APS Acupuncture The Clinical Fundementals

AcuPractice Seminars
200-Hour Program Lecture Notes

These notes are designed as supplemental meatirial for
classroom lectures presented by
AcuPractice Seminars.
They are not a complete work without explanation by experianced faculty.
Edited: July, 2013
The information in this book is true and complete to the best of our knowledge. This book is
intended as an informative guide for those wishing to know more about health issues and
acupuncture theories. This book is not meant to be used, nor should it be used, to diagnose or treat
any medical condition. It is in no way intended to replace, countermand or conflict with the advice
given to you by your physician or healthcare provider. The ultimate decision concerning care should
be made between you and your doctor, or between any patient and her doctor. Information in this
book is general and is offered with no guarantees on the part of the author or publisher. The author
and publisher disclaim all liability in connection with the use of this book.
1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com
Acupuncture: The Clinical Fundamentals ....................................................................................................4

Yin Yang ................................................................................................................................................................................7
Powerpoint: Clinical Acupuncture Theory - Online Class # 202 .......................................................................9
Eight Principles ..................................................................................................................................................................9
Powerpoint: Clinical Acupuncture Theory - Online ClassPowerpoint: Clinical Acupuncture Theory -
Online Class # 203 ...........................................................................................................................................................11
Five Elements ....................................................................................................................................................................11
AcuPractices Table of 5 Element Correspondences ...........................................................................................14
Chronotherapy (The Horary Cycle) ...........................................................................................................................15
The Essential Substances ..............................................................................................................................................16
The Causes of Disease or Pathogenic Factors ........................................................................................................24
Organs .................................................................................................................................................................................25
Introduction to Tongue and Pulse Diagnosis .........................................................................................................33
Usual Tongue & Pulse Combinations ........................................................................................................................39
Acupuncture Techniques DemystiVied ........................................................................................................40

Weekend 2 Introduction ...............................................................................................................................................40
Clean Needle Technique ...............................................................................................................................................40
OfVice Setup/Patient Flow ............................................................................................................................................43
Risk to Acupuncture Providers ..................................................................................................................................44
Acupuncture Patient Side Effects ...............................................................................................................................45
Contraindications and Cautions .................................................................................................................................47
Needle Selection ..............................................................................................................................................................47
ToniVication, Sedation, and Even Needling .............................................................................................................49
Needling Depths & Angles ............................................................................................................................................49
Electro-Acupuncture ......................................................................................................................................................49
Laser Acupuncture .........................................................................................................................................................55
Moxa .....................................................................................................................................................................................57
TDP Lamp ..........................................................................................................................................................................63
Gua Sha & Cupping ..........................................................................................................................................................64
Needle Technique Demo / Practice Session ...........................................................................................................67
Acupuncture Points and Meridians 1 ..........................................................................................................69

Points Overview ...............................................................................................................................................................69
Body Measurements and General Point Location ................................................................................................69
Basic Material for Point Usage ....................................................................................................................................71
Du Meridian Governing Vessel ................................................................................................................................73
Ren Meridian Conception Vessel. ...........................................................................................................................75
Lung/Fei ..............................................................................................................................................................................77
Large Intestine/ Da Chang ...........................................................................................................................................79
Stomach / Wei ...................................................................................................................................................................81
Acupuncture Points and Meridians 2 ..........................................................................................................87

Review of Weekend # 3 .................................................................................................................................................87
Overview of the Meridians ...........................................................................................................................................87
Point Categories ...............................................................................................................................................................90
Heart / Xin .........................................................................................................................................................................91
Small Intestine/Xiao Chang .........................................................................................................................................93
Urinary Bladder / Pang Guang ....................................................................................................................................95
Kidney / Shen ...................................................................................................................................................................99
Pericardium/ Xin Bao Luo .........................................................................................................................................101
Triple Heater / Triple Warmer / San Jiao ............................................................................................................103
Gall Bladder / Dan ........................................................................................................................................................105
Liver / Gan ......................................................................................................................................................................109
Respiratory, Digestive & Genitourinary Disorders ..............................................................................112

1994 - 2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com
2
Weekend 5 - Internal Medicine I: Introduction .................................................................................................112

Theoretical Principles Review .................................................................................................................................112
Meridian Review ...........................................................................................................................................................118
Organs Review ...............................................................................................................................................................118
Respiratory System and Conditions .......................................................................................................................125
Gastro-Intestinal System & Conditions .................................................................................................................129
Genito-Urinary System & Conditions .....................................................................................................................133
Acupuncture Microsystems and the Extraordinary Meridians ........................................................137

Weekend 6 Introduction ............................................................................................................................................137
Hand Acupuncture Points ..........................................................................................................................................137
Auricular Acupuncture ...............................................................................................................................................140
Acupuncture in the Treatment of Chemical Dependency ...............................................................................145
APS-USA: AcuPractice Seminars UniVied Scalp Acupuncture .....................................................................151
Acupuncture for the Treatment of Pain ...................................................................................................176

The Basics .......................................................................................................................................................................176
Point Selection ...............................................................................................................................................................178
Advanced SpeciVic Needling Techniques ..............................................................................................................178
The Meridians for Pain ...............................................................................................................................................181
The Microsystems for Pain (Auricular/ Hand / APS-USA) Treatment ......................................................184
Palpation & Treatment of Local and Adjacent Areas of Pain .........................................................................184
Treatment of Sinew (T-M) Meridians ....................................................................................................................185
General Needle Techniques For Pain ....................................................................................................................185
Needling Styles & Strategies .....................................................................................................................................185
Electro Acupuncture ....................................................................................................................................................188
Gua Sha & Cupping .......................................................................................................................................................188
Moxa ..................................................................................................................................................................................188
Ginger Compress ...........................................................................................................................................................189
Zonal (Planar) Approach to The Treatment of Pain .........................................................................................189
SpeciVic Treatment of Pain by Bodily Region ......................................................................................................193
Recap: What you need to know for the Treatment of Pain ............................................................................201
Womens Health ................................................................................................................................................205

