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Acu Therapeutics I

Midterm- Asthma, Stroke, Trigeminal Neuralgia, Epigastric Pain, Constipation, CP

QuestionAnswer
Fixed point combination for chest/lung LU7/K6
Fixed point combination for night sweats SI3/HT6
Fixed point combination for "stuffy sensation at chest/heart" P6/SP4
Fixed point combination for HC pain GB34/SJ6
Command point for face/mouth LI4
Command point for low back UB40
Command point for head & neck LU7
Command point for abdomen ST36
Wind Stroke: 5 etiologies. 2 are Closed and Collapse (XS & XU respectively). What are other 3? LR/KD Yin Xu. Wind Phlegm. Q&B Xu.
Wind Stroke- Attack Organs, Closed Type. What are points? (Hint: 1 open orifices. 2 sedate LR Yang. Add 1-2 Jing Well points at finger tips. Then 1 Wind, 1 Phlegm point) Closed is XS, so need to Open Orifices (Du26), Sedate LR Yang (K1, LR3), then address Fire (any Jing Well points but mostly fingers: H9, P9, SJ1, SI1), Wind (GB20), Phlegm (ST40)
Wind Stroke- Attack Organs, Collapse Type. What are points? (Hint: Since this is Xu you will moxa (w/ salt) some Ren points instead of getting rid of phlegm, wind and fire.) Collapse (aka "open") type is Xu. So... SALT MOXA: Ren 4, Ren 8. Also Du26. And, for some reason, P6.
Wind Stroke: What 2 points to help with dysphagia? Du15 (Mute Gate) and HT5 (1 cun above HT7)
Wind Stroke: What points to help fingers gain motor function? SI3, Ba Xie (Eight Pathogens)
Wind Stroke: What points to help feet gain motor function? K6, UB62, Ba Feng (Eight Winds)
Wind Stroke: What 2 points for stroke PREVENTION? ST36 and GB39 (Gathering Point for Marrow)
Wind Stroke- Attack Meridians. What points for LR/KD Yin Xu? (There are FIVE: 2 Shu-Stream/YSP, 2 Back Shu, 1 Three Yin Meeting) LR3, K3, SP6, UB18, UB23
Wind Stroke- Attack Meridians. What points for Q&B Xu (There are FOUR: 3 for qi and 1 for blood.) Ren 6, ST36, SP3. SP10.
Wind Stroke- Attack Meridians. What points for Wind-Phlegm? (There are THREE: 2 for Wind and 1 for Phlegm) GB20 (Wind Pond), GB31 (Wind Market), ST40
Constipation: 5 etiologies. What are the 2 XS? ST/LI Heat. LQS.
Constipation: 5 etiologies. What are the 3 Xu? Q&B Xu. KD Yin Xu. KD Yang Xu.
Constipation: Common Points (There are FIVE: FM, BS and LHS for LI plus special "fixed pair" of points for unblocking bowel) FM of LI is ST25. BS of LI is UB25. Lower He-Sea of LI is ST37. Fixed pair for unblocking bowel is SJ6-K6.
Constipation: What 2 dicey points for 'chronic constipation' to REALLY unblock the bowel? Actually, they are two of the rectal prolapse points: Du1 and UB57. (Can substitute UB35 (0.5 cun on either side of tip of coccyx) for Du1 if you prefer.)
Constipation d/t ST/LI Heat. What are the 3 differentiation points? (Hint: two LI points & one ST point, all for Clearing Heat) LI4, LI11, ST44
Constipation d/t LQS. What are the 4 differentiation points? (Hint: Pretty much the obvious points, except no FM of LR here) Four Gates (LR3/LI4), Ren 17, UB18.
Constipation d/t Q&B Xu. What are the 5 differentiation points? (Hint: 3 Back Shu and 2 qi points) UB20, UB21, UB17. ST36, Ren 6
Constipation d/t KD Yin Xu. What are the 5 differentiation points? (Hint: KD Yin, KD Yin, Yin, Three Yin Meeting. And then Ying-Spring of KD for (empty) heat in KD channel) K3 (KD), K6 (Yin), SP6 (3 Yin), K10 (KD Yin- and Water Point of KD channel), K2 (for the empty heat)
Constipation d/t KD Yang Xu. What are the 5 differentiation points? MOXA!!! Ren 4, Du4, Ren 8. Needle: UB23, K7.
