Tag Archives: Brian Lau

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Acupuncture Malpractice Insurance – Lung Channel Anatomy and Function



Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi, I am Brian Lau. I teach with sports Medicine Acupuncture, and with the Sports Medicine Acupuncture Certification program. I also teach with the three day cadaver dissection labs. And a little bit of the dissection is the impetus for why I’m gonna do the particular presentation I’m talking about today.

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First off, I wanna thank the American Acupuncture Council for having me. And we’ll go a little bit into the lung channel and the anatomy. We’ll look at some movement aspects of the channel also. So I just finished up two back-to-back five day dissections. I do this every year, the first two weeks of December with the University of Tampa with the Physician Assistance Program.

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So I had a lot of opportunity to look internally with the body. We did a lot of external dissection, but we also did evisceration and we went into the abdominal and thoracic cavity. So that’s with physician assistants. I’m not really talking much about channels in there but I’m always thinking about the channels and I’m preparing for when we do dissection for acupuncturists how to communicate some of this anatomy to acupuncturists.

So that’ll filter in a little bit to this presentation today. And then we’ll go into some application with movement. So you can give some patient exercises that will engage the channel in this case, the lung channel fully. So let’s go ahead and go to the presentation and we’ll start jumping into the anatomy.

So let’s get a start. We’re just gonna go right into the internal pathway. So let me get the setup for this. So let’s imagine we’re in a prolonged, like a five day dissection lab. We’ll go briefly layer by layer. So what we have here, . is on the slide on the left is we have skin on at one portion.

We have some subcutaneous fat in this ne netter illustration, but primarily that’s been removed and we’re down to the level of the fascia above the rectus abdominis, the fascial, the rectus sheath, and the external obliques. So we can see the rectus abdominis underneath this rectus sheath. If I were to

Look at it from the back surface. That’s what we’re seeing in the right image. So in this case, we’re looking from the back through the body visceral cavities removed, and we’re seeing the peritoneal cavity from the back but the front surface of it. So here’s the rectus abdominis. You can see a window of it.

But what I wanted to highlight from this image, first of all, you have the falciform ligament, but another interesting structure is a remnant of the . This little ligament, which is the umbilical ligament, which is a remnant from embryological development. And this whole line here is very tied in with the linear alba, which is that thick Foss structure that separates the left and the right side of the rectus abdominus.

So a nice imprint of the Ren channel or the Ren mine. So we’ll come back to that a little bit now, but I just wanted to highlight that. Let’s go to the next slide. And here in this image we have the rectus sheath removed from the rectus abdominus. So this is what we would do in dissection is we would start to come underneath this rectus abdominus, just creating a little separation from the rectus abdominus and the tissue underneath.

And we would start lifting it up. And that’s what we have in this side right here. We have the rectus abdominus starting to be removed, and you can already get a imprint. You can see the peritoneal. Membrane, the serous membrane, and you can see some of the fascia under the rectus abdominus. The reason I’m going to this detail is when you do this dissection, sometimes it’s very adhered, and as you start removing and lifting the rectus abdominus from the pub pubic bone and lifting it off, it starts to tear the peritoneum because of all the adhesions there.

And why would that be so adhered? We have to get into the next layer, which would be the first layer in the visceral cavity in the abdominal cavity. And I’m gonna go right to that here. And this is what we would see as we open slice that very thin peritoneal membrane. We have the greater momentum and we have the stomach hanging off.

The stomach is that greater momentum. And if everything’s moving well on that person before they passed, then you can just easily kinda lift the undersurface of this greater momentum. Lift it up. And what underneath it is the transverse colon. So it’s very adhere, not adhered, excuse me. It’s very tied into, connected to that greater momentum.

So it’s connected to the stomach and it’s connected to the transverse colon. So that’s a lot of anatomy. But I wanted to highlight this anatomy ’cause it gives us a really a window into the internal pathway of the lung channel. When we look at the lung channel, . We’ll look at it now with different eyes, so we’ll look at that in just a moment.

But I do wanna highlight that on many people when we’re doing dissection on many specimens, there’s a ton of adhesions because one of the things this greater momentum does is it surrounds pathogens. So if you had, perforation, like an ulcer in the colon, it would surround that. And there’s a lot of lymphatic tissue in there.

There’s lymphoid. Cells that are gonna take care of those antigens. Or if there is some kind of entry of of some pathogen into the peritoneal cavity, that greater momentum can migrate around and surround those areas. So people who’ve had a history of peritonitis, it’s gonna be extremely adhered internally so they don’t lift as well, and you can imagine that they wouldn’t be able to move as well.

Also. So one more bit of anatomy and then we’ll look at the lung channel. Is the greater momentum hangs off the stomach. Let’s move up into the thoracic cavity. Oops. Wrong direction. And here is the continuation of the stomach, the esophagus, as it passes through the diaphragm, and as I go a little higher up, I get into the trachea and bronchi and those also are very connected with each other.

You could dissect them away, but it’ll take a lot of work. They almost are one unit. So now we have a lot of anatomy to go and look at that internal pathway of the lung channel. So let’s look at that. Here it is. So we see these, we study these internal pathways but it’s sometimes not always clear what the anatomy is when we learn ’em.

So we can now see that yes, we do have these bronchi break branching off the trachea. We could follow down the esophagus. We’ve learned when we learned the internal pathway that the internal lung path channel pathway connects to the stomach, it loops down and connects to the large intestine.

And that’s exactly what the greater momentum does. So what I’m proposing for this internal pathway is we have the trachea and bronchi, the esophagus, the stomach, the greater momentum linking with the large intestine at the transverse colon. So structures match. It matches the description of the internal pathway, but reminding ourselves again, that greater momentum has an immune function, that it has lymphoid cells in there, cells that migrate and take care of pathogens, also links with the actual function of the lungs because they do have a lot to do with wayI, wayI and the surface of the body.

This is at the surface of the internal . Abdominal cavity, but still taking some account of the immune response or the wayI response. So function and form, both match. I think it’s a really good a really good model for understanding the internal anatomy of that internal portion of the lung channel.

So let’s branch out now to the actual main channel. . But we’re gonna primarily talk about the sinus involved with it, because we’re gonna look at some movement aspects that, that we’re gonna, I’m gonna introduce that can help stretch and open and engage that outer channel, but also engage that inner inner branch of the channel.

So this is what I have as a model and what we teach in sports medicine, acupuncture. For the lung sinu channel, we have the pectoralis minor biceps, brachii, short head and long head. This bicipital a neurosis, which is an extension of that links in with the flexor carpi radialis, and then into the thenar muscles.

That’s the superficial branch. There’s also a deep branch of the sinu channel, which is the flexor lysis, longus, flexes. The big thumb, the brachialis, which lies deep to the biceps a little bit shorter. It doesn’t cross the shoulder joint, just crosses the elbow joint. And then that links up with the anterior deltoids and the clavicular head of the pectoralis major.

So we also have the scalings in there, especially the anterior scalings. I don’t have that listed in my list. But the, there’s that superficial branch all the way up into the thumb, to the pec miner and the deeper branch that lies underneath that. The main channel would follow the course, the little spaces between a lot of these mussel.

So these could be almost like the river banks. With all the river being the communication that happens in those fossils spaces. A lot of the organisms and such in the river. You could study a river, but you need to understand the river banks, the structures that make up that river, that form that river.

And that’s what the sinu channel’s kinda so for the rest of this webinar, I would like to look at a movement, a Qigong exercise that I give to patients. I also teach in Qigong classes. And this will exercise that external portion. It’ll engage those sinews, but I also wanna show how that’s gonna gently mobilize and move and massage the internal portion, the esophagus, the bronchi, the greater momentum, the stomach.

So I think if you wanna fully exercise the lung channel, it needs to have all of those components there. And this exercise does that nicely. There’s plenty of other good exercises, but I like this one particularly. sO this exercise I have on my YouTube channel, I did it a little bit differently when I filmed it originally.

I focused a little bit more on the stretching aspect. I’m gonna put up another video, same exercise, but I’m gonna do it the way I’m showing in this particular webinar. So that should be up soon. But either way you can check out the video on my YouTube channel if you wanna get a reminder of it.

