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40 Cards in this Set
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- Yang Xu: can’t conceive = functional d.o.
- Cold extremities, aversion to intercourse - Qi Xu: weakness of lower back or knees, fatigue … - Yin Xu Sx … - Prolonged or shortened menstrual cycle; scanty pale menstrual discharge - Frequent, copious urination; nighttime urination; dizzy; tinnitus T: Pale, swollen, wet P: Weaker, deeper in rear positions |
Infertility due to Kidney Xu
Strengthen KID, Strengthen Chong & REN Channels ------------------------------------ Basic + KID-3; GB-39; UB-23, 52; DU-4 Also: ST-36; ST-29 (for prolonged cycles) KID-13 (nourish Chong; tonify KID; strengthens uterus) UB-52 (tonifies KID; nourishes Essence) LU-7 (regulates REN; strengthen uterus & KID) |
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- Infertility lasting for long time
- Inability to conceive - Palpitations, insomnia, poor memory, bad concentration, scanty light menses, dizziness, pale complexion, blurred vision - Poor app, fatigue, SOB, depression… T: Pale, thin C: Thin white P: Weak, thin [fine, choppy] |
Infertility due to Ht and Sp Xu
Tonify SP Qi, Nourish HT Blood, Strengthen Chong and REN --------------------------- Basic + ST-28; UB-20, 21 UB-17, 15; REN-14 -- ST-36; KID-13; UB-23; REN-12 |
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- Typically, caught cold and severe
dysmenorrhea: cold sensation, severe pain, retarded/late menses, dark red clots - Inability to conceive - Pain relieved by heat, worse w/ cold - Cold extremities - If still has ext. cold pathogen: shivering, chills … - Pale face T: Normal, or pale, swollen C: Thin, white coat P: Slow, deep (if more Yang: slow, weak) |
Cold in Uterus
Warm Uterus, Expel Cold epf, Regulate Chong and REN -------------------------- Basic + DU-4; REN-4 w/ moxa UB-12, 13 w/ moxa Moxa: REN-2 (scatters cold), KID-7; UB-23 (tonify KID Yang) REN-7 (nourishes KID, strengthens uterus) |
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- Profuse vaginal discharge
- Blockage of fallopian tubes - Inability to conceive - Prolonged menstrual cycle; amenorrhea in severe cases - May be overweight, high cholesterol - Chest distention w/ profuse mucous, phlegm - Heaviness sensation; n, v - Dizziness & vertigo T: Normal or Pale, swollen C: Thick, white or yellow, greasy coat P: Slippery |
Infertility due to Obstruction of phlegm
Remove Damp-Phlegm, Open Chong & REN ----------------------- Basic+ ST-40; REN-12, 17; P-6 REN-3 (strengthen uterus; resolve damp) ST-28; SP-9; SP-6; REN-9 (resolve damp) LU-7 + KID-6 (regulate REN; strengthen uterus) ST-30 (reg. chong; invigorate Blood to transform water) UB-32 (drains damp from genital system) |
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- Clearly related to emotional disorder
- Infertility w/ PMS, irritability - Irregular, late or absent periods; premenstrual depression/ tension; painful periods - Sighing, depression - Breast tenderness, … T: Normal P: Wiry |
Infertility due to Liver Qi Stagnation
Soothe LIV; Promote circulation; Regulate Chong and REN ------------------------------- Basic + 4 gates, GB-34; LIV-14; UB-18 |
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- Inability to conceive; irregular or delayed
menses; painful periods; lower abdominal pain worse with pressure; dark blood (purplishblack) with clots - Irritability; mental restlessness or manic behavior T: Dark purple w/ spots or patches P: Wiry or choppy |
Infertility due to Blood Stasis
Invigorate Blood; Remove Stasis; Soothe LIV; Regulate menses ------------------------- Basic + UB-17; ST-29; LU-7 + KID-6 LIV-3; GB-34; KID-14 |
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- Impotence, infertility
