Acupuncture formula for treating common pain

Li Xiufang (Acupuncture Department of Guang 'anmen Hospital)

Acupuncture can relieve pain, which has been confirmed by a lot of clinical practice. The analgesic effect of acupuncture on pain is closely related to the appropriateness of acupoint selection formula. Here, make a brief introduction to this problem.

First, the basic principle of prescription: Generally speaking, we should consider selecting points from the aspects of the relationship between the inside and outside of the zang-fu organs, the whole and the part, the proximal and distal ends, and the combination of the same and different meridians, grasp the main contradictions and formulate prescriptions dialectically. For the treatment of eye pain, we can consider "opening the liver to improve eyesight", because the circulation of the liver meridian is related to the eyes, and the liver meridian and the gallbladder meridian are combined in exterior and interior, so we should take the groove of the liver meridian, adjust the liver and benefit the eyes to achieve blood circulation and pain relief, and add the light wind pool of the exterior and interior meridians to clear the head and improve eyesight and dredge the meridians and pain relief; Take bamboo at the proximal end. This point belongs to the bladder meridian, and the kidney meridian is outside and inside. Tonifying method can tonify kidney and eyes, promote blood circulation and relieve pain. Take the remote Hegu, which belongs to Yangming meridian and is full of qi and blood, which can dredge qi, promote blood circulation and relieve pain; Taixi point is the original point of kidney meridian, which can tonify kidney water. Because of aquatic wood, the mother can be strong. Neiguan belongs to the pericardium meridian of hand Jueyin and has the same name as the liver meridian of foot Jueyin. It can dredge channels and collaterals, promote blood circulation, promote vasodilation and reduce intraocular pressure, thus achieving the purpose of relieving pain. Other formulations are also roughly the same. But each kind of pain does not necessarily choose points from the above aspects at the same time. The number of acupoints varies according to different situations.

Second, the formula of common pain: see the table below for details (it should be used flexibly according to syndrome differentiation).

Acupoint selection formula for common pain

Third, the choice of acupuncture techniques: Chinese medicine believes that pain is caused by the poor circulation of qi and blood in the meridians, that is, "the impassability is painful" as mentioned in Neijing.

Acupuncture can "dredge its meridians" and "regulate its blood gas" to achieve the purpose of relieving pain. Clinically, according to the deficiency and excess of the disease, we can choose methods such as purging excess, tonifying deficiency, removing heat, storing cold, moxibustion depression and calming diarrhea. For example, for migraine, the prescriptions mainly take Fengchi and Xu Qiu points as gallbladder channels, with purging for excess syndrome and reinforcing for deficiency syndrome. The needle can be kept for 20-30 minutes for heat syndrome and 20-30 minutes for cold syndrome. Those with deficiency of both qi and blood can use moxibustion or acupuncture plus moxibustion, while those with deficiency can use tonic to stop diarrhea.

Note: This article is taken from Journal of Acupuncture 1979.3.2. Organized by medical education, all kinds of prescriptions and prescriptions involved are for reference only and cannot be used as prescriptions. Please don't try blindly, this platform will not bear any responsibility arising from it!

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