-IBIS-1.5.0-
tx
eyes/ears/nose/throat
laryngitis/hoarseness
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
perverse Wind or direct attack of toxic or endemic origin;
» acute: Wind-Cold; Wind-Heat; Lung Heat;
» chronic: Lung and/or Kidney Yin Xu (Deficiency)

» therapeutic note: in Traditional Chinese Medicine the voice is produced by the Lung, rooted in the Kidney

» illustrative combinations:
• Lu-9, Lu-7, Lu-10, Kd-6, Kd-7, Kd-3, CV-22 and UB-13 for hoarseness due to Lung and Kidney Yin Xu (Deficiency) with Heat in the Lung (Jirui and Wang, p. 212)
• LI-10, LI-7, LI-11, TW-3, St-40, Ht-7, LI-4 and GB-20 for laryngitis (Lee and Cheung, p. 355)
• SI-17, St-12, UB-11, UB-17, Lu-2, Lu-5, LI-2, St-45, Kd-1 and Kd-2 for laryngitis with cold and fever (Lee and Cheung, p. 355)
• UB-10, CV-23, CV-22, SI-5, LI-4, SI-3, LI-3, Lu-11, TW-1, St-36, St-40, Sp-6 and Lv-2 for laryngitis (Lee and Cheung, p. 355)
• LI-4, Kd-1, CV-22 and St-40 for laryngitis (Lee and Cheung, p. 355)
• Kd-7 and Kd-3; CV-23, CV-22 and CV-18; GB-20 and UB-10; UB-11, UB-12 and UB-13 for laryngitis (Mann, p. 91)
• LI-4 and GV-14: allay inflammation and relax the throat (Finkelstein, p. 7)
• CV-22, LI-4 and GV-15: treat vocal cord problems (Finkelstein, p. 93)
• CV-22 and Kd-6: loosen the throat (Finkelstein, p. 93)
• GV-15 and CV-23: strengthen speaking ability (Finkelstein, p. 80)
• CV-22, LI-18 and LI-4 for hoarse voice and/or congested throat (Shanghai, p. 165; p. 557);
• PC-5, LI-18 and LI-4 for hoarse voice (Shanghai, p. 556)
• LI-18 and Kd-3: treat the throat (Finkelstein, p. 11)
• LI-18, CV-22 and Kd-3 for sounds in the throat (Shanghai, p. 165)
• Lu-9 and CV-17: tonify the Zhong (Ancestral) Qi of the chest, esp. the Heart and Lung, in Qi Xu (Deficient) individuals with cold hands and weak voice (Maciocia, p. 373)
• Lu-9 and Lu-10 for dry throat (Shanghai, p. 244)
• CV-22 and CV-23: regulate Lung; diffuse Lung Qi


