Get Better Results When Treating Pain
with Honora Lee Wolfe
Copyright, 2013
THE Basic
Statement About Pain
Where there is free flow, there is no pain;
where there is pain, there is no free flow.
Most Common Patterns Associated with Pain
1.Qi stagnation in the local area
2. Blood stasis in the local area
3. Qi & blood vacuity leading to the lack of nourishment
of the sinews & vessels
4. Damp or damp heat inhibiting the flow of qi & blood
to and through the sinews and vessels
5. Yang vacuity leading to cold congelation and blood stasis in the
channels & sinews
When treating pain/disease with acupuncture and herbal formulas together one should...
Combine root tx with
branch tx for the best results.
• Root tx are based on viscera & bowel; qi & blood;
fluids & humors; yin & yang pattern discrimination. (often herbal)
• Branch tx are channel-based, based on channel &
network vessel pattern discr. and on palpation. (often acu-moxa)
In Chinese medicine in general,
…all treatment methods can be divided into Bu fa and Xie fa
Bu fa means
supplementing methods
Xie fa
means draining methods
Best General Acupoints for Pain
LI 11 for all upper body pain (with LI 4 for more power.)
UB 60 & GB 34 for all lower body pain
Add Xi (Cleft) points
for more power; add electricity, as strong as the person can handle, on these.
Four Bars for head, neck, torso pain.
Related specific ear points.
Bodywork & Pain
In cases of blood stasis or recent trauma, deep tissue work
at the site of the pain is often counter-productive.
Bodywork distal to the injury can be helpful to open the
channels and free the flow of qi and blood.
Lighter bodywork on an injury after major healing has
occurred is useful.
Bodywork in conjunction with moxa on old injuries may be
quite helpful.
Use liniments with these treatments for best results!
Acupoint selection
§For moxibustion, use mostly
ah-shi points in trauma conditions
§When using moxa as your local
or branch treatment, you might choose tender points on related channels as your
root treatment
§E.g., for right side shoulder
pain on the yang ming channel, moxa ah-shi
points in the area of LI 15, needle the same points on the opposite side, and
use thread moxa or gold needles on relevant points foot yang ming and foot tai
yin as a root treatment.
Bleeding in pain cases
1. Fever (replete yang, not yin vacuity type) (i.e., full, fast pulse, red tongue, full/replete heat
symptoms)
2. Sore throat
(replete yang, wind heat common cold or flu, not vacuity symptoms)
3. Musculoskeletal pain which is stabbing or biting, site
specific, and recurrent
4. Musculoskeletal pain which is dull and constant but worse
with movement
5. Headaches or eye pain of a replete yang nature
6. Itching
7. To reduce swelling caused by stasis of blood and
stagnation of qi
8. Numbness or pain with numbness
9. Vomiting caused by stomach heat
10. Emergency resuscitation
11. When there are clear signs of blood stasis such as
varicosities or spider nevi veins, especially for pain conditions on the same
channel
External therapies
§Pastes &
plasters (gao)
§Wines (jiu) or
tinctures (ding ji)
§Powders (fen)
§Oils (you)
§Washes (shui
fen)
§Compresses
(shi fu)
§Medicinal
baths (yao yu)
§Fumigation
(yan xun liao fa)
External therapies for pain from Blue Poppy
Shao Lin Dee Dat Jow
§Radix
