Depression 2017

DEPRESSION
• NOTE:
• It is vital to take incredible care when treating severely depressed patient’s,
particularly if they are suicidal.
• Don’t use strong acupuncture methods/techniques; rather take your time
and build their Xu slowly. If they are Shi or Stagnant, also treat them
gradually.
• Almost definitely consider some other therapies to support the acupuncture
treatments. This could be a regular counsellor, herbal formulas, and
home/work life strategies.
David Hartmann - dahartmann8@gmail.com; chinesemedicinehistoryandphilosophy.blogspot.com.au
2

CASE STUDY 1
• Male – late teens.
• Key complaints:
• Severe suicidal depression. Suicide was going to be jumping in front of a
train.
• Insomnia – woke anywhere from 10-50 times per night and/or nightmares.
• Bad upbringing – was very poor. No father, no solid girlfriend relationship, no
friends, bad grades at school, was bullied all the time, had no idea why he
was even on the Earth – what was his purpose/point?
• Worked for the Dole.
• Bad diet – mostly toast and butter or toast and tomato paste.
3

CASE STUDY 1
• Diagnosis – Liver Xue Xu and mild Heart Xue Xu
• Given twelve weekly treatments with typical points:
• Liver channel – LR 3, LR 8, LR 14.
• Heart channel – HT 3, HT 5, HT 7.
• Pericardium channel – PC 6, PC 7.
• Urinary Bladder channel – BL 15, BL 17, BL 18, BL 20.
• Gall Bladder channel – GB 24, GB 40.
• Du Mai – GV 20.
• Ren Mai – CV 4, CV 14, CV 15, CV 17.
• Extra points – Yin Tang.
4

CASE STUDY 1
• Outcome of treatment:
• Significantly happier.
• Not suicidal anymore.
• Started studying and loved his new career pathway.
• Was free of thoughts of suicide for about 12 years. He is also case study 2.
5

CASE STUDY 2
• Male – early 30’s
• Key features:
• Severely depressed/suicidal. Hadn’t considered acupuncture again for his
depression. Preferred suicide option was driving off a perfectly good hill.
• Insomnia – was the same as it had been in his teens. Insomnia had never
gone away completely. Didn’t have a clock in the room anymore because
he was sick of seeing the time tick by.
• Had a wife and two kids (third one on the way).
• Alcoholic – but was in the middle of a 500 day cleanse. Went to AA. Didn’t
feel it helped. Just made him want to drink more.
6

CASE STUDY 2
• Diagnosis – Liver Yang Rising and mild Heart Xue Xu
• Given fifteen treatments over a six month period with typical points:
• Liver channel – LR 2, LR 3, LR 8, LR 14.
• Heart channel – HT 3, HT 5, HT 7.
• Urinary Bladder channel – BL 15, BL 17, BL 18, BL 20.
• Gall Bladder channel – GB 24, GB 34, GB 40.
• Du Mai – GV 8, GV 20.
• Ren Mai – CV 4, CV 14, CV 15, CV 17.
7

CASE STUDY 2
• Outcome of treatment:
• Significantly happier.
• Not suicidal anymore.
• Started re-engaging with his family again.
• Got right into fitness and sport which made him feel happier still.
• Has been free of thoughts of suicide for ten years now.
8

NOT DISCUSSING
• Anti-depressants (Western) – Maciocia (2009) – pp. 407-416.
• Anti-depressants (Natural).
• Counselling/Psychology/Psychiatry.
• Home life strategies.
• Work life strategies.
• Leisure life strategies.
• Classical text views.
• Philosophical views.
9

FAST FACTS – STATISTICS
• Nationally:
• 1.9% of Australian deaths in 2015 were from suicide – equals nearly 3500
deaths*
• That equates to one suicide every three hours in Australia. Put another way
its 12.6 deaths per 100 000 people*
• Internationally:
• Over 1 million suicides on our planet every year, or 1.8% of total deaths**
• That equates to one suicide every 40 seconds, or 16 deaths per 100 000
people**
* http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/3303.0~2015~Main%20Features~Intentional%20self-
harm:%20key%20characteristics~8
** http://www.suicide.org/international-suicide-statistics.html
10

STRATEGIES/THEMES
Main Organs Affected/Patterns/Treatment Figure Eight Treatment
Back Shu and Wu Shen/Five Spirits Points San Jiao/Zang Fu Balance
Kidney Spirit Gate Points Sun Si Miao Ghost Points
Qi Jing Ba Mai – Eight Extraordinary Vessels Individual Points
11

MAIN ORGANS AFFECTED
• Typically the main organs (and their Wu Shen) affected with depression are
the Yin organs, namely:
• Liver and Hun.
• Heart and Shen.
• Spleen and Yi.
• Lungs and Po.
• Kidneys and Zhi.
12

MAIN ORGANS AFFECTED
• Diseases of more than one organ are likely to lead to depression that is more
chronic and more difficult to treat. These combined patterns wont be
discussed in this workshop.
• Its also worth noting that depression can create additional diseases in the
body or diseases can create depression.
13

QUICK REVIEW
• Before we get to each of the organs that are affected by depression we
need to review a couple of other concepts over coming slides. These are:
• Back Shu and Wu Shen points on the Urinary Bladder channel.
• Spirit Gate points on the Kidney channel.
14

