San Jiao Channel and Points - CatsTCMNotes
San Jiao Channel and Points - CatsTCMNotes
San Jiao Channel and Points - CatsTCMNotes
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Course: Energetics III Date: 4/22/08<br />
Class #: 2 - 3<br />
Primary meridian pathway<br />
<strong>San</strong> <strong>Jiao</strong> <strong>Channel</strong> <strong>and</strong> <strong>Points</strong><br />
Starts ring finger dorsum of h<strong>and</strong> between rad/ulna shoulder DU 14 GB 21 ST 12 <br />
Pericardium (san jiao) UJ, MJ, LJ<br />
From pericardium goes to Rn 17, ST 12, Neck then to back of the ear.<br />
If pt has allergies, ear infections, etc <strong>and</strong> mention that back of ear hurts, use SJ points (SJ 17). If<br />
not mention this, can choose other points – SI channel which circulates in front <strong>and</strong> enters the ear<br />
for instance.<br />
2 Pathways from back of the ear:<br />
1. From back of ear behind ear <strong>and</strong> enters the ear emerges in front of the ear<br />
(SJ 21) terminates at the outer canthus of the eye at SJ 23, then links with GB 1 <strong>and</strong><br />
sends Qi to this meridian.<br />
2. Circles behind the ear cheek (SI 18) inferior aspect of the eye.<br />
Pay attention to what internal organs it passes thru. SJ, PC. Pay attention to the pathway around/in the<br />
ear. Gallbladder channel very similar so don’t get the 2 confused. In clinic later on when you see ear<br />
problems distal points chosen are often on SJ <strong>and</strong> GB channels. Herbs often guide to these channels too.<br />
Good for ear infections, etc. Tinnitus/hearing loss will = kidney most of the time.<br />
SJ Luo connecting channel<br />
Comparatively, this one is different from the others discussed. Almost all have 2 branches, i.e., but not<br />
this one – only one branch.<br />
SJ 5 goes along external arm to chest, to Pericardium.<br />
Disorders of Luo connecting channel for SJ:<br />
Excess: contraction of elbows<br />
Deficiency: flaccidity of the elbows.<br />
Good for upper extremeties problems.<br />
SJ divergent<br />
This one different too.<br />
Energetics 3 – Spring 2008<br />
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Page 1 of 11
Diverges from Head – Du 20<br />
Enters – chest<br />
Exits at back of ear<br />
Converges at SJ 16.<br />
SJ Muscular region<br />
Starts at finger, bundles at big joints, distributed at external upper arms, unites at GB 13. All we need to<br />
know is that it starts much like all others.<br />
Links with the root of the tongue<br />
<strong>Points</strong><br />
Indications:<br />
1. This channel is related to clearing heat on the channel. Yangming is better.<br />
2. Can also be used for Shaoyang syndrome <strong>and</strong> hypochondriac problems.<br />
Remember the 6 stages diagnosis.<br />
a. This is the Taiyang channel stage <strong>and</strong> Taiyang’s channel problems. Feel chilled, but have<br />
fever. This is usually for wind/cold invasions, so patient’s symptoms will be chills/fever,<br />
upper body pain, aches, etc.<br />
b. If patient doesn’t get proper care, pathogens will transmit to the next stage, Yangming<br />
channel stage/problem. High fever, pneumonia, etc. Yangming has a lot of heat.<br />
c. If patient is weak, poor body constitution then Shaoyang stage/channel: alternating<br />
chills/fever – blurred vision, floaters, vomiting, nausea, hypo pain can all be possible<br />
symptoms. Shaoyang is also called ½ exterior, ½ interior because patient is at the<br />
inbetween stage.<br />
KNOW: Alternating Chills/Fever<br />
GB is also the Shaoyang channel, so that’s why some of those points are chosen for<br />
