2025 - Handout - Master Class Ren 4
2025 - Handout - Master Class Ren 4
Clinical Strategies books and/or Diode Rings are *not* required to take the class but a lot of
people ask how to purchase them. Please see info below for details:
by
Kiiko Matsumoto
Notes: Trademark for Kiiko Matsumoto Style of Acupuncture and Kiiko Style of Acupuncture are filed with the UPTSO,
TM pending final approval. All rights reserved 2020.
All rights reserved. The information within this document(s) contains foundational knowledge of the teachings of Kiiko
Matsumoto that can be found in Kiiko Matsumoto Clinical Strategies: In the Spirit of Master Nagano, Volumes 1 and 2
(copyright). All new information and ideas expressed within this document(s) are the sole ownership and authorship of
Kiiko Matsumoto. These documents and the information contained within these documents may not be copied,
reproduced, stored, taught, or transmitted in any form electronically, mechanically, or recordings without written
permission from its author, Kiiko Matsumoto.
Heart/insomnia
Area of CV14
Liver Spleen
Under right Under le8
costal margin costal margin
Stomach
Ren12
1
5 Lung/Immune
St26, St27 area Oketsu (Liver)
St26, St27 and Ki15
2 area
4
3
Yuan (元)
The body doesn’t however, remain as a straight tube. Instead there is a moment when the simple structure starts to twist
and become what we know to be the digestive track in later stages of pregnancy and once we are born.
For some people, an obvious misalignment is anatomically apparent – i.e. appendix on the left vs typical right location,
but these are rare cases. More typical is to see patients who present with symptoms they report experiencing “as long as
I can remember” or “my whole life”. It’s worth considering that, in these cases too, a malrotation on a much smaller scale
could be an explanation for their digestive problems or long standing symptoms in general.
From a Chinese Medicine perspective, identifying the source or origin is important because we know that a problem at
the source, can be the foundation of the ongoing problems. Therefore, evaluating the area of origin, can provide an
opportunity to correct or support the patient.
元 原
YUAN as seen in Ren 4 YUAN as seen in descripkon of Source Points
• Tan Tien
Translate as “Cinnabar Field”. Not just a single point.
• Ming Men
• Guan Yuan Ren 4 is called Guan Yuan
• Tan Tien Bladder-27 is called Guan Yuan Shu & therefore important back point for
• Human Head autoimmune disorders
Small inteskne looks a lot like the brain
The two most significant and important metals were GOLD and MERCURY. Gold is considered important by Taoist
Alchemists because it symbolizes: UNCHANGABLE. Mercury on the other hand, is a symbol of CHANGEABLE.
Cinnabar (red) and sulfur (yellow) are always connected and found attached together. When you scrape with a sharp
instrument, you can get some but it is not very efficient so instead a distiller is used to extract mercury.
隔
Water
Cinnabar
Coal/charcoal
Using a distiller, cinnabar and sulfur are separated but, in the process, sulfur remains yellow while cinnabar turns into the
silver mercury. Applied to the body, the distiller can represent Triple Burner with Ren-5 (gate of stone) as a possible place
where the cinnabar-sulfur stone, and using water from above and fire of the Triple Burner, extract mercury.
It’s also important to note that the alchemists could also reverse the above process. So they observed that they could turn
White back to Mercury and therefore the idea of reverse aging. From white hair back to black etc.
• Master Nagano said that autoimmune conditions are a result of tightness of the mesentery. Tight mesentery does
not allow for free flow of lymph and blood through this structure.
Mu character
莫(sheath)
募 力 (power)
Checking Mu points is
checking core/sheath/fascia of each organ.
W/O power, it cannot keep things in place.
莫(sheath) 莫(sheath)
grave tent 膜 membrane
APPLICATION:
Think about using the Ren-4 when there is a slight nodule (not painful) in the area. Check to see if holding that point will
make a change in other reflexes or symptoms.
Consider in cases where patient reports that they’ve been dealing with symptoms (especially digestive) all of their lives.
• All digestive disorders except for Crohn’s (because of the location of the irritation, needling the area of Ren-4 may
cause more irritation).
• All autoimmune conditions
• Scoliosis
• Stem cells can change to anything. Think of Ren-4 treatments as a potential to change into anything but be sure
to test reflexes to see if this is applicable for individual patients.
Needling:
• Do not use if slow pulse (only in cases of normal and rapid pulse)
• When the nodule is found, try to “break it down” with the needle
• Needling may require a slightly thicker needle (#5 or higher in case of thicker scar tissue)
TROCHANTER TREATMENT:
The trochanter-treatment releasees the rhomboid area (which is also the “psychosomatic reflex”) and is a very effective
way to balance the autonomic nervous system which is a big part of treating chronic pain.
Su Wen Chapter 60
• Wind-evil is the source of 100 diseases
• Treat Du16 first, then balance Yin and Yang
風 Environme
nt
Bug/insect
Su Wen Chapter 31
Febrile disease
• All heat diseases fall under Tai Yang and its channel connects to Du16
• Tai Yang determines the state of all other Yang channels
• Tai Yang and therefore all Yang channels can be accessed through Du16
Stomach-9
Shortness of breath,
Qi Ren-17 Breathing Red face, fullness in chest,
Du-15 (above) rapid respiration inability to talk
Du14 (below)
Bladder-11
Blood Psychological Melancholy Taking things too hard
Stomach-37
Stomach-39
In all of the above, both the excess and deficient symptoms are negative. This changes when we get to Sui:
Possibilities:
• Medulla - Feeling light, vigorous &
Du 16 and “the lid” having the ability to
Sui information Tinnitus, sore legs, dizziness,
(point above Du-16 endure work that’s
(includes transfer between sleepiness. “Wind in the
but not specified otherwise hard.
brain & the brain & the brain” symptoms.
which one)
spinal cord) spinal cord
• Du Mai
• Vagus nerve
SHINKEI JIME:
A technique, used by fisherman, to humanely kill the fish while at the same time
protecting the freshness by delaying rigor mortis. A wire is inserted along the spinal
cord. This technique allows for freshness of the fish to be extended allowing it to reach
the market.
