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Volume I · Su Wen (素问)

Contralateral Needling

Treating the unaffected side when the disorder lies in the collaterals, and how this differs from opposing needling.

Su Wen (素问)General Principles of Needling
ENGLISH TRANSLATION

The English is translated from the Chinese vernacular. The original text and its pinyin sit beneath each sentence in smaller type; hide them whenever you prefer to read the translation alone.

When evil lodges in the body it first rests in skin and hair; if it stays and does not leave it enters the grandson vessels; staying there it enters the collaterals; staying there it enters the channels, connects inward with the five viscera and disperses into stomach and intestines.

ORIGINAL夫邪之客于形也,必先舍于皮毛,留而不去,入舍于孙脉;留而不去,入舍于络脉;留而不去,入舍于经脉;内连五脏,散于肠胃。

fū xié zhī kè yú xíng yě,bì xiān shě yú pí máo,liú ér bù qù,rù shě yú sūn mài;liú ér bù qù,rù shě yú luò mài;liú ér bù qù,rù shě yú jīng mài;nèi lián wǔ zàng,sàn yú cháng wèi。

When yin and yang are both affected the five viscera are injured; this is the order by which evil enters from skin and hair and reaches as far as the five viscera.

ORIGINAL阴阳俱感,五脏乃伤,此邪之从皮毛而入,极于五脏之次也。

yīn yáng jù gǎn,wǔ zàng nǎi shāng,cǐ xié zhī cóng pí máo ér rù,jí yú wǔ zàng zhī cì yě。

Therefore where evil lodges in the body and will not leave, use miao needling.

ORIGINAL故邪客于形而不去者,缪刺之。

gù xié kè yú xíng ér bù qù zhě,miù cì zhī。

When evil lodges in the channels, excess on the left produces illness on the right, excess on the right produces illness on the left; sometimes it shifts, so that pain on the left has not ceased while the right channel is already ill. In such cases use contralateral needling, and it must strike the channel, not the collaterals.

ORIGINAL邪客于经,左盛则右病,右盛则左病,亦有移易者,左痛未已而右脉先病,如此者,必巨刺之,必中其经,非络脉也。

xié kè yú jīng,zuǒ shèng zé yòu bìng,yòu shèng zé zuǒ bìng,yì yǒu yí yì zhě,zuǒ tòng wèi yǐ ér yòu mài xiān bìng,rú cǐ zhě,bì jù cì zhī,bì zhōng qí jīng,fēi luò mài yě。

Because in collateral illness the pain lies at a place that crosses that of the channel, it is called miao needling.

ORIGINAL故络病者,其痛与经脉缪处,故命曰缪刺。

gù luò bìng zhě,qí tòng yǔ jīng mài miù chù,gù mìng yuē miù cì。

—— 《素问·缪刺论》

Miu Ci Lun sets out the method of needling the healthy side to treat the affected one when the disorder is in the collaterals rather than the main channels. It distinguishes this from ju ci, which applies the same principle when the pathogen is deeper, in the channels themselves.

The chapter matters for two reasons. It is the classical source of contralateral point selection, still used for shoulder and facial disorders, and it is one of the few places where the classical texts reason explicitly about why treating the opposite side should work.

ANNOTATION

Miao needling (缪刺): 缪 is pronounced miù, interlaced — bleeding the collaterals on the opposite side, left for right and right for left.

Grandson vessels (孙脉): the finest branches of the collaterals.

Contralateral needling (巨刺): needling the channel of the opposite side to regulate qi, as against miao needling.

COMMENTARY

The distinction between miao and contralateral needling is often blurred in practice. The real difference lies in whether the illness sits in the collaterals or in the channels, and in whether the method is bleeding or regulating qi. Only with this clear does “treat the left for the right” cease to be blind.

MY NOTES

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