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Category Archives: Acupuncture

Panic Attack – Can You Treat It With Acupuncture & Herb Treatment?

 

 

A woman in her mid 30s visited our acupuncture clinic. She had surgery a month ago to remove her cholecystitis, but ever since the surgery, she faced severe panic attacks. Her heart pounded extremely fast, her face was heating up as she was sweating, and she faced a fear that she was going to die. At first, she thought there was a problem in the heart, so she visited her family doctor for numerous heart examinations but was told there was no problem with the heart. She wasn’t facing any specific stress, nor did she have problems with work and at home, so she didn’t think there were any issues with the mind as well. She didn’t know what to do and kept searching for solutions and came across my website, visiting the clinic. She must have looked at my blog article regarding panic attacks for acupuncture & herb treatment.

 

We asked her to explain her symptoms in detail but she had an awkward facial expression. She said even if she explained her symptoms, we wouldn’t be able to understand it. We said it was fine and asked to explain in more detail, which she said it felt like something from her lower stomach was rising and hitting her heart. The patient also mentioned that it felt like excessive adrenaline was coming out. The patient herself didn’t understand the symptoms as it is a very rare symptom to many individuals; but in acupuncture & herb treatment, this is called ‘Bun-Don’. To explain in more detail, ‘The feeling of a jumping pig’ symptom. There is even a name for this symptom, so there’s obviously a way to cure this. With Eastern medicine that includes Poria cocos wolf and Cinnamomum cassia blume, you can take the medicine for a month and a half and ultimately, successfully treat the case.

 

This is a clinical example where the patient was satisfied but our question starts here. So ‘How can Acupuncture & Herb Treatment cure mental illness?’ First, we must look at how the Western Medical Science approaches and treats mental illness. In Western Medical Science, mental is solely the issue of the brain. A human’s emotions, thoughts, and conscious can be explained as the result of a brain’s neurons delivering 40-50 kinds of nerve cells to exchange signs.

 

Dopamine which makes us feel happy, Noradrenaline that reacts to stress, Serotonin that makes us feel calm with the combination of the two matters are all major neurotransmitters. Therefore, mental illness is the result of an abnormal act of neurotransmitters and to cure this, the goal is for the neurotransmitters to act normally again. It looks very simple and clear.

 

However, the problem is that the brain is not very simple. To understand the complicated network of 100 billion nerve matters and nerve fiber, modern medical science lacks knowledge. We didn’t completely understand but we had to cure it, therefore make a medication. It may work properly at times but there are still many side effects. The majority of the patients who suffer from mental illness' main goal is to stop taking the medication.

 

However, Acupuncture & Herb treatment’s approach method is different. One of the main prescribed medicines that we use is Cinnamomum cassia blume, which has no evidence of pharmaceutical characteristic. The method of directly approaching the brain is hard to find in Acupuncture & Herb treatment. Instead, Acupuncture & Herb treatment looks at the surrounding environment of the brain and starts the treatment. The questionnaire that we ask all our patients to fill out requires to check sweating fever, sweat, thirst, digestion, feces, urine, chest symptoms, sleep, physical strength, personality, menstruation, and more. Our body usually has subsidiary side symptoms, other than the main symptom that the patient appeals. Especially, for mental illness, you can identify the mental illness features from different physical symptoms. Also, from treating the physical symptoms, you can treat mental illness as well. As a drastic example, patients who suffer from panic attacks face a lot of thirst and urine problems, but if you treat thirst and urine problems, you can also cure panic attacks as well.

 

As a result, Acupuncture & Herb treatment defines a problem in the brain but doesn’t directly treat the brain. Instead, it chooses the method to treat by adjusting the human body itself to change the brain’s action. This is a possible treatment method because it allows seeing the whole perspective. The treatment ratio is good, along with side effects and toxicity that are considerably lower. A different approach method brings a different solution and that is the reason why Acupuncture & Herb treatment will receive attention in the 21st century.

