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1  HB Kim Learning Center / HB Kim Study forum / AcupunctureMedia.com - Handbook & Minibook on: April 10, 2013, 12:01:41 PM
The following new books by HB Kim will be available on April 20, 2013:


  • Handbook of Oriental Medicine (4th Edition)
  • Minibook of Oriental Medicine (2nd Edition)


Website Link: www.AcupunctureMedia.com
2  HB Kim Learning Center / HB Kim Study forum / (309) Fu Ke (11.24) + Huan Chao (11.06) on: November 15, 2010, 06:42:01 PM
In Master Tung style acupuncture, the most popular points for gynecological disorders are Fu Ke (11.24 - women department), Huan Chao (11.06 - return to the nest), and Jie Mei (88.04 - sister one, 88.05 - sister two, 88.06 - sister three).  The first two points, Fu Ke and Huan Chao, are used widely and effectively for women's disease as a Dui-Xue (Point pair).  Since the Jie Mei (88.04,05,06) points are located on the thigh area, which is not always easily accessible, the Fu Ke (11.24) + Huan Chao (11.06) combination is often more appropriate for many situations since they are easily located on the fingers.


FU KE  (11.24) - Women department

Location: There are 2 points in all. The patient is supine. Locate these points by first making a line 3 fen to the ulnar side from the dorsal midline of the proximal phalanx of the thumb. Then, measuring 3 fen and 6 fen distally from the metacarpal-phalangeal joint. This is the reaction area of the uterus.

Indications: Inflammation of the uterus, pain of the uterus, uterine tumor, lower abdominal distension, infertility after being married a number of years, menstrual irregularity, menstrual pain, excessive or scanty menstruation.

Functions: Fu Ke (11.24) is located close to the LU channel.  Using the Hand Tai Yin and Foot Tai Yang relationship, this point can treat the uterus and bladder area. In the Shang Han Lun formula, Tao He Cheng Qi Tang (Peach Pit Decoction to Order the Qi) indicates Blood accumulation in the UB and treats gynecological disease. This is similar to the action of Fu Ke (11.24).


HUAN CHAO (11.06) - Return to the Nest

Location: The patient is supine. Locate the point by measuring 5 fen to the ulnar side of the median line of the palm side in the middle of the middle phalanx of the ring finger. This is the reaction area of the liver and kidney.

Indications: Uterine pain, uterine cancer, uterine inflammation, menstrual irregularity, red and white abnormal vaginal discharge, non-free flow of the fallopian tubes, retroversion of the uterus (indicated by back pain), frequent urination, swelling of the yin gate, i.e. vaginal orifice, calms the fetus.

Functions: Huan Chao (11.06) is located very close to the SJ channel, so it can benefit the triple burner.  Using the Hand Shao Yang and Foot Shao Yin relationship, this point is therefore also related to the Kidney. Master Tung also indicated that all points on the ring finger are related to Liver function. In summary, this point can treat gynecological disease by tonifying the Liver and Kidney and benefiting the Triple burner.


COMBINATION & MODIFICATIONS

When using the combination of Fu Ke (11.24) + Huan Chao (11.06), it is important to combine these two points on two different hands.  They are not used on the same hand together.  For example, if you use Fu Ke on the left hand, Huan Chao must be used on right hand, and vice versa.  While Fu Ke (11.24) focuses on the uterus, Huan Chao (11.06) focuses on the fallopian tubes and ovaries. The application of these two points in combination is very broad. A few examples are listed below.

For uterine pain or uterine inflammation, add Men Jin (66.05 - door metal). This point is located a little higher than ST43, close to junction of the 2nd and 3rd metatarsal bones. While the Fu Ke + Huan Chao combination treats the root problem, Men Jin is more effective for analgesic action.

For blockage of the fallopian tubes, add Mu Fu (66.02 - wood woman). This point is located on the second toe by measuring 3 fen lateral from the middle of the center phalanx, a little higher than ST45.

For swelling of the external genitalia, add LV2. Bleeding technique can be applied between the medial malleolus and SP6.

For vaginitis, add Hai Bao (66.01 - sea seal). This point is located between SP1 and SP2, on the center of the phalangeal joint on the medial side of the large toe. For trichomonas vaginitis,  Ku Shen (Rx. Sophorae) 30g, She Chuang Zi (Fr. Cnidii) 30g, Bai Bu (Rx. Stemonae) 15g, and Huang Lian (Rz. Coptidis) 9g can be decocted and used as a external wash.
3  HB Kim Learning Center / HB Kim Study forum / (308) 15 primary and 9 extraordinary Pulses on: October 25, 2010, 05:40:56 AM
The subject of pulse diagnosis was first tackled in an organized manner by Wang Shuhe, who lived during the 3rd century A.D. His text on pulse diagnosis became known as the Mai Jing (Pulse Classic). In the Mai Jing, a broad spectrum of applications for pulse diagnosis is delineated, including etiology of disease, nature of the disease, and prognosis.

Pulse diagnosis is one of the original four diagnostic methods that are described as an essential part of traditional Oriental medical practice. However, Today, doctors often deviate from the treatment methods of ancient times. They may not even follow the changes in the four seasons that influence the pulse and other body conditions. Additionally, they often do not know the importance and principles of the pulses.

The aim of pulse diagnosis, like the other methods of diagnosis, has always been to obtain useful information about what goes on inside the body, what has caused disease, what might be done to rectify the problem, and what are the chances of success. According to Eastern theory, the pulse can reveal whether a syndrome is of a hot or cold nature, whether it is of excess or deficiency type, which of the humors (qi, moisture, blood) are affected, and which organ systems are suffering from the dysfunction. In order to make these determinations, the physician must feel the pulse under proper conditions, while following established procedures, and must then translate the unique pulse that is felt into one or more of the categories of pulse form.

The most standard iconography involves 24 different pulse forms, include 15 Primary pulses and 9 Extraordinary pulses.  The 15 Primary pulses are matched with the five elements and three components by their characteristics.  The 9 Extraordinary pulses are matched with the eight trigrams and nine palaces by their characteristics.


15 Primary pulses
Wood pulses:  Wiry (heaven),  Tight (human),  Hidden (earth)
Fire pulses:  Hollow (heaven),  Overflowing (human),  Full (earth)
Earth pulses:  Minute (heaven),  Slowed-down (human),  Slow (earth)
Metal pulses:  Floating (heaven),  Weak (human),  Choppy (earth)
Water pulses:  Soft (heaven),  Slippery (human),  Deep (earth)


9 Extraordinary pulses
Heaven (Long)  -  Earth (short)
Lake (Knotted)  -  Mountain (Moving)
Fire (Empty)  -  Water (Abrupt)
Thunder (Leather)  -  Wind (Fine)
Center (Intermittent)


Feeling the pulse at each of the individual positions on the wrists is necessary to assess the condition of each of the internal organs. However, the association of individual pulse positions with internal organs has changed over time and varies from one traditional system to another. The current understanding is that the left wrist presents information for the heart, liver, and kidney yin, while the right wrist presents information for the lung, spleen, and kidney yang. This classification is consistent with the five element system that depicts five basic viscera; the kidney is subdivided to make the sixth. However, one can alternatively incorporate the pericardium/triple burner system in place of the kidney yang pulse.

