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TCM Wisdom TubeTM

Master Tungs Essential

Points for Pain

bySusan Johnson, L.Ac.

LEARN THE SCIENCE PRACTICE THE ART HEAL


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(33.12)Heart GateXin MenReaction Area:HT

Groin Pain (inguinal region pain due to ischemia) 1

Inner Knee Pain and Inner Thigh Pain

Tail Bone (sacral nerve pain) 1

Rheumatoid Arthritis1

Sciatica (Tai Yang) 1

Dry Vomiting3

Liver Cholera (Acute Gastroenteritis with Vomiting & Diarrhea)3

Heart Palpitation3

Inflammation of the Heart Organ (carditis)1

Chest Oppression3

Lower Back Pain 2

Location:Two to three fingers distal to the tip of the ulna on the Small Intestine

channel (book says 1.5 cun, Susan uses 2 cun). Needle perpendicularly,

very gently tapping the ulna, until the needle slides in along side the bone.

Susan Johnson and Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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Needle Technique:

Depth: 1.0 cun

For groin, inside thigh, knee and sciatica issue use opposite side.

For heart disease, nausea, liver fire rising and coccyx pain both sidecan be used simultaneously.

Combination:

Groin Pain33.12Heart Gate

Coccyx Pain33.12Heart Gate, 55.04 & 55.05Flower Bone Three & Four

Rheumatoid Arthritis11.27Five Tiger, 33.12Heart Gate, 88.01PassingGate, 88.02Passing Mountain (Both)1

Golfer Elbow33.12Heart Gate (Opp), SI3(Same)2, 4

Heart Muscle Infection(after flu or cold) 33.12Heart Gate, PC61

Knee Pain(bone spur) 33.12(Heart Gate), 77.09Four Flower Middle,

77.11Four Flower Lower. 2, 4

Comments:

Heart points in Tungs system treat the knee. Pain of the inside knee area,

usually comes from bone spurs or a degenerative process.2, 4

Dr. Young teaches the concept of using bone to treat bone, which is true

in this case. Use the needling technique as close to the bone as possible,

making contact with the shaft not the point, of the needle.

This point utilizes the communication between Hand and Foot Tai Yang.

Notes yet to be integrated:

*groin pn strong stimulation, then move patients leg (for them), rocking back andforth, then internal/external rotation of the hip socket. Support leg securely with one hand

under the knee and the other under arch of foot, as patients fear adduction when leg is inexternal rotation.





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*knee pn. - Heart pts. in Tungs system also treat the knee. Pain of medial kneearea usually comes from bone spurs or degenerative knee. If spurs

get worse,disperse with 4 Flower Upper and Middle. H Gate is terrific for

knee pain, guide w/LV2 fire nature, LV controls tendons or Huo

Ju 1 proximal to LV3, or both to pull chi directly into the knee.Hou Ju has earth nature, a long bone = water, wood meridian =wind, :.wood, cold and damp. ST43 for front, GBpt for lateral knee

If both knees in pain, needle both H Gates and both LV2, stimulateNeedles for one side at a time or male left, female right.

*tail bone and sacral pain ***, use both sides, also Huo Wei + Jen Wei

before and after GV20, but H Gate is better. Fall on stairs. Bonetreats bone, Hand and Foot Tai Yang communicating, Upper-

middle-lower, this is lower.

Myocarditis especially w/young people, SOB, may have caught cold some timeago, injured heart muscle, may not know, thinks just tired. Zhi Gan Cao +

Shen Mai San Generate Pulse. SOB w/10 steps Shen Fu Gu Li Tong(Dong shen, Fu Zi, Long Gu, Mu Li) + Shen Mai San (Ren Shen, Mai

Men Dong, Wu Wei Zi), treats yin and yang, tonifies yin. Can substituteDang Shen for Ren Shen but use three times the amount. Very good for

SOB, especially w/high altitude, avoid sickness. People at higher altitudeeat mostly meat, cant get vegetables, use San Ren Tang (for 3 Jiao Damp)

Xing Ren = upper, Kou Ren = middle, Yi Yi Ren = lower. Huo Xiangtonifies middle. Heart Gate, PC6, ST36, LV2 & 3, bleed apex and Four

Flower.





