-IBIS-1.5.0-
tx
nervous system
paresthesia
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
numbness: Heat in the Spleen and Stomach; Liver Qi Stagnation; Liver Wind Stirring; Kidney and Liver Yin Xu (Deficiency); Liver Wind arising from Liver Xue Xu (Blood Deficiency); Bi Syndrome

» therapeutic note:
• see also the various musculoskeletal conditions and cancers which might be causative
• many of the points and combinations from "paralysis" may be relevant to the treatment of paresthesia in the same location

» illustrative combinations:
• PC-8 and Ht-3 for numbness (Mann, p. 124)
• SI-3 and UB-62: open the Du Mai (Governing Vessel) to increase Qi flow through, relax and strengthen the spine
• UB-65 and UB-59 (-): drain Shi (Excess) and relieve Stagnation in the lumbar spine (Finkelstein)
• UB-23, GV-4 and UB-58: relax the soft tissues and invigorate blood circulation in the back (Finkelstein, p. 44)
• LI-11, GV-26, GB-20 and GB-39 for alignment problems of the spine (Finkelstein, p. 10)
• LI-11 and GV-26: facilitate spinal adjustments (Finkelstein, p. 9)
• PC-6 and LI-11 (-): treat numbness in the extremities (EAMSS, p. 240)
• LI-4 and Lu-7 with strong stimulation: for paresthesia in the thumb (Ambrose; Eisen)
• ashi (tender) points on arms plus neck area corresponding dermatomes, GV-14, bai lao etc., for paresthesia in the arms (Ambrose; Eisen)
• Ht-3 and LI-10 for numbness in the arm (Shanghai, p. 252)
• ba xie and TW-5 for numbness in the fingers (Shanghai, p. 254)
• ba feng, ling hou and St-36 for numbness of the lower limb or toe (Shanghai, p. 299)
• needle ashi (tender) points in low back and buttocks for paresthesia in the legs (Ambrose)
• UB-54/40 and Kd-7 with strong stimulation: for paresthesia in the feet (Ambrose; Eisen)


