Understanding Hyperosmolar Hyperglycemic State (HHS)

How do I understand the philosophy of Asian healing in general, and specifically treating diabetes & pneumonia? The latter killed my father, while the former Type II Diabetes inherited for generations. Type II over time develops into Type III diabetes.

Shiatsu, a therapeutic technique that involves applying finger pressure, palm pressure, or gentle stretches to specific points and meridians (energy pathways) in the body. The objective, to balance the flow of Chi, promoting physical and emotional health. In this context, shiatsu focuses on stimulating the body’s energy system to enhance circulation, release blockages, and encourage the flow of directed Chi spirits unto certain target areas. Balancing the Yin Yang/Female Male the key to healing. The secondary Yin female organs compare to the double X chromosomes. The primary Yang Male organs compare to the tiny, almost insignificant Y chromosome.

The Yin/Yang relationship directly compares to the mythical Amazonian society governed by women. When a person makes a synthesis of heat reproductive libido energies combined with Chi spirits, which a person through meditation conscious breathing can direct these refined Chi spirits throughout her/his body. The ratio of Yin to Yang, primary to secondary organs approaches a 1:2 ratio.

The Ren Mai (Conception Vessel) and Du Mai (Governing Vessel), considered to regulate energy in the core of the body. Ren Mai (Conception Vessel): This Yin meridian runs along the front of the body, thought particularly important for sexual health and reproductive function. Believed to govern the flow of Chi through the lower abdomen, which includes areas like the pelvic floor. Stimulating this meridian helps arouse and increase circulation in the sexual organs, including the prostate.

Du Mai (Governing Vessel): The Du Mai runs along the spine, considered to govern the Yang energy in the body. Often associated with stimulating the back and lower regions, which can activate sexual energy and arousal. This meridian helps bring more energy to the core of the body, further stimulating the sexual organs.

The Kidney meridian likewise plays a significant role in heat fertility health because it’s associated with the body’s vital essence, or Jing, thought to support reproductive function and sexual vitality. The Kidney meridian runs along the inner legs and worked on to help enhance sexual arousal and vitality.

In shiatsu therapy, pressure or manipulation along these meridians, especially in the lower abdominal area and around the sacrum (for the Ren Mai and Du Mai), helps stimulate and circulate Chi, arousing instinctual heat energy in the pelvic region; awakens Chi spirits in areas like the prostate or G-spot. Techniques such as gentle pressing, kneading, or tapping may be applied along these pathways.

Shiatsu, as a therapeutic technique, involves applying finger pressure, palm pressure, or gentle stretches to specific points and meridians (energy pathways) in the body. The objective, to balance the flow of Chi spirits, promoting physical and emotional health. In this context, shiatsu focuses on stimulating the body’s energy system to enhance circulation, release blockages, and encourage the flow of directed Chi spirits unto certain target areas.

The Ren Mai (Conception Vessel) and Du Mai (Governing Vessel), primarily considered to regulate energy in the core of the body.

Ren Mai (Conception Vessel), one of the main meridians in TCM. Said to govern the body’s Yin energy and deeply associated with the reproductive system and sexual health. In this case, stimulating this meridian helps arouse energy in the pelvic region, including areas like the prostate (for men) or the G-spot (for women), as both located in the lower abdominal and pelvic areas.

Du Mai (Governing Vessel): Runs along the spine, governing the body’s Yang energy. This Chi spirit energy, thought more active and dynamic. It has a direct association with vitality and life force. Stimulating the Du Mai helps move energy through the lower back, spine, and pelvic region, increases sexual reproductive instinctive

energy or Chi spirits in these sensitive areas. Healing seeks to forge an alliance with the heat sexual energy Chi spirits. Moving the Chi through the meridian points accomplished to meditative deep breathing techniques.

The prostate or male G-spot, viewed in TCM as focal points for sexual vitality. When Chi spirits breath freely, these spirits enhance sensitivity, circulation, and vitality.

The practitioner may apply gentle but firm pressure with their fingers or palms on specific points along the Ren Mai or Du Mai meridians. This pressure can help to move Chi spirits through the body and activate reproductive instinctive

energy in the pelvic region.

Shiatsu message employs the hands to knead or massage areas around the lower abdomen, sacrum, or back. The objective aim, to release tension, increase circulation, and stimulate the flow of energy. Tapping on specific meridian points, also stimulates the flow of Chi spirits and helps the energy to circulate more freely throughout the body, especially in areas associated with sexual reproductive instinctive vitality.

By working on meridians that govern sexual health, shiatsu therapy aims to balance and enhance the body’s energy flow, potentially increasing sensitivity, vitality, and spirit Chi arousal. Tapping into the reserves of heat reproductive drives within, affixes this primal energy with Yin/Yang Chi spirits.

In TCM, the concept of Chi spirits refers to the energy that resides in specific regions of the body, including

sexual organs like the prostate or G-spot. By stimulating meridians that govern instinctual sexual energy (such as the Ren Mai and Du Mai), shiatsu therapy helps awaken these Chi spirits, enhancing sexual vitality and arousal. The goal, to promote balanced flow of both Yin and Yang energy within the body, creating harmony between the body’s passive female (Yin) and active male (Yang) forces.

In this way, Shiatsu practitioners, through deep breathing techniques, enhance basic yet fundamental reproductive sexual drives through their breathing Chi spirits into the body of the client/patient; something like Martial Arts employs Chi spirits to breaks boards or bricks, Shiatsu directs Chi spirits to heal, balance, and strengthen the body.

The Ren Mai and Du Mai, govern the core reproductive drive energies within the body. Healing turns to the fundamental nature, the natural drive to sexually reproduce, it serves as the key ally of consciously directed Chi spirits to treat diseases that ails the human body.

Application of pressure to meridian pathways, shiatsu stimulates energy circulation aimed to release blockages, and guides Chi spirits to target areas, to enhance health and vitality. Shiatsu stimulates the Du Mai to promote Yang energy, energizing the sexual organs and enhancing sexual vitality. While Ren Mai, a Yin meridian, the Jing, stored in the kidneys, this key Yin spirit, thought to support long-term energy and fertility. Stimulating the Kidney meridian helps enhance sexual vitality and arousal.

This breathing technique allows the client to connect with their body and consciously direct Chi spirits to release tension and improve circulation. Chi spirits, the vital energy that flows through specific areas of the body, stimulated through conscious deep breathing techniques, awakens this normal chi function which operates without enlightened conscious direction. Balancing Yin and Yang

Chi spirits: The Ren Mai and Du Mai, which exist as a paired meridian couple. They balance Yin (passive) and Yang (active) energy within the Human body.

Reproductive vitality combines with conscious breathing to refine and increase the power of Chi spirits. Much like martial arts or energy practices like Chi Gong, which use Chi to direct energy toward the expression of physical\external Chi spirits intended for martial arts conflict; shiatsu makes a logical דיוק\inference, it seeks to heal, balance, and strengthen the body through the expression of emotional/internal Chi spirits.

The healing relationship between the Shiatsu healer and the patient stands upon the foundation of TRUST. Shiatsu therapy employs techniques designed to enhance the flow of Chi through key meridians, particularly, always starting with the Ren Mai (Conception Vessel), Du Mai (Governing Vessel), and Kidney Meridians. By stimulating these energy pathways with gentle pressure, kneading, and tapping, shiatsu aims to balance the Yin and Yang energies within the body, awaken Chi spirits in the pelvic region, and promote healing, recovery and health through a deep connection to the body’s fundamental reproductive “heat” instincts of reproductive drives\energy, supporting both emotional and physical health through a combined synthesis of “heat” instinctual sexual drives combined with deep breathing Chi spirits.

The Du Mai meridian governs Yang energy, the more active, dynamic force in the body. Stimulating the Du Mai, shiatsu therapy helps forge a union of reproductive energy spirits combined with deep breathing ATP\Chi spirits into a more refined and powerful Chi. As rope braids, (it has 3 threads), so too Du Mai, Ren Mai and Kidney meridian forge and enhance the power of the Chi spirits when combined with the Jing vital essence sexual instinct spirits. The Kidney meridian houses the Jing vital instinct spirits, thought to support long-term energy, fertility, and overall vitality.

When treating pneumonia, shiatsu practitioners aim to target meridians and points that influence the Lung, Spleen, and Kidney, as these are traditionally associated with respiratory function, immune health, and vitality in TCM. Ren Mai governs the flow of nourishing energy – unto the lungs and chest area. In pneumonia, stimulating the Ren Mai can help to balance energy and calm the chest, especially during difficult breathing or chest congestion. Shiatsu practitioners may apply pressure along the front of the body, especially near the chest and upper abdomen, to stimulate energy flow and alleviate stagnation or blockages in the respiratory area

TCM, the body seen as a dynamic system which operates in health through the balance between various elements. Good health requires balance within the body. Disrupted balance leads to various patterns of disharmony, including excess heat, phlegm, or wind-cold in the lungs. An overabundance of heat energy in the lungs, associated with the body’s ability to regulate respiration, immunity, and fluid metabolism. Excess heat manifests as symptoms like: dry or sore throat, coughing thick yellow or green phlegm, feeling hot or experiencing a fever, rapid breathing or shortness of breath, restlessness or irritability, a red tongue with a yellow coating and a rapid pulse.

Emotions, and Meridians: TCM – each organ system affixed to a specific set of emotions which influence both physical and emotional health. In treating pneumonia the emotions of worry, fear and anger dominate. Worry links to the spleen, an Earth element. It depletes the Spleen Chi, leading to digestive issues, fatigue, and emotional instability. The Stomach the emotion of worry impacts this organ causing digestive disturbances and nausea. The Spleen and Stomach, affixed with the Earth element, which governs nourishment, digestion and the ability to ground emotions.

The 5 major Yang organs: Fear – Water Element (Kidney), Anger – Wood Element (Liver), Grief – Metal Element (Lungs), Shame – Earth Element (Spleen),Worry – Earth Element (Spleen/Stomach).

Each of these primary organs has corresponding secondary or supportive Yang organs that help balance and support their function. These Yang secondary organs, involved in assisting with the flow of Chi, blood, and body fluids, as well as helping to regulate and manage the emotional, physical, and energetic balance of the body.

Fear – Water Element (Kidney) — Secondary/Supportive Yang Organ: Bladder. The Bladder helps the Kidney in its role of storing and regulating the body’s fluids, especially those related to urination. In TCM, the Yin Kidneys govern water metabolism, said to store the Jing (instinctual drive to reproduce vital essence), while the Yang Bladder helps with the excretion of fluids and the transformation of water.

Yin and Yang, complementary opposites that work in balance to maintain harmony within the body. In this context, the body’s organs classified into Yin and Yang categories, where they perform functions more dynamic or more passive in nature. In TCM, organs classified as either Zang (Yin organs) or Fu (Yang organs), and this classification defines their fundamental role in the body’s processes: Yin Organs (Zang Organs) – These are the “solid” organs, which include: Liver, Heart, Spleen, Lung, Kidney, Pericardium. The pericardium, a double-layered sac that surrounds and protects the heart. It plays a crucial role in cardiovascular health, immune defence, and emotional balance in both Western medicine and TCM.

The pericardium consists of two layers: the Fibrous Pericardium (Outer Layer), tough, dense connective tissue layer that anchors the heart in place and prevents over-expansion. And the Serous Pericardium (Inner Layer). The Parietal Layer lines the inside of the fibrous pericardium. Visceral Layer (Epicardium): Directly covers the heart muscle. Pericardial Cavity: A space between the two layers containing pericardial fluid, which reduces friction during heartbeats.

The Zang organs, considered Yin because they primarily have responsibility for storing vital substances like Chi, blood, and Jing (instinct heat reproductive essence). These organs, they function as more passive in nature—they do not actively transport or expel substances, but they store, accumulate, and conserve vital substances essential to life. Americans tend to employ an aggressive Yang pin-pong power game. Whereas the Chinese developed a more defensive Yin pin-pong reactionary game.

(TCM), Yin and Yang represent two complementary and interdependent forces that maintain balance in the body and the world. Yin often associated with qualities such as passivity, coolness, and nourishment, while Yang represents activity, heat, and aggression. The organs classified as Zang (Yin organs), like the Liver, Heart, Spleen, Lung, Kidney, and Pericardium, play a more passive role in TCM. They mainly focus on storing and preserving vital substances like Chi, blood, and Jing, ensuring that the body remains nourished and stable.

This Yin principle of preserving and maintaining balance, expressed in the way the Zang organs work. Not directly involved in the active movement or elimination of substances. The role of the Yang (Fu) organs (like the Stomach, Small Intestine, Large Intestine, etc.). Instead, these Yin organs focus on storing and conserving vital substances so that the body remains energized and healthy.

American Ping-Pong, an inclination toward an aggressive, high-energy, Yang-driven style of play. Americans may often prioritize speed, power, and attack, which reflects a more dynamic, active approach—characteristic of Yang. This style mirrors the idea of expending energy quickly and decisively, much like the Yang organs’ role in transporting or eliminating substances.

In contrast, the Chinese style of ping-pong might involve a more strategic, reactionary, and defensive approach. This compares to the Yin-type qualities of preserving, conserving energy, and responding more subtly and effectively to the opponent’s moves. Rather than pushing aggressively to overpower, players might focus on staying balanced, waiting for the right moment to strike—much like the Zang organs, which conserve and preserve rather than immediately expend or act.

