-IBIS-1.5.0-
tx
mental/emotional
insomnia
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Shen Disturbance; Kidney and Heart not Communicating; Heart Qi Xu (Deficiency); Heart Yin Xu (Deficiency); Qi Xu (Deficiency) with Xue Xu (Blood Deficiency); Heart Xue Xu (Blood Deficiency) with Spleen Qi Xu (Deficiency); over-thinking leading to Qi and Xue Xu (Blood Deficiency) and harming Heart and Spleen; Spleen Xu (Deficiency); dysfunction of the Stomach; Stomach Phlegm Fire; Liver Qi Stagnation with Yin Xu (Deficiency); Xue Yu (Blood Stasis); Liver Xue Xu (Blood Deficiency) with Liver Yang Rising; Liver Qi Constraint transforming to Liver Fire; Liver Wind Arising From Liver Yang Rising; Fire Toxin; Upward disturbance of the Liver and Gall Bladder; Gall Bladder Damp-Heat; Emptiness of the Gall Bladder in cold weather; Shi (Excess) of the Du Mai (Governing Vessel); Shi (Excess) of the Yang Qiao Mai (Yang Motility Vessel) and/or Xu (Deficiency) of the Yin Qiao Mai (Yin Motility Vessel); Xiao Yang Xu (Deficiency); Yang Xu (Deficiency) (rare)
» illustrative combinations:
Ht-7 and Sp-6 for insomnia; also consider Lv-3 with restlessness; PC-6 and UB-15 with palpitation; and/or yin tang with vertigo (Liu, p. 335)
Ht-7, Sp-6, Sp-9, Sp-1 and PC-6 for insomnia (A. Chamfrault as per Mann, p. 117)
yi ming, yin tang, PC-6 and Sp-6 for insomnia (Shanghai, p. 162)
UB-62, GB-41 and Lu-9; St-36, TW-19 and St-27; UB-13, UB-30 and GB-17; Lu-1 for insomnia (Mann, p. 117)
UB-15, UB-20, Ht-7, Sp-6 and St-36 for insomnia due to Heart and Spleen Xu (Deficiency) (Qiu and Su, p. 34)
PC-7, Ht-7, Kd-3 and Kd-6 for insomnia due to Kidney Yin Xu (Deficiency) causing Heart Heat (Qiu and Su, p. 35)
CV-12, St-36, St-40, St-44 and St-45 for insomnia due to internal Phlegm-Heat (Qiu and Su, p. 35)
Sp-1 and St-45 (D): drain perverse Heat and cure excess of dreams and light sleep (Finkelstein, p. 25)
UB-62 and SI-3: open the Yang Qiao Mai (Yang Motility Vessel) which transports Yang and controls the opening and closing of the eyes, and for which insomnia is a Shi (Excess) symptom
Kd-6 and Lu-7: open the Yin Qiao Mai (Yin Motility Vessel) which transports Yin and controls the opening and closing of the eyes, and for which insomnia is a Xu (Deficiency) symptom
SI-3 and UB-62: open the Du Mai (Governing Vessel) for which Shen disorders are a symptom of Shi (Excess)
consider treatment for "Internal Dragons" or "External Dragons"; External Dragons: GV-20, UB-11, UB-23, UB-61; Internal Dragons: Master point 1/4" below CV-15, St-25, St-32, St-41; In both treatments, sedate first. If the person and the pulses change, fine. If no change with sedation, then tonify. (Worsley)
CV-14, CV-15, St-19 and Lv-14 (-): reduce stifling sensation in epigastric and hypochondriac regions (Serizawa, p. 181)
CV-3 and UB-23 (+): strengthen and stabilize Kidney; relieve frequent urination
GV-20 and UB-10 (-): calm nerves; relieve associated headache
PC-6 and Ht-7 (-): clear Fire from Heart; calm the Shen; soothe the Heart
UB-17 and UB-18 (-): relieve mid-back tension; calm emotions
point analysis
» palpate and consider:
GV-20 (-): pacifies the Shen and stabilizes the Will; calms nerves; relieves associated headache; adjusts Qi of the Du Mai (Governing Vessel); stimulates the pineal; regulates and tonifies the Qi (D); spreads Liver Qi; Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
SI-11 (-): induces sudden deep drowsiness and sleep (Finkelstein, p. 35); stimulates flow of Qi; diffuses Qi Stagnation in the chest and lateral costal region
an mian (-): calms the Shen to enable restful sleep
yi ming (-): calms the Shen to enable restful sleep
UB-10 (-): clears Fire; clears the head and calms the nerves; relieves associated headache; modulating effect on the medullary functions; relaxes the sinews and muscles; Window of the Sky point; Sea of Qi general point
