-IBIS-1.5.0-
tx
nervous system
myasthenia gravis
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Kidney Yin Xu (Deficiency), often with Empty Fire Blazing; Liver Wind; Spleen Qi Xu (Deficiency), possibly with Spleen Qi Sinking; Heart Xue Xu (Blood Deficiency); Xue Yu (Blood Stasis) with Fire Toxin; Shi (Excess) of the Du Mai (Governing Vessel); dysfunction of the Yin Qiao Mai (Yin Motility Vessel) and/or the Yang Qiao Mai (Yang Motility Vessel); Xu (Deficiency) of the Chong Mai (Penetrating Vessel)
» therapeutic note: The synchronous occurrence of dysarthria, acquired autoimmune activity, and a focus on muscles innervated by the cranial nerves suggests a parallelism with the Chinese concept of the Bones, Marrow and Brain (including the cranial nerves, cerebral spinal fluid and the immune function) as emanations of the Kidney orb. Like wise, Kidney would also for be connected with basic vitality and responsible for the pulling down of the Qi of the breath.
» illustrative combinations:
UB-18, UB-20, TW-17, St-6, TW-5, PC-6, LI-4, CV-12, CV-4, St-36 and Sp-6 for myasthenia gravis (Eisen)
GV-16, GV-1, GV-15, GV-17 and GV-28 are the Sea of Marrow points
GB-14, UB-2, LI-4, Kd-7 for diplopia (Shanghai, p. 146)
Kd-3 and Lu-5 for difficult inhalation; palpate and apply pressure to test for response before needling (Matsumoto)
CV-17 and CV-16 (ind. D with ginger): expand the chest; transform Phlegm; benefit the diaphragm; regulate Qi in the Upper Warmer; elevate Spleen Qi; suppress Stomach Qi
SI-3 and UB-62: open and regulate the Du Mai (Governing Vessel)
Kd-6 and Lu-7: open and regulate the Yin Qiao Mai (Yin Motility Vessel) which regulates muscular activity
UB-62 and SI-3: open and regulate the Yang Qiao Mai (Yang Motility Vessel) which regulates muscular activity
Sp-4 and PC-6: open and regulate the Chong Mai (Penetrating Vessel) for which Xue Xu (Blood Deficiency) is a Xu (Deficiency) sign
GV-16 and GV-20: treat brain disorders (Finkelstein, p. 81)
point analysis
» palpate and consider:
GV-16 (+): calms the Shen and quiets the Soul; benefits and clears the Brain; drains Fire; eliminates Yang Shi (Excess) from upper body and cleanses Yang which has been obscured by Phlegm; stimulates the pituitary and central nervous system (Finkelstein, p. 80); clears Heart of pathogenic Heat; eliminates Liver Wind; facilitates the joints; Window of the Sky point; Sea of Marrow point; sends a vessel directly into the brain
GB-20 (=): pacifies Liver Wind and dissipates Internal Wind; awakens the Shen and clears the Brain; subdues Liver Yang and Fire, esp. from the head, to calm and regulate the Liver; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
UB-13 (+): clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Lung and Upper Warmer; strengthens and promotes the circulation of the Lung Qi; activates dispersing function of the Lung to spread Lung Qi and calm wheezing; expands and relaxes the chest; regulates the Upper Warmer; tonifies the Lung; warms the Lung (D); harmonizes the Ying and Xue (Blood); Lung Shu Associated point
UB-38/43 (+): regulates the Shen (hence called the "Happy point"); strengthens Xu (Deficiency) conditions; treats all chronic disease; clears Empty Heat; regulates the Lung Qi; tonifies Heart Qi and fortifies the Spleen; releases unresolved emotions; strengthens the Xue (Blood); tonifies the Kidney and restores Yuan (Original) Qi; Pericardium psychospiritual associated point
UB-15 (=): calms the Heart and the Shen; strengthens and clears the Brain; regulates the tongue and speech; strengthens Heart Qi, nourishes Heart Xue (Blood), and tonifies Heart Yin; clears Heart Fire and disperses Yang Shi (Excess) in the Heart (-); cools Heat in the Xue (Blood); invigorates circulation of the Qi and Xue (Blood) and tonifies Xu (Deficiency); influences the thyroid (Worsley, 1975, p. B-20); benefits the Lung; relaxes and expands the chest, and benefits the Qi; Heart Shu Associated point
