Anxiety Trauma and Recovery

CASE: Healing from Childhood Trauma and Anxiety: A Patient’s Journey and Practitioner’s Insights with Acupuncture and TCM

 


 

 

Part 1: A Patient’s Story of Recovery

Early Life: A Childhood of Abuse and Trauma

From the age of four, my world was forever changed when my father died and my mother remarried. What should have been a secure, loving environment became a nightmare. My stepfather’s verbal abuse was relentless, daily filling my ears with degrading comments: “You are useless, stupid, inferior, worthless.” I was never good enough. His cruelty wasn’t just in his words—there were times he would buy me a pretty doll, only to later tear it apart in front of me, saying, “This is what happens when little girls do not behave.” Physical abuse was hidden under my clothing, but the emotional scars ran much deeper.

I grew up feeling worthless, constantly trying harder to be liked, but nothing was ever good enough. It was the 1950s, and society expected families to keep their issues behind closed doors. Women and children were to cope without support, as there were no protections like Women’s Refuge or police intervention. Eventually, my mother found the strength to kick my stepfather out, but by then, the damage had been done.

Adulthood: Striving for Perfection Amidst Anxiety

As I moved into adulthood, I found solace in Ballroom and Latin American dancing, which helped manage the pressures of my job as a paramedic. I was determined to excel, yet a small voice from my childhood always whispered that I had to be 100% perfect. I met and married through my work, and my life seemed to settle into a normal routine. However, the birth of my first son, who was very ill and required frequent hospitalization, brought back feelings of inadequacy and fear. When my husband’s job moved us far from family support, and with my son’s ongoing health issues, I began to feel the weight of everything crashing down on me.

I often felt that other mothers were coping much better than I was. The advice from doctors and those around me only heightened my insecurities, feeding into my growing sense of inferiority. I told myself I could manage, but inside, I was unraveling. The pressure of trying to “hold it together” in public was overwhelming, while privately, my thoughts became darker and harder to control. Panic attacks and crippling anxiety soon followed, making even basic tasks seem impossible.

Unlocking the Past: The Long Journey to Understanding

Years later, after five house moves and countless struggles, I was barely functioning. Therapy and medication helped uncover the deep emotional wounds from my childhood. I began to understand how the abuse had shaped my entire outlook on life, but despite this newfound awareness, I was still physically and mentally stuck. The panic attacks continued, and my anxiety felt insurmountable. I felt trapped in a cycle of self-doubt and fear.

Discovering Acupuncture: A Turning Point

In June 2020, I decided to try acupuncture at Kapiti Acupuncture & Wellness Clinic, though I was skeptical. I had tried so many things and had all but given up hope. To my surprise, acupuncture quickly became a turning point in my healing journey. My acupuncturist, Jason Bei, did not treat me like a case number or speak at me with instructions. Instead, he spoke with me, treating me as a person with value. For the first time, I felt truly seen and heard.

Jason’s approach was gentle yet effective, allowing me to move at my own pace. Initially, I attended weekly sessions, but as I grew stronger, we gradually moved to bi-weekly, then monthly sessions—always at a pace that felt comfortable for me. The acupuncture sessions, combined with Traditional Chinese Medicine (TCM) herbs, helped address not just the anxiety but the underlying imbalances in my body. As the layers of my emotional pain were slowly peeled away, I began to notice significant changes in how I approached life.

The Transformation: Healing Inside and Out

It is now October 2024, and I have been anxiety-free for about eight months. This journey was long and difficult—there were moments when I felt like giving up. But through acupuncture and TCM, I learned that healing involves the entire body and mind. Acupuncture didn’t just treat my anxiety; it transformed my whole demeanor. I now approach life with a sense of calm, knowing that I no longer have to prove myself to anyone.

Looking back, I realize how much I’ve grown from the frightened, insecure little girl I once was. Today, if I face a challenging person or situation, I simply excuse myself, knowing I no longer need to stay where I feel uncomfortable. This is a far cry from the days when I would be paralyzed by fear and doubt, constantly striving to meet others’ expectations. I now live by the belief that “nobody has the right to make you feel inferior without your consent.”

Holistic Healing: The Role of Acupuncture, Tai Ji, and Qi Gong in My Recovery

Western medicine provided some relief, but it was through acupuncture and Traditional Chinese Medicine (TCM) that I found true healing. Acupuncture treated my entire system, addressing both my physical symptoms and the deeper emotional imbalances caused by years of trauma. Jason not only applied acupuncture techniques but also introduced me to other vital practices to help pace my recovery.

One of the key elements was Tai Ji principles and visualization techniques, which became essential tools in calming my mind and reconnecting with my body. Through Tai Ji, I learned to slow down my thoughts and movements, syncing my mind with my body in a more harmonious way. Visualization allowed me to focus on positive outcomes and imagine a state of peace and strength, which helped shift my mindset from fear and anxiety to one of control and empowerment.

