The Auricular Charts

249

Appendix 1

The auricular charts

The auricular charts in this appendix should be con-sulted cum grano salis (literally with a grain of salt;i.e. with discernment). They should not be consid-ered as having absolute value but rather be inter-preted freely, adapted and updated with regard tolocation, dimension and the intrinsic clinical valueof each somatotopic area. This will depend on thepersonal experience of each practitioner and the

diagnosticmethod adopted. To offer readers an easyand advantageous comparison of the auricular rep-resentation of the body according to different medi-cal traditions and schools of thought, the maps havebeen arranged in pairs, allowing face to faceconsultation of the French map on the left page withthe corresponding Chinese map on the right-handpage.

13 12

14

16

17

18

11

109

87 6

515

2

1

34

Z

24

26 25

2021

2729

28

30

2223

19

123456789101112131415

No. Representation No. Representation

Cervical spine C1-C7Thoracic spine Th1-Th12Lumbar spine L1-L5Sacrum-coccyxFootTibia-fibulaKneeThighHipDiaphragmChestThumbFingersWristForearm

161718192021222324252627282930

ElbowArmShoulderInternal ear (internal surface)Occipital boneParietal boneFrontal boneFrontal sinusTMJUpper jawLower jawTongueLipsEyeExternal nose

Fig. A1.1 The somatotopic representations of the body and of the cephalic extremity according to Nogier1,2,3,4

(z ¼ point zero).

250 Auricular acupuncture diagnosis

External ear

External nose

AH1AH2AH3AH4AH5AH6AH7AH8AH9

AH10AH11AH12AH13

SF1SF2SF3

SF4,5SF6CO1AT1AT2AT3LO1LO2LO3LO5LO6

LO7,8,9TG4

genzhi

huaixi

kuanzuogushenjing

tunfu

yaodizhuixiong

xiongzhuijing

jingzhuizhi

wanzhou

jiansuogu

koue

niezhen

yashehe

yanneier

biantaotineibi

= heel= toe= ankle= knee= hip= sciatic nerve= gluteus= abdomen= lumbar-sacral vertebrae= chest= thoracic vertebrae= neck= cervical vertebrae= finger= wrist= elbow= shoulder= clavicle= mouth= forehead= temple= occiput= tooth= tongue= jaw= eye= internal ear= tonsil= internal nose

AbdomenAnkle

Cervical vertebraeChest

ClavicleElbow

EyeFinger

ForeheadGluteus

HeelHip

Internal earInternal nose

JawKnee

Lumbar-sacral vertebraeMouth

NeckOcciput

Sciatic nerveShoulder

TempleThoracic vertebrae

ToeTongue

TonsilToothWrist

= AH8= AH3= AH13= AH10= SF6= SF3= LO5= SF1= AT1= AH7= AH1= AH5= LO6= TG4= LO3= AH4= AH9= CO1= AH12= AT3= AH6= SF4,5= AT2= AH11= AH2= LO2= LO7,8,9= LO1= SF2

fuhuaijingzhuixiongsuoguzhouyanzhietungenkuanneierneibihexiyaodizhuikoujingzhen zuogushenjingjianniexiongzhuizhishebiantaotiyawan

HX7

HX8

HX9

HX10

HX11

HX12

SF6

SF5

SF4

SF3

SF2

SF1

HX6

HX5

HX4

HX3

HX2

HX1

CO6

CO7

CO9CO8

CO10CO11

CO12 CO5

CO4CO3 CO2

CO1

CO16CO15

CO

13

CO14

CO17

CO18

TG1

TG2

AT1

AT2AT3

LO3 LO2 LO1

LO6 LO5 LO4

LO9LO8 LO7

AH9

AH8

AH

11

AH

10

AH

13A

H12

AH7

TF5

TF3

AH6

TF2

TF1AH4

AH5

AH3AH1

AH2

TF4TG3

AT4

TG4

Coded standardized area Area in alphabetic order

Fig. A1.2 The somatotopic representations of the body and of the cephalic extremity according to the Chinesestandardization.5,6