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The dangerous acupoints

Damage the Medulla oblongata Du 15, Du 16, GB 20
Occulomotor N ST 1
Get into cranial cavity & bleeding Wei Ming(0.3″ above out canthus, BL 1, Qiu Hou
Pnemothorax Jing Bi, Ren 22, GB 21
Abdominal wall Ren 2~13, ST 19~30
Nerve Damage
Facial SJ 17
Mandibular ST 7
Median PC 6, PC 7
Ulnar SI 8, HT 7, HT 5
Femoral SP 12, GB 30, BL 36, BL 37
Common peroneal GB 34
Tibial BL 40, BL 57
Artery & vein
Common carotid ST9, Qiang Yin(2″ lateral Adam’s apple)
Internal carotid GB 2
External carotid SI 17
Brachial PC 3
Radial LU 9
Popliteal BL 40
Organ
Spleen LR 14, GB 24
Kidney BL 49~52
Spine Du 3-16, BL 31~33
Heart KD 22~25, ST 17, ST 18
Liver Ren 14, Ren 15, LR 14, GB 24, KI 21, Ren 13
Joint infection
Knee ST 35, BL 40
Contraindication on pregnancy SP 6, SP 9, DU 1, LI 4, BL 60, BL 67
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The table of meridian’s pathway

Start End Important details Branches Organs Luo-connecting ch Divergent
LU The Middle Jiao The medial side of the tip of the thumb(LU 11) The throat LU7→The radial side of the tip of the index finger(LI1) LU,LI,ST LU7→thenar eminence
LI The radial side of the tip of the index finger Either side of the nose (LI20) DU14, supraclarvicular fossa, gums of the lower teeth LI, LU LI6→ear, teeth
ST The lateral side of the nose(LI20) The lateral side of the tip of the second toe(ST 45) Around lips, upper gum, Ren24(Ren mai), ST30(Chong mai) supraclavicular fossa→Ren12,13→ST30 ST,SP ST 40→throat, the nape of the neck and head Penetrate ST,SP,HT and connect with eye
ST36→The lateral side of the middle toe
ST42→The medial side of the great toe
SP The medial side of the tip of the big toe(SP 1) SP21 & the root of tongue Meets with LU1, LR14, GB24, Ren 3, Ren4, Ren 10 SP,ST,HT SP4→intestines & ST
HT The heart The medial aspect of the little finger The eye system HT, SI, LU HT5→HT→root of tongue→eye
SI The ulnar side of the tip of the little finger The inner canthus(BL1), SI19 DU 14, The shoulder SI, HT, ST SI7→shoulder(LI15)
BL The inner canthus(BL1) The lateral side of the tip of the little toe(BL67) Vertex(DU20)→brain vertex→GB7, GB8, GB9, 10, 11, 12 BL, KI BL58→KI CH Enter HT, winds around the anus
KI The inferior aspect of the small toe The root of the tongue Meets with DU1, Ren 3, Ren 4; the throat KI,BL,LR KI4→below the PC→spreads into the lumbar vertebrae
LU,HT
PC The chest The tip of the middle finger PC8→the raidal aspect of the ring finger(SJ1) PC,SJ PC6→PC→HT
SJ The ulnar aspect of the tip of the ring finger The outer canthus DU14, The ear SJ, PC SJ5→PC CH in the chest
GB The outer canthus The lateral side of the tip of the 4th toe The ear, the sacrum, DU1 GB41→The hairy region of great toe(LR1) GB,LR GB37→the dorsum of the foot HT, eyes
LR The dorsal hairy region of the great toe (LR 1) Vertex(DU20) runs anterior to the Spleen channel to the area 8 cun superior to the medial rnalleolus; meets with REN 2, REN 3, REN 4 LR,GB LR5→genitals
curves around the exteranal genitalia; the eye system; encircles the inner surface of the lips; the throat LU,ST
REN The uterus(the lower abdomen) The infraorbital region(ST 1) Meets with DU28; winds around the mouth Arises pelvic cavitiy & ascends the spine REN15→abdomen Open(LU7)
DU The lower abdomen DU28 REN1 and REN 24; DU16→Brain→DU20 Lower abdomen→HT→mouth→below eye KI, HT DU1→spine→spreads over the occiput Open(SI3)
BL1→Du16→BL12→KI
CHONG The uterus(lower abdomen) Below the eye REN1, REN 7, ST 30, KI11-KI21 ST30→the sole of the foot The coalsescent points Open(SP4)
REN1→ascends the spinal column REN1, REN7, ST30,
The heel→The big toe KI11-KI21
DAI The region of LR13 GB26,27,28; encircles the waist GB26,27,28 Open(GB41)
YANG QIAO The lateral side of the heel(BL62) GB20→enter the brain meets with YIN QIAO at BL 1 BL62,61,59,GB29,SI10,LI15 Open(BL62)
,LI16,ST4,ST3,ST1,BL1,GB20 XI-Cleft(BL59)
YIN QIAO The posterior aspect of the navicular bone(KI6) BL1→enter the brain meets with YANG QIAO at BL 1 KI6, 8,BL1 Open(KI6)
XI-Cleft(KI8)
YANG WEI The lasteral aspect of the heel(BL63) DU15 communicates with DU MAI at DU 16 and DU 15 BL63,GB35,SI10,SJ15,GB21 Open(SJ5)
ST8, GB13-20,DU16,DU15 XI-Cleft(GB35)
YIN WEI The medial aspect of the leg(KI 9) REN23 communicaes with REN MAI at REN 22 and REN 23 KI9,SP12,13,15,16,LR14 Open(PC6)
; meets with SP12, SP13, SP15, SP16 REN22, REN23 XI-Cleft(KI9)
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The theory of five shu points(based on Ling Shu[spiritual axis] ch.6)