point analysis

»
palpate and consider:
radial needling in area of local numbness: insert one needle in center of affected area, insert four needles obliquely around it; to counter invasion of pathogenic influences, clear channels, and move Qi and Xue (Blood) (Jirui and Wang, p. 236)
• GV-20 (-): calms the Liver and extinguishes Wind; regulates and tonifies the Qi (D); spreads Liver Qi; extinguishes Liver Wind from upper body and pacifies Liver; Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
• GV-16 (-): dispels Wind and Heat; eliminates Liver Wind; facilitates the joints; treats numbness of the limbs and "diseases of the feet and legs" (Ellis, et al, 1988, p. 380)
GV-14 (-): dissipates Wind; pacifies the Shen; regulates and stimulates the flow of Qi; 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-13 (=): readjusts Qi in the Du Mai (Governing Vessel); tonifies Wei (Protective) Qi; relieves Exterior conditions; cools Heat; spreads Yang Qi through the Du Mai (Governing Vessel); relaxes the sinews and muscles; sedates spasms; treats numbness, esp. in children (Mann, p. 80)
• GV-3 (+): reinforces the Kidney and regulates the Kidney Qi; dispels Cold-Damp, esp. in the Lower Warmer; benefits the lumbar spine and knees; regulates the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel); esp. with paresthesia and/or loss of sensation in lower limbs
• SI-11 (-): resolves Tai Yang channel pathogens; stimulates flow of Qi; diffuses Qi Stagnation in the chest and lateral costal region; frees the channels and invigorates the collateral vessels; increases strength in arms; sedates pain; treats neuralgia and numbness in the scapular region
• bai lao: clears Heat and disperses Stagnation; facilitates flow of Qi and Xue (Blood)
GB-20 (-): expels External Wind and dissipates Internal Wind; pacifies Liver Wind; reduces and relieves Heat; 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
• GB-31 (-): disperses Wind and Cold; detoxifies the Liver and extinguishes Internal Wind; clears Heat and transforms Damp; strengthens the waist, thighs and knees; relaxes and strengthens sinews and tendons; treats numbness and stiffness of the lower leg and foot
UB-11 (+): dispels Wind and resolves Shi (Excess) Heat; connects the Du Mai (Governing Vessel) to the Shu Associated points; removes Obstruction of Qi circulation of the Tai Yang channels (Bladder and Small Intestine) and Du Mai (Governing Vessel) of the upper back; facilitates Xue (Blood) flow; relaxes the muscles, sinews and tendons; invigorates the collateral vessels; treats numbness in the limbs; Hui Reunion point of the Bones
• UB-36/41 (+): disperses Wind and dissipates Cold; relaxes the sinews and muscles; invigorates the collateral vessels; treats numbness in the elbow and arm
UB-18 (+): regulates Liver Qi and benefits the Liver and Gall Bladder; clears Liver Fire and extinguishes Liver Wind; moves Stagnant Qi; nourishes Liver Yin; Liver Shu Associated point
• UB-20 (-): regulates Spleen Qi and tonifies the Spleen; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); provides strength to the extremities; Spleen Shu Associated point
• UB-21 (-): regulates the Stomach Qi and strengthens the Spleen; dissolves and eliminates Stagnation and Obstructions; Stomach Shu Associated point
• UB-23 (+): strengthens the Kidney (Water) and moistens Wood (Liver); nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; strengthens Qi Hai; strengthens the spine, esp. the lower back; benefits the knees; Kidney Shu Associated point
• UB-54/40 (-): strengthens the waist; relaxes the sinews and muscles; benefits the lower back and knees; Bladder He Sea Uniting and Earth point; command point of the back
• 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; benefits skin Qi; treats numbness of the upper limbs
LI-11 (-): clears Heat; eliminates Wind and dispels Exterior conditions; regulates and harmonizes Qi, Ying and Xue (Blood); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; harmonizes the Stomach; benefits sinews, tendons and joints; frees the channels; treats numbness in the extremities (EAMSS, p. 240); Large Intestine Upper He Sea Uniting, Earth and Tonification point; budding point of Hand Yang Ming (Large Intestine) Muscle channel; Master point of Heat in the body (Finkelstein, p. 9)
• LI-10 (-): promotes the circulation of Qi and Xue (Blood); benefits Qi of the arms and shoulders; removes Obstruction from and invigorates the channels; regulates the Stomach and Intestines; treats numbness in the arm
• LI-4 (-): regulates Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; dispels Exterior Wind; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; relaxes sinews and tendons; Large Intestine Yuan Source and Entry point; command point of the face and mouth
• Lu-7 (+ or =): treats Shi (Excess) patterns; circulates the Wei (Protective) Qi to expel Wind, dispel Cold, and disperse the Exterior; tonifies Yang Ming (Stomach, Large Intestine); 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); command point of the head and neck
• Lu-9 (+): regulates all Yang Qi and moves the Xue (Blood); regulates and balances Lung channel; tonifies Lung Qi and Lung Yin; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; cools and clears Heat in the Lung, Liver and throat; clears and descends the Upper Warmer and Lung Qi; treats numbness of the chest; Lung Yuan Source, Shu Stream, Earth and Tonification point of the Hand Tai Yin (Lung) channel; Hui Reunion point of Xue (Blood) vessels
• Ht-3 (=): clears Heat; regulates the Heart Qi; removes Obstructions from the channels; relaxes the sinews and muscles; invigorates the collateral vessels; treats numbness in the arms; Heart He Sea Uniting and Water point
