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The Stomach Carl Clarkson MSc Acupuncture

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1 The Stomach Carl Clarkson MSc Acupuncture

2 References Deadman et al (2007) A Manual of Acupuncture Hopwood (2004) Acupuncture in Physiotherapy Hui, K.K.S., Liu, J., Marina, O., Napadow, V., Haselgrove, C., Kwong, K.K., Kennedy, D., & Makris, N. (2005) The integrated response of the human cerebro – cerebellar and limbic systems to acupuncture stimulation at ST 36 as evidenced by fMRI Joos, S., Schott, C., Zou, H, Volker, D., Martin, E. (2000) Immunodmodulatory effects of Acupuncturein the treatment of Allergic asthma: A randomised control study Li & Lachner (2011) Glossary of Chinese Medicine

3 References Macioca – The practice of Chinese Medicine /The foundations of Chinese Medicine / Diagnosis in Chinese Medicine Napadow, V., Dhond, R.P., Purdon, P., Kettner, N., Makris, N., Kwong, K.K., & Hui, K.K.S (2005) Correlating Acupuncture fMRI in the human brain stem with Heart Rate variability Yim, Y., Lee, H., Hong, H., Kim, Y., Lee, B., Son, C., Kim, J.(2006) electro – acupuncture at acupoint St 36 reduces inflammationand regulates immune activityin collagen induced Mice Zhang, D., Ding, G., Shen, X., Yao, Y., Zhang, Z., Zhany, Y. & Lin, Y. (2007) Influence of mast cell function on the analgesic effect of acupuncture of "Zusanli" (ST 36) in rats

4 Dermatomes Covers V2 S2 only dermatome

5 Myotomes Upper / Middle Jiao Face / neck – V2 / V3 (cranial nerves) – Massetor (clench your teeth) – Orbital muscles (helps control area around eyes) – Levator labii superious (helps to move nose) – Buccinator (helps to move mouth) Trunk – Pecs – Abdominals Lower Jiao Hip – Iliopsoas / pectineus / sartorious / Rec. Fem Knee – Vastus lateralis / Tib. Ant Ankle / Foot – Extensor digitorum

6 Uses of ST Headache Tooth / Jaw pain Fertility Constipation / digestive issues Immuno enhancing Fatigue Ant. Hip Knee Ankle

7 Its Name! Stomach meridian / Channel / Primary Channel Stomach Channel of Foot Yangming (linked with LI) Wei is the organ

8 Research To many to list! Brain activity – (Napadow et al. 2005, Hui et al. 2005) Pain relief – ? mast cell involvement – Zhang et al. (2007) Immunity – Yim et al. (2006) – Joos et al. (2000)

9 5 elements

10 TCM Basics Wei receives Qi (7am – 9am) Yang (Fu) organ Yang partner to Sp (Internally- externally linked) 6 Channel partner of LI (6 Chaio’s)

11 Links with other meridians Yin (Zang) partner– SP YangMing - LI SI –Sends food to be further digested LR – Linked by there ability to descend Qi (v.good in combo for digestive disorders)

12 Its Job Western Similarities Thought of as a bubbling cauldron – chamber of masteration Vital to eat right food TCM Regarded as most important of the Fu (Yang) organs Along with Spleen, is known as the root of pre heaven Qi Controls downward movement of Qi Sp takes essence from the digestion In charge of muscle bulk

13 How to know ST is damaged Subjective General Fatigue Apetite dysfunction Pain in epigastrium Eating late at night (depletes fluids and sets up disharmony throughout the system) Dehydrated / does not take on board fluids regularly Cold legs / feet Head pain Paralysis in the face / sudden deviation of the mouth Cramping of the lower leg / spasms of the thigh Objective Pain on meridian Weak muscles Tongue coating – Quantity – Colour – Spread Vomiting (rebellious Qi)/ belching / Hiccups

14 Stomach deficiency Little or no coating at root or mid portion of tongue Cracks throughout tongue, especially in centre

15 Point suggestions Frontal headache – St 8 (usually in conjunction with LI 4) – St 36 Jaw / tooth pain (lower) – St 5 – 7 – St 44 Facial Palsy / Trigeminal Neuralgia – St 3-8 – St 36 Fertility – St 25 – St 36 – St 40

16 Point Suggestions Lower limb pain – St (hip) – St (knee) in conjunction with SP – St 37-40(shin disorders) – St 41-44/45 (ankle / foot) Fatigue – St 36 ( if recent onset) – St 36, St 40 (if prolonged) Shoulder pain – St 38

17 Prevelant Points of St CV 12 – Front Mu of St BL 21 – Back Shu of St Luo Connecting Point – ST 40 Yuan (source) – St 42 Xi Cleft – ST 34 – Acute epigastric pain

18 Antique Points Well – always last point / first point on meridian. Bled (not done by Physios!) Spring – situated on border of palmer and dorsal aspect of extremity Stream / river – both generally close to ankle / wrist Sea – usually point just distal to knee / elbow

19 Antique Points Jing / Tsing (well) point – St 45 Ying (Spring) point – St 44 Shu (Stream) point – St 43 Jing (river) point – St 41 He (Sea) point – St 36

20 Sea Points Sea of energy – St9 (CV 17, BL 10) – Typically used for lack of energy or breathlessness Sea of nourishment – St 30(controls distribution of Qi throughout body), St 36 (controls digestion and bowels) – Anger, loss of apetite Sea of Nourishment – St 37 (controls mov. Of yang towards Yin), St 39 (controls mov. of yin towards Yang) – Tight feelings, strange bodily feelings

21 Classical Points Thirteen ghost point of Sun Si – Mao – St 6 Returning the Yang – St 36(returns conciousness) Heavenly star points – St 36 – St 44 One of the original four command points – ST 36 Window of Heaven Point – St 9

22 Misc St 17 should not be needled Chain & lock association – St 31, St 36, St 41 St Earth meridian therefore Fire is mother, Metal is son – Mother point – St 41 – Son Point – St 45


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