-IBIS-1.5.0-
tx
endocrine system
nausea of pregnancy
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Stomach/Spleen Xu (Deficiency) (weak type); Spleen Distressed by Dampness; Stomach Food Stagnation; Stomach Xu (Deficient) and Cold; Stomach Qi Xu (Deficiency); Stomach Qi Obstructed by Phlegm and Dampness; Qi Shi (Excess) in Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel) invades Stomach Channel; Qi from embryo intrudes upon mother's Stomach, impeding Qi flow; Inverse Fire of Liver and Gall Bladder
» illustrative combinations:
PC-6, St-36 and St-44 (-) for morning sickness; add St-40 and CV-17 (D) if Accumulation of Dampness and Phlegm are involved; add Lv-2 and GB-34 (-) if Liver Fire is involved (McWilliams, et al., Lesson 31, p. 151)
CV-12, PC-6 and Sp-4 (also consider: Lv-3, St-44 and/or St-40) for nausea of pregnancy (Shanghai, p. 676)
St-26, PC-6, PC-5, PC-7, Sp-6, Lu-5 and UB-19 (can also add: CV-12, Kd-21 and CV-11) for nausea of pregnancy during the first five months (Shanghai, p. 676)
CV-12 and TW-4 (D); PC-3 and St-36 (+): harmonize the flow of Qi in the Spleen and Stomach for morning sickness (McWilliams, et al., Lesson 31, p. 151)
Lv-8, GB-40 and St-45; PC-6, Sp-6, Lu-5 and Lu-9 for nausea and vomiting of pregnancy (Mann, p. 150)
Kd-21, UB-21, CV-14, CV-12 and CV-11 (-) for morning sickness (McWilliams, et al., Lesson 31, p. 151)
PC-6 joined to TW-5 (moderate stimulation) for severe morning sickness; also consider St-36 if appetite is poor (Shanghai, p. 676)
CV-13, St-36 and PC-6: benefit morning sickness (Finkelstein, p. 90)
morning sickness: (1) PC-6 and PC-5 with needle; (2) needle St-36; also apply seven cones of direct moxa, one-half rice grain size, to tu yin; (3) needle CV-22 and CV-12; (4) apply seven cones of direct moxa, one-half rice grain size, to zhong kui; (5) apply seven cones of direct moxa, green bean size, to PC-5 (So, 1987, p. 254)
Sp-9, St-40, St-36, CV-12 and Kd-21 for nausea of pregnancy due to Phlegm Accumulation (Qiu and Su, p. 18)
St-36, CV-12, CV-13 and Sp-4 (can also add: PC-6) for nausea of pregnancy due to Stomach Qi Xu (Deficiency) (Qiu and Su, p. 18)
St-36, PC-6 and Sp-4 for vomiting during pregnancy due to Stomach Qi Xu (Deficiency) causing Rebellious Stomach Qi and Qi Shi (Excess) in the Chong Mai (Penetrating Vessel) (Jirui and Wang, p. 277)
CV-17 and PC-6: relieve accompanying palpitations and stuffiness in chest (Qiu and Su, p. 18)
St-40 and Sp-9 (-): invigorate the Spleen and resolve Phlegm
CV-3, Sp-6, Sp-9, GV-20, CV-6 and CV-4 for anuria during pregnancy (McWilliams, et al, Lesson 31, p. 25)
point analysis
» therapeutic note: if you are unsure about contraindications, check the list of "forbidden and caution points" in the materia medica regarding appropriateness during pregnancy (see link)
» palpate and consider:
UB-20 (+ or =): 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; reverses Rebellious Stomach Qi; warms the Middle Warmer (D); resolves Dampness and Phlegm; dispels Cold and relieves pain; Spleen Shu Associated point
UB-21 (+ or =): harmonizes the Stomach; regulates the Stomach Qi; strengthens the Spleen; warms and reinforces the Middle Warmer (D); benefits the Zhong (Ancestral) Qi and cultivates Yuan (Original) Qi; transforms Dampness; dissolves and eliminates Stagnation and Obstructions; descends Rebellious Qi; Stomach Shu Associated point
PC-5 (- or d. D): calms the Mind and quiets the Shen; resolves Phlegm and dispels fullness from the chest; nourishes the Heart; regulates Heart Qi; harmonizes the Stomach; seven cones of direct moxa, green bean size (So, 1987, p. 254); Pericardium Metal point; Meeting of the three Hand Yin channels
PC-6 (+): pacifies the Shen and tranquilizes the Heart; harmonizes and regulates Middle and Upper Warmers; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; opens the chest and expands the diaphragm; 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; regulates the Chong Mai (Penetrating Vessel); regulates Liver Qi and relieves Liver Qi Stagnation; transforms Phlegm; stabilizes Qi in the Uterus; 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 stabilizes the emotions; harmonizes the Stomach; dissipates Heat from the Ying (nutrient system) and Xue (Blood); nourishes Heart Xue (Blood); relaxes the chest; influences adrenals (Worsley, 1975, p. B-20); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
TW-4 (D): promotes function of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); left TW-4 is tonic to Yang of the whole body (Finkelstein, p. 61); relaxes the sinews and muscles; frees the channels and collateral vessels; Triple Warmer Yuan Source point
zhong kui (d. D): seven cones, one-half rice grain size (So, 1987, p. 254)
Lu-5 (-): cools and clears Upper Warmer Heat; regulates the digestive system; regulates the Water Pathways; benefits the Bladder and Kidney; Lung Water and Dispersion point
Lu-9 (+): regulates all Yang Qi; ventilates the Lung and moves the Xue (Blood); tonifies Lung Qi and Lung Yin; tonifies Metal to restrain Wood, esp. the Liver; clears and descends the Upper Warmer and Lung Qi; increases oxygen absorption; transforms Dampness and Phlegm; Lung Yuan Source, Earth and Tonification point; Hui Reunion point of Xue (Blood) vessels