Shaoyang problems/symptoms<br />
3. Problems along the pathway of the SJ channel. Finger, wrist, arm, shoulder, side of head, ear,<br />
eyes.<br />
Note no zangfu organs emphasized. SJ is for mostly channel problems.<br />
Point Category Indications/Contra/Caution<br />
SJ 1-4 First 4 points: SJ 1-4. Because of the point location, not all points used<br />
frequently. Most commonly used: SJ 3. SJ 1 is painful, 2 is used for Ashi as<br />
is 4. Pretty safe points, no side effects.<br />
Indications:<br />
Energetics 3 – Spring 2008<br />
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Point Category Indications/Contra/Caution<br />
1. Sense organ’s problems where the channel passes thru – ear, eyes,<br />
mouth, throat. Headache, red eyes, tinnitus, deafness, sore throat. Not<br />
often used for this stuff, however.<br />
2. Finger, h<strong>and</strong>, arm problems like stiffness, numbness, painful arms esp<br />
along the channel.<br />
SJ 1<br />
SJ 2<br />
Jing Well<br />
(metal)<br />
Ying Spring<br />
(water)<br />
Jing Well applications<br />
1. treat uppermost regions of channel = tinnitus, deafness, earache, stiff<br />
mouth, dry lips, bitter taste in the mouth, headache, redness of eyes,<br />
painful obstrx in throat <strong>and</strong> pain in the subm<strong>and</strong>ib region.<br />
2. treat fullness below the Heart<br />
congested heat in the upper jiao, oppression of the Heart with absence<br />
of sweating <strong>and</strong> heart pain.<br />
3. Clear heat<br />
Clearing heat from the chennal <strong>and</strong> tretaing febriles.<br />
NOT for coma! Neither is GB 44, BL 67.<br />
Ying Spring applications<br />
Clears heat from channel/organ, but not used much to clear heat from organ –<br />
use PC or Ht points for that.<br />
1. Clear heat from upper reaches of the channel:<br />
Ears – redness, dryness, lacrimation. Better than SI for ears…<br />
Gums <strong>and</strong> teeth – pain <strong>and</strong> bleeding<br />
2. Clear heat from Heart/spirit<br />
Manifesting as palpitations, fright, mania, reaving, epilepsy.<br />
Compare with P8 – stronger than SJ 2. Not often used.<br />
3. malaria – typically, symptoms attack at the same time each day,<br />
having alternating chills/fever, sweating then symptoms disappear.<br />
Other: Treating local channel disorders <strong>and</strong> affecting the wrist, h<strong>and</strong>, fingers.<br />
Shaoyang syndrome symptom information:<br />
1. Alternating chills <strong>and</strong> fever<br />
2. Bitter taste in mouth<br />
3. Blurred vision – related to both SJ <strong>and</strong> GB, both of which<br />
circulate around the eyes.<br />
4. Nausea, vomiting, bloating, poor appetite, stomach ache.<br />
MJ problems, related to both SJ <strong>and</strong> GB.<br />
5. Pain in the costal/hypo region<br />
Related to GB channel passing thru this area.<br />
6. Irritability, heart vexation <strong>and</strong> irregular heartbeat.<br />
SJ <strong>and</strong> PC paired can = heart problems.<br />
7. Tongue – sides of tongue are more red, mixed yellow <strong>and</strong><br />
white coating reflecting the halfway characteristics of the<br />
Shao Yang syndrome.<br />
8. Pulse is wiry<br />
This is Gallbladder.<br />
Energetics 3 – Spring 2008<br />
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Point Category Indications/Contra/Caution<br />
9. Formula to use: Xiao Chai Hu Tang<br />
Find the right meridian – more important than finding the right point.<br />
Headaches in the temporal region = Shaoyang.<br />
A lot of points on the SJ channel can be used for Shaoyang syndrome.<br />
