of outgoing-qi was performed with
(3) The Exercise of Invigorating the Heart and Guiding Qi flat-palm hand gesture and pushing, pulling, quivering and
Take the standing or the sitting posture, relax all leading manipulations toward the points of Shanzhong (Ren
over,breathe naturally, stick the tongue against the palate . Put 17), Huagai (Ren 20), Dazhui (Du 14), Xinshu (U B 15), Geshu
the two palms together gently and set them in front of the (U B 17) and Neiguan (P 6) .
chest . Keep in "quiescence" for a moment . Then abduct the Course of Treatment The palpitation was alleviated and
palms, the two arms stretching to the back along the sides of sleep improved after being treated for twice . All the symptoms
the body . Keep still for a moment . Turn the palms upwards disappeared after 15 times of treatment . Electrocardiographic
and lift them beside the chest . Stretch the hands slowly for- examination' revealed normal heart function .
wards with force focused on the tips of the middle fingers .
Clench the fists as if dragging some heavy things . Pull the fists
backward along the sides of the body . Turn the palms and Etiology
arms inward and set the palms closed in front of the chest to Dysuria is termed " Longbi" in traditional medicine and
end the exercise . It is indicated for palpitation of various uroschesis in modern medicine . It is often caused by blockage
causes . of the urinary tract due to the downward flow of
Case damp-heat,or by disorder of the activities of qi (vital energy)
Yan, aged 29, came for the first visit on July 15, 1983 . due to insufficiency of kidney-yang and decline of fire from
Complaints Palpitation for a year manifested as Mingmen (Du 4, the gate of life) .
self-noted irregular heart rate and paulocardia, cardiac Symptoms
distress, lassitude, restless sleep at night, dizziness, vertigo and The disease is manifested by distention and pain in the
listlessness . lower abdomen, difficult urination though the patient may
Examination Clinical findings showed pale tongue prop- have strong desire for urination, accompanied with timidness,
er with thin, white coating and knotted pulse . Flat-palm detec- weakness of the extremities and deep, thready and weak pulse
tion revealed densified and slight tingling sensation of qi at the
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in case of insufficiency of kidney qi,-and ;with thirst but no de- lations. Then pull and lead, qi in Sanyinjiao (Sp 6) to flow
sire for drinking, yellow tongue coating and rapid pulse in case downward .
of downward flow of damp-heat . Flat-palm detection may re- 3. Self,Qigong Exercise as Accessory Treatment
veal densified, stagnated,' tingling and heavy qi sensation at the Push-rub with the two palms the lumbosacral portion
lower abdomen . from the upper to the lower 300 times . Then apply the palms
Treatment (overlapped) against the lower abdomen, and rub clockwise
1 . Emission of Outgoing-qi (Waiqi) while relaxing the anus and abdomen during exhaling, and stop
rubbing and contract the abdomen slightly during inhaling, for
(1) Push the medial aspect of the thigh from the knee to
14 or 28 respiratory cycles .
the groin 300 times . Press-knead Baliao (the Eight Liao
Points), Guanyuan (Ren 4) and Zhongji (Ren 3) . Enuresis
(2) Emit qi to the prominence of the lower abdomen with
flat-palm hand gesture and vibrating and quivering manipula- Etiology
It is mostly due to dysfunction of the urinary bladder
tions for 14 or 28 respiratory cycles, then emit qi to the lower
caused by failure of the kidney and Sanjiao (the three warmers)
abdomen while guiding qi to flow along the Spleen Channel of
to control fluid metabolism .
Foot-Taiyin to Sanyinjiao (P 6) with pushing and leading ma-
Symptoms
nipulations for 6 or 12 times .
The disease is characterized by involuntary discharge of
Modification: In case of insufficiency of kidney-qi, add
urine during sleep at night, even several times a night in severe
emission of qi to Shenshu (U B 23) and Mingmen (Du 4) with
cases . It occurs most commonly in children over the age of
flat-palm gesture and pushing and fixing manipulations for 11
three . Enuresis or incontinence of urine in adults is accom-
or 22 respiratory cycles . In case of downward flow of
panied with listlessness and emaciation . Flat-palm detection
damp-heat, add flat-palm gesture and pulling and leading
often reveals. densified,cold and tingling sensation of qi at
manipulations to emit qi to Zhongji (Ren 3) while guiding qi to
Shenshu(UB 23), Mingmen (Du 4) and the lower abdomen .
flow along the Spleen Channel of Foot-Taiyin to
Treatment
Yanglingquan (GB 34) in the lower limb for 11 or 22
1 . Emission of Outgoing-qi (Waiqi)
respiratory cycles .
(1) Press-knead Pishu (UB 20), Shenshu (UB 23),
2. Qigong-Acupuncture
Sanjiaoshu (UB 22), Mingmen (Du 4) and Sanyinjiao (Sp 6)
Insert the filiform needles into Zhongji (Ren 3) and
first .
Sanyinjiao (Sp 6) . Emit qi toward the needles with
(2) Emit qi with flat-palm hand gesture and vibrating and
dragon-mouth hand gesture and pushing and pulling manipu-

-354- -355-
quivering mani~ula dons to Mingmen (Du 4), Shenshu (U B The disease is'caused by insufficient generation of blood
23) and Dantian for 11 or 22 respiratory cycles and guide qi due to impairment of the spleen-qi and malnourishment of the
with pushing and leading manipulations to the . lower extremi- heart-energy due to deficiency of heart-blood resulting from
ties along the Spleen Channel of Foot-Taiyin and the Kidney anxiety and over-fatigue ; ' or by irritability due to
Channel of Foot-Shaoyin to get qi regulated between the up- incoordination between the heart and the kidney resulting from
per and lower . impairment of the kidney by excessive sexual life; or by
(3) Emit qi to Dantian with flat-palm hand gesture and irritability due to emotional depression ; or by incoordination
pushing and leading manipulations . Push clockwise to lead the between the spleen and the stomach resulting from improper
circulation of qi . diet .
2. Qigong-Acupuncture Symptoms
Insert the filiform needles into Guanyuan (Ren 4), Zhongji The main symptom is inability to sleep, which, based on
(Ren 3), Baihui (Du 14) and Sanyinjiao (P 6) . Emit qi and different conditions of illness, may be further classified as
guide'gi to circulate clockwise with dragon-mouth hand ges- inability to get into sleep at the beginning, abnormal waking
ture and pushing and leading manipulations to get qi activities and inability to fall asleep after waking . The accompanying
balanced between the needles . symptoms vary with the causes of the disease . Insomnia due to
3 . Self Qigong Exercise as Accessory Treatment deficiency of the heart and the spleen is manifested by palpita-
Practise " the Exercise for Strengthening the Kidney and tion, dizziness, vertigo, perspiration and thready and feeble
Arresting Urine pulse ;that' due to kidney deficiency is manifested by dizziness,
Stand erect, make fists and apply them against the soft involuntary seminal emission, soreness of loins, reddish tongue
parts at the sides of the waist and turn the waist clockwise and proper and thready and rapid pulse ; and that due to emotional
counterclockwise 6 times each . Then take the sitting posture . depression, by discomfort in the epigastrium, belching and acid
Put the two hands on the sides of the waist and rub from above regurgitation, thick, greasy tongue coating and slippery pulse .
to below 36 times . Hold the scrotum with the right hand, apply Flat-palm detection may reveal thin, tingling and cold sensa-
the left palm to the pubes inferior to the pubic symphysis .
tion of qi around the body in case of deficiency of the heart and
Move the two hands up and down simultaneously 81 times .
the spleen, and densified, scattered, tingling and distending sen-
Change hands and do the same for another 81 times . sation of qi at the head, hypochondria and epigastrium in case
Insomnia of other types.
Treatment
1 . Emission of Outgoing-qi (Waiqi)

-356- -357-
 (1) Kneads Lanmen (Extra), Zhongwan (Ren 12) and guide the channel qi downward to the lower extremities along
Guanyuan (Ren 4) ; Push Tianmen (St 25) and Kangong the Liver Channel of Foot Jueyin and the Gallbladder Chan-
nel of Foot-Shaoyang . And for insomnia due to
(Extra); knead Taiyang (Extra 2) ; knead digitally Pishu (UB
20), Weishu (UB 21), Ganshu (UB 18), Danshu (UB 19) and incoordination of the spleen and the stomach, add middle-fin-

Zusanli (St 36) ; and press-knead the Urinary Bladder Channel ger-propping hand gesture and vibrating and quivering ma-
nipulations toward Zhongwan (Ren 12), Liangmen (St 21) and
of both sides .
(2) Emit qi with flat-palm gesture and vibrating manipu- Zusanli (St 36) .

lation to Baihui (Du 20), Dazhui (Du 14), Mingmen (Du 4), 2. Qigong-Acupuncture

Zhongwan (Ren 12) and Guanyuan (Ren 4) for 9 or 18 Insert the filiform needles into Zhongwan (Ren 12),
respiratory cycles each; emit qi with the middle-finger-prop- Shenmen (H 7),Sanyinjiao (Sp 6) and Zusanli (St 36) and emit
ping gesture and vibrating and quivering manipulations to qi toward the needles with dragon-mouth hand gesture and
Zhongwan (Ren 12) for 9 respiratory cycles ; and emit qi to pushing and leading manipulations to balance qi between the
Baihui (Du 20) and Dantian with the hand off patient's body points .

surface with flat-palm gesture and pushing and leading ma- 3. Self Qigong Exercise as Accessory Treatment

nipulations, and guide qi to circulate along the Ren Channel . (1) The Psychosomatic Relaxation Exercise
(3) Emit qi to Touwei (St 8) with flat-palm gesture and Take a sitting or lying posture . Relax the whole body step

pushing, pulling and leading manipulations, and guide qi to- by step by means of concentrating the mind on one part after
ward Zusanli (Sp 36) along the Stomach Channel of another, while saying "relax silently, in the order of the head,

Foot-Yangming to balance qi . shoulders, upper limbs, back, waist, hips, chest, abdomen and
the lower limbs . Carry out the relaxation 3 - 5 times with natu-
Modification: For treatment of insomnia due to deficiency
of the heart and the spleen, add flat-palm gesture and pushing ral respiration .

and leading manipulations to emit qi to Xinshu (UB 15) and (2) The Qi Circulation Exercise
Pishu (UB 20) and to guide qi downward along the Urinary Take a sitting or lying posture with breath even, mind

Bladder Channel of Foot-Taiyang . For insomnia due to kid- concentrated on Dantian and distractions expelled . When a
ney deficiency, add flat-palm gesture and pushing and quiv- flow of hot qi is felt accumulating in Dantian and rushing to-

ering manipulations to emit qi to Shenshu (UB 23) and ward the coccyx, take antidromic respiration and lead qi to go

Mingmen (Du 4) . For insomnia due to emotional depression, upwards from the coccyx to Baihui (Du 20) along the Du
add flat-palm gesture and pulling and leading manipualtions Channel and then to go downwards via the chest and abdomen
to emit qi toward Qimen (Liv 4) and Zhangmen (Liv 3) and to and finally back to Dantian along the Ren Channel, to com-

-358- -359-


plete a "small circle of qi", which is followed by concentration Seminal Emission

of the mind on Dantian for a while before ending' the exercise .
Etiology
Case
Seminal emission falls into two kinds,nocturnal emission
Meng, female, a 22 year old typist, came for the first visit
and spermatorrhoea . Nocturnal emission is usually caused by
on April 9, 1983 .
excess of ministerial fire, exuberance of the heart-yang, defi-
Complaints The patient complained of suffering' from
ciency .of kidney-yin, overstain and breakdown of the normal
insomnia for more than a year, which was manifested as
physiological coordination between the heart and the kidney,
inability to sleep, dreaminess, palpitation, irritability,
while spermatorrhoea is caused by failure of the kidney in stor-
aching-pain and discomfort all over the body, dizziness, heavy
ing reproductive essence and incompetence of orifice for keep-
sensation in the head, bitterness in the mouth, dryness of the
ing seminal fluid, which is a more knotted syndrome than the
eyes, perspiration, shortness of breath and lassitude of the ex-
former .
tremities.
Symptoms
Examination Physical examination found thin, white
1. Nocturnal Emission
tongue coating and deep, thready and feeble pulse. Flat-palm
It refers to ejaculation when dreaming . It occurs once ev-
detection revealed thin- and slightly cold sensation of qi at the
ery 5 - 6 nights or every 3 - 4 nights and is accompanied with
chest and head . Electrocardiographic and electro
the symptoms of dizziness, vertigo, fatigue and abdominal
encephalographic examinations showed no abnormalities .
pain . Flat-palm detection often reveals densified, tingling and
Diagnosis Insomnia (Functional disturbanc
cold sensation of qi at the head, the waist and the lower abdo-
vegetative nerves) .
men.
Treatment Emission of qi was conducted to Tianmen 2. Spermatorrhoea
(Extra), Yintang (Extra 1), Taiyang (Extra 2), Pishu (UB 20)
Spermatorrhoea refers to ejaculation not related to dream ;
and Xinshu (UB 15) with flat-palm and middle-finger-prop-
it may occur at any timeor upon thinking of sexual activities .
ping hand gestures and pushing, pulling, leading and quivering
Patients with spermatorrhoea often have lassitude of the ex-
manipulations .
tremities and hypomnesis . In severe cases, the disease can last
Course of Treatment On receiving outgoing-qi, the pa-
for years . Flat-palm detection usually reveals tingling, thin and
tient presented involuntary forward and backward bending
stagnated sensation of qi which is of imbalance between the left
and turning of the body . Recovery took place after 5 times of
and right and the upper and lower .
treatment.
Treatment

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 1 . Emissiop of Outgoing-qi (Waigi) Insert the filiform needles into Guanyuan (Ren 4), Dahe
(1) Press and knead Shenshu (UB 23), Xinshu (UB 15) and (K 12), Jinggong (Extra), Shenmen (H 7), Neiguan (P 6) and
Mingmen (Du 4),and press Guanyuan (Ren 4), Zhongji' (Ren 3) Zusanli .(St 36) . Emit qi with dragon-mouth hand, gesture and
and Sanyinjiao (Sp 6) digitally. pushing, pulling and rotating manipulations toward the
(2) Emit qi, with flat-palm gesture and vibrating and needles . balance qi round the needles .
quivering manipulations toward' the points Zhongwan (Ren 3. Self Qigong Exercise as Accessory Treatment
12), Guanyuan (Ren 4) and Mingmen (Du 4) for a period of 12 (1) Yang Recuperation Exercise (Daoyang Gong)
respiratory cycles each . Again, emit qi, with flat-palm gesture At midnight when the penis is erecting, lie supine with the
and pushing, pulling and vibrating manipulations,' toward eyes and mouth closed and the tongue rested against the palate .
Mingmen (Du 4), and guide qi to flow upwards along the Du Bow the waist up and prop the coccyx with the middle finger of
Channel to Baihui (Du 20) and then downward along the Ren the left hand . Make the right hand a fist with the thumb-tip
Channel back to Dantian . pressing ziwen (the stripe joining the palm and the ring finger) .
. (3) Emit qi, with flat-palm hand gesture' and Then stretch the legs, with the toes bending toward the soles
pushing-leading manipulation, towards'Baihui (Du' 20) for a forcefully . Take a breath and get the qi inhaled mentally to the
`period of 7 respiratory cycles, and then guide qi to flow along back of the body, the back of the head and then the top of the
the Ren Channel back to Dantian . head . During exhaling, get qi down along with exhaling to the
Modification In case of nocturnal emission, add flat-palm Lower Dantian while relaxing the waist, legs, hands and feet
hand gesture and pushing, rotating and leading manipulations with ease . Do the exercise till the penis prostrates . If the penis
to emit qi to Xinshu (UB 15), Pishu (UB 20), Zhongwan (Ren does not erect at midnight, the practitioner may try to get it
12) and Jiuwei (Ren 15), and to guide the channel qi down to erected and then do the exercise .
Shenmen (H 7) and Daling (P 7) along the Heart Channel of (2) The Vital Essence Recovering Exercise (Huijing
Hand-Shaoyin and the Pericardium Channel of Hand-Jueyin ; Huanye Gong)
in case of spermatorrhoea, add flat-palm hand gesture and This exercise is indicated for seminal emission and mucous
pushing, rotating and leading manipulations to emit qi to urination .
Shenshu (UB 23), Mingmen (Du 4), Zhongwan (Ren 12) and When urinating, make fists with the thumbs nipping ziwen
Zusanli (St 36) and to guide qi to flow down to Zusanli (St 36) (the stripe joining the palm and the ring finger), flex the toes
along the Stomach Channel of Foot-Yangming to balance qi toward- the soles and clench the teeth . After some water has
between the upper and the lower . been passed, draw a sudden breath and simultaneously stop
2. Qigong-Acupuncture urinating. Contract the glans and penis to hold urine while di-
-362- -363-
recting qi up to Mingmen - (Du 4), then back to Dantian, with Treatment
the hands, feet and the whole body relaxed . Restart urination 1 . Emission of Qutgoing-qi (Waiqi)
and stop again in the same way . Repeat the procedures 2 or 4 (1) Press-knead- Shenshu (U$ 23),Mingmen (Du
times during one urination period . 4),Guanyuan (Ren 4) and Sanyinjiao (Sp 6) first.
(3) The Yang-Recovering Exercise (Huanyang Gong) (2) Emit qi with flat-palm hand gesture and vibrating and
This exercise should be done at 7 - 9 pm or 9 - 11 pm. Lie quivering manipula- tions to Guanyuan (Ren 4) for 12
on one side with the body bent . Hold the scrotum with one respiratory cycles, then' with middle-finger- propping gesture
hand and press the lower abdomen with the other. Carry out and the same manipulations to Zhongji (Ren 3) for 12
up-and-down movement 81 . times . Change hands and do the respiratory cycles, followed by emitting qi with flat-palm ges-
same for another 81 times or do it at other time of the same ture and pushing and pulling manipulations to Mingmen (Du
day . Then rub the hands against each other to get them warm 4) for 24 respiratory cycles .
and scrub Shenshu (UB 23) and Yongquan (K 1), with them 81 (3) Emit qi with flat-palm hand gesture and pushing, pul-
times respectively . ling, rotating and leading manipulations to Mingmen (Du 4)
and Dantian for 24 respiratory cycles and guide qi to flow
clockwise .
Etiology 2. Qigong-Acupuncture
Impotence is usually caused by masturbation in adoles- Insert the filiform needles into Zhongji (Ren 3), Guanyuan
cence or intemperance in sexual life . Anxiety which impairs the (Ren 4), Sanyinjiao (Sp 6) and Zusanli (St 36), then emit qi to-
reproductive essence, and constraint, depression and kidney ward the needles to get qi activities between these points bal-
impairment by fright may also give rise to it . anced .
Symptoms 3. Self Qigong Exercise as Accessory Treatment
The main symptoms are failure of normal penis erection, (1) Iron Crotch Exercise (Tiedang Gong)
or quick ejaculation at sexual impulse . These symptoms may be Pushing the Abdomen : Lie supine, overlap the hands with
accompanied by lassitude in the loins and legs, dizziness, verti- the right above the left, and push with them from the xiphoid
go and listlessness and hypomnesis . In severe cases, the disease process to the pubic symphysis 36 times .
may last for years .-Flat-palm detection often reveals densified, Pushing the Abdomen Obliquely : Lie supine, and push with
tingling and cold sensation of qi at the lower abdomen and the the palms from the xiphoid process separately and obliquely to
sacral part . the sides of the abdomen 36 times .
Kneading the Navel: Lie supine, overlap the hands and
-365-
knead with pressure the navel clockwise and counterclockwise other, (the back of the fist) to pound the region inferior to the
36 times res#ectively. scapula simultaneously and alternately 25 times for each side .
Twisting the Spermatic Cords: Take a sitting posture, Turning the Knees : Stand with feet close together . Rest
pinch-knead the spermatic cords with the thumb and the index palms on the knees . Turn the knees clockwise and
and middle fingers 50 times each . counterclockwise 25 times each .
Kneading the Testicles: Sit and grasp both the testicles and Rolling the Stick: Sit straight . Put on flat-sole shoes . Step

