Auricular Acupuncture

Donna Pittman, MD

HistoryofAuriculotherapy

HistoryofAuriculotherapy
1950s:Dr.PaulNogier
observedearscarsfortreatmentofsciatica
developedthesomatotopic mapoftheear

500BCE:earacupuncturewaspracticedin
China
Egypt
Greece
Rome
Persia
1500to1700:DutchEastIndiaCompany
broughtChineseacupuncturetoEurope.

1958:NankingArmyEarAcu.ResearchTeam
verifiedNogiers auricularmap
taughtBarefootDoctors
1972:Wen andSmith:NADAprotocol
1990:WHOstandardizationofearacupuncture

Homunculus

Whylearnearacupuncture?
1.
2.
3
3.
4.
5.

Itseasytolearn.
Theeariseasilyaccessible.
IItsdiagnostic.
di
i
Itstherapeutic.
It works.

InnervationoftheEar
TrigeminalNerve:
Mesoderm
Vagus Nerve:
Endoderm
GreaterAuricularNerve:
Ectoderm

Auricular Acupuncture
Donna Pittman, MD

Helix

Antihelix

Tragus

Antitragus

ScaphoidFossa

Auricular Acupuncture
Donna Pittman, MD

TriangularFossa

SuperiorConcha

InferiorConcha

Lobe

Auricular Acupuncture
Donna Pittman, MD

VertebralColumn
Heel .C
Toes .E
Buttocks

LM 16

S
Sacral
lS
Spine
i

LM 15

Neck

Thoracic Spine

Cervical Spine

LM 14

Ankle .E
Knee .E

Sacral
Vertebrae
Lumbar
Vertebrae
Thoracic
Vertebrae

Chest

Lumbar Spine

Heel .E

LowerLimbs

Toes. C

Ankle .C

Knee .C

Toes. E

Hip .C
Foot

Ankle .E
Toes

Ankle

Heel .E

Knee .E
Hip
Hi .E
E

Thigh
Hip .E

Knee

Cervical
Vertebrae

Buttocks
Hip

HeadandFace

UpperLimbs
Fingers

Hand
Wrist
Forearm
Elbow
Arm
Shoulder

Lower Jaw

Fingers

Thumb

Thumb

Hand
Forearm
Elbow
A
Arm
Shoulder

Fingers
Wrist

Wrist

Elbow

Master

Upper Jaw
Occiput
Temple
Forehead
Vertex
Temple
Forehead

Master
Shoulder
Point

Shoulder
Point

Occiput

Frontal Sinus

Shoulder

Dental Analgesia .C1

Dental Analgesia .C2

Jaw Muscles
Occipitalis

TMJ
Lower Jaw
Upper Jaw
Face

Temporalis
Frontalis

AuricularMasterPoints

PointZero
ShenMen
ThalamusPoint
EndocrinePoint
AutonomicPoint
(Sympathetic)

AllergyPoint
Tranquilizer
MasterSensorial
MasterCerebral
MasterOscillation

AURICULARMASTERPOINTS

Auricular Acupuncture
Donna Pittman, MD

EarExamination

AuriculotherapyTreatmentSteps

1. Inspecttheearforsurfaceirregularities.
Cleantheearifnecessary.
Lookforchangesintheskin.
2.Adjustthesensitivityofthepointfinder.
3 Scantheearinasystematicmanner.
3.
S
h
i
i
Checkfortenderness.
Lookforincreasedskinconductance.
4. Correlatetheresultswiththepatients
medicalhistory.

1. Correspondinganatomicpoints
*Remembertotreatthebackoftheearfirst.
2. Masterpoints
3. Functionalpoints
4. Consulttreatmentprotocols.

Earpointsdontshowup
unlesstheresaproblem.

Complications

Stimulatetheactivepointsusing:

Tellyourpatientaboutthe
possibilityofinflammationor
infectionoftheskinandcartilage
oftheear.

15mmacupunctureneedles
ASPneedles
Beadsorseeds

Yourpatientshouldremovethe
needlesiftheybecomepainfulor
iftheearbecomesred,irritated,
orswollen.

Presstacks
Acupunctureneedlescanbestimulated
manuallyandelectrically.

AuricularTraumaProtocol

BattlefieldAcupuncture

Auricular Acupuncture
Donna Pittman, MD

NADAPoints

Headache
1. Useregularneedlesin
theearpointsbilaterally.
2. Youmayaddbody
points:LI4,LR3,BL60,
orST36.
3. Addlocalpointsifthey
areintheheadache
zone:GB14,GV20,or
GB20.
4. YoumayplaceanASP
needleinOmega2atthe
endofthetreatment.

Nausea

InsomniaandJetLag

1. Putinallearneedles
bilaterally.

1. Putinallearneedles
bilaterallyfor10to20
minutes.

2. Youmayaddbody
points:ST43,MH6,
LI4,orLR3.

2. Youmayaddbody
pointsfor10minutes:
GV20,KI3,HT3,and
BL60.

Anxiety

MemoryandConcentration

1. Putinallearneedles
bilaterallyfor10to20
minutes.

1. Putinallearneedles
bilaterallyfor10to20
minutes.

2. Youmayaddbody
pointsfor10minutes:
LR3,HT3,MH6,KI3,
andBL60.

2. Youmayaddbody
pointsfor10minutes:
GB14,KI3,SP6,HT3,
andBL60.

Auricular Acupuncture
Donna Pittman, MD

Depression

SmokingCessation

1. Putinallearneedles
bilaterallyfor10to20
minutes.

1. Putinallearneedles
bilaterallyfor30
minutes.

2. Youmayaddbody
pointsfor10minutes:
GV20,SP6,LI4,and
ST36.

2. Dotwotreatmentsa
weekfortwoweeks.
3. Addbodypointsduring
thetreatment:LR3,
MH6,SP6,andTee
Mee (underthenose).

WeightLoss
1. Patientmustfollowa
highproteindiet.
2. Putinallearneedles
bilaterallyfor15
minutesonceaweek.
3. StimulateAppetite
Controlfor1minute.
4. Addbodypointsfor20
minutes:SP6,LI4,and
ST36.