Pulse diagnosis is one method of determining the internal conditions of patients with the aim of deciding upon a therapeutic regimen. In order to make use of this diagnostic, the practitioner must learn the proper method of taking the pulse, the factors that influence the pulse, and the categories into which each patient's unique pulse form can be fit. Practitioners must remain especially alert to new factors that influence the pulse readings so as to assure that the results of pulse taking are meaningful.

Most authorities agree that in the modern era one must be able to detect a relatively limited basic group of pulse forms in order to utilize the information for devising a therapy (i.e., acupuncture, herbs). These requisite forms determine whether the focus of the pathological process is at the body's surface or interior, is of a hot or cold nature, or is of an excess or deficiency type. There have been recent attempts to broaden the scope of pulse diagnosis; for example, feeling the pulses immediately after insertion of acupuncture needles has been suggested recently as a means of determining whether the "qi has arrived" as a result of correct point selection and needle manipulation. Pulse diagnosis remains an important part of the practice of traditional Oriental medicine that is still being explored and developed. In conclusion, Pulse diagnosis adds critical information that can greatly alter the treatment strategy, and therefore, practitioners should master Pulse diagnosis because it is an essential part of traditional Oriental medicine.     
4  HB Kim Learning Center / HB Kim Study forum / (307) Tonifying Formulas For Children on: October 11, 2010, 10:01:10 PM
Introduction:

Out of the Five Zang organs (LV HT SP LU KD), the most common deficiencies found in children are Lung deficiency, Spleen deficiency, and Kidney deficiency. The best formulas for treating these deficiencies are discussed below. It should also be noted that each of these formulas can be taken in decoction, powder or pill form, regardless of the name of the formula.

A small amount of Lu Rong (deer horn) is in each of these formulas because the Yang Qi in children is not developed enough. This can be a cause of weaknesses.  However, only a small amount of Lu Rong must be used, because overuse can cause an imbalance in yin-yang, due to the primarily yang nature of children in general. 



Patterns and Formulas:

1. Spleen Deficiency: Xiao Er Jian Pi Tang (Children's Strengthen the Spleen Decoction)

Ingredients: Bai Zhu 6g,  Hou Po 4g,  Chen Pi 4g,  Ren Shen 4g,  Fu Ling 4g,  Gan Cao 3g,  Shan Zha 3g,  Mu Xiang 2g,  Sha Ren 2g,  Lu Rong 2g,  Sheng Jiang 3p,  Da Zao 2p.

This formula is created by using herbs from Ping Wei San (Cang Zhu, Hou Po, Chen Pi, Gan Cao) + Si Jun Zi Tang (Ren Shen, Bai Zhu, Fu Ling, Gan Cao) + Digestive Qi-Regulating herbs (Shan Zha, Mu Xiang, Sha Ren).

In children, the Spleen and Stomach are vulnerable and may easily have functional deficiencies. This formula may be used for poor appetite, a weak stomach, indigestion (food retention), abdominal pain with overeating, or in children who are too slim and need to gain weight. To modify this formula for children with obesity and excess patterns, Si Jun Zi Tang can be omitted.


2. Lung Deficiency: Xiao Er Bu Fei Yin (Children's Tonify the Lung decoction)

Ingredients: Huang Qi 8g,  Ren Shen 4g,  Mai Men Dong 4g,  Cang Zhu 4g,  Dang Gui 3g,  Chen Pi 3g,  Wu Wei Zi 2g,  Sheng Ma 2g,  Chai Hu 2g,  Lu Rong 2g

This formula is constructed with herbs from Bu Zhong Yi Qi Tang (Huang Qi, Ren Shen, Bai Zhu, Gan Cao, Dang Gui, Chen Pi, Sheng Ma, Chai Hu) + Sheng Mai San (Ren Shen, Mai Men Dong, Wu Wei Zi) + Lu Rong.

This formula should be used for children who catch cold easily, or have chronic rhinitis, frequent swollen tonsils, adenoiditis, chronic sinusitis, or weak Lung function. It targets the Nose, bronchi, and Lungs.


3. Kidney Deficiency: Xiao Er Shen Qi Wan (Children's Kidney Qi pill)

Ingredients: Shu Di Huang 12g,  Shan Yao 12g,  Gou Qi Zi 6g,  Shan Zhu Yu 6g,  Mu Dan Pi 4g,  Ze Xie 4g,  Fu Ling 4g,  Lu Rong 2g.

This formula is constructed with herbs from  Liu Wei Di Huang Wan (Shu Di Huang, Shan Yao, Shan Zhu Yu, Mu Dan Pi, Ze Xie, Fu Ling) + Gou Qi Zi, Lu Rong.

This formula can be used for children with enuresis, poor endurance/stamina, dry skin, dry atopic dermatitis fatigue, difficulty waking up in the morning, pain in the knee or foot, nose bleeds, or those who are easily wearied or irritated.



General Modifications: If there are heat signs, Hong Shen (Red ginseng) - steam treated Ginseng can be used instead of Ren Shen.

Dosage: When prescribing these formulas to children, use the childs age to determine number of days of treatment. For a 1 yr old - treat for 1 day. For a 2yr old - 2 days, a 5 yr old - 5 days, a 10 yr - 10 days... and so forth.
5  HB Kim Learning Center / HB Kim Study forum / (306) Adverse Effects in Acupuncture on: September 26, 2010, 03:12:58 PM
Introduction

   While acupuncture is a relatively safe procedure, it is likely that a practicing acupuncturist will occasionally encounter side effects of treatment, such as bruising, hematoma, or fainting. Less commonly seen are adverse events, such as stuck needle, or broken needle.  In rare cases, more serious adverse events have been reported, such as pneumothorax or organ puncture, though these are often due to improper needling technique, depth, direction, or location.

   In the acupuncture clinic, the type of side effects encountered varies according to the acupuncture points used. While there are many points listed in the classical texts of acupuncture for possible side-effects, these may not always be applicable in modern practice. The types of acupuncture needles used now are smaller, finer, and of better quality than what were available at the time these texts were written.  However, as an acupuncturist it is important to be aware of classical side-effects in order to manage all possible side-effects properly.

   Listed below is a chart of adverse events from the classics, and the treatment points that should be used if such events occur in practice. It should be noted that some of the effects are due to improper needling of a point, such as in the case of UB 13 causing asthma and cough. If a patient today has a medical emergency, such as pneumothorax due to improper needling, or the patient is unresponsive after fainting, the patient should be given prompt medical attention by emergency services rather than additional needling. In these cases this information is given for historical and educational purposes only, and is not a substitute for calling 911.



