-IBIS-1.5.0-
tx
respiratory system
tuberculosis
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Lung Yin Xu (Deficiency); Lung Qi Xu (Deficiency); Spleen and Kidney Yang Xu (Deficiency); Kidney Yin Deficiency with Empty Fire Blazing

combinations:
• Lu-6, St-36, jie he xue, GV-14 and UB-13 for pulmonary tuberculosis; can also add: UB-17 and Lu-1 for hemoptysis; Lu-9 for cough; Ht-6 for night sweats; Ht-7 for insomnia and irritability; Sp-4 and CV-12 for lack of appetite; St-25 for loose stools; Kd-3 and Sp-6 for irregular menstruation or spermatorrhea; UB-23, CV-4 and CV-17 (all D) for dyspnea and sensitivity to cold (Shanghai, p. 587-588; Lee and Cheung, p. 231)
• Lu-5; GV-14 joined to jie he xue and CV-20 joined to CV-21 for pulmonary tuberculosis (Shanghai, p. 242)
• thread UB-10 to UB-13 and GV-14 to jie he xue, CV-17 to CV-18, or CV-20 to CV-21, Lu-5 and St-36 for pulmonary tuberculosis (Shanghai, p. 198)
• Lu-1, jie he xue, fei re xue and UB-13 for pulmonary tuberculosis (Shanghai, p. 246)
• UB-38/43, UB-13 and UB-23 (D all) for pulmonary tuberculosis (Shanghai, p. 201)
• Lu-10, Lu-5, PC-5, Ht-7, Lu-9, PC-8, Lv-8, Kd-3, Kd-2, Lv-3, UB-13 (one-hundred cones of direct moxa), UB-18 (3 cones of direct moxa) and UB-20 (two cones of direct moxa) (Lee and Cheung, p. 232; Shanghai, p. 588)
• bai lao, UB-13, CV-12 and St-36 for pulmonary tuberculosis with cough and red sputum (Lee and Cheung, p. 232; Shanghai, p. 588)
• Lu-7, Lu-9, Lu-5 and St-36 (also consider Ht-7, Lu-10 and PC-7) for tuberculosis with hemoptysis; for cough add GV-14, UB-13 and St-40; for insomnia add Ht-7, Sp-6 and Lv-3; for chest pain add TW-6 and Ht-6; for night sweats add SI-3 and LI-4 (Lee and Cheung, p. 232; Shanghai, p. 588-589)
• Lu-1 and UB-17: lead the Xue (Blood) to return into the channels, esp. with hemoptysis (Finkelstein, p. 1)
• Lu-6 and UB-17: treat expectoration of blood (Finkelstein, p. 2)
• Lu-5 and Lu-7: spread Lung Qi to treat cough and hemoptysis (Finkelstein, p. 2)
• Lu-5, Lu-6 and LI-4 treat hemoptysis (Finkelstein, p. 2)
• Lu-6, LI-11 and UB-13 for hemoptysis (Shanghai, p. 243)
• LI-16, Lu-5, Lu-6 and Lu-10 for coughing blood (Shanghai, p. 225)
• UB-13 and St-40: "For wind damage with constant coughing that eventually develops into consumption, needle UB-13 to treat the cough and St-40 to eliminate copious phlegm." (Ellis, et al, 1988, p. 203)
• Kd-1, CV-4 and St-40 for consumptive coughing (Shanghai, p. 298)
• UB-37/42 and UB-38/43: "provide a way to treat consumption" (Ellis, et al, 1988, p. 221)
• bai lao and UB-38/43 for consumptive disorders (Shanghai, p. 201)
• UB-60 and UB-61 for laryngeal tuberculosis (Shanghai, p. 282)
• TW-10 and SI-8 for scrofulous lumps (Ellis, et al, 1988, p. 286)
• bai lao, TW-10, zhou jian and local enlarged lymph node (five to seven cones of direct moxa each in rotation) for tubercular adenitis (Lee and Cheung, p. 234; Shanghai, p. 589)
• UB-13 and UB-38/43 (D): strengthen the Lung (Finkelstein, p. 39)
• UB-13, Lu-9 and St-40: regulate the Lung (Finkelstein, p. 39)
• UB-13 and CV-17: regulate function of the Lung and smooth Qi circulation (Finkelstein, p. 39)
• Lu 5, Lu-6 and Lu-10: cool Heat, arrest bleeding, clear Lung, and suppress Fire
• UB-13 and Lu-5: reduce Heat, clear the Lung, and stop coughing (Finkelstein, p. 39)
• Lu-5 and Kd-7: clear Lung and nourish Yin when Lung Heat has injured the Body fluids (Maciocia, p. 370)
• si hua (UB-17 and UB-19): strengthen and nourish Xue (Blood); used in treating emaciation, chronic consumptive diseases, weakness in bones and other Xue Xu (Blood Deficiency) aspects of tuberculosis
• UB-38/43 and St-36: treat emaciation related to the "five taxations" (Ellis, et al, 1988, p. 222)
• CV-6 and St-36 (+ and/or D both) with UB-38/43 to enhance and balance actions of UB-38/43 (Finkelstein, p. 47)
