Notes for the following treatments:


Abbreviations used: CV/GV = Ren/Du, HP (Heart Protector) = Pericardium (P), Aggressive Energy (AE).
All points needled using tonification technique except for certain recognised protocols, such as AE drain.
Moxa cones applied before treatment except where contraindicated.
Number of cones and needle depth taken from JR Worsley's Point Reference Guide.

Monday, November 5, 2012

An example of the order of the first treatments to give a patient

I think it is always good to emphasize to all five element acupuncturists, even to those who have been in practice a long time, that we should start by offering a new patient’s elements the gentlest treatment we can, one that doesn’t startle or overwhelm them.  I remember being told by one of my teachers that giving complex point combinations right at the start of a patient’s treatment is much like somebody standing on a platform and watching an express train thundering past without stopping.  This may briefly rattle the waiting passengers but not help them get to where they want.  Instead they must wait for a slow train which will stop for them, and allow them to get on and off.   I think this is a good analogy for the wastefulness of starting to address the elements in too complicated a way.

At the start of treatment, patients’ elements are in a vulnerable state and unsure of how to accept the adjustments to their balance which is what we hope treatment will provide.  We therefore need to offer them the simplest and purest treatment we can, and nothing is simpler and purer than command point treatment.  I am therefore giving below an example of the order of the first treatments I might give my patients. The points I have added to the command points, such as the CV (RM) or Outer Bladder points I have chosen here, are ones which can be used for any element, and are all aimed at helping strengthen the patient’s spirit.  A fuller discussion can be found in my Handbook of Five Element Practice (obtainable from the SOFEA website ).

All points are needled using the tonification method, with moxibustion added before needling except where contraindicated.  If Entry/Exit blocks are discovered at any point, these must be cleared before the final command points are needled.  If blocks are discovered at the end of treatment, even after the final command points, then the blocks should be cleared then and the command point treatment repeated, but this time without moxa. 

Command points have an in-built safety factor, and put the patient back in charge of their own energy. This is why they are always used to complete a treatment.

Treatment 1: 
1 Check for Possession – if there, Internal Dragons treatment
2 Aggressive Energy drain
3 Source points of the Guardian Element

Treatment 2:
1 Correct any Akabane imbalances if not already done as part of the physical diagnosis.
2 CV (RM) 8 (or CV (RM) 14 if BP differential too high for moxibustion)
3 Tonification points if possible, if not, then source points again

Treatment 3: 
1 Bl 38 (43)
2 Command points (source, tonification or transfer across the Ke cycle)

Treatment 4:
1 AEPs (Back Shu points)
2 Command points

Always remember the five element mantra:  the simpler the better.









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