-IBIS-1.5.0-
tx
mental/emotional
anxiety
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Disturbance of Heart Yin; Qi and Xue (Blood) Xu (Deficiency); Heart Misted by Cold Phlegm; Imbalance between Yin and Yang; Shi (Excess) of the Yang Qiao Mai (Yang Motility Vessel), Yin Wei Mai (Yin Linking Vessel), and/or Du Mai (Governing Vessel); Xu (Deficiency) of the Yin Qiao Mai (Yin Motility Vessel); Obstruction of Xu Li channel
» illustrative combinations:
TW-10, TW-3, PC-6, UB-62, UB-60, SI-17, St-45, CV-7 and Kd-6 (-) for nervousness (McWilliams, et al., Lesson 31, p. 160)
Xu Li ashi (tender) points on left chest, including St-18, upper Kd points, PC-1, together with CV-12, CV-17, PC-6, Ht-7, St-40, St-43; esp. with an overworked person who is flushed above the diaphragm and has a reddened face (Seem, p. 52)
Lv-3 and LI-4: open the Four Gates; regulate Qi and Xue (Blood) circulation; remove Obstruction of the channels; release bodily tension; relax clenching of jaws; free constraint; calm the mind; relieve mental cloudiness; provide sedative and analgesic effect to calm the nervous system; pacify Liver Yang (Finkelstein, p. 7; Flaws, 1989, p. 76)
UB-14, UB-20, PC-6 and St-36 for palpitations due to Heart Qi and Blood Xu (Deficiency); add Ht-7 and Sp-6 if insomnia is present; add CV-6 and CV-17 if with breathlessness (Qiu and Su, p. 28)
Ht-7, Kd-3, UB-15 and UB-23 for palpitations due to Yin Xu (Deficiency) causing Heat (Qiu and Su, p. 30)
UB-17, CV-17, PC-6, UB-14 and Sp-6 for palpitations due to Stagnant Heart Qi and Blood (Qiu and Su, p. 31)
UB-15, UB-23, GV-4, CV-4 and St-36 for palpitations due to Heart Yang Xu (Deficiency) (Qiu and Su, p. 32)
PC-6 and Sp-4: activate Yin Wei Mai (Yin Linking Vessel) which connects all the Yin channels and tonifies Xue (Blood); Master point and Couple point of the Yin Wei Mai (Yin Linking Vessel)
UB-62 and SI-3: regulate the Yang Qiao Mai (Yang Motility Vessel) and the Du Mai (Governing Vessel) for which Shen disorders are a symptom of Shi (Excess)
UB-62 and SI-3; Yu (Shu Associated) points: relieve "excess nervous tension" (Mann, p. 116)
UB-15 and Ht-7 (-): calm the Shen; nourish Heart Xue (Blood); regulate and tonify the Heart
GV-24 and Ht-7 (-): quiets the Soul and clears the Brain (Finkelstein, p. 82)
GV-24 and GB-13 (-): relieve "severe anxiety and fears" (Maciocia, p. 472)
PC-6, CV-17 and Ht-7 (-): soothe the Heart; calm the Shen; clear chest and regulate Qi
CV-14 and CV-15 (+): tonify Heart Xue (Blood); pacify the Shen; esp. with anxiety and restlessness
PC-6, Ht-7, GV-26 and SI-3 (also consider LI-4, Lv-3, Lu-11, PC-7, Kd-1, Kd-5 (listed as "Kd-4"), Sp-6, LI-11, GB-34, GB-30, yi lung, TW-21,TW-17, CV-22, UB-1, TW-23, GV-20 and Kd-6) for hysteria (Lee and Cheung, p. 322)
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-22, CV-12, CV-4 and GV-9: Reunion points of the Yin and Yang, needled when there is conflict between Yin and Yang, according to Su Wen (Finkelstein, p. 78)
PC-6 and Sp-4: open the Yin Wei Mai (Yin Linking Vessel) for which timidity, fear and nervous laughter are Xu (Deficiency) symptoms
UB-62 and SI-3: open the Yang Qiao Mai (Yang Motility Vessel) which transports Yang and for which restlessness is a Shi (Excess) symptom
Kd-6 and Lu-7: open the Yin Qiao Mai (Yin Motility Vessel) which transports Yin and for which restlessness is a Xu (Deficiency) symptom
search various syndromes, esp. those of Heart and Spleen, in materia medica
point analysis
» palpate and consider:
an mian (-): pacifies the Shen; clears the Brain
UB-15 (-): calms the Heart and the Shen; nourishes and strengthens the Heart; reinforces the Heart Qi; nourishes Heart Xue (Blood); disperses Yang Shi (Excess) in the Heart; Heart Shu Associated point
GV-24 (-): quiets the Soul and clears the Brain
yin tang (-): clears Heat; pacifies the Shen and clears the Mind; promotes relaxation; allays dream-disturbed sleep; eliminates Interior Wind
GB-13 (-): calms the Mind; dissipates Heat in the Gall Bladder
SI-3 (+): opens the Du Mai (Governing Vessel); pacifies the Shen and clears the Mind; Small Intestine Wood and Tonification; Master point of the Du Mai (Governing Vessel)
Ht-5 (-): pacifies the Shen; regulates and tonifies Heart Qi; opens Heart Orifices to calm palpitations and relieve nervous condition (Finkelstein, p. 32); clears Heart Fire and Xu (Deficiency) Heat; Pericardium Luo Connecting point
Ht-3 (=): pacifies the Shen and Soul; enhances stability with nervous exhaustion; regulates the Heart Qi; Heart Water point; "Joy of Life" point (Finkelstein, p. 32)
