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Auricular Bloodletting
(Ear Apex Bleeding)

Light pricking or lancet bleeding at the ear apex (Er Jian)

Indications

Acute hypertension, Fever, Red eyes, inflammation, Migraine

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Low-level laser used as a needle-free option.

Method

Use of low-level laser (cold laser) directed at auricular points. No skin penetration, painless, safe for children or sensitive patients

Indications

Pediatric cases, Pain, dermatological condition, Smoking cessation, stress management.

Laser Stimulation (Laser Auriculotherapy)

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Manual stimulation with finger or probe

Method

Pressing or rubbing auricular points using fingertips, auricular probes, cotton swabs

Indications

Early-stage conditions, Relaxation and self-care, Auricular diagnosis (detecting tender areas)

Manual Pressure (Acupressure / Massage)

Semi-permanent needles fixed for prolonged stimulation

Method

Use of very small semi-permanent needles affixed with tape for prolonged stimulation (1–5 days)

Indications

Smoking cessation, Chronic insomnia, Pain management, Mental health support

Ear Tacks (Embedded Needles)

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Low frequency microcurrent applied to selected auricular points

Method

Application of low-frequency electrical current to auricular points using clips or probes

1–100 Hz depending on need, typically used for short durations (5–15 minutes)

Indications

Pain control (especially chronic), Neurological disorders, Stroke recovery, Detox protocols

Electrostimulation (Electro-auriculotherapy)

Insertion of very thin needles into auricular points

Method

Insertion of very fine, sterile needles into specific auricular points (0.5–1.5 mm depth).

Retention Time

20–30 minutes per session

Technique

Tonify (gentle insertion) or sedate (stimulating with rotation) depending on pattern

Indications

Tonify (gentle insertion) or sedate (stimulating with rotation) depending on pattern

Ear Acupuncture

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Tiny seeds (e.g. Vaccaria), magnets, or stainless-steel beads taped to points

Method

Application of small seeds (usually Vaccaria seeds), metal beads, or magnetic pellets on adhesive tape, pressed onto specific auricular points

Retention Time

Seeds are usually left in place for 2–5 days

Indications

Chronic conditions, Pediatric or needle-sensitive patients, Stress, weight loss, PMS, migraines

Ear Seeds
(Auricular Press Pellets)

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Auricular Therapy

Auricular therapy (耳针疗法, ěr zhēn liáo fǎ), also known as auriculotherapy or ear acupuncture, is a diagnostic and therapeutic system based on the stimulation of specific points on the external ear to treat diseases and dysfunctions throughout the body. In Traditional Chinese Medicine (TCM), the ear is considered a microsystem that reflects the entire body, much like reflexology in the feet or palm diagnosis in the hands. Stimulating specific points on the auricle can regulate Zang-Fu organ function, Qi and Blood circulation, and emotional states. Core Principles of Auricular Therapy in TCM:

Microsystem Theory: The ear represents an inverted foetus: Lobe → head and face, Scapha → upper limbs, Antihelix → trunk and spine, Cavum conchae → internal organs and helix → lower limbs.

 

Qi and Blood Connection: All 12 regular meridians and eight extraordinary vessels connect to the ear through the Small Intestine, Gallbladder, Sanjiao, and Heart channels.

 

 TCM Diagnosis via the Ear: Changes in colour, texture, temperature, pain sensitivity, or electrical conductivity at certain ear zones can reflect internal disharmony.

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Auricular Therapy

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Common Auricular Zones

In auricular therapy, the external ear (auricle) is considered a microsystem that reflects the entire body — similar to a hologram. Each region of the ear corresponds to a specific anatomical area, organ, or function, based on the concept of an inverted foetus mapped onto the auricle. This model is the foundation of auricular therapy:

  • Ear lobe → Head and facial region (brain, eyes, jaw, teeth)

  • Antihelix → Spine and trunk

  • Scapha → Upper limbs (shoulder, elbow, wrist)

  • Helix → Lower limbs

  • Cavum and cymba conchae → Internal organs

  • Tragus and antitragus → Brain and neuroendocrine areas

 

Ear Lobe

Head and Face Region

This is the "head" of the inverted foetus. It contains facial and sensory organ points

Lower part of the ear (lobule), subdivided into anterior and posterior zones.

Eye

Vision, inflammation

Inner ear

Hearing, vertigo

External Ear

Otitis, tinnitus

Tongue

Speech, taste

Teeth / Jaw

Toothache, TMJ

Brain

Mental Clarity, memory

 

Tragus / Antitragus

Brain & Nervous System

This area governs the central nervous system, endocrine, and autonomic regulation

Anterior inner fold (tragus) and posterior protrusion (antitragus).

