-IBIS-1.5.0-
tx
urinary system
nephrosis
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Kidney Yang Xu (Deficiency) with Water Overflowing; Spleen Yang Xu (Deficiency); Spleen Distressed by Dampness; Stagnant Water in Abdomen; Lower Warmer Damp-Heat
» illustrative combinations:
CV-4, GV-4, UB-23 and Kd-3 (D): support Kidney Yang (Finkelstein, p. 86)
CV-4 and Lv-5: strengthen Yang at the base (Kidney) (Finkelstein, p. 86)
UB-23, Sp-6 and Kd-12: strengthen the Kidney (Finkelstein, p. 44)
UB-23 and GV-4: tonify the Kidney; strengthens the Yang (Finkelstein, p. 44)
UB-23 and Sp-6: tonify the Kidney; nourishes the Yang (Finkelstein, p. 44)
UB-23, Kd-3 and GV-4: invigorate Kidney Yang (Finkelstein, p. 44)
UB-23, Sp-6 and Kd-12: strengthen the Kidney (Finkelstein, p. 44)
UB-23 and CV-6: enhance the Water element of the Kidney (Finkelstein, p. 44)
Kd-7 and CV-8 for edema and Qi distension (Shanghai, p. 295);
CV-9 and Sp-9 for edema, esp. periumbilical (Shanghai, p. 286; Ellis, et al, 1988, p. 155)
CV-4, CV-9, St-36, Sp-9 and Sp-6 for retention of urine or ascites (Shanghai, p. 286)
Sp-9 and LI-6: eliminate Damp; cause diuresis and treat edema of the waist (Finkelstein, p. 29)
CV-9 and St-28 (D) then needle St-36 and CV-7: "For intolerable water-related diseases that present with abdominal fullness and vacuity swelling that refuses to abate." (Ellis, et al, 1988, p. 354)
Kd-7 and CV-9: treat water swelling (Ellis, et al, 1988, p. 252);
Sp-9 and Sp-6: strengthen Spleen, expel Damp and relieve distention (Finkelstein, p. 29)
CV-9 and CV-6: open the Water Pathways for diuresis (Finkelstein, p. 87);
CV-9, CV-3, Kd-7, UB-58, Kd-5 and Sp-9: open the Water Pathways (Finkelstein, p. 87)
CV-9 and CV-11: regulate water metabolism and induce diuresis (Finkelstein, p. 87)
Kd-7 and UB-47/52: increase urination (Finkelstein, p. 54)
point analysis
» palpate and consider:
GV-14 (D): opens and restores the Yang by spreading Yang Qi through the Du Mai (Governing Vessel) and whole body; regulates and stimulates the flow of Qi; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; stimulates the thyroid; opens the Lung and transforms Phlegm; esp. appropriate when Water Overflowing to Heart; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi
GV-12 (+): tonifies Lung Qi; pacifies the Shen; treats thyroid imbalance (Matsumoto); tonifies the Lung; sedates cough; readjusts Qi of all Yang channels; esp. appropriate when Water Overflowing to the Lung
GV-4 (+ and D): strengthens Life Gate Fire and tonifies Kidney to enable transformation of Water; benefits and replenishes the Kidney Yang; relieves mental and physical exhaustion; nourishes the Yuan (Original) Qi; reinforces and astringes the Jing (Essence); stimulates testes, adrenals and ovaries (Finkelstein, p. 77); frees the channels and invigorates the collateral vessels; "Life Gate Fire"
GV-3 (+): reinforces the Kidney; adjusts the Kidney Qi; dispels Cold-Damp, esp. in the Lower Warmer; regulates the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel)
UB-13 (+): tonifies the Lung (especially Qi); transforms Phlegm; stops coughing; expands and relaxes the chest; regulates the Upper Warmer and assists in resolving Upper Warmer Dampness; esp. appropriate when Water Overflowing to Lung; Lung Shu Associated point
UB-15 (+ and D): regulates the Xue (Blood) and Qi; reinforces the Heart Qi; transforms Heart Phlegm; invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); influences the thyroid (Worsley, 1975, p. B-20); benefits the Lung; esp. appropriate when Water Overflowing to Heart; Heart Shu Associated point
