-IBIS-1.5.0-
tx
musculoskeletal system
torticollis
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Wind-Cold or Wind-Heat; Liver Qi Stagnation; Xue Yu (Blood Stasis); Liver Fire Blazing Upward; Shi (Excess) of the Yang Qiao Mai (Yang Motility Vessel)

» illustrative combinations:
• first bleed one drop of blood from UB-54/40 of men on right and women on left; then stimulate xin shi and GB-21 and sedate GB-39 (McWilliams, et al., Lesson 31, p. 218)
• TW-15, TW-14, TW-10, SI-16, SI-8, SI-7, Lu-3, LI-3 (-) on affected side; SI-8 and SI-7 (+) on healthy side for torticollis (McWilliams, et al., Lesson 31, p. 219)
• luo zhen and ashi (tender) points for torticollis; also consider SI-3 and GB-39 (Lee and Cheung, p. 278; Shanghai, p. 661)
• SI-1, SI-2, SI-3, SI-5, GB-12, UB-60, SI-8 and UB-2 for acute stiff neck with acute pain (Lee and Cheung, p. 279); for immobile, severely painful neck (Shanghai, p. 662)
• UB-64 and UB-11 for resistance to cervical extension and/or flexion (Lee and Cheung, p. 279)
• UB-37/42 and GB-21 for resistance to cervical rotation (Lee and Cheung, p. 279)
• TW-16 and SI-3 for stiff neck (Lee and Cheung, p. 279)
• luo zhen and xin shi for stiff neck (Shanghai, p. 256)
• UB-65 and UB-10 for stiff neck and aversion to wind (Ellis, et al, 1988, p. 232)
• UB-10 for sudden neck muscle spasm with limitation of neck rotation; TW-10 for neck, nape, shoulder and back pain (Lee and Cheung, p. 279)
• CV-24, GV-16 and SI-3 for stiff neck (Lee and Cheung, p. 279; Shanghai, p. 662)
• SI-6 and UB-10 for "shoulder pain [so severe that the patient] wants to break it off" (Shanghai, p. 607)
• UB-62 and SI-3: regulate the Yang Qiao Mai (Yang Motility Vessel) for which shoulder pain is a Shi (Excess) symptom


