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Contents

VII

Contents

1 Introduction to Acupuncture and Traditional Chinese Medicine (TCM)

What is Acupuncture? . . . . . . . . . . . . . . . . . . . . . . . .

í Acupuncture Arrives in Europe . . . . . . . . . . . . . í Acupuncture as a Regulatory Therapy . . . . . . .

2 2 3 4 4 4 4 5

The Basics of TCM . . . . . . . . . . . . . . . . . . . . . . . . . . . .

í Tao . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

í í í í í í

Life Force Qi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Five Phases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Concepts of TCM . . . . . . . . . . . . . . . . . . . . . . . . . .

The Theory of Yin and Yang . . . . . . . . . . . . . . . . . . The Five Fundamental Substances . . . . . . . . . . . The Five Phase Theory . . . . . . . . . . . . . . . . . . . . . The Internal Organ Theory (Zang Fu) . . . . . . . . . The Disease Concept of TCM . . . . . . . . . . . . . . . . TCM Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . Tongue Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . Pulse Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disease Patterns . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 8 10 13 14 17 18 19 20

2 Systematics

í "Access To The Depth"--Xue: The Point . . . . . . í Acupuncture Points . . . . . . . . . . . . . . . . . . . . . . . í Channel Points . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Four Main Categories . . . . . . . . . . . . . . . . . . . . . . The Five Transport Points . . . . . . . . . . . . . . . . . . . Tonification and Sedation Points . . . . . . . . . . . . . Acute (Xi) Cleft Points . . . . . . . . . . . . . . . . . . . . . . Intersection (Group) Points . . . . . . . . . . . . . . . . . Confluence Jiao Hui Points . . . . . . . . . . . . . . . . . . The Eight Meeting Points (Influential, Master Points) . . . . . . . . . . . . . . . . . . The European Master Points . . . . . . . . . . . . . . . . Extraordinary Points (Extra Channel Points) . . . A-Shi Points (Ouch Points) . . . . . . . . . . . . . . . . . . Somatotopic Areas . . . . . . . . . . . . . . . . . . . . . . . . Ear Acupuncture . . . . . . . . . . . . . . . . . . . . . . . . . . Symptomatic Points . . . . . . . . . . . . . . . . . . . . . . . The Channel System of Acupuncture . . . . . . . . . . .

í System Overview . . . . . . . . . . . . . . . . . . . . . . . . .

24 24 25 26 27 29 29 30 30 30 32 34 34 34 34 35 36 36 36 38 38 38

í Extraordinary Channels . . . . . . . . . . . . . . . . . . . . í The Significance of the Channels for TCM . . . .

40 40 42 43 43 44 45 46 47 48 49 49 50 51 52 53 54 55 55 56

The 12 Regular Channels . . . . . . . . . . . . . . . . . . . . . . The Yin Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Kidney Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . í Liver Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Heart Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Pericardium Channel . . . . . . . . . . . . . . . . . . . . . . í Spleen Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . í Lung Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Yang Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . í Large Intestine Channel . . . . . . . . . . . . . . . . . . . . í Stomach Channel . . . . . . . . . . . . . . . . . . . . . . . . . í Small Intestine Channel . . . . . . . . . . . . . . . . . . . . í Triple Burner Channel . . . . . . . . . . . . . . . . . . . . . . í Bladder Channel . . . . . . . . . . . . . . . . . . . . . . . . . . í Gallbladder Channel . . . . . . . . . . . . . . . . . . . . . . . The Extraordinary Channels . . . . . . . . . . . . . . . . . . . í Ren Mai Channel . . . . . . . . . . . . . . . . . . . . . . . . . . . í Du Mai Channel . . . . . . . . . . . . . . . . . . . . . . . . . . .

Three Channel Circulations . . . . . . . . . . . . . . . . .

í Channel Partnerships . . . . . . . . . . . . . . . . . . . . . .

Coupled Channels . . . . . . . . . . . . . . . . . . . . . . . . . Corresponding Channels . . . . . . . . . . . . . . . . . . .

aus: Roemer, Medical Acupuncture in Pregnancy (ISBN 3131358319) © 2005 Georg Thieme Verlag

VIII

Contents

3 Criteria and Rules

Methods of Locating Points . . . . . . . . . . . . . . . . . . . . Prerequisites For Acupuncture Therapy . . . . . . . . Effects and Reactions . . . . . . . . . . . . . . . . . . . . . . . . . í Scientific Background . . . . . . . . . . . . . . . . . . . . . . The Effects of Acupuncture on Pain . . . . . . . . . . . Integrating Acupuncture Into a Treatment Plan . . Characteristics of Acupuncture During Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í General Recommendations . . . . . . . . . . . . . . . . . Treatment Rules and Therapeutic Guidelines . . . . 58 60 61 61 61 64 Treatment Technique . . . . . . . . . . . . . . . . . . . . . . . . . Acupuncture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Moxibustion Therapy . . . . . . . . . . . . . . . . . . . . . . Electrostimulation . . . . . . . . . . . . . . . . . . . . . . . . . Laser Acupuncture . . . . . . . . . . . . . . . . . . . . . . . . . PuTENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Injection Acupuncture . . . . . . . . . . . . . . . . . . . . . Acupressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Qi Gong . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Organizational Model . . . . . . . . . . . . . . . . . . . . . . . . . 67 68 69 70

í Therapy Categories . . . . . . . . . . . . . . . . . . . . . . . . í Point Categories . . . . . . . . . . . . . . . . . . . . . . . . . . . í Ear Acupuncture . . . . . . . . . . . . . . . . . . . . . . . . . . .

