原穴、络穴、郄穴、募穴、俞穴、八脉交会穴、五输穴PointCategories

MeridianTheory&

PointLocationITheEnergeticsofPointsPointCategoriesSemester1TaraL.Reed,AP当前第1页\共有34页\编于星期三\22点Xue(sh-ye-uh)–AcupuncturePointCave,CavityDen–implyingthatsomethinglivingiswithinCharacterhas2partsTOP:Roof,coveringBOTTOM:eight(treasures)8Treasures:viscera,bowels,qi,blood,sinew,vessels,bone,marrow当前第2页\共有34页\编于星期三\22点AcupuncturePointManyarelocatedonprominentdepressionsonthebodyQigathersinthesehollows当前第3页\共有34页\编于星期三\22点FunctionsofEnergeticPoints:

1.Diagnosis–palpationandinspectionsExcessConditionPainfulonlightpalpationHardorswollenBlackandblueRedWillrepelDr.’sQiDeficientConditionPainfulwithonlydeeppressureSofttothetouchLacksresilienceSallowcolorFeelslikeanemptyholeMayfeellikeamagnetpullingtheDr.in当前第4页\共有34页\编于星期三\22点FunctionsofEnergeticPoints:

2.ManipulationofQi&BloodPurge/DisperseExcessConditionPurgingisremovalofstagnationofQiandBlooddirectlyfromorganDispersingisleadingQiandBloodstagnationoutoftissue,ororganviathechannelQistagnation-dull,movingpainBloodStagnation-sharppain,notmovingTonifyDeficientConditionTonificationistoincreasetheneededsubstance(QiandBlood)QiGongDr.willemitQiAPwillchoosepointswhichhelpthebodystrengthenRegulatingCreateharmonyorhomeostasis(balance)Restorehealthyfunction(inthecaseofdiarrheaorconstipationcertainacupointsregulatenomatterwhichconditionispresent)Selectpointswiththefunctionofbalancing当前第5页\共有34页\编于星期三\22点FunctionsofEnergeticPoints:

3.ServeasPathwaysforEliminationofDiseaseCentrifugalFlow(outward)OnExhaleEnergyisdrawnoutwardCentripetalFlow(inward)OninhalationEnergyisdrawninward当前第6页\共有34页\编于星期三\22点NamingofPointsNamedaccordingtolocation,energeticfunctionorbothModernlywenameaccordingtoassociatedmeridianandgiveanumberforit’sorderalongthemeridian当前第7页\共有34页\编于星期三\22点The17PointCategories JingWellYingSpringShuStreamJingRiverHeSeaYuanSourceLuoConnectingXiCleftBackShuFrontMuHuiMeetingConfluentMaDan-YangHeavenlyStarPointsoftheSeasWindowofHeaven(Sky)SunSiMiaoGhostMeetingPointsThe5ShuPoints当前第8页\共有34页\编于星期三\22点The5ShuPointsAlsocalled5Phaseor5Elementpoints,andalso5AntiquepointsOneofthemostimportantpointcategoriesOneoftheoldestapproachesAllresideon12primariesAllaredistal(elboworkneedistal)Correspondto5elementsOnepointoneachchannelcorrespondstothechannel’selementandiscalledtheHorary(same)pointNamingofthesedatesbacktotheLingShu(spiritualpivot)当前第9页\共有34页\编于星期三\22点1.JingWell–MostDistalQiEmanatesLocatedattipsoffingersandtoes(Kidneyissoleoffoot)Yin–WoodYang–MetalFullnessBelowtheheart(epigastrium)Clearexcessheat(notdef.heat)RestoreconsciousnessTreatuppermostreachesofthechannelDisordersofspiritTreatment:BleedtoreducesevereexcessheatReducetoeliminatestagnantqiMoxatoTonifyyangandfireofanorgan当前第10页\共有34页\编于星期三\22点2.YingSpringQiGlidesorQuickensDistaltoMCP,MTP–2ndfromdistalendYin–FireYang–WaterClearheat(excessordeficiency)Forchangesincolor(ofcomplexion)DiseaseofyangchannelsDiseaseofZang(combinedwithshustreampoint)Treatment:Moxayingspringofyinchannelstostrengthendeficientfire(mingmen)当前第11页\共有34页\编于星期三\22点3.ShuStreamQiPours,BroadensorCascadeslikeaseriousofshallowstep-likewaterfallsProximaltoMCP,MTPYin–EarthYang–WoodOnYinmeridians=sameasYuanSourcePointsOnYangMeridiansitisthenextpointproximalDisordersofzang(combinewithyingspring)Yangchanneldisorders(combinewithyingspring)Shustreamofyinchannelsareprimaryfortonifying&harmonizingtheirrespectivezangandmaybeconsideredthesinglemostimportantpointoftheirrespectivechannelHeavinessandpainofbodyDiseasethatattackintermittentlyTreatment:当前第12页\共有34页\编于星期三\22点4.JingRiverQiFlowsordeepensProximaltowrist/ankleYin–MetalYang-FireCough,dyspnea,chillsandfever(useJingRiversofYinchannels-metalpoint)Diseasemanifestingaschangesinpatient’svoice(metal)Diseaseofsinewsandbones(onyinchannels)–nearwrist/ankleBecauseofstrengthofflowatthesepoints,theycanhelppushexternalpathogensoutquicklyTreatment:当前第13页\共有34页\编于星期三\22点5.HeSeaQiEntersInward,PlungesDeeplyAtElbow/KneeYin–WaterYang-EarthCounterflowqianddiarrhea:nausea,belching,acidrefluxDiseasesofSTanddisordersfromirregulareatingDiseaseoftheFu–thereare3extraLowerHeSeapointsrelatedtotheFuOrgansofthearmDiseaseofSkin(mainlyHeSeaofYangchannels)Treatment:UsetoregulateorganQitransformation(organfunction)当前第14页\共有34页\编于星期三\22点The5ShuPoints:howtoutilize#1ByfunctionclearheatchoosejingwelloryingspringHeaviness/paininbody:shustream5ElementTheorySTproblem(STisearth)chooseearthpointsLungProblem(lungismetal)choosemetalpoints当前第15页\共有34页\编于星期三\22点The5ShuPoints:howtoutilize#3Accordingto5ElementTheory(continued)HoraryofdiseasedchannelWhichorganisdiseased?Choosehoraryofthatchannel.Ifexcess,useareducingtechnique:insertagainstflowofmeridian,punctureonpatient’sinhale,turncounter-clockwise,etc.Ifdeficient,Tonifythehorarypointbyneedlingwithflow,onexhale当前第16页\共有34页\编于星期三\22点The5ShuPoints:howtoutilize#4AccordingtoMother/Childapproach–verycommonlyusedWhatelementisthechannel?Accordingto5elementcycle,themotheristheelementjustpriortotheonewe’reconsidering;thechildjustafterIfweareclearinganexcess,reducethechildIfwearetonifyingadeficiency,tonifythemother当前第17页\共有34页\编于星期三\22点The5ShuPoints:howtoutilize#5AccordingtoMother/Childapproach–verycommonlyusedWhatelementisthechannel?Accordingto5elementcycle,themotheristheelementjustpriortotheonewe’reconsidering;thechildjustafterIfweareclearinganexcess,reducethechildIfwearetonifyingadeficiency,tonifythemother当前第18页\共有34页\编于星期三\22点The5ShuPoints:howtoutilize#4当前第19页\共有34页\编于星期三\22点YuanSourcePointsOneachprimaryWheretheoriginalqisurfacesandlingersDirectrelationshipwithprenatalQiCanbeusedinevaluationbypalpatingtheyreflectthestateoftheprenatalQiofeachorganTonifyYinandYangorgans(althoughtheYinchannelswhereastheYangaremoreforexpellingpathogenicfactors)MostoftheYuansourcepointsarenearapalpablepulseCanbecombinedwithLuo-connectingforHost/Guestpairing当前第20页\共有34页\编于星期三\22点LuoConnectingPointsThepointwheretheLuo-connectingchanneldivergesfromtheprimarychanneltoconnecttotheinternally/externallypairedchannel

Treatdisordersoftheirinternally/externallyrelatedchannelsorZangFu-throughtheconnectionoftherelatedchanneli.e.LU-7cantreatH/A,paininneckandnape,winddisorderswhichaffecttheheadbecauseoftheconnectiontotheLIchannelTreatingdisordersinregionsreachedbytheLuo-connectingchannel.Treatingpsycho-emotionaldisordersTransferofqitodeficientmeridianTonifythedeficientmeridian’sLuo-connectingorsedatingtheexcessofmeridian’sLuo-connecting–transferofqitodeficientmeridianTonifyYinorganandsedateYangorganOftenusedforsuperficialproblemsinsteadofinternalproblemsUsedinconjunctionwithYuan-sourceforHost/GuestPairingCanbeusedtodiagnoseandtreatchannelproblemsbasedonfullness(pain,heat)oremptiness(stiffness,weakness).当前第21页\共有34页\编于星期三\22点Host/GuestPairing–Yuan/LuoCombinationYuan-sourcepoint+Luo-connectingpointofinternal/externalpairedchannelsOneDiseasedOrgan:DeficientMeridian:tonify

theYuanSourcepointandreduce

theLuoConnectingpointonitsYin/YangpairedmeridianExcessMeridian:reduce

theYuanSourcepointandtonifytheLuoConnectingpointonitsYin/YangpairedmeridianTwoDiseasedOrgansFirstDiseasedChannel–YuanSourcepointSecondDiseasedChannel–LuoConnectingpoint当前第22页\共有34页\编于星期三\22点Xi-CleftPointsQiandblood(flowsshallowfromJingWell)gatherandplungemoredeeply.UseforacuteconditionsandpainXi-cleftpointsoftheyinchannelshaveanadditionalactionoftreatingdisordersofblood.Thereare16Xi-cleftpoints12PrimaryChannelsYinWei&YangWeiYinQiaoandYangQiao

