Clears the various channels 

EXTERNAL THERAPIES FOR LUNG (Gentle): 
Massage with sesame oil, hot compresses made with caraway seed and nutmeg (yellow like cumin) 
Massage on lung point, last cervical vertebrae (7th), (6th and 7th thoracic vert. solar plexus) 
Massage with medicinal butter (Aconitum) 
Sleep a lot, disturbed channels get rested 
Golden Hammer 
Moxabustion Fomentation 
Medicinal hot baths 
Mineral Springs 
 

MOXABUSTION:
Mixture: dried Artemisa, Mugwort, Aniseed and Nutmeg        TSA-WA (Anaphalissp/ARTEMESIA) 
Put into paper and roll tissue paper into cone shape, close. 
Cut garlic into two, squeeze out juice on to moxa. point, then attach cone by flat end and burn top point.

INDICATIONS: indigestion, lack of digestive heat, low kidney heat, oedema, cold arthritis swelling (put pressure on cold arth. will be pain), habitusal sprains (sports),inhibits cancerous growth and tumours, Badkhen deposit under sternum, cold Tipa (tanti), head, limbs, fluid on joints, cold-type of headache.Relieving pain, balancing Lung, regenerating body heat, drying up heat in body, paralysis.  All psychological disorders: anxiety, depression, insomnia, dropsy, spasms, insanity, weakness of memory power, nervous system, paralysis.  As an end treatment for fever, so it doesn't relapse.

CONTRA INDICATIONS: Tipa disorders (including cold Tipa - 'tanti' is ok, or Chuser) or any sense organs, weak digestion. All blood disease (hypertension) 5 sense organs, genital area.  When treating gall stones, cramps, check pulse first to determine if heat is present. When disease is due to heat, put moxa not directly on, but around, disease is due to cold, directly on point.    Inflammation or heat in body.If patient is weak, should not touch the skin, only prepare a small amount.

Use spec. point for diagnosis: Acupressure - patient gets relief after pressure, indication of disorder.

Generally one should not first put directly on point, heat surrounding area first, then apply directly to point.

Moxa. sites:  Vertebrae, Head, Limbs, Stomach, Heart, Intestine, Urinary bladder     (can be found by patient's discomfort)
Bring moxa close to point, not too near 
Generally one should not first put directly on point, heat surrounding area first, then apply directly to point. 
Lung - up to 15 times on same pt. 
Lung, micro-organisms, retention of urine, constipation 5 - 7 times on same point. 
 
 

71 MAIN MOXABUSION POINTS: 

CROWN PTS: Take thread from ears, take another over face in centre of nose to back of head - where crosses, this is crown chakra point. Can also measure with 3 four-finger measujre from bridge of nose - this is crown chakra.
For: migraine, chronic headaches, good for Parkinsons, epilepsy, chronic sinus, memory, eyesight, sore eyes, tinnitis, low blood pressure.
Crown Point - Golden Needle.
Sternum        - Moxa.       Front and back, beside vertabrae, not on. Good for arthritis, but not if hot disorder such as Tipa present.

Back(Posterior) - Vertabrae 
The vertebrae that protrudes when neck is bent is Tsig-pa, 1^st vert. - C7 (this point can also be treated with hot oil fomentation (below)