UB-13 (+): clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Lung and Upper Warmer; promotes the circulation of the Lung Qi; transforms Phlegm; stops coughing; expands and relaxes the chest; regulates the Upper Warmer; harmonizes the Ying and Xue (Blood); Lung Shu Associated point
UB-14 (+): disperses Yang Shi (Excess) in the Jue Yin (Pericardium and Liver); tonifies Pericardium, if Xu (Deficient); regulates and tonifies the Heart (especially Qi and Yang); relaxes the chest; spreads Liver Qi; Pericardium Shu Associated point
UB-38/43 (=): regulates the Shen (hence called the "Happy point"); strengthens Xu (Deficiency) conditions; clears Empty Heat; supplements the Lung and fortifies the Spleen; tonifies Heart Qi; releases unresolved emotions; strengthens the Xue (Blood); stimulates hematopoesis; tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; transforms Phlegm; Pericardium psychospiritual associated point
UB-15 (+): clears the Brain; calms the Heart and the Shen; nourishes and strengthens the Heart, if Xu (Deficient); relieves palpitations; regulates the Xue (Blood) and Qi; reinforces the Heart Qi; nourishes Heart Xue (Blood); disperses Yang Shi (Excess) in the Heart; clears Heart Fire; relaxes the chest; Heart Shu Associated point
UB-17 (-): calms emotions; regulates and invigorates the Xue (Blood); transforms Xue Yu (Blood Stasis); nourishes Dry Xue (Blood); enriches Yin; expands the chest and diaphragm; strengthens Xu (Deficient) conditions; harmonizes Stomach Qi; relieves mid-back tension; Diaphragm Shu Associated point; Hui Reunion point of the Xue (Blood)
UB-18 (-): pacifies the Shen; drains the Liver and Gall Bladder; extinguishes Liver Wind and stops convulsions; clears Liver Fire and Heat; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates Xue (Blood); nourishes Liver Yin; increases gall bladder secretions; harmonizes the Stomach and benefits the Qi; relieves mid-back tension; Liver Shu Associated point
UB-23 (+): strengthens the Heart (Ross, 1985, p. 130); strengthens Qi Hai and regulates Kidney Qi; raises basic vitality; strengthens and stabilizes Kidney; relieves frequent urination; tonifies the Kidney and strengthens Yang; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; Kidney Shu Associated point
yin tang (-): pacifies the Shen and clears the Mind; relieves vertigo; stimulates the pituitary and pineal; eliminates Interior Wind; promotes relaxation
UB-1 (-): enriches Yin (esp. in relation to the eyes); controls the pituitary gland and its secretions via the hypothalamus and the autonomic nervous system; regulates the sleep cycle through the Yin and Yang Qiao Mai (Motility Vessels) by regulating the opening and closing of the eyes; Bladder Entry point; Polarization point of the Yin and Yang Qiao Mai (Motility Vessels); site where the Yin and Yang change into their opposite and where the Yin and Yang Qiao separate, according to chapter 17 of the the Nei Jing (Finkelstein, p. 37); Master point for the eyes (Mann, p. 30)
PC-6 (-): pacifies the Shen; clears Fire from and soothes the Heart; builds Zhong (Ancestral) Qi in the chest; harmonizes and regulates Middle and Upper 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); regulates Liver Qi and relieves Liver Qi Stagnation; harmonizes the Stomach; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
PC-7 (= or -): pacifies the Shen; clears Fire of Heart and Pericardium; draws Xu (Deficiency) Fire back into the Mind; nourishes Heart Xue (Blood); relaxes the chest; harmonizes the Stomach; influences adrenals (Worsley, 1975, p. B-20); esp. appropriate with emotional upsets, such as from breaking off relationships (Maciocia, p. 436); relieves severe anxiety and fear; Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
