-IBIS-1.5.0-
tx
digestive system
indigestion/heartburn
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Spleen Qi Xu (Deficiency); Stomach Food Stagnation; Stomach Qi Rebelling Upwards; Stomach Fire Blazing; Stomach Invaded by Cold; Spleen Qi Xu (Deficiency); Liver Qi Stagnation; Liver Invading Stomach and/or Spleen; dysfunction of the Chong Mai (Penetrating Vessel); Obstruction of Xu Li channel

» illustrative combinations:
• Sp-4 and Lv-4; St-37, CV-9 and St-22; UB-57, PC-6 and LI-8; St-25, Sp-6, CV-12 and Lv-13 for "tummy ache" (Mann, p. 104)
• PC-6 and St-36 (can also add: CV-12, UB-21, CV-14, St-40, Sp-6, Lv-3, CV-11, Sp-4, UB-20, UB-17, CV-4, St-43, St-44, Sp-9 and hua tuo jia ji of T8 to T12) for stomachache (Shanghai, p. 599)
• St-39 and St-39 for diarrhea due to indigestion (Shanghai, p. 638)
• St-36, LI-4, St-25 and CV-4 for indigestion
• St-36 and CV-12: harmonize the Middle Warmer; strengthen Spleen transportation and transformation; remove Damp and dissolves Phlegm; strengthen Spleen Yang; and remove Obstruction of Stomach Qi (Finkelstein, p. 19)
Xu Li ashi (tender) points on left chest, including St-18, upper Kd points, PC-1, together with CV-12, CV-17, PC-6, Ht-7, St-40, St-43; esp. with an overworked person who is flushed above the diaphragm and has a reddened face (Seem, p. 52)
• St-37 and St-25: adjust the intestines to halt diarrhea; drain Dampness and Heat from Large Intestine; lead away accumulated impurities of Large Intestine; and clear the vicious Heat of Yang Ming (Finkelstein, p. 21)
• CV-12, Lv-13, UB-20 and UB-21 (can also add: PC-6, Sp-4, CV-21 and St-36) for indigestion in children (Mann, p. 157)
• St-36, CV-12, PC-6 and UB-21: harmonize Qi of the Stomach to treat any gastric disorder (Finkelstein, p. 90)
• St-30 and St-36: strengthen Wei (Protective) Qi and can treat all digestive disorders (Finkelstein, p. 17, 20)
• St-44 and/or St-45 (-): cool and drain Stomach Heat; reduce pain
• St-36, St-25, CV-12 and si feng for indigestion; also consider PC-6, LI-4, Lv-3, Sp-9, Sp-6, LI-11, GB-34, CV-4, CV-6, UB-20, UB-23, Lu-11, Lu-5, UB-54/40 (Lee and Cheung, p. 258)
• Sp-4 and PC-6: open the Chong Mai (Penetrating Vessel) for which gastrointestinal disorders are a symptom of dysfunction
• Lv-13 and St-44: promote digestion; relieve epigastric fullness; relieve epigastric fullness (Finkelstein, p. 75)
• St-36 and CV-21 "for accumulations in the stomach" (Ellis, et al, 1988, p. 133);
• St-36, CV-12 and Lv-13: adjust Stomach and Spleen and drain Yang Shi (Excess) from the Stomach and Intestines (Finkelstein, p. 89)
• Lv-13, UB-20, CV-12 and Sp-3 (all: + and D): invigorate Yang of the Spleen, promote the transporting function, expel Damp, relieve distension, and check diarrhea (Finkelstein, p. 75)
• St-21 and St-25: relieve Food Stagnation and Accumulation (Finkelstein, p. 15)
• Lu-9 and LI-11; CV-3, CV-5, CV-10 and CV-12; Lv-13 for abdominal distension (Mann, p. 104)
• navel treatment a la Matsumoto for weak connective tissue and/or 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)


