From alleviating pain to treating allergies and everything in between, the innovative design and ease of use will be an advantage for practitioners and a benefit for patients. We have experienced the new and advanced Pyonex Singles gentle, painless and stress free acupuncture for years. Now you can hear it from the professionals…


Practical Insights

Several years ago Seirin developed the Pyonex Singles. Instead of a metal wire handle, it has a solid plastic base. Instead of difficult to peel tape, which can lose its stickiness, the Pyonex Singles come on a larger piece of tape delivered in such a way that one does not have to handle the tape at all, making it more sticky. The Pyonex Singles comes in unbelievably small lengths: 0.3mm, 0.6mm, 0.9mm, 1.2mm and 1.5mm. The way that the needles are manufactured makes them not only much easier to use than the older Pyonex1 but also much safer and less stimulating. This improvement in design makes the Pyonex Singles needles a must-have addition to clinical practice as they can now be used more widely. These needles allow a much finer control of dose and stimulation level, making the presstack needles usable for the first time on even infants. I discussed the use of these fine needles on babies and children in my new book ‘Shonishin’,2 where I also discussed the issue of dose regulation3. Here I would like to mention some experiences and uses of the Pyonex Singles press-tack needles on adults.

Strategies for Use

So far I have found these press-tack needles especially effective for internal conditions. While they can work well for the treatment of pain, my colleagues and I are exploring how to distinguish them from the hinaishin (intradermal needles for treatment of pain4) and are still working on an explanation of their differences. Below I list a number of conditions in which I have found them effective.

Auditory problems such as tinnitus, disturbances due to nerve compression: Hard painful knot around TB-17 or just below or behind TB-17 (place press-tacks after first needling the point – helps reduce severity of symptoms)

Chronic digestive problems: Stiff reactive bands found around BL-18 to BL-20, leave a press-tack on BL- 18 on one side and BL-20 on the other

Chronically run down and tired patients: (kidney kyo/xu type), BL-23 or BL-52 bilaterally

Congested nose: Bitong (here the 0.9mm is probably better)

Extremely emotional/stressed patients: Use the shorter 0.3mm needles

Menstrual problems: SP-6 (if not sore then SP- 10) + examine BL-18, BL-20 and BL-23, leaving presstacks on the most reactive points, one on each side

Reduction of asthma attacks: Asthma shu points (knots found slightly lateral and superior to BL-17)

Sleep problems: Knots found around BL-17

Stress reactions: Small knot around BL-15, + shenmen in the ear (here I use 0.3mm or 0.6mm)

Supporting women during pregnancy: BL-23 or BL-52 (whichever is more stiff/jumpy) [use 0.3 or 0.6mm]

Very tired patients: ST-36

Practical Insights

I practice Japanese styles of acupuncture, moxibustion and shiatsu in the Seattle area and I have been following in the footsteps of my mentor Shudo Denmei. Like Dr. Shudo, I use intradermal needles often in my practice, and I have also used press tacks (pin type intradermals) in my own way to enhance my treatments. I was delighted when Dr. Shudo introduced me to a new generation of press tacks called Pyonex Singles several years ago. Using Pyonex Singles has raised my acupuncture to a new level. There are many advantages to Pyonex Singles over the conventional press tacks and intradermal needles, but the main ones are as follows:

Advantages of Pyonex Singles

Individual packaging (less chance of contamination): I have used many varieties of press tacks, some that come in packages of five or ten. I have often had to throw away packages that were less than half used because I would put them somewhere and open a new package and come across them later. I can never be sure about the sterility of needles once the package is opened. This is why it makes more sense to package each press tack individually like Pyonex Singles.

