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.

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

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

This work lists 109 acupuncture and moxibustion prescriptions for emergencies. 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).

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

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

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