Tonsillitis

Western Diagnosis Inflammation of the tonsils Etiology -Strep -Sometimes Viral

Signs & Symptoms -Sore throat, pain on swallowing often refers to ears -High fever, H/A, malaise, vomiting -Tonsils edematous and erythematous -Purulent exudates -Membrane on tonsils that peels away w/out bleeding

Tests/Labs Leukocytosis: Left shift if strep Culture: esp. for strep ASO Titers for strep (rarely done anymore)

Diagnosis ** Diptheria: ** -Gray, thick, tough membrane that bleeds if peeled

-Superficial painful ulcers w/ erythematous borders
 * Vincent’s Angina: **

+monospot, atypical lymphs
 * Infectious Mononucleosis: **

Treatment

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Definition:
An acute inflammation of the palatine tonsils.

Etiology:
The most common organism involved is Group A beta-hemolytic Streptococcus, although, other bacteria and viruses are often implicated (e.g. Hemophilus influenza, Hemophilus parainfluenza, and adenoviruses).

Nutrition:
eating principles: » acute: • eat as little as possible • increase Vitamin C foods, Vitamin A foods • increase fluids • a short fast (see Fasting in materia medica) » chronic: • elimination/rotation diet, rotation diet, rotation diet expanded

fresh juices: • carrot (Walker, p. 154) • carrot, celery, parsley, and spinach (Walker, p. 154) • carrot, beet, and cucumber (Walker, p. 154) • carrot and spinach (Walker, p. 154)

specific remedies: • Take 1-2 fresh pomegranates, discard the skin and save the seeds. Crush them, add water and simmer, then strain to obtain the liquid. Let this cool then use as a mouth wash (Yin-fang and Cheng-jun, p. 26) • Take two pieces of pickled plum (plums soaked in vinegar), including the pits, and crush. Add a little table salt and one cup of boiling water. Mix and when cool use as a mouthwash to gargle two to three times daily (Yin-fang and Cheng-jun, p. 36)

avoid: • food intolerances • heavy protein foods, alcohol, fats, meats, vinegars, shellfish, dairy, sugars

Botanicals
• Aconitum napellus (toxic): acute: dilute with water or boric acid solution 1:10; use as throat spray (Mitchell, p. 4) • Allium sativum: anti-microbial • Atropa belladonna (toxic): redness, congested, glandular swelling (Felter and Lloyd, pp. 338-339) • Baptisia tinctoria: dusky purplish hue or livid discoloration of tissue, fetid exudate and sluggish circulation (Felter, pp. 237-238) • Calendula officinalis: as a gargle • Collinsonia canadensis: follicular with chronic hypertrophy of faucial glands (Felter and Lloyd, p. 559) • Commiphora myrrha: tonsils enlarged, spongy, throat pale and tumid (Felter, p. 483) • Echinacea spp.: enhance resistance to infection (Weiss, p. 229) • Eupatorium perfoliatum: enhances resistance to infection (Weiss, p. 229) • Guaiacum officinale (resin): dryness and stiffness of the throat with tumid, swollen tonsils, painful deglutition, dribbling of saliva (Felter and Lloyd, p. 963) • Hamamelis virginiana: astringent: as a gargle • Hydrastis canadensis: subacute (not inflamed) as a gargle (Felter and Lloyd, p. 1027) • Lobelia inflata (toxic): severe forms (Ellingwood, p. 239) • Myrica cerifera: locally: astringent: debility of the mucosa, feeble venous flow (Felter, p. 482) • Phytolacca decandra (toxic): chronic, glandular congestion (Mitchell, p. 41) • Populus gileadensis: antiseptic • Quercus alba, robur: astringent: as a gargle (British Herbal Pharmacopoeia, p. 175) • Salvia officinalis: inflammation: as a gargle. May combine with Potentilla tormentilla, Populus gileadensis as a gargle (British Herbal Pharmacopoeia, p. 186) • Solidago virgaurea: putrescent tonsillitis: acetous infusion as a gargle (Priest and Priest, p. 95) • Thymus vulgaris: as a gargle (British Herbal Pharmacopoeia, p. 213) • Trifolium pratense: pharyngeal inflammation/infection with Solidago virgaurea as gargle (Priest and Priest, p. 95) • Veratrum viride (toxic): locally: in small amounts only in robust persons; painted on tonsils (Felter and Lloyd, p. 2053)

