-IBIS-1.5.0-
tx
mental/emotional
Bipolar Disorder
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Shen Disturbance; Heart Xue Xu (Blood Deficiency); Heart Misted by Cold Phlegm; dysfunction of the Du Mai (Governing Vessel); Depression is Yang Ming Xu (Deficiency) and Tai Yin Shi (Excess); Mania is vice versa.
» therapeutic note: see also "depression" and "Attention-Deficit Hyperactivity Disorder/ADD" as the polarities will often demand very different approaches in terms of point selection, combinations and technique
» illustrative combinations:
GV-20, ding shen, si shen cong, yao qi, PC-5, SI-3 St-40 and Kd-1: treat manic depressive patterns (Flaws, p. 98)
PC-7, LI-1, Sp-6 and Kd-4: treat manic depressive mood swings (Finkelstein, p. 53)
GV-26, Lu-11, Sp-1, PC-7, UB-62, GV-16, St-6, CV-24, PC-8, GV-23, CV-1 and LI-11 for mania and melancholia (Lee and Chuang, p. 325)
UB-58, St-23 and St-24 for melancholia and mania with protrusion of the tongue (Lee and Cheung, p. 325)
consider treatment for "Internal Dragons" or "External Dragons"; External Dragons: GV-20, UB-11, UB-23, UB-61; Internal Dragons: Master point 1/4" below CV-15, St-25, St-32, St-41; In both treatments, sedate first. If the person and the pulses change, fine. If no change with sedation, then tonify. (Worsley)
GV-15, GV-20, CV-11, PC-6, Ht-5 and Sp-6 (also consider Kd-4, GB-34, Lv-5 and Ht-7) for melancholia (Lee and Cheung, p. 324)
Kd-4 (listed as "Kd-5") and UB-15; PC-7 and GV-20; St-8, GB-37 and SI-3: when patient weeps without adequate cause (Mann, p. 141)
CV-11 and PC-6: "sweep away bitterness in the chest" (Ellis, et al, 1988, p. 356)
CV-4, CV-12, CV-22 and GV-9 are the Reunion Points of the Yin and Yang, they are needled when there is conflict between Yin and Yang, according to Su Wen (Finkelstein, p. 78)
GV-15, PC-8, Sp-6, Kd-1, Kd-3, CV-12, GB-30, St-36 and LI-4 are the Nine Needles for Returning the Yang (Li, p. 627-628; Ellis, et al, 1988, p. 66)
Kd-3, UB-23 and UB-15: adjust disharmony of Heart and Kidney (Finkelstein, p. 53)
CV-12 and PC-5: broaden the chest and treat Qi Depression (Finkelstein, p. 89)
CV-12 and Lv-2: broaden the Middle Warmer and treat Qi Depression (Finkelstein, p. 89)
SI-3 and UB-62: open the Du Mai (Governing Vessel) for which Shen disorders are a symptom of Shi (Excess)
point analysis
» palpate and consider:
GB-15 (-): pacifies the Shen and clears the Brain; balances the emotions and mental state with bipolar extremes (Maciocia, p. 446)
GV-16 (-): calms the Shen and quiets the Soul; opens and clears the Brain; drains Fire; eliminates Yang Shi (Excess) from upper body and cleanses Yang which has been obscured by Phlegm; stimulates pituitary and central nervous system (Finkelstein, p. 80); clears Heart of pathogenic Heat; eliminates Liver Wind; esp. for patient who wanders around madly, with eyes flashing and moving wildly; Window of the Sky point; Sea of Marrow point; Ghost point
GV-15 (=): clears the Shen and consciousness; strengthens the Mind; benefits and clears the Brain; balances mental state (Maciocia, p. 210); Sea of Bone Marrow Exit point; Sea of Marrow point
GV-9 (=): treats mental disorders; regulates the Qi functions; expands the chest and diaphragm; clears Liver Fire and Heat; regulates the Liver and Gall Bladder; Reunion Point of the Yin and Yang
UB-14 (=): disperses Yang Shi (Excess) in the Jue Yin (Pericardium and Liver); regulates and tonifies the Heart (especially Qi and Yang); expands and relaxes the chest; spreads Liver Qi; Pericardium Shu Associated point
UB-38/43 (+): regulates the Shen (hence called the "Happy point"); tonifies Heart Qi; releases unresolved emotions; strengthens the Xue (Blood); restores Yuan (Original) Qi; transforms Phlegm; Pericardium psychospiritual associated point
