THE THREE-LEVEL ACUPUNCTURE BALANCE

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THE THREE-LEVEL ACUPUNCTURE BALANCEIntegrating Japanese Acupuncturewith AcuGraph Computer DiagnosisJake Paul Fratkin, OMD, L.c.PART 1 ANTECEDENTS TO 3-LEVEL PROTOCOLA.Overview and IntroductionB.Schools of Acupuncture Practiced in the West5C.Acupuncture: General Considerations6D.Level One: The Primary Channels8E.Level One: Keriaku Chiryo9F.Level Two: The 8 Extraordinary Channels13G.Level Three: Divergent Channels16H.3-Level Antecedents From Japan17I.Somato-Auricular Therapy (SAT)31PART 2p.2THE 3-LEVEL PROTOCOLA.Acugraph Diagnosis35B.Abdomen and Head37C.Basic 3-Level Protocol37D.Mop-Up Treatment38E.5-System Tai Ji Balance Method40F.Naomoto: Midday-Midnight Needling Method42G.Auriculotherapy42H.Back Treatment42I.Considerations43J.Clinical Observations45Qi Gong Exercises48Recommended Texts50Resources52

2PART 1 ANTECEDENTS TO 3-LEVEL PROTOCOLA. OVERVIEW AND INTRODUCTION1.What I hope To Accomplisha.Theory and Practice1.Theorya. Components of 3-Level Balanceb. Japanese versus Chinese approach2.Practicea. Point selectionb. Point locationc. Needle techniqueb.c.d.2.Acugraph1.How to choose and use different menus2.How to get accurate readingsTherapy1.Various systems of meridian balancing2.Various approaches to diagnosis besides computer3.Prioritizing the SAT protocol with ion pumping cords4.Japanese needle technique and point location5.Clinical problems and conundrumsWhy I like this approach1.Complex and sophisticated balance2.Confirmation via O-ring muscle testingThree-Level Meridian Balancing is a modern approacha.Balances primary channels, divergent channels, 8 Extrab.Synthesis of a Japanese protocol based primarily on the work of1.2.c.Yoshio Manaka, MDMiki Shima, OMDAlso incorporates the work of1.Japanese meridian therapy (Keriaku Chiryo)2.Dr. Richard Tan3.Nogier and TCM auriculotherapyJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

33.Seeks to achieve a total meridian balancea.When meridians are in balance, the body heals quickly and efficientlyb.This is a root treatmentc.4.1.Perfect for chronic cases2.Perfect for maintenance and health enhancementCan be followed/accompanied by branch treatment1.Auriculotherapy2.TCM3.Japanese4.Dr. Tan/Master T’ungMeridian systems (TCM approach)a.b.From most superficial (wei level) to deepest (yuan level):1.Sinew channels (musculo-tendino)2.Luo-Connecting channels3.Primary channels4.Divergent channels5.Eight extraordinary channelsThree-Layer theory (TCM approach)1.Pathogens affect and are treated differentlya. Wei1.Treat sinew channels2.Treat luo-connecting channels3.Treat divergent channelsb. Ying1.Treat primary channels2.Treat luo-connecting channels3.Treat divergent channelsc. Yuan5.1.Treat extraordinary channels2.Treat divergent channelsThe 3-Level Protocol (Japanese approach)a.Primary channels: uses teshin devices to adjust skin above channels1.Regulates excess and deficiency of the primary channels2.Use teishin to release kori and other imbalancesJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