Initial Point:  Side Effect Experienced  -  Strong Stimulation of Treatment Points

SJ 8:  Breathing difficulty, irregular pulse - Use ST 36, SP 6

LI 3:  Hand or motor impairment of the upper limb  -  Use LI 5

HT 2:  A Stuffy feeling in the chest  -  Use HT 7

GB 21:  Dizziness, vertigo  -  Use SJ 23, then ST 36

GB 18:  Fainting  -  Use UB 23

SJ 20:  Dizziness when using harsh technique  -  Use SJ 8

SJ 19:  Tinnitus or ear pain  -  Use SJ 4

ST 1,2:  Blurred vision  -  Use ST 44

GB 20:  Fast breathing, cold sweat, even vomiting  -  Use ST 36

SI 14:  Intercostal neuralgia  -  Use UB 13

UB 13:  Cough, asthma  -  Use LI 10, ST 36

DU 11:  Possible spinal cord damage (by strong stim.)  -  Use DU 1

UB 15:  Suffocated feeling below the xyphoid process  -  Use ST 20
               
Ren 17:  Breathing difficulty  -  Use UB 17

DU 10:  Weakness of the hands and feet  -  Use UB 40

Ren 9:  Edema of the whole body  -  Use ST 25

Ren 8:  Swelling of the testicles (by moxa)   -  Use Du 4

SP 15:  Difficulty lifting the shoulder  -  Use UB 43

KD 11:  Difficulty urinating  -  Use KD 1

ST 30:  Hernia pain, hypogastric pain and surging pain on the chest  -  Use ST 40

Ren 1:  Needle pain that lasts for many days  -  Needle around the affected area

SP 10:  Fainting  -  Use LI 10, ST 36

UB 56:  Pain of m. gastrocnemius, difficulty walking  -  Use UB 60

UB 57:  Foot cramping  -  Use GB 39

ST 36:  Severe pain due to needling  -  Use the Ba Feng point btw 3rd/4th toes
6  HB Kim Learning Center / HB Kim Study forum / (305) UB66 (Foot Passage Valley) on: September 09, 2010, 04:48:30 PM
UB66 (Zu Tong Gu, 足通谷)


1. Foot Passage Valley
UB66 (Zu Tong Gu) is translated to Foot Passage Valley.  This name implies that the point can be used for any problem along the length of the UB channel.  This includes the areas of the corner of the eye,  to the head and occipital area, down to the back and lower back, the back of the leg, and finally to the little toe. In general this is a very sensitive point; however, pain can be minimized by locating the point correctly.

Pyung Chim: According to five element theory, UB66 is the water point of the UB channel.  In Pyung Chim (Korean Yin Yang balancing) style acupuncture, one should sedate the point on the same side as the problem, and tonify the point on the opposite side.


2. Headache
UB 66 is very effective at treating Taiyang occipital headaches; however, it is not limited to this area alone.  The UB channel crosses DU20 at the vertex of the head and travels through the frontal area of the head as well. Additionally, a branch of the UB channel crosses points on the GB channel, GB 7, 8, 10, 11, and 20. Therefore, UB66 can be used for headaches in the occipital, frontal, vertex and temple areas.

Extreme Headache: If you have tried using other channels to treat a severe headache and they have not been successful, try using UB66.

Nervous Headache (cephalalgia nervosa): When treating nervous headaches, first use HT5 (Tong Li: Passage Village) and then UB66 after.


3. Eye pain
UB1, at the inner canthus of the eye, is the crossing point of five channels: the UB, SI, ST, yang qiao, and yin qiao. While the only channels that are said to actually enter the eye are the LV and HT channels, the UB channel is closely related to the eye, and can therefore be used to treat eye pain.  In the brain, the visual information from the eye is processed in the occipital area of the brain, and the UB channel passes through both of these areas. So for severe eye pain, try UB66.


4. Sprain of the Little Toe
This type of injury often occurs when the patient is walking barefoot or jumping, or the foot is caught in part of a shoe during movement. As UB66 is a local point on the little toe, it can be effective for sprain of this area. In treatment, follow the pyung chim rule that was discussed above.


5. Brain
UB66 can be used to treat any problem in the internal head and brain, especially heavy head, dizziness, and cerebral anemia. This is mentioned in the Ling Shu (Spritual Axis), where it says that for chaotic Qi in head, one should first try the local points, UB 10 and 11, but if they are not effective, then the distal points UB 65 and 66 should be selected.
7  HB Kim Learning Center / HB Kim Study forum / (304) Lipoma on: August 18, 2010, 03:26:19 AM
WHAT IS LIPOMA?

Definition: A lipoma is a slow-growing benign tumor which is not cancer and is usually harmless. They are the most common form of soft tissue tumor and are most often located between the skin and the underlying muscle layer;  Shape: They are soft and doughy to the touch. They are usually movable with slight finger pressure and are generally painless. They commonly occur in the neck, shoulders, back, abdomen, arms and thighs;  Size: Many lipomas are typically less than 1 inch in diameter, but they can grow to larger than 2 inches;  Age: The most common age group lipomas are found in is between 40 and 60 years old. They can be found in children but this is rare;  Cause: The exact cause of lipomas is unknown but genetic factors likely play a role in their development. Additionally, there are theories that lipomas are caused by trauma or injury to the site of origin, or that dietary factors play a role, such as fat and sugar consumption.



TCM PATTERNS & HERBAL FORMULAS

1. Qi & PHLEGM ACCUMULATION
Signs & Symptoms:  lipoma, chubby body, slippery-full pulse
Tx principle:  move qi and dissipate nodule, dry damp-phlegm
Formula:  Er Chen Tang + Bai Jie Zi, Dan Nan Xing, Qing Meng Shi, Hai Zao, Kun Bu, Zhi Shi
Ingredients:  Ban Xia 12g,  Chen Pi 12g,  Fu Ling 9g,  Zhi Gan Cao 4.5g,  Bai Jie Zi 4.5g,  Tian Nan Xing (prepared) 4.5g,  Qing Meng Shi 4.5g,  Hai Zao 4.5g,  Kun Bu 4.5g,  Zhi Shi 4.5g

2. QI DEFICIENCY WITH PHLEGM
Signs & Symptoms:  increase in size of a lipoma, indigestion, poor appetite, easily fatigued, possible edema, loose stool, white-greasy tongue coating, soft-moderate pulse
Tx principle:  strengthen SP and benefit Qi, transform Phlegm
Formula:  Gui Pi Tang + Dao Tan Tang
Ingredients:  Bai Zhu 12g,  Fu Shen 12g,  Huang Qi 12g,  Long Yan Rou 12g,  Suan Zao Ren (fried) 12g,  Ren Shen 6g,  Mu Xiang 6g,  Zhi Gan Cao 3g,  Ban Xia 6g,  Tian Nan Xing (prepared) 12g,  Chen Pi 12g,  Chi Fu Ling  12g

3. LV & SP DISHARMONY
Signs & Symptoms:  lipoma, chest fullness, hypochondriac fullness, irritability, easily angered, no appetite, white tongue coating, wiry-thready pulse
Tx principle:  Soothe LV Qi, harmonize the SP, Move Qi and activate Blood
Formula: Shi Quan Liu Qi Yin
Ingredients:  Chen Pi 9g,  Chi Fu Ling 9g,  Wu Yao 9g,  Chuan Xiong 9g,  Dang Gui 9g,  Bai Shao 9g,  Xiang Fu 6g,  Qing Pi 4.5g,  Gan Cao 3g,  Mu Xiang  2g



