Final Flashcards
Dizziness, aggravated by overstrain, pale complexion, palpitation, insomnia, lusterless lips and nails, poor appetite, SOB and unwillingness to speak.
Pulse: Thready and weak
Tongue: Pale
Qi and Blood Deficiency
GV20: good point for deficiency, needle along the channel ST36: for the qi CV6: qi SP6: helps the blood BL20: Back shu of speen SP10:
Dizziness with heaviness of the head as if it were tightly bound; fullness in the chest, nausea. May also feel like things are spinning Pulse: Slippery Tongue: Thick Greasy coat
Phlegm and Damp Obstruct Orfice
CV12: St mu PC6: Unbinds the chest ST40: Phlegm SP9: Damp ST8: local point to open the channel, yin yang pair with GB 20: if patient has spinning, associate with wind
Sx: Dizziness, distending pain in the head, tinnitus; irritability, flushed face, bitter taste in the mouth.
Pulse: wiry
Tongue: red body with
thin yellow coat
Hyperactive Liver Yang
Reduce Gb20: Wind Gb 43: ying spring Lv 2: ying spring yin yang with Gb43 Bl 18: Lv shu -Tonify Bl 23: Nourish the kidney and wood to be able to hold the yang Kd3: nourish the kd yin, work on the root
Depression, dementia, incoherent speech; muttering to oneself, excessive doubts, delusions (hearing voices), no desire for food(phlegm obstructs the earth). May be easy to gain weight. Phelgm and qi disrupt heart orfice
Tongue: greasy tongue coating
Pulse: wiry and slippery pulse.
Stagnation of phlegm and Qi
Ht7: source
Pc7: source, ghost point to tranquilize shen and open heart orfice
Yingtang: this is where you observe
CV17: influential point of qi unbinds the chest to tx phlegm
St40: phlegm
Sp6: three foot yin helps keep the qi moving
Trance, mental confusion, dull, severe palpitation, lusterless complexion (not good shen and color on the face), poor appetite, poor sleep
Tongue: pale with white coating
Pulse: thready and wiry
Deficiency of Heart and Spleen
Ht7: source Pc7: source, ghost point to tranquilize shen and open heart orfice Yingtang: this is where you observe CV17: influential point of qi unbinds the chest to tx phlegm St40: phlegm Sp6: three foot yin helps keep the qi moving
Prolonged manic-disorder becoming alleviated, excessive talking( damage to yin will not hold yang), fright, restlessness, emaciation. We will see mixed symptoms. The patient will loose weight and become thin
Tongue: red with less coating, could be smaller tongue than normal
Pulse: Thready and rapid
Excessive Fire injures Yin
Treatment principle: Nourishing yin and descending fire, clear heart and calming the mind.
GV26:
CV14: Ht Mu
HT7: nourish heart yin
PC7: Source, opens the heart orfice to calm the shen
KI4: Luo connecting, good for descending the energy, nourishes the yin,
SP6L Nourish heart yin (6 foot yin)
Angry, shouting and scolding, destroying and beating with unusual strength, violent behaviors; irritability, headache, insomnia, flushed face, red eyes, constipation.
Tongue: red with yellow and greasy coating.
Pulse: wiry, large, slippery and rapid
Flairing-up of phlegm fire
PC8: Ying Spring Fire point, clear fire in heart
GV26: Calms the spirit, open the heart orfice, shen out of control
CV14: Heart mu, we use because of the fire. With the ren and du we have the yin and yang to keep balance
ST40: Phlegm
Chronic onset shoulder pain; sore and weak, limited/painful movement, muscle atrophy and tendon spasm;
Tongue: pale/ purple dots, thin white coating
Pulse: choppy, thin and weak
Difficult Circulation of Qi and Blood, undernourishment of meridians and tendons
Treatment Principle: warm meridians and promote circulation, strengthen the muscle and tendons
ST38: Point for the shoulder with lack of nourishment, do first on opposit side, have them move
LI15:local point
Jianqian: local point
SI9: local point
BL11: point of sea of blood
SI11: good when you can not lift the shoulder
GB34:tendon and sinews
LI11: yang ming to nourish the tendon and sinews
Ashi:
Can do cupping to draw the stasis out
Shoulder sore or tender pain, the pain may radiate to neck and upper arm, worse at night and better during the day, the pain aggravated by cold ad decreased by warm, aversion to wind and cold, limited movement, painful with lifting, outward rotation and back extending, t
Tongue: thin white tongue coating,
Pulse: tight
Deficiency of meridians, wind and cold invading
Treatment Principle: dispel wing and cold, warm and dredge meridians
Gb20, Li4 Gb21: dispel wind and cold
Li4 + Gb20: Relieves the extioror
Gb21: meeting point of gb, tb, st, relieves stagnation
Si9, Li15, Tb 14: Local points
Sx: Painful limbs and joints, local burning with reddness and welling, pain becoming worse by touch and alleviated by cold, fever
Tongue: Yellow greasy coat
