20 0 71 MB
HANDBOOK OF ORIENTAL MEDICINE THIRD EDITION
This book marks the tenth year I dedicate this book to all
of my journey in the United States.
of my students; past, present, and future.
HYUNBAE KIM,
L.Ac, Dipi.OM, Ph.D.
- I -
COPYRIGHT
COPYRIGHT
@ HYUNBAE KIM 2007, 2008
LAW
All rights reserved. No part of this book may be reproduced, stored in a retrieval system or transcribed in any form or by any means, electronic, mechanical, photocopying, recording, or any other means, or translated into any language without the prior written permission of the publisher.
AUTHOR
HYUNBAE KIM, L.Ac, Dipi.OM, Ph .D.
EDITION
3RD EDITION, 2nd printing: December 2008
ISBN
978-0-9795811-0-6
PUBLISHER
HARMONY & BALANCE Press
DISTRIBUTOR
Qpuncture, Inc. 5824 E. Camino Pinzon Anaheim, CA 92807
Web
www.Qpuncture.com
Tel
714-685-0900
E-mail
[email protected]
- II -
I
800-650-8222
[··· . . . FORSWOID The art and science of Traditional Oriental Medicine has been a significant aspect of health care for the past 2500 years. Practitioners and scholars of each generation have built on and refined the work of their predecessors.
H.B. Kim began his fascination with Oriental Medicine in his youth on Golden Crow Island in South Korea. When his aunt fell ill, he borrowed instruments from a friend in his high school's Hand Acupuncture Club to treat her illness. Remarkably, she recovered immediately after his treatment and encouraged him to reach out to others. In college, he read The Revolution of Oriental Medicine by Hongkyung Kim. This impelled the young H.B. Kim into serious study and practice for his life's work.
In 1997, H.B. came to the United States where he dreamed of bringing the consistent success of ancient traditions to the West. Today, he finds himself on the cutting edge of one of the newest and most potent primary health care modalities in the U.S.
I have found Dr. Kim's manual and teaching methods invaluable. His teaching was instrumental in helping this old western physician pass the NCCAOM national boards while continuing in full time practice. In addition, the formulas and acupuncture prescriptions I learned in his classes have allowed me to successfully treat many patients' conditions that had previously frustrated my western approach. Some of the results have been astonishing, particularly the speed with which stubborn, chronic symptoms subside. Dr. Kim's balanced teaching and text has greatly increased my ability to treat the whole person.
This third edition of Handbook of Oriental Medicine is a pivotal reference and daily guide to understanding a field with many divergent views. Its clarity and precision reveals and blends the standard texts of the scholars of our time with classical, ancient writings. Through his own scholarship, Dr. Kim has produced an accessible reference to the encyclopedic knowledge necessary to learn and practice Traditional Oriental Medicine. It is a book of great value to students and practitioners alike as we strive together to comprehend this whole amazing business of restoring health to the bodies, souls and spirits of our patients.
Robert N. Darnell, C.Ac., D.C., Ph.D. April, 2007
- Ill -
TABLE OF CONTENTS SUBJECTS
3
Five Aspect of Yin-Yang Relationship
4
YIN YANG
FIVE ELEMENT
"1'1
c z
,.a m z ,..,. i:
VITAL SUBSTANCES
-t
-t
:z: m 0 :a
-
~:c: ·.,~:_,:)..!)
EMOTIONS
CLIMATES
1. Anger
1. Wind
1. Constitution
2. Joy
2. Cold
2. Over-exertion
3. Pensiveness
3. Fire
3. Excessive sexual activity
4. Worry
4. Summer-Heat
4. Improper diet
5. Sadness (Grief)
S. Dampness
5. Traumatic injury
6. Fear
6. Dryness
6. Parasites and poisons
7. Shock (Fright)
7. Wrong treatment
SEVEN EMOTIONS
SEVEN EMOTIONS AND Ql MECHANISM AFFECT Ql DIRECTION
AFFECT Ql SPEED
AFFECT Ql AMOUNT
ANGER
FEAR
JOY
WORRY & PENSIVENESS
SADNESS
SHOCK
CAM
Rise up
Decline
Slow down
Stagnate
Consume
De range
FCM
Ascend
Descend
Relax
Knot
Dissolve
Scatter
SEVEN EMOTIONS AND EFFECTS EMOTIONS
FIVE ELEMENT )>
m
)>
m ..... ..... m
!:I "'
"'s:-< ::!l 0
s:
"'
JOY
PENSIVENESS
WORRY
SADNESS
FEAR
SHOCK
e(!:.::)
ii~ )
}i!:',(Af)
;J: (!i" )
,lll:',(Af)
~(~)
li('EJ)
LV
HT
SP
LU
KD
Wood
Fire
Earth
Metal
Water
•
INJURED ORGAN
::0
ANGER
• • • • • • • • •
Head Neck Shoulder headache red face dizziness tinnitus stiff neck stiff shoulder
•
• • • •t1
Head HT insomnia overexcited J>alpi~
c 1!; :I: m
CHARACTER
CONDITION
c
;:3
z
m
II> II>
.., 1!; l" ....
~
z
Boring
Blood stasis
With muzziness, heaviness With muzziness, heaviness, dizziness With aversion to wind or cold Worse by cold Worse by heat
Dampness Phlegm Exterior invasion
Blood deficiency
Slight dizziness aggravated when tired
Full pattern Empty pattern
Sudden onset Gradual onset Acute, severe, feeling of heat, headache, sore throat, chills&fever Acute, spastic pain, sneezing, dorsum of hands hot, runny nose Severe, red cheeks, greasy skin, sticky yellow/greenish nasal discharge Red cheeks, thirst, bitter taste, wiry & rapid pulse Intense, often unilateral pain, boring, long in duration, dark complexion
Wind-Heat (cheeks/jaws) Wind-Cold (cheeks/jaws) Damp-Heat (cheeks/forehead) LV Fire (cheeks/forehead) Qi deficiency and Blood stasis (cheek) Trigeminal neuralgia
SP/ST Qi deficiency not holding Blood G'\J;; C:m ST excess Heat 3:!2 V>Z ST deficiency Heat G'\ KD Yin deficiency with Empty Heat Full condition 0
c:
-1 :I:
....nc: m
::0
II>
Cold pattern Heat pattern
Qi deficiency Worse by fatigue (improved by rest) LV Yang rising Worse by emotional tension KD deficiency Aggravated by sexual activity Severe giddiness when everything seems to sway and loses the balance Internal Wind Dizziness with throbbing headache LV Yang rising Dizziness with feeling of heaviness and muzziness in head Phlegm obstructing the head
01
3:
Dampness or Phlegm KD deficiency LV Yang rising
Hurting inside or brain Distending (throbbing)
Empty condition Stomach excess Heat ST deficiency Heat HT Fire or HT deficiency Heat ST Heat Disharmony of REN vessel KD Yin or Original Qi Deficiency
Diagnosis I Interrogation
LV Fire with LV/KD Yin deficiency Tiredness, poor appetite, loose stools Inflamed gums, feeling of heat, thirst Dry mouth, desire to drink in small sips Dizziness, tinnitus, night sweating, malar flush Ulcers that recur very frequently or are almost permanent Ulcers that come and go Very painful, red rimmed ulcers on the gums Pale rimmed ulcers on the gums Ulcers on the tip of the tongue Ulcers on the inside of the cheeks Ulcers in pregnancy Pale rimmed ulcers aggravated by overwork
DIAGNOSIS
47
.
3-B BODY Sudden onset + chills and fever Pain all over + feeling of tiredness Dull pain Severe pain Pain in arms and shoulders only when walking Pain in all muscles + hot sensation of the flesh Dull ache of limbs, heavy feeling Wandering from joint to joint Fixed and very painful Fixed, with swelling and numbness With swelling and redness of the joints Severe stabbing pain with rigidity Continuous, dull, better with rest Recent onset, severe, with stiffness Severe pain, aggravated during cold/damp weather, alleviated by heat Boring pain with inability to turn the waist Pain in the back extending up to the shoulders Arms and legs, hands and feet on both sides Fingers (esp. first 3 fingers), elbow and arm on one side only
Exterior Wind invasion Qi/Biood deficiency Blood deficiency WHOlE Postpartum Blood stasis BODY PAIN LV Qi stagnation ST Heat Damp obstructing muscles .... Wind Cold JOINT PAIN Dampness Damp-Heat .. . > Blood stasis KD deficiency Sprain causing Blood stasis BACKACHE Wind-Cold-Damp Blood stasis ·•.. Exterior Wind Blood deficiency NUMINUS Wind-Phlegm, Before wind-stroke
I I
3-C. LIMBS
WEAK,_!$, N
~~
11
JOINT PAIN .
OIFFICULw·IN WALKING .··· , ..
CO:LDHANDS
Deficiency of ST-Qi I Qi & Blood I KD Yang Blood deficiency Wind Phlegm Damp or Damp-Heat Qi and Blood stagnation Wind Cold Damp Damp-Heat SP/ST Qi deficiency LV/KD Yin deficiency, or SP/KD Yang deficiency Yang deficiency HT Blood deficiency LV Qi stagnation
Weakness More tingling than numbness (esp. in women) More numbness, often unilateral (esp. in elderly) Numbness with feeling of heaviness Numbness with swelling (esp. legs) Numbness with pain Pain wandering from joint to joint Severe pain in one joint Dull ache with swelling and heaviness Pain with redness, swelling and heaviness Beginning stages Atrophy Cold hands ameliorated by heat Cold hands with palpitations and dizziness Cold fingers and toes
.
4 CHEST AND ABDOMEN HT Blood stasis LU Heat LU Phlegm, LV Qi stagnation LV Qi stagnation HYPOCHONDRIUM LV Blood stasis Dull pain, alleviated by eating Severe pain, aggravated by eating Severe Pain (excess patterns) Dull Pain (deficiency patterns) EPIGASTRIU!'!f Feeling of fullness Very slight feeling of fullness Feeling of distension Intestine, Uterus LOWER Excess ABDOMEN Deficiency UB ~UM LV -7 UB
CHEST
Stabbing pain (usually Yang deficiency -7 HT Blood stasis) With cough with profuse yellow sputum Feeling of oppression Feeling of distension Stabbing pain Deficiency pattern Excess pattern Food retention, ST Fire, ST Phlegm-Fire, ST Blood stasis, LV-?ST ST Qi deficiency, ST deficiency Cold Dampness SP Qi deficiency LV Qi stagnation Internal Cold, LV Qi/Biood stagnation, Damp-Heat, Blood stasis Relieved by bowel movements Aggravated by bowel movements Damp-Heat LV Fire infusing downwards to UB
Diagnosis /Interrogation
48
DIAGNOSIS
.
