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Duixie - The Golden Couples - artikel af dr. Qunhui Mao

Acupuncture has a long history, and ancient and modern acupuncturists have accumulated rich experience through thousands of years of practice, in which, there are a lot of shining pearls, and two points combination is one of them. The combination of two points can cooperate with each other to improve the therapeutic results, which have been widely used in the clinical practice. There are a lot of two points’ combinations, here I will introduce some important and from experience effective ones, namely The Golden Couples (duixie).

1. The combination of the Front-Mu point and Back-Shu point of the pertaining organs

1) ZhongFu(LU1) --- Feishu(BL13), 2) Zhongwan(RN12) --- Weishu(BL21), 3) Juque(RN14) --- Xinshu(BL15), 4) Tanzhong(RN17) --- Jueyinshu(BL14), 5) Qimen(LR14) --- Ganshu(BL18)

Indications: problems of pertaining organs

Explanations: Both Front-Mu and Back-Shu points are situated closely to their

pertaining zang-fu organs, where the qi of the zang-fu organs is

infused. They can reflect and treat any problems of the pertaining

zang-fu organs. The Front-Mu point belongs to yin, and the Back-Shu

point belongs to yang, and the combination of the yin and yang may

strengthen the therapeutic effects.

2. The combination of the Yuan-Primary point and Luo-Connecting point

of the paired meridians

6) Hegu(LI4) --- Lieque(LU7)

Indications: headache, stuff nose and cough due to common colds

Explanations: LI4 is the Yuan-Primary point of large intestine meridian, and LU7

is the Luo-Connecting point of lung meridian, and the combination

can disperse lung qi and remove exogenous factors.

7) Taichong(LR3) --- Guangming(GB37)

Indications: eye problems

Explanations: LR3 is the Yuan-Primary point of liver meridian, and

Guangming(GB37) means brightening eyes and is the Luo-

Connecting point of gall bladder meridian, and liver opens into the

eyes, so the combination can regulate liver and brighten eyes.
 

3. The combination of confluent points of the eight Extra meridians

8) Gongsun(SP4) --- Neiguan(PC6)

Indications: problems in the heart , chest and stomach

Explanations: PC6 and SP4 are two of confluent points, PC6 is related to

Yinwei meridian and SP4 is related to Chong meridian. Through

Yinwei and Chong meridian , two points are related to each other in

the heart , chest and stomach, so they can treat problems in the

heart, chest and stomach.

9) Waiguan(SJ5) --- Zulingqi(GB41)

Indications: 1) pain in the ear, shoulder;

2) headache (especially migraine), dizziness, bitter mouth, red

eyes, dry throat, and constipation due to liver and gallbladder

fire.

Explanations: SJ5 connects Yangwei meridian andGB41 connects Dai

meridian, and both of them belong to Shaoyang meridians. The

combination can regulate meridian qi and clear fire.

10) Houxi(SI3) --- Shenmai(BL62)

Indications: 1) pain in the neck, back and legs;

2) mental disorders.

Explanations: SI3 connects Du meridian and BL62 connects Yangjiao meridian.

Through Du meridian and Yangjiao meridian they are connected

to each other, and also they are in the corresponding Taiyang

meridians. Du meridian goes to brain, and both DU and bladder

meridian pass by the back.

11) Lieque(LU7) --- Zhaphai(KI6)

Indications: dry and sore throat

Explanations: Both of lung and kidney meridians are related to the throat, and

LU7 clear lung heat and KI6 nourish kidney yin, so the pair is good

for dry and sore throat due to lung and kidney deficiency.
 

4. The combination of points according to special point properties

As we know, there are a lot of special points with different functions. Among them, there are not only typical combinations of points like Yuan-Primary point with Luo-Connecting points, Back-Shu points with Front-Mu points, eight confluent points, and mother with son points as the above, but also non-typical ones as the following:

12) Yinbai(SP1) --- Dadun(LR1)

Indications: uterine bleeding

Explanations: both of them belong to Jing-Well point in which qi is very sensitive

and easy to be activated.

13) Taixi(KI3) --- Taichong(LR3)

Indications: 1) headache, dizziness due to hyperactivity of liver yang;

2) insomnia due to disharmony of heart and kidney.

Explanations: kidney stores essence and liver stores blood, and both of them

replenish each other, KI3 and LV3 belong to Yuan-Primary point

which is good at regulating zang itself disorders.

14) Quchi(LI11) --- Yanglingquan(GB34)

Indications: paroxysmal cough with hypochondriac pain due to lung attacked by

liver fire.

Explanations: both of them belong to He-Sea point, and LI11 can clear Lung heat,

and GB34 can clear liver heat.

15) Yuji(LU10) --- Taixi(KI3)

Indications: cough with blood, bone steaming heat due to lung and kidney yin

Deficiency

Explanations: LU 10 is Ying - Spring point of lung meridian and is fire point of

lung meridian, and KI3 is Yuan-Primary point of kidney meridian.

LU10 clear fire, KI3 nourish water moist lung.

16) Zhongwan(RN12) --- Zusanli(ST 36)

. Indications: all kinds of stomach disorders

Explanations: RN12 is a Front-Mu point of stomach and located closely to

stomach, and ST36 is a He-Sea point of stomach, and it is a

combination of the upper and lower, the local and distant, which

can balance stomach qi and regulate stomach.

Manipulations: retention of food due to stomach cold: reinforcing RN12 and

reducing ST36; excess syndrome: reducing both of them.

17) Zhongwan(RN12) --- Fenglong(ST40)

Indications: 1) cough and dyspnea due to phlegm;

2) hiccup and belching due to perversion of stomach qi caused by

accumulation of damp-phlegm;

3) fullness in the chest, abdominal distension, poor appetite, and

lassitude due to dysfunction of spleen and stomach

and accumulation of damp-phlegm in the middle jiao.

Explanations: RN12 locates close to stomach, and is a Front-Mu point of

stomach and also Fu influential point, and is good at regulating

qi’s ascending and descending activities, regulating stomach to

resolve damp-phlegm; ST40 is a Luo-Connecting point of

stomach which connects spleen meridian, and spleen is a source of

phlegm, so ST40 is a main point for the phlegm. It is the

combination of the local and distant point, and can promote each

other to regulate stomach qi and resolve phlegm.

