Ruben DharmawanBagian Akupunktur Medik

FKUNS 2011

MEKANISME KERJA AKUPUNKTUR 1

Discuss proposed mechanisms of action of acupuncture from two points of view:Western medicineChinese medicine

Applications

Tujuan

Iman Majd MD, L.Ac

TCM theory involvesQi & BloodYin & YangExcess & DeficiencyInternal & ExternalOrgan systems, meridians, and points.

Basic Concepts

Qi: Life force, vital energy behind all physiological processes. warms body, pathogen protection, promotes

growthMeridian network system Disruption of flow results in illnessMechanism of Qi still mysterious

Traditional Chinese Medicine

AcupunctureQi maintains balance

in the body.16 meridians360 regular

acupoints40 commonly used

extra pointsAcupoints influence

the physiology

Acupuncture Points

There are over 365 points on the human body Each point has a specific set of functions Usually, several points in different places are used in treatments.

Points can influence all areas of the body, points on the foot may be used for headaches, for example.

Acupuncture points linked together in lines called “meridians”

Meridians named for associated OrganKidney, Heart, Small Intestine, BladderLiver, Pericardium, Triple Energizer,

GallbladderSpleen, Lung, Large Intestine, Stomach

Meridians

Meridians have decreased electrical resistance relative to surrounding skin

Qi measured as microelectrical currentFlows in a circuitToes to fingers to head to toesUp on anterior surface of the bodyDown on posterior surface of the body

Meridians

Blockage in meridian flow produces diseaseTherapeutic action of “unblocking” meridian

flow (Relieving Stagnation)PainAsthmaHeavy, Painful, or Irregular Menstrual Periods

Meridian-Based Acupuncture

Iman Majd MD, L.Ac

Yin and Yang is a Daoist philosophical concept. They are means to generalize the opposite principles which may be observed in all related phenomena within the natural world. Yin: water, cold, stillness, dark, night. Yang: fire, heat, movement, light, day.

A key element to treatment in TCM is to bring the appropriate balance of Yin and Yang to the particular organ, system, or area of the body.

Yin & Yang

Iman Majd MD, L.Ac

Symbol of Yin and Yang

Xiang Sheng ( inter-generation ): refers to promoting and accelerating aspects of the mutual generation of objects according to the theory of five elements, i.e., wood generates fire, fire generates earth, earth generates metal, metal generates water, and water generates wood.

 Xiang Ke ( inter- inhibition, or control ) : refers to the

restraining and controlling relationships among objects according to the theory of the five phases, i.e., wood inhibiting earth, earth inhibiting water, water inhibiting fire, fire inhibiting metal, and metal inhibiting wood.

Two examples of relationships between Phases:

Dalam bahasa Cina, asma disebut sebagai Siao Cuan.

Siao berarti nafas yang berbunyi.

Cuan berarti nafas yang memburu atau sesak

Kasus : Asma

…considers asthma to be an indicator of an underlying health imbalance.

…treats the underlying root imbalance, rather than just the symptoms.

…considers all lifestyle & environmental factors when deciding the best course of treatment.

…includes nutritional & lifestyle recommendations.

Once the underlying imbalance is taken care of, the symptoms resolve, and the triggers lose their impact.

Oriental Medicine for Asthma

www.AcupunctureByDawn.com(727)723-3888

Deficiency of Energy (Qi) of the Lung, Spleen, and/or Kidneys. Plus, Accumulation of Phlegm (hot or cold type).

Caused by inappropriate diet, food additives, toxin exposure, repeated respiratory infection, genetics, emotional strain, lack of exercise, overwork, and even the asthma medications themselves can further contribute to the deficiency.

Asthma According to O.M.

www.AcupunctureByDawn.com(727)723-3888

TCM LUNG Physiology

Governs Qi & Respiration

Dominates Ascending & Descending

Control the Body Surface

Opens in the Nose

TCM LUNG PhysiologyGoverns Qi & Respiration

Inhales “clear” QiExhales “stale” QiForms Zong Qi from Gu Qi

& clear QiQi help propel the Blood so

Lung and Heart work together

Stagnation of Lung Qi leads to cough and asthma

TCM LUNG Physiology

Dominates Ascending & DescendingDistributes defensive (wie)

Qi and body fluid to entire body

Helps maintain normal descending function, while receiving the ascending water vapor from the kidney

TCM LUNG Physiology

Control the Body Surface

Distributes body fluid to the tissues which in turn helps regulate skin moisture and sweating

Provides Wei Qi

TCM LUNG Physiology

Opens in the NoseLung is a canopy

over the other organs and very delicate

Easily affected by pathogens (wind, heat, cold or dryness)

Lung Patterns

Dyspnea/Asthma Pattern

Invasion of Lungs by Wind‑Cold Accumulation of Phlegm‑Heat in Lungs

Excess

DeficiencyLung Qi DeficiencyLung Yin DeficiencyLung-Kidney Qi Deficiency

obstruct

Wind‑Cold Wind‑Heat

Attack

Lung

flow of the Lung Qi

control Qi Flow

Kidney Def

reception of Qi

upward the Qi Flow

Dyspnea/Asthma

Lung Def

Dyspnea/Asthma Pattern

Allergy Heat

Allergic heaves Worse in Summer Cool-seeking Tongue: Red and dry Pulse: Strong and fast

LU-5/7, BL-13, Ding-chuan, CV-22, LI-4/11, GV-14, Er-jian, Wei-

jianSchisandra 5

Lung Yin Deficiency

Chronic heaves/asthma Emaciation Dry hair Dry and thick nasal discharge Dry cough Cool-seeking Tongue: Red and dry Pulse: Thready and rapid

BL-13, KID-3, BL-23, SP-6, LU-7/9

Lily Combination

Lung Qi Deficiency

Chronic heaves/asthma Dyspnea worse when moving Weak voice Fatigue Exercise intolerance Tongue: Pale and wet Pulse: Deep and weak

BL-13, Qi-hai-shu, LU-7/9, ST-36, LI-10,

BL-23/26Bu Fei San

Kidney and Lung Qi Deficiency

Prolonged course of asthma Feeble asthma with low sound of respiration Exercise intolerance Loss of breath Worse asthma when moving Obvious heaves/asthma groove Tongue: Pale with thin coating Pulse: Deep and weak

BL-13, BL-23, BL-26, KID-7/10, LU-7/9, LI-

10, ST-36, Ding-chuan, CV-22Breath Easer

THANK YOUTHANK YOU