5 EARS AND EYES
Excess Deficiency High-pitch Noise Low-pitch Sudden onset Gradual onset Chronic cases
Excess (usually LV Fire, LV Yang rising or LV Wind) Deficiency (usually KD deficiency) Aggravated by pressing with one's hands on the ears Alleviated by pressing with one's hands on the ears LV Yang rising, LV Fire or LV Wind (like a whistle) KD deficiency (like rushing water) Excess condition (usually LV Fire, LV Yang rising or LV Wind) Deficiency condition KD deficiency, HT Blood deficiency, U.J. Qi deficiency, Yang-Qi deficiency
Toxic-Heat in HT channel Wind-Heat or LV Fire KD Yin deficiency Floaters in the eyes Photophobia Dry Eyes
Pain like a needle with red eyes, associated with headache Pain, swelling and redness of the eyes A feeling of pressure in the eyes LV Blood deficiency, LV/KD Yin deficiency LV Blood deficiency, LV Yang rising KD Yin deficiency
Onset TINNITUS
~
I
DEAFNESS
Pressure
PAIN Jll
-< m
BLURRED VISION
fll
Sudden Gradual
DRYNESS
.
6 FOOD AND DRINK
FOOD
FOOD
TASTE
VOMITING
DRINK
THIRST & DRINK
Deficiency Excess SP Qi deficiency ST Heat Food stagnation Cold pattern Heat pattern Bitter taste (constant) Bitter taste (in morning, insomnia) Sweet taste Sour taste Salty taste Pungent taste Lack of taste Sour vomiting Bitter vomiting Clear-watery vomiting Vomiting soon after eating Sudden vomiting with loud noise Slow in coming with weak noise Excess Heat Yin deficiency (ST/KD) Cold pattern (SP/ST) Damp-Heat Heat pattern Cold pattern
A condition that is relieved by eating A condition that is aggravated by eating Lack of appetite Being always hungry Fullness and distension after eating Preference for hot food (in terms of temperature) Preference for cold food Excess Heat in LV Excess Heat in HT SP deficiency or Damp Heat Food retention or LV and ST disharmony KD Yin deficiency LU Heat SP deficiency LV invade ST LV and GB Heat Cold in the ST with retention of fluids Heat pattern Excess Deficiency Thirst with desire to drink large amounts of cold water Thirst with desire to sip liquids slowly, or sip warm liquids Absence of thirst Thirst but with no desire to drink Desire to drink cold liquids Desire to drink warm liquids
.
7 SLEEP
I,. z
Excess pattern Deficiency pattern HT Blood deficiency LV Blood deficiency HT/KD/LV Yin deficiency LV Fire or HT Fire Food retention GB deficiency Grow older (normal)
Diagnosis I Interrogation
Very restless sleep, fever, agitation and excessive dreaming (LV pattern > HT pattern) Not being able to fall or stay asleep Not being able to fall asleep, but sleeping well after falling asleep Not being able to fall asleep, dizziness, blurred vision Waking up many times during the night Dream-disturbed sleep Restless sleep with dreams Waking up early in the morning and failing to fall asleep again Greater tendency to wake early is normal, due to the physiological decline of Qi/Biood
DIAGNOSIS
..... m
-t
::1: )>
;1;1
C\
Pain Smell
Heat in ST and Ll LV Qi stagnation + Ll Heat LV Qi stagnation
Acute constipation with thirst and dry yellow coating
Excess or deficiency Cold LV Qi stagnation invading SP KD/ST Yin deficiency Blood deficiency SP/KD Yang deficiency Cocks-crow diarrhea (daybreak)
With abdominal pain Alternation of constipation and diarrhea With dry stools, dry mouth, desire to drink in small sips
SP Qi deficiency SP Qi sinking Ll Cold
Loose stools with undigested food Slightly loose but very frequent, cannot hold them easily Accompanied by abdominal pain, fullness, undigested food
Blood stasis Ll Dampness Ll Damp-Heat
Black or very dark stools Diarrhea with mucus in the stools Diarrhea with mucus and blood in the stools
Ll Damp-Heat
Blood -7 Stool, bright-red splashing in all directions
Blood Heat SP unable to hold Blood LV involvement or Heat Heat
Blood -7 Stool, turbid, anus feels heavy and painful Stools -7 Blood, watery Pain accompanying diarrhea
Heat Cold
SP Borborygmi LV LV Flatulence SP SP
deficiency Qi stagnation Qi stagnation Damp-Heat I Ll Heat Yang deficiency
Constipation with small, bitty stools like goat's stools Difficulty in performing a bowel movement (stools not dry)
In old people or women after childbirth Chronic diarrhea KD Yang deficiency
Foul smelling, burning sensation in the anus while passing stools Presence of a foul smell Absence of smell Borborygmi (gurgling sounds in the abdomen) with loose stools Borborygmi with abdominal distension without loose stools Flatulence Flatulence with foul smell Flatulence without smell
8-B. URINE FUNCTION
PAIN
COLOR
AMOUNT
KD deficiency UB Damp-Heat, LU Qi deficiency UB D-H or KD defici ency Qi stagnation in L.J. UB Damp-Heat Qi deficiency Cold pattern (usually UB/KD) Heat pattern UB Dampness Exterior Wind Exterior Wind -7 Interior KD Yang deficiency KD Yin deficiency
Enuresis or incontinence Ret ention of urine Difficulty in urination Before urination During urination After urination Pale urine Dark urine Turbid or cloudy urine Copious, clear and pale urination (Pathogen has not penetrated) Dark urination during an exterior Wind-Cold or W ind-Heat Large amounts of urine Scanty urination
Diagnosis I Interrogation
50
DIAGNOSIS
.
9 GYNECOLOGY CYCLE
AMOUNT
,s: z
!!I ~ c-t
COLOR
0 z
QUALITY
PAIN
,,...
COLOR
Periods always early
Blood Heat, Qi deficiency
Periods always late
Blood deficiency, Blood or Cold stagnation
Periods Irregular
LV Qi or Blood stagnation, SP deficiency
Heavy
Blood Heat, Qi deficiency
Scanty
Blood deficiency, Blood or Cold stagnation
A dark-red or bright-red color
Blood Heat
Pale blood
Blood deficiency
Purple or blackish blood
Blood or Cold stagnation
Fresh-red blood
Deficient-Heat from Yin deficiency
Congealed blood with clots
Blood or Cold stagnation
Watery blood
Blood or Yin deficiency
Turbid blood
Blood-Heat or Cold stagnation
Before the periods
Qi or Blood stagnation
During the periods
Blood-Heat or Cold stagnation
After the periods
Blood deficiency
White
SP/KD Yang deficiency, Cold-Damp, LV Qi stagnation
Yellow
Heat pattern (Damp-Heat in Lower Jiao)
Greenish
Damp-Heat in the LV channel
c
Red and White
Damp-Heat
0
Yellow + Pus, blood after menopause
Toxic Damp-Heat in the uterus
Watery
Cold-Damp
Thick
Damp-Heat
Fishy
Cold-Damp
Leathery
Damp-Heat
::0::
;:J:I ;:J:I
,::1: )>
CONSISTENCY
SMELL
,
INFERTILITY
z z n
VOMITING
"'0 ;:J:I
~
)>
Type
Sharp
:J:
~ m
::0
Excess Pain
.(),
Pain
.(),
Du ll-lingering
Temperature
.(), .(), sitting
Bowel movement
Pain
Posture
Pain
Onset
Sudden
Vomiting
Pain
Rest/Movement
Pain
.(), .(),
Pain Pain
• •
Cold
Heat
Deficiency
Cra mping
Bu rning Pain
.(), with cold
Pain
Pain
.(),
Pain
Pain
.(),
.(), lying down
Gradual Pain with m ove
Pain
.(),
w ith rest
Pain
ORGAN
•
Pain w ith move
Pain
.(), with heat
• • .(),
with move
LOCATION
Qi stagnation
LV, ST, Intestines
Epigastrium, abdomen
Blood stasis
LV, Uterus, HT, ST, Int estines
Head, Chest, Epigastrium, Abdomen, Uterus
....
LV Yang rising
LV
Head
~
Cold
ST, Uterus, Intest i nes
Epigastrium, Ut erus, Abdomen, Joints, Bladder
Damp-Heat
ST, Uterus, Intest ines, UB, GB Hypochondrium, Epigastrium, abdomen, hypogastrium, uterus, forehead, joints
External Wind
None
Occiput
External Damp
ST, Intestines, uterus
Head, epigast rium, abdomen, Ut erus, Bladder, joints
Food Retention
ST, Intestines
Epigastrium, abdomen
Phlegm
ST, Intestines, Uterus
Head, epigast rium, abdomen, joints
0 n
0 z Ill
..,
c: ....
....