Asthma: 5 etiologies. What are the 2 XS? There actually might be 3: Wind-Cold, Damp Phlegm, and Heat Phlegm. (If there are only 2, we'll take out Damp ("Turbid") Phlegm) and leave just Wind-Cold and Phelgm Heat
Asthma: 5 etiologies. What are the 3 Xu? KD qi Xu. SP qi Xu. LU qi Xu.
Asthma: Common points for asthma d/t XS? UB13, Ding Chuan (aka "Stop Wheezing"), LU5, Ren 17(aka Shanzhong or "Middle of the Chest"). (Back Shu of Lung, extra point for "descend lung qi," He-Sea of Lung, and Gathering Point for qi)
Asthma: Common points for asthma d/t Xu? The 4 common common (UB13, Ding Chuan, LU5, Ren 17) PLUS... moxa @ UB43, Ren 6, ST36
Asthma d/t Wind-Cold. What are the 5 differentiation points? LU7 & LI4 for Release Exterior Cold pathogen. Moxa: UB12 (Wind Gate), GB20 (Wind Pond), UB13 (BS of Lung)
Asthma d/t Phlegm Heat: What are the 2 differentiation points? (Hint: one point for Phlegm and one point for LU heat (the obvious one)) ST40 for Phlegm. LU10 for Lung heat. (DJ adds Du-14)
Asthma d/t LU qi Xu. What are the 2 differentiation points? (Hint: Earth point on LU channel and YSP on Earth channel) LU9 (YSP and Shu Stream-- and "Earth point of Lung channel). SP3 (is YSP point of Earth channel (the 'mother' of metal)
Asthma d/t KD qi Xu. What are the 3 differentiation points? (Hint: BS (but not FM) of KD. Then YSP/Shu-Stream of KD. Finally, this "primal/source Yin/Yang point on Ren channel) K3, UB23, (not sure why he doesn't include FM of KD here. If he did, it would be GB25), Ren 4 (can moxa if cold)
Asthma d/t SP qi Xu. What are the 4 differentiation points? (Hint: BS & FM of SP. YSP of SP. Then FM of ST (for some reason)) SP3, UB20, LR13, Ren 12
Facial Pain (aka TGN): 5 etiologies. What are the 3 XS? Wind-Cold, ST Fire, LR Fire
Facial Pain (aka TGN): 5 etiologies. What are the 2 Xu? Yin Xu (with Empty Fire). Q&B Xu.
Facial Pain (aka TGN): Common points? Trick question! He didn't give us any common points for facial pain. (Just a handful of local points depending on 1st (UB2, Yu Yao), 2nd (ST2, SI18), 3rd (ST6, Jia Cheng Jiang) branch of TG nerve.)
Facial Pain d/t Wind-Cold: What are the 3 differentiation points? (Hint: Wind, wind, wind) moxa GB20 (Wind Pond), Du16 (Wind Palace), SJ17 (Wind Screen)
Facial Pain d/t ST Fire: What are the 3 differentiation points? (Hint: Jing Well and Ying Spring for ST. And LI (also Yangming) point for Clear Heat) ST44, ST45 (bleed), LI11
Facial Pain d/t LR Fire: What are the 2 differentiation points? (Hint: Ying Spring for LR and Lower He-Sea for GB) LR2, GB34 (Lower He-Sea & Earth point of GB). (DJ adds GB43: Ying-Spring of GB)
Facial Pain d/t Q&B Xu: What are the 4 differentiation points? (Hint: there are 2 for qi and 2 for blood) 2 for qi: Ren 6 and ST36. 2 for blood: UB17 and SP10.