Qi Gong breathing was another crucial practice in my recovery. By focusing on deep, rhythmic breaths, I was able to strengthen my physical body and promote mental calmness. This breathing technique not only helped to ease the tension I carried in my body but also cultivated a sense of inner stability. It became a powerful method for releasing stress, and over time, I noticed a significant improvement in both my physical strength and emotional resilience.

Together, acupuncture, Tai Ji, visualization, and Qi Gong breathing helped me rebuild my body’s natural protective mechanisms. These practices supported my emotional and physical recovery, bringing me back into balance. Today, they remain a core part of my life, helping me maintain a sense of peace, control, and overall well-being.

A Message to Others: You Are Not Alone

My journey with anxiety and childhood trauma is not unique, and I know many others struggle in silence. If my story can help just one person, then sharing it is worth it. Mental illness is simply that—an illness that requires healing. With the right support, whether through TCM, acupuncture, or other therapies, it is possible to overcome. My message to anyone dealing with anxiety, trauma, or any mental health issue is this: you are not alone, and you are worthy of healing.

NOBODY. NOBODY AT ALL HAS THE RIGHT TO MAKE YOU FEEL INFERIOR WITHOUT YOUR CONSENT

  
MEGAN JONES.   (My pen name)
 
OCTOBER 2024.
 
 

 

Part 2: Practitioner’s Observations and Insights

Introduction

This case presents a female patient in her seventies who has endured long-standing anxiety and trauma rooted in childhood abuse. Over the past four years, she has undergone treatment within a holistic framework, progressing through three healing stages: acute care to address immediate symptoms, recovery to foster stability, and maintenance to build resilience. Previous conventional therapies provided partial relief, with counseling offering foundational insights into her past. However, frequent relapses and limited medication tolerance hindered sustained progress. Research by Herman (1992) and van der Kolk (2014) illustrates that trauma can often lead to recurrent emotional relapses and limited responsiveness to conventional treatments, especially when complicated by medication intolerance.

Her patient-centered treatment plan incorporated the Treasure 3 model, a holistic TCM approach that addresses the patient’s needs across three dimensions—Heaven (urgent symptom relief), Humanity (stabilization and recovery), and Earth (self-care and resilience-building practices). This model not only structures treatment but also provides an alternative healing perspective that aligns with Western therapeutic stages, offering patients a meaningful framework for understanding their healing journey. By introducing these concepts, patients can view their path to wellness as one that incorporates finding inner strength and resilience through the interconnection of body, mind, and spirit.

This approach aligns with the TCM emphasis on addressing both immediate symptoms and underlying imbalances, naturally following the principles of yin and yang (Lu, Chen, & Tjen-A-Looi, 2013; Flaws & Lake, 2001). The Treasure 3 model builds on this traditional framework with a structured, phased approach, making it particularly suited to chronic and trauma-related conditions by emphasizing gradual progress from acute care to stabilization and self-care.

Through this structured approach, acupuncture and Qi-based practices were introduced progressively to manage relapses, enhance stability, and foster independence in self-care. Now in the maintenance stage, the patient actively engages in Tai Ji, Qi Gong, and acupressure to support her mental and physical balance. Research supports the effectiveness of these Qi-based practices in improving vagal tone and regulating the vagus nerve, often dysregulated in individuals with complex trauma. For instance, Wang et al. (2014) and Chen et al. (2018) found that Tai Ji and Qi Gong positively impact autonomic regulation, which is essential for trauma recovery and resilience-building.

Self-care practices, including acupressure, significantly support mental and physical health by promoting relaxation, balance, and emotional resilience. Studies such as McFadden et al. (2015) and Lee & Fillerup (2017) highlight that these practices can enhance overall health, improve mood stability, and foster a greater sense of well-being.

The Treasure 3 framework, grounded in Traditional Chinese Medicine (TCM), aligns with Judith Herman’s (1992) model of managing trauma in phases, offering a culturally relevant structure for addressing acute symptoms, stabilization, and long-term maintenance. In TCM, this model is particularly valuable because it addresses the body’s energetic layers—Upper (Heaven), Middle (Humanity), and Lower (Earth)—through stage-based interventions. By introducing symptom relief and stabilization through acupuncture and Qi-based practices, patients build a foundation for self-care and resilience. This case demonstrates how the Treasure 3 framework can foster trauma recovery and patient empowerment through integrated symptom management, stabilization, and self-care (Lu et al., 2013; Flaws & Lake, 2001).

