Clinical Point Selection

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Course

Code

3 Units

Wilcox, LorraineCLINICAL POINT SELECTION

AC500

EMPEROR'S COLLEGEMTOM COURSE SYLLABUS

Summer 2011

COURSE DESCRIPTION

This advanced course reviews the various Acupuncture point prescriptions used for specific pathologies, with an

emphasis on empirical points (non-traditional points with empirical relevancy) commonly used in an acupuncture clinic.

Learners will gain the ability to independently develop a point prescription based on a diagnosis, utilizing variousacupuncture systems in order to obtain the best therapeutic benefit.

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LEARNING OBJECTIVES

Students should be able to independently develop a point prescription based on a diagnosis. They will be able to

choose between point systems such empirical methodologies, channel theory, zang fu, to obtain the best therapeutic

benefit. Students will gain confidence to be able to provide a point prescription individually. They will also read and be

tested on an array of state board required materials.

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COURSE PREREQUISITIES

Acupuncture Therapeutics

______________________________________________________________________________REQUIRED TEXTS

Manual of Acupuncture, Deadman, Peter

Chinese Acupuncture and Moxibustion, Language Press, 3rd edition, Beijing, 2010.

Acupuncture: A Comprehensive Text: Shanghai College of Traditional Medicine, Bensky & O'Connor

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RECOMMENDED TEXTS

Acupuncture Therapeutics, Zhu Bing and Wang Hongcai, Singing Dragon

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COURSE REQUIREMENTS

30%- three quizzes (10% each)

60% - three tests (20% each, including final)

GRADING SCALE: 100-90% A, 89-80% B, 79-70% C, 69% and below F

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SPECIAL NOTES

Professionalism and Full and Prompt Attendance: To pass this course, students must have full and prompt attendance.

Students can miss no more than 20% of this 10-week course (no more than 2 full absences). Arriving late to class

(more than 15 minutes), returning late from breaks (more than 10 minutes) or leaving before the class ends (more than

15 minutes) is counted as 1/2 absence. Absences and late arrivals/early departures combine in computing 80%

requirement for full attendance, e.g., 1 absence and 2 late arrivals = 2 absences.

Also, please turn your cell phones off during class.

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CLASS ONE (The syllabus is subject to change at the discretion of the instructor.)

Weekly Schedule (page numbers are in 3rd edition of CAM. If you have a different edition, read the relevant

pages)

CLASS ONE: A General Introduction to Acupuncture Treatment

CAM: 373-397


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Course

Code

3 Units


AC500


Summer 2011

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CLASS TWO

CLASS TWO: Wind stroke, syncope, sunstroke, common cold, malaria, cough, asthma

CAM: 401-415

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CLASS THREE

CLASS THREE: Quiz 1; Epigastric pain, vomiting, hiccup, abdominal pain, diarrhea, dysentery, abdominal

distention

CAM: 415-427

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CLASS FOUR

CLASS FOUR: Test 1; Jaundice, constipation, prolapse of rectum, edema, nocturnal enuresis, urination

disturbance, retention of urine

CAM: 427-438

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CLASS FIVE

CLASS FIVE: Impotence, insomnia, palpitation, manic-depressive disorder, epilepsy, dizziness

CAM: 438-450

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CLASS SIX

CLASS SIX: Quiz 2; Melancholia, headache, facial pain, deviation of eye and mouth, rib-side pain, lower back

pain

CAM: 450-461

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CLASS SEVEN

CLASS SEVEN: Test 2; Bi syndromes, wei syndromes, irregular menstruation, dysmenorrhea

CAM: 461-477

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CLASS EIGHT

CLASS EIGHT: Amenorrhea, uterine bleeding, morbid leucorrhea, morning sickness, prolonged labor,

insufficient lactation, prolapse of uterus

CAM: 477-488

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CLASS NINE

CLASS NINE: Quiz 3; Infantile convulsions, infantile diarrhea, infantile malnutrition, infantile paralysis,

mumps, urticaria, erysipelas, boils

CAM: 488-499

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CLASS TEN

CLASS TEN: Breast abscess, intestinal abscess, goiter, sprain and contusion, deafness and tinnitus, eye

problems, nasal discharge, epistaxis, toothache, sore throat, optic atrophy

CAM: 499-510

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CLASS ELEVEN

Final Examination

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REFERENCE MATERIAL


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Course

Code

3 Units


AC500


Summer 2011

______________________________________________________________________________

FACULTY INFO

Wilcox, Lorraine

Please check with instructor during class to get updated contact info.

[email protected]


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Clinical Point Selection 1

Clinical Point SelectionLorraine Wilcox L.Ac.

zhenjiu@gmailcom

Based on CAM, 3rd

edition, pages 371-510June 2011

CLASS ONE...................................................................................................................2

CLASS TWO ..................................................................................................................6CLASS THREE ............................................................................................................10

CLASS FOUR...............................................................................................................14CLASS FIVE ................................................................................................................17

CLASS SIX...................................................................................................................21CLASS SEVEN ............................................................................................................25

CLASS EIGHT .............................................................................................................29CLASS NINE................................................................................................................33

CLASS TEN .................................................................................................................38


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CLASS ONE: General principles of treatment CAM: 373-3971. Regulation of yin and yang2. Strengthening right qi and eliminating evils

3. Distinguishing root and branch4. Treatment of disease according to climate, season, location, and individual

Therapeutic methods

1. Supplementing2. Draining

3. Warming4. Clearing

5. Ascending6. Descending

Basic principles for prescription and selection of points

1. Acupuncture Prescriptions: Treatment plan (different than treatment principle): point

selection, hand technique, number of points, etc.2. Principles for point selection: local, adjacent, and distal points, symptomatic points

Local, Adjacent, and Distal Points (examples)

Region Distal Adjacent Local

Forehead LI 4, ST 44 Du 20 GB 14

Temples SJ 5,GB 41 GB 20 Tai Yang , GB 8

Nape SI 3, UB 60 Du 14 UB 10

Eye SI 6, LV 3 GB 16 UB 1

Nose LU 7, ST 45 Du 23 LI 20

Mouth, cheek LI 4, ST 41 SI 18 ST 4, ST 6

Ear SJ 3, GB 43 GB 20 GB 2, SJ 17

Throat LU 10, KI 6 UB 10 Ren 23, SI 17

Chest PC 6, ST 40 LU 1 Ren 17

Rib-sides SJ 6,GB 34 LV 13 LV 14

Upper abdomen PC 6, ST 36 ST 21 Ren 12

Lower abdomen SP 6, LV 8 ST 25 Ren 4

Low back UB 40, SI 3 UB 32 UB 23, UB 25

Rectum UB 57 UB 30 Du 1


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Point Formulas for Symptoms (examples)

Symptom Formula

Fever Du 14, LI 4, LI 11

Coma Du 26, Shi Xuan

Night sweating SI 3, HT 6Clenched jaws ST 7, ST 6, LI 4

Cough, asthma Ren 22, Ding Chuan

Sensation of suffocation in the chest Ren 17, PC 6

Cardiac pain PC 6, PC 4

Rib-side pain SJ 6, GB 34

Abdominal distention Qi Hai, ST 36

Constipation SJ 6, KI 6

Convulsions LI 4, LV 3

Epistaxis Du 23,

LI 4

Application of specific points (point categories)

The Five Shu Points of the Yin Channels

Point

Element

Jing Well

Wood

Ying Spring

Fire

Shu Stream

Earth

Jing River

Metal

He Sea

Water

Liver LV1 LV2- LV3 LV4 LV8+

Heart HT9+ HT8 HT7- HT4 HT3

Spleen SP1 SP2+ SP3 SP5- SP9

Lungs LU11 LU10 LU9+ LU8 LU5-Kidneys KI1- KI2 KI3 KI7+ KI10

Pericardium PC9+ PC8 PC7- PC5 PC3

The Five Shu Points of the Yang Channels

Point

Element

Jing Well

Metal

Ying Spring

Water

Shu Stream

Wood

Jing River

Fire

He Sea

Earth

Lower

He Sea

Gallbladder GB44 GB43+ GB41 GB38- GB34 GB34Small Intestine SI1 SI2 SI3+ SI5 SI8- ST39

Stomach ST45- ST44 ST43 ST41+ ST36 ST36

Large Intestine LI1 LI2- LI3 LI5 LI11+ ST37Bladder UB67+ UB66 UB65- UB60 UB40 UB40

San Jiao SJ1 SJ2 SJ3+ SJ6 SJ10- UB39

Nan Jing 69 says:

In vacuity, supplement the mother point or channel. In repletion, disperse the child point or channel.


