Massage Therapy Review: Massage Therapy Review: Passing the NCETMB, NCETM, and MBLEx Passing the NCETMB, NCETM, and MBLEx

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Chapter 7Chapter 7Traditional Chinese Medicine Modalities only on the NCETMB

and MBLEx exams

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Pre-class AssignmentPre-class Assignment

Review Chapter 7 of Review Chapter 7 of your your Massage Therapy Massage Therapy Review Review bookbook

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Eastern TerminologyEastern Terminology

AyurvedaAyurveda ChiChi HaraHara Qi GongQi Gong ShiatsuShiatsu TaoTao Tui NaTui Na

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Five Element TheoryFive Element Theory

Generating CycleGenerating Cycle– Wood → FireWood → Fire

– Fire → EarthFire → Earth

– Earth → MetalEarth → Metal

– Metal → WaterMetal → Water

– Water → WoodWater → Wood

Control CycleControl Cycle In HarmonyIn Harmony

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Five Element CorrespondencesFive Element Correspondences

ElementElement WOODWOOD FIREFIRE EARTHEARTH METALMETAL WATERWATER

SeasonSeason SpringSpring SummerSummer Late SummerLate Summer FallFall WinterWinter

ProcessProcess BirthBirth GrowthGrowth TransformationTransformation HarvestHarvest StorageStorage

ClimateClimate WindWind HotHot HumidHumid DryDry ColdCold

ColorColor GreenGreen RedRedYellow/Yellow/BrownBrown

WhiteWhiteBlack/Black/BlueBlue

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Five Element Correspondences, Cont’dFive Element Correspondences, Cont’d

ElementElement WOODWOOD FIREFIRE EARTHEARTH METALMETAL WATERWATER

Yin OrganYin Organ LiverLiver HT/PCHT/PC SpleenSpleen LungsLungs KidneysKidneys

Yang Yang OrganOrgan

GallbladderGallbladder SI/THSI/TH StomachStomachLarge Large

IntestineIntestineBladderBladder

TissueTissue MusclesMusclesBlood Blood

VesselsVesselsFleshFlesh SkinSkin BonesBones

SenseSense SightSight SpeechSpeech TasteTaste SmellSmell HearingHearing

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Five Element Correspondences, Cont’dFive Element Correspondences, Cont’d

ElementElement WOODWOOD FIREFIRE EARTHEARTH METALMETAL WATERWATER

TasteTaste SourSour BitterBitter SweetSweet SpicySpicy SaltySalty

SoundSound ShoutingShouting LaughterLaughter SingingSinging CryingCrying GroaningGroaning

Mental Mental QualityQuality

Emotion, Emotion, SensitivitySensitivity

Will Power, Will Power, CreativityCreativity

Compassion, Compassion, ClarityClarity

IntuitionIntuition SpontaneitySpontaneity

Negative Negative EmotionEmotion

AngerAnger HateHate AnxietyAnxiety GriefGrief FearFear

Positive Positive EmotionEmotion

PatiencePatience JoyJoyEmpathy, Empathy, SympathySympathy

Courage, Courage, MelancholyMelancholy

CalmnessCalmness

CapacityCapacity PlanningPlanningSpiritual Spiritual

AwarenessAwarenessIdeas/OpinionsIdeas/Opinions EliminationElimination AmbitionAmbition

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Yin/Yang AspectsYin/Yang AspectsYINYIN YANGYANG

FeminineFeminine MasculineMasculine

DarkDark LightLight

ColdCold HotHot

MoistMoist DryDry

EarthEarth HeavenHeaven

Soft TissueSoft Tissue Hard TissueHard Tissue

DeficiencyDeficiency ExcessExcess

Dull PainDull Pain Sharp PainSharp Pain

Pale TonguePale Tongue Red TongueRed Tongue

WaterWater FireFire

Team/CommunityTeam/Community CompetitiveCompetitive

AnteriorAnterior PosteriorPosterior

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MeridiansMeridiansMeridianMeridian LocationLocation Yin or YangYin or Yang

1. Lung Starts on chest in front of shoulder, finishes in thumb

Yin

2. Large Intestine Starts in index finger, finishes at side of nostril

Yang

3. Stomach Starts under eye, finishes in second toe Yang

4. Spleen Starts in big toe, finishes at side of chest Yin

5. Heart Starts under armpit, finishes in little finger Yin

6. Small Intestine Starts in little finger, finishes in front of ear Yang

7. Urinary Bladder

Starts at inside corner of eye, finishes in little toe

Yang

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Meridians, Cont’dMeridians, Cont’dMeridianMeridian LocationLocation Yin or YangYin or Yang

