Diagnostics - Biomed
>>This material is a compilation of the editor's personal notes, lecture notes, and the following references: 1. Diagnosis in Chinese Medicine by Giovanni Maciocia 2. Formulas and Strategies by Bensky 3. Chinese Acupuncture and Moxibustion by Shanghai College of Traditional Chinese Medicine and many other texts. Accuracy is not guaranteed. For studying only, not intended as medical advice.<<<
Abdominal Pain Blood Stagnation
stabbing fixed abdominal pain, worse with pressure, purplish lips, dark rings around eyes, purplish vessels under tongue, female: irregular menses T: purple, stasis spots P: choppy, wiry
[41]
Invigorate (Move) Blood, Stop Pain
SP8, ST29, Zi Gong, SP10, LI4, LV3, UB17 [41]
Shao Fu Zhu Yu Tang (Dang Gui-9, Yan Hu Suo-9, Mo Yao-6, Chi Shao-9, Chuan Xiong-9, Rou Gui-6, Pu Huang-9, Wu Ling Zhi-9, Xiao Hui Xiang-6, Pao Jiang-6) [41]
epigastric pain, acute appendicitis, dysentery, acute/chronic gastroenteritis, intestinal spasms, neurosis [41]
Etiology: 1)Attack of Evil Qi (Cold) → Middle Jiao Injury. 2)Yang Deficiency (Spleen) → Impaired T&T. 3)Excess Consumption of Cold and Uncooked Food → Dysfunction of Digestion. 4)Emotion → Liver Qi Attack. 5)Other (Parasites) → Abdominal Pain
[41]
Abdominal Pain Cold Deficiency
chronic dull abdominal pain, likes warmth, pain before eating or when hungry, pain improved with eating, fatigue, SOB, cold extremities, poor appetite, loose stool T: pale, TWC P: thin, deep, weak
[41]
Warm Interior, Benefit Spleen & Stomach, Stop Pain
Ren12, Ren6, Ren4, ST36, SP4, PC6 [41]
Xiao Jian Zhong Tang (Gui Zhi-9, Zhi Gan Cao-6, Bai Shao-9, Yi Tang-6, Sheng Jiang-3) [41]
epigastric pain, acute appendicitis, dysentery, acute/chronic gastroenteritis, intestinal spasms, neurosis [41]
Etiology: 1)Attack of Evil Qi (Cold) → Middle Jiao Injury. 2)Yang Deficiency (Spleen) → Impaired T&T. 3)Excess Consumption of Cold and Uncooked Food → Dysfunction of Digestion. 4)Emotion → Liver Qi Attack. 5)Other (Parasites) → Abdominal Pain
[41]
acute abdominal pain, better with warm and pressure, chilled, cold extremities, nausea and vomiting, diarrhea, no thirst, clear urine T: white coat P: tight, wiry
[41]
Warm Interior, Dispel Cold, Support Yang, Stop Pain
Moxa-Ren4/6/12, SJ5, SP4, PC6, ST34 [41]
Si Ni Tang (Fu Zi-9, Gan Jiang-9, Zhi Gan Cao-6) [41]
epigastric pain, acute appendicitis, dysentery, acute/chronic gastroenteritis, intestinal spasms, neurosis [41]
Etiology: 1)Attack of Evil Qi (Cold) → Middle Jiao Injury. 2)Yang Deficiency (Spleen) → Impaired T&T. 3)Excess Consumption of Cold and Uncooked Food → Dysfunction of Digestion. 4)Emotion → Liver Qi Attack. 5)Other (Parasites) → Abdominal Pain
[41]
Abdominal Pain Food Stagnation
abdominal pain, distention, worse with pressure and after eating, sour foul belching, vomiting with undigested food, acid reflux, constipation, foul smelling diarrhea T: thick greasy coat P: slippery, strong
[41]
Relieve Food Stagnation, Stop Pain
Ren12, LI10, ST40, ST44, ST25[41]
Bao He Wan (Shan Zha-9, Lai Fu Zi-6, Shen Qu-9, Lian Qiao-9, Chen Pi-6, Ban Xia-12, Fu Ling-12)[41]
epigastric pain, acute appendicitis, dysentery, acute/chronic gastroenteritis, intestinal spasms, neurosis [41]
Etiology: 1)Attack of Evil Qi (Cold) → Middle Jiao Injury. 2)Yang Deficiency (Spleen) → Impaired T&T. 3)Excess Consumption of Cold and Uncooked Food → Dysfunction of Digestion. 4)Emotion → Liver Qi Attack. 5)Other (Parasites) → Abdominal Pain
