Sticking to the Point volume 1.pdf

8/10/2019 Sticking to the Point volume 1.pdf

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Stickng to the Point

ole

R aonatho do ogy o r Th Stp By Stp ormu ation dm initration of TCcupunc tur Tr atnt

b Bob Flaws

Blu Poppy Prss

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Published by:Be ess, 0 ese ce, Se 0 Be, O 00

s , Je 0Sec g, Oce Second Edition, Third Printing, May g, M Fih Printing, anuary,

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rits rsv. N s m e ece, s ee ssem, sce m means, electronic, mechanical, photocopy, recording, or any other means, without the prior written permission of the publisher.

The information in this book is given in good faith However, the translators and the publisher cannot be held responsible for anyerror or omssion. or can they be held in any way responsible for treatment given on the basis of information contained in thisbook. The publisher make this information available to English language readers for scholarly and research purposes only.

e ses ce ese se -medication by laypersons. Chinese medicine is a professional medicine.aypersons interested in availing themselves of the treatments described in this book should seek out a qualified professionalpractitiner f hinee medicine.

COMP Designation: Original work

e esve ess, Be, O c ee, ecce e e e &M ess, , O

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a

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Prac to S con dEdion

Mc s ee e sx es sce s e s ee, s ce ec e Ue Ses, emain problem I see in the teaching and leaing of Traditional Chinese Medicine or tcm as a system has to do with language. As aprofession, we have yet to adopt a standard technical termnology which is consistent and accurately reects the Cheseliterature frm which ur ar derives.

This means that English-speaking practitioners are not using the same words with the same logic and implications as the Chinesedoctors who created and continue to refine and expand this system. ot only is the language we are using frequently different inmeaning and implicatin frm ur Chinese antecedents, but amngst Westerners, we may use any number f different Englishwords to translate a single Chinese tcm technical term. Thus, English-seg ees c css -reference infrmatin in theEnglish tcm literature with any degree f ease r cnfidence. It is difficult t knw if the pulse image f ne authr is the same rdifferent frm the pulse image f anther authr. Sme may call the hua mat a slippery pulse, a rolling pulse, a sliding pulse, orany number of alteatives . et in China, every tcm practitioner understands the same thing when they see hua m at in variuss ecs

Since publishing the first edition of this book, igel Wiseman and Ken Boss have brought out their Glos:x' o/Cinese\edtcl Ter d &wpcre Pt published by Paradigm Publications. This book attempts to provide a standard list oftranslatins f Chinese tcm technical terms. Althugh I cntinue t find sme f the translatins Wiseman suggests


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awkward or hard to use, I basically accept his intent and methodology. As a teacher of tcm, I strongly believe our professiondesperately needs a translationally accurate, standard technical vocabulary, and at the moment, even though it may not beeec, sems gss s e es e e

Therefore, in editing this second edition, I have changed all the tcm technical terms to agree with Wiseman's terminology to thebest f my ability. This will aid readers crss -ece e me s e ece Be ess eses,sc s Se en ofFc in c . Ho o We Hebl Fo l -eve Eetl c Fr Br. s e ees css-reference the material contained herein with all of Paradigm Publications releases on

tc. And furher, it allows readers to identy the Chinese characters implied by the English language words by looking theseterms up in Wiseman's Goss nce English and Chnese are s dissmlar n the grammar and nteal lgic, n Englishtranslation can completely capture both the words, logic, and meaning of the Chinese, and, therefore, for those attempting tolea to read tcm in Chnese, knowing the original Chinese may provide even greater clari and understanding.

e e see ssges me ce ex s g s e s eee see ssgeswhich were superuous. Furher, I have corrected a number of mistakes and reworded more than a few sentences. Hopefully,these changes will allow this book to be of use to Weste practitioners for another few years.


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Pageiii

Ta of on t t

ece e Sec 1

Introduction

2 Diagnsis

2 Therapeutic Principles

sg s Bse ce ()

sg s Bse ce (2)

6 0Composing the Acupuncture Formula

Acupuncture Administratin

Conclusion

Bibligraphy

Index


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1

ItroductiO

Travelling arund the untry giving graduate level eminar t merian aupunturit and pratitiner f Traditinal hineeMediine or tm, I have beome autely aware of the general lak of larity in merian pratitioners oneing themethodology of our profession. For me, one of the greatest values of tm is its time -ese meg ge exe, s

methodology is based on the logi inherent in the hinese language. In hinese, tm is extremely lear and logial. However, intranslation, ths logi and larity are often lost. Frequently, the immediately pereived onnetions between two hese words to ese ee e e ( me) gs s se se em Nge sem, Ae s,and Ken Boss, also aware of this problem, have attempted to reti it by reatg a standard English voabulary whh hews aslosely as possible to the hinese in theirens Cinese Aicine 1 Althugh many may feel unmfrable, a Imyself do, with some of their neologisms, I believe their endeavor orretly addresses the main problem with the teahing andpratie f tm in the Englih -seg

The proess of doing tm is based on a relatively rigorous methodology and logi. This system of logi is like alulus or aomputer language. Only if one uses the orret terms in their proper sequene will one get the proper, time -teted, lnially

1 &1a1L GC'1 en , compild, translatd, and amndd by drw Ell is, Nigl Wisman, and Kn Boss, ParadigmPublications, Brooklin, , 1985


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verified reult at the end. Ding tm in Englih i en like adding apple and range. Beaue f miundertanding thedenotations and onnotations of the tenial Chinese tm terminology, we Weste pratitioners all too often plug nto ourlinial equatin the ng infrmatin r ele pre the right infrmatin with the wrng ytem f lgi .

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F or instane, equating the wet qt with the immune system i s an oft repeated misoneption that has led a number of Westepratitioners to offer ategorially mistaken treatments to numerous patients. t t as a tecnical concept in tcm s a erspeifi definition. ) It warms the body, both the exterior and the interior. It defends the exterior from penetration speifially the ,n or six environmental exesses. 3) It opens and loses the pores. And 4 it irulates primarily outside the twelve

regular hannel (ht :heng jtng ) and irulates aording to a dial rhytm. During the day it irulates in the exterior and atnight it retreats to the nterior. It is produed from the pure of the impure in the lower buer but it is ommanded or goveed bythe lungs. As suh, the wet qt is not idential to any single onept in mode Weste mediine.

Lkewise the tcm conceptgan r liver i nt idential t the Wete bilgial liver. Arding t the tm definitin f gan theliver controls coursing and discharge and stores the blood. i is locaed e k The Chinese liver ategorially does notpurify the blood and, in fat, in tm, there is no onept of blood purifiation as suh We may talk about learing the blood, butthat peifially mean learing heat frm the ue or blood division.

At the Dehen Yonten Dzo Institute of Buddhist Mediine no longer existent, we attempted to address this issue by requiring allour students to lea to read medial Chinese from a medially trained, native speaker. It is my experiene that the loser onefllw the time-tested methodology of Chinese


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medicine as foulated in Chinese, the better the clinical results. However, the majori of American practitioners, it seems,neither have the te nr inclatin t lea Chese. Therefre, I am fferg this small bk n the methdlgy fr the step bystep foulation and administration of an acupuncture treatment in an attempt to clari the practice of tcm in the West.

The material in this book is based on lectures given by me at Dechen Yonten Dzo. 2 It als includes varius translatins frmChinese sources done by our faculty and students and lecture notes from Dr. ric Tao -yu and Dr. Yang-jiang.sc, c, esec, eg e e Lee e, N Se, Rse Cescez, DesBs

Althugh I have stated elsewhere that the creatin f acupuncture frmulas mimicking the creatin f Chinese herbal fulases s ce eess e c cce e -eminently and inherently des is t balance the w f qi and, se exeece g ec c e Ue Ses, e ce e ccs s egdoes provide the relative beginner with an exceptionally clear step by step protocol. As such, it provides a fi foundation uponwhich the practitioner can build and from which one can branch out as their knowledge and experience become moressce

Aong a cerain segment of the population most interested Chnese medicine in the West, intuition is valued above rationality.However, for me, intuition is merely the clari of knowing something so well that one does not need to

2 Th Dchn Yontn Dzo ord a two -yar acupunctr training in Bouldr, CO rom 1985 to1989.


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consciously and deliberately move through all the propositions of a syllogism. For me, the difference between rationality andintuitin i merely peed and, in my experience, tranng neelf t thnk clearly and lgically i the quicket and uret path tinight. In additin, if ne merely relie n intuitin, metime ne will be right and metime ne will be wrng. If ne thinkthrough a problem step by step in a rational manner, this margin for error diminishes and, even when one is wide of the mark, itwill uually nt be by much. Since the firt rle f therapeutic i t firt d n harm, uch a ratinal prce help diminih thepibili f cauing the patient even furher uffering r detriment t their life.

The practice of medicine is not a business, or at least it should not be. It is a sacred trst. Each patient comes to us entrsting us

with their health and life itself. By taking the time and care to step by step think through their diagnosis and treatment, we honortheir trst and act n an appropriately responsible and professional way. The logic of tcm has been carefully honed by twomillennia of professional practitioners who, for the most par, acknowledged and accepted the sacred trst inherent in theircallng. It is my hope that this small book will help establish and continue this exceptionally clear methodology here n the West.

In brief, this methodology can be summed up as the logical progression from diagnosis to therapeutic principles to treatment planand from thence to treatment application. Although this book is about the creation of specifically tcm acupuncture treatments, thissame methodolo can be applied to the ection of tcm-s e herbal medicine, dietary therapy, massage therapy, and evenexece plans.


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2

Diagnoi

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A good tcm patte diagnosis is the essential prerequisite of a good tcm acupuncture treatment. Although this is axiomatic in thatne mut rt undertand what i wrng befre ne can attempt t fix it, diagni i the mt difficult apect f tcm t mater.One' abili a a practitiner f tcm i largely a functin f hw gd a diagntician ne i. Relatively reliable infrmatin n the

fur examinatin (i n i currently available in Englih, a are expitin n the eight guiding principle a gang and eman pattes of disharmony or Sources of well translated, basic factual nformation on these topics are listed n thebibligraphy.

