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Five phase treatments dr.

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:

Five Phase Treatments - Diagnosis and Treatment - Step One

Five Phase Treatments - Balance the Controlling Cycle - Step Two

Five Phase Treatments - Balance the Yang Meridians - Step Three

Five Phase Treatments - Back Shu Points - Step Four

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.

Five Phase Treatment Protocols and Point Selections :

Kidney Sho:
Treatment Points:

KD 7

LU 5 or LU 8

Possible Secondaries:

Earth Controls Water and Water Controls Fire

Spleen Excess or Deficiency - SP 3

The Heart Meridian is not treated.

5 Element Theory Associations:

Color: Black

Smell: Rotten

Flavor: Salty

Sound: Groaning

Emotion: Fear, Surprise

Common Symptoms

Developmental Issues
Bone Issues

Knee a/or Ankle Pain

Head Hair Issues

Hearing Problems

Excessive Fear

Main Treatment Points: (KD 7 & LU 5 or LU 8)

Advanced Kidney Patterns:

Kidney Deficiency Cold :

Root Treatment Points:

Technique: #0 or #1 needle, approx. 3-5mm insertion, retain approx. 10 minutes

Yuan Source Points - LU 9 & KD 3 or

Metal Points - LU 8 & KD 7

Common Symptoms:

Blackish color, especially around lips a/or eyes


Easily frightened

Coldness in the lower back

Loss of libido

Loss of urinary force

Related Patterns & Treatment (in lieu of controlling cycle):

HT Cold - tonify SI 4 & HT 7

SP Cold - tonify ST 42

LU Cold - tonify LU 7

Kidney Deficiency Heat :

Root Treatment Points:

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

Large, reddish/black ears w/red between eyebrows


Balding

Bloating

Edema of the legs

Easily surprised

Nighttime urination

Palpitations

Diarrhea w/o abdominal pain

Excessive sexual activity

Related Patterns & Treatment (in lieu of controlling cycle):

LV Excess - disperse LV 2 & LV 8

HT Heat - disperse PC 4, tonify KD 2

SP Heat - disperse SP 8 & ST 36

LU Heat - disperse LI 2, LI 4, LU 5 & LU 6

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

Main Treatment Points: (LU 9 & SP 3)

Advanced Lung Patterns:

Lung Deficiency Cold:

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

Root Treatment Points:

Technique: touching, #0 or #1, approx. 1mm insertion, approx. 5-7 minutes

Yuan Source Points - LU 9 & SP 3 or

Luo Connecting Points - LU 7 & SP 4

Common Symptoms:

Whitish and rough skin

Weak cough

Low spirit

Aversion to cold, fever, spontaneous or no sweating, cold body

Frequent urination

Sore throat

Related Patterns & Treatment (in lieu of controlling cycle):

LV Cold - tonify TH 4

HT Cold - tonify HT 7 & SI 4

SP Cold - tonify ST 42

KD Cold - tonify UB 58, UB 59 & UB 64

Lung Deficiency Heat:

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

Root Treatment Points:

Technique: #0 or #1 needle, approx. 1mm insertion, retain approx. 10 minutes


Metal Points - SP 5 & LU 8 or Yuan Source Point - LU 9

Common Symptoms:

Bloodshot eyes

Red face

Coughing, SOB

Aversion to cold, fever, no sweating

Stiffness and pain in the posterior neck

Rhinitis

Related Patterns & Treatment (in lieu of controlling cycle):

HT Heat - disperse SI 1 & SI 6

SP Heat - disperse ST 44 & ST 45

KD Heat - disperse UB 63 & UB 66

Liver Sho:

Treatment Points:
LV 8

KD 10

Possible Secondaries:

Metal Controls Wood and Wood Controls Earth

Lung Excess or Deficiency - LU 9

Spleen Excess or Deficiency - SP 3

5 Element Theory Associations:

Color: Blue, Green

Smell: Woodsy

Flavor: Sour

Sound: Shouting

Emotion: Anger

Common Symptoms:

Blood Stasis Issues

Menstrual Irregularities

Musculature - tight, swollen, other imbalances

Acute low back pain

Right Shoulder

Vision/Eye Problems

Headaches

Anger/Insomnia

Main Treatment Points: (LV 8 & KD 10)

Advanced Liver Patterns:

Liver Deficiency Cold:


Root Treatment Points:

Technique: touching, #00 or #0 needle, approx. 1mm insertion, retain approx. 5 minutes

Yuan Source Points - KD 3 & LV 3 or

Luo Connecting Points - KD 4 & LV 5

Common Symptoms:

Small eyes

Sighing

Timidness

Lack of decisiveness

Poor appetite, but can eat

Cold extremities

Related Patterns & Treatment (in lieu of controlling cycle):