Appendix 1 The auricular charts 251

1234

56789

1011121314151617181920212223

No. Representation

Spinal cord (sensitive roots on the lateral surface)Spinal cord (motor roots on the medial surface)Intermediolateral nuclei of the lateral horn (till Th11)Sympathetic lateral-vertebral ganglia a) cervical superior ganglion b) cervical middle ganglion (marvellous point) c) cervical inferior ganglion d) thoracic ganglia (Th10–L1)ThalamusRed nucleusCerebellumReticular formationMedulla oblongataPonsLocus nigerHypothalamusStriatumAmigdalaCingular circonvolutionHippocampusOccipital cortexParietal cortexTemporal cortexFrontal cortexPrefrontal cortexTrigeminal nerveCorpus callosum (so called Tragus Master-Point)

2

3

4

23

5

13 1416

15

76

11

98

10

d

ba

c

1217

1819

202122

1

Z

Fig. A1.3 The somatotopic representations of the nervous system according to Nogier1,2,3,4 (z ¼ point zero).


Brain stem

Central rim

Cheekpoint/area

Sympathesis

HX7

HX8

HX9

HX10

HX11

HX12

SF6

SF5

SF4

SF3

SF2

SF1

HX6

HX5

HX4

HX3

HX2

HX1

CO6

CO7

CO9CO8

CO10CO11

CO12 CO5

CO4CO3 CO2

CO1

CO16CO15

CO

13

CO14

CO17

CO18

TG1

TG2

AT1

AT2AT3

LO3 LO2 LO1

LO6 LO5 LO4

LO9LO8 LO7

AH9

AH8

AH

11

AH

10

AH

13A

H12

AH7

TF5

TF3

AH6

TF2

TF1AH4

AH5

AH3AH1

AH2

TF4

TG3

AT4

TG4

Fig. A1.4 The representation of some areas related to symptoms/disorders of the nervous system according to the Chinesestandardization.5,6


123

456789

10111213141516

No. Representation

Ovary/testicle (internal surface)Adrenal glandAdrenocorticotropic hormone(ACTH) multiple pointsPancreasMammary gland, twice representedThymus, twice representedParathyroidThyroidHypophysisProlactinSomatotropic hormone (STH)Thyroid-stimulating hormone (TSH)Luteotropic hormone (LTH)Follicle-stimulating hormone (FSH)Gonadotropic or genital areaEpiphysis

3z

3

2

16

1

3

15

1011

9

1213

14

6

87

65

3

4

5

Fig. A1.5 The somatotopic representations of the endocrine system according to Nogier1,2,3,4 (z ¼ point zero).


Mammarygland

Thyroid

Centralrim

Testicle

Excitation

Adrenal gland

Ovary

HX7

HX8

HX9

HX10

HX11

HX12SF6

SF5

SF4

SF3

SF2

SF1

HX6

HX5

HX4

HX3

HX2

HX1

CO6

CO7

CO9CO8

CO10CO11

CO12 CO5

CO4CO3 CO2

CO1

CO16CO15

CO

13

CO14

CO17

CO18

TG1

TG2

AT1

AT2AT3

LO3 LO2 LO1

LO6 LO5 LO4

LO9LO8

LO7

AH9

AH8

AH

11 AH

10

AH

13A

H12

AH7

TF5

TF3

AH6

TF2

TF1AH4

AH5

AH3AH1

AH2

TF4

P1

P2 P3P4R2

R1

P5

R3

SymptomCO4 wei = stomachCO10 shen = kidneyCO11 yidan = pancreas-gallbladderCO12 gan = liverCO13 pi = spleenCO17 sanjao = triple energizerCO18 neifenmi = endocrineTG1 shangping = upper tragusTG2 xiaping = lower tragusAdrenal gland shenshangxianCentral rim yuanzhongP5 erbeishen = kidney of the medial surface of the auricle

ObesityMenstrual disordersDiabetesMenstrual disorders, premenstrual syndrome, climacteric syndromeObesity, menstrual disordersObesityHypopituitarism, menstrual disorders, hyperthyroidismDiabetesObesity, hyperthyroidismAsthenia, hypotension, inflammatory diseases, allergic diseasesAcromegalyMenstrual disorders

Premenstrual syndromeThyroid gland disordersHypogonadismHypogonadismMenstrual disorders, hypogonadism

Mammary gland (double representation) ruxianThyroid gland jiazhuangxianTesticle gaowan (on the internal surface of the antitragus)Excitation xingfen (on the internal surface of the antitragus)Ovary luanchao (on the internal surface of the antitragus)

The following points of the auricle belong historically to the auricular chartpreceding the standardisation:

Coded area and name

Fig. A1.6 The representation of some areas related to disorders of the endocrine system and the metabolism according to theChinese standardization5,6 (in pale pink the areas associated with diabetes and obesity).


