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 Acupuncture 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 Remove obstruction from meridians and collaterals and reduce wind Acupuncture 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 DU23, 1 cun above anterior hairline. Open the nose and brightens the eyes Du21 3.5 cun above anterior hairline and 1.5 cun anterior to Du20. DU19 5.5 cun above posterior hairline and 1.5 cun posterior to DU20. calms the mind and opens the mind’s orifice DU16: feng fu, 1 cun above posterior hairline BL10 1.5 cun above posterior hairline, 1.3 cun lateral midline. Extinguishes wind and subdues liver yang, expels exterior wind, strengthens the greater yang channels, clear brain, opens the sense of orifice UB60 jing river point of the bladder. It clears heat, extinguishes interior wind and subdues rebellious qi from the head, removes obstructions from the channel. It can strengthen the back, invigorates blood and promotes labor. It is a distal point in the treatment of backache. It differs from UB40 in so far as it is better for chronic rather than acute backache, and better fro backache of deficiency. Also it benefits for the shoulder, neck and occiput and therefore much used for painful obstruction syndrome of the shoulder, neck and head. This is also due to its effect in eliminating wind , which normally attacks the top part of the body. It also extinguishes internal wind and treat treamor. Owing to tis action being on the occiput and head, it is very much used as a distalpoint for headaches deriving from kidney deficiency. It also effective to clear internal heat from the bladder channel affecting the eye and nose. The empirical use of BL60 for difficult labor is well established and it is a point forbidden during pregnancy SI3 communicates with Governor Vessel, and BL62 with yang qiao meridian. They are a set of the eight confluent points for the treatment of the diseases of shoulder back, lumbar region, legs, muscles, tendons and bones SI3 regulates the Du main and extinguishes interior wind, expels exterior wind, benefits sinews, benefits the eyes nose and ears. 1. It extinguises interior wind from Du mai including convulsions tremors, epilepsy, stiff neck, giddiness and headache. Expel exterior wind and is widely used in attacks of exterior wind cold and wind heat such as stiff neck, occipital headache and aches down the spine and back. This point has also a deep effect on the muscles and sinews along the course of the DU,SI and BL. In combination with BL62 it activates Du mai and can be used to affect the whole spine and back in both acute and chronic cases of backache, it also can tonify kidney GB8 superior to the apex of the auricle, 1.5 cun with in the hairline. It is widely used as a local point fro headaches from liver yang rising GB41 located in the posterior to the fourth metatarsophalangeal joint. In the depression lateral to the tendon fo M extensor digitiminimi of the foot. shu stream point and the eight confluent point linking to Daimai. It subdues liver yang, promotes the smooth flow of liver qi, clears heat in the gallbladder channel, benefits the breast, resolves damp-heat and regulates the girdle vessel TB5 luo connecting point, it expels wind heat, benefits the ears, clears heat in the head, subdues liver yang, removes obstructions from the channel

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 LV5 luo-connecting point of the LV, promotes the smooth flow of liver qi, resolves damp-heat in the genitourinary system

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)

Points Distal points Local points Adjacent points Neck: SI3, BL62 Shoulder: LI4, SI3, TB5 Low back: BL60, BL40 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 Cold: ST36, Ren6 Dampness: SP9, BL20, ST40 Heat: LI11, DU14 Neck SI3 communicates with Governor Vessel, and BL62 with yang qiao meridian. They are a set of the eight confluent points for the treatment of the diseases of shoulder back, lumbar region, legs, muscles, tendons and bones SI3 regulates the Du main and extinguishes interior wind, expels exterior wind, benefits sinews, benefits the eyes nose and ears. 1. It extinguises interior wind from Du mai including convulsions tremors, epilepsy, stiff neck, giddiness and headache. Expel exterior wind and is widely used in attacks of exterior wind cold and wind heat such as stiff neck, occipital headache and aches down the spine and back. This point has also a deep effect on the muscles and sinews along the course of the DU,SI and BL. In combination with BL62 it activates Du mai and can be used to affect the whole spine and back in both acute and chronic cases of backache, it also can tonify kidney Shoulder LI4, TB5 connecting luo point of sj, eight influential point ling to yang wei, it can expels wind-heat, it benefits the ears, it clears heat in the head, it subdue liver yang, it removes obstructions from the channel. TB5 is a major point to release the exterior and expel wind heat. It is major point for the treatment of painful obstruction syndrome of the arm shoulder and neck. UB40 he sea point of the bladder. It clears heat and cools the blood, removes obstructions from the channel, clears some heat. It can relaxes the sinews and benefits the back and it is one of the most important distal points for lower backache. It can used for any kind of lower backache, whether acute or chronic, whether excess or deficiency It can clear heat and resolve dampness from the bladder and it can therefore be used fro the symptom of burning during urination. It also cool the blood and it is frequently used in skin diseases characterized by heat in the blood. Finally UB40 clears summer heat and is used in acute attacks of heat in summer causing fever, delirium and a red skin rash UB60 kun lun jing river point of the bladder. It clears heat, extinguishes interior wind and subdues rebellious qi from the head, removes obstructions from the channel. It can strengthen the back, invigorates blood and promotes labor. It is a distal point in the treatment of backache. It differs from UB40 in so far as it is better for chronic rather than acute backache, and better fro backache of deficiency. Also it benefits for the shoulder, neck and occiput and therefore much used for painful obstruction syndrome of the shoulder, neck and head. This is also due to its effect in eliminating wind , which normally attacks the top part of the body. It also extinguishes internal wind and treat treamor. Owing to tis action being on the occiput and head, it is very much used as a distalpoint for headaches deriving from kidney deficiency. It also effective to clear internal heat from the bladder channel affecting the eye and nose. The empirical use of BL60 for difficult labor is well established and it is a point forbidden during pregnancy Sciatica zuo gu shen jing tong UB30 bai huan shu: 1.5 cun lateral to the GV, at the level of the 4th posterior sacral foramen. Benefits anus, strengthens the lower back and legs, regulates menstruation, firms qi GB30 huan tiao at the junction of the lateral 1/3 and medial 2/3 of the distance between the prominence of the great trochanter and the hiatus of the sacrum. Remove obstructions from the channel, resolves dampness and expels wind, tonifies qi and blood UB54 zhi bian on the level of the 4th posterior sacral foramen, 3 cun lateral to the median sacral crest. it benefits the lower back, it benefits urination, it treats haemorrhoids. It is a very important local point for the treatment of lower backache radiating to buttocks and legs UB25:back shu point of the large intestine. It promotes the function of large intestine, it strengthens the lower back GB34: promotes the smooth flow of liver qi, resolves damp-heat in the liver and gall bladder, benefits the tendor, removes obstruction from the channel Xiyan a pair of points in the two depressions, medial and lateral to the patellar ligament, locating the point with the knee flexed. For knee pain ST34 when the knee is flexed, the point is at the lower border of the patella, in the depression lateral to the patellar ligament. Xi cleft point of the ST

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