However, after memorizing the lists of signs and symptoms correlating to the eight principles, the tongue the pulse, and the major all too often, Weste practitioners are not clear about how to analyze, synthesize, and utilize these voluminous bits ofinfrmatin. One e s i n e ns Wesen c ne s is inese eicine n' elocl' n eoolocl' "Cinese" iseses. 3

3 This i s a bit o an ovr-simplifcation. n th last 15 yars, Chins tcm practitionrs hav cratd tcm pat discr iminationbrakdowns or mod Wst disas catgoris.


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Dis Dios

English language texts on Cnese medicine which, when discussg pathology, beg with mode Weste medical diseasecategories tend to obscure the logic inherent in the Chinese categorization of disease. A very clear example of such translationalobscation is David Owen's translation of yi pegm rheum a gatriti Felix Man' The Treae C Dsease ByAcupuncu4 Ue e Cese eg there are four subdivisions which, as constellations of signs and symptoms,have little r nthing t d with gatriti. Therefore, a Weste practitioner with a patient whose major complaint is gastritis maybe perplexed that their patient does not confo to any of the he g es se

In other words, the Chinese map of disease categorizes the human experience of disease differently than mode Westemedicine. It draw different bundarie arund different et f ign and ymptm baed n it different therie f dieaecauatin and evlutin and n it different methd f diagni. Hwever, aying that tcm nly lgically treat Chineecategories of disease does not mean that tcm only treats Chinese people in China. It is my experience that the tcm map of diseaseby and large does cover adequately and universally the terrain of human disease.

For instance, a Weste practitioner may be perplexed that vaginitis and vaginal lesions, such as herpes genitalia, are not a

4 Mann, Felix, Treatment Lea: b. ACli1chre , William Heinemann Medical Bks, Ltd, Lndn, 198, p. 95

Ths our subdivisions ar phlgm rhum, suspndd rhum, ovrfowing rhum, and branch rhum .


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category of disease in standard Cinese or gynecology text That is because i a ubdiviin f i k r intealmedicine. aginal leion, occurring on the outide of the body or are categorized as a at or exteal medicine problem

and are decribed in detail in wai te .7 imilarly, pid i al nt fund in traditinal Chinee / tes. Yet tcm treatswomen whoe Wete medical diagnoi i pid extremely well. In uch cae, the Traditional Chinee categorie of dieae aremt ten sho ong lower abdominal pain and i abnormal vaginal dicharge. Within thee general Chinee dieaecategorie, detailed, logical ubdiviion are dicriminated in the Chinee literature.

ince Wete patient eeking Chinee medical treatment typically expre their major complaint in term of a previouly

etablihed or ubjectively aumed mode Wete medical diagnoi, the rt tep in etablihing a tcm diagnoi i to identifythe general Cinese catego of ee B disease catego I do not mean pate, such as ver depression, i stagnation or

kidney/pleen yang vacui. By Chinee dieae category, I mean thoe heading found in traditional Chinee treatment manual,

such shan han (cold damage), wen bing (wa disease), wl tn the five trangurie, i shan (the seven shan conditionpertaining t the grin and genitalia, ,e jing ian qt mentration ahead of chedule, t ainful mentratin, etc.With a knowledge of uch Chinee dieae

6 For instan, Song Guang-ji and Yu Xia-zhn's A Htdbookcf Tr 'ona Ci'f = Qe i traslatd by Zhag Tig-liang,Blu Poppy Prss, Bouldr, CO, 97.

7 Drmatology, or k is a part w , and a sction on vaginal lsions appars in Liang Jian-hui's, A hTandbok cr'nailn atoo traslatd by Zhag Tig-liang and Bob Flaws, Blu Poppy Prss, Bouldr, CO, 9, p. 8

For instanc, Xiao Shao-qig's Zng GLo Zilm JL CilL FangXL (l lo1:V hfng Prc1!'p'onn C.n AcILW , NingXi, R, 96


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ategrie, ne an then nd detailed diuin and differential diriminatin f thee dieae in the Chinee tm literature.

n Di in on

ee, ee e e Cee ee, e e ee e gee Cee egy ee, e uually lgially dedue the heng r pattern f diharmny frm a bai appliatin f the fur examinatin, the eightpriniple, and patte diriminatin eg. In fat, that i the beau of Chinee mediine. If one know how to apply thefour examination and how to diriminate patte, one an logially diagnoe and methodologially treat dieae even without

prior knowledge of the dieae enti. Thi i beaue tm a a partiular e of Chinee mediine bae it treatment more onpatte dirimination than on dieae diagnoi. Thu it i aid in Chinee,

ng fong i,Tong bng .li i'

On disas, dirnt tratmnts,Dirnt disass, on tratmnt.

Thi mean that two patient with the ame dieae may reeive two very dferent treatment at the hand of a tm pratitioner.Thi i beaue, although their dieae diagnoi i the ame, their patte are different. ikewie, two patient diagnoed withdferent dieae may reeive eentially the ame treatment beaue the patte are the ame. Th baing of treatment onpattern diriminatin btan eng t i the defining harateriti f tm a a partiular le f Chinee mediine.


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Although every patient with the ame dieae mut have certain dening or pathognomonic ign and ymptom, they may alohave a number of other ign and ymptom which vary from patient to patient. It i the entirety of a patient' ign and ymptomwhich dene a tcm : or patte, and in tcm, the entire patte i given preeminence in guiding treatment over the particulardieae. Thi i becaue the dieae i merely a figure within the ground of the patte, while the patte decribe the entirety ofthe patient' condition.

c, ee e 0 cege a :h or patte dicrimination. Thee are:

.2

Five phae patte dicrimination a : )

Eight principle patte dicrimnatina gang an :g )

. Qi and blood patte dicrimination I a : ).

.

.

.

Fluid and humr patte dicriminatinn ye btan eng )

icera and bowel patte dicrimination:ang ian :heng )

Channel and connecting veel patte dicriminationtng 0 btan eng )

Dieae caue patte dicriminationbtng ,1n btan eng )

. i diviin pattern dicriminatin in :heng )

.

0 .

Defenive, qi, contrctive, and blood patte dicriminationet qt , 1ng Ie btan heng )

Three ber patte dicriminationn a an :hn)

Although there are thee ten broad categorie of patte that can be dicriminated in TCM, in clinical practice, pically thepatte that get written on the patient' chart i made up of


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element of everal of thee type of patte. For intance, in a wind cold exteal invaion patte, thi patte i made up ofee ce btngytn and eight prciple a a dicrimnation. Wd identifie the dieae caue, whle cold and the factthat the dieae i in the exterir are tw f the eight principle. Or, if ne write dwn that their patient i manifeting a liverblood vacui patte, thi i made up of element of eight principle, qi and blood ), ce e (:ngf,' )pattern dicriminatin. The fact that the patte i identified with the liver i a vicera and bwel dicriminatin. The fact that thepatte i identified with the bld i a qi and bld dicriminatin, and the fact that the pattern i identified a vacui i an eightprinciple dicrimination. In the ame way, mot of the patte patient exhibit are made up of element of more than one of thee pe f dicriminatin.

M e , e e e, e gee ee ce, e c leion, it i relatively unimportant whether thi i, from a mode Wete medical point of view, eczema, poriai, orneurodermatiti, or even, from a nee pot of view, t en 1ng xe btn s tng .tn gpt yan , whch in fact areonly the hinee tranlation of the previou Wete medical term. What i important i the practitioner' abili to analyze thelein accrding t the lgic f TM. Redne and inamatin are manifetatin f heat. Itching i a manifetatin f wind.uppuratin i a manifetatin f dampne. Purlence i a manifetatin f txin. nd caling i a manifetatin f dryne andinufficiency f bld and uid. In the cae f kin lein f all rt, the practitiner pare ut the nature f the leindepending upon the relative proportion of thee qualitie of the leion. If a kin leion i red, itchy, and


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caly, it exhibit the patte ofheat, wind, and dryne. The practitioner next tabulate the patient' other ytemic ign andymptm and their tngue and pule. Thee, lkewie, huld al be manifetatin f heat and ufficiency f bld and uid.F or intance, we might expect a dry, lightly crevaed, red tongue and a fine, fat pule.

Nex, e e m ee mecm mc bingj c, ccg e ee M, ccfor uch leion in the particular patient at hand. In the above example, thee leion and accompanying ign and ymptom maybe due to heat in the liver being tranferred to the blood with a concomitant drying out of the blood giving rie to tirring ofinteal wind in the eterir. Quetining the patient a t diet, lifetyle, and the hitry f their cnditin and related ymptm

would then corm or deny thi hypothei. In other word, one hould check for the preence or abence of cauative factorwhich might caue heat in the liver, uch a tre, emotional upet, alcohol, and/or a preponderance of greay, picy food in thediet.

If one doe have acce to a good differential breakdown of dieae entitie, one begin by dicriminating between the pattelited for the particular Chinee dieae. For intance, if a patient preent with mucular accidi, numbne, lo of trength,and lo of voluntary movement, the traditional Chinee dieae category i hen e Accg D Oyang Yi, the heng or patte of dihaony mot commonly accounting for hen are: ) inufficiency f lng yin, 2detriment and damage f the liver and kidney, 3) pleen vacui with inufficiency f tranprtatin, 4 retentin f damp heat, blood tai in the channel and connecting veel, phlegm congelation and


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hidden evil uid, and wing diharge f phlegm rheum. Detriment and damage f the liver and kidney i further ubdividedint: a malnutritin f the inew and bne due t nuffiieny f liver bld and kidney eene; b prenatal nuffiieny,remembering that the blood and essence share a common source, .e., the kidney, the prenatal viu; and inabili of yang towarm the hannel and miten the inew beaue f failure in prpelling the bld and uid . pleen vaui i furtherubdivided int: a malnutritin f the eh and mule due t the pleen nt tranfrming the 7n and blood and b malnion

in the qi dynami s tranprtatin f uid. 9 Interetingly, phlegm tai and hidden evil uid and wing diharge fphlegm rheum are tw f the ubdiviin f an 7n above mistranslated as supposed varieties of the Weste medical diseasegatriti.

