Le Tecniche di Puntura a Tre Punti
San Zen
FENGCHI (GB-20),
TAIYANG (EXTRA),
XINJIAN (LV-2),
YANGLINGCHUAN (GB-34)
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Le Tecniche di Puntura a Tre Punti San Zen
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Indicazione di alcune combinazioni a tre punti a cura di Marco Visconti _MD con commenti clinici |
INDICAZIONE E ASSOCIAZIONE DEI PUNTI
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Principale azione e applicazione clinica Si tratta di una combinazione la cui azione si esplica principalmente sui meridiani di Fegato e Vescica Biliare ed ha una notevole azione di riduzione dello Yang, o del Fuoco, e di allontanamento del Vento, specialmente del Vento di Fegato alla testa Per queste sue proprietà questa combinazione è ampiamente usata per trattare l'ipertensione da liberazione di Yang o di Fuoco di Fegato. Può dunque trattare anche cefalee, emicranie, o ipertensione oculare (glaucoma) che hanno in comune la stessa etiologia.
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Funzione dei punti Fengchi è un punto importante, sul meridiano della GB, a livello dell'osso occipitale. è usato in quasi tutte le combinazioni che trattano le cefalee, specialmente di natura Shi. Ha indicazioni per eliminare il Vento (esterno o Vento interno di Fegato), per pacificare il Fegato e ridurre lo yang, per chiarire la mente, illuminare la vista, beneficare le orecchie e ridurre il Calore.
Siccome il suo uso è raccomandato per calmare uno Yang iperattivo, esso andrà manipolato in dispersione girandolo in senso antiorario, oppure affondato rapidamente e ristratto lentamente. Fengchi è spesso unito a Hegu (LI 4) per i vari tipi di cefalee, tratandosi di una combinazione base per le cefalee. Hegu possiede un potente effetto sul viso, fronte e la metà anteriore della testa, mentre Fengchi ha lo stessa efficacia sulla mezza porzione posteriore della testa. Ambedue i punti fanno circolare il Qi ed il Sangue in tutta la testa, disperdendo il Vento e le Stasi. Taiyang è un punto extra situato in una piccola depresione posta sulle due tempie, anch'esso disperde il Vento ed il Calore dalla testa e dagli occhi. Spesso è usato nelle cafalee emicraniche, occhi rossi e dolenti, febbre o ipertensione.
Xinjian ha proprietà simili, usato ampiamente per ridurre il Fuoco di Fegato, pur essendo oocalizzato dall'altra parte del corpo. il piede. Oltre a disperdere l'eccesso di Fuoco di Fegato, Xinjian ha anche la capacità di diffondere il Qi di Fegato che ristagna, generalmente una stasi di Calore, che è una delle sette stasi che esistono in MTC: la Stasi di Qi, Sangue, Umidità, Fraddo, Calore, Tan e Cibo (47). Questa stasi di Calore interessa anche il sangue, of Heat often involves the Blood too, as it causes the Blood to coagulate. Since Blood and Heat both have a close physiologic link with the concept of Liver in T.C.M., it is not surprising that hypertension in its most common etiology, is treated via the Liver or Gall meridians. Xinjian, therefore, is an important point for this disorder, as it treats both Heat and stagnation. Yanglinchuan also has the ability to cool Liver Heat, as well as to clear Damp. It regulates and benefits the Liver and Gall bladder, and strengthens the tendons, sinews and bones. After analyzing each point in the combination, it is clear that this points-combination is built on the concept of mutual assistance. Actually all the above-mentioned points have the quality of lowering Yang, and susbduing Liver Fire. The most frequently encountered etiology for high blood pressure in T.C.M. is hyperactive Liver Yang. This pattern usually involves symptoms like: headache, glaucoma, red eyes, red face, dizziness, tinnitus, etc., all of which are very common in the modern concept of hypertension. According to Chinese medical philosophy, when the Liver lacks Yin (due to Kidney deficiency, most often), or Blood (due to spleen deficiency), or its Qi stagnates due to other causes, it creates Heat. Heat tends to climb up, or float to the head region, via the Gallbladder meridian, which is the Liver coupled meridian, or via the internal branch of the Liver meridian itself. The Heat causes expansion of blood, and blood vessels, thus creating the hypertension, as well as the accompanying symptoms.
