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Chinese patterns
Shen Disturbance
acupuncture

patterns and combinations

Shen Disturbance

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principle of treatment: pacify and stabilize the Shen; nourish the Heart and Kidney; reestablish communication between the Heart and Kidney; purge Fire

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illustrative combinations:
GB-13 and GV-24 (-): pacify the Shen


point analysis

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palpate and consider:
GV-16 (-): calms the Shen and quiets the Soul; opens and clears the Brain; drains Fire; eliminates Yang Shi (Excess) from upper body and cleanses Yang which has been obscured by Phlegm; stimulates pituitary and central nervous system (Finkelstein, p. 80); clears Heart of pathogenic Heat; eliminates Liver Wind; walking around in a aimless and crazed manner with rapidly moving eyes (Mann, p. 81); Window of the Sky point; Sea of Marrow point; Ghost point
GV-15 (=): clears the Shen and consciousness; strengthens the Mind; benefits and clears the Brain; balances mental state (Maciocia, p. 210); Sea of Bone Marrow Exit point; Sea of Marrow point
GV-9 (=): treats mental disorders; regulates the Qi functions; expands the chest and diaphragm; clears Liver Fire and Heat; regulates the Liver and Gall Bladder; Reunion Point of the Yin and Yang
an mian (-): pacifies the Shen; clears the Brain
UB-14 (=): 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; spreads Liver Qi; Pericardium Shu Associated point
UB-38/43 (+): regulates the Shen (hence called the "Happy point"); tonifies Heart Qi; releases unresolved emotions; strengthens the Xue (Blood); restores Yuan (Original) Qi; transforms Phlegm; Pericardium psychospiritual associated point
UB-15 (- or +): calms the Heart and the Shen; quiets the Mind and the Soul; strengthens and clears the Brain; regulates the tongue and speech; regulates the Xue (Blood) and Qi of the Heart; strengthens Heart Qi, nourishes Heart Xue (Blood), and tonifies Heart Yin; clears Heart Fire and disperses Yang Shi (Excess) in the Heart (-); calms sexual dreaming; transforms Heart Phlegm; invigorates circulation of the Qi and Xue (Blood); relaxes and expands the chest, and benefits the Qi; Heart Shu Associated point
UB-16 (=): calms the Heart and Shen; clears the Mind; invigorates Xue (Blood); regulates the tongue and speech; benefits the breath and the Diaphragm; expands and relaxes the chest; regulates the Heart; disperses Yang Shi (Excess) in the Du Mai (Governing Vessel); Shu Associated point of the Du Mai (Governing Vessel)
UB-23 (+): tonifies and regulates the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens the Brain and Marrow; strengthens the Heart (Ross, 1985, p. 130); counterbalances Liver Fire; Kidney Shu Associated point
si shen cong (-): pacify the Shen; subdue Internal Wind; enhances movement of the limbs; frees the channels and collateral vessels
GV-20 (=): pacifies the Shen and stabilizes the Will; benefits and clears the Brain; spreads Liver Qi; subdues ascending Liver Yang; adjusts Qi of the Du Mai (Governing Vessel); elevates the Clear Qi; extinguishes Liver Wind from upper body and pacifies the Liver; stimulates the pineal; indications include hyperactivity, delirium, extreme nervousness, hysteria, inability to articulate thoughts and feelings, and confused speech; Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
yin tang (=): pacifies the Shen; clears the Mind; influences the pituitary and pineal; stops convulsions (D); eliminates Interior Wind; promotes relaxation
GV-23 (=): clears the Mind; brightens the eyes; Ghost point; in Vietnamese, this point is called "Than Duung, MihnCuong, Qui Duong": "Route of the Gods, Clear Spirit, Route of the Devil" (Finkelstein, p. 82); "upper star"
GV-26 (-): opens Obstruction of Yang Qi; pacifies the Shen; regulates the Du Mai (Governing Vessel); transforms Heart Phlegm; Ghost point
ding shen (=): calms the Shen
CV-24 (-): dispels Wind; settles tetany; treats insanity; Ghost point
CV-23 (=): clears Fire and Heat; opens and moistens the throat; meeting point of the Kidney and Heart (Finkelstein, p. 93)
SI-16 (=): pacifies the Shen and Heart; dispels Wind; nourishes the Heart; Window of the Sky point
PC-5 (-): calms the Mind and quiets the Shen; nourishes the Heart; drains Shi (Excess) Fire from the Heart; clears Phlegm surrounding the Heart; regulates Heart Qi; opens and dispels fullness from the chest; drains the Triple Warmer; Pericardium Metal point; Meeting of the three Hand Yin channels; Ghost point
