-IBIS-1.5.0-
tx
endocrine system
obesity
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
foci: Stomach; Triple Heater; Spleen; Kidney; Liver; Heart; Pericardium
syndromes: Phlegm; Wind-Damp with Spleen Qi Xu (Deficiency); Spleen Qi Xu (Deficiency); Spleen Distressed by Dampness and Liver Qi Stagnation; Stomach Food Stagnation; Liver Xue Xu (Blood Deficiency); Kidney Yang Xu (Deficiency)

» illustrative combinations:
• needle CV-12 and St-25; UB-20 and UB-21 (D); needle and moxa to St-36 and Sp-6 for obesity; treat every other day for one month; then provide one month to integrate, before resuming treatment; with hypertension, add SI-10; with water retention, add Kd-7 and Sp-7 (+); add St-28 (-) and "a point one centimeter below" CV-12 (-) for obesity with bulimia (McWilliams, et al, Lesson 31, p. 163)
• yi shu, GV-"5.5" or GV-6 (inferior to T11 or T12) or associated hua tuo jia ji (-), "lumbar eye", left Kd-15 <-> Kd-16, left St-21 <-> Sp-16 (needle or magnet south pole down), "kidney supporter point" (needle or magnet north pole down), Sp-6 or Sp-8, and St-2 (sinus focal infection point), as indicated by palpation, for blood sugar imbalance; may apply direct moxa or with Tiger Warmer at GV-"5.5" or GV-6 and "lumbar eye" until midthoracic or calf point reactivity resolves (Matsumoto)
• CV-9, CV-12, St-36, LI-4, Lu-7 and Sp-9 (Lower Warmer) or St-40 (Upper Warmer): resolve and transform Damp Stagnation Obstructing (Ambrose)
• St-36 and Sp-6 (+): treat imbalance of blood sugar; build Spleen Qi, make appetite appropriate; these points with CV-12 increase patient's absorption and assimilation so fat and sugar no longer feel so necessary (Ambrose)
• CV-13, GV-23, St-9, CV-19, GV-15, UB-15, Ht-7, St-10, CV-6, TW-3, Kd-7 and LI-4: influence the thyroid (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258)
• Kd-7, UB-47/52, CV-10, Sp-6, GV-6, CV-6, CV-16 and PC-7: influence the adrenals (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258)
• Sp-3, Kd-3, UB-20, TW-3, Lv-2 and CV-3: influence the pancreas (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258)
• CV-9 and St-28: treat edema and aid weight loss (Finkelstein, p. 87)
• St-25 and CV-12: regulate Qi of the Intestines and Stomach to effect normal transportation and transformation to relieve Stagnation and Accumulation; firm up loose stools (Finkelstein, p. 16)
• St-25 and St-21: remove Food Stagnation and Accumulation (Finkelstein, p. 16; Flaws, 1989, p. 83)
• CV-12, UB-20, Sp-3 and Lv-13 (+ and D): invigorate Spleen Yang (Finkelstein, p. 90)
• CV-12, St-36 and UB-20: strengthen Spleen Yang; harmonize the Stomach; release Damp; and eliminates Phlegm (Finkelstein, p. 89)
• CV-4, GV-4, UB-23 and Kd-3 (D): support Kidney Yang (Finkelstein, p. 86)
• UB-20 and Sp-4: strengthen Spleen (Finkelstein, p. 42)


