point selection review

7/29/2019 Point Selection Review

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Point IndicationReview

Point SelectionACR class 11


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POINT SELECTION

METHODS

Basic strategy: 1) Select a Local Point

2) Select a Distal point


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SELECTING LOCAL

POINTS Local points - on, over or very near the

diseased area.

Most obvious method, yet very important Should not be dismissed as simplistic or

symptomatic Much used in treating disorders of the

organs.


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Examples include:

ST-25 or REN-8 for diarrhea.

REN-12 for nausea.

REN-17 for tightness of the chest.

L.I.-20 for diseases of the nose. SI-19 for diseases of the ears.


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SELECTING

ADJACENT POINTS Adjacent points are located near theaffected area.

Examples include: SP-10, ST-34 or SP-9 for diseases of theknee joint.

L.I.-14 for diseases of the shoulder. GB-21 or SI-11 for diseases of the

breast.


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SELECTING DISTAL

POINTS Most frequently used method in

acupuncture treatment.

The Ode to Elucidate Mysteries refers tothe four origins and three ends.

Four origins - extremities of the limbs Three ends - head, chest and abdomen


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Primary principle - choose a point fromthe involved channel.

Example: distal points from shaoyangchannel (Sanjiao and Gall Bladder) willbe selected for temporal headache,

distal points from yangming channel(Large Intestine and Stomach) will be

chosen for pain of the face and forehead,


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distal points from taiyang channel(Bladder and Small Intestine) will be

selected for occipital headache and pain,

points from the jueyin Liver channel willbe selected for vertex headache.


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It is common practice to combine local,adjacent and distal points. Examplesinclude:

GB-8, GB-20 and GB-43 for temporalheadache.

ST-18, LIV-14 and GB-41 for breastdiseases.

REN-12, REN-17 and ST-36 forStomach diseases.


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SELECTING POINTS FROM ONE

CHANNEL TO TREAT ITS

INTERIORLY-

EXTERIORLY RELATED CHANNEL Most commonly observed in relation to

the luo-connecting points, include:

L.I.-4 to assist the Lung function ofdistributing defensive qi. L.I.-6 to promote the Lung function of

regulating the water passages when thisis impaired by exterior wind.

ST-40 to resolve phlegm due to

disharmony of the Spleen.


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SELECTING POINTS FROM ONE

PAIR

OF THE SIX CHANNELS TO TREAT

DISEASE OF THE OTHER Examples include: SJ-6 (hand shaoyang Sanjiao channel) to

treat hypochondriac pain due todisharmony of the foot shaoyang Gall

Bladder channel.

P-6 (hand jueyin Pericardium channel) to

resolve stagnation of qi in the foot jueyin

Liver channel in the chest and

hypochondrium.


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SELECTING POINTS ACCORDING

TO

CHANNEL CONNECTIONS Examples include SP-6, the intersection of the Spleen,

Liver and Kidney channels, to treat mostdiseases of the lower abdomen since all

these channels pass through this area.

DU-14, the meeting point of theGoverning vessel with all the yangprimary channels to release pathogenic

factors from the (yang) exterior.


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CROSS NEEDLING Contralateral (cross) needling is

commonly used either when the affected

side is too painful to treat, or when, after

needling, one wants the patient to mobilizethe painful area.

Also used in acute painful disorders: selectpoints from the ankle to treat the oppositewrist (and vice-versa), from the knee to

treat the opposite elbow (and vice-versa)

and from the hip to treat the opposite

shoulder (and vice-versa).


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SELECTION OF EMPIRICAL

POINTS Frequently, the selection of distal pointsis determined by their historically

established empirical effect. Examples

include:

ST-38 for shoulder pain.

DU-10 for boils. LU-7 for headache. SI-4 for jaundice.

GB-36 for rabies.


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CHAIN AND LOCK POINT

ASSOCIATION METHOD

Select points from the shoulder, elbowand hand or wrist to treat disorders of the

upper limb and from the hip, knee and

ankle to treat disorders of the lower limb.


