-IBIS-1.5.0-
tx
reproductive system
orchitis
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Liver Channel Obstructed by Stagnant Cold; Intrusion of Damp-Heat and Cold upon Lower Warmer causing Liver and Kidney Disturbance; Qi Stagnation in the Liver and Kidney channels; Liver Yin Xu (Deficiency); Shi (Excess) of the Chong Mai (Penetrating Vessel); dysfunction of the Yin Wei Mai (Yin Linking Vessel); Shi (Excess) of the Yang Qiao Mai (Yang Motility Vessel) and/or Xu (Deficiency) of the Yin Qiao Mai (Yin Motility Vessel)

» therapeutic note: Clarity in diagnostic analysis is essential with orchitis as the factors of Heat, Cold, Obstruction, Xu (Deficiency) and/or Shi (Excess), as well as acute versus chronic, will determine point selection, needling technique, and appropriateness of moxa.

» illustrative combinations:
• Lv-8, Lv-5 and Lv-3 for orchitis (Shanghai, p. 291)
• Sp-6, Lv-8 and Lv-2: treat orchitis (Finkelstein, p. 74)
• Sp-10, Lv-8 and Lv-2: treat orchitis (Finkelstein, p. 30)
• Lv-4 and Lv-3: open Qi Stagnation in the genitals (Finkelstein)
• 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)
• UB-47/52 and UB-48/53 for pain and swelling in the genital region (Shanghai, p. 209)
• Sp-4, then PC-6: open the Chong Mai (Penetrating Vessel) for which orchitis is a symptom of Shi (Excess)
• PC-6, then Sp-4: open the Yin Wei Mai (Yin Linking Vessel) for which genital pain is a symptom of dysfunction
• UB-62, then SI-3: open the Yang Qiao Mai (Yang Motility Vessel) which transports Yang and for which male genitourinary conditions are a Shi (Excess) symptom
• Kd-6, then Lu-7: open the Yin Qiao Mai (Yin Motility Vessel) which transports Yin and for which male genitourinary conditions are a Xu (Deficiency) symptom
• Kd-11, CV-3, CV-4, CV-5, UB-47/52, St-30, GV-3, GV-4 and UB-60: influence the testes (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258)