SJ 3<br />
Shu Stream<br />
(wood)<br />
1. One of most important distal points for treating ear disorders due<br />
to any pathology. Note, most important distal point, so local points<br />
might be better.<br />
Particularly suited to exterior wind <strong>and</strong> Liver disharmony, esp when<br />
due to excess. Includes tinnitus, deafness, inflammation of mid ear.<br />
Example: inflam of mid ear w/pus, pain around ear. Treatment =<br />
puncture/reduce SI 3 <strong>and</strong> pain in front of ear is better. Reduce on SJ 3<br />
<strong>and</strong> pain at back of ear disappears.<br />
2. Malaria – chronic malarial fever.<br />
3. Shu Stream (wood) applications:<br />
Not the most important point, but…<br />
Heaviness of body <strong>and</strong> pain in the joints. Includes pain of the<br />
shoulder/elbow, pain of the spine at the level of the heart, numbness<br />
of the 4 limbs <strong>and</strong> inability to flex <strong>and</strong> extend the fingers.<br />
SJ 4 Yuan Source Know category<br />
Not used much. Mostly used as an Ashi point. For Japanese acu, however,<br />
important to strengthen the original qi (yuan source qi) in the trtmt of xu. In<br />
this style, is the pathway of yuan source qi <strong>and</strong> water ways.<br />
Also:<br />
1. Malaria – alt chills/fever<br />
2. Wasting <strong>and</strong> thirsting. Similar to diabetes – very thirsty, weight loss.<br />
SJ is pathway of water <strong>and</strong> yuan source qi. In ancient thought, theory<br />
is that water is enough, but not distributed to the right places. Can<br />
help some of the symptoms of diabetes, but not often used today.<br />
3. Acute testitis by some practitioners. Middle sized moxa on SJ 4, 3<br />
units per day, treated for 1 week. 204 cases noted w/symptom relief<br />
in 10 hours to 7 days.<br />
SJ 5 – 10<br />
Of this group of points, SJ 5 is most common in clinic.<br />
For 5-7, have patients hold still because of the radial <strong>and</strong> ulnar bone cross<br />
when the arm positions change. Can result in a bent needle!<br />
Energetics 3 – Spring 2008<br />
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Point Category Indications/Contra/Caution<br />
Ancient texts say SJ 8 is contraindicated for needling. Now this is not<br />
heeded.<br />
Indications for this group primarily = problems along the Sj channel<br />
1. Ear problems, tinnitus, deafness, blockage of ears, earache, etc.<br />
SJ 3 + SJ 5 would be a good combination for these kinds of problems.<br />
2. Finger, arm, elbow, shoulder, upper back problems such as pain,<br />
numbness, tingling, tremors, <strong>and</strong> limited movement.<br />
Mostly used as Ashi points.<br />
SJ 5<br />
Luo Connecting<br />
Confl of Yang<br />
Wei<br />
Corresponds heavily to PC 6, confluent of the Yin Wei channel<br />
Luo Connecting point applications<br />
1. Luo connecting channel pathway disorders<br />
a. Excess: contraction of elbows<br />
b. Deficiencies: flaccidity of the elbows<br />
2. Ext/int channel or zang/fu<br />
Oppression <strong>and</strong> tightness of the chest, like PC 6. For needle sensitive<br />
patients, SJ 5 is far less sensitive than PC 6.<br />
a. <strong>San</strong> <strong>Jiao</strong> channel problems =<br />
i. Heat syndromes – Shaoyang syndrome<br />
Remember alt chills/fever, blurred vision, etc.<br />
Combine SJ 5 <strong>and</strong> GB 40 or 41 (depending on the text<br />
you read!)<br />
ii. Problems along the channel: headache, eye problems<br />
like redness, swollen <strong>and</strong> painful eyes, ear problems,<br />
finger, wrist <strong>and</strong> arm problems.<br />
