-IBIS-1.5.0-
tx
digestive system
stomach cancer
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
disharmony of the Liver and Stomach; Xue Yu (Blood Stasis) and Turbid Phlegm; Xu (Deficiency) of Qi and Xue (Blood); Injury of Stomach Yin due to Stomach Heat; Stomach and Spleen Xu (Deficient) and Cold; Kidney Yin Xu (Deficiency); Internal Blockage by Accumulation of Toxins; dysfunction of the Yin Wei Mai (Yin Linking Vessel)

» therapeutic note: differentiation and establishment of etiology are essential to proper treatment, particularly in regard to the issue of Heat and Cold and the therapeutic appropriateness of moxa

» illustrative combinations:
• "'use a small sharp pointed surgical knife to jab six or seven times the odd point Jianli' [i.e., jia nei: N-HN-29]... Afterward, the patient is to hold vinegar in the mouth for about one minute before spitting it out. Mixed with the blood will be a sticky fluid. This operation is repeated after three or four days while the condition is seen to improve after three treatments." Then, sedate CV-22, CV-17, PC-6, UB-43/48, GV-11 and St-36 to bring down the Rebellious Qi. Finally tonify Kd-7 and sedate UB-20 and UB-21 to "regulate the Spleen and Stomach. If there is also vomiting of food after eating, sedate CV-12 and St-25, and apply direct moxa to zhong kui to tonify the Stomach and suppress Rebellious Stomach Qi. note: "The effects of utilizing the Jianli point are commendable only when the patient abstains from alkaline foods such as bread, noodles, etc." (McWilliams, et al., Lesson 31, p. 204)
• (1) PC-6 and St-36; (2) CV-12 and CV-10; (3) apply three needles to the growth, one at each end and the third in the center; use strong stimulus; follow with indirect moxa with instrument or ginger to the area of the growth until the skin has taken on a "reddish color". Indirect moxa or electrical stimulation may also be applied to these three needles. (4) pi gen (d. D): fourteen cones of direct moxa, red bean size, to the affected side or bilaterally if the tumor is in the center or on both sides; yellow bean size may be used if the condition is severe; (5) CV-8 (d. D): ten cones of direct moxa, red bean size, or yellow bean size with salt if the umbilicus is deep. Ten cones of direct moxa, red bean size, can also be applied to CV-10 if progress is slow. "The above mentioned steps must be taken daily, except Step Four which must be taken only once in two weeks" note: St-44 and Sp-4 can also be used. Fifteen to thirty treatments are usually necessary (So, 1987, p. 208-209; also cited in McWilliams, et al., Lesson 31, p. 205)
• ca. St-38 with Sp-4 or Sp-9, unilaterally: to treat gastric (left) or duodenal (right) ulcer and rectify the underlying Spleen/Stomach imbalance (Matsumoto); see "peptic ulcer disease" combinations
• St-36, GV-14 and LI-4: return the white blood cell count to normal (leukopenia after chemotherapy) (Finkelstein, p. 20)
• St-43 and St-44: clear and disperse the vicious Heat of Yang Ming and channel the flow of Qi to the hollow organs and distribute coolness to the Stomach channel (Finkelstein, p. 23)
• St-44 and St-36: have a "wondrous effect" on diseases of the abdomen (Ellis, et al, 1988, p. 138)
• St-44 and St-40: regulate and harmonize the Spleen and Stomach and promotes Qi circulation of Fu organs (Finkelstein, p. 23)
• St-44, Sp-4, St-36 and PC-6 for bleeding of the upper digestive tract (Shanghai, p. 289)
• St-44 and St-41: activate warmth in the Stomach (Finkelstein, p. 23)
• St-44 and St-40: regulate and harmonize the Spleen and Stomach and promotes Qi circulation of Fu organs (Finkelstein, p. 23)
• St-45 and PC-6: reduce Stomach Fire (Finkelstein, p. 24)
• Lv-2, Sp-10 and Sp-6 (all: -): remove Obstruction of Qi and activate circulation of Xue (Blood) (Finkelstein, p. 72)
• Lv-2 and Sp-6: activate Xue (Blood) circulation and remove Xue Yu (Blood Stasis) (Finkelstein, p. 72)
• Lv-3 and Lv-2: pacify the Liver (Finkelstein, p. 73)
• Lv-13, CV-12 and St-36: adjust the Spleen and Stomach (Finkelstein, p. 75)
• Lv-13 and CV-12 (-): regulate function of the Spleen and Stomach to dissolve Phlegm (Finkelstein, p. 75)