point analysis

»
palpate and consider:
GB-12 (-): pacifies the Shen; eliminates Wind and Cold; clears Heat; reduces upward disturbance of Fire of Liver/Gall Bladder
GB-20 (-): disperses Wind-Heat and Wind-Cold; relieves Heat; subdues Liver Yang and Fire to calm and regulate the Liver, esp. disperses and descends Liver Yang from the upper body; drains and disperses Fire of Gall Bladder; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; Jiao Hui Intersecting point of Yang Wei Mai (Yang Linking Vessel) and Yang Qiao Mai (Yang Motility Vessel) channels on the Foot Xiao Yang (Gall Bladder) channel
GB-21 (-): dispels Wind-Cold; spreads Liver Qi; disperses Stagnation and stops pain; benefits tendons and muscles; benefits the shoulder; clears and invigorates the channels; esp. for resistance to cervical rotation (Lee and Cheung, p. 279)
• GV-16 (-): dispels Wind, Wind-Cold and Wind-Heat; drains Fire and eliminates Yang Shi (Excess) from the upper body; facilitates the joints; esp. for stiff neck (Lee and Cheung, p. 279); Window of the Sky point; Sea of Marrow point
• GV-14 (-): dissipates Wind and Cold; disperses Heat; prevents or slows inflammation; 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); relaxes the sinews and tendons; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13
ashi (tender) points (- with bleeding and/or cupping): disperse Stagnation and facilitate flow of Qi and Xue (Blood)
TW-16 (-): dissipates Wind and disperses Heat; clears the channels and invigorates the collateral vessels; esp. for stiff neck (Lee and Cheung, p. 279)
TW-15 (-): dissipates Wind; facilitates the flow of Qi and Xue (Blood); clears the channels and invigorates the collateral vessels
TW-14 (-): dispels Wind and Cold; moves the Qi; quickens the Xue (Blood); relaxes the sinews and tendons; relieves pain; facilitates the joints; benefits the shoulder
• SI-11 (-): resolves Tai Yang channel pathogens; stimulates flow of Qi; diffuses Qi Stagnation; frees the channels and invigorates the collateral vessels; increases strength in arms; reduces swelling; sedates pain
UB-10 (-): dispels Wind, Wind-Cold, Wind-Heat and Cold; reduces fever; clears Fire; strengthens or relaxes the sinews and tendons; strengthens the back; esp. for sudden neck muscle spasm with limitation of neck rotation (Lee and Cheung, p. 279); Window of the Sky point; Sea of Qi general point
UB-11 (-): dispels Wind, Wind-Cold, Wind-Heat and Cold; connects the Du Mai (Governing Vessel) to the Shu Associated points; removes Obstruction of Qi circulation of the Tai Yang channels (Bladder and Small Intestine) and Du Mai (Governing Vessel) of the upper back; expands and relaxes the chest; strengthens all bones and joints; facilitates Xue (Blood) flow; relaxes the muscles, sinews and tendons; invigorates the collateral vessels; esp. for resistance to cervical extension and/or flexion (Lee and Cheung, p. 279); Hui Reunion point of the Bones; Sea of Xue (Blood) upper entry point; Jiao Hui Intersecting point of the Hand Tai Yang (Small Intestine), Hand Xiao Yang (Triple Warmer) and Foot Xiao Yang (Gall Bladder) channels on the Foot Tai Yang (Bladder) channel; collateral point of the Du Mai (Governing Vessel)
UB-37/42 (-): relaxes the muscles, sinews and tendons; treats stiff neck; shoulder and back pain, esp. acute shoulder pain with resistance to cervical rotation (Lee and Cheung, p. 279); Lung psychospiritual associated point
• UB-54/40 (- and/or bleed): regulates the spine; relaxes the sinews and tendons; benefits the lower back, hips, legs and knees; Bladder He Sea Uniting and Earth point; Command point of the back (upper and lower)
• UB-57 (-): dispels Wind and clears Heat; strengthens the lower back; relaxes the sinews and tendons; main point for all physical trauma (Finkelstein, p. 49); disperses Qi in the Bladder channel, according to Mingtang (Finkelstein, p. 49)
• UB-7 (-): dispels Wind, Wind-Cold and Wind-Heat, esp. from the upper body; disperses the surface
• UB-2 (-): dispels Wind and Cold; invigorates the Bladder channel and stops pain in the neck and back
• CV-24 (-): dispels Wind; clears the collateral vessels; relieves pain and stiffness in the head and back of the neck (Mann, p. 77); esp. for stiff neck (Lee and Cheung, p. 279); Jiao Hui Intersecting point of the Hand Yang Ming (Large Intestine) and Foot Yang Ming (Stomach) channels and the Du Mai (Governing Vessel) on the Ren Mai (Conception Vessel)
TW-10 (-): dispels Wind and clears Heat; regulates Qi circulation of the Triple Warmer channel; expands and relaxes the chest; esp. for neck and nape pain that radiates into the back and shoulder (Shanghai, p. 662; Lee and Cheung, p. 279); Triple Warmer He Sea Upper Uniting, Dispersion and Earth point
Ht-3 (=): removes Obstructions from the channels; relaxes the sinews and tendons; invigorates the collateral vessels; treat shoulder pain and stiffness contralaterally with patient slowly rolling affected shoulder and arm; Heart He Sea Uniting and Water point
