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Dr. Richard Tan seminar Dr. Tan - chicago day 1 Notes taken by Dr. Sam Shay, DC, DACNB, FACFN, PGDip(Acu). Blog: www.tenpointwellness.com  Clinic website in New Zealand: www.stressclinic.org.nz  Curator: www.TheWorkOnlineCourse.com - an unique online course to learn how to question stressful thoughts and nd real freedom and peace though The Work of Byron Katie. The course is an a!liate course where a!liates get 50% commissions for their patient’s purchase. Course is $197 USD, a!liates would get 50% through their unique a!liate ID. If you are interested in being an a!liate, please contact me directly at [email protected]  Disclaimers: Notes are not a substitute for your own study or practice of acupuncture. These are my personal notes only and you agree not to hold me accountable for any errors within. You are ultimately responsible for your own management of your patients. Day 1 of Dr. Tan’s notes: July, 2015 Chicago. 1. Stand under Pole, see Shadow. See the shadow immediately. 1. immediat e e"ect 2. Don’t put needle on local point. 3. Don’t treat a patient for 2 hours. 1. no need to do tuina 2. no need fo r pancake style - ip ov er both sides. 4. 4 tables, not 1 table. 5. not once a week, do 3x/ week minimum. 5-20 tx. 6. only need 1-2 private room. 7. let needle work for 30min-1hour. 8. you are not there 30min-1 hour , leave needl and patient alone, let them fall alseep. it’s healing. 2. When doesn’t work: 1. anatomical structure too far o" damaged or too degenerated (trauma or degeneration). 1. example: Bone o n bone knee. Might not be able to help, unless 3x/ day . in this country, that is almost impossible in this country. 2. vertebra disc missing or very damaged. rupture. 3. can even help them diagnose - if doesn’t go away, then we say, there is something wrong, go get x-ray, cat scan, MRI. can discover tumor or very degenerated. 2. Continuous aggravation - 1. carpal tunnel syndr ome, then they go back to do the same thing, e.g. hammering 500-5000 times a day. 1. it’s a pendulu m. 2. only can help if they change their job or profes sion.

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Dr. Richard Tan seminar Dr. Tan - chicago day 1

Notes taken by Dr. Sam Shay, DC, DACNB, FACFN, PGDip(Acu).

Blog: www.tenpointwellness.com Clinic website in New Zealand: www.stressclinic.org.nz Curator: www.TheWorkOnlineCourse.com - an unique online course to learn how toquestion stressful thoughts and find real freedom and peace though The Work of ByronKatie.

The course is an a!liate course where a!liates get 50% commissions for theirpatient’s purchase. Course is $197 USD, a!liates would get 50% through theirunique a!liate ID. If you are interested in being an a!liate, please contact medirectly at [email protected] 

Disclaimers: Notes are not a substitute for your own study or practice of acupuncture. These

are my personal notes only and you agree not to hold me accountable for any errors within.You are ultimately responsible for your own management of your patients.

Day 1 of Dr. Tan’s notes: July, 2015 Chicago.

1. Stand under Pole, see Shadow. See the shadow immediately.1. immediate e"ect2. Don’t put needle on local point.3. Don’t treat a patient for 2 hours.

1. no need to do tuina2. no need for pancake style - flip over both sides.

4. 4 tables, not 1 table.

5. not once a week, do 3x/week minimum. 5-20 tx.6. only need 1-2 private room.7. let needle work for 30min-1hour.8. you are not there 30min-1 hour, leave needl and patient alone, let them fall

alseep. it’s healing.2. When doesn’t work:

1. anatomical structure too far o" damaged or too degenerated (trauma ordegeneration).

1. example: Bone on bone knee. Might not be able to help, unless 3x/day. inthis country, that is almost impossible in this country.

2. vertebra disc missing or very damaged. rupture.3. can even help them diagnose - if doesn’t go away, then we say, there is

something wrong, go get x-ray, cat scan, MRI. can discover tumor or verydegenerated.

2. Continuous aggravation -1. carpal tunnel syndrome, then they go back to do the same thing, e.g.

hammering 500-5000 times a day.1. it’s a pendulum.2. only can help if they change their job or profession.

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3. Can thread Lu 5, PC 3 to do whole knee.

1. If patient say, “that’s it?” I say, “what the hell you want from me?” Is your

pain gone? that is what matters. don’t need acupuncturist to babysit you

and convince you it works.

4. Don’t need to go try to figure out a lot of things anymore.5. Do you have a logical procedure to follow to make patient immediately better? yes. Or

do you believe just in emprical points?1. “Traditional Point function” point.

6. 1,2,3 diagnosis1. Step 1: Diagnosis

1. in acupuncture way2. Identify the A "ected meridian (the sick meridian)

2. Step 2: Balance1. choose the meridians to needle to balance (treat) the diagnosed”

meridian. from step 1.2. most acupuncture schools skip step 2, they just find sick meridian and

then go to step 33. Step 3: Points

1. choose the points to needle along the “balancing” meridians from Step 2.7. Point selection

1. Mirror1. mapping reflex in between limb and limbs2. Not one to one relationship, nipple point varies on each channel.3. Measurement of proportion is most important.

