-IBIS-1.5.0-
tx
reproductive system
mastitis
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Liver Qi Stagnation, Stomach Heat; Damp-Heat Accumulation; Wind-Heat; Xue Xu (Blood Deficiency), esp. with Qi Xu (Deficiency); dysfunction of the Chong Mai (Penetrating Vessel)

» therapeutic note: see also "lactation: excess/deficiency" if that is a factor

» illustrative combinations:
• CV-17, SI-1 and St-18, with moderate stimulation and 30 minutes retention (can also add: PC-6 and/or TW-10) for acute mastitis (Shanghai, p. 637)
• Lv-14, Lv-2, PC-6, PC-1 and GB-21 for mastitis due to Stagnant Liver Qi; also consider St-18, St-34, PC-7 and GB-41 (Qiu and Su, p. 22)
• St-16, St-39, St-40 and LI-7 for mastitis due to Stomach Heat; add LI-4 and GV-14 if fever is present; add CV-17 and SI-1 if accumulation of milk is present (Qiu and Su, p. 23)
• St-16, St-39, St-40 and LI-7 (can also add: CV-17, SI-1, LI-4, GV-14, GB-20 and tai yang) for mastitis due to Stomach Heat (Qiu and Su, p. 22-23)
• CV-17, LI-4 and LI-11 for mastitis (Shanghai, p. 177)
• St-16, St-18, Sp-18, Kd-22, CV-17, GB-21, LI-11, Ht-1, PC-7, PC-2, SI-1, UB-16, UB-38/43, UB-39/44, UB-18, UB-54/40 and St-36 for mastitis (Shanghai, p. 638)
• St-16, St-18, GB-21, LI-11, St-37 and Lv-3 (strong stimulation) for acute mastitis (Shanghai, p. 179)
• GB-21, SI-11 and SI-1 for mastitis (Shanghai, p. 194)
• CV-17, LI-4, LI-11, St-37 and Lv-3 (moderate stimulation) for mastitis (Shanghai, p. 638)
• LI-8, St-36, GB-43, Lu-10, UB-54/40 and SI-1 for mastitis (Shanghai, p. 638)
• GB-21, St-36, PC-6 and GV-14, together with bloodletting of minute bright red spots on the back, for breast abscess due to Heat obstructing Xue (Blood) and Qi in the Stomach channel (Jirui and Wang, p. 256)
• GB-21, Lu-7 and UB-54/40 (can also add: UB-17 and Sp-10) for breast abscess due to Liver Qi Stagnation and Stomach Heat (Mann, p. 142)
• St-16, GB-41, Kd-23, St-18, St-36, St-39, LI-8, Sp-18 and GB-43 for abscessed breast (Shanghai, p. 638)
• Lu-7 and SI-1; Sp-18 and GB-41; LI-8 and St-34; PC-7 and CV-17 for breast abscess (Mann, p. 142)
• Lv-14, Lv-2, PC-6, PC-1 and GB-21 (can also add: St-18, St-34, PC-7 and GB-41) for breast abscess due to Liver Qi Stagnation (Qiu and Su, p. 22-23)
• St-30, GB-22 <-> Sp-21 area and SI-11 are "essential" points for treating breast problems; St-15 <-> St-16 area along with PC-6 and Sp-4, to effect the Chong Mai (Penetrating Vessel), are secondary points; palpation, of course confirms the points' appropriateness (Matsumoto)
• GB-21 and St-18: regulate Qi circulation, disperse Accumulation, and relieve swelling in the breast (Finkelstein, p. 66)
• St-18 and SI-1 for most breast problems (Ambrose)
• SI-1 and Lu-10: remove Obstruction of the breast; increase lactation (Finkelstein, p. 34)
• CV-17 and SI-1: resolve milk accumulation and breast distension (Qiu and Su, p. 23); regulate Qi circulation and remove Obstruction of lactation (Finkelstein, p. 34)
• PC-6 and TW-10 (-): spread Qi in Triple Warmer and Pericardium channels; suppress Rebellious Qi; pacify Stomach


point analysis

»
palpate and consider:
• GB-20 (=): dispels Wind-Heat; harmonizes Qi and Xue (Blood); relieves associated headaches; frees the channels and invigorates the collateral vessels
• GV-14 (-): dissipates Wind and clears Heat; facilitates Qi flow; spreads and facilitates Yang; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel)
SI-11 (needle, moxa or Tiger Warmer): stimulates flow of Qi, esp. diffuses Qi Stagnation in the chest and lateral costal region; treats all breast problems, esp. if tender or painful upon palpation (Matsumoto); frees the channels and invigorates the collateral vessels; facilitates lactation; frees the channels and invigorates the collateral vessels; reduces swelling; sedates pain; breast Shu point (Matsumoto)