This difference in playing style can reflect the broader cultural understanding of Yin and Yang in daily life, where Western cultures (often perceived as more Yang) may focus on action and movement, while Chinese culture (with its emphasis on Yin in many aspects of life) may place more value on patience, defence, and reaction.

Ultimately, both approaches, necessary to create balance. Aggressive and defensive strategies work in tandem, just as Yin and Yang balance each other in the body for health maintenance. In ping pong, a successful player often uses a combination of both: aggressive offensive moves to press the advantage, and strategic defence to maintain control and wait for an opportunity. Just like in life, TCM emphasizes that harmony between Yin and Yang which brings overall health and well-being.

In summary, the contrasting approaches to the ping-pong משל metaphor, seen as an expression of Yin (defensive, reactionary, passive) and Yang (aggressive, proactive, dynamic), reflecting the broader cultural outlooks influenced by these ancient principles. Both styles, valid and useful in different contexts, much like the way the body’s Yin and Yang organs work together in TCM to maintain health.

Ultimately, both approaches, necessary to create balance. Aggressive and defensive strategies work in tandem, just as Yin and Yang, balance each other within the body & maintain good health. In ping-pong, a successful player often uses a combination of both: aggressive offensive moves to press the advantage, and strategic defence to maintain control and wait for an opportunity. Just like in life, TCM emphasizes that harmony between Yin and Yang brings overall health and well-being.

The contrasting approaches to ping-pong, seen as an expression of Yin (defensive, reactionary, passive) and Yang (aggressive, proactive, dynamic), reflecting the broader cultural outlooks influenced by these ancient principles. Both styles – valid. And useful in different contexts, much like the way the body’s Yin and Yang organs work together in TCM to maintain health.

Anger – Yin, Wood Element (Liver), its secondary/Supportive Yang Organ: Gallbladder. Yin Grief – Metal Element (Lung), its secondary/Supportive Yang Organ: Large Intestine. The Yang Gallbladder, paired with the Yin Liver in TCM. The Yin Liver responsible for the smooth flow of Chi throughout the body, while the Yang Gallbladder helps with decision-making, courage, and the digestion of fats. The Yin Liver and Yang Gallbladder work together to regulate emotions like anger and ensure that Chi flows freely. If a blockage in Yin Liver Chi, it can lead to anger and frustration, while the Yang Gallbladder helps to mitigate indecisiveness and supports clear judgment.

The Liver, classified as a Yin organ in TCM, and closely associated with the Wood element. The primary responsibility of the Yin Liver, to ensure the smooth flow of Chi spirits throughout the body. The Liver also stores blood and likewise, connected to the regulation of emotions, particularly anger, frustration, and irritability. In TCM, anger emotions, considered a Wood element of nature. An excess of anger or frustration can result from the Liver Chi spirits becoming blocked or stagnant. This can happen when a person experiences prolonged stress, emotional repression, or frustration, which leads to a build-up of Chi in the body, causing both physical and emotional discomfort.

The Gallbladder, considered a Yang organ that works in tandem with the Liver. Responsible for storing and excreting bile, it plays an important role in decision-making, courage, and the digestion of fats. Also linked to the emotional aspect of decisiveness and judgment.

The Gallbladder’s role in decision-making and courage stems from its Yang energy. In TCM, believed that the Gallbladder helps one to make clear decisions, take action, and move forward in life. A strong and healthy Gallbladder supports the ability to face challenges with confidence. While the Liver ensures the smooth flow of Chi spirits, the Gallbladder helps in converting that flow into action, making decisions and taking courageous steps. When the Gallbladder functions well, typically a person more decisive and clear-headed, with the ability to overcome obstacles without excessive hesitation.

In TCM, the Yin Liver and Yang Gallbladder considered a pairing within the Wood element, and their connection simply essential for emotional regulation and physical health. The Yin Liver provides the foundation for the smooth flow of Chi spirits, while the Yang Gallbladder ensures that this energy gets directed toward action, decision-making, and clarity. If the Yin Liver Chi spirits become stagnated, this may result in emotional turmoil, like anger or frustration. However, the Yang Gallbladder, helps overcome indecisiveness and supports the clarity needed for effective decision-making and action.

A blockage in Yin Liver Chi spirits, such as from stress or emotional suppression, can lead to a build-up of energy, resulting in feelings of anger or frustration. The Yang Gallbladder supports overcoming indecision and doubt by helping one act with greater courage and clarity. In TCM, when a blockage manifests, felt or identified, practitioners often focus on restoring balance between the Yin Liver and Yang Gallbladder. Techniques such as acupuncture, herbal medicine, and dietary adjustments used to help unblock the Liver Chi spirits, promote emotional balance, and allow the Gallbladder to support clearer judgment and decisiveness.

The removal of the Spleen and Gallbladder in Western medicine presents an interesting question: How does the body continue to function without them if they are so vital in TCM? The liver and lymphatic system compensate for Spleen’s immune and blood-filtering functions. The gallbladder stores and releases bile to aid digestion, but the liver can take over bile production after gallbladder removal.

Grief associated with the Metal element, particularly the Lung organ in TCM. The Lung, as a Yin organ, responsible for storing and distributing Chi spirits throughout the body, it asserts as a key role in emotional regulation. Grief and sadness, considered Metal emotions. When Lung Chi spirits become blocked due to grief or emotional suppression, it can lead to physical symptoms such as shortness of breath, fatigue, or immune weakness. The Yang Large Intestine, this Yang organ paired with the Lung, involved in the elimination of waste, both physically and emotionally. It supports the Lung process and manages grief, allowing a person to move on from sorrow.

Yin Grief – Metal Element (Lung), paired with the secondary/Supportive Yang Organ: Large Intestine. The Yin Lungs, paired with the Yang Large Intestine in TCM. The Yin Lungs govern Chi spirits and respiration, while the Yang Large Intestine, involved in elimination. The connection between these two organs emphasizes the role of letting go—physically (through breathing and excretion) and emotionally (through grief and sorrow). The Yang Large Intestine helps to clear the body of waste, which symbolically relates to the process of releasing grief and emotional burdens.

Shame – Earth Element Yin (Spleen) its secondary/Supportive Yang Organ: Stomach. The Yin Spleen and Yang Stomach paired in TCM, and they both govern digestion and the transformation of food into Chi and blood. The Yin Spleen, considered the “mother” of digestion, and it supports the Yang Stomach, responsible for the first phase of digestion. The Yin Spleen linked with the emotion of Shame, due to its role in the nourishment and grounding of the body. Any disharmony in this system can manifest in emotional issues like low self-esteem or feelings of inadequacy.

Worry – Earth Element (Spleen/Stomach) married with another secondary/Supportive Yin/Yang Organ: Pancreas (as a part of the Spleen function in TCM). The Yin Spleen and Yang Stomach, the primary organs involved in the Earth element. The emotion of worry arises from imbalances in this system. In TCM, the Yin Spleen, responsible for transformation and transportation of food and fluids into Chi and blood, while the Yang Stomach, responsible for the intake and initial digestion of food. The Yang Pancreas often considered a secondary or supporting part of the Yin Spleen function, especially in terms of its role in breaking down and absorbing nutrients from food.

While the Pancreas is not traditionally viewed as an independent organ in TCM, it is considered a part of the Spleen system, especially in terms of digestion and nutrient absorption. The Pancreas plays a secondary, supportive role in the Spleen’s function by helping break down and absorb nutrients from the food we consume. This helps provide nourishment and sustenance for the body. The Pancreas linked to the Spleen’s digestive capacity, especially in breaking down food into its simplified forms so that the Spleen can effectively convert it into Qi and blood. When the Pancreas is functioning well, it supports the Yin Spleen’s ability to transform food into energy, thereby providing vital nourishment.

Imbalances in the Yin/Yang Pancreas (such as weakened digestive fire) can hinder the process of nutrient absorption, leading to fatigue, low energy, and emotional dissatisfaction, often manifesting as the emotion of worry. When the Yin Spleen, weak or out of balance, it often manifests as emotional issues related to overthinking, rumination, and excessive worry. Worry tends to deplete the Yin Spleen of Chi and leads to a circulation block in the digestive system. The Spleen and Yang Stomach, responsible for the nourishment and transformation of food, and worry can disrupt this process. Excessive worry or mental overactivity can impair the Yin Spleen’s ability to transform food into energy, leading to symptoms such as poor digestion, fatigue, and dampness (such as bloating or weight gain).

This, in turn, leads to emotional instability, causing feelings of anxiety, guilt, or fear. When the Yin Spleen and Yang Stomach suffer imbalance, it can create both physical and emotional issues. If the Yin Spleen’s ability to transform food – impaired. A ירידות הדורות/domino effect follows. This ripple effect leads to digestive discomfort such as bloating, nausea, low appetite, or a feeling of fullness. Accompanied by symptoms of dampness, such as fatigue, swelling, or poor digestion. A weakened Yin Spleen can lead to fluid retention in the body (i.e., dampness) and create a feeling of heaviness, which can cause a person to feel emotionally burdened.

The pancreas is essential for survival because it has both endocrine (hormonal) and exocrine (digestive) functions. The pancreas in Western medicine has a dual function. It produces insulin and glucagon. Without insulin, glucose cannot enter cells, leading to uncontrolled diabetes and eventual death. The Pancreas secretes enzymes (amylase, lipase, proteases) into the small intestine to break down carbohydrates, fats, and proteins.

The Spleen and Stomach already govern digestion and nutrient transformation, which aligns with some pancreatic functions. However, they cannot fully replace the pancreas in the way the liver can compensate for the loss of the gallbladder. Neither the Spleen, Stomach, nor Liver can fully take over the critical pancreas functions of Endocrine (hormonal) function & Exocrine (digestive) function. The Stomach secretes hydrochloric acid (HCl) and pepsin but lacks the enzymes necessary to break down fats and carbs.

The Spleen in TCM is responsible for transforming food into Qi and Blood, but it doesn’t physically secrete digestive enzymes. While the liver produces bile (which helps digest fats), it does NOT produce amylase or proteases to digest carbs and proteins. The Spleen & Stomach in TCM control digestion and Qi transformation, but they do NOT regulate blood sugar. The liver can release stored glucose (glycogen) when needed, but it doesn’t produce insulin or glucagon.

The pancreas, undeniably a critical organ with both Yin (endocrine) and Yang (exocrine) functions, making it unique. The pancreas secretes hormones (Yin) and enzymes (Yang), much like the Liver (which regulates both blood storage and circulation). In TCM, likely merged with the Spleen because both relate to digestion and nutrient transformation, but this overlooks its critical endocrine role.

Often, when the Yin Spleen becomes imbalanced, individuals may crave sweets or excessively eat to try to nourish themselves emotionally. This may result in digestive issues like gas or bloating. Worry and Overthinking: Worry, overthinking, and excessive mental activity reflect key emotional manifestations of Yin Spleen Chi deficiency. This emotional state often leads to anxiety and a lack of mental clarity, preventing a person from making decisions and leading to feelings of helplessness.

The Pancreas is central to the regulation of blood sugar and the secretion of digestive enzymes; it cannot be fully replaced by any other organ, making it fundamentally unique in its physiological functions. Therefore how do I map a pancreas meridian? Acupuncture points on the Spleen Meridian (e.g., Sp 3, Sp 6, Sp 9) often used to support digestion, resolve dampness, and nourish Spleen Chi and Spleen Yin. Acupuncture points on the Stomach Meridian (e.g., St 36, St 21, St 44) used to improve digestion, resolve food stagnation, and harmonize the digestive system. Acupuncture points like Liv 3 and Liv 14 help to resolve stagnation, improve digestion, and harmonize the flow of Chi. But to map a pancreas meridian most definitely requires a merger synthesis with Ren Mai (Conception Vessel) and Du Mai (Governing Vessel).

These two extraordinary meridians, central to overall energy regulation in the body, and their involvement would provide a more complete understanding of the Pancreas-like functions of digestion, energy transformation, and metabolic balance. The Ren Mai, often called the “sea of Yin.” It governs the body’s Yin energy, including that of the digestive system. It runs along the front midline of the body, passing through the abdomen, where the Spleen and Stomach reside. In a synthesis for the Pancreas, the Ren Mai seen as providing nourishment to the digestive and metabolic systems, as it plays a central role in the circulation of Yin (cooling, nourishing energy).

The Du Mai, the “sea of Yang” and governs Yang energy. It runs along the midline of the back and up through the spine, affecting the body’s Yang functions, including metabolism, warmth, and overall vitality. In relation to the Pancreas, the Du Mai might help stimulate Yang and boost digestive “fire” needed for digestion and enzyme secretion.

To synthesize a Pancreas Meridian, integrating the Ren Mai and Du Mai, we’d focus on harmonizing the Yin and Yang energies in the digestive system, while also addressing the unique metabolic and enzymatic functions that the Pancreas governs in Western medicine. Ren 4 (Guanyuan): This point, known as the “Origin Pass,” and it tonifies Yin energy, supports the Kidneys, and helps to nourish the entire body’s Chi. It is also beneficial for digestive disorders, aiding in energy transformation, key to the Pancreas’ function of digestion.

Ren 12, a powerful point for harmonizing the Spleen and Stomach, helping to resolve food stagnation, and assisting with digestion. It also supports Chi transformation, helping the body convert food into energy. Ren 17 (Shanzhong): Located at the center of the chest, this point traditionally used to open the chest, but it can also help with Chi circulation in the digestive system, aligning with the Pancreas’ role in nutrient transformation and energy production.