Case Presentation

Patient Background

Her early years were marked by emotional and psychological trauma, leading to chronic anxiety, distress, and a cycle of physical and emotional challenges that significantly impacted her quality of life. This reflects the long-term effects trauma can have on mental and physical health, as documented by Courtois and Ford (2016).

Presenting Symptoms and Primary Challenges

Upon beginning treatment, the patient presented with severe symptoms, including intense anxiety, panic attacks, physical exhaustion, and emotional instability. Her fight-or-flight response was frequently triggered, resulting in hyperventilation and episodes approaching mental breakdowns. While talk therapy initially helped process past traumas, it often led to emotional relapses. Research by Herman (1992) and van der Kolk (2014) highlights that conventional therapy may inadvertently contribute to re-experiencing and emotional flooding, disrupting long-term stability. Additionally, medications proved ineffective due to adverse reactions, complicating her recovery further. This aligns with research indicating that pharmacological interventions can be challenging in trauma cases due to potential side effects and the difficulties in managing complex trauma symptoms (Courtois & Ford, 2016). These setbacks created a complex treatment landscape, making it difficult to achieve stability.

Initial Assessment and Diagnosis

The TCM assessment process began with a detailed zang-fu diagnosis to understand the root imbalances affecting the patient’s mental and physical health. Given her history of chronic emotional stress, the assessment focused on evaluating Qi flow and organ harmony, particularly within the Liver and Kidney systems, due to their vital role in emotional regulation and resilience.

The diagnosis revealed a primary pattern of Liver Qi Stagnation and Liver Yin Deficiency with Liver Yang Rising. These patterns reflect how emotional stress has disrupted the Liver’s natural flow, contributing to irritability, anxiety, and episodes of panic. As Liver Qi stagnation is closely associated with emotional regulation, its disruption affects mental stability, manifesting as mood swings and heightened anxiety (Flaws, 2001; Maciocia, 2009; Kaptchuk, 2000). Maciocia (2009) and Kaptchuk (2000) emphasize the Liver’s role in maintaining emotional balance, and its stagnation can significantly affect mental health.

Additionally, signs of Kidney Yin and Jing Deficiency suggested a foundational cause for the Liver imbalances. The Kidney’s essence (Jing) is crucial for physical endurance and emotional resilience, and its deficiency can compromise both, thus impacting the overall stability of the patient (Yanchi, 1988). According to Yanchi (1988), the Kidney’s role in sustaining Jing is essential for long-term health, highlighting the importance of addressing these deficiencies as part of the treatment plan.

TCM Pattern Diagnosis:

  • Liver Qi Stagnation is recognized as a key factor in the development of both mental and physical disorders. When Liver Qi becomes stagnant, it manifests through mood swings, irritability, and internal tension, increasing susceptibility to anxiety and emotional dysregulation (Flaws, 2001; Kaptchuk, 2000). Both Flaws (2001) and Kaptchuk (2000) emphasize that stagnation of Liver Qi disrupts the smooth flow of emotions, contributing to mental instability and amplifying anxiety. Flaws (2001) further notes that unresolved Liver Qi stagnation may transform into heat, which can ascend to harass the Heart spirit, causing restlessness and exacerbating mental-emotional disturbances. This heat transformation can also arise from damp heat, phlegm heat, and stomach heat due to food stagnation, underscoring Liver Qi’s susceptibility to transformation under stagnant conditions and its key role in broader emotional patterns.
  • Liver Yin Deficiency with Liver Yang Rising occurs when an imbalance in Liver Yin allows unchecked Liver Yang to ascend, manifesting as mental restlessness, irritability, and emotional volatility (Maciocia, 2009). Maciocia (2009) highlights that when Liver Yin is deficient, it cannot anchor Liver Yang, resulting in excessive Yang activity that leads to emotional instability and mental unrest. Flaws (2001) supports this, noting that Liver heat, which may stem from Yin deficiency, can rise and further disrupt the Heart, contributing to the instability of mental and emotional health. This interdependent relationship between Liver Yin and Yang is crucial, as unchecked Yang can intensify the emotional imbalances already present from Liver Qi stagnation.
  • Kidney Yin and Jing Deficiency weakens foundational energy, reducing resilience and furthering Liver Yin deficiency, impacting both physical and mental stability (Yanchi, 1988). Yanchi (1988) emphasizes that Kidney Yin and Jing are essential for foundational strength and emotional resilience. Their deficiency not only compromises overall stability but also exacerbates Liver imbalances, as weakened Kidney Yin fails to support and nourish Liver Yin adequately. Flaws (2001) elaborates on how Kidney Yin deficiency can allow fire to flare upwards, intensifying Liver heat and contributing to heightened emotional disturbances. This foundational deficiency also makes individuals more susceptible to emotional and physical stressors, amplifying the effects of Liver Qi stagnation and Liver Yin deficiency.

