Master Tung’s Essential Points for Pain _ Susan Johnson

TCM Wis isdo dom m Tube Tub e

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Mast ste er Tung’s Tung ’s Ess sse ent ntial ial Poin oints ts for Pain

by Susan Johnson, L.Ac.

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(33.12) Heart Gate Xin Men Reaction 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 Arthritis 1 Sciatica (Tai Yang) 1 Dry Vomiting 3 Liver Cholera (Acute Gastroenteritis with Vomiting & Diarrhea) Heart Palpitation 3 Inflammation of the Heart Organ (carditis) 1 Chest Oppression 3 Lower Back Pain 2

3

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.

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1

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 side can be used simultaneously.

Combination: Groin Pain – 33.12 Heart Gate Coccyx Pain – 33.12 Heart Gate, 55.04 & 55.05 Flower Bone Three & Four Rheumatoid Arthritis – 11.27 Five Tiger, 33.12 Heart Gate, 88.01 Passing Gate, 88.02 Passing Mountain ( Both) 1 Golfer Elbow – 33.12 Heart Gate ( Opp), SI3 (Same) 2, 4 Heart Muscle Infection (after flu or cold) – 33.12 Heart Gate, PC6 1 Knee Pain (bone spur) – 33.12 (Heart Gate), 77.09 Four Flower Middle, 77.11 Four Flower Lower. 2, 4

Comments:

Heart points in Tung’s 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 patient’s leg (for them), rocking back and forth, 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 patient’s fear adduction when leg is in external rotation.


2

*knee pn. - Heart pts. in Tung’s system also treat the knee. Pain of medial knee area 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, stimulate Needles 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. Bone treats bone, Hand and Foot Tai Yang communicating, Uppermiddle-lower, this is lower. Myocarditis –especially w/young people, SOB, may have caught cold some time ago, 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 substitute Dang Shen for Ren Shen but use three times the amount. Very good for SOB, especially w/high altitude, avoid sickness. People at higher altitude eat mostly meat, can’t get vegetables, use San Ren Tang (for 3 Jiao Damp) Xing Ren = upper, Kou Ren = middle, Yi Yi Ren = lower. Huo Xiang tonifies middle. Heart Gate, PC6, ST36, LV2 & 3, bleed apex and Four Flower.


3

(66.02) Wood Wife Mu Fu Reaction Area: HT

• • • • • • •

Leukorrhea (red or yellow discharge, irritated and itchy) Blocked Fallopian Tube 1 Amenorrhea 1 Dysmenorrhea 1 Uterine Inflammation (metritis) 1 Vaginal Irritation 4 Irregular Menstruation 1

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


4

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 Blocked – 11.06 Return to Nest, 11.24 Gynecological, 4 66.02 Wood Wife Nourish Yin and Liver Fire – 66.02 Wood Wife, 77.17 Tian Huang or 77.18 Shen Guan, 77.21 Ren Huang 3 Comments:

Women have a tendency to anger, worry, and frustration. These negative Emotions generate liver fire which then inflames the heart. For middle-aged women, one should mostly treat the liver. A useful combination is to use 66.02 Mu Fu with the Two Emperors, 77.17 Tian Huang or 77.18 Shen Guan and 77.21 Ren 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 66.02 Wood Wife functions similarly to ST44 (inner courtyard or plaza, implies uterus) by clearing damp heat and calming spirit. 4


5

(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.


6

Needle Technique:

Depth: Needle insertion at least 2.0 cun. Needle transversely under skin toward PC7.

Comments :

Any kind of ankle pain – A05 Small Joint, one may add 11.27 Five 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, Three Sanchasan (Sancha III)

• • • • • • • • • • • •

Common Cold (early stage, wind heat or wind chill) 1 Headache 1 Sore Throat 1 Allergies 2, 4 Any Disease of the Five Senses (nose, tooth, eye, ear, throat) Tinnitus 1 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 Pressure 2, 4