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Pathogen Patterns


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Wind

(Exterior) LI4, LU7, GB20, BL12

(Interior) GB16, GB20, DU20, GB31

Cold

(Exterior) LI4, LU7, BL12

(Interior) REN4*, REN12*, ST36*

Heat (Exterior) LI4, LI11, DU14 (Interior) LI11, DU14 (XS); K2, K6 (Def)


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Damp SP9, BL20, REN9; add LI11 if Damp Heat Summerheat

LI11, DU14; add SP9 if Damp Phlegm SP9, ST40; add LI11 if Heat

(Lung) LU5 (Heart) P5


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Zang Fu Patterns


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Heart Patterns


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Heart Deficiency Patterns

HEART-QI DEFICIENCY Points: HE-5, P-6, BL15, Ren-17, Ren-6.

HEART-YANG DEFICIENCY Points: HE-5, P-6, BL15,Ren-17, Ren-6, Du14.

HEART-YANG COLLAPSE Points: Ren-6, Ren-4, Ren-8, Du-4, ST-36, P-6, BL-23, Du-20, Du-14, BL-15.

HEART-BLOOD DEFICIENCY Points: HE-7, P-6, Ren-14, Ren-15, Ren-4, BL-17, BL-20.

HEART-YIN DEFICIENCY Points: HE-7, P-6, Ren-14,Ren-15, Ren-4, HE-6, SP-6, KI-7, KI-6.


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HEART-FIRE BLAZING Points: HE-9, HE-8, HE-7, Ren-15,SP-6, KI-6.

PHLEGM-FIRE HARASSING THE HEART Points: P-5, HE-7, HE 8, HE-9, P-7, Ren-15, BL-15, Ren-12, ST 40, SP-6,

LIV-3, LIV-2, BL-20, Du-20, GB13, GB-15, Du-24.

PHLEGM MISTING THE MIND Points: HE-9, P-5, BL-15,ST-40, Du-26, Ren-12, BL-20.

HEART-BLOOD STAGNANT Points: P-6, P-4, HE7, Ren-17, BL-14, BL-17, SP-10, KI-25.

PERICARDIUM PATTERNS Points are mostly the same asHeart patterns but add REN-17, BL-14, P-8, etc

Heart Excess Patterns


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Liver Patterns


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STAGNATION OF LIVER-QI Points: GB-34, LIV-3, LIV-13,LIV-14, T.B.6, P-6.

LIVER-FIRE BLAZING UPWARDS Points: LIV-2, LIV-3, GB-20, Taiyang, GB-13, L.I.-11

DAMP-HEAT IN LIVER Points: LIV-14, GB-34, BL-18, Ren-12, SP-9, SP-6, L.I.-11, LIV-2.

STASIS OF LIVER-BLOOD Points: GB-34, LIV-3, BL-18,BL-17, SP-10, Ren-6.

STAGNATION OF COLD IN THE LIVER CHANNEL Points:Ren-3, LIV-5, LIV-1, LIV-3.

Liver Excess patterns


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DEFICIENCY OF LIVER-BLOOD Points: BL-18, BL-20,BL-23, BL-17, LIV-8, SP-6, ST-36, Ren-4.

LIVER-YIN DEFICIENCY Points: LIV-8, SP-6, ST-36,Ren-4, KI-3, KI-6, LIV-2.

Liver Deficiency Patterns


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Liver Deficiency/Excess

Patterns LIVER-YANG RISING Points: LIV-3, T.B.-5, P-6, G.B.-43,

G.B.-38, BL-2, Taiyang extra point, GB-20, G.B.-9, G.B.-8,

G.B.-6. If Liver Yin or Liver Blood deficiency: KI-3, KI-6,

SP-6, LIV-8, ST-36

EXTREME HEAT GENERATING LIVER WIND Points:LIV-3, Shixuan extra points, Du-20, Du-16, GB-20.

LIVER-BLOOD DEFICIENCY GENERATING WINDPoints: LIV-3, GB-20, L.I.-4, TB-5, Du-19, SP-6, LIV-8, KI-

3, BL-17, Ren-4


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LIVER-YANG RISING

CAUSING WINDa) LiverYang Rising deriving from LiverYin DeficiencyPoints: LIV-3, GB-20, L.I.-4, TB-5, Du-19, SP-6, LIV-8, KI-

3

b) LiverYang Rising deriving from Liver and Kidney-YinDeficiency Points: same as above, add KI-6, Ren-4 to

nourish Kidney Yin

c) LiverYang Rising deriving from LiverBloodDeficiency Points: same as (a), add BL-17, Ren-4 to

nourish Blood


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LIVER INVADING THE SPLEEN Points: LIV-14, LIV-13, G.B.-34, LIV-3, Ren-6, Ren-12, ST-25, SP-15 ST-

36, SP-6, P-6 and SP-4

LIVER INVADING THE STOMACH Points: LIV-14,LIV-13, G.B.-34, Ren-13, Ren-10, ST-36, BL-21.