[41]
Abdominal Pain Liver Qi Stagnation
abdominal pain related to emotions, belching, hypochondriac pain, chest pain, cold fingers and toes, depression, anxiety, irritability T: red edges P: wiry
[41]
Regulate Liver Qi, Smooth Liver, Stop Pain
LV3, PC6, SJ6, LV14, GB34 [41]
Chai Hu Shu Gan San (Chai Hu-9, Chuan Xiong-9, Bai Shao-9, Chen Pi-6, Zhi Shi-9, Gan Cao-6, Xiang Fu-6) → this formula helps with IBS [41]
epigastric pain, acute appendicitis, dysentery, acute/chronic gastroenteritis, intestinal spasms, neurosis [41]
Etiology: 1)Attack of Evil Qi (Cold) → Middle Jiao Injury. 2)Yang Deficiency (Spleen) → Impaired T&T. 3)Excess Consumption of Cold and Uncooked Food → Dysfunction of Digestion. 4)Emotion → Liver Qi Attack. 5)Other (Parasites) → Abdominal Pain
[41]
Abdominal Pain Worm Accumulation
intermittent abdominal pain, usually around the umbilicus, abdominal distention, hunger or appetite loss, itchy anus/nose, grinds teeth at night, dark rings under eyes, scaly white spots on face, worms or worm eggs in stool T: pale with many red spots P: weak, wiry
[41]
Dispel Worms, Stop Pain
Ren 12, ST25, ST40, UB21, SP15, UB20, Bai Chong Wo [41]
Wu Mei Wan (Wu Mei-24, Huang Lian-9, Zhi Fu Zi-6, Xi Xin-3, Huang Bai-9, Gan Jiang-6, Gui Zhi-6, Dang Gui-9, Ren Shen-9, Chuan Jiao-3)[41]
epigastric pain, acute appendicitis, dysentery, acute/chronic gastroenteritis, intestinal spasms, neurosis [41]
Etiology: 1)Attack of Evil Qi (Cold) → Middle Jiao Injury. 2)Yang Deficiency (Spleen) → Impaired T&T. 3)Excess Consumption of Cold and Uncooked Food → Dysfunction of Digestion. 4)Emotion → Liver Qi Attack. 5)Other (Parasites) → Abdominal Pain
[41]
abdominal pain, fullness and distention, worse with pressure (firm palpation), fever, dry mouth, thirst, restlessness, constipation T: red, yellow sticky coat P: strong, slippery, rapid
[41]
Clear Stomach Heat, Move Bowel, Stop Pain
LI11, ST44, ST25, UB25, ST37 [41]
Da Cheng Qi Tang (Da Huang-9, Hou Po-6, Mang Xiao-6, Zhi Shi-9) [41]
epigastric pain, acute appendicitis, dysentery, acute/chronic gastroenteritis, intestinal spasms, neurosis [41]
Etiology: 1)Attack of Evil Qi (Cold) → Middle Jiao Injury. 2)Yang Deficiency (Spleen) → Impaired T&T. 3)Excess Consumption of Cold and Uncooked Food → Dysfunction of Digestion. 4)Emotion → Liver Qi Attack. 5)Other (Parasites) → Abdominal Pain
[41]
Acne Blood Stasis Phlegm Stagnation
repeated persistent eruptions on the cheeks and lower jaw, gradually enlarging to 3-5mm or larger, unevenly protruding, purplish red lumps that feel soft on palpation with pus and blood, or sticky yellow matter expelled with pressure, scars form after rupture T: pale red, greasy coat P: soggy, slippery
[41]
Promote Blood Circulation, Remove Phlegm to Soften Lumps
SP10, LI4, ST40, UB20, ST6 [41]
Hai Zao Yu Hu Tang (Hai Zao-9, Zhe Bei Mu-9, Chen Pi-6, Qing Pi-6, Kun Bu-9, Ban Xai-12, Lian Qiao-9, Chuan Xiong-9, Xia Ku Cao-6, Long Gu-12, Mu Li-12, Dang Gui Wei-9)[41]
acne is a disorder of the hair follicle sebaceous glands. It is most common during adolescence and occurs mostly on the face, chest, and back [41]
TCM Etiology: 1) Heat in the Blood and Lung Channel - affects the face. 2)Heat Accumulation in the Spleen and Stomach - due to uncontrolled diet and eating too much spicy, heavy, fatty foods. 3)Blood heat moves to the exterior and congests the vessels - common during adolescence when the body is growing rapidly.