Pulse: slippery and rapid
Heat Bi (Re Bi)
Du: 14: All the yang channels gather here to activate the yang qi to relieve the pathogen and clear heat, good for fever
Li11: Creates movement and relieves heat when used with Li4, good for fever
Li4: release the exterior, clear the heat
Fixed pain but not as painful as painful bi. Soreness, heavy sensation of the limbs and joints, aggravated by bad weather, heavy sensation of the hands and feet
Tongue: Greasy coat
Pulse: Soft,moderate
Fixed/Damp Bi (Zhuo Bi)
Treatment Principle: Resolve dampness and activate blood movement, dispel cold and dispel wind
Emphasis on cold, cold causes contraction and causes less movement
Sx: Fixed severe stabbing pain in the joints, cold limbs, averse/worse cold better warmth, limited movement of joints, no thirst, urination is clear, they feel cold
Tongue: thin white coat
Pulse: Wiry, tense, tight
Painful/cold Bi (Tong BI)
Treatment principle: Expel cold by warming meridian and collaterals, disperse wind and remove dampness
Ren 4: front mu of kd, warm middle jiao to help raise the yang qi to dispel the cold
Sx: Wandering pain, soreness of body and limbs, joint and muscles, limited movement of joints, chills and fever(surface is more open to external pathogens)
Pulse: Floating and wiry
Tongue: thin white coat
Wandering/Wind Bi (Xing Bi)
Treatment principle: Dispel wind and cold, remove the damp, dredge the collaterals
Bl17: nourish the blood
Sp10: Influential point of blood, if the wind invades it invades first through the blood so you have to first treat the blood
Gb20: Release the wind, meeting point of gb and yang wei
Bl12: Gate of Wind
Lv3: Associated with wood, if the wind goes into the body it is easy to interupt the tendons and sinews
Muscle flaciddity of four limbs with motor impairment, HEAVY swollen legs, aversion to heat and preference for cold in affected area, general heavy of the body
could see digestive issues, nausea, burning loose stool, abdominal discomfort
Tongue: Yellow, sticky, thick could be red
Pulse: Soft Rapid
Damp Heat
Treatment Principle:
clear heat and drain dampness
Nourish the Spleen: increase transportation/transfortion
Sp9: he sea: reduce
Bl20: Back shu, use with he sea for mxied def/excess: neutral clear damp heat while nourishing
Li15 Li11 Li4 Tb5 St31 St34 St36 St41 These are the hand and foot yang ming Gb30 Gb34: Seven start heaven point good for sinew and tendon Gb39: influential point of marrow
flaccidity develops slowly more and more, weakness and inability of limbs, soreness and wakness of back and lumbar region. May have blurred vission and tinnitus. frequency of urine at night, dizziness
Tongue: red tongue, small tongue, less coating
Pulse: Thready and rapid
Liver and Kidney Yin Xu
Points:
Bl18: Liver shu
Bl23: Kd Shu these both target the organ
themselves
Upper and Lower Limb:
Li15,Li11, Li4, Tb5 St 31, St 34, St 36, St
41, all are yang ming
Gb 30,
Gb34: Seven start heaven point good for
sinew and tendon
Gb39: influential point of marrow
Sx: muscular flaccidity, feverish, thirsty, weakness starts from lower limb since lung can not disperse and descend, motor impairment or paralysis, scant yellow urine, may have cough
Tongue: Red tongue, yellow coat
Pulse: Thready and rapid
-thready since lung is dry so no fluids to fill the blood
Heat in the Lungs
Treatment Principle: Dissipate heat, nourish the tendon and muscles
Lu5: he sea good to treat/nourish the organ, water point
to clear the heat dont use ying spring because that just
clears heat, we have weakness so this point both clears
heat and nourishes the organ
Bl13: Back shu
Upper Limb: Li15, Li11, Li4 the three above are yangming channel because they nourish the convergent tendon Tb5: Clear the heat
Lower Limb: St31, St34: Xi cleft St36: He sea St41: Jing river, fire -all of the above points are also on yangming Gb30 Gb34: Seven start heaven point good for sinew and tendon Gb39: influential point of marrow
Period has been irregular since start of menses. Scanty menses, color will be light and thin. T: pale, thin white coatP: thin and weak
Kd Deficiency causing irregular menses
Base: CV4, SP6 KD3:
source KD5: good to
regulate the menses
emotional upset, breast tenderness. clots in blood, dark red menstrual blood, flow is irregular T: dusky, thin white coat P: wiry
Liver Qi Stagnation
Base: CV4: regulate lower jiao tonify qi, SP6 Lv 14+ BL18: back shu front mu good for the organ LR3: source to crete movement
o menstrual flow is scanty, blood is dark red and thick with clots. May also have menstrual pain
♣ T: thin, white coat
♣ P: deep and tight
Excess cold
o Base: CV6, KD13, SP6
o Excessive cold + ST25, ST29
o Menstrual flow is scanty, color is lighter, and blood is thin.
