Bloodletting therapy is a unique acupuncture treatment method in Traditional Chinese Medicine (TCM). It was one of the most commonly used treatment methods during the era of the “Huangdi Neijing” (Yellow Emperor’s Inner Canon), which even regarded bloodletting as the first choice for treating diseases and alleviating suffering. Depending on the patient’s specific condition, a three-edged needle (san leng zhen) or a thick, sharp needle is used to puncture specific acupuncture points or superficial blood vessels on the patient, allowing a certain amount of blood to be released to achieve therapeutic effects.
“When Qi and blood are not harmonious, changes arise,” “Chronic illness enters the collaterals,” “Where there is pain, there is stasis,” “If it is stagnant, it should be removed,” “Blood stasis should be resolved.” If the disease is in the meridians, adjust the Qi; if the disease is in the collaterals, adjust the blood. The effects, principles, and mechanisms of bloodletting therapy are similar to acupuncture, which aims to unblock the meridians, harmonize Qi and blood, balance Yin and Yang, support the righteous Qi and expel pathogenic factors, thus achieving the goal of treating diseases. The fine needle excels at adjusting Qi, while the three-edged needle excels at adjusting blood; together, they complement each other. Bloodletting therapy has various effects such as relieving pain and spasms, clearing heat and detoxifying, reducing swelling and necrosis, calming the spirit and treating epilepsy, stopping cough and wheezing, regulating menstruation and stopping bleeding, relieving itching and numbness, promoting diuresis and reducing edema, promoting blood circulation and generating new blood, dispelling wind and alleviating pain, restoring the functions of the five organs and six bowels, unblocking Qi and blood, nourishing blood, and enhancing beauty. It is a pure natural therapy that primarily addresses conditions such as pain in the head, neck, shoulders, back, and knees, hypertension, gastrointestinal diseases, gynecological issues, male disorders, pediatric conditions, sequelae of stroke, neurological diseases, cerebral infarction, dermatological issues, and more.
The role of bloodletting therapy: it has a good bidirectional regulatory effect on the blood system.
Research shows that bloodletting therapy can promote human metabolism, stimulate bone marrow hematopoiesis, accelerate metabolism, improve microcirculation and vascular function, facilitate the elimination of harmful substances from the blood, and ensure that beneficial substances are timely replenished into the blood circulation, thus helping the body re-establish homeostasis and restore normal physiological functions. By improving microcirculation, it can also prevent excessive inflammatory responses and promote recovery from inflammation.
Benefits of blood stasis therapy:1. Blood stasis can dilute blood concentration, directly achieving the goal of removing stasis. Once the stasis is removed and blood concentration normalizes, it can lower blood lipids, blood sugar, and blood pressure, and help prevent stroke and myocardial infarction;2. Blood stasis can improve microcirculation, alleviating cold extremities caused by poor peripheral circulation; it can also relieve pain and discomfort in the neck, back, and waist due to strain, trauma, or exposure to wind and cold;3. Blood stasis can directly eliminate aging cells, delaying aging. Studies show that elderly patients receiving blood stasis therapy can increase cerebral blood flow by 50%, improving microcirculation;4. Blood stasis can enhance the excretion of metabolic waste, keeping brain tissue in a youthful internal environment, thus delaying aging and reducing the growth of age spots;5. Young people benefit even more from appropriate blood stasis. It can improve skin luster, prevent pigmentation, eliminate dark circles, and reduce eye bags; it can also prevent the occurrence of cervical spondylosis, lumbar spondylosis, cardiovascular diseases, and eliminate excess moisture and cold from the body, preventing and treating obesity.
By analyzing the color of blood samples, you can clearly understand your health status—what type do you belong to?
1. Blood appears dark red
When blood is drawn from the acupuncture site and its color is dark red, it indicates that the disease is mostly heat-related.
2. Blood appears blackish-red
When blood drawn from the surface is dark red, it can be classified as either external or internal injury.
1. External injury generally occurs at the Ah Shi point, often due to Qi and blood stagnation, with bruises resulting from local blood overflow.
2. Internal injury: Deep injuries in the limbs are often due to blood stasis obstructing the meridians, while injuries in the head and trunk are often due to stagnant blood accumulating in the organs, typically associated with pain in the corresponding organ.
3. Blood appears light red-yellow
When blood is drawn from the elbow or knee joints and its color is light red-yellow, it is often associated with rheumatic pain.
4. Blood appears purplish-blue
When blood is drawn from the back, abdomen, or fingers and its color is purplish-blue, it is often due to cold pathogens entering the body, harming organ functions.
Analyzing the dynamics of blood during bloodletting
1. Blood is thin and difficult to coagulate
When blood is drawn, if it is thin and sparse and does not coagulate easily, it indicates blood deficiency. In clinical practice, if the blood drawn is thin, the focus should be on releasing Qi; if the bleeding does not stop, further puncturing should be avoided.