18) Guanyuan(RN4)--- Shenshu(BL23)

Indications: 1) deficient syndrome of asthma;

2) impotence, spermatorrhoea;

3) irregular menstruation and dysmenorrhoea due to cold in the

uterus;

4) chronic diarrhea, incontinence of urine, retention of urine due to

kidney deficiency;

5) dizziness, tinnitus and deafness due to qi deficiency.

Explanations: RN4 is a crossing point of three foot yin meridians and Ren

meridian, and is the house of primary qi and the place for men to

store essence and women to store blood and, and is a main point for

general tonification; BL23 is the Back-Shu point of kidney and good

at tonifying kidney which is the root of congenital qi, so this

combination is good for deficient syndromes.
 

5.The combination of points in the same meridians

19) Hegu(LI4) --- Quchi(LI11)

Indications: 1) colds, fever, headache, toothache;

2) problems in the upper limbs;

3) urticaria

Explanations: LI4 is the Yuan-Primary point and LI11 is the He-Sea point of

Large intestine meridian, and the combination is good at

clearing heat and dispelling wind.

20) Quchi(LI11) --- Jianyu(LI15)

Indications: Hemiplegia and Bi syndromes in the upper limbs

Explanations: local treatment.

21) Tianshu(ST25) --- Zusanli(ST36)

Indications: diarrhea, constipation

Explanations: ST25 is a local point and Front-Mu point of large intestine, and

ST36 is a He-Sea point and stomach meridian belongs to earth,

and two of them can regulate stomach and spleen function.

22) Weizhong(BL40) --- Chengshan(BL57)

Indications: hemorrhoid, lumbar sprain.

Explanations: One divergent meridian of bladder meridian goes through the

anus and back area.

23) Huantiao(GB30) --- Yanglingquan(GB34)

Indications: hemiplegia and Bi syndromes in the lower limbs.

Explanations:Tendon meets GB34. Local treatment.

24) Tanzhong(RN17) --- Qihai(RN6)

Indications: 1. cough and dyspnea due to kidney failure to receive qi;

2. hiccup due to qi deficiency;

3. Passing gas.

Explanations: Qi meets RN17, namely, the upper sea of qi, and Qihai(RN6)

means the sea of qi, namely, the lower sea of qi. Both of them

can regulate and reinforce qi with RN17 more in regulating

and RN6 more in reinforcing.

Manipulations: RN17: horizontal; RN6: perpendicular or oblique
 

6.The combination of points in the paired meridians

25) Shaoshang(LU11) --- Shangyang(LI1)

Indications: acute sore throat

Explanations: Both of them belong to Jing-Well points in the paired meridians

and have the same functions with LU11 more in dispelling heat and

LI1 more in clearing heat.

Manipulations: bleeding.

26) Zusanli(ST36) --- Sanyinjiao(SP6)

Indication: 1) spleen and stomach disorders;

2) Bi syndrome, Wei syndrome;

3) deficient syndromes.

Explanations: ST36 is a He-Sea point of Stomach meridian, and SP6 is a

crossing point of three foot yin meridian. Both of them are good

for tonifying and regulating stomach and spleen, but ST36 is

more in the aspect of qi, and SP6 more in the aspect of Blood.

The combination of ST36 and SP6 can strengthen their

functions.

27) Zhaohai(KI6) --- Shenmai(BL62)

Indications: 1) insomnia, sleepiness;

2) ankle sprain;

3) strephenopodia, strephexopodia.

Explanations: KI6 connects with Yinjiao meridian and BL62 with Yangjiao

meridian, and Yinjiao and Yangjiao meridians are responsible for

sleep. Besides, KI6 and BL62 are in the opposite side of ankle.
 

7. The combination of points in the meridians sharing the same name (i.e.Taiyang, Taiyin,etc.)

28) Xiaguan(ST7) --- Hegu(LI4)

Indications: toothache

Explanations: ST7 and LI4 both belong to Yangming meridians which pass

through teeth. It is a combination of the local and distant points

29) Zhigou(SJ6) --- Yanglingquan(GB34)

Indications: hypochondriac pain, constipation

Explanations: Both of them belong to Shaoyang meridians, one in the upper

limbs and one in the lower limbs. SJ6 which belongs to fire in

the category of five elements can clear fire in Sanjiao and GB34

regulate liver and gallbladder, so the combination of them is

good for hypochondriac pain and constipation due to qi

stagnation.

.
8.
The combination of points in the corresponding area

30) Hegu(LI4) --- Taichong(LR3)

Indications: 1) general aching;

2) headache, dizziness, insomnia;

3 3) mental disorders.

Explanations: LI4 and LR3 are points of four gates, and both of them are Yuan-

Primary points in the corresponding area. LI4 belongs to Yang and

LR3 belongs to Yin, and they cooperate to open the channels and

calm mind.

31) Quchi(LI11) --- Yanglingquan(GB34), and Jianyu(LI15) ---Huantiao(GB30)

Indications: Bi syndrome, hemiplegia

Explanations: they are the upper and lower combinations in the corresponding

area, and it is a local treatment.

32) Houxi(SI3) --- Shugu(BL65)

Indications: stiff neck

Explanations: Both of them belong to the same category of wood in the

Taiyang meridain and the corresponding area.

33) Yanglingquan(GB34) --- Yinlingquan(SP9)

Indications: knee pain

Explanations: they are in the opposite side of knee.

34) Laogong(PC8) --- Yongquan(KI10

Indications: epilepsy

Explanations: PC8 is a fire point in the fire meridian, and KI1is a wood point

of the water meridian, and both of them are in the corresponding

area. They cooperate to clear heart fire to stop seizure.

35) Chize(LU5) --- Weizhong(BL40)

Indications: acute diarrhea and fever

Explanations: Both of them are close to big vein, so bleeding them can clear

pathogenical factors.

36) Quze(PC3) --- Weizhong(BL400

Indications: windstroke, sunstroke, and acute diarrhea and vomiting.