In idy ilo g e n Di in on

At firt glane, uh a detailed diriminatin f the different type f wet eng make it seem tat all the practitioner needs to doi math their patient' ign and ymptom with the ign and ymptom of one of thee : and, in theo, that is correct.However, in pratie, often one find that their patient' ondition i not adequately and olely deribed by one or another of thelisted pate. Such textbook pates describe hypothetical pure types and they are presented tis way for didactic reasons.They are implifiatin idealized in rder t maximally ntrat with the ther patte lited. But, in linial

9 Ou-yang Yi, HK DJn'l DgG' & remn , Vol. 3, trans. by C. S. Chung, Harmonious Sunsn Cultral Cntr,San Francisco, 1987, p. 61-65


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practice, one rarely encounter uch imple cae and pure pe. Each patte lited implie a different dieae dynamic, but it inot uncommon for a patient' condition to be caued by two dferent, although often indirectly related mechanm. In uchcae, the patient' ign and ymptom will be a mixture of certain of the ign and ymptom of more than one patte. They willnot fall into uch neat, dicreet grouping. In uch cae, the practitioner mut take care to analyze each ign and ymptom bothindividually and a a whle.

Even in the face of a welter of confuing and eemingly contradictory ign and ymptom, one tart by paring each out,begining frm what i knwn and hyptheizing abut what i nly urmied until the cmplete, detailed, and individualized

decription of the patient' patte of diharmony emerge. uch individualized patte diagnoe depend upon a oundknowledge of TCM theorie of btngjt ee nmc g e ee e eexpect. It i of utmot importance that the nal diagnoi be tailored to fit the patient and not the patient be made to fit thediagni by cnvenently dicunting certain eemng anmalie.

Different TCM textbook often give omewhat different breakdown for the ame dieae. For intance, senias /hineseclcle nly lit lung heat, damp heat, and inufficiency f the liver and kidney eence a e accunting fr -Itel

10 In the abence of a fuller expoition uch a Dr. Ou -yang Yi' abve, it i imperative t imply tally up the

10= G1 II 1I , d. by Chng X-nong, Fori Languag Prss, Bijing, 198, p. 371


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g mm ee e e e ce e heng for the dieae athand the currently available literature, if one can account according to the TCM theorie of dieae dynamic for how uch anmce c ce wet hen one hould proceed from that diagnoi.

Case "

The fllwing cae hitry exemplifie hw ne individualize a cmplicated diagni baed n an undertanding f the individualign and ymptom in the light of TCM theorie of dieae dynamic.

e e 39 e m ce me ee mec g M e ee geeveral year previouly and wa preently confined to a wheelchair. Both her left a and leg were partially paralyzed. Her foot cc c e exeece e e eeg, c ce, ee e ce , cmce e e ee t e ee me cece e recently had problem with dyuria and urgency. In addition, for ome time he had uffered from a hortened mentral cycle(21 ) a menorrhagia. Her tongue wa a little pale and extremely uted. The coating wa light yellow on the rear two thirdbut geographic to the front with a bald patch behind the tip and to the left ide with a red tip and a red rim around thi patch. Here ee, e e, e,

Analy of i & ymtom

Analyzing thi patient' ign and ymptom, tongue, and pule, the TCM patte dicrimination i lung heat vacui above, heat


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in the tomach but vacui and dampne of the pleen in the middle, and damp heat below. In addition, there wa inteal tirringf wind due t inufficiency f bld in tu due t the pleen nt tranfrmng the bld and exceive mentral bleeding . Thmeno-metrorrhagia wa due to both the liver not toring the blood becaue of heat and deficient qi not retraining the blood. Infact, thi patient had me element f fur f the ten listed by Dr. Ouyang above and herwet eng wa not imply dueto one or the other.

Her lack of weat, intolerance to heat, occaional urinary incontinence, and acne plu the geographic tongue tip and fat, finepule all ugget vacuity heat in the lung. Her yellow tongue fur and hard compacted tool and again her acne ugget tomach

heat most probably due to longterm accumulation of stagnant food. Her obesi and scalloped tongue plus weak and deep pulseugget pleen qi vacui probably due to long-term retention of dampne. The damp heat i uggeted by the yellowih coatngto the rear of the tongue, the hitory of dyuria and urgency, and the theoretical tendency of dampne to percolate downward,t. e. t the lwer buer. Inufficiency f bld giving rie t nternal tirrng f wnd i evidenced by the pale tngue, ne pule,tendency to hard, compacted tool, hitory of exceive and too frequent mentral bleeding, and mucular paticity . Ingeneral, thi exceive mentral bleeding wa probably due to a combination of o lng-tanding heat and qi vacui theheat cauing the blood to ow recklely outide it pathway and the pleen qi failing to hold or retrain the blood within itveel.

uch a complex diagnoi and detailed, point for point analyi of the patient' ign and ymptom are what i required whendealing with the majori of Wete patient who, for a variety


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of reaon, do not conform to the imple e g listed in textbooks. Such textbook eg are merely the building blck f a finaldiagnoi. Mot patient' problem are not o dicreet. Additionally, the beginner i cautioned not to immediately aign ameaning t any given ign r ymptm until een in relatin t the entire cntellatin. The nal meaning r caue f any ign rymptom ultimately depend upon an undertanding of the ingji or dieae dynamic and not on jut the rote memorization oflit of correpondence.

ng the an Diination the ats Chat

It i quite important that the practitioner not only formulate uch a precie and detailed, individual patte diagnoi but that theywrite thi down on the patient' chart. All too often, Wete practitioner will begin the dicuion of cae hitorie with amode Wete diagnoi and a review of the treatment they gave and not the patient' TCM patte dicrimination Thi i agreat mitake ince n' eeing' l' i t e sc iini n cn ne ee nlTCc U t t . And, when writing uch a diagnoi down, the practitioner mut take care to note thidiagnosis in the agreed upon, standard professional tes. The diagnostic parameters of these tes are standardized and thepractitioner hould try to be a precie and accurate a poible. There are denite, pecific ign and ymptom whchdifferentiate liver deprein, qi tagnatin frm depreive heat. Thee tw different diagne require different treatment. TheeTCM patte and their parameter are, for the mot part, available in already exitng Englih language text.


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Having a vague notion that omething i wrong with a patient' liver i not enough. Qin Bo-wei, in hi eay, n ng r

Dt lists 20 ways that Cinese TCM practitioners agree the TCM liver may become imbalanced.11 Having written downthe patient' key ign and ymptom, tongue, and pule and the patte dicrimination baed on thee, other profeionalpractitioner are then able to ae whether, in fact, thi patte dicrimination i correct or incorrect. Then, haring uch caehitorie, we all can lea from our mitake and advance in our art. For intance, if one write down that a patient i ufferingfrom liver fire but cannot ubtantiate the preence of pathogenic heat by any ign or ymptom, thi i then an erroneou diagnoiand treatment based on such an erroneous diagnosis will likely to be erroneous as well. In other words, a professional TCMpatte dicrimination hould be objectively grounded in a rational analyi of ign and ymptom according to agreed upon

prfeinal nrm.

When analyzing ign and ymptom the practitioner mut undertand not jut that a ign uually mean thi or that but themechanic of how a ign i produced. Th mean the practitioner need to undertand the logic behind the cauation of variouign and ymptom. If the pule i fine one need to undertand that the te f the pule when maller than nrmal primarilyrelates to substance. Therefore, a fine pulse indicates less than normal substance. In TCM, substance \ the pulse meansbld, yin, r uid and humr. Undertanding that, then ne determine which f thee i inufficient baed n ther

1 1 Qin B-wi, "Gan Bing (Livr Disas)", 91 o-w a a.v , Hunan Scinc and Tchnology Prss, 1981, p. 285-334. AnEnglish languag vrsion o a numbr o ssays rom this book has bn translatd by Charls Chac and will b publishd by ParadigmPublicatins in 1994 r 1995.


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Pag 18

rrbrating ign and ymptm. Wherea, trength i an indiatin f funtin and funtin e e me O,take for example peed. The peed of the pule traditionally tell u about heat in the orgam, both righteou and evil. But, if wethik deeper about the peed of the pule, it i a funtion again of the qi, ine the qi move the blood, and heat i nothing otherthan qi, ine qi i, by nature, warm. If the pule i fat and kip beat, then thi i the qi moving o rapidly that it i oming apartfrom the blood every o often. When the pratitioner an go a little deeper like thi in undertanding the mehani of auation,then one doe not have to depend upon memorization or referene book, but an figure thing out for themelve.

Th Fo Eminaions & Wstrn Micin

A, e g mm e e g ee M e g e e eolleted by the traditional four examination. All information oneing the patient' dieae whih a traditional Chinee dotorould not know by either obering, hearing/melling, palpating, or quetioning are not germane to the proe of making a TCMpatte diagnoi. For intane, it i my opinion that lab tet report hould aot never be fudged into the equation of making aTCM patte diagnoi. uh extraneou information tend to ditort the logi of the elf -e M e information may help the pratitioner ae the gravity of the ae or may help them deide if Chee medie hould bereorted to in the preent ae, but uh information hould not be ued to make the TCM patte dirimination itelf.


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Pag 19

A patient may come with a lab repor conrming, from a mode Wete medical point of view, that they have nephriti. But,from the four examination, all the TCM practitioner know i that the patient ha uperficial edema whch come and goe andha been occrring for a long time. At thi point, the TCM practitioner hould alo know that the patient' traditional Chineedieae diagnoi i sut : water welling or edema. Thi edema i wore in their four extremitie and i alo characterizeda pitting. Their body feel very heay and they are fatigued. Their digetion i luggih and their upper abdomen i ditended.They al have a yellw puf facial cmplexin. Their tngue i fat with teeth mark n it brder, and their pule i man)and relaxed/retarded (un).

According to the logic of TCM, these signs and symptoms add up to the TCM pate of spleen dampness. In ce, the labnding cnfirmng nepriti mght lead the practitiner atray and t treat the -Itrong Cnee vicu if they were ued to etablihthe TCM patte diagnoi. Thi goe back once again to the necei of undertanding that TCM i a elfcontained conceptualytem and of beng clear about the inteal logic and parameter of thi ytem. The dening parameter of TCM : are the ign and ymptom, tongue, and pule gathered by the four examination.

