A Channel Based Approach

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1 A Channel Based Approach

2 Meridian Circuits A meridian circuit is composed of meridians that are interconnected according to either their Chinese names, the internal-external relationships, or the horary cycle.

3 The Five Systems Have been described by many sources. We use Dr. Richard Tan s 5 Systems. System 1: Chinese names System 2: Zang Fu Bei Tong Theory System 3: Internal-External relationships System 4: Horary Cycle Opposite the clock System 5: Horary Cycle Next to each other

4 Meridian Circuits LV - PC SP - LU HT - KI LI - ST SI - UB GB - SJ

5 The 5 Systems 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

6 Essentially it means we are recognizing characteristic patterns that are based on the patients signs and symptoms.

7 Symptoms and Patterns Symptoms of IBS Abdominal pain or cramping Bloating Gas Diarrhea or constipation may alternate Mucus in the stool Western medicine distinguishes between diarrhea dominant or constipation dominant TCM Patterns Liver Qi Stagnation Disharmony between LV and SP SP Qi Deficiency SP Damp Deficiency of SP and KI Yang Deficiency of SP Yang DH In the Middle Jiao or LI Qi and Blood Stagnation

8

9 The Top 3 Health Concerns 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.

10 Case Studies Female, IBS/constipation 2. PMS 3. Stress / Headaches Female, IBS/diarrhea/bloating 2. Fatigue 3. Depression TCM: LV qi stag. TCM: SP qi vacuity LI - ST LV - PC LI - ST LU - SP

11 Unilateral Needling 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.

12 Unilateral Needling Case Study 1 1. IBS / Constipation 2. PMS 3. Headaches Yang Ming Jue Yin Liver Qi Stagnation LI 4 SJ 6 LV 3 LV 7 PC 6 ST 36 ST 37

13 Summary of Section 1 Five Systems of Meridian Connections The Essentials of Pattern Identification Common Symptoms and Patterns of IBS The Importance of the Top 3 Concerns Unilateral Needling

14 Connections and Circuits

15 Symptoms and Patterns Symptoms of IBS Abdominal pain or cramping Bloating Gas Diarrhea or constipation may alternate Mucus in the stool Western medicine distinguishes between diarrhea dominant or constipation dominant TCM Patterns Liver Qi Stagnation Disharmony between LV and SP SP Qi Deficiency SP Damp Deficiency of SP and KI Yang Deficiency of SP Yang DH In the Middle Jiao or LI Qi and Blood Stagnation

16 LI Connections ST - LV - LI - LU - KI

17 LI Circuits PC - ST - SP - LV - LI - LU - PC - KI - UB

18 LI Circuits LI - ST LV - PC LI - ST KI - PC LI - ST LU - SP LI - LU KI - UB

19 Zang-Fu Patterns and Meridian Circuits Liver and Spleen Patterns

20 IBS / Liver Qi Stagnation Yang Ming Jue Yin Circuit LI - LV ST - PC Treats: LV qi stagnation, LV/SP disharmony, LV qi obstructing the LI LV Overacting on the SP LI - LV ST - PC - SP Is it more important to use the SP or LV meridian?

21 Yang Ming Jue Yin Circuit for Liver Qi Stagnation LI 4 LI 10 PC 3 PC 6 LV 3 LV 7 ST 36 ST 37

22 IBS / LV Overacting on the SP LI 4 LI 10 SP 4 SP 9 PC 3 PC 6 ST 36 ST 37

23 IBS / SP Patterns Tai Yin Yang Ming Circuit SP - ST LU - LI Treats: SP qi vacuity, SP damp, SP damp transforming to phlegm, SP and LU qi vacuity Master Tung Points: Tu Shui 3 point unit that treats SP damp diarrhea, ST damp heat, gastropathy, and ST aches. Is the LU the best hand yin meridian to use? SP - ST - LI - PC

24 IBS / SP Patterns Earth Fire Circuit SP - ST SJ - PC Treats: SP qi vacuity, SP damp, MJ damp heat, blood stagnation Other patterns: SP and HT blood vacuity, shen disturbance For SP patterns assess whether to use: Earth Fire Circuit or Tai Yin Yang Ming The patients top 3 concerns and overall pattern will determine what hand meridians are most important to use.

25 Earth - Fire Circuit Case Study: Female, IBS diarrhea predominated, bloating, cramping 2. Neck Pain SJ 16 / SJ Swelling / Edema Zang - Fu Pattern: SP qi vacuity w/ damp heat

26 Treating IBS with the Earth Fire Circuit SJ 4 SJ 5 PC 6 SP 4 SP 9 ST 36 ST 37

27 Spleen and Kidney Patterns

28 IBS / Yang Vacuity of the SP/KI SP - ST LU - LI UB - KI Useful for yang vacuity patterns with diarrhea and lung symptoms. SP - ST SJ - PC KI Used when patient presents with heart conditions, SJ and PC patterns or constipation.

29 The 3 Huangs Treat SP and KI Yang Vacuity Shen Guan cun inferior to SP 9 Di Huang - 7 cun above the medial malleolus Ren Huang - 4 cun above medial malleolus

30 IBS Patterns Yang Vacuity of the SP or SP/KI The Yang Ming KI/PC Circuit LI - ST - SP KI - PC

31 Using the Yang Ming KI/PC Circuit for SP and KI Yang Vacuity LK LI 10 PC 6 3 Huangs ST 36 ST 37

32 Final Patterns for the Treatment of IBS

33 LI Damp Heat Yang Ming Circuits LI - ST connects to: LV - PC Yang Ming Jue Yin LU - SP Yang Ming Tai Yin KI - PC Yang Ming KI/PC

34 IBS with Damp Heat Yang Ming Tai Yin Circuit Female, Excess weight 2. IBS / diarrhea 3. Lung and sinus congestion LK LI 11 SP 3 SP 9 LU 5 LU 7 ST 36 ST 40

35 IBS Patterns Qi and Blood Stagnation LI - ST LV - PC Use this when liver, heart, and shen symptoms are also present. LI - ST LU - SP Use when spleen and lungs signs are also present.

36 2 More Circuits Jue Yin LI/KI Circuit Metal Water Circuit LI - KI LV - PC ST - LI - LU KI - UB Useful when LV and KI patterns occur together. Used for KI yang vacuity patterns.

37 Case Studies Female, 49 Qi and Blood Stagnation with Kidney Vacuity 1. IBS/Constipation - LI 2. Lumbar pain - KI 3. Headaches - LV LI - LV KI - PC Pts: KI 6, KI 9, LK, SJ 6, PC 6, ST 36, ST 37 Female, 28 Kidney Yang Vacuity 1. IBS/Diarrhea - LI 2. Fatigue - KI 3. Upper Back Pain - UB LI - LU KI - UB Pts: ST 36, ST 37, LK, LI 10, LU Ashi, KI 7, Shen Guan

38 Summary of Major Circuits LI - ST LI - ST LI - ST LV - PC LU - SP KI - PC LI - LV LI - LU KI - PC KI - UB

39 Summary The foundation of meridian based approaches starts with the 5 systems and the 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.

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