EXCESS
RO m
s:
~ DEFICIENCY
Distending
Pricking
Weighty
Colicky
:I ~
m
Ill
Pulling
Burning
Cold
Dull Hollow
Jlftmi ~~~~
~l]mi (JJ~)
:lll:~ (§~)
~mi (.ill ~)
~m; ~ ~~ )
~'J~ ~~ ~)
;f;-~ ( \,!!~ )
[fjl (g~ )
:!1':~ (i!ill!:)
Invasion of exte rior pat hogenic factors • Interio r Co ld o r Heat • Qi stagnat ion (distention more than pa in, or a distending pain, having no fixed location) • Blood stagnation • Phlegm obstruction(severe, boring pain, with a fixed location in a sma ll area) • Food retention • Qi and Blood d eficiency • Consumption of Body Fluids from Yin deficiency • Nature: Severe distent ion, mild pain and moving from place to place • Pattern: stagnation, Fire rising (headache) • Location: QiChest, epigast ric, hypochondriac, abdominal regions • Sharp in nature and fixed in location • Nature: Pattern: stasis • Location: Blood Chest, epigastric, hypochondriac, lower abdominal regions • Nature: Heavy sensation • Pattern: blocking Qi and Blood • Location: Damp Head, four limbs, lumbar region • Twisting pa in • Nature: • Pattern: Abrupt obstruction of the Qi by substant ial pathogenic fact ors Nature: Spasmodic in nature and short in duration • Pattern: LV disorders, LV Wind • Burning sensation and preference for coolness • Nature: Pattern: invading the col laterals, Yi n deficiency with Empty Heat • Location: Fire/Heat Hypochond riac regions on both sides, epigastric region • Cold sensation and preference for warmth •• Nature: Pattern: Excess Cold blocking the collaterals, Yang Qi deficiency unable to warm Organs and meridians
•
• • • •
Location: Head, lumbar, epigastric and abdominal regions
Nature: Not severe, bearable, lingering and may last for a long time Pattern: Cold syndromes, Deficiency type Nature: Pain w ith hollow sensation Pattern: Blood deficiency leading to emptiness of vessels, retardation of Blood circulation
Diagnosis I Interrogation
52
DIAGNOSIS
12. EMOTIONAL SYMPTOMS Lack of movement
HUN (Ethereal Soul) Excessive movement
Empty
DEPRESSION Full
Empty
ANXIETY
Full Empty + Full
Empty
FEAR Full
Empty + Full
Empty
IRRITABILITY Full
Empty
WORRY/OVERTHINKING
Full Empty
SADNESS Full
Diagnosis I Interrogation
•• • •• • ••• •• •• •• •• • •• • • ••• ••• •• •• ••• • •• ••• ••• • •• •• •• • •• • •
LV Qi stagnation LV Blood and LV Qi deficiency SP and KD deficiency Fire Phlegm Fire LV Blood or Yin deficiency SP HT LV KD KD
and HT Blood deficiency Yang deficiency Blood deficiency and HT Yin deficiency with HT empty heat Yang deficiency
LV Qi stagnation LV Qi stagnation turning into Heat LV Qi stagnation with Qi -Phlegm Phlegm-Fire harassing the Mind HT Blood stasis GB Heat Diaphragm Heat Blood deficiency Yin deficiency Heat Yin deficiency with Empty Heat HT HT LV LV KD HT
Blood deficiency Yin deficiency Blood deficiency Yin deficiency Yin deficiency and GB Qi deficiency
HT Fire HT Blood stasis Phlegm-Fire harassing the M ind LV Qi stagnation LV Fire LV Yang rising Rebellious Qi of Chong Vessel Diaphragm Heat KD and HT Yin deficiency with HT Empty Heat HT Yin deficiency with Empty Heat Blood deficiency Yin deficiency (with or without Empty Heat) Empty Heat Qi stagnation Blood stasis LV Yang rising Heat or Damp-Heat HT LU HT LV HT HT
and SP Qi deficiency Qi deficiency Blood deficiency Blood deficiency Yin deficiency Yin deficiency with Empty-Heat
LU Qi stagnation LU and HT Qi deficiency LV Blood deficiency HT Blood deficiency LU Qi stagnation
DIAGNOSIS
53
.
13 ENERGY LEVELS (TIREDNESS)
'" s: "'C
::;!
., c:
,.... ,....
SP Qi deficiency
Chronic tiredness, desire to lie down, poor appetite, loose stools
SP Yang deficiency
Chronic tiredness, desire to lie down, poor appetite, loose stools + Cold symptoms
LU Qi deficiency
Chronic tiredness, weak voi ce, propensity to catch colds
LU Yang deficiency
Chronic tiredness, weak voice, propen sity to catch colds + Cold symptoms
KD Yang deficiency
Chronic tiredness, backache, lassitude, a feeling of cold, depression, frequent urination
LV Blood deficiency
Chronic tiredness, slight depression, dizziness, scanty periods
KD Yin deficiency
Chronic tiredness, anxiety, insomnia, dry mouth at night, tongue without coating
Damp retention
Chronic tiredness, feeling of heaviness of the body, muzziness
Phlegm retention
Chronic tiredness, feeling of oppression of the chest, dizziness, muzziness
LV Qi stagnation
Chronic tiredness, anxiety, tenseness, wiry pulse
Shao Yang pattern
Short term tiredness, alternating cold and hot, irritability,
CD
unilateral coating,
®
wiry
.
14 SEXUAL SYMPTOMS Impotence
(]
Lack of libido
Premature Ejaculation Ejaculation~ Tiredness/Dizziness
~
libido Orgasm~ Headache
•• • • •• • •• • • •
•• •
KD HT HT LV
Yang deficiency: fee ling cold , backa che, w eak kn ees Blood deficiency: palpitati on, dizziness, choppy pul se Fire: palpitations, in so mni a, drea m-disturbed sleep, rapid overflowing pul se Damp-Heat: heavin ess of t he scrotum , urethral di sch arge
KD Qi or Yang deficiency Deficiency of SP, HT or LU LV Qi stagnation KD Qi not Firm HT Qi deficiency HT Blood deficiency KD deficiency Lack of libido or an inability to reach an orgasm: KD Yang or HT deficiency Excessive sexual desire: LV/ HT Fire, KD Yin defici ency with empty heat Inability to reach orgasm: HT defi ciency
Rebellious Qi of Chong Vessel, HT Fire
Diagnosis /Int errogation
54
DIAGNOSIS
PALPATION Pulse
Skin
Limbs
11l~(~e!l
Hands
Chest
PULSE DIAGNOSIS
NINE AREAS OF PULSE
Abdomen
~~l!1!l&i
"SIMPLE QUESTIONS"
AREA
LOCATIONS
REGION Upper
Ta i Yang
Qi of head
UPPER
HEAD
Middle
ST3
Qi of mouth
Lower
TB21
Qi of ears and eyes
MIDDLE
HAND
LOWER
LEG
Points
POINT
ORGAN OF BODY PART
Upper
LU8
LU
Middle
Ll4
Center of thorax
Lower
HT7
HT
Upper
LVlO or LV3
LV
Middle
KD3
KD
Lower
SPll or ST42
SP and ST
THREE LEVELS LEVEL
ENERGY TYPE
ENERGY LEVEL
ORGAN
Superficial
Qi (Yang organs)
Exterior
U.J. (HT and LU)
Middle
Blood
SP and ST
M.J . (SP and ST)
Deep
Yin (Yin organs)
Interior
L.J. (KD)
SIX POSITIONS AND CORRESPONDENCE LEFT
RIGHT POSITION
Trigram
5 Element
----
Organ Sl CUN GB LV UB
SJ CHI
KD (KD Yin)
@ Fire
Diagnosis I Palpation
--
CD
--
SP
@ Water
CONTROL CYCLE
(2) Earth
ST GUAN
CD
--
LU
Wood
GENERATING CYCLE
Metal
®
HT
®
Trigram
Ll
@ Fire
----
5 Element
Organ
Fire ¢
PC {KD Yang)
(2) Earth ¢
C ®
M etal
®
C ®
Metal ¢ Wood
@ Water ¢
C (2)
Earth
C
®
Minister Fire
Wood ¢
@ Water
@ Fire
C CD
Fire
DIAGNOSIS
55
NAN JING (CLASSIC OF DIFFICULTIES)
PULSE TAKING
Pulse Position
SIX POSITIONS AND CORRESPONDENCE
RIGHT
LEFT
01------SP (guan) KD Yang (chi)
KDVin (chi)
PULSE POSITION FROM DIFFERENT CLASSIC LEFT Nei Jing
1
Nan Jing
Pulse Classic
Pulse Studies
Complete Book
Complete Book
Pulse Studies
Pulse Classic
(Shuhe Wang)
(Shizhen li)
(Jiebing Zhang)
(Jiebing Zhang)
(Shizhen li)
(Shuhe Wang)
1564 C.E.
1624 C.E.
1624 C.E.
1564 C.E
1st cent.
200 C.E.
280 C.E.
St ernum
Hand Taiyang
Sl
s T
2 N D
3 R D
RIGHT
PC
heaven
Stern um
Diaphragm
Abdom en
KD
200 C.E.
1st cent.
Ll
Hand Yangming
Chest
Hand Shaoyin
HT
HT
earth
LU
LU
Ha nd Ta iyin
LU
Foot Shaoyang
GB
GB
heaven
ST
ST
Foot Ya ngming
ST
Foot Jueyin
LV
LV
earth
SP
SP
Foot Ta iyin
SP
Foot Ta iyang
UB
UB, Ll
heaven
SJ, 51, Mingmen
SJ
Hand Shaoyang
Foot Sh aoyin
KD
LV LV
Nei Jing
LU
HT HT
280 C.E.
Nan Jing
SP
KD (M ingmen) KD
earth
KD
KD (Mingm en)
KD (Mingmen)
Hand Jueyin
Abdomen
KD
Diagnosis I Palpation
56
DIAGNOSIS
COMPARATIVE PULSE CHART FCM
PINYIN
CH(KO)
CAM (CA BOARD)
PRO
WEB
1
FLOATING
Fu Mai
$(~)
Superficial
Floating
Floating
2
DEEP
Chen Mai
i:t(~)
Deep
Deep
Sinking (Deep)
3
SLOW
Chi Mai
ii(XI)
Slow
Slow
Slow
4
RAPID
Shu Mai
1!((6/)
Rapid
Rapid
Rapid
5
EMPTY
Xu Mai
om(QjJ
Deficient
Vacuous
Empty
6
FULL
Shi Mai
tlf(@l)
Excess
Full
Full
i:!l:(~)
7
OVERFLOWING
Hong Mai
Surging
Surging (Flooding)
Flooding
l>
8
FINE (Thin)
Xi Mai
;llll(k!l)
Thready
Fine
Thin
m 0 l>
9
SLIPPERY
Hua Mai
i~(f.f )
Rolling
Slippery
Slippery
::a
10 CHOPPY
Se Mai
~(Gl)
Hesitant
Rough
Choppy
ICI
11 WIRY
Xuan Mai
~(~)
String-taut
String-like
Wiry
12 TIGHT
Jin Mai
~(2!)
Tense
Tight
Tight
n
13 SOGGY (Weak-floating) Ru Mai
i\'1;\(.g. )
Soft
Soggy
Soggy
14 WEAK
Ruo Mai
~~(Q/)
Weak
Weak (Frail)
Frail
15 HASTY
Cu Mai
f!E(~)
Abrupt
Skipping (Hurried)
Hurried
16 KNOTTED
Jie Mai
.!ia(~)
Knotted
Bound
Knotted
17 INTERMITTENT
Dai Mai
f-\;(Ql)
Regularly-intermittent
Regu larly-1 nterm ittent
Intermittent
18 LONG
Chang Mai
:aml
Long
Long
19 SHORT
Duan Mai
ift(8)
Short
Short
20 MINUTE
Wei Mai
ifJI(DI )
Faint
Minute
21 SLOW-DOWN
Huan Mai
*!(§-)
Moderate
Moderate
Scallion
Hollow
Drumskin
Leather
Confined (Prison)
Confined (Prison)
Scattered
Scattered
Hidden
Hidden
Stirred (Spinning Bean)
Spinning Bean (Moving)
z n n
22 HOLLOW
Kou Mai
?l:(T/)
23 LEATHER
Ge Mai
:1i[(~)
0 I:
24 FIRM
Lao Mai
$ (Xi)
25 SCATTERED
San Mai
Jli(tf)
26 HIDDEN
Fu Mai
f:;f;:(~)
27 MOVING
Dong Mai
Iii(~)
l>
28
HURRIED
Ji Mai
~(~ )
BIG
Da Mai
x(Oll
•• •• • •• •• • ••
Large
GROUPING BY PRD ABNORMAL DEPTH
..... r0
zCl~
DEEP
,.,)>r-
:I:
Ill
Ill
r-
Cl Cl
~ :I:,., ,.,
0r0
:E
0
-
Cl
ABNORMAL ARRIVAL RATE
SLOW
..... s: r., ,.,c0 :;;s: .,c s0 .,,.,=a z z
0 ,., ,.,
Ill
Ill
0
0
r-
:E
;J3
-
: ,., -< :I:
:E 6 0 :E z
)>
SPEED
-i
Cl
SHAPE
0
zCl~
Ill
;J3
z25 ., )>
z
Ill
r-
0
c ::::
Cl
Diagnosis I Palpation
-i
,.,
z "'G'i s: ~
:I:
.....
crr-
VI
r-
n
.,=am 0.,.,:I: -
:
z
z
,.,-i
§,., s: 0 ;J3
:j ,.,
0 ,.,
OTHERS
,.,~
s:0 0,., ;J3
,.,~
..... r0 0 0
z
Cl
s:
z c
-i ,.,
.....
