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Freeing the vessels

通脉 〔通脈〕 tōng mài

1. A method of treatment used to warm and free yáng qì to revive the pulse beat. For example, in lesser yīn (shào yīn) disease with diarrhea, there is true cold in the inner body characterized by cold limbs and a faint pulse on the verge of expiration, and false heat in the outer body marked by the absence of aversion to cold and a floating red complexion. Cold is the true nature of the disease and it repels yáng outward causing absence of aversion to cold, whereas yáng also floats upward to cause an upcast yáng floating red complexion.

Medicinal therapy: Use Vessel-Freeing Counterflow Cold Decoction (通脉四逆汤 tōng mài sì nì tāng), in which licorice (Glycyrrhizae Radix, 甘草 gān cǎo), aconite (Aconiti Radix Lateralis Praeparata, 附子 fù zǐ), and dried ginger (Zingiberis Rhizoma, 干姜 gān jiāng) return yáng and stem desertion, and scallion white with root (Allii Fistulosi Bulbus cum Radice, 连须葱白 lián xū cōng bái) frees yáng qì. The formula as a whole warms and frees yáng qì to restore strength to the pulse.

Acumoxatherapy: Base treatment mainly on LU, PC, and BL. Select LU-9 (Great Abyss, 太渊 tài yuān), PC-6 (Inner Pass, 内关 nèi guān), BL-15 (Heart Transport, 心俞 xīn shù), BL-17 (Diaphragm Transport, 膈俞 gé shù), BL-14 (Reverting yīn (jué yīn) Transport, 厥阴俞 jué yīn shù), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and LI-4 (Union Valley, 合谷 hé gǔ); needle with supplementation. For the lesser yīn (shào yīn) disease example, CV-4 (Pass Head, 关元 guān yuán), BL-20 (Spleen Transport, 脾俞 pí shù), BL-23 (Kidney Transport, 肾俞 shèn shù), and KI-7 (Recover Flow, 复溜 fù liū); needle with supplementation and add moxa.

2. To boost qì and supplement the blood to treat scant breast milk. See freeing milk.

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