• UB-38/43, CV-4 and St-36 (D) for general weakness caused by prolonged illness (Shanghai, p. 201)
• UB-26 and UB-28 for Wind consumption with lower back pain (Shanghai, p. 213)


point analysis

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palpate and consider:
bai lao (-): clears Heat and disperses Stagnation; facilitates flow of Qi and Xue (Blood); disperses scrofulous nodules; facilitates flow of Lung Qi; disperses Xue Yu (Blood Stasis) and facilitates flow of effused blood
jie he xue (- and/or D): point specific for pulmonary tuberculosis and scrofula; located 3.5 cun lateral to GV-14
• yao yan (+): strengthens the lower back; regulates menstruation; treats tuberculosis and emaciation
• GV-15 (-): benefits the throat and treats tuberculous cervical lymphadenitis; frees the channels; removes Obstruction from the collateral vessels; stops pain; Sea of Bone Marrow Exit point; Sea of Marrow point
GV-14 (-): cools and drains Heat; reduces fever; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; clears the Shen, calms the Soul, and pacifies the Will; opens and restores the Yang by spreading Yang Qi through the Du Mai (Governing Vessel) and whole body; regulates and stimulates the flow of Qi; regulates the Xue (Blood); opens the Lung and transforms Phlegm; clears Lung Heat; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
• GV-13 (-): tonifies Wei (Protective) Qi; pacifies the Shen and clears the Mind; spreads Yang Qi through the Du Mai (Governing Vessel); regulates Yang channels; purifies Yang of the whole body; diffuses Lung Qi; Entry point of the Sea of Qi, with GV-14
• SI-11 (-): stimulates flow of Qi; diffuses Qi Stagnation in the chest and lateral costal region; frees the channels and invigorates the collateral vessels; increases strength in arms; reduces swelling; sedates pain
UB-11 (= and/or +): connects the Du Mai (Governing Vessel) to the Shu Associated points; distributes Bladder Qi and Jing-Ye (Yin) to all the dorsal Shu points, thus cooling them (Finkelstein, p. 38); removes Obstruction of Qi circulation of the Tai Yang channels (Bladder and Small Intestine) and Du Mai (Governing Vessel) of the upper back; regulates the Lung and diffuses Lung Qi; sedates cough; expands and relaxes the chest; strengthens all bones and joints; facilitates Xue (Blood) flow; invigorates the collateral vessels; treats tuberculosis of the bones; Hui Reunion point of the Bones; Sea of Xue (Blood) upper entry point
• UB-12 (-): ventilates and dispels pathogenic Heat from the Yin channels; disperses Yang Shi (Excess) in all Yang channels without draining body fluids; transforms Phlegm; opens and volatilizes the Lung; regulates and spreads Lung Qi; strengthens the dispersing function of Lung; disperses perverse Heat from the chest; expands and relaxes the chest; regulates Qi circulation; treats pulmonary tuberculosis; Gate for entrance and departure of Feng Qi (Wind Qi); Shu point of Bones and Xue (Blood) (Banever, p. 59)
UB-13 (+ and/or D): reduces fever; clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Lung and Upper Warmer; descends Rebellious Qi; strengthens and promotes the circulation of the Lung Qi; transforms Phlegm; stops coughing; activates dispersing function of the Lung to spread Lung Qi; expands and relaxes the chest; regulates the Upper Warmer; tonifies the Lung; harmonizes the Ying and Xue (Blood); esp. treats pulmonary tuberculosis; Lung Shu Associated point
• UB-37/42 (-): regulates the Lung; diffuses Lung Qi; redirects Rebellious Qi downward; treats pulmonary tuberculosis; Lung psychospiritual associated point