BACK SHU & WU SHEN POINTS
• The Back Shu points are considered the best points on the back of the body
to treat the internal organs. For example, Shen Shu (BL 23) is the Back Shu
point of the Kidneys. Therefore, it’s the best point on the back of the body to
treat the Kidneys, as well as everything related to the Kidneys in TCM,
including the emotions.
• The Wu Shen points on the Urinary Bladder channel are outside the Back Shu
points. They are considered the best points on the back of the body to treat
the spirit that is associated with their related organ. For example, Gan Shu
(BL 18) is the Back Shu point of the Liver, and outside it is Hun Men (BL 47).
Hun Men is therefore considered the best point on the back of the body to
regulate the Hun spirit.
15

KIDNEY SPIRIT GATE POINTS
• The Kidney Spirit Gate points (KI 22-KI 27) are a collection of points on the
Kidney channel (KI 22-KI 27) that treat the Wu Shen (Five Spirits) – Hicks, Hicks,
& Mole (2004), pp. 286, 313; Kaatz (2009), pp. 208-211.
• Whilst there is debate over whether these points actually do the task I have
assigned them, I truly believe in their effects on the Heart Shen, the Wu Shen
and all the emotions, including depression.
• Each of the Spirit Gate points will by default treat the Kidneys (they are all on
the Kidney channel) and the Heart Shen (local points). They will also have a
separate connection with another Wu Shen. See next slide.
16

KIDNEY SPIRIT GATE POINTS
Kidney Spirit Gate Points Treats
Bu Lang (KI 22) – Verandah/Corridor Walk Water and Fire Elements
Shen Feng (KI 23) – Spirit Seal Earth Element
Ling Xu (KI 24) – Spirit Burial Ground Metal Element
Shen Cang (KI 25) – Spirit Storehouse Fire Element
Yu Zhong (KI 26) – Lively Centre Wood Element
Shu Fu (KI 27) – Palace Treasury Transporter Water and Metal Elements
17

LIVER AND HUN
• Liver – cyclical depression with predominant emotions of anger, frustration,
feeling overwhelmed, stressed*
• Patients are unlikely to say they are depressed and instead will use phrases
such as ‘feeling a little off today’ or ‘I’m just not in the mood to do anything’,
or ‘just not in the groove’, or ‘I’m just not with it’, or ‘I don’t feel quite right’.
• However, if they recognise this as depression they will tell you. Can be
severe.
• May use alcohol to stabilise their mood after a hard days work. This could
build up to significant amounts over the years.
• The Hun may get involved – see subsequent pages.
* Maciocia (2009), p. 358.
18

LIVER HUN
• The Hun is our creative, artistic, poetic, imaginative soul.
• Up here (Hun) anything is possible therefore dream your grandest dreams.
• Be playful, fun, energetic, and inspired.
• The Hun is also where we plan, process, filter, discriminate, organise, set
goals, and prepare for action*
* Maciocia (2009), p. 353.
19

LIVER HUN
• The Hun can become Shi or Xu as a result of (or resulting in) Liver imbalances:
• Hun Shi – the person will spend too much time coming up with new ideas
and so wont get anything done.
• Hun Xu – the person will be unable to dream and so they plan every single
aspect of their lives. No longer will they be spontaneous; everything is
structured.
20

LIVER PATTERNS & TREATMENT
• The typical patterns of disharmony with Liver depression are:
• Liver Xue Xu.
• Liver Yin Xu.
• Liver Yang Rising.
• Liver Qi Stagnation.
• Liver Qi Stagnation turning into Heat.
• Liver Fire Blazing.
• Maciocia (2009), pp. 357-378.
• Schnyer & Allen (2001), pp. 88-89.
• Ross (1995), pp. 437-441.
21

LIVER DEPRESSION TREATMENT
• A standard Liver depression
treatment will differ depending on
whether you are working on
patterns that are predominantly Shi,
Xu, Shi on Xu, or Stagnant.
• As a general rule the following
points can be used as a primary list
regardless of the pattern. The
practitioner can then select
additional points depending on the
presenting pattern and remove any
of perceived lesser value.
• Head – Bai Hui (GV 20).
• Trunk (Front) – Yu Zhong (KI 26).
• Trunk (Front) – Shan Zhong (CV 17).
• Trunk (Front) – Qi Men (LR 14).
• Trunk (Back) – Gan Shu (BL 18).
• Trunk (Back) – Hun Men (BL 47).
• Hands – Shen Men (HT 7).
• Feet – Qiu Xu (GB 40).
• Feet – Tai Chong (LR 3).
22

HEART AND SHEN
• Heart – any type of depression can result from Heart and/or Heart Shen
imbalances.
• Typically Heart depression will straddle anxiety and insomnia; other emotions
may also be present*
• Likely to use stimulants/uppers/gambling to keep them away from
depression, but of course there is a catch because too many stimulants will
negatively impact on their sleep. Unlikely to use alcohol unless its just a few
drinks to give them a surge.
• May surprise everyone by committing suicide because we had always
visualised them as the life of the party (happy-go-lucky individuals).
• The Shen may get involved – see subsequent pages.
* Maciocia (2009), p. 353.
23

