Dr. Francesco Longo
Veterinary Physician
Specialist in Animal Reproduction
Expert in Traditional Chinese Veterinary Medicine and Veterinary Acupuncture
Florence, Italy

According to the medical interpretation of the I CHING, emergency treatment is
represented by Hexagram 4 – MÊNG (Youthful Folly), which consists of the two Trigrams
K’an – Water (lower Trigram) and Kên – Mountain (upper Trigram); the gloss by King
Wên states: “Proceeding from obscurity, youthful folly has success. It is not I who seek
the young fool; the young fool seeks me”.
Hexagram 4 – MÊNG corresponds to the acupoints of the Governor Vessel between GV
19 (Houding) and GV 28 (Yinjiao) which affect the median axis of the nape, cerebellum,
cerebrum and head, and promote the balance of ideas and feelings.
In obscurity, it is necessary to follow a simple course of action that takes the darkness into
account: obscurity is nothing more than the confusion that precedes clarity.
Essentially, the idea expressed is that of an emergence from obscurity, or in other words
from a condition of shock or lack of consciousness that is recovered by means of the
needles: the patient’s consciousness (Shen) rises to the surface bit by bit, contributing to
resuscitation and enabling the patient to regain his or her senses. (1)
First aid procedures are a little-known clinical application of Chinese Traditional Veterinary
Medicine (CTVM).
Any condition that involves a state of shock is due to an alteration in energy circulation
between Yin and Yang, a kind of disconnection between the two major organic
components that can lead to a subsequent decompensation of Qi (energy), Xue (blood)
and Jin Ye (body fluids).
Cases of emergency are traditionally classified as follows:
High fever: due to - Wind – Heat that affects the Lung
- Retention of Toxic Heat
- Summer Heat that disturbs the Heart
- Seasonal epidemic disorders.

pallor. . vertigo. deep fine pulse (Chen Xi). vomiting. . depression. Transient Cerebral Ischemia: also manifests itself in different ways: . reddened and thinly coated tongue. nausea.Qi stagnation: sudden loss of consciousness.Yang . it can occur in two forms: . fast thready pulse (Xi Shuo). .Yang leakage: reeling gait. depression. lack of appetite. Arterial Hypertension: expressed in different forms: . asthenia. anxiety and irritability. pale uncoated tongue.Yin .Qi . pale or purplish mucus membranes. asthenia. heavy body. weakness of the loins and knees. pale tongue.Xue stagnation: deep. it manifests itself with three different states: . pale tongue with a damp whitish coating.Cold . retarded pulse (Huan). pale tongue with whitish coating. deep wheezy breathing. aversion to cold. swollen. pale tongue with a thin whitish coating. tense fast pulse (Xian or Shuo).Xue . tachycardia.Spleen and Stomach Qi deficiency: generalized weakness.Xue stagnation: hyperextension of one of the front or rear limbs. deep fine pulse (Chen Xi).From phlegm: caused by emotional and psycho-behavioral excesses. deep tense pulse (Chen Xuan). lockjaw.Syncope: due to sudden disorders expressed in various ways: .Heart Yang deficiency: vertigo. anxiety.Heat Collapse: due to exhaustion of the Yuan Qi resulting from constitutional deficiency. dark and thinly coated tongue. labored breathing.Moderate . tongue purplish or with dark spots. polyuria.Phlegm . . cold extremities. . deep fine pulse (Chen Xi). difficulty walking. deep fine pulse (Chen Xi). fine fast pulse (Xi Se).Diet . loss of body fluids or hemorrhages. accompanied in some cases by regurgitated mucus. weak limbs. trembling of the limbs.Heart and Kidney Yang deficiency: asthenia. (3) .Liver and Kidney Yin deficiency: hyperesthesia of the limbs followed by loss of strength. with noisy. pale scalloped tongue with no coating.Yin / Yang Sunstroke: where Summer Heat disturbs Yang and exhausts Qi. cold skin.Severe (2) Shock: takes several forms: . . slow breathing.

Toxic heat that affects Heart and chest (Upper Burner). and treat Yang collapse. During these operations. and specifically creates a connection with CV 24 (Chengjang) and with the Yang Ming energy level which manages acquired energy. pale tongue. fast accelerated pulse. Sea of Yang) to the Conception Vessel (Ren Mai. hypernea. repeating the operation until the depression is resolved.Poor ambient ventilation. reddened mucus membranes. the point will bleed. . Sea of Yin). muscle spasms. however.Intense work in excessively hot and humid weather. (6) . cough. (5) A special technique is used in needling this point: after insertion. slow pulse. an event which is to be considered as indicating that the Du Mai meridian has been unblocked and drained.Heat stroke: caused by: . while the external and internal branch of the infraorbital nerve and the maxillary nerve originate from its base. and after a pause of a few minutes. and its functions are to revive consciousness.Dehydration. dispel Wind and gleires. the point that connects the Governor Vessel (Du Mai. is reinserted for another energetic stimulation. the needle is rotated back and forth while being raised and lowered. Causes: nasal discharge. thus achieving energetic stimulation for around 30 to 60 seconds. fever. (4) The acupoint which is best known for its shock inhibiting action is GV 26 (Renzhong). calm Shen. restlessness. instability. clarify Heat. . Acupoint GV 26 (Renzhong) has sympathomimetic effects and can be used to treat respiratory and cardiac depressions. Cold stroke: due to - Sudden drop in ambient temperature. Perverse Cold – Wind attack. It is located at the center of the nasal filter. . red tongue. clarify the brain. At times. trembling. other maneuvers are carried out on the acupoints indicated below. Causes: weakness. GV 26 (Renzhong) is located at the meeting point of the Stomach and Large Intestine channels. The needle is then removed. Traditionally.

