Subject Index SUBJEC T I ND E X 647

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1 SUBJEC T I ND E X 647 Subject Index A abdomen, measurements 62 abdominal disorders 142, 143, 237, 238, 284, 287, 332, 377 abdominal organs, injury 56 abdominal pain 297, 330 abdominal region, important points 406 abdominal region dysfunctions 122, 125, 348, 380 abdominal tension 310 Achilles tendon pain 220, 228, 230, 234 acupuncture points 9 anatomical equivalents 9 characteristics 32 combination, zang fu organ disease 442 differentiation electrical conductivity 9 locating technique 32, 61 number of 38 sites of passage through fascia 9 10 by TCM syndromes acute life-threatening conditions 12 acute syndromes 439, 441 adverse effects, of acupuncture 13 aggression 435 air qi 471 allergic diseases 87, 109, 179, 373 anal prolapse/spasm 211 anatomical correlates 9 10 anemia 183, 200, 309, 321 anger 435, 443 ankle dysfunction 114, 140, 203, 205, 300, 383 anxiety 149, 150 appendicitis, test 383 appetite disturbances 381, 612 arm atrophy or weakness 86 arm pain 69, 70, 71, 78, 88, 89, 90, 152, 153, 170, 269, 270 arrhythmias 606 ascending liver yang , 626, 628 asthma 70, 192 autonomic nerve fibers 40, 41 autonomic reactions 13, 53 B back transporting (shu) points 41, 179, 181, 182, 183, 185, 187, 188, 190, 192, 194, 195, 196, 210, 558 Ba gang , , 551 deficiency 550, 553 disharmony patterns 584 belching 183, 311 bioimpedance 9 bladder, irritable 220 bladder channel bladder dysfunction 320 bladder qi 15 blister formation 13 blood (xue) disharmony patterns , 551, 590 formation and functions 545, 579 stagnation in stomach 517, 619, 621, 623 yin yang balance 87, 138 blood (xue) deficiency , 555, 583, 585, 590, 591 heart disharmony 610 heart vs liver 595 qi deficiency vs 588 blood flow 6, 8, 9, 15, 545 blood (xue) heat 547, 590 blood (xue) stasis 547, 583, 586, 590, 597 heart disharmony 609 blood vessels, injury brain areas, point relationship 3 4 breathlessness 70 burns, moxibustion causing 13 buttock pain 201, 213 C carpal tunnel syndrome 246, 379 case studies 3, cervical spine dysfunction 270, 289 cervicothoracic region dysfunctions 349 channel axes 19, 20, 21, 425 channel clock 26 channel cycles channel pairs 22 channels 18, 43, , 425 point relationship 10 twelve regular chest, important points , chest pain 69, 216, 217, 238, 248, 250, 297 chest tightness/tension 238, 239, 248, 249, 267, 284, 296, 333, 348, 349, 377 childbirth 85 children, acupuncture effects 3 chong mai, liver blood stasis 525, 627 chronic pain syndromes 7, 10, 425 chronic syndromes 440, 441, 541 circadian rhythm 26 classification of diseases 5 6 climates, five , 541 CNS, molding effect and segmental structure 8 coagulation defects 12 coccygeal pain 346 coccygodynia 378 cold 446 aversion to 451, 452 elimination 50 cold dampness invading spleen 506, 615, 617 cold invading stomach 516, 619, 621, 623 cold pattern 451, 452, therapeutic principles 433, 434, 435, 444 colds 342, 349, 418, 445 common fibular nerve 57 conception vessel 11, 38, 72, concretization of orientation 599 confluence points (Ba Mai Jiao Hui Xue) 43, 158 of conception vessel 72 of extraordinary channel 133, 205, 246, 259, 290 connective tissue consciousness, loss of 53 construction qi 16 contraindications, for acupuncture 12, 13 control groups, scientific studies 4 5 control points 37 coracoid process 68 cough 327, 418, 599, 600, 604 counter-irritation 7 coxalgia 297, 298 cramp, calf 202, 219, 307 crossing point of three foot yin channels cubital fossa 56, 57 cultural aspects 2, 4 cultures, transference of therapeutic method 2 cun measurement cupping curriculum, for medical education 3 cystitis 141, 142, 220, 221, 291, 312 D damp cold invading spleen 506, 615, 617 damp heat in liver and gallbladder 526 damp heat invading spleen 507, 615, 617 dampness chronic gastritis 446