Or this recording will be available afterwards too, if you wanna have a reminder for it. So if you used it yourself, great, you have some nice memory aids, but also if you give it to patients, it’ll be something you can refer back to. All right, so let’s set it up. So this is gonna be the exercise. It’s a very simple exercise.

Anything, anytime we engage these this lung channel, we wanna engage the sinus, of course, but we al engaging the sinus will open and close the chest, but we also wanna mobilize that internal pathway of the channel. We’ll look at that kind of point by pint. This is gonna be engaging the lung channel, but really when you’re engaging channels, you tend to do ’em in networks.

So this will be really the Y Ming and tie-in channels as a whole. So that’ll be the lung and spleen channel, the large intestine and the stomach channels. But the primary focus for this one is the lung channel. So we’ll come back and look at this video afterwards and highlight some features of it.

But let’s move on to the next slide.

So this is the starting position. This video will loop and you can see it as I’m talking about it. So I’m gonna start by bringing the hands up. I’m standing shoulder width stance. My arms are gonna cross in front of the body. The forearms are supinated, which means basically the palms are facing me.

Our palms are facing the chest. The hands are a little ways away from the body, so the shoulder blades are slightly pronated and the elbows are slightly lateral to the body. So that’s our starting position. I did mention in there that you’re standing at shoulder width. This exercise works perfectly well seated.

If you’re working with a patient or yourself and you have mobility issues and aren’t able to stand even somebody in a wheelchair. I, when I work with people seated, I have them slide forward sitting on their sit bones, sitting upright, so they’re away from the seat and, their sit bones basically serve as their feet then so that they’re able to have an upright posture in the same way that I have an upright posture in the standing version.

Okay, so I’m gonna start by opening the chest, which really means that I’m starting to retract the scapula. So the scapula are starting to pull together in the back. You might be able to see that in the mirror that I have behind me. That I’m starting to retract, bring the shoulder blades closer to the spine.

I’m opening the elbows while keeping them down. Pronating the forearms. So the pronation will start to stretch the biceps, and at the end of the opening, I’m gonna push the hands away from the body so the elbows will be extended. Also stretching the biceps. So generally . There’s a problem that I see when I give this exercise to people, and I wanna highlight what I wanna do before I highlight the problem.

You’ll notice as I’m doing this in the looped kind of version here, is that my hands start narrow or start medial to the elbows, but then they get ahead of the elbows. So that’s what I wanna do. I wanna keep the elbows down and I want the hands to go wide to the elbows. There’s a nice midpoint.

That you can notice where the hands line up right there, they line up with the elbows just on the side of the body. I’m gonna put my cursor over it. So right here. So there’s a point in time where the hands, elbows line up, the hands are facing out. This keeps my elbows from going wide. The point is a lot of people are internally rotated in the shoulder.

And if they keep their elbows wide, then the the arms stay and internal rotation. And I want my arms to externally rotate so that the whole structure opens up. So that’s a little landmark you can look for when you’re doing it yourself or when you’re giving it to patients, is that lining up right lateral to the body and then the hands continue out?

So this is the expansive phase. I’m starting to stretch the biceps. I’m opening the chest by retracting the shoulders in the back, which creates more space in my chest. Creates more volume in that whole thoracic cavity. So let’s look at the compressive phase of the movement. So once I’m fully open, I’m gonna start, you’ll see a little gentle contraction in the abdominals, which starts to compress the torso as I fully push out.

And that’ll take me into a further pronation of the forearms and a winding type motion in the forearm. So let’s look at that. So hands push, out turn. So you might be able to see a little better in the mirror is that the torso bows slightly. My abdomen bows my spine bows look at that a couple more times.

So this is where I can start to engage in the front and gently massage that greater momentum. There’s a little bit of shortening along the whole front line during the compressive phase, which then when I continue this movement and go into the expansive phase, I’m stretching, compressing, stretching, compressing.

So as I turn the forearms, then I’m gonna start to reach the arms back. So that’s the compressive phase of the movement, and then it returns back to the same position.

I leading with the fingertips.

So fingers come forward, I cross my hands, return my chest lifts, and that bow that was in the torso, un bow straightened. So I get a nice gentle stretching and mobilization of the inner part of the channel.

All right, I’m gonna go back a couple slides and I wanna look at the full exercise.

So hands come up, cross slightly away from the body, open the hands, expand the chest, push out slightly, compress hands back. Return back to the starting position.

Hands out, push, compress, hands back, return to the starting position.

All right,

so I’m gonna end the PowerPoint.

Yeah, very simple exercise. I would highly encourage you to practice it. Like I said, I’ll put up a video on my YouTube channel, but this video, I think it has the a little snippet of it so you can get the idea of it. But the goal is to open the chest, create more volume in the lungs, but then as I start to compress everything, bows.

Then I go back to the expansive phase, so there’s movement inside so that I can gently mobilize that greater momentum. I can gently mobilize the stomach, I can gently mobilize the trachea and the esophagus in combination with what I’m doing on the external portion of the lung channel. So the whole channel is active and the whole channel is engaged.

So I use this for a lot of different things. You could use it really for anything where you wanted to improve the health of the lung channel. So that could just be preventative, of course. Respiratory issues would be a key component. Of course, if you’re working with people with respiratory issues, you want ’em to have that full volume in the chest.

shOulder problems is one that I give this exercise to quite frequently. You have to make sure that there’s no pain with doing it. So one component is that turning internal rotation, once I’ve stretched out, is I want that to come as much from the body as opposed to all my arm where I’m cranking my shoulder forward.

That can create a lot of pain for people who have shoulder problems, so I have to be very gentle. I’m starting from the distal portion, winding my arm, compressing my torso slightly. So it should be very comfortable for people. There shouldn’t be any sharp pain with this exercise. But that’s one where I give this to is shoulder issues.

Neck issues of course, because that shoulder girdle health is very tied to neck neck pain. It’s really versatile exercise. It’s pretty simple. Patients can catch onto it very quickly. They tend to like it ’cause they’re sitting so much during the day if they work at a desk or driving, or so many instances where we’re compressed there.

So it feels really nice to be able to open and stretch the chest and stretch that whole fossil. Line throughout the arms, but also you get that nice gentle engagement in the inside. So give it a try see what you think of it. But you can always reference the video and highlight it.

And if I have a YouTube video up on it, you can give some questions and comments if you want further clarification. I think that concludes the information I wanted to give today. It’s short and sweet. I’m gonna put this information together into a longer class that I’ll put on net of knowledge that’ll be available through lasa and a couple other partners overseas.

But that should be coming out fairly soon. I’m gonna put a little self massage in there and some some other details for treatment, maybe some needling also. This was just an introduction. Got the ball rolling for that. I was very happy to. . To be able to introduce this to you, and again, thanks to American Acupuncture Council for having me on.


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Improving Shoulder Mobility – Brian Lau



Today we’re gonna be presenting on some shoulder mobility. We’re gonna look right away from at a shoulder mobility drip drill with weighted clubs.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hello I’m Brian Lau. I, first of all, I’d like to thank American Acupuncture Council for having me back. Today we’re gonna be presenting on some shoulder mobility. We’re gonna look right away from at a shoulder mobility drip drill with weighted clubs. So that’s why I’m standing here. We’re gonna go over some movement aspects with that.

These would be something you can do yourself, which are really great mobilization exercises to keep your own shoulders healthy. But also you could prescribe these to patients. We’ll look at some caveats for when you can do that, when you might not want to do that. It might be a little too much depending on the stage of shoulder injury.

This would also have implications for neck injuries. We can go over some of that in context. Let’s go over that right from the start. But let’s look at some movement aspects first. So I have a little bit of a bone model here. So this would be my left scapula. and left humerus. So I’m gonna put it in front of me.

Obviously this would be behind the ribcage, but just to give a little bit of context. So we’re gonna be looking at this shoulder mobility drill that’s gonna work on the glenohumeral joint, of course. So we have good movement in that, but we’re also challenging the strength so that we can do movement with stability and the joints not moving around excessively.

