-IBIS-1.5.0-
tx
musculoskeletal system
osteoporosis
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Kidney Yang Xu (Deficiency); Jing Xu (Essence Deficiency); Xue Xu (Blood Deficiency); Spleen Xu (Deficiency)
» therapeutic notes:
with Xu (Deficiency), application of direct and/or indirect moxa to points may be extremely beneficial for strengthening and invigorating the Qi, Yang and/or Jing (Essence), but caution must be exercised so as not to damage the Yin if Yin Xu (Deficiency) is presenting
apply moxa to specific affected area(s), esp. direct non-scarring moxa with moxa shields
point selection should include points with global and local effects, as well as distal points and those related by channel relationships
plum blossom affected joints
» illustrative combinations:
GB-39 and GB-34: strengthen the tendons and consolidate the bones (Finkelstein, p. 70)
GB-39 and UB-11: strengthen the tendons and build up the bones (Finkelstein, p. 70)
Kd-7 and UB-23 (+): tonify Kidney Yang (Finkelstein, p. 54)
UB-23, Sp-6 and Kd-12: strengthen the Kidney (Finkelstein, p. 44)
UB-47/52, Kd-3 and GV-4: strengthen the Kidney (Finkelstein, p. 48)
Kd-2, Sp-6 and UB-23 (+): reinforce Kidney and nourish Yin (Finkelstein, p. 52)
UB-23 and GV-4: tonify the Kidney; strengthen the Yang (Finkelstein, p. 44)
UB-23 and Sp-6: tonify the Kidney; nourish the Yang (Finkelstein, p. 44)
UB-23, Kd-3 and GV-4: invigorate Kidney Yang (Finkelstein, p. 44)
GV-4, UB-23, Kd-3 and CV-4 (D): support the Kidney Yang (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)
GV-4 and UB-23: reinforce the Vital Qi of the Kidney and strengthen Yang (Finkelstein, p. 78)
Sp-6 and Kd-2: tonify the Kidney; consolidate or astringe the Jing (Essence) (Flaws, 1989, p. 70; Finkelstein, p. 27)
UB-23, Kd-3 and CV-4 (D): strengthen Kidney Jing (Essence) (Finkelstein, p. 44)
especially with Jing Xu (Deficiency), consider the Eight Extraordinary Vessel treatment: Lu-7, Kd-6, SI-3, UB-62, Sp-4, PC-6, GB-41 and TW-5. This treatment may have to be repeated many times to receive fullest benefits. (Fan and Dunbar, p. 57)
UB-11, UB-58, GB-30, St-36, GV-2, Lv-3, GV-15, UB-3 and PC-7: influence the parathyroids (Worsley, 1975, p. B-20)
Kd-13, UB-67, Kd-7, GB-37, Sp-6, Kd-2, GV-4 and Lv-3: influence the ovaries (Worsley, 1975, p. B-20)
point analysis
» palpate and consider:
GV-20 (+ and/or D): pacifies the Shen and stabilizes the Will; warms the Yang and causes Yang to ascend (D); regulates and tonifies the Qi (D); adjusts Qi of the Du Mai (Governing Vessel); spreads Liver Qi; stimulates the pineal; Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
GV-14 (+): 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; regulates the Xue (Blood); relaxes the sinews and muscles; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
local shu and hua tuo jia ji points (+): facilitate flow of Qi and Xue (Blood) and disperse Stagnation along the spine
UB-11 (+): strengthens all bones and joints; 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; influences the parathyroids (Worsley, 1975, p. B-20); 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-20 (+ and/or D): regulates Spleen Qi; tonifies the Spleen and Stomach to facilitate digestive transportation and transformation; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and nourishes the Xue (Blood); resolves Dampness; dispels Cold and relieves pain; provides strength to the extremities; Spleen Shu Associated point
UB-23 (+ and/or D): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens and invigorates Kidney Yang (D); prevents or relieves general stress fatigue (Finkelstein, p. 44); strengthens Yang and Qi Hai; strengthens the spine, esp. the lower back; benefits the knees; controls the bones and teeth; Kidney Shu Associated point
UB-47/52 (+ and/or D): tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; influences the pituitary, adrenals and testes (Worsley, 1975, p. B-20); resolves Dampness; strengthens lower back (-, then +); Kidney psychospiritual associated point
