CMAC111 Acupuncture Channel Theory · 2018-08-20 · CMAC111 Acupuncture Channel Theory Session 9 Four Examination Methods in Channel Diagnosis Channels & Collaterals of the Kidney

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CMAC111Acupuncture Channel Theory

Session 9

Four Examination Methods in Channel Diagnosis

Channels & Collaterals of the Kidney

Chinese Medicine Department

All channel diagrams used with permission.

Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture (2nd ed.).

Hove, East Sussex: Journal of Chinese Medicine Publications.


Four Examinations

o Inspection

o Listening & Smelling

o Enquiry

o Palpation

Qiao (2008, p.3)


Application of Four Examinations

Which of the four examinations would be most relevant to channel diagnosis?


Application of Four Examinations

oWe will incorporate inspection & palpation

of channels into our practical sessions.

oEnquiry, listening & smelling are important

diagnostic tools that are covered in detail in

Foundations of TCM.


Channel Palpation Methods

o Touching

o Stroking

o Pressing Maciocia (2006, p. 67)

Examining the knee (Wendorf, Kohls & Ulrich, 1960)


Channel Palpation Methods

Which of these palpation methods would be most appropriate for the following channel

portions?

• Primary

• Luo-connecting

• Sinew

• Cutaneous


Pressure

• Which channels would be diagnosed using light pressure?

• Which would be diagnosed by pressing more deeply?


Texture

Moisture

Channel Palpation Signs & Symptoms

Temperature

Thermometer (Menchi, 2005)

Glass of Water (Petts 2013)

Sandpaper (Woodsurfsc, 2016)

Tender

Maciocia (2006, p. 68)


Cautions When is palpation not appropriate

or extreme caution required?


Palpation

• Incorporate some palpation into your practical work today.

• With permission of your fellow student. If you notice anything unusual present it to your lecturer for discussion.

• What could be the consequences of using an inappropriate amount of pressure when palpating channels?


The Kidney (KI)Foot Shao Yin

Channels & CollateralsDeadman, Al-Khafaji & Baker (2007, pp. 331-363)


Kidney (Foot Shao Yin)Channel System

o The Kidney (Foot Shao Yin) Primary channel

o The Kidney Divergent channel

o The Kidney Luo-connecting collateral

o The Kidney Sinew channel

o The Kidney Cutaneous region


Regular Points

27 points

Connecting Zang Fu

Kidney Bladder Liver

Lung Heart

Main Channel Connections with other

channels

Spleen Governor Conception

The Kidney (KI) Foot Shao YinPrimary Channel


Pathway of the Kidney Channel

KI-1

KI-3 to 6

KI-10

KI-11

KI-21

KI-22

KI-27

Kidney Channel (Deadman et al., 2007, p. 331)

KI-7 & 8


Internal Pathway of the Kidney Channel

© Endeavour College of Natural Health endeavour.edu.au

Enters lumbar spine & kidneys

Connects with GV-1

Deviates from main channel in groin

BL fu & CV LR Diaphragm LU

HT zangPC channel & CV-17 Throat & Root of Tongue



External Pathway of the Kidney Channel

From the sole of the foot at KD-1


KI 1 (Deadman et al., 2007)



The channel moves upward to the medial malleolus to form a loop

formation

KI-4

KI-3

KI-5KI-6


Kidney Points (Deadman et al., 2007, p. 331)



The channel moves upward to the medial malleolus to form a loop

formation


KI Points (Deadman et al., 2007, p. 331)


• Continues up the medial leg

• Connecting with SP-6

• To the popliteal fossa (knee) at KI-10

External Pathway of the Kidney Channel cont’d

KI 10 (WHO, 2008)

Liver Channel Human (Lian, Chen Hammes & Kolster, 2005, p.171)


• Continues upward along the postero- medial aspect of the thigh

• To the tip of the coccyx where it heads internally





•Re-emerges to the exterior above the pubic bone at KI-11

•Travels superiorly 0.5 cun from the midline

•intersecting CV-3, CV-4 & CV-7

•to KI-21


KI 11 & 21 (Deadman et al., 2007)


External Pathway of the Kidney Channel cont’d• Travels 2 cun from the midline on the chest from

KI-22 in the 5th intercostal space

• To KI-27, just inferior to the clavicle


KI 22 & 27 (Deadman et al., 2007, p. 331)


Actions & Indications of the Kidney Channel

o Nourish yin, clearing empty heat and grounding heat, qi, yang and wind

o Nourish Liver Yin

o Nourish water and balance fire (heart)

o Grasping of qi in relation to the lungs

o Tonify kidney yang (oedema, urinary dysfunction, sexual disorders, warm the body)

o Benefit dry throat

o Strengthen lumbar spine

o Benefit the ears

o Regulate the CV and TV (menstrual/fertility pathologies)

o Drain damp-heat from the lower jiao

o Nourish kidney yin (constipation)


o Separates at KI-4 posterior to the medial malleolus

o Connects with the bladder channel on the lateral heel

o Ascends to below the pericardium

o Unites with the lumbar vertebrae

Luo-Connecting Channel of the Kidney

Kidney Luo (Deadman et al., 2007)


Indications of the Luo-connecting channel of the Kidney

o Restlessness

o Urine retention

o Lumbago

‘When pathogens invade the collateral of the Foot Shaoyin channel, it will cause fulminating cardiac pain and distending sensation, fullness in the hypochondrium…unable to eat due

to severe pain, unreasonable anger and reversing of Qi against the diaphragm’

(Chapter 63 Simple Questions, Huang Di Nei Jing)


Divergent Channel of the Kidney

o Separates from the primary Kidney Channel

in the popliteal fossa

o Converges with the Bladder channel on the

posterior thigh

Kidney Divergent (Deadman et al., 2007)


Divergent Channel of the Kidney (cont’d)

o Connects with the kidneys

o Intersects the Belt vessel at the second lumbar vertebrae (L2)

o Connects with the tongue root

o Emerges of the nape of the neck, uniting with the Bladder

channel

Kidney Divergent cont’d. (Deadman et al., 2007, p. 331)


Sinew Channel of the KidneyTravels superiorly to the occiput, meeting

with the bladder sinew channel

Connects with the inner aspect

of the spinal vertebrae

Connects with the Spleen sinew channel .