penis at the root with the right hand . Put the left palm on the on a round stick and roll it with both feet to and fro 50 times .
left testicle and knead it 50 times . Change hands and knead the Ending of the Iron Crotch Exercise : Sit quietly with palms
right testicle 50 times . on the thighs for a while, then stand up and move the body
Sit. Hold the testles between the
Rubbing the Testicles : freely to end the exercise .
thumbs and the index and middle fingers of both hands and (2) The Yang-Strengthening Exercise (Qiang Yang Gong)
rub-twist 50 times . Hold the penis in one hand with the balanus exposed . Ex-
Proping the Testicles Sit, with the tips of the thumbs sup- ert to make qi and blood to flow to the balanus several times,
porting the testicles of the respective sides . Prop the testicles up with the strength of gripping increased gradually . Slipping of
toward the groins and then lower them . Do this 3 times. the hand up and down should be avoided . The exercise should
Swaying the Sand Bag : Stand erect . Make a slipknot at one be done 2 - 4 times a day .
end of a piece of gauze (33 cm wide, 85 cm long) and tie a sand Case
bag (1 .25 kg) to the other end . Get the slipknot looping at the Bao, male, 29 years old, came fo the first visit on May 19,
root of the penis and testles with an optimal degree of 1983 .
tightness . Sway the sand bag forward and backward 50 times . Complaints The patient complained of impotence for 7
Pounding the Testicles: Stand erect . Make hollow fists of years accompanied by dizziness, vertigo, insomnia,

both hands, and pound with the back of the fists on both hypomnesis, soreness and weakness of the loins and knees and
testicles alternately 50 times each . listlessness . He had a history of masturbation and seminal
Pounding the Renal Regions : Stand erect and pound emission . His first marriage failed because of his sexual
alternately with the back of the fists on their respective renal inability . He was in great agony when he failed to get his wife
regions 50 times each . pregnant three years after his second marriage . After
Activating the Back : Stand erect . Make hollow fists, relax acupuncture and administration of traditional drugs in hospi-
the joints of the shoulders, elbows and wrists . Sway the waist to tals in Shanghai, Hangzhou and Beijing failed to take effect, he
lead one fist to pound the chest (palm facing the chest) and the came to try qigong.
-366- -367-
 Examination Physical examination found pale` tongue Premature ejaculation due to deficiency of the kidney-qi
with thin, white coating and deep, thready and feeble pulse . have the symptoms of soreness and pain in the waist, weakness
The testicles and the penis were normal, with no tenderness . of the knees and feeble cubit pulse . Densified, cold and tingling
Flat-palm detection with outgoing-qi revealed thin and cold qi may be detected at the lambosacral region and the lower ab-
sensation of qi at the points of Mingmen (Du 4) and Shenshu domen with the flat-palm hand gesture .
(UB 23) . Premature ejaculation due to dampness and heat of the
Diagnosis Impotence (Decline of fire from the gate of Liver Channel may be accompanied with vexation, bitterness in
life) . the mouth, dark urine, urodynia or itching and swelling of the
Treatment Flat-palm and
middle-finger-propping pudendum, and yellow tongue coating and taut, forceful pulse .
hand gestures and pushing, quivering and fixing manipulations On flat-palm detection, densified and stagnated qi may be felt
were adopted to emit qi to Dantian, Zhongji (Ren 3), Mingmen at the lower abdomen and around Shenshu (UB 23) .
(Du 4), Shenshu (UB 23), Zusanli (St 36) and Sanyinjiao (Sp Treatment
6). The patient was told to practise the Iron Crotch Exercise. 1. Emission of Outgoing-qi (Waiqi)
Course of Treatment The penis could erect voluntarily (1) Press-knead Shenshu (UB 23), Guanyuan (Ren 4) and
after 12 times of treatment but the erection was not desirable . Sanyinjiao (Sp 6) first .
Complete recovery took place after 30 times of treatment . He (2) Emit qi with flat-palm hand gesture and vibrating and
had a daughter in August, 1984 . quivering manipulations to Shenshu (U B 23), Guanyuan (Ren
4), Qichong (St 30) and Guilai (St 29) for 11 or 22 respiratory
Premature Ejaculation
cycles respectively .
Etiology (3) Emit qi to Dantian and guide qi to rotate clockwise
The disease is often caused by masturbation in with flat-palm gesture and pushing, leading, and rotating ma-
adolescence, deficiency of the kidney-qi due to intemperance nipulations.
in sexual life or dampness and heat of the Liver Channel . Modification: In case of deficiency of kidney-qi, add emis-
Symptoms sion of qi to Dantian with middle-finger-propping hand ges-
Failure of the normal sexual life characterized by ejacula- ture and vibrating and quivering manipulations for 42
tion of semen at the beginning of the sexual act and prostration respiratory cycles ; in case of dampness and heat of the Liver
of the penis immediately after the ejeculation is the main mani- Channel, add flat-palm gesture and pushing, pulling and lead-
festation of the disease . ing manipulations to emit qi to Qimen (Liv 4), Zhangmen (Liv
13) and Riyue (GB 24) and guide qi to flow toward
-369-
Yanglingquap GB 34) and Taichong (Liv 3) along the Liver Kneading the Penis and Pulling the Testicles : Put the index
Channel of Poot-Jueyin and the , Gallbladder Channel of and middle fingers of one hand on the frenulum of prepuce of
Foot-Shaoyang. the penis and the thumb on the coronary edge and
2. Qigong-Acupuncture pinch-knead the penis with symmatric force ; hold the scrotum
Insert the filiform needles into Guanyuan (Ren 4), and the testicles in another hand and pull them downward and
Sanyinjiao (Sp 6), Taixi (K 3) and Taichong (Liv 3) . Emit qi backward . The pining-kneading and pulling should be carried
toward these points with bird-beak hand gesture and pushing, out simultaneously and the movements of the two hands
pulling and rotating manipulations to balance qi between the should be coordinative . Release both hands suddenly after 3 -
points . In case of dampness and heat of the Liver Channel, 4 respiratory cycles of practice, and repeat the procedure again
guide qi toward Yinglingquan (Sp 9) and Taichong (Liv 3) to several times .
expel the evils there. Kneading the Testicles: Lie supine, rest the root of the left
3. Self Qigong Exercise as Accessory Treatment palm against the root of the testicles and knead with pressure
(1) Practise the Iron Crotch Exercise (Refer to 81 times . Repeat the procedure with the right palm 81 times .
"Impotence") .
Vertigo
(2) The Exercise for Strengthening the Kidney-Yang
Hitting the Lumbosacral Region : Hit the sides of the waist Etiology
and the sacral region with hollow fists when there is a tendency Several factors contribute to the syndrome : hyperactivity
to ejaculate . of the liver-yang aused by failure of water (kidney) to nourish
Rubbing the Penis and Testicles : Hold the testicles and the wood (liver) due to insufficiency of the kidney-yin ;
penis between the two palms and rub-knead them 36 times insufficiency of qi and blood in the heart and spleen leading to
each . Practise "hitting the lumbosacral region" when there is a deficiency of the marrow reservior ; and stagnation of
tendency to ejaculate . phlegm-dampness caused by deficiency of the spleen and the
Tossing the Penis : Lie supine . Grip the penis by the root stomach which fail to transport .
with the index and middle fingers of the left hand and toss it Symptoms
onto the interior aspect of the left thigh 36 times . Do the same The syndrome is characterized by severe dizziness and ver-
with the right hand and onto the right thigh for another 36 tigo, blurred vision and nausea, accompanied with soreness of
times . Then grip the penis by the root with the thumb and the the waist, mental fatigue, flushed complexion, tinnitus, reddish
index and middle fingers of both hands and toss the penis onto tongue and taut, rapid pulse in case of hyper-activity of the
the lower abdomen 36 times .
-370- -371-
liver-yang; with listlessness, disinclination to talk, - anorexia, Taiyang (Extra 2), push Hanyan (GB 4) and Shuaigu (GB 8) .
palpitation, insomnia, pale tongue and thready pulse in case of Finally pat Baihui (Du 20) and Dazhui (Du 14) and rock the
insufficiency of qi and blood ; and with nausea, heaviness in the upper limbs to end the exercise .
head, greasy tongue coating and slippery pulse in case of Modification .In case of hyperactivity of the liver-yang,
stagnation of phlegm-dampness . Flat-palm detection may re- add flat-palm hand gesture and pushing, pulling and rotating
veal densified, cold, tingling, distending and stagnated sensa- manipulations to emit qi to Ganshu (UB 18), Shenshu (U B 23)
tion of qi at the top of the head and the forehead or all over the and Dantian, and guide qi to flow along the channel or
head. counterclockwise so as to nourish yin . and suppress the
Treatment hyperactive yang ; in case of insufficiency of qi and blood, add
1 . Emission of Outgoing-qi (Waiqi) flat-palm gesture and pushing and fixing manipulations to
(1) Press-knead Dazhui (Du 14), Baihui (Du 20) and emit qi to Pishu (UB 20), Geshu (UB 17), Ganshu (UB 18) and
Taiyang (Extra 2), push- knead Hanyan (GB 4) and Shuaigu Dantian so as to nourish qi and replenish blood ; and in case of
(GB 8) and knead with the fingertip Ganshu (UB 18), Shenshu stagnation of phlegm-dampness, add flat-palm gesture and
(UB 23), Guanyuan (Ren 4) and Qihai (Ren 6) to open the pushing, pulling and leading manipulations to emit qi to
points and dredge the channels . Zhongwan (Ren 12) and Liangmen (St 21), and guide qi to
(2) Emit qi with flat-palm gesture and vibrating manipu- flow toward Zusanli (St 36) along the Stomach Channel so as
lation toward Baihui (Du 20), Dazhui (Du 14), Zhongwan to dredge the channels and expel the evils .
(Ren 12) and Guanyuan (Ren 4) for 12 or 24 respiratory cycles 2. Qigong-Acupuncture
respectively . Insert the filiform needles into Yintang (Extra 1), Taiyang
(3) With flat-palm gesture and pulling and leading ma- (Extra 2), Baihui (Du 20), Touwei (St 8), Neiguan (P 6),
nipulations . emit qi to Touwei (St 8), Liangmen (St 21) and Zusanli (St 36) and Taichong (Liv 3) . With dragon-mouth or
Zusanli (St 36) . Then guide the channel qi to flow from Baihui bird-beak hand gesture and pushing, pulling and leading ma-
(Du 20) via Zhongwan (Ren 12) to Guanyuan (Ren 4) along nipulations, emit qi toward the needles and guide qi to Neiguan
the Du Channel ; from Touwei (St 8) to Zusanli (St 36) along (P 6) and Taichong (Liv 3) .
the Stomach Channel of Foot-Yangming to make qi strong in 3. Self Qigong Exercise as Accessory Treatment
the lower and weak in the upper, and guide qi with the same (1) The Three-Line Relaxation Exercise
method toward the ends of the upper limbs along the Large In- The first line refers to the one from the lateral sides of the
testine Channel of Hand-Yangming to balance qi . head, neck, shoulder and the upper limbs ; the second to ante-
(4) Then knead with the fingertip Baihui (Du 20) and rior side of the head, neck, chest, abdomen and the lower
-372- -373-
limbs ; and the third, to the posterior side of the head, neck, "headache" .
i
back, waist and the lower limbs . Symptoms
Any of the three postures, standing, sitting or lying, can be 1. Hypertension Due to Hyperactivity of Yang Caused by
taken . To start the exercise, the practitioner should concentrate Deficiency of Yin
the mind on the first part of the first line and say ` relax" This type is manifested by high blood pressure, dizziness,
silently, and then on the next part and so on and so forth . Then headache, vertigo, tinnitus, insomnia, dreaminess, hot sensa-
proceed to. the second and third lines . Complete the relaxation tion in the heart, the, palms and the soles, reddish tongue prop-
of the three lines in sequence . It is indicated for any type of ver- er and wiry, thready and rapid pulse . Flat-palm detection may
tigo . reveal densified and tingling sensation of qi at the top of the
(2) The Exercise of Taking Black Qi head, the anterior and posterior aspects of the body and at the
Take a standing or sitting posture, breathe naturally and hypochondria, and cold and densified qi sensation at the waist
expel distractions . Conduct teeth-tapping 36 times while stir- and the lower abdomen .
ring the saliva with the tongue. Swallow the saliva 3 times after 2. Hypertension Due to Hyperactivity of the Liver-Fire
the tapping and each time send it mentally down to the kidneys It is manifested as high blood pressure, vertigo, headache,
Y

and then to Dantian . flushed complexion, bitterness in the mouth, restlessness, con-
Imagine black qi . Inhale it nasally and fill the mouth with stipation, reddened tongue with yellow coating and rapid pulse .
it. Send it slowly to the kidneys and then to Dantian during ex- Flat-palm detection may reveal hot, tingling and densified sen-
haling . Do this 7 times . sation of qi at the top and the two sides of the head .
The exercise has the function of nourishing the liver and 3. Hypertension Due to Deficiency of Both Yin and Yang
kidney and strengthening yang . It is indicated in patients suffer- The main manifestations are high blood pressure,
ing from deficiency of kidney-yin and hyperactivity of dizziness, tinnitus, palpitation, short breath, soreness of the
liver-yang . loins, weakness of the legs, insomnia, dreaminess, pale or

Hypertension reddish tongue proper with white coating, and wiry, thready
pulse . Flat-palm detection may reveal no obvious sensation of
Etiology qi all over the body.
The cause of the disease remains obscure . It may be relat- Treatment
ed to mental stress, mental irritation and heredity . Traditional 1. Emission of Outgoing-qi (Waiqi)
Chinese medicine has it in the categories of " vertigo" and (1) Push-wipe Yintang (Extra 1) and Kangong ( Extra),
sweep-wipe Shuaigu (GB 8) and Hanyan (GB 4) and
-374- -375-
 rotating manipulations .
press-knead Baihui (Du 20), Fengchi (GB 20) and Dazhui (Du 2. Qigong-Acupuncture
14) . Insert the filiform needles into Quchi (LI 11), Waiguan (SJ
(2) Emit qi with flat-palm hand gesture and vibrating and
5), Zusanli (St 36), Sanyinjiao (Sp 6), Taixi (K 3), Taichong
quivering manipulations toward Baihui (Du 20), Dazhui (Du (Liv 3) and Zhongwan (Ren 12) . Emit qi toward them with
14), Mingmen (Du 4) and Zhongwan (Ren 12) for a period of 6
dragon-mouth or bird-beak hand gesture and pushing and ro-
or 12 respiratory cycles respectively ; emit qi with middle- fin= tating manipulations, and guide the channel qi to Taichong
ger-propping hand gesture and vibrating and quivering ma- (Liv 3) and Waiguan (SJ 5) .
nipulations towards Zhongwan (Ren 12) and Guanyuan (Ren 3. Self Qigong Exercise as Accessory Treatment
4) for 6 or 12 respiratory cycles . (1) The Bath-Relaxation Exercise
(3) With flat-palm gesture and pulling and leading ma- Stand or sit quiet and relaxed all over, with the eyes
nipulations,emit qi toward Baihui (Du 20) and Touwei (St 8) closed,tongue sticking to the lower gum and distractions expel-
and guide the channel qi to flow toward Mingmen (Du 4) along led . Imagine the feeling of a warm shower: the warm water
the Du Channel and to flow to Neiting (St 44) along the Stom- pouring down onto the head, torso, extremities and the soles .
ach Channel of Foot-Yangming to make it strong in the lower Do the exercise 36 times .
and weak in the upper . Or, practise the Three-Line Relaxation Exercise (Refer to
Modification : In case of hyperactivity of yang caused by "Vertigo") .
deficiency of yin, add flat-palm hand gesture and pushing and (2) The Exercise of Rubbing the Hypochondrium and
rotating manipulations to emit qi to Ganshu (UB-18), Shenshu "Xu" Qi
(UB 23) and Dantian, and at the same time guide qi to go Take the standing or sitting posture . Put the palms against
along the channel or to go counterclockwise . In case of the ribs and inhale slowly . Say "xu" during exhalation with the
hyperactivity of the liver- fire, add flat-palm gesture and pul- palms rubbing the ribs . Do the exercise for 10 - 20 respiratory
ling and leading manipulations to emit qi to Zhangmen (Liv cycles .
13), Qimen (Liv 14) and Riyue (GB 24), and to guide the chan- It is suitable for hypertension due to hyperactivity of the
nel qi to flow toward the lower extremities along the Liver liver-fire .
Channel of Foot Jueyin and the Gallbladder Channel of
Foot-Shaoyang to make it strong in the lower and weak in the Hypochondriac Pain

