PTI Review1

7/29/2019 PTI Review1

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Point IndicationExtraordinary Vessels (TCM)Point Selection

Review 1


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Extraordinary Vessels


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The Conception vessel (Ren Mai)

Primarily treats reproductive andgynecological problems, abdominal and

chest symptoms as well as general yin

conditions.

The Governing Vessel (Du Mai)

Primarily treats pain in the spine, back andneck, and neurological problems as well as

general yang conditions.


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The Girdling Vessel (Dai Mai) encirclesthe body at the waist. It regulates theascending and descending of qi and

treats pain in the lower abdomen and

back and leukorrhea.

The Penetrating Vessel (Chong Mai)regulates blood in the uterus and is used

to treat gynecological and digestive

problems as well as rebellious qi.


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Girdle Vessel

Dai Mai

Penetrating Vessel

Chong Mai


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The Yin and Yang Motility Vessels (QiaoMai) regulate the opening and closing of

the eyes and muscle balance in thelower body.

They treat musculoskeletal andneurological problems as well as sleepdisturbances.

For example, the Yin Qiao treats medialleg spasm, somnolence and night

seizures, and the Yang Qiao treats

lateral leg spasm, insomnia and day

seizures.


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Yang Motility Vessel

Yang Qiao Mai

Yin Motility Vessel

Yin Qiao Mai


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The Yin and Yang Linking Vessels (WeiMai) connect all the Yin and Yang

channels respectively.

The Yang Wei Mai treats problemssimilar to the Gallbladder Meridian and

the Yin Wei Mai treats problems similar

to the Pericardium Meridian.


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Yang Linking Vessel

Yang Wei Mai

Yin Linking Vessel

Yin Wei Mai


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Each vessel has a confluent point, whichwe have noted earlier. In some cases

the confluent point is a point of

intersection of the vessel with a regular

channel, in some cases it is not.

The confluent points are often paired,and the pairs have specific areas ofinfluence


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Conception vessel (LU-7) is paired withthe Yin Motility Vessel (KID-6)

Treats: Chest, diaphragm and throat

Penetrating Vessel (SP-4) is paired withthe Yin Linking Vessel (P-6)

Treats: Stomach, heart and chest


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Governing Vessel (SI-3) is paired withthe Yang Motility Vessel (BL-62)

Treats: Inner canthus, neck, ear,shoulder, upper back

Girdling Vessel (GB-41) is paired withthe Yang Linking Vessel (SJ-5)

Treats: Outer canthus, cheek, neck, backof ears and shoulder


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Sample Point

Selection for TCMPatterns


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This is a very simple methodology forconstructing point combinations. It usesprimarily very commonly-used points;

other points with similar or more

specialized functions may be substitutedas you like.

Some points are marked with an asterisk(*); this means the point should betreated by moxibustion.


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Substance Patterns


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Qi

(Deficiency) ST36, SP6, REN6 (Stagnation) LR3, LR14, LI4

(Sinking Qi) DU20, ST36, REN6


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Blood

(Deficiency) BL17*, SP6, BL20 (Stasis) LR3, SP10, LI4

(Heat) SP10, BL40


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Fluids: see Kidney Yin Deficiency

Jing: see Kidney Jing Deficiency

Shen: see Heart patterns


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Pathogen Patterns


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Wind

(Exterior) LI4, LU7, GB20, BL12 (Interior) GB16, GB20, DU20, GB31


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Cold

(Exterior) LI4, LU7, BL12 (Interior) REN4*, REN12*, ST36*


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Heat

(Exterior) LI4, LI11, DU14 (Interior) LI11, DU14 (XS); K3, K6 (Def)


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Damp

SP9, BL20, REN9; add LI11 if DampHeat


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Summerheat

LI11, DU14; add SP9 if Damp


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Phlegm

SP9, ST40; add LI11 if Heat (Lung) LU5

(Heart) P5


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Zang Fu Patterns


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Lung

(Exterior pattern) LI4, LU7; LI11, TB5 ifHeat

(Phlegm) LU5, ST40; add LU10 if Heat (Qi def) LU9, SP3, BL13 (Yin def) LU5, LU9, K3