Recommended Book Balance Your Hormones Balance Your Life: Claudia Welch ................................205
Name That Disharmony / Diagnosis Review ......................................................................................................205
Review Major Relevant Points from: .....................................................................................................................206
Jing (Essence) .................................................................................................................................................................206
Blood .................................................................................................................................................................................207
Extraordinary Vessels (see pocket reference card at end of notes) ...........................................................209
Essential Etiology .........................................................................................................................................................210
Essential Diagnosis ......................................................................................................................................................213
Treatment of the Most Common Disharmonies .................................................................................................217
SpeciVic Disorders .........................................................................................................................................................222
Womens Health: Name That Disharmony: Final Review ...............................................................................233
Womens Health Reference Tables .........................................................................................................................234
National Board Exam Review & Program Review ................................................................................235

Clinical Review / Weekend 10 ...................................................................................................................282

AcuPractice Forms ...........................................................................................................................................283
I.
Acupuncture: The Clinical Fundamentals

1. Weekend 1 Introduction
a) 200-hour Program
(1) Seminars = 150 hours
(a) 10-Weekends
(b) 100 Didactic Classroom-Hours
(c) 50 Hands-on Clinical Hours
(2) Chinese Medical Theory 101 = 50 hours
(a) Correspondence Course
2.
Additional / Makeup Hours

a) Clinical Acupuncture Theory = 20 hours
(1) Online Classes
b) Advanced Acupuncture Practitioner Symposium = 12 hours
(1) Teleconference Classes
c)
Faculty
d) Regulations
(1) Hours Requirements
(a) States
(b) NBCE Exam
(c) ACA Exam
e)
Theoretical Principles Presented this weekend

(1) Reviewed in All Subsequent Seminars
(2) Basis of all Internal Oriental Medical (Acupuncture & Herbal ) Treatment
(3) Less important for AcupunctureTx. Of Musculoskeletal / Neurological Disorders
f)
Required Books:
(1) The Web That Has No Weaver: Ted Kaptchuck

4
(4) Required for Chinese Medical Theory Correspondence Course

(5) A Must Read for all acupuncture practitioners
(2)The Acupuncture Cookbook: Jim Ventresca
(6) Board Exam Review
(7) Clinical Handbook
(8) Classroom Adjunct
g) Recommended Books
(2) Balance Your hormones Balance Your life: by Claudia Welch
(a) Yin & Yang view of Hormones, Lifestyle, Diet, and Health
Highly Recommended for All Women and Men Who Treat Women
(2) A Manual of Acupuncture: by Peter Deadman and Mazin Al-Khafaji with
Kevin Baker
(a) The premier textbook on acupuncture points.
(1) Acupuncture Clean Needle Technique Manual
(a) http://www.ccaom.org/cntprogram.asp
(b) All the information needed on Clean Needle Technique is in this book.
(c) You may went to read it, right before taking the national exam
(3) Close To The Bone: by David Legge
(a) Sydney College Press
(b) A wonderful book, on the treatment of pain with acupuncture. We highly
recommend it to all our students.
(4) Acupuncture Points and Meridians: by David Legge
(a) A nice little point handbook, for your pocket
(b) Special Thanks to Dr. David Legg for allowing us to reproduce his
meridian diagrams in our notes.
Powerpoint: Clinical Acupuncture Theory - Online Class # 201

h) Eastern Paradigm
(1) Holistic / Homeostatic medicine
(2) Laws of the universe govern people
(3) Non-Reductionist: Relationships predominate over causal factors
(4) Phycological - Spiritual - Physical Language of Chinese Medicine
(5) One of the oldest living traditional medicines
i) Chinese Medicine History:
(1) Legends and History intertwined in dating of ancient material
(2) Seminal & Important Books
(a) Nei Jing: Yellow Emperors Internal Classic of Medicine
i) Oldest extant book on Acupuncture & Chinese Medicine
ii) Probably written between 300 and 100 BCE
iii) Divided into two books: Su Wen & Ling Shu
(b) The Nan Jing
i) Companion to the Nei Jing
ii) Written in the Han Dynasty 206 BCE - 220 CE
(3) Famous Doctors
(a) Huangdi (Huang Ti): The Yellow Emperor
i) Mythical Emperor: 1500 - 2000 BCE
ii) Said to have written the Nei Jing
(b) Zhang Zhong Jing
i) Circa 160 CE
ii) Wrote: Shang Han Lun
(c) Sun Si Miao
i) Circa 581 CE
ii) Wrote on Morality in Medicine
iii) Drew the First Acupuncture Charts
iv) Pioneered OB/GYN
(d) Li Shi Zhen
i) A Most Famous Dr. 1593 CE (Late Ming)
ii) Well known for Establishing Radial Pulse Diagnosis
iii) 9 positions, 27 categories
iv) Wrote: The Great Pharmacopoeia
(e) Yang Ji Zhou
i) Considered by many to be the foundation of modern
Acupuncture/Moxibustion: Early 1500s CE (Ming)
ii) Wrote: Zhen Jiu Da Cheng (Great Compendium of
Acupuncture/Moxibustion)
iii) Dr. Tin Yao So, my teacher, is part of this lineage.
(4) Progression to TCM
(a) 3,000 years of Folk Medicines
(b) 1800s to 1940s Western Cultural Invasion
(c) 1949 Mao Ze Dongs Revolution in China:
(d) 1949-Present - Institutionalized Traditional Chinese Medicine
(TCM)
j) The Five Branches of Oriental Medicine
(1) Acupuncture/Moxibustion
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(a) Zhenjiu
(2) Herbal Medicine
(3) Exercise
(a) Qi Gong
(b) Tai Ji
(4) Diet/Lifestyle
(5) Massage & Manipulation
(a) Tuina
(6) Some PeopleAlso Include
(a) Meditation
(b) Feng Shui
k) Popular Styles of Acupuncture
(1) Medical/Chiropractic Acupuncture
(a) Meridian Based Acupuncture
(2) TCM
(3) Japanese Acupuncture
(4) Five Element Schools
(5) American Acupuncture
1. Yin Yang
[
a) General Theory
(1) Everything consists of Yin & Yang
(a) Yin & Yang are Relative terms that exist only in relationship to one
another
(b) Nothing is totally Yin or totally Yang
(2) Yang produces Yin and Yin produces Yang
(a) Each is necessary for the others existence
(b) If Yin increases, Yang decreases and vice versa
(3) Yin & Yang are Infinitely Divisible
(4) Yin & Yang are Inter-transformational Inter-consuming & Intersupporting
(5) At Extremes Yin and Yang transform into one another
b) Main Uses of YIN/YANG in Clinical Settings
7
(1) To explain physiology and pathology

