-IBIS-1.5.0-
tx
nervous system
headache: nonvascular
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
» internal causes: Liver Fire Shi (Excess); Kidney Xu (Deficiency); Phlegm Obstruction due to Spleen Xu (Deficiency); Xue (Blood) and Qi Xu (Deficiency); Shi (Excess) of Du Mai (Governing Vessel); dysfunction of the Dai Mai (Girdle Vessel); Shi (Excess) of the Yang Wei Mai (Yang Linking Vessel)
» external causes: Wind penetrates into the Yang channels; Stomach Heat; Shi (Excess) in Gall Bladder and Liver channels; Xue Yu (Blood Stasis); Wind-Heat; Wind-Cold; Damp and Cold; Summer-Heat; Wind-Damp
» occipital and nape pain: blockage of Bladder channel
» pain at forehead and supraorbital region: Stomach channel
» pain at temporal region: Gall Bladder channel
» parietal and vertex pain: Liver channel
» illustrative combinations:
SI-3 and UB-62: open the Du Mai (Governing Vessel) for which headaches are a symptom of Shi (Excess)
GB-20, tai yang, GV-20, Lv-3, GB-8, TW-3 (also consider LI-4, Lu-7, TW-5, GV-16, Lv-2, GB-40, Kd-3, SI-3, GB-41, UB-65, UB-2, GB-14, St-8, CV-12, St-40, CV-6, CV-4 and UB-10) for cephalalgia (Lee and Cheung, p. 295)
GV-23, GV-21, GV-20, SI-5, LI-4, TW-1, GB-43 and UB-60 for headache due to exogenous Wind invading the head (Lee and Cheung, p. 297)
TW-16, UB-12, UB-60, CV-4, TW-1 for headache due to exogenous Wind with vertigo (Lee and Cheung, p. 297)
GB-20, GV-16, Lu-7 and TW-5 for headache due to Wind invasion (Lee and Cheung, p. 295)
GV-20, tai yang, GB-20, PC-6, Sp-4, Sp-9, St-40, LI-11, St-44 and St-36 for headache due to Phlegm-Dampness with Heat (Jirui and Wang, p. 161)
GB-20, CV-12 and St-40 for headache caused by obstruction of mid-section by Phlegm-Dampness (Lee and Cheung, p. 296)
St-8 and UB-2 for headache and eye pain (Ellis, et al, 1988, p. 118)
UB-18, UB-20, UB-23, St-36 and Sp-6 for headache due to Xue Xu (Blood Deficiency) (Qiu and Su, p. 41)
UB-17, CV-6, Sp-10 and Sp-6 for headache due to Stagnation of Blood (Qiu and Su, p. 42)
GB-20, St-36, CV-6 and CV-4 (with or without moxa) for Qi Xu (Deficiency) headache (Lee and Cheung, p. 296)
GB-20 with CV-4 or CV-6 for Kidney Qi Xu (Deficiency) causing headache (Lee and Cheung, p. 295)
GB-20, GV-20, tai yang, Lv-3 and GB-41 for headache due to Liver Yang Rising (Qiu and Su, p. 40)
GB-20, Kd-3, UB-23 and Lv-2 for "adynamic Yin" with Liver Yang Rising causing headache (Lee and Cheung, p. 295)
GB-20, tai yang, GV-20, TW-3 and Lv-3 for headache at any site (Lee and Cheung, p. 295)
GB-20, GB-40, Lv-3, St-41 and Sp-8 for headache due to Stomach Heat or Blazing Fire of Liver and Gall Bladder (Lee and Cheung, p. 295)
LI-20, yin tang, GV-23, LI-4 and UB-7 for headache with disease of the nose (Qiu and Su, p. 43)
GB-41 and TW-5: open the Dai Mai (Girdle Vessel) for which menstrual headaches are a symptom of dysfunction
TW-5 and GB-41: open the Yang Wei Mai (Yang Linking Vessel) for which headache with Heat is a symptom of Shi (Excess)
» vertex headache due to invasion of Wind:
GV-20, UB-7, si shen cong and Lv-2 (Qiu and Su, p. 39)
GV-20 and Lv-3 (Lee and Cheung, p. 295)
Lv-3 and/or Lv-2 (-): pull down Liver Fire; circulate Liver Qi and break up Qi Stagnation; esp. with vertex headache
GV-20, GV-19, LI-4 (Lee and Cheung, p. 297)
» forehead headache due to invasion of Wind:
GV-23, St-8, yin tang, LI-4 and St-44 (Qiu and Su, p. 39)
GB-20, GB-14 through to UB-2 and LI-4 (Lee and Cheung, p. 295)
» occiput headache due to invasion of Wind:
GV-19, UB-10, GV-16 and UB-60 (Qiu and Su, p. 39)
GB-20, UB-10 and SI-3 (Lee and Cheung, p. 295)
» temporal headache due to invasion of Wind:
tai yang, GB-5, GB-8, GB-20 and GB-41 (Qiu and Su, p. 39)
tai yang through to GB-8 and TW-3 (Lee and Cheung, p. 295)
» eyebrow headache due to invasion of Wind:
UB-2 (Qiu and Su, p. 39)
point analysis
» palpate and consider:
GV-20 (-): calms the Shen; dispels Wind and Cold of head; spreads Liver Qi and subdues ascending Liver Yang; extinguishes Liver Wind from upper body and pacifies Liver; awakens the Brain and promotes mental clarity; adjusts Qi of the Du Mai (Governing Vessel); regulates and tonifies the Qi (D); elevates the Clear Qi; local point for vertex pain; Sea of Marrow point
