-IBIS-1.5.0-
tx
endocrine system
hyperthyroidism
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Fire depletes the Heart Yin; Stagnant Qi in Liver and Spleen; Xu (Deficiency) of Yin and Flaring Up of Fire; Qi and Yin Xu (Deficiency); coagulation in Jue Yin and Xiao Yang causes soreness in the larynx (Su Wen per Requena); Phlegm, Dampness, Turbid Qi accumulated in neck; Turbid Qi External (Finkelstein)
treatment principles: loosen Liver; dispel Fire; move Xue Yu (Blood Stasis); disperse swelling
» combinations:
CV-13, GV-23, St-9, CV-19, GV-15, UB-15, Ht-7, St-10, CV-6, TW-3, Kd-7 and LI-4: influence thyroid (Worsley, 1975, p. B-20)
St-2, UB-2 and shang tian zhu: reduce exophthalmos (Lee and Cheung, p. 261)
CV-22, CV-23, LI-4 and tai yang (=): shrink thyroid gland, reduce symptoms of hyperthyroid and lower basal metabolism (Finkelstein, p. 93)
PC-5, Sp-6, qi ying and jia ji C3 through C5 (also consider Ht-6, Kd-7, shang tian zhu, PC-6, LI-4, Lv-3, Ht-7, an mian, UB-2, St-2 and GB-20) for hyperthyroidism (Shanghai, p. 603; Lee and Cheung, p. 261)
LI-18, CV-22, SI-16, St-12, Kd-27, Lu-1, CV-17, LI-4, shi xuan (bleed) and Lu-7 (needle first) for "wu-yin", i.e., five types of thyroid swelling (Lee and Cheung, p. 262)
Lu-3, TW-13 and St-11 for swelling of thyroid (Lee and Cheung, p. 262)
GB-20, GV-14, UB-11, CV-22, St-10, GV-4 and TW-3; or UB-10, GV-12, UB-12, CV-23, St-9, GV-3 and GB-26 for hypertrophy of thyroid (Lee and Cheung, p. 262)
GV-14, UB-15, GB-21, LI-11, St-36, Sp-6, CV-22, SI-14, UB-13, UB-23 and Ht-7 for swelling of thyroid (Lee and Cheung, p. 263)
CV-22, LI-17 and SI-17: promote circulation of Qi and Xue (Blood) in the neck to disperse Stagnancy (Finkelstein, p. 93)
Kd-15 <-> Kd-16, Kd-3 (posteriorly), St-2/bi tong area, "thyroid shu" (hua tuo jia ji at C6 or C7), GV-2 (D), GV-11 (D), GV-12 (D), TW-4, "thyroid helper point" and "magic point" treat thyroid imbalance (Matsumoto)
point analysis
» palpate and consider:
GB-20 (-): clears Heat; subdues Liver Yang to calm and regulate the Liver and Gall Bladder; harmonizes Qi and Xue (Blood); brightens the eyes; frees the channels and invigorates the collateral vessels; Jiao Hui Intersecting point of Yang Wei Mai (Yang Linking Vessel) and Hand Xiao Yang (Triple Warmer) channels on the Foot Xiao Yang (Gall Bladder) channel
shang tian zhu (-): relieves pressure in eye through local effect; reduces exophthalmos
hua tuo jia ji of C3 to C5: facilitate flow of Qi and Xue (Blood)
"thyroid shu" (hua tuo jia ji of C6 or C7): regulates thyroid; needle at 45° angle toward spine using #1 gauge needle or moxa or Tiger Warmer (Matsumoto)
an mian (-): pacifies the Shen; eases sleep
bai lao (-): disperses nodule; disperses Stagnation and facilitates flow of effused blood; deeper insertion sends stimulus inward toward thyroid
GV-14 (-): 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); clears the throat and influences the thyroid; Jiao Hui Intersecting point of the Yang channels
GV-12 (D or Tiger Warmer): dissipates Heat and Wind; dispels pathogens and relieves fever; pacifies the Shen; clears the Heart; treats thyroid imbalance (Matsumoto); cools Heat of the chest; tonifies the Lung; sedates cough; reverses Rebellious Qi; readjusts Qi of all Yang channels
GV-11 (D or Tiger Warmer): dissipates Wind; calms the Shen and Heart; treats thyroid imbalance (Matsumoto)
GV-2 (D or Tiger Warmer): expels Wind and dissipates Dampness; treats thyroid imbalance (Matsumoto); stimulates parathyroids; warms the Lower Warmer; strengthens lumbar spine and knees; frees the channels and invigorates the collaterals
UB-13 (=): clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Upper Warmer; descends Rebellious Qi; transforms Phlegm; expands and relaxes the chest; regulates the Upper Warmer; harmonizes the Ying and Xue (Blood); Lung Shu Associated point
UB-15 (=): calms the Heart and the Shen; nourishes and strengthens the Heart; regulates the Xue (Blood) and Qi of the Heart; reinforces the Heart Qi; disperses Yang Shi (Excess) in the Heart and Upper Warmer; clears Heart Fire (-); invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); influences thyroid; relaxes and expands the chest, and benefits the Qi; Heart Shu Associated point