Small size of needle (less stimulation = less discomfort/pain): The most important feature of Pyonex Singles for me is the color-coded packaging and the extremely small needles available. The length of conventional press tacks is usually 2 to 3mm. The Pyonex Singles start at 0.3mm (orange) and go up to 1.5mm (pink). The average thickness of skin is between 1 and 2mm so the skin isn’t penetrated if the shorter Pyonex Singles (under 1mm) are used. This not only makes the Pyonex Singles the safest press tack on the market, but the least invasive and most comfortable for the patient. There use to be a limit to the places press tacks could be applied, but now with the shorter Pyonex Singles, they can be applied practically anywhere. This includes distal points like Jing Well points as well as sensitive ear and facial points, which opens up treatment options for patients who need more stimulation but can’t handle it all at once (like children).

Plastic needle head (easy to see which side is up): The third feature, the little plastic “pimple” in the middle of the adhesive patch, may seem like a funny advantage. The reason I like it is because there have been times that it was hard to find the press tacks I had applied. The plastic needle head makes the needle more visible and palpable. One can just stroke over the area to find it, and this is very handy for patients when they decide to stimulate the point in bed or in the dark.

Small tab to hold tape (easy to adjust needle placement): The last feature of Pyonex Singles that I really appreciate is the small tab for holding the adhesive tape while you apply it. When you take Pyonex Singles out of its package, it can be pulled off so that the backing on the tape remains just where you are holding it. I often apply the Pyonex Singles on the selected point and check to see if this actually works to relieve the pain. If it doesn’t, it’s a simple matter to remove and find the location that works better. This feature makes it easy to reapply Pyonex Singles for the best results.

How I use New Pyonex

I primarily practice Meridian Therapy, and this style emphasizes tonification and dispersion. Originally when I started using intradermals and press tacks, I reasoned that these needles acted to disperse or move energy because they are like tiny metal splinters in the body. So I used to apply intradermals and press tacks exclusively on excess (hard or tender) points. With Pyonex Singles, however, the needles can be so short and non-invasive that I now believe they can also act to tonify or build energy. So excess points or areas related to pain are just the tip of the iceberg. Deficient or weak points can serve to alleviate pain and symptoms just as well as if not better than excess points.

Now I select among the shorter and longer Pyonex Singles to leverage and maintain a positive change. Using both ends of the spectrum increases our treatment options and improves clinical outcomes. Also I use different Pyonex Singles sizes on different places as follows: ears and face (orange), hands and feet (orange & yellow), lower arms and legs (yellow & green), and upper arm, legs and torso (green & blue).

Applications for general tonification and balancing:

Place on a pair of points like SP-6, ST-36, LI-4, LR-3, KI-3 or 6, PC-6, TB-4 or 5, etc.

Applications on meridians in relation to pain:

1) Place on tight or tender points on affected meridians that did not change enough with treatment. 2) Place on the point on the opposite side of the body from the above point, or on a depressed point on that meridian on opposite side. 3) Place on the mother or child point of the meridians associated with pain. 4) Place on connecting points of Yin-Yang paired meridian on same side, or the Three Yin Three Yang paired meridian on the other side (e.g. right Large Intestine meridian left Stomach meridian). 5) Place on auricular points related to painful area on the same side.

While the direct method of applying Pyonex Singles on the most tight or tender point in the painful area can be effective, I do this mostly for the psychological effect of treating the painful area. The more intelligent approach is to palpate along meridians and distal points related to the complaint and to treat the most effective points that alleviate the pain.

Pyonex Singles has made the use of press tacks easy and safe and thus has expanded the range of possibilities for press tack applications. The possible downside is that too many could be used at one time and they might cancel each other out. More is definitely not better. I recommend trying Pyonex Singles on just a few points and confirming the effect. Remember to remind your patients to remove them after three days or sooner if there is any discomfort.

