auricular acupuncture 2013 summer

7/25/2019 Auricular Acupuncture 2013 Summer

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Auricular

Acupuncture

Kenneth Wang LAc. OMD, Ph.D

[email protected]


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/ntro!uction

Origin an! De$elopmentOriginally #ere recor!e! a" early a" *))45))

6.1. in ei7ing

ei7ing2 The ear i" not an in!epen!entorgan. /t i" clo"ely connecte! #ith 8ang fuan! all o$er the bo!y

Miraculou" Pi$ot2 The 9( meri!ian", :i, an!bloo! go to the ear to create hearing

Of the 9( meri!ian", ;


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6ac>groun!

Auricular ?"age -ar ha" a clo"e relation"hip #ith the 8ang fu organ" Pathological change" of the bo!y #ill re"ult in

corre"pon!ing change" of the ear" acupoint"

Mo!ern 0e"earch 9*) Dr. Paul ogier, a 3rench !octor !i"co$ere! that the

ear an! bo!y #ere relate!B http2CC###.me!icalacupuncture.orgCaamamarfC7ournalC$ol9E9Ca

rticle*.html 9;) Application for (** ca"e" #ere "ummari8e! an!

reporte! 9* ne# "timulating point"

9E( Fur$ey recor!e! (GH point" to E)). 9EH 0e"earch from Iiaolin Liangyi foun! a relation"hip

bet#een "timulating the point" on the ear an! "en"ation onthe corre"pon!ing channel.

9G) Mo!ern 0e"earch inclu!e" relation"hip bet#eenear an! channel", ear an! the 8ang fu, an! ear an! ner$e"
http://www.medicalacupuncture.org/aama_marf/journal/vol17_1/article5.htmlhttp://www.medicalacupuncture.org/aama_marf/journal/vol17_1/article5.htmlhttp://www.medicalacupuncture.org/aama_marf/journal/vol17_1/article5.htmlhttp://www.medicalacupuncture.org/aama_marf/journal/vol17_1/article5.html


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1haracteri"tic"

/n!ication" are u"e! for a $ariety of

!i"or!er"

-a"y in"ertion an! manipulation of nee!le" -conomical an! con$enient for patient"

3e# or no "i!e effect"

?"e! for !iagno"i" an! !ifferentiation of

"yn!rome" ?"e! for pre$ention of !i"ea"e


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;

Relationship of ear and organs, meridians

Ear andOrgans

As early as in the "Yellow Emperor" had documented the

relationship between the ear and the internal organs bothphysiological and pathological aspects discussed quite detailedrelated organs including: Kidney, heart, lier, gall bladder, spleen,lung

!"#$%&'

()*
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Ftructure

Mo"tly ma!e of cartilage connecti$e ti""ue

an! fat 'The auricle 5CH4HC* ba"e! ela"tic

cartilage, 9CH49C* containing fat an!connecti$e ti""ue of the earlobe.+

Ample ner$e, bloo! $e""el", an! lymph

glan!"

Fome mu"cle on the po"terior to gi$e ear

"ome mobility


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The "tructure of the auricle.Auricular artery from all branches of the

external caSuperficial temporal artery Ear arterySuperficial temporal artery in front of theouter ear ceded to, spread three major

(branch, up, middle, and down))suppliers theauricular front;Ear artery from under the ears along theback of the auricle spread three major branch

suppliers back of the auricle. Arteries supply the earsis from ear root to the eternalauditory canal, !herefore, normalAuricular skin temperature fromthe ears closer the temperature


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#ympathetic 'long the carotid

&ascular ple$us, density of the fibers

with the arterial diameter smaller reduced

in thicness ranging from fiber wall.

*hile +nly sparse distribution of fibers in

the &ein wall, Most fiber distribution inthe artery and &ein tube anastomosis . 6

!his auricular point pric blood pro&ides

a theoretical basis7

ery rich neres on Auricle


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omenclature of Acupoint"

ames related to the anatomy

#houlder, elbow, abdomen, etc.

ames related to the meridian and ang%fuHeart, spleen, li&er, etc.

ames related to the ner&es

#ciatic ner&e, etc. ames related to the disease

Hypertension, hepatitis, etc.


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omenclature of Acupoint

ames related to their therapeutic properties-ower blood pressure point, flu point, etc.

ames related to the shape and location of theear'pe$ of the ear, etc.

ames related to the system functionEndocrine, sympathetic, etc.

ames according to the location of acupoints"ace%chee area, hunger point, etc.


