-IBIS-1.5.0-
tx
endocrine system
diabetes mellitus
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Yin Xu (Deficiency), specifically, Upper, Middle or Lower Yin Wasting; Dry Heat; Xu (Deficiency) of the Kidney and/or Spleen due to birth trauma
» illustrative combinations:
UB-13, yi shu, UB-20, UB-23 and pi re xue for diabetes (Shanghai, p. 206)
UB-13, yi shu, UB-20, UB-23, St-36 and Kd-3 (also consider Lu-11, Lu-10, UB-17, UB-21, CV-12, pi re xue, CV-4, Kd-7 and Kd-5) for diabetes mellitus (Lee and Cheung, p. 260)
UB-13, UB-18, UB-20, UB-23, CV-23, CV-12, CV-4, Lu-9, Ht-7, Sp-6 and Kd-2 for diabetes mellitus (Lee and Cheung, p. 260)
yi shu, UB-20 and SI-4 for diabetes (Shanghai, p. 239)
yi shu, UB-20, UB-22, UB-23 and UB-26 for diabetes mellitus (Shanghai, p. 213)
UB-23, CV-4 and St-36 alternate with UB-23, St-28, CV-12 and Sp-6 (also consider UB-17, UB-20 and pi re xue) for diabetes mellitus (Lee and Cheung, p. 260)
CV-24, UB-44/49, TW-1 and Kd-2 for diabetes mellitus (Lee and Cheung, p. 260)
GV-26, CV-24, jin jin, yu ye, LI-11, PC-8, Lv-3, Lv-2, Sp-5, Kd-2 and Sp-1 for diabetes mellitus (Lee and Cheung, p. 260)
UB-23, Sp-6, Lu-10 and yi dian ("pancreas points") for Wasting and Thirsting Syndrome (diabetes mellitus) with Kidney Yin and Qi Xu (Deficiency), Lung Yin Xu (Deficiency) and Stomach-Heat (Jirui and Wang, p. 91)
UB-23, CV-4, Sp-6 and Kd-3 for diabetes with Kidney Jing (Essence) and Yin Xu (Deficiency) (Qiu and Su, p. 71)
UB-13, Lu-5, CV-23, St-36 and Sp-6 for diabetes with injured Body Fluids due to Lung Heat (Qiu and Su, p. 70)
UB-20, UB-21, St-36, St-44 and Kd-3 (also consider 'pancreas point) for diabetes with injured Yin due to Stomach Dryness (Qiu and Su, p. 71)
yi shu, GV-"5.5" or GV-6 (inferior to T11 or T12) or associated hua tuo jia ji (-), "lumbar eye", left Kd-15 <-> Kd-16, left St-21 <-> Sp-16 (needle or magnet south pole down), "kidney supporter point" (needle or magnet north pole down), Sp-6 or Sp-8, and St-2 (sinus focal infection point), as indicated by palpation, for blood sugar imbalance; may apply direct moxa or with Tiger Warmer at GV-"5.5" or GV-6 and "lumbar eye" until midthoracic or calf point reactivity resolves (Matsumoto)
Sp-3, Kd-3, UB-20, TW-3, Lv-2 and CV-3: influence pancreas (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258)
UB-13, Lu-10 and Lu-11(-): dispel Upper Warmer Fire; with increased thirst; cool Lung; dispel Heat from all inside organs
UB-20, UB-21 and CV-12 (-): cool Stomach/Spleen Fire
St-28 and St-43 (-): dispel Yang Ming Heat; clear Damp-Heat
St-36 and Kd-3 (+): regulate Qi of Lung, Stomach and Kidney channels
UB-23, CV-4 and Kd-5 (+): nourish Kidney; strengthen Water
Kd-2 and Lv-2 (-): relieve Kidney and Liver Fire
Kd-7 and Kd-5 (+): stabilize Kidney Qi
point analysis
» treatment technique: mild stimulation, usually no retention on back Shu points
» general palpate and consider:
UB-17 (+): nourishes and invigorates the Xue (Blood) (esp. with D); helps Xue (Blood) generate fluids; enriches Yin; strengthens Xu (Deficient) conditions and increases stamina; harmonizes Stomach Qi; Hui Reunion point of the Xue (Blood)
UB-20 (+): regulates Spleen Qi; tonifies the Spleen and Stomach to facilitate digestive transportation and transformation; benefits the Ying (Constructive) Qi; influences the pancreas (Worsley, 1975, p. B-20); tonifies and nourishes the Xue (Blood); warms the Middle Warmer (D); drains Heat Shi (Excess) from the Middle Warmer; provides strength to the extremities; Spleen Shu Associated point
UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); brightens the eyes; strengthens Yang and Qi Hai; influences adrenals; counterbalances Liver Fire; Kidney Shu Associated point
yi shu (+): regulates pancreatic function; tonifies Spleen; harmonizes digestion; regulates blood glucose
yi dian (+): pacifies the Shen; empirical point for Wasting and Thirsting Syndrome (diabetes mellitus) (Jirui and Wang, p. 91)