LIVER-FIRE INSULTING THE LUNGS Points: LIV-2,LIV-14, Ren-17, Ren-22, P-6, LU-7, L.I.-11.

LIVER COMBINED

PATTERNS


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Lung Patterns


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Lung Deficiency

Patterns

LUNG-QI DEFICIENCY Points: LU-9, LU-7, Ren-6,

BL-13, Du-12, ST-36, Ren-12.

LUNG-YIN DEFICIENCY Points: LU-9, Ren-17, BL-43,BL-13, Du12, Ren-4, KI-6, Ren-12, SP-6, LU-10, LI-

11.

LUNG DRYNESS Points: LU-9, Ren-4, KI-6, SP-6,Ren-12, ST-36.


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Lung Excess Patterns

INVASION OF LUNGS BY WIND-COLD Points: LU-7, BL-

12, Du-16. INVASION OF LUNGS BY WIND-HEAT Points: LU-7, L.I.-4,

L.L-11, LU-11, Du-14, BL-12, Du-16, GB-20, TB-5.

INVASION OF LUNGS BY WIND-WATER Points: LU-7, L.I.-6, L.I.-7, L.I.-4, BL-12, Ren-9, BL-13, Du-26.

LUNG HEAT Points: LU-5, LU10 LU-7, LU1, LI11, BL-13.


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Lung Phlegm Patterns PHLEGM-HEAT IN THE LUNGS Points: LU-5, LU-7,

LU-10, L.I.-11, LU-1, BL-13, Ren-12, ST-40.

DRY-PHLEGM IN THE LUNGS Points: LU-9, LU-7, KI-6,Ren-12, ST-36, SP-6, BL-13, REN-17, ST-40

DAMP-PHLEGM IN THE LUNGS Points: LU-5, LU-7,LU

1, Ren-17, ST-40, P-6, Ren-22, Ren-12, Ren-9, BL-

20, BL-13.

COLD-PHLEGM IN THE LUNGS Points: Same asDamp-Phlegm pattern, add BL-23.

PHLEGM-FLUIDS OBSTRUCTING THE LUNGS Points:LU-5, LU-9, Ren-17, BL-13, ST-40, BL-43, Ren-12, ST-

36, Ren-9, BL-20, BL-23.


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Spleen Patterns


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Spleen Deficiency

Patterns SPLEEN-QI DEFICIENCY Points: Ren-12, ST-36, SP-3,

SP-6, BL-20, BL-21.

SPLEEN-YANG DEFICIENCY Points: same as forSpleen-Qi deficiency, add SP-9, Ren-9, ST-28, BL-22.

SPLEEN-QI SINKING Points: same as Spleen-Qideficiency, plus Du-20, Ren-6, ST21, Du-1.

SPLEEN NOT CONTROLLING BLOOD Points: same asSpleen-Qi deficiency, plus: SP-10, BL-17, SP-1.

Spleen Excess


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Spleen Excess

patterns

COLD-DAMPNESS INVADING THE SPLEEN Points:SP-9, SP-6, Ren-12, SP-3, ST-8.

DAMP-HEAT INVADING THE SPLEEN Points: SP-9,SP-6, Ren-12, SP-3, ST-8, BL-22, BL-20, REN-9,

REN-11, ST-22, ST-28.


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Kidney Patterns


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KIDNEY-YANG DEFICIENCY Points: BL-23, Du-4,Ren-4, Ren-6, KI-3, KI-7, BL-52, extra point Jinggong

(0.5 cun lateral to BL-52).

KIDNEY-QI NOT FIRM Points: BL-23, Du-4, KI-3, BL-52, Ren-4, extra point Jinggong.

KIDNEY-YANG DEFICIENT, WATER OVERFLOWINGPoints: Du-4, BL-23, BL-22, BL-20, Ren-9, ST-28, SP-

9, SP6, KI-7. For Heart add Du-14 (moxa), BL-15. For

Lungs add LU-7, BL-13, Du-12.

