-IBIS-1.5.0-
tx
eyes/ears/nose/throat
tinnitus
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Kidney Qi and/or Yin Xu (Deficiency), which fails to ascend; Kidney Jing Xu (Essence Deficiency); Kidney and Heart not Communicating; Liver Yin Xu (Deficiency); Liver Wind Stirring; Liver and Gall Bladder Fire Blazing Upward, with uprising of Turbid Phlegm; Liver Yang Rising; dysfunction of the Yang Wei Mai (Yang Linking Vessel); Xue Yu (Blood Stasis) affecting channels

» therapeutic notes:
• chronic tinnitus, esp. of gradual onset, can be very recalcitrant to treatment by acupuncture alone, esp. when Kidney Xu (Deficiency) is an important etiologic factor
• consider distal points on Gall Bladder, Triple Warmer and/or Small Intestine channels if onset of the tinnitus followed an incident of physical trauma to such areas which may have left residual Xue Yu (Blood Stasis) and subsequently affected the channel(s) in its relationship to the ear (Bensky)

» illustrative combinations:
• SI-19, TW-17, ting cong and ting xue for tinnitus (Shanghai, p. 161)
• Kd-1 and GB-44; GB-20 and UB-10; GB-7, GB-8, GB-9, GB-18, GV-16 and GV-14 for tinnitus (Mann, p. 139)
• Lv-4, SI-16, TW-17 and SI-19; Lu-11, LI-4, Kd-3 and St-36; TW-5, GB-2, TW-21, GV-20, GV-19 and TW-18; SI-3, SI-5, SI-19 and SI-16 for catarrhal tinnitus (Mann, p. 13)
• GB-2, TW-17, TW-2, GB-40 and Kd-3 (ipsilateral) for Kidney Yin Xu (Deficiency) enabling the invasion of one ear by Wind and Damp-Heat from the Liver and Gall Bladder; note: case cited involved left ear (Jirui and Wang, p. 206)
• GB-2, GB-20, GB-34 and Lv-3 for hearing loss and tinnitus due to Fire rising from the Liver and Gall Bladder (Jirui and Wang, p. 226)
• GB-3, St-7, St-2, GV-20, TW-17, TW-21, GB-4, SI-16, LI-5, TW-1, TW-2 and TW-3 (also consider SI-17, SI-19 and GB-2) for deafness and tinnitus (Lee and Cheung, p. 350)
• ting xue, yi long, ting cong and yi ming xia for tinnitus or deafness (Shanghai, p. 162);
• TW-17, GB-20 and TW-3 for tinnitus and deafness; add Lv-2 and St-40 for Liver and Gall Bladder Fire Rising); and/or add UB-23 and Kd-3 for Kidney Qi Xu (Deficiency) (Lee and Cheung, p. 350; Shanghai, p. 688)
• TW-5 and GB-41: open and regulate the Yang Wei Mai (Yang Linking Vessel) which circles the ear
• UB-23, Kd-3 and Kd-6 (d. D): tonify Kidney for weakened patient (Eisen)
• TW-21 and GB-2 open the ear; spread the Qi; benefit hearing (Flaws, 1989, p. 86; Finkelstein, p. 65)
• GB-2, TW-21, SI-19 and GB-20 (-): clear Obstruction from the channels and ear orifices
• UB-10, GB-20, GB-21, SI-13, SI-15 and hua tuo jia ji (-): relieve stiffness and tension in neck and shoulders
• UB-63 and GB-2: "When cold damage alone sets both ears to ring, with UB-63 and GB-2 it will be gone with the wind" (Ellis, et al, 1988, p. 233)


point analysis

»
palpate and consider:
• GV-20 (- and/or D): dispels Wind and Cold of head and opens Orifices; cools the body (D) (Finkelstein, p. 81); regulates and tonifies the Qi (D); adjusts Qi of the Du Mai (Governing Vessel); elevates the Clear Qi; spreads Liver Qi; extinguishes Liver Wind from upper body and pacifies Liver; Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
• GV-17 (=): dispels Wind and clears Heat; controlling point of the Sea of Marrow; Sea of Marrow point (with GV-1, GV-15, GV-16 and GV-28); sends vessels directly into the brain
• GV-16 (-): calms the Shen and quiets the Soul; drains Fire; eliminates Yang Shi (Excess) from upper body and cleanses Yang which has been obscured by Phlegm; eliminates Liver Wind; Window of the Sky point; Sea of Marrow point
