-IBIS-1.5.0-
tx
reproductive system
preeclampsia
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Xue Xu (Blood Deficiency); Heart Xu (Deficiency) and Fire; Liver Fire; Liver Invading Spleen; Spleen Distressed by Dampness; Invasion of Wind-Cold
» therapeutic notes:
treatment with acupuncture is not an adequate substitute for emergency medical intervention in the event that eclampsia develops
if you are unsure about contraindications, check the list of "forbidden and caution points" in the materia medica regarding appropriateness during pregnancy
» illustrative combinations:
GV-26, GV-20, GV-16 and UB-10, possibly also St-36, PC-6 and/or GB-43 according to symptoms, for eclampsia (Flaws, 1983, p. 39)
Kd-2, GB-21, SI-14, PC-7, GB-34 and St-36 for eclampsia (Flaws, 1983, p. 39)
Kd-2 and PC-7; GB-21 and GB-34; SI-14 and St-36 for eclampsia (Mann, p. 151)
GV-26, GB-20, GV-16 and UB-10 (can also add: St-36, PC-6 and GB-34) for eclampsia (Mann, p. 150)
LI-11 and Sp-6: remove Obstruction of the channels and Xue Yu (Blood Stasis) and treat inflammation anywhere in body as this locus improves immune response, esp. the Uterus (Finkelstein, p. 9)
GB-20 and GV-16 (-): dispel Wind and Wind-Heat
UB-15 and UB-18 (-): cool Heat in Xue (Blood)
CV-3 and Sp-6: regulate the Qi function of the Lower Warmer and the function of the genital organs - Sp-6 sends Qi up; CV-3 sends it deep (Finkelstein, p. 84); note: needling of both points contraindicated during pregnancy
CV-9 (D) and CV-11: regulate water metabolism and induce diuresis (Finkelstein, p. 87)
CV-9 (d. D) and St-28 (D) then needle St-36 and CV-7: "For intolerable water-related diseases that present with abdominal fullness and vacuity swelling that refuses to abate." (Ellis, et al, 1988, p. 354)
Sp-10, UB-17 and UB-54/40: expel Toxic Damp and clear Heat in the Xue (Blood) (Finkelstein, p. 30)
Sp-10 and UB-17: replenish the Xue (Blood) (Finkelstein, p. 29);
Sp-10, Sp-6 and LI-11: manufacture Xue (Blood) and nourish the Liver to strengthen Spleen (Finkelstein, p. 29);
St-9, LI-11 and St-36 for hypertension (Shanghai, p. 165; Lee and Cheung, p. 246)
LI-11 and St-36: reduce hypertension; stimulate digestion and general metabolism; and disperse noxious Yang (Finkelstein, p. 9)
Lv-3 -> Kd-3 for hypertension (Flaws, 1989, p. 100)
LI-11 -> Ht-3 for hypertension (Flaws, 1989, p. 100)
GB-20, GB-5, yin tang, GB-34 and Lv-2 with Liver Yang Rising contributing to hypertension (Qiu and Su, p. 64-67)
point analysis
» palpate and consider:
GV-20 (= and/or D): dispels Wind and Cold of the head and opens the Orifices; pacifies the Shen and stabilizes the Will; cools the body (D) (Finkelstein, p. 81); regulates and tonifies the Qi (D); adjusts Qi of the Du Mai (Governing Vessel); elevates the Clear Qi; spreads Liver Qi and pacifies Liver; calms the fetus (D); Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
GV-16 (-): calms the Shen and quiets the Soul; dispels Wind and Wind-Cold; drains Fire; eliminates Yang Shi (Excess) from upper body; stimulates the pituitary and central nervous system (Finkelstein, p. 80); clears Heart of pathogenic Heat; eliminates Liver Wind; Window of the Sky point; Sea of Marrow point; Wei (Protective) Qi concentrates at this point
GV-14 (-): dissipates Wind and Cold; cools and drains Heat; reduces fever; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; clears the Shen, calms the Soul, and pacifies the Will; regulates and stimulates the flow of Qi; regulates the Xue (Blood); Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
GB-20 (-): disperses Wind and Wind-Cold; pacifies Liver Wind and dissipates Internal Wind; reduces and relieves Heat; subdues Liver Yang and Fire to calm and regulate the Liver, esp. disperses and descends Liver Yang from the head; harmonizes Qi and Xue (Blood)
GB-21 (D; no needle!): clears Heat; dispels Wind-Cold; spreads Liver Qi; extinguishes Liver Wind; esp. with premature labor or miscarriage accompanied by coldness in the limbs (Mann, p. 62); needling usually contraindicated during pregnancy
SI-14 (-): dissipates Wind and dispels Cold; warms the Cold and invigorates the collateral vessels
UB-10 (-): dispels Wind-Cold; dispels Fire; reduces fever; modulating effect on the medullary functions; calms the Heart; opens and clears channels of the neck; Window of the Sky point; Sea of Qi general point
UB-12 (-): expels Wind; ventilates and dispels pathogenic Heat from the Yin channels; disperses Yang Shi (Excess) in all Yang channels without draining body fluids; dispels Dampness; disperses perverse Heat from the chest; expands and relaxes the chest; regulates Qi circulation; cupping here excellent for pulling out Wind; moxa after pulling Wind out with needling often helpful; Gate for entrance and departure of Feng Qi (Wind Qi); Shu point of Bones and Xue (Blood) (Banever, p. 59)
UB-15 (-): calms the Heart and the Shen; regulates the Xue (Blood) and Qi of the Heart; nourishes Heart Xue (Blood), and tonifies Heart Yin; clears Heart Fire and disperses Yang Shi (Excess) in the Heart; cools Heat in the Xue (Blood); invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); Heart Shu Associated point