~ r=
Ill
0
Cl Cl
-
r-
n :I: c0 0.....z s:0< 0r-r- n ,., ,.,:I: z ,.,z zCl 0 ~,., :::: ,., 0 :I:
VI
-i
;J3
;J3
0
DIAGNOSIS
I FCM
,.. ,..0
n
YIN-YANG CLASSIFICATION AND INDICATION PINYIN
CH
YIN/YANG
1
FLOATING
Fu
i'f.
+
2
DEEP
Chen
i:t
-
3
SLOW
Chi
~
-
4
RAPID
Shu
~
+
5
EMPTY
Xu
~
-
6
FULL
Shi
""
..
+
7
OVERFLOWING
Hong
~~
8
FINE (Thin)
Xi
*Ill
9
SLIPPERY
Hua
;~
10
CHOPPY
Se
=
-
11
WIRY
Xu an
5t
+
12
TIGHT
Jin
~
13
SOGGY (Weak-floating)
Ru
~
-
14
WEAK
Ruo
~~
-
15
HASTY
Cu
iJE
+
16
KNOTTED
Jie
~
-
17
INTERMITTENT
Dai
f\:;
-
18
LONG
Chang
:ft
+
19
SHORT
Duan
~.il:
-
20 21
MINUTE
Wei
~
-
SLOW-DOWN
Huan
22
HOLLOW
Kou
**TL
©
23
LEATHER
Ge
1i'i
-
24
FIRM
Lao
~
25
SCATTERED
San
~
-
26
HIDDEN
Fu
1~
-
27
MOVING
Dong
tiJ
Ji
!*-
Da
*
+ + +
-
WITHIN
+
WITHIN -
al
:Ill Cl
z n ,..n
''"'
+
WITHIN -
-
+
WITHIN -
0 3:
HURRIED
28
BIG
(FCM) (PRD,WEB)
I
INDICATIONS (FCM)
-
+
57
Invasion of external Wind • Yin deficiency (interior conditions) • Pathogenic factor in the Interior (Deep-Full) • deficiency (Deep-weak) • Yang pattern •• Cold Empty-Cold (Slow and Weak) (Slow and Full) • Full-Cold Heat pattern • Full-Heat and Full) • Empty-Heat(Rapid • Qi deficiency(Rapid and Floating-Empty) • Full pattern • Full-Heat (Full-Rapid) •• Full-Cold (Full-Slow) • Full-Heat (Overflowing-Empty) • Empty-Heat Blood deficiency • Dampness with severe Qi deficiency • Phlegm •• Dampness of Food • Retention • Pregnancy Blood deficiency • Exhaustion of Body Fluids • LV disharmony • Pain • Phlegm • Cold • Exterior Cold (Tight-Floating) • Interior Full-Cold (Tight-Full-Deep) • Interior Empty-Cold (Tight-Weak-Deep) • Pain • Dampness with Qi deficiency • Yin deficiency •• Essence deficiency deficiency • Yang Blood deficiency • Severe Heat •• HT Qi deficiency
•
HT-Fire
• •• Heat pattern • Severe Qi deficiency • ST Qi deficiency • Severe deficiency of Qi and Blood • Generally a healthy pulse • Hemorrhage • Forthcoming hemorrhage (Hollow and Rapid) • Severe of KD-Essence •• Severe deficiency deficiency of KD-Yin Blood stasis • Interior •• Pain Cold (Firm and Slow) deficiency of Qi and Blood • Severe deficiency of KD-Qi • Severe condition • Serious Severe Yang • Shock, anxiety,deficiency fright •• Pain •
••
Cold with HT Yang deficiency Serious problem in internal organ HT problem (in Western medical sense)
Fire exhausting Yin Entrance of disease (with force) Outward floating of yang vacuity (without force)
Diagnosis I Palpation
58
DIAGNOSIS
PULSE IMAGES 1. FLOATING -
2. DEEP
3. SLOW
4. RAPID
7. SURGING
8. THIN
UndlrtMSidn511------
~IMMI
_______
......
Ell1h
5. EMPTY
~ 6. FULL
-Jt""A"1_Jl_l
~-~-lr-~Y-
9. SLIPPERY
'A-"~~- -r
__
[ _~_ ~ _v _v
10. CHOPPY
11. WIRY
12. TIGHT
13. SOGGY
14. WEAK
15. HASTY
16. KNOTTED
17. INTERMITTENT
18. LONG
19. SHORT
20. MINUTE
/
21. MODERATE
22. HOLLOW
25. SCATTERED
26. HIDDEN
Diagnosis I Palpation
-
............
.... -.................. '-·· -·/
...........
~-
-~
~
23. LEATHER
24. CONFINED
27. MOVING
28. BIG
..._
DIAGNOSI S
59
PULSE IMAGE AND INDICATION
1. FLOATING
~
l> G) m
•• • •
WEB
FCM
PRO
z
0
;:;
:!i
0 z
~
l> m
I
Higher than normal, that is, although distinct at a light or superficial level of pressure Less perceptible when palpated at the middle and deep levels Felt with a light pressure of the fingers, just resting the fingers on the artery Clearly felt with light pressing, somewhat weak with heavy pressing
CAM
Exterior, Deficiency, or general weakness from prolonged illness
WEB
Exterior, Yin deficiency (if weak), Interior Wind (if no exterior symptoms)
FCM
Exterior, W-C (if t ight), W-H (if rapid), Yin deficiency (if weak), Severe interior Qi deficiency (i.e. anemia, c.ancer)
SHG
Exterior, Weak person w ith cold, Serious Qi/Biood deficiency
PRO
Exterior pattern
2. DEEP
G)
(;$~, SUPERFICIAL)
( i:t~, SINKING)
WEB
FCM
• •
I
Distinct on ly at t he third level, w hen heavy pressure is applied Opposite to a "Floating", it can only be felt with a heavy pressure of the fingers and is felt near the bone
PRO
•
CAM
Interior
WEB
Interior, Obstruction
~
FCM
Interior, Qi/Biood st asis (if full), Yang deficiency (if weak)
z
SHG
Interior
PRO
Interior pattern, depression pattern, water swelling
z0 ;:;
0
Not clear with light pressing, clear with heavy pressing
I
3. SLOW (ii.Jif&) ~
l> G) m
WEB
FCM
PRO
• One that has fewer t han four beats per respiration • Three beats per respiration cycle (of the practitioner) • In one breath, the pulse does not come four times
CAM
Cold, Excess Cold (if strong), Yang deficiency (if weak)
z 0
WEB
Cold retarding movement, Qi insufficiency
~
FCM
Cold, Full Cold (if fu ll), Empty Cold (if weak)
SHG
Cold, Yang deficiency
PRO
Cold pattern
;:;
0 z
4. RAPID
~
l> G) m
WEB
FCM
I
( ~Jif&l
• •
One that has more than five beats per respiration Five beats per each respiration cycle
PRO
•
CAM
Heat, Excess Heat (if strong), Yin deficiency (if w eak)
WEB
Heat is accelerating the movement of Blood
~
FCM
Heat, Full Heat (if fu ll ), Empty Heat (if floating-empty)
z
SHG
Heat, Excess or Yin deficiency
PRO
Heat pattern, (" Racing pu lse" governs extreme Heat, Yin exhaustion floating Yang)
z
0
;:; 0
Five beats in one breath (" Racing pulse" is seven or more beat s per breath)
5. EMPlY (tlii:~. WEB
~
l> G) m
FCM
PRO
z
0
;:;
:!i 0z
• • • • • •
DEFICIENT,VACUOUS)
I
Big but without strength Weak + Soft, like "a balloon partially filled with water" Felt at the superficial level and is often slower than normal Feels rather big but soft, "Empty" may suggest that nothing can be felt, but this is not so It is actual ly rather big but it feels empty on a slightly stronger pressure and is soft Lacks force, empty and vacuous with pressure
CAM
Qi/Biood defici ency
W EB
Qi/Biood defi ciency
FCM
Qi defici ency
SHG
Qi/Biood deficiency, Organ (Za ngfu) deficiency
PRO
Dual vacu ity of Qi and Blood
Diagnosis I Palpation
60
DIAGNOSIS
6. FULL (Will, EXCESS, REPLETE)
~
~ m
WEB
FCM
PRO
•
• •
I
Big + Strong, pounding hard against the fingers at all three depths Feels Full, rather hard and rather Long (often used to indicate any pulse of the Full type) Forceful with touching and pressing
CAM
Excess
z
WEB
Excess
~ z
FCM
Excess, Full Heat (if rapid), Full Cold (if slow)
SHG
Excess, Normal
PRO
Repletion pattern, Heat pattern
Si! n 0
I with the strength of a big pulse, hitting the fingers at all three depths •• Surges But it leaves the fingers with less strength, like a receding wave Feels big, it extends beyond the pulse position •• Superficial and generally feels as if it overflows the normal pulse channel, like "a • Arrives like waves, arriving flourishing, departing debilitated
7. SURGING (i1tl!l, FLOODING} WEB
~
~
m
FCM
PRO CAM
Excess Heat
z
WEB
Heat has injured the Fluids and Yin
~0
FCM
Full Heat, Empty Heat (if empty)
SHG
Excess Heat, Exhaustion of Qi following long illness
PRO
Exuberant Heat
Si!
z
river overflows during a flood"
I • Fine thread but is very distinct and clear • Thinner than normal • Fine like thread, clearly felt
8. THIN (*ll!Jlli, FINE, THREADY}
~
~
m
WEB
FCM
PRO CAM
Qi, Blood, or Yin deficiency due to stress or overstrain
z
WEB
Blood deficiency unable to fill the pulse properly, Qi deficiency
~
FCM
Blood deficiency, Damp with severe Qi deficiency
52 0
z
SHG
Blood deficiency, Yin deficiency
PRO
Vacuity taxation detriment with Yin vacuity as primary, Damp
9. SUPPERY (litl!l, ~
~
m
WEB
FCM
PRO CAM
z
Si!