UB-20 (+ and D): tonifies Spleen, esp. Spleen Yang; regulates Spleen Qi; resolves Dampness; harmonizes the Xue (Blood); benefits the Ying (Constructive) Qi; Spleen Shu Associated point
UB-22 (-): stimulates transformation of fluids in the Lower Warmer and eliminates Dampness; regulates San Jiao collectively, and the Upper, Middle and Lower Warmers individually; tonifies the Kidney; regulates the transforming function of Qi; Triple Warmer Shu Associated point
UB-23 (+ and D): tonifies the Kidney and strengthens Yang; strengthens Qi Hai and regulates Kidney Qi; resolves Dampness; drains Heat from the Lower Warmer; Kidney Shu Associated point
UB-47/52 (+): tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; stabilizes Kidney Qi; influences pituitary, adrenals and testes (Worsley, 1975, p. B-20); regulates the Water Pathways; facilitates urination; resolves Dampness; Kidney psychospiritual associated point
jing gong (+): tonifies Kidney Yang; warms the Jing (Essence)
Lu-7 (+): stimulates Lung function of dominating Water Pathways and resolves edema (Maciocia, p. 258); opens and regulates the Ren Mai (Conception Vessel); promotes diuresis by descending the Turbid; invigorates the collateral vessels; esp. appropriate when Water Overflowing to Lung; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel); takes Yuan (Original) Qi back to the Lung that has not been absorbed by the Yang Ming and therefore ensures the Qi feedback into the Kidney (Metal to Water) (Finkelstein, p. 3)
CV-9 (-): balances endocrine and lymphatic systems; moves Spleen and Earth; regulates the Spleen and Stomach; regulates Bladder Qi; dissolves Dampness and clears Damp-Heat; assists Small Intestine in its functions of separating liquid from matter, the Clear from the Turbid, and maintaining water balance (Finkelstein, p. 87); promotes diuresis; useful for water retention or edema; palpation: water regulation and metabolism reflex; "no energy" indicates Xu (Deficiency) of Spleen and/or Stomach; pulsing indicates Kidney Xu (Deficiency) (Matsumoto)
CV-8 (ind. D): warms and stabilizes the Yang; warms the Lower and Middle Warmers; strengthens the transporting function of the Spleen and Stomach; dries Dampness and Damp-Cold; pulsing around CV-8 indicates Spleen Qi Xu (Deficiency), while a puffy navel indicates Kidney Xu (Deficiency) (Matsumoto)
CV-6 (+ and D): strengthens Kidney; nourishes and invigorates Kidney Yang; warms Ming Men (Life Gate Fire) (esp. with D); influences pituitary, thyroid and adrenals (Worsley, 1975, p. B-20); regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates and tonifies Yuan (Original) Qi; warms the Lower and Middle Warmers (D); regulates Water Pathways and dispels Dampness; warms feet and hands; Dan Tien (Elixir of Long Life), with CV-5: important point for concentration of Qi in the body
CV-4 (+ and D): tonifies the Middle Warmer and strengthens Spleen; strengthens Kidney; warms the Kidney Yang and the Lower Warmer (D); regulates the Qi and benefits Yuan (Original) Qi; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); separates the Clear and Turbid; regulates the Bladder; facilitates diuresis; nourishes and stabilizes the Kidney; strengthens and replenishes the Kidney Qi; eliminates Cold in the Lower Warmer (D); Small Intestine Mu Alarm point
St-28 (-): promotes transformation of fluids in Lower Warmer; activates Chong Mai (Penetrating Vessel); cools and clears Damp-Heat, esp. in Lower Warmer; regulates body fluids; benefits the Bladder; facilitates Lower Warmer; seeps Water Dampness by opening Water Pathways to promote diuresis; important point for regulation of body fluids