point analysis

»
palpate and consider:
• SI-10 (+): stimulates the flow of Xue (Blood); clears the channels; soothes the sinews; esp. with hypertension (McWilliams, et al, Lesson 31, p. 163)
UB-38/43 (+ and/or D): regulates the Shen (hence called the "Happy point"); strengthens Xu (Deficiency) conditions; clears Empty Heat; fortifies the Spleen; tonifies Heart Qi; releases unresolved emotions; strengthens the Xue (Blood); tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; transforms Phlegm; treats adrenal gland disorders (Finkelstein, p. 47); Pericardium psychospiritual associated point
• UB-15 (+): calms the Heart and the Shen; quiets the Mind and the Soul; strengthens Heart Qi, nourishes Heart Xue (Blood), and tonifies Heart Yin; invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); influences the thyroid (Worsley, 1975, p. B-20); Heart Shu Associated point
• UB-17 (+): tonifies the Qi; nourishes and invigorates the Xue (Blood) (esp. with D); strengthens Xu (Deficient) conditions and increases stamina; harmonizes Stomach Qi; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
yi shu (+): tonifies pancreas; harmonizes digestion; regulates blood glucose
• UB-18 (=): pacifies the Shen; benefits the Liver and Gall Bladder; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; increases gall bladder secretions; harmonizes the Stomach and benefits the Qi; Liver Shu Associated point
UB-20 (+ and/or D): regulates Spleen Qi; tonifies the Spleen and Stomach to facilitate digestive transportation and transformation; augments digestion; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and nourishes the Xue (Blood); warms the Middle Warmer (D); raises Middle Qi; resolves Dampness and Phlegm; Spleen Shu Associated point
UB-21 (+): harmonizes the Stomach; regulates the Stomach Qi; strengthens the Spleen; warms and reinforces the Middle Warmer (D); benefits the Zhong (Ancestral) Qi and cultivates Yuan (Original) Qi; transforms Dampness; dissolves and eliminates Stagnation and Obstructions; Stomach Shu Associated point
UB-23 (+ and/or D): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens the Heart (Ross, 1985, p. 130); strengthens Yang and Qi Hai; influences adrenals; resolves Dampness; regulates fluid system, volatilizes the Bladder, and promotes diuresis; Kidney Shu Associated point
• UB-47/52 (+): strengthens Will power; tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; influences the pituitary, adrenals and testes (Worsley, 1975, p. B-20); facilitates the Water Pathways and resolves Dampness; Kidney psychospiritual associated point
GV-"5.5" or GV-6 (inferior to T11 or T12) or associated hua tuo jia ji (-): palpate for tenderness or pain, confirm by applying pressure which should release midthoracic muscle tension and/or spasm, and needle in a superior/cephalic direction; particularly important for preventing diabetic neuropathies, esp. in the lower extremities; may apply direct moxa or with Tiger Warmer until midthoracic point reactivity resolves (Matsumoto)
• GV-4 (+ and D): pacifies the Shen; strengthens the Kidney and replenishes the Kidney Yang; nourishes the Yuan (Original) Qi; relieves mental and physical exhaustion; stimulates adrenals, testes and ovaries (Finkelstein, p. 77); "Life Gate Fire"
"lumbar eye" (-): located lateral to UB-25 in "dimple"; proper location and stimulation will release tension and tenderness in the calf muscles which is confirmatory of blood sugar imbalance; particularly important for preventing diabetic neuropathies, esp. in the lower extremities; may apply direct moxa or with Tiger Warmer until point reactivity resolves (Matsumoto)
• ca. St-2 (-): palpate and treat most reactive points bilaterally to treat focal infection of nasopharyngitis, if indicated, which contributes to blood sugar imbalance and with treatment is particularly helpful in alleviating diabetic neuropathies and pain (Matsumoto)
• LI-10 (= or +): lowers nervous excitement; reduces emotional eating (Ambrose); promotes the circulation of Qi and Xue (Blood); tonifies Qi and Xue (Blood) (Maciocia, p. 378); regulates and tonifies Yang Ming (Stomach and Large Intestine) and the internal duct of the Triple Warmer (Finkelstein, p. 8); Large Intestine Earth and Horary point
PC-6 (= or +): pacifies the Shen and balances emotions; tranquilizes the Heart; regulates the Qi; harmonizes and regulates Middle and Upper Warmers; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; regulates Liver Qi and relieves Liver Qi Stagnation; harmonizes the Stomach; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; expels gallstones; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• PC-7 (=): pacifies the Shen and stabilizes the emotions; clears Heart Fire and nourishes Heart Xue (Blood); relaxes the chest; harmonizes the Stomach; dissipates Heat from the Ying (nutrient system) and Xue (Blood); regulates blood pressure; influences adrenals (Worsley, 1975, p. B-20); esp. with emotional upsets from breaking off relationships (Maciocia, p. 436); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
