Theo
Personalized Profile

Theo's TCVM Pattern Analysis

Based on observed signs, age of onset, and seizure history. Educational analysis — confirm with your TCVM vet.

Onset Age
27 mo
~2.25 years
Weight
87 lb
Large breed
Documented Triggers
Pressure
Barometric drops
Logged Clusters
7
Jul 2025 – Mar 2026
Observed Signs & Pattern Match

Each finding mapped to its TCVM significance

Reactive Behavior
Classic Liver Qi Stagnation with Liver Yang rising. In TCVM, irritability, bossiness, and reactivity are hallmark signs of Wood-constitution dogs with this pattern.
→ Phlegm-Fire pattern
Onset at 27 Months
Adult-onset epilepsy is consistent with Excess patterns (Phlegm-Fire) emerging in young adulthood. Earlier onset (under 18 months) would point more toward Kidney Jing Deficiency.
→ Excess pattern (not Jing Deficiency)
Barometric Sensitivity
Weather-triggered seizures strongly suggest Internal Wind — a defining feature of Liver-pattern epilepsy. "Wind" in TCVM is classically aggravated by atmospheric Wind/pressure changes.
→ Liver Wind / Phlegm-Fire
Healthy Coat
Rules out Liver Blood Deficiency as a primary pattern. Blood Deficiency would manifest as dull, dry, brittle coat with dandruff. Theo's healthy coat indicates Blood is still well-nourished.
→ Excludes Blood Deficiency
Brittle Nails
Without an accompanying dull coat, this likely reflects early/mild Liver Yin involvement rather than Blood Deficiency. Yin nourishes nails and may show signs before coat. Could also be local nail issues or nutrition-related.
→ Watch for emerging Yin Deficiency
PRIMARY PATTERN
Liver Qi Stagnation with Internal Profusion of Phlegm-Fire
High Confidence Match

Theo's profile fits this Excess pattern very strongly. Wood-constitution dogs with reactive behavior, weather-sensitive seizures, and healthy nourishment status (good coat) are the classic presentation. The Chrisman 2015 paper in AJTCVM describes exactly this picture.

Watch for emergence of: Mild Liver Yin Deficiency. The brittle nails are an early signal. Watch for night-time seizure clustering, dry eyes, or warm ears developing over time. Periodic re-assessment with your TCVM vet (every 6–12 months) is recommended.

Confirm With Your TCVM Vet

Tongue and pulse diagnosis is needed to confirm. Check these signs over the next few days and bring observations to your appointment.

📋 Signs that confirm Phlegm-Fire (check what applies)
If 5 or more are checked, the Phlegm-Fire diagnosis is essentially confirmed.
⚠ Signs to watch for (emerging Yin Deficiency)
If 2 or more emerge over time, the pattern may be shifting — book a TCVM re-assessment.
Recommended Acupoints for Theo

Your vet's prescribed core points + pattern-specific additions for Phlegm-Fire

★ Core (vet prescribed — every session)
🔥 Pattern-Specific Add-Ons (Phlegm-Fire) — Ask vet to consider
Herbal Formula Discussion

Per the Chrisman 2015 paper protocol — discuss these with your TCVM vet

PRIMARY
Long Dan Xie Gan
Gentiana Drain the Liver Decoction
Drains Liver/Gallbladder fire, clears damp-heat, addresses the reactive component
First-line formula for Phlegm-Fire pattern in the Chrisman protocol
COMBINED WITH
Di Tan Tang
Scour Phlegm Decoction
Transforms phlegm, opens orifices, extinguishes wind, calms Shen
Always combined with Long Dan Xie Gan for Phlegm-Fire pattern
IF YIN DEFICIENCY EMERGES
Yang Yin Xi Feng
Nourish Yin Extinguish Wind
Nourishes Liver and Kidney Yin, anchors rising Yang
Switch or combine if pattern shifts to Yin Deficiency over time

All formulas available from Jing Tang Herbal. Standard dose: ~0.5g per 10–20 lbs body weight (so for Theo at 87 lb, approximately 4–5g per dose).

Food Therapy for Phlegm-Fire

Cooling and phlegm-resolving foods to support Theo's pattern

Foods to Add / Favor
  • Cooling proteins: turkey, duck, sardines, deep ocean fish, clams
  • Phlegm-resolving grains: barley, brown rice
  • Liver-cooling vegetables: dandelion greens, celery, broccoli, asparagus, spinach, bok choy, Chinese cabbage
  • Cooling fruits: watermelon, banana, lemon (small amounts)
  • Other: tofu, mushrooms, seaweed, alfalfa sprouts, cucumbers
Foods to Avoid / Reduce
  • Warming proteins: lamb, chicken, venison, beef (will aggravate Heat)
  • Phlegm-generating: dairy, fatty foods, processed grains
  • Heating spices: ginger, cinnamon, garlic in large amounts
  • Stimulants: any caffeinated foods, sugar, processed treats
  • Greasy foods: create dampness/phlegm
Questions to Ask Your Vet