43.Addresses primary channel imbalances after the 8 Extra andDivergent balanceb.c.8 Extraordinary Channels1.Balances the musculoskeletal structure2.Circulates energy throughout the 8 Extra networkDivergent Channels1.Adjusts and utilizes the divergent channels to circulate qi andblood through the zang-fu networka. Connects primaries to zang-fu2.d.Harmonizes yin-yang element partnersAuricular Therapy1.Utilizes ear pointsa. To reinforce the primary channel treatmentb. To address specific complaints (branch treatment)6.Our approach relies on Acugraph computer diagnosisa.Origin was Akabane diagnosis (1970s-1980s)1.Stroking jing-well points with incense, counting number ofstrokes until patient feels heatb.c.7.2.Painful, time consuming3.Requires mathematical calculations to determine treatmentAcugraph includes the protocol within their program1.Calculations are instantaneous2.Gives point prescriptionsAcugraph is also used for primary channel balance alone3 Level Balance can be performed with:a.Needles with ion pumping cords1.Moves excess to deficiencyb.Bi-metal needlesc.Needles with tonification-sedation methodsd.Lasere.Electro-stimf.MoxibustionJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

5B. SCHOOLS OF ACUPUNCTURE PRACTICED IN THE W EST1.Chinesea.2.3.TCM/CAM: based on zang-fu, 1950s1.Foundation style taught throughout the world2.Applies acupuncture points to zang-fu pathologyb.Channel: Wang Ju-Yic.Classical: Jeffrey Yuen, Hamid Montakabd.Taiji/Mirror Approach: Master T’ung, Richard TanKoreana.Sasang (Korean constitutional medicine) - Joseph Kimb.Korean hand acupuncture - Tae-Woo Yoo, 1971Japanesea.Sawada Method - Ken Sawada (1877-1938)b.Keriaku Chiryo (Meridian Therapy) 1936-present1.Denmai Shudo, Koei Kuwahara, Stephen Brown2.Kodo Fukishima - Toyo Haric.Yoshio Manaka, Stephen Birchd.Topological Society, Miki Shimae.Kiyoshi Nagano, Kiiko Matsumotof.Masakazu Ikeda, Edward Obaideyg.Shoji Kobayashi – Acupuncture Core Therapy1.h.4.Koshi Balancing - Jeffrey DannYoshito Mukaino - Muscle Meridian testEnglisha.Founding fathers1.Dick Van Buren, 1950sa. Giovanni Maciociab.5.2.Royston Low, 1960s, 1970s3.Felix Mann - medical acupuncture, 1970sJ.R. Worsley – Five Element Acupuncture, 1980sFrencha.Founding fathersJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

6b.1.Georges Soulié de Morant (1878-1955); 19402.Roger De La Füye, 19563.Albert Chamfrault, physician acupuncture, 1969Nguyen Van Nghi (1909-1999) (Marseille)1.Mark Seem (New York, USA)2.Tran Viet Dzung (Nice, France)c.Yves Requena – constitutionald.Maurice Mussat – trigram approach1.e.Paul and Raphael Nogier – auriculotherapy, 1970 to present1.6.7.Terry Oelson (USA), 1980sGermana.Johannes Bischko, 1985b.Gabriel Stux, medical acupuncture, 2003c.Michael Weber – laser acupuncture, 2014American Chiropractica.C.Joseph Helms (USA) - UCLA medical acupunctureRichard Yennie, John Amaro, Zev MyerowitzACUPUNCTURE: GENERAL CONSIDERATIONS1.Basic Conceptsa.Discussion of qi and bloodb.Discussion of meridian network (meridian vs. organ)c.24 hour bio-clock1.2.d.Relationship of 6 levelse.Relationships of 5 Phases (element)Discussion of needle and effecta.3.4.Follows meridian sequence in bodyWhy do needles work?Comparison of Japanese to Chinese acupuncturea.Chinese TCM: 3-point combo directed towards symptom/ complaintb.Japanese: balance meridiansComparison of Japanese to Chinese styles of acupuncturea.Needle techniqueb.De QiJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

7COMPARISON OF CHINESE AND JAPANESE NEEDLE TECHNIQUESChineseJapaneseInsertion of needleDeep: 10-75 mmSuperficial: .5-20 mmNeedle ThicknessThick: 0.20 mm (#36)Thin: 0.12 mm (#44)Point Placement0.35 mm (#28)Follows the body’s anatomy-0.18 mm (#38)Touches the skin tosense active pointDe QiThe patient feels theThe practitioner feels thearrival of qiarrival of qi through theneedleMoxibustionIndirect treatment:Direct treatment:Influences a large areaUses small cones burnedon the skin surfaceon the skin surfaceCOMPARISON OF NEEDLE SIZESJapanese #ColorChinese gauge #Thickness (mm)00 (02)Dk green44.120 (01)Lt 5Purple32.25Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

