-IBIS-1.5.0-
tx
cardiovascular system
myocardial infarction sequelae
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Heart and Kidney Yang Qi Xu (Deficiency); Heart Yang collapse; Qi Stagnation and Xue Yu (Blood Stasis); Heat in the Xue (Blood); dysfunction of the Yin Wei Mai (Yin Linking Vessel)

» therapeutic note:
• in initial phase important to stop sweating to prevent further weakening of Heart
• dispersing or neutral technique often more appropriate for many points in the initial Shi (Excess) phases
• tonification typically emphasized later for recovery and healing

» illustrative combinations:
• SI-3 and PC-6 clear Obstruction from the Heart (Finkelstein, p. 34)
• 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-14 and GV-15 (D): combined tonify Heart Yang (Eisen)
• PC-6 and Ht-7: regulate and harmonize the Heart and Pericardium (Finkelstein, p. 59)
• PC-6, Ht-7, UB-15, UB-14 and St-36: treat weak pulse condition, pulseless patterns, and heart failure patterns (Flaws, 1989, p. 98)
• PC-3, PC-6 and PC-7 for chest pain (Shanghai, p. 246)
• PC-3, UB-23 and UB-17 for chest pain (Shanghai, p. 246)
• PC-6, PC-3, PC-4 and PC-5: strengthen the Heart and tranquilize the Soul (Finkelstein, p. 59)
• PC-6 and Sp-6: nourish Yin; clear Fire; and strengthen the Heart to activate the Xue
(Blood) circulation (Finkelstein, p. 59)
• PC-6, Sp-6 and Ht-7: tranquilize the Heart; ease the Mind; calm Heat and emotions (Finkelstein, p. 59)
• PC-6, UB-15 and UB-23: descend Heart Fire; communicate Heart and Kidney (Finkelstein, p. 59)
• UB-14 and PC-6 (-): regulate the Qi of the Heart and Pericardium channels; reinforce Yang of Heart and Pericardium
• Lv-3 and Sp-6 (+): nourish Yin of Liver and Kidney to relieve Shi (Excess) Fire; (-) transform Xue Yu (Blood Stasis) and disperse extravasation of blood in intercostal region due to injury (Finkelstein, p. 73)
• Lv-3 and Lv-13: loosen the Liver and scatter effused blood (Finkelstein, p. 73)
• PC-6, PC-5 and St-36 for angina pectoris (Shanghai, p. 249-250)
• CV-13, PC-6 and Sp-4 for cardiac spasm (Shanghai, p. 178)
• CV-13 and CV-12: treat nine types of cardiac pain (Ellis, et al, 1988, p. 356)