Chinese Formulae
• Pueraria C. (Ge Gen Tang) plus platycodon (jie geng) and gypsum (shi gao): Wind-Heat: acute tonsillitis (Hsu, 1980, p. 51; Yeung, p. 105; Dharmananda, 1986, p. 125; Bensky and Barolet, p. 51) • Minor Bupleurum C. (Xiao Chai Hu Tang): Liver Qi Stagnation and Spleen Qi Xu (Deficiency): chronic flare-ups of tonsillitis, or acute tonsillitis that lasts more than two days; add gypsum (shi gao) and platycodon (jie geng) for acute aggravation (Flaws, p. 139, Hsu, 1980, p. 91; Yeung, p. 255; Dharmananda, 1986, p. 133; Bensky and Barolet, p. 136) • Liu Shen Wan (patent): severe sore throat (Zhu, p. 169; Bensky and Barolet, p. 87) • Arctium C.; Ling Qiao Jie Du Pian (patent); Ilex 15 (patent): Fire Toxin: acute tonsillitis with pus (Arctium: Hsu, 1980, p. 169; Ling Qiao: Zhu, p. 47; Ilex: Dharmananda, 1990, p. 70) • Gan Mao Tui Re Chun Ji (patent): in children (Zhu, p. 43) • Bupleurum and Rehmannia C.; Yang Yin Qing Fei Tang Jiang (patent): Chronic (Bupleurum and Rehmannia: Hsu, 1980, p. 160; Dharmananda, 1986, p. 368; Bensky and Barolet, p. 98; Yang Yin Qing: Zhu, p. 84) • Qiang Lang Tang: Fire Toxin: Fever, intolerant of cold, red tongue, rapid pulse. (Yeung, p. 168; Bensky and Barolet, p. 49) • Platycodon C.: Damp-Heat: throat pain due to swelling, cough with pus and blood (Hsu, 1980, p. 603) • Licorice C.: Sore throat pain, but no cough or purulent sputum: relieve pain and toxin (Hsu, 1980, p. 349; Dharmananda, 1986, p. 109) • Lonicera and Forsythia F. (Yin Qiao San) (available as patent); Forsythia 18 (patent): Wind-Heat: initial stages with irritability, red tongue tip, floating rapid pulse. (Lonicera and Forsythia: Hsu, 1980, p. 83; Yeung, p. 275; Bensky and Barolet, p. 44; patent: Zhu, p. 46; Forsythia 18: Dharmananda, 1990, p. 67) • Scute and Cimicifuga C. (Bu Ji Xiao Du Yin or Pu Ji Xiao Du Yin); Huang Lian Shang Qing Pian (patent); Forsythia 18 (patent): Wind-Heat with Fire Toxin. (Scute and Cimicifuga C.: Hsu, 1980, p. 189; Yeung, p. 49; Bensky and Barolet, p. 80; Huang Lian Shang Qing Pian: Zhu, p. 156; Forsythia: Dharmananda, 1990, p. 67) • Superior Sore Throat Powder Spray (patent): topically (Fratkin, p. 91, Zhu, p. 158)

Acupuncture
after assessing the person and palpating, consider these patterns: acute: Wind-Heat and/or Lung and Stomach Full Heat chronic: unresolved previous inflammation or Yin Xu (Deficiency)

» therapeutic notes: • Chronic tonsillitis may be a part of a general pattern of glandular/lymphatic exhaustion that is often rooted in or at least exacerbated by a chronic, often subclinical, infection in the sinuses and irritation in the oropharyngeal mucous membranes. This area is a common site of primary focal infection from which secondary infections derive. Palpation at reflex sites in proximity of TW-16 ("East Wind") and LI-10.5 and above and below the eyes will confirm this hypothesis. If tender and/or painful points are found, consider needling Lu-7 and the reactive points in the areas of "LI-10.5", "St-2.5", yu yao, east wind/TW-16, and "St-43". Sinus irrigation with saline solution is usually also helpful - see "patient handout: sinus wash". (Matsumoto) See also "sinusitis". • Chronic tonsillitis may be part of a pattern of irritation in which food sensitivities are a manageable stressor.