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Triangular 3o""a

3oints 8. Constipation / 6raw a line from

pel&is to the lower outer border ofthe triangular fossa. t is locatedin the second 4


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Triangular 3o""a 3oints

=. Hepatitis / Midpoint betweendecrease blood pressure andshenmen

B >aundice, hepatitis symptoms ?. 1terus


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Antiheli=Te=tboo> page 9)949)(

;eneral -ocation / 3rominenceopposite the heli$

6i&ide trun into = e@ual parts fromthe bottom of the antiheli$ to the

for of the superior and inferiorantiheli$ crus 4. -ower 4


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Antiheli=

3oints Cer&ical &ertebrae

B ec trauma, degeneration in thecer&ical region

!horacic &ertebraeB #welling and pain in the thoracic region

-umbar #acral &ertebraeB -umbo%sacral pain and dysfunction

in the lower e$tremities ec

B+n the border of ca&um concha of thecer&ical &ertebrae

B #tiff nec, cer&ical &ertebrae, uppere$tremity atrophy, paralysis,numbness

!hyroidB Aetween the nec and brain stem

B !hyroid disease, obesity

6rain Ftem

ec>


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1a$um 1onchaeTe=tboo> page 999499(

eneral Location The part ofthe concha inferior to the heli=cru"

Point"&eart 1enter of the !eepe"t

portion of the ca$um conchaB &eart !i"ea"e", palpitation,

in"omnia, mental !i"or!er"

Lung ?pper an! lo#er area

a!7acent to the heart. ?pper i"on the oppo"ite lung.

B 0e"piratory problem", cough,a"thma, ">in !i"ea"e", profu"e"#eating


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Lobe

Point" ?pper palate

B /n the po"terior lateral line, lo#er of the (n!"ection of the lobe

B Trigeminal neuralgia, inflammationof the mouth mu"cle

ToothB 1enter of area 9

B Tooth !i"or!er"

/nternal -arB /n the center of area ;

B Tinnitu", impaire! hearing, au!itory$ertigo

eura"theniaB 1enter of area H

B Toothache, light "leep, a#a>eningearly, fatigue, #ea>ne"", lo"" of

memory, ache"

9 ( 5

H * ;

E G


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1ymba 1oncha

Pro"tate ?pper '"uper4anterior+corner of cymba concha Pro"tate !i"or!er"

?reter 4 Locate! in the po"terior

9C5 of the line bet#een >i!ney an!pro"tate ?rinary !i"or!er", "tone"

?rinary 6la!!er Locate!bet#een the >i!ney an! pro"tate,appro=imately me!ial (C5 ?rinary !i"or!er", urine fre:uency,

"ciatica, nephriti"


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Area Aroun! the &eli= 1ru"

eneral Location Tran"$er"e prominenceentering the ca$um concha

Point"Mouth Locate! mi!#ay

bet#een upper 9C5 of thehole of the e=ternal au!itorycanal an! the beginning of

the &eli= 1ru".B Dige"ti$e !i"or!er", mouth

ulcer", #eight management


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Point" Large /nte"tine Locate! at

the beginning of the

"uperior outer bor!er of theheli= cru".

B Dy"entery, !iarrhea,con"tipation, in!ige"tion

Ftomach /n the concha

#here the heli= cru"!i"appear"

B Ftomach ulcer, ga"triti",in!ige"tion, $omiting, nau"ea


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Point" Fmall /nte"tine /t i" locate! 9C5

of the #ay of the "uperior outer

bor!er of the heli= cru"

B Diarrhea, in!ige"tion, ab!ominal

!i"ten"ion, "ore throat, infection

of the mouth an! tongue

-"ophagu" /nferior a"pect of

the heli= cru" !irectly belo# the

"mall inte"tineB Weight management, "peech

impairment, aci! reflu=


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Tragu"

eneral Location 1artilaginou"pro7ection in front of the e=teriormeatu" of the ear

Point" Ape= of the tragu" center of

the upper part" outer bor!er A!renal lan! center of the

lo#er part" outer bor!erB &yperChypoten"ion, capillary

blee!ing, temperatureproblem", anticough,antia"thma, inflammation


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Tragu"

Point" -=ternal no"e 3orm" an!

e:uilateral triangle #ith the ape=of the tragu" an! a!renal glan!.

