-IBIS-1.5.0-
tx
digestive system
gastroesophageal reflux/dyspepsia
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Liver Invading Spleen and/or Stomach; Small Intestine Xu (Deficient) and Cold; Spleen Qi and/or Yang Xu (Deficiency); Stomach Qi Stagnation; Stomach Food Stagnation; Stomach Yin Xu (Deficiency); Stomach Qi Rebelling Upwards; Stomach Fire Blazing
» illustrative combinations:
PC-6 and St-36 (also consider CV-12, UB-21, hua tuo jia ji of T8 through T12, CV-14, St-40, Sp-6, Lv-3, CV-11, Sp-4, UB-20, UB-17, CV-4, St-43, PC-6 and Sp-9) for gastric pain (Lee and Cheung, p. 254)
CV-12, CV-13 and St-36 for pain of Cold accumulation in the gastric region (Lee and Cheung, p. 254)
point analysis
» palpate and consider:
UB-12 (-): disperses perverse Heat from the chest; expands and relaxes the chest; regulates Qi circulation; strengthens children who are malnourished (Finkelstein, p. 39)
UB-17 (-): harmonizes Stomach Qi; regulates, expands the chest and diaphragm; Diaphragm Shu associated point
UB-41/46 (-): releases and prevents spasms of esophagus; Diaphragm psychospiritual associated point
UB-44/49 (=): regulates Spleen Qi and Yang; regulates the Stomach Qi; transforms Dampness and Damp-Heat; descends Rebellious Qi; Spleen psychospiritual associated point
UB-21 (=): harmonizes the Stomach; regulates the Stomach Qi; strengthens the Spleen; warms and reinforces the Middle Warmer (D); benefits the Zhong (Ancestral) Qi and cultivates Yuan (Original) Qi; dissolves and eliminates Stagnation, Obstructions and congestions; descends Rebellious Qi; Stomach Shu Associated point
PC-6 (+): spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; releases the diaphragm; regulates Liver Qi and relieves Liver Qi Stagnation; harmonizes the Stomach; descends Rebellious Qi to resolve nausea, reduce eructations, and stop vomiting; opens the Yin Wei Mai (Yin Linking Vessel) to distribute Qi to the Stomach, chest and Heart; expels gallstones; enhances purification and dispersement of the Triple Warmer; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
TW-6 (-): clears Fire and Heat; transforms Phlegm; facilitates Qi flow and spreads the Qi; regulates the Triple Warmer and the Zang-Fu organs; generates Fluids; expands and relaxes the chest; disperses Obstruction; relieves pain; Triple Warmer Fire and Horary point
LI-7 (-): clears Heat; stops pain; regulates the Spleen and dispels Dampness from the Spleen; harmonizes the Stomach and Large Intestine; Large Intestine Xi Cleft point
Lu-6 (-): cools and clears the throat; benefits Qi to reestablish digestion; Lung Xi Cleft Accumulation point
SI-3 (+): dispels Internal Heat; tonifies the Small Intestine; Small Intestine Wood and Tonification point
zhong kui (D): specific for belching, vomiting and esophageal spasm
CV-22 (-): benefits the throat; descends Rebellious Qi; stops hiccough and coughing
CV-17 (-): regulates and smooths Qi circulation in the Upper Warmer; reverses adverse flow of Qi in the chest; suppresses Stomach Qi; soothes the diaphragm; suppresses nausea; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi
CV-15 (-): promotes flow of Qi; benefits Yuan (Original) Qi; regulates the Stomach; brings down Rebellious Qi; Ren Mai (Conception Vessel) Luo Connecting point; Source point of the five Yin (Zang viscera)
CV-14 (=): clears the Heart and stabilizes the Shen; regulates the Qi; benefits the diaphragm; harmonizes the Stomach and facilitates movement in the Middle Warmer; reverses adverse flow of Qi; transforms Damp Stagnation in the Middle Warmer; Heart Shu Associated point
CV-13 (-): clears Heat of Stomach and relieves fullness in chest and epigastric region; descends Rebellious Qi and quells vomiting; strengthens the Spleen and dissipates Dampness; invigorates the Qi; warms Spleen and Stomach to disperse Cold (D); harmonizes the Spleen and Stomach
CV-12 (= or +): regulates and harmonizes the Stomach; strengthens and calms the Spleen; increases peristalsis of the stomach and jejunum, esp. upper section; opens the pylorus and increases muscle tension in the stomach (Finkelstein, p. 88); transforms and suppresses Rebellious Qi; eliminates Food Stagnation; clears Stomach Fire and Heat; benefits and soothes the Qi; warms the Middle Warmer, Stomach and Intestines; Stomach Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