- Fatigue; tiredness; poor appetite; loose stool or diarrhea; gas & bloating in the abdomen - Incontinence or profuse, frequent urination; low back pain; worse after orgasm - Sinking sensation in the lower abdomen - Pale face; may have SOB - “Palace therapy” – qigong to prevent loss of Qi T: Pale, swollen w/ tm C: Thin, white P: Deep, weak |
Qi Xu w/ SP & KID Qi Xu
Tonify SP & KID Qi; Benefit/Strengthen External Kidneys --------------------- Basic + KID-3; SP-6; ST-36; UB-20, 21 If impotence is predominant Sx: Use moxa for preventative tx [not for long term: if begin to feel: 1) thirsty, 2) have insomnia/poor sleep, 3) dark, yellow urination or constipation – stop moxa! B/c the PT is not Yang Xu yet!] UB-52; REN-17 SP & KID |
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- Worse than Qi Xu
- Impotence, failure to achieve erection - Premature ejaculation - All of the above Qi Xu Sx, plus: - Cold extremities, cold pain in the lower back or abdominal, desire for warm drinks - Profuse, clear, frequent urination - Morning diarrhea - Incontinence (more severe) - No desire or aversion to sexual intercourse - May have edema T: Pale swollen tongue body C: Wet/moist P: Deep, weak, slow |
Kidney and Spleen Yang Xu
Warm SP & KID Yang; Benefit the external kidneys ------------------------ Basic + Same points as above Add moxa (moxa box is very good on the lower back over DU-4, UB-23 area, or over the Baliao pts) SI-3 + UB-63 for the DU May add: SP-6; ST-36; REN-17; DU-20; REN-8 |
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- Hx of relationship or emotional disorder, or
personality (introverted, scared) - Impotence, failure of erection - Stress & depression; prefers to be alone - Sighing time to time - Distention of the hypochondriac region or breast - Distending sensation or pain (esp. after intercourse) at root of penis or scrotum & radiates to perineum, groin or hypochondriac region T: Normal P: Wiry |
Liver Qi Stagnation
Soothe LIV Qi; Promote circulation; Benefit the external kidneys -------------------- Basic + 4 gates; GB-34 (hui of sinews) UB-18, 19 |
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- Related to UTI-type Sx: burning, urgent,
frequent and/or painful urination; itchiness - Impotence, failure of erection - Dark yellow/brown tea/may even be pink urine (if bleeding) - Wetness of the scrotum w/ itching or skin rash - Bitter taste - If more H: thirsty; If more D: no desire to drink - May have temporal headaches; restlessness T: Red, w/ red spots, tm C: Yellow greasy, may be thick P: Slippery, wiry, fast |
Lower Pouring of Damp Heat
Acute stage of prostatitis |
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- Irregular cycle followed by menopause
- Weakness of low back and knees - Dizziness, tinnitus - Hot flash, palm heat, night sweats, low-grade fever - Dry throat, desire to sip water T: Thin, small, red C: Less or peeled P: Thin, fast; weaker in both rear |
KID Yin Xu
Nourish KID Yin, Remove Xu Heat ------------------------ Basic + KID-6 KID-1 (may be w/ moxa) |
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- Irregular cycle followed by menopause
- Headaches, hypertension; dizziness, vertigo - Irritability, restlessness, anger, insomnia - Lower back pain - Dry eyes T: Red C: Yellow, or less P: Thin, wiry, fast |
Liver Yang Rising d/t LIV & KID
Yin Xu Subdue Liver Yang, Nourish LIV and KID Yin ------------------------- Basic + LIV-3; SJ-5; GB-21, 20 DU-20 may also be added |
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- Chronic onset
- Irregular cycle followed by menopause - Palpitations, anxiety, restlessness; insomnia, dreamdisturbed sleep - Lower back pain, weakness of knee - Night emissions: incontinence, … T: Red C: Less coat P: Thin, fast; floating; or surging |
HT & KID Disharmony Very common type!