PC-6 (-): pacifies the Shen and soothes the Heart; regulates the balance between External and Internal to regulate the Qi of Yin and Yang (Finkelstein, p. 58); awakens the Brain by improving intracranial circulation; harmonizes and regulates Middle and Upper Warmers; regulates Heart Qi and Xue (Blood); improves circulation of Xue (Blood) Yin of the Heart thus countering Yang of the Heart (Finkelstein, p. 58); opens the chest; 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; relaxes the sinews and 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)
PC-7 (-): pacifies the Shen and calms the mind; clears Fire of Heart and Pericardium; draws Xu (Deficiency) Fire back into the Mind; nourishes Heart Xue (Blood); relaxes the chest; Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436); Ghost point
TW-10 (-): pacifies the Shen and Heart; clears the Brain; regulates Qi circulation of the Triple Warmer; expands and relaxes the chest; Triple Warmer He Sea Upper Uniting, Dispersion and Earth point
Ht-3 (=): pacifies the Shen; regulates the Heart and Mind; relaxes the muscles and tendons; invigorates and removes Obstructions from the channel; useful for psychosis, hysteria, and fits of babies; Heart Metal point
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 and relieves stiffness of the tongue; clears Heart Fire and Xu (Deficiency) Heat; Heart Luo Connecting point
Ht-6 (-): pacifies the Shen; transforms Heart Phlegm; nourishes Heart Yin; clears Xu (Deficiency) Heat, esp. from Heart; clears Fire from the Heart; reduces excessive perspiration, esp. night sweats; eliminates itching; esp. with sudden irritability and rage; Heart Xi Cleft Accumulation point
Ht-7 (-): pacifies the Shen and soothes 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); regulates and tonifies the Heart, esp. Heart Qi; stabilizes the Exterior and stops sweating, esp. night sweats; Heart Yuan Source, Earth and Dispersion point; Ghost point (Finkelstein, p. 32)
Ht-8 (=): pacifies the Shen; regulates the Heart; treats Heart Shi (Excess) patterns; clears Heart Fire and Empty Heat, clears Heart Phlegm Fire; Heart Fire point
Ht-9 (-): sedates the Shen; subdues Internal Wind; pulls Qi down; strengthens Heart Yin and Yang; regulates the Heart; tonifies Heart Qi; can have dreams with fire and smoke; treats Shi (Excess) pattern with Heat in the Heart (Maciocia, p. 402); Heart Jing Well, Wood, Tonification and Exit point
SI-5 (=): clears Heat; pacifies the Shen; clears the Brain; calms fright; "very effective in helping the person to gain clarity and a sense of direction in life" (Maciocia, p. 274); transforms Phlegm; regulates Qi of the Small Intestine; Small Intestine Fire and Horary point
SI-3 (-): "pins down Earth and Heaven" (Flaws, 1988, p. 190); opens the Du Mai (Governing Vessel); pacifies the Shen and clears the Mind; opens the Orifices; invigorates the channels; transforms Heart Phlegm and dispels Wind Phlegm; relaxes the sinews and muscles; relieves muscle spasms; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel); Ghost point
LI-11 (=): clears the Shen and brings down high blood pressure; regulates and harmonizes Qi and Ying; cools and harmonizes the Xue (Blood); tonifies Metal to restrain Wood, esp. the Liver; eliminates Dampness through the Intestines; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9); Ghost point
hu bian (-): pacifies the Shen; clears the Mind; stops convulsions; eliminates Interior Wind
LI-4 (=): pacifies the Shen; regulates Qi and Xue (Blood); tonifies Metal to restrain Wood, esp. the Liver; Large Intestine Yuan Source and Entry point
CV-15 (=): pacifies the Shen; stimulates the pituitary (Finkelstein, p. 91); nourishes Heart Yin; promotes flow of Qi; benefits Yuan (Original) Qi; nourishes all Yin organs; relaxes the chest and transforms Phlegm; patient wanders and struts wildly, raving and unable to articulate thoughts and feelings; suitable with "severe anxiety, worry, emotional upsets, fears or obsessions" (Maciocia, p. 465); Luo Connecting point of the Ren Mai (Conception Vessel) with the Du Mai (Governing Vessel); Source point of the five Zang (Yin viscera)
CV-14 (=): stabilizes the Shen; adjusts and clears the Heart; regulates and invigorates the Qi; expands and clears the chest; acts on the nervous system and brain through the solar plexus and 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 Heart Fire and relieves fullness in the chest
CV-12 (=): builds Heart Yang; benefits and soothes the Qi; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs); Reunion Point of the Yin and Yang
CV-4 (= or +): pacifies the Shen; grounds the Shen when there is Empty Heat (Maciocia, p. 207); regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); nourishes and stabilizes the Kidney; roots the Ethereal Soul; strengthens and replenishes the Kidney Qi; Small Intestine Mu Alarm point; Reunion Point of the Yin and Yang