2 648 dampness elimination 50, , 133, 135, 136, 195 dampness therapeutic principles to pattern 433, 434, 445 defensive (wei) qi 15, 16, 451, 471, 497, 578 deficiency, diseases of 440, depression/depressive moods 148, 244, 560, 561, 624 diabetes mellitus, pain 10 diagnostic delays 53 diagnostic methods 450 excess deficiency evaluation 454, 455 patterns of disharmony 599 diarrhea 237, 285, 310, 330, 331 directions of actions 12 disease deterioration 53 disharmony, pattern identification , Ba gang (eight principles) , blood (xue) , 590 case studies external pathogenic features (climates) , 541 internal pathogenic features (emotions) 435, 443, 452, 542 jing disharmony 548 orientation 599, 600 qi disharmony tongue changes 598 vital substances (qi) 450, zang fu organs 423, 441, , , dizziness 53 dryness 49, 445, 446 dysmenorrhea 124, 125, 141, 210, 306, 312 dysphagia 334 E ear acupuncture, infections 54 ear disorders 166, 226, 256, 257, 259, 263, 264, 266, 270, 271, 276, 277, 293, 294 ear points 11 earth, transformational phase 28 29, 574 edema 136, 230, 368, 369 elbow dysfunction 87, 97, 148, 161, 244, 269, 379 elbow pain, treatment 429 elbow region, important points 398 electroacupuncture, side effects 58 electrode pressure, variations 9 emergency point 154, 251, 381 emotional factors 435, 443 endorphins, release 2 3 endothoracic pain 143, 144 epicondylitis 70, 71, 86 epigastric discomfort/tension 311, 618 essence see jing essential qi 16 excess, diseases of 439, excess deficiency principle 423, , excessive reactions to acupuncture 13 exhaustion, pronounced 200, 321, 322, 330, 340 exterior heat vs exterior cold 452 exterior interior patterns 439, exterior patterns , 453 external pathogenic factors 433, 596 pattern of disharmony by , 541 extracellular matrix 10 extra points eye diseases 102, 117, 174, 207, 208, 265, 278, 280, 292, 300, 306, 359, 360, 361, 373, 374 F face, measurements 62 facial pain 103, 104, 105, 116, 118, 165, 328 facial paresis/paralyses 92, 117, 118, 165, 263, 278, 328 facial region 11 disorders 85 fascia, superficial 9 10, 11 fatigue 109, 188, 190, 340, 342 fear 435, 443 febrile diseases 262 fecal incontinence 211 fen, cun relationship 61 fertility disorders 125 fetal position correction 206 fever finger cun 64 finger dysfunctions 368 finger pain 167, 266, 380 fire (blazing upwards) 583, 584, 586 heart fire 493, 609, 611 liver fire 524, 627, 629 stomach fire 619, 621, 623 fire, transformational phase 28 29, 571 flatulence 310, 330, 467, 612 fluid, accumulation 30 flu-like infections 280, 439 food qi 16, 471, 497 food retention in stomach 619, 621, 623 foot dysfunctions 127, 139, 220, 221, 372 important points , 415, 416 foot pain 301 yin and yang channels 18 forbidden point 121 forearm, important points forearm dysfunction 169, 246, 267, 268, 379 forefoot dysfunction 233 forehead affections 174 front mu (collecting) points 40, 67, 68, 106, 310, 311, 320, 321, 323, 325, 330, 442 fu organs 27, 28, 441, 582 point combinations for 442 G gallbladder, damp heat in 526 gallbladder channel gallbladder dysfunction 185, 187, 284, 382 gastritis, chronic 442, 446, 447 gastroenteritis 330 gastrointestinal tract dysfunction 123, 124, 127, 133, 134, 139, 188, 217, 218, 251, 285, 307, 381 Gate Control Theory 7 8 gathering qi 16, 471, 497 genital dysfunction 320 genital itching 312 genitals (external), dysfunction 314, 315 globus hystericus 312, 334, 446 governor vessel 11, 38, 159, grief 560, 561 group luo (connecting) points 42 gu qi 16 gynecologic disorders 134, 136, 138, 141, 192, 226, 228, 230, 234, 235, 297, 307, 309, 322, 384 H hand dysfunctions 158 important points yin and yang channels 18 head important points , measurements 63 headache 84, 158, 168, 174, 206, 207, 208, 209, 246, 278, 280, 282, 345, 358, 360, 361, 373, 376 back of head 203, 205, 342, 343, 344, 350, 351, 352, 359 frontal 105, 114, 207, 351, 352, 359 hangover 112 temporal 256, 257, 259, 263, 265, 271, 287, 290, 292, 293, 294, 295, 296, 300, 301, 306, 307 treatment 426