But with any shoulder movement, we wanna look at this sort of dance between the shoulder joint. and the shoulder girdle. For instance, you can look up something called the scapula humeral rhythm. So with that’s specifically in reference to abduction. As the body goes into abduction, as the arm goes into abduction, you wanna have this following of the scapula.

So it goes into upward rotation. The scapula’s not moving real well. It’s very possible, probable that the joint will hit the head of the humerus up against the acromion, and that can pinch and compress and impinge on the superspinatus tendon, biceps tendon. A lot of tendon type impingement problems can come from that.

So it’s a nice dance. You can look at it up online. You can find the exact ratio of movement of how they relate to each other. But it’s not just abduction. When the body does internal rotation in the shoulder joint, the scapula likes to follow into protraction. So it gives a little bit of room, a little bit of movement.

So that the joint doesn’t get compressed in the front of the joint. Same thing with external rotation. Sometimes it likes to combine itself with retraction of the scapula. Maybe even a little bit of a downward pull on the scapula. So there’s a nice dance of movement between the scapula on the ribcage glenohumeral joint.

I could add to that. the sternoclavicular joint so that this whole complex is moving in this nice unified movement. It’s not just the shoulder girdle though. When I’m doing any type of movement like overhead, my ribcage is gonna open and expand and move. So there’s a combined movement that happens in the ribcage all the way down to the diaphragm so that a lot of these movements take this whole range of motion of the upper body, thoracic spine ribcage.

Shoulder blade, sternoclavicular, joint glenohumeral joint, and a combined activity that’s organized and controlled, or at least we want it to be organized and controlled. There’s a lot of neurology that helps link that. The phrenic nerve going down to the diaphragm has a lot of relationships to the shoulder joint.

In the shoulder capsule, but also the rotator cuff muscles. If I go on the right side, there’s a little branch of the fren phrenic nerve called the nicco abdominal nerve that goes right into the liver into the capsule of the liver. So any liver mobility problems are also gonna potentially show up as especially right shoulder problems.

So that’s a lot to think about. We’re going to. Not necessarily try to dwell on all of those. As we’re doing the movement, we’re gonna look at one key aspect and allow all of those other things to happen. So I’m gonna put this down for a second and grab another tool.

So we’re gonna have a weighted club. If you don’t have a club, that’s fine. I’ll show you what you can do without one. It’s actually nice to start without a club. This is a five pound club. One or two pounds is really nice to start with. Or we can just have our thumb out. , my arm has a certain amount of weight in it, so this is fine.

All the movements we can do to get used to these movements, we can get we can do without a club or you can have a wooden spoon or something if you wanna have a little bit of something that gives you an idea of where you are in space. That’s one nice thing of the club. But the actual weight is useful too.

So if you were to do this on an ongoing basis, maybe start with a two pound weight, three pound weight, and you can go up from there. We’ll look at some options. So we’re gonna be holding the club at the base. I’m gonna have my arm out at 90 degrees in elbow flexion. I’m gonna start at about level with the opposite shoulder, so I’m in a little bit of internal rotation.

My chest can be relaxed. Again, if you don’t have a club, you can just stick your thumb up and that’ll give you an idea of the direction that you have. So the first thing I wanna do is just warm up the joint. We’re gonna build a movement here, piece by piece. So I’m gonna go into external and pull the shoulder blade back.

So I should get my arm lined up to the side, my elbow’s level with my hand. Chest is open. Then back into internal rotation. I can let my chest fold just a little bit. So right from the get-go, the driving force is the shoulder blade. I wanna pull my shoulder blade open, or I should say pull it back towards the spine to open the front.

Then I wanna let the shoulder blade come into protraction, my chest relaxes retraction, pull the shoulder blade towards the spine, open the chest. So right from the start, we’re working on the hearts in you channel as I go into internal rotation and the small intestines in you channel. As I go into external rotation and pull the shoulder blade, it’s fine.

So nice exercise for the in you channels. Alright, so this is stage one, but we’re going add a swing to this. So instead of me just turning my arm out, I’m gonna let the weight drop and find that position again. Let the weight drop swing. So it’s a swing and a catch. Down, turn the arm, open the chest, catch down, turn the arm, close the chest.

Catch. So swing you can go slow or you can start speeding it up if you feel comfortable with it. So we’re building a movement. This is a movement called Mills. Okay, next thing, swing. Catch now I’m gonna go overhead. I want my shoulder blade to be the driving force, so I want my shoulder blade to go into upward rotation, hand behind the neck, down, catch up,

down, up. I wanna keep a stable base down. Okay, now we’ll change one more time. Up

turn, throw, catch, swing, catch, cast it, overhead, turn, throw catch. So that’s the movement. It’s like a throwing motion like you’re throwing a baseball, but again, driven by the shoulder blade. Pull the shoulder blade back to open the chest. Upwardly rotate to point your scapula up towards the sky, protract and down.

Very nice. We can go the other way now. So over the shoulder, same shoulder. Pull the shoulder blade, open down, swing catch. Cast open, throw, swing, catch, cast open. Throw one more time. Swing and catch. Cast open. Pull the shoulder, blade back, throw. All right. Real quick, we’ll do it on the other side. Then we’ll look at some various options, when to do this, how to do it with patients or for yourself if you’re having shoulder issues.

So let’s go quickly through it again. Internal external rotation, external pull the shoulder blade open, chest opens, line the elbow up with the hand. So I don’t want my elbow facing back. I want it under level with the hand, chest in,

open the chest. Okay, we can do that with a swing. Let the weight drop up. Drop up 90 degrees. Drop up again, we’ll go overhead now. So up. Hide the hand behind the neck. Throw catch up. Throw catch. Okay, one more change up. I wanna turn my body in front of the other shoulder, swing, catch, cast, throw, swing, catch, cast, throw either direction over same shoulder.

Pull the shoulder blade open to pull the chest open down

over the shoulder. Retract the scapula, pull the chest open down.

So great movement to strengthen the shoulder blade the shoulder joint to strengthen and move the shoulder blade and to coordinate that activity with the chest and ribcage. This would be not a good idea to start with the five pound of somebody who’s having shoulder pain. Maybe that’s where it’s really nice to start with just the weight of the arm.

Maybe they have a painful arc. Oh, that’s causing a lot of sharp pain just to do that. They’re not stable. They don’t have strength to support that shoulder shoulder joint. They don’t have the strength for that shoulder blade to roll up and upward rotation so that they have a comfortable, nice movement and oh, it hurts to do that.

It’s probably not a good exercise for them. You need to build them up to that. You need to give them a simpler exercise, a floor exercise. We’ll look at some acupuncture techniques. There’s a lot that has to happen before they can comfortably do this. Once they can comfortably go up, maybe starting with no weight, one pound, two pounds would be a good idea.

Keep it small. Once they get coordinated movement then, and they’re feeling comfortable with that. Five pound,

five pounds pretty good. They get a little more comfortable, then they can go up more weight. So adding weight will create a little bit more challenge. So this is 10 pounds. So if I’m doing the same movement with this 10 pound weight, then that requires more force, obviously, but it’s not just the weight.

So 10 pounds

and 10 pounds. Now this 10 pounds weighs a lot more than the other 10 pounds because of where that weight is sitting farther away from my hand. And the torque that creates. when I’m going ahead, I don’t wanna swing it cuz my camera’s pretty close here, . But when I’m going ahead and if I were to swing that through, that’s gonna require a lot more strength on my part to be able to balance and manipulate this weight that’s farther from my hand if I were to move down even to the handle.

Even just holding that and stabilizing it is a lot more difficult because, oh, any little movement here, I have to do a lot more stability to support that. Since it’s so much farther away from my hand. So those are ways you can increase and build on this exercise. But you don’t wanna start with a shoulder.

A patient with shoulder pain, painful arc with that mace. You may not even be able to start with the weight of their own arm. You have to build them up to it. So just some ideas, some things you can work with go through step by step, maybe starting. with that, just internal external rotation, if that’s not excessively painful, just to be able to balance that weight in external rotation is gonna start to strengthen and stabilize that joint.