HEART SHEN
• In a basic sense the Shen is our:
• Memory – short-term and long-term.
• Consciousness – semi-conscious, unconscious.
• Sleep – insomnia, narcolepsy, dreaming/nightmares.
• Emotions – all of them; not just Joy.
• Hun – Ethereal/Heavenly Soul.
• Po – Corporeal/Grounded Soul.
• Yi – Thought.
• Zhi – Willpower.
24

HEART PATTERNS & TREATMENT
• The typical patterns of disharmony with Heart depression are:
• Heart Qi Xu.
• Heart Xue Xu.
• Heart Yin Xu.
• Heart Fire Blazing.
• Phlegm Heat harassing the Heart Shen.
• Xue Stasis affecting the Heart Shen.
• Heart Qi Stagnation.
• Maciocia (2009), pp. 357-378.
• Schnyer & Allen (2001), pp. 88-89.
• Ross (1995), pp. 437-441.
25

HEART DEPRESSION TREATMENT
• A standard Heart (or Heart Shen)
depression treatment will differ
depending on whether you are
working on patterns that are
predominantly Shi, Xu, or Stagnant.
• Trunk (Front) – Shen Cang (KI 25).
• Trunk (Front) – Bu Lang (KI 22).
• Trunk (Front) – Ju Que (CV 14).
• Trunk (Back) – Xin Shu (BL 15).
• Trunk (Back) – Shen Tang (BL 44).
• Arms – Zhi Zheng (SI 7).
• Arms – Shao Hai (HT 3).
26

SPLEEN AND YI
• Spleen – when we are healthy we live in the present. However when the
Spleen becomes Xu we tend to live in the past and when it is Shi we live in
the future.
• Breaking away from the present can leave us not just reflective, but also
worried, pensive, and broody in our daily lives*. We have lost the whole point
of the present being a ‘present!’
• Our Spleen loves to feel valued and important but to do that we need to be
present. By spending too much time away from daily activities we get a
disconnect with those around us, and this is what creates the depression.
• The Yi may get involved – see subsequent pages.
* Maciocia (2009), p. 354.
27

SPLEEN YI
• In a basic sense the Yi is our:
• Thought – ability to study, concentrate, memorise, and recall learnt facts via
clear, fast and accurate thinking.
• Intellect – Post-Heaven (but some Pre-Heaven).
• Balance/pivot between the Hun and Po.
• Balance/pivot between the Shen and Zhi.
• Our dreams becoming our reality.
• So to close, I’m basically saying that the Yi operates in the middle of the
‘Known’ and ‘Unknown’, but regardless it uses the knowledge of all the Wu
Shen to create a system of connection and balance.
28

SPLEEN PATTERNS & TREATMENT
• The typical patterns of disharmony with Spleen depression are:
• Spleen Qi Xu.
• Spleen Yang Xu.
• Spleen Xu with Damp Accumulation.
• Maciocia (2009), pp. 357-378.
• Schnyer & Allen (2001), pp. 88-89.
• Ross (1995), pp. 437-441.
29

SPLEEN DEPRESSION TREATMENT
• A standard Spleen depression
patterns that are predominantly Xu,
Shi on Xu, or Stagnant.
• Trunk (Front) – Shen Feng (KI 23).
• Trunk (Front) – Da Bao (SP 21).
• Trunk (Back) – Pi Shu (BL 20).
• Trunk (Back) – Yi She (BL 49).
• Legs – Zu San Li (ST 36).
• Legs – San Yin Jiao (SP 6).
30

LUNGS AND PO
• Lungs – this is a distinct depression. The patient knows about it and the
likelihood is that the people around them will also know about it.
• It is severe grief/sadness/depression; what I call ‘Pit’ depression. They are in it,
they know what it is, and they will likely tell you all about it.
• The problem is that plenty of these people wont tell you and hide their true
feelings. If they do commit suicide it comes as a shock to everyone.
• Worry may be present, as well as suicidal thoughts/planning*
• They are unlikely to be addicted to anything and will tend to retreat away
from the world and sit in their ‘Pit’.
• The Po may get involved – see subsequent pages.
* Maciocia (2009), p. 354.
31

LUNG PO
• The Po is our action, forward movement, and unlimited applied force. It
ensures that the dreams from the Hun become reality. But this requires
systems, patterns, habits, goals, and processes to ensure success, which is
what the Po thrives on.
• Down here (Po) any dream can become reality. Stay focused, committed,
and driven.
• So whilst the Po is your ‘doing-big’ soul, also practice the art of ‘being-big’
too. After all we are human beings not human doings. This art of just ‘being’
is called Wu Wei.
32

LUNG PO
• The Po can become Shi or Xu as a result of (or resulting in) Lung imbalances:
• Po Shi – the person will be unable to dream and so they plan every single
aspect of their lives. No longer will they be spontaneous; everything is
structured.
• Po Xu – the person will spend too much time coming up with new ideas and
so wont get anything done. As a side note, this dreaming can be dangerous
because they turn these dreams into planning/imagining out their suicide.
33

