-IBIS-1.5.0-
tx
digestive system
gastroenteritis
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
acute: Damp-Heat (Shi Jeh); Damp-Cold (Han Shi); Stagnant Food; Spleen Distressed by Dampness; Wind-Cold Damp
chronic: Liver Invading Spleen, Stomach and/or Intestines; Spleen Qi Xu (Deficiency) with Qi Stagnation and Xue Yu (Blood Stasis)
» Therapeutic Note: Acute gastroenteritis should be treated every four hours for thirty minutes at each treatment; treatment should continue until the symptoms clear.
(Finkelstein)
» illustrative combinations:
PC-6, CV-12, St-36, LI-4 and UB-25 for acute gastroenteritis; also consider CV-6 and St-25 with abdominal pain; CV-8 (D) with sweating and cold limbs; and/or LI-11 with fever (Liu, p. 273)
Lv-13, St-25, St-36 and UB-20 for chronic enteritis (Shanghai, p. 181)
Sp-5, Sp-9 and St-25 for chronic enteritis (Shanghai, p. 288)
CV-17, CV-12, Lv-13, PC-6, St-36, Sp-6, Lv-3 and Sp-4 for gastroenteritis with abdominal distention due to Stagnant Liver Qi and Qi Distention (Jirui and Wang, p. 22)
UB-25, UB-27, CV-10, St-25 and LI-2 for abdominal pain due to Stagnant Qi and Blood; also consider Sp-6 and Sp-10 with Xue Yu (Blood Stasis); and/or LI-3 and St-41 with Stagnant Qi (McWilliams, et al, Lesson 31, p. 17)
St-36, Sp-6, Lv-4, CV-9, CV-6, CV-3, UB-18 and UB-28 for gastroenteritis with abdominal distention due to Stagnant Liver Qi with Liver Xue (Blood) and Qi Xu (Deficiency) (Jirui and Wang, p. 25)
PC-6 and Sp-4 to treat abdominal pain (Ellis, et al, 1988, p. 151)
UB-20, CV-6, St-36 and CV-11 for abdominal pain due to Xue (Blood) and Qi Xu (Deficiency); also consider Sp-8 and Sp-6 with Xue Xu (Blood Deficiency); and/or CV-4 with Qi Xu (Deficiency) (McWilliams, et al, Lesson 31, p. 17)
St-25, St-37, PC-6 and St-36 for gastroenteritis with abdominal distention due to Damp-Heat (Jirui and Wang, p. 27)
CV-10, CV-8, CV-6, St-25, St-36 and St-40 for periumbilical pain (McWilliams, et al, Lesson 31, p. 17)
CV-4, St-29, Sp-6 and LI-2 for lower abdominal pain (McWilliams, et al, Lesson 31, p. 17)
Sp-4, UB-47/52, UB-21, UB-20, Sp-9, St-36, LI-3 and CV-9 for abdominal pain with flatulence (McWilliams, et al, Lesson 31, p. 17)
CV-4 , CV-8 and CV-12 for abdominal pain due to Cold in the Lower Warmer (McWilliams, et al, Lesson 31, p. 17)
LI-4 and PC-6 (+): promote flow of Qi and Xue (Blood); esp. for vomiting
point analysis
» palpate and consider:
UB-18 (-): pacifies the Shen; clears Liver Fire and Heat; cools Damp-Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes and regulates Xue (Blood); nourishes Liver Yin; harmonizes the Stomach and benefits the Qi; Liver Shu Associated point
UB-42/47 (=): regulates the Liver Qi and Yang; spreads Liver Qi; clears Heat; descends Rebellious Qi; regulates the Stomach Qi; Liver psychospiritual associated point
UB-19 (-): regulates the Qi and calms the emotions; cools and drains Heat from the Liver and Gall Bladder; transforms Damp-Heat; calms and harmonizes the Stomach; Gall Bladder Shu Associated point
UB-43/48 (-): dissipates Heat and Dampness from the Gall Bladder; strengthens the Spleen; regulates the Stomach; Gall Bladder psychospiritual associated point
UB-20 (=, - or +): regulates Spleen Qi; tonifies Spleen and Stomach; facilitates digestive transportation and transformation; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; reverses Rebellious Stomach Qi; harmonizes the Xue (Blood); warms the Middle Warmer (D); raises Middle Qi; drains Heat Shi (Excess) from the Middle Warmer; resolves Dampness and Phlegm; dispels Cold and relieves pain; esp. with back pain; Spleen Shu Associated point
UB-44/49 (-): regulates and strengthens 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); cultivates Yuan (Original) Qi; transforms Dampness; dissolves and eliminates Stagnation, Obstructions and congestions; descends Rebellious Qi; esp. with back pain; Stomach Shu Associated point
UB-25 (-): regulates the Qi of the Fu (Yang organs); regulates the Intestines and Stomach; transforms Stagnation; "initiates bowel movement for extruding the impurities" (Finkelstein, p. 45); resolves Damp-Heat; warms Cold and dries Damp-Cold; Large Intestine Shu Associated point
UB-27 (=): opens, moves and regulates the Small Intestine; eliminates Dampness and cools Heat; transforms Stagnation and Accumulation; promotes diuresis; promotes separation of the Clear and the Turbid; strengthens the lower back; Small Intestine Shu Associated point