3 SUBJEC T I ND E X 649 treatment unilateral 277 vasomotor 257 heart disharmony patterns heart disharmony symptoms 486, 487, 488, 606 functions , 579 injury 55 psychosomatic dysfunctions 570, 571 zang fu organ interactions 484 heart blood deficiency 492, 545, 595, 608, 610 heart blood stagnation 494, 611 heart channel heart fire 148 heart fire (blazing upwards) 493, 609, 611 heart network , 582 heart personality 570 heart problems 148, 149, 150, 153, 154, 181, 182, 216, 244, 246, 248, 250, 325, 332, 333 heart qi 149, 485 deficiency 489, 592, 610 heart yang deficiency 490, 593, 608, 610 heart yin deficiency 491, 594, 608, 610 heat elimination 50 retention 603, 605 in stomach 514 heat cold 440 heat pattern 452, therapeutic principles 433, 434, 445 heat symptoms, treatment 71 heel dysfunction 203 hemorrhoids 197, 211, 212, 346, 353 hip joint dysfunctions 142, 286 hip region, important points 409 historical aspects 2 history, cupping 34 HIV infection 54 hoarseness 327 hole (xue) 9 hun 566, 567 hypermenorrhea 312 hypersalivation 118, 328, 334 hypertension 306 hypomenorrhea 330 I imaging, CNS 8 immune response 53 immunomodulation 138 impotence 125, 322 indications for acupuncture 12 indigestion 136, 310, 323, 467, 612 infections, needling causing 13, infectious diseases 179, 259 infertility 330 influential point of qi 325 influential point of the blood 183 influential point of the fu organs 323 influential point of the marrow 289 influential point of the muscles and tendons 287 influential point of the zang organs 310 inguinal region pain 309 intercostal neuralgia 249, 267, 296 interior pattern , 453 internal diseases, five-step concept treatment internal pathogenic factors 435 pattern of disharmony 443, 452, 542 interneurons, inhibitory 7 intestinal tract disorders 106, 109, 322, 331, 347 irritability 624 itching skin diseases 134 J jing (essence) 16, 531, 545, 559 deficiency 538 disharmony patterns 548 functions 548 joints, needle insertion cautions 54 joy 435, 443 K kidney disharmony patterns disharmony symptoms , 630 functions psychosomatic dysfunctions 563, 564 zang fu organ interactions 530 kidney channel kidney essence (jing) 16, 531 deficiency 538, 632, 634 disharmony 548 kidney network , 582 kidney personality 563 kidney qi 15, 485, 531 deficiency 539, 543, 589, 592, 632, 634 kidney yang deficiency 536, 593, 633, 635 kidney yin deficiency 528, 529, 537, 594, 633, 635 with empty fire blazing upward 540 knee dysfunction 107, 108, 109, 126, 136, 138, 198, 235, 313, 369, 370, 371, 382 knee important points , 412 pain 212, 213, 214, 299 L large intestine channel large intestine disturbances 126, 194 laryngopharyngitis 170 larynx, dysfunction 97, 119, 327 leg (lower) dysfunction 140, 141, 202, 220, 230, 234, 287, 290, 299, 300, 312, 313, 369, 382, 383 important points , 412 leg pain/paralysis 286, 299 life force see qi limbic system 8 lip dysfunctions 353 lipomas 112, 113 liver damp heat in 526 disharmony patterns disharmony symptoms , 624 dysfunctions 185 functions psychosomatic dysfunctions 567 liver blood deficiency 527, 545, 546, 595, 626, 628 liver blood stasis 525, 627, 