-IBIS-1.5.0-
tx
nervous system
paralysis
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
paraplegia:
- of back: injury to either the Du Mai (Governing Vessel) or the Dai Mai (Girdle Vessel), which prevents the Qi and Xue (Blood) from circulating through them;
- of lower extremities: Humidity Heat; Damp-Heat in Lower Warmer; Yin Emptiness; Qi and Xue (Blood) Empty and Weak; Liver and Kidney Empty and damaged; dysfunction of the Dai Mai (Girdle Vessel)
- of common perineal nerve: Xue Yu (Blood Stasis); Damp Cold; Damp-Heat.
traumatic paraplegia: injury of the Du Mai (Governing Vessel)
paralysis: Wei syndrome: Lung Heat; Damp-Heat; Xu (Deficiency) of Liver and Kidney Jing (Essence); Stomach and Spleen Xu (Deficiency).
post-polio: Infantile Paralysis: Xu (Deficiency) (most cases)
polio: Wind, Dampness, and Heat invade the Lung and Stomach through the nose and mouth. Where they collect, Heat is formed, which injures the channels and disrupts Qi and Xue (Blood), leaving Muscle channels malnourished.

» therapeutic notes:
• Scalp needling is often extremely effective when the paralysis originates in the brain
• When needling hua tuo jia ji and Shu Associated points, select one or two sites, bilaterally, over the involved nerves or muscles and use a medially directed insertion, ideally stimulating the spinal nerves. First treat the superior segmental levels of affected nerves and muscles, then move downward treat the lower affected portions of the body through their respective lower spinal segments. Consider also needling distal points, esp. at the ends of the fingers and/or toes, on the affected limbs. (Lee and Cheung, p. 309; Shanghai, p. 615)
• Use thin needles when treating nerves, esp. the spinal cord, directly. Mild technique, with limited manipulation, esp. avoiding vigorous withdrawal and insertion, is most appropriate. (Lee and Cheung, p. 309; Shanghai, p. 615)
• Threading between contiguous points is a valuable technique when treating muscles.
• When treating spasm needle points on the paralyzed muscles first. Utilize the complementary relationships of flexors and extensors. "For example, if there are spasms in a flexor muscle, points may be needled in that muscle with strong stimulation for a relatively lengthy period of time. Needle points in the related extensor muscles for a shorter period of time. In this way, relative muscle strength will be balanced." (Shanghai, p. 615)
• see also "cerebrovascular accident/TIA" if appropriate

» illustrative combinations for paralysis in general:
• GB-21, LI-15, LI-11, TW-3, LI-4, GB-38, GB-34, St-36 and UB-60 for paralysis (Lee and Cheung, p. 311; Shanghai, p. 616)
• SI-3 and UB-62 open the Du Mai (Governing Vessel) to increase Qi flow through, relax and strengthen the spine
• GB-41 and TW-5 open the Dai Mai (Girdle Vessel) for which paraplegia is a symptom of dysfunction
• GV-4 and CV-4 (+) warm and replenish Yang Qi (Finkelstein)

» combinations for paralysis as sequelae of brain trauma:
• ear: shen men, dermis/subcortex (Huang, p. 56)

» combinations for paralysis of the face
• St-2, St-4, LI-4, GB-14 and GB-20 (also consider: GV-26, jia cheng jiang, tai yang, St-7, St-7, St-36, St-44 and LI-19) for facial paralysis (Shanghai, p. 609);
• qian zheng, St-4, GB-20 and GB-14 for facial paralysis (Shanghai, p. 156);
• GB-14, St-2, St-4 and qian zheng for facial paralysis (Shanghai, p. 146);
• St-2, St-4, UB-2 and TW-23 for facial paralysis (Shanghai, p. 148);
• St-2, UB-2, GB-20 and LI-4 for facial paralysis (Shanghai, p. 152);
• qian zheng, St-2, St-4, LI-19 and GB-14 for facial paralysis (Shanghai, p. 154);
• St-2, UB-2, GB-20 and LI-4 for facial paralysis (Shanghai, p. 152).

