-IBIS-1.5.0-
tx
mental/emotional
fear
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Kidney Xu (Deficiency); Kidney and Heart Not Communicating; Heart Qi Xu (Deficiency); Liver Xue Xu (Blood Deficiency) or Liver Yin Xu (Deficiency); Gall Bladder Damp-Heat; Gall Bladder Xu (Deficiency); dysfunction of the Du Mai (Governing Vessel); Xu (Deficiency) of the Yin Wei Mai (Yin Linking Vessel)

» illustrative combinations:
• Ht-7; Kd-1 and UB-15 (D) for fears as part of neurasthenia (McWilliams, et al., Lesson 31, p. 159)
• Kd-10, GV-20 and PC-9 for children afraid of the dark (Mann, p. 155)
• UB-15 and Ht-7 (-): tonify and open the Heart
• GV-24 and GB-13 (-): relieve "severe anxiety and fears" (Maciocia, p. 472)
• St-36, Sp-2, Sp-6, Ht-3, Ht-5, Kd-7, PC-6, GV-20 and CV-6 (+) for timidity (McWilliams, et al., Lesson 31, p. 160)
• Sp-2, Kd-7, PC-7 and CV-6 (+) for lack of Will Power (McWilliams, et al., Lesson 31, p. 160)
• UB-15 and CV-15 (-); then, Ht-3, Ht-5, Ht-7 and GV-20 (+) for stage fright (McWilliams, et al., Lesson 31, p. 160)
• PC-6, PC-7, PC-5, GV-20 and GV-15 (-); then, Ht-3, Ht-5 and Ht-7 (+) for emotional stuttering (McWilliams, et al., Lesson 31, p. 160)
• LI-4 -> PC-8 for hysteria (Shanghai, p. 251)
• PC-6 and Ht-7 (-): soothe the Heart; calm the Shen; open the chest
• PC-4 and Ht-7 (-): tranquilize the Source of Heart Yang to reduce palpitations (Finkelstein, p. 57)
• PC-3 and PC-5 (-): transform mucous in the Heart and chest; regulate and tonify the Heart; clear Heat; calm the Shen
• PC-6, Ht-7, GV-26 and SI-3 (also consider LI-4, Lv-3, Lu-11, PC-7, Kd-1, Kd-5 (listed as "Kd-4"), Sp-6, LI-11, GB-34, GB-30, yi lung, TW-21, TW-17, CV-22, UB-1, TW-23, GV-20 and Kd-6) for hysteria (Lee and Cheung, p. 322)
• SI-3 and UB-62: open the Du Mai (Governing Vessel) for which Shen disorders are a symptom of dysfunction
• PC-6 and Sp-4: open the Yin Wei Mai (Yin Linking Vessel) for which timidity and fear are Xu (Deficiency) symptoms
• consider treatment for "Internal Dragons" or "External Dragons"; External Dragons: GV-20, UB-11, UB-23, UB-61; Internal Dragons: Master point 1/4" below CV-15, St-25, St-32, St-41; In both treatments, sedate first. If the person and the pulses change, fine. If no change with sedation, then tonify. (Worsley)

