-IBIS-1.5.0-
tx
cardiovascular system
hypertension
acupuncture




patterns and combinations

after assessing the person and palpating, consider these patterns:
Flourishing of Fire of Liver and Gall Bladder; Liver Wind Stirring; Liver Yang Rising; Liver Fire Blazing Upward; Upward Attack of Qi and Xue (Blood); Gall Bladder Phlegm; Liver and Gall Bladder Invaded by Damp-Heat; Xue Yu (Blood Stasis) and Liver Qi Stagnation; Liver Xue Xu (Blood Deficiency) with Liver Yang Rising; Pericardium Invaded by Heat; Xue (Blood) Heat; Xiao Yang imbalance in the Windows to the Sky; Spleen Qi Xu (Deficiency); Excessive secretion and obstruction by Wet Phlegm; Wind-Phlegm Obstruction; Liver and Kidney Yin Xu (Deficiency), esp. with Empty Fire Blazing; Xu (Deficiency) of both Yin and Yang

» illustrative combinations:
• St-9, LI-11 and St-36 for hypertension (Shanghai, p. 165; Lee and Cheung, p. 246)
• Lv-3, UB-18, St-36 and LI-11 for primary hypertension; also consider Ht-7 and yin tang with dizziness; PC-6 and UB-15 with palpitation; Ht-7 and Sp-6 with insomnia (Liu, p. 287)
• GB-20, LI-11, St-36 and Lv-3 for hypertension; also consider Lv-2, tai yang, TW-7, Ht-7, an mian, Sp-6, Kd-3, GB-34, Sp-9, St-40, PC-6, CV-4 and CV-6 (Lee and Cheung, p. 245)
• St-36, PC-6, Sp-6, GV-20, LI-4 and Lv-2 for hypertension (Lee and Cheung, p. 246)
• LI-11 and St-36: reduce hypertension; stimulate digestion and general metabolism; and disperse noxious Yang (Finkelstein, p. 9)
• Lv-3 -> Kd-3 for hypertension (Flaws, 1989, p. 100)
• LI-11 -> Ht-3 for hypertension (Flaws, 1989, p. 100)
• GB-20, GB-5, yin tang, GB-34 and Lv-2 with Liver Yang Rising contributing to hypertension (Qiu and Su, p. 64-67)
• UB-18, UB-23, LI-11, Ht-7, St-36, Sp-6, Kd-3 and Lv-3 with Liver and Kidney Xu (Deficiency) contributing to hypertension (Qiu and Su, p. 64-67)
• GV-20, GB-20, UB-2, GB-31, GB-34 and Lv-3 with Yin and Yang Xu (Deficiency) contributing to hypertension; add UB-23 and GV-4 if Yang Xu (Deficiency) greater; add Ht-7 and Sp-6 if Yin Xu (Deficiency) greater (Qiu and Su, p. 64-67)
• GB-20, LI-11, LI-4, St-36 and St-40 with Wind-Phlegm Obstruction contributing to hypertension (Qiu and Su, p. 64-67)
• GV-20, GV-26, shi xuan, Lv-3 and St-40 with Upward Attack of Qi and Xue (Blood) contributing to hypertension (i.e., sudden collapse) (Qiu and Su, p. 64-67)
• St-41 and Ht-5 for headache with red face and eyes in hypertensive patient (Shanghai, p. 598)
• GV-20, GB-19 and UB-10 for vertigo (Lee and Cheung, p. 246)
• GB-15, SI-5, SI-4 and UB-62 for vertigo; HT-5, St-41 for headache, flushed face and congested eyes (Lee and Cheung, p. 246)
• Ht-5 and St-41 for headache with red face and eyes in hypertensive patient (Shanghai, p. 598)
• UB-17 and Lv-14 (-): reduce associated insomnia
• PC-6 and St-40 (-): transform Phlegm; calm Spleen/Stomach; relax chest
• GB-34 and Lv-2 (-): clear Fire from and soothe Yang of Gall Bladder and Liver
• UB-23 and CV-4 (=): relieve fatigue and lassitude by tonifying the Kidney
• Kd-3 and Sp-6 (+): nourish Kidney Yin
• CV-6 and CV-4 (n+d. D): warm Kidney Yang
• Ht-7 and an mian (-): calm the Shen


