-IBIS-1.5.0-
tx
eyes/ears/nose/throat
sinusitis
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
external cause: Wind and Cold entering the Lung through the skin that remains "latent" and is eventually transformed into Heat
internal cause: Raging Fire of the Gall Bladder having its source in the Fire of the Liver
» therapeutic note:
A chronic, often subclinical, infection in the sinuses, along with irritation in the oropharyngeal mucous membranes, is often the source of, or at least a contributor to, a general pattern of glandular/lymphatic exhaustion and a plethora of symptoms. This area is a common site of primary focal infection from which secondary infections derive. Palpation at reflex sites in the areas of TW-16 ("East Wind") and LI-10.5 as well as local sites above and below the eyes will confirm this hypothesis. Abdominal palpation will usually reveal other tender and/or painful spots that should be released with subsequent needling of the points on the arm, neck and face. If tender and/or painful points are found, consider needling Lu-7 and the reactive points in the areas of "LI-10.5", "St-2.5", yu yao, east wind/TW-16, and "St-43". Sinus irrigation with saline solution can greatly enhance the therapeutic efficacy of treatment - see the materia medica item:"patient handout: sinus wash". (Matsumoto)
» illustrative combinations:
"yu yao", "St-2.5", "east wind", "LI-10.5", Lu-7, and "St-43", with other points sensitive to palpation, for sinusitis and glandular/lymphatic exhaustion, esp. with a primary focal infection in the sinuses and oropharyngeal mucous membranes ; also Lu-7 -> Lu-8 with threading along superior border of the clavicle to release scalene muscles (Matsumoto)
LI-20, UB-2 and UB-7 for chronic sinusitis; also consider Lu-7 and LI-4 for Heat in the Lung; and/or add GB-20 and Lv-2 for Heat in the Gall Bladder (Shanghai, p. 690-691; Lee and Cheung, p. 353)
GB-20, SI-11, GV-23, LI-20, LI-10, LI-4, UB-17, GV-23, UB-4 and UB-12 for sinusitis (Lee and Cheung, p. 354)
Kd-8 and Lv-8; GV-26, St-7, St-1, St-3, GB-14, UB-2 and GV-28; UB-64, St-45 and St-40; SI-1 and SI-18; Kd-3 and UB-62; LI-11 and LI-17; LI-20 and GV-23; UB-12 and GB-20 for sinusitis (Mann, p. 141-142)
GV-20, LI-4 and LI-20 for chronic sinusitis (Shanghai, p. 690)
GV-23, UB-4, yin tang, UB-12 and LI-4 for chronic sinusitis (Shanghai, p. 690)
GV-23 and GV-16 for chronic sinusitis; if ineffective, also consider: LI-19, GB-20, GV-26, bai lao and UB-12 (Shanghai, p. 690)
LI-11, Lu-7, LI-4, Lu-10, LI-20, yin tang and St-44 for chronic maxillary sinusitis with nasal discharge due to Heat in the Lung (Jirui and Wang, p. 217)
bi tong, UB-2 and Lu-7 for nasosinusitis (Shanghai, p. 213)
LI-20 -> bi tong, St-2, UB-2, yu yao, yin tang, bi yan (-): clear nasal obstruction, drain sinuses, alleviate sinus headache (Finkelstein)
TW-16 and/or "east wind" (-): palpate lateral aspects of neck for ashi (tender) points (Matsumoto)
LI-4 and Lu-7; GB-1, UB-2 and LI-20; GB-20, GV-14, GV-16, GV-20 and GV-28; PC-8 and SI-2; St-3 and St-45; TW-17, GB-15 and GB-19 for nasal catarrh (Mann, p. 141-142)
PC-6 and PC-7; GV-16, GV-12 and GV-24A; TW-5 and Kd-10 for rhinorrhea associated with tension (Mann, p. 142)
GB-20, GV-23 and LI-20 (can also add: LI-4 and GB-40 for purulent rhinorrhea due to Wind and Heat (Mann, p. 141)
Sp-4 and Lu-9; UB-3, UB-4 and UB-1; UB-56 and UB-60; UB-17 and St-12; LI-20, LI-19, GV-25, GV-16 and UB-10 for anosmia (Mann, p. 142)
bi tong, GV-23, yin tang and LI-4 for chronic rhinitis (Shanghai, p. 155)
Lu-7 and LI-20 for sneezing, nasal obstruction, runny nose and loss of smell
point analysis
» palpate and consider:
GB-20 (-): disperses Wind-Heat and Wind-Cold; reduces and relieves Heat; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
GV-16 (-): dispels Wind, Wind-Cold and Wind-Heat; dissipates Cold; drains the sinuses; Window of the Sky point; Sea of Marrow point
bai lao (-): clears Heat and disperses Stagnation; facilitates flow of Qi and Xue (Blood); facilitates flow of Lung Qi
SI-11 (-): resolves Tai Yang channel pathogens; stimulates flow of Qi; frees the channels and invigorates the collateral vessels