5 Shu point from Ling Shu(spiritual axis) ch.6

少師答曰:陰中有陰,陽中有陽,審知陰陽,刺之有方,得病所始,刺之有理
,謹度病端,與時相應,內合於五髒六腑,外合於筋骨皮膚,是故內有陰陽,外亦有陰陽。
在內者,五髒爲陰,六腑爲陽;在外者,筋骨爲陰,皮膚爲陽。故曰病在陰之陰者,
刺陰之滎輸,病在陽之陽者,刺陽之合;病在陽之陰者,刺陰之經;病在陰之陽者,刺絡脈,

In the interior there are 5 zang and 6 fu, in the exterior there are bones, sinews and skin. Both in the interior and exterior there is yin and yang. Within the interior, the 5 zang  pertain to yin and the 6 fu pertain to yang; with the exterior sinews and bones pertain to yin  and the skin pertains to yang. For diseases of yin within yin(5 zang), use the Ying-spring and Shu-stream points of the yin channels together. For diseases of yang within yang(the skin), use the He-sea point of the yang channels. For diseases of yin within yang(sinews and bones) , use the Jing-river points of the yin channels. For diseases of yang withn yang(6 fu), use the connecting points.

Summary
Yin within Yin = 5 Zang organs-> use the Ying-spring and Shu-stream points of the yin channels together. (LR 2 and LR 3)
Yang within Yang = the skin ->  use the He-sea point of the yang channels. (LI 11, SI 8, SJ 10)
yin within yang = sinews and bones -> use the Jing-river points of the yin channels
Yang withn Yang = 6 fu organs ->  use the connecting points
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The theory of the five shu points(based on Ling Shu[Spiritual Axis] ch.44)