» note:
• search various syndromes, esp. those of Kidney, in materia medica


point analysis

»
palpate and consider:
• an mian (-): pacifies the Shen; clears the Brain; "peaceful sleep"
GV-16 (-): clears the Jing Shen; benefits and clears the Brain
UB-15 (- or D): calms the Heart and the Shen; nourishes and strengthens the Heart; regulates the Xue (Blood) and Qi; reinforces the Heart Qi; nourishes Heart Xue (Blood); relaxes the chest; Heart Shu Associated point
UB-38/43 (+): regulates the Shen (hence called the "Happy point"); strengthens Xu (Deficiency) conditions; tonifies Heart Qi; releases unresolved emotions; strengthens the Xue (Blood); tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; Pericardium psychospiritual associated point
UB-18 (+): pacifies the Shen; benefits the Liver and Gall Bladder; cools Damp-Heat; strengthens Xu (Deficiency) conditions; nourishes Xue (Blood); nourishes Liver Yin; Liver Shu Associated point
UB-23 (+): strengthens Qi Hai; tonifies and adjusts the Kidney; strengthens Yang; influences adrenals; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); resolves Dampness; strengthens the spine, esp. the lower back; benefits the knees; Kidney Shu Associated point
UB-47/52 (+): strengthens the Will; tonifies the Jing (Essence); tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; stabilizes Kidney Qi; resolves Dampness; Kidney psychospiritual associated point
GV-4 (+): pacifies the Shen; strengthens the Kidney and the Yang; replenishes the Yuan (Original) Qi; reinforces and astringes the Jing (Essence); "Gate of Life Fire"
GV-24 (-): calms the Heart and Shen; calms the Liver; esp. "severe anxiety and fears" (Maciocia, p. 472)
GB-13 (-): calms the Shen; calms the Liver and drains the Liver and Gall Bladder; esp. "severe anxiety and fears" (Maciocia, p. 472)
yin tang (-): pacifies the Shen; eliminates Wind-Heat
• PC-3 (-): pacifies the Shen; tranquilizes the Mind; soothes vexation; pacifies and tranquilizes the Heart; frees Heart Qi; Pericardium He Sea Uniting and Water point
PC-4 (-): esp. with fear of surroundings and strangers; pacifies the Shen and tranquilizes the Mind; regulates Heart Qi; opens the chest and expands the diaphragm; Pericardium Xi Cleft Accumulation point
• PC-5 (-): calms the Mind and quiets the Shen; regulates and clears the Heart; nourishes the Heart; regulates Heart Qi; Pericardium Metal point
PC-6 (-): pacifies the Shen; tranquilizes the Heart; facilitates the Qi function of the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); improves circulation of Xue (Blood) Yin of the Heart thus countering Yang of the Heart (Finkelstein, p. 58); opens the chest; releases and expands the diaphragm; relieves Liver Qi Stagnation; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• PC-8 (-): pacifies the Shen; regulates the Heart (esp. Qi and Yang); cools and clears Heat from the Heart and Shen; transforms Damp-Heat; Pericardium Fire and Horary point
PC-9 (-): clears the Heart; volatilizes Lung and opens the pulses; esp. with melancholy, distress and extreme fright when the person reports feeling extremely hot but does not perspire (Mann, p. 53); Pericardium Wood and Tonification point
• Ht-5 (+): esp. with fear of people; pacifies the Shen; regulates and tonifies Heart Qi; opens Heart Orifices to calm palpitations and relieve nervous condition (Finkelstein, p. 32); esp. for palpitations due to fright (Mann, p. 24); clears Heart Fire and Xu (Deficiency) Heat; benefits the Bladder; Heart Luo Connecting point
Ht-7 (-): pacifies the Shen and calms the Heart; relieves palpitations, insomnia and fear; general sedative and regulating effect on the inner organs; nourishes Heart Xue (Blood); removes Qi Stagnation in the Heart; clears Heat of Heart; regulates and tonifies the Heart, esp. Heart Qi; frees the channels; Heart Yuan Source, Earth and Dispersion point
• Ht-8 (=): pacifies the Shen; strengthens the Heart and regulates Heart Qi; treats Heart Shi (Excess) patterns; clears Heart Fire and Empty Heat; regulates flow of Qi; dissipates Dampness; Heart Fire and Horary point
• SI-5 (=): clears Heat; pacifies the Shen; clears the Brain; calms fright; spreads Lung Qi; "very effective in helping the person to gain clarity and a sense of direction in life" (Maciocia, p. 274); Small Intestine Fire and Horary point
• LI-4 (=): pacifies the Shen; regulates Qi and Xue (Blood); induces or stabilizes sweating; tonifies Lung Qi; relaxes sinews and tendons; eliminates Damp-Heat; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point; can thread to PC-9 with hysteria (Shanghai, p. 251)