Explanations: PC3 belongs to Jieyin meridian which is the most yin meridian

among the three yin meridians, and BL40 belongs to Taiyang

meridian which is the most yang meridian among the three yang

meridians. Bleeding them can clear both the interior and

exterior evil factors.
 

9. The combination of the upper and lower points

37) Baihui(DU20) --- Changqiang(DU1)

Indications: prolapse of anus.

Explanations: DU20 is the highest point of the body and can lift qi, and DU1 is

the local point and lower point.

Manipulations: DU20: puncture backward horizontally 1 cun, then thrust once

and lift 3 times, repeat it several times;

DU1: puncture upward obliquely 0.5 -1 cun, then thrust

times and lift once, repeat it several times.

38) Baihui(DU20) --- Yongquan(KI1)

Indications: headache and dizziness due to hyperactivity of liver yang

( hypertension)

Explanations: DU20 can sooth liver yang and KI1 can nourish Kidney yin.

39) Baihui(DU20) --- Yinbai(SP1)

Indications: fainting, prolapse of uterus and dysfunctional uterine bleeding.

Explanations: DU20 lifts qi, and SP1 regulate spleen to control blood.

Manipulations: Deficient syndrome --- reinforcing method with moxibustion;

Excess syndrome --- reducing method with bleeding method.
 

10. The empirical combination of points

40) Zhongji(RN3) --- Sanyinjiao(SP6)

Indications: 1) incontinence of urine, frequent urine, retention of urine;

2) impotence, nocturnal emission, spermtory, infertility.

Explanations: RN3 is located closely to the bladder and internal genitals and

belongs to the Front-Mu point of the bladder meridian, and SP6 is

the crossing point of three foot yin meridians, so the combination

can treat problems of urinary and reproductive systems.

41) Neiguan(PC6) --- Sanyinjiao(SP6)

Indications: insomnia

Explanations: PC6 clear heart fire in the upper part and SP6 nourishes kidney

yin in the lower part, and the combination of them can

harmonize heart and kidney to treat insomnia

42) Hegu(LI4) --- Sanyinjiao(SP6)

Indications: ensuring a successful gestation, and syndrome of heat in the upper

jiao and cold in the lower jiao.

Explanations: SP6 reinforces spleen and nourishes blood and is a main point of

pregnancy, but ensuring a successful gestation also depends on

LI4’s clearing function, because fetus gets peace on cool

situation. Also LI4 clears heat in the upper and middle jiao and SP6

nourishes yin in the middle and lower jiao, which is good for heat

in the upper part and cold in the lower part.

43) Quchi(LI11) --- Sanyinjiao(SP6)

Indications: skin problems such as urticaria, eczema, prurities, neurodermalitis.

Explanations: LI11 is good at clearing wind heat, and SP6 is a crossing point of

three-foot yin meridians and also is a main point for blood

problems. These two cooperate to clear blood heat and promote

circulation of blood. One of main causes of skin problems is

endogenous wind due to blood deficiency, so smooth circulation of

blood will result in wind to go away by itself.

44) Shuifen(RN9) --- Yinlingquan(SP9)

Indications: disorders of water metabolism such as edema

Explanations: Shuifen(RN9) means distributing water, and SP9 is a He-sea point

of spleen meridian and belongs to the category of water, and also

spleen is responsible for transporting water.

45) Yingtong (extra) --- Shangwan(RN13)

Indications: motion sickness

Explanations: Yingtong is good at clearing heat in the upper part and calming

mind, and RN13 is good at descending the turbid in the middle

part and regulating the middle jiao, so both of them can clear the

upper and harmonize the middle, and calm mind and stop

vomiting, which is very effective for motion sickness.

46) Lianquan(RN23) --- Tongli(HT5)

Indications: dysphasia due to wind stroke or hysteria.

Explanations: RN23 is a local point, and HT5 is a Luo-Connecting point of

heart meridian and heart opens into the tongue.

Manipulations: RN23: point to the root of tongue; HT5: perpendicular 0.3-0.5cun

47) Hegu(LI4) --- Fuliu(KI7)

Stopping sweating: reinforcing KI7, reducing LI4;

Promoting sweating: reinforcing LI4, reducing KI7.

48) Fengchi(GB20) --- Hegu(LI4)

Indications: headache and dizziness due to attack of evil factors

Explanations: Fengchi(GB20) means the pool of wind and is good at dispelling

evil wind, and LI4 is good at dispelling evil factors in general.

49) Rugan(ST18) --- Shaoze(SI1)

Indications: insufficient lactation

50) Zanzhu(BL2) --- Geshu(BL17)

Indications: Hiccup


Here are 10 kinds of combination with 50 pairs of golden couple.  I wish that you can benefit from it. I don’t mention much about manipulations, for most of them can follow textbooks.

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Afsnit fra bogen Effective Points Therapy of Acupuncture
af dr. Qunhui Mao

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CHAPTER 1 - INTRODUCTION TO THE EFFECTIVE POINT

I. The Concept of the Effective Point 

Effective points are distributed on the body on the basis of certain principles. As in classic acupuncture, certain symptoms can be relieved by stimulating one. An effective point may be an acupoint or a spot other than an acupoint. It varies with the focus, developmental stage of a disease, and patient reaction. According to its function, an effective point can be classified as a Liangxing Dian (a beneficial character point), a Yangxing Dian (an obvious character point), or a Yinxing Dian (a hidden character point). 

1. Liangxing Dian. Obvious symptoms can be immediately relieved by stimulating it, and it is usually found in the acute stage of a disease. For example, migraine can be relieved by needling Sidu (SJ 59), which makes it a Liangxing Dian. 

2. Yangxing Dian. It can be found in the remission stage of a disease, in which symptoms are not obvious or a patient can’t express his complaints clearly. A doctor follows certain principles and presses some point which makes the patient feel numbness, distension, or pain. This is the Yangxing Dian. It has the double functions of diagnosis and treatment, but is mainly used to find the Yinxing Dian. For example, when chronic cholecystitis is in the remission stage, the symptoms aren’t obvious. When some points such as Ganshu (BL18) and Danshu (BL14) are pressed, they feel sore. Ganshu and Danshu are Yangxing Dian which can be used as therapeutic points and help diagnose the disease. 

