-IBIS-1.5.0-
tx
digestive system
anal fistula
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Heat and Toxins in the Xue (Blood); Damp-Heat; Liver Qi Stagnation

» therapeutic note: important to avoid constipation and treat ulcerative colitis or underlying allergies (Ambrose)

» illustrative combinations:
• Lv-3 and GB-34 (=): harmonize the Liver; resolve Liver Qi Stagnation; regulate the Xue (Blood); discharge Damp-Heat in the Lower Warmer


point analysis

»
palpate and consider:
• SI-16 (=): dispels Wind; nourishes the Heart; invigorates the channels and collateral vessels
• UB-24 (+): Qi "Shu Associated point"; regulates the Qi and Blood; strengthens the lower back
• UB-35 (-): clears Heat; transforms Damp-Heat
• GV-1 (=): opens Ren Mai (Conception Vessel) and Du Mai (Governing Vessel); regulates the Intestines; secures the lower Orifices
• UB-57 (=): regulates Qi in anal sphincter; regulates the Large Intestine; benefits hemorrhoids
• PC-4 (d. D) five cones of direct moxa, rice grain size; alternate with Sp-10; cools Xue (Blood) Heat; detoxifies the Xue (Blood); Pericardium Xi Cleft Accumulation point
• Sp-10 (d. D) five cones of direct moxa, rice grain size; alternate with PC-4; regulates and invigorates the Xue (Blood); cools Heat and Damp-Heat in the Xue (Blood); perfuses the Lower Warmer
• Lv-3 (=): clears and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); disperses Liver Qi Stagnation; strengthens Raising Qi; discharges Damp-Heat in the Lower Warmer; Liver Yuan Source and Earth point
• GB-34 (=): benefits Liver and Gall Bladder; tonifies Spleen; clears Dampness and cools Heat; strengthens and relaxes sinews and tendons; Gall Bladder He Sea Uniting and Earth point

ear: lower rectum, lung, large intestine, spleen

Dr. So's treatment:
» 1. mix powdered Fu Zi (Radix Aconitum) with warm water, form into small cakes slightly larger than fistula;
» 2. cover fistula with cake; apply yellow bean moxa on cake until it has dried up;
» 3. remove and replace dried cake; repeat with three cakes; repeat whole sequence 2-3 times daily until fistula sealed; accompany with five cones of direct moxa, red bean size, on Sp-10 once daily for five days (So, 1987, p. 227)


footnotes