• Ht-8 (-): pacifies the Shen; strengthens the Heart and regulates Heart Qi; regulates flow of Qi; facilitates the flow of Xue (Blood) through the vessels; treats neuralgia and numbness of arm and shoulder; Heart Fire and Horary point
• SI-3 (-): regulates the spine through the Du Mai (Governing Vessel), esp. to release neck tension; benefits the joints and strengthens the spine; relaxes the sinews and muscles; invigorates the channels; Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel); Jiao Hui Intersecting point of the Du Mai (Governing Vessel) on the Hand Tai Yang (Small Intestine) channel
• PC-6 (+ or =): clears Heat; pacifies the Shen; regulates the Qi; suppresses pain; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; clears and spreads Qi in Pericardium channel; opens the chest; regulates Liver Qi and relieves Liver Qi Stagnation; harmonizes the Stomach; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; relaxes the sinews and clears the vessels; treats numbness in the extremities; strong stimulation; if in hand; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• PC-8 (-): pacifies the Shen; clears the Brain; regulates the Heart (esp. Qi and Yang); clears Fire and relieves heat sensation of chest, palms and soles; harmonizes the Stomach; Pericardium Fire, Horary and Exit point
• 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); clears Xiao Yang (Gall Bladder) in the head and disperses Liver Yang Shi (Excess); tonifies Wei (Protective) Qi; disperses Qi in the intercostal region; 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; treats forearm, wrist or finger numbness, contracture or pain; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
• bi zhong: treats spasms, numbness or paralysis of the upper extremity
• ba xie: alleviate Exterior conditions; dispel Wind; expel Wind-Damp; clear Heat; relaxes the sinews and muscles; invigorate the Xue (Blood)
• shi xuan: subdue Internal Wind; clear Heat; treat numbness of the fingers
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; strengthens the Spleen and Stomach; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); Liver Mu Alarm point
CV-4 (+): builds up the Kidney and Yuan (Original) Qi; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer and strengthens the Spleen; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); separates the Clear and the Turbid; dispels Cold-Damp; strengthens and replenishes the Kidney Qi; Small Intestine Mu Alarm point
• xi yan: benefit the knees; relax the sinews and tendons; treat numbness, pain or swelling of the knee
• St-36 (+): dispels Cold and expels Wind; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; regulates and strengthens Qi and Xue (Blood); regulates the Stomach and strengthens the Spleen; strengthens all striated muscle; spreads Liver Qi and benefits the Gall Bladder; nourishes the Kidney, Liver and Spleen; drains Shi (Excess) from the Yang channels; treats chronic cases with Heat; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point
• Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and builds the Xue (Blood); clears, nourishes, and moves the Xue (Blood); clears Xue (Blood) Heat; transforms Xue Yu (Blood Stasis); frees Qi Stagnation; spreads Liver Qi and suppresses Liver Heat; tonifies the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
GB-34 (- or +): benefits the Liver and Gall Bladder; subdues Liver Yang and extinguishes Liver Wind; alleviates pain; tonifies Spleen; strengthens and relaxes sinews and tendons; benefits joints, esp. knees and hips; invigorates the collateral vessels; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
• GB-37 (=): clears Liver Fire and dissipates Heat, esp. from the Liver; regulates the Liver; dispels Wind and Damp; relaxes the sinews and muscles; invigorates the channels; treats blockage and numbness of the leg, soreness of leg and knee, and flaccid paralysis of the lower extremities; Gall Bladder Luo Connecting point
• GB-39 (-): pacifies the Liver and extinguishes Liver Wind; relieves hypochondriac pain; clears Heat and communicates the superficial with the internal of the three Foot Yang channels; relaxes the muscles and sinews; expels Wind-Damp and otherwise frees the channels and connecting vessels; Jiao Hui Intersecting point of the three primary Yang channels of leg
• Lv-7 (-): dispels Wind; relieves pain; frees the channels and collateral vessels; facilitates the joints; treats Wind Bi and numbness of the knee
Lv-3 (-): expels Wind; clears and pacifies the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; calms and extinguishes Liver Wind; calms the Stomach and expands the chest; opens the channels and relaxes spasms; sedates pain; Liver Yuan Source and Earth point
• Lv-2 (-): clears Heat; soothes and loosens Liver to release Liver Qi; disperses Stagnant Qi of the Liver and Gall Bladder; eliminates Interior Wind; drains Liver Fire; relaxes spasms; treats numbness in the extremities (EAMSS, p. 240); Liver Fire and Dispersion point
• Kd-7 (+): strengthens Wei (Protective) Qi; clears Heat and nourishes Yin; strengthens Spleen; tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; disperses Stagnation; strengthens the low back; Kidney Metal and Tonification point
• Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; cools and descends Heat; strengthens lower back, waist and knees; Kidney Yuan Source and Earth point
• ba feng: release Exterior conditions; dispel Wind; expel Wind-Damp; clear Heat; relax the sinews and tendons; invigorate the Xue (Blood); treat numbness of the lower limb or toe


footnotes