» combinations for paralysis of the neck
• UB-10, SI-17 and hua tuo jia ji of C2 to C6

» combinations for paralysis of the upper extremities
• select bilateral hua tuo jia ji and bei shu of the injured vertebrae or similar loci 1-2 segments above and below vertebrae; use a medially directed insertion, ideally stimulating the spinal nerves (Lee and Cheung, p. 307; Shanghai, p. 615)
• hua tuo jia ji and bei shu with jing bi, ye ling, SI-9, etc. for brachial plexus (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with SI-9 for axillary nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with SI-9, LI-11 and Lu-5 for radial nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with PC-3 and PC-6 for median nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with SI-8 and Ht-7 for ulnar nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with nao shang, LI-15 and SI-12 for deltoid and supraspinutus, i.e., arm abducters (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with jian nei ling for anterior deltoid, coracobrachialis, i.e., muscles which lift the arm forward (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with UB-17, UB-19, SI-9 and TW-14 for latissimus dorsi, teres major, posterior deltoid, i.e., muscles which raise the arm backward (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with gong zhong for biceps brachii and brachialis, i.e., muscles which flex the lower arm at the elbow (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with ying shang for triceps brachii, i.e., muscles which extend the lower arm at the elbow (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with yin xia, TW-9, LI-10 and LI-8 for extensor carpii radialis and ulnaris, i.e., muscles which extend the wrist (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with bi zhong, PC-5 and Ht-4 for flexor carpii radialis and ulnaris, i.e., muscles which flex the wrist (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with LI-4 through to PC-8 for muscles which controls the fingers, esp. contracture of digital joints (Lee and Cheung, p. 308; Shanghai, p. 614)
• hua tuo jia ji of T5 to T7 (+) promote local flow of Xue (Blood) and Qi
• GV-14, TW-14, GB-21, SI-9, LI-15, LI-11, LI-10, TW-5, LI-4 and shang ba xie (+): open channels in fingers and wrists

» combinations for paralysis of the abdomen and organs in the pelvic cavity
• jia ji of T8 to T14 with CV-12, St-21, CV-6, St-30, St-25, St-27 and St-29 for paralysis of abdominal muscles; can add: CV-4, CV-10, Sp-16, Sp-15 and Sp-14 (Shanghai, p. 581)
• CV-12, St-21, St-25, CV-6 and St-37
• UB-30, CV-3 and yin bian for disruption of bladder function (Lee and Cheung, p. 309; Shanghai, p. 615)
• Sp-15, tong bian and TW-6 for disruption of rectal function (Lee and Cheung, p. 309; Shanghai, p. 615)