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Heart / SI

(Qi def) H7, BL15, ST36 (Blood def) H7, BL15, SP6, BL17*

(Yang def) K3, H5, SI4 (Yin def) K3 (or K6), H6, BL15

(Fire) H8, K6, REN14 ; (->SI add ST39,

REN4)

(Blood Stasis) SP4, P6, P4, REN17

(Phlegm) P5, ST40


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Spleen / Stomach

(Qi def) SP3, SP6, ST36, BL20 (Yang def) as above, add K7, BL23* (Rebellious Qi) P6, ST36, REN12

(ST Heat) ST44, ST34, REN12


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Liver / GB

(Qi stag) LR3, LR14, GB34

(Blood def) LR3, BL17*, SP6 (Fire) LR2, GB43, SJ6 (Yang rising) LR3, K3, DU20 (GB Damp Heat) GB24, GB34, GB43


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Kidney / BL

(Yang def) K3, BL23, DU4*

(Yin def) K3, K6, BL23 (Qi def) K3, BL23, ST36 (Jing def) K3, DU4, REN4 (BL Damp Heat) REN3, SP9, BL28


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Large Intestine

(Damp Heat) ST25, ST37, LI11, SP9 (Cold) ST25*, BL25*, REN12*, ST37 (Dry) TB6, SP6, ST25, KI6


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Review for Final


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THE FIVE SHUPOINTS


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Jing-well Points

Where the Qi of the Channel emerges

Restores consciousness Clears Heat & Stagnation, especiallyfrom the opposite end of the channel

Calms the Spirit (Shen) Treats fullness below the Heart


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Examples

Bleed all twelve jing-well points in forexcess-type (Heat) collapse

LU-11 for acute sore throat and mumps. HE-9 for Heart or chest pain

Several Jing-Well point indicated formania


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Ying-spring Points Where the Qi of the Channel glides Clears heat from the channel/organ (fire

& water point) Effect on the opposite end of the channel

(less than Jing-well)

Can substitute for Jing-well Can combine w/Shu-stream to treatZang


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Examples LU-10 clears heat from the throat and/or

Lung

KID-2 clears deficiency heat from theKidneys LIV-2 clears Liver fire

GB-43 clears heat from the GB channel. ST-44 clears fire from the Stomachchannel


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Shu-stream Points Where Qi of the Channel begins to pour Yin Channels: same as Yuan-source pts

Heaviness &/or pain of the joints Combine w/ Ying-spring to treat the Yinorgans

Yang Shu-stream: channel stagnation Diseases which come and go - chronic


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Examples

LU-9, SP-3, HE-7, KID-3, LIV-3 all tonify

their associated zang (Shu-stream +Yuan-source)

GB-41 disperses qi stagnationthroughout the shaoyang channel

SI-3 for all disorders of the neck


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Jing-river Points

Qi of the Channel begins to flow heavily

Cough, Fever & Chills Change in voice

Disorders of the muscles, tendons,bones, joints


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Examples

LU-8: cough, asthma, wheezing HE-4: sudden loss of voice BL-60: stiff neck, lumbar pain

LIV-4: contracted sinews, lumbar pain


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He-sea Points

Where the Qi of the Channel unites withthe sea -- communicates with organs

Rebellious Qi, diarrhea, abnormalleakage of fluids

Skin diseases Treats the Fu organs


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Examples

ST-36: every kind of Stomach or Spleendisease

SP-9: lack of appetite, diarrhea L.I.-11: skin diseases, itching of the skin LIV-8: itching of the genitals


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Mother-Child Points

AKA, Tonification (Supplementation)and

Dispersion (Sedation) (Draining) Points Based on Five-Phase (Five-Element)

theory, specifically Classic of Difficulties

69.

Most often applied to Yin channels

Cl i f Diffi lti


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Classic of Difficulties

69

In deficiency, tonify the Mother In excess, drain the Child Tonify first and then drain


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Mother Point = Point representing phase/element preceding affected channel on

Sheng (Generating cycle)

Example: Lung Deficiency: Tonify LU9(Earth point on Metal Channel)

Child Point = Point representing phase/element following affected channel on

Sheng (Generating cycle)

Example: Lung Excess: Drain LU5(Water point on Metal Channel)

YUAN SOURCE


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YUAN-SOURCE

POINTS Each of the twelve primary channels hasa yuan-source point where it is said the

original qi surfaces and lingers.