So that would be a good starting place. Then you can build until they get the full sort of movement of throwing. So that’s what I wanted to start off with was the mobilization. So we can start thinking about feeling, coordinating that activity of the shoulder blades with the movement of the glenohumeral joint and how that relates to the chest and all of the whole, really the whole body.

So what if they have limited range of motion? Let’s go over some potential techniques. We’re gonna focus mostly on the pectoralis major, cuz the pectoralis major has to lengthen to be able to get my arm back. It has to lengthen to be able to get my arm back in both positions, different fibers. But Peck major is gonna be one of the key structures that’s gonna limit mobility.

If this peck major’s held in a shortened position, I can only go so far. So I want to be able to have full range of motion, full elong full ability to elongate in that pack. Major in all different planes. So we’ll focus on that. I’ll tell you from the get-go, Sarus anterior would be another big one.

Another day we’ll just focus on P Major for today. So I’m gonna switch to PowerPoint and let’s go over a little bit of information, a little bit of the anatomy, and we can look at some techniques for acupuncture and manual therapy. So let’s get the slides up. I’m gonna come a little closer.

All right. All right. So here’s some netter images. If we look at the left image first, let’s look at the bottom left. We have Peck major. So Peck major’s a really intriguing muscle. It has the clavicular head that’s going up and attaching to the medial third of the clavicle. It has the sternal head attaching to the sternum.

Then as we go down a little bit, we see costal fibers attaching to the costal cartilage and that bottommost slip that you see attaching into the abdominal fascia. Is the abdominal head. So we have really four heads depending on how it’s divided. Some books look at it as three heads, but clavicular, sternal, costal and abdominal heads are the way I look at it.

So interesting thing about that is they play out with the yin channels of the arm. The clavicular head is part of the sinu channel, sternal head, part of the heart, Sinu channel Costal, and an abdominal head, part of the pericardium Sinu channel. Those fibers have to organize themselves with the muscles of the back, such as the rhomboids.

So we’re looking at the sternal fibers and we were going into that external rotation movement with the arm down. Peck major has to elongate, rhomboids pulls the shoulder blade back towards the spine. So it’s a balance between the hearts in you channel and the small intestines in you channel. , we start from internal rotation, Peck major’s in a shortened position as it goes into external rotation.

Infraspinatus, Terry’s minor part of the small intestine sy channeler firing while the peck major is lengthening. So they have this yin young relationship of one letting go, one shortening. So we don’t have time to go through all the channel relationships for each of them, but that’s one to start with.

We’ll look a few at a few of them though as we go into the PowerPoint. So lung sinu, channel clavicular, head of the Peck majors, part of that Peck miner’s, really the key muscle that’s also involved with this shoulder mobility exercise we were doing. Peck miner is gonna have a tendency to pull that shoulder forward into an anterior tilt when it’s shortened.

If you remembered from that exercise we were doing, we had a pretty neutral. Position the scapula is moving a lot, but we didn’t have this jutted out forward shoulder at any point when we were doing it. If that’s in a shortened position like that, we need to do a technique acupuncture’s great to be able to release the peck miner.

We can also use points along the channel, even muscles along the channel, like the flexor carpi. Radialis is a really great muscle to release the peck miner, so needling the motor point. If you’ve studied with sports medicine, acupuncture, we teach the motor point for flexor carpi radialis. Fantastic distal point, even though it’s not an official lung channel point, it’s kind of part of the lung inu channel.

So really a fantastic point to release Peck miner. But Peck miner needling is something to learn too with the caveat of being safe with it because it is close to the PLE cavity. That Peck miner is gonna have to be balanced by the large intestines Inu channel, lower traps, which is supporting it.

Those have that yin yang balance. Also upper fibers of Sarus anterior part of the long Sinu channel. Those are those upper two slips. They have a different fiber direction than the rest of the sarus anterior, and they have different action. Again, we can come back to Sarus anterior maybe another day. So here’s the movement of the lung sinu channel.

It’s gonna tend to pull that scapula, like that top arrow, which is pulling the scapula down into an anterior tilt, countered by the large intestines Sinu channel, which stabilizes the scapula against that force of the peck miner. So if you go back and review large intestine Sinu channel, you’ll see that it goes down into the thoracic spine.

It follows those lower trap fibers. So nice combination to work with. Har Sinu channel was the one we alluded to just before. The Har Sinu channel includes pretty much the Peck major, I think of the whole Peck major, but really the sternal head in particular is the big one for Hart Sinu channel.

This would be very important for that movement that we were doing, the mills that we were doing with the weighted clubs. We can also notice that the subscapularis is in there. Subscapularis is another big one, a really great muscle to learn how to needle. But it’s not something for a webinar.

That one’s much better for classroom setting because you’re going. Deep into heart. One with really a three inch needle, you have to be very mindful of where the ribcage is, so you can advance the needle towards subscapularis, but not towards the ribcage. So plenty of space if you do it properly. But too much room for error on a webinar.

So classroom setting. Another day we will look at some needling for tech major, though. So this relationship for the scapula is, again, we have protraction As the scapula pulls around, the ribcage moves away from the spine. P major is one of the big muscles that’s gonna contribute to that. And then that’s countered by the rhomboids, which are multiple channels.

But in this case, they’re acting along with other muscles as part of the small intestine sy you channel. But all of that’s happening with internal rotation, pag, external rotation, infraspinatus, Terry’s minor, also subscapularis, part of the small intestines in new channel. So those have to coordinate their activity as one shortens.

The other one has to let go as the, then it changes phases, and the other one shortens. They have to alternate. Elongate contract. Elongate contract. So very much of a yin yang relationship with those two. Peck major is usually the one that’s overactive, and we’ll be looking at a technique for that. Finally, the Pericardium Sinu channel.

Pericardium Sinu channel has a really interesting trajectory. . It involves the sarus anterior, also these lower fibers of the Peck major, all of those come down and blend in with this abdominal fascia. So it creates like a almost like a fascial belt around the ribcage that can get too tight. So we need to loosen up that belt.

Nice thing about that exercise we were doing is we had that in. an out aspect with the chest. So we’re starting to exercise and soften that sort of what can be a too tight of a belt around the ribcage for a lot of people. So the interesting thing about this one though is it wraps around the ribcage, which it’s discussed classically, but I take it a little beyond what you might think and into this Rambos sling.

So the sarus anterior attaches to the medial border of the scapula, and it links seamlessly with the sarus anterior. So much so that in recent dissection, and I’ve done this a few times, you can tease the fibers of the rhomboids and sarus anterior off the scapula and kind of layer, soft, slow approach and then bring the scapula away and you just have this seamless.

Sling of tissue that you don’t see really a break. All is where the scapula attached to it. But you have the sarus, anterior rhomboids is one continuous structure. You can pull the scapula off. It’s not something that if you were to take the scap off, you’d have to sew those back together.

They’re already united. They’re already part of a sling. That actually then combines over to the contralateral side and blends in with the SIA services and capitus. So this shoulder movement that we’re doing can have good implications for neck pain for a lot of reasons, but one of which is that those snia services and capitus muscles become problematic for a lot of neck pain patterns.

So we can needle splenius services, we can needle splenius capitus of their pain producers, but to be able to integrate them with the scapular movement so that there’s this nice sling expansion contraction on either side is a really great way to keep those changes. So this exercise we’re looking at, fantastic for shoulder problems, but neck problems, especially with plem and surfaces pain patterns, right?

So movement pattern with those and things you can look at. Somewhat protraction and retraction, but also that upward and downward rotation of the scapula. PS radius anterior in particular upwardly, rotates the scapula. So if you go back to this movement we were doing, there’s a lot of times where the scap is doing this circular movement of rotating up around ProTrac, protraction, rotating back down, rotating up.

Retraction rotating down. So that rotational aspect of the scapula is a very key movement of the pericardium sinu channel, moderated by the lower fibers of the peck, major sarus anterior, and then the rhomboids and also the upper part of the traps. So I put this pericardium Sinu channel in here, but again, this is an ebb and flow between Pericardium Sinu channel, San Joo channel.