3. Yinxing Dian. After finding the Yangxing Dian, a doctor finds a point which is antagonistic to the Yangxing Dian and relieves the symptoms. It is the Yinxing Dian. For example, stimulating Yanglinqian (GB 34) can make the feeling on the Yangxing Dian disappear. The Yanglinqian is a Yinxing Dian. 

II. Discovering Effective Points 

About 50 years ago, Professor Guo treated a patient with a gastric ulcer, whose chronic stomachache could not be relieved by western medicines and herbs. Professor Guo treated him with traditional acupuncture and also failed to relieve the pain. But by chance, he pressed the back opposite to the location of the pain, and the pain was immediately alleviated. Since then, he paid close attention to similar situations, and found the points which could eliminate symptoms through pressure or needling. These points were related to the longitudinal channels and latitudinal channels passing through the focus of a disease. Through years of extensive practice, he has gradually created a relatively complete effective point therapy. 

III. The Theory Behind Effective Point Therapy 

The Yangxing Dian is similar to the Ashi point in the traditional theory of meridians and collaterals. Chapter 51 of Miraculous Pivot gives the definition: "A place which gets the reaction of a patient and relieves pain by pressing it is an acupoint." Like acupoints, effective points are distributed on the body according to certain principles. Their location is determined by body part and channel. There are four primary parts: the head and neck, the trunk, the upper limbs, and the lower limbs, all of which are further divided into four secondary parts. There are many longitudinal and latitudinal channels distributed throughout the body, encircling it like a net. In the net, longitudinal channels begin at the top of the head and go down through the whole body, and connect Zang-fu organs and tissues which they pass through. Latitudinal channels connectthe front to the back and the left to the right and thereby connect the yin and the yang of the entire body. 

These longitudinal and latitudinal lines are similar to traditional meridians and collaterals which internally belong to Zang-fu organs and externally connect limbs and joints. When internal organs are afflicted, which should be reflected on the surface of the body, stimulating some point on the surface will relieve the symptoms and achieve the therapeutic purpose. 

According to modern medicine, effective points are mostly distributed on the places which are rich in blood vessels, nerves, and lymphatic vessels. Some experiments have shown that needling effective points can improve the immunologic function and microcirculation, as well as curative effects. The clinical and laboratory research show that needling effective points can clear and activate the meridians and collaterals, restore the function of Zang-fu organs and qi and blood, and effectively regulate the balance of yin and yang. It is hoped that the theory of bioholography will provide new explanation for the effective point therapy of acupuncture. 

Combining the traditional theory of meridian and collaterals, modern neuroanatomy and neurophysiology, and nearly 50 years of clinical practice, Professor Guo developed his own original effective point therapy of acupuncture. Still active in practice and research, he continues to perfect the theory. 
 

CHAPTER 4 -  LOCATING EFFECTIVE POINTS

We have already defined the methods of section, zone, and channel division, and the effective point distribution principles in previous chapters. But how do you actually locate the effective points? After properly determining the focus, we probe by such methods as pushing, pressing, holding and kneading, and tapping, keeping in mind that we can locate the Liangxing Dian in the acute stages of a disease and the Yangxing Dian and the Yinxing Dian in the remission stage.
 

I. Pushing. Use the thumb to push certain longitudinal and latitudinal channels back and forth with even, bearable pressure to locate effective points. 

II. Pressing. Use the thumb or index finger to press the relevant places to locate the Liangxing Dian and the Yinxing Dian, which makes the Liangxing Dian disappear. 

III. Holding and Kneading. Use the thumb and index finger to knead the relevant muscles and forcefully move them upward and downward to locate the Liangxing Dian and the Yinxing Dian. 

IV. Massaging. Use the fingers or the palm of the tip of the elbow to massage the relevant places to locate effective points. 

V. Tapping. Use one or two fingers to tap the points one by one along certain longitudinal or latitudinal channels to locate effective points. 

These methods should be applied according to location. It is common to pushing and pressing methods on limbs, and holding and kneading, as well as pushing, on well-muscled areas. A note of caution: If there are ulcers or bleeding, do not use any of these methods. 
 

FROM CHAPTER 5  - ACUPUNCTURE TECHNIQUES: 

( ...) 

3) Combination Techniques 

a) Bringing the Arrival of Qi. Press the point with the left hand, hold the needle with the right hand, and insert it to the proper depth. Then lift and thrust it with greater than normal amplitude in different directions around the point to allow the qi to arrive. Then fix the needle with the left hand so as not to lose the qi, and use one of the following methods. These methods have different functions. In clinical practice, we should apply the manipulations according to the differentiation of cold or hot, deficiency or excess, and so on, to maximize the beneficial results. 

b) Lifting and Thrusting with Rotating. After the arrival of qi, rotate the needle 6 times, then lift and thrust it 6 times. Repeat this 2-4 times, then withdraw the needle. This is indicated for most syndromes. 

c) Even Puncturing. After the arrival of qi, scrape the handle 5 times, then rotate the needle 5 times. Repeat this 3-5 times. Withdraw the needle while pressing the point. This is indicated for syndromes without obvious deficiency or excess. 

d) Warming Puncturing. After the arrival of qi, rotate the needle clockwise forcefully and quickly moving the thumb forward and the index finger backward 9 times. At the same time, rub the needle handle with the fingertips in a downward direction 9 times, then lift and thrust the needle 9 times. Repeat this 3-5 times. Withdraw the needle while pressing the point. This is indicated for cold syndromes. 

e) Heat Dispersal Puncturing. After the arrival of qi, rotate the needle counter clockwise forcefully and quickly moving the thumb backward and the index finger forward. Do this 6 times, each time rubbing the needle handle in an upward direction. Then lift and thrust the needle 6 times. Repeat this 2-4 times. Withdraw the needle. This is indicated for heat syndromes. 

f) Reinforcing. After the arrival of qi, lift and thrust the needle 9 times, then rotate the needle clockwise forcefully and quickly, moving the thumb forward and the index finger backward 9 times. Rrepeat rotating the needle in the same way as before, at the same time rubbing the handle in a downward direction, 9 times. Repeat this 4-6 times. Withdraw the needle, pressing the point. This is indicated for deficiency syndromes. 

g) Reducing. After the arrival of qi, rotate the needle counter clockwise forcefully and quickly, moving the thumb backward and the index finger forward. At the same time, rub the handle in an upward direction, then lift and thrust the needle 6-8 times. Repeat this 4-6 times. Withdraw the needle. This is indicated for excess syndromes. 