Bring this list to your next appointment

  1. Based on tongue and pulse, do you confirm Liver Qi Stagnation with Phlegm-Fire as Theo's primary pattern?
  2. Are there any signs of emerging Yin Deficiency that we should address now?
  3. Should we add LIV-3, GV-14, GB-34, PC-6, and ST-40 to the acupressure protocol given the Phlegm-Fire pattern?
  4. Would you recommend Long Dan Xie Gan + Di Tan Tang per the Chrisman 2015 protocol?
  5. How should we adjust food therapy — any concerns about the cooling foods conflicting with current diet?
  6. What's the appropriate re-assessment interval to watch for pattern shifts? (Typically 6–12 months)
  7. Any concerns about herbal interactions with current medications/supplements?
  8. Should we consider aqua-acupuncture with B-12 as the Chrisman paper describes for additional benefit?
Sources
  • Chrisman CL. Traditional Chinese Veterinary Medicine for Idiopathic Epilepsy in Dogs. AJTCVM Vol 10, No.1, February 2015. The Chi Institute of Traditional Chinese Medicine.
  • VIN.com — TCVM seizure literature reference
  • IVC Journal — TCVM Challenging Illnesses Part 1: Seizures
  • Xie's Veterinary Acupuncture (Xie & Priest, Blackwell Publishing)

Points are listed in order of therapeutic impact for canine idiopathic epilepsy. Tier 1 points are used during and immediately after seizures. Lower tiers provide ongoing constitutional support. Click any point to expand full location guidance.

★ Gold border  indicates points specifically prescribed by your veterinarian. Prioritize these in every session.

Filter: Type — | Tier — Showing 24 of 24

🚨 During an Active Seizure

GV-26 (upper lip midline) and GV-20 (lumbosacral dip) are the two points to apply during a seizure. Press GV-26 firmly with your fingernail. Keep your dog safe from injury first.

KID-1 (plantar hindpaw) can be added simultaneously with GV-26 for synergistic effect — this combination is documented in veterinary literature for emergency resuscitation.

Tier 1

Primary Seizure Points — Direct Anti-Convulsant Effect

#2GV-26
Ren Zhong / Shui Gou
Middle of Man · Upper Lip Philtrum
Emergency Resuscitation
GV26 location GV26 location
Location Details & TCVM Actions
How to Find It
  1. Look at your dog's upper lip — the area between the nostrils and the lip edge
  2. Find the vertical groove running down the center of the upper lip (the philtrum)
  3. The point is at the level of the lower edge of the nostrils, in that groove
  4. During a seizure: press or flick firmly with your fingernail for 10–30 seconds
Think of it as The center of the upper lip groove, level with the bottom of the nose
Location Summary
Clinical LocationOn the nasal philtrum, at the level of the ventral aspect of the nares (lower edge of nostrils), on the midline.
TCVM Actions
Primary emergency resuscitation point · Restores consciousness · Increases heart rate and cardiac output · Documented 88% resuscitation rate in veterinary studies
#3GV-14
Da Zhui
Great Vertebra · Base of Neck
High Impact
GV14 location GV14 location GV14 location
Location Details & TCVM Actions
How to Find It
  1. Run your fingers down the back of your dog's neck toward the shoulders
  2. Find where the neck meets the body — there's a prominent bony bump (top of T1 spinous process)
  3. GV-14 is in the depression just IN FRONT of (cranial to) that first big bump
  4. It's right at the base of the neck, on the midline
Think of it as The dip just before the shoulders begin, at the neck-body junction
Location Summary
Clinical LocationIn the depression cranial to the spinous process of T1 (first thoracic vertebra), on the dorsal midline. Meeting point of all Yang meridians.
TCVM Actions
Clears heat · Expels wind · Calms Shen · Boosts immune response · Meeting point of all Yang channels
#5GV-1
Chang Qiang
Long Strong · Tail Tip
GV1 location
Location Details & TCVM Actions
How to Find It
  1. Go to the very tip of your dog's tail
  2. Lift the tail gently
  3. Feel on the underside for the small depression between the last tail bone and the anus
  4. Press gently into that soft spot
Think of it as The underside tip of the tail — the opposite end of the GV channel from GV-20
Location Summary
Clinical LocationIn the depression between the tip of the coccyx and the anus, on the ventral midline of the tail.
TCVM Actions
Grounds Yang energy · Calms internal wind · Complements GV-20 as the opposite GV pole
Tier 2

Neurological & Wind-Extinguishing Points

#6GV-17
Nao Hu
Brain's Door · Occipital Protuberance
GV17 location GV17 location GV17 location
Location Details & TCVM Actions
How to Find It
  1. Feel the back of your dog's skull with your fingertips along the midline
  2. Slide backward until you feel a bony bump rise up at the center back of the head
  3. GV-17 is in the depression right at the peak of that bump, dead center
Think of it as The center dip at the very back of the skull bump
Location Summary
Clinical LocationIn the depression at the external occipital protuberance, on the dorsal midline of the skull.
TCVM Actions
Directly benefits the brain (Nao = brain) · Calms wind · Supports consciousness · Neurological disorders
#8LIV-3
Tai Chong
Supreme Surge · Hindpaw Dorsal
LIV3 location LIV3 location LIV3 location
Location Details & TCVM Actions
How to Find It
  1. Pick up your dog's back paw and look at the TOP (dorsal) surface
  2. Find the gap between the 1st and 2nd toes (the two innermost toes)
  3. Slide your finger up from that gap toward the ankle
  4. You'll feel it drop into a valley before hitting the foot bones — that's LIV-3
Think of it as The web space between the first two toes on the back foot, slid up toward the ankle
Location Summary
Clinical LocationDorsal hindpaw, in the depression proximal to the junction of the 1st and 2nd metatarsal bones. Source point of the Liver channel.
TCVM Actions
Subdues Liver Yang · Extinguishes Liver Wind · Addresses the root organ of most epilepsy patterns · Source point of Liver channel
#9GB-34
Yang Ling Quan
Yang Mound Spring · Outer Stifle
GB34 location GB34 location
Location Details & TCVM Actions
How to Find It
  1. Feel the outside of your dog's back knee (stifle)
  2. Find the small bony bump on the outer side of the knee — the fibular head
  3. GB-34 is in the depression just BELOW and slightly IN FRONT of that bump
Think of it as The dip just below and in front of the outer knee bump on the back leg
Location Summary
Clinical LocationLateral hindlimb, in the depression cranial and distal to the head of the fibula. Influential point for all sinew/tendon conditions.
TCVM Actions
Benefits Liver and Gallbladder · Spreads Qi · Influential point for all sinew disorders
Tier 3