Confluent of Yang Wei/Linking <strong>Channel</strong> applications<br />
Use SJ 5 + GB 41<br />
Yang Wei links all the yang channels of the body including the<br />
Du/Governing vessel<br />
Know syndromes of Yang Wei problems – Yang Wei closely<br />
related to Shaoyang channel – Yang Wei opens to Shaoyang <strong>and</strong><br />
also GB channel has a lot of meeting points with the Yang Wei<br />
channel, tying the two together. Since Yang Wei doesn’t have it’s<br />
own unique points, “borrows” heavily from GB (GB 13-21 + GB 35)<br />
Yang Wei is all about exterior symptoms – cold, wind invasion, etc.,<br />
headaches.<br />
1. Exterior Syndrome – dispel pathogen factors from exterior portion<br />
of the body. Yang Wei is on the surface of the body. Isn’t necessarily<br />
related to the Shaoyang syndrome stuff – can also be used for<br />
wind/cold invasion, but this is really about ousting the exterior…<strong>and</strong><br />
Energetics 3 – Spring 2008<br />
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Point Category Indications/Contra/Caution<br />
this is often wind.<br />
2. Headache – temporal, frontal, occipital, <strong>and</strong> vertex. While shaoyang<br />
is temporal, the yang wei tie-in links all the yang vessels <strong>and</strong> covers<br />
the frontal, occipital, <strong>and</strong> vertex. Use the SJ 5 <strong>and</strong> GB 41<br />
combination – especially good for people with the tension headache<br />
that then spreads all over the head.<br />
3. Constipation<br />
4. Yang Wei balances the Yang qi of the whole body. Use for yang<br />
defic, yin excess. Many other good points on the Du channel to help<br />
warm the body, so this one not often used for this.<br />
5. Problems along the Yang Wei pathway<br />
Area supplied: lateral asp of the lower extrems, shoulder <strong>and</strong> vertex.<br />
Shoulder pain can be related to the Yangwei channel.<br />
6. Treat Dai channel probs by coupling GB 41 + SJ 5.<br />
SJ 6<br />
Jing River<br />
(fire)<br />
Upper jiao<br />
1. clear heat from SJ ch, indicated for febrile diseases, redness, pain <strong>and</strong><br />
swelling of the eyes, tinnitus an deafness, lockjaw, swollen throat,<br />
scrofula…<br />
2. Resolve stagnation of qi in the chest (w/opression of chest/ht pain)<br />
3. Stagnant qi transforming into fire <strong>and</strong> insulting the LU – may be<br />
cough + red face.<br />
Middle <strong>Jiao</strong>: SJ 6 + GB 34<br />
Essential point for treating pain of the lateral costal region<br />
(hypochondriac pain) <strong>and</strong> distention due to qi stagnation or any other<br />
etiology. Moves Qi. Both SJ 5 <strong>and</strong> 6 can be used for hypo pain, but many<br />
books indicate SJ 6 more. GB 34 is lower he sea of GB – GB problems can =<br />
hypo pain. Because hypo pain often = Liver, some will couple 4 gates with<br />
SJ 6.<br />
Lower <strong>Jiao</strong><br />
Major point to move qi to relieve constipation, esp due to heat, stagnation of<br />
qi or other reasons. Thus, best for constipation on the arms.<br />
SJ 5 <strong>and</strong> 6 are the only points on the 3 arm yangs indicated for constipation!<br />
Comparatively, SJ 5 not so much as SJ 6…use SJ 6.<br />
SJ 7 Xi Cleft No relevant indications of the Xi cleft point!!! Since SJ goes to upper, mid,<br />
lower jiaos, practitioners often choose the organ related to the problem <strong>and</strong><br />
then use that xi cleft.<br />
Not used much. Indicated for epilepsy (St 6 is more commonly used, as are<br />
the Du channel <strong>and</strong> others), acupuncture anesthesia for chest surgery.<br />