pi re xue (=): with emaciation and increased appetite; drains Heat Shi (Excess); controls and regulates pancreatic function; tonifies Spleen; harmonizes digestion; regulates blood glucose
GV-"5.5" or GV-6 (inferior to T11 or T12) or associated hua tuo jia ji (-): palpate for tenderness or pain, confirm by applying pressure which should release midthoracic muscle tension and/or spasm, and needle in a superior/cephalic direction; particularly important for preventing and treating diabetic neuropathies, esp. in the lower extremities; may apply direct moxa or with Tiger Warmer until midthoracic point reactivity resolves (Matsumoto)
"lumbar eye" (-): located lateral to UB-25 in "dimple"; proper location and stimulation will release tension and tenderness in the calf muscles which is confirmatory of blood sugar imbalance; particularly important for preventing and treating diabetic neuropathies, esp. in the lower extremities; may apply direct moxa or with Tiger Warmer until point reactivity resolves (Matsumoto)
UB-1 (=): clears the vision and brightens the eyes; enriches Yin (esp. in relation to the eyes); controls the pituitary gland and its secretions via the hypothalamus and the autonomic nervous system; opens the channels and invigorates circulation; Bladder Entry point; Polarization point of the Yin and Yang Qiao Mai (Motility Vessels); Master point for the eyes (Mann, p. 30)
ca. St-2 (-): palpate and treat most reactive points bilaterally to treat focal infection of nasopharyngitis, if indicated, which contributes to blood sugar imbalance and with treatment is particularly helpful in alleviating diabetic neuropathies and pain (Matsumoto)
left Kd-15<->16 region: palpate for tenderness and/or pain, then needle most reactive point to treat blood sugar imbalance as part of Xu (Deficiency) of the Kidney and/or Spleen due to birth trauma induced by improper severing of the umbilical cord causing damage to the ligamentum teres hepatis (Matsumoto)
left St-21 <-> Sp-16 (needle or magnet south pole down): palpate for tenderness and/or pain, then needle most reactive point to treat blood sugar imbalance (Matsumoto)
CV-4 (+): tonifies the Middle Warmer and strengthens Spleen; regulates the Qi and strengthens Yuan (Original) Qi; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); nourishes Xue (Blood) and Yin; nourishes and stabilizes the Kidney; esp. with frequent urination; five cones of direct moxa, red bean size (So, 1987, p. 228); Small Intestine Mu Alarm point
"kidney supporter point" (needle or magnet north pole down): tenderness, pain, tightness or lump at this point, left side only, three fingers above Sp-10, provides palpatory confirmation for and treats blood sugar imbalance (Matsumoto)
Sp-8 (+): tonifies the Spleen (especially Qi); promotes circulation of Qi, esp. in Spleen channel, and Xue (Blood); regulates and invigorates the Xue (Blood); Spleen Xi Cleft Accumulation point
St-36 (+): strengthens the Spleen; replenishes Middle Warmer; regulates Ying (Constructive) Qi; tonifies Qi and Xue (Blood); nourishes Kidney, Liver and Spleen; treats chronic cases with Heat (Finkelstein, p. 21); Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
Kd-7 (+): strengthens and enriches the Kidney; strengthens Spleen; tonifies Yuan (Original) Qi; regulates Qi, esp. Kidney Qi; Kidney Metal and Tonification point
Kd-5 (+): strengthens Yuan (Original) Qi; regulates Qi and Xue (Blood); reinforces the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens function of Kidney; Kidney Xi Cleft Accumulation point
Kd-3 (+): stimulates pancreas; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies Kidney Yang; tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); cools and clears Heat; pacifies Xu (Deficiency) Fire; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point
