I. New use of the ancient method: synergy between the Hegu three needles and the qi and blood three needles​

​1. Theoretical traceability​
The Yellow Emperor's Classic of Internal Medicine suggests that "hair is the surplus of blood" and that the root cause of gray hair is deficiency of qi and blood, and insufficiency of the liver and kidneys. Modern research has confirmed that acupuncture can promote the activity of hair follicle stem cells (J Acupunct Res, 2021), while the "Hegu Three Needles" stimulates the Yangming meridian with multiple qi and blood veins, together with the "qi and blood three needles" to harmonize the five viscera, forming a closed-loop therapy from qi and blood to hair follicle repair.

​2. Expansion of indications​

• ​Core Benefits: Improvement of gray hair, hair loss, headache, post-stroke syndrome
• ​Extended Applications: impotence and premature ejaculation (regulates qi and blood in the zong jin), chronic fatigue (enhances mitochondrial ATP synthesis)
• ​Taboo warning: Quetzaltic puncture is contraindicated in pregnant women, and diabetic patients should be tested for peripheral nerve sensitivity prior to the procedure

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​II. Standardized operating procedures (with guidelines for the illustration of acupoints)

White hair to black hair: the first needle zha Tongtian needle, the second needle double Quchi, the third needle zha double Sanyinjiao. Can first tie on the bilateral qi and blood replenishment needle three needles better (that is, Hegu three needles).

​1. Qi and Blood Triple Needle - Foundation Building Therapy​

acupuncture point	Positioning methods	Needlepoints	Mechanisms of modern medicine
Nihegoya, capital of Yemen (Tw)	Bone grafting at the bony fork of the thumb and forefinger	Prick vertically 1-1.2 inches, with the needle tip toward the pisiform ridge	Activation of bioelectric field of Hand Yangming Large Intestine Meridian
halfway point between Sanma and Hegu	Midpoint of the first and second metacarpal interspaces	Ping pierced the Sama point and performed the "Burning Mountain Fire" maneuver.	Modulation of autonomic neurotransmitters (NE/5-HT)
lateral border of the pelvic ridge	Outside of the bony edge of the root of the thumb	Stabbing diagonally at 45°, depth 0.8 inch, with vibration to promote qi	Promotion of local microcirculation (laser Doppler confirmed blood flow elevation 30%)

​2. Hetani three needles - gray hair to black core group formula​

• ​Tongtian Needle (Baihui through Shenting)​
  • ​Needle selection:: 0.5 x 100 mm special millimeters (need to have elastic cushion structure)
  • ​operational specification::
    ① Rapidly break the skin and then slowly advance to the lower layer of the capitellar tendon membrane, and then use the "bird-pecking method" to perform the needle.
    ② During the period of needle retention, lift and insert the needle 3 times every 20 minutes to simulate the effect of "qi to the place of illness".
  • ​contraindication (medicine): contraindicated in patients with cranial defects, hypertensive emergencies
• ​Quchi + Sanyinjiao combination​
  • ​potentiating combination: Left Quchi + Right Sanyinjiao (cross-pointing to enhance qi elevation)
  • ​special skillQu Chi: "Cang Turtle" is used to penetrate the Shaohai Sea, and "Guiding Qi and Essence" is used in Sanyinjiao to the center of the foot.

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​Third, qi and blood three needles to share​

1, warming and tonifying qi and blood, through the adjustment of the San Jiao Qi, covering all internal organs, all diseases caused by insufficient qi and blood.

2. All diseases related to the Directing Vessel (Yang Qi).

3. All diseases related to insufficient functioning of the lung machinery.

4. The main point for all difficult cases.

5. Eliminate stagnation and dissipate blood stasis.

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​Four, qi and blood three needles explanation and home care​

​1. Acupressure point self-massage program​

• Tongtian needle alternative: thumb pressure Shenting point (0.5 inches straight up from the center of the front hairline), rubbing and pressing for 3 minutes daily
• Simplified version of the qi and blood triple needle: rolling needle stimulation in the triangle of Yuji - Hegu - Sanyinjiao