12 n th Popl's Rpublic ohina, rsarch is undrway to corrlat various lab rports and microscopic fndings with tcm rpats. For instanc, rbcs, wbcs, microcirculation undr th nails, and srum antibodis or hormon lvls hav all bn tstd to si, in a particular disas, particular anomalis ar corrlatd with particular pats. Although in rtain cass thr is a stisticalprpondranc o crtain lab fndings with crtain pats in crtain disass, ths ar not absolut. n othr words, 75% o prsonswith a particular disas having a crtain blood analysis may xhibit a yin vacuity pat, but that still lavs 25% o patints with thsam blood work who xhibit a dirnt pat.


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Pag 2

However, knowing tat the patient has neptis, the mode TCM practitioner does know someting about the eery andprognoi of thi patient' condition that the TCM patte alone doe not necearily reveal.

Di e & Pa "lS

Wete patient and practitioner alike will often ak, however, "Doen't the patient re' have nephriti?" Ye, on a material,mode Weste medical level, they do. Tat may be their mode Weste medical isas diagnoi. But they jut a reallyexhibit the patte of pleen dampne. Thee two eemingly contradictory diagnoe are two different map or

conceptualization of reali and in no way negate or invalidate each other. The mode Wete dieae exit within the groundof the patient' total patte. Therefore, the TCM patte hould include and ubume the dieae diagnoi, not contradict it.However, when it comes to treatment, TCM protocols are logically correlated to TCM pates (of disharmony). Furher, TCMpractitioner emphaize the baing of their treatment on the patte a oppoed to the dieae. In addition and, from the patient'pint f view, mre imprtantly, TCM treatment given n the bai f uch traditinal pattern dicriminatin i effective in urworld and in our patient. For our patient, that i the bottom line. Treating kidney channel point or adminitering Chinee kidneymedicinal when the patient' TCM patte diagnoi i pleen dampne, categorically, will not make the patient better and mightconceivably make them worse. Tis point cannot be stressed too often or too strongly.


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Pag 21

3Thrap utic Pricip

In Chinee TCM clinic, the next tep in ultimately treating the patient i to logically deduce and tate on the patient' chart thetherapeutic principle neceary to rebalance or rectify the imbalance implied by the patte diagnoi. The baic therapeuticphiloophy of Chinee medicine i heteropathy . Thi mean that the doctor upplie or recommend the introduction of the equal

opposite i in order to restore balance witin the organism. Tis doctrine of heteropathy is based on Chater of the JSu en nerna assic e esions

tratig varios kids o victorios ad rvgl rgis a cold disas shold b hatd a hot disas shold b ad cold awar disas shold b coold ad a cool disas shold b ward a disprsig disas shold scrd ad a obstrctig disashold b dipd. !

Vg DO" e Thap eu iniples

Thi proce of writing down exactly what i neceary to redre the imbalance in theory i an indipenable part of the tep bytep methodology I am advocating. It i the neceary intermediary tep which allow one to more cearly and eaily deduce therequired treatment from the diagnoi. In Chinee

1 3 Lg [ S Wn , Chaptr 74


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Pag 22

TCM textbook, it i aid that the therapeutic principle are the bridge between the diagnoi and the treatment. Unfortunately, iti my experience that th tep i almot alway kipped by Wete practitioner. By taking the time to conciouly clarify whatneeds to be done in principle, the decision of how to do that becomes all the more obvious.

For intance, a 3 year old woman who had lot both her huband and on within the lat year complained of early mentratione ng in q and exceive mentration e ng go o Obviously she had expeenced a great deal of mental andemotional anguih. Her period had gradually become irregular and painl until becoming early and exceive. A bout of feverce bng or avalanche bleeding after which he experienced unrelieved Ol or tckle bleeding. Her face was pale, wan, and

dull. She was exausted and her spirit was l , not quiet. he complained of a dry mouth and thirt. Her mentral dichargewas bright red with pule clots. She experienced lower abdomnal pain wich was aggravated by pressure . Her tongue was palered with a thin, white, t. e. normal coating. Her pule wa wiry, ne, and fat. 14

Analyzing the above ign and ymptom, we can conclude that thi woman' mental and emotional tre had led to, on the onehand, heat a evidenced by her bleeding eat cauing the blood to ow recklely outide it pathway, the bright red color ofthe dicharge, her mental agitation heat cauing her pirit to be retle and her red tongue and fat pule. Thi dieae dynamic

14 xcerpted rm L1 Ma o Fang (A 1GI,anJ Pc' e r WndrOI Pe'p'on) , Li Wan-liang, Qi Qiang, ta LibrationArmy Prss, Bijing, 1985, trans. by Michal Hlm and apparing in "Dysfnctional Utrin Blding" by Bob Flaws, ree a Ea ,Blu Poppy Prss, Bouldr, CO, p. 75-76


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Pag 23

is based on the dictum, "The five orientations e. , emtin tranf int fire '1. : hi h/ h. " In this woman's case, thistransfoative e from her emotions was then aravated by an acute febrile episode. On the other hand, her emotional stresshad also seeminly caused stanation of the qi and then eventually stasis of the blood. This is based on the idea that the qicommands the blood. This was evidenced by her dull complexion, lower abdominal pain aggravated by pressure, pule clots, bythe fact that her hg Ol had evlved frm irreular and painful mentruatin and by her wiry pule. Thi dieae dnamic ibased on the liver storin the blood, the liver bein the temperamental oran, and the liver qi ovein the sea of blood. Inaddition, her wan, pale face, fatiue, pale tonue, and fine pulse plus her bleedin suestin the qi bein unable to hold the bloodwithin it veel all ndicate qi vacui.

Accordin to the loic of Traditional Chnese Medice, this woman's patte discrmation is hot blood, qi vacuity, andstanation and stasis of the qi and blood blockin her uters. Therefore, the loical heteropathic therapeutic principles for thetheoretic rectfication of this woman's imbalance are to cool the blood and clear heat, boost the qi and fori the spleen, quickenthe blood and transfo stasis. Based on these principles, it is a relatively simple matter to choose points which will catalyze thesechane within the patient.

Sttng Thp P n p les n th e 0 e P ofe onl T emnolo

As in the case of diagnosis, TCM has, over a period of two thousand years, worked out an agreed upon, time -teted lit ftherapeutic principles correlated to its professional dianostic cateories. In other words, one cannot capriciously list any


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Pag 24

therapeutic principle for any dianostic patte. There are specific principles that enerations of practitioners have areed upon asben the appropriate ones for specfic pattes. For nstance, clearin tng always means to clear heat. Therefore, if one clearsthe luns or clears the blood, this implies that one is clearin some species of heat from the luns or the blood.

In the firt editin f thi bk, the Chinee was iven as benefit. This erroneous translation does not mean anythin in terms ofthe technical application of TCM. But when it is translated as boost, as in boost the qi, one knows immediately what technicalinterention is meant. ikewise, in the first edition of this book, the Chinese word was translated as facilitate. However, when iti tranlated a din inhibit, ne knw immediately that the free w f qi i inhibited in whatever part thi wrd i cupled with

and that treatment mut free up thi inhibitin. Thu, di inhibitin the urinatin, the trat, the ne, etc. becme intelliible in atecncally precise way whch the previous translation was not.

Below is a list of and a brief loss on some of the most common TCM therapeutic principles abstracted from -ngish

Terinoo oTriona hinese Aedicine . 1 5 Uin thi lit, ne can relatively eaily mve frm decidin in principle whatneeds to be done to which points will, in fact, do this.

n h't t bio brac mtom; croic ca, h' e r ms. J z b; z b.

Tr and Mo ln . e )

15 ' s-1g m'1 oo oTto 1a C'1ee ecne , d. by Sung J. Liao, Hunan Scinc and Tology Prss, 1983, p.330-402


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Pag 25

ort e riteo; eiate e\. n zeg n Tis means to balance and suppor the patient's righteous i at theame tme a elminatin the evil qi.

T t htly . Ieg z This means to treat heteropathically cold disease with warm methods and vice vesa .

Tt ontaly. z This means to treat false cold with cold methods.

Trt b ow f is bove. Sag g a z

Trt bove for is below. ( g s z

T t yin in yn g is . g g z y In acupuncture, thi mainly refer t treatin dieae f the yan channel viather i !i r eternal/internal paed yn channel.

Tt yng in yin is . g zyg ust the reverse of the above.

T t h t i a ated y old 1 er e e q If a hot disease is worsened by cold therapy,supplement yin nstead.

Trt yang old is a rated by het. e e er e q g If a cold disease is worsened by heatintherapy, supplement yan instead.

Igoate th e oan d of at to ount a t bant yang. ZIag / z y z yag gnag For yangrepletion, supplement the kidneys, t. . , the commander of water.

Fcte the W e fhe isp" excs w y y y Supplement kidney yan totranspor, transpor, and warm excessive dampness and cold.


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Pag 26

T t plon ang. x !.)

r t i ppg Xu z bu zt

Tr at t ng. Rz ! iterally, to treat heat with cold.

Trt old g. (Hn zi.)

Tr t gue atog) inang !I m !l)

Mi l . (Yi !I x !d) This refers to quickenin the retarded ow of qi and blood.

Tr t rtion aacng. (L zlw ! Retention pies eention of patholoical substances as adoinalasses.

Tr at dn itg. (Z !I l)

R . !I I !l) Ths means to rela spasmodic conditions.

Gar reai th cat . ! I zl s eans secue and asne a as een ecessieydispersed and effused.

t ton wmg. La ! 5 W suppleentation should be used in cases of acuiy taation

r zlw X !l) Ths means to reduce swellins and masses.

ai h pipi. tjn zit) This refers to treatin prolapse of qi conditions by elevatin the pure yan.

ppr th ri. zlw y ! This refers to lowerin upward counterow.


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Pag 27

L igt. (Jg zle pg This means t level inteally stirrin wind in cnvulsive disrders.