8D. LEVEL ONE: THE PRIMARY CHANNEL BALANCE1.Ling Shu chapter 15 described the meridian flow as a circuita.LU LI ST SP HT SI BL KI PC TW GB LV LU1.There are contradictory statements in the Ling Shua. The final circuit was not confirmed until 1341, Shi SiJing Fa Hui (“Fourteen Channels Elucidation”), Hua BoRen2.Ultimately, the primary channel circuit is the most importantflow in the bodya. Qi continuously flows through the circuitb. Explains jet-lag3.Should be maintained dailya. Primary Channel qi gongb. Manaka’s Taiji treatment2.Health is maintained when there is a continuous flow of qi through the channelcircuit, and when the overall quality of qi is gooda.Primary channels are responsible for circulation of qi, blood, ying andweib.In disruption, some channels will show excess, and some will showdeficiencyc.3.Determining excess and deficiency1.Pulse2.Skin palpation3.Channel and point palpation4.Abdomen5.Computer diagnosis: Acugraph, MEADThe Six Levelsa.Organization1.Tai yangGreater yangSI-BL2.Shao yangLesser yangTW-GB3.Yang mingYang brightnessLI-ST4.Tai yinGreater yinLU-SP5.Shao yinLesser yinHT-KI6.Jue yinTerminal yinPC-LVJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

9b.Depth in body1.Placement on arms and legs, from lateral to medial,corresponds with depth of associated organ2.3.c.Yang channels, from most superficial to deepesta. Tai yang:Small Intestine, BladderLateralb. Shao yang:Triple Warmer, GallbladderCentralc. Yang ming:Large Intestine, StomachMedialYin channels, from most superficial to deepesta. Tai yin:Lung, SpleenMedialb. Jue yin:Pericardium, LiverCentralc. Shao yin:Heart, KidneyLateralFor deeper discussion, see HANDOUT ADDENDUM, Wang Ju-Yi’sObservations on Six Levels, p. 1E. LEVEL 1: KERIAKU CHIRYO1.Balancing based on Keriaku Chiryo: Japanese Meridian Therapya.Excesses and deficiencies are determined by pulse position comparisonsb.Relationships are seen as primary or secondary patternsc.Primary patterns ry1.The effects of the Meiji Restoration2.Rebirth of Nanjing Classical Acupuncture as Japanese MeridianTherapy3.Point selection:a. Designations and groupings of pointsb. Father-mother-child relationship. 69th chapter.e.Based on 69th Chapter of Nan Jing (180 AD):1.“In a case of deficiency, fill the respective meridian’s mother. Ina case of excess, sedate the respective meridian’s child. Onemust first fill, and sedate afterwards.”Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

10f.Development1.1930-1940s: Sorei Yanagiya, Sodo Okabe, Keiri Inoue2.1940-1985: Kodo Fukushima3.1980s-present: Denmai Shudo, Akizo Okada, Masakazu Ikeda,Kuei Kuwahara, Stephen BrownPRINCIPLES OF MERIDIAN THERAPYFrom: TRADITIONAL JAPANESE ACUPUNCTURE: FUNDAMENTALS OF MERIDIAN THERAPY, Society ofTraditional Japanese Medicine, Koei Kuwahara, editor; Complimentary Medicine Press, 20031. Affirmation of the existence of meridians2. The view that all diseases will manifest as a change in the meridians3. Changes in the meridians, whether deficient or excess, are grasped by focusingon the comparison of pulse positions4. Focusing on patterns (sho) of imbalance based on deficiency of the yin-zangorgans-meridiansa. Liver, Spleen, Lung and Kidney5. The splitting of treatment between root treatment and local (branch) treatmenta. These are performed simultaneously and have equal valueb. Root treatments have standardized protocols1. Root treatment focuses on one of the yin-zang organmeridians (sho)2. Recent effort to encourage wider point selection than justclassical recommendations6. Treatment theory: tonify deficiency and disperse excess7. Focus on tonificationa. Use shallow insertion with retained needlesb. Or no insertion at all (contact needling)Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

