-IBIS-1.5.0-
tx
respiratory system
pneumonia
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Lung Invaded by Wind-Heat; Lung Invaded by Wind-Cold; Lung Obstructed by Phlegm-Heat; Yin Xu (Deficiency); Spleen and Lung Qi Xu (Deficiency); dysfunction of the Ren Mai (Conception Vessel)
» illustrative combinations:
Lu-6, GV-14 and UB-13 for pneumonia (Shanghai, p. 242)
LI-11, UB-13, Lu-7, Lu-11(bleed) and LI-1(bleed) for pneumonia; also consider LI-11 with fever; St-40 with profuse Phlegm; PC-6 and CV-17 with chest pain (Liu, p. 262)
Lu-7 and Kd-3; CV-17; Kd-24, Kd-25, Kd-26, Kd-27, St-16, St-15, St-14 and St-13; UB-42/47, UB-43/48, UB-44/49, UB-36/41 and UB-37/42; LI-4 and LI-13; Sp-21, Lv-14, Sp-17 and Sp-18 for pneumonia (Mann, p. 94)
Lu-7 and Kd-6: open and regulate the Ren Mai (Conception Vessel); nourish Yin; induce Xu (Deficiency) Fire downward; clear the Lung; ease the throat; stop cough (Finkelstein, p. 3)
Needle painful points on Bladder and Gall Bladder channels on the head to treat invasion of Wind-Cold. After recovery, tonify Lung and Wei (Protective) Qi by using LI-4, Lu-7, St-36. (Fan and Dunbar, p. 22)
Lu-5 and Lu-7: spread Lung Qi to treat cough and hemoptysis (Finkelstein, p. 2)
Lu-5, Lu-6 and LI-4: treat hemoptysis (Finkelstein, p. 2)
UB-11, UB-13, CV-22, Lu-5, Lu-8, TW-5 and Sp-6 (daily) for bronchitis (Shanghai, p. 584)
Lu-5 and St-40: clear Phlegm (and Heat) of bronchitis or pertussis
Lu-5 and Lu-10 (-): clear Heat from the Lung (Finkelstein, p. 2)
Lu-5 and Kd-7: clear Lung and nourish Yin when Lung Heat has injured the Body fluids (Maciocia, p. 370)
Lu-7, Lu-9, Lu-5 and UB-13: treat cough and stuffy chest (Flaws, 1989, p. 97)
CV-22 and CV-17: treat dyspnea and cough (Ellis, et al, 1988, p. 363)
CV-22 and St-40: pacify breathing and dissolve Phlegm (Finkelstein, p. 93)
Lu-7 and Lu-9: strongly spread the Lung Qi and stop coughing (Finkelstein, p. 3)
St-40 and UB-13 for cough with abundant phlegm (Shanghai, p. 274)
UB-13, St-40 and CV-22: relieve cough (Finkelstein, p. 22)
St-40 and GB-40: treat stabbing pain in the chest (Shanghai, p. 274)
St-40 and PC-6: dissolve Phlegm, expand chest, harmonize the center, and relieve congestion (Finkelstein, p. 22)
PC-6, St-40 and Lv-3: expand the chest (Finkelstein, p. 22)
UB-20, PC-6, CV-12, CV-14 and St-40: treat chest, epigastric distention, plentiful, suffocating Phlegm (Flaws, 1989, p. 97)
Kd-27 and St-18: treat productive Qi cough and Phlegm dyspnea (Ellis, et al, 1988, p. 263)
UB-13, GV-12, Lu-9 and St-40: regulate the Lung (Finkelstein, p. 22)
St-40 and CV-22: dissolve Phlegm, smooth Qi circulation and pacify breathing (Finkelstein, p. 22)
St-40 and CV-14: dissolve Phlegm (Finkelstein, p. 22)
UB-20, CV-12 and St-40: regulate the Qi, dissolve Dampness, and reduce Phlegm (Finkelstein, p. 22)
GV-12, Lu-9 and St-40: restore order to the Lung and still cough (Finkelstein, p. 22)
CV-12, St-36 and St-40: clear Internal Heat and dissolve stubborn Phlegm (Finkelstein, p. 22)
UB-38/43 and CV-4 (+): tonify Yin of whole body (Eisen)
UB-23 and Kd-3 (+): tonify Kidney Yin (Eisen)
PC-6 and CV-17 (-): relieve chest pain (Eisen)
point analysis
» palpate and consider:
GB-20 (-): useful in pulling Wind; 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; eliminates Yang Shi (Excess) from upper body; esp. useful with headache (Maciocia; p. 236); Window of the Sky point; Sea of Marrow point; Wei (Protective) Qi concentrates at this point
GV-14 (-): relieves Exterior conditions; dissipates Wind and Cold; cools and disperses Heat; reduces fever; induces sweating; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; regulates and stimulates the flow of Qi; regulates the Xue (Blood); clears the throat; opens the Lung and transforms Phlegm; clears Lung Heat; 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-13 (-): opens the Lung; readjusts Qi in the Du Mai (Governing Vessel); tonifies Wei (Protective) Qi; diffuses Lung Qi; cools Heat; eliminates Wind-Cold; spreads Yang Qi through the Du Mai (Governing Vessel); regulates Yang channels; Entry point of the Sea of Qi, with GV-14
GV-12 (-): dissipates Heat and Wind; dispels pathogens and relieves fever; cools Heat of the chest; tonifies the Lung; sedates cough; reverses Rebellious Qi
GV-10 (-): boosts Qi immediately (Finkelstein, p. 78); dissipates Heat; diffuses the Lung; suppresses cough; detoxifies the system; frees the channels and invigorates the collateral vessels