point analysis

»
palpate and consider:
• UB-18 (=): clears and drains the Liver and Gall Bladder; moves Stagnant Qi; increases gall bladder secretions; harmonizes the Stomach and benefits the Qi; Liver Shu Associated point
• UB-19 (-): regulates the Qi and expands the Diaphragm; calms the Stomach; Gall Bladder Shu Associated point
UB-20 (=): regulates Spleen Qi; tonifies Spleen and Stomach; facilitates digestive transportation and transformation; reverses Rebellious Stomach Qi; benefits the Ying (Constructive) Qi; Spleen Shu Associated point
UB-21 (=): regulates the Stomach, esp. the Stomach Qi; strengthens the Spleen; dissolves Stagnation; descends Rebellious Qi; Stomach Shu Associated point
• UB-22 (-): regulates San Jiao collectively, and the Upper, Middle and Lower Warmers individually; regulates the transforming function of Qi; Triple Warmer Shu Associated point
• pi gen: disperses Stagnation of Qi and Xue (Blood); esp. with sensation of obstruction in digestive tract (Mann, p. 85)
PC-6 (+): spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; regulates Liver Qi and 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)
• PC-8 (-): pacifies the Shen; drains Fire; harmonizes the Stomach; Pericardium Fire, Horary and Exit point
LI-10 (=): lowers nervous excitement; invigorates and tonifies the Qi and Xue (Blood); regulates Stomach and Intestines; tonifies Yang Ming (Stomach and Large Intestine) and the internal duct of the Triple Warmer (Finkelstein, p. 8)
• LI-5 (-): drains Fire; dissipates Yang Ming (Large Intestine and Stomach) Heat; stops pain; Large Intestine Fire point
• Lu-11 (-): brings Liver Qi to surface to bolster Wei Qi (Finkelstein, p. 5); regulates and discharges Rebellious Qi Fire in the twelve channels, esp. for infantile indigestion; Lung Jing Well and Wood point
• si feng (bleed): reduce Food Stagnation; expel parasites; facilitate Qi and Xue (Blood) flow; infantile indigestion, esp. anorexic children with chronic indigestion
Xu Li (=): palpate circumference of left breast, i.e., encircling the heart, usually starting ca. St-18 or proceeding counterclockwise from the axilla, ca. PC-1; shallowly needle ashi (tender) points to calm the Shen, ease anxiety, and release Obstruction and/or Stagnation in this microchannel, the extra Luo Vessel of the Stomach (see Seem, p. 52)
CV-22 (=): descends Rebellious Qi to reduce eructations; Jiao Hui Intersecting point of the Yin Wei Mai (Yin Linking Vessel) and Ren Mai (Conception Vessel); Window of the Sky point
CV-14 (-): regulates and invigorates the Qi; harmonizes the Stomach and facilitates movement in the Middle Warmer; reverses adverse flow of Qi; 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
• CV-13 (=): clears Stomach Heat and relieves fullness in epigastric region; harmonizes the Spleen and Stomach; descends Rebellious Qi and quells vomiting; opens upper Stomach Qi; strengthens the Spleen; warms Spleen and Stomach to disperse Cold (D)
CV-12 (+): disperses headache, esp. due to indigestion; tonifies digestion; regulates the Stomach Qi; transforms and suppresses Rebellious Qi; eliminates Food Stagnation; clears Stomach Fire and Heat; regulates and harmonizes the Stomach; strengthens and calms the Spleen; increases peristalsis of the stomach and jejunum, esp. upper section; warms the Middle Warmer, Stomach and Intestines; facilitates ascension of the Clear and descension of the Turbid; regulates the Intestines and stops excessive bowel movements; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
• CV-11 (-): moves and strengthens the Spleen; dissipates Dampness and disperses Accumulation, esp. Food Stagnation in the Stomach; harmonizes the Stomach; loosens the Center; aids digestion
CV-10 (=): strengthens the Spleen and regulates the Stomach; stimulates descending of Stomach Qi; clears Stagnancy in Middle Warmer; special point of the Lower Warmer which directs Qi, distilled by the Spleen and Stomach, to the Kidney for further purification as Ying and Wei Qi (Finkelstein, p. 88)
• CV-9 (- or +; D): warms the Middle Warmer; dispels Cold; moves Spleen and Earth; regulates the Spleen and Stomach; regulates Intestines and stops diarrhea; assists Small Intestine in its functions of separating liquid from matter, the Clear from the Turbid, and maintaining water balance (Finkelstein, p. 87)
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; helps transformation and transportation function of the Spleen; strengthens Spleen and Stomach; relieves Food Stagnation; Liver Mu Alarm point