Ooe e mild . rei This means to treat heteropathically mild conditions with consistent sins and symptoms, e. , m c seses c smms s e me

ollow the seJe. en e cong l Treat homeopathically severe conditions with false sins and symptoms accordin tothe nature of those sins and symptoms, e. , seee seses c smms s e ce

ce te il. (Ym q qg eryg zl Treat mild eteal invasions by diaphoresis .

Rdu th s. (m q wng er} d Treat serious inteal pathoens by purin and dispersin.

Sh'en en t e deiited . (Ym ,/ er zlg zl hen the virlence of the evil qi is on the wane but the rihteous qihas not recuperated, supplement the rihteous rather than furher attackin evil.

Vlt te ig. (Qg Ue er ne zl Induce vmitin.

L d away and clne oe og) e low rn ). (Q a Ue y erje d Ths refers t precipitatin( e. , puration of the bowels and diuresis

D o not swmt bloo losS o not ble ve mt. D ue e n , I Ue n ue

r fe i te ile, rge te ie. ong e, l n ne This refers t treatin abdminal distentinthruh precipitatin.


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D o not e t t ) r. Ths means to be careful using warming methods in the summer.

D o not dmg od n od Be careful using cooling methods in the winter

D o not dama t oma qi e Care should be ten to protect the stomach i wich is the root ofpostnatal i or acuired essence

Pag 2

-trt dr eed wood dU This means to rectify the qi and resolve depression by using qi -moving, eteriorrelieving methods.

Efe dreed fi'e d For inteal heat and sweating diaphoresis can be used

Dri d's mal. y his refers to drining stgnnt lung i.

Rch depre h (Tn yn This means to eliminate stagnant dampness from the middle.

R,te epee watE l" e This means to drain stagnant water by promoting urination.

In v u pp lmnt t Xn bu q This refers to supplementation according to the sheg cycle of thefive phases.

In plon, d th hd. ,e q This refers to draining repletion according to the sheg cycle.

l o olv tI o (J bM)

l th usl Jji) This means to sweat out eteal pathogens in the muscles and the skin.


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Pag 29

isp h i. S bi.

Ou-s rashs. (Ton e Thi mean t facilitate the eruptin f a rah.

Ou-mcules. (Ton a. This means to use eterior- relievin medicinal t facilitate the relutin f purpuric macule.

Ou-s ls. (o '. This refers to sweatin out pathoens from the eterior.

Ou-r r. Ton i. s .

or e w d. fg.) This also means to sweat out evil wind from the eerior.

Ou-l d an d ior e ht. ou fg yu .

Ou- and discharge. {o '.} This means to both relieve the eterior and simultaneously to precipitate the interior.

p ils . (gni To induce perspation. The devils' ates is another name for the e es

N 'ish a i xir. {gy j m.}

i a i h i. qi iM.)

SUpp g d li Z Wgjie i.N 'ish th l a i th trr . {Ywg ej ao.}

Trnorm rheum nd e io. ail1j b

i silasly xir a B jie. This is another way to describe usin bothprecipitation and diaphoresis toether.


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Pag 3

Opn and rais. K Thi refer t imultaneuly relievin the eterir and raiin the clear qi in cae f diarrhea due tinternal invain with eterir ymptm.

Dihar ht t th fv. i r. Thi mean to reolve the eterior and thu dichare heat in thece i rm ee

lr te qi. g ) Thi mean to clear heat from the .n r qi diviin.

Engend uid. Sheng Thi mean t catalyze the eneratin f bdy uid.

t e qi an d en gd fld . ( q .heng }

Clr an d dicarge t e g g g)

Clr h a rlv Ug ejie

Clr hat a r lv suht. g rejie .J

C th : :) Thi mean to clear heat from the . n or contrctive diviion in the cae of a warm dieae.

Clr t rt. To clear heat from the hear.

Clear both the i and ' ) T clear heat frm bth the qi and cntrctive diviin imultaneuly.

lr e c cive and out-t ras Ug yUg n zn)

oo ood L .ue.

C l a rlv ng xejie

Drain te rt. Xie Thi mean to drain patholoic heat from the hear.


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Pag 31

Dig and pripia. ie x his refers to puration throuh intestinal catharsis.

In cea mors diarge and ecipiae egy \ \

Supplem ad aac k mulaeou Gog j s To simultaneously supplement the rihteous and attack thepatholoic

Attack and th upplt g Iw To attack evil before supplementin the rihteous.

Su pplement and th aack g To supplement the rihteous first and then to attack the evil qi.

E le ae . Q ce This means to remove old pathological products such as edema and static blood.

Fr h ows a dshar h g xe

Abduc aaon and free he b oels zti This includes stanations ofheat, blood stasis, and water.

rnly pripia o p ' yi J This refers to precipitatin in a timely manner in internal heat diseasesso as to protect yin uids.

Rke the f eo od from under the c uldron o This means to precipitate replete heat from the bowels todissipate the cause of the accumulation of heat.

armoie an resole e g (He y To hrmonize nd resolve the ntel nd the eternl n hlfintealalf-eteal san an in where there is alteatin fever and chills


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Pag 32

Regulate and ar monize te lier and le. T Ie g pi)

Regulate a d arm oize te lier a d oma . (T e gan wei)

Di pe (Qn ,/

T ran orm damp ness. Hua sM.

Dry ps. ,h.)

Diib dame. si)

lear het nd dinhibit dmpness. lg e ,I)

lear het n d dinhib it dmp ness. (QUg m )

Wrm yng nd dinhibit dmpne. On yg s)

Enrih y nd dinhibit dmpne. YU .)

Varm e idneys and dinhibit at. orn sen sI)

P lat dampns t' ug t. Sen Id yn This refers to ecretin evil dampness in order to precipitateheat in cases of damp heat where dampness is more serious than heat.

Dinhibit e uraon to 't) epletion o the ools. (L " bn b) Thi mean to induce urination inorder to treat damp heat diarrhea.

Forty e le. Jn p

Tranrt m ple. un p This means to mobilize the spleen's transporation of body uids so as to eliminatedampness.

Bank rth. Re 1) To supplement the spleen.


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Pag 33

Bank r t ngr tal. Re j me eme e eee e

r l an d c ur t liv . pi ,/m g

Supplnt t len and st t lungs. Bup yfe)

arm and pp lement e g n n g

C 's h liv . f/m g) Thi mean t recti the qi f the liver in cae f deprein and tanatin.

St t lir. Rn gt) Th implie nuriin liver bld.

Inhibit the li. Fag) Thi i a methd f drainin ued in cae f hyperactivi f the liver.

Enrich and nouri e li and dneys. iyag g ,en) Thi mean to nourih liver blood and enrich kidney yin.

Hrmonize the liver. egu T mean t nurih liver bld at the ame tme a curin the liver and rectify the qi.

Eric , leel e liv, ad ubdue yag. Zi y g g i yg)

Drining th e ver. gD) T drain repletin frm the liver.

p tal t ll . n j pg Thi mean to clear and depurate the lun o that the lun can retrain theliver via the k cycle f the five phae.

Er i U)

P h yi y r vls. g ) To clear heat from the connectin veel in orderto protect yin from corchin and conumption.


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Har den yn. s mes ce e sece e essece

S'egh y. Q .) seme s essece

Con a yn. L treat dissipatin f yin uids by asnin.

Sub due ng. Q .) T subdue hyperactivity f liver yan.

S a s. Q This means to subdue and settle upward hyperactivity of liver yan and inteal wind.

Pag 34

Ei: feg. This is a cllective te fr etinuisn specifically stirr f inteal wind. The specific methdsof accomplishin this dependin on the disease dynamic responsible for the wind are iven below.

Enrih yn n d guih wn d. (Z feg

L e ver im w. (ng g /ng.)

Drn r e nd nguh wnd. :fug.

Hrm on e th e b d n d n gh wn d. He feg

Riv rv frit. (ejug. This means to relieve or resolve spasms and conulsions.

D nd. feug This refers t treatin eteal wind manifestin as musculskeletal prblems, t. . sec and treat it in the skin, channels, muscles, and joints.

Di \ e e. (Q/g q e mess emc cs


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C our wnd n d dishrg e h $feug r. This means to treat eteal wind combined with inteal heat.

Di el wnd and nouri e blood. eng :e

rk down wind nd dipel old. Seng .

o n z)

Clr nd difse he ngs nd moisen dryness. g \

lr nn n i n g cg

N our n and moien drne. z

N ouri he blood and moi drne. Yng xe n

h i. (Lq

C rse e ad re e i. Sm gn q

Har monize he stoma h and efy h e q i. ( w Iq

D ii i. q As in cases of upward counterow.l i. q

Brk i. P q To strongly crack or break i stagnation.

Ep el phle. n To cause expectoration.

rnform p he

Diffu e h e n g n d rnfm p he. e

Cler h nd rnorm phle. Ug re m

Pag 35


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loi e lun gs n d 'n orm p hle . ei Im

Dry dampness and ranorm phle. I

Di cold and ansform phle. Qn Jma

r t wd nd norm phle ieng Im

isps pl. (X Specifically, tanant phlem.

Ds te lgs. )

Pag 36

Cler e lungs nd p dure he i. (ug q Thi refer t clearin heat frm the lun and reulatin cunterwinlun qi.

Drnng he lungs. f. T drain repletin frm the lun.

Dis a p wat pas gways. na sIm Thi principle i applied in the treatment f lun edemawhere an eteal evil i btrctin the dwnward diffuin f lun qi and, therefre, the lun' functin f endin waterdownward to be excreted with urination.

N ri te y a clr e lgs. Yug qug ;

Tat t gs a s l sly. e s g )

S oft th e hard an d atter n odlation . j j Tis means to treat hard, nodular swellings and masses due toaccumulation and atherin of phlem and static blood.

Rety te l. L

Wrm e blo 0 d. {Fe :e;

il stas a ik th l. n yn w e

Qk l a ispl stas. (Ho e q Y)


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ss isp sl. o yn UM ong

isp s isp sl. Qn yn M zog

Br th l. (Po xne To cc substantial blood stasis.

blin g. (Z xne

lr ling. (Qg re

Suppl he qi nd p bleeding. (En d \'e

isp s p b (Qn yn d e

rl. .

lr rl. Qg re kao

Cler het, 'nsform p hle, nd op the por ls. Qg e m k M

D i l Zm n k ao

n om p he n d op th e p otl. (n

Eje ct phle nd r ouse the brin. Tong g

R yan g an d t c ountflo. liji n

Wa m e mid de and disp el c old . Ven wng n n)

r e cels sc cl. (Wnjg

rm the ng. On

Fr . (ong yng

r l. p

Recf e ile. zog

Pag 37


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Pag 39

Bt e i an d en g d fld . qi ,heng.

