Asian Bodywork III Class 2

Timur Lokshin LMT, CPT, LAc.

Six Pathogenic Influences

WIND COLD SUMMER-HEAT DAMPNESS DRYNESS FIRE

Yang Yin Yang Yin Yang Yang

Spring Winter Summer Late Summer Autumn Summer

LV/GB KD/UB PC/SJ SP/ST LU/LI HT/SI

Anger Fear Worry Grief/Sadness Joy

Sinew Bone Muscles Skin Vessels

Wood Water Fire Earth Metal Fire

Bi Syndrome

Impediment (blockage)• Blockage of the channels arising when wind, cold and

dampness invade fleshy exterior and the joints, and manifesting in signs such as joint pain, sinew and bone pain, and heaviness or numbness in the limbs.

Primary Bi Syndrome

Distinction is made between three pattern types, each of which corresponds to a prevalence of one of three evils. • Wind Bi: characterized by wondering pain, indicating wind is the

dominant evil• Cold Bi: associated with acute pain, exacerbated by cold and relieved by

warmth• Damp Bi: characterized by heaviness, stubborn numbness of skin, pain

affected by damp weather

Impediment is readily complicated by qi vacuity, and blood vacuity.

Secondary Bi Syndrome

• Heat Bi: occurs when either heat toxins pour into joints or when the three evils are contending internally, characterized by hot red swollen painful, sometimes accompanied by heat effusion and thirst

• Blood Bi: results from evil entering the blood aspect in patients suffering from qi and blood vacuity, often traceable to sleeping in drafts or sweating from exertion, characterized by numbness, pain, faint rough pulse that is fine and tight

• Qi Bi: pattern brought on by emotional stimulus• Qi Vacuity Bi: arising when vacuity of yang qi allows internal cold-damp to become exuberant,

characterized by inhibited movement, lack of bodily warmth, some cases of numbness• Blood Vacuity Bi: depriving the limbs of nourishment, sometimes with contracted wind-damp

evil, characterized by numbness of skin, inability to lift limbs, scallion-stalk pulse

Primary Points for Bi Syndrome

• Damp Bi treatment: dispel damp primary, secondary dissipate wind and expel cold, and supplementing the spleen and moving qi• Acu Points: ST36, SP9, LU5

• Cold Bi Treatment: treat by warming the channels and dispelling cold, assisted by coursing wind and dispelling damp• Acu Points: UB23, Ren4(GuanYuan)

• Wind Bi Treatment: treat primarily by dispelling wind and secondarily by dispelling cold and disinhibiting dampness, build blood• Acu Points: GB20, Du16(FengFu)

Primary Points for Bi Syndrome

• Qi Vacuity Treatment: boost qi, warm yang• Acu Points: UB20, UB23, Du4(Ming Men)

• Blood Vacuity Treatment: nourish blood, combine as necessary with boosting qi and dispelling wind• Acu Points: SP6, UB17, UB20

• Heat Bi Treatment: clear heat and dispel dampness, diffuse impediment and relieve pain• Acu Points: LI4, LI11

• Blood Bi Treatment: boost qi, harmonize construction• Acu Points: ST36, UB 17(influence blood), UB20, LV3

A Shi Points

• A shi points (ouch points), points that are sensitive to palpation and chosen as sites for acupuncture treatment. These points are mostly used to treat disorders in their immediate vicinity, but also treat disorders distant from the point. Similar to trigger points.

Motor Points

• Motor Points is a centralized location where the motor nerve enters the muscle. It has the greatest influence on electric activity and a greater impact on pain. Directly affects the flow of qi and blood. For best results use on both agonist and antagonist muscles.

• Add Huatojiaji points innervating spinal segments.

Command Points

• They have the strongest and general influence on a specific are:

• ST36 Abdomen• LU7 Head and back of Neck• UB40 Back • LI4 Face and Mouth

• Mentioned in "Glorious Antholgy of Acupuncture and Moxibustion" by the Ming dynasty author Gao Wu

Xi (Cleft) Points(Accumulation)

• Usually used for excess conditions and applied with sedation method. Primary for acute painful or stubborn conditions. Work deeply on the gathered blood and qi.

• Lu6, LI7 (metal)• ST34, Sp8 (earth)• HT6, SI6 (fire)• UB63, KD5 (water)• PC4, SJ7, (fire)• GB36, LV6 (wood)

Confluent Points(Opening)

• Chest, Abdomen LU6 Ren• Inner Leg, Eyes KD6 Yin Qiao• Back, Spine SI3 Du• Outer Leg, Eyes UB62 Yang Qiao• Waist GB41 Dai• Head SJ5 Yang Wei• Abdomen, Chest SP4 Chong• Abdomen, Sides of Body PC6 Yin Wei

Upper Extremity Points

• Shoulder Points: • ST38, SJ5, SI9.5 (Teres Minor), SI11, SI 12 (Supraspinatus), BTW St16-SP19 (above

4th rib)(pec minor), Subscapular, Jian Qian

• Elbow Points: • Extensors: SJ5, SJ10, LI9-11, LU5• Flexors: BTW HT3-PC3 Distal Tip of Triangle (Pronator Teres), PC6, LU6

• Wrist Points: • LU9, PC7, HT7, LI5, SJ,4, SI4-5 (gentle massage)• PC6 (Pronator Quadratus),LU6, LU5

Liniment(Cooling or Warming)

• A liquid or lotion, made with oil or alcohol medium, used for rubbing on the body to relieve pain.• Die Da Jiu (hit and bruise wine)• Tendon• Trauma• Bone• Etc.

Biofreeze(Cooling)

• Used to treat sore muscles, strains, sprains and joint discomforts. Relieves pain with cryotherapy, reducing the sensation of pain and reducing inflammation. Apply generously in pre and post treatment to further enhance the level of care.

Contains coloring chemicals

Arnica Gel(Cooling)

• Arnica Gel has a cooling effect for fast pain relief. This non-sticky, non-greasy gel is quickly absorbed by the skin.

• Temporarily relieves muscle pain and stiffness due to minor injuries, overexertion and falls

• Reduces pain, swelling and discoloration from bruises