~0 z
ROLUNG)
•• • Feels smooth, rounded, slippery, as if it were oily, slides under the fingers • Arrives smoothly, the fingers feel roundness and slipperiness
Accumulation of Phlegm and/or food, Excess Heat, Retained fluid, Normal in pregnancy
WEB
Excess, Damp or Mucus, Normal in pregnancy
FCM
Accumulation of Phlegm, Damp or Food (if full), Phlegm or Damp with Qi deficiency (if weak), Normal in pregnancy
SHG
Damp or Phlegm, Normal in pregnancy
PRO
Phlegm or Food accumulation, Repletion Heat
10. CHOPPY (ii!il!l, HESITANT,ROUGH) WEB
~
~
m
FCM
PRO
z0
~ 0 z
I
Extremely fluid, it feels smooth, like a ball bearing covered with viscous fluid "Feels like pearls in a porcelain basin", "slithers like a snake"
I
of "Slippery pulse", uneven and rough, and sometimes irregular in strength •• Opposite "A knife scraping bamboo or a sick silkworm eating a mulberry leaf" • Sometimes it is irregular in rhythm ("the three and five not adjusted") rough under the finger, instead of a smooth pulse wave • Feels • Feels as if it had a jagged edge to it roughly, slowly and stagnating • Arrives • Like "a light knife scraping bamboo"
CAM
Blood or Jing deficiency (if weak), Qi or Blood stasis (if strong)
WEB
Blood or Jing deficiency (if thin), Congealed Blood
FCM
Blood deficiency, Body fluid exhaustion (i.e. following profuse sweating or vomiting)
SHG
Blood deficiency, Qi or Blood stasis
PRO
Essence damage, Blood depletion, Qi stagnation, Blood stasis
Diagnosis I Palpation
and fullness
DIAGNOSIS
11. WIRY
( ~Ill. STRING-TAUT)
•• •• •
WEB
~
)>
G'l m
FCM
PRO
2 c
n ~ 0 z
~ )> G'l
m
2 c
n ~ 0 z
Feels taut like a guitar string Thinner, more taut and harder than the Tight pulse, really hits the fingers Straight and long, like pressing on the string of a 'Qin'
Pain, LV/GB disharmony, LV Yin deficiency or Yang excess, Phlegm, Fluid retention
WEB
Stagnation in the body, LV/GB disharmony
FCM
LV disharmony, Pain, Phlegm
SHG
Pain, LV disharmony
PRO
LV or GB disease, Pain pattern, Ph legm-Rheum (~ill, TENSE)
WEB
FCM
• • • •
I
Strong and seems to bounce from side to side like a taut rope Fuller and more elastic than the Wiry pulse Vibrating and urgent, it seems faster than it actually is Feels twisted like a thick rope
PRO
• Arrives tightly and with force,
CAM
Cold, Pain, Accumulation of Food
WEB
Excess, Cold, Stagnation
like a twisted rope
FCM
Cold, Exterior Cold (if floating), Interior Full Cold (if full-deep), Interior Empty Cold (if weak-deep), Pa in
SHG
Excess Cold
PRO
Cold, Pain, Food storage
13- SOGGY WEB
~
~ m
I
Taut feeling, like a guitar or violin string Strong, rebounds against pressure at all levels, and hits the fingers evenly, no fluidity or wavelike qualities
CAM
12. TIGHT
FCM
(~Ill. SOFT)
•
• •• •
I
Thin + Empty + Floating, Extremely Soft, is less clea r than a Thin pulse, and is perceptible only in the superficia l Slightest pressure makes it disappear, " a bubble floating on water" Felt only on the superficia l level, it feels very soft and is on ly slightly Floating Disappears when a stronger pressure is applied to feel the deep level Similar to the Floating-Empty pulse, but it is softer and not so Floating
PRO
•
CAM
Damp
2 c
WEB
Blood or ling deficiency, Damp
n ~
FCM
Damp with Qi deficiency, Yin deficiency, Essence deficiency
0
z
SHG
Damp
PRO
Vacuity, Damp
14. WEAK ~
)>
G'l m
2 c
n )> --i
0 z
WEB
FCM
PRO
~
G'l
m
2 c
n ~ 0
z
I
Soft + W eak + Thin. Felt at the deep level, like an inverted empty pulse Cannot be felt on the superficia l level, but on ly at the deep level, also Soft Deep + Fine + without force
CAM
Qi/Biood deficiency
WEB
Extreme Qi deficiency (because Qi can't even raise the pu lse)
FCM
Yang deficiency, Blood deficiency
SHG
Qi/Biood deficiency
PRO
Insufficient Qi and Blood
15. HASTY )>
Floating + Fine + Soft
~~~Jill. FRAIL)
• • •
WEB
FCM
{i:f.~, ABRUPT, HURRIED)
•
•
61
I
Rapid pulse that skips beats irregularly Rapid and it stops at irregular intervals
PRO
•
CAM
Excess Yang Heat, Qi/Biood stagnation, Accumulation of Food or Ph legm, Col lapse syndrome (if weak)
Arrives rapid ly, sometimes there is a stop, stops are irregular
WEB
Heat agitating Qi and Blood
FCM
Severe Heat, HT Qi deficiency, HT Fire
SHG
Excessive HT Yang, Congested Qi in the Upper Jiao
PRO
Exuberant Yang Repletion Heat, Ph legm exuberance, Food stagnation
Diagnosis I Palpation
62
DIAGNOSIS
16. KNOTTED (ilitil!/i, BOUND)
I, i
i :z
WEB
FCM
PRO
•
•
•
Slow and it stops at irregular intervals Arrives Moderate to Slow, sometimes there is a stop, stops are irregular
CAM
Excess Yin, Accumulation of Qi, Retention of Cold Phlegm, Blood stasis
WEB
Cold obstructing Qi/Biood, Qi/Biood/Jing deficiency, HT not ruling the Blood properly (more interruptions, more severe)
FCM
Cold, HT Qi or Yang deficiency
SHG
HT Blood stasis with Excess Yin or Phlegm in the PC
PRO
Yin exuberance, Qi bind
17. IN1J8jVII'lJJNT tftll!il
~
I
Slow, irregular pulse that skips beats irregularly
WEB
FCM
PRO
• •
•
I
Usually skips more beats than the "Hasty" and "Knotted", but does so in a regular pattern Stops at regular intervals Stops in the middle of moving, stops are regular
CAM
Declining Zang Qi, Declining Yang Qi, Painful syndrome, Extreme fear or fright, Wind
z
WEB
Serious HT disharmony, exhausted state of all the Organs
~
FCM
Serious problem in internal organs (if stops every 4 beats or less, more serious), HT problem (in western medicine)
SHG
Organ exhaustion
PRO
Slight debilitation of Viscera Qi, Wind pattern, Pain pattern, Palpitation
52
i
I
1-. LONG !:llll!il
...
I
WEB
FCM
PRO
z
; m
z
;
• • •
Opposite of a "Short pulse" Perceptible beyond the first and third positions Continues to be felt closer to the hand or up toward the elbow Basically longer than normal, extends slightly beyond the normal pulse position Tail is long and straight, longer than the original location
WEB
Excess (if tight-wiry). Normal (if normal speed and strength)
FCM
Heat pattern
PRO
Surplus of Yang Qi
19. SHORT
I
••
WEB
FCM
PRO
• • •
Does not fill the spaces under the three fingers and is usually felt in only one position Opposite of a "Long pulse", occupies a shorter space than the normal position Tail is Short, does not reach original position
WEB
Qi deficiency
FCM
Severe Qi deficiency, ST Qi deficiency
PRO
Qi depression (with force), Qi injury (without force)
20. MINUTE ,••• WEB
I m
FCM
PRO
z5!
s"'
J
(il'l,JIIi)
• • • • •
FAINT)
Basically the same as the Fine one, just more so Extremely Thin, small and difficult to feel Extremely Fine, extremely Soft, sometimes present, sometimes not
WEB
Extreme deficiency
FCM
Severe deficiency of Qi and Blood
PRO
Slightly critical case of Yang Qi debility
21. MODERATE (&11!/i, SLOW-DOWN)
I m
z0
g
I
Extremely Fine + Soft, but lacks the clarity of the Thin pulse Barely perceptible and seems about to disappear
WEB
FCM
PRO
• •
•
I
Normal in depth, speed, strength, and width Four beats for each respiration cycle Four beats in on breath, pulse arrives leisurely
WEB
Healthy, perfectly balanced pulse, Damp (if slightly slippery)
FCM
Generally a healthy pulse
PRO
SP vacuity, Damp pattern
Diagnosis I Palpation
DIAGNOSIS
I Feels like "the stem of a green onion", solid on the outside but completely empty within •• Often Floating pulse as well
22. HOLLOW WEB
3:
~
"'
FCM PRO
(n~. SCALLION)
• •
Felt at the superficial level, but if one presses slightly harder to find the middle level it is not there
• Felt again at the deep level with a stronger pressure, Empty in the middle Floating + Large with an Empty center, like a scallion stalk
2
WEB
Blood deficiency, Great loss of blood
n
FCM
Hemorrhage, Forthcoming hemorrhage (if rapid)
"'
PRO
Blood loss, Yin damage
0
~
23. LEATHER WEB
3:
I
(:~~. DRUMSKIN)
•
Wiry + Floating + Empty, Feels like the tight skin on the top of a drum
• • •
Feels hard and tight at the superficial level and stretched like a drum, but it feels completely Empty at the deep level Large pulse, not thin
~
FCM
2
WEB
Blood or Jing defi ciency
£"'
FCM
Severe deficiency of KD Essence or KD Yin
PRO
Essence Blood vacuity Cold
"' 0
PRO
Floating under the finger, Hollow center and hard outside
24. CONFINED WEB
3: ]> G)
"'
FCM PRO
•
I*~·
PRISON, FIRM)
I
Opposite of the "Leather pulse" and is a form of the Hidden pulse, Very deep + Wiry + Long + Strong
Felt only at the deep level and it feels hard and rather Wiry •• Described as a W iry pulse at the deep level • Replete + Large + String-like + Long with heavy pressing
2
WEB
Obst ruction due to Cold
n
FCM
Blood stasis, Interior Cold (if slow), Pain
"'
PRO
Internal exuberance of Cold accumulation, mounting, accumulation and conglomerations
0
~
25. SCATTERED (ilJr.ll!i:) WEB
3: ]> G)
"'
FCM PRO
•• • • •
I
Similar to "Empty pulse" because it is Floating + Big + Weak Larger but much less distinct than the "Empty" pulse, tends to be felt primarily as it recedes Feels very sma ll and is relatively superficial Instead of fee ling like a wave, the pulse feels as if it were "broken" in small dots Floating, scattered without root, disappearing with pressing
2
WEB
Serious disharmony, KD Yang exhausted and "floating away"
n
FCM
Severe deficiency of Qi/Biood or KD Qi, Serious condition
"'
PRO
Scattering of Original Qi, imminent expiry of Viscera and Bowel Qi
0
~
I
26. HIDDEN (i:*:Jl!i:) WEB
3: ~
m
FCM
Extreme form of "Sinking pulse" •• Intense pressure must be applied to feel it Feels as if it were hidden beneath the bone •• Very deep and difficult to feel, basically an extreme case of a Deep pulse
PRO
•
Clear with heavy pressing, finally obtained when the bone is found
2
WEB
Cold obstructing the Meridian (if strong). Yang deficien cy (if weak)
n
FCM
Severe Yang deficiency
"'
PRO
Blocked evil, Reverting pattern, extreme pain, Yang debility
0
~
27. MOVING WEB
3:
]> G)
m
FCM PRO
•• • •• •
(itiJ~.