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Needling sequence. manipulation and stimulation Needling sequence in this combination is, in general, from above downward, in order to lower, or bring down Liver Yang. It is therefore necessary to use the head points first, in order to sedate Liver Fire or Wind in the head region, then Xinjian which is more important for this purpose, and finally Yanglingchuan. Manipulation of the needles is effected to sedate Liver Yang, and therefore the amplitude and strength should be as high as the patient can tolerate. Nevertheless, care must be taken in cases of fragile constitution, or a pattern which includes a Xu condition, at the same time. In this case the practitioner must assess which is predominant, the Shi or the Xu condition, and stimulate accordingly. It is also advised, in any case, not to be too vigorous with the manipulation at the first session. As we have stated before, in cases which Involve an acute head or eye pain, with inflammation or Fire signs, it is possible to bleed Taiyang, and release a few drops of blood, with the prysmatic needle.
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Herbal equivalent The effect of this points-combination may be compared to the use of Spica Prunella Vulgaris (Xia Ku Cao), together with Flos. Chrysanthemi Morifoli (Ju Hua). The first herb is Cold in nature and acrid, and is used to clear the Liver and brighten the eyes. Very much like Taiyang and Xinjian. The latter herb is slightly Cold and Bitter, and is used to disperse Wind and clear Heat. It therefore clears Wind Heat in the Liver channel, and pacifies the Liver and relieves headache, dizziness, red and painful eyes, etc. Its action resembles that of Fengchi. The two herbs together are therefore classically used for headache, dizziness, vertigo, painful and red eyes and high blood pressure.
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Case history Mr. G., age 46, businessman, has suffered for the past eight years from hypertension and occipital headaches. During this period he has regularly taken hypotensive drugs (50 mg Convertin), which have affected his sexual abilities adversely. With the drugs, his blood pressure was 140/110 Hg. Mr. G. had a shiny red face, red eyes and darkish lips. He spoke loudly, and was very talkative. Examination of the tongue revealed red rims, and a slippery yellow coating. His pulse was moderate, and first and second positions of his right hand were Shi. It was apparent that Mr. G. had an excess Heat condition. The problem was whether it was of Liver Yang origin, or Stomach Fire. As neither of these possibilities required the consideration of other symptoms, it was decided to clear Heat from the Yangming system through a combination renowned for this purpose. The combination is: Quchi (LI-11), Zusauli (ST-36) Neiting (ST-44). Actually the Yangming channel was chosen to operate upon because of the pulse, which showed predominance on the right Guan position. A few treatments were carried out by this method, but the patient showed no improvement. The diagnosis was then reconsidered, and changed to hyperactive Liver Yang. The pulse abnormality was thence interpreted as an overactivity of the right Liver channel, rather than both channels, a fact which has shown itself on the right hand pulse. The formula for treatment was thus changed to the following: Fengchi (G-20), Taiyang, Xinjian (LIV-2), Yanglingchuan (G-34), Qimen (LIV-14) on the right side only, and Fuliu (K-7). All points, except Qimen and Fuliu, were sedated in a broad angle twirling and raise-thrust manipulation. Qimen was manipulated in an even manner, in order to regulate Liver-Qi, and Fuliu was tonified so as to tonify Kidney-Yin. After the first treatment, Mr. G’s blood pressure decreased to 140/100 Hg., and after five more treatments to 140/90 Hg. He was advised not to take any more hypotensive drugs, advice which he accepted readily, and his blood pressure remains stable. Since Mr. G. was not prone to anger, he was only advised to regulate his diet, to exclude Yang nourishing foods (coffee, sea food, fried food, pepper, alcohol, etc.), and to tend his business in a more relaxed manner.
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