Sup pl he bloo d. Bn ;ne.

uie e sp ' i. ,e)

in h'ain an d re e rir. (Llhgn .)

C onin h e n gs n d op c ou ghing. z k

Ain g t ints and stp d. Se cagti :

S e te i ad a tIe ece Gn ,en ,ejg.)

S ue nd sop dL Gn beng z Beng means ecessive uterine bleedin. t means abnormal vainal dischare.

Supplnt t dnys. Bn ,e)

r t e dney. ( sen)

Enrich e idnes. Ii ,en) Thi mean t eich kidney yin

Sulent te dn a e L (Bn sn qi) This refers to the respiratory qi sent down to the kidneys by theln.

G uid fh' ac t its . Y Imo gni yn) This means to lead vacuity re back down to the lower ber.

in c ommunicion be

l h e her n d idns. sn. As in cases of hear fire above andkidney yin vacuity belw.

Rulat i. (jg.)

ree e'i. Tgjg.) This means to induce the period if it is overdue or absent.


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Pag 4

Pr omote tion. (

Evaat ps a pl ts. nong

E oms. (Qn chog.)

Of the above approimately 23 traditional Chinese therapeutic principles, a number are synonymous. In Chinese, one mihtpick one constrction over another purely based on whether its sound in combination with other principles were harmonious. Forinstance, n and 'a, both mean to nourish the yin. Other principles, such as an to harmonize the liver, appear atfirt t have nly a eneral meanin, but in fact, in TCM mean methin quite pecific althuh nt eplicitly tated. In thi cae, an implie nurihin the bld while at the ame time reulatin the w f tanant liver qi. Wherea, in the cae f h or : t harmnize the tmach r middle burner, harmnizin here merely implie reulatin f the tmach qi withupbearin of the pure and downbearin of the turbid with the emphasis on descendin upwardly counterowin stomach qi.Therefore, the student is advised to pay close attention to the implied Chinese meanin of these treatment principles as theyappear in the literature.

It is my hope that, by makin this list of traditional treatment principles more readily available to Weste practitioners, moreEnli-peakin practitiner will rutinely include the cnciu frmulatin f uch principle in their prce. Thi tep iroutinely tauht at Chinese TCM collees, is routinely applied in Chinese TCM clinics, and routinely appears in the vast majoriof contempora Cinese TCM treatment-oriented literature. Althouh some may disaree with some of the above translations Ineverhele hpe that mre attentin will be iven t the crrect frmulatin f therapeutic principle in the Wet in the future.


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To reiterate tis process, if a patient's TCM pate diagnosis is insomnia and palpitations due to heart lood) and spleen (i)dual vacuity t g Xli ), and if one knows that, according to TCM heteropathy, one needs to nourish hear blood,supplement spleen qi, and quiet the spirit, then it is a relatively simple task to choose points which will accomplish theseprinciples. In the followin chapter are lists of the major M therapeutic functions of the most imporant acupuncture points andtheir most common combinations, thus makin the co-rdinatin f the abve principle with pecific pint all the eaier.


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Pag 43

4

C hoosin PO ts Bas d on Pr cip (1)

Havin stated in principle what needs to be done in order to rebalance or recti a patient's situation, net the practitioner musterect a treatment plan which ratinally implement each f thee therapeutic principle. Havin previuly clarified what inprinciple needs to be done, one selects points which will, in fact, do what is required.

Belw i a lit f the mt cmmnly ued acupuncture pint with their main TCM functin tated in term f the freintreatment principles. This is then followed by a list of the most comon two and three point combinations and their TCMfuncions. I have composed these lists based on lecture notes from Dr. Yan -jian f the Shanhai Cllee f Traditinal

Chinese Medicine and n e traditinal functin fr pint iven in os Tex e Cee cc

1 6 Xi Yang-jiang, lctur nots rom an acupuncr sminar givn in San Francisco, undr th auspics o th AmricanFoundation o Traditional Chins Mdicin

1 Shanghai Collg o Traditional Chins Mdiin, I1r Comprelen ve Tet , trans. and d. by John O'Connor and DanBnsky, Eastland Prss, Chicago,

1 8 Ellis , Andrw; Wisman, Nigl; and Boss, Kn ; I1d o 1 II1 , Paradigm Publications, Brooklin,


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Fllwin thee tw lit i a recapitulatin f the ame material but wrkin frm the ppite directin. Thi i a lit f the maintherapeutic functin and the mt cmn acupuncture pt whch fulfill thee functin. Th lit ha been tranlated frmZ hng o Zhen Jiu l Fn g e The Theor of W tn g Presct in hinese Auncl reoxston

Workin from these lists, one should be able to loically select the several main or commandin points : hl Ie f theiracupuncture formula which will accomplish their stated treatment oals. These comandin points should then be supplementedby one or more local points of appropriate syptomatic action. These are called the adjunctive or supplementary points (b

Function Indidu jor cup ont

Hmld T }l Lung Clme

g F (Lu )Reulate and rectifie the lun qiNurihe lun yinClears heat from the upper buer

Y7 An (Lu 2Rectie e lnTranfrm phleClear lun heat and eliminate veatin

hi Ze (Lu )Rectie e ln qiNrmalize cunterw qiClear heat frm lun and eliminate veatinClears heat from the upper buerHe ea pint f the lun


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Lte Qe u )Dife the ln qie wind, ce coldRelieve the eteriorDiinhibit urinatin by dbearin the turbidClears and regulates the r atu point of the hand at 1n meetin pint f the at

}wn (Lu 9Clears heatDipel windTranfrm phleRectie e ln qiDownbears and depurates the lung iClear heat from the upper buerDiffue e ln qiStop couhinn urce pint f the lun

a a (Lu 11)Clear heat frm the lunDiinhibit the thratDipel wind, a in cnvulinRevive from lo of concioune due to heattroke

He (LI )Clear heat from the .nClear heat from the poral of the head and faceEpel windRelieve the eteriorUpbears the clear and downbears the turbid

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Diffuses e ln qiReduces feverFrees the w f the channelsSs Sces cOes e esYn source point of the hand ng m t ng

QH Cht (LI 11)Dispels wind and clears heatProtects uids and humorsClears heat from the bloodEliminates dampnessmzes e Rectifies the bldRecties e ln qiRelieves the eterior

(LI 15)Dispels evil wind frm the fur etremities

Disinhibits e jintsmzes e Oes e cec esses

ng ang (LI 20Clears wind heat from the yang mtngDispels wind heat from the eteriorDisinhibits the nasal passaesCnuent pint f hand and ft yangm tng

oot g S Ce

a (S )

Frees the w f qi in the channels f the faceCnuent pint f the hand and ft yang m tng, ren channels

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Lingen St 21 )Promotes the transporation and transformation of ran and liquidsDisperses stanant foodRectifies the centerHarmonizes the stomach and intestinesFrifies the spleen

Tin Sh St 25)

Mes the iUpbears the clear and downbears the turbidOpens the bowelsTransforms dampnessBanks earhClears heat frm the lare intestineFront m u pint f the lare intestine

S'lIt 0 St 28)Rectifies the qi of the triple heater and bladderDisinhibits urination and percolates water dampnessClears and eliminates damp heat

Frees the ow in the lower berGut Lat St 29)Frees the ow of the qi and blood of the lower buerDispels stasisWas the uterusStops pain

Lta St )Clears heat from the stomachHarmonizes the stomach and descends counteowDispels stasis and accumulation in the yang mtngClears the cannels and uickens

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the connectin vessels1 cle pnt f the ft ang m t ng

Z n (S )Frifies the spleenBoosts the luns so as to resist eteal invasionRectifies upbearin f the clear and dwnbearin f the turbidDescends counteow qi

Stps vmitinDisperses food stanationBes sss e cesDries and eliminates dampnessHarmonizes the spleen and stomachSupplements vacuitySs e es seces e Rectifies the qi and bloodClears heat from the si bowels sea point of the foot yang mtng

Fn Ln (S 40)

Dischares heat of the stomach and small intestineHarmonizes the spleen and stomachTransfrms phlem and eliminates dampnessOpens the porals of the hear when misted by phlemDes e u pint f the ft yang mtng

11 (S 41)Clears and dischares reClears heat from the stomachTransforms dampness and stasisQuiets the spirit

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hg g (S 42)Drain replete fire f the ng m t ngB eTransforms dampnessHarmonizes the stomachQuiets the spirit

i in (S 44)

Clears heat from the stomachOes e esHarmonizes the stomachDe e Nrmalize cunterw qiStops pain, especially abdominal pain with fever

Foot T n Spe CeJ

Y E (S 1)Rectifie the qi f the pleen channelWarms the spleen and inviorates yanDispels cold from the middle and lower bersBt the qi t facilitate the pleen' hldin the bld within it channele e eQuiets the spiritJtg well pint f the ft t 1

Gong B (S 4)Rectifie the qi f the middle berDescends counterow qiDe e Dispels cold from the hear and abdomenHarmonizes the cong tReulates the sea of bloodRectifie the qi dynamic

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Suppors the spleen and stomach pt f the ft t N meetin pint f the cong

San n ta (Sp )Frifie the pleenEliminate dampneEnriche yn

ourishes the bloodRectifie the bldTransfos blood stasisWas the iddle and lower bersDispels cold from the bloodRegulates the blood chamber and the palace of essenceMoves the iAids transporation and transfoationSubdues liver heatCourses liver qiBoosts the kidneysCnuent pint f the three le yin

1 J1 (Sp 8)Rectifie the qi f the pleen channelMoves and uickens the i and bloodHaonizes the bloodReulates the uters1 cle pint f ft t t

n ing (Sp )Was and moves the middle buerTransfos and resolves depressive messDiinhibit the lwer ber