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Yuan and Luo PointsYin Channels Yang Channels

Channel Yuan Luo Channel Yuan Luo

Liver LV3 LV5 Gallbladder GB40 GB37

Heart HT7 HT5 Small Intestine SI4 SI7

Spleen SP3 SP4 Stomach ST42 ST40Lungs LU9 LU7 Large Intestine LI4 LI6

Kidneys KI3 KI4 Bladder UB64 UB58

Pericardium PC7 PC6 San Jiao SJ4 SJ5

Ren Ren15 Du Du1

Great luo of spleen SP21 Great luo of stomach xuli

Xi Cleft Points Back Shu and Mu Alarm PointsChannel Point Organ Shu Point Mu Point

Lung LU6 Lungs UB13 LU1

Large Intestine LI7 Pericardium UB14 Ren17

Stomach ST34 Heart UB15 Ren14

Spleen SP8 Liver UB18 LV14

Heart HT6 Gall Bladder UB19 GB24

Small Intestine SI6 Spleen UB20 LV13

Urinary Bladder UB63 Stomach UB21 Ren12

Kidney KI5 San Jiao UB22 Ren5

Pericardium PC4 Kidneys UB23 GB25

San Jiao SJ7 Large Intestine UB25 ST25

Gall Bladder GB36 Small Intestine UB27 Ren4

Liver LV6 Urinary Bladder UB28 Ren3

Xi Cleft Points of the Eight Extraordinary Vessels

Yangqiao UB59 Yangwei GB35

Yinqiao KI8 Yinwei KI9

Eight Extraordinary Vessels Confluence Point Combinations

Combine To treat diseases of

Du SI3 Yangqiao UB62 inner canthus, nape, ear, shoulder, back

Ren LU7 Yinqiao KI6 lung system, throat, chest, diaphragm

Dai GB41 Yangwei SJ5outer canthus, behind the ear, cheek, neck, shoulder,diaphragm

Chong SP4 Yinwei PC6 chest, heart, stomach


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Eight Meeting (Influential) Points

Zang (viscera, yin organs) LV13 (also spleens mu point)

Fu (bowels, yang organs) Ren12 (also stomachs mu point)

Qi Ren17

Blood UB17Sinews GB34

Vessels/Pulse LU9

Bone UB11

Marrow GB39

Crossing Points: Too many to make a table here.See CAM, 3

rdedition, page 393-7


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CLASS TWO: CAM: 401-415

WIND STROKE organ type

Closed (tense): Drain or bleed

points of Du and liver, as wellasjing well points. Open theorifices, subdue wind and fire,

resolve phlegm.

Du 20: bleed or drain. Open orifices, regulate Du.

Du 26: open orifices, regulate Du.

ST 40: transform phlegm LV 3: pacify wind and yang

KI 1: pull down repletion from head

handjing well: bleed. Open orifices.

Clenched jaw

ST 7: local

ST 6: local

LI 4: treats the face,yang ming distal point

Stiff tongue, aphasia

Du 15: local

Ren 23: local

HT 5: treats the tongue and speech

Abandoned: Use heavy

moxibustion on the ren vessel torestore yang from collapse and

strengthenyuan qi.

Ren 8: salt moxa for revival

Ren 6: moxa for revival

Ren 4: moxa for revival, three leg yin meeting

Channel stroke or sequelae: Use

points of the du vessel (sea of allyang channels) and the yang

channels on the affected side toregulate qi and blood, remove

obstructions, and reduce wind.The yang channels dominate the

exterior and qi, so they are good toregulate qi and blood.

Du 20, Du 16, UB 7: These all affect the

brain. They eliminate wind and remove obstruction from

the channels and network vessels.

Use even technique on healthy side first, then affectedside. Select from the points below, depending on the

affected part. (Use healthy side on head, affected side onbody, because it is reversed in the brain.)

Upper limb LI 15, LI 11, SJ 5, LI 4

Lower limb GB 30, GB 34, ST 36, ST 41

Wind, yang ascendingDrain GB 20, LV 3: drain wind, pacify liver

Supplement KI 3, SP 6: nourish yin

Fire repletion in heart and liver

Drain PC 7, LV 2: eliminate fire

Supplement KI 3: nourish yinDeviated mouth ST 4, ST 6: regulate qi in the face

Prevention of stroke: an aged person with qi vacuity, phlegm, or liver yang rising may

have dizziness and palpitations. If they get the prodromal symptoms of stiff tongue,slurred speech, and numb finger tips, be careful. Pay attention to diet and lifestyle. Avoid

taxation. Use frequent moxa on ST 36 and GB 39.


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Fainting (syncope)

Vacuity: Supplement or moxa

Du and pericardium points toopen the orifices, supplement

qi, and fortify yang.

Du 26, Du 20, PC 6: open orifices

Ren 6, ST 36: supplement qi and yang

Repletion: Drain Du and

pericardium points to open theorifices and regulate qi.

Du 26, PC 9: open orifices

LI 4, LV 3: regulate qi and blood

PC 8, KI 1: regulate qi and blood, clear the

mind

SUNSTROKE Points

Mild Drain to eliminatesummer heat.

Du 14, LI 11, UB 40: dispel summerheat

PC 6: reduce fire, protect heart

Gua Sha is also recommended.Severe: Drain points of thegoverning vessel to

resuscitate and dispelsummerheat.

Du 26, Du 20: open orifices

PC 3, UB 40: needle superficially to clear heat

Shi Xuan: bleed to cool blood and open orifices

COMMON COLD

Wind cold: Drain toeliminate wind-cold.

Combine even technique

with moxibustion forpatients with weakenedright qi.

Du 16: Expel wind, headache

UB 12: Expel wind, regulate tai yang

GB 20: Expel wind, treat symptoms in head, yang wei

LU 7: Release the exterior, lung dispersing function

LI 4: Release the exterior, call out defense qi

Wind heat: Drain toeliminate wind-heat.

Du 14: Clear heat (Du is sea of yang channels)

LI 11: Clear heat

LI 4: Release the exterior, call out defense qi

SJ 5: Release the exterior,yang wei vessel

LU 10: Clear heat in the throat

or LU 11: Bleed. Clear heat in the throat

Prevention moxa daily on UB 12 or ST 36


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Malaria Points

Drain du and shao yang. Treat

two hours prior to expected

attack. If chills are predominant,add moxibustion.

Du 14,Du 13: remove obstruction from

du, regulate yin and yang, main points for malaria

SI 3: drain tai yang and du

PC 5: empirical for malaria SJ 2, GB 41: harmonize shao yang

High fever drain LI 11: clear heat with Du 14

Splenomegalyneedle LV 13: influential forzang

moxa on Pi Gen: treats masses in rib-sides

High fever with delirium,

confusionWell points of the hands

COUGH Points

External invasion: Drainand apply moxibustion toactivate the lung functions

of descending anddispersing.

LU 7: Release the exterior with LI 4

LI 4: Release the exterior with LU 7

UB 13: lung shu point. Use moxa for wind cold.

No moxibustion for wind-heat.

Throat pain and swelling LU 11: clear heat from throat in acute situations.

Bleed or needle.

Aversion to cold, fever Du 14: Clear heat, release the exterior

SJ 5: release the exterior

Lung phlegm:Use draining and

supplementationtechniques, or combine

with moxibustion tostrengthen the spleen and

resolve phlegm.

UB 13: lung shu point.

LU 5: clears heat, transforms phlegm, stop cough

Ren 12: help spleen transform phlegm

ST 36: help spleen transform phlegm

ST 40: transform phlegm and dampness

Yin vacuity dryness: Use

even technique to nourishyin, eliminate dryness, and

descend lung qi.

UB 13: lung shu point

LU 1: lung mu point

LU 7: ren/yin qiao combination, nourish lung yin

KI 6: nourish yin

Coughing blood

LU 6:xi points on yin channels stop bleeding

UB 17: blood meeting pointCupping UB 12, UB 13

Plum blossom on Du and UB of upper back until red or slightly bleeding


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ASTHMA Points

Wind cold: Disperse points

and apply moxibustion to

eliminate wind-cold andsoothe asthma.


UB 12: wind gate, local for lungs, tai yang

Du 14: release the exterior, descend lung qi

LU 7: Release the exterior with LI 4

LI 4: Release the exterior with LU 7

Phlegm heat: Drain toresolve phlegm, clear heat,

and soothe asthma.

UB 13: lung shu point, clear heat from lungs

Ding Chuan: stops cough and wheezing

Ren 22: descend lung qi, stop wheezing

LU 5: Clear heat, descend lung qi

ST 40: transform phlegm and dampness

Lung qi vacuity: Supplement

to strengthen lung qi. Moxa is

also good.

UB 13: lung shu point, moxa

LU 9:yuan point, mother point supplements

ST 36: supplements post heaven qi, moxa

SP 3: supplement spleen, earth is mother of metal

Kidney vacuity: Supplement

and apply moxibustion tostrengthen the kidneys so they

can receive qi.

