5 Phase Root Treatments Flashcards
What is Step 1?
Tonify yin - for primary 5 phase pattern (deficient phase plus its mother)
What is Step 2?
Balance yin - tonify/disperse secondary pattern or repeat points for primary pattern on other side of body
What is Step 3?
Treat yang (tonify deficiency, disperse excess)
What is Step 4?
Treat Back Shu points for primary pattern
For step 1, which side of the body do you begin treating?
Healthier side, or women’s right, men’s left
For step 3, which side of the body do you begin treating?
Symptomatic side, or side of the pulse
What are Primary/Step 1 treatment points for Lung Sho?
LU9, SP3
What are Primary/Step 1 treatment points for Kidney Sho?
KD7, LU5/LU8
What are Primary/Step 1 treatment points for Spleen Sho?
SP3, PC7
What are Primary/Step 1 treatment points for Liver Sho?
LV8, KD10
What Step 2 point do you use if the Secondary Pattern is Lung?
LU9
What Step 2 point do you use if the Secondary Pattern is Liver?
LV3 (source point)
What Step 2 point do you use if the Secondary Pattern is Kidney?
KD3
Where is KD3?
Level with the prominence of the medial malleolus, in a depression between that and the Achilles tendon
What Step 2 point do you use if the Secondary Pattern is Spleen?
SP3
Where is SP9?
On the MEDIAL side of the lower leg, in the angle formed by the medial condyle and posterior border of the tibia
What are the Step 3 points that are the same for tonifying or dispersing yang?
SI7, GB37, BL58
What Step 3 point do you tonify for SI deficiency?
SI7
Where is SI7?
Lower arm, 5 cun proximal from SI-5, between ulna and flexor carpi ulnaris, on a line connecting SI-5 at the wrist crease with SI-8 (which is between the medial epicondyle of the humerus and the olecranon process of the ulna) - 12 cun on lower arm
What Step 3 point do you tonify for GB deficiency?
GB37
Where is GB37?
On lateral lower leg, 5 cun superior to prominence of lateral malleolus, at the anterior border of the fibula.
What Step 3 point do you tonify for BL deficiency?
BL58
Where is BL58?
On lower leg, 7 cun superior to BL60 (which is behind the lateral malleolus), lateral and 1 cun inferior to BL57 (which is between heads of the gastrocnemius muscle, halfway between BL40 and BL60)
What Step 3 point do you tonify for LI deficiency?
LI11
Where is LI11?
At the elbow, midway between LU-5 and the lateral epicondyle of the humerus, lateral end of transverse cubital crease
What Step 3 point do you tonify for ST deficiency?
ST36
Where is ST36?
Below the knee, 3 cun inferior to ST-35 (which is in the lateral eye of the knee), one finger-breadth lateral to the anterior crest of the tibia.
What Step 3 point do you tonify for TW deficiency?
TW4
Where is TW4?
On dorsum of wrist at wrist joint, in the depression between the tendons of extensor digitorum communis and extensor digitorum minimi
What Step 3 point do you disperse for LI excess?
LI6
Where is LI6?
3 cun proximal to LI5 (which is in snuffbox) on a line between LI-5 and LI-11
What Step 3 point do you disperse for ST excess?
ST-40
Where is ST40?
On the lower leg, midway between the T-F joint and lateral malleolus, TWO fingerbreadths lateral to anterior crest of tibia
What Step 3 point do you disperse for TW excess?
TW5
Where is TW5?
2 cun proximal to TW-4/the wrist crease, in a depression between radius and ulna, on the radial side of extensor digitorum communis tendons
What Step 3 point do you disperse for BL excess?
BL58
What Step 3 point do you disperse for GB excess?
GB37
What Step 3 point do you disperse for SI excess?
SI7
What might be secondary pattern for LU Sho?
Liver
How long do needles stay in for Steps 1 and 2?
10 minutes total, combined.
How do you remove needles for Steps 1 and 2?
Last in, first out
How long do needles stay in for Step 3?
2 minutes tonifying, 30 seconds dispersing
How long do needles stay in for Step 4?
2-10 minutes
What are the Back Shu points for a LU Sho?
BL13 (LU), BL20 (SP)
What are the Back Shu points for a LV Sho?
BL18 (LV), BL23 (KD)
What are the Back Shu points for a SP Sho?
BL20 (SP), BL14/BL15 (PC)
What are the Back Shu points for a KD Sho?
BL23 (KD), BL13 (LU)
What might be secondary pattern for SP Sho?
Liver or Kidney
What might be secondary pattern for LV Sho?
Lung or Spleen
What if ALL yang pulses are weak?
Tonify TW4 or ST36 bilaterally
What might be a secondary pattern for a KID Sho?
Spleen
Where is BL13?
1.5 cun lateral to BSP of T3
Where is BL14?
1.5 cun lateral to BSP of T4
Where is BL15?
1.5 cun lateral to BSP T5
Where is BL18?
1.5 cun lateral to T9
Where is BL20?
1.5 cun lateral to T11
Where is BL23?
1.5 cun lateral to L2
What are the abdominal signs for SP sho?
Pressure/pain around the navel, CV7-12 area, both deep and light touch. (Also possibly LEFT subcostal area?)
What are the abdominal signs for KD Sho?
Pressure/pain or deficiency below the navel, both light and deep touch.
What are the abdominal signs for LIV Sho?
With light pressure, roughness in the lower left quadrant around ASIS. With deep pressure, pressure/pain from ST 24-27 on the LEFT. (Also possibly Right subcostal area? Think Cross pattern.)
What are the abdominal signs for LU Sho?
With light pressure, roughness in the RIGHT SUBCOSTAL area. With deep pressure, pressure/pain from ST 24-27 on the RIGHT.
What yin pulses are weakest for LU Sho?
LU (R cun) and SP (R guan)
What yin pulses are weakest for KD Sho?
KD (L chi) and LU (R cun)
What yin pulses are weakest for SP Sho?
SP (R guan) and HT (L cun)
What yin pulses are weakest for LIV Sho?
LIV (L guan) and KD (L chi)
Secondary patterns are related to the control cycle how?
Possible secondary pattern is the element that CONTROLS or IS CONTROLLED BY primary element (but not HT)