Five Shu points from Ling Shu(Spiritual Axis) ch.44

井(Jing-well) 病在髒者,取之井 LU 1 &  LI 1(Stroke, Convulsion due te heat, Madness)
When the disease is located in Yin organs, treat the Jing-well points SP 1 & ST 45 ( Calming mind, treating nightmare)
五髒者,所以藏精神血氣魂魄者也(Ling Shu ch.47) SP 1 & LR 1 (Menorrhagia)
(Psychological disorder, Acute illness, stroke, convulsion, loss of consciousness) HT 9, SI 1 (Loss of consciousness, febrile disease)
BL 67 ( Malposition of fetus, difficult labour)
KI 1 ( Infentile convulsions, loss of consciousness)
PC 9 & SJ 1( Stroke, convulsion)
GB 44 (Insomnia)
Jing-well points used for irritability, mental restless, anxiety
PC 9 irritablity, insomnia
HT 9 menral disorders, anxiety, manic-depression
SP 1 hysteria, insomnia
ST 45 insomnia, mental confusion
KI 1 anxiety
SP 1 & LR 1 abdominal fullness
GB 44 & LI 1 hypochondriac pain
滎(Ying-spring) 病變於色者,取之滎
When the disease reflects on color, treat the Ying-spring points. LU 10 & LI 2 (Cough due to heat)
(Early stage of illness) LU 10 & SJ 2(Sore throat)
輸(Shu-stream) 病時間時甚者,取之輸
When the disease is better and worse by time, treat the Shu-stream points BL 65(Tai-Yang and Jue-Yin headache)
(Pain and fever with interval) GB 41(Shao-Yang headache)
ST 43(Yang-Ming headache)
經(Jing-river) 病變於音者,取之經
When the disease relflects in the sound, treat the Jing-river points LU 8(Cough and asthma)
(Voice change-cough, asthma, loss of voice) SP 5(Pain and rigidity of the tongue)
HT 4(Sudden loss of voice)
LI 5(Toothache)
ST 41(Wind-cold edema on the face)
SI 5(Swelling of the neck and submandibular region)
BL 60(Asthma and toothache)
KI 7(Asthma)
PC 5(loss of voice)
合(He-sea) 經滿而血者, 病在胃及以飲食不節得病者,取之合

When the channels are full and there are blood stasis , when irregular diet make illness

and the illness is located in the stomach, treat the He-sea points.

BL 40, LU 5, LR 8, ST 36(bloodletting)
ST 36, SP 9, LI 11(Stomach illness)
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The theory of the five shu points(based on Nan Jing[Classics of difficulties] ch. 68)

Nan Jing(Classics of difficulties) ch. 68

井主心下滿, 滎主身熱,  兪主體重節痛,  經主喘咳寒熱, 合主逆氣而泄.

Jing- well points used for “fullness under the heart”
Ying-spring points used for “hot sensation of the body”
Shu-stream points used for “feeling of heaviness and joint pain”
Jing-river points used for “asthma and cough, hot and cold sensation”
He-sea points used for “rebelloius Qi and diarrhoea”
Jing-well points used for epigastric fullness and pain
SP 1 & LR 1 abdominal fullness
GB 44 & LI 1 hypochondriac pain
Ying-spring points used for febrile disease or to clear heat
HT 8, PC 8 clear Heart-fire
LR 2 clear Liver-fire
ST 44 clear Stomach-heat
KI 2 clear Kidney empty-heat
LU 10 clear Lung-heat or wind-heat
SJ 2 & LU 10 sore throat
Shu-stream points used for painful obstruction syndrome, especially if from dampness.
SI 3, SJ 3, LI 3 Bi syndrome of the fingers, distal points to clear obstructions from dampness and cold
from the respective channels.
Jing-river points used for cough, asthma and upper respiratory diseases.
LU 8 cough and asthma
HE-sea points used for cough and asthma, vomiting and abdominal fullness, diarrhoea
LU 5 cough and asthma
ST 36 vomiting and fullness
SP 9 abdominal fullness
LI 11 & GB 34 high blood pressure
LI 11 & ST 36 & SP 9 diarrhoea
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The table of meridian’s pathway

Start

End

Important details

Branches

Organs

Luo-connecting ch

Divergent

LU

The Middle Jiao

The medial side of the tip of the thumb(LU 11)

The throat

LU7→The radial side of the tip of the index finger(LI1)

LU,LI,ST

LU7→thenar eminence

LI

The radial side of the tip of the index finger

Either side of the nose (LI20)

