"Su Wen" Chapter 25:
"A human being results from the Qi of Heaven and Earth…The union of the Qi of Heaven and Earh is called Human Being"
HandVine
Eye
Illustration XXX
Illustration XXXvirtue
Du
Upright, towards the sunThis pposture is against and
Illustration XXX
!HandVine
Eye
Illustration 15
! Du
Leadership / suggests upright
Both characters are related to righteousness, responsibility, and/or being honorable. The significance of this comparison is that in Ling Shu chapter eight, Chi Po states that “…Heaven in me is virtue, Earth in me is Qi…” This statement was part of an answer explaining the origins of Shen.
!Virtue
!
Illustration 239
Sadness - Melancholy
Character suggests posture
Illustration XXX
Ren Mai
St9, Kid11, and St30 relationship
Kid11 (pubic Bone)
Hyoid Bone
!
JueShin
VibrationStomach
abdominaldistention
Illustration 248
“…Where there is shaking from cold as if one is sprinkled with water, frequent yawning and groaning and the facial complexion becomes dark; A disease state causes that one hates the people and fire, and to be timid and fearful when hearing tones resonant to Wood (frightened of the sounds of trees in the wind); While the Head desires action/motion; one stays alone behind locked doors and closed shutters; In extremes it desires to ascend heights and sing and cast off ones clothes while walking (running) outside. Noise in the abdomen caused by vibration at the entrance of the Stomach and swelling; this is called shin Jue…”
Ling Shu 10 - Shin-Jue Disorder
Since CV12 is related to the Stomach, The shin is a region related to the Stomach Qi line The description (Ling Shu 10) clearly illustrates an psychiatric problem.
it is reasonable to make the connection between a painful CV12 area and the Heart Shu region.
Also, the description of a vibration at the stomach area is reminiscent of the “butterfly” feeling in the stomach when nervous or anxious.
The path of the Stomach channel goes through the stomach into the lungs and, from there under the left nipple, to become the pulse.
According to Ling Shu 10, the Stomach channel connects to the Spleen channel and it goes from CV12 to the middle of the Heart.
!
Illustration 249
CV12
Patients presenting with depression and/or anxiety associated with weight gain should be examined for any Liver pathology. The treatment of the “fatty Liver pattern” is especially useful. This can reduce pressure pain at the liver as well as at CV12. Since the Liver and Gallbladder are associated with depression and anger according to traditional Chinese medical theory, the treatments for these Organs should also help in reducing pressure pain at the sternum area.
Pressure pain at CV12 can also be reduced with Bl49 (Yi She). This point is related to the Yi pathology. If Bl49 reduces the pressure pain at CV12 the anxiety and/or depression problem may be related with the Spleen, thus Sp3 and Sp9 or Sp5 and Sp9 together with the treatment of the Stomach Qi line can further reduce pressure pain at CV12.
Pressure pain at CV17 can be reduced with GB13, which has a very unique name ben shen. This point bares the same name as Ling Shu 8 (“Origins of Shen”). This point, located above St8 should be needled very shallowly at the exact angle and location that reduced the pressure pain at CV17. GB13 can be needled unilaterally or bi laterally, depending on the amount of pressure pain reduction at CV17.
!
Illustration XXX
Four last sentences in Su Wen 33
Chi-Po explains why menstruation does not come. He says: “…When the menstruation does not come, (it means) the Bao mai is closed. Bao mai belongs to the Heart and is connected from its center to the uterus. If Qi goes up [and disturbing] to the Lung, Heart Qi cannot descend. Therefore menstruation will not come….”
Rebellious Qi
Bao
Bao
Mai
Heart
Bao
Pericardium
Bao emerges from the middle of the Heart
Lu LI
StSp
Ht SI
BlKid
Pc TW
GBLiv
CV12
Inside of Heart
Inside of Chest
To the Uterus
Rebellious Qi disturbs descending Ht Qi.
Illustration XXX
Four last sentences in Su Wen 33
• Hormonal disharmony and Ovary dysfunction
• Breast problems
• Pelvic Pain
• Uterus dysfunction
• Vaginal problems
Directly related GYN reflexes in the Hara
Kid13 - Uterus reflexKid16- Birth trauma reflex
St28 - Ovary reflexSt30 - Chong Mai
• Pituitary Gland Imbalance
• Thyroid Gland Imbalance
• Adrenal Gland Imbalance
• Ovarian Imbalance
Chemical disturbance: Hormonal prescriptions, poisons, etc
Kid9 LI15Anatomical disturbance:
Sphenoid bone imbalance
Head traumaAny structure imbalance
Chronic sinusitis
TMJ
Reflex zone disturbance: Scars (Bl2, Kid2, Bl10, Kid16, etc)
Piercing (navel, eyebrow, ear, etc)Metallic disturbance (toxins, allergy, etc.)
