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Chinese patterns
Heart Agitated by Phlegm Fire
acupuncture
patterns and combinations
Heart Agitated by Phlegm Fire
» principle of treatment: open the Heart; eliminate Heat in Heart; calm the Shen; resolve Phlegm to clear Heart and Sense Orifices; tonify Yin
» illustrative combinations:
GB-20, GV-14 and Lv-3 (-): pacify Liver Yang, Fire and Wind; pacify the Shen; clear Brain; cleanse Yang which has been obscured by Phlegm (Ross, 1985, p. 134)
ancient prescription for mania from Sun Tzu Miao (618 C.E.): needle following "ghost points", without retention, one at a time, in the sequence listed:
GV-26, Lu-11, Sp-1, PC-7, UB-62, GV-16, St-6, CV-24, PC-8, GV-23, CV-1, LI-11, shi xuan, PC-5, SI-3 (Shanghai, p. 630; Maciocia, p. 210; So, 1987, p. 131)
CV-4, CV-12, CV-22 and GV-9 are the Reunion Point of the Yin and Yang; needled when there is conflict between Yin and Yang, according to Su Wen (Finkelstein, p. 78)
point analysis
» palpate and consider:
GV-20 (+ and/or D): restores consciousness in case of coma; awakens the Brain, Mind and senses; promotes resuscitation and mental clarity, and stops the stroke syndrome; stabilizes the body against shock; 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; Sea of Marrow point; Jiao Hui Intersecting point of the Yang channels
GV-14 (-): clears and awakens the Brain and Mind; clears the Shen, calms the Soul, and pacifies the Will; stimulates the Bone Marrow to reach the Brain (Maciocia, p. 257); opens and restores the Yang by spreading Yang Qi through the Du Mai (Governing Vessel) and whole body; regulates and stimulates the flow of Qi; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
ding shen (-): specific for psychosis (Ross, 1985, p. 134); calms the Shen
GB-13 (-): pacifies the Shen
GB-15 (-): pacifies the Shen; balances mental state with bipolar extremes
UB-15 (-): clears Heart Fire; 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 and nourishes Heart Xue (Blood); disperses Yang Shi (Excess) in the Heart; calms sexual dreaming; transforms Heart Phlegm; invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); relaxes and expands the chest, and benefits the Qi; Heart Shu Associated point
UB-20 (+): tonifies Spleen to resolve Phlegm; Spleen Shu Associated point
GV-24 (-): pacifies the Shen
GV-26 (-): clears the Shen, Brain, and senses and revives consciousness; cools Heat and opens the Orifices; pacifies the Shen and stabilizes the Will; regulates Rebellious Qi of Yin and Yang to harmonize Yin and Yang; regulates the Du Mai (Governing Vessel); transforms Heart Phlegm
LI-11 (-): disperses Heat, esp. from Yang Ming channels; clears the Shen and brings down high blood pressure; regulates and harmonizes Qi and Ying; cools and harmonizes the Xue (Blood); Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9); twelfth of thirteen Ghost points
LI-4 (-): disperses Heat, esp. from Yang Ming channels; reduces fever; pacifies the Shen; regulates Qi and Xue (Blood); brightens the eyes; stabilizes sweating; Large Intestine Yuan Source and Entry point
Lu-11 (- and/or bleed): disperses Heat; pacifies the Shen and suppresses madness; revives from fainting; restores consciousness after heatstroke; opens the Orifices and resuscitates respiratory mechanism; lowers fever; regulates and discharges Rebellious Qi Fire in the twelve channels (Ellis, et al, 1988, p. 87); Lung Jing Well and Wood point
Ht-7 (-): clears Heat of the Heart; opens the Orifices; stabilizes the Exterior and stops sweating, esp. night sweats; pacifies the Shen and calms 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); removes Qi Stagnation in the Heart; regulates and tonifies the Heart, esp. Heart Qi; relieves pain, esp. lateral costal pain; frees the channels; Heart Yuan Source, Earth and Dispersion point
Ht-8 (-): pacifies the Shen; clears Heart Fire and Phlegm Fire; pulls Qi down; regulates flow of Qi; Heart Fire and Horary point
Ht-9 (- and/or bleed): clears Heat in Heart, esp. with unconsciousness (bleed); sedates the Shen; opens the Heart Orifices; revives the senses; relieves fullness; pulls Qi down; strengthens Heart Yin and Yang; regulates the Heart; clears Heat from the Xue (Blood); Heart Jing Well, Wood, Tonification and Exit point
