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PÉRDIDA DE PROTAGONISMO DE LA PERSONA

Gestión integral del conocimiento

F. Javier Quesada

1. PÉRDIDA DE PROTAGONISMO DE LA PERSONA

COS LU LI ST SP HT SI Mu Point LU01 ST25 CV12 LV13 CV14 CV04

COS BL KI PC TH GB LV Mu Point CV02 GB25 CV17 CV05 GB24 LV14

Memory aid for the Mu points (6 of the points are on the CV line):

CV03,04,05 = BLoody SIlly THeme (= BL, SI, TH) CV12,14,17 = STuffed HearTs Constrict (= ST, HT, PC)

Lung and Liver, First and Last (LU = LU01, LV = LV14) Spleen before Liver (SP = LV13)

KI = free tip of last rib (last costal arch in animals) (KI = GB25) GB before KI (GB = GB24)

LI = McBurney (appendicitis) point = ST25

THE NAMES AND LOCATIONS OF THE MU POINTS:

COS Mu Name Location

BL CV03 ChungChi 4 TSUN below umbilicus, in midline SI CV04 KuanYuan 3 TSUN below umbilicus, in midline TH CV05 ShihMen 2 TSUN below umbilicus, in midline ST CV12 ChungWan 4 TSUN above umbilicus, in midline

HT CV14 ChuChueh 6 TSUN above umbilicus, 1 TSUN below xiphoid, in midline

PC CV17 ShangChung Midline of sternum, level with 4th intercostal space, midway between nipples

LU LU01 ChungFu

In 1st intercostal space, 2 TSUN lateral to nipple, below coracoid process. (In animals, LU01 is in 2nd intercostal space, behind the shoulder)

LV LV14 ChiMen In 6th intercostal space, directly below nipple (4th intercostal space)

SP LV13 ChangMen At free tip of rib 11 KI GB25 ChingMen At free tip of last rib

GB GB24 JihYueh In 7th intercostal space, 1 rib or 1.5 TSUN below and just lateral to LV14

LI ST25 TienShu In rectus abdominis m., 2 TSUN lateral to umbilicus LUO-CONNECTING POINTS

Referring back to Diagram 1, you will remember that each of the Five Phases has a Yin-Yang (Wife-Husband) pair of COSs (the Phase-Mates) and the Fire Phase has two pairs:

Yin Yang

Limb Phase (Wife) (Husband)

Arm Metal Lu LI

= Fire HT SI

= Fire PC TH

Leg Wood LV GB

= Water KI BL

= Earth SP ST

Each of the 12 main COSs has a Luo point, used in classic AP to transfer Qi from the

Husband to the Wife (or vice versa) of each linked pair of COSs (LU-LI / ST-SP / HT-SI / BL-KI / PC-TH / GB-LV).

The Luo point for each COS is distal to the elbow or knee. Luo points are used in two main ways in AP:

a. the Yuan-Luo combination and

b. in balancing Excess Qi in one COS and Deficient Qi in another, using Five Phase Principles.

a. The Yuan-Luo combination uses the Yuan-Source point, see below) of the affected COS with the Luo-Connecting point of the linked COS (Wife or Husband), i.e in lung disease, LU09 (Yuan of LU) plus LI06 (Luo of LI).

b. In Five Phase Theory, when there is Excess Qi in one COS and Deficient Qi in another, the Luo point of the Deficient COS is always used. For instance, if LU is Deficient and LI has Excess Qi, needle the Luo point of LU (LU07). This will remove the Excess from the Husband (LI) and restore Qi to the Wife (LU). If GB is Deficient and LV has Excess Qi, needle the Luo of GB (GB37). This will remove the Excess from the Wife (LV) and restore Qi to the Husband (GB). (For details of other uses of Luo points, see paper on Holistic Concepts and on The Use of Five Phase Theory in Medicine).