UB-10 (-): dispels Wind, Wind-Cold, Wind-Heat and Cold; clears the head; clears the sinuses; dispels Heat and benefits the throat; opens and clears channels of the neck; Window of the Sky point; Sea of Qi general point
UB-12 (+): disperses and eliminates Wind; ventilates and dispels pathogenic Heat from the Yin channels; disperses Yang Shi (Excess) in all Yang channels without draining body fluids; dispels Dampness; transforms Phlegm; opens and volatilizes the Lung; regulates and spreads Lung Qi; clears the nose; regulates Qi circulation; Gate for entrance and departure of Feng Qi (Wind Qi)
UB-13 (+): eliminates Wind; 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; activates dispersing function of the Lung to spread Lung Qi; regulates the Upper Warmer; tonifies the Lung; harmonizes the Ying and Xue (Blood); Lung Shu Associated point
UB-17 (- and/or D): tonifies the Qi; regulates, nourishes and invigorates the Xue (Blood) (esp. invigorates with D); clears Heat from the Xue (Blood); enriches Yin; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-18 (-): drains and tonifies the Liver and Gall Bladder; clears Liver Fire and Heat; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates the Xue (Blood); nourishes Liver Yin; cools Heat in the Xue (Blood); Liver Shu Associated point
GV-23 (-): disperses Wind-Heat; clears Heat; clears the nasal cavity
UB-7 (-): dispels Wind, Wind-Cold and Wind-Heat, esp. from the upper body; drains the sinuses and clears the nose
UB-4 (-): dissipates Wind; clears the head; invigorates the collateral vessels and sedates pain
UB-2 (-): dispels Wind and Cold; clears Heat; spreads Heat and Qi in the head; drains the sinuses and clears nasal obstruction; alleviates sinus headache; invigorates the channels and stops pain
GB-14 (-): eliminates Wind; dispels Cold; clears Heat; invigorates Qi circulation; stops pain
yu yao (-): clears Heat; clears nasal obstruction; drains the sinuses; alleviates sinus headache; dispels infection in the sinus cavities; removes Obstructions from the channel
ca. yu yao (-): clears Heat; dispels focal infection in the sinus cavities; removes Obstructions from the channel; treats glandular/lymphatic exhaustion (Matsumoto); locate tender abdominal point(s), palpate most tender or painful point over each eye and needle, usually superiorly, so that tenderness at abdominal reflex point decreases upon palpation (Matsumoto)
yin tang (-): eliminates Wind-Heat; clears Heat; clears nasal obstruction; drains the sinuses; alleviates sinus headache; clears the nose
St-2 (-): dissipates Heat and expels Wind; clears nasal obstruction; drains the sinuses; alleviates sinus headache; dredges Liver Qi and Liver; frees the channels and invigorates the collateral vessels
ca. St-2 (-): dissipates Heat and expels Wind; resolves focal infection in the sinus cavities; treats glandular/lymphatic exhaustion (Matsumoto); frees the channels and invigorates the collateral vessels; locate tender abdominal point(s), palpate most tender or painful point over each eye and needle, usually inferiorly, so that tenderness at abdominal reflex point decreases upon palpation (Matsumoto)
bi yan (-): clears nasal obstruction; drains the sinuses; alleviates sinus headache; disperses Stagnation of Qi and Xue (Blood)
bi tong (-): clears the nose
LI-20 (-): dispels Wind-Heat of Yang Ming (Stomach and Large Intestine) and Lung; opens nasal passages; drains the sinuses; alleviates sinus headache; regulates the Large Intestine; invigorates Xue (Blood) circulation; Large Intestine Exit point
LI-19 (-): dissipates Wind and clears Heat; diffuses Lung Qi and clears Lung Heat; clears the nose and resolves epistaxis
TW-16 and/or "east wind" (-): treats glandular/lymphatic exhaustion, esp. with focus in the sinuses and oropharyngeal mucous membranes (Matsumoto); palpate lateral aspects of neck for ashi (tender) points (Matsumoto)
Lu-7 (+): circulates the Wei (Protective) Qi to expel Wind, dispel Cold, and disperse the Exterior; opens the nose; benefits the throat and ears; treats Shi (Excess) patterns, esp. acute; opens the Lung and spreads Lung Qi; resolves Phlegm and clarifies Mucus; opens and regulates the Ren Mai (Conception Vessel); tonifies Yang Ming (Stomach and Large Intestine); promotes diuresis by descending the Turbid; Lu-7 -> Lu-8 with threading along superior border of the clavicle to release scalene muscles (Matsumoto); Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel)
