-IBIS-1.5.0-
tx
urinary system
pyelonephritis
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Solid-type (acute); Deficient-type (chronic):
Urinary Bladder Damp-Heat; Liver and Gall Bladder Invaded by Damp-Heat; Wind-Heat; Kidney Yin Xu (Deficiency); Spleen Qi Xu (Deficiency)
» illustrative combinations:
UB-23, Sp-6, CV-4 and St-36 for pyelonephritis; also consider tai yang with headache; Sp-9, LI-4, UB-20 and UB-13 with edema and scanty urine; and/or LI-11 with fever (Liu, p. 316)
UB-23, UB-25, UB-54/40, Sp-10, St-36, Sp-6 and Kd-4 with strong stimulation for acute pyelonephritis (Lee and Cheung, p. 274)
UB-22, UB-16 and UB-32 (mild stimulation) for chronic pyelonephritis; also consider: St-36 and/or UB-54/40 (Lee and Cheung, p. 274)
UB-23, UB-26, St-25 and Sp-6 for chronic or acute nephritis (Shanghai, p. 213)
Kd-4 (listed as "Kd-5") and UB-54/40; UB-22, UB-23, UB-24 and UB-62; CV-3, St-36 and Sp-14; GB-24 and GB-25 for nephritis (Mann, p. 132)
GV-14, CV-12, CV-4, PC-6 and Sp-4 (also consider St-36 and Kd-7) for acute nephritis with edema due to Wind-Heat in the Lower Warmer (Jirui and Wang, p. 94)
UB-13, UB-20, LI-4 and Sp-9: promote urination to resolve Dampness (edema) (Liu, p. 316)
Kd-5, Kd-7 and UB-58: volatilize the Kidney (Finkelstein, p. 53)
point analysis
» palpate and consider:
GB-20 (-): disperses Wind-Heat; reduces Heat; subdues Liver Yang and Fire to calm and regulate the Liver; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
GB-24 (-): spreads Liver Qi; cools and transforms Damp-Heat; harmonizes the Middle Warmer; relieves hypochondriac pain; Gall Bladder Mu Alarm point
GB-25 (-): tonifies the Kidney; sedates Kidney Yang; influences Kidney Yin; clears and regulates Water Pathways; resolves Dampness; regulates Stomach; removes Qi Stagnation; relaxes muscles, sinews and tendons; invigorates the channels; Kidney Mu Alarm point
GV-14 (-): dissipates Wind and disperses Heat; reduces fever; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; clears the Shen, calms the Shen, and pacifies the Will; spreads Yang Qi through the Du Mai (Governing Vessel) and whole body; regulates and stimulates the flow of Qi; regulates the Xue (Blood); relaxes the sinews and muscles; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel)
GV-4 (= or +): pacifies the Shen; strengthens the Kidney; replenishes the Kidney Yang; nourishes the Yuan (Original) Qi; strengthens the low back; reinforces and astringes the Jing (Essence); stimulates the adrenals; frees the channels and invigorates the collateral vessels
UB-13 (=): eliminates Wind; stimulates sweating; reduces fever; clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat from the Upper Warmer; tonifies the Lung and activates dispersing function of the Lung to spread Lung Qi and resolve Dampness; harmonizes the Ying and Xue (Blood); esp. with scanty urination; Lung Shu Associated point
UB-16 (-): calms the Heart and Shen; clears Heat; cools Heat in the Xue (Blood); invigorates Xue (Blood); disperses Yang Shi (Excess) in the Du Mai (Governing Vessel); Shu Associated point Du Mai (Governing Vessel)
UB-20 (= or +): regulates Spleen Qi; tonifies Spleen and Stomach; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; reverses Rebellious Stomach Qi; resolves Dampness; harmonizes the Xue (Blood); esp. with scanty urination; Spleen Shu Associated point
UB-22 (-): regulates transforming function of Qi; regulates San Jiao collectively, and the Upper, Middle and Lower Warmers individually; tonifies the Kidney; eliminates Dampness and regulates passage of water in the Lower Warmer (diuresis); relieves pain in the low back and loins; Triple Warmer Shu Associated point
UB-23 (= or +): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); spreads and clears Obstructed Kidney Qi; strengthens Yang and Qi Hai; influences adrenals; drains Heat from the Lower Warmer; resolves Dampness; regulates fluid system, volatilizes the Bladder, and promotes diuresis; benefits the lower back; Kidney Shu Associated point
UB-47/52 (= or +): tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; stabilizes Kidney Qi; spreads and clears Obstructed Kidney Qi; regulates and facilitates the Water Pathways to ease urination and resolve Dampness; strengthens the lower back (-, then +); esp. used in treatment of nephritis and urogenital problems (EAMSS, p. 245); Kidney psychospiritual associated point