FacilitatemovementofQi(relievepain,eliminateswelling–espYang)Stopbleedingbyredirecting/normalizingqiflowXi-Cleft:crevice,holeoropening当前第23页\共有34页\编于星期三\22点BackShuPoints12BackShu,correspondto12ZangFuLieontheBladderChannel–1.5cunlinebilateraltospineShu=transportNamedaccordingtoZangFU+ShuLiverShu–GanShu–QiofLiveristransportedfromthispointtotheLiverorganSmallIntestineShu-XiaoChangShuQiofSm.IntestineistransportedfromthispointtotheSmallIntestineorgan

Theback-shupointslieatroughlythesameanatomicallevelastheirrelatedzangorfu,AffectstheinternalorgandirectlyinsteadofthroughthechannelTonifytheYinOrgans,warmtheinternalorgans,chronicdisease,affectssenseorgansUsedfordiagnosis(tendernessonpressure)当前第24页\共有34页\编于星期三\22点FrontMuPoints12front-mupointsOnchestorabdomenneartheirrespectivezangorfuAllanteriorexceptJingmenGB-25whichliesatthefreeendofthetwelfthribOfthetwelvepoints,only3lieonthechannelcorrespondingtotheirrelatedzangorfu(LU,LVandGB)Mu=gatherorcollect–wheretheqiofthezangfugathersonanteriorthebodyBestfortreatingtheFuorgans,becausetheyarelocatedontheYinportionofthebodyUsedmoreforacutediseases,toclearheatUsedfordiagnosis(tenderness)CanbecombinedwithBack-shutostrengtheneffects当前第25页\共有34页\编于星期三\22点当前第26页\共有34页\编于星期三\22点HuiMeetingPoints(InfluentialPoints)Zang-TonifySP,all,ZangandthebodyasawholeLV13Fu-Transform&distributeessenceoffoodanddrinkthroughbodyRen12Qi-LUfunction:dominatingQi&controllingrespirationandspeech)Ren17HeartFx(governingthebloodandbloodvessels)Blood-disordersofblood(heat,stasisordeficiency)BL17Sinew-influencesinewofthebody(stiffnessandtightness)GB34Vessel-harmonizetherelationshipbetweenthegathering(Zong)qiandthebloodflowinginthevesselsLU9Bone-variousbonediseasesandrigidity,BoneBiBL11Marrow-benefitssinewandbones(weakness,flaccidity,contractionandpainofthelimbs)GB39当前第27页\共有34页\编于星期三\22点8ConfluentPointsofExtraordinaryVesselsActivatetheirrespectedextraordinarychannelUsedaccordingtotheOdeoftheObstructedRiver-whichdiscusesapplicationofeightconfluentpointstospecificsymptomsNormallyusedaspairi.e.RenandYinQiao:LU7andKid6当前第28页\共有34页\编于星期三\22点12HeavenlyStarPointsofMaDanYangMostimportantpointsofthebodycapableoftreatingmostdiseaseandallpartsofthebodyHeart5Lung7Gallbladder30Stomach36Liver3Stomach44LargeIntestine11LargeIntestine4Gallbladder34Bladder40Bladder57Bladder60当前第29页\共有34页\编于星期三\22点FourandSixCommandPointsConsideredthefourmostusefulandimportantofallthepointsZusanliST-36fordisordersoftheabdomen.WeizhongBL-40fordisordersofthelumbarregionandback.LiequeLU-7fordisordersoftheheadandnape.HeguL.1.-4fordisordersofthefaceandmouthTwomorewereaddedtomakeit6NeiguanP-6fordisordersofthechestandlateralcostalregionRenzhongDU-26forresuscitation当前第30页\共有34页\编于星期三\22点Pointsofthe4SeasTheSpiritualPivotdescribesfour'seas'inthehumanbody.ThisancientclassificationgivessymptomsofdisorderofthefourseasSeaofwaterandgrain(food)excess-abdominalfullness.Def-hungerw/odesiretoeatSeaofQi-Excess-feelingoffullnessinchest,breathlessness,redface.Def-SOB,nodesiretospeakSeaofblood-Excess-feelingofthebodygettinglarger,asenseofbeingunwellwhilenotbeingabletopinpointwhy.Def-fellingofthebodygettingsmaller,onefeelsreducedbutdoesnotknowwhySeaofmarrow-Fullofvigor,greatphysicalstrength.Def-dizziness,tinnitus,weaklegs,blurredvision,desiretoliedown当前第31页\共有34页\编于星期三\22点WindowofHeavenPoints(WindowofSky)Allbut2areontheneckRegulatet