Points Lu-‐9 Sp-‐3 Lu-‐5 Kd-‐7 Lu-‐5 Sp-‐9 Lu5 & Sp9 Lu5 & Sp9
TAI-‐YIN Functions Strengthen spleen qi to transform dampness Benefits fluids to support spleen yin Fu Ling, Zhu Ling
Herbs Bai Zhu, Cang Zhu Shan Yao, Sheng Di Huang, Yi Yi Ren Regulates Tai-‐Yin Qi Dynamic
Tai-‐Yin Cases Reg. tai-‐yin to facilitate provision of fluids to skin Reg/Drain to strongly re-‐establish tai-‐yin and yang ming dryness-‐dampness relationship Collateral/local points to re-‐establish fluid circulation in large intestine organ Regulates to support Sp4 & St40 pair Use of collateral pair to regulate tai-‐yin – yang Ming in case where excess and deficiency are combined Source points used in a case where deficiency is primary
St25 & St40 Lu5 & Sp9 Sp4 & St40 Lu9 & Sp3
SHAO-‐YIN Dredge the yin collaterals – address problems in the microcirculation in the brain +/ heart – cognition / speech difficulties. To clear heat from jue-‐yin (heat in PC) – Extinguish wing More specific dredging of the Shao-‐yin channel
Ht5 & Kd6 PC7 & Lv2 Ht5 & Kd4 Lu5 & Sp9 Tw5 & Gb41 Tb6 & Gb34
JUE-‐YIN & TAI-‐YIN Qi Dynamics He-‐sea points to regulate Tai – Yin to regulate and re-‐ counter flow establish proper movement in qi counter flow When heat is present Jue-‐Yin Dredges and opens the -‐Tinnitus, dizziness, hbp pathways of qi When qi stasis dominates-‐ -‐ clumping, constipation Clear hear first
JUE-‐YIN & TAI-‐YIN Blood Functions Profuse, heavy uterine bleeding is associated Lv 1 & Lv3 with the Liver Bleed Lv1 If heat involved Leaking of small amounts at irregular times Sp1 & Sp3 TAI-‐YANG – Treatment of exterior conditions TX conditions associated with lung by moving accumulated yin-‐turbidity by stimulating abundant qi and blood Moxa Cv6 Chronic inability to protect body from ext. cold Bl10, Bl11, Gv14 & ST36 (last) Moxa to strengthen chronic yang deficiency-‐ function of warming and moving yang qi to surface. TAI YANG -‐ Small Intestine Pathology Cervical disorders Si3, Si6 Probs in shoulder joint (esp. ligaments) Back pain involving bladder Tai Yang Often contralateral-‐ rt. Side back pain manifests on left side s.intestine (Si3) Eye, ear, throat Ligament problems in elbow Usually excess, TX with Si7 (collateral) Heart Conditions Li11 & Li4
Regulate fluid metabolism Tonify Warm & Move
Phases of treatment Lu5, Sp9 Cv3, Bl64 Li6 Lu9, S03, Kd3 Cv3, Bl64 Ht7, Kd3 Gv4, Bl26, Bl28, Bl31, Gb30
Improvement in frequency of daytime urination Improvement in frequency of nighttime urination Gradual normalization of sweating, improvement of skin moisture and weight gain
YANGMING points in qi transformation Uniting pt. regulates movement & inter-‐regulation of dryness-‐dampness Regulates while tonifying
St36 St36 Li10 Li11 Li1 St45
Clears by strongly stimulating movement of qi & blood Clears excess heat in the channel, esp. with bleeding
Lu6 (kong zui) Li7 (wen liu)
St34 (liang qiu) Sp8 (di ji) Ht6 (yin xi) Si6 (yang lao) Bl63 (jin men)
Kd5 (shui quan) PC4 (xi men)
Lv6 (zhong du)
Xi-‐Cleft Points Clear heat from lung and stop bleeding Sometimes sed for headaches due to deficiency when reduced absorption of oxygen Clear heat and regulate the stomach and intestines. For painful disorders of head including toothache, headache, nosebleed, inflammation of nasal cavity, facial paralysis, tmj. Sometimes used for spasmodic pain in abdomen possible accompanied by diarrhea. Often used for stomach pain and spams, acute swelling in and around breasts, of the knees. Primarily for the treatment of lower abdominal pain. Dysmenorrhea with severe, cramping pain and to reduce swelling of the lower leg. Used to clear heat