On yin channels, the yuan-source pointsare the same as the shu-stream points.

When the five zang are diseased, selectthe yuan-source points, they are the

primary point on the yin channels for this

purpose.


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On the yang channels their importanceand indications they are quite differentfrom the yuan-source points of the yin

channels.

Their principal actions are to dispelvarious kinds of excess pathogenic

factors and to treat disorders along thepathway of their respective channels.

LUO CONNECTING


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The actions of the luo-connecting points:

i. treating disorders of their interiorly-

exteriorly related channel or zang-fu,

ii. treating disorders in regions reachedby the luo-connecting channel

iii. treating psycho-emotional disorders.

LUO CONNECTING

POINTS

THE METHOD OF COMBINING THE


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Known as the host and guestcombination

The yuan-source point of the first orprimarily affected channel is combined

with the luo-connecting point of itsinteriorly-exteriorly coupled channel.

THE METHOD OF COMBINING THE

YUAN-SOURCE AND LUO-

CONNECTING POINTS


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Used in cases where all 3 yin or yangchannels of the arm or leg are affected.

SJ 8 - 3 arm Yang (LI, SJ, SI) PC 5 - 3 arm Yin (LU, PC, HE)

GB 39 - 3 leg Yang (ST, GB, BL) SP 6 - 3 leg Yin (SP, LIV, KD)

Group Luo Points


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Xi-cleft points in general are indicated inthe treatment of acute conditions and

pain.

Xi-cleft points of the yin channels havean additional action of treating disordersof blood.

XI-CLEFT POINTS


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the shu points are situated in the yangregion, they may be used to treat yin

diseases- most practitioners use theback-shu points of the zang more

frequently, while the front-mu points may

be favored for diseases of the fu.

Back-shu points do not treat channeldisorders; may be indicated in some

disorders of the sense organs.

BACK-SHU POINTS


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Front-mu points have a wide application,including excess, deficiency, hot and cold

patterns; they can be used diagnostically

(as can the back-shu points).

The front-mu points their respective zangfubut not their respective channel.

The corresponding back-shu and front-mupoints are also frequently combined in

treatment.

FRONT-MU POINTS

HUI MEETING


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LIV-13: hui-meeting point of the zang

REN-12: hui-meeting point of the fu

REN-17: hui-meeting point of the qi.

BL-17: hui-meeting point of blood.

HUI-MEETING

POINTS


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GB-34: hui-meeting point of the sinews.

LU-9: hui-meeting point of the pulse andvessels.

BL-11: hui-meeting point of bone.

GB-39: hui-meeting point of marrow.

LOWER HE SEA


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Used to treat their respective fu organs. Large Intestine ST 37

Stomach ST 36 Sanjiao BL 39

Gall Bladder GB 34 Small Intestine ST 39 Urinary Bladder BL 40

LOWER HE SEA

POINTS

FOUR AND SIX


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FOUR AND SIX

COMMAND POINTS ST-36 - abdomen. BL-40 - lumbar region and back. LU-7 - head and nape. L.I.-4 - face and mouth.

P-6 - chest and lateral costal region DU-26 - resuscitation.


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Points: L.I.-4, LIV-3 Common combination usually indicated

for stagnation of Qi and/or Blood, with

associated symptoms of pain and

emotional stress.

FOUR GATES


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Hand Taiyin LungChannel


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ZHONGFU LU-1***

Front-Mu point of the Lung ACTIONS: Disseminates and descends

Lung qi, stops cough, transformsphlegm, clears heat, regulates the water

passages, descends Stomach qi

INDICATIONS: Cough, turbid phlegm,wheezing, fullness/ pain of the chest,heat in the chest, difficult ingestion


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CHIZE LU-5****

He-Sea and Water point Dispersion (child) point

ACTIONS Clears heat from the Lung, descends

rebellious qi

Regulates the water passages Activates the channel, alleviates pain


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INDICATIONS Cough &/or wheezing d/t heat or phlegm-

damp, fullness of the chest, coughing

blood, nosebleed, frequent urination, Bipain of the elbow, arm, back or knee

Also used to strengthen Lung & Kidneyrelationship, e.g. Kidney not grasping qi


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Xi-Cleft point ACTIONS: Disseminates and descends

Lung qi, clears heat and moistens the

Lung, stops bleeding, moderates acute

conditions

INDICATIONS: Cough (acute &/or withblood), wheezing, chest pain, throatswelling and pain, severe pain of elbow

and upper arm, headache, hemorrhoids.