123

No. Representation

Heart (medial and lateral surface)Heart (internal surface)Circulatory system

12

3Z

Fig. A1.7 The somatotopic representations of the cardiovascular system according to Nogier1,2,3,4 (z ¼ point zero).


Atrial fibrillationHypertension

Cardiac point xinzangdianHypertension point gaoxueyadian

The following points belong historically to the auricular chart preceding the standardization:

Ear apex

Sympathesis

Cardiac point

Hypertension point

Groove ofthe anthelix

Apex of antitragus

Symptom

Ear apex erjianHX8 HX12

TF1 jiaowoshang = superior triangular fossaCO6 xiaochang = small intestineCO12 gan = liverCO15 xin = heartApex of antitragus duipingjianP1 erbeixin = heart of the medial surfaceGroove of the anthelix (also called groove of themedial surface) erbeigou

HypertensionHypertensionAngina pectorisHypertensionArythmiaHypertensionAngina pectoris, arythmiaHypertensionTachycardia, hypertensionHypertension

HX7

HX8

HX9

HX10

HX11

HX12

SF6

SF5

SF4

SF3

SF2

SF1

HX6

HX5

HX4

HX3

HX2

HX1

CO6

CO7

CO9CO8

CO10CO11

CO12 CO5

CO4CO3 CO2

CO1

CO16CO15

CO

13

CO14

CO17

CO18

TG1

TG2

AT1AT2AT3

LO3 LO2 LO1

LO6 LO5 LO4

LO9 LO8 LO7

AH9

AH8

AH11 AH

10

AH13AH12

AH7

TF5

TF3

AH6

TF2

TF1AH4

AH5

AH3AH1

AH2

TF4

P1

P2 P3P4R2

R1

P5

R3

*

Coded area and name

Sympathesis jiaogan (hidden on the anthelix)

Fig. A1.8 The representation of some areas related to symptoms/disorders of the cardiovascular system and hypertensionaccording to the Chinese standardization5,6 (in pale pink the areas associated with hypertension).


1234

No. Representation

LungBronchiPharynxLarynx

34

12

Z

Fig. A1.9 The somatotopic representations of the respiratory system according to Nogier1,2,3,4 (z ¼ point zero).


P1

P2 P3P4R2

R1

P5

R3

HX7

HX8

HX9

HX10

HX11

HX12

SF6

SF5

SF4

SF3

SF2

SF1

HX6

HX5

HX4

HX3

HX2

HX1

CO6

CO7

CO9CO8

CO10

CO11

CO12 CO5

CO4CO3 CO2

CO1

CO16CO15

CO

13

CO14

CO17

CO18

TG1

TG2

AT1

AT2AT3

LO3 LO2 LO1

LO6 LO5 LO4

LO9 LO8 LO7

AH9

AH8

AH

11

AH

10

AH

13A

H12

AH7

TF5

TF3

AH6

TF2

TF1AH4

AH5

AH3AH1

AH2

TF4

Apex of antitragus

TG3

TG4

AT4

Symptom

TF3 jiaowozhong = middle triangular fossaCO7 dachang = large intestineCO10 shen = kidneyCO14 fei = lungCO16 qiguan = tracheaAT3 zhen = occiputTG3 yanhou = pharynx and larynxApex of antitragus duipingjianP2 erbeifei = lung of the medial surface

AsthmaCough, bronchitisAsthmaBronchitis, fullness of chestAsthma, bronchitisAsthmaLaryngopharingitisAsthmaCough, bronchitis

Coded area and name

Fig. A1.10 The representation of some areas related to symptoms/disorders of the respiratory system according to theChinese standardization.5,6


6

12345678910

No. Representation

RectumLarge intestineSmall intestinePancreasSpleenLiverGallbladderDuodenumStomachEsophagus

123

45

7

8 9 10

Z

Fig. A1.11 The somatotopic representations of the digestive system according to Nogier1,2,3,4 (z ¼ point zero).


