Final Flashcards
Li
Syndrome Differentiation
Fa
Treatment Principle
Fang
Acupuncture Perscription
Xue
Point Selection
Shu
Techniques
What are the four mechanisms of Acupuncture Therapy
- Regulate Qi and Shen
- Harmonizing Yin and Yang
- Strengthening Body Resistance and Remvoving Pathogenic Factors
- Dredge Meridians and Collaterals, Regulate Qi and Blood
What book recorded points about 160, perscription about 200 and perscriptiion of single point and multiple points
Neijing
What book recorded the principle of treatment and prescriptions of different diseases?
Zhenjiu Jaying
What Was collected about 360 perscriptions of acupuncture before Tag Dynasty, 13 ghost points for manic depression
Perscriptions worth of Thousand Gold (Sun Si Miao)
Why select local points?
tenderness + Ashi
Review the symptomatic points
pg16
Treat distal then local for?
acute
Select local then distal
Chronic
Use this for fullness of upper abdomen
Jing-Well
Use this For body heat/fever
Ying-Spring
Use this for heavy body and articulatory pain
Shu-Stream
Use this for Asthma, cough, alternating chills/fever
Jing-River
Use this for contra-movement of qi and diarrhea
He-Sea
Back shu
- chronic
- zang
- sense organs
Front mu
more acute, fu organs
yuan Source points
Internal zangfu organ disease
-Tx the meridian
What is the Yin/Wei Linking point
PC 6
What is the chong point
Sp4
What points are used in combination to treat problems of the ST,Ht,chest, diaphragm
PC6/Sp4
-Yin linking/chong meridian
What is the Yin Qiao/Heal point
Kd 6
What is the CV confluent point
Lu 7
What points are used in combination to treat lung, chest, diaphragm, throat
Lu 7 Kd6
What is the GV confluent point
SI 3
What is the Yang heel point
UB62
What two points treat the neck, inner cants, ear and shoulder
SI 3/UB62
What is the Dai confluent point
Gb41
What is the Yang linking confluent point
Tb 5
What 2 points treat the neck, outer cants, ear shoulder and cheek
GB 41
Tb5
What are the 8 influential points
?
When do you use Xi-Cleft Points
acute/pain
When do you use Lower he-sea points
disease of fu
Name this disease and treatment principle:
- Asthma
- Acute
- Averse cold, no sweat/thirst, SOB wheezing
-Floating tight pulse
Excess Type Asthma
-Disperse Lu Qi and Expel cold to relieve asthma
What Disease do these point treat? Lu7 BL 12 BL 13 Dingchuan CV 17
Excess Type Asthma
What point would you add to excess type asthma if they had allergic asthma
Sifengxue
Li 11
Li 4
Gv 14
External Heat or External Cold?
External Heat
Li4
Kd7
Support or stop sweating
Li4 Li 11
WindHeat or Wind cold?
Clear wind and heat in the upper jiao
Li4
Lr3
What does this treat? Stagnation, excess, deficiency?
Open and through gate
Create movement for stagnation
Pc8
St36
Stagnation or deficiency of what channels?
Disperse depressed stagnation and regulate Sp and Stomach
Pc8 opens the chest
Bl11
Bl10
Stiffness where?
Stiff neck, back, occipital headache
Bl11
Influential point of what?
Influential point of bone
Lu11
Li1
Li4
Clears Hot or cold?
Clear heat and relieve sore throat
cv12
food and qi stagnation
Patient Presents with :
chills, fever, no sweat/thirst
- Treatment Principle
- Points?
Disperse Lung qi and Cold
Li4 Gb20 Bl12 Bl13(specifically if cough present) Lu7
Patient presents with aversion to wind, sore throat, fever, sweating
- Treatment Principle
- Main Points
Lu5: clears heat as water point
Gv14: meeting point of all yang
Li4
Li11
Lu10: ying spring/relieves heat, fire point
Tb5: tx 500 diseases, relieves exterior, transforms heat
Patient presents with aversion to wind, sore throat, fever, sweating
What if they also have Sore throat/dysphagia?