KONGZUI LU-6***


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LIEQUE LU-7*****

Luo-Connecting point Confluent point of the Conception vessel Command point

ACTIONS


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Releases the exterior and expels wind

Promotes the Lung descending function

Pacifies wind and phlegm

Benefits the head and nape

Opens and regulates the Conceptionvessel

Regulates the water passages

Activates the channel and alleviates ain


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INDICATIONS

Exterior Wind invasion: Chills and fever,nasal congestion, throat pain, cough,

sweating, facial paralysis.

Headache and stiffness of the neck andnape

Luo vessel problems: Weakness or painof the wrist and hand, pain of the thumb,shoulder pain.


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Conception vessel* or Water passageproblems: Post-partum, retention of

lochia, bloody/hot/painful urination,

edema.

* Conception vessel - frequently

combined with KID-6


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TAIYUAN LU-9****

Shu-Stream, Yuan-Source and Earthpoint

Hui-Meeting point of the Vessels ACTIONS: Tonifies the Lung, transforms

phlegm, descends Lung Qi, regulates the

vessels, activates the channel, alleviatespain

INDICATIONS


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Qi Deficiency: Cough (esp weak or withwatery phlegm), wheezing, shortness ofbreath, much yawning

Yin deficiency: Heat in the palms, drythroat, coughing blood

Irregular or faint pulse

Pain of the wrist, arm, shoulder, chestand back


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YUJI LU-10***

Ying-Spring and Fire point

ACTIONS: Clears Lung heat, benefitsthe throat, descends rebellious qi INDICATIONS: Cough (heat or w/blood),

sore throat, loss of voice, fever, heat inthe palm, vomiting, agitation.


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Hand Yangming

Large IntestineChannel


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HEGU L.I.-4*****

Yuan-Source point, Command point ofthe face, Four Gates point

ACTIONS: Regulates the defensive qiand adjusts sweating, expels wind andreleases the exterior, regulates the face,

eyes, nose, mouth and ears, activates

the channel and alleviates pain, induces

labor, restores the yang


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INDICATIONS: Exterior wind-cold (orwind-heat) pattern, copious sweating,

absence of sweating.

Face / senses: Eye pain, nosebleed,nasal congestion, toothache in the lowerjaw, mouth ulcers, swelling of the face,

facial paralysis, deafness, tinnitus, sore

throat, headache.

Amenorrhea, delayed labor,hypertension, Bi and Wei, hemiplegia.


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QUCHl L.I.-11*****

He-Sea and Earth point

Sun Si-miao Ghost point ACTIONS: Clears heat, cools the blood,

eliminates wind, drains damp and

alleviates itching, regulates qi and blood,activates the channel and alleviates pain


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Any Excess Heat pattern

Fever, thirst, sore throat, toothache,redness and pain of the eyes, agitation,

mania, hypertension, dizziness.

Various skin disorders (esp d/t Heat),itching of the skin.

Intestinal complaints. Bi & Wei patterns.


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JIANYU L.I.-15****

Meeting point of the L.I. channel with theYang Motility vessel

ACTIONS: Dispels wind-damp, alleviatespain, benefits the shoulder joint,eliminates wind, regulates qi and blood,

dissipates phlegm nodules

INDICATIONS: Pain in shoulder & arms,motor impairment of upper limbs, Wind-

Heat skin rashes, goiter, hypertension.


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Jing-River and Fire point ACTIONS: Clears heat and alleviates

pain, clears yangming fire, calms the

spirit, benefits the wrist joint

INDICATIONS: Headache, rhinitis,nosebleed, redness pain and swelling of

the eye, toothache, sore throat, fright,mania-depression, pain of the wrist.

YANGXI L.I.-5***


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PIANLI L.I.-6***

Luo-Connecting point ACTIONS: Expels wind and clears heat,

opens and regulates the water passages

INDICATIONS: Redness of the eye,edema (esp facial edema), difficult

urination, tinnitus, deafness, nosebleed,pain of hand and arm, sore throat, manic

depression.

