Crib #3

This is the 3rd crib page. There is also Crib #1, Crib #2, IVAS Points, Printer Points, Equine Points and Canine Points to help you with your studies.

This page has notes on:

browntrack_bullet.gif (113 bytes)The FIVE ELEMENTS

browntrack_bullet.gif (113 bytes)The EIGHT PRINCIPLES

 

(A) THE FIVE ELEMENTS

1 …for DIAGNOSIS

The 5 Elements, although often too rigid to accurately describe all physiological functions, are a very useful aid when determining a diagnosis based on TCM. The Element Correspondences can be utilized to assess the health of a patient. An example would be then appearance of bloodshot eyes along with an angry temperament reflecting an underlying Liver Excess or Stagnation of Liver Qi. Careful analysis of a patient’s overall appearance and constitution is required to reach an accurate TCM diagnosis. The following chart illustrates some of the Elemental Correspondences.

 


ACU_5ELEMENTS.jpg (68946 bytes)

 

2 …for TREATMENT

Specific points on each meridian, the Transporting Points, correspond to each of the 5 Element

 

LU LI ST SP HT SI BL KI PC TH GB LIV
WOOD 11 3 43 1 9 3 65 1 9 3 41 1
FIRE 10 5 41 2 8 5 60 2 8 6 38 2
EARTH 9 11 36 3 7 8 40 3 7 10 34 3
METAL 8 1 45 5 4 1 67 7 5 1 44 4
WATER 5 2 44 9 3 2 66 10 3 2 43 8

 

These very important, very useful, points are seen on the Bubble Chart

ACU_BUBBLE.jpg (188182 bytes)

 

I. TREATMENT using the SHENG ( CREATION) CYCLE:

 

These points, the Transporting Points, are used clinically in the Sheng (Creation) Cycle according to the “Mother-Son Law”. The Mother Point is before, and the Son Point after, the Horary Point.

The “Mother-Son Law” states:

 

bullet

In a Deficiency condition ->-> Tonify the Mother

 

bullet

In an Excess condition ->-> Sedate the Son


 

 

II. TREATMENT using the KO (CONTROL) CYCLE:

The sedation/tonification principle of the Ko Cycle utilizes (goes back to) the Grandparent.

bullet In a Deficiency condition ->-> Sedate the Grandparent 
bullet In an Excess condition ->-> Tonify the Grandparent 

 

III. TREATMENT using both the SHENG & KO CYCLES:

bullet In a Deficiency condition->->Tonify the Mother & Sedate the Grandparent 
bullet In an Excess condition->-> Sedate the Son & Tonify the Grandparent 

 

IV. TREATMENT using SHENG & KO CYCLES + the HORARY POINT

This is also called the “4 NEEDLE TECHNIQUE”

The Horary Point
is the point on a meridian that is the same Element as the meridian (ST 36 is an Earth
Point on an Earth Meridian). Horary points have the ability to amplify the energy of the
meridian, especially during the meridian’s period of peak energy.

 

bullet In a Deficiency:
(a)Activate the SHENG CYCLE (i)Horary Point of Mother meridian
(ii)Mother Point on affected meridian
(Tonification Point)
(b)Shut down the KO CYCLE (iii)Horary Point of Grandparent
(iv)Grandparent Point on affected meridian

 

 

 

Example: KI Deficiency…

 

LU 8 Tonify
KI 7
SP 3 Sedate
KI 3


 

 

bullet In an Excess:
(a)Activate the KO CYCLE (i)Horary Point of Grandparent
(ii)Grandparent Point of affected meridian
(b)Shut down the SHENG
CYCLE
(iii)Horary Point of Son
(iv)Son Point on affected meridian (Sedation
Point)

 

 

 

Example: SP Excess

 

LIV 1 Tonify
SP 1
LU 8 Sedate
SP 5


 

V. TREATMENT using the 5 TRANSPORTING POINTS:

Each of the 5 Transporting Points on a meridian can be used to expel the correlated Pathogenic Factor.

To expel a Pathogenic factor the appropriate point is sedated.


