-IBIS-1.5.0-
tx
musculoskeletal system
intervertebral disc disease
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Kidney Yang Xu (Deficiency); Kidney Yin Xu (Deficiency) with Liver Yin Xu (Deficiency); Spleen Qi Xu (Deficiency) with Heart Xue Xu (Blood Deficiency); Xue Xu (Blood Deficiency) with Xue Yu (Blood Stasis); Cold in the Channels with Xue Xu (Blood Deficiency); Wind-Damp Bi Syndrome; Damp Hot Bi Syndrome

» note: see also "sciatica", "spinal segmental lesion", and "low back pain"

» illustrative combinations:
cervical:
• SI-14 and GB-21 (+): relieve local pain, numbness and weakness in upper thoracic and shoulder region
• LI-15, LI-11 and LI-4 (+): relieve pain, numbness and weakness along Large Intestine channel
• GV-14, hua tuo jia ji between C5 and C6, UB-10, SI-14, UB-14, GB-21, SI-11, LI-15, LI-4 and LI-11 for cervical disc degeneration due to Liver and Kidney Qi Xu (Deficiency) leading to Qi Stagnation and Xue Yu (Blood Stasis) in several channels and producing painful obstruction (Jirui and Wang, p. 175)
• GV-14, UB-11, LI-15, LI-11 and LI-4 for cervical disc degeneration due to Du Mai (Governing Vessel) Qi Xu (Deficiency) leading to invasion of Wind-Cold Dampness and producing painful obstruction (Jirui and Wang, p. 177)

lumbar:
• GV-26 and UB-54/40 to relieve acute flashes of pain in the lumbar spine (Ellis, et al, 1988, p. 388)

general:
• SI-3 and UB-62: open the Du Mai (Governing Vessel) to increase Qi flow through and strengthen the spine
• GV-26, GB-20 and LI-20: remove Wind-Damp and sedate pain (Finkelstein, p. 83)
• LI-11, GV-26, GB-20 and GB-39 for alignment problems of the spine (Finkelstein, p. 10)
• LI-11 and GV-26: facilitate spinal adjustments (Finkelstein, p. 9)
• GV-4 and UB-23: reinforce the Vital Qi of the Kidney and strengthen Yang (Finkelstein, p. 78)
• GV-4, UB-23, Kd-3 and CV-4 (D): support the Kidney Yang (Finkelstein, p. 78)
• GV-4, UB-23 and Kd-3: to invigorate the Kidney Yang (Finkelstein, p. 78)
• GV-4, UB-47/52 and Kd-3: strengthen the Kidney (Finkelstein, p. 78)
• GV-4 and CV-4: warm the Kidney Yang (Finkelstein, p. 78)
• GV-4 and Sp-1: replenish and benefit the Kidney Yang (Finkelstein, p. 78)


point analysis

»
technique:
acute: use gentle lifting and thrusting
post-acute: use more vigorous lifting and thrusting, followed by retention

