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Dyskinesia of the biliary tract and gallbladder Dyskinesia of the biliary tract is a violation of the tone and motility of the gallbladder and biliary tract. There are no signs of inflammation or stone formation. Often dyskinesia of the bile ducts and bladder is not independent

Nutrition for gallbladder dyskinesia The nature of nutrition is important for gallbladder dyskinesia, since food can contribute to both the formation and secretion of bile. Meals, first of all, should be frequent (5-6 times a day), preferably at the same time

1.3. Gallbladder stones With the current availability of ultrasound, gallbladder stones as an incidental finding are very common. Several years ago, the entire adult population of one small Italian town was examined and asymptomatic stones were identified in almost everyone

4. Methods for combining points

In practice, for one disease, several points can be selected, and exposure to one point can give a therapeutic effect for many diseases. Therefore, to obtain the best therapeutic effect, you need, based on the principles outlined above, to know the specific combination of points.

There are several methods for combining points. We will indicate the most frequently used of them.

Method of combining symmetrical points. When treating some diseases, the main symmetrical points are chosen; for example, for gastric diseases - the Zu-San-Li points, for gynecological diseases - the San-Yin-Jiao points; for pain in the frontal part of the head - tou-wei points; for diarrhea - tian shu points.

Method of simultaneous combination of points of the upper and lower extremities used in the treatment of one or two diseases. Thus, in the treatment of tetany, the He-Gu points are combined with the Tai-Chun points; in the treatment of cough and to regulate the function of the stomach and intestines, the He-Gu points are combined with the Zu-San-Li points.

Method of combining front and back side points with deep and superficial irritation. When treating one or several diseases at the same time, to enhance the irradiation of sensation from the limbs to the head or torso, or to expand the zone of sensation, you can select two points on one limb; for example, on the back and front of the arm or leg, a deep injection is made at one point, and a superficial injection is made at another point, or an injection is made at one point, and cauterization is performed at another point. Thus, in the treatment of sciatica and to regulate the activity of internal organs, they combine the Huan Tiao point with the Zu San Li point; for toothache and intercostal neuralgia, they combine the Qu Chi point and He Gu; In addition, the combination of these points is also effective for diseases of the head and face, shoulder area and upper respiratory tract.

Method of combining points on the outside and inside. When treating one or two diseases, select points on two lines. For example, in the treatment of gonitis and diseases of the urinary system, the points of Yang-Ling-Quanyi of Yin-Ling-Quan are combined; in the treatment of menstrual irregularities and colds, the points of Xuan-Zhong and San-Yin-Jiao are combined. The combination of Nei Guan and Wai Guan or Qu Chi and Shao Hai points enhances sensation in the upper limbs and is used in the treatment of pain, paralysis of the upper limbs, as well as diseases of the respiratory and digestive systems.

A method of combining direct and indirect stimulation. In this case, local and distant points are simultaneously selected. For example, when treating nasal diseases, in addition to using the Ying-Xiang or He-Liao points in the nose area, they combine the He-Gu or Qu-Chi points on the hands. When treating eye diseases, in addition to the points in the orbital area of ​​the Qing Ming or Si Bai, you can also use the points on the leg of the Zu Lin Qi; in the treatment of gastric diseases, in addition to points on the upper abdomen, for example, Zhun-Wan, the Zu-San-Li point is also used.

A method of combining points close to the central nervous system and distant ones. With this method, points located on the head, neck, back, etc. are combined with distant points. For example, when treating malaria, they combine the Da Zhui point (in the neck and back) with the Jian Shi points (on the forearms) and Jie Xi (on the back of the foot) or combine the Tao Dao point (in the back) with the Le points -que (on the forearms) and zhang-men (in the abdomen), etc. When treating mental illnesses, combine the bai-hui, feng-chi (head area) points with the da-ling and jian-shi points (on the forearms).