11PULSE CLASSIC, Wang Shu-He3 RD century, pHeartcunLarge IntestineLungMetalWood GallbladderLiverguanStomachSpleenEarthWater BladderKidneychiSanjiaoPericardiumFireSmall IntestineProximalTHE PATTERNS(1) Primary(2) Mother(3) enorHT/PC(5.PC/HeartLiverKidneyorLung)Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

12CLASSICAL SYNDROMES IN KERIAKU CHIRYOKoei Kuwahara, Traditional Japanese Acupuncture,Fundamentals of Meridian Therapy1.Liver Deficiency Heat Pattern2.Liver Deficiency Cold Pattern3.Spleen Deficiency Yangming Channel Excess Heat Pattern4.Spleen Deficiency Stomach Excess Heat Pattern5.Spleen Deficiency Stomach Deficiency Heat Pattern6.Spleen Deficiency Cold Pattern7.Spleen Deficiency Liver Excess Heat Pattern8.Spleen Deficiency Liver Excess Blood Stasis Pattern9.Lung Deficiency Yang Meridian Excess Heat Pattern10.Lung Deficiency Cold Pattern11.Lung Deficiency Liver Excess Blood Stasis Pattern12.Kidney Deficiency Heat Pattern13.Kidney Deficiency Cold Pattern14.Heart Heat15.Heart ColdJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

13F. LEVEL TW O: THE 8 EXTRAORDINARY CHANNELS1.For deeper details of TCM tradition, see HANDOUT ADDENDUM, SecondaryChannels in TCM, p. 62.3.Namea.Qí Jīng Bā Mài, 奇经 脉b.“Extraordinary Channel Eight Circulation”TCM Understanding of Eight Extraordinary Channelsa.8 Extra channels are considered to be storage vessels or reservoirs ofenergyb.1.Stores and distributes yuan-jing2.Constitutional, pre-heaven channelsThey are not regular channels1.They follow their own coursesa. Do not have cutaneous, sinew, or channel divergences2.They are not associated directly with the zang-fu3.They do not have dedicated acupuncture pointsa. They cross primary channel points and are controlled orinfluenced by primary channel pointsc.4.Do not have normal yang-yin pairs5.Did not come into clinical use until the 14th centuryMain characteristics1.As constitutional vessels, they represent the link between preheaven (inherited) energies, and post-heaven energies2.Maintain the inner equilibrium of qi, blood and distribution ofjinga. Will handle overflow and excess of qi and blood fromprimary channel system3.The Nanjing:a. They act as reservoirs in case of primary channeldepletionb. Act as reservoirs in case of primary channel excess1.Protect against external pathogenic factorsc. Can absorb and transfer excess during blockages in theprimary channel networkJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

14d.Structural1.Ren and Du divide the body left and right2.Chong divides the body into yin and yang3.Dai divides the body top and bottom4.Wei and Qiao coordinate life changes and are responsible forthe aging process4.Functions in Generala.Fertility and conception1.b.Manage and distribute jingEmbryological development1.Prenatal 8 Extra channels consist of parents’ jing, embryo’syuan-source qi, and zong qi – the cosmic or ancestral qic.8 Extra channels link pre-heaven and post-heaven qi1.Circulate and distribute inherited jinga. Jing is transformed into qib. Distributes to the zang-fu via Triple Warmer functionc. Distribute ying qi, wei qi, fluids and bloodd. Nourishes marrow and brain2.5.This enables the various stages of growth and lifeSpecific Functionsa.b.c.Ren Mai1.Controls all aspects, functions and location of yin2.Command/confluent point: LU 7Du Mai1.Controls all aspects, functions and location of yang2.Command/confluent point: SI 3Chong Mai1.Original Chinese name meant “pregnancy”a. Important for uterus, ovary, fertility, menses2.d.Command/confluent point: SP 4Dai Mai1.Belt/Girdle vessel2.Command/confluent point: GB 41Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

