1. Sa-Am Acupuncture & Sambu Acupuncture
The Traditional Korean Acupuncture Type.

2. An old saying in Korean traditional medicine
Acupuncture, first
Moxa, second
Medication, third

3. Contents Introduction to Sa-Am Acupuncture
Hypothesis on Eight Trigrams and Eight Meridians
Introduction to Sambu Acupuncture
Principles of Sambu Acupuncture
Syndrome Differentiation
Summary

4. Three categories of acupuncture
Body Acupuncture
Ashi Acupuncture
Principle Acupuncture

5. “Observe ups and downs of seven emotions”
Sa-Am Acupuncture
Sa-Am
Zen monk and acupuncturist
Chosun Dynasty, Korea
“Observe ups and downs of seven emotions”

6. Medicine and Mind “Control the mind first to heal diseases”
Dr. Kim, Hong Kyung
“Control the mind first to heal diseases”
Screenshot image of Dr. Kim’s TV lecture

7. What is Sa-Am acupuncture?
Founded by Sa-Am, 450 years ago in Korea
Sa-Am, a zen master and acupuncturist in Chosun dynasty, Korea
Principle acupuncture based on yin-yang and five element theory
Point selection according to the principles
Meridian is the route of mind and emotions
Acupuncture can affect the mind as well as the body
Origin of five element acupuncture
Effective and safe
Use mainly five shu points on the limbs

8. Principles of Sa-Am acupuncture
For deficiency, tonify the mother; for excess, reduce the son
The Classic of Difficulties, chapter 69
Generating cycle(相生), controlling cycle(相剋)
For deficiency, reduce the control; for excess, tonify the control
Unique to Sa-Am acupuncture
Controlling cycle
Five elemental properties of channels
Spleen channel: earth, heart channel: fire
Five elemental properties of shu points
SP1: wood, SP2: fire, SP3: earth,
SP5: metal, SP9: water
Generating cycle
Fire
Earth
Metal
Water
Wood
Son
Mother
Grandmother
controlling cycle

9. • Unique in Saam acupuncture method.
• General principles of Saam acupuncture
– For deficiency, supplement the mother and drain the suppressor. (虛則補其母, 虛則抑其官)
• Classic of Difficult Issues(難經) chapter 69
• Engendering relationships(相生)
• Traditional five phase acupuncture methods
– For excess, drain the son and supplement the suppressed (實則瀉其子, 實則補其讎)
• Restraining relationships(相剋)
• Unique in Saam acupuncture method.
– Inter-meridian relationships are also considered.
• Generally 4 points are used in Saam acupuncture
– 2 points from the affected meridian(自經)
– 2 points from other related meridians(他經)
– The 2 points are selected either
• by engendering relationships(相生)
• or by Restraining relationships(相剋) of Five Phase characteristics of the five transport points.
•General principles of Saam acupuncture
–For deficiency, supplement the mother and drain the suppressor. (虛則補其母, 虛則抑其官)
•Classic of Difficult Issues(難經) chapter 69
•Engendering relationships(相生)
•Traditional five phase acupuncture methods
–For excess, drain the son and supplement the suppressed (實則瀉其子, 實則補其讎)
•Restraining relationships(相剋)
•Unique in Saam acupuncture method.
–Inter-meridian relationships are also considered.
•Generally 4 points are used in Saam acupuncture
–2 points from the affected meridian(自經)
–2 points from other related meridians(他經)
–The 2 points are selected either
•by engendering relationships(相生)
•or by Restraining relationships(相剋) of Five Phase characteristics of the five transport points.

