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Manaka
Five phase treatments are a root (initial) treatment intending to treat the patients central
imbalance. The diagnosis is made primarily from presenting signs in the patients pulse and
abdomen as well as reactivity in secondary points.
The five phase treatment follows a 4 step protocol and adjunctive techniques may be used within
these steps and/or afterwards to address the patients symptomology directly.
The Deficiency/Heat, Deficiency/Cold patterns are more advanced meridian therapy techniques.
They are more specific than the broad sho, however, the treatment generally follows the same
steps with slight variations in points. Additionally, step 2 - balancing the control cycle - can be
skipped and more systematic points may be substituted to balance the overal
condition/symptomology.
Note: Japanese acupuncture uses sophisticated theories to determine the treatment points and
methods used for each patient. The ideas within our presentation are one of many possible ways
to apply these theories and treatment protocols. Before using Japanese acupuncture you should
be well versed in the theories behind these protocols and trained in the many techniques unique
to this style of acupuncture.
If you have not had an acupuncture treatment and are looking for more general information, you
may want to read our acupuncture basics page as well as our first acupuncture
treatment information.
The following pages will lead you through the steps of a five phase meridian therapy acupuncture
treatment:
Step one of the Five Phase Treatment Protocol is to choose and treat the primary sho
(deficiency/imbalance). The side chosen for initial needling should generally be done based on a
preponderance of symptoms on one side - treating the "healthier" side, or, lacking that, based on
gender - the left side for men and the right side for women. For student/practitioner use the
following PDF charts may be helpful (basic, advanced I, advanced II)
For treatment use #1 or smaller needles, retaining them for approximately 10 minutes.
Kidney Sho:
Treatment Points:
KD 7
LU 5 or LU 8
Possible Secondaries:
Color: Black
Smell: Rotten
Flavor: Salty
Sound: Groaning
Common Symptoms
Developmental Issues
Bone Issues
Hearing Problems
Excessive Fear
Common Symptoms:
Loss of libido
SP Cold - tonify ST 42
LU Cold - tonify LU 7
Technique: #1, #2, or #3 needle, approx. 3-5mm insertion, retain approx. 10 minutes
Water Point - LU 5 & Metal Point - KD 7 w/KD 1 to descend the Qi and Water Point - KD 10
Common Symptoms
Bloating
Easily surprised
Nighttime urination
Palpitations
Lung Sho:
Treatment Points:
LU 9
SP 3
Possible Secondaries:
Fire Controls Metal and Metal Controls Water
LV Excess or Deficiency - LV 3
The Heart Meridian is not treated.
5 Element Theory Associations:
Color: White
Smell: Fishy, Bloody
Flavor: Spicy
Sound: Whining
Emotion: Grief
Common Symptoms:
Counterflow Qi
Frequent Colds
Asthma
Skin Issues
White Complexion
Large Spoon-shaped Nails
There are no abdominal patterns for Lung Deficiency Cold as it is an exterior condition.
Pulse:
HT/LU/SP/KD/PC = Floating and Deficiency
LV = Choppy
Common Symptoms:
Weak cough
Low spirit
Frequent urination
Sore throat
LV Cold - tonify TH 4
SP Cold - tonify ST 42
There are no abdominal patterns for Lung Deficiency Heat as it is an exterior condition.
Pulse:
HT/LV/KD/PC = Floating and Tight
LU/SP = Floating and Excess
Common Symptoms:
Bloodshot eyes
Red face
Coughing, SOB
Rhinitis
Liver Sho:
Treatment Points:
LV 8
KD 10
Possible Secondaries:
Smell: Woodsy
Flavor: Sour
Sound: Shouting
Emotion: Anger
Common Symptoms:
Menstrual Irregularities
Right Shoulder
Vision/Eye Problems
Headaches
Anger/Insomnia
Technique: touching, #00 or #0 needle, approx. 1mm insertion, retain approx. 5 minutes
Common Symptoms:
Small eyes
Sighing
Timidness
Lack of decisiveness
Cold extremities
HT Heat - tonify GB 41
Common Symptoms:
HT Heat - tonify KD 2
Spleen Sho:
Treatment Points:
SP 3
PC 7
Possible Secondaries:
LV Excess or Deficiency - LV 3
KD Deficiency - KD 3
Color: Yellow
Smell: Pleasant
Flavor: Sweet
Sound: Humming
Emotion: Worry
Common Symptoms:
Digestive Issues
Heart Issues
Left Shoulder
Common Symptoms:
Poor appetite
HT Cold - tonify SI 4
LU Cold - tonify SP 5
Common Symptoms:
Manic-depression
Bad breath
HT Heat - disperse SI 6, SI 7
There are two related patterns, SP Deficiency with Stomach Excess Heat and SP Deficiency
with Yang Ming Channel Excess Heat. The root treatment is similar but there may be
variations with secondary points.
Treatment Points:
Technique: #1 or #2 needle, approx. 2-3mm insertion, vibrating needle, retain approx. 3-5
minutes
Common Symptoms:
Manic depression
Large appetite
Insomnia, snoring
Treatment Points:
Technique: #1 or #2 needle, approx. 2-3mm insertion, vibrating needle, retain approx. 3-5
minutes
SP Deficiency Points:
Fire Points - PC 8 & SP 2 or
LV Excess Heat Points (choose 1 from each channel and both SP points):
GB 38 or GB 36
TH 3 or TH 5
LV 2, LV 3, LV 4 or LV 8
SP 6 and SP 10
Supplementary Points:
Common Symptoms:
Constipation
Suppression of anger
KD heat: disperse UB 40
Technique: #1 or #2 needle, approx. 2-3mm insertion, vibrating needle, retain approx. 3-5
minutes
SP Deficiency Points:
LV Excess Heat Points (choose 1 from each channel and both SP points):
GB 38 or GB 36
TH 3 or TH 5
LV 2, LV 3, LV 4 or LV 8
SP 6 and SP 10
Supplementary Points:
LV 14
Common Symptoms:
Basic SP deficiency with LV Excess Heat and Blood Stasis
Loss of appetite
Nausea or vomiting
Any LV or GB disorders
KD heat: disperse UB 40