-IBIS-1.5.0-
tx
eyes/ears/nose/throat
otitis media
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
external: Wind-Heat; Wind-Cold; Dampness obstructing ear cavities;
internal: Liver and Gall Bladder Invaded by Damp-Heat; Liver and Kidney Xu (Deficiency); Spleen Qi Xu (Deficiency); Phlegm-Dampness; Stomach Yin Xu (Deficiency); Stomach Fire Blazing Upwards; Liver Fire Blazing Upwards

» therapeutic note:
• The increased sensitivity and immature digestion of children makes them especially susceptible to inflammation and the accumulation of Damp Phlegm, esp. when irritating or Cold and Damp foods, such as sugar, dairy products and refrigerated foods, are present in their diet.
• repeated use of antibiotics can increase Dampness

» illustrative combinations:
• SI-19, TW-17 and LI-4 for otitis media (Shanghai, p. 160)
• TW-21, TW-17 and LI-4 for otitis media and ear pressure (Shanghai, p. 159)
• TW-23, GB-1 and LI-4; TW-18, TW-19 and GB-20; TW-17 and GB-2; GB-41 and GB-3; SI-19, TW-21, SI-15 and St-36; SI-3 and TW-5 for otitis media (Mann, p. 139-140)
• TW-21 and GB-2 open the ear; spread the Qi; benefit hearing (Flaws, 1989, p. 86; Finkelstein, p. 65)
• GV-14, LI-11 and LI-4 (-) clear Heat, esp. Wind-Heat; resolve Stagnation
• Lv-13, Sp-9 and GB-34 (-): transform Dampness; clear Damp-Heat


point analysis

»
palpate and consider:
GB-20 (-): expels Wind; regulates Liver and Gall Bladder; dispels Wind-Heat and Wind-Cold conditions; opens and benefits the ears; sharpens the hearing; subdues Liver Yang to calm and regulate the Liver and Gall Bladder; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; Jiao Hui Intersecting point of Yang Wei Mai (Yang Linking Vessel) and Hand Xiao Yang (Triple Warmer) channels on the Foot Xiao Yang (Gall Bladder) channel
GB-12 (-): pacifies the Shen; opens the sensory Orifices, esp. clears the ear; eliminates Wind and Cold; clears Heat; reduces upward disturbance of Fire of Liver/Gall Bladder
• GB-13 (-): subdues ascending Liver Yang; pacifies the Shen
GV-14 (-): dissipates Wind and Cold; cools and drains Heat; reduces fever; induces sweating; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; calms the Shen; spreads the Yang through the Du Mai (Governing Vessel) and whole body; regulates and stimulates the flow of Qi; regulates the Xue (Blood); clears the throat, opens the Lung and transforms Phlegm; clears Lung Heat; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
• UB-11 (-): dispels Wind, Wind-Cold, Wind-Heat and Cold; resolves Shi (Excess) Heat, esp. External Heat; connects the Du Mai (Governing Vessel) to the Shu Associated points; distributes Bladder Qi and Jing-Ye (Yin) to all the dorsal Shu points, thus cooling them (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; diffuses Lung Qi; sedates cough; facilitates Xue (Blood) flow; invigorates the collateral vessels; Hui Reunion point of the Bones; Sea of Xue (Blood) upper entry point
• UB-12 (-): disperses and eliminates Wind; resolves the Exterior; stimulates preventive response after to exposure to a chill; stimulates sweating; disperses Yang Shi (Excess) in all Yang channels without draining body fluids; dispels Dampness; opens the Lung and strengthens the dispersing function of the Lung; strengthens children who are malnourished (Finkelstein, p. 39); Gate for entrance and departure of Feng Qi (Wind Qi)
• UB-17 (-): regulates the Xue (Blood); transforms Xue Yu (Blood Stasis); cools Heat in the Xue (Blood); disperses Obstruction and invigorates Xue (Blood) circulation; enriches Yin; 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; clears and benefits the Liver and Gall Bladder; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; cools Heat in the Xue (Blood); harmonizes the Stomach and benefits the Qi; Liver Shu Associated point
• UB-19 (+): regulates the Qi and calms the emotions; cools and drains Heat from the Liver and Gall Bladder; transforms Damp-Heat; calms and harmonizes the Stomach; Gall Bladder Shu Associated point