15e.f.g.h.6.7.Yang Wei Mai1.Yang Linking: links all yang channels2.Command/confluent point: TW 5Yin Wei Mai1.Yin Linking: links all yin channels2.Command/confluent point: PC 6Yang Qiao Mai1.Yang Motility2.Qiao means “to lift up one’s heel”3.Command/confluent point: BL 62Yin Qiao Mai1.Yin Motility2.Command/confluent point: KI 6Traditional pairingsa.Lu 7 – KI 6Ren - Yinqiaob.PC 6 – SP 4Yinwei - Chongc.SI 3 – BL 62Du - Yangqiaod.TW 5 – GB 41Yangwei – DaiJapanese Understandinga.Manaka believed that the 8 Extra channels were the pathways by whichqi and blood distributed in the embryo1.Prior to maturation of the primary channels, which happensafter birth and is finalized at age 32.Manaka did not specify that the 8 Extras stored and circulatedyuan-jingb.Manaka saw the 8 Extras as being the the network that maintains thestructural bodyc.See section on Manaka, belowJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

16G. LEVEL THREE: DIVERGENT CHANNELS1.For deeper details of TCM tradition, see HANDOUT ADDENDUM, SecondaryChannels in TCM, p. 172.Generala.Jing Bie (经别 jīng bié)b.Described in Chapter 11, Ling Shu (Huang Di Nei Jing)1.c.No symptomology or treatment protocols are describedThe channel “diverges” from the main channel to join with their yin-yang partner channel and organ1.Eventually joins again into the yang channel that enters neckand head2.Because yin and yang channels merge, they take on therapeuticaspects of the otherd.Only channels beside primary channel to connect with zang-fu1.e.f.Enhance the relationship between exterior and interiorHelps connect head and neck with body and organs1.Balances channels with associated organs2.Seen to balance heaven (head) and earth (body)Six Confluences1.The 6 yin-yang pairsa. Confluence 1: BL-KI (Water)b. Confluence 2: GB-LV (Wood)c. Confluence 3: ST-SP (Earth)d. Confluence 4: SI-HT (Fire)e. Confluence 5: TB-PC (Ministerial Fire)f.2.3.Confluence 6: LI-LU (Metal)Sequence follows anatomical location, lateral to medialDistributiona.Start at He-Sea points1.b.The energy dives deep into the interiorThey all join their coupled channel1.The coupled channels go to their associated zang-fu organsc.All converge at GV 20d.Complete pathways, see HANDOUT ADDENDUM, p. 20Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

174.Functionsa.Maintain connection between head (heaven) and body (earth)1.Regulates distribution of qi, blood, yin, yang and fluids2.Under stress, energy will rise to head3.Treatment brings excess above (neck and face) back down toHe-sea pointsb.Protection of internal organs1.Last protection against xie qi (pathogenic qi) penetrating tozang fua. If it has passed the wei qi, jing jie (sinew channels) orluo mai (connecting channels)b. Deeper pathogens can get stuck at the divergentchannels levelc. Become more chronic or latentH. 3-LEVEL ANTECEDENTS FROM JAPAN1.Kobei Akabanea.1940s-1950sb.Akabane diagnosis used incense thermal evaluation1.Thermal evaluation of jing-well points compares meridianresponse, indicating relative excesses and deficienciesa. 5-10 light strokes of burning incense on jing-well pointsuntil patient reports heat sensationb. Number is counted, recorded, and compared2.c.Further developed by Manaka, Itaya and ShimaAkabane Treatment method1.Minimized needle treatmenta. Preferred moxa to needlesb. Invented and used hinaishin intradermal needlec. Invented and used magrain pellets with tape2.Preferred unilateral treatment3.Back Shu treatmenta. Would tonify side of channel with greatest right-leftimbalance1.Used hinaishin (intradermal needle) for 5-7 daysJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