Frifie the pleenTransfos and elmnates phlem and dampness

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Disinhibits urination and opens the water passaewayses emes mess eHe sea point of the foot t n

Ht (S 10)Rectifies and clears the bloodMes e e e

ld SJ Y ewt Je

Tong i ( 5)lears heat from the hearOes e s e eQuiets the spiritRectifies hear qiu pint f the heart channel

en n( 7)es e elears fire and cools the Quiets the spirit and tranquilizes the hear

Moves the qi and dispels stasis from the hearOes e ces ( e ces) mes h sce sh stream point of the hear channel

Hmd T Ylg SInsle

h e (S 1)lears heat m the small intestineDispels obstrction from the channels of the breastmes clears heart fireO-ss eesse e

Dispels wind and clears heatJng well pint f the hand t

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Hou (S )Disperses heat from the eteriorRelaes the sinewsSeces e eeO-thrusts inteal heatOes e l mtClears the hear spirit meetin pint f the l mt

Shu stream point of the hand t '

Ft T Y Blr Chl

JtnAn Dispels windCes eOes e cesBrihtens the eyesEnriches water vt e ees)Cnuent pint f stmach, triple heater, g t m. e ces

Zan ZhlB 2

Dispels windSemes e e vt \ e ees)Nses e (\ e ees)Disinhibits lacrimatinBrihtens the eyes

n Zh (B )Free the w f the chanels f the neckDses sces cSes e sesOes e cec essesCes e eBrihtens the eyesClears fireDescends counteow qiWindow of the sky point

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(B 11)Frees the w f the e e cDispels evil windRelieves eteal heatSes e ses essesHl (l meetin point of the bones

Feng Men 1 12)

Dispels wind and eliminates dampnessRelieves the eteriorDiffuses e ln qiTransfrms pheRecties e ln qi

Fer Sh (B 3 )Frees the w f lns qiRecties e ln qiClears heat frm the lunsClears vacuity heat frm the lunsHarmonizes the

Stops couhinBc sh pint f the luns

n )Supplements the hear qiNses e Clears heart fireRemoves obstrction from the hearRectifies the qi and bloodQuiets the spiritLses e cesBc sh pot of the hear

Ge u (B 17)Rectifies the bldTransforms blood stasisClears heat from the bloods e ces mStrenthens vacui cnditins

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Hanonizes stomach qiHl (l meetin pont of the blood

Shl )Hannize the liverResolves liver depressionDiinhibit the liver and allbladderourishes (liver) blood and

Clears and eliminates damp heat from the liver and allbladderBrihtens the eyesQuiets the spiritk sh pint f the liver

P l (Bl 0)Rectifie the pleen qiPrmte tranpratin and tranfrmatin f uidEliminate dampneHanonizes the bloodBoosts the ik sh point of the spleen

i (Bl )Rectifies the center and hanonizes the stomachTransfons dampnessEliminate tanatinBns the rinal qiSupplements the middle berBack sl point of the stomach

en u )Boosts kidney iSupplements the kidneysEnriches waterBoosts water and inviorates reStrenthens la kidney qi tranfnatin f water

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Disinhibits water dampnessSubdue liver fireRectifie e kidney qiStrenthens the lumbusBrihtens the eyes and sharpens the hearinBack sh pint f the kidney

Cang (B 2)

Rectifie cnveyance and cnductin f lare intetineRectifie the qi and tranfrm taiBack s pint f the lare intetine

o ng 1 27)romotes the separation of the clear and trbidDiinhibit rinatinercolates dampnessTranfrm atherin and accumulatinOpen and rectifie the mall intetineClear heat frm the intetineBack sh pint f the mall intetine

Pan ian , (B1 28)Rectifie the bladder qiDiinhibit the lw backDispels wnd and elinates dampnessSupplements the lower oriinDinhbit rinatin

Clears heatBack l point of bladder

i Zng (B 40)Drains summerheatDisinhibits the low back and kneesClears heat from the blood

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Frees the ow of the channels and connectin vesselsSoothes the sinews and frees the conect vesselsHe sea point of the foot ta ,'ang

ng (B 43)Recties e ln qiSupplements the heart qiSupplements the luns and frtifies the spleen

Tranquilizes the heart and banks the kidneysClears vacuity heatDescends counteow qiTransfrms pheSupplements vacui conditions

i (B 52)Seces e esseceSemes e e or tre yinSupplements the kidneys and fulfills the essenceDisinhibits urination and percolates dampness

Kun Lun (B 60)Prmtes qi transfrmatin f liquidsDes e Qces e Dispels pathoens from the ta yangDispels blood stasis in the utersSes e ses sms messStrenthens the kidneys and lumbus

en Ai (B 62)Ses e ce sesH meetin pint f the yangqac maEpels eteal pathoens from the eteriores sesesQuiets the spirit

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Z (B 67)Elimates dampnesseces messes e eReulates prenancy and childbirh belowRectifies the qi and quickens the bloodCourses wind in the vereBrihtens the eyes

well pint f the ft ta yang

Foot Sl' Ke:" Chae

Y wm (K 1)Supplements the kidneysFulfills the essenceEriches ynEriches yin s as t cntrl ministerial fireEnriches kidney water so as to subdue liver fireDesces -rii reOpens the porals for resuscitation

Quiets the spirit (K 3)Bss e e ces s sceRectifies the qi f the kidney chanelEriches the kidneysDescends fireSupplements the kidneysNourishes yin so as to moisten the lunsAes c eReulates the utersInviorates source yan

Sees e e c ees

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D g (K 4)Supplements the kidneysBss e essece s s e e mu pint f the ft

Zhao Hai (K 6)Eliminates dampnessBss e es

Rectifies the qi f the kidney channelInduces vacui fire downwardLes s s s e es eQuiets the spiritDisinhibits the trat meetin pint f the t mt

F Lt (K 7)Rectifies the qi f the kidney channeles eEliminates dampness

Secures the defensive qiRees e esDisinhibits the bladderMses essEnriches the kidneysJtn river pint f ft

(K 27)Descends counteow qiRecties e ln qiStabilizes wheezinStops couhn

Forifies the spleen and harmonizes the stomach

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d PrC"m

' i e 1)Removes obstruction of qi ow in the je ,)1nConuent point of hand and foot jle ,'n and foot sac , noosens the chest and rectifies the qiStabilizes wheezinStops couhin

Difses e lunsCes e

e Tranquiizes he heartQuiets the spiritRectifies the qiCes e 1 nCs e Lses e pmSps ppns1 cle pont of the hand jrw , n

J S e 5Quiets the spiritHaonizes the stomachTransforms phleCes e eLsens e cesSes e sewsQuickens the connectin vesselsNses e eResves epess s ce e pecJtn ve pon o e an jrw ,n

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}e a (e 6)Tranquilize the hearCalms the mindRectifie e qiS Diffue the qi and prmte the qi functin f the upper and middle burnerDescends counterow qiLe e ce ex e g

e e ee eHarmonizes the stomach and stops vomitinResolves depression of the liverResolves depression of the epiastrium pint f the hand nN meetn pint f the n a

Da Ling (e Clears and dischares hear fireDispels the evil qi of the hear and chestQuiets the spirit

e e c e Harmonizes the stomachLe e ceSu e source point of the hand in

ao (e )Clears the pericardiumClear heart fireDischares evil heat to resuscitateClear and eliminates damp heatQuiets the spiritHarmonizes the stomach

Etinuihe wind e Rg prn pint f hand

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HmdSJ Ymg e Her CmUe

lI Cho T 1Clears heat from the lare intestine and triple heater channelsO-thrusts and effuses heat accumulatin f the triple heater channelDispels wind and disperses evilClears heat and drains fireJtn well pint f the hand haoan

Wa ( 5)Relieves the eteriorDseses es e eses sFrees the w qi in the channels point of the hand hao an H meetin pint f the yangfe ma

Z ( 6)Resolves depressive e of the triple heaterDifses the qiDownbears counteow and fireDseses scOpens the intestinesees e e

t Jt T 10Rectifies the qi f the triple heater channelTransforms phlem dampness in the channels and connectin vesselsCourses e qi in the triple heaterHe sea point of the hand haoan

F T 17Epels wind

es e

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Frees the w f the channelsRelieves spasmsDisinhibits hearin and visinOes e s

Ft S g G dr Chae

F 20

Epels eteal windes eDisperses inteal windDischares liver reSettles internal windDispels wind heatmzes e es e e es e sFrees the channels and quickens the connectin vesselsDisinhibits the hearin and visin

tan tng 21 Dseses Frees the w f the qi in the an n channel traversin the breastes eDisperses stanationSs Epels retained placentaFrees the channels and quickens the connectin vesselsses em es e sTranquilizes e liver qiCnuent pint f the ac yan yang n yang a

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M (GB 26)Frees the w f the kidney qiSubdues cunterw re f the liverStops abnoal vainal dischareClears and disinhibits damp heatReulates the mensesFrees the channels and quickens the connectin vessels

Hu To (GB 30)Disperses wd dampness the channels and four etremitiesDisinhibits the low back and kneesFrees the w f the channels

Yg Lg Q (GB 34)Hanizes the liverDries dampness and transfos phlemSes e sesDisinhibits the liver and allbladderFrifies the spleenCes e e

Ces e emes messSees e ses es meetin pint f the sinewsHe sea point of the foot sha .