KI 3: kidneyyuan point supplements

UB 23: kidney shu point


Ren 17: descend lung qi, stop wheezing

Ren 6: sea of qi, helps receive qi from lungs

Persistent asthmause moxa

Du 12: relieve chronic conditions, esp. for children

UB 43: relieve chronic conditions

Spleen vacuity

use moxa

Ren 12: stomach mu, supplement the spleen

UB 20: spleen shu, supplement the spleen


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CLASS THREE: CAM: 415-427

EPIGASTRIC PAIN Points

Food retention: Drain to removeretention, pacify stomach, relieve pain.

Ren 11: opens middlejiao, harmonizes

stomach (or Ren 12)

PC 6:yin wei opening point

ST 36: stomach he point

Inner Nei Ting: food stagnation

Liver attacking stomach: Drain to

remove the constrained liver qi, pacifythe stomach, and relieve pain.

LV 14: liver mu, soothe the liver

LV 3: soothe the liver

Ren 12: stomach mu point, local



Stomach vacuity with cold: Applyacupuncture and moxibustion to warm

the middlejiao, dispel cold, regulate qi,and relieve pain.

Ren 12: stomach mu point, warm needle

Ren 6: supplement qi, ginger moxa UB 20: spleen shu point, moxa


SP 4: spleen luo, chong opening

ST 36: stomach he point, warm needle

Cupping (Cup for 10-15 minutes withlarge or medium sized cups.)

Upper abdomen or back-shu points

Inner Nei Ting is Nei Ting ST 44 on the plantar, not dorsum of the foot.

VOMITING Points

Main points: descend qi and pacify the

stomach (these points are similar toepigastric pain)

Ren 12: Stomach mu

ST 36: Stomach he

PC 6: stops vomiting, yin wei vessel

SP 4: stops vomiting, chong vessel

Food retention: drain Ren 10: lower opening of the stomach

Liver attacking stomach: even techniqueto soothe the liver and regulate qi.

LV 3: regulate liver

SP/ST vacuity: supplement and moxa tostrengthen the spleen and warm the center.

UB 20: spleen shu

Persistent vomiting Jin Jin Yu Ye (bleed)


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HICCOUGHS Points

Main points: pacify the

stomach, facilitate the descent

of qi, and check hiccoughs.

UB 17: diaphragm shu

Ren 12: Stomach mu

PC 6: stops vomiting and hiccoughs

ST 36: Stomach he

Food retention: drain Ren 14: epigastric pain, local


Constrained qi: drain Ren 17: qi influential, descends qi, opens the chest

LV 3: soothes the liver

Cold in the stomach: use

acupuncture and moxibustion Ren 13: epigastric pain, use moxa

Cupping: Cup some of these

points. 10-15 minutes.

UB 17, UB 46, UB 18, Ren 12,

ST 18

ABDOMINAL PAIN Points

Accumulation of cold: Drain

in combination withmoxibustion to warm the

stomach and dispel cold.

Ren 12: stomach mu point, moxa or warm needle

Ren 8: salt moxa


SP 4: spleen luo point, chong opening point

Spleen yang vacuity:Supplement with moxibustion

to warm and activate spleen

and stomach yang.

UB 20: spleen shu point

UB 21: stomach shu point

Ren 12: stomach mu point

LV 13: spleen mu point

Ren 6: supplement qi

ST 36: supplement the spleen

Food retention: Drain toremove retention of food.

Four points around the navel:


ST 25: unblocks the intestines

Ren 6: sea of qi, moves qi

ST 36: he point of the stomach



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Diarrhea

Acute Diarrhea

ST 25: LI mu point for repletion

ST 36: regulate middlejiao

Cold-damp:

Drain combined with ginger moxa to warm

the stomach and resolve dampness.

Ren 6: warm, regulate middlejiao

Ren 12: warm, regulate middle

jiao

Damp-heat:Drain to eliminate heat and damp.

ST 44:ying point clears heat

SP 9: drains damp-heat

Food retention: Drain to regulate spleen-stomach function and remove stagnation.

Inner Nei Ting: moxa for foodstagnation

Chronic Diarrhea:

moxa or warm needle is good

UB 20: spleen shu point, vacuity

ST 36: supplement spleen

Spleen vacuity: Supplement points of thespleen channel and apply moxibustion to

strengthen the spleen and stop diarrhea.

LV 13: spleen mu point

SP 3: spleenyuan point


Kidney vacuity: Supplement points of the

kidney channel, ren and du vessels andapply moxibustion to warm kidney yang.

KI 3: kidneyyuan point UB 23: kidney shu point

Du 4: life gate for kidney yang, moxa

Ren 4: nourish the root, SI mu, moxa

Dysentery, main points: Drain points of

the hand and footyang ming channels as wellas the front-mu point and lower he-sea points

of the large intestine to remove stagnation from

the intestines.

ST 25: LI mu point

ST 37: LI lower he sea point

Damp-heat: drain LI 4: clears heat with LI 11

LI 11: clears heat, LI he point

Cold-damp: drain plus moxa

Ren 12: regulates middlejiao

Ren 6: regulates lowerjiao, moxa

SP 9: drains damp

Food resistant (nausea and vomiting): drain PC 6: nausea, vomiting

Ren 12: regulates middlejiao

Intermittent: Acupuncture and moxibustion,

with both supplementing and drainingtechnique, are used for intermittent dysentery.



Ren 4: support the root, SI mu ST 36: regulate middlejiao

Fever Du 14: clear heat

Tenesmus UB 29

Rectal prolapse Du 1 and Du 20 (moxa)

Chronic (persistent): supplement and drain.

Moxibustion is more effective in chronic cases.

Ren 8, Ren 12, ST 25,

Ren 4, UB 20, UB 23.


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ABDOMINAL DISTENSION Points

Main points

Ren 12: Stomach mu

ST 25: Large Intestine mu

ST 36: Stomach he

ST 37: Large Intestine lower he

Repletion: drain

LI 4: regulate qi

Ren 6: regulate qi, local

SP 9: eliminate dampness

Vacuity: supplement or moxa Ren 4: nourish the root

SP 3: earth point on earth channel

Odd, no liver points. This is often due to liver attacking the spleen.


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CLASS FOUR: CAM: 427-438

Jaundice, main points

SP 9: drain damp

ST 36: transform damp, strengthen spleen

UB 18: liver shu point

UB 19: gall bladder shu point

Du 9: special for jaundice, esp. yang type

Yang jaundice: Drain points oftai

yin,yang ming and shao yangchannels to remove heat and damp.


GB 34: drain damp-heat

Yin jaundice: Use even technique

with moxibustion to warm themiddlejiao and resolve damp.

UB 20: spleen shu point, moxa

UB 48: special for yin jaundice, moxa

Constipation, main points:

Use the back-shu and front-mupoints of the large intestine.

UB 25: LI shu point

ST 25: LI mu point

SJ 6 and KI 6: special combination for

treating constipation

Heat Accumulation: drain toeliminate heat and moisten the

intestines

LI 4: clearyang ming heat with LI 11

LI 11: LI he sea point, clearsyang ming heat

Qi stagnation:

drain to move qi stagnation

Ren 12: stomach mu point, regulates MJ

LV 3: moves liver qi

Qi/blood vacuity: supplement qi,

nourish blood, moisten theintestines.


UB 21: stomach shu point ST 36: supplement spleen qi

Cold accumulation: usemoxibustion to warm the bowels

moxa Ren 8 and Ren 6 to warm the lower

jiao and move qi

Prolapsed Rectum

Main: Points of the du

vessel aresupplemented and

moxibustion is used.

Du 1: local point

Du 20: moxa to raise qi

UB 25: LI shu point, supplement

ST 36: supplement spleen qiPlum blossom the paraspinal muscles of the low back between L3 and S2


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Edema: Sweat edema above the waist, promote urination for below the waist.

Yang edema: Use even technique on

points of the lung and spleen channelsto open the lungs, release the exterior,

and remove retained fluids. Afterexterior symptoms are relieved, refer

to the method for yin edema.

LU 7: release exterior, upper edema

LI 4: release exterior, promote sweating

LI 6: luo point, upper edema

SP 9: promote urination, drain damp

UB 39: SJ lower he point, urination

Yin edema: Points of the spleen and

kidney channels are supplemented incombination with moxibustion to

warm the spleen and kidneys.



KI 7: promote sweat, urine, mother point

Ren 9: treats edema, moxa only

Ren 4: supplement kidneys, moxa


Facial puffiness Du 26: drain, treats facial edema

Edema on feet GB 41: local SP 5: local, son point drains damp

/NOCTURNAL

ENURESIS (bedwetting), Main

points: Supplement the back-shu andfront-mu points of the kidney and

urinary bladder or use moxibustion tostrengthen the kidneys and

supplement qi.