Points to Expel External Pathogenic Factors

WATER Cold
WOOD Wind
FIRE Heat
EARTH Damp
METAL Dryness

 

[up]

(B)THE EIGHT PRINCIPLES

The 8 Principles is a method of classifying disharmony/symptoms as a basis for diagnosis and treatment. Although different in approach from the 5 elements they are no
exclusive of one another and the treatment points for each situation frequently overlap.

The basic patterns are based on the balances of:

 

Yin/Yang


Hot/Cold


Excess/Deficiency


Interior/Exterior

 

 

ACU_8Principles.jpg (26381 bytes)

This system is based on Yin and Yang as applied to the Location (Interior/Exterior), Quality (Hot/Cold) and Quantity (Excess/Deficiency) of the disease factor.

I: (A) YANG causes are due to Exogenous Pathogenic Factors (ExPF)

-6 “climatic factors”
Wind
Heat
Dryness
Dampness
Cold
Summer-Heat
-infective factors of rapid onset & high
morbidity
-parasites bites..insect/animal
-bites..insect/animal
-traumatic injury
-poor posture


 

I: (B) YIN causes are due to Endogenous Pathogenic Factors (EnPF)

 

-7 “emotional extremes” Joy
Anger
Melancholy/sadness
Meditation/Pensiveness
Grief/Sorrow
Fear
Fright
-inadequate diet &/or improper eating
habits
-insufficient rest &/or overactivity
-insufficient exercise
-poor constitution
-pathological products such as: endogenous Wind, damp or Fire
Qi Stasis
Blood Stasis
Fluid Accumulation
Food accumulation

 

 

II: LOCATION …Exterior/Interior …reveals the location or depth of the problem.

 

II: Exterior Patterns..when the disease factor is located at the depth of the Exterior structures. (Channels/Collaterals = Jingluo)

Caused by: -invasion of the superficial body by one of the 6 ExPF
-trauma->Qi/Blood stagnation in the Jingluo
-Organ disorder ->Jingluo disorder

II: Interior Patterns…when the disease factor is located at the depth of the Interior structures. (Organs)

Caused by: -transmission of an ExPF from the Exterior->Interior
-direct attack on an organ by an ExPF
-Organ disorder due to a Yin cause

 

III: QUALITY..Hot/Cold…reveals the quality or nature of the problem

Hot -> Expand   ..moves upward & outward.

It: -moves Qi & Blood rapidly
-consumes Yin fluids
-stirs up Wind
-consumes Yin Qi
-disturbs Yin functions of cooling,
moistening, nourishing & providing rest
Due to: -invasion of a Yang ExPF
(Wind,Heat,Dryness,Summer-Heat) or an Infective factor
-the transformation in the body of a Yin
pathogenic factor
Cold->Heat
Damp->Damp-Heat
-internal disfunction of an Organ->->

-Yin insufficiency & realtive Yang excess OR

-endogenous production of heat or Damp-Heat 

Cold -> Contract

It: -moves Qi & Blood slowly & tends to
stagnate
-depresses the Yang functions of warming,
moving, transforming, holding & protecting
Due to: -invasion of a Yin ExPF (Cold or Damp)
-internal disfunction of an Organ->-> -Yang insufficiency & relatine Yin excess OR
-endogenous production of cold or Cold-Damp

 

 

IV: QUANTITY.. Excess/Deficiency..reveals the quantity/strength of the disease or pathogenic factor relative to the antipathogenic factor.