» illustrative combinations: • St-44, LI-4 and LI-11 for acute tonsillitis (Shanghai, p. 691) • Lu-11, LI-4 and prick LI-11 for acute tonsillitis (Shanghai, p. 246) • SI-17 and Lu-11 for acute tonsillitis; can also add LI-4 and LI-11 for high fever (Shanghai, p. 690; Lee and Cheung, p. 354) • GB-20, UB-10, St-9, LI-17, SI-16, St-6, UB-11, UB-12, SI-15, GB-21, LI-3, LI-4, LI-11, TW-17, TW-3, TW-1 and LI-3 for acute tonsillitis (Lee and Cheung, p. 344) • hai quan, Lu-11 and LI-4 for unilateral tonsillitis (Shanghai, p. 690) • jin jin and yu yeh with Lu-11 for bilateral tonsillitis (Shanghai, p. 690) • St-44 and LI-4 for toothache or tonsillitis (Shanghai, p. 275) • Kd-4 (listed as "Kd-5"), LI-4 and SI-17; Lu-3, LI-9, UB-12 and CV-22; TW-10, GB-38 and SI-8; LI-7 and TW-2; St-6, Lu-11, LI-5 and PC-7; Kd-1, CV-22 and St-40 for tonsillitis (Mann, p. 138) • "yu yao", "St-2.5", "east wind", "LI-10.5", Lu-7, and "St-43", with other points sensitive to palpation, for sinusitis and glandular/lymphatic exhaustion, esp. with a primary focal infection in the sinuses and oropharyngeal mucous membranes (Matsumoto) • UB-13, UB-18 and UB-20 (+): tonify Lung, Liver and Spleen, move Qi, and resolve Phlegm • UB-23 and Kd-3 (+): tonify Kidney Yin • SI-17 and TW-17: moisten throat; clear Heat; local for tonsils • Lu-11 (bleed) and LI-1 (needle (+) and bleed): dispel Wind-Heat; moisten throat; clear Lung Fire and Heat; clear pain and swelling in throat • navel treatment a la Matsumoto for weak connective tissue and/or Xu (Deficiency) of the Kidney and/or Spleen due to birth trauma induced by improper severing of the umbilical cord causing damage to the ligamentum teres hepatis (Matsumoto) • UB-13, Lu-10, Lu-11 and Kd-3: disperse Lung Fire (Finkelstein, p. 5)

