TCM Acupuncture and Massage

Chapter 10 Basic Theory of Acupuncture and Moxibustion (2)
([-]) Five Shu Points Five Shu Points were first seen in "Lingshu Nine Needles and Twelve Origins": "What goes out is a well, what slips is a Xing, what is injected is an infusion, what you do is a meridian, and what you get is a combination." The ancients put the classics together. The process of qi movement is described by the change of natural water flow from small to large, from shallow to deep. The twelve meridians are distributed below the elbow and knee joints, and the five wells, ying, shu, meridians, and he are arranged from the ends of the limbs to the elbow and knee. The first point is called Wushu point.

Well—the source of water flows out of the place of Qi Xing—the fresh spring water flows through the place where the air passes through——the water flows from shallow to deep through the place where the Qi flows through——the spring water flows through the place of Qi in a smooth river The parts of the lines are combined—the meridian qi is finally like a hundred rivers converging with the sea of ​​people. The meridian qi penetrates into the part and the five Shu points are also assigned to the five elements. "Nanjing 64 Difficulties" points out that "Yin well wood, Yang well metal; Yin Ying fire, Yang Ying Water; yin feeds earth, yang feeds wood; yin passes through metal, yin passes through fire; yin joins water, yang joins earth.”

([-]) Yuan acupoint

There are a total of twelve organs where the original qi of the viscera passes and stays, and they are distributed near the wrist and ankle joints.The yin meridian replaces the original with infusion to treat visceral lesions.

([-]) collateral points

There is an acupoint at each part of the collaterals from the meridians, which are called collateral points.It has the function of connecting the two classics in the table.Each of the twelve meridians has a collateral point, which are distributed below the elbow and knee joints, together with the collateral point of the Ren meridian, the collateral point of the Du meridian, and the large collateral of the spleen, it is collectively called the fifteen collateral points.

([-]) Shu point

The qi of the viscera is infused into the acupoints on the back and waist, and distributed on the back and waist.It is mostly used for visceral diseases to treat visceral diseases and tissue and organ diseases related to viscera.

([-]) Recruiting points

Viscera meridian qi gathers at acupoints on the chest and abdomen and distributes in the chest and abdomen.To treat visceral diseases, it is mostly used for visceral diseases.

([-]) Bahui Point
Eight acupoints where the essence of viscera, fu organs, qi, blood, tendons, arteries, bones, and marrow converge.First published in "Nanjing".Distributed in the trunk or extremities.

([-]) Qie point

Qie, the gap; Qie point, the part where the Qi of each meridian gathers deeply.A total of sixteen Qi points (one for each of the twelve meridians, the Yin-Yang Qiao Meridian, and the Yin-Yang Wei Meridian), are distributed below the elbow and knee joints.Yin meridian Qie points treat severe and emergency diseases of this meridian and viscera; Yang meridian Qie points mostly treat pain syndrome, and Yin meridian Qie points mostly treat blood syndrome.

([-]) Xiahe point
The qi of the three yangs and six internal organs of the hands and feet are combined with the six acupoints of the three yang meridians of the foot.It is mainly distributed near the knee joint to treat diseases of the six internal organs.

([-]) Intersection points of the eight meridians
The eight acupoints where the Qi of the Eight Extra Meridians and the Twelve Meridians intersect are distributed above and below the wrist and ankle joints.For lesions of Yiben Meridian and Eight Extra Meridians, it can also be used in conjunction with the acupoints of the two channels.

Gongsun Tongchong Vessel Neiguan Tongyin Weiwei Meridian is connected to the stomach, heart and thorax. Inner canthus, neck, ears, shoulders and feet Linqitong belt channel Waiguan Tongyang Weimai meets sharp canthus, behind ears, cheeks, neck and shoulders.

([-]) Intersection point
The acupoints where the meridians of two or more meridians intersect or converge are first seen in the "Jia B Jing" and are distributed on the head, face and trunk.Cure the pathology of the root meridians and intersecting meridians.

[-]. Positioning method of acupoints
([-]) Anatomical landmark positioning method
1. Fixed signs refer to facial features, hair, fingernails, nipples, umbilical fossa, bulges and depressions formed by joints and muscles, etc.Such as: facial features, hair, fingers (toenails), nipples, navel and various joint protrusions and depressions.

