The Auricular Charts
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Transcript of The Auricular Charts
249
Appendix 1
The auricular charts
The auricular charts in this appendix should be con-sulted cum grano salis (literally with a grain of salt;i.e. with discernment). They should not be consid-ered as having absolute value but rather be inter-preted freely, adapted and updated with regard tolocation, dimension and the intrinsic clinical valueof each somatotopic area. This will depend on thepersonal experience of each practitioner and the
diagnosticmethod adopted. To offer readers an easyand advantageous comparison of the auricular rep-resentation of the body according to different medi-cal traditions and schools of thought, the maps havebeen arranged in pairs, allowing face to faceconsultation of the French map on the left page withthe corresponding Chinese map on the right-handpage.
13 12
14
16
17
18
11
109
87 6
515
2
1
34
Z
24
26 25
2021
2729
28
30
2223
19
123456789101112131415
No. Representation No. Representation
Cervical spine C1-C7Thoracic spine Th1-Th12Lumbar spine L1-L5Sacrum-coccyxFootTibia-fibulaKneeThighHipDiaphragmChestThumbFingersWristForearm
161718192021222324252627282930
ElbowArmShoulderInternal ear (internal surface)Occipital boneParietal boneFrontal boneFrontal sinusTMJUpper jawLower jawTongueLipsEyeExternal nose
Fig. A1.1 The somatotopic representations of the body and of the cephalic extremity according to Nogier1,2,3,4
(z ¼ point zero).
250 Auricular acupuncture diagnosis
External ear
External nose
AH1AH2AH3AH4AH5AH6AH7AH8AH9
AH10AH11AH12AH13
SF1SF2SF3
SF4,5SF6CO1AT1AT2AT3LO1LO2LO3LO5LO6
LO7,8,9TG4
genzhi
huaixi
kuanzuogushenjing
tunfu
yaodizhuixiong
xiongzhuijing
jingzhuizhi
wanzhou
jiansuogu
koue
niezhen
yashehe
yanneier
biantaotineibi
= heel= toe= ankle= knee= hip= sciatic nerve= gluteus= abdomen= lumbar-sacral vertebrae= chest= thoracic vertebrae= neck= cervical vertebrae= finger= wrist= elbow= shoulder= clavicle= mouth= forehead= temple= occiput= tooth= tongue= jaw= eye= internal ear= tonsil= internal nose
AbdomenAnkle
Cervical vertebraeChest
ClavicleElbow
EyeFinger
ForeheadGluteus
HeelHip
Internal earInternal nose
JawKnee
Lumbar-sacral vertebraeMouth
NeckOcciput
Sciatic nerveShoulder
TempleThoracic vertebrae
ToeTongue
TonsilToothWrist
= AH8= AH3= AH13= AH10= SF6= SF3= LO5= SF1= AT1= AH7= AH1= AH5= LO6= TG4= LO3= AH4= AH9= CO1= AH12= AT3= AH6= SF4,5= AT2= AH11= AH2= LO2= LO7,8,9= LO1= SF2
fuhuaijingzhuixiongsuoguzhouyanzhietungenkuanneierneibihexiyaodizhuikoujingzhen zuogushenjingjianniexiongzhuizhishebiantaotiyawan
HX7
HX8
HX9
HX10
HX11
HX12
SF6
SF5
SF4
SF3
SF2
SF1
HX6
HX5
HX4
HX3
HX2
HX1
CO6
CO7
CO9CO8
CO10CO11
CO12 CO5
CO4CO3 CO2
CO1
CO16CO15
CO
13
CO14
CO17
CO18
TG1
TG2
AT1
AT2AT3
LO3 LO2 LO1
LO6 LO5 LO4
LO9LO8 LO7
AH9
AH8
AH
11
AH
10
AH
13A
H12
AH7
TF5
TF3
AH6
TF2
TF1AH4
AH5
AH3AH1
AH2
TF4TG3
AT4
TG4
Coded standardized area Area in alphabetic order
Fig. A1.2 The somatotopic representations of the body and of the cephalic extremity according to the Chinesestandardization.5,6
Appendix 1 The auricular charts 251
1234
56789
1011121314151617181920212223
No. Representation
Spinal cord (sensitive roots on the lateral surface)Spinal cord (motor roots on the medial surface)Intermediolateral nuclei of the lateral horn (till Th11)Sympathetic lateral-vertebral ganglia a) cervical superior ganglion b) cervical middle ganglion (marvellous point) c) cervical inferior ganglion d) thoracic ganglia (Th10–L1)ThalamusRed nucleusCerebellumReticular formationMedulla oblongataPonsLocus nigerHypothalamusStriatumAmigdalaCingular circonvolutionHippocampusOccipital cortexParietal cortexTemporal cortexFrontal cortexPrefrontal cortexTrigeminal nerveCorpus callosum (so called Tragus Master-Point)
2
3
4
23
5
13 1416
15
76
11
98
10
d
ba
c
1217
1819
202122
1
Z
Fig. A1.3 The somatotopic representations of the nervous system according to Nogier1,2,3,4 (z ¼ point zero).