♣ T: pale, thin white coat
♣ P: thin, weak, slow
Deficiency Cold
Cold pain occurs in the lower abdomen before or during menstruation, pain is aggravated when pressure is applied, and alleviated when heat is applied.
Cold and damp obstruction CV3: dispel the cold, front mu of the Bl and meeting of 3 foot yin SP8:xicleft, the cold and damp went deep so this point is stronger to create movement and then transport/transform damp ST28: water passage
• Distending pain in the lower abdomen before or during menstruation obstructed menstrual flow.
Liver Qi stagnation
CV6, LR3, SP6
• Dull pain in the lower abdomen during or after menstruation, emptiness and a bearing-down sensation in the lower abdomen, better with pressure.
o T: pale
o P: thin and weak
Deficiency of Qi and Blood
Dull pain in the lower abdomen during or after menstruation, alleviated by pressure. May have low back pain, dizziness, frequent urination.
Deficiency of Liver and KD
flow will be heavy with bright red blood. Will also feel thirsty and warm
♣ T: red tongue, yellow coat
♣ P: rapid and forceful
Excess heat
o Base: CV4, SP10
o Excess Heat + LR3, LI11
o light flow, red blood. Patient may have night sweats, five center heat.
♣ T: Red tongue, no coat
♣ P: rapid and thin
Deficiency heat
o Base: CV4, SP10
o Excess Heat + LR3, LI11
o Deficiency Heat + SP6, KD2
heavy or lighter flow, dark red blood with clots. May also have irritability, distended pain
♣ T: dusky red. Thin, yellow coat
♣ P: wiry and rapid
Stagnated heat
syndrome
LR2, SP8
heavy flow. Blood is light in color and thin. Also will be tired/fatigued, pale complexionT: paleP: thin and weak
Qi Deficiency
Tonification ST36:Yang ming, good to nourish qi SP6: Good for source of blood BL20: Sp Shu SP10: Good for source of blood GV23: good to regulate the collaterals to stop the pain GV20: Good for deficiency
Deficiency of blood Tonification ST36:Yang ming, good to nourish qi SP6: Good for source of blood BL20: Sp Shu SP10: Good for source of blood GV23: good to regulate the collaterals to stop the pain GV20: Good for deficiency
Chronic headache w/ empty feeling in the head, dull pain. Tinnitus, insomnia, lassitude, low back pain. Knee pain, Frequent urination, trouble hearing. Feel better wearing a hat or with pressure on the head. Pulse: thin, weak Tongue: red tongue less coating
Kd deficiency (yin)
KD3: Tonify kidney, yuan source
CV4: Front mu, Meeting point of three foot yin of ren channel-tonifies yin
BL23: Back shu tonify kd
GV20:
Restlessness, headache with distending pain, dizziness, easily angered, bitter taste in mouth, red face, hard to fall asleep, hypochondric pain
Tongue: red, thin yellow coat
Pulse: wiry, forceful
Hyperactive Yang
-Reducing
GB4: local point relieves hyperactivity of yang
GB5: local point, yin yang pain, divergent channel goes to the head
GB43: Ying Spring clears the heat
LR2:Ying Spring clears the heat
GV20: Releases the exterior, moves the yang down when needled in that direction
-Tonify
KD3: helps ground the yang, yuansource point
Headache characterized by persistent fixed sharp pain. May be preceded by trauma or surgery. Could be due to injury in the head. Find out about the quality
Tongue: purple
Pulse: choppy
Blood Stasis Ashi: open the stasis BL17:influential point of blood LI4: ruler of the head, promote separation, good for the qiSP6: good for stasis, meeting point for the HA, for the blood
severe HA with no sweating, no thirst, may have runny nose, stiff neck
Pulse: floating/tight
Tongue: thin white coat