UB-28 (=): dispels Wind and Dampness; regulates the Water Pathways; promotes diuresis; "disperses Qi, clears blockages, and facilitates functioning of the Lower Warmer to help perspiration and drainage" (Finkelstein, p. 46); clears Heat from Lower Warmer; reinforces Yuan (Original) Qi; Urinary Bladder Shu Associated point
LI-11 (-): clears Heat; eliminates Wind and dispels Exterior conditions; regulates and harmonizes Qi and Ying; cools and harmonizes Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; harmonizes the Stomach and regulates the Intestines; eliminates Dampness through the Intestines; Large Intestine Earth and Tonification point
LI-4 (+): dispels Exterior Wind, including Wind-Cold or Wind-Heat; reduces fever; pacifies the Shen; regulates Qi and Xue (Blood); activates Wei (Protective) Qi; induces or stabilizes sweating; relaxes Stomach spasms; relaxes pylorus and inhibits peristalsis; regulates Qi and disperses Heat of the Intestines; moves the bowels; elevates Clear Qi and descends Turbid Qi; clears Toxins; eliminates Damp-Heat; sedates pain; frees the channels and invigorates the collateral vessels; esp. for vomiting; Large Intestine Yuan Source and Entry point
LI-2 (-): dissipates Heat; cools the Intestines; disperses fullness and blockage of the Intestines; sedates pain; Large Intestine Water and Dispersion point
PC-6 (+): clears Heat; pacifies the Shen; harmonizes and spreads the Qi in the Upper and Middle Warmers; 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; expels gallstones; enhances purification and dispersement of the Triple Warmer; relieves pain; esp. for vomiting; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi and soothe the Liver; relieves pain in hypochondrium; helps transformation and transportation function of the Spleen; strengthens Spleen and Stomach; relieves Food Stagnation; invigorates flow of Xue (Blood) and 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; harmonizes Liver and Spleen; moves Fluids and relieves distension; transforms Damp-Heat; disperses Cold-Damp; regulates circulation of Qi and Xue (Blood); quickens the Xue (Blood) and disperses Xue Yu (Blood Stasis); Spleen Mu Alarm point of the Pi (Spleen); Hui Reunion point of the five Zang (Yin viscera)
St-25 (+ and D): regulates the Stomach and Spleen; regulates and facilitates the functioning of the Intestines; supports Earth and harmonizes the Center; opens the Qi of the Yang (hollow) organs, including the appendix (Finkelstein, p. 15); regulates Qi, esp. Ying (Constructive) Qi and Wei (Protective) Qi (Finkelstein, p. 15); tonifies Ying (Constructive) Qi and thus neutralizes Shi (Excess) Heat; strengthens power of the abdominal walls; eliminates Qi Stagnation and/or Xue Yu (Blood Stasis) in the Large Intestine; clears Heat from Large Intestine; transforms Dampness; ascends the Clear and descends the Turbid; Large Intestine Mu Alarm point
St-28 (-): activates Chong Mai (Penetrating Vessel); cools and clears Damp-Heat, esp. in Lower Warmer; regulates body fluids; facilitates Lower Warmer; seeps Water Dampness by opening Water Pathways to promote diuresis
Sp-15 (=): promotes the flow of Qi; regulates the Spleen (especially Qi); removes Dampness from Spleen; ventilates and clears Stagnant Qi of the organs; regulates and moistens the Intestines; reduces Food Stagnation and transforms Damp-Heat (especially intestinal); relieves abdominal distension
CV-12 (-): clears Stomach Fire and Heat; (+ and D): if patient not overheating; (d. D): five cones of direct moxa, green bean size, if unrelieved and not overheating; regulates and harmonizes the Stomach; strengthens and calms the Spleen; transforms Dampness; increases peristalsis of the stomach and jejunum, esp. upper section; thickens wall of jejunum (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; facilitates ascension of the Clear and descension of the Turbid; regulates the Intestines and stops excessive bowel movements; Stomach Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
CV-11 (=): moves and strengthens the Spleen; dissipates Dampness and disperses Accumulation, esp. Food Stagnation in the Stomach; harmonizes the Stomach; loosens the Center; aids digestion; esp. if pain below CV-12; useful for both acute and chronic gastritis
CV-9 (- or =): warms the Middle Warmer; dispels Cold; moves Spleen and Earth; regulates the Spleen and Stomach; regulates Intestines and stops diarrhea; 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); helps drainage of fluids via urination to harden stools (D); clears Damp-Heat; promotes diuresis