EMPIRICAL FORMULAS

1. FORMULA A
Indications:  multiple lipoma syndromes
Tx principle:  Benefit Qi and nourish Blood, Open the channels and regulate the Ying level
Ingredients: Dang Gui 12g,  He Shou Wu 12g,  Bai Shao 4.5g,  Chi Shao 4.5g,  Zhi Gan Cao 4.5g,  Chuan Xiong 3g,  Bai Ji Li 9g,  Huang Qi 18g,  Hu Ma Ren (sesame) 7.5g,  Rou Cong Rong 7.5g

2. FORMULA B
Indications:  multiple lipoma syndromes, chronic lymphadenitis
Tx principle:
  Benefit Qi and nourish Blood, Open the channels and regulate the Ying level
Ingredients:  Dang Gui 12g,  He Shou Wu 12g,  Bai Shao 4.5g,  Chi Shao 4.5g,  Zhi Gan Cao 4.5g,  Chuan Xiong 3g,  Bai Ji Li 9g,  Huang Qi 18g,  Hu Ma Ren (sesame) 7.5g,  Rou Cong Rong 7.5g,  Sheng Di Huang  9g



ACUPUNCTURE SESSION

1st Tx:  Great Gate opening
LI4, LV3, Yintang, DU20 + PC9, SJ1

2nd Tx:  Meridian connecting (Yin)
ST36, GB41, SP4, PC6, LV14, RN12, Yintang

3rd Tx:  Four needle technique
RIGHT: SP tonficiation (+HT8, +SP2, -LV1, -SP1)
LEFT:  ST40

4th Tx:  Four needle technique
RIGHT: SP tonification (+HT8, +SP2, -LV1, -SP1)
LEFT: GB tonification (+UB66, +GB43, -LI1, -GB44)

5th Tx:  Four needle technique
LEFT:  LU tonfication (+SP3, +LU9, -HT8, -LU10)
RIGHT:  SJ tonification (+GB41, +SJ3, -UB66, -SJ2)

6th Tx:  Meridian flow
GB41, LV8, PC3, SJ5, GB24, RN5, Sishengchong (2 side points)

7th Tx:  Meridian connecting (Yang)
ST36, GB41, SP4, SJ5, LV14, RN12, Yintang

8th Tx:  Gate opening
SP4, SJ4, Yintang, DU20
8  HB Kim Learning Center / HB Kim Study forum / (303) Image balancing on: May 12, 2010, 08:19:32 AM
Nine Types of Image Balancing

1. Left-Right Balancing
In Left and Right side balancing, if the pain is on the left side, we can needle points in the same location on the right side, and vice versa. For example, in the treatment of left LI11 pain, needle right LI11. If the patient has pain at right LI4, needle left LI4. 


2. Hand and Foot, Arm-Leg Balancing
In this type of balancing, the shoulder and hip can be used to treat each other, the elbow area and knee area can be used to treat each other, the wrist and ankle can treat each other, and the fingers and toes and be used to treat each other.

After choosing the appropriate body part to treat (ex. knee for elbow pain), the treatment channel must be chosen. In this system, channels of the same name are often chosen to treat each other. Therefore the ST channel can treat pain in the LI channel.

For example, if the patient has pain in the hip joint (GB channel), you can needle opposite SJ14.  If there is pelvis pain on the ST channel, needle LI15 contralaterally. If there is Knee pain, especially on the Spleen channel, needle LU5. 
 

3. Hand-Foot, Arm-Leg Mirror
In this type of balancing, the two limbs are facing opposite directions. In this method, the hand relates to the pelvis, the elbow to the knee, the upper arm to the lower leg and the shoulder to the foot.

For example, Ling Gu and SI3 can be used to treat sciatica, and SJ5 and SJ6 can treat thigh pain


4. Upper Limb-Trunk
In this style of balancing the hand and forearm from the fingertips to the elbow, is balanced with the torso from the head to the groin area.  The forearm relates to the chest, the elbow to the umbilicus, the lower arm to the lower abdomen, and the hand to the genital area.

An example of this type of balancing is the use of the Tung points, Da Jian and Xiao Jian, located on the fingers, to treat genital pain. 


5. Upper Limb-Trunk Mirror
This method is the reversal of the previous method, where now the hand relates to the head and neck, the forearm to the chest and upper back, the elbow to the umbilicus, the upper arm to the lower abdomen and sacral area, and the shoulder to the genital area.

There are many examples for this method. PC6 is often used for pain in the chest area, while Tian Zong and Yun Bai, located on the shoulder, are used for problems in the genital area.  In Korean Hand Acupuncture, the top of the middle finger is related to DU20, and is used in the treatment of headache.   This method is also the reason why LI4 is used to treat wind in the head and brain area or headache.


6. Lower Limb-Trunk
In this style, the lower limb relates to the torso from the head to the groin area. The thigh relates to the chest, the knee to the umbilicus, the leg to the lower abdomen and sacral area, and the foot to the genital area.

A few examples of this in practice are the use of ST44 in the treatment of dysmenorrhea, the use of SP1 and LV1 in the treatment of leukorrhea, and the use of SP6 for lower abdominal pain.


7. Foot-Trunk Mirror
This style is a reversal of the previous one, and now the foot relates to the head, the ankle to the neck, the leg to the chest and upper back, the knee to the umbilicus and lower back, and the thigh to the lower abdomen and sacral area.

Examples of this in Tung's acupuncture are the use of ST43/44 (Men Jin in Tung's acupuncture) in the treatment of frontal headache. Also, two Tung points at the Achilles tendon, Zheng Zong and Zheng Jin, are used for the treatment of neck pain.

In TCM there are additional examples. GB41 is used for temporal headaches, UB65 and UB60 are used for occipital headaches, and LV1 and KD1 are used to treat vertex headaches at DU20. Because the foot relates to the brain in this style, SP1 and ST45 are used for sleep issues, and LV1 can be used for Alzheimer's disease. This style is also the basis for UB40's use in lower back pain. 
 

8. Upper-Lower
There are a few variations of this relationship. In one, the head can be related to a mirror image of itself, where DU20 can treat the throat and vice versa.
 
In another variation, the head can relate to the sacrum, where DU1 can treat disorders of the brain, and DU20 can treat hemorrhoids.
 
A third variation of this is the relationship of the head and foot, where KD1 treats vertex headache, and DU20 treats pain on the sole of the foot.


9. Front-Back
In this style of balancing, the front of the body may be used to treat the back and vice versa. Pain at L2, near UB23, is level with the umbilicus, and therefore needling 0.5 cun medially to ST25 can treat low back pain.

Additionally, Ren23 can be used to treat neck stiffness, and DU15 can treat aphasia, voice disorders, and difficulty swallowing.

*Please refer to p.378 in the <Minibook of Oriental Medicine> to see the pictures.