from deficiency and to stabilize the spirit. Astringent action both restrains and calms. Used to clear heat from the head and brighten the eyes (old people developing nearsightedness). Can treat acute neck or lumbar pain. Clears the orifices and reduce pain by unblocking circulation. Acute lumbar pain, occipital headaches, reduces intensity of epileptic seizures. (Add/Adhd, acupuncture anesthesia for cranial surgery, head pain deep in the bones) Pain in lower abdomen-‐ especially due to urinary tract infections, cystitis, bladder spasms and kidney stones. Useful point to clear nutritive level heat and stop bleeding. For coughing, vomiting, spitting blood and nosebleeds. For inflammation of mesenteric linings of upper burner-‐ pleuritis, pericarditis, inflamm. Mammary glands. Clear heat and regulate qi related to hypochondriac pain and abdominal distention. PMS, Dysmenorrhea,
Lu6 Pc4 Ht6
Comparing Lu6, Pc4, Ht6 of Arm Yin Pain in chest & lungs with coughing of blood For problems with flow of coronary arteries-‐ heart Useful for night sweats (def. of heart blood)
Comparing Sp8, Kd5, Lv6 of Leg Yin Both Treat pain of lower abdomen Sp8 – menstrual pain due excess type stagnation of qi + xue Treats excess type in the Kd/Bl (stones) Effects middle burner and blood distribution in general.
Sp8 Kd5 Kd5 Lv6 Cv6 & Kd2 Cv6 & Kd3 Cv21 & Cv14
Cv26 & Bl40
REN Conception Vessel Pairs Opens and warms the collaterals of the lower burner in cases of yang deficiency. They can Tonify kidney qi for coldness in the abdomen: urinary incontinence, impotence, leucorrhea, cold-‐qi deficient qi infertility. Used to strengthen kidney deficiency. For generalized kidney deficiency. Diffuses and guides gathering qi (converges in chest) Asthma, phlegm cough, pain/fullness/stuffiness in chest, counter flow vomiting, or even epilepsy. Used clinically for spasms’ of the diaphragm, spasms of the cardiac sphincter of the stomach or other neurological problems in chest and diaphragm associated with qi gathering disharmony. Used to dredge and open the tai yang channel qi to control pain. Problem is due to either wrenching or contusion of wind-‐cold that has damaged the collaterals leading to stagnation in channel-‐ lumbar stiffness and pain. Acute lumbar sprain. (Gv19 w/ strong stimulation prior to treatment on table)
EXTRAORDINARY VESSELS Areas: heart, chest, stomach Indications: palpitations, nausea, low appetite, bloating, acid regurgitation Areas: neck, shoulder, ear, inner canthus Indications: back, shoulder pain Areas: neck, shoulder, cheek, ear, outer canthus Indications: neck pain, eye problems Areas: throat, chest, diaphragm Indications: sore throat, insomnia, irritability
Sp4 Pc6 Si3 Bl62 Tb5 Gb41 Lu7 Kd6 Lu7 Sp4 Pc6 Kd6 Tw5 Bl62 Si3 Lu7
Extraordinary Vessels Combinations Pairing of Ren & Chong acts to harmonize blood circulation in the reproduction organs. Regulates menstruation when length of time between is irregular. Not approp for meno/ameno/ or painful menses. Pairing of yin wei with yin qiao. To regulate the effects of the yin wei affects the parasympathetic nervous system. The yin qiao is associated with muscle movement inside the body and treats neurological problems effecting the movement of the internal organs. s/s: palpitations, irregular heart functioning, stomach pain or vomiting, discomfort in throat without organic changes. Check GV9 for changes. Stimulate yang circulation where there is a lack of inter-‐channel integration. Treats sudden paralysis due to emotional/psychological causes. Case: Severe burning back pain during meditation. Pain in neck, back, shoulders.
