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Chinese patterns
Heart Misted by Cold Phlegm
acupuncture

patterns and combinations

Heart Misted by Cold Phlegm
note: also known as Phlegm Obstructing the Heart Orifices

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principle of treatment: open Heart and channels to allow suppressed emotions to flow; resolve Phlegm to clear Heart and Sense Orifices (Ross, 1985, p. 133-4); tonify Heart Qi; tonify Spleen Qi; restore consciousness, if unconscious

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illustrative combinations:
GV-15, GV-14, yi ming, PC-6, St-36 and the Three Vertebral Points for incomplete maturation of the brain (Shanghai, p. 167)
CV-12 and UB-20 (+): tonify the Spleen to resolve Phlegm
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)


point analysis

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palpate and consider:
GV-15 (=): clears the senses and consciousness, esp. for incomplete maturation of the Brain and stiff tongue inhibiting speech (Ross, 1985, p. 134); strengthens the Mind; benefits and clears the Brain; opens the sensory Orifices; opens the voice; Jiao Hui Intersecting point of the Yang Qiao Mai (Yang Motility Vessel) and the Du Mai (Governing Vessel); Sea of Bone Marrow Exit point
yi ming (-): pacifies the Shen; brightens the eyes; assists maturation of the Brain (Ross, 1985, p. 134)
UB-15 (-): calms the Heart and the Shen; quiets the Mind and the Soul; strengthens and clears the Brain; regulates the tongue and speech; regulates the Xue (Blood) and Qi of the Heart; strengthens Heart Qi and nourishes Heart Xue (Blood); invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); relaxes and expands the chest, and benefits the Qi; particularly useful in children to clear Phlegm from Heart: will stimulate the child's intellectual capacities and speech (Maciocia, p. 211); Heart Shu Associated point
UB-38/43 (+): regulates the Shen; strengthens Xu (Deficiency) conditions; treats all chronic disease; regulates the Lung Qi; supplements the Lung and fortifies the Spleen; tonifies Heart Qi; releases suppressed emotions; tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; transforms Phlegm; Pericardium psychospiritual associated point
UB-39/44 (-): pacifies the Shen; clears the Brain; regulates the Heart Qi; expands and relaxes the chest; Heart psychospiritual associated point
UB-20 (+): tonifies Spleen to resolve Phlegm; facilitates digestive transportation and transformation; enhances Spleen Yang to mobilize Stagnant Qi and dispel Cold; provides strength to the extremities; Spleen Shu Associated point
GV-20 (= and/or D): dispels Wind and Cold of head and opens Orifices; awakens the Brain, Mind and senses; pacifies the Shen; stabilizes ascending Yang; warms the Yang (D); 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)
si shen cong (-): pacify the Shen; enhance movement of the limbs; free the channels and collateral vessels; support and amplify the action of GV-20 (when joined to GV-20)
GV-26 (= or -): clears the Shen, Brain and senses; opens the Orifices and revives consciousness; pacifies the Shen and stabilizes the Will; regulates Rebellious Qi of Yin and Yang to harmonize Yin and Yang; regulates the Du Mai (Governing Vessel); transforms Heart Phlegm; frees the channels and invigorates the Qi circulation; benefits the spine, esp. lumbar and cervical; Ghost point
Ht-5 (=): regulates Heart Qi; clears Heart; pacifies the Shen; specific for aphasia (Ross, 1985, p. 134); benefits a slow pulse; Heart Luo Connecting point; sends Luo vessel to the tongue
Ht-7 (=): quiets the Shen; opens the Orifices; nourishes Heart Xue (Blood); removes Qi Stagnation in the Heart; regulates and tonifies the Heart, esp. Heart Qi; frees the channels; Heart Yuan Source, Earth and Dispersion point
Ht-9 (-): clears the Heart; restores consciousness; opens the Heart Orifices; revives the senses; relieves fullness; pulls Qi down; strengthens Heart Yin and Yang; regulates the Heart; tonifies Heart Qi; Heart Jing Well, Wood, Tonification and Exit point
PC-5 (-): resolves Phlegm from Heart; main point for this pattern (Maciocia, p. 211); calms the Mind and quiets the Shen; regulates and clears the Heart; opens and dispels fullness from the chest; Pericardium Metal point; Meeting of the three Upper Yin channels; ninth of the thirteen Ghost points
PC-6 (=): invigorates the Stomach and Heart, pacifies the Shen; awakens the Brain by improving intracranial circulation; opens the Orifices of the unconscious; tranquilizes the Heart; regulates the Qi; opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes and regulates Middle and Upper Warmers; spreads the Qi in the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); regulates blood pressure and reestablishes the pulse; 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); ninth of the thirteen Ghost points
CV-14 (+): tonifies Heart Xue (Blood); 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, esp. when contributing to emotional motor seizures; benefits the diaphragm; acts on the nervous system and brain through the solar plexus (Finkelstein, p. 90); Heart Mu Alarm point; Heart Qi enters the Ren Mai (Conception Vessel) here (Finkelstein, p. 90)
CV-12 (+): tonifies the Spleen to resolve Phlegm; builds Heart Yang; benefits and soothes the Qi; 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); one of the Nine Needles for Returning the Yang
CV-9 (-): balances endocrine and lymphatic systems; warms the Middle Warmer; dispels Cold; moves Spleen and Earth; regulates the Spleen and Stomach; dissolves Damp; assists Small Intestine in its functions of separating liquid from matter, the Clear from the Turbid, and maintaining water balance (Finkelstein, p. 87); special point for edema; promotes diuresis
St-36 (+): regulates the Stomach and strengthens the Spleen; calms the Shen; regulates and strengthens Qi and Xue (Blood); builds Heart Yang; strengthens weak and Xu (Deficient) conditions; dispels and eliminates Dampness; regulates and replenishes the Middle Warmer; regulates Ying (Constructive) Qi and spreads Liver Qi; nourishes Kidney, Liver and Spleen; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; Stomach He Sea Lower Uniting, Earth and Horary point;Sea of Nourishment point; one of the Nine Needles for Returning the Yang
St-40 (-): transforms, dissolves and eliminates Phlegm and Dampness; dispels Wind; clears and calms the Shen; regulates Lung and relieves chest congestion; strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; descends the Turbid; Stomach Luo Connecting point
Sp-3 (+ or -): strengthens Spleen (especially Qi and Yang); resolves Phlegm; promotes transporting function; Spleen Yuan Source, Earth and Horary point
Sp-2 (+ or -): strengthens the Spleen, esp. tonifies Spleen Yang; harmonizes the Stomach; returns Yang and stems counterflow; eliminates Dampness and Phlegm caused by Spleen Xu (Deficiency); Spleen Fire and Tonification point


footnotes

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

Reprinted from Zang Fu: The Organ Systems of Traditional Chinese Medicine, Ross, Jeremy, 2nd ed, p. 75, 1985, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.