-IBIS-1.5.0-
tx
reproductive system
preeclampsia
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Xue Xu (Blood Deficiency); Heart Xu (Deficiency) and Fire; Liver Fire; Liver Invading Spleen; Spleen Distressed by Dampness; Invasion of Wind-Cold

» therapeutic notes:
• treatment with acupuncture is not an adequate substitute for emergency medical intervention in the event that eclampsia develops
• if you are unsure about contraindications, check the list of "forbidden and caution points" in the materia medica regarding appropriateness during pregnancy

» illustrative combinations:
• GV-26, GV-20, GV-16 and UB-10, possibly also St-36, PC-6 and/or GB-43 according to symptoms, for eclampsia (Flaws, 1983, p. 39)
• Kd-2, GB-21, SI-14, PC-7, GB-34 and St-36 for eclampsia (Flaws, 1983, p. 39)
• Kd-2 and PC-7; GB-21 and GB-34; SI-14 and St-36 for eclampsia (Mann, p. 151)
• GV-26, GB-20, GV-16 and UB-10 (can also add: St-36, PC-6 and GB-34) for eclampsia (Mann, p. 150)
• LI-11 and Sp-6: remove Obstruction of the channels and Xue Yu (Blood Stasis) and treat inflammation anywhere in body as this locus improves immune response, esp. the Uterus (Finkelstein, p. 9)
• GB-20 and GV-16 (-): dispel Wind and Wind-Heat
• UB-15 and UB-18 (-): cool Heat in Xue (Blood)
• CV-3 and Sp-6: regulate the Qi function of the Lower Warmer and the function of the genital organs - Sp-6 sends Qi up; CV-3 sends it deep (Finkelstein, p. 84); note: needling of both points contraindicated during pregnancy
• CV-9 (D) and CV-11: regulate water metabolism and induce diuresis (Finkelstein, p. 87)
• 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-10, UB-17 and UB-54/40: expel Toxic Damp and clear Heat in the Xue (Blood) (Finkelstein, p. 30)
• Sp-10 and UB-17: replenish the Xue (Blood) (Finkelstein, p. 29);
• Sp-10, Sp-6 and LI-11: manufacture Xue (Blood) and nourish the Liver to strengthen Spleen (Finkelstein, p. 29);
• St-9, LI-11 and St-36 for hypertension (Shanghai, p. 165; Lee and Cheung, p. 246)
• LI-11 and St-36: reduce hypertension; stimulate digestion and general metabolism; and disperse noxious Yang (Finkelstein, p. 9)
• Lv-3 -> Kd-3 for hypertension (Flaws, 1989, p. 100)
• LI-11 -> Ht-3 for hypertension (Flaws, 1989, p. 100)
• GB-20, GB-5, yin tang, GB-34 and Lv-2 with Liver Yang Rising contributing to hypertension (Qiu and Su, p. 64-67)


point analysis

»
palpate and consider:
GV-20 (= and/or D): dispels Wind and Cold of the head and opens the Orifices; pacifies the Shen and stabilizes the Will; cools the body (D) (Finkelstein, p. 81); regulates and tonifies the Qi (D); adjusts Qi of the Du Mai (Governing Vessel); elevates the Clear Qi; spreads Liver Qi and pacifies Liver; calms the fetus (D); Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
• GV-16 (-): calms the Shen and quiets the Soul; dispels Wind and Wind-Cold; drains Fire; eliminates Yang Shi (Excess) from upper body; stimulates the pituitary and central nervous system (Finkelstein, p. 80); clears Heart of pathogenic Heat; eliminates Liver Wind; Window of the Sky point; Sea of Marrow point; Wei (Protective) Qi concentrates at this point
GV-14 (-): dissipates Wind and Cold; cools and drains Heat; reduces fever; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; clears the Shen, calms the Soul, and pacifies the Will; regulates and stimulates the flow of Qi; regulates the Xue (Blood); Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