LUNG PATTERNS & TREATMENT
• The typical patterns of disharmony with Lung depression are:
• Lung Qi Xu.
• Lung Yin Xu with False/Empty Heat.
• Lung Qi Stagnation.
• Maciocia (2009), pp. 357-378.
• Schnyer & Allen (2001), pp. 88-89.
• Ross (1995), pp. 437-441.
34

LUNG DEPRESSION TREATMENT
• A standard Lung depression
patterns that are predominantly Xu,
Shi on Xu, or Stagnant.
• Trunk (Front) – Shu Fu (KI 27).
• Trunk (Front) – Ling Xu (KI 24).
• Trunk (Front) – Zhong Fu (LU 1).
• Trunk (Back) – Fei Shu (BL 13).
• Trunk (Back) – Po Hu (BL 42).
• Arms – Tian Fu (LU 3).
• Hands – Tai Yuan (LU 9).
35

KIDNEYS AND ZHI
• Kidney – this type of depression is almost an emotional after-thought. It
comes as a direct result of the breakdown of the Kidneys driving forces.
These are our willpower, drive, determination, enthusiasm, and initiative.
When these forces aren’t stimulated we can ‘give up’ on life. This can lead
to a severe Xu depression*
• Alternatively, the patient starts out as depressed and this eventually leads to
a Kidney Xu which further damages the depression because the patient now
has issues with willpower, drive, determination, enthusiasm, and initiative.
• The Zhi may get involved – see subsequent pages.
* Maciocia (2009), p. 353.
36

KIDNEY ZHI
• In a basic sense the Zhi is our:
• Willpower.
• Pre-Heaven Intellect.
• Instinctual Power*
• Courage*
* Dechar (2006), p. 273.
37

KIDNEY PATTERNS & TREATMENT
• The typical patterns of disharmony with Kidney depression are:
• Kidney Qi Xu.
• Kidney Yang Xu.
• Kidney Yin Xu with False/Empty Heat.
• Maciocia (2009), pp. 357-378.
• Schnyer & Allen (2001), pp. 88-89.
• Ross (1995), pp. 437-441.
38

KIDNEY DEPRESSION TREATMENT
• A standard Kidney depression
whether you are working on patterns
that are predominantly Xu, Stagnant, or
Xu with False/Empty.
• As a general rule the following points
can be used as a primary list regardless
of the pattern. The practitioner can
then select additional points
depending on the presenting pattern
and remove any of perceived lesser
value.
• Trunk (Front) – Shu Fu (KI 27).
• Trunk (Front) – Bu Lang (KI 22).
• Trunk (Front) – Qi Hai (CV 6).
• Trunk (Front) – Guan Yuan (CV 4).
• Trunk (Back) – Shen Shu (BL 23).
• Trunk (Back) – Zhi Shi (BL 52).
• Feet – Tai Xi (KI 3).
• Feet – Yong Quan (KI 1).
39

QI JING BA MAI
• The Qi Jing Ba Mai, or, Eight Extraordinary Vessels:
• Strengthen the association among the Jing Luo channels and collaterals.
• Control, join, store, and regulate the Vital Substances (Qi, Xue, Jin Ye, and Jing) of
each channel.
• “The Eight Extraordinary Vessels [Qi Jing Ba Mai] absorb overflows from the Main
channels” Maciocia (2006), p. 376.
• Start in the Dan Tian so have access to our original source energy.
40

QI JING BA MAI
• When should we consider using them?
• Shen – mental and emotional problems – our focus!
• Problems of more than one of the twelve main channels.
• Complicated or chronic conditions.
• Neurological (nervous system) conditions.
• Elite athletic/sports performance.
• NOTE: All Qi Jing Ba Mai pictures are courtesy of Elsevier Churchill Livingstone.
41

REN MAI
42

REN MAI
• Opening point = Lie Que (LU 7).
• Coupled point = Zhao Hai (KI 6).
• Guan Yuan (CV 4)*
• Ju Que (CV 14).
• Jiu Wei (CV 15)*
• Shan Zhong (CV 17).
• As a general rule, the Ren Mai works in a more nourishing way so its best used
for Xu or Shi on Xu depression patterns.
* Maciocia (2009), p. 384.
43

DU MAI
44

DU MAI
• Opening point = Hou Xi (SI 3).
• Coupled point = Shen Mai (BL 62).
• Ming Men (GV 4)*
• Shen Dao (GV 11)*
• Feng Fu (GV 16)*
• Bai Hui (GV 20)*
• Shang Xing (GV 23)*
• As a general rule, the Du Mai works in a more aggressive and explosive
manner so its better for Shi or Stagnant depression patterns.
* Maciocia (2009), pp. 383-384.
45

CHONG MAI
46

CHONG MAI
• Opening point = Gong Sun (SP 4).
• Coupled point = Nei Guan (PC 6).
• Da He (KI 12)*
• Zhong Zhu (KI 15)**
• You Men (KI 21)**
• Kidney Spirit Gate Points – KI 22-KI 27*
• As a general rule, the Chong Mai works in a more nourishing way so its best used for
Xu or Shi on Xu depression patterns.
• Its also the channel/vessel of choice for genetic depression.
* Twicken (2013), pp. 45-62.
** Kaatz (2005), pp. 89-105.
47