Bl59 (fu yang) -‐ Yang Qiao Gb35 (yang jiao) – Yang Wei Kd9 (zhu bin) – Yin Wei
Kd8 (jiao xin) – Yin Qiao
Xi-‐Cleft Of Extraordinary Vessels Clear the head: headache, dizziness TMJ and moving musc. Of the face (bells palsy) To clarify consciousness where yang circulation is failing to reach head-‐ mania/withdrawal. Benefits qi circulation in the liver and gallbladder – hypochondriac / chest pain. Chronically deep seated toxic phlegm Coordinating the provision of yin nourishment in the internal environment: toxic accumulations such as tumors-‐ blockage of yin-‐wei function. (Strong scarring moxa) Often used for emotional disharmonies, which involve discomfort in the abdominal cavity. Yin Qiao effects musculature around the internal organs. Calm patients who have feeling of disquietude (proximity near Sp6).
Lu7 (lie que)
Li6 (pian li) St40 (feng long) Sp4 (gong sun) Ht5 (tong li)
Si7 (zhi zheng) Bl58 (fei yang)
Kd4 (da zhong)
Pc6 (nei guan) Tw5 (wai guan) Gb37 (guang ming) Lv5 (li gou)
CV15
GV1
Collateral Points Redness, heat, inflammation of the forearm, frequent yawning or urination, throat discomfort and cough. Treats narrowing or blockage of the upper respiratory tract or spasms in smooth muscles of the throat that has led to difficult or shallow breathing. Sl. Deeper needling for headaches (int/ext patterns) and deepest to tx problems of cervical vertebrae. w/ problems of LI channel-‐ Bell’s palsy, TMJ Clear heat from yang ming, one of most common points for TMJ, facial paralysis, lack of warmth on the exterior Excess type accumulation of spleen. Tx yang Ming facial problems. Also command point of Chong vessel. Regulate Sp/St for problems involving dampness. Clear heat in cases of stomach pain, insomnia, irritability, nausea/vomiting. Heat than effect heart. Tx root of the tongue and upward to back of eyes. Tx conditions effecting tongue and brain (speech) regulate the beating of the heart (electrical conduction) and chest pain. Patients who have had stroke. Clears fire by unblocking microcirculation. Used for heat toxins in the blood Unblock collaterals and transform stasis. Associated with the thicker more viscous fluids of the body. Hot-‐type pathodynamic leading to rush of blood-‐ dizziness, fever, (warts?) Unblock collaterals to awaken the brain: headaches, dizziness, nosebleeds, and nasal congestion due to ext. invasion. Stimulates the moistening of yang fluids. Treatment of low back, thigh, leg conditions involving spasms or lack of nourishment of sinews. Hemorrhoids and cystitis Calms the spirit and clears tai yang heat. Treats lumbar pain when there is concurrent irritability and/or stifling sensation in the chest. Excess in Kd channel is associated with constipation and difficult urination (achy sensation-‐ rarely travels) 3 functions: regulate the qi. Calm the spirit, harmonize the stomach by directing counter flow downward. Excess-‐ spasms of elbow and surrounding muscles, Deficiency-‐ weakness or numbness of elbow Unblock collaterals, clear heat, resolve toxicity. Can vent heat from the body-‐ red painful eyes, tinnitus, insomnia, hbp, constipation Slows cataract development, heat from liver-‐gallbladder involving itching, swelling. Chronic allergies and conjunctivitis are particularly responsive Regulate circulation of qi and blood. Excess type menstrual disorders (free. Involving stasis of qi). Problems of groin and genitals including herpes zoster, testicular pain, uterine inflammation and leucorrhea. Groin-‐low back pain, carpal tunnel syndrome as distal point (PC pain) Collateral of Ren used to transform blood stasis (esp. pc) and transform phlegm, redirect counter flow downward to benefit the stomach. Angina, intercostal neuralgia, pericarditis, epilepsy, heart-‐type mania. For chronic belching and asthma to direct qi downward Unblock collaterals to resolve dampness and clear heat to resolve toxins. Remove damp-‐heat accumulations that affect the genitals, including itchy, painful sores, herpetic outbreaks.
