Revisiting the Zhen Jiu Jia Yi Jing: Differential diagnostic indications related to the LI channel acupoint sequence

Choi, V; Cobbin, D; Walsh, S

Revisiting the Zhen Jiu Jia Yi Jing: Differential diagnostic indications related to the LI channel acupoint sequence

Choi, V

Cobbin, D Walsh, S

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Publication Type:: Journal Article
Citation:: Medical Acupuncture, 2016, 28 (3), pp. 148 - 155
Issue Date:: 2016-06-01

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Field	Value	Language
dc.contributor.author	Choi, V https://orcid.org/0000-0003-4399-2065	en_US
dc.contributor.author	Cobbin, D	en_US
dc.contributor.author	Walsh, S https://orcid.org/0000-0002-7033-8547	en_US
dc.date.issued	2016-06-01	en_US
dc.identifier.citation	Medical Acupuncture, 2016, 28 (3), pp. 148 - 155	en_US
dc.identifier.issn	1933-6586	en_US
dc.identifier.uri	http://hdl.handle.net/10453/121057
dc.description.abstract	© Mary Ann Liebert, Inc. 2016. Background: Huang-Fu Mi's Jia Yi Jing (JYJ) is regarded as the earliest text (282 AD) on differential diagnosis and clinical acumoxa therapy in Chinese Medicine (CM). Objective: Within this Classical framework, this study examined CM clinical indications for the 20 Large Intestine (LI) channel points for evidence of possible sequence-Associated patterns. Materials and Methods: The JYJ detailed the systematic definition and grouping of all acupoints termed Ruling Points (RPs) in relation to their unique patterns of signs and symptoms (RP indications), rather than as channel-specific lists. The JYJ includes comprehensive descriptions for RP indications for hundreds of clinical patterns for all channel acupoints, systematically categorized across six differential diagnostic books (Seven to Twelve). Two editions of the Zhen Jiu Jia Yi Jing (ZJJYJ) were scrutinized to identify all RPs for the LI channel sequence: the Song Dynasty Chinese edition (1077) and the English translation The Systematic Classic of Acupuncture and Moxibustion (1994) translated by Yang and Chace. RP indications for each acupoint were coded by ZJJYJ diagnostic Book and Chapter Part and examined for relationships between sequence position and diagnostic category of individual RP indications. Results: While no single category of CM indications based on the RP diagnostic system, was common to all 19 points, there were at least seven patterns involving clusters of RP indications associated with sequence positions. Most important were the first 7 acupoints together with LI 11. These contributed 49 of the 61 RPs channel points, with indications drawn from all six diagnostic Books. Overall, the RP indications for the channel focused primarily on the head and neck, as well as on generalized fever and upper-limb pain and weakness. The most frequent diagnostic indications for the channel came from diagnostic Book Twelve (head and neck) with 24 RPs being identified for 12 LI acupoints. Conclusions: The RP attributes and profiles for the sequence of LI points overall reflect a common clinical focus, while position effect concerns the breadth of the signs and symptoms addressed by individual acupoints. Awareness of relevant RPs from other channels could refine the differential diagnosis of complex clinical conditions and their CM treatments further.	en_US
dc.relation.ispartof	Medical Acupuncture	en_US
dc.relation.isbasedon	10.1089/acu.2016.1176	en_US
dc.title	Revisiting the Zhen Jiu Jia Yi Jing: Differential diagnostic indications related to the LI channel acupoint sequence	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	28	en_US
utslib.for	1104 Complementary and Alternative Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
pubs.organisational-group	/University of Technology Sydney/Faculty of Science/School of Life Sciences
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	28	en_US

Abstract:

© Mary Ann Liebert, Inc. 2016. Background: Huang-Fu Mi's Jia Yi Jing (JYJ) is regarded as the earliest text (282 AD) on differential diagnosis and clinical acumoxa therapy in Chinese Medicine (CM). Objective: Within this Classical framework, this study examined CM clinical indications for the 20 Large Intestine (LI) channel points for evidence of possible sequence-Associated patterns. Materials and Methods: The JYJ detailed the systematic definition and grouping of all acupoints termed Ruling Points (RPs) in relation to their unique patterns of signs and symptoms (RP indications), rather than as channel-specific lists. The JYJ includes comprehensive descriptions for RP indications for hundreds of clinical patterns for all channel acupoints, systematically categorized across six differential diagnostic books (Seven to Twelve). Two editions of the Zhen Jiu Jia Yi Jing (ZJJYJ) were scrutinized to identify all RPs for the LI channel sequence: the Song Dynasty Chinese edition (1077) and the English translation The Systematic Classic of Acupuncture and Moxibustion (1994) translated by Yang and Chace. RP indications for each acupoint were coded by ZJJYJ diagnostic Book and Chapter Part and examined for relationships between sequence position and diagnostic category of individual RP indications. Results: While no single category of CM indications based on the RP diagnostic system, was common to all 19 points, there were at least seven patterns involving clusters of RP indications associated with sequence positions. Most important were the first 7 acupoints together with LI 11. These contributed 49 of the 61 RPs channel points, with indications drawn from all six diagnostic Books. Overall, the RP indications for the channel focused primarily on the head and neck, as well as on generalized fever and upper-limb pain and weakness. The most frequent diagnostic indications for the channel came from diagnostic Book Twelve (head and neck) with 24 RPs being identified for 12 LI acupoints. Conclusions: The RP attributes and profiles for the sequence of LI points overall reflect a common clinical focus, while position effect concerns the breadth of the signs and symptoms addressed by individual acupoints. Awareness of relevant RPs from other channels could refine the differential diagnosis of complex clinical conditions and their CM treatments further.

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http://hdl.handle.net/10453/121057