SPINNING BEAN)
I
Short + Tight + Slippery + Rapid Fe lt in on ly one position and is said to be "incomplete, without a head and tail, like a bean" Round shape like a bean, it is short and it "trembles" under the finger No definite shape, having no head or tail, just rising up in the center Feels as if it is shaking and is also somewhat Slippery Jumps like a bean, Slippery + Rapid + with Force
2
WEB
Extreme condition, HT pa lpitations, intense fright, fever, or pain
n
FCM
Shock, anxiety, fright, Pain
"'
PRO
Pain pattern, palpitation pattern
0
~
63
Diagnosis I Palpation
64
DIAGNOSIS
28-A. HURRIED (~llli\)
s: z
FCM
•
FCM
Fire exhausting Yin
I
Very rapid, but it also feels very agitated and urgent
28-B. BIG (j;:M\, LARGE)
I
s:
WEB
•
m
PRO
Large and full, location is broad
z
WEB
Heat in ST or Intestines
PRO
Entrance of disease (with force), Outward floating of Yang vacuity (without force)
~
!2
Broad in diameter and very distinct, suggest s Excess
PULSE COMBINATIONS FCM
1
2
3
4
FLOATING
DEEP
SLOW
RAPID
Diagnosis I Palpation
WEB & Ll SHI ZHEN
COMBINATIONS
+ Moderate
Wind-Damp
+ Empty
Summer-Heat damage
+ Slippery + Rapid
Wind-Phlegm or Food retention Wind-Heat
+ Hollow
Blood loss
+ Scattered + Short
Extreme taxation Qi disease
+ Choppy + Tense + Surging, Big
Blood damage Wind-Cold External Summer-Heat
+Slow
Interior Cold
+ Rapid
Interior Heat
+ Moderate
Water-Damp
+ Confined +Wiry + Tight
Cold accumulation Swelling with pain, LV Qi stagnation Cold pain
+ Hidden
Choleraic disease
+ Slippery + Choppy
Phlegm and Food accumulation Depression of Qi, Blood stasis
+ Floating + Deep + Slippery
Exterior Cold Interior Cold Phlegm, Food
+ Thin
Yang debility
+ Wiry + Moderate
Accumulation pain Cold-Damp
+ Choppy
Blood deficiency
+ Surging + Thin
Exuberant Yang excess Heat (sores and welling abscesses) Yin deficiency with empty Fire
+ Rolling
Phlegm-Fire excess Heat
+ Empty + Choppy + Hollow
Pulmonary wilting Yin and Blood injury and exhaustion Extreme loss of Blood
+Wiry
LV Fire
DIAGNOSIS
5
EMPTY
+ Floating
Qi deficiency
+ Choppy + Rapid +Slow + Soggy
Blood deficiency Yin deficiency internal Heat Yang deficiency
+ Deep + Float ing
6
FULL
+ Slippery + Tight + Rapid + W iry + Big
7
8
OVERFLOWING
FINE (Thin)
SLIPPERY
CHOPPY
Exterior Heat, Yin deficiency
+ Slippery + Deep + M inute
Damp impediment, Pain Yang deficiency
+ + + +
Deficient Heat Cold damage LV Blood/Yin deficiency Blood deficiency, Qi stagnation Wind-Phlegm
+ Deep + Rapid +Slow + W iry + Tight
12
13
14
WIRY
TIGHT
SOGGY (Weak-floating)
WEAK
Phlegm-Rheum panting and coughing, Food retention Damp-Heat, Phlegm-Fire, Food damage Dysentery Food stagnation, Phlegm with LV Qi stagnation Cold-Phlegm obstructing
+ Deep + Floating, Thin
Qi stagnation, Blood stasis Interior deficiency, Yin debility Large amounts of sweating damaging the fluids, Dried fluids
+ Floating + W eak + Minute
Qi exhausted Blood deficiency, Yang deficiency
+ Rapid
11
Bowel Heat, LU abscess LV Fire Exuberant Heat Internal Heat, Cold restraining Heat Distention(chest) and fullness, Constipation with bleeding Phlegm-Heat
+ W iry
10
Exterior excess Phlegm or Food retention Damage by Cold evil
+ Deep + Tight
+ Floating
9
Deficient protective Qi, with spontaneous sweating Internal excess
+ Floating
Rapid Tight W iry Choppy
65
Exterior deficiency
Heat in LV channel, LV Fire Lv Yin deficiency
+ Rapid, Thready + Rapid, Big +Slow + Floating + Deep
LV Fire blazing SP and ST deficient cold, LV Cold Propping-Rheum Pain due to Suspended Rheum, Interior stagnation with pain
+ Big without force + Thin + Slippery
Acute tetanic spasm Phlegm-Rheum
+ Tight + Floating + Deep +Wiry
Concretion and Gathering Cold damage to Tai Yang Cold accumulation and abdominal pain Mounting accumulation and abdominal pain, Cold obstruction
+ Rapid
Simultaneous Heat and Cold pattern
+ + + +
Full Choppy W iry Choppy
Cold obstruction Dizziness or numb fingers Blood loss
+ + + + +
Rapid Choppy Rapid Soggy Wiry, Thin
Damp-Heat Blood deficiency, Essence deficiency, Cold or infertility Seminal emission, Uterine bleeding Spontaneous sweating Blood deficiency, Flaccid tendons
Deficiency pattern
Distention and pain
Dia gnosis I Pa lpation
66
DIAGNOSIS
15
HASTY
+ + + + +
Heat exuberance in the exterior Heat exuberance in Yang Ming Phlegm-Rheum, Food retention Debilitation of organ Qi, Separation of Yin and Yang
Floating, forceful Surging Slippery Thin/Minute Floating
Cold evil stagnating in the channels Stasis accumulation, Qi/Biood stagnation with lumps Mingmen Fire exhausted Phlegm evil accumulation and stagnation Binding depression of the seven emotions
+ Deep, Choppy
16
KNOTTED
17
INTERMITTENT
+ Deep, Weak + Slippery +Wiry + Weak
Yuan Qi deficiency, SP/ST weakness
NCCAOM ONLY + Floating + Surging
18
19
LONG
SHORT
+ Deep, Thin + Slippery + Soggy +Wiry + Floating + Deep + Rapid +Slow
20
21
MINUTE
SLOW-DOWN
22
HOLLOW
23
LEATHER
24 25
FIRM SCATTERED
26
HIDDEN
27
MOVING
28
BIG
Diagnosis I Palpation
+ Rolling, Rapid + Soggy +Weak + Choppy + Floating + Deep
External pathogen or Yin deficiency Yang insanity or Epilepsy Lumps or tumors Phlegm Heat Alcohol intoxication or Cold LV disharmony LU Qi deficiency or Blood stasis KD Qi deficiency Heart Pain and irritability Cold deficiency Alcohol injuring Shen Spasms Spontaneous sweating Great Blood loss External Damp or Wind Damp obstructing
+ Choppy
Blood deficiency
+ + + + +
Yang deficiency Yin deficiency
Slow, Thin Rapid Empty, Soggy Knotted Slippery, Big
+ Moderate, no spirit + Deep + Floating +Slow + Rapid + Weak + Full + Hollow + Floating
Essence deficiency, Blood loss Blood stasis Excess perspiration or diarrhea "Dead" Yin, not treatable Chronic Cold disease Extreme deficiency of Blood and Qi Extreme Cold, Extreme Yin ascending Extreme Heat, Extreme Yang ascending Palpitations
+ Floating
Pain, Obstruction Essence loss External pathogen Deficiency or Exterior Heat
+ Deep +Wiry + Moderate + Floating
Interior Heat of KD disharmony Shao Yang disharmony Damp-Heat ST Excess
DIAGNOSIS
PULSE POSITION CORRELATIONS
.,... 0
J:lo
z
C)
ll SHI ZHEN
LEFT & RIGHT
BILATERAL
LEFT
RIGHT
CUN
Wind with a headache; Wind and Mucus in chest
HT Yang Ascending; insomnia; irritability
External Wind; Rebellious Qi in LU ; cough : asthma
GUAN
SP Qi deficiency and LV Qi excess
LV Qi stagnation; pain
SP Qi stagnation; distended abdomen; vomiting
CHI
Constipation or enuresis
KD Qi deficiency; difficulty in urination ; lumbago; vertigo; menstrual irregularities
::!