Through this zang-fu diagnosis, we identified key patterns driving her condition, forming the basis for an individualized treatment approach that would address both symptom relief and the root imbalances in her organ systems.

Treatment Plan

The Treasure 3 model offers a structured, stage-based approach to managing a patient’s treatment plan by aligning care with the body’s three sections—Upper, Middle, and Lower—to address immediate symptoms, support recovery, and build long-term resilience. Through its progressive stages of acute symptom relief, stabilization, and maintenance, the model targets the complex interplay of physical, emotional, and spiritual health needs. This phase-based, patient-centered structure allows treatment to adapt to the patient’s evolving condition, supporting both acute symptom relief and the strengthening of foundational health to prevent future imbalances. Developed in my practice, this approach also serves as a proposal for other acupuncturists to adopt in managing complex, stage-based treatments for mental-physical health conditions. The model offers a profound, scalable perspective on integration within the health industry, with specific adaptability for community acupuncture practices.

Overview of the Treasure 3 Model in Treatment Stages

Illustration of Mental-Physical Condition Management Using the Treasure 3 Model and Yin Fire Theory

In managing complex mental-physical health conditions, the Treasure 3 model offers a structured, stage-based framework that aligns well with Li Dong-yuan’s Yin Fire theory. Li’s contributions, as detailed in Flaws (2017), center on the dynamic cycle of Spleen Qi and Blood as foundational to health. His model identifies five interrelated mechanisms—Spleen Qi deficiency, Yin/Blood deficiency with empty heat, stirring of ministerial fire, damp heat, and Liver depression—each of which can exacerbate the others. This cyclical movement highlights the necessity of adjusting treatment to address both the root (underlying imbalances) and branches (symptomatic manifestations) as they emerge through different stages of a condition.

In clinical practice, the Treasure 3 model applies this cyclical wisdom by structuring treatment across three stages—acute symptom relief, stabilization, and maintenance—each corresponding to one of the body’s sections: Upper (Heaven), Middle (Humanity), and Lower (Earth). This progressive model provides a framework for managing each aspect of Li’s cyclical theory, allowing treatment to adapt to shifting manifestations such as the stirring of ministerial fire or Liver Qi depression. By structuring treatment in phases, this model aims to meet the patient’s immediate needs while building resilience to prevent future imbalances.

Basic Protocol Points

These main points serve as the foundational protocol for addressing mental health and emotional balance, supporting core functions for emotional stability and physical resilience:

  • LV3 (Taichong): Moves Liver Qi, pacifies Liver Yang, grounds and calms the Shen, reduces anxiety.
  • GB39 (Xuanzhong): Nourishes marrow, strengthens bones and sinews, dispels Wind-Dampness, helps with neurological issues, and supports mental resilience.
  • SP6 (Sanyinjiao): Harmonizes the Liver, Spleen, and Kidneys, improves digestion, regulates Qi flow, and calms the spirit.
  • Yintang (M-HN-3): Calms the mind, alleviates anxiety, and reduces symptoms of insomnia and agitation.

Auricular Protocols for Mental-Physical Health (Optional)

Incorporating NADA and ATP as optional auricular protocols provides acupuncturists with versatile tools to customize treatments based on individual needs, especially for patients experiencing trauma, anxiety, or chronic pain. These protocols can be effectively used during a treatment session to strengthen the calming effects, with NADA applied on the right side and ATP on the left side. Alternatively, they can be used together or individually, depending on the patient’s response. For patients who may be fearful of needles, starting with auricular therapy offers a gentle and effective alternative.

Each protocol utilizes specific auricular points that offer targeted benefits:

  • NADA Protocol: Originally developed for addiction recovery, the NADA protocol has demonstrated broad benefits for mental health, especially in managing stress, anxiety, and emotional regulation. It utilizes five key points on the ear—Sympathetic, Shen Men, Kidney, Liver, and Lung—that work to calm the mind, balance emotions, and support the body’s natural detoxification processes. This protocol enhances resilience to stress and helps create a stable foundation for addressing emotional disturbances (Carter et al., 2017).
  • ATP Protocol: The Auricular Trauma Protocol (ATP) is designed specifically for trauma care, providing relief from symptoms of acute stress, anxiety, and trauma. ATP includes points that directly target the body’s response to trauma, calming the nervous system and promoting relaxation. The points used in ATP include Hypothalamus (parasympathetic function), Amygdala (emotional modulation), Hippocampus (trauma memory), Master Cerebral (anxiety relief), Point Zero (homeostatic balance), and Shen Men (psychospiritual vitality). By addressing both physical and emotional responses to trauma, ATP supports patients in processing and managing traumatic experiences, making it a valuable adjunct to holistic care for mental-physical health conditions (Hoge et al., 2017).