Wind and Cold Invasion Use reducing technique Lu7: moves the channel due to excess Li20: opens the sinuses Gv14: all the yang channels meet here, Good to relieve the exterior Bl12: Gate of Wind, relieve exterior
Fever, Averse wind, sweating, thirsty, distending sensation
pulse: floating/rapid
Tongue: Red Tip
Wind and Heat
Li4/Li11:Clears the heat, create movement, treat the upper part of the body
GV14: meeting point of all the yang, good to relive the exterior
Bl12: Point of wind
Tb 5:
Sx: Body aches, heavy sensation, Brain fog, possible chills, could feel
Pulse: slippery or soft
Tongue: Scalloped, greasy white coat
Damp
Frontal HA
eyes or nose symptoms
Yang Ming
LI4, ST 8 St 44
Occipital HA and Neck pain
Taiyang
Bl10, Bl60, Si3, Bl62
Vertex HA
HA at vertex dizziness, irritable, insomnia, hypochondriac pain
Jueyin
Lr2, Lr3, Gv 20
Lateral HA
one side or both sided ha
Shaoyang
Gb20, Gb39, Gb 41, Tb 5 tai yang
Insomnia, Restlessness, discomfort, sensation of fullness below the chest
pulse: slippery
Tongue: Yellow Greasy Coat
Phlegm in the St affecting St qi Ht7: Source Pc6: Luo connectng, benefits the chest CV12: St Mu Bl21: Stomch Shu St36: Good for Qi St40: Good for phlegm
insomnia, easy to wake up, restlessness, heat sensation, night sweat, dry mouth and throat, dizziness and tinnitus, lower back or knee pain,
Pulse: Thin (if this was true external heat they would have flooding big pulse ) , rapid
Tongue: red, less coat, small cracks
Hyperactivity of fire due to Yin Deficiency
BL23 (Kd Shu) ,
KI3 (source) both of these are good for yin deficiency ,
BL15: Ht Shu
HT7, PC7( souce)
difficulty in going to sleep, wake up easily, palpitation, shortness of breath, tired, sallow or pale complexion, loose stool, poor appetite
Pulse: thready and weak
Ht and Sp Deficiency
Bl 15: Ht Mu
· Bl 20: Tonify Spleen shu
· SP 6: the patient is harder to fall asleep so it is a good point to nourish theblood and three foot yin meeting point
Ht 7: Source point
sleepiness, difficulty falling asleep, dizziness, headahce, irritability, red eyes, red face, may have bitter taste in mouth, hypochondriac pain
pulse: wiry and rapid
Tongue: Red body, yellow coat
Hyperactivity of Liver Yang Bl 18: Liver shu Bl 19: Gb shu Lv 2: ying spring fire GB 44: Jing well metal point, calms the spirit Ht 7: Source
alternate palpitation, fullness in the chest, bitter taste in the mouth, mucus or phlegm in the throat, maybe cough with yellow phlegm, dark urine, constipation(these indicate heat)
Pulse: Slippery/Rapid
Tongue: Yellow greasy coat
Phelgm Fire Disturbing the Heart
Lu 5: he-sea, good for the phleghm heat
o BL 15: Ht Shu
o CV 17: Ht Mu (Mu+Shu tx oregon to open chest and tranquilize shen)
o Ht4 qi cleft point, phlegm is sticky and the qi cleft is used to tx the acute conditions, the bleeding and this is where the qi goes in deep so it is good to move the obstruction
o Pc4: Spirit path good to tranquiluize the shen, metal point on heart channel
St 40: Phelgm
Palpitation, alternate heart pain, restlessness, chest tightness.
Tongue: Purple Lips/Toung (dots on tongue) Enlarged sublingual veins
Pulse: May have Jie( slower skips beat, irregularly irregular) or Dai mai (regularly irregular pulse, skips a belt, always every so many beats i.e every 3 beats skips a beat, could be normal or could be irregular)
Blood stasis
PC3, HT3, CV6, SP10, BL15, CV14
The heart belongs to fire and needs balance with water, if it does not stay balanced it can lead to yin or yang deficiency. Deficiency of yin leads to fire rising to disturb the heart.
Sx: Palpitation, fidgetiness, insomnia with hot warm senation with five center heat (heat in the palms and chest), night sweating.