629 liver channel liver fire (blazing upwards) 524, 627, 629 liver network , 582 liver personality 566 liver qi 518, 544 stagnation 112, 523, 627, 629 liver yang, ascending , 626, 628 liver yin deficiency 528, 529, 594 locomotor system dysfunction 364, loin pain 286 long-term vs short-term treatment 3 lower burner 247, 578 lower extremity, measurements 63 lower he point 109, 127, 198, 287, 442 lower HT (Sea) points 42 lumbago 352, 430 lumbago sciatica 197, 199, 213, 219, 220, 234, 300, 352, 431 lumbar region important points pain 630 lumbar region dysfunctions 158, 175, 192, 194, 195, 196, 197, 198, 202, 203, 210, 211, 219, 226, 298, 340, 346, 347, 377, 378 lumbosacral region dysfunction 212, 365, 366

4 650 lung damp phlegm retention 482, 604 disharmony 73, 475, 476, disharmony symptoms 30, , , 600 functions 471, heat retention (phlegm heat) 483 injury psychosomatic dysfunctions 561 wind heat/cold invading 478, zang fu organ interactions 470 lung channel 49, lung disease 69, 70, 71, 72, 74, 78, 178, 179, 183, 200, 232, 239, 327, 333, 334, 348, 349, 363 lung network , 582 lung personality 560 lung qi 15, 17, 69, 72, 73, 451, 578 deficiency 476, 543, 592, 599 dysfunctions 30 lung yin deficiency 477, 594 luo (connecting) points 39, 72, 95, 112, 134, 149, 169, 219, 234, 246, 259 three hand yin channels 250 M mamma, diseases 120, 121, 167, 325 mastitis 325 mastopathy 239, 296 mechanism of action, acupuncture 3 4, 8, 9 medial malleolus pain 312 median nerve 57 medical students, curriculum 3 meeting points (Ba Hui Xue) 43 Meniere s disease 113 menopausal symptoms 330 menstrual disorders 376 menstruation, irregular 125, 135, 185, 306, 330 metal, transformational phase 28 29, 561 metatarsalgia 133, 134 micturition disturbances 124, 141, 142, 195, 196, 198, 211, 214, 219, 234, 235 middle burner 247, 578 migraine 256, 259, 265, 277, 287, 290, 292, 300, 301, 306, 307 mind body relationships 559 mock acupuncture, control groups using 5 monad, yin and yang 14 mood swings 624 mouth dysfunctions 353 moxibustion (moxa) 2, 13, 33, 70, 440, 444 mucus, excessive 30 mugwort, dried 2, 30 mu points 40 muscle disorders, painful 179, 181, 182, 183, 185, 187, 188, 190, 200, 217, 219 muscles, dysfunctional 432 muscle-specific distance points 432 myogeloses see muscle disorders; trigger points N nausea 4, 122, 183, 246, 250, 311, 446, 618 neck pain 103, 158, 220, 263, 294, 296, 427 see also shoulder neck disorders neck region, important points 395 needles 2 insertion method 32 placebo 5 stimulation 32 turning 10, 32 needling method 32 nerve regeneration, pain relief 6 neuromatrix 7, 8 neurosignatures 7 neurotransmitters, pain relief 6, 7 neurovascular bundles 9, nose, dysfunctions 30, 92, 98, 102, 117, 127, 359, 374 nutritive qi 16, 471, 485, 531, 545, 548, 578 O obstetric disorders 384 obstipation 237 organ injury 14, orientation, disharmony patterns 599, 600 original qi 16, 497, 531, 578, 579 oxygen supply, acupuncture-induced changes 8 P pain causes and mechanisms 7 chronic, gate control theory 7 external pathogenic factors 596 increased by acupuncture 13 peripheral neuropathy 10 qi stagnation and blood stasis 597 region of needle insertion 13 pain relief 2, 4 five-step concept mechanisms 6 palpitations 606 paranasal sinuses, dysfunctions 92, 98, 102, 117, 359, 374 pathogenic factors 177 elimination by shu points 47 48, 49 see also external pathogenic factors; internal pathogenic factors patient-specificity 6 peak time 26 pelvis, dysfunctions 378 pericardium channel peripheral nerve injuries 57 peripheral neuropathy, pain 10 permanent needles 54 pharyngeal reflex 328 pharyngitis 266 pharynx, dysfunctions 97, 327 phases of