Angelicae Sinensis (Dang Gui)
§Radix
Ligustici Wallichii (Chuan Xiong)
§Radix
Cyathulae (Chuan Niu Xi)
§Lignum
Sappanis (Su Mu)
§Flos
Carthami Tinctorii (Hong Hua)
§Flos
Caryophylli (Ding Xiang)
§Radix
Auklandiae Lappae (Mu Xiang)
§Resina
Olibani (Ru Xiang)
§Lignum
Santali Albi (Bai Tan Xiang)
§Fructus
Foeniculi Vulgaris (Xiao Hui Xiang)
§Alcohol
Functions:
§Moves the qi
& quickens the blood
§Disperses
swelling & stops pain
Indications: Recent closed injuries with swelling and
pain
External Therapies: Dragon’s Blood
§Sanguis
Draconis (Xue Jie)
§Lignum Pini
Nodi (Song Jie)
§Resina
Olibani (Ru Xiang)
§Resina
Myrrhae (Mo Yao)
§Radix Et Rhizoma
Rhei (Da Huang)
§Flos
Carthami Tinctorii (Hong Hua)
§Lignum
Sappanis (Su Mu)
§Radix
Pseudoginseng (San Qi)
§Camphora (Zhang
Nao)
§Borneolum (Bing
Pian)
§Alcohol
Functions:
§Quickens the
blood & dispels stasis
§Disperses swelling
& stops pain
Indications: Recent closed injuries with marked
ecchymosis
External therapies: Green Willow Liniment
§Flos
Carthami Tinctorii (Hong Hua)
§Radix
Aconiti Carmichaeli (Chuan Wu)
§Radix
Aconiti Kusnezoffii (Cao Wu)
§Radix Angelicae
Sinensis (Dang Gui)
§Semen Pruni
Persicae (Tao Ren)
§Herba
Ephedrae (Ma Huang)
§Pyritum (Zi
Ran Tong)
§Semen
Strychnotis (Ma Qian Zi)
§Ramulus
Cinnamomi Cassiae (Gui Zi)
§Radix
Auklandiae Lappae (Mu Xiang)
§Resina
Myrrhae (Mo Yao)
§uncooked
Rhizoma Zingiberis (Sheng Jiang)
§Alcohol
Functions:
§Moves the qi
& quickens the blood
§Warms the
channels & frees the flow of impediment
Indications: Wind cold damp impediment
External therapies: Three Angels Liniment
§Cortex Phellodendri
(Huang Bai)
§Rhizoma
Atractylodis (Cang Zhu)
§Radix
Achyranthis Bidentatae (Niu Xi)
§Caulis
Trachelospermi (Luo Shi Teng)
§Caulis
Lonicerae Japonicae (Ren Dong Teng)
§Radix
Angelicae Dahuricae (Bai Zhi)
§Radix
Angelicae Pubescentis (Du Huo)
§Radix
Angelicae Sinensis (Dang Gui)
§Radix Et
Rhizoma Rhei (Da Huang)
§Camphora (Zhang
Nao)
§Borneolum (Bing
Pian)
§Alcohol
Functions:
§Clears heat
& eliminates dampness
§Frees the
flow of impediment & stops pain
Indications: Wind damp heat impediment
External therapies: Sprain Ointment
§Radix Et
Rhizoma Rhei (Da Huang)
§Herba Lycopi
Lucidi (Ze Lan)
§Lumbricus (Di
Long)
§Fructus
Gardeniae Jasminoidis (Zhi Zi)
§Pasta
Acaciae Catechu (Er Cha)
§Resina
Olibani (Ru Xiang)
§Borneolum (Bing
Pian)
§Sesame oil
§Beeswax
Functions:
§Quickens the
blood and dispels stasis
§Clears heat,
disperses swelling & stops pain
Indications: Recent sprain or closed injury characterized
by redness, heat, swelling, and pain
External therapies: Stop Pain Tincture
§Flos Carthami
Tinctorii (Hong Hua)
§Rhizoma
Nardostachydis (Gan Song Xiang)
§Alcohol
Functions: Moves the qi, quickens the blood, stops pain
Indications: For the symptomatic relief of any pain
External Therapy:
1. Herbal Sports
Massage Oil
Moves qi and
quickens the blood to stop pain in sports injuries
2. Dr. Bob’s Oil
and Pain Stick
Same formula
as Po Sum On with peppermint and cinnamon essential oils, for temporary relief
of muscle pain
Internal Formulas: Kidney Mansion Formula
Shu Di, Shan
Zhu Yu, Gou Qi Zi, Tu Si Zi, Du Zhong, Xu Duan, Bu Gu Zhi, Ba Ji Tian, Niu Xi,
Gu Sui Bu, Wu Jia Pi, Dang Gui, Chi Shao, Chuan Xiong, Ren Shen
Tx Patterns:
liver-kidney vacuity with blood
stasis and wind damp evils.