Du 4 (Mingmen): Known as the “Gate of Life.” This point critical for tonifying Yang energy and strengthening the body’s vitality. In the context of a Pancreas Meridian, it would help stimulate Yang to promote digestion and nutrient absorption. Essential for supporting the digestive fire that the Pancreas helps regulate. Du 14 (Dazhui): This point, powerful for clearing heat and stimulating Yang. Often used to boost overall energy, key to metabolic functions like those of the Pancreas, especially in cases of Yang deficiency or sluggish digestion. Du 20 (Baihui): This point, known for its ability to raise Yang energy in the body and enhance mental clarity and vitality. Helps invigorate overall energy and stimulate the digestive system’s metabolic processes.

Liv 3 (Taichong): This point helps to smooth the Liver Chi and improve digestion by enhancing the flow of Chi, crucial for smooth digestive function. It can harmonizes the flow of energy in the Pancreas-like meridian. Liv 14 (Qimen): A point to help regulate Liver Chi and improve digestion, especially when emotional stress affects digestive functions (which may include the Pancreas-like role in TCM).

The synthesis of a Pancreas Meridian would focus on harmonizing the functions of digestive energy transformation, blood sugar regulation, and enzyme secretion. By integrating the Ren Mai and Du Mai. The Ren Mai would provide Yin nourishment and regulate the internal environment, addressing digestive issues linked to deficiency. The Du Mai would support Yang energy, promoting digestive fire and metabolic activity, aligning with the Pancreas’ role in enzyme secretion and nutrient transformation.

The Spleen, Stomach, and Liver meridians would still play essential roles in digestion and Chi transformation. The Ren Mai and Du Mai, however, provide the foundational Yin and Yang energy for supporting and regulating the overall system, allowing for a Pancreas Meridian that can harmonize digestion, regulate blood sugar, and ensure the smooth flow of Chi energy in the digestive process.

To map a Pancreas Meridian in TCM requires a synthesis of the Ren Mai (Conception Vessel) and Du Mai (Governing Vessel), along with complementary acupuncture points on the Spleen, Stomach, and Liver meridians. The Ren Mai and Du Mai serve as critical pathways for regulating the Yin and Yang energies in the digestive system, essential for supporting the Pancreas’ function in both digestion and metabolism. By harmonizing these meridians, it becomes possible to make an attempt to address the unique role the Pancreas plays in digestion, metabolism, and energy transformation.

The Pancreas both Yin (digestive enzyme secretion, insulin for glucose regulation) and Yang (metabolic activation, glucagon for energy mobilization). Deeply involved in the Yin-Yang balance of metabolism, which aligns with the Ren Mai (Yin) and Du Mai (Yang). Midline (Ren & Du Mai Influence): Ren 4, Ren 12, Ren 17 (Yin nourishment, digestion, and metabolism). Lower Back (Pancreatic Yang activation): Du 4 (Mingmen, fire for metabolism), Du 14 (Yang regulator), Du 20 (Brain-pancreas connection).

TCM the concept of Yin and Yang, utterly fundamental. The Ying Yang applies to both the primary Yin and secondary Yang organs. Primary organs (Zang) considered Yin in nature; while the secondary organs (Fu) considered Yang. The primary organs, the Zang organs (solid organs), they bear the burden obligation, responsible for producing or storing vital substances, such as Chi, blood, and Jing (essence), which have a more active, vital, and generative nature or quality.

Ren 17 (Shanzhong),a significant acupuncture point located on the Ren Mai (Conception Vessel), which runs along the midline of the body. This point, often used in TCM for various therapeutic purposes. Associated with the regulation of Chi spirits in the chest area, it plays a role in emotional balance, particularly related to the Heart (the seat of the Shen spirit) and the Lung (which governs Chi and the body’s defense). Sometimes referred to as the “sea of Chi”, as it is a point where energy gathers and can be distributed to other areas of the body.

Clinical applications of Ren 17: Asthma, Heart palpitations or chest pain; anxiety, stress or emotional distress, especially when the Heart experiences disturbance. Digestive problems like bloating, nausea, or indigestion. Shen disturbances such as insomnia or nightmares, it helps calm the mind. Moxibustion: Moxibustion (the burning of mugwort) may also be used on Ren 17 to warm the chest area, especially if Cold Chi stagnation, causing chest pain or breathing difficulty.

Ren 17 (Shanzhong) a key acupuncture point located in the center of the chest. It regulates the flow of Chi through the chest, benefiting the Heart, Lungs, and digestive system, while also promoting emotional balance. Its therapeutic applications include treating respiratory conditions, heart issues, anxiety, and digestive disorders. Ren 17 stimulated through acupuncture, acupressure, or moxibustion, often used to alleviate both physical and emotional symptoms associated with chest discomfort or distress.

Ren 22 (Tiantu), also known as Heavenly Prominence, an important acupuncture point located on the Ren Mai (Conception Vessel), a central meridian in TCM. A vital point for clearing the throat and for facilitating the smooth flow of Chi in the upper body. The Ren Mai, closely associated with the body’s Yin energy, and Ren 22 – no exception. It regulates the flow of Chi between the Lung and Stomach, related to respiratory function and digestion. Ren 22, often used in cases where there are issues related to the voice, breathing, or communication. Used to open the chest, promote the flow of Chi in the upper part of the body, and clear the throat. Often used to alleviate symptoms like chronic cough, hoarseness, or difficulty swallowing.

This point, primarily used for treating respiratory issues such as asthma, cough, wheezing, and phlegm accumulation in the chest or throat. As Ren 22 located near the throat, and linked to issues of communication, both physical (voice, speech) and emotional (expression of thoughts and feelings). Helps with emotional stagnation, especially when people are unable to express themselves verbally, or when grief or sadness causes a blockage in the chest or throat.

Treats Coughing and Wheezing: Ren 22 often used to relieve coughing caused by various conditions, including phlegm in the lungs or throat, and wheezing related to asthma or bronchitis.

Improves Breathing by clearing Chi spirit stagnation in the throat, Ren 22 helps to improve breathing and ease the discomfort associated with shortness of breath, especially if the issue is related to Chi or phlegm blockages in the respiratory system.

A sore throat, caused by wind-heat or heat accumulation in the body, Ren 22 used to help clear the blockage and relieve pain or discomfort in the throat. Health conditions such as:

Asthma, Chronic cough, Wheezing, Shortness of breath, Phlegm in the throat or chest, Sore throat or loss of voice, Emotional Disorders: Anxiety, particularly when accompanied by tightness in the chest or difficulty expressing oneself. Grief or emotional blockages related to the Lung or Heart. Difficulty with communication, speech, or expressing emotions. Digestive Issues: Difficulty swallowing (such as with esophageal issues); Symptoms of stomach Chi stagnation affecting the throat or chest.

Moxibustion: Moxibustion (the use of heat from burning mugwort) used to warm and invigorate the Chi at this point, especially, if prevails a Cold or Chi deficiency within the chest and throat.

Acupressure: Gentle pressure or massage on Ren 22 can help to relieve tension in the neck, open the chest, and improve the flow of energy in the upper body. This particularly useful in addressing throat discomfort or emotional blockages.

Breathing Techniques: In combination with acupuncture or acupressure, deep breathing exercises may help facilitate the flow of Qi and clear emotional blockages in the chest and throat area. Practitioners often recommend focused breathing to enhance the effects of the treatment.

Ren 22 (Tiantu), a powerful acupuncture point located at the center of the throat, used to regulate the Chi flow in the chest and throat. Commonly used to treat respiratory issues like asthma, cough, and shortness of breath, as well as emotional blockages related to communication and self-expression. By opening the chest, clearing the throat, and promoting the smooth flow of Chi, Ren 22 can alleviate both physical and emotional symptoms, improving overall health and emotional well-being.

Ren 6 (Qihai), also known as the Sea of Qi, an important acupuncture point located on the Ren Mai (Conception Vessel) in TCM. This point particularly significant for its ability to regulate Chi spirits throughout the body, boost energy reserves, and support vital functions. Ren 6 considered one of the most important points for addressing Chi deficiencies and promoting overall vitality.

Ren 6 often referred to as the “Sea of Chi”, the “reservoir” or “storage site” for the body’s Chi energy. Considered a fundamental point for replenishing the Chi in the body and revitalizing energy in general. Associated with the Lower Dan Tian, one of the key energy centers in the body according to TCM. The Lower Dan Tian considered the body’s primary Chi storage area and its located near Ren 6.

Stimulating Ren 6 thought to nourish and tonify Chi, making it especially valuable for those experiencing fatigue, weakness, or Chi deficiencies. Ren 6, most commonly used to strengthen and tonify Chi, particularly when Chi deficiency prevails in the body. This makes it a go-to point for those who feel tired, weak, or lacking in energy. Ren 6 used to tonify Yang Chi (active, warming energy), essential for vitality and overall body warmth. Used to help strengthen the digestive system (Spleen and Stomach), particularly when Cold or deficiency present.

This point, also important for regulating Chi in the lower abdomen, crucial for the digestive and reproductive systems. It can address digestive issues, such as bloating, gas, constipation, and poor digestion. Since the Kidneys, considered the source of Chi and Jing in TCM, Ren 6 also often used to support Kidney Chi and Jing. Particularly beneficial for individuals with Kidney deficiency symptoms like lower back pain, infertility, or sexual dysfunction.

Enhances Vitality and Stamina: Ren 6 useful for improving overall vitality and stamina. Employed in cases of chronic fatigue, weak immune system, or any situation where a depletion of the body’s fundamental energy.

By enhancing the flow of Chi spirits in the lower abdomen and the body’s core, Ren 6 can improve the circulation of Chi throughout the entire body, aiding in the healing of various ailments that involve sluggish circulation or Chi stagnation.

Fatigue and Weakness: In cases where a person feels chronic tiredness or weakness, Ren 6 used to replenish Chi and improve overall energy levels. Conditions like poor digestion, bloating, diarrhea, constipation, and gas often treated by stimulating Ren 6 to improve Chi flow in the digestive system. Ren 6 helps with menstrual issues (like painful periods or irregular cycles), infertility, and sexual vitality. Useful for Kidney deficiency symptoms, including lower back pain, urinary problems, sexual dysfunction, and infertility.

Ren 6, often used to regulate the menstrual cycle, particularly when stagnant Chi or deficient Chi in the reproductive system. Also helps to promote fertility and alleviate menstrual pain. Strengthens the Immune System: As Chi, the body’s vital living spirit force, Ren 6 can help boost immunity and fortify the body against external pathogens, improving overall health.

Ren 6 used to boost Chi and strengthen the body’s defenses. Chronic Illness: People recovering from illness or surgery, Ren 6 helps restore energy and vitality by tonifying Chi and supporting the body’s healing process. Acupuncture Needling: Ren 6 commonly needled to tonify Chi and restore vitality. A deep but gentle insertion used, and moxibustion can also be applied to warm the area and enhance the effects.

Moxibustion (the burning of mugwort) a common practice for Ren 6 when there prevails a need to warm and invigorate Chi, particularly in cases of Cold deficiency. Moxibustion enhances energy flow and warmth in the lower abdomen, which can support digestion and reproductive health.

Acupressure: Gentle pressure on Ren 6 can help stimulate Chi and improve circulation, particularly for digestive or fatigue-related issues. Applying consistent pressure in a circular motion can encourage the smooth flow of Chi. Breathing Exercises: Deep abdominal breathing combined with acupuncture or acupressure to increase Chi in the Lower Dan Tian area. This helps to balance the body’s energy and promote healing.

Du 14 (Dazhui), known as the Great Vertebra, an important acupuncture point located on the Du Mai (Governing Vessel), one of the primary meridians in TCM. This point plays a significant role in regulating Yang energy and promoting the circulation of Chi throughout the body.

Du 14 considered one of the most important points on the Du Mai because it serves as a major Yang point and used to regulate Yang energy in the body. Associated with the Yang channels and often used to clear excess heat and expel pathogens. This point deeply connected to the immune system and used to enhance the body’s defensive Wei Chi) to protect against external pathogens such as wind, cold, and heat. Strengthens Yang Energy: As a Yang point, Du 14 used to strengthen and tonify Yang energy, particularly in cases of Yang deficiency. This includes issues such as cold limbs, fatigue, and chronic weakness.

Clears Heat: Du 14 one of the primary points used to clear heat from the body. Helps dispel fever, clear internal heat, and reduce inflammation, useful for conditions like fever, infection, or heat in the blood.

By promoting the circulation of Wei Chi (the body’s protective energy), Du 14 strengthens the body’s ability to resist external pathogens like wind, cold, and heat. A key point in boosting immunity and fighting off colds or flu. Because of its location along the spine, Du 14 often used to treat spinal issues, particularly neck and upper back pain. Effective in addressing conditions such as muscle stiffness, pain, or spinal misalignments. Du 14 has a calming effect on the nervous system, used to address conditions related to nervous tension, anxiety, and stress. It can help calm the mind and relieve emotional imbalances.

Du 14 often used to treat respiratory problems such as cough, asthma, shortness of breath, and congestion. It helps to open up the chest and regulate the Chi flow in the lungs. Du 14 associated with the Heart as well, and used to revitalize the Heart Chi and calm the mind. Beneficial in cases of palpitations, insomnia, or emotional disturbances related to the Heart.