point analysis

» palpate and consider:
GV-20 (D): rescues Yang and restores collapsed Yang (D); promotes resuscitation if used with direct moxa; awakens the Brain, Mind and senses; stabilizes the body against shock; pacifies the Shen and stabilizes the Will; regulates and tonifies the Qi (D); adjusts Qi of the Du Mai (Governing Vessel); elevates the Clear Qi; spreads Liver Qi; stimulates the pineal; Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
• GV-15 (D): clears the Shen and consciousness; benefits and clears the Brain; opens the sensory Orifices; frees the channels; removes Obstruction from the collateral vessels; stops pain; one of the Nine Needles for Returning the Yang; Sea of Marrow point
GV-14 (D): cools and clears Heat; clears and awakens the Brain and Mind; clears the Shen, calms the Soul, and pacifies the Will; opens and restores the Yang by spreading Yang Qi through the Du Mai (Governing Vessel) and whole body; regulates and stimulates the flow of Qi; regulates the Xue (Blood); 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-14 (- or + and/or D): 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; descends Rebellious Qi; spreads Liver Qi; frees the channels and invigorates the collateral vessels; Pericardium Shu Associated point
• UB-38/43 (+ and/or D): regulates the Shen; strengthens Xu (Deficiency) conditions; treats all chronic disease; clears Empty Heat; tonifies Heart and Lung Qi; supplements the Lung and fortifies the Spleen; releases unresolved emotions; strengthens the Xue (Blood); stimulates hematopoesis; tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; descends Rebellious Qi; transforms Phlegm; psychospiritual associated point
UB-15 (- or + and/or D): tonifies Heart Qi; calms the Heart and the Shen; quiets the Mind and the Soul; strengthens and clears the Brain; regulates the Xue (Blood) and Qi of the Heart; strengthens Heart Qi and nourishes Heart Xue (Blood); disperses Yang Shi (Excess) in the Heart; clears Heart Fire (-); 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 (= or + and/or D): regulates, nourishes and invigorates the Xue (Blood) (esp. invigorates with D); clears Heat from the Xue (Blood) and drains Heat Shi (Excess) from the Middle Warmer; reduces Heart Phlegm and transforms Xue Yu (Blood Stasis); nourishes Dry Xue (Blood); disperses Obstruction and invigorates Xue (Blood) circulation; 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 (= or + and/or D): warms Yang of Spleen and Kidney to transform Phlegm; regulates Spleen Qi; tonifies Spleen and Stomach to facilitate digestive transportation and transformation; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; tonifies, nourishes and harmonizes the Xue (Blood); drains Heat Shi (Excess) from the Middle Warmer (=); warms the Middle Warmer (D); resolves Dampness and Phlegm; dispels Cold and relieves pain; provides strength to the extremities; Spleen Shu Associated point
UB-23 ( = or + and D): strengthens Kidney Yang and Qi Hai; tonifies and adjusts the Kidney; influences adrenals; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; resolves Dampness; controls the bones and teeth; Kidney Shu Associated point
GV-4 (D): pacifies the Shen; clears the Brain; restores collapsed Yang; relieves mental and physical exhaustion; nourishes the Yuan (Original) Qi; strengthens the Kidney; tonifies and replenishes the Kidney Yang; reinforces and astringes the Jing (Essence); stimulates testes, adrenals and ovaries (Finkelstein, p. 77); frees the channels and invigorates the collateral vessels
jing gong (+): tonifies Kidney Yang; warms the Jing (Essence)
• PC-3 (- or +): pacifies the Shen; tranquilizes the Mind; soothes vexation, esp. in the chest; pacifies and tranquilizes the Heart; clears Heat; drains and disperses Heat from the Xue (Blood) and Ying; frees, moves and clears Heart Qi; Pericardium He Sea Uniting and Water point
PC-4 (- or =): calms the Shen and tranquilizes the Mind; pacifies and tranquilizes the Heart; regulates Heart Qi; clears Heat; stops pain; opens the chest and expands the diaphragm; cools Xue (Blood) Heat and detoxifies the Xue (Blood); regulates Qi; redirects Rebellious Qi downward; relieves Obstruction in Jue Yin (Pericardium and Liver); clears the vessels; esp. appropriate in treating acute myocardial infarction; Pericardium Xi Cleft Accumulation point
• PC-5 (=): calms the Mind and quiets the Shen; clears Heat; regulates and clears the Heart; drains Shi (Excess) Fire from the Heart; resolves Phlegm in the Heart and chest; nourishes the Heart; regulates Heart Qi; stops pain of angina pectoris; opens and dispels fullness from the chest; drains the Triple Warmer; Pericardium Metal point; Meeting of the three Hand Yin channels