So lots of scapular movement, lots of things to think about with just a small exercise. You’re really working all three of those in you channels. But I think the big one is pericardium and San Joo channel. That’s the one that’s the most prominent with the exercise we looked at. Got to twist my arm to say that cuz the other ones are.

All right, so tech major is what we’re focusing on for treatment. So you’re teaching this exercise to somebody or you’re doing it yourself. And oh, it’s hard to really get that arm back. It’s hard to pull that shoulder back and have this nice open chest because of that Peck major holding everything. So it’s like this too tight of a grip on the shoulder blade, and I can’t get that movement.

Or when I’m back here, I can’t get my arm back because that Peck major is pulling. So any of those positions that are difficult to get. Open in the chest. Peck major is gonna be a key player in that, and it’s one that we can look at on the webinar. There’s some concerns. We have to be careful. We have to know where the ribcage is.

There’s some cautions. I put this in the video and this is a video that’s up on my YouTube channel. You can reference later, or you can reference it directly from this webinar, which will be recorded. But it’s safe enough. I think we can look at it. In a webinar setting, I go through step by step.

This is a way to needle the Peck major for those who have taken sports medicine, acupuncture classes. Matt teaches it a little bit differently, which I think is great and maybe good for a class setting. I felt a little more comfortable with this one for a webinar setting because we’re holding the tissue up away from the ribcage.

So it’s it’s one that I use. I like it. Just for the reason that I like the technique, but it’s also, I think, a really useful one to have on the YouTube channel. And have on the webinar because I mitigates the risks by lifting the tissue away. So let’s look at it.


We’re gonna look at palpation for to bands within the pectoralis major muscle, and we’ll look at a way of needling this muscle safely. First, let’s identify the fiber direction for the various portions of this muscle. The CLA head runs from the medial of the clavicle to the specifically the lateral lip of the, okay.

The sternal head runs from the sternum to the universe.

And the coastal and abdominal heads run from the coastal cartilage and the abdominal fascia, and then travel up to the s.

The arm down the clavicular fibers run superficial to the sternal fibers.

Which runs superficial to the coastal and abdominal fibers. The layered arrangement changes when the arm is overhead. The different layers unwrap and then wrap again as the arm is brought down. Palpating for top bands and the muscle can be helpful to gauge tension. Here I am palpating the clavicular head.

In assessing pretension, I can also push from inferior to superior or superior to inferior to feel which offers the most resistant.

And I can advance the needle across the fibers in that direction.

I have to take care that I place the needle in the same angle as the palpation and not change the angle deeper towards the.

Now I am palpating sternal head, starting from the sternum, and noting a local twitch with palpation.

This layer has a notable, palpable band, an easy way to needle the factor. Major is to grasp and lift the tissue away from the underlying rib cage

while grasping. You should feel the plane, the rib cage makes.

You then find the top band and place your two fingers around it.

Place the guide tube at an angle that allows the needle to penetrate the band and then advance the needle into the P major. Direct it toward your thumb into the needle, parallel to the rootage.

You can redirect the needle, but keep the needle parallel to the ribcage until you get the needle response.

The needle is always directed parallel to the ribcage, and you should never aim the needle towards the ribcage. The needle is parallel to the ribcage directed slowly towards the thumb and not downward towards the feral cap.

You should not perform this technique if you do not have an adequate sense of where the ribcage is the plaintiff makes, or where the needle tip is in relationship to your thumb. The advancing needle can be felt by the thumb, but you need to be sensitive to this. You should not perform this technique on women with breast implants.

Otherwise, working with women is essentially the same. Palpation will be the same, but you’ll not be palpating through breast tissue. You still have access to muscle around the breast tissue. Let’s go over this technique again on a female model, . So when I’m palpating, I want to feel for the clavicular fibers.

I can press into fibers going up. and that inferior to superior direction, or I can palpate into them from a superior to inferior direction. Feeling for resistance doesn’t feel particularly top. So I’m not gonna needle those fibers. I can palpate close to the stern looking for top bands.

Of one right there through that sternal fiber. Sometimes you’ll even see a local twitch response as you palpate through that. Interestingly, I can see a little bit of that local Twitch response respond up through the s SCM muscles. Those pec fibers do link with the scm, but I just feel able to top in there.

If I were to follow that’s gonna take me into that sternal portion of the muscle and. That’ll help me find and differentiate where there’s spot in the muscle for men. You have a little bit more territory you can palpate for women this sternal edge is a really useful area cause you can palpate feel without having even the ship.

The other area where you can palpate where it’s probably easiest to needle is that the excellent. So I have access to the bulk of the muscle through here. This is where knowing those fiber orientations can be very helpful. So I can come and feel for hotness within the muscle. Noticeable damage fibers.

And this is the easiest way to needle it. If you wanna be very cautious. I wouldn’t do this needle technique, breast implants cause you could puncture the breast implant, but faring that it’s not a problem. So I can grasp the muscle this way, heal the tension within the muscle hold. To guide you between my fingers, I’m gonna angle towards my thumb.

I can feel the edge of the top end, and maybe looking for trigger points you might need get a switch response with palpation, and I can hold and then advance the needle towards my thumb. I need to be really comfortable with the idea of kneeling towards my numb feeling that needle advance towards my thumb, bring it out, but it’s very safe situation there.

Do some general looking thrusting, different needle angles to listener response to tech nature.

All right, so I have a minute long myofascial release. This was longer technique, but this was YouTube short. This is on the Sports Medicine acupuncture YouTube channel. So you can reference it there. Again, it’ll be in the recording. This will be the last thing we have for today. And you can see a follow up technique to the needling.

Myofascial release for the HE major will take place with either the patient having their arm down by the side, especially useful for the clavicular head attachments, or having the arm up above the head and external rotation. Much better for the sternal and the costal fibers. And what you’re gonna have the patient do is start to turn their torso, start turning towards your same side.

So you wanna have the fibers shorten so that you can get in, get a good investment, get a good grab of the tissue, and relax there. Then have them turn away from the shoulder so they’re keeping the shoulder on the table. And trying a little slower, one slower turn the torso away, and they’re having to learn how to relax that als nature while you’re spreading through it.

All right. Very nice. Feel free to check these videos out. Like I said, those, the references along with this recording will be on the on my channel. It’ll be in multiple places, but it’ll be on my YouTube channel. The QR code is there, but also the webpage along with sports medicine, acupuncture had that myofascial release technique.

So I think I can take off the slides. And just to give a quick idea with that myofascial technique, in that exercise we were doing, we were moving the shoulder away from the ribcage. to get more space and buy that the front of the rib cage, I should say. So that ability for Peck major to move kinda like I’m throwing a ball, I have to be able to expand and move that shoulder away.

The myofascial technique, we did it slightly different, is we compressed and moved the rib, moved the sternum closer to the humerus and had the patient relax the shoulder on the table while they moved the sternum away from the arm. So same thing. The just different reference point is they were learning how to relax the Peck major so that they could turn the sternum away from the arm.

And in the exercise they were. Moving the arm away from the sternum. So same idea, just a different focus. Both of those are gonna require the peck major to lengthen. Both of those are gonna open the heart a little bit, or at least the heart channel, heart send you channel. Great exercise. If you have any questions feel free to comment on the webinar.

I’ll be checking those and maybe it’s something you can add to your routine, definitely with patience, but even yourself. I think that mobility exercise is a really fantastic exercise. So thanks again for American Acupuncture Council for having me. Dr. Martha Lucas will be here next week, so check check out next week and I will see you guys again another time.


Brian Lau and Matt Callison

AAC Neurophysiology and Acupuncture Brain Lau, Matt Callison & Michael Corradino

Click here for transcript.