Ht-7 (= or -): pacifies the Shen and calms the Heart; relieves palpitations, insomnia and fear; general sedative and regulating effect on the inner organs; tonifies and nourishes Heart Xue (Blood) and Yin; removes Qi Stagnation in the Heart; clears Heart Fire and Heat; regulates and tonifies the Heart, esp. Heart Qi; Heart Yuan Source, Earth and Dispersion point
Ht-8 (=): pacifies the Shen; strengthens the Heart and regulates Heart Qi; treats Heart Shi (Excess) patterns; clears Heart Fire and Empty Heat; regulates flow of Qi; esp. with distress and turmoil affecting the heart and chest, mental restlessness, and/or vivid dreams; Heart Fire and Horary point
SI-3 (-): pacifies the Shen and clears the Mind; regulates the Yang Qiao Mai (Yang Motility Vessel); treats pituitary imbalance, using location reactive to palpation, often ca. SI-3.5 (Matsumoto); dispels Dampness and Internal Heat; relaxes the sinews and muscles; relieves muscle spasms; Small Intestine Wood and Tonification point; Couple point of the Yang Qiao Mai (Yang Motility Vessel)
SI-1 (-): clears Heart Fire; general sedating effect; relieves inflammation of mucous membranes; Small Intestine Jing Well, Metal and Entry point
Lu-1 (+): cools and disperses Heat and Yang from the Upper Warmer, chest and lungs; stimulates descending of Lung Qi; aids release of old emotions (-); Lung Entry and Mu Alarm point
Lu-7 (+): treats Shi (Excess) patterns; opens the Ren Mai (Conception Vessel) and regulates the Yin Qiao Mai (Yin Motility Vessel); opens the Lung; spreads Lung Qi by stimulating the descending and dispersing of Lung Qi; calms wheezing; controls fluids; Lung Luo Connecting and Exit point; Couple point of the Yin Qiao Mai (Yin Motility Vessel)
Lu-9 (+): opens Zhong (chest) Qi and facilitates circulation of Lung Qi; regulates all Yang Qi; tonifies Lung Qi and Lung Yin; clears and descends the Upper Warmer and Lung Qi; increases oxygen absorption; stops coughing and calms wheezing; Lung Yuan Source, Earth and Tonification point; Hui Reunion point of Xue (Blood) vessels
CV-15 (-): pacifies the Shen and nourishes Heart Yin; esp. with "severe anxiety, worry, emotional upsets, fears or obsessions" (Maciocia, p. 465); stimulates pituitary (Finkelstein, p. 91); promotes flow of Qi; benefits Yuan (Original) Qi; nourishes all Yin organs; relaxes the chest; transforms Phlegm and sedates cough; regulates the Stomach; Ren Mai (Conception Vessel) Luo Connecting point; Source point of the five Zang (Yin viscera)
CV-14 (=): clears the Heart and stabilizes the Shen; regulates and invigorates the Qi; expands and clears the chest; sedates cough; benefits the diaphragm; harmonizes the Stomach and facilitates movement in the Middle Warmer; acts on the nervous system and brain through the solar plexus (Finkelstein, p. 90); releases tension throughout whole body (Finkelstein, p. 90); Heart Mu Alarm point
CV-3 (+): strengthens and stabilizes Kidney; relieves frequent urination; Bladder Mu Alarm point
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; strengthens the Spleen and Stomach; invigorates flow of Xue (Blood); Liver Mu Alarm point
St-19 (-): regulates the Spleen and Stomach; facilitates the flow of Qi
St-25 (+): improves associated digestive function; harmonizes the Stomach; regulates the Stomach and Spleen; supports Earth and harmonizes the Center; regulates the channels and promotes Qi circulation; ascends the Clear and descends the Turbid; Large Intestine Mu Alarm point; according to Sun Tzu Miao, this point contains a storehouse of Qi and should not be dispersed (Finkelstein, p. 15)
St-27 (+): reinforces the Kidney and tonifies the Qi; strengthens and invigorates the Yang; relieves associated constipation
Sp-10 (-): relieves mental obsession; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat in the Xue (Blood); "Sea of Blood"