Li1:jing well
Lu11: jing well
Kd6: goes to throat
Patient presents with recessive fever, heaviness and a cold
- Treatment principle
- points
Clear summer heat and eliminate damp
Li4
Cv12
Lu6: xi cleft, goes deeper for damp
Tb6: damp heat
St36
Patient presents with recessive fever, heaviness and a cold
Also has severe heat
Add what point
Gv14: meeting point of the yang
Patient presents with aversion to cold, fever, fatigue, they may not want to talk, sweaty
What is the treatment principle?
Points?
Tonify qi and release the exterior
Li 4 Gb20 Bl13 St 36 Cv 6
Patient presents with frequent cough, yellow phlegm, thirsty, yellow tongue
Treatment Principle
Points
Disperse lung qi and clear heat
Bl13: relieve exterior Lu5: disperse lung qi Li4: GV14 Li 11
Patient presents with harsh cough, white phlegm, chills, feverish cough
Treatment principle
points
Disperse lug qi and reliever exterior zheng
Bl13
Lu7
Li 4
Bl12
patient presents with cough with profuse sputum
Treatment Principle
Points
Tonify Spleen and resolve phlegm
Bl 13 Lu 9 Bl20 Sp3 St 40 Li4
Patient has a paroxysmal cough with sticky phlegm
reduce liver fire and clear lu
Bl13 Lu5 Gb34 Bl18 Lr3
Patient has:
Cough with yellow phlegm, warm, sweat, phlegmy wheezing, rapid SOB, thirsty, constipation, Tongue: red body, yellow greasy coat, pulse is rapid
- Treatment principle
- Points
Clear lung and resolve phlegm
Lu1 Bl13 Lu5 St 40 Dingchuan Li11 Gv14
SOB, shallow breathing, clear phlegm, weak voice, nocturia, low back pain
Tongue: pale, tender, flabby, thin coat
regulate and tonify lung and kidney
Bl13 Bl43 Lu9 Kd3 Bl23 Cv6 Cv17 Dingchuan
Spontaneous sweating, SOB pale tongue thready and weak pulse
Spontaneous sweating of deficiency
Strengthen superficial resistance to stop sweating
Lu1 Bl13 Lu9 Bl43 St36
Night sweating, palpitations, insomnia, lusterless complexion and lassitude with a thready pulse Nourish the blood to stop sweating
Deficiency of the heart H7 Pc6 Bl17 Li4 Kd7
Night sweats, yin deficiency symptoms red tongue w/ no coat pulse is thready and rapid
Empty fire due to yin xue
Nourish the yin
Pc7 Kd3 Ht6 Lv3 Li4 Kd 7
Frequent belching, vomiting (mb acid or undigested food), foul breath, loose stool with foul odor, poor appetite
Tongue: think coat
Pulse: slippery and forceful
Food Stagnation/Retention
Promote digestion and remove stagnated food
Cv12 St 36 Pc6 Sp4 Cv10 Cv21
Vomiting w/ increased emotionality Frequent belching Acid reflux, Irritability Tongue: Dusky with thin greasy coat Pulse: Wiry and slippery
Attack on the stomach and liver qi
Disperse stagnated Lv qi and regulate stomach to stop vomiting Cv12 St 36 Pc 6 Sp4 Gb34 Lv3
Fatigue, vomitting after eating, bloating, heaviness of body weakness
pale sallow complexion
Tongue: scalloped pale tongue
Pulse: thin weak
Deficiency of sp and st
Strengthen sp and regulate st to stop vomiting
Cv12 St36 Pc6 Sp4 Bl20 Lv13
Vomiting with sudden onset
external invasion
Expel the pathogen to harmonize the stomach
Cv12 St36 Pc6 Sp4 Bl20 Li4
must determine if hot or cold
Patient presents with Acute diarrhea and abdominal pain
- Treatment principle
- Point perscription
Regulate the stomach and intestines
Cv12 St 25 St 36 Sp9 St 37 Li4
Patient presents with Acute diarrhea and abdominal pain
Also is foul smelling, burning and pulse is rapid tongue red
What point would you add
Due to damp heat
St 44
Patient Presents with sticky undigested food and fou order, tongue is thick white or yellow and the pulse is slippery and forceful
- Treatment principle
- Point perscription
Food Rentention:
Promote digestion and remove rentention of food to stop diarrhea
St 25 St 36 Cv12 St 37 Lineiting
Patient presents with pain preceeding diarrhea, belching, tongue is dusky w/ thin white coat and wiry pulse
Could also see mental emotional irritability
Liver qi attacking the spleen
Sooth the liver qi and strengthen the spleen to stop diarrhea
Cv12 St 25 St 36 Lv3 Bl18 (Lv shu) Gb34
Patient presents with loose stool, poor appetite, heaviness, fatigue, sallow complexion, weak pulse and pale scalloped tongue iwth a thin white coat
Tonify and regulate Spleen and Kidney
Cv12 Bl20 Lv13 St25 St 36 Sp3 Bl23 GV4 Cv4 Kd3 St 36
Patient presents with loose stool, poor appetite, heaviness, fatigue, sallow complexion, weak pulse and pale scalloped tongue iwth a thin white coat
What would tell you the kidneys are involvedy
what poins
edema, frequent clear uniation slow week pulse, diarrhea is early in the morning ?