• GV-4 (+ and/or D): strengthens the Kidney; replenishes the Kidney Yang and nourishes the Yuan (Original) Qi; relieves mental and physical exhaustion; reinforces and astringes the Jing (Essence); frees the channels and invigorates the collateral vessels; "Gate of Life Fire"
• GB-12 (-): pacifies the Shen; stimulates the Brain; opens the sensory Orifices, esp. clears the ear; eliminates Wind and Cold; clears Heat; reduces upward disturbance of Fire of Liver/Gall Bladder
GB-20 (-): clears Heat and dissipates Wind; clears Obstruction from channels and ear Orifices; relieves stiffness and tension in neck and shoulders; pacifies Liver Wind and dissipates Internal Wind; reduces and relieves Heat; benefits the ears and sharpens the hearing; maintains function of inner ear; subdues Liver Yang and Fire to calm and regulate the Liver, esp. disperses and descends Liver Yang from the head; drains and disperses Fire of Gall Bladder; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; Jiao Hui Intersecting point of Yang Wei Mai (Yang Linking Vessel) and Hand Xiao Yang (Triple Warmer) channels on the Foot Xiao Yang (Gall Bladder) channel
• GB-21 (-): spreads Liver Qi; extinguishes Liver Wind; dissolves Phlegm; relieves stiffness and tension in neck and shoulders; clears and invigorates the channels; benefits tendons and muscles
• cervical and upper thoracic hua tuo jia ji (-): relieve stiffness and tension in neck and shoulders
• UB-10 (-): clears Fire; clears the head; opens the sensory Orifices; strengthens or relaxes the sinews and tendons; relieves stiffness and tension in neck and shoulders; Window of the Sky point; Sea of Qi general point
• UB-15 (+ and/or d. D): strengthens the Heart and nourishes Heart Xue (Blood); regulates the Xue (Blood) and Qi; clears Heart Fire; Heart Shu Associated point
• UB-17 (+): tonifies the Qi; nourishes and invigorates the Xue (Blood); enriches Yin; strengthens Xu (Deficient) conditions and increases stamina; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-18 (=): pacifies the Shen; stimulates the Brain; drains the Liver and Gall Bladder; extinguishes Liver Wind and clears Liver Fire; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; Liver Shu Associated point
• UB-19 (=): regulates the Qi and calms the emotions; clears, cools and drains Heat from the Liver and Gall Bladder; nourishes Xue (Blood); Gall Bladder Shu Associated point
UB-23 (+ and/or d. D): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens the Brain and Marrow; prevents or relieves general stress fatigue or premature senility (Finkelstein, p. 44); benefits the ears and brightens the eyes; strengthens the Heart (Ross, 1985, p. 130); strengthens Kidney function of reception of Qi; spreads and clears Obstructed Kidney Qi; strengthens Yang and Qi Hai; counterbalances Liver Fire; esp. with a weakened patient; Kidney Shu Associated point
• UB-47/52 (+): tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; spreads and clears Obstructed Kidney Qi; Kidney psychospiritual associated point
GB-2 (-): clears Heat and dissipates Wind; clarifies the senses; clears blockage and restores circulation of Qi in the Gall Bladder channel near the ear; opens the ear; invigorates the Liver and Gall Bladder; "Reunion of Hearing"
• SI-13 (-): stimulates the flow of Qi and Xue (Blood); relaxes the muscles and sinews; relieves stiffness and tension in neck and shoulders
• SI-15 (-): dissipates Heat; dissolves Phlegm; relieves stiffness and tension in neck and shoulders
• SI-16 (-): pacifies the Shen and Heart; dispels Wind; nourishes the Heart; invigorates the channels and collateral vessels