UB-15 (- or +): calms the Heart and the Shen; quiets the Mind and the Soul; strengthens and clears the Brain; regulates the tongue and speech; regulates the Xue (Blood) and Qi of the Heart; strengthens Heart Qi, nourishes Heart Xue (Blood), and tonifies Heart Yin; clears Heart Fire and disperses Yang Shi (Excess) in the Heart (-); calms sexual dreaming; transforms Heart Phlegm; invigorates circulation of the Qi and Xue (Blood); relaxes and expands the chest, and benefits the Qi; Heart Shu Associated point
UB-39/44 (=): pacifies the Shen; clears the Brain; regulates the Heart Qi; expands and relaxes the chest; clears Heat; Heart psychospiritual associated point
UB-16 (=): calms the Heart and Shen; clears the Mind; invigorates Xue (Blood); regulates the tongue and speech; benefits the breath and the Diaphragm; expands and relaxes the chest; regulates the Heart; disperses Yang Shi (Excess) in the Du Mai (Governing Vessel); Shu Associated point of the Du Mai (Governing Vessel)
UB-18 (-): pacifies the Shen; stimulates the Brain; benefits the eyes and improves vision; drains the Liver and clears Liver Fire; extinguishes Liver Wind and stops convulsions; moves Stagnant Qi; nourishes and regulates the Xue (Blood); nourishes Liver Yin; Liver Shu Associated point
si shen cong (-): pacify the Shen; subdue Internal Wind; enhance movement of the limbs; free the channels and collateral vessels
GV-20 (-): clarifies the Brain, Mind and senses; pacifies the Shen and stabilizes the Will; regulates and tonifies the Qi (D); adjusts Qi of the Du Mai (Governing Vessel); elevates the Clear Qi; spreads Liver Qi; extinguishes Liver Wind from upper body and pacifies Liver; stimulates the pineal; Sea of Marrow point; Jiao Hui Intersecting point of the six Yang channels and the Du Mai (Governing Vessel)
ding shen (=): calms the Shen; clears Internal Wind
an mian (-): pacifies the Shen; clears the Brain
yao qi (-): clears Internal Wind
yin tang (=): pacifies the Shen; clears the Mind; influences the pituitary and pineal; eliminates Interior Wind; promotes relaxation
St-6 (-): regulates the flow of Qi; Ghost point
GV-23 (-): clears the Mind; brightens the eyes; Ghost point; in Vietnamese, this point is called "Than Duung, MihnCuong, Qui Duong": "Route of the Gods, Clear Spirit, Route of the Devil" (Finkelstein, p. 82); "upper star"
GV-26 (-): clears the Shen, Brain and senses; pacifies the Shen and stabilizes the Will; regulates Rebellious Qi of Yin and Yang to harmonize Yin and Yang; regulates the Du Mai (Governing Vessel); expels Internal Wind; transforms Heart Phlegm
CV-24 (-): dispels Dampness; treats insanity, mania and withdrawal; Ghost point
CV-23 (=): clears Fire and Heat; opens and moistens the throat; meeting point of the Kidney and Heart (Finkelstein, p. 93)
PC-5 (-): calms the Mind and pacifies the Shen; regulates and clears the Heart; drains Shi (Excess) Fire from the Heart; resolves Phlegm in the Heart; nourishes the Heart; regulates Heart Qi; opens and dispels fullness from the chest; drains the Triple Warmer; Pericardium Metal point; Meeting of the three Hand Yin channels
PC-6 (=): pacifies the Shen; regulates the balance between External and Internal to regulate the Qi of Yin and Yang (Finkelstein, p. 58); tranquilizes the Heart; regulates the Qi; opens the chest; builds Zhong (Ancestral) Qi in the chest; harmonizes, regulates and spreads the Qi in the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); 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; regulates the Chong Mai (Penetrating Vessel); Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel); Ghost point
PC-7 (-): regulates the Qi; calms the Mind; clears the Heart; pacifies the Shen; clears Fire of Heart and Pericardium; draws Xu (Deficiency) Fire back into the Mind; nourishes Heart Xue (Blood); opens Heart Orifices; relaxes the chest; Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436); Ghost point