Hello everyone. Thank you very much for joining us. My name is Matt Callison and with me is Dr. Brian Lau we’re with the Sports Medicine Acupuncture Certification program. We’re lucky enough to be able to have this, this sports podcast with the American Acupuncture Council. So we want to give a big shout out to the American Acupuncture Council. Thank you very much. We have a great opportunity today that we can invite a number of top speakers in the sports acupuncture field. And today we have Dr. Michael Corradino, he’s the creator and founder of neuropuncture. It’s the only complete neuroscience acupuncture system that we have here in the United States. He has been clinically practicing acupuncture for 25 years has been traveling the world, teaching a system and researching neuroscience acupuncture for the past 15 years. He’s been involved in groundbreaking electrical acupuncture research, and as a published author in this field.

And from what we understand, he’s actually working on his third book. Michael. Welcome. Thank you so much for joining us. Really appreciate it. Welcome, Michael. Thank you guys so much. It’s a real incredible honor. Thank you. Well, um, should we just jump right into the first topic? Sure, sure. So what we discussed was let’s, let’s get into a talk a conversation about neurophysiological mechanism of acupuncture. Why don’t you go ahead and take it, Michael. All right. So I think on this particular topic, I think it’s important to kind of plant the little, little flag right here of acknowledging that the language of our medicine, um, being, you know, from 2,500 years ago was our ancient predecessors and founders of our medicine, observing physiological phenomenon and putting it in the language and terms that they had at that date. And that, um, the, unfortunately I believe the very strong, unfortunate, uh, mistranslations of energy and meridians.

And I know that a lot of our professional professions liked to use that was who was, was really, you know, mistranslated by Soulié de Morant, who was not a physician. I think that’s very clear to make that point because in my travels to China, uh, you know, there’s strong documentation of physicians from Germany, America, and France that traveled to China in the 16 hundreds in the physicians, when they looked at the classics, understanding anatomy, physiology, pathology clearly really translated jingluo, and mai and qi more as breath as qi and pathways and channels and networks and actually points they translate as neurovascular nodes. So when you put the physician hat on as a, as a physician, I think that the neurophysiology understanding of acupuncture was kind of side routed because the energetic model, but today using 20th and 21st century medical sciences, we can absolutely understand the physiology of acupuncture. I think a lot of the groundbreaking research with functional MRIs clearly denotes that we are modulating the nervous system. We can target specific regions of the brain specific receptors with electrical frequencies and different hand techniques, which is measured by frequencies. And we transmit signals along, uh, the neuropathways that then communicate with the entire body because, you know, brain being the CPU, um, you know, uh, I teach five main neurophysiological mechanisms and I think they really clearly do explain all of acupuncture’s clinical phenomenon today. Awesome. Awesome.

Alright, we’ll set. Brian, do you have anything to add? Yeah, well, you know, and, and, um, the work we do in sports medicine, acupuncture, I think, uh, you know, Michael, you probably look much more from the neurological aspect than we do though. Of course, we do take a lot of, um, consideration of the neurology jiaji points, and we’ll get into those in a little bit, uh, of course, motor points, we’ll get into those in a little bit, but one of the influences of, of mine, um, in the last several years and, uh, and I think speak for Matt, maybe he’ll agree with this is some of the work, uh, from, uh, the, the, um, physio from Italy, Luigi Stecco, and he has a very, um, fascial, you know, kind of, um, myofascial, uh, mechanism, but also, you know, his, his work is called myofascial techniques or something like that, myofascial therapy, but he, uh, initial terminology they use was neuromyofascial, because you know, he’s looking at how the fascia

Communicates mechanical pull, um, and helps, uh, um,

Through that mechanical pull helps inform proprioceptors in that area. Uh, you know, that there’s, it’s really a mechanical stimulation that, that informs those proprioceptors, and then that

helps in terms of coordinated movement, helps certain muscle groups work together,

Uh, to be able to fire and then the antagonist to be able to relax. And there’s a communication network that is some degree is the brain, but it’s really,

His view is a little bit of the mechanical,

Uh, communication that is really driving that stimulation. It’s a little bit more of the fascial aspect. I think you’re a little bit more in the neurology aspect. I don’t know if the two necessarily are exclusive, but it’s an interesting, interesting perspective.

Yeah, that’s true. That’s a good point. Um, and as we know, it’s that there’s no real segregation with the human body, right? I mean, you’ve gets all interconnected. So with the nerves, I think we can probably say that those nerves are a big part of the channels, but that’s not the only part of the channels. Right? So with the neural stimulation that is going to be affecting every cell in the body, no matter where you end up putting the points, there’s always going to end up being a change. So that’s the fantastic thing about neurophysiological aspect. So I mean, adding the different frequencies and the different waves onto the needle itself is going to be obtaining a number of different rewards or penalties sometimes. Exactly. Unfortunately, you know, you can still treat the excess and the deficiencies using electric stimulation. And so it’s, it’s, it’s fantastic.

I love this topic. It’s a good one, Michael, back to you. Um, I would like to definitely, I like what Brian was saying. I don’t think there are not connected as Matt just clearly stated the fascia nervous system, because there’s been some real strong research that supports the fascial being indicated with acupuncture, but the fascia won’t be able to transmit some of those signals without neural innervation. So I think there is an absolute, you know, connection there and that, uh, again, you know, in my, uh, my research, I think that the neurophysiology really just really powerfully, powerfully empowers the practitioner when they understand that. Yeah, absolutely. On all levels, right? Your primary channel channels, your sinew channels, your luo channels, it’s all being affected. Absolutely. This is good. This is actually a good segue into points unless Brian, that you wanted something that

Actually I was curious about, um, you know, when you’re through your perspective in your work, when you’re needling points, especially, you know, the in acupuncture, we have a lot of primacy of the, the transporting points and xi-cleft and luo-connecting points and the points below the elbow and below the knee, when you’re working with those points, are you then thinking of what nerves being stimulated is that sort of your, your first sort of go to, in terms of the effect you’re trying to achieve

100% Brian that’s exactly. Then, you know, I, you know, the classics actually state that, right? That, that, that the qi and the pathways get closer to the surface from the elbows in those joints below. And that shows actually that we have more clear access to those nerves. We can use an example using luo and source points, like a LU7 LI4 both on the radial nerve, right BL58 and KID3, you got the tibial and sural bifurcations of the sciatic and peroneal nerve. So I think they do lie and they do definitely communicate. They modulate each other. Um, when we’re looking at points, um, again, I look at, you know, neurovascular nodes, NIH came out with this wonderful study where they used an invisible marker and they had a, I think we’ve got like 10 practitioners mark and locate a point, then needle it, and then stimulate and took a function MRI of it, and what they found out was that none of the practitioners found the point the same way or the same location. So that’s not a point, right? It’s more of a unit or region, but there is differences from on the same nerve, different regions. Right. And that’s been confirmed as well, like P6 or P5. They actually different regions that affects on the brain. So there could be a nerve, but the, your locations, but they’re not points. Yeah, that’s it.

I have a very, um, been very curious about that. Is there something

Unique about the various,

You know, stream points are jing-river points. Is there something unique about those points neurologically, like, do some of them tend to

Correlate with branches where the nerve branches, or is it really just point by point? Obviously there’s something unique in terms of how they affect physiology. Right. Is there something anatomically that’s, that’s something that you’ve observed that’s unique about them? LI4 to LU 7 has that. Oh, I’m sorry for interrupting. Was that question for Michael? I’m sorry, go ahead buddy. Oh, it’s just whoever. Yeah, no, Matt, I think you’ll be able to probably answer this better. You both can do this, but check this out. Okay. So we know the daqi sensations has about seven main class main classical sensations. You guys are all familiar with spinal anatomy of the spinothalamic tract, right. And there’s three of them, the anterior, posterior, and lateral. There’s also the spinocerebellar tract that brings up transmissions from the exterior. And how can we affect those spinocerebellar tracts for balance and proprioception is through the points on the wrist or the river points, because those tend to actually target more of the spinocerebellar tracts. So Brian, to your answer, I think yes, there can be these points that do maybe affect certain spinal tracts different than other ones. And that’s based on the receptors you’re stimulating and where they’re located. Yeah. That’s really interesting. Brian. I think what I understood you say, Brian is their actual physical conduit going from one nerve to the next, like for example, xi-cleft, no, I’m sorry, Like a source and luo combination. Is that where you’re talking about Brian?

