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22 Cards in this Set

  • Front
  • Back
Common Bi Zheng
RA, OA, Frozen Shoulder, Gout, Sciatica
All affected by weather
Aetiology of BI Zheng
1) Wind, Cold, Damp
2) Wind-Heat combined with Dampness, or
3) WIND, Cold, Damp transforms into Wind-Heat Dampness
Differentiation between Xing, Tong, Zhuo BI
Xing - Wind- limited mvmt, moving pain
Tong - COLD- Severe pain, usually unilateral
Zhuo- DAMP- heaviness/numbness pain fixed, aggravated by damp weather
Wind Dampness Heat Bi
Pain, HEAT in joints, hot to touch, redness, swelling of joints, limitation of mvmt and severe PAIN
Local Pts for Shoulder
Jianyu li15, Jianliao sj14 , Naoshu si10

si10 - posterior of shoulder, depression inferior to scapular spine, superior to posterior axillary crease (above Jianzhen si9, which is one cun above ax crease)
Local Pts for Elbow and arm
Quichi li11, Hegu li4, Tianjing?, Waiguan sj5, Chize lu5

li11 HE Sea earth pt LI, principal pt to reduce fever (+DU20, Li4), one of 13 ghost points for mania and epilepsy, lowers high blood pressure, skin disorders, itching of skin

li4 - Yuansource LI- prim pt expel wind-cold/heat, release exterior, floating pulse, disorders of face and sense organs, relieves pain and spasm, promotes smooth flow of qi and blood to whole arm, painful obstruction and atrophy disorder of four limbs
sj5 - LUO, expels exterior, particularly wind HEAT, temporal headaches due to LV Qi Stag or LV yang fire, distal pt for ear disorders, clears heat from head
lu5 CHIZE, He sea water pt - clears Excess or Def Heat from LU, regulates LU and Heart, treats pain and restricted movt of shoulder, upper arm, elbow and hand, esp wandering pain
vs Quze pc3 (ulnar side of biceps brachii), for palpitations, cardiac pain, febrile diseases, vexation, stomachache, vomit, cough, aching of elbow and arm
Local Pts for Wrist
Yangchi, Waiguan, Yangxi, Guangu ??

Yangchi SJ4 - Yuansource
Waiguan SJ5 - LUO
Yangxi - Jing River fire pt
Yanggu - si5 - JIngriver fire pt

Wanggu si4 / triquetral bone/ Yanggu si5,
Spine
Shuigou ?, Shenshu bl23, Yaoyangguan du3 (L4)
HIP
Huantiao, Juliao, Xuanzhong
Thigh
Zhibian, Chengfu, Yinlingquan
Knee
Dubi, Liangqiu, Yanglingquan
Ankle
Shenmai, Zhaohai, Kunlun, Qiuxu, Jiexi
If due to Wind
+Fengchi gb20, Geshu bl17, Xuehai sp10, Dazhui du20 If treat wind, must harmonize BLOOD first. Skin conditions, etc. Moxa on Dazhui
If due to Cold
+Shenshu bl23, Guanyuan r4, Dazhui, Fengmen bl12
If due to Dampness
+Dazhui, Geshu, Pishu, Zusanli, Yinlingquan
Differentiate Sp 9, Sp6, Sp 10
Sp 6 - Tonifies MJ, resolves Damp Sp9 Yinlingquan - main SP pt to resolve dampness, opens and moves water passages, local point sp10 - Xuehai main to move blood stasis and cool blood heat
Atrophy main clinical patterns
Heat in Lungs injuring Yin fluids, Invasion of Damp-Heat, St/SP Xu, LV/KD Xu, Blood stasis in channels
Western equivalents
progressive muscular atrophy, multiple sclerosis, multiple neuritis, acute myelitis
Heat in Lungs injuring Yin fluid pts
Quchi, Taiyuan, Shangjuxu st37
Heat in Lung pathology
Consume Yin fluids, muscles and tendons lack of nourishment
Damp Heat invading pathology
Damp Heat in western medicine: inflammation, virus, bacteria. TCM- Qi and Blood circulation obstructed
ST/SP XU pathology MIDDLE JIAO XU
Muscles and tendons lack of Qi/Blood nourishment