UB 23: kidney shu point, moxa

UB 28: UB shu point

Ren 3: three leg yin meeting, UB mu point

SP 6: three leg yin meeting

LV 1: moxa, treats genitals

Dreams HT 7: heartyuan point, calm the spiritPoor appetite

(Spleen vacuity)

UB 20: spleen shu, supplement spleen



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URINATION DISTURBANCE,

main points: Drain the back-shu and

front-mu points of the UB, or use acombination of supplementing and

draining to promote the activity of theurinary bladder.

UB 28: UB shu point

Ren 3: UB mu point

SP 9: promote urination, drain damp

Stone lin UB 39: SJ lower he point, damp-heat

Qi lin LV 2:ying point, move liver qi, drain fire

Blood lin SP 10: sea of blood, cool blood

SP 6: promote urination, three leg yin

Cloudy lin UB 23: kidney shu point

KI 6: supplement kidney qi and yin

Taxation lin

Du 20: raise qi

Ren 6: supplement qi, move qi

ST 36: supplement post-heaven qi

Retention of Urine

UB heat: Drain back-shuand front-mu points to

remove heat and promoteurination.

UB 28: UB shu point

Ren 3: UB mu point

SP 6: three leg yin, promotes urination

UB 39: lower he sea of san jiao, move water

Decline of life gate fire:

Supplement points related tokidneys, apply moxibustion

to warm kidney yang.

Du 4: ming men life gate warms kidney yang

UB 23: kidney shu point Du 20: raise qi, moxa

Ren 4: strengthen the root, moxa

SJ 4:yuan point on channel that distributesyuan qi

Damage of qi in thechannels (trauma or

surgery): Apply eventechnique to the front-mu

point of the urinary bladderto promote circulation of qi

in the channels and restore

urinary bladder function.

Ren 3: UB mu point

SP 6: three leg yin, promotes urination

ST 28: waterways promotes urination

KI 5:xi point treats acute painful disorders


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CLASS FIVE: CAM: 438-450

IMPOTENCE

Decline of life gate fire:

Supplement points of the ren

vessel and kidney channel,apply moxibustion to invigoratekidney yang.

Ren 4: Strengthen the root, adjacent

Du 4: ming men warms life gate, 3 or 5 cones UB 23: kidney shu point, strengthen kidneys

KI 3: kidneyyuan point, strengthen kidneys

For heart/spleen damage add

SP 6: Three leg yin meeting

HT 7: heartyuan point strengthens, calms spirit

UB 15: heart shu point

Damp heat flows down: Drain

points of the ren vessel andspleen channel to eliminate

damp-heat.

Ren 3: drain repletion from lowerjiao

SP 6: Three leg yin meeting

SP 9: drain damp-heat through urine

ST 36: drain damp-heat

SEMINAL EMISSION

Nocturnal emission (with dreams -kidney yin vacuity): Drain points of

the heart channel and supplementpoints of the kidney channel.

HT 7: heartyuan point, calms spirit, drain

UB 15: heart shu point, drain

KI 3: kidneyyuan point, supplement

UB 52: also called palace of essence

Spermatorrhea (no dreams -

kidney yang vacuity): Supplement

plus moxa to points of the kidneychannel and ren vessel to strengthenthe kidneys and control essence.


KI 12: secures essence, special for this

SP 6: Three leg yin meeting Ren 4: Strengthen the root, adjacent, moxa

Ren 6: sea of qi strengthens yang, moxa


21/44


INSOMNIA Points

Main Points: add points below according to

the pattern.

HT 7: calm the spirit

SP 6: nourish yin

An Mian: calm the spirit

Heart/spleen vacuity: Supplement and

apply moxibustion to calm the heart, soothethe spirit, and strengthen the heart and

spleen.

UB 20: supplement the spleen

UB 15: supplement the heart

SP 1: calm the spirit, stop excessive

dreaming. Use direct moxa, small cones.

Heart/kidney disharmony: Even technique

to calm the heart, soothe the spirit, andharmonize the heart and kidneys. (Drain the

south and supplement the north.)

UB 15: drain the heart

UB 23: supplement the kidneys

KI 3: nourish kidneys

Liver fire flaring up: Drain to calm the

heart, soothe the spirit, and subdue liver fire.

UB 18: subdue liver fire

UB 19: subdue liver fire

GB 12: subdue liver fireStomach dysfunction: Drain to calm the

heart, soothe the spirit, and regulate stomach

qi.

UB 21: regulate stomach qi

ST 36: regulate stomach qi

Plum Blossom: Si Shen Cong, Back Shu, or Jia Ji

Poor memory: nourish heart blood,

supplement spleen and kidneys.

Si Shen Cong: empirical for memory

UB 15: supplement the heart

UB 20: supplement the spleen

UB 23: supplement the kidneys, essence ST 36: supplement middlejiao

KI 6: supplement the kidneys, essence


22/44


PALPITATIONS Points

Main points: regulate heart qi and

blood to ease the spirit.(Use theappropriate technique based on the

diagnosis and add the appropriatepoints below)

UB 15: heart shu

Ren 14: heart mu

HT 7: heartyuan and son

PC 6: command for chest

Disturbance of mind: Use eventechnique to heart and gall bladder

related points to calm the spirit.

HT 5: heart luo, special for palpitations

GB 40: GByuan, supplements GB

if w/phlegm heat: (this goes withthe previous diagnosis)

ST 40: transforms phlegm, drain

UB 19: gallbladder shu

Qi-blood insufficiency:

Supplement the heart and ease thespirit.

UB 20: spleen shu

UB 21: stomach shu

ST 36: supplements post heaven qi

Yin vacuity fire: Supplement thekidneys and drain the heart

to nourish yin and subdue fire.

UB 14: pericardium shu UB 23: kidney shu, nourishes kidney yin

KI 3: kidneyyuan, nourishes kidney yin

Retention of fluids: First drainthen supplement in combination

with moxibustion to warm yang anddissolve the harmful fluids.

Ren 9: eliminates water swelling, moxa only

Ren 4: use moxa to fortify yang

Ren 8: use salt moxa for deep

supplementation and warm the abdomen

SP 9: drain to regulate fluids

Mania-Depression Points

Depression: Use even technique on

heart and liver related points tosoothe the liver, calm the heart and

dissolve phlegm.

UB 15: calm the spirit

UB 18: soothe the liver

UB 20: strengthen spleen, transform phlegm


ST 40: transform phlegm

Mania: Drain du and pericardiumpoints to calm the heart, ease the

spirit, clear heat, dissolve phlegm.

Du 14: clear heat

Du 16: awaken the brain

Du 26: open the orifices

PC 6: calm the spirit


with extreme heat Bleed the well points of hand

Sun Simiaos 13

Ghost Points

Needle in order.

Du 26, LU 11, SP 1, PC 7, UB 62 (fire

needle), Du 16, ST 6 (warm needle), Ren 24,

PC 8, Du 23, Ren 1, LI 11 (fire needle),

She Xia Zhong Feng (a.k.a. Hai Quan) is an extra point on the

midline under the tongue. Bleed it.


23/44


EPILEPSY Points

During seizures:

drain points of du, ren, andliver to transform phlegm,

open the orifices, soothe theliver, and dispel wind.

Du 26: open the orifices

Ren 15: calm the spirit

PC 5: transform phlegm in regards to the heart

LV 3: calm the liver, extinguish wind ST 40: transform phlegm

Between seizures:even method to nourish the

heart, calm the spirit,supplement the spleen and

kidneys.

UB 15: calm the spirit, nourish heart

Yin Tang: calm the spirit

HT 7: calm the spirit, nourish heart

SP 6: supplement spleen, yin

KI 3: nourish the root

Yao Qi: moxa, 2 cun above coccyx, treats epilepsy

Moxibustion

Du 20: awaken the brain

Ren 15: calm the spirit


Daytime seizures UB 62

Nighttime seizures KI 6

Qiao vessels regulate ascent-

descent of yin-yang to brain. Use moxa.

Phlegm stagnationdrain

Ren 12: transforms phlegm

ST 40: transforms phlegm

Severe qi and blood vacuitysupplement or moxa

Ren 4: nourish the root

ST 36: supplement post heaven qi

Dizziness Points

Liver yang rising: Select liverand kidney related points to

nourish yin and pacify yang.Drain liver yang and supplement

liver and kidney yin.

GB 20: local, drain, descends yang

UB 18: drain, pacify liver

UB 23: supplement kidneys

KI 3: supplement kidneys

LV 2: drain liver

Qi-blood vacuity: Supplement

post-heaven qi-blood throughacupuncture and moxibustion.

Du 20: local, moxa, ascend qi-blood

UB 20: supplement spleen qi, ascend qi, moxa

Ren 4: nourish the root, moxa

ST 36: supplement spleen qi, ascend qi, moxa

SP 6: supplement spleen qi

Phlegm-damp retention: Use

even technique on spleen andstomach related points to resolve

phlegm and eliminate damp.