2. Blood is thick and coagulates easily
If the blood drawn coagulates easily, it is often due to Qi deficiency and is mostly a solid condition. In such cases, bloodletting should be the primary focus, along with Qi tonification.
3. Blood flows slowly
If blood flows slowly after skin puncture and requires several punctures to continue bleeding, it often indicates Qi and blood deficiency, with stasis obstructing the organs and weakened Qi and blood circulation. In symptomatic treatment, the relationship between tonification and draining should be well understood, focusing on releasing Qi and invigorating blood.
4. Blood flows rapidly
If blood flows rapidly after skin puncture, it often indicates heat excess. In treatment, the focus should be on releasing Qi, along with bloodletting to drain heat. For patients with habitual skin purpura, puncturing should be avoided or done with caution.
Analyzing other conditions
1. Blood mixed with pus
If pus and blood appear at the puncture site, it is often due to external injury with internal toxicity or long-term internal injury leading to pus formation. In treatment, the focus should be on draining pus and detoxifying; for deep pus and blood, the method of releasing Qi and invigorating blood can be used.
2. Viscous white liquid
If a viscous white liquid is drawn from points such as Sifeng, back heart, chest, or thenar, it is often due to children’s malnutrition, impaired digestion, and poor Qi and blood circulation, leading to insufficient local blood supply. Puncturing Sifeng and other points can help tonify the spleen and stomach and replenish deficiencies.
3. White powdery substance
……This is often due to long-term stasis of Qi and blood, leading to obstruction and transformation into lumps in the skin.…… In folk remedies, it is often treated by puncturing and squeezing to remove the lumps, and after removal, a coin is placed on the affected area and wrapped with cloth for 7 days before being removed, allowing the lump to disappear naturally. If the coin is not used, the lump will reappear in a few days.
4. Transparent watery liquid
……This condition is often due to edema.…… This condition should not be excessively drained and can be treated with medication.
5. Water droplets in the cupping jar
……This phenomenon often indicates excessive internal cold and dampness.…… In clinical practice, cupping is often used to expel cold pathogens, while leaving the cup can drain wind and dampness.
6. Warm air in the cupping jar
…..This condition is often due to excessive internal damp-heat. Damp-heat entering the body and circulating through the meridians can often manifest as moist skin on the palms, soles, and back. Excessive damp-heat often leads to headaches, fever, heaviness and pain in the body, diarrhea, poor appetite, and lumbar and back pain.…… In clinical practice, draining damp-heat is often done at points such as the palms, soles, Dazhui, Mingmen, Weizhong, and Qichong.
Summary:
By analyzing the color of blood samples, you can clearly understand your health status—what type do you belong to?
1. Black blood, blood as dark as ink, indicates a long-standing illness, suggesting that blood stasis has been present for a long time, obstructing the vessels.
2. Blood mixed with water indicates the presence of rheumatism or liver disease.
3. Blood containing viscous jelly-like substances indicates damp-heat stasis, which has been stagnant for a long time;
4. Blood that is very light indicates inflammation or an early-stage illness. Purple-red blood indicates a new injury;
5. Fluid that resembles washing meat water indicates severe chronic dampness;
6. Transparent watery liquid indicates edema;
7. The presence of blisters indicates excessive dampness;
8. The presence of foamy liquid indicates wind pathogens;
9. A large volume of blood drawn indicates a long illness duration;
10. A small volume of blood drawn indicates a short illness duration or a deep-seated condition.
11. When cupping is removed, if there is a sudden feeling of warm air, it indicates heavy damp-heat.
12. Slow bleeding, requiring multiple punctures to continue bleeding, indicates Qi deficiency and blood deficiency.
13. Blood that is thin and does not coagulate easily indicates blood deficiency.
14. Blood that coagulates easily indicates Qi deficiency.
Bloodletting from the fingers, also known as minor bloodletting, is generally performed near the Jing points or at various extremities where small red or purple blood vessels resembling fine threads are found, puncturing to release dark blood as a treatment method in acupuncture.
