Neural and Mental Diseases

Acupuncture Pair Points for hysteria
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Disease and Condition Overview
Hysteria is characterized by depressive moods, prone to worries,difficulty sleeping, easily angry and cries. In Chinese medicine, its etiology is due to prolonged period of repressed feelings such as worries, anger, affecting the liver and spleen. Liver qi stagnation transforms to fire, spleen qi stagnation creates dampness, over time, the regulation of qi is affected and it becomes stagnation, which leads loss of appetite, qi and blood deficiency, causing physiological changes such as spleen qi deficiency or loss of kidney yin. Once spleen qi becomes deficient, unable to produce jin ye needed for stomach to function properly, and kidney yin deficiency cannot contain the heart fire,which ultimately leads to the disharmony of qi in the five zang organs. The disease belongs to the category of "disquieting zang organs"
In order to properly treat hysteria by acupuncture, it is crucial to thoroughly examine the patients to ensure that the symptoms are not caused by any other pathological disorder.

Pair-point Treatment Combinations

(1) Shanzhong (RN 17), Neiguan (PC 6) (Fig 46)
Shanzhong (RN 17) : on the chest, on the anterior midline, on the level of the fourth intercostal space, at the midpoint of the line connecting both nipples.

Neiguan (PC6) : on the palmer side of the forearm, on the line connecting Daling (PC 7) and Quze (PC 3), 2 cun superior to the wrist crease, between the tendons of palmaris longus and flexor carpi radialis.
Shanzhong (RN 17) is the pericardium front-mu point, Neiguan (PC 6) is the Luo- connecting point of the pericardium channel. Both points in combination, work in synergy to smooth the chest, regulate qi, resolve blockage, tranquilize and calm the mind, strengthen will and resolve phlegm. Appropriate for treating acute hysteria or remission stage of hysteria.

Needling techniques:
1. Shanzhong (RN 17) downwards oblique insertion 0.5-1 cun.
2. Neiguan (PC 6) perpendicular insertion 1 cun.

(2) Shangwan (RN 13). Shenmen (HT 7) ( Fig 44)
Shangwan (RN 13) regulates spleen and stomach qi, resolves phlegm and lowers turbid. Shenmen (HT 7) calms the mind and strengthens the will. Both points in combination, one proximal and one distal, connect to the heart channel, stabilize shen and will. This combination is appropriate for hysteria caused by phlegm heat uprising and unstable heart shen.

Needling techniques:
1. Shangwan (RN13 perpendicular insertion 1 cun.
2. Shenmen (HT7) perpendicular insertion 0.5 cun.

Acupuncture treatment for hysteria has impressive results. One crucial point is that hysteria is a psychological disease. It is important to combine with psychological counseling and therapy in order to achieve optimal effects.
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