Lecture 6 (Part Two): Yang Qiao Mai

Question 1

The character Qiao describes the motion of lifting up the feet. What are all of the different terms for Yang Qiao Mai?

Answer 1

Yang Motility, Yang Heel Vessel, Yang Stepping Vessel

Question 2

What is your mnemonic for Clinical Applications of Yang Qiao Mai?

Answer 2

1) E - Excess Yang absorption
2) E - Excess pathology and eyes
3) Bi - syndrome
4) Hemi - plegia

Question 3

What is your mnemonic for Association and Treatment of Yang Qiao Mai?

Answer 3

H - Headaches
U - urinary dribbling
S - sciatica
H - hips

B - back
E - EPF wind

M - mental
E - epilepsy

Question 4

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?

Answer 4

reservoirs; excess qi; reservoirs

… absorb excess Yang most specifically in the head

Question 5

What might Excess Yang in the head look like?

Answer 5

• mental problems such as manic behavior and agitation
• headaches
• epilepsy

Question 6

What points would you select for mental problems manifested by Excess Yang in the head?

Answer 6

BL62 and SI3
GV19
PC7
LI4
CV15
LV3

Question 7

What are the two main patterns seen involving headaches where there is excess Yang?

Answer 7

1) Liver Yang Rising

2) Liver Fire

Question 8

How would you diagnose a headache where the pathology is in the Yang Qiao Mai?

Answer 8

Look for a wiry pulse in both front positions.

Question 9

What points would you choose for a Yang Qiao Mai type headache?

Answer 9

Bl62 and SI3
LV3
LI4
GB20

Question 10

Epilepsy from excess of Yang Qiao Mai would present as? Treatment?

Answer 10

Seizures that occur at night (deficiency of Yin Qiao Mai). Moxa point on Yin Qiao

Question 11

Epilepsy from a deficiency of Yang Qiao Mai would present as? Treatment?

Answer 11

Seizures that occur during the day. Moxa point on Yang Qiao.

Question 12

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 _____.

Answer 12

Opening; close

Question 13

If there is a tendency for the eyes not to _____, Yang Qiao Mai can be used to treat _______.

Answer 13

close; insomnia

Question 14

What might other interpretations for “eyes that will not close” manifest as?

Answer 14

• Angry, intense stare of people that are Liver Yin Xu

- Exopthalmos of hyperthyroidism or Grave’s disease

Question 15

What points would you choose for insomnia cause by excess of the Yang Qiao?

Answer 15

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.

Question 16

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

Answer 16

opposite; twice

Question 17

3) Bi Syndrome: This disease is similar to what problem of the Yin Qiao Mai, only opposite…

Answer 17

Atrophy (Wei) Syndrome

Question 18

Describe the Bi Syndrome that affects Yang Qiao Mai.

Answer 18

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.

Question 19

What is this Bi Syndrome caused by?

Answer 19

EPF wind invasion into the lateral meridians causing spasm of the muscles and sinews.

Question 20

What points would you choose to treat Bi Syndrome?

Answer 20

BL62 and SI3
GB20 - eliminates wind
ST43
LI11
local points on affected limbs

Question 21

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.

Answer 21

Wind-Stroke; Wind; paralysis; unilateral

Question 22

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 _________.”

Answer 22

early; sequelae; Wind; limbs; predominant

Question 23

What is different about hemiplegia, back pain, hip pain and sciatica in terms of choosing the side for the master point?

Answer 23

Needle the master point on the affected side regardless of gender.

Question 24

What treatment would you do for hemiplegia?

Answer 24

BL62 on affected side
SI3 on the opposite side
GB20
GV16
LI11
LR3
local points on affected limbs

Question 25

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.

Answer 25

overlap; Bladder; Gallbladder; Stomach

Question 26

When is Yang Qiao Mai useful for back pain or sciatica?

Answer 26

When the pain is unilateral and it is a Full condition (pulse is Full and Wiry)

Question 27

What points would you select for Yang Qiao Mai back pain/sciatica?

Answer 27

BL62 on affected side SI3 on opposite side BL59 for pronounced stiffness (Xi Cleft) local points

Question 28

Hip Pain: Given the trajectory of the Yang Qiao vessel it is useful in treating hip pain. What points would you choose?

Answer 28

BL62 on affected side SI3 on opposite side GB30 local points

Question 29

What point does the Yang Qiao vessel flow through in the hip area?

Answer 29

GB29

Question 30

Use this point with electrostim to incorporate extra meridians and to treat hip pain or sciatica that overlaps several channels.

Answer 30

GB29

Question 31

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.

Answer 31

Dribbling; Dampness; difficulty; pain; Full

Question 32

Remember that dampness infuses into the lower burner if the _____ ____ belt is too tight.

Answer 32

Dai Mai

Question 33

What points would you choose for dribbling of urine?

Answer 33

``` Bl62 and SI3 BL63 BL59 CV3 SP9 ```

Question 34

EPF Wind: The Yang Qiao vessel may be used to expel EPF Wind especially if ________ headache and _____ _____ accompany the other EPF wind symptoms of....

Answer 34

severe; stiff neck - aversion to cold - fever - runny nose - sneezing - floating pulse (full at front position)

Question 35

What other EOV is indicated in expelling exterior Wind in the head?

Answer 35

Du Mai

Question 36

What EOV would you choose for unilateral back pain? Bilateral?

Answer 36

Unilateral - Yang Qiao Mai | Bilateral - Du Mai

Question 37

What points would you choose to expel EPF wind when there is a severe headache and stiff neck

Answer 37

BL62 and SI3 GB20 GV16 BL12