Precautions for bloodletting:1. Bloodletting technique1. After identifying the blood point, use a bloodletting pen or three-edged needle quickly, aiming for 1-5 punctures within one second.2. For prominent blood vessels, one puncture should yield blood, which will often spurt out, so be prepared to avoid splattering.2. Reactions after bloodletting1. 80% of patients feel relaxed and comfortable after bloodletting, while 20% may experience increased pain. Those who feel increased pain tend to heal faster than those who feel immediate relief.2. If there is no sensation after 5-10 bloodletting sessions, further bloodletting is not advisable.3. Timing for bloodletting1. For inflammation and acute pain, bloodletting can be done once a day; after alleviating symptoms, it can be done every 3-5 days.2. For chronic patients, it can be done every other day; once effective, it can be done every 5-7 days, and cupping can be performed at the puncture site for 15-20 minutes.4. Contraindications for bloodletting1. Patients with significant bleeding or those prone to subcutaneous bleeding, and patients with poor coagulation mechanisms.2. Severe heart disease.3. Patients with sexually transmitted diseases, skin diseases, or skin ulcers.4. Pregnant women or those on their menstrual cycle should be cautious; bloodletting is contraindicated for leukemia.5. Patients who are overly hungry or full, frightened, or excessively tense should not undergo bloodletting.6. For patients with liver disease, bloodletting should be done with caution (the same applies to any other therapy); do not let the blood come into contact with oneself, and avoid contact with wounds, as this can lead to infection.5. Treatment for “needle fainting”1. Immediately warm the patient’s Dazhui point with your palm.2. Pinch the Ren Zhong point and press the He Gu point simultaneously.3. Then press Nei Guan, Yong Quan, and Tai Chong; if conditions allow, the patient should immediately drink a cup of warm sugar water or glucose water.4. Immediately have the patient lie down (head lower than feet).
Bloodletting therapy
[Emergency Steps for Stroke]
Case 1: Ganglion cystMs. Zhang, 40 years old, thin. There is a protrusion about 1.5 cm in diameter and 0.5 cm high at the wrist, with fluid felt inside. A three-edged needle was used for shallow puncture, resulting in 7 ml of dark red blood. After puncturing the Shaoshang point, five to six drops of blood were released. After treatment, the protrusion became soft and lowered.Doctor’s advice: Avoid eating stimulating foods.Case 2: Lumbar painMr. Wang, 36 years old, male. He has severe lumbar pain and cannot bend over, with obvious stasis in the lumbar area. A three-edged needle was used, resulting in 100 ml of dark red blood with inflammatory characteristics. After getting up, he reported feeling somewhat relieved and could bend over.Doctor’s advice: Avoid eating stimulating foods.Case 3: Cervical spondylosisMs. (adult), with obvious three stasis lines at the Dazhui point. The most prominent one was punctured with a three-edged needle, resulting in over 70 ml of dark red blood, close to black. After treatment, the patient reported feeling relief in the cervical area.Doctor’s advice: Avoid eating stimulating foods.Common diseases and simple treatments.1. Insomnia:This refers to the inability to fall asleep or maintain sleep, leading to insufficient sleep. Also known as sleep onset and maintenance disorders, it is caused by various factors leading to difficulty falling asleep, shallow sleep, frequent awakenings, and poor sleep quality, making it a common condition.Insomnia often brings great suffering and psychological burden to patients, and the misuse of sleeping pills can harm other aspects of health.Simple treatment: Ear apex, Zhongchong.2. Acute and chronic throat diseases:Dazhui, ear apex, ear back vein, Shaoshang, Quchi, Taiyang, bloodletting reduces pain.3. Stroke
[Emergency Steps for Stroke]
Ear apex, ten fingers (fingertips), ten toes (toes)First, pinch the Ren Zhong point; if the patient does not wake up, bloodletting from the ten fingertips (hold the patient’s fingers tightly as shown in the image, quickly puncture the fingertips with a three-edged needle, and squeeze to quickly release blood). If the patient still does not wake up, proceed to bloodletting from the ten toes; if still unresponsive, bloodletting from the Yongquan point. If the patient remains unresponsive, bloodletting from the Baihui point, and then promptly send the patient for medical treatment. Many elderly people suddenly suffer from cerebral hemorrhage and become unconscious. Learning this emergency method can save lives in seconds before the doctor arrives. If a three-edged needle is not available, a sewing needle can also be used.Saving a life is more valuable than building a seven-story pagoda; saving lives can happen in seconds. Some patients may never wake up due to delayed emergency treatment, while others may become permanently paralyzed and turn into vegetative states.Stroke preventionStroke warning signs: When the calf feels heavy or numb, or when the first three fingers (thumb, index, middle) feel numb, this numbness indicates that a stroke may occur within three to six months.1. Treatment for patients with cerebral hemorrhage (stroke):For any bleeding patient, there will be unconsciousness. Puncture the Yintang, Taiyang, Tai Chong, and ten fingertips to draw 