Example: between the two breasts - the middle of the mutton

Under the spinous process of the seventh cervical vertebra - Dazhui

Brows - Cuanzhu

2 inches from the middle of the navel——Tianshu

2. Activity signs refer to the gaps, depressions, wrinkles, tips, etc. that appear in the joints, muscles, tendons, and skin of various parts with the movement.For example: Elbow flexion head—the depression in front of the Quchi opening mouth in front of the tragus—about one horizontal finger above the mandibular angle of Tinggong. When chewing, the masseter muscle rises and presses the depression—the buccal car 3. Bone degree measurement Positioning method "bone degree" is a method of determining the position of acupoints by measuring the length and width of each part of the whole body by measuring the joints on the body surface as the main mark.When selecting acupoints, fold the set length between the two ends of the joint into certain equal parts. Each equal part is divided into 1 inch, and ten equal parts are divided into 1 foot. No matter male, female, old or young, fat, thin, tall or short, all of them are divided according to this standard. The amount is used as the basis for measuring acupoints.

4. The finger-to-body measurement method refers to the method of measuring the position of acupoints by folding certain parts of the patient's own fingers into a certain size.It is commonly known as "the finger is the same as the body".

(1) The same body size of the middle finger: the patient’s thumb and middle finger are flexed to form a circle, the tip of the middle finger rests on the pulp of the thumb, and the distance between the two ends of the radial side of the middle segment of the middle finger is taken as 1 inch.It is suitable for the vertical cun of the acupoints on the extremities and the horizontal cun of the acupoints of the back, waist and sacrum.

(2) The same size as the thumb: In this method, the width of the patient's thumb knuckle is taken as 1 inch.

(3) The horizontal finger is the same as the body inch: this method is to combine the index, middle, ring, and little fingers, take the second horizontal line of the middle finger as the standard, and measure the width of the four fingers as 3 inches.Also known as the "one-husband method".It is mostly used for the vertical measurement of the lower limbs and lower abdomen and the horizontal measurement of the back.

5. Simple acupoint selection method The simple acupoint selection method is a simple and easy acupoint selection method that is summed up after long-term clinical practice and commonly used in clinical practice.

Example: Standing at attention, with the tip of the middle finger hanging down naturally——Fengshi

The two tiger's mouths intersect, and the end of the index finger reaches the place - Lie Que

The midpoint of the line connecting the tips of the two ears——Baihui

Different Treatises on Meridians and Acupoints
[-]. Ren veins

([-]) Meridian circulation

1. The body surface follows the route starting from the perineal point of the perineum, going up along the midline of the abdomen and chest, passing through the center of the neck, and ending at the Chengjiang point of the chin-labial groove.

2. The organs that connect with viscera and viscera start from the uterus, go up through the abdomen, and connect with the human eye.

3. Circular distribution characteristics:

(1) Distributed in the middle of the chest and abdomen along the line, reaching up to the chin, all the yin meridians come to meet, so it is called "the sea of ​​yin channels".It has the effect of regulating the Qi of the Yin meridians of the whole body.

(2) There are 24 points in total, starting from Huiyin point and ending at Chengjiang point.

([-]) Main symptoms

Hernias, bands, lumps in the abdomen.

([-]) Disease induction

1. Cervical acupoints are used to treat dumbness, sequelae of cerebrovascular accidents, pharyngitis, tonsillitis, goiter, etc.

2. Chest acupoints are used to treat respiratory diseases, such as chest pain, pannus, bronchitis, bronchial asthma, low milk supply, and mastitis.

3. Upper abdominal acupoints are used to treat digestive system diseases, such as ulcer disease, gastritis, gastroptosis, gastrointestinal neurosis, indigestion, and diaphragm spasm.

4. Acupoints on the lower abdomen are used to treat diseases of the genitourinary system, such as impotence, spermatorrhea, enuresis, orchitis, pelvic inflammatory disease, urethritis, prostatitis, irregular menstruation, dysmenorrhea, amenorrhea, leucorrhea, urinary retention, and hernia.

([-]) Acupoints of this meridian

There are 24 points in total

1. Perineum (Huìyīn)

[Naming] The place where the gathering is the same is the meeting.Dwelling in the two underworlds, it is the starting point of the Ren, Du, and Chong channels.The three channels all come out between the two yin, and gather in the yin, because of the name.