Energetics 3 – Spring 2008<br />
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Point Category Indications/Contra/Caution<br />
SJ 8<br />
Sudden loss of voice <strong>and</strong> toothache. Lung channel more common for the<br />
voice, LI more common for toothache.<br />
SJ 9<br />
SJ 10<br />
SJ 11<br />
SJ 12<br />
SJ 13<br />
SJ 14<br />
He Sea<br />
(earth)<br />
Sudden loss of voice, toothache, breathing (plum pit Qi, shortness of breath).<br />
Other points are better.<br />
1. Migraine (Shaoyang area headache – temporal headache – choose SJ<br />
or GB points – other points are better like SJ 5), hypochondriac pain,<br />
neck pain.<br />
2. Transformation of phlegm:<br />
Scrofula, goiter, coughing of phlegm <strong>and</strong> psycho-emo disorders<br />
(phlegm misting the mind).<br />
SI channel also – SI 8 (he sea also) . From 5 element theory: both are<br />
earth points <strong>and</strong> earth controls water/dampness.<br />
3. Pain, painful obstrx <strong>and</strong> atrophy disorder affecting elbow, arm,<br />
shoulder, neck, upper back. In classical sources says to use for tx of<br />
wind painful obstx fx the whole body.<br />
Pain = qi/blood circ being blocked. This is used like an Ashi point.<br />
There are other, bigger points that will address atrophy disorders –<br />
choose the Yangming channel for this (LI on arms, ST on legs).<br />
SJ 11-14 are mostly for local points. All are used for shoulder <strong>and</strong> arm<br />
pain. Pain along SJ channel, not along channels.<br />
1. Headache<br />
2. Jaundice (b/c is on shaoyang channel <strong>and</strong> jaundice is usually about<br />
shaoyang or gallbladder.)<br />
3. shoulder <strong>and</strong> arm pain<br />
1. shoulder <strong>and</strong> arm pain<br />
2. epilepsy<br />
3. problems along SJ channel pthway: headache, stiff neck, toothache<br />
1. shoulder <strong>and</strong> arm pain<br />
2. red eyes<br />
3. goiter, scrofula (armpit)<br />
1. shoulder <strong>and</strong> arm pain<br />
2. Shoulder problems<br />
Like frozen shoulder. Called “Fifty Shoulder” in chinese as it hits<br />
about the time kidney essence is depleting <strong>and</strong> this affects the<br />
shoulder).<br />
Can do moxa, cupping here <strong>and</strong> this helps. Regarding needling, when relax<br />
shoulder to needle, perp puncture or punc towards elbow <strong>and</strong> go a little<br />
deeper – 1 – 1 ½ cun even 2 cun. Pt easily gets Qi sensation.<br />
More local point application. Stomach 38 can also be used in conjuction.<br />
After treatment, remove needle at SJ 14, keep ST 38 <strong>and</strong> ask pt to move<br />
shoulder. After about 5 min movement it’s easier with less pain. Pain will<br />
return, so have pt do ht pad <strong>and</strong> massage at home. Come back for trtment<br />
later.<br />
Energetics 3 – Spring 2008<br />
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Page 7 of 11
Point Category Indications/Contra/Caution<br />
SJ 15 Local problems mostly . Because of location (between GB 21 <strong>and</strong> SI 13)<br />
possibly pnthx. Many ppl hold stress on shoulder here – puncture obliquely<br />
toward clinical manifestation. Doesn’t need to be deep. Body work or<br />
cupping good here too to relax muscles.<br />
Local problems.<br />
Shoulder <strong>and</strong> arm pain though mostly pain here fx shoulder. Can also use<br />
for stiff neck, fullness of check (but other points are far better—P6 for<br />
instance, <strong>and</strong> Ren 17). For stiff shoulder + neck, SJ 15 too<br />
SJ 16 Window of Sky Remember category mostly.<br />