SHOUSANLI L I -


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SHOUSANLI L.I.-

10*** Arm ST-36 ACTIONS: Regulates qi and blood,

activates the channel and alleviates pain,

harmonizes the intestines and Stomach

INDICATIONS: Pain / immobility of thearm and shoulder, windstroke,

hemiplegia, deviation of the mouth,abdominal pain, diarrhea, toothache,

swelling of the cheek.


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YlNGXIANG L.I.-20***

ACTIONS: Opens the nasal passages,expels wind and clears heat

INDICATIONS: Nasal congestion anddischarge, nasal obstruction, nosebleed,deviation of the mouth, swelling and

itching of the face, round worms in the

bile duct.

Main local point for nose problems


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Foot YangmingStomach Channel


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ZUSANLI ST-36*****

He-Sea and Earth point, Command point

of the abdomen, Sea of Water and Grain

Point

ACTIONS: Harmonizes the Stomach,fortifies the Spleen and resolvesdampness, supports the correct qi and

fosters original qi, tonifies qi and

nourishes blood and yin, clears fire andcalms the spirit, activates the channel

and alleviates pain, revives the yang and

restores consciousness


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Stomach patterns

Spleen patterns

Qi & Blood Deficiency

ST channel: Breast, leg, hemiplegia, bipain.

Mania, depression, fright Hypertension

FENGLONG ST-


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FENGLONG ST

40***** Luo-Connecting point ACTIONS: Transforms phlegm and

dampness (Lung, Heart, etc), stops cough,

calms the spirit, activates the channel andalleviates pain

INDICATIONS: Phlegm patterns: anyPhlegm pattern. Most important point forPhlegm

ST channel problems: numbness, atrophy orpain of the lower limbs

SHANGJUXU ST-


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Lower He-Sea point, Sea of Blood Point ACTIONS: Regulates the intestines and

transforms stagnation, clears damp heat,alleviates diarrhea and dysentery,

regulates the Spleen and Stomach,

activates the channel and alleviates pain

INDICATIONS: Intestinal disorders, Qideficiency, Leg problems

SHANGJUXU ST

37****


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NEITlNG ST-44****

Ying-Spring and Water point ACTIONS: Clears heat from theStomach channel, alleviates pain,

harmonizes the intestines, clears damp-

heat, calms the spirit

INDICATIONS: ST Fire: (channel)Toothache, pain or paralysis of face,sore throat, nosebleed, foot swelling and

pain, hot-type skin problems.

(Fu) Epigastric pain, acid reflux, etc


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TIANSHU ST-25****

Front-Mu point of the Large Intestine ACTIONS: Regulates intestines, Spleenand Stomach, resolves dampness/damp-

heat, regulates qi & blood and eliminatesstagnation

INDICATIONS: LI/SP/ST disorders

Qi & Blood stagnation, esp lower jiao

Damp.


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LIANGMEN ST-21***

ACTIONS: Regulates qi and alleviatespain, harmonizes the middle jiao andtransforms stagnation, raises the qi and

stops diarrhea

INDICATIONS: Epigastric pain, vomiting,poor appetite, ab distention, diarrhea.

Mainly for acute excess stomachproblems (such as LR -> ST).

JA: Stomach (L) / duodenal (R) ulcerreflex


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SHUIDAO ST-28***

ACTIONS: Regulates the lower jiao anddispels stagnation, benefits the Bladder and

the uterus

INDICATIONS: Damp stagnation & Bloodstasis: Lower abdominal distension,

retention of urine, edema, hernia, prostatitis,dysmenorrhea, uterine masses.


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GUILAI ST-29***

ACTIONS: Warms the lower jiao, regulatesmenstruation and benefits the genital region

INDICATIONS: Retention of Cold in theuterus: Ab pain, ab masses hernia,dysmenorrhea, irregular menstruation,

amenorrhea, leukorrhea, prolapse of the

uterus, infertility.