PC-8 (-): pacifies the Shen; clears the Brain; regulates the Heart (esp. Qi and Yang); clears Fire; cools and clears Heat from the Heart and Shen; drains and disperses Heat from the Pericardium; Pericardium Fire, Horary and Exit point; Ghost point
Ht-3 (=): pacifies the Shen and Soul; enhances stability with nervous exhaustion; clears Heat; regulates the Heart Qi; Heart He Sea Uniting and Water point; "Joy of Life" point (Finkelstein, p. 32)
Ht-5 (-): pacifies the Shen; regulates and tonifies Heart Qi; opens Heart Orifices to calm palpitations and relieve nervous condition (Finkelstein, p. 32); esp. with fear, hysteria and/or agoraphobia; clears Heart Fire and Xu (Deficiency) Heat; benefits a slow pulse; benefits the Bladder; Heart Luo Connecting point
Ht-7 (-): pacifies the Shen; regulates and calms the Heart; relieves palpitations, insomnia and fear; general sedative and regulating effect on the inner organs; tonifies and nourishes Heart Xue (Blood) and Yin; clears Heat of Heart; regulates and tonifies the Heart, esp. Heart Qi; stabilizes the Exterior and stops sweating, esp. night sweats; Heart Yuan Source, Earth and Dispersion point; Ghost point (Finkelstein, p. 32)
Ht-9 (-): sedates the Shen; subdues Internal Wind; pulls Qi down; strengthens Heart Yin and Yang; regulates the Heart; tonifies Heart Qi; Shi (Excess) pattern with Heat in the Heart (Maciocia, p. 402); indicated for mania, severe depression, and dreams with fire and smoke; Heart Jing Well, Wood, Tonification and Exit point
SI-3 (=): pacifies the Shen and clears the Mind; opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); treats pituitary imbalance, using location reactive to palpation, often ca. SI-3.5 (Matsumoto); dispels Dampness and Internal Heat; transforms Heart Phlegm and dispels Wind-Phlegm; relaxes the sinews and muscles; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel); Ghost point
LI-11 (-): clears the Shen; regulates and harmonizes Xue (Blood) and Qi; clears Heat and drains Fire; regulates the Xue (Blood); tonifies Metal to restrain Wood, esp. the Liver; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Ghost point
LI-1 (-): cools, moves and discharges pathogenic Heat from Yang Ming (Stomach and Large Intestine); brightens the eyes; cools the Lung; Large Intestine Jing Well, Metal and Horary point
Lu-11 (-): dispels Wind as in convulsions; pacifies the Shen and suppresses madness; clears and regulates the Lung; regulates and discharges Rebellious Qi Fire in the twelve channels (Ellis, et al, 1988, p. 87); Lung Jing Well and Wood point; Ghost point
shi xuan (- or bleed): clear Heat and subdue Internal Wind; clear the Heart Orifices; treats mania and withdrawal
CV-15 (+): clears Heat and extinguishes Wind; pacifies the Shen; stimulates pituitary (Finkelstein, p. 91); nourishes Heart Yin; promotes flow of Qi; benefits Yuan (Original) Qi; nourishes all Yin organs; relaxes the chest; transforms Phlegm; Luo Connecting point of the Ren Mai (Conception Vessel) with the Du Mai (Governing Vessel); Source point of the five Zang (Yin viscera)
CV-14 (-): stabilizes the Shen; adjusts and clears the Heart; treats mania and withdrawal; regulates and invigorates the Qi; expands and clears the chest; disperses congested Phlegm in the chest and diaphragm, esp. when contributing to emotional motor seizures; benefits the diaphragm; acts on the nervous system and brain through the solar plexus and releases tension throughout whole body (Finkelstein, p. 90); Heart Mu Alarm point; Heart Qi enters the Ren Mai (Conception Vessel) here (Finkelstein, p. 90)
CV-12 (= or +): builds Heart Yang; strengthens and calms the Spleen; transforms Dampness; benefits and soothes the Qi; Stomach and Upper Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs); Reunion Point of the Yin and Yang
CV-11 (= or +): moves and strengthens the Spleen; dissipates Dampness; loosens the Center