4)Stagnation of Qi and Blood in the channels and network vessels - due to emotional disturbances (stress, depression, worry)
[41]
Lesions are distributed over the cheeks and forehead, around the nose, manifesting as discrete pinpoint to 2mm red or pale red papules. Severe cases may involve lesions on the chest and back, blackheads may be seen on some lesions, greasy or thick yellow discharge, skin appears oil and shiny, dry mouth and nose T: red, thin yellow coat P: floating, rapid
[41]
Clear Lung Heat
LI4, LU7, Du14, LI11, SJ6 [41]
Pi Pa Qing Fei Yin (Pi Pa Ye-9, Zhi Zi-9, Lian Qiao-9, Jin Yin Hua-9, Chi Shao-9, Sang Bai Pi-9, Huang Qin-6, Dong Gua Pi-9, Dan Pi-6, Hong Hua-9, Ling Xiao Hua-6, Dong Gua Ren-9)
[41]
acne is a disorder of the hair follicle sebaceous glands. It is most common during adolescence and occurs mostly on the face, chest, and back [41]
TCM Etiology: 1) Heat in the Blood and Lung Channel - affects the face. 2)Heat Accumulation in the Spleen and Stomach - due to uncontrolled diet and eating too much spicy, heavy, fatty foods. 3)Blood heat moves to the exterior and congests the vessels - common during adolescence when the body is growing rapidly.
4)Stagnation of Qi and Blood in the channels and network vessels - due to emotional disturbances (stress, depression, worry)
[41]
presents as red or dark red eruptions on the face for several years. In women eruptions are usually aggravated during menstruation and are alleviated after periods. Accompanying symptoms and signs from stress and disharmony between Ren and Chong - irregular menstruation, menstrual clots, abdominal pain T: dark red, stasis marks P: deep, thin, choppy
[41]
Move Qi, Regulate Blood, Relieve Toxicity, Dispel Lumps
LI4, LV3, LI11, SP10, Du12, SP8, ST29[41]
Liang Xue Qing Fei Yin (Sheng Di -12, Huang Qin-9, Dan Pi-6, Bai Hua She She Cao-9, Zi Hua Di Ding-9, Jin Yin Hua-15, Yin Chen Hao-15, Yi Mu Cao-12, Zhe Bei Mu-12, Pi Pa Ye-6, Chi Shao-9, Tao Ren-9, Lian Qiao-9, Zhi Mu-12). Fu Fang Zhen Zhu An Chuang Pian (Zhen Zhu Mu-18, Jin Yin Hua-9, Pu Gong Yin-9, Tian Kui Zi-9, Ling Xiao Hua-9, Lian Qiao-9, Chi Shao-12, Dan Shen-12)
[41]
acne is a disorder of the hair follicle sebaceous glands. It is most common during adolescence and occurs mostly on the face, chest, and back [41]
TCM Etiology: 1) Heat in the Blood and Lung Channel - affects the face. 2)Heat Accumulation in the Spleen and Stomach - due to uncontrolled diet and eating too much spicy, heavy, fatty foods. 3)Blood heat moves to the exterior and congests the vessels - common during adolescence when the body is growing rapidly.
4)Stagnation of Qi and Blood in the channels and network vessels - due to emotional disturbances (stress, depression, worry)
[41]
overeating spicy, fatty, fried foods. Lesions are mainly distributed around mouth, foul breath, aversion to heat, thirst with desire for cold drinks, constipation, dark yellow urine T: red, thick yellow coat P: slippery, rapid
[41]
Clear Heat from the YangMing
ST44, LI11, LI4, ST25, SJ6 [41]
Tiao Wei Cheng Qi Tang (Zhi Dan Huang-12, Zhi Gan Cao-6, Mang Xiao-12) [41]
acne is a disorder of the hair follicle sebaceous glands. It is most common during adolescence and occurs mostly on the face, chest, and back [41]
TCM Etiology: 1) Heat in the Blood and Lung Channel - affects the face. 2)Heat Accumulation in the Spleen and Stomach - due to uncontrolled diet and eating too much spicy, heavy, fatty foods. 3)Blood heat moves to the exterior and congests the vessels - common during adolescence when the body is growing rapidly.