ST 8: local, drain, transform phlegm, dizzy

UB 20: even, supplement spleen, drain damp

Ren 12: even, supplement spleen, drain damp

PC 6: drain, open the chest, nausea

ST 40: drain, transform phlegm

Plum blossom: Du 20, Tai Yang, Yin Tang, Jia Ji


24/44


CLASS SIX: CAM: 450-461

Depression Patterns (melancholia)

Liver qi depression:Use even technique to soothe the liver,strengthen the spleen, and harmonize the

stomach.

UB 18: soothe the liver


Ren 17: regulate qi, open the chest

Ren 12: protects the spleen, nausea/vomiting

ST 36: protects the spleen, nausea/vomiting

SP 4: protects the spleen, nausea/vomiting

Depressed qi transforms to fire:Drain to dispel fire from the liver andstrengthen the stomach.

Ren 13: reflux, stomach counterflow

SJ 6: opens rib-sides

GB 34: opens rib-sides

LV 2:ying spring point drains liver fire

GB 43:ying spring point clears heat

Phlegm stagnation (plumpit qi):

Use even technique to soothe the liver,remove depression, regulate qi, and

resolve phlegm.

Ren 22: free the throat

Ren 17: open chest, regulate qi PC 6: calm the spirit,jue yin like liver



Insufficient blood:Use even technique to nourish blood,

soothe the liver, and calm the spirit.

Ren 14: calms spirit

HT 7: calm the spirit, nourish heart

SP 6: nourish blood

LV 3:yuan nourishes liver blood, soothes LV

Chest distress Ren 17, PC 6: open the chest

Hiccups SP 4, Ren 22: descend qi, stop hiccups

Sudden loss of voice HT 5, Ren 23: benefit speech

Convulsions LI 4, GB 34Loss of consciousness Du 26, KI 1: open the orifices


25/44


Headaches by Location (Part 1 of Point Formula treat the branch)

All headaches should be differentiated by location and channels affected. Chooseappropriate local and distal points according to the affected channel. If the distal point is

also good for treating the root, even better.Channel Location Local Distal Guiding herbs

Tai yang(SI/UB)

Occiput, down the

nape GB 20

SI 3

UB 60

Qiang Huo,

Ge Gen

Yang ming(ST/LI)

Frontal (forehead),eyebrows, above the

eyes

ST 8

Du 23

Yin Tang

LI 4

ST 44

Man Jing Zi,

Bai Zhi

Shao yang

(SJ/GB)

Temples, around theears, one-sided or

bilateral

Tai Yang

GB 8

SJ 5

GB 41

Chai Hu,

Huang Qin,Chuan Xiong

Jue yin(LV/PC)

Vertex (parietal)

sometimes radiating

to the eyes Du 20

LV 3

SI 3

UB 67

Wu Zhu Yu,

Gao Ben,

Chuan Xiong

HEADACHE (Part 2 Treat the Root)

Wind invasion:Dispel wind, remove

obstruction, regulate qi-blood,stop pain.

GB 20: treats all headaches

Du 16: expels wind

LU 7: command for head and neck, wind

SJ 5: expels external evils, treats head

Liver yang ascent:

Drain points to pacify liveryang.

GB 20: treats all headaches

Du 20: descends qi

GB 5: local

GB 43: pacifies liver yang

LV 2: pacifies liver yang

Qi/blood vacuity:

Supplement and regulate theflow of qi-blood, ascend the

clear, descend the turbid.

Du 20: raise clear yang

UB 18: nourish liver blood

UB 20: supplement post-heaven qi-blood

UB 23: supplement the root

Ren 6: supplementyuan qi

ST 36: supplement qi-blood

Plum blossom and cupping: Tap L1 to S4 region. Tap affected region and along

affected channel. If acute, tap Tai Yang and GB 14 to bleed and then cup.

Also GB 20.


26/44


FACIAL PAIN (trigeminal neuralgia)

Supraorbital GB 14, Tai Yang, UB 2,

SJ 5

Maxillary

ST 2, SI 18, LI 20,

LI 4

Mandibular ST 7, ST 6, ST 5,

Jia Cheng Jiang, LI 4

Wind-cold: drain GB 20

Liver and stomach fire: drain LV 3, ST 44

Yin vacuity fire: supplement KI 6, SP6

Chronic: supplement points on affected side, shallow insertion, retain needle.

Or drain the healthy side with long retention.

FACIAL PARALYSIS (Bells Palsy,deviation of eye and mouth): Eliminatewind, unblock channels and network

vessels by using even technique on pointsof theyang ming and shao yang channels.

Local: SJ 17, GB 14, SI 18,

ST 7, ST 4, ST 6

Distal: LI 4: command for face and

sense organs. Use on opposite side.

Headache GB20

Cant move eyebrows UB 2, SJ 23

Cant close eyes UB 2, UB 1,GB 1, Yu Yao,

SJ 23

Deviation of philtrum Du 26

Cant show teeth ST 3Mouth awry LI 19, Jia Cheng Jiang

Cant sniffle LI 20

Tinnitus, deafness GB 2

Tender mastoid GB 12, SJ 5

Long-standing casesWarm needle or moxa on Tai Yang, ST 6,

ST 4, ST 3, and ST 7.

Cupping Small cups on affected side every 3-5 days.

Can also needle healthy side (shallow with retention) if healthy side is stiff.


27/44


Rib-side pain or intercostal neuralgia: Open the channels to facilitate flow of qi.

Repletion: Drain points of the footjue yin

and shao yang channels to remove liver qiconstraint and obstruction in the luo

vessels.

LV 14: Local, liver mu point

SJ 6: special combo for rib-side pain

GB 34: special combo

Qi stagnation LV 3:yuan point, moves liver qi

GB 40:yuan point, moves liver qi

Blood Stasis UB 17: blood influential point


Vacuity:

Nourish essence and blood, circulate qi,and relieve pain by supplementing points

of the footjue yin channel and back-shupoints.

LV 14: liver mu point





LV 3: liveryuan pointAlso useful Jia Ji at level of pain

Plum Blossom: Tap region until slight bleeding, then cup.

Low back pain

Main: Use Du or UB points tomove qi and blood, relieve pain,

relax muscles.

UB 23: low back is the mansion of the kidneys

Du 3: local

UB 40: command point for back

Cold damp:

use acupuncture and moxibustion

UB 25: local, eliminate cold damp

UB 26: local, eliminate cold damp

KI yang vacuity:

supplement and use moxibustion

Du 4: warm yang, local

Yao Yan: warm yang

KI yin vacuity:supplement

UB 52: nourish kidney yin, local

KI 3: nourish kidney yin, distal

Trauma (acute):drain or prick to bleed

Du 26: distal for midline pain

Yao Tong Xue: on the hand

a shi

disease of the vertebrae Jia Ji: needle 1-1.5 cun and retain


28/44


CLASS SEVEN: CAM: 461-477

Bi Patterns or arthritis, Part 1: Use a shi points and points by location (local and

distal points, especially on the yang channels).

Shoulder joint LI 15, SJ 14, SI 10, SI 9

Scapula SI 11, SI 12, SI 14, UB 43

Elbow LI 11, LU 5, SJ 10, LI 4, SJ 5

Wrist SJ 4, LI 5, SI 5, SJ 5

Stiff fingers SI 5, LI 4, SI 3

Numb painful fingers LI 3, SI 3, Ba Xie

Low back Du 26, Du 12, Du 3

Hip GB 30, GB 29, GB 39

Thigh UB 54, UB 36, GB 34

Knee He Ding, ST 35, Xi Yan,GB 34, SP 9

Numb painful leg UB 57, UB 58

Ankle ST 41, UB 60, SP 5, GB 40, KI 3Numb painful toes Ba Feng, SP 4, UB 65

General Pain

SI 3, UB 62: shoulder, back, legs, sinews, flesh, bones

SP 21, UB 17: general pain

LI 15, LI 11, LI 4,

SJ 4,

GB 30, GB 34, GB 39,

ST 41.

Part 2: add the following to treat the root:

Wandering or vessel bi (wind): drain, shallow

needling. (Blood is heavy and anchors wind. Whenblood flows smoothly, wind is eliminated.)

UB 17: nourish/regulate blood

SP 10: nourish/regulate blood GB 20: dispel wind

Painful bi (cold): Use moxa (on ginger) as

primary, needles as secondary, deep insertion,retain needles longer. Strengthen yang to eliminate

cold.

UB 23: warm kidneys

Ren 4: warm kidneys

Fixed bi (damp): Deep insertion and moxa, retain

needles longer. Strengthen spleen and stomach toeliminate damp.

ST 36: spleen treats damp

SP 5: spleen treats damp

Heat bi: Bleed or drain related points, shallowneedling.

Du 14: clear heat

LI 11: clear heat

Sinew bi: drain, shallow needling. When bonesand sinews are affected, use deep insertion with

needle retention.