Lv-3 (=): pacifies the Shen; suppresses dizziness; brightens and benefits the eyes to improve vision; influences the parathyroids, pancreas and ovaries (Worsley, 1975, p. B-20); clears and regulates the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); eliminates Liver Qi Stagnation; drains Heat and Fire from the Liver and Gall Bladder; subdues Liver Yang; tonifies Liver Xue (Blood); Liver Yuan Source and Earth point
» possible points for Upper Wasting and Thirsting Syndrome:
jin jin and yu yeh (bleed): dispel Heat, esp. Heat in the Xue (Blood); move Qi and Xue (Blood); make fluids ascend
UB-13 (-): clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Lung and Upper Warmer; regulates and strengthens the Lung Qi; expands and relaxes the chest; regulates the Upper Warmer; tonifies the Lung; harmonizes the Ying and Xue (Blood); Lung Shu Associated point
Lu-10 (-): clears Fire and Heat; regulates and moistens the Lung; cools and clears Heat in the Lung; cools Heat in Xue (Blood); Lung Fire point
Lu-11 (-): cools and regulates Lung; brings Liver Qi to surface to bolster Wei Qi (Finkelstein, p. 5); moistens throat; regulates and discharges Rebellious Qi Fire in the twelve channels (Ellis, et al, 1988, p. 87); caution: be wary of bleeding with Heat due to Xu (Deficiency); Jing Well and Lung Wood point
» possible points for Middle Wasting and Thirsting Syndrome:
UB-20 (-): regulates Spleen Qi; tonifies Spleen and Stomach; facilitates digestive transportation and transformation; benefits the Ying (Constructive) Qi; nourishes and tonifies the Xue (Blood); drains Heat Shi (Excess) from the Middle Warmer; resolves Dampness; provides strength to the extremities; Spleen Shu Associated point
UB-21 (-): regulates the Stomach, esp. the Stomach Qi; strengthens the Spleen; benefits the Zhong (Ancestral) Qi and cultivates Yuan (Original) Qi; transforms Dampness; dissolves and eliminates Stagnation, Obstructions and congestions; Shu Associated point
CV-12 (-): regulates and harmonizes the Stomach; strengthens and calms the Spleen; clears Stomach Fire and Heat; benefits and soothes the Qi; raises Middle Qi; Stomach Mu Alarm point; Mu Alarm point of the Middle Warmer; Hui Reunion point of the Fu (Yang organs)
St-28 (-): regulates Heat Qi of the Triple Warmer, Kidney and Bladder; activates Chong Mai (Penetrating Vessel); cools and clears Damp-Heat; regulates body fluids; seeps Water Dampness by opening Water Pathways to promote diuresis
St-43 (-): clears and drains Heat from Yang Ming; regulates Stomach Qi; transforms Dampness and induces diuresis; Stomach Wood point
» possible points for Lower Wasting and Thirsting Syndrome:
UB-23 (+): strengthens Qi Hai and regulates Kidney Qi; tonifies the Kidney and strengthens Yang; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; drains Heat from the Lower Warmer; resolves Dampness; regulates fluid system and promotes diuresis; Kidney Shu Associated point
CV-4 (+ and/or D): esp. with frequent urination; five cones of direct moxa, red bean size (So, 1987, p. 228); regulates the Qi and strengthens Yuan (Original) Qi; nourishes Xue (Blood) and Yin; resolves Damp-Heat; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens the Kidney Qi; warms the Kidney Yang and the Lower Warmer (esp. with D); nourishes and stabilizes the Kidney; Small Intestine Mu Alarm point
Kd-5 (+): reinforces the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens Yuan (Original) Qi; moves the Lower Warmer; strengthens function of Kidney; revives circulation of Qi in the Kidney organs and channels; Kidney Xi Cleft Accumulation point
Kd-2 (-): nourishes Yin; eliminates Heat and clears Fire; 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); local for poor circulation; Kidney Fire point
Lv-2 (-): calms the Shen and eases the Mind; drains Fire and disperses Stagnant Qi of Liver and Gall Bladder; soothes and loosens Liver to release Liver Qi; cools the Xue (Blood); clears the Lower Warmer; local for poor circulation; Liver Fire and Dispersion point
ear (all forms): lung, kidney, endocrine, sympathetic, shen men
footnotes