Lv-13 (=): spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; relieves Food Stagnation; benefits the Qi; harmonizes Liver and Spleen; disperses Cold-Damp; regulates circulation of Qi and Xue (Blood); Spleen Mu Alarm point
St-21 (-): harmonizes the Spleen and Stomach; regulates Center Qi and promotes flow of Qi; strengthens the Spleen; promotes the transportation and transformation of Grain and Liquids by the Spleen and Stomach; dispels Middle Warmer Heat; reduces Food Stagnation; stimulates descending of Stomach Qi; relieves pain
• St-23 (-): invigorates the Spleen and harmonizes the Middle Warmer
St-25 (=): harmonizes the Stomach and the Middle Warmer; regulates the Stomach and Spleen; regulates and facilitates the functioning of the Intestines; supports Earth; opens the Qi of the Yang (hollow) organs; regulates the channels and promotes Qi circulation; regulates Qi, esp. Ying (Constructive) Qi and Wei (Protective) Qi (Finkelstein, p. 15); tonifies Ying (Constructive) Qi and thus neutralizes Shi (Excess) Heat; ascends the Clear and descends the Turbid; Large Intestine Mu Alarm point; according to Sun Tzu Miao, this point contains a storehouse of Qi and should not be dispersed (Finkelstein, p. 15)
• lan wei (xue): regulates the Intestines; transforms Damp-Heat (esp. Intestinal); stops abdominal pain
St-36 (=): regulates the Stomach and strengthens the Spleen; regulates and strengthens Qi and Xue (Blood); quells eructations and vomiting; descends Rebellious Qi; removes Food Stagnation; removes Cold of Stomach and abdomen; disperses Stomach Fire; regulates and replenishes the Middle Warmer; regulates Ying (Constructive) Qi and spreads Liver Qi; nourishes Kidney, Liver and Spleen; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; treats chronic cases with Heat; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; Stomach Earth and Horary point; Sea of Nourishment point
St-37 (-): drains Shi (Excess) from upper region of body and relieves fullness of chest; rectifies the Spleen and harmonizes the Stomach; drains and frees the Intestines, esp. the Large Intestine; "treats acute cases with Heat" (Finkelstein, p. 21); dispels Food Stagnation and eliminates Accumulations of the Large and Small Intestines; frees the channels and invigorates the collateral vessels; Large Intestine He Sea Lower Uniting point
• St-43 (-): clears and drains Heat from Yang Ming (Stomach and Large Intestine); harmonizes the Stomach and regulates Stomach Qi; channels flow of Qi to hollow (Yang) organs; brings down Rebellious Qi; esp. with influenza characterized by fever, indigestion and increased thirst; Stomach Wood point
St-44 (-): disperses headache, esp. frontal, due to indigestion; reduces pain; harmonizes the Stomach; cools and drains Heat and Dampness from the Stomach and intestines; regulates Rebellious Qi; stops pain, esp. abdominal pain with fever; facilitates bowel movements; descends the Turbid; Stomach Water point
• St-45 (-): cools and drains Stomach Heat; facilitates flow of Qi; sedates pain; Stomach Jing Well, Metal and Dispersion point
• Sp-13 (-): regulates Qi flow and removes Stagnancy of Liver Qi; soothes the Liver; relieves pain
• Sp-5 (-): strengthens the Spleen and Stomach; transforms Damp Stagnation and Damp-Heat; stimulates the channels; Spleen Metal and Dispersion point
Sp-4 (=): pacifies the Shen; clears Heat; 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; descends Rebellious Qi and suppresses vomiting; regulates and stabilizes the Stomach; regulates the appetite; reduces Food Stagnation and harmonizes the Intestines; disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; transforms Dampness and Damp-Heat; tonifies Yuan (Original) Qi; descends the Turbid; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
Sp-3 (+): clears Heat; regulates and strengthens Spleen (especially Qi and Yang); regulates Stomach (especially Yin and Qi); harmonizes the Middle Warmer; promotes transporting function; transforms and expels Dampness and Damp-Heat; stimulates pancreas; reduces Food Stagnation; regulates Large Intestine, Middle and Lower Warmers; Spleen Yuan Source, Earth and Horary point
• Sp-2 (+): stimulates the flow of Qi; strengthens the Spleen, esp. tonifies Spleen Yang; harmonizes the Stomach; reduces Food Stagnation; eliminates Dampness and Phlegm caused by Spleen Xu (Deficiency); Spleen Fire and Tonification point
• Kd-7 (+): clears Heat and nourishes Yin; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; disperses Stagnation; Kidney Metal and Tonification point
• UB-66 (+): pacifies the Shen; clears Heat; Bladder Water and Horary point

ear: sympathetic, shen men, stomach, large intestine


footnotes