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Tuesday, October 7, 2008

Conception Vessel - Ren Mai

Conception Vessel:

The Conception Vessel emerges in the perineum and travels up the anterior midline to the center of the chin. To find the points, you need to use a measurement called a cun (pronounced soon). This measurement is different on everyone. The way to measure it out, is to know body landmarks and to memorize the number of units located between certain ones.
For the conception vessel, you need to remember that from the pubic symphasis (pubic bone) to the umbilicus (belly button) there are 5 measurements (units of cun). All of the points are on the anterior midline. To name all the points, I will refer to the conception vessel as CV.

CV 1- located at the perineum, midway between scrotum and anus.
CV 2- located at the superior border of the pubic symphasis (ps)
CV 3- located 1 cun superior to the PS
CV 4- located 2 cun superior to the PS
CV 5- located 3 cun superior to the PS
CV 6- located 3.5 cun superior to the PS
CV 7- located 4 cun superior to the PS
CV 8- in the center of umbilicus

Now that we have reached the umbilicus, I'll need you to remember another number. The distance between the umbilicus and the sternocostal angle is 8 cun. Let's move on.

CV 9- located 1 cun above umbilicus
CV 10- located 2 cun above umbilicus
CV 11- located 3 cun above umbilicus
CV 12- located 4 cun above umbilicus
CV 13- located 5 cun above umbilicus
CV 14- located 6 cun above umbilicus
CV 15- located 7 cun above umbilicus
CV 16- located at the sternocostal angle

For the next set of points, you'll need to be able to feel the spaces between ribs and then move your finger over to the spot on the sternum which is level with that rib space.

CV 17- level with the 4th intercostal space at sternum
CV 18- level with the 3rd intercostal space at sternum
CV 19- level with the 2nd intercostal space at sternum
CV 20- level with the 1st intercostal space at sternum

For the rest of the points, we will use landmarks:

CV 21- midway between CV 20 and CV 22
CV 22- in the deepest part of the fossia above the sternum
CV 23- On the midline, in the depression above the hyoid bone.
CV 24- Above the chin, the in depression in the center of the mentolabial groove.

Some of these points have notable mention:
CV3- Front Mu of Bladder
CV4- Front Mu of Small Intestine
CV5- Front Mu of Sanjiao
CV6- Sea of Qi
CV12- Front Mu of Stomach
CV14- Front Mu of Heart
CV15- Luo Point
CV17- Front Mu of Pericardium

Some Contraindications
C1 No Needle
CV2-4 Caution with deep needle on full bladder
CV8- No Needle
CV9- No Moxa
CV 14,15- No deep needle

Wednesday, October 1, 2008

Learning so much!

I haven't been able to add a new post because I was just getting into the groove of school. It's such a large amount of information coming at once, but I am just now learning how to manage it. I will be now posting at the end of every school week, to update you on what I've learned.
Have to run off to class now, but will post this evening and bring you current.

What's to come:
5 channels of points
Anatomy of the shoulder and arm
Yin yang theory
Heart and Liver functions
Some history and cultural foundations of acupuncture
Needling techniques

Wednesday, August 27, 2008

First Week Completed

I have just completed my first week of the Master of Acupuncture program. It’s a great feeling to be back in a learning setting and I couldn’t be more excited. I have already had one meeting of every class.

Classes:
Traditional Chinese Medicine Theory I
Methods and Materials of TCM
Point Location I
History and Cultural Foundations
Structural Anatomy

I have already begun palpating the body and even had a chance to needle a lime. I think he’ll forgive me for whatever pain I have caused him. The semester looks to be full of reading and memorization. Can’t wait to piece together everything from these classes.

Friday, August 1, 2008

Defenses Against Diseases




We all know that we can get sick, but many of us don’t really understand all the efforts our body goes through to keep us healthy. This post will fill you in on the way that our body defends itself from disease.

We have two kinds of defenses. We have non-specific defenses, which is a defense that just keeps everything out that doesn’t belong. These are general barriers and are regarded to innate defenses. We also have specific defense, which target very specific microorganisms or chemicals. This is regarded to as an active defense.
There are two kinds of non-specific defenses. There are first line defenses and second line defenses. First line defenses include the skin. The skin is a continuous surface with a non living top layer with living cells under the top later. The living layer is continuously working to replace lost cells from the top layer. Sweat glands underneath the living layer of skin evaporate fluids, including antimicrobial fluids, to the surface oil glands. These secrete oils that change the pH environments that are inhibitory to the diseases and bacteria. Electrical energy, in either positive or negative direction, also works to repel any chemicals which may be repelled by either charge. Mucous membranes also work as a first line defense. These membranes are thick and sticky and coat the linings of openings into the body. The mucous is made of goblet cells and is very effective as a defense due to its stickiness so that it can trap things. The mucous is acidic and contains antimicrobial chemicals.