Practical Insights

Amongst all of the different techniques of acupuncture, using Pyonex Singles press needles by Seirin affords the practitioner a unique and effective tool when it comes to combining acupuncture treatment with rehabilitative exercises. Seirin uses a high quality stainless steel needle with a hypo-allergenic porous adhesive tape that keeps the needle in proper position even in the most active patients. I have used many different press needles in my 20 years of combining acupuncture and exercise and I have found that Pyonex Singles needles are the best quality and pain-free. The Pyonex Singles press needles come in .20 gauge and range in length from 0.3 mm to 1.5 mm. For acupuncture stimulation during exercise I prefer to use either the 0.9mm or 1.2mm press needles. I have used the 0.6 mm needles on sensitive patients and they consistently report no discomfort during any of their rehabilitative exercises. Sending patients home with Pyonex Singles press needle so that they can perform their home exercises while receiving a “treatment” can reduce rehabilitation times.

Strategies for Use

The practitioner may choose to use these press needles on points that were already stimulated in the main treatment in order to reinforce the effects of that treatment, or they may choose an entirely new set of points with a slightly different effect or focus. The following are different examples of using Pyonex Singles press needles as an adjunctive treatment for musculoskeletal injury rehabilitation and during athletic events.

Reducing pain and easing tension: The practitioner may choose to use Pyonex Singles needles as an adjunctive treatment that focuses on reducing pain and easing tension in the channels and collaterals. For example, a patient with lateral epicondylitis will often have less pain after placing a press needle at LI 2 (erjian) or LI 3 (sanjian).

With musculoskeletal injury rehabilitation: Such as with an acute injury, the practitioner can apply Pyonex Singles press needles on the well-jing and cleft-xi points of the affected channel(s) to help successfully rid the channel(s) of obstructions.

During rehabilitative exercises: The practitioner can apply New Pyonex needles to extraordinary vessel (qi jing ba mai) points and motor points to constantly stimulate proprioception and enhance the flow of qi and blood in the channels.

During athletic events: There are a few point prescriptions that are successful at subjectively increasing endurance and agility. One such prescription is the application of Pyonex Singles press needles to specific points: Auricular: Lung point, DU 14 (dazhui), ST 36 (zusanli) and UB 58 (feiyang).

“Used as a primar y treatment or posttreatment, Pyonex Singles needles are the best press needles when it comes to patient comfort and continued stimulation of the energetic systems.” – Matt Callison, L.Ac.

Practical Insights

I would like to share with you some of my uses of the Pyonex Singles needles and how I incorporate them into my practice. I live and work just outside of Washington, DC, our nation’s capital. Most of my patients are so busy and work long hours that coming in more than once a week is almost impossible. My treatment results have to last a minimum of a week or more. After each treatment, I will place a Pyonex Singles needle on the same acupuncture points I used during their treatment. I then send them home and instruct them to keep the Pyonex Singles needles in for one week. By doing this I achieve longer lasting results. This simple technique has had a profound effect on my patients’ health.

These needles are easy to use and cause no pain. The Pyonex Singles needles also have many uses. I use the Pyonex Singles needles not only for pain and stress-related patients but for other conditions as well. They have opened my practice to a whole new group of patients – children. They allowed me to treat children that are either too young to use regular needles on or are afraid of regular needles. I have treated children as young as a few years old with Pyonex Singles needles and frequently achieved very good results.

Clinical Strategies

Over the years I have found a few clinical pearls when using the Pyonex Singles needles. Some have produced incredible results. I would like to share some of them with you.

Runners Technique©: Within 20 minutes of placing the Pyonex Singles needles on the patient’s ears, it helps them run up to 12% faster than previous runs.

Scalp Acupuncture: Just one or two Pyonex Singles needles are needed to reduce pain levels dramatically for my patients. The results last quite a while and the patient compliance is very good.

Bedwetting: Using SP6 bilaterally on kids decreases bedwetting at night.

Headaches: Placing a Pyonex Singles needle on Point Zero, Shenmen and Omega 2 in the ear can stop most headaches in just minutes.

Sleep Apnea and Snoring: Using the Chong Vessel (SP4 – PC6) along with points on the ear lobe in the Nogier’s 3 Phases.