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(66.02) Wood WifeMu FuReaction Area:HT

Leukorrhea (red or yellow discharge, irritated and itchy) 1

Blocked Fallopian Tube 1

Amenorrhea 1

Dysmenorrhea 1

Uterine Inflammation (metritis) 1

Vaginal Irritation 4

Irregular Menstruation 1

Location:On the dorsum of the second toe, 0.3 cun lateral to the center of the middle

phalange.

Needle Technique:

2-4 fen





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Right side needling, for women only.

Sensitive point, use strong stimulation for 8-10 seconds with a thin needle, then

retain. Slide down lateral phalange to increase kidney function.

Combination:

Fallopian Tube Blocked11.06 Return to Nest, 11.24 Gynecological,

66.02 Wood Wife 4

Nourish Yin and Liver Fire66.02Wood Wife, 77.17Tian Huang or

77.18Shen Guan, 77.21Ren Huang 3

Comments:

Women have a tendency to anger, worry, and frustration. These negativeEmotions generate liver fire which then inflames the heart. For middle-aged

women, one should mostly treat the liver.

A useful combination is to use 66.02Mu Fu with the Two Emperors,

77.17Tian Huang or 77.18Shen Guan and 77.21Ren Huang. These two

additional points enrich kidney yin in order to soften the liver, nourish water

and control fire.3

If the Fallopian tube blocked, the qi is blocked. This point affects the

Yangming channels which have more qi and more blood. This point adjusts

the qi and blood.4

66.02Wood Wife functions similarly to ST44(inner courtyard or plaza, implies

uterus) by clearing damp heat and calming spirit. 4





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(A05) Small Joint

Xiaojie

Ankle Pain 1

Rheumatism in the Ankle 1

Twisted Ankle (lateral or medial)

Back of Shoulder Pain

Lower Back Pain

Sciatica (close to Ling Gu and Da Bai)

Diarrhea (close to Tu Shui)

Location: Found at the base of the thumb on the palmar surface of the hand. Insert the

needle just anterior and inferior to the large knuckle at the junction of the

first metacarpal bone and the thumb, threading the needle superficially

across the thenar eminence angled toward PC7 Da Ling.





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Needle Technique:

Depth:Needle insertion at least 2.0 cun.

Needle transversely under skin towardPC7.

Comments:

Any kind of ankle pain A05Small Joint, one may add 11.27Five Tiger #4.

If caused by bone spur will need more treatment, otherwise two treatments.

For acute twisted ankle with severe swelling, bleeding the local area is

additionally appropriate.





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(A.04) Three Jam, ThreeSanchasan (Sancha III)

Common Cold (early stage, wind heat or wind chill) 1

Headache 1

Sore Throat 1

Allergies2, 4

Any Disease of the Five Senses (nose, tooth, eye, ear, throat) 2, 4

Tinnitus1

Fatigue (energizes) 2, 4

Severe Myasthenia (weakness of muscles) 1

Drooping Eye Lids 2, 4

Itching Skin, Hives or Rashes (disperses wind)2, 4

Palpitations (with fast pulse)1

Chest Pressure2, 4





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Chest and Rib Pain2, 4

Upper Leg Pain or Soreness 2

Lower Back Pain (connects GB32)2, 4

Shoulder Pain1

Neck Injury

2, 4

Nausea and Vomiting 2

Location: At the joint base between the 4thand 5

thphalanges, on the

dorsum of the hand, needled with the hand in a soft fist. (SJ2 directed

towards SJ3)

Needle Technique:

Depth:

Insertion 1.0-1.5 cun, deep towards the palm

Mostly bilateral

Opposite side for pain

For shoulder pain, same side as a guiding point

Combination:

Itchy Allergies (sinusitis) or Common Cold A.04Sancha III,

88.17, 88.18, 88.19 Four Horses, LI20(GP) 2, 4

Common Cold w/ HAA.04Sancha III, 22.04Da Bai 2, 4

Common Cold w/ Sore ThroatA.04Sancha III, LU10 2, 4

FatigueA.04Sancha III, 1010.22Nose Wing, 77.18, 77.19, 77.21

Three Emperors 4

FibromyalgiaA.04Sancha III, 88.17, 88.18, 88.19 Four Horses

or A.04Sancha III, LI4, 66.04Fire Master,66.09Water Curve 2

UticariaA.04Sancha III toward HT8, 88.17, 88.18, 88.19 Four

Horses, 88.25 Central Nine Miles, Ear Apex (Bld)2, 4





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Heavy Eye Lids A.04Sancha III, 66.05Gold Door, 66.11Fire

Chrysanthemum 2, 4

Floaters A.04Sancha III, 22.04Da Bai, 77.18Shen Guan, 77.28Light

Bright

2

Tinnitus A.04Sancha III, 22.05Ling Gu, 88.25 Central Nine Miles,

or88.17, 88.18, 88.19 Four Horses, SI19(GP) 2, 4

Ear Pain A.04Sancha III,88.18, 88.19 Four Horses, 77.22Beside

Three Miles (Bld) 2, 4

Otitis Media A.04Sancha III, bleed outer ankle and/or 11.26Control

Dirt 2, 4

Ear Nerve Pain A.04Sancha III,88.25 Central Nine Miles 2, 4

Inner Ear Distention A.04Sancha III, bleed or sedate LU5 2

Arthritis in the LegsA.04Sancha III, 22.05 Ling Gu, 88.25 Central

Nine Miles, A.01Seven Miles, 44.06Shoulder Center 2, 4

Thigh PainA.04Sancha III, 88.25 Central Nine Miles, A.01Seven

Miles or DT.07Three Gold or DT.09Gold Forest 2, 4

TachycardiaA.04Sancha III, 33.12Heart Gate, 88.01Passing Gate,

88.03Passing Heaven, HT7, 11.19Normal Heart, Ear Apex (Bld) 2, 4

Comments:

Sancha III is located at the joint base between the fourth and fifth phalanges, on

the dorsum of the hand. Its location is identical to TW2, but it is needled toward

H8 in the palm, or toward TW3. Insertion is 1.5-2. Deep needling treats

tendons and bone.

Sancha III is the most commonly used of the three Sancha points, and can be

used for disorders both above and below the waist. Since the fingers correspond

to the head, this point will treat any disease of the Five Senses (nose, tooth, eye,

ear, throat). Because Sancha III connects with GB32 it treats low back pain.





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Sancha III is a primary point for the immune system. Located close to the Small

Intestine channel, it communicates with the Spleen via the Hand Taiyang Leg

Taiyin connection. Sancha III tonifies the Spleen and the immune system by

invigorating Spleen Qi. It is excellent for treating early stage common cold,

wind heat or wind chill. For a common cold with headache, add 22.04 Da Bai;for sore throat, add Lu10. This point energizes the body, so is very good for

fatigue.

Because Hand Shaoyang (Triple Warmer) connects with Leg Shaoyin (Kidney),

Sancha III is a powerful point for Kidney-related issues, including vital energy,

hormones, bone, tinnitus, exhaustion, and low back pain. The Triple Warmer

channel also relates to all three jiao and to water metabolism.

Because of its connection with the Spleen, it treats muscle weakness, and when

used in conjunction with St43, also treats drooping eyelids.

As the Ying-Spring point, Sancha III is used for fire disease and change of

color. It treats itching skin or rashes because it disperses wind. For acute

uticaria, we can use Sancha III because it is connected with H8, and itching,

boils and pain all come from the Heart.

This point is also useful for palpitations with a fast pulse. (For a slow pulse, use

Pc6, LV2 and LV3, or Sancha II.)

Sancha III can also be used as a guide for frozen shoulder due to its link with

the Triple Warmer channel. For shoulder pain, needle Sancha III on the same

side.





