-IBIS-1.5.0-
tx
nervous system
headache: vascular
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
» internal causes: Liver Fire Shi (Excess); Kidney Xu (Deficiency); Phlegm Obstruction due to Spleen Xu (Deficiency); Xue (Blood) and Qi Xu (Deficiency); Shi (Excess) of Du Mai (Governing Vessel) and/or Yin Qiao Mai (Yin Motility Vessel); Xu (Deficiency) of the Yang Qiao Mai (Yang Motility Vessel)
» external causes: Wind penetrates into the Yang channels; Stomach Heat; Shi (Excess) in Gall Bladder and Liver channels; Xue Yu (Blood Stasis); Wind-Heat; Wind-Cold; Damp and Cold; Summer-Heat; Wind-Damp
» occipital and nape pain: blockage of Bladder channel
» pain at forehead and supraorbital region: Stomach channel
» pain at temporal region: Gall Bladder channel
» parietal and vertex pain: Liver channel

» illustrative combinations:
• LI-4, Lu-7, Kd-7 and tai yang for migraine headache due to Obstructed Qi and Xue (Blood) in Yang channels of head and face with Stagnant Qi in Lung and Kidney channels (Jirui and Wang, p. 202)
• Kd-6 and Lu-7: open the Yin Qiao Mai (Yin Motility Vessel) which transports Yin and for which migraines are a Shi (Excess) symptom
• UB-62 and SI-3: open the Yang Qiao Mai (Yin Motility Vessel) for which migraines are a Xu (Deficiency) symptom
• Lv-8 and GB-40 for hepatic type migraine (Mann, p. 120)
• Kd-4 (listed as "Kd-5") and Lu-6 for fear and tension type migraine (Mann, p. 120)
• Sp-2, Lv-2, Kd-2 and St-44 for migraine with feeling of heat (Mann, p. 120)
• St-41 and Ht-5 for headache with red face and eyes in hypertensive patient (Shanghai, p. 598)
• GV-20, tai yang, GB-20, PC-6, Sp-4, Sp-9, St-40, LI-11, St-44 and St-36 for headache due to Phlegm-Dampness with Heat (Jirui and Wang, p. 161)
• St-8 and UB-2 for headache and eye pain (Ellis, et al, 1988, p. 118)
• SI-3 and UB-62: open the Du Mai (Governing Vessel) for which headaches are a symptom of Shi (Excess)
• GB-20, Kd-3, UB-23 and Lv-2 for "adynamic Yin" with Liver Yang Rising (Lee and Cheung, p. 295)


