-IBIS-1.5.0-
tx
digestive system
dysentery
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
white dysentery (Damp-Cold); red dysentery (Damp-Heat, Jo Li); fasting dysentery (tight mouth); recurring dysentery (chronic, prolonged, interrupted, Xu Li); Large Intestine Damp-Heat, possibly with Large Intestine Qi Stagnation; Large Intestine Heat caused by External Pernicious Influence
» note: moxibustion important in chronic cases
» illustrative combinations:
first: LI-4 and St-36; second: UB-20 and GV-1; third: CV-12, St-25, CV-4, CV-6 (needle, then apply ind. D if no fever) for dysentery (So, 1987, p. 222)
St-37 or St-36; St-25 for bacterial dysentery (can also add: LI-11, PC-6, CV-4 and zhi xie) (Shanghai, p. 577)
LI-11, St-25, St-37 and LI-4 for bacillary dysentery due to Damp-Heat (Jirui and Wang, p. 41)
Sp-1, St-44, St-25, CV-6, PC-6 and Kd-6 for Damp-Heat dysentery (Shanghai, p. 578)
St-25 and St-37 for acute dysentery (Shanghai, p. 183) and/or for enteritis, dysentery or diarrhea due to indigestion (Shanghai, p. 273)
St-25 and St-36 or PC-6, St-25 and Sp-6 for persistent dysentery with abdominal pain (Ellis, et al, 1988, p. 127)
Lv-6 and Sp-6; CV-12, St-36, St-28, St-39, Kd-21 and CV-6; TW-5 and PC-6; St-11, GV-1 and Kd-7; UB-62, LI-4, GB-26 and Lv-2 for dysentery (Mann, p. 98)
St-37 or St-36, St-25 for bacillary dysentery; also consider zhi xie, Lu-11 and PC-6 (Lee and Cheung, p. 221)
CV-4, CV-6, UB-23, UB-20, UB-25, Sp-6 and St-36 for chronic dysentery (Lee and Cheung, p. 222)
LI-4 and LI-10 for dysentery, if severe add UB-29 (Lee and Cheung, p. 222)
St-44, St-25, Sp-1, CV-6, CV-6, Kd-6 and PC-6 for dysentery with blood (Lee and Cheung, p. 222)
TW-5, CV-12, Sp-1, St-25 and UB-62 for dysentery with mucous (Lee and Cheung, p. 222)
GV-1, GV-4 for blood and mucous; with tenesmus add CV-10, St-25, Kd-6 (Lee and Cheung, p. 222)
UB-20, UB-21 and Sp-4 (+): strengthen and move Middle Warmer
UB-25, Sp-15 and St-25 (-): move intestinal stagnancy; transform Dampness
LI-11 and LI-4 (-): clear Damp-Heat from Large Intestine
PC-6 and CV-11 (-): move Yin Qiao Mai (Yin Motility Vessel); dispel Heat in Xue (Blood), harmonize Stomach
point analysis
» palpate and consider:
UB-20 (+): tonifies Spleen and Stomach; resolves Dampness; benefits the Ying (Constructive) Qi; raises Middle Qi and drains Heat Shi (Excess) from the Middle Warmer; Spleen Shu Associated point
UB-21 (+): regulates the Stomach, esp. the Stomach Qi; strengthens the Spleen; warms and reinforces the Middle Warmer (D); transforms Dampness; dissolves Stagnation; Stomach Shu Associated point
UB-25 (-): regulates the Qi of the Fu (Yang organs); regulates the Intestines and Stomach; transforms Stagnation; resolves Damp-Heat; dries Damp-Cold; Large Intestine Shu Associated point
UB-27 (+): opens and regulates the Small Intestine; eliminates Dampness and cools Heat; transforms Stagnation and Accumulation; promotes diuresis; promotes separation of the Clear and the Turbid; Small Intestine Shu Associated point
UB-29 (=): dispels Wind and Cold; affects Lower Warmer; esp. when stool has moving red and white matter (Mann, p. 36)
GV-1 (-): clears Heat; opens the Ren Mai (Conception Vessel) and Du Mai (Governing Vessel); regulates the intestines; secures the lower Orifices; Luo Connecting point of the Du Mai (Governing Vessel) with the Ren Mai (Conception Vessel)
LI-11 (-): dispels Exterior conditions; clears Heat, esp. in Xue (Blood); regulates Qi and 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 He Sea Uniting, Earth and Tonification point
LI-4 (-): releases the Exterior; dispels Exterior Wind; reduces fever; pacifies the Shen; regulates Qi and Xue (Blood); relaxes Stomach spasms; relaxes pylorus and inhibits peristalsis; regulates Qi of the Intestines; disperses Heat of the Intestines; elevates Clear Qi and descends Turbid Qi; clears Toxins; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source point
PC-6 (-): harmonizes and regulates Middle and Upper Warmers; 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; drains the Triple Warmer; clears Heat, esp. in Xue (Blood); Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel)
TW-5 (-): moves Yang Qiao Mai (Yang Motility Vessel); clears Cold-Damp; relieves Exterior and Hot conditions; clears Heat, esp. from Triple Warmer channel; dissolves Toxins; tonifies Wei (Protective) Qi; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel)
CV-12 (+): strengthens Middle Warmer; regulates the Stomach Qi; strengthens the Spleen and dissipates Dampness; warms the Stomach and Intestines; eliminates Food Stagnation; facilitates ascension of the Clear and descension of the Turbid; Stomach Mu Alarm point
CV-11 (-): harmonizes the Stomach and loosens the center; moves and strengthens the Spleen; dissipates Dampness and disperses Accumulation
