NOTES ON FIRST AID IN TRADITIONAL CHINESE MEDICINE

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.

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

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

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 point is mentioned by Ge Hong (circa 265 – 420 AD) in his Zhou Hou Bei Ji Fang (Prescriptions Behind the Elbow for Emergencies). This work lists 109 acupuncture and moxibustion prescriptions for emergencies.

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

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

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