5. Retaining and Withdrawing the Needle 

1) Retaining. "Retaining" means to hold the needle in place after it is inserted to a given depth below the skin. Pathological conditions decide the retention and its duration. The needle is usually retained for fifteen to twenty minutes after the arrival of qi. But for some chronic, intractable, painful, and spastic cases, the time for needle retention may be appropriately prolonged. Meanwhile, manipulations may be given at intervals to strengthen the therapeutic effects. For some diseases, the retention may last several hours. For patients with a dull needling sensation, retaining the needle serves as a method to bring the arrival of qi. 

2) Withdrawing. On withdrawing the needle, press the skin around the point with the thumb and index finger of the pressing hand, rotate the needle gently and lift it slowly to the subcutaneous level. Then, withdraw it quickly and press the punctured point for a while to prevent bleeding. 

Effective Points Therapy of Acupuncture - Foreign Languages Press, Beijing 1998

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Diverse emner:


 
 

Male Infertility

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General introduction

Infertility is defined as the inability to achieve pregnancy after at least a year of trying. As many as 15% of all couples trying to have a baby will be unsuccessful within a year. In 40% of the cases, infertility is due to a female factor, in 20% of the cases there is a combination of female and male factors, and in 40% of cases, infertility is caused by male factors.

In addition to a general medical history and questions about sexual contact and sexual history, some of the following should be asked:

1. whether the person had mumps after puberty

2.testicle trauma or undescended testicles at birth

3.previous infection of the reproductive system or sexually transmitted disease 4.previous cancer, and what treatment was given

5..exposure to toxins, including tobacco, alcohol, or drug abuse

6. thyroid disease

Giving a physical exam. to determine his general health. His testicles, scrotum, and prostate may be examined for abnormalities. A testicle that is undescended may be the reason for his fertility problems. An enlarged vein on his scrotum can reduce sperm quantity and quality. His prostate will be examined to see that it a normal size and shape and that there are no signs of infection.

Recommending him to get his semen examined to know the mobility of his sperm (sperm must move to swim through the woman's reproductive system and fertilize her egg), his sperm count (at least 60 million sperm per milliliter), and sperm morphology (shape). Although all men have some abnormally shaped sperm, if he have a large percentage of abnormally shaped sperm, there number of normal sperm with fertilizing potential is decreased.

Get all information about his reproductive system, if possible.

In conclusion

1. Abnormal sexual activity: impotence, premature ejeculation, spermatorrhea 

( noctural emission and spontaneous spermatorrhea) or no ejeculation

2. Abnormal semen: Sperm count <6, 000,000/ml, active sperm < 60%, abnormal sperm shape > 20%, no sperm liquefaction ( normally, semen are liquefied around 30 to 40 min.after they are out), less amount of sperm (< 3 - 5 ml).

3. Congenital and acquired organic problems: maldeveloped or undescended testicle, blockage of spermatic duct and so on.

TCM

I. Etiology and pathology

1. Decline of Mingmen-fire 

2. Kidney Yin deficiency

Both of the above may be due to congenital weakness, excessive sex and masturbation,

3.Heart , spleen and Kidney Qi def: it may be due to worry or fear or fright .

4. Downward flowing of Damp-heat: Greasy food and acohol demage spleen function resulting accumulation of dampness or because of exogenous damp heat attack.

5. Liver qi stagnation: stress, overstrain

II. Differentiation 

1. Decline of Mingmen-fire

Main manifestations: infertility, failure or weakness of the penis in erection, pallor, cold limbs, dizziness, listlessness, soreness and weakness of the loins andknees, frequent and profuse and clear urine,pale tongue with white coating, deep and weak pulse. 

2. Kidney yin def.

Main manifestations: infertility, noctural emisson, tidal fever, hot sensation in the chest, palms and soles, night sweating, flushed cheek, red tongue with little coating, rapid and thready pulse.

3. Heart and spleen deficience

Main manifestations: infertility, pale complexion, dizziness, tiredness, palpitaion, insomnia, poor appetite, pale tongue, white coating, deep and weak pulse.

4. Downward flowing of Damp-heat:

Main manifestations: infertility, difficult urine with hot sensation, bitter mouth, yellow and sticky tongue coating, slippery pulse.

5. Liver qi stagnation

Main manifestation: infertility, irritablity, short temper, sighing, depression, distension in the hypochodriac region, wiry pulse.

III.Treatment

Main points: SP6, RN3

Additional points:

1. Decline of Mingmen-fire: DU4, BL23, BL52, RN4, KI3 w/ moxa.

2. Kidney yin def. : BL23, KI6, KI3 

3. Heart and spleen def.: BL15, BL20, ST36

4. Down flowing of Damp-heat: LR5, SP9

5. Liver qi stagnation: LR3, LR14, BL18

IV. Remarks

In modern society, the causes for male infertility are more complex then in ancient days. Food and Emotion problems become more important for infertility than sexual activity, so eating healthy food and easing tension has become increasingly more important for curing infertility.

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74 important points

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 Acupoint’s properties:

1. local treatment

2. holistic

3. bidirectional adjustment

4. relative specialty

5. direction: same point with different needling direction has different function, for instance: ST6 point to ST4 for deviation, point backward for mumps.

6. level

7. time

8. cooperation

9. toleration

 

I. Dispersing exogenous factors

1. Dazhui DU14

Functions: disperse exogenous cold, regulate lung, and calm down mind and relieve

Convulsion.

Clinical applications:

1) Excessive exogenous wind and cold syndrome.

2) Fever: one of key points for fever.

3) Cough and asthma: moxibustion on it and BL13.

4) This point is a crossing point of hand and food yang meridians with DU meridian, so it is good for infantile convulsion, epilepsy, mania and depressive state.

Techniques:

1) perpendicularly insert it into 0.8-1.2 cun without big manipulations

2) horizontally point to shoulder

3) horizontally point downward along the spine 

Clinical reports:

1) Flu: high fever (39º c), reducing method, cool-producing needling.