1. Protruding  pt. - LUNG (not this pt. or up on the head)
2. TIPA -  caused  by cold disorder 
3. BADKHEN - heart disorder, head and lungs (1 vert. below T1 = T2 )
4. 5. 6. 7. - all LUNG problems (1 vert. below T2 = T3, 1 vert. below T3 = T4) 
8. LIVER: belching, vomiting, pain in liver area, gas forms in stomach in evening, pain due to hypertension, pain  in upper body, liver tumour, form of gas in liver, BADKHEN in Liver - CHIN UNG    
 9.  BILE, poor appetite, headache, low dig. power  (Tipa)
10. GALL BLADDER: Indigestion, yellow eyes, heaviness of body, constipation, yellowish skin, eyesight weakness, gall stone, WEAK DIG. HEAT.  SPLEEN
11 - LOW DIGESTIVE HEAT - pain in back of head ande eyes, chronic digestive problems
12 - REPRODUCTIVE ORGANS - gynacological disorders
ALL 13th, 14th and 15th POINTS - EXERCISE CAUTION!   Apply moxa not on these points directly, but on EITHER SIDE of point.
13. REGENERATIVE ORGAN - tumour of the womb, delerium, cold and Lung dis. 
14. KIDNEY - Cold kidney disease, cold in lower back, frequency of urination, swelling in genital area, cramps in lower abdomen and white discharge
15. THE  COMMON POINT FOR VESSEL AND VITAL ORGANS -    All cold/ Lung diseases. Yellow eyes due to Tipa, pain in abdominal area. NO pressure on either side of vertabrae here, Kidney is under.   L2 - visceral organs. Lower abdominal cramps.
16. LARGE INTESTINE - Rumbling, irritation in urinary tract, difficulty in passing urine.   L3 - Large intestine, tumours in the large intestine. Gas and rumbling in the lower abdomen. Difficulty in urinating, burning sensation in the genitals and haemarroids.
17. SMALL INTESTINE - Too much cold Lung energy in small intestine: tumour, gas formation, rumbling of int. in empty stomach. Mucus in stool, abdominal pain. Shortness of breath, frequency of urination, chronic fever, dysentry.
18. URINARY POINT - stones in urinary tract, frequent urination, loss of heat, knees feel very cold.   Bedwetting problems. L5 - Urinary Bladder, frequency and diffriculty in passing urine.
19. MENSTRUAL POINT - Excess mens. flow during periods, difficulty in moving hands and feet.  S1 - Sperm and eggs, genital disorders, difficulty bending lower part of body (Sciatica).
20. BOWEL POINT: descending Lung, Diarrhea with mucus, dysentry, frequent constipation.  S2 - downward Lung problem - constipation and gastric problems.
 

Front of body  -              See Snow Lion chart

2. STERNUM  POINT in between 2 nipples - insanity, palpitations, trembling, loss of memory, blackouts, hiccups, nausea. 
3. BELOW STERNUM POINT - 2 fingers width down, take patients finger meansurement with stick or thread: loose motion, vomiting, belching, indigestion, Lung.
4. TRIPLE (TUMOR) POINT -  2 fingers down again:  BADKHEN -phelgm in stomach, belching, vomiting, acidity and formation of gas in stomach (esp. in eve.) swelling of face and mouth, and gas forming in liver. Pain in ribs, distention of abdomen, breathing problems, also for tumours.
5. TRIPLE (TUMOR) POINT -   TIPA - weak dig. heat, good for generating dig. heat.
6. TRIPLE (TUMOR )POINT -   LUNG (Firelike) - distention, flatulence of stomach, bloated.
8. & 9. TRIPLE DIG. HEAT POINT (Tipa on SL chart) 2 fingers down. Pain in upper part of liver, vomiting blood, weak dig. heat and indigestion.
 
 

Smooth treatment - Medicinal Bath (which is STEAMING with herbal mix).
Rough treatment - Golden Needle, Golden Hammer    (for a spec. point, apply on spec. point) Good for all chronic disease 
 
 

TSA WA mix:   Analphalis, nettles.  Used where medicine not working, is drastic treatment for cold cisease, Lung particularly, and empty fever.   Beat  impurities out of Analphalis with stick onto clean cotton. Put with nettle onto hot surfact (like bokhari) and burn impurities out of plant. Ash of dry nettles and Analphalis, should be rubbed between our hands.   Site of moxa. should be like finger tip, tip of patient's little finger.   Pts: Heart, Small Intestine, Large intestine, Navel point.  Autumn is peak season for flowers, dry, beat with bamboo stick to take out dirt, rub, clean well.  Add fish oil (?) roll tightly in cloth or handmade paper (see diagram in notebook). Take clean sterilised blade, cut in middle, take garlic juice as gum on moxa point, stick on ëconeí light moxa and pray to Medicine Buddha. When treating a new patient, use warm at first, just lightly at first, little bit on and off.  Apply butter once, after applying moxa then clean twice a day, morning and evening,put on bandage.  After 5/6 days  not healed, then apply ointment. 
Age for starting treatment: 5-6 years.  Tibetans prefer moxa. to medicine.

TSA CHUK - Artemesia. Mugwort in Europe is same as Artemesia. For stomach  - Terminalia Chebula (Myrobalan) - apply 
Nerves, muscle, bones - ARU (medicine?) 
 