point analysis

» palpate and consider: • GB-20 (-): disperses Wind-Heat; reduces and relieves Heat; harmonizes Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; Jiao Hui Intersecting point of Yang Wei Mai (Yang Linking Vessel) and Yang Qiao Mai (Yang Motility Vessel) channels on the Foot Xiao Yang (Gall Bladder) channel; "Wind Pond" • GV-14 (-): dissipates Wind; clears and cools Heat; reduces fever; induces sweating; stimulates the immune system, increases white blood cell count, and prevents or slows inflammation; regulates and stimulates the flow of Qi; regulates the Xue (Blood); clears the throat and opens the Lung; clears Lung Heat; Jiao Hui Intersecting point of the Yang channels on the Du Mai (Governing Vessel); Entry point of the Sea of Qi, with GV-13 • UB-13 (+ or -): eliminates Wind; stimulates sweating; reduces fever; clears and disperses Fire and Heat, esp. Xu (Deficiency) Heat, from the Lung and Upper Warmer; strengthens and promotes the circulation of the Lung Qi; regulates the Upper Warmer; tonifies the Lung; harmonizes the Ying and Xue (Blood); transforms Phlegm; disperse for acute; tonify for chronic; Lung Shu Associated point • UB-18 (+ or -): clears Liver Fire and Heat; moves Stagnant Qi; strengthens Xu (Deficiency) conditions; nourishes Liver Yin; cools Heat in the Xue (Blood); facilitates generation of fluids; harmonizes the Stomach and benefits the Qi; Liver Shu Associated point • UB-20 (+ or =): regulates Spleen Qi; tonifies the Spleen and Stomach to facilitate digestive transportation and transformation; benefits the Ying (Constructive) Qi; enhances Spleen Yang to mobilize Stagnant Qi; harmonizes the Xue (Blood); drains Heat Shi (Excess) from the Middle Warmer; transforms Phlegm; Spleen Shu Associated point • UB-21 (-): harmonizes the Stomach; regulates the Stomach Qi; clears Stomach Heat; Stomach Shu Associated point • UB-23 (+): tonifies and adjusts the Kidney; nourishes Yin, Xue (Blood) and Kidney Jing (Essence); counterbalances Liver Fire; Kidney Shu Associated point • ca. yu yao (-): clears Heat; dispels focal infection in the sinus cavities; removes Obstructions from the channel; treats glandular/lymphatic exhaustion (Matsumoto); locate tender abdominal point (s), palpate most tender or painful point over each eye and needle, usually superiorly, so that tenderness at abdominal reflex point decreases upon palpation (Matsumoto) • ca. St-2 (-): dissipates Heat and expels Wind; resolves focal infection in the sinus cavities; treats glandular/lymphatic exhaustion (Matsumoto); frees the channels and invigorates the collateral vessels; locate tender abdominal point (s), palpate most tender or painful point over each eye and needle, usually inferiorly, so that tenderness at abdominal reflex point decreases upon palpation (Matsumoto) • St-6 (-): disperses Wind; regulates the flow of Qi; opens the channels and invigorates the collateral vessels • bian tao (-): clears Heat; disperses Stagnation of Qi and Xue (Blood); local point below the inferior border at the angle of the mandible, anterior to the carotid artery • TW-17 (-): clears Heat; disperses Wind; frees the channels; moistens the throat; local for tonsils • SI-17 (-): dissipates Heat and reduces inflammation; disperses Qi Stagnation and Xue Yu (Blood Stasis); local to tonsils • SI-16 (-): dispels Wind; nourishes the Heart; invigorates the channels and collateral vessels; Window of the Sky point • jin jin and yu yeh (bleed): generate fluid by dispelling Heat, esp. Heat in the Xue (Blood), and producing saliva • hai quan (- and/or bleed): clears Heat and dispels Wind-Heat; relieve pain and swelling in throat • CV-23 (=): clears Fire and Heat; opens and moistens the throat; generates Fluids; Jiao Hui Intersecting point of the Yin Wei Mai (Yin Linking Vessel) and Ren Mai (Conception Vessel); meeting point of the Kidney and Heart (Finkelstein, p. 93) • CV-22 (=): facilitates and regulates movement of Lung Qi; benefits and cools the throat; regulates the pharynx; opens the Lung and promotes dispersing function of Lung; transforms and eliminates Phlegm; Jiao Hui Intersecting point of the Yin Wei Mai (Yin Linking Vessel) and Ren Mai (Conception Vessel); Window of the Sky point • CV-21 (=): regulates movement of Qi and spreads Lung Qi; sets the Upper Warmer in motion; relaxes the chest; site where Qi of the Ren Mai (Conception Vessel) begins to spill out into the neck and throat (Finkelstein, p. 93) • TW-16 and/or "east wind" (-): moves Stagnation in sinuses and cervical lymphatics; palpate lateral aspects of neck for ashi (tender) points (Matsumoto) • Lu-2 (-): regulates the Lung; clears Lung Heat and eliminates vexation; removes depressed Qi of the chest; stimulates descending of Lung Qi; transforms Phlegm • Lu-5 (- or +): expels Wind; cools fever (bleed); opens and clears the Lung; discharges Lung Fire; cools and clears Upper Warmer Heat; sedates Lung Shi (Excess); stimulates descending of Lung Qi; expels Phlegm from the Lung; regulates the digestive system and the Water Pathways; Lung He Sea Uniting, Water and Dispersion point • Lu-6 (-): opens and adjusts the Lungs; regulates Lung Qi; cools Heat and disperses Fire from Lung; cools and clears the throat; moistens the Lung; Lung Xi Cleft Accumulation point • Lu-7 (-): circulates the Wei (Protective) Qi to expel Wind and disperse the Exterior; promotes sweating; benefits the throat; treats Shi (Excess) patterns, esp. acute; opens the Lung; spreads Lung Qi by stimulating the descending and dispersing of Lung Qi; resolves Phlegm and clarifies Mucus; opens and regulates the Ren Mai (Conception Vessel); regulates the Yin Qiao Mai (Yin Motility Vessel); communicates with the Large Intestine; tonifies Yang Ming (Stomach and