(2) To serve as a broad guide to Diagnosis and Treatment
Most Clinically Useful Associations of Yin & Yang
CLINICAL ASSOCIATIONS OF YANG
CLINICAL ASSOCIATIONS OF YIN
Function
Substance
Action
Happens In The Present
Incipient-Just Beginning,
Setting Loose, Setting In Motion, Dynamic
Transforming, Causing Change
Dissolving, Dispersing, Expanding
Result Of Action
Happened In The Past
Completing, Sustaining
Responsive, Static, Quiescent
Conserving, Preserving
Condensing, Contracting
Functions of Yin & Yang Energies in the Body

FUNCTIONS OF YANG ENERGY IN THE BODY
FUNCTIONS OF YIN ENERGY IN THE BODY
Warms
Cools
Moves, Activates, Circulates

Provides Rest the Ability to Rest
Holds Up and In Place: Blood, Fluids, Nourishes & Moistens: Blood, Fluids, &
& Organs
Organs
Transforms - Brings About Change
Maintains Structure
Protects / Provides Defense
Provides the Ability to Recover from Disease
Yin/Yang Table of Correspondences

DISORDERS WHICH ARE YANG IN NATURE
ARE ASSOCIATED WITH
Excess Yang or Deficient Yin

Acute / Rapid Onset
Activity / Daytime / Insomnia
Stretch Out To Sleep - Throws Off Covers
Heat Signs: Red Efflorescences / Rapid
Pulse /
Thirst: Likes Cold Drinks
Loud Voice - Extrovert
DISORDERS WHICH ARE YIN IN NATURE

ARE ASSOCIATED WITH
Excess Yin or Deficient Yang

Chronic / Slow Onset
Rest / Nighttime / Sleepiness
Curls Up In Sleep - Likes To Be Covered
Cold Signs: Pale Efflorescences / Slow, or
at least Not Rapid Pulse
No Thirst: Sips Warm Drinks
Soft/Weak Voice - Introvert
Anatomy of Yin/Yang Relationship Within Body

BODY AREAS WHICH ARE YANG
BODY AREAS WHICH ARE YIN
(CONTRASTED WITH YIN AREAS)
(CONTRASTED WITH YANG AREAS)
Superior
Inferior
Posterior
Anterior
Lateral
Medial
External
Internal
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A.Eight Principles
1.
Four Pairs of Opposites

a) Internal / External
b) Hot / Cold
c)
Excess / Deficient
d) Yin / Yang
2.
Internal / External
a) Location of Disease or Etiology
(1) Internal
(a) Many manifestations within the Organs Bones & Blood
(2) External
(a) Skin
(b) Muscles
(c) Meridians (Channels & Collaterals)
(d) Lungs:
i)
Special Case: Upper Respiratory Infection (OPI/EPI/EPF)
Hot / Cold
DESCRIPTION OF
CONDITION
NORMAL BALANCED CONDITION
TRUE EXCESS YIN CONDITION
TRUE EXCESS YANG CONDITION
DEFICIENCY OF YIN CONDITION
PATHOLOGY
TREATMENT PRINCIPLE
N/A
TRUE COLD
TRUE HEAT
FALSE HEAT
N/A
SEDATE YIN
SEDATE YANG
TONIFY YIN
(HEAT FROM DEFICIENCY)

DEFICIENT HEAT
DEFICIENCY OF YANG CONDITION
FALSE COLD
TONIFY YANG
(COLD FROM DEFICIENCY)

DEFICIENT COLD
Hot
Excess, Full or True Heat
(Usually Seen in OPI Heat)
Deficient Yin (False Heat)

(A Condition which is Yang in Nature)
Thirst
Dry Mouth
Red Face / Red eyes
Malor Flush
Full (Daytime) Sweat
Night Sweats
Full Fever
PM Fever / PM Hot Flashes / Heat in 5 Hearts
Sore/Painful Throat
Chronic, Dry, Scratchy Throat
Strong Cough
Chronic, Dry, Weak Cough
Dark, Scanty, Urine (Burning if severe)
Dark, Scanty Urine
Constipation (w/ discomfort) / Hot Diarrhea
Dry Stool / Constipation
Full, Rapid, Pulse
Thin, Rapid, Pulse
Red Tongue / Yellow Coat
Red Tongue / No Coat (Peeled)
Excess /Full / True Cold