» combinations for paralysis of the lower extremities
• GB-30 and GB-34 to treat hemiplegia and infantile paralysis in the lower limbs (Flaws, 1989, p. 100)
• GB-39, and then St-38 for difficulty in moving the legs (Ellis, et al, 1988, p. 134)
• GB-41 and TW-5 open the Dai Mai (Girdle Vessel) for which paralysis of the legs is a symptom of dysfunction
• select bilateral hua tuo jia ji and bei shu of the injured vertebrae or similar loci 1-2 segments above and below vertebrae
• hua tuo jia ji and bei shu with wai yin lian, Lv-11 and Sp-12 for femoral nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with UB-49/54 and UB-51/37 for sciatic nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with hou yang guan for common peroneal nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with ling xia for superficial peroneal nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with St-36 for deep peroneal nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with UB-54/40 and UB-57 for tibial nerve (Lee and Cheung, p. 307; Shanghai, p. 614)
• hua tuo jia ji and bei shu with GB-27 and shu xi for psoas major and other hip flexors (Lee and Cheung, p. 308; Shanghai, p. 614)
• hua tuo jia ji and bei shu with UB-49/54 through to GB-30; UB-51/37 and zhi li for gluteus maximus, biceps femoris, semimembranosus, semitendonosus and other hip extensors (Lee and Cheung, p. 308; Shanghai, p. 614)
• hua tuo jia ji and bei shu with tiao yue and other local points for hip abductors, i.e., gluteus medius and minimus (Lee and Cheung, p. 308; Shanghai, p. 615)
• hua tuo jia ji and bei shu with jie jian, ji xia, Sp-11 and Lv-9 for hip adductors, i.e., gluteus medius and minimus (Lee and Cheung, p. 308; Shanghai, p. 615)
• hua tuo jia ji and bei shu with St-32, mai bu, jian xi and ting xiang for quadriceps femoris and other knee extensors (Lee and Cheung, p. 308; Shanghai, p. 615)
• hua tuo jia ji and bei shu with UB-51/37 and zhi li for biceps femoris, semitendonosus, semimembranosus and other knee flexors (Lee and Cheung, p. 308; Shanghai, p. 615)
• hua tuo jia ji and bei shu with UB-55, UB-57 and luo di for gastrocnemius, soleus and other ankle flexors (Lee and Cheung, p. 308; Shanghai, p. 615)
• hua tuo jia ji and bei shu with St-36, li shang and jing xia for tibialis anterior and other ankle extensors (Lee and Cheung, p. 308; Shanghai, p. 615)
• hua tuo jia ji and bei shu with UB-57 and jiu wai fan #2 for posterior tibialis, flexor digitorum longus and other ankle inversors (Lee and Cheung, p. 308; Shanghai, p. 615)
• hua tuo jia ji and bei shu with GB-34, jiu nei fan and GB-39 for peroneus longus, peroneus brevis and other ankle eversors (Lee and Cheung, p. 308; Shanghai, p. 615)
• GV-4, GV-3 and hua tuo jia ji of L1 to L5
• UB-23, UB-31 to 34, UB-49/54, UB-51/37, UB-54/40, UB-57, UB-60, St-31, St-41, GB-30, GB-34, GB-39, Sp-9, Sp-6 and Kd-3, on affected side, clear Stagnation and regulate Xue (Blood) and Qi in leg channels

» combinations for postpoliomyelitis sequelae
• GV-20, GV-16, GB-20, GV-14, UB-11, UB-12, GV-4, GV-3, LI-15, LI-11, PC-6, GB-30, St-36 and Sp-6 for acute stage of poliomyelitis (Lee and Cheung, p. 314; Shanghai, p. 583)
• GB-20, GV-14, GV-7, UB-23, St-25, St-36, UB-10, GV-12, GV-4, UB-22, CV-6 and GB-34 for post-polio sequelae (Lee and Cheung, p. 314; Shanghai, p. 583)
• GB-20, UB-11, GB-34 and "press points on spine with bamboo needle" (can also add: LI-4, TW-4, SI-4, GB-30, Kd-8, Kd-3 and UB-62) for paralysis in children, including poliomyelitis presenting as Wei syndrome in which the legs are weak and soft upon palpation, the lungs are hot and the bronchi dry, and the face is tinted white (Mann, p. 155)
• GV-12, GB-20 and GB-30 (can also add: GB-34 and Sp-9) for paralysis in children, including poliomyelitis presenting as a Wind-Cold-Damp Bi syndrome in which the legs are stiff and hard upon palpation and the face is tinted blue-green (Mann, p. 156)
• GV-14, GB-21, LI-15, LI-11, LI-4 for upper extremity paralysis of post-polio sequelae (Lee and Cheung, p. 317; Shanghai, p. 583)
• GV-14, LI-15, TW-14, SI-9, LI-11, LI-10 and LI-4 (also consider jia ji of C5 through C7; SI-8, TW-5 and TW-10) for upper extremity paralysis of post-polio sequelae (Lee and Cheung, p. 313; Shanghai, p. 583)
• St-7, St-6, qian zheng and LI-4 for facial paralysis of post-polio sequelae (Lee and Cheung, p. 313)
• CV-12, St-21, St-25, CV-6 and St-37 for paralysis of abdominal muscles from post-polio sequelae (Lee and Cheung, p. 314)
• GV-4, UB-23, GV-3, ba liao (bilateral UB-31, UB-32, UB-33, UB-34), GB-30, GB-31, GB-34, St-34, St-36, UB-57 and UB-62 for lower extremity paralysis of post-polio sequelae (Lee and Cheung, p. 318; Shanghai, p. 583)
• GV-4, GV-3, hua tuo jia ji L1 to L5; on the affected side add: UB-31, UB-32, GB-30, UB-51/37, St-32, St-36 and GB-34 (also consider UB-49/54, jian xi, ling hou, UB-53/39, UB-54/40, nao qing and St-41 for lower extremity paralysis of post-polio sequelae (Lee and Cheung, p. 313; Shanghai, p. 580)
ear: corresponding area(s), shen men, adrenal, endocrine (Huang, p. 57)