Method for simultaneous selection of several symptomatic points. For example, for pain in the lower back, hip, and dyspepsia, you can combine the Huan Tiao point with the Zu San Li point or the Ba Liao point (the name of the symmetrical points Shan Liao, Tsi Liao, Zhong Liao and Xia Liao) with Wai Guan points. For stomach pain and diarrhea, you can combine the Zhong Wan point with Tian Shu points or Huang Shu points with Nei Guan points. For wet dreams and constipation, combine Da-Chang-Shu with Ming-Men or Guan-Yuan points, or Shen-Shu points with San-Jiao points.

A method of combining restorative points and symptomatic treatment. For this purpose, the following points are often used: Gao Huang, Wai Guan, Da Zhu, Ming Men, Qu Chi, Zu San Li, Xuan Zhong, Guan Yuan Shu, etc. To strengthen activity of the gastrointestinal tract and increasing nutrition, the points of gan-shu, dan-shu, pi-shu, san-jiao-shu, da-chang-shu, xiao-chang-shu, etc. are often chosen (for one procedure, choose no more than two or three points).

A method for selecting points located in the area of ​​the affected organ. For example, when treating ear diseases, you can choose points er-men (in the ear area), xuan-li (temporal area), tou-qiao-yin (in the back of the head), etc. For acute enterocolitis and menstrual irregularities, you can select the tian shu (on the second lateral line of the abdomen) and zhong ji (on the midline of the abdomen) points. For lumbosacral radiculitis, you can choose the Zhi Bian and Da Chang Shu points.

Method of two-way cross combination of points. In ancient times, Zhen Ju therapy paid great attention to the following points. If the lesion was located in the upper part of the body, then the injections were made in the lower part of the body; if the lesion was located in the lower part of the body, the injections were made in the upper part of the body. For lesions located in the left half of the body, injections were made on the right; for lesions located in the right half, injections were made on the left. This method has been justified in modern clinics. For example, for toothache on the right, in addition to the Xia-Guan Jia-Che points on the right, you also need to use the He-Gu point on the left. If the right facial nerve is affected, in addition to the points on the right, you can also use the le-que point on the left. For hemiplegia on the left, you can select the points on the left hand, Jian Yu, Qu Chi, and the points on the leg, Yang Ling Quan and Xuan Jin. Thus, when treating zhenjiu of one or another disease, many effective points can be used simultaneously or alternately.

When treating chronic diseases, you can select several groups of points, using them alternately or in combination. For example, when treating hypertension, for one combination you can take the Zu-San-Li and Nei-Guan points, for another - the Qi-Hai-Shu and San-Yin-Jiao points; You can also combine these points alternately. For example, during the first procedure, the left Nei-Guan point and the right Zu-San-Li point are selected, and during the second procedure, vice versa. For pain in the back and shoulder blades, the points in this area are combined simultaneously or used alternately.

First mention.

“Zhen Jiu Jia Yi Jing” (Canon of Fundamentals of Acupuncture and Moxibustion, 282).

Classification.

One of the “eight centers” is the “bone marrow center.”

Name.

“Xuan” (悬) - “to hang, to be suspended”; "zhong" (钟) - "bell". The point is located 3 cun above the ankle. In ancient times, children often hung a bell at this place, which is why the point is compared to a “hanging bell.”

Other names.

• Jue-gu (绝骨).

Localization.

3 cun above the lateral malleolus, in the depression between the anterior edge of the fibula and the tendon of the peroneus brevis muscle.

Functions.

1. Xuan-chung VB.39 is one of the “eight centers” - “the center of the bone marrow.” Bone marrow is stored in the bones and provides nutrition to the bones. Thus, Xuanzhong VB.39 is an important point in the treatment of various musculoskeletal diseases. Among the indications for the use of the Xuan-zhong point VB.39, this category of diseases includes pain, weakness and sensory disturbances in the lower extremities, pain syndrome with dislocation of the knee and ankle joints, pain in the lower back and back, lameness, beriberi, hemiplegia. To increase the effectiveness of treatment, it is often recommended to use a combination of the Xuan-zhong point VB.39 with the “center of bones” Da-zhu V.11 and the “center of tendons” Yang-ling-quan VB.34.
2. According to records in ancient sources, Xuanzhong VB.39 is an effective point for treating digestive diseases. Thus, in the book “Zhen Jiu Jia and Jing” (Canon of the Fundamentals of Acupuncture and Moxibustion, 282), bloating, heat in the stomach and loss of appetite are indicated as indications for using the point. There are no other indications for using the Xuan-chung VB.39 point in this book.
3. In the book “Tai Ping Sheng Hui Fang” (Collection of Miracle Recipes for Great Calm, 992), Xuan-chung VB.39 is classified as one of the “seven points for treating apoplexy.”