Ascends the medial thigh to bind at the

genital

Meets the Bladder sinew channel then

ascends to bind with the medial condyle of

the tibiaConnects with

the Spleen sinew channel at the

medial heel Starts at the 5th

metatarsal

Kidney Sinew (Deadman et al., 2007)


Indications of the Sinew Channel of the Kidney

o Cramp on the sole of the foot

o Pain and muscular spasm on the channel

o External/Internal diseases will present with the inability to bend the lumbar spine

forwards/backwards respectively


Group Discussion

o Compare (discuss similarities) and

contrast (discuss) differences in

Sinew channels of the three leg yin.

You may wish to view the following link in your own time.

http://peterborten.com/wp-content/uploads/2013/02/sinew-composite2.pdf

http://peterborten.com/wp-content/uploads/2013/02/sinew-composite2.pdf


Cutaneous Regions of the Shao Yin

Shaoyin Cutaneous (Deadman et al., 2007)


Palpation Case Study

• Lecturer demonstrates palpation of leg yin channels on a student volunteer.

• Perhaps someone with knee, ankle or other leg problems may be willing to participate.

• Lecturer describes what is felt on palpation.

• With your “patient’s” permission students can feel for abnormal findings on channel.

• Discuss what these might mean clinically.


Group Work - Palpation Case Study

• After gathering information from palpation, break into small groups.

• Determine which channel/s are affected.

• What treatment strategy will you use? o Affected primary channel or sinew

o Interior/exterior related channel

o Luo – connecting channel

• Why have you chosen this strategy?

(i.e. Give rationale)

• Report back to the class as a whole.


Essential Reading

Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture (2nd ed.). Hove, East Sussex: Journal of Chinese Medicine Publications. [Available as web app 2013, mobile app 2009 or text 2007]

Maciocia, G. (2015). The foundations of Chinese medicine, (3rd ed.). Churchill Livingstone, Edinburgh. pp. 795-805. (Scanned copy provided on LMS session 10).


Group Work

o Divide into groups of 2

o Using a chinagraph pencil or eyeliner, locate the pathway of

Kidney, Spleen and Liver channels

using main points as landmarks.

o Be very clear about where the

Kidney Channel runs in relation to Spleen and Liver channels

in the lower leg.


References

Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture (2nd ed.). Hove, East Sussex: Journal of Chinese Medicine Publications. [Available as web app 2013, mobile app 2009 or text 2007]

Lian, Y., Chen, C., Hammes, M. & Kolster, B. (2005). Pictorial Atlas of Acupuncture, H.H.Ullmann, Marburg.

Maciocia, G. (2006). The channels of acupuncture: clinical use of the secondary channels and eight extraordinary vessels, Churchill Livingstone, Edinburgh.

Maciocia, G. (2015). The foundations of Chinese medicine, (3rd ed.). Churchill Livingstone, Edinburgh.

Menchi. (2005). A medical/clinical thermometer showing the temperature of 38.7 ° [Image]. Retrieved February 22, 2016, from https://commons.wikimedia.org/wiki/File:Clinical_thermometer_38.7.JPG

Petts, J. (2013). Glass of Water [Image]. Retrieved February 22, 2016, from https://commons.wikimedia.org/wiki/File:Glass_of_water_(8467149239).jpg

Qiao, Y., (2008). Traditional Chinese Medicine Diagnosis Study Guide, Eastland Press, Inc. Seattle.

Wendorf, Kohls & Ulrich. (1960). Leipzig, DHfK, Äztliche Untersuchung [Image]. Retrieved February 19, 2016, from https://commons.wikimedia.org/wiki/File:Bundesarchiv_Bild_183-76942-0023,_Leipzig,_DHfK,_%C3%84ztliche_Untersuchung.jpg

Woodsurfsc. (2016). Macro photo of a 120 grit sandpaper made of aluminum oxide [Image]. Retrieved February 22, 2016, from https://commons.wikimedia.org/wiki/File:120_grit_(scale).jpg

World Health Organisation. (2008). WHO standard acupuncture point locations in the Western Pacific Region. Manila, Philippines: World Health Organization.

https://commons.wikimedia.org/wiki/File:Clinical_thermometer_38.7.JPG

https://commons.wikimedia.org/wiki/File:Glass_of_water_(8467149239).jpg

https://commons.wikimedia.org/wiki/File:Bundesarchiv_Bild_183-76942-0023,_Leipzig,_DHfK,_%C3%84ztliche_Untersuchung.jpg

https://commons.wikimedia.org/wiki/File:120_grit_(scale).jpg


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CMAC111 Acupuncture Channel Theory · 2018-08-20 · CMAC111 Acupuncture Channel Theory Session 9 Four Examination Methods in Channel Diagnosis Channels & Collaterals of the Kidney