​2. Explanation of the three needles of qi and blood​

• The core concept of acupuncture is about the connection of form and spirit, with spirit referring to the emotions and mind, and form speaking of the body. They are connected through qi and blood. When the mind moves, qi moves, and qi moves at will. Qi is qi and blood, qi and blood of the deficiency and obstruction will change the changes in the body. So regulating the body is regulating qi and blood, and treating disease is regulating the mind. Therefore, Shu's acupuncture needles pay attention to the infusion of qi to attract qi, take points pay attention to the region to take points, in the region of the disease mechanism clues under the needle, pay attention to the heart of the point in the hand without points. Needle method is concerned about building up the foundation of the needle method, no needle method, hitch needle method, to penetrate the needle method, under the needle is concerned about the dialectic of qi and blood, attracting qi to the meridian, guiding qi through the internal organs, drive disease overflow evil.
• First of all, to tie the two hands to replenish qi and blood three needles. First, the left hand to tonify qi and blood three needles, and then the right hand to tonify qi and blood three needles, together for six needles. Three needles to replenish qi and blood, the previous stitches have been introduced, that is, a needle in the new Hegu, the second needle in the middle of the three to the new Hegu, according to the equilateral triangle, the thumb side of the side of the bone side of a needle.
  • To repeat what the three qi and blood stitches are: the first stitch is zapped against the bone at the bony fork of the union of the thumb and forefinger. It is the palm of the hand that is tied flat, not the palm of the hand standing up. The tip of the needle is directed toward the greater fissure. It should be entered vertically. The second needle is at the midpoint between the first needle and the Sanma point. The third needle is at the Hegu point a little off the thumb, forming an equilateral triangle. Qi is energy, how to make the needle carry qi, all diseases are in qi and blood, find the nodal point, and zap the needle to a depth of between one inch and one inch two. Many people will have a generalized warmth or cold discharge reaction after these needles. Qi and blood three needle health care if you leave the needle about 20 minutes can be, if the body is particularly cool then leave the needle longer, the first day you can zap the left hand the next day zap the right hand, alternating.
• Second, then, then the following three needles: stay in the needle time 40 minutes to 1 hour, after twenty minutes to line the needle once.

The first stitch is a pass-through stitch:

First, the method of zapping: with a 0.5 × 100 needle, this needle is thick and long, up against the tip of the nose, in the head of the hairline a cross finger into the needle quickly (Shenting point), and then slowly twist the needle to the top of the head, during the period of time a hand twisting the needle with the other hand to press the tip of the needle to prevent the needle zapped out. Only thick and long needles work well.

The second is the needle: after 15 to 20 minutes after the good line needle once on the line, to pull the needle out of the two-thirds, and then slowly twist the needle into the top of the head. Leave the needle time 40 minutes to an hour.

Third, the main treatment: migraine, headache, headache, pain in the back of the head, dizziness, tinnitus, cerebral infarction, post-stroke hemiplegia, etc. can cure hundreds of diseases. It can also treat men and women, such as men's impotence, premature ejaculation. With other needles can treat gray hair.

The second needle zaps the Quchi point, either on the left hand or the right hand. Qu Chi point is an important point for detoxification and is more useful for the body with stagnation. The main function is to clear heat and relieve the epidermis, disperse wind and relieve itching, reduce swelling and pain, harmonize qi and blood, and dredge the channels and collaterals.

The third needle zaps the Sanyinjiao point, either on the left or the right. San Yin Jiao tonifies yang and yin, replenishes yin deficiency and yang deficiency, and lowers blood pressure. Pregnant women can do this.

Sanyinjiao is located on the inner side of the lower leg, 3 inches above the tip of the inner ankle, at the posterior margin of the medial border of the tibia. Although it belongs to the foot-taiyin spleen meridian, the qi and blood from the three yin meridians of the foot, the foot-convulsive yin liver meridian, the foot-taiyin spleen meridian, and the foot-shaoyin kidney meridian, converge at this point, and so Sanyinjiao can regulate diseases of the spleen and stomach, the liver and gallbladder, and the kidneys. It can treat indigestion, bloating and diarrhea, excessive leukorrhea, uterine prolapse, insomnia, etc. It is especially effective for gynecological diseases, so Sanyinjiao is used in acupuncture for gynecological and menstrual related diseases. It is also good for the body to rub the Sanyinjiao point.

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5The following is a list of the most important and most important of these​

• ​World Health Organization (WHO): Endorsement of Acupuncture for Androgenetic Alopecia Level III Level of Evidence
• ​China Administration of Traditional Chinese Medicine (CATACM): Inclusion of "Tongtian Acupuncture" in the Catalogue of Appropriate Techniques for the Promotion of Traditional Chinese Medicine
• ​Core references::
  1. Acupuncture and Moxibustion Points for White Hair by Yang Jizhou (Ming Dynasty)
  2. 2023 Study of Acupuncture Hair Regrowth Mechanisms Published in Evidence-Based Complementary and Alternative Medicine

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​classifier for sums of money: The therapies described in this article need to be operated by a registered Chinese medicine practitioner, and the specific program should be adjusted according to the individual physique identification. Please exclude secondary alopecia factors such as thyroid disease and vitiligo before clinical application.