Facial Pain d/t Yin Xu: What are the 2 differentiation points? (Hint: KD yin and Three Yin Meeting) K6, SP6
Facial Pain: Differentiation of symptom location. If 1st branch of trigeminal nerve affected, where will pain be concentrated? Eye orbit, forehead
Facial Pain: Differentiation of symptom location. If 2nd branch of trigeminal nerve affected, where will pain be concentrated? Between eyes and mouth
Facial Pain: Differentiation of symptom location. If 3rd branch of trigeminal nerve affected, where will pain be concentrated? Below the mouth (i.e., lower lips & gums)
Facial Pain: Which points would you do e-stim on for 1st branch of trigeminal nerve involvement? UB2 (medial end of eyebrow), Yu Yao (middle of eyebrow), Tai Yang (pick two) (Lateral end of eyebrow is SJ23!)
Facial Pain: Which points would you do e-stim on for 2nd branch of trigeminal nerve involvement? ST2, SI18 (lateral and slightly inferior to LI20)
Facial Pain: Which points would you do e-stim on for 3rd branch of trigeminal nerve involvement? ST6, Jia Cheng Jiang (1 cun lateral to Ren 24)
Epigastric (aka Stomach) Pain: SIX etiologies!!! What are the 4 XS? Cold in ST. Food retention. Phlegm obstruction. LR qi invading ST.
Epigastric (aka Stomach) Pain: SIX etiologies!!! What are the 2 Xu? SP/ST Xu Cold (aka qi/Yang Xu in SP/ST). ST Yin Xu.
Epigastric (aka Stomach) Pain: Common points (Hint: There are 4-- and only 1 is Shu/Mu point. 2 are special "fixed combo" for fullness of chest/heart/epigastrium) SP4/P6. FM of ST is Ren 12. ST36.
Epigastric (aka Stomach) Pain d/t Cold in ST. What are the 4 differentiation points? (This is tricky!! One is XCP, one is ST point on same level as Ren 12, one is LI point for pain! 4th point is FM of ST and is moxa'd) XCP= ST34. FM of ST= Ren 12 (moxa). Point for Yangming pain is LI4. ST point on same level as Ren 12 is ST21.
Epigastric (aka Stomach) Pain d/t Food Retention. What are the 5 differentiation points? (Hint: Two are Lower He Sea. Two others are whacky, seldom used Ren points. Fifth point is extra point directly under ST44) LHS of LI+ ST37. LHS of SI= ST39. Ren10 relieves food stagnation. Ren11 "promotes the ripening & rottening" of ST contents. Li Nei TIng is the extra point.
Epigastric (aka Stomach) Pain d/t (Damp-) Phlegm Obstruction. What are the 3 differentiation points? (Hint: 1 point for Damp (well okay, 2) and 1 point for Phlegm) SP9, SP5, ST40
Epigastric (aka Stomach) Pain d/t LR qi "invading" ST. What are the 5 differentiation points? (Hint: Four Gates, BS, FM and then a special point for acid regurgitation (it is YSP of GB channel)) LR3, LI4, UB18, LR14, GB40!
Epigastric (aka Stomach) Pain d/t SP/ST qi/yang Xu (i.e. Cold). What are the 7 differentiation points? (Hint: BS for both SP & ST. FM for SP. YSP for SP. Then moxa 4 Ren points- with ginger!) UB20, UB21, LR13, SP3. Moxa (with ginger) Ren 8, Ren 12, Ren 6. (If acute pain, you can needle XCP of ST meridian, ST34. And also points 1.5 cun later to LSP of T-10 (for epigastric pain): Du-7).
Epigastric (aka Stomach) Pain d/t ST Yin Xu. What are the SIX (!!) differentiation points? (Hint: BS for SP & ST. Two "tonify Yin" points. One point for "primal yin/yang." One point for (empty) heat in ST channel) UB20, UB21, SP6, K3. Ren 4. ST 44.
Epigastric (aka Stomach) Pain: What points for acute pain? Needle XCP of ST meridian, ST34. And also points 1.5 cun later to LSP of T-10 (for epigastric pain): Du-7.
Created by: mrbarr