(Often Seen in OPI Cold)
Clear Copious Urine
Preference for Warm Liquids
Cramping Pain Better with Heat
No Thirst
Deficient Yang (False Cold)

(A Condition which is Yin in Nature)
SAME
SAME
SAME
SAME
Chills
Pale Face
Cramping Pain
Cold Diarrhea
Thick White Tongue Coat
Full & Tight Pulse
Cold Body /Hands & Feet

Pale Face
No Pain Associated
Loose Stools / Undigested Food
Pale Puffy Tongue / Wet Coat
Weak & Slow Pulse
Cold

10
4.
Excess / Deficient
a) There are Many Various Signs of Excesses and Deficiencies in Organs, Substances,
and Meridians. They will be discussed in future lectures.
5.
Yin / Yang
a) Based on the other 6 Principles and the Nature of the Disorder
Powerpoint: Clinical Acupuncture Theory - Online ClassPowerpoint: Clinical Acupuncture

Theory - Online Class # 203
B. Five Elements
1.
5 Element Diagnosis
a) The 5 Elements can be helpful in Diagnosis and Prognosis.
b) Colors
c)
Sounds
d) Smell
e)
Emotions
f)
Tastes
g) Tissues
h) Orifices
2.
i)
Weather /Climate
j)
Body Type
Treatment
a) Five Phases in Treatment:
(1) Constitutional typing often follows a five element scheme
(2) Many options exist for applying this theory to treatment,
(a) 5 Element Based Treatment largely depends on one's level of
understanding and willingness to design creative strategies using the
principles,
11
(b) Often includes various ways of transferring Qi between organs using

the five Shu (transport) points. We will not address this form of
treatment in any substantial manner.

12
FIRE
Sheng Cycle >
EARTH
Ko Cycle>
WOOD
METAL
WATER
3.
Cycles & Pathology

a) All this happens simultaneously to effect a balanced and harmonious order
b)
Within each phase/element are Yin and Yang aspects, sometimes referred to as the
husband-wife relationship
c)
Creative or Generating Cycle (Sheng)

(1) AKA: Mother / Son Cycle
(a) The clockwise circle shows creative, productive, inter-promoting relationships.
Wood - Fire - Earth - Metal - Water
(2) Deficiency Creates Deficiency (2)
(a) Deficient Mother Cant Nourish the Son. Son becomes Weak
(b) Deficient Son Drains the Mother. Mother becomes Weak
(3) Excess Creates Excess (1)
(a) Excessive Mother Overfeeds Son. Son becomes Excessive
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d) Control Cycle (Ko)

(1) AKA: Grandmother / Grandson relationship
(2) The clockwise star illustrates restraining, inhibiting, or controlling relations. Wood
- Earth - Water - Fire - Metal
(3) Excess Creates Deficiency (2)
(a) Excessive Grandmother exercises too much control, over Grandson.
Grandson becomes Weak.
(b) Excessive Grandson rebels and exercises too much control, over Grandmother.
Grandmother becomes Weak
(4) Deficiency Creates Excess (1) Weak Grandmother exercises too little control,
over Grandson. Grandson becomes Excessive.
C. AcuPractices Table of 5 Element Correspondences
CATEGORY
WOOD
FIRE
Spring
Summer
EARTH
Late Summer
METAL
Fall
WATER
SEASON
CYCLE
Birth
Growth
Maturity
Harvest
Rest / Storage
ZANG: Solid /
Yin Organ
FU: Hollow /
Yang Organ
CLIMATE
Liver
Heart
PC
Spleen
Lungs
Kidney
Gall Bladder
SI
SJ / TW
Stomach
Lg. Intestine
Bladder
Wind
Heat
Damp
Dry
Cold
ORIFICE
Eyes
Tongue
Mouth
Nose
Ears
SENSE
Vision
Speech
Taste
Smell
Hearing
BODY TISSUE
Tendons Sinews
Flesh & Muscles
Skin
TONGUE
Sides
Blood &
Blood Vessels
Tip
Center
Behind Tip
Teeth, Bone &

Marrow
Root
RESIDUES
Nails
Complexion
Lips
Body Hair
Head Hair
COLOR
SOUND
Cyan (Green)
Shouting
Red
Laughing
Yellow
Singing
White
Weeping
Black (Blue)
Groaning
OFFICE
& DUTY
General
Planning
Sovereign
Ruling
Architect
Create Order
Treasurer
Store Essence
STORAGE
Consciousness
Righteous
Shen
(Spirit)
Heart / Mind
Sweat
Harmonizing
Preoccupation
Obsessive
Saliva
Vitality
Decorum
Po
(Skeleton)
Yin Soul
Stays with the
body @ Death
Strength
Sustainability
Grief/Sadness
Nasal Mucus
Determination
Wisdom
Zhi
(Will)
Intention /
Commitment /
Follow Through
Determination
Fear
BODY FLUID
Soul
Benevolence
Hun
(Soul)
Persona / Ego:
Yang Soul Leaves
at Death,
Decisiveness
Control
Anger
Tears
Minister of
Agriculture
Nourishing
Intent
Faith
Yi
(Thoughts)
Memory
Recollection
TASTE
Sour
Bitter
Sweet
ODOR
Sour
Burnt
Fragrant
SPIRITS
EMOTION
(Sighing)
Joy
Enlightenment
Pungent
Hot/Spicy
Putrid
Winter
Internal Moisture
Salty
Musty

