-IBIS-1.5.0-
tx
nervous system
intercostal neuralgia
acupuncture
patterns and combinations
after assessing the person and palpating, consider these patterns:
Qi Stagnation, esp. Liver Qi Stagnation; Wind-Cold; Wind-Cold Damp Bi Syndrome; Phlegm Bi Syndrome
» prognosis: high rate of success within 6 months of onset; treatment more difficult and prolonged after 6 months (Serizawa, p.161)
» illustrative combinations:
St-18 and Lv-2, possibly also LI-11, CV-17 and Sp-20 for intercostal neuralgia; use "mild stimulation... deep enough to obtain a numb, sore, distended sensation,... retained for half an hour (Shanghai, p. 618; Lee and Cheung, p. 304)
UB-17, UB-18, Lv-14 and St-36 (D) for intercostal neuralgia (Shanghai, p. 181)
Lu-9, LI-4 and UB-13; UB-17, Lv-13 and CV-17; GB-41, St-36 and SI-5; TW-6, UB-62 and Kd-1 for intercostal neuralgia (Mann, p. 122)
Ht-1, TW-5 and GB-34 for intercostal neuralgia (Shanghai, p. 229)
TW-6 and GB-34 for intercostal neuralgia (Shanghai, p. 236); provide immediate relief of pain in the lower ribs (Ellis, et al, 1988, p. 283); disperse Qi in the intercostal region
TW-6, Lv-5, GB-34 and related jia ji points (also consider Lv-14, GB-40, Lv-2, Lv-3, UB-18, UB-17, Lv-13, St-40, Sp-9 and PC-6) for intercostal neuralgia (Lee and Cheung, p. 304)
UB-11, UB-12, UB-13, UB-15, UB-18, Kd-22, Kd-25, Lu-5 and Lu-9 for intercostal neuralgia (Lee and Cheung, p. 304)
GB-40 and TW-8 for intercostal neuralgia (Shanghai, p. 279)
TW-6, Lv-13 and TW-5 for rib pain (Shanghai, p. 236)
SI-5, SI-4, TW-6, UB-17 and UB-62 for subcostal pain (Lee and Cheung, p. 304)
UB-29, UB-17, GB-11, SI-5 for subcostal pain (Lee and Cheung, p. 304)
GB-24 and/or GB-25 (-): spread Liver Qi and transform Damp-Heat; relieve hypochondriac pain; disperse Qi in the intercostal region
TW-3, TW-5 and/or TW-6 (-): facilitate Qi flow; regulate the Triple Warmer; expand and relax the chest; disperse Qi in the intercostal region
LI-10 and PC-6 (+): supplementary distal points; relieve chest constriction
St-12, Lu-1, Kd-23 and CV-17 (-): relieve muscular tension in chest
UB-13, UB-15, UB-17 and UB-18 (=): relieve local muscular tension; restore normal Qi and nerve flow to associated organs
reactive points below Kd-21 and Kd-16 (-): relieve associated abdominal pain (Serizawa, p. 161)
point analysis
» palpate and consider:
SI-11 (-): stimulates flow of Qi; diffuses Qi Stagnation in the chest and lateral costal region; frees the channels and invigorates the collateral vessels; sedates pain
UB-36/41 (=): disperses Wind; dissipates Cold; relaxes the sinews and muscles; invigorates the collateral vessels
UB-13 (=): eliminates Wind; relieves local muscular tension; restores normal Qi and nerve flow; expands and relaxes the chest; regulates the Upper Warmer; transforms Phlegm; Lung Shu Associated point
UB-14 (+): relieves local muscular tension; restores normal Qi and nerve flow; expands and relaxes the chest; spreads Liver Qi; frees the channels and invigorates the collateral vessels; Pericardium Shu Associated point
UB-15 (=): relieves local muscular tension; restores normal Qi and nerve flow; regulates the Xue (Blood) and Qi; relaxes the chest; Heart Shu Associated point
UB-39/44 (=): relieves local muscular tension; restores normal Qi and nerve flow; expands and relaxes the chest; Heart psychospiritual associated point
UB-40/45 (=): resolves the Exterior by inducing perspiration; relieves local muscular tension; restores normal Qi and nerve flow; frees the channels and invigorates the connecting vessels; esp. with chest pain radiating to the back; Du Mai (Governing Vessel) psychospiritual associated point
UB-17 (=): expands the chest and diaphragm; relieves local muscular tension; restores normal Qi and nerve flow; Diaphragm Shu Associated point; Hui Reunion and Master point of the Xue (Blood)
UB-41/46 (=): relieves local muscular tension; restores normal Qi and nerve flow; psychospiritual associated point of the Diaphragm
UB-18 (=): relieves local muscular tension; restores normal Qi and nerve flow; benefits the Liver and Gall Bladder; moves Stagnant Qi; Liver Shu Associated point