UB-20 (+): 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; warms the Middle Warmer (D); drains Heat Shi (Excess) from the Middle Warmer; subdues Rebellious Stomach Qi; resolves Dampness and Phlegm; dispels Cold and relieves pain; Spleen Shu Associated point
• UB-21 (+): harmonizes the Stomach, regulates the Stomach Qi, and nourishes Stomach Yin; 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; Stomach Shu Associated point
• UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); benefits the ears; strengthens Yang and Qi Hai; counterbalances Liver Fire; resolves Dampness; Kidney Shu Associated point
• UB-54/40 (-): clears Heat from the Xue (Blood); cools fever and transforms Damp-Heat; Bladder He Sea Uniting and Earth point
• GV-20 (-): subdues Liver Yang; pacifies the Shen; dispels Wind and Cold of head and opens the Orifices; regulates and tonifies the Qi (D); elevates the Clear Qi; pacifies the Liver and spreads Liver Qi; Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
TW-21 (-): dispels Wind and Cold; disperses Heat; opens the ear and benefits hearing; esp. with otorrhea (McWilliams, et al., Lesson 31, p. 169); courses the channels and invigorates the collateral vessels
TW-17 (-): expels Wind; dispels Cold; clears Heat; open and benefit ears; frees the channels; benefits hearing and vision; relaxes the sinews and tendons, especially facial
• SI-18 (-): dissipates Wind; clears the channels and invigorates the collateral vessels; sedates pain
SI-19 (-): clears Heat; loosens and regulates Qi of the ear; benefits the ear; Small Intestine Exit point
GB-2 (-): eliminates Wind and Cold; clears Wind-Heat; circulates Qi in aural region; clears blockage and restores circulation of Qi in the Gall Bladder and channel near the ear; invigorates the Liver and Gall Bladder; relaxes the sinews and tendons
• tai yang (-): dispels Wind and Wind-Heat; clears Heat (bleed); clears the head; relieves temporal headache; clears Liver Fire
St-7 (-): dissipates Wind and dispels Heat; sedates pain; removes Obstructions from the Stomach channel; benefits the ear
• St-6 (indirect moxa with ginger): disperses Wind; regulates the flow of Qi; opens the channels and invigorates the collateral vessels
• St-3 (-): dissipates Wind; clears the channels and invigorates the collateral vessels; sedates pain
• TW-2 (+ or -): dispels Wind; facilitates flow of Qi; clears Xu (Deficiency) Fire; moves Stagnant Qi and drains Heat, esp. in the San Jiao (Triple Warmer) and channel; reduces swelling; relieves pain; moistens the throat; frees the channels and invigorates the collateral vessels; Triple Warmer Water point
TW-3 (=): clears Heat; dispels Wind and Wind-Heat; regulates and facilitates Qi circulation in Triple Warmer channel; clears the head and benefits the ear; opens the sensory Orifices; moistens Dryness, esp. the throat; Triple Warmer Wood and Tonification point
TW-5 (-): expels Wind; clears Heat, esp. from the Triple Warmer channel; regulates and facilitates Qi circulation, esp. in the Triple Warmer channel; relieves Exterior and Hot conditions; induces perspiration; opens the Orifices (ears and anus) to influence hearing, treat tinnitus and relieve constipation; opens and moves the Yang Wei Mai (Yang Linking Vessel) and regulates the Dai Mai (Girdle Vessel); transforms Phlegm and dissolves Toxins; clears Xiao Yang (Gall Bladder) in the head and disperse Liver Yang Shi (Excess); tonifies Wei (Protective) Qi; alleviates pain; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
• TW-6 (-): dispels Wind and Wind-Heat; dissipates Cold; clears Fire and Heat, esp. drains Stomach Heat; transforms Phlegm; facilitates Qi flow and spreads the Qi; regulates the Triple Warmer and the Zang-Fu organs; disperses Obstruction; relieves pain; Triple Warmer Fire and Horary point