10. In the case of spleen channel deficiency - Tonification formula
Sa-Am Acupuncture
In the case of spleen channel deficiency - Tonification formula
Tonify mother points
HT 8 (少府): fire point of fire channel
HT9-wood, HT8-fire, HT7-earth, HT4-metal, HT3-water
SP 2 (大都): fire point of spleen channel
SP1-wood, SP2-fire, SP3-earth, SP5-metal, SP9-water
Reduce control points
LR 1 (大敦): wood point of wood channel
LR1-wood, LR2-fire, LR3-earth, LR4-metal, LR8-water
SP 1 (隱白): wood point of spleen channel
Fire
Earth
Metal
Water
Wood
Self
Mother
Control

11. HT 8 (少府): fire point of fire channel
HT 8 (少府) supplemented
Never supplement HT 8 (少府) if patient’s pulse is too floating and fast, or he or she has headache and hot oriented constitution, !!!

12. SP 2 (大都): fire point of spleen channel
SP 2 (大都) supplemented

13. LR 1 (大敦): wood point of wood channel
• LIV 1 (大敦) drained

14. SP 1 (隱白): wood point of spleen channel
SP 1 (隱白): drained

15. In the case of liver channel excess – Sedation formula
Sa-Am Acupuncture
In the case of liver channel excess – Sedation formula
Reduce son points
HT 8 (少府): fire point of fire channel
HT9-wood, HT8-fire, HT7-earth, HT4-metal, HT3-water
LR 2 (行間): fire point of liver channel
LR1-wood, LR2-fire, LR3-earth, LR4-metal, LR8-water
Tonify control points
LU 8 (經渠): metal point of metal channel
LU11-wood, LU10-fire, LU9-earth, LU8-metal, LU5-water
LR 4 (中封): metal point of liver channel
Fire
Earth
Metal
Water
Wood
Self
Son
Control

16. HT 8 (少府): fire point of fire channel
HT 8 (少府) supplemented
Never supplement HT 8 (少府) if patient’s pulse is too floating and fast, or he or she has headache and hot oriented constitution, !!!

17. LR 2 (行間): fire point of liver channel
SP 2 (大都) supplemented

18. LU 8 (經渠): metal point of metal channel
• LIV 1 (大敦) drained

19. LR 4 (中封): metal point of liver channel
SP 1 (隱白): drained

20. –So, The four points are Sa am acupuncture points in case of spleen meridian deficiency.
Deficiency conditions are treated by using the following methods
Tonify the horary point on the mother organ's channel. Horary means that the point's element and the channel's element are the same, for example, the fire point on the fire channel.
Tonify the mother organ's element point on the affected channel.
Sedate the horary point on the "controlling" organ's channel.
Sedate the controlling organ's element point on the affected organ.
In saam acupuncture practice , when you want to tonify the points, you should place the needle’s tip at a 0~ 45° angle with the meridian flow (in the forward direction of the meridian flow), with rotation clockwise or to the right side 9 times, whereas you should place the needle’s tip at a 0~ 45° angle against the meridian flow (in the reverse or in the opposite direction of the meridian flow), with rotation counter-clockwise or the left side 6 times if you want to sedate the points.

21. Basic Formulae of Sa-Am Acupuncture
Channel
Tonification Formulae
Sedation Formulae
Tonify
Reduce LU
SP3
LU9
HT8
LU10
KI10
LU5 LI
ST36
LI11
SI5
LI5
BL66
LI2 ST
ST41
GB41
ST43
LI1
ST45 SP
SP2
LR1
SP1
LU8
SP5 HT
HT9
HT3
HT7 SI
SI3
SI2
SI8 BL
BL67
BL40
BL65 KI
KI7
KI3
KI1 PC
PC9
PC3
PC7 TE
TE3
TE2
TE10 GB
GB43
GB44
GB38 LR
LR8
LR4
LR2

22. The book of Changes (Yi Jing)
Great Void
(無極)
Tai ji
(太極)
Yin
Yang
Yin-Yang
(陰陽)
4 Phenomena
(四象)
Tai Yin
Shao Yang
Shao Yin
Tai Yang
8 Trigrams
(八卦)
Earth 坤
Mountain 艮
Water 坎
Wind 巽
Thunder 震
Fire 離
Marsh 兌
Heaven 乾