 

Excess

Due to: -a relatively strong antipathogenic
factor
(APF) battling a strong pathogenic factor (PF)
-an accumulation of Fundamental Substance
(FS)..Qi Stasis, Blood Stasis, Phlegm
-Organ dysfunction->presence of
Pathological Product (PP)..Fire, Damp, Food Accumul’n
-a hyperactive Organ

 

 

Deficiency

Due to: -a weak antipathogenic factor (APF)(compromised)
-an insufficient amount of Fundamental
Substance (FS)
-Qi Deficiency
-Blood Deficiency
-Body Fluid Deficiency
-Jing Deficiency
-Shen Deficiency
-Poor Shen
-a hypoactive Organ

[up]

 

SIGNS (SYMPTOMS) help depict the 8 PRINCIPLE PATTERNS

LOCATION:

 

 

EXTERIOR INTERIOR
-acute onset -chronic/recurrent onset
-mild symptoms -severe symptoms
-fever & chills -high fever
-aversion to cold or wind -no aversion to cold or wind
-head & body aches -changes in stool
-nasal congestion -changes in urine
Pulse: normal Pulse: deep
Tongue proper: no change Tongue proper: changes
Tongue coat: minimmal change Tongue coat: changes


 

QUALITY:

 

 

HOT COLD
-fever -chills & cold limbs
-aversion to heat -aversion to cold
-*perspiration -no perspiration
-discomfort increased with heat -discomfort increased by cold
-discomfort decreased by cold -discomfort decreased by heat
-dry mouth + thirst -*no thirst
-dry stools -watery stools
-scanty dark urine -lots of clear urine
Pulse: rapid Pulse: slow or tight
Tongue proper: red Tongue proper: pale
Tongue coat: dry yellow Tongue coat: moist white


 

QUANTITY:

 

 

EXCESS DEFICIENCY
-often acute -often chronic
-loud voice -weak voice
-heavy breathing -weak breathing
-heavy movement -weak/nonforceful movement
-*discomfort increased by pressure -discomfort decreased by pressure
Pulse: forceful Pulse: weak
Tongue coat: thick Tongue coat: none or thin


COMBINATIONS:

 

 

EXTERIOR COLD INTERIOR COLD
-acute onset -chronic onset
-chills + slight fever -chills,cold limbs + no fever
-*no perspiration -spontaneous daytime sweating
-head & body aches -abdominal pain better with warmth
-stools normal -stools watery
-urine normal -urine copious & clear
Pulse: superficial & tight Pulse: deep, slow or tight
Tongue proper: normal Tongue proper: pale
Tongue coat: thin, white, moist Tongue coat: white moist


 

 

EXTERIOR HOT INTERIOR HOT
-fever + slight chills -high fever
-aversion to wind -no wind aversion
-*slight perspiration -*perspiration
-sore throat -restlessness
-slight thirst -*thirst
-urine normal -urine scant & dark
Pulse: superficial & tight Pulse: deep rapid
Tongue proper: normal Tongue proper: red
Tongue coat: thin, white, moist Tongue coat: dry yellow


 

 

EXTERIOR EXCESS INTERIOR EXCESS
-as per Exterior Cold BUT….. -loud voice
-*no perspiration -heavy breathing
-discomfort worse with pressure
*Pulse: superficial & forceful Pulse: deep & forceful
Tongue coat: thin, white, moist Tongue coat: thick


 

 

EXTERIOR DEFICIENCY INTERIOR DEFICIENCY
-*mild perspiration -weak voice
-weak breathing
-discomfort better with pressure
*Pulse: superficial & relaxed Pulse: weak
Tongue proper: flaccid Tongue proper: flaccid
Tongue coat: none or thin Tongue coat: thin or none


 

 

HOT EXCESS *HOT DEFICIENCY = YIN DEFICIENCY
-high fever -afternoon fever
-entire body red & hot -malar flush
-discomfort better with cold -”5 hearts hot”..palms/soles hot
-discomfort worse with heat & pressure
-forceful, rapid movement -weak rapid movement
-restless, delerium -restlessness/insomnia
-*perspiration -*night-time perspiration
-urine dark & scanty -urine dark & scanty
-stools dry -stools dry
Pulse: rapid & forceful Pulse: rapid, weak, thin
Tongue proper: dark red Tongue proper: red
Tongue coat: thick yellow Tongue coat:thin yellow->none


 

 

