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
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