"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