-IBIS-1.5.0-
tx
cardiovascular system
congestive heart failure
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Heart and Kidney Yang Qi Xu (Deficiency); Dampness overflowing; Water Stagnation; Kidney Yang Xu (Deficiency); Kidney Yang and Qi Xu (Deficiency)
» see also "edema"
» illustrative combinations:
CV-2 joined to CV-3; CV-9, UB-28, Kd-7, Kd-5, Sp-9 and UB-58 to "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)
St-28 and CV-9 (D both), then needle St-36 and CV-7 for "water diseases which are among the most insufferable and abdominal fullness and vacuity distention failing to disperse" (Ellis, et al, 1988, p. 128)
UB-13, Kd-27, CV-22, CV-17 and LI-4: facilitate respiration; eliminate wheezing; relieve cough
UB-18, Lv-13 and Lv-3 (-) spread Liver Qi; dispel Xue Yu (Blood Stasis); remove Liver distension effecting flanks
CV-9, CV-3 -> CV-2 and Sp-9 (-): rid edema through urination
PC-6, PC-5 and Ht-8 or PC-6, PC-4 and PC-3, with max. 6 - 7 other points as indicated (Shanghai, p. 595); all above points strengthen the Heart and calm the Shen; also consider CV-12, St-25, CV-6, St-36 to tonify the Center, benefit the Qi; CV-4, St-29 and CV-6 to set the Lower Warmer in motion; CV-9, CV-3 through to CV-2, St-28, Kd-7, Kd-5, UB-58 and Sp-9 to open Yang and facilitate water shift; Lv-3, Lv-13 and UB-18 to scatter effused blood; UB-13, CV-22, Kd-27, CV-17, Ht-8 and LI-4 to relieve asthma, cough and extrude sputum (Lee and Cheung, p. 243)
CV-3 -> CV-2 (-): rid edema through urination; tonify the Kidney Qi and Yang; regulate the Bladder and Water Pathways
point analysis
» palpate and consider:
UB-13 (+): tonifies the Lung (especially Qi); stops coughing; expands and relaxes the chest; regulates the Upper Warmer; eliminate wheezing; Lung Shu Associated point
UB-18 (-): moves Qi Stagnation and Xue Yu (Blood Stasis); remove Liver distension effecting flanks; cools Damp-Heat; nourishes Liver Xue (Blood) and Yin; Liver Shu Associated point
LI-4 (=): regulates Qi and Xue (Blood); stimulates dispersing function of Lung; eliminates wheezing; relieves cough; Large Intestine Yuan Source point
CV-22 (=): facilitates and regulates movement of Lung Qi; promotes dispersing function of Lung; transforms and eliminates Phlegm; stops cough
CV-17 (+): regulates and smooths Qi circulation in the Upper Warmer; expands the chest and soothes the diaphragm; enhances breathing; sedates cough; Mu Alarm point of the Xin Bao (Pericardium) and the Upper Warmer; Center Reunion point of the Breath
Kd-27 (=): regulates Lung; tonifies Yuan (Original) Qi; expands and relaxes chest; fortifies the Spleen; stimulates Kidney function of reception of Qi; tonifies Kidney (especially Yang); sedates dyspnea; stops cough
Lv-13 (=): spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; benefits Qi; harmonizes Liver and Spleen; moves Fluids and relieves distension; regulates circulation of Qi and Xue (Blood); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
CV-12 (+): builds Heart Yang; strengthens and calms the Spleen; transforms Dampness; benefits and soothes the Qi; raises Middle Qi; Mu Alarm point of the Stomach and Middle Warmer
CV-9 (-): strengthens and moves Spleen and Earth; balances endocrine and lymphatic systems; warms the Middle Warmer; dissolves Damp; 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; Small Intestine Mu Alarm point (Hukaya as per Matsumoto); palpation: water regulation and metabolism reflex; "no energy" indicates Xu (Deficiency) of Spleen and/or Stomach; pulsing indicates Kidney Xu (Deficiency) (Matsumoto)
CV-6 (+): reinforces Yang and Jing (Essence); tonifies Yuan (Original) Qi; regulates the Qi functions; raises Middle Qi; strengthens Kidney Xu (Deficiency)
CV-4 (+): benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; nourishes and stabilizes the Kidney; Small Intestine Mu Alarm point
CV-3 (-): assists the transforming functions of Qi; alleviates Damp-Heat; tonifies the Kidney Qi and Yang; regulates the Water Pathways; promotes urination; Bladder Mu Alarm point
CV-2 (-): warms the Yang and reinforces the Kidney
St-25 (+): regulates function of intestines; supports Earth; promotes Qi circulation; transforms Dampness; Large Intestine Mu Alarm point
St-28 (-): activates Chong Mai (Penetrating Vessel); regulates body fluids and benefits the Bladder; facilitates the Lower Warmer; seeps Water Dampness by opening Water Pathways to promote diuresis; important point for regulation of body fluids
St-29 (-): promotes Qi and Xue (Blood) circulation of the Bladder and Triple Warmer; relieves abdominal distension
St-36 (+): dispels and eliminates Dampness; strengthens the Spleen and replenishes the Middle Warmer; regulates Ying (Constructive) Qi; tonifies Qi and Xue (Blood); nourishes Kidney, Liver and Spleen; Stomach Earth and Horary point; Sea of Nourishment point
Sp-9 (= or +): regulates and tonifies Spleen (especially Yang); warms and moves the Middle Warmer; resolves Damp Stagnation and Obstruction, esp. from the Lower Warmer, through promotion of diuresis; regulates the Water Pathways; Spleen He Sea Uniting and Water point
Kd-7 (+): regulates Kidney Qi; enriches the Kidney; facilitates and regulates Bladder and Water Pathways; disperses Stagnation; Kidney Metal and Tonification point
Kd-5 (+): reinforces the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); clears and regulates the urinary bladder; Kidney Xi Cleft Accumulation point
Lv-3 (-): promotes smooth flow of Qi and Xue (Blood); dispels Xue Yu (Blood Stasis); expands chest; remove Liver distension effecting flanks; Liver Yuan Source and Earth point
ear: lung, kidney, heart, sympathetic, shen men
footnotes