CMAC212. Session 11. Special point categories. Focusing on: Liver & Gallbladder Channel. Chinese Medicine Department.

Transcription

1 CMAC212 Session 11 Special point categories Focusing on: Liver & Gallbladder Channel Chinese Medicine Department

2 Session 10 Today we shall: o Discuss point prescriptions for the take home cases. o Explore points on the Liver Channel o Explore points on the Gallbladder Channel o Analyse a case study and a point prescription. o Clinical Practice Endeavour College of Natural Health 2

3 Point Prescription Discussion To commence todays class: Write the point prescriptions on the board for each of the cases you worked on at home in relation to Heart, Pericardium and Triple Energiser. Explain to the class why you took the approach you did and what your point prescription is all about. Is there a class consensus as to what would be the best approach? Endeavour College of Natural Health 3

4 Liver Channel LR 2, LR 3, LR5, LR 8, LR13, LR 14 As a class, differentiate each points use. What is the essence of each point? For example why would I use LR 5 over LR 3? Considerations include: o Identify each point s category o Discuss each point s function & therapeutic indications. o When would you use this point? What might be the presenting illness? What other point/s might be used with it? o When would each point be contra-indicated or used with caution? Endeavour College of Natural Health 4

5 Gall Bladder Channel GB 20, GB 21, GB 25, GB 30, GB 34, GB 40, GB 41 As a class, differentiate each points use. What is the essence of each point? For example why would I use GB 25 over GB 40? Considerations include: o Identify each point s category o Discuss each point s function & therapeutic indications. o When would you use this point? What might be the presenting illness? What other point/s might be used with it? o When would each point be contra-indicated or used with caution? Endeavour College of Natural Health 5

6 Case Study Endeavour College of Natural Health 6

7 Case Study John presents with red sore eyes. The acupuncturist used the point prescription of LR 2 & LI 4. Identify the likely o Diagnosis o Pathogenesis o Treatment principle o Rationale behind point selection o What other signs and symptoms might be present? Include tongue and pulse. Endeavour College of Natural Health 7

8 Case Study John presents with red sore eyes. The acupuncturist used the point prescription of LR 2 & Co 4. o Critically analyse the point prescription. Is it a good prescription? What other points might you select and what would be your rationale? Endeavour College of Natural Health 8

9 Case Study Endeavour College of Natural Health 9

10 Case Study Louise presents to your clinic with Amenorrhea. She is a 24 year old naturopathy student. Her tongue is pale and her pulse is choppy and fine. On further enquiry you discover Louise suffers from dizziness and eye floaters. She also has a history of depression. Louise is diagnosed with liver blood deficiency. Develop an amazing point prescription to treat Louise. Share these as a class. Endeavour College of Natural Health 10

11 Quote of the Day The superior doctor prevents sickness; The mediocre doctor attends to impending sickness; The inferior doctor treats actual sickness. Chinese Proverb What does this mean? How would it effect the development of our point prescription? Endeavour College of Natural Health 11

12 LIVER & GALL BLADDER CONDITIONS - PRIMARY POINTS POINT CATEGORY ACTIONS INDICATIONS METHODS OTHER LIV 1 Jing-Well Promote LIV Qi, resolve D-H, LIV Qi Dadun Wood point D-H constrained in LH LIV 2 Xingjian Ying-Spring Fire point Clear LIV Fire, Cool Blood, Subdue LIV Yang LIV Fire, LIV Yang, LIV Wind, heat in LIV 3 Taichong LIV 5 Ligou LIV 8 Ququan LIV 13 Zhangme n LIV 14 Qimen GB 20 Fengchi Shu-Stream Earth point Yuan-Source Luo- Connecting He-Sea Water point Front-Mu of Spleen Influential pt.. for Zang Front-Mu Liver On Yangwei Mai and Int Wind Subdue LIV Yang and Int Wind, Spread LIV Qi, Calm mind Spread LIV Qi Resolve Damp-Heat Resolve Damp in LH, Nourish LIV Blood Spread LIV Qi Promote function of LIV/GB, Spread LIV Qi, cool Blood Eliminate wind, subdue LIV Yang, clear heat, benefit eyes/ears/brain blood LIV Yang, LIV Qi constrained LIV Qi affecting throat D-H in LH D-H in LH LIV Blood Xu LIV Qi stagnation affecting abdomen and spleen LIV Qi stagnation affecting ST, Heat in Blood LIV Wind/Fire/Yang, LIV eye/ear problems Shi Reinforce Xu With LI 4 for interior wind in face Where LIV invades Spleen