252 Auricular acupuncture diagnosis
Brain stem
Central rim
Cheekpoint/area
Sympathesis
HX7
HX8
HX9
HX10
HX11
HX12
SF6
SF5
SF4
SF3
SF2
SF1
HX6
HX5
HX4
HX3
HX2
HX1
CO6
CO7
CO9CO8
CO10CO11
CO12 CO5
CO4CO3 CO2
CO1
CO16CO15
CO
13
CO14
CO17
CO18
TG1
TG2
AT1
AT2AT3
LO3 LO2 LO1
LO6 LO5 LO4
LO9LO8 LO7
AH9
AH8
AH
11
AH
10
AH
13A
H12
AH7
TF5
TF3
AH6
TF2
TF1AH4
AH5
AH3AH1
AH2
TF4
TG3
AT4
TG4
Fig. A1.4 The representation of some areas related to symptoms/disorders of the nervous system according to the Chinesestandardization.5,6
Appendix 1 The auricular charts 253
123
456789
10111213141516
No. Representation
Ovary/testicle (internal surface)Adrenal glandAdrenocorticotropic hormone(ACTH) multiple pointsPancreasMammary gland, twice representedThymus, twice representedParathyroidThyroidHypophysisProlactinSomatotropic hormone (STH)Thyroid-stimulating hormone (TSH)Luteotropic hormone (LTH)Follicle-stimulating hormone (FSH)Gonadotropic or genital areaEpiphysis
3z
3
2
16
1
3
15
1011
9
1213
14
6
87
65
3
4
5
Fig. A1.5 The somatotopic representations of the endocrine system according to Nogier1,2,3,4 (z ¼ point zero).
254 Auricular acupuncture diagnosis
Mammarygland
Thyroid
Centralrim
Testicle
Excitation
Adrenal gland
Ovary
HX7
HX8
HX9
HX10
HX11
HX12SF6
SF5
SF4
SF3
SF2
SF1
HX6
HX5
HX4
HX3
HX2
HX1
CO6
CO7
CO9CO8
CO10CO11
CO12 CO5
CO4CO3 CO2
CO1
CO16CO15
CO
13
CO14
CO17
CO18
TG1
TG2
AT1
AT2AT3
LO3 LO2 LO1
LO6 LO5 LO4
LO9LO8
LO7
AH9
AH8
AH
11 AH
10
AH
13A
H12
AH7
TF5
TF3
AH6
TF2
TF1AH4
AH5
AH3AH1
AH2
TF4
P1
P2 P3P4R2
R1
P5
R3
SymptomCO4 wei = stomachCO10 shen = kidneyCO11 yidan = pancreas-gallbladderCO12 gan = liverCO13 pi = spleenCO17 sanjao = triple energizerCO18 neifenmi = endocrineTG1 shangping = upper tragusTG2 xiaping = lower tragusAdrenal gland shenshangxianCentral rim yuanzhongP5 erbeishen = kidney of the medial surface of the auricle
ObesityMenstrual disordersDiabetesMenstrual disorders, premenstrual syndrome, climacteric syndromeObesity, menstrual disordersObesityHypopituitarism, menstrual disorders, hyperthyroidismDiabetesObesity, hyperthyroidismAsthenia, hypotension, inflammatory diseases, allergic diseasesAcromegalyMenstrual disorders
Premenstrual syndromeThyroid gland disordersHypogonadismHypogonadismMenstrual disorders, hypogonadism
Mammary gland (double representation) ruxianThyroid gland jiazhuangxianTesticle gaowan (on the internal surface of the antitragus)Excitation xingfen (on the internal surface of the antitragus)Ovary luanchao (on the internal surface of the antitragus)
The following points of the auricle belong historically to the auricular chartpreceding the standardisation:
Coded area and name
Fig. A1.6 The representation of some areas related to disorders of the endocrine system and the metabolism according to theChinese standardization5,6 (in pale pink the areas associated with diabetes and obesity).