Burn moxa, then Medicine Buddha mantra 7 times 

Drain excess fluid - too much heat, soak cotton cloth in water and place around the moxa area. Not to move body, stay still in same position. 1 sewing needle and clean off burned area. Salted butter on that point, prevents blisters. Light massage, move towards the East - 7 steps. No cold water or cold drinks, no physical activity, or sexual activity. Triple pt.  First do middle point,  when cone nearly burnt, then move to second, doesnít matter wheather left or right, move to 3rd after.  Not all at once. Nearly burnt cone sounds like ëthukí - a good sign.  Patient will feel better.  Moxa on front of body, press opposite place on back. If patient feels pain at back, remove moxa. If applying on back, press front, if pain felt, then stop.  If patient feels sick or dizzy, discontinue.  Should not eat sour things on day of moxa. No cold food (Water and Earth element food). 

Close channels, nervous disorder, period pain, Lung dis. improve dig. heat, suside humour, chronic wounds - one fingerís gap at first lump on hand (under first knuckle?) reducing swelling, drying fluids, improves body heat and memory power.  Make sure small cone is used - too big may cause damage. 

Avoid moxa on these days: 1st, 6th, 18th, 22nd, 24th, 30th (15th of lunar month). 
Start with nutmeg, moxa stick, near to point. 
Acupuncture good for Lung, piercing takes out Lung but doesnít help cold disease (Badkhen?) 
MOXA GOOD FOR ALL ARTHRITIS 
 

FOMENTATION 
Put Carum carvi Linn. and Nutmeg in cloth and immerse in hot sesame oil and compress at the various Lung points. 

GOLDEN NEEDLE 
Specifically for  Crown of head, headache, Lung disorder. Make small pack with square of soft paper, Chinese use Artemesia, Tibetan moxa.
Stick Golden Needle  into heated pack for crown of head, measure according to patients fingerspan (how many?)  Tip of the nose, 1st, 2nd, 3rd, 4th pt. - press a little to see if sore. Take a string from  ear-lobe to ear-lobe, the nose to back of head - there is Crown Point. 
Pierce only the skin, blocked energies, get everything out.   Keep for 7 mins. until moxa. burns out.
Treatments are DRASTIC - lha energy must be strong, and not on crown of head when lha energy is there (see Notebook for lha circulating through the body througout the month). 'My lha is lost' - after accident or big shock, meditation to restore, buring incense. G.N. or Moxa. Is TOO STRONG for such a patient. 
Mantras must be said before treatment commences. 
For: migraine headaches, dizziness, low blood pressure, Parkinsons. 
Each metal has a different property, gold is good against poisons. 
1/2" of needle has to go inside the head - soak in hot water and Dettol, heat over fire. 
Patient should sit up straight, as for meditation, put on hot, take off when cold, salt and butter should be applied afterwards, sweating will start.  Blister could form, water comes out. 
No alcohol, or cold water, gentle exercise, walking slowly about 

HEAT/FIRE  goes up,  WATER/COLD comes down 

GOLDEN HAMMER
Gold, silver, copper - head of hammer is heated and applied.
Used for: arthritis, low digestion,rheumatism, spongelytis, paralysis, dizziness.

Crown of head, mainly on front of body 
Sternum one tsun - thumb tip to first joint
1. one tsun below Xypoid proces - Heart and Lung disorders
2. one tsun below Hlen sung       -  Stomach tumour
3. one tsun below Transang         -  Digestive heat
4. one tsun to right and left of Navel (Mae sang) - Gastric prob. And indigestion
5. one tsun to right and left of Long sang
6. one tsun below Navel (Long pak)
7. one tsun below Gyuds tod Sang
8. one tsun below Gyuds mae Sang

HOT COMPRESS  (Ha Ka Metse)
For insomnia.   Take pack, heat it, place on crown, back, head, between breasts (sternum)
Grind nutmeg and aniseed, fry in butter, place in clean cloth, make pack and apply.

MASSAGE
For newly delivered mothers, tiredness, tension, depression,  for shock patients, the elderly  (2 temple pts. and one forehead point), low blood pressure, anaemia, weakness, insomnia.

