-IBIS-1.5.0-
tx
digestive system
diarrhea
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
» acute explosive diarrhea : Cold (Han) - Cold Damp; Wet - Damp, Shi (Excess); Hot - Heat (Jeh) or Damp-Heat (Summer-Heat diarrhea, EPI in Yang Ming); Food Stagnation - food damage diarrhea; fluid diarrhea;
» chronic diarrhea : Spleen Qi Xu (Deficiency); Spleen Yang Xu (Deficiency); Kidney Yang Xu (Deficiency); Liver Invading Spleen.

» illustrative combinations:
• UB-25, St-25, CV-12 and CV-6 (+ and D) for Cold diarrhea
• UB-23 and Lv-13 for Cold diarrhea with undigested particles (Shanghai, p. 209)
• LI-4, CV-10 and St-44 (-) for Hot diarrhea
• CV-4, St-39 and UB-21 (-): clear Heat of intestines, conduct Stagnation and treat diarrhea with blood (Finkelstein, p. 84)
• UB-21, St-39 and CV-11 (-): clear Intestinal Heat; move Stagnation; treat diarrhea with blood
• UB-20 and CV-9 (+ and D) with Sp-9 and Sp-4 (-) for Damp diarrhea
• Lv-3, CV-8 and Sp-6 for watery diarrhea (Shanghai, p. 293)
• UB-20 (+); UB-21, UB-25, CV-21, CV-12 and St-36 (-) for Food diarrhea
• St-25 and TW-6 for vomiting with or without diarrhea (Shanghai, p. 183)
• St-37 and St-25 for enteritis, dysentery or diarrhea due to indigestion (Shanghai, p. 273)
• UB-20, UB-21, and St-36 (+); Lv-13, Lv-3 and Lv-2 (-) for diarrhea due to Spleen/Liver disharmony
• Lv-13, UB-20, CV-12 and Sp-3 (all: + and D): invigorate Yang of the Spleen, promote the transporting function, expel Damp, relieve distension, and checks diarrhea (Finkelstein, p. 75)
• GV-1, Sp-9, St-25, St-36 and zhi xie for diarrhea due to Xu (Deficiency) or Damp-Heat (Liu, p. 279)
• St-37 or St-36, St-25; also consider li niao, Lu-11, PC-6 for bacillary dysentery (Lee and Cheung, p. 221)
• St-25, UB-25, St-36, Sp-15, St-21, St-27, CV-9, CV-8, CV-6 and St-25 (D) to treat watery feces and loose diarrhea, including diarrhea due to Spleen and Kidney Xu (Deficiency) (Flaws, 1989, p. 96)
• GV-4 (+ and D), UB-20 (+) and UB-23 (+): tonify Yang; benefit Kidney Fire; give rise to Earth; appropriate with diarrhea due to Kidney Yang Xu (Deficiency)
• GV-20, GV-4 and CV-4 (+ and D); UB-20 and UB-23 (+) for diarrhea due to Kidney Yang Xu (Deficiency)
• Kd-3 and CV-4: reinforce Kidney Yang (Finkelstein, p. 53 ); treat diarrhea due to Kidney Xu (Deficiency) (Flaws, 1989, p. 80)
• UB-20, Sp-9 and Sp-6 for chronic diarrhea (Finkelstein, p. 42)