14
D. Chronotherapy (The Horary Cycle)

Powerpoint: Clinical Acupuncture Theory - Online Class # 205 Horary Cycle - Qi Generation
FIRE
EARTH
SP
9 11 AM
HT
11AM 1 PM
SI
1 3 PM
WATER
ST
UB
7 9AM
3-5 PM
LI
KI
LU
PC
5 7AM
METAL
5 7 PM
3 5 AM
7 9 PM
LR
1-3 AM
GB
11 PM 1AM
SJ
9 11 PM
FIRE
WOOD
15
E. The Essential Substances

1.
Qi, Xue (Blood), Jing (Essence), Shen (Spirit), Jin Ye (Fluids)
2.
Qi
a) Energy, Prana, Life-force, Innate
b) The Body Is Its Physical Manifestation
c)
Circulates Inside and Outside the Meridians
d) Origin
(1) Constitution
(2) Food / Drink
(3) Air/ Environment
3.
Qi (& Blood) Production

(1)
Gu Qi / AKA: Grain or Food Qi
(2)
Zong Qi / AKA: Gathering or Essential QI
(3)
Zheng Qi / AKA: True Qi
(4)
Ying Qi / AKA: Nutritive Qi
(5)
Wei Qi / AKA: Protective Qi

16
Blood
17
Powerpoint: Clinical Acupuncture Theory - Online Class # 206 Qi & Blood

a) Functions Of Qi
(1) Activation Or Movement
(2) Warmth
(3) Transformation
(4) Defense
(5) Containment
b) Four Directions Of Qi In The Body
(1) Up Bearing
(2) Down Bearing
(3) Entering
(4) Exiting
c)
Imbalances Of Qi
(1) Deficient Qi (Qi Deficiency)
(a) Origin
i)
Malnutrition
ii)
Exhaustion From Overwork
iii) Chronic Illness

iv) Congenital Disease
v) Old Age
(b) Can Manifest In:
i)
Entire Body
ii)
Spirit
iii) A Particular Organ

(c) Signs & Symptoms (S&S)
i)
Fatigue

18
ii)
Malaise
iii) Pale Face

iv) Weak Pulse
v) Pale & Swollen (Puffy) Tongue
vi) Organ Dysfunction
(2) Collapsed Qi
(a) S&S (Two Presentations)
i)
Qi Deficiency S & S + Prolapse
ii)
Qi Deficiency S & S + Heart Attack
(3) Stagnant Qi (Qi Yu)

(a) Origin
i)
Trauma
ii)
Outside Pernicious Influences (OPI)
iii) Emotional Upset

iv) Inappropriate Diet
(b) S&S
i)
Dull Achy Pain / Unfixed in Time And Space
ii)
Intermittent Or Traveling Pain
iii) Feels Better With Massage Strokes

iv) Intercostal Neuralgia (LR Qi Yu)
(4) Rebellious Qi
(a) Moving In The Opposite Direction
(b) S&S
19
i)
Nausea / Vomiting / Acid Reflux
ii)
Cough / Sneezing
5.
Blood
a) Blood Is Yin In Relationship To Qi
b) Blood Is A Fluid and a Type of Qi
(1) Liquid Form Of Qi (Yin In Nature)
c)
Functions:
(1) Nourishes All Parts Of The Body
(2) Moistens All Parts Of The Body
(a) Esp. Tendons, Eyes, Hair
(3) Maintains Physical Structure
(4) Cools
(5) Calms
(6) Provides Rest & Ability to Rest
d) Relationships Of Blood:
(1) Heart: Moves It Through Body
(2) Liver: Stores and Releases (includes Menstrual Blood)
(3) Spleen: Produces Blood & Holds It In the Vessels
e)
Disharmonies Of Blood:
(1) Deficient Blood (Xue Deficiency)
(a) Origin
i)
Malnutrition
ii)
Chronic Illness
iii) Congenital Disease

iv) Old Age
v) Exhaustion From Overwork
vi) Loss of blood
(b) Can Manifest In:
20
i)
Entire Body
ii)
Spirit
iii) A Particular Organ

(c) Signs & Symptoms (S&S)
i)
Similar to Qi Deficiency, but with the addition of Lack of

Nourishment, and Moistening
ii)
Fatigue
iii) Malaise
iv) Pale Lusterless Face
v) Weak Thin Pulse
vi) Pale & Thin Tongue
vii) Organ Dysfunction
viii) Dry Skin
ix) Brittle Hair
x) Twitches And Spasms
(Due To Drying Out Of Tendons)
xi) Scanty/Light/Shortened/Infrequent Menses

xii) Dizziness
xiii) Difficulty Falling Asleep (Yin Substance)
xiv) Dry Eyes (Liver)
xv) Palpitations (Heart)
(2) Stuck Blood (Xue Yu)
(a) Sharp, Stabbing Pain Fixed in Time & Space
(b) Tumors Or Cysts (Non-Moving)
(c) Swollen Organs
(d) Hematoma
(3) Hot Blood
(a) Red Dry Skin
21
(b) Pimples
(c) Rashes
(d) Hemorrhage Of Fresh Red Blood (Hemorrhoids, Uterine Bleeding,
Urine)
4.
Jing
Powerpoint: Clinical Acupuncture Theory - Online Class # 207 Jing Shen & Fuids
1.
AKA: Pre-Heaven Qi, Constitutional Qi
2.
Formed At Conception; Inherited From The Parents
3.
Governs Growth and Development
4.
Stored In The Kidneys
5.
Imbalance: Jing Deficiency

a) Poor Development In Children
b) Poor Concentration / Memory
c) Reproductive Disorders
d) Loose Teeth
e) Brittle Bones
f)
Gray-Thinning Hair
g) Senility
G. Shen (Spirit)
1.
Spirit That Is Stored In The Heart and Reflected in the Eyes
2.
Lightest, Most Insubstantial Of All Substances
3.
Origin
a) Birth & Acquired From Life Experience
4.
Function:
a) Guides Bodymind
b) Dysfunction Causes Physical/Mental Disease