• Four fingers, bent thumb, downward strokes, pulling hard 
• Work areas like working old skins - quite roughly 
• Top of arm, legs (thighs and calves) etc. soft areas - stroke, under thigh arm etc.- squeeze.
• Legs, arms - all downward strokes
• Fingers and toes, soles of feet and palms of hands - pull gently and shake oneís hands off afterwards. 
• Heel of hand on forehead, pull up hair. 
• Back of shoulder-blades very powerful. 
• Heated pebble AFTER hot oil (sesame) on palms of hands  (for eyesight) and feet. Effects like moxa.
• KIDNEY massage - top of thigh to below knee.

HOT SPRINGS/MINERAL BATHS
5 different types of hot springs: 

• Coal and calcite, 
• Coal and sulphur 
• Coal and mineral exudate - extract from rock 
• Coal and calcite and mineral exudate DAK-SHUN 
• Coal and mineral exudate and sulphur and Realgar. Extracted from the soil - DONG ROL 

Natural hot spring contains: Iron, Brass, Lead and Zinc 
1988/89 - research on hot springs done in LHO GAR Province (southern Tibet). Various specimens from various hot springs scientifically tested. 

How to classify - odour, taste, colour, intensity of heat, place and height/altitude (3,500-4,600 ms. above sea level at Lho gar), mythological stories, effectiveness. 
Odour - sulphur, various intensity, 
Heat - calcite, has less intensity 
Lho gar hot springs good for arthritis, passed from generation to generation  (Dr. Tenzin Thapa - hot springs good for digestive heat.  (see Red notebook for diagrams of formation of springs etc.) 

Types:
PO SHO: White, yellow, blue, bluish/yellow, dark blue  (same substance inside makes water generate heat) 
Last tanta Gyu Zhi , 23rd chptr.  Hot springs help with humoural problemes which pervade all the channels, chronic problems, poison. 
GU TOK - not toxic itself, has toxic effect when together with others: Wounds, gangrenes, dermatitis, spondelitis, muscle disorders, depleted energy. 
CHO DU NYING NOR (by Lobsang Chopel - Mongolia): Arthritis, drying dead tissue, obesity, oedema problems, white patches on skin, nourishing the skin - has pungent smell. 
Effectiveness based on various minerals, Sulphur (which is rough) elevates LUNG (Fluids?) 
Patient takes sulphur hot spring, and is given medicine to bring down Lung. 
Not advisable to take hot springs without knowledge of body constituents. 
Spring and Autumn seasons are best - monsoon may contaminate and reduce potential. 
Concentrate on Bodhisattva, visualize deity, offer incense. 

MEDICINAL BATHS:
Mild therapy for very weak people, too weak for other treatments 

• CUPRESSUS TORULOSA  (SHUK PA) 
• EPHEDRA SP. (MTSA) 
• RHODODENDHRON SP. (BALU) 
• MYRICARIA SP. (HOM BU) 
• ARTEMESIA SP ( KHEN PA) 

Medicinal bath - 2 handfuls barley, and 1 kg. Artemesia, chopped. Water in pot, boil, reduce to juice, when lukewarm, add to warm bath.After bath, massage with butter or oil. Too much Tipa, then use cooler oil. More Badkhen or Lung, then use sesame oil. Do not massage digestive portion, disturbs dig. heat. If digestion is very hot, with constipation, chew a piece of Terminalia Chebula.

Suitable for: same patients as hot springs above.  e.g. arthritis etc. 
Places: Manali, Manakali

CUPPING:

Copper, glass. Each metal has own quality. Copper has the power to dry pus, fever of lungsx and liver (inflammation). Temporary relief only.

Drop of water into copper bowl, light small piece of paper, drop it in. Doctor taps bowl and immediately places on skin. Vacuum forms - brings blood to one place, helps circulation of blood. If patient looks pale or weak, only leave on for a few minutes. If patient looks strong, leave on longer. Doctor must stay with patient, even if 15/20 mins. Then slowly push up with thumb to remove. If area is red or dark, too much blood impurity, cut a little and put cup back on. Will fill with bad blood.

SUPPOSITORIES FOR LUNG:   Mild enema, moderate enema, (tapping soles of patients feet, strong, patient held upside down by the feet and shaken).