On neck, posterior border of SCM. Punc perp here. Probls of face, head,<br />
headache, dizziness, puffy face, deafness. Local problems like stiff neck.<br />
Insomnia, DDS (other points far better for this)<br />
This group is around the ear. In clinic almost all of them are safe.<br />
Often used in clinic for ear problems.<br />
SJ 17<br />
“Yi Feng” in<br />
chinese. Feng<br />
refers to wind.<br />
Yi Feng implies<br />
wind screen.<br />
Perp punc ½ - 1 cun. Some aim tip of needle toward tip of nose – much<br />
stronger sensation. Choose a 1 cun needle! Major nerve deep to here.<br />
Very important point.<br />
1. Ear problems – any kind. Vertigo, i.e. Even hearing things other<br />
people don’t hear – like schizophrenic manifestations. Allergy ear<br />
problems, ear infx <strong>and</strong> more. Not every patient will have good results<br />
with hearing loss…very important to warn the patient about this. Ear<br />
ache, blockage works very well. Hear the pulse in the ear, hear wind<br />
in the ear also good too…if this is related to anxiety, add points for<br />
that too.<br />
2. Facial problems – swollen face, TMJ. If you palpate here pt will<br />
probably feel tenderness.<br />
3. Scrofula, goiter (swelling of thyroid)<br />
4. Hiccups – use with strong acupressure. Bladder 2 also.<br />
5. Expel Wind – dizziness, vertigo, Bell’s Palsy. Dizziness/vertigo<br />
often due to inner ear. Works well for this – Mennier’s disease, etc.<br />
causing dizziness/vertigo. Du 20, GB 8, GB 2, SJ 17, LI 11, LI 4, SJ<br />
5, Liv 3, SP 6, SP 9.<br />
Re Bell’s Palsy: good point to treat this! Usually this is a viral<br />
infection of the facial nerve – which goes along the back of the ear.<br />
The nerve swells, constricts the nerve here. Localized edema,<br />
swelling. Patient will usually feel pain, back of ear. LI 4 also, as well<br />
as ST 3 – 6, SI 18 in addition to SJ 17, BL 20.<br />
Energetics 3 – Spring 2008<br />
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Page 8 of 11
Point Category Indications/Contra/Caution<br />
Can also use blood letting here – not the 3 edged needle, but 7 star<br />
needle, stretch skin tightly, tap until the skin is broken, then cup on<br />
top of this point – use the suction cups, not the fire cupping. Good for<br />
Bell’s palsy, pain.<br />
If not related to the ear, don’t need to use this point.<br />
SJ 17 + SJ 21, SI 19, GB 2 all used for ear problems. Palpate to see which<br />
are tender.<br />
SJ 18<br />
- 19<br />
SJ 20<br />
SJ 21<br />
SJ 22<br />
SJ 23<br />
1. Ear problems<br />
2. headache<br />
3. infantile epilepsy – muscle twitching might be one form. Could be<br />
related to lack of magnesium or calcium.<br />
4. Digestion problems such as vomitting <strong>and</strong> diarrhea. So many other<br />
good points, this one isn’t so good.<br />
1. Ear problems<br />
2. Eye problems – red eyes, swollen eyes. Red, burning, itchy eyes.<br />
3. Mouth problems: toothache, dry lips, dry mouth, etc.<br />
4. Headache, stiff neck<br />
5. Mumps – use acupressure or moxa w/Deng Xin Cao rather than with<br />
mugwort. ST 5 can also be used for mumps. Soak Deng Xin Cao in<br />
sesame oil then hold it with a hemostat, touch the fire to the point.<br />
This kind of moxa is almost specifically for mumps.<br />
1. Ear problems – located in front of ear, so diff kind of ear problems.<br />
Stacks on top of SI 19 <strong>and</strong> GB 2. Palpate each to find the tender one.<br />
2. Toothache<br />
3. Stiff neck<br />
4. TMJ<br />
Mostly used for local problems.<br />
Local:<br />
1. heaviness of head or headache<br />
2. tinnitus<br />
3. TMJ<br />
Local problems:<br />