GlIang ng (GB 37)Clears and dischares fire frm the liver and allbladderRectifies the liverBrihtens the eyes and disinhibits visinDispels wind and disinhibits dampnessu pint f the ft shaya

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Xa ( , B 9)Hanizes the liverces e Dischares allbladder firees m e (s sem es)Epels wind and dampness from the channels and connectin vesselsDispels heat f the three ft yan nuent pint f the three ft yanH meetin pint f the marrw

Zu (GB 41)O-thrsts and drains the liver and allbladderReulates and rectifies the da alears fire and etinuishes windBrihtens the eyes and sharpens hearinTransfrms bstrctin phlem heatDispels phlem and blood stasis from the jW )nH meetin pint f the da aShu stream pint f the ft shao ,) 'an

Foot Je , L er a

Da iv ees e s s ese eesse s e e e e sRectifies the lwer berHaonizes the Retus yan and stems inversionReulates menstruatines c shaPrmtes the liver's functin f treasurin the blditn well pint f ft ,)n

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ng ian iv 2Dischares re frm the liverO-trsts depressive qiRectifies the liver qiClears the hear and quiets the spiritReses eessCs eCes e e e

Etinuishes windClears heat and drains fireCses e ces ces e cec essesRng sprin pint f the ft }w , n

T Cong iv 3Frees the w f liver qiDescends counterow qiHarmnizes the liverSettles windClears heat from the liver and allbladderStps vmitin

Dischares damp heat in the lower buerClears liver fire and subdues liver yanRectifies the bldOes e cesYn source pot of the foot e ,n

iv Rectifies the liverAcs e Disinhibits the bladderDrains liver reDisinhibits the lwer ber

Ces emes mess eSes e sesHe sea pot of the foot }w , 'tn

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Z M iv 3Frifies the spleenDisperses food stanationRelieves fullness and distentinQuickens the blood and transfos stasisSes e seses ssesRectifies the qi and blood of the viscera and bowels m u point of the spleenH (l meetin pint f the viscera

iv Removes obstrction from the liver and channelsQuickens the blood and frees the channelsPromotes coursin and dischare of liver qiTransfos and dispels blood stasisDispels evil heat from the blood chamberHaonizes the so y fTransfs phleQuiets the liver m u pint f the liver

vg Vese M

ang ang GV 1Frees the ow of qi and blood of the anusOes e e cce essesRectifies the intestinesHarmnizes yin and yanDisperses swellin and stops painu pint f the vernin vessel

GV 4Supplements the kidneys and inviorates yanNses e riinal qi

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Diinhibit the lbuSece e eece g cgeSe e e ze e

l (GV 14)Dee g ge -tut heatDiffue and diinhibit the yan qiRelieve the eterir and free the w f yan

Clears the brain and quiets the spiritClears lun heatRectifie e qiCnuent pint f all the yan channel

Feng F (GV 16)Dipel wind in eneral frm the bdyEpels wind evils in the common cold m ao)e e eece Diinhibit e intDrain re

B ' (GV 20)Oe e e eceQuiets the spiritEtnuihe liver wndUe ce ge -amin fire in the yan channelOe e e e e ce e e eesConuent point of the three hand and foot yan channels and the dl a

Pe og (GV 26)Oe e eceQuiets the spirite e eece

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Clears inteal heatDisnhbits the lbusRectifies cunterw qi f the Treats wind edema of the faceDispels wind pathoens

CO Vesse (Ren U

Zng (V )Assists the transfin nctin f the qi \ v e e

Rees e ceClears and eliminates damp heatDisinhibits the bladderRectifies the lwer berms e essece ce m u point of the bladder

(V 4)s e e e e esReinforces the sapStrenthens the kidney qiReulates and supplements the cng rms ees e ce essece ceDispels cold and dampness in the enitalsSees e ce Saes e ees seseStrenthens the functin f stppin abnal vainal dischare and restrainin the bldReulates the qi and inviorates yan m u pnt f the small intestineCnuent pint f the three ft yin and the r

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(CV 6)Cultivates the sapRectifies e qiReulates and rectifies the source qi of the entire bodyPromotes the restraint of the blood within its channelsClears and dischares fire frm the liver and allbladderClears and dischares evil heat from the blood divisionSupplements the qi

s e e me esSupplements kidney vacuiReulates the menses and stops vainal dischareDispels damp turbidiHarmonizes the

Fen (CV )Warms the middle berDispels coldmes ess eces messRectifies the bladder qi

Zhong Wan (CV 12)Rectifies e middle qiHarmonizes the stomach qiWarms the stomach and intestinesFacilitates upbearin of the clear and downbearin of the turbidDisperses food staationFrifies the spleen and disinhibits dampnessm u point of the stomachH (l meetin point of the bowels

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ng n (V 1)es e e e sce scSces cRectifies the spleen and stomachTransfs phlem turbiditses e

(V 14)Remves stanant uids frm the chest and diaphram m u point of the hearTransfos depressive dampness in the middle berlears heat and quiets the spiritRectifies the qi and frees the middle

an Zng (V 1)Ues e see Dwes sc Reses eessRectifies and smthes the circulatin f qi in the upper burner

Downbears phlem turbidiDownbears counterow lun qilears the luns and transfrms phlemLses e ces m u pint f the pericardiumN meetin pint f the qi

in (V 22)Frees the w and rectifies the lun qis e ces e ceStops hiccouh and couhinDifses the luns and transfs phlem

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Function Mjor wo ont Combnon

(

+ h Hi (K 6)Disinhibits the nose and throatAbducts vacui re downwardNourishes yin

Stops couhin

+ Fei u (BL 13)Clears heat frm the luns

+ Ze (L 5)Recties e ln qiCes eStops couhinStops bleedin hemopsis

+ T (L 9Strnly diffuses the ln qi and stps cuhin

Y J (

+ 'm (K 3)Nourishes yClears vacui heatStops bleed epistais due to vacuity heatSupplements the kidneys

+ Zhg t (CV )Rectifies the q i f the lwer berDisinhibits rinatin

Clears heat from the uroenital tract

+ iv 2Qces e Dses sss

+W at (S 10)Clears heat from the blood division

+ iv )Stops abnormal vainal bleedin

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+ FlI Ltl (K 7Clears heat frm the cnstrctive divisin

+ an GlI (K 2)Supplements the kidneysSeces e essece

QiMen iv14)

+ (GB 25)Harmnizes the liverResolves liver depression

+ Ti hng iv 3Courses the liver and rectifies the qiRectifies the bldSoothes the liverDescends counterow qiRelieves abdminal distentinSs (m)

+ n tn iv 2Courses the liver and rectifies the qi

X (Sf 36)

+ Zhong Wan (CV 12)Bss e smc Frifies the spleenSupplements the qi of the middle buerPromotes the transporation and transformation of the spleen qiDisperses food stanationUes e ce es e

Ces e smcTransfrms phleHarmonizes the stomach qiEliminates dampness

+ in (CV 22)Des smc s cc

+ an Zng (CV 1Descends counterow qi to stop vomitin

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+ ng Ju (S )Disperses food stanation of the stomach and intestines

+ 6)Dss sssRectifies e qi

+ n Ym Jw (S 6)

Treats vacui cold of the spleen and stomachSee e Rectifies the spleen and stomache e ce esseceSupplements the spleenNe e Descends counteow qi

+ Shang an (V 1)oosens the middleRectifies e middle qiTransfrms and eliminates phlem dampnessRemoves accumulation

+ w 1 (S 41)Eliminates dampnesse eTreats erysipelas of the upper and lower etremities

+ P h (B 20)Disinhibits the root of postnatal qi and blood productionSee e Banks the qi of the middle ber

+ Tian u (S 25

Harmnizes the stmach and frifies the spleenOe e e e e

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Facilitates the cooperation of earh and water in the transporation and transformation of rains and liquidsOes e esS e

Nei G er 6

+ T hng iv 3Harmnizes the liver

Descends counteow qi+ T ,'an (L 9Disinhibits the qiStops wheein

+ Z Sn I (S 36)Rectifies e middle qiHarmonizes the stomach qiStps vmitin

+ Go B (S 4)Frees the ow of the qi and blood of the middle ber

+ e g (V 26)e eOe e e e ece

+ San n ta (S 6)Nourishes yinClears fireDisinhibits the qiNe e e ce e See e e

+ L (S 45Dischares stmach fire

+ Q h (L 11)Le e cee e

+ Zhong Wn (CV 12)Harmonizes the middle ber

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Lses e cesDescends counterow stomach qi

+ an Zng (CV 1Lses e cesReses eessSes e Descends counterow qi

Stops couhin due to stanation of chest qi

+ Jin i (CV 11)Oes e s e ces mHarmonies the stomach to stop vomitinOes e s e ces ese eessDischares hear fireQuiets the spirit

mg au (1)

+eng Lng (S 40)Rectifies the channel qi f the spleen and stmach

Transfrms and eliminates phlem dampness

+ iv 2Reses eessoosens the middle

+ Tin Shu (S 25)Rectifies the qi f the stmach and intestinesDisperses food stanationDownbears turbidity

+ Zhng Men iv 3

Reulates and rectifies the functin f the spleen and stmach t eliminate phlem dampness

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+ (V 6) e e e ce c eDispels cold and eliminates dampnessWas the middle and rectifies the qi

+ Jn S (e 5)Reses eeLe e ces

+ Pi ( 20)Rectifies and reulates the functin f the spleen and stmachEliminates dampness

g Lg Q (GO

+ Sh Fen (V )Ac e Disinhibits urinatin and, therefre, als bwel mvements

+ 1 43Clears and eliminates damp heat of the liver and allbladder

+ Zhong W (V 12)Forifies the spleen and stomach \ b vs transporation and transfoation

+ ."g tn iv 2Hannizes the liverReses eeCourse the liver and rectifies the qiClears heat from the liver and allbladder

+ Gon B (S 4Frifies the spleen

Eliminates dampness+ T hng iv 3Hannizes the liverS Subdues counterow liver wood qiFrees the w f the channel qi f the liver and allbladder

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+ San n ta (S 6)Clears and eliminates damp heat from the stomach and intestinesFrifies the spleenEliminates dampness

+ lI i (L 11)Frees the w f the channelsDisinhibits the sinews and bones

Difses the qiDownbears turbidityDischares reRemoves obstrction of the sinewsDisinhibits e jintses i :heng (sc es)

+)Jie t (S 10)Clears heat from the blood divisionFrifies the spleenReulates the menses

+ t l 6)Frees the ow of the qi and quickens the blood to treat hypochondriac painDses sss

+ Hun i ( 30)Removes obstrction from the channelsDisperses eterior pathoenic factorsRectifies the qi and bloodEpels wdEliminates dampness

+ Pi hl (B 20)Transforms dampness

es eForifies the spleen and clears and eliminates damp heat

+I hg ( lIe lI 9)Sees

Documents

Sticking to the Point volume 1.pdf