I guess I was thinking, you know, I’ll, I’ll use, uh, jing well points. I would assume jing well points being where they are, that they’re at the termination

of various cutaneous nerves.

And that would seem like a pretty consistent of how that affects, um, in terms of, uh, communication back into the central nervous system

is kind of what Michael was speaking at. But I guess what I’m wondering is if the jing well points are at termination of, of certain, um, cutaneous nerve pathways,

Other nerves, do you tend to see a correlation that there may be at a bifurcation of the nerve? Or is that really not… Is that really more of a point by point. Well, I do know that perfect example again, right. Using the luo and source of large intestine four and lung seven, you know, that’s great for upper respiratory things. We know that’s the radial nerve goes into the brachial plexus, the cervical eight nervous part of the brachial plexus and those nerves do affect the lungs. So you do see, I think those correlations just like bladder 58, kidney 3 surreal tibial, or a peroneal tibial running up into the low back, helping out with low back pain and then any visceral muscular reflexes, which I’m sure we’ll go over with the huatuojiaji points. I see some correlations to that. We have a video on YouTube channel that shows the interdigital nerve, that branches off of the radial nerve and it goes right in toward LI4.

So we saw that. Yeah, it’s is so much fun. We saw that. So we saw that connection, but then in our cadaver dissections, we looked at other sources of luo anatomical areas to see if there was a branch like that. And we couldn’t quite find it. And this is where we hypothesize that is probably more of a going from nerve to that fascial plane that connects to that point. And then you have that mechanical aspect. I don’t know, but you know, it’s just kids, we’re just loving what we’re doing. So we’ll check out the next cadaver, see what we can find. Absolutely. I mean, when I was there for your cadaver, I’ll bring it up. We get to the motor points, but you guys just do phenomenal cadaver work and dissection work, and I’m really impressed. And I know that we’ll talk about it well that, you know, we’ll, we’ll talk about when we get to the other stuff.

Definitely pleasure to hang out with, do you as well that’s for sure. Thank you. Should we get into the motor points? Sure. All right. Okay. Um, well, something that I’ve been researching for a long time is the, the neurophysiological location of the motor point located on the skin and then going deeper to see where that motor entry point actually is. So there’s different names for the motor point. Some people call it a neuro muscular junction, which can be a motor point. That is from what I know of as being an internal motor point. The research that I’ve been working on would be where the actual motor nerve enters into the muscle itself. Some people call that the neuromuscular junction. That’s not my understanding of it. That would actually be the motor entry point. Then the nerve would then branch off and go into proximal, neuromuscular junctions, and then still branch travel along into distal intramuscular, junctions, or muscular junctions.

So yeah, I mean, this is something, these, these points become Ashi points that have been treated for thousands and thousands of years. And, um, very, very useful as we know, to be able to treat these and mixing these with acupuncture points, acupuncture points, many of them are acupuncture points. Exactly. And also many of them are our notable Ashi points. So by treating these in a, in a, in a system we’ve seen that it can be able to relax the myofascial systems and change posture and such. Now what’s something that we haven’t actually done, which in the seminars that we have, Michael. in SMAC, but people ask questions about, do you apply electric stim to certain things. I do use electric stim on some, but only probably about 10%. This is why I refer my class to you, to your program. And that’s what I refer the neuromuscular section of mine to you, Matt.

I swear to God, I tell all my practitioners. You want to really dive into this, go to the master, go to Matt, trust me. Well, they both compliment each other, you know, each other very well. Absolutely. Hey, if I can add some to that, you know, when we were dissecting and I was doing that when we were working together, man, you know, I have a picture of it, of the dissection of that neuromuscular junction that you were able to dissect right down to that junction. So we were able to do that with what scalpels, our hands and our eyes. So going back again, knowledge, knowledge, and I don’t think that it would behoove. I think it would behoove us to not think that maybe our ancestors had some of that understanding as well. Yes. They definitely SAW those wonderful nerves, activating the muscles and put some of this together. You know, it might have got lost in translation a little bit, but man, Matt, you impressed me so much when you went right down and you nailed it, man. I mean, that was beautiful. It was really incredible. I got lucky. Thank you for that. I appreciate it.

Like that’s a common misconception about dissection. You know what I mean? The weights of the organs are in the classics. There’s a lot of anatomical description in there and how much of how much information is lost too, and how much of the information didn’t carry forward and books that maybe got lost along the way. So I think it’s a, it’s obvious that there was dissection going on an exploration of anatomy and how well that, how, how deep that understanding was, it’s hard to say, but it seems like it’s pretty, pretty solid.

Yeah, absolutely. So when they were doing the dissections, like Huatuo, my hero. Can you see him over my shoulder here? My inspiration, my leader, there was ever a person that I would like to be able to have met, it would have been Huatuo, right. I would have liked to have sat down with tea with Huatuo and Galen from the Roman empire, that we’re at the same time, 188 AD. Galen knew the afferent and effernet nerves, Huatuo knew the spinal segments, man let’s have tea or maybe Italian wine with them. Do you think they would have gotten along. I don’t know. Yeah. Right. Two empires. Right? Yeah. Funny, funny. Yeah. Well, what you’re saying, Michael, when they were doing dissection centuries ago and they saw it, we call it nerves, they were calling it channels and collaterals and the main nerves and the tributaries branch off from that and innervate the body. Absolutely. Absolutely. Okay. So Michael, you want to, you want to lead off with Huatuo points and why you love them so much.

Ooh, gosh. These are, you know, when we get through this section, neuro puncture, I, when I first came across this, I, you know, it just, I just dropped the microphone. I was like, are you kidding me? Like this was just such a beautiful explanation of our back shoe points and how powerful they are. And in short, the huatuojiaji points created by Huatuo discovered by him. It’s not a coincidence that they line up viscerally with the motor or the muscular visceral reflex that’s in the spinal segment. So when you needle into the muscle and there’s also a cutaneous visceral reflex, you’re, you’re affecting these inner motor neurons in the spinal cord and you can absolutely affect this rule change and that’s been proven and it is just amazing. And the only thing that we do a little differently is we now know through, again, the great anatomy biomedicine.

We know now that there’s not just one segment per organ, right. They might have three or four and we can really maximize that effect on the visceral function by having those deeper understanding. But man, they are just, it’s incredible what he did. That’s right. That’s why I always joke when you see images of him, his forehead is so big because his brains are so hard, right? Yeah. Way ahead of his time. Brian, is there anything that you want to add to the huatuojiaji points? Well, you know, they’re just the reflex and that segmental relationship between, uh, you know, I think most acupuncturists know this, but maybe not all. Cause it’s, it’s kinda spotty, the anatomy understanding that’s taught at school, but you know, it’s the same through the sympathetic division of the nervous system, the same branch that goes out and innervates the liver or innervates, depending on which segments you’re at, innervates the various viscera to give sympathetic nervous system information to regulate those organs at that same segmental relationship are the ones that send that posterior dorsal rami, the medial branch of it into the huatuo, and then the lateral branches into the, uh, internal and external back shu line.

So, I mean, it’s really a segmental relationship between those, those viscera, those organs, the muscles and the skin of the back. And then, uh, in that coming up through the lamina for the huatuos and then the outer ones for the, uh, the back shu points. And then of course, you know, wrapping around that same pathway and then coming into the innervating the front mu points. It’s very, it’s it’s neurology. Yeah. I mean, it’s, it’s like under, so you can understand it so much better when you can see that neurology, when you can open up Netter and look at those cross sections and see the relationship between those nerves and how they would, uh, sort of have an influence on those various points front mu, back shu points. hutuojiaji points. Yeah. I mean, yin yang therapy, the classical needle technique utilizes that.

It was Yin Yng therapy was front mu and back shu. So front mu point and the back shoot point, wow. By adding the Huatuojiaji points, you can see because it is the same nerve pathway. It’ll just emphasize that needle technique. It’s useful to see a cross section, I think like in thoracic spine to be able to see how the dorsal primary rami goes up to the huatuojiaji, goes to the inner bladder line, goes to the outer bladder line and the anterior Rami of that spinal nerve goes to the sympathetic ganglion, which as we were discussing stimulates the organs. Right. So, and this has all been proven, then that same nerve goes all the way around to the front mu point, right? So you can see if there’s going to be pathology, it will be facilitated. Therefore, all of those points along that spinal segment can be very, very tender.

