-IBIS-1.5.0-
tx
musculoskeletal system
carpal tunnel syndrome
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Cold, Dampness, or Wind penetrate muscles and tendons of the wrist and obstruct circulation of Qi and Xue (Blood), causing Xue (Blood) to coagulate; Pericardium channel disorder

» illustrative combinations:
• PC-7 and shang ba xie for carpal tunnel syndrome; also consider: PC-6 or TW-5 (Lee and Cheung, p. 285)
• TW-10, LI-11, TW-5, Lu-8, TW-6, LI-5, SI-4, LI-9 and LI-4 for numb hand and forearm (Lee and Cheung, p. 285)
• SI-3, LI-3 and ba xie for numbness and pain in the fingers (Lee and Cheung, p. 285)


point analysis

»
palpate and consider:
• UB-18 (+): tonifies Liver; moves stagnant Qi; benefits the Liver and Gall Bladder; nourishes Liver Xue (Blood) and Yin; Liver Shu Associated point
• UB-19 (+): tonifies Gall Bladder; regulates the Qi; Gall Bladder Shu Associated point
• PC-5: specific for hand pain (Shanghai, p. 662)
• PC-6 or TW-5 (=): increase intensity of stimulation; clear the channels and resolve Stagnation of Qi; facilitate the circulation of Qi in the channels and invigorate the collateral vessels; strengthen and relax the sinews and tendons; alleviate pain; Pericardium and Triple Warmer Luo Connecting points
PC-7 (-): clears Heat and Wind-Heat; dispels local constriction; direct into tunnel; do NOT retain; Pericardium Yuan Source, Earth and Dispersion point
• PC-8 (=): drains and disperses Heat from the Pericardium; transforms Damp-Heat; cools Heat in the Xue (Blood); specific for "hand blockage" (Shanghai, p. 662)
• TW-4 (-): opens Qi of wrist; relaxes the sinews and muscles; dispels Wind; frees the channels and collateral vessels; Triple Warmer Yuan Source point
• Ht-7 (=): resolves Stagnation of Qi in Heart channel; Heart Yuan Source, Earth and Dispersion point
• SI-4 (-): opens Qi of wrist; removes obstruction from the channel; eliminates Damp-Heat; relaxes the sinews and muscles; Small Intestine Yuan Source point
• LI-11: specific for hand numbness (Shanghai, p. 662)
Lu-7 (-): opens Qi of wrist; invigorates the collateral vessels; Lung Luo Connecting point
• Lu-9 (-): opens Qi of wrist; regulates and balances Lung channel; Lung Yuan Source, Earth and Tonification point
shang ba xie (-): dispel Wind; clear Heat; relax the sinews and tendons
GB-34 (+): strengthens and relaxes sinews and tendons; benefits Liver and Gall Bladder; extinguishes Liver Wind; alleviates pain; invigorates the collateral vessels; Gall Bladder Earth point; Hui Reunion point of Jin (sinews and tendons)
• Lv-3 (-): promotes smooth flow of Qi and Xue (Blood); regulates the Xue (Blood); soothes the Liver; opens the channels; Liver Yuan Source and Earth point

ear: corresponding area(s), shen men, dermis/subcortex, adrenal


footnotes