Doane Pain PDF

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Advanced Distal Needling Acupuncture

For the Treatment of Pain
December 2015
Robert Doane
EAMP, L.Ac., Dipl. C.H.
Acupuncture & Wellness Center, P.S.
Lotus Institute Of Integrative Medicine

Tel: (626) 780-7182 Fax: (626) 609-2929
Website: www.eLotus.org Email: info@eLotus.org

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine
Chinese Medicine:
Basis in Bio-physiology
Examples From the Classics
Researched and compiled by:

Professor Zhang Shi Ping,
School Of Chinese Medicine,

Hong Kong Baptist University
2014

Tel: 626-780-7182 • Fax: 626-609-2929 • Website: www.eLotus.org • Email: info@eLotus.org
Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 1
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What is Qi?
Transliteration From Ancient Texts
Definition:
In ancient times, and in a medical context,

the correct definition of Qi was
“vital air” that moved in visible vessels (Mai)
along with Ying Qi (nutrients) and Xue
(blood).

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Qi ≠ Energy
Huang Di Nei Jing Su Wen, Vol. 1

An Annotated Translation 2011
Prolegomena, p.20, Unschuld and Tessenow:
“...qi (氣) is one of the very few Chinese terms we have

chosen to transliterate rather than to translate. It should be
noted that the interpretation of qi (氣) as “energy”, so
widespread in TCM literature today, lacks any historical
basis.”
Soulie de Morant
•  Soulie de Morant
–  Diplomat, had cultural credentials
–  Spent 30 years traveling through China
–  Spoke fluent Mandarin
–  Had studied Ayurvedic medicine
–  Wrote three books on Chinese Acupuncture
•  First book published in 1938

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Soulie de Morant
•  Lacking a medical background, de Morant

attempted to translate an ancient Chinese
medical text.
•  He mistranslated two very important concepts,
subsequently introducing two foreign ideas to
Chinese medicine:
–  Mai: energy meridian
–  Qi: energy
WHAT IS AN ACUPUNCTURE
MERIDIAN?
9 Examples from the Ancient Texts

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Acupuncture Meridian
Example 1
《難經、一難》：“十二經皆有動脈。 ”
Nan Jing, Lun Mai, First Chapter,

(206 B.C.–9 A.D.):
“The twelve channels all have pulses.”
Example 2
《靈樞、經水》：“夫八尺之士,皮肉在此,外可度量切循而得之,其死可解
剖而視之。其臟之堅脆，腑之大小，穀之多少，脈之長短，血之清濁，氣
之多少……皆有大數。
Huang Di Nei Jing, Ling Shu, Chapter 12 (206 BC–220 AD) :

“Rivers and Channels: For man who is on the average eight chi, the skin and
flesh, and the external boundaries and limits may be measured, and the pulse
taken. Upon death, examination can reveal and disclose. There are great
standard measures to the existence of the viscera being: strong or weak; the
bowels being large or small; the valleys (the amount of grain inside the hollow
organs) being plentiful or sparse; the vessels being long or short; the blood
being clear or turbid; the qi (oxygen) being plentiful or sparse”.

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Example 3
《靈樞、經脈》“經脈十二者，伏行分肉之間，深而
不見，其常見者，足太陰過於外踝之上，無所隱
故也。”’
Huang Di Nei Jing, Ling Shu, Chapter 10, (206 BC–

220 AD) :
The Major Channels: “The twelve major channels lie
hidden while travelling between the divisions of the
flesh. They are deep and invisible, except for the Leg
Tai Yin, (sic) which passes through the upper part of
the lateral malleolus and may be frequently seen
Example 4
《漢書、王莽傳》“翟義黨王孫捕得，莽使太醫
尚方与巧屠共刳剝之，量度五臟，以竹筳度其脈
，知其終始，云可以治病。
The Book of Han (Han Shu), Volume 99 (111 AD):

“…Measure the Five Zang, use bamboo stick to
measure the beginning and end of this vessel...”

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Example 5
《銅人腧穴鍼灸圖經》
Illustrated Manual of
Acupuncture Points of the
Bronze Figure (1027 AD):
The acupoints at the trunk were

arranged by sections (somewhat
similar to dermatomes), whereas
those at the limbs were arranged
according to a vessel system.
Example 6
《素問、舉痛論》
Huang Di Nei Jing, Su Wen, Chapter 39 (206 BC–220 AD) :
經脈流行不止，環周不休，寒氣入經而稽遲。泣而不
行，客於脈外，則血少，客於脈中則氣不通，故卒然而
痛。
“The vessels/ channels run ceaselessly and circle incessantly. Cold
evil aggresses on the vessels, the blood will be made scanty there.
If it resides inside the vessels, the qi will be obstructed. So, pains
ensue suddenly”.