Ht-7 (+): pacifies the Shen and calms the Heart; lowers blood pressure and reduces irritability of cortex (Finkelstein, p. 33); tonifies and nourishes Heart Yin and Xue (Blood); Heart Yuan Source, Earth and Dispersion point
• Lv-14 (=): restores smooth flow of Liver Qi; soothes and promotes function of the Liver; helps transformation and transportation function of the Spleen; strengthens Spleen and Stomach; relieves Food Stagnation; dissolves Phlegm to reduce masses; Liver Mu Alarm point
• Lv-13 (=): spreads and promotes smooth flow of Liver Qi; influences liver's ability to neutralize unemployed sex hormones (Finkelstein, p. 75); invigorates the Stomach and Spleen; benefits Qi; moves Fluids, resolves Dampness, and relieves distension; regulates circulation of Qi and Xue (Blood); quickens the Xue (Blood); relieves Food Stagnation; Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
left Kd-15<->16 region: palpate for tenderness and/or pain, then needle most reactive point to treat blood sugar imbalance as part of Xu (Deficiency) of the Kidney and/or Spleen due to birth trauma induced by improper severing of the umbilical cord causing damage to the ligamentum teres hepatis (Matsumoto)
left St-21 <-> Sp-16 (needle or magnet south pole down): palpate for tenderness and/or pain, then needle most reactive point to treat blood sugar imbalance (Matsumoto)
St-25 (+): harmonizes the Stomach; regulates the Stomach and Spleen; regulates and facilitates the functioning of the Intestines; supports Earth and harmonizes the Center; regulates and tonifies Ying (Constructive) Qi; transforms Dampness; ascends the Clear and descends the Turbid; esp. appropriate with thin stools or diarrhea; Large Intestine Mu Alarm point; according to Sun Tzu Miao, this point contains a storehouse of Qi and should not be dispersed (Finkelstein, p. 15)
CV-12 (+ and/or D): builds Heart Yang; regulates the Stomach Qi and harmonizes the Stomach; strengthens and calms the Spleen; transforms Dampness; increases peristalsis of the stomach and jejunum, esp. upper section; eliminates Food Stagnation; benefits and soothes the Qi; raises Middle Qi; warms the Middle Warmer, Stomach and Intestines; facilitates ascension of the Clear and descension of the Turbid; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
CV-9 (-): strengthens and moves Spleen and Earth; balances endocrine and lymphatic systems; warms the Middle Warmer; regulates the Spleen and Stomach; dissolves Damp; assists Small Intestine in its functions of separating liquid from matter, the Clear from the Turbid, and maintaining water balance (Finkelstein, p. 87); promotes diuresis; Small Intestine Mu Alarm point (Hukaya as per Matsumoto); palpation: water regulation and metabolism reflex; "no energy" indicates Xu (Deficiency) of Spleen and/or Stomach; pulsing indicates Kidney Xu (Deficiency) (Matsumoto)
CV-6 (+ and/or D): strengthens and moves the Qi; regulates and tonifies Yuan (Original) Qi; warms the Lower and Middle Warmers (D); reinforces Yang and Jing (Essence); nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire); cools Heat in the Xue (Blood); regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); dispels Dampness and resolves Stagnation; warms feet and hands; "Sea of Qi"
knotty and/or tender abdominal points and areas (=): palpate to locate and needle to release Stagnation and facilitate flow of Qi and Xue (Blood) (Matsumoto and Birch; Seem; et al.)
St-30 (= or + and D): harmonizes the Xue (Blood) and Ying (Constructive) Qi; dispels Qi Stagnation and Xue Yu (Blood Stasis); distributes Jing (Essence) and Yuan (Original) Qi to the genitals, Chong Mai (Penetrating Vessel) and the five curious organs (Brain, Spine, Bones and Marrow, Gall Bladder and Uterus); Entry point of the Chong Mai (Penetrating Vessel) and the Sea of Nourishment; reflex indicator for weak immune system (Matsumoto); if the Chong Mai (Penetrating Vessel) is troubled, St-30 will be tender to palpation (Finkelstein, p. 17)
St-28 (-): regulates Heat Qi of the Triple Warmer, Kidney and Bladder; activates Chong Mai (Penetrating Vessel); cools and clears Damp-Heat, esp. in Lower Warmer; regulates body fluids and benefits the Bladder; facilitates the Lower Warmer; seeps Water Dampness by opening Water Pathways to promote diuresis; important point for regulation of body fluids; in this region the Stomach supplies Turbid Qi to the Kidney via the internal duct of the Triple Warmer (Finkelstein, p. 16)
St-36 (+ and/or D): calms the Shen; regulates and strengthens Qi and Xue (Blood); strengthens weak and deficient conditions; regulates the Stomach and strengthens the Spleen; removes Food Stagnation; regulates and replenishes the Middle Warmer; regulates Ying (Constructive) Qi; spreads Liver Qi and benefits the Gall Bladder; nourishes Kidney, Liver and Spleen; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; dispels and eliminates Dampness; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