13 LIVER & GALL BLADDER CONDITIONS - PRIMARY POINTS POINT CATEGORY ACTIONS INDICATIONS METHODS OTHER GB 24 Front-Mu Resolve D-H D-H in Liv/GB Riyue Gall Bladder Promote LIV/GB LIV Qi constrained GB 34 He-Sea Spread LIV Qi D-H in LIV/GB, LIV Qi affecting Yanglingquan Earth point Resolve D-H in LIV & GB, Subdue reb. Qi ST, hypochondrium, hypogastrium Dannangxue GB Special Resolve D-H in GB Gall stones/inflammation (D-H) GB 37 Guangming GB 38 Yangfu GB 41 Zulinqi UB 18 Ganshu UB 19 Danshu point Luo- Connecting Jing-River Fire point Shu-Stream Wood point MP Dai CP Yangwei Back-Shu Liver Back-Shu Gall Bladder Clear LIV/GB Fire Benefit/brighten eyes Subdue LIV Fire/Yg, resolve D-H Spread LIV Qi, Resolve D-H in genital region Benefit LIV/GB, eyes, move stagnant Qi, eliminate wind Resolve D-H in LIV/GB, pacify ST, relax diaphragm Eye problems mainly due to LIV Fire; Floaters (LIV Blood Xu) Migraines due to LIV Fire or Yang LIV Qi affecting side head, breast, menstruation; D-H in LH For most LIV disorders (Qi, D- H, Xu) and associated organ eye) D-H in LIV and GB Ascending ST Qi (Reinforce Xu) Shi Reinforce Xu

14 LIVER & GALL BLADDER CONDITIONS - SECONDARY POINTS POINT CATEGORY ACTIONS INDICATIONS METHODS OTHER PE 6 Neiguan Luo-Connecting MP Yinwei & CP Subdue ascending ST Qi LIV invading SP causing ST Qi to ascend SI 3 Houxi SI 4 Wangu SJ 6 Zhigou LI 4 Hegu LI 11 Quchi GB 40 Qiuxu UB 17 Geshu UB 20 Pishu UB 23 Shenshu Yinqiao Shu-Stream Wood point MP Du & CP Yangwei Eliminate/expel Wind, resolve Damp/jaundice Yuan-Source Resolve Damp-Heat D-H in GB Hypochondriac pain Jing-River, Fire point Regulate Qi, spread LIV LIV Qi affecting flanks w/ GB 34 Qi Yuan-Source Dispel wind from head, With LIV 3 for LIV Special pt.. for Face stop pain and calm mind Wing/Yang affecting w/ SP 8 for acute head period pain He-Sea Clear heat Fever, LIV Fire with Earth point Resolve Damp hypertension Yuan-Source Spread LIV Qi LIV Qi constrained GB mental aspects Influential pt. for Nourish and regulate Heat in Blood Blood Blood Congealed Blood Back-Shu of Spleen Promote SP, Damp in LIV/GB Reinforce Resolve Damp Back-Shu of KI Promote KI Yin Xu condition Reinforce