upper . In case of deficiency due to both yin and yang, add

emission of qi to Pishu (UB 20), Shenshu (UB 23), Mingmen
(Du 4) and Dantian with flat-palm gesture and pushing and
-377-
-376-
 Though hypochondriac pain may be caused by different and the painful region, then guide qi with leading manipulation
factors such as trauma, stagnation, accumulation and blockage to flow from the chest and hypochondrium to the lower ex-
of qi , stasis of phlegm and deficiency or excess of constitution, tremities along the Liver Channel of Foot-Jueyin and the
it is always related to the liver and is commonly seen in patients Gallbladder Channel of Foot-Shaoyang .
with hyperactivity of liver-fire . or stagnation of the liver-qi . Modification: For deficiency syndrome (insufficiency of
Symptoms the liver-yin and kidney-yin), add digital, pressing on the point
Hypochondriac pain, which occurs in one side more often Quanyuan (Ren 4), kneading the, point Shenshu (U13 23), and
than that in both sides . emitting qi with flat-palm gesture and vibrating and quivering
1 . Excess Syndrome manipulations toward the lower abdomen with the point
Severe pain with difficulty in cough and breathing is seen Guanyuan (Ren 4) as the centre for 12 or 24 respiratory cycles .
in patients with excess syndrome ; hypochondriac pain in both For excess syndrome, add pushing the chest on both sides, dig-
sides, wiry pulse, bitter mouth are found in patients with excess ging-grasping Xuelang (the muscles at the anterior sides of the
syndrome of the liver or excessive-fire . Flat- palm detection of- axillary fossa), digitally kneading Ganshu (UB 18), and rocking
ten reveals heavy, stagnated, tingling and distending sensation and rubbing the upper limbs . For pain caused by trauma, add
of qi at the hypochondria . pushing-rubbing the affected side with flat-palm hand gesture
2. Deficiency Syndrome and rocking the shoulder joint .
Feeble pulse, dry throat, poor appetite, dull pain or sting- 2 . Qigong-Acupuncture
ing pain are found in patients with deficiency syndrome, in- Insert the filiform needles into Zhigou (Si 6) and
eluding insufficiency of the liver-yin and the kidney-yin, Yanglingquan(GB 34) . Emit qi with dragon-mouth hand ges-
which is often caused by mental depression or hemorrhage . ture and pulling and rotating manipulations, and rotate the
Treatment hand counterclockwise to guide qi to go downward .
1 . Emission of Outgoing-qi (Waiqi) 3. Self Qigong Exercise as Accessory Treatment
(1) Conduct digital pressing-kneading on the points (1) Pushing the Hypochondrium and "Xu" Qi
Shanzhong (Ren 17), Qimen (Liv 14), Zhangmen (Liv 13), Take a standing or sitting posture, relax all over, breathe
Ganshu (UB 18), Geshu (UB 17) Zhigou (SJ 6) and naturally and expel the distractions .
Yanglingquan (GB 34) to break through them and to promote Get the upper and lower teeth tapping each other 36 times
the circulation of qi and blood in the Liver Channel . while stirring the saliva with the tongue . Swallow the saliva 3
(2) Emit qi with flat-palm gesture and pushing and pul- times after the tapping and each time send it down to the
ling manipulations toward Qimen (Liv 14), Zhangmen (Liv 13) hypochondrium and further to Dantian . Then put the palm on
-378- -379-
 Headache
both sides of 4)te ribs . Inhale slowly to make the mouth filled
Etiology
with qi. When exahaling, utter "xu", with the palms rubbing
1 . Invasion of the Channels by Pathogenic Wind
the ribs gently from the upper to the lower 7 times . Iao this for
The wind-cold pathogen invades the channels in the head
8 respiratory cycles .
and lingers there, resulting in incoordination between qi and
(2) Pushing the Chest to Guide Qi
blood and obstruction of the channels, which in turn gives rise
If the pain is in the left side, conduct pushing massage with
to headache .
the right palm starting from the thoracic midline downward to 2. Insufficiency of Both Qi and Blood
the left 7 times, then from the upper to the lower straightly an-
This type of headache is caused by insufficiency of the
other 7 times, followed by kneading Shanzhong (Ren 17) and
channel qi in the marrow reservior (the brain) due to general
Qimen (Liv 14) .
debility and insufficiency of both qi and blood .
(3) Soothing the Liver and Guiding Qi
Symptoms
Stand relaxed and quiet, the two arms falling naturally on
1 . Invasion of the Channels by Pathogenic Wind
sides, the five fingers raised slightly upwards and the palms
(1) Shaoyang Headache (Migraine)
pressing downwards with a little force, thinking that qi has
As the Shaoyang Channels run along the sides of the head,
been directed to the centre of the palms and further to the
pain in one side is the main symptom, which is often accom-
fingertips .
panied by a sensation of excessive heat in the head and splitting
Lift the two hands up to the chest with palms facing the
pain, conjunctival congestion, hypochondriac pain, bitterness
front . Push the palms forward until the shoulders, the elbows
in the mouth, dry throat, yellow and dry tongue coating, and
and the wrists are at the same level . Concentrate the mind on
wiry and rapid pusle . Flat-palm detection often reveals
the palms.
densified, distending, tingling and stagnated sensation of qi at
Stretch the arms sideways like a bird stretching its wings .
the painful side of the head .
With the fingers turned upward, push the arms toward the
(2) Taiyang Headache (Occiput Pain)
right and left respectively . Guide qi to the centre of the palms .
Pain in the occipito-posterior position is the main symp-
Withdraw the hand and set them in front of the chest, with
tom as the back of the head, the nape and the back of the torso
palms upward and the fingertips of the two hands pointing to
are the areas where the Taiyang Channels spread, which is ac-
each other . Adduct the palms and push them down to the
companied by fever, aversion to cold, stiffness and pain in the
pubic symphysis to guide qi back to Dantian . Then drop the
nape and back, thin and white tongue coating, and superficial
hands at the sides of the body to end the exercise .
and tense pulse . Flat-palm detection often reveals cold,
-381-
-380-
densifie4 and stagnated qi sensation at the occipital area .
(Du 20) first, then with vibrating and quivering manipulations
(3) Jueyin Hdadache (Vertex Pain)
toward Baihui (Du 20), Dazhui (Du 14) and Mingmen (Du 4)
Because the Jueyin Channels converge at the vertex, pair.
for 6 or 12 respiratory cycles.
in the vertex is the main symptom which is accompanied by
Modification: To treat Shaoyang headache (migraine), add
vertigo, vexation, quick temper, flushed face, bitterness in the
flat-palm gesture and pulling and rotating manipulations to
mouth, insomnia, reddened tongue with yellow coating, and
emit .gi to Shuaigu (GB 8) and Hanyan (GB 4) and guide the
wiry pulse. Flat-palm detection often reveal densified, cold,
channel qi to flow along the Channels of Foot-Shaoyang and
tingling and stagnated sensation of qi at the top of the head . Hand- Shaoyang to the ends of the extremities, where the
(4) Yangming Headache (Sinciput Pain)
pathogenic wind-cold can be expelled .
Pain in the forehead is most obvious because the Yangm-
To treat Taiyang headache (occiput pain), add flat-palm
ing Channels go to the forehead along the hairline, accom- gesture and pushing and leading manipulations to emit qi to-
panied by thirst, dysphoria with smothery sensation, foul ward Fengchi (GB 20) and Tianzhu (UB 10), and guide the
breath, constipation, yellow - tongue coating and forceful or
channel qi to flow to the upper and lower extremities along the
slippery and rapid pulse . Flat-palm detection may reveal
Channels of Hand-Taiyang and Foot-Taiyang .
densified, stagnated, tingling and distending sensation of qi at
To treat Jueyin headache (Vertex pain), add flat-palm
the forehead.
gesture and pulling and rotating (counterclockwise) manipula-
2. Insufficiency of Both Qi and Blood
tions to guide qi to flow clockwise and then downward to the
This type is characterized by general continuous headache, lower extremities along the Gallbladder Channel of Foot-
vertigo, heaviness of the head, lassitude, dim complexion,
Shaoyang .
thready and feeble pulse, and thin and white tongue coating . To treat Yangming headache (sinciput pain), add
Treatment
flat-palm gesture and pulling and leading manipulations to
1. Emission of Outgoing-qi (Waiqi)
emit qi toward Taiyang (Extra 2), Touwei (St 8) and Yintang
(1) Push-open Tianmen (life pass, the superficial venules (Extra 1), and guide qi to flow to the lower extremities along
of the palmar side), push Kangong (Extra), knead Taiyang
the Channels of Hand-Yangming and Foot-Yangming and
(Extra 2), sweep the Gallbladder Channel (with the fingers), along the Ren Channel, or guide qi to the Ren Channel .
dig-grasp Fengchi (GB 20) and Fengfu (Du 16), and press-
To treat headache due to insufficiency of both qi and
knead Baihui (Du 20).
blood, add flat-palm gesture and pushing and leading manipu-
(2) Emit qi with flat-palm gesture and pulling and ro-
lations to emit qi to Pishu (UB 20), Geshu (UB 17), Shanzhong
tating (clockwise or counterclockwise) manipulations to Baihui
(Ren 17), Zhongwan (Ren 12) and Guanyuan (Ren 4) .
-382- -383-
 2. Qigong-4cuponeture Bathing the Face : Rub the face with the two palms, start-
According t$ the location of pain, insert the filiform need- ing from the midpoint at the forehead sidewards, then down-
les into : Shang- xing (Du 23), Touwei (St 8), Hegu (LI 4) and wards, and then upwards along the sides of the nose back to
Ashi points (pressure pain points) in the case of Yangming the forehead 24 - 48 times .
headache; into Baihui (Du 20), Tongtian (UB 7), Xingjian (Liv Combing the Hair : Seperate the five fingers separated and
2) and Ashi points in the case of Jueyin headache ; into Shuaigu curve them slightly . Comb the hair with them 24 - 48 times
(GB 8), Hanyan (GB 4) Taiyang (Extra 2), Xiaxi (GB 43) and starting from the front hairline backwards .
Ashi points in the case of Shaoyang headache ; into Fengchi Sweeping the Gallbladder Channel : Get the four fingers
(GB 20), Dazhui (Du 14), Kunlun (UB Wand Ashi points in close to each other and slightly curved . Scrape-sweep with the
the case of Taiyang headache ; and into Baihui (Du 20), Qihai fingertips along the Gallbladder Channel from above the ears
(Ren 6), Pishu (UB 20), Ganshu (UB 18), Hegu (LI 4) and backwards via the frontal angle towards the back of the head
Zusanli (St 36) in case of headache due to insufficiency of 10 or 20' times .
blood and qi . Then emit qi toward the needles with Rubbing the Back of the Head: Interlock the fingers of the
dragon-mouth hand gesture and pushing, pulling, rotating and two hands . Clasp the occipital bone with the roots of the palms
leading manipulations to balance qi between the needles . and rub the back of the head from the upper to the lower 24 -
3. Self Qigong Exercise as Accessory Treatment 48 times .
(1) The Relaxation Exercise by Body Partitions
Stand or sit with the whole body relaxed, distractions ex- Diabetes
pelled and breath natural. By concentrating the mind on one Etiology
part after another and saying "relax" silently, relax the whole Two main factors contribute to the origination of the dis-
body in the order of the head, shoulders, back, waist, hips, the ease.-The first factor is improper diet including over intake of
upper limbs and the lower limbs . Do the exercise 3 5 times . alcohol and acrid and greasy food, which may cause stagnation
(2) The Head-Face Exercise at the Middle jiao (the portion housing the stomach and the
Pushing the Forehead: Push-rub the forehead with the spleen), failure of the stomach and spleen to transport and ac-
four fingers (close to each other) of the two hands from the cumulation of heat inside the body which, in turn, may give rise
midpoint of of the line joining the eye-brows upward to the to failure of the yin fluid to nourish the lung and kidney, re-
front hairline 24 48 times . sulting in diabetes . The second factor is emotional; emotional
Kneading Taiyang (Extra 2) Knead Taiyang (Extra 2) upsets may lead to stagnation of qi which in turn impairs the
counterclockwise 24 48 times with the middle fingers .
-384- -385-
body fluid, resulting in yin-deficiency with hyperactivity of the (Ren 4) .
fire-evil, and eventually, diabetes . (2) With flat-palm gesture and vibrating and quivering
Symptoms manipulations, emit qi to Feishu (UB 13), Pishu (UB 20),
1 . Diabetes Involving the Upper-Jiao Shenshu (UB 23), Zhongwan (Renl2) and Guanyuan (Ren 4)
It is characterized by thirst and polydipsia, dry throat and for 6 or 12 respiratory cycles .
tongue, frequent micturition, polyuria, reddened tip and mar- (3) With flat-palm hand gesture and pushing, pulling and
gin of tongue, thin and yellow tongue coating and rapid pulse . leading manipulations, emit qi to Feishu (UB 13), Pishu (UB
Flat-palm detection often reveals densified, hot, tingling and 20), Shenshu (UB 23), Tanzhong (Ren 17), Zhongwan (Ren 12)
sensation of turbid qi at the Upper Jiao (the body cavity above and Guanyuan (Ren 4) ; and with leading manipulation, regu-
the diaphragm where the heart and lung are located) . late the qi activities in the chest and abdomen as well as the
2. Diabetes Involving the Middle-Jiao back and waist to get qi balanced between the Upper, Middle
It is characterized by polyphagia, emaciation or constipa- And Lower jiao .
tion, dry yellow tongue coating and rapid, slippery pulse . 2 (4) Dig-grasp Jiquan (H 1), Quchi (LI 11) and Hegu (LI
Flat-palm detection often reveals hot, tingling, densified, filthy 4) and rub and rock the upper limbs to end the treatment with
and stagnated sensation of qi at the Middle- jiao (the part outgoing-qi .
holding the stomach and the spleen) . 2. Qigong-Acupuncture
3 . Diabetes Involving the Lower-Jiao Insert the fliform needles into Tanzhong (Ren 17),
This type is characterized by frequent micturition, Zhongwan (Ren 12), Guan- yuan (Ren 4), Zusaiili (St 36),
polyuria, chyluria or urine with sweet smell, weakness and Sanyinjiao (Sp 6), Taixi (K 3), Taichong (Liv 3) and Zhigou (SJ
softness in the waist and knees, reddish tongue proper without 6). Emit qi with dragon-mouth hand gesture and pushing, pul-
coating, and deep, thready and rapid pulse . Flat-palm detec- ling and rotating manipulations to get qi balanced between the
tion often reveals densified, cold, stagnated and tingling sensa- points.
tion of qi at the Lower Jiao (the body cavity below the level of Modification : Add emission of qi with flat-palm hand ges-
the umbilicus) . ture and vibrating and quivering manipulations to Tanzhong
Treatment (Ren 17), Zhongfu (Lu 1) and Yunmen (Lu 2) for diabetes in-
1 . Emission of Outgoing-Qi (Waiqi) volving the Upper Jiao ; to Weishu (UB 21) and Sanjiaoshu
(1) Knead Feishu (UB 13), Pishu (UB 20), Shenshu (UB (UB 22) for diabetes involving the Middle Jiao and to
23), Zusanli (St 36) and Sanyinjiao (Sp 6) ; dredge Lanmen (Ex- Pangguangshu (UB 28) and Zhongji (Ken 3) for diabetes in
tra), Liangmen (St 21), Zhongwan (Ren 12) and Guanyuan volving the Lower Jiao .
-386-


with the Inner Laogong (P 8) touching the umbilicus, and rub

3. Self Qigong Exercise as Accessory Treatment
clockwise and counterclockwise 21 times respectively .
(1) The Inner Health Cultivation Exercise (Neiyang Gong)
Take a sitting posture and either orthodromic or Sixth, put the left hand below the left ribs with the thumb
stretched and pointing forward, and rub with the fingers from
antidromic abdominal respiration, with the eyes closed and the
the ribs down to the groin 21 times . Do the same with the right
whole body relaxed . Say silently some sentences such as "I keep
hand on the right side another 21 times . Seventh, sit cross-leg-
quiet", "I am sitting and keeping quiet" and "I keep quiet and
ged after the pushing . Make fists with the two thumbs nipping
I'll be healthy"& Inhaling, stick the tongue against the palate
ziwen (the crease joining the palm and the ring finger) . Put the
and say the first word of a sentence . Hold breath after inhaling
fists on the knees . Turn the chest and abdomen clockwise and
and say the words in the middle . Exhaling, release the tongue
counterclockwise 21 times respectively . The turning should be
and say the last word of the sentence . Start the exercise with a
gentle, the breath in natural and the mind concentrated on the
shortest sentence . Increase the number of words in a sentence
knees under the hands .
gradually but the sentence should not be as long as to exceed
nine words . Example : I (inhale) keep quiet and I'll be Hemiplegia
(hold breath)-healthy (exhale) .
Etiology
(2) The Nine-Turn Exercise for Longevity
First, stand or sit in quiescence with distractions expelled, Hemiplegia is the sequela of apoplexy caused by up-stir-

breath even and the part to be manipulated exposed . Put the ring of liver-wind or by invasion of the channels and
collaterals by exopathic wind .
fingers below the xiphoid process and knead it clockwise 21
Symptoms
times .
The marked symptoms are wry mouth with distorted eyes,
Second, put the hands below the xiphoid process in the
hemiparalysis, retraction of tongue and flaccidity of hand and
same way . Rotate and push the hands clockwise until they get foot .
to the pubic symphysis .
Third, separate the hands and rub the abdomen sidewards Flat-palm detection may reveal tingling, distending,
and then upwards till they are back to the xiphoid process densified and stagnated sensation of qi at the affected side .
Treatment
where they meet each other .
1 . Emission of Outgoing-Qi (Waiqi)
Forth, overlap the index, middle and ring fingers of the
two hands and push from the xiphoid process down to the (1) Press-knead Hegu (LI 4), Jiache (St 6), Neiguan (P 6),
Quchi(LI 11), Yanglingquan (GB 34) and Weizhong (UB 40) ;
pubic symphysis along the Ren Channel 21 times .
Fifth, overlapp the palms and put them on the abdomen
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 emit qi toward the points and guide the channel qi to flow
pinch the fingertips, and the sides of the nails of the affected
downward .
limb .
(2) Press-knead the Urinary Bladder Channel from the The points should be selected in consideration of the con-
ditions of the patient, e.g ., Jianyu (LI 15), Quchi (LI 11),
upper to the lower part 6 - 7 times .
Waiguan (SJ 5) and Hegu (LI 4) in case of upf.,;r limb
(3) Emit qi, with flat-palm or sword-fingers hand gesture
hemiplegia ; Huantiao (GB 30), Yanglingquan (GB 34),
and pushing, pulling and leading manipulations, towards
Yintang (Extra 1) and Baihui (Du 20), and guide the channel qi Fenglong (St 40) and Juegu (GB 39) in case of the lower limb
hemiplegia ; Tiantu (Ren 22), Yamen (Du 15) and Tongli (H 5)
to flow downward along the Ren Channel . Then with the same
in case of dysphasis ; and Dicang (St 34), Jiache (St 6) and Hegu
manipulations, guide the channel qi from the upper to the low-
(LI 4) in case of wry mouth with distorted eyes .
er along the Urinary Bladder Channel of Foot-Taiyang and
3. Self Qigong Exercise as Accessory Treatment
the Stomach Channel of Foot- Yangming to balance qi .
(1) Try to promote movements of the affected limbs .
Modification: If the patient suffers from right side
(2) Gently pat the affected limb from the upper to the
hemiplegia, the following curative method should be added :
lower with the fist ofthe healthy side, 7 - 9 times as: one ses-
knead with the fingertips Hanyan (GB 4), Shuaigu (GB 8) and
sion, 3 - 5 sessions per day .
Jiaosun (SJ 20) of the left side ; sweep-scrape the affected side
(3) Pull the affected limb with the hand of the healthy side .
of the head along the Gallbladder Channel ; then with
Pull upward, inward and outward when inhaling and release it
flat-palm gesture and pulling and leading manipulations, emit
when exhaling. Imagine that qi is flowing to the affected limb
qi toward the left side of the head and guide qi to flow from the
at the same time . Do it 4 - 6 times per day .
head to the neck and then cross the neck and continue to flow
along the Stomach Channel of Foot-Yangming and the Facial Paralysis (Bells Palsy)
Urinary Bladder Channel of Foot-Taiyang of the right side of
Etiology
the body, to the right foot . This may facilitate the qi activities
Also named deviation of the eye and mouth in traditional
and balance qi . For treatment of left side hemiplegia, guide the
channel qi from the right side of the head to the left side of the Chinese medicine, it is usually caused by invasion of the head
by pathogenic wind and cold .
body in the same way .
Symptoms
2. Qigong-Acupuncture
The disease is characterized by hemiparalysis of the face
When the needles are inserted into the selected points,
manifested as numbness of the affected side, distorted mouth
dragon-mouth or flat- palm hand gesture and pushing, pul-
ling, leading and quivering manipulations should be applied to
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with the corners tilted to the healthy side, half-closed eye with
(1) Push-knead the affected side of the face with the flat
dacryorrhea, and shallowed nasolabial groove . Flat-palm de-
of the four fingers, from the corner of the mouth to the ear,
tection often reveals scattered, densified, cold and stagnated
from the zygomatic bone to the ear, and from the midpoint of
sensation of qi at the affected side .
the forehead sidewards to the back of the head 81 times
Treatment
respectively .
1. Emission of Outgoing-Qi (Waiqi) .
(2) Knead Jiache (St 6), Yifeng (SJ 17), Yangbai (GB 14),
(1) Press-knead gently Yangbai (UB 14), Chengqi (St 1),
Sibai (St 2) and Yingxiang (LI 20) with the tip of the thumb 24
Sizhukong (SJ 23), Tongziliao (GB 1), Tinggong (SI 19),
times each .
Quanliao (SI 18), Yingxiang (LI 20), Jiache (St 6), Yifeng (SJ
(3) Bathing the Face : Rub the face with the two palms
17), Fengchi (GB 20) and Hegu (L14) .
starting from the midpoint of the forehead sidewards, then
(2) With flat-palm gesture and pushing-pulling-leading
downwards, and then upwards along the sides of the nose back
or pulling-quivering manipulation, emit qi to the affected side
to the forehead, 24 - 48 times . Rub face in the opposite direc-
and guide the channel qi to circulate from the anterior to the
tion 24 - 48 times .
posterior, or circulate to Hegu (LI 4) along the Large Intestine
Channel of Hand-Yangming . Arthralgia Syndrome
Modificaton: For treatment of the first-stage paralysis, it
Etiology
is advisable to apply gentle pressing-kneading and select
It is caused by attack of the channels by pathogenic evils
flat-palm hand gesture and pushing, pulling and leading ma-
of wind, cold and dampness due to irregular daily life, weak-
nipulations . As for paralysis with a long course, deep pressing-
ened wei-qi (superficial qi or body resistence), or due to stay-
kneading and vibrating and quivering manipulations are desir-
ing in a draught after sweating, wading in water, exposing to
able .
cold weather and long-time lying on damp ground .
2. Qigong-Acupuncture
Symptoms
Insert the ftlifortn needles into Dicang (St 4), Jiache (St 6),
1 . Migratory Arthralgia
Qianzheng (Extra), Yangbai (GB 14), Yingxiang (LI 20),
This type is characterized by migratory pain in the limbs
Yifeng (SJ 17), Fengchi (GB 20) and Hegu (LI 4) . Emit qi with
which is sometimes ccompanied by fever and chills, yellow and
dragon-mouth hand gesture and pushing, pulling and quiv-
greasy tongue coating and superficial pulse . Flat-palm detec-
ering manipulations to the needles to get qi balanced between
tion often reveals tingling, distending and densified sensation
the poi ats . Guide the channel qi to Hegu (LI 4) .
of qi at the aching region .
3. Self Qigong Exercise as Accessory Treatment
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 2. Cold-tYAe Arthralgia the same time that his pathogenic qi is being expelled along
Symptoms o'f this type include general or localized pain with his exhaling . For example, for treatment of knee joint
which may be relieved by warmth and aggravated by cold, arthralgia, the doctor should firstly conduct pressing,
white tongue coating and taut, tense pulse. Flat-palm detec- kneading, pushing and rolling massage on Waixiyan (Dubi, St
tion often reveals cold, densified and stagnated sensation of qi 36), Liangqiu (St 34), Xiyangguan (GB 33) and Yinglingquan
at the aching region . (Sp 9), then with flat-palm hand gesture and pulling and lead-
3. Damp-type Arthralgia ing manipulations, guide the patient's channel qi to flow along
It is manifested as heaviness and numbness of the limbs the Stomach Channel of Foot-Yangming and the Spleen
and localized arthralgia (e .g ., joints of the limbs) which tends to Channel of Foot-Taiyin to the far end of the lower limbs and
attack in wet days, and soft, slow pulse and white, greasy coat- expel the wind, cold and dampness evils from Yinbai (Sp 1) and
ing . Flat-palm detection may reveal cold, stagnated, densified, Dadun (Liv 1) .
distending and tingling sensation of qi at the aching limb joints . 2. Qigong-Acupuncture
.Treatment Select points at the affected area, at the far end of the
1. Emission of Outgoing-Qi (Waiqi) channel or near the affected area . Insert the tiliform needles in-
(1) Knead Dazhui (Du 14), Feishu (UB 13), Mingmen (Du to the' selected points and emit qi with dragon-mouth hand
4) and Dantian . gesture and pulling, rotating and leading manipulations toward
(2) With the patient standing, emit qi with flat-palm ges- them . Guide qi to flow from the aching point or along the
ture and pushing, pulling, quivering and leading manipulations channels to the far end to expel the evils there . For example, to
to his Dazhui (Du 14), Mingmen (Du 4) and Dantian to facili- treat arthralgia in the ankle, the points Shenmai (UB 62),
tate his qi circulation and arouse his spontaneous movements . Zhaohai (K 6), Ashi point (pressure pain point), Kunlun (U 13
If the patient presents no spontaneous movements, the 60) and Qiuxu (GB 40) should be selected .
therapist should guide and regulate his qi of the Urinary Blad- 3 . Self Qigong Exercise as Accessory Treatment
der Channel of Hand-Taiyang, starting from Fengmen (UB (1) The Exercise for Expelling Wind, Cold and Dampness
12) and Tianzong (SI 11) . Stand quiet and relaxed, with the two palms pressing down-
(3) Select the points along the channels, at the far end of ward, knees slightly bent, eyes slightly closed and tongue stuck
the channels and those at the affected area . Emit qi toward the against the palate . Inhale first and send qi down to Dantian,
affected part with flat-palm gesture and pulling and leading and exhale and imagine that the genuine qi is coming out from
manipulations, then guide the pathogenic qi to the far end of Dantian and going along the channels directly to the painful
the extremities to expel it there . The patient should imagine at area to drive the evil qi out of the body from the points at the
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painful area or at the far end of the channel . Do the exercise 81