CV-8 (ind. D): resolves profuse sweating; warms cold limbs (Liu, p. 273); ten cones of indirect moxa, yellow bean size, with salt, if umbilicus deep; five cones of direct moxa, red bean size, if umbilicus shallow (So, 1987, p. 216); warms the Lower and Middle Warmers; warms and stabilizes the Yang; strengthens the transporting function of the Spleen and Stomach; dries Dampness and Damp-Cold; regulates Qi
CV-6 (+ and D): strengthens and moves the Qi; reduces Fire of Liver and Gall Bladder; regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates and tonifies Yuan (Original) Qi; warms the Lower and Middle Warmers (D); strengthens lower abdominal wall; moves Qi and Xue (Blood) in Lower Warmer; regulates Water Pathways and dispels Dampness
CV-4 (+ and D): pacifies the Shen; regulates the Qi and benefits the Yuan (Original) Qi; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer and Spleen; 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; eliminates Cold from the Lower Warmer (D); resolves Damp-Heat; regulates the Bladder; facilitates diuresis; Small Intestine Mu Alarm point
GV-1 (+): pacifies the Shen; clears Heat; opens the Ren Mai (Conception Vessel) and Du Mai (Governing Vessel); regulates the Intestines; secures the lower Orifices, particularly benefits the Qi of the anal sphincter; retracts the anus; Entry and Luo Connecting point of the Du Mai (Governing Vessel)
St-36 (-): calms the Shen; dispels Cold and expels Wind; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; disperses noxious Yang and brings down high fever; dispels and eliminates Dampness; regulates and strengthens Qi and Xue (Blood), Stomach and Spleen; removes Cold of Stomach and abdomen; descends Rebellious Qi; stops vomiting; removes Food Stagnation; disperses Stomach Fire; regulates and replenishes the Middle Warmer; regulates Ying (Constructive) Qi; 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, esp. chronic cases with Heat; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment 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, St-36 treats chronic cases" (Finkelstein, p. 21); dispels Food Stagnation and eliminates Accumulations of the Large and Small Intestines; frees the channels and invigorates the collateral vessels; Large Intestine He Sea Lower Uniting point
St-41 (-): pacifies the Shen; clears and descends Fire; dispels Wind; clears Heat in Stomach; harmonizes Stomach; supports Spleen Qi; transforms Damp Stagnation; sedates spasms; Stomach Fire and Tonification point
Sp-9 (-): regulates and tonifies Spleen (especially Yang); regulates the Stomach (especially Yin); warms and moves the Middle Warmer; regulates the Water Pathways; transforms Damp Stagnation, esp. through promotion of diuresis; dispels Damp-Heat and eliminates Phlegm-Dampness; benefits Lower Warmer; Spleen He Sea Uniting and Water point
Sp-5 (=): strengthens the Spleen and Stomach; transforms Damp Stagnation and Damp-Heat; relaxes muscles, sinews and tendons; relieves spasms (esp. along Spleen channel); stimulates the channels; Spleen Metal and Dispersion point
Sp-4 (=): pacifies the Shen; clears Heat; dispels Cold from the abdomen and relieves pain (D) - note: better than Sp-3 for pain (Finkelstein, p. 26); disperses perverse Wind in Spleen Xu (Deficiency) conditions; moves, 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; disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; transforms Dampness and Damp-Heat; tonifies Yuan (Original) Qi; descends the Turbid; Spleen Luo Connecting point; Master point of Chong Mai (Penetrating Vessel); Couple point of the Yin Wei Mai (Yin Linking Vessel)
Lv-4 (-): dissipates Heat and Fire in the Liver; dispels Dampness; spreads Liver Qi; Liver Metal point
Lv-3 (-): expels Wind; pacifies the Shen; relieves headache; clears and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; cools and drains Heat and Fire from the Liver and Gall Bladder; suppresses Rebellious Qi to stop vomiting; calms Stomach and expands chest; regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis); discharges Damp-Heat in the Lower Warmer; opens the channels and relaxes cramps; sedates pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
GB-40 (-): clears and drains Fire from the Liver and Gall Bladder; spreads the Liver Qi; benefits Gall Bladder; transforms Damp-Heat; Gall Bladder Yuan Source point
ear: large intestine, small intestine, stomach, lower portion of rectum, spleen, lung
footnotes