-IBIS-1.5.0-
tx
cardiovascular system
myocardial infarction sequelae
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Heart and Kidney Yang Qi Xu (Deficiency); Heart Yang collapse; Qi Stagnation and Xue Yu (Blood Stasis); Heat in the Xue (Blood); dysfunction of the Yin Wei Mai (Yin Linking Vessel)
» therapeutic note:
in initial phase important to stop sweating to prevent further weakening of Heart
dispersing or neutral technique often more appropriate for many points in the initial Shi (Excess) phases
tonification typically emphasized later for recovery and healing
» illustrative combinations:
SI-3 and PC-6 clear Obstruction from the Heart (Finkelstein, p. 34)
GV-15, PC-8, Sp-6, Kd-1, Kd-3, CV-12, GB-30, St-36 and LI-4 are the Nine Needles for Returning the Yang (Li, p. 627-628; Ellis, et al, 1988, p. 66)
GV-14 and GV-15 (D): combined tonify Heart Yang (Eisen)
PC-6 and Ht-7: regulate and harmonize the Heart and Pericardium (Finkelstein, p. 59)
PC-6, Ht-7, UB-15, UB-14 and St-36: treat weak pulse condition, pulseless patterns, and heart failure patterns (Flaws, 1989, p. 98)
PC-3, PC-6 and PC-7 for chest pain (Shanghai, p. 246)
PC-3, UB-23 and UB-17 for chest pain (Shanghai, p. 246)
PC-6, PC-3, PC-4 and PC-5: strengthen the Heart and tranquilize the Soul (Finkelstein, p. 59)
PC-6 and Sp-6: nourish Yin; clear Fire; and strengthen the Heart to activate the Xue
(Blood) circulation (Finkelstein, p. 59)
PC-6, Sp-6 and Ht-7: tranquilize the Heart; ease the Mind; calm Heat and emotions (Finkelstein, p. 59)
PC-6, UB-15 and UB-23: descend Heart Fire; communicate Heart and Kidney (Finkelstein, p. 59)
UB-14 and PC-6 (-): regulate the Qi of the Heart and Pericardium channels; reinforce Yang of Heart and Pericardium
Lv-3 and Sp-6 (+): nourish Yin of Liver and Kidney to relieve Shi (Excess) Fire; (-) transform Xue Yu (Blood Stasis) and disperse extravasation of blood in intercostal region due to injury (Finkelstein, p. 73)
Lv-3 and Lv-13: loosen the Liver and scatter effused blood (Finkelstein, p. 73)
PC-6, PC-5 and St-36 for angina pectoris (Shanghai, p. 249-250)
CV-13, PC-6 and Sp-4 for cardiac spasm (Shanghai, p. 178)
CV-13 and CV-12: treat nine types of cardiac pain (Ellis, et al, 1988, p. 356)
point analysis
» palpate and consider:
GV-20 (D): rescues Yang and restores collapsed Yang (D); promotes resuscitation if used with direct moxa; awakens the Brain, Mind and senses; stabilizes the body against shock; pacifies the Shen and stabilizes the Will; regulates and tonifies the Qi (D); adjusts Qi of the Du Mai (Governing Vessel); elevates the Clear Qi; 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-15 (D): clears the Shen and consciousness; benefits and clears the Brain; opens the sensory Orifices; frees the channels; removes Obstruction from the collateral vessels; stops pain; one of the Nine Needles for Returning the Yang; Sea of Marrow point
GV-14 (D): cools and clears Heat; clears and awakens the Brain and Mind; 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; regulates the Xue (Blood); 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-14 (- or + and/or D): disperses Yang Shi (Excess) in the Jue Yin (Pericardium and Liver); regulates and tonifies the Heart (especially Qi and Yang); expands and relaxes the chest; descends Rebellious Qi; spreads Liver Qi; frees the channels and invigorates the collateral vessels; Pericardium Shu Associated point
UB-38/43 (+ and/or D): regulates the Shen; strengthens Xu (Deficiency) conditions; treats all chronic disease; clears Empty Heat; tonifies Heart and Lung Qi; supplements the Lung and fortifies the Spleen; releases unresolved emotions; strengthens the Xue (Blood); stimulates hematopoesis; tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; descends Rebellious Qi; transforms Phlegm; psychospiritual associated point
UB-15 (- or + and/or D): tonifies Heart Qi; calms the Heart and the Shen; quiets the Mind and the Soul; strengthens and clears the Brain; regulates the Xue (Blood) and Qi of the Heart; strengthens Heart Qi and nourishes Heart Xue (Blood); disperses Yang Shi (Excess) in the Heart; clears Heart Fire (-); transforms Heart Phlegm; invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); relaxes and expands the chest, and benefits the Qi; Heart Shu Associated point
