-IBIS-1.5.0-
rx
point
CV-4: XIII-4: guan yuan
acupuncture
definition
guan yuan = hinge gate to the original qi; first gate; gate origin
Mu Alarm point of the Xiao Chang (Small Intestine); Reunion Point of the Yin and Yang (with CV-12, CV-22 and GV-9): needled when there is conflict between Yin and Yang, according to Su Wen (Finkelstein, p. 78); Jiao Hui Intersecting point of the Foot Tai Yin (Spleen), Foot Jue Yin (Liver) and Foot Xiao Yin (Kidney) channels on the Ren Mai (Conception Vessel); at CV-4 the Chong Mai (Penetrating Vessel) separates from the Ren Mai (Conception Vessel)
location: 3 cun below the umbilicus on the midline.
actions: pacifies the Shen; grounds the Shen when there is Empty-Heat (Maciocia, p. 207); regulates the Qi and benefits Yuan (Original) Qi; restores collapsed Yang or Yin; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer, strengthens the Spleen and benefits the Raising Qi; tones up the abdominal muscles (+); 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 the function of astringing the Dai Mai (Girdle Vessel) and restraining the Xue (Blood); nourishes and stabilizes the Kidney; roots the Ethereal Soul; strengthens and replenishes the Kidney Qi; influences testes (Worsley, 1975, p. B-20); warms the Kidney Yang, the Lower Warmer and Uterus (D); eliminates Cold in the genitals and Lower Warmer (D); regulates the Uterus and menses; resolves Damp-Heat; regulates the Bladder; facilitates diuresis
indications: abandoned-type Wind-stroke or coma; tidal fever accompanied by hemoptysis; collapsing syndrome with cold extremities; neurasthenia; fatigue; hypertension; emaciation and constant thirst; asthma due to Kidney Xu (Deficiency); roundworms in the intestinal tract; abdominal pain and distension, esp. after childbirth; lines of pain surrounding the umbilicus, esp. with uterine fibroids inferior to the umbilicus that might feel like an upside-down cup (Mann, p. 73); twisting pain below the navel; tympanites; pelveoperitonitis; dysmenorrhea; dysentery; cholera; rectal prolapse; blood in the stool; hernia; nephritis; urinary tract infection; painful urination; hematuria; urinary incontinence; enuresis; dysmenorrhea; irregular menstruation; drawn-out menstrual periods with light flow (Mann, p. 73); functional uterine bleeding; amenorrhea; leukorrhea; persistent discharge after childbirth; retained placenta; prolapsed uterus; pruritus vulvae; spermatorrhea; impotence
needle technique: slanted insertion, angled downward, 1.0 - 2.0 cun, producing a local sensation of soreness and distension, usually spreading down the Ren Mai (Conception Vessel) to the genitals and perineum; acupuncture contraindicated during pregnancy
moxa: 5 - 10 cones of direct moxa; 10 - 20 minutes of indirect moxibustion with a pole
combinations:
» with CV-8 and CV-6 (D) draws back the Yang and rescues from collapse (Finkelstein, p. 85);
» with CV-6 and UB-54/40 addresses vacuity", i.e., Xu (Deficiency) (Ellis, et al, 1988, p. 220);
» with CV-3 and GB-26 (+) reinforces the Chong Mai (Penetrating Vessel) and Ren Mo (Conception Vessel) to supplement the Qi of the chest (Finkelstein, p. 85);
» with CV-6 and St-36 restores the primary Qi (Finkelstein, p. 85);
» with UB-23 and CV-17 (D) reinforces Zhong (Ancestral) Qi (Finkelstein, p. 86);
» with St-36 tonifies the Spleen and Kidney to strengthen the vitality (Finkelstein, p. 85);
» with Sp-6 and LI-11 (-) removes Obstruction of the channels, activates Xue (Blood) circulation, and treats Xue (Blood) diseases (Finkelstein, p. 85);
» with CV-12 and St-25 (D) warms the Stomach and Intestines and disperses the Cold (Finkelstein, p. 85);
» with St-25 and St-37 clears Obstruction from the Intestines (Finkelstein, p. 86);
» with St-39 and UB-21 (-) clears Heat of the Intestines, conducts Stagnation and treats diarrhea with blood (Finkelstein, p. 84);
» with CV-6, Lv-1, Kd-10, Lv-3, Kd-2, Sp-6, CV-3, Sp-2, St-12, St-10, Ht-1, PC-3 and UB-54/40 for irregular menstruation (Shanghai, p. 669) and/or abnormal uterine bleeding (Shanghai, p. 673);
» with Sp-1, Sp-10, St-36 for functional uterine bleeding (Shanghai, p. 185);
» with Sp-1 stops uterine bleeding (Finkelstein, p. 86);
» with CV-6 and Sp-6 (-) promotes Qi circulation and removes Xue Yu (Blood Stasis); (+) reinforce Qi, nourishes Xue (Blood, and overcomes Xue Xu (Blood Deficiency) (Finkelstein, p. 85);
» with CV-6 (D) overcomes Yang Xu (Deficiency) and tonifies the genuine vitality and Kidney Jing (Essence); (+ w/D) increases fundamental activity of the hypothalamus and adrenals (Finkelstein, p. 85);
» with CV-3 and CV-6 (+) reinforces with Xu (Deficiency) and injury of the Lower Warmer, but avoid excess moxa with men as it may contribute to infertility (Finkelstein, p. 85);
» with UB-23 (D) strengthens the foundation; reinforces the Kidney; mobilizes Yuan (Original) Qi; excites Yang Qi; dispels Cold and Damp; treats cold extremities and Kidney diarrhea (Finkelstein, p. 44, 85);
» with Lv-5 strengthens Yang at the base (Kidney) (Finkelstein, p. 86);
» with GV-4, UB-23 and Kd-3 (D) supports Kidney Yang (Finkelstein, p. 86);
» with UB-23 and Kd-3 (D) strengthens Kidney Jing (Essence) (Finkelstein, p. 86);
» with Lv-1 for strain leading to damage of Kidney Qi (Ellis, et al, 1988, p. 349);
» with CV-5 and CV-7 for infertility (Ellis, et al, 1988, p. 349);
» with GV-14, CV-12, PC-6 and Sp-4 (also consider St-36 and Kd-7) for acute nephritis with edema due to Wind-Heat in the Lower Warmer (Jirui and Wang, p. 94);
» with UB-23, Sp-6 and St-36 for pyelonephritis; also consider tai yang with headache; Sp-9, LI-4, UB-20 and UB-13 with edema and scanty urine; and/or LI-11 with fever (Liu, p. 316);
» with Sp-9 and Sp-6 for urinary tract infection (Shanghai, p. 185).
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, p. 207, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.