ECCA-HEP-ACUPOINT-MAP-0002
Hepatic Encephalopathy Acupuncture Point Mapping Atlas
SCF Neural Mapping Schema: Module 2 of Encephalopathy Types
Clinical use classification: Adjunctive supportive neuromodulation only. Hepatic encephalopathy requires urgent hepatology-guided medical management including ammonia-lowering therapy, correction of precipitating factors, electrolyte stabilization, infection management, GI bleed management when present, nutritional optimization, ICU-level care when indicated, and liver failure evaluation.
The SCF neural mapping method follows the layered model:
acupoint → peripheral nerve branch → dermatome/myotome → spinal or cranial entry → brainstem/hypothalamic/limbic/cortical node → autonomic, immune, metabolic, neurovascular, or endocrine output.
Evidence tiers:
- A = direct mechanistic/tracing evidence
- B = indirect neuroimaging or physiology
- C = anatomy-based inference
I. Hepatic Encephalopathy SCF Collapse Targets
ECCA-HEP Collapse Node | Therapeutic Mapping Objective |
Hyperammonemia | Reduce neurotoxic metabolic burden |
Astrocyte swelling | Stabilize glial-neurovascular function |
Cerebral edema risk | Support neurovascular-autonomic regulation |
Neuroinflammatory drift | Modulate cytokine-glial amplification |
Gut-derived toxin translocation | Support gut-liver-brain axis |
Autonomic dysregulation | Restore vagal-cardiometabolic balance |
Cortical slowing | Improve connectomic synchronization |
Sleep–wake reversal | Restore chronobiological coherence |
Motor slowing / asterixis | Stabilize cerebellar-motor integration |
Oxidative mitochondrial stress | Improve ATP-redox resilience |
II. ECCA-HEP Acupoint Neuro-Circuit Atlas
ID | Point | Meridian | Region | Peripheral Nerves | Dermatome | Segment | Central Nodes | Output Circuit | Circuit Network | Evidence |
ECCA-HEP-01 | GV20 | Governing Vessel | Vertex scalp | Greater occipital + trigeminal convergence | CN V / C2 | Cranial-upper cervical | DMN, limbic cortex, PFC | Cortical synchronization | Connectomic-limbic | B |
ECCA-HEP-02 | GV24 | Governing Vessel | Frontal scalp | Supraorbital nerve | CN V1 | Cranial | Frontal cortex, hypothalamic interface | Executive-cognitive regulation | Frontal-limbic | C |
ECCA-HEP-03 | Yintang | Extra point | Glabella | Supratrochlear branches | CN V1 | Cranial | Limbic-autonomic nodes | Agitation/anxiety calming | Limbic-autonomic | C |
ECCA-HEP-04 | GV26 | Governing Vessel | Philtrum | Infraorbital branch | CN V2 | Cranial | Brainstem arousal nuclei | Acute consciousness support | Brainstem-arousal | C |
ECCA-HEP-05 | ST36 | Stomach | Anterolateral leg | Deep peroneal/fascial convergence | L4–L5 | Lumbosacral | NTS, DMV, adrenal axis | Vagal anti-inflammatory reflex | Neuroimmune-metabolic | A |
ECCA-HEP-06 | ST25 | Stomach | Abdomen | Thoracoabdominal intercostal afferents | T10–T11 | Thoracic | Spinal sympathetic-visceral nodes | Gut-liver autonomic regulation | Gut-brain-visceral | A |
ECCA-HEP-07 | CV12 | Conception Vessel | Epigastrium | Intercostal anterior cutaneous branches | T7–T9 | Thoracic | Brainstem visceral nuclei | Gastric-visceral modulation | Visceral-autonomic | C |
ECCA-HEP-08 | LV3 | Liver | Dorsal foot | Deep peroneal/tibial overlap | L5–S1 | Lumbosacral | Limbic-hypothalamic networks | Stress-hepatic autonomic modulation | Limbic-visceral | B/C |
ECCA-HEP-09 | BL18 | Bladder | Back-shu liver zone | Thoracic dorsal rami | T7–T9 | Thoracic | Hypothalamic-visceral networks | Hepatic autonomic modulation | Hepatic-visceral | C |
ECCA-HEP-10 | BL20 | Bladder | Back-shu spleen zone | Thoracic dorsal rami | T9–T11 | Thoracic | Gut-brain sympathetic interface | Metabolic-visceral support | Gut-immune-autonomic | C |
ECCA-HEP-11 | PC6 | Pericardium | Volar forearm | Median nerve | C6–T1 | Cervical-thoracic | PVN, NTS, vagal nuclei | Nausea-cardiovagal regulation | Cardiovagal-autonomic | A/B |
ECCA-HEP-12 | HT7 | Heart | Ulnar wrist | Ulnar nerve territory | C8–T1 | Cervical-thoracic | Limbic-autonomic circuits | Sleep/anxiety regulation | Limbic-autonomic | B |
ECCA-HEP-13 | SP6 | Spleen | Medial lower leg | Tibial nerve | L4–S2 | Lumbosacral | Endocrine-autonomic networks | Fluid-metabolic regulation | Endocrine-visceral | B/C |
ECCA-HEP-14 | KI3 | Kidney | Medial ankle | Tibial/saphenous overlap | L4–S1 | Lumbosacral | Hypothalamic-autonomic circuits | Renal-fluid support | Renal-autonomic | C |
