ACR class 13

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Modern Auriculotherapy founded by Paul
Nogier in 1950‘s France
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Also developed in 1960’s China
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Some differences in point location but overall very similar
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Fetal / “Upside-down man” representation

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Lobe: Face & sensory
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Antitragus: Cranial & brain
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Internal organs in concha:
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Thorax = Inferior (Cavum) concha
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Abdomen = Superior (Cymba) concha
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Digestive = around helix crus

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Spine on antihelix
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Upper limb on scaphoid fossa
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Lower limb on upper antihelix crus
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Triangular fossa = Chinese:
Reproductive & Shenmen; French:
Lower limb

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Lobe: Cranial area/face/sensory on lobe
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Internal organs in concha
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Spine on antihelix
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Upper limb on scaphoid fossa
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Lower limb on upper antihelix crus
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Triangular fossa = Chinese:
Reproductive & Shenmen; French:
Lower limb

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AKA: 5-Needle Protocol, 5NP
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Most common auricular protocol used today
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Use for addictions, trauma, pain, etc

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Shen Men: Slightly superior and anterior to the tip of the triangular fossa.
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Sympathetic-Autonomic point: Junction of the internal helix and the inferior antihelix crus. It is covered by the fold of the helix.
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Liver: Junction of the concha ridge/helix crus with the posterior concha wall (just anterior to antihelix). Some maps place it slightly superior to the concha ridge.

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Kidney: In superior concha, near concha wall, directly below Shen Men.
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Lung 2: In lower part of inferior concha, just below deepest part of concha (Heart point).

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Ear probe - look for painful points
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Electronic point finder - low skin resistance
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Visual inspection - Discoloration

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Filiform needles
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Press tacks or intradermals
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Seeds
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Bleeding
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Ear massage
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Electric stim
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Cold laser

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Disinfect skin with alcohol
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Use 15mm, 7mm or press tack
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Filiform needle retain 20-40 minutes
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Check for bleeding on removal of needle

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Do not needle if external ear is infected or inflamed
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Contraindicated for pregnancy with history of miscarriage; caution otherwise
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Caution weak constitution
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Do not leave tacks or seeds more than 1 week

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Several different systems: Jiao, Zhu,
Yamamoto (YNSA), etc
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Jiao system most common

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Location : Locate the upper point 0.5 cm posterior to the mid-point of the anterior-posterior midline.
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Then locate the lower point at the intersection of the eyebrow-occiput line with the anterior temporal hairline.
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The line connecting the upper and lower points is the motor area.
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This line is divided into five equal portions.

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Lower limb and trunk area Location: Upper 1/5 of the motor area. Indications: Contralateral paralysis of the lower limbs.
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Upper limb area Location: Middle 2/5 of the motor area. Indications: Paralysis of the upper limbs.
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Facial area Location: Lower 2/5 of the motor area.
Indications: Facial paralysis, motor aphasia, salivation, impaired speech, and dysphonia.

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Location : The line parallel to and 1.5 cm posterior to the motor area. Divide this line into five equal portions.
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Lower limb, head, and trunk area Location: Upper
1/5 of sensory area. Indications: Contralateral lumbar pain, leg pain, numbness, paresthesia, occipital headache, neck pain, tinnitus.
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Upper limb area Location: Middle 2/5 of the sensory area. Indications: Upper limb pain, numbness, paresthesia.
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Facial area Location: Lower 2/5 of the sensory area.
Indications: Facial numbness, migraine, trigeminal neural- gia, toothache, temporomandibular arthritis.

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Chorea & Tremor Control Area
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Location: Parallel and 1.5 cm anterior to the motor area. Indications : Chorea, Parkinson’s disease.
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Blood vessel dilation and constriction area
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Location: Parallel and 1.5 cm anterior to the chorea and tremor control area. Indications: Superficial edema, hypertension.

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Vertigo and hearing area
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Location: A horizontal line 1.5 cm above the ear apex;
2 cm anterior and 2 cm posterior (total 4.0 cm length).
Indications: Tinnitus, vertigo, diminished hearing,
Meniere’s syndrome.
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Speech 3
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Location: A horizontal line starting at the midpoint of the Vertigo and Hearing Area and running posteriorly
4.0 cm in length. Indications: Sensory aphasia.

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Speech 2
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Location: A vertical line 2.0 cm posterior and inferior to the parietal tubercle 3.0 cm in length. Indications:
Nominal aphasia.
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Voluntary Movement / Usage area
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Location: At the parietal tubercle origin, three lines run inferiorly, anteriorly, and posteriorly 3.0 cm each with a
40 ° angle between each of the lines. Indications:
Apraxia.

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Location : Two lines 1.0 cm lateral to the midpoint of the anterior-posterior midline 3.0 cm in length posterior and parallel to the midline.
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Indications : Contralateral lower limb pain, numbness, paralysis, acute lumbar sprain, nocturia, and uterine prolapse.

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Vision area
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Location: Two lines 1.0 cm lateral to the midpoint of the external occipital protuberance, parallel to the anterior-posterior midline, 4.0 cm in length extending superiorly. Indications: Visual disturbances, cortical blindness.
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Balance area
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Location: Two lines 3.5 cm lateral to the midpoint of the external occipital protuberance, parallel to the anterior-posterior midline, 4.0 cm in length extending inferiorly. Indications: Loss of balance due to cerebellar disorders, dizziness.

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Stomach area
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Location: Beginning at the hairline directly superior to the pupil of the eye, parallel with the anterior-posterior midline, 2.0 cm in length bilaterally extending posteriorly. Indications: Stomach / epigastric pain.
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Thoracic cavity
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Location: Beginning 2.0 cm below the hairline, midway between and parallel to the stomach area and the anterior- posterior midline, 4.0 cm in length bilaterally extending superiorly. Indications: Chest pain, palpitations, coronary heart disease, asthma, and hiccups.

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Reproduction area
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Location: Beginning at the hairline, a line 2.0 cm in length from the frontal angle extending posteriorly and parallel to the anterior-posterior midline. Indications:
Functional uterine bleeding, pelvic inflammation, leukorrhea, and uterine prolapse.

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Liver and Gallbladder Area
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Location: Beginning at the hairline, a line 2.0 cm in length from the stomach area extending inferiorly.
Indications: Upper right quadrant abdominal pain, chronic hepatitis, abdominal pain due to liver and gallbladder disease.
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Intestine Area
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Location: Beginning at the hairline, a line 2.0 cm in length from the reproduction area extending inferiorly.
Indications: Lower abdominal pain.

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Clean insertion site with alcohol
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Use 1-2 cun filiform needles, 28-32 gauge
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Insert 30• angle, thread into aponeurosis
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Twirling manipulation, up to 200x/minute
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Manipulate 2-3 minutes, rest 5-10 minutes and repeat 2-3 times; or use high frequency e-stim (200-300 hz)

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Seated or lying position; watch for fainting
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Not advisable for weak patients, high fever, local inflammation, heart failure
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Contraindicated if open head wounds or intracranial bleeding; wait until bleeding has stopped and patient is stable