Also for GYN disorders d/t Kidney yang def

GQ S ***


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LIANGQIU ST-34***

Xi-Cleft point of the Stomach channel ACTIONS: Activates the channel,

harmonizes the Stomach, alleviates pain,moderates acute conditions

INDICATIONS: Epigastric pain, acid

reflux, mastitis, swelling and pain of theknee, motor impairment of the lower

limbs.

TIAOKOU ST 38***


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ACTIONS: Expels wind-damp andalleviates pain, benefits the shoulder

INDICATIONS: Frozen shoulder, pain orweakness of the lower limb.

Empirical for frozen shoulder

TIAOKOU ST-38***

XIAJUXU ST 39***


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XIAJUXU ST-39***

Lower He-Sea point of the SmallIntestine Point of the Sea of Blood

ACTIONS: Moves Small Intestine qi,regulates the intestines, clears damp-heat, activates the channel and

alleviates pain

INDICATIONS: Low ab pain, backachereferring to the testes, mastitis, diarrhea,

dysentery, numbness and paralysis of

the lower limbs.

XIANGU ST 43***


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XIANGU ST-43***

Shu-Stream and Wood point ACTIONS: Regulates the Spleen, dispels

edema, regulates and harmonizes theStomach and intestines

INDICATIONS: Edema (body & face), abpain, borborygmus, swelling and pain ofthe dorsum of the foot.


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Foot Taiyin SpleenChannel

SANYINJIAO SP-


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SANYINJIAO SP

6***** Meeting point of the Spleen, Liver andKidney channels

ACTIONS: Tonifies the Spleen andStomach, Resolves dampness,

harmonizes the Liver and tonifies the

Kidneys, Regulates menstruation and

induces labour, harmonizes the lower jiao,Regulates urination and benefits the

genitals, Calms the spirit, Invigorates

blood, Activates the channel and alleviates

pain

INDICATIONS:


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Spleen and Stomach deficiency

OB / GYN

Andrology

Urinary

Palpitations, insomnia, dizziness,blurred vision, tinnitus, hypertension.

Damp: Skin diseases, joint pain,

swelling, etc

YINLlNGQUAN SP-


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YINLlNGQUAN SP

9***** He-Sea and Water point ACTIONS: Regulates the Spleen andresolves dampness, opens and moves

the water passages, benefits the lowerjiao

INDICATIONS: Dampness: edema,

swelling of the lower limbs, retention ofurine, difficult urination, enuresis, qi

painful urinary dysfunction, abdominal

distention, diarrhea.

DIJI SP 8****


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DIJI SP-8****

Xi-Cleft point of the Spleen channel ACTIONS: Regulates menstruation and

invigorates blood, harmonizes theSpleen and resolves dampness,

moderates acute conditions

INDICATIONS: Dysmenorrhea, irregularmenstruation, abdominal masses inwomen, abdominal pain and distension,

difficult urination, edema.

XUEHAI SP 10****


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XUEHAI SP-10****

ACTIONS: Invigorates the blood anddispels stasis, cools blood, harmonizes

menstruation, benefits the skin

INDICATIONS: Blood disorders (espstasis/heat): Irregular menstruation,

dysmenorrhea, amenorrhea, uterine

bleeding, bloody urine. Skin: Urticaria, eczema, herpes zoster,

redness, pain and itching.

GONGSUN SP 4****


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GONGSUN SP-4**** Luo-Connecting point, Confluent point ofthe Penetrating vessel

ACTIONS: Fortifies the Spleen,harmonizes the middle jiao, regulates qi,

resolves dampness, calms the spirit,benefits the Heart and chest, regulates

Penetrating vessel

INDICATIONS: Epigastric pain,vomiting, abdominal pain, mania-

depression, insomnia and restlessness,

Heart pain, irregular menstruation, GYN

TAIBAI SP 3***


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TAIBAI SP-3***

Shu-Stream, Yuan-Source and Earth ACTIONS: Tonifies the Spleen and

resolves dampness and damp-heat,

harmonizes the Spleen and Stomach,regulates qi

INDICATIONS: SP-ST Deficiency:abdominal distension, constipation,diarrhea, borborygmus, sluggishness, joint

pains.

DAHENG SP 15***


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DAHENG SP-15***

ACTIONS: Moves qi and regulates the

intestines

INDICATIONS: Constipation, abdominalpain and distension, diarrhea, dysentery.

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