Subcortex

Sleep, anxiety, epilepsy

Brainstem

Neurological issues

Thalamus

Pain control, sensory integration

Endocrine

Hormonal regulation, menopause

Adrenal

Stress, fatigue

Pituitary

Growth, hormone axis

 

Cavum Conchae

Thoracic Organs

This inner bowl of the ear corresponds to organs of the chest

Lower inner cavity of the auricle (concha below the crus of the helix).

Lung

Asthma, cough, immunity

Heart

Palpitations, anxiety

Trachea

Bronchitis, sore throat

Oesophagus

Acid reflux, digestion

 

Cymba Conchae

Abdominal Organs

This upper bowl of the concha relates to abdominal organs

Upper inner cavity of auricle above the crus of the helix.

Liver

Emotions, detox, PMS

Gallbladder

Bile regulation, tension, migraines

Kidney

Lower back pain, fertility, fatigue

Stomach

Digestion, nausea, appetite

Pancreas/ duodenum

Diabetes, metabolism

Spleen

Dampness, fatigue, digestion

Small Intestine

Absorption, diarrhoea

Large Intestine

Constipation, bowel regulation

 

Antihelix

Spine and Trunk

The Y-shaped ridge inside the ear represents the spinal column and torso

From bottom to top of antihelix → lumbar → thoracic → cervical

Cervical Vertebrae

Neck pain, stiffness

Thoracic Vertebrae

Upper/mid back pain

Lumbar Vertebrae

Low back pain, sciatica

Sacrum

Pelvic pain, menstruation

Chest/Abdomen

Digestive and respiratory aid

 

Scapha

Upper Limbs

Outer fold between the helix and antihelix, representing arms and hands

Narrow groove wrapping from top of ear toward antihelix

Shoulder

Shoulder pain, tension

Elbow

Tennis Elbow

Wrist/Hand

Carpal tunnel, arthritis

 

Helix

Lower Limbs and Skin

The outermost rim of the ear corresponds to legs and skin-related issues

Around outer edge from bottoms up to apex

Hip

Sciatica, hip pain

Knee

Arthritis, mobility issues

Ankle/Foot

Gait, balance, circulation

Allergy Point

Skin disorders, immunity

 

Triangular Fossa

Shen and Hormonal Points

Upper notch area in front of antihelix, key for emotional and hormonal

Small triangle-shaped zone above the cymba conchae

Shen Men

Calms the mind, sleep, stress

Ovary

Menstruation, fertility

Uterus

Gynaecology, PMS, cramps

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Common Used Auricular Points

Shen Men (神门) – Spirit Gate

Apex of the triangular fossa

Calms the Shen (mind); Relieves stress, anxiety, insomnia; Reduces pain sensitivity; Central point in NADA protocol (addiction detox)

 

Sympathetic (交感) – Autonomic Point

Junction of the inferior antihelix crus and cavum conchae 

Regulates the autonomic nervous system; Relieves pain, spasms, and inflammation; Used for digestive disorders, hypertension, and stress

 

Lung (肺)

Cavum conchae, near the heart and trachea points

Regulates breathing, treats asthma, cough, bronchitis; Clears skin disorders; Emotional regulation of grief and sadness.

 

Heart (心)

Centre of the cavum conchae

Treats palpitations, tachycardia, calms mental restlessness, insomnia, anxiety, Used in cardiac disorders

 

Liver (肝)

Cymba conchae, upper region

Regulates Liver Qi: useful in irritability, depression; Treats menstrual issues, PMS; Detoxifies, supports vision and digestion

 

Spleen (脾)

Close to the Stomach point, anterior cymba conchae

Regulates digestion, transformation, and Dampness; Boosts immune function; Useful in fatigue, edema, diarrhea

 

Endocrine (内分泌)

Base of the intertragic notch

Balances hormones, used in menstrual irregularities, diabetes, thyroid disorders, Regulates endocrine system

 

Point Zero (零点)

Centre of the concha, intersection of horizontal and vertical ear axes

Restores homeostasis (Yin-Yang balance), Normalizes endocrine, nervous, and organ function, Used as a grounding balancing point in most protocols

 

Adrenal (肾上腺)

Inside inferior tragus

Anti-inflammatory, anti-allergy; Regulates stress response, useful in fatigue, hypotension

 

Ovary / Uterus (卵巢 / 子宫)

Medial side of antihelix, near triangular fossa

Regulates menstrual cycles, Treats infertility, PMS, menstrual cramps, Supports hormonal balance

Kidney (肾)

Cymba conchae, lower posterior area

Tonifies Kidney Qi and Essence; Supports low back pain, hearing loss, urination; Used in fertility and hormonal protocols

 

Stomach (胃)

Inferior cymba conchae, below the helix crus

Regulates appetite, digestion, nausea, and vomiting; Used in weight loss protocols; Treats gastritis, acid reflux

Subcortex (皮质下)

Inner wall of antitragus

Controls cerebral cortex activity, Treats pain, epilepsy, insomnia, often paired with Shen Men for psychological disorders

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