GB 34: sinew confluencepoint

Bone bi: drain When bones and sinews are

affected, use deep insertion with needle retention.

UB 11: bone confluence point

GB 39: marrow confluence

Use plum blossom with cupping on the sides of the spine or local area for skin and fleshbi (numbness) or bone bi (stiffness, limited movement or deformity).


29/44


Wei Patterns (wilting or atrophy) or paralysis: Select points from theyang ming

channels to circulate channel qi, nourish the sinews and bones. Wei patterns need a long

period of treatment.

Upper limb LI 15, LI 11, LI 4, SJ 5

Lower limb ST 31, GB 30, SP 10, ST 34, ST 36,GB 34,

ST 41, GB 39

Heat in lungs: drain LU 5, UB 13

Damp-heat: drain UB 20, SP 9

LV/KI yin vacuity: supplement UB 18, UB 23

Trauma: puncture the points on theaffected side with even technique

Jia Ji at level of injury.

Incontinence of urine Ren 3, SP 6

Incontinence of stool UB 25, UB 32

Plum Blossom: affected areas along channels. Patient or family can do it at home.

Irregular Menstruation

Early menstruation

Heat in blood: Drain spleenand kidney points to

regulate chong and ren and

clear blood heat.

LI 11: clear heat, cool the blood

SP 10: clear heat, cool the blood

Ren 3: three leg yin meeting, local, drains repletion

KI 5: xi point of kidneys, treats acute menstrualbleeding, nourish yin, clear heat, regulates menstruation

LV qi transforms to fire LV 2:ying point, clear heat from the liver, drain fire

Yin vacuity heat KI 2:ying point, clear heat from kidney yin vacuity

Qi vacuity: Supplementren, foot-tai yin, and foot-

yang ming points.Supplement qi to control

blood.

Ren 6: sea of qi supplements qi

Ren 12: supplement middlejiao

SP 6: three leg yin meeting helps supplement qi



30/44


Late menstruation

Blood vacuity: Supplement and

use moxa on points of the renvessel and foot tai yin channel to

replenish qi and nourish blood.or Cold in blood: Use even

technique and strong moxibustionon points of the ren vessel and

foot tai yin channel to warm thechannels and disperse cold.

Ren 6: regulates qi to move blood,

supplements qi and blood; with moxa, warms theabdomen

Ren 4: three leg yin meeting, local

SP 6: three leg yin meeting, distal

Dizzy, blurred vision Du 20: raise qi and blood to head

Palpitations, insomnia HT 7: calm the shen, nourish heart blood

Qi constraint: Drain points of the

foot-jue yin and foot-yang ming

channels to activate qi and blood.

ST 25: regulate qi-blood in the abdomen

KI 13: regulate chong-ren, local

SP 8: spleenxi point, regulates blood in uterus LV 3: regulate liver qi

Chest fullness PC 6: command for chest, rib-sides

Rib-side, breast distention LV 14: local, regulate liver qi

Irregular menstruation

Liver qi constraint: Use even

technique on points of the ren vesselandjue yin channels to soothe the liver

and regulate the chong and renvessels.

Ren 6: regulate qi in the lower abdomen

KI 14: regulates qi-blood in lowerjiao

PC 5:jue yin point, regulates menstruation

LV 5: luo point, liver luo goes to genitals

Rib-side, breast distention Ren 17: opens the chest, benefits breasts

LV 14: local, regulate liver qi

Mental depression HT 7: calm the spirit

LV 3: regulate liver qi

Kidney vacuity: Supplement pointsand use moxa on the ren vessel and

foot shao yin channel to replenishkidney qi and regulate the chong and

ren vessels.



KI 8: yin qiaoxi point, regulate chong-ren

Together these three nourish essence.

Sore weak low back, knees Yao Yan: local for back

KI 10: local for knees, strengthens bones

Dizzy, tinnitus Du 20: raise qi, nourish marrow, brain

KI 3:yuan point, supplement kidneys

For all types of irregular menstruation, treat on alternate days, 10 treatments are onecourse. Start when period ends.


31/44


Dysmenorrhea (painful menstruation)

Repletion: Drain points of the

ren vessel and foot-tai yin

channel to move qi and blood,warm the channels and dissipatecold.


UB 32: local, treats dysmenorrhea

LI 4: four gates, moves qi

LV 3: four gates, regulates liver qi and blood

SP 10: regulates blood

SP 8: spleenxi point, regulates blood in uterus

Distending low abdominal

pain

KI 14: regulates qi-blood in lowerjiao, pain ormasses in lowerjiao

ST 28: regulates lowerjiao, benefits uterus

Cold pain in low abdomen:Use acupuncture with moxa.

ST 29: warms lowerjiao, regulates menstruation

ST 27: benefits kidneys, firms essence

Vacuity: Supplement points ofthe ren vessel, spleen and

kidney channels and usemoxibustion to regulate qi and

blood, warm and nourish thechong and ren vessels.



Ren 4: three leg yin meeting, moxa



Begin one week before the period. Treat on alternating days. If pain is severe, give strong

stimulation to SP 6 for 20 minutes or until pain is relieved. You can use electro-

stimulation on the limbs, high frequency for 10-15 minutes.

The patient should keep warm during the menstrual period and avoid eating raw or cold

foods.


32/44


CLASS EIGHT: CAM: 477-488

Amenorrhea

Blood Stasis: Drain to

remove stasis and regulateqi and blood.

Ren 3: three leg yin meeting

ST 29: return, regulates lowerjiao and menstruation

SP 10: sea of blood moves blood

LV 3: four gates, moves liver qi and blood

LI 4: four gates, moves qi


Low abdominal pain,

masses

KI 14: regulates qi-blood in the lowerjiao, pain or

masses in lowerjiao

Blood depletion:

Supplement and applymoxibustion to

supplement blood and

restore the period.




Ren 4: three leg yin meeting

ST 36: supplement post-heaven qi SP 6: three leg yin meeting

Uterine Bleeding: Flooding and spotting ( beng lou): any abnormal discharge

of blood via the vagina. Flooding (literally, collapse or landslide) is heavy menstrual

flow or abnormal uterine bleeding. Spotting (literally, leaking or trickling) is a slight,often continual discharge of blood via the vagina.

Uterine bleeding

Repletion heat: Drain

points of the ren vessel and

foot-tai yin channel to clearheat and stop bleeding.

Ren 3: three leg yin, for repletion

SP 10: cools the blood

SP 1 (direct moxa): stop uterine bleeding

LV 8: invigorates blood in the uterus

External heat LI 11: clear heat, cool blood

Heart fire HT 8: heartying point clears heat,bao mai to

uterus

Liver fire LV 3: regulate the liver

Qi vacuity: Supplement

points of the ren vessel andfoot-tai yin channel and use

moxibustion to promote thecontaining function of qi.

Du 20: raise qi and blood

Ren 4: three leg yin meeting, nourish



SP 1 (direct moxa): stop uterine bleeding

SJ 4:yuan point on channel that distributesyuan qi,

supplement or moxa on left side

Spleen vacuity, poor

appetite, loose stool



ACT uses moxa as the primary form of treatment for uterine bleeding.


33/44


Abnormal vaginal discharge (morbid leucorrhea)

Spleen vacuity: Supplement plus

moxibustion on points of the renvessel, foot tai yin andyang ming

channels to fortify the spleen,remove damp, regulate ren, and

stabilize the dai vessel.

GB 26: special for abnormal vaginal discharge

Ren 6: local to regulate qi in the lowerjiao

UB 30: for white discharge

SP 9: drain dampness

ST 36: strengthen spleen

Kidney vacuity: Supplement plus

moxibustion on points of the renvessel and foot shao yin channel

to promote yang qi, supplementthe kidneys, and stablize the ren

and dai vessels.

GB 26: special for abnormal vaginal discharge


Ren 4: warm the root

KI 12: astringes essence

KI 7: mother point, regulate fluids

Damp-heat: Drain points of theren vessel and foot tai yin channel

to clear heat, remove damp, adjustren, and stabilize the dai vessel.

Ren 3: UB mu point, regulates lowerjiao, local

UB 32: regulates lowerjiao, local

SP 6: three leg yin meeting LV 3: regulate liver

Itching genitals LV 5: liver luo point goes to genitals

Red discharge SP 10: sea of blood, clears heat from blood

Repletion heat LI 11: clear heat, cool the blood

Morning sickness

Spleen-stomach vacuity:Apply even technique to points

of the foot-yang ming and foot-tai yin channels to build up the

spleen, harmonize the stomach,and quell counterflow qi so as

to stop vomiting.

Ren 13: represents the upper opening of the

stomach so stops counterflow

Ren 12: regulate middlejiao, okay first trimester

PC 6: yin wei confluence, stop nausea, vomiting

ST 36: regulate stomach qi SP 4: chong

confluent point

Liver-stomach disharmony:

Use even technique on points ofthe foot-yang ming andjue yin

channels to relieve liverconstraint and harmonize the

stomach so as to stop vomiting.