UB-17 (+): regulates, nourishes and invigorates the Xue (Blood) (esp. invigorates with D); transforms Xue Yu (Blood Stasis) and clears Heat from the Xue (Blood); tonifies the Qi; enriches Yin; generates Fluids; expands the chest and diaphragm; strengthens Xu (Deficient) conditions and increases stamina; harmonizes Stomach Qi; strengthens upper back (- then +) (Finkelstein, p. 40); Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-18 (= or +): pacifies the Shen; stimulates the Brain; benefits the Liver and moves stagnant Qi; nourishes Liver Xue (Blood) and Yin; extinguishes Liver Wind; clears Liver Fire and Heat; benefits the eyes and improves vision; cools Heat in the Xue (Blood); Liver Shu Associated point
UB-20 (+): regulates Spleen Qi; tonifies the Spleen and resolves Dampness; harmonizes the Xue (Blood); benefits the Ying (Constructive) Qi; nourishes and tonifies the Xue (Blood); raises Middle Qi; Spleen Shu Associated point
UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); strengthens the Brain and Marrow; brightens the eyes; strengthens the Heart (Ross, 1985, p. 130); strengthens Kidney function of reception of Qi; strengthens Yang and Qi Hai; influences adrenals; counterbalances Liver Fire; drains Heat from the Lower Warmer; strengthens the spine, esp. the lower back; benefits the knees; controls the bones and teeth; Kidney Shu Associated point
UB-47/52 (+): strengthens Will power; tonifies Kidney Qi, Kidney Yang, Kidney Yin, Jing (Essence) and Yuan (Original) Qi; influences the pituitary, adrenals and testes (Worsley, 1975, p. B-20); resolves Dampness; strengthens lower back (-, then +); Kidney psychospiritual associated point
UB-54/40 (-): clears Heat and drains Toxins from the Xue (Blood); transforms Damp-Heat; strengthens the waist; relaxes the sinews and muscles; benefits the lower back, hips, legs and knees; Bladder He Sea Uniting and Earth point; Command point of the back (upper and lower)
CV-23 (=): clears Fire and Heat; opens and moistens the throat; meeting point of the Kidney and Heart (Finkelstein, p. 93)
GB-14 (-): clears the vision; brightens the eyes; invigorates Qi circulation; stops pain
UB-1 (=): cools and eliminates Heat in the eyes; clears the vision and brightens the eyes; enriches Yin (esp. in relation to the eyes); controls the pituitary gland and its secretions via the hypothalamus and the autonomic nervous system; Bladder Entry point; Polarization point of the Yin and Yang Qiao Mai (Motility Vessels); Master point for the eyes (Mann, p. 30)
UB-2 (=): spreads Heat and Qi in the head; clears cerebral congestion; benefits and brightens the eyes; reinforces Kidney Water and nourishes Liver Wood (both in relation to the eyes); invigorates the channels
TW-17 (=): clears Heat; disperses Wind; frees the channels; benefits hearing and vision; opens the Orifices; relaxes the sinews and tendons, especially facial
St-6 (=): disperses Wind; regulates the flow of Qi; opens the channels and invigorates the collateral vessels; promotes the smooth functioning of the joints
TW-5 (=): opens and moves the Yang Wei Mai (Yang Linking Vessel) and regulates the Dai Mai (Girdle Vessel); clears Heat and dissolves Toxins; clears Xiao Yang (Gall Bladder) in the head and disperses Liver Yang Shi (Excess); frees the channels to facilitate the circulation of Qi in the channels; invigorates the collateral vessels; strengthens and relaxes the sinews and tendons; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
PC-6 (+): pacifies the Shen; awakens the Brain by improving intracranial circulation; tranquilizes the Heart; regulates the Qi; builds Zhong (Ancestral) Qi in the chest; harmonizes, facilitates and spreads the Qi of the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); opens the chest; releases and expands the diaphragm; regulates Liver Qi and relieves Liver Qi Stagnation; 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)