23. The book of Changes (Yi Jing)

24. The book of Changes (Yi Jing)
Qian
Heaven
Yang
Kan
Water
Kun
Earth Li
Fire
Yin
[Korean national flag]
Tai ji (yin and yang)
4 Trigrams : Heaven, earth, fire, water

25. The book of Changes (Yi Jing)
Eight Trigrams
Number 8 7 6 5 4 3 2 1
Name
坤 (kun)
艮 (gen)
坎 (kan)
巽 (xun)
震 (zhen)
離 (li)
兌 (dui)
乾 (qian)
Natural
Phenomena
地 (di)
山 (shan)
水 (shui)
風 (feng)
雷 (lei)
火 (hua)
澤 (ze)
天 (tian)
Earth
Mountain
Water
Wind
Thunder
Fire
Marsh
Heaven

26. Relationship of Eight Trigrams to Meridians - Hypothesis -
Number 8 7 6 5 4 3 2 1
Name
坤 (kun)
艮 (gen)
坎 (kan)
巽 (xun)
震 (zhen)
離 (li)
兌 (dui)
乾 (qian)
Natural
Phenomena
地 (di)
山 (shan)
水 (shui)
風 (feng)
雷 (lei)
火 (hua)
澤 (ze)
天 (tian)
Earth
Mountain
Water
Wind
Thunder
Fire
Marsh
Heaven
Meridians
Ren
(任脈)
Yang ming
(陽明)
Tai yang
(太陽)
Jue yin
(厥陰)
Shao yang
(少陽)
Shao yin
(少陰)
Tai yin
(太陰) Du
(督脈)
Mind /
Emotions
恨 (lament)
選 (select)
悅 (delight)
Conception
Trust
Dissatisfaction
Poverty
Carefulness
Fear
Power
Arrogance
Passion
Inferiority
Sexuality
Pleasure
Satisfaction
Greed
Governing
Doubt
Six
Climatic Qi
Dryness
Cold
Ministerial Fire
Monarch Fire
Dampness
Five phase
Metal
Wood
Favor
pungent
salty
sour
bitter
sweet
Smell
fishy
rotten
goatish
burning
fragrant

27. Relationship of Eight Trigrams to Meridians - Hypothesis -7 2
Gen (艮)
Dui (兌)
心 + 艮 = 恨 (Lament)
心 + 兌 = 悅(Delight)
Mountain
Marsh
Bright yang (Yangming)
Greater Yin (Taiyin)
Dryness
Dampness
Metal
Earth
Dissatisfaction, poverty
Satisfaction, rich, greed

28. 8 Trigrams.

29. Buddha’s saying
“That exists because this exists. That arises because this arises. That ceases to exist because this has ceased to exist. As this falls away, so does that.”

30. Relationship of Eight Trigrams to Meridians - Hypothesis -No
Name
Phenomena
Related Meridian
Mind 1
Qian (乾)
Heaven
Governing vessel
Governing, doubt 2
Dui (兌)
Marsh
Tai yin meridian
Satisfaction, greed 3
Li (離)
Fire
Shao yin meridian
Sexuality, pleasure 4
Zhen (震)
Thunder
Shao yang meridian
Inferiority, passion 5
Xun (巽)
Wind
Jue yin meridian
Power, arrogance 6
Kan (坎)
Water
Tai yang meridian
Fear, carefulness 7
Gen (艮)
Mountain
Yang ming meridian
Dissatisfaction 8
Kun (坤)
Earth
Conception vessel
Conception, trust
Eight trigrams and meridians imply the eight states of the mind

31. Sambu Acupuncture Phases of five shu points 3. Element of Shu point
Every shu point has three seats for five elements LU 11 : Jing point of Hand Taiyin Lung Channel (Metal, Earth, Wood) LI 2 : Ying point of Hand Yangming Large Intestine Channel (Metal, Metal, Water)
3. Element of Shu point
Points
Yin
Yang
Jing/well
Wood
Metal
Ying/spring
Fire
Water
Shu/stream
Earth
Jing/river
He/sea
2. Six Qi
Taiyang
Water
Yangming
Metal
Shaoyang
Fire
Taiyin
Earth
Shaoyin
Jueyin
Wood
1. Organ
LR / GB
Wood
HT / SI
Fire
SP / ST
Earth
LU / LI
Metal
KI / BL
Water
PC / TE