• Lu-1 (- or =): regulates Qi of Upper Warmer and Lung; regulates Qi of Upper Warmer and Lung; stimulates descending of Lung Qi; increases Qi and stamina; aids release of old emotions (-); cools and disperses Heat and Yang from the Upper Warmer, chest and lungs; Lung Entry and Mu Alarm point
CV-15 (=): pacifies the Shen; stimulates pituitary (Finkelstein, p. 91); promotes flow of Qi; benefits Yuan (Original) Qi; nourishes all Yin organs; relaxes the chest; Luo Connecting point of the Ren Mai (Conception Vessel); Source point of the five Zang (Yin viscera)
CV-14 (-): clears the Heart and stabilizes the Shen; regulates and invigorates the Qi; expands and clears the chest; disperses congested Phlegm in the chest and diaphragm, esp. when contributing to emotional motor seizures; benefits the diaphragm; acts on the nervous system and brain through the solar plexus (Finkelstein, p. 90); releases tension throughout whole body (Finkelstein, p. 90); Heart Mu Alarm point; Heart Qi enters the Ren Mai (Conception Vessel) here (Finkelstein, p. 90)
• CV-13 (-): esp. for fright, esp. with palpitations (Ellis, et al, 1988, p. 357); strengthens the Spleen and dissipates Dampness; invigorates the Qi; calms the Heart and Shen; clears Heat of Heart and Stomach and relieves fullness in chest and epigastric region
CV-12 (D): esp. for non-responsive hysteria due to excess worry or fright (Lee and Cheung, p. 323); builds Heart Yang; strengthens and calms the Spleen; benefits and soothes the Qi; Stomach and the Middle Warmer Mu Alarm point
CV-4 (+ and D): pacifies the Shen; benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates the Qi; nourishes and stabilizes the Kidney; strengthens and replenishes the Kidney Qi; warms the Kidney Yang (D); resolves Damp-Heat; Small Intestine Mu Alarm point
• Sp-6 (+): nourishes Yin and Xue (Blood); strengthens the Spleen; transforms Dampness; nourishes Yin; clears Fire due to Xu (Deficiency); tonifies Qi and builds the Xue (Blood); frees Qi Stagnation; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Kd-9: pacifies the Shen; opens the chest; sedates fright; dissipates Heat from the Heart; tonifies Kidney Yin; strengthens Yuan (Original) Qi; particularly useful in case of anxiety and emotional tension of Kidney origin (Maciocia, p. 253); Xi Cleft Accumulation point of Yin Wei Mai (Yin Linking Vessel)
• Kd-6 (+): pacifies the Shen and stabilizes the Will; nourishes the Heart; clears Xu (Deficiency) Fire; balances excess or deficiency of any hormonal secretion and stimulates adrenals (Finkelstein, p. 53); brightens the eyes and sends Zhong (Ancestral) Qi to the eyes via the Yin Qiao Mai (Yin Motility Vessel); benefits the throat; tonifies Kidney (especially Yin); esp. for performance anxiety, e.g., on stage (Mann, p. 44); Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-4 (+): nourishes the Shen and Yin; regulates the Kidney; reinforces the Liver and Kidney, the latter through longitudinal Luo vessels; facilitates the flow of Qi and Xue (Blood); supplements the Jing (Essence); "susceptibility to fright or anger; ... insufficiency of spirit qi" (Ellis, et al, 1988, p. 249); esp. with a person who is fearful and discontented, completely lacking in motivation and desiring only to lay around at home, possibly due to insecurity, lack of confidence, or a feeling of inferiority (Mann, p. 45); Kidney Luo Connecting point
• Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); pacifies Xu (Deficiency) Fire; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies Kidney Yang; reinforces Kidney to accept Qi (Finkelstein, p. 53); stabilizes Kidney Qi; strengthens lower back, waist and knees; Kidney Yuan Source and Earth point
• Kd-1 (D): pacifies the Shen; tranquilizes the Mind; energizes the entire system (ind. D) (Finkelstein, p. 52); pacifies and calms the Heart; nourishes Yin, esp. Kidney Yin (and thereby suppresses Liver Fire); reinforces the Kidney and benefits the Jing (Essence); Kidney Jing Well, Wood, Dispersion and Entry point
UB-64 (-): pacifies the Shen; clears the Brain; "stabilizes the nervous system and calms fright" (Finkelstein, p. 51); sedates the Heart; Bladder Yuan Source point
• Lv-3 (-): pacifies the Shen; relieves anger and mellows spirits of those who are frustrated and jealous (Finkelstein, p. 73); clears head and thinking; adjusts and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); eliminates Liver Qi Stagnation; drains Heat and Fire from the Liver and Gall Bladder; calms Stomach and expands chest; tonifies Liver Xue (Blood); discharges Damp-Heat in the Lower Warmer; Liver Yuan Source and Earth point

ear: shen men, sympathetic, occiput, heart, stomach, brain stem, dermis/subcortex, kidney

» note:
• search various syndromes, esp. those of Kidney, in materia medica


footnotes

Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.