Enhances the Yang of the Body: In cases of exhaustion, low energy, or cold conditions (often linked to Kidney Yang deficiency), Du 14 used to restore Yang Chi, helping the body regain vitality. Du 14, one of the main points for treating fever and other heat-related conditions, including infections and inflammatory diseases. It helps to clear heat and expel pathogens from the body. Respiratory Illnesses: Conditions such as cough, asthma, shortness of breath, and congestion stimulating Du 14 to open the chest and facilitate lung Chi flow recommended.

Individuals suffering from fatigue or low energy, particularly due to Yang deficiency, Du 14 boosts vitality and restores Yang energy. Du 14 commonly used in treating muscular pain, stiffness, and spinal issues, especially in the upper back and neck region. To strengthen the body’s immunity and prevent frequent colds or flu, Du 14 used to enhance the Wei Qi and improve the body’s natural defenses. Du 14 influences the flow of Qi in the body’s core, helpful in conditions like indigestion, bloating, and nausea.

Acupuncture Needling: Du 14 needled directly to tonify Yang and clear heat. When treating Yang deficiency or heat-related conditions, needling the point with a moderate insertion depth can help restore balance. Moxibustion, often applied as well to warm the area and enhance the Yang. Moxibustion: For conditions related to Cold deficiency, moxibustion is frequently applied to Du 14. This involves burning mugwort near the point to warm and invigorate Yang energy.

Acupressure: Gentle pressure can be applied to Du 14 for those seeking relief from tension in the upper back or neck, or for boosting the immune system during an illness. Gua Sha (Scraping Therapy): In cases of stiffness or pain in the neck and back, gua sha techniques can be used on Du 14 to promote circulation and ease tension. Gua Sha, also known as scraping therapy. (Traditional healing practice that originates from Chinese medicine. It involves using a smooth-edged tool [often made of jade, quartz, or buffalo horn] to apply pressure and scrape along the skin, typically along the back, neck, shoulders, and limbs. The goal, to release tension, improve blood circulation, and promote healing).

A practitioner uses the Gua Sha tool to gently scrape over lubricated skin (usually with oil or balm), applying moderate pressure. The scraping motion stimulates the skin and underlying tissues. Commonly used to relieve muscular pain and stiffness, especially in areas like the neck, shoulders, and back. It enhances blood flow and lymphatic drainage, promoting the body’s natural healing process. The technique helps relax tight muscles and alleviate stress. Thought to assist in the removal of toxins from the body by improving circulation. Gua Sha, traditionally used for conditions like colds, flu, muscle pain, and chronic illnesses. In addition to body scraping, a gentler version of Gua Sha, also used on the face to improve skin appearance, reduce puffiness, and increase circulation to the skin.

Deep breathing exercises can be combined with Du 14 stimulation to promote the circulation of Chi and clear heat from the body, especially for conditions like respiratory issues or emotional imbalance. As with many acupuncture points on the back, caution-required when applying direct stimulation to Du 14 during pregnancy, especially during the early stages. This point may have a strong stimulating effect, which may not be suitable for pregnant women, particularly those who are sensitive or have a history of miscarriage.

Du 9 (Zhiyang), known as Extending the Yang, an important acupuncture point located on the Du Mai (Governing Vessel), one of the primary meridians in TCM. This point plays a significant role in balancing and enhancing Yang energy within the body, particularly for digestive and respiratory health. Du 9 a Yang point on the Du Mai, associated with the Yang or active, dynamic aspects of the body’s energy. Plays a key role in invigorating Yang energy, promoting the circulation of Chi, and enhancing the flow of warmth in the body. Particularly useful for treating digestive, respiratory, and spinal conditions, as it helps to regulate the flow of Chi through the chest, lungs, and upper abdomen.

Du 9 helps to strengthen and invigorate Yang energy in the body, especially in cases of Yang deficiency or cold conditions. Used to treat symptoms such as cold extremities, fatigue, and lack of vitality. Du 9 used to clear heat from the upper body, particularly the lungs and chest. It helps to regulate and disperse heat and clear congestion, making it beneficial for conditions such as coughing, chest tightness, or fever. This point used to promote the circulation of Chi in the stomach and spleen, helping to resolve issues such as indigestion, nausea, vomiting, and gastritis. Particularly effective when there is stagnation or dampness in the digestive system. Du 9 used to treat respiratory issues such as cough, shortness of breath, and congestion. It can help open the chest, improving lung function and allowing the body to better expel pathogens and clear mucus from the respiratory tract.

Du 9 LAO used to address spinal issues, particularly in the upper back area. It can help relieve muscle stiffness, back pain, and spinal misalignments in the thoracic region. Du 9 known to promote the smooth flow of Qi and blood, particularly in the upper abdomen and chest. It is effective in treating conditions where Chi stagnation, blood stagnation, or Chi deficiency. Du 9 used for a variety of digestive complaints such as indigestion, nausea, vomiting, gastritis, or bloating. Particularly useful when there is a blockage or Chi stagnation in the stomach and spleen. This point beneficial for addressing cough, asthma, bronchitis, and difficulty breathing, particularly if the condition involves excess heat or congestion in the lungs and chest. Helpful in treating muscular pain, stiffness, and discomfort in the upper back, particularly the thoracic spine.

Du 9 can be used in cases of Yang deficiency, particularly symptoms like fatigue, cold limbs, and lack of vitality. Helps to revitalize the Yangenergy and promote warmth in the body. Effective in clearing heat from the body, especially in cases of fever or heat in the chest. Helps lower a high fever and reduce inflammation.

Du 9 is usually needled perpendicularly or obliquely towards the spine. The depth of insertion varies, depending on the condition being treated, but generally, it is inserted at a moderate depth to revitalize Yang or clear heat. For treating Chi stagnation or digestive issues, a shallow insertion is used. If a Yang deficiency or a cold condition, moxibustion can be used at Du 9 to warm and invigorate the Yang energy. Moxibustion helps to restore circulation and revitalize the body’s warmth. Gentle pressure can be applied to Du 9 to stimulate the flow of Qi and blood, especially in cases of respiratory or digestive disorders. Light circular movements with the fingers can help improve circulation and relieve muscle stiffness in the upper back. Gua Sha therapy, involving scraping the skin with a smooth-edged tool, can be applied along Du 9 to relieve tension and stagnation in the upper back or chest, particularly when dealing with cold or damp conditions. Deep breathing exercises, in combination with Du 9 stimulation, can help enhance the Chi flow to the chest and upper abdomen, improving both respiratory function and digestive health.

Du 4 (Mingmen), also known as the Gate of Life, one of the most important and potent acupuncture points on the Du Mai (Governing Vessel). This point plays a significant role in strengthening Yang energy, particularly in the Kidney and spinal region. Essential for supporting the vital energy (Jing) and life force in the body.

Du 4 often referred to as the Gate of Life, associated with the Kidney’s Yang energy, which governs vitality, reproduction, and longevity in TCM. Believed a crucial point for enhancing Jing, the essence vital for the body’s lifespan, growth, and development.

This point especially important for strengthening the Yang in the Kidneys (the body’s source of vital energy), supporting spinal health, and increasing general vitality and sexual energy. Du 4 known for its ability to tonify and strengthen Kidney Yang. The Kidneys in TCM considered the source of vital energy, and Du 4 helps to replenish Kidney Yang when there is Yang deficiency, which manifests in symptoms like fatigue, low back pain, cold extremities, and sexual dysfunction.

This meridian point supports Jing (Vital Essence): Essential for nourishing the Jing, the foundational energy responsible for growth, reproduction, and longevity. Used to address issues related to infertility, low sexual energy, and declining vitality due to aging or chronic conditions. Du 4 located on the spinal column and commonly used to address spinal issues, such as low back pain, sciatica, or stiffness. A key point for back pain related to Kidney deficiency or cold-damp conditions in the lower back. As a Yang point associated with the Kidneys, Du 4 used to improve sexual health and libido. Especially effective in cases of sexual dysfunction due to Kidney Yang deficiency or cold in the lower abdomen and reproductive organs.

Du 4 also helps to regulate the flow of Chi and blood, particularly in the lower abdomen and Kidney region. It promotes circulation and warmth, improving overall energy levels and vitality. Because Du 4 closely linked to the Kidneys, which in TCM are considered the foundation of the body’s immune system, stimulating this point can help boost immune function and improve the body’s ability to fight off illness. Du 4 commonly used to treat Kidney Yang deficiency, which can manifest as chronic fatigue, cold intolerance, weakness in the lower back, and sexual dysfunction. It helps restore the body’s internal warmth and vitality.

Du 4 one of the primary points for treating low back pain, particularly when related to Kidney deficiency or cold in the lower back. Effective for conditions like sciatica and stiffness in the spine. Du 4 often used to address infertility issues, especially when the problem related to Kidney Yang deficiency. Helps improve sexual dysfunction, low libido, and impotence due to a lack of warmth and vitality in the Kidneys. For patients with chronic illness or general weakness, Du 4 used to restore vitality and strengthen the overall body. Particularly beneficial for conditions related to exhaustion, low energy, and poor circulation.

Due to its connection to the Kidneys and Yang energy, Du 4 used in strengthening the body’s immune system, helping to prevent chronic illnesses or support recovery after illness. As part of a broader approach to sexual wellness, Du 4 used to restore sexual vitality and address issues such as impotence, infertility, or low libido.

Acupuncture Needling: Du 4 typically needled perpendicularly or obliquely towards the spine. For treating Yang deficiency or back pain, the needle is inserted at a moderate depth and left in place for several minutes. Moxibustion often applied at Du 4 to warm the body and invigorate the Kidney Yang. This technique particularly effective in treating cold conditions, low back pain, and reproductive health issues. Du 4 stimulated through acupressure, apply firm pressure to the point for a few minutes. Circular motions used to enhance circulation and restore energy flow. Gua Sha: Gua Sha (scraping therapy) effective in relieving stiffness and pain in the lower back and spine. This technique commonly applied to areas of muscle tension or cold in the body. Deep breathing exercises, particularly abdominal breathing, combined with Du 4 stimulation to enhance the circulation of Chi spirits and Jing. This can help restore vitality and strengthen the Kidneys.

Du 3 (Yaoshu) is a fundamental acupoint in TCM. Primarily known for its ability to treat lower back pain, sciatica, and reproductive or urinary disorders. It plays a key role in regulating the lower jiao (lower burner), strengthening the lower limbs, and dispelling cold-damp stagnation. Key Point for Chronic & Acute Lower Back Pain. Effective for lumbar pain, weakness, and stiffness, especially in conditions of Kidney Yang Deficiency or Cold-Damp stagnation.

Used for pain due to Chi and Blood stagnation, muscle strain, or degenerative conditions like lumbar disc herniation and osteoarthritis. Common in treatments for post-surgical recovery of spinal injuries. Used for radiating pain in the lower back that extends down the legs, which is characteristic of sciatica (often caused by compression of the sciatic nerve). Treats numbness, tingling, and weakness in the lower limbs, caused by circulatory blockages, nerve compression, or Chi stagnation.

Cold-Damp Accumulation in the Lower Body: Symptoms: Dull, achy lower back pain, heaviness in the legs, joint stiffness, and difficulty moving after rest. TCM View: Cold and dampness invade the lower jiao, obstructing Chi and Blood circulation. Du 3 helps dispel cold and excess moisture from the body, making it particularly useful in arthritis, chronic lower back pain, and damp-bi syndrome (pain worsened by cold and damp weather).

Du 3 regulates the lower Jiao – burner. It effective for treating urinary retention, frequent urination, incontinence, or difficulty urinating. Linked to Kidney, Bladder, and Spleen deficiencies, as well as damp-heat accumulation in the lower jiao. Used in cases of impotence, premature ejaculation, spermatorrhea (involuntary semen leakage), and low libido due to Kidney Yang Deficiency. Helps regulate menstrual cycles, particularly in cases of irregular menstruation, dysmenorrhea (painful periods), and uterine cold. Assists in fertility treatments by improving blood flow to the uterus.

Works well with BL 23 (Shenshu – Kidney Shu) and BL 40 (Weizhong – Command Point of the Back). Ren 3 & Ren 4 for Bladder Qi deficiency. Du 4 (Mingmen) & Ren 6 (Qihai) for Kidney Yang Deficiency. Stimulating Du 3, GB 30 (Huantiao) & BL 54 (Zhibian) helps restore motor function and circulation in the lower limbs. Often used for stroke rehabilitation in cases where there is weakness or paralysis in the legs. Du 4 (Mingmen) + Ren 4 (Guanyuan) warms Kidney Yang, restores energy. Ren 3 (Zhongji) + BL 28 (Pangguangshu) + Du 3 → Treats bladder Chi deficiency & retention issues. Ren 4 (Guanyuan) + Du 3 + SP 6 (Sanyinjiao) → Regulates menstrual cycles, supports fertility.

Needling Depth: Perpendicular insertion: 0.5 – 1.0 cun. Caution: Avoid deep needling to prevent injury to the spinal cord. Using a moxa stick or warming needle highly effective for chronic lower back pain, cold-damp accumulation in the lumbar region, urinary or reproductive disorders due to Kidney Yang Deficiency. Applying firm pressure with circular motions for 2–3 minutes can relieve lumbar stiffness and stimulate Chi circulation. Gua Sha or Cupping over the lumbar spine enhances blood flow and alleviates muscle tightness.

The Lung (Lu), Large Intestine (LI), Stomach (St), and Spleen (Sp) meridians, directly related to the respiratory and digestive systems. The treatment will vary depending on whether the conditions whether caused by excess heat, cold, or deficiency. Acupuncture, best used in combination with other TCM modalities, such as herbal medicine, dietary adjustments, and lifestyle changes to address the root cause of pneumonia and improve overall health.