1. headache, migraine. Esp migraine on templar side. Some prac’s<br />
thread SJ 23 Taiyang point. If migraine in process <strong>and</strong> you do<br />
strong stim, makes migraine worse. Palpate to see if feels comfortable<br />
with palpation or is it too excruciating? Also, balance with lower<br />
distal arm/leg points to prevent even more migraines. GB 41, SJ 5 for<br />
example to help descend the Qi.<br />
2. Eyes: blurred vision, red eyes, twitching of eyelids<br />
Epilepsy also. Some epilepsy patients stare upwards during an attack.<br />
Energetics 3 – Spring 2008<br />
www.<strong>CatsTCMNotes</strong>.com<br />
Page 9 of 11
QUIZ: NEXT WEEK<br />
PC <strong>and</strong> SJ channels. Some from Energ I <strong>and</strong> II—common stuff <strong>and</strong> important stuff<br />
Primary <strong>and</strong> luo connecting channel pathway, focus on specific zang or sense organs<br />
Point categories – both channels <strong>and</strong> energetics 1, 2. All categories from each channel<br />
Point cat/functions – yuan, xi, back-shu’s, etc.<br />
Four needle tech <strong>and</strong> 5 element theory<br />
Extraordinary channels – indications <strong>and</strong> points to choose for Ren, Yin Wei/Yang Wei,<br />
yin/yang qiao, etc.<br />
Six stages – Taiyang, Shaoyang symptoms <strong>and</strong> points to choose.<br />
<strong>Points</strong> to choose taiyang = SI or BL channels. Shaoyang = SJ or GB channels.<br />
Four levels – ying/nutritive, xue/blood level symptoms <strong>and</strong> points to choose.<br />
(Pericardium 3, 8 – symptoms = fever, worse at night; bleeding symptoms)<br />
Case discussions – symptoms <strong>and</strong> differentiation<br />
choose the points for the cases’ symptoms/diff’s. Most important symptoms are the primary<br />
focus.<br />
LOOK AT CAMS!! Whole chapter on symptoms of the 8 extraordinary channel<br />
symptoms.<br />
Confluents<br />
LU 7 – Ren<br />
SI 3 – Du<br />
BL 62 – Yang Qiao<br />
KI 6 – Yin Qiao<br />
SP 4 – Chong<br />
P 6 – Yin Wei<br />
SJ 5 – Yang Wei<br />
GB 41 – Dai<br />
One theory: use the opening point/confluent point to treat the extraordinary.<br />
Another theory: paired points for the extraordinaries. Use the primary affected first, then follow with the<br />
secondary coupling point.<br />
Ren coupled with Yin Qiao = Lu 7+ Kid 6<br />
Du coupled with Yang Qiao = SI 3 + BL 62<br />
Yang Qiao coupled with Du = BL 62 + SI 3<br />
Yin Qiao coupled with Ren = KI 6 + LU 7<br />
Chong coupled with Yin Wei = SP 4 + P6<br />
Yin Wei coupled with Chong = P6 + SP 4<br />
Yang Wei coupled with Dai= SJ 5 + GB 41<br />
Dai coupled with Yang Wei = GB 41 + SJ 5<br />
Energetics 3 – Spring 2008<br />
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Page 10 of 11
Case Discussions<br />
Patient comes in with an earache for ~ 3 days, swollen left ear, painful to touch. Post nasal drainage,<br />
nasal congestion.<br />
Tongue: thick yellow coating<br />
Pulse: wiry<br />
DX: wind invasion, phlegm heat accumulation (thick coat, wiry pulse)<br />
<strong>Points</strong>: Choose for differentiation, for symptoms<br />
Differentiation:<br />
Wind invasion : SJ 5, LI 4, LU 7<br />
Phlegm heat accumulation: ST 40 for phlegm, LI 11 for heat, GB 41/34/20 for heat<br />
Symptoms :<br />
Ear : SJ 3, SI 3, LI 6, SI 19 (opposite side), SJ 17 (opposite side), GB 2(opposite side).<br />
Could use laser acupuncture since it’s painful to the touch.<br />
Nasal : LI 20<br />
NEXT QUIZ :<br />
PC <strong>and</strong> SJ.<br />
Energetics 3 – Spring 2008<br />
www.<strong>CatsTCMNotes</strong>.com<br />
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