SI-19 (-): clears Heat; loosens and regulates Qi of the ear; benefits the ear; Small Intestine Exit point; Jiao Hui Intersecting point of the Hand Xiao Yang (Triple Warmer) and Foot Xiao Yang (Gall Bladder) channels on the Hand Tai Yang (Small Intestine) channel
TW-21 (-): clears Obstruction from channels and ear Orifices; opens the ear; benefits hearing; disperses Heat; improves function of the Brain; "Ear's Gate"
TW-17 (-): clears Heat; frees the channels; benefits hearing and vision; opens the ears; Jiao Hui Intersecting point of the Foot Xiao Yang (Gall Bladder) channel on the Hand Xiao Yang (Triple Warmer) channel
• TW-16 (-): clears Heat and dissipates Wind; clears the channels and invigorates the collateral vessels
• yi dian (=): pacifies the Shen; benefits the ears; brightens the eyes; local point
• yi long (=): calms the Shen; opens the ears and benefits hearing; local point
yi ming (-): pacifies the Shen; benefits the ears; brightens the eyes; local point
ting cong: opens the ears and benefits hearing; local point; 0.2 cun below GB-2
• ting ling: opens the ears and benefits hearing; local point; midway between ting xue and GB-2
ting xue: opens the ears and benefits hearing; local point; midway between SI-19 and GB-2
• St-7 (-): clears Heat and dissipates Wind; removes Obstructions from the Stomach channel; benefits the ear; relaxes the jaw; Jiao Hui Intersecting point of the Foot Yang Ming (Stomach) and Foot Xiao Yang (Gall Bladder) channels
• St-9 (=): regulates Qi and Xue (Blood); transforms Phlegm and moves the Xue (Blood); frees the channels and invigorates the collateral vessels; palpation: pulse at St-9 registers state of the Yang in the Upper Warmer; reflex for thyroid hormone imbalance (Matsumoto); tenderness or pain upon palpation indicates lack of adequate oxygenation (Matsumoto); Great Window of the Sky point; Exit point of the Sea of Qi; Jiao Hui Intersecting point of the Foot Yang Ming (Stomach) and Foot Xiao Yang (Gall Bladder) channels
• CV-23 (=): clears Fire and Heat; transforms Phlegm; impels the downward flow of Phlegm; opens the ears; Jiao Hui Intersecting point of the Yin Wei Mai (Yin Linking Vessel) and Ren Mai (Conception Vessel); meeting point of the Kidney and Heart (Finkelstein, p. 93); directly linked to GV-16
• TW-7 (-): clears Heat and dissipates Wind, esp. from the Triple Warmer; expels Toxins; soothes the Liver; facilitates circulation of Qi; spreads Liver Qi Stagnation; treats geriatric senility (Finkelstein, p. 62); Triple Warmer Xi Cleft Accumulation point
• TW-6 (-): dispels Wind; opens the sensory organs; clears Fire and Heat; transforms Phlegm; facilitates Qi flow and spreads the Qi; regulates the Triple Warmer and the Zang-Fu organs; frees the channels and invigorates the collateral vessels; disperses Obstruction; Triple Warmer Fire and Horary point
TW-5 (-): dissipates Wind; clears Heat, esp. from Triple Warmer channel; opens the Orifices (ears and anus) to influence hearing, treat tinnitus and relieve constipation; opens and moves the Yang Wei Mai (Yang Linking Vessel) and regulates the Dai Mai (Girdle Vessel); transforms Phlegm and dissolves Toxins; clears Xiao Yang (Gall Bladder) in the head and disperses Liver Yang Shi (Excess); tonifies Wei (Protective) Qi; frees the channels to facilitate the circulation of Qi in the channels; invigorates the collateral vessels; strengthens and relaxes the sinews and tendons; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
TW-3 (-): facilitates the circulation of Qi; clears the head and benefits the ear; opens the sensory Orifices; Triple Warmer Wood and Tonification point
TW-2 (-): drains Fire in the head; clears and drains Heat, esp. pathogenic Heat in the San Jiao (Triple Warmer); dispels Wind; facilitates flow of Qi; disperses Stagnation; frees the channels and invigorates the collateral vessels; Triple Warmer Water point