UB-11 (-): dispels Wind, Wind-Cold, Wind-Heat and Cold; resolves Shi (Excess) Heat, esp. External 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; regulates the Lung; diffuses Lung Qi; sedates cough; expands and relaxes the chest; facilitates Xue (Blood) flow; invigorates the collateral vessels; Sea of Xue (Blood) upper entry point; collateral point of the Du Mai (Governing Vessel)
UB-12 (+): disperses and eliminates Wind; resolves the Exterior; stimulates sweating; ventilates and dispels pathogenic Heat from the Yin channels; disperses Yang Shi (Excess) in all Yang channels without draining body fluids; transforms Phlegm; opens and volatilizes the Lung; regulates and spreads Lung Qi; strengthens the dispersing function of Lung; disperses perverse Heat from the chest; expands and relaxes the chest; regulates Qi circulation; Gate for entrance and departure of Feng Qi (Wind Qi)
UB-13 (+): eliminates Wind; releases Exterior conditions; stimulates sweating; reduces fever; clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Lung and Upper Warmer; regulates and promotes the circulation of the Lung Qi; transforms Phlegm; stops coughing; activates dispersing function of the Lung; expands and relaxes the chest; regulates the Upper Warmer; tonifies the Lung; warms the Lung (D); harmonizes the Ying and Xue (Blood); Lung Shu Associated point
UB-37/42 (-): regulates the Lung; diffuses Lung Qi; redirects Rebellious Qi downward; relieves stifling sensation in the chest; Lung psychospiritual associated point
UB-38/43 (= or +): strengthens Xu (Deficiency) conditions; clears Empty Heat; regulates the Lung Qi; supplements the Lung and fortifies the Spleen; tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; transforms Phlegm; Pericardium psychospiritual associated point
UB-23 (+): strengthens Qi Hai; strengthens Kidney function of reception of Qi; tonifies Kidney Yin and strengthens Yang; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); Kidney Shu Associated point
UB-54/40 (- or bleed): cools Heat and drains Heat from the Xue (Blood) to cool fever; Bladder He Sea Uniting and Earth point
tai yang (- or bleed): dispels Wind and Wind-Heat; clears Heat (bleed); relieves headache
Lu-1 (= and/or +): regulates Qi of the Upper Warmer and Lung; stimulates descending of Lung Qi; enhances oxygenation; increases Qi and stamina; nourishes Lung Yin; cools and disperses Heat and Yang from the Upper Warmer, chest and lungs; stops cough; disperses Qi or Phlegm Stagnation; disperses fullness from the chest and stops pain; Lung Mu Alarm and Entry point
Lu-2 (=): regulates the Lung; disperses fullness from the chest; clears Lung Heat and eliminates vexation; removes depressed Qi of the chest; stops cough; stimulates descending of Lung Qi; transforms Phlegm; drains Heat in the limbs
Lu-5 (-): expels Wind; cools fever (bleed); opens and clears the Lung; tonifies Lung Yin and discharges Lung Fire; cools and clears Upper Warmer Heat; sedates Lung Shi (Excess); stimulates descending of Lung Qi; aids difficult inhalation (Matsumoto); stops bleeding (hemoptysis); expels Phlegm from the Lung; esp. with high fever; Lung He Sea Uniting, Water and Dispersion point
Lu-6 (+): resolves the Exterior; provokes perspiration; opens and adjusts the Lungs; regulates Lung Qi; suppresses Rebellious Lung Qi and causes Lung Qi to descend; cools Heat and disperses Fire from Lung; treats Hot or Cold cough; cools and clears the throat; moistens the Lung; stops bleeding (hemoptysis); Lung Xi Cleft Accumulation point
Lu-7 (-): circulates the Wei (Protective) Qi to expel Wind, dispel Cold, and disperse the Exterior; promotes sweating; benefits the throat; treats Shi (Excess) patterns, esp. acute; opens the Lung; spreads Lung Qi by stimulating the descending and dispersing of Lung Qi; resolves Phlegm; opens and regulates the Ren Mai (Conception Vessel); stimulates the Lung function of dominating Water Pathways and controlling edema, esp. in the lungs; invigorates the collateral vessels; 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 (+): ventilates, moistens 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 and throat; clears and descends the Upper Warmer and Lung Qi; increases oxygen absorption; transforms Phlegm; stops coughing; stops bleeding (hemoptysis); Lung Yuan Source, Earth and Tonification point