KIDNEYS FAILING TO RECEIVE QI Points: KI-3, LU-7,KI-6, ST-36, BL 23, Du-4, Ren-6, Ren-17, KI-25, Du-12,

KI-7.

Kidney Qi/Yang Deficiency

Patterns


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Kidney Yin/Jing Deficiency

Patterns KIDNEY-YIN DEFICIENCY Points: Ren-4, KI-3, KI-6,

KI-10, KI-9, SP-6, Ren-1.

KIDNEY-YIN DEFICIENT, EMPTY-FIRE BLAZINGPoints: KI-3, KI-6, KI-2, KI-9, Ren-4, KI-10, SP-6,

HE-5, LU-7, LU-10.

KIDNEY-ESSENCE DEFICIENCY Points: KI-3, KI-6,Ren-4, BL-23, Du-4, GB-39, Du-20, Du-14, BL-15, BL-11.


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COMBINEDPATTERNS


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Kidney Combination Patterns

KIDNEY- AND LIVER-YIN DEFICIENCY Points: KI-3, KI-6, LIV8, Ren-4, BL-23, BL20, BL-17, BL-18, BL-10, Du-

20.

KIDNEY AND HEART NOT HARMONIZED Points: HE-7,HE-6, HE5, Yintang, BL-15, Ren-15, GB-13, Du-24, KI-3,

KI-10, KI-9, Ren-4, P-6, SP-6.

KIDNEY- AND SPLEEN-YANG DEFICIENCY Points: KI-3, KI-7, BL-23, Du-4, BL-20, BL-21, ST-36, Ren-6, ST-37,ST-25, BL-25.


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Stomach Patterns

BL-20, BL-21, Ren-6.


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BL 20, BL 21, Ren 6.

COLD INVADING THE STOMACH: ST-21, SP-4, Ren-13,ST-34.

STOMACH-YIN DEFICIENCY: Ren-12, ST-36, SP-6, SP-3,ST-44.

STOMACH-FIRE: ST-21, Ren-13, ST-44, ST-45, SP-6,Ren-12, P-6.

DAMP-HEAT IN THE STOMACH: SP-9, L.I.-11, LI-4, ST-34, REN-9, REN-11, REN-12, REN-13, ST-21, ST-25, ST-

40, ST-44

RETENTION OF FOOD IN THE STOMACH: Ren-13, Ren-10, ST-21, ST-44, ST-45, SP-4, P-6.

STASIS OF BLOOD IN THE STOMACH: Ren-10, ST-21,ST-34, SP-10, BL-17, BL-18.


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FULL-HEAT IN THE SMALL INTESTINE Points: S.I.-2, S.I.-

5, HE-5, HE-8, ST-39. SMALL INTESTINE DEFICIENT AND COLD Points: Ren-6,

ST-25, ST-39, ST-36, BL-20, BL-27.

Small Intestine Patterns


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Large IntestinePatterns


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DAMP-HEAT IN THE LARGE INTESTINE Points: SP-

9, SP-6, Ren-3, BL-22, ST-25, BL-25, BL-17, Ren-12,L.I.-11, ST-37, BL-20.

HEAT IN THE LARGE INTESTINE Points: Ren-4, L.I.-11, ST-37, ST-44, L.I.-2, SP-6, KI-6, Ren12.

COLD INVADING THE LARGE INTESTINE Points:ST-37, ST-25, ST-36, SP-6, LIV-3, ST-27. LARGE INTESTINE DRY Points: ST-36, SP-6, KI-6,

Ren-4.

LARGE INTESTINE COLD Points: ST-25, Ren-6, ST-36, ST-37, BL-25, BL-20.


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Gall Bladder Patterns

GALL-BLADDER DAMP-HEAT Points: G.B.-24, LIV-14, Ren-12, G.B.-34, Dannangxue, Du-9, BL-19, BL-

18, BL-20, L.I.-11, T.B.-6.

GALL-BLADDER DEFICIENT Points: G.B.-40.


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Bladder Patterns

DAMP-HEAT IN THE BLADDER Points: SP-9, SP-6, BL-22,BL-28, Ren-3, BL-63, BL-66.

DAMP-COLD IN THE BLADDER Points: SP-9, SP-6, BL-22,Ren-3, ST-28, Ren-9, BL-28.

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