Shen-Calming Points — Post-Seizure & Anxiety

#10HT-7
Shen Men
Spirit Gate · Medial Carpal Crease
HT7 location HT7 location
Location Details & TCVM Actions
How to Find It
  1. Hold your dog's front paw with the INSIDE (medial side) facing you
  2. Look at the wrist crease — where the paw bends
  3. Go to the little-finger side (outer/ulnar edge) of that crease
  4. Feel for a small depression right at the wrist crease edge
Think of it as The pinky-side corner of the front wrist crease
Location Summary
Clinical LocationOn the transverse carpal crease, at the ulnar (lateral/pinky) side of the medial aspect of the forelimb. Between the flexor carpi ulnaris tendon and the ulna.
TCVM Actions
Primary Shen-calming point · Nourishes Heart Blood · Quiets the mind · "Spirit Gate" — directly addresses neurological calm
#11PC-6
Nei Guan
Inner Pass · Medial Foreleg
PC6 location PC6 location
Location Details & TCVM Actions
How to Find It
  1. Hold your dog's front leg with the inside (soft underside) facing up
  2. Find the wrist crease
  3. Move UP the leg about 2 finger-widths above that crease
  4. Press gently between the two tendons running down the center of the inner foreleg
Think of it as 2 finger-widths up from the inner wrist, between the tendons
Location Summary
Clinical LocationMedial forelimb, 2 cun proximal to the transverse carpal crease, between the flexor carpi radialis and palmaris longus tendons.
TCVM Actions
Calms Shen · Opens chest · Regulates Heart · Frequently paired with HT-7 for neurological calming
#12GV-24
Shen Ting
Spirit Court · Dorsal Skull
GV24 location GV24 location GV24 location GV24 location
Location Details & TCVM Actions
How to Find It
  1. Find the midline of your dog's skull on top of the head
  2. Move forward toward the face until you reach the "stop" — where the forehead meets the muzzle
  3. GV-24 is just behind (above) that stop, on the midline of the top of the skull
Think of it as The forehead midline, just above where the face dips down
Location Summary
Clinical LocationOn the dorsal midline of the skull, just caudal to the stop (frontonasal junction). On the sagittal crest area.
TCVM Actions
Calms Shen · Benefits the brain · Post-ictal confusion · Anxiety and restlessness
Tier 4

Organ Support Points — Liver, Kidney & Blood

#13BL-18
Gan Shu
Liver Shu · T9 Paraspinal Bilateral
Bilateral
BL18 location BL18 location
Location Details & TCVM Actions
How to Find It
  1. Stand beside your dog and find the spine along the back
  2. Find the shoulder blade — BL-18 is roughly at the REAR (caudal) edge of the shoulder blade
  3. Move 1–2 finger-widths off the midline to each side
  4. Press in the muscle groove beside the spine at that level — both sides
Think of it as Beside the spine at the rear edge of the shoulder blade, both sides
Location Summary
Clinical Location1.5 cun lateral to the dorsal midline, level with the caudal border of the T9 spinous process. Bilateral. Back-Shu point for the Liver.
TCVM Actions
Liver Back-Shu point · Directly tonifies and regulates the Liver · Essential for all Liver-pattern epilepsies
#14BL-17
Ge Shu
Diaphragm Shu · T7 Paraspinal Bilateral
Bilateral
BL17 location BL17 location BL17 location
Location Details & TCVM Actions
How to Find It
  1. Find BL-18 first (rear edge of shoulder blade, beside spine)
  2. Move TWO vertebrae FORWARD (toward the head) from BL-18
  3. You're now at approximately the MID-point of the shoulder blade
  4. Same distance off midline — 1–2 finger-widths each side
Think of it as Beside the spine at the middle of the shoulder blade, both sides — two vertebrae forward from BL-18
Location Summary
Clinical Location1.5 cun lateral to the dorsal midline, level with the caudal border of the T7 spinous process. Bilateral. Influential point for Blood.
TCVM Actions
Nourishes Blood · Influential point for all Blood conditions · Critical for Liver Blood Deficiency pattern
#15BL-23
Shen Shu
Kidney Shu · L2 Paraspinal Bilateral
Bilateral
BL23 location BL23 location BL23 location
Location Details & TCVM Actions
How to Find It
  1. Find GV-20 (the lumbosacral dip at the tail base)
  2. Count about 3–4 vertebrae FORWARD (toward the head) from there
  3. You're now in the lumbar area — roughly at your dog's waist
  4. Move 1–2 finger-widths off the midline to each side, into the thick lumbar muscle
Think of it as Beside the spine at the waist/lumbar area, both sides
Location Summary
Clinical Location1.5 cun lateral to the dorsal midline, level with the caudal border of the L2 spinous process. Bilateral. Back-Shu point for the Kidneys.
TCVM Actions
Kidney Back-Shu point · Tonifies Kidney Jing and Yin · Critical for Kidney Jing Deficiency pattern
#16KID-1
Yong Quan
Gushing Spring · Plantar Hindpaw
Emergency Use
KID1 location KID1 location
Location Details & TCVM Actions
How to Find It
  1. Turn your dog's back paw over so you see the BOTTOM (sole)
  2. Look at the large central pad
  3. KID-1 is in the soft tissue just BEHIND (proximal to) that big central pad
  4. Press into the center of the sole, just above the pad
Think of it as The center of the back paw sole, just above the big pad
Location Summary
Clinical LocationPlantar surface of the hindpaw, in the depression proximal to the large central metatarsal pad. Only Kidney channel point on the sole.
TCVM Actions
Grounds rising Yang · Anchors Wind · Tonifies Kidney Yin · Synergistic with GV-26 for emergency use · Pulls excess energy downward
#17KID-3
Tai Xi
Great Stream · Medial Ankle
KID3 location KID3 location
Location Details & TCVM Actions
How to Find It
  1. Feel the inside (medial side) of your dog's back ankle
  2. Find the bony bump of the inner ankle (medial malleolus)
  3. Find the Achilles tendon running down the back of the leg
  4. KID-3 is in the depression BETWEEN those two — the inner ankle bump and the Achilles
Think of it as The soft dip between the inner ankle bone and the heel tendon, back leg
Location Summary
Clinical LocationMedial hindlimb, in the depression between the medial malleolus and the calcaneal (Achilles) tendon. Source point of the Kidney channel.
TCVM Actions
Source point of Kidney channel · Tonifies Kidney Yin and Jing · Pairs with LIV-3 for Liver-Kidney Yin deficiency
Tier 5