UB-38/43 (+ and/or D): regulates the Shen; strengthens Xu (Deficiency) conditions; treats all chronic disease; clears Empty Heat; regulates the Lung Qi; supplements the Lung and fortifies the Spleen; strengthens the Xue (Blood); stimulates hematopoesis; tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; descends Rebellious Qi; transforms Phlegm; Pericardium psychospiritual associated point
• UB-17 (- or + and/or D): tonifies the Qi; nourishes and invigorates the Xue (Blood) (esp. invigorates with D); transforms Xue Yu (Blood Stasis) and disperses Obstruction; nourishes Dry Xue (Blood); channels blood back to the vessels (e.g., hemoptysis); enriches Yin; generates Fluids; expands the chest and diaphragm; strengthens Xu (Deficient) conditions and increases stamina; Hui Reunion and Master point of the Xue (Blood)
• UB-18 (+ and/or D): pacifies the Shen; drains and tonifies 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; Liver Shu Associated point
• UB-19 (-): regulates the Qi and calms the emotions; nourishes Xue (Blood); expands the diaphragm and opens the chest; treats axillary lymphadenitis, tuberculosis of the lymph glands and pulmonary tuberculosis; Gall Bladder Shu Associated point
UB-20 (+ and/or D): regulates Spleen Qi; tonifies the Spleen and benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); nourishes and contains the Xue (Blood); warms the Middle Warmer (D); resolves Phlegm; provides strength to the extremities; Spleen Shu Associated point
UB-23 (+ and/or D): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); prevents or relieves general stress fatigue (Finkelstein, p. 44); strengthens Kidney function of reception of Qi; strengthens Yang and Qi Hai; controls the bones and strengthens the spine; Kidney Shu Associated point
Lu-5 (-): opens and clears the Lung; discharges Lung Fire and benefits Lung Yin; cools and clears Upper Warmer Heat; stimulates descending of Lung Qi and calms wheezing; aids difficult inhalation (Matsumoto); suppresses Rebellious Qi of Lung; stops bleeding (hemoptysis); expels Phlegm from the Lung; benefits the Kidney; Lung He Sea Uniting, Water and Dispersion point
Lu-6 (=): opens and adjusts the Lungs; regulates Lung Qi; suppresses Rebellious Lung Qi and causes Lung Qi to descend; disperses Fire from Lung; resolves cough; cools and clears the throat; moistens the Lung; stops bleeding (hemoptysis); Lung Xi Cleft Accumulation point
• Lu-7 (+): opens the Lung; spreads Lung Qi by stimulating the descending and dispersing of Lung Qi; calms wheezing; resolves Phlegm and clarifies Mucus; opens and regulates the Ren Mai (Conception Vessel); regulates the Yin Qiao Mai (Yin Motility Vessel); Lung Luo Connecting and Exit point of the Hand Tai Yin (Lung) channel; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel); takes Yuan (Original) Qi back to the Lung that has not been absorbed by the Yang Ming and therefore ensures the Qi feedback into the Kidney (Metal to Water) (Finkelstein, p. 3)
Lu-9 (+): regulates all Yang Qi; ventilates and moistens the Lung; facilitates circulation of Lung Qi; tonifies Lung Qi and Lung Yin; cools and clears Heat in the Lung, Liver and throat; clears and descends the Upper Warmer and Lung Qi; increases oxygen absorption; transforms Phlegm, calms wheezing and stops coughing; stops bleeding (hemoptysis); Lung Yuan Source, Earth and Tonification point; Hui Reunion point of Xue (Blood) vessels
• Lu-10 (-): clears Fire and Heat generally; benefits and moistens the Lung and throat; cools and clears Heat in the Lung; Lung Fire point
• Lu-11 (- and/or bleed): clears Fire from the Lung (bleed); cools and clears the Lung; moistens the throat; clears, regulates and benefits the pharynx; relieves pain and swelling of the throat; regulates and discharges Rebellious Qi Fire in the twelve channels (Ellis, et al, 1988, p. 87); Lung Jing Well and Wood point
