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Fibromyalgia

Chapter 14.2.4 · Wood Element

Description

Typical Bi syndrome — obstruction of Blood and Qi in exterior meridians and collaterals. Caused by exterior climatic factors or interior heat/cold/wind/damp. Treatment is twofold: treat the pain AND treat the person.

Differential Diagnosis

Treatment

Common Points

Treat the pain AND treat the person

Hot pain

Cool, rest, short immobilizationDirect moxibustion or hot needles (10 Hertz, 20 min)Electrical stimulation with needlesBleed locally or distallyLess local, more distal pointsTonify Liver Yin / Sedate Yang

Cold pain

Warm, exercise, massageMore Local, less Distal pointsTonify Liver Yang / Sedate Yin

Damp pain

Local, Distal points, salt bathsLocal cupping or cupping massageAvoid fat, milk, refined carbsSt 40, Sp 9 for dampness

Wind pain

Wind-elimination point with techniqueMoxa or electrical stimulationAvoid alcohol and sour/acidic foodsTonify Liver Blood

Treatment Schedule

Varies. Treat the person simultaneously with treating the pain. Three sub-groups: (1) Peri-menopausal woman — tonify Kidney Yin; (2) Depressive, exhausted patient — tonify upper warmer, tonify Blood; (3) Damp, oedematous type — tonify Spleen function, circulate and eliminate dampness.

Point Prescription Builder

Select Organ

Energy State

Add Symptomatic Point (optional)

Suggested Prescription

Liv 8Liv 14UB 18

Rationale

• Tonification (Mother) point — tonifies 90% house energy of Liver.

• Mu-Front point — tonifies cooling/calming Yin of Liver.

• Back-Shu point — tonifies functional Yang of Liver.

• Influential point: GB 34 (Muscles/tendons) — treats related tissue group.

Educational use only. Point prescriptions should only be applied by licensed practitioners.