small red spots on upper back (prick to bleed): locate pin-point size bright red spots on back, unresponsive to pressure and usually at level of C7 to T6; prick and squeeze a few drops of blood from each (Jirui and Wang, p. 256)
UB-38/43 (=): regulates the Shen (hence called the "Happy point"); clears Empty Heat; supplements the Lung and fortifies the Spleen; strengthens the Xue (Blood); stimulates hematopoesis; treats insufficient lactation (S. de Morant as per Mann, p. 153); restores Yuan (Original) Qi; descends Rebellious Qi; Pericardium psychospiritual associated point
• UB-39/44 (-): expands and relaxes the chest; clears Heat; Heart psychospiritual associated point
• UB-16 (-): clears Heat; cools Heat in the Xue (Blood); invigorates Xue (Blood); expands and relaxes the chest; facilitates lactation; Shu Associated point of the Du Mai (Governing Vessel)
• UB-17 (=): regulates and invigorates the Xue (Blood); transforms Xue Yu (Blood Stasis) and disperses Obstruction; clears Heat from the Xue (Blood); enriches Yin and nourishes Xue (Blood) Dryness; expands the chest and diaphragm; harmonizes Stomach Qi; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
• UB-18 (-): drains the Liver and Gall Bladder; cools Damp-Heat; moves Stagnant Qi; nourishes and regulates the Xue (Blood); cools Heat in the Xue (Blood); harmonizes the Stomach and benefits the Qi; Liver Shu Associated point
• UB-20 (=): regulates Spleen Qi; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; nourishes and harmonizes the Xue (Blood); facilitates milk production and expedites lactation; drains Heat Shi (Excess) from the Middle Warmer; softens hard masses; Spleen Shu Associated point
UB-21 (-): harmonizes the Stomach; regulates the Stomach Qi; benefits the Zhong (Ancestral) Qi and cultivates Yuan (Original) Qi; transforms Dampness; dissolves and eliminates Stagnation and Obstructions; promotes lactation; relieves breast pain; suppresses Rebellious Qi; Stomach Shu Associated point
• UB-46/51 (=): regulates the Triple Warmer; ensures smooth spread of the Triple Warmer Qi to the Heart region; Triple Warmer psychospiritual associated point
• UB-54/40 (- or bleed): clears Heat from the Xue (Blood); transforms Damp-Heat; Bladder He Sea Uniting and Earth point
• tai yang (-): dispels Wind-Heat; clears Heat (bleed)
GB-21 (-): clears Heat; facilitates Qi flow and spreads Liver Qi; disperses Stagnation and dispels masses; reduces swelling and pain; promotes lactation; relieves breast pain and treats mastitis and breast abscess; clears and invigorates the channels
• TW-10 (-): dispels Wind and clears Heat; spreads Qi in Triple Warmer and Pericardium channels; suppresses Rebellious Qi; pacifies the Stomach; expands and relaxes the chest; softens hard masses; Triple Warmer He Sea Upper Uniting, Dispersion and Earth point
PC-6 (=): clears Heat; spreads Qi in Triple Warmer and Pericardium channels; harmonizes, regulates and spreads the Qi in the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); opens the chest; regulates Liver Qi and relieves Liver Qi Stagnation; harmonizes the Stomach and descends Rebellious Qi; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; drains the Triple Warmer; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
LI-11 (-): clears Heat and eliminates Wind; regulates and harmonizes Qi and Ying; regulates and cools the Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes; harmonizes the Stomach; eliminates Dampness through the Intestines; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
LI-7 (-): clears Stomach Heat; regulates the Spleen and dispels Dampness from the Spleen; harmonizes the Stomach and Large Intestine; stops pain; Large Intestine Xi-Cleft point; Yang Shi (Excess) within Tai Yang (Small Intestine and Bladder) is guided to the internal duct of the Triple Warmer from LI-7 (Finkelstein, p. 8)