4)Stagnation of Qi and Blood in the channels and network vessels - due to emotional disturbances (stress, depression, worry)
[41]
acute intermittent lower abdominal pain, moving abdominal pain from upper → ST25 → lower right side, severe pain, worse with pressure, abdominal muscle spasm, tenderness, belching, appetite loss, nausea, vomiting, mild fever and chills with constipation T: thin yellow coat P: wiry or tight [41]
Move Qi & Blood, Clear, Heat, Open the Bowels
Lan Wei Xue, ST25, ST37, SP4, PC6, LI11, LI4, SP8 [41]
Da Huang Mu Dan Pi Tang (Da Huang-12, Tao Ren-12, Mang Xiao-9, Dong Gu Ren-18, Mu Dan Pi-9)
Bie Jia 6g
Gui Ban 9g
Ji Zi Huang (egg)
Zhi Gan Cao 6g
Wu Wei Zi 6g [41]
Acute or chronic appendicitis
[41]
TCM Etiology: 1. Diet: stasis of food matter from improper diet and eating habits 2. Emotions: stress 3. External pathogenic invasion 4. Physical exercise directly after eating 4. These will result in intestinal dysfunction, stagnation of Qi, blood stasis, accumulation of heat and damp [41]
severe and increased abdominal pain with tenderness, patient may lie in fetal position, high fever, sweat, thirst, headache, chest and abdominal fullness and distention, constipation, nausea, vomiting T: red, yellow greasy coat P: wiry, slippery, rapid [41] Severe infection.
Clear Heat, Open the Bowels, Reduce Toxin
Lan Wei Xue, ST25, ST37, ST44, LI11 [41]
Lan Wei Qing Hua Tang (Jin Yin Hua-12, Pu Gong Ying-9, Tao Ren-12, Mu Dan Pi-9, Zhi Da Huang-9, Gan Cao-6, Chuan Lian Zi-9, Chi Shao-9)[41] • This formula is more focused on removing toxic heat/infection. Zhi Da Huang is process with honey and moves the bowels more slowly.
Acute or chronic appendicitis
[41]
TCM Etiology: 1. Diet: stasis of food matter from improper diet and eating habits 2. Emotions: stress 3. External pathogenic invasion 4. Physical exercise directly after eating 4. These will result in intestinal dysfunction, stagnation of Qi, blood stasis, accumulation of heat and damp [41]
Severe local pain, very hard and distended abdomen with rigidity and guarding (cannot be touched), constipation, concentrated urine, thirst, dry mouth lips and throat, red face and eyes, headache, nausea, vomiting, high fever, shock/coma T: deep red, dry yellow coat P: flooding, rapid [41]
Clear Toxic-Heat, Invigorate Blood, Resolve Abscess
Shi Xuan, Du26, Du14, Jing Well Points, UB40, LI11, ST44 [41]
Lan Wei Jie Du Tang (Hong Teng-21, Bai Jiang Cao-21, Jin Yin Hua-18, Tao Ren-9, Pu Gong Yin-18, Chi Shao-15, Da Huang-6, Chuan Lian Zi-9, Dong Gua Ren-15, Mu Xiang-6, Huang Qin-9)[41] • Expel the pus, greater at reducing the toxin. Hong Teng cools Blood Heat and controls the pain. Bai Jiang Cao for toxic heat.
Acute or chronic appendicitis
[41]
TCM Etiology: 1. Diet: stasis of food matter from improper diet and eating habits 2. Emotions: stress 3. External pathogenic invasion 4. Physical exercise directly after eating 4. These will result in intestinal dysfunction, stagnation of Qi, blood stasis, accumulation of heat and damp [41]
SOB upon exertion, low back soreness, frequent urination, easy sweats, aversion to cold, cold body, pale face T: enlarged, teethmarks, TWC P: deep
[41]
Tonify Kidney Yang, Grasp Lung Qi
Ren4, UB23, GB39, Du4, KD3, UB13, Ren17
Jin Gui Sheng Qi Wan (Shu Di Huang-12, Shan Yao-12, Shan Zhu Yu-12, Fu Ling-12, Mu Dan Pi-6, Zi Xie-12, Rou Gui-9, Fu Zi-9)[41]
Allergies, abnormal weather, emotional changes, seafood, illness, excess exercise (KD deficiency), drugs. Clinical signs: wheezing, mucus, cough, chest fullness. [41]
Etiology: 1) Evil Qi - pollution, weather changes 2) Wei Qi Def, Zhong Qi Def, Lung Qi Def. 3) Diet - seafood allergies.