Ren 17: descend qi

Ren 12: regulate middlejiao, okay first trimester

PC 6: yin wei confluence, stop nausea, vomiting

ST 36: regulate stomach qi


Use few points with mild stimulation. Adjust the diet.


34/44


Prolonged labor

Qi and blood vacuity: Supplement and use

moxibustion on points of the foot-yang mingand tai yang channels to supplement qi-

blood, and quicken the delivery.

ST 36: supplement qi-blood


UB 67: promote labor (oxytocin)

Qi stagnation, blood stasis: Drain points of

the hand-yang ming and foot tai yangchannels to regulate qi-blood and activate qi

so as to quicken the delivery.

LI 4: move qi


UB 67: promote labor (oxytocin)

Malposition of FetusTreatment: Around the 36

thweek or later, the pregnant woman should sit in a chair or lie

supine with nothing tight around the waist. Apply moxibustion to UB 67:

bilaterally for 15-30 minutes. Treat once or twice daily until the fetal position is corrected.

UB 67: is thejing-well point of the foot-tai yang channel, and an empirical pointfor fetal malposition. The reported success rate is over 80%. It works more effectively in

women on a second or later birth than those in their first pregnancy. Moxibustion is muchmore widely usedthan acupuncture.

Insufficient lactation,

main points

ST 18: bilateral, transverse insertion toward the breast sothat the needle sensation extends into the breasts

Ren 17: transverse insertion toward each breast so that the

needle sensation extends into the breasts

SI 1: empirical for breast disorders

Qi and blood vacuity:

supplement and use moxibustionto supplement qi and bloodso as

to promote secretion of milk.




Liver qi depression: Drain or use

even technique with moxibustionto remove constrained liver qi,

free obstruction from the channelsand promote milk secretion.

LV 14: local, move liver qi

PC 6: command for chest and rib-sides

LV 3: move liver qi

Suppressing lactation

GB 41

GB 37

First use acupuncture, then apply ten-minutes of moxibustion to eachpoint. Treatment is given once every day.


35/44


Prolapse of uterus

Qi vacuity: Supplement and use

moxibustion on points of the ren vessel

and foot-yang ming channels toreplenish qi and raise prolapse.

Du 20: moxa, raise qi

Ren 6: supplement qi

Ren 12: supplement post-heaven qi


ST 29: local, return

Kidney vacuity: Supplement and usemoxibustion on points of the ren vessel

and foot-shao yin channels to replenishkidney qi to keep the uterus in position.

Ren 4: strengthen the root

Zi Gong: local

LV 8: benefit the uterus, genitals

KI 6: regulate lowerjiao


36/44


CLASS NINE: CAM: 488-499

Infantile convulsions: Be careful needling around fontanels in infants.

Acute: Drain points of the du vessel andthe liver channel to restore consciousness,

eliminate heat, and suppress wind.

Yin Tang: calm du vessel

Du 26: restore consciousness

LV 3: subdue wind

Heat invasion

Du 14: clear heat

LI 11: clear heat

12 hand well: quickly clear heat

Phlegm heat

SJ 18: Pacifies fright wind

LI 4: regulate qi, clear heat

Ren 12: transform phlegm


Fright

Si Shen Cong: calm fright

PC 8: Clear heat, calm, revive

KI 1: Clear heat, calm, revive

Chronic: Supplement and use moxibustionon points of ren and du vessels to adjust yin

and yang for relaxing and relievingconvulsions.

Du 20: raise qi to head

Du 24: calm spirit

Ren 4: nourish the root

SP 6: supplement post-heaven qi


Spleen-kidney yang vacuity

Ren 12: supplement post-heaven qi



Blood vacuity

LV 3:yuan point, nourish liver

KI 2: Regulate kidneys

Infantile diarrheaMain: Use points of the footyang

ming channel without retention toadjust the spleen-stomach, eliminate

damp-heat, and stop diarrhea.

ST 25: LI mu point

ST 37: LI lower he sea point

Si Feng: special for childrens digestive

disorders

Overfeeding Ren 11: Descend stomach qi

Ren 6: regulate qi in the abdomen

Damp-heat LI 11: clear heat LI 4: clear heat with LI 11, regulate qi

SP 9: drain damp-heat


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gan ji: a disease of infancy or childhood with emaciation, dry hair, fever of varying

degree, abdominal distention with visible superficial veins, diarrhea, yellow face,emaciated flesh, and loss of vitality. Usually due to malnutrition, chronic indigestion, or

parasite infestation. Gan can also refer to various types of ulcers and sores in adults orchildren.

Infantile malnutritionMain: Supplement points of thefoot tai yin and footyang ming

channels to benefit the spleenand remove stagnation. Apply

superficial puncture and dontretain the needles.

Ren 10: harmonize stomach, eliminate heat

UB 21: supplement post-heaven qi

UB 20: supplement post-heaven qi


SP 3: supplement spleen, transform stagnation

Si Feng: special for childhood gan disorder

Parasites Bai Chong Wo

Infantile paralysis: Useyang ming channels to remove obstruction fromthe channels and nourish sinews and bones. Usually needle affected side, but sometimesyou can treat the healthy side.

Upper limb:On affected side

LI 15, LI 11, LI 4, SJ 5,

Du 14, UB 10

Lower limb:

On affected side

ST 31, ST 36, ST 41,

GB 30, GB 34, GB 39,

SP 6, UB 60, Jia Ji L1-5

Abdominal muscles ST 21, ST 25, GB 26, Ren 4

Contracted knee ST 33

Reverse flexion of knee UB 36, UB 40, UB 57Inversion of foot GB 31, UB 62, UB 40

Eversion of foot KI 6, KI 3

Cannot rotate wrist SJ 4, LI 5, SI 3, SJ 9, HT 3

Drop wrist SJ 9, SJ 5


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Contagious Parotitis

(Mumps), main points: Drain

points of the shao yang andyangming channels with superficial

puncture to expel wind-heat andremove the accumulation.

ST 6: local

SJ 17: expels wind, local

SJ 5: releases exterior, also shao yang

LI 11: clear heat

LI 4: release exterior, clear heat,yang ming

Aversion to cold and fever LU 7: release exterior with LI 4

High fever

Du 14: clear heat

12 hand well: clear heat in acute cases

LI 11: clear heat

Swelling, pain of testes LV 3:jue yin winds around the genitals

LV 8:jue yin winds around the genitals

Deng xin cao (Medulla junci) Moxibustion: Ignite 2 pieces soaked with

sesame oil and aim at SJ 20. Remove when there is the sound of burning skin.

Usually the swelling subsides after one treatment. Repeat the next day if the swelling isnot gone.

Urticaria (hives)

Main: Disperse wind andactivate blood. Drain points of

the spleen and large intestinechannels to disperse wind-damp

and eliminate heat in the blood.

LI 11: clear heat inyang ming, cool blood

LI 4: release exterior, clear heat inyang ming

SP 6: cool and regulate blood, drain damp

SP 10: cool and regulate blood

UB 40: cool blood, resolve toxins

Wind-heat Du 14: clear heat, release exterior wind

Wind-damp SP 9: drain damp

Heat in stomach, intestines ST 25, ST 36: clearyang ming

Plum blossom: affected area.


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Erysipelas

Main: Drain or bleed points of theyang

ming channels to eliminate heat andresolve toxins. Activate the blood to

eliminate stasis, and disperse heat andtoxins.

LI 11, LI 4: clear heat, release

exterior,yang ming

PC 3, UB 40 (bleed), SP 10:

cool the blood

a shi

Wind-heat GB 20: release exterior, dispel wind-heat

Damp-heat ST 36, SP 9: drain damp-heat

Fever Du 14: clear heat

Toxins 12 hand well points (bleed)

PC 8: clear heat, cool blood

Constipation SJ 6: promotes bowel movement

Cupping, bloodletting:Listed first in ACT. Bleed affected area and cup. Treat 1-2x/day.

Herpes zoster,

Local

First, distinguish the head and tail of the location of herpes zoster.The area where the lesions first appeared is the tail, while the

extending part is the head. Prick the skin to bleed around the herpeszoster: five pricks 0.5 cun from the head of the herpes zoster and then

five pricks 0.5 cun from the tail, and several pricks along both sides.

After above

treatment.

LI 11: Drain wind-heat, cool the blood

SP 10: Clear heat, cool the blood

UB 40: Bleed. Clear heat, cool the blood

GB 34: treat the rib-sides, drain damp-heat

LV 3: move liver qi


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Furuncle or boil

Main: Drain or bleed points

of the du vessel and handyang ming channels to

eliminate heat from theblood.

