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.

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

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

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).

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

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

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