B 0hiniti", no"e infection

Thir"t Point 6et#een tragu"ape= an! e=ternal no"e

B Diabete", e=ce""i$e thir"t

&unger Point Mi!point bet#een

e=ternal no"e an! a!renal glan!B Weight management, e=ce""i$e

hunger


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/ntertragic otch

Location Depre""ion bet#een thetragu" an! antitragu"

Point"

-n!ocrine 6a"e of ca$umconcha in the intertragic notchB &yperthyroi!i"m, obe"ity, irregular

men"truation, !y"menorrhea,amenorrhea, allergy, ">in!i"ea"e", impotence, en!ocrine

"y"tem !y"function 0ai"e bloo! pre""ure /nferior

a"pect of the intertragic notchB &ypoten"ion


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ee!le

Ftro>e Migraine &ea!ache Aci! 0eflu=

1hronic Diarrhea Weight Management &epatiti" ?rinary /nfection Peripheral europathy

Knee Arthriti" Fciatica Menopau"e


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/nferior 1ru" of Antiheli=

eneral Location /nferior branch of theantiheli=

Point" 6uttoc>

B Locate! at the beginning of the lo#ercru", in the center

B &ip pain, arthriti" Fciatic

B Mi!point of the line from the beginningof the lo#er cru" to the en!

B Fciatic pain, atrophy, paraly"i" an!numbne""

Fympathetic

B At the en! of the upper e!ge of thelo#er cru"

B Pain of internal organ", palpitation,"pontaneou" "#eating, night "#eating,autonomic ner$ou" "y"tem


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Fcapha

Point" 3inger

B Top of Fcaphoi! fo""aB Pain, arthriti"

Wri"tB Top of the (n!part

B Wri"t pain, ten!on pain -lbo#

B Top of the 5r!partB Tenni" elbo#, pain, 7oint trauma,

paraly"i", numbne""

Fhoul!erB Top of the Hthpart

B Fhoul!er pain, paraly"i", motion i""ue" Allergy

B Area in bet#een finger an! #ri"tB Any allergy !i"ea"e", ">in allergie",

a"thma


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&eli= 1ru"

Location 4 Tran"$er"eprominence entering ca$umconcha

Point"Diaphragm Locate! at the

mi!point of the line from#hich the heli= cru"originate". Directly abo$ethe entrance to the e=ternal

au!itory canal.B &iccup an! $omiting, hiccup

!ue to ga"trointe"tinal i""ue",re"piratory i""ue"


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&eli=

eneral Location Lateralcurling rim of the auricle

Point"

-ar Ape= Locate! at thetop of the heli=.When the ear i" fol!e! from

the mi!!le, the ear ape= i"the tip

B Any infection" of the hea!,ton"illiti", facial ner$e infection,analge"ia, pacifying li$er,hyperten"ion


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&eli=

Fi= part" of heli= "tarting fromthe lo#er e!ge of the heli=tubercle to the mo"t inferior partof the heli=

&eli= * At the central po"teriorpart of the ;th"ection on the rimof the lobe

&eli= ; At the bottom of the Gth"ection of the lobe

Point" &eli= 945 Acute !i"ea"e" orhigh fe$er

&eli= H4; 1hronic fe$er Mainly u"ing bloo! letting to

treat ton"illiti" an! hyperten"ion


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What" the chief complaintN


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An>le

LumbarCFacral

Fciatica

Lo# 6ac>CFciatic

Pain

Fhenmen

&eart

Thoracic

PalpitationCAn=ietyC/n"omnia


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Large /nte"tine

Ftomach

&unger

Mouth

1on"tipation

Fpleen

Weight Management 1on"tipation


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-ar Ape=

Decrea"e

6P

Fhenmen

?teru"

Li$er

&eart

Fpleen

&igh 6loo! Pre""ure /nfertility


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ee!le

/mpotence

0ectal 6lee!ing

&ea!ache"C&igh 6loo! Pre""ure -ye Pain

-c8ema


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-=amination Metho!"

When internal organ" or part of the bo!y i" !i"ea"e!, itcan be reflecte! on the ear. -lectrical 1omputer Diagno"i"

B 1alculate number", re"i"tance

-lectrical Detection Auricular DetectorB 0e"i"tance i" lo#er () *)) Kilo Ohm"

Pre""ingCPalpationB -!ema, !epre""ion

Detecting ten!er "pot"

B Pre""ing, touching, painful area"

Ob"er$ingB Di"coloration, bli"ter", har! no!ule", bloo! $e""el"


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1olor Fhape 1hange"

1olor of the acupoint i" !ifferent from it" "urroun!ing" 6right 0e! Acute or painful !i"ea"e White 1hronic !i"ea"e, !eficiency Dar> ray A""ociate! #ith problem" in that

location. When pre""e!, the color fa!e" 0e!, blac>, #hite center #ith re! "urroun!ing" 6ro#n 1hronic !i"ea"e or in!icate !i"ea"e i" cure!