2) Nasal bleeding: DU14, perpendicularly.

3) Epilepsy: insert 40mm × 0.30mm needle in 300 upward 1.5cun deep, withdraw it until the patient had an electric sensation to the limbs, no lifting and thrusting.

4) Children’s chronic bronchitis: bloodletting on DU14 and 4 spots 6cm lateral to it with three-edged needle, then cupping on them.

 

2. Fengchi GB20

Fengchi means the pool of wind

Functions: disperse exogenous wind and cold, refresh oneself, and calm down wind.

Clinical applications:

1) Colds: wind cold --- GB20, LI4, DU14, LI20;

wind heat --- GB20, Lu10, LU5, LI11, ST44.

2) Headache and dizziness: GB20, LR3, Taiyang(extra), DU20.

Techniques: point to the tip of nose, less than 1.5 cun deep; for headache in the Shaoyang

meridian, point to the same side of the outer canthus or horizontally upward 

Precaution: Some clinical accidents due to improper manipulations such as wrong 

direction, deep needling and strong manipulation have been reported,

for example, subarachnoid hemorrhage, needling bulb and fainting.

 

3. Hegu LI4

Functions: disperse wind, dredge the blocked remove heat, and tranquilize to stop pain

Clinical applications: 

1) Colds due to wind cold: LI4, LU7, and GB20.

2) Constipation: LI4, SJ5; retention of the urine: LI4, RN3; amenorrhea, lack of lactation and prolonged labor: LI4, SP6.

3) Wind heat syndrome: sore throat, mumps, urticaria, profuse sweating, red eyes --- LI4, SJ5.

4) Stomach heat: fetid odor in the mouth, swollen gum, yellow urine, constipation --- LI4, ST44.

5) Inducing resuscitation: LI4, LR3 (4 gates points) for infantile convulsion, epilepsy, mania, depressive state, wind stroke, hysteria.

6) Very important points for anesthesia.

7) Five sense organs’ disorders.

8) Combine with LR3: good for general aching.

Techniques: perpendicularly 0.5 -1 cun; point to point ---LI4 to SI3 for hemeplegia.

Clinical reports: 

1) Stopping smoking: LI4, ST36, first electric acupuncture, then embedding intradermal needles in it.

2) Hypertension: LI4 to SI3 with reducing method.

3) Herpes zoster: LI4 for the focus in the upper part, and ST36 for the focus in the lower part, combining the local points.

4) Contact dermatitis, urticaria: LI4, SP6 with moxibustion.

5) Inducing anesthesia for tonsillectomy.

6) Sudden loss of voice: LI4, RN22, and RN23.

 

4. Fuliu KI7

Polyhidrosis: reinforcing KI7 and reducing LI4;

Hypohidrosis: reducing KI7 and reducing LI4.

 

5. Houxi SI3

Functions: clear exogerous wind heat, stop sweating and dredge meridians

Clinical appilications:

1) Combining GB20 to treat headache due to wind heat; combining DU14 and LU7 to treat sore throat due to wind heat.

2) Sweating due to qi deficiency or yin deficiency: SI3, HT6, LI4 and KI7.

3) Stiff neck, and Lumbgo: single use.

Techeniques: perpendicularly 0.5 to 1 cun or point to LI4.

Reports

1) Needling SI3 with rotating ( strong stimulation without retaining the needle) to treat 100 children' high fever, effective rate was 85%.

2)Facial muscle spasm: needle SI to PC8 with rotating and thrusting and lifting in strog stimulation and retain it for 30 min. once a day.

 

6. Fengshi GB31

Important point for itching: GB31, LI11, and SP10.

Fengchi GB20 ---- removing both exogenous & endogenous wind but more in exogenous wind (colds)

Fengfu DU16 ---- removing more in endogenous wind (wind stroke, dizziness)

Fengshi GB31 ---- removing wind exogenous wind (itching & Bi syndrome in the lower limbs)

Fengmen BL12 ---- removing (wind cold syndrome)(colds)

 

7. Quchi LI11

Functions: clear exogenous heat, harmonize Ying and Wei and dredge meridian

Clinical applications: 

1) It is a key point of clearing heat: LI11, LI4, and DU14.

2) Skin problems such as eczema, urticaria: LI11, SP10.

3) Dizziness due to hypertension: LI11, GB20, and ST36.

4) Hemiplegia.

5) Mental problems

Clinical reports:

1) Peripheral arthritis: strong stimulation.

2) Herpeszoster

3) General itching.

 

8. Waiguan SJ5

One of eight confluence points

Functions: clear away heat, and dredge meridian and collateral.

Clinical applications: 

1) It is a key point for heat --- SJ5, LI11, and DU14.

2) Bi syndrome, Wei syndrome: LI10, LI11.

Clinical reports: 

1) Enuresis: SJ5 upward with rotating reinforcing method and retention of 30 min. then

apply moxibustion.

2) Difficulty of opening mouth: SJ5, and local point.

3) Stiffneck: opposite SJ5.

 

9 Neiting ST44 

Ying-spring point

key point for stomach heat

Toothache due to stomach heat: ST44, LI4, and ST7.

 

10. Yuji LU10

Ying-spring point

Sore throat, sudden loss of voice, asthma attack (point to the center of palm)

 

II. Removing phlegm and stopping cough and dyspnea 

11. Lieque LU7

Luo-connecting point, one of eight confluence points (Ren meridian)

Functions: stop cough and dyspnea, anddredge meridian

Clinical applications:

1) Cold wind syndrome: itching throat, cough ---LU7, LI4, RN20, and BL13.

2) Wind heat syndrome: sore throat, cough --- LU7, Dingchuan (extra), LU10.  

3) Chronic pharyngitis: LU7, kI6

4) Cold phlegm: LU7, ST40.

5) All the problems in the head and neck, LU7 can be used ---GB20.

Clinical reports:

Wooping cough: needling LU7, LI4, ST36, DU14, then bloodletting on DU14 then cupping on it.

 

12. Chize LU 5

Functions: stop cough and dyspnea, clear lung heat, remove summer heat.