CV-4 (= or +): pacifies the Shen; grounds the Shen when there is Empty Heat (Maciocia, p. 207); regulates the Qi and benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates and reinforces the Qi of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); nourishes and stabilizes the Kidney; roots the Ethereal Soul; strengthens and replenishes the Kidney Qi; Small Intestine Mu Alarm point; Reunion Point of the Yin and Yang
CV-1 (-): communicates Yin with Yang; pacifies the Shen; clears the Brain; tonifies and regulates Qi; clears Heat and transforms Dampness; boosts the Kidney and secures the Jing (Essence); regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); regulates the menstruation; Entry and Luo Connecting point of the Ren Mai (Conception Vessel); Entry point of the Chong Mai (Penetrating Vessel)
St-39 (= or +): improves flow of Xue (Blood); clears Heat and resolves Damp; sends warmth (Fire) into the Bladder channel (and into all the Shu Associated points as a result) as well as into the Kidney via the internal duct (Finkelstein, p. 21); He Sea Lower Uniting point of the Xiao Chang (Small Intestine); Sea of Xue (Blood) point
St-40 (-): clears and calms the Shen; regulates the Lung and relieves chest congestion; strengthens the Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates Qi of the Stomach and Spleen; transforms and eliminates Phlegm and Dampness; strengthens Kidney Yin and drains Liver Yang; Stomach Luo Connecting point
Sp-6 (+): nourishes Yin of Spleen, Liver, Kidney to build Heart Yin; transforms Dampness; clears Fire due to Xu (Deficiency); tonifies Qi and builds the Xue (Blood); regulates Xue (Blood) circulation; frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; benefits the Kidney; Jiao Hui Intersecting point of the three Foot Yin channels
Sp-1 (-): pacifies the Shen; clears the Heart and Brain; brings thoughts down (D); regulates Yin-Yang; strengthens the Yang and elevates Yang Qi; benefits the Qi; regulates and stimulates the flow of Xue (Blood); Spleen Jing Well and Wood point; Ghost point
Kd-4 (+): benefits Jing (Essence) to treat the Mind and calm fear; 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); Kidney Luo Connecting point
Kd-1 (-): pacifies the Shen and tranquilizes the Mind; regulates Yin and Yang; guides Rebellious Qi and Fire downward; pacifies and calms the Heart; nourishes Yin, esp. Kidney Yin (and thereby suppresses Liver Fire); reinforces the Kidney and benefits the Jing (Essence); moves the Qi and promotes labor; promotes diuresis; Kidney Jing Well, Wood, Dispersion and Entry point
UB-62 (=): cools and clears Fire and Heat; clears the Shen and Heart; opens and moves the Yang Qiao Mai (Yang Motility Vessel); regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; Master point of the Yang Qiao Mai (Yang Motility Vessel); Couple point of the Du Mai (Governing Vessel); Ghost point
GB-37 (=): stimulates anterior lobe of the pituitary (Finkelstein, p. 70); clears and reduces Fire of Liver and Gall Bladder; regulates the Liver; clears the eyes; Gall Bladder Luo Connecting point
Lv-5 (-): drains the Liver; spreads Liver Qi and disperses Liver Qi Stagnation; benefits the Qi; tonifies Liver and Yang; secures Jing (Essence); tonifies and warms Fire of Life function as manifested in sexuality (Finkelstein, p. 74); Liver Luo Connecting point
Lv-2 (-): calms the Shen and eases the Mind; removes Depression; sedates fright; disperses Qi and clears Fire of the Heart; clears the Pericardium; disperses, drains and clears Fire of Liver and Gall Bladder; subdues Yang Shi (Excess); soothes and loosens Liver to release Liver Qi; disperses Stagnant Qi of Liver and Gall Bladder; eliminates Interior Wind; cools the Xue (Blood); clears the Lower Warmer; relaxes cramps, spasms and convulsions; esp. for manic phase in patient who angers easily; Liver Fire and Dispersion point
footnotes
Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.