Fhape "uch a" protru"ion or !epre""ion

o!ule", "pot4li>e ca$e or !epre""ion on the ">in


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PapuleCa"cularCDe":uamation

A "pot that i" aggregate in nature #ith

papule "urroun!ing the acupoint.

&igher than normal ">in "uch a"bli"ter"

A $e""el on the point that i"

conge"te! or !ilate!

De":uamation #hite "caly

e=foliation ">in !i"ea"e"


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Fignificance of Ob"er$ation

&elp u" in point "election

Analy8e "ymptom" an! increa"e" our

un!er"tan!ing of 8ang fu /ncrea"e therapeutic re"ult"

e# #ay for early !iagno"i" an!

!etection


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-lectrical probe

Ob"er$ing change" in electrical re"i"tance,

capacity, an! potential an! point"

Di"ea"e create" lo#er re"i"tance an!

higher con!ucti$ity of electrical current"ormal about *)))49),))) K Ohm"

Di"ea"e about ()4*)) K Ohm"

/n"trument" can !etect the"e highercon!ucti$ity by emitting !ifferent "oun!"


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-=erci"e

/!entify problem" u"ing ten!erne""

metho!

1ompare #ith ob"er$ation metho! 0ea! p5E94H95


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Metho! of operation

ee!ling2 !i"infectionCnee!leCpo"ition'94(mm+

-lectricity nee!le'Pain C ner$ou" "y"tem

!i"ea"e C a"thma+ Fee!,

ee!le burie!

Point in7ection 6lee!ing'F>in !i"ea"e"C"prain C acute

inflammation+ behin! ear conge"tion $ein+


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Treatment

Point Felection

Accor!ing to !i"ea"e location

Accor!ing to !ifferentiation of"yn!rome" an! T1M theory

Accor!ing to mo!ern me!icine

Accor!ing to point" function

Accor!ing to clinical e=perience

?"e! on the affecte! "i!e


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/n!ication"

Pain Trauma /nfection euralgia

After operation Tumor or 1ancer /nfection" Allergie" Dy"function of neurological "y"tem 1hronic !i"ea"e"

Other" Juit "mo>ing Drug a!!iction Weight lo"" Pre$ention of motion "ic>ne""


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1ontrain!ication

ot goo! to u"e "trong "timulation in patient" #ithheart !i"ea"e

Acupre""ure more appropriate for "eriou" chronic!i"ea"e" or "eriou" anemiaCbloo! clotting

Patient ha" e=ternal ear !i"ea"e" "uch a" ec8ema ot goo! #hen patient" feel fatigue, hunger, or

#ea>ne"" -l!erly patient #ith arterio"clero"i" hyperten"ion

"houl! re"t Q hour before therapy &abitual abortion Dont u"e acupuncture for

ab!omen, uteru", o$ary, en!ocrine Dont in"ert too !eeply an! !ont puncture through to

the oppo"ite "i!e of the ear


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Thing" to Kno#

-$ery patient i" !ifferent Fame !i"ea"e can ha$e !ifferent "ymptom" Different type" of !i"ea"e" may create "imilar

"ymptom"

ee!ling metho! u"e! #ill !epen! on patient""ituation

Patient" po"ition lying !o#n the "afe"t ?tili8e 1T proce!ure" 1areful nee!le t#i"ting

?tili8e 5)45; mm gauge nee!le" 1an u"e "e$eral '(45+ nee!le" to puncture one point Ma>e "ure you ha$e a cotton ball !uring remo$al


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0eaction

1ommon reaction -ar feel" hot, #arm, numb, pain, !i"tention,electric "hoc> feeling, tran"mi""ion of nee!le "en"ation. 6o!y felt #arm an! no# col! /n$oluntary mo$ement of mu"cle"

ibration of facial mu"cle" 1hannel 0eaction "en"ation of the targete! channel" Lightning 0eaction feeling of electric circuit i" "#itche! on a part

or internal organ 1hain 0eaction ?ne=pecte! re"ult". 0elie$ing "ymptom" in

a!!ition to #hat #a" planne! Delaye! 0eaction !ue to lo# reacti$ity, bloc>age of channel",

"e$ere "tate of illne"", poor nee!le "en"ation Dull or no 0eaction Auricular Detector nee!e!