Application of Image Balancing

When applying these balancing techniques, you must consider not only the related anatomical areas, but the channel relationships as well.  Treating channels are often channels of the same name as the effected channel, or channels of an interior-exterior relationship to the effected channel.

1. Meridian Name Sharing
For example, if treating shoulder pain in the LI channel, one choice might be the LI channel on the opposite arm, or another is the ST channel on the opposite leg. If the pain is in the SI channel on the shoulder, you may choose SI on the opposite arm, or the UB channel on the opposite leg.  In another example, for the treatment of hernia pain (ST channel), you may chose LI points, such as Ling Gu, because both channels are Yangming and so can balance each other. 

2. Interior and Exteriorly Related Channels
Channels with interior-exterior relationships can also balance each other, so LU5 could be used for pain around LI11 as well. 

3. Treatment of the Ren and DU
When there are issues with the Ren channel, the Shaoyin channels, HT and KD, may be used to balance the Ren. When there are problems with the Du channel, then the Taiyang channels, SI and UB, may be used.  Additionally the Ren and DU channels can be used to balance each other in the front-back style. 
9  HB Kim Learning Center / HB Kim Study forum / (302) 24 Gate Openings on: April 27, 2010, 07:19:53 AM
GATE OPENING  (TONG GI CHIM)

1. INTRODUCTION

The point combination LI4 (union valley) + LV3 (great surging) is well known as the "four gates".  However, it is only one possible combination out of 12 four gate pairs.  If needling order is considered, it can be expanded to 24 pairs.

"24 Gate Opening" is one of the essential acupuncture theories in Korean medicine.  Gate opening exhibits the unique function of synchronizing the body in time and space, and aligning the body with the environment.  It is an excellent choice for the first treatment in a course, as it increases the body's receptiveness to acupuncture's benefits.



2. TREATMENT PRINCIPLES

A) Order of insertion:  According to the theory, the order of needling has a significant impact on the treatment.  The needling order should be modified according to the time of day.  (Refer to p.360 of Minibook of Oriental Medicine).  Otherwise, 4 gates → Yintang → DU20 can be used as a universal order anytime of the day.   

B) Combination principle:  Yuan source points are used in the practice of Tong Gi Chim.  Yuan source points are paired by opposite polarity of both yin and yang channels as well as hand and foot channels.  For example: LI4 (E), a hand yang channel, is combined with LV3 (M) or KD3 (H), which are foot yin channels. Points within the same circuits (Heaven, Earth, HuMan) cannot be combined. (Channels in the Earth (E) circuit are LU, LI, ST, and SP. Channels in the Heaven (H) circuit are HT, SI, UB, and KD. Channels in the  Human (M) circuit are PC, SJ, GB, and LV.) 2 possible combinations for each point x 12 Yuan source points = 24 Gate Opening treatments.  While there is some overlap of pair combinations, the treatment is considered different depending on which point is used as the primary or secondary point.

C) Clinical application:  Gate Opening is not limited to the use of LI4+LV3.  Depending on the presenting symptoms, different Gate Opening pairs may be more appropriate.  For example, HT7+GB40 targets the HT and GB for Wen Dan Tang (warm the gallbladder decoction) type conditions.  KD3+LI4 should be used for Si Shen Wan (four miracle pill) type conditions. 



3. INDICATIONS

Some basic indications of the 12 gate opening pairs are listed below but are not limited to these.  Gate opening has a wide range of actions.  The best Gate Opening combo is chosen based on Zang-Fu theory.  If uncertain, the use of LI4+LV3 is never a bad choice.  (Refer to the HB's forum article - (228) Four Gates)

1   LU9 + GB40:   Cough, asthma, shortness of breath, gallstone
2   LI4 + LV3:   Yin-yang imbalance, pain, internal wind, dysmenorrhea
3   ST42 + PC7:   Disorders in the chest, diaphragm, epigastric area
4   SP3 + SJ4:   Fatigue, tiredness due to overwork, diabetes
5   HT7 + GB40:   Insomnia, palpitations, anxiety, lack of courage
6   SI4 + LV3:   Liver disorders, hepatitis, cirrhosis, blood stasis
7   UB64 + PC7:   Urinary tract infection, dribbling urination, poor memory
8   KD3 + SJ4:   Essence deficiency, KD Yang deficiency, adrenaline deficiency
9   LU9 + UB64:   Lower back pain, external wind, skin disorders
10   LI4 + KD3:   Diarrhea, constipation, irritable bowel syndrome, colitis
11   ST42 + HT7:   Indigestion from emotional imbalance, gastritis, gastric ulcers
12   SP3 + SI4:   Blood deficiency, nutrition deficiency, amenorrhea



4. GREAT GATE OPENING

A treatment called Great Gate Opening is used in addition to a Gate Opening treatment for more severe conditions.  Two more needles are added: PC9 on one side, and SJ1 on the other.  Note that both the PC and SJ exist only as functions, not as true physical organs.  Therefore, the PC/SJ primary channels are more closely related to the eight extra vessels while the other ten primary channels are closely related to the organs.

Great gate opening  =  Gate opening + PC9, SJ1
10  HB Kim Learning Center / HB Kim Study forum / (301) Same Name Attraction on: April 14, 2010, 10:14:10 AM
Definition
In this theory, channels that share the same name attract/relate to the other channel of opposite hand/foot polarity.  For example, the Shaoyang Hand SJ channel can be used to treat the Shaoyang Foot GB channel, and vice versa.  If you want to treat the Hand Taiyin channel, you can therefore use the Foot Taiyin channel.


1. Regular point examples
If the patient is having pain at LU10, you can needle the area around SP3 or SP4 to treat it.  The chart shown here gives many more examples of point balancing with this theory. 

(1) Yin channel example: Taiyin (LU - SP)
LU11 - LU1
LU10 - SP3
LU9 - SP5
LU7 - SP6
LU5 - SP9

(2) Yang channel example: Taiyang (SI - UB)
SI1 - UB67
SI3 - UB65
SI5 - UB62
SI8 - UB40
SI10 - UB36

*Please refer to p.377 in the <Minibook of Oriental Medicine> to see all the channels.


2. Tung point examples
Many of the Master Tung points have indications that reflect this theory.  Wan Shun Yi and Wan Shun Er, located in the SI3/SI4 area, are used to treat UB channel lower back pain and lateral foot pain on the UB channel.  Another example is the set of Wu Hu points on the thumb, along the LU channel, which are used to treat big toe pain on the SP channel.
11  HB Kim Learning Center / HB Kim Study forum / (300) Nan-Jing Chapter 75 on: April 05, 2010, 08:05:51 AM
NAN-JING (The Classic of Difficulties, 難經)
Nan-Jing, The Classic of Difficulties, is composed of 81 chapters, which is the same as Su Wen (simple questions) and Ling shu (spritual axis) from the Nei-Jing.  The book talks about 81 difficult subjects from the Su Wen and Ling Shu, including diagnosis, meridians, points, organ physiology and pathology, and needling techniques etc.