Phlegm, Damp & Channel-Opening Points

#18ST-40
Feng Long
Abundant Bulge · Lateral Mid-Shin
ST40 location ST40 location
Location Details & TCVM Actions
How to Find It
  1. Find the outside of your dog's back leg
  2. Find the midpoint between the back of the knee (stifle) and the ankle (hock)
  3. Move one finger-width to the outside of the shin bone (tibia)
  4. Press into the muscle there
Think of it as The outer mid-shin of the back leg
Location Summary
Clinical LocationLateral hindlimb, at the midpoint between the stifle and hock, one finger-width lateral to the tibial crest.
TCVM Actions
Primary phlegm-resolving point in all of TCVM · Essential for Phlegm-Fire epilepsy pattern · Transforms dampness
#19LU-7
Lie Que
Broken Sequence · Radial Forelimb
LU7 location LU7 location LU7 location
Location Details & TCVM Actions
How to Find It
  1. Hold the front leg with the INSIDE (thumb side / medial) facing up
  2. Find the wrist crease
  3. Move up about 1.5 finger-widths toward the elbow
  4. Feel for the small groove just above the bony wrist bump on the thumb side
Think of it as Just above the inner wrist bump on the thumb side of the front leg
Location Summary
Clinical LocationMedial forelimb, 1.5 cun proximal to the transverse carpal crease, in the groove between the brachioradialis and the abductor pollicis longus.
TCVM Actions
Opens the Governing Vessel channel · Descends Lung Qi · Useful when phlegm and dampness are factors · Classic pairing with KID-6
#20SP-6
San Yin Jiao
Three Yin Intersection · Medial Hindleg
SP6 location SP6 location
Location Details & TCVM Actions
How to Find It
  1. Find the inner ankle bone on the back leg
  2. Move UP the leg about 3 finger-widths from that bump
  3. Press into the soft tissue just BEHIND (caudal to) the shin bone at that level
Think of it as 3 finger-widths above the inner ankle, behind the shin bone
Location Summary
Clinical LocationMedial hindlimb, 3 cun proximal to the medial malleolus, caudal to the medial border of the tibia. Meeting point of Liver, Spleen, and Kidney channels.
TCVM Actions
Nourishes Blood and Yin · Resolves dampness · Meeting point of 3 Yin channels — broad supportive effect across all deficiency patterns
#21KID-6
Zhao Hai
Shining Sea · Below Medial Malleolus
KID6 location KID6 location KID6 location
Location Details & TCVM Actions
How to Find It
  1. Find the inner ankle bone (medial malleolus) on the back leg
  2. KID-6 is just BELOW that bump — about 1 finger-width directly underneath it
  3. Press into the soft tissue there
Think of it as Just below the inner ankle bone, back leg
Location Summary
Clinical LocationMedial hindlimb, 1 cun inferior to the tip of the medial malleolus.
TCVM Actions
Opens Yin Qiao vessel · Classic pairing with LU-7 · Nourishes Yin · Calms Shen
Tier 6

Constitutional Support Points

#22ST-36
Zu San Li
Leg Three Miles · Lateral Hindleg
ST36 location ST36 location
Location Details & TCVM Actions
How to Find It
  1. Find the outside of your dog's back leg just below the knee (stifle)
  2. Move about 3 finger-widths down from the knee
  3. Press just to the OUTSIDE of the shin bone (tibial crest)
  4. You're in the meaty muscle of the outer lower leg
Think of it as 3 finger-widths below the outer back knee, beside the shin bone
Location Summary
Clinical LocationLateral hindlimb, 3 cun distal to the lateral aspect of the stifle, lateral to the tibial crest. Master tonification point.
TCVM Actions
Master tonification point · Builds Qi and Blood · Strengthens constitution · Supports recovery between seizure clusters
#23LIV-8
Qu Quan
Crooked Spring · Medial Stifle
LIV8 location LIV8 location LIV8 location
Location Details & TCVM Actions
How to Find It
  1. Bend your dog's back knee slightly
  2. Find the INSIDE of the knee crease (medial popliteal crease)
  3. LIV-8 is in the depression at the very inner end of that crease
Think of it as The soft dip at the inside end of the back knee crease
Location Summary
Clinical LocationMedial hindlimb, in the depression at the medial end of the popliteal crease, between the tendons of semitendinosus and semimembranosus.
TCVM Actions
Nourishes Liver Blood and Yin · Specific for Liver Blood/Yin deficiency patterns
#24BL-15
Xin Shu
Heart Shu · T5 Paraspinal Bilateral
Bilateral
BL15 location BL15 location
Location Details & TCVM Actions
How to Find It
  1. Find BL-17 (mid shoulder blade, beside spine)
  2. Move TWO vertebrae FORWARD (toward the head) from BL-17
  3. You're now at the FRONT (cranial) edge of the shoulder blade
  4. Same 1–2 finger-widths off the midline, both sides
Think of it as Beside the spine at the front edge of the shoulder blade, both sides
Location Summary
Clinical Location1.5 cun lateral to the dorsal midline, level with the caudal border of the T5 spinous process. Bilateral. Back-Shu point for the Heart.
TCVM Actions
Heart Back-Shu point · Calms Shen · Nourishes Heart · Supports HT-7 effect at a deeper constitutional level
What the Tiers Mean
Tier 1
Primary Seizure Points