Appendix 1 The auricular charts 255
123
No. Representation
Heart (medial and lateral surface)Heart (internal surface)Circulatory system
12
3Z
Fig. A1.7 The somatotopic representations of the cardiovascular system according to Nogier1,2,3,4 (z ¼ point zero).
256 Auricular acupuncture diagnosis
Atrial fibrillationHypertension
Cardiac point xinzangdianHypertension point gaoxueyadian
The following points belong historically to the auricular chart preceding the standardization:
Ear apex
Sympathesis
Cardiac point
Hypertension point
Groove ofthe anthelix
Apex of antitragus
Symptom
Ear apex erjianHX8 HX12
TF1 jiaowoshang = superior triangular fossaCO6 xiaochang = small intestineCO12 gan = liverCO15 xin = heartApex of antitragus duipingjianP1 erbeixin = heart of the medial surfaceGroove of the anthelix (also called groove of themedial surface) erbeigou
HypertensionHypertensionAngina pectorisHypertensionArythmiaHypertensionAngina pectoris, arythmiaHypertensionTachycardia, hypertensionHypertension
HX7
HX8
HX9
HX10
HX11
HX12
SF6
SF5
SF4
SF3
SF2
SF1
HX6
HX5
HX4
HX3
HX2
HX1
CO6
CO7
CO9CO8
CO10CO11
CO12 CO5
CO4CO3 CO2
CO1
CO16CO15
CO
13
CO14
CO17
CO18
TG1
TG2
AT1AT2AT3
LO3 LO2 LO1
LO6 LO5 LO4
LO9 LO8 LO7
AH9
AH8
AH11 AH
10
AH13AH12
AH7
TF5
TF3
AH6
TF2
TF1AH4
AH5
AH3AH1
AH2
TF4
P1
P2 P3P4R2
R1
P5
R3
*
Coded area and name
Sympathesis jiaogan (hidden on the anthelix)
Fig. A1.8 The representation of some areas related to symptoms/disorders of the cardiovascular system and hypertensionaccording to the Chinese standardization5,6 (in pale pink the areas associated with hypertension).
Appendix 1 The auricular charts 257
1234
No. Representation
LungBronchiPharynxLarynx
34
12
Z
Fig. A1.9 The somatotopic representations of the respiratory system according to Nogier1,2,3,4 (z ¼ point zero).
258 Auricular acupuncture diagnosis
P1
P2 P3P4R2
R1
P5
R3
HX7
HX8
HX9
HX10
HX11
HX12
SF6
SF5
SF4
SF3
SF2
SF1
HX6
HX5
HX4
HX3
HX2
HX1
CO6
CO7
CO9CO8
CO10
CO11
CO12 CO5
CO4CO3 CO2
CO1
CO16CO15
CO
13
CO14
CO17
CO18
TG1
TG2
AT1
AT2AT3
LO3 LO2 LO1
LO6 LO5 LO4
LO9 LO8 LO7
AH9
AH8
AH
11
AH
10
AH
13A
H12
AH7
TF5
TF3
AH6
TF2
TF1AH4
AH5
AH3AH1
AH2
TF4
Apex of antitragus
TG3
TG4
AT4
Symptom
TF3 jiaowozhong = middle triangular fossaCO7 dachang = large intestineCO10 shen = kidneyCO14 fei = lungCO16 qiguan = tracheaAT3 zhen = occiputTG3 yanhou = pharynx and larynxApex of antitragus duipingjianP2 erbeifei = lung of the medial surface
AsthmaCough, bronchitisAsthmaBronchitis, fullness of chestAsthma, bronchitisAsthmaLaryngopharingitisAsthmaCough, bronchitis
Coded area and name
Fig. A1.10 The representation of some areas related to symptoms/disorders of the respiratory system according to theChinese standardization.5,6
Appendix 1 The auricular charts 259
6
12345678910
No. Representation
RectumLarge intestineSmall intestinePancreasSpleenLiverGallbladderDuodenumStomachEsophagus
123
45
7
8 9 10
Z
Fig. A1.11 The somatotopic representations of the digestive system according to Nogier1,2,3,4 (z ¼ point zero).