Lu-9 (+): opens sensory Orifices, including the nose; ventilates and regulates the Lung; facilitates circulation of Lung Qi; tonifies Lung Qi and Lung Yin; tonifies Metal to cool inflammatory processes; cools and clears Heat in the Lung, Liver and throat; clears and descends the Upper Warmer and Lung Qi; increases oxygen absorption; transforms Dampness and Phlegm; Lung Yuan Source, Earth and Tonification point; Hui Reunion point of Xue (Blood) vessels
Lu-10 (-): dispels Wind-Heat; clears Fire and Heat generally; eliminates Fire from the head (Finkelstein, p. 4); benefits and moistens the Lung and throat; cools and clears Heat in the Lung; cools Heat in Xue (Blood); Lung Fire point
LI-11 (-): clears Heat and eliminates Wind; regulates and harmonizes Qi and Ying; regulates Qi circulation of Lung; improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes; 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-10.5" (-): treats glandular/lymphatic exhaustion (Matsumoto); resolves focal infection in the sinus cavities; frees the channels and invigorates the collateral vessels; locate tender most tender point on each side of the neck, usually "east wind", posterior to LI-18, then palpate for the most tender or painful point, distal to the elbow crease, between the Large Intestine and Triple Warmer channels; needle each arm; verify location and angle of needle by diminishing of cervical tenderness (Matsumoto)
LI-10 (-): promotes the circulation of Qi and Xue (Blood); tonifies Qi and Xue (Blood) (Maciocia, p. 378); removes Obstruction from and invigorates the channels; enhances action of the immune bodies (Finkelstein, p. 8); regulates the Stomach and Intestines; tonifies Yang Ming (Stomach and Large Intestine) and the internal duct of the Triple Warmer (Finkelstein, p. 8)
LI-4 (-): dispels Wind-Cold or Wind-Heat; regulates Qi and Xue (Blood); descends Stagnant Qi from sinuses; clears the nose; tonifies Lung Qi and stimulates dispersing function of the Lung; activates Wei (Protective) Qi and stimulates the immune system; tonifies Metal to cool inflammatory processes; cools and drains Lung Heat; regulates Qi and disperses Heat of the Intestines; elevates Clear Qi and descends Turbid Qi; clears Toxins and eliminates Damp-Heat; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point; Command point of the face and mouth
St-40 (-): dispels Wind; regulates the Lung and relieves chest congestion; strengthens the Spleen; circulates Qi of the Stomach and Spleen; transforms, dissolves and eliminates Phlegm and Dampness; regulates the Intestines; descends the Turbid; invigorates the channels; Stomach Luo Connecting point
St-43 (-): dispels Wind; clears and drains Heat from Yang Ming (Stomach and Large Intestine); removes Obstructions from Stomach channel; transforms Dampness; Stomach Wood point
ca. St-43 (-): palpate for tender or painful point, on the Stomach channel or between the third and fourth metatarsals; needle to resolve focal infection in the sinuses and oropharyngeal mucous membranes and relieve glandular/lymphatic exhaustion (Matsumoto)
St-44 (-): dispels Wind and Heat from the nasal passages; cools Heat and drains Dampness from the Stomach and Intestines; descends the Turbid; Stomach Water point
St-45 (-): facilitates flow of Qi; clears and disperses Heat from the upper body and Yang Ming (Stomach and Large Intestine) channels, esp. Stomach Heat; opens the nose; sedates pain; Stomach Jing Well, Metal and Dispersion point
Lv-8 (+): drains Liver Fire; nourishes Liver Xue (Blood) and Yin; clears and cools Damp-Heat; Liver He Sea Uniting, Water and Tonification point
Lv-2 (-): disperses Stagnant Liver Qi; clears and drains Fire of the Liver and Gall Bladder; subdues Yang Shi (Excess); soothes and loosens the Liver to release Liver Qi and remove Qi Depression; cools Heat in the Xue (Blood); Liver Fire and Dispersion point
ear: inner nose, external nose, endocrine, adrenal, forehead, lung
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.