GB-20 (-): moves Liver Qi; dispels Dampness; dispels Wind-Heat and Wind-Cold conditions; awakens the Shen and clears the Brain; brightens the eyes; 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; local point for occipital pain; "Wind Pond"
UB-10 (-): dispels Wind, Wind-Cold, Wind-Heat, Wind-Phlegm, and Cold; clears the head; dispels Fire; tranquilizes and descends Rebellious Qi; special point for vago-sympathetic action; brightens the eyes; clears the sinuses; dispels Heat; opens and clears channels of the neck; relaxes the sinews and muscles; strengthens the back
UB-18 (=): pacifies the Shen; stimulates the Brain; benefits the eyes; clears and drains the Liver and Gall Bladder; extinguishes Liver Wind; clears Liver Fire and Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates Xue (Blood); nourishes Liver Yin; harmonizes the Stomach and benefits the Qi; Liver Shu Associated point
UB-20 (+): regulates Spleen Qi; tonifies Spleen and Stomach to facilitate digestive transportation and transformation; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); drains Heat Shi (Excess) from the Middle Warmer; resolves Dampness and Phlegm; dispels Cold and relieves pain; Spleen Shu Associated point
UB-23 (+): strengthens the Brain and Marrow; prevents or relieves general stress fatigue (Finkelstein, p. 44); brightens the eyes; strengthens Qi Hai; tonifies the Kidney; strengthens Yang; influences adrenals; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; resolves Dampness and promotes diuresis; strengthens the spine, esp. the lower back; Kidney Shu Associated point
UB-7 (-): dispels Wind, Wind-Cold and Wind-Heat, esp. from the upper body; disperses the surface; connects with the brain; clears the nose
St-8 (-): expels Wind; clears Heat; brightens eyes; esp. with frontal headache and/or pain behind or around the eye(s)
GB-8 (-): expels Wind; invigorates the connecting vessels
GB-14 (-): eliminates Wind; dispels Cold; clears Heat; brightens the eyes; invigorates Qi circulation; stops pain; esp. with frontal headache
yin tang (-): eliminates Wind-Heat; clears Heat; pacifies the Shen; eliminates Interior Wind; clears the nose; promotes relaxation
tai yang (-): removes local Heat Stagnation, can bleed; dispels Wind and Wind-Heat; clears the head; cools, clears and brightens the eyes; extinguishes Liver Wind
SI-3 (=): consolidates the Surface and stops sweating (-); induces sweating (+); pacifies the Shen and clears the Mind; opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); treats pituitary imbalance, using location reactive to palpation, often ca. SI-3.5 (Matsumoto); dispels Dampness and Internal Heat; strengthens the spine; relaxes the sinews and muscles; relieves muscle spasms; invigorates the channels; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
PC-6 (+): clears Heat; pacifies the Shen; awakens the Brain by improving intracranial circulation; tranquilizes the Heart; regulates the Qi; suppresses pain; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; releases the diaphragm and opens the chest; 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; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
TW-3 (-): pacifies the Shen and clears the Mind; opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); treats pituitary imbalance, using location reactive to palpation, often ca. SI-3.5 (Matsumoto); dispels Dampness and Internal Heat; strengthens the spine; relaxes the sinews and muscles; relieves muscle spasms; invigorates the channels; esp. with parietal or occipital headache; 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 the Shen and brings down high blood pressure; clears Heat; eliminates Wind and dispels Exterior conditions; regulates and harmonizes Qi and Ying; cools and harmonizes the Xue (Blood); harmonizes the Stomach and regulates the Intestines; eliminates Dampness through the Intestines; frees the channels; Large Intestine Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
