Treatment of Disease (Selected Diseases) ACR class 11 WINDSTROKE Tense Syndrome • Treatment principle • • Reduce wind fire, resolve phlegm and promote resuscitation Acupuncture – – – – – • • DU20, DU26, to regulate qi of the governor vessel, effecting resuscitation KID1, to conduct the heat downward LV3, to subdue the upsurging qi in the liver meridan and pacify the liver yang twelve jing well points on the hand, where three yin and three yang meet, may dispel heat and regain consciousness ST40, the luo point of the stomach meridian, can invigorate the functions of the spleen and stomach and help to resolve the turbid phlegm . Clenched jaws: ST7, ST6, LI4 to promote the circulation of qi and blood for relieving the clenched jaws Aphasia and stiffness of tongue: DU15 and Ren23 are local and adjacent points of the tongue, HT5 is the luo point of the heart meridian, may relieves stiffness of tongue Flaccid Syndrome • • Treatment principle • Restore yang from collapse Acupuncture • Ren 8, Ren6, Ren4 with moxa, the points are located on the lower abdomen along ren vessels and are the main points effective for collapse, they can strengthen the primary qi and restore yang from collapse • Attack on the meridians and collaterals Treatment principle • • Acupuncture • • • • Remove obstruction from meridians and collaterals and reduce wind DU20, DU16, BL-7 eliminate wind and remove obstruction from the meridians and collaterals Upper limbs: LI15, LI11, SJ5, LI4, Lower limbs: GB30, GB34, ST36, ST41 Modification • • • • Liver yang rising: GB20, LV3, reduce the wind and pacify the liver, KD3, promotes the production of the kidney yin to nourish the liver, SP6, nourishes yin and pacifies yang Liver fire: PC7, LR2, eliminate the fire in the heart and liver Deviated mouth: ST4, ST6, promote a free circulation of qi in the meridian and collaterals around the facial region Aphasia: Ren23 to ease the throat and promote speech, HT5 to resolve phlegm and open the orifices, the heart controls the tongue and speech, KI6, benefit the throat HEADACHE • Frontal headache: Du23, GB14, ST44, LI4 • Headache on vertex: DU20, Du21, LIV2, LIV3 • Occipital headache: BL10, Du19, DU16, BL60, SI3 • Temporal headache: GB8, Taiyang, GB41, TB5 • Invasion of pathogenic wind Treatment principle – • Release the exterior and remove the obstruction from the channels Acupuncture local points, LU7, GB20, DU16, LI4, TB5, SI3, BL60 – – – – – – – LU7 releases the exterior and expel wind cold by stimulating the diffusing and descending of lung qi. It also affects the head and relieves headaches. It can be used for headaches from wind cold, wind heat and also turbid phlegm GB20 expel wind from the head DU16 expels wind from the head and treats the greater yang channel area LI4 releases the exterior, expels wind heat, and is a special point to affect the head and face TB5 expels wind heat and relieves headache SI3 expels wind from the head and treats the greater yang channel area BL60 is used if the headache also affects the lower part of the neck and the top of the shoulder Liver yang rising • • Treatment principle – Pacify liver, nourish Yin and alleviate pain Acupuncture, local points, GB20, LIV3, SP6, KI3 – – – – GB20 is used as adjacent point to subdue liver yang. It subdues liver yang and liver wind and is specific for headache from these two causes. LV3 is the main distal point to pacify the liver and subdue liver yang, it also the main distal point for this type of headache SP6 nourishes yin and liver blood and pacify liver, it also calms spirit and promotes sleep KI3 tonifies kidney yin Liver fire blazing • • Treatment principle – Pacify liver and clear fire Acupuncture: local points, GB20, LIV2, SP6, LI11 – – – – GB20 expels wind