• TW-1 (-): drains Fire; opens the ears; eliminates Toxins; frees the channels and invigorates the collateral vessels; Triple Warmer Jing Well, Metal and Entry point
• SI-5 (-): clears the Brain; opens the ears; transforms Phlegm; regulates Qi of the Small Intestine channel; Small Intestine Fire and Horary point
• SI-4 (-): regulates and removes Obstruction from the Small Intestine channel in aural region; invigorates Tai Yang (Small Intestine and Bladder); disperses Damp-Heat from the Small Intestine; relaxes the sinews and muscles; relaxes spasms; reduces swelling; Small Intestine Yuan Source point
• SI-3 (-): opens the ears; opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); dispels Dampness and Internal Heat; tonifies the Small Intestine; invigorates the channels; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
• SI-2 (-): opens the ears; regulates and removes Obstruction from the Small Intestine channel in aural region; Small Intestine Water point
• SI-1 (-): disperses Wind; clears Heart Fire; opens the sensory Orifices; clears Obstruction from the channels; Small Intestine Jing Well, Metal and Entry point
• Ht-7 (=): calms the Heart; lowers blood pressure and reduces irritability of cortex (Finkelstein, p. 33); assists sleep; general sedative and regulating effect on the inner organs; tonifies and nourishes Heart Yin and Xue (Blood); Heart Yuan Source, Earth and Dispersion point
• LI-6 (-): dissipates Heat and Fire; benefits the ear and treats deafness; tonifies Kidney Yin by directing the Yang Qi of the Exterior toward the internal duct of the Triple Warmer (Finkelstein, p. 8); Large Intestine Luo Connecting point
• LI-5 (-): expels Wind and drains Fire; Large Intestine Fire point
• LI-4 (-): dispels Stagnation and facilitates flow of Qi in the head; regulates Qi and Xue (Blood); elevates Clear Qi and descends Turbid Qi; clears Toxins; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point; Command point of the face and mouth
• LI-1 (-): opens the ears; tonifies Wei (Protective) Qi via the internal duct of the Triple Warmer; cools the Lung; esp. appropriate with Wind, Phlegm and high fever and/or combination of deafness and tinnitus; Large intestine Jing Well, Metal and Horary point
• Kd-16 (+): benefits the Heart; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); tonifies the Kidney
• CV-6 (+): strengthens and regulates the Qi, esp. in the Lower Warmer; reduces Fire of Liver and Gall Bladder; tonifies the Kidney and Yuan (Original) Qi; nourishes Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); reinforces the Jing (Essence); Dan Tien (Elixir of Long Life), with CV-5: important point for concentration of Qi in the body
• CV-4 (+): regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; separates the Clear and the Turbid; nourishes and stabilizes the Kidney; strengthens and replenishes the Kidney Qi; resolves Damp-Heat; Small Intestine Mu Alarm point
• St-36 (+): dispels Cold and expels Wind; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; disperses noxious Yang and brings down fever; regulates and strengthens Qi and Xue (Blood); supports Lung Qi and transforms Phlegm; disperses Stagnation in the Upper Warmer; strengthens weak and Xu (Deficient) conditions; strengthens the Spleen and eliminates Dampness; spreads Liver Qi and benefits the Gall Bladder; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
St-40 (-): dispels Wind; strengthens the Spleen and circulates Qi of the Stomach and Spleen; transforms, dissolves and eliminates Phlegm and Dampness; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; invigorates the channels; Stomach Luo Connecting point