Ht-7 (-): pacifies the Shen; calms and tonifies the Heart, esp. Heart Qi; relieves palpitations, insomnia and fear; general sedative and regulating effect on the inner organs; nourishes Heart Xue (Blood); found to be more effective for calming the Shen in men and Xu (Deficiency) patterns (Maciocia, p. 436); Heart Yuan Source, Earth and Dispersion point
PC-6 (=): pacifies the Shen; tranquilizes the Heart; regulates Heart Qi and Xue (Blood); releases and expands the diaphragm; relieves Liver Qi Stagnation; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel)
PC-7 (-): pacifies the Shen; clears Heat; draws Xu (Deficiency) Fire back into the Mind; clears Heart Fire; nourishes Heart Xue (Blood); esp. useful for emotional upsets from breaking off relationships and found to be more effective for calming the Shen in women and Shi (Excess) patterns (Maciocia, p. 436); Ghost point; Pericardium Yuan Source and Dispersion point
PC-9 (-): opens the Orifices; expels Wind; clears the Heart; esp. with melancholy, distress and extreme fright when the person reports feeling extremely hot but does not perspire (Mann, p. 53); Pericardium Wood and Tonification point
TW-10 (=): pacifies the Shen and Heart; clears the Brain; expands and relaxes the chest; regulates Qi circulation of the Triple Warmer; Triple Warmer He Upper Uniting and Dispersion point
CV-17 (=): calms emotions; regulates and smooths Qi circulation in the Upper Warmer; reinforces the Zhong (Ancestral) Qi of the chest; reverses adverse flow of Qi in the chest; expands the chest and soothes the diaphragm; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi
CV-14 (-): pacifies the Shen; moves Heart Qi; regulates and invigorates the Qi; benefits the diaphragm; 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-12 (D): for non-responsive hysteria due to excess worry or fright (Lee and Cheung, p. 323); builds Heart Yang; strengthens and calms the Spleen; benefits and soothes the Qi; Stomach and the Middle Warmer Mu Alarm point
GB-23 (=): regulates the circulation of Qi and Xue (Blood); moves the Liver; maintains downward flow of Qi; calms dyspnea; Mu Alarm point of the Gall Bladder, according to the Great Compendium (Ellis, et al, p. 313)
St-36 (+): builds and stabilizes Qi; nourishes Kidney, Liver and Spleen; Stomach He Sea Lower Uniting and Earth point
Sp-6 (+): nourishes Yin and Xue (Blood); clears Fire due to Xu (Deficiency); spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-5 (+): regulates and strengthens Spleen and Stomach; relaxes muscles, sinews and tendons; Spleen Metal and Dispersion point; Hui Reunion point of the Veins
Kd-9 (+): pacifies the Shen; opens the chest; sedates fright; dissipates Heat from the Heart; tonifies Kidney Yin; strengthens Yuan (Original) Qi; particularly useful in case of anxiety and emotional tension of Kidney origin (Maciocia, p. 253); Xi Cleft Accumulation point of Yin Wei Mai (Yin Linking Vessel)
Kd-6 (+): pacifies the Shen and stabilizes the Will; nourishes the Heart; clears Xu (Deficiency) Fire; balances excess or deficiency of any hormonal secretion and stimulates adrenals (Finkelstein, p. 53); brightens the eyes and sends Zhong (Ancestral) Qi to the eyes via the Yin Qiao Mai (Yin Motility Vessel); tonifies Kidney (especially Yin); strengthens lower back and loins; frees the channels and invigorates the collateral vessels; esp. for performance anxiety, e.g., on stage (Mann, p. 44); Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-4 (+): nourishes the Shen and Yin; regulates the Kidney; reinforces the Liver and Kidney; facilitates the flow of Qi and Xue (Blood); supplements the Jing (Essence); "susceptibility to fright or anger; ... insufficiency of spirit qi" (Ellis, et al, 1988, p. 249); esp. with a person who is fearful and discontented, completely lacking in motivation and desiring only to lay around at home, possibly due to insecurity, lack of confidence, or a feeling of inferiority (Mann, p. 45); Kidney Luo Connecting point
Kd-3 (+): nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; pacifies Xu (Deficiency) Fire; tonifies Kidney Yang; stabilizes Kidney Qi; Kidney Yuan Source and Earth point
Lv-3 (-): pacifies the Shen; soothes the Liver; clears Stagnation and promotes flow of Liver Qi; Liver Yuan Source and Earth point
UB-62 (=): clears the Shen and Heart; clears Fire and Heat; opens the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)
ear: shen men, sympathetic, occiput, heart, stomach, brain stem
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.