DU14, supraclarvicular fossa, gums of the lower teeth

LI, LU

LI6→ear, teeth

ST

The lateral side of the nose(LI20)

The lateral side of the tip of the second toe(ST 45)

Around lips, upper gum, Ren24(Ren mai), ST30(Chong mai)

supraclavicular fossa→Ren12,13→ST30

ST,SP

ST 40→throat, the nape of the neck and head

Penetrate ST,SP,HT and connect with eye

ST36→The lateral side of the middle toe

ST42→The medial side of the great toe

SP

The medial side of the tip of the big toe(SP 1)

SP21 & the root of tongue

Meets with LU1, LR14, GB24, Ren 3, Ren4, Ren 10

SP,ST,HT

SP4→intestines & ST

HT

The heart

The medial aspect of the little finger

The eye system

HT, SI, LU

HT5→HT→root of tongue→eye

SI

The ulnar side of the tip of the little finger

The inner canthus(BL1), SI19

DU 14, The shoulder

SI, HT, ST

SI7→shoulder(LI15)

BL

The inner canthus(BL1)

The lateral side of the tip of the little toe(BL67)

Vertex(DU20)→brain

vertex→GB7, GB8, GB9, 10, 11, 12

BL, KI

BL58→KI CH

Enter HT, winds around the anus

KI

The inferior aspect of the small toe

The root of the tongue

Meets with DU1, Ren 3, Ren 4; the throat

KI,BL,LR LU,HT

KI4→below the PC→spreads into the lumbar vertebrae

PC

The chest

The tip of the middle finger

PC8→the raidal aspect of the ring finger(SJ1)

PC,SJ

PC6→PC→HT

SJ

The ulnar aspect of the tip of the ring finger

The outer canthus

DU14, The ear

SJ, PC

SJ5→PC CH in the chest

GB

The outer canthus

The lateral side of the tip of the 4th toe

The ear, the sacrum, DU1

GB41→The hairy region of great toe(LR1)

GB,LR

GB37→the dorsum of the foot

HT, eyes

LR

The dorsal hairy region of the great toe (LR 1)

Vertex(DU20)

runs anterior to the Spleen channel to the area 8 cun superior to the medial rnalleolus; meets with REN 2, REN 3, REN 4

LR,GB LU,ST

LR5→genitals

curves around the exteranal genitalia; the eye system; encircles the inner surface of the lips; the throat

REN

The uterus(the lower abdomen)

The infraorbital region(ST 1)

Meets with DU28; winds around the mouth

Arises pelvic cavitiy & ascends the spine

REN15→abdomen

Open(LU7)

DU

The lower abdomen

DU28

REN1 and REN 24; DU16→Brain→DU20

Lower abdomen→HT→mouth→below eye

KI, HT

DU1→spine→spreads over the occiput

Open(SI3)

BL1→Du16→BL12→KI

CHONG

The uterus(lower abdomen)

Below the eye

REN1, REN 7, ST 30, KI11-KI21

ST30→the sole of the foot

The coalsescent points

Open(SP4)

REN1→ascends the spinal column

REN1, REN7, ST30, KI11-KI21

The heel→The big toe

DAI

The region of LR13

GB26,27,28; encircles the waist

GB26,27,28

Open(GB41)

YANG QIAO

The lateral side of the heel(BL62)

GB20→enter the brain

meets with YIN QIAO at BL 1

BL62,61,59,GB29,SI10,LI15 ,LI16,ST4,ST3,ST1,BL1,GB20

Open(BL62)

XI-Cleft(BL59)

YIN QIAO

The posterior aspect of the navicular bone(KI6)

BL1→enter the brain

meets with YANG QIAO at BL 1

KI6, 8,BL1

Open(KI6)

XI-Cleft(KI8)

YANG WEI

The lasteral aspect of the heel(BL63)

DU15

communicates with DU MAI at DU 16 and DU 15

BL63,GB35,SI10,SJ15,GB21 ST8, GB13-20,DU16,DU15

Open(SJ5)

