SP-10 Xuehai, BL-17 Geshu, P-6 Neiguan, SP-6 Sanyinjiao, L.I.-11 Quchi, all with reducing or
even method.
Deficiency of Liver and Kidneys
Reinforce LIV-8 Ququan, KI-3 Taixi, SP-6 Sanyinjiao, G.B.-39 Xuanzhong, BL-18 Ganshu,
BL-23 Shenshu, Ren-4 Guanyuan, BL-11 Dashu, G.B.-34 Yanglingquan, ST-36 Zusanli.
General Points
Some of the points mentioned above are general points which treat the condition underlying each
pattern. These are:
Wind: nourish Blood with BL-17 Geshu.
Cold: tonify Yang with Du-14 Dazhui (direct moxa) and BL-23 Shenshu.
Dampness: tonify the Spleen with BL-20 Pishu.
The principles of selection of points are summarized in Figure 23.1Figure 23.1.
Case History 23.1
Painful Obstruction Syndrome: Heat-Female, Age 42
A 42-year-old woman complained of severe pain in the joints of the fingers, shoulder and knees.
The joints were also swollen and felt hot to the touch. This had started 4 months previously in
February after planting 100 trees in her garden. It started with pain in one finger only, then
spreading to all fingers which also became swollen. At that time she also felt cold, lost her voice,
had a sore throat, a temperature and felt generally achy. Since then she had a recurrent sore
throat every 10 days accompanied by ache in all joints. All her muscles generally ached and felt
heavy, she felt lethargic most of the time and she put on weight.
Her tongue was Red, with a thick-sticky-yellow coating. The coating was thicker in the Lung
area (i.e. just behind the tip). Her pulse was Rapid and Slippery.
Diagnosis This is a clear case of Heat Painful Obstruction Syndrome. Originally
when her symptoms started in February, she suffered from invasion of
Wind-Cold-Damp in the joints: Wind, because the pain started in one
finger and moved to other joints, Cold, because she felt cold, and Damp,
because the joints were swollen. She also had symptoms of invasion of