-IBIS-1.5.0-
tx
cardiovascular system
Raynaud's
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Liver Qi Stagnation, Liver Invading Spleen; Cold in the Channels; Xue (Blood) Deficiency; Kidney Yang Xu (Deficiency)

» therapeutic note: some Japanese acupuncturists such as Kiiko Matsumoto have hypothesized that chronically cold extremities can be part of a pattern of Liver and Kidney Yang Xu (Deficiency) resulting from birth trauma; in such cases there will be a tightness upon palpation left of the navel in the area of Kd-16, Kd-17 and St-25.

» illustrative combinations:
• CV-4 and UB-23 (D): strengthen the foundation; reinforce the Kidney; mobilize Yuan (Original) Qi; excite Yang Qi; dispel Cold and Damp; treat cold extremities (Finkelstein, p. 44, 85);
• ba feng, ling hou and St-36 for numbness of the lower limb or toe (Shanghai, p. 299)
• CV-4, Sp-6 and LI-11 (-): remove Obstruction of the channels, activate Xue (Blood) circulation, and treat Xue (Blood) diseases (Finkelstein, p. 85)
• GV-4 and CV-4: warm the Kidney Yang (Finkelstein, p. 78)
• Lv-5 and CV-4: strengthen Yang "at the base", i.e., Kidney Yang (Finkelstein, p. 74)
• CV-4, GV-4, UB-23 and Kd-3 (D): support Kidney Yang (Finkelstein, p. 86)
• CV-4, CV-6 and Sp-6 (+): reinforce Qi, nourish Xue (Blood, and overcome Xue Xu (Blood Deficiency) (Finkelstein, p. 85)
• LI-4 and Lv-3: open the Four Gates; expels Wind, esp. from the face; stops pain; regulates Qi and Xue (Blood) circulation; removes Obstruction of the channels; opens the Orifices; releases bodily tension; relaxes clenching of jaws; frees constraint; calms the mind; relieves mental cloudiness; provides sedative and analgesic effect to calm the nervous system; pacifies Liver Yang (Finkelstein, p. 7; Flaws, 1989, p. 76)
• Sp-4 and PC-6: open and regulate the Chong Mai (Penetrating Vessel) which is the Sea of Xue (Blood) and the source of Qi for the channels. Liver Stagnation is often due to Chong Mai blockages, which be located by abdominal palpation (Seem).