Lu-7 (=): opens the Lung; spreads Lung Qi by stimulating the descending and dispersing of Lung Qi; opens and regulates the Ren Mai (Conception Vessel); regulates the Yin Qiao Mai (Yin Motility Vessel); tonifies Yang Ming (Stomach and Large Intestine); Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel); Command point of the head and back of the neck; takes Yuan (Original) Qi back to the Lung that has not been absorbed by the Yang Ming and therefore ensures the Qi feedback into the Kidney (Metal to Water) (Finkelstein, p. 3)
Lu-5 (=): cools and clears Upper Warmer Heat; sedates Lung Shi (Excess); stimulates descending of Lung Qi; aids difficult inhalation (Matsumoto); regulates the sinews and tendons; Lung He Sea Uniting, Water and Dispersion point
LI-4 (=): pacifies the Shen; regulates Qi and Xue (Blood); brightens the eyes; tonifies Lung Qi; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; elevates Clear Qi and descends Turbid Qi; clears Toxins; relaxes sinews and tendons; Large Intestine Yuan Source and Entry point; command point of the face and mouth
St-9 (-): regulates Qi and Xue (Blood); calms dyspnea; clears and benefits the throat; treats dysphagia; frees the channels and invigorates the collateral vessels; Great Window of the Sky point; Exit point of the Sea of Qi
Kd-27 (+): regulates and volatilizes the Lung; tonifies Yuan (Original) Qi; expands and relaxes chest; fortifies the Spleen; stimulates Kidney function of reception of Qi; tonifies Kidney (especially Yang); sedates dyspnea and asthma
Kd-25 (+): pacifies the Shen; opens the chest and ventilates the Lung; relieves cough and asthma due to Kidney Xu (Deficiency); dissolves Phlegm; regulates flow of Qi; stimulates Kidney function of reception of Qi; tonifies Kidney (especially Yang)
CV-21 (=): regulates movement of Qi, esp. facilitates downward flow of Qi; spreads Lung Qi; sets the Upper Warmer in motion; volatilizes the pulmonary air; relaxes the chest; eliminates stuck Phlegm, esp. in the digestive tract (Finkelstein, p. 93); treats dysphagia
CV-17 (+): calms emotions; regulates and smooths Qi circulation in the Upper Warmer; clears the Lung; enhances breathing; reinforces the Zhong (Ancestral) Qi of the chest; expands the chest and soothes the diaphragm; elevates Spleen Qi; Pericardium and Upper Warmer Mu Alarm point; Hui Reunion point of the Qi; Upper Sea of Qi; Center Reunion point of the Breath
CV-16 (=): relaxes the chest and facilitates the flow of Qi; regulates the Middle Warmer
CV-12 (+): strengthens and calms the Spleen; transforms Dampness; transforms and suppresses Rebellious Qi; benefits and soothes the Qi; raises Middle Qi; facilitates ascension of the Clear and descension of the Turbid; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
CV-4 (+): benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; tonifies the Middle Warmer, strengthens Spleen and benefits the raising Qi; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); separates the Clear and Turbid; nourishes and stabilizes the Kidney; Small Intestine Mu Alarm point
St-36 (+): regulates the Stomach and strengthens the Spleen; tonifies Qi and Xue (Blood); nourishes Kidney, Liver and Spleen; supports Lung Qi and disperses Stagnation in the Upper Warmer; strengthens weak and deficient conditions; strengthens all striated muscle; descends Rebellious Qi; regulates and replenishes the Middle Warmer and Ying (Constructive) Qi; tonifies Kidney Yin; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point
Sp-10 (=): harmonizes and tonifies Ying (Constructive) Qi; regulates and invigorates the Xue (Blood); cools Heat, dissipates Wind, and transforms Damp-Heat in the Xue (Blood); nourishes Xue (Blood) Dryness; "Sea of Blood"