Indications.

• Diseases of the musculoskeletal system: pain, weakness and impaired sensitivity in the lower extremities, pain syndrome with dislocation of the knee and ankle joints, pain in the lower back and back, lameness, beriberi, hemiplegia.
• Diseases of the foot shao-yang channel of the gallbladder: pain in the hypochondrium, pain in the outer surface of the leg, in the knee joint and lower leg, chills.
• Digestive diseases: bloating, heat in the stomach, loss of appetite.
• Other illnesses: apoplexy, colds with high and prolonged fever, pain and swelling of the mucous membrane of the throat, tension in the neck and neck muscles, nosebleeds.

Combination.

• Feeling of numbness throughout the body: first Jing-gu V.64, then Zhong-feng F.4, Xuan-zhong VB.39.
• Pain in the lower back and back, chills: Tsi-liao V.32, Xuan-chung VB.39, Cheng-jin V.56.
• Bloating: Xian-gu E.43, Xuan-chung VB.39.
• Hemiplegia, apoplexy: Xuan-chung VB.39, Kun-lun V.60, He-gu GI.4, Jian-yu GI.15, Qu-chi GI.11, Shou-san-li GI.10, Tzu- san-li E.36. If a repeated attack occurs after the injection, inject Jian-ching VB.21, Shang-lian GI.9, Wei-chung V.40.
• Ascites: Shan-wan VC.13, Tzu-san-li E.36, Zhang-men F.13, Yin-gu R.10, Guan-yuan VC.4, Qi-men F.14, Xing-jian F .2, Pi-shu V.20, Xuan-chung VB.39, Cheng-man E.20.
• Weakness in the legs: Gong-sun RP.4, Tzu-san-li E.36, Xuan-chung VB.39, Shen-mai V.62.
• Pain above the ankle: cauterization San-yin-jiao RP.6, Xuan-chung VB.39, Kun-lun V.60.
• Cramps in the foot: Shen-shu V.23, Yang-ling-quan VB.34, Yang-fu VB.38, Xuan-chung VB.39.
• Numbness in the foot: first Yang-jiao VB.35, Yang-fu VB.38, Xuan-chung VB.39, Xing-jian F.2, then Kun-lun V.60, Xuan-chung VB.39, Qiu- Xu VB.40.
• Colds with high and prolonged fever: Qu-chi GI.11, Xuan-chung VB.39, Tzu-san-li E.36, Da-zhui VG.14, Yong-quan R.1, He-gu GI.4 (sedation techniques at all points).
• Nosebleed: Shang-xing VG.23 (cauterization with 27 cones), Xuan-zhong VB.39, Xin-hui VG.22.
• Lameness: Xuan-chung VB.39, Huan-tiao VB.30.
• Take-take because of the cold-dampness: first pricking Tzu-san-li E.36 and San-yin-jiao RP.6, then pricking Xuan-chung VB.39.
• Pain in the joints of the legs: Fei-yang V.58, Xuan-chung VB.39.
• Hemiplegia: Xuan-chung VB.39, Shen-shu V.23, Huan-tiao VB.30, Feng-shi VB.31, Wei-chung V.40, Tzu-san-li E.36.
• Torticollis: Xuan-chung VB.39, Tian-zhu V.10, Hou-si IG.3, Feng-chi VB.20.

Technique.

Perpendicular piercing to a depth of 1-1.5 cun or piercing towards the San-yin-jiao point RP.6 to a depth of 2 cun. Moxibustion: 3-5 cones or 5-10 minutes with moxa cigarette.