COLD EXCESS *COLD DEFICIENCY = YANG DEFICIENCY
-chills & cold limbs -chills 7 cold limbs
-aversion to cold -aversion to cold
-discomfort better with warmth -discomfort better with warmth
-discomfort WORSE with pressure -discomfort BETTER with pressure
-forceful, slow movement -lassitude, sleeps a lot
-*no perspiration -*spontaneous perspiration in day
-urine copious & clear -urine dark & scanty
-stools watery -stools dry
Pulse: slow & forceful Pulse: slow weak
Tongue proper: pale Tongue proper: pale
Tongue coat: thick white Tongue coat: thin white


 

 

COLLAPSE of YIN COLLAPSE of YANG
-flushed face -pale face
-hot hands & feet -cold hands & feet
-aversion to heat -aversion to cold
-restless..no rest -listless
-*thirst + prefers cold drink -*thirst + prefers for warm drink
-perspiration sticky & warm -perspiration cold & profuse
-rapid respiration -slow respiration
Pulse: slow & forceful Pulse: thin slow
Tongue proper: pale Tongue proper: pale
Tongue coat: thick white Tongue coat: moist thin


[up]

EIGHT PRINCIPLES & TREATMENT

I: FUNDAMENTAL SUBSTANCE

 

 

Most
YANG
Most
Yin
Shen Qi Body
Fluids
Jing Blood

YANG =


function


YIN =


substance


 

 

 


Signs

Special Theories Empirical Points Channel Theory
Qi Deficiency -pale,lethargic,weak pulse,dizzy Pts to benefit SP->make Qi ST 36 SP 6-3 Yin cross
-poor appetite SP 2-mother
-spontaneous sweating SP 3-Source CV 6
-frequent colds BL 20-Shu
-shortness of breath LIV 13-Mu CV 17
CV 17- IP Qi
Qi Collapse -dizzy/vertigo Pts to benefit Qias above GV 20
-abd. distention
-chronic diarr. Pts for specific symptoms
-visceral prolapse
Yang Deficiency -Qi defic. signs+ Pts to benefit Qi GV 4 GV 14-6 Yang cross
-worse severity+ + MOXA
GV 14
-cold signs Pts to benefit KI: KI 7
GV 20- head Yang cross
KI 3
GV 20
BL 23
Yang Collapse -listless, cold, pale Pts to benefit Yang in general CV4 MOXA Pts on GV channel as it governs Yang QI
-profuse cold sweat
CV 6 MOXA
-weak
CV 8 MOXA
-cold aversion
-prefers warm drinks
Blood Deficiency -pale, depressed, insomnia, dizzy Pts to benefit Qi St 36
Pts to benefit SP
-dry stool, skin, mouth, hair,stools BL 17
Pts to benefit KI
-thin body, pulse BL 20
BL 17
Blood Exhaustion -pale, faint, unconscious Pts to benefit Qi & Yang ST 36 MOXA
-*very thirsty
Pts to benefit Blood GV 20 MOXA
-thin,weak pulse
Body Fluid Deficiency -dry, thirsty Pts to benefit Blood
-pale Pts to benefit Yin
-hot Pts to benefit ST(origin of Fluids)
Yin Deficiency -night sweats Pts to benefit Yin Organs BL 18 Sp 6 – 3 Yin SP 6
-dry body, scant urine BL 20
-”5 Hearts Hot” BL 23 CV 4 – 3 Yin+CV
Pts to benefit KI CV 4
-irritable, insomnia, restless Ht 6 -Yind Crevice
-thin body
Yin Collapse -malar flush Pts to resusscitate:
-rapid, thin pulse
KI 1
-restless..no rest
GV 26
-prefers cold drinks
PC 9
-warm sticky sweat
Jing Deficiency CHILD:growth
redtardation,slow maturity, poor dentition
Pts to benefit KI CV4
Pts to benefit SP
CV 6
ADULT:mental slowness,
premature senility, infertility
GB 39-IP Marrow
GV 4
BL 11-IP Bone
Poor Shen -unconsciousness Pts to benefit the Heart SP 6 BL 62-Qiao
-psychosis
HT 7
-incoherent speech
SI 3-GV
-sleep disturbances
PC 6
-muddled thought
Pseudo-Shen *occurs during severe illness, patient
suddenly becomes alert for a short time, “the last flicker of the candle”


