-IBIS-1.5.0-
tx
cardiovascular system
rheumatic heart disease
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
acute: Heart Yin Xu (Deficiency) and Kidney Yin Xu (Deficiency);
chronic stage: Heart/Kidney Yang Xu (Deficiency); Heart Xue Xu (Blood Deficiency) and Heart Qi Xu (Deficiency); Lung Qi Xu (Deficiency) and Lung Yin Xu (Deficiency); Spleen Qi Xu (Deficiency); Spleen Yang Xu (Deficiency); Qi Xu (Deficiency) and Xue (Blood) Deficiency; Xue Yu (Blood Stasis)
» illustrative combinations:
PC-6, PC-5, PC-3 and Ht-8 for rheumatic heart disease (Shanghai, p. 246)
Ht-8, PC-3, PC-4, PC-5 for rheumatic heart disease (Shanghai, p. 254)
UB-14, UB-15 and Sp-6 for rheumatic heart disease (Shanghai, p. 200)
CV-3 -> CV-2: assist transforming functions of Qi; dispel Damp-Heat
CV-2, CV-3, Kd-5, CV-9, Sp-6; GB-39 joined to Kd-7 for ascites due to rheumatic heart disease (Shanghai, p. 188)
CV-22, Kd-27, CV-17 and Lu-1 for coughing and wheezing induced by rheumatic heart disease (Shanghai, p. 174)
CV-2 joined to CV-3; CV-9, UB-28, Kd-7, Kd-5, Sp-9 and UB-58: "facilitate urination and eliminate edema (i.e., to circulate the Yang so as to benefit the water)" while treating chronic heart failure (Shanghai, p. 595)
UB-15, Ht-7 and St-40 for pulmonary heart disease (Shanghai, p. 202)
Ht-7, UB-15, UB-23, Ht-9, Kd-8, St-36, St-43, GB-30, LI-4, Sp-6, TW-7 and CV-5 for cardiac edema (Mann, p. 111)
LI-4 and LI-11 (-): reduce fever
St-36 and GB-9: clear channels to facilitate Qi flow
point analysis
» palpate and consider:
GV-14 (-): clears Heat to reduce fever; spreads and facilitates Yang; pacifies the Shen; regulates and stimulates the flow of Qi; 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
UB-13 (+): reduces fever; clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Lung and Upper Warmer; strengthens Lung Qi and activates dispersing function of the Lung to spread Lung Qi and calm wheezing; stops coughing; expands and relaxes the chest; regulates the Upper Warmer; tonifies the Lung; harmonizes the Ying and Xue (Blood); treats carditis; Lung Shu Associated point
UB-14 (=): regulates the Pericardium; disperses Yang Shi (Excess) in the Jue Yin (Pericardium and Liver); regulates and tonifies the Heart (especially Qi and Yang); expands and relaxes the chest; frees the channels and invigorates the collateral vessels; Pericardium Shu Associated point
UB-38/43 (=): regulates the Shen; strengthens Xu (Deficiency) conditions; treats all chronic disease; clears Empty Heat; regulates the Lung Qi; supplements the Lung and fortifies the Spleen; tonifies Heart Qi; releases unresolved emotions; strengthens the Xue (Blood); stimulates hematopoesis; tonifies the Kidney and warms the Yang; restores Yuan (Original) Qi; Pericardium psychospiritual associated point
UB-15 (+): calms the Heart and the Shen; regulates the Xue (Blood) and Qi of the Heart; strengthens Heart Qi, nourishes Heart Xue (Blood), and tonifies Heart Yin; clears Heart Fire and disperses Yang Shi (Excess) in the Heart (-); invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); benefits the Lung; relaxes and expands the chest, and benefits the Qi; Heart Shu Associated point
UB-17 (+ and/or D): tonifies the Qi; regulates, nourishes and invigorates the Xue (Blood) (esp. invigorates with D); transforms Xue Yu (Blood Stasis) and disperses Obstruction; nourishes Dry Xue (Blood); enriches Yin; expands the chest and diaphragm; strengthens Xu (Deficient) conditions and increases stamina; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-20 (+): regulates Spleen Qi; tonifies the Spleen and Stomach; augments digestion; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); resolves Dampness; Spleen Shu Associated point
UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens the Heart (Ross, 1985, p. 130); strengthens Yang and Qi Hai; resolves Dampness; Kidney Shu Associated point
GB-9 (-): calms the Shen; clears channels to facilitate Qi flow
PC-3 (-): cools and clears Heat; pacifies the Shen; pacifies and tranquilizes the Heart; drains and disperses Heat from the Xue (Blood) and Ying; frees, moves and clears Heart Qi; Pericardium He Sea Uniting and Water point
