-IBIS-1.5.0-
tx
digestive system
hepatitis
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Liver Qi Stagnation; Heat in Gall Bladder and Moisture in Stomach channel infiltrating Spleen and Lung channels; Shi (Excess) in Spleen channel; Damp-Heat; Damp-Cold; Qi Stagnation and Xue Yu (Blood Stasis)
» illustrative combinations:
GV-14, GV-9, UB-18, UB-19 and UB-20; may also use corresponding jia ji loci for infectious hepatitis (Lee and Cheung, p. 223)
Lv-4, UB-18 and yi ming for acute infectious hepatitis (Shanghai, p. 292)
Lv-4, PC-7 and Kd-7 for jaundice; also consider: Lv-8 and Kd-4 (listed as 'Kd-5"); GB-21 and SI-14; UB-44/49, St-44, LI-4 and CV-12; LI-2 and LI-13 (Mann, p. 106)
GB-34 and St-36 for infectious hepatitis (Lee and Cheung, p. 223)
Sp-9 and Sp-6 for infectious hepatitis (Lee and Cheung, p. 223)
TW-6, GB-34, UB-18 and UB-48/53 for hepatitis; also consider Lv-13 and Lv-14 (needle followed by cupping) with pain in abdomen; CV-12 (=) and St-36 (=) with Disharmony of the Liver and Spleen (Liu, p. 356)
UB-19, Lv-3, GB-34, UB-18, GV-9, St-36, UB-20, Lv-14 and UB-10 for acute and chronic hepatitis (Lee and Cheung, p. 224)
Lv-8 and Kd-4 (listed as 'Kd-5"); GB-21 and SI-14; UB-44/49, St-44, LI-4 and CV-12; PC-7, Kd-7 and Lv-4; LI-2 and LI-13 for jaundice (Mann, p. 106)
SI-8, GB-38, GB-40, Sp-5, Lv-8, UB-38/43, Sp-10 and UB-54/40 for jaundice (S. de Morant as per Mann, p. 106)
LI-4 and LI-11 (-): disperse Heat to relieve fever
UB-43/48 and UB-19 to treat yellowing of the eyes (Ellis, et al, 1988, p. 225)
UB-18, UB-19 and GB-34 (-): regulate Liver and Gall Bladder; drain Dampness and Heat from Liver and Gall Bladder
UB-19, UB-43/48 and GB-24 (-): eliminate Gall Bladder Heat; benefit Spleen
UB-20 and St-36 (+): strengthen Spleen to transform Damp
SI-4 and PC-8 (-): promote sweating to bring down fever
CV-12 and St-36 (=): resolve Liver-Stomach disharmony; facilitate Qi transformation; clear the Waterways
Lv-14 and Lv-13 (=, then cupping): resolve pain in hypochondriac region (Liu, p. 356)
GB-39, GB-44, TW-5, St-36, TW-6, Lv-13, Lv-4, GB-34, Lv-2, Lv-14, GB-40 and Kd-1 for subcostal pain (Lee and Cheung, p. 224)
Sp-4, St-36, Lv-3 and Sp-6 for distension, fullness and pain in chest and subcostal region (Lee and Cheung, p. 224)
Lv-14, Lv-13, Lv-2, GB-40 and Kd-1 for unbearable pain of chest and subcostal region (Lee and Cheung, p. 224)
Lv-4 and Lv-10 for jaundice and slight fever; GV-6 for jaundice, abdominal distension, loss of appetite; UB-20 for jaundice with frequent yawning, distension of subcostal region, nausea and heaviness of body (Lee and Cheung, p. 224)
point analysis
» palpate and consider:
GV-14 (-): drains Heat; induces sweating to reduce fever; pacifies the Shen; regulates and stimulates the flow of Qi; spreads and facilitates Yang; relaxes the sinews and muscles; Jiao Hui Intersecting point of all Yang channels
GV-9 (-): transforms Damp-Heat; regulates the Qi functions; clears Liver Fire and Heat; regulates the Liver and Gall Bladder
UB-10 (-): dispels Fire; reduces fever; tranquilizes and descends Rebellious Qi; clears and brightens the eyes; strengthens or relaxes the sinews and tendons
UB-18 (-): regulates Liver and Gall Bladder; clears and drains Dampness, Fire and Heat from Liver and Gall Bladder; benefits the eyes and improves vision; moves Stagnant Qi; nourishes Liver Xue (Blood) and Yin; cools Heat in the Xue (Blood); Liver Shu Associated point
UB-19 (-): benefits Spleen; brightens the eyes; regulates the Qi and expands the Diaphragm; cools and drains Heat from the Liver and Gall Bladder; transforms Damp-Heat; Gall Bladder Shu Associated point
UB-43/48 (-): dissipates Heat and Dampness from the Gall Bladder; strengthens the Spleen; Gall Bladder psychospiritual associated point
UB-20 (+): strengthens Spleen to transform Damp; regulates Spleen Qi and benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; reverses Rebellious Stomach Qi; harmonizes and nourishes the Xue (Blood); drains Heat Shi (Excess) from the Middle Warmer; provides strength to the extremities; Spleen Shu Associated point
UB-44/49 (-): strengthens and mobilizes Spleen Qi and Yang; transforms Dampness and Damp-Heat; Spleen psychospiritual associated point
PC-6 (+): regulates Liver Qi and relieves Liver Qi Stagnation; clears Heat; pacifies the Shen; harmonizes and regulates Middle and Upper Warmers; 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; enhances purification and dispersement of the Triple Warmer; relaxes the sinews and clears the vessels; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
TW-6 (-): clears Fire and Heat to relieve fever; 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; relieves pain; Triple Warmer Fire and Horary point
PC-8 (-): promotes sweating to bring down fever; clears Heat and transforms Damp-Heat; cools Heat in the Xue (Blood); harmonizes the Stomach; Pericardium Fire and Horary point
SI-4 (-): promotes sweating to bring down fever; clears Heat; invigorates Tai Yang (Small Intestine and Bladder); disperses Damp-Heat from the Small Intestine; reduces swelling; Small Intestine Yuan Source point
LI-4 (-): pacifies the Shen; induces or stabilizes sweating; disperses Heat to relieve fever; regulates Qi and Xue (Blood); brightens the eyes; elevates Clear Qi and descends Turbid Qi; clears Toxins; eliminates Damp-Heat and stops itching; Large Intestine Yuan Source and Entry point; command point of the face and mouth
LI-11 (-): disperses Heat to relieve fever; regulates and harmonizes Qi and Ying; cools and harmonizes Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; harmonizes the Stomach and regulates the Intestines; eliminates Dampness through the Intestines; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point
CV-12 (=): resolves Liver-Stomach disharmony; strengthens and calms the Spleen; transforms Dampness; transforms and suppresses Rebellious Qi; benefits and soothes the Qi; warms the Middle Warmer, Stomach and Intestines; facilitates Qi transformation; regulates the Intestines and stops excessive bowel movements; facilitates ascension of the Clear and descension of the Turbid; clears the Waterways; Stomach and Middle Warmer Mu Alarm point
CV-10 (=): regulates Middle Warmer; strengthens the Spleen and regulates the Stomach; 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)
Kd-16 (-): harmonizes the Stomach; reverses Rebellious Qi; opens Intestines to drain Toxins; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Independent Associated point of the intestines (Finkelstein, p. 55)
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; relaxes lower rib cage, encourages breathing and relieves pain in hypochondrium; helps transformation and transportation function of the Spleen; strengthens Spleen and Stomach; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); dispels Heat from the Xue (Blood); Liver Mu Alarm point
Lv-13 (d. D): harmonizes Liver and Spleen; spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; benefits Qi; moves Fluids and relieves distension; transforms Damp-Heat; disperses Cold-Damp; regulates circulation of Qi and Xue (Blood); quickens the Xue (Blood) and disperses Xue Yu (Blood Stasis); apply three cones of direct moxa on right side if some pain remains in right loin after jaundice has cleared (So, 1987, p. 213); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
GB-21 (=): clears Heat; spreads Liver Qi; redirects Rebellious Qi downward; disperses Stagnation and stops pain; clears and invigorates the channels
GB-24 (-): invigorates the Gall Bladder and eliminates Gall Bladder Heat; regulates Liver and Stomach; spreads Liver Qi and transforms Damp-Heat; redirects Rebellious Qi downward; benefits Spleen; relieves hypochondriac pain; Gall Bladder Mu Alarm point
St-36 (=): resolves Liver-Stomach disharmony; disperses noxious Yang and brings down high fever; facilitates Qi transformation; clears the Waterways; strengthens Spleen to transform Damp; regulates and strengthens Qi and Xue (Blood); removes Cold of Stomach and abdomen; descends Rebellious Qi to stops vomiting; regulates and replenishes the Middle Warmer; spreads Liver Qi and benefits the Gall Bladder; 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-44 (-): cools and drains Heat and Dampness from the Stomach and Intestines; harmonizes the Stomach; regulates Rebellious Qi; stops pain, esp. abdominal pain with fever; facilitates bowel movements; descends the Turbid; Stomach Water point
Sp-10 (-): clears Heat and Summer-Heat; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat and clears Damp-Heat in the Xue (Blood); perfuses the Lower Warmer; "Sea of Blood"
Sp-9 (-): resolves Damp-Heat; regulates and tonifies Spleen (especially Yang); warms and moves the Middle Warmer; transforms Damp Stagnation, esp. through promotion of diuresis; regulates the Water Pathways; benefits Lower Warmer; Spleen He Sea Uniting and Water point
Sp-6 (+): nourishes Yin, esp. Liver and Spleen Yin; transforms Dampness; aids transportation and transformation to improve digestion and nourishment; clears Fire due to Xu (Deficiency); tonifies Qi and builds the Xue (Blood); regulates Xue (Blood) circulation; frees Qi Stagnation and transforms Xue Yu (Blood Stasis); spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): pacifies the Shen; clears Heat; moves 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; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); 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 point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
GB-34 (-): drains Dampness from and clears Heat of the Liver and Gall Bladder; regulates and harmonizes Liver and Gall Bladder; soothes and regulates Yang of the Liver and Gall Bladder; opens and drains the Gall Bladder to regulate distribution of functional Qi (Finkelstein, p. 68); tonifies Spleen; relieves pain in costal and hypochondriac regions; frees the channels and invigorates the collateral vessels; alleviates pain; Gall Bladder He Sea Uniting and Earth point
Lv-8 (=): drains Liver Fire; nourishes Liver Xue (Blood); clears and cools Damp-Heat; 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; dispels Damp-Heat; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; sedates pain; Liver Xi Cleft Accumulation point
Lv-4 (-): dissipates Heat and Fire in the Liver; dispels Dampness; spreads Liver Qi; frees the channels and facilitates flow of channel Qi; Liver Metal point
Lv-3 (-): pacifies the Shen; clears and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi, esp. Liver Qi; soothes the Liver and spreads Liver Qi Stagnation; cools and drains Heat and Fire from the Liver and Gall Bladder; discharges Damp-Heat in the Lower Warmer; relieves headache; suppresses dizziness; subdues Liver Yang; brightens and benefits the eyes; suppresses Rebellious Qi to stop vomiting; tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis); stops pain; Liver Yuan Source and Earth point
Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens the Kidney; cools and clears Damp-Heat; regulates the pores and sweating; disperses Stagnation; Kidney Metal and Tonification point
Kd-4 (+): nourishes the Shen and Yin; reinforces the Liver and Kidney; regulates the Kidney; facilitates the flow of Qi and Xue (Blood); harmonizes the Xue (Blood); supplements the Jing (Essence); Kidney Luo Connecting point
ear: hepatitis, sympathetic, shen men, spleen, liver, liver yang (1 or 2), triple warmer, pancreas/gall bladder
footnotes