Selection of impact points and their combinations

Since in our work with points we will use not traditional needles or other mechanical influences, but Aires health matrices, we will not determine what exactly caused the violation in a particular meridian, redundancy or insufficiency. Health matrices will restore balance in any case.

To restore balance, we will use our own “matrix” sequence of influence. These sequences are marked with a prime.

Known methods.

1. The rule of sequence (or the “mother-son” rule): in case of excess, they act on the tonic point of the meridian next to the damaged one in the energy circulation (“son”), in case of insufficiency, on the tonic point of the meridian preceding the one in the circulation (“mother”). .

1'. We paste the matrices both on the point of the next one and, simultaneously, on the point of the previous meridian.

2. The rule for discharging excess energy into the paired meridian (if the “mother-son” rule did not produce an effect). In this case, they proceed from the idea that redundancy in a given meridian leads to insufficiency of the meridian paired with it (and vice versa). In this case, the “big injection” method is recommended: first sedate the assistant point of the meridian with redundancy, and then tone the lo-point of the paired meridian. If you need to influence a meridian with insufficiency, then you need to tone the assistant point of this meridian and sedate the lo-point of the paired meridian. The combination of these points is presented in table. 13.

2′. We paste the matrices on the auxiliary point of the meridian with redundancy and on the lo-point of the paired meridian. At the same time, we glue the matrices onto the auxiliary point of this meridian and onto the lo-point of the paired meridian.

3. Method of influencing the points of the same meridian on the opposite side of the body (used only for signs of redundancy). It is based on the idea that excess of a meridian is accompanied by a relative deficiency of the same meridian on the opposite side.

3′. We glue the matrices directly onto this meridian and onto the same iridian of the opposite side of the body.

4. Relative insufficiency also occurs in the meridian opposing the hourly circulation of energy (see Table 2). For example, the maximum energy flow in the lung meridian occurs at 3-5 o'clock, at which time the opposing bladder meridian is in relative insufficiency; during these hours the impact on lo- The point of the bladder (opposing meridian) allows you to remove excess energy from the lung meridian.

5. Use of group lo- points for obesity syndrome: if all three are “interested” yin- meridian or all three yang- meridian of the arm or leg, affect their group lo- paragraph; in this case, it is possible to use them crosswise or according to the “top - bottom” rule. These impact options are presented in table. 14.

5'. We glue all the indicated meridians.

6. Impact on the miraculous meridians is used for chronic diseases and intractable severe pain syndrome.

6′. We glue the painful points of the wonderful meridians.

Table 13. Using a helper point and lo- point of the paired meridian in case of obesity syndrome

Regulation of imbalance in meridians by gluing matrices:

• 1) using the “mother-son” rule;
• 2) impact on lo- meridian point;
• 3) impact on the starting points of the meridians;
• 4) in cases when all meridians yin or yang have excess or lack of energy, it is necessary to influence a group of meridians: a) stimulate all meridians yang or yin, if they have a lack of energy; b) stimulate the general lo- anterior-median meridian point (VC1 Hui-yin) to normalize energy yin- meridians, or general lo- post-middle meridian point (VG1 chang-qiang) to normalize energy yang- meridians; c) stimulate the command points of the miraculous yin- meridians to normalize energy in constant mn-meridians or miraculous command points yang- meridians to normalize energy in constant yang- meridians; d) if energy normalization (and pulse normalization) has not occurred, additional influence on the starting points of the main meridians is effective.

Table 14. Options for using group lo- points

For general treatment of fever, use the following points: VB20 feng chi, VB34 yang- Ling Quan, V11 Da Zhu, V12 Feng Men, GI4 He Gu, VC19 Tzu Gong, E36 Zu San Li (sedate one or more of these points).

It is especially important to relieve pain, which, being a signal of a pathological condition, can itself become a source of further disorders (for example, cause cardiogenic, traumatic shock); Chronic pain syndrome impairs a person’s ability to work. Pain syndromes can be treated by influencing signal and pain points, as well as the starting and ending points of the meridian. In this case, it is necessary to follow the rule: in case of acute pain, first act on points distant from the source or on points on the opposite side, and then include local points. I.e. we apply crystal applicators or stick on holographic matrices.