[41]
Wheezing combined with acute emotions, sudden onset, chest and hypochondriac pain, plum-pit qi, insomnia, palpitations T: purple, TWC P: wiry
[41]
Smooth Liver Qi, Stop Wheezing
LV3, Ren17, LV14, SP4, PC6
Wu Mo Yin Zi (Wu Yao-9, Mu Xiang-6, Zhi Shi-9, Chen Xiang-6, Bing Lang-9)
[41]
Allergies, abnormal weather, emotional changes, seafood, illness, excess exercise (KD def), drugs[. Clinical signs: wheezing, mucus, cough, chest fullness41]
Etiology: 1) Evil Qi - pollution, weather changes 2) Wei Qi Def, Zhong Qi Def, Lung Qi Def. 3) Diet - seafood allergies.
[41]
Intermittent wheezing, chronic asthma, sweats easily, catches colds easily, cough with white mucus, low voice, sneezing, runny nose, pale face T: pale, teethmarks, white moist coat
[41]
Tonify Lung Qi, Protect Wei Qi
LU9, ST36, SP3, UB13, Ren6
Yu Ping Feng San +/- (Huang Qi-15, Bai Zhu-12, Fang Feng-9, Su Zi-9, Lai Fu Zi-9, Bai Jie Zi-9)
[41]
Allergies, abnormal weather, emotional changes, seafood, illness, excess exercise (KD deficiency), drugs. Clinical signs: wheezing, mucus, cough, chest fullness. [41]
Etiology: 1) Evil Qi - pollution, weather changes 2) Wei Qi Def, Zhong Qi Def, Lung Qi Def. 3) Diet - seafood allergies.
[41]
Wheezing, chest fullness and tightness, sticky yellow mucus, bitter taste, dry mouth, red face, fever, nausea, poor appetite, sore throat, mild sweating, constipation T: red, yellow sticky coat P: rapid, slippery. Phlegm-Heat originates in the middle jiao, so there will be digestive symptoms (compared to Wind Internal Heat, which enters the Lungs from exterior and does not have explicit middle jiao component)
[41]
Clear Heat, Dispel Lung Qi, Transform Phlegm, Stop Wheezing
Ding Chuan, Ren17, ST40, ST44, UB13
Ma Xing Shi Gan Tang +/- (Zhi Ma Huang-9, Xing Ren-12, Shi Gao-30, Gan Cao-6, Dong Gua Ren-12, Yi Yi Ren-12)
[41]
Allergies, abnormal weather, emotional changes, seafood, illness, excess exercise (KD def), drugs[. Clinical signs: wheezing, mucus, cough, chest fullness41]
Etiology: 1) Evil Qi - pollution, weather changes 2) Wei Qi Def, Zhong Qi Def, Lung Qi Def. 3) Diet - seafood allergies.
[41]
Wheezing that comes and goes, fatigue, poor digestion, low voice, loose stool, diarrhea T: pale, teethmarks, white greasy coat P: thin, weak
[41]
Tonify Spleen Qi, Transform Phlegm
ST36, SP6, Ren12, SP4/PC6, Ren17
Liu Jun Zi Tang +/- (Ren Shen-9, Bai Zhu-9, Fu Ling-12, Ban Xia-12, Chen Pi-6, Gan Cao-6, Zi Su Zi-9, Cang Zhu-9)
[41]
Allergies, abnormal weather, emotional changes, seafood, illness, excess exercise (KD deficiency), drugs. Clinical signs: wheezing, mucus, cough, chest fullness. [41]
Etiology: 1) Evil Qi - pollution, weather changes 2) Wei Qi Def, Zhong Qi Def, Lung Qi Def. 3) Diet - seafood allergies.