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(22.04) Great WhiteDa BaiReaction Area:LU

Pediatric Asthma 1

High Fever in Children (very effective) 1

Sciatica (due to Lung deficiency) 1

Pneumonia (acute) 1

Head & Face Ache 4

Trigeminal Neuralgia 4

Location: Find the classic location of LI3 under the distal head of the second

metacarpal bone. From there move to the depression above the tendon,

directly adjacent to the bone. Use a curving needle technique underneath the

first and second metacarpals towards PC8 Lao Gong.





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Needle Technique:

Depth:

Sciatica: .5- 1.5 cun

Pediatric Asthma: Bleed

High Fever: Bleed

Pneumonia suddenly attacking Lung: Bleed

22.04Da Bai rarely used alone and most commonly combine with

22.05Ling Gu.

Caution: Not used in pregnancy

Combination:

Common Cold Headache22.04Da Bai, A04Sanchasan 2, 4

Ischial Nerve Pain22.05Ling Gu, 22.04Da Bai 1

Spinal Pain22.05Ling Gu, 22.04Da Bai 1

Painful Urination22.05Ling Gu, 22.04Da Bai, 1010.13, 1010.14

Frequent Urination22.05Ling Gu, 22.04Da Bai 1

Tennis Elbow Pain33.07Fire Bowels Sea with LI11(opp.)

and 22.05Ling Gu or 22.04Da Bai 1(same)

Inguinal Crease Pain22.05Ling Gu, 22.04Da Bai 1

Dizziness22.05Ling Gu, 22.04Da Bai 1

Sciatica(thigh, UB, GB, SP, ST) 22.05Ling Gu, 22.04Da Bai 1

Comments:

22.04Da Bai (white/gold) relates to the Lung and it is in upper jiao

hand area: treats bronchitis, asthma and headache.





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Class notes not completely integrated

*high fever, asthma and pneumonia, in kids. Next to LI3, close to the bone

wood pt, so treats wind on the lung channel (c.cold)*purplish vein, good to bleed on kids.*C03+Lv2, see GB31 for insomnia





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(22.05) Spirit BoneLing GuReaction Area:LU, Site Bone

Hemiplegia of the Face & Body (Bells Palsy) 1

Hemi paralysis of Nerves 2

Sciatica (due to Lung deficiency, Urinary Bladder channel) 1

Tinnitus 1

Low Back Pain 1

Upper Back Pain 1

Lower Limb Pain 1

Weakness of Legs 2

Waist Pain 1

Foot Pain 1 Knee Pain 2

Swelling of Bone and Surrounding Tissue 1

Menstrual Irregularity 3

Amenorrhea 1

Menstrual Pain 1

Excessive or Scanty Menstruation 1

Hyper or Hypo-Menorrhagia 1

Periumbilical Pain 1

Difficult Delivery 1

Deafness 1

Half Face Numbness 1

One Side Headache 1

Migraine 1

Intestinal Pain 1

Abdominal Distention 2

Frequent Urination (polyuria, due to yang deficiency) 5

Pain During Urination 2

Dizziness 2

Elbow Pain (alone) 1 Inguinal Pain (alone) 1

Shoulder Motor Impairment (due to pain) 1

Poor Appetite 1

Prolapsed Rectum 1





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Location:On the dorsal side of the hand, just distal to the junction of the proximal

heads of the first and second metacarpal bones. Slide down perpendicularly

along side the bony intersection for any pain condition. 1.0 cun proximal to

LI4He Gu.

Needle Technique: 0.5 1.3 cun perpendicular insertion

Caution:Not used in pregnancy

Combination:

Confused Mental State22.05Ling Gu, 22.04Da Bai, LI11,77.18, 77.19, 77.21Three Emperors 4

Dizziness22.05Ling Gu, 22.04Da Bai 1

Dizziness22.05Ling Gu, 22.04Da Bai, LI11(due to Large Intestines

& Liver connection) If nausea add PC64

Elbow Pain22.05Ling Gu, 22.04Da Bai (opp.), add guide (same)

Frozen Shoulder22.05Ling Gu, 22.04Da Bai, Fen Bai (Which

makes a triangle with 22.05 Ling Gu and 22.04 Da Bai, and is

located next to the first metacarpal bone, just proximal to the distal

head)2

Greater Trochanter Hip Pain 22.05 Ling Gu, 22.04 Da Bai (Opp.),

77.05 77.07ThreeWeights (Opp), GB41orGB31 (Same)

