Sore throat — shi type

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Textbook Prescriptions Throat

Essentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.

Points

  1. LU11 Shaoshang bilateral

    Jing-Well of the Lung; bled to clear lung heat and ease pain

    Prick to let a little blood.

  2. LI4 Hegu bilateral

    Yuan-Source of the Large Intestine; disperses the exterior pathogen from the Lung channel

    Reduce.

    • Pregnancy: contraindicated
  3. ST44 Neiting bilateral

    Ying-Spring of the Stomach; clears stomach heat

    Reduce.

  4. SI17 Tianrong bilateral

    Local point below the angle of the jaw; moves qi and blood at the throat

    Reduce.

Needling Safety

Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.

Treatment Principle

Expel wind and clear heat with reducing technique, mainly at Large Intestine and Stomach points.

Indications

sudden onset with chills, fever and headachered, painful throatthirst and constipationred tongue with thin yellow coatingfloating, rapid pulse

Method

Reducing technique; LU11 is pricked and bled a few drops.

⚠ Cautions

Difficulty swallowing saliva, drooling, muffled voice, stridor, trismus or one-sided swelling may mean epiglottitis or quinsy (peritonsillar abscess), which are emergencies. SI17 lies close to the carotid artery and jugular vein; needle shallowly. LI4 is contraindicated in pregnancy. Use a sterile lancet at LU11.

About

The college prescription for acute (excess-type) sore throat, from wind-heat attacking the throat or from accumulated heat in the Lung and Stomach channels flaring up.

Rationale

Bleeding LU11, the Lung well point, clears lung heat and stops pain. LI4 vents the exterior pathogen from the Lung channel, ST44 brings down stomach heat, and SI17 at the throat moves qi and blood locally to relieve the soreness.

Clinical Notes

The book says this section covers acute tonsillitis and acute and chronic pharyngitis. It also gives an ear-acupuncture option with bleeding from a small vein behind the ear.

Sources

  • Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Sore Throat, p. 395–396.

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