Large Intestine); promotes diuresis by descending the Turbid; invigorates the collateral vessels; Lung Luo Connecting and Exit point; Master point of the Ren Mai (Conception Vessel); Couple point of the Yin Qiao Mai (Yin Motility Vessel) • Lu-8 (-): disperses Wind and resolves the Exterior; sedates Yang; diffuses the Lung and downbears Qi; expands and relaxes the chest; reactivates circulation of Lung and Stomach Qi; Lung Metal and Horary point • Lu-9 (+): regulates all Yang Qi; ventilates, moistens and regulates the Lung; facilitates circulation of Lung Qi; tonifies Lung Qi and Lung Yin; tonifies Metal to cool inflammatory processes; cools and clears Heat in the Lung and throat; clears and descends the Upper Warmer and Lung Qi; Lung Yuan Source, Earth and Tonification point • Lu-10 (-): dispels Wind-Heat; clears Fire and Heat generally; abates fever; stimulates sweating to disperse superficial conditions; benefits and moistens the Lung and throat; cools and clears Heat in the Lung; cools Heat in Xue (Blood); Lung Fire point • Lu-11 (- and/or bleed): eliminates Wind-Heat of the Lung; lowers fever; clears Heat, Fire and Summer-Heat from the Lung (bleed); cools, clears and regulates the Lung; frees channel Qi; brings Liver Qi to surface to bolster Wei Qi (Finkelstein, p. 5); moistens the throat; clears, regulates and benefits the pharynx; relieves pain and swelling of the throat; expels Wind from the throat; regulates and discharges Rebellious Qi Fire in the twelve channels (Ellis, et al, 1988, p. 87); caution: do not bleed with patient suffering from Xue Xu (Blood Deficiency); bleed LI-1 instead (Stephens); Lung Jing Well and Wood point • LI-11 (-): clears Heat and resolves fever; eliminates Wind and dispels Exterior conditions; regulates and harmonizes Qi and Ying; regulates Qi circulation of Lung; cools and harmonizes the Xue (Blood); improves immune function (Finkelstein, p. 9); tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; harmonizes the Stomach and regulates the Intestines; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; Master point of Heat in the body (Finkelstein, p. 9) • "LI-10.5" (-): moves Stagnation in sinuses and cervical lymphatics; locate tender most tender point on each side of the neck, usually "east wind", near TW-16, then palpate for the most tender or painful point, distal to the elbow crease, between the Large Intestine and Triple Warmer channels; needle each arm to resolve focal infection in the sinuses and oropharyngeal mucous membranes and relieve glandular/lymphatic exhaustion; verify location and angle of needle by diminishing of cervical tenderness (Matsumoto) • LI-10 (-): clears Heat from the Lung; promotes the circulation of Qi and Xue (Blood); tonifies Qi and Xue (Blood) (Maciocia, p. 378); removes Obstruction from and invigorates the channels; enhances action of the immune bodies (Finkelstein, p. 8); regulates the Stomach and Intestines • LI-7 (-): clears Heat; harmonizes the Stomach and Large Intestine; stops pain; Large Intestine Xi Cleft Accumulation point; Yang Shi (Excess) within Tai Yang (Small Intestine and Bladder) is guided to the internal duct of the Triple Warmer from LI-7 (Finkelstein, p. 8) • LI-6 (=): dissipates Heat and Fire; opens Lung Water Pathways; tonifies Kidney Yin by directing the Yang Qi of the Exterior toward the internal duct of the Triple Warmer (Finkelstein, p. 8); Large Intestine Luo Connecting point • LI-5 (-): expels Wind and Heat; releases the Exterior; drains Fire; dissipates Heat from the Yang Ming (Large Intestine and Stomach); benefits the throat; stops pain; Large Intestine Fire point • LI-4 (-): dispels Wind-Heat; clears Heat; reduces fever; moves Qi in the upper body; releases the Exterior; regulates Qi and Xue (Blood); tonifies Lung Qi and stimulates dispersing function of the Lung; activates Wei (Protective) Qi and stimulates the immune system; induces or stabilizes sweating; tonifies Metal to cool inflammatory processes and restrain Wood, esp. the Liver; cools and drains Lung Heat; clears congestion in throat; regulates Qi and disperses Heat of the Intestines; elevates Clear Qi and descends Turbid Qi; clears Toxins; sedates pain; frees the channels and invigorates the collateral vessels; Large Intestine Yuan Source and Entry point; command point of the face and mouth • LI-3 (-): dissipates Heat; affects the Intestines and benefits the throat; resolves constipation; frees the channels; Large Intestine Wood point • LI-2 (-): dissipates Heat; clears the pharynx; cools the Intestines; sedates pain; stimulates the channels; Large Intestine Water and Dispersion point • LI-1 (bleed): dispels Wind-Heat; cools, moves and discharges pathogenic Heat from Yang Ming (Stomach and Large Intestine); tonifies Wei (Protective) Qi via the internal duct of the Triple Warmer; clears and moistens the throat; cools the Lung; sedates pain; clears pain and swelling in throat; use with patient suffering from Xue Xu (Blood Deficiency) instead of Lu-11 (Stephens); Large Intestine Jing Well, Metal and Horary point • Ht-5 (-): pacifies the Shen; regulates and tonifies Heart Qi; clears Heart Fire and Xu (Deficiency) Heat; Heart Luo Connecting point • SI-3 (=): dispels Dampness and Internal Heat; tonifies the Small Intestine; Small Intestine Wood and Tonification point; Master point of the Du Mai (Governing Vessel); Couple point of the Yang Qiao Mai (Yang Motility Vessel) • SI-2 (-): dispels Wind-Heat; moistens the throat; Small Intestine Water point • SI-1 (- and/or bleed): disperses Wind and clears Heat; general sedating effect; relieves inflammation of mucous membranes; Small Intestine Jing Well, Metal and Entry point • Ht-6 (-): nourishes Heart Yin; helps check Yang hyperactivity (EAMSS, p. 