260 Auricular acupuncture diagnosis
Hepatitispoint
Constipationpoint
Appendix
Pancreatitispoint
Diaphragm
Gallstonepoint
HX7
HX8
HX9
HX10
HX11
HX12
SF6
SF5
SF4
SF3
SF2
SF1
HX6
HX5
HX4
HX3
HX2
HX1
CO6
CO7
CO9CO8
CO10
CO11
CO12 CO5
CO4CO3 CO2
CO1
CO16CO15
CO
13
CO14
CO17
CO18
TG1
TG2
AT1
AT2AT3
LO3 LO2 LO1
LO6 LO5 LO4
LO9 LO8 LO7
AH9
AH8
AH
11
AH
10
AH
13A
H12
AH7
TF5
TF3
AH6
TF2
TF1AH4
AH5
AH3AH1
AH2
TF4
P1
P2 P3P4R2
R1
P5
R3
HX2 zhichang = rectumHX5 gangmen = anusCO2 shidao = esophagusCO3 benmen = cardiaCO4 wei = stomachCO5 shierzhichang = duodenumCO6 xiaochang = small intestineCO7 dachang = large intestineCO11 yidan = pancreas-gallbladderCO12 gan = liverCO13 pi = spleenAppendix lanweiP3 erbeipi = spleen of the medial surfaceP4 erbeigan = liver of the medial surface
Coded area and name
The following points belong historically to theauricular chart preceding the standardization:Hepatitis point ganyandianConstipation point bianmidianGallstone point danguanPancreatitis point yixianyandianDiaphragm point (now erzhong = ear center)
Fig. A1.12 The representation of the areas related to the digestive system according to the Chinese standardization.5,6
Appendix 1 The auricular charts 261
12345678
No. Representation
Kidney (on the internal surface of the helix)Ureter (on the internal surface of the helix)Uterus/prostate (on the internal surface of the helix)Vagina (on the internal surface of the helix)External genitalsOvary/testicle (on the internal surface of the helix)UrethraBladder
Z56
4
78
2
3
1
Fig. A1.13 The somatotopic representation of the genitourinary system according to Nogier1,2,3,4 (z ¼ point zero).
262 Auricular acupuncture diagnosis
Nephrolithiasis region jieshiquNephritis point shenyandian
The following points/areas of the auricle belong historicallyto the auricular chart preceding the standardization:
Nephritispoint
Ureter
HX3 niaodao = urethraHX4 waishengzhiqi = external genitalsTF2 neishengzhiqi = internal genitals (uterus/prostate)TF5 pengqiang = pelvisCO8 tingjiao = angle of sup. concha (prostate)CO9 pangguang = bladderCO10 shen = kidneyCO12 gan = liverCO13 pi = spleenUreter shuniaoguanP5 erbeishen = kidney of the medial surface
HX7
HX8
HX9
HX10
HX11
HX12
SF6
SF5
SF4
SF3
SF2
SF1
HX6
HX5
HX4
HX3
HX2
HX1
CO6
CO7
CO9CO8
CO10
CO11
CO12 CO5
CO4CO3 CO2
CO1
CO16CO15
CO
13
CO14
CO17
CO18
TG1
TG2
AT1
AT2AT3
LO3 LO2 LO1
LO6 LO5 LO4
LO9 LO8 LO7
AH9
AH8
AH
11 AH
10
AH
13A
H12
AH7
TF5
TF3
AH6
TF2
TF1AH4
AH5
AH3AH1
AH2
TF4
P1
P2 P3P4R2
R1
P5
R3
Nephrolithiasisregion
Coded area and name
Fig. A1.14 The representation of the areas related to the genitourinary system according to the Chinese standardization5,6
(in pale pink the areas associated particularly with disorders of the female genital apparatus).
Appendix 1 The auricular charts 263
Z
123456789
1011
No. Representation
Omega 2 (somatic stress)Reactional Point (point R) of BourdiolOmega 1 (visceral stress)Anxiety pointSympathetic cervical ganglia‘Jérôme’ pointHypothalamusAggressivenessFear areaOmega (psychological stress)Sadness point
1
2
3
4
5
8
9 1011
6
7
Fig. A1.15 The somatotopic representations of some points/areas related to mental disorders according to Nogier andBourdiol1,2,3,7 (z ¼ point zero).