The most powerful anti-convulsant points. Used during and immediately after a seizure. GV-20 and GV-26 are the two to reach for first in any emergency. These should be in every session.

Tier 2
Wind-Extinguishing & Neurological Points

Address the root mechanism of seizures in TCVM theory — "internal wind" stirred by Liver imbalance. These calm the nervous system, benefit the brain, and reduce seizure frequency over time.

Tier 3
Shen-Calming Points

Shen means mind or spirit. These points reduce post-ictal anxiety, restlessness, and confusion. Best used after the dog is stable — they help the nervous system settle and recover.

Tier 4
Organ Support Points

Target the underlying organ imbalances that drive epilepsy — Liver, Kidney, and Heart. Selected based on your dog's specific TCVM pattern (e.g. Liver Blood Deficiency vs Kidney Jing Deficiency).

Tier 5
Phlegm, Damp & Channel-Opening Points

Clear phlegm-fire (a key driver in the most common epilepsy pattern), resolve dampness, and open blocked channels. ST-40 is the single most important phlegm point in all of TCVM.

Tier 6
Constitutional Support Points

Build overall Qi, Blood, and vitality between seizure episodes. These strengthen the dog's baseline health and resilience. ST-36 is the master tonification point of the entire body.

Classical
Classical Veterinary Acupoints

Points documented specifically in traditional veterinary medicine — not found in human acupuncture charts. Historically the most cited points for epilepsy in animals. Da-feng-men is the #1 classical seizure point.

These four points come from traditional veterinary medicine — they are not found in standard human acupuncture charts. They are historically documented specifically for neurological and seizure conditions in animals.

Filter: Type — | Tier — Showing 4 of 4
Classical

Veterinary Classical Acupoints — Epilepsy Specific

LONGHUI
Long-hui
Dragon's Meeting · Lumbosacral Region
Classical Veterinary
Long-hui location Long-hui location
Location Details & TCVM Actions
How to Find It
  1. Find GV-20 — the obvious soft dip at the lumbosacral junction (where back meets tail)
  2. Long-hui is either at that SAME dip or one finger-width FORWARD (toward the head)
  3. In some dogs you can feel two distinct dips — one slightly cranial to the other
  4. Press the entire lumbosacral dip and one finger-width cranial to cover both
Think of it as The lumbosacral dip and just above it — treat the whole zone with GV-20
Location Summary
Clinical LocationOn the dorsal midline at the lumbosacral junction; some texts place it at L6–L7 (slightly cranial to GV-20 at L7–S1). Treat both spaces.
What You'll Feel
In some dogs you'll feel two distinct soft dips — L6–L7 (Long-hui) and L7–S1 (GV-20). Both are therapeutic for epilepsy.
TCVM Actions
Extinguishes internal wind · Stops seizures · Strengthens hindquarters · Grounds excess Yang energy that rises during seizures
Classical Points — Side by Side
Point Plain Location Best Used For Priority
Nao-shu Center of the back-of-skull bump Brain disorders, seizures Part of full session
Da-feng-men Gap where skull meets neck, center #1 classical seizure / wind point ⭐ Highest priority
Long-hui Lumbosacral dip + one finger above Seizures, grounding, hind end Use alongside GV-20
An-shen Both sides of skull base, in groove Post-ictal calm, anxiety, Shen ⭐ Best post-seizure point
What the Tiers Mean
Tier 1
Primary Seizure Points

The most powerful anti-convulsant points. Used during and immediately after a seizure. GV-20 and GV-26 are the two to reach for first in any emergency. These should be in every session.

Tier 2
Wind-Extinguishing & Neurological Points

Address the root mechanism of seizures in TCVM theory — "internal wind" stirred by Liver imbalance. These calm the nervous system, benefit the brain, and reduce seizure frequency over time.

Tier 3
Shen-Calming Points

Shen means mind or spirit. These points reduce post-ictal anxiety, restlessness, and confusion. Best used after the dog is stable — they help the nervous system settle and recover.

Tier 4
Organ Support Points

Target the underlying organ imbalances that drive epilepsy — Liver, Kidney, and Heart. Selected based on your dog's specific TCVM pattern (e.g. Liver Blood Deficiency vs Kidney Jing Deficiency).

Tier 5
Phlegm, Damp & Channel-Opening Points

Clear phlegm-fire (a key driver in the most common epilepsy pattern), resolve dampness, and open blocked channels. ST-40 is the single most important phlegm point in all of TCVM.