18b. Would then tonify other weak channels with directmoxa (unilateral Back Shu point)1.d.2. 10 cones, until skin redExpanded diagnostic parameters1.Use of 8 Extra channels pulses2.Abdominal diagnosis3.Hirata body zones4.Mubun Oda facial diagnosisYoshio Nakatani, MDa.Influenced by Akabane’s incense diagnosisb.Discovered that acupuncture points had lowered electrical resistancewhen measured1.Named these points Ryodoraku, meaning electro-conductivepointsc.Developed Ryodoraku electro-meridian diagnosis, 19501.3.Predecessor to AcugraphYoshio Manaka, MD (1911-1989)a.Biography and Overview1.Medical doctor with a Ph.D. in biology2.Devoted himself to acupuncture, moxibustion and herbalmedicine3.Student of Akabane4.Throughout career, performed numerous scientific experimentstesting and expanding frontiers of acupuncture5.Developed the use of ion-pumping cords to move places ofexcess to places of deficiencyJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

19a. This developed from his war-time experiences treatingburn victimsb. Confirmed unidirectional aspect of meridian flowc. Electricity flows from black to red, one direction onlyd. With IPC, treatment times could be 10 minutes6.Investigated use of magnet polarity for diagnosis and treatment7.Developed abdominal diagnosis based on lying flat on a beda. Different Mu point locations based on lying flatb. See HANDOUT ADDENDUM, p. 26b.Saw body paradigm in yin-yang terms1.c.YinYangFrontBackUpperLowerRight sideLeft sideInsideOutside2.The body is driven to keep the four polarities in balance3.8 Extra best way to to balance 4 quadrantsPalpatory Diagnosis1.Relied on abdominal palpation2.Also palpation of distal points3.Looked for patterns of tension, tightness, soreness or pain4.Confirmed treatment efficacy be rechecking places of sorenessor tensiona. Eg, abdominal patterns of tension would changeimmediately with correct treatmentd.Polarity diagnosis and treatment1.Polarity agents produce tiny electrical effects which can alterthe body’s structure and electrical/magnetic northsouthMetalscopperzincgoldsilverthumblittle fingerDigitsJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

203.Summarized these effects as the “X-signal system”a. Method by which acupuncture and moxibustion worksb. Explains:1.Channel theory2.Unidirectionality of channel flow3.The closed circuits of channel flow4.Yin-yang theory and its relationship to bodystructure5.The extraordinary channel vessels and theoctahedral theory6.The five-phase theory7.Five phase engendering and restrainingc. X-signal can change patterns of tension and paind. Called this “Topological Principles and Properties”e.Some of his discoveries and confirmations1.Meridians flow in the direction indicated in the classical textsa. Qi follows the primary circuit sequenceb. Complete cycles are completed about every 45minutes, or 50 times per dayc. Every two hours, there is a concentration in eachmeridian, in sequence2.Confirmed classical indications of 5 phase points:a. Five phase correspondence to other channelsb. Tonification, sedation, xi-cleft and luo-connectingpoints indeed have those functionsc. Called them “isophasal”1.Basically means that all point on a channel affectthe element/phase of the channel2.Multiple points of a channel can be usedtogether, like a musical chorda.There exists a polarity betweentonification and sedation pointsb.Like to combine both tonification pointwith sedation point, and IPCJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

21c.EG, would move energy from LI 2(sedation) to LI 11 (tonification) toreduce excess in the channel3.Confirmed 8 Extraordinary confluent/control points and mastercoupled pointsa. They also respond to positive-negative manipulationf.Jing Luo Theory – channel systems1.Jing mai – the primary channelsa. Run verticallyb. Connect to internal organsc. Go externally to limbs and joints2.Luo maia. Connect horizontallyb. Interconnect the organ-channel systemc. Interconnect paired channels3.Qi jing mai (8 extraordinary vessels)a. Regulate the channel systems4.Jing jin (channel sinews)a. Connect with body’s musculature5.Jing bie (channel divergences)a. Branching and leading back to channelsg.Developed 8 Extraordinary Channel approach as a stand-alone therapy1.Elucidated embryological role of 8 Extra channelsa. Felt that 8 Extra channels allowed energy to move anddevelop in fetusb. They provide an acupuncture network for thedeveloping embryo2.Proposed octahedral structure to bodya. 8 Extraordinary as underlying system for structureJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