The respiratory system is a good example of first line defenses getting utilized. In the nose, there is a wavy shape called a conch. Unfiltered air comes in through the nose and travels through the conchs, while getting filtered by turbinate. In the back of the throat there is a lymphatic tissue which picks up anything that gets through the nose and the throat. Mucous flows down the back of the throat. When swallowing a flap on the trachea closes and mucous goes through the esophagus to the stomach, where anything foreign remaining gets broken down with the mucous. In the trachea, there are ciliated mucous epitheliums. These are cells with little extensions that face where the air is going through. They have proteins that wave around which catch particles and move them up and out of the trachea. Because mucous is dropping downwards simultaneously, while the cilia are moving particles up, the mucous and particles mix, so that that they can travel down the esophagus together once the reach the top of the trachea and that flap closes.



Second line defenses include sneezing, coughing, vomiting, fever, and inflammation. Sneezing is a violent contraction of the diaphragm to get things out of the system through the nasal passage. Coughing clears the throat, trachea and brachial tubes. Vomiting is a violent contraction of the stomach as a reaction to toxins entering. A fever is an increase in body temperature which stimulates the immune system and inhibits bacteria that doesn’t survive in heat. Fevers also increase chemical reactions in the blood. Inflammation is a first response to any trauma. Signs of inflammation are redness, heat, swelling and pain. This occurs when blood vessels dilate. It is a relaxation of the vessel walls and increases blood flow to bring in healing properties.

There is also a compliment system which acts when something makes it past all these defenses and gets into the blood. There are 20 different proteins which are made by the liver that become very reactive in the presence of certain bacteria. These proteins form on the surface of the bacteria and punch whole in the bacterial wall.
Specific Defense is also known as immunity. Substances are recognized as foreign and provoke immune responses are known as antigens. Immunity has specificity for certain antigens and memory of previously encountered antigens so that the second encounter gives an even faster and harsh response. The body has to decide if something is part of itself or if it is foreign and antibodies are only released by specific cells for specific antigens. The cell identifies these antigens by antigen specific receptors on the cell membrane. In the membrane of cells are MHC antigens. This stands for major histocompatability complex. This is unique to every person. These MHC molecules help T cells and B cells recognize that an antigen is foreign. This is very important to the beginning of an immune response.

T cells and B cells are type of white blood cells that attack bacteria or viruses. T cells begin in the bone marrow. Once the T Cell differentiates, it produces antigen specific receptors and becomes antigen dependant. When it is activated by a certain antigen, it differentiates and becomes a killer T Cell. As a killer T cell, the cell leaves the lymph nodes and goes to the blood stream where it clones itself and attacks. The killer t cells have receptors for specific antigens and MHC proteins. If it identifies in passing that the MHC protein fits its receptor, then it keeps moving. If not, then it attacks. Cells which are infected manufacture viral proteins, but still maintain their MHC markers. The killer t cell notices that that there is a viral protein as well as an MHC-1 and if it is infected with a matching antigen that the killer t cell has a receptor for it, then it will know that even though this is part of self, it is being attacked by a foreign object and will attack it. The killer t cells lock onto the MHC and viral protein and produce perferin which punches holes and sends granules which explode inside the cell and instructs self destruction to the nucleus.

B cells do not exit into the blood stream, but rather remain in the lymph nodes. The virgin b cells are undifferentiated cells. B cells are activated or sensitized once in contact with specific antigens and become plasma b cells. Once they are plasma b cells, they are then antigen dependant. Once they become plasma b cells, and come into contact with a specific antigen, they sprout antibodies on their surface as well as clones. All these clones also produce the same antibodies. The antibodies are then released into the bloodstream, while the plasma b cells continue to clone and produce more antibodies. B and t cells that remain become memory cells that are programmed to be ready to respond the next time there is an attack by the same antigen.


APCs are Antigen Presenting Cells. These cells have the eaten the antigen and display and present them by synthesizing a modified form of an MHC marker. This is a type II marker. It’s a combo on the surface of the MHC and the antigen. Microphages carry this combo out to t and b cells to the lymphatic system. B cells can be activated by direct contact by unprocessed antigens, meaning the not eaten by macrophage ones, and processed antigens, meaning ones attached to APCs. T cells only recognize antigens with APCs attached.

Helper t cells are required for co stimulation for the t and b cells. They reside in the lymph nodes and do not kill anything. They become activated by APCs. These are the cells that HIV targets. Eventually the helper t cells stop doing their job with HIV present and there is no more immune system, since the t cells and b cells are helpless without the helper t cells.

pictures taken from:
yaflamingalah.wordpress.com/category/health/
http://hr-is-back.blogspot.com/2008_07_01_archive.html
www.biooncology.com