[Location] In the perineum, at the midpoint of the connection between the root of the scrotum and the anus for men; at the midpoint of the connection between the labia majora and the anus for women.

[Indications] ① drowning suffocation, coma, madness; ② dysuria, enuresis, hemorrhoids, vaginal swelling, itching, prolapse of the anus; ③ spermatorrhea, impotence; ④ irregular menstruation.

【Acupuncture and moxibustion】Puncture 0.5-1 cun, pregnant women should use with caution; moxibustion can be used.

[Application] It is commonly used in modern times to treat vaginitis, orchitis, prostatitis, etc.

2. Qugu (Qūɡǔ)

[Name] Qu means bending, and bone refers to bone.The cave lives above the transverse bone, in the middle of the hairline. The transverse bone is the current pubic bone. Its bone is curved, like a crescent moon. The point is the middle of the upper edge of the pubic bone, hence the name.

[Location] On the lower abdomen, on the anterior midline, at the midpoint of the upper edge of the pubic symphysis.

[Indications] ① Dysmenorrhea, enuresis; ② Nocturnal emission, impotence; ③ Irregular menstruation, dysmenorrhea, vaginal discharge, retention of afterbirth.

[Acupuncture and moxibustion method] Needling 0.5-1 cun straight, urinating before the needle, oblique or flat needling for dysentery, use with caution for pregnant women; moxibustion can be used.

[Application] It is commonly used in modern times to treat urinary retention, endometritis, pelvic inflammatory disease, prostatitis, etc.

3. Zhongji* (Zhōnɡjí) bladder mo point

[Naming] This acupuncture point is located at the end of the trunk of the human body. "Ji" means end and end, hence the name.

[Location] On the lower abdomen, on the front midline, 4 cun below the middle of the navel.

[Indications] ①Enuresis, dysmenorrhea, dysuria; ②Spermia, impotence, hernia, infertility; ③Irregular menstruation, dysmenorrhea, metrorrhagia, vaginal discharge, postpartum lochia, infertility.

[Acupuncture and moxibustion method] Needling straightly or obliquely 0.5-1 inch downward, urinating before the needle, oblique or flat needling for dysentery, pregnant women should be used with caution; moxibustion can be used.

[Application] It is often used in modern times to treat dysmenorrhea, menstrual disease, endometritis, pelvic inflammatory disease, cystitis, male sexual dysfunction, urinary retention, prostatitis, etc.

4. Guanyuan* (Guānyuán) small intestine mo point

【name】

1. "Guan" is the key and important. It lives in the dantian, where the "vital energy" is hidden, so it is named Guan Yuan.

2. "Guan" has the meaning of sealing, and "Yuan" has the meaning of Yuan Yin and Yuan Yang.This point corresponds to the uterine essence room, which is the place where the essence of the whole body is sealed, hence the name.

[Location] On the lower abdomen, on the front midline, 3 cun below the middle of the navel.

[Indications] ①Stroke syndrome, fatigue and emaciation, loss of vitality; ②Abdominal pain, diarrhea, dysentery, prolapse of the anus; ③Enuresis, dysmenorrhea, dysuria; ④Spermia, impotence; ⑤Irregular menstruation, dysmenorrhea, amenorrhea , Leukorrhagia, infertility, erect vagina, endless lochia.

【Acupuncture and moxibustion method】Puncture 0.5-1 inch straight or obliquely downward, urinate before the needle, pregnant women should be used with caution; moxibustion is suitable.

[Application] It is commonly used in modern times to treat male sexual dysfunction, urinary retention, nephritis, cystitis, prostatitis, dysfunctional uterine bleeding, vaginitis, enuresis, hypotension, neurasthenia, enteritis, etc.

5. Mu Point of Sanjiao in Shimen (Shímén)

[Naming] It is called "stone". According to the ancient saying, needle this point by mistake can make people die forever, just like the "stone gate" cannot be opened, so it is named after it is closed.

[Location] On the lower abdomen, on the front midline, 2 cun below the middle of the navel.