223.The octahedrona. Ren maiDivides anterior right and leftb. Du maiDivides posterior right and leftc. Dai maiDivides superior-inferiord. TWDivides upper, anterior-posterior yange. GBDivides lower, anterior-posterior yangf.PCDivides upper, anterior-posterior ying. SPDivides lower, anterior-posterior yinFrom Manaka, Chasing the Dragon’s Tail, p. 81Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

23Alternative octahedral m odelFrom Montakab, Acupuncture Point and Channel Energeticsh.Developed 8 Extraordinary Channel approach as a stand-alone therapy1. Structural problems are best treated by the 8 Extra channelsand pointsa. The traditional pairings affect octahedron1.2.Yin:a.Lu 7 – KI 6/ Ren - Yinqiaob.PC 6 – SP 4/ Yinwei – Chonga.SI 3 – BL 62/ Du - Yangqiaob.TW 5 – GB 41 / Yangwei – DaiYang:b. The following pairs are the most important fororganizing the octahedron:1.TW 5 – GB 412.PC 6 – SP 4Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

242. Expanded 8 Extraordinary pairs to include all 6 level pairsa. Now 8 pairs, not 41.Now would include LV, LI, ST and HTb. Proposed 4 new master points for additional channels1.LV 4, LI 5, ST 40, HT 5c. See material on Miki Shima, below3. Manaka on 8 Extraordinarya. 8 extraordinary have older embryological andevolutionary roots than the primary channels1.They regulate the body at a more primitive levelof symmetric-asymmetricb. They have a much broader regulatory effect on themovement of qi (primitive signals) than primarychannels1.Primary channels, by comparison, serve asspecific information pathways (signalcommunication)2.Coupling yin-yang primary channels, however,can elicit broad changes to qi flow in theoctahedral, similar to 8 Extrac. 8 Extra offer background “ocean of yang” and ocean ofyin” to replenish the primary channels1.Primary channels often described as streams orrivers2.Manaka does not mention the classical conceptof 8 Extras as conduit or reservoir of yuan-jingd. Unlike primary channels, the 8 Extra network does notcomprise a circuit1.Does not distribute energies (qi, blood, ying andwei) like the primary channelse. “Easier and more useful to consider the eightextraordinary vessels as dividing lines capable ofaffecting structural changes as related to theoctahedral topological model”Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

25From Manaka, Chasing the Dragon’s Tail, p. 86From Montakab, Acupuncture Point and Channel Energetics, p. 423Jake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

26i.j.Manaka’s Abdominal Palpation1.Main diagnosis – no pulse or tongue2.Pressure or pain points3.Tight-knotted areas4.Soft-weak5.See HANDOUT ADDENDUM, p. 26Manaka’s Tai Ji Treatment1.Treats all 12 meridiansa. Treatment is same on both sidesb. Uses 4 pairs IPC on each sidec. Reinforces bio-clock meridian circulation2.Applicationsa. Fatigue, nervousness, stressb. Whiplash, knee or hip painc. Hypertension3.Diagnosisa. Pain/pressure on at least 2 of the following:1. KI 16, LV 13, SP 154.Treatmenta. TW 8 ( ), SP 6 (-)1.TW 8 is 3 arm yang meeting point2.Sp 6 is 3 leg yin meeting pointb. GB 35 ( ), Manaka Pt (-)1.GB 35 is 3 leg yang meeting point2.Manaka pt is 3 arm yin meeting pointa.Halfway between PC 7 and PC 35.Good to do when no time for AcuGraph diagnosis6.Good to do as meridian balance when treating back sideJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