Tier 6
Constitutional Support Points

Build overall Qi, Blood, and vitality between seizure episodes. These strengthen the dog's baseline health and resilience. ST-36 is the master tonification point of the entire body.

Classical
Classical Veterinary Acupoints

Points documented specifically in traditional veterinary medicine — not found in human acupuncture charts. Historically the most cited points for epilepsy in animals. Da-feng-men is the #1 classical seizure point.

In TCVM, idiopathic epilepsy is understood as a manifestation of one of five common underlying patterns. Identifying your dog's pattern guides which acupoints, herbs, and supportive care will be most effective. These patterns can also shift over time — many dogs start with an excess pattern (Phlegm-Fire) and progress to a deficiency pattern as the disease and medications take their toll.

📋 How to Use This Tab

Each pattern below lists the signs to look for in plain language. Match what you observe in your dog (between seizures, during seizures, in their general behavior, energy, and physical features) to identify the most likely pattern. Most dogs show a mix — note which features dominate. Always confirm with your TCVM veterinarian — they will use tongue and pulse diagnosis to refine the identification.

1
Liver Qi Stagnation with Internal Profusion of Phlegm-Fire
The most common acute / excess pattern
Excess Pattern Acute / Active Most Common
Behavior & Triggers
  • Stress-triggered seizures — episodes follow excitement, fear, or emotional upset
  • Irritable, aggressive, or anxious between episodes
  • Easily wound up; reactive to noise, strangers, or other dogs
  • Restless, especially in the evening
Physical Signs
  • Red tongue with yellow greasy coating
  • Wiry or slippery pulse
  • Rattling or noisy breathing; possible chest congestion
  • Excessive salivation during or after seizures
  • Possible vomiting or loose stool with mucus
  • Strong body odor; bad breath
  • Often warm to the touch; seeks cool surfaces
Quick test: Is your dog often "wired"? Do seizures happen after stressful events? Do you see thick saliva, a red tongue, or hot ears? → Likely this pattern.
2
Kidney Jing Deficiency
Congenital / developmental or geriatric pattern
Deficiency Pattern Constitutional
Behavior & Onset
  • Very early onset (under 1 year — suggests congenital tendency) or geriatric onset (older dog declining)
  • Genetic / breed predisposition (epilepsy in parents or siblings)
  • Fearful, low confidence, low vitality
  • Easily exhausted; little stamina
  • Slow to learn; cognitive decline in older dogs
Physical Signs
  • Weakness in the hind end — wobbly, knuckling, dragging back legs
  • Poor bone or teeth quality; small stature for breed
  • Pale or slightly purple tongue
  • Deep, weak pulse, especially at the rear/Kidney position
  • Poor coat quality; sparse fur on the spine
  • Cold-seeking; avoids cold floors, prefers warm spots
  • Premature gray on muzzle in young dogs
Quick test: Did seizures start very young or very old? Is your dog physically weak, especially in the rear? Is there a family history? → Likely this pattern.
3
Liver and Kidney Yin Deficiencies
Combined deficiency — common in middle-aged to older dogs
Deficiency Pattern Chronic With Heat
Behavior & Timing
  • Seizures more frequent at night or in the late afternoon
  • Restless at night; pants without exertion
  • Often middle-aged to older dogs
  • Anxious, mildly hyperactive (not aggressive like Phlegm-Fire)
  • Irritability under heat or in warm weather
Physical Signs
  • Dry coat and skin; reduced shedding
  • Dry eyes; reduced tear production
  • Thin tongue with possible cracks; little or no coating
  • Thin, rapid pulse
  • Warm ears, paws, or belly; seeks cool surfaces
  • Increased thirst with small frequent drinks
  • Constipation with dry hard stool
  • Muscle wasting (especially over hips)
Quick test: Do seizures cluster at night? Is your dog dry (coat, eyes) and warm (ears, paws), with a thin tongue? → Likely this pattern.
4
Liver Blood Deficiency
Milder deficiency pattern — common in fatigue-triggered cases
Deficiency Pattern Milder
Behavior & Triggers
  • Seizures triggered by fatigue or overexertion — after long walks, hard play, hot days
  • Timid; startles easily at sudden noises or movement
  • Poor sleep quality; restless dreams (twitches, vocalizes in sleep)
  • Lower energy overall; tires faster than expected
  • Mild anxiety, especially when separated
Physical Signs
  • Pale gums and pale mucous membranes
  • Dull, dry coat; flaky skin
  • Muscle tremors or twitching between seizures (especially in face, legs)
  • Pale, thin tongue
  • Thin, choppy pulse
  • Possible underlying anemia (low red blood cell count)
  • Dry, brittle nails or whiskers
  • Light-colored stool
Quick test: Are seizures triggered by tiredness? Is your dog timid, pale, dull-coated, and showing twitches? → Likely this pattern.
5
Liver Blood, Liver Yin, and Kidney Yin Deficiencies
The most complex / depleted pattern — chronic, long-standing epilepsy
Deficiency Pattern Chronic Most Complex
Behavior & History
  • Long-standing epilepsy that has progressed over years
  • Combined features of patterns 3 and 4 above
  • Reduced quality of life between episodes
  • Slow recovery after each seizure (longer post-ictal phase)
  • Often on multiple anti-seizure medications already
  • Withdrawal; less interest in play, food, or family
Physical Signs
  • Significant muscle wasting and weight loss
  • Severe dryness — coat, eyes, mouth, mucous membranes
  • Very pale or pale-lavender tongue, no coating, possible deep cracks
  • Very thin, rapid pulse; may feel faint or floating
  • Generalized weakness; difficulty rising
  • Heat signs combined with weakness (burnout pattern)
  • Brittle nails, sparse coat, prominent bones
  • Cognitive decline; disorientation
Quick test: Has your dog had epilepsy for years and now shows signs of both Yin and Blood deficiency, with significant wasting? → Likely this pattern.
Pattern Quick-Comparison