8. Kidney Starts on sole of foot, finishes at top of chest Yin

9. Heart Constrictor

Starts beside nipple, finishes in middle finger Yin

10. Triple Heater Starts in fourth finger, finishes by outside corner of eyebrow

Yang

11. Gall Bladder Starts at outside corner of eye, finishes in fourth toe

Yang

12. Liver Starts in big toe, finishes on front of chest or below nipple

Yin

Governing Vessel(Unpaired)

Tip of tailbone, up midline of back, and over the heart to upper lip

Yang

Conception Vessel(Unpaired)

Perineum and up front of midline to bottom lip and chin

Yin

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12 Meridians and Corresponding 12 Meridians and Corresponding ElementsElements

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Stomach (Earth/Yang)Stomach (Earth/Yang)

– Paired organ = spleenPaired organ = spleen

– Color = deep yellowColor = deep yellow

– Peak hours = 7am – 9amPeak hours = 7am – 9am

– Functions and influences = digestion, absorption Functions and influences = digestion, absorption of postnatal energy, mental stateof postnatal energy, mental state

– Psycho-emotional aspects = agitate the mind, Psycho-emotional aspects = agitate the mind, mania, hypomania, confusion, severe anxiety, mania, hypomania, confusion, severe anxiety, hyperactivityhyperactivity

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Spleen (Earth/Yin)Spleen (Earth/Yin)

– Paired organ = stomachPaired organ = stomach

– Color = orange/yellowColor = orange/yellow

– Peak hours = 9am – 11amPeak hours = 9am – 11am

– Functions and influences = cleanses and “modifies” Functions and influences = cleanses and “modifies” blood; thoughts, intention, analytical thinking, trust, blood; thoughts, intention, analytical thinking, trust, honesty, openness, acceptancehonesty, openness, acceptance

– Psycho-emotional aspects = worry, excessive Psycho-emotional aspects = worry, excessive thinking, pensiveness, obsessiveness, remorse, regret, thinking, pensiveness, obsessiveness, remorse, regret, obsessions, and self-doubtobsessions, and self-doubt

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Heart (Fire/Yin)Heart (Fire/Yin)

– Paired organ = small intestinesPaired organ = small intestines

– Color = red with slight blue tintColor = red with slight blue tint

– Peak hours = 11am – 1pmPeak hours = 11am – 1pm

– Functions and influences = pulse/circulation, house Functions and influences = pulse/circulation, house of the spirit; dominates sleep, love, joy, of the spirit; dominates sleep, love, joy, forgiveness, courtesyforgiveness, courtesy

– Psycho-emotional aspects = inability to fall asleep, Psycho-emotional aspects = inability to fall asleep, disturbed sleep, excessive dreaming, guilt, hate, disturbed sleep, excessive dreaming, guilt, hate, shock, nervousness, excitement, longing, cravingshock, nervousness, excitement, longing, craving

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Small Intestines (Fire/Yang)Small Intestines (Fire/Yang)

– Paired organ = heartPaired organ = heart

– Color = pinkColor = pink

– Peak hours = 1pm – 3pmPeak hours = 1pm – 3pm

– Functions and influences = absorbs nutrients, Functions and influences = absorbs nutrients, digestion and elimination, mental clarity, judgment, digestion and elimination, mental clarity, judgment, powers of discernmentpowers of discernment

– Psycho-emotional aspects = inability to distinguish Psycho-emotional aspects = inability to distinguish relevant issues with clarity before making a relevant issues with clarity before making a decisiondecision

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Bladder (Water/Yang)Bladder (Water/Yang)

– Paired organ = kidneysPaired organ = kidneys

– Color = deep blueColor = deep blue

– Peak hours = 3pm – 5pmPeak hours = 3pm – 5pm

– Functions and influences = stores and eliminates Functions and influences = stores and eliminates urineurine

– Psycho-emotional aspects = habitual fear, lack of Psycho-emotional aspects = habitual fear, lack of decision making, diminished moral character. decision making, diminished moral character. When chronic, jealousy, suspicion, holding When chronic, jealousy, suspicion, holding longstanding grudgeslongstanding grudges

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Kidney (Water/Yin)Kidney (Water/Yin)