DAI MAI
48

DAI MAI
• Opening point = Zu Lin Qi (GB 41).
• Coupled point = Wai Guan (TE 5).
• Shen Shu (BL 23)*
• Zhang Men (LR 13)*
• Wei Dao (GB 28)*
• As a general rule, the Dai Mai works at breaking through blocks of stagnation
so its obviously better for Stagnant depression patterns.
* Kaatz (2005), pp. 107-113.
49

YANG QIAO MAI
50

YANG QIAO MAI
• Opening point = Shen Mai (BL 62).
• Coupled point = Hou Xi (SI 3).
• Pu Can (BL 61)*
• Jian Yu (LI 15)**
• Feng Chi (GB 20)*
• Jing Ming (BL 1)*
• As a general rule, the Yang Qiao Mai works in a more aggressive and explosive
manner so its better for Shi or Stagnant depression patterns.
• The Yang Qiao Mai is affected by how we are in our external environment/world.
How do we carry ourselves in everyday relationships with those around us?
* Twicken (2013), pp. 119-130.
** Kaatz (2005), pp. 115-129.
51

YIN QIAO MAI
52

YIN QIAO MAI
• Opening point = Zhao Hai (KI 6).
• Coupled point = Lie Que (LU 7).
• Ran Gu (KI 2)*
• Que Pen (ST 12)**
• Jing Ming (BL 1)*
• As a general rule, the Yin Qiao Mai works in a more nourishing way so its best used
for Xu or Shi on Xu depression patterns.
• The Yin Qiao Mai is affected by how we are in our internal environment/world. How
do we view ourselves on a day-to-day basis?*
* Twicken (2013), pp. 119-121, 131-135.
** Kaatz (2005), pp. 115, 130-135.
53

YANG WEI MAI
54

YANG WEI MAI
• Opening point = Wai Guan (TE 5).
• Coupled point = Zu Lin Qi (GB 41).
• Jin Men (BL 63)*
• Yang Jiao (GB 35)**
• Ben Shen (GB 13)**
• Tou Lin Qi (GB 15)*
• Cheng Ling (GB 18)*
• Feng Fu (GV 16)*
* Twicken (2013), pp. 97-111.
** Kaatz (2005), pp. 137-153.
• As a general rule, the Yang Wei Mai
works in a more aggressive and
explosive manner so its better for Shi
or Stagnant depression patterns.
• The Yang Wei Mai is affected by
how much time we stay in the
present and/or in the future. If we
spend too much time in the future
and this is leading to depression
then consider using this vessel*
55

YIN WEI MAI
56

YIN WEI MAI
• Opening point = Nei Guan (PC 6).
• Coupled point = Gong Sun (SP 4).
• Zhu Bin (KI 9)**
• Fu She (SP 13)*
• Fu Ai (SP 16)*
• Qi Men (LR 14)**
* Twicken (2013), pp. 97-100, 113-118.
** Kaatz (2005), pp. 137, 154-161.
• As a general rule, the Yin Wei Mai
works in a more nourishing way so its
best used for Xu or Shi on Xu
depression patterns.
• The Yin Wei Mai is affected by how
much time we stay in the present
and/or in the past. If we spend too
much time in the past and this is
leading to depression then consider
using this vessel*
57

FIGURE EIGHT
• The key design for this point combination is to balance the Wu Shen (Five
Spirits) and their associated Wu Xing (Five Element) emotions. They are:
• Hun = Ethereal/Heavenly Soul.
• Shen = Spirit.
• Yi = Thought/Post-Heaven Intellect.
• Po = Corporeal/Grounded/Earthly Soul.
• Zhi = Willpower/Pre-Heaven Intellect.
58

FIGURE EIGHT TREATMENT
• This method is particularly good if the depression is resulting from multiple
organ patterns.
• Is also an effective method if depression isn’t the only emotion the patient is
battling with.
• This helps to provide the body with strength in all areas. This should strip away
the new/acute manifestations and emotions thereby allowing the more
chronic issues to show themselves more clearly.
59

FIGURE EIGHT
• The idea here is to essentially reset a patient’s Wu Shen, thereby bringing all
five of our spirits back into alignment.
• This a crucial concept to grasp – that is, we ALL tend to have an imbalance
in our Wu Shen. This occurs because of how we live our life and how that
gears in with Universal Qi.
• What I mean is this: as we live our daily lives we tend to get pulled and
pushed in different directions and its how we react to these that defines who
we are. This definition will invariably drive some of our spirits into Shi and some
into Xu.
60

FIGURE EIGHT
• The top represents Fire.
• The bottom represents Water.
• The middle represents Earth.
• The right represents Metal.
• The left represents Wood.
• Maciocia (2015), p. 23.
61

FIGURE EIGHT
• The top being Fire is Shen.
• The bottom being Water is Zhi.
• The middle being Earth is Yi.
• Metal is Yin (Blue) so its represented here as top
right and bottom left, which is Po.
• Wood is Yang (Red) so its represented here as top
left and bottom right, which is Hun.
• https://au.pinterest.com/naiaramt/yang-ying/
62

FIGURE EIGHT
• In addition, more balance can be created using
links between each of the Wu Shen.
• These are located
• https://au.pinterest.com/naiaramt/yang-ying/
63