PC-5 (-): clears the Orifices; calms the Mind and quiets the Shen; clears Heat; regulates and clears the Heart; drains Shi (Excess) Fire from the Heart; resolves Phlegm in the Heart and chest; nourishes the Heart; regulates Heart Qi; opens and dispels fullness from the chest; drains the Triple Warmer; Pericardium Metal point; Meeting of the three Upper Yin channels; ninth of the thirteen Ghost points
PC-7 (-): pacifies the Shen; cools Heat and clears Fire of the Heart and Pericardium; draws Xu (Deficiency) Fire back into the Mind; nourishes Heart Xue (Blood); opens Heart Orifices; 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); fourth of the thirteen Ghost points
PC-8 (-): pacifies the Shen; clears the brain; revives consciousness; regulates the Heart (esp. Qi and Yang); cools and clears Heat from the Heart and Shen; drains and disperses Heat from the Pericardium; clears Fire and transforms Damp-Heat; cools Heat in the Xue (Blood); Pericardium Fire, Horary and Exit point; fourth of the thirteen Ghost points
shi xuan (bleed): clear Heat; revive consciousness; clear the Heart Orifices
CV-15 (- or =): clears Heat and extinguishes Wind; pacifies the Shen; stimulates the pituitary (Finkelstein, p. 91); promotes flow of Qi; benefits Yuan (Original) Qi and nourishes all Yin organs; transforms Phlegm and relaxes the chest; Luo Connecting point of the Ren Mai (Conception Vessel) with the Du Mai (Governing Vessel); Source point of the five Zang (Yin viscera)
CV-12 (+): tonifies the Spleen to resolve Phlegm; benefits and soothes the Qi; Stomach and Middle Warmer Mu Alarm point; Reunion Point of the Yin and Yang; Hui Reunion point of the Fu (Yang organs)
GB-34 (-): cools Damp-Heat anywhere in the body; soothes, regulates and subdues Yang of the Liver and Gall Bladder; brings down high blood pressure; dissolves Phlegm; Gall Bladder He Sea Uniting and Earth point
Lv-3 (-): pacifies the Shen; brings Fire down; "relieves anger and mellows spirits of those who are frustrated and jealous" (Finkelstein, p. 73); clears head and thinking; suppresses dizziness; brightens and benefits eyes; harmonizes the Liver and disperses Liver Qi Stagnation; promotes smooth flow of Qi and Xue (Blood); subdues Liver Yang; tonifies Liver Xue (Blood); opens the channels and relaxes convulsions, spasms and cramps; sedates pain; Liver Yuan Source and Earth point; independent associated point for spasms
Lv-2 (-): brings Fire down; calms the Shen and eases the Mind; sedates fright; disperses Qi and clears Fire of the Heart; clears the Pericardium; drains Fire of the Liver and Gall Bladder; subdues Yang Shi (Excess); soothes Liver to release Liver Qi and disperse Stagnant Qi; relaxes cramps, spasms and convulsions; Liver Fire and Dispersion point
Sp-9 (-): regulates the Spleen and moves the Middle Warmer; regulates the Water Pathways; transforms Damp Stagnation, esp. through promotion of diuresis; dispels Damp-Heat and eliminates Phlegm-Dampness; esp. with excess fluids; Spleen He Sea Uniting and Water point
Sp-6 (+): pacifies the Shen; nourishes Yin; disperses Heart Fire; clears Fire due to Xu (Deficiency); loosens congestion in the diaphragm; strengthens the Spleen and tonifies the Qi; regulates, nourishes the Xue (Blood); frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; transforms Dampness and Heat; resolves Phlegm; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): pacifies the Shen; clears Heat; strengthens the Spleen and Middle Warmer; transforms Dampness and Damp-Heat; tonifies Yuan (Original) Qi; descends the Turbid; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
St-40 (-): pacifies the Shen; strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; transforms, dissolves and eliminates Phlegm and Dampness; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
St-44 (-): cools Heat and drains Dampness; descends the Turbid; Stomach Water point
Kd-7 (+): clears Heat and nourishes Yin; strengthens Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; cools and clears Damp-Heat; regulates the pores and sweating; disperses Stagnation; Kidney Metal and Tonification point
Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); cools and clears Heat; pacifies Xu (Deficiency) Fire; strengthens the Brain; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies Kidney Yang; Kidney Yuan Source and Earth 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.