LI-4 (-): releases the Exterior; dispels Exterior Wind, including Wind-Cold or Wind-Heat; pacifies the Shen; regulates Qi and Xue (Blood); brightens the eyes; descends stagnant Qi from sinuses; clears the nose; stimulates dispersing function of Lung; activates Wei (Protective) Qi; tonifies Lung Qi; promotes menses; elevates Clear Qi and descends Turbid Qi; clears Toxins; relaxes sinews and tendons; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
Lu-7 (=): circulates the Wei (Protective) Qi to expel Wind, dispel Cold, and disperse the Exterior; promotes sweating; opens the nose; treats Shi (Excess) patterns; resolves Phlegm and clarifies Mucus; opens and regulates the Ren Mai (Conception Vessel); effects release of sexual hormones; tonifies Yang Ming (Stomach and Large Intestine); promotes diuresis by descending the Turbid; invigorates the collateral vessels; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel); command point of the head and neck
Lv-13 (=): spreads and promotes smooth flow of Liver Qi; influences liver's ability to neutralize unemployed sex hormones to help headaches and menopausal syndromes (Finkelstein, p. 75); invigorates the Stomach and Spleen; relieves Food Stagnation; benefits Qi; harmonizes Liver and Spleen; moves Fluids and relieves distension; disperses Cold-Damp; regulates circulation of Qi and Xue (Blood); quickens the Xue (Blood) and disperses Xue Yu (Blood Stasis); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
CV-12 (+): regulates and harmonizes the Stomach; strengthens and calms the Spleen; transforms Dampness; transforms and suppresses Rebellious Qi; eliminates Food Stagnation; clears Stomach Fire and Heat; benefits and soothes the Qi; 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)
CV-6 (+): strengthens and moves the Qi; reduces Fire of Liver and Gall Bladder; regulates and tonifies Yuan (Original) Qi; tonifies Kidney; nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); reinforces Jing (Essence); regulates Water Pathways and dispels Dampness; regulates the menses; Dan Tien (Elixir of Long Life), with CV-5
CV-4 (+): pacifies the Shen; benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates the Qi; tonifies the Middle Warmer and strengthens Spleen; separates the Clear and the Turbid; dispels Cold-Damp; nourishes and stabilizes the Kidney; warms the Kidney Yang (D); regulates the Uterus and menses; Small Intestine Mu Alarm point
Sp-10 (=): expels Wind; clears Heat and Summer-Heat; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); regulates the menses; "Sea of Blood"
Sp-9 (-): dispels Dampness and Damp-Heat; cools Heat and Summer-Heat; regulates and tonifies Spleen (especially Yang); regulates the Stomach (especially Yin); warms and moves the Middle Warmer; regulates the Water Pathways; Spleen He Sea Uniting and Water point
Sp-6 (+): pacifies the Shen; nourishes Yin; clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and builds the Xue (Blood); nourishes and moves the Xue (Blood); transforms Xue Yu (Blood Stasis); frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; regulates the Gall Bladder; warms the Middle and Lower Warmers; benefits the Kidney; transforms Dampness and Heat; stimulates activity of the Uterus, regulates the menses, and reduces menstrual pain; stimulates uterus, adrenals, ovaries and pituitary (Finkelstein, p. 27); Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): strengthens and regulates digestion; regulates temperature; clears Heat, transforms Damp; pacifies the Shen; disperses perverse Wind in Spleen Xu (Deficiency) conditions; moves and strengthens the Spleen and Middle Warmer; regulates and stabilizes the Stomach; regulates the Xue (Blood), Chong Mai (Penetrating Vessel) and menstrual cycle; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; reduces Food Stagnation and harmonizes the Intestines; benefits Gall Bladder Xu (Deficiency); descends the Turbid; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
Sp-2 (-): stimulates the flow of Qi; dispels Exterior symptom-complex; strengthens the Spleen; tonifies Spleen Yang; harmonizes the Stomach; returns Yang and stems counterflow; reduces Food Stagnation; eliminates Dampness and Phlegm caused by Spleen Xu (Deficiency); Spleen Fire and Tonification point