Cv 4
Gv4
Patient presents with loose stool, poor appetite, heaviness, fatigue, sallow complexion, weak pulse and pale scalloped tongue iwth a thin white coat
What points if due to chronic
spleen deficiency
Bl25
Cv6
Cv9
St 25
Constipation with dry and hard stools, scanty dark urine, red face, warm sensation, bloated abdomenal pain, dry or mouth, bad breath
Open the blockage and free movement of the bowles Clear heat and moisten the intestines Bl 25 St 25 St37 Tb6
Li4
Li11
St44
Constipation with belching, flatulence, fullness in the chest, hypo-chondrium, distenton, pain in abdomen, reduced appetite, alternating constipation and diarrhea
Related to emotional change
Tongue: thing white coat
Pulse: wiry
Open the blockage and free movement of the bowles Soothe liver and regulate Qi Bl 25 St 25 St37 Tb6
Cv 12
Lv 2
Cv 6
Gb 34
Stools are not dry but passing them with great efforts, even sweating, sob, tired after BM, pale face, low energy
tongue: pale with thin white coat
pulse: weak
Open the blockage and free movement of the bowles
Constipation due to qi and blood deficiency
Tonify qi and nourish blood Bl 25 St 25 St37 Tb6
Bl20 Bl21 Cv4 Sp6 St36
difficulty passing stools, clear coious urine, pale face, cold extremeties, cold pain in the lower abdomen or lower back, intolerance to cold
Tongue: pale with white coat
Pulse: deep and slow
Open theblockage and free movement of the bowels Tonify kidney and warm yang Bl 25 St 25 St37 Tb6
Cv 6
Cv8
Bl23
Cv4
stomach pain better warm, cold sensation
tongue: pale and wet
pulse: slow and weak maybe tight
Warm Zhong-jiao and eliminate cold
Cv 12 Pc 6 St 36 Lv 13 Bl20 Vl21
Pain aggravated by eating, fulness and distension
Remove stagnated food and regulate the stomach
Cv 12
PC6
St36
Cv11: pain/bloating
Pain radiates to epigastric/hypochondriac region, better with belching and passing gas
Remove stagnation of Liver qi, harmonize stomach
Cv 12 Pc6 St36 Lv3 Lv14 Gb34
Pain radiates to epigastric/hypochondriac region, better with belching and passing gas
Add what with epigastric and abdominal distention?
Bl20
Sp4
Pain radiates to epigastric/hypochondriac region, better with belching and passing gas
add what if acid reflux and belching present
Bl 18
Bl19
Gb40
Yang Shui
Edema will start from the upper part of the body extending downwards. Causative factor most often external, disrupting the LU ability to descend and disperse, the water pathways are obstructed.