Lu-11 (-): eliminates Wind-Heat of Lung; clears Heat and Fire from the Lung (bleed); lowers fever; cools, clears and regulates the Lung; brings Liver Qi to surface to bolster Wei Qi (Finkelstein, p. 5); moistens the throat; Lung Jing Well and Wood point
LI-11 (-): clears Heat; eliminates Wind and dispels Exterior conditions; reduces fever; regulates Qi circulation of Lung; cools the Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
LI-10 (-): promotes the circulation of Qi and Xue (Blood); enhances action of the immune bodies (Finkelstein, p. 8); tonifies Yang Ming (Stomach and Large Intestine) and the internal duct of the Triple Warmer (Finkelstein, p. 8)
LI-4 (-): releases the Exterior; dispels Wind-Cold or Wind-Heat; reduces fever; regulates Qi and Xue (Blood); stimulates dispersing function of the Lung; activates Wei (Protective) Qi and stimulates the immune system; induces or stabilizes sweating; tonifies Lung Qi; tonifies Metal to cool inflammatory processes; cools and drains Lung Heat; clears Toxins; Large intestine Yuan Source and Entry point
LI-1 (- and/or bleed): clears Heat (esp. with bleeding); resolves the Exterior; cools, moves and discharges pathogenic Heat from Yang Ming (Stomach and Large Intestine); tonifies Wei (Protective) Qi via the internal duct of the Triple Warmer; clears and moistens the throat; cools the Lung; sedates pain; Large Intestine Jing Well, Metal and Horary point
TW-6 (-): dispels Wind and Wind-Heat; dissipates Cold; clears Fire and Heat; transforms Phlegm; facilitates Qi flow and spreads the Qi; regulates the Triple Warmer and the Zang-Fu organs; expands and relaxes the chest; relieves pain; Triple Warmer Fire and Horary point
TW-5 (-): relieves Exterior and Hot conditions; induces perspiration; dissipates Wind; clears Heat, esp. from Triple Warmer channel; dissolves Toxins; tonifies Wei (Protective) Qi; frees the channels to facilitate the circulation of Qi in the channels; 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)
PC-1 (=): opens the chest; diffuses Lung Qi; suppresses cough; calms dyspnea; clears Lung Heat; supervises the Xue (Blood); esp. when person presents with a fever and headache, but no perspiration and a sensation of melancholy and emotional distress in the chest, particularly the diaphragm (Mann, p. 51); Window of the Sky point; Pericardium Entry point
PC-6 (+): clears Heat; regulates the Qi; opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes, regulates and spreads the Qi in the Upper and Middle Warmers; releases and expands the diaphragm; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; drains the Triple Warmer; relieves pain; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
St-13 (-): clears Heat; relaxes the chest and diaphragm; promotes flow of Qi; relieves thoracic fullness and distension
St-15 (-): regulates circulation of Qi; clears and discharges Lung Heat; facilitates flow of Qi and Xue (Blood) in the chest; treats Spleen Xu (Deficiency) (Finkelstein, p. 14); relieves thick phlegm streaked with blood
St-16 (-): ventilates the Lung; sedates cough; facilitates the flow of Qi; relaxes the chest
St-18 (-): facilitates circulation of Qi and Xue (Blood) to stop pain and/or drain Heat; dispels Stagnation; relieves thoracic pain and stifling sensation in chest; Great Luo of the Stomach
Kd-27 (=): regulates and volatilizes the Lung; tonifies Yuan (Original) Qi; expands and relaxes chest; redirects Rebellious Qi downward; harmonizes the Stomach; fortifies the Spleen; stimulates Kidney function of reception of Qi; tonifies Kidney (especially Yang); sedates dyspnea and asthma; stops cough; resolves Phlegm; relieves pain, fullness and/or stifling sensation in chest
Kd-25 (=): clears Heat; ventilates the Lung; relaxes the chest and facilitates the flow of Qi; resolves Phlegm and sedates cough
Kd-24 (=): clears Heat; opens and releases the chest; reverses Rebellious Qi; disperses swelling; tonifies the Kidney
Kd-23 (=): ventilates the Lung and sedates cough; relieves pain and fullness of the chest
Sp-21 (=): facilitates Qi and Xue (Blood) flow; removes gaps in Qi flow throughout the body (Finkelstein, p. 31); expands and relaxes the chest; relaxes diaphragm and motivates breathing; relieves dyspnea, esp. with chest pain; Spleen Exit point; Great Luo Connecting point
Sp-18 (+): expands the chest and promotes the circulation of Qi; suppresses Rebellious Qi; sedates cough