point analysis

»
palpate and consider:
GB-20 (-): disperses Wind-Heat and Wind-Cold; reduces and relieves Heat; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
• GV-15 (-): dispels Wind, Wind-Cold and Wind-Heat; opens the voice and benefits the throat; frees the channels; removes Obstruction from the collateral vessels; stops pain; Sea of Bone Marrow Exit point; "mute's gate"
GV-14 (-): dissipates Wind and Cold; cools and disperses Heat; induces sweating; stimulates immune system, increases white blood cell count, and prevents or slows inflammation; regulates and stimulates the flow of Qi; clears the throat; opens the Lung and transforms Phlegm; clears Lung Heat; relaxes the sinews and muscles; Jiao Hui Intersecting point of all the Yang channels
• UB-10 (-): dispels Wind, Wind-Cold and Wind-Heat; reduces fever; dispels Heat and benefits the throat; opens and clears channels of the neck; Sea of Qi general point
UB-11 (-): dispels Wind, Wind-Cold and Wind-Heat; resolves Shi (Excess) Heat, esp. External Heat; connects the Du Mai (Governing Vessel) to the Shu Associated points; distributes Bladder Qi and Jing-Ye (Yin) to all the dorsal Shu points, thus cooling them (Finkelstein, p. 38); regulates the Lung; diffuses Lung Qi
UB-12 (-): disperses and eliminates Wind; stimulates preventive response after to exposure to a chill; stimulates sweating; ventilates and dispels pathogenic Heat from the Yin channels; disperses Yang Shi (Excess) in all Yang channels without draining body fluids; dispels Dampness; transforms Phlegm; opens and volatilizes the Lung; regulates and spreads Lung Qi; strengthens the dispersing function of Lung; Gate for entrance and departure of Feng Qi (Wind Qi)
UB-13 (+): regulates and invigorates the Lung Qi; reduces fever; clears Heat, esp. Xu (Deficiency) Heat, from the Lung; transforms Phlegm; stops coughing; expands and relaxes the chest; regulates the Upper Warmer; Lung Shu Associated point
• UB-23 (+): tonifies the Kidney; strengthens Kidney function of reception of Qi; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); Kidney Shu Associated point
• SI-19 (-): clears Heat; frees the channels and invigorates the collateral vessels
• SI-17 (-): dissipates Heat; reduces inflammation; relaxes the muscles and tendons; frees the channels and invigorates the collateral vessels
TW-17 (-): expels Wind; clears Heat; frees the channels
• St-6 (-): disperses Wind; regulates the flow of Qi
• St-4 (-): dissipates Wind; frees the channels
LI-18 (=): regulates Qi and Xue (Blood); facilitates flow of Qi; benefits and soothes the throat; relieves hoarse voice; ventilates, cools and clears the Lung; relieves cough and dyspnea; resolves Phlegm; sedates pain
• Lu-2 (+): regulates the Lung; clears Lung Heat and disperses fullness from the chest; removes depressed Qi of the chest; stimulates descending of Lung Qi; transforms Phlegm
Lu-5 (-): expels Wind; opens and clears the Lung; discharges Lung Fire; cools and clears Upper Warmer Heat; sedates Lung Shi (Excess); stimulates descending of Lung Qi; expels Phlegm from the Lung; Lung Water and Dispersion point
• Lu-6 (=): opens and adjusts Lungs; regulates Lung Qi; causes Lung Qi to descend; cools Heat and disperses Fire from Lung; resolves the Exterior; provokes perspiration; cools and clears the throat; moistens the Lung; Lung Xi Cleft Accumulation point
Lu-7 (+): circulates the Wei (Protective) Qi to expel Wind, dispel Cold, and disperse the Exterior; treats Shi (Excess) patterns; promotes sweating; opens the Lung; spreads Lung Qi by stimulating the descending and dispersing of Lung Qi; benefits throat; resolves Phlegm and clarifies Mucus; opens and regulates the Ren Mai (Conception Vessel); Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel); command point of the head and neck; takes Yuan (Original) Qi back to the Lung that has not been absorbed by the Yang Ming and therefore ensures the Qi feedback into the Kidney (Metal to Water) (Finkelstein, p. 3)
Lu-9 (+): ventilates, moistens and regulates the Lung; facilitates circulation of Lung Qi; tonifies Lung Qi and Lung Yin; cools and clears Heat in the Lung and throat; clears and descends the Upper Warmer and Lung Qi; transforms Phlegm; Lung Yuan Source, Earth and Tonification point
Lu-10 (-): dispels Wind-Heat; regulates and moistens the Lung; cools and clears Heat in the Lung; abates fever; stimulates sweating to disperse superficial conditions; benefits and moistens the throat, esp. with soreness and scratchiness in throat; Lung Ying Spring and Fire point
