-IBIS-1.5.0-
tx
endocrine system
goiter
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Dampness and Phlegm impedes flow of Qi, caused by emotional distress; Kidney and Liver Yin Xu (Deficiency) with Empty Fire Blazing

» illustrative combinations:
• St-9 joined to SI-17, with LI-4, St-36, ze qian, PC-6, Sp-6 and Kd-3 for goiter (Shanghai, p. 165)
• CV-13, GV-23, St-9, CV-19, GV-15, UB-15, Ht-7, St-10, CV-6, TW-3, Kd-7 and LI-4: influence thyroid (Worsley, 1975, p. B-20)
• CV-22, LI-4, CV-23 and tai yang to shrink thyroid gland, reduce symptoms of hyperthyroid (Finkelstein, p. 93)
• CV-22, LI-17 and SI-17: promote circulation of Qi and Xue (Blood) in the neck to disperse Stagnancy (Finkelstein, p. 93)
• seven groups of five points each, each group needled one day in succession over the course of a week with three days between each course of seven treatments, for goiter:
1. Kd-3, PC-5, St-10, UB-10 and UB-2;
2. Kd-7, St-36, CV-22, PC-6 and GV-1;
3. Kd-6, Sp-6, LI-4, LI-11 and St-10;
4. Kd-3, Lv-3, St-40, St-10 and UB-10;
5. Kd-7, St-36, PC-5 and CV-22;
6. Kd-6, PC-6, Lv-3, St-10 and UB-10;
7. Kd-3, Sp-6, LI-4, St-40 and CV-22 (Jirui and Wang, 49)
• PC-6 and Ht-7 for toxic goiter with palpitations of the heart (Mann, p. 126)
• UB-1, UB-2, St-2 and GB-20 for toxic goiter with swollen eyes (Mann, p. 126)
• UB-10, UB-2 and GB-1: for exophthalmos
• St-9 and TW-5: regulate Qi and Xue (Blood); transform mucous; dispel masses
• Kd-7, Kd-6, Kd-3 and Sp-6 (+): drain Heat; nourish Yin
• PC-5 and/or PC-6 (+): drain Fire from Heart