upwards to the top of the head, palms apart at shoulders width .
times. i j.
Then stretch the arms and palms forcefully upwards as if' to
(2) Six-Form Brocade Exercise (Liuduan Gong)
holdup a mountain, 10 times .
Form One Stretching Out Hands to Shut the Cave Door :
Form Six Snatching the Belt with Hands Alternately :
Set feet apart at shoulders width, the toes pointing inwards to
Proceed from the last stance . Cup the hands slightly . Lov, er the
form inverted splayfeet, the waist and legs straight, eyes look-
left arm towards the front, and snatch as if to get something .
ing straight ahead, mind concentrated on Dantian and breath
Withdraw the left hand to the chest and snatch with the right
natural . Lift the two hands with palms downwards to the two
hand. Repeat this 10 times .
sides of the chest, and push forwards slowly as if shutting a
door . Then strain the wrists and the ten fingers to exert traction Flaccidity Syndrome
to the tendons of the arms, 10 times .
Etiology
Form Two Stretching Arms and Shrugging Shoulders :
The disease is due to failure to nourish the muscles re-
Proceed from the last stance . Turn the arms sidewise in oppo-
sulting from over consumption of the lung-fluid caused by in-
site ° directions and keep them at shoulder level, palms facing
vasion of the lung by exopathic wind- heat, or due to the
upward as if carrying a shoulder pole . Stretch the arms back-
overwhelming of dampness-heat which impairs the Yangniing
wards and simultaneously shrug the shoulders, 10 times .
Channels, or due to insufficiency of liver-yin and kidney-yin
Form Three Pressing Gourd Gently : Draw the hands
(essence and energy of the liver and kidney) resulting from lin-
back to the chest and then drop them to the sides of the legs
gering illness or intemperance in sexual life .
with palms facing downwards and the fingers of them pointing
Symptoms
at the opposite directions and bending dorsally a little . Press
The syndrome is marked by weakness and limited
downwards forcefully 10 times .
movement of the lower limbs, accompanied by fever, cough,
Form Four Bending Over to Touch Dan (Genuine Qi) :
vexation, thirst, scanty dark urine, reddened tongue proper
Keep the legs straight and bend the waist . With palms facing
with yellow coating and thready and rapid pulse in the type of
downwards, cross the arms alternately while pressing the hands
retention of pathogenic heat in the lung ; by heavy sensation of
down to stroke, 10 times .
the body, turbid urine, hot sensation in the feet which may be
Form Five Holding Mount Taihang by Hands : From the
relieved by coldness, yellow greasy tongue coating and soft and
last stance, turn the palms upward as if to fish for something
rapid pulse in the type of overwhelming dampness-heat ; and
and lift them slowly to Tanzhong (Ren 17) with the back
by soreness and weakness of the waist and back, seminal emis-
straightened . Adduct the palms and stretch the arms slowly
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sion and prospecmia, dizziness and vertigo, thready, rapid 21), Liangmen (St 21) and Tianshu (St 25) for 14 respiratory
cycles, and guide the channel qi to flow toward the ends of the
pulse and reddened tongue proper in the type of insufficiency
of the liver-yin and kidney-yin . extremities along the Channels of Hand-Yangming and
Foot-Yangming ; and in case of insufficiency of the liver-yin
Flat-palm detection of the three types may reveal
and kidney-yin, add the same gesture and manipulations to
densified, distending and stagnated or scattered, tingling and
emit qi toward Ganshu (UB 18), Shenshu (VB 20) and Dantian
cold sensation of qi at the affected limb .
Treatment for 14 respiratory cycles, and guide the channel qi to flow along

1 . Emission of Outgoing-Qi (Waiqi) the Liver Channel of Foot=Jueyin and the Kidney Channel of
Foot- Shaoyin to the toes.
(1) For treatment of flaccidity of the upper limbs, select
Dazhui (Du 14), Jiquan (H 1), Xiaohai (SI 8), Shaohai (H 3), 2. Qigong-Acupuncture
insert the filiform needles into, for the upper limb
Quchi (LI 11), Hegu (LI 4) as the main points ; for that of the
flaccidity, Jianyu (LI 15), Quchi (LI 11), Hegu (LI 4) and
lower limbs, select mainly Mingmen (Du 4), Huantiao (GB 30),
Yangxi (LI 5), and for the lower limb flaccidity, Biguan (St 31),
Weikhong (UB 40), Yanglingquan (GB 34), Zusanli (St 36) and
Cliengshan (UB 57) . Knead the points with the fingertips first, Liangqiu (St 34), Zusanli (St 36), Yinlingquan (Sp 9),
Yanglingquan (GB 34) and Jiexi (St 41) . Then emit qi toward
then roll with the back of the hand upon the affected lower
them with dragon-mouth, bird-beak or flat-palm hand ges-
limb .
ture and pushing, rotating and leading manipulations to get qi
(2) Then with flat-palm gesture and pushing and leading
manipulations, emit qi toward the above points, and guide the balanced .

channel qi to flow from Dazhui (Du 14) and Mingmen (Du 4) 3. Self Qigong Exercise as Accessory Treatment
(1) The Health Promotion Exercise (Qiangzhuang Gong)
along the Three Yang Channels of Hand or the Three Yang
Take a sitting or lying posture with the whole body re-
Channels of Foot to the upper or the lower limb to direct the
laxed, distractions expelled, and tongue stuck against the
channel qi to the affected part .
Modfication : In case of retention of pathogenic heat in the palate .
Take antidromic abdominal respiration and concentration
lung, add flat-palm and vibrating and quivering manipulations
of mind on Dantian . Pull in the abdomen and contract the
to emit qi toward Fishu (UB 13) and Dachangshu (UB 25) for
anus during inhalation to instil qi into Dantian ; buldge the ab-
14 respiratory cycles, and guide the channel qi to flow along the
domen and relax the anus during exhalation to send qi down to
Channels of Hand-Taiyang and Foot-Taiyang ;in case of
Dantian .
overwhelming of dampness-heat, 'add the same gesture and
(2) The Exercise of the Upper Limbs for Dredging the
manipulations to emit qi toward Pishu (UB 20), Weishu (UB
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-398-
 Channels It is caused by failure of the kidney to nourish Sanjiao (the
Pounding the Shoulders and Arms : Make the hand of the three warmers) due to its deficiency resulting from over con-
healthy side a hollow fist and pound with it the external, inter- sumption of the kidney essence by sexual life .
nal and anterior sides of the affected arm from the shoulder to 3. Lumbago Due to Trauma
the wrist 3 - 5 times. It is due to injury of the muscles and tissues, stagnation of
Dredging the Three Yin and Three Yang Channels of'Hand : qi and stasis of blood and obstruction of the channels and
Push-rub with the palm of the healthy side the internal side of collaterals resulting from sprain or sudden sprain, contusion
the affected arm from the chest along the Three Yin Channels and collision injury .
of Hand down to the fingertips, then from the fingertips up- Symptoms
wards via the back of the hand along the Three Yang Channels 1 . Lumbago Due to Cold-Dampness
of Hand back to the shoulder, 5 - 10 times . It is marked by heaviness and pain in the waist which may
(3) The Exercise of the Lower Limbs for Dredging the radiate to the hips and legs or may be accompanied by muscu-
Channels lar stiffness and, in chronic cases, the pain is on and off with
Pat the affected lower limb with
Patting the Lower Limbs : different degrees and severity . The patient often feels cold at
the roots of bothpalms from the uppermost of the thigh down the waist and lumbago, especially in wet and cold days . The
to the shank 5 - 10 times . tongue coating is white and greasy and the pulse soft
Dredging the Three Yin and Three Yang Channels of Foot : Flat-palm detection often reveals cold, densified, tingling and
Push-rub the lower limbs with both palms . Exhaling, sluggish sensation of qi at the waist .
push-rub downwards along the Three Yang Channels of Foot 2. Lumbago Due to Kidney Deficiency
and inhaling, upwards along the Three Yin Channels of Foot 5 The pain is dull and continuous, accompanied by soreness
- 10 times . and weakness of the waist and knees, cold limbs and nocturnal
emission . Flat-palm detection often reveals stagnated, cold
and tingling sensation of qi at the waist .
Etiology 3 . Lumbago Due to Trauma
1 . Lumbago Due to Cold-Dampness The patient has a history of trauma . The pain is splitting
It is caused by retention of the cold and dampness and localized, with tenderness and movement limitation . The
pathogens in the channels and collaterals leading to impeded or tongue is often purple and the pulse is deep and uneven .
stagnated circulation of qi and blood . Flat-palm detection usually reveals stagnated, densified, slug-
2. Lumbago Due to Kidney Deficiency gish and distending sensation of qi at the waist .
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 Treatment
1 . Emission of Outgoing-Qi (Waiqi) (1) Moving the Waist to Reinforce the Muscles
(1) : Press-roll and press-knead Shenshu (UB 23), Make hands akimbo and turn the waist clockwise and
Mingmen (Du 4), Yaoyangguan (Du 3), Weizhong (UB 40) counterclockwise 36 times respectively .
and Ashi points (pressure pain points) .
(2) Thumping the Lumbosacral Region
(2) With flat-palm gesture and pushing, pulling and lead- Thump the sides of the waist, the renal regions and the
ing manipulations, emit qi toward Ashi points, Shenshu (UB sacral regions with the two hollow fists alternately 36 times
23) and Dachangshu (UB 25), and guide qi to flow along the each .
Urinary Bladder Channel of Foot-Taiyang to the lower ex- (3) Rub the hands to get them hot and rub the renal region
tremities to get qi of the patient balanced . with them from the upper to the lower till the regions feel
(3) Conduct massage of the waist with oblique-pulling,
warm .
patting and rubbing manipulations .
Modfication: For lumbago due to cold-dampness, add Section Two Surgical and
flat-palm gesture, pulling and leading manipulations and the Gynecological Syndromes
method of heat-guidance of qi to emit outgoing qi and guide
the pathogenic qi out of the body . For lumbago due to kidney Mammary Abscess (Cyst)
deficiency, add flat- palm gesture and vibrating and quivering Etiology
manipulations to emit qi toward Shenshu (UB 23), Zhishi (UB Mammary abscess is also called mastitis which, as tradi-
52), Mingmen (Du 4) and Dantian for 14 respiratory cycles tional Chinese medicine holds, is caused by stagnation of qi
each, and for lumbago due to trauma, add the same gesture and stasis of blood resulting from tagnation of the liver-qi or
and manipulations to emit qi to Ashi points for 28 respiratory the gallbladder-qi and excessiveness and stagnation of toxic
cycles . heat in the Stomach Channel . Milk stagnation in the mammary
2. Qigong-Acupuncture glands, which is caused by trauma or extrusion, may give rise
Insert the filiform needles into Shenshu (U B 23), Ashi to acute mastitis. Acute mastitis infected via baby's mouth is
point, Dachangshu (UB 25) and Weizhong (UB 40) . Emit qi called " chuiru" . The disease is commonly seen in women in
with dragon-mouth gesture and pushing, pulling and rotating their lactation .
manipulations to facilitate the channel qi of the patient to bal- Symptoms
ance it . Local swelling, fever, pain or mass accompanied with gen-
3. Self Qigong Exercise as Accessory Treatment eral fever or chills, nausea and polydipsia appearing at the first
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-403--
 (St 36) and Chize (Lu 5) .

stage. Flat-palm detection often reveals hot, tingling, stagnat- 3 . Self Qigong Exercise as Accessory Treatment
ed and densified sensation of qi at the affected area . (1) Patients at the first stage of the disease may knead by
Treatment themselves the surrounding area of the swelling gently with the
Treatment with outgoing-qi is efficacious only at the first tips of the index, middle, ring and little fingers (close together)

stage of the disease . Incision and drainage are needed if abscess and practise the Chest-Hypochondrium Exercise .

develops . (2) "Chui" Qi to Expel the Pathogenic Evils

1 . Emission of Outgoing-Qi (Waiqi) Sit quietly, get the upper and lower teeth tapping each
(1) Press-knead Shanzhong (Ren 17), Rugen (St 18), other, swallow the saliva and regulate the breath even . Inhale

Zhongfu (Lu 1), Ganshu (UB 18) and Weishu (UB 21) to open to gather qi in the chest and exhale to guide qi to rotate from
through the points along the Liver Channel, Stomach Channel Rugen (St 18) to the nip while uttering "chui" to dispel the evil

and the Lung Channel . qi out by way of the nip . Do this for 12 respiratory cycles .
(2) Flat-palm gesture and vibrating and quivering manip- Case
ulations are applied to emit .qi,with the point Inner Laogong Wang, female, aged 28, came for the first visit on July 8,
facing the swollen mass, for 48 respiratory cycles . Then, apply 1983 .

dragon-mouth hand gesture and the same manipulations to Complaints The patient complained of swelling-pain in

emit qi toward the mass for 24 respiratory cycles . Still then, the left breast for three days with localized redness, swelling,

flat-palm gesture and pushing, pulling and leading manipula- hotness and difficulty in milk discharge .

tions should be taken to emit qi toward Ruzhong (St 17) and Examinatioin A mass 3 x 4 cm in size could be palpated

guide the channel qi to flow downward along the Stomach in the internal side of the left breast . The local skin looks red
Channel of Foot-Yangming to dredge the channels and expel and swelling with tenderness . Flat- palm detection with outgo-

the pathogenic factors out of the body . ing-qi found hot,tingling and densified qi at the affected part

(3) Gently pinch the affected breast with the thumb, index of the left breast .
finger and middle finger to extrude the stagnated milk . This Diagnosis Mammary abscess (Mastitis) .
should be done once a day . Treatment Flat-palm and dragon-mouth hand gestures

2. Qigong-Acupuncture and vibrating, quivering, pulling and leading manipulations

Insert the filiform needles into Jianjing (GB 21), Fengmen were used to emit qi to Shanzhong (Ren 17), Rugen (St 18),

(GB 20), Chize (Lu 5) and Zusanli (St 36) . Then emit qi with Zhongfu (Lu 1), Ganshu (GB 18), Weishu (UB 21) and Zusanli
dragon-mouth gesture and pushing, pulling and leading ma- (St 36) .
nipulations toward them and guide the channel qi to Zusanli -4U5-
-404-
 Course of Treatment On emission of outgoing-qi, the . Emission of Outgoing-Qi (Waiqi)
1
patient felt her breast distending and tingling and a flow of qi (1) Roll, knead and rub the affected limb with
rushing from the breast to Zusanli (St 36) along the Stomach progressively increased force, then press-knead Jiquan (H 1),
Channel of Foot-Yangming . The mass almost disappeared af- Xiaohai (SI 8), Shaohai (H 3), Qichong (St 30), Yanglingquan
ter the first treatment and there, remained only mild tenderness . (GB 34) and Weizhong (UB 40) .
The disease was cured after the second' treatment (2) For treatment when the upper limb is affected
affection, flat-palm hand gesture and pushing, pulling, quiv-
Angiitis
ering and leading manipulations should be used to emit qi to-
Etiology ward Jiquan (H 1) and guide qi to flow to the fingertips along
Angiitis is termed "Tuoju (gangrene of toe) in traditional the Three Yin Channels of Hand ; for treatment of the lower
Chinese medicine . It is often caused by accumulation of viru- limb affection, the same gesture and manipulations are used to
lent fire-evil and stagnation of qi and blood in the channels emit qi to Dantian, Huantiao (GB 30) and Qichong (St 30) and
and blood vessels, which may result from invasion of cold guide qi to flow to the toes along the Stomach Channel of
dampness preventing the vital energy from going downward, Foot . .-Yangming .
over-intake of fatty and pungent food leading to internal gen- 2 . Qigong Acupuncture

eration of purulent fire, or from deficiency of the kidney-yin Insert the f hiform needles' into Quchi (L1 11), Hegu (LI 4),
that fails to suppress the evil fire . Biguan (St 31), Yanglingquan (GB 34), Huantiao (GB 30),
Symptoms Weizhong (UB 40), Chengshan (UB 57) and Kunlun (UB 60) .
In mild cases, there may be cold and numb sensation at Emit qi toward these points and then guide qi to the fingertips
the end of the extremity with changes of the skin colour and in- or toes with dragon--beak or bird-mouth hand gesture and
termittent claudication, while in severe cases, there may be pulling and leading manipulations .
muscular atrophy, acronecrosis and chronic ulcer which often 3 . Self Qigong Exercise as Accessory Treatment
lead to severe pain and make the patient sleepless at night and (1) Practise the Exercise for Guiding Qi to Rotate Auto-
keep sitting with the knees in arms . The arteriopalmus of the matically (Refer to "Dysentery") . When qi can rotate following
affected limb usually weakens or disappears . Flat-palm detec- will, guide qi by will to rotate from Dantian downward to
tion may reveal densified, cold and stagnated qi at the affected dredge the channels and collaterals and facilitate the circulation
limb . of qi .
Treatment (2) Practise selectively the Exercise of the Upper Limbs for
Dredging the Channels and the Exercise of the Lower Limbs
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for Dredging the Channels (Refer to "Flaccidity Syndrome") . (1) Press and knead with the fingertips Qihai (Ren 6),
i Guanyuan (Ren 4), Zhongwan (Ren 12) and Shenshu (Ul3 23)
Dysmenorrhea to open through these points .
Etiology (2) Emit qi, with flat-palm or middle-finger-propping
As one of the common gynecological diseases, dysmenorrhea gesture and vibrating manipulation, towards Zhongwan (Ren
is mainly due to stagnation of qi and stasis of blood caused ei- 12), Qihai (Ren 6) and Guanyuan (Ren 4) for 8 16
ther by mental stress such as anxiety and anger or by cold evil respiratory cycles . Then conduct rotating massage on the lower
affection . It may be classified into two types-deficiency type abdomen, followed' by pressing and kneading Sanyinjiao (Sp
and excess type. 6) .

