Lecture 6 (Part Two): Yang Qiao Mai Flashcards
The character Qiao describes the motion of lifting up the feet. What are all of the different terms for Yang Qiao Mai?
Yang Motility, Yang Heel Vessel, Yang Stepping Vessel
What is your mnemonic for Clinical Applications of Yang Qiao Mai?
1) E - Excess Yang absorption
2) E - Excess pathology and eyes
3) Bi - syndrome
4) Hemi - plegia
What is your mnemonic for Association and Treatment of Yang Qiao Mai?
H - Headaches
U - urinary dribbling
S - sciatica
H - hips
B - back
E - EPF wind
M - mental
E - epilepsy
1) Excess Yang Absorption: We have an understanding that the function of the Extraordinary Vessels is that of ___________; absorbing ________ ___ from the Main channels. The Yang Qiao vessel represents the first line of _________ to do what?
reservoirs; excess qi; reservoirs
… absorb excess Yang most specifically in the head
What might Excess Yang in the head look like?
- mental problems such as manic behavior and agitation
- headaches
- epilepsy
What points would you select for mental problems manifested by Excess Yang in the head?
BL62 and SI3 GV19 PC7 LI4 CV15 LV3
What are the two main patterns seen involving headaches where there is excess Yang?
1) Liver Yang Rising
2) Liver Fire
How would you diagnose a headache where the pathology is in the Yang Qiao Mai?
Look for a wiry pulse in both front positions.
What points would you choose for a Yang Qiao Mai type headache?
Bl62 and SI3
LV3
LI4
GB20
Epilepsy from excess of Yang Qiao Mai would present as? Treatment?
Seizures that occur at night (deficiency of Yin Qiao Mai). Moxa point on Yin Qiao
Epilepsy from a deficiency of Yang Qiao Mai would present as? Treatment?
Seizures that occur during the day. Moxa point on Yang Qiao.
2) Excess pathology and the eyes: Both the Yin and Yang Qiao Vessels flow up to the eyes. The Yang Qiao Mai brings Yang and therefore aids in _______ the eyes. If the Yang Qiao vessel is in Excess, the eyes will not _____.
Opening; close
If there is a tendency for the eyes not to _____, Yang Qiao Mai can be used to treat _______.
close; insomnia
What might other interpretations for “eyes that will not close” manifest as?
- Angry, intense stare of people that are Liver Yin Xu
- Exopthalmos of hyperthyroidism or Grave’s disease
What points would you choose for insomnia cause by excess of the Yang Qiao?
Drain Yang Qiao Mai - reduce BL62
Tonify Yin Qiao Mai - reinforce KI6
Add BL1 to establish a connection between the two vessels so that the Yin and Yang energy of the eyes can be balanced.
When pathogenic factors invade the Yang Qiao vessel causing pain in the inner corner of the eye, needle the point 0.5 cun below the external malleolus on the side that is ________ the affected eye ______. Su Wen
opposite; twice
3) Bi Syndrome: This disease is similar to what problem of the Yin Qiao Mai, only opposite…
Atrophy (Wei) Syndrome
Describe the Bi Syndrome that affects Yang Qiao Mai.
As the Yang Qiao vessel controls the state of the muscles of the lateral aspect of the legs, when this vessel is diseased the lateral muscles of the leg are tight and stiff, whereas the medial muscles are too relaxed.
What is this Bi Syndrome caused by?
EPF wind invasion into the lateral meridians causing spasm of the muscles and sinews.
What points would you choose to treat Bi Syndrome?
BL62 and SI3 GB20 - eliminates wind ST43 LI11 local points on affected limbs
4) Hemiplegia: This is an attack of ____-____ generated by internal _____ contracting the muscles and sinews causing ________. This is __________ and would be indicated in treatment of Yang Qiao Mai.
Wind-Stroke; Wind; paralysis; unilateral
Maciocia discusses that use of the Yang Qiao Vessel is most effective in the ______ stages of ____________ of _____ -Stroke as the “influence of internal Wind in the _____ is still _________.”
early; sequelae; Wind; limbs; predominant
What is different about hemiplegia, back pain, hip pain and sciatica in terms of choosing the side for the master point?
Needle the master point on the affected side regardless of gender.
What treatment would you do for hemiplegia?
BL62 on affected side SI3 on the opposite side GB20 GV16 LI11 LR3 local points on affected limbs
Back pain/sciatica: The EOV are particularly useful when symptoms ________ several channels. When dealing with back pain and sciatica often the ________ and __________ channels are involved. In some instances the _______ channel will be involved as well.
overlap; Bladder; Gallbladder; Stomach
When is Yang Qiao Mai useful for back pain or sciatica?
When the pain is unilateral and it is a Full condition (pulse is Full and Wiry)
What points would you select for Yang Qiao Mai back pain/sciatica?
BL62 on affected side
SI3 on opposite side
BL59 for pronounced stiffness (Xi Cleft)
local points
Hip Pain: Given the trajectory of the Yang Qiao vessel it is useful in treating hip pain. What points would you choose?
BL62 on affected side
SI3 on opposite side
GB30
local points
What point does the Yang Qiao vessel flow through in the hip area?
GB29
Use this point with electrostim to incorporate extra meridians and to treat hip pain or sciatica that overlaps several channels.
GB29
Urinary problems: _________ of urine is a symptom of the Yang Qiao vessel. _______ obstructing the urinary passages manifesting as urinary ________ with _____ is a _____ condition and may therefore be treated using the Yang Qiao Mai.
Dribbling; Dampness; difficulty; pain; Full
Remember that dampness infuses into the lower burner if the _____ ____ belt is too tight.
Dai Mai
What points would you choose for dribbling of urine?
Bl62 and SI3 BL63 BL59 CV3 SP9
EPF Wind: The Yang Qiao vessel may be used to expel EPF Wind especially if ________ headache and _____ _____ accompany the other EPF wind symptoms of….
severe; stiff neck
- aversion to cold
- fever
- runny nose
- sneezing
- floating pulse (full at front position)
What other EOV is indicated in expelling exterior Wind in the head?
Du Mai
What EOV would you choose for unilateral back pain? Bilateral?
Unilateral - Yang Qiao Mai
Bilateral - Du Mai
What points would you choose to expel EPF wind when there is a severe headache and stiff neck
BL62 and SI3
GB20
GV16
BL12