Using magnetic pellets on these points allows continuous stimulation between sessions. Patients are instructed to leave the pellets in place for 5 to 7 days, gently pressing on them a few times daily to reinforce the effects. This approach enhances the Treasure 3 model’s holistic and patient-centered method, making it adaptable for both community acupuncture settings and individualized care plans.

Healing from trauma and complex pain requires tools that not only address symptoms but also guide patients toward hope and recovery. The National Acupuncture Detoxification Association (NADA) protocol and the Auricular Trauma Protocol (ATP) offer two such tools, providing a compassionate approach for those seeking relief from the effects of trauma, addiction, mental distress, and physical pain. These protocols stand as beacons of support, empowering patients to find balance and resilience through gentle, non-invasive treatment. They are especially well-suited for community acupuncture projects, where a practitioner can provide effective, evidence-based treatment to groups of 6–9 participants in one-hour sessions, combined with Tai Ji – Qi Gong breathing techniques. For more information, please see the Future Outlook section.

Herbal Medicine (Optional)

Formulas supported each stage’s focus:

  • Jia Wei Xiao Yao Wan: This formula is traditionally used to ease emotional stress and stabilize the Liver, particularly effective in addressing symptoms like irritability and tension. Flaws (2005) discusses how this formula helps in smoothing Liver Qi and alleviating emotional distress.
  • Zuo Gui Wan: Known for nourishing Kidney Yin and Jing, Zuo Gui Wan is used to support resilience and foundational energy, important in TCM for maintaining physical strength and mental stability. Maciocia (2009) highlights the formula’s effectiveness in strengthening Kidney Yin and Jing, which is essential for sustaining overall health and resilience.
  • Qi Ju Di Huang Wan: This formula balances Yin and promotes calm, making it beneficial for emotional stability and supporting mental well-being. Yanchi (1988) explains that this formula is effective in nourishing Yin and supporting emotional health, which helps in maintaining mental equilibrium. [Action Point: Blog on herbal support in TCM for emotional health].

This combined approach of targeted acupuncture, auricular therapy, and herbal therapy addressed both immediate symptoms and underlying imbalances, promoting progressive healing and self-care.

Treatment Plan

Heaven (Upper Section – Acute Stage):
In the acute stage, treatment focuses on the upper section to address symptoms involving Liver Yang rising and the stirring of ministerial fire, which disturb the Heart and Shen. When acute manifestations such as anxiety, panic, or Heart disturbance arise, acupuncture points like DU20 (Baihui), REN4 (Guanyuan), REN15 (Jiuwei), REN17 (Shanzhong), LV3 (Taichong), SP6 (Sanyinjiao), KD1 (Yongquan), and GB39 (Xuanzhong) are added to the foundational protocol. Together, these points work to ground and stabilize the spirit, reduce anxiety, and alleviate symptoms such as agitation and panic.

  • DU20 (Baihui): Calms the mind, raises Yang, clears the head, and stabilizes the Shen (spirit).
  • REN4 (Guanyuan): Tonifies Qi and Blood, nourishes Yin, and stabilizes the lower burner, helping to ground the spirit.
  • REN15 (Jiuwei): Calms the mind, regulates the Heart, and helps alleviate emotional tension.
  • REN17 (Shanzhong): Regulates Qi in the chest, calms the Heart, and alleviates anxiety.
  • LV3 (Taichong): Moves Liver Qi, pacifies Liver Yang, and reduces anxiety by calming the Shen.
  • SP6 (Sanyinjiao): Harmonizes the Liver, Spleen, and Kidneys, promotes relaxation, and calms the spirit.
  • KD1 (Yongquan): Grounds the mind, clears Heat, and reduces panic, supporting mental calm and stability.
  • GB39 (Xuanzhong): Nourishes marrow and helps regulate Qi, providing support for mental resilience.
  • Optional: Auricular ATP protocol with magnetic pallets on the left side of the auricle

Humanity (Middle Section – Stabilization Stage):
During the stabilization stage, treatment shifts to the middle section to address Spleen Qi deficiency and Liver Qi stagnation. Li emphasizes the central role of the Spleen in generating Qi and Blood, which support resilience and prevent Liver Qi depression. By harmonizing the Spleen and Liver, treatment at this stage helps prevent further stagnation and the development of heat that could affect the Heart and Shen. Key points added to the foundational protocol include LV3 (Taichong), SP6 (Sanyinjiao), ST36 (Zusanli), GB39 (Xuanzhong), PC6 (Neiguan), Yintang (M-HN-3), and DU20 (Baihui), all of which support digestive health, emotional balance, and resilience.