ECCA-HEP-15 | GB20 | Gallbladder | Suboccipital | Greater occipital nerve | C2–C3 | Upper cervical | Brainstem-cerebellar interface | Vertigo/headache/autonomic regulation | Cervico-brainstem | C |
ECCA-HEP-16 | BL10 | Bladder | Posterior neck | Cervical dorsal rami | C2–C3 | Upper cervical | Brainstem autonomic centers | Cervico-autonomic modulation | Cervico-autonomic | C |
ECCA-HEP-17 | LI4 | Large Intestine | Dorsal hand | Radial/median overlap | C6–C7 | Cervical | PAG, insula, ACC | Descending analgesia, stress modulation | Nociceptive-limbic | B |
ECCA-HEP-18 | LI11 | Large Intestine | Lateral elbow | Radial nerve territory | C5–C6 | Cervical | Hypothalamic-inflammatory circuits | Cytokine modulation | Neuroimmune | B |
ECCA-HEP-19 | CV17 | Conception Vessel | Sternum | Intercostal anterior branches | T2–T5 | Thoracic | Cardiopulmonary brainstem nodes | Respiratory-autonomic stabilization | Cardiopulmonary-autonomic | C |
ECCA-HEP-20 | DU16 | Governing Vessel | Occipital base | Suboccipital nerves | C1–C2 | Upper cervical | Medullary autonomic centers | Respiratory/arousal regulation | Brainstem-autonomic | C |
ECCA-HEP-21 | BL23 | Bladder | Lumbar kidney region | Lumbar dorsal rami | L1–L3 | Lumbar | Spinal-autonomic interface | Fluid/endocrine support | Renal-visceral | C |
ECCA-HEP-22 | ST40 | Stomach | Lateral leg | Peroneal region | L5 | Lumbosacral | Limbic-metabolic nodes | Cognitive clouding support | Metabolic-autonomic | C |
ECCA-HEP-23 | GB34 | Gallbladder | Lateral leg | Common peroneal region | L4–S1 | Lumbosacral | Sensorimotor-basal ganglia circuits | Motor coordination support | Sensorimotor-basal ganglia | B/C |
ECCA-HEP-24 | BL40 | Bladder | Popliteal fossa | Tibial/common fibular | L5–S2 | Lumbosacral | Segmental motor circuits | Lower-extremity motor regulation | Sensorimotor | B/C |
III. Primary Therapeutic Circuit Stack for Hepatic Encephalopathy
SCF Role | Point Cluster | Primary Objective |
Connectomic Stabilizers | GV20, GV24, GV26, DU16 | Consciousness/arousal support |
Neuroimmune Modulators | ST36, LI11, LI4 | Cytokine-glial stabilization |
Gut–Liver Axis Regulators | ST25, CV12, BL18, BL20, LV3 | Gut-liver-brain modulation |
Cardiovagal Regulators | PC6, HT7, CV17 | Nausea/autonomic/anxiety control |
Fluid–Metabolic Regulators | SP6, KI3, BL23 | Fluid-electrolyte-autonomic support |
Sensorimotor Stabilizers | GB34, BL40, GB20 | Motor slowing/coordination support |
IV. Evidence-Controlled Interpretation
High-confidence anchors include:
- ST36 → vagal-adrenal anti-inflammatory circuitry
- ST25 → spinal sympathetic gut modulation
- PC6 → cardiovagal/brainstem autonomic circuitry
Moderate evidence points include:
- GV20
- HT7
- LI4
- LI11
- SP6
- GB34
Other mappings represent SCF anatomical-neuroconnectomic inference models integrating:
- peripheral nerve territories
- segmental autonomics
- visceral reflex circuits
- connectomic functional convergence
V. Clinical Deployment Logic
Clinical State | SCF Mapping Priority | Candidate Point Emphasis |
Delirium / confusion | Cortical-connectomic stabilization | GV20, GV24, GV26 |
Hyperammonemic cognitive slowing | Gut-liver-brain regulation | ST25, BL18, ST36 |
Nausea / autonomic instability | Cardiovagal modulation | PC6, CV17 |
Sleep–wake reversal | Limbic-autonomic stabilization | HT7, Yintang, GV20 |
Motor slowing / asterixis | Sensorimotor regulation | GB34, BL40 |
Neuroinflammatory drift | Cytokine modulation | ST36, LI11 |
Ascites/fluid dysregulation support | Fluid-visceral support | SP6, KI3, BL23 |
VI. Safety and Exclusion Notes
This atlas is not a substitute for emergency hepatic encephalopathy management.
Urgent priorities include:
- ammonia reduction therapy
- precipitant correction
- ICU monitoring
- airway management
- seizure precautions
- electrolyte correction
- infection treatment
- transplant evaluation when indicated
Acupuncture mapping may only be considered:
- after stabilization
- with hepatology oversight
- with bleeding-risk screening
- after coagulopathy assessment
MASTER DOCUMENT REGISTRY INDEX
- SCF-ECCA-HEP-ACU-0002 — Hepatic Encephalopathy Acupoint Neuro-Circuit Mapping Atlas
- SCF-ECCA-0001 — Encephalopathy Connectomic Collapse Atlas
- SCF-ACU-NEURO-ATLAS-0001-M2 — SCF Acupoint Neuro-Circuit Atlas Module 2
- SCF-361-POINT-NEURAL-MAPPING-0002 — SCF Neural Mapping Schema
- SCF-PATH-PROT-0001 — SCF Pathophysiology Protocol