Heel Pain22.05Ling Gu, 22.04Da Bai, 11.27# 5Five Tiger (Opp),

UB65(Same)* 2, 4

Hemiplegia22.05Ling Gu, 22.04Da Bai, GB31, GB32,

77.18Shen Guan and sometimes DT.04Five Mountain Range 2

Inguinal Crease Pain22.05Ling Gu, 22.04Da Bai 1





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Ischial Nerve Pain22.05Ling Gu, 22.04Da Bai 1

Menieres disease88.12, 88.13, 88.14Three Yellows, 22.05Ling Gu,

PC6(one side), LI11(other side) 2, 4 careful to avoid too many

needles or excessive needle stimulation (wind disease).

Painful Urination22.05Ling Gu, 22.04Da Bai, 1010.13, 1010.14

ParalysisFirst use 11.10Wood Fire, then add 22.05Ling Gu,

22.04Da Bai, (wood & fire connection) 2, 4

Sciatica(Gall Bladder) 22.05Ling Gu, 22.04Da Bai, SJ3

or SJ5(Opp), GB41(Same) 2, 4

Sciatica(Thigh, Spleen, Stomach) 22.05Ling Gu, 22.04Da Bai 2, 4

Sciatica(Urinary Bladder) 22.05Ling Gu, 22.04Da Bai, SI3

or 22.08Wrist Prosperous One, (Opp), 1010.25State Water,(Opp),

UB65(GP), also can add 1010.22Nose Wing, (Opp) 2, 4

Spinal Pain22.05Ling Gu, 22.04Da Bai 1

Stroke22.05Ling Gu, 22.04Da Bai, GB31, GB32and or

DU19& DU21

towards DU20

Sty22.05Ling Gu, Ear Apex(Bld) 4

Tennis Elbow(lateral pain) LI10 (33.07), LI11(Opp), close to the

bone, 22.05Ling Gu (Same) 2

Tinnitus22.05(Ling Gu), 77.18, 77.19, 77.21Three Emperors,

tonifies Kidney

Tinnitus22.05(Ling Gu), 88.17, 88.18, 88.19Four Horses (tonify qi& yang) 2, 4

Tonify Kidney & Liver22.05Ling Gu, 22.04Da Bai,

77.18, 77.19, 77.21 Three Emperors* 4





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Comments:

*22.05Ling Gu connects with Kidney (when needling touch the bone) inlower jiao area of hand; very effective for heel pain.

*Large Intestine/Liver connection treats urinary disorders, dizziness,

groin pain, knee pain and shoulder pain.

22.05Ling Gu with 22.04Da Bai relates to water (Kidney) and metal

(Lung), together they tonify Kidney & Lung.

22.05Ling Gu and 22.04Da Bai, (water and gold connection),

represent the relationship of the Lung qi descending and Kidney qi

receiving. If panting occurs, the Lung qi is not descending. If

sighing

occurs, the Kidney qi is not receiving correctly. Harmonize waterand metal to complete breathing. Tonify qi to breath well.

Best combination for nourishing the yang and tonifying the qi. Very

powerful for qi deficiency anywhere - tired after little work, chronic

cough, frequent urination due to yang deficiency.

22.04Da Bai is near LI3and relates to wood. 22.05Ling Gu is

proximal

to LI4and relates to fire and wood, therefore; related to the blood

making the qi.

22.05Ling Gu tonifies Stomach qi for insufficient digestion.22.05 strengthens the effect of scalp acupuncture, as it increases the

circulation of qi and bld to the head.

