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... Based on traditional Chinese names. System 2: Zang Fu Bei Tong Theory .... In Master Tung's style of acupuncture many patterns involving both the SP and KI ...
A meridian circuit is composed of meridians that are interconnected according to either their Chinese names, the internal-external relationships, or the horary cycle.

LU - SP UB - SI

HT - KI GB - SJ

LV - PC LI - ST

System 1: Based on traditional Chinese names System 2: Zang Fu Bei Tong Theory

  Have

been described by many sources.   We use Dr. Richard Tan’s 5 Systems.   System   System   System   System   System

1: 2: 3: 4: 5:

Chinese names Zang Fu Bei Tong Theory Internal-External relationships Horary Cycle – Opposite the clock Horary Cycle – Next to each other

5 Systems

1

2

3

4

5

LU

SP

UB

LI

UB

LV

LI

ST

LV

LU

KI

ST

ST

LI

PC

SP

PC

LI

SP

LU

SI

ST

SJ

HT

HT

KI

GB

SI

GB

SP

SI

UB

SP

HT

LV

UB

UB

SI

LU

KI

LU

SI

KI

HT

SJ

UB

LI

PC

PC

LV

ST

SJ

ST

KI

SJ

GB

KI

PC

SP

GB

GB

SJ

HT

LV

HT

SJ

LV

PC

LI

GB

SI

LU

Essentials of Pattern Identification and the Patients Top 3 Concerns

How do we identify a pattern? By determining what signs and symptoms are present. To identify a meridian based pattern start by asking the patient what their top 3 health concerns are.

  Patients

will tell us what symptoms are most problematic or chronic for them.

  This

prevents us from boxing them into a pattern based on our intake methods and subjective tendencies.

  They

get relief from other conditions and this helps with patient retention.

  After

we know their top 3 concerns, we can usually determine what meridian pattern and zang-fu syndromes are present.

Female, 37 Primary Concern: Frequent bladder infections Secondary Concern: Bronchitis Third Concern: Candida and constipation UB - LU LI Fourth Concern: Kidney pain with a family history of kidney disease.

Primary Concern: Frequent bladder infections Secondary Concern: Bronchitis Third Concern: Candida and constipation Fourth Concern: Kidney pain / Family history UB - LU KI - LI

TCM Patterns and Circuit Theory

Excess Patterns   Damp Heat   Damp Cold Deficiency Patterns   Kidney Yang Deficiency / Vacuity Cold Less Common Patterns   Deficiency of Lungs or Spleen   Obstruction of Lung Qi

  Painful

Urination   Symptoms include: pain, urinary difficulty, and altered frequency or amount of urine   Lin

Syndrome Patterns

◦  Hot Lin ◦  Bloody Lin ◦  Stony Lin ◦  Qi Lin ◦  Cloudy Lin ◦  Consumptive Lin

  Damp-heat   Pathogenic

  Damp-cold   Qi

heat

stagnation   Qi deficiency (KI, SP, LU)   Yang deficiency (KI, SP)

SI - UB - LU KI

Metal-Water Circuit UB - KI LU - LI Tai Yang – Shao Yin UB - KI SI - HT

Tai Yang – Tai Yin UB - SI LU - SP Tai Yang – LV/LU UB - SI LU - LV

The Major Circuits for the Urinary Bladder

UB - KI LU - LI Treats: Damp-heat, damp-cold, kidney qi/yang deficiency, lung qi vacuity

Secondary Concerns: asthma, coughing, bronchitis, lumbar pain, skin conditions, constipation, Candida Points: LU 5, LU 7, Ling Ku, LI 10, LI 11, KI 3, KI 7, UB back shu, ashi points on UB channel near UB 40 and UB 57

 

 

 

 

Individual points are needled on only one side of the body. Choosing what side to place which needles is determined by the location of the symptoms and the meridian systems. When needling the meridian that is symptomatic, needle the same side. In the 5 systems needle on the opposite side for system 1, 3, 5. System 2 and 4 may be needled on the opposite side or on the same side.

LU 5

LK

LU 7

LI 10

UB 40

KI 3

UB 57

KI 7

UB - SI KI - HT Treats: Pathogenic heat, damp heat, qi or yang deficiency

Secondary Concerns: neck, back, shoulder pain, heart diseases, poor memory, eye or ear conditions, shen disturbance, impotence Points: KI 2, KI 3, HT 5, HT 8, SI 3, SI 5, UB back shu and ashi points

UB - SI LU - SP Treats: Damp-heat, damp-cold, lung, spleen, or kidney deficiencies

Secondary Concerns: Neck, back, shoulder, and spinal conditions, respiratory and digestive symptoms. Points: Ren Huang, Di Huang, Tian Huang Fu (Shen Guan), LU 5, LU 7, UB back shu or ashi points, SI may be substituted with SJ or LI

In Master Tung’s style of acupuncture many patterns involving both the SP and KI are treated with the same combination of the 3 Huangs. These points are located on the SP meridian but treat both SP and KI patterns. This 3 point combination is especially effective for SP and KI yang vacuity.