FIGURE EIGHT
Point Name Wu Shen Reference
Bai Hui (GV 20) Fire Shen Deadman et al (2007), p. 552.
Shan Zhong (CV 17) Pivot between Shen, Yi, Po, and Hun Ross (1995), pp. 140-141.
Da Bao (SP 21) Pivot between all Wu Shen Kaatz (2005), p. 390.
Zhong Wan (CV 12) Earth Yi Maciocia (2009), p. 273.
Shi Men (CV 5) Pivot between Zhi, Yi, Po, and Hun Kaatz (2005), p. 38.
Tian Fu (LU 3) Metal Po Maciocia (2009), pp. 245-247.
He Gu (LI 4) Metal Po – links Hun & Po via ‘Four Gates’ Maciocia (2009), pp. 247-248.
Qiu Xu (GB 40) Wood Hun Maciocia (2009), pp. 270-271.
Tai Chong (LR 3) Wood Hun – links Hun & Po via ‘Four Gates’ Maciocia (2009), pp. 271-272.
Yong Quan (KI 1) Water Zhi Kaatz (2005), p. 516.
64

SAN JIAO/ZANG FU BALANCE
• Similar to the ‘Figure Eight’ treatment just discussed, this method is
particularly good if the depression is resulting from multiple organ patterns.
• Is also an effective method if depression isn’t the only emotion the patient is
battling with. For example, they may be battling with depression, anxiety,
and phobia’s.
• This method helps to provide the body with strength in all areas. This should
strip away the new/acute manifestations and emotions thereby allowing the
more chronic issues to show themselves more clearly.
65

Example 1 – front of the body San Jiao/Zang Fu Balance – 14 needles
Guan Yuan (CV 4) Lower Jiao and Xue/Yin Maciocia (2015), p. 1132.
Qi Hai (CV 6) Lower/Middle Jiao and Qi/Yang Maciocia (2015), p. 1134.
Zhong Wan (CV 12) Middle Jiao and Qi/Yang Deadman et al (2007), pp. 511-512.
Ju Que (CV 14) Middle/Upper Jiao and Qi/Xue Maciocia (2015), p. 1141.
Shan Zhong (CV 17) Upper Jiao and Qi/Yang Deadman et al (2007), pp. 517-519.
Xuan Ji (CV 21) Descends into all the San Jiao Deadman et al (2007), p. 521.
Yang Chi (TE 4) Balances all the San Jiao Maciocia (2015), pp. 1090-1091.
Lie Que (LU 7) Opens the Ren Mai – for San Jiao Deadman et al (2007), pp. 83-85.
Zu San Li (ST 36) Balances all the San Jiao Deadman et al (2007), pp. 158-161.
San Yin Jiao (SP 6) Lower/Middle Jiao and Qi/Xue Ellis et al (1991), pp. 151-152.
66

Example 2 – back of the body San Jiao/Zang Fu Balance – 16 needles
Fei Shu (BL 13) – right only Upper Jiao plus Qi/Yang Maciocia (2015), p. 1034.
Xin Shu (BL 15) – left only Upper Jiao plus Xue/Yin Maciocia (2015), p. 1035.
Gan Shu (BL 18) – left only Middle Jiao plus Xue/Yin Maciocia (2015), p. 1037.
Pi Shu (BL 20) – right only Middle Jiao plus Qi/Yang Maciocia (2015), p. 1039.
San Jiao Shu (BL 22) Balances all the San Jiao Deadman et al (2007), pp. 281-283.
Shen Shu (BL 23) Lower Jiao plus Yin/Yang Maciocia (2015), p. 1041.
Shen Men (HT 7) Upper Jiao plus Xue/Yin Maciocia (2015), p. 1010.
Tai Yuan (LU 9) Upper Jiao plus Qi/Yang Maciocia (2015), p. 956.
Wei Yang (BL 39) Balances all the San Jiao Deadman et al (2007), pp. 298-299.
Tai Xi (KI 3) Lower Jiao plus Yin/Yang Maciocia (2015), p. 1065.
67

SUN SI MIAO GHOST POINTS
• Were originally cited by Sun Si Miao in his text ‘Qianjin yifang – Priceless
Supplemental Formulae’ which was written around 680CE.
• He didn’t claim to have come up with the points himself, rather advised that
they were originally created by Bian Que in the 5th century BCE.
• As their name suggests, they were originally used to expel demonic invasions.
These invasions created severe emotional distress of which Dian Kuang
(manic depression) was top of the list.
• Their modern use is not limited to manic depression but also includes
“Anxiety, uncontrolled weeping, fear, fright, disorientation, delirium, seizures,
depression, hysteria and mania” Maciocia (2009), p. 515.
• Unschuld (1985), pp. 42-45.
68

• There are 13 points in total but I only consider 11 in my clinic. I don’t use CV 1
or Hai Quan (M-HN-37).
• So how do I use them?
• There are two strategies I consider when deciding what points to use:
• Point locator. Discuss.
• Tui Na. Discuss.
• I also draw up a chart with the points on them. Discuss.
• The points are listed on the next slide using their traditional Pin Yin names
rather than the modern names; in that way it differentiates them.
69