Symptoms (3) Emit qi towards the Lower Dantian with flat-palm

1. Dysmenorrhea of Execess Type gesture and pushing- pulling-rotating manipulation, and
Patients with dysmenorrhea of excess type have the symp- guide qi to whirl around the umbilicus . Rotate clockwise for
toms of pain in the lower abdomen prior to menstruation or cases with deficiency syndrome and counterclockwise for those
constant pain in the lower abdomin, interior heat, dry mouth, with excess syndrome .
dark violet menstrual blood, advanced menstrual period and Modification: To treat the execess type, add flat-palm
taut and rapid pulse . Flat-palm detection often reveals hand gesture and pulling and leading manipulations to guide
densified, stagnated, distending and tingling sensation of qi at the channel qi to flow from Dantian (Extra) downward to the
the lower abdomen . lower limbs along the Liver Channel of Foot-Jueyin and the

2 . Dysmenorrhea of Deficiency Type Stomach Channel of Foot-Yangming . To treat the deficiency

Patients with dysmenorrhea of deficiency type have the type, add flat-palm hand gesture and pushing and leading ma-
symptoms of pain in the lower abdomen after menstruation nipulations to emit qi to Guanyuan (Ren 4) and Qihai (Ren 6)
which can be alleviated by warming and hand- pressing, scanty and guide the channel qi to flow along the Spleen Channel of
and thin mentrual blood, delayed menstruation period, aver- Foot-Taiyin and the Stomach Channel of Foot-Yangming to
sion to cold and fine and slippery pulse . Flat-palm detection balance qi .
often reveals cold, densified and tingling sensation of qi at the 2. Qigong-Acupuncture

lower abdomen . Insert the filiform needles into Guanyuan (Ren 4), Zhongji

Treatment (Ren 3), Sanyinjiao (Sp 6) and Zusanli (St 36), and emit qi to-

1 . Emission of Outgoing-Qi (Waiqi) ward them with dragon- mouth hand gesture and pushing,
pulling and rotating manipulations to get qi balanced between

-408- -409-
the points . Complaints The patient complained of discomfort and
3. Self Qigong`Exercise as Accessory Treatment pain in the lower abdomen beginning 4 - 11 days before every
(1) Thee Automatic Qi Circulation Exercise, menstruation, which might be relieved after the period, for
Take a lying posture relaxed and in quiescence with breath successively eight years, and delayed menstrual period, scanty
even and tongue stuck against the palate . Taking the navel as thin blood, painful shock, cold extremities and aversion to
the centre of a circle, guide qi to rotate clockwise from the cold . Constant administration of traditional and Western drugs
smallest cirle at the navel to the largest at the flanks of the ab- yielded no apparent effect .
domen, while saying silently "the white tiger hides in the east ; Examination Physical examination found pale tongue
the green dragon hides in the west" during every circle, for al- proper with white, thin coating, deep, thready and feeble pulse,
together 36 circles . Then guide qi to rotate counterclockwise and retroversion of uterus with no inflammation and other ab-
from the largest circle to the smallest while saying silently "the normalities .
green dragon hides in the west ; the white tiger hides in the east" Treatment Flat-palm hand gesture and pushing,ro-
for also 36 circles . Patients with dysmenorrhea of excess type tating, quivering and leading manipulations were taken to emit
should guide qi to rotate counterclockwiseround the navel for qi toward Qihai (Ren 6), Guanyuan (Ren 4), Guilai (St 29),
81 circles before doing the above exercise, and those with Shuidao (St 28), Mingmen (Du 4), Shenshu (UB 23) and
dysmenorrhea of deficiency type should get qi to rotate clock- Sanyinjiao (Sp 6) .
wise for 81 circles . The exercise should be started 10 days be-
Chronic Pelvic Inflammation
fore the menstrual period and continued until the end of it 2 -
4 times a day . Etiology
(2) The Exercise of Kneading the Abdomen It is chiefly caused by accumulation of dampness-heat or
Rotate-knead Zhongwan (Ren 17) above the navel and stagnation of cold dampness in the uterus .
the region below the navel counterclockwise 36 times each, Symptoms
then knead the navel clockwise and counterclockwise 36 times Patients with chronioc pelvic inflammation usually have
respectively . the symptoms of pain in the lower abdomen, hypostatic
(3) Rub the hands to get them warm and scrub the two distension, soreness in the lumbosacral portion, and pain and
sides of the waist with the hand till the waist feels warm . distension that may become worse during menstruation or after
Case strain . If it is caused by damp-heat accumulation, there will be
Zhao, female, aged 23, unmarried, came for the first visit vaginal discharge, headache, fever, aversion to cold, and
on March 21, 1981 .
-410
yellowish and greasy tongue coating . If it is caused by dragon-mouth or bird-mouth hand gesture and pushing, pui
cold-dampness stagnation, vaginal discharge is white and ling and rotating manipulations to get it balanced between the
stenchful, the tongue fur is white and greasy, and the pulse is, points .
deep and slow, or taut and slippery . 3. Self Qigong Exercise as Accessory Treatment
Treatment (1) Practise the Inner Health Cultivation Exercise (refer to
1. Emission of Outgoing-Qi (Waiqi) "Diabetes") .
(1) Press-knead Zhongwan (Ren 12), Daimai (GB 26), (2) Practise the Exercise of Kneading Dantian to Strength-
Zhongji (Ren 3), Pishu (U B 20), Mingmen (Du 4), Shenshu en Qi as follows .
(UB 23) and Sanyinjiao (Sp 6) . Rub the abdomen on either Overlap the hands and put them on Dantian and knead it
sides . clockwise and counterclockwise 36 times respectively . Then
(2) Emit qi with middle-finger-propping hand gesture practise the Automatic Qi Circulation Exercise (refer to
and vibrating and quivering manipulations toward Zhongwan "Dysmenorrhea" ).
(Ren .12), Qihai (Ren 6) and Zhongji (Ren 3) for 8 or 16
Hysteroptosis
respiratory cycles each . Then emit qi, with flat-palm hand ges-
turd and pushing, pulling and leading manipulations toward Etiology
Dantian, Qihai(Ren 6), Zhongji (Ren 3) and Tianshu (St 25), It is mainly caused by asthenia after delivery or by
and guide qi to flow downward along the Stomach Channel . overstrain which leads to collapse of qi and dysfunction of the
(3) Emit qi, with flat-palm hand gesture and pushing, pul- uterus .
ling and quivering manipulations, toward Mingmen (Du 4) and Symptoms
Shenshu (UB 23) for 8 or 16 respiratory cycles respectively, and The uterus may be found falling down to the vagina or to
regulate qi along the Dai Channel (the Belt Channel) to get the the lower vaginal orifice .There is often aching pain in the ab-
functional activities of qi normalized . domen accompanied with listlessness . The pulse feels
Modification: In case of dampness-heat accumulation, threadyand feeble and the tongue looks pale . Flat-palm de-
add emission of qi with cold guidance of qi ; in case of tection often reveals scattered, stagnated and tingling qi at the
cold-dampness stagnation, add the heat-guidance of qi . lower abdomen.
2. Qigong-Acupuncture Treatment
Insert the filiform needles into Zhongwan (Ren 12), 1 . Emission of Outgoing-qi (Waiqi)
Guanyuan (Ren 4), Zhongji (Ren 3), Sanyinjiao (Sp 6) and (1) Press-knead Baihui (Du 20), Zhongwan (Ren 12),
Zusanli (St 36), and guide the channel qi of the patient with
-412- -413-
Qihai (Ren 6), Sanyii}jiao (Sp 6) and Zhaohai (K 6) .
(2) Emit qi with flat-palm hand gesture and vibrating ma- Section Three Traumatological Diseases
nipulation toward Baihui (Du 20), then toward Zhongwan
(Ren 12) and Qihai (Ren 6) for 48 respiratory cycles Stiffneck

respectively . Etiology
(3) With flat-palm hand gesture and pulling and leading It is often caused by improper sleeping posture, and inva-
manipulations, emit qi toward Qihai (Ren 6) and Zhongji (Ren sion of pathogenic wind - dampness leading to obstruction of
3) and guide qi to the Middle Dantian . channels and collaterals .
2. Qigong-Acupuncture Symptoms
Insert the filiform needles into Baihui (Du 20), Zhongwan It is usually noticed in the morning when the patient feels
(Ren 12) and Guanyuan (Ren 4), and emit qi toward the need- pain on one side of the neck, cervical immobilization and some-
les with flat-palm or dragon-mouth hand gesture and times radiating pain in the shoulder and back . Cervical muscles
pushing, pulling and rotating manipulations for 14 respiratory are in a spasmodic state and local tenderness is obvious, but no
cycles respectively . local swelling and infammation can be found .
3. Self Qigong Exercise as Accessory Treatment Flat-palm detection often reveals cold and densified sen-
(1) Practise the Inner Health Cultivation Exercise (refer to sation of qi at the painful area .
"Diabetes") . Treatment
(2) Practise the Exercise of Rotation of Dantian and 1 . Emission of Outgoing-Qi (Waiqi)
Baihui (Du 20) as follows . (1) Press-knead Tianzhu (UB 10) and the Urinary Blad-
Overlap the hands (the left above the right) with the Inner der Channel on the two sides of the neck, then press-knead
Laogong (P 8) of the left over the Outer Laogong (P 8) of the Fengchi (GB 20), Fengfu (Du 16), Jianzhongshu (SI 15),
right . Put the hands on Baihui (Du 20) with the three points Jianwaishu (SI 4), Quchi (LI 11) and Hegu (LI 4), to open
joining vertically and turn the hands clockwise and through the points and }iredge the channels and collaterals .
counterclockwise 36 times each, one time in one respiratory cy- (2) With flat-palm hand gesture and pushing, pulling and
cle . Contract the abdomen and lift the anus and perineum dur- leading manipulations, emit qi towards the painful area on the
ing inhalation and relax during exhalation . Rotate Dantian neck, guide the channel qi to flow downward along the Urinary
along with the rotation of Baihui (Du 20) . Bladder Channel and also guide it to flow to the upper arms
along the Small Intestine Channel to get qi balanced .

-414- -415-
 (3) Apply the'}nethods of rolling, tracting-countertracting neck and pull the neck forwards during inhalation, at the same
and pulling-obliquely of the neck to help relieve the rigidity of time raise the head and look as backwards as possible . Relax
the joints and to regulate the muscles . during exhalation . Do this for 9 respiratory cycles .
2. Qigong-Acupuncture Cervical Spondylopathy
Insert the filiform needles into Ashi point (pressure pain
point), Tianzhu (UB 10), Fengchi (GB 20), Quchi (LI 11), Etiology
Hegu (LI 4) and Xuanzhong (GB 39) . Emit gi toward the need- The disease is usually caused by pathogenic wind, cold and
les with dragon-mouth hand gesture and pushing and pulling dampness, trauma, overstrain and, in the aged, failure of blood
manipulations, and guide qi to flow from Fengchi (GB 20) to to nourish the tendons due to insufficiency of qi and blood .
Xuanzhong (GB 39) with sword-fingers hand gesture to get qi Symptoms
balanced between the points . Clinically, symptoms of cervical spondylopathy are miscel-
3. Self Qigong Exercise as Accessory Treatment laneous ; however, those such as pain or numbing pain in the
(1) Dredging Fengchi (GB 20) neck, shoulders (including their periphery, upper part of the
Knead the point Fengchi (GB 20) of both sides gently with back and chest and upper extremities due to irritation or com-
the thumbs 5 times during each inhaling and each exhaling for pression of cervical nerve roots are common .Cervical
altogether 14 respiratory cycles . overstrain or exopathic cold may serve as factors inducing this
(2) Massaging Tianzhu (UB 10) disease or worsening its symptoms. If the spinal cord is irritated
Bend the head forward slightly . Rub the back of the neck or compressed, symptoms of numbness and weakness of the
along its midline with the cushion of the four fingers of either lower extremities, and staggering gait may appear; while if
hand from the top of the neck downwards 7 times during ex- vertebral artery is irritated or compressed, vertigo and dizziness
haling, and stop rubbing during inhaling . Do this for 7 may appear .
respiratory cycles . Then massage the painful side with the same Flat-palm detection often reveals cold, densified, tingling
method for 9 respiratory cycles . and stagnated sensation of qi at the neck and the arm of the af-
(3) Turning the Neck to Guide Qi fected side .
Turn the neck counterclockwise, for half a circle during Treatment
inhalation and half a circle during exhalation for altogether 8 1. Emission of Outgoing-qi (Waiqi)
circles . Turn it clockwise in the same way for another 8 circles . (1) Press-knead Fengchi (GB 20), Fengfu (Du 16),
(4) Pulling the Neck Tianzhu (UB 10),Jianzhongshu (SI 15), Jianwaishu (SI 14),
Cross the fingers of the two hands to hold the back of the
-416- -417-


Jiquan (H 1), Quchi,(LI 11), Hegu (LI 4), Shaohai (H 3) and e ercise of Dredging Fengchi (GB 2Q), Massaging Tianzhu (GB
Xiaohai (SI 8) . 20) and Pulling the Neck (refer to "Stiffneck") .
(2) Emit qi, with flat-palm hand gesture and vibrating and Case
quivering manipulations, toward Dazhui (Du 14) for 16 Ying, male, 40, a'Britishman studing in China, came for
respiratory cycles, and with flat- palm hand gesture and push- the first visit on January 20, 1983 .
ing, pulling and leading manipulations, toward Fengchi (GB Complaints The patient complained of pain in the neck
20), Dazhui (Du 14) and Ashi points . Then guide qi to flow to and radiating pain in the left-upper arm for a year accom-
the fingertips along the Three Yang Channels of Hand . panied by stiffness of the neck and numbness of the fingers .
(3) Again press-knead the points mentioned in (1). Then Traction treatment, acupuncture and treatment with Western
conduct patting, hitting, rocking rubbing and tracting- and traditional drugs yielded no apparent effect . The pain was
countertracting hand manipulations to end the treatment . aggravated in the last thirty days, which affected his sleep and
2. Qigong-Acupuncture study and urged him to seek Qigong treatment .
Insert the filiform needles into the Ashi point, Fengchi Examination There was tenderness in the 4th, 5th and
(GB 20), Tianzhu (UB 10), Quchi (LI 11) and Hegu (LI 4), then 6th cervical vertebral processes, along their sides and at
emit qi with dragon-mouth hand gesture and pushing, pulling Bingfeng (SI 12), Quyuan (SI 13), Tianzong (SI 11), Quchi (LI
and rotating manipulations toward the needles to get qi bal- 11) and Shaohai (H 3) . Anvil test and cervical root tension test
anced between all the points . were positive . X-ray film showed disappearance of the physio-
3 . Self Qigong Exercise as Accessory Treatment logical radian of the normal anterior process (lordosis) of
(1) Practise the Exercise of Stroking the Ball to Lead Neck cervical vertebrae and mild osseous proliferation at the posteri-
Movement as follows . - or aspect of the 4th and 5th vertebrae . Flat-palm detection re-
Take a sitting or standing posture . Set the left hand at the vealed cold, tingling and distending sensation of qi at the neck
height of Tanzhong (Ren 17) and the right at the height of and the left-upper arm .
Dantian with the centre of the two palms facing each other as if Diagnosis Cervical spondylopathy (Shoulder-arm
holding a ball . When qi is felt between the palms, abduct the pain) .
left hand and adduct the right as if stroking a ball, with the Treatment Points applied to treatment were Fengchi
head following the movement of the left hand, 9 or 18 times . (G.B . 20), Tianzhu (UB 10), Bingfeng (SI 12), Jianwaishu (SI
Exchange the positions of the hands and the direction of their 14), Jianzhongshu (SI 15), Tianzong (S1 11), Quchi (LI 11),
movements and stroke the "ball" 9 or 18 times, with the head Hegu (LI 4), Shaohai (H 3) and Xiaohai (SI 8) . Hand manipu-
following the movements of the right hand . (2) Practise the Ex- lations of rolling, pressing, kneading, digging-grasping, rock-
-418- -419-
ing and flicking we1e carried out first, followed by emission of cold and tingling qi at the shoulder and neck of the atff,
qi with flat-palm hand gesture and pushing, pulling and lead- side .
ing manipulations . Treatment
Course of Treatment On receiving outgoing-qi, the pa- 1 . Emission of Outgoing-Qi (Waiqi)
tient felt a flow of warmth rushing from the neck and shoulder (1) Conduct rolling and kneading massage manipulations
down to the hands along the Yangming, Taiyang and Shaoyin on Jianyu (LI 15), Binao (LI 14), Jianzhen (SI 9), Tianzong (SI
Channels of Hand, which made the upper arm warm and com- 11), Quchi (LI 11), Shousanli (LI 10) and Hegu (LI 4) .
fortable . The disease was cured with all the symptoms disap- (2) Emit qi with spread-plaw hand gesture and vibrating
peared after 8 times of treatment . and quivering manipulations around the shoulder joint for 48
respiratory cycles . Then with flat-palm hand gesture and push-
Omalgia ing and pulling manipulations, emit qi toward Dazhui (Du 14)

Etiology and Jianyu (LI 15) and guide the channel qi to flow along the
Three main factors may contribute to the origination of Small Intestine Channel of Hand-Taiyang and the Large Intes-
the disease: failure of nourishment of the channels and tine Channel of Hand-Yangming to the fingertips to balance
collaterals due to asthenia at old age ; obstruction of the vessels qi .
due to trauma in the shoulder ; and stagnation of qi and stasis (3) Apply pressing, flicking, patting and rocking manipu-
of blood in the vessels and muscles leading to difficulty in lations to the shoulder joint to lubricate it . Then conduct rub-
stretching the arm due to the effect of pathogenic wind, cold bing and shaking to end the treatment .
and dampness . 2. Qigong-Acupuncture
Symptoms Insert the filiform needles into Tianzhu (UB 10), Jianyu
The main symptom is aching pain in one of the shoulders (LI 15), Tianzong (SI 11), Jianzhen (SI 9), Quchi (LI 11) and
which is often more severe during the night and can be aggra- Hegu (LI 4) . Then emit qi toward them with dragon-mouth
vated by activity, accompanied with stiffness and mobility hand gesture and pushing, pulling and quivering manipulations
dysfunction of the shoulder joint . The pain may radiate to the to get qi balanced .
neck and the upper limb . Delayed treatment may lead to joint 3. Self Qigong Exercise as Accessory Treatment
adhesion and anergasia, and atrophy of the shoulder muscles (1) The Exercise of Stretching the Arms by Climbing the
or spasms . Wall .
Flat-palm detection may reveal a sensation of densified, Stand facing the wall . Place the hand of the affected side
on the wall . Take in a breath . During inhaling, raise the affect-

-420- -421-
ed side of the arm; to climb the wall as highly as possible . Do 1 . Emission of Outgoing-Q! (Waiqi)
this for 9 or 18 respiratory cycles . (1) Apply rolling, pressing and kneading massage to
(2) Carry out movements of the shoulder joint such as Shenshu (UB 23), Yaoyangguan (Du 3), Huantiao (GB 30),
bending, stretching and abducting to increase the degree of Yanglingguan' (G$ 34), Weizhong (UB 40) and Chengshan
mobility of the shoulder joint . (UB 57) .
(2) With flat-palm hand gesture and pushing, pulling and
Prolapse of Lumbar Intervertebral Disc
leading manipulations, emit qi toward Mingmen (Du 4),
Etiology
Shenshu (UB 23) and Ashi point (pressure pain point) and
The disease is due rupture of the fibrous ring of vertebral
guide qi to flow down to the lower limbs along the Urinary
disc caused mostly by sudden or repeated sprain, overstrain on
Bladder Channel of Foot-Taiyang to get qi balanced .
lifting heavy things, lumbar sprain or invasion of the waist by
(3) With flat-palm hand gesture and pulling and leading
pathogenic cold . manipulations, emit qi to Huantiao (GB 30) and guide the
Symptoms channel qi to flow down to the lower extremities along the
The most prominent symptom is pain, which goes from
Gallbladder Channel of Foot-Shaoyang to get qi balanced .
the waist via the hip, the posterior aspect of the thigh, the lat-
(4) Apply pulling-obliquely and patting manipulations to
eral-posterior aspect of the shank, the heel, the sole and the
the lumbar region and passive movement of the waist, hip and
lateral-dorsal aspect of the foot to the toes . The pain may be
knee to lubricate the joints and remove qi stagnation and blood
aggravated with the increase of the abdominal pressure due to,
stasis .
e .g ., cough or defecation . There are obvious tenderness along 2. Qigong -Acupuncture
the sides of the lumbar vertebral process, stiffness and
Insert the filiform needles into Houxi (SI 3), Ashi points,
dysfunction of the waist which often lead to difficulty in walk-
Yaoyangguan (Du 3), Shenshu (UB 23), Huantiao (GB 30),
ing, and muscular atrophy of the lower limbs in cases with long
Weizhong (UB 40), Yanglingguan (GB 34), Xuanzhong (GB
course of the illness. 39) and Kunlun (UB 60) of the affected side . Then emit qi with
Flat-palm detection often reveals densified, stagnated and
dragon-mouth or flat-palm hand gesture and pushing, pulling
cold sensation of qi at the waist and the affected leg . X-ray ex-
and rotating manipulations toward the needles to get qi bal-
amination may show lateral prolapse, narrowed and unequal
anced between all the points .
interspaces and variation of the physiological radian of the
3. Self Qigong Exercise As Accessory Treatment
lumbar vertebra .
(1) Scrub Shenshu (UB 23) with the hands till the region is
Treatment hot . Then scrub Yongquan (K 1) in the same way .
-423