PC-4 (-): calms the Shen and tranquilizes the Heart; regulates Heart Qi; clears Heat; stops pain; opens the chest and expands the diaphragm; cools Xue (Blood) Heat; detoxifies the Xue (Blood); relieves Obstruction in Jue Yin (Pericardium and Liver); clears the channels, esp. promotes circulation in channels and collateral vessels of chest to remove Stagnation and pain; Pericardium Xi Cleft Accumulation point
PC-5 (-): calms the Mind and quiets the Shen; clears Heat; regulates and clears the Heart; drains Shi (Excess) Fire from the Heart; nourishes the Heart and regulates Heart Qi; opens and dispels fullness from the chest; drains the Triple Warmer; Pericardium Metal point; Meeting of the three Hand Yin channels
PC-6 (+): clears Heat; pacifies the Shen; tranquilizes the Heart; opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes, regulates and spreads the Qi in the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); improves circulation of Xue (Blood) Yin of the Heart thus countering Yang of the Heart (Finkelstein, p. 58); clears and spreads Qi in Pericardium channel; releases and expands the diaphragm; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; regulates the Chong Mai (Penetrating Vessel); drains the Triple Warmer; relaxes the sinews and clears the vessels; relieves pain; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
PC-7 (-): pacifies the Shen and stabilizes the emotions; clears Heat; clears Fire of Heart and Pericardium; nourishes Heart Xue (Blood); relaxes the chest; dissipates Heat from the Ying (nutrient system) and Xue (Blood); esp. with premature contractions; Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
PC-8 (=): pacifies the Shen; regulates the Heart (esp. Qi and Yang); cools and clears Heat from the Heart and Shen; drains and disperses Heat from the Pericardium; clears Fire; relieves heat sensation of chest, palms and soles; cools Heat in the Xue (Blood); Pericardium Fire, Horary and Exit point
Ht-6 (+): pacifies the Shen; transforms Heart Phlegm; nourishes Heart Yin; helps check Yang hyperactivity (EAMSS, p. 227); clears Xu (Deficiency) Heat, esp. from Heart; clears Fire from the Heart; reduces excessive perspiration, esp. night sweats; eliminates itching; Heart Xi Cleft Accumulation point
Ht-7 (=): stops sweating, esp. night sweats; pacifies the Shen; calms the Heart; regulates and tonifies the Heart, esp. Heart Qi; tonifies and nourishes Heart Yin and Xue (Blood); removes Qi Stagnation in the Heart; clears Heart Fire and Heat; frees the channels; Heart Yuan Source, Earth and Dispersion point
Ht-8 (-): pacifies the Shen; strengthens the Heart and regulates Heart Qi; treats Heart Shi (Excess) patterns; clears Heart Fire and Empty Heat; regulates flow of Qi; dissipates Dampness; facilitates the flow of Xue (Blood) through the vessels; Heart Fire and Horary point
LI-11 (- and/or bleed): clears Heat; reduces fever; (bleed a few drops); regulates Qi circulation of Lung; cools and harmonizes the Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes; 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 (-): reduces fever; pacifies the Shen; regulates Qi and Xue (Blood); 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; elevates Clear Qi and descends Turbid Qi; clears Toxins; relaxes sinews and tendons; treats edema above the waist; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
Lu-7 (=): circulates the Wei (Protective) Qi; spreads Lung Qi by stimulating the descending and dispersing of Lung Qi; calms wheezing; opens and regulates the Ren Mai (Conception Vessel); regulates the Yin Qiao Mai (Yin Motility Vessel); stimulates the Lung function of dominating Water Pathways and controlling edema, esp. in the lungs; promotes diuresis by descending the Turbid; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel)
Kd-27 (+): regulates and volatilizes the Lung; tonifies Yuan (Original) Qi; expands and relaxes the chest; fortifies the Spleen; tonifies Kidney (especially Yang); sedates dyspnea and stops cough