PC-6 (-): clears Heat; pacifies the Shen; calms and harmonizes the Stomach; subdues Rebellious Stomach Qi; tonifies Yin of the Middle Warmer; regulates the Qi; harmonizes and regulates Middle and Upper Warmers; regulates Liver Qi and relieves Liver Qi Stagnation; harmonizes the Stomach; descends Rebellious Qi; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; 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, esp. Wind-Heat; resolves Stagnation; regulates and harmonizes Qi and Ying; regulates Qi circulation of Lung; regulates and cools Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; harmonizes the Stomach and regulates the Intestines; 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)
• LI-6 (-): dissipates Heat and Fire; benefits the ear and treats deafness; opens Lung Water Pathways and eliminates Damp; tonifies Kidney Yin by directing the Yang Qi of the Exterior toward the internal duct of the Triple Warmer (Finkelstein, p. 8); Large Intestine Luo Connecting point
LI-4 (-): clears Heat, esp. Wind-Heat; dispels Wind-Cold; pacifies the Shen; resolves Stagnation; regulates Qi and Xue (Blood); reduces fever; stimulates dispersing function of Lung; induces or stabilizes sweating; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; regulates Qi and disperses Heat of the Intestines; elevates Clear Qi and descends Turbid Qi; clears Toxins; frees the channels and invigorates the collateral vessels; sedates pain; Large Intestine Yuan Source and Entry point; command point of the face and mouth
• Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; helps transformation and transportation function of the Spleen; strengthens Spleen and Stomach; invigorates flow of Xue (Blood); dissolves Phlegm; Liver Mu Alarm point
• Lv-13 (-): transforms Dampness; clears Damp-Heat; spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; relieves Food Stagnation; benefits the Qi; harmonizes Liver and Spleen; moves Fluids and transforms Damp-Heat; regulates circulation of Qi and Xue (Blood); quickens the Xue (Blood); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
CV-13 (=): subdues rebellious Stomach Qi; calms the Heart and Shen; invigorates the Qi; clears Stomach Fire and descends Rebellious Qi; harmonizes the Spleen and Stomach; strengthens the Spleen and dissipates Dampness; 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 (=): regulates and harmonizes the Stomach; tonifies Stomach Yin and clears Stomach Fire and Heat; strengthens and calms the Spleen; transforms Dampness; transforms Rebellious Qi and 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; Jiao Hui Intersecting point of the Hand Tai Yang (Small Intestine), Hand Xiao Yang (Triple Warmer), and Foot Yang Ming (Stomach) channels on the Ren Mai (Conception Vessel); Hui Reunion point of the Fu (Yang organs); one of the Nine Needles for Returning Yang
• St-25 (=): clears Intestinal Heat; harmonizes the Stomach; regulates the Stomach and Spleen; supports Earth and harmonizes the Center; regulates the channels and promotes Qi circulation; regulates Qi, esp. Ying (Constructive) Qi and Wei (Protective) Qi (Finkelstein, p. 15); tonifies Ying (Constructive) Qi and thus neutralizes Shi (Excess) Heat; transforms Dampness; ascends the Clear and descends the Turbid; Large Intestine Mu Alarm point; according to Sun Tzu Miao, this point contains a storehouse of Qi and should not be dispersed (Finkelstein, p. 15)
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; calms the Shen; regulates and strengthens Qi and Xue (Blood); regulates the Stomach and strengthens the Spleen; regulates and replenishes the Middle Warmer; dispels and eliminates Dampness; disperses Stomach Fire; regulates Ying (Constructive) Qi; spreads Liver Qi and benefits the Gall Bladder; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; esp. for chronic cases with Heat (Finkelstein, p. 21); regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
St-37 (-): clears Heat; drains Shi (Excess) from upper region of body; rectifies the Spleen and harmonizes the Stomach; regulates and drains the Intestines, esp. the Large Intestine; cools Heat and resolves Dampness to clear Damp-Heat; esp. for acute cases with Heat (Finkelstein, p. 21); dispels Food Stagnation and eliminates Accumulations of the Large and Small Intestines; frees the channels and invigorates the collateral vessels; He Sea Lower Uniting point of Large Intestine; Exit point of Sea of Xue (Blood)