Clinical applications: 

1) Cough and dyspnea due to lung heat: LU5, LU10, LU7

2) Hemoptytis due to yin deficiency: LU5, LU6.

3) Cough with chest pain: LU5, BL13, and SJ6.

4) Sunstroke or acute diarrhea due to unclean diet: singly bloodletting on LU5 or add LI11, PC6.

5) Mania.

Techniques: perpendicularly needling or bloodletting.

Clinical reports:

1) Diabetes: LU5, SP5, and SP6 as main points.

2) Asthma: Dingchuan (extra), DU14, BL11, LU10, and LU5.

 

13. Fenglong ST40

Key point for phlegm.

 

III. Harmonizing the middle Jiao

14. Zhongwan RN12

One of eight influential points, Fu meets in it.

Functions: regulate the middle Jiao and digest food, regulate qi and remove phlegm,

calm down mind.

Clinical applications:

1) Key point for spleen and stomach problems: RN12, ST36, ST21, and SP3.

Disharmony of liver and stomach: RN12, BL18, and LR3.

2) Asthma due to latent phlegm in lung: RN12, RN17, RN22, and ST40.

3) Insomnia due to hysteria: RN12, DU20, HT7, and ST36.

Techniques: perpendicularly 0.3 - 1.3. obliquely.

A tender point in RN12 shows that there may be peptic ulcer.

Moxibustion on RN12 can improve immune system.  

 

15. Zusanli ST36

He-sea point

Functions: 

1) Key point for digestive problems.

2) Lift the middle Jiao: prolapse of anus---ST36, DU1, DU20, and BL25.

3) Headache and dizziness due to qi and blood deficiency: ST36, BL20, SP10, SP6, DU20

4) Key point for hemplegia.

5) Bi syndrome.

6) Prevention: moxibustion on ST36 for preventing colds, wind stroke, digestive problems 

Clinical reports:

1) Habitual constipation: ST36, SJ6, BL25, and ST25 with mild stimulation, after arrival of qi . withdraw the needles.

2) Retention of urine after the laboring: ST36, RN4.

 

16. Sanyinjiao SP6

A crossing point of three foot yin meridians.

Functions: tonify qi and blood, promote spleen and stomach, tonify liver and kidney,

and regulate menstruation.

Clinical applications: 

1) Qi and blood deficiency: SP6, ST36, HT7, DU20.

2) Spleen and stomach deficiency: SP6, SP4, PC6, ST36; spleen and stomach deficiency with accumulation of dampness: SP6, ST25, BL18, RN12, ST36, SP9.

3) Nocturnal emission, impotence, premature ejection, enuresis, and hernia due to liver and kidney deficiency: SP6, BL23, RN4, and BL52.

4) Key point for woman’s diseases.

Clinical reports:

1) Enuresis: SP6.

2) A tender reaction may help to diagnose woman’ s problems such as functional uterine bleeding, dysmenorrhea, and amenorrhea.

 

17. Diji SP8

Xi-cleft point

Good for blood problems.

Irregular menstruation: SP8, SP10; Leukorrhea: SP8, SP9, SP6.

 

18. Shenjue RN8

Indirect moxibustion with ginger on it is good for diarrhea.

 

19. Liangjiu ST34

Xi-cleft point, good for stopping acute stomachache

 

20. Sifeng(extra)

Key point for children’s indigestion

IV. Relaxing the bowels and stopping diarrhea

21. Tianshu ST25

 

22. Zhigou SJ6

Habitual constipation, hypochondriac pain (herpszoster)

V. Clearing heat 

23. Weizhong BL40

He-sea point, Lower He-sea point

Functions: clear heat and summer heat, cool down blood, induce resustaration, calm 

down mind, and dredge meridian.

Clinical applications: 

1) Heat syndromes.

2) Emergency: coma, convulsion, and epilepsy.

3) Boils, sore throat, malaria.

4) Bi syndromes: lower back pain, arthritis, and sciatica.

Techniques: perpendicularly 1 - 1.5cun; bloodletting.

Clinical reports:

1) Acute lumber sprain: bloodletting on it.

2) Hairline boils: needling spots around the focus, then cupping on them, and bloodletting on BL40.

This point is good for lower back pain, arthritis, sciatica, hemiplegia, epilepsy, diarrhea, enuresis, hemorrhoid, and eczema. 

 

24. Zhongji RN3

Front-Mu point of bladder, a crossing point of Ren meridian and foot yin meridians.

Functions: remove damp heat, tonify kidney, regulate menstruation, activate yang qi and

promote diuresis.

Clinical applications: 

1) Damp heat in the lower Jiao: RN3, SP9, BL28, SP6.

2) Reproductive system’s problems: impotence, irregular menstruation: BL23, DU4, RN3, RN4, KI12, RN6, SP6, BL32.

3) Diuresis , retention of urine, uncontrolling of urine: KI10, BL23, RN6.

4) Hernia: RN4, SP6.

5) Edema: RN9, RN6, Sanjiaoshu, SP6.

Techniques: perpendicular 1-2cun, or obliquely point downward.

Clinical reports:

1) Dysmenorrhea: indirect moxibustion with monkshood on RN3 for a few min. and remove it until the skin red over 5cm, and there are some bristles come out in a few hours .

2) Retention of urine after laboring and operation: RN3 to RN2, SP6, SP8, to be connected with electric machine.

 

25. Yinlingquan SP9

for problems due to water disorder

 

26. Shuifen RN9

 

27. Xuehai SP10

For blood problems

 

VI. Calming down the mind 

28. Baihui DU20

A crossing point of DU meridian and Hand and foot meridians.

Functions: calm down mind, clear head, induce resustation, open the orifice, and lift yang qi.

Clinical applications: 

1) Insomnia, amnesia, hysteria.

2) Headache, dizziness: singly used, or with LR3 for top pain; with KI3 and LR2 for headache due to hyperactivity of liver yang; with ST36, SP6.headache due to phlegm 

3) Coma: DU20 Shixuan (extra), RN26, PC3, BL40.

4) Mania due to phlegm blocking heart: DU20, ST40, LR3 and RN26.