Sp-6 (+): pacifies the Shen; nourishes Yin, esp. of the Spleen, Liver and Kidney; influences pituitary and adrenals (Worsley, 1985, p. B-20); disperses Heart Fire; clears Fire due to Xu (Deficiency); loosens congestion in the diaphragm; strengthens the Spleen; tonifies Qi and builds the Xue (Blood); clears Xue (Blood) Heat and transforms Xue Yu (Blood Stasis); spreads the Liver Qi and suppresses Liver Heat; warms the Middle and Lower Warmers; tonifies the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-4 (+): pacifies the Shen; disperses perverse Wind in Spleen Xu (Deficiency) conditions; moves and strengthens the Spleen and Middle Warmer; harmonizes the Chong Mai (Penetrating Vessel) and circulation of Qi in the Middle Warmer; descends Rebellious Qi; invigorates the Xue (Blood) and regulates the Sea of Xue (Blood); regulates the Yin Wei Mai (Yin Linking Vessel); disperses Qi Stagnation and Xue Yu (Blood Stasis), esp. in the Middle Warmer; transforms Dampness and Damp-Heat; 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)
GB-34 (=): subdues Liver Yang and harmonizes the Liver; extinguishes Liver Wind; tonifies Spleen; dissolves Phlegm; strengthens and relaxes sinews and tendons; relieves soreness from fatigued muscles; benefits joints, esp. knees and hips; frees the channels and invigorates the collateral vessels; alleviates pain; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
Lv-8 (+): drains Liver Fire; nourishes Liver Xue (Blood); clears and cools Damp-Heat; soothes the sinews and tendons; frees and facilitates the Lower Warmer; invigorates the collateral vessels; Liver He Sea Uniting, Water and Tonification point
Lv-3 (=): pacifies the Shen; clears head and thinking; suppresses dizziness; brightens and benefits the eyes to improve vision; stimulates vision center of the central nervous system (Finkelstein, p. 73); drains Liver Fire and spreads Liver Qi Stagnation; promotes smooth flow of Qi and Xue (Blood); regulates the Vital Qi, strengthens Raising Qi, and removes irregularities in the body Qi; calms and extinguishes Liver Wind; suppresses Rebellious Qi and expands chest; tonifies Liver Xue (Blood); opens the channels and regulates muscle contractility; Liver Yuan Source and Earth point
Kd-7 (+): clears Heat and nourishes Yin; strengthens the Spleen and tonifies Yuan (Original) Qi; strengthens and enriches the Kidney; tonifies the Liver via the mother/child relationship; stimulates adrenals, thyroid and testes; strengthens the back, esp. lumbars; Kidney Metal and Tonification point
Kd-6 (+): pacifies the Shen and stabilizes the Will; nourishes the Heart; clears Xu (Deficiency) Fire; opens the Ren Mai (Conception Vessel); brightens the eyes and sends Zhong (Ancestral) Qi to the eyes via the Yin Qiao Mai (Yin Motility Vessel); clears the Lung and tonifies Lung Yin; benefits the throat; tonifies Kidney (especially Yin); strengthens lower back and loins; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel)
Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; pacifies Xu (Deficiency) Fire; strengthens the Brain; nourishes the Yin to moisten the Lung, calm wheezing, and sedate cough; treats thyroid imbalance (Matsumoto); reinforces Kidney to accept Qi (Finkelstein, p. 53); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); strengthens lower back, waist and knees; relieves pain in the bones; Kidney Yuan Source and Earth point
UB-62 (=): cools and clears Fire and Heat; clears the Shen and Heart; "drains and disperses Fire from region of eyes by dispersing qing-qi of eyes" (Finkelstein, p. 50); opens and moves the Yang Qiao Mai (Yang Motility Vessel); regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; soothes sinews, tendons and vessels; relaxes the Muscle channels; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel)
ear: shen men, kidney, spleen (Eisen)
footnotes
Reprinted from Zang Fu: The Organ Systems of Traditional Chinese Medicine, Ross, Jeremy, 2nd ed, p. 75, 1985, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.