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Example 7
寒氣客於脈外則脈寒，脈寒則縮踡，縮踡則脈絀急，則外引小絡，故卒然而
痛，得炅則痛立止；因重中於寒，則痛久矣。
“If the cold reside outside the vessels, then the vessels become cold.
When the vessels become cold, they shrink. The shrinkage makes the
vessels spasmodic, and the spasms radiate to the little blood vessels
outside, so the pain occurs abruptly while it ends quickly when being given
heat. If the patient is hit by cold repeatedly, the pain will be protracted”.
Example 8
寒氣客於背俞之脈，則脈泣，脈泣則血虛，血虛則痛。
“The cold settles in the foot greater-yang bladder vessel

and obstructs it. The obstructed vessel causes the blood
to be deficient. The blood deficiency produces pain”.

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Example 9
寒氣客於經脈之中，與炅氣相薄，則脈滿，滿則痛　而不可按
也。寒氣稽留，炅氣從上，則脈充大而血氣亂，故痛甚不可
按也。
“The cold resides in the vessel/channel and wrestles with the
hot qi, so the vessel becomes full, and the fullness makes the
pain resistant to pressure (fullness causes pain that has an
aversion to pressure). The cold lingers and the hot qi fights
against it, so the vessels are dilated and the blood and qi
become disordered. Therefore, the pain is severe and cannot
bear pressure”.
Accurate Definition:
From these ancient quotes it is obvious that

the term “meridian” refers to vessels that
were visible to the naked eye.

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Historical Development of Node and

Vessel Locations
•  206 BC – 220 AD: 灵枢 [Ling Shu]:
–  Refers to the stimulation of a vessel area (mai) not a precise
point;
•  259 AD (3 Kingdoms Dynasty): 鍼灸甲乙經 [The Systematic

Classic (sic) of Acupuncture and Moxibustion]:
–  Stimulation and location of acupoints/nodes (jie) were added;
–  Acupuncture prescriptions were added;
•  300 AD: 肘後備急方 [Handy Therapies for Emergencies]:

–  Refers to area, not acupoints/ nodes
–  Acupuncture for acute situations

Vessel Locations
•  625 AD: 千金要方 [Prescriptions Worth a Thousand in Gold] and
•  752 AD: 外台秘要 [Secret Formulas of a Frontier Official]
–  Emphasis on use and description of moxibustion rather than acupuncture
stimulation;
–  Stresses the use of an area rather than a single acupoint/ node;
•  1027 AD: 銅人腧穴鍼灸圖經 [Illustrated Manual of Acupuncture

Points of the Bronze Figure]:
–  chest and trunk points were arranged in rows, only limb points were arranged
into the vessel system
•  1111-1117 AD: 圣濟總錄 [Sheng Ji Zong Lu: Collected Prescriptions for

Divine Relief From Suffering]:
–  Points on the chest and back were added into vessel system diagram

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Vessel Locations
These ancient texts clearly show that there was no emphasis on

the prescribed use of an exact acupoint/ node in treatment
protocols, but rather suggest a deep understanding of the
biophysical relationships within the body.
Because of this historical precedence, and my own clinical

experience, I believe needling a broader treatment area is the
most effective way to achieve efficacy in pain relief.

Vessel Locations
Very little change has occurred in our

understanding of acupuncture theory since
the 12th century, except for one major
change…..

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Changes to Ancient Chinese Medical

Theory
With Soulie de Morant’s foundational

mistranslation of Qi and Mai, this ancient,
elegant, bio-physical medicine was relegated
to an energetic realm.
It’s time to get back on track!

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Distal Needling Acupuncture (D.N.A.)