Tongue: cracks, red body, less coating
Hyperactive fire from Yin Deficiency HT7: source Point · PC6: yin wei unbinds the chest · BL15: heart shu · BL17: blood · BL23: nourish water so it communicates with water · KI3: nourish water, source point
Sx: Palpitation, dizziness when standing up, feeling of stuffiness in the chest, cold limbs, edema of the lower extremities
Tongue: pale flabby body, wet coating
Pulse: tight(cold) and slippery (fluid)
Excess Fluid Invades the Ht
Palpitations SOB, Easy Sweating, Tired, Easily Frightened
Pulse: Weak
Tongue: Pale
Heart Qi Deficiency HT7: Bl15: Back Shu CV14: Front Mu Combining Mu+Shu treats the organ PC6: Yin Wei Mai opens the chest
palpitation, vertigo
and dizziness, poor
sleep.
Pulse: Thready Tongue: Pale
Heart Blood Deficiency
L17, BL20, ST36, BL15, HT7, HT5
Will be more dry, night sweating, a
pulse: Thin/rapid
Tongue: dry, red, cracks, less coat
Kd Yin Xu
BL52: Tonify kd jing
SP6: tonify the yin
Weakness, soreness and pain in the lumbar region, which may be relieved by pressure & kneading; weakness of knee and leg, aggravated by overwork or fatigue, relieve by rest, recurrent; usually chronic onset but could be acute with overstrain. Frequent urination, tinnitus, dizziness can be present.
Kd Yang/Qi deficiency
GV4: Yang gate to tonify yang
CV4: meeting of liver, spleen and kidney
Yaoyan: Side of lumbar region
pain with cold and heavy sensations in the lumbar region, limited movement, not to be relieved in lying position because damp accumulates there, being aggravated in cloudy & rainy days; relieve by warmth; May feel averse to cold
Tongue: white greasy coating
Pulse: deep slow or deep moderate pulse.
Cold Damp
BL23: commonly used for low back pain, kd shu
BL40: Ruler point of lumbar region
GV3: yang gate in the lumbar region, promotes yang qi movement and remove the dampness
BL25: Li Shu, good to promote movement of dampness
BL26: Warm the lumbar region, relieve the dampness
SP9: for damp, he sea point
Distending pain in the lumbar region with heavy or hot sensation, may radiate to hip joints, aggravated in rainy days or summer heat
Thirsty but doesn’t want to drink much water, yellow urine
Tongue: Yellow Greasy coat
Pulse: Soggy and rapid pulse
Damp Heat
Bl 23:kd shu Gv3: open yang gate Bl40: ruler of the lumbars Bl25: promote movement at li Shu Bl32: clear damp heat in the lower jiao Sp6: three foot yin to promote movement of blood and clear damp and heat Ashi: heat Gb34: damp heat makes the tendon and sinews malnourished, clears damp heat and benefits the tendons and the sinews
turbid milky urine, cotton like sediment with fatty oily substances at the surface of the urine or complicated with coagulate of blood, painful, difficult and burning sensation in the urinary tract. T: red yellow greasy coat P: Soft rapid Principle: remove heat separate essence from turbid substance
Excess: Grease
Stranguria
Lasting illness with repeated attack,
turbid fatty
oily substances in the urine; lessened difficulty
and pain in urination, dizziness, lacking
strength, soreness in loins and knees, pale
tongue with greasy coating, thready and weak
pulse.
Deficiency Grease Sranguria
Manifestations: frequent scanty urination with
burning and stabbing
pain, dark yellow urine, distending sensation
and pain in the lower
abdomen. Fever, vomitting may be present.