PC-6 (+): pacifies the Shen; regulates the Qi; opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes and spreads the Qi in the Upper and Middle Warmers; releases and expands the diaphragm; regulates Liver Qi and relieves Liver Qi Stagnation; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the chest; regulates the Chong Mai (Penetrating Vessel); 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)
• Ht-6 (=): pacifies the Shen; nourishes Heart Yin; helps check Yang hyperactivity (EAMSS, p. 227); clears Xu (Deficiency) Heat; relaxes the chest and relieves chest pain; reduces excessive perspiration, esp. night sweats; Heart Xi Cleft Accumulation point
• Ht-7 (=): stabilizes the Exterior and stops sweating, esp. night sweats; pacifies the Shen; stimulates secretion of fluids; calms the Heart, soothes irritability, and relieves insomnia; general regulating effect on the inner organs; tonifies and nourishes Heart Yin and Xue (Blood); removes Qi Stagnation in the chest; relieves pain, esp. lateral costal pain; frees the channels; Heart Yuan Source, Earth and Dispersion point
• SI-3 (-): consolidates the Surface and stops sweating; pacifies the Shen and clears the Mind; opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); dispels Dampness and Internal Heat; strengthens the spine and benefits the joints; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
Lu-1 (+): regulates Qi of the Upper Warmer and Lung; stimulates descending of Lung Qi; enhances oxygenation; increases Qi and stamina; nourishes Lung Yin; cools and disperses Heat and Yang from the Upper Warmer, chest and lungs; stops cough; disperses Qi or Phlegm Stagnation; disperses fullness from the chest and stops pain; esp. treats pulmonary tuberculosis; Lung Mu Alarm and Entry point
• Kd-27 (+): regulates and volatilizes the Lung; tonifies Yuan (Original) Qi; expands and relaxes the chest; fortifies the Spleen; stimulates Kidney function of reception of Qi; tonifies Kidney (especially Yang); sedates dyspnea and stops cough; resolves Phlegm; Associated point of all Associated points (Finkelstein, p. 56)
• Kd-25 (+): pacifies the Shen; ventilates the Lung; dissipates Heat; opens the chest; calms dyspnea; stimulates Kidney function of reception of Qi and relieves cough due to Kidney Xu (Deficiency); dissolves Phlegm; regulates flow of Qi; tonifies Kidney (especially Yang)
• CV-21 (=): regulates movement of Qi, esp. facilitates downward flow of Qi; spreads Lung Qi; sets the Upper Warmer in motion and volatilizes the pulmonary air; relaxes the chest; sedates cough; site where Qi of the Ren Mai (Conception Vessel) begins to spill out into the neck and throat (Finkelstein, p. 93)
• CV-20 (=): relaxes the chest and Diaphragm; clears Heat from the Lung; sedates cough
• CV-18 (=): relaxes the chest and facilitates the flow of Qi; sedates cough and dispels Phlegm
CV-17 (=): regulates and smooths Qi circulation in the Upper Warmer; clears the Lung; enhances breathing; reinforces the Zhong (Ancestral) Qi of the chest; reverses adverse flow of Qi in the chest, esp. descends Rebellious Lung Qi; expands the chest and soothes the diaphragm; sedates cough; transforms Phlegm; Pericardium Mu Alarm point; Mu Alarm point of the Upper Warmer; Hui Reunion point of the Qi; Upper Sea of Qi; Center Reunion point of the Breath
• CV-12 (+ and/or D): strengthens the Spleen; transforms Dampness; benefits and soothes the Qi; warms and tonifies the Middle Warmer; 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-8 (ind. D): warms and stabilizes the Yang; warms the Lower and Middle Warmers; strengthens the transporting function of the Spleen and Stomach; esp. with intestinal tuberculosis; palpation: pulsing around CV-8 indicates Spleen Qi Xu (Deficiency), while a puffy navel indicates Kidney Xu (Deficiency) (Matsumoto)