GV-4 (+ and/or D): strengthens the Kidney; replenishes, strengthens and invigorates the Kidney Yang (esp. with D); nourishes the Yuan (Original) Qi; relieves mental and physical exhaustion; strengthens the back, esp. benefits the lumbar vertebrae; reinforces and astringes the Jing (Essence); stimulates adrenals, testes and ovaries (Finkelstein, p. 77); frees the channels and invigorates the collateral vessels; "Life Gate Fire"
GV-3 (+ and/or D): reinforces the Kidney and regulates the Kidney Qi; warms the Xue (Blood) Chamber and the Palace of Jing (Essence); dispels Cold-Damp, esp. in the Lower Warmer; distributes Zhong (Ancestral) Qi to the pelvis; influences testes (Worsley, 1975, p. B-20); benefits the lumbar spine and knees; regulates the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel); treats pain and stiffness in the lumbosacral region, lower limbs, and knees
yao yan (+): strengthens the lower back; treats lower back pain and stiffness
TW-5 (+): opens and moves the Yang Wei Mai (Yang Linking Vessel) and regulates the Dai Mai (Girdle Vessel); facilitates the circulation of Qi in the channels and invigorates the collateral vessels; strengthens and relaxes the sinews and tendons; alleviates pain; treats pain and/or stiffness in the neck, upper arm; forearm, wrist and fingers, as well as the hips; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
SI-6 (=): relaxes the sinews and tendons; benefits the joints; frees the channels and invigorates the collateral vessels; treats pain and stiffness in the back, shoulder, elbow and forearm, and relieves restriction of movement in the lumbar area; Small Intestine Xi Cleft Accumulation point
SI-3 (+): opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); dispels Dampness and Internal Heat; strengthens the spine; relaxes the sinews and muscles; benefits all the joints, but esp. treats pain or stiffness in the spine (particularly the low back), shoulder, neck, hand and fingers; releases muscle spasms; invigorates the channels; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
Ht-4 (+): pacifies the Shen; sends Wei (Protective) Qi to the joints and bones; relaxes the muscles and tendons; invigorates and removes Obstructions from the Heart channel; relieves pain and stiffness of the elbow, wrist and hand; Heart Metal point
CV-12 (+): strengthens the Spleen, tonifies the Qi and benefits digestion; transforms Dampness; raises Middle Qi; warms the Middle Warmer, Stomach and Intestines; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
CV-6 (+ and/or D): strengthens and moves the Qi; regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates and tonifies Yuan (Original) Qi; warms the Lower and Middle Warmers (D); tonifies the Kidney, esp. nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); influences pituitary, thyroid and adrenals (Worsley, 1975, p. B-20); reinforces Jing (Essence); benefits spine, esp. "slipped disc" (Finkelstein, p. 86); Dan Tien (Elixir of Long Life), with CV-5: important point for concentration of Qi in the body
CV-4 (+ and/or D): grounds the Shen when there is Empty-Heat (Maciocia, p. 207); regulates the Qi and tonifies the Yuan (Original) Qi; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer and strengthens the Spleen; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); dispels Cold-Damp and eliminates Cold (D); nourishes and stabilizes the Kidney; tonifies and warms Kidney Yang (D); Small Intestine Mu Alarm point
Sp-10 (+): 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; relieves inflammation
Sp-6 (+): aids transportation and transformation to improve digestion and nourishment; nourishes Yin; clears Fire due to Xu (Deficiency); tonifies Qi and builds the Xue (Blood); regulates Xue (Blood) circulation; transforms Xue Yu (Blood Stasis) and frees Qi Stagnation; tonifies the Kidney to strengthen the bones; warms the Middle and Lower Warmers; improves circulation in the legs; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): moves and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; reestablishes harmony between Stomach and Spleen (Matsumoto); invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); regulates the Yin Wei Mai (Yin Linking Vessel); 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)