99 of which can be implemented using moxa alone: it would appear that Ge Hong was the first physician to introduce moxibustion in first aid. This work lists 109 acupuncture and moxibustion prescriptions for emergencies.This point is mentioned by Ge Hong (circa 265 – 420 AD) in his Zhou Hou Bei Ji Fang (Prescriptions Behind the Elbow for Emergencies). .

and of Tong Guan. CV 6 (Qihai). LR 1 (Dadun). HT 9 (Shaochong. GV 20 (Baihui). Another important group of acupoints used in resuscitation is that of the Ting points.. while the second point is activated by pulling the tongue fairly energetically towards the outside of the mouth. these points include: SI 1 (Shaoze. CV 3 (Zhongjin). (8) Some authors regard these acupoints as belonging to the Du Mai and classify them with the codes GV 28 – 01 (Shunqi or Yu Tang) and GV 28 – 03 (Jinjin or Tong Guan). GV 26 (Renzhong) is needled. (9) Once these maneuvers have been performed at the tail. KI 1 (Yongquan). On the first point. . between the lingual frenum and sublingual veins. specific for loss of consciousness). bilateral. Only afterwards should the practitioner proceed with manual stimulation of Yu Tang. and these points are typically used in order to bring about an intense change in Yin / Yang energy polarity. the points located at the ends of the phalanges that are all indicated for the same purposes: they treat syncopes and revive Shen. Another effective point for resuscitation is Er Jian. and reactivates Qi circulation along the Du Mai. (7) In reality. i.The other essential acupoints mentioned in this text that can be used for emergencies include: CV 1 (Huiyin). In particular. CV 14 (Juque). CV 4 (Guanyuan). intense finger pressure is applied with a rubbing movement.e. the Nan Jing states: “The place of outlets directs the Ting points. which dispels Heat and Wind – Heat.5 cun lateral to the midline of the third ridge of the hard palate. ST 36 (Zusanli). palate and tongue. increases Jin Ye and has an antitoxic effect). on the ventral surface of the tongue. HT 7 (Shenmen). (10) Discussing these points. it is advisable to stimulate the specular acupoint at the tip of the tail called Wei Jian: this produces a clear movement of energy towards the head. GV 14 (Dazhui). microbleeding at this acupoint is also often used to unblock the meridian. before using GV 26 (Renzhong). the Ting points treat fullness below the heart” (11). CV 8 (Shenque). to which we can add Shen Men (at the center of the base of the triangle formed by the tip of the ear) and the Sympathetic Nerve area (on the border of the antihelix). located at the tip of the ear. SP 6 (Sanyinjiao). a bilateral acupoint located at 0.

blocks dyspnea caused by fullness. they are used for diagnostic purposes. it calls energy back to the sincipit. and to treat acute conditions (Xi points of the Yang meridians) and hemorrhages (Xi points of the Yin meridians). (13) A point with documented efficacy in stopping hemorrhages is PC 4 (Ximen). in all acute disorders that entail an immediate accumulation of Tan. GB 35 (Yangjiao) for Yang Wei Mai. and regenerates liquids.Other ‘extra’ points outside the meridian lines can also be used for the extremities: . because they are located in the deep cavities between the bones and tendons. The other category of points that can be used in rapidly arising pathologies is that of the Xi points. which calms Shen.e.Ba Feng: These are points located in the interdigital spaces of the hind limbs. (15) Finally. but it is traditionally said to calm and revive Shen in harmonization. i. Action: dispel Wind.Ba Xie: These are points located in the interdigital spaces of the front limbs. or Dampness – Catarrh that can occlude and clog the Heart. The second generation Qi Mai (curious meridians) have specific Xi points. dispels Wind and Wind – Dampness. (16) The other fundamental acupoint in first aid. including: BL 59 (Fuyang) for Yang Qiao Mai. (14) A classic technique is the ‘Four Gates’ method: bilaterally needling points LI 4 (Hegu) and LR 3 (Taichong) calms hyperactivity of Liver Yang and internal Wind. Action: dispel Wind and the other pathogenic factors carried by the Wind. clarify Heat. . and frees the diaphragm. decontract the tendons. whose name means ‘cleft’ or ‘fissure’. calm Heart Qi and treat tachycardia.. helping the consciousness to be regained or… to pass to Heaven. where Qi and Xue accumulate. is GV 20 (Baihui): uniting all the meridians. refresh the Heart. Phlegm. As Huangfu Mi maintains: “The intention is to harmonize: this is all the art of Acupuncture”! (17) . regulate the blood and treat psycho-behavioral disorders. which refreshes Xue and Heat in the Upper Burner. Another specific point is HT 7 (Shenmen): not only does its name – which means ‘Spirit Gate’ – clearly indicate its function. (12) In clinical practice. KI 8 (Jiaoxin) for Yin Qiao Mai. especially when the patient is in lifethreatening or critical condition. transforms Heart gleires and tranquilizes the Heart. as they can develop nodes or thickening when the channel to which they belong is involved. it is essential to use ST 40 (Fenglong). and KI 9 (Zhubin) for Yin Wei Mai.


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