• SI-8 (- or +): dissipates Wind; invigorates the channels; sedates pain; relaxes the sinews and tendons; disperse on affected side, tonify on healthy side for torticollis; Small Intestine He Sea Upper Uniting, Earth and Dispersion point
• SI-7 (- or +): dispels Wind and clears Heat; stimulates sweating to clear superficial syndromes; frees the channels and invigorates the collateral vessels; disperse on affected side, tonify on healthy side for torticollis; Small Intestine Luo Connecting point
• SI-6 (-): relaxes the sinews and tendons; benefits the joints; frees the channels and invigorates the collateral vessels; clears Obstruction from the Small Intestine channel; Small Intestine Xi Cleft Accumulation point
SI-3 (-): consolidates the Surface and stops sweating (-); induces sweating (+); opens the Du Mai (Governing Vessel) and regulates the Yang Qiao Mai (Yang Motility Vessel); strengthens the spine; relaxes the sinews and tendons; benefits the joints; releases muscle spasms; invigorates the channels; esp. for stiff neck (Lee and Cheung, p. 279); Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel)
• SI-1 (-): disperses Wind; clears Obstruction from the Small Intestine channel; general sedating effect; Small Intestine Jing Well, Metal and Entry point
• Lu-3 (=): removes Obstructions of the rising Qi flow; supervises the Qi; disperses local Stagnation and facilitates flow of Qi and Xue (Blood); Window of the Sky point
• LI-11 (-): clears Heat and eliminates Wind; regulates and harmonizes Qi and Ying; regulates and harmonizes the Xue (Blood); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; benefits sinews, tendons and joints; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; budding point of Hand Yang Ming (Large Intestine) Muscle channel
• LI-3 (-): dissipates Heat; frees the Large Intestine channel; Large Intestine Wood point
luo zhen (+): patient moves neck as stimulation applied (Lee and Cheung, p. 278)
St-38 (-): dissipates Cold; treats acute shoulder problems; relaxes the muscles and tendons; frees the channels and invigorates the collateral vessels
• GB-34 (=): soothes and subdues Yang of the Liver and Gall Bladder; facilitates and harmonizes the Liver; strengthens and relaxes the sinews and tendons; relieves soreness from fatigued muscles; benefits joints; 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)
GB-38 (-): dispels Wind; reduces Liver and Gall Bladder; dissipates Heat from the Gall Bladder; frees the channels; invigorates the collateral vessels; Gall Bladder Fire and Dispersion point
GB-39 (-): relaxes the neck and releases stiffness of the shoulder and neck; pacifies the Liver; regulates the Gall Bladder; communicates the superficial with the internal of the three Foot Yang channels; relaxes the muscles and sinews; frees the channels and connecting vessels; Hui Reunion point of the Marrow; Jiao Hui Intersecting point of the three primary Yang channels of leg
Lv-3 (-): calms the Shen; expels Wind; "relieves anger and mellows spirits of those who are frustrated and jealous" (Finkelstein, p. 73); adjusts and harmonizes the Liver and Gall Bladder; promotes smooth flow of Qi and Xue (Blood); spreads and eliminates Liver Qi Stagnation; cools and clears Heat and Fire from the Liver and Gall Bladder; subdues Liver Yang; regulates circulation of Xue (Blood) to disperse Xue Yu (Blood Stasis); opens the channels and relaxes spasms; sedates pain; Liver Yuan Source and Earth point; Independent Associated point for spasms
Lv-2 (-): calms the Shen and eases the Mind; disperses Stagnant Liver Qi; clears and drains Fire of the Liver and Gall Bladder; subdues Yang Shi (Excess); soothes and loosens the Liver to release Liver Qi and remove Qi Depression; relaxes spasms; Liver Fire and Dispersion point
• UB-59 (-): regulates Qi; dispels Wind and clears Heat; promotes flow of Xue (Blood); effects the Yang Qiao Mai (Yang Motility Vessel); relaxes the sinews, tendons and muscles; relieves pain and spasm along the Bladder channel; frees the channels and invigorates the collateral vessels; sedates pain; Xi Cleft Accumulation point of the Yang Qiao Mai (Yang Motility Vessel)
UB-60 (-): disperses Wind; promotes Qi function and Xue (Blood) circulation; relaxes the sinews, tendons and muscles of the neck, shoulder and back; frees the channels and collateral vessels; relieves pain; Bladder Fire point
UB-62 (=): dispels Wind and Cold; cools and clears Fire and Heat; opens and moves the Yang Qiao Mai (Yang Motility Vessel); regulates the Du Mai (Governing Vessel) and benefits Du Mai (Governing Vessel) disorders; soothes the 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)
• UB-64 (-): disperses Wind; clears Heat; frees the channels and invigorates the collateral vessels; esp. for resistance to cervical extension and/or flexion (Lee and Cheung, p. 279); Bladder Yuan Source point
• UB-65 (-): dispels Wind and drains Shi (Excess); clears the head; relaxes the muscles and sinews; invigorates the collateral vessels; Bladder Wood and Dispersion point

ear: cervical vertebrae, neck, shen men


footnotes