í í í í í í í í

74 74 79 80 80 81 81 81 82 83 83 83 85

Prerequisites For Acupuncture Therapy in a Clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

86

4 The Practice of Acupuncture in Obstetrics and Gynecology

Obstetrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í List of Indications . . . . . . . . . . . . . . . . . . . . . . . . . . Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í General Regulation Based on Mental/ Emotional Balance . . . . . . . . . . . . . . . . . . . . . . . . . í Hyperemesis Gravidarum . . . . . . . . . . . . . . . . . . í Heartburn and Vomiting . . . . . . . . . . . . . . . . . . . í Early Labor and Impending Premature Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Infections During Pregnancy . . . . . . . . . . . . . . . . í Treatment of Addictions During Pregnancy . . í Breech Presentation . . . . . . . . . . . . . . . . . . . . . . . í Gestosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Pain Conditions During Pregnancy . . . . . . . . . . í Childbirth Preparation using Römer's Scheme (Mannheim Model) . . . . . . . . Peripartal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Induction of Labor . . . . . . . . . . . . . . . . . . . . . . . . . í Acupuncture During Delivery . . . . . . . . . . . . . . . í Analgesia During Delivery . . . . . . . . . . . . . . . . . . í Dysfunctional Labor and Insufficiently Coordinated Uterine Contractions . . . . . . . . . . í Cervical Dystocia . . . . . . . . . . . . . . . . . . . . . . . . . . í Placental Detachment Disorders . . . . . . . . . . . . 88 88 89 89 90 90 91 92 92 93 94 95 97 100 100 100 101 102 103 104 Puerperium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Involution Disorders . . . . . . . . . . . . . . . . . . . . . . . í Functional Disorders of The Breast . . . . . . . . . . í Mental/Emotional Disorders During Confinement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Constipation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Urinary Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . í Emergency Points . . . . . . . . . . . . . . . . . . . . . . . . . Acupuncture and Gynecology . . . . . . . . . . . . . . . . . . Significance of Acupuncture . . . . . . . . . . . . . . . . . Acupuncture Indications For Gynecological Disorders . . . . . . . . . . . . . . . . . . . . General Therapy Rules . . . . . . . . . . . . . . . . . . . . . . í Premenstrual Syndrome (PMS) . . . . . . . . . . . . . . í Dysmenorrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Functional Disorders of the Menstrual Cycle . . í Amenorrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Infertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Menopausal Syndrome . . . . . . . . . . . . . . . . . . . . . í Vaginal Discharge . . . . . . . . . . . . . . . . . . . . . . . . . í Pruritus Vulvae . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Adnexitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Chronic Pelvic Pain . . . . . . . . . . . . . . . . . . . . . . . . . í Low-Back Pain in Women . . . . . . . . . . . . . . . . . . . í Headache Syndrome--Hormone-Related Migraine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Urethritis and Cystitis . . . . . . . . . . . . . . . . . . . . . . 106 106 106 108 109 109 110 111 111 114 115 115 115 116 117 117 117 118 118 118 119 119 120 121

aus: Roemer, Medical Acupuncture in Pregnancy (ISBN 3131358319) © 2005 Georg Thieme Verlag

Contents

í Chronic Recurring Infections . . . . . . . . . . . . . . . 121 í Emesis and Chemotherapy . . . . . . . . . . . . . . . . . 122 í Mastopathy and Mastodynia . . . . . . . . . . . . . . . 122 í Chronic Recurring Nonpuerperal

IX

Mastitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

í Pain Following Mastectomy . . . . . . . . . . . . . . . . 123 í Outlook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

5 Point Atlas

LU = Lung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LI = Large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . ST = Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SP = Spleen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HT = Heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SI = Small intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . BL = Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . KI = Kidney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PC = Pericardium . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 128 131 139 144 146 147 159 163 GB = Gallbladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LR = Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GV = Governing vessel . . . . . . . . . . . . . . . . . . . . . . . . CV = Conception vessel . . . . . . . . . . . . . . . . . . . . . . . EX-HN = Head and neck . . . . . . . . . . . . . . . . . . . . . . . EX-CA = Chest and abdomen. . . . . . . . . . . . . . . . . . . EX-B = Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EX = "Breast point in front of the axilla" . . . . . . . . . EX-LE = Lower extremity . . . . . . . . . . . . . . . . . . . . . . 165 171 172 177 185 188 189 190 191

6 Chinese Nutrition Therapy and Qi Gong

Chinese Nutrition Therapy . . . . . . . . . . . . . . . . . . . . í Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Points of Practical Importance . . . . . . . . . . . . . The Five Flavors . . . . . . . . . . . . . . . . . . . . . . . . . . . The Five Thermal Food Natures . . . . . . . . . . . . . . Basic Recipes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í Gynecological Aspect . . . . . . . . . . . . . . . . . . . . . . í Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196 196 197 197 198 198 199 202 Qi Gong . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . í The History of Qi Gong . . . . . . . . . . . . . . . . . . . . . í Qi Gong in Traditional Chinese Medicine . . . . . í Perceivable Phenomena . . . . . . . . . . . . . . . . . . . í Learning Qi Gong . . . . . . . . . . . . . . . . . . . . . . . . . . í Indications for Qi Gong Exercises . . . . . . . . . . . . í Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . í Side Effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213 213 214 215 216 218 220 220

Appendix

American and International Tai Ji and Qi Gong Associations . . . . . . . . . . . . . . . . . . . . . . . . . 223 Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227

aus: Roemer, Medical Acupuncture in Pregnancy (ISBN 3131358319) © 2005 Georg Thieme Verlag

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