
03/02/2025
Pain Patterns – A Key to Precise Diagnosis and Effective Treatment
In Japanese medicine, we call these pain patterns—sensitive areas that we identify through palpation. They are called patterns because, in many cases, the same areas tend to appear repeatedly.
It’s fascinating to see how different patients, with different complaints, present with similar pain patterns. Recognizing these patterns helps us tailor a precise and effective treatment.
I often discuss root treatment versus branch treatment (symptom-focused treatment)—the key question being: when should we address the root cause directly, and when is it better to focus on the branch?
Today, I had a perfect case in the clinic where both approaches came together seamlessly.
The Case
A 70-year-old patient came in complaining of “arthritis in both thumbs.” Examination revealed pain, restriction, and limited mobility in both thumbs.
This wasn’t the first time I had treated this type of pain, and over the years, I’ve noticed a recurring pain pattern in such cases.
The pain in the thumbs appears symmetrically, and tenderness is consistently found at CV-6, St-12, and Bl-23—a diagnostic pattern related to the Yin Qiao meridian
(Treatment: Kid-6, Lu-7, Bl-23).
I pay special attention to Lu-7, searching for the precise depth and angle to release the pain in the thumb area.
The Healing Process
Improvement is not immediate—it’s a process. In such cases, strengthening the root leads to symptomatic relief.
As we treated the thumbs (already showing significant improvement after four sessions), the patient also experienced relief in her lower back pain, which she hadn’t mentioned, and a significant improvement in urinary urgency, which she also had forgotten to report.
The Beauty of This Approach
A treatment that starts from the root can influence deep layers while still addressing more superficial symptoms along different meridians.
This is a pattern I see often in my clinic. The treatment is simple, highly effective, and leads to stable, lasting improvement—even in difficult cases involving degenerative joint and bone disease.
In the picture below is how I scribble the pattern and treatment.
And as Sensei Shudo Denmei says:
“The art of acupuncture lies in its simplicity”
❤️🙏