St-36 (+): tonifies the Qi and strengthens the Spleen; dispels and eliminates Dampness; builds Heart Yang; strengthens weak and deficient conditions; governs and directs all descending energies in the body; regulates and replenishes the Middle Warmer; nourishes Kidney, Liver and Spleen; Stomach He Sea Lower Uniting, Earth and Horary point
Sp-9 (-): regulates and tonifies Spleen (especially Yang); resolves Dampness from Lower Warmer, esp. through increased urination; regulates the Water Pathways; dispels Damp-Heat; Spleen He Sea Uniting and Water point
Sp-6 (-): regulates Spleen and Kidney to resolve Dampness from Lower Warmer; tonifies Qi and frees Qi Stagnation; transforms Damp Stagnation and dispels Damp-Heat; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Kd-7 (+): strengthens Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; regulates Qi, esp. Kidney Qi; stimulates adrenals, thyroid and testes; facilitates Bladder and Water Pathways; clears and cools Damp-Heat; disperses Stagnation; Kidney Metal and Tonification point
Kd-5 (+): reinforces the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens Yuan (Original) Qi; moves the Lower Warmer; strengthens function of the Kidney; revives circulation of Qi in the Kidney organs and channels; clears and regulates the Bladder; Kidney Xi Cleft Accumulation point
Kd-3 (+): tonifies Kidney (Yin and Yang), Yuan (Original) Qi, Xue (Blood) and Jing (Essence); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates the Water Pathways; Kidney Yuan Source and Earth point
UB-58 (= or +): promotes flow of Qi; strengthens Kidney function; increases stamina; frees the channels and invigorates the collateral vessels; Kidney Luo Connecting point
Lv-5 (+): spreads Liver Qi and disperses Liver Qi Stagnation; benefits the Qi; tonifies Liver and Yang; secures Jing (Essence); regulates function of the Bladder; resolves Damp-Heat in the Lower Warmer; Liver Luo Connecting point
» illustrative combinations:
CV-4, GV-4, UB-23 and Kd-3 (D): support Kidney Yang (Finkelstein, p. 86)
CV-4 and Lv-5: strengthen Yang at the base (Kidney) (Finkelstein, p. 86)
UB-23, Sp-6 and Kd-12: strengthen the Kidney (Finkelstein, p. 44)
UB-23 and GV-4: tonify the Kidney; strengthens the Yang (Finkelstein, p. 44)
UB-23 and Sp-6: tonify the Kidney; nourishes the Yang (Finkelstein, p. 44)
UB-23, Kd-3 and GV-4: invigorate Kidney Yang (Finkelstein, p. 44)
UB-23, Sp-6 and Kd-12: strengthen the Kidney (Finkelstein, p. 44)
UB-23 and CV-6: enhance the Water element of the Kidney (Finkelstein, p. 44)
Kd-7 and CV-8 for edema and Qi distension (Shanghai, p. 295);
CV-9 and Sp-9 for edema, esp. periumbilical (Shanghai, p. 286; Ellis, et al, 1988, p. 155)
CV-4, CV-9, St-36, Sp-9 and Sp-6 for retention of urine or ascites (Shanghai, p. 286)
Sp-9 and LI-6: eliminate Damp; cause diuresis and treat edema of the waist (Finkelstein, p. 29)
CV-9 and St-28 (D) then needle St-36 and CV-7: "For intolerable water-related diseases that present with abdominal fullness and vacuity swelling that refuses to abate." (Ellis, et al, 1988, p. 354)
Kd-7 and CV-9: treat water swelling (Ellis, et al, 1988, p. 252);
Sp-9 and Sp-6: strengthen Spleen, expel Damp and relieve distention (Finkelstein, p. 29)
CV-9 and CV-6: open the Water Pathways for diuresis (Finkelstein, p. 87);
CV-9, CV-3, Kd-7, UB-58, Kd-5 and Sp-9: open the Water Pathways (Finkelstein, p. 87)
CV-9 and CV-11: regulate water metabolism and induce diuresis (Finkelstein, p. 87)
Kd-7 and UB-47/52: increase urination (Finkelstein, p. 54)
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.