• Sp-6 (=): nourishes Yin, esp. of the Spleen, Liver and Kidney; clears Fire due to Xu (Deficiency); strengthens the Spleen and tonifies the Qi; frees Qi Stagnation; spreads Liver Qi and suppresses Liver Heat; regulates the Gall Bladder; warms the Middle and Lower Warmers; tonifies the Kidney; transforms Dampness and Heat; Jiao Hui Intersecting point of the three Foot Yin channels
Lv-8 (+): drains Liver Fire; nourishes Liver Xue (Blood) and Yin; clears and cools Damp-Heat; Liver He Sea Uniting, Water and Tonification point
• Lv-3 (-): adjusts and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); disperses and eliminates Liver Qi Stagnation; cools, clears and drains Heat and Fire from the Liver and Gall Bladder; subdues Liver Yang; calms and extinguishes Liver Wind; tonifies Liver Xue (Blood); opens the channels; Liver Yuan Source and Earth point
Lv-2 (-): disperses Stagnant Liver Qi; clears and drains Fire of the Liver and Gall Bladder; subdues Yang Shi (Excess); soothes and loosens the Liver to release Liver Qi and remove Qi Depression; eliminates Interior Wind; Liver Fire and Dispersion point
• GB-34 (-): clears Gall Bladder Fire; benefits the Liver and Gall Bladder; extinguishes Liver Wind; subdues Liver Yang; tonifies the Spleen and dissolves Phlegm; clears and cools Dampness and Heat; eliminates Phlegm-Fire in the Stomach; Gall Bladder He Sea Uniting and Earth point
GB-40 (-): clears and drains Fire from the Liver and Gall Bladder; spreads the Liver Qi; benefits Gall Bladder; softens hard masses; transforms Damp-Heat; treats external trauma, esp. below the waist; benefits the joints; frees the channels; Gall Bladder Yuan Source point
GB-41 (-): removes Fire; dissolves Phlegm; harmonizes and regulates the Liver and Gall Bladder; removes Stagnancy of Liver Qi; dispels Damp-Heat; Gall Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel); Couple point of the Yang Wei Mai (Yang Linking Vessel)
• GB-42 (-): drains the Gall Bladder and clears the Liver; sharpens the hearing; dissipates Dampness; reduces swelling
• GB-43 (-): disperses Heat; extinguishes Wind; treats ear conditions; reduces inflammation; Gall Bladder Water and Tonification point
• GB-44 (-): opens the ears; clears Heat; drains Fire, esp. from the Gall Bladder; extinguishes Wind; removes Liver Qi Stagnation; Gall Bladder Jing Well and Metal point
• Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens the Spleen; tonifies Yuan (Original) Qi and regulates Kidney Qi; strengthens and enriches the Kidney; tonifies the Liver via the mother/child relationship; cools and clears Damp-Heat; Kidney Metal and Tonification point
Kd-6 (d. D): nourishes the Heart; cools and clears Heat; clears Xu (Deficiency) Fire; tonifies the Kidney (especially Yin); dispels Dampness; frees the channels and invigorates the collateral vessels; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-3 (d. D): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; cools and descends Heat; pacifies Xu (Deficiency) Fire; benefits the ears; treats thyroid imbalance (Matsumoto); tonifies Kidney Yang and Ming Men Fire (D); reinforces Kidney Qi; Kidney Yuan Source and Earth point
• UB-62 (+): dispels Wind and Cold; cools and clears Fire and Heat; regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)
• UB-63 (-): dispels Wind and Cold; clears Heat; opens the ears; invigorates the collateral vessels; Bladder Xi Cleft Accumulation point; Entry point of the Yang Wei Mai (Yang Linking Vessel)

ear: occiput, inner ear, (outer) ear, kidney


footnotes

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.