If we could be able to take ourselves in a small little car and actually drive from the dorsal primary rami, you can actually make it to the anterior rami, so hello to the sympathetic ganglion, make a u-turn and go all the way back that intercostal nerve and say hello to the front mu point. Yeah, absolutely. That’s amazing. And there’s also, you know, I mean, Ren 12, right, having such a great effect on digestion. If you were a needle that properly, I believe you’re actually splitting both dermatomes of seven and eight. So you’re getting liver spleen, gallbladder, stomach, pancreas, just by Ren 12. But I think that’s why that front mu is such a great point for the middle jiao, right. And when you line that up with dermatomes and our front mu points, it really does show those connections that were found, again, you know, a hundred AD, which is just incredible. Michael, I have a question for you, how I’m sorry, Brian, go for it, buddy.

So, um, uh, at one point I think there was some, some questions on this about needling Huatuo points and why I particularly like, the back shu points are great, but the Huatuo points being that they’re so protected by the laminae, um, you know, even over the thoracic region, you can, you can needle them as long as you understand, and you can palpate correctly. And you know, maybe with the exception with somebody who has really severe

Scoliosis and you might lose sight of those angles, but if somebody’s

Spine and you have good palpation

And it’s, they’re very safe to needle, cause you can go perpendicular and that’s

protect by the laminate as long as you’re at that 0.5 cun. Um, you know, I know some people do angle. I don’t know Michael, how you do it. Some people angle perpendicular is how we teach it too, though. I think you get a good result, needling it angled, too. But the point is that the points are very protected and you don’t have to be

Afraid of depth. Again, assuming you have the palpation and you were taught properly how to needle it. Brian, go ahead and plug the YouTube video that we have with that. Oh yeah, yeah,

Yeah. We have a, um, so we did a dissection, um, and we cut out. It is in the thoracic region. What was it about T7.

We’ve done it five or six times, but the video that’s that’s on YouTube I think is that T8 or T7Yeah. So it’s in that

thoracic region and we dissected a triangle from like, if this is a spine, a triangle out, I’m covering like three range of three levels, something like T7, T8, T9. And then we cut the skin away and then the subcutaneous tissue and then the first, you know, the lower traps, first muscle layer and piece by piece so that you can fold, you know, like a book, you can, you can fold the skin back, you can fold the subcutaneous tissue back. You can fold the first muscle layer, a second muscle layer all the way to the deep paraspinals and eventually seeing the lamina. And then you can see where the needle goes, you know, putting the needle in and then folding those layers back and seeing the target tissue. Awesome. Yeah. Sports, medicine, acupuncture, YouTube sports medicine acupuncture, YouTube watch Huatuojiaji video. It was a bit of work to do the dissection.

Remember guys, when we were, when we were working together, we did, I did the upper back like that and we pulled the skin, Yeah, that’s right, the trap, the rhomboid, and then the paraspinals. We put the needle, I think we use the 40 or 50, you know, length needle and we’re just tapping and there was, there was room. So you can really show that depending on the patient. But that was, that was so excellent. I loved that. I think our acupuncture field would, would, would take off if we add more dissection as part of the standard training, I know it’s expensive and that’s really where the trick comes in. That’s where we’re going, right, Ggentlemen? We’re trying to be able to do in both of our programs is to educate the acupuncture field with the cadaver dissection is that we do in your program.

The neuropuncture, and in our program, sports medicine acupuncture. So it’s great. And also other ones that we have, Matt, I did have something that I thought you might want to add something to. And that is, um, and I know we don’t have a ton of time left, but I don’t think it will take long, this idea with the Huatuojiaji points and, uh, the, um, affecting the muscle therefore affecting the neurology, affecting the skin, but also the facet joints, and I know that’s a big part of the sports medicine acupuncture program in terms of the first module. If you wanted to add anything to that. Um, the location of it and then different needle techniques at different target tissue. Okay. So if we’re thinking about the movement of the facet, so, you know, for fixations, vertebral fixations. so you’re wanting me to talk about vertebral fixations and needling the facets?

Is that what you’re saying? No, not necessarily needling the facet, but for vertebral fixations and movement as a facets and how that relates to the neurological aspect, too. I’m not following you. I’m sure you’re trying to dig something out of me from a conversation that we had, sorry for being so dumb. So why don’t you take it over and all, you know what you’re talking about? In Sports Medicine Acupuncture, we also look at the, um, the movement of the vertebral facets. It’s in the first module. And we assess when, when the facets, when the joints are moving, when the spinal joints are moving or not moving and how that, um, you know, we a whole protocol, I don’t know if we have time to go in into the protocol now, but, um, that can relate when we’re working in vertebral fixations of the neck, it can relate to injuries in the arm, low back. It can relate to injuries of the lower extremities, but, but you know, a lot of times practitioners are also working with, um, visceral problems and they’re doing various mobilizations in combination with

huatuojiaji point needling, in combination with distal points,

In combination with the whole thing, they’re also going in and doing tuina mobilization to return mobility to those facets, which has a really big impact on digestive problems and really a lot of different things.
Yeah. I would say that’s probably one of the biggest successes that we’re having with that. Thank you for dumbing that down. Now I can join you. I didn’t ask it really well, I guess. Now that I understand that I’ll say we know we do very similar work in neuropuncture, as well. I’ve been taught traditional Chinese bone setting, and I teach that to my certified members. And that’s exactly a great combination with huatuojiaji for visceral or peripheral injuries due to those nerves. Absolutely. Yeah. That’s a great combo. Fixated vertebrae or subluxed vertebrae are obstructions in the channel particularly the du mai. And so when you got obstructions in that du mai, it’s going to offset the rest of the channels. Absolutely. So getting that vertebrae back into place, however you do it, a forceful manipulation or mobilizations, movement therapy, all that it’s going to be important. I mean, that’s how the Chinese do it, right? So they would go from acupuncture to taiji, qigong exercises, their physical therapy. Yup. Yeah. Hey, you guys, we’re already at 1o:28. Anything else that you want to say real quick before we give our, thanks again, say goodbye.

I would just say that if our practitioners and our listeners, um, open their hearts and their minds to what we’re saying and do a little best investigating and check us out, they’re going to really have a deeper understanding, learn a language to communicate and really get, I think quite, you know, you know, just amazing clinical outcomes. And that is just, that’s the bottom line. And we started with neurophysiology of acupuncture and everything we just said, and the discussion we had just eliminate all that, even bring it in historical relevance. I think that’s just cements it back in and galvanizes it. Yeah, absolutely. Yeah. I second the motion with that, for those people that are interested in what we were discussing and it really excites you. Yeah. Please check out both programs and just see which one’s the best fit or both of them. Absolutely. Because Michael’s a great guy.

As you can see super knowledgeable, he’s a hell of a practitioner and his protocols work. So that’s something that you want and you need to be able to have that in your, in your main focus of practice and also different things. Do you put in your back your back pocket? So when you’re actually practicing yourself, you remember when Michael taught you and that can get you out of a lot of problems are very, uh, are very treatment or assessment or treatment oriented. Absolutely. I think we have to do our little goodbyes now because it’s 10 29. So I’m Matt Callison. I’m the president of the sports medicine acupuncture certification program. My colleague and dear friend, Brian Lau, go ahead, Brian. Okay. I’m a faculty of sports medicine acupuncture certification, and a practitioner in Florida, along with Michael, though we’re in different cities and thank you very much, Michael Corradino. And I really appreciate you. Yeah, it was really, really nice. We want to thank you. Thank the American acupuncture council again for having us next week. Stay tuned for Virginia Doran. She’s going to be with us in the American acupuncture council. So that’d be something to check out. Um, again, you guys thank you very much. It was a lot of fun. It’s fun. You guys are awesome. I appreciate it. Very honorable. OK, take care. Bye. Thanks guys.