22
5.Disharmonies Of Shen:
a)Emotional Problems, Psychological And Emotional Shock, Disturbances Of
Psychological/Mental Nature
b)Eyes That Lack Luster
c)Muddled Personality Forgetful And Slow
d)General Spiritual Disorder (Psychosis)
F. Fluids: Jin Ye
1.
Includes All Normal Bodily Fluids Except Blood
2.
Jin
a) Clear, More Yang, Watery
b) Provides Moisture To Surface Of Skin And Flesh
c) Provides Moisture To Mucous Membranes
d) Transformed By Lungs Into Sweat
3.
Ye
a) Thick, Internal, More Yin
b) Lubricates Bones, Brain, Organs, Joints
c) Circulates In The Blood & Gives Luster To Skin
23
G. The Causes of Disease or Pathogenic Factors

Powerpoint: Clinical Acupuncture Theory - Online Class # 208 OPI Emotions Patho
1.
External Pathogenic Factors

a) The Evil Winds
(1) Wind
(2) Cold
(3) Damp
(4) Dryness
(5) Heat
(6) Summer Heat
2.
Internal Pathogenic Factors

a) The Emotions
(1) Anger
(2) Joy
(3) Melancholy & Grief
(4) Meditation (Over thinking)
(5) Fear
(6) Fright

24
3.
Miscellaneous Pathogenic Factors

a) Inappropriate Diet
b) Inappropriate Exercise
c)
Inappropriate Timing
d) Parasites
e)
Trauma
f)
Insect / Animal Bites
g) Epidemics
h) Wrong Treatment
i)
Excess Sex
j)
Drug Use, Contact / Environmental, Etc.
k) Perhaps Bad Feng Shui

H. Organs
Powerpoint: Clinical Acupuncture Theory - Online Class # 209 Into to Organs
1.
Introduction to the Organs

1.Spheres of Influence
2.Zang Fu Diagnosis
3.Organ Main Jobs
a)Lungs - Rule Respiration
b)Spleen - Orchestrates Digestion
c)Heart - Stores the Consciousness
d)Liver - Spreads the Qi
e)Kidney - Root of Yin &Yang, Stores Jing
4.Primary Organ Disharmonies
5.Organ Associations
6.Yin vs Yang Organs
7.Organs & Meridians
8.Husband & Wife
9.Six Devisions
25
2. Lung
Powerpoint: Clinical Acupuncture Theory - Online Class # 210 LU LI
a) AKA: Tender Organ, Master Of Qi
b) Opens To The Nose & Throat
c)
Most Easily Affected By OPI
d) Dislikes Cold And Dryness

e)
Properties
(1) Liquefies
(2) Descends
(3) Disseminates
(4) Circulates
f)
Functions
(1) Govern Qi & Respiration
(2) Rules The Exterior
g) Common Disharmonies:
(1) LU Qi Deficiency
(2) LU Yin Deficiency
(3) Rebellious Qi in LU
(4) OPI
(5) Dampness. Phlegm in LU
h) Major S&S
(1) Respiratory

26
2.
Large Intestine
a) The Official In Charge Of The Dregs
b) Dependent Upon Lungs For Descending
3. Spleen
Powerpoint: Clinical Acupuncture Theory - Online Class # 211 ST SP
a) AKA: The Official In Charge Of Transportation And Transformation (T&T)
(1) Governs T&T of Qi, Blood & Jin Ye
b) Holds Blood & Organs in Place
c)
Opens To The Mouth
d) Manifests In The Lips

e)
Dislikes Dampness & Cold
f)
Functions
g) Rules The Flesh & Muscles

h) Common Disharmonies:
(1) SP Qi Deficiency
(2) SP Blood Deficiency
(3) SP Yang Deficiency
(4) Dampness in SP
(5) Major S&S
(a) Lower Digestive
(b) Fatigue
27
4.
Stomach
a) The Official In Charge Of Rotting And Ripening
(1) Prepares Food and Drink for T&T by the Spleen
b) Common Disharmonies:
(1) Rebellious ST Qi
(2) Heat in the ST
(3) Major S&S
(a) Upper Digestive
5. Heart
Powerpoint: Clinical Acupuncture Theory - Online Class # 212 HT SI PC SJ
a) AKA: The Emperor
b) Houses The Consciousness / Shen
c)
Rules Blood And Blood Vessels
d) Dislikes Heat
e)
Opens To The Tongue
f)
Manifests In The Complexion
g) Common Disharmonies:
(1) Heart Blood Deficiency
(2) Heart Yin Deficiency
(3) Blood Stagnation in the Heart or Chest
(4) Heat in the Heart
(5) Major S&S
(a) Psychological Disorders
(b) Palpitations