•  Distal Needling Acupuncture
–  Treat arms to the hands and legs to the feet based
upon a concept of mirroring / imaging;
•  The patient remains clothed for treatment, granting the
practitioner greater time efficiency
–  Needles are not inserted directly into the area of
pain;
–  Reduction of pain generally begins within 5-10
seconds of needle insertion
Distal Needling vs. Local Needling

Local Distal
PRO’s: PRO’s:
•  Done properly, pain can be •  In most cases, the patient leaves with
resolved over a series of visits no pain
CON’s: •  Instant pain relief
•  Patient often leaves in more pain •  Patient remains dressed during
treatment
•  Electrostimulation must be used
•  Treatments are very fast
•  Patient is required to undress for
treatment •  No risk of further injury to painful area
•  Painful area can be aggravated CON’s:
•  If patient leaves in more pain it is •  The same number of treatments may
damaging to the psychology, often be needed to achieve results
discouraging future visits

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THE CHINESE DISCOVERED

NUMEROUS RELATIONSHIPS
BETWEEN MAJOR NEURAL
PATHWAYS IN THE BODY:
Neural Pathway Relationships:
Tai Yang ► Tai Yin

(UB/SI) (SP/LU)
Shao Yang ► Shao Yin

(GB/SJ) (K/HT)
Yang Ming ► Jue Yin

(SJ/LI) (LV/P)

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IMAGING: MIRRORING CONCEPT

Shoulder = Hip
Upper Arm = Thigh
Elbow = Knee
Forearm = Lower Leg
Wrist = Ankle
Hand = Foot
Finger = Toe
The medial vessels on the arms are related

to the lateral vessels on the opposite arm
and vice versa.
The same relationship is true for the legs.

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Therefore, if you want to treat pain

on the medial side of the arm you
can apply pressure on the medial
side of the opposite leg or the lateral
side of the opposite arm.
REVERSE MIRRORING CONCEPT:
Shoulder = Ankle
Upper Arm = Lower Leg
Elbow = Knee
Forearm = Thigh
Wrist = Hip Joint
Hand = Hip

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If you want to treat pain on the lateral

side of the arm you apply pressure on the
lateral side of the opposite leg, or the
medial side of the opposite arm.
Therefore:
•  The medial side of the arm treats the

medial side of the opposite leg or the
lateral side of the opposite arm.
•  The lateral side of the arm treats the lateral

side of the opposite leg and the medial side
of the opposite arm.

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The opposite is also true:
•  The medial side of the leg treats the medial

side of the opposite arm or the lateral side
of the opposite leg.
•  The lateral side of the leg treats the lateral

side of the opposite arm or the medial side
of the opposite leg.
Upper Head & Trunk Lower Limb Imaging: Limbs to

Limb Image
Top of Top of head Top of hip Head and Trunk
shoulder
Shoulder Neck, jaw, base Hip joint
of skull
Upper arm Chest, mid- Upper leg
upper back
Elbow Xiphoid Knee
process,
Diaphragm
Forearm Lower abs, Lower leg
lower back
Wrist Pubic Ankle
Symphysis,blad
der, sacrum
Hand Genitals, Foot
coccyx,
lower sacrum
Finger Testicles, anus Toe

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Upper Head & Trunk Lower Reverse Imaging: Limbs

Limb
Finger
Image
Top of head Toe
Limb
to Head and Trunk
Hand Head, base of Foot
skull
Wrist Neck Ankle
Forearm Chest, mid- Lower leg
upper back
Elbow Xiphoid Knee
process,
Diaphragm
Upper Lower abs, Upper leg
arm lower back
Shoulder Sacrum, Hip joint
genital,
coccyx
Top of Testicles, Top of hip
shoulder anus
Imaging: Limbs to Head

Upper Head Lower
Limb Limb
Shoulder Top of Hip joint
joint head
Upper arm Forehead Upper leg
Elbow Eye, ear Knee
Forearm Nose level Lower leg
Wrist and Mouth Ankle and

hand level foot
Fingers Chin level Toes

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Reverse Imaging: Limbs to Head

Upper Head Lower
Limb Limb
Fingers Top of head Toes
Wrist and Btw top of Ankle and

hand head and foot
forehead
Forearm Forehead Lower leg
Elbow Eye, ear Knee
Upper arm Nose level Upper leg
Shoulder Mouth level Hip
Shoulder Chin level Hip joint

joint
Dr. Tan’s Balance Method Systems 1-6

CHANNELS SYSTEM 1 SYSTEM 2 SYSTEM 3 SYSTEM 4 SYSTEM 5 SYSTEM 6
Chinese Branching Interior/Exterior Clock Opposite Clock Neighbor Same Channel
Name
LU SP BL LI BL LV LU
Hand Taiyin
LI ST LV LU KI ST LI
Hand Yangming
ST LI PC SP PC LI ST
Foot Yangming
SP LU SI ST SJ HT SP
Foot Taiyin
HT KI GB SI GB SP HT
Hand Shaoyin
SI BL SP HT LV BL SI
Hand Taiyang
BL SI LU KI LU SI BL
Foot Taiyang
KI HT SJ BL LI PC KI
Foot Shaoyin
PC LV ST SJ ST KI PC
Hand Jueyin
SJ GB KI PC SP GB SJ
Hand Shaoyang
GB SJ HT LV HT SJ GB
Foot Shaoyang
LV PC LI GB SI LU LV
Foot Jueyin