St-36 (+ and/or D): regulates the Stomach and strengthens the Spleen; regulates and strengthens Qi and Xue (Blood); strengthens weak and deficient conditions; influences the parathyroids (Worsley, 1975, p. B-20); strengthens all striated muscle; regulates and replenishes the Middle Warmer; regulates Ying (Constructive) Qi; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; Stomach Earth and Horary point; Sea of Nourishment point
GB-34 (=): benefits joints, esp. the knees and hips; strengthens and relaxes sinews and tendons; tonifies the Spleen; relieves soreness from fatigued muscles; clears Dampness and cools Heat; frees the channels and invigorates the collateral vessels; alleviates pain; esp. for pain and stiffness of the hip and knee joint; 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; tonifies the Bone Marrow; relaxes the muscles and sinews; strengthens the Bones; expels Wind-Damp and otherwise frees the channels and connecting vessels; esp. with pain and stiffness of the neck and/or ankle; Hui Reunion point of the Marrow; Jiao Hui Intersecting point of the three primary Yang channels of leg.
GB-40 (+): spreads the Liver Qi; benefits the joints; frees the channels; esp. for pain and stiffness in the hips, ankle and heel; Gall Bladder Yuan Source point
GB-41 (=): removes Stagnancy of Liver Qi; 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 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-8 (+ and/or D): nourishes Liver Xue (Blood); clears and cools Damp-Heat; soothes the sinews and tendons; invigorates the collateral vessels; esp. for pain and stiffness in the knee joint; Liver He Sea Uniting, Water and Tonification point
Lv-3 (+): regulates the Liver; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; influences the parathyroids and ovaries (Worsley, 1975, p. B-20); tonifies Liver Xue (Blood); opens the channels and suppresses spasms; stops pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
Kd-7 (+ and/or D): strengthens and enriches the Kidney; strengthens Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; tonifies the Liver via the mother/child relationship; stimulates adrenals, thyroid and testes; cools and clears Damp-Heat; disperses Stagnation; strengthens the back, esp. lumbars; Kidney Metal and Tonification point
Kd-6 (+): pacifies the Shen and stabilizes the Will; clears Xu (Deficiency) Fire; removes Obstruction from the Yin Qiao Mai (Yin Motility Vessel); opens the Ren Mai (Conception Vessel); balances excess or deficiency of any hormonal secretion and stimulates adrenals (Finkelstein, p. 53); tonifies the Kidney (especially Yin); dispels Dampness; strengthens lower back and loins; frees the channels and invigorates the collateral vessels; sedates pain; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-3 (+ and/or D): 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; pacifies Xu (Deficiency) Fire; treats thyroid imbalance (Matsumoto); tonifies Kidney Yang and Ming Men Fire (D); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens the lower back, waist and knees; relieves pain in the bones; improves circulation in the legs; esp. for pain and stiffness in the low back and ankles; Kidney Yuan Source and Earth point
Kd-2 (+): nourishes Yin; 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); influences the ovaries (Worsley, 1975, p. B-20); Kidney Fire point
UB-60 (-): disperses Wind; promotes Qi function and Xue (Blood) circulation; influences pituitary and testes (Worsley, 1975, p. B-20); reinforces the Kidney; strengthens the lower back; relaxes the sinews, tendons and muscles of the neck, shoulder, waist, back, ankle and foot, esp. the lower back; frees the channels and collateral vessels; Bladder Fire point
UB-62 (+): opens and moves the Yang Qiao Mai (Yang Motility Vessel); regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; soothes sinews, tendons and vessels; esp. for pain and stiffness in the spine and ankles; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)
ear: diaphragm, liver, spleen, corresponding area
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.