UB-44/49 (=): relieves local muscular tension; restores normal Qi and nerve flow; strengthens and mobilizes Spleen Qi and Yang; transforms Dampness and Damp-Heat; Spleen psychospiritual associated point
tender hua tuo jia ji of corresponding areas (-): relieve local muscular tension; restore normal Qi and nerve flow
GV-9 (=): regulates the Qi functions; transforms Damp-Heat; regulates the Liver and Gall Bladder; expands the chest and diaphragm
Ht-1 (-): disperses Qi in the intercostal region
Ht-2 (=): regulates Qi and Xue (Blood) and facilitates their flow; expands and relaxes the chest; frees the channels and invigorates the collateral vessels; relieves thoracic feeling of congestion and constriction
Ht-7 (=): general sedative and regulating effect on the inner organs; regulates and tonifies the Heart, esp. Heart Qi; relieves pain, esp. lateral costal pain; Heart Yuan Source, Earth and Dispersion point
PC-6 (+): relieves chest constriction; regulates the Qi; suppresses pain; spreads the Qi and facilitates the Qi function of the Upper and Middle Warmers; 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; enhances purification and dispersement of the Triple Warmer; relaxes the sinews and clears the vessels; Pericardium Luo Connecting point; Master point of the Yin Wei Mai (Yin Linking Vessel); Couple point of the Chong Mai (Penetrating Vessel)
TW-3 (-): facilitates Qi flow; regulates the Triple Warmer; expands and relaxes the chest; disperses Qi in the intercostal region; dispels Wind; facilitates the circulation of Qi; Triple Warmer Wood and Tonification point
TW-5 (-): facilitates Qi flow; regulates the Triple Warmer; expands and relaxes the chest; disperses Qi in the intercostal region; relieves Exterior conditions and dissipates Wind; frees the channels and invigorates the collateral vessels; strengthens and relaxes the sinews and tendons; alleviates pain; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel)
TW-6 (-): dispels Wind and dissipates Cold; transforms Phlegm; facilitates Qi flow and spreads the Qi; regulates the Triple Warmer and the Zang-Fu organs; disperses Qi in the intercostal region; expands and relaxes the chest; relieves pain; Triple Warmer Fire and Horary point
TW-8 (-): regulates the Triple Warmer; clears the channels and invigorates the collateral vessels; dissipates Dampness; sedates pain
SI-5 (-): spreads Lung Qi; transforms Phlegm; reduces swelling, esp. disperses Damp-Heat; Small Intestine Fire and Horary point
SI-3 (+): strengthens the spine; relaxes the sinews and muscles; benefits the joints; releases muscle spasms; opens the Du Mai (Governing Vessel); invigorates the channels; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
Lu-1 (-): relieves muscular tension in the chest; regulates Qi of Upper Warmer and Lung; clears, opens, and draws Qi into the Lung channel; disperses stuck Qi or Phlegm; disperses fullness from the chest and stops pain; Lung Mu Alarm and Entry point
Lu-9 (=): facilitates circulation of Lung Qi; regulates and balances Lung channel; clears and descends the Upper Warmer and Lung Qi; transforms Dampness and Phlegm; Lung Yuan Source, Earth and Tonification point
LI-10 (+): relieves chest constriction; lowers nervous excitement; promotes the circulation of Qi and Xue (Blood); benefits Qi of arms and shoulders; removes Obstruction from and invigorates the channels
LI-11 (-): eliminates Wind and dispels Exterior conditions; regulates and harmonizes Qi and Ying; regulates Qi circulation of Lung; eliminates Dampness through the Intestines; benefits sinews, tendons and joints; frees the channels; Large Intestine Earth and Tonification point
St-12 (-): relieves muscular tension in the chest; restores normal Qi and nerve flow; disperses Yang Shi (Excess) from the chest; sends Qi down from throat and chest; regulates the flow of Qi and Xue (Blood); frees the channels and invigorates the collateral vessels
St-13 (-): relieves local muscular tension; restores normal Qi and nerve flow; relaxes the chest and diaphragm; promotes flow of Qi
St-15 (=): relieves local muscular tension; restores normal Qi and nerve flow; treats Spleen Xu (Deficiency), Liver Shi (Excess) (Finkelstein, p. 14)