point analysis

»
palpate and consider:
• GV-20 (-): subdues ascending Liver Yang; pacifies the Shen; spreads Liver Qi; adjusts Qi of the Du Mai (Governing Vessel); regulates and tonifies the Qi (D); extinguishes Liver Wind from upper body and pacifies Liver; clears Heat and stops spasms from convulsions (bleeding); Sea of Marrow point; Jiao Hui Intersecting point of the Yang channels
• GV-14 (-): clears and drains Heat; clears the Shen, calms the Soul, and pacifies the Will; opens and restores the Yang by spreading Yang Qi through the Du Mai (Governing Vessel) and whole body; regulates and stimulates the flow of Qi; regulates the Xue (Blood); Jiao Hui Intersecting point of the Yang channels
GB-20 (-): clears and contains Yang Qi Shi (Excess); clears Liver Fire; awakens the Shen and clears the Brain; 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
• GB-21 (-): regulates Gall Bladder and Liver Qi to reduce Obstruction in the channels, opens Qi circulation to head; clears Heat; spreads Liver Qi and extinguishes Liver Wind; clears and invigorates the channels; extinguishes Liver Wind; redirects Rebellious Qi downward; dissolves Phlegm; relieves associated headache and shoulder/neck tension
• an mian (-): pacifies the Shen; clears the Brain
UB-10 (-): dispels Wind and Wind-Phlegm; clears Fire; descends Rebellious Qi; clears the head; regulates medullary functions (Mann, p. 32); brightens the eyes; strengthens or relaxes the sinews and tendons; relieves associated headache and shoulder/neck tension; Window of the Sky point; Sea of Qi general point
UB-15 (=): calms the Heart and the Shen; nourishes and strengthens the Heart; regulates the Xue (Blood) and Qi; reinforces the Heart Qi; relieves palpitations; nourishes Heart Xue (Blood); disperses Yang Shi (Excess) in the Heart; cools Heat in the Xue (Blood); relaxes the chest; Heart Shu Associated point
• UB-17 (-): reduces insomnia; regulates and invigorates the Xue (Blood); clears Heat from the Xue (Blood); enriches Yin; strengthens Xu (Deficient) conditions; Shu Associated point of the Diaphragm; Hui Reunion point of the Xue (Blood)
UB-18 (+): pacifies the Shen and calms the emotions; tonifies Liver; moves Stagnant Liver Qi; benefits the eyes and improves vision; nourishes Liver Xue (Blood) and Yin; clears Liver Fire and Heat; cools Heat in the Xue (Blood); Liver Shu Associated point
• UB-42/47 (=): regulates the Liver Qi and Yang; spreads Liver Qi; clears Heat; descends Rebellious 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; Gall Bladder Shu Associated point
UB-23 (=): relieves fatigue and lassitude by tonifying the Kidney; strengthens Qi Hai; resolves Dampness; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; Kidney Shu Associated point
tai yang (-): clears Heat (bleed); cools and brightens the eyes; extinguishes Liver Wind; esp. hypertension due to Yang Shi (Excess); relieves headache due to Liver Yang or Liver Fire
yin tang (-): clears Heat; pacifies the Shen; eliminates Interior Wind; promotes relaxation
St-9 (-): regulates Qi and Xue (Blood); effects the carotid body to reduce blood pressure; influences the thyroid (Worsley, 1975, p. B-20); transforms Phlegm and disperses masses (goiter); Great Window of the Sky point; Exit point of the Sea of Qi; CAUTION: move the common carotid artery aside!
• jian nei ling (-): dispels Wind; benefits the shoulders; relaxes the sinews and muscles; removes Obstructions from the channel
• TW-17 (-): clears Heat; frees the channels; relaxes the sinews and tendons
• TW-14 (=): dispels Wind and transforms Dampness; moves the Qi; quickens the Xue (Blood); relaxes the sinews and muscles; benefits the shoulder
TW-5 (-): dissipates Wind; clears Heat, esp. from Triple Warmer channel; clears Xiao Yang (Gall Bladder) in the head and disperses Liver Yang Shi (Excess); moves the Yang Wei Mai (Yang Linking Vessel); frees the channels to facilitate the circulation of Qi in the channels; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
• LI-15 (=): harmonizes the flow of Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; limits excessive sweating