UB-17 (- or +): tonifies the Qi; regulates and nourishes the Xue (Blood); clears Heat from the Xue (Blood); enriches Yin; expands the chest and diaphragm; strengthens Xu (Deficient) conditions and increases stamina; harmonizes Stomach Qi; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-18 (-): pacifies the Shen; benefits the Liver and Gall Bladder; extinguishes Liver Wind and clears Liver Fire; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; cools Heat in the Xue (Blood); Liver Shu Associated point
UB-20 (+): regulates Spleen Qi; tonifies the Spleen and Stomach; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; nourishes and harmonizes the Xue (Blood); warms the Middle Warmer (D); drains Heat Shi (Excess) from the Middle Warmer; resolves Dampness; dispels Cold; Spleen Shu Associated point
UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; resolves Dampness; regulates fluid system, volatilizes the Bladder, and promotes diuresis; Kidney Shu Associated point
UB-54/40 (-): cools Heat in the Xue (Blood); resolves Damp-Heat; calms the fetus; benefits Kidney Qi and regulates Bladder; Bladder He Sea Uniting and Earth point
tai yang (-): dispels Wind and Wind-Heat; clears Heat (bleed); clears the head; cools, clears and brightens the eyes; extinguishes Liver Wind
SI-19 (-): drains Fire; pacifies the Shen; Small Intestine Exit point
GV-26 (-): dispels Wind; pacifies the Shen and stabilizes the Will; regulates the Du Mai (Governing Vessel); reduces swelling of the face; frees the channels and invigorates the Qi circulation
St-9 (-): regulates Qi and Xue (Blood); clears Heat; effects the carotid body to reduce blood pressure; influences the thyroid (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258); Great Window of the Sky point; Exit point of the Sea of Qi; CAUTION: move the common carotid artery aside!
Ht-3 (-): pacifies the Shen and Soul; enhances stability with nervous exhaustion; clears Heat; regulates the Heart Qi; Heart He Sea Uniting and Water point; "Joy of Life" point (Finkelstein, p. 32)
LI-11 (-): clears Heat; eliminates Wind; clears the Shen and brings down high blood pressure; regulates and harmonizes Qi and Ying; cools and harmonizes the Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes and 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)
Lu-7 (-): circulates the Wei (Protective) Qi to expel Wind, dispel Cold, and disperse the Exterior; promotes sweating; treats Shi (Excess) patterns, esp. acute; opens and regulates the Ren Mai (Conception Vessel); stimulates the Lung function of dominating Water Pathways and controlling edema; tonifies Yang Ming (Stomach and Large Intestine); promotes diuresis by descending the Turbid; invigorates the collateral vessels; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel)
PC-6 (+): clears Heat; pacifies the Shen; treats petit mal seizures; tranquilizes the Heart; regulates the Qi; opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes, regulates and spreads the Qi in the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); regulates blood pressure and reestablishes the pulse; 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; regulates the Chong Mai (Penetrating Vessel); enhances purification and dispersement of the Triple Warmer; 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 (-): regulates Qi; pacifies the Shen; clears Heat and Wind-Heat; clears Fire of Heart and Pericardium; draws Xu (Deficiency) Fire back into the Mind; nourishes Heart Xue (Blood); relaxes the chest; dissipates Heat from the Ying (nutrient system) and Xue (Blood); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; strengthens the Spleen and Stomach; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); dispels Heat from the Xue (Blood); Liver Mu Alarm point
Lv-13 (-): spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; benefits the Qi; harmonizes Liver and Spleen; moves Fluids and relieves distension; regulates circulation of Qi and Xue (Blood); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
CV-17 (+): calms emotions; regulates and smooths Qi circulation in the Upper Warmer; reinforces the Zhong (Ancestral) Qi of the chest; elevates Spleen Qi; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Center Reunion point of the Breath
CV-14 (=): clears the Heart and stabilizes the Shen; regulates and invigorates the Qi; harmonizes the Stomach and facilitates movement in the Middle Warmer; 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-12 (+): strengthens and calms the Spleen; transforms Dampness; benefits and soothes the Qi; warms and tonifies 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 (+; no moxa!): moves and strengthens the Spleen; dissipates Dampness; loosens the Center; aids digestion; moxibustion contraindicated during pregnancy