HWA-CHIM (Five Element Harmonzing Theory)
Hwa-Chim is a Korean style of acupuncture derived from the Nan Jing.  In order to apply Hwa-Chim, one must identify patterns by using a special comparison of the left and right pulse positions.  The five patterns used in this system are Wood excess Metal deficiency, Fire excess Water deficiency, Earth excess Wood deficiency, Metal excess Fire deficiency, and Water excess Earth deficiency.  This technique is very useful for complex cases when the patient has multiple western diseases or TCM patterns.  The Hwa-Chim system harmonizes the current pattern or constitution and moves onto the specific treatment for the particular problem.

Chapter 75 and 69 are the classical sources for Hwa-Chim.  Zang treatment is understood by Chapter 75, while Fu treatment is understood by Chapter 69 of the Nan-Jing.  In this article, Chapter 75 was chosen to be explained below in detail because Zang treatment is more fundamental.


PULSE DIAGNOSIS
Historically there are 28 qualities in the pulse that are used for herbal practice.  However, in acupuncture different methods of "Pulse Comparison" have been developed.  Hwa-Chim pulse comparison was developed in Korea to find a pattern according to the information in Chapter 75 of the Nan-Jing. There are three steps of comparison to find a pattern, and only amplitude and volume are compared at different depths, rather than identification of the 28 qualities.  To be able to understand the steps, one must look at the Hwa-Chim chart.  Please refer to the Hwa-Chim chart and Comparison pulse technique steps on p.363 <Minibook of Oriental Medicine>


CHAPTER 75
Chapter 75 says, "If East is excess and West is deficient, sedate the South and tonify the North".  It's hard to apply this sentence to acupuncture treatment without solving the encryption.  First of all, directions must be changed to the elements according to the Five element correspondences.  If we rewrite this phrase with the five element correspondences it becomes:  "If Wood is excess and Metal is deficient, sedate Fire and tonify Water."

It sounds better, but it is not yet completely clear. To understand further, the sentence must be divided into two parts, where the first part is the diagnosis and the second part is the treatment.
Diagnosis:  If Wood (organ) is excess and Metal (organ) is deficient.
Treatment:  sedate the Fire (point) and tonify the Water (point).


For example, if a pattern found by pulse diagnosis was "Wood (LV) excess, Metal (LU) deficiency", one should tonify KD10 (water horary) and sedate HT8 (fire horary) as a primary treatment.  A secondary treatment would be tonify LU8 (metal horary) and sedate LV1 (wood horary). 
Primary Tx: +KD10, -HT8
Secondary Tx: +LU8, -LV1


According to the point prescription, the secondary treatment sounds better for "Wood excess, Metal deficiency".  However, Nan-Jing Chapter 75 said to tonify the Water point and sedate the fire point like the primary treatment.  Why is that?  "Wood excess, Metal deficiency" is actually a manifestation. The root of this pattern started from "Water deficiency."  Water deficiency leads to Fire excess, Fire excess leads to Metal deficiency, and Metal deficiency leads to Wood excess in the Controlling cycle.  That's why tonifing the Water point and sedating the Fire point is the primary treatment for this pattern even though it says "Wood excess, Metal deficiency."


CONCLUSION
The Nan-Jing was the original source for Hwa-Chim.  However, the Nan-Jing is written as an encrypted sentence with a vague explanation.  Hwa-Chim pulse comparison and treatments are considered a branch of SaAm-Chim (Four needle technique), which was developed by different scholars over many years.  This summary is only a fraction of what Hwa-Chim can offer.  If one can understand each aspect of Hwa-Chim and the sequences of both "Pattern Tx" and "Disease Tx", one can achieve amazing clinical results for various complex modern disorders.  It is  marvelous when we can see the astonishing information that can be derived in just one classical line.
12  HB Kim Learning Center / HB Kim Study forum / (299) Bell's palsy on: March 29, 2010, 05:49:11 AM
OVERVIEW OF BELL'S PALSY (口眼歪斜)

Definition:  Bell's palsy is named after the Scottish anatomist Charles Bell, who first described it.  It is defined as a sudden, idiopathic, unilateral peripheral 7th cranial nerve (the facial nerve) palsy.  Dysfunction of the facial nerve results in the inability to control facial muscles on the affected side.

Symptoms:  Sudden weakness or paralysis on one side of the face, droopy eyelid or corner of the mouth, drooling, excessive tearing or dry eye, loss of the ability to taste, pain in or behind the ear, numbness in the affected side of the face, and increased sensitivity to sound.

Cause:  Cause is unknown, but the mechanism is presumably swelling of the facial nerve due to an immune or viral disorder.  Bell's palsy affects about 2 in 10,000 people.  Many disorders cause facial paralysis, e.g. brain tumor, stroke, geniculate herpes, middle ear or mastoid infections, chronic meningitis, and Lyme disease. However, if no specific cause can be identified, the condition is known as Bell's palsy, and is commonly referred to as idiopathic.

Prognosis & Treatment:  In many cases, no treatment is needed.  About 60-80% of cases go away completely within a few weeks to months.  However, sometimes the condition results in permanent changes.  Doctors may prescribe corticosteroids (such as prednisone) if the cause is inflammation, or antiviral drugs (such as acyclovir) if it's caused by a virus.  Acupuncture, cupping, and herbal medicine can significantly improve results and help to resolve the condition.



ACUPUNCTURE TREATMENT

TCM Points:
1. Primary points: ST4 & ST6, SJ17 & GB20, LI4 & LV3
2. Secondary points: LI20, LI19, DU26, RN24, GB14, ST2, ST3, KD6, Qian Zheng

Tung Points:
1. Treatment A:  Si Hua Wai (77.14), Ce San Li (77.22), Ce Xia San Li (77.23)
2. Treatment B:  San Zhong (77.07), Si Ma (88.17), Tong Shen (88.09)

Yin-Yang Balancing (Pyung-Chim):
1. Problem side: Tonify ST41, Sedate ST44
2. Healthy side: Tonify LI2, Sedate LI5

Bleeding:
Bleed the cheek, inside the mouth on the affected side



PATTERNS AND HERBAL FORMULAS

1. Wind-Phlegm in the Channel: bell's palsy, acute onset, a thin-white tongue coating, and a floating-slippery pulse

6.0g  Bai Fu Zi (typhonium rhizome)
6.0g  Jiang Can (silkworm)
4.5g  Quan Xie (scorpion)
: 2-4.5g (decoction); 0.6-1g (powder)
+
6.0g  Bai Zhi (angelica root)
6.0g  Chuan Xiong (szechuan lovage root)


This formula is modified Qian Zheng San (Lead to symmetry powder).  This formula can treat bell's palsy, migraine, and hemiplegia due to Wind-Phlegm in the channel.  Bai Fu Zi can expel Wind and dissolve phlegm, especially in the facial area.  Jiang Can and Quan Xie both treat Wind and convulsions.  Jiang Can treats Phlegm better and Quan Xie opens the Channels better.  Bai Zhi and Chuan Xiong are good guiding herbs to the face and head area, and they both relieve Wind and Pain.  Taking these with warm liquor will improve the opening actions.