Sp-6 (+): nourishes Yin; builds Xue (Blood); transforms Dampness; clears Fire due to Xu (Deficiency); tonifies Qi and builds the Xue (Blood); transforms Xue Yu (Blood Stasis); frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; warms the Middle and Lower Warmers; regulates the Xue (Blood) Chamber and the Palace of Jing (Essence) (Flaws, 1989, p. 46); Jiao Hui Intersecting point of the three Foot Yin channels
Sp-2 (=): stimulates the flow of Qi; strengthens the Spleen and tonifies Spleen Yang; harmonizes the Stomach; returns Yang and stems counterflow; eliminates Dampness and Phlegm caused by Spleen Xu (Deficiency); esp. when restlessness prevents sleep (Mann, p. 19); Spleen Fire and Tonification point
Sp-1 (=): pacifies the Shen; clears the Heart and Brain; brings thoughts down (D); regulates Yin-Yang; clears Dampness and Damp-Heat; strengthens and warms the Spleen (esp. with D); benefits the Qi and regulates the flow of Xue (Blood); esp. when restlessness prevents sleep (Mann, p. 19); Spleen Jing Well and Wood point
St-36 (+): calms the Shen; nourishes Xue (Blood) (and Qi); supports Lung Qi and transforms Phlegm; eliminates Dampness; disperses Stagnation in the Upper Warmer; builds Heart Yang; regulates the Stomach and strengthens the Spleen; descends Rebellious Qi; disperses Stomach Fire; regulates and replenishes the Middle Warmer; spreads Liver Qi and benefits the Gall Bladder; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; Stomach Earth and Horary point; Sea of Nourishment point
St-45 (-): pacifies the Shen; stimulates the Mind; facilitates flow of Qi; clears Heat, esp. Stomach Heat; Stomach Jing Well, Metal and Dispersion point
Lv-3 (-): pacifies the Shen; clears Stagnation and promotes flow of Liver Qi; relieves anger and mellows spirits of those who are frustrated and jealous (Finkelstein, p. 73); relieves headache; suppresses dizziness; adjusts and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; drains Liver Fire and subdues Liver Yang; calms and extinguishes Liver Wind; suppresses Rebellious Qi, calms the Stomach, and expands the chest; tonifies Liver Xue (Blood); opens the channels and suppresses spasms; stops pain; Liver Yuan Source and Earth point
Kd-11 (+): tonifies Kidney, if Xu (Deficient); raises basic vitality; dissipates Dampness
Kd-6 (+): pacifies the Shen and stabilizes the Will; nourishes the Heart; clears Xu (Deficiency) Fire; opens the Yin Qiao Mai (Yin Motility Vessel) and regulates the Ren Mai (Conception Vessel); balances excess or deficiency of any hormonal secretion (Finkelstein, p. 53); clears the Lung and tonifies Lung Yin; tonifies Kidney (especially Yin); dispels Dampness; 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); pacifies Xu (Deficiency) Fire; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies Kidney Yang; stabilizes Kidney Qi; relieves pain in teeth and bones; Kidney Yuan Source and Earth point
UB-59 (-): regulates Qi and promotes flow of Xue (Blood); disperses Damp-Heat; effects the Yang Qiao Mai (Yang Motility Vessel) which regulates the opening and closing of the eyes; relaxes the sinews, tendons and muscles; Xi Cleft Accumulation point of the Yang Qiao Mai (Yang Motility Vessel)
UB-62 (-): cools and clears Fire and Heat; clears the Shen and Heart; "drains and disperses Fire from region of eyes by dispersing qing-qi of eyes" (Finkelstein, p. 50); opens and moves the Yang Qiao Mai (Yang Motility Vessel); soothes sinews, tendons and vessels; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)
ear: shen men, heart, kidney, spleen, dermis/subcortex, occiput
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.
Reprinted from Zang Fu: The Organ Systems of Traditional Chinese Medicine, Ross, Jeremy, 2nd ed, p. 75, 1985, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.