CV-10 (+): strengthens the Spleen and regulates the Stomach; dissolves Intestinal Stagnation; disperses Heat of the Lower Warmer; 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)
CV-9 (+): balances endocrine and lymphatic systems; warms the Middle Warmer; dispels Cold; moves Spleen and Earth; regulates the Spleen and Stomach; regulates Bladder Qi; dissolves Damp; assists Small Intestine in its functions of separating liquid from matter, the Clear from the Turbid, and maintaining water balance (Finkelstein, p. 87); helps drainage of fluids via urination to harden stools (D); clears Damp-Heat; promotes diuresis; "water divide"
CV-6 (ind. D): IF NO FEVER (So, 1987, p. 222); tonifies Yuan (Original) Qi; regulates the Qi functions; raises Middle Qi; warms the Lower and Middle Warmers; regulates Water Pathways and dispels Dampness
zhi xie: "stop diarrhea" point
CV-4 (-): eliminates intestinal obstruction; relieves tenesmus; benefits Yuan (Original) Qi; regulates the Qi; tonifies the Middle Warmer and strengthens Spleen; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); separates the Clear and Turbid; dispels Cold-Damp; resolves Damp-Heat; facilitates diuresis; Small Intestine Mu Alarm point
Kd-14 (=): regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); reinforces Kidney Qi; clears the Water Pathways
Sp-15 (-): promotes the flow of Qi; ventilates and clears stagnant Qi of the organs; regulates and moistens the intestines; reduces Food Stagnation and transforms Damp-Heat (especially intestinal); relieves abdominal distension
St-25 (-): regulates function of intestines; eliminates Qi Stagnation in and clears Heat from Large Intestine; transforms Dampness; ascends the Clear and descends the Turbid; reduces Food Stagnation and transforms Damp-Heat (especially intestinal); Large Intestine Mu Alarm point
St-36 (+): regulates the Stomach and strengthens the Spleen; dispels and eliminates Dampness; replenishes Middle Warmer; regulates Ying (Constructive) Qi; removes Cold of Stomach and abdomen; clears Heat from the Yang organs; descends Rebellious Qi; stops vomiting; regulates ascension of the Clear and descension of the Turbid by the intestines; Stomach He Sea Lower Uniting and Earth point; Sea of Nourishment point
St-37 (-): rectifies the Spleen and harmonizes the Stomach; regulates, drains and frees the Intestines, esp. the Large Intestine; cools Heat and resolves Dampness to clear Damp-Heat; "treats acute cases with Heat" (Finkelstein, p. 21); dispels Food Stagnation and eliminates Accumulations of the Large and Small Intestines; Large Intestine He Sea Lower Uniting point
St-44 (-): cools Heat and drains Dampness from the Stomach and intestines; regulates Rebellious Qi; stops pain, esp. abdominal pain with fever; facilitates bowel movements; descends the Turbid; Stomach Water point
Sp-9 (+): regulates and tonifies Spleen; warms and moves the Middle Warmer; regulates the Water Pathways; transforms Damp Stagnation, esp. through promotion of diuresis; benefits Lower Warmer; dispels Damp-Heat; Spleen He Sea Uniting and Water point
Sp-4 (+): adjusts and strengthens the Spleen and Middle Warmer; dispels Cold from abdomen and relieves pain (D); reduces Food Stagnation and harmonizes the Intestines; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; transforms Dampness and Damp-Heat; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel)
Sp-1 (-): pacifies the Shen; dispels Heat; clears Dampness and Damp-Heat; strengthens and warms the Spleen (esp. with D); benefits the Qi; controls Rebellious Qi; dispels Cold from Middle and Lower Warmers; Spleen Jing Well and Wood point
Kd-8 (=): regulates Qi and Xue (Blood); clears Heat; eliminates Damp; stops abdominal pain; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); tonifies the Kidney; regulates fluid balance; esp. when stool reveals blood and pus (Mann, p. 46); Xi Cleft Accumulation point of Yin Qiao Mai (Yin Motility Vessel)
Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; facilitates Bladder and Water Pathways; cools and clears Damp-Heat; regulates the pores and sweating; disperses Stagnation; Kidney Metal and Tonification point
Lv-8 (+): clears and cools Damp-Heat; frees and facilitates the Lower Warmer; invigorates the collateral vessels; Liver He Sea Uniting, Water and Tonification point
Lv-3 (-): expels Wind; harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); disperses Liver Qi Stagnation; tonifies Liver Xue (Blood); relieves headache; suppresses Rebellious Qi to stop vomiting; discharges Damp-Heat in the Lower Warmer; opens the channels and relaxes spasms; sedates pain; sedates pain; Liver Yuan Source and Earth point
ear: lung, sympathetic, shen men, small intestine, large intestine, lower portion of rectum, spleen, subcortex. Method: Needle 1-2 times daily with moderate to strong stimulation, retaining the needles for 15-20 minutes
» note: moxibustion important in chronic cases
footnotes