-IBIS-1.5.0-
rx
point
CV-12: XIII-12: zhong wan
acupuncture
definition
zhong wan = middle cavity; middle duct
Mu Alarm point of the Wei (Stomach); Mu Alarm point of the Middle Warmer; Hui Reunion point of the Fu (Yang organs); Reunion Point of the Yin and Yang (with CV-4, CV-22 and GV-9): needled when there is conflict between Yin and Yang, according to Su Wen (Finkelstein, p. 78); Jiao Hui Intersecting point of the Hand Tai Yang (Small Intestine), Hand Xiao Yang (Triple Warmer), and Foot Yang Ming (Stomach) channels on the Ren Mai (Conception Vessel); one of the Nine Needles for Returning the Yang
location: Half way between the umbilicxus and the xiphoid process on the midline.
actions: builds Heart Yang; regulates the Stomach Qi and harmonizes the Stomach; strengthens and calms the Spleen; transforms Dampness; increases peristalsis of the stomach and jejunum, esp. upper section; opens the pylorus and increases muscle tension in the stomach so lower portion descends (gastric ptosis) (Finkelstein, p. 88); thickens wall of jejunum (Finkelstein, p. 88); transforms and suppresses Rebellious Qi; eliminates Food Stagnation; clears Stomach Fire and Heat; benefits and soothes the Qi; raises Middle Qi; warms and tonifies the Middle Warmer, Stomach and Intestines; facilitates ascension of the Clear and descension of the Turbid; regulates the Intestines and stops excessive bowel movements
indications: insanity; madness; mental diseases; hysteria; mania; neurasthenia; insomnia; flaccid paralysis; hypertension; fatigue, esp. after childbirth; headache, esp. due to indigestion; face numb and yellow; sour taste upon swallowing; lack of appetite; vomiting; spitting blood related to consumptive illnesses; palpitations; dyspnea; pain in ribs; hiccoughing; burning pain in the esophagus and throat; acid regurgitation; dyspepsia, esp. chronic infantile dyspepsia; indigestion; morning sickness; epigastric pain and/or distension; tympanites; pyrosis; acute or chronic gastritis; prolapsed stomach; pain in the stomach cavity; gastric and duodenal ulcers; acute gastroenteritis; intestinal abscess; malabsorption; jaundice; appendicitis; diarrhea; cholera; constipation; uterine or vaginal prolapse; urticaria; "CV-12 for chronic, CV-10 for acute" (Finkelstein, p. 88)
needle technique: perpendicular insertion, 1.0 - 2.0 cun, or the needle may be inserted at a slant in all directions around the point, producing a heavy distended feeling in the upper abdomen, or a feeling of contraction in the stomach region; caution: because of the location of the stomach, pancreas, and abdominal aorta in the deep position beneath this point, caution must be exercised to avoid an excessively deep insertion, this is particularly the case when treating thin patients, when needling patients who have an enlarged liver or spleen, a slanted insertion of the needle in a direction to the left or right of the point is strongly discouraged. (Shanghai, p. 179)
moxa: 5 - 10 cones of direct moxa; 10 - 20 minutes of indirect moxibustion with a pole
combinations:
» GV-15, PC-8, Sp-6, Kd-1, Kd-3, CV-12, GB-30, St-36 and LI-4 are the Nine Needles for Returning the Yang (Li, p. 627-628)
» with CV-10 and CV-13 tonifies the whole body Yang via the Triple Warmer (Finkelstein, p. 90);
» with PC-5 broadens the chest and treats depression (Finkelstein, p. 89);
» with Lv-2 broadens the Middle Warmer and treats depression (Finkelstein, p. 89);
» with GV-26, CV-6, LI-11, LI-4, PC-9, St-44 and St-36 for heat exhaustion or sunstroke (Shanghai, p. 570);