227); clears Xu (Deficiency) Heat, esp. from Heart; clears Fire from the Heart; Heart Xi Cleft Accumulation point • Ht-7 (=): stabilizes the Exterior and stops sweating, esp. night sweats; stimulates secretion of fluids; calms the Heart; tonifies and nourishes Heart Yin and Xue (Blood); frees the channels; Heart Yuan Source, Earth and Dispersion point • TW-10 (-): dispels Wind and clears Heat; pacifies the Shen and Heart; dissolves Phlegm; expands and relaxes the chest; Triple Warmer He Sea Upper Uniting, Dispersion and Earth point • TW-5 (-): relieves Exterior and Hot conditions; induces perspiration; dissipates Wind; clears Heat, esp. from Triple Warmer channel; opens and moves the Yang Wei Mai (Yang Linking Vessel) and regulates the Dai Mai (Girdle Vessel); dissolves Toxins; tonifies Wei (Protective) Qi; frees the channels to facilitate the circulation of Qi in the channels; alleviates pain; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel); Couple point of the Dai Mai (Girdle Vessel) • TW-4 (-): dispels Wind; clears Fire and Heat; moistens Dryness; promotes function of Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); frees the channels and collateral vessels; Triple Warmer Yuan Source point • TW-3 (-): facilitates Qi circulation; clears Heat; dispels Wind and Wind-Heat; facilitates the circulation of Qi; clears the head and eyes; benefits the ear; opens the sensory Orifices; influences the thyroid and pancreas (Worsley, 1975, p. B-20); moistens Dryness, esp. the throat; Triple Warmer Wood and Tonification point • TW-1 (-): dispels Wind; clears Heat, esp. from the Large Intestine and Triple Warmer channels; drains Fire; revives consciousness; opens the sensory Orifices; benefits the tongue; moistens the throat; eliminates Toxins; frees the channels and invigorates the collateral vessels; Triple Warmer Jing Well, Metal and Entry point • PC-7 (-): pacifies the Shen and stabilizes the emotions; clears Heat and Wind-Heat; clears Fire of Heart and Pericardium; relaxes the chest; harmonizes the Stomach; dissipates Heat from the Ying (nutrient system) and Xue (Blood); Pericardium Yuan Source, Earth and Dispersion point; historically used as the Heart Source point (Maciocia, p. 436) • shi xuan (bleed): clear Heat; esp. for acute tonsillitis • CV-7 (=): supplements Kidney Yang; clears Obstruction from the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); treats acute tonsillitis; Mu Alarm point of the Lower Warmer • St-36 (+): tonifies Qi, esp. of Stomach and Spleen; moves Stomach channel; expels Wind; facilitates the Lung and regulates Wei (Protective) Qi so as to resist External invasion; disperses noxious Yang and brings down high fever; supports Lung Qi and transforms Phlegm; regulates and strengthens Qi and Xue (Blood); regulates the Stomach and strengthens the Spleen; regulates Ying (Constructive) Qi and spreads Liver Qi; nourishes Kidney, Liver and Spleen; tonifies Kidney Yin; clears Heat from the Yang organs and drains Shi (Excess) from the Yang channels, esp. chronic cases with Heat; regulates ascension of the Clear and descension of the Turbid (-), esp. by the Intestines; frees the channels and invigorates the collateral vessels; Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment point • St-39 (-): improves flow of Xue (Blood); clears Heat and resolves Damp; regulates Intestines and Stomach; transforms Stagnancy; He Sea Lower Uniting point of the Xiao Chang (Small Intestine); Sea of Xue (Blood) point with St-37 and UB-11 • ca. St-43 (-): palpate for tender or painful point, on the Stomach channel or between the third and fourth metatarsals; needle to resolve focal infection in the sinuses and oropharyngeal mucous membranes and relieve glandular/lymphatic exhaustion (Matsumoto) • St-44 (-): cools and drains Stomach Heat; reduces pain; balances Yin and Yang in Stomach channel; benefits throat; dispels Wind from face; harmonizes the Stomach; cools Heat and drains Dampness from the Stomach and Intestines; regulates Rebellious Qi; facilitates bowel movements; descends the Turbid; Stomach Water point • St-45 (-): facilitates flow of Qi; clears and disperses Heat from the upper body and Yang Ming (Stomach and Large Intestine) channels, esp. Stomach Heat; sedates pain; Stomach Jing Well, Metal and Dispersion point • Sp-6 (+): nourishes Yin, esp. of the Spleen, Liver and Kidney; clears Fire due to Xu (Deficiency); strengthens the Spleen and tonifies the Qi; nourishes and moves the Xue (Blood); clears Xue (Blood) Heat and transforms Xue Yu (Blood Stasis); aids transportation and transformation to improve digestion and nourishment; frees Qi Stagnation and spreads Liver Qi; Jiao Hui Intersecting point of the three Foot Yin channels • Kd-6 (+): nourishes the Heart; cools and clears Heat; clears Xu (Deficiency) Fire; removes Obstruction from the Yin Qiao Mai (Yin Motility Vessel); opens the Ren Mai (Conception Vessel); clears the Lung and tonifies Lung Yin; benefits the throat; tonifies the Kidney (especially Yin); moistens dryness; frees the channels and invigorates the collateral vessels; sedates pain; esp. with a chronically dry, hot and inflamed throat; Master point and Entry point of the Yin Qiao Mai (Yin Motility Vessel); Couple point of Ren Mai (Conception Vessel) • Kd-3 (+): nourishes and enriches Kidney Yin, supplies Liver Yin, and tonifies Yin of the entire body; tonifies the Kidney, Yuan (Original) Qi, Xue (Blood) and Jing (Essence); cools and descends Heat; pacifies Xu (Deficiency) Fire; clears Lung Heat; nourishes the Yin to moisten the Lung; regulates the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel); Kidney Yuan Source and Earth point • nei huai jian (- and/or D): brings down Heat from the throat and jaw