point analysis

»
palpate and consider:
• UB-38/43 (+ and/or D): regulates the Shen; strengthens Xu (Deficiency) conditions; treats all chronic disease; clears Empty Heat; supplements the Lung and fortifies the Spleen; 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; drains the Liver and Gall Bladder; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; facilitates generation of fluids; increases gall bladder secretions; harmonizes the Stomach and benefits the Qi; relieves mid-back tension; Liver Shu Associated point
UB-20 (- or + and/or D): regulates Spleen Qi; tonifies the Spleen and Stomach to facilitate digestive transportation and transformation; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; reverses Rebellious Stomach Qi; tonifies and harmonizes the Xue (Blood); warms the Middle Warmer (D); drains Heat Shi (Excess) from the Middle Warmer; resolves Dampness and Phlegm; dispels Cold and relieves pain (D); softens hard masses; Spleen Shu Associated point
UB-21 (- or + and/or D): harmonizes the Stomach; regulates the Stomach Qi; clears Stomach Heat (-); 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; descends Rebellious Qi; Stomach Shu Associated point
GV-11 (-): calms the Shen and Heart; suppresses Rebellious Qi; sedates pain
pi gen (d. D): restores vitality; disperses Stagnation of Qi and Xue (Blood); resolves masses to treat tumors; fourteen cones direct moxa, red bean size, to affected side or bilaterally (So, 1987, p. 208)
jia nei (bleed): clears and drains Heat; disperses Stagnation
PC-6 (- or +): clears Heat; pacifies the Shen; regulates the Qi; harmonizes and spreads the Qi in the Upper and Middle Warmers; regulates Liver Qi and relieves Liver Qi Stagnation; harmonizes the Stomach; descends Rebellious Qi to resolve nausea, reduce eructations, and stop vomiting; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; regulates the Chong Mai (Penetrating Vessel); relieves pain; palpation: major Spleen reflex point (Matsumoto); Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• TW-6 (-): dissipates Cold; clears Fire and drains Stomach Heat; transforms Phlegm; facilitates Qi flow and spreads the Qi; regulates the Triple Warmer and the Zang-Fu organs; generates Fluids; frees the channels and invigorates the collateral vessels; disperses Obstruction; relieves pain; Triple Warmer Jing River, Fire and Horary point
Ht-6 (-): pacifies the Shen; helps check Yang hyperactivity (EAMSS, p. 227); reduces excessive night sweats; Heart Xi Cleft Accumulation point
zhong kui (d.D): disperses Stagnation; tonifies the Stomach; suppresses Rebellious Qi
CV-22 (-): benefits and cools the throat; transforms and eliminates Phlegm; descends Rebellious Qi; Jiao Hui Intersecting point of the Yin Wei Mai (Yin Linking Vessel) and Ren Mai (Conception Vessel)
CV-17 (-): calms the emotions; regulates and smooths Qi circulation in the Upper Warmer; suppresses Rebellious Stomach Qi; transforms Phlegm; relieves nausea; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi
CV-12 (- or + and/or D): 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; opens the pylorus and increases muscle tension in the stomach so lower portion descends (gastric ptosis) (Finkelstein, p. 88); transforms and suppresses Rebellious Qi; clears Stomach Fire and Heat; tonifies Stomach Yin; benefits and soothes the Qi; warms and tonifies 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-10 (- or d. D): strengthens the Spleen and regulates the Stomach; stimulates descending of Stomach Qi; clears Stagnancy in Middle Warmer; special point of the Lower Warmer which directs Qi, distilled by the Spleen and Stomach, to the Kidney for further purification as Ying and Wei Qi (Finkelstein, p. 88); Jiao Hui Intersecting point of the Foot Tai Yang (Spleen) channel and the Ren Mai (Conception Vessel)
CV-8 (D directly or on salt or ginger): warms and stabilizes the Yang; warms the Lower and Middle Warmers; strengthens the transporting function of the Spleen and Stomach; dries Dampness and Damp-Cold; disperses masses and regulates Qi; ten cones of direct moxa, red bean size; if umbilicus deep: fill with salt and use yellow bean size atop it (So, 1987, p. 209); contraindicated with Stomach Yin Xu (Deficiency); palpation: pulsing around CV-8 indicates Spleen Qi Xu (Deficiency), while a puffy navel indicates Kidney Xu (Deficiency) (Matsumoto)
• CV-6 (+ and/or moxa on ginger): tonifies Qi of whole body; tonifies Yang and warms to resolve Cold; captures the Xue (Blood) and stops bleeding (+); regulates Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); warms and strengthens the Lower and Middle Warmers (D); tonifies the Kidney; regulates and tonifies Yuan (Original) Qi; nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); reinforces the Jing (Essence); moxa with Stomach and Spleen Xu (Deficient) and Cold; Dan Tien (Elixir of Long Life), with CV-5: important point for concentration of Qi in the body
apply three needles (+) to the growth, one at each end and a third at the center; then, apply indirect moxa with ginger or to needles (So, 1987, p. 208)
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; strengthens the Spleen and Stomach; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); dissolves Phlegm to reduce masses; Liver Mu Alarm point