– Paired organ = bladderPaired organ = bladder

– Color = light flame blueColor = light flame blue

– Peak hours = 5pm – 7pmPeak hours = 5pm – 7pm

– Functions and influences = controls sexual and Functions and influences = controls sexual and reproductive functions, filters the blood; courage reproductive functions, filters the blood; courage and willpower, drive and strengthand willpower, drive and strength

– Psycho-emotional aspects = fear and paranoia, Psycho-emotional aspects = fear and paranoia, loneliness, insecurityloneliness, insecurity

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Pericardium (Fire/Yin)Pericardium (Fire/Yin)

– Paired organ = triple burnerPaired organ = triple burner

– Color = purple redColor = purple red

– Peak hours = 7pm – 9pmPeak hours = 7pm – 9pm

– Functions and influences = Protects the heart; Functions and influences = Protects the heart; creates feelings of joy and/or pleasurecreates feelings of joy and/or pleasure

– Psycho-emotional aspects = radical fluctuations in Psycho-emotional aspects = radical fluctuations in energy caused by emotional ups and downs of the energy caused by emotional ups and downs of the dayday

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Triple Burner (Fire/Yang)Triple Burner (Fire/Yang)

– Paired organ = pericardiumPaired organ = pericardium

– Color = orange redColor = orange red

– Peak hours = 9pm – 11pmPeak hours = 9pm – 11pm

– Functions and influences = regulates Functions and influences = regulates transformation and transportation of bodily fluids; transformation and transportation of bodily fluids; lifts depression, consciousness, kindheartednesslifts depression, consciousness, kindheartedness

– Psycho-emotional aspects = disharmony, Psycho-emotional aspects = disharmony, depression, sadnessdepression, sadness

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Gallbladder (Wood/Yang)Gallbladder (Wood/Yang)

– Paired organ = liverPaired organ = liver

– Color = yellow greenColor = yellow green

– Peak hours =11pm – 1amPeak hours =11pm – 1am

– Functions and influences = stores and excretes Functions and influences = stores and excretes bile, one of the extraordinary organs; decisions bile, one of the extraordinary organs; decisions and judgment, courage, and initiativeand judgment, courage, and initiative

– Psycho-emotional aspects = wake up suddenly, Psycho-emotional aspects = wake up suddenly, timid, indecisive, easily discouraged by slight timid, indecisive, easily discouraged by slight adversityadversity

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Liver (Wood/Yin)Liver (Wood/Yin)

– Paired organ = gallbladderPaired organ = gallbladder

– Color = deep greenColor = deep green

– Peak hours = 1am – 3amPeak hours = 1am – 3am

– Functions and influences = stores the blood, Functions and influences = stores the blood, governs the free flow of qi; kindness, compassion, governs the free flow of qi; kindness, compassion, generosity, creativitygenerosity, creativity

– Psycho-emotional aspects = frustration, jealousy, Psycho-emotional aspects = frustration, jealousy, rage, depression, anger, irritabilityrage, depression, anger, irritability

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Lung (Metal/Yin)Lung (Metal/Yin)

– Paired organ = large intestinesPaired organ = large intestines

– Color = pure whiteColor = pure white

– Peak hours = 3am – 5amPeak hours = 3am – 5am

– Functions and influences = accepts pure fluids from Functions and influences = accepts pure fluids from spleen, which are then mixed with air and circulated spleen, which are then mixed with air and circulated through the meridians; self-preservation, through the meridians; self-preservation, righteousness, dignity, integrity, high self-esteemrighteousness, dignity, integrity, high self-esteem

– Psycho-emotional aspects = disappointment, sadness, Psycho-emotional aspects = disappointment, sadness, grief, despair, anxiety, shame, and sorrowgrief, despair, anxiety, shame, and sorrow

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12 Meridians and Corresponding 12 Meridians and Corresponding Elements, Cont’dElements, Cont’d Large Intestines (Metal/Yang)Large Intestines (Metal/Yang)

– Paired organ = lungsPaired organ = lungs

– Color = off whiteColor = off white

– Peak hours = 5am – 7amPeak hours = 5am – 7am

– Functions and influences = absorption of Functions and influences = absorption of fluids/elimination of solid wastefluids/elimination of solid waste

– Psycho-emotional aspects = physical weakness, Psycho-emotional aspects = physical weakness, emotional introversion, depression, irritability, emotional introversion, depression, irritability, discouragement, distress, apathydiscouragement, distress, apathy