CV-10 (-): strengthens the Spleen and regulates the Stomach; dissolves Intestinal Stagnation
Kd-27 (+): expands and relaxes chest; redirects Rebellious Qi downward; harmonizes the Stomach; fortifies the Spleen; tonifies Yuan (Original) Qi; resolves Phlegm
Kd-22 (-): brings down Rebellious Qi; stops vomiting
Kd-19 (+): harmonizes the Stomach; strengthens the Spleen; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); facilitates Qi flow, esp. in the abdomen
St-18 (=): regulates Stomach Qi; dispels Stagnation; Great Luo of the Stomach
St-21 (-): harmonizes the Spleen and Stomach; promotes the transportation and transformation of Grain and Liquids by the Spleen and Stomach; regulates Center Qi and promotes flow of Qi; dispels Middle Warmer Heat; reduces Food Stagnation; relieves pain
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; soothes the Liver; relaxes lower rib cage, encourages breathing and relieves pain in hypochondrium; relieves hiccoughs; helps transformation and transportation function of the Spleen; strengthens Spleen and Stomach; relieves Food Stagnation; removes Xue Yu (Blood Stasis); Liver Mu Alarm point
Lv-13 (=): spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; relieves Food Stagnation; benefits Qi; harmonizes Liver and Spleen; moves Fluids and relieves distension; regulates circulation of Qi and Xue (Blood); disperses Xue Yu (Blood Stasis); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
GB-24 (-): regulates Liver, Gall Bladder and Stomach; redirects Rebellious Qi downward; spreads Liver Qi; relieves hypochondriac pain; Gall Bladder Mu Alarm point
St-36 (+): regulates the Stomach and strengthens the Spleen; regulates Ying (Constructive) Qi; stops vomiting; descends Rebellious Qi; governs and directs all descending energies in the body; stops vomiting; removes Food Stagnation; disperses Stomach Fire; regulates and replenishes the Middle Warmer; spreads Liver Qi and benefits the Gall Bladder; nourishes Kidney, Liver and Spleen; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
St-43 (-): dispels Wind; clears and drains Heat from Yang Ming (Stomach and Large Intestine); harmonizes the Stomach and regulates Stomach Qi; channels flow of Qi to hollow (Yang) organs; brings down Rebellious Qi; induces diuresis; Stomach Wood point
St-44 (-): harmonizes the Stomach; cools Heat and drains Dampness from the Stomach and Intestines; regulates Rebellious Qi; stops pain, esp. abdominal pain with fever; facilitates bowel movements; descends the Turbid; Stomach Water point
Sp-4 (=): clears Heat; dispels Cold from the abdomen and relieves pain (D) - note: better than Sp-3 for pain (Finkelstein, p. 26); adjusts and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; descends Rebellious Qi and suppresses vomiting; regulates and stabilizes the Stomach; regulates the appetite; reduces Food Stagnation and harmonizes the Intestines; benefits Gall Bladder Xu (Deficiency); tonifies Yuan (Original) Qi; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
Sp-3 (+): clears Heat; regulates Stomach (especially Yin and Qi); harmonizes the Middle Warmer; promotes transporting function; transforms and expels Dampness and Damp-Heat; reduces Food Stagnation; regulates Middle Warmer; Spleen Yuan Source, Earth and Horary point
Sp-2 (+): stimulates the flow of Qi; harmonizes the Stomach; returns Yang and stems counterflow; reduces Food Stagnation; eliminates Dampness and Phlegm caused by Spleen Xu (Deficiency); Spleen Fire and Tonification point
Lv-5 (-): drains the Liver; spreads Liver Qi and disperses Liver Qi stagnation; benefits the Qi; tonifies Liver and Yang; Liver Luo Connecting point
Lv-2 (-): drains Fire and disperses Stagnant Qi of Liver and Gall Bladder; soothes and loosens Liver to release Liver Qi; subdues Yang Shi (Excess); relaxes cramps, spasms and convulsions; Liver Fire and Dispersion point
footnotes