transformation five shu points phases and correlates 28 29, 561, 564, 568, 571, 574 phlegm 112, 113, 133, 445 damp, retention in heart 609, 611 damp, retention in lung 482, 604 heat, in lung 483 placebo effect 2 3 placebo needles 5 placenta, incomplete detachment 124 plastic reactions 7 pleura, injury 55 plum pit syndrome 112 pneumonia, acute 541 pneumothorax 14, 55, 56, 68 po (corporal soul) 475, 559, 560 po hu 558 points see acupuncture points popliteal fossa 57 posterior body, measurements 63 premenstrual syndrome 290 prostatitis 329 prostatodynia 346 pruritus ani 346 psychosomatic aspects of human nature 30 psychosomatic dysfunctions 109, 112, 134, 150, 181, 182, 185, 216, 217, 218, 226, 246, 307, 332, heart 570, 571 kidney 563, 564 liver 567 lung 561 spleen 573 psychovegetative restlessness 153 pubic symphysis, point location 61 Q qi 15, 16, 30, 457, 459, 559 circulation in channels 26 disharmony patterns , 551 distribution and descent 70, 473 flow in zang fu organs 15, 581 formation 16, 578 functions 15, 580 names and types 15, 16

5 SUBJEC T I ND E X 651 qi pathology of 17 prenatal and postnatal 16 qi deficiency 12, 17, 68, 469, 543, 551, 583, 585, 591 blood deficiency vs 588 heart disharmony 608, 610 qi deficiency of lung, spleen, heart, kidney 592 lung disharmony 604 qi stagnation vs 589 qing qi 16 qi stagnation 17, 283, 425, 544, 583, 586, 597 qi deficiency vs 589 R Raynaud s disease 153 rebellious qi 17, 107, 544 reflux esophagitis 331, 332, 334 relaxation, excessive, acupuncture causing 13 research, misinterpretation reasons 9 research areas 6 respiratory tract diseases 120, 178, 181, 192, 210, 216, 226, 239, 325 restlessness 148, 149, 153, 248, 345, 352, 358 rheumatic discomfort 259 rhinitis 72, 351 S sacral region pain 346, 378 sciatica 197, 199, 213, 219, 220, 234, 290, 300 scientific aspects, acupuncture 2 11 scientific studies 3 4 control groups 4 5 objective measurements 5, 8 preconditions and requirements 4 6 reproducibility 5 6 weaknesses and errors 4 seasonal occurrence of disease 30, 85 sedation point 70, 140, 150, 161, 233, 248, 306 sensibility, impaired, region of needle insertion 13 sexual dysfunction 192, 212, 226, 233, 320, 322, 340, 630 shen 148, 559, 570, 571 short-term vs long-term treatment 3 shoulder, important points 396, 397 shoulder arm region dysfunction 259, 269 shoulder disorders 69, 70, 71, 72, 88, 89, 90, 97, 111, 216, 261, 262, 270 shoulder hand syndrome 169 shoulder neck disorders 158, 160, 161, 162, 163, 164, 170, 175, 178, 203, 268, 280, 282, 342, 362, 363, 367 shoulder pain, treatment 428 shu mu method 441, 442 shu points 41, 45, 46 shu points five (transport) points 43 44, phases of transformation and practical implications side effects of acupuncture singultus 183, 217, 246, 348, 377 sinusitis 278, 351 skin, side effects of acupuncture 58 skin disorders 198 skull, roof, important points 394 sleep disturbances 148, 181, 228, 345, 606 small intestine channel somatotropic organization 8 sorrow (sadness) 435, 443 specification of orientation 599, 602 speech disturbances 149, 327, 334, 343 spinal cord, injury 56 spleen cold dampness invading 506, 615, 617 damp heat invading 507, 615, 617 disharmony patterns disharmony symptoms 30, 467, , 612 functions psychosomatic dysfunctions 573 zang fu organ interactions 496 spleen channel spleen network , 582 spleen personality 573 spleen qi 15, 578, 579 deficiency 467, 468, 502, 543, 592, 614, 616 not controlling blood 505, 614, 616 spleen qi sinking 504, 614, 616 spleen yang deficiency 467, 468, 503, 512, 593, 615, 617 standardization, patient-specificity vs 6 sternal foramen 11, 55 sternum 11 stimulation site, selection 