Tongue: Red Body
with yellow greasy tongue coat Pulse: Soft
and rapid Principle:
Clear heat drain damp, promote urination
Heat
Stranguria
Bl 28: Back shu of Bl Sp6: Clear lower jiao damp heat Tb5: relates to water passage and clears heat CV3: front mu of Bl
Urine often complicated with stones, difficulty urination, interruption of urination, pain or colic in the lower abdomen, lumbar and urethra, yellow turbid urine or urine maybe with bright red blood T: red w/ thin yellow coat P: Wiry and rapid Tx Principle: clear heat, promote urination and remove the stone
Stone Stanguria
Bl 28: Back shu
Kd2: Ying Spring clear heat,produce urine
CV 3: front mu
Sp 9: Clear damp
Bl39: lower hesea of sanjiao, regulate the water passage
difficult dribbling urination, fullness and pain of the lower abdomen Tongue: Thin white coat P: deep and wiry
Excess Qi Stranguria
dribbling urination in drops, distending sensation in the lower abdomen T: pale P: weak, thready
Deficient Qi Stranguria St 36: tonify qi and st, help move damp Bl20: back shu of spleen Cv6: Qi Hou, tonify qi Bl 28, Cv 3, Sp9
yin deficiency, difficulty urination with dull pain, pink urine. T: Pink P: Thready rapid
DeficientBlood Stranguria
Bl 17: blood
Sp6, Sp 10
Excess: difficulty in urination with stabbing and burning pain, dark yellow or red urine sometimes complicated with blood clots. Stone may not always have blood while this doesT: yellow coat P: slippery rapid
Excess:Blood Stranguria
always due to chronic issue. Dribbling urination with mild pain (not to much), repeated attacks, aggravated by overstrain T: pale P:weak Principle: Tonify spleen and kidney
Overstrain Stranguria
Acute/sudden onset, usually right after waking, also have main symptoms
usually no sweating and do not feel thirsty, may have aversion to wind
Tongue: Thin white coat
Pulse: Superficial tight pulse
Wind Cold Attack LI4, ST4, ST6, ST7, GB20, GB14: good for the forehead TB17, TB5: Clear damp heat, clear wind blockage SI18 BL 12: gate of wind GV14: All the yang channel meet since wind and cold obstruct the yang channel Taiyang: dispel exterior
Slow onset, after the ear pain or inflammation, sometimes swollen or puffy
Tongue: red with yellow sticky coat
Pulse: slippery and rapid
Damp Heat Attack Upward
LI4: one distal point, ruler point of face
ST4, ST6, ST7: Local points
GB20, GB14: Good for forehead
TB17, TB5: clear damp heat clear wind blockage
SI18: clear blockage good for paralysis
Sp 9: works on damp
Gb34: clear heat and work on how tendon sinews relate
Li11, St44: Clear the heat , work on yang ming channel
Long-standing case, usually accompanied by twitching eyelid, one side might not be able to close
LI4: one distal point, ruler point of face
ST4, ST6, ST7: Local points
GB20, GB14: Good for forehead
TB17, TB5: clear damp heat clear wind blockage
SI18: clear blockage good for paralysis
may needle the healthy side since its a deficiency condition Bl 18: Liver shu Bl 23: kd Shu Lv3: Kd 6:
Over weight, may have some digestive issue
Tongue: enlarged and scalloped, dusky or puple color, white and creasy coat
Pulse: Slippery pulse
Obstruction by Phlegm and blood stasis
Mental depression, distress of the chest, hypochondriac pain, abdominal distension, belching, poor appetite, vomiting Tongue: white thin or greasy coating, tend to be dusky or N Pulse: wiry pulse
Liver Qi Stagnation
Bl18: Lv Shu Lv3: source Cv17:PC mu to open the chest, influence the qi Cv 12: St Mu St36: qi Sp4: Chong mai, open The above three harmonize the middle jiao and regulate chest opression the chest and the diaphragm we see wood is reveresed to earth so we want to work on the middle jiao to preven overacting on Sp/ST
Headache ,dryness and bitter taste in the
mouth, irritability, oppressed sensation in the chest, hypochondriac
distension, acid regurgitation, constipation, red eyes, tinnitus
Tongue: red tongue with yellow coating Pulse: wiry
and rapid pulse.
Liver Fire
Cv13: Clear the heat from the stomach harmonize stomach and regulate the qi Tb6: clears heat, good for constipation Gb 34: he sea, descend the fire Gb 43: clear the heat, ying spring Lv3 : spreads liver qi
Mental depression, pressure sensation in the chest, feeling of a lump choking in the throat, hard to spit it out or to swallow it; Tongue: greasy and white coating Pulse: wiry and slippery pulse.
Phlegm stagnation
- REN 22: descend rebellious qi
- REN 17+PC 6: calm the Shen
- PC 6: Yin Wei- goes to the chest, open the chest
- ST 40: for phlegm
- LR 3
Grief without reason, capricious joy and anger, fright, palpitation, irritability, insomnia, or sudden oppressed sensation in the chest, hiccup, sudden aphonia, convulsion, or loss of consciousness in severe case;
Tongue: thin and white tongue coating
Pulse: thin and wiry pulse.
Blood Deficiency
CV14, HT7, SP6, LR3, ST36
- Women around 49 years old, before or after menopause
- Irregular menstruation, hot flashes, soreness of lower back and knee
- 5-center heat
- Hot sensation in the chest, palms and soles, headache and dizziness, irritability
- Tongue: red
- Pulse: thin, wiry and rapid
Kidney Yīn Deficiency with Hyperactive Liver Yáng
KI-3: Yuán-source point
- LR-3 Yuán-source point
- SP-6:Nourish the Yīn
- GV-20: Descend hyperactivity of Liver Yáng
Manifestations
• Women around 49 years old, before or after menopause
• Irregular menstruation (scanty, delayed, light colored, possibly amenorrhea)
• Palpitation, insomnia
• Sad, cries easily, forgetful
• Tongue: pale
• Pulse: thin
Heart Blood Deficiency
Tx principle: Tonify Heart Blood, Connect Heart and Kidney
• BL-15 back-Shù of the heart • • BL-20 back-Shù of spleen • Spleen is the source of Qì and blood • BL-23: back-shu of the Kidney • • SP-6 • Nourish the Yīn
Women around 49 years old, before or after menopause, irregular menstruation,
• Heavy menses, incessant drippings of blood from the uterus beyond the menstrual cycle
• Pale complexion, fatigue, poor appetite, bloating, loose stools, general edema.