Sun Si Miao Ghost Points
Head – Gui Tang (GV 23) – Ghost Hall Arms – Gui Chen (LI 11) – Ghost Minister
Head/Neck – Gui Zhen (GV 16) – Ghost Pillow Hands – Gui Xin (PC 7) – Ghost Heart
Face – Gui Gong (GV 26) – Ghost Palace Hands – Gui Ku (PC 8) – Ghost Cave
Face – Gui Chang (ST 6) – Ghost Bed Hands – Gui Xin (LU 11) – Ghost Message
Face – Gui Shi (CV 24) – Ghost Market Feet – Gui Lu (BL 62) – Ghost Road
Face – Gui Feng (Hai Quan – M-HN-37) –
Ghost Seal
Feet – Gui Yan (SP 1) – Ghost Eye
Trunk (Front) – Gui Cang (CV 1) – Ghost Hiding Reference – Maciocia (2009), p. 515.
70

CASE STUDY 3
• Female – late 30’s
• Key complaints:
• Fear – of being alone and of being around others.
• Felt like she was getting in the way of her own attempts at a balanced
emotional state – self sabotage.
• Insomnia – very light sleeper and woke anywhere from 10-50 times per night.
• Depressed (not suicidal) – but also spiked into anger when she was
passionate about a cause.
• Lacked courage to do what had to be done.
• Had a demon (ghost).
71

CASE STUDY 3
• Demon/Ghost:
• She called it a demon.
• It had been with her since her first childhood memories.
• Could come anytime day or night – always surprised her.
• Incredible fear was attached to it.
• The demon could reappear daily or leave her alone for up to about six
months at a time. Thinking about the demon could create anxiety.
72

CASE STUDY 3
• Diagnosis:
• Heart Xue Xu, Gall Bladder Xu, and Kidney Xu
• Treatment:
• I did 6 treatments once a week over two months (she had to postpone
twice).
• Base level points were designed to nourish Heart Xue, Gall Bladder Qi, and
Kidneys.
73

CASE STUDY 3
• Typical points:
• Heart channel – HT 3, HT 5, HT 6, HT 7.
• Lung channel – LU 7, LU 9.
• Gall Bladder channel – GB 24, GB 40.
• Liver channel – LR 3, LR 14.
• Kidney channel – KI 3.
• Du Mai – GV 20, GV 24.
• Ren Mai – CV 4, CV 6, CV 14, CV 15, CV 17.
74

CASE STUDY 3
• Sun Si Miao Ghost points:
• I used them after the six treatments and altered my ‘Figure 8’ treatment.
• So I added in GV 23, LI 11, PC 7, BL 62, and SP 1 and removed GV 20, LU 3,
LI 4, GB 40, and LR 3.
• Discuss what happened that night with her demon.
75

INDIVIDUAL POINTS
Lung channel – LU 3, LU 7 Spleen channel – SP 6, SP 21
Pericardium channel – PC 6 Liver channel – LR 3, LR 4, LR 14
Heart channel – HT 3, HT 5, HT 7 Kidney channel – KI 3, KI 9, KI 22, KI 23, KI 24,
KI 25, KI 26, KI 27
Large Intestine channel – LI 4 Stomach channel – ST 8, ST 36, ST 40
San Jiao (Triple Energiser) channel – TE 3, TE 4 Gall Bladder channel – GB 13, GB 20, GB 40
Small Intestine channel – SI 7 Urinary Bladder channel – BL 15, BL 42, BL 44,
BL 47, BL 49, BL 52
Ren Mai – CV 4, CV 14, CV 15, CV 17 Du Mai – GV 4, GV 11, GV 12, GV 14, GV 16,
GV 19, GV 20, GV 23, GV 24
Extra points – Yin Tang (M-HN-3), Tai Yang (M-HN-9), An Mian (N-HN-54), Si Shen Cong (M-HN-1)
Reference – Maciocia (2009), pp. 378-386 and my own personal opinion
76

INDIVIDUAL POINTS
• Some of the more interesting/important are:
• Lie Que (LU 7) – ‘Broken Sequence’. Helps to break old patterns and habits,
in this case depression. It needs to be used with another point specific for
depression for it to be effective.
• Shao Hai (HT 3) – stimulates endorphins to make you feel happy.
• Shen Men (HT 7) – essential for every emotion based treatment. Was
included in all my depression treatments.
• Jiu Wei (CV 15) – what I call the unofficial Front Mu point of the Heart Shen.
77

INDIVIDUAL POINTS
• Shan Zhong (CV 17) – you may have noticed that this point was used in all
my depression treatments. I consider it an absolute must to balance out any
emotion.
• Da Bao (SP 21) – used for the Tian Di Ren TCM triumvirate of Heaven, Earth,
Human. It’s referred to as the ‘Great Embrace’.
• Zhong Feng (LR 4) – Helps us to re-engage with our love for self.
• Qiu Xu (GB 40) – a truly remarkable point to drive us out of the ‘Pit’ and to
bring us back into humanity again.
78