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Foot Taiyang 足
Urinary Bladder
Posterior Lateral
Foot 太
陽
**Please find
enlarged versions
of muscle images
at the end of the
lecture notes
© Dao of Chinese Medicine, Donald E. Kendall, Oxford University Press
Hand Taiyang
手
Small Intestine
Posterior Lateral
Hand
太
陽


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Foot Shaoyang 足
Gallbladder
Lateral
Foot 少
陽
Hand Shaoyang
San Jiao
手
Internal Membrane
(Triple Heater)
Lateral 少
Hand

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Foot Yangming 足
Stomach
Anterior Lateral
Foot 陽
明
Hand Yangming 手
Large Intestine
Anterior Lateral
Hand
陽

明


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Foot Taiyin 足
Spleen
Anterior Medial
Foot 太
陰
Hand Taiyin
Lung 手
Anterior Medial
Hand
太
陰

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Foot Shaoyin
足
Kidney
Posterior Medial
Foot
少
陰
Hand Shaoyin 手
Heart
Posterior Medial
Hand 少
陰

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Foot Jueyin
Liver
足
Medial
Foot 厥
陰
Hand Jueyin
Pericardium 手
Medial
Hand 厥
陰

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Headaches
If on top of the head
(targeting the Liver Vessel works best):
Needle bilaterally:
•  LV 1,2,3
•  GB 44,43,42
•  Ling Ku
•  All Jung Well points on hands and feet
Headaches
If on the side of the head
(target Shao Yang on both hands and feet):
Needle bilaterally:
•  SJ 2,3,4
•  GB 44,43,42
•  GB 31
•  3 close needles evenly spaced on Foot Shao Yang
stopping at ST 38 area.

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Headaches
If on the forehead:
(target Foot Shao Yang)
Needle bilaterally:
•  SJ 2, 3, 4
•  GB 34
•  Add 3 more needles down the leg evenly spaced on
Foot Shao Yang stopping at ST 38 area
Headaches
If between the eyes:

(target the Foot Tai Yung)
Needle bilaterally:
•  LU 10, 11
•  SI 2, 3
•  UB 63, 64, 65, 66

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Headaches
If on the face below the eyes:
(target Foot and Hand Yang Ming)
Needle bilaterally:
•  ST 35, 36 and several more needles all the
way to ST 38
•  ST 42, 43, 44
•  SP 9, 8, 7
•  LI 2, 3, 4 and 11,10, 9
Headaches
If on the lower jaw:

(target Foot and Hand Yang Ming)
Needle bilaterally:
•  ST 38, 39, 30
•  LI 2, 3, 4, 5, 6, 7

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Neck Pain
If on the trapezius muscle:

(target the Foot Tai Yang)
Needle bilaterally:
•  SI 2 to 8
•  UB 66 to 40
•  K2 to 10
•  LU to 5
Neck Pain
If on the Levator Scapula:

(target Hand Tai Yang)
Needle bilaterally:
•  LV 2 to 8
•  SI 2 to 8
•  SP 2 to 9
•  P 8 to 3

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Neck Pain
If on the Spinous Erector
(target Foot Shao Yin)
Needle bilaterally:
•  K6
•  UB 66 to 40
•  All along the K vessel starting with K2 to 10
•  LI 2 to 12
•  SJ 2 to 10
Neck Pain
If on the Posterior Scalene

(target Hand Shao Yang)
Needle bilaterally:
•  SJ 2 to 10
•  P 8 to 3
•  K 2 to 10
•  GB 44 to 34

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Neck Pain
If on the Medial Scalene

(target Hand Yang Ming)
Needle bilaterally:
•  LI 2 to 10
•  ST 44 to 35
•  LV 2 to 8
•  LU 10 to 5
Neck Pain
If on the Posterior Scalene:

Needle bilaterally:
•  GB 44 to 35
•  SJ 2 to 10
•  HT 8 to 3
•  LV 2 to 8

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Neck Pain
If on the SCM:
(target Foot Tai Yang)
Needle bilaterally:
•  UB 66 to 40
•  SI 2 to 8
•  K 2 to 10
•  LU 10 to 5
Neck Pain
If on the Upper Rhomboids:

Needle bilaterally:
•  LI 4 to 12
•  ST 42 to 36
•  LU 10 to 5
•  LV 4 to 8

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Pain at the Base of the Neck
The muscles involved are the same ones for the

neck. In this case, focus on all the previously
mentioned points and muscles by concentrating
the needling around the wrists and ankles.
You can spread the image proximally and

distally from the ankles and wrists for a better
effect.
Upper Back Pain
If on the Supraspinatus Muscle:

Needle bilaterally:
•  SJ 4 to 10
•  GB 40 to 34
•  P 7 to 3
•  K 3 to 10
•  Be sure to needle deeply into any point that gives
access to a joint.