UB-17 (= or + and/or D): regulates, nourishes and invigorates the Xue (Blood) (esp. invigorates with D); clears Heat from the Xue (Blood) and drains Heat Shi (Excess) from the Middle Warmer; reduces Heart Phlegm and transforms Xue Yu (Blood Stasis); nourishes Dry Xue (Blood); disperses Obstruction and invigorates Xue (Blood) circulation; enriches Yin; expands the chest and diaphragm; strengthens Xu (Deficient) conditions and increases stamina; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-20 (= or + and/or D): warms Yang of Spleen and Kidney to transform Phlegm; regulates Spleen Qi; tonifies Spleen and Stomach to facilitate digestive transportation and transformation; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; tonifies, nourishes and harmonizes the Xue (Blood); drains Heat Shi (Excess) from the Middle Warmer (=); warms the Middle Warmer (D); resolves Dampness and Phlegm; dispels Cold and relieves pain; provides strength to the extremities; Spleen Shu Associated point
UB-23 ( = or + and D): strengthens Kidney Yang and Qi Hai; tonifies and adjusts the Kidney; influences adrenals; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; resolves Dampness; controls the bones and teeth; Kidney Shu Associated point
GV-4 (D): pacifies the Shen; clears the Brain; restores collapsed Yang; relieves mental and physical exhaustion; nourishes the Yuan (Original) Qi; strengthens the Kidney; tonifies and replenishes the Kidney Yang; reinforces and astringes the Jing (Essence); stimulates testes, adrenals and ovaries (Finkelstein, p. 77); frees the channels and invigorates the collateral vessels
jing gong (+): tonifies Kidney Yang; warms the Jing (Essence)
PC-3 (- or +): pacifies the Shen; tranquilizes the Mind; soothes vexation, esp. in the chest; pacifies and tranquilizes the Heart; clears Heat; drains and disperses Heat from the Xue (Blood) and Ying; frees, moves and clears Heart Qi; Pericardium He Sea Uniting and Water point
PC-4 (- or =): calms the Shen and tranquilizes the Mind; pacifies and tranquilizes the Heart; regulates Heart Qi; clears Heat; stops pain; opens the chest and expands the diaphragm; cools Xue (Blood) Heat and detoxifies the Xue (Blood); regulates Qi; redirects Rebellious Qi downward; relieves Obstruction in Jue Yin (Pericardium and Liver); clears the vessels; esp. appropriate in treating acute myocardial infarction; Pericardium Xi Cleft Accumulation point
PC-5 (=): calms the Mind and quiets the Shen; clears Heat; regulates and clears the Heart; drains Shi (Excess) Fire from the Heart; resolves Phlegm in the Heart and chest; nourishes the Heart; regulates Heart Qi; stops pain of angina pectoris; opens and dispels fullness from the chest; drains the Triple Warmer; Pericardium Metal point; Meeting of the three Hand Yin channels
PC-6 (+): pacifies the Shen; opens the Orifices of the unconscious; tranquilizes the Heart; suppresses pain; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes and regulates Middle and Upper Warmers; regulates blood pressure and reestablishes the pulse; improves circulation of Xue (Blood) Yin of the Heart thus countering Yang of the Heart (Finkelstein, p. 58); clears and spreads Qi in Pericardium channel; releases and expands the diaphragm; 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; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
PC-7 (= or -): pacifies the Shen and stabilizes the emotions; clears Fire of Heart and Pericardium; draws Xu (Deficiency) Fire back into the Mind; nourishes Heart Xue (Blood); opens Heart Orifices; relaxes the chest; harmonizes the Stomach; dissipates Heat from the Ying (nutrient system) and Xue (Blood); influences adrenals (Worsley, 1975, p. B-20); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
Ht-5 (+): pacifies the Shen; regulates and tonifies Heart Qi; opens Heart Orifices to calm palpitations and relieve nervous condition (Finkelstein, p. 32); brings Fire down from the head; clears Heart Fire and Xu (Deficiency) Heat; benefits a slow pulse; Heart Luo Connecting point; sends Luo vessel to the tongue
Ht-6 (+): pacifies the Shen; transforms Heart Phlegm; nourishes Heart Yin; clears Xu (Deficiency) Heat, esp. from Heart; clears Fire from the Heart; benefits a slow pulse; reduces excessive perspiration, esp. night sweats; Heart Xi Cleft Accumulation point