» with Lv-14 and St-37 for asthma (Shanghai, p. 179);
» with CV-13 treats nine types of cardiac pain (Ellis, et al, 1988, p. 356)
» with St-36 and PC-6 relieves fullness in the chest and activates Qi (Finkelstein, p. 90);
» with St-40 and CV-14 expands the chest (Finkelstein, p. 90);
» with CV-6 (Æ) warms Middle Warmer; dispels Cold; dissolves Damp; and regulates Qi circulation (Finkelstein, p. 89);
» with Sp-4 treats lack of appetite (Finkelstein, p. 89);
» with St-36 (+) strengthens Spleen and Stomach to support the Post-Natal Qi; reinforces Qi of the Middle Warmer; strengthens Spleen Yang; removes Obstruction of Stomach Qi circulation; removes Damp; (-) subdues ascending Stomach Qi to stop hiccough, clear the Stomach and dissolve Phlegm (Finkelstein, p. 89);
» with UB-20, Sp-3 and Lv-13 (+ and Æ) invigorates Spleen Yang (Finkelstein, p. 90);
» with St-36 and Sp-6 (+) reinforces Spleen; helps Qi circulation; and controls Xue (Blood) (Finkelstein, p. 89);
» with GB-34 (+) strengthens Spleen and Stomach to help transformation and transportation to support body resistance (Zheng Qi) (Finkelstein, p. 89);
» with UB-20 (+ or Æ) regulates Spleen and Stomach to eliminate Dampness and reduce Phlegm (Finkelstein, p. 89);
» with UB-20 (+ or Æ) harmonizes the Stomach to eliminate eliminate Stagnation of Stomach Qi (Finkelstein, p. 89);
» with PC-6 calms the Stomach, broadens the chest and descends Rebellious Stomach Qi to stop vomiting (Finkelstein, p. 89);
» with St-36, Sp-4 and PC-6 calms the Stomach and prevents vomiting (Finkelstein, p. 90);
» with St-36 and CV-22 (-) strengthens Spleen Yang; descending Rebellious Qi; and stops vomiting (Finkelstein, p. 89);
» with St-25 and St-21 (-) descends Rebellious Stomach Qi (Finkelstein, p. 89);
» with St-36, PC-6 and UB-21 harmonizes Qi of the Stomach to treat any gastric disorder (Finkelstein, p. 90);
» with CV-4 and UB-21 (Æ) warms the Stomach (Finkelstein, p. 90);
» with St-25, CV-6 and PC-6 for acute intestinal obstruction (Shanghai, p. 179);
» with St-25 regulates Qi of Large Intestine and Stomach to aid transformation and transportation and prevent Accumulation and Stagnation (Finkelstein, p. 89);
» with UB-20, UB-21 and St-36 (+ and Æ) eliminates Stagnation in the Intestines (Finkelstein, p. 90);
» with Lv-13 (-) regulates Spleen and Stomach to dissolve Phlegm (Finkelstein, p. 89);
» before St-36 treats Phlegm (Ellis, et al, 1988, p. 356);
» with St-36 and St-40 (+) clears Internal Heat and dissolves stubborn Phlegm (Finkelstein, p. 89);
» with UB-20 and UB-21 warms the Middle Warmer; disperses Cold; dissolves the Damp; and treats Yin jaundice (Finkelstein, p. 89);
» with St-40 regulates Qi of Spleen and Stomach to distribute the essential substances so the Water won't coagulate into Phlegm (Finkelstein, p. 89);
» with St-36 and Lv-13 regulates the Stomach and Spleen and drains Yang Shi (Excess) from the Stomach and Intestines (Finkelstein, p. 89);
» with St-36 and St-25 (-) reduces Heat Stagnation of the Stomach and Intestines; harmonizes Middle Warmer, tonifies the Center, and stops vomiting (Finkelstein, p. 89);
» with St-36 and UB-20 strengthens Spleen Yang; harmonizes the Stomach; releases Damp; and eliminates Phlegm (Finkelstein, p. 89);
» with St-40 and UB-20 regulates the Qi; dissolves the Damp; and reduces Phlegm (Finkelstein, p. 90);
» with wei shang and St-36 for prolapsed stomach (Shanghai, p. 179);
» with CV-4 and St-25 (Æ) warms the Stomach and Intestines and disperse the Cold (Finkelstein, p. 89).
footnotes