Shiatsu, a therapeutic technique that involves applying finger pressure, palm pressure, or gentle stretches to specific points and meridians (energy pathways) in the body. The objective, to balance the flow of Chi, promoting physical and emotional health. In this context, shiatsu focuses on stimulating the body’s energy system to enhance circulation, release blockages, and encourage the flow of directed Chi spirits unto certain target areas. Balancing the Yin Yang/Female Male the key to healing. The secondary Yin female organs compare to the double X chromosomes. The primary Yang Male organs compare to the tiny, almost insignificant Y chromosome.

The Yin/Yang relationship directly compares to the mythical Amazonian society governed by women. When a person makes a synthesis of heat reproductive libido energies combined with Chi spirits, which a person through meditation conscious breathing can direct these refined Chi spirits throughout her/his body. The ratio of Yin to Yang, primary to secondary organs approaches a 1:2 ratio.

The Ren Mai (Conception Vessel) and Du Mai (Governing Vessel), considered to regulate energy in the core of the body. Ren Mai (Conception Vessel): This Yin meridian runs along the front of the body, thought particularly important for sexual health and reproductive function. Believed to govern the flow of Chi through the lower abdomen, which includes areas like the pelvic floor. Stimulating this meridian helps arouse and increase circulation in the sexual organs, including the prostate.

Du Mai (Governing Vessel): The Du Mai runs along the spine, considered to govern the Yang energy in the body. Often associated with stimulating the back and lower regions, which can activate sexual energy and arousal. This meridian helps bring more energy to the core of the body, further stimulating the sexual organs.

The Kidney meridian likewise plays a significant role in heat fertility health because it’s associated with the body’s vital essence, or Jing, thought to support reproductive function and sexual vitality. The Kidney meridian runs along the inner legs and worked on to help enhance sexual arousal and vitality.

In shiatsu therapy, pressure or manipulation along these meridians, especially in the lower abdominal area and around the sacrum (for the Ren Mai and Du Mai), helps stimulate and circulate Chi, arousing instinctual heat energy in the pelvic region; awakens Chi spirits in areas like the prostate or G-spot. Techniques such as gentle pressing, kneading, or tapping may be applied along these pathways.

Shiatsu, as a therapeutic technique, involves applying finger pressure, palm pressure, or gentle stretches to specific points and meridians (energy pathways) in the body. The objective, to balance the flow of Chi spirits, promoting physical and emotional health. In this context, shiatsu focuses on stimulating the body’s energy system to enhance circulation, release blockages, and encourage the flow of directed Chi spirits unto certain target areas.

The Ren Mai (Conception Vessel) and Du Mai (Governing Vessel), primarily considered to regulate energy in the core of the body.

Ren Mai (Conception Vessel), one of the main meridians in TCM. Said to govern the body’s Yin energy and deeply associated with the reproductive system and sexual health. In this case, stimulating this meridian helps arouse energy in the pelvic region, including areas like the prostate (for men) or the G-spot (for women), as both located in the lower abdominal and pelvic areas.

Du Mai (Governing Vessel): Runs along the spine, governing the body’s Yang energy. This Chi spirit energy, thought more active and dynamic. It has a direct association with vitality and life force. Stimulating the Du Mai helps move energy through the lower back, spine, and pelvic region, increases sexual reproductive instinctive

energy or Chi spirits in these sensitive areas. Healing seeks to forge an alliance with the heat sexual energy Chi spirits. Moving the Chi through the meridian points accomplished to meditative deep breathing techniques.

The prostate or male G-spot, viewed in TCM as focal points for sexual vitality. When Chi spirits breath freely, these spirits enhance sensitivity, circulation, and vitality.

The practitioner may apply gentle but firm pressure with their fingers or palms on specific points along the Ren Mai or Du Mai meridians. This pressure can help to move Chi spirits through the body and activate reproductive instinctive

energy in the pelvic region.

Shiatsu message employs the hands to knead or massage areas around the lower abdomen, sacrum, or back. The objective aim, to release tension, increase circulation, and stimulate the flow of energy. Tapping on specific meridian points, also stimulates the flow of Chi spirits and helps the energy to circulate more freely throughout the body, especially in areas associated with sexual reproductive instinctive vitality.

By working on meridians that govern sexual health, shiatsu therapy aims to balance and enhance the body’s energy flow, potentially increasing sensitivity, vitality, and spirit Chi arousal. Tapping into the reserves of heat reproductive drives within, affixes this primal energy with Yin/Yang Chi spirits.

In TCM, the concept of Chi spirits refers to the energy that resides in specific regions of the body, including

sexual organs like the prostate or G-spot. By stimulating meridians that govern instinctual sexual energy (such as the Ren Mai and Du Mai), shiatsu therapy helps awaken these Chi spirits, enhancing sexual vitality and arousal. The goal, to promote balanced flow of both Yin and Yang energy within the body, creating harmony between the body’s passive female (Yin) and active male (Yang) forces.

In this way, Shiatsu practitioners, through deep breathing techniques, enhance basic yet fundamental reproductive sexual drives through their breathing Chi spirits into the body of the client/patient; something like Martial Arts employs Chi spirits to breaks boards or bricks, Shiatsu directs Chi spirits to heal, balance, and strengthen the body.

The Ren Mai and Du Mai, govern the core reproductive drive energies within the body. Healing turns to the fundamental nature, the natural drive to sexually reproduce, it serves as the key ally of consciously directed Chi spirits to treat diseases that ails the human body.

Application of pressure to meridian pathways, shiatsu stimulates energy circulation aimed to release blockages, and guides Chi spirits to target areas, to enhance health and vitality. Shiatsu stimulates the Du Mai to promote Yang energy, energizing the sexual organs and enhancing sexual vitality. While Ren Mai, a Yin meridian, the Jing, stored in the kidneys, this key Yin spirit, thought to support long-term energy and fertility. Stimulating the Kidney meridian helps enhance sexual vitality and arousal.

This breathing technique allows the client to connect with their body and consciously direct Chi spirits to release tension and improve circulation. Chi spirits, the vital energy that flows through specific areas of the body, stimulated through conscious deep breathing techniques, awakens this normal chi function which operates without enlightened conscious direction. Balancing Yin and Yang

Chi spirits: The Ren Mai and Du Mai, which exist as a paired meridian couple. They balance Yin (passive) and Yang (active) energy within the Human body.

Reproductive vitality combines with conscious breathing to refine and increase the power of Chi spirits. Much like martial arts or energy practices like Chi Gong, which use Chi to direct energy toward the expression of physical\external Chi spirits intended for martial arts conflict; shiatsu makes a logical דיוק\inference, it seeks to heal, balance, and strengthen the body through the expression of emotional/internal Chi spirits.

The healing relationship between the Shiatsu healer and the patient stands upon the foundation of TRUST. Shiatsu therapy employs techniques designed to enhance the flow of Chi through key meridians, particularly, always starting with the Ren Mai (Conception Vessel), Du Mai (Governing Vessel), and Kidney Meridians. By stimulating these energy pathways with gentle pressure, kneading, and tapping, shiatsu aims to balance the Yin and Yang energies within the body, awaken Chi spirits in the pelvic region, and promote healing, recovery and health through a deep connection to the body’s fundamental reproductive “heat” instincts of reproductive drives\energy, supporting both emotional and physical health through a combined synthesis of “heat” instinctual sexual drives combined with deep breathing Chi spirits.

The Du Mai meridian governs Yang energy, the more active, dynamic force in the body. Stimulating the Du Mai, shiatsu therapy helps forge a union of reproductive energy spirits combined with deep breathing ATP\Chi spirits into a more refined and powerful Chi. As rope braids, (it has 3 threads), so too Du Mai, Ren Mai and Kidney meridian forge and enhance the power of the Chi spirits when combined with the Jing vital essence sexual instinct spirits. The Kidney meridian houses the Jing vital instinct spirits, thought to support long-term energy, fertility, and overall vitality.

When treating pneumonia, shiatsu practitioners aim to target meridians and points that influence the Lung, Spleen, and Kidney, as these are traditionally associated with respiratory function, immune health, and vitality in TCM. Ren Mai governs the flow of nourishing energy – unto the lungs and chest area. In pneumonia, stimulating the Ren Mai can help to balance energy and calm the chest, especially during difficult breathing or chest congestion. Shiatsu practitioners may apply pressure along the front of the body, especially near the chest and upper abdomen, to stimulate energy flow and alleviate stagnation or blockages in the respiratory area

TCM, the body seen as a dynamic system which operates in health through the balance between various elements. Good health requires balance within the body. Disrupted balance leads to various patterns of disharmony, including excess heat, phlegm, or wind-cold in the lungs. An overabundance of heat energy in the lungs, associated with the body’s ability to regulate respiration, immunity, and fluid metabolism. Excess heat manifests as symptoms like: dry or sore throat, coughing thick yellow or green phlegm, feeling hot or experiencing a fever, rapid breathing or shortness of breath, restlessness or irritability, a red tongue with a yellow coating and a rapid pulse.

Emotions, and Meridians: TCM – each organ system affixed to a specific set of emotions which influence both physical and emotional health. In treating pneumonia the emotions of worry, fear and anger dominate. Worry links to the spleen, an Earth element. It depletes the Spleen Chi, leading to digestive issues, fatigue, and emotional instability. The Stomach the emotion of worry impacts this organ causing digestive disturbances and nausea. The Spleen and Stomach, affixed with the Earth element, which governs nourishment, digestion and the ability to ground emotions.

The 5 major Yang organs: Fear – Water Element (Kidney), Anger – Wood Element (Liver), Grief – Metal Element (Lungs), Shame – Earth Element (Spleen),Worry – Earth Element (Spleen/Stomach).

Each of these primary organs has corresponding secondary or supportive Yang organs that help balance and support their function. These Yang secondary organs, involved in assisting with the flow of Chi, blood, and body fluids, as well as helping to regulate and manage the emotional, physical, and energetic balance of the body.

Fear – Water Element (Kidney) — Secondary/Supportive Yang Organ: Bladder. The Bladder helps the Kidney in its role of storing and regulating the body’s fluids, especially those related to urination. In TCM, the Yin Kidneys govern water metabolism, said to store the Jing (instinctual drive to reproduce vital essence), while the Yang Bladder helps with the excretion of fluids and the transformation of water.

Yin and Yang, complementary opposites that work in balance to maintain harmony within the body. In this context, the body’s organs classified into Yin and Yang categories, where they perform functions more dynamic or more passive in nature. In TCM, organs classified as either Zang (Yin organs) or Fu (Yang organs), and this classification defines their fundamental role in the body’s processes: Yin Organs (Zang Organs) – These are the “solid” organs, which include: Liver, Heart, Spleen, Lung, Kidney, Pericardium. The pericardium, a double-layered sac that surrounds and protects the heart. It plays a crucial role in cardiovascular health, immune defence, and emotional balance in both Western medicine and TCM.

The pericardium consists of two layers: the Fibrous Pericardium (Outer Layer), tough, dense connective tissue layer that anchors the heart in place and prevents over-expansion. And the Serous Pericardium (Inner Layer). The Parietal Layer lines the inside of the fibrous pericardium. Visceral Layer (Epicardium): Directly covers the heart muscle. Pericardial Cavity: A space between the two layers containing pericardial fluid, which reduces friction during heartbeats.

The Zang organs, considered Yin because they primarily have responsibility for storing vital substances like Chi, blood, and Jing (instinct heat reproductive essence). These organs, they function as more passive in nature—they do not actively transport or expel substances, but they store, accumulate, and conserve vital substances essential to life. Americans tend to employ an aggressive Yang pin-pong power game. Whereas the Chinese developed a more defensive Yin pin-pong reactionary game.

(TCM), Yin and Yang represent two complementary and interdependent forces that maintain balance in the body and the world. Yin often associated with qualities such as passivity, coolness, and nourishment, while Yang represents activity, heat, and aggression. The organs classified as Zang (Yin organs), like the Liver, Heart, Spleen, Lung, Kidney, and Pericardium, play a more passive role in TCM. They mainly focus on storing and preserving vital substances like Chi, blood, and Jing, ensuring that the body remains nourished and stable.

This Yin principle of preserving and maintaining balance, expressed in the way the Zang organs work. Not directly involved in the active movement or elimination of substances. The role of the Yang (Fu) organs (like the Stomach, Small Intestine, Large Intestine, etc.). Instead, these Yin organs focus on storing and conserving vital substances so that the body remains energized and healthy.

American Ping-Pong, an inclination toward an aggressive, high-energy, Yang-driven style of play. Americans may often prioritize speed, power, and attack, which reflects a more dynamic, active approach—characteristic of Yang. This style mirrors the idea of expending energy quickly and decisively, much like the Yang organs’ role in transporting or eliminating substances.

In contrast, the Chinese style of ping-pong might involve a more strategic, reactionary, and defensive approach. This compares to the Yin-type qualities of preserving, conserving energy, and responding more subtly and effectively to the opponent’s moves. Rather than pushing aggressively to overpower, players might focus on staying balanced, waiting for the right moment to strike—much like the Zang organs, which conserve and preserve rather than immediately expend or act.

This difference in playing style can reflect the broader cultural understanding of Yin and Yang in daily life, where Western cultures (often perceived as more Yang) may focus on action and movement, while Chinese culture (with its emphasis on Yin in many aspects of life) may place more value on patience, defence, and reaction.