St-43 (-): dispels Wind; clears and drains Heat from Yang Ming (Stomach and Large Intestine); drains Stomach Fire; harmonizes the Stomach and regulates Stomach Qi; channels flow of Qi to hollow (Yang) organs; brings down Rebellious Qi; transforms Dampness; Stomach Wood point
• St-44 (-): dispels Wind from the face; pulls down and disperses Heat in the Stomach; harmonizes the Stomach; cools Heat and drains Dampness from the Intestines; regulates Rebellious Qi; stops pain, esp. abdominal pain with fever; descends the Turbid; Stomach Water point
• St-45 (-): pacifies the Shen; facilitates flow of Qi; opens the Orifices; clears and disperses Heat from the upper body and Yang Ming (Stomach and Large Intestine) channels, esp. Stomach Heat; sedates pain; Stomach Jing Well, Metal and Dispersion point
Sp-9 (- or +): transforms Dampness; clears Damp-Heat; regulates and tonifies 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; dispels Damp-Heat; Spleen He Sea Uniting and Water point
• Sp-6 (- or +): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and regulates the Xue (Blood); clears Xue (Blood) Heat; frees Qi Stagnation and transforms Xue Yu (Blood Stasis); aids transportation and transformation to improve digestion and nourishment; spreads Liver Qi and suppresses Liver Heat; regulates the Gall Bladder; warms the Middle and Lower Warmers; tonifies the Kidney; transforms Dampness and Heat; Jiao Hui Intersecting point of the three Foot Yin channels
• Sp-3 (+): clears Heat; regulates the Qi dynamic; regulates and strengthens Spleen (especially Qi and Yang); regulates Stomach (especially Yin and Qi); harmonizes the Middle Warmer; promotes transporting function; transforms and expels Dampness and Damp-Heat; reduces Food Stagnation; regulates Large Intestine, Middle and Lower Warmers; Spleen Yuan Source, Earth and Horary point
GB-34 (-): regulates and subdues Yang of the Liver and Gall Bladder; opens and drains the Gall Bladder; clears Dampness and cools Heat; facilitates and harmonizes the Liver; tonifies the Spleen; dissolves Phlegm; regulates the Large Intestine; 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-40 (-): regulates the Liver and Gall Bladder, esp. to clear and drain Fire; spreads the Liver Qi; transforms Damp-Heat; frees the channels; Gall Bladder Yuan Source point
• GB-41 (-): dissipates Wind; sedates fright; removes Fire; dissolves Phlegm; harmonizes and regulates the Liver and Gall Bladder; removes Stagnancy of Liver Qi; clears Wetness (Damp Spleen) by draining into Dai Mai (Girdle Vessel), thereby increasing Spleen Qi and Xue (Blood) production, improving digestion, and warming the 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)
Lv-3 (-): expels Wind; pacifies the Shen; adjusts and harmonizes the Liver and Gall Bladder; facilitates flow of Liver Qi; "relieves anger and mellows spirits of those who are frustrated and jealous" (Finkelstein, p. 73); clears head and thinking; promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; cools and drains Heat and Fire from the Liver and Gall Bladder; subdues Liver Yang and calms the Stomach; discharges Damp-Heat, esp. in the Lower Warmer; sedates pain; Liver Yuan Source and Earth point
• Lv-2 (-): calms the Shen and eases the Mind; sedates fright; drains and clears Fire of Liver and Gall Bladder; subdues Yang Shi (Excess); soothes and loosens Liver to release Liver Qi; disperses Stagnant Qi of Liver and Gall Bladder; cools the Xue (Blood); Liver Fire and Dispersion 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; warms Cold; cools and descends Heat; pacifies Xu (Deficiency) Fire; benefits the ears; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point

ear: occiput, endocrine, inner ear, shen men, (outer) ear, kidney


footnotes