32. Sambu Acupuncture Three categories of five shu points Point Category
Phase
Examples
No of Points
Sambu (三符)
Three elements
LU 11 (Metal, Earth, Wood)
ST 44 (Earth, Metal, Water)
GB 44 (Wood, Fire, Metal) 18
Yibu (二符)
Two elements
LI 2 (Metal, Metal, Water)
PC 9 (Fire, Wood, Wood)
ST 36 (Earth, Metal, Earth) 36
Chunbu (天府)
One element
HT 8 (Fire, Fire, Fire)
SP 3 (Earth, Earth, Earth)
BL 66 (Water, Water, Water) 6

33. Sambu Acupuncture
How to make balance?
Earth
Fire
Metal
Water
Wood

34. Sambu Acupuncture Principles of Sambu Acupuncture
Restore Balance of the yin-yang and five elements.
Constitution examined from five elemental point of view
Identify two excessive phases of the patient, and tonify the relatively deficient three phases.
e.g. If wood and fire are in excess, then tonify LU5(Metal, Earth, Water) and ST44(Earth, Metal, Water)
Use sambu points.

35. Sambu Acupuncture 18 sambu points Points Phase Use LU 11 ST 43
Wood, Earth, Metal
Water & Fire in excess
LU 10
ST 41
Fire, Earth, Metal
Wood & Water in excess
LU 5
ST 44
Earth, Metal, Water
Wood & Fire in excess
GB 34
PC 7
Wood, Fire, Earth
Metal & Water in excess
GB 44
PC 5
Wood, Fire, Metal
Earth & Water in excess
GB 43
PC 3
Wood, Fire, Water
Earth & Metal in excess
KI 1
SI 3
KI 3
SI 8
Fire, Earth, Water
Wood & Metal in excess
KI 7
SI 1
Fire, Metal, Water
Wood & Earth in excess
When fire & earth, or fire & metal is in excess, utilize yibu points.

36. Wood, earth, and metal are tonified when water and fire are in excess
LU 11 (少商), ST43 (陷谷)
Wood, earth, and metal are tonified when water and fire are in excess

37. Earth, metal and water are tonified when wood and fire are in excess
LU 5 (尺澤), ST44 (內庭)
Earth, metal and water are tonified when wood and fire are in excess

38. Fire, earth, and metal are tonified when wood and water are in excess
LU 10 (魚際), ST41 (解谿)
Fire, earth, and metal are tonified when wood and water are in excess

39. Wood, fire and earth are tonified when metal and water are in excess
GB 34 (陽陵泉), PC 7 (大陵)
Wood, fire and earth are tonified when metal and water are in excess

40. Wood, fire and metal are tonified when earth and water are in excess
GB 44 (竅陰), PC 5 (間使)
Wood, fire and metal are tonified when earth and water are in excess

41. Wood, fire and water are tonified when earth and metal are in excess
GB 43(俠谿), PC 3(曲澤)
Wood, fire and water are tonified when earth and metal are in excess

42. Wood, fire and water are tonified when earth and metal are in excess
KI 1(湧泉), SI 3(後谿)
Wood, fire and water are tonified when earth and metal are in excess

43. Fire, earth and water are tonified when wood and metal are in excess
KI 3(太谿) SI 8(小海)
Fire, earth and water are tonified when wood and metal are in excess

44. Fire, metal and water are tonified when wood and earth are in excess
KI 7(復溜) SI 1(少澤)
Fire, metal and water are tonified when wood and earth are in excess