(2) To dredge : the channels of the lower limbs, push-rub le and emission of qi to it with dragon-mouth hand gesture
with the two palms from the lumbar region to the sole along and pulling, rotating and leading manipulations .
the Three Yang Channels of Foot during exhaling, then back Course of Treatment During emission of qi, synchro-
to the waist along the Three Yin Channels of Foot during in- nized movements of the hips and the left leg of the patient such
haling, for altogether 7-9 respiratory cycles . as quivering, stretching and flexing appeared . The radiation
(3) Sit on bed with legs straight . Push the palms out to pain in the leg diminished . The disease was cured after 8 times
touch the toes and then pull them back .. Do this 21 times . of treatment .
Case
Sprain of the Elbow Joint
Li, female, aged 29, came for the first visit on June 13,
1983 . Etiology
Complaints Pain in the waist and the left lower limb for The sprain often results from impact by external force,
nine months, which was more severe on coughing and defecat- palm-supporting of the body on falling, or over-traction .
ing and became worse in the last two months, resulting in great Symptoms
difficulty in walking . Treatment with traditional drugs, block- The main symptoms are swelling and pain in the elbow
age therapy, acupuncture and massage (Tuina) yielded no ap- with dysfunction of the joint .
parent effect. Treatment
Examination There were tenderness and percussion pain 1. Emission of Outgoing-Qi (Waiqi)
in the interspace of lumbar processes and the left side . Straight (1) Apply rolling, pressing and kneading manipulations on
elevation test of the left leg showed an angle of 35 degrees . Quchi (LI 11), Zusanli (St 36), Shaohai (H 3) and Xiaohai (SI
There were weakened dorsiflexion of the left toe and reduced 8) first .
reflexion of the knee jerk and Achilles tendon . X-ray film (2) Emit qi toward the painful place with flat-palm hand
showed narrowed lumbar vertebral interspaces . gesture and vibrating manipulation, then toward Quchi (LI 11)
Diagnosis Prolapse of lumbar intervertebral disc with the same gesture and pushing, pulling and leading manip-
(waist-leg pain) . ulations and guide qi with the same method to the fingertips
Treatment Flat-palm hand gesture and pushing, along the Large Intestine Channel of Hand-Yangming .
pulling, quivering and leading manipulations were taken to (3) Rub and rock the elbow joint to end the treatment .
emit qi to Dachangshu (UB 25), Shenshu (UB 23), Weizhong 2. Qigong-Acupuncture
(UB 40), Chengshan (UB 57) and Kunlun (UB 60), followed by Insert the filiform needles into Quchi (LI 11), Shousanli
acupuncture of the left Shangliao (UB 31) with a filiform need-
-424- -425-
(LI 10), Ashi poi4ts and Hegu (LI 4) . Then emit qi with (2) With flat-palm hand gesture and pushing, pullu, _,
dragon-mouth hand gesture and pushing and pulling manipu- g and leading manipulations, emit qi toward the pain-
quivering
lations toward the needles to get qi balanced . ful area and guide the channel qi to flow to the foot along the
3. Self Qigong Exercise as Accessory Treatment Three Yang and Three Yin Channels of Foot to get qi
Practise the Exercise of Raising the Arm and Bending the balanced .
Elbow as follows. (3) Rock and press-knead the knee to end the treatment .
Stretch the affected arm at the shoulder level along with 2. Qigong-Acupucture
inhaling, with the back of the hand upward and the abdomen Insert the filiform needles into Xiyan (Extra 36), heding
buldged . Abduct the hand and withdraw the elbow to the (Extra),--Lianggiu(St 34),---Xuehai (Sp 1), Yinlingquan (Sp 9),
hypochondrium . Do this for 9 respiratory cycles . Yanglingquan (GB 34), Zusanli (St 36) . Then emit qi with
dragon-mouth hand qesture and pushing and pulling manipu-
Sprain of the Knee Joint lations toward the needles to balance qi .
Etiology 3. Self Qigong Exercise as Accessory Treatment
The sprain is commonly caused by impact from external Practise the Exercise of White Crane Turning Its Knees as
force or by over-abduction, over-adduction and over-rota- follows .
tion . Stand with feet close to each other and knees slightly bent,
Symptoms the knees and feet being on a vertical line . Place the palms on
The main symptoms are swelling and pain in the knee the knees with the thumb and the index and middle fingers on
joint, dysfunction of the joint manifested as inability to stand the two depressions at the knee-lap respectively . Turn the
or as limping . Flat-palm detection often reveals densified, knees clockwise and counterclockwise 10 times each with the
stagnated, tingling and distending sensation of qi . speed of the movement synchronized with the rate of respira-
Treatment tion and qi sent down into Dantian .
1. Emission of Outgoing-qi (Waigi) Sprain of the Ankle Joint
(1) First, press-knead and push-rub the affected region
and its periphery . Then knead with the fingertip Xuehai (Sp Etiology
10), Liangqiu (St 34), Xiyan (Extra 36), Yinlingquan (Sp 9) and It is due to the over-adduction of the ankle joint resulting
Yanglingquan (GB 34) to open through them and dredge the from loss of one's footing when walking, running or jumping .
blood vessels . Symptoms
 The main symptoms are swelling and pain in the ankle,
dysfunction of movements such as standing and Section Four Disorders of the Eye,
walking . Flat-palm detection with outgoing-qi often reveals
Ear and Nose and Pediatric Diseases
stagnated and densified qi sensation at the affected region .
Treatment Myopia
1 . Emission of Outgoing-Qi (Waiqi)
(1) Press-knead the pressure pain point and its periphery; Etiology
knead Qiuxu (GB 40), Shangqiu (Sp 5), Jiexi (St 41), Myopia is common in youngsters . It is believed that this
disease is related to improper lightening, improper posture and
Yanglingquan (GB 34), Zusanli (St 36), Kunlun (UB 60) and
successive long-time reading.
Taixi (K 3) .
Symptoms
(2) Emit qi with flat-palm hand gesture and vibrating and
To victims of myopia, all objects in distance are blurred al-
quivering manipula- tions toward the affected aspect, then
though nearby objects are clear .
tract and rock the ankle joint .
TREATMENT
(3) Guide the circulation of qi along the Stomach Channel
1 . Emission of Outgoing-Qi (Waiqi)
of Foot-Yangming and the Spleen Channel of Foot-Taiyin to
(1) Press and knead Jingming (UB 1), Qiuhou (Extra 4),
get its flow smooth and its activities balanced .
Yintang (Extra 1), Taiyang (Extra 2), Fengchi (GB 20) and
2. Qigong-Acupuncture
Hegu (LI 4).
Insert the filiform needles into Jiexi (St 41), Kunlun (UB
(2) Emit qi toward Jingming (UB 1) and Fengchi (GB 20)
60), Taixi (K 3), Shangqiu (Sp 5), Qiuxu (GB 40),
with one-finger-meditation or sword-fingers and pushing and
Yanglingquan (GB 34), Yinglingquan (Sp 9) and Zusanli (St
pulling manipulations, then emit qi toward Ganshu (U B 18)
36), then emit qi toward them with dragon-mouth hand ges-
and Shenshu (UB 23) with flat-palm hand gesture and vi-
ture and pulling and leading manipulations to get qi balanced
brating and quivering manipulations for 11 or 22 respiratory
between them.
cycles respectively .
3 . Self Qigong Exercise As Accessory Treatment
(3) Emit qi, with flat-palm gesture and pushing and lead-
Practise the Exercise of Rolling the Wooden Rod as fol-
ing manipulations toward the eyes, then guide qi to flow to
lows .
Xuanzhong (GB 39) along the Gall-bladder Channel, to make
Sit on a stool with feet put on a round rod . With the point
the functional activities of qi normalized .
Yongquan (K 1) as the centre, roll the rod to and fro 81 times .
2. Qigong-Acupuncture

-429-
 Insert the filiform needles into Jingming (UB 1), Qiuhou (5) Pressing Jingming (UB 1) and Guiding Qi
(Extra), Taiyang ('Extra 2) Xuanzhong (GB 39) and Hegu (LI Press with the thumbs the point Jingming (U13 1) near the
4) and emit qi toward the needles with dragon-mouth or inner canthus while concentrating the mind on the eyes . Press
bird-mouth hand gesture and pushing, pulling and leading toward the orbits and then backwards during inhalation ;
manipulations to make qi balanced between the needles . squeeze the eyeballs gently during exhalation while uttering
3 . Self Qigong Exercise As Accessory Treatment "xu" .
Practice the Exercise of Soothing the Liver and Improving (6) Regulating Qi
Acuity of Vision as follows . Close the eyes lightly, bent the elbows and raise the hands
(1) Preparation in front of the abdomen, palms upward . Lift the palms slowly
Stand relaxed and quiet, place the feet apart as wide as the to the level of the eyes . Concentrate on the eyes during
shoulders, drop the hands naturally at the sides of the body, inhalation, the two hands lifted a fist from the eyes ; then begin
picture supporting an object on the head, pull in the chest and exhalation while still concentrating on the palms, the two
straighten the back, relax the waist and knees, look straight hands descending to the level of the abdomen . Do this 8 times
forward, and breathe naturally . before dropping the hands at the sides as described in the pre-
(2) Vision Regulation paratory posture to end the exercise .
Look straight forward first, and then look farther and far- Case
ther until unable to see farther . Stare at a point for a moment Dai, female, aged 15, came for the first visit on November
and draw the vision gradually back to the nearest . Do this 4 17, 1981 .
times. Complaints The patient complained of suffering from
(3) Turning the Neck and Moving the Eyeballs short sight for three years manifested as blurred vision of sub-
Look in the distance, turn the neck clockwise and jects in distance which turned worse gradually . There was no
counterclockwise 4 times each, with the eyes following the family history of myopia .
movement of the neck . Inhale when the neck is turned back- Examination The vision of the left eye was 0 .2, the right
wards and exhale when it is turned forwards . 0.4 . There was tenderness in the area of the 3rd and 4th cervical
(4) Throwing, Out the Chest and Relaxing the Back vertebral processes .
Raise the arms to the chest with the elbows bent and Diagnosis Myopia .
palms towards the breasts. Draw the elbows backwards to Treatment Emission of qi was performed with
throw out the chest and inspire at the same time ; then relax the middle-finger-propping hand gesture and pushing, pulling
back and expire. Do this for 8 times . and rotating manipulations toward Jingming (UB 1), Qiuhou
-430- -431-
(Extra), Sizhukong (SJ -23), Tongziliao (Q13 1), Fengchi (GB and thready pulse. Flat-palm detection may reveal densifed,
20) and the pressure pain point . The vision was improved after tingling and distending sensation of qi .
treatment for twice to be 0 .4 of the left eye, and 0 .5 of the right, Treatment
and further improved to be 1 .2 and 1 .5 after 15 times of treat- 1.' Emission of Outgoing-Qi (Waigi)
ment. Follow-up visit in Febrary, 1983 found no aggravation . (1) Press-knead Tinggong (SI 19), Yifeng (SJ 17), Hegu
(LI 4) and Zhongzhu (SJ 3) .
Tinnitus and Deafness
(2) Emit qi toward Dantian with one-finger-meditation
Etiology and sword-fingers hand gestures, pushing and pulling manipu-
The diseases are most commonly caused by stagnation of lations and the qi-guiding method of making three points
qi of the Shaoyang Channels due to adverse rising of the liver linear .
wind-fire induced by violent rage and terror, by obstruction of (3) With flat-palm and pulling and leading manipulations,
the orifices on the head due to exopathic .wind affection, or by emit qi toward the affected ear and guide qi to flow to the ends
failure of the kidney essence to reach the ears due to kidney de- of the extremities along the Sanjiao Channel of
ficiency . Hand-Shaoyang and the Gallbladder Channel of
Symptoms Foot-Shaoyang to balance qi.
1. Excess Type Modification: In case of adverse rising of the liver
Sudden deafness or distending pain in the ear with noise as wind-fire, add flat-palm hand gesture and vibrating and quiv-
chirping . Adverse rising of liver wind-fire or gallbladder ering manipulations to emit qi to Ganshu (U B 18) and Danshu
wind-fire is often manifested as flushed face, dry mouth, vexa- (UB 19) for 14 respiratory cycles, and in case of kidney defi-
tion and irritability and taut pulse ; while affection by exopathic ciency, add the same to emit qi toward Shenshu (UB 23) for 14
wind, as chills and fever and headache. Flat-palm detection respiratory cycles to balance qi .
usually reveals densified, tingling and distending sensation of qi 2. Qigong-Acupuncture
at the affected area. Insert the filiform needles into Tinggong (SI 19), Yifeng
2. Deficiency Type (SJ 17), Zhongzhu (SJ 3) and Xuanzhong (GB 39), then emit qi
The deafness and tinnitus occur constantly or toward the needles with dragon-mouth hand gesture and pul-
intermittently and may be aggravated by over-strain and re- ling and rotating manipulations to get qi balanced between the
lieved by hand pressure, often accompanied by dizziness, points .
soreness of the waist, seminal emission, leukorrhea and feeble 3. Self Qigong Exercise as Accessory Treatment
(1) Striking the Heavenly Drum
-432- -433-
 Press the ears with the palms, the point Inner Laogong (P Treatment Acupuncture was conducted on Tinggong (S l
8) aiming at the ear orifice and the fingers resting on the back 19), Zhongzhu (SJ 3) and Xuanzhong (GB 39) and qi was emit-
of the head. Put the index fingers on the top of the middle ones ted toward the needles with dragon-mouth hand gesture and
and then slip them down forcefully to tap the back of the head pushing, pulling, quivering and leading manipulations .
lightly 24 times . One can hear rat-tat when doing this . Course of Treatment The patient could answer tele-
(2) Pressing the Ears to Guide Qi phone calls after treatment for 3 times . Hearing of the right ear
Press the ear orifices tightly with the palms and release recovered after 9 times of treatment .
them to compress qi in the inner ears 10 times . Be sure to avoid
Sinusitis
forceful and violent pressing or releasing . Though the pressing
should be tight and releasing rapid, they must be done gently Etiology
and moderately . The nose is the orifice of the lung . Invasion of pathogenic
wind-cold into the lung brings about accumulation of heat and
(3) Massaging the Auricles
Pinch the top of the auricles gently with the thumbs and obstruction of the lung-qi, which further impair the purifying

the index fingers and massage the auricles from the top down- and descending function of the lung . The pathogenic evil may
then come into the air passage and accumulate in the nose, giv-
wards repeatedly 24 times to get them warm .
Case ing rise to sinusitis .

Zhang, male, 34, came for the first visit on October 31, Symptoms
1987 . Sinusitis is manifested by constant yellowish and foul na-

Complaints sal discharge and impairment of smell, accompanied with

Loss of hearing of the right ear for three
cough, dull pain in the sinciput, rapid pulse, reddened tongue
days accompanied with bitterness in the mouth, dry throat,
flushed face, vexation and dark urine . The patient had, before and thin, white and greasy tongue coating .

deafness, a noise in the ears like wave roaring for ten days . Treatment
Examination There were no abnormal findings in the 1 . Emission of Outgoing-Qi (Waiqi)
(1) Press-knead Yingxiang (LI 20), Yintang (Extra 1),
right ear, the drum membrane was perfect and the deafness was
Fengchi (GB 20), Hegu (LI 4) and Lieque (Lu 7) first .
believed to be nervous . The tongue was reddened with thin and
(2) Emit qi toward Yingxiang (LI 20) with one-finger
yellow coating, and the pulse taut and rapid . Flat- palm detec-
-meditation or sword - fingers hand gesture and pushing, pul-
tion with outgoing-qi revealed tingling, distending and tractive
sensation of qi . ling and leading manipulations and guide the channel qi to

Diagnosis flow downward to Zusanli (St 36) along the Stomach Channel
Deafness (fulminant deafness) .
-434-
of Foot-Yangming-to get qi balanced between the upper and
lower. palm and the depression between the thenar eminence major
2. Qigong-Acupuncture and thenar eminence minor) and pinch the points for child
Insert the filiform needles into Yintang (Extra 1), massage of Xinjing, Ganjing and Wuzhijie (the joints of' the
Yingxiang (LI 20), Fengchi (GB 20), Hegu (LI 4), Lieque (Lu five fingers) of each hand and the points Yintang (Extra 1) and
7) and Zusanli (St 36), then emit qi toward the needles with Baihui (Du 20) .
dragon-mouth hand gesture and pushing and pulling manipu- (2) Use flat-palm gesture and pushing, pulling and leading
lations to get qi balanced between the points . manipulations to emit qi towards the fontanel and Baihui (Du
3. Self Qigong Exercise As Accessory Treatment 20) and then, to guide qi to flow to Dantian along the Reii
(1) Bathing the Nose Channel to "get qi back to its origin" as it is called . (2) Use
Rub the dorsal sides of the thumbs against each other till middle-finger-propping hand gesture and vibrating and quiv-
they are hot . Rub with them the sides of the nose gently up and ering manipulations toward Dazhui (Du 14), Xinshu (U B 15)
down . Rub 5 times during each inhaling and exhaling for alto- and Ganshu (UB 18) and then, regulate qi of the Urinary
gether 10 respiratory cycles. Bladder Channel and the Du Channel to smoother its circula-
(2) Kneading the Nose Apex tion.
Put the tip of the middle finger of the right hand on the
nose apex and knead it clockwise during inhaling and Section Five Qigong Deviations
counterclockwise during exhaling 5 times each . Do this for 10
respiratory cycles . Deviations of qigong refer to the adverse reactions of

Infantile Convulsion qigong exercise which make the practitioner uncomfortable

and uncontrollable . Such reactions are physically and mentally
Etiology harmful . They may even lead to confinement of the practition-
Infantile convulsion is usually caused by fright . er to bed or mental disorders . So the qigong therapist should
Symptoms attach great importance to such deviations by providing timely
The disease is characterized by disphoria, listlessness, night instructions and proper treatment .
crying, poor appetite, diarrhoea and fever . From our experiences in rectifying deviations in 68 cases
Treatment (53 cured, 10 improved and 5 with no effect), we believe that
(1) Knead Xiaotianxin (a massage point, at the root of the qigong deviations can be cured very quickly provided timely in-
structions in exercise and proper retifications are given . De-
-436- layed treatment or treatment with careless emission
437 -
 causing qi stagnation and blood stasis in a certain location ac-
outgoing-qi should be avoided, otherwise the patient's qi activ- companied by the symptoms of pain, heaviness, sore and dis-
ities may be disturbed and the deviation exacerbated other than tending sensation and sensation of compression, which can not

improved . disappear automatically.