from the head and subdue liver fire LV2 is the main distal point to clear liver fire SP6 is used to nourish yin and to prevent injury of yin from liver fire LI11 clear heat Accumulation of dampness • • Treatment principle – Resolve dampness and ascend clear yang Acupuncture: local points, ST8. SP3, LI4, Ren12, BL20, SP9, ST40 – – – – – – ST8 is a local point for headaches from phlegm or dampness SP3 eliminates dampness and helps to resolve phlegm. It affects head. LI4 is used as a distal point to eliminate pathogenic factors from the face and head. It also regulates the ascending and descending of qi Ren12 and BL20 tonify spleen and stomach and resolve dampness SP9 tonify the spleen and resolve dampness ST40 is a specific point for dampness and phlegm LIN SYNDROME Heat Lin • • Treatment principle: • Clear heat, drain dampness, and open the water passages Acupuncture Treatment: Ren3, BL28, BL22, BL39, ST28, SP9, SP6, Du14, LI11 – – – – – – Ren3 and BL28 clear heat and drain dampness from the bladder BL22 drain dampness from the lower burner ST28 and SP9 drain dampness from the lower burner SP6 clears heat and cools blood, drains dampness from the lower burner and calms the spirit DU14 and LI11 clear heat BL39 lower he sea point of san jiao, opens the water passages in the lower burner, stimulates the transformation and excretion of fluids in the lower burner Stone Lin • • Treatment principle: • Open the water passages and expel the stones Acupuncture Treatment: Ren3, BL28, BL22, BL39, SP9, ST28, Ren6 – – – – – Ren3 and BL28 clear heat and drain dampness from the bladder BL22 drain dampness from the lower burner ST28 and SP9 drain dampness from the lower burner BL39 lower he sea point of san jiao, opens the water passages in the lower burner, stimulates the transformation and excretion of fluids in the lower burner Ren6 moves qi in the lower burner, moving qi helps to transform fluids and drain dampness Qi Lin • • Treatment principle: • • Full type: move qi, eliminate stagnation, open the water passage Empty type: tonify and raise qi, open the water passage Acupuncture Treatment Ren3, BL28, BL22, BL39, SP9, ST28, SP6 – – – – – – – Ren3 and BL28 clear heat and drain dampness from the bladder BL22 drain dampness from the lower burner ST28 and SP9 drain dampness from the lower burner SP6 drains dampness from the middle and lower burner and calms the spirit BL39 lower he sea point of san jiao, opens the water passages in the lower burner, stimulates the transformation and excretion of fluids in the lower burner For liver qi stagnation: LIV3, LIV5 For Qi deficiency: ST36, Ren6 Blood Lin • • Treatment principle: • • Full type: Clear heat, cool blood, stop bleeding and open the water passage Empty type: nourish yin, clear heat, stop bleeding and open the water passage Acupuncture Treatment: Ren3, BL28, BL22, BL39, ST28, SP9, SP6, SP10, BL17, – – – – – – – – Ren3 and BL28 clear heat and drain dampness from the bladder BL22 drain dampness from the lower burner ST28 and SP9 drain dampness from the lower burner SP6 clears heat and cools blood, drains dampness from the middle and lower burner and calms the spirit BL39 lower he sea point of san jiao, opens the water passages in the lower burner, stimulates the transformation and excretion of fluids in the lower burner SP10 and BL17 tonify the blood and cool the blood Full type: DU14, LI11 Empty type: KID2, Ren4, KI6, KID3 Cloudy Lin • Treatment principle: • • • Full type: drain dampness, separate the clear from the turbid, open the water passages Empty type: tonify qi, strengthen kidneys, separate the clear from the turbid, open the water passages Acupuncture Treatment: Ren3, BL28, BL22, BL39, ST28, SP9, SP6 – – – – – – Ren3 and BL28 clear heat and drain