[41]
Asthma Wind Cold Phlegm Fluids
wheezing, chills > fever, onset with seasonal and weather changes, chest fullness, excess watery mucus, thirsty but prefers hot drinks, cough T: pale, thin white moist coat
P: floating, tight, slippery
[41]
Dispel Cold, Warm Lungs, Transform Phlegm, Stop Wheezing
LI4, UB12, LU9, UB13, Du14, PC6 [41]
Xiao Qing Long Tang (Ma Huang-9, Ban Xia-12, Zhi Gan Cao-6, Gui Zhi-9, Xi Xin-3, Wu Wei Zi-9, Gan Jiang-3) OR Da Qing Long Tang
[41]
Allergies, abnormal weather, emotional changes, seafood, illness, excess exercise (KD def), drugs[. Clinical signs: wheezing, mucus, cough, chest fullness41]
Etiology: 1) Evil Qi - pollution, weather changes 2) Wei Qi Def, Zhong Qi Def, Lung Qi Def. 3) Diet - seafood allergies.
[41]
Asthma Wind with Internal Heat
fever, acute wheezing, nasal obstruction, chest pain, irritable, restless, mild sweating, red face, bitter taste, thirst, preference for cold water, yellow sticky mucus T: red, yellow sticky coat P: slippery, rapid
[41]
Expel Wind, Clear Internal Heat, Transform Phlegm, Stop Wheezing
Ding Chuan, ST40, LU5, Ren22, UB13[41]
Ding Chuan Tang (Zhi Ma Huang-9, Bai Guo-12, Kuan Dong Hua-9, Su Zi-9, Ban Xia-9, Sang Bai Pi-9, Xing Ren-9, Huang Qin-9, Jie Geng-6)
[41]
Allergies, abnormal weather, emotional changes, seafood, illness, excess exercise (KD def), drugs[. Clinical signs: wheezing, mucus, cough, chest fullness41]
Etiology: 1) Evil Qi - pollution, weather changes 2) Wei Qi Def, Zhong Qi Def, Lung Qi Def. 3) Diet - seafood allergies.
[41]
limb heaviness/weakness/flaccidity, fever, chest opression, dark scanty urine (burning), numbness, swollen limbs [41]
clear damp heat
GB34, SP9, UB20, ST40, Ren3 [41]
Jia Wei Er Miao San
"two marvel powder":
Huang Bai
Cang Zhu
Bi Xie
Fang Ji
Niu Xi
Gui Ban
Gan Cao
Shi Gao
Hua Mao Ren
Ren Shen [41]
Western: viral-induced paralysis including acute myelitis, progressive myatrophy, maysthenia gravis, periodic paralysis, hysterical paralysis, multiple neuritis, traumatic paraplegia, sequele of poliomyelitis. TCM: Wei Zheng paralysis points: yang ming meridians selected to treat paralysis of the limbs to promote Qi and Blood circulation to nourish tendons and bones [41]
Atrophy Kidney and Liver Yin Deficiency
Chronic case of muscular weakness, can't stand for long, low back & knee soreness/weakness, dry throat, dizziness, tinnitus
males: seminal emission
females: irregular menses
Nourish Liver/Kidey yin & blood clear deficient heat [41]
KI3, UB18, UB23, LI11, LV2, GB39 [41]
Hu Qian Wan
"hidden tiger pill"
specific formula for atrophy disorder (enriches yin, descends fire, strenghtens bones)
Shu Di Huang
Bai Shao
Gui Ban
Hu Gu
Gan Jiang
Zhi Mu
Chen Pi
Huang Bai
Suo Yang [41]
Western: viral-induced paralysis including acute myelitis, progressive myatrophy, maysthenia gravis, periodic paralysis, hysterical paralysis, multiple neuritis, traumatic paraplegia, sequele of poliomyelitis. TCM: Wei Zheng paralysis points: yang ming meridians selected to treat paralysis of the limbs to promote Qi and Blood circulation to nourish tendons and bones [41]
Muscular weakness, flaccidity, motor impairment of limbs accompanied by fever, irritability, dry cough, dry throat, dry stools, thirsty, dark, scanty urine [41]
clear heat moisten dryness nourish LU [41]