Hepatitispoint

Constipationpoint

Appendix

Pancreatitispoint

Diaphragm

Gallstonepoint

HX7

HX8

HX9

HX10

HX11

HX12

SF6

SF5

SF4

SF3

SF2

SF1

HX6

HX5

HX4

HX3

HX2

HX1

CO6

CO7

CO9CO8

CO10

CO11

CO12 CO5

CO4CO3 CO2

CO1

CO16CO15

CO

13

CO14

CO17

CO18

TG1

TG2

AT1

AT2AT3

LO3 LO2 LO1

LO6 LO5 LO4

LO9 LO8 LO7

AH9

AH8

AH

11

AH

10

AH

13A

H12

AH7

TF5

TF3

AH6

TF2

TF1AH4

AH5

AH3AH1

AH2

TF4

P1

P2 P3P4R2

R1

P5

R3

HX2 zhichang = rectumHX5 gangmen = anusCO2 shidao = esophagusCO3 benmen = cardiaCO4 wei = stomachCO5 shierzhichang = duodenumCO6 xiaochang = small intestineCO7 dachang = large intestineCO11 yidan = pancreas-gallbladderCO12 gan = liverCO13 pi = spleenAppendix lanweiP3 erbeipi = spleen of the medial surfaceP4 erbeigan = liver of the medial surface

Coded area and name

The following points belong historically to theauricular chart preceding the standardization:Hepatitis point ganyandianConstipation point bianmidianGallstone point danguanPancreatitis point yixianyandianDiaphragm point (now erzhong = ear center)

Fig. A1.12 The representation of the areas related to the digestive system according to the Chinese standardization.5,6


12345678

No. Representation

Kidney (on the internal surface of the helix)Ureter (on the internal surface of the helix)Uterus/prostate (on the internal surface of the helix)Vagina (on the internal surface of the helix)External genitalsOvary/testicle (on the internal surface of the helix)UrethraBladder

Z56

4

78

2

3

1

Fig. A1.13 The somatotopic representation of the genitourinary system according to Nogier1,2,3,4 (z ¼ point zero).


Nephrolithiasis region jieshiquNephritis point shenyandian

The following points/areas of the auricle belong historicallyto the auricular chart preceding the standardization:

Nephritispoint

Ureter

HX3 niaodao = urethraHX4 waishengzhiqi = external genitalsTF2 neishengzhiqi = internal genitals (uterus/prostate)TF5 pengqiang = pelvisCO8 tingjiao = angle of sup. concha (prostate)CO9 pangguang = bladderCO10 shen = kidneyCO12 gan = liverCO13 pi = spleenUreter shuniaoguanP5 erbeishen = kidney of the medial surface

HX7

HX8

HX9

HX10

HX11

HX12

SF6

SF5

SF4

SF3

SF2

SF1

HX6

HX5

HX4

HX3

HX2

HX1

CO6

CO7

CO9CO8

CO10

CO11

CO12 CO5

CO4CO3 CO2

CO1

CO16CO15

CO

13

CO14

CO17

CO18

TG1

TG2

AT1

AT2AT3

LO3 LO2 LO1

LO6 LO5 LO4

LO9 LO8 LO7

AH9

AH8

AH

11 AH

10

AH

13A

H12

AH7

TF5

TF3

AH6

TF2

TF1AH4

AH5

AH3AH1

AH2

TF4

P1

P2 P3P4R2

R1

P5

R3

Nephrolithiasisregion

Coded area and name

Fig. A1.14 The representation of the areas related to the genitourinary system according to the Chinese standardization5,6

(in pale pink the areas associated particularly with disorders of the female genital apparatus).


Z

123456789

1011

No. Representation

Omega 2 (somatic stress)Reactional Point (point R) of BourdiolOmega 1 (visceral stress)Anxiety pointSympathetic cervical ganglia‘Jérôme’ pointHypothalamusAggressivenessFear areaOmega (psychological stress)Sadness point

1

2

3

4

5

8

9 1011

6

7

Fig. A1.15 The somatotopic representations of some points/areas related to mental disorders according to Nogier andBourdiol1,2,3,7 (z ¼ point zero).