point analysis

»
palpate and consider:
• GB-20 (-): expels External Wind and dissipates Internal Wind; reduces and relieves Heat; awakens the Shen and clears the Brain; subdues Liver Yang and Fire to calm and regulate the Liver, esp. disperses and descends Liver Yang from the head; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
hua tuo jia ji (+): disperse local Stagnation and restore flow of Qi and Xue (Blood); benefit the back; strengthen and relax the sinews and tendons; sedate pain; use a medially directed insertion, ideally stimulating the spinal nerves
bei shu xue, i.e., the Shu Associated points (+): disperse local Stagnation and restore flow of Qi and Xue (Blood); benefit the back; strengthen and relax the sinews and tendons; sedate pain; use a medially directed insertion, ideally stimulating the spinal nerves
• UB-18 (+): pacifies the Shen; stimulates the Brain; clears and drains the Liver and Gall Bladder; extinguishes Liver Wind; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; Liver Shu Associated point
UB-20 (+): regulates Spleen Qi; tonifies the Spleen and Stomach; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); warms the Middle Warmer (D); provides strength to the extremities; Spleen Shu Associated point
UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens the Brain and Marrow; spreads and clears Obstructed Kidney Qi; strengthens Yang and Qi Hai; counterbalances Liver Fire; resolves Dampness; strengthens the spine, esp. the lower back; controls the bones; Kidney Shu Associated point
• UB-30 (-): transforms Damp-Heat; consolidates Jing (Essence); regulates Qi of the anal sphincter; sensitizes lumbar and pelvic regions; treats urinary incontinence due to paralysis
GV-14 (+): removes Stagnation from the Du Mai (Governing Vessel); opens and restores the Yang by spreading Yang Qi through the Du Mai (Governing Vessel) and whole body; clears and cools Heat; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; clears and awakens the Brain and Mind; calms the Shen and pacifies the Will; stimulates the Bone Marrow to reach the Brain (Maciocia, p. 257); clears Lung Heat; relaxes the sinews and muscles; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
• GV-4 (+): pacifies the Shen; clears the Brain; strengthens the Kidney; warms, benefits and replenishes the Kidney Yang and Yang Qi; nourishes the Yuan (Original) Qi; relieves mental and physical exhaustion; strengthens the back, esp. benefits the lumbar vertebrae; reinforces and astringes the Jing (Essence); frees the channels and invigorates the collateral vessels
• shi qi zhui xia: removes Obstructions from the channel; benefits the lower back and regulates the Lower Warmer; treats traumatic paraplegia and infantile paralysis
GB-30 (-): dispels Wind and Cold; invigorates the Kidney; strengthens the lower back; regulates the hip joint; strengthens the thigh; facilitates movement of leg and encourages femur growth in children (Finkelstein, p. 68); benefits the knee; dissipates Wind-Damp in the channels and connecting vessels; frees the channels and removes Obstructions; relaxes the muscles and tendons; treats Bi, paralysis and atony of the lower extremities
• GV-26 (-): clears the Shen, Brain and senses; cools Heat; dispels Wind and Wind-Phlegm; regulates the Du Mai (Governing Vessel); expels Internal Wind, esp. of the face; frees the channels and invigorates the Qi circulation; benefits the spine, esp. lumbar and cervical
• CV-23 (-): clears Fire and Heat; benefits the tongue; transforms Phlegm; treats paralysis of hypoglossus muscle; meeting point of the Kidney and Heart (Finkelstein, p. 93)
• GB-21 (=): spreads Liver Qi; extinguishes Liver Wind; dissolves Phlegm; disperses Stagnation and stops pain; benefits tendons and muscles; benefits the shoulder; clears and invigorates the channels