5) Eclampsia due to hyperactivity of yang with yin deficiency: DU20, GB20, LR3, KI3, SP6.

6) Sinking of qi: DU20, ST36, RN6. Add DU1, BL57, BL25 for prolapse of anus; add Zigong, (extra), SP6 for prolapse of uterus; mox on SP1 forfunctional uterine bleeding; add RN4, RN3 for enuresis.

Clinical reports:

1) Infantile convulsion: bloodletting on DU20

2) stop smoking: DU20, embedding an intradermal needle into ear Shenmen.

3) Insomnia: mild mox. On DU20 for 10 to 15min.

 

29. Shenmen HT7

Calm down mind

Clinical reports: 

1) sleepiness: HT7.

2) Acute ankle sprain: HT7 point to PC7, and SI5 point to SJ4, lifting and trusting with rotating, after qi arrived, retaining for 30 min. let the patient jump each 5 min.

 

30. Sishencong (extra)

VII. Reinforcing points

 

31. Qihai RN6

32. Guanyan RN4  

33. Danzhong RN17

Qi meets RN17

Functions: tonify and regulate qi, disperse lung and check upward adverse flow of qi,

and remove phlegm

clinical applications:

1) Qi deficiency: RN17, RN6, RN4; averse flow of qi: PC6, RN22.

2) Cough and asthma: RN17, RN22, BL13, ST40; chest pain, palpitation: BL15, BL14, PC6.

horizontally needling on it. 

Reports: lack of lactation: RN17, ST18, LI4, and SP6.    

 

34. Xuanzhong GB39

Marrow meets GB39

Clinical applications: 

1) Children’s maldevelopment: GB39, BL23, and ST36.

2) Anemia: GB39, BL43, BL17.

3) Stiffneck. single use.

 

35. Mingmen DU4

Functions: tonify yang qi

Clinical applications: 

1) Kidney yang deficiency: DU4, KI3, and BL23 with moxa.

2) Primary qi deficiency: DU4, RN4, RN6, and BL23.

 

36. Taixi KI3

Functions: nourish kidney yin, and regulate Chong and Ren.

Clinical applications:

1) Sore throat, toothache due to kidney deficiency: KI3, KI6, LU10; asthma due to kidney and lung deficiency: KI3, BL23, BL13; diabetes: KI3, BL18, BL23, Yishu (extra); irregular menstruation: KI3, SP6, KI2.

2) Antedated menstruation due to blood heat: KI3, LI11, and LR3.

Clinical reports:

Frequent urination: KI3.

37. Zhaohai KI6

 

VIII. Regulating qi

38. Neiguan PC6

Stomach problems: PC6, ST36, and RN12.

Heart problems: PC6, RN17, BL15, BL14.

Key point for anesthesia: PC6, LI4.

Local pain, atrophy, and spasm: PC6, LI11, LI4.

Reports:

1) Laugh: PC6 with reducing rotating method in big amplitude.

2) Stomach neurosis: PC6, ST36, RN12, LI11.

3) Migraine: healthy side PC6 or with affected side GB8. While needling PC6 upward, left hand presses the distal side to stop the sensation go to distal side.

 

39. Kunlun BL60

Prolonged labor: BL60, LI4.

Headache.

Stiffneck, lumbago, and sciatica: BL60, SI3.

Reports: 

Toothache: single use.  

 

IX. Regulating blood 

40. Ziyin BL67

the key point for fetus malpositon.

 

41. Kongzui LU6

for hemoptysis

 

42. Chengshan BL57

Hemorrhoid: BL57, Erbai (extra); constipation: SJ6.

Lower back pain, leg pain: BL57, BL40, GB39.

Reports:

1) Prolapse of anus: BL57, DU1, BL25, BL24, and BL32.

2) Dysmenorrhea: BL57.

 

43. Yinbai SP1

stops bleeding

 

X. Soothing the liver

44. Xinglian LR2

for liver fire

Reports:

Glaucoma: strong stimulation on LR2

 

45. Taichong LR3

for hyper activity of liver yang and liver qi stagnation

Reports:

1) Hypertension: a. LR3 with lifting and thrusting method; b. combining LI4, LR3with rotating reducing method without closing the hole, point to the tip of toe.

2) Facial paralysis: LR3, Li4.

3) Migraine: KI1 to LR3 with lifting and thrusting and rotating reducing method in strong stimulation.

46. Jiaxi GB43

47. Qimen LR14

48. Zulinqi GB41

Reports:

1) Migraine: opposite use. Point to the center of sole in strong stimulation.

2) Stop lactation: GB41, GB37 with reducing method.

 

49. YanglingquanGB34

Tendon meets in it.

Clinical applications:

1) Infantile convulsion: GB34, LI4.

2) Bi syndrome, Wei syndrome.

3) Hypochondriac pain, jaundice: GB34, SJ6.

4) Sciatica: GB34, GB30.

 

XI. Pain reliever

50. Sidu SJ9

for migraine

 

51. Jianyu LI15

Frozen shoulder: LI15, Jianliao LI14, SI9 and Jianqian (extra).

 

52. Tianzong SI11

Neck and shoulder pain

 

53. Tiaokou ST38

Frozen shoulder. single use. While retaining the needle, move the affected shoulder.

 

54. Dubi ST35

Technique: point inward and backward, mainly rotating the needle

 

55. Huantiao GB30

Techniques: Point little downward and let the sensation to the lower limb for leg 

problems: obliquely to the external genitals and lower abdomen and let 

the qi there for external genital and abdomen problems; point to the hip

joint 2-2.5cun for hip joint problem

58. Zhibian BL54

59. Shuaigu GB8

60. Taiyang (extra)

61. Yingtang (extra)   

 

XII. Points for the five sense organs

62. Zhongzhu SJ3

63. Yingxiang LI20

64. Suliao DU25

65. Jiache ST6

66. Dicang ST4

67. Xiaguan ST7

68. LianQuan RN23

69. Sibai ST2

70. Guangming GB37

GB37 combining with LR3 (which is good example of primary point combing with Luo-connecting point)

71. Futu LI18    

XIII. Stopping leukorrhea and spermatorrhea

72. Zhishi BL52

73. Ciliao BL32

74. Baihuanshu BL30

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