Jue Yin –Shao yang
Digestive Complaints Clears & Drains Heat Reg. qi & circulate xue Causes counter flow to descend
Point Pairs Dredging and unblocking the jue-‐yin channels and collaterals. Irregular menses associated with qi stagnation, s/s: generalized lack of motivation. Lack of movement but little heat Pc7 & Lv2 Clears and transforms jue-‐yin with stronger heat clearing function. Clear heat and transform stagnant qi +/blood. Better in menstrual regulation with irritability, restlessness, heat signs. Insomnia, vascular headaches, menopause syndromes, young patients with excessive stress Tw5 & Gb41 Yang wei-‐dai mai: counter flow of lv/gb fire leading to wind, vomiting, headaches, red eyes, nasal congestion, ear ringing, tooth pain, tightness in throat, hbp. Pain along shao-‐yang Tw6 & Gb34 Dredge and drain shao-‐yang. Strongly moves stagnation. Constipation, abdominal distention, intercostal pain, sciatic nerve pain, shingles, pms w/ breast symptoms. Pc7 & Lu5 Clear and drain static heat from pericardium, lung, and stomach. Drain fire from the upper burner: dry mouth, throat, nose, loss o voice, chest pain with bitter taste in mouth, red tongue, sore in mouth or nose, constipation, dark urine and cough with purulent phlegm Lv5 & Pc6
Pc6 & Sp4
Alleviates pain and regulates qi. Irritability, stifling chest sensation, combines focal distention in abdomen and chest. Pc6 & St44 Stop vomiting and reverse upward counter flow. Yin Wei is combined with spring point of stomach to facilitate clearing of acute yang ming heat. s/s: acute vomiting, diarrhea, and colitis. Often used in case of summer heat invasion leading to severe nausea and vomiting with inability to keep food down. Regulates qi Li4 & St43 Similar to above, more appropriate in cases of stomach deficiency leading to nausea. (Primary difference is absence of counter flow – vomiting) Warm/Strengthen Cv11 & St36 Warm and strengthen spleen and stomach. Abdominal pain, diarrhea, low Spleen-‐Stomach appetite, spontaneous sweating, +/-‐ fatigue. Often combined with Cv12 in cases where slight draining effect needed to clear food stasis. Dampness, +/-‐ phlegm Regulates Sp/St Cv12 & St36 Regulate spleen and stomach. Has less tonifying action and may be used to promote transformation Transform Cv12 & St40 Transform phlegm and benefit the spleen. Used when pathogens block phlegm, benefit the idle jiao and cause abdominal distention, stifling sensation in chest, spleen vomiting, diarrhea, cough, +/-‐ fatigue. CV12-‐ where the Si, Tw, St meet with ren vessel. Gastrointestinal Li1 & St45 Clear and drain the yang ming channel. Fire-‐toxin stagnation in the yang Disorders ming – toothache, hemorrhoids, and sleep disorders characterized by restlessness and sweating. Can be bled in cases of painful eczema due to excessive heat trapped in blood or for teeth grinding at night due to stomach fire. Four gates Li4 & Lv3 Gates of qi on yang ming & gates of blood on jue-‐yin. Moves both qi and blood throughout body. Yang ming is most internal of 3 yang while jue-‐ yin is most internal of three yin channels. 1. Scatter ext. wind-‐ w/Gv14 2. Extinguish int. wind – twitching, spasm, blood deficiency w/sp6 3. Tracks wind in the hundred points – Chronic arthritic conditions 4. Regulate channels and collaterals – where patient is not responding (combined w/ Sp6, Li11, St36
Tai-‐Yin Pairs
Lu5 & Sp9
Lu9 & Sp3
Lu8 & Sp2
Lung Kidney Pairs
Lu7 & Kd6
Lu5 & Kd6
Lu5 & Kd7
Shao-‐Yin Pairs Treat The Yin & Blood
Kd7 & Lv2
Kd3 & Lv3
Ht7 & Sp6
Ht5 & Kd6
Ht5 & Kd4
Ht6 & Kd7
Tai-‐Yang Pairs
Ht6 & Si3 Si3 & Bl62
Bl63 & Si5
Bl64 & Si4