LI-11 (-): drains Excess from Yang channels; regulates and harmonizes Xue (Blood) and Qi; drains Fire; clears the Shen and brings down high blood pressure; regulates and harmonizes Qi and Ying; clears Heat, esp. from Large Intestine and Xue (Blood); clears Heat; eliminates Dampness through the Intestines; benefits sinews, tendons and joints; frees the channels; esp. hypertension due to Yang Shi (Excess); Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9)
PC-6 (-): clears Heat and transforms Phlegm; pacifies the Shen; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; regulates Heart Qi and Xue (Blood); regulates blood pressure; clears and spreads Qi in Pericardium channel; opens the chest; 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)
PC-7 (-): pacifies the Shen; clears Heat and Wind-Heat; regulates Qi; clears Fire from the Upper Warmer, esp. the Heart and Pericardium; draws Xu (Deficiency) Fire back into the Mind; nourishes Heart Xue (Blood); relaxes the chest; dissipates Heat from the Ying (nutrient system) and Xue (Blood); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436)
• PC-8 (-): cools and clears Heat from the Heart, Shen and Xue (Blood); drains and disperses Heat from the Pericardium; clears Fire and Summer-Heat; transforms Damp-Heat; Pericardium Fire and Horary point
• PC-9 (-): cools and clears Heat and Fire from Heart; clears and disperses the vicious Yang (Finkelstein, p. 60); Pericardium Jing Well, Wood and Tonification point
• Ht-5 (-): pacifies the Shen; regulates and tonifies Heart Qi; opens Heart Orifices to calm palpitations and relieve nervous condition (Finkelstein, p. 32); brings Fire down from the head and relieves stiffness of the tongue; clears Heart Fire and Xu (Deficiency) Heat; Heart Luo Connecting point
Ht-7 (-): pacifies the Shen and calms the Heart; relieves palpitations, insomnia and fear; lowers blood pressure and reduces irritability of cortex (Finkelstein, p. 33); general sedative and regulating effect on the inner organs; nourishes Heart Xue (Blood); clears Heat of Heart; regulates and tonifies the Heart, esp. Heart Qi; frees the channels; Heart Yuan Source, Earth and Dispersion point
Lv-14 (-): reduces insomnia; spreads and moves Liver Qi to regulate circulation of Qi; soothes and promotes function of the Liver; helps transformation and transportation function of the Spleen; strengthens Spleen and Stomach; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); dispels Heat from the Xue (Blood); Liver Mu Alarm point
• Lv-13 (=): spreads and promotes smooth flow of Liver Qi; invigorates the Stomach and Spleen; benefits the Qi; moves Fluids and relieves distension; transforms Damp-Heat; 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-12 (+): strengthens and calms the Spleen; transforms Dampness; benefits and soothes the Qi; warms the Middle Warmer, Stomach and Intestines; Stomach and Middle Warmer Mu Alarm point; Hui Reunion point of the Fu (Yang organs)
CV-6 (+ and D): strengthens and regulates the Qi; raises Middle Qi; regulates and tonifies Yuan (Original) Qi; warms the Lower and Middle Warmers (D); reinforces Yang and Jing (Essence); tonifies the Kidney; benefits, nourishes and invigorates Kidney Yang; influences pituitary, thyroid and adrenals (Worsley, 1975, p. B-20); reduces Fire of Liver and Gall Bladder; cools Heat in the Xue (Blood); regulates Qi of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); dispels Dampness
• CV-4 (+): relieves fatigue and lassitude by tonifying the Kidney; pacifies the Shen; benefits Yuan (Original) Qi; nourishes Xue (Blood) and Yin; regulates the Qi; 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; facilitates diuresis; resolves Damp-Heat; nourishes and stabilizes the Kidney; Small Intestine Mu Alarm point
St-36 and/or St-36A (+): calms the Shen; disperses noxious Yang; dispels and eliminates Dampness; disperses Stagnation in the Upper Warmer; regulates and strengthens Qi and Xue (Blood); regulates and replenishes the Middle Warmer; regulates Ying (Constructive) Qi; spreads Liver Qi and benefits the Gall Bladder; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels; treats chronic cases with Heat; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; frees the channels and invigorates the collateral vessels; Stomach Earth and Horary point; Sea of Nourishment point
