Adjuvant Therapy for Diabetes Mellitus

Diabetes Mellitus is a condition in which there is faulty carbohydrate metabolism, mainly due to a lack of insulin. The main symptoms are such as polyuria, polydipsia, polyphagia.

Diabetes Mellitus according to TCM, is caused by deficiency Qi and Yin then circulation of blood stagnation, to much sweet food intake, hiperaktivitas Yang.
Acupuncture treatment is adjuvant treatment for Diabetes Mellitus patient because it can support Qi and blood circulation clear and then Yin and Yang balance.

Prescription Acupuncture for Diabetes Mellitus.


Main Points:
  • SP.6 ( San Yi Jiao)
  • ST.36 (Zusanli)
  • BL.23 (Senshu)

Add this points according to symptoms:
Thirst:

Over eat:
  • BL.21 (Weishu)
  • CV.12 (Chongwan)

Frequent micturition
  • CV.4 (Guanyuan)
  • KI.7 (Fuliu)
  • KI.5 (Shuiquan)

Causal therapy if attack the organ (apply Yuan and Shu point):
Lung: LU.9 (Tay Yuan), BL.13 (Fei Shu)
Spleen: SP.3 ( Tay Bai), BL.20 (Bi Shu)
Kidney: KI.3 (Tay Xu), BL.23 (Shen Shu)
Liver: LR.3 (Tay Chong), BL.18 (Gan Shu)

Note:
Acupuncture is a adjuvant treatment. Drugs should be given in order to achieve more effective results.

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Standard Nomenclature in Acupuncture

Standard Nomenclature of The Unit of Measurement

In acupuncture used the CUN as the standardized nomenclature for the unit.

There are two different ways of defining the CUN:
B-cun --> Bone proportional cun
F-cun --> Finger cun.



Bone Cun

Standar measurement of six parts of the body were adopted as follows:

1. From the upper border of the manubrium to the end of the body end the sternum = 9 cun.
2. From the end of the body of the sternum to the umbilicus = 8 cun.
3. From the umbilicus to the upper border of the symphysis pubis = 5 cun.
4. From the medial malleolus to the ground = 3 cun
5. From the geat Trochanter to the knee joints = 19 cun
6. From the knee joint to the prominence of lateral malleolus = 16 cun





Finger cun




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Extraordinary Acupoints.

Extraordinary Acupoints Head and Neck (HN)

EX-HN.1 Sishencong
1 cun in front, behind, left, and right of the point Baihui.

EX-HN.2 Dangyang
1 cun within the natural line of the hair, directly above the pupil, while the patient looking straight ahead.

EX-HN.3 Yintang
At the midway of the medial ends of the eyebrows.

EX-HN.4 Yuyao
At the midpoint of eyebrow

EX-HN.5 Taiyang
Above I finger behind the lateral end of the eyebrow and the outer canthus.

EX-HN.6 Erjian
At the apex of the auricle, when the ear is folded.

EX-HN.7 Qiuhou
At the junction of lateral ¼ and medial ¾ of the inferior borger of orbit.

EX-HN.8 Shangyingxiang
Below the nose bone, in the depression of the upper end of the nasolabial sulcus.

EX-HN.9 Neiyingxiang
At the upper end of the nostril.

EX-HN.10 Juquan
At the center of the tomgue

EX-HN.11 Haiquan
Open the mouth and roll the tongue, on the lingual frenulum.

EX-HN.12 Jinjin
On the vein at the left side of the frenulum of the tongue.

EX-HN.13 Yuye
On the vein at the ringth side of the frenulum of the tongue.

EX-HN.14 Yiming
1 cun behind the point Yifeng.

EX-HN.15 Jingbailao
1 cun lateral to the middle line of the back, 2 cun above the point Tachui.



Extraordinary Acupoints Chest and Abdomen (CA)

EX-CA.1 Zigong
3 cun lateral to the point Qungqi



Extraordinary Acupoints Back

EX-B.1 Dingchuan
0,5 cun lateral to the point Tachui.

EX-B.2 Jiaji
0,5 cun beside the lower border of each spinous process from the 1st thoracic vertebra to the 5th lumbar vertebra. One point at each left and right side of the vertebra. There are 34 points altogether.

EX-B.3 Weiwanxianshu
1,5 cun lateral to the lower border of spinous process of the 8th thoracic vertebra. Anarther saying asserts that, there are three points, which also include one below the lower border of the spinous process of the 8th thoracic vertebra apart from two lateral ones.

EX-B.4 Pigen
3,5 cun lateral to the lower border of the spinous process of the first lumbar vertebra.

EX-B.5 Xiajishu
Below the spinous process of the 3rd lumbar vertebra.

EX-B.6 Yaoyi
3 cun lateral to the lower border of the spimous process of the 4th lumbar vertebra.

EX-B.7 Yaoyan
In the depression, 4 cun lateral to the lower border of the spinous process of the 4th lumbar vertebra.

EX-B.8 Shiqizhui
Below the spinous process of the 5th lumbar vertebra.

EX-B.9 Yaoqi
2 cun above the tip of the coccyx.



Extraordinary Acupoints Upper Extremities (UE)

EX-UE.1 Zhoujian
At the apex of the ulnar olecranon

EX-UE.2 Erbai
4 cun above the palmar tranverse crease of the wrist at the both side of the tendon of flexor carpi radialis muscle. One point is at the ulnar side of the tendon and the other one is at the radial side of the tendon.

EX-UE.3 Zhongquan
On the back of the wrist, in the depression between the points Yangxi and Yangchi.