Lu-11 (- or bleed): regulates Lung; dispels Wind-Heat; moistens throat; lowers fever and disperses Lung Fire (bleed); do not bleed on patient suffering from Xue Xu (Blood Deficiency); bleed LI-1 instead (Stephens); Lung Jing Well and Wood point
• LI-11 (+): clears Heat; eliminates Wind and dispels Exterior conditions; regulates Qi circulation of Lung; improves immune function (Finkelstein, p. 9); Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
LI-4 (-): dispels Exterior Wind, including Wind-Cold or Wind-Heat; reduces fever; stimulates dispersing function of Lung; induces or stabilizes sweating; tonifies Lung Qi; cools and drains Lung Heat; Large Intestine Yuan Source and Entry point
• LI-1 (bleed): resolves the Exterior and clears Heat; moves and discharges pathogenic Yang Ming Heat; clears and moistens the throat; tonifies Wei (Protective) Qi via the internal duct of the Triple Warmer; use with patient suffering from Xue Xu (Blood Deficiency) instead of Lu-11 (Stephens); Large Intestine Jing Well, Metal and Horary point
• PC-5 (-): clears Heat; drains Shi (Excess) Fire from the Heart; resolves Phlegm in the chest; drains the Triple Warmer; Pericardium Metal point
TW-3 (-): clears Heat; dispels Wind and Wind-Heat; facilitates the circulation of Qi; moistens Dryness in the throat; Triple Warmer Wood and Tonification point
TW-2 (-): clears and drains Heat, esp. pathogenic Heat in the San Jiao (Triple Warmer); dispels Wind; generates Fluids; facilitates flow of Qi; moistens dryness and relieves swelling in the throat, esp. with voice loss; relieves pain; Triple Warmer Water point
• TW-1 (-): dispels Wind; clears Heat, esp. from the Large Intestine and Triple Warmer channels; moistens the throat; Triple Warmer Jing Well, Metal and Entry point
• CV-24 (-): dispels Wind; disperses swelling; clears the collateral vessels; esp. with sudden loss of voice
CV-23 (=): clears Fire and Heat; regulates the Lung; diffuses Lung Qi; opens and moistens the throat; transforms Phlegm; impels the downward flow of Phlegm; generates Fluids; meeting point of the Kidney and Heart (Finkelstein, p. 93)
CV-22 (=): facilitates and regulates movement of Lung Qi; benefits and cools the throat; regulates the pharynx; clears the voice; opens the Lung and promotes dispersing function of Lung; transforms and eliminates Phlegm; Window of the Sky point
• St-36 (+): dispels Cold and expels Wind; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; regulates and strengthens Qi and Xue (Blood); supports Lung Qi and transforms Phlegm; disperses Stagnation in the Upper Warmer; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; drains Shi (Excess) from the Yang channels; Stomach Earth and Horary point; Sea of Nourishment point
St-40 (-): dispels Wind; regulates the Lung and relieves chest congestion; strengthens the Spleen and transforms Phlegm; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
Sp-6 (+): 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); frees Qi Stagnation and spreads the Liver Qi; esp. with chronic hoarseness due to Yin Xu (Deficiency); Jiao Hui Intersecting point of the three Foot Yin channels
• Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens and enriches the Kidney; moistens dryness; Kidney Metal and Tonification point
Kd-6 (+): cools and clears Heat; clears Xu (Deficiency) Fire; opens the Yin Qiao Mai (Yin Motility Vessel) and regulates the Ren Mai (Conception Vessel); clears the Lung and tonifies Lung Yin; benefits the throat; sedates cough, esp. chronic; tonifies Kidney (especially Yin); moistens dryness; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-3 (+): cools and clears Heat; pacifies Xu (Deficiency) Fire; tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); clears Lung Heat; nourishes the Yin to moisten the Lung, calm wheezing, and sedate cough; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; reinforces Kidney to accept Qi (Finkelstein, p. 53); regulates the Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point
• Kd-1 (+): clears Fire and Heat (especially in the head); nourishes Kidney Yin (and thereby suppresses Liver Fire); nourishes Yin and benefits Jing (Essence); Kidney Jing Well, Wood, Dispersion and Entry point
• Lv-2 (-): clears and cools Fire of Heart and Liver; soothes and loosens Liver to release Liver Qi; Liver Fire and Dispersion point

ear: throat, lung, shen men, heart, endocrine, soft palate


footnotes

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