"thyroid helper point": palpate for pain and/or tenderness and and needle most reactive point to treat thyroid imbalance; point located slightly medial to the lower border of the scapula at the level of UB-43/48 to UB-45/50 (Matsumoto)
GV-20 (-): scatters and disperses Yang Shi (Excess); adjusts Qi of the Du Mai (Governing Vessel); regulates and tonifies the Qi (D); elevates the Clear Qi; spreads Liver Qi; Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
tai yang (=): influences thyroid and basal metabolism; disperses Fire; clears the head; cools, clears and brightens the eyes; extinguishes Liver Wind
St-2 (=): dredges Liver Qi and Liver; brightens the eyes and clears vision; reduces exophthalmos; frees the channels and invigorates the collateral vessels; relaxes tendons and relieves pain
UB-2 (-): brightens the eyes; reduces exophthalmos; removes obstruction to lacrimation; reinforces Kidney Water and nourishes Liver Wood (both in relation to the eyes)
PC-5 (-): calms the Mind and quiets the Shen; regulates and clears the Heart; drains Shi (Excess) Fire from the Heart; resolves Phlegm in the Upper Warmer; nourishes the Heart; regulates Heart Qi; opens and dispels fullness from the chest and throat; harmonizes the Stomach; drains the Triple Warmer; Pericardium Metal point; Meeting of the three Hand Yin channels
PC-6 (+): pacifies the Shen and calms the Heart; reduces tachycardia; builds Zhong (Ancestral) Qi in the chest; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); regulates blood pressure; 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; 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; enhances purification and dispersement of the Triple Warmer; drains the Triple Warmer; clears the vessels; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
TW-4 (=): clears Fire and Heat; treats thyroid imbalance (Matsumoto); left TW-4 is tonic to Yang of the whole body (Finkelstein, p. 61); relaxes the sinews and muscles; moistens Dryness; promotes function of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); frees the channels and collateral vessels; Triple Warmer Yuan Source point
TW-3 (-): clears Heat; facilitates the circulation of Qi; clears the head and eyes; influences the thyroid (Worsley, 1975, p. B-20); Triple Warmer Wood and Tonification point
Ht-6 (-): pacifies the Shen; nourishes Heart Yin; clears Xu (Deficiency) Heat, esp. from Heart; clears Fire from the Heart; reduces excessive perspiration, esp. night sweats; Heart Xi Cleft Accumulation point
Ht-7 (-): 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; nourishes Heart Xue (Blood); clears Heat of Heart; regulates and tonifies the Heart, esp. Heart Qi; opens the Orifices; reduces excessive perspiration, esp. night sweats; frees the channels; Heart Yuan Source, Earth and Dispersion point
Lu-1 (=): regulates Qi of Upper Warmer; increases Qi and stamina; nourishes Lung Yin; aids release of old emotions (-); cools and disperses Heat and Yang from the Upper Warmer; disperses stuck Qi or Phlegm; disperses fullness from the chest and stops pain; Lung Mu Alarm and Entry point
Lu-3 (=): removes Obstructions of the rising Qi flow (opens a large "Window of the Sky"); relieves Lung Shi (Excess); supervises the Qi; Window of the Sky point
LI-11 (-): clears the Shen and brings down high blood pressure; regulates and harmonizes Qi and Ying; eliminates Dampness; esp. hyperthyroidism due to Yang Shi (Excess); Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
LI-4 (=): pacifies the Shen; regulates Qi and Xue (Blood); influences thyroid and basal metabolism; frees the channels and invigorates the collateral vessels; brightens the eyes; stabilizes sweating; elevates Clear Qi and descends Turbid Qi; clears Toxins; Large Intestine Yuan Source and Entry point; command point of the face and mouth
LI-18 (-): regulates Qi and Xue (Blood); facilitates flow of Qi; benefits the throat; resolves Phlegm and disperses masses, esp. disperses goiter; Window of the Sky point
St-9 (-): regulates Qi and Xue (Blood); clears Heat and calms dyspnea; effects the carotid body to reduce blood pressure; influences the thyroid (Worsley, 1975, p. B-20); transforms Phlegm and disperses masses (goiter); Great Window of the Sky point; Exit point of the Sea of Qi; Jiao Hui Intersecting point of the Foot Xiao Yang (Gall Bladder) channel on the the Foot Yang Ming (Stomach) channel; CAUTION: move the common carotid artery aside!