EX-UE.4 Zhongkui
In the midpoint of trhe transverse crease of the proximal phalangeal joint of the middle finger. At the dorsum of the hand.

EX-UE.5 Dagukong
On the midpoint of the transverse crease of the phalangeal of the thumb. At the dorsum of the hand.

EX-UE.6 Xiaogukong
On the midpoint of the transverse crease of the proximal phalangeal joint of the small finger. At the dorsum of the hand.

EX-UE. 7 Yaotongdian
At the dorsum of the hand, on the radial side and ulnar side of the tendon of the extensor digitorum communis muscle. 1 cun before the transverse crease of the wrist, there are 2 points of each hand.

EX-UE.8 Wailaogong
At the dorsum of the hand, between the 2nd and 3rd metacarpophalangeal joint.

EX-UE.9 Baxie
0,5 cun proximal to the web margin, between the fingers from 1st to 5th,on the dorsum of the hand. There are 8 points at both hands.

EX-UE.10 Sifeng
At the palamar surface, on the midpoint of the transverse creases of the proximal phalangeal joint of the index middle, ring and small fingers each hand has 4 points and both have 8 points.

EX-UE.11 Shixuan
At the tip of each finger, about 0,1 cun behind the nail. There are ten points at both hands.



Extraordinary Acupoints Lower Extremities (LE)

EX-LE.1 Kuangu
1,5 cun bilateral too the point Lingchin. Each side has 2 points and both have points at all.

EX-LE.2 Heding
In the depression of the middle of the upper border of the patella.

EX-LE.3 Baichongwo
1 cun above the points Xiehai

EX-LE.4 Neixiyan
In the depression interior to the patella ligament.

EX-LE.5 Xiyan
In the depression bilateral to the patella ligament. Each knee has 2 point and both have 4 points at all.

EX-LE.6 Dannang
1-2 cundown to the point Yanglingquan

EX-LE.7 Lanwei
1,5-2 cun down to the point Zusanli

EX-LE.8 Neihuaijian
At the apex of the medial malleolus.

EX-LE.9 Waihuaijian
At the apex of the lateral malleolus.

EX-LE.10 Bafeng
0,5 cun proximal to the web margin between the five toes on the dorsum of the foot. There are 8 points at the both foots.

EX-LE.11 Duyin
At the sole surface, on the midpoints of the transverse crease of the distal phalangeal joint of 2nd toe.

EX-LE.12 Qidian
At the tip of each toe. Above 0,1 cun to the nail. There are 10 points at the both foots.


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Meridian Symptomatology Key

Lung Meridian (LU):
Distended chest, chronic cough, dyspnea, pain in supraclavicular fossa reaching to thumb or index finger, impaired vision, palpitations, hot palms, polydipsia.

Large Intestine (LI):
Abdominal pain, constipation, diarrhea, fever, symptoms arising from head and neck area, such as: toothache, sore throat, epistaxis, rhinitis, etc.


Stomach Meridian (ST):
Facial point: eye diseases, migraine, facial paresis, trigeminal neuralgia, toothache.
Thoracic points: pain in chest, mammae.
Abdominal points: stomach pain, intestinal disease, pelvic area.
Leg points: joints pain, paresis.
Points below knee are distants points, used for abdomen, shoulder and face.

Spleen Meridian (SP):
Gastrointestinal symptoms such as indigestion, malabsorption, anemia, general malaise, ulcers abdominal distention vomiting, diarrhea, leg pain.

Heart Meridian (HT):
Heart disease, chest pain, palpitations, disturbances of the autonomous nervous system, psychosomatic disorders, jaundice, arm pain.

Small Intestine (SI):
Neck and shoulder pain, lower abdominal pain, sore throat, and ear symptoms such as tinnitus, hearing loss.

Bladder Meridian (BL):
Facial points: eye disorders, headaches.
Neck points: occipital headache, cervical spine syndromes.
Lumbar points: lumbago, urogenital disease4.
Peripheral points: pain in lower extremities. Also used as distant points in disorder located close to Meridian.

Kidney Meridian (KI):
Kidney area symptoms such as edema, constipation, diarrhea, urogenital disease, loin pain.

Pericardium Meridian (PC):
Chest and heart pain, palpitation, angina pectoris, hand and fingers numb, shoulder pain, drowsiness.

Triple Energizer (San Jiao) Meridian (TE):
Symptoms arising from head and arm. Headache, polyneuropathies of arm, shoulder and chest pain, hearing loss, ear noises, eye disorders, enuresis.

Gall Bladder Meridian (GB):
Eye and ear disorders, headache, migraine, neck pain, lactation, pain mammalgia, liver and gall bladder afflictions, ischialgia, paralysis of lower extremites.

Liver Meridian (LV):
Distal points: eye disorders, headache.
Trunk points: liver and gall bladder disease, metabolic disorders.
Leg points: uroigenital disturbance.

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The Front Mu Points

The Front Mu Points

CV 3 Zhong Ji
The Front Mu Point of Bladder

CV 4 Guanyuan
The Front Mu Point of Small Intestine

CV 5 Shimen
The Front Mu Point of Triple Energizer

CV 12 Zhongwan
The Front Mu Point of Stomach

CV 14 Juque
The Front Mu Point of Heart

CV 17 Danzhong
The Front Mu Point of Pericardium

LU 1 Zhongfu
The Front Mu Point of Lung

LV 13 Zhangmen
The Front Mu Point of Spleen

LV 14 Qimen
The Front Mu Point of Liver

GB 24 Riyue
The Front Mu Point of Gall Bladder

GB 25 Jinmen
The Front Mu Point of Kidney

ST 25 Tianshu
The Front Mu Point of Large Intestine

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