• St-40 (-): clears and calms the Shen; strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; transforms Phlegm and resolves Damp Stagnation and Obstruction; regulates the Intestines to descend the Turbid; invigorates the channels; Stomach Luo Connecting point
• St-44 (-): harmonizes the Stomach; cools and drains Heat and Dampness from the Stomach and intestines; facilitates bowel movements; descends the Turbid; Stomach Water point
• St-45 (-): pacifies the Shen; facilitates flow of Qi; clears Heat, esp. Stomach Heat; Stomach Jing Well, Metal and Dispersion point
"kidney supporter point" (needle or magnet north pole down): tenderness, pain, tightness or lump at this point, left side only, three fingers above Sp-10, provides palpatory confirmation for and treats blood sugar imbalance (Matsumoto)
Sp-9 (= or +): regulates and tonifies Spleen (especially Yang); warms and moves the Middle Warmer; resolves Damp Stagnation and Obstruction, esp. from the Lower Warmer, through promotion of diuresis; regulates the Water Pathways; Spleen He Sea Uniting and Water point
• Sp-7 (+): invigorates the Spleen and Stomach; dissipates Dampness and swelling; regulates the circulation of Qi and Xue (Blood); esp. with water retention (McWilliams, et al, Lesson 31, p. 163)
Sp-6 (+ and/or D): pacifies the Shen; strengthens the Spleen; tonifies Qi and builds the Xue (Blood); aids transportation and transformation to improve digestion and nourishment; frees Qi Stagnation and spreads the Liver Qi; regulates the Gall Bladder; warms the Middle and Lower Warmers; tonifies the Kidney, regulates the Bladder and transforms Dampness; nourishes Yin, esp. of the Spleen, Liver and Kidney; influences the pituitary, adrenals, uterus and ovaries (Finkelstein, p. 27; Worsley, 1985, p. B-20); Jiao Hui Intersecting point of the three Foot Yin channels
• Sp-5 (-): strengthens the Spleen and Stomach; transforms Damp Stagnation and Damp-Heat; stimulates the channels; esp. for someone who eats excessively, vomits frequently, and has difficulty digesting properly (Mann, p. 20); Spleen Metal and Dispersion point
Sp-4 (+): pacifies the Shen; moves and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; regulates and stabilizes the Stomach; reestablishes harmony between Stomach and Spleen (Matsumoto); regulates the appetite; reduces Food Stagnation and harmonizes the Intestines; regulates the Yin Wei Mai (Yin Linking Vessel); disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; transforms Dampness and Damp-Heat; tonifies Yuan (Original) Qi; descends the Turbid; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
Sp-3 (+): regulates and strengthens Spleen (especially Qi and Yang); regulates Stomach (especially Yin and Qi); harmonizes the Middle Warmer; promotes transporting function; transforms and expels Dampness and Damp-Heat; stimulates pancreas; reduces Food Stagnation; regulates Large Intestine, Middle and Lower Warmers; Spleen Yuan Source, Earth and Horary point
• Lv-8 (=): nourishes Liver Xue (Blood); clears and cools Damp-Heat; soothes the sinews and tendons; frees and facilitates the Lower Warmer; Liver Water and Tonification point
• Lv-5 (-): spreads Liver Qi and disperses Qi Stagnation; benefits the Qi; tonifies Liver and Yang; tonifies and warms Fire of Life function; regulates function of the Bladder; Liver Luo Connecting point
Lv-3 (=): pacifies the Shen; "relieves anger and mellows spirits of those who are frustrated and jealous" (Finkelstein, p. 73); regulates the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; opens the bile tract; calms the Stomach and expands chest; tonifies Liver Xue (Blood); discharges Damp-Heat in the Lower Warmer; Liver Yuan Source and Earth point
Kd-7 (+): strengthens Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; tonifies the Liver via the mother/child relationship; stimulates adrenals, thyroid and testes; facilitates the Bladder and Water Pathways; cools and clears Damp-Heat; disperses Stagnation; Kidney Metal and Tonification point
• Kd-6 (+): pacifies the Shen and stabilizes the Will; tonifies Kidney (especially Yin) and clears Xu (Deficiency) Fire; balances excess or deficiency of any hormonal secretion and stimulates adrenals (Finkelstein, p. 53); initiates diuresis to dispel Dampness; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)

» ear:
• hunger - bilaterally: retain 20 mins.; may use electricity; after removing needles, may apply silver balls which patient should massage for one minute approx. 1 to 1.5 hrs. before meal; repeat treatment every 1-2 weeks (Lee and Cheung, p. 373)
• stomach and lung - left (Lee and Cheung, p. 373)
• shen men and parasympathetic - right (Lee and Cheung, p. 373)


footnotes

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

Reprinted from Zang Fu: The Organ Systems of Traditional Chinese Medicine, Ross, Jeremy, 2nd ed, p. 75, 1985, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.