Yin Shui
- Edema will start from lower body then gradually spread to the upper portions of the body. Yin shui is more related to internal organs (internal causative factor is the body’s yangqi – SP no longer have normal transportation and transformation, – KD yangxu, failure of the kidney in transporting water
a. Pitting edema is present
Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat
Tongue: White wet coat, greasy
Pulse: floating/tight
Yang Shui: relieve the exterior and promote diuresis
LI4, LI6, LU7, BL13, SP9, BL22
Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat
Tongue: White wet coat, greasy
Pulse: floating/tight
Facial edema is also present
GV26, GV21
.Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat
Tongue: White wet coat, greasy
Pulse: floating/tight
Full and oppressed sensation in the chest:
PC6 (good for stomach and chest, chong mai), KI6(yin chiao mai goes to diaphragm and throat)
.Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat
Tongue: White wet coat, greasy
Pulse: floating/tight
SOB
i. LU7, LU5 (he sea, treats the internal organ, treats reversed flow, so here the water pathogen obstructs the lung so it does not have a normal function of qi, the qi is going up)
.Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat
Tongue: White wet coat, greasy
Pulse: floating/tight
Sore Throat
Lu11
Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin
Tongue: Flabby, scalloping, pale, thin white coat
pulse: deep, weak
Warm yang to induce diuresis (for yin shui):
CV6, CV9, BL20, BL23, ST36 warms the middle jiao, KI3
Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin
Tongue: Flabby, scalloping, pale, thin white coat
pulse: deep, weak
With edema on upper limbs
Li6
Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin
Tongue: Flabby, scalloping, pale, thin white coat
pulse: deep, weak
Edema on lower limbs
Sp 9
Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin
Tongue: Flabby, scalloping, pale, thin white coat
pulse: deep, weak
Edema on foot
Gb41
Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin
Tongue: Flabby, scalloping, pale, thin white coat
pulse: deep, weak
Diarrhea
ST25
Diabetes with
i. Thirsty, dry mouth and tongue
ii. Frequent urination
iii. Tongue: Red tip, thin yellow coat
iv. Pulse: big, rapid
Clear away lung heat and moisten dryness
LU10, BL13, LU9, LI4, BL15, Yishu
Middle xiao – big appetite, excessive eating
Thirsty, frequent urination
Tongue: red, dry yellow coat
Pulse: slippery, rapid
Clear away stomach heat and nourish yin:
BL20, BL21, Yishu, ST44, SP6, LI11
Middle xiao – big appetite, excessive eating
Thirsty, frequent urination
Tongue: red, dry yellow coat
Pulse: slippery, rapid
Gastric upset, easy hungry
CV12, PC6
Middle xiao – big appetite, excessive eating
Thirsty, frequent urination
Tongue: red, dry yellow coat
Pulse: slippery, rapidi. Constipation
+ ST25, ST37
Lower xiao – frequent urination Dry mouth, thirst Dizziness, vertigo, restlessness, low back/knee soreness Tongue: Red body, less coating Pulse: Deep, thready, rapid
Reinforce the kidney and nourish yin:
BL23, BL18, Yishu, KI3, LR3, SP6
Lower xiao – frequent urination Dry mouth, thirst Dizziness, vertigo, restlessness, low back/knee soreness Tongue: Red body, less coating Pulse: Deep, thready, rapid
Blurred Vision
GB37
Lower xiao – frequent urination Dry mouth, thirst Dizziness, vertigo, restlessness, low back/knee soreness Tongue: Red body, less coating Pulse: Deep, thready, rapid
Dizziness:
add GV23, Taiyang
Lower xiao – frequent urination Dry mouth, thirst Dizziness, vertigo, restlessness, low back/knee soreness Tongue: Red body, less coating Pulse: Deep, thready, rapid
Deficiency of yang:
+ GV4, CV4 (moxa)
Xiaoke General symptoms of diabetes: excessive eating, frequent urination, thirst
Patient has still lost weight
Prescription for Xiaoke: BL13, BL20, BL23, Yishu, ST36, KI3
Xiaoke General symptoms of diabetes: excessive eating, frequent urination, thirst
Patient has still lost weight
Thirst:
+ LU11, LU10, BL17
Xiaoke General symptoms of diabetes: excessive eating, frequent urination, thirst
Patient has still lost weight
i. Excessive eating and hunger:
+ BL20, BL21, CV12
Xiaoke General symptoms of diabetes: excessive eating, frequent urination, thirst
Patient has still lost weight
Frequent urination:
+ CV4, KD7, KD5