» palpate and consider:
Du Mai (Governing Vessel), Bladder and hua tuo jia ji points in effected area (+): promote local flow of Qi and Xue (Blood), relieve local pain; aim needle and project Qi toward pain
• GV-14 (+): clears the Du Mai (Governing Vessel); eliminates Wind, Cold and Damp; spreads and facilitates the Yang; pacifies the Shen; 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)
• GV-6 (+): strengthens the Spleen; dissipates Dampness; reinforces the Kidney; influences adrenals (Worsley, 1975, p. B-20); strengthens the lumbar spine
GV-4 (+ and/or D): pacifies the Shen; relieves mental and physical exhaustion; nourishes the Yuan (Original) Qi; strengthens the Kidney; benefits and replenishes the Kidney Yang; strengthens the back, esp. benefits the lumbar vertebrae; reinforces and astringes the Jing (Essence); stimulates the adrenals; frees the channels and invigorates the collateral vessels
• GB-20 (-): disperses Wind-Cold; dissipates Internal Wind; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
• GB-21 (=): dispels Wind-Cold; spreads Liver Qi; disperses Stagnation and stops pain; benefits tendons and muscles; benefits shoulder; clears and invigorates the channels; esp. with pain in neck, upper back, shoulder and arm
SI-11 (-): stimulates flow of Qi; diffuses Qi Stagnation in the chest and lateral costal region; frees the channels and invigorates the collateral vessels; increases strength in arms; sedates pain; esp. with neuralgia and numbness in the scapular region, pain in the the lateroposterior aspect of the arm and elbow, and/or neuralgia of the forearm
• UB-10 (=): dispels Wind, Wind-Cold and Cold; opens and clears channels of the neck; strengthens or relaxes the sinews and tendons; strengthens the back; Window of the Sky point; Sea of Qi general point
UB-11 (+): moves Qi in Yang channels; relaxes sinews and tendons; invigorates collateral vessels; dispels Wind, Wind-Cold and Cold; connects the Du Mai (Governing Vessel) to the Shu Associated points; distributes Bladder Qi and Jing-Ye (Yin) to all the dorsal Shu points (Finkelstein, p. 38); removes Obstruction of Qi circulation of the Tai Yang channels (Bladder and Small Intestine) and Du Mai (Governing Vessel) of the upper back; strengthens all bones and joints; facilitates Xue (Blood) flow; relaxes the muscles, sinews and tendons; invigorates the collateral vessels; Hui Reunion point of the Bones; Sea of Xue (Blood) upper entry point
UB-18 (+): pacifies the Shen; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates Xue (Blood); nourishes Liver Yin; relieves mid-back tension; Liver Shu Associated point
• UB-20 (+): regulates Spleen Qi; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); resolves Dampness, dispels Cold and relieves pain; provides strength to the extremities; Spleen Shu Associated point
UB-23 (+): tonifies and adjusts the Kidney; strengthens Yang and Qi Hai; influences adrenals; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); resolves Dampness; strengthens the spine, esp. the lower back; benefits the knees; controls the bones and teeth; Kidney Shu Associated point
UB-54/40 (- and/or bleed): transforms Damp-Heat; benefits Kidney Qi; controls the renal region (Finkelstein, p. 49); strengthens waist; relaxes the sinews and muscles; benefits the lower back, hips, legs and knees, esp. acute lumbar injury; Bladder He Sea Uniting and Earth point
UB-57 (-): dispels Wind; transforms Damp-Heat; strengthens the lower back; relaxes the sinews and muscles; relieves secondary sciatic pain; main point for all physical trauma (Finkelstein, p. 49); disperses Qi in the Bladder channel, according to Mingtang (Finkelstein, p. 49)
• GB-30 (-): dispels Wind and Cold; invigorates the Kidney; strengthens the lower back; relieves secondary sciatic pain; dissipates Wind-Damp in the channels and connecting vessels; frees the channels and removes Obstructions; relaxes the muscles and tendons
GV-26 (-): dispels Wind; pacifies the Shen and stabilizes the Will; regulates the Du Mai (Governing Vessel); frees the channels and invigorates the Qi circulation; benefits the spine, esp. lumbar and cervical
• LI-15 (-): expels Wind; harmonizes the flow of Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; stops pain; facilitates the joints; budding point of Hand Yang Ming (Large Intestine) Muscle channel; Independent Associated point of the shoulder (Mann, p. 9)