St-36 (+): calms the Shen; dispels Cold and Dampness; expels Wind; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; disperses noxious Yang and brings down high fever; regulates and strengthens Qi and Xue (Blood), the Stomach and the Spleen; descends Rebellious Qi; stops vomiting; removes Food Stagnation; disperses Stomach Fire; regulates Ying (Constructive) Qi; spreads Liver Qi and benefits the Gall Bladder; nourishes Kidney, Liver and Spleen; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; Stomach Earth and Horary point; Sea of Nourishment point
St-40 (-): clears and calms the Shen; dispels Wind; strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; transforms and eliminates Phlegm and Dampness; regulates Stomach and Intestines; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
St-43 (-): dispels Wind; clears and drains Heat from Yang Ming (Stomach and Large Intestine); harmonizes the Stomach and regulates Stomach Qi; channels flow of Qi to hollow (Yang) organs; brings down Rebellious Qi; removes Obstructions from channel; transforms Dampness; induces diuresis; Stomach Wood point
St-44 (-): dispels Wind from face; harmonizes the Stomach; cools and drains Heat and Dampness from the Stomach and Intestines; regulates Rebellious Qi; reduces pain, esp. with frontal headache and/or abdominal pain with fever; Stomach Water point
GB-40 (-): clears and drains Fire from the Liver and Gall Bladder; spreads the Liver Qi; benefits Gall Bladder; frees the channels; Gall Bladder Yuan Source point
GB-41 (-): spreads and drains Liver and Gall Bladder; esp. with temporal headache; dissipates Wind; removes Fire; brightens the eyes; 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)
GB-44 (-): clears Heat from Liver and Gall Bladder; subdues Liver Yang; drains Fire, esp. from the Gall Bladder; extinguishes Liver Wind; removes Liver Qi Stagnation; Gall Bladder Jing Well and Metal point
Lv-8 (+): drains Liver Fire; nourishes Liver Xue (Blood); soothes the sinews and tendons; invigorates the collateral vessels; Liver Water and Tonification point
Lv-3 (-): pacifies the Shen; relieves anger and mellows spirits of those who are frustrated and jealous (Finkelstein, p. 73); relieves headache; clears and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; cools and drains Heat and Fire from the Liver and Gall Bladder; subdues Liver Yang; benefits the eyes; expels Wind; calms and extinguishes Liver Wind; suppresses Rebellious Qi to stop vomiting; calms Stomach; tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis) and regulate menses; opens the channels, relieves muscle spasms, and stops pain; esp. with vertex headache; Liver Yuan Source and Earth point; Independent Associated point for spasms
Lv-2 (-): pulls down Liver Fire; disperses Stagnant Qi of Liver and Gall Bladder; soothes and loosens Liver to release Liver Qi; subdues Yang Shi (Excess); eliminates Interior Wind; cools the Xue (Blood); esp. with vertex headache; Liver Fire and Dispersion point
Kd-7 (+): clears Heat and nourishes Yin; regulates Qi, esp. Kidney Qi, and restores Qi to the vessels; strengthens and enriches the Kidney; stimulates adrenals, thyroid and testes; facilitates and regulates Bladder, menses and Water Pathways; disperses Stagnation; Kidney Metal and Tonification point
Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); warms Cold; cools and clears Heat; pacifies Xu (Deficiency) Fire; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; promotes function of Uterus; regulates menses and Water Pathways; relieves pain in teeth and bones; Kidney Yuan Source and Earth point
UB-60 (=): disperses Wind; promotes Qi function and Xue (Blood) circulation; reinforces the Kidney; relaxes the sinews, tendons and muscles of the neck, shoulder, waist, back, ankle and foot, esp. the lower back; frees the channels and collateral vessels; relieves pain; Bladder Fire point
ear: occiput, forehead, shen men, dermis/subcortex, kidney, pancreas/gallbladder, ashi (tender) points
footnotes