[up]

II: PATHOGENIC FACTORS & PATHOLOGICAL PRODUCTS

 

 

I: WIND
characteristics:

Sudden
onset /Rapid changes

upward & outward dispersion Movement Special Theories Empirical Points Channel Theory
*affects upper body
*affects LU
*affects the skin
                     
External Wind + -fever

-facial paralysis

*LU pointsas is the 1st Organ attacked by Wind LU7, LU9, LI4, BL12, BL13, TH5, GB20,
GV14,GV16
-wind/cold aversion
-sneeze/cough/runny nose

-migrating joint pain

-itchy throat
-itchy skin

-stiffness

P:superficial
External Wind-Cold

+


-basic Wind sypmtoms +

-facial paralysis as above as above
-chills/slight fever
-no perspiration
-body aches -stiff & painful
joints
-itchy *pale rash
P: superficial & tight
External Wind-Heat

+


-basic Wind sypmtoms +

-joints -stiff *LU points LU10, LU11, LI1, LI4, LI11, TH5,  GB20,
GV14
-painful
-fever/slight chills -red
-sore
-perspiration
-sore throat
-itchy *red rash
P:superficial & rapid
External Wind-Damp

+

-fever & chills -stiffness, pain &
swelling
-points for Wind & Damp -points for Wind & Damp
-body aches
-heavy sensation
-itchy/*weepy rash
P:superficial
&    slippery
Internal Wind

+

-headache -facial paralysis *LIV points-endogenous Wind affects the Liver BL18, GB20, LIV2, LIV3,
GV20
-tremors
-vertigo -tics
-convulsions
II: DAMP
characteristics: stagnation/heaviness

turbidity


sitckiness

Special Theories

Empirical Points

Channel Theory
External Damp

*sudden

onset

-head/body/limb heaviness -cloudy urine -sticky mouth *SP pointsSP transforms damp 

*Shu Stream points ->
dispel/transform Damp

SP3, SP6, SP9, BL20, BL21, BL23, LIV13, CV6,
CV12
-mucusy stools
-chest/abdomen fullness
-sticky discharges
-purulent leukorrhea
-oozing sores
-sticky *tongue coat
-joint pain & heavy sensation
-weeping rashes
Internal Damp

*gradual

onset

-as above -as above -as above for Internal Damp -> benefit Sp T&T as above
III:HEAT
characteristics: Expansion Consumption of YIN fluids Rapid movement of QI & Blood Special Theories Empirical Points Channel Theory
Upward &
Outward Movement
Disturbance of YIN functions of
cooling, moistening, nourishing & providing rest
Sirring up of Wind
External Heat -perspiration -fever/slight chills P:rapid & superficial as Wind-Heat as Wind-Heat
*sudden onset
-rash -slight thirst
like Wind-Heat
Internal Heat/Fire(Xs) -++perspiration -++fever/no chills P: rapid *Tx Organ affected by Fire*Spring points -> dispel/clear Fire
-++thirst
-dry mouth -dizziness*
-dry stool
*gradual onset -red/purple rash with
bleeding
-irritable -convulsions*
-insomnia
-delerium *due to Heat stirring up Wind
T: yellow coat
Damp Heat -suppurating sores -afternoon fever P: rapid & slippery *Tx Organ affected by Damp-Heat LI11, GV14, GV26
-irritated rashes
-thirst with no desire to drink
internal(gradual)external(sudden)
-stool/urine foul smelling
-painful/red/stiff joints T: sticky yellow coat
IVa:QI STASIS
characteristics: pain lumps/masses other signs Special Theories Empirical Points Channel Theory
-soreness/distentions -soft,mobile, poorly-defined -depression *Tx LIV points to maintain flow of Qi LIV2, LIV3, GB34, LIV14, BL18 -local & distal points on affected
channel
-moodiness
-*sighing
come & go and shift
location
-often in breast/abdomen
P: wiry
T: purple
IVb:BLOOD STASIS Special Theories Empirical Points Channel Theory
progression of Qi Stasis (more severe) -sharp/stabbing pain -hard,well defined immobile, fixed masses -purple face & lips *Tx LIV points->move Qi->move Blood*Tx HT points -> benefit Ht controlling
Blood
BL17, SP10, SP8 -local & distal points on affected
channel
-purple rash
-bleeding w/dark purple clots
-constant & fixed
location
-including Organ enlargement
P: choppy
T: dark purple w/ dark
spots
V:COLD BLOOD