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TerminologyTerminology

Chakras – store and activate our emotionsChakras – store and activate our emotions Tsubos – acupressure pointTsubos – acupressure point Accupoints – points of the body that influenced or Accupoints – points of the body that influenced or

are influenced by body energyare influenced by body energy Ashi points – reactive points in Chinese modalitiesAshi points – reactive points in Chinese modalities

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ChakrasChakrasChakraChakra OrganOrgan ElementElement ColorColor EmotionEmotion

1. Base or 1. Base or RootRoot

SpineSpine EarthEarth RedRed Survival, physical Survival, physical relationships, relationships,

concepts, patterns, concepts, patterns, fight or flightfight or flight

2. Spleen2. Spleen GonadsGonads WaterWater OrangeOrange Relationships, Relationships, expression of expression of

emotions, pleasure, emotions, pleasure, movement, sensationmovement, sensation

3. Solar 3. Solar PlexusPlexus

Muscles, adrenal Muscles, adrenal glands, liver, glands, liver,

spleen, spleen, gallbladder, gallbladder,

lumbar vertebrae, lumbar vertebrae, pancreaspancreas

FireFire YellowYellow Metabolic energy Metabolic energy through the body, through the body,

personal personal empowermentempowerment

4. Heart4. Heart Heart, thymus Heart, thymus gland; endocrine, gland; endocrine,

circulatory circulatory systemssystems

AirAir Green Green (sometimes (sometimes

pink)pink)

Ability to express love Ability to express love and unconditional and unconditional

lovelove

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Chakras, Cont’dChakras, Cont’d

ChakraChakra OrganOrgan ElementElement ColorColor EmotionEmotion

5. Throat5. Throat Thyroid, Thyroid, parathyroid, parathyroid,

neckneck

SoundSound BlueBlue Communication, Communication, higher creativityhigher creativity

6. Third Eye6. Third Eye Eyes, ears, Eyes, ears, nose, pineal nose, pineal

gland, gland, pituitary glandpituitary gland

LightLight IndigoIndigo Light, color, Light, color, seeing, greatest seeing, greatest teacher of fear teacher of fear

and loveand love

7. Crown 7. Crown CenterCenter

Pituitary Pituitary GlandGland

ThoughtThought VioletViolet Mind and brainMind and brain

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Eastern Modality AssessmentsEastern Modality Assessments

LookLook ListenListen AskAsk PalpatePalpate

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Pathologies and MeridiansPathologies and Meridians

MeridianMeridian ManifestationManifestationLung Meridian Lung Meridian

Cough, asthma, congested and sore throat, a Cough, asthma, congested and sore throat, a sensation of fullness in the chest. Pain in the sensation of fullness in the chest. Pain in the shoulder, back, and anterior border of the medial shoulder, back, and anterior border of the medial aspect of the arm, heat in the wrist and/or palms, aspect of the arm, heat in the wrist and/or palms, shortness of breath, enuresis, and frequency of shortness of breath, enuresis, and frequency of urination.urination.

Large Intestine MeridianLarge Intestine Meridian

Watery nasal discharge, toothache, congested and Watery nasal discharge, toothache, congested and sore throat, pain in the neck, anterior part of the sore throat, pain in the neck, anterior part of the shoulder and anterior border of the lateral aspect of shoulder and anterior border of the lateral aspect of the upper limb, abdominal pain, diarrhea, and the upper limb, abdominal pain, diarrhea, and dysentery, toothache and/or coldness in the teeth, dysentery, toothache and/or coldness in the teeth, deafness, a feeling of compression in the chest deafness, a feeling of compression in the chest and/or diaphragm.and/or diaphragm.

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Pathologies and Meridians, Cont’dPathologies and Meridians, Cont’d

Stomach MeridianStomach Meridian Abdominal distension, edema, vomiting, hunger, Abdominal distension, edema, vomiting, hunger, congested and sore throat, pain in the chest, in the congested and sore throat, pain in the chest, in the abdomen, and in the lateral aspect of the lower abdomen, and in the lateral aspect of the lower limbs, fever, and mania, emotional disorder such as limbs, fever, and mania, emotional disorder such as depression or manic behavior, muscular atrophy, depression or manic behavior, muscular atrophy, weakness in the lower limb or atrophy, congested weakness in the lower limb or atrophy, congested and sore throat, sudden hoarseness.and sore throat, sudden hoarseness.