  • LV3 (Taichong): Moves Liver Qi, pacifies Liver Yang, grounds and calms the Shen, and reduces anxiety.
  • SP6 (Sanyinjiao): Harmonizes the Liver, Spleen, and Kidneys, improves digestion, regulates Qi flow, and calms the spirit.
  • ST36 (Zusanli): Strengthens the Spleen and Stomach, supports digestion, invigorates Qi and Blood, and strengthens resilience.
  • GB39 (Xuanzhong): Nourishes marrow, helps with mental resilience, and supports neurological health.
  • PC6 (Neiguan): Calms the Heart, regulates Qi, alleviates nausea, and supports emotional stability.
  • Yintang (M-HN-3): Calms the mind, reduces symptoms of anxiety, and alleviates insomnia and agitation.
  • DU20 (Baihui): Raises Yang, stabilizes the Shen, clears the head, and provides a calming effect on the mind.
  • Optional: Auricular NADA protocol with magnetic pallets on the right side of the auricle

Earth (Lower Section – Maintenance Stage):
In the maintenance stage, treatment focuses on the lower section, aiming to build long-term stability by nourishing Kidney Jing (Yin) and reinforcing Yin and Blood deficiency. Li notes that deficiencies in Yin and Blood can create susceptibility to empty heat, ministerial fire, and the recurrence of Liver depression. To support these needs, acupuncture points such as ST36 (Zusanli), LV3 (Taichong), SP6 (Sanyinjiao), GB39 (Xuanzhong), KD3 (Taixi), Yintang (M-HN-3), BL18 (Ganshu), BL20 (Pishu), and BL23 (Shenshu) are selected to anchor foundational energy and reduce the risk of future imbalances.

The treatment begins with the patient in the prone position to focus on de-qi (the arrival of Qi) at points BL18 (Ganshu), BL20 (Pishu), and BL23 (Shenshu), reinforcing the Liver and Kidney as the roots of resilience and stability. After de-qi is achieved, the patient is moved to a supine position to further strengthen Kidney and Liver energy using additional points for nourishing Jing and stabilizing mental and physical health.

  • KD3 (Taixi): Nourishes Kidney Yin, anchors the mind, supports physical stability, and aids mental health.
  • BL23 (Shenshu): Tonifies Kidney Jing, strengthens the lower back, and supports vitality and emotional stability.
  • BL18 (Ganshu): Supports Liver function, aids in emotional regulation, and calms the mind.
  • BL20 (Pishu): Strengthens Spleen Qi, enhances digestion, and supports the generation of Qi and Blood.
  • ST36 (Zusanli): Strengthens the Spleen and Stomach, invigorates Qi and Blood, supports resilience, and helps maintain emotional balance.
  • LV3 (Taichong): Moves Liver Qi, pacifies Liver Yang, and calms the Shen, providing emotional stability.
  • SP6 (Sanyinjiao): Harmonizes the Liver, Spleen, and Kidneys, improves digestion, and promotes relaxation.
  • GB39 (Xuanzhong): Nourishes marrow, aids neurological function, and supports mental resilience.
  • Yintang (M-HN-3): Calms the mind, reduces anxiety, and supports a state of mental relaxation.
  • Optional: Auricular NADA and ATP protocol with magnetic pallets on the auricle

Note: Flaws & Lake (2001) reference Ellis, Wiseman, & Boss (1988) for detailed functions of acupuncture points and Deadman & Al-Khafaji (1995) for insights into the Du Mai channel’s role in treating psycho-emotional disturbances.

Liver System Focus

Liver System Focus

The Liver’s role in emotional regulation, digestion, and structural stability made it central to managing the patient’s anxiety and physical endurance. According to Flaws (2005) and Kaptchuk (2000), the Liver is crucial for ensuring smooth Qi flow, which directly affects mood stability and stress management. The interdependence of the Liver and Kidney in TCM is essential for physical resilience and emotional stability, as both organs play vital roles in supporting vitality and managing stress.

In TCM theory, 肝 (Liver) and 肾 (Kidney) are thought to have a deeply interconnected relationship, meaning they stem from the same energetic origin and support each other in both function and substance. This concept reflects how the Liver and Kidney work in harmony within the body to maintain health and vitality, especially in areas like growth, development, aging, reproductive health, and emotional balance.

Key Points of 肝肾同源:

  • Shared Essence (Jing) and Blood Connection: The Kidney stores Jing (Essence), which is the foundational energy for the body’s growth and development. The Liver stores Blood and regulates its flow. Because Jing transforms into Blood, a deficiency in Kidney Jing can lead to Liver Blood deficiency, impacting areas like hair, vision, fertility, and emotional stability.
  • Mutual Support in Function: The Liver’s role in ensuring the smooth flow of Qi supports Kidney functions, especially related to fluid regulation, reproductive health, and mental clarity. The Kidney’s strength, in turn, stabilizes the Liver, helping it manage emotions and support physical growth.
  • Yin-Yang Balance: The Liver is associated with Wood and the Kidney with Water, and their relationship balances each other’s Yin and Yang aspects. For instance, Kidney Yin nourishes the Liver, while Liver Qi regulates Kidney functions.