pain


other signs

Special Theories Empirical Points Channel Theory
Cold “contracts”& “stagnates” Blood -pain: sharp/stabbing,
constant, fixed
-*amenorrehea *Tx points to disperse Blood Stasis none local points with MOXA
-pale face
-chills/cold skin
Uterus is often affected -severe dysmenorhea -better w/ warmth
P: slow or tight
T:pale/pale purple
VI:HOT BLOOD Special Theories Empirical Points Channel Theory
Hot “moves Qi &Blood rapidly” -red/dark red bleeding & rashes  *Tx points to dispel/clear HeatSpring points  SP10, BL40, PC3, PC9
Hot disturbs YIN function
of cooling, moistening, nourishing & providing rest.
-abnormal uterine bleeding
-red face
-fever/warm skin
-restlessness
-hematemesis
-heamaturia
P: rapid
T: red/dry
VII:FOOD ACCUMULATION
-leads to disturbance of ST function disturbs ST
descending function
disturbs ST/SP T&T function other signs Special Theories Empirical Points Channel Theory
-nausea -sudden loss of appetite P: slippery *ST points to benefit descending &T&T ST21, ST25, ST37, ST44, LIV13, LIV14, CV12 local points over abdomen & epigastrum
-vomiting
-distending abdominal/epigastric pain
-belching/burping
-pain less with belching, vomiting, bowel
movement
T: thick/sticky coat
-hiccups
-awful smelling flatulence
-acid regurgitation
VIII:FLUID ACCUMULATION Special Theories Empirical Points Channel Theory
LU:Facial & upper
extremity edema
none local points
SP/ST:abdominaledema/ascites,boborygmi, watery stool, *vomiting watery fluid after drinking *Lu/SP/KI points -> benefit Body Fluid
metabolism
KI: lower extremity edema
IX:PHLEGM Special Theories Empirical Points Channel Theory
Similar to Damp.
It stagnates & is characterized by:

Substantial
Phlegm *(visible)


Insubstantial Phlegm *(invisible)

*Tx SP points->benefit T&T of Body
Fluids
*Tx HT points
-> benefit housing of Shen (re insubstantial Phlegm)
ST40 all PhlegmLU9, CV22 for substantial PhlegmPC5 for insubstantial Phlegm
-heaviness
-turbidity/stickiness
P: slippery
T: sticky coat
LU Phlegm-Cold -cough w/ watery phlegm -stuffy chest
-other Cold signs -dypsnea
LU Phlegm-Heat -cough w/ yellow sticky phlegm -stuffy chest
-other Heat signs -dypsnea
LU Phlegm-Damp -cough with profuse white watery phlegm -stuffy chest
-no Cold signs -dypsnea
Subcutaneous Phlegm -soft, well defined, mobile lumps
Joint Phlegm -bony deformations w/ chronic arthritis
-Qi Stasis->Fluid Accumulation->Phlegm
& bony deformation.
Phlegm in Channels -limb numbness
-hemiplegia
-facial paralysis
HT Phlegm-Cold -rattling sound in throat -mental confusion
-letargy/stupor
-muttering
-unconsciousness
HT Phlegm-Heat -rattling sound in throat -mental confusion
-restlessness
-violent behavior
uncontrolled laughter/crying
-muttering
-insomnia
Qi Phlem (Plum-pit) -feeling of “lump in throat”
-trouble swallowing


[up]

Next to
come …..8 principles as applied to Zang-FU Pathology with appropriate treatment
points…..

 

 






 

 






 

 









 

 

 






 

 


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Last modified:
October 27, 2004

 

 

 

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