UB13, LU5, SJ6, LI11, LI4, LI15, GB31, ST41, GB34 [41]
Qing Zao Jiu Fei Tang
"eliminate dryness and rescue the lung decoction" :
Sang Ye
E Jiao
Xing Ren
Mai Men Dong
Pi Pa Ye
Gan Cao
Shi Gao
Hua Mao Ren
Ren Shen [41]
Western: viral-induced paralysis including acute myelitis, progressive myatrophy, maysthenia gravis, periodic paralysis, hysterical paralysis, multiple neuritis, traumatic paraplegia, sequele of poliomyelitis. TCM: Wei Zheng paralysis points: yang ming meridians selected to treat paralysis of the limbs to promote Qi and Blood circulation to nourish tendons and bones [41]
Atrophy Spleen and Stomach Deficiency
Limb weakness & flaccidity, progressing to muscual dystrophy, loose stools, poor appetite, exhaustion, SOB, puffy face [41]
tonify SP Qi, relieve damp, improve appetite [41]
ST36, UB20, SP6, Ren6, SP9 [41]
Shen Ling Bai Zhu San
"ginseng, poria and atractylodis macrocephalae powder"
Bai Zhu
Ren Shen
Bai Bian Dou
Jie Geng
Fu Ling
Lian Zi (see that astringes diarrhea for SP xue)
Zhi Gan Cao
Yi Yi Ren
Shan Yao
Sha Ren [41]
Western: viral-induced paralysis including acute myelitis, progressive myatrophy, maysthenia gravis, periodic paralysis, hysterical paralysis, multiple neuritis, traumatic paraplegia, sequele of poliomyelitis. TCM: Wei Zheng paralysis points: yang ming meridians selected to treat paralysis of the limbs to promote Qi and Blood circulation to nourish tendons and bones [41]
Carpal Tunnel Syndrome/ Wrist Bi
Pins and needle, burning, tingling, numbness or pain in the hand and in the fingers affected by the median nerve. The 5th finger is unaffected. Pain is mostly on the palmar side of the hand and is worse at night, with movement and on flexion. Heat makes it worse. Severe symptoms can present with atrophy of the thumb making it difficult to grip objects.
Tonify Qi, Nourish Blood, remove obstruction in the Pericardium channel
ACUTE: PC4, PC6, PC7, PC8, HT7, HT8, LU9, LU10, ST4. Estim: PC6 to LU10 or PC7 to PC8. CHRONIC: PC6, PC7, LI4, LU7, LU9, LU10, SJ5, SI3, SI5, ST36, GB34;
Zheng Gu Shui for 3-5 weeks. Ru Yi Jing Huang San as external wrap
Carpal Tunnel Syndrome: PHYSICAL TESTS: Wrist Flexion Test, Forearm Block Test/ Compression Test, Tinel Test, Phalen Test, Little Finger Test. LABS: Electromyography / Nerve Conduction Study. PREVENTION: avoid overuse, splints/braces, correct posture, lose weight (if applicable), stop smoking, reduce caffeine.
BIO: 1)Transverse Carpal Tendon - over use and repetitive movement causing swelling causing compression of tendon and nerve (not common) 2) Bone- fractures, osteoporosis, arthritis, compressed tendons and nerves (not common) 3) Flexor tendon - overuse or invasion of pathogen causing swelling of flexor tendons. Swelling compresses the median tendon/nerve. Blood stasis may occur in the local area (common - good results with TCM). TCM: Wind Damp Cold Bi, Overworking with local Qi and Blood deficiency
Damp Heat in Lower Jiao + Blood Stasis.
[43]
Use a formula to treat the general pattern for LV depression, depressive heat, SP vacuity and dampness
SP6, SP9, LR3, LV5, REN3 for damp-heat and Zi Gong Xue, SP10, ST28 blood stasis. LV5 + REN3 is most important combo for cervical disease Auricular acupuncture: uterus, Shen Men to support HPV immune response and emotional regulation.