Depression and Anxiety: Using the hip point and heart point in Nogier’s Phase 3 on the ear.

Motion Sickness: Placing a Pyonex Singles needle in PC6 for long car rides or airplane flights.

“I highly recommend using Pyonex Singles. They can be used as a great adjunct to your treatments or as a stand-alone technique by themselves. I use them quite frequently in my practice with phenomenal results. If you are looking to extend your treatment results, or incorporate treating children into your practice, I would definitely urge you to use Pyonex Singles.”

– John Howard, L.Ac.

Treatment Style

I decide the pattern and then I do the root treatment followed by the branch (symptomatic) treatment. After the acupuncture, the patient gets direct moxibustion on 5 to 10 points. Patients come in once a week on an average. If possible I instruct patients to do moxibustion at home. When they can’t do moxibustion, then it’s time for Pyonex Singles. I place Pyonex Singles on the moxibustion points for symptom control.

Strategies for Use

Little children with colic: Often GB-21 is extremely tight, especially on the left. Children don’t complain about such things, but they must be under a lot of stress. Pyonex Singles can be attached without the child crying.

For dizziness: LR-1 and the auricular vertigo point work especially well. The conventional intradermal needles are good for the auricular point, but Pyonex Singles can be used instead. Pyonex Singles can be used on LR-1 also. I have patients press the points gently three times a day.

For coughing and chest pains: I often use the axillary point. Especially for children, I press quickly to find the point and put Pyonex Singles on instantly.

For joint pain: I put Pyonex Singles on the most reactive points. Keep these points to a minimum. The important thing is to accurately locate the reactive points.

My Advice for Use

“Since they are painless and so simple to use, they can be overused. Overuse leads to loss of effect. To prevent this, select just a few points. One must employ a professional view and touch to find those points that work. Novices can use New Pyonex, but experts use them better.” – Dr. Shudo


Practical Insights

We have been using the Pyonex Singles for several years. Pyonex Singles has extended our scope of treatment because it’s become possible to apply press tacks on points on the sole and the tips of fingers and toes, which used to be difficult because these areas are so sensitive. The Pyonex Singles are painless. Also, by applying Pyonex Singles on points used for regular treatment, we have been able to promote and extend the effect of treatment. Pyonex Singles can also be placed on the face without issue. Even if the patient decides to remove them when going out, Pyonex Singles can be reapplied when returning home or going to bed and the effect can be prolonged.

Clinical Application of Pyonex Singles

Allergies Place Pyonex Singles above and below and to the left and right of the navel. This is at the 12 o’clock, 6 o’clock, 9 o’clock, and 3 o’clock positions. Use 0.6mm (yellow) Pyonex Singles.

Comment The navel is a remnant of the umbilical cord, which is a vital link with the mother before birth. Umbilical blood is so rich in hematopoietic stem cells that it is often used for white blood cell abnormalities. Allergies are immune dysfunctions so one can affect the immune system by stimulating the dormant stem cells in the navel. The upper part of the navel is also connected to the liver, so this could also activate the Chuffer cells in the liver which have an immune stimulating function.

Caution The above points are on the waistline, and friction from belts etc. can cause needles to come loose or move. Sometimes additional tape is needed to secure them, and it would be wise to obtain patient consent.

Chronic Tonsillitis (Immune Enhancement) Place Pyonex Singles on LI-11. Apply on 1 to 3 tender points around the Nagano style LI-11, which is lateral to LI-11 on the margin of the lateral epicondyle (between the Large Intestine and Triple Burner meridians). Use 0.6mm (yellow) Pyonex Singles.

Comment The Nagano style LI-11 is located closer to the Triple Warmer meridian. The tonsils protect us from germs that enter our body along with air and food. Weakening of the tonsils can be detected by reactions at TB-16. The Triple Warmer meridian guards the Weiqi and defends Shen. Many chronic diseases are related to function of the immune system, and strengthening the tonsils with LI-11 leads to an increased immunity.