28
6.
Small Intestine
a) Separates The Pure From The Impure
11. Pericardium
a) The Minister: Insulates, Screens, & Protects The Heart
b) Maintains The Order Of The Heart Energy
c)
Treats All Heart Disorders Organic & Spirit
12. San Jiao (Triple Warmer)

a) AKA: Triple Heater, Triple Warmer, Triple Energizer
b) San Jiao: Literally Three Burning Spaces
(1) Upper Jiao
(a) LU & HT
(b) Respiration & Circulation
(2) Middle Jiao
(a) SP & ST
(b) Digestion & Assimilation
(3) Lower Jiao
(a) KD, UB & Reproductive Organs
(b) Elimination & Reproduction
c)
The Three Jiaos are collectively responsible for Water Metabolism (Classically
Described As A System Of Sluices Or Waterways)
(1) Lung Adjusts Water
(a) Descends & Disseminates
(2) Spleen Transforms Water
(a) T & T (Sends it Up
(3) Kidney Rules Water
29
7. Liver
Powerpoint: Clinical Acupuncture Theory - Online Class # 213 LR GB
a) AKA
(1) The General
(a) Charge of Planning
(2) Free & Easy Wanderer
(a) Maintains easy going internal environment
(3) Sea of Blood (Stores)
(4) The Master Alchemist / transmutes and detoxifies
b) Opens To The Eyes
c)
Dislikes WIND (Heat / Stagnation)
d) Responsible for the Smooth and Easy Flow of Qi & Emotions

e)
Rules the Tendons & Muscles
f)
Houses the Hun (ego)
g) Controls the eyes

h) Common Disharmonies:
(1) Liver Qi Stagnation
(2) Liver Invading
(a) Stomach
(b) Spleen
(c) Lung
(3) Liver Blood Stagnation
(a) Painful periods, Clots, Sharp Stabbing Pain
(4) Damp-Heat in the Liver and Gall Bladder
i)
Major S&S:
(1) Stress Related Disorders

30
(2) Tight/Tense Muscles

(3) Tics, Twitches & Tremors
(4) Anger / Irritability
(5) Gynecological problems
(6) Meridian related Sx.
8.
Gall Bladder
a) The Official in Charge of Decision Making
b) Dislikes Wind
c)
9.
Very Closely Related to the LR
Kidney
Powerpoint: Clinical Acupuncture Theory - Online Class # 214 KD UB

a) AKA
(1) Root of Yin
(a) HT, LR
(2) Root of Yang
(a) SP
(3) Root of Qi
(4) Root of Life
b) Opens To The Ears
c)
Dislikes Cold
d) Functions
(1) Stores Jing
(2) It houses the Will
(3) Rules the Bones
(4) Housed in the Low Back
(5) Rules the Knees & Ankles
(6) Governs birth, growth and reproduction.
31
(7) Nourishes and Warms (supplies Yin & Yang to) the Lower Warmer
e)
Common Disharmonies:
(1) Deficiencies ONLY: NO Excess Conditions
(2) KD Qi Deficiency
(3) KD Yang Deficiency
(4) KD Yin Deficiency
(5) KD Jing Deficiency
f)
Major S&S:
(1) General Qi & Yang Deficiency S & Sx
(2) General Yin Deficiency S & Sx
(3) Low Back / Knee Pain and Weakness
(4) Impotence and Infertility
(5) Incontinence / Urinary Frequency
(6) S&S of Premature Ageing
10. Urinary Bladder

a) Transforming and excreting fluids via the power of KD Qi
13. Extraordinary/Curious Vessels/Organs
Powerpoint: Clinical Acupuncture Theory - Online Class # 217 Extraordinary Organs &
Meridians
a) Extraordinary / Curious Organs
(1) Fu Shape /Store Essences
(2) Six Curious Organs
(a) Gall Bladder
(b) Brain
(c) Marrow
(d) Bone
(e) Blood Vessels
32
(f) Uterus
b) Extraordinary Meridians
(1) Names
(a) Du Mai (Governing Vessel)
(b) Ren Mai (Conception Vessel)
(c) Chong Mai (Penetrating Vessel)
(d) Dai Mai (Belt Meridian)
(e) Yang Wei Mai
(f) Yin Wei Mai
(g) Yin Qiao Mai
(h) Yang Qiao Mai
(2) Origin
(a) Created at conception
(b) Deep energies
(3) General Functions
(a) Reservoirs of Qi
I.
Introduction to Tongue and Pulse Diagnosis

1.
Tongue
Powerpoint: Clinical Acupuncture Theory - Online Class # 218 Tongue Dx.

A. Areas
1. See 5 Element Chart
33
2.
a) Color
(1) Normal
(a) Pale Red
(b) Thin White Coat
(2) Pale
(a) Qi Deficiency
(b) Blood Deficiency
(c) Yang Deficiency
i)
False Cold
(3) Red
(a) Heat
i)
True Heat

34
(1) Internal
(2) External
ii)
Yin Deficiency
(1) False Heat
(4) Purple
(a) Stagnation
(b) Light Purple = Qi Stagnation
(c) Dark Purple = Blood Stagnation
b) Shape
(1) Normal
(2) Thin
(a) Less Substance
i)
Yin Deficiency
ii)
Thin & Red / No Coat
iii) Blood Deficiency

iv) Thin & Pale
(3) Puffy
(a) Qi Deficiency
i)
WHITE Coat
(b) Yang Deficiency

i)
c)
WET Coat
Coat
(1) Thin White
(a) Normal
(2) Thick White
(a) True Cold
(3) Yellow
35
(a) True Heat