Etiology 3. Leaking of Genuine Qi

(1) Failure to obey the principle of "exercising in light of During or after qigong exercise, one may feel leaking of qi
concrete conditions", for example, those who are not fit for the from the external genitals, anus and some points, which can

exercise of intrinsic qi circulation force themselves to do it . not be controlled by oneself. Leaking of genuine qi may lead to

(2) Exercising or practising without instructions of an ex- wasting,weakness of the extremities, pale greyish and dark

perienced practi- tioner, or practising unduely for quick complexion, vexation, failure of mind concentration,

results . hypomnesis,spontaneous perspiration, night sweat, seminal

(3) Being overly suspicious, some people may fail to re- emission, insomnia and reluctance to speak or move.
spond to the tiding and qi effect in the correct way . And those 4 . Mental Derangement

who are mentally weak may have too heavy a psychological During qigong exercises, a phenomenon of mental

burden in the course of qigong practice so that they gradually derangement, also called "being infatuated" (Ru Mo), may ap-

fall into victims of deviation . pear in some practitioners who regard the illusion emerging

(4) Some practitioners often fail to master the principle' during or after qigong exercise as true, and this often leads to

and methods of the "three regulations" (regulation of posture, mental derangement manifested as uncommunicative and ec-

respiration and will), fail to exercise in accordance with the giv- centric in disposition, withered and dull in expression, idle in
en instructions, or change their styles now and then . All these movement, and apathy and trance . Some even lose their confi-
may get themselves confused mentally and physically . dence of living and want to commit suicide ; others suffer from

Symptoms continuous auditory hallucination and visual hallucination

1. Deranged Flow of Qi and Blood which are similar to that seen in psychotics . These symptoms
Qi may get deranged and out of self control during or after are summarized as ten devils in Zhong Lu Chuan Dao Ji

qigong exercise, which usually gives rise to dizziness, vertigo, (Works of Zhong and Lu's Taoist Doctrine), which are the dev-

panic, chest distress, short breath, uncontrolled movement of il of six thieves, devil of wealth, devil of aristocracy, devil of six

the extremities, or syncope . In most cases, patients are able to passions, devil of love, devil of adversity, devil of saints, devil

tell the location and direction of qi flow . of fight, devil of amusement with women and devil of sexuality .

2. Stagnation of Qi and Stasis of Blood 5. Unchecked Flow of Pathogenic Qi

During or after qigong exercises, disorder of qi may occur, -439-
-438--


In practitioners suffering illnesses, there may be struggle pushing-kneading Tanzhong (Ren 17) and pressing-kneading
between the healthy qi and pathogenic qi during exercises. And Neiguan (P 6) .
because the healthy qi is reinforced owing to Qigong exercise, Third, uncontrolled movement of. the extremities can be
the pathogenic qi may flow unchecked to a certain location and treated by calling the patient by name and by saying some
cause pain, soreness, distention, heaviness, coldness and hot- proper words to get the movement bolted, followed by patting
ness . Dazhui (Du 4) and Mingmen (Du 4) and then pressing
Treatment Mingmen (Du 4) digitally .
1 . Treatment of Deranged Flow of-Qi Finally, syncope should be treated by pressing Yintang
(1) Emission of Outgoing-Qi (Waiqi) (Extra 1) and Renzhong (Du 26), digging-grasping Quchi (LI
Regulate the activities of the Eight Extra-channels in 11), Hegu (LI 4), Weizhong (UB 40) and Chengshan (UB 57),
accordance with the "Eight Methods of Intelligent Turtle", the and guiding qi back to Dantian.
technique of point selection, andwith the principle of "opening (3) Self Qigong Exercise as Accessory Treatment
the points on time" . Stop doing the Qigong exercise which has caused the
Then select points in the location and along the channels symptoms .
where functional activities of qi have been in a state of Then conduct self patting on the head, back and chest,
disorder . Flat-palm or sword-fingers hand gestures and push- and carry out self Daoyin massage along the Three Yang
ing, pulling and quivering manipulations may be used to acti- Channels of Hand, the Three Yang Channels of Foot, the
vate the channel qi, then guide qi with leading manipulation to Three Yin Channels of Hand and the Three Yin Channels of
the related channel or organ, or back to Dantian . Foot based on their courses and directions .
(2) Daoyin Massage Based on Symptoms (4) Treatment with Traditional Drugs
First, dizziness or vertigo may be treated by pressing-rub- The following ingredients may be described with modifica-
bing Baihui-(Du 20), Hanyan (GB 4), Shuaigu (GB 8) and tion, and decoctd in water for oral administration .
Xuanlu (GB 5), followed by pushing-opening Tianmen Radix Angelicae Sinensis (Danggui) 12 grams
(Extra), pushing Kangong (Extra), kneading Taiyang (Extra 2), Magnetitum (Cishi) 30 grams
digging-pressing Fengchi (GB 20) and pressing Mingmen (Du Radix Achyranthis Bidentatae (Niuxi) 18 grams

4). Fructus Corni (Shanyurou) 15 grams

Second, chest distress and shortness of breath may be Os Draconis (Shenglonggu) 30 grams
treated with finger-kneading Tanzhong (Ren 17), Rugen (St Concha Ostreae (Shengmuli) 30 grams
18), Rupang (Extra), Yunmen-(Lu 4) and Zhongfu (Lu 1), 2. Stagnation of Qi and Stasis of Blood
-440 -441-
 (1) Emission of Outgoing-Qi (Waiqi) The following ingredients may be described and decocted
In accordance with corresponding channel point selection, in water for oral administration .
select certain points in and around the location where qi Radix Angelicae Sinensis (Danggui) 12 grams
stagnation and blood stasis exist . Rub, press and knead the Semen Persicae (Taoren) 9 grams
points along the channel . Flos Carthami (Honghua) 9 grams
Then emit qi with flat-palm hand gesture and pushing, Rhizoma Corydalis (Yuanhu) 12 grams
pulling and quivering manipulations so as to activate the chan- Fructus Liquidambaris (Lulutong) 30 grams
nel qi . Then guide the channel qi to flow along the channels to Radix Achyranthis Bidentatae (Niuxi) 18 grams
dredge them . Retinervus Luffae Fructus (Sigualuo) 9 grams
(2) Daoyin Massage Based on Symptoms 3. Leaking of Genuine Qi
Depression sensation on the head may be treated by pres- (1) Emission of Outgoing-Qi (Waiqi)
sing-kneading Baihui (Du 20) and Fengchi (GB 20), Emit qi with flat-palm gesture and pushing, pulling and
pushing-opening Tianmen (Extra), pushing Kangong (Extra) quivering manipula- tions toward Dantian and Mingmen (Du
and kneading Taiyang (Extra 2) and Dazhui (Du 14), and by 4), and again to Dantian with flat-palm hand gesture and vi-
patting along the Du Channel and the Ren Channel . brating and quivering manipulations for 9 or 18 respiratory cy-
Tightness and compression sensation at the forehead may cles .
be treated by pushing-opening Tianmen (Extra), pushing (2) Daoyin Massage Based on Symptoms
Kangong (Extra), kneading Taiyang (Extra 2) and Baihui (Du Push-open Lanmen (Extra), knead Zhongwan (Ren 12),
20) and pressing Jingming (UB 1), as well as patting the Ren Qihai (Ren 6) and Guanyuan (Ren 4), push and rub the abdo-
Channel from the upper to the lower . men and knead Shenshu (UB 23) and the first collaterals of the
Distending pain in Dazhui (Du 14) can be treated by pres- Du Channel and the Urinary Bladder Channel .
sing-kneading Dazhui (Du 14), Fengfu (Du 16), Fengchi (GB (3) Self Qigong Exercise as Accessory Treatment
20) and Jizhong (Du 6), and by patting along the Du Channel Practise the exercises of mind-concentrating on Dantian,
and the Urinary Bladder Channel of Foot-Taiyang . (3) Self anus contracting, teeth tapping and saliva swallowing among
Qigong Exercise as Accessory Treatment other techniques .
Stop doing the exercises which have caused the symptoms . Pat the torso and the extremities .
Carry out constant pushing-rubbing, kneading-sup- (4) Treatment with Traditional Drugs
pressing and patting on the painful and discomfortable places . The following ingredients may be decocted in water for
(4) Treatment with Traditional Drugs oral administration.
-442-


Radix Rehmanniae Praeparatae (Shudi) 30 grams then guide qi to flow along the Ren Channel back to Dantian .
Fructus Corni (Shanyurou) 30 grams (2) Daoyin Massage Based on Symptoms
Radix Ginseng (Renshen) 9 grams Push-open Tianmen (Extra), push Kangong (Extra),
Magnetitum (Cishi) 30 grams Knead Taiyang (Extra 2) and Baihui (Du 20), pat along the
Radix Achyranthis Bidentatae (Niuxi) 18 grams
spinal collumn and push the Urinary Bladder Channel from
Cortex Cinnamomi (Rougui) 6 grams
the upper to the lower, and pat the back and the extremities .
Os Draconis (Shenglonggu) 30 grams .
(3) Self Qigong Exercise as Accessory Treatment
Concha Ostreae (Shengmuli) 30 grams
Practise Automatic Qi Circulation Exercise as described
1 gram . (taken fol- below .
Cinnabaris (Zhusha)
lowing its infusion) While saying " the white tiger hides in the east and the
green dragon hides in the west", guide qi to rotate with the na-
4. Mental Derangement
vel as the centre clockwise and counterclockwise 36 times
(1) Emission of Outgoing-Qi (Waiqi)
respectively.
i Open the point of the Eight Extra-channels in accordance
Carry out self massage and patting .
with the "Eight Methods of Intelligent Turtle", the technique
(4) Treatment with Traditional Drugs
of point selection, and with the principle of "opening the points
The following ingredients may be described to be decocted
on time" .
in water for oral administration .
Press and knead the points Baihui (Du 20), Dazhui (Du Radix Rehmanniae Praeparatae (Shudi) 30 grams
14), Lingtai(Du 14) and Feishu (UB 13) ; then use the flat-palm Bulbus Lilii (Baihe) 30 grams
or sword-fingers hand gesture and pushing, pulling and vi- Os Draconis (Shenglonggu) 30 grams
brating manipulations to emit qi and guide qi to flow along the Concha Ostreae (Shengmuli) 30 grams
channel. Radix Achyranthis Bidentatae (Niuxi) 15 grams
Press-knead Baihui (Du 20), Yintang (Extra 1), Shangen Radix Polygalae (Yuanzhi) 12 grame
(radix naxi), Renzhong (Du 26), Tinggong (SI 19), Jiache (St Semen Ziziphi Spinosae (Chaozaoren) 12 grams
6), Quchi (LI 11), Hegu (LI 4), Weizhong (UB 40) and Magnetitum (Cishi) 30 grams
Chengshan (UB 57). Fructus Corni (Shanyurou) 30 grams
Middle-finger-propping hand gesture and vibrating and 1 gram (taken fol-
quivering manipulations are used to emit qi toward Jiuwei Cinnabaris (Zhusha)
lowing its infusion)
(Ren 15) and Zhongwan (Ren 12) for 27 respiratory . cycles,

-445-
 5. Unchecked Flow of Pathogenic Qi and the head, which gave him a feeling of heaviness and ~> z
(1) Emission of Outgoing-Qi (Waiqi) pression on the head as if holding a heavy cap, foflo'"d
Determine the Jing -point (well point, one of the five shu successively by dizziness, headache, stiffness of the back and
points located at the tips of the fingers and toes . Each of the shoulders, numbness of the legs and unckecked and continu-
Twelve Regular Channels has such a point) . Push-knead the ous flow of qi in the lower limbs, waist and head which turned
affected place to open the point and guide the channel qi along worse gradually, accompanied with palpitation, terror, in-
the course of the channels . somnia and listlessness . The condition was diagnosed as
With flat--palm hand gesture and pulling and leading ma- " neurosism" in a hospital but treatment with Western and
nipulations to pull and guide the pathogenic qi, or to open the traditional drugs failed.
point to dispel it . Examination No abnormalities were found in the head
(2) Daoyin Massage Based on Symptoms and extremities . The pulse was deep and thready, and tongue
Push-rub, tab digitally and rotate-flick the affected re- coating thin and white . Flat-palm detection revealed densified
gion to relax it fully . and disordered qi at the head and back .
(3) Self Qigong Exercise as Accessory Treatment Diagnosis Qigong deviation (deranged flow of qi and
Practise the exhaling exercise to dispel pathogenic qi . In- blood accompanied by stagnation of q1 and blood) .
hale naturally and exhale to lead qi by will to the affected loca- Treatment Flat-palm hand gesture and pulling and
tion, imagining qi is being expelled . Do this for 49 respiratory leading manipulations were applied to emit qi toward Baihui
cycles . (Du 20), Yintang (Extra 1), Fengfu (Du 16), Dantian and Hegu
Apply medication treatment in the light of the principle (LI 4) .
" Excess Syndrome should be treated with the method of Course of Treatment All the symptoms improved after 3
purgation and reduction" . times of treatment . The condition was corrected complete) Yaf
Case one ter 9 times of treatment .
Li, male, aged 28, came for the first visit on April 18, 1983 . Case Two
Complaints The patient complained of rushing of qi to Wang, male, 66, came for the first visit on February
the top of the head and suffering from headache and dizziness 1983 .
for two months . Complaints The patient complained of a sensation of
The patient felt motion of qi in the Lower Dantian 20 depression on the left shoulder for 10 days .
days after he began to practise Qigong independently . A few The patient began to practise qigong twice a day in order
days later he felt qi rushing toward the lower limbs, the back to cure his romote myocardial infarction . Spontaneous
-446- -447-


movements occurred during practice and the primary symp- (Hexiangzhuang Qigong) . One night when he was practising
toms of the disease were relieved gradually . But two months static exercise, he heard a man say to him, "Go straight to the
later when he was doing the qigong exercises, he suddenly felt gate and you can get through the grill" . He did so, bumped
an egg-sized mass rushing out from his heart toward the back' against the door, fainted and was rushed to the hospital . Exam-
and lingering in the left Quyuan (SI 13) and Bingfeng (SI 12), inations gave no positive findings . There were no headache and
followed by heaviness, soreness and immobility of the shoulder dizziness, but the auditory hallucination became more severe . It
and restless sleep at night . was surprising that when the patient wanted to know someth-
Examination Physical examination found swelling of the ing, the voice would come and tell him, which could not be in-
left Quyuan (SI 13) and Bingfeng (SI 12) with mild tenderness . terfered with at all even the sound volume of the radio or tele-
Flat-palm detection revealed densified and cold qi at the af- vision set was turned to the highest . The patient and his rela-
fected region and at the point Xinshu (U B 15) . tives were greatly frightened . Treatment with Western and tra-
Diagnosis Qigong deviation (Unchecked flow of ditional drugs, acupuncture and outgoing-qi therapy in a hos-
pathogenic qi) . pital of mental diseases failed .
Treatment Flat-palm hand gesture and pulling and Examination The tongue coating was white and thin but
leading manipulations were used to emit qi to Jianwaishu (SI yellow at the root ; the pulse was thready and deep-sited . The
14), Bingfeng (SI 12), Quyuan (SI 13), Tianzong (SI 11), Quchi patient looked mentally normal and could cooperate with the
(LI 11), Xiaohai (SI 8) and Hegu (LI 4) once a day . doctor in inquiry and physical examination . Flat-palm detec-
Course of Treatment After the second treatment, the pa- tion with outgoing-qi found densified, stagnated qi at the back
tient felt that the qi mass was removed to the elbow manifested of the head and the ears .
by heaviness and discomfort of the elbow joint and disappear- Diagnosis Qigong deviation (Mental degrangement) .
ance of the symptoms of the shoulder . The condition was cured Treatment Pressing and nipping were applied to Yintang
completely after the fourth treatment . (Extra 1), Tinggong (SI 19), Yifeng (S7 17), Hegu (LI 4) and
Case Three the ear orifice first, followed by emission of qi toward them
Zhang, male, 60, came for the first visit . on December 20, with flat-palm hand gesture and pulling, rotating and leading
1984 . manipulations .
Complaints The patient complained of suffering from Course of Treatment When the author said to the pa-
auditory hallucination for three months . tient, " You have developed specific physiological function .
Sponteneous movements appeared for successively ten You needn't worry and need no treatment . Don't follow the
months with practice of the Crane Qigong Exercise voice . You'll be all right if you continue to practise Qigong as
-448 -449-
usual" . But the patient answered, "My family and I are fright-
ened . I will practise no more Qigong if you can cure me." The ANNEX: Selected Treatises on
author had no choice but treating him with the methods men-
Experimental Studies of the Effect
tioned above . During the first treatment, the patient heard
creaking sound on emission of outgoing-qi toward his ears and
of Outgoing-qi (Waiqi)
the hallucination improved markedly . The hallucination disap-
peared after the third treatment and the patient recovered Experimental studies on the effect of outgoing-qi (waiqi)
completely . emitted by the author were carried out by the specialists form
the Channel, Collateral and Acupuncture Department, Physi-
ology Department and Anatomy Department of Shandong
Traditional Chinese Medicine College . The experiments have
proved that outgoing -qi has obvious regulating function on
the skeletal muscles of the human body, the heart of toad and
the Oddi's sphincter of rabbit, and that the needles inserted in-
to the points can conduct outgoing-qi to the related organs
and regulate the physiological function of them . The achieve-
ments in these experiments have shown that the existence of
outgoing-qi as a substance is an objective reality, which has
provided reliable experimental and theoretical basis for clinical
application of outgoing-qi therapy . Selected hereof are four
treatises representative of the effect of outgoing--qi .

The Influence of Qigong Outgoing-qi

on the Cardiac Functions of Toad

Previous experiments have proved the dilation of the

peripheral blood vessels and the reduction of the heart rate in
qigong practitioners, and it is believed that these changes are

-451-
_relative to the decrease of sympathetic excitability and the in- wave in the 10 successive cardiac cycles and the heart rate were
crease of parasympathetic excitability . However, there had taken as indicators in the experimental group (Group A) . In
been no reports on the effec of outgoing-qi on the heart of an- the control group (Group 8), emission of qi was simulant, done
imals. Our study was designed for observation of the functional by one who had not practised qigong but the method of record-
changes of the heart of toad under the effect of outgoing-qi . ing and detection was as same as that taken for the experimen-
1 . Materials and Methods tal group .
Fifteen healthy toads were prepared for tests of the effect 2. Results
of outgoing-qi and another fifteen were used as controls . The 1 The effect of qigong outgoing-qi on the ventricular
experiments were done at a room temperature of 13 15 1C . systolic wave width of the toad is shown in Table 1 .
After the toad was washed with running water, a needle probe In the experimental group, the ventricular systolic wave
was inserted vertically into the cranial cavity of the toad was widened after the heart of the toad received outgoing-qi
through the great occipital foramen and then was moved left from 2'30" after beginning of qi emission to 20' after the
and right to stir the brain tissue . The probe was then discontinuance of emission compared with that recorded be-
withdrawn and inserted into the spinal canal through the great fore the emission of qi was started, and the difference was sig-
occipital foramen to stir the spinal cord . The softness of the ex- nificant (p < 0 .01), indicating that the ventricular systole time
tremities and the disapperance of breath meant that the pithing was prolonged under the effect of outgoing-qi .
was succeeded . The chest cavity was opened and the cardiac Table 1 The Effect of Qigong Outgoing-qi on the
cytomembrane removed to expose the heart, on which Rinne's Ventricular, Systolic Wave Width (Per Second) of Toad
Group No . Ventricular Systolic Wave Width ; Mean ± Standard Error(X ± SD)
fluid was dropped . The apex of the heart was clipped with frog
Toad Before During Emission of Qi After Emission of Qi
of
heart clips, and was connected to the tnultichannel physiologi-
Emission
cal recorder (RM-6000) by means of a dynamic transducer for
of qi Start 2 .30min 5min 7 .30mur 10min 2.30miu 5min 1Wnm 20min
oscillography and tracing of the heart beat with a paper speed 2 .98 0 .93 1 .02 1 .19 1 .27 1 .29 1 .27 1 .29 1 .27 1 .26
of 25 cm / second .After the recording, outgoing-qi was emit- A 15 ± ± ± ± ±
ted with the selected hand gesture (10-20 cm away from the 0 .06 0 .07 0 .09 0.12 0 .12 0 .12 0 .12 0.013 0 .12 .12
0

heart of the toad) toward the heart of the toad for 10 minutes . >0 .05 <0 .01 <0 .01 <0.01 <0 .01 <0 .01 <0.01 <0.01 <U .01
And recording was done for one minute each time right at the 0 .96 0.99 0 .09 1 .02 0.99 0.99 1 .02 0 .98 1 .00 0 .98

emission of qi and at 2'30", 5', 7'30" and 10' after the qi emis- B 3 - ± ± ± ± ± ± ± ±

sion was started, and at 2'30", 5', 10' and 20' after it was dis- 0 .08 0 .08 0 .09 0 .08 0 .10 0 .09 0 .09 0 .09 0 .06 0 .09

continued . The mean of the width of the ventricular systolic

-452- --453-


Table 2 Effect of Outgoing-Qi on the state can regulate the functional state of the human organism .
Heart Rate of Toads Viewed form the results of observations on the decrease of the
Group No. _ Per Minute Heart Rate Change : Mean ± Standard Error(X± SD) sympathetic excitability and the increase of the
of Toad Before During Emission of Qi After Emission of Qi
parasympathetic excitability, the regulation of the balance of
Emission yin and yang of the human organism is considered as a process
of qi Start 2 .30min 5mm 7.30min 10min 2.30min 5min 10mm 20min of energy accumulation . However, no observations have been
65 .5 65 .0 62 .7 60.7 58 .2 57 .9 57 .3 57 .3 56 .8 56 .9
reported on the effect of outgoing-qi on the functional changes
15 ± ± ± ± ± ± ± ± ±
of the heart of animals .
1 .99 2 .56 3 .62 4 .55 4.55 4 .46 4 .35 4.39 4 .02 4 .23
70 .05 >0.05 <0 .01 <0 .01 <0.01 <0 .01 <0 .01 <0.01 <0.01 <0 .01 In our studies, observations were made on the functional
63 .2 62 .8 62 .1 61 .1 61 .8 61 .1 61 .7 61 .1 61 .1 60 .8 changes of the toad, whose serebrospinal cord was destroyed,

