Akupunkturteori
for kursister/studerende
Af Qunhui
Mao
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.
Afsnit fra bogen Effective Points Therapy of
Acupuncture
af dr. Qunhui Mao
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
Diverse emner:
Male Infertility
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.
74
important points
Artikel
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
|