1. Upper shoulder: Where is GB 21 hurt,1. not one on one point relationship2. SJ look for point3. HT look for point.

8. Demo, knee paitent1. no shame or guilt taking money from patient2. look them in the eyes and say $50 after you take their pain away3. see them 3x/week, 5-20x.

9. Yin/yang1. What did you learn?

1. Yin: Solid, female,2. Yang: Energetic, male

2. What is real definition? Get definition, than can go logical, step by step1. Two symbols

1. YangYao = solid bar: _____2. Yin Yao = broken bar: __ __

2. Denotes di"erence in outcome of comparison1. in vs out2. soft vs hard3. material vs energy4. etc.

3. nothing absolute Yin or absolute yang4. Zhang organ = solid = Yin

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1. Heart, Pc, Lu, Lv, Sp, K5. Fu organ = hollow = yang

1. SI, SJ, LI, GB, St, UB2. function = storage or transporting

3. Yang = exposed to sun more (comparison to Yin)1. darker color, exposed to sun more2. yang

4. Yin = exposure to the sun less (comparison to Yang)1. exposed to sun less2. front of body

5. If compare 2 things, can have 4 possibilities (2 squared.1. Yang-yang - taiyang (major Yang)

1. _______2. _______

2. Yin - Yang- shao yang (teenager Yang)1. _______

2. ___ ___3. Yin - Yin - Tai-yin (Major yin)1. ___ ___2. ___ ___

4. Yang - yin - Shao yin (teenager Yin)1. ___ ___2. _______

6. compare 3 things - ba Gua1. pull the root down, then add the yin and yang on top.

2.3. Used for medicine, astrology, forecasting, Feng Shui

7. How to understand? You’re at a part looking for a romantic partner.1. 1st thing: Male vs. Female2. 2nd thing: ring or no ring

1. Single bar = single2. double bar = taken, in a pair.

3. 3rd: age.1. yang = younger = under 452. Yin = older - top bar = over 45

4. 8 type of people

1. male vs. female2. Single vs. married3. Young vs. old

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8.1. ba qua - 4,000 years ago

1. all yang = Heavan - unreachable -2. all yin = earth stable, heavy, down.3. 2nd from left = Lake

1. yin on top = cool energy on top,,2. yang 2 of them. - active underneath

4. 3rd from left = fire1. yin in middle, yang on top and bottom2. outside heat release. Two yang outside.3. in middle, = something to burn - wood

1. Substance in middle.

5. 4th = thunder/lightening1. 1 yang under. Release energy below2. 2 yin on top

1. cool, dark, p tair.2. thunder/lightening

6. 5th = wind1. 2 yang on top: energy on top, flow on top.2. yin below. Yin is ground.

7. 6th - opposite of fire. = water1. Yin on top and bottom2. yin = cool, gentle outside, soft.3. middle = very active and powerful = water yang

4. below - cool.5. Women are like water: outside is gentle and soft, inside very

strong, so don’t mess with them.8. 7th: Mountain

1. top is yang,2. mountain -3. compare to earth. When earth has layers.4. Bottom two is yin.

9. 8th = earth1. most yin

9. 2,000 years ago was meridian system - matured and well-developed1. People tried to put meridian into the ba qua.

2. Where do the 8 extra meridian come from? because 12 are all verticalallocation. nothing horizontal connection.

1. develop 8 extra meridian to weave to gather and make thesehorizontal connection.

1. need them to communication.2. two of them have their own points.3. extra meridians share there

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3. Which GUA is for the Du channel - Most yang (next to Bladder).

1. Du channel is most exposed to Sun. - top of head to tail.

1. when arch over, the top of the roof exposed to the sun.2. Top of fish is Du channel - they are more extreme. Ren on

bottom3. Top of fish is dark line,4. bottom of fish is white line5. Du and ren are unique, they are not symmetrical

2. when human die, they flip. When fish die, they flip.3. hand meridian closer to the heaven4. Food meridian closer to earth

10.

11. Du = Heavan1. Hand closer to heavan2. outside in

12. Lake = 2nd: = Lung/LI13. FIre = 3rd = Ht/SI = learn 3rd14. thunder =4h = Learn P/SJ = thunder15. Wood = 5th = GB/Lv16. 6th = water = UB/K = learn 4th17. 7th = Stomach/Sp: Learn this next18. Ren = Earth

1. Foot closer to earth2. 3 gua closer to earth

19. Which meridian do you learn first? Lung1. Lung/LI —> St/Sp —> H/SI —> UB/K —> P/SJ —> GB/Lv

20.1. Notice balance, like a balance on a scale. Equal distant and also the ba

Qua also balances each other: Heavan/Earth, Lake/Mountain, Fire/Water,

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3. LI 11 = point for elbow4. points will fall out from elbow.5. How to penetrate LI 11?

4. play see saw - needle opposite side.

4. If patient say they are the same after putting in needle, don’t believe them.It must work, because the key and universal law how acupuncture work.1. NEVER ASK THE PATIENT:, 'are you better?'

