Wood invading Earth Fire controlling Metal

4 3
5 11
3 SJ PC 5
8 6 PC LI 4
1
7 3

9 41 41 10
4 SP ST 43 43 ST KI 3
1 44 45 1

5 34
4 LV GB 41
1 43
‣ Residual sx. after bad cold/flu; fatigue, cough, dry mucous
‣ Weak digestion, food stagnation, constipation, bitter taste in mouth
‣ Based on “Four Magical Meridians for the Chest”
‣ T: swollen and tender
‣ On right side, metal is tonified with yin earth for yong gua and yang
‣ To sedate wood (SJ/PC), yong gua is yin fire and ti gua is yang wood
metal for ti gua
‣ To tonify earth, (SP/ST), yong gua is yin fire and ti gua is yang earth
‣ On left side fire is sedated with yang earth for yong gua and yin fire
‣ If wood excess is predominant, use LV/GB instead of SP/ST; yong gua is yin
fire and ti gua is yin wood (b/c yang wood used above) for ti gua

Fire controlling Metal (2) LIV Fire / LYR

4 7 8
3 LI LU 9 1 SI PC 7
1 10 6

4 41 5 38
3 SP ST 43 3 LV GB 40
1 44 1 43

‣ Same symptom profile as “Fire controlling Metal” above ‣ Red eyes, headache, HTN, dizziness, etc.
‣ In this case, yang ming (LI/ST) is yin earth on yong gua and yang ‣ For SI/GB, yang earth on yong gua and yin fire on ti gua; for PC/LV,
earth on ti gua; tai yin (SP/ST) is yang earth on yong gua and yin yang water on yong gua and yin fire on ti gua
earth on ti gua ‣ Can use HT 5,7,8 instead of PC depending upon sx.
 KI deficiency Low back pain

5 5
2 LI HT 9 via imaging 4 SI LU 8
1 format Ling gu 9
LU 7 Da bai
Zhong bai
&/or yao tong

40
7 60 7 65
4 KI UB 65 4 KI UB
67
2 67 2

‣ KI deficiency symptoms ‣ For low back pain

‣ LU 7 is added to create balance and preserve the truss ‣ If patient is KI deficient, add KI 2, 4, 7
‣ Yin metal is yong gua and yang water is ti gua ‣ Yin metal/yang water for LU and yang metal/yang water for UB

GB sciatica pain UB sciatica pain

8
5
3 4 5 4
4 HT SJ 3 8 LU SI 3
8 1 9 2
6 PC
add San Cha for sciatica LI 4
w/ low back pain

38 8 40 7
41 GB 65 UB KI 4
LV 4
43 1 67 2

‣ For sciatic pain on the GB channel (wood excess)
‣ Important to ask whether there is concurrent low back pain; if not,
don’t treat low back (w/ San Cha)
‣ For all meridians, yin fire is yong gua and yang wood is ti gua
‣ PC 6 was added to preserve the truss and create better balance
‣ For sciatic pain on UB channel
‣ Water is usually not excess; sciatica on UB normally due to KI xu
‣ Yin metal is yong gua and yang water is ti gua
‣ LI 4 is added to preserve the truss and create better balance
 Dampness & phlegm (SP xu) Dampness & phlegm (SP shi)

3
10 3
4 SJ PC 5 6 SJ PC 8
8
9 4 9

36
9 36
1 SP ST 41 5 SP ST 42
42
1 44
44

‣ Dampness and phlegm sx., possibly phlegm abscess
‣ Great for weight loss when SP is obviously deficient or excess
‣ This case is for earth that is too weak to stop the flow of water
‣ Use earth as ti gua exclusively because we don’t want to tonify water
‣ On right, yin fire is yong gua and yang earth is ti gua; on left, yin fire
is yong gua and yin earth is ti gua
‣ Dampness and phlegm sx., possibly phlegm abscess
‣ Great for weight loss when SP is obviously deficient or excess
‣ This case is for earth that is too strong, stopping the flow of water
‣ On right, yin metal is yong gua and yang earth is ti gua; on left, yang
metal is yong gua and yin earth is ti gua

SI/HT Fire

5
1 SI HT 7
8

7 60
3 KI UB 64
1 66

‣ Heat, fire, infection, inflammation

‣ On SI/UB axis, yang earth is yong gua and yin fire is ti gua; in HT/KI
axis, yang water is yong gua and yin fire is ti gua