In humans, that straight line doesn’t 3 points on the center of face Belong to Du
exist. Instead, Du-16 area represents Du-26-28 but separate,
not on the
the area where there is an entrance line.
point to the spine according to Ling Shu 8 points
Chapter 79. External pathogen enters above hairline
Previously, needling Du-16 was recommended in the direction toward Yin Tang. However, in consideration of Ling Shu
chapter 79, needling Du-16 down and toward the spine, may produce better results.
In addition, consider supplementing with one or more of the following points that could also be what the Classics
referred to as “the lid”:
A problem at Du-14:
Everyone experiences at least one major external-wind-invasion in their
lifetime – cold, flu, covid etc. This external invasion can cause a disruption in
the “traffic flow” & distribution of resources to the rest of the body if left
untreated. Applying moxa at the very first sign of this disruption, is a way to
try and prevent a more complex problem.
A lot of stubborn cases of pain but also internal disease can have etiologies
linked to this pattern. It’s therefore important to carefully check Du-14 in all
cases where there is pressure pain on the reflex areas of the spine at all levels.
Clinical application:
Take caution with patients that have a rapid pulse and avoid needle and o’kyu moxa on:
ê Du line at L4 level and above
ê Huato Jiaji & inner UB line at L4 & above
ê EXCEPTIONS: Du-14 and “Sugar points”
d
JUE POINTS:
Choose the points that best correspond with the Master Maruyama explored the idea of jue and created this
patient’s constitution or their symptoms. Here are map. (At the joint between the phalangeal and metatarsals).
some examples:
• Shao Yin (Heart/Kidney) – adrenal type
patients; patients with osteoarthritis; thyroid Shao Yin – Heart/Kidney
disorders
Tai Yin – Lung/Spleen
• Tai Yin (Lung/Spleen) – blood vessel problems;
muscle soreness or pain; repeated episodes of
Jue Yin – Pericardium/Liver
bronchitis; joint pain everywhere (lymph =
Pericardium/Liv
spleen); inner knee eye problems Yang Ming – Large intesine/Stomach
• Zhu Yin (Pericardium/Liver) –gout; taking lots
of medication (Kidney may be involved too – Shao Yang – Triple warmer/Gall bladder
both Liver and Kidney are detox organs);
fasciitis; connective tissue disorders Tai Yang – Small intesine/Bladder
Needle in the direction that reduces symptomatic
presentation. Very important to add o’kyu moxa.
Back reflex zones – use to continue the Zong-Fu support from the front
Clinical presentation:
Consider this strategy for patients that describe migraines or headaches around the forehead
and/or occipital regions. These patients may not be specific about the exact location of the
pain but generally point to the forehead or the back of the head.
Upon palpation however, there is pressure pain on the area of either GB-12 or GB-14.
Treatment:
Think of these two points areas like we think about contrecoup. When one is painful, you can
use the other to release it. Be sure to check two directions (up and down) for each of these
points – usually one direction produces better results.
• Pressure pain at Gb-14 should be treated by finding the best point around the region
of Gb-12 to release it.
• Pressure pain at Gb-12 should be treated by finding the best point around the region of Gb-14 to release it.
• In either case, test to see if you achieve more relief in pressure pain by pointing the needle up vs down.
GB14
pressure pain
GB12 to Gb20
treatment area
Mid SCM
Mid-SCM pressure pain is most often associated with an autonomic nervous system
imbalance. Check both sides by palpating the muscle with flat fingers and pressure
toward the middle of the neck.
You may find that some patients will present with both pressure pain on this reflex as
well as neck pain when turning their head from side to side.
It’s also very common to find pressure pain on the mid-SCM and the same side Kidney
fire point.
Kidney-2
Kidney-2 is the fire point of the Kidney channel. It often becomes painful after
trauma/injury/stress. Palpate using a dragging/stroking motion in the area of Kidney-2
instead of directly applying pressure to the point itself.
Release with metal/water combination of points on the Kidney channel – Ki-7 & Ki-10. In
patients that present with both, Ki-2 and mid-SCM pain, these points should clear both
reflex areas. Adding Ki-27 on the same side as the painful Ki-2 may provide further reduction in pressure pain on the mid-
SCM.
You can repeat the above mentioned mid-SCM treatment points to reduce this reaction or try using Du-2, needled upwards
and toward the spine to calm this sympathetic dominance.
Diode treatment takes approximately 20 minutes so if you plan to use them, consider adding them at the beginning of the
treatment. It’s also helpful to check them after about 5 minutes and adjust if necessary.
The junction of the two rings, where the copper rings touch, is placed over the most painful area. This could be on a scar,
painful lymph node or varicose vein, etc. Where relevant, place red then green with the flow of acupuncture channel.
When using on toes or fingers (i.e., arthritis pain) place the green diode on the most painful joint and red one (facing the
green one) on the second most painful joint. More than two joints, alternate red and green rings.
For bruises, use extremely light touch (barely making contact with the skin) to gently slide across the area of bruising and
find the highest/raised spot. Place the diodes there. (Works well for visible or surface bruises and those that are very deep).
In cases of neuropathy, find the borderline between normal feeling and numbness and place diodes there – red then green,
with the flow of the channel.
Use paper or other gentle tape to securely tape the diode rings in place.
Carefully clean diode rings using alcohol in between patients.
(Kiiko likes to use umeboshi plum juice to restore the original color of the coper ring when it starts to get dark).