【Indications】①Abdominal pain, diarrhea, dysentery;

[Acupuncture and moxibustion] Needling 0.5-1 inch straight or obliquely downward, pregnant women should be used with caution; moxibustion can be used.

[Application] It is commonly used in modern times to treat functional uterine bleeding, endometritis, enteritis, etc.

6. Air Sea* (Qìhǎi)

[Name] This point is located an inch and a half below the navel, where the innate vitality gathers; it is good at curing various qi diseases, and it is also a strong and healthy point, hence the name.

[Location] On the lower abdomen, on the front midline, 1.5 cun below the middle of the navel.

【Indications】①Stroke syndrome, visceral qi deficiency, emaciation and weakness; , leukorrhagia, postpartum lochia endlessly.

[Acupuncture and moxibustion] Needling 0.8-1.2 inches straight or obliquely downward, pregnant women should be used with caution; moxibustion is suitable.

[Application] It is commonly used in modern times to treat enteritis, bacillary dysentery, male sexual dysfunction, dysfunctional uterine bleeding, bronchial asthma, neurasthenia, etc.

7. Yin sex (Yīnjiāo)

【Name】Because Ren Mai, Chong Mai and Kidney Meridian converge here, so it is named.

[Location] On the lower abdomen, on the front midline, 1 cun below the middle of the navel.

【Indications】①Abdominal pain, hernia;

[Acupuncture and moxibustion] Needling 0.5-1 inch straight or obliquely downward, pregnant women should be used with caution; moxibustion can be used.

[Application] It is commonly used in the treatment of enteritis and prostatitis in modern times.

8. Shenque* (Shénquē)

[Naming] Unpredictable is a god, and Que refers to an important place, originally referring to gate towers, archways, and palace gates.This point is right in the middle of the umbilical cord, which is the lacuna formed by the shedding of the umbilical cord.The umbilical cord is the way to transfer the mother's qi and blood to nourish the fetus. Therefore, the umbilical cord is the way for the innate energy to enter and exit, and because it forms a depression, it is named.

【Location】In the middle of the abdomen, the center of the navel.

[Indications] ①collapse, apoplexy, cold limbs; ②abdominal pain around the navel, chronic diarrhea, dysentery, constipation, prolapse of the anus; ③edema.

[Acupuncture and moxibustion] Acupuncture is generally not used because of the inconvenience of disinfection; moxa sticks or moxa cones are suitable for moxibustion with salt.

[Application] It is commonly used in modern times to treat gastritis, enteritis, dysentery, urinary retention, etc.

9. Moisture (Shuǐfēn)

[Naming] It contains the small intestine, which can secrete turbidity, and the acupoint is the place where it is good at diuretic, hence the name.

[Location] On the abdomen, on the front midline, 1 cun above the middle of the navel.

【Indications】①edema, dysuria; ②abdominal pain, diarrhea.

[Acupuncture and moxibustion method] Needling straightly or obliquely downward 0.5-1 cun; can be used for moxibustion.

[Application] It is commonly used in modern times to treat gastritis, enteritis, dysentery, nephritis, cystitis, etc.

10. Xiawan* (Xiàwǎn)

【Name】Wantongguan, originally refers to the inner cavity of the stomach, the point is 2 inches above the navel, and refers to the lower part of the stomach, hence the name.

[Location] On the upper abdomen, on the front midline, 2 inches above the middle of the navel.

[Indications] ①Stomach pain, vomiting, abdominal distension, diarrhea; ②Lump mass.

[Acupuncture and moxibustion method] Needling straightly or obliquely downward 0.8-1.2 cun; can be used for moxibustion.

[Application] It is commonly used in modern times to treat gastritis, gastric ulcer, enteritis, dysentery, etc.

11. Jianli (Jiànlǐ)

[Naming] Jian has the meaning of conditioning; Li refers to the abdomen.Jianli point has the function of regulating the spleen and stomach, hence the name.

[Location] On the upper abdomen, on the front midline, 3 inches above the middle of the navel.

【Indications】①Stomach pain, vomiting, hiccups, loss of appetite, abdominal distension;

② Edema.

[Acupuncture and moxibustion method] Needling straightly or obliquely downward 0.8-1.2 cun; can be used for moxibustion.

[Application] It is commonly used in modern times to treat gastritis, stomach cramps, gastric ulcers, etc.

