-IBIS-1.5.0-
tx
reproductive system
fibrocystic breasts
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Liver Qi Stagnation with Internal Heat or with Xue Yu (Blood Stasis); Qi Xu (Deficiency) with Xue Xu (Blood Deficiency); dysfunction of the Dai Mai (Girdle Vessel)
» illustrative combinations:
CV-17 (-), SI-1, GB-21 (-), LI-4 (=), Lv-3 (-), Lv-8 (-) and St-36 (=) for fibrocystic breast masses due to Stagnant Liver Qi causing Liver Yin Xu (Deficiency) (Jirui and Wang, p. 258)
St-30, GB-22 <-> Sp-21 area and SI-11 are "essential" points for treating breast problems; St-15 <-> St-16 area along with PC-6 and Sp-4, to effect the Chong Mai (Penetrating Vessel), are secondary points; palpation, of course confirms the points' appropriateness (Matsumoto)
SI-1 and breast ashi (tender) point (-): disperse congestion in the breast; often can apply ion-pumping cords, usually with black clip at breast and red clip at SI-1 (Flaws, 1991, p. 158)
Sp-6 assists Lv-3 in "harmonizing the Liver and harmonizing Wood and Earth" (Flaws, 1991, p. 157)
GB-41 and TW-5: open the Dai Mai (Girdle Vessel) for which problems of the breast are a symptom of dysfunction, esp. when unilateral
CV-17, St-18 and St-34: relieve breast distension (Flaws, 1991, p. 157)
UB-48/53 and PC-: quickly disperses axillary swelling (Ellis, et al, 1988, p. 219)
point analysis
» palpate and consider:
UB-18 (+): moves Stagnant Qi and tonifies Liver to invigorate Qi; benefits the Liver and Gall Bladder; clears Liver Fire and Heat; nourishes Liver Xue (Blood) and Yin; cools Heat in the Xue (Blood); Liver Shu Associated point
UB-38/43 (+): regulates the Shen (hence called the "Happy point"); strengthens Xu (Deficiency) conditions; treats all chronic disease; clears Empty Heat; regulates the Lung Qi; supplements the Lung and fortifies the Spleen; releases unresolved emotions; strengthens the Xue (Blood); restores Yuan (Original) Qi; transforms Phlegm; Pericardium psychospiritual associated point
SI-11 (needle, moxa or Tiger Warmer): stimulates flow of Qi; treats all breast problems, if tender or painful upon palpation (Matsumoto); diffuses Qi Stagnation in the chest and lateral costal region; frees the channels and invigorates the collateral vessels; reduces swelling; breast Shu point (Matsumoto)
PC-6 (=): clears Heat; pacifies the Shen; spreads the Qi and facilitates the Qi function of the Upper Warmer; regulates Heart Qi and Xue (Blood); clears and spreads Qi in Pericardium channel; opens the chest; regulates Liver Qi and relieves Liver Qi Stagnation; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; enhances purification and dispersement of the Triple Warmer; relaxes the sinews and clears the vessels; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
LI-11 (+): regulates and harmonizes Qi and Ying; regulates and harmonizes the Xue (Blood); regulates the Intestines; eliminates Dampness through the Intestines; esp. consider right side, verify through palpation (Flaws, 1991, p. 159); Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
LI-10 (+): promotes the circulation of Qi and Xue (Blood); tonifies Qi and Xue (Blood) (Maciocia, p. 378); tonifies Yang Ming (Stomach and Large Intestine) and the internal duct of the Triple Warmer (Finkelstein, p. 8); esp. consider right side, verify through palpation (Flaws, 1991, p. 159)
LI-4 (+): regulates Qi of Stomach channel and descends Rebellious Qi; resolves Stagnation; reduces masses; pacifies the Shen; regulates Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; elevates Clear Qi and descends Turbid Qi; clears Toxins; eliminates Damp-Heat; esp. consider right side, verify through palpation (Flaws, 1991, p. 159); Large Intestine Yuan Source and Entry point
SI-1 (- and/or bleed): facilitates Qi flow; dispels masses; can be pricked; clears Heat, esp. from the Small Intestine; clears Heart Fire; facilitates flow of Qi and Xue (Blood) in the breast; clears Obstruction from the channels, esp. of the breast; Small Intestine Jing Well, Metal and Entry point
GB-21 (-): facilitates Qi flow, esp. Liver Qi; dispels masses; clears Heat; clears and invigorates the channels; dissolves Phlegm and disperses Stagnation; promotes lactation; relieves breast pain; benefits tendons and muscles