point analysis

»
palpate and consider:
GV-20 (-): calms the Shen; extinguishes Liver Wind from upper body and pacifies Liver; spreads Liver Qi and subdues ascending Liver Yang; awakens the Brain and promotes mental clarity; local point for vertex pain; Sea of Marrow point
• GV-1 (-): pacifies the Shen; clears Heat; relieves vasomotor headaches; opens the Ren Mai (Conception Vessel) and Du Mai (Governing Vessel); regulates the Intestines; tonifies the spine; Entry and Luo Connecting point of the Du Mai (Governing Vessel)
GB-20 (-): moves Liver Qi; awakens the Shen and clears the Brain; brightens the eyes; subdues Liver Yang to calm and regulate the Liver and Gall Bladder; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; local point for occipital pain
UB-10 (-): clears the head; dispels Fire; tranquilizes and descends Rebellious Qi; special point for vago-sympathetic action; brightens the eyes; dispels Heat; opens and clears channels of the neck; relaxes the sinews and tendons
• UB-18 (=): pacifies the Shen; stimulates the Brain; benefits the eyes; clears and drains the Liver and Gall Bladder; extinguishes Liver Wind; clears Liver Fire and Heat; moves Stagnant Qi; nourishes and regulates Xue (Blood); nourishes Liver Yin; Liver Shu Associated point
• UB-20 (+): regulates Spleen Qi; tonifies Spleen and Stomach to facilitate digestive transportation and transformation; enhances Spleen Yang to mobilize Stagnant Qi; tonifies and harmonizes the Xue (Blood); Spleen Shu Associated point
• UB-23 (+): strengthens the Brain and Marrow; tonifies the Kidney; strengthens Yang; influences adrenals; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; Kidney Shu Associated point
• St-8 (-): expels Wind; clears Heat; brightens eyes; esp. with frontal and migraine headache and/or pain behind or around the eye(s)
• GB-8 (-): expels Wind; invigorates the connecting vessels
GB-14 (-): eliminates Wind; dispels Cold; clears Heat; brightens the eyes; invigorates Qi circulation; stops pain; esp. with frontal headache
• yin tang (-): clears Heat; pacifies the Shen; eliminates Interior Wind; promotes relaxation
tai yang (-): removes local Heat Stagnation, can bleed; clears the head; cools, clears and brightens the eyes; extinguishes Liver Wind
Ht-9 (=): with Heart Xu (Deficiency) and Liver Shi (Excess) migraine; Right side only; delicate insertion (Allee); sedates the Shen; clears Heat; restores Yang; subdues Internal Wind; relieves fullness; pulls Qi down; strengthens Heart Yin and Yang; regulates the Heart; clears Heat from the Xue (Blood); tonifies Heart Qi; Heart Jing Well, Wood, Tonification and Exit point
PC-6 (+): clears Heat; pacifies the Shen; awakens the Brain by improving intracranial circulation; tranquilizes the Heart; regulates the Qi; suppresses pain; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; releases the diaphragm and opens the chest; 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; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
• LI-11 (-): clears the Shen and brings down high blood pressure; clears Heat; regulates and harmonizes Qi and Ying; cools and harmonizes the Xue (Blood); frees the channels; Large Intestine Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
LI-4 (-): pacifies the Shen; regulates Qi and Xue (Blood); brightens the eyes; promotes menses; clears Toxins; relaxes sinews and tendons; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point
• Lu-6 (-): opens and adjusts Lungs; regulates Lung Qi; suppresses Rebellious Lung Qi and causes Lung Qi to descend; cools Heat and disperses Fire from Lung; resolves the Exterior; benefits Qi to reestablish digestion; opens the channels and releases blocked channels of arm; esp. fear-tension migraine (Mann, p. 4); Lung Xi Cleft Accumulation point
• Lu-7 (=): opens and regulates the Ren Mai (Conception Vessel); effects release of sexual hormones; tonifies Yang Ming (Stomach and Large Intestine); invigorates the collateral vessels; Lung Luo Connecting and Exit point
• Lv-13 (=): spreads and promotes smooth flow of Liver Qi; influences liver's ability to neutralize unemployed sex hormones to help headaches, migraines, and menopausal syndromes (Finkelstein, p. 75); invigorates the Stomach and Spleen; benefits Qi; harmonizes Liver and Spleen; moves Fluids and relieves distension; regulates circulation of Qi and Xue (Blood); quickens the Xue (Blood) and disperses Xue Yu (Blood Stasis); Spleen Mu Alarm point; Hui Reunion point of the five Zang (Yin viscera)
• CV-6 (+): strengthens and moves the Qi; reduces Fire of Liver and Gall Bladder; regulates and tonifies Yuan (Original) Qi; tonifies Kidney; nourishes and invigorates Kidney Yang; reinforces Jing (Essence); regulates the menses; Dan Tien (Elixir of Long Life), with CV-5