LU 5 LU 7

UB Ashi points

SI

LK SJ 3 Huangs

UB - SI LU - LV Treats: Damp-heat, damp-cold, qi stagnation, and pathogenic heat

Secondary Concerns: shoulder pain in the SI meridian, asthma, tightness in the chest, jaundice, hepatitis Points: LU 5, LU 7, LV 3, LV 7, UB back shu and ashi, SI 4, Gan Men, Chang Men, or SJ or LI points.

Beyond the Major Circuits

  Utilizing

unilateral needling we can select one hand yin channel, one hand yang channel, one foot yang channel, and one foot yin channel.

Foot Yang Channels UB, ST, GB

Foot Yin Channels KI, SP, LV

UB – Most commonly used as it directly affects the meridian and organ.

KI – Direct connection to UB, used when KI signs and symptoms present.

ST – Useful when SP vacuity or SP damp is present.

SP – Very commonly used as useful as KI points for many cases. 3 Huangs

GB – Rarely used but helpful for LV/GB dampheat patterns.

LV – Typically only used when LV qi stagnation is the causative factor.

Hand Yin Channels LU, HT, PC

Hand Yang Channels SI, LI, SJ

LU – Is the hand yin meridian that most directly affects the UB.

SI – Useful for yang vacuity (SI 3), or if LV/GB damp heat is also present.

HT – Rarely used, but helpful for heart fire patterns, HT 5

LI - Good for stopping pain (LI 4, LK), liver stagnation, or SP, LU, and KI patterns.

PC – May be useful for some SP – ST, and KI patterns, or for liver qi stagnation.

SJ – Clears pathogenic heat and resolves damp heat.

Other Ways to Build Circuits

UB - LU - SP - SJ Treats: Damp-heat, qi deficiency, yang deficiency Secondary Symptoms: Lung or spleen conditions, SJ meridian pain, edema, shoulder pain, upper thoracic pain, temple headaches

SJ - KI - UB - LU Treats: Damp-heat, pathogenic heat, kidney qi and yang deficiency Secondary Symptoms: Heat, fever, temple headaches, SJ meridian pain, neck pain, ear conditions, wind patterns, heart problems

Male, 54 Primary Concern: Difficult urination Secondary Concern: Neck and upper back pain, SI and UB Third Concern: Weak digestion and appetite, bloating UB - SI LU - SP TCM Pattern: Qi and yang deficiency Points: 3 Huangs, LU 7, LU Ashi proximal to LU 7, SI 3, UB 62, and ashi point near UB 57

Male, 34 Primary Concern: Abnormal urination with increased frequency and incontinence. Secondary Concern: Infertility Third Concern: Shen disturbance including depression, mental fatigue, insomnia, restlessness, irritability UB - KI

UB - KI Third Concern relates to shen disturbance and the heart. UB - KI HT Patient also had sore back and knees, excessive sweating, heat in the chest, thirst, dry stools, and a thin red tongue.

UB - KI SI - HT TCM pattern: KI yin deficiency with heat What would be the most appropriate hand yang channel to use for this case? Remember the LI and SJ both connect to the KI so we should consider using them as well.

SJ UB - KI - HT LI Points: UB 40, UB 60, KI 3, KI 9, HT 5, LK, SJ 4

Final Conclusions

 

Heat

SJ - KI - UB - LU, or Tai Yang – Shao Yin

 

Stone

Circuit used depends of overall pattern.

 

Blood

Metal-Water Circuit, Tai Yang – Shao Yin Tai Yang - Tai Yin (SP good for blood)

 

Cloudy

Tai Yang – Tai Yin

 

Taxation

KI - UB - LU - LI, Tai Yang – Tai Yin

 

Qi Lin

Tai Yang – Tai Yin, UB - LU - LV - LI

 

Hand Yang Channel of LI

 

Hand Yin Channel of LU

◦  Ling Ku, LI 11, or LI 10 ◦  LU 5 and LU 7

 

Foot Yin Channel of SP ◦  3 Huangs

 

Foot Yang Channel of UB

◦  Ashi points near UB 40, or near UB 57 UB - LU - SP LI

LK LI 10 LI 11 3 Huangs for SP and KI

LU 5 LU 7

UB ashi Back shu

  The

basis of meridian based approaches starts with the 5 systems and the 15 major circuits.   Use the technique of asking about the patient about their top 3 concerns.   Understand mirroring and imaging.   Compare and contrast Meridian Circuit Theory with Zang-Fu approaches   Use unilateral needling

Richard Tan, 2004, Lectures on the Balance Method and Master Tung’s Points. Wei-Chieh Young, 2008, Lectures on Tung’s Acupuncture, American Chinese Medical Cultural Center. Peter Deadman, Mazin Al-Khafaji, Kevin Baker, 2007, A Manual of Acupuncture, Journal of Chinese Medicine Publications. Jeffrey Jacob, 1996, The Acupuncturist’s Clinical Handbook, Aesclipius Press. Giovanni Maciocia, 1989, The Foundations of Chinese Medicine, Churchill Livingstone. Zhao Jingyi, Li Xuemei, 1998, Patterns and Practice in Chinese Medicine, Eastland Press