UB-24 (=): regulates the flow of Qi and Xue (Blood); strengthens the lower back; associated point for upper lumbar region
UB-25 (=): transforms Stagnation; resolves Damp-Heat; warms Cold and dries Damp-Cold; benefits the lower back; Large Intestine Shu Associated point
UB-26 (-): regulates the Lower Warmer; transforms Damp-Stagnation; resolves Dampness and Damp-Heat; "relates to Kidney Yin" (Finkelstein, p. 45); alleviates polyuria; strengthens the lower back; associated point for lower lumbar region
UB-28 (-): dispels Wind and Dampness; regulates the Bladder and Water Pathways; promotes diuresis; "disperses Qi, clears blockages, and facilitates functioning of the Lower Warmer to help perspiration and drainage" (Finkelstein, p. 46); clears Heat from Lower Warmer; reinforces Yuan (Original) Qi; benefits the lower back; Bladder Shu Associated point
UB-32 (-): brings Yang into pelvic region which mobilizes Yin in the pelvis (Finkelstein, p. 46); regulates the Bladder and Lower Warmer; promotes urination; transforms Damp-Heat; invigorates the Xue (Blood) and Kidney Qi; opens the pelvis and disperses Lower Warmer Stagnation; strengthens the lower back; "same function as associated point of the Bladder" (Finkelstein, p. 46)
UB-53/39 (-): regulates the Triple Warmer and the Water Pathways; benefits, regulates and stabilizes the Bladder; "adjusts Lower Warmer's transformation of water and promotes circulation and removes obstructions" (Finkelstein, p. 48); frees the channels and invigorates the collateral vessels; relieves pain; He Sea Lower Uniting point of the San Jiao (Triple Warmer)
UB-54/40 (-): clears Heat from the Xue (Blood) to cool fever; transforms Damp-Heat; benefits Kidney Qi and regulates Bladder; controls the renal region (Finkelstein, p. 49); relaxes the sinews and muscles; benefits the lower back; Bladder He Sea Uniting and Earth point; Command point of the back; point of departure of divergent channels of Bladder and Kidney
UB-58 (-): dispels Wind; dispels Tai Yang channel (Bladder and Small Intestine) pathogens; promotes flow of Qi; strengthens Kidney function; eases low back pain; frees the channels and invigorates the collateral vessels; sedates pain; Bladder Luo Connecting point
GV-26 (-): pacifies the Shen; regulates the Du Mai (Governing Vessel); dispels Wind and cools Heat; benefits the lumbar spine; Jiao Hui Intersecting point of the Foot Yang Ming (Stomach) and Hand Yang Ming (Large Intestine) channels on the Du Mai (Governing Vessel)
tai yang (- and/or bleed): dispels Wind and Wind-Heat; clears Heat (bleed); clears the head to disperse headache
LI-11 (-): disperses Heat to resolve fever; eliminates Wind; regulates and harmonizes Qi and Ying; cools and harmonizes the Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes; harmonizes the Stomach and regulates the Intestines; eliminates Dampness through the Intestines; benefits sinews, tendons and joints; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
LI-4 (-): dispels Wind-Heat and reduces fever; pacifies the Shen; regulates Qi and Xue (Blood); activates Wei (Protective) Qi and stimulates the immune system; induces or stabilizes sweating; tonifies Metal to cool inflammatory processes; relaxes Stomach spasms; elevates Clear Qi and descends Turbid Qi; clears Toxins; relaxes sinews and tendons; eliminates Damp-Heat; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
PC-6 (+): clears Heat; pacifies the Shen; spreads and regulates the Qi, esp. of the Middle and Upper Warmers; harmonizes the Stomach; descends Rebellious Qi to resolve nausea, reduce eructations, and stop vomiting; drains the Triple Warmer; relaxes the sinews and clears the vessels; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
CV-12 (+): regulates the Stomach Qi and harmonizes the Stomach; strengthens and calms the Spleen; transforms Dampness; transforms and suppresses Rebellious Qi; benefits and soothes the Qi; tonifies the Middle Warmer, Stomach and Intestines; facilitates ascension of the Clear and descension of the Turbid; Stomach and Middle Warmer Mu Alarm point
CV-9 (-): balances endocrine and lymphatic systems; moves Spleen and Earth; regulates the Spleen and Stomach; regulates Bladder Qi; dissolves Damp; 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; palpation: water regulation and metabolism reflex; "no energy" indicates Xu (Deficiency) of Spleen and/or Stomach; pulsing indicates Kidney Xu (Deficiency) (Matsumoto); Small Intestine Mu Alarm point (Hukaya as per Matsumoto)