B 13 ± ± ± ± ± ± ± ± ± under the effect of outgoing-qi . The results preliminarily show

3 .19 3 .10 3 .35 3 .52 3 .49 3 .48 2 .87 3 .68 3 .48 3 .29 that in the experimental group the heart rate of toads is
markedly slowed, and the ventricular systole wave is
(2) The effect of qigong outgoing-qi on the heart rate of
significantly widened after the heart of the toad has received
the load is shown in Table 2 .
outgoing-qi, while in the control group, there are no signifi-
In the experimental group, the heart rate of the toad was
cant changes, proving that outgoing qi can slow the heart rate
slowed down after the heart received outgoing-qi form 2'30"
and prolong the ventricular systole time . This indicates that the
after the beginning of qi emission to 20' after the
slowing down of the heart rate may reduce the per minute out-
discontinuance of qi emission compared with that recorded be-
fore emission of qi was started, and the difference was also sig- put and the prolongation of the ventricular systole time may
increase the per minute output, and the regulation of the per
nificant (p < 0 .05) .
minute output may result in reduced energy consumption dur-
The results show that the ventricular systole time of the
ing the period of cardiac systole . Nevertheless, the effect of
toad in the experimental group was prolonged and the heat
outgoing-qi on the peripheral nervous knots of the heart or the
rate was accordingly slowed down significantly .
working cell of the cardiac muscles, and on the muscular con-
3 . Discussion
duction system remains to be studied .
It has been observed that there are certain changes of
(Participants : Cao Zhenhua, Bi Yongsheng and Zhao
cardiovascular functions in those who have practised qigong to
Luming) .
a certain extent or in those who have entered qigong
"quiescence", and it is believed that the entering into a qigong

-454-
 hemostatic forceps to cause choledochus obstruction . With
Effect of`Qigong Outgoing-gi'on the reference to Sahli's method, sphincter myoelectric signal was
Tensityf the Oddi' s Sphincter of Rabbit induced with a pair of hornskin copper coils (with the cornskin

A number of reports on the curative effect of outgoing-q, at the two ends removed), which served as copper electrodes .
The myoelectric signal was put into the Y-axis amplifier of a
(waiqi) in clinical treatment of diseases of the liver and
JD-2 myoelectric apparatus with the parameters of ; interfer-
gallbladder system have proved that outgoing-qi is quite effec-
ence inhibition ratio 49 .5, frequency 2 Hz - 2 kHz, sensitivity
tive for treatment of chronic cholecystitis and cholelithiasis, es-
5 mm / cm, The magnified myoelectric signal was put into the
pecially for relieving symptoms and allaying pain . This indi-
cates that outgoing-qi can improve the functional status of the rear amplifier of a SJ-41 multichannel physiological recorder
and was recorded by the tattooing needle with a paper speed of
Oddi' s sphincter . So in our study, electromyogram of the
1 .25 cm / sec. The indifferent electrode was placed
smooth muscles of Oddi's sphincter is taken as an indicator for
subcutaneously left to the abdominal incision . The temperature
observation of the tensity changes of the sphincter under the in-
of the abdominal cavity was kept a . 38 .2-40 .2C by means of
fluence of outgoing-qi .
an operating light (60 W) hanging a ove the rabbit table and
1 . Materials and methods
two lights (15 W) setting at the downside of the table . Sodium
Twenty healthy male and female rabbits (2 .5-2 .9 kg) were
chloride fluid 0 .9% in concentration and 38°C in temperature
anaesthetized by intravenous infusion of urethane (0 .1g/ 1 kg
was dropped into the abdominal cavity before the recording
body weight) after being starved for 15 hours . With
was started . The sphincter myoelectric potential was recorded
endotracheal intubation, lateral median abdominal incision
for 10 minutes first for auto- control . After that, qi was emit-
was made to open the abdominal cavity and expose the
ted by the author toward the Oddi's sphincter of each of the 10
duodenum, Oddi's sphincter and choledochus . An obligue inci-
rabbits in the experimental group (Group A) for 30 minutes
sion was made in the choledochus 1 cm from the sphincter to
with fixed hand gesture and with the hand 10 - 20 cm off the
allow an insertion of a plastic tube (2 mm in diameter) toward
sphincter . Observations were continued up to 30 minutes after
the liver into the choledochus . The tube was withdrawn imme-
the stoppage of qi emission . The sphincter myoelectric frequen-
diately when there was discharge of bile and was quickly re-
cy was recorded at the 0 - 10, 10 20 and 20 - 30 minutes
placed by another plastic tube, which had the same diameter
from the start and stoppage of qi emission respectively . As to
and was filled' with adhesive 502 . This tube was inserted 5 mm
the 10 rabbits in the control group, the same procedures were
deep into the choledochus, its end was made adhesive with the
performed except the emission of outgoing-qi .
tissues round the incision and its top was clipped tightly with
2. Results

-456- --457--


The results of statistical analysis of the data gained prior gallbladder was at a hypertensive state reduced by blocking lllc
cholechus of rabbits . A direct relationship between the:
to the emission of qi and those gained during or after that
showed significant difference (p < 0 .05) in the experimental myoelectric activity and the tension of the smooth muscles was
group and no statistical significance in the control group, dem- observed in animal tests done by others . Wang Yiding and Liu
Kan et al believe that the reduction of the myoelectric
onstrating that under the influence of outgoing-qi, the fre-
quency of myoelectric potential of the Oddi' s sphincter was re- discharge to the Oddi' s sphincter might reduce the tensity of
duced and the tensity of it was decreased (Table 3) . the sphincter, which in turn might facilitate the drainage of bile
Table 3 Effect of Outgoing Qi on Myoelectric and gallstones . The results of our experiment showed marked
Frequency (Times) of Oddi's SphineterX± SD drop of the myoelectric frequency of the sphincter potential
beginning at 10 minutes after the start of qi emission till 30
10min before During Emission of Qi After Emission of Qi
minutes after the stop of the emission ( P<0 .05 ), which indi-
Group Emission
of Qi 0-10min 10-20min 20-30min 0-10min 10-20min 20-30min - cated the reduction of the sphincter tensity . And because of the

28 .9 22 .0 35 .3 33.5 39 .0
tensity reduction, the drainage of bile and gallstones was pro-
109.9 37 .4
A + ± ± moted, leading to alleviation of pain and other symptoms of
13 .1 14 .0 96 18 .7 15 .3 17 .6 cholecystitis .
26 .1
<0 .05 <0 .05 <0 .05
(Participants : Zhang Shiping, Cao Zhenhua and Bi
P <0 .05 <0 .05 <0 .01
Yongsheng)
82 .5 81 .6 81 .1 80 .8 80 .9 78 .4 76 .6
i- ±
s
21 .7 20 .61 21 .4 21 .0 22 .13 21 .29 20
.57 Myoelectrographic Observations on the
Dynamic Phenomenon Induced by
3. Discussion Qigong Outgoing-Qi
Qigong was found to be effective for chronic cholecystitis
and cholelithiasis in the previous clinical and experimental
From 1981 to the end of 1984, qigong outgoing qi (waigi)
studies of the effect of qigong in treatment of diseases related
was applied to tremtment of over 400 patients,among which
to the liver and gallbladder. Wang Jisheng et al have confirmed
over 60 presented dynamic phenomenon . For further investiga-
the tranquilizing effect of qigong outgoing-qi through experi-
tion, myoelectric observations were carried out in 3 of them
mental researches . In our study, the effect of qigong was ob-
who had recovered from their illnesses .
served with the results of myoelectric activity of the Oddi' s
1 . Patients and Methods
sphincter as the indicators, which was achieved when the
Patients : Li, female, aged 29, had suffered front pain in the
-458 -459-
waist and the left lower limb for nine months .' X-ray filin ing manipulations, the action of qi on the channels and points
showed narrowed interspace between the 4th and 5th lumbar was manifested by motion of the muscles and by the persistent

vertebrae . The diagnosis was prolapse of lumbar intervertebral occurrence of single and mixed modes of electric potential aiiu

disc . Jiang, female, aged 48, had suffered from sciatica for two then interference mode potential in the myoelectrogram with

years . And Cheng, male, aged 29, had suffered from vegetative the amplitude of vibration gradually augmented . The high
nerve functional disturbance for three years . All the patients amplitude interference mode existed after the emission of qi .
were cured with outgoing-qi therapy. When the doctor closed the qi emission procedure, the
Detecting methods: Detection was carried out stage by amplitude of interference mode reduced immediately and
stage with a RW - 600 multichannel physiological recorder . turned into mixed, single, and finally static .

The patients were asked to assume a sitting or lying posture. (2) Dynamic phenomenon in Patients during Emission o
Myoelectric needles were inserted into the left-side long Qi toward the Needles
palmar muscle of Cheng, the right-side gastrocnemius muscle Three filiform needles were inserted respectively into the
of Jiang and the left side greatest gluteal muscle of Li, and the left Ciliao (UB 32) of patient Li, the right Shangliao (UB 31) of
electrode was inserted into the AB-600 bioelectric amplifier . patient Jiang and the left Jianshi (P 5) of patient Cheng as the
The myoelectric changes were recorded and at the same time receivers of outgoing-qi . Prior to the emission of qi, the pa-
observed through a screen . Detection was carried out at three tients were at a static state and the myoelectrogram showed
stages : on emission of qi, on stop of qi emission and on closing static potential . When the doctor emitted outgoing-qi with
of the qi emission procedure . One acupoint was selected in each dragon-mouth hand gesture (hand 2-3 cm off the needles) and
patient for insertion of the filiform needle . Qi was emitted near pulling and quivering manipulations, the myoelectrogram pres-
the needles . As a control, electric stimulation was conducted ented paroxysmal interference mode potential . The fasciculated
with a electro-therapeutic apparatus manufactured in electric change was consistent with the frequency of the hand
Shanghai Third Electro-Apparatus factory . manipulations of the doctor, and the myoelectrogram showed
2. Results static potential immediately when the doctor ended his qi emis-
(1) Dynamic Phenomenon in Patients duing Qi Emission sion procedure .
Before emission of qi, the patients were in a static state (3) Myoelectrographic Changes Induced by Electric
and the myoelectrogram showed static potential. When the Stimulation
doctor emitted qi toward the body surface of the patients with Two filiform needles were inserted into the body of each
flat-palm hand gesture (hand 30-100 cm away from the pa- patient near the three myoelectric needle electrodes as the elec-
tients' body surface) and pushing, pulling, quivering and lead- trodes, and electric stimulation was performed by means of a

-460- -461-
electric therapeutic apparatus . Before the stimulation, the pa-
tients were static and the myoelectrogram presented static po- Myoelectrographic Observation of the
tential . When the stimulation reached a certain extent of inten- Influence of Outgoing-Qi on the Oddi' s
sity, the muscles of the patients began to contract and the Sphincter of Rabbit via Needles
myoelectrogram showed changes . The frequency of the electric
potential was coincident with that of electric stimulation . There have been abundant reports on clinical application
3 . Discussion of outgoing-qi to treatment of cholelithiasis . However, no
(1) The Evocation of Outgoing-qi Message and facts had been mentioned about the actual effect of
Uncontrolment Outgoing-qi, acting on the channels and outgoing-qi on the needles and its acting mechanism . This
points of the patient, can activate his qi activities and make the study was done with rabbit . The choledochus of the rabbit was
circulation of qi and blood smooth . One of the manifestations obstructed artificially, then filiform needles 3 can long were in-
is the contracting movements of the muscles, which may be serted into the two Zusanli points( St 36 ) and outgoing-qi was
very marked in some cases . Once this strong effect is triggered, emitted toward the needles . The control group was given no
the patient will not be able to control it voluntarily . needling and emission of outgoing-qi . Observation was made
(2) The Synchronism between Outgoing-qi Message and on the changes of the myoelectric frequency of the Oddi' s
the Triggering Effect sphincter . Effect of outgoing-qi on the needles and its subse-
When the therapist emits qi rhythmically toward the pa- quent cholagogic function were analysed .
tient, the muscles of the patient will present rhythmic 1 . Materials and Methods
contration correspondingly, and paroxysmal interference mode (1) Experimental Animals and Method of Choledochus
can be observed on the electromyogram . Blockage
(3) Outgoing-qi in Control of the Triggering Effect Thirty-two male and female rabbits with a mean body
The effect triggered through emission of outgoing-qi can weight of 2 .53 + 0 .47 kg were divided randomly into three
be controlled by the therapist though it can not be controlled groups: qigong-acupuncture group (A), acupuncture group
by the patient himself . Once the therapist stops emission of qi, (B) and control group (C) . All the rabbits were anesthetized
the contracting movements of the muscles will disappear . intravenously with urethane ( lg / 1kg body weight ) after be-
The mechanism of the dynamic effect triggered by outgo- ing starved for 14 - 20 hours .
ing-qi awaits for further studies . An incision was made in the middle of the upper abdomen
(Participants : Bi Yongsheng, Cao Zhenhua, Zhao Luming to expose the choledochus and the Oddi' s sphincter, with no
and Zhang Liancai) injury to the, blood vessels and nerves . An oblique incision 1 em
-462- -463--
away from the Oddi's sphincter was made on the choledochus . electromyograph (Type JD-2) with the parameters vi : iizt .; ,~r
A plastic tube 2mm in diameter, which had been soaked in ad- ence inhibition ratio 49 .5, frequency range 2-2UUU HL, a1.u i]
hesive 5.02, was inserted into the choledochus . The tube ad- sitivity lmv/ cm . When the electric signal had been an~li xtse a
hered with the surrounding tissues immediately . The residual a, post-amplifier of polygraph (Type SJ-41 ) was inputted t,,
end of the tube was cut off and the tube was clipped tightly record the myoelectricity. The standard voltage of the amplifier
with hemostatic forceps so that the opening' of the tube can be was 0 .2 my / 10-20mm ; the paper speed was 2 .5mm / or
sealed by the adhesive to prevent the outflowing of bile . 5mm / s . ,
After the choledochus had been blocked for 2 .5 5 hours, (3) Division of Groups and Methods
the upper part of the choledochus above the blockage thick- Group A : This group included 12 experimental rabbits,
ened and congested obviously . The choledochal pressure of the Filiform needles were inserted into the point Zusanli (St 30) of
25 rabbits in Group A was 2 .35 + 0 .24 kPa ( 21 .44 + 2 .42 both legs and was left still (with no stwisting or lifting and
cm / water column ). This was significantly higher than that of thrusting manipulations) for 10 minutes . Then dragon- mouth
the common rabbits, which was usually 690 - 1470 Pa' (7 -15 hand gesture and pushing, pulling and rotating manipulations
cm / water column ), indicating that the choledochuses of rab- were taken to emit qi, with the hand 3-5mm off the needles,
bits of Group A were blocked and were at a state of toward the needles for 30 minutes . Then record and observa-
hypertension . tion were made for 30 minutes . The whole process took 7U
(2) Leading Electrodes and Apparatus minutes. Myoelectric frequency of the sphinter was recorded
Improved Sahli' s method was adopted . A pair a copper at :10 minutes before emission of qi ; 0-10, 10-20, and 2U-3U
coil electrodes (200 um in diameter) were placed at the Oddi' s minutes during it ; and 0-10, 10-20, and 20-30 minutes after it .
sphincter to lead myoelectricity . The indifferent electrode was Group B: This group had 10 experimental rabbits as con-
placed subcutaneously at the left abdomen . As the sphincter of trols, which got only acupuncture as mentioned in Group A
the rabbit was stable when the peritoneal temperature was at without outgoing-qi . Myoelectric frequency was observed and
38 .3 + 0 .9'C an operating light (60'W ) was put above the ab- recorded once every 10 minutes for altogether 70 minutes .
dominal cavity and two common lights ( 15 W ) were put below Group C: This group was taken as the common control,
it . The peritoneal temperature was then increased to 38 .7 with 10 rabbits. No stimulation (acupuncture, outgoing-y, .+
0.48'C . Before the experiment, some saline water (38t) was etc .) was given yet the same observation and record a, it
dropped onto the tissue to moisten it . The abdomen was cut tioned above were made .
open to get ready for the experiment . 2. Results
The electric signal was put into the Y-axil amplifier of the Myoelectric frequency was recorded for 70 minute, after
-464- _40 j__ .


the choledochus was blocked for more than one and half hours channels . Our study was made on the basis of the marked
when the ' myoelectricity got stable . Analysis of the 32 achievements in the authors' clinical application of qigong-
electromyograms revealed two wave types : single wave poten- acupuncture to treatment of liver and gallbladder diseases .
tial, and multi-continuous wave potential with resting In our study, observation was made on the effect of outgo-
intervals . The wave amplitude was ranged 0 .02-1 . I OmV . With ing-qi which was emitted to the needles inserted into the two
the myoelectric frequency as the indicator, the results showed a Zusanli (St 36) points of the rabbits, taking the myoelectric ac-
significant difference in Group A between the periods of 10-30 tivity of the Oddi's sphincter, which was artificially blocked in
minutes during emission of qi and 30 minutes after it and the order to give high tension to the gallbladder, as the
period 30 minutes prior to it (p<0 .05 ; p<0 .01) . No statistical indicator .The results showed that ten minutes after the begin-
difference was found in Group B and C . The stimulation of ning of qi emission toward the needles, the myoelectric fre-
outgoing-qi to the sphincter , via the needles and further the quency of the Oddi' s sphincter slowed down markedly (p <
points and channels relieved the tension of the sphincter and 0 .05), and after 20 - 30 minutes, it slowed down most
reduced the myoelectric frequency (Table 4) . significantly (p < 0 .01) . Such effect was also observed half an
hour after emission of qi (P < 0 .05) . This shows that
Table 4 Effect of Outgoing-qi on the Needles and Its
Subsequent Influence on the Myoelectric Frequency of
outgoing-qi can reduce the tension of the gallbladder, and the
needle (filiform) can transmit outgoing-qi via the points and
Oddi's Sphincter
Myoelectric Frequency (Time/ 10m) x SD
channels to the Oddi' s sphincter. As the reduction of tension
croup of the sphincter is helpful to discharge of bile and gallstones
10min Before During Emission of Qi After Emission of Qi
and alleivation of pain and gallbladder inflammation, the re-
Emission of
Qi 0-10min 10-20min 20-30min 0-10min 10-20min 20-30min
sults gained in our study have provided experimental base for

A 55 .2±108 .4 29 .6 17 .7 ± 22 .4 26 .5 ± 32 .3 28 .2±31 .4 43 .2±50.5 treatment of diseases with qigong-acupuncture .

( n = 10) 92 .7 ± 63 .4 (9>0.05) (p<0.05) (p<0 .01) (p<0.05) (p<0 .05) (P<0.05) (Participants : Zhang Shiping, Cao Zhenhua and Bi
B 93 .4±85 .4 91 .6 102 .6±81 .3 102 .2±79 .4 104 .3±84 .6 106 .3±82 .1
.0±80 Yongsheng)
( n=12) 124.4±73 .7 (p>0 .05) (p>0 .05) (p>0 .05) (p>0 .05) (p>0.05) (p>0 .05)
C .85 80 .8±63 .5
81 .6±61 80.9±66 .4 78.4±63 .8 76 .6±61 .7 76 .6±61 .7

( n=10) 82 .5±65 .2 (p>0 .05) (p > 0 .05) (p > 0.05) (p > 0 .05) (p>0.05) (p>0 .05)

3. Discussion
There have been no reports about the physiological effect
induced by outgoing -qi conducted via the needles, points and
I
4C
-466-