-IBIS-1.5.0-
tx
cutaneous system
skin ulcer
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Xue Yu (Blood Stasis); Qi Xu (Deficiency) with Xue Xu (Blood Deficiency); Damp-Heat; dysfunction of the Yang Wei Mai (Yang Linking Vessel)

» illustrative combinations:
• GV-14, LI-11 and LI-4 (Eisen): treat ulcers on the arms
• UB-54/40 and UB-60 (Eisen): treat ulcers on the legs
• TW-5 and GB-41: open the Yang Wei Mai (Yang Linking Vessel) for which skin problems are a symptom of dysfunction
• LI-11 and Sp-6: remove Obstruction of the channels, transform Xue Yu (Blood Stasis), and treat inflammation anywhere in body as this locus improves immune response (Finkelstein, p. 9)
• LI-11 and TW-6: clear Heat and treat skin abscesses (Finkelstein, p. 9)
• LI-11 and LI-15: regulate Qi circulation of the Lung; promote Xue (Blood) circulation; arrest Wind and dispel pathogenic factors (Finkelstein, p. 9)
• LI-4 and LI-11: clear Heat; eliminates fever; disperse Wind and Summer-Heat; resolve Damp; facilitate Stomach and Intestines to eliminate skin eruptions (Finkelstein, p. 7; Flaws, 1989, p. 77)
• LI-5 and LI-15: disperse extreme Heat related to skin rashes (Ellis, et al, 1988, p. 96)
• Lu-9 and Lu-5: elevate the Clear Yang (Flaws, 1989, p. 84); clear Heat; facilitate Qi to benefit the skin (Finkelstein, p. 4)
• Lu-9 and St-36: strengthen Earth element; engender and invigorate Metal element (Finkelstein, p. 4)


