-IBIS-1.5.0-
tx
nervous system
cerebrovascular accident/TIA
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Penetrating Wind; Liver Fire; Phlegm, esp. Heart Misted by Cold Phlegm; Yang Shi (Excess); Yin Xu (Deficiency); Liver Yang Rising Causing Liver Wind; Stirring of Liver Wind

» illustrative combinations:
• yin tang, LI-11, St-36 and Lv-3: prevent stroke (Finkelstein, p. 95)
• GV-15, PC-8, Sp-6, Kd-1, Kd-3, CV-12, GB-30, St-36 and LI-4 are the Nine Needles for Returning the Yang (Li, p. 627-628; Ellis, et al, 1988, p. 66)
• GV-20, Lv-3, Kd-1, CV-22, St-40, PC-6, LI-11, Ht-5 and CV-23 for a cerebrovascular accident due to closed-type Wind-stroke caused by Liver Yang Rising with accumulation of Phlegm (Jirui and Wang, p. 145)
• GV-15 and TW-1 to treat "sluggish tongue and inability to speak" (Ellis, et al, 1988, p. 380)
• GV-15, CV-23, St-6, Ht-5 and CV-22 to treat apoplexy, aphasia, and sudden loss of voice (Flaws, 1989, p. 98)
• LI-15, LI-11, LI-4 and jing bi to treat stroke, hemiplegia, rheumatic arthritis, infantile paralysis in the upper limbs (Flaws, 1989, p. 100)
• LI-15, LI-11, LI-4, TW-5, zhi tan #1 and bi zhong (can also use: TW-14, LI-10, TW-4 and TW-3) for sequelae of cerebrovascular accident effecting the upper limb(s) (Shanghai, p. 620)
• GB-30 and GB-34 to treat strokes, hemiplegia, rheumatic arthritis, and infantile paralysis in the lower limbs (Flaws, 1989, p. 100)
• GB-30, GB-31, GB-34, lan wei xue, GB-39, St-41, jiu nei fan, jiu nei fan #1, jiu nei fan #2, and St-36 (can also add: tan li, luo di, UB-60, Lv-3, GB-41 and UB-64) for sequelae of cerebrovascular accident effecting the lower limb(s) (Shanghai, p. 621; Lee and Cheung, p. 250)
• CV-22 and CV-23 (-): resolve Phlegm and open Orifices to clear throat and restore speech
• GV-26, 12 Jing Well points, Kd-1, PC-8, GB-20, PC-6, LI-4 (also consider CV-4, CV-6, St-36, PC-7, Lv-2, St-25, St-37, CV-17, UB-23, GV-4, Lv-3, GB-34, CV-22 and St-40) for collapse type of stroke (Lee and Cheung, p. 249)
• LI-15 , LI-11, LI-4, TW-5, lan wei xue, shen xi and bi zhong (also consider TW-14, LI-10, TW-4, TW-3, etc., select and match accordingly) for sequelae of cerebrovascular accident effecting the upper limb(s) (Lee and Cheung, p. 249)
• shang lian quan and Ht-5 (also consider GV-15 and Kd-6) for dysarthria, rigidity of tongue and dyscatabrosis (Lee and Cheung, p. 250)
• TW-17, St-4, St-2, St-6, LI-4 and qian zheng (also consider UB-2, GB-14, GV-26, SI-18 and jia cheng jian) for distortion of mouth and eyes (Lee and Cheung, p. 250)
• LI-11, LI-5, LI-4, TW-3, LI-10, GB-38 and UB-60 for paralysis (Lee and Cheung, p. 252)
• LI-4, LI-10, GB-21, LI-11, GB-30, Sp-10, GB-34, Sp-9, St-36, GB-39 and UB-60 for cerebrovascular accident with hemiplegia (Lee and Cheung, p. 250)
• GV-16 and GV-20: treat brain disorders (Finkelstein, p. 81)


point analysis

»
points for palpation and consideration to restore consciousness:
GB-20 (-): expels External Wind; dissipates Internal Wind; awakens the Shen and clears the Brain; opens the Orifices; subdues Liver Yang to calm and regulate the Liver and Gall Bladder; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
GV-16 (=): calms the Shen and quiets the Soul; benefits and clears the Brain; opens the sensory Orifices; drains Fire; eliminates Yang Shi (Excess) from upper body and cleanses Yang which has been obscured by Phlegm; stimulates central nervous system (Finkelstein, p. 80); eliminates Liver Wind; Window of the Sky point; sends a vessel directly into the brain; directly linked to CV-23; Sea of Marrow point
GV-20 (bleed): clears senses; benefits and clears brain; revives consciousness; extinguishes Liver Wind; subdues ascending Liver Yang; calms Shen; spreads Liver Qi
UB-7 (-): eliminates Wind from upper body; connects with the brain (Finkelstein, p. 38); dispels Wind, Wind-Cold and Wind-Heat; clears the nose
GV-26 (-): pacifies the Shen; revives consciousness; restores collapsed Yang; clears the senses; regulates the Du Mai (Governing Vessel); dispels Wind and Wind-Phlegm; transforms Heart Phlegm
• CV-22 (-): regulates the pharynx, benefits the throat, and clears the voice to restore speech; transforms and eliminates Phlegm; Window of the Sky point
• CV-23 (-): clears Fire and Heat; benefits the tongue; opens and moistens the throat; transforms Phlegm; revives the sensory organs from unconsciousness; meeting point of the Kidney and Heart (Finkelstein, p. 93); directly linked to GV-16
• LI-11 (bleed): revives from fainting; dispels Wind; frees the channels; regulates Qi and Xue (Blood); clears throat; Large Intestine Earth and Tonification point
PC-6 (+): pacifies the Shen; resolves Phlegm; clears senses; awakens the Brain by improving intracranial circulation; regulates Qi; eases swallowing; Pericardium Luo Connecting point
Ht-5 (=): pacifies the Shen; regulates Heart Qi; brings Fire down from the head and relieves stiffness of the tongue and slurred speech from Wind-stroke; clears Heart Fire and Xu (Deficiency) Heat; Heart Luo Connecting point
St-40 (-): pacifies the Shen; dispels Wind; invigorates the channels; transforms Phlegm and Dampness; Stomach Luo Connecting point
• Sp-6 (+): nourishes Yin to counter ascending Liver Yang; clears Fire due to Xu (Deficiency); transforms Xue Yu (Blood Stasis); frees Qi Stagnation; Jiao Hui Intersecting point of the three Foot Yin channels
Lv-3 (bleed, later -): pacifies the Shen; promotes smooth flow of Qi and Xue (Blood); extinguishes Liver Fire; subdues Liver Yang; expels Interior Wind; regulates the Xue (Blood); soothes the Liver; Liver Yuan Source and Earth point
Kd-1 (-) or (bleed): pacifies the Shen; restores collapsed Yang; revives consciousness; clears Fire and Heat (especially in the head); nourishes Kidney Yin (and thereby suppresses Liver Fire); Kidney Jing Well and Wood point

» after consciousness regained, points to add:
scalp palpate and consider: according to locations affected to clear and reinvigorate the brain, and facilitate flow of Qi
• Ht-7 (+): general sedative and regulating effect on the inner organs; nourishes Heart Xue (Blood); opens the Orifices; frees the channels; Heart Yuan Source, Earth and Dispersion point
• Kd-6 (+): pacifies the Shen and stabilizes the Will; nourishes the Heart; cools and clears Heat; clears Xu (Deficiency) Fire; stimulates adrenals (Finkelstein, p. 53); brightens the eyes and sends Zhong (Ancestral) Qi to the eyes via the Yin Qiao Mai (Yin Motility Vessel); clears the Lung and tonifies Lung Yin; benefits the throat; tonifies Kidney (especially Yin); eliminates excess fluid retention and initiates diuresis; frees the channels and invigorates the collateral vessels; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)

ear: shen men, kidney, brain stem, heart, dermis/subcortex, occiput


footnotes