Class notes, not completely integrated:

22.05 Ling Gu Spirit Bone, Miracle Bone.

*Muscle atrophy, use Yang Ming channel, b/c more chi and more blood,LG is near the lung channel, b/w LU9 Yuan Source pt and LI4

*Hemiplegia -- Da Bai is close to C03relates to wood, Ling Gu behindC04, so relates to fire, lung and chi. Fire and wood = bld, so chi and bld

related. For legs difficult to lift up, inguinal pain (better than H Gate).For hemiplegia or paralysis, wood and fire are the primary focus so use

Mu Huo pts, then use LG & DB--#1 for stroke, can add GB31,32and/or scalp pts before and after GV20, but always LG & DB, then 3

Empire to tonify K & Lv. If tx w/in 1 yr., 6 mos. better, if less than 60yrs old = 100% recovery, if not recovered 1

ststroke (left side), 2

nd stroke

(right side) = very difficult, will need herbs.*stagnation causing back and leg pn., Bells Palsy, bone swelling and





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spurs, irregular period or amenorrhea. (heart)*LG & DB, either side of C04, so source pt related

*Lv3 & C04main source pts., source pts. are strongest chi pts.*LG & DB #1 combo for sciatica ( GB, UB, ST). Fingers correspond to

genitals and hips. UB merid = 70-80% of cases, 20-30%

are GB merid, occass Tai Yin (front of thigh), these treat all of them,covers large area. Often UB thigh w/ GB calf, or vis versa. Usually L3- 4= front, L4-5 = side. L5 is mostly UB, if 2 vertebrae will be UB & GB.

*for lower back pain or sciatica due to lung weakness, Colon!Lung,Lung!Colon. Worse with exercise or movement. Use SI3,Co3.5, 4.5 +

Bi I (1010.22) opp.side w/ UB65 same side for Tai Yang sciatica, orGB41 same side for Shao Yang sciatica w/ SI3,4, TW3,5 opp. side.

Bleed UB40 every other treatment. If both, UB65 and GB41 together,These are both guiding points and treating points simultaneously, w/

LG/DB.*uniquely good for front of the thigh muscle pn. or sciatica

*for tennis elbow (lateral pain) use Ling Gu same side w/ Co10 + Co11opposite side. Da Bai might be better than LG, because closer to Shu pt.

*for heel pain, use Ling Gu + Five Tiger 5 opp. side, UB65 same sideLG connects w/Kidney (touch the bone), in lower jiao area of hand .:

heel pn.*migraine HA

*dizzy and HA*dysmenorrhea

*colon pain, or low abdominal bloating (K def.)*anal prolapse

*back and spine pain

*frequent urine b/c tonifies the kidneysSo, LG/DB has wood/fire function, warms the yang, can regulate the whole body,fire function, metal channel, tonifies Kidney. Can regulate metal/water and

wood/fire, metal/water is heavy, so yin nourishes yin, wood/fire is yang, woodfire rising. Dry earth = yang, damp earth = yin, so these 2 pts. can regulate

everything.





25/26

July 10th, 2012

Postscript from Susan:

The content of this course is excerpted from my work in progress;some of these notes are not yet refined.

I would like to thank the Lotus Institute of Integrative Medicine for the

marvelous job they do to provide a forum for continued learning. I

thoroughly enjoy the variety of webinars that Lotus Institute makes

available, and am grateful for the opportunity to bring Tung!s Points to

practitioners and their patients everywhere.

Please see www.tungspoints.comfor more information about Master

Tung!s Magic Points, to order books and DVDs, and to register for

beginning and advanced classes on Master Tung!s Magic Points.

Thanks to you the viewer for your participation in this webinar!

Sincerely,

Susan Johnson, L.Ac.





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Evergreen Herbs is not just an Herbal company, we are anenvironmentally friendly, health conscious contributor to the health-care community at large. Evergreen was founded by Dr. John Chenand Tina Chen, siblings and coauthors of the Chinese MedicalHerbology and Pharmacology, and the Chinese Herbal Formulasand Applicationsbooks.

Evergreen is a family business that is run by professionals like youwho care about Chinese medicine. And as a family business, wehave the well-being and satisfaction of our customers at the topof our list. We care about the quality of our herbs, because wecare about our consumers, and have your best interest at heart.Our goal is to support you in improving your clinical skills, andenhancing the well-being of your patients.

To learn more about Evergreen Herbs and our products, please

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