dampness from the bladder BL22 drain dampness from the lower burner ST28 and SP9 drain dampness from the lower burner SP6 drains dampness from the middle and lower burner and calms the spirit BL39 lower he sea point of san jiao, opens the water passages in the lower burner, stimulates the transformation and excretion of fluids in the lower burner For kidney Qi deficiency: ST36, Ren 6, KI3, KI6 Painful Obstruction Syndrome (Bi Syndrome) • • • • • • • Distal points • Neck: SI3, BL62 BL40 Points Shoulder: LI4, SI3, TB5 Low back: BL60, Local points Adjacent points • • Shoulder pain (Scapulohumeral periarthritis) : LI15, SI 9, SJ 14 Tennis elbow: LI 11, LI 4, LI 10, SJ 5 Carpal tunnel syndrome: PC 6, PC 7, LI 5, LI 4 Sciatica: GB30, BL54, BL25, GB34, BL40 Knee pain: Xiyan, ST34, GB34 Points according to pattern • • Wind: BL12, LI4, BL17, SP10 Dampness: SP9, BL20, ST40 Cold: ST36, Ren6 Heat: LI11, DU14 Wandering Bi • • Treatment principle: • Dispel wind, clear the connections. Acupuncture: local points and adjacent points, BL12, LI4, BL17, SP10 • • BL17 and SP10 have the function of activating and nourishing the blood, the selection is based on the principle: “wind will be naturally eliminated if blood circulates smoothly” BL12 and LI4 expel the wind Fixed Bi • • Treatment principle: • Dispel dampness, clear the connections Acupuncture: local points and adjacent points SP9, BL20, ST40 • SP9, BL20 and ST40 tonify the spleen and drain dampness, clear the connections and stop pain Heat Bi • • Treatment principle: • Drain heat, clear the connections Acupuncture: local points and adjacent points LI4, DU14 • LI4 and DU14 clear heat and clear the connections Painful Bi • • Treatment principle: • Dissipate cold, clear the connections Acupuncture: local points and adjacent points ST36, Ren6, Ren4, UB23 • • Moxa can be applied, Ren4 , UB23 can warm the yang and expel cold, relieve pain ST36 and Ren6 tonify qi and allow qi to move smoothly and relieve pain INFERTILITY • • • • • • Pattern Identification and Treatment A. Kidney Deficiency Treatment principle: Tonify kidney and promote conception Acupuncture Treatment: KI3, BL23, KI6, RN4, RN8, DU4, ST28 ( Bao Men in the right side, Zi Hu in the left side), zigong B. Liver Qi stagnation Treatment Principle: Soothe liver, move qi and promote conception Acupuncture Treatment: LV3, GB34, TB6, Ren3, PC6, SP4, LI13, LI14, zigong • • • • • • C. Accumulation of Dampness Treatment Principle: Drain dampness, move stagnation and regulate periods Acupuncture Treatment: REN3, Zi Gong, ST28, SP6, SP9, RN9, Excessive vaginal discharge adds GB41, TB6, GB26, BL32 D. Blood Stasis Treatment principle: Remove blood stasis, regulate periods and promote conception Acupuncture Treatment: LV3, GB34, BL17, SP10, SP6, ST29, Ren3, zigong DIABETES (WASTING THIRST, XIAO KE) Upper Wasting - LU Heat • • • • • • Treatment Points: SP 6 - tonify Yin ST 36 - tonify ST/SP LU 5 - clear LU heat UB 13 - LU Back-Shu KD 3 - tonify KD Yin Middle Wasting - ST Dryness • • • • • • • Treatment Points: SP 6 - tonify Yin ST 36 - tonify ST/SP ST 44 - clear ST heat and dryness KD 3 - tonify KD Yin UB 20 - SP Back-Shu UB 21 - ST Back-Shu Lower Wasting - KD Yin/Jing Xu • • • • • • • Treatment Points: KD 6 - tonify KD Yin, clear Empty Heat KD 3 - tonify KD Yin CV 4 - tonify Yin SP 6 - tonify ST/SP and Yin GV 20 - raise the yang UB 23 - KD Back-Shu SP Qi Deficiency • • • • • • • • Treatment Points: SP 6 - tonify SP & Yin ST 36 - tonify Qi CV 12 - ST Mu UB 21 - ST Back-Shu UB 20 - SP Back-Shu If dampness - SP 9 If damp-heat - LI 11 LR Qi Stagnation • • • • • • Treatment Points: LR 3 + LI 4 - four gates tx, harmonize LR LR 14 - LV Mu PC 6 - open the chest, calm the spirit UB 18 - LR Back-Shu If LR Fire - LR 2