• Scanty blood, light color
• Tongue: pale tongue with thin white coat
• Pulse: deep and thready
Spleen & Stomach Deficiency
BL-20: back-Shù pt of the Spleen • • BL-21: back-Shù pt of the Stomach • • CV-12 Front-Mù pt of the Stomach • • LR-13: Front-Mù of the • • ST-36 • • BL-23: back-Shù pt of the Kidney •
Overweight, oppressed sensation in the chest, phlegm in the throat
• Bloating and fullness sensation of abdomen, nausea
• Tongue: greasy coat
• Pulse: slippery
Accumulation of Phlegm & Qì Stagnation
CV-17: influential pt of Qi • Regulates Qì, benefits the PC • CV-6 • Can strengthen Kidney Qì, combines with CV-17 • CV-12 • Resolve phlegm, relieve bloating • PC-6: Yinlinking vessel • Connects with Stomach via the Yin Linking Vessel to resolve fullness, bloating • Yīnyáng pair with the Triple Burner/Pericardium • ST-40: • Resolve phlegm • SP-6 • Clear phlegm
Infertility
Irregular or scanty menstruation with dark color
• Lassitude, soreness of the back, weak legs, dizziness, tinnitus
• Tongue: pale body with white coat
• Pulse: deep and weak pulse (especially in the Chi position)
Kidney Deficiency
BL-23: Yuán-source pt of the Kidney
• Tonifies Kidney deficiency
• KI-13: meeting pt of the Kidney with the Ren and Chongmai
• Tonify kidney, regulate Ren and Chong
• KI-2: Yíng-spring and Fire pt of the Kidney
• Zongji Yue says KI-2 combines Yīnyáng by its nature of fire and water
• Fire is mother of earth: tonify KI-2 to tonify the earth/body
Infertility
Scanty and light color menstruation, delayed menstrual cycle (sometimes no menses)
• Sallow complexion, general weakness and mental lassitude, dizziness and palpitations
• Tongue: pale tongue with white coat
• Pulse: deep and thready
Blood Deficiency CV-4: meeting pt of Rén channel and \_\_\_ • Tonifies Jīng • ST-13: experience pt • Treats infertility due to blood deficiency via associated with Yángmíng and Chōngmài • Guides rebellious Chōngqì downwards • Zigong: • Local pt to benefit the Uterus • SP-6: • Three foot yin to work on Liver and Kidney
Delayed menstruation with scanty dark menses
• Cold pain in the lower abdomen
• Cold body and limbs sometimes accompanied with soreness of the back and weak legs
• Clear urination
• Tongue: pale body with thin white coat
• Pulse: deep and slow (sometimes tight, depending on severity)
Retention of Cold in the Uterus
• CV-6: Qihai, influential pt of Qi
• Tonify Qì to warm the middle Jiāo
• CV-2
• Jiayi Jing: meeting pt of Ren and Liver channels; cold congeals the liver, liver stores the
blood, cold then blocks the blood from bourishing the uterus
• CV-7: meeting pt of Ren, Chong, and Kidney channels
• Warms the middle Jiāo and disperse cold
• GV-4
• Warm Mingmen fired
- Late period with clots and mucus; Abundant leucorrhea of thick, sticky consistency
- Fullness of chest and hypochondriac region
- Restlessness and irritability, or obesity
- Dizziness, palpitations
- Tongue: dusky tongue with greasy coating
- Pulse: slippery or choppy
Phlegm and Blood Stagnation
• CV-3: front-Mù of the bladder
• Promote urination to remove dampness in the lower Jiāo
• Not only for bladder but for Kidney as well
• ST-30:
• Chōngmài is the sea of blood: regulate the Chōng to relieve blood stasis
• KI-14:
• Regulates Qi and blood stasis in the lower Jiāo
• SP-6:
• Resolve phlegm, promote blood circulation
• ST-40:
• Resolve phlegm
• alternate palpitation, fullness in the chest, bitter taste in the mouth, mucus or phlegm in the throat, maybe cough with yellow phlegm, dark urine, constipation
o Pulse: slippery and rapid
. Phlegm fire disturbs the heart
BL15, CV14: Shu and Mu
HT4:Jing river, Metal point. Calms the spirit and benefits the voice. Releases the muscles and sinews \
PC4:• xi cleft – Phlegm is sticky, xi cleft is good for acute conditions but also it is good for moving obstruction b/c xi is where qi is collected and deeper
ST40: phlegm
Lu 5: he sea point good for zang fu and reversed flow of qi
• Falling down in a fit (with loss of consciousness), deviation of mouth, hemiplegia, trismus and clenched fist, retention of urine, constipation; flushed face, rough breathing, a rattling sound in the throat due to sputum
o Pulse: wiry, slippery and rapid pulse
o Tongue: red tongue with thick yellow coating
Wind Stroke due to Tense Syndrome (Bi Zheng)
Treatment Principle: Open the orifice and inducing resuscitation, eliminating phlegm, clearing away heat.