St-40 (-): clears and calms the Shen; relaxes chest; reduces high blood pressure (Finkelstein, p. 21); 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-9 (-): regulates and tonifies Spleen (especially Yang); regulates the Stomach (especially Yin); moves the Middle Warmer and eliminates Phlegm-Dampness; transforms Damp Stagnation, esp. through promotion of diuresis; regulates the Water Pathways; dispels Damp-Heat; Spleen He Sea Uniting and Water point
• Sp-6 (+): pacifies the Shen; nourishes Yin, esp. Kidney Yin; clears Fire due to Xu (Deficiency); strengthens the Spleen and tonifies the Qi; nourishes and moves the Xue (Blood); modulates blood pressure; influences the pituitary, adrenals, uterus and ovaries (Finkelstein, p. 27; Worsley, 1985, p. B-20); clears Xue (Blood) Heat; transforms Xue Yu (Blood Stasis); frees Qi Stagnation; spreads the Liver Qi and suppresses Liver Heat; warms the Middle and Lower Warmers; transforms Dampness and Heat; facilitates diuresis; esp. for hypertension due to Kidney Yin Xu (Deficiency); Jiao Hui Intersecting point of the three Foot Yin channels
• Sp-1 (+): pacifies the Shen; regulates Yin-Yang; clears Dampness and Damp-Heat; strengthens the Spleen and builds Spleen Xue (Blood); benefits the Qi; elevates Yang Qi; controls Rebellious Qi; manages and stimulates the flow of Xue (Blood); Spleen Jing Well and Wood point
• GB-34 (-): clears Fire from and soothes Yang of Gall Bladder and Liver; extinguishes Liver Wind; tonifies Spleen; clears and cools Dampness and Heat; strengthens and relaxes sinews and tendons; invigorates the collateral vessels; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
• GB-39 (=): clears Heat; discharges Gall Bladder Fire; extinguishes Liver Wind; redirects Rebellious Qi downward; regulates Gall Bladder; transforms Damp-Heat; relieves chilling of feet; Hui Reunion point of the Marrow
• GB-43 (-): disperses Heat; extinguishes Wind; sedates convulsions; Gall Bladder Water and Tonification point
• Lv-8 (=): regulates and tonifies Liver; spreads Liver Qi; drains Liver Fire; nourishes Liver Yin and Xue (Blood); clears and cools Damp-Heat; soothes the sinews and tendons; invigorates the collateral vessels; Liver He Sea Uniting, 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; suppresses dizziness; 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; subdues Liver Yang and extinguishes Liver Wind; influences the ovaries (Worsley, 1975, p. B-20); tonifies Liver Xue (Blood); opens the channels and suppresses spasms; stops pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
Lv-2 (-): clears Fire from and soothes Yang of Gall Bladder and Liver; clears and disperses Fire of Liver and Gall Bladder; disperses Stagnant Qi of Liver and Gall Bladder; soothes and loosens Liver to release Liver Qi; subdues Yang Shi (Excess); eliminates Interior Wind; disperses Qi and clears Fire of the Heart; clears the Pericardium; cools the Xue (Blood); clears the Lower Warmer; relaxes cramps, spasms and convulsions; Liver Fire and Dispersion point
• Kd-3 (+): tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); pacifies Xu (Deficiency) Fire; nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies Kidney Yang; stabilizes Kidney Qi; strengthens control of ejaculation; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point
Kd-1 (-): pacifies the Shen; regulates Yin and Yang; guides Rebellious Qi and Fire downward; clears Fire and Heat (especially in the head); reduces Xue (Blood) pressure; pacifies and calms the Heart; reinforces the Kidney; nourishes Kidney Yin (and thereby suppresses Liver Fire); nourishes Yin and benefits Jing (Essence); promotes diuresis; Kidney Jing Well, Wood, Dispersion and Entry point

ear: shen men, sympathetic, kidney, dermis/subcortex, heart, liver, blood pressure (groove); BLEED apex


footnotes