• external application: extract tarry residue from a tobacco pipe and paint it onto red spots to be found in vicinity of GV-20 (Scott, p. 61)

• ear: throat, tonsil, ear apex (bleed)

Homeopathy
acute: use 6C potency • Aconitum napellus: chills, fever, anxiety, restlessness; pain, soreness • Ammonium muriaticum: throbbing and swelling, can scarcely swallow; sore spot behind uvula, relieved by eating; internal and external swelling of throat with viscous phlegm; stricture of esophagus • Belladonna: inflamed because of exposure; red and enlarged; throbbing pain extends to the ear • Guaiacum: throat dry, burns, swollen, stitches toward ear; weak throat muscles • Ignatia: pain esp. swallowing liquids without food • Mercurius iodatus flavus: right side, red, swollen., burning pain, ulceration, swollen glands; < night, 1 am, warmth; possible evolution to left side; dirty yellow coating at base of the tongue, tip and sides red; nausea from looking at food • Mercurius iodatus ruber: esp. on left side with possible evolution to right side; from change of temp (esp. to cold damp), < empty swallowing; toxicemia and septicemia • Phytolacca: pain shoots to ears; eruption of vesicles on mucous membranes, esp. in larynx; > cold drinks but hot drinks impossible to swallow; dark, red, dusky blue throat; dry cough and hoarseness; neck swollen and tender • Silicea: prickling pain as of a pin in tonsil

