Sunstroke — severe type

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Textbook Prescriptions Emergency

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

Points

  1. GV26 Shuigou midline

    Governing Vessel point at the philtrum; revives the patient

    Reducing method.

  2. GV20 Baihui midline

    Governing Vessel point at the vertex; restores clarity of mind

    Reducing method.

  3. BL40 Weizhong bilateral

    He-Sea of the Bladder; clears heat and summer oppression

    Reducing method.

  4. EX-UE11 Shixuan ten points, both hands

    Extra points at the ten fingertips; clear heat

    Reducing method.

Needling Safety

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

No cited needling data yet for EX-UE11. No flag here does not mean no risk.

Treatment Principle

Clear heat and restore consciousness with reducing method, mainly on Du channel points.

Indications

Headache and thirstrapid, short breathing leading to sudden collapseloss of consciousnesssweatingpulse deep and without force

Method

Reducing method. The book cross-refers to its treatment of tense windstroke.

⚠ Cautions

Heatstroke is a medical emergency: call emergency services, move the patient to shade and start active cooling immediately; acupuncture must not delay this. Collapse with altered consciousness is heatstroke until shown otherwise. Use sterile technique if the fingertips are pricked.

About

The textbook's prescription for severe sunstroke, in which the patient collapses and loses consciousness from summer heat.

Rationale

GV26 and GV20 revive the patient and clear the mind. BL40 and the Shixuan points at the fingertips bring down heat and relieve the oppression of summer heat.

Clinical Notes

The book refers to its treatment of the tense form of windstroke for this situation.

Sources

  • Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Sunstroke, p. 342–343.

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