TSUBO WEEK 1

TRANSPORT POINTS

JING WELL
Qi movement : The point at which qi emanates is known as the Jing-well.

Ruled by : Wood on Yin M. Metal on Yang M.

Located : At the tips of the fingers and toes (except Kid 1, on the sole)

Function : Nan Jing - Fullness below the heart.

Su Wen - Treats the Zang (yin organs)

Dynamic : Located at the tips of the extremities and ruled by the

expansive Wood, Qi at these pts is shallow, dynamic and
volatile with an outward expelling movement, providing an
opening for the release of replete energy which is ‘welling up’
in the body. These pts arouse energy from the depths of the
body to the surface to awaken consciousness, expel pathogens
or clear stagnation and pain. It is said they treat the uppermost
reaches of the channel particularly in acute cases.

Clinically : *Clears heat and pathogens and resolve stagnation and pain
Revive consciousness.

* Heat, pathogens, stag, pain - cause a build up of pressure in the channels. Meridians
that often exhibit this are Liv, G.B, Pc, St, L.I, Lu. Jing-well pts can clear & release.
Eg. Lu 11 for acute sore throat, St 45 for swelling of face, Bl 67 occipital headache.

*Fullness below the Heart - anatomically refers to the epigastrium area, though this
indication clinically suggests stagnation and fullness throughout the chest and
abdomen. ( Again the ruling phase is Wood-Liver which indicates stagnation )
Eg. St 45 fullness and distension of chest and ab. Kid1 heart pain, cough and
dyspnoea.

*Revive Consciousness, awaken shen - treat spirit disorders, mood dysfunction

Eg. Lu 11, St45, Sp1, Ht9 for various types of Mania. Liv1, GB44, Sp1, St45 for
various sleep disorders such as insomnia, nightmares and somnolence.
YING SPRING

Qi movement : The point at which Qi glides is known as the Ying Spring

point.

Rules by : Fire on Yin M. Water on Yang M.

Located : Second point from the extremities.

Function : Nan Jing - Heat in the body

Ling Shu - Changes in Complexion
Diseases of Yang Channels
Disease of the Zang (used with Shu stream pt)

Dynamics : Progressing deeper into the body, Qi picks up speed it

now gushes swiftly. Still possessing an expansive, expelling
nature it is useful to expel pathogens, its main use being to
clear heat (which is a bi-product of the struggle between wei qi
and xie qi - pathogenic qi.) Also being ruled by Fire draining
these pts reduces fire. Fire also being the phase, which governs
the Heart which manifests in the complexion.

Clinically :
*Used to clear heat, stagnation or pathogenic factors from respective channels. In
comparison to the Jing Well pt which tends to treat the upmost reaches of the channel
(that is the anatomical area at the opposite end from the Jing well) the Ying Spring
has a broader action on disorders along the whole course of the meridian, particularly
of the yang channels.
Eg. LI 2 for head & face symptoms as well as anterior shoulder and elbow pain.

*Diseases of Zang (combining spring and stream points)

Eg. Liv2 & Liv3 for liver syndromes particularly stagnation and heat.

*Clinically Ying spring points being ruled by fire (on yin meridians) can be tonified
to supplement Yang, obviously moxa is more effective.
SHU STREAM