• LI-15 (-): expels Wind; harmonizes the flow of Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; stops pain; facilitates the joints; treats paralysis of the upper limbs; budding point of Hand Yang Ming (Large Intestine) Muscle channel
• LI-11 (= or +): clears Heat and eliminates Wind; regulates and harmonizes Qi and Ying; regulates the Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; eliminates Dampness through the Intestines; benefits sinews, tendons and joints; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; budding point of Hand Yang Ming (Large Intestine) Muscle channel
• LI-4 (= or +): dispels Exterior Wind; regulates Qi and Xue (Blood); stimulates dispersing function of Lung; activates Wei (Protective) Qi and stimulates the immune system; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; cools and drains Lung Heat; moves the bowels; elevates Clear Qi and descends Turbid Qi; clears Toxins; relaxes sinews and tendons; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point; Command point of the face and mouth
• TW-5 (=): dissipates Wind and clears Heat, esp. from Triple Warmer channel; opens and moves the Yang Wei Mai (Yang Linking Vessel) and regulates the Dai Mai (Girdle Vessel); dissolves Toxins; tonifies Wei (Protective) Qi; frees the channels to facilitate the circulation of Qi in the channels; invigorates the collateral vessels; strengthens and relaxes the sinews and tendons; alleviates pain; esp. with paralysis and pain in fingers inhibiting grasp; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
• TW-3 (=): dispels Wind and clears Heat; facilitates the circulation of Qi; treats weakness of the arm, elbow and fingers, esp. inability to bend fingers and grasp objects tightly; Triple Warmer Wood and Tonification point
• bi zhong: treats spasms, numbness or paralysis of the upper extremity
SI-3 (+): pacifies the Shen and clears the Mind; opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); dispels Dampness and Internal Heat; tonifies the Small Intestine; strengthens the spine; relaxes the sinews and muscles; benefits the joints; releases muscle spasms; invigorates the channels; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
• shi xuan (- and/or bleed): clear Shi (Excess) and clear Stagnation by bleeding; subdue Internal Wind; clear the Heart Orifices
• shi wang (- and/or bleed): clear Shi (Excess) and clear Stagnation by bleeding the tip of each finger
• Jing Well points (-): clear Shi (Excess) and clear Stagnation by bleeding
• CV-4 (+): pacifies the Shen; warms and replenishes Yang Qi; regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); nourishes and stabilizes the Kidney; warms the Kidney Yang (D); resolves Damp-Heat; regulates the Bladder; Small Intestine Mu Alarm point
• CV-3 (+): assists the transforming functions of Qi; tonifies the Kidney Qi and Yang; regulates the Bladder, Lower Warmer and the Water Pathways; relieves pain; esp. for paralysis with incontinence; Bladder Mu Alarm point; Jiao Hui Intersecting point of the Foot Tai Yin (Spleen), Foot Jue Yin (Liver) and Foot Xiao Yin (Kidney) Muscle channels
St-30 (+): harmonizes the Xue (Blood) and Ying (Constructive) Qi; dispels Qi Stagnation and Xue Yu (Blood Stasis); warms the Lower Warmer; distributes Jing (Essence) and Yuan (Original) Qi to the genitals, Chong Mai (Penetrating Vessel) and the five curious organs (Brain, Spine, Bones and Marrow, Gall Bladder and Uterus); relaxes the tendons; Entry point of Sea of Nourishment; Entry point of the Chong Mai (Penetrating Vessel)
GB-26 (=): regulates the Dai Mai (Girdle Vessel); alleviates Damp-Heat; promotes Kidney Qi circulation; clears and invigorates the channels; Entry point of the Dai Mai (Girdle Vessel); special point for paralysis