Ht-7 (+ or +): stabilizes the Exterior and stops sweating, esp. night sweats; pacifies the Shen; calms the Heart; relieves palpitations, insomnia and fear; lowers blood pressure and reduces irritability of cortex (Finkelstein, p. 33); general sedative and regulating effect on the inner organs; tonifies and nourishes Heart Yin and Xue (Blood); removes Qi Stagnation in the Heart; clears Heart Fire and Heat; regulates and tonifies the Heart, esp. Heart Qi; relieves pain, esp. lateral costal pain; frees the channels; Heart Yuan Source, Earth and Dispersion point
Ht-8 (=): pacifies the Shen; strengthens the Heart and regulates Heart Qi; treats Heart Shi (Excess) patterns; clears Heart Fire and Empty Heat; clears Heart Phlegm Fire; regulates flow of Qi; facilitates the flow of Xue (Blood) through the vessels; Heart Fire and Horary point
SI-3 (= or +): opens the Orifices; consolidates the Surface and stops sweating (-); pacifies the Shen and clears the Mind; opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); dispels Dampness and Internal Heat; transforms Heart Phlegm and dispels Wind-Phlegm; relaxes the sinews and muscles; relieves muscle spasms; invigorates the channels; esp. appropriate for those who are recovering slowly from the shock of an MI (Mann, p. 26); Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
LI-11 (-): clears Heat; clears the Shen and brings down high blood pressure; regulates and harmonizes Qi and Ying; cools and harmonizes Xue (Blood); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; benefits sinews, tendons and joints; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
Lu-9 (+): opens sensory Orifices; regulates all Yang Qi; moves the Xue (Blood) and restores pulses; tonifies Lung Qi and Lung Yin; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; clears and descends the Upper Warmer and Lung Qi; increases oxygen absorption; stops bleeding, esp. hemoptysis; Lung Yuan Source, Earth and Tonification point; Hui Reunion point of Xue (Blood) vessels
CV-17 (+): tonifies Upper Warmer Qi, incl. Heart Qi (and Lung Qi); esp. useful with sadness; calms emotions; regulates and smooths Qi circulation in the Upper Warmer; reinforces the Zhong (Ancestral) Qi of the chest; expands the chest and soothes the diaphragm; elevates Spleen Qi; transforms Phlegm; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi; Center Reunion point of the Breath
CV-14 (= or +): clears the Heart and stabilizes the Shen; regulates and invigorates the Qi; expands and clears the chest; disperses congested Phlegm in the chest and diaphragm; benefits the diaphragm; acts on the nervous system and brain through the solar plexus (Finkelstein, p. 90); releases tension throughout whole body (Finkelstein, p. 90); Heart Mu Alarm point; Heart Qi enters the Ren Mai (Conception Vessel) here (Finkelstein, p. 90)
CV-13 (=): calms the Heart and Shen; invigorates the Qi; clears Heat of Heart and relieves fullness in the chest; relieves cardiac spasms; harmonizes the Spleen and Stomach; warms Spleen and Stomach to disperse Cold (D)
CV-12 (+): builds Heart Yang; strengthens and calms the Spleen; 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; Hui Reunion point of the Fu (Yang organs); Reunion Point of the Yin and Yang; one of the Nine Needles for Returning the Yang
CV-6 (+): regulates and strengthens the Qi, esp. Heart Qi; tonifies Qi of whole body; esp. with chronic disease and general Qi Xu (Deficiency); reduces Liver Fire; cools Heat in the Xue (Blood); captures the Blood and stops bleeding (+); regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); tonifies Yuan (Original) Qi; restores collapsed Yang or Yin; tonifies Kidney 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); Dan Tien (Elixir of Long Life), with CV-5
CV-4 (+ and/or D): pacifies and grounds the Shen, esp. when there is Empty-Heat (Maciocia, p. 207); regulates the Qi and benefits Yuan (Original) Qi; restores collapsed Yang or Yin; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer, strengthens Spleen and benefits the raising Qi; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens the function of astringing the Dai Mai (Girdle Vessel) and restraining the Xue (Blood); nourishes and stabilizes the Kidney; roots the Ethereal Soul; warms the Kidney Yang; Small Intestine Mu Alarm point; Reunion Point of the Yin and Yang
