-IBIS-1.5.0-
tx
cutaneous system
herpes zoster
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Liver Yang Shi (Excess); Damp-Heat; Wind-Heat
» illustrative combinations:
GB-20, UB-54/40, PC-7, LI-11 and needles at affected site for herpes zoster due to invasion of Wind-Heat (Jirui and Wang, p. 243)
GB-34 and GB-41 (-): clear Damp and Damp-Heat, esp. on Gall Bladder channel
point analysis
» palpate and consider:
GB-20 (-): dispels Wind and Heat; subdues Liver Yang to calm and regulate the Liver and Gall Bladder; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
UB-11 (-): dispels Wind-Heat; resolves Shi (Excess) 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); removes obstruction of Qi circulation of the Tai Yang channels (Bladder and Small Intestine) and Du Mai (Governing Vessel) of the upper back; relaxes the muscles, sinews and tendons; invigorates the collateral vessels; facilitates Xue (Blood) flow; Hui Reunion point of the Bones; Sea of Xue (Blood) upper entry point
UB-17 (=): regulates and invigorates the Xue (Blood); clears Heat from the Xue (Blood); transforms Xue Yu (Blood Stasis); nourishes Dry Xue (Blood); enriches Yin; strengthens Xu (Deficient) conditions; Diaphragm Shu Associated point; Hui Reunion point of the Xue (Blood)
UB-18 (=): pacifies the Shen; benefits the Liver and Gall Bladder; cools Damp-Heat; moves Stagnant Qi; nourishes Liver Xue (Blood) and Yin; clears Liver Fire and Heat; cools Heat in the Xue (Blood); Liver Shu Associated point
local points (-): patient lies on unaffected side; one needle inserted at "head" and another at "tail" of lesion; needles inserted obliquely at angle of 35-40° (Jirui and Wang, p. 243)
hua tuo jia ji: above and below affected ribs and/or at levels of shu points of channels involved (Eisen); disperses Qi Stagnation and Xue Yu (Blood Stasis) locally and by extension affects the nerves whose roots are proximal to jia ji points
UB-54/40 (- and/or bleed): clears Heat from the Xue (Blood); transforms Damp-Heat; strengthens waist; relaxes the sinews and muscles; esp. benefits the lower back; treats genital and anal pain; Bladder He Sea Uniting and Earth point; command point of the back
LI-11 (-): pacifies the Shen; clears Heat and Toxins, esp. from head and face; eliminates Wind; regulates and harmonizes Qi and Ying; cools and harmonizes Xue (Blood); improves immune function (Finkelstein, p. 9); eliminates Dampness through the Intestines; benefits sinews, tendons and joints; 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 (-): pacifies the Shen; clears Heat and Toxins, esp. from head and face; regulates Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; dispels Wind-Heat; sedates pain; induces or stabilizes sweating; tonifies Lung Qi; regulates Qi of and disperses Heat from the Intestines; elevates Clear Qi and descends Turbid Qi; eliminates Damp-Heat and stops itching; Large Intestine Yuan Source and Entry point; command point of the face and mouth
TW-5 (-): dissipates Wind, esp. from head and face; clears Heat, esp. from Triple Warmer channel; dissolves Toxins; relieves Exterior and Hot conditions; induces perspiration; clears Xiao Yang (Gall Bladder) in the head and disperse Liver Yang Shi (Excess); moves the Yang Wei Mai; tonifies Wei (Protective) Qi; facilitates the circulation of Qi in the channels and 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)
TW-6 (-): dispels Wind, Wind-Heat and Wind-Dryness; clears Fire and Heat; facilitates Qi flow and spreads the Qi; regulates the Triple Warmer and the Zang-Fu organs, esp. the Intestines; frees the channels and invigorates the collateral vessels; disperses Obstruction and relieves pain; Triple Warmer Fire and Horary point
PC-7 (-): pacifies the Shen; dispels Wind and Wind-Heat; calms Fire; clears Heat and Toxins; pacifies the Shen; nourishes Heart Xue (Blood); 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)
GB-31 (-): disperses Wind; clears Heat; transforms Damp; detoxifies the Liver; "Wind Market"
GB-34 (-): clears Dampness and cools Heat, esp. on Gall Bladder channel; benefits Liver and Gall Bladder; extinguishes Liver Wind and subdues Liver Yang; tonifies Spleen; invigorates the collateral vessels; alleviates pain; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
GB-41 (-): clears Damp and Damp-Heat, esp. on Gall Bladder channel; dissipates Wind; removes Fire; relieves distention and swelling in the breast; removes Stagnancy of Liver Qi; spreads and drains Liver and Gall Bladder; clears and regulates Dai Mai (Girdle Vessel); clears Wetness (Damp Spleen) by draining into Dai Mai (Girdle Vessel); Gall Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel); Couple point of the Yang Wei Mai (Yang Linking Vessel)
Sp-10 (=): regulates and invigorates the Xue (Blood); cools Heat and eliminates Damp-Heat in the Xue (Blood); expels Wind and dissipates Wind in the Xue (Blood); clears Heat and Summer-Heat; harmonizes and tonifies Ying (Constructive) Qi; nourishes Xue (Blood) Dryness
Sp-9 (=): regulates and tonifies Spleen (especially Yang); warms and moves the Middle Warmer; transforms Damp Stagnation and dispels Damp-Heat, esp. through promotion of diuresis; regulates the Water Pathways; benefits Lower Warmer; Spleen He Sea Uniting and Water point
Sp-6 (+): tonifies Spleen to transform Dampness; aids transportation and transformation to improve digestion and nourishment; nourishes Yin and suppresses Liver Heat; clears Fire due to Xu (Deficiency); tonifies Qi and builds the Xue (Blood); regulates Xue (Blood) circulation; frees Qi Stagnation and spreads the Liver Qi; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
St-36 (+): calms the Shen; disperses noxious Yang; dispels and eliminates Dampness; regulates and strengthens Qi and Xue (Blood); strengthens weak and deficient conditions; strengthens the Spleen and regulates Ying (Constructive) Qi; regulates and replenishes the Middle Warmer; spreads Liver Qi and benefits the Gall Bladder; 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; 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
St-40 (-): clears and calms the Shen; dispels Wind; transforms and clears Dampness; invigorates the channels; strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; Stomach Stomach Luo Connecting point
ear: lung, diaphragm, shen men, dermis/subcortex, endocrine, adrenal, occiput, corresponding area(s)
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.