*

Ear apex

Brainstem

Central rim

SympathesisHX7

HX8

HX9

HX10

HX11

HX12SF6

SF5

SF4

SF3

SF2

SF1

HX6

HX5

HX4

HX3

HX2

HX1

CO6

CO7

CO9CO8

CO10CO11

CO12 CO5

CO4CO3 CO2

CO1

CO16CO15

CO

13

CO14

CO17

CO18

TG1

TG2

AT1

AT2AT3

LO3 LO2 LO1

LO6 LO5 LO4

LO9 LO8 LO7

AH9

AH8

AH

11 AH

10

AH

13A

H12

AH7

TF5

TF3

AH6

TF2

TF1AH4

AH5

AH3AH1

AH2

TF4P1

P2 P3P4R2

R1

P5

R3

TG3

AT4

TG4

Symptom

TF4 = shenmenCO1 kou = mouthCO2 shidao = esophagusCO3 benmen = cardiaCO4 wei = stomachCO10 shen = kidneyCO12 gan = liverCO14 fei = lungCO15 xin = heartAT1 e = foreheadAT2 nie = templeAT3 zhen = occiputLO4 chuiqian = anterior ear lobeEar apex erjianSympathesis jiaogan (hidden, on the anthelix)Brain stem naoganCentral rim yuanzhongAT4 pizhixia = subcortexP1 erbeixin = heart of the medial surfaceP5 erbeishen = kidney of the medial surface

Insomnia, withdrawal syndromeWithdrawal syndromeHysteriaAnorexiaInsomnia, hysteria, psychosisNeurastheniaDepressionWithdrawal syndromeAnxiety, hysteriaInsomniaInsomniaNeurastheniaAnxiety, neurastheniaInsomnia, anxietyDysfunction of the vegetative systemSchizophrenia, anxietyNeurastheniaNeurastheniaInsomniaAnxiety

Coded area and name

Fig. A1.16 The representation of the areas associated to mental disorders according to the Chinese standardization5,6 (in palepink the areas associated with the drug withdrawal syndrome).


= Lateral surface= Medial surface= Internal (hidden)= Both, lateral and medial= Both, lateral and internal

Allergy point

Marvelouspoint

NeurovegetativeM-P

Metabolism M-P

Sensorial M-P

Headaches M-P

Thoracic M-P

Abdominal M-P

Superior limb M-P

Inferior limb M-P

Skin M-PTragus M-P

Aggressiveness M-P

Synthesis M-P

Genital M-P

Trigeminus M-P(linear localizationand principal point)

Occipital M-P

Medullar M-P

Shoulder M-P

M-P zero

Darwin M-P

Allergy M-P (two locations)

Cerebral M-P

1969 1977Fig. A1.17 Master Points (M-P) proposed by Nogier in two different periods of his clinical approach to the outer ear: in 1969on the left;8 in 1977 on the right.9


A B

21

3

45

67

89

10

1112

13

12

3

4

56

78

9

10

11

12

Representation of some parts of the

musculoskeletal system

12345678910111213

No. No.

Representation of some internal

organs

ProstateKidneyColonGallbladderPancreasDuodenumStomachCardiasEsophagusThyroid glandLarynxLungHeart

123456789101112

HeelThumbOther fingers of the handWristElbowKneeHipMuscles of the pelvic girdleMuscles of the lumbar-thoracic tractMuscles of the shoulder girdleShoulderMuscles of the neck

Fig. A1.18 Representation of some internal organs on the medial surface (A); representation of some parts of themusculoskeletal system (B) according to Romoli.


References

[1] Nogier PFM. Treatise of auriculotherapy. Moulins-les-

Metz: Maisonneuve; 1972.

[2] Nogier PFM, Petitjean F, Mallard A. Complements des

points reflexes auriculaires. Moulins-les-Metz:

Maisonneuve; 1989.

[3] Nogier PFM. Handbook to auriculotherapy. 2nd ed.

Brussels: SATAS; 1998.

[4] Nogier R. Auriculotherapie 1er degre. Montpellier:

Sauramps; 2000.

[5] Auricular Points Chart. Institute of Acupuncture and

Moxibustion – China Academy of TCM. Beijing:

China Medico-Pharmaceutical Science and Technology;

1989.

[6] Technical Supervise Bureau of State. The nomenclature

and location of ear acupuncture points. Beijing:

Chinese Standard Publishing House; 1993.

[7] Bourdiol RJ. Elements of auriculotherapy. Moulins-les-


[8] Nogier PFM. Traite d’auriculotherapie. Moulins-les-


[9] Nogier PFM. Introduction pratique a l’auriculotherapie.

Moulins-les-Metz: Maisonneuve; 1977.


The Auricular Charts

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