NAMES AND LOCATIONS OF THE 12 LUO-CONNECTING POINTS:

COS Luo Name Location

KI KI04 TaChung Just above calcaneus (medial ankle), in front of Achilles tendon (opposite BL60)

SP SP04 KungSun On medial side of foot, distal to upper head of metatarsal 1 HT HT05 TungLi On the ulnar-palmar forearm, 1 TSUN above pisiform bone LV LV05 LiKou 5 TSUN above medial malleolus of tibia, just behind tibia TH TH05 WaiKuan 2 TSUN above dorsal wrist crease, between radius and ulna LI LI06 PienLi

3 TSUN above LI05 (which is in the "snuff-box", on the radial-dorsal part of the wrist, between the tendons to the thumb and index finger)

PC PC06 NeiKuan 2 TSUN above the palmar wrist crease, between the flexor tendons of the hand

LU LU07 LiehChueh just above the radial styloid process, 1.5 TSUN above the wrist

SI SI07 ChihCheng On the ulnar side of forearm, 5 TSUN above the wrist, on a line between SI06 and SI08

GB GB37 KuangMing 5 TSUN above tip of external malleolus of tibia, just behind the fibula

ST ST40 FengLung 8 TSUN below patella, 1 TSUN lateral to tibia BL BL58 FeiYang 7 TSUN directly above BL60, which is between the

Achilles tendon and the lateral malleolus of tibia

MEMORY AID FOR THE LUO-CONNECTING POINTS:

4 = KISP (KI04, SP04)

5 = HTLVTH (HT05, LV05, TH05) 6 = LIPC (LI06, PC06)

7 = LUSI (LU07, SI07)

From '37-'40 GreatBritain STarred 58 BLondes (GB37, ST40, BL58) THUS, THE 12 LUO-CONNECTING POINTS ARE:

COS LU LI ST SP HT SI Luo Point LU07 LI06 ST40 SP04 HT05 SI07

COS BL KI PC TH GB LV Luo Point BL58 KI04 PC06 TH05 GB37 LV05

THE YUAN-SOURCE POINTS

Each of the 12 main COSs has a Yuan point, which is often tender to palpation when its COS is diseased. The Yuan point may be used alone (or with the Shu-Mu combination) in disease of its organ. The Yuan-Luo combination uses the Yuan of the affected COS with the Luo of the linked COS (Husband or Wife), i.e in lung disease, LU09 (Yuan of LU) plus LI06 (Luo of LI).

MEMORY AID FOR THE 12 YUAN-SOURCE POINTS:

They are very easy to memorise if you know the YU point for the COS. (See Five Phase points, next section!)

a. For Yin COSs, the Yuan point = 2 points proximal to the most distal point, (i.e.

Yuan point = YU point, Position 3, Earth). These are:

Arm Yin: LU09, PC07, HT07 Leg Yin: SP03, LV03, KI03

b. For Yang COSs, the Yuan point = 3 points proximal to the most distal point (with the exception of GB, for which the Yuan is 4 points proximal to the most distal point). Thus, for Yang COSs, the Yuan point = one point proximal to the YU, Wood point. These are:

Arm Yang: LI04, TH04, SI04 Leg Yang: ST42, GB40, BL64 THUS, THE YUAN-SOURCE POINTS ARE:

COS LU LI ST SP HT SI BL KI PC TH GB LV Yuan point LU09 LI04 ST42 SP03 HT07 SI04 BL64 KI03 PC07 TH04 GB40 LV03

LEARNING THE FIVE PHASE POINTS AND THEIR USES

Each of the 12 main COSs has a point for each Phase (Wood, Fire, Earth, Metal, Water).

There are thus 60 points (5 x 12 = 60). The theory of the Five Phases and the use of the 60 Phase POINTS to drain Excess Qi in one COS to augment Deficient Qi in another is covered in detail in the paper The Theory of Five Phases and its use in Medicine, to which the reader is referred. Methods of using the Phase points to balance imbalances of Qi are discussed in that paper.

LOCATION OF THE PHASE POINTS:

The Five Phase points are located between the digits and the elbow or knee (stifle). Let us call the most distal location (at a nail) Position 1 and the most proximal (near the elbow or knee) Position 5. The Chinese terms and their translation for the 5 positions are:

Position 1 2 3 4 5 Chinese term TSING YUNG YU CHING HO

TING YONG YU CHING HO (Jing) (Ying) (Shu) (Jing) (He) Translation Well Spring Stream River Sea Location most distal (... see later ...) most proximal at finger/toe nail at elbow/knee (LU11, LI01 etc) (LU05, LI11 etc)

Apart from their use in balancing Qi in the Five Phase Cycle, the TSING points are used in emergencies (shock, collapse etc), in mental disorders and in sensations of suffocation or fullness in the chest. YUNG points are used in fevers. YU points are used in bone and joint rheumatism and in diseases/pain caused by exposure to wind and damp. CHING points are used in asthma, cough and disorders of the throat. HO points are used in disorders of the Yang COSs (LI, ST, SI, BL, TH, GB).