St-10 (-): local point to influence the thyroid (Worsley, 1975, p. B-20); facilitates the throat; regulates the Lung; CAUTION: move the common carotid artery aside!
St-12 (=): disperses Yang Shi (Excess) from the chest; sends Qi down from throat and chest; regulates the flow of Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
GB-21 (=): effects hyperthyroidism (Finkelstein, p. 66); spreads Liver Qi; clears and invigorates the channels; redirects Rebellious Qi downward; dissolves Phlegm; disperses Stagnation and stops pain; benefits tendons and muscles
"magic point": located at the "corner" of the neck and shoulder, this point is tender or painful upon palpation and when needled assists in the treatment of thyroid imbalance (Matsumoto)
qi ying (-): local effect on thyroid through facilitation of Qi and Xue (Blood); disperses nodule; disperses Stagnation and facilitates flow of effused blood
Kd-27 (+): tonifies Yuan (Original) Qi; expands and relaxes chest; redirects Rebellious Qi downward; fortifies the Spleen; tonifies Kidney (especially Yang); resolves Phlegm
Kd-15<->16 region: palpate for tenderness and/or pain, then needle most reactive point to treat thyroid imbalance as part of Xu (Deficiency) of the Kidney and/or Spleen due to birth trauma induced by improper severing of the umbilical cord causing damage to the ligamentum teres hepatis (Matsumoto)
CV-23 (=): influences thyroid and lower basal metabolism; clears Fire and Heat; opens and moistens the throat; transforms Phlegm; impels the downward flow of Phlegm; meeting point of the Kidney and Heart (Finkelstein, p. 93)
CV-22 (=): influences thyroid; benefits and cools the throat; opens the Lung and promotes dispersing function of Lung; transforms and eliminates Phlegm; softens hard masses; descends Rebellious Qi
CV-19 (=): relaxes the chest; promotes the flow of Qi; influences thyroid (Worsley, 1975, p. B-20); regulates the throat
CV-17 (=): calms emotions; regulates and smooths Qi circulation in the Upper Warmer; reinforces the Zhong (Ancestral) Qi of the chest; transforms Phlegm; suppresses nausea; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi
CV-13 (=): calms the Heart and Shen; invigorates the Qi; clears Heat of Heart and Stomach and relieves fullness in the Upper Warmer; influences thyroid (Worsley, 1975, p. B-20); harmonizes the Spleen and Stomach; strengthens the Spleen and dissipates Dampness
CV-6 (+): strengthens and moves the Qi; reduces Fire of Liver and Gall Bladder; regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates and tonifies Yuan (Original) Qi; tonifies Kidney; influences pituitary, thyroid and adrenals (Worsley, 1975, p. B-20); reinforces Jing (Essence); "Sea of Qi"
Sp-6 (+): loosens and regulates Liver, Spleen and Kidney; transforms Dampness; aids transportation and transformation to improve digestion and nourishment; nourishes Yin; clears Fire due to Xu (Deficiency); tonifies Qi and builds the Xue (Blood); regulates Xue (Blood) circulation; spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Kd-7 (-): clears Heat and nourishes Yin; nourishes Kidney and strengthens Spleen; reduces perspiration; tonifies Yuan (Original) Qi; regulates Qi, esp. Kidney Qi, and restores Qi to the vessels; influences adrenals, thyroid and testes; Kidney Metal and Tonification point
Kd-6 (+): pacifies the Shen; nourishes the Heart; clears Xu (Deficiency) Fire; opens the Yin Qiao Mai (Yin Motility Vessel) and regulates the Ren Mai (Conception Vessel); balances excess or deficiency of any hormonal secretion and stimulates adrenals (Finkelstein, p. 53); brightens the eyes and sends Zhong (Ancestral) Qi to the eyes via the Yin Qiao Mai (Yin Motility Vessel); tonifies Lung and Kidney Yin; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
UB-60 (=): modulates thyroid (Finkelstein, p. 34); promotes Qi function; promotes Xue (Blood) circulation; reinforces the Kidney; descends the Turbid; relaxes the sinews, tendons and muscles; Bladder Fire point
Lv-3 (-): pacifies the Shen; relieves anger and mellows spirits of those who are frustrated and jealous (Finkelstein, p. 73); relieves headache; suppresses dizziness; clears and pacifies 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; brightens and benefits eyes; influences the parathyroids and ovaries (Worsley, 1975, p. B-20); regulates circulation of Xue (Blood) to disperse Xue (Blood); Liver Yuan Source and Earth point
ear: thyroid, dermis/subcortex, endocrine, asthma/wheezing, shen men, brain
footnotes