45. Sambu Acupuncture
Syndrome differentiation

46. Sambu Acupuncture Syndrome Differentiation Pulse
Wood is 弦而急(wiry and tense)
Fire is 浮大而散(superficial, large and dissipated)
Earth is 緩而大(moderate and large pulse)
Metal is 浮澁(floating rough and short)
Water is 沈濡而滑(deep soggy and slippery)

47. Sambu Acupuncture Syndrome Differentiation
Physical Constitution (cold, heat, thin, plump)
Cold syndrome: cold limbs, aversion to cold, pale complexion, absence of thirst, preference to hot drinking, clear plenty of urine, loose stool, pale tongue, slow pulse
Heat syndrome: fever, thirst, preference to cold drinks, red complexion, smelly yellow sticky or dry stool, yellow and scanty urine, constipation, red tongue, rapid pulse

48. Sambu Acupuncture Syndrome Differentiation Mind & Emotions
木-怒(Wood - Anger)
火-喜(Fire - Joy)
土-思(Earth – Thought, Anxiety)
金-憂(Metal - Grief)
水-恐(Water - Fear)

49. Sambu Acupuncture Complexion Syndrome Differentiation
Color of the face
Blue, red, yellow, white(pale) and black(dark)
(wood, fire, earth, metal, water)

50. Sambu Acupuncture Syndrome Differentiation
After examination of the patient
Two excessive phases are identified.
Balance the five phases by tonifying the relevant sambu points
Re-examination on follow-up visit.

51. Sambu Acupuncture Summary of Sambu Acupuncture
Based on the basic principles of Korean medicine.
Differential diagnosis includes pulse, constitution, personality, complexion and somatotype analysis
Five phase constitutional approach rather than symptoms
Less side-effects, Suitable for complex diseases
Five shu points are used to restore the balance of five phases

52. Yin-Yang Rehabilitation
Circulation of yin & yang
Keep the head cool and lower abdomen warm
The fundamental basis of the vital qi circulation.
Somatotype
Obese or plump
Skinny or thin
Water and food
Yin foods: Sweet, sour, greasy, and slippery foods
Yang foods: hot and spicy, and dry foods

53. Shaeng-Shuk-Tang (生熟湯)
Pour hot water first, and pour cold water afterwards. Drink it right away.
Relieve vomiting and diarrhoea.
Shaeng Shuk Tang for prevention of disease.
Shaeng Shuk Tang for healthy life.
in the book of Dong Ui Bo Gam.

54. Balance of Yin & Yang Bath Soak the lower body in the warm water
Keep the head cool and lower abdomen warm
Vital circulation of yin-yang qi.
Air conditioning at home and work
Keep the air cool and the floor warm

55. Balance of Yin & Yang Exercise, Colors, Music
Yin-yang should be balanced even when it comes to exercise, choice of colors and music.
A person of yin is recommended to take up more dynamic exercise, brighter colors, and fast and high- toned music.
A person of yang should choose slower exercises, darker colors, and slow and low-toned music.

56. Atmospheric Influence of 2010
2010 is Year of gen yin(庚寅)
Excessive Metal phase and Ministerial Fire
Those who are thin and hot (Metal and Fire constitution)
Should take good care of oneself
Recommended points for tonification to keep balanced
BL 40 (委中, 2 Water + 1 Earth)
SP 9 (陰陵泉, 2 Earth + 1 Water)

57. Atmospheric Influence of 2014
2014 is Year of Gabo(甲午)
Earth phase and Excessive Fire
Those who are obese and hot (Earth and Fire constitution)
Should take good care of oneself
Recommended points for tonification to keep balanced
LI2( Metal + Metal + Water)
BL 67( Metal + Water+Water)

58. 淸肝解鬱湯 (Liver Clearing and Stagnation Releasing Decoction) I often prescribe the following herb recipe for patients with the history of cancer. 當歸 白朮 3.75g 貝母 赤茯苓 白芍藥 熟地黃 山梔 2.625g 人參 柴胡 牧丹皮 陳皮 川芎 甘草 1.875g Thank you