Healthcare Chinese Chinese Auricular Auricular Acupuncture C Second Edition h i n Acupuncture Chinese Auricular Acupuncture provides students and practi- e s tioners with a clear, concise, and user-friendly manual on ear e acupuncture. It reduces the need for memorization by presenting A a method of ear acupuncture that is in keeping with the underpin- u r nings of traditional Chinese medicine. i c Second Edition Various ear modalities—such as needles, press tacks, seeds—are u discussed. The book also incorporates actual cases from clinical l a practice to illustrate the clinical applicability of specific modalities r and ear acupuncture points. A c The book can be independently studied and easily used to treat u various diseases. A section on ear diagnosis allows readers to p supplement their assessment of the pulse, tongue, and hara, thus u n improving their ability to differentiate the functional basis of imbal- c ance and illness. t u This edition includes five new chapters on the multiple use of r auricular points, prescriptionology practice, common ear questions, e new research, and ethical issues. Detailed tables and photographs serve as clear aids to understanding. Also included is an extensive and updated bibliography. The greatest strength of this book is its user friendliness, which S e allows both the beginning student and the experienced practitioner c to successfully apply auricular medicine in the treatment of their o n patients in a caring, relatively noninvasive, and effective manner. d E d i t i o n K16847 ISBN: 978-1-4665-7946-0 90000 9 781466 579460 Chinese Auricular Acupuncture Second Edition Chinese Auricular Acupuncture Second Edition SOUTHWEST ACUPUNCTURE COLLEGE SANTA FE, NEW MEXICO, USA Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business Cover design by Skya Abbate and Roberta McGrew. Buddha artwork by Anthony Abbate. CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2015 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20150317 International Standard Book Number-13: 978-1-4665-7947-7 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guide- lines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. 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Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com To all students who study acupuncture—remember the power of the ear to hear, listen, and to heal your patient. vii Contents Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xix Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxi About the Author . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxiii 1 The Ear: An Ancient Microsystem with Modern Applications . . . 1 Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Anatomy and Physiology of the Ear . . . . . . . . . . . . . . . . . . . . . . 4 The Clinical Utility of the Ear for Diagnosis, Prognosis, Treatment, and Prevention of Disease . . . . . . . . . . . . . . . . . . . . 6 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2 The Anatomical Terminology of Auricular Medicine . . . . . . . . 13 Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Framework of the Ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 21 Anatomical Structures . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Anterior Aspect of the Ear . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Helix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Antihelix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Conchas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Tragus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Posterior Aspect of the Ear . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 3 The Location of 100 Common Ear Points . . . . . . . . . . . . . . . . . 19 Objective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 10 Points of the Triangular Fossa (G): Points That Relate to Nervous and Hormonal Regulation and the Pelvic Organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Location Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Locating the Borders of the Triangular Fossa . . . . . . . . 32 viii 10 Points of the Lobe (P): Points of the Head and Face . . . . . . 34 Location Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Dividing the Lobe into Sectors . . . . . . . . . . . . . . . . . . . . . 34 5 Points of the Tragus (J): Points That Pertain to Hormonal Regulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Location Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 9 Points of the Scaphoid Fossa (O): Points of the Upper Limb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Location Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 13 Points of the Cavum Concha (H): Organs of the Thoracic Region . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 8 Points of the Cymba Concha (I): The Abdominal Organ Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Location Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 9 Points of the Helix (A) and the Crus of the Helix (B): Assorted Points and Points of the Lower Portion of the Body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 11 Points of the Antitragus (M) and Intertragic Notch Area (L): Points of the Head and Brain Regions . . . . . . 43 Points of the Antihelix (C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 5 Points of the Superior Antihelix Crus (D): Points of the Lower Limb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Location Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 3 Points of the Inferior Antihelix Crus (E): Points of the Lower Limb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 10 Points of the Lower Antihelix Crus (F): Thoracic Cavity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Location Tip 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Location Tip 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 7 Points on the Back of the Ear (U): Vagus Nerve, Blood Pressure, Back Pain, and Brain Function . . . . . . . . . . . . . . . . 47 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 4 The Clinical Energetics of the Ear Points . . . . . . . . . . . . . . . . . 51 Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Points of the Triangular Fossa . . . . . . . . . . . . . . . . . . . . . . . . . .54 Points of the Lobe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Points of the Tragus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Points of the Scaphoid Fossa . . . . . . . . . . . . . . . . . . . . . . . . . . . 59