-IBIS-1.5.0-
tx
cutaneous system
rubeola
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Wind-Heat

» therapeutic note: "In Traditional Chinese Medicine, Measles are regarded as a type of discharge of Fetal Toxins and therefore this should not be suppressed with Rubeola vaccines." (Flaws, 1985, p. 148)

» illustrative combinations for general consideration:
• GV-14 and LI-11 (-): clear Heat to resolve fever
• LI-4, TW-5 and Lu-7 (-): bring rash out; relieve Exterior
• UB-54/40, LI-11 and Sp-10: clear Heat from the skin; invigorate circulation (Scott, p. 146-7)
• LI-15 and LI-5: treat extreme Heat related to skin rashes (Ellis, et al, 1988, p. 103); for Wind rash (Shanghai, p. 222)
• Ht-9, PC-9 and Kd-3 (-): clear Heat from Heart to ease sleep (Scott, p. 146-7)
• LI-11, LI-4 and GV-14: disperse malignant Heat by opening the superficial skin surface (Finkelstein, p. 9)
• Kd-3, GV-4 and Ht-6 (+): tonify Yin, esp. with tidal fever (Scott, p. 146-7)
• GV-14, LI-4 and LI-11 (-): eliminate Wind; clear Heat; eliminate toxins; esp. appropriate after the rash appears (Scott, p. 146-7)
• PC-8 (-) and PC-3 (bleed): soothe irritability; esp. appropriate after the rash appears (Scott, p. 146-7)
• LI-4, St-36 and CV-6: strengthen Wei (Protective) Qi
• LI-4, CV-14 and CV-22: increase white blood cells (Finkelstein, p. 7)
• LI-4, TW-5 and GV-14 (-): clear Wind-Heat and induce diaphoresis (Finkelstein, p. 8)
• LI-4, GB-20 and UB-1: dispel Wind and disperse Heat (Finkelstein, p. 8)
• LI-4, GB-20 and TW-5: remove Wind and Heat (Finkelstein, p. 7)
• LI-4, with bleeding of UB-54/40: allays inflammation (Finkelstein, p. 7)
• LI-4 and UB-12: eliminate Wind and relieve body surfaces (Finkelstein, p. 7)
• LI-4 and LI-11: clear Heat; cause sweating; eliminate fever; disperse Wind and Summer-Heat; resolve Damp; facilitate Stomach and Intestines to eliminate skin eruptions (Finkelstein, p. 7; Flaws, 1989, p. 77); treat unilateral Wind rash (Shanghai, p. 233)


point analysis

»
points to consider before the rash appears:
• GB-20 (-): disperses Wind-Heat; reduces and relieves Heat; brightens the eyes; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; "Wind Pond"
• GV-14 (-): dissipates Wind; cools and disperses Heat; reduces fever; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; regulates and stimulates the flow of Qi; regulates the Xue (Blood); clears the throat and opens the Lung; clears Lung Heat; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel)
• PC-7 (-): pacifies the Shen; clears Heat and Wind-Heat; relieves painful eyes; relaxes the chest; dissipates Heat from the Ying (nutrient system) and Xue (Blood); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
• LI-11 (-): clears Heat and eliminates Wind; regulates and harmonizes Qi and Ying; regulates Qi circulation of Lung; cools the Xue (Blood); improves immune function (Finkelstein, p. 9); harmonizes the Stomach and regulates the Intestines; eliminates Dampness through the Intestines; 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; reduces fever; pacifies the Shen; regulates Qi and Xue (Blood); brightens the eyes; clears the nose; tonifies Lung Qi and stimulates dispersing function of the Lung; activates Wei (Protective) Qi and stimulates the immune system; induces or stabilizes sweating; cools and drains Lung Heat; regulates Qi and disperses Heat of the Intestines; elevates Clear Qi and descends Turbid Qi; clears Toxins; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
• Lu-7 (-): circulates the Wei (Protective) Qi to expel Wind and disperse the Exterior; promotes sweating; opens the nose; benefits the throat and ears; treats Shi (Excess) patterns, esp. acute; opens the Lung; spreads Lung Qi and resolves Phlegm; stimulates the Lung function of dominating Water Pathways and controlling edema; tonifies Yang Ming (Stomach and Large Intestine); promotes diuresis by descending the Turbid; invigorates the collateral vessels; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel)
• TW-5 (-): induces perspiration; dissipates Wind and clears Heat; opens and moves the Yang Wei Mai (Yang Linking Vessel); dissolves Toxins; tonifies Wei (Protective) Qi; frees the channels to facilitate the circulation of Qi in the channels; invigorates the collateral vessels; 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)

