-IBIS-1.5.0-
tx
cardiovascular system
edema
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
(External) Wind-Water; Damp-Heat; Yang Xu (Deficiency); Water Stagnation; Spleen Qi Xu (Deficiency), Spleen Yang Xu (Deficiency); Spleen Distressed by Dampness and Liver Qi Stagnation; Spleen Invaded by Cold-Damp; Liver Xue Xu (Blood Deficiency); Kidney Qi Xu (Deficiency); Kidney Yang Xu (Deficiency)
» illustrative combinations:
Kd-10, CV-9 and St-36: "to disinhibit urine and disperse water swelling" (Ellis, et al, 1988, p. 254)
UB-13, UB-20, LI-4 and Sp-9: promote urination to resolve Dampness (edema) (Liu, p. 316)
GV-26 and GV-21 for Xu (Deficient) floating facial edema (Shanghai, p. 158)
Ht-7, UB-15 and UB-23; Ht-9 and Kd-8; St-36, St-43, GB-30 and LI-4; Sp-6, TW-7 and CV-5 for cardiac edema (Mann, p. 111)
CV-9 and Sp-9 for edema, esp. periumbilical (Shanghai, p. 286; Ellis, et al, 1988, p. 155)
CV-9 (d. D) and St-28 (D) then needle St-36 and CV-7: "For intolerable water-related diseases that present with abdominal fullness and vacuity swelling that refuses to abate." (Ellis, et al, 1988, p. 354);
Sp-9 and LI-6: eliminate Damp; cause diuresis and treat edema of the waist (Finkelstein, p. 29)
CV-9 and St-28: treat edema and aid weight loss (Finkelstein, p. 87)
CV-9, St-28, Sp-6 and GB-28; Kd-7 for ascites (Mann, p. 109)
CV-4, CV-9, St-36, Sp-9 and Sp-6 for retention of urine or ascites (Shanghai, p. 286)
GB-31, Sp-4, Sp-9 and GB-30; UB-54/40, UB-57, UB-58 and UB-62 for edema of the feet (Mann, p. 111)
UB-20 and UB-23 (+ and D): tonify Fire (gives birth to Wood); eliminate Damp-Cold
UB-20 and St-36 (+ and D): tonify Spleen, Earth controls Water
CV-3 -> CV-2: assist transforming functions of Qi; dispel Damp-Heat
CV-9 and CV-11: regulate water metabolism and induce diuresis (Finkelstein, p. 87)
point analysis
» palpate and consider:
UB-20 (+ and D): tonifies Spleen and Stomach; warms the Middle Warmer (D); enhances Spleen Yang to mobilize Stagnant Qi; facilitates digestive transportation and transformation; resolves Dampness; benefits the Ying (Constructive) Qi; Spleen Shu Associated point
UB-23 (+ and D): tonifies the Kidney and strengthens Yang; spreads and clears Obstructed Kidney Qi; resolves Dampness; regulates fluid system, volatilizes the Bladder, and promotes diuresis; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); Kidney Shu Associated point
UB-28 (+): regulates and tonifies the Bladder; regulates the Water Pathways; dispels Dampness and promotes diuresis; expels stones (especially urinary tract); "disperses Qi, clears blockages, and facilitates functioning of the Lower Warmer to help perspiration and drainage" (Finkelstein, p. 46); reinforces Yuan (Original) Qi; Bladder Shu Associated point
GV-26 (-): eliminates facial edema; frees the channels and invigorates the Qi circulation; "water trough"
Lu-7 (-): opens and regulates the Ren Mai (Conception Vessel); effects release of sexual hormone; stimulates Lung function of dominating Water Pathways and controlling edema, esp. in the lungs; communicates with the Large Intestine; promotes diuresis by descending the Turbid; specifically effects edema in lungs; Lung Luo Connecting point; Master point of the Ren Mai (Conception Vessel)