GB-34 (+): soothes and regulates Yang of the Liver and Gall Bladder; clears Dampness and cools Heat; facilitates and harmonizes the Liver; extinguishes Liver Wind; tonifies the Spleen; regulates the Large Intestine and increases peristaltic action; strengthens and relaxes sinews and tendons; relieves soreness from fatigued muscles; benefits joints, esp. knees and hips; frees the channels and invigorates the collateral vessels; alleviates pain; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
• GB-37 (=): clears and reduces Fire of Liver and Gall Bladder; regulates the Liver; dispels Wind and Damp; transforms Damp-Heat; relaxes the sinews and muscles; invigorates the channels; treats flaccid paralysis of the lower extremities; Gall Bladder Luo Connecting point
GB-38 (-): reduces Liver and Gall Bladder; dispels Wind and Dampness; frees the channels; invigorates the collateral vessels; Gall Bladder Fire and Dispersion point
• GB-40 (- or +): treats external trauma, esp. below the waist; promotes decisiveness, courage and initiative (Maciocia, p. 451); clears and drains Fire from the Liver and Gall Bladder; spreads the Liver Qi; transforms Damp-Heat; benefits the joints; frees the channels; Gall Bladder Yuan Source point
GB-41 (-): dissipates Wind; removes Fire; harmonizes and regulates the Liver and Gall Bladder; removes Stagnancy of Liver Qi; spreads Liver Qi to reduce Stagnation of Phlegm and Xue (Blood), esp. in the Liver channel; clears and regulates the Dai Mai (Girdle Vessel); dispels Damp-Heat; Gall Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel); Couple point of the Yang Wei Mai (Yang Linking Vessel)
• Lv-8 (+): drains Liver Fire; nourishes the Liver, esp. Liver Xue (Blood); clears and cools Damp-Heat; soothes the sinews and tendons; benefits the Bladder; invigorates the collateral vessels; Liver He Sea Uniting, Water and Tonification point
Lv-3 (-): expels Wind; pacifies the Shen; clears and regulates the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; cools and drains Heat and Fire from the Liver and Gall Bladder; subdues Liver Yang; calms and extinguishes Liver Wind; tonifies Liver Xue (Blood); opens the channels and relaxes spasms; sedates pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
St-36 (+): calms the Shen; regulates and strengthens Qi and Xue (Blood); facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; dispels and eliminates Dampness; strengthens weak and deficient conditions; regulates the Stomach and strengthens the Spleen; strengthens all striated muscle; regulates Ying (Constructive) Qi and spreads Liver Qi; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; drains Shi (Excess) from the Yang channels; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
• Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens Spleen and tonifies Yuan (Original) Qi; regulates Qi, esp. Kidney Qi, and restores Qi to the vessels; strengthens and enriches the Kidney; facilitates and regulates Bladder and Water Pathways; clears and cools Damp-Heat; disperses Stagnation; strengthens the low back; treats paralysis in children, esp. poliomyelitis sequelae; Kidney Metal and Tonification point
UB-60 (-): disperses Wind; promotes Qi function and Xue (Blood) circulation; reinforces the Kidney; strengthens the lower back; descends the Turbid; relaxes the sinews, tendons and muscles of the neck, shoulder, waist, back, ankle and foot, esp. the lower back; frees the channels and collateral vessels; relieves pain; Bladder Fire point
UB-62 (+): dispels Wind and clears Fire; clears the Shen and Heart; regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; opens and moves the Yang Qiao Mai (Yang Motility Vessel); soothes sinews, tendons and vessels; relaxes the Muscle channels; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)
• qi duan (- and/or bleed): release Shi (Excess) by bleeding the tip of each toe

ear: dermis/subcortex, sympathetic, shen men, affected 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.