• LI-4 (-): clears Heat and dispels Wind-Heat; activates Wei (Protective) Qi and stimulates the immune system; regulates Qi and Xue (Blood), esp. moves Qi in the upper body; reduces fever; sedates pain; tonifies Metal to cool inflammatory processes; clears Toxins; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
Lu-10 (-): dispels Wind-Heat; clears Fire and Heat, esp. in the Upper Warmer; abates fever; stimulates sweating to disperse superficial conditions; cools Heat in Xue (Blood); harmonizes the Stomach and removes Obstruction of the breast; Lung Fire point
• SI-2 (-): dispels Wind-Heat; balances inner secretions, i.e., hormones; esp. with agalactia; Small Intestine Water point
SI-1 (d. D or slight +): disperses Wind and clears Heat; stimulates breasts and promotes lactation to resolve milk accumulation and breast distension; clears Obstruction from the channels, esp. of the breast; often suggested: single one-half rice grain size cone of direct moxa; Small Intestine Jing Well, Metal and Entry point
PC-1 (-): opens the chest; supervises the Xue (Blood); expedites and facilitates lactation; removes Obstruction of Qi circulation in Jue Yin (Pericardium and Liver) channels; specific for insufficient lactation and painful distension of the breast, esp. caused by Liver Qi Stagnation; use oblique lateral insertion, affected side only (Qiu and Su, p. 23); Window of the Sky point; Pericardium Entry point; "celestial pool"
• Kd-24 (-): clears Heat; opens and releases the chest, specifically to relieve fullness and distension in the chest and lateral costal region; reverses Rebellious Qi; disperses swelling
CV-17 (d. D or slight +): calms emotions; regulates and smooths Qi circulation in the Upper Warmer; reverses adverse flow of Qi in the chest, esp. descends Rebellious Lung Qi; expands the chest and facilitates lactation; reinforces the Zhong (Ancestral) Qi; elevates Spleen Qi; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi
• CV-5 (-): evaluates and controls the Three Warmers (Finkelstein, p. 86); tonifies Yuan (Original) Qi; regulates menstruation; Triple Warmer Mu Alarm point
hardest area of breast: indirect moxa with ginger, three times (So, 1987, p. 192)
St-18 (- or slight +): regulates Stomach Qi; facilitates circulation of Qi and Xue (Blood) in the Stomach channel, esp. to stop pain; regulates breast and lactation; dispels Stagnation; drains Heat from the Stomach channel; needle until stimulation throughout breast, ca. 10 mins. (So, 1987, p. 192); Great Luo of the Stomach; "breast root"
• St-16 (-): clears Heat; facilitates flow of Qi and promotes flow of milk; resolves Qi Depression; disperses swelling; relieves pain; "breast wind"
• St-15 (-): expedites and facilitates flow of Qi and Xue (Blood) in the breast; removes local congestion of milk, esp. with oblique insertion; treats Spleen Xu (Deficiency), Liver Shi (Excess) (Finkelstein, p. 14)
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; strengthens Spleen and Stomach; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); dispels Heat from the Xue (Blood); dissolves Phlegm to reduce masses; use oblique lateral insertion; Liver Mu Alarm point
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
St-34 (=): expels Wind; pacifies and clears Heat from the Stomach; opens the breasts; dispels Stagnation and accumulation of the Yang Ming (Stomach and Large Intestine); frees the channels and invigorates the collateral vessels; Stomach Xi Cleft Accumulation point