2, 4

8

• • • • • •

Chest and Rib Pain 2, 4 Upper Leg Pain or Soreness 2 Lower Back Pain (connects GB32) Shoulder Pain 1 Neck Injury 2, 4 Nausea and Vomiting 2

th

2, 4

th

Location: At the joint base between the 4 and 5 phalanges, 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.04 Sancha III, 88.17, 88.18, 88.19 Four Horses, LI20 (GP) 2, 4 Common Cold w/ HA – A.04 Sancha III, 22.04 Da Bai 2, 4 Common Cold w/ Sore Throat – A.04 Sancha III, LU10 2, 4 Fatigue – A.04 Sancha III, 1010.22 Nose Wing, 77.18, 77.19, 77.21 Three Emperors 4 Fibromyalgia – A.04 Sancha III, 88.17, 88.18, 88.19 Four Horses or A.04 Sancha III, LI4, 66.04 Fire Master, 66.09 Water Curve

2

Uticaria – A.04 Sancha 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.04 Sancha III, 66.05 Gold Door, 66.11 Fire Chrysanthemum 2, 4 Floaters – A.04 Sancha III, 22.04 Da Bai, 77.18 Shen Guan, 77.28 Light Bright 2 Tinnitus – A.04 Sancha III, 22.05 Ling Gu, 88.25 Central Nine Miles, or 88.17, 88.18, 88.19 Four Horses, SI19 (GP) 2, 4 Ear Pain – A.04 Sancha III, 88.18, 88.19 Four Horses, 77.22 Beside Three Miles (Bld ) 2, 4 Otitis Media – A.04 Sancha III, bleed outer ankle and/or 11.26 Control Dirt 2, 4 Ear Nerve Pain – A.04 Sancha III, 88.25 Central Nine Miles

2, 4

Inner Ear Distention – A.04 Sancha III, bleed or sedate LU5 2 Arthritis in the Legs – A.04 Sancha III, 22.05 Ling Gu, 88.25 Central Nine Miles, A.01 Seven Miles, 44.06 Shoulder Center 2, 4 Thigh Pain – A.04 Sancha III, 88.25 Central Nine Miles, A.01 Seven Miles or DT.07 Three Gold or DT.09 Gold Forest 2, 4 Tachycardia – A.04 Sancha III, 33.12 Heart Gate, 88.01 Passing Gate, 88.03 Passing Heaven, HT7, 11.19 Normal 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 White Da Bai Reaction Area: LU

• • • • • •

Pediatric Asthma 1 High Fever in Children (very effective) Sciatica (due to Lung deficiency) 1 Pneumonia (acute) 1 Head & Face Ache 4 Trigeminal Neuralgia 4

1

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 • 22.04 Da Bai rarely used alone and most commonly combine with 22.05 Ling Gu.

Caution: Not used in pregnancy

Combination: Common Cold Headache – 22.04 Da Bai, A04 Sanchasan Ischial Nerve Pain – 22.05 Ling Gu, 22.04 Da Bai Spinal Pain – 22.05 Ling Gu, 22.04 Da Bai

2, 4

1

1

Painful Urination – 22.05 Ling Gu, 22.04 Da Bai, 1010.13, 1010.14 Frequent Urination – 22.05 Ling Gu, 22.04 Da Bai 1 Tennis Elbow Pain – 33.07 Fire Bowels Sea with LI11 (opp.) and 22.05 Ling Gu or 22.04 Da Bai 1(same) Inguinal Crease Pain – 22.05 Ling Gu, 22.04 Da Bai Dizziness – 22.05 Ling Gu, 22.04 Da Bai

1

1

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

Comments: 22.04 Da 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 Bone Ling Gu Reaction Area: LU, Site Bone

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

Hemiplegia of the Face & Body (Bell’s Palsy) 1 Hemi paralysis of Nerves 2 Sciatica (due to Lung deficiency, Urinary Bladder channel) 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


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 LI4 He Gu. Needle Technique: 0.5 –1.3 cun perpendicular insertion