274.Japanese Topological Societya.Developed around Dr. Manaka’s ideas1.b.c.Included Tadashi Irie, Kodo Seki, Shigeji NaomotoExpanded therapeutic approaches1.Ion pumping cords2.Pellets, magnets3.Naomoto’s Hibiki-7 auriculotherapyExpanded understanding of secondary channels1.Divergent channels seen as deeper level of meridian network,below primary channelsa. Carries ying qi, and also yuan and jingb. More acute imbalances will show on primary channelsc. Deeper, more chronic, and less severe symptoms willshow on divergent channels2.Unilateral treatments can affect imbalance on opposite sidea. Bilateral treatments are also OK3.Prioritize divergent channels for dealing with pathogenic qiwhich has lodged deeper in the body5.Tadashi Irie (1927-2002)a.Studied with Yoshio Manakab.Became expert on divergent channel treatment1.Starting with publications in 1979c.Established head exit points for divergent channelsd.Looked for most unbalanced side of the primary channel divergencee.Assigned kanpo herbal formulas for various imbalancesf.Major contributions1.1990s, promoted O-ring testing, and friction testinga. Learned O-ring testing from Yoshiaki Omura, MD, 1985b. Friction testing1.Rub thumb along index finger2.Slippery good3.Sticky poor2.Tested effects of magnets on channels with feedback system3.Able to map out effects of point treatment on channelimbalancesJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

28g.Established the “master points” for each confluence (pair)1.In codifying these points, Irie defined divergent channel therapy2.The confluences and their master pointa. First confluence (BL-KI):Bl 1 or Bl 11b. Second confluence (GB-LV): GB 13.c. Third confluence (ST-SP):ST 1d. Fourth confluence (SI-HT):BL 1e. Fifth confluence (TB-PC):GB 12f.ST 12Sixth confluence (LI-LU):These confluences correspond to lateral-medial on hands andfeeth.Recommended coupling master point with points on extremities1.Diagnosis (not Akabane)a. Chose points based on pressure reactivity or O-ringtesting2.i.j.6.Treatment: Used 1-2 hz micro-stimProtocol identified three levels for treatment1.Primary divergent pair imbalance2.Secondary divergent pair imbalance3.Symptomatic treatmentCreated Kidney Return protocol1.Use for kidney (adrenal) deficiency2.BL 40 (-); BL 23 ( ), BL 11 ( )Kodo Sekia.Originally trained as thoracic surgeonb.Seki and Irie influenced and borrowed from each other1.Followed Irie’s diagnostic methodsa. Added in abdominal palpationc.d.Author1.Modern Electro-Acupuncture Therapeutics, 19822.Outlined divergent channel treatmentsRecommended yuan-source points as extremity distal point1.Reflected belief that yuan-jing played a role in divergentchannel therapyJake Paul Fratkin, OMD, L.Ac. drjakefratkin.com

29e.Relied on polarized electro-stim to achieve therapeutic effect1.He would combine electro-stim to affected points, but also IPC(ion pumping cords) between master and coupled pointsf.Prioritized yin channels that were deficient, and yang channels thatwere excessg.Recommend using GV 20 or CV 22 in all treatments1.GV 20 as the intersecting point of all yang channelsa. Used as negative pole (draining)2.CV 22 as the intersecting point of all yin channelsa. Used as positive pole (tonifying)h.Included 8 extraordinary channels master points as possible treatmentpoints1.If chosen channel pairs are also 8 Extra channels pairs, he willuse 8 Extra channels master points2.Seki stopped using face and neck points altogethera. He would connect extremity points

THE THREE-LEVEL ACUPUNCTURE BALANCE Integrating Japanese Acupuncture with AcuGraph Computer Diagnosis Jake Paul Fratkin, OMD, L.c. PART 1 ANTECEDENTS TO 3-LEVEL PROTOCOL A. Overview and Introduction p. 2 B. Schools of Acupuncture Practiced in the West 5 C. Acupuncture: Gene