PC-6 (+): pacifies the Shen; opens the Orifices of the unconscious; tranquilizes the Heart; suppresses pain; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes and regulates Middle and Upper Warmers; regulates blood pressure and reestablishes the pulse; 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; regulates Liver Qi and relieves Liver Qi Stagnation; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• PC-7 (= or -): pacifies the Shen and stabilizes the emotions; clears Fire of Heart and Pericardium; draws Xu (Deficiency) Fire back into the Mind; nourishes Heart Xue (Blood); opens Heart Orifices; relaxes the chest; harmonizes the Stomach; dissipates Heat from the Ying (nutrient system) and Xue (Blood); influences adrenals (Worsley, 1975, p. B-20); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
Ht-5 (+): pacifies the Shen; regulates and tonifies Heart Qi; opens Heart Orifices to calm palpitations and relieve nervous condition (Finkelstein, p. 32); brings Fire down from the head; clears Heart Fire and Xu (Deficiency) Heat; benefits a slow pulse; Heart Luo Connecting point; sends Luo vessel to the tongue
• Ht-6 (+): pacifies the Shen; transforms Heart Phlegm; nourishes Heart Yin; clears Xu (Deficiency) Heat, esp. from Heart; clears Fire from the Heart; benefits a slow pulse; reduces excessive perspiration, esp. night sweats; Heart Xi Cleft Accumulation point
Ht-7 (+ or +): stabilizes the Exterior and stops sweating, esp. night sweats; pacifies the Shen; calms the Heart; relieves palpitations, insomnia and fear; lowers blood pressure and reduces irritability of cortex (Finkelstein, p. 33); general sedative and regulating effect on the inner organs; tonifies and nourishes Heart Yin and Xue (Blood); removes Qi Stagnation in the Heart; clears Heart Fire and Heat; 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 (=): pacifies the Shen; strengthens the Heart and regulates Heart Qi; treats Heart Shi (Excess) patterns; clears Heart Fire and Empty Heat; clears Heart Phlegm Fire; regulates flow of Qi; facilitates the flow of Xue (Blood) through the vessels; Heart Fire and Horary point
• SI-3 (= or +): opens the Orifices; consolidates the Surface and stops sweating (-); pacifies the Shen and clears the Mind; opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); dispels Dampness and Internal Heat; transforms Heart Phlegm and dispels Wind-Phlegm; relaxes the sinews and muscles; relieves muscle spasms; invigorates the channels; esp. appropriate for those who are recovering slowly from the shock of an MI (Mann, p. 26); Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
• LI-11 (-): clears Heat; clears the Shen and brings down high blood pressure; regulates and harmonizes Qi and Ying; cools and harmonizes Xue (Blood); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; benefits sinews, tendons and joints; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
Lu-9 (+): opens sensory Orifices; regulates all Yang Qi; moves the Xue (Blood) and restores pulses; tonifies Lung Qi and Lung Yin; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; clears and descends the Upper Warmer and Lung Qi; increases oxygen absorption; stops bleeding, esp. hemoptysis; Lung Yuan Source, Earth and Tonification point; Hui Reunion point of Xue (Blood) vessels
CV-17 (+): tonifies Upper Warmer Qi, incl. Heart Qi (and Lung Qi); esp. useful with sadness; calms emotions; regulates and smooths Qi circulation in the Upper Warmer; reinforces the Zhong (Ancestral) Qi of the chest; expands the chest and soothes the diaphragm; elevates Spleen Qi; transforms Phlegm; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi; Center Reunion point of the Breath
• CV-14 (= or +): clears the Heart and stabilizes the Shen; regulates and invigorates the Qi; expands and clears the chest; disperses congested Phlegm in the chest and diaphragm; benefits the diaphragm; acts on the nervous system and brain through the solar plexus (Finkelstein, p. 90); releases tension throughout whole body (Finkelstein, p. 90); Heart Mu Alarm point; Heart Qi enters the Ren Mai (Conception Vessel) here (Finkelstein, p. 90)
• CV-13 (=): calms the Heart and Shen; invigorates the Qi; clears Heat of Heart and relieves fullness in the chest; relieves cardiac spasms; harmonizes the Spleen and Stomach; warms Spleen and Stomach to disperse Cold (D)
CV-12 (+): builds Heart Yang; strengthens and calms the Spleen; benefits and soothes the Qi; warms the Middle Warmer, Stomach and Intestines; 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); Reunion Point of the Yin and Yang; one of the Nine Needles for Returning the Yang
• CV-6 (+): regulates and strengthens the Qi, esp. Heart Qi; tonifies Qi of whole body; esp. with chronic disease and general Qi Xu (Deficiency); reduces Liver Fire; cools Heat in the Xue (Blood); captures the Blood and stops bleeding (+); regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); tonifies Yuan (Original) Qi; restores collapsed Yang or Yin; tonifies Kidney and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); influences pituitary, thyroid and adrenals (Worsley, 1975, p. B-20); reinforces Jing (Essence); Dan Tien (Elixir of Long Life), with CV-5