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Upper Back Pain
If on the Trapezius muscle:

Needle bilaterally:
•  UB 60 to 40
•  SI 3 to 8
•  K 3 to 10
•  LU 9 to 3
Upper Back Pain
If on the Rhomboid muscle:

Needle bilaterally:
•  LI 5 to 12
•  ST 41 to 35
•  LV 4 to 8
•  LU 9 to 5

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Upper Back Pain
If on the Infraspinatus muscle:

Needle bilaterally:
•  SI 4 to 8
•  UB 60 to 40
•  HT 9 to 3
•  LV 4 to 8
Upper Back Pain
If on the Subscapularis muscle:

Needle bilaterally:
•  LI 5 to 11
•  LU 9 to 5
•  ST 41 to 35
•  LV 4 to 8

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Upper Back Pain
If on the Teres Major or Minor muscles:

Needle bilaterally in the same areas as for

the Infraspinatus muscle.
Upper Back Pain
If on the Spinous Erector muscle:

Needle bilaterally:
•  K 3 to 10
•  UB 60 to 40
•  LI 5 to 12
•  SJ 4 to 10

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Shoulder Pain
If on the Posterior Deltoid muscle:

Needle bilaterally:
•  SJ 2,3,4 and 5 into the joint
•  GB 42,41, and 40 into the joint
•  K 2 to 10 with special insertion into the joint
Shoulder Pain
If on the Medial Deltoid muscle:

Needle bilaterally:
•  LI 4 to 6
•  LU 9 to 6
•  ST 42 to 38
•  LV 4 to 8

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Shoulder Pain
If on the Anterior Deltoid muscle:

(target Hand Tai Yin)
Needle bilaterally:
•  LU 9 to 5
•  LI 5 to 12
•  SP 4 to 9
•  UB 60 to 40
Shoulder Joint Pain
The shoulder joint is a muscle dependent joint.

The primary stabilizers of the joint are the
Biceps Brachia muscle and tendon and the
tendons and muscles of the rotator cuff.
These are the Supraspinatus muscle and

tendon, the Infraspinatus muscle and tendon,
the Teres Minor muscle and tendon, and the
Subscapularis muscle and tendon.

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Shoulder Joint Pain

If on the Supraspinatus tendon:
Needle bilaterally:
•  SJ 2 to 10 into muscles, tendons, and joints
•  GB 41 to 34 into muscles, tendons, and
joints
•  P 8 to 3 into muscles, tendons, and joints
•  K 2 to 10 into muscles, tendons, and joints
Shoulder Joint Pain

If on the Teres Minor tendon:
Needle bilaterally:
•  SI 2 to 8 into muscles, tendons, and joints
•  HT 8 to 3 into muscles, tendons, and joints
•  UB 60 to 40 into muscles, tendons, and
joints
•  LV 2 to 8 into muscles, tendons, and joints

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Shoulder Joint Pain
If on the Subscapularis tendon:

Needle bilaterally:
•  LI 2 to 11 into muscles, tendons, and joints
•  ST 44 to 35 into muscles, tendons, and joints
•  LU 10 to 5 into muscles, tendons, and joints
•  LV 2 to 8 into muscles, tendons, and joints
Shoulder Joint Pain
If on the Infraspinatus tendon:

Needle bilaterally all the same points used

with the Teres Minor tendon pain.