chronic: use 200C potency • Baryta carbonicum: chronic enlargement, in children who are slow in development and backward mentally; postnasal catarrh with frequent bleeding from nose; suppuration of tonsils on catching cold; > open air, dry weather • Baryta muriaticum: scrofulous patients with pain on swallowing; have feeling of a plug in throat • Calcarea carbonica: 1M and tub. 1M alternating weeks have cured chronic tonsillitis; in children with tendency to grow fat, eat pica; profuse sweating; (try 200C for couple of months before 1M used; if it fails, alternate bar-c. 200C with thuja 200C every week with tub. once a month • Calcarea iodata: when course of bar-c. and thuja fails and is also enlargement of thyroid • Calcarea phosphorica: when is pale enlargement of tonsil • Hepar sulphur: with much inflammation and yellow exudate; soreness is better from warm drinks; stitches in throat extending to ears when swallowing > warmth • Iodium: loss of weight with great appetite; urgent hunger with great thirst; debility with slight exertion and perspiration; enlargement of tonsils with thyroid gland; > warmth, wet weather; deafness due to obstruction of eustachian tubes • Lachesis: marked dislike of anything around throat, causing a sense of constriction < left side, swallowing liquids, saliva; purplish tonsils; left to right; warm drinks • Lycopodium: sense of constriction and < 4-8 p.m.; ulceration and suppuration; starts on right side to left side; hot drinks • Nitricum acidum: much exudate and prickling sensations; white patches; sharp points as from splinters on swallowing • Sulphur: tonsils remain large between attacks, almost touching in the midline; for children who are warm • Thuja occidentalis: give once/week in alteration with bar-c. for chronic enlargement • Tuberculinum: as an intercurrent given once/month (do not use thuja or bar-c. that week)

after tonsillectomy: • Calcarea carbonica: for symptoms appearing after removal of tonsils such as postnasal catarrh or bronchitis (use 200C every week) • Sulphur: heat and burning with craving for sweets, no appetite during the day and then great appetite for supper < change of weather and before storms • Streptococcinum: for all ailments after removal of tonsils; pharynx is pale, darkness below the eyes; no appetite, listless (give 1M every month for a long time)

Subtle Support
pain: • Mendelssohn's Spring Song • Meditation from Thais • Chopin's Preludes • On Wings of Song • Andante, Beethoven's Fifth Symphony • Adagio, Beethoven's Pathetique Symphony (Heline, p.18)

Mind/Body
• The inability to speak up for one's self; swallowing anger; stifled creativity; refusal to change. The throat is an avenue of expression and channel of creativity. (Hay, 1984, p. 186) • Inflammation/infection: fear; inflamed thinking; seeing red; anger and frustration about conditions in one's life. (Hay, 1984, p. 170-1)

• Lung ~ Fei is the home of the Po (Corporeal Soul); governs the Qi; facilitates the immune function by assisting the dispersal of the Wei (Protective) Qi; regulates the rhythm of respiration, the pulse, and all bodily processes; relates to strength and sustainability; and includes the throat. » Healthy expressions are righteousness and courage. » Weakness, dysfunction, and illness associated with excessive grief, sadness, worry, and depression. » Lung Xu (Deficiency) signs include cold shoulder and back; changing complexion; and inability to sleep (Seem, p. 28); shortness of breath; changes in urine color; rumbling in the bowels with loose bowel movements; pallor; malar flush; chills; sniffles; sneezing; light cough; and sensitivity to cold. Chronic Lung Yin Xu (Deficiency) increases susceptibility to rising Heat and acute Shi (Excess) conditions such as Wind and Heat. » Lung Shi (Excess) signs include panting; yawning; sneezing (Seem, p. 28); pain in the upper back, shoulder, and chest; colds with stuffed nose; hoarseness; wheezing respiration; frequent urination with small amounts; heavy chest; reduced lung capacity; coughing; and nasal discharge.
 * Chinese psychophysiology:**

• Stomach ~ Wei is the Sea of Nourishment and origin of all fluids; transforms and digests food so that the Spleen can separate the distilled food essences; with the Spleen, is the root of post-natal Qi; and as Earth, relates to the ability to assimilate, stabilize, and feel centered and balanced. » Healthy expressions are fairness, openness, and nurturance. » Weakness, dysfunction, and illness associated with worry, anxiety, and overthinking. » Stomach Shi (Excess) signs include nightmares; acne; skin eruptions; excess stomach acid (Seem, p. 28); heat in the abdominal area; overactive digestive system causing hunger and thirst; dark yellow urine; gluttony; halitosis; swollen gums; red dry lips; pains and cramps in legs.