My approach I saw patients arrived in midnight I understood it was trauma so high adrenaline were already induced by the brain in the process of releasing endorphins naturally. So immediately I used pc6 PC 7 ht7 and du20 and asked him take deep breaths further I applied st36.5 gb34.25 , St 41, and liv 5 and liv3 and left him in a sitting position, for ten minutes, his nausea reduced and than lu 11 with BL 60 and bl64 were bleeded. And now after 10 minutes patients was able to talk , we made him walk and show his lower back had no strength wasting of muscles both upper and lower limbs , high frustration , high water deficiency with huge burning as if something was piercing his body with burning nail. Now Tung , tan and IChing. Most important was what to select and what not to do. So decided, 77.2, 77.03, 77.04, in the midline of the posterior aspect of lower leg (in the Achilles tendon), 3.5cun from the heel. Midway between BL-60 & KID-3. Further added 22.01 , 22.02, 22.06 with Sl-3 and 22.08 ,A.04 was further added pain came down to at VAS-5 /10 but tingling and burning sensation was there in the whole body so further bleeded all jingwell points and after few minutes burning sensation was rated 3/10 now radiating pain , slightly perplexed situation , pain mostly radiating in all six channels, and in between channels wasting of deltoid and thenar muscle , any way , as per the bagua , since patient arrived at midnight, I decided to first needle tender points of the spleen up to 9B , than stomach from 41to 36 and in GB 41 to GB 34 also took some tender points between Gb and spleen channel. Effort resulted; there was no pain, left the needle inserted for 90 minutes two clock cycles. Patients arrived at 2am and left 4:30 am in the morning entire process took place in the car. I thank each one of you and Alex Costa for the wonderful support. With a feeling of deep reverence to Tung and tan , David twicken. And all friends who spend their valuable time with me always learned a lot from your valuable post. Kindly accept my deep gratitude; finally Acupuncture was replaced for morphine tablets.