424 stimulation strength, selection 424 stomach cold invading 516 disharmony patterns disharmony symptoms , 618 food retention 513 functions 497, stomach stagnation of blood 517 zang fu organ interactions 496 stomach channel 49, stomach disorders 107, 115, 127, 190, 217, 244, 284, 323, 331, 332 stomach fire (blazing upwards) 619, 621, 623 stomach fire (heat in stomach) 514 stomach network 582 stomach phlegm fire 515 stomach qi 15, 578, 579 deficiency 510, 618, 620, 622 stomach yin deficiency 511, 618, 620, 622 stool problems 612 Streitberger needle 5 stroke, recovery from 3 subtalar joint dysfunction 205, 226, 228, 230 swallowing difficulties 280 symptoms, disturbed organ networks 582 T talocalcaneonavicular joint dysfunction 205, 226, 228, 230 tao 559 temperature, increased 9 temporomandibular joint dysfunction 103, 104, 166, 264, 271, 276, 292 tension in chest 179 thermoreceptors 11 thigh dysfunctions 125, 126, 141, 314 thigh pain 201, 219 thoracic pain 143, 144, 185, 210, 216, 427 thoracic qi 16 thoracic spine dysfunction 348, 349, 377 thoracodynia 152 thoracolumbar region dysfunction 347 thorax, measurements 62 throat diseases 76, 97, 119, 127 thumb pain 380 tinnitus 159, 170, 280 tiredness 13, 330 toe dysfunctions 133, 221, 306, 372, 384 tongue, patterns of disharmony 598 tongue dysfunctions 375, 551 tonification points 74, 87 88, 114, 139, 154, 158, 206, 230, 256, 309 tonsillitis 266 toothache 103, 118, 328, 353 transformation, phases of see phases of transformation tremor of hands 148 trigeminal neuralgia 92, 117, 118,

6 652 trigeminal neuralgia 165, 166, 263, 276 trigger points, myofascial 7, 292, 293, 432 triple burner 247 triple burner channel true qi 16, 471 U ulcers, mouth/tongue 148 unconsciousness 352 upper burner 70, 418, 578 upper extremity, measurements 62 urogenital disorders 134, 136, 192, 210, 218, 226, 228, 230, 236, 237, 290, 307, 309, 312, 314, 321, 329, 340, 630 acute 313 V vertebral column dysfunction 205 vertigo 148, 175, 209, 263, 280, 343, 344, 345, 350, 351, 358, 376 vital energy see qi vital substances, disharmony patterns 450, vomiting 122, 183, 246, 250, 311, 446, 618 W water, transformational phase 28 29, 564 weakness 109, 192, 210, 226, 440, 630 wei qi 15, 16, 451, 471, 497, 578 wind 50, 176 therapeutic principles to pattern 433, 434, 445 wind cold 478, 479, 480, 603, 605 wind diseases 280 wind heat 478, 479, 481, 603, 605 wood, transformational phase 28 29, 568 worry 435, 443 wrist dysfunction 149, 150, 158, 168, 246, 248, 380 wrist pain 72, 74, 78, 94 yang deficiency spleen, kidney and heart 593 yin deficiency vs 587 yang zhi 563 yi 573 yin 14, 457, , 559 excess yin and yang in equilibrium yin channel axes 21 yin channels 18, 19, 22, 38 shu points 45 yin deficiency 446, , 553, 583, 585, 591 heart disharmony 610 kidney, lung and heart (liver) 594 lung disharmony 604 yang deficiency vs 587 ying qi 16, 545, 548, see578 yin zhi 563 yuan (source) points 38 39, 74, 84 85, 115, 133, 150, 168, 226, 248, 257, 307 psychosomatic dysfunctions 558 yuan qi (original qi) 16, 497, 531, 578, 579 Z zang fu organs 16, 27, 466 chronic pain effect 435 disharmony 423, 452 disharmony patterns 441, , , 583, disturbance 17, 215, 541 qi flow in 581 zang organs 27, 28, 441, 558, 582 internal pathogenic factors 443 point combinations for 442 zhen jiu 2 zhen qi 16 zhi 559, 563, 564 zhi shi 558 zong qi 16 X xi (cleft) points 39, 95, 107, 141, 160, 250, 267, 313 Y yang 14, 457, , 559 excess 148, yang channel axes 20 yang channels 18, 19, 22, 38 sea of (SI-3) 159 shu points 46 yang deficiency 230, , 469, 583, 585, 591 heart disharmony 610

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