In case of chronic pain syndrome, it is first necessary to increase the body's defenses, for which general action points are recommended that normalize the state of the central nervous system. The main ones are: P7 Le Que, GI4 He Gu, GI11 Qu Chi, E36 Zu San Li, RP6 San Yin Jiao, R6 Zhao Hai, MS6 Nei Guan, TR5 Wai Guan, VG4 ming-men, VG14 da-zhui.

Treatment of pain syndromes is a complex task, so first of all it is necessary to establish the main diagnosis, the symptom of which is pain, for example, headache due to influenza, increased intraocular pressure (glaucoma), intracranial pressure, etc., since in each specific case a different combination is affected points.

Rules for using miraculous meridians: 1) influence on miraculous meridians is used only after unsuccessful or insufficiently effective (but correct!) treatment by selecting points on permanent meridians; you should never start treatment with the use of miraculous meridians; 2) when turning on the miraculous meridian through a key point, they additionally influence only the points related to the affected main meridians, but no other points can be used, otherwise the treatment will be ineffective; 3) you should never use both command points of a pair of meridians first, and then the symptomatic ones; must be used in the sequence: key point - symptomatic points - connecting point; 4) in case of intractable pain syndrome, they act on the key point (tone) of the wonderful meridian of the opposite side of the body; the connecting point is sedated; You can sedate the pain point of the miraculous meridian.

When choosing a combination of points, i.e. to compile a recipe, ancient recommendations are mainly used, based on the theory of meridians and the flow of energy; these provisions continue to be the scheme of Zhen-Jiu therapy. If necessary, mainly for symptomatic treatment, the prescription includes extra-meridian points, as well as points of the auricle; They also determine the type of reflexology - acupuncture, moxibustion, acupressure, etc.

1. The combination of local and distant points of a damaged meridian or two meridians (damaged and adjacent) is most often used and very effective, for example, in the treatment of chronic rhinitis, you can combine the effect on the local point GI20 ying-xiang and distant (on the arm) GI4 he-gu of this same meridian, you can also include the VG24 Shen Ting point.

2. Combine the points of the upper and lower extremities, i.e. points of two meridians.

3. For acute pain in the upper part of the body, you need to take points in the lower part of the body, for pain in the lower part, take points at the top (the “top-bottom” rule). Cross combination of points is used widely and with great success; for example, they combine the points of the leg on the sore side and the points of the hand on the opposite side.

4. Symmetrical point technique, i.e. tone the point on the meridian of the opposite side, symmetrical to the point closest to the center of the Projection of the pain syndrome. In other words, if there is pain on one side, you need to tone the points of the same meridian on the opposite side.

5. Combine points on the front and back surfaces of the body: signal points and sympathetic points of the bladder meridian; their compatibility is shown in table. 15. In general, pain syndromes that appear on the back side of the body, such as lumbago, are effectively treated by influencing signal points, and symptoms that appear in the chest and abdomen are treated with sympathetic points of the bladder meridian or points of the posteromedian meridian.

Table 15. Combination of sympathetic and signal points

6. A combination of symmetrical points (on the same meridians of opposite sides) is recommended, taking into account their special indications in a certain area: for example, point E8 (1) tou-wei on both sides - for pain in the frontal region.

7. To treat the leading pain symptom (for example, lower back pain), points are selected according to the indications of this symptom.

8. In the presence of several diseases, combine points on the front and back surfaces of one limb to expand the area of ​​influence. For example, in the treatment of sciatica and simultaneous disorders of the gastrointestinal tract, the points of two yang- meridians VB30 Huan-Tiao and E36 Zu-San-Li (symptomatic treatment). You can combine points on the outer and inner surfaces of the limb (i.e. points yin- And yang- meridians); for example, to treat menstrual irregularities and pain in the leg joints, you can use the VB39 Xuan-Zhong and RP6 San-Yin-Jiao points.

9. In case of severe pain, sedative points of different meridians are combined and assisting points are used.

10. When choosing points and drawing up a recipe, it is very important to take into account the functions of connecting points (stabilizing lo-

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