Point Pairs Reverse counter flow and raise clear qi. All uniting points can treat counter flow. Strong ability to facilitate transformation of dampness by stimulating the movement of qi. s/s: hbp, chest fullness, asthma, cough, abdominal distention, edema, constipation, damp accumulation skin problems, leucorrhea, variety of digestive disorders due to dampness. Source points. Tonifying the tai-‐yin by warming and strengthening the tai-‐yin. Qi deficiency-‐ lowered lung capacity, shortness of breath, asthma, chest tightness, cough, diarrhea, abdominal distention, abnormal uterine bleeding, sudden facial edema. (Lung-‐urinary effects, often add Ht7 to treat nighttime incontinence) To release exterior condition where there is significant underlying deficiency (gui zhi tang). Lu8 – metal, moves qi circulation to open the lung while Sp2 – fire, tonifies spleen and clears heat from deficiency Ren mai – Powerfully effects and nourishes the fluids of the throat and upper respiratory tract. Effective for problems of urination (painful, edema) Metabolism of fluid issues. Mother child channel pair. Used in acute conditions-‐ both int/ext. where lung is not receiving enough fluids, often due to accumulation of heat (w-‐ heat, w-‐dry, extreme fatigue) Loss of voice-‐ stim Kd6 while having talk. Used to foster yin and regulate the lung. Used for chronic issues due to lung dysfunction associated with lack of kidney nourishment. Chronic allergies esp. those treated with steroid inhalers and drugs that have damaged the kidney yin. Chronic scratchiness of voice. Kidney yin deficiency with concurrent liver yang counter flow leading to symptoms such as dizziness, tinnitus, red face, dry mouth, red tongue. HBP from deficiency. (Often used more often than Kd3, Lv3 when there is obvious Liver excess.) Used when the symptom pattern is more one of kidney deficiency than liver excess. Used to secure the source, calm the liver, and extinguish wind. s/s: hbp, dizziness, insomnia, tinnitus, seminal emission, vomiting, excess above and deficiency below. Pair has a spirit calming effect. Source point and meeting point-‐ beneficial effect o n the production and movement of blood. Tonify the heart and spleen, foster blood, and calm spirit. Dual deficiency can lead to lack of nourishment for brain-‐ emotional instability, panicky throbbing, and insomnia with excessive dreaming. Microcirculation of the brain and heart leading to cognition or speech difficulties. Especially effective for speech, esophageal insufficiency (choking easily), stroke. When insufficiency of Kd waters leads to rising Ht fire-‐ insomnia, irritability. Cry or laugh inappropriately. (compared with more excess type using Pc7 Lv2) Similar to above, look for symptoms along collaterals of channels. More than likely involves the yin collaterals of the brain and heart. Consider hearing problems. Used to move and benefit the heart qi. Used in children having organ imbalance in shao yin qi-‐ ADD/ADHD. Often effective for sweating due to heart qi deficiency. Used in spontaneous sweating cases. Stimulates yang qi to warm ext. Both chronic and acute lumbar pain. (Spine and coordinated muscle movement). Thought to open and regulate the kidney channel while clearing the heart and calming the spirit. Can treat numbness in the extremities, neurological symptoms, epilepsy, and mania, pain that moves around body. For difficulties walking or inconsistent muscle tone: Gb30, Gb34, Gb39 can help improve walking. Relatively acute low back pain. Tai yang channel neck pain, cervical joints, degeneration or displacement leading to sharp/acute pain. 2 source points for chronic, deficient type back / tai-‐yang channel neck pain.