15 LIVER & GALL BLADDER CONDITIONS - SECONDARY POINTS POINT CATEGORY ACTIONS INDICATIONS METHODS OTHER KI 3 Shu-Stream Promote KI, benefit essence Ton KI, especially Tonify Taixi Earth Point KI Yin SP 3 Taibai SP 6 Sanyinjiao SP 8 Diji SP 9 Yiningquan SP 10 Xuehai Ren 2 Qugu Ren 3 Xhongji Ren 4 Guanyuan Du 26 Renzhong Yuan-source Shu-Stream Earth point Yuan-Source Xi-Cleft Promote Spleen, Resolve damp Dampness Spread LIV Qi, Strengthen KI Regulate Qi/Blood/uterus Remove Blood stasis, stop pain Even LIV Qi affecting / emotions, Yin Xu Reinforce Blood congealed in Use w/ LI 4 uterus He-Sea Water point Resolve damp, Benefit LH D-H in LH "Sea of Blood" Remove Blood stasis etc. Blood congealed e.g. in LIV Local point urogenital region Front-Mu UB Resolves Damp-heat etc. Damp-heat in LH Front-Mu SI Nourish Blood and Yin, Ton KI Yin/Blood Xu Reinforce Promote resuscitation Collapse Mainly Shi-type collapse

16 LIVER AND GALL BLADDER SYNDROMES CONDITION Liver Qi Constrained Flare-up of Liver Fire Liver Yang Rising (Inc. Liver Yin Xu) Liver Wind PRINCIPLE OF TREATMENT Disperse the Liver and regulate Qi Clear and cool the fire in the Liver Subdue Liver Yang Nourish Yin Subdue Wind and Clear heat & sedate LIV Sed Liv Yg Ton Liv Yin Tonify Liver Blood DISTAL POINTS LOCAL POINTS LIV 3, 5, GB 34, 41 LIV 13, 14 SJ 6, PE 6 LIV 2 GB 13, 20 Taiyang LIV 2/3, SJ 5 UB 2,Taiyang GB 37/38/43/44 GB 6/8/9/20 LIV 2, SI 3 IV 3 SP 6, KI 3, LIV 8 LIV 3 + LI 4 Du 20/16 GB 20 UB 17/18/20/23 Liver Blood Xu Nourish Liver Blood SP 6, ST 36, LIV 8 LIV 14, BL 17/18/20/ Cold Stagnation Sedate the Liver, warm LIV 1/5 Ren 2/3 in Liver Channel and disperse the cold Damp-heat in Liv Resolve the damp, clear & GB heat, Disperse LIV/GB Qi Congealed Blood in Liv & GB Disperse the Liver, Regulate Blood GB Deficient Tonify and warm GB GB 40 GB 34, LIV 2 Dannangxue SJ 6, SI 4 SP 3/6/9, LI 11 SJ 6, GB 34, LIV 3, SP 10 DU 9, LIV 14, GB 24 UB 18/19 UB 17, 18, Ren 6, ST 29 LIV 14/GB 24 OTHER POINTS PE 6 GB 37/38/44 SP 6, KID 3, LIV 8 LIV 3 SP 6, KI 3, LIV 8 Du 26 Ren 4 Ren 12, UB 20 LI 4 + SP 8 OTHER No moxa No moxa Reinforce +/-Moxa

17 Clinical Practice Endeavour College of Natural Health 17

18 Clinical Practice o Diagnose your patient, paying particular attention to the topics covered today. o Construct your point prescription. Which theories are you employing? Which point groupings are included? o Once you have approval from your supervisor, treat your patient. Share your findings/experience/questions. Endeavour College of Natural Health 18

19 Case Study for Next Week Please work through the assigned case study on: Session 11 Liver and Gallbladder. We will discuss your point prescriptions next week. Next weeks topic will be: Session 12 Kidney and Bladder. Please review these channels, points and pathologies before class. Endeavour College of Natural Health 19

20 References Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture (2 nd ed.). Hove, England: Journal of Chinese Medicine Publications. Endeavour College of Natural Health 20

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