• Treatment: GV26, PC8, LR3, ST40, twelve Jing points.
by sudden onset with deviated mouth, a rigid tongue, slurred speech, hemiplegia, and even loss of consciousness. Because of its sudden onset, emergency with various symptoms and wandering and changing
Wind Stroke
• Hemiplegia, numbness of the limbs, deviation of the mouth, slurred speech; headache, dizziness, vertigo; tinnitus, insomnia.
o Pulse: slippery and wiry or thready
o Tongue: white or greasy coating
Attack on the Meridians and Collaterals (Feng Zhong Jing Luo)
• reatment Principle: dredge the meridians and collaterals, regulating qi and blood
• Treatment:
o Hemiplegia: LI15, LI11, LI10, LI4, GB30, GB34, ST36, ST41, BL62
o Deviation of the Mouth: ST4, ST6 (joint needle ST4->6), LI4, ST44(distal point that opens up the face), GB14 (hard to open the eyes), LR3, BL2
difficult to speak, slurred speech
REN 23, DU 15 (front and back)
• Falling down in a fit with loss of consciousness, mouth open and eyes closed, snoring but weak breath, relaxed hand, incontinence of urine; cold limbs, profuse cold sweating, a flushed face (as if being put makeup)
o Pulse: thready and weak pulse or floating, large pulse without root.
o Tongue: pale or purple dark tongue
• Falling down in a fit with loss of consciousness, mouth open and eyes closed, snoring but weak breath, relaxed hand, incontinence of urine; cold limbs, profuse cold sweating, a flushed face (as if being put makeup)
o Pulse: thready and weak pulse or floating, large pulse without root.
o Tongue: pale or purple dark tongue
Collapse Syndrome
Treatment Principle: Recuperating depleted yang, restoring collaps
• Treatment: CV4, CV8 (moxa repeatedly, fuzi cake)
- Choosing 14 meridians points
• Based on syndrome differentiation (wind, fire, phlegm, deficiency, etc.)
• Identify and evaluate where problems are based on different stages
- Acute: 14 meridians points, more yang
- Recover (1-6 mos): identify which channels are more deficient, more nourishment
- Sequaelae: treat imbalance b/w yin and yang
• Based on syndrome differentiation (wind, fire, phlegm, deficiency, etc.)
• Identify and evaluate where problems are based on different stages
- Acute: 14 meridians points, more yang
- Recover (1-6 mos): identify which channels are more deficient, more nourishment
- Sequaelae: treat imbalance b/w yin and yang
- Juci Method
- If there are problems on one side, then treat the other side
- Imbalance b/w R and L (pulse imbalance, etc.)
- Affected side has obstruction
- In the begging, needle only the affected side to create movement, dredge, etc.
- In the recovery, needle the other side to push the good energy to the obstructed side
Moxa
- Moxi combined w/ Juci methods
* Moxa on cold or where spasm is (moxa on affected side)
- Cupping
- Draw stasis out
- Seven star needle and cupping
- Purple tongue, choppy
- Moving cupping along the channel + seven star needle
- Prick
- Bleeding
- Certain types of strokes due to channel blockage
- Old blood come out then new blood can circulate
- Upper part of body: SI 18
- Lower part of body: ST 41
- When yang qi going up: Taiyang prick
- Scalp Acupuncture
- Dingne
- Motor sensory
- Eding
- Movie: 9000 needles
- Main point to open the heart orifices no matter what condition or which sides are involved
- DU 26, PC 6, SP6 : to open the orifices
- Add HT 1, LU 5, BL 40 (affected side) : open the channel and create movement