XI-Cleft(GB35)

YIN WEI

The medial aspect of the leg(KI 9)

REN23

communicaes with REN MAI at REN 22 and REN 23

; meets with SP12, SP13, SP15, SP16

KI9,SP12,13,15,16,LR14 REN22, REN23

Open(PC6)

XI-Cleft(KI9)

Luo-connecting ch Divergent
LU LU7→thenar eminence
LI LI6→ear, teeth
ST ST 40→throat, the nape of the neck and head Penetrate ST,SP,HT and connect with eye
SP SP4→intestines & ST
HT HT5→HT→root of tongue→eye
SI SI7→shoulder(LI15)
BL BL58→KI CH Enter HT, winds around the anus
KI KI4→below the PC→spreads into the lumbar vertebrae
PC PC6→PC→HT
SJ SJ5→PC CH in the chest
GB GB37→the dorsum of the foot HT, eyes
LR LR5→genitals
REN REN15→abdomen Open(LU7)
DU DU1→spine→spreads over the occiput Open(SI3)
CHONG The coalsescent points Open(SP4)
REN1, REN7, ST30, KI11-KI21
DAI GB26,27,28 Open(GB41)
YANG QIAO BL62,61,59,GB29,SI10,LI15 ,LI16,ST4,ST3,ST1,BL1,GB20 Open(BL62)
YIN QIAO KI6, 8,BL1 Open(KI6)
XI-Cleft(KI8)
YANG WEI BL63,GB35,SI10,SJ15,GB21 ST8, GB13-20,DU16,DU15 Open(SJ5)
XI-Cleft(GB35)
YIN WEI KI9,SP12,13,15,16,LR14 REN22, REN23 Open(PC6)
XI-Cleft(KI9)
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What is meridian?

Meridians is the most important concept of acupuncture. My patients often ask me “Even though pain is generating shoulder, why you put acupuncture on my feet?” If you understand meridians, you can find an answer easily.

 

Energy(I call Qi, pronounced “chee”) is circulating the body. There is the pathways which the energy circulates. Those are meridians. There are 14 main meridian pathways throughout the body. Each is connected to specific organs and glands. You can see the liver meridian on the left picture.

 

The Liver meridian is circulating the genital area. Because of that, Problems of genital area(such as enlarged prostate, leukorrhea, etc) can be treated through the liver meridian. The liver meridian starts at big toe. So I put acupuncture on the feet and can treat enlarged prostate.

 

However, location of meridian can explain only the small part of application of meridians. I usually treat stress, anxiety, headache, eye problems, hypochondriac pain, muscle spasm, IBS(irritable bowel syndrome) through the liver meridian.

 

Here is the testimonial from the patient for IBS

“Suffering from IBS for more than 10 years & trying different treatments without any result, I started to believe that I have to live with it ! Stress was one of the main reason of my problem which I couldn’t control it. As a newcomer to Vancouver, I had a stressful life. The IBS has got worse & worse. A friend of mine proposed me to try acupuncture treatments. I found Green Leaf Clinic. This was the beginning the end of all my suffers during these years. After 2nd session I felt better. I had no usual pain. After 7th session I started to enjoy from a normal life. The IBS was controlled. Acupuncture treatments worked for me ! Professor Byoungjin Na, I’m very grateful for what you have done. Thank you for changing my life.”

When I first saw her, she complained severe abdominal pain and frequent bowel movements especially in the morning. As she said, stress affect her a lot. According to Eastern Medicine theory, stress firstly affect the liver and liver meridian. The liver has a function to regulate the Qi. If that function has problem, the Qi is stagnated. This condition is called ‘The Qi stagnation’.

 

The Qi stagnation usually occur heart burn or IBS at digestive system. I treat the liver meridian and release the Qi stagnation. Therefore we had very good results. Pain for almost 10 years was gone in one month with acupuncture treatment. After that, she visited the clinic once a month for following check up.

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