• Sp-10 (=): harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat in the Xue (Blood); nourishes Xue (Blood) Dryness; regulates the menses; "Sea of Blood"
• Sp-6 (+): pacifies the Shen; nourishes Yin; clears Fire due to Xu (Deficiency); strengthens the Spleen; tonifies Qi and builds the Xue (Blood); nourishes and moves the Xue (Blood); transforms Xue Yu (Blood Stasis); frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; stimulates activity of the Uterus, regulates the menses, and reduces menstrual pain; stimulates uterus, adrenals, ovaries and pituitary (Finkelstein, p. 27); Jiao Hui Intersecting point of the three Foot Yin channels
• Sp-4 (+): regulates the Xue (Blood), Chong Mai (Penetrating Vessel) and menstrual cycle; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
• Sp-2 (=): stimulates the flow of Qi; strengthens the Spleen; tonifies Spleen Yang; Spleen Fire and Tonification point
St-36 (+): calms the Shen; regulates and strengthens Qi and Xue (Blood), the Stomach and the Spleen; descends Rebellious Qi; stops vomiting; 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 Earth and Horary point; Sea of Nourishment point
St-44 (-): cools and drains Heat and Dampness from the Stomach and Intestines; regulates Rebellious Qi; reduces pain, esp. with frontal headache and/or abdominal pain with fever; facilitates bowel movements; descends the Turbid; Stomach Water point
GB-40 (-): clears and drains Fire from the Liver and Gall Bladder; spreads the Liver Qi; benefits Gall Bladder; frees the channels; esp. with migraine; Gall Bladder Yuan Source point
GB-41 (-): spreads and drains Liver and Gall Bladder; esp. with temporal headache; dissipates Wind; removes Fire; dissolves Phlegm; brightens the eyes; removes stagnancy of Liver Qi; Gall Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel); Couple point of the Yang Wei Mai (Yang Linking Vessel)
• GB-44 (-): clears Heat from Liver and Gall Bladder; subdues Liver Yang; drains Fire, esp. from the Gall Bladder; extinguishes Liver Wind; removes Liver Qi Stagnation; Gall Bladder Jing Well and Metal point
• Lv-8 (+): drains Liver Fire; nourishes Liver Xue (Blood); soothes the sinews and tendons; invigorates the collateral vessels; Liver Water and Tonification point
Lv-3 (-): pacifies the Shen; relieves anger and mellows spirits of those who are frustrated and jealous (Finkelstein, p. 73); relieves headache; clears and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads Liver Qi Stagnation; cools and drains Heat and Fire from the Liver and Gall Bladder; subdues Liver Yang; benefits the eyes; calms and extinguishes Liver Wind; suppresses Rebellious Qi to stop vomiting; calms Stomach; tonifies Liver Xue (Blood); regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis) and regulate menses; opens the channels, relieves muscle spasms, and stops pain; esp. with vertex headache; Liver Yuan Source and Earth point; Independent Associated point for spasms
Lv-2 (-): pulls down Liver Fire; disperses Stagnant Qi of Liver and Gall Bladder; soothes and loosens Liver to release Liver Qi; subdues Yang Shi (Excess); eliminates Interior Wind; cools the Xue (Blood); esp. with vertex headache; Liver Fire and Dispersion point
• Kd-7 (+): clears Heat and nourishes Yin; regulates Qi, esp. Kidney Qi, and restores Qi to the vessels; strengthens and enriches the Kidney; stimulates adrenals, thyroid and testes; facilitates and regulates Bladder, menses and Water Pathways; disperses Stagnation; Kidney Metal and Tonification point
• Kd-5 (=): nourishes the Shen and Yin; regulates the Kidney; reinforces the Liver and Kidney, the latter through longitudinal Luo vessels; facilitates the flow of Qi and Xue (Blood); harmonizes the Xue (Blood); supplements the Jing (Essence); esp. fear and tension type migraine (Mann, p. 120); Kidney Luo Connecting Accumulation point
• Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); cools and clears Heat; pacifies Xu (Deficiency) Fire; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; promotes function of Uterus; regulates menses and Water Pathways; relieves pain in teeth and bones; Kidney Yuan Source and Earth point
• Kd-2 (-): nourishes Yin; eliminates Heat and clears Fire to cool the Xue (Blood); tonifies Kidney (especially Yang) and Jing (Essence); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens Yin Qiao Mai (Yin Motility Vessel); stimulates ovarian hormones; Kidney Fire point
• UB-60 (=): promotes Qi function and Xue (Blood) circulation; reinforces the Kidney; relaxes the sinews, tendons and muscles of the neck, shoulder, waist, back, ankle and foot, esp. the lower back; frees the channels and collateral vessels; relieves pain; Bladder Fire point

ear: temple, occiput, forehead, shen men, dermis/subcortex


footnotes