Phlegm-Fluids retention

1. Lung and Stomach Tai Yin

2. Hypochondriac region Xuan Yin

3. General edema (limbs and muscles) Yi Yin

4. Chest and diaphragm Zhi Yin Western medicine – chronic bronchitis, gastritis, pleurisy, ascites, heart Kidney disorders causing edema, emphysema, stomach and intestine disorders  

Chinese Medicine – External Pathogenic invasion, irregular diet, injury (chronic illness, overwork)

Tai Yin hypochondriac and chest fullness, palpitations, shortness of breath, water sounds in abdomen, vomiting clear fluids, thirst with no desire to drink, dizziness, blurred vision, soft stools, lumbago, cold limbs, low abdominal spasms, cold limbs, irregular urination (scanty difficult or frequent copious), T- pale with white slippery greasy coat, P- wiry slippery or deep wiry

Principle of Treatment – warm Yang Qi, induce diuresis

Acupuncture points - foot taiyang, taiyin, Ren, Moxa, tonify, Bladder 23, 20, 22, Spleen 6, Ren 4, 6 (invigorate Yang Qi to help water transformation) - soft stools – Stomach 36, Ren 12 - palpitation, shortness of breath – Pericardium 6, Heart 7

Xuan Xin cough with frothy fluids, chest and hypochondriac distended pain, chest fullness, bland taste, T- pale, P- deep wiry

Principle of Treatment – regulate and harmonize Shaoyang Qi

Acupuncture points - neutral stimulation, Bladder 13 and Lung 1 (cough), Bladder 22 (SJ), Gall bladder 37 (Liver Luo) and Gall bladder 40 (yuan) – regulate shaoyang Qi - to move water more – Lung 7, Liver 14, Ren 17

Yi Yin Wind edema, water spreads to muscles/limbs, heavy body, aching limbs, edema, aversion to cold, cough white frothy Phlegm, shortness of breath, dry heaves, no thirst, T- white coat, P- wiry tense

Principle of Treatment – induce sweat to eliminate water

Acupuncture points - foot taiyin, yangming, taiyang, stimulate until patient breaks sweat, purge and sedate, Spleen 6, 9, and Bladder 20 (help Spleen transform Damp), Bladder 12, 13 and Lung 7 (induce sweat), Large Intestine 4, 11 (invigorate Qi, expel pathogens)

Zhi Yin pleurisy, cough, dyspnea, chest fullness, can’t lay flat, cough large amounts of frothy white Phlegm, if condition becomes chronic patient may get facial edema, T- pale, with white greasy coat, P- wiry tense

Principle of Treatment – waum Lung to transform fluids

Acupuncture points - foot taiyin, taiyang, Ren, Moxa, Ren 17 and Bladder 13 and Lung 7 (Lung Qi regulation), Ding chuan and Gall bladder 21 (deficient Lung Qi), Bladder 20 and Spleen 9 (Spleen transform Damp)  

Alternative Treatment Methods

Ear Acupuncture – LU, SP, LR, GB, LI, shenmen, sympathetic, endocrine, subcortex, bronchi, chest

fire needle – lower abdomen or back shu – heat needle with fire then insert 0.2-0.5 cun quickly and pull out immediately, be sure to keep area clean until healed