» points to consider after the rash appears:
• GV-14 (-): dissipates Wind; cools and drains Heat; reduces fever; induces sweating; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; spreads Yang Qi through the Du Mai (Governing Vessel) and whole body; regulates and stimulates the flow of Qi; regulates the Xue (Blood); opens the Lung and clears Lung Heat; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel)
• yin tang (-): eliminates Wind-Heat; clears Heat; pacifies the Shen; promotes relaxation; clears the nose
• LI-20 (-): dispels Wind-Heat of Yang Ming (Stomach and Large Intestine) and Lung; clears Qi Fire; benefits the nose; opens nasal passages; invigorates Xue (Blood) circulation; Large Intestine Exit point
• PC-3 (- and/or bleed): pacifies the Shen; clears Heat; drains Heat from the Xue (Blood) and Ying; Pericardium He Sea Uniting and Water point
• PC-8 (- and/or bleed): pacifies the Shen; soothes irritability; cools and clears Heat from the Heart and Shen; relieves heat sensation of chest, palms and soles; transforms Damp-Heat; cools Heat in the Xue (Blood); harmonizes the Stomach; Pericardium Fire, Horary and Exit point
• LI-11 (-): clears Heat and eliminates Wind; regulates and harmonizes Qi and Ying; regulates Qi circulation of Lung; cools and harmonizes the Xue (Blood); improves immune function (Finkelstein, p. 9); harmonizes the Stomach and regulates the Intestines; eliminates Dampness through the Intestines; 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; reduces fever; pacifies the Shen; regulates Qi and Xue (Blood); brightens the eyes; clears the nose; tonifies Lung Qi and stimulates dispersing function of the Lung; activates Wei (Protective) Qi and stimulates the immune system; induces or stabilizes sweating; cools and drains Lung Heat; elevates Clear Qi and descends Turbid Qi; clears Toxins; eliminates Damp-Heat and stops itching; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
• shi xuan (bleed): clear Heat; subdue Internal Wind; relieve convulsions
• CV-21 (-): regulates movement of Qi, esp. facilitates downward flow of Qi; spreads Lung Qi; sets the Upper Warmer in motion; sedates cough
• Sp-10 (-): expels Wind and clears Heat; harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat, dissipates Wind, and transforms Damp-Heat in the Xue (Blood)
• St-44 (-): dispels Wind from the face; cools Heat and drains Dampness from the Stomach and Intestines; stops pain, esp. abdominal pain with fever; descends the Turbid; treats skin rash and pustules with intermittent fever; Stomach Water point

» points to consider as the rash fades:
• LI-11 (-): clears Heat and eliminates Wind; regulates and harmonizes Qi and Ying; regulates Qi circulation of Lung; cools the Xue (Blood); improves immune function (Finkelstein, p. 9); harmonizes the Stomach and regulates the Intestines; eliminates Dampness through the Intestines; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
• St-36 (+): tonifies Qi; supports Lung Qi and transforms Phlegm; dispels and eliminates Dampness; regulates and strengthens Qi and Xue (Blood); strengthens weak and deficient conditions; improves general health; regulates the Stomach and strengthens the Spleen; regulates and replenishes the Middle Warmer; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
• Sp-6 (+): supports Yin; transforms Dampness; aids transportation and transformation to improve digestion and nourishment; nourishes Yin; tonifies Qi and builds the Xue (Blood); frees Qi Stagnation; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
(Scott, p. 146-7)

SEQUELAE:
» points to consider for tidal fever:
• GV-4 (+): pacifies the Shen; strengthens the Kidney; nourishes the Yin and Yuan (Original) Qi; stimulates the adrenals (Finkelstein, p. 77); frees the channels and invigorates the collateral vessels
• Ht-6 (+): pacifies the Shen; nourishes Heart Yin; helps check Yang hyperactivity (EAMSS, p. 227); clears Fire from the Heart; reduces excessive perspiration, esp. night sweats; eliminates itching; Heart Xi Cleft Accumulation point
• Kd-3 (+): nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); cools and descends Heat; clears Lung Heat; nourishes the Yin to moisten the Lung and sedate cough; Kidney Yuan Source and Earth point

» points to consider for diarrhea:
• LI-11 (-): clears Heat; regulates and harmonizes Qi and Ying; cools the Xue (Blood); harmonizes the Stomach and regulates the Intestines; eliminates Dampness through the Intestines; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
• St-25 (=): stops diarrhea; supports Earth and harmonizes the Center, esp. the Stomach; regulates the Stomach and Spleen; regulates and facilitates the functioning of the Intestines; regulates Qi, esp. Ying (Constructive) Qi and Wei (Protective) Qi (Finkelstein, p. 15); tonifies Ying (Constructive) Qi and thus neutralizes Shi (Excess) Heat; clears Heat from Large Intestine; transforms Dampness; 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-36 (+): calms the Shen; regulates and strengthens Qi and Xue (Blood); regulates the Stomach and strengthens the Spleen; regulates and replenishes the Middle Warmer; dispels and eliminates Dampness; regulates Ying (Constructive) Qi; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
• St-44 (-): cools Heat and drains Dampness from the Stomach and Intestines; stops pain, esp. abdominal pain with fever; regulates bowel movements; descends the Turbid; Stomach Water point
• Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; strengthens the Spleen and tonifies the Qi; regulates the Xue (Blood); aids transportation and transformation to improve digestion and nourishment; frees Qi Stagnation; transforms Dampness and Heat; Jiao Hui Intersecting point of the Foot Yin channels

» points to consider for nightmares:
• Ht-9 (-): sedates the Shen; clears Heat; restores Yang; pulls Qi down; strengthens Heart Yin and Yang; regulates the Heart; clears Heat from the Xue (Blood); tonifies Heart Qi; Heart Wood, Tonification and Exit point
• PC-9 (-): eliminates Heat, esp. reduces Fire from the Heart; clears the Heart; Pericardium Wood and Tonification point
• Kd-3 (-): nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; cools and descends Heat; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point

» points to consider for residual skin lesions:
• UB-54/40 (-): clears Heat from the Xue (Blood); transforms Damp-Heat; Bladder He Sea Uniting and Earth point
• LI-11 (-): clears Heat and eliminates Wind; regulates and harmonizes Qi and Ying; cools the Xue (Blood); improves immune function (Finkelstein, p. 9); frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
• Ht-7 (-): pacifies the Shen and calms the Heart; stimulates secretion of fluids; enhances Xue (Blood) circulation; frees the channels; Heart Yuan Source, Earth and Dispersion point
• Sp-10 (-): harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat, dissipates Wind, and transforms Damp-Heat in the Xue (Blood)


footnotes

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