Caution: Not used in pregnancy

Combination: Confused Mental State – 22.05 Ling Gu, 22.04 Da Bai, LI11, 77.18, 77.19, 77.21 Three Emperors 4 Dizziness – 22.05 Ling Gu, 22.04 Da Bai 1 Dizziness – 22.05 Ling Gu, 22.04 Da Bai, LI11 (due to Large Intestines & Liver connection) If nausea add – PC6 4 Elbow Pain – 22.05 Ling Gu, 22.04 Da Bai (opp.), add guide (same) Frozen Shoulder – 22.05 Ling Gu, 22.04 Da 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 – 77.07 Three Weights (Opp), GB41 or GB31 (Same) Heel Pain – 22.05 Ling Gu, 22.04 Da Bai, 11.27 # 5 Five Tiger (Opp), UB65 (Same)* 2, 4 Hemiplegia – 22.05 Ling Gu, 22.04 Da Bai, GB31, GB32, 77.18 Shen Guan and sometimes DT.04 Five Mountain Range Inguinal Crease Pain – 22.05 Ling Gu, 22.04 Da Bai


2

1

16

Ischial Nerve Pain – 22.05 Ling Gu, 22.04 Da Bai

1

Meniere’s disease – 88.12, 88.13, 88.14 Three Yellows, 22.05 Ling Gu, PC6 (one side), LI11 (other side) 2, 4 careful to avoid too many needles or excessive needle stimulation (wind disease). Painful Urination – 22.05 Ling Gu, 22.04 Da Bai, 1010.13, 1010.14 Paralysis –First use 11.10 Wood Fire, then add 22.05 Ling Gu, 22.04 Da Bai, (wood & fire connection) 2, 4 Sciatica (Gall Bladder) – 22.05 Ling Gu, 22.04 Da Bai, SJ3 or SJ5 (Opp), GB41 (Same) 2, 4 Sciatica (Thigh, Spleen, Stomach) – 22.05 Ling Gu, 22.04 Da Bai

2, 4

Sciatica (Urinary Bladder) – 22.05 Ling Gu, 22.04 Da Bai, SI3 or 22.08 Wrist Prosperous One, (Opp), 1010.25 State Water,(Opp), UB65 (GP), also can add 1010.22 Nose Wing, ( Opp) 2, 4 Spinal Pain – 22.05 Ling Gu, 22.04 Da Bai

1

Stroke – 22.05 Ling Gu, 22.04 Da Bai, GB31, GB32 and or DU19 & DU21 towards DU20 Sty – 22.05 Ling Gu, Ear Apex (Bld ) 4 Tennis Elbow (lateral pain) – LI10 (33.07), LI11 (Opp), close to the bone, 22.05 Ling Gu (Same) 2 Tinnitus – 22.05 (Ling Gu), 77.18, 77.19, 77.21 Three Emperors, tonifies Kidney Tinnitus – 22.05 (Ling Gu), 88.17, 88.18, 88.19 Four Horses (tonify qi & yang) 2, 4 Tonify Kidney & Liver – 22.05 Ling Gu, 22.04 Da Bai, 77.18, 77.19, 77.21 Three Emperors* 4


17

Comments:

*22.05 Ling Gu connects with Kidney (when needling touch the bone) in lower jiao area of hand; very effective for heel pain. *Large Intestine/Liver connection treats urinary disorders, dizziness, groin pain, knee pain and shoulder pain. 22.05 Ling Gu with 22.04 Da Bai relates to water (Kidney) and metal (Lung), together they tonify Kidney & Lung. 22.05 Ling Gu and 22.04 Da 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 water and 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. 22.04 Da Bai is near LI3 and relates to wood. 22.05 Ling Gu is proximal to LI4 and relates to fire and wood, therefore; related to the blood making the qi. 22.05 Ling 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 C03—relates to wood, Ling Gu behind C04, 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 GB31,32 and/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 60 st nd yrs old = 100% recovery, if not recovered 1 stroke (left side), 2 stroke (right side) = very difficult, will need herbs. *stagnation causing back and leg pn., Bell’s Palsy, bone swelling and


18

spurs, irregular period or amenorrhea. (heart) *LG & DB, either side of C04, so source pt related *Lv3 & C04—main 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, or GB41 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 + Co11 opposite 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 side LG 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 kidneys So, 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, wood fire rising. Dry earth = yang, damp earth = yin, so these 2 pts. can regulate everything.


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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 M edicine 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.com for 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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Master Tung’s Essential Points for Pain _ Susan Johnson

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