Du 10: special for boils and red-thread boils

Du 12: helps Du 10

PC 4:xi point, cools and moves blood

LI 4: regulate qi, release exterior

UB 40 (bleed): cool blood, toxins

Points on related channels: Jing well, and other points, especially if they clear

heat. Examples:

LI 1, LI 11 for face LI 11, LI 20 for tips of related fingers GB 34, GB 44 for on temples GB 34, GB 2 for on 4th or 5th toe

For red-thread boil (lymphangitis), prick with a three-edged needle to cause bleeding at

two-inch intervals along the red line proximally towards the focus.

Another effective method for treating boils is to prick with a three-edged needle intosmall papules found alongside the thoracic vertebrae. Treatment is given once a day.


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CLASS TEN: CAM: 499-510

Breast Abscess or Acute Mastitis,

main points: Drain points of the footjueyin, foot shao yang, and footyang mingchannels to regulate liver qi and the

stomach channel, remove stagnation,disperse heat.

GB 21: benefits the breasts

SI 1: empirical

Ren 17: local

ST 18: local

ST 36: regulate stomach channel

LV 3: move liver qi

Aversion to cold and fever LI 4, SJ 5: release exterior

Breast pain and distention GB 41: move liver qi, benefit breasts

Intestinal Abscess or Appendicitis

Main: Disperse damp-heat, regulateqi and stop pain by draining points of

theyang ming channels.

LI 11: LI he sea point, clears heat

ST 25: LI mu point, damp-heat

ST 37: lower he sea point of LI Lan Wei: special for appendicitis

Fever Du 14, LI 4: clear heat

Vomiting (Use electro-acupuncture) PC 6: stops vomiting

Ren 12: atomach mu point

Strong stimulation, continuous manipulation for 2-3 minutes. Retain 30 minutes - 2 hourswith stimulation every 10 minutes. Treat every 6 - 8 hours until symptoms disappear.

Then treat once a day, retaining for 30 minutes. But really, send them to the emergency

room instead.

Goiter, main points: Drain

points of the hand shao yang andyang ming channels to activate

blood, remove stasis, and disperseaccumulation by moving qi.

SJ 13: transforms phlegm nodes

LI 17, SI 17, Ren 22: local

LI 4, ST 36: move qi inyang mingchannels

LV qi depression:Even

Ren 17: regulate qi in upperjiao

LV 3: regulate liver qi

Palpitations: Supplement PC 6: quiet the spirit, regulate heart qi

HT 7: quiet the spirit, regulate heart qi

Exophthalmos:

Even

SJ 23, UB 1, UB 2: local

GB 20: regulates shao yang, treats eyesHot temper, anxiety, sweating:

even

SP 6: nourish yin

KI 7: stop sweating

Also needle surrounding the goiter with one needle in the center, but be careful not topuncture the delicate structures in the throat.


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Three stages of sinew damage (sprains, strains or contusions):

First-stage is defined as the period during which swelling, pain and redness areprominent; this usually lasts 4-7 days but can be 2-3 days in light cases. The principal of

treatment at this point is to move blood, clear heat, dissipate swelling and relieve pain.

Acupuncture and application of soft plasters or liniments form the basis of treatment.

Soaks, steams and compresses are avoided because they aggravate inflammation by

dilating blood vessels and encouraging hyperemia (bleeding and cupping is good).

The second-stage of sinew damage is that period during which swelling and pain stillexist but in a much less severe form; this stage lasts up to three weeks. At this point the

local area begins to turn deep-red and purple indicating stasis of blood and qi. The

treatment principle at this juncture is to soothe the sinews, dissipate stasis and quicken

blood. Massage (above and below the traumatized location), liniments, steams, soaks,

acupuncture and soft plasters are primary treatment.

The third-stage of sinew damage is defined as the period beginning three weeks to onemonth after the initial insult when swelling and redness have disappeared and visible

signs of stasis are minimal. Often a persistent aching and stiffness remains. When pain

and swelling have subsided and what remains is the nagging pain of an enduring injury or

pain that is exacerbated by damp or cold, the principle of treatment is to move qi, quickenluo vessels, disperse cold, dispel damp, dissipate stasis and relax sinews. Acupuncture

and moxibustion are useful in treatment of this stage of traumatic damage as are massage

(including the traumatized location and employing massage salves or liniments), steams,

soaks, hot compresses and the application of plasters.

Adapted from Andrew Ellis. www.springwind.com.

Sprains and Contusions: Use bleeding and cupping locally on new injuries.

Use needling and moxa on a shi and local points for older injuries.Needle distal points to ease the sinews, move blood, reduce swelling, and pain.

Neck UB 10, SI 3

Shoulder joint GB 21, LI 15Elbow joint LI 11, LI 4

Wrist joint SJ 4, SJ 5

Hip joint GB 30, GB 34

Knee joint ST 35, ST 44

Ankle joint ST 41, GB 40, UB 60

Can also needle healthy side in corresponding area or a distal point in another area whilehaving the patient move the joint. Sometimes this gives instantaneous results.

Torticollis: Drain points of the du vesseland tai yang channels, plus moxibustion to

expel wind, disperse cold, relax sinews,regulate qi and blood.

Du 14, UB 10: local

SI 14: adjacent

GB 39, SI 3: distal

cannot flex and extend UB 60, LU 7

cannot rotate SI 7

Use local cupping or use Luo Zhen alone.


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Deafness and tinnitus

SJ 17, GB 2: local

SJ 3, GB 43: distal

Liver/gall bladder fire:

Drain LV 2,GB 41: drain liver/gall bladder fire

External wind heat: Drain SJ 5, LI 4: release exteriorKidney vacuity: Supplement

and moxibustion UB 23, Du 4, KI 3: supplement the

kidneys

Congestion, Swelling and

Pain of the Eyes (Conjunctivitis):Drain distal and local points to

disperse wind-heat.

UB 1, Tai Yang (bleed): local, clear heat

GB 20: adjacent, dispel wind, make strong deqi then withdraw

LI 4, LV 2: distal, regulate qi, drain fire

Wind heat SJ 5: release exterior

Liver fire LV 3: drain liver

Nasal Obstruction (Thick

Sticky Nasal Discharge): Drain pointsof the hand tai yin and handyang

ming channels to smooth the flow oflung qi and expel wind-heat.

LU 7, LI 4: distal for nose, release

exterior

Needle LI 20 to Bi Tong: local

Yin Tang: local

Nosebleed (Epistaxis): Drain points of the handyang ming and du vessels to clear

heat and stop bleeding for extreme heat in the lungs and stomach.Even technique is used to nourish yin and descend fire for yin vacuity fire.

Main

LI 4: distal, command point for face and sense organs

LI 20: local (can needle through to Bi Tong)

Du 23: adjacent, clears heat

Lung heat LU 11 (bleed): drains heat from the lungs

Stomach heat ST 44: drains stomach fire

Yin vacuity fire KI 6: nourish yin


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Toothache

Stomach fire: Drain points of the

handyang ming channel to clearheat and stop pain.

LI 4: command point for face and sense organs

ST 44: drains fire fromyang ming

ST 6, ST 7: local

Wind fire: Drain points of the

san jiao channel to dispel windand clear heat.

SJ 2:ying point clears heat from shao yang

GB 20: adjacent

SJ 5: release exterior

LI 4: command point for face and sense organs

ST 6, ST 7: local

Kidney yin vacuity: Use even

technique on the footyang mingand foot shao yin channels to

nourish yin and lower fire.

KI 3: kidneyyuan point, nourish yin to lower

fire

ST 6, ST 7: local

Sore throat: Disperse heat.

Repletion heat: Drain points

of hand tai yin and footyangming channels to disperse

wind and eliminate heat.

LU 11 (bleed): clear heat from throat

LI 4: release exterior

ST 44: clear heat from throat

SI 17: over tonsils, make qi go to throat

a. KI 3: kidneyyuan point, moisten the throat

LU 10:ying point, clear heat in throat

Ren 23: local

Yin vacuity: Supplementpoints of the foot shao yin

and hand tai yin channels tonourish yin and descend fire.

Alternate these two

prescriptions.

b. KI 6:yin qiao, nourish yin, benefit throat

LU 7: ren confluence, benefit throat

LI 18: local

Optic Atrophy: Supplement liver and kidneys, nourish qi-blood using

points of the foot shao yang and tai yang channels for vacuity of the liver and kidney yin,

and vacuity of qi and blood.

Main

GB 20: adjacent

UB 1, Qiu Hou: local

GB 37: GB luo, distal, benefit the eyes

Liver/kidney yin vacuity:supplement

LV 3, KI 3:yuan points UB 18, UB 23: backshu points

Qi/blood vacuity: supplement ST 36, SP 6

Liver qi constraint: even LV 14, LV 3, GB 34

Needle local points carefully but make qi extend around the eyeball. Use moderate

Documents

Clinical Point Selection