Flaws (2005) emphasizes that the Liver regulates the free flow of Qi throughout the body, which is critical for emotional regulation and digestion. In biological terms, there is a close connection between Liver Yin and Kidney Jing essence, with Liver Qi supporting kidney functions and blood circulation linked to the lower back and lower extremities. This highlights the connection between the lower section of the body and the Liver’s function. Kaptchuk (2000) further explains that the Liver’s function in maintaining the body’s structural stability supports physical endurance, highlighting the importance of its harmonious relationship with the Kidney 

Progress and Outcome

Over four years, the patient progressed through the Treasure 3 framework’s three stages, achieving substantial mental and physical improvements and developing long-term resilience.

  • Stage 1: Acute Stabilization – The Upper Section protocol provided rapid relief during relapses, reducing the intensity and duration of her anxiety and physical exhaustion. KD1 (Yongquan) was particularly essential for grounding the patient, calming acute anxiety, and reducing panic by helping stabilize the Shen and Heart. This aligns with the benefits observed in acupuncture for acute anxiety, as points like DU20, LV3, and KD1 stabilize the nervous system and alleviate distressing symptoms (Wang et al., 2014). In line with trauma models described by Courtois and Ford (2016), this stage-based approach provided immediate relief, which is critical in trauma care, allowing her to manage acute symptoms effectively.
  • Stage 2: Recovery – In the Recovery stage, the Middle Section protocol introduced ST36 (Zusanli) to strengthen the Spleen and Stomach, support digestion, and build resilience, which enhanced her energy, mood, and sleep. ST36, a powerful point for building resilience, invigorates Qi and Blood and promotes physical endurance, empowering her to manage stress more independently. Harmonizing the Liver and Spleen in this stage further prevented stagnation and heat buildup, supporting emotional stability. Research supports this approach, as harmonizing Liver and Spleen Qi improves overall health and emotional resilience (Lu et al., 2013). Tai Ji and Qi Gong practices incorporated in this stage further boosted vagal tone and resilience, underscoring their physiological benefits in trauma recovery (McFadden et al., 2015).
  • Stage 3: Maintenance – During the final maintenance stage, KD3 (Taixi) and the back Shu points BL18 (Ganshu), BL20 (Pishu), and BL23 (Shenshu) were introduced to nourish Kidney Jing and stabilize foundational energy. KD3 and these back Shu points, particularly when used in combination, reinforce the Kidney and Liver’s role in mental and physical resilience, helping the patient achieve a lasting balance. This protocol was further supported by self-care practices, including Tai Ji, meditation, and breathing techniques, allowing the patient to sustain eight months of anxiety-free progress. Self-care practices like acupressure greatly support mental and physical health, enhancing resilience and balance (Lee & Fillerup, 2017). This sustained progress highlights the efficacy of Tai Ji and Qi Gong in mental health self-care, aligning with findings by Chen et al. (2018) on improvements in psychosocial well-being and vagal tone.

Through this structured approach, she transitioned from managing acute episodes to sustaining her well-being, achieving a balanced state of resilience and self-sufficiency in her mental and physical health. In addition to acupuncture, the patient is encouraged to engage in acupressure, Tai Ji – Qi Gong, breathing exercises, and visualization practices to reinforce mental resilience, focus on positive imagery, and maintain overall wellness. This comprehensive approach helps sustain the patient’s well-being with a target frequency of one treatment per month or even less frequently as the patient stabilizes.

For information on  TCM Treasure 3™-Based Breathing Technique, please read my blog on 3-7-9 Breathing Technique: An Easy Guide

 

Discussion

 

The Treasure 3 model aligns treatment with the body’s natural organization into three interconnected sections—Upper, Middle, and Lower—each responsible for crucial functions in physical, emotional, and spiritual health. This anatomical alignment in TCM is foundational in guiding holistic treatment strategies that balance the physical and energetic needs of each section. Maciocia (2009) and Yanchi (1988) discuss how this tripartite structure supports comprehensive treatment approaches, addressing the unique needs of each section to promote overall health and balance.

The Treasure 3 model is presented here as a contextual framework for managing mental health, incorporating essential elements such as treatment planning, patient-centered care, and self-care. By guiding patients toward self-care practices like Tai Ji and Qi Gong, the model encourages engagement with their intrinsic healing potential. Wang et al. (2014) highlight that Tai Ji principles support the harmony of Jing (grounded posture along the Yang line), Qi (breath and energy regulation), and Shen (mindfulness and mental clarity), each promoting resilience across body, mind, and spirit. Lee and Fillerup (2017) further emphasize the effectiveness of Tai Ji and Qi Gong in enhancing mental well-being and physical health.