2. INSTEAD, ask, “WHERE IS YOUR PAIN NOW?3. rediagnose if the pain moves, even if still on the same channel. It

didnt’ necessarily move, it was there before.4. measure by proportion: when pain move down on the knee, you

move down on the elbow.

 After lunch - day 1

1. Meridians do not exist, they are man made anatomical markers, like a GPS on theearth. Earth has no lines, but GPS does to help you mark the exact way to get to alocation and to find a point.

2. Is there a meridian in between the meridians? If that the case, 99% of human body areno chi.

3. 90% of problems not on the meridians. That is the reality. Acupuncture is a business ofaccuracy.

1.  Acupuncture is about Accuracy. If not precise, it doesn’t work.4. Foot balance hand

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1.

2. UB Foot Taiyang = hand Yaiyin Lu3. GB foot Shaoyang = hand Shaoyin H4. Sp Foot Yangming = hand jueyin P5. Sp Foot Yaiyin = hand taiyang SI6. K foot Shaoyin = hand shaoyang SJ7. Lv Foot Jueyin = hand Yangming LI

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5. Headache1. GB HA on temple, balance with

1. System 1: Hand SJ Shaoyang2. System 2: Hand Heart: Ht 8 for side headache. made Dr. Tan famous

6. Neck/shoulder pain: million dollars7. Low back: Million dollars1. Along Quadratus Lumborum and sides of spine: sore after standing long time.2. use lung (Taiyin) to balance UB (taiyang)3. use IMAGE:

1. puppet show: hand is head, elbow is L22. put needles in that area, ashi points3. treat until they can stand freely for quite a while.

4. another complicated version that includes gallbladder.1. Pain on the spine: also complicated.

8. Headache: system 1 - opposite side.1. SJ1-3= head

2. SJ 4 = neck3. SJ 5 = shoulder9. pain along palm into middle finger

1. System 11. Diagnosis: Hand jueyin PC2. System 1: Liver: food jueyin.3. Step 3: do mirror.

2. System 21. Hand Juein PC2. System 2: use Stomach Yangming

10. Nipple pain1. Why more nipple pain, especially young women. More breastfeeding,

nowadays.2. Acupuncture good for this, they don’t need to take drugs or herbs.1. very popular.

3. System 11. Diagnosis: FOot yangming Stomach2. System 1: Hand yangming LI3. point: Ashi point on LI - middle of forearm

1. about halfway between umbillicus and neck - proportion4. System 2

1. Diagnosis: Foot yangming Stomach2. System 2: hand Jueying PC3. Point: ashi point midway along liver on forearm.

Break: System 3

1. Fu Xi Gwa - 4000 years ago. Really smart.2. Always assume you are sitting at the centre of the circle of ba qua and you are looking

out. That is how you read each gwa.

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3. Inner most line is the bottom line of each gwa.4. how to make yin-yang. Tai Ji

1. circle2. divide into 4 quadrants

3. make arch with upper R quadrant with peak of arch gon from west to east4. reverse on bottom.5. Tai Ji

1. what happened billions of years ago2. when things had comparison3. then things got defined, then universe and material substance age started.4. Big Bang Theory - Yin/Yang started to separated.5. Dynamic balance

1. Opposite gwa balance each other (fire-water, heavan-earth)2. All bars add up to nine in opposite (heavan has 3, earth has 6)3. 9 is magic number.

1. Tonify 9 times.

2. Chinese started decimal system, 9 is maximum number3. 0-9: then start over: 10.1. 10 = 1 rotation and start again at 0.2. 20 = 2 rotations and start again at 0

4. lower right quadrant: yin, because bottom two lines are yin

6. If come to di!culty: look at opposite side and solution may be there. Balancefrom opposite side.

1. step back and turn around.

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7. Ying-yang vs. Yang Yao (bar)8. each gwa = you count the number of the bars. if odd numer of total = yang qwa.

1. Even number = Yin gua.1. Yin = 2

2. Yang = 12. Even: Heavan = 3,1. note: the numbers of bars, don’t have aways a clear association to

what it’s bar positions are.1. e.g. Fire gua has 4 bars, so it’s ‘yin’ according to this

numbering system.2. e.g. water gwa is 5 bars, so it’s a ‘yang’ according.

1. By definition of gwa, water is yang.2. By definition of Gwa, fire is yin.

1. This is by COMPARISON, not absolute. That iswhy there is yang in yin, and yin in yang.

6. chinese invented printing, used square symbols because easier to carve and print.

1. Sun and Moon: they take charge of night and day.2. Bian Yi = Change1. Easiest to change self, rather than others.2. Belief —> Action (Behavior) —> Results

1. If result is wrong, the belief is wrong.2. Dont’ just ‘try try again” if you fail.

3. Bu Yi: No change1. Things change by timing

1. 150 years ago it was a crime for unmarried couple to live together,now it’s accepted.

2. Change by location1. drive on di"erent sides of road based on location

3. change by people1. di"erent cultures have di"erent rules.4. Jian Yi: Simplicity

1. simplicity is wisdom2. don’t do herbal medicine if acupucnture can do the job.