Lv-13 (-): spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; benefits the Qi; harmonizes Liver and Spleen; disperses Cold-Damp; regulates circulation of Qi and Xue (Blood); quickens the Xue (Blood) and disperses Xue Yu (Blood Stasis); softens and dispels hard masses; Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
• St-21 (-): harmonizes the Spleen and Stomach; regulates Center Qi and promotes flow of Qi; strengthens the Spleen; promotes the transportation and transformation of Grain and Liquids by the Spleen and Stomach; dispels Middle Warmer Heat; stimulates descending of Stomach Qi; relieves pain; caution: needling usually contraindicated with gastric or duodenal ulcer, as patient very likely to be aggravated and may vomit blood (Matsumoto)
palpation: left St-21 tender to palpation with gastric ulcer; right St-21 tender to palpation with duodenal ulcer (Matsumoto)
St-25 (- or +): supports Earth and harmonizes the Center, esp. the Stomach; regulates the Stomach and Spleen; regulates the channels and promotes Qi circulation; regulates Qi, esp. Ying (Constructive) Qi and Wei (Protective) Qi (Finkelstein, p. 15); tonifies Ying (Constructive) Qi and thus neutralizes Shi (Excess) Heat; eliminates Qi Stagnation and/or Xue Yu (Blood Stasis) in the abdomen; transforms Dampness; ascends the Clear and descends the Turbid; Large Intestine Mu Alarm point
St-36 (- or + and/or D): calms the Shen; regulates and strengthens Qi and Xue (Blood); strengthens weak and Xu (Deficient) conditions; regulates the Stomach and strengthens the Spleen; regulates and replenishes the Middle Warmer; dispels and eliminates Dampness; removes Cold of Stomach and abdomen; descends Rebellious Qi; relieves nausea and vomiting; disperses Stomach Fire; regulates Ying (Constructive) Qi; spreads Liver Qi; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; treats chronic cases with Heat; 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-43 (-): clears and drains Heat from Yang Ming (Stomach and Large Intestine); harmonizes the Stomach and regulates Stomach Qi; channels flow of Qi to hollow (Yang) organs; brings down Rebellious Qi; Stomach Wood point
St-44 (-): harmonizes the Stomach; cools Heat and drains Dampness from the Stomach and Intestines; regulates Rebellious Qi; stops pain, esp. abdominal pain with fever; descends the Turbid; Stomach Water point
• St-45 (-): pacifies the Shen; facilitates flow of Qi; clears and disperses Heat from the upper body and Yang Ming (Stomach and Large Intestine) channels, esp. Stomach Heat; sedates pain; Stomach Jing Well, Metal and Dispersion point
Sp-9 (+): regulates and tonifies the Spleen (especially Yang); regulates the Stomach (especially Yin); warms and moves the Middle Warmer; reestablishes harmony between Spleen and Stomach (Matsumoto); transforms Damp Stagnation and eliminates Phlegm-Dampness, esp. through promotion of diuresis; benefits the Lower Warmer; Spleen He Sea Uniting and Water point
Sp-6 (+ and/or D): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; clears Fire due to Xu (Deficiency); strengthens the Spleen and tonifies the Qi; nourishes and moves the Xue (Blood); transforms Xue Yu (Blood Stasis); aids transportation and transformation to improve digestion and nourishment; frees Qi Stagnation and spreads Liver Qi; warms the Middle and Lower Warmers; tonifies the Kidney; transforms Dampness and Heat; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+ and/or D): pacifies the Shen; clears Heat; dispels Cold from the abdomen and relieves pain (D) - note: better than Sp-3 for pain (Finkelstein, p. 26); adjusts and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; descends Rebellious Qi and suppresses vomiting; regulates and stabilizes the Stomach; regulates the appetite; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); 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 poin; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
Sp-3 (+): clears Heat; regulates and strengthens the Spleen (especially Qi and Yang); regulates the Stomach (especially Yin and Qi); harmonizes the Middle Warmer; promotes transporting function; transforms and expels Dampness and Damp-Heat; regulates the Middle and Lower Warmers; Spleen Yuan Source, Earth and Horary point
• Kd-7 (+): clears Heat and nourishes Yin; strengthens the Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; tonifies the Liver via the mother/child relationship; disperses Stagnation; Kidney Metal and Tonification point
Kd-3 (+ and/or 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; warms Cold; cools and descends Heat; pacifies Xu (Deficiency) Fire; tonifies Kidney Yang and Ming Men Fire (D); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point
Lv-3 (-): pacifies the Shen; regulates and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; subdues Liver Yang; suppresses Rebellious Qi to stop vomiting; calms the Stomach and expands the chest; tonifies Liver Xue (Blood); opens the channels and relaxes spasms; sedates pain; Liver Yuan Source and Earth point
Lv-2 (-): calms the Shen and eases the Mind; disperses Stagnant Liver Qi; drains Fire of the Liver and Gall Bladder; subdues Yang Shi (Excess); soothes and loosens the Liver to release Liver Qi; relaxes spasms; Liver Fire and Dispersion point


footnotes