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Chinese patterns
Heart Xue Yu (Blood Stasis)
acupuncture

patterns and combinations

Heart Xue Yu (Blood Stasis)

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principle of treatment: resolve the Stagnancy; regulate Xue (Blood); tonify and warm Heart Yang; pacify the Shen

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illustrative combinations:
during angina: PC-4, UB-17 and CV-17 (all -) to stimulate Xue (Blood) circulation, remove Stagnation, and reduce Phlegm (Ross, 1985, p. 128); bleed shi xuan (EAMSS, p. 211)
between episodes of angina: UB-14, UB-20, UB-23, PC-6, St-36 and Kd-3 (all + or = and D) to strengthen Heart Yang and warm Spleen and Kidney Yang (Ross, 1985, p. 129)
UB-14 and PC-6 (-): regulate Qi of the Heart and Pericardium channels; reinforce Yang of Heart and Pericardium


point analysis

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acupuncture points:
UB-14 (-): disperses Yang Shi (Excess) in the Jue Yin (Pericardium and Liver); regulates and tonifies the Heart (especially Qi and Yang); expands and relaxes the chest; spreads Liver Qi; frees the channels and invigorates the collateral vessels
UB-15 (=): regulates the Xue (Blood) and Qi of the Heart; calms the Heart and the Shen; quiets the Mind and the Soul; strengthens Heart Qi and nourishes Heart Xue (Blood); transforms Heart Phlegm; invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); relaxes and expands the chest, and benefits the Qi; Heart Shu Associated point
UB-17 (-): regulates, nourishes and invigorates the Xue (Blood) (esp. invigorates with D); transforms Xue Yu (Blood Stasis); disperses Obstruction and invigorates Xue (Blood) circulation; reduces Phlegm; enriches Yin; expands the chest and diaphragm; strengthens Xu (Deficient) conditions and increases stamina; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-20 (+ and/or D): tonifies the Spleen and regulates Spleen Qi; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); warms the Middle Warmer and Spleen Yang (D); resolves Phlegm; provides strength to the extremities; Spleen Shu Associated point
UB-23 (+ and/or D): strengthens Qi Hai; tonifies the Kidney; nourishes Yin and Xue (Blood); warms the Yang to resolve Phlegm; Kidney Shu Associated point
LI-11 (-): harmonizes Xue (Blood) and Ying (Constructive) Qi; benefits sinews, tendons and joints; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point
PC-4 (-): calms the Shen and tranquilizes the Mind; pacifies and tranquilizes the Heart; regulates Heart Qi; promotes circulation in channels and collateral vessels of chest to remove Stagnation and pain; particularly useful for stopping Heart pain during acute attack; opens the chest and expands the diaphragm; Pericardium Xi Cleft Accumulation point
PC-6 (-): regulates Heart Xue (Blood); opens the chest; quiets the Shen; regulates the Qi; tranquilizes the Heart; transforms Xue Yu (Blood Stasis) - main point (Maciocia, p. 213); builds Zhong (Ancestral) Qi in the chest; harmonizes and regulates Middle and Upper Warmers; spreads the Qi in the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); improves circulation of Xue (Blood) Yin of the Heart thus countering Yang of the Heart (Finkelstein, p. 58); clears and spreads Qi in Pericardium channel; releases and expands the diaphragm; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; regulates the Chong Mai (Penetrating Vessel); relaxes the sinews and clears the vessels; relieves pain; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
Ht-7 (-): quiets the Shen; moves Stagnancy; opens the Orifices; stabilizes the Exterior and stops sweating, esp. night sweats; calms the Heart; relieves palpitations, insomnia and fear; general sedative and regulating effect on the inner organs; nourishes Heart Xue (Blood); removes Qi Stagnation in the Heart; regulates and tonifies the Heart, esp. Heart Qi; relieves pain, esp. lateral costal pain; frees the channels; Heart Yuan Source, Earth and Dispersion point
Ht-8 (-): clears Heart Phlegm Fire; pacifies the Shen; strengthens the Heart and regulates Heart Qi; treats Heart Shi (Excess) patterns; regulates flow of Qi; facilitates the flow of Xue (Blood) through the vessels; Heart Fire and Horary point
shi xuan (bleed): open the Orifices and clear Heat during acute episode
CV-17 (=; possibly also d. D): invigorates circulation of Qi and Xue (Blood), esp. in chest; removes Stagnation and transforms Phlegm; calms emotions; regulates and smooths Qi circulation in the Upper Warmer; clears the Lung; enhances breathing; reinforces the Zhong (Ancestral) Qi of the chest; expands the chest and soothes the diaphragm; suppresses nausea; d. D after needling with Heart Yang Xu (Deficiency); Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi; Center Reunion point of the Breath
CV-12 (+): builds Heart Yang; strengthens and calms the Spleen; transforms Dampness; benefits and soothes the Qi; 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)
St-36 (+ and/or D): warms Spleen Yang to transform Phlegm; calms the Shen; regulates and strengthens Qi and Xue (Blood); disperses Stagnation in the Upper Warmer, esp. cracks Xue Yu (Blood Stasis) in the chest; builds Heart Yang; strengthens weak and Xu (Deficient) conditions; nourishes Kidney, Liver and Spleen; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
St-40 (-): transforms, dissolves and eliminates Phlegm, if present; clears and calms the Shen; strengthens the Spleen; Stomach Luo Connecting point
Sp-10 (-): regulates and invigorates the Xue (Blood); harmonizes and tonifies Ying (Constructive) Qi; nourishes Xue (Blood) Dryness; "Sea of Blood"
Sp-4 (-): invigorates the Xue (Blood); pacifies the Shen; harmonizes the Chong Mai (Penetrating Vessel) and strengthens the Spleen; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); 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)
Kd-3 (+ and/or D): warms Kidney Yang to transform Phlegm; 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; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney 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.

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.