©2014 Kiiko Matsumoto Style of Acupuncture PCOM Symposium 2014 Abdominal and neck reflexes in Kiiko Matsumoto Style (KMS) For more info see: KIIKO MATSUMOTO’S CLINICAL STRATEGIES VOL. 1 (available on kiikomatsumoto.com) Heart/insomnia reflex Area of CV14 Liver Spleen Under right costal margin Under left costal margin Stomach Ren 12 area Oketsu (Liver) Lung/Immune St26, St27 and Ki15 area St26, St27 area Adrenals (Kidney) Tan Tien (Kidney) Ren6, Ren5 and Ren4 area + Ren9 pulsing and Sp20 reflex 1 5 Below Ki16 (on both sides) 1. Top of SCM (C1 Sublux./ENT) 2. Mid-SCM (Neurological) 3. Bottom of the SCM (Thyroid) 4. Above St-12 (Neurovascular compression) 5. Tw-16/East-Wind - behind SCM (Immune) 2 4 3 1 www.kiikomatsumoto.com prepared by Monika Kobylecka, L.Ac. ©2014 Kiiko Matsumoto Style of Acupuncture PCOM Symposium 2014 Head injuries General consideration: • Head injuries may be easily overlooked during intake/exam since these scars are hidden in the hairline. • It doesn’t matter if an injury occurred a “really long time ago!” If it is unhealed, then it may contribute to a problem. • Always consider both the area of impact as well as the contra coup area – one or both may be affected and should be addressed. • People with head injuries often have neck problems. Don’t forget to check the neck – especially C4, C5 and C6 area. • If someone complains of a headache that starts around BL-10 and travels or shoots up, suspect a head injury. • In addition to checking the area of impact and contra coup – also check Du20 in all patients with head injurers. Patients, who develop Oketsu in the head, may also be more prone to developing depression. • Always include foot jue points in treatments of patients with head injuries. Coup Specific reflexes: • Area of impact and Contra coup • Du20 (Oketsu in the head) – may present as pressure pain, “gummy” or loose skin or Contracoup heat in the area (hot head, cool body). Top of the head – Du-20 area treatments: • Oketsu in the head treat Oketsu (Liv-4 & Lu-5 on the left) and Liver signs. • Oketsu in the head after surgery (much higher change of developing depression) Sp-6 + Sp-9 + Pericardium treatment. • Du-2 • Insomnia point (located in the center of the heel) Neck treatments: C1 subluxation – shows as pressure pain at the top of the SCM Treatment: • Yao Tong Xue “Chinese back pain points” • TW-5 • Ear: TW, Brain stem, Point zero C2/C3 - phrenic nerve reflex shows at C3 Huato Jiaji Treatment: • Right side more painful: treat Liv-1 on the right and add St-25 on the right and Liv-13 on the right. • Left side more painful: treat Sp-1 on the left. C4/C5/C6 – shows as pressure pain or pain on the Du line and/or Huato Jiaji line; patient may have herniated discs Treatment (two steps) 1. Liv-8 + Ki-10 + Tw-9 with I Hi Kon treatment on the back (Basilar/Vertebral Artery treatment) 2. St-9 if C4 pressure pain remains; SI-16 if C5 pressure pain remains C6/7 – transitional vertebrae shows pain at Du line and or Huato Jiaji Treatment: • Ht-3 • Behind Ht-1 (1 cun below and 1 cun posterior to Heart-1) • Immune points • L5 Huato Jiaji 2 www.kiikomatsumoto.com prepared by Monika Kobylecka, L.Ac. ©2014 Kiiko Matsumoto Style of Acupuncture SCM PCOM Symposium 2014 Vascular compression of the neck. Check the area of the scalene – ½ cun above St12 Treatment: Sp-3.2 and Ht-3 OR Lu8 then add a direct treatment on the scalene Other points to consider in cases of head injuries resulting in neck problems (in combination with above mentioned) • Ren-12 or Ren-10 + Ren-12 + Ren-13 (lower, middle and upper Wan/Guan) – especially for herniated discs • Ren-4 (reflection of the head) Ren-8 - nose • Du-12 (Body Pillar), Du-15 or Du-16 nose - we do not needle Cv8 but we • Huato Jiaji L5 use the area around the navel to treat allergies/sinusitis • Kidney-7, Kidney-27, Lung-5 and Bladder-11 Bone treatment – especially if the head injury resulted in a cracked skull. Stomach-25 - eyes • Bl-2 + Yu-Yao – for generalized neck pain along the Acute eye pain & problems Small-intestine channel • Inner Yin (1/3 the distance from knee to groin away Tan Tien – head from Kidney-10 on the inner thigh) – release whole Depression or head injury trapezius muscle pain. Foot jue point treatment: For head injuries, use the Foot Jue point(s) that correspond to the area of the head affected by the injury or the contra coup area. You can also consider using the Foot Jue point that best suits the patient’s overall presentation. Jue (厥) of the feet is a pathological condition and may have an influence on the rest of the body. Master Maruyama explored the idea of jue and created this map. (At the joint between the phalangeal and metatarsals). Shao Yin – Heart/Kidney Tai Yin – Lung/Spleen Jue Yin – Pericardium/Liver Yang Ming – Large intestine/Stomach Shao Yang – Triple warmer/Gall bladder Tai Yang – Small intestine/Bladder 3 www.kiikomatsumoto.com prepared by Monika Kobylecka, L.Ac. ©2014 Kiiko Matsumoto Style of Acupuncture PCOM Symposium 2014 Post-operative General consideration: • Don’t forget to ask about surgeries since not all scars will be visible. Scars from hernia repair, plastic surgery, etc. can be well hidden. • Unhealed scars are the ones that after about 2 years they are still: • • • • • • Painful on palpation Different heights than the area surrounding them – raised like a keloid or sunken in Different color than the surround area – small changes in color are normal, but significantly red/purple scars may suggest that the scar is unhealed. Consider a detox treatment (Ki-9 + Ki-27 + LI-15) for patients who had general anesthesia – even if surgery/procedure was many years ago. This may be especially true in those who report “ever since that surgery, things have not been the same.” For these patients, the detox treatment may release multiple reflex areas on the abdomen, not just the liver reflex. Kid-16 (9 o’clock) Consider adrenal treatments – even a minor surgery under general anesthesia can be a scary/traumatic event for a patient. Check the adrenal reflex (treatment chart on page 2), kidney fire point (palpate by sliding across Ki-2 as pictured in the diagram) and SCM (see page 1). Kid-16 (3 o’clock) Adrenal reflexes are at 8 and 4 o’clock When a scar is painful, use distal points to release it. Choose points based on: • • • 8 4 Patients constitution Channel affected by the surgical scar Original reason for the surgery – i.e. scar pain from a hysterectomy which was performed due to ovarian cysts may benefit from Kid-10 (the primary point to release the ovary reflex, St-28). • Check for oketsu forming – both on the abdomen and oketsu of the head (Du-20) • • • • Numbness/tingling or loss of sensation on the scar: Stomach Qi treatments and Ren12 are important. Post anesthesia detox: Ki-9 +Ki27 + LI-15 Shock/trauma, adrenal treatments: lower leg kidney point with Ki-27 Poor healing after surgery: St-41 + TCM location of Pc-8 (this is an anti-inflammatory combo) For more info on any of the above described treatments, refer to: KIIKO MATSUMOTO’S CLINICAL STRATEGIES VOL. 1 & VOL. 2 (available on kiikomatsumoto.com) 4 www.kiikomatsumoto.com prepared by Monika Kobylecka, L.Ac.
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