Opening the orifices

Also freeing blocks; opening blocks; freeing the orifices; opening the orifices and arousing the spirit; opening the orifices and freeing the spirit. A method of treatment used to address clouded spirit and coma due to evil obstructing the orifices of the heart. Opening the orifices employs acrid aromatic penetrating medicinals which penetrate the heart and free the orifices, repel foulness, and open blocks. Opening the orifices is applied in the treatment of sudden clouding reversal (clouding of consciousness due to abnormal qì flow) in diseases such as fright wind, epilepsy, wind stroke, or angina pectoris, or in coma caused by internal block occurring in externally contracted febrile disease. Opening the orifices constitutes emergency treatment of the tip. Its principal effect is to resuscitate the patient, and eliminate distension and oppression in the chest and abdomen caused by foul turbidity. Distinctions are made between the following methods: See clearing heat and opening the orifices (cool opening); expelling cold and opening the orifices (warm opening); transforming phlegm and opening the orifices; clearing heat, transforming phlegm, and opening the orifices. In most cases, prescribed medication comes in the form of prepared formulas. Commonly used orifice-opening medicinals are listed below.

Orifice-Opening Medicinals

• 麝香 (shè xiāng) musk (Moschus)
• 冰片 (bīng piàn) borneol (Borneolum)
• 苏合香 (sū hé xiāng) storax (Styrax)
• 石菖蒲 (shí chāng pú) acorus (Acori Tatarinowii Rhizoma)

Acumoxatherapy: To open the orifices of the heart, select as the main points GV-26 (Human Center, 人中 rén zhōng), KI-1 (Gushing Spring, 湧泉 yǒng quán), HT-7 (Spirit Gate, 神门 shén mén), and PC-8 (Palace of Toil, 劳宫 láo gōng); apply wide-range lifting and thrusting and twirling, retaining the needles until the patient regains consciousness. Prick PC-9 (Central Hub, 中冲 zhōng chōng) to bleed. Points may be selected from the following for pricking to bleed in order to enhance the orifice-opening spirit-arousing effect: LU-11 (Lesser Shang, 少商 shào shāng), LI-1 (Shang Yáng, 商阳 shāng yáng), TB-1 (Passage Hub, 关冲 guān chōng), HT-9 (Lesser Surge, 少冲 shào chōng), SI-1 (Lesser Marsh, 少泽 shào zé), SP-1 (Hidden White, 隐白 yǐn bái), LR-1 (Large Pile, 大敦 dà dūn), ST-45 (Severe Mouth, 厉兑 lì duì), GB-44 (Foot Orifice Yīn, 足窍阴 zú qiào yīn), and BL-67 (Reaching Yīn, 至阴 zhì yīn), See freeing the orifices.