Ultimately, both approaches, necessary to create balance. Aggressive and defensive strategies work in tandem, just as Yin and Yang balance each other in the body for health maintenance. In ping pong, a successful player often uses a combination of both: aggressive offensive moves to press the advantage, and strategic defence to maintain control and wait for an opportunity. Just like in life, TCM emphasizes that harmony between Yin and Yang which brings overall health and well-being.

In summary, the contrasting approaches to the ping-pong משל metaphor, seen as an expression of Yin (defensive, reactionary, passive) and Yang (aggressive, proactive, dynamic), reflecting the broader cultural outlooks influenced by these ancient principles. Both styles, valid and useful in different contexts, much like the way the body’s Yin and Yang organs work together in TCM to maintain health.

Ultimately, both approaches, necessary to create balance. Aggressive and defensive strategies work in tandem, just as Yin and Yang, balance each other within the body & maintain good health. In ping-pong, a successful player often uses a combination of both: aggressive offensive moves to press the advantage, and strategic defence to maintain control and wait for an opportunity. Just like in life, TCM emphasizes that harmony between Yin and Yang brings overall health and well-being.

The contrasting approaches to ping-pong, seen as an expression of Yin (defensive, reactionary, passive) and Yang (aggressive, proactive, dynamic), reflecting the broader cultural outlooks influenced by these ancient principles. Both styles – valid. And useful in different contexts, much like the way the body’s Yin and Yang organs work together in TCM to maintain health.

Anger – Yin, Wood Element (Liver), its secondary/Supportive Yang Organ: Gallbladder. Yin Grief – Metal Element (Lung), its secondary/Supportive Yang Organ: Large Intestine. The Yang Gallbladder, paired with the Yin Liver in TCM. The Yin Liver responsible for the smooth flow of Chi throughout the body, while the Yang Gallbladder helps with decision-making, courage, and the digestion of fats. The Yin Liver and Yang Gallbladder work together to regulate emotions like anger and ensure that Chi flows freely. If a blockage in Yin Liver Chi, it can lead to anger and frustration, while the Yang Gallbladder helps to mitigate indecisiveness and supports clear judgment.

The Liver, classified as a Yin organ in TCM, and closely associated with the Wood element. The primary responsibility of the Yin Liver, to ensure the smooth flow of Chi spirits throughout the body. The Liver also stores blood and likewise, connected to the regulation of emotions, particularly anger, frustration, and irritability. In TCM, anger emotions, considered a Wood element of nature. An excess of anger or frustration can result from the Liver Chi spirits becoming blocked or stagnant. This can happen when a person experiences prolonged stress, emotional repression, or frustration, which leads to a build-up of Chi in the body, causing both physical and emotional discomfort.

The Gallbladder, considered a Yang organ that works in tandem with the Liver. Responsible for storing and excreting bile, it plays an important role in decision-making, courage, and the digestion of fats. Also linked to the emotional aspect of decisiveness and judgment.

The Gallbladder’s role in decision-making and courage stems from its Yang energy. In TCM, believed that the Gallbladder helps one to make clear decisions, take action, and move forward in life. A strong and healthy Gallbladder supports the ability to face challenges with confidence. While the Liver ensures the smooth flow of Chi spirits, the Gallbladder helps in converting that flow into action, making decisions and taking courageous steps. When the Gallbladder functions well, typically a person more decisive and clear-headed, with the ability to overcome obstacles without excessive hesitation.

In TCM, the Yin Liver and Yang Gallbladder considered a pairing within the Wood element, and their connection simply essential for emotional regulation and physical health. The Yin Liver provides the foundation for the smooth flow of Chi spirits, while the Yang Gallbladder ensures that this energy gets directed toward action, decision-making, and clarity. If the Yin Liver Chi spirits become stagnated, this may result in emotional turmoil, like anger or frustration. However, the Yang Gallbladder, helps overcome indecisiveness and supports the clarity needed for effective decision-making and action.

A blockage in Yin Liver Chi spirits, such as from stress or emotional suppression, can lead to a build-up of energy, resulting in feelings of anger or frustration. The Yang Gallbladder supports overcoming indecision and doubt by helping one act with greater courage and clarity. In TCM, when a blockage manifests, felt or identified, practitioners often focus on restoring balance between the Yin Liver and Yang Gallbladder. Techniques such as acupuncture, herbal medicine, and dietary adjustments used to help unblock the Liver Chi spirits, promote emotional balance, and allow the Gallbladder to support clearer judgment and decisiveness.

The removal of the Spleen and Gallbladder in Western medicine presents an interesting question: How does the body continue to function without them if they are so vital in TCM? The liver and lymphatic system compensate for Spleen’s immune and blood-filtering functions. The gallbladder stores and releases bile to aid digestion, but the liver can take over bile production after gallbladder removal.

Grief associated with the Metal element, particularly the Lung organ in TCM. The Lung, as a Yin organ, responsible for storing and distributing Chi spirits throughout the body, it asserts as a key role in emotional regulation. Grief and sadness, considered Metal emotions. When Lung Chi spirits become blocked due to grief or emotional suppression, it can lead to physical symptoms such as shortness of breath, fatigue, or immune weakness. The Yang Large Intestine, this Yang organ paired with the Lung, involved in the elimination of waste, both physically and emotionally. It supports the Lung process and manages grief, allowing a person to move on from sorrow.

Yin Grief – Metal Element (Lung), paired with the secondary/Supportive Yang Organ: Large Intestine. The Yin Lungs, paired with the Yang Large Intestine in TCM. The Yin Lungs govern Chi spirits and respiration, while the Yang Large Intestine, involved in elimination. The connection between these two organs emphasizes the role of letting go—physically (through breathing and excretion) and emotionally (through grief and sorrow). The Yang Large Intestine helps to clear the body of waste, which symbolically relates to the process of releasing grief and emotional burdens.

Shame – Earth Element Yin (Spleen) its secondary/Supportive Yang Organ: Stomach. The Yin Spleen and Yang Stomach paired in TCM, and they both govern digestion and the transformation of food into Chi and blood. The Yin Spleen, considered the “mother” of digestion, and it supports the Yang Stomach, responsible for the first phase of digestion. The Yin Spleen linked with the emotion of Shame, due to its role in the nourishment and grounding of the body. Any disharmony in this system can manifest in emotional issues like low self-esteem or feelings of inadequacy.

Worry – Earth Element (Spleen/Stomach) married with another secondary/Supportive Yin/Yang Organ: Pancreas (as a part of the Spleen function in TCM). The Yin Spleen and Yang Stomach, the primary organs involved in the Earth element. The emotion of worry arises from imbalances in this system. In TCM, the Yin Spleen, responsible for transformation and transportation of food and fluids into Chi and blood, while the Yang Stomach, responsible for the intake and initial digestion of food. The Yang Pancreas often considered a secondary or supporting part of the Yin Spleen function, especially in terms of its role in breaking down and absorbing nutrients from food.

While the Pancreas is not traditionally viewed as an independent organ in TCM, it is considered a part of the Spleen system, especially in terms of digestion and nutrient absorption. The Pancreas plays a secondary, supportive role in the Spleen’s function by helping break down and absorb nutrients from the food we consume. This helps provide nourishment and sustenance for the body. The Pancreas linked to the Spleen’s digestive capacity, especially in breaking down food into its simplified forms so that the Spleen can effectively convert it into Qi and blood. When the Pancreas is functioning well, it supports the Yin Spleen’s ability to transform food into energy, thereby providing vital nourishment.

Imbalances in the Yin/Yang Pancreas (such as weakened digestive fire) can hinder the process of nutrient absorption, leading to fatigue, low energy, and emotional dissatisfaction, often manifesting as the emotion of worry. When the Yin Spleen, weak or out of balance, it often manifests as emotional issues related to overthinking, rumination, and excessive worry. Worry tends to deplete the Yin Spleen of Chi and leads to a circulation block in the digestive system. The Spleen and Yang Stomach, responsible for the nourishment and transformation of food, and worry can disrupt this process. Excessive worry or mental overactivity can impair the Yin Spleen’s ability to transform food into energy, leading to symptoms such as poor digestion, fatigue, and dampness (such as bloating or weight gain).

This, in turn, leads to emotional instability, causing feelings of anxiety, guilt, or fear. When the Yin Spleen and Yang Stomach suffer imbalance, it can create both physical and emotional issues. If the Yin Spleen’s ability to transform food – impaired. A ירידות הדורות/domino effect follows. This ripple effect leads to digestive discomfort such as bloating, nausea, low appetite, or a feeling of fullness. Accompanied by symptoms of dampness, such as fatigue, swelling, or poor digestion. A weakened Yin Spleen can lead to fluid retention in the body (i.e., dampness) and create a feeling of heaviness, which can cause a person to feel emotionally burdened.

The pancreas is essential for survival because it has both endocrine (hormonal) and exocrine (digestive) functions. The pancreas in Western medicine has a dual function. It produces insulin and glucagon. Without insulin, glucose cannot enter cells, leading to uncontrolled diabetes and eventual death. The Pancreas secretes enzymes (amylase, lipase, proteases) into the small intestine to break down carbohydrates, fats, and proteins.

The Spleen and Stomach already govern digestion and nutrient transformation, which aligns with some pancreatic functions. However, they cannot fully replace the pancreas in the way the liver can compensate for the loss of the gallbladder. Neither the Spleen, Stomach, nor Liver can fully take over the critical pancreas functions of Endocrine (hormonal) function & Exocrine (digestive) function. The Stomach secretes hydrochloric acid (HCl) and pepsin but lacks the enzymes necessary to break down fats and carbs.

The Spleen in TCM is responsible for transforming food into Qi and Blood, but it doesn’t physically secrete digestive enzymes. While the liver produces bile (which helps digest fats), it does NOT produce amylase or proteases to digest carbs and proteins. The Spleen & Stomach in TCM control digestion and Qi transformation, but they do NOT regulate blood sugar. The liver can release stored glucose (glycogen) when needed, but it doesn’t produce insulin or glucagon.

The pancreas, undeniably a critical organ with both Yin (endocrine) and Yang (exocrine) functions, making it unique. The pancreas secretes hormones (Yin) and enzymes (Yang), much like the Liver (which regulates both blood storage and circulation). In TCM, likely merged with the Spleen because both relate to digestion and nutrient transformation, but this overlooks its critical endocrine role.

Often, when the Yin Spleen becomes imbalanced, individuals may crave sweets or excessively eat to try to nourish themselves emotionally. This may result in digestive issues like gas or bloating. Worry and Overthinking: Worry, overthinking, and excessive mental activity reflect key emotional manifestations of Yin Spleen Chi deficiency. This emotional state often leads to anxiety and a lack of mental clarity, preventing a person from making decisions and leading to feelings of helplessness.

The Pancreas is central to the regulation of blood sugar and the secretion of digestive enzymes; it cannot be fully replaced by any other organ, making it fundamentally unique in its physiological functions. Therefore how do I map a pancreas meridian? Acupuncture points on the Spleen Meridian (e.g., Sp 3, Sp 6, Sp 9) often used to support digestion, resolve dampness, and nourish Spleen Chi and Spleen Yin. Acupuncture points on the Stomach Meridian (e.g., St 36, St 21, St 44) used to improve digestion, resolve food stagnation, and harmonize the digestive system. Acupuncture points like Liv 3 and Liv 14 help to resolve stagnation, improve digestion, and harmonize the flow of Chi. But to map a pancreas meridian most definitely requires a merger synthesis with Ren Mai (Conception Vessel) and Du Mai (Governing Vessel).

These two extraordinary meridians, central to overall energy regulation in the body, and their involvement would provide a more complete understanding of the Pancreas-like functions of digestion, energy transformation, and metabolic balance. The Ren Mai, often called the “sea of Yin.” It governs the body’s Yin energy, including that of the digestive system. It runs along the front midline of the body, passing through the abdomen, where the Spleen and Stomach reside. In a synthesis for the Pancreas, the Ren Mai seen as providing nourishment to the digestive and metabolic systems, as it plays a central role in the circulation of Yin (cooling, nourishing energy).

The Du Mai, the “sea of Yang” and governs Yang energy. It runs along the midline of the back and up through the spine, affecting the body’s Yang functions, including metabolism, warmth, and overall vitality. In relation to the Pancreas, the Du Mai might help stimulate Yang and boost digestive “fire” needed for digestion and enzyme secretion.

To synthesize a Pancreas Meridian, integrating the Ren Mai and Du Mai, we’d focus on harmonizing the Yin and Yang energies in the digestive system, while also addressing the unique metabolic and enzymatic functions that the Pancreas governs in Western medicine. Ren 4 (Guanyuan): This point, known as the “Origin Pass,” and it tonifies Yin energy, supports the Kidneys, and helps to nourish the entire body’s Chi. It is also beneficial for digestive disorders, aiding in energy transformation, key to the Pancreas’ function of digestion.

Ren 12, a powerful point for harmonizing the Spleen and Stomach, helping to resolve food stagnation, and assisting with digestion. It also supports Chi transformation, helping the body convert food into energy. Ren 17 (Shanzhong): Located at the center of the chest, this point traditionally used to open the chest, but it can also help with Chi circulation in the digestive system, aligning with the Pancreas’ role in nutrient transformation and energy production.