CV-22 (=): facilitates and regulates movement of Lung Qi; benefits and cools the throat; opens the Lung and promotes dispersing function of Lung; transforms and eliminates Phlegm; descends Rebellious Qi; Window of the Sky point
CV-17 (-): regulates and smooths Qi circulation in the Upper Warmer; clears the Lung; reinforces the Zhong (Ancestral) Qi of the chest; reverses adverse flow of Qi in the chest, esp. descends Rebellious Lung Qi; expands the chest and relieves chest pain; soothes the diaphragm and enhances breathing; sedates cough; elevates Spleen Qi; transforms Phlegm; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi; Center Reunion point of the Breath
CV-14 (-): regulates and invigorates the Qi; expands and clears the chest; disperses congested Phlegm in the chest and diaphragm; sedates cough; benefits the diaphragm; transforms Damp Stagnation in the Middle Warmer; acts on the nervous system and brain through the solar plexus and releases tension throughout whole body (Finkelstein, p. 90); Heart Mu Alarm point
CV-13 (-, + and/or D): invigorates the Qi; relieves fullness in the chest; strengthens the Spleen and dissipates Dampness; warms the Spleen and Stomach to disperse Cold (D)
CV-12 (+): tonifies Spleen to resolve Phlegm; benefits and soothes the Qi; warms and tonifies the Middle Warmer; facilitates ascension of the Clear and descension of the Turbid; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
CV-4 (+): regulates the Qi and benefits Yuan (Original) Qi; nourishes Yin; tonifies the Middle Warmer and strengthens Spleen; regulates and reinforces the Qi of the Ren Mai (Conception Vessel); separates the Clear and Turbid; nourishes the Kidney and strengthens the Kidney Qi; Small Intestine Mu Alarm point
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; relaxes lower rib cage, encourages breathing and relieves pain in hypochondrium; strengthens the Spleen, esp. the transformation and transportation function; dispels Heat from the Xue (Blood); Liver Mu Alarm point
Lv-13 (+): invigorates the Spleen and tonifies Spleen Qi; regulates circulation of Qi and Xue (Blood); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
St-36 (+): dispels Cold and expels Wind; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; disperses noxious Yang and brings down high fever; regulates and strengthens Qi and Xue (Blood); supports Lung Qi and transforms Phlegm; disperses Stagnation in the Upper Warmer; strengthens weak and Xu (Deficient) conditions; strengthens the Spleen and replenishes the Middle Warmer; spreads Liver Qi; nourishes the Kidney, Liver and Spleen; tonifies Kidney Yin; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
St-40 (-): dispels Wind; regulates the Lung and relieves chest congestion; calms wheezing; strengthens the Spleen; circulates Qi of the Stomach and Spleen; transforms and eliminates Phlegm; descends the Turbid; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
Sp-6 (+): nourishes Yin, esp. of the Spleen, Liver and Kidney; clears Fire due to Xu (Deficiency); loosens congestion in the diaphragm; strengthens the Spleen; tonifies Qi and builds the Xue (Blood); clears Xue (Blood) Heat; frees Qi Stagnation; tonifies the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-3 (+): clears Heat; regulates and strengthens the Spleen (especially Qi and Yang); promotes transporting function; transforms Dampness; Spleen Yuan Source, Earth and Horary point
Kd-6 (+): cools and clears Heat; clears Xu (Deficiency) Fire; opens the Ren Mai (Conception Vessel); clears the Lung and tonifies Lung Yin; benefits the throat; sedates cough; tonifies the Kidney (especially Yin); Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); nourishes and enriches Kidney Yin and tonifies Yin of the entire body; warms Cold; cools and descends Heat; pacifies Xu (Deficiency) Fire; clears Lung Heat; nourishes the Yin to moisten the Lung, calm wheezing, and sedate cough; reinforces the Kidney to accept Qi (Finkelstein, p. 53); regulates the Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point
GB-40 (-): spreads the Liver Qi; relieves costal pain; transforms Damp-Heat; frees the channels; Gall Bladder Yuan Source point
Lv-3 (-): expels Wind; relieves headache; regulates the Liver; promotes smooth flow of Qi and Xue (Blood); disperses Liver Qi Stagnation; sedates pain; Liver Yuan Source and Earth point
ear: shen men, sympathetic, lung, trachea, asthma, endocrine, adrenal
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.