Nourish Yin, Harmonize HT and KID ---------------------- Basic + KID-6; HT-6; P-6 UB-15 |
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- Irregular cycle followed by menopause
- Many joint pain Sx: knee, shoulder, … - Degeneration of vertebrae, OA - Bone spurs; neuroma (pain of dorsal aspect of foot) - Sciatic pain, lower back pain - Bones easily fracture, steaming bone heat T: Thin, red C: Less P: Thin, deep, weak; may be fast |
KID Xu w/ bone and joint
disorders Decreased hormone levels cause joint problems Fortify KID, Strengthen Bones ------------------------- Basic + GB-39 (hui marrow) UB-11 (bone) DU-15, 16 (sea of marrow) |
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- May have hyper or hypo Sx
- Irregular cycle followed by menopause - Lower back pain w/ cold sensation - Edema on the lower extremities, cold extremities - Puffy sensation - Stiff joints - Decreased libido - Frequent, profuse clear urination; or retention of urine in the urinary bladder; incontinence - Fatigue, pale face T: Pale, swollen, tm C: Wet, moist P: Deep, weak, slow |
KID Yang Xu
Warm KID Yang, Promote urination --------------------- Basic + REN-4, 6; DU-4 w/ moxa REN-3; UB-28, 22; ST-28 to promote urination |
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- Acute
- May not see a lot of Heat signs, more Qi Yu Sx - Related to emotional d.o.: irritability; weeping; sighing; depression; stress - Severe distention in the breast / engorgement - Hypochondriac pain - Slight or low fever - Decreased appetite (d/t LIV |
INITIAL STAGE = LIV Qi Yu
*Best time to tx mastitis w/ successful and faster results. LIV Qi Yu can lead to more Heat Soothe Liver Qi, Promote circulation -------------------- Basic + 4 gates GB-34, 22, 23 UB-18 If heat signs: add LIV-2, GB-41 |
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Mastitis with:
- 4 Greats: thirst, fever, sweat, pulse - Desire for cold drinks, chills - Constipation, dark yellow urination - Locally: redness, swelling, hot sensation, burning or distending severe pain – may have local infection T: Red C: Yellow P: Forceful, slippery, rapid |
MIDDLE STAGE = Accumulation of heat or Toxic Heat in YM Channel
Remove Heat/Toxic Heat from YM Channel ----------------------- Basic + LI-4, 11; DU-14 ST-44, 45; SJ-6 |
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Mastitis:
- May not have fever and chills - Will have discharge of pus w/ a hard mass inside - Distending pain - Pain is fixed, worse at night T: Normal, or purple P: Wiry, hesitant, or slippery |
LAST STAGE = Qi & Xue Yu w/ Retention of Phlegm
Promote circulation, Remove Phlegm ------------------- Basic + 4 gates SP-9; ST-40 SP-10; UB-17 (move Xue) |
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Dizzy or vertigo:
- Acute onset - Hx of hypertension (Xue d.o.) - Tinnitus, red face 1- Localized Sx of the head: - Dizziness, vertigo - Throbbing headaches, worse when lying down 2- Emotional Sx: - Restlessness, irritability, anger, insomnia, T: Red or scarlet C: Yellow P: Wiry & slippery |
LIV Yang Rising
[Strong emotions] Heat in the Xue level (localized sx) |
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- Acute onset
- Clearly related to emotional d.o - Dizziness, vertigo - Red face & eyes - Thirsty, desire for cold drinks; bitter taste - Constipation, dry stools; scanty, dark yellow urination T: Red, red spots on tip or sides C: Yellow coat P: Wiry & fast |
Live Fire [Prolonged emotional
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- Wind is predominant Sx
- Dizziness, vertigo – people feel as if their surroundings are spinning, or that nearby subjects/objects are revolving - Tremors or shaking of extremities - Twitching of eyelids or skin T: According to root Sx > Red with white or greasy coat (wind can stir up phlegm); or peeled; deviated P: Wiry & uneven -- forceful in acute stage or wiry, thin & rapid if severe Yin Xu |
Inner / LIV Wind
[Generated by LIV Fire, may also have component of Yin Xu d/t fire consuming Yin] |
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- Acute onset
- Dizziness, vertigo w/ heavy head and foggy sensation - Nausea, vomiting w/ chest tightness - Decreased appetite - Profuse vaginal discharge T: Normal or swollen C: Thick, greasy /sticky, white or yellow coat P: Wiry and Slippery |