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Shoulder Joint Pain
If on the Biceps Brachii tendon:

Needle bilaterally using the same points used

with the Subscapularis tendon pain.
Middle Back Pain
Thoracic Spine
Vertebrae T1 to T12

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Thoracic Back Pain

If on the Trapezius, Serratus posterior, Spinalis
Thoracis, Longissimus Thoracis, Ilicostalis Thoracis,
and/or upper edge of Latissumus Dorsi muscles:
Needle bilaterally:
•  UB 60 to 40
•  LU 9 to 5
•  SI 4 to 8
•  K 2 to 10
Thoracic Back Pain
If on the Levator Scapula, Infraspinatus,

Teres Minor and Teres Major muscles:
Needle bilaterally:
•  SI 4 to halfway up the forearm using 3 needles
•  UB 60 to 58 (using several needles)
•  LV 4 plus several needles to middle of lower leg
•  HT 7, 6, 5, 4

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Thoracic Back Pain
If on the Subscapularis muscle:

Needle bilaterally:
•  LI 5 and several needles halfway up the arm
•  ST 41 to 38
•  LU 9 and several needles to middle of forearm
•  K 6 to 9
Thoracic Back Pain

If on the Multifidus, Levator Costarum,
Semispinalis Thoracis, and/or Rotatores
Thoracis muscles:
Needle bilaterally:
•  K 6 to 10
•  UB 60 to 58 (add needles in between)
•  LI 5 to 11
•  HT 9 to 3

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Lower Back Pain
Lumbar Spine
Vertebrae L1 to L5
Lumbar Back Pain

If on the Serratus Posterior/ Inferior,
Iliocostalis Lumborum and Thoracis,
Latssimus Dorsi muscles:
Needle bilaterally:
•  UB 60 to 40
•  K 6 to 10
•  SI 4 to 8
•  LU 9 to 3
•  Needle the abdomen above where the patient hurts.
•  Also add a lot of needles in the abdomen to cover the entire
lower back area.

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Lumbar Back Pain
If on the Intertransverse, Quadratus, and

Multifidus muscles:
Needle bilaterally:
•  K 6 to 10
•  UB 60 to 40
•  HT 7 to 3
•  LI 5 to 11
Lumbar Back Pain
If on the External/ Internal Oblique or

Transverse Abdominis:
Needle bilaterally:
•  GB 40 to 35
•  LV 4 to 7
•  SJ 5 to 7
•  HT 7 to halfway up the lower arm

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Low Back Pain
Sacral Spine
Vertebrae S1 to Tailbone
Sacral Spine Pain
If on the Piriformis, Gemellus Superior,

Obturator Internus, Gemellus Inferior, Quadratus
Femoris, Gluteus Maximus, and/or Iliocostalis
Lumborum muscles:
Needle bilaterally:
•  UB 67 to 60
•  K 1 to 6
•  LU 11 to 7
•  SI 2 to 5

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Sacral Spine Pain
If on the Multifidus, Coccygeus, and/or

Iliococcygeus muscles:
Needle bilaterally:
•  K 1 to 6
•  UB 67 to 60
•  HT 8, 9
•  LI 1 to 5
Sacral Spine Pain
If on the tailbone:
Needle bilaterally (if applicable on the bone at
each point)
•  K 1,2
•  DU 20
•  LI 1, 11
•  UB 67 to 64, and 40
•  Needles in either the top or bottom of sternum

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Throat Pain
If on the Hyoid bone or the Omohyoid and/or
Scalenus muscles:
(target Hand Shao Yang and Hand Yang Ming)
Needle bilaterally:
•  SJ 4 to 6
•  GB 40 (use more than one needle)
•  P 7
•  K 4 to 6
Needle bilaterally:
•  LI 4 to 6
•  ST 42 to 40
•  LU 11 to 7
•  K 2 to 7
Throat Pain
If on the Mylohyoid, Sternothyroid,

Thyrohyoid, and/or Sternohyoid muscles:
(target Foot Yang Ming)
Needle bilaterally:
•  ST 42 to 40
•  LI 4 to 6
•  SP 4 to 6
•  P 8 to 6

1/2/16
Chest Pain
If on the Scalenus Anterior, Superior Serratus

Anterior muscles:
Needle bilaterally:
•  GB 42 to 38
•  LV 4 to 6
•  HT 8 to 6
•  SJ 3 to 6
Chest Pain
If on the Intercostal muscles (External and

Internal):
(target Foot Tai Yin)
Needle bilaterally:
•  SP 5 to 9
•  ST 41 to 35
•  LU 9 to 5
•  SI 4 to 8

1/2/16
Chest Pain
If on the Pectoralis Minor:

Needle bilaterally:
•  LU 9 to halfway up the forearm
•  SP 5 to halfway p the lower leg
•  LI 5 to halfway up the forearm
•  LV 4 to halfway up the lower leg
Chest Pain
If on the Pectoralis Major (lower portion):
(target Hand Shao Yin)
Needle bilaterally:
•  HT 6 to 3
•  SI starting at level of P6 and
needling to SI 8
•  GB 39 to 34
•  K 7(ish) to 10