point analysis

»
palpate and consider:
hua tuo jia ji of vertebrae corresponding to the extremities (+): restores Qi and Xue (Blood) flow
• GV-14 (-): dissipates Wind and Cold; opens, spreads and facilitates Yang; regulates and stimulates the flow of Qi; relaxes the sinews and muscles; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
GV-4 (+ and/or D): benefits and replenishes the Kidney Yang; nourishes the Yuan (Original) Qi; warms cold extremities; frees the channels and invigorates the collateral vessels; "Gate of Life Fire"
• GV-3 (+): reinforces the Kidney and regulates the Kidney Qi; dispels Cold-Damp, esp. in the Lower Warmer; distributes Zhong (Ancestral) Qi to the pelvis; regulates the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel)
• jing gong (+): tonifies Kidney Yang; warms the Jing (Essence)
UB-20 (+ and/or D): regulates Spleen Qi; tonifies the Spleen and Stomach to facilitate digestive transportation and transformation; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); warms the Middle Warmer (D); dispels Cold and relieves pain; softens hard masses; provides strength to the extremities; Spleen Shu Associated point
UB-23 (+ and/or D): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens Yang and Qi Hai; Kidney Shu Associated point
• LI-11 (+ and DD): regulates and harmonizes Qi and Ying; regulates Xue (Blood); frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point
LI-10 (+ and DD): lowers nervous excitement; promotes the circulation of Qi and Xue (Blood); tonifies Qi and Xue (Blood) (Maciocia, p. 378); benefits Qi of the arms and shoulders and improves poor circulation in extremities; removes Obstruction from and invigorates the channels; tonifies Yang Ming (Stomach and Large Intestine) and the internal duct of the Triple Warmer (Finkelstein, p. 8)
Lu-6 (=): opens and adjusts the Lungs; benefits Qi to reestablish digestion; opens the channels and releases blocked Qi of the arm; Lung Xi Cleft Accumulation point
• LI-4 (+ and DD): pacifies the Shen; regulates Qi and Xue (Blood); sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
PC-6 (+): pacifies the Shen; regulates the Qi, esp. harmonizes, regulates and spreads the Qi in the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); 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; regulates the Chong Mai (Penetrating Vessel); relaxes the sinews and clears the vessels; relieves pain; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• TW-5 (+ and DD): opens and moves the Yang Wei Mai (Yang Linking Vessel) and regulates the Dai Mai (Girdle Vessel); frees the channels to facilitate the circulation of Qi in the channels; invigorates the collateral vessels; strengthens and relaxes the sinews and tendons; alleviates pain; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
TW-4 (+ and DD): relaxes the sinews and tendons; frees the channels and collateral vessels; left TW-4 is tonic to Yang of the whole body (Finkelstein, p. 61); Triple Warmer Yuan Source point
• TW-2 (+): facilitates flow of Qi; disperses Stagnation; relieves pain; frees the channels and invigorates the collateral vessels; increases circulation to relieve icy cold extremities; Triple Warmer Water point
Lu-9 (+ and DD): regulates all Yang Qi; moves the Xue (Blood) and restores pulses; tonifies Lung Qi and Lung Yin; increases oxygen absorption; Lung Yuan Source, Earth and Tonification point; Hui Reunion point of Xue (Blood) vessels
shang ba xie (- and/or ind. D): relax the sinews and tendons; free the channels and invigorate the collateral vessels
ba xie (+ and DD): invigorate the Xue (Blood); relaxes the sinews and tendons
• Lv-14 (= or +): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; strengthens the Spleen and Stomach; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); Liver Mu Alarm point
Lv-13 (= or +): spreads and promotes smooth flow of Liver Qi; clears Obstructions of the Liver channel and its Luo channels; invigorates the Stomach and Spleen; benefits the Qi; harmonizes Liver and Spleen; 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-6 (=): strengthens, regulates and moves the Qi; regulates Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates and tonifies Yuan (Original) Qi; nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); warms the feet and hands; Dan Tien (Elixir of Long Life), with CV-5
CV-4 (+ and/or D): pacifies the Shen; regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer and strengthens the 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; strengthens and replenishes the Kidney Qi; warms the Kidney Yang and Lower Warmer (D); Small Intestine Mu Alarm point; at CV-4 the Chong Mai (Penetrating Vessel) separates from the Ren Mai (Conception Vessel)
• St-34 (+): relieves Obstruction of the lower extremities; frees the channels and invigorates the collateral vessels; esp. with numb and cold lower limbs; Stomach Xi Cleft Accumulation point
St-36 (+ and/or D): calms the Shen; regulates and strengthens Qi and Xue (Blood); regulates the Stomach and strengthens the Spleen; regulates and replenishes the Middle Warmer; spreads Liver Qi; nourishes Kidney, Liver and Spleen; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; reunion point of Qi (Finkelstein, p. 18)
Sp-6 (+): pacifies the Shen; strengthens the Spleen and tonifies Qi; nourishes and moves the Xue (Blood); raises blood pressure; dispels Cold from the Xue (Blood); frees Qi Stagnation and spreads Liver Qi; warms the Middle and Lower Warmers; restores circulation to the Lower Warmer; tonifies the Kidney; warming for chilling of feet (Serizawa, p. 179); Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): pacifies the Shen; moves 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); disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; 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)
• GB-35 (=): pacifies the Shen; invigorates the Xue (Blood); soothes the sinews and tendons; relieves pain; treats cold feet; Xi Cleft Accumulation point of the Yang Wei Mai (Yang Linking Vessel)
GB-41 (=): harmonizes and regulates the Liver and Gall Bladder; removes Stagnancy of Liver Qi; spreads Liver Qi to reduce Stagnation of Phlegm and Xue (Blood) in the Liver channel; clears and regulates the Dai Mai (Girdle Vessel); clears Wetness (Damp Spleen) by draining into Dai Mai (Girdle Vessel), thereby increasing Spleen Qi and Xue (Blood) production, improving digestion, and warming the extremities; 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 (+): nourishes Liver Xue (Blood); soothes the sinews and tendons; frees and facilitates the Lower Warmer; invigorates the collateral vessels; Liver He Sea Uniting, Water and Tonification point
• Lv-6 (=): removes Stagnancy of Liver Qi; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; sedates pain; dispels Damp-Heat; relieves pain, numbness and cold of the skin (Mann, p. 69); Liver Xi Cleft Accumulation point
Lv-5 (- and D): tonifies Liver and Yang; benefits the Qi; spreads Liver Qi and disperses Liver Qi Stagnation; relieves Obstruction in Lower Warmer; disperses Cold from the Liver channel; relaxes the sinews; frees the channels; relieves coldness, aching and pain in lower leg and feet; Liver Luo Connecting point
Lv-3 (-): pacifies the Shen; clears and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; regulates the Vital Qi and removes irregularities in the body Qi; tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis), esp. in the Lower Warmer; opens the channels and relaxes spasms; sedates pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
• Lv-1 (- and D): pacifies the Shen; regulates and tonifies the Liver, esp. Qi and Xue (Blood); warms the Liver; promotes and stimulates the Qi of the Liver and Gall Bladder channels; relieves Obstruction of Liver to disperse the Depressive Qi; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); harmonizes the Ying (Constructive) Qi; relieves Obstruction in the Lower Warmer (-); Liver Jing Well, Wood, Horary and Entry point
Kd-7 (+): tonifies Yuan (Original) Qi; regulates Qi, esp. Kidney Qi, and restores Qi to the vessels; strengthens and enriches the Kidney; tonifies the Liver via the mother/child relationship; disperses Stagnation; Kidney Metal and Tonification point
• Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); warms Cold; tonifies Kidney Yang and Ming Men Fire (D); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Liver Yuan Source and Earth point
ba feng (+): invigorate the Xue (Blood); relax the sinews and tendons


footnotes

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