CV-6 (+ and/or D): strengthens and moves the Qi; 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 and tonifies Yuan (Original) Qi; nourishes and invigorates 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 (+ and/or D): pacifies the Shen; grounds the Shen when there is Empty-Heat (Maciocia, p. 207); regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer and strengthens the Spleen; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); separates the Clear and the Turbid; nourishes and stabilizes the Kidney; strengthens the Kidney Qi and warms the Kidney Yang (D); "up to 500 cones of moxa" for consumption due to Xu (Deficiency) (Shanghai, p. 588); Small Intestine Mu Alarm point
• St-25 (+ and/or D): supports Earth and tonifies the Center; regulates Qi, esp. Ying (Constructive) Qi and Wei (Protective) Qi (Finkelstein, p. 15); ascends the Clear and descends the Turbid; Large Intestine Mu Alarm point
St-36 (+ and/or D): disperses noxious Yang and brings down fever; calms the Shen; 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 replenishes the Middle Warmer; spreads Liver Qi and regulates Ying (Constructive) Qi; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; treats chronic cases with Heat (Finkelstein, p. 21); 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 (+ and/or =): calms the Shen; regulates the Lung and relieves chest congestion; calms wheezing; strengthens the Spleen and circulates Spleen Qi; transforms, dissolves and eliminates Phlegm and Dampness; regulates the Intestines; descends the Turbid; strengthens Kidney Yin; invigorates the channels; Spleen Luo Connecting point
Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen and Kidney; clears Fire due to Xu (Deficiency); clears the Lung and loosens congestion in the diaphragm; 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; warms the Middle and Lower Warmers; tonifies the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
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 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; 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 the Qi dynamic; regulates and strengthens the Spleen (especially Qi and Yang); harmonizes the Middle Warmer; promotes transporting function; Spleen Yuan Source, Earth and Horary point
• Lv-3 (+): pacifies the Shen; regulates the Liver; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation and expands the chest; tonifies Liver Xue (Blood); Liver Yuan Source and Earth point
• Kd-7 (+): clears Heat and nourishes Yin; strengthens the Spleen and tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; regulates the pores and sweating; strengthens the bones; Kidney Metal and Tonification point
Kd-6 (+): pacifies the Shen and stabilizes the Will; nourishes the Heart; clears Xu (Deficiency) Fire; opens the Ren Mai (Conception Vessel); clears the Lung and tonifies Lung Yin; benefits the throat; sedates cough, esp. chronic; tonifies the Kidney (especially Yin); moistens dryness; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
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; pacifies Xu (Deficiency) Fire; clears Lung Heat; nourishes the Yin to moisten the Lung, calm wheezing, and sedate cough; tonifies Kidney Yang and Ming Men Fire (D); reinforces the Kidney to accept Qi (Finkelstein, p. 53); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); relieves pain in the bones; Kidney Yuan Source and Earth point
• UB-60 (=): promotes Qi function and Xue (Blood) circulation; treats laryngeal tuberculosis; reinforces the Kidney; frees the channels and collateral vessels; relieves pain; Bladder Fire point
• UB-61 (=): calms the Shen; treats laryngeal tuberculosis; reinforces the Kidney; strengthens the bones; frees the channels and collateral vessels; relieves pain; Entry point of the Yang Qiao Mai (Yang Motility Vessel)


footnotes

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