HT Heat - tonify GB 41

SP Cold - tonify SP 1 & ST 42

LU Cold - tonify LV 4 & KD 7


KD Cold - tonify UB 58, UB 59 & UB 65

Liver Deficiency Heat:

Root Treatment Points:

Technique: #1 needle, approx. 1-3mm insertion, retain approx. 10-15 minutes

Water Points - KD 10 & LV 8 or

if strong empty heat - Wood Points - KD 1 & LV 1

Common Symptoms:

Almond shaped eyes

irritability, easily angered

rancid body odor

cold below and warm above

Related Patterns & Treatment (in lieu of controlling cycle):

HT Heat - tonify KD 2

SP Heat - tonify SP 1, disperse ST 36 & ST 45


LU Heat - tonify KD 7 & LV 4, disperse LU 6

KD Heat - disperse UB 63 & UB 65

Spleen Sho:

Treatment Points:

SP 3

PC 7

Possible Secondaries:

Wood Controls Earth and Earth Controls Water

LV Excess or Deficiency - LV 3

KD Deficiency - KD 3

No Kidney Excess Patterns

5 Element Theory Associations:

Color: Yellow

Smell: Pleasant
Flavor: Sweet

Sound: Humming

Emotion: Worry

Common Symptoms:

Digestive Issues

Heart Issues

Left Shoulder

Joint Pain especially with swelling

Lower Body Edema

Overthinking a/or Worrying

Main Treatment Points: (SP 3 & PC 7)

Advanced Spleen Patterns:

Spleen Deficiency Cold:

Root Treatment Points:


Technique: #0 or #1 needle, approx. 1mm insertion, retain approx. 10-15 minutes

Yuan Source Points - PC 7 & SP 3 or

Luo Connecting Points - PC 6 & SP 4

Common Symptoms:

Excess saliva in mouth

Pimples or small boils around the mouth

Edema of the legs a/or face

No desire to speak, weak voice

Cold limbs a/or body

Poor appetite

Tends toward loose stools

Related Patterns & Treatment (in lieu of controlling cycle):

LV Cold - tonify GB 40, TH 4 & TH 6

HT Cold - tonify SI 4

LU Cold - tonify SP 5

KD Cold - tonify TH 4 & KD 3

Spleen Deficiency Heat :


Treatment Points:

Technique: #0 or #1 needle, approx. 1mm insertion, retain approx. 10 minutes

Yuan Source Points - PC 7 & SP 3

Common Symptoms:

Edema in the joints

Yellowing around the mouth

Dry, coated tongue

Manic-depression

Bad breath

Diarrhea w/abdominal pain

Weakness of the extremities

Related Patterns & Treatment (in lieu of controlling cycle):

LV Heat - disperse GB 36, GB 38, TH 3, TH 5, LV 3, LV 5

HT Heat - disperse SI 6, SI 7

LU Heat - tonify PC 5, SP 5 & LU 10, disperse LU 5 or LU 6


KD Heat - tonify SP 9, disperse UB 40, UB 63 & UB 65

Spleen Deficiency with ST/LI/SI Excess:

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

Fire Points - PC 8 & SP 2

Common Symptoms:

Yang Ming Heat

Reddening of the joints

Spontaneous pain that is worse in the afternoon

Arthritis in the knees


Viral warts

Stomach Excess Heat

Abdominal distention w/constipation

Manic depression

Large appetite

Insomnia, snoring

Related Patterns & Treatment (in lieu of controlling cycle):

ST Heat - disperse ST 45, ST 44, ST 34

Sources and More Information

Spleen Deficiency with LV Excess:

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

Yuan Source Points - PC 7 & SP 3

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:

UB 25, UB 31, UB 32, UB 33, UB 34

Common Symptoms:

Headache a/or neck stiffness

Cold below and warm above

Constipation

Twitching a/or pain of the muscles

Suppression of anger

Depression effecting libido

Related Patterns & Treatment (in lieu of controlling cycle):

HT heat: tonify KD 2, disperse GB 41

SP heat: disperse ST 36, ST 37 & ST 39

LU heat: tonify PC 5, SP 3 & LU 10

KD heat: disperse UB 40

Spleen Deficiency with LV Excess Heat:


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

Yuan Source Points - PC 7 & SP 3

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

UB 17, UB 18, UB 19, UB 20, UB 21

Common Symptoms:
Basic SP deficiency with LV Excess Heat and Blood Stasis

Alternating sensations between hot and cold

Loss of appetite

Nausea or vomiting

Fevers during menstruation

Any LV or GB disorders

Related Patterns & Treatment (in lieu of controlling cycle):

HT heat: tonify KD 2, disperse GB 41

SP heat: disperse ST 36, ST 37 & ST 39

LU heat: tonify PC 5, SP 3 & LU 10

KD heat: disperse UB 40

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