St-18 (=): regulates Stomach Qi; facilitates circulation of Qi and Xue (Blood) in the Stomach channel; dispels Stagnation; Great Luo of the Stomach
Sp-21 (=): facilitates Qi and Xue (Blood) flow; expands and relaxes the chest; relaxes diaphragm and motivates breathing; tonifies Ying (Constructive) Qi; binds the tendons and bones; Spleen Exit point; Great Luo Connecting point
ashi (tender) points just below axilla
ashi (tender) points just lateral to sternum
Kd-27 (-): regulates and volatilizes the Lung; tonifies Yuan (Original) Qi; expands and relaxes chest; fortifies the Spleen; sedates dyspnea and resolves Phlegm
Kd-25 (-): opens the chest; calms dyspnea; relieves cough and asthma due to Kidney Xu (Deficiency); dissolves Phlegm; regulates flow of Qi; redirects Rebellious Qi downward; stimulates Kidney function of reception of Qi; tonifies Kidney (especially Yang)
Kd-23 (-): relieves pain, fullness and muscular tension in chest
ashi (tender), reactive points below Kd-21 and Kd-16 (-): relieve abdominal pain (Serizawa, p.161)
CV-17 (-): regulates and smooths Qi circulation in the Upper Warmer; reinforces the Zhong (Ancestral) Qi of the chest; expands the chest and soothes the diaphragm; relieves muscular tension in chest; transforms Phlegm; suppresses nausea; Pericardium and Upper Warmer Mu Alarm point; Upper Sea of Qi; Center Reunion point of the Breath
Lv-14 (-): spreads and moves Liver Qi to regulate circulation of Qi; relaxes lower rib cage, encourages breathing and relieves pain in hypochondrium; invigorates flow of Xue (Blood) and removes Xue Yu (Blood Stasis); Liver Mu Alarm point
GB-24 (-): spreads Liver Qi and transforms Damp-Heat; relieves hypochondriac pain; disperses Qi in the intercostal region; Gall Bladder Mu Alarm point
GB-25 (-): spreads Liver Qi and removes Qi Stagnation; relieves hypochondriac pain; disperses Qi in the intercostal region; warms Yang; relaxes muscles, sinews and tendons; resolves Dampness; invigorates the channels; Kidney Mu Alarm point
St-36 (+ and/or D): dispels Cold and expels Wind; moves and strengthens Qi; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; dispels and eliminates Dampness; disperses Stagnation in the Upper Warmer; spreads Liver Qi; frees the channels and invigorates the collateral vessels; Stomach Earth and Horary point
St-39 (+): improves flow of Xue (Blood); resolves Damp; regulates Intestines and Stomach; transforms Stagnancy; 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); Small Intestine He Sea Lower Uniting point; Sea of Xue (Blood) point
dan nang xue (-): regulates the Gall Bladder; relieves hypochondriac and lateral costal pain
GB-34 (-): benefits Liver and Gall Bladder; tonifies the Spleen; clears Dampness and dissolves Phlegm; relieves pain in costal and hypochondriac regions; strengthens and relaxes sinews and tendons; benefits the joints; invigorates the collateral vessels; Gall Bladder He Sea Uniting and Earth point; Hui Reunion point of Jin (sinews and tendons)
GB-39 (-): transforms Damp-Heat; pacifies the Liver and regulates Gall Bladder; relieves hypochondriac pain; relaxes the muscles and sinews; expels Wind-Damp and otherwise frees the channels and connecting vessels; Hui Reunion point of the Marrow
GB-40 (-): spreads the Liver Qi; benefits Gall Bladder; benefits the joints; frees the channels; Gall Bladder Yuan Source point
GB-43 (-): relieves pain; reduces inflammation; Gall Bladder Water and Tonification point
GB-44 (-): removes Liver Qi Stagnation; relieves lateral costal pain; Gall Bladder Jing Well and Metal point
Lv-5 (-): drains the Liver; spreads Liver Qi and disperses Liver Qi stagnation; benefits the Qi; tonifies Liver and Yang; relaxes the sinews; frees the channels; Liver Luo Connecting point
Lv-3 (-): clears and regulates the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; expels Wind; expands the chest; opens the channels and suppresses spasms; stops pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
Lv-2 (-): disperses Stagnant Qi of Liver and Gall Bladder; soothes and loosens Liver to release Liver Qi; relaxes cramps, spasms and convulsions; Liver Fire and Dispersion point
ear: thorax, shen men, sympathetic, occiput, lung, corresponding area
footnotes