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Acu-Moxa Points 6 > Final > Flashcards

Flashcards in Final Deck (90):
1

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:

2

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

3

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

4

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

5

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

6

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)


7

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

8

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

9

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

10

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

11

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

12

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

13

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

14

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

15

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

16

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

17

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

18

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

19

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

20

o Menstrual flow is scanty, color is lighter, and blood is thin.
♣ T: pale, thin white coat
♣ P: thin, weak, slow

Deficiency Cold

21

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

22

• Distending pain in the lower abdomen before or during menstruation obstructed menstrual flow.

Liver Qi stagnation

CV6, LR3, SP6

23

• 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

24

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

25

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

26

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

27

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

28

heavy flow. Blood is light
in color and thin. Also will
be tired/fatigued, pale
complexionT: paleP: thin
and weak

Qi Deficiency

29

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


30

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:

31

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

32

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

33

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

34

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:

35

Sx: Body aches, heavy sensation, Brain fog, possible chills, could feel

Pulse: slippery or soft

Tongue: Scalloped, greasy white coat

Damp

36

Frontal HA
eyes or nose symptoms

Yang Ming
LI4, ST 8 St 44

37

Occipital HA and Neck pain

Taiyang
Bl10, Bl60, Si3, Bl62

38

Vertex HA
HA at vertex dizziness, irritable, insomnia, hypochondriac pain

Jueyin
Lr2, Lr3, Gv 20

39

Lateral HA
one side or both sided ha

Shaoyang

Gb20, Gb39, Gb 41, Tb 5 tai yang

40

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

41

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)

42

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

43

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

44

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

45

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

46

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

47

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

48

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

49

palpitation, vertigo
and dizziness, poor
sleep.
Pulse: Thready Tongue: Pale

Heart Blood Deficiency
L17, BL20, ST36, BL15, HT7, HT5

50

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

51

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

52

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

53

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

54

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

55

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

56

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

57

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

58

difficult
dribbling urination,
fullness and
pain of the lower
abdomen Tongue:
Thin white
coat P: deep and
wiry

Excess Qi Stranguria

59

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

60


yin deficiency,
difficulty
urination with
dull pain, pink
urine. T: Pink
P: Thready
rapid

DeficientBlood Stranguria
Bl 17: blood
Sp6, Sp 10

61

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

62

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

63

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

64

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

65

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:

66

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

67

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

68

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

69

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

70

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

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• 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

72

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

73

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

74

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

75

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

76

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

77

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

78

• 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

79

• 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

80

• 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.

81

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

82

• 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

83


difficult to speak, slurred speech

REN 23, DU 15 (front and back)

84

• 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)

85

1. 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

86

1. 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

87

Moxa

• Moxi combined w/ Juci methods
• Moxa on cold or where spasm is (moxa on affected side)

88

1. Cupping

• Draw stasis out
• Seven star needle and cupping
• Purple tongue, choppy
• Moving cupping along the channel + seven star needle

89

1. 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

90

1. 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