Lu-1 (+): regulates Qi of the Upper Warmer and Lung; increases Qi and stamina; nourishes Lung Yin; cools and disperses Heat and Yang from the Upper Warmer, chest and lungs; stops cough; disperses fullness from the chest and stops pain; Lung Entry and Mu Alarm point
CV-22 (=): facilitates and regulates movement of Lung Qi; opens the Lung and promotes dispersing function of Lung; descends Rebellious Qi; stops coughing
CV-17 (=): calms the emotions; regulates and smooths Qi circulation in the Upper Warmer; enhances breathing; 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 soothes the diaphragm; sedates cough; elevates Spleen Qi; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi; Center Reunion point of the Breath
CV-15 (+): clears Heat; pacifies the Shen; nourishes Heart Yin; promotes flow of Qi; benefits Yuan (Original) Qi; nourishes all Yin organs; relaxes the chest and sedates cough; regulates the Stomach; brings down Rebellious Qi; Ren Mai (Conception Vessel) Luo Connecting point; Source point of the five Zang (Yin viscera)
CV-9 (-): balances endocrine and lymphatic systems; moves Spleen and Earth; regulates the Spleen and Stomach; dissolves Damp and rids edema/ascites; 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; palpation: water regulation and metabolism reflex (Matsumoto); "no energy" indicates Xu (Deficiency) of Spleen and/or Stomach (Matsumoto); pulsing indicates Kidney Xu (Deficiency) (Matsumoto); Small Intestine Mu Alarm point (Hukaya as per Matsumoto)
CV-3 (+): assists the transforming functions of Qi; alleviates Damp-Heat; tonifies the Kidney Qi and Yang; regulates the Bladder, Lower Warmer and the Water Pathways; promotes urination; relieves pain; Bladder Mu Alarm point
CV-2 (=): assists transforming functions of Qi; warms the Yang and reinforces the Kidney; mobilizes the Bladder and regulates urination; dispels Damp-Heat
St-36 (+): calms the Shen; facilitates the Lung and regulates Wei (Protective) Qi; disperses noxious Yang and brings down high fever; dispels and eliminates Dampness; disperses Stagnation in the Upper Warmer, esp. cracks Xue Yu (Blood Stasis) in the chest; builds Heart Yang; regulates and strengthens Qi and Xue (Blood); regulates the Stomach and strengthens the Spleen; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
Sp-9 (=): regulates and tonifies the Spleen (especially Yang); warms and moves the Middle Warmer; regulates the Water Pathways; transforms Damp Stagnation, dispels Damp-Heat, and promotes diuresis; benefits the Lower Warmer; Spleen He Sea Uniting and Water point
Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; disperses Heart Fire; clears Fire due to Xu (Deficiency); strengthens the Spleen and tonifies the Qi; nourishes and moves the Xue (Blood); transforms Xue Yu (Blood Stasis) and frees Qi Stagnation; tonifies the Kidney; transforms Dampness and Heat; facilitates diuresis; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
GB-39 (+): clears Heat and transforms Damp-Heat; tonifies the Bone Marrow and promotes leukocytosis; relaxes the muscles and sinews; frees the channels and connecting vessels; Hui Reunion point of the Marrow; Jiao Hui Intersecting point of the three primary Yang channels of leg; Group Luo point of the three Lower Yang
Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens the Spleen and rids body of excess fluids; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; facilitates the Bladder and Water Pathways; cools and clears Damp-Heat; regulates the pores and sweating; disperses Stagnation; Kidney Metal and Tonification point
Kd-5 (=): reinforces the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates Qi and Xue (Blood); strengthens Yuan (Original) Qi; moves the Lower Warmer; strengthens function of the Kidney; clears and regulates the urinary bladder; Kidney Xi Cleft Accumulation point
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.
Reprinted from Zang Fu: The Organ Systems of Traditional Chinese Medicine, Ross, Jeremy, 2nd ed, p. 75, 1985, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.