Note: Qian Zheng San (Bai Fu Zi, Jiang Can, Quan Xie) can be used as a basic formula if the pattern differentiation is unclear.  Try Qian Zheng San + Gui Zhi Jia Ge Gen Tang for early cases of bell's palsy.  If bell's palsy is over 3 weeks, try Qian Zheng San + Bu Yang Huan Wu Tang.


2.  Blood deficiency with Wind: bell's palsy, chronic, dizziness, insomnia, palpitations, a thin-white tongue coating, and a wiry-thready pulse

9.0g  Bai Shao (white peony root)
9.0g  Dang Gui (chinese angelica root)
9.0g  Shu Di Huang (prepared chinese foxglove root)
9.0g  Chuan Xiong (szechuan lovage root)
+
3.0g  Quan Xie (scorpion)
6.0g  Jiang Chan (silkworm)
6.0g  Di Long (earthworm)


This formula is modified Si Wu Tang (Four-substance decoction).  Si Wu Tang itself is more popular for gynecological diseases with Blood deficiency and Blood stasis.  General indications include irregular menstruation due to Chong/Ren deficiency, restless fetus syndrome, and postpartum lochia.  However, with Quan Xie, Jiang Can, and Di Long, it can address bell's palsy due to a blood deficient Wind pattern.


3.  Qi and Blood deficiency:  bell's palsy, slow recovery, fatigue, shortness of breath, a dark tongue color, and a thready-hesitant pulse.

120g  Huang Qi (milk-vetch root)
6.0g  Dang Gui Wei (tail of chinese angelica root)
4.5g  Chi Shao (red peony root)
3.0g  Di Long (earthworm)
3.0g  Chuan Xiong (szechuan lovage root)
3.0g  Tao Ren (peach kernel)
3.0g  Hong Hua (safflower)
+
3.0g  Quan Xie (scorpion)
4.5g  Jiang Can (silkworm)


This formula is modified Bu Yang Huan Wu Tang (Tonify the yang to restore five decoction).  Bu Yang Huan Wu Tang popularly used for sequela of stroke due to a deficiency pattern.  It addresses hemiplegia of a deficiency pattern with a large dosage of Huang Qi.  With Quan Xie and Jiang Can, it treats bell's palsy of the Qi and blood deficiency type.



EMPIRICAL FORMULAS

Empirical Formula 1: Expel Wind and Move Blood
12g  Bai Fu Zi (typhonium rhizome)
9.0g  Jiang Can (silkworm)
4.5g  Quan Xie (scorpion)
15g  Sheng Di Huang (chinese foxglove root)
15g  Chi Shao (red peony root)
9.0g  Chuan Xiong (szechuan lovage root)
15g  Dang Gui (chinese angelica root)
50g  Sang Zhi (mulberry twig)
9g  Si Gua Luo (dried luffa sponge)
30g  Ji Xue Teng (spatholobus vine)


Empirical Formula 2:  Expel Wind and Calm Liver, Activate Blood and Open the Channels
9.0g  Dang Gui (chinese angelica root)
9.0g  Chuan Xiong (szechuan lovage root)
3p.  Wu Gong (centipede): 1-3g (decoction); 0.6-1g (powder)
6.0g  Chan Tui (cicada molting)
6.0g  Gan Cao (licorice root)
9p. Di Long (earthworm): fried
12g  Bai Fu Zi (typhonium rhizome)
12g  Fang Feng (siler root)
12g  Gou Teng (gambir vine)
12g  Jiang Can (silkworm)


Empirical Formula 3:  Expel Wind, Disperse Cold, Open the Channels
4.5g  Quan Xie (scorpion)
9.0g  Bai Fu Zi (typhonium rhizome)
9.0g  Jiang Can (silkworm)
9.0g  Chuan Xiong (szechuan lovage root)
9.0g  Jing Jie (schizonepeta)
9.0g  Fang Feng (siler root)
9.0g  Bai Zhi (angelica root)
9.0g  Qiang Huo (notopterygium root)
3.0g  Bo He (field mint)


13  HB Kim Learning Center / HB Kim Study forum / (298) Same Energy Attraction on: March 19, 2010, 08:59:37 AM
Introduction
Wu Zhang Bie Tong (五臟別通) theory is translated into English as "Same Energy Attraction". The source of the theory is the Huang Di Nei Jing (Yellow Emperor's Inner Classic). In that source text they describe the open, pivot, close theory/law, though the theory has roots in another source, the Yi Jing (The Book of Changes).   


Relationships of the Six Channels
There are three Yang and three Yin channels with three sets of similar energetic profiles.  These are the six types of matching channels of the hand and foot: Yangming, Taiyang, Shaoyang, Taiyin, Shaoyin, Jueyin.  Each of the channels relates to another channel of opposite Yin/Yang polarity, opposite limb, and matching energy. The word "relate" is used here to describe a correspondence that connects the two channels and allows points on one to treat issues usually associated with the other, or local areas on the other channel.

For example, Yangming and Jueyin relate to each other in this theory because they are the "Extreme Yang" and "Extreme Yin" of the channels. Taiyin and Taiyang also relate to each other as "Greater Yin" and "Greater Yang", while Shaoyin and Shaoyang relate to each other as "Lesser Yin" and "Lesser Yang". In the Huang Di Nei Jing the Taiyin/Taiyang and Shaoyang/Shaoyin relationships are clearly stated, while the Yangming/Jueyin pairing is deduced from the theory but not mentioned specifically.

As the Taiyin and Taiyang channels are paired in this way, the Foot UB channel relates to the Hand LU channel, while the Hand SI channel relates to the Foot SP channel. The Shaoyang and Shaoyin channels are also paired, and so the Foot GB channel relates to the Hand HT channel, while the Hand SJ channel relates to the Foot KD channel. Lastly, the Yangming and Jueyin are paired, and the Foot ST channel relates to the Hand PC channel, while the Hand LI channel relates to the Foot LV channel.


Examples: Regular Points
In TCM there are many examples of point indications that reflect this theory. LI11 can treat dizziness because it is on the Hand Yangming LI channel, and so can treat the Foot Jueyin LV channel, which can have a symptom of dizziness.  SI4, on the Hand Taiyang channel, can treat jaundice because of the relationship to the SP Foot Taiyin channel, which has symptoms of SP dampness. ST36 is on the Foot Yangming channel, and so relates to Hand Jueyin PC channel, and can therefore treat heart disorders. Lastly, PC6 is on the Hand Jueyin channel, and so relates to the Foot Yangming channel and can treat ST channel knee pain.


Examples: Master Tung points
Many of the Master Tung points also share these same relationships. Zhong Zi and Zhong Son are located close to and react with the Lung channel, and are used to treat the UB neck area and back pain. An Huang is located close to the HT Hand Shaoyin channel and can treat yellow eyes from jaundice due to the relationship with the Foot Shaoyang GB channel.

Huan Chao is located on the San Jiao Hand Shaoyang channel, and relates to the Foot Shaoyin KD channel to treat Kidney deficiency gynecological disorders and infertility. Tong Guan and Tong Shan treat Heart disorders because they are on the ST channel and therefore relate to the PC channel. 