12. Zhongwan* (Zhōnɡwǎn) the mou point of the stomach;
【Name】Wantongguan, originally refers to the inner cavity of the stomach; the middle refers to the middle part of the stomach.This point is located in the lesser curvature of the stomach, which is the middle part of the stomach, hence the name.

[Location] On the upper abdomen, on the front midline, 4 inches above the middle of the navel.

【Indications】①Stomach pain, vomiting, acid regurgitation, hiccups, inability to digest food, abdominal distension, diarrhea; ②jaundice; ③insomnia, mania.

[Acupuncture and moxibustion method] Needling straightly or obliquely downward 0.5-1 cun; can be used for moxibustion.

[Application] It is commonly used in modern times to treat gastritis, stomach cramps, gastroptosis, food poisoning, epilepsy, mental illness, neurasthenia, etc.

13. Shangwan (Shànɡwǎn)

[Naming] Wantongguan originally refers to the inner cavity of the stomach; the point is 5 inches above the navel, which refers to the upper part of the stomach, hence the name.

[Location] On the upper abdomen, on the front midline, 5 inches above the middle of the navel.

[Indications] ①Stomach pain, vomiting, hiccups, abdominal distension; ②Epileptic.

[Acupuncture and moxibustion method] Needling straightly or obliquely downward 0.5-1 cun; can be used for moxibustion.

[Application] It is commonly used in modern times to treat gastritis, stomach cramps, gastric ulcer, gastroptosis, etc.

14. Jùquē Heart Acupoint

[Naming] Juque originally meant a large archway.The acupoint belongs to the heart, which means that it goes up to the heart through here. "Acupuncture and Moxibustion Questions and Answers" says: "Juque, the heart is also in charge of Miyagi", hence the name.

[Location] On the upper abdomen, on the front midline, 6 inches above the middle of the navel.

[Indications] ①chest pain, palpitation; ②mania and epilepsy; ③vomiting, acid regurgitation.

【Acupuncture and moxibustion method】Puncture obliquely downward 0.5-1 cun, do not pierce deeply, so as not to injure the liver; moxibustion can be used.

[Application] It is commonly used in modern times to treat angina pectoris, coronary heart disease, gastritis, epilepsy, hysteria, neurasthenia, etc.

15. Jiuwei (Jiūwěi) collateral point

[Name] The xiphoid process of the sternum is shaped like the tail of a turtledove, and the hole is below it, hence the name.

[Location] On the upper abdomen, on the front midline, 1. inch below the junction of chest and sword.

[Indications] ①cardiothoracic pain; ②mania and epilepsy; ③hiccup, abdominal distension.

【Acupuncture and moxibustion method】Puncture obliquely downward 0.5-1 cun, do not pierce deeply, so as not to injure the liver; moxibustion can be used.

[Application] It is commonly used in modern times to treat angina pectoris, coronary heart disease, gastritis, epilepsy, hysteria, etc.

16. Atrium (Zhōnɡtínɡ)

[Naming] The ground in front of the palace is the courtyard, and the heart is the official of the monarch.

[Location] On the chest, on the current midline, level with the 5th intercostal space, which is the junction of chest and sword.

【Indications】①Swelling of the chest and hypochondrium, heartache; ②Vomiting, choking on the diaphragm.

[Acupuncture and moxibustion method] Pricking 0.3-0.5 cun flat; can be used for moxibustion.

[Application] It is commonly used in modern times to treat esophagitis, esophageal stricture, cardia spasm, etc.

17. Tanzhong* (Dàazhōng) Pericardium Mou Point; Qihui of Bahui Point
[Name] The part between the two breasts is called Tan, and this point is right here, hence the name.

[Positioning] On the chest, on the current midline, level with the 4th intercostal space;
Or at the intersection of the line connecting the two nipples and the front midline.

[Indications] ① Cough, asthma, chest pain, chest tightness; ② Palpitation, heartache; ③ Choking diaphragm, hiccups;

[Acupuncture and moxibustion method] Pricking 0.3-0.5 cun flat; can be used for moxibustion.

[Application] It is commonly used in modern times to treat bronchial asthma, bronchitis, angina pectoris, coronary heart disease, pleurisy, intercostal pain, mastitis, etc.

(End of this chapter)