1/2/16
Chest Pain
If on the Pectoralis Major (Upper and

Clavicular region):
(target Hand Jue Yin)
Needle bilaterally:
•  P7 to halfway up the forearm
•  SJ 4 to halfway up the forearm
•  ST 41 to 38
•  LV 4 to halfway up lower leg
Chest Pain
If on the Serratus Anterior:

Needle bilaterally:
•  P7 to 3
•  SJ 4 to 8
•  ST 41 to 35
•  LV4 to 8

1/2/16
Chest Pain
If on the Diaphragm:
Needle bilaterally:
• LU 5(ish)
• LI 1(ish)
• SP 9(ish)
• UB 40(ish)
Abdominal Pain
If on the Iliacus, Psoas, or Rectus Abdominis

muscles:
Needle bilaterally:
•  ST 41 to 35
•  LI 5 to 11
•  SP 5 to 9
•  P 7 to 3

1/2/16
Pelvic Pain
If on the Pubococcygeus muscle:

(target Foot Jue Yin)
Needle bilaterally (depending upon where the pain

level is versus the arm and leg)
•  LV 7 to 3
•  GB 40 to 35
•  P 8 to 3
•  LI 4 to 11
Pelvic Pain
If on the Pectineus muscle or origin of the Satorius
muscle:
Needle bilaterally (depending on where pain level is

versus the arm and leg):
•  SP 3 to 9
•  ST 42 to 35
•  LU 10 to 5
•  SJ 3 to 8

1/2/16
Pelvic Pain
If on the Rectus Abdominus or Obturatos Externus:

Needle bilaterally (depending on where the pain level
is versus the arm and leg)
•  ST 42 to 35
•  SP 4 to 9
•  LI 4 to 11
•  P 8 to 3
Leg Pain
If on the Gracilis muscle:

(target Foot Jue Yin)
Needle:
•  GB 43 to 34
•  P 8 to 3
•  LI 4 to 11

1/2/16
Leg Pain
In of the Rectus Femoris, Vastus Lateralis,

and Vastus Intermedius muscles:
Needle:
LI 4 to 11
SP 5 to 9
P 8 to 3
Leg Pain
If on the Adductor Longus,
Semimembranosus, Medial Soleus, Adductor
Brevis and Magnus, and Gastrocnemius
muscles:
Needle:
UB 60 to 40
HT 7 to 3
LI 5 to 11

1/2/16
Leg Pain
If on the Satorius, Vastus Medius, Tibialis
Posterior, Flexor Digitorum Longus, and
Flexor Hallucis Longus and Abductor
Hallucis:
Needle:
LU 10 to 5
SI 2 to 8
LU 8 to 3
Leg Pain
If on the Biceps Femoris, Semitendinosus,

Plantaris, Popliteus, Lateral Soleus muscles
on the side of the foot:
Needle:
K 2 to 10
SI 2 to 8
LU 10 to 5

1/2/16
Leg Pain
If on the Iliotibial Tract, Biceps Femoris (short
head), Peroneus Tertius, and muscles of the
foot on the GB pathway:
Needle:
LV 2 to 8
SJ 2 to 10
HT 8 to 3
Arm Pain
If on the Triceps Brachii (long head) or Flexor

Carpi Ulnaris:
Needle:
HT 3 to 8
UB 65 to 40
LV 2 to 8

1/2/16
Arm Pain
If on the Triceps Brachii (lateral head),
Extensor Digiti Minimi, Anconeus, or
Extensor Carpi Ulnaris muscles:
Needle:
GB 40 to 34
P 8 to 3
K 6 to 10
Arm Pain
If on the Biceps Brachii (short head),

Brachioradialis, or Flexor Policis muscles:
(target Hang Tai Yin)
Needle:
LI 4 to 11
SP 5 to 9
UB 65 to 40

1/2/16
Arm Pain
If on the Triceps Brachii (medial head),

Brachialis, Pronator Teres, or Palmaris
Longus and Brevis:
(target Hand Shao Yin)
Needle:
SI 4 to 8
K 3 to 10
UB 65 to 40
Arm Pain
If on the Coracobrachialis, Flexor Carpi
Radialis, Pronator Quadratus, or Flexor
Digitorum Profundus:
Needle:
SJ 3 to 10
LV 3 to 8
ST 43 to 35

1/2/16
Knee Pain
Locate the area of pain and needle the

opposite knee and both elbows.
The medial side of the knee is associated

with Foot Tai Yin, the back of the knee is
associated with Foot Tai Yang, and the
lateral side of the knee is associated with
Foot Shao Yang.
Knee Pain
You can also needle the identical anatomical

location on the opposite knee and elbows.
If the tendons are in pain, needle into the

tendons If the muscles are in pain, needle
into the muscles, etc.

