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Herkese Açık·15 üye
Elijah Reed
Elijah Reed

Extraordinary Vessels Points

Traditional Chinese Medicine utilizies a number of theories which group acupuncture points together based on their functions and/or other relationships. Many of these theories are important in a clinical setting and are used, along with other theory and diagnostic information, to decide which acupuncture points will be used for a given condition.

extraordinary vessels points

The extraordinary vessels run "behind" the 12 main meridians. They interconnect with the 12 meridians and correspondingly allow for broad and deep effects within the body. 6 of the 8 extraordinary vessels has a master and coupled point on a pair of the main meridians. The Governing Vessel and the Conception Vessel, however, have their own points. The extraordinary vessels are used extensively within Japanese acupuncture, in particular with Dr. Manaka's ion pumping cord treatments.

There are eight Extraordinary Vessels in the body, and only two have acupuncture points along their pathway. One of these is the Governing Vessel, or Du Mai. It originates between the kidneys, flows down to the perineum and then runs up the length of the spine, through the brain, over the top of the head and down the midline of the face.

Due to its pathway inside the spine, the Du Mai is used clinically for strengthening the spine and the back. Acupuncture needles can be inserted into points directly along the Du Mai meridian, or the vessel can be accessed by needling certain opening points on the wrists and ankles, which directly influence the Du Mai. It can be a great distal treatment for back pain, because the Du Mai can be treated with patients lying on their back or seated in a chair, if lying face down is too uncomfortable. It is an important treatment for many back issues such as bulging discs, arthritis or spinal stenosis.

Apart from treating local a-shi points with electrical stimulation, as I will discuss below, one of the most useful approaches I've found for treating knee disorders is through the extraordinary vessels. As all students learn in Oriental medicine school, four of the extraordinary vessels -- yin qiao, yang qiao, yin wei and yang wei -- run through the area of the knee. Since, as Japanese theorists have pointed out, the extraordinary vessels play an important role in maintaining the structural integrity of the body, using them to treat knee disorders provides a powerful treatment modality. This is even more important since the knees, like the extraordinary vessels themselves, are ultimately associated with the kidneys. It is for this reason that I always choose these vessels as my treatment modality of choice.

The key to using these vessels, of course, is to choose the correct one or two that are affected. The best diagnostic approach I've found is a palpatory approach that involves the areas around the knee. These areas are as follows:

While three of these areas are discussed in a description of Dr. Ito's treatment style for the extraordinary vessels in general (see Secondary Vessels by Matsumoto and Birch), there is no diagnostic category given there for the yang qiao area, which I've discovered through clinical experience.

In order to diagnose the vessels involved, have the patient lie down with the knee slightly flexed. Palpate the diagnostic areas mentioned above, and note sensitivity in the different diagnostic areas of the vessels. Once these areas have been identified, palpate the opening points related to the extraordinary vessels (and their paired vessels as well). In other words:

One of the four related points (each point is bilateral) to the vessel diagnosed as malfunctioning will normally reduce the discomfort felt when palpating the diagnostic area by at least 50%. This point may be ipsilateral or contralateral, and may be the opening point of the vessel in question or the opening point of its paired vessel. In any case, this is the primary treatment point to use.

Once the disordered vessel (or vessels, in which case you will have to use more than one point) has been discovered, a useful treatment protocol can be performed as follows. First, needle the selected opening point and achieve strong stimulation, tonifying the point if the patient's pulse is weak and dispersing it if the pulse if strong. It is not necessary to use both a master and a coupled point, but one may add the coupled point contralateral to the master is one prefers. Second, needle the xi-cleft point of the vessel involved. These points are:

Remember: as for all other acupuncture points, the actual point is in the "vicinity" of the textbook location; only palpation can actually reveal the "sick" xi-cleft point that must be needled. Third, needle local points as necessary. Finally, if appropriate for the patient, use electrical stimulation at local points and, if possible, create an electrical connection between the most sensitive local point and the xi-cleft point. Twenty minutes of treatment at each session is usually sufficient. Finally, the use of "take-home" approaches such as vaccaria seeds placed at ear points, the use of Korean hand acupuncture pellets at appropriate hand points, or intradermals used at local points for a few days, may all prove beneficial as well. Make certain, however, that the patient is taught how to care for these treatments.

