-IBIS-1.5.0-
rx
point
PC-6: V-6: nei guan
acupuncture
definition
nei guan = inner gate; inner frontier gate
Luo Connecting point of the Hand Jue Yin (Pericardium/Circulation-Sex) channel with the Hand Xiao Yang (Triple Warmer) channel; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
diagnostic uses: major Spleen reflex point (Matsumoto)
actions: clears Heat; pacifies the Shen; regulates the balance between External and Internal to regulate the Qi of Yin and Yang (Finkelstein, p. 58); awakens the Brain by improving intracranial circulation; opens the Orifices of the unconscious; 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; improves circulation of Xue (Blood) Yin of the Heart thus countering Yang of the Heart (Finkelstein, p. 58); clears and spreads Qi in Pericardium channel; releases and expands the diaphragm; 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; regulates the Chong Mai (Penetrating Vessel); expels gallstones; enhances purification and dispersement of the Triple Warmer; drains the Triple Warmer; stabilizes Qi in the Uterus; relaxes the sinews and clears the vessels; relieves pain
indications: anxiety; mania; dysphoria; irritability due to Stagnant Liver Qi; easily frightened; premenstrual depression and irritability; insomnia; amnesia; dizziness; epilepsy; shock; exhaustion; headache; pain associated with surgery; aphasia due to near drowning; Summer-Heat diseases; occipital and neck pain; chest pain; fullness of the chest; dyspnea; rheumatic heart disease; angina pectoris; palpitations; weak pulses; nausea; hiccough; belching; vomiting; pain of the hypochondriac region; excess stomach hydrochloric acid; stomachache; gastritis; pain and distension of the epigastric region; Spleen and Stomach not harmonized; jaundice; hypoglycemia; enteritis; abdominal swelling; diarrhea; dysenteric disorders; appendicitis; irregular or painful menstruation; retained placenta; postpartum bleeding and dizziness; spermatorrhea; axillary swelling; elbow cramp; elbow, forearm and wrist pain; rheumatism of foot
contraindications/strategy: this point may be contraindicated as being too irritating for use in treatment of local problems such as carpal tunnel syndrome; instead consider using a contralateral Foot Jue Yin point that mirrors the location of the pain such as ashi (tender) points in the vicinity of Lv-4
needle technique: perpendicular insertion, 0.5 - 1.0 cun, producing a local sensation of distension and numbness, sometimes spreading proximally to the elbow or axilla, or distally to the hand; or penetrate between radius and ulna 1.5 cun through to TW-5; should be stimulated (Finkelstein, p. 58)
moxa: 3 - 5 cones of direct moxa; 5 - 10 minutes of indirect moxa with a pole
combinations:
ª with PC-5 purifies and disperses the Triple Warmer (Finkelstein, p. 59);
ª with Sp-10 and Sp-6 dispels Wind-Damp; eases the Mind; and relieves irritability (Finkelstein, p. 59);
ª with GV-20, si shen cong and Ht-7 treats dementia (Finkelstein, p. 59);
ª with Kd-1 and St-36 for septic shock (Shanghai, p. 250);
ª with GV-25 for low blood pressure (Shanghai, p. 250);
ª with GV-26, GV-25, St-9 and Lv-3 for low blood pressure (Shanghai, p. 165);
ª with LI-18, LI-11, CV-6, CV-4 and St-36 treats hypertension (Finkelstein, p. 59);
ª with PC-5, Sp-10 and Kd-7 regulates Qi in Pericardium, Spleen and Kidney (Finkelstein, p. 59);
ª with CV-11 to sweep away bitter thoracic oppression (Ellis, et al, 1988, p. 273);
ª with CV-17 broadens the chest; releases Qi Depression; and descends Rebellious Qi to stop cough (Finkelstein, p. 59);
ª with Ht-7 regulates and harmonizes the Heart and Pericardium (Finkelstein, p. 59);
ª with Ht-7, UB-15, UB-14 and St-36 to treat weak pulse condition, pulseless patterns, and heart failure patterns (Flaws, 1989, p. 98);
ª with PC-5 and Ht-8 for rheumatic heart disease (Shanghai, p. 249);
ª with PC-5 and St-36 for angina pectoris (Shanghai, p. 249-250);
ª with PC-3, PC-4 and PC-5 strengthens the Heart and tranquilizes the Soul (Finkelstein, p. 59);
ª with Sp-6 nourishes Yin; clears Fire; and strengthens the Heart to activate the Xue (Blood) circulation (Finkelstein, p. 59);
ª with Sp-6 and Ht-7 tranquilizes the Heart; eases the Mind; calms Heat and emotions (Finkelstein, p. 59);
ª with UB-15 and UB-23 descends Heart Fire; communicates the Heart and Kidney (Finkelstein, p. 59);
ª with CV-14 facilitates movement of the diaphragm (Finkelstein, p. 59);
ª with Lv-2, Lv-3 and GB-40 for Stagnant Liver Qi (Finkelstein, p. 58);
ª with Sp-4 opens Qi and Xue (Blood) of Middle Warmer and tones up constitutional deficiencies due to heredity (Finkelstein, p. 59);
ª with CV-12 harmonizes Middle Warmer, broadens the chest and descends Rebellious Stomach Qi (Finkelstein, p. 58); treat food accumulation and nausea with a desire to vomit (Flaws, 1989, p. 95);
ª with 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 jia ji of eighth to twelfth thoracic vertebrae) for stomachache (Shanghai, p. 599)
ª with St-36 to harmonize Stomach, regulate Middle Warmer Qi, stop vomiting (Finkelstein, p. 58);
ª with St-36 and CV-12 relieves fullness in chest and activates Qi (Finkelstein, p. 58);
ª with St-36 and CV-13 benefits morning sickness (Finkelstein, p. 58);
ª with St-36, CV-12, Sp-4, zhong kui, shang zhong and PC-8 for vomiting, hiccough and acid regurgitation (Flaws, 1989, p. 95; Finkelstein, p. 59);
ª with St-21 and St-34 for nervous dysfunction of the stomach (Shanghai, p. 180);
ª with St-34 and Sp-4 to modulate gastric acidity (Finkelstein, p. 59 and p. 26);
ª with Sp-4 to treat abdominal pain (Ellis, et al, 1988, p. 151);
ª with Sp-4, St-44 and St-36 for bleeding of the upper digestive tract (Shanghai, p. 289);
ª with St-40 dissolves Phlegm and harmonizes the Center (Finkelstein, p. 59);
ª with St-45 reduces Stomach Fire (Finkelstein, p. 59);
ª with St-36, Kd-16, Sp-13, LI-11, UB-24 and UB-25 for acute appendicitis (Shanghai, p. 640)
ª with Kd-6 for pain and lumps in the abdomen (Shanghai, p. 250);
ª with St-25 and Sp-6 for persistent dysentery (Ellis, et al, 1988, p. 127).
footnotes
Lee, Miriam. 1992. Master Tong's Acupuncture: An Ancient Alternative Style in Modern Clinical Practice. Boulder, CO: Blue Poppy Press.
Tan, Richard Teh-Fu, and Rush, Stephen. 1991. Twelve and Twelve in Acupuncture: Advanced Techniques and Principles. San Diego, CA.