Ruben DharmawanBagian Akupunktur Medik
FKUNS 2011
MEKANISME KERJA AKUPUNKTUR 1
Discuss proposed mechanisms of action of acupuncture from two points of view:Western medicineChinese medicine
Applications
Tujuan
Iman Majd MD, L.Ac
TCM theory involvesQi & BloodYin & YangExcess & DeficiencyInternal & ExternalOrgan systems, meridians, and points.
Basic Concepts
Qi: Life force, vital energy behind all physiological processes. warms body, pathogen protection, promotes
growthMeridian network system Disruption of flow results in illnessMechanism of Qi still mysterious
Traditional Chinese Medicine
AcupunctureQi maintains balance
in the body.16 meridians360 regular
acupoints40 commonly used
extra pointsAcupoints influence
the physiology
Acupuncture Points
There are over 365 points on the human body Each point has a specific set of functions Usually, several points in different places are used in treatments.
Points can influence all areas of the body, points on the foot may be used for headaches, for example.
Acupuncture points linked together in lines called “meridians”
Meridians named for associated OrganKidney, Heart, Small Intestine, BladderLiver, Pericardium, Triple Energizer,
GallbladderSpleen, Lung, Large Intestine, Stomach
Meridians
Meridians have decreased electrical resistance relative to surrounding skin
Qi measured as microelectrical currentFlows in a circuitToes to fingers to head to toesUp on anterior surface of the bodyDown on posterior surface of the body
Meridians
Blockage in meridian flow produces diseaseTherapeutic action of “unblocking” meridian
flow (Relieving Stagnation)PainAsthmaHeavy, Painful, or Irregular Menstrual Periods
Meridian-Based Acupuncture
Iman Majd MD, L.Ac
Yin and Yang is a Daoist philosophical concept. They are means to generalize the opposite principles which may be observed in all related phenomena within the natural world. Yin: water, cold, stillness, dark, night. Yang: fire, heat, movement, light, day.
A key element to treatment in TCM is to bring the appropriate balance of Yin and Yang to the particular organ, system, or area of the body.
Yin & Yang
Iman Majd MD, L.Ac
Symbol of Yin and Yang
Xiang Sheng ( inter-generation ): refers to promoting and accelerating aspects of the mutual generation of objects according to the theory of five elements, i.e., wood generates fire, fire generates earth, earth generates metal, metal generates water, and water generates wood.
Xiang Ke ( inter- inhibition, or control ) : refers to the
restraining and controlling relationships among objects according to the theory of the five phases, i.e., wood inhibiting earth, earth inhibiting water, water inhibiting fire, fire inhibiting metal, and metal inhibiting wood.
Two examples of relationships between Phases:
Dalam bahasa Cina, asma disebut sebagai Siao Cuan.
Siao berarti nafas yang berbunyi.
Cuan berarti nafas yang memburu atau sesak
Kasus : Asma
…considers asthma to be an indicator of an underlying health imbalance.
…treats the underlying root imbalance, rather than just the symptoms.
…considers all lifestyle & environmental factors when deciding the best course of treatment.
…includes nutritional & lifestyle recommendations.
Once the underlying imbalance is taken care of, the symptoms resolve, and the triggers lose their impact.
Oriental Medicine for Asthma
www.AcupunctureByDawn.com(727)723-3888
Deficiency of Energy (Qi) of the Lung, Spleen, and/or Kidneys. Plus, Accumulation of Phlegm (hot or cold type).
Caused by inappropriate diet, food additives, toxin exposure, repeated respiratory infection, genetics, emotional strain, lack of exercise, overwork, and even the asthma medications themselves can further contribute to the deficiency.
Asthma According to O.M.
www.AcupunctureByDawn.com(727)723-3888
TCM LUNG Physiology
Governs Qi & Respiration
Dominates Ascending & Descending
Control the Body Surface
Opens in the Nose
TCM LUNG PhysiologyGoverns Qi & Respiration
Inhales “clear” QiExhales “stale” QiForms Zong Qi from Gu Qi
& clear QiQi help propel the Blood so
Lung and Heart work together
Stagnation of Lung Qi leads to cough and asthma
TCM LUNG Physiology
Dominates Ascending & DescendingDistributes defensive (wie)
Qi and body fluid to entire body
Helps maintain normal descending function, while receiving the ascending water vapor from the kidney
TCM LUNG Physiology
Control the Body Surface
Distributes body fluid to the tissues which in turn helps regulate skin moisture and sweating
Provides Wei Qi
TCM LUNG Physiology
Opens in the NoseLung is a canopy
over the other organs and very delicate
Easily affected by pathogens (wind, heat, cold or dryness)
Lung Patterns
Dyspnea/Asthma Pattern
Invasion of Lungs by Wind‑Cold Accumulation of Phlegm‑Heat in Lungs
Excess
DeficiencyLung Qi DeficiencyLung Yin DeficiencyLung-Kidney Qi Deficiency
obstruct
Wind‑Cold Wind‑Heat
Attack
Lung
flow of the Lung Qi
control Qi Flow
Kidney Def
reception of Qi
upward the Qi Flow
Dyspnea/Asthma
Lung Def
Dyspnea/Asthma Pattern
Allergy Heat
Allergic heaves Worse in Summer Cool-seeking Tongue: Red and dry Pulse: Strong and fast
LU-5/7, BL-13, Ding-chuan, CV-22, LI-4/11, GV-14, Er-jian, Wei-
jianSchisandra 5
Lung Yin Deficiency
Chronic heaves/asthma Emaciation Dry hair Dry and thick nasal discharge Dry cough Cool-seeking Tongue: Red and dry Pulse: Thready and rapid
BL-13, KID-3, BL-23, SP-6, LU-7/9
Lily Combination
Lung Qi Deficiency
Chronic heaves/asthma Dyspnea worse when moving Weak voice Fatigue Exercise intolerance Tongue: Pale and wet Pulse: Deep and weak
BL-13, Qi-hai-shu, LU-7/9, ST-36, LI-10,
BL-23/26Bu Fei San
Kidney and Lung Qi Deficiency
Prolonged course of asthma Feeble asthma with low sound of respiration Exercise intolerance Loss of breath Worse asthma when moving Obvious heaves/asthma groove Tongue: Pale with thin coating Pulse: Deep and weak
BL-13, BL-23, BL-26, KID-7/10, LU-7/9, LI-
10, ST-36, Ding-chuan, CV-22Breath Easer
THANK YOUTHANK YOU
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