• GB-20 (-): disperses Wind and Wind-Cold; pacifies Liver Wind and dissipates Internal Wind; reduces and relieves Heat; subdues Liver Yang and Fire to calm and regulate the Liver, esp. disperses and descends Liver Yang from the head; harmonizes Qi and Xue (Blood)
GB-21 (D; no needle!): clears Heat; dispels Wind-Cold; spreads Liver Qi; extinguishes Liver Wind; esp. with premature labor or miscarriage accompanied by coldness in the limbs (Mann, p. 62); needling usually contraindicated during pregnancy
SI-14 (-): dissipates Wind and dispels Cold; warms the Cold and invigorates the collateral vessels
• UB-10 (-): dispels Wind-Cold; dispels Fire; reduces fever; modulating effect on the medullary functions; calms the Heart; opens and clears channels of the neck; Window of the Sky point; Sea of Qi general point
• UB-12 (-): expels Wind; ventilates and dispels pathogenic Heat from the Yin channels; disperses Yang Shi (Excess) in all Yang channels without draining body fluids; dispels Dampness; disperses perverse Heat from the chest; expands and relaxes the chest; regulates Qi circulation; cupping here excellent for pulling out Wind; moxa after pulling Wind out with needling often helpful; Gate for entrance and departure of Feng Qi (Wind Qi); Shu point of Bones and Xue (Blood) (Banever, p. 59)
UB-15 (-): calms the Heart and the Shen; regulates the Xue (Blood) and Qi of the Heart; nourishes Heart Xue (Blood), and tonifies Heart Yin; clears Heart Fire and disperses Yang Shi (Excess) in the Heart; cools Heat in the Xue (Blood); invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); Heart Shu Associated point
UB-17 (- or +): tonifies the Qi; regulates and nourishes the Xue (Blood); clears Heat from the Xue (Blood); enriches Yin; expands the chest and diaphragm; strengthens Xu (Deficient) conditions and increases stamina; harmonizes Stomach Qi; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
• UB-18 (-): pacifies the Shen; benefits the Liver and Gall Bladder; extinguishes Liver Wind and clears Liver Fire; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; cools Heat in the Xue (Blood); Liver Shu Associated point
UB-20 (+): regulates Spleen Qi; tonifies the Spleen and Stomach; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; nourishes and harmonizes the Xue (Blood); warms the Middle Warmer (D); drains Heat Shi (Excess) from the Middle Warmer; resolves Dampness; dispels Cold; Spleen Shu Associated point
• UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; resolves Dampness; regulates fluid system, volatilizes the Bladder, and promotes diuresis; Kidney Shu Associated point
• UB-54/40 (-): cools Heat in the Xue (Blood); resolves Damp-Heat; calms the fetus; benefits Kidney Qi and regulates Bladder; Bladder He Sea Uniting and Earth point
tai yang (-): dispels Wind and Wind-Heat; clears Heat (bleed); clears the head; cools, clears and brightens the eyes; extinguishes Liver Wind
• SI-19 (-): drains Fire; pacifies the Shen; Small Intestine Exit point
• GV-26 (-): dispels Wind; pacifies the Shen and stabilizes the Will; regulates the Du Mai (Governing Vessel); reduces swelling of the face; frees the channels and invigorates the Qi circulation
• St-9 (-): regulates Qi and Xue (Blood); clears Heat; effects the carotid body to reduce blood pressure; influences the thyroid (Worsley, 1975, p. B-20; McWilliams, et al, Lesson 31, p. 258); Great Window of the Sky point; Exit point of the Sea of Qi; CAUTION: move the common carotid artery aside!