Referemces

Carter, K. M., Olshan-Perlmutter, M., Norton, H. J., & Smith, M. O. (2017). NADA protocol: Integrative acupuncture in addictions. Medicines, 4(1), 5. https://doi.org/10.3390/medicines4010005

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Recommendations on the Implementation of NZ Community Acupuncture Project (NZCAP) and Future Outlook

NZCAP serves as a promising model for providing accessible, holistic healthcare through community acupuncture. This seven-session entry-level program is rooted in the Treasure 3 framework, leveraging the strengths of a supportive, community-centered approach to create a safe, inclusive environment. Here, participants not only receive therapeutic care but also develop self-healing skills and build meaningful connections within the community. To strengthen and expand this model, the following recommendations and outlook are proposed:

1. Heaven: Therapeutic Intervention and Immediate Support

In the NZCAP project, the Heaven component represents the acupuncture therapy itself, with a primary focus on Auricular acupuncture. Conducted by a certified acupuncturist in collaboration with social workers or support staff from networks such as the RSA (Returned and Services’ Association) and other local support organizations, this therapeutic intervention provides participants with immediate symptom relief and a caring, professional presence. This dual support structure ensures that each participant’s needs are addressed compassionately and that safety remains a priority.

Recommendation: Establish partnerships with local RSA branches and other support networks, expanding the pool of trained support staff to accompany acupuncture sessions. This professional presence fosters a sense of security and allows participants to experience acupuncture within a trusted framework, addressing immediate therapeutic needs and helping them feel supported throughout their healing process.

2. Humanity: Building Community Connections and Emotional Support

The Humanity component of the program emphasizes a community environment that encourages connection and mutual support. Conducted in a group setting, NZCAP facilitates a space where participants can share experiences, offer encouragement, and feel united in their healing journeys. This community-based approach amplifies the therapeutic benefits of acupuncture by creating a shared experience, fostering both individual and collective healing.

Recommendation: Enhance the group dynamic by incorporating reflective practices and group check-ins before or after sessions. This could be done through guided discussions or small sharing circles that allow participants to voice their thoughts and feelings, thereby strengthening the sense of community. Regular debriefing with group facilitators and support staff will also enhance the group’s cohesion and encourage lasting connections.

3. Earth: Empowering Self-Care and Sustainable Healing Practices

The Earth component encourages self-care practices and sustainable healing through connections with community-based organizations, such as RSA branches, RAS (Refugee As Survivors), and WSAH (Wellington Sexual Abuse Help). These partnerships create a foundational support network that extends beyond the acupuncture sessions, fostering participant engagement in self-healing practices. Participants are introduced to Tai Ji and Qi Gong techniques, such as the Six Healing Sounds, empowering them with exercises they can practice independently to build resilience and maintain body-mind connection.

Recommendation: Offer ongoing workshops or instructional materials on Tai Ji and Qi Gong techniques, either in person or through digital resources, to empower participants in their self-care journey. Providing take-home guides, video tutorials, or app access can help participants practice these exercises at their convenience, reinforcing self-care and resilience beyond the program.


 

Future Outlook

The NZCAP community acupuncture model has the potential to expand access to holistic healthcare and promote sustainable well-being across diverse communities in New Zealand. As the program develops, the following strategies can help broaden its impact:

  • Scaling the Model to Regional Centers: By partnering with community organizations across various regions, NZCAP can bring this model to underserved communities. Establishing regional hubs with trained practitioners and support personnel will enable more people to access this compassionate, community-based care model.
  • Developing Research and Evidence-Based Practices: To enhance the program’s credibility and demonstrate its effectiveness, NZCAP could collaborate with research institutions to conduct studies on the health and psychological outcomes of participants. Evidence-based results would build support for community acupuncture as a valuable addition to holistic healthcare in New Zealand.
  • Forming Alliances with Organizations: As a charity, NZCAP can strengthen its reach by forming alliances with community and healthcare organizations open to piloting the seven-session design. These alliances will help refine the model and create a supportive network to further community-based healthcare initiatives.
  • Expanding Self-Care Education and Resources: As participants gain experience with Tai Ji, Qi Gong, and other self-care practices, the program can expand its educational resources. Providing access through online platforms or community workshops will enable participants to maintain self-care routines and foster stronger community ties.

The NZCAP community acupuncture project exemplifies a holistic, accessible approach to healthcare, enabling individuals to regain control of their health through progressive self-awareness and community support. By integrating acupuncture, group support, and sustainable self-care practices, NZCAP provides an empowering pathway to recovery and well-being, with the potential to transform health access in New Zealand.

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