Nausea

Nausea
Resources:
Kiiko Matsumoto's Clinical Strategies Vol.1
Kiiko Matsumoto's Clinical Strategies Vol. 2
Emilie Connor in-class handouts
Emilie Connor and Kiiko Matsumoto Lectures
Sympathetic Dominance
Kiiko states that most complaints of nausea and other gastric issues by patients coming to an
acupuncture clinic are due to an imbalance in the autonomic nervous system. (Vol. 2, 195) A patient
with a Sympathetic Dominant pattern (fight or flight) will have a reduction in the function of the
Parasympathetic Nervous System (rest and digest), which can lead to many digestive problems. Thus
balancing the autonomic nervous system is primary in treating nausea and vomiting, or any other
digestive disorders. (Vol. 1, 107)
Signs and Symptoms:

A patient with nausea due to sympathetic dominance may also present with shortness of breath,
palpitations, anxiety, anger, emotional instability, headache, high blood pressure, back pain, decrease in
frequency and quantity of urination, insomnia, lack of appetite, dizziness, eye pain, and/or cold hands
and feet. Patients will often present with a rapid and tight pulse. (Vol. 1, 107)
Diagnosis:
SCM (primarily (R))
Ki 2
Treatment:
1. Address Ki 2, if painful, with Ki 7 and 10. Often, Lu 10 on the same side will also be painful.
Address with Lu 5 and 8
2. Address rapid pulse with CV 4 and/or 6
3. Use Shaoyang treatment to address tension on the SCM
o Rapid pulse: Contralateral TW 5, GB 41
o Slow pulse: Contralateral TW 9, GB 40
4. PC choice
GV 2 is important for calming the sympathetic nervous system, especially if patient presents with a rapid
pulse (Vol. 1 pp.110) In nausea and no appetite, treat this point 10 to 15 upward (with the flow) to the
depth of about 1cm. Then add a sugar point. Retain 10-15, then turn patient over and treat UB 2.
Also important to consider: Check for Liver deficiency

*From Vol. 1 pp. 107-111
Stomach Qi Deficiency Pattern
Signs and Symptoms
Digestive problems
Fatigue
Menstrual problems, pregnancy related problems (particularly morning sickness, lack of

appetite, fatigue, and retention of fluids)
Muscle pain and spasm, facial pain (Bells palsy, sinusitis, toothache), ankle joint pain, knee pain
(patellar ligament, fluid in the knee, shin splints)
Problems affected by seasonal, weather, or gravitational field changes, or travel between time
zones
Diagnosis:
Deficient St Qi pulse or a moderate pulse
Treatment:
Clear Oketsu and Immune Reflexes first
Treat (L) St Qi Line, then (R) St Qi Line
*From Emilie Connor handout
Pituitary Imbalance
Pituitary imbalance can often interfere with the metabolism of protein, fat and/or carbohydrates, which
may be the underlying cause of nausea. (Vol. 1, 143)
If nausea is accompanied by any hormonal imbalances, check the pituitary treatment points to change
nausea reflexes.
Diagnosis:
Primary
UB2
Secondary
Yuyao
Above UB 10
SI 13
CV 3
Treatment:
Primary
SI 3
SI 13
Above UB 10
UB 2 (after pressure pain has been reduced)
Secondary
Yuyao
GB 4, 5, 6 area (^ into tender spot)
*From Vol. 1 pp.140-146
Stagnation of Blood in the Head
Nausea and vomiting can be symptomatic of stagnation of blood in the head.
Signs and Symptoms:

If nausea is accompanied by forgetfulness, confusion, lack of concentration, headaches, chronic sinus
problems, low blood pressure, depression, insomnia, fatigue, dizziness, vertigo, eyesight problems,
difficulty swallowing, and/or a heavy feeling in the base of the occipital area, palpate for stagnation of
blood in the head. (Vol. 1, 48-49)
Diagnosis:
Palpation: skin will feel loose and not tightly stretched over the bone. Can feel as though there is a
gelatin-filled space between the skull and scalp.
Du 20 and UB 7 8 area
Du 20 and Sishencong
Treatment:
Step 1:
Sp 6 45 upward bilaterally
Sp 9 10 upward bilaterally blue 40mm
Step 2:
PC choice with Lu 5
If patient presents with pressure pain at Huato Jiaji of cervical spine, use vertebral artery insufficiency
treatment (see below)
If skull feels edematous, use 8-15 moxa stimulations.
*From Vol. 1 pp. 48-49
Vertebral Artery Insufficiency
Since stagnation of blood in the head can be caused by a vertebral artery insufficiency, many of the signs
and symptoms are shared. It may be necessary to treat both if they are indicated for a patients nausea.
Signs and Symptoms:

Some accompanying symptoms may be numbness and tingling in any of the four limbs, vertigo, sudden
eyesight decline, difficulty swallowing, pressure at the occipital region, occipital to temporal headaches,
pain along the spinal column, Parkinsons disease, diabetic retinopathy, degeneration of spinal discs,
speech disorder, forgetfulness, mental confusion. (Vol. 1, 234)
Diagnosis:
Upper trapezius
Occiput and Huato Jiaji of cervical spine
Treatment:
Step 1:
Ki 10 and Li 8 45 or 90
TW 5 or 9 - ^
Step 2:
I-Hi-Kon=Outside UB 40 and UB 58 15 -45 downward
UB 60 15 -45 upward dispersal with blue 30mm
Step 3:
GB 20 and UB10 if pressure pain at occiput remains (insert shallowly, stimulate, and remove
immediately.)
*From Vol. 1 pp. 235
Visceroptosis
Signs and Symptoms:

Visceroptosis of the intestines can cause nausea, indigestion, belching abdominal pain, constipation, and
diarrhea. (Vol. 1, 217) If accompanied by a typical visceroptosis body shape, low back pain, discomfort in
the groin area, tired legs, thigh and knee pain, sciatica, stiff shoulders, frequent urination, and fatigue,
check for visceroptosis.
Diagnosis:
Primary
St 30 (and inguinal ligament up to ASIS)
St 13
Secondary
Upper Inner Thigh
Inner Yin
Huato of L5
Dai Mai
Treatment:
Essential
St 13
Supporting
Inner Yin ("Trapezius Releasing Point")
GB 31 ("Piriformis Releasing Point")
St 33
Dai Mai
Immune points
Li 4 (for inner thigh tension)
JPC 4 (sends blood to the abdomen)
St Qi points
Back
UB 25 outside UB 25
GB 25
UB 23
Huato L5 and L1
*From Emilie Connor Handout and Vol. 1 pp.215-220
Hyperkyphosis
Nausea can also be caused as a secondary symptom to a hyperkyphosis in the thoracic vertebrae. This is
due to the compression on the stomach that this posture may involve.
Signs and Symptoms:

Nausea due to hyperkyphosis will most likely include other symptoms such as neck, back, and shoulder
pain and spasms, and possibly chest tightness.
Treatment:
Palpate all Huato Jiaji points and treat all sore or tight spots
Moxa at CV12 and CV6 (Kyutoshin or newspaper moxa)
*From Vol. 1 207-208
Miscellaneous
St 19 "Cannot hold, contain food" is a reflection point of nausea, vomiting. (Vol. 2, 193)
Huato Jiaji points between T5 and T6 are important diagnostic and treatment points for stomach
problems. Treat the specific stomach problem first, and then, if the pressure pain at T5-6 and other
stomach reflexes remains, treat these directly. (Vol. 1, 30)
Morning sickness Treatments that can be used safely for morning sickness in pregnancy are the
Stomach Qi treatment (see above) 306, treatment of Sp 5 in the case of a pancreatitis presentation (Vol.
1, 285), and SI 11 (Vol. 1, 326)
Food poisoning - Master Hukayas food poison points- at the plantar aspect of the metatarsal-
phalangeal joint of the second toe
Ion Pumping Cord Treatment
Manakas Method
Manakas extraordinary vessel ion pumping cord treatment using Yinwei Mai and Chong Mai can be
used for stomach problems. (Vol. 2, 199)
Choose the Master and Couple point based on signs and symptoms. Use the black clip on the master
point and the red clip on the couple point. Depending on the patients reaction to the treatment, the
orientation of the clips may be switched.
"After five to ten minutes, the pressure pain in abdominal diagnosis points for stomach disorder should
be significantly reduced." (Vol. 2, 199)
Yin Wei Mai
Signs and Symptoms:

Nervousness
Heart problems
Palpitations
Psychological problems
Insomnia
Stomach Problems
Right-sided problems
Diagnosis:
Treatment:
Black clip on PC 6, Red clip on Sp 4
Use Pachi-Pachi to spark along the length of the cords without touching them or the clips.
Chong Mai
Signs and Symptoms:
Heart problems
Neurosis
Stomach Problems
Gynecology problems
Cold feet
Liver and Gallbladder problems
Problems of the anus
Diagnosis:
Treatment:
Black clip on Sp 4, Red clip on PC 6
*From Emilie Connor Handout
Kawais Method
Master Kawai also used normal ion pumping cords, but in a slightly different way. While Manaka used
cords to connect points on the same side of the body, Kawai crossed the cords in an infinity treatment.
The first cord is connected to (L) PC 6 with the red clip and (R) Sp 4 with the black clip.
The second cord is connected to (R) LI 4 with the black clip, and the red clip is attached to (L) St 40 (or St
41)
*From Vol. 2 pp. 199
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What are some common signs and symptoms of nausea due to sympathetic dominance?

What are some common signs and symptoms of nausea due to sympathetic dominance?

What treatment methods are described for addressing nausea caused by a pituitary imbalance?

What treatment methods are described for addressing nausea caused by a pituitary imbalance?

Nausea

Signs and Symptoms:

SCM (primarily (R))

3. Use Shaoyang treatment to address tension on the SCM

o Rapid pulse: Contralateral TW 5, GB 41

o Slow pulse: Contralateral TW 9, GB 40

Also important to consider: Check for Liver deficiency

Stomach Qi Deficiency Pattern

Signs and Symptoms

Menstrual problems, pregnancy related problems (particularly morning sickness, lack of

*From Emilie Connor handout

GB 4, 5, 6 area (^ into tender spot)

*From Vol. 1 pp.140-146

Stagnation of Blood in the Head

Nausea and vomiting can be symptomatic of stagnation of blood in the head.

Signs and Symptoms:

Sp 9 10 upward bilaterally blue 40mm

If skull feels edematous, use 8-15 moxa stimulations.

*From Vol. 1 pp. 48-49

Vertebral Artery Insufficiency

Signs and Symptoms:

Occiput and Huato Jiaji of cervical spine

I-Hi-Kon=Outside UB 40 and UB 58 15 -45 downward

UB 60 15 -45 upward dispersal with blue 30mm

*From Vol. 1 pp. 235

Signs and Symptoms:

St 30 (and inguinal ligament up to ASIS)

Upper Inner Thigh

Inner Yin ("Trapezius Releasing Point")

GB 31 ("Piriformis Releasing Point")

Li 4 (for inner thigh tension)

JPC 4 (sends blood to the abdomen)

*From Emilie Connor Handout and Vol. 1 pp.215-220

Signs and Symptoms:

*From Vol. 1 207-208

Ion Pumping Cord Treatment

Yin Wei Mai

Signs and Symptoms:

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