CV-9 (d. D or -): balances endocrine and lymphatic systems; stabilizes all secretions (Finkelstein, p. 87); warms the Middle Warmer; dispels Cold; moves Spleen and Earth; regulates the Spleen and Stomach; regulates Bladder Qi; dissolves Damp and resolves edema; assists Small Intestine in its functions of separating liquid from matter, the Clear from the Turbid, and maintaining water balance (Finkelstein, p. 87); promotes diuresis; Small Intestine Mu Alarm point (Hukaya as per Matsumoto); water regulation and metabolism reflex (Matsumoto); "no energy" indicates Xu (Deficiency) of Spleen and/or Stomach (Matsumoto); pulsing indicates Kidney Xu (Deficiency) (Matsumoto)
CV-8 (D on salt): raises placenta and fetus that has slipped or dropped prematurely (Flaws, 1983, p. 45); strengthens the transporting function of the Spleen and Stomach; dries Dampness; regulates Qi; palpation: pulsing around CV-8 indicates Spleen Qi Xu (Deficiency), while a puffy navel indicates Kidney Xu (Deficiency) (Matsumoto)
GB-34 (-): soothes Yang of the Liver and Gall Bladder; brings down high blood pressure; clears Dampness and cools Heat; facilitates and harmonizes the Liver; extinguishes Liver Wind; tonifies the Spleen; Gall Bladder He Sea Uniting and Earth point
GB-43 (-): disperses Heat; extinguishes Wind; sedates convulsions; relieves pain; reduces inflammation; Gall Bladder Water and Tonification point
Lv-3 (-): expels Wind; pacifies the Shen; relieves headache; regulates the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; cools and drains Liver Fire; subdues Liver Yang; calms Liver Wind; cools Heat in the Xue (Blood); tonifies Liver Xue (Blood); opens the channels and relaxes spasms and convulsions; sedates pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
Lv-2 (-): calms the Shen and eases the Mind; sedates fright; disperses Qi and clears Fire of the Heart; disperses Stagnant Liver Qi and drains Liver Fire; subdues Yang Shi (Excess); eliminates Interior Wind; cools Heat in the Xue (Blood); relaxes spasms and convulsions; Liver Fire and Dispersion point
Sp-10 (-): expels Wind; clears Heat; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat in the Xue (Blood); nourishes Xue (Blood) Dryness; perfuses the Lower Warmer; "Sea of Blood"
Sp-9 (+): regulates and tonifies the Spleen (especially Yang); warms and moves the Middle Warmer; regulates the Water Pathways; transforms Damp Stagnation, esp. through promotion of diuresis; benefits the Lower Warmer; Spleen He Sea Uniting and Water point
Sp-6 (D; no needle!): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; influences the pituitary, adrenals, uterus and ovaries (Finkelstein, p. 27; Worsley, 1985, p. B-20); disperses Heart Fire; clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and nourishes the Xue (Blood); clears Xue (Blood) Heat; spreads Liver Qi and suppresses Liver Heat; warms the Middle and Lower Warmers; restores circulation to the Lower Warmer; tonifies the Kidney; regulates the Bladder; 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; needling contraindicated during pregnancy
St-36 (+): dispels Cold and expels Wind; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; disperses noxious Yang and brings down high fever; dispels and eliminates Dampness; regulates and strengthens Qi and Xue (Blood); strengthens weak and deficient conditions; regulates the Stomach and strengthens the Spleen; governs all descending energies in the body; regulates and replenishes the Middle Warmer; 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 (-): dispels Wind; clears and calms the Shen; reduces high blood pressure (Finkelstein, p. 21); strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; transforms and eliminates Dampness; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
Kd-9 (+ and/or D): pacifies the Shen; sedates fright; dissipates Heat from the Heart; strengthens Yuan (Original) Qi; regulates the Yin Wei Mai (Yin Linking Vessel); tonifies Kidney Qi, Kidney Yin and Jing (Essence); strengthens the fetus and eliminates hereditary dysfunction; esp. with toxemia of pregnancy with spasm of the lower abdominal muscles (Mann, p. 46); Entry point and Xi Cleft Accumulation point of Yin Wei Mai (Yin Linking Vessel)
Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens the Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; tonifies the Liver via the mother/child relationship; facilitates the Bladder and Water Pathways; Kidney Metal and Tonification point
Kd-5 (= or lightly +): reinforces the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates Qi and Xue (Blood); strengthens Yuan (Original) Qi; strengthens function of Kidney; revives circulation of Qi in the Kidney organs and channels; clears and regulates the Bladder; Kidney Xi Cleft Accumulation point
Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; cools and descends Heat; pacifies Xu (Deficiency) Fire; treats thyroid imbalance (Matsumoto); stabilizes Kidney Qi; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); promotes function of the Uterus; regulates the Water Pathways; calms the fetus; Kidney Yuan Source and Earth point
Kd-2 (=): nourishes Yin; eliminates Heat and clears Fire to cool the Xue (Blood); stabilizes Kidney Qi; tonifies Kidney (especially Yang) and Jing (Essence); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens Yin Qiao Mai (Yin Motility Vessel); Kidney Fire point
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.