• CV-4 (+ and/or D): pacifies and grounds the Shen, esp. when there is Empty-Heat (Maciocia, p. 207); regulates the Qi and benefits Yuan (Original) Qi; restores collapsed Yang or Yin; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer, strengthens Spleen and benefits the raising Qi; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens the function of astringing the Dai Mai (Girdle Vessel) and restraining the Xue (Blood); nourishes and stabilizes the Kidney; roots the Ethereal Soul; warms the Kidney Yang; Small Intestine Mu Alarm point; Reunion Point of the Yin and Yang
• Sp-10 (=): clears Heat, esp. of the Xue (Blood); regulates and invigorates the Xue (Blood); harmonizes and tonifies Ying (Constructive) Qi; nourishes Xue (Blood) Dryness; "Sea of Blood"
Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; influences the pituitary and adrenals (Worsley, 1985, p. B-20); disperses Heart Fire; clears Fire due to Xu (Deficiency); loosens congestion in the diaphragm; strengthens the Spleen and tonifies Qi; clears, nourishes and moves the Xue (Blood); raises blood pressure; clears Xue (Blood) Heat and transforms Xue Yu (Blood Stasis); frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; tonifies the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels; one of the Nine Needles for Returning the Yang
• Sp-4 (+): pacifies the Shen; dispels Cold from the Heart and abdomen and relieves pain (D) - note: better than Sp-3 for pain (Finkelstein, p. 26); adjusts and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); regulates the Yin Wei Mai (Yin Linking Vessel); disperses Qi Stagnation and Xue Yu (Blood Stasis); tonifies Yuan (Original) Qi; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
Sp-1 (=): pacifies the Shen; clears the Heart and Brain; regulates Yin-Yang; opens the Orifices and resuscitates the Senses; strengthens and warms the Spleen (esp. with D); strengthens the Yang and elevates Yang Qi; benefits the Qi; manages and stimulates the flow of Xue (Blood); strengthens Spleen's function of holding Xue (Blood) in vessels; stops bleeding; Spleen Jing Well and Wood point
St-36 (+ and/or D): 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; regulates and replenishes the Middle Warmer; spreads Liver Qi and tonifies Kidney Yin; 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; one of the Nine Needles for Returning the Yang
Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens Spleen and tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; stimulates adrenals, thyroid and testes; regulates the pores and sweating; disperses Stagnation; Kidney Metal and Tonification point
• Kd-3 (+ and/or D): 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; pacifies Xu (Deficiency) Fire; 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; one of the Nine Needles for Returning the Yang
• Kd-1 (= or + and ind. D): pacifies the Shen; tranquilizes the Mind; restores collapsed Yang; energizes the entire system (ind. D) (Finkelstein, p. 52); regulates Yin and Yang; guides Rebellious Qi and Fire downward to awaken the Shen, open the Orifices and resuscitate; revives consciousness, emergency resuscitation point (bleed); clears Fire and Heat (especially in the head); pacifies and calms the Heart; transforms Heart Heat; nourishes Yin, esp. Kidney Yin (and thereby suppresses Liver Fire); reinforces the Kidney and benefits the Jing (Essence); Kidney Wood, Dispersion and Entry point; one of the Nine Needles for Returning the Yang
• UB-64 (-): pacifies the Shen; clears the Brain; sedates the Heart; clears Heat; frees the channels and invigorates the collateral vessels; Bladder Yuan Source point
• Lv-8 (+): drains Liver Fire; nourishes Liver Xue (Blood); Liver He Sea Uniting, Water and Tonification point
Lv-3 (=): pacifies the Shen; "relieves anger and mellows spirits of those who are frustrated and jealous" (Finkelstein, p. 73); clears head and thinking; clears and harmonizes the Liver; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation and drains Heat and Fire from the Liver; subdues Liver Yang; tonifies Liver Xue (Blood); opens the channels and relaxes spasms; sedates pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
• Lv-1 (+): pacifies the Shen; opens the Orifices; resuscitates the senses; regulates and tonifies the Liver, esp. Qi and Xue (Blood); clears and disperses the vicious Yang; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); harmonizes the Ying (Constructive) Qi; contains the Xue (Blood), i.e., stops bleeding, by cooling and clearing Heat in the Xue (Blood); Liver Jing Well, Wood, Horary and Entry point

ear: heart, sympathetic, shen men, endocrine, adrenal


footnotes

Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.