CV-6 (= or +): strengthens, regulates and moves the Qi; regulates and tonifies Yuan (Original) Qi; reinforces Yang and Jing (Essence); tonifies the Kidney; cools Heat in the Xue (Blood); regulates Qi of the Ren Mai (Conception Vessel); moves Qi and Xue (Blood) in the Lower Warmer; dispels Dampness; Dan Tien (Elixir of Long Life), with CV-5
CV-4 (= or +): pacifies the Shen; grounds the Shen when there is Empty-Heat (Maciocia, p. 207); regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); separates the Clear and the Turbid; nourishes and stabilizes the Kidney; strengthens and replenishes the Kidney Qi; resolves Damp-Heat; regulates the Bladder; facilitates diuresis; Small Intestine Mu Alarm point
CV-3 (= or -): 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; relieves pain; Bladder Mu Alarm point
zi gong (=): tonifies and warms Yuan (Original) Qi; clears Heat; transforms Damp-Heat
St-25 (=): supports Earth and harmonizes the Center, esp. the Stomach; regulates the Stomach and Spleen; 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; transforms Dampness; ascends the Clear and descends the Turbid; Large Intestine Mu Alarm point
St-28 (-): regulates Heat Qi of the Triple Warmer, Kidney and Bladder; activates the Chong Mai (Penetrating Vessel); cools and clears Damp-Heat, esp. in the Lower Warmer; regulates body fluids; benefits the Bladder; facilitates the Lower Warmer; seeps Water Dampness by opening Water Pathways to promote diuresis; important point for regulation of body fluids; in this region the Stomach supplies Turbid Qi to the Kidney via the internal duct of the Triple Warmer (Finkelstein, p. 16)
St-36 (+): expels Wind; regulates Wei (Protective) Qi so as to resist External invasion; disperses noxious Yang and brings down high fever; calms the Shen; regulates and strengthens Qi and Xue (Blood); regulates the Stomach and strengthens the Spleen; dispels and eliminates Dampness; descends Rebellious Qi; relieves nausea and vomiting; regulates Ying (Constructive) Qi; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point
Sp-9 (-): regulates and tonifies the Spleen (especially Yang); regulates the Water Pathways; transforms Damp Stagnation, esp. through promotion of diuresis; dispels Damp-Heat; benefits the Lower Warmer; Spleen He Sea Uniting and Water point
Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and builds the Xue (Blood); regulates the Xue (Blood) and clears Xue (Blood) Heat; frees Qi Stagnation; restores circulation to the Lower Warmer; tonifies the Kidney; regulates the Bladder; transforms Dampness and Heat; facilitates diuresis; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): pacifies the Shen; clears Heat; 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 Yin Wei Mai (Yin Linking Vessel); 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)
Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens the Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; regulates Qi, esp. Kidney Qi, and restores Qi to the vessels; strengthens and enriches the Kidney; facilitates the Bladder and Water Pathways; cools and clears Damp-Heat; regulates the pores and sweating; disperses Stagnation; strengthens the low back; Kidney Metal and Tonification point
Kd-5 (=): reinforces the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates Qi and Xue (Blood); strengthens Yuan (Original) Qi; moves the Lower Warmer; 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-4 (=): nourishes the Shen and Yin; regulates the Kidney; reinforces the Liver and Kidney, the latter through longitudinal Luo vessels; facilitates the flow of Qi and Xue (Blood); harmonizes the Xue (Blood); supplements the Jing (Essence); Kidney Luo Connecting point
Kd-2 (-): nourishes Yin; eliminates Heat and clears Fire to cool the Xue (Blood); tonifies the Kidney (especially Yang) and Jing (Essence); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Fire point
UB-62 (=): dispels Wind and clears Heat; clears the Shen and Heart; opens and moves the Yang Qiao Mai (Yang Motility Vessel); regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; soothes sinews, tendons and vessels; relaxes the Muscle channels; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)
ear: lung, kidney, bladder, sympathetic, liver, adrenal, shen men, endocrine, hypertension (groove)
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.