Turbid Phlegm in
Head [Obstructing so clear yang cannot rise & turbid cannot descend: underlying SP Xu ] Meniere’s Dz |
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- Acute onset- related to trauma
- Chronic stage - related to herniation of cervical vertebrae (cervical spondylosis) - Dizziness, vertigo – esp. when turning head from side to side - Fixed pain which is worse at night - If acute: may have bruise, mass, or bleeding - If chronic: may have stiff neck, and shooting pain to the upper extremities, or tingling and numbness to upper extremities T: Purple w/ purple spots, distended veins beneath P: Wiry, hesitant or choppy |
Blood Stasis
Mostly d/t trauma, which causes insufficient blood flow to the brain |
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- Chronic onset
- Clearly related to anemia, or post-partum - Dizziness, vertigo – off/on - Worse after overworking, Sx alleviated by resting - Pale face, fatigue, poor memory, bad concentration - Palpitations, dream-disturbed sleep - Pale, scanty menses T: Pale & thin C: Thin white P: Thin, weak [choppy or fine] |
Qi & Blood Xu
[SP qi & HT Xue Xu] Anemia Post-partum |
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- Chronic onset – may be related to aging
- Dizziness, vertigo – off/on - Tinnitus, even deafness - Lower back pain, weakness of the joints, fatigue; spermatorrhea; etc. - Wakes often at night; poor memory - Yin Xu: night sweats, palm heat, hot flashes T: Small, red C: Peeled, or less coating > pale if yang xu; red & peeled in yin xu P: Thin & weak, may be fast (Yin Xu) > deep & weak if yang xu; floating-empty if yin xu |
KID Essence,
KID Yin, or KID & LIV Yin Xu [Essence fails to nourish brain & marrow] Aging |
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- Acute onset; with history of exposure to wind or wind-cold
- Stiff neck; general aching or headache - Aversion to wind-cold; slight fever, no sweating - Mouth & tongue deviated to non affected side - No wrinkles; can't close eye on affected side; - Nasal-labial groove superficial or disappears on affected side - Cannot hold liquids or puff cheek on affected side - Tenderness of GB-20 & SJ-17 – on affected side T: Normal P: Superficial, tight or soft (wei qi xu) |
PNS or Bells Palsy
due to Wind-Cold Good Prognosis Common cold invades 12 Cutaneous or Tendino- Muscular regions; attacks 12 Regular meridians. |
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- History of wind stroke with hemiplegia, headache,
aphasia - Symptoms for central facial paralysis, - Numbness and flaccidity on affected side T: Purple with purple spots, or dark red or scarlet C: Peeled with cracks or less coat or mapped P: Hesitant or thin and fast |
CNS due to Liver Yang Rising (Due to Liver and Kidney Yin Xu)
and Xue Stasis |
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- Acute onset
- Urgent, frequent, painful urination - Yellow or brownish (brown tea or blackish) urine - Scanty and difficult urination that may be dark w/ odor; incomplete sensation - Thirst w/ desire for cold drinks, hot sensation - nausea, no appetite; bitter taste; may have fever - Constipation - If external H: fever, chills - If internal H: From LIV: irritability, anger, headaches From HT: tachycardia/palpitations, restlessness, insomnia, tongue ulcers T: Red C: Yellow, greasy, thicker in the back (LJ) P: Fast, superficial (if external); Wiry, fast |
HEAT LIN (RE)
Remove Heat, Promote urination ----------------- Basic + If external H: LI-4, 11; DU-14; UB-12, 13 LIV Heat: LIV-2; GB-41, 43 HT Fire: P-8; HT-8; UB-15 Also: SP-9; SP-6; SI-2; LU-7 Typical UTI, usually gram (-) bacteria |
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- Most Sx are similar to Re lin
Plus: - Chronic pain in the lower abdominal or lower back: very severe pain - Smaller/constricted urine stream - Urination suddenly stops while trying to urinate - May have blood in the urine - Discharge of small stones or sand P: Hesitant / uneven; wiry (pain) |
Stoney LIN
Promote urination, Relax body tissues (to stop pain) ------------------ Basic + KID-2 + UB-63 together w/ estim to remove stones (very effective) SP-9; REN-6; UB-39 |
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Acute onset – related to emotional d.o.