1-5 drops of blood, which can help the patient regain consciousness sooner and reduce the severity of paralysis. Remember: If a patient is unconscious for more than 24 hours, the rate of paralysis is over 90%. If it exceeds 72 hours, there will be a 100% chance of post-stroke paralysis. It is extremely difficult to treat. Therefore, promoting the patient’s awakening as soon as possible is a priceless secret technique; once the patient wakes up, puncture Dazhui, Quchi, Weizhong, and bloodletting can give the patient hope for recovery.2. Bone nerve pain:If it is related to gallbladder meridian pain (pain on the outer sides of the thighs and calves), carefully examine the Yanglingquan and Fenglong points for any prominent blood vessels; if present, bloodletting can lead to recovery.3. For those prone to developing boils or abscesses, bloodletting should be performed at the heart point.4. For early-stage conjunctivitis or styes that have not yet become purulent, bloodletting at the Taiyang point and squeezing 7-9 drops of blood, along with squeezing 3-5 drops from the middle toe, can lead to recovery the next day.5. For severe rheumatism in the legs, puncturing 3 inches beside the third, fourth, and fifth thoracic vertebrae can yield significant results; many severe cases can be cured in 1-2 sessions.6. For gastric and duodenal ulcers, puncturing the blue veins from Neiting to Jiexi, and near the outer ankle can be effective. For gastric ulcers, look for blood vessels within 0.5 inches above and 2.5 inches below the Tiaokou point.7. Chronic nephritis:(1) Bloodletting at the Shenshu point can eliminate yellow fluid, leading to recovery. (2) Around the kidneys. (3) Bloodletting around the navel (do not puncture the center of the navel).8. Hepatitis bloodletting:Yangjiao, Zusanli, Quze, Yanglingquan, Sanyinjiao.9. Cirrhosis with ascites:Use the acupuncture points for hepatitis plus: Shenshu, Yaoyang, Tiaokou (0.5 inches above and outside), and Gan Shu.10. Effective points for hemorrhoids:(1) Chaojiao point (inside the mouth), find the white granular point, 1-3 sessions can lead to recovery. (2) For red, swollen, and ulcerated anal areas, bloodletting at Weizhong can reduce pain.11. Insomnia:(1) Shenmen, Xingjian, Zusanli. (2) Dazhui, Shenda, Zhongwan, puncture and then apply cupping.12. Cervical spondylosis:Painful points, Tianzong, Jianzheng, Chize points.13. For internal injuries in the chest, bloodletting is essential:Dazhui, Jianjing, and then the injured area.14. Shoulder periarthritis:Shen Guan point (1.5 inches below Yanglingquan), Chize point, effective after one session.15. Acute and chronic throat diseases:Dazhui, ear apex, ear back vein, Shaoshang, Quchi, Taiyang, bloodletting reduces pain.16. Impotence:(1) Shenshu, Fuliu bloodletting, Guanyuan, Bladder Shu cupping for 15 minutes. (2) Bloodletting at Sanyinjiao, Mingmen, cupping at Shenshu, and Xuehai.17. Hypertension:Taiyang, Dazhui, ear apex, ear back vein, Quchi; bloodletting can lower blood pressure immediately. Note: Do not drink water within one hour after bloodletting, or the effect will be diminished.18. Asthma:(1) Dazhui, Feishu, Fengmen, Gaomang, Lieque bloodletting. Zhongfu, Dazhui cupping for 15 minutes.19. Hyperlipidemia:Dazhui, Taiyang, Yaoyang, Weizhong, Quchi.20. Rheumatic heart disease:Yangjiao, Chize, Taiyang.21. Eyelid pterygium:Shaoze, Zhiyin, ear apex, Dazhui, every other day for a ten-day course.22. Otitis media:Bloodletting at the outer ankle joint.23. Epilepsy:Formula 1: Taiyang, Quze, Weizhong, Yangjiao. Formula 2: Shaoshang, Ren Zhong bloodletting. Gan Shu, Dazhui cupping for 15 minutes. Formula 3: Find painful points at the lower part of the cervical vertebra and puncture Neiguan with a plum blossom needle.24. Mental illness:Taiyang, Quze, Weizhong, Shuchong, Yangjiao, Fenglong, Xinshu, bloodletting followed by cupping.25. Key points for back diagnosis:The spine should not have protruding blood vessels; if present, it indicates a pathological site. Long-term illness often results in black moles on the back.The secret of bloodletting that is not widely sharedFor diseases that have not responded to treatment for a long time,one should look for prominent blood vessels at the ankles, elbows, wrists, and knees to perform bloodletting, which can yield unexpected results.Bloodletting should generally not be performed at night; it is best done in the early afternoon.Non-professionals are prohibited from performing this.
Warm reminder: The various prescriptions and formulas mentioned in this article are for reference and study by professional TCM practitioners only and should not be used as prescriptions. Please do not use them blindly; this platform does not bear any responsibility for any consequences arising from this.
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Special reminder: The authenticity and reliability of the various dietary therapies and formulas mentioned in the article should be considered carefully; they are for reference only. Please do not use them blindly; this platform does not bear any responsibility for any consequences arising from this.
Special reminder: The authenticity and reliability of the various dietary therapies and formulas mentioned in the article should be considered carefully; they are for reference only. Please do not use them blindly; this platform does not bear any responsibility for any consequences arising from this.