264 Auricular acupuncture diagnosis
*
Ear apex
Brainstem
Central rim
SympathesisHX7
HX8
HX9
HX10
HX11
HX12SF6
SF5
SF4
SF3
SF2
SF1
HX6
HX5
HX4
HX3
HX2
HX1
CO6
CO7
CO9CO8
CO10CO11
CO12 CO5
CO4CO3 CO2
CO1
CO16CO15
CO
13
CO14
CO17
CO18
TG1
TG2
AT1
AT2AT3
LO3 LO2 LO1
LO6 LO5 LO4
LO9 LO8 LO7
AH9
AH8
AH
11 AH
10
AH
13A
H12
AH7
TF5
TF3
AH6
TF2
TF1AH4
AH5
AH3AH1
AH2
TF4P1
P2 P3P4R2
R1
P5
R3
TG3
AT4
TG4
Symptom
TF4 = shenmenCO1 kou = mouthCO2 shidao = esophagusCO3 benmen = cardiaCO4 wei = stomachCO10 shen = kidneyCO12 gan = liverCO14 fei = lungCO15 xin = heartAT1 e = foreheadAT2 nie = templeAT3 zhen = occiputLO4 chuiqian = anterior ear lobeEar apex erjianSympathesis jiaogan (hidden, on the anthelix)Brain stem naoganCentral rim yuanzhongAT4 pizhixia = subcortexP1 erbeixin = heart of the medial surfaceP5 erbeishen = kidney of the medial surface
Insomnia, withdrawal syndromeWithdrawal syndromeHysteriaAnorexiaInsomnia, hysteria, psychosisNeurastheniaDepressionWithdrawal syndromeAnxiety, hysteriaInsomniaInsomniaNeurastheniaAnxiety, neurastheniaInsomnia, anxietyDysfunction of the vegetative systemSchizophrenia, anxietyNeurastheniaNeurastheniaInsomniaAnxiety
Coded area and name
Fig. A1.16 The representation of the areas associated to mental disorders according to the Chinese standardization5,6 (in palepink the areas associated with the drug withdrawal syndrome).
Appendix 1 The auricular charts 265
= Lateral surface= Medial surface= Internal (hidden)= Both, lateral and medial= Both, lateral and internal
Allergy point
Marvelouspoint
NeurovegetativeM-P
Metabolism M-P
Sensorial M-P
Headaches M-P
Thoracic M-P
Abdominal M-P
Superior limb M-P
Inferior limb M-P
Skin M-PTragus M-P
Aggressiveness M-P
Synthesis M-P
Genital M-P
Trigeminus M-P(linear localizationand principal point)
Occipital M-P
Medullar M-P
Shoulder M-P
M-P zero
Darwin M-P
Allergy M-P (two locations)
Cerebral M-P
1969 1977Fig. A1.17 Master Points (M-P) proposed by Nogier in two different periods of his clinical approach to the outer ear: in 1969on the left;8 in 1977 on the right.9
266 Auricular acupuncture diagnosis
A B
21
3
45
67
89
10
1112
13
12
3
4
56
78
9
10
11
12
Representation of some parts of the
musculoskeletal system
12345678910111213
No. No.
Representation of some internal
organs
ProstateKidneyColonGallbladderPancreasDuodenumStomachCardiasEsophagusThyroid glandLarynxLungHeart
123456789101112
HeelThumbOther fingers of the handWristElbowKneeHipMuscles of the pelvic girdleMuscles of the lumbar-thoracic tractMuscles of the shoulder girdleShoulderMuscles of the neck
Fig. A1.18 Representation of some internal organs on the medial surface (A); representation of some parts of themusculoskeletal system (B) according to Romoli.
Appendix 1 The auricular charts 267
References
[1] Nogier PFM. Treatise of auriculotherapy. Moulins-les-
Metz: Maisonneuve; 1972.
[2] Nogier PFM, Petitjean F, Mallard A. Complements des
points reflexes auriculaires. Moulins-les-Metz:
Maisonneuve; 1989.
[3] Nogier PFM. Handbook to auriculotherapy. 2nd ed.
Brussels: SATAS; 1998.
[4] Nogier R. Auriculotherapie 1er degre. Montpellier:
Sauramps; 2000.
[5] Auricular Points Chart. Institute of Acupuncture and
Moxibustion – China Academy of TCM. Beijing:
China Medico-Pharmaceutical Science and Technology;
1989.
[6] Technical Supervise Bureau of State. The nomenclature
and location of ear acupuncture points. Beijing:
Chinese Standard Publishing House; 1993.
[7] Bourdiol RJ. Elements of auriculotherapy. Moulins-les-
Metz: Maisonneuve; 1982.
[8] Nogier PFM. Traite d’auriculotherapie. Moulins-les-
Metz: Maisonneuve; 1969.
[9] Nogier PFM. Introduction pratique a l’auriculotherapie.
Moulins-les-Metz: Maisonneuve; 1977.
268 Auricular acupuncture diagnosis