Du 4 (Mingmen): Known as the “Gate of Life.” This point critical for tonifying Yang energy and strengthening the body’s vitality. In the context of a Pancreas Meridian, it would help stimulate Yang to promote digestion and nutrient absorption. Essential for supporting the digestive fire that the Pancreas helps regulate. Du 14 (Dazhui): This point, powerful for clearing heat and stimulating Yang. Often used to boost overall energy, key to metabolic functions like those of the Pancreas, especially in cases of Yang deficiency or sluggish digestion. Du 20 (Baihui): This point, known for its ability to raise Yang energy in the body and enhance mental clarity and vitality. Helps invigorate overall energy and stimulate the digestive system’s metabolic processes.

Liv 3 (Taichong): This point helps to smooth the Liver Chi and improve digestion by enhancing the flow of Chi, crucial for smooth digestive function. It can harmonizes the flow of energy in the Pancreas-like meridian. Liv 14 (Qimen): A point to help regulate Liver Chi and improve digestion, especially when emotional stress affects digestive functions (which may include the Pancreas-like role in TCM).

The synthesis of a Pancreas Meridian would focus on harmonizing the functions of digestive energy transformation, blood sugar regulation, and enzyme secretion. By integrating the Ren Mai and Du Mai. The Ren Mai would provide Yin nourishment and regulate the internal environment, addressing digestive issues linked to deficiency. The Du Mai would support Yang energy, promoting digestive fire and metabolic activity, aligning with the Pancreas’ role in enzyme secretion and nutrient transformation.

The Spleen, Stomach, and Liver meridians would still play essential roles in digestion and Chi transformation. The Ren Mai and Du Mai, however, provide the foundational Yin and Yang energy for supporting and regulating the overall system, allowing for a Pancreas Meridian that can harmonize digestion, regulate blood sugar, and ensure the smooth flow of Chi energy in the digestive process.

To map a Pancreas Meridian in TCM requires a synthesis of the Ren Mai (Conception Vessel) and Du Mai (Governing Vessel), along with complementary acupuncture points on the Spleen, Stomach, and Liver meridians. The Ren Mai and Du Mai serve as critical pathways for regulating the Yin and Yang energies in the digestive system, essential for supporting the Pancreas’ function in both digestion and metabolism. By harmonizing these meridians, it becomes possible to make an attempt to address the unique role the Pancreas plays in digestion, metabolism, and energy transformation.

The Pancreas both Yin (digestive enzyme secretion, insulin for glucose regulation) and Yang (metabolic activation, glucagon for energy mobilization). Deeply involved in the Yin-Yang balance of metabolism, which aligns with the Ren Mai (Yin) and Du Mai (Yang). Midline (Ren & Du Mai Influence): Ren 4, Ren 12, Ren 17 (Yin nourishment, digestion, and metabolism). Lower Back (Pancreatic Yang activation): Du 4 (Mingmen, fire for metabolism), Du 14 (Yang regulator), Du 20 (Brain-pancreas connection).

TCM the concept of Yin and Yang, utterly fundamental. The Ying Yang applies to both the primary Yin and secondary Yang organs. Primary organs (Zang) considered Yin in nature; while the secondary organs (Fu) considered Yang. The primary organs, the Zang organs (solid organs), they bear the burden obligation, responsible for producing or storing vital substances, such as Chi, blood, and Jing (essence), which have a more active, vital, and generative nature or quality.

Ren 17 (Shanzhong),a significant acupuncture point located on the Ren Mai (Conception Vessel), which runs along the midline of the body. This point, often used in TCM for various therapeutic purposes. Associated with the regulation of Chi spirits in the chest area, it plays a role in emotional balance, particularly related to the Heart (the seat of the Shen spirit) and the Lung (which governs Chi and the body’s defense). Sometimes referred to as the “sea of Chi”, as it is a point where energy gathers and can be distributed to other areas of the body.

Clinical applications of Ren 17: Asthma, Heart palpitations or chest pain; anxiety, stress or emotional distress, especially when the Heart experiences disturbance. Digestive problems like bloating, nausea, or indigestion. Shen disturbances such as insomnia or nightmares, it helps calm the mind. Moxibustion: Moxibustion (the burning of mugwort) may also be used on Ren 17 to warm the chest area, especially if Cold Chi stagnation, causing chest pain or breathing difficulty.

Ren 17 (Shanzhong) a key acupuncture point located in the center of the chest. It regulates the flow of Chi through the chest, benefiting the Heart, Lungs, and digestive system, while also promoting emotional balance. Its therapeutic applications include treating respiratory conditions, heart issues, anxiety, and digestive disorders. Ren 17 stimulated through acupuncture, acupressure, or moxibustion, often used to alleviate both physical and emotional symptoms associated with chest discomfort or distress.

Ren 22 (Tiantu), also known as Heavenly Prominence, an important acupuncture point located on the Ren Mai (Conception Vessel), a central meridian in TCM. A vital point for clearing the throat and for facilitating the smooth flow of Chi in the upper body. The Ren Mai, closely associated with the body’s Yin energy, and Ren 22 – no exception. It regulates the flow of Chi between the Lung and Stomach, related to respiratory function and digestion. Ren 22, often used in cases where there are issues related to the voice, breathing, or communication. Used to open the chest, promote the flow of Chi in the upper part of the body, and clear the throat. Often used to alleviate symptoms like chronic cough, hoarseness, or difficulty swallowing.

This point, primarily used for treating respiratory issues such as asthma, cough, wheezing, and phlegm accumulation in the chest or throat. As Ren 22 located near the throat, and linked to issues of communication, both physical (voice, speech) and emotional (expression of thoughts and feelings). Helps with emotional stagnation, especially when people are unable to express themselves verbally, or when grief or sadness causes a blockage in the chest or throat.

Treats Coughing and Wheezing: Ren 22 often used to relieve coughing caused by various conditions, including phlegm in the lungs or throat, and wheezing related to asthma or bronchitis.

Improves Breathing by clearing Chi spirit stagnation in the throat, Ren 22 helps to improve breathing and ease the discomfort associated with shortness of breath, especially if the issue is related to Chi or phlegm blockages in the respiratory system.

A sore throat, caused by wind-heat or heat accumulation in the body, Ren 22 used to help clear the blockage and relieve pain or discomfort in the throat. Health conditions such as:

Asthma, Chronic cough, Wheezing, Shortness of breath, Phlegm in the throat or chest, Sore throat or loss of voice, Emotional Disorders: Anxiety, particularly when accompanied by tightness in the chest or difficulty expressing oneself. Grief or emotional blockages related to the Lung or Heart. Difficulty with communication, speech, or expressing emotions. Digestive Issues: Difficulty swallowing (such as with esophageal issues); Symptoms of stomach Chi stagnation affecting the throat or chest.

Moxibustion: Moxibustion (the use of heat from burning mugwort) used to warm and invigorate the Chi at this point, especially, if prevails a Cold or Chi deficiency within the chest and throat.

Acupressure: Gentle pressure or massage on Ren 22 can help to relieve tension in the neck, open the chest, and improve the flow of energy in the upper body. This particularly useful in addressing throat discomfort or emotional blockages.

Breathing Techniques: In combination with acupuncture or acupressure, deep breathing exercises may help facilitate the flow of Qi and clear emotional blockages in the chest and throat area. Practitioners often recommend focused breathing to enhance the effects of the treatment.

Ren 22 (Tiantu), a powerful acupuncture point located at the center of the throat, used to regulate the Chi flow in the chest and throat. Commonly used to treat respiratory issues like asthma, cough, and shortness of breath, as well as emotional blockages related to communication and self-expression. By opening the chest, clearing the throat, and promoting the smooth flow of Chi, Ren 22 can alleviate both physical and emotional symptoms, improving overall health and emotional well-being.

Ren 6 (Qihai), also known as the Sea of Qi, an important acupuncture point located on the Ren Mai (Conception Vessel) in TCM. This point particularly significant for its ability to regulate Chi spirits throughout the body, boost energy reserves, and support vital functions. Ren 6 considered one of the most important points for addressing Chi deficiencies and promoting overall vitality.

Ren 6 often referred to as the “Sea of Chi”, the “reservoir” or “storage site” for the body’s Chi energy. Considered a fundamental point for replenishing the Chi in the body and revitalizing energy in general. Associated with the Lower Dan Tian, one of the key energy centers in the body according to TCM. The Lower Dan Tian considered the body’s primary Chi storage area and its located near Ren 6.

Stimulating Ren 6 thought to nourish and tonify Chi, making it especially valuable for those experiencing fatigue, weakness, or Chi deficiencies. Ren 6, most commonly used to strengthen and tonify Chi, particularly when Chi deficiency prevails in the body. This makes it a go-to point for those who feel tired, weak, or lacking in energy. Ren 6 used to tonify Yang Chi (active, warming energy), essential for vitality and overall body warmth. Used to help strengthen the digestive system (Spleen and Stomach), particularly when Cold or deficiency present.

This point, also important for regulating Chi in the lower abdomen, crucial for the digestive and reproductive systems. It can address digestive issues, such as bloating, gas, constipation, and poor digestion. Since the Kidneys, considered the source of Chi and Jing in TCM, Ren 6 also often used to support Kidney Chi and Jing. Particularly beneficial for individuals with Kidney deficiency symptoms like lower back pain, infertility, or sexual dysfunction.

Enhances Vitality and Stamina: Ren 6 useful for improving overall vitality and stamina. Employed in cases of chronic fatigue, weak immune system, or any situation where a depletion of the body’s fundamental energy.

By enhancing the flow of Chi spirits in the lower abdomen and the body’s core, Ren 6 can improve the circulation of Chi throughout the entire body, aiding in the healing of various ailments that involve sluggish circulation or Chi stagnation.

Fatigue and Weakness: In cases where a person feels chronic tiredness or weakness, Ren 6 used to replenish Chi and improve overall energy levels. Conditions like poor digestion, bloating, diarrhea, constipation, and gas often treated by stimulating Ren 6 to improve Chi flow in the digestive system. Ren 6 helps with menstrual issues (like painful periods or irregular cycles), infertility, and sexual vitality. Useful for Kidney deficiency symptoms, including lower back pain, urinary problems, sexual dysfunction, and infertility.

Ren 6, often used to regulate the menstrual cycle, particularly when stagnant Chi or deficient Chi in the reproductive system. Also helps to promote fertility and alleviate menstrual pain. Strengthens the Immune System: As Chi, the body’s vital living spirit force, Ren 6 can help boost immunity and fortify the body against external pathogens, improving overall health.

Ren 6 used to boost Chi and strengthen the body’s defenses. Chronic Illness: People recovering from illness or surgery, Ren 6 helps restore energy and vitality by tonifying Chi and supporting the body’s healing process. Acupuncture Needling: Ren 6 commonly needled to tonify Chi and restore vitality. A deep but gentle insertion used, and moxibustion can also be applied to warm the area and enhance the effects.

Moxibustion (the burning of mugwort) a common practice for Ren 6 when there prevails a need to warm and invigorate Chi, particularly in cases of Cold deficiency. Moxibustion enhances energy flow and warmth in the lower abdomen, which can support digestion and reproductive health.

Acupressure: Gentle pressure on Ren 6 can help stimulate Chi and improve circulation, particularly for digestive or fatigue-related issues. Applying consistent pressure in a circular motion can encourage the smooth flow of Chi. Breathing Exercises: Deep abdominal breathing combined with acupuncture or acupressure to increase Chi in the Lower Dan Tian area. This helps to balance the body’s energy and promote healing.

Du 14 (Dazhui), known as the Great Vertebra, an important acupuncture point located on the Du Mai (Governing Vessel), one of the primary meridians in TCM. This point plays a significant role in regulating Yang energy and promoting the circulation of Chi throughout the body.

Du 14 considered one of the most important points on the Du Mai because it serves as a major Yang point and used to regulate Yang energy in the body. Associated with the Yang channels and often used to clear excess heat and expel pathogens. This point deeply connected to the immune system and used to enhance the body’s defensive Wei Chi) to protect against external pathogens such as wind, cold, and heat. Strengthens Yang Energy: As a Yang point, Du 14 used to strengthen and tonify Yang energy, particularly in cases of Yang deficiency. This includes issues such as cold limbs, fatigue, and chronic weakness.

Clears Heat: Du 14 one of the primary points used to clear heat from the body. Helps dispel fever, clear internal heat, and reduce inflammation, useful for conditions like fever, infection, or heat in the blood.

By promoting the circulation of Wei Chi (the body’s protective energy), Du 14 strengthens the body’s ability to resist external pathogens like wind, cold, and heat. A key point in boosting immunity and fighting off colds or flu. Because of its location along the spine, Du 14 often used to treat spinal issues, particularly neck and upper back pain. Effective in addressing conditions such as muscle stiffness, pain, or spinal misalignments. Du 14 has a calming effect on the nervous system, used to address conditions related to nervous tension, anxiety, and stress. It can help calm the mind and relieve emotional imbalances.

Du 14 often used to treat respiratory problems such as cough, asthma, shortness of breath, and congestion. It helps to open up the chest and regulate the Chi flow in the lungs. Du 14 associated with the Heart as well, and used to revitalize the Heart Chi and calm the mind. Beneficial in cases of palpitations, insomnia, or emotional disturbances related to the Heart.

Enhances the Yang of the Body: In cases of exhaustion, low energy, or cold conditions (often linked to Kidney Yang deficiency), Du 14 used to restore Yang Chi, helping the body regain vitality. Du 14, one of the main points for treating fever and other heat-related conditions, including infections and inflammatory diseases. It helps to clear heat and expel pathogens from the body. Respiratory Illnesses: Conditions such as cough, asthma, shortness of breath, and congestion stimulating Du 14 to open the chest and facilitate lung Chi flow recommended.