BILATERAL
LEFT
RIGHT
Cl
CUN
Mucus obstructing chest
HT Yang deficiency; desire for sleep
LU Qi deficiency; cough; shortness of breath; asthma
"'I
GUAN
Cold in Middle Burner; pain
LV Qi stagnation; pain
SP Qi deficiency; diarrhea
KD Qi deficiency; lumbago; diarrhea
KD Qi deficiency; lumbago; sore knees; vertigo; impotence; sterility; painful menses; leukorrhea
m m
CHI
BILATERAL
LEFT
RIGHT
m 3:
CUN
Blood unable to nourish HT
HT palpitations
Spontaneous sweating
-4
GUAN
Qi deficiency with distended abdomen
Blood unable to nourish tendons
Distended abdomen
CHI
Blood and Jing deficiency; bones feel hot
Lower back and knees are sore or atrophying
Yang deficiency
CUN
Wind-Heat affecting head; sore throat; stiff tongue; sensation of pressure in chest
Stiff tongue
Sore throat
GUAN
Heat in Middle Burner; distended abdomen
LV Fire; flank pain
Pain in epigastrium
CHI
Heat in Lower Burner; lumbago; constipation; abdominal pain
Con stipation; abdominal pain
Rebellious Fire ascending
"'I
-
®
LU9, RN17, UB43, UB13, DU12, RN4, KDG, RN12, LUlO
LU9, RN4, KDG, SPG, RN12
LARGE INTESTINE PATTERNS
1.\•·
DAMP HEAT
SP9, SPG, RN3, UB22, ST25, UB25, UB17, RN12, Llll, ST37, UB20
HEAT
Constipation, burning in anus, abdominal distension and pain which is worse with pressure, high fever or tidal fever, sweating especially on limbs, vomiting, thirst, delirium, ('f) red body, thick-dry-yellow (or brown-black) coating, ® deep, excess
Llll, Ll4, SP15, SJG, SPG, Ll2, ST44, ST25
DRY
Dry stools, constipation, dryness of the mouth and throat, ('f) red, little moisture, or dry-yellow coating, ® thready
ST36, SPG, KDG, RN4
I=
m
TREATMENT
Abdominal pain, blood and mucus in the stools, offensive odor of stools, diarrhea with yellow, watery stools, burning sensation of the anus, tenesmus, scanty deep-yellow urine, possible fever, sweating (which does not decrease the fever), thirst without desire to drink, feeling of heaviness of the body and limbs, stuffiness of chest and epigastrium, ('f) yellow-sticky coating, ® rolling, rapid and soft, rapid
c: "'
•
SIGNS AND SVMPTOIIIIS
Differentiation I 3. Zang Fu
DIAGNOSIS
89
KIDNEY PATTERNS SIGNS AND SYMPTOMS
YIN
Dizziness, tinnitus, poor memory, insomnia, soreness and weakness of the lumbar region and knee joints, nocturnal emission, dryness of the mouth, afternoon fever, malar flush, night sweating, yellow urine, constipation, .< ,
Hot palms and wrists Toothache, deafness Full: insanity, epilepsy Rebellious: pharyngitis, sudden loss of voice
Abdominal pain, rebellious Qi (vomiting and • diarrhea), food poisoning • Fullness and oppression of chest Loose joints, atrophy of arm muscles, still • elbow • Nasal congestion, headache, backache retention of urine (enuresis) •• Full: Rebellious: irritability, depression, chest oppression Chest pain • • Spasm of the elbow • Fainting swelling of testicle, hernia-like disorders •• Full: Rebellious: abnormal erection • Pain in the skin of abdomen • Stiffness along the spine • Ache and pain all over body
• • • • • • • • • • • • • • •
i'
,z
:
.
\
·.···~·.
~Mf1Y.
,;
.\
/' .. . \{\
Yawning, frequent urination, enuresis Sensation of cold in teeth, fullness and congestion in the chest Flaccid or atrophied muscles of legs or feet Abdominal distention Aphasia Long, finger-shaped warts, itching scabies Clear nasal discharge, nosebleed Lower backache Stiffness of the head and neck Flaccid muscle in the arm and elbow Weak and flaccid foot muscles, difficult to stand from sitting position Itching of pubic region Itching of the skin of abdomen Heaviness or dizziness of the head Weak limb muscles
DIAGNOSIS
8 EXTRA VESSELS CHANNELS
CAM
PATHOLOGICAL MANIFESTATION
REN
Leukorrhea, irregular menstruation, infertility in both women and men, hernia, nocturnal em1ss1on, enuresis, retention of urine, pain in the epigastric region and lower abdomen, and (:1ain in the genital region
DU
Stiffness and (:1ain in the S(:1inal column, 0(:1isthotonus, headache and epilepsy
CHONG
Spasm and pain in the abdomen, irregular menstruation, infertil ity in both women and men, and asthmatic breathing
DAI
Distension and fullness in the abdomen, weakness of the lumbar region, leukorrhea, (:1rola(:1se of the uterus and muscular atrophy, weakness and motor im(:1airment of the lower limbs
YANG QIAO
Epilepsy, insomnia, redness and pain in the inner canthus, pain in t he back and lumbar region, eversion of the foot and spasm of the lower limbs
YIN QIAO
Epilepsy, lethargy, pain in the lower abdomen pain in the lumbar and hip regions referring to the pubic ' region ; spasm of the lower limbs and inversion of the foot
YIN WEI
Interior syndromes such as chest (:1ain, cardiac (:1ain and stomachache
YANG WEI
Exterior syndromes such as chi lis and fever
MUSCLE MERIDIANS
LU Ll
ST
SP
HT
Sl
• • • • • • • • • •
109
MNL
PATHOLOGICAL SYMPTOMS LIMB: Cramping and pain along the course of the channel SEVERE: Accumulation of lumps below the right lateral costal region, tension along the lateral costal region and spitting of blood LIMB: Cramping and pain along the course of the channel TRUNK: Inability to rai se t he shoulder, inability to turn the neck to the left or to the right LIMB: Strained middle toe, cramping of the lower leg, spasmodic twitching and hardness of the muscles of the foot, spasm of t he thigh TRUNK & FACE: swelling of the anterior inguinal region, Shan (hernia) disorder, abdominal sinew spasm that extends to the ST12 (SCF), region and cheek, sudden deviation of the mouth EYE
C
Cold: inability to close the eye
DEVIATION
C
I
Heat: laxity of the sinews and the eye ca nnot be opened
Cold: tense and pull the cheek 7
deviated mouth
I
Heat: sinew 7
deviated mouth
LIMB: Strained big toe, pain of the medial ma lleolus, pain and cramping (along the course of the channe l), pain of the medial aspect of the knee, pain of the media l thigh that reaches the inguinal region TRUNK: Twisting pain of the genitals that may reach the navel and the lateral costa l region or lead to pain of the chest and interior spine
LIMB: Pain, cramping and strain along the course of the channel • TRUNK: Internal t ension, accumulation below the HT • LIMB: Straind • posterior aspectlittleof fintheger,axillapain along the medial aspect of the elbow and upper arm, pain below the axi lla and on the
•
NECK & HEAD: Pain of t he scapu la that reaches the neck, tinnitus, pain of the ear that may reach the submandibular region, a need to close the eyes for a long period of time before being able to see clearly, tension of the neck sinews that leads to sinew atrophy and sw elling of the neck
UB
KD
PC SJ
•
• • • • • • • •
GB
• •
LV
• •
LIMB: Strain of t he little toe, pain and swelling of the heel, spasm of the popliteal region TRUNK: Opisthotonus, spasms and tension of the nape of the neck, inability to raise the shoulder, strain of the axilla, pain and strain of the SCF (Supraclavicular fossa) LIMB: Cramping of t he bottom of the foot, cramping and pa in along the course of the channel, convulsion and spasm associated with epi lepsy YANG DISORDER (=Exterior): Inability to bend the lumbar spine forwards
I
YIN DISORDER (=Interior) : Inability t o bend the
lumbar spine backwards. LIMB: Strained and cramping sensation along the course of the channel TRUNK: pain of the chest with urgent breathing and an "inverted cup sensation" below the lower right ribs LIMB: Stra ined and cramping sensation along the course of the channel HEAD: curled tongue LIMB: Stra ined and cramping of the fourth toe leading to cramping of the lateral aspect of the knee, inability to extend and bend the knee, spasm of the popliteal region, spasm of the upper thigh (front) TRUNK: spasm of t he sacrum (back), radiating to the lateral costal region and the area below the lateral costal region, spasm of the SCF, t he sides of the neck and the neck HEAD: If one looks to the right, then the right eye will not open and vice versa LIMB: Strain of t he big t oe, pain anterior to t he medial malleolus, pain of the medial aspect of the knee, spasm and pain of the medial aspect of t he thigh TRUNK: Dysfunction of the genitals (with interna l injury there is inability to have an erection, with injury by cold there is retraction of the genitals, with injury by heat there is persistent erection)
Differentiation I 6. Channels
110
DIAGNOSIS
7. SHANG HAN LUN DIFFERENTIATION
DIAGNOSIS
Attack TAl YANG
Cold Attack
Organ
High fever which is worse in the afternoon, profuse sweating, constipation, thirst with a desire to drink cold water, fullness and
Pattern
SHAO YANG
Cold SHAO YIN
Pattern Heat Pattern
JUE YIN
TAl YANG
YANG MING
Superficial, Tight
Red tongue + yellow coating
Surging, Rapid
White-slippery tongue coating on the side only
String-taut
Abdominal fullness, vomiting, no appetite, diarrhea, absence of thirst
Pale tongue
Deep, Slow
Chills, aversion to cold, listlessness, lethargy, cold limbs, diarrhea, no thirst or desire to drink warm fluids, abundant-pale urine
Pale tongue
Deep, Thready
Fever, irritability, insomnia, dry mouth and throat, scanty-dark urine
Red tongue without coating
Thready, Rapid
Thirst, feeling of energy rising to the chest, pain and feeling of heat in the chest, feeling of hunger with no desire to eat, cold limbs, diarrhea and vomiting
Red thorns or Slippery white coat
Deep, String-taut