• St-36 (- or +): disperses Stomach Fire and clears Heat from Stomach channel; 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; disperses Stagnation in the Upper Warmer, esp. cracks Xue Yu (Blood Stasis) in the chest; regulates and strengthens Qi and Xue (Blood); descends Rebellious Qi; regulates Ying (Constructive) Qi and spreads Liver Qi; nourishes Kidney, Liver and Spleen; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
• St-37 (-): drains Shi (Excess) from upper region of body and relieves fullness of chest; rectifies the Spleen and harmonizes the Stomach; cools Heat and resolves Dampness to clear Damp-Heat; "treats acute cases with Heat, St-36 treats chronic cases" (Finkelstein, p. 21); frees the channels and invigorates the collateral vessels; He Sea Lower Uniting point of the Da Chang (Large Intestine); Exit point of Sea of Xue (Blood)
St-39 (-): eliminates Stomach Fire; improves flow of Xue (Blood); clears Heat and resolves Damp; transforms Stagnancy; He Sea Lower Uniting point of the Xiao Chang (Small Intestine); Sea of Xue (Blood) point
St-40 (-): dispels Wind; clears toxic Fire; strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; resolves Phlegm and masses; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
St-43 (-): dispels Wind; clears and drains Heat from Yang Ming (Stomach and Large Intestine); harmonizes the Stomach and regulates Stomach Qi; channels flow of Qi to hollow (Yang) organs; brings down Rebellious Qi; removes Obstructions from Stomach channel; transforms Dampness; Stomach Wood point
• Sp-10 (-): clears Heat and expels Wind; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat, dissipates Wind, and transforms Damp-Heat in the Xue (Blood); nourishes Xue (Blood) Dryness; "Sea of Blood"
Sp-4 (=): clears Heat; adjusts and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; regulates the Stomach; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); regulates the Yin Wei Mai (Yin Linking Vessel); disperses Qi Stagnation and Xue Yu (Blood Stasis); transforms Dampness and Damp-Heat; 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)
• Sp-3 (=): clears Heat; regulates and strengthens Spleen (especially Qi and Yang); regulates Stomach (especially Yin and Qi); transforms and expels Dampness and Damp-Heat; Spleen Yuan Source, Earth and Horary point
GB-41 (-): dissipates Wind; removes Fire; regulates the Liver and spreads Liver Qi to reduce Stagnation of Phlegm and Xue (Blood) in the Liver channel; relieves distention and swelling in the breast, including mastitis and breast abscess; stops secretion of milk; clears and regulates Dai Mai (Girdle Vessel); clears Wetness (Damp Spleen) by draining into Dai Mai (Girdle Vessel), thereby increasing Spleen Qi and Xue (Blood) production, improving digestion, and warming extremities; dispels Damp-Heat; Gall Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel); Couple point of the Yang Wei Mai (Yang Linking Vessel)
• GB-42 (-): disperses Heat; clears the Liver; dissipates Dampness; reduces swelling, including axillary pain and swelling, mastitis and ulcers of the breast
• GB-43 (-): disperses Heat; extinguishes Wind; relieves pain and reduces inflammation; Gall Bladder Water and Tonification point
Lv-3 (-): expels Wind; pacifies the Shen; relieves headache; clears the Liver; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis); sedates pain; esp. for distension in the lateral costal region due to Liver Qi Stagnation; Liver Yuan Source and Earth point
• Lv-2 (-): reduces Liver Fire; regulates Liver Qi; eases the Mind; removes Depression; sedates fright; disperses, drains and clears Fire of Liver and Gall Bladder; disperses Stagnant Qi of Liver and Gall Bladder; soothes and loosens Liver to release Liver Qi; cools the Xue (Blood); Liver Fire and Dispersion point

ear: mammary gland, endocrine, occiput, adrenal, thorax, dermis/subcortex


footnotes