point analysis

»
palpate and consider:
• GV-14 (-): cools and disperses Heat; reduces fever; induces sweating; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; clears the Shen, calms the Soul, and pacifies the Will; 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)
GV-4 (+): pacifies the Shen; strengthens the Kidney; benefits and replenishes the Kidney Yang; nourishes the Yuan (Original) Qi; reinforces and astringes the Jing (Essence); distributes Zhong (Ancestral) Qi and Yang to the pelvis to mobilize the Yin of the pelvis; influences the testes (Worsley, 1975, p. B-20); frees the channels and invigorates the collateral vessels
UB-18 (+): benefits and clears the Liver; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes Liver Yin; Liver Shu Associated point
UB-23 (+ and/or D): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); spreads and clears Obstructed Kidney Qi; strengthens Yang and Qi Hai; drains Heat from the Lower Warmer; resolves Dampness; Kidney Shu Associated point
• UB-47/52 (= or +): tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; spreads and clears Obstructed Kidney Qi; influences the pituitary, adrenals and testes (Worsley, 1975, p. B-20); affects the genitals; resolves Dampness; Kidney psychospiritual associated point
• UB-48/53 (=): regulates the Lower Warmer; Large Intestine psychospiritual associated point
• UB-28 (-): "disperses Qi, clears blockages, and facilitates functioning of the Lower Warmer to help perspiration and drainage" (Finkelstein, p. 46); clears Heat from Lower Warmer; reinforces Yuan (Original) Qi; treats swelling and pain in the genitals; Bladder Shu Associated point
• UB-31, UB-32, UB-33 and/or UB-33 (-): invigorate the Xue (Blood); regulate the Lower Warmer and consolidate the Jing (Essence); transform Damp-Heat; open the pelvis and disperse Lower Warmer Stagnation; bring Yang into pelvic region which mobilizes Yin in the pelvis (Finkelstein, p. 46)
• UB-54/40 (-): clears Heat, esp. from the Xue (Blood) to cool fever and treat inflammation; transforms Damp-Heat; benefits Kidney Qi; treats genital pain; Bladder He Sea Uniting and Earth point
• yao yan (=): regulates the Lower Warmer; treats orchitis
GB-27 (=): invigorates the Kidney Qi and clears Liver Qi Stagnation; regulates Qi in pelvic region
• PC-6 (-): clears Heat; pacifies the Shen; 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); 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)
• Lu-7 (-): circulates the Wei (Protective) Qi and treats Shi (Excess) patterns, esp. acute; opens and regulates the Ren Mai (Conception Vessel); regulates the Yin Qiao Mai (Yin Motility Vessel); effects release of sexual hormones; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel)
• SI-3 (-): opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); treats pituitary imbalance, using location reactive to palpation, often ca. SI-3.5 (Matsumoto); dispels Dampness and Internal Heat; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
• shi xuan (bleed or -): clear Heat and relieve high fever
• yao tong dian (-): resolves Stagnation of Qi and Xue (Blood) in the Lower Warmer
Lv-13 (=): spreads and promotes smooth flow of Liver Qi; clears Obstructions of the Liver channel and its Luo channels, including in the inguinal area; regulates circulation of Qi and Xue (Blood); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
CV-5 (- and/or D): evaluates and controls the Three Warmers (Finkelstein, p. 86); tonifies Yuan (Original) Qi; influences the testes (Worsley, 1975, p. B-20); warms and reinforces Kidney Yang to dispel Cold; regulates the Lower Warmer; Triple Warmer Mu Alarm point; Dan Tien (Elixir of Long Life), with CV-6; Yuan (Original) Qi rises from CV-5
CV-4 (- and/or D): grounds the Shen when there is Empty-Heat (Maciocia, p. 207); regulates the Qi and benefits Yuan (Original) Qi; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); dispels Cold-Damp and resolves Damp-Heat; strengthens and replenishes the Kidney Qi; influences testes (Worsley, 1975, p. B-20); warms the Kidney Yang and eliminates Cold in the genitals and Lower Warmer (D); Small Intestine Mu Alarm point; Jiao Hui Intersecting point of the Foot Tai Yin (Spleen), Foot Jue Yin (Liver) and Foot Xiao Yin (Kidney) channels on the Ren Mai (Conception Vessel)