INDIVIDUAL POINTS
• Bai Hui (GV 20) – another point that I consider an absolute ‘must use’ when it
comes to treating any emotion. Was part of all my depression treatments.
• Shen Ting (GV 24) – is typically compared to Shang Xing (GV 23) for treating
Shen based emotional disorders. Both are excellent but a word of caution,
just because they are only 0.5 cun apart I wouldn’t recommend threading
the two points for depression caused by Xu patterns. Its so powerful it should
only be considered in Shi depression patients. Even then be very careful.
• Yin Tang (M-HN-3) – I almost always use this point with Bai Hui (GV 20) to
create a balance between Yin (Yin Tang) and Yang (GV 20) Shen issues.
79

SUMMARY
• If all else fails and the treatment for depression escapes you, either because
the patterns are too confusing or too many.
• Perhaps the patient isn’t giving you all the information you need to make an
informed decision?
• Maybe you don’t have a lot of time in that initial consultation because you
spent so much of it filling out the patient history form?
• Maybe you just want a nice, safe, and proven treatment combo that you
can use without having to hit the books for hours?
• Whatever your reason, on the next slide is the depression treatment you
have been waiting for.
80

DEPRESSION
• Face – Yin Tang (M-HN-3).
• Trunk (Front) – Ju Que (CV 14).
• Trunk (Back) – Po Hu (BL 42).
• Trunk (Back) – Hun Men (BL 47).
• Arms – Tian Fu (LU 3).
• Arms – Nei Guan (PC 6).
• Arms – Shao Hai (HT 3).
• Hartmann (2009), p. 136. • https://au.pinterest.com/pin/511299363915632369/
81

CONCLUDING ACTIVITY
• Everyone close your eyes and visualise Universal Qi flowing everywhere. It
could be a colour you picture or a substance. I picture white puffy clouds!
• Now come back to this room and visualise our healing medicine and the
amazing energy we have generated today in here.
• The next step is to picture this room’s energy floating out of the convention
centre and merging with Universal Qi.
• Take this energy over South Bank – picture it flowing through the people
here.
• Now imagine this energy flowing to your suburb/town/city and flooding your
workplace and a few square blocks around it.
• Now gradually come back to this room – give yourself a little bit of Universal
Qi energy as a reward and open your eyes when you are ready.
82

QUESTION TIME
• Any questions?
• I can send you these slides – just email me.
• My website is currently being built and will contain heaps of free stuff to
download – TCM, philosophy, history, and my novels.
• I have a TCM textbook titled ‘Acupoint Dictionary 2e’ and is published by
Elsevier Churchill Livingstone.
• My best email is – dahartmann8@gmail.com
• My blog site is – chinesemedicinehistoryandphilosophy.blogspot.com.au
• This has been hyperlinked for you.
83

REFERENCE LIST
• Chace, C., & Shima, M. (2010). An exposition on the eight extraordinary
vessels: Acupuncture, alchemy & herbal medicine. Seattle, WA: Eastland
Press.
• Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture.
Hove, ES: Journal of Chinese Medicine Publications.
• Dechar, L. E. (2006). Five spirits: Alchemical acupuncture for psychological
and spiritual healing. New York, NY: Chiron Publications/Lantern Books.
• Ellis, A., Wiseman, N., & Boss, K. (1991). Fundamentals of Chinese
acupuncture. Brookline, MA: Paradigm Publications.
• Hartmann, D. (2009). Acupoint dictionary 2e. Edinburgh, Scotland: Elsevier
Churchill Livingstone.
84

REFERENCE LIST
• Hicks, A., Hicks, J., & Mole, P. (2004). Five element constitutional
acupuncture. Edinburgh, Scotland: Elsevier Churchill Livingstone.
• Hinrichs, T. J., & Barnes, L. L. (Eds.). (2013). Chinese medicine and healing: An
illustrated history. Cambridge, MA: The Belknap Press of Harvard University
Press.
• Kaatz, D. (2005). Characters of wisdom. Soudorgues, France: The Petite
Bergerie Press.
• Kaatz, D. (2009). Receiving Spirit: The practice of five element acupuncture.
Soudorgues, France: The Petite Bergerie Press.
85

REFERENCE LIST
• Larre, C., & Rochat De La Vallee, E. (1997). The eight extraordinary meridians.
Cambridge, MA: Monkey Press.
• Maciocia, G. (2006). The channels of acupuncture. Edinburgh, Scotland:
• Maciocia, G. (2015). The foundations of Chinese medicine (3rd ed.).
Edinburgh, Scotland: Elsevier.
• Maciocia, G. (2009). The psyche in Chinese medicine. Edinburgh, Scotland:
• Matsumoto, K., & Birch, S. (1986). Extraordinary vessels. Brookline, MA:
Paradigm Publications.
86

REFERENCE LIST
• Ross, J. (1995). Acupuncture point combinations. Edinburgh, Scotland:
Churchill Livingstone.
• Rossi, E. (2007). Shen: Psycho-emotional aspects of Chinese medicine.
Edinburgh, Scotland: Elsevier Churchill Livingstone.
• Schnyer, R. N., & Allen, J. J. B. (2001). Acupuncture in the treatment of
depression. Edinburgh, Scotland: Elsevier Churchill Livingstone.
• Twicken, D. (2013) Eight extraordinary channels: Qi jing ba mai. London,
England: Singing Dragon.
• Unschuld, P. U. (1985). Medicine in China: A history of ideas. Berkeley, CA:
University of California Press.
87

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