A!$er"e effect !eterioration of con!ition. May be !ue to "tre"",too many point", too much inten"ity or inappropriate manipulation 3ainting

Po""ibilitie" Too tire!, too hungry, lo# bloo! pre""ure, too #ea>,after hea$y e=erci"e

Ta>e out the nee!le", >eep #arm, !rin> #arm #ater


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-lectrical Auricular


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-lectrical Auricular

Acupuncture

ot all patient" can ta>e it

T#o outlet" of one pair "houl! be connecte!

to ( nee!le" on the "ame "i!e

-=plain that the electricity may pro!uce

#armne"", "leepine"", hea$ine"", "orene""

or !i"ten"ion

-=amine to ma>e "ure the nee!le i" not!ar> or corro!e! before u"ing electricity. /t

may brea>.


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1ommon Di"or!er"

&ea!ache -ar ape=, "henmen, nec>

Migraine Temple, occiput, ear "henmen, nec>, li$er, heart

Acute Fprain -ar "henmen, brain, an! "praine! area Lo# 6ac> PainCFciatic

Fciatic ner$e, lumbar, "henmen Ftro>eC1ancer

6rain, ear "henmen

&yperten"ion Lo#er bloo! pre""ure, heart, ear "henmen, ape= 'blee!ing+

Diarrhea Fpleen, "tomach, rectum, en!ocrine, large inte"tine

Di P i


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Di"ea"e Progre""ion'5 month", ; month", 9 year, * year"+

Ftre"" Anemia &/CA/DF au"ea F#ellingC-!ema

Ftro>e Migraine &ea!ache Aci! 0eflu= 1hronic Diarrhea Weight Management &epatiti" ?rinary /nfection Peripheral europathy Knee Arthriti" Fciatica Menopau"e


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Lo"" #eight

One a!7u"ting

Three increa"e"

One !irectional bla"tng

A!7u"t the en!ocrine


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A!7u"t the en!ocrine

function.'89

)

Acupoint"2 the hypothalamu",

en!ocrine, e!ge 'pituitary glan! hole+.

The en!ocrine "ecretion le$el" remaine!

relati$ely "table, mainly through "elf4

a!7u"ting mechani"m to achie$e

negati$e fee!bac>. Fo that the bo!y to

a!apt to en$ironmental change".-n!ocrine function to "tabili8e.


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Weight lo""

Three increa"e"2

9. -nhance the e=citability of the bo!y2

Acupoint"2 the "ympathetic, front hea!.'Obe"ity i" often accompanie! by the ea"y "leepy,"leepine"", "leep a long time, a "mall amount of

bo!y acti$ity, energy con"umption, protein

"ynthe"i" i" greater than the !ecompo"ition

proce"", therefore the treatment of obe"ity to ta>e

e=cite! auricular "ympathetic, front hea!+


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5. /ncrea"e! e=cretion :>?@

'cupoints: idney, triple burner, lung,

large intestine.(/ncrea"e the e=cretionof the lung, lung ">in an! hair. Ki!nay

ma"ter #ater, etcR+


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-=perience2

Fimple obe"ity, ear nee!le to lo"e

#eight ha$e a certain effect,

9. oo! "tate of min!, "leep time,an! u"ually "leepy at night mar>ably

impro$ement, high energetic.


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-=perience"

(. Ab!omen rela=e! feeling

'A cour"e of treatment, "ome obe"e

patient", although no #eight"ignificantly re!uce!, but the fullne""

of the ab!omen to re!uce or

!i"appear, the acti$ity i" more fle=ible

than before, may be a""ociate! #ithfat re!i"tribution+


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-=perience"

5. 0e!uce "#elling "ub"i!e!

/f obe"ity i" !ue to en!ocrine !i"or!er"

a""ociate! #ith e!ema, accept auricular

acupre""ure treatment once The #eight can "ubtract l S ( >g, #hich may be

ear nee!le a!7u"t the en!ocrine, promote #ater

an! "alt metaboli"m, !iuretic, re!uce! "#elling.

Thi" type of obe"ity, clinical outcome".


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-=perience"

H. -ar #eight lo"" treatment time

longer'945 month"+

1linical ob"er$ation2 generally in the

treatment of fir"t an! "econ! cour"e can

be "een

Weight !ecrea"e! 9 to 5 >ilogram", to

continue treatment, #eight lo"" i" notob$iou", or e$en "top treatment an!

reco$ery.


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-=perience

*. The treatment of obe"ity i" mainly

control foo! inta>e.'Auricular therapy

i" to enhance "atiety, re!uce hunger

mainly, re!uce foo! inta>e, to a$oi!

o$er4eating or "nac>ing.


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0eference" When


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auricular acupuncture 2013 summer

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