Chinese Medicine Book Club Issue 2107
Daily updates to accompany the growth of TCM practitioners
IIntroduction:This season marks the peak period for acute enteritis, and I have encountered numerous patients with this condition in the clinic. Fellow readers, you might also try the acupuncture methods discussed in this article for treatment. (Editor/Yan Qifeng)
Acupuncture at Liangqiu Point for Treating Diarrhea
Author/Wang Jin
Diarrhea, also known as acute enteritis, can occur throughout the year, but is particularly common in summer and autumn. If this condition is not treated promptly or is treated improperly, it can lead to excessive diarrhea, damaging yin and consuming qi, resulting in a critical state of yin and yang deficiency. It may also transition from a condition of excess to deficiency, evolving into chronic diarrhea and harming the body’s vital energy.Therefore, it is crucial to treat diarrhea thoroughly and promptly to prevent it from becoming a chronic condition that damages the spleen qi.
Clinical Manifestations:
Common clinical patterns include: cold-damp diarrhea, damp-heat diarrhea, and food stagnation diarrhea.
Cold-Damp Diarrhea:
Characterized by watery stools, abdominal pain, borborygmi, and a feeling of fullness in the stomach with reduced appetite; accompanied by chills and fever, heavy head and pain, body aches, a white greasy tongue coating, and a soft, slow pulse.
Damp-Heat Diarrhea:
Characterized by abdominal pain and diarrhea with yellow-brown watery stools, burning sensation in the anus, irritability, thirst, and short yellow urine, with a yellow greasy tongue coating and a slippery, rapid pulse.
Food Stagnation Diarrhea:
Characterized by abdominal pain and borborygmi, large volume of foul-smelling stools, relief of pain after defecation, abdominal distension, sour belching, loss of appetite, a greasy tongue coating, and a slippery pulse.
Acupuncture Points:
Both sides of the Liangqiu point. This point is located 2 cun above the lateral edge of the patella along the line connecting the anterior superior iliac spine and the lateral edge of the patella. Use a 32-gauge needle for acupuncture and moxa sticks for moxibustion.
Treatment and Procedure
Cold-Damp Type:
Transform turbidity and disperse cold. Use moxa sticks for 10 minutes at each point.
Damp-Heat Type:
Clear heat and resolve dampness. Insert the needle 1.5 cun deep, performing even tonification and reduction, leaving the needle in for 60 minutes, and manipulating the needle every 20 minutes. Moxibustion for 5 minutes at each point.
Food Stagnation Type:
Promote digestion and relieve stagnation. Insert the needle 1.5 cun deep, performing even tonification and reduction, leaving the needle in for 60 minutes, and manipulating the needle every 20 minutes. Moxibustion for 5 minutes at each point.
Additional Adjustments Based on Symptoms:
For chills and fever, needle Quchi (LI11) (bilateral) and Waiguan (TE5) (bilateral); for fatigue and body aches, moxibustion at Zusanli (ST36) (bilateral); for severe abdominal distension, moxibustion at Tianshu (ST25).
Insights:
Observations of this condition show that acupuncture at Liangqiu point (bilateral), using different needling and moxibustion techniques, effectively treats diarrhea. It is essential to accurately differentiate the syndrome and select the points, as well as to apply the techniques appropriately to achieve the goal of clearing heat and promoting digestion, resulting in recovery after just one or two treatments.
Liangqiu point is the xi point of the Stomach Meridian of Foot Yangming. Xi points are areas of deep accumulation of qi in the meridians, commonly used in clinical practice for treating acute conditions. Acupuncture at this point has a significant effect in reducing excessive intestinal peristalsis. There is a noticeable change in intestinal peristalsis before and after treatment. Acupuncture at Liangqiu is characterized by its rapid effect in stopping diarrhea.
For damp-heat diarrhea, we also employed moxibustion, which aligns with the treatment principles of “counteracting treatment” and “releasing heat” from the Huangdi Neijing (Yellow Emperor’s Inner Canon). Additionally, as dampness is a yin pathogen, moxibustion also helps to warm and transform dampness, aiding in clearing heat and resolving dampness, and harmonizing the organ qi.
Recommended Reading
Acute Gastroenteritis, Remarkable Effects of Zhiyang
Chicken Inner Gold, Bai Zhu (White Atractylodes) Apple Paste for Treating Infant Diarrhea
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