(4) Wet
(a) Yang Deficiency (False Cold)
(5) No Coat (Peeled)
(a) Yin Deficiency (False Heat)
(6) Greasy
(a) Dampness or Phlegm
d) Usual Tongue Combinations
(1) Pale & Puffy with a WHITE Coat
(a) Qi Deficiency
(2) Pale & Puffy with a GREAZY WHITE Coat
(a) Spleen Qi Deficiency
(3) Pale & Puffy with a WET Coat
(a) Yang Deficiency
(4) Pale and Thin
(a) Blood Deficiency
(5) Red and Thin with Little to No Coat (Peeled)
(a) Yin Deficiency
(6) Red with a Yellow Coat
(a) Internal Heat
(7) Scalloped Edges
(a) Spleen Qi/Yang/Blood Deficiency
3. Pulse
Powerpoint: Clinical Acupuncture Theory - Online Class # 219 Pules Dx
a) Rate
(1) Normal
(a) 60 80 BPM
36
(2) Rapid
(a) More then 80 BPM
(b) Heat
i)
True or False
(3) Slow
(a) Less than 60 BPM
(b) False Cold (Yang Deficiency)
b) Strength / Size
(1) Normal
(2) Full
(a) Excess Condition
(3) Weak
(a) Deficient Condition
(4) Thin
(a) Deficient Yin or Blood
c)
Quality
(1) Slippery
(a) Dampness
(2) Wiry
(a) Stagnation
i)
Usually liver
(3) Tight
(a) Pain
(b) True Cold
d) Usual Pulse Combinations
(1) Weak
(a) Qi Deficiency
37
(2) Weak & Slow

(a) Yang Deficiency
(3) Weak & Thin
(a) Blood Deficiency
(4) Thin & Rapid
(a) Yin Deficiency
(5) Full & Rapid
(a) Excess Heat
(6) Full & Wiry
(a) Liver Qi Stagnation

38
I.Usual Tongue & Pulse Combinations

Condition
Tongue
Pulse
Normal
Normal Red
Thin White Coat
Moderate Strength
Fills Middle - Touches Superficial & Deep
Slightly Slippery
Qi Deficiency
Pale & Puffy

Thin White Coat
Weak
Yang Deficiency
Pale & Puffy

Wet Coat
Weak & Slow
Blood Deficiency
Pale & Thin

Dry
Thin White Coat
Weak & Thin
Yin Deficiency
Red & Thin

Dry
No / Peeled Coat
Weak & Thin & Rapid
True Excess Heat
Red
Dry
Thick Yellow Coat
Full & Rapid
Dampness
Greasy Coat
Slippery
Qi Stagnation
Slightly Purple
Slightly Wiry
Blood Stagnation
Dark Purple
(Maybe Spots)
Definitely Wiry
OPI Heat
Red Tip
Red Edges
Rapid & Floating
OPI Cold
Normal
Floating
Long-Standing SP Xu
Scalloped Edges
Weak in Middle Position
LR Qi Stagnation
Slightly Purple
Full & Wiry
39

APS Acupuncture The Clinical Fundementals

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APS Acupuncture The Clinical Fundementals

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AcuPractice Seminars

200-Hour Program Lecture Notes

Edited: July, 2013

1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

Acupuncture: The Clinical Fundamentals ....................................................................................................4

Acupuncture Techniques DemystiVied ........................................................................................................40

Acupuncture Points and Meridians 1 ..........................................................................................................69

Acupuncture Points and Meridians 2 ..........................................................................................................87

Respiratory, Digestive & Genitourinary Disorders ..............................................................................112

Weekend 5 - Internal Medicine I: Introduction .................................................................................................112

Acupuncture Microsystems and the Extraordinary Meridians ........................................................137

Acupuncture for the Treatment of Pain ...................................................................................................176

Womens Health ................................................................................................................................................205

National Board Exam Review & Program Review ................................................................................235

Clinical Review / Weekend 10 ...................................................................................................................282

1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

Acupuncture: The Clinical Fundamentals

Additional / Makeup Hours

Theoretical Principles Presented this weekend

1994 - 2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

(4) Required for Chinese Medical Theory Correspondence Course

1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

Powerpoint: Clinical Acupuncture Theory - Online Class # 201

1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

(1) To explain physiology and pathology

CLINICAL ASSOCIATIONS OF YIN

Functions of Yin & Yang Energies in the Body

FUNCTIONS OF YIN ENERGY IN THE BODY

Moves, Activates, Circulates

Transforms - Brings About Change

Protects / Provides Defense

Provides the Ability to Recover from Disease

Yin/Yang Table of Correspondences

Excess Yang or Deficient Yin

DISORDERS WHICH ARE YIN IN NATURE

Excess Yin or Deficient Yang

Anatomy of Yin/Yang Relationship Within Body

Powerpoint: Clinical Acupuncture Theory - Online Class # 202

Four Pairs of Opposites

Special Case: Upper Respiratory Infection (OPI/EPI/EPF)

1994-2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

(HEAT FROM DEFICIENCY)

DEFICIENCY OF YANG CONDITION

(COLD FROM DEFICIENCY)

Deficient Yin (False Heat)

Red Face / Red eyes

Full (Daytime) Sweat

PM Fever / PM Hot Flashes / Heat in 5 Hearts

Chronic, Dry, Scratchy Throat

Chronic, Dry, Weak Cough

Dark, Scanty, Urine (Burning if severe)

Dark, Scanty Urine

Constipation (w/ discomfort) / Hot Diarrhea

Dry Stool / Constipation

Full, Rapid, Pulse

Thin, Rapid, Pulse

Red Tongue / Yellow Coat

Red Tongue / No Coat (Peeled)

Excess /Full / True Cold

Deficient Yang (False Cold)

Cold Body /Hands & Feet

1994 - 2013 James Ventresca AcuPractice Seminars - www.AcuPracticeSeminars.com

Powerpoint: Clinical Acupuncture Theory - Online ClassPowerpoint: Clinical Acupuncture