point analysis

»
palpate and consider:
• GV-14 (-): drains Heat; induces sweating; spreads and facilitates Yang; regulates and stimulates the flow of Qi; relaxes the sinews and muscles; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
• UB-15 (-): cools Heat in the Xue (Blood); invigorates circulation of the Qi and Xue (Blood); Heart Shu Associated point
• UB-17 (+ and/or D): regulates, nourishes and invigorates the Xue (Blood) (esp. invigorates with D); transforms Xue Yu (Blood Stasis) and disperses Obstruction; nourishes Dry 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 (+ and/or D): pacifies the Shen; drains and tonifies the Liver and Gall Bladder; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; cools Heat in the Xue (Blood); Liver Shu Associated point
• UB-20 (+ 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; tonifies and harmonizes the Xue (Blood); resolves Damp-Heat in Lower Warmer and in Xue (Blood); warms the Middle Warmer (D); drains Heat Shi (Excess) from the Middle Warmer; resolves Dampness and relieves pain; softens hard masses; provides strength to the extremities; Spleen Shu Associated point
• UB-54/40 (-): clears Heat from the Xue (Blood); transforms Damp-Heat; benefits the lower back, hips, legs and knees; esp. with skin ulcers on the legs; Bladder He Sea Uniting and Earth point
• GB-21 (-): clears Heat; spreads Liver Qi; disperses Stagnation and stops pain; clears and invigorates the channels; treats skin ulcers
• Lu-1 (=): regulates Qi of the Upper Warmer and Lung; enhances oxygenation; increases Qi and stamina; nourishes Lung Yin; cools and disperses Heat and Yang from the Upper Warmer, chest and lungs; disperses Qi Stagnation; relieves painful skin; Lung Mu Alarm and Entry point
• Lu-5 (-): opens and clears the Lung; cools and clears Upper Warmer Heat; regulates the digestive system and the Water Pathways; Lung He Sea Uniting, Water and Dispersion point
• Lu-9 (+): regulates all Yang Qi; moves the Xue (Blood) and restores pulses; ventilates, moistens and regulates the Lung; facilitates circulation of Lung Qi; tonifies Lung Qi and Lung Yin; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; cools and clears Heat in the Lung, Liver and throat; clears and descends the Upper Warmer and Lung Qi; increases oxygen absorption; transforms Dampness; Lung Yuan Source, Shu Stream, Earth and Tonification point; Hui Reunion point of Xue (Blood) vessels
• LI-15 (-): harmonizes the flow of Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; stops pain; benefits skin Qi; limits excessive sweating
LI-11 (-): clears Heat; regulates and harmonizes Qi and Ying; regulates Qi circulation of Lung; regulates, cools and harmonizes the Xue (Blood); improves immune function (Finkelstein, p. 9); harmonizes the Stomach and regulates the Intestines; eliminates Dampness through the Intestines; frees the channels; key point for skin diseases involving Heat in the Xue (Blood); Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
• LI-5 (-): dissipates Heat from the Yang Ming (Large Intestine and Stomach); treats various skin disorders, esp. with itching; Large Intestine Fire point
• LI-4 (-): pacifies the Shen; regulates Qi and Xue (Blood); tonifies Lung Qi and stimulates dispersing function of the Lung; activates Wei (Protective) Qi and stimulates the immune system; induces or stabilizes sweating; tonifies Metal to cool inflammatory processes; regulates Qi and disperses Heat of the Intestines; moves the bowels; elevates Clear Qi and descends Turbid Qi; clears Toxins; eliminates Damp-Heat and stops itching; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
• PC-4 (-): tranquilizes the Heart; clears Heat and cools Xue (Blood) Heat; detoxifies the Xue (Blood); regulates Qi; relieves Obstruction in Jue Yin (Pericardium and Liver); clears the channels, esp. promotes circulation in channels and collateral vessels of chest to remove Stagnation and pain; relieves caused by Hot Xue (Blood); Pericardium Xi Cleft Accumulation point
• TW-7 (-): clears Heat from the Triple Warmer; expels Toxins; soothes the Liver; facilitates circulation of Qi; spreads Liver Qi Stagnation; treats painful skin conditions; Triple Warmer Xi Cleft Accumulation point
• TW-5 (- or +): clears Heat, esp. from Triple Warmer channel; opens and moves the Yang Wei Mai (Yang Linking Vessel); dissolves Toxins; tonifies Wei (Protective) Qi; disperses Qi in the intercostal region; frees the channels to facilitate the circulation of Qi in the channels; invigorates the collateral vessels; alleviates pain; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel)
CV-8 (D on salt): stabilizes the Yang; warms the Lower and Middle Warmers; strengthens the transporting function of the Spleen and Stomach; dries Dampness and regulates Qi; strengthens connective tissue to aid in treatment of any skin disease (Matsumoto) (D on salt); 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, regulates and moves the Qi, esp. in the Lower Warmer; influences the pituitary, thyroid and adrenals (Worsley, 1975, p. B-20); cools Heat in the Xue (Blood); regulates Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates and tonifies Yuan (Original) Qi; Dan Tien (Elixir of Long Life), with CV-5
• CV-4 (+ and/or D): regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); separates the Clear and the Turbid; Small Intestine Mu Alarm point
• CV-3 (-): resolves Damp-Heat in the Lower Warmer and in Xue (Blood); assists the transforming functions of Qi; Bladder Mu Alarm point
• GB-31 (-): detoxifies the Liver and clears mind of toxic thoughts (Finkelstein, p. 68); disperses Wind and Cold; extinguishes Internal Wind; clears Heat and transforms Damp; strengthens the waist, thighs and knees; strengthens bones; relaxes and strengthens sinews and tendons; treats skin ulcers
Sp-10 (=): clears Heat; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat, dissipates Wind, and transforms Damp-Heat in the Xue (Blood); nourishes Xue (Blood) Dryness; 'Sea of Blood"
• St-36 (+ and/or D): facilitates the Lung and regulates Wei (Protective) Qi; regulates and strengthens Qi and Xue (Blood); strengthens weak and Xu (Deficient) conditions; improves general health; regulates the Stomach and strengthens the Spleen; regulates Ying (Constructive) Qi and spreads Liver Qi; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; 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
• Lv-8 (- and/or +): nourishes Liver Xue (Blood) and Yin; clears and cools Damp-Heat; soothes the sinews and tendons; frees and facilitates the Lower Warmer; invigorates the collateral vessels; Liver He Sea Uniting, Water and Tonification point
• Lv-6 (=): removes Stagnancy of Liver Qi; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; sedates pain; dispels Damp-Heat; treats atrophy and emaciation of the feet with skin that is painful, numb and cold (Mann, p. 69); Liver Xi Cleft Accumulation point
• Lv-5 (-): tonifies Liver and Yang; benefits the Qi; spreads Liver Qi and disperses Liver Qi Stagnation; relieves Obstruction in Lower Warmer; Liver Luo Connecting point
• Lv-2 (-): disperses Qi and clears Fire of the Heart; 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; cools Heat in the Xue (Blood); Liver Fire and Dispersion point
• GB-41 (- or +): harmonizes and regulates the Liver and Gall Bladder; removes Stagnancy of Liver Qi; spreads Liver Qi to reduce Xue Yu (Blood Stasis), esp. involving the Liver channel; dispels Damp-Heat; Gall Bladder Wood and Horary point; Couple point of the Yang Wei Mai (Yang Linking Vessel)
• UB-60 (-): promotes Qi function and Xue (Blood) circulation; descends the Turbid; relaxes the sinews, tendons and muscles of the neck, shoulder, waist, back, ankle and foot, esp. the lower back; frees the channels and collateral vessels; relieves pain; Bladder Fire point
• needle Xi Cleft Accumulation points of channels which traverse the affected area "surround the fortress" (Eisen)


footnotes