Kiiko Pain Manual
Kiiko Pain Manual
Kiiko Pain Manual
by
Kiiko Matsumoto
Notes: Trademark for Kiiko Matsumoto Style of Acupuncture and Kiiko Style of Acupuncture are filed with the UPTSO,
TM pending final approval. All rights reserved 2020.
All rights reserved. The information within this document(s) contains foundational knowledge of the teachings of Kiiko
Matsumoto that can be found in Kiiko Matsumoto Clinical Strategies: In the Spirit of Master Nagano, Volumes 1 and 2
(copyright). All new information and ideas expressed within this document(s) are the sole ownership and authorship of
Kiiko Matsumoto. These documents and the information contained within these documents may not be copied,
reproduced, stored, taught, or transmitted in any form electronically, mechanically, or recordings without written
permission from its author, Kiiko Matsumoto.
For more info see: KIIKO MATSUMOTO’S CLINICAL STRATEGIES VOL. 1 (available on kiikomatsumoto.com)
Heart/insomnia
Area of CV14
Liver Spleen
Under right costal Under left costal
margin margin
Stomach
Ren12 1
5
Lung/Immune 2
St26, St27 area Oketsu (Liver)
St26, St27 and Ki15 4
area 3
Fire Points – see page 440 of Kiiko Matsumoto’s Clinical Strategies Vol 1
We have many important points located below the elbow and below the knee on each channel (i.e. Five-Element points
etc). Master Nagano said that we should not use more than one or two of these points per channel on each side. If you
use too many per channel you’re diluting the effectiveness of your treatment – like having multiple people speaking over
each other to deliver a message.
In choosing which points to include, Master Nagano had a rule: Fire points take priority! This means, that we always check
the Fire point first. When painful, your choice of points below the knee or elbow, should always be Metal + Water and no
other points on that channel, on that side, would be added.
• Check Fire-points using 3kg of direct pressure. (Ki-2 use sliding pressure instead of direct)
• When painful, treat the corresponding Metal + Water points to release pressure pain on
the Fire point.
When multiple channels present with pressure pain on Fire-points, start with the “deepest
organ/level” and once released, recheck to see if other Fire-points responded too. For
example, if Fire-points for Kidney, Liver & Spleen are all positive, start with Kidney then
recheck to see if the other ones changed (often they will).
Headaches
Head injury
Important reflexes: Du-20 (check for pain, heat and/or “mushy”/gel like feeling); check
site of impact & contrecoup; also check neck. Check and release oketsu (abdomen)
Take caution with patients that have a rapid pulse and avoid needle and o’kyu moxa on:
ê Du line at L4 level and above
ê Huato Jiaji & inner UB line at L4 & above
d
Back reflex zones – use to continue the Zong-Fu support from the front
Use the suggestions below to see if they also clear abdominal reflexes (indicating the root of the pattern that causes
patient’s symptoms) OR use them to “clean up” any remaining pain after you addressed the constitution and cleared the
abdomen.
Severe or generalized pain including pain related to cancer and pain flare-ups in patients with SLE (lupus):
ê Bl-2 & Yu Yao
ê “Insomnia point” – located at the bottom of the heel
ê DLPFC – especially important in chronic pain cases & when people limit activity due to fear of pain
Tendon involvement including pain in cases of Achilles tendon injury, carpal tunnel, etc.:
ê Lr-8
ê Lr-8 + Gb-34 on the opposite side of wrist with carpal tunnel
ê o’kyu moxa around the tendon area can help
Bone pain including arthritis, pain from a bone fracture or break, bone spurs etc.:
ê Ki-7 + Ki-27 + Lu-5 + Bl-11 (for Bl-11 find a tender spot in the area and needle down)
ê Same side as the bone spur/break/sprain or bilateral if systemic like osteopenia
ê Kiiko-sensei finds that magnets, instead of press-tack-needles, are better in these cases
Muscle pain including descriptions of pain that include: sore, feels-like-a-bruise, achy, cramping
ê Sp-3.2
ê Oddi
ê “Sugar points” on the back (T11 – L1) – o’kyu moxa almost always improves results
Back pain
The chart below provides some suggestions for common back pain patterns. While this may be helpful in a lot of patients,
keep in mind that key to a good treatment is approaching each patient individually. Make sure to check and verify through
palpation before applying treatments.
Knee pain
There are a few key strategies that can help release knee pain. You’ll find that these can work well as “clean-up” treatment
(after you’ve addressed the Zong Fu/constitution). In some cases, testing these points will prove to also release the
abdominal reflexes. (For a more comprehensive list of strategies for knee pain, see Vol. 2 of Kiiko Matsumoto’s book).
“Sugar points” on the back can often help reduce pain as well as improve flexion
ROM of the knee. Gently flex the knee and compare to the other side to see if these points help.
Addressing chronic pain means, in an oversimplified term, “resetting” and helping “heal” the nervous system – treating
the site of injury if not enough. Patients dealing with chronic pain often experience: anxiety and other Shen disturbances;
insomnia; fear of pain leading to decline of function; pain amplification & oversensitivity to touch/palpation.
Treatment strategies:
ê Shao Yang: rapid pulse use TH-5 & GB-41
ê Adrenal
ê Tan Tien
ê Trochanter treatment
ê DLPFC & other scalp points
During the Han Dynasty, the GB channel was instead measured from the outer canthus of the eye (green line in diagram).
Some modern texts describe the location of GB-13 on this line, but follow the pupil line for GB15-17.
Clinical application:
Consider treating the DLPFC area in the following cases:
ê Chronic pain patients and those with Complex Regional Pain Syndrome (CRPS) diagnosis.
ê Patients with signs of Shen disturbance including anxiety, depression, PTSD, “or “constantly-worrying-type”
ê Patients with a history of injury to the area of DU20 through GB18
ê Stubborn pressure pain along the right side ST26-28 area with digestive disorders (Crohn’s, colitis, IBS, etc.)
GB-16 specifically is useful for:
ê Patients that have had injuries to the eye - bone around the eye
ê Headaches during menopause that present with pain at the eyebrows or below
OFC (area of brain behind the orbital bone) is also related to sugar
imbalance and fat metabolism. Use this point for patients that
present with IBS and/or are diabetic and/or have high cholesterol.
NEEDLING TIPS
• Left side is most important for chronic pain presentations (but bilateral treatment may be helpful for some)
• THE PATIENT SHOULD NOT FEEL THE NEEDLE - the effect of these points is much greater when comfortable!
• Needle away from the face in an oblique/transverse angle to the scalp
• If the area has dent or is “gummy”/”squishy” or radiating heat – the patient is a good candidate and will most
likely have a really good response
TROCHANTER TREATMENT:
The trochanter-treatment releasees the rhomboid area (which is also the “psychosomatic reflex”) and is a very effective
way to balance the autonomic nervous system which is a big part of treating chronic pain.