Pressure pain at Bl2 is the most important reflex
Above Bl10 - Sphenoid bone reflex
SI13 palpated downwards
General detoxification
Sphenoid bone imbalance
Direct pituitary treatment
LI15Lower Kid9
Direct MOXA
Kid9, TW9 (add Kid27) to releasePP on the ASIS
SI3
St9 - renying “Welcome to be adult”Also look for “buffalo hump, pressure pain at C6, C7, T1
and GV14
Thyroid gland ImbalanceTreatment Strategies
Balancing (hypo/hyper thyroid)
Pressure pain on Kid2: Kid7 and Ki10 (check Lu10)No pressure pain on Kid2: Kid3Lu4 oxygen for upper bodyThyroid balancing ear points
Palpate Kid2 Pain Kid7&Kid10With or without Lu5&Lu8
No Pain
Rapid Pulse
Yes
No
Pressure pain at SCM?
Yes
Contralateral TW9&GB40
Adrenal? (Kid3&Kid27)Dull pain Liv14, R.C3 (Liv1)
Pain at PC8 (PC3&Pc5)Blood Pressure (Behind Third toe)
CV17 Pain Pc Tx or TW5&GB41Abdominal Points CV6 or CV4Back Point GV2
Pressure pain on St28Pressure pain on St30Very tight inner thigh
Very cold feet
Tight quadratus lumborum muscle
GV3, GV4 and Huato pressure pain
GB25 pressure painLiv11 (psoas muscle reflex)
Puffy Sacrum
Treatment
Kid16 area (Kyutoshin)
Kid7 and Kid10 (if Kid2 is painful)
GB31 (release inner thigh muscle and piriformis)
GB25 (needle toward spine)
Huato of GV3 (bilateral) and GV4 (especially right side)
2nd and/or 3rd Liao points - Hormonal (Kyutoshin)
St30 (toward pubic bone)
Lu10 (quad. Lumborum release)
Liv11 (release psoas muscle, inner thigh and St28-St30)
Liv8 (fibroma/cysts) - direct thread moxa
Liv5 and or Sp5 for inflammation
Ovaries belong to Kidneys
Kid9 and LI15 (detoxification) direct moxa
Pelvic pain is a common complaint. It may originate in pelvic or extra pelvic organs,or it may be secondary to a systemic disease. Sometimes no cause is found.
Treatment Strategies
Step 1. Oketsu, Immune, Stomach Qi, AdrenalStep 2. Check all Fire points, Sp5, Liv5, Sp3.2, Woman’s Heal
Visceroptosis, Inner thigh, Dai Mai, Chong Mai/Ren Mai
Behind second or third toe, Structural imbalance (fulcrum)
Step 3. Right Huato of GV4, Huato of T7, Left SI11, Sacral Liao
Sacroiliac treatment, Four corner treatment, Bl40.
• Amenorrhea / Dysmenorrhea
• Menorrhagia
• Uterine fibroids
• Endometriosis
Amenorrhea / Dysmenorrhea
Primary (functional) Dysmenorrhea is a cyclic pain associated with ovulatoryCycles without demonstrable lesions affecting reproductive structures.
The pain is thought to result from uterine contractions and ischemia.
Contributing factors may include the passage of tissue through the cervix,a narrow cervical os, malposition of the uterus, lack of exercise,
and anxiety about menses.
Amenorrhea is the absence of menstruation - either because it never began or later ceased.
Amenorrhea - except that occurring before puberty, during pregnancy or early lactationand after menopause - is pathologic.
