April 2021

April 2021

The Office: DNA for Wrist Pain

  • Muscles and Tendons, Jing Jin, and Anatomical Regions
    • Muscles,Tendons, and Nerves: Generally pain can come from either the medial side of the wrist or the lateral side. Have the patient show you where the pain is – either medial or lateral or both. See if the thumb and its movement are in any way involved. The pains can come from tendonitis, pinched nerves or from arthritis in the wrist or the proximal thumb joint. 
      • Muscles, tendons and nerves of the Hand Shao Yin (HT) Jing jin – Posterior Medial
      • Muscles, tendons and nerves of the Hand Jue Yin (P) Jing Jin – Medial Medial
      • Muscles, tendons and nerves of the Hand Tai Yin (LU) Jing Jin- Anterior Medial
      • Muscles, tendons and nerves of the Hand Yang Ming (LI) Jing Jin- Anterior Lateral
      • Muscles, tendons and nerves of the Hand Shao Yang (SJ) Jing Jin- Lateral Lateral
      • Muscles, tendons and nerves of the Hand Tai Yang (SI) Jing Jin- Posterior Lateral
  • DNA treatment strategies
    • First Sequence of needles: Trace the pain up to the elbow of the same side of the pain and needle all points at the elbow along the same Jing Jin as the pain.
    • Second Sequence: Needle the Jing Jin pair at the ankles (bilateral)
    • Third Sequence: Needle the opposite wrist using the Anterior – Lateral relationships. SI and HT treat each other, SJ and P treat each other,  LI and LU treat each other.
    • Fourth Sequence: Spread the image along all previous Jing JIn vessels where there are Ah Shi points on either the legs or arms.

The Office: MPD for Menstrual Disorders

  • Shortened menstrual cycle
    • 2 etiologies
      • Excess: Heat in Blood and/or Blood Stagnation
      • Deficiency: Deficiency of Qi
  • Elongated menstrual cycle
    • 2 etiologies
      • Excess: Qi Stagnation, Excess Cold, or Blood Stagnation
      • Deficiency: Blood Deficiency
  • Irregular menses
    • 1 etiology
      • Excess: Liver Qi stagnation and/or Blood Stagnation

 

  • Shortened menstrual cycle
    • Excess Heat in Blood
      • MPD: Left Chi is deep and pounding or at middle depth and pounding
      • Herbs:
        • Sheng di huang 30
        • Mu dan pi 10
        • Bai shao 10
        • Chi shao 10
        • Zhi zi 10
        • Huang qin 10
        • Qian cao 10
        • If pain in breast or abdomen add:
          • Chai hu 5
          • Yan hu suo 10
          • Chuan lian zi 10
        • If more blood stasis add:
          • Tao ren cheng qi tang 10 to 20
    • Blood Stasis
      • MPD: Left Chi is deep and blocked
      • Herbs:
        • Ge xie zhu yu tang 30
        • Shao fu zhu yu tang 30
        • Tao ren cheng chi tang 30
        • Qian cao 10
    • Deficiency of Qi
      • MPD: Right Guan is thin and weak. Left chi is very thin and weak. The higher it is the more Yin Deficiency. Other pulses will be weak and thin also.
      • Herbs:
        • Gui pi tang 60
        • Bu zhong yi qi tang or Dang gui bu xue tang 20
        • Xiao yao san 20
        • If there is too much bleeding add 5 Tans15
        • If the pulses are too high on the left arm there is Yin Deficiency also then add:
          • Liu wei di huang wan or Yi guan jian: 10 to 20
  • Elongated Menstrual Cycle
    • Qi Stagnation
      • MPD: Left Guan and Chi are very thin, tight and wiry. Could be at any depth.
      • Herbs:
        • Chai hu shu gan tang 40
        • Dang gui 10
        • Mu xiang 10
        • Ze lan 10
        • Tao ren 5-10
        • Hong hua 5-10
    • Excess Cold
      • MPD: Left Chi is very thin and tight, usually mid to deep depth
      • Herbs:
        • Wen jing tang 60
        • Ai ye 10
        • Wu ling zhi 10
        • Tao ren 10
        • Hong hua 10
    • Blood Deficiency
      • MPD: All pulses are thin, weak, slightly higher than normal
      • Herbs:
        • Ren shen yang rong tang 50
        • Tao hong si wu tang 50 
        • Stop bleeding herbs for menses are: for warm stasis – Sheng di huang, Mu dan pi, Han lian cao, E jiao, Pu huang. For cold stasis – Wu zei gu, Pu huang, E jiao, San qi.
    • Blood Stasis
      • MPD: Left Chi is blocked and weak or strong
      • Herbs:
        • Ge xie zhu yu tang 20
        • Shao fu zhu yu tang 20
        • Tao hong si wu tang 40
        • If heat signs add: Tao ren cheng qi tang 20
  • Irregular Menstrual Cycle
    • Liver Qi Stagnation
      • MPD: Left Guan and Chi are wiry and either too high or too low
      • Herbs:
        • Chai hu 10
        • Xiang fu 10
        • Dang gui 10
        • Chuan xiong 10
        • Qing pi  10
        • Chen pi 10
        • Bai shao 10
        • Chi shao 10
        • Tao ren 10
        • Hong hua 10
        • If Heat: Mu dan pi 10
        • If Heat: Zhi zi 10
    • Blood Stasis
      • MPD: Left Guan and Chi are deep and blocked. If the Blocked pulse pushes back there is heat
      • Herbs:
        • Ge xie zhu yu tang 20
        • Zhe chong yin 20
        • Shao fu zhu yu tang 20
        • Tao hong si wu tang 20
        • Wen jing tang 20
        • If heat signs add: Tao ren cheng qi tang 20
        • If pain add: Pu huang and Wu ling zhi

The Office: DNA for Menstrual Disorders

Menstrual disorders range from shortened menstrual cycles to prolonged cycles to just irregular cycles.

DNA treatment is as follows:

  • What muscles, Jing Jin and Anatomical Regions to target?
    • Pubococygeus, Iliococcygeus, Levator ani muscles
      • These muscles are of the pelvic floor and are associated with Foot Shao Yin (K), Posterior Medial
    • Rectus abdominis, transverse abdominis, Internal abdominal oblique, External abdominal oblique
      • Rectus abdominis – Foot Yang Ming (ST) – Anterior Lateral
      • Transverse abdominis, Internal and External obliques – Foot Shao Yang (GB) – Lateral Lateral
  • Target: K, ST, GB
  • What needles to use:
    • First sequence: Needle bilateral ankles – GB 40, ST 41, K 6
    • Second sequence: Needle bilateral wrists – SJ 4, LI 5, HT 7
    • Third sequence of needles: Spread image and needle Ah shi on ST, GB, K on feet and legs. Especially K 1 and 2.
    • Fourth sequence of needles: Needle bilateral ankles – SP 5, LV 4, UB 60 and any Ah shi points on feet and ankles associated with these Jing JIn. Especially UB 62,63,64,67
    • Fifth sequence of needles: P, HT, LI. Ah shi points only. Especially P 8, and HT 8.