point analysis

»
palpate and consider:
• bai lao (-): local point for neck problems
GB-20 (=): reduces and relieves Heat; disperses and descends Liver Yang and Fire, esp. from the head, to calm and regulate the Liver; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
• GB-21 (+): opens Qi in throat; clears Heat; spreads Liver Qi; clears and invigorates the channels; dissolves Phlegm; disperses Stagnation and stops pain
• hua tuo jia ji of C3 to C5: stimulate local Qi; disperse Stagnation
UB-10 (-): dispels Wind-Phlegm; dispels Fire and benefits the throat; calms the Heart; opens and clears channels of the neck; especially for exophthalmos, local to eyes
• UB-13 (=): reduces fever; clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Lung and Upper Warmer; descends Rebellious Qi; regulates and strengthens the Lung Qi; transforms Phlegm; regulates the Upper Warmer; harmonizes the Ying and Xue (Blood); Lung Shu Associated point
GV-20 (+): 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; stimulates the pineal; activates 5 channels passing through neck (McWilliams, et al., Lesson 31, p. 91); esp. for toxic goiter with high blood pressure (Mann, p. 126); Sea of Marrow point
• GB-1 (-): discharges Heat; brightens the eyes; relieves pain; frees the channels and invigorates the collateral vessels; especially for exophthalmos, local to eyes
• UB-7 (-): dispels Wind and Wind-Heat, esp. from the upper body; disperses the surface; various sources list as a auxiliary point for goiter
• UB-2 (-): clears Heat; spreads Heat and Qi in the head; benefits and brightens the eyes; reinforces Kidney Water and nourishes Liver Wood (both in relation to the eyes); invigorates the channels and stops pain; especially for exophthalmos, local to eyes
St-9 (-): regulates Qi and Xue (Blood); benefits the throat; influences the thyroid (Worsley, 1975, p. B-20); transforms Phlegm and disperses masses (goiter); frees the channels and invigorates the collateral vessels; Exit point of the Sea of Qi; CAUTION: move the common carotid artery aside!
St-10 (-): disinhibits throat; reduces thyroid enlargement with needle inserted obliquely (45°) into lateral border of thyroid, same level as St-10
• qi ying (-): facilitates flow of effused blood; disperses goiter
CV-22 (+): invigorates Qi; benefits and cools the throat; influences thyroid; transforms and eliminates Phlegm; softens hard masses
• PC-5 (+): clears Heat and drains Fire, esp. from the Heart; resolves Phlegm in the chest; drains the Triple Warmer; Pericardium Metal point
• PC-6 (+): clears Heat; tranquilizes the Heart and calms the Shen; regulates the Qi; harmonizes and regulates Middle and Upper Warmers; regulates blood pressure; regulates Liver Qi and relieves Liver Qi Stagnation; enhances purification and dispersement of the Triple Warmer; drains the Triple Warmer; relieves pain; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• TW-14 (-): transforms Dampness; moves the Qi; quickens the Xue (Blood); relieves pain
• TW-13 (-): dispels stagnant Phlegm; clears and discharges Heat; frees the channels and invigorates the collateral vessels
TW-10 (-): clears Heat; regulates Qi circulation of and moves Fire Qi in the Triple Warmer; transforms Phlegm-Damp in the channels and collateral vessels; dissolves Phlegm; softens hard masses; Triple Warmer Dispersion and Earth point
TW-5 (+): clears Heat, esp. from Triple Warmer channel; stimulates thyroid; transforms Phlegm and disperses goiter; regulates Qi and Xue (Blood); moves Qi of the Yang Wei Mai (Yang Linking Vessel); transforms mucous; dispel masses; dissolves Toxins; disperses Liver Yang Shi (Excess); facilitates the circulation of Qi in the channels; alleviates pain; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
TW-4 (+): clears Fire and Heat; stimulates thyroid gland (Finkelstein, p. 61); left TW-4 is tonic to Yang of the whole body (Finkelstein, p. 61); promotes function Ren Mai (Conception Vessel); frees the channels and collateral vessels; Triple Warmer Yuan Source point
• LI-18 (-): regulates Qi and Xue (Blood); facilitates flow of Qi; benefits and soothes the throat; resolves Phlegm and disperses masses, esp. disperses goiter; sedates pain
• LI-16 (-): disperses Yang Shi (Excess) from the upper body; frees the channels and invigorates the collateral vessels
• LI-15 (-): harmonizes the flow of Qi and Xue (Blood); softens hard masses; frees the channels and invigorates the collateral vessels; stops pain; limits excessive sweating
LI-11 (-): drains Fire and clears Heat; eliminates Dampness; frees the channels; clears the Shen and brings down high blood pressure; regulates and harmonizes Qi and Ying; cools and harmonizes Xue (Blood); eliminates Dampness through the Intestines; frees the channels; Large Intestine Earth and Tonification; Master point of Heat in the body (Finkelstein, p. 9)
LI-4 (-): calms the Shen; regulates Qi of Stomach channel; resolves Stagnation and reduces masses; disperses Heat; regulates Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; sedates pain; brightens the eyes; stabilizes sweating; clears Toxins; esp. for toxic goiter with heavy perspiration (Mann, p. 126) Large Intestine Yuan Source and Entry point
• ze qian: often used to treat goiter
• Lu-2 (+): removes depressed Qi of the chest; transforms Phlegm
Kd-15<->16 region: palpate for tenderness and/or pain, then needle most reactive point to treat thyroid imbalance as part of Xu (Deficiency) of the Kidney and/or Spleen due to birth trauma induced by improper severing of the umbilical cord causing damage to the ligamentum teres hepatis (Matsumoto)
• St-36 (+): calms the Shen; replenishes Qi; dispels and eliminates Dampness; disperses Stagnation in the Upper Warmer; influences the parathyroids (Worsley, 1975, p. B-20); regulates and strengthens Qi and Xue (Blood); nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; treats chronic cases with Heat; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
St-40 (-): clears and calms the Shen; drains Fire from Stomach; reduces high blood pressure (Finkelstein, p. 21); transforms and eliminates Phlegm and Dampness; eliminates Phlegm-Fire in the Stomach and descending Heat of Stomach and Small Intestine; strengthens Kidney Yin and drains Liver Yang; invigorates the channels; Stomach Luo Connecting point
Sp-6 (+): pacifies the Shen; nourishes Yin; disperses Heart Fire; clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and builds the Xue (Blood); spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; transforms Dampness and Heat; stimulates uterus, adrenals, ovaries and pituitary (Finkelstein, p. 27); Jiao Hui Intersecting point of the three Foot Yin channels
• Kd-7 (+): clears Heat and nourishes Yin; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; stimulates adrenals, thyroid and testes; cools and clears Damp-Heat; regulates the pores and sweating; disperses Stagnation; Kidney Metal and Tonification point
Kd-6 (+): pacifies the Shen and nourishes the Heart; cools and clears Heat; clears Xu (Deficiency) Fire; removes Obstruction from the Yin Qiao Mai (Yin Motility Vessel); balances excess or deficiency of any hormonal secretion and stimulates adrenals (Finkelstein, p. 53); clears the Lung and tonifies Lung Yin; benefits the throat; tonifies Kidney (especially Yin); dispels Dampness; frees the channels and invigorates the collateral vessels; sedates pain; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); cools and clears Heat; pacifies Xu (Deficiency) Fire; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point
UB-60 (-): promotes Qi function and Xue (Blood) circulation; disperses masses (e.g., goiter); reinforces the Kidney; descends the Turbid; frees the channels and collateral vessels; relieves pain; Bladder Fire point
• GB-38 (-): reduces liver and Gall Bladder; dissipates Heat from the Gall Bladder; dispels Wind and Dampness; frees the channels; invigorates the collateral vessels; Gall Bladder Fire and Dispersion point
• GB-40 (-): clears and drains Fire from the Liver and Gall Bladder; spreads the Liver Qi; benefits Gall Bladder; softens hard masses; transforms Damp-Heat; frees the channels; Gall Bladder Yuan Source point
Lv-3 (-): pacifies the Shen and stabilizes the emotions; relieves anger and mellows spirits of those who are frustrated and jealous (Finkelstein, p. 73); promotes smooth flow of Liver Qi; expels Interior Wind; regulates the Xue (Blood); relieves headache; soothes the Liver; cools and drains Heat and Fire from the Liver and Gall Bladder; subdues Liver Yang; brightens and benefits eyes to improve vision; stimulates vision center of the central nervous system (Finkelstein, p. 73); influences the parathyroids and ovaries (Worsley, 1975, p. B-20); tonifies Liver Xue (Blood); stops pain; opens the channels; Liver Yuan Source and Earth point

ear: endocrine, thyroid


footnotes