Tx Conditions: Chronic low
back pain, post-menopausal osteoporosis
For mostly
aging patients with chronic low back pain.
Internal Formulas: Impediment Magic Formula
Yi yi ren,
Qiang huo, Niu xi, Cang zhu, Mu gua, Xiang fu, Wu yao, Fang ji, Qin jiao, Dang
gui, Ru xiang, Mo yao, Tao ren, Hong hua, Di long, Gui zhi, Su gen, Gan cao
Tx Principles: Dispels wind,
scatters cold, and eliminates dampness, quickens the blood, frees the flow of
the network vessels, and stops pain
Tx Conditions: For chronic,
enduring bi due to wind, cold, damp and blood stasis in the network vessels.
For long term
use, you may need to add something more to help the formula be more easily
digested
Internal Formulas: Dang Gui & Anemarrhena Formula
Dan gui, Dang
shen, Bai zhi, Cang zhu, Zhu ling, Ze xie, Zhi mu, Huang qin, Yin chen hao, Ku
shen, Ge gen, Qiang huo, Fang feng, Sheng ma, Gan cao.
Tx Patterns: For wind damp
heat bi with spleen qi vacuity and liver qi
Tx Conditions: This pattern
combination is often seen in rheumatoid arthritis, lupus eryth., fibromylagia,
and chronic fatigue (CFIDS)
The dampness
here is internally engendered due to spleen deficiency
Experiential Tidbits:
1. With scar therapy, check which direction of applied
pressure on the scar makes the related pain worse or better and insert needles
in the direction that makes the pain better. Then go over the scar with a Tiger
warmer.
2. Bleed an ear point for immediate pain relief. Any related
ear point can be used; find one that is sore.
3. Acute Ankle Sprain - bleed point of worst pain; needle
same spot on opposite side with deep, Chinese style needling.
4. Check for vascular spiders around the tail bone and
sacrum if there is chronic sciatica, piriformis syndrome, neck tension, or back
pain. If you find them, bleed
them.
5. For chronic chest pain where blood stasis plays a role,
use Ion Pumping cords with black clip on Per 6 and red clip on GB 34 or Sp 4,
whichever is more tender.
6. For chronic one-side low back pain, use Black clip on Bl
23 and Red clip on GB 29 or 34, whichever is more tender. Try the same side
first and recheck painful spots. Switch to unaffected side if the painful spots
do not improve.
7. Chronic Sciatica - Black Clip on GB 30, Red clip on Ki 1
or Bl 60, Green clip on a point 1 cun lateral to Bl 40. On GB 30 use a long
needle Chinese style inserted in the direction that the pain shoots. Must
insert needle at the same angle that the pressure elicits pain. Spark the black
needle every five minutes...leave all needles for 20 minutes. Add moxa at the
end of the treatment.
What to try if treatments are unsuccessful
1. Akabane testing/stimulation
2. Ear needles
3. If there are any purple/black veins, if there has been
surgery, or if the pain is fixed and stabbing, consider bleeding one or two
points
4. Pay more attention to treating the root.
5. Reexamine the patient’s pulse and tongue and go back over
what questions you asked to see if you overlooked any factors that may
contribute to the condition.
6. Go over self-care techniques with the patient if you have
not already done so.
7. Find out if their work habits have changed or if their
work-related stress levels have worsened.
8. Suggest dietary changes to support your root treatment.
And finally….
Combining root therapies with branch therapies always gets
better results.
Using external and internal herbals together with your
acu-moxa treatments is usually more effective than either one alone in pain
conditions.
Good Luck and Best Wishes for Success!
Good to share with me your work on treating pain and here explain some blood therapy is really good.
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