Alternation of chills and fever, fullness of the costal and hypochondriac regions, lack of appetite, irritability, dry throat,
TREATMENT PRINCIPLE
Wind Attack
Relieve Exterior, Expel Wind, Harmonize Ying and Wei
Cold Attack
Relieve Exterior, Diaphoresis
Channel Pattern
Clear Heat, Promote Body Fluids
Organ Pattern
CAM
ACUPUNCTURE
HERBAL FORMULA
WEN BING
Gui Zhi Tang
Wei
Ma Huang Tang
Wei
Ll, ST, DU
Bai Hu Tang
Qi
Clear Heat, Purge Excess, Relieve Constipation
Front-Mu and Lower He-sea of Ll and ST, SP
Cheng Qi Tang (Da/Xiao/Tiao)
Qi
Harmonize the Shao Yang
SJ, GB, PC, LV
Xiao Chai Hu Tang
Warm Middle Jiao, Disperse Cold
Back-Shu, Front-Mu and He-sea points of SP and ST, Ren (Needle + Moxa)
Li Zhong Wan
Cold Pattern
Restore Yang
Ren, KD, SP (Moxa + Needle)
Si Ni Tang Jin Gui Shen Qi Wan Zhen Wu Tang
Heat Pattern
Nourish Yin, Clear Deficiency Heat
HT, KD
Huang Lian E Jiao Tang
SHAO YANG TAl YIN
SHAO YIN
Thin, white coating
Deep, Excess
pain in the abdomen which becomes worse on pressure, restlessness and irritability, in severe cases delirium
TREATMENT DIAGNOSIS
Superficial, Moderate
Red tongue + a dry, yellow or black coating
nausea, bitter taste, blurred vision TAl YIN
Thin, white coating
no sweating, shortness of breath High fever, profuse sweating, aversion to heat, thirst with a desire to drink cold water, red face, restlessness
YANG MING
Fever, aversion to wind, stiff neck, aches in the body, sweating Fever, aversion to cold, stiff neck, headache, aches in Fever, aversion to cold, stiff neck, the body and floating pulse headache, severe pain in the body,
Pattern
Channel
PULSE
TONGUE
SIGNS AND SYMPTOMS
DIAGNOSIS Wind
CAM
JUE YIN
DU, 51, UB
Regulate Heat and Cold simultaneously, LV, Ren, GB, SP Warm and Harmonize ST
Differentiation I 7. Shang Han Lun
Wu Mei Wan
Ying
DIAGNOSIS SHANG HAN LUN COMPREHENSIVE CHART DIAGNOSIS
SIGNS AND SYMPTOMS
FCM
ACUPUNCTURE
FORMULA
WIND prevalence
Slight aversion to cold, aversion to wind, slight fever, UB12, LU7, Ll4, GB20, slight sweating, headache, stiff neck, sneezing Gui Zhi Tang SJS, ST36 ® Floating-Slow
COLD prevalence
Aversion to cold, slight fever, absence of sweating, headache, stiff neck, sneezing, runny nose with white UB12, LU7, L14, SJS, discharge, breathlessness GB20, Moxa ® Floating-Tight
Ma Huang Tang
WATER accumulation
Aversion to cold, fever, retention of urine, slight thirst, vomiting of fluids soon after drinking ® Floating-Rapid
RN9, RN3, ST28, LU7, UB22, UB39, UB64
Wu Ling San
BLOOD accumulation
Hypogastric distension, fullness and urgency, blood in urine, mental restlessness G) Reddish-Purple tongue without coating ® Deep-Fine-Rapid or Deep-Choppy
RN3, KD14, ST28, UB39, UB22, SPlO, LV3, SP6
Tao He Cheng Qi Tang
CHANNEL PATTERN
High fever, profuse sweating, intense thirst, red face, feeling of heat, irritability, delirium G) Red tongue with yellow coating ® Overflowing-Rapid or Big-Rapid pulse
L111, DU14, PC3, ST44, ST43
Bai Hu Tang
ORGAN PATTERN
High fever that is worse in the afternoon, profuse sweating, sweating on limbs, abdominal fullness and pain, constipation, dry stools, thirst, dark urine G) Red tongue with thick dry yellow coating ® Deep-Full-Slippery-Rapid pulse
Lll1, DU14, PC3, ST44, ST43, ST25, SPlS, ST37, SP6
Cheng Qi Tang (Da I Xiao I Tiao Wei)
SHAO YANG
Alternation of shivers (or cold feeling) and fever (or a feeling of heat), bitter taste, dry throat, blurred vision, hypochondria! fullness and distension, lack of desire to eat or drink, irritability, nausea, vomiting G) unilateral thin white coating ® Wiry-Fine pulse
SJS, SJ6, GB41, DUB
Xiao Chai Hu Tang
TAl YIN
Abdomina l fullness, a feeling of cold, vomiting, lack of appetite, diarrhoea, absence of thirst, tiredness G) Pale tongue with sticky white coating ® Deep-Weak-Slow pulse
RN12, UB20, ST36, ST25, SP6, Moxa
Li Zhong Tang
COLD TRANSFORMATION
Chills, a feeling of cold, lying with body curled, listlessness, desire to sleep, cold limbs, diarrhoea, absence of thirst, frequent pale urination G) Pale and wet tongue with white coating ® Deep-Weak-Slow pulse
UB23, RN4, RN6, Si Ni Tang RN8, KD7, KD3, Moxa
HEAT TRANSFORMATION
A feeling of heat, irritability, insomnia, dry mouth and throat at night, dark urine, night sweating G) Red tongue without coating ® Fine-Rapid pulse
RN4, RN6, KD3, KD6, SP6
Huang Lian E Jiao Tang
Persistent thirst, a feeling of energy rising to the chest, pain and heat sensation in heart region, hunger but no desire to eat, cold limbs, diarrhoea, vomiti ng, vomiting of roundworms ® W iry pulse
LV3, Ll4, SP4, PC6
Wu Mei Wan
n
:::z:: )>
z z
m
r-
TAl YANG 0
::0
Gl
)>
z
YANG MING
SHAO YIN
JUE YIN
111
8. WEN BING LUN DIFFERENTIATION WEI Defensive-Qi level Fever, aversion to cold, headache, slight sweating, runny nose w ith yellow discharge, slight thirst, sore throat, red and swollen tonsils, G) Red sides or tip of the tongue, ® Superficial, rapid pulse
-
Ql
Qi level High fever, aversion to heat, cough with expectoration of thin-yellow sputum, asthma, thirst, G) Red tongue with thick-yellow coating, ® Rolling, rapid pulse
-
YING
Nutritive-Qi level Fever at night, dry mouth with no desire to drink, insomnia, mental restlessness, aphasia, spots on skin, in severe cases coma, G) Deep-Red tongue, ® Thready, Rapid pulse
-
XUE Blood level
High fever, skin eruptions, vomiting of blood, epistaxis, blood in stools, blood in urine, manic behaviour, in severe cases convulsions, G) Deep-Red tongue without coating, ® String-taut, Rapid pulse
Differentiation I 7. Sha ng Han Lun
112
DIAGNOSIS WEN BING LUN COMPREHENSIVE CHART ....
Ll4, Llll, SJS, DU14, DU26, UB40, PC9
•
Qing Luo Yin
Ll4, Llll, SP9, SP6, RN12
•
Huo Xiang Zheng Qi San
L14, Llll, SJS, SP6, LU9, RN12, ST36
Xing Su San •• Sang Xing Tang
LUS, LU10, DU14, Llll, LUl, UB13
Ma Xing Shi Gan T. • Xie •• QingBaiQi San Hua Tan T. • Wu Hu Tang
ST44, ST34, ST21, ST43, Llll, ST25
•
Llll, ST25, SP15, ST37, ST39
Wei Cheng Qi • Tiao Tang
GB HEAT
Alternating hot and cold feeling with a prevalence of heat, bitter taste, thirst, dry throat, hypochondria! pain, nausea, a feeling of fullness in the epigastrium CD Red tongue with unilateral sticky yellow coating ® Wiry-Rapid pulse
GB34, GB43, SJ6, SJS
Hac Qin Qing Dan • Tang
ST/SP DAMP-HEAT
Continuous fever that decreases after sweating but soon increases again, a feeling of heaviness of the body and head, a feeling of oppression of the chest and Cfligastrium, nausea, loose stools T Red tongue with sticky yellow tongue coating ® Soggy-Rapid pulse
RN12, SP9, SP6, RN9, ST36, Llll, RN12, UB20, UB22
• Lian Po Yin
HEAT IN NUTRITIVE Ql LEVEL
Fever at night, dry mouth with no desire to drink, mental restlessness, insomnia, delirium, incoherent speech or ~hasia, macules T Red tongue without coating ® Fine-Rapid pulse
PC9, PC8, HT9, KD6, Shixuan
•
Qing Ying Tang
HEAT IN PC
Fever at night, mental confusion, incoherent speech or delirium, body hot, hands and feet cold, macules T Red tongue without coating ® Fine-Rapid pulse
PC9, PC8, HT9, KD6, Shixuan, PC3
•
Qing Ying Tang
HEAT VICTORIOUS MOVING BLOOD
High fever, mental restlessness, manic behaviour, dark macules, vomiting of blood, epistaxis, blood in stools, blood in urine CD Dark-red tongue without coating ® Wiry-Rapid pulse
UB17, SP10, LVS, SP4, Llll, LV2, KD6, HT9, Shixuan
Xi Jiao Di Huang • Tang
SP10, Llll, LV2, KD6, HT9, LV3, DU16, GB20, S13, UB62, Shixuan
Ling Jiao Gou Teng • Tang
LV3, DU16, GB20, Sl3, UB62, LV8, KD6, KD3, SP6
Zhen • Tang
ST36, KD3, SP6, KD6, RN4
•
Da Bu Yin Wan
ST36, RN6, RN4, RN8, Moxa
•
Shen Fu Tang
I DAMP-HEAT
DRY-HEAT
LU HEAT (Chest/Diaphragm)
ST HEAT
HEAT VICTORIOUS STIRRING WIND
Ill I"'
High fever that is worse in the afternoon, no aversion to cold, feeling of heat, intense thirst, profuse sweating CD Red tongue with yellow coating ® Overflowing-Rapid pulse
High fever that is higher in the afternoon, constipation, dry stools, burning in the anus, abdominal fullness and INTESTINES DRY-HEAT pain, irritability, delirium CD Red tongue with thick yellow dry coating ® Deep-Full-Rapid pulse
Q
0 0 ICJ
FORMULA
Yin Qiao San •• Sang Ju Yin
SUMMER-HEAT
:sz
Fever, aversion to cold, headache, sore throat, slight sweating, runny nose with yellow discharge, swollen tonsils, body aches, slight thirst CD Red in the front or sides with a thin white coating ® Floating-Rapid pulse Fever, aversion to cold, no sweating, headache, a feeling of heaviness, an uncomfortable sensation in the epigastrium, irritability, thirst CD Red in the front or sides with a white sticky coating ® Soggy and Rapid pulse Fever that is worse in the afternoon, body that is hot to touch, aversion to cold, swollen glands, headache, a feeling of heaviness, a feeling of oppression of the Cfligastrium, sticky taste, thirst with no desire to drink T sticky white tongue coating ® Soggy pulse Fever, slight aversion to cold, slight sweating, dry skin, nose, mouth and throat, dry cough, sore throat CD Dry tongue with thin white coating ® Floating-Rapid pulse High fever, a feeling of heat, no aversion to cold, thirst, cough with thin yellow sputum, shortness of breath, sweating CD Red tongue with yellow coating ® Slippery-Rapid pulse
·.ACUPUNCTURE
Ll4, Llll, SJS, DU14, UB12, LUll
WIND-HEAT
e
SIGNS AND SVIIIIPTOMS
CAM & FCM
EMPTY-WIND AGITATING N THE INTERIOR
YIN COLLAPSE
YANG COLLAPSE
~hasia,
High