• Ht-3 (-): pacifies the Shen and Soul; enhances stability with nervous exhaustion; clears Heat; regulates the Heart Qi; Heart He Sea Uniting and Water point; "Joy of Life" point (Finkelstein, p. 32)
LI-11 (-): clears Heat; eliminates Wind; clears the Shen and brings down high blood pressure; regulates and harmonizes Qi and Ying; cools and harmonizes the Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; eliminates Dampness through the Intestines; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
Lu-7 (-): circulates the Wei (Protective) Qi to expel Wind, dispel Cold, and disperse the Exterior; promotes sweating; treats Shi (Excess) patterns, esp. acute; opens and regulates the Ren Mai (Conception Vessel); stimulates the Lung function of dominating Water Pathways and controlling edema; tonifies Yang Ming (Stomach and Large Intestine); promotes diuresis by descending the Turbid; invigorates the collateral vessels; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel)
• PC-6 (+): clears Heat; pacifies the Shen; treats petit mal seizures; tranquilizes the Heart; regulates the Qi; opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes, regulates and spreads the Qi in the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); regulates blood pressure and reestablishes the pulse; regulates Liver Qi and relieves Liver Qi Stagnation; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; regulates the Chong Mai (Penetrating Vessel); enhances purification and dispersement of the Triple Warmer; stabilizes Qi in the Uterus; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
PC-7 (-): regulates Qi; pacifies the Shen; clears Heat and Wind-Heat; clears Fire of Heart and Pericardium; draws Xu (Deficiency) Fire back into the Mind; nourishes Heart Xue (Blood); relaxes the chest; dissipates Heat from the Ying (nutrient system) and Xue (Blood); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
• Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; strengthens the Spleen and Stomach; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); dispels Heat from the Xue (Blood); Liver Mu Alarm point
Lv-13 (-): spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; benefits the Qi; harmonizes Liver and Spleen; moves Fluids and relieves distension; regulates circulation of Qi and Xue (Blood); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
• CV-17 (+): calms emotions; regulates and smooths Qi circulation in the Upper Warmer; reinforces the Zhong (Ancestral) Qi of the chest; elevates Spleen Qi; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Center Reunion point of the Breath
CV-14 (=): clears the Heart and stabilizes the Shen; regulates and invigorates the Qi; harmonizes the Stomach and facilitates movement in the Middle Warmer; transforms Damp Stagnation in the Middle Warmer; acts on the nervous system and brain through the solar plexus and releases tension throughout whole body (Finkelstein, p. 90); Heart Mu Alarm point
• CV-12 (+): strengthens and calms the Spleen; transforms Dampness; benefits and soothes the Qi; warms and tonifies the Middle Warmer, Stomach and Intestines; 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)
• CV-11 (+; no moxa!): moves and strengthens the Spleen; dissipates Dampness; loosens the Center; aids digestion; moxibustion contraindicated during pregnancy
CV-9 (d. D or -): balances endocrine and lymphatic systems; stabilizes all secretions (Finkelstein, p. 87); warms the Middle Warmer; dispels Cold; moves Spleen and Earth; regulates the Spleen and Stomach; regulates Bladder Qi; dissolves Damp and resolves edema; assists Small Intestine in its functions of separating liquid from matter, the Clear from the Turbid, and maintaining water balance (Finkelstein, p. 87); promotes diuresis; Small Intestine Mu Alarm point (Hukaya as per Matsumoto); water regulation and metabolism reflex (Matsumoto); "no energy" indicates Xu (Deficiency) of Spleen and/or Stomach (Matsumoto); pulsing indicates Kidney Xu (Deficiency) (Matsumoto)
• CV-8 (D on salt): raises placenta and fetus that has slipped or dropped prematurely (Flaws, 1983, p. 45); strengthens the transporting function of the Spleen and Stomach; dries Dampness; regulates Qi; palpation: pulsing around CV-8 indicates Spleen Qi Xu (Deficiency), while a puffy navel indicates Kidney Xu (Deficiency) (Matsumoto)
GB-34 (-): soothes Yang of the Liver and Gall Bladder; brings down high blood pressure; clears Dampness and cools Heat; facilitates and harmonizes the Liver; extinguishes Liver Wind; tonifies the Spleen; Gall Bladder He Sea Uniting and Earth point