The first 3 positions (TSING, YUNG, YU) are easy to remember. They are the 3 most distal points on each of the 12 main COSs, with one exception: GB, in which case the YU point is the 4th point from the end (GB41, not GB42).

Channel Position LU LI ST SP HT SI BL KI PC TH GB LV 1 (TSING, most distal) 11 01 45 01 09 01 67 01 09 01 44 01

2 (YUNG, one point proximal) 10 02 44 02 08 02 66 02 08 02 43 02 3 (YU, one point proximal) 09 03 43 03 07 03 65 03 07 03 41* 03

* the only exception to the pattern is GB, in which case the YU point = 4th point from the end (GB41, not GB42).

The last 2 positions (CHING and HO), unfortunately, do not form an easily remembered number-pattern, but they lie at or above the wrist/ankle (CHING) and at or near the

elbow/knee (HO). The HO position (elbow/knee) is the Earth point for the Yang Channels and the Water point for the Yin Channels. The points are:

Channel Position LU LI ST SP HT SI BL KI PC TH GB LV 4 (CHING, near wrist/ankle) 08 05 41 05 04 05 60 07 05 06 38 04 5 (HO, near elbow/knee) 05 11 36 09 03 08 40 10 03 10 34 08

The relationship between the 5 Positions and the Five Phase points is as follows. Note: To grasp these and following principles, beginners should also study the paper on the Five Phases.

In the following table, the symbol "->" means "engenders, creates, nourishes, fosters or feeds". The symbol "|" means "controls, restrains, governs, disciplines, brings order to".

POSITION 1 2 3 4 5 Well Spring Stream River Sea TSING YUNG YU CHING HO Yang COS Metal -> Water -> Wood -> Fire -> Earth | | | | | Yin COS Wood -> Fire -> Earth -> Metal -> Water coal !

For Yang COSs, Position 1 is Metal and positions 2 to 5 follow the SHENG (Creative) Cycle of the Five Phases: (Metal -> Water -> Wood -> Fire -> Earth).

For Yin COSs, Position 1 is Wood and positions 2 to 5 follow the SHENG (Creative) Cycle of the Five Phases: (Wood -> Fire -> Earth -> Metal -> Water).

MEMORY AID FOR THE YIN CHANNELS: Remember a red-hot coal (Fire) in the palm of the hand (YUNG, Position 2)! Therefore, Wood is distal (TSING, Position 1,

fingers) and Earth, Metal, Water are proximal (Positions 3-5, i.e. YU, CHING, HO at wrist, forearm, elbow respectively).

MEMORY AID FOR THE YANG CHANNELS: Remember that at each of the 5 positions, the Yang Phase controls the Yin Phase, as in the KO (Controlling) Cycle. In Position 2

(YUNG, opposite the palm of the hand), Water (of Yang Channels) controls Fire (of Yin Channels); in the TSING position, Metal (of Yang Channels) controls Wood (of Yin

Channels); in the YU position, Wood (of Yang Channels) controls Earth (of Yin Channels); in the HO position, Earth (of Yang Channels) controls Water (of Yin Channels).

From the tables of points corresponding to the 5 positions (above), we can re-write the table for SI and HT as follows:

POSITION 1 2 3 4 5 Well Spring Stream River Sea TSING YUNG YU CHING HO

Metal -> Water -> Wood -> Fire -> Earth Yang COS SI SI01 SI02 SI03 SI05 SI08

| | | | | Yin COS HT HT09 HT08 HT07 HT04 HT03 Wood -> Fire -> Earth -> Metal -> Water

Rearranging the points by their Phases (starting with Wood), this becomes:

Wood Fire Earth Metal Water Yin COS HT HT09 HT08 HT07 HT04 HT03

Yang COS SI SI03 SI05 SI08 SI01 SI02

Applying the same principle (rearranging the points for the 5 Positions by Phase rather than by Position), the Five Phase POINTS are:

Channel Phase LU LI ST SP HT SI BL KI PC TH GB LV Wood 11 03 43 01 09 03 65 01 09 03 41 01 Fire 10 05 41 02 08 05 60 02 08 06 38 02 Earth 09 11 36 03 07 08 40 03 07 10 34 03

Metal 08 01 45 05 04 01 67 07 05 01 44 04 Water 05 02 44 09 03 02 66 10 03 02 43 08

Thus, the Earth Point of SI is SI08; the Water Point of ST is ST44; the Fire Point of LV is LV02 etc. The 60 Five Phase points + the 6 Yuan points of the Yang COSs make up the 66 Command Points. (The Yuan Points of the Yin COSs = the YU/Earth Points).