CV-3 (- and D): alleviates Damp-Heat, esp. in the Lower Warmer; tonifies the Kidney Qi and Yang; influences the testes (Worsley, 1975, p. B-20); regulates the Lower Warmer; relieves pain in the Lower Warmer; Bladder Mu Alarm point; Jiao Hui Intersecting point of the Foot Tai Yin (Spleen), Foot Jue Yin (Liver) and Foot Xiao Yin (Kidney) channels on the Ren Mai (Conception Vessel)
Kd-12 (-): reinforces Kidney Qi; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); treats pain in the genitals; Jiao Hui Intersecting point of the Chong Mai (Penetrating Vessel) and Foot Xiao Yin (Kidney) channel
• zi gong (=): clears Heat, esp. Lower Warmer Heat; tonifies and warms Yuan (Original) Qi; transforms Damp-Heat
knotty and/or tender abdominal points and areas (=): palpate to locate and needle to release Stagnation and facilitate flow of Qi and Xue (Blood) (Matsumoto and Birch; Seem; et al.)
nang di (d. D): relieves Cold in the scrotum; seven cones of direct moxa, one-half rice grain size, remove when patient feels pain (So, 1984, p. 63)
• St-27 (+): reinforces Kidney Qi and strengthens Yang; apply ipsilateral needling with stimulation directed toward the testicles
• St-28 (-): regulates Heat Qi of the Triple Warmer, Kidney and Bladder; activates Chong Mai (Penetrating Vessel); cools and clears Damp-Heat, esp. in Lower Warmer; facilitates the Lower Warmer
St-29 (= or + and D): regulates and moves Qi Stagnation and Xue Yu (Blood Stasis) in the Lower Warmer; warms Lower Warmer Cold; stops pain; master point for genital afflictions (Finkelstein, p. 17); apply ipsilateral needling with stimulation directed toward the testicles
St-30 (= or + and D): warms the Lower Warmer to dissipate Cold; dispels Qi Stagnation and Xue Yu (Blood Stasis); treats pelvic and inguinal problems; 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); Entry point of the Chong Mai (Penetrating Vessel) and the Sea of Nourishment; if the Chong Mai (Penetrating Vessel) is troubled St-30 will be tender to palpation (Finkelstein, p. 17)
ca. St-30 (i.e., affected area) (ind. D): with ginger: dissipates "inversion Qi"; harmonizes Xue (Blood) (Ellis, et al, 1988, p. 129)
• Sp-12 (-): transforms Damp-Heat; facilitates Qi and Xue (Blood) flow; Jiao Hui Intersecting point of the Foot Jue Yin (Liver) channel on the Foot Tai Yin (Spleen) channel
Sp-10 (-): clears Heat and reduces acute inflammation in the testicles; regulates and invigorates the Xue (Blood); cools Heat and transforms Damp-Heat in the Xue (Blood); perfuses the Lower Warmer
Sp-9 (=): regulates and tonifies Spleen (especially Yang); moves the Middle Warmer; resolves Damp-Heat and transforms Damp Stagnation, esp. through promotion of diuresis; regulates and benefits the Lower Warmer; esp. with chronic orchitis; Spleen He Sea Uniting and Water point
Sp-6 (+): cools Heat by nourishing Yin; pacifies the Shen; clears Fire due to Xu (Deficiency); cools, nourishes and moves the Xue (Blood); frees Qi Stagnation and spreads Liver Qi; warms the Middle and Lower Warmers; restores circulation to the Lower Warmer; transforms Dampness and Heat; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (-): clears Heat; transforms Dampness and Damp-Heat; invigorates the Xue (Blood) and regulates the Chong Mai (Penetrating Vessel); disperses Qi Stagnation and Xue Yu (Blood Stasis); relieves trauma to testicles and treats genital organs; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
St-28 (-): resolves Damp-Heat; frees and facilitates the Lower Warmer; local point - palpate for pain/tenderness
Kd-12 (-): supplements Kidney Qi; regulates the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel); local point - palpate for pain/tenderness
• Lv-14 (=): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; strengthens the Spleen and invigorates flow of Xue (Blood); Liver Mu Alarm point
• Lv-13 (=): spreads and promotes smooth flow of Liver Qi; clears Obstructions of the Liver channel and its Luo channels; influences liver's ability to neutralize unemployed sex hormones (Finkelstein, p. 75); invigorates the Stomach and Spleen; benefits the Qi; harmonizes the Liver and Spleen; transforms Damp-Heat; regulates circulation of Qi and Xue (Blood); disperses Xue Yu (Blood Stasis) to soften masses; Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
Lv-12 (-): clears Obstructions of the Liver channel and its Luo channels; local point - palpate for pain/tenderness
• Lv-9 (-): spreads and promotes smooth flow of Liver Qi; adjusts the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel); frees and facilitates the Lower Warmer