CV-1 (-): communicates Yin with Yang; pacifies the Shen; clears the Brain; clears Heat and transforms Dampness; secures the Jing (Essence); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Entry and Luo Connecting point of the Ren Mai (Conception Vessel); Entry point of the Chong Mai (Penetrating Vessel)
St-40 (-): clears and calms the Shen; dispels Wind; invigorates the channels; transforms and eliminates Phlegm; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
St-42 (-): pacifies the Shen and calms the Mind; reduces Fire Shi (Excess) in Yang Ming (Stomach and Large Intestine); supports Earth and transforms Dampness; useful with patient who engages in bizarre behavior such as undressing in public, wandering aimlessly, climbing on tables to dance and sing; also for episodic madness, usually monthly; Stomach Yuan Source point
Sp-6 (+): nourishes Yin of Spleen, Liver and Kidney to build Heart Yin; transforms Dampness; clears Fire due to Xu (Deficiency); tonifies Qi and builds the Xue (Blood); regulates Xue (Blood) circulation and transforms Xue Yu (Blood Stasis); frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): pacifies the Shen; adjusts and strengthens the Spleen and Middle Warmer; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); regulates the Yin Wei Mai (Yin Linking Vessel); 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; regulates Yin-Yang; clears the Heart and Brain; strengthens the Spleen; benefits the Qi; relieves restless insomnia (D to bring thoughts down); esp. for hyperactivity and uncooperative behavior in young children; manages and stimulates the flow of Xue (Blood); Spleen Jing Well and Wood point; Ghost point
GB-34 (=): soothes, regulates and subdues Yang of the Liver and Gall Bladder; facilitates and harmonizes the Liver; extinguishes Liver Wind; tonifies Spleen; dissolves Phlegm; relaxes the sinews, i.e., ligaments and tendons; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
Lv-3 (-): pacifies the Shen; "relieves anger and mellows spirits of those who are frustrated and jealous" (Finkelstein, p. 73); clears head and thinking; relieves headache; suppresses dizziness; brightens and benefits the eyes; 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; tonifies Liver Xue (Blood) and subdues Liver Yang; calms and extinguishes Liver Wind; opens the channels and relaxes convulsions and spasms; Liver Yuan Source and Earth point; independent associated point for spasms
Kd-6 (+): pacifies the Shen and stabilizes the Will; 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 (Finkelstein, p. 53); brightens the eyes and sends Zhong (Ancestral) Qi to the eyes via the Yin Qiao Mai (Yin Motility Vessel); tonifies Kidney (especially Yin); dispels Dampness; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-4 (+): nourishes the Shen and Yin; regulates the Kidney; reinforces the Liver and Kidney, the latter through longitudinal Luo vessels; facilitates the flow of Qi and Xue (Blood); harmonizes the Xue (Blood); supplements the Jing (Essence); Kidney Luo Connecting point
Kd-3 (+): nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); pacifies Xu (Deficiency) Fire; strengthens the Brain; Kidney Yuan Source, Shu Stream and Earth point
Kd-1 (-): pacifies the Shen and tranquilizes the Mind; regulates Yin and Yang; clears Fire and Heat (especially in the head); guides Rebellious Qi and Fire downward; calms the Heart; transforms Heart Heat; nourishes Yin, esp. Kidney Yin (and thereby suppresses Liver Fire); reinforces the Kidney and benefits Jing (Essence); Kidney Jing Well, Wood, Dispersion and Entry point
UB-61 (-): calms the Shen; reinforces the Kidney; esp. if patient claims to see ghosts and spirits; Entry point of the Yang Qiao Mai (Yang Motility Vessel)
UB-62 (-): cools and clears Fire and Heat; clears the Shen and Heart; "drains and disperses Fire from region of eyes by dispersing qing-qi of eyes" (Finkelstein, p. 50); opens and moves the Yang Qiao Mai (Yang Motility Vessel); regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; soothes sinews, tendons and vessels; relaxes the Muscle channels; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)
UB-64 (-): pacifies the Shen; cools and clears the Brain; "stabilizes the nervous system and calms fright" (Finkelstein, p. 51); sedates the Heart; Bladder Yuan Source point


footnotes

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

Reprinted from Zang Fu: The Organ Systems of Traditional Chinese Medicine, Ross, Jeremy, 2nd ed, p. 75, 1985, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.