Select the points corresponding to one or more syndromes described by TCM

This selection may be of particular interest to therapists who treat mental disorders and visceral dysfunctions according to TCM. As ESRT seems to have a higher rate than PPT in identifying this kind of problem, the practitioner may rely more often on this diagnosis in combination with auricular inspection.

The patient in Figure 10.7A, for example, suffered from chronic migraine; the secondary symptoms were eczema, which worsened especially in spring and autumn, blepharitis and constipation. From the point of view of TCM, migraine was defined as the expression of excessive yang and heat in the Liver. Among the points identified with ESRT, four points were selected: first were the temple area (former location of taiyang EX2 point) and the liver point. It is noteworthy that the antitragus presented a tiny dyschromia very close to the identified point. The other two points were selected for their internal-external relation with each other (Lung-Large Intestine). In particular, constipation was considered as 'heat in the large intestine' and eczema was considered as heat in the blood. Lung is well known to relate with the external surface of the body and allergy.

The patient in Figure 10.7B suffered from anxiety and sleep disorders; secondary symptoms were neck stiffness and dyspepsia. Among the points

Fig. 10.6 Tender points in a 60-year-old male patient with back pain associated with foot asymmetry (A); selection of points, on the medial surface, with a possible pseudo-pharmacological effect on back pain and stiffness (B). Dots = lateral surface; circles = medial surface.

Fig. 10.7 Selection of points of reduced electrical skin resistance, according to TCM, in a 35-year-old female patient suffering with migraine and eczema (A); selection of points of reduced electrical resistance, according to TCM, in a 25-year-old female patient suffering with anxiety, insomnia and dyspepsia (B). Dots = lateral surface; circles = medial surface.

Fig. 10.7 Selection of points of reduced electrical skin resistance, according to TCM, in a 35-year-old female patient suffering with migraine and eczema (A); selection of points of reduced electrical resistance, according to TCM, in a 25-year-old female patient suffering with anxiety, insomnia and dyspepsia (B). Dots = lateral surface; circles = medial surface.

identified with ESRT, four points were selected: the Shen men point and heart area to calm the spirit and to 'regulate the deficit of qi and blood of the Heart'. The spleen point and the neck muscles point of the medial surface were selected to 'strengthen the spleen and the stomach' for dyspepsia and to reduce muscular tension. It is noteworthy that the heart area was identifiable at inspection and was covered by a reticular telangiectasia; the Shen men area moreover was identifiable by a telangiectasia nearby the point identified with ESRT.

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