Spleen MeridianSpleen Meridian Belching, vomiting, abdominal distension, loose Belching, vomiting, abdominal distension, loose stools, jaundice, heaviness of the body, stiffness stools, jaundice, heaviness of the body, stiffness and pain in the root of the tongue, abdominal and pain in the root of the tongue, abdominal spasm, cholera with vomiting and/or diarrhea.spasm, cholera with vomiting and/or diarrhea.

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Pathologies and Meridians, Cont’dPathologies and Meridians, Cont’d

Heart MeridianHeart Meridian Cardiac pain, palpitations, hypochondriac pain, Cardiac pain, palpitations, hypochondriac pain, insomnia, night sweating, dryness of the throat, insomnia, night sweating, dryness of the throat, thirst, pain in the medial aspect of the upper arm thirst, pain in the medial aspect of the upper arm and heat sensation in the palms, fullness in the and heat sensation in the palms, fullness in the chest and/or diaphragm. chest and/or diaphragm.

Small Intestine MeridianSmall Intestine Meridian Deafness, yellow sclera, sore throat, swelling of the Deafness, yellow sclera, sore throat, swelling of the cheeks, distension and pain in the lower abdomen cheeks, distension and pain in the lower abdomen and pain in the posterior and lateral border of the and pain in the posterior and lateral border of the aspect of the shoulder and arm, joint weakness, aspect of the shoulder and arm, joint weakness, atrophy, motor impairment of the elbow, warts. atrophy, motor impairment of the elbow, warts.

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Pathologies and Meridians, Cont’dPathologies and Meridians, Cont’d

Bladder MeridianBladder Meridian Retention of urine, manic and depressive mental Retention of urine, manic and depressive mental disorders, pain in the eyes, nasal congestion, disorders, pain in the eyes, nasal congestion, watery nasal discharge, headache, pain in the back watery nasal discharge, headache, pain in the back along the channel.along the channel.

Kidney MeridianKidney Meridian Frequent urination, nighttime bedwetting, Frequent urination, nighttime bedwetting, impotence, irregular menstruation, asthmatic impotence, irregular menstruation, asthmatic breathing, dryness of the tongue, congested and breathing, dryness of the tongue, congested and sore throat, edema, pain in the lumbar region, sore throat, edema, pain in the lumbar region, weakness in the lower limbs and heat sensation in weakness in the lower limbs and heat sensation in the soles of the feet, low back pain, mental the soles of the feet, low back pain, mental restlessness. restlessness.

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Pathologies and Meridians, Cont’dPathologies and Meridians, Cont’d

Pericardium MeridianPericardium Meridian Cardiac pain, palpitations, mental restlessness, Cardiac pain, palpitations, mental restlessness, stuffiness in the chest, flushed face, swelling in the stuffiness in the chest, flushed face, swelling in the axilla, depressive and manic mental disorders, axilla, depressive and manic mental disorders, spasm of the upper limbs and heat sensation in the spasm of the upper limbs and heat sensation in the palms, cardiac pain. palms, cardiac pain.

Triple Burner MeridianTriple Burner Meridian Abdominal distension, edema, enuresis, painful Abdominal distension, edema, enuresis, painful urination, deafness, ringing in the ears, swelling of urination, deafness, ringing in the ears, swelling of the cheeks, congested and sore throat, pain in the the cheeks, congested and sore throat, pain in the shoulder, and lateral aspect of the chest, shoulder, and lateral aspect of the chest, hypochondria. hypochondria.

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Pathologies and Meridians, Cont’dPathologies and Meridians, Cont’dLiver MeridianLiver Meridian Low back pain, fullness in the chest, pain in the Low back pain, fullness in the chest, pain in the

lower abdomen, hernia, dryness of the throat, lower abdomen, hernia, dryness of the throat, hiccups, painful urination, mental disturbance, hiccups, painful urination, mental disturbance, itching in the pubic region, swelling of the testicles, itching in the pubic region, swelling of the testicles, hernia. hernia.

Gallbladder MeridianGallbladder Meridian Headache, pain in the jaw, blurring of vision, bitter Headache, pain in the jaw, blurring of vision, bitter taste in the mouth, swelling and pain in the taste in the mouth, swelling and pain in the supraclavicular fossa, pain in the axilla, pain along supraclavicular fossa, pain in the axilla, pain along the lateral aspect of the chest, coldness in the foot, the lateral aspect of the chest, coldness in the foot, paralysis in the lower limbs, inability to stand erect.paralysis in the lower limbs, inability to stand erect.

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