CV-9 (+): dissolves Dampness to resolve edema, esp. periumbilical; balances endocrine and lymphatic systems; warms the Middle Warmer; dispels Cold; moves Spleen and Earth; regulates the Spleen and Stomach; regulates Intestines and stops diarrhea; regulates Bladder Qi; assists Small Intestine in its functions of separating liquid from matter, the Clear from the Turbid, and maintaining water balance (Finkelstein, p. 87); clears Damp-Heat; promotes diuresis; Small Intestine Mu Alarm point (Hukaya as per Matsumoto); palpation: water regulation and metabolism reflex; "no energy" indicates Xu (Deficiency) of Spleen and/or Stomach; pulsing indicates Kidney Xu (Deficiency) (Matsumoto); "Water Divide"
CV-6 (+): tonifies Yuan (Original) Qi; strengthens Kidney and Qi of Tan Tien; stimulates thyroid; regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); moves Qi in Lower Warmer; regulates Water Pathways and dispels Dampness; expels stones
CV-3 (+): assists the transforming functions of Qi; alleviates Damp-Heat, esp. in the Bladder; tonifies the Kidney Qi and Yang; regulates the Bladder, Lower Warmer and the Water Pathways; promotes urination; expels stones (especially urinary tract); Bladder Mu Alarm point
CV-2 (+): normalizes Bladder and regulates urination; warms Yang and strengthens the Kidney
St-28 (-): regulates Heat Qi of the Triple Warmer, Kidney and Bladder; cools and clears Damp-Heat, esp. in Lower Warmer; regulates body fluids; benefits the Bladder; facilitates Lower Warmer; seeps Water Dampness by opening Water Pathways to promote diuresis; in this region the Stomach supplies impure Qi to the Kidney via the internal duct of the Triple Warmer (Finkelstein, p. 16); "water path"
St-36 (+ and D): strengthens the Spleen, Earth controls Water; replenishes Middle Warmer; tonifies Qi and regulates Ying (Constructive) Qi; dispels and eliminates Dampness; nourishes Kidney, Liver and Spleen; Stomach He Sea Lower Uniting and Earth point
Sp-9 (= or +): resolves Damp Stagnation and Obstruction, esp. from the Lower Warmer, through promotion of diuresis; regulates and tonifies Spleen (especially Yang); warms and moves the Middle Warmer; regulates the Water Pathways; dispels Damp-Heat and eliminates Phlegm-Dampness; Spleen He Sea Uniting and Water point
Sp-6 (+): strengthens the Spleen; aids transportation and transformation to improve digestion and nourishment; tonifies Qi and frees Qi Stagnation; warms the Middle and Lower Warmers; benefits the Kidney and regulates the Bladder; transforms Dampness and Heat; facilitates diuresis; stimulates adrenals, ovaries and pituitary (Finkelstein, p. 27); Jiao Hui Intersecting point of the three Foot Yin channels
Sp-3 (+): regulates and strengthens the Spleen (especially Qi and Yang); harmonizes the Middle Warmer; promotes transporting function; transforms and expels Dampness and Damp-Heat; regulates the Middle and Lower Warmers; dispels hemorrhoids; Spleen Yuan Source, Shu Stream, Earth and Horary point
Sp-2 (+ and/or D): stimulates the flow of Qi; strengthens the Spleen, esp. tonifies Spleen Yang; eliminates Dampness and Phlegm caused by Spleen Xu (Deficiency); esp. with swelling of the limbs; Spleen Ying Spring, Fire and Tonification point
Kd-10 (+): tonifies the Kidney (especially Yin and Qi); regulates Fluid balance; expels Dampness from the Lower Warmer; regulates and soothes the Lower Warmer; Kidney He Sea Uniting, Water and Horary point
Kd-7 (+): facilitates and regulates Bladder and Water pathways; strengthens Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; stimulates adrenals, thyroid and testes; disperses Stagnation; Kidney Metal and Tonification point
Bl-67 (+): eliminates Dampness; transforms Damp-Heat; seeps Dampness downward; regulates and promotes flow of Qi and Xue (Blood); effects ovaries, all hormones and lymphatic system (Finkelstein, p. 51); Bladder Metal and Tonification point
footnotes