Professional Documents
Culture Documents
UprootedClassical Chinese
Medicine Loses its Humanity
The Problem:
Larre and de la Vallee paraphrase the oftquoted concept that the practitioner of
ordinary skills observes the body, while the
practitioner of high skills observes the spirits:
This means that he observes the blood and
qi of man, tonifying or dispersing, following
excess or deficiency (ibid, p. 120).
This decidedly physical depiction of spirit is
echoed in Maciocias study on the subject.
ZANG /Spirit
EMOTION
S&S
DEFICIENCY
EXCESS
Sadness
Heart/shen
Anxiety, worry,
thoughts and
apprehension
injure shen
Uncontrollable
laughter
Spleen/yi
Oppression and
anguish that do
not dissolve
injure yi
Restlessness and
disorder, the
four limbs do
not lift up
Abdomen
swollen, difficult
menstruation
and urination
Mania and
oblivion,
abnormal
behavior, genitals
retract, muscles
contract, ribs do
not lift up
Fear
Anger
Nose obstructed,
passage of air
difficult, breath
short
Laboured and
hoarse breathing,
Fullness in the
chest, lifts the
head to breath
Reversal-jue
Liver/hun
Sadness and
sorrow convulse
the center and
injure hun
Lung/po
Intense and
incessant anger
injure zhi
Forgetfulness,
flanks and spinal
column painful,
Cannot bend
forward or
backward
Kidney zhi
Kidney jing
Fear and
apprehension
injure jing
Signs &
Symptoms
Point
strategies
AOM
Lifestyle
Coaching
________________ ________________ _______________
running on empty,
type-A, adrenal
exhaustion (drops-dead
in bed at night)
YinYang Regulation
Patient Complaints:
o
o
Patient Complaint
End resultAdrenal
collapse and CFS
Counsel patient to
start stress
reduction/relaxation
response activity for
overall agitation
10
Engage in physical
activities that distress
muscles per exercise
tolerance level (do
not exercise at night
if suffering from
insomnia)
Do stretching for
tight neck, back,
lumbosacral muscles
Get pillow-top
mattress or egg-crate
mattress cover; side
lying pillow, or
cervical pillow if
sleeping face up
Suggest
hypnotherapy,
EMDR,
psychotherapy to deal
with behavioral and
post-traumatic issues
Diaphragmatic
Constriction/
GI Distress/
chong mai
middle heater
dysfunction
Signs &
Symptoms
AOM
Lifestyle
Coaching
________________ ________________ _______________
___________________
Constrained
Liver Qi
Up-regulated
SNS overacts
on PNS
Taiyin/YAngming
Circuit
dysfunction
Liver/Spleen
dysfunction
Spinal
Irritation and
up-regulated
SNS may be
precipitating
factors for
this pattern of
visceral
agitation
Point
strategies
YinYang Regulation
tight rectus & oblique
muscles- viscerosomatic
tight chest (pectoralis
level with ST 18-Liv 14)
Tight SCM (plum pit
Qi)
Patient Complaints:
o
o
o
IBS, bloating,
undigested
food, diarrhea
and/or
constipation,
abdominal
pain, gas
Reflux or
GERD
Relief in
Crohns
Disease or
colitis
Jing:
SP 4(R)/Per 6(L) for
chong and yinwei mai
Ying:
LI 4/Liv 3
Liv 14 (and GB 22 or
Per 1), SP 6
Patient Complaint
ST 36-39 &
ST 25; CV 10, 12, 13;
ST 24-18 on left
ST 25 (Bil) all where
tight and constricted
(dispersal, not TrP
needling)
For Xu-Li, add CV 12,
ST 14-16(left), ST 18
(L); ST 44-43 where
tender either or both
sides
For heartburn to chest,
add CV 18to 17 and
lateral Kid points; or
Kid 22 and Per I if left
sided heartburn
11
Pelvic
collapse/
chong, dai, ren
dysfunction
Lower heater
dysfunction
__________________
Spleen Qi
Sinking with or
without
Constrained
Liver Qi in
Middle heater
as possible
precipitating
factors for
this pattern
of visceral
agitation
Signs &
Symptoms
Point
strategies
________________
________________
Flaccidity in middle
heater abdominal
muscles, tightness and
constriction below navel,
pressure and pain at Kid
15.5 to Kid 11 and ST
26-30, and CV 7-2
(chong mai lower heater
branch), tight lower
external obliques (dai
mai); tight linea alba (ren
mai)
YinYang Regulation
Patient Complaints:
o
Prolapsed
organs: postbirthing;
uterus, bladder,
right kidney,
hemorrhoids,
hernias (Shan)
PMS,
amenorrhea,
disrupted
menses,
infertility and
impotence
prostatitis,
vaginitis,
cystitis, pelvic
floor
syndrome;
sexual
dysfunctions
such as erectile
dysfunction or
frigidity
12
Jing:
Chong-Dai Infinity
Treatment: SP
4(R)/Per 6(L) for
chong mai; GB
41(L)/TH 5 (R) for dai
mai
Ying:
Three leg yin source
points SP 3, Kid 3, Liv
3; Sp 6 and 9; Liv 9 for
constrained Liver Qi in
lower heater;
Patient Complaint
Local chong, dai and
ren mai points in lower
heater; local Liv, Sp,
Kid meridian points in
lower heater; local
points over visceral
irritation (ST 30 for
ovaries, CV 4-6 for
uterus etcetera);
CV 2 down, to right
and left to propagate Qi
for lower heater-it is.
AOM
Lifestyle
Coaching
_______________
Coach patients to
develop core
strengthening routine
for middle heater;
stretches for lumbar
region;
Yoga or Qi gong for
lower heater
strengthening
counseling/therapy for
sexual dysfunction
counsel women with
vulvadynea to seek PT
specializing in manual
therapy who specialize
in this
Cardiac
Alarm/ UpperLower heater
dysfunction
__________________
Kidney
Yang/Heart
Protector
Dysfunction
Kidney/Lung Qi
Dysfunction
Pelvic
collapse
and/or
diaphragmatic
constriction
may be
precipitating
factors for
this pattern
of visceral
agitation
Signs &
Symptoms
Point
strategies
________________
________________
Free-floating anxiety,
dread, fear of impending
doom
YinYang Regulation
Shallow breathing,
hyperventilation, heart
palpitations induced by
stress
Chong-Dai Treatment:
SP 4(R)/Per 6(L) for
panic attack, anxiety,
palpitations in patients
with Kidney Yang &
Heart Protector
dysfunction
Suggest stress
reduction or relaxation
response programs for
coping with stress
Suggest mindfulness
training for practicing
anytime/ anywhere
Non-cardiac chest
tightness and discomfort
from diaphragm to
under armpits and
sternum (3 yin muscle
channel referral
patterns) with tightness
in rhomboids and
paraspinals in upper
back
Jing:
Ying/Patient
Complaint:
Patient Complaints:
o Anxiety, panic
attack, heart
palpitations;
cardiac
neurosis;
costrochondritis
13
AOM
Lifestyle
Coaching
_______________
Coach patients to do
abdominal breathing as
above
Suggest meditation,
yoga, Qi gong
Suggest biofeedback,
hypnotherapy, EMDR,
Psychotherapy for
behavioral and posttraumatic issues
14
15