ashi (tender) points on breast (- and/or D): use dispersing technique and/or moxa around palpable lumps to disperse Xue (Blood) and Qi Stagnation (Ambrose)
xu li (-): palpate and gently needle ashi (tender) points along this microchannel circling the heart/breast area bilaterally
CV-17 (- and/or D): invigorates and smooths Qi circulation in the Upper Warmer; reverses adverse flow of Qi in the chest; calms emotions; facilitates lactation; transforms Phlegm; reinforces the Zhong (Ancestral) Qi; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi
St-18 (-): diffuses the collateral vessels of the breast; facilitates circulation of Qi and Xue (Blood), esp. in the Stomach channel, to dispel local Stagnation, drain Heat, relieve pain and disperse swelling; regulates Stomach Qi; regulates breasts and lactation; Great Luo of the Stomach
St-16 (-): facilitates circulation of Qi and Xue (Blood), esp. in the Stomach channel, to dispel local Stagnation, drain Heat, relieve pain and disperse swelling
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; helps transformation and transportation function of the Spleen; invigorates flow of Xue (Blood), removes Xue Yu (Blood Stasis), and dispels Heat from the Xue (Blood); dissolves Phlegm to reduce masses; Liver Mu Alarm point
CV-6 (+): strengthens and moves the Qi; reduces Fire of Liver and Gall Bladder; cools Heat in the Xue (Blood); regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); tonifies Yuan (Original) Qi; tonifies Kidney; warms Ming Men (Life Gate Fire) (esp. with D); influences pituitary, thyroid and adrenals (Worsley, 1975, p. B-20); reinforces Jing (Essence); Dan Tien (Elixir of Long Life), with CV-5
Sp-10 (=): clears Heat; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat and clears Damp-Heat in the Xue (Blood); "Sea of Blood"
St-30 (=): harmonizes the Xue (Blood) and Ying (Constructive) Qi; dispels Qi Stagnation and Xue Yu (Blood Stasis); regulates menstruation; 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); relaxes the tendons; insert at a 45° angle toward the underside of the pubic bone; an intradermal needle (downward) or a press tack may be left in with chronic complaints (Matsumoto); Entry point of the Chong Mai (Penetrating Vessel) and the Sea of Nourishment; gynecological reflex point (Matsumoto)
St-36 (+/-): regulates Qi and Xue (Blood), esp. Stomach channel; disperses Stagnation in the Upper Warmer, esp. cracks Xue Yu (Blood Stasis) in the chest; resolves Stagnant Liver Qi; regulates the Stomach and strengthens the Spleen; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
St-40 (=): strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; transforms and eliminates Phlegm, esp. if contributing to breast masses; regulates the Intestines; strengthens Kidney Yin and drains Liver Yang; invigorates the channels; Stomach Luo Connecting point
GB-34 (-): soothes and regulates the Yang of the Liver and Gall Bladder; clears Dampness and cools Heat; facilitates and harmonizes the Liver; dissolves Phlegm; esp. if masses are on lateral aspect of the breast (Flaws, 1991, p. 158); Gall Bladder He Sea Uniting and Earth point
Lv-8 (=): nourishes Liver Yin; regulates and tonifies the Liver; spreads Liver Qi; nourishes Liver Xue (Blood); invigorates the collateral vessels; esp. consider left side, verify through palpation (Flaws, 1991, p. 159); Liver He Sea Uniting, Water and Tonification point
Lv-5 (-): drains the Liver; spreads Liver Qi and disperses Liver Qi Stagnation; regulates menses; frees the channels; esp. consider left side, verify through palpation (Flaws, 1991, p. 159); Liver Luo Connecting point
Lv-3 (-): pacifies the Shen; relieves anger and mellows spirits of those who are frustrated and jealous (Finkelstein, p. 73); promotes smooth flow of Qi and Xue (Blood); disperses Liver Qi Stagnation; cools and drains Heat and Fire from the Liver and Gall Bladder; tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis); influences the ovaries (Worsley, 1975, p. B-20); Liver Yuan Source and Earth point
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.