Individuals suffering from fatigue or low energy, particularly due to Yang deficiency, Du 14 boosts vitality and restores Yang energy. Du 14 commonly used in treating muscular pain, stiffness, and spinal issues, especially in the upper back and neck region. To strengthen the body’s immunity and prevent frequent colds or flu, Du 14 used to enhance the Wei Qi and improve the body’s natural defenses. Du 14 influences the flow of Qi in the body’s core, helpful in conditions like indigestion, bloating, and nausea.

Acupuncture Needling: Du 14 needled directly to tonify Yang and clear heat. When treating Yang deficiency or heat-related conditions, needling the point with a moderate insertion depth can help restore balance. Moxibustion, often applied as well to warm the area and enhance the Yang. Moxibustion: For conditions related to Cold deficiency, moxibustion is frequently applied to Du 14. This involves burning mugwort near the point to warm and invigorate Yang energy.

Acupressure: Gentle pressure can be applied to Du 14 for those seeking relief from tension in the upper back or neck, or for boosting the immune system during an illness. Gua Sha (Scraping Therapy): In cases of stiffness or pain in the neck and back, gua sha techniques can be used on Du 14 to promote circulation and ease tension. Gua Sha, also known as scraping therapy. (Traditional healing practice that originates from Chinese medicine. It involves using a smooth-edged tool [often made of jade, quartz, or buffalo horn] to apply pressure and scrape along the skin, typically along the back, neck, shoulders, and limbs. The goal, to release tension, improve blood circulation, and promote healing).

A practitioner uses the Gua Sha tool to gently scrape over lubricated skin (usually with oil or balm), applying moderate pressure. The scraping motion stimulates the skin and underlying tissues. Commonly used to relieve muscular pain and stiffness, especially in areas like the neck, shoulders, and back. It enhances blood flow and lymphatic drainage, promoting the body’s natural healing process. The technique helps relax tight muscles and alleviate stress. Thought to assist in the removal of toxins from the body by improving circulation. Gua Sha, traditionally used for conditions like colds, flu, muscle pain, and chronic illnesses. In addition to body scraping, a gentler version of Gua Sha, also used on the face to improve skin appearance, reduce puffiness, and increase circulation to the skin.

Deep breathing exercises can be combined with Du 14 stimulation to promote the circulation of Chi and clear heat from the body, especially for conditions like respiratory issues or emotional imbalance. As with many acupuncture points on the back, caution-required when applying direct stimulation to Du 14 during pregnancy, especially during the early stages. This point may have a strong stimulating effect, which may not be suitable for pregnant women, particularly those who are sensitive or have a history of miscarriage.

Du 9 (Zhiyang), known as Extending the Yang, an important acupuncture point located on the Du Mai (Governing Vessel), one of the primary meridians in TCM. This point plays a significant role in balancing and enhancing Yang energy within the body, particularly for digestive and respiratory health. Du 9 a Yang point on the Du Mai, associated with the Yang or active, dynamic aspects of the body’s energy. Plays a key role in invigorating Yang energy, promoting the circulation of Chi, and enhancing the flow of warmth in the body. Particularly useful for treating digestive, respiratory, and spinal conditions, as it helps to regulate the flow of Chi through the chest, lungs, and upper abdomen.

Du 9 helps to strengthen and invigorate Yang energy in the body, especially in cases of Yang deficiency or cold conditions. Used to treat symptoms such as cold extremities, fatigue, and lack of vitality. Du 9 used to clear heat from the upper body, particularly the lungs and chest. It helps to regulate and disperse heat and clear congestion, making it beneficial for conditions such as coughing, chest tightness, or fever. This point used to promote the circulation of Chi in the stomach and spleen, helping to resolve issues such as indigestion, nausea, vomiting, and gastritis. Particularly effective when there is stagnation or dampness in the digestive system. Du 9 used to treat respiratory issues such as cough, shortness of breath, and congestion. It can help open the chest, improving lung function and allowing the body to better expel pathogens and clear mucus from the respiratory tract.

Du 9 LAO used to address spinal issues, particularly in the upper back area. It can help relieve muscle stiffness, back pain, and spinal misalignments in the thoracic region. Du 9 known to promote the smooth flow of Qi and blood, particularly in the upper abdomen and chest. It is effective in treating conditions where Chi stagnation, blood stagnation, or Chi deficiency. Du 9 used for a variety of digestive complaints such as indigestion, nausea, vomiting, gastritis, or bloating. Particularly useful when there is a blockage or Chi stagnation in the stomach and spleen. This point beneficial for addressing cough, asthma, bronchitis, and difficulty breathing, particularly if the condition involves excess heat or congestion in the lungs and chest. Helpful in treating muscular pain, stiffness, and discomfort in the upper back, particularly the thoracic spine.

Du 9 can be used in cases of Yang deficiency, particularly symptoms like fatigue, cold limbs, and lack of vitality. Helps to revitalize the Yangenergy and promote warmth in the body. Effective in clearing heat from the body, especially in cases of fever or heat in the chest. Helps lower a high fever and reduce inflammation.

Du 9 is usually needled perpendicularly or obliquely towards the spine. The depth of insertion varies, depending on the condition being treated, but generally, it is inserted at a moderate depth to revitalize Yang or clear heat. For treating Chi stagnation or digestive issues, a shallow insertion is used. If a Yang deficiency or a cold condition, moxibustion can be used at Du 9 to warm and invigorate the Yang energy. Moxibustion helps to restore circulation and revitalize the body’s warmth. Gentle pressure can be applied to Du 9 to stimulate the flow of Qi and blood, especially in cases of respiratory or digestive disorders. Light circular movements with the fingers can help improve circulation and relieve muscle stiffness in the upper back. Gua Sha therapy, involving scraping the skin with a smooth-edged tool, can be applied along Du 9 to relieve tension and stagnation in the upper back or chest, particularly when dealing with cold or damp conditions. Deep breathing exercises, in combination with Du 9 stimulation, can help enhance the Chi flow to the chest and upper abdomen, improving both respiratory function and digestive health.

Du 4 (Mingmen), also known as the Gate of Life, one of the most important and potent acupuncture points on the Du Mai (Governing Vessel). This point plays a significant role in strengthening Yang energy, particularly in the Kidney and spinal region. Essential for supporting the vital energy (Jing) and life force in the body.

Du 4 often referred to as the Gate of Life, associated with the Kidney’s Yang energy, which governs vitality, reproduction, and longevity in TCM. Believed a crucial point for enhancing Jing, the essence vital for the body’s lifespan, growth, and development.

This point especially important for strengthening the Yang in the Kidneys (the body’s source of vital energy), supporting spinal health, and increasing general vitality and sexual energy. Du 4 known for its ability to tonify and strengthen Kidney Yang. The Kidneys in TCM considered the source of vital energy, and Du 4 helps to replenish Kidney Yang when there is Yang deficiency, which manifests in symptoms like fatigue, low back pain, cold extremities, and sexual dysfunction.

This meridian point supports Jing (Vital Essence): Essential for nourishing the Jing, the foundational energy responsible for growth, reproduction, and longevity. Used to address issues related to infertility, low sexual energy, and declining vitality due to aging or chronic conditions. Du 4 located on the spinal column and commonly used to address spinal issues, such as low back pain, sciatica, or stiffness. A key point for back pain related to Kidney deficiency or cold-damp conditions in the lower back. As a Yang point associated with the Kidneys, Du 4 used to improve sexual health and libido. Especially effective in cases of sexual dysfunction due to Kidney Yang deficiency or cold in the lower abdomen and reproductive organs.

Du 4 also helps to regulate the flow of Chi and blood, particularly in the lower abdomen and Kidney region. It promotes circulation and warmth, improving overall energy levels and vitality. Because Du 4 closely linked to the Kidneys, which in TCM are considered the foundation of the body’s immune system, stimulating this point can help boost immune function and improve the body’s ability to fight off illness. Du 4 commonly used to treat Kidney Yang deficiency, which can manifest as chronic fatigue, cold intolerance, weakness in the lower back, and sexual dysfunction. It helps restore the body’s internal warmth and vitality.

Du 4 one of the primary points for treating low back pain, particularly when related to Kidney deficiency or cold in the lower back. Effective for conditions like sciatica and stiffness in the spine. Du 4 often used to address infertility issues, especially when the problem related to Kidney Yang deficiency. Helps improve sexual dysfunction, low libido, and impotence due to a lack of warmth and vitality in the Kidneys. For patients with chronic illness or general weakness, Du 4 used to restore vitality and strengthen the overall body. Particularly beneficial for conditions related to exhaustion, low energy, and poor circulation.

Due to its connection to the Kidneys and Yang energy, Du 4 used in strengthening the body’s immune system, helping to prevent chronic illnesses or support recovery after illness. As part of a broader approach to sexual wellness, Du 4 used to restore sexual vitality and address issues such as impotence, infertility, or low libido.

Acupuncture Needling: Du 4 typically needled perpendicularly or obliquely towards the spine. For treating Yang deficiency or back pain, the needle is inserted at a moderate depth and left in place for several minutes. Moxibustion often applied at Du 4 to warm the body and invigorate the Kidney Yang. This technique particularly effective in treating cold conditions, low back pain, and reproductive health issues. Du 4 stimulated through acupressure, apply firm pressure to the point for a few minutes. Circular motions used to enhance circulation and restore energy flow. Gua Sha: Gua Sha (scraping therapy) effective in relieving stiffness and pain in the lower back and spine. This technique commonly applied to areas of muscle tension or cold in the body. Deep breathing exercises, particularly abdominal breathing, combined with Du 4 stimulation to enhance the circulation of Chi spirits and Jing. This can help restore vitality and strengthen the Kidneys.

Du 3 (Yaoshu) is a fundamental acupoint in TCM. Primarily known for its ability to treat lower back pain, sciatica, and reproductive or urinary disorders. It plays a key role in regulating the lower jiao (lower burner), strengthening the lower limbs, and dispelling cold-damp stagnation. Key Point for Chronic & Acute Lower Back Pain. Effective for lumbar pain, weakness, and stiffness, especially in conditions of Kidney Yang Deficiency or Cold-Damp stagnation.

Used for pain due to Chi and Blood stagnation, muscle strain, or degenerative conditions like lumbar disc herniation and osteoarthritis. Common in treatments for post-surgical recovery of spinal injuries. Used for radiating pain in the lower back that extends down the legs, which is characteristic of sciatica (often caused by compression of the sciatic nerve). Treats numbness, tingling, and weakness in the lower limbs, caused by circulatory blockages, nerve compression, or Chi stagnation.

Cold-Damp Accumulation in the Lower Body: Symptoms: Dull, achy lower back pain, heaviness in the legs, joint stiffness, and difficulty moving after rest. TCM View: Cold and dampness invade the lower jiao, obstructing Chi and Blood circulation. Du 3 helps dispel cold and excess moisture from the body, making it particularly useful in arthritis, chronic lower back pain, and damp-bi syndrome (pain worsened by cold and damp weather).

Du 3 regulates the lower Jiao – burner. It effective for treating urinary retention, frequent urination, incontinence, or difficulty urinating. Linked to Kidney, Bladder, and Spleen deficiencies, as well as damp-heat accumulation in the lower jiao. Used in cases of impotence, premature ejaculation, spermatorrhea (involuntary semen leakage), and low libido due to Kidney Yang Deficiency. Helps regulate menstrual cycles, particularly in cases of irregular menstruation, dysmenorrhea (painful periods), and uterine cold. Assists in fertility treatments by improving blood flow to the uterus.

Works well with BL 23 (Shenshu – Kidney Shu) and BL 40 (Weizhong – Command Point of the Back). Ren 3 & Ren 4 for Bladder Qi deficiency. Du 4 (Mingmen) & Ren 6 (Qihai) for Kidney Yang Deficiency. Stimulating Du 3, GB 30 (Huantiao) & BL 54 (Zhibian) helps restore motor function and circulation in the lower limbs. Often used for stroke rehabilitation in cases where there is weakness or paralysis in the legs. Du 4 (Mingmen) + Ren 4 (Guanyuan) warms Kidney Yang, restores energy. Ren 3 (Zhongji) + BL 28 (Pangguangshu) + Du 3 → Treats bladder Chi deficiency & retention issues. Ren 4 (Guanyuan) + Du 3 + SP 6 (Sanyinjiao) → Regulates menstrual cycles, supports fertility.

Needling Depth: Perpendicular insertion: 0.5 – 1.0 cun. Caution: Avoid deep needling to prevent injury to the spinal cord. Using a moxa stick or warming needle highly effective for chronic lower back pain, cold-damp accumulation in the lumbar region, urinary or reproductive disorders due to Kidney Yang Deficiency. Applying firm pressure with circular motions for 2–3 minutes can relieve lumbar stiffness and stimulate Chi circulation. Gua Sha or Cupping over the lumbar spine enhances blood flow and alleviates muscle tightness.

The Lung (Lu), Large Intestine (LI), Stomach (St), and Spleen (Sp) meridians, directly related to the respiratory and digestive systems. The treatment will vary depending on whether the conditions whether caused by excess heat, cold, or deficiency. Acupuncture, best used in combination with other TCM modalities, such as herbal medicine, dietary adjustments, and lifestyle changes to address the root cause of pneumonia and improve overall health.