The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels. Prior to the Jin (1115-1234 AD) and Yuan Dynasties (1279-1368 AD) this category of points were not known in Chinese medical texts.

The intersection points were introduced to the Chinese medical community by Dou Hanqing (1196-1280) in his book, Compass Bearings for the Acupuncture Classic. This book is also known as the Guide to Acupuncture. The history of this category of points is interesting. Dou Hangqing states he was given a copy of the book from the hermit Song Zihua. This book was destroyed in a fire in his family library. Years later, Dou Hanqing was able to get a copy from a private library collection.1 The origin of this text is credited to the hermit Shao Shi.2 He is from an unknown time and location.

The Compass Bearings for the Acupuncture Classic includes a presentation of the eight points of intersection. The book states that the points of intersection communicate with one of the eight extraordinary vessels and unite at areas of the body. The following summarizes these connections:

The book goes on to describe the point locations and the symptoms that the eight points treat. There are long lists of symptoms and conditions the points treat (each point treats over 20-symptoms and conditions).4 There is no diagnosis or cause for each of the symptoms and conditions. The book does not include any theories or functions of the eight extraordinary vessels. It does not list any points on the eight extraordinary vessels or how these eight intersecting points actually intersect with their associated eight extraordinary vessels. There is no internal pathway explanation of these meetings and no Chinese medical theory why these points were selected. There is only a list of symptoms that each of the eight points treat and the associated eight extraordinary vessel they intersect.

Theories about the eight extraordinary vessels developed throughout the long history of Chinese medicine. The Ren and Du vessels have their own points. The remaining vessels include points from the main channels. One might ask how does the body know the points selected are an eight extraordinary vessel treatment and not a treatment for the channel, collateral or the organ where the point is located? For example, if Gong Sun, Spleen 4 was selected to treat the Chong Mai, how does the body know it is not a spleen luo collateral treatment or a spleen organ/channel treatment? There is no recognized acupuncture theory in the classics before or after Dou Hanqing that explains how these points work within the body.

Chapter 9 of the Ling Shu, "From Beginning to End," offers an acupuncture treatment plan. Once a diagnosis is made, the method is to treat points on the imbalanced channels. Three points are selected on the Yin-Yang paired channels to balance them. For example, if the foot yang ming (stomach channel) is excess, the treatment will be to treat the foot tai yin (spleen) and the foot yang ming (stomach) channels, to balance the foot yang ming (stomach). This treatment plan is applied to all the channels. The strategy is to directly treat the channel that is imbalanced and treat its Yin-Yang pair. If we apply this strategy to the eight extraordinary vessels, we would select points on the vessels being treated. The Ling Shu offers three points as a treatment, which can be a guide to developing point combinations to influence the eight extraordinary vessels. Whether a practitioner treats more or less than three points is not of primary importance, the goal is to treat the channel directly and pick enough points to cause the therapeutic effect.

Nei Dan is a part of ancient Chinese culture. It can be translated as inner pill or inner alchemy. There are many traditions and methods of Nei Dan. One method I have learned is eight extraordinary vessels Nei Dan. In this practice, qi is guided (with yi/focus) through each of the pathways of the eight extraordinary vessels multiple times. The practice begins by circulating qi in each channel to clear the pathway and restore it to a balanced condition. In Nei Dan, the practitioner is able to feel the pathways and feel the condition of the channel.5 This practice is similar to the guidance in chapter 9 of the Ling Shu, in this situation we are not needling the channel but we are directly influencing the channel by circulating qi inside it. This Nei Dan practice was a guiding experience for how I treat the eight extraordinary vessels: treat multiple points on the vessels(s) to be treated. 041b061a72


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