• GB-43 (-): disperses Heat; extinguishes Wind; sedates convulsions; relieves pain; reduces inflammation; Gall Bladder Water and Tonification point
• Lv-3 (-): expels Wind; pacifies the Shen; relieves headache; regulates the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; cools and drains Liver Fire; subdues Liver Yang; calms Liver Wind; cools Heat in the Xue (Blood); tonifies Liver Xue (Blood); opens the channels and relaxes spasms and convulsions; sedates pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
Lv-2 (-): calms the Shen and eases the Mind; sedates fright; disperses Qi and clears Fire of the Heart; disperses Stagnant Liver Qi and drains Liver Fire; subdues Yang Shi (Excess); eliminates Interior Wind; cools Heat in the Xue (Blood); relaxes spasms and convulsions; Liver Fire and Dispersion point
• Sp-10 (-): expels Wind; clears Heat; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat in the Xue (Blood); nourishes Xue (Blood) Dryness; perfuses the Lower Warmer; "Sea of Blood"
Sp-9 (+): regulates and tonifies the Spleen (especially Yang); warms and moves the Middle Warmer; regulates the Water Pathways; transforms Damp Stagnation, esp. through promotion of diuresis; benefits the Lower Warmer; Spleen He Sea Uniting and Water point
• Sp-6 (D; no needle!): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; influences the pituitary, adrenals, uterus and ovaries (Finkelstein, p. 27; Worsley, 1985, p. B-20); disperses Heart Fire; clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and nourishes the Xue (Blood); clears Xue (Blood) Heat; spreads Liver Qi and suppresses Liver Heat; warms the Middle and Lower Warmers; restores circulation to the Lower Warmer; tonifies the Kidney; regulates the Bladder; facilitates diuresis; regulates the Xue (Blood) Chamber and the Palace of Jing (Essence) (Flaws, 1989, p. 46); Jiao Hui Intersecting point of the three Foot Yin channels; needling contraindicated during pregnancy
St-36 (+): dispels Cold and expels Wind; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; disperses noxious Yang and brings down high fever; dispels and eliminates Dampness; regulates and strengthens Qi and Xue (Blood); strengthens weak and deficient conditions; regulates the Stomach and strengthens the Spleen; governs all descending energies in the body; regulates and replenishes the Middle Warmer; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; 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
St-40 (-): dispels Wind; clears and calms the Shen; reduces high blood pressure (Finkelstein, p. 21); strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; transforms and eliminates Dampness; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
Kd-9 (+ and/or D): pacifies the Shen; sedates fright; dissipates Heat from the Heart; strengthens Yuan (Original) Qi; regulates the Yin Wei Mai (Yin Linking Vessel); tonifies Kidney Qi, Kidney Yin and Jing (Essence); strengthens the fetus and eliminates hereditary dysfunction; esp. with toxemia of pregnancy with spasm of the lower abdominal muscles (Mann, p. 46); Entry point and Xi Cleft Accumulation point of Yin Wei Mai (Yin Linking Vessel)
• Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens the Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; tonifies the Liver via the mother/child relationship; facilitates the Bladder and Water Pathways; Kidney Metal and Tonification point
• Kd-5 (= or lightly +): reinforces the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates Qi and Xue (Blood); strengthens Yuan (Original) Qi; strengthens function of Kidney; revives circulation of Qi in the Kidney organs and channels; clears and regulates the Bladder; Kidney Xi Cleft Accumulation point
• Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; cools and descends Heat; pacifies Xu (Deficiency) Fire; treats thyroid imbalance (Matsumoto); stabilizes Kidney Qi; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); promotes function of the Uterus; regulates the Water Pathways; calms the fetus; Kidney Yuan Source and Earth point
Kd-2 (=): nourishes Yin; eliminates Heat and clears Fire to cool the Xue (Blood); stabilizes Kidney Qi; tonifies Kidney (especially Yang) and Jing (Essence); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens Yin Qiao Mai (Yin Motility Vessel); Kidney Fire point


footnotes

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