1/2/16
Elbow Pain
The location of pain at the elbow is almost

always in accordance with classical vessel
theory. The normal vessel pathways through
the elbow can be considered the target
vessel for pain relief.
Needle the opposite elbow and both knees

using DNA vessel relationships.
Hand Pain
Needle the opposite hand and both feet using
standard vessel relationships according to DNA
theory.
If the dorsum of the hand hurts, you can needle

the palmar side of the opposite hand and the Yin
or Yang vessels of both feet. Needle the correct
anatomical spots on the feet and opposite that
are associated with the painful area.

1/2/16
Foot Pain
Needle the opposite foot and both hands.

Use standard DNA vessel relationships,
however, you do not need to use classical
acupuncture points. It is better to use
anatomical points, which match the area of
pain on the affected foot.
Foot Pain
For example:
If the foot pad is in pain, needle the foot pad

on the opposite foot alone with the top of the
opposite foot as well. Needle the top or
bottom of both hands in the correct
anatomical areas.

1/2/16
Conclusion
•  1. This method works extremely well.

•  2. It will revolutionize your clinical practice.
With deepest thanks…
It is my privilege to honor the teachers who

came before me and, most especially, to my
dearest mentor:
Dr. Richard Tan

1/2/16
Find everything you want to know

about:
CD of Clinical Forms
Apprenticeship Training Program
Residency Program
All located at:
www.doane.us
Robert Doane’s Contact Information:

Acupuncture and Wellness Center
18870 8th Ave NE, S-108
Poulsbo, WA 98370
360-394-4357
www.doane.us
www.doane.eu
www.acupuncturewellness.net


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1/2/16

Advanced Distal Needling Acupuncture

Lotus Institute Of Integrative Medicine

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Researched and compiled by:

School Of Chinese Medicine,

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Transliteration From Ancient Texts

In ancient times, and in a medical context,

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Huang Di Nei Jing Su Wen, Vol. 1

“...qi (氣) is one of the very few Chinese terms we have

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

• Lacking a medical background, de Morant

9 Examples from the Ancient Texts

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Nan Jing, Lun Mai, First Chapter,

Huang Di Nei Jing, Ling Shu, Chapter 12 (206 BC–220 AD) :

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Huang Di Nei Jing, Ling Shu, Chapter 10, (206 BC–

The Book of Han (Han Shu), Volume 99 (111 AD):

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

The acupoints at the trunk were

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

“The cold settles in the foot greater-yang bladder vessel

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

From these ancient quotes it is obvious that

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Historical Development of Node and

• 259 AD (3 Kingdoms Dynasty): 鍼灸甲乙經 [The Systematic

• 300 AD: 肘後備急方 [Handy Therapies for Emergencies]:

Historical Development of Node and

• 1027 AD: 銅人腧穴鍼灸圖經 [Illustrated Manual of Acupuncture

• 1111-1117 AD: 圣濟總錄 [Sheng Ji Zong Lu: Collected Prescriptions for

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Historical Development of Node and

These ancient texts clearly show that there was no emphasis on

Because of this historical precedence, and my own clinical

Historical Development of Node and

Very little change has occurred in our

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Changes to Ancient Chinese Medical

With Soulie de Morant’s foundational

It’s time to get back on track!

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Distal Needling Acupuncture (D.N.A.)

Distal Needling vs. Local Needling

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

THE CHINESE DISCOVERED

Neural Pathway Relationships:

Tai Yang ► Tai Yin

Shao Yang ► Shao Yin

Yang Ming ► Jue Yin

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

IMAGING: MIRRORING CONCEPT

Upper Arm = Thigh

Forearm = Lower Leg

The medial vessels on the arms are related

The same relationship is true for the legs.

•  Lacking a medical background, de Morant

•  259 AD (3 Kingdoms Dynasty): 鍼灸甲乙經 [The Systematic

•  300 AD: 肘後備急方 [Handy Therapies for Emergencies]:

•  1027 AD: 銅人腧穴鍼灸圖經 [Illustrated Manual of Acupuncture

•  1111-1117 AD: 圣濟總錄 [Sheng Ji Zong Lu: Collected Prescriptions for

•  The medial side of the arm treats the

•  The lateral side of the arm treats the lateral

•  The medial side of the leg treats the medial

•  The lateral side of the leg treats the lateral