The single most distinguishing feature of each pattern

Pattern Type Key Feature Tongue Triggered By
1. Phlegm-Fire Excess Aggression / hyperactivity, thick saliva, heat signs Red, yellow greasy coat Stress, excitement
2. Kidney Jing Deficiency Very young or very old onset; weak hind end Pale or purple Genetic, age decline
3. Liver+Kidney Yin Deficiency + heat Night-time seizures; dry & hot Thin, cracked, peeled Heat, time of day
4. Liver Blood Deficiency (milder) Pallor, twitching, timid, sleep disturbance Pale, thin Fatigue, exertion
5. Combined Blood + Yin Deficiency (severe) Chronic disease, wasting, all of #3 + #4 Very pale-lavender, cracked, no coat Anything; threshold low
Pattern-Specific Acupoint Priorities

Beyond the core seizure points (GV-20, GV-26, Da-feng-men), each pattern has additional priority points

Pattern 1
Phlegm-Fire
ST-40 LIV-3 PC-6 GV-14 GB-34
Resolve phlegm, clear fire, soothe Liver Qi
Pattern 2
Kidney Jing
BL-23 KID-3 KID-1 GV-4 ST-36
Tonify Kidney Jing, build constitutional strength
Pattern 3
Liver + Kidney Yin
LIV-3 LIV-8 KID-3 KID-6 SP-6 BL-18 BL-23
Nourish Liver and Kidney Yin, clear empty heat
Pattern 4
Liver Blood
BL-17 BL-18 LIV-8 SP-6 ST-36 HT-7
Nourish Blood, build Heart and Liver Blood
Pattern 5
Combined Blood + Yin
BL-17 BL-18 BL-23 LIV-8 KID-3 SP-6 ST-36
Comprehensive support — all of patterns 3 + 4
Pattern Evolution Over Time

It is common in TCVM theory for a dog's pattern to shift over the course of their epilepsy:

Early
Phlegm-Fire
Excess pattern in young / robust dogs
Middle
Liver Blood Deficiency
Frequent seizures + medications begin to deplete Blood
Later
Liver + Kidney Yin Deficiency
Heat signs emerge as Yin is consumed
Advanced
Combined Blood + Yin
Full systemic depletion in long-standing cases

This means the points and herbs that worked early on may need to evolve as your dog's pattern shifts. Periodic re-assessment with your TCVM vet (every 6–12 months) is recommended.

Quick Reference — All Points

Complete summary of all points with location in plain language, ordered by therapeutic impact

Filter: Type — | Tier — Showing 28 of 28
# Point Name Plain Location Primary Use
1GV-20Bai HuiSoft dip at the tail base / lumbosacral spacePrimary seizure point
2GV-26Ren ZhongCenter of upper lip groove, at nostril levelEmergency resuscitation
3GV-14Da ZhuiDip just before shoulders begin, neck midlineClears heat, expels wind
GV-21Qian DingOne finger in front of skull's highest midline pointEpilepsy, wind, calms Shen
5GV-1Chang QiangUnderside tip of tailGrounds Yang, calms wind
6GV-17Nao HuCenter dip at the back of skull bumpBenefits brain, calms wind
7GB-20Feng ChiTwo soft spots behind skull, each side of centerMajor wind-expelling point
8LIV-3Tai ChongTop of back paw, 1st–2nd toe web slid up toward ankleSubdues Liver Yang/Wind
9GB-34Yang Ling QuanDip below and in front of outer back knee bumpBenefits Liver/Gallbladder
10HT-7Shen MenPinky-side corner of front wrist creaseCalms Shen, Spirit Gate
11PC-6Nei Guan2 finger-widths up from inner front wrist, between tendonsCalms Shen, regulates Heart
12GV-24Shen TingForehead midline, just above where face dips downPost-ictal calm, brain
13BL-18Gan ShuBeside spine at rear edge of shoulder blade, both sidesLiver Shu — all Liver patterns
14BL-17Ge ShuBeside spine at mid shoulder blade, both sidesNourishes Blood
15BL-23Shen ShuBeside spine at waist/lumbar area, both sidesKidney Shu — Jing/Yin
16KID-1Yong QuanCenter of back paw sole, just above big padGrounds Yang, emergency
17KID-3Tai XiDip between inner ankle bone and Achilles tendonTonifies Kidney Yin/Jing
18ST-40Feng LongOuter mid-shin of back legPrimary phlegm point
19LU-7Lie QueJust above inner wrist bump, thumb side of front legOpens GV channel
20SP-6San Yin Jiao3 finger-widths above inner ankle, behind shin boneNourishes Blood/Yin
21KID-6Zhao HaiJust below inner ankle boneOpens Yin Qiao, pairs LU-7
22ST-36Zu San Li3 finger-widths below outer back knee, beside shinMaster tonification
23LIV-8Qu QuanInside end of back knee creaseLiver Blood/Yin deficiency
24BL-15Xin ShuBeside spine at front edge of shoulder blade, both sidesHeart Shu, calms Shen
C1Nao-shuBrain ShuCenter of back-of-skull bump (same zone as GV-17)Brain disorders, seizures
C2Da-feng-menLarge Wind GateGap where skull meets neck, dead center#1 classical seizure point
C3Long-huiDragon's MeetingLumbosacral dip + one finger-width above (with GV-20)Seizures, grounding
C4An-shenCalm the ShenBoth sides of skull base, in the neck-skull groovePost-ictal calm, anxiety
Tier 1 — Emergency/Primary   Tier 2 — Wind/Neuro   Tier 3 — Shen/Calm   Tier 4 — Organ Support   Tier 5 — Phlegm/Channel   Tier 6 — Constitutional   Classical Veterinary   ★ Vet Recommended
What the Tiers Mean
Tier 1
Primary Seizure Points

The most powerful anti-convulsant points. Used during and immediately after a seizure. GV-20 and GV-26 are the two to reach for first in any emergency. These should be in every session.

