Palpation
- UB10 and GB20- may feel puffy, thick, hot
- Upper trapezius – ropey muscles and pressure pain
- Under lateral scapular spine – areas of kori
- PC8
- LI4
Treatment
- SP6 – bilateral – 45 degrees with meridian
- SP9 – bilateral – 10 degrees with meridian
- If PC8 pressure pain – needle PC3, PC5 (metal, water)
- If PC8 not painful – needle PC6
- If PC8 pressure feels good – need PC8 or jPC4
- Needle areas of kori under scapular spine, perpendicular, add kyutoshin until kori are resolved
- If LI4 pressure pain – needle & retain 20 minutes
- If LI4 pulsating – add okyu
- REN14 – 15 degrees with meridian – superficial to 0.1 inch
- REN12 – 15 degrees with meridian – superficial to 0.2 inches
- KD13 – bilateral – add kyutoshin if cold
- REN6 – add kyutoshin if cold
- UB10 – superficial needling – in & out thrusts – remove without retention
- GB20 – superficial needling – in & out thrusts – remove without retention