LI-11 (-): eliminates Wind and dispels Exterior conditions; regulates and harmonizes Qi and Ying; regulates the Xue (Blood); eliminates Dampness through the Intestines; benefits sinews, tendons and joints; frees the channels and relieves Stagnation, esp. with pain affecting the arm; Large Intestine Upper He Sea Uniting, Earth and Tonification point; budding point of Hand Yang Ming (Large Intestine) Muscle channel
• LI-4 (-): dispels Wind-Cold; pacifies the Shen; regulates Qi and Xue (Blood); relaxes sinews and tendons; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
SI-3 (+): pacifies the Shen; opens, activates and regulates the Du Mai (Governing Vessel); dispels Dampness and Internal Heat; tonifies the Small Intestine; strengthens the spine; relaxes the sinews and muscles; benefits the joints; releases muscle spasms; invigorates the channels; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel)
yao tong dian (junction of 2nd and 3rd, and 4th and 5th metacarpals; on affected side): best for acute pain above UB-23 (Valaskatgis, p.16)
Kd-27 (+): tonifies Yuan (Original) Qi; fortifies the Spleen; tonifies Kidney (especially Yang); tonify "a day or at least a few hours before manipulation; 'this may facilitate reduction of the hernia'." (McWilliams, et al, Lesson 31, p. 141)
• CV-7 (+): warms and supplements Kidney Yang; relieves pain and spasm of the lumbar spine; Mu Alarm point of the Lower Warmer
CV-6 (+): regulates, strengthens and moves the Qi; regulates and tonifies Yuan (Original) Qi; (D) warms the Lower and Middle Warmers; reinforces Yang and Jing (Essence); tonifies Kidney; benefits, nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); benefits spine, esp. "slipped disc" (Finkelstein, p. 86); dispels Dampness; "Sea of Qi"
• St-30 (+): harmonizes the Xue (Blood) and Ying (Constructive) Qi; dispels Qi Stagnation and Xue Yu (Blood Stasis); distributes Jing (Essence) and Yuan (Original) Qi to the genitals, Chong Mai (Penetrating Vessel) and the five curious organs (Brain, Spine, Bones and Marrow, Gall Bladder and Uterus); relaxes the tendons; Entry point of the Chong Mai (Penetrating Vessel) and the Sea of Nourishment
GB-26 (=): regulates Dai Mai (Girdle Vessel); promotes Kidney Qi circulation; relaxes muscles of the lumbar spine, esp. iliopsoas; clears and invigorates the channels; Entry point of Dai Mai (Girdle Vessel)
GB-34 (= or +): clears Dampness and cools Heat; facilitates and harmonizes the Liver; relaxes sinews and tendons; relieves soreness from fatigued muscles; tonifies tendons, ligaments and bones; benefits joints; frees the channels and invigorates the collateral vessels; alleviates pain; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
GB-39 (-): transforms Damp-Heat; pacifies the Liver; relaxes the neck; relieves hypochondriac pain; relaxes the muscles and sinews; strengthens the Bones; expels Wind-Damp and otherwise frees the channels and connecting vessels; esp. with stiffness of the neck; Hui Reunion point of the Marrow
• Lv-8 (+): nourishes Liver Xue (Blood); clears and cools Damp-Heat; soothes the sinews and tendons; invigorates the collateral vessels; Liver Water and Tonification point
Lv-3 (-): expels Wind; pacifies the Shen; regulates the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); disperses Liver Qi Stagnation; tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis); opens the channels and relaxes spasms; sedates pain; Liver Yuan Source, Shu Stream and Earth point; Independent Associated point for spasms
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); relieves stiffness and pain in the lumbar spine; Kidney Luo Connecting point
Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); warms Cold; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies Kidney Yang and Ming Men Fire (D); stabilizes Kidney Qi; strengthens lower back, waist and knees; relieves pain in teeth and bones; Kidney Yuan Source and Earth point
• Kd-1 (-): pacifies the Shen; reinforces the Kidney; nourishes Yin, esp. Kidney Yin, and benefits Jing (Essence); relieves secondary sciatic pain; Kidney Jing Well, Wood, Dispersion and Entry point
UB-62 (+): dispels Wind and Cold; regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; soothes sinews, tendons and vessels; relaxes the Muscle channels; Couple point of the Du Mai (Governing Vessel)


footnotes