Tier 2
Wind-Extinguishing & Neurological Points

Address the root mechanism of seizures in TCVM theory — "internal wind" stirred by Liver imbalance. These calm the nervous system, benefit the brain, and reduce seizure frequency over time.

Tier 3
Shen-Calming Points

Shen means mind or spirit. These points reduce post-ictal anxiety, restlessness, and confusion. Best used after the dog is stable — they help the nervous system settle and recover.

Tier 4
Organ Support Points

Target the underlying organ imbalances that drive epilepsy — Liver, Kidney, and Heart. Selected based on your dog's specific TCVM pattern (e.g. Liver Blood Deficiency vs Kidney Jing Deficiency).

Tier 5
Phlegm, Damp & Channel-Opening Points

Clear phlegm-fire (a key driver in the most common epilepsy pattern), resolve dampness, and open blocked channels. ST-40 is the single most important phlegm point in all of TCVM.

Tier 6
Constitutional Support Points

Build overall Qi, Blood, and vitality between seizure episodes. These strengthen the dog's baseline health and resilience. ST-36 is the master tonification point of the entire body.

Classical
Classical Veterinary Acupoints

Points documented specifically in traditional veterinary medicine — not found in human acupuncture charts. Historically the most cited points for epilepsy in animals. Da-feng-men is the #1 classical seizure point.

How to Apply Acupressure at Home

Practical guidance for safe and effective home acupressure sessions

🚨 During an Active Seizure — Do This

1. Keep your dog safe from injury first — clear the area, do not restrain forcefully

2. Press GV-26 (upper lip center groove) firmly with your fingernail — 10 to 30 seconds

3. Add KID-1 (sole of back paw) simultaneously if possible — documented synergistic effect

4. Once stable, apply gentle pressure to GV-20 (lumbosacral dip)

5. Post-seizure: use An-shen (both sides base of skull) to calm the Shen

What Is a "Cun"?

A cun is a body-relative measurement. For your dog, use the width of their 3rd toe (widest part) as roughly 1 cun. It automatically scales to the dog's size — a larger dog has a larger cun.

What to Feel For

A slight dip, softness, or subtle "give" in the tissue. Some dogs twitch a muscle, flicker the skin, turn to look at you, or show a brief behavioral response when you find the right spot.

Pressure Technique

Use gentle but firm circular pressure with your fingertip or thumb. Hold each point for 30–60 seconds. For Da-feng-men (skull-neck gap), use light pressure only — it is a sensitive area.

Good Response Signs

Your dog sighs, yawns, licks their lips, softens their eyes, lowers their head, or relaxes into the pressure. All of these are positive Shen-calming responses.

Session Structure

Work in a calm, quiet environment. A TCVM vet would select 6–10 points per session, not all 27 at once. Focus on Tier 1–2 points as the core, then add pattern-specific points based on your dog's presentation.

Bilateral Points

Points marked "bilateral" (GB-20, BL-17, BL-18, BL-23, BL-15, An-shen) have one on each side of the spine. Apply to both sides — do not skip one side.

Frequency

Between seizures: a gentle session 2–3 times per week. Post-seizure: calming points (An-shen, HT-7, PC-6) once your dog is stable. Never apply vigorous pressure during or immediately after a cluster.

⚠ Important Limits

Acupressure supports but does not replace anti-epileptic medications. Always consult your TCVM veterinarian before starting — they can mark points on your dog and confirm your technique in person.

Da-feng-men Caution

The skull-neck junction point is powerful but sensitive. Use only light to moderate circular pressure here — never heavy or forceful. This is a neurologically significant area.

Resources

Tallgrass Animal Acupressure Institute offers DVDs and charts for home use. Chi Institute (chiinsitute.com) maintains a directory of TCVM-trained veterinarians by location.

Body Map
HEAD (skull midline, front → back):
  GV-26 (upper lip)  →  GV-24 (forehead)  →  Nao-shu / GV-17 (back skull bump)  →  Da-feng-men (skull-neck gap)

SKULL SIDES (bilateral):
  GB-20 / An-shen  (soft spots each side of skull base, in neck groove)

NECK → BACK → TAIL (midline):
  GV-14  →  BL-15, BL-17, BL-18 (paraspinal bilateral)  →  BL-23 (waist, bilateral)  →  GV-20 / Long-hui  →  GV-1 (tail tip)

FRONT LEGS (medial/inner surface):
  PC-6 (2 above wrist)  →  LU-7 (1.5 above wrist, thumb side)  →  HT-7 (wrist crease, pinky side)

BACK LEGS (outer surface):
  GB-34 (outer knee)  →  ST-36 (outer shin, 3 below knee)  →  ST-40 (outer mid-shin)

BACK LEGS (inner surface):
  LIV-8 (inner knee)  →  SP-6 (inner, 3 above ankle)  →  KID-3 (ankle-Achilles gap)  →  KID-6 (below ankle)

PAWS:
  LIV-3 (top of back paw, 1st–2nd toe web)  →  KID-1 (sole of back paw, above central pad)
    
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