point analysis

»
palpate and consider:
• GV-20 (+ and D): raises and strengthens Yang Qi; elevates the Clear Qi; spreads Liver Qi; causes Yang to ascend (D); secures the lower Orifices (D)
• GV-4 (+ and D): nourishes the Yuan (Original) Qi; strengthens the Kidney; benefits and replenishes the Kidney Yang; tonifies Water which will give rise to Earth; reinforces and astringes the Jing (Essence); distributes Zhong (Ancestral) Qi and Yang to the pelvis to mobilize the Yin of the pelvis
UB-20 (+ and/or D): regulates Spleen Qi; tonifies Spleen and Stomach; benefits the Ying (Constructive) Qi; facilitates digestive transportation and transformation; tonifies Earth; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and nourishes the Xue (Blood); warms the Middle Warmer (D); raises Middle Qi; drains Heat Shi (Excess) from the Middle Warmer; resolves Dampness and Phlegm; benefits Kidney Yang; dispels Cold and relieves pain; Spleen Shu Associated point
UB-21: harmonizes Stomach Qi (=); strengthens the Spleen; dissolves Stagnation (-); warms and reinforces the Middle Warmer (D); cultivates Yuan (Original) Qi; transforms Dampness; dissolves and eliminates Stagnation (-); Stomach Shu Associated point
• UB-23 (+): strengthens Qi Hai; tonifies the Kidney and strengthens Yang; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); drains Heat from the Lower Warmer; resolves Dampness; regulates fluid system and promotes diuresis; Kidney Shu Associated point
UB-25: regulates the Qi of the Fu (Yang organs) (-); moves and regulates the Large Intestine; transforms Dampness and Stagnation; resolves Damp-Heat; warms and scatters Large Intestine Cold (+ and D); Large Intestine Shu Associated Point
LI-4 (-): dispels Exterior Wind and Yang Ming Heat; regulates Qi and Xue (Blood); reduces fever; regulates Qi of the Intestines; disperses Heat of the Intestines; elevates Clear Qi and descends Turbid Qi; clears Toxins; eliminates Damp-Heat; Large Intestine Yuan Source point
CV-21 (-): clears Food Stagnation; eliminates Phlegm in the digestive tract; regulates movement of Qi, esp. facilitates downward flow of Qi
CV-12 (-): regulates the Stomach Qi; strengthens the Spleen; eliminates Food Stagnation; (+ and D): moves the Middle Warmer; warms the Stomach and Intestines; facilitates ascension of the Clear and descension of the Turbid; Stomach Mu and Middle Warmer Alarm point
CV-10 (-): moves the Middle Warmer; harmonizes Stomach and intestines; disperses Heat of the Lower Warmer; strengthens the Spleen and regulates the Stomach; dissolves Intestinal Stagnation
CV-9 (+ and D): warms the Middle Warmer; regulates the Spleen, Stomach and Intestines; dispels Cold and dissolves Damp; helps drainage of fluids via urination to harden stools; stops diarrhea; regulates Bladder Qi
• CV-8 (D): regulates Qi; warms and stabilizes the Yang; strengthens the transporting function of the Spleen and Stomach; dries Dampness and Damp-Cold
CV-6 (+ and D): warms the Lower and Middle Warmers; scatters Cold; tonifies Yuan (Original) Qi; reinforces Yang and Jing (Essence); regulates the Qi functions
zhi xie: "stop diarrhea point"
CV-4 (+ and D): strengthens Yuan (Original) Qi; benefits Kidney Fire; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); nourishes and stabilizes the Kidney; diuretic action; separates the Clear and Turbid; Small Intestine Mu Alarm point
Lv-13 (-): spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; benefits Qi; harmonizes Liver and Spleen; transforms Damp-Heat; disperses Cold-Damp; relieves Food Stagnation; Spleen Mu Alarm point
St-25 (+ and D): warms and scatters Large Intestine Cold; moves and regulates Large Intestine; opens the Qi of the Yang (hollow) organs; regulates Qi, esp. Ying (Constructive) Qi and Wei (Protective) Qi (Finkelstein, p. 15); tonifies Ying (Constructive) Qi and thus neutralizes Shi (Excess) Heat; eliminates Qi Stagnation and/or Xue Yu (Blood Stasis) in Large Intestine; clears Heat from Large Intestine; esp. for chronic cases with Heat; transforms Dampness; ascends the Clear and descends the Turbid; Large Intestine Mu Alarm Point
St-36 (-): facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; disperses noxious Yang and brings down high fever; harmonizes digestion; regulates Ying (Constructive) Qi; removes Food Stagnation and dispels Dampness; clears Heat from the Yang organs; Stomach He Sea Lower Uniting, Earth and Horary point
St-37 (-): rectifies the Spleen and harmonizes the Stomach; regulates, drains and frees the Intestines, esp. the Large Intestine; cools Heat and resolves Dampness to clear Damp-Heat; "treats acute cases with Heat" (Finkelstein, p. 21); dispels Food Stagnation and eliminates Accumulations of the Large and Small Intestines; Large Intestine He Sea Lower Uniting point
St-44 (-): cools Heat and drains Dampness from the Stomach and intestines; regulates Rebellious Qi; stops pain, esp. abdominal pain with fever; descends the Turbid; Stomach Water point
Sp-9 (-): regulates the Spleen, Middle Warmer and Water Pathways; transforms Damp Stagnation, esp. through promotion of diuresis; eliminates Phlegm-Dampness; benefits Lower Warmer; dispels Damp-Heat; Spleen He Sea Uniting and Water point
Sp-4 (-): clears Heat; adjusts and strengthens the Spleen and Middle Warmer; transforms Dampness and Damp-Heat; descends Rebellious Qi and suppresses vomiting; regulates and stabilizes the Stomach; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; reduces Food Stagnation and harmonizes the Intestines; descends the Turbid; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel)
Lv-3 (-): relieves headache; adjusts and cools the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; suppresses Rebellious Qi to stop vomiting; calms Stomach; discharges Damp-Heat in the Lower Warmer; suppresses cramps; sedates pain; Liver Yuan Source and Earth point
Lv-2 (-): controls Liver/Wood; drains and disperses Fire of Liver and Gall Bladder; soothes and loosens Liver to release Liver Qi; subdues Yang Shi (Excess); clears the Lower Warmer; relaxes cramps; Liver Fire and Dispersion point

ear: large intestine, small intestine, stomach, spleen, sympathetic


footnotes