According to WEN BING: Treatment must first clear internal heat then vent pathogen. For lingering heat toxin in Lower Jiao: Yin Qiao Hong Jiang Jie Du Tang. For Lingering damp heat in the Lower Jiao, use Long Dan Xie Gan Tang. After eliminating the pathogen, one must harmonize with formulas that include: Xiao Chai Hu Tang, Da Chai Hu Tang, Hao Qin Qing Dan Tang, Da Yuan Yin, Si Ni San, Chai Hu Shu Gan Tang, Xiao Yao San, or Ban Xia Xie Xin Tang. Most herbal formulas for this condition are suppositories or douches. Cervical dysplasia must be treated with raw herb therapy. Both internal and external must be prescribed. These are difficult to find in the U.S. but abundant in a variety of products from China. [43]
Abnormal, possibly precancerous cells in the cervix. Often caused by the HPV virus (vaccine available). Treatment include cryotherapy, laser, loop excision, cone biopsy, and hysterectomy [43]
TCM: 1) Internal: seven affects 2) External: pathogenic heat, damp, cold, summer heat. 3) Neither Internal or External: injury to Chong and Ren from early sexual activity, sex during menstruation, sex too early after childbirth, sec too early after abortion, IUDs. Chong disease. [43]
Chronic Appendicitis – Blood Stagnation
Firm mass in lower abdomen, slightly tender, worse w palpation, sharp/dull fixed pain T: Dark purple P: Choppy or wiry [41]
Move Blood, Soften Mass
BL17, BL18, SP10, SP6, REN6, SP8, ST25 [41]
Shao Fu Hua Yu Tang (Dang Gui-12, Tao Ren-9, Hong Hua-9, Gui Zhi-6, Xiang Fu-6, Pao Jiang-6, Chai Hu-6, Yan Hu Suo-6, Chuan Lian Zi-9, Xiao Hui Xiang-6, Chuan Niu Xi-6, Hong Teng-9)[41]
chronic appendicitis
[41]
TCM Etiology: 1. Diet: stasis of food matter from improper diet and eating habits 2. Emotions: stress 3. External pathogenic invasion 4. Physical exercise directly after eating 4. These will result in intestinal dysfunction, stagnation of Qi, blood stasis, accumulation of heat and damp [41]
Chronic Appendicitis – Cold-Damp Accumulation
Lower abdominal soft mass from cold damp accumulation; abdominal discomfort and dull pain; no fever or chills; better with warmth and pressure T: white greasy coat P: slow, soft[41]
Dispel Cold-Damp, Warm the Yang, Dispel the Mass
ST36, SP6, Ren4, SP9, Ren6 [41]
Yi Yi Fu Zi Bai Jiang San (Yi Yi Ren-21, Bai Jiang Cao-21, Mu Dan Pi-12, Huang Qi-21, Dang Gui-18, Zao Jiao Ci-9, Dong Gua Ren-18, Bai Zhu-12)[41]
chronic appendicitis
[41]
TCM Etiology: 1. Diet: stasis of food matter from improper diet and eating habits 2. Emotions: stress 3. External pathogenic invasion 4. Physical exercise directly after eating 4. These will result in intestinal dysfunction, stagnation of Qi, blood stasis, accumulation of heat and damp [41]
back/knee pain, prologned pain, numbness, limited ROM, "chronic arthritis" due to KI/LV qi and blood xu [41]
Tonify qi and blood, support Liver and Kidney, dispel Wind Damp Cold
UB23, Ren4, Ren6, LV8, ST36, SP6 [41]
Du Huo Ji Sheng Tang (Maclean: Clinical Handbook of Internal Medicine):
Duo Huo 9-12g
Sang Ji Sheng 15-30g
Qin Jiao 9-12g
Fang Feng 9-12g
Xi Xin 3-6g
Du Zhong 9-12g
Huai Niu Xi 9-12g
Dang Gui 9-12g
Bai Shao 9-12g
Chuan Xiong 6-9g
Shu Di 12-18g
Fu Ling 9-12g
Ren Shen 6-9g
Rou Gui 3-6g
Zhi Gan Cao 3-6g [41]
Skin Bi: numbness, itching due to LU / Wei qi xu,
Muscle Bi: due to blood xu from SP xu / digestive issues, no muscle tension or power, weak muscles (mu gua is great for muscle bi),
Tendon Bi: tight tendons, tendonitis, restricted movement, tonify LV blood / move LV qi,
Vessel Bi: involves blood stasis, may show visible veins, distended sublinguals, may have chest pain and palpitations,
Bone Bi: KI & LV xu, chronic duration, Chronic Bi: prolonged cases [41]
Rheumatic arthritis, rheumatic fever, rheumatoid arthritis, gout, fibrosis, neuralgia *rheumatic arthritis is painful but there is no weakness, while rheumatoid causes both pain and weakness [41]