•
Amenorrhea indicates failure of hypothalamic-pituitary-gonadal-uterine interaction To produce cyclic changes in the endometrium, resulting in menses
No menstruation because of diet:Sp6 Kyutoshin, Sp10, Bl32, Bl33, Right Huato GV4, Liv9
Uterus belongs to Liver; find any kind of Oketsu:Oketsu in abdomenOketsu in the back
Oketsu in the head
Also find Liver patterns:Liver Organ excess
Liver Organ deficiencyLiver Channel excess
Always check Liao points - Kyutoshin
Menorrhagia
Dysfunctional uterine bleeding is the most common cause of menorrhagia
Abnormal uterine bleeding not associated withtumor, inflammation or pregnancy
Abnormal / irregular bleeding:Direct moxa Liv2, and Bl66, interdermal at
Ming-Men
Anemia after bleeding: Direct thread-sized moxa on Sp6 and PC6
Leiomyomas; Myomas; Fibromyomas
Benign uterine tumors of smooth muscle origin
Treatment StrategiesObviously it is a stagnation of Blood - No?Again, find any kind of Oketsu, then moxa (21 times) Liv8Examine the inner tight - lymphatic drainage to the lower abdomen
Treat Vascular compression of inner thigh
Sp3.2 (muscular relaxation), St22area (sphincter of Oddi), St24 (slippery flesh)
Liv4 or Liv5 and Sp5 (if lymph congestion)
Inner thigh points at groin- Liv10, Kid11, Sp12Visceroptosis - St13, Stomach Qi points, Inner Yin, GB31
ASIS treatment - Kid9, TW9
Non malignant disorder in which functioning endometrial tissue is present outside the uterine cavity
Liv5 anti inflammationCan try Sp5
Check all Fire pointsLiv12 area - groin
tap-inRight Huato of GV4
Release pressure pain @ T7
Bilateral Huato of T7
Left SI11(also releases lower back and sacrum)
Sacroiliac joint treatmentSecond and third Liao with
Kyutoshin
• Cysts
• Lumps
• Mastitis
• Lactation problems (hyper/hypo)
• Swelling and discomfort
Treatment Strategies for Breast disorders
To St30
Mammary line
PC & Ht
GB & Sp
Vascular compressionof neck and axila
Lymphatic compressionOf neck, chest and arm
Treat the mammary line: St22, St 24, St25, St26-28
Treat St30 (45 degree toward the pubic bone)
Treat the Stomach Qi line (first left then Right)
Metal and water of Stomach Channel (if St41 pain)
Visceroptosis treatment (esp. with big breasts)
Treat the PC Channel: PC8 (if it feels good)PC Metal and Water (if PC8 is painful)
PC6 (if PC feels normal)Home Work: massage PC8
Additional approaches:Ht channel treatment to reduce pressure pain at Ht1GB25 (with viscero. treatment with patient on side)“boil point: Bl63 - moxa- for breast cysts and lumps
Breast points on the inner thighLiv8 to reduce cysts and lumps
Treatment Strategies for Breast disorders
Discharge
Liv5 and JPc4 - make sure they release pressure pain @ Kid13If Presuure pain At Liv2: Liv4 and Liv8
Home Work: Liv5 & JPc4 every day moxa or Tiger WarmerStop during menstruation
After discharge stops: Moxa Sp6 and JPc4 for prevention
Infection: Immune, Adrenal, check all Fire points, LI15 & Kid9, Sp5
Dryness: Menopausal treatment
Before menopause (perimenopausal): Sp6, Pc6, Sp10 - Okyu only
After menopause: Kid6, Sp6, PC6- needle and Okyu
Physiologic cessation of menses due to to decreasing ovarian function
Essential points: CV9, ASIS, Sp9 and GB34
Rapid/tight pulse: Sp9, 1 cun below GB28, GB34, CV4 or CV6
Sp9 releases below GB28Right side below GB28 releases Li14 and rib pain
Left side below Gb28 releases Pressure pain at CV15
Step one: Oketsu (abdomen, head and back), Immune, Stomach Qi, adrenalYou must restore the movement to the pulse
Then….
If CV9 is pulsing - RSt24
Needle gummy/ropy or painful points below iliac spineNeedle second and third Liao
points
Menopause - back treatments
Right Huato of GV4, bilateral Huato of T7 and SI11
“Secret” Infertility Points 8-15 x Okyu
Morning Sickness
Kid6 Kid27St. Qi
Bl43Can Add…
Brain Stem Point
Back Sugar points
PC TxSp3.2
LI4Sp6
GB21Kid1Liv3Bl67
Bl32/33
Specific acu-points that descend include:LI-4, SP-6, GB-21. LI-4 the yuan source point of the Large intestine andSP-6 the three leg yin crossing of the footare important points to circulate qi and blood and induce downward movement and labor.GB-21 also descends.These points can be combined with SJ-6 and LIV-3.
ST-36, the he-sea point of the stomach channel combines with SP-6invigorates the Spleen and Stomach, produces qi and blood and induces labor. These points
can be needled, pressed, or warmed with moxa.
LI-4, Sp-6, UB-67, Du yin (extra point located on the plantar surface of the center of the proximal phalangeal joint of the second toe). Needle the first tow points and moxa the second
two
Yet another combination Li-4, SP-6, UB-30,
Cuo Chan Xue - "Hastening birth point" extra point 3 cun lateral to Ren 4. Needle 5 fen in depth.
If there is pronounced back labor pain in the sacrum, needle transversely the Ba Liao (UB31-34). Tape the needles in place flush with the skin and use electrostimulation.
Potential labor problems can be greatly aided by the use of herbsand an appropriate activity before labor to drain excess or tonify depletion. However,
acupuncture can be quick to act on qi stagnation and blood stagnation.
Pain Relief During Labour
GB21
GB30
Sp6
Bl60
Acupressure to Induce LabourWaters Breaking
Posterior Position
Unestablished Labour or Failure to Progress
Stage 1
Stage 2
Nausea & Vomiting During Pregnancy
After Pains