Qi movement : The point at which qi pours is known as the shu stream point.
Ruled by : Earth on Yin M. Wood on Yang M.
Located : Third pt from extremity except GB which is the fourth.
Function : Nan Jing - Heaviness in the Body & pain in the joints
Ling Shu - Diseases which attack intermittently
Disorders of the zang (with ying-spring pt)
Disorders of the Yang channels (with ying pt)
Dynamic : Shu stream pt is where the energy begins to internalise.
Occupying the central position of the transport pts and being
ruled by Earth (centre) it harmonises, balances and regulates
interior and exterior. The Qi now gets bigger and deeper, xie qi
can enter and wei qi gathers here. On Yin M. this pt is also the
yuan-source pt which will be discussed later. However as the
point where yuan qi emerges this provides a direct link to deep
within the body and the surface therefore these points are
indicated for disease of the organs. The classics also state that
illness in the organ will result in abnormal reactions at these pts
so they can be used diagnostically.
Clinically :
*Heaviness and painful obstruction particularly by damp (damp being the pathogenic
factor for the ruling phase earth) either as a Spleen based syndrome or not.
Note - Yin meridians tend to treat internal and systemic manifestations whilst yang
meridians tend to treat local or meridian based (along pathway of meridian).
*Intermittent diseases, which come and go indicate a chronic struggle between wei qi
and pathogenic qi. When people are symptomatic the pathogen is stronger or wei qi
weaker and In periods of remission the opposite. examples being Malaria, migraine
headaches, seasonal allergies, recurrent viral illness such as herpes. Treatment is
indicated by location of symptom eg. coldsore at side of mouth treat St. or L.I .
* Disorders of the zang - Shu-Stream pts are the principle pts in all treatment of
organic dysfunction. Either used alone or with the ying-spring pt.
* Yang Channels were discussed in the ying-spring pt.
JING RIVER

Qi movement : The point at which qi flows is the Jing river point.

Ruled by : Metal on Yin M Fire on Yang M

Located : Wrist & ankle

Function : Nan Jing - Cough, dyspnoea, chills & fever

Ling shu - Changes in patients voice.
Diseases of sinews and bones.

Dynamic : The qi begins to flow deeper and broader filling

the meridian overflowing into the surrounding abundant
flesh to nourish them. However pathogens can also gain
access to joints and sinews at these points.

Clinically : *Limb problems and respiratory problems.

*Cough and chills and fever either as a lung based syndrome as metal is the ruling
phase and governs the Lung, or other organ which affects lung and throat.

* Changes in voice as the lung controls the voice and metal is the ruling the phase and
each phase will affect the voice in its own characteristic way.
Eg. St41 for stomach heat with raving Ht 4 for sudden loss of voice.

* Disorders of the sinews and bones often seen clinically as rheumatic complaints
Eg.Kid 7 for back pain Bl 60 for back pain and pain anywhere along its trajectory.
Also can be used for paralysis and spasm to nourish the joints and sinews.
HE SEA
Qi movement : The point at which qi enters is known as the He Sea pt.
Ruled By : Water on Yin M Earth on Yang M
Located : Just below the elbows and knees
Function : Nan Jing - Counterflow Qi and diarrhoea
generally from irregular eating.
Ling Shu - Diseases of the Fu (yang organs)
Diseases of the skin
Dynamic : Qi now has an absorptive, internalising nature
the antithesis of the expulsive externalising nature of
the Jing-Well Pts. It is the last transport point and the
most proximal in the sequence as energy moves up the
limbs. He (Sea) means to unite or connect, connecting
meridians with inner body, acting as a gate that
regulates the flow between internal and external.
Clinically :
*Counterflow qi can just be related to the stomach in terms of vomiting or we can
take it to mean any organic or energetic movement contrary to its normal course,
other examples include cough, wheezing, abnormal appetite, constipation, nausea,
reflux etc.
Eg. St 36 is one of the most effective points. Sp 9 for diarrhoea, Ht 3 for vomit.
*Fu disorders cover all fu organs.
Note - arm yang he sea pts have little impact on their respective fu organ.
Lower He Sea Pts
GB 34 ( Gb organ) St 37 ( Large intestine organ)
St 36 (Stomach and intestine) St 39 ( Small intestine organ)
Bl 40 (Bladder) Bl 39 ( S.J & intestines)
The above Lwr He Sea pts treat all problems of the intestines, bowels & Fu organs.
The leg yin He Sea pts Sp9, Kid 10, & Liv 8 also treat the fu intestines, bladder and
uterus. Also as yin is ruled by water these points influence fluid and urine.
*Diseases of the Skin most often reflect interior illness with retention of morbid
matter generally due to diet and Stomach and bowel function.