Mu Xue is located on the LI channel and can treat hernia due to the relationship with the LV channel. Da Jian, Zhong Jian, Xiao Jian and Fu Jian are located on the LI channel and can treat hernia as well. Lastly, Shen Guan (1.5 cun below SP9) is famous for frozen shoulder due to the SP channel's relationship with the SI channel.
14  HB Kim Learning Center / HB Kim Study forum / (297) Dan Shen (Salvia root) on: March 07, 2010, 07:53:10 AM
Dan Shen (Salviae miltiorrhizae Radix;  Salvia root)
Nature: bitter / sly cold
Channel: HT, PC, LV
Dosage: 6-15g

Dan Shen was less popular in classical herbal practice than it is in modern herbal medicine usage. This seems to follow the increase in coronary artery disease, which Dan Shen is very good at treating, that the modern world has seen with the rise of fast-food restaurants and food additives.

Dan Shen can both activate and nourish blood, and these functions change depending on the combination of herbs used.  Dan Shen mainly treats the upper (HT) and middle Jiao (ST), and it also treats the blood vessels from a pharmaceutical standpoint.

Dan(丹) is like an Indian Chakara.  The Indian system has seven Chakras, and there are three Dans in Oriental Medicine.  The Lower Dan Tian is RN4, the middle Dan Tian is RN17, and the Upper Dan Tian is Yin Tang.  Each of these areas are respectively related with Essence (lower), Qi (middle), and Spirit (upper).  The "Dan" in Dan Shen indicates the middle Dan, which is RN17 and the Heart area.


1. Blood stasis in the Heart
Indications: Heart disease, coronary artery disease, congestive heart failure, and valvular disease of the Heart
Dan Shen treats blood stasis in the Heart.  In animal testing, Dan Shen expanded the coronary arteries and slowed down the heartbeat.  Thus, it can be a primary choice for some patients with angina pectoris or myocardial infarction.  One of the top selling herbal products in China for Heart health is Cardiotonic Pill from the Tasly company.  The major ingredients of that formula are Dan Shen (Salviae Mitiorrhizae), San Qi (Panax Notoginseng), Huang Qi (Astragalus membranaceus) and Jiang Xiang (Dalbergiae Odoriferae).

2. Blood stasis in the Stomach
Indications: gastric ulcer, atrophic gastritis
Chronic emotional stress can lead to Stomach disorders due to blood stasis.  A chronic and overwhelmed state of stress blocks the blood flow from the Heart to the Spleen/Stomach, causing HT and SP disharmony.  If the Stomach can't get a proper blood supply, it will atrophy and can cause gastritis or gastric ulcers.  Dan Shen can remove blood stasis from the middle jiao and treat these conditions.  Stomache due to blood stasis manifests as blue-purplish lips and sharp epigastric pain.  Dan Shen 8g +  Chi Shao 8g is a good herb combination for this condition.

3. Blood stasis in Gynecological disorders
Indications: dysmenorrhea, uterine fibroids, endometriosis, ovarian cysts, and oligomenorrhea
Dan Shen not only moves blood stasis but also gently nourishes blood.  When both the sedation and tonification method must be applied, Dan Shen is a good choice.  Therefore, it's good for dysmenorrhea for someone of a weak constitution rather than strong constitution.  Dan Shen + Dang Gui Wei + Yi Mu Cao + Hong Hua is a combination that is used for that.  For Cold in the uterus, wine-treated Dan Shen is used and combined with Gan Jiang + Rou Gui.  For a deficient pattern of amenorrhea or anovulation, Dan Shen + Xiang Fu + Yi Mu Cao + Dang Gui are a combination that can be used rather than the stronger Tao Ren + Yan Hu Suo combinations.

4. Blood stasis in the blood vessels
Indications: Vasculitis, Buerger's disease, diabetes with peripheral circulatory complications, and hyperlipidemia
Dan Shen with Chen Pi + Xi Xin + Hong Hua is used for large or small blood vessel circulatory disorders.  Blood vessel circulatory disorders often manifest as numbness of the hands or feet.  Chen Pi's Qi regulating, Dan Shen + Hong Hua's blood circulating, and Xi Xin's peripheral vessel opening works well together.  For hyperlipidema, Dan Shen + Su Mu + Hong Hua can be used together.

5. Blood stasis in psychiatric disorders
Indications: anxiety, palpitations, irritability, insomnia, excessive dreams, personality disorder, schizophrenia, and panic disorder
When psychiatric disorders get severe or chronic, it almost always creates Phlegm or Blood stasis.  Especially in schizophrenic cases, one must distinguish if it's Phlegm misting the HT or Blood stasis in the HT.  If a patient's symptoms manifest as palpitations, anxiety, irritability, insomnia, or panic, the tongue/lip must be looked at to determine which syndrome is prevalent.  Dan Shen is a very good and safe sedative because it can repress the central nervous system.  For these cases, Shi Chang Pu + Yuan Zhi + Fu Ling can be used together with Dan Shen.  When Phlegm exists, Ban Xia + Dan Nan Xing are often used together.
15  HB Kim Learning Center / HB Kim Study forum / (296) UB18 (Liver Shu) on: February 09, 2010, 11:57:36 AM
UB18 (Liver Shu)

1. Liver patterns
Usually the back-shu points of the Yin organs are more effective for deficiency patterns, rather than excess.  For example, UB23 is chosen for KD deficiency and UB15 for HT deficiency.  As the Liver has both form as Yin, related to its ability to store blood, and function as Yang, related to its ability to smooth Qi, UB18 can be used for both deficiency and excess patterns of the Liver.  Therefore, UB18 is used for not only LV Blood deficiency and LV Wind (which can be an excess or deficiency pattern), but also for LV Qi stagnation, LV Blood stasis, LV fire, and LV/GB Damp-Heat.

2. Muscle diseases
The Liver governs the muscles and tendons.  UB18 works better for muscle disorders than points on the Liver channel itself.  Related muscle disorders include hemiplegia.

3. Lumbago
UB18 can be used for general muscle disorders and lumbago due to muscle tightness, especially when the muscle tightness occurs on one side. In these cases, cupping on the protruded or tight spot should be used, followed by needling of UB18.

4. Sooth Qi
UB18 is good for Liver, Gall bladder, and digestive diseases because the Liver smoothes the Qi.  Gastrospasm is a good candidate for needling of UB18.

5. Eye disorders
UB18 can also be used for all kinds of eye disorders, including night blindness, amblyopia (failing of eyesight), excessive lachrymation (tearing), red eyes, and itching of the eyes.

6. UB18 diagnosis
If right UB18 is tender or painful, it's usually indicative of Liver or Gall bladder disease.  If left UB18 is tender or painful, it is a sign of Spleen or Stomach disease.  Usually right UB18 is often more tender than the left.

7. Insomnia
For cases of insomnia, one can needle both right and left UB18, following the channel.  This would be especially good for Suan Zao Ren Tang type of Insomnia, where it is due to LV Blood deficiency leading to HT Yin deficiency.
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