-IBIS-1.5.0-
tx
digestive system
dysphagia/spastic esophagus
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
As "Inability to Eat": Xu (Deficiency): esophageal contraction; Shi (Excess): painful diaphragm; Liver Qi Stagnation; Stomach Fire Blazing

» illustrative combinations:
• Lu-1 and UB-44/49 for thoracic fullness with esophageal constriction (Ellis, et al, 1988, p. 80); for fullness in chest and throat (Shanghai, p. 177)
• LI-4, CV-22 and CV-17: increase peristalsis of esophagus (Finkelstein, p. 93)
• UB-38/43 and CV-17; Sp-6 and UB-17; Kd-21, UB-45/50 and PC-8; GB-20, UB-18, CV-22, LI-11 and Sp-5 for esophageal spasm (Mann, p. 103)
• CV-17 and CV-16 (ind. D with ginger): expand the chest; transform Phlegm; benefit the diaphragm; regulate Qi in the Upper Warmer; elevate Spleen Qi; suppress Stomach Qi


point analysis

»
palpate and consider:
• UB-13 (=): descends Rebellious Qi; expands and relaxes the chest; regulates the Upper Warmer; treating Yang aspect for disorder of Yin aspect; Lung Shu Associated point
• UB-15 (+): calms the Heart and the Shen; disperses Yang Shi (Excess) in the Upper Warmer; invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); loosens the chest; Heart Shu Associated point
• UB-17 (=): expands the chest and diaphragm; generates Fluids; strengthens Xu (Deficient) conditions and increases stamina; harmonizes Stomach Qi; enriches Yin; Diaphragm Shu Associated point
• GB-21 (+): spreads Liver Qi; redirects Rebellious Qi downward; disperses Stagnation and stops pain; clears and invigorates the channels; only if no heart problems; 1.5 unit insertion, sending stimulus down to chest
CV-22 and/or CV-21 (=): redirect Rebellious Qi down; diffuse Lung Qi; soothe throat
PC-6 (+): pacifies the Shen; regulates the Qi; opens the chest; harmonizes and spreads the Qi in the Upper and Middle Warmers; releases and expands the diaphragm; relieves Liver Qi Stagnation; harmonizes the Stomach; descends Rebellious Qi to resolve nausea, reduce eructations, and stop vomiting; 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)
• Ht-5 (-): pacifies the Shen; relieves throat spasm; Heart Luo Connecting point
LI-4 (-): moves and descends Qi in throat; regulates Qi and Xue (Blood); relaxes Stomach spasms; relaxes pylorus and inhibits peristalsis; Large Intestine Yuan Source point
• Lu-7 (=): opens and regulates the Ren Mai (Conception Vessel); benefits the throat; treats Shi (Excess) patterns; resolves Phlegm and clarifies Mucus; tonifies Yang Ming (Stomach and Large Intestine); Lung Luo Connecting point; Master point of the Ren Mai (Conception Vessel)
• Lu-9 (+): opens Qi in chest; cools and clears Heat in the Lung, Liver and throat; clears and descends the Upper Warmer and Lung Qi; Lung Yuan Source, Earth and Tonification point
CV-17 (ind. D with ginger): calms emotions; regulates and smooths Qi circulation in the Upper Warmer; descends Rebellious Lung Qi in the chest; expands the chest and soothes the diaphragm; elevates Spleen Qi; suppresses Stomach Qi; transforms Phlegm; suppresses nausea; Mu Alarm point of the Upper Warmer; Hui Reunion point of the Qi
CV-16 (ind. D with ginger): relaxes the chest and facilitates the flow of Qi; descends Rebellious Qi; harmonizes the Middle Warmer
• CV-13 (+): calms the Heart and Shen; invigorates the Qi; clears Heat of Heart and Stomach and relieves fullness in chest and epigastric region; harmonizes the Spleen and Stomach; descends Rebellious Qi and quells vomiting; opens upper Stomach Qi; strengthens the Spleen and dissipates Dampness
CV-12 (+): regulates the Stomach Qi; increases peristalsis of the Stomach; opens the pylorus and increases muscle tension in the stomach so lower portion descends (Finkelstein, p. 88); transforms and suppresses Rebellious Qi; clears Stomach Fire and Heat; strengthens Middle Warmer to allow Qi to descend; Mu Alarm point of the Stomach and Middle Warmer
St-36 (-): harmonizes digestion; regulates the Stomach and strengthens the Spleen; regulates Ying (Constructive) Qi; spreads Liver Qi; tonifies Qi and Xue (Blood); stops vomiting; descends Rebellious Qi; governs and directs all descending energies in the body; Stomach He Sea Lower Uniting and Earth point; Sea of Nourishment point
St-44 (-): harmonizes the Stomach; cools Heat and drains Dampness from the Stomach and Intestines; regulates Rebellious Qi; stops pain, esp. abdominal pain with fever; Stomach Water point


footnotes