CV-17 (=): calms emotions; regulates and smooths Qi circulation in the Upper Warmer; enhances breathing; reinforces the Zhong (Ancestral) Qi of the chest; elevates Spleen Qi; suppresses Stomach Qi; transforms Phlegm; suppresses nausea; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi
Kd-21 (=): strengthens the Spleen; regulates the Stomach and Liver; relieves vomiting by conducting Rebellious Qi downward; dissipates Heat in the abdomen; facilitates the flow of Qi
St-26 (= and/or D): dissipates Cold; facilitates the flow of Qi
CV-14 (-): clears the Heart and stabilizes the Shen; regulates and invigorates the Qi; expands the diaphragm and clears the chest; harmonizes the Stomach and facilitates movement in the Middle Warmer; reverses adverse flow of Qi; transforms Damp Stagnation in the Middle Warmer; acts on the nervous system and brain through the solar plexus and releases tension throughout whole body (Finkelstein, p. 90); Heart Mu Alarm point
CV-13 (+): calms the Heart and Shen; clears Heat of Heart and Stomach and relieves fullness in chest and epigastric region; descends Rebellious Qi and quells vomiting; invigorates the Qi; strengthens the Spleen and dissipates Dampness; warms Spleen and Stomach to disperse Cold (D); harmonizes the Spleen and Stomach; Jiao Hui Intersecting point of the Hand Tai Yang (Small Intestine) and Foot Yang Ming (Stomach) channels on the Ren Mai (Conception Vessel)
CV-12 (+ and/or D): 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; transforms and suppresses Rebellious Qi; eliminates Food Stagnation; benefits and soothes the Qi; warms the Middle Warmer, Stomach and Intestines; 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-11 (=): moves and strengthens the Spleen; dissipates Dampness and disperses Accumulation, esp. Food Stagnation in the Stomach; harmonizes the Stomach; loosens the Center; aids digestion
St-36 (+): calms the Shen; regulates and strengthens Qi and Xue (Blood); regulates the Stomach and strengthens the Spleen; calms ascending Qi of Stomach; stops vomiting; removes Food Stagnation; removes Cold of Stomach and abdomen; regulates and replenishes the Middle Warmer; increases the appetite; dispels and eliminates Dampness; regulates Ying (Constructive) Qi; spreads Liver Qi and benefits the Gall Bladder; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
St-40 (-): clears and calms the Shen; invigorates 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 the Stomach and Intestines; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
St-44 (-): harmonizes the Stomach; cools Heat and drains Dampness from the Stomach and intestines; regulates Rebellious Qi; stops pain, esp. abdominal pain with fever; facilitates bowel movements; descends the Turbid; Stomach Water point
Sp-9 (-): invigorates and tonifies the Spleen (especially Yang); regulates the Stomach (especially Yin); warms and moves the Middle Warmer; eliminates Phlegm-Dampness; transforms Damp Stagnation, esp. through promotion of diuresis; regulates the Water Pathways; benefits Lower Warmer; Spleen He Sea Uniting and Water point
Sp-6 (D; no needle!): strengthens the Spleen; tonifies Qi and builds the Xue (Blood); aids transportation and transformation to improve digestion and nourishment; influences the pituitary, adrenals, uterus and ovaries (Finkelstein, p. 27; Worsley, 1985, p. B-20); frees Qi Stagnation and spreads the Liver Qi; warms the Middle and Lower Warmers; tonifies the Kidney; transforms Dampness and facilitates diuresis; regulates the Xue (Blood) Chamber and the Palace of Jing (Essence) (Flaws, 1989, p. 46); Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+ and/or -): pacifies the Shen; adjusts and strengthens the Spleen and Middle Warmer; transforms Dampness; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; descends Rebellious Qi and suppresses vomiting; regulates and stabilizes the Stomach; regulates the appetite; disperses Stagnation in the Middle Warmer; dispels Cold from the abdomen; reduces Food Stagnation and harmonizes the Intestines; 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)
Lv-8 (+): drains Liver Fire; nourishes Liver Xue (Blood); Liver He Sea Uniting, Water and Tonification point
Lv-3 (-): pacifies the Shen; regulates Liver function; promotes smooth flow of Qi and eliminates Liver Qi Stagnation; cools and clears Heat and Fire from the Liver and Gall Bladder; brightens and benefits eyes to improve vision; suppresses Rebellious Qi to stop vomiting; calms the Stomach and expands the chest; tonifies Liver Xue (Blood); opens the channels and suppresses spasms and cramps; stops pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
GB-34 (=): harmonizes the Liver and Gall Bladder; resolves Damp-Heat; facilitates Qi circulation; tonifies the Spleen and dissolves Phlegm; clears and cools Dampness and Heat; strengthens and relaxes sinews and tendons; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
GB-40 (=): clears and drains Fire from the Liver and Gall Bladder; spreads the Liver Qi; transforms Damp-Heat; Gall Bladder Yuan Source point
tu yin (d. D): regulates the Lower Warmer and Uterus; seven cones, one-half rice grain size (So, 1987, p. 254)
ear: stomach, shen men, sympathetic, occiput, liver
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.