Sp-10 (=): clears Heat, esp. of the Xue (Blood); regulates and invigorates the Xue (Blood); harmonizes and tonifies Ying (Constructive) Qi; nourishes Xue (Blood) Dryness; "Sea of Blood"
Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; influences the pituitary and adrenals (Worsley, 1985, p. B-20); disperses Heart Fire; clears Fire due to Xu (Deficiency); loosens congestion in the diaphragm; strengthens the Spleen and tonifies Qi; clears, nourishes and moves the Xue (Blood); raises blood pressure; clears Xue (Blood) Heat and transforms Xue Yu (Blood Stasis); frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; tonifies the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels; one of the Nine Needles for Returning the Yang
Sp-4 (+): pacifies the Shen; dispels Cold from the Heart and abdomen and relieves pain (D) - note: better than Sp-3 for pain (Finkelstein, p. 26); adjusts and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; 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); 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-1 (=): pacifies the Shen; clears the Heart and Brain; regulates Yin-Yang; opens the Orifices and resuscitates the Senses; strengthens and warms the Spleen (esp. with D); strengthens the Yang and elevates Yang Qi; benefits the Qi; manages and stimulates the flow of Xue (Blood); strengthens Spleen's function of holding Xue (Blood) in vessels; stops bleeding; Spleen Jing Well and Wood point
St-36 (+ and/or D): calms the Shen; regulates and strengthens Qi and Xue (Blood); disperses Stagnation in the Upper Warmer, esp. cracks Xue Yu (Blood Stasis) in the chest; builds Heart Yang; strengthens weak and Xu (Deficient) conditions; regulates and replenishes the Middle Warmer; spreads Liver Qi and tonifies Kidney Yin; 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; one of the Nine Needles for Returning the Yang
Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens Spleen and tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; stimulates adrenals, thyroid and testes; regulates the pores and sweating; disperses Stagnation; Kidney Metal and Tonification point
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; pacifies Xu (Deficiency) Fire; tonifies Kidney Yang and Ming Men Fire (D); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point; one of the Nine Needles for Returning the Yang
Kd-1 (= or + and ind. D): pacifies the Shen; tranquilizes the Mind; restores collapsed Yang; energizes the entire system (ind. D) (Finkelstein, p. 52); regulates Yin and Yang; guides Rebellious Qi and Fire downward to awaken the Shen, open the Orifices and resuscitate; revives consciousness, emergency resuscitation point (bleed); clears Fire and Heat (especially in the head); pacifies and calms the Heart; transforms Heart Heat; nourishes Yin, esp. Kidney Yin (and thereby suppresses Liver Fire); reinforces the Kidney and benefits the Jing (Essence); Kidney Wood, Dispersion and Entry point; one of the Nine Needles for Returning the Yang
UB-64 (-): pacifies the Shen; clears the Brain; sedates the Heart; clears Heat; frees the channels and invigorates the collateral vessels; Bladder Yuan Source point
Lv-8 (+): drains Liver Fire; nourishes Liver Xue (Blood); Liver He Sea Uniting, Water and Tonification point
Lv-3 (=): pacifies the Shen; "relieves anger and mellows spirits of those who are frustrated and jealous" (Finkelstein, p. 73); clears head and thinking; clears and harmonizes the Liver; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation and drains Heat and Fire from the Liver; subdues Liver Yang; tonifies Liver Xue (Blood); opens the channels and relaxes spasms; sedates pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
Lv-1 (+): pacifies the Shen; opens the Orifices; resuscitates the senses; regulates and tonifies the Liver, esp. Qi and Xue (Blood); clears and disperses the vicious Yang; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); harmonizes the Ying (Constructive) Qi; contains the Xue (Blood), i.e., stops bleeding, by cooling and clearing Heat in the Xue (Blood); Liver Jing Well, Wood, Horary and Entry point
ear: heart, sympathetic, shen men, endocrine, adrenal
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.