- Sighing, related to women’s PMS - Distending sensation which may radiate to groin or hypochondriac region T: Normal P: Wiry |
Qi Lin: Excess LIV Qi
Excess: Promote Qi circulation by soothing LIV ------------------- Basic + LIV-3, 5; GB-34, UB-18 For either Shi or Xu: female: LU-7 + KID-6 male: SI-3 + UB-62 |
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- Chronic UTI
- SOB, fatigue, poor appetite - Lower back pain, dribbling urination or smaller stream of urine; frequent, clear, profuse urination or difficulty urination w/ retention of urine T: Pale, swollen, teeth marks C: Wet, or thin white P: Deep, weak, weaker in rear positions |
Xu: SP, KID, or LU
Deficiency: Tonify SP, KID, LU to promote urination ----------------- Basic + REN-4, 6, 17; UB-13, 20, 23 For either Shi or Xu: female: LU-7 + KID-6 male: SI-3 + UB-62 |
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Excess: must have all Sx of Re Lin
Plus: - Blood in the urine Xu: - Must have Xu Heat Sx: hot flashes, low grade fever, night sweats, palm heat, … - Blood in the urine (no pain) - Similar to Kidney TB |
Bloody Lin
Promote urination, Cool Xue, Stop bleeding -------------------- Basic + Shi: SP-10; UB-40 Xu: KID-1, 6; SP-1 |
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Like Re Lin, but D-H is predominant
All H Sx, plus: - Heaviness, general aching, heavy head sensation - Nausea, vomiting - Profuse vaginal discharge - Cloudy, turbid urination; sticky or mucous-like urination (like sticky rice soup) - Will have sediment in the urination T: Red C: Yellow, greasy, thick P: Slippery, fast |
Cloudy Lin Excess
Basic + SP-9, 6; ST-40; SJ-3 |
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Xu:
Qi Xu + Cloudy urine - Fatigue, SOB, low back pain, … - With cloudy urine, possibly blood-tinged, … T: Pale, swollen, teeth marks C: Greasy white P: Slippery w/o strength, or Deep, weak |
Xu:
Basic + REN-4, 6, 17; UB-20, 23, 13 |
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- Chronic onset
- Profuse, clear, frequent urination - Lower back weakness, fatigue, cold pain on the lower abdomen or no pain - Cold extremities - Decreased libido - Pale face; exhaustion; depression T: Pale, swollen, tm C: Wet P: Deep, weak, slow |
Lao / Fatigue (Exhaustion)
KID Yang Xu (qi/Yin/yang) Warm KID Yang, Promote urination --------------------- Basic + REN-4, 6; DU-4; Baliao w/ moxa May add: DU-20; ST-36; SP-6, 9 tonify & moxa |
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Chronic onset
- Profuse whitish, watery, or loose discharge w/ no odor - SP Qi Xu Sx: poor appetite, gas/bloat, loose stools, chronic diarrhea, fatigue, etc. T: Pale C: White greasy P: Weak, deep |
SP Qi Xu, SP Qi Xu
SP Yang Xu, SP Qi sinking Strengthen SP; Tonify SP Qi; Resolve Dampness --------------------- Basic + SP-6, ST-36, BL-20, 21 May also use: REN-3, 6, 12; SP-3, 9; BL-22, 32; DU-20 Moxa is applicable |
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- Profuse whitish, watery vaginal discharge
- Worse after working or at the end of the day - Lower back weakness or pain - Dizziness, vertigo - Decreased libido - If Yang Xu: cold extremities, pale urination, fatigue T: Pale C: Wet P: Deep, weak, slow |
KID Yang Xu
(or KID Qi Xu) Can arise from 1st type, but more severe Tonify & Warm KID; Hold body fluids (stop discharge) -------------------- Basic + REN-4, 6; BL-23; DU-4 Yang Xu: add moxa DU-20 w/ moxa to astringe/hold fluid |
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- Acute onset
- Whitish, yellowish, or brownish sticky discharge w/ a strong/bad odor - Vaginal irritation: itching, burning - Nausea, vomiting, gas/bloating in the lower abdomen - Heavy headed, general aches T: Red C: Yellow greasy P: Slippery fast |
Damp Heat
Remove Heat; Regulates Dai -------------------- Basic + SP-9, 6; LI-4; SJ-5; LI-11; ST-40 *No moxa May also add: REN-2, 3; BL-22, 33, 30, 53 |
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Acute onset
- Yellowish, greenish, or black profuse discharge w/ a strong/bad odor; may be blood-stained - Dark urine - Mass in the vaginal or cervical area - Fatigue - Fever or high fever, thirsty T: Scarlet/dark red C: Yellow or brownish P: Slippery, fast |
Toxic Heat (May be cancer or
tumor) Remove toxic heat; Regulate Dai --------------------- Basic + ST-40, BL-40; SP-10 *No moxa May also add: LI-11; SP-6, 9; REN-2, 3; KID-2; LIV-3 |
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- Acute onset related to emotional disorder
- Profuse greenish vaginal discharge; no odor - PMS - Hypochondriac pain; irritability; depression, sighing from time to time - Decreased appetite T: Normal or pale w/ greasy coating P: Wiry |
Liver Qi Xu
Soothe LIV; Tonify SP, Regulate Dai ----------------------- Basic + 4 gates, GB-34, LIV-14, ST-36 BL-18, 19, 20, 21 LIV-3 |