Lv-8 (+ and D): regulates and tonifies the Liver; spreads Liver Qi; nourishes Liver Xue (Blood) and Yin; clears and cools Damp-Heat; frees and facilitates the Lower Warmer; benefits the Bladder; frees the Liver channel and invigorates the collateral vessels; Liver He Sea Uniting, Water and Tonification point
St-28 (-): resolves Damp-Heat; frees and facilitates the Lower Warmer; local point - palpate for pain/tenderness
Kd-12 (-): supplements Kidney Qi; regulates the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel); local point - palpate for pain/tenderness
• Lv-6 (-): removes Stagnancy of Liver Qi; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; dispels Damp-Heat; Liver Xi Cleft Accumulation point
Lv-5 (- and D): tonifies Liver and Yang; disperses Cold from the Liver channel and relieves Obstruction in Lower Warmer; spreads Liver Qi and disperses Liver Qi Stagnation; specific effect on the pelvic region; secures Jing (Essence); frees the channels; Liver Luo Connecting point
• Lv-4 (-): spreads Liver Qi; frees the channels and facilitates flow of channel Qi; Liver Metal point
Lv-3 (-): pacifies the Shen; clears and regulates the Liver; promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; discharges Damp-Heat in the Lower Warmer; opens the channels and stops pain; Liver Yuan Source and Earth point
• Lv-2 (-): calms the Shen and eases the Mind; clears Liver Fire; soothes and loosens Liver to release Liver Qi and disperse Stagnation; clears the Lower Warmer; Liver Fire and Dispersion point
Lv-1 (- or + and d. D): loosens and stimulates flow of Liver Qi; clears the Liver channel and disperses Cold; regulates and tonifies the Liver, esp. Qi and Xue (Blood); warms the Liver; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); relieves pain of Cold in the lower Warmer (D); resolves Damp-Heat, esp. in Lower Warmer; relieves Obstruction in the Lower Warmer (-); treats orchitis and scrotal inflammation; three cones of direct moxa, sesame seed size, applied contralaterally; Liver Jing Well, Wood, Horary and Entry point
Kd-9 (=): pacifies the Shen; regulates the Yin Wei Mai (Yin Linking Vessel); warms the Kidney; tonifies Kidney Qi, Kidney Yin and Jing (Essence); Entry point and Xi Cleft Accumulation point of the Yin Wei Mai (Yin Linking Vessel)
• Kd-8 (-): regulates Qi and Xue (Blood); clears Heat; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); adjusts Qi and Xue (Blood) in the genitals; regulates Kidney Qi; removes Obstructions from the channels; Xi Cleft Accumulation point of Yin Qiao Mai (Yin Motility Vessel)
• Kd-7 (=): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; regulates Kidney Qi and strengthens the Kidney; tonifies the Liver via the mother/child relationship; stimulates the testes; cools and clears Damp-Heat; disperses Stagnation; Kidney Metal and Tonification point
Kd-6 (+): pacifies the Shen and stabilizes the Will; cools and clears Heat; clears Xu (Deficiency) Fire; opens the Yin Qiao Mai (Yin Motility Vessel) and regulates the Ren Mai (Conception Vessel); balances excess or deficiency of any hormonal secretion (Finkelstein, p. 53); regulates the Lower Warmer; frees the channels and invigorates the collateral vessels; sedates pain; esp. with chronic orchitis; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-2 (+): nourishes Yin; eliminates Heat and clears Fire to cool the Xue (Blood); warms Cold; 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); relieves exhaustion and pain in testicles (first aid); Kidney Fire point
• Kd-1 (-): pacifies the Shen; clears Fire and Heat (especially in the head); nourishes Yin, esp. Kidney Yin (and thereby suppresses Liver Fire); reinforces the Kidney and benefits the Jing (Essence); moves the Qi in the Lower Warmer; treats scrotal inflammation; Kidney Jing Well, Wood, Dispersion and Entry point
• UB-60 (=): promotes Qi function and Xue (Blood) circulation; influences the pituitary and testes (Worsley, 1975, p. B-20); reinforces the Kidney; rectifies Xue Yu (Blood Stasis) in the Lower Warmer; frees the channels and collateral vessels; relieves pain; Bladder Fire point
UB-62 (-): cools and clears Fire and Heat; clears the Shen and Heart; opens and moves the Yang Qiao Mai (Yang Motility Vessel); regulates the Du Mai (Governing Vessel); Master point and Entry point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)

ear: testicle, adrenal, shen men, uterus, endocrine, external genitalia


footnotes

Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.