-IBIS-1.5.0-
tx
nervous system
Meniere's disease
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
vertigo: Spleen Xu (Deficiency) with invasion of pathogenic Phlegm and Damp; Kidney and/or Liver Yin Xu (Deficiency) causes Liver Yang in form of Wind to ascend; Stomach Qi Xu (Deficiency) with Phlegm; Kidney and Spleen Yang Xu (Deficiency); Heart Xue Xu (Blood Deficiency) and/or Liver Xue Xu (Blood Deficiency)

» therapeutic note: see also "tinnitus","vertigo" and "motion sickness"

» illustrative combinations:
• GB-20, Lv-3, TW-17, SI-19 and PC-6 (also consider: St-36, CV-12, Kd-3 and an mian) for Meniere's disease (Shanghai, p. 685)
• TW-17, an mian, UB-62 and Lv-3 for Meniere's disease (Shanghai, p. 283)
• GB-20, LI-4, Sp-6, St-36, PC-6 and Lv-3 for Meniere's disease (Liu, p. 435)
• GB-20, UB-23, LI-4, St-40, St-41 and UB-62 for Meniere's disease (Shanghai, p. 685)
• (1) needle qian faji (listed as "faht jei") rapidly and shallowly and squeeze out a few drops of blood; (2) needle St-36, UB-62 and GB-20; (3) GV-20, GV-24 and GV-23: apply indirect moxa with ginger or 3 cones of direct moxa; if no response, apply 3 to 5 green bean size cones of direct moxa to St-36; consider also: GV-4, UB-23, UB-22 and GB-21 for Meniere's Syndrome (So, 1987, p. 151)
• TW-21 and GB-2: open the ear; spread the Qi; benefit hearing (Flaws, 1989, p. 86; Finkelstein, p. 65)
• TW-17, SI-19, ting cong and ting xue for tinnitus (Shanghai, p. 161)
• Lv-3, TW-3, GB-20 and GB-41(-): subdue ascendant Liver Yang, clear Liver Heat (Ambrose)
• GB-2 and TW-17: communicate with the ears, reduce tinnitus (Ambrose)
• PC-6 and St-36: harmonize the Middle Warmer, reduce vomiting (Ambrose)


point analysis

»
palpate and consider:
GB-20 (-): pacifies and dissipates Liver Wind; reduces and relieves Heat; clears the Brain; benefits the ears and sharpens the hearing; maintains function of inner ear, esp. that of equilibrium; subdues ascendant Liver Yang and Fire to calm and regulate the Liver, esp. disperses and descends Liver Yang from the head; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; "Wind Pond"
• an mian (-): local point to facilitate Qi circulation; pacifies the Shen; clears the Brain
• UB-15 (+): regulates the Xue (Blood) and Qi of the Heart; nourishes Heart Xue (Blood) and tonifies Heart Yin; invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); Heart Shu Associated point
• UB-17 (+ or D): tonifies the Qi; nourishes and invigorates the Xue (Blood) (esp. with D); enriches Yin; strengthens Xu (Deficient) conditions and increases stamina; harmonizes Stomach Qi; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-18 (- or +): tonifies and/or drains the Liver; extinguishes Liver Wind; clears Liver Fire and Heat; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; harmonizes the Stomach and benefits the Qi; Liver Shu Associated point
UB-20 (+): regulates Spleen Qi; enhances Spleen Yang to mobilize Stagnant Qi; reverses Rebellious Stomach Qi; drains Heat Shi (Excess) from the Middle Warmer; resolves Dampness and Phlegm; Spleen Shu Associated point
• UB-21 (- or +): regulates the Stomach Qi; harmonizes the Stomach and strengthens the Spleen; warms and reinforces the Middle Warmer (D); benefits the Zhong (Ancestral) Qi and cultivates Yuan (Original) Qi; descends Rebellious Qi; transforms Dampness; Stomach Shu Associated point
• UB-22 (+): regulates San Jiao collectively, and the Upper, Middle and Lower Warmers individually; tonifies the Kidney; eliminates Dampness; regulates the transforming function of Qi; expels stones; Triple Warmer Shu Associated point
UB-23 (+): benefits the ears; strengthens the Heart (Ross, 1985, p. 130); tonifies and adjusts the Kidney; strengthens Yang and Qi Hai; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; resolves Dampness; Kidney Shu Associated point
• GV-4 (+): clears the Brain; nourishes the Yuan (Original) Qi; strengthens the Kidney; benefits and replenishes the Kidney Yang; reinforces and astringes the Jing (Essence)
• GV-20 (D): warms the Yang and causes Yang to ascend (D); regulates and tonifies the Qi (D); adjusts Qi of the Du Mai (Governing Vessel); elevates the Clear Qi; spreads Liver Qi; extinguishes Liver Wind from upper body and pacifies Liver; apply indirect moxa with ginger or three cones of direct moxa (So, 1987, p. 151); Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
GV-23 (= or D): clears Heat; relieves vertigo; apply indirect moxa with ginger or 3 cones of direct moxa (So, 1987, p. 151); "upper star"
• GV-24 (D): pacifies the Shen and settles the Heart; calms the Liver and extinguishes Wind; apply indirect moxa with ginger or 3 cones of direct moxa (So, 1987, p. 151)
qian faji: needle then bleed few drops (So, 1987, p. 151)
• GB-2 (-): communicates with the ears; reduces tinnitus; clarifies the senses; clears blockage and restores circulation of Qi in Gall Bladder channel near the ear
TW-17 (-): benefits hearing and vision; opens the Orifices; communicates with the ears; reduces tinnitus; frees the channels
• TW-21 (-): disperses Heat; opens the ear and benefits hearing; frees the channels and invigorates the collateral vessels
SI-19 (-): clears Heat; pacifies the Shen; loosens and regulates Qi of ear; benefits the ear
• GB-21 (-): clears Heat; extinguishes Liver Wind; dissolves Phlegm; descends Rebellious Qi; clears and invigorates the channels
PC-6 (= or +): clears Heat; regulates the Qi; harmonizes and regulates Middle and Upper Warmers; regulates Heart Qi and Xue (Blood); regulates Liver Qi and relieves Liver Qi Stagnation; harmonizes the Stomach; 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; drains the Triple Warmer; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
TW-3 (-): clears Heat; facilitates the circulation of Qi; benefits the ear and clears the head; Triple Warmer Wood and Tonification point
LI-4 (-): pacifies the Shen; regulates Qi and Xue (Blood); tonifies Metal to cool and restrain Wood, esp. the Liver; elevates Clear Qi and descends Turbid Qi; clears Toxins; Large Intestine Yuan Source and Entry point
• St-21 (=): harmonizes the Stomach and strengthens the Spleen; regulates Center Qi and promotes flow of Qi; stimulates descending of Stomach Qi; relieves nausea
CV-12 (+ and/or D): regulates the Stomach; strengthens the Spleen; transforms Dampness; transforms and suppresses Rebellious Qi to alleviate nausea; benefits and soothes the Qi; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
• CV-6 (+ and/or D): strengthens and moves the Qi; reduces Liver Fire; regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens the Lower and Middle Warmers (D); tonifies Kidney; regulates and tonifies Yuan (Original) Qi; benefits, nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); regulates Water Pathways and dispels Dampness; Dan Tien (Elixir of Long Life), with CV-5
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 Spleen; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); dispels Cold-Damp; nourishes and stabilizes the Kidney; warms the Kidney Yang (D); Small Intestine Mu Alarm point
St-36 (+ and/or D): calms the Shen; regulates and strengthens Qi and Xue (Blood); transforms Phlegm and eliminates Dampness; regulates the Stomach and strengthens the Spleen; descends Rebellious Qi to stop vomiting; regulates and replenishes the Middle Warmer; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; Stomach Earth and Horary point; Sea of Nourishment point
St-40 (-): strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; dissolves and eliminates Phlegm and Dampness; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
• St-41 (-): clears the Mind and pacifies the Shen; dispels Wind; clears Heat in Stomach; harmonizes Stomach; supports Spleen Qi; Stomach Fire and Tonification point
• Sp-6 (+): transforms Dampness; nourishes Yin; clears Fire due to Xu (Deficiency); tonifies Qi and builds the Xue (Blood); regulates Xue (Blood) circulation; frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
• GB-34 (-): soothes and subdues Liver Yang; clears Dampness and cools Heat; facilitates and harmonizes the Liver; extinguishes Liver Wind; tonifies Spleen and dissolves Phlegm; frees the channels and invigorates the collateral vessels, esp. opens the Gall Bladder channel in the neck and occiput; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
GB-41 (-): drains Liver, clears Liver Heat, and subdues ascendant Liver Yang; dissipates Wind; dissolves Phlegm; removes Stagnancy of Liver Qi; Gall Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel); Couple point of the Yang Wei Mai (Yang Linking Vessel)
• Lv-8 (+): drains Liver Fire; nourishes Liver Xue (Blood); Liver Water and Tonification point
Lv-3 (-): pacifies the Shen; clear Liver Heat and subdues ascendant Liver Yang; clears head and thinking; relieves headache; suppresses dizziness; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; calms and extinguishes Liver Wind; suppresses Rebellious Qi to stop vomiting; calms Stomach and expands chest; tonifies Liver Xue (Blood); Liver Yuan Source and Earth point
Kd-3 (+): nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); cools and descends Heat; pacifies Xu (Deficiency) Fire; strengthens the Brain; benefits the ears; tonifies Kidney Yang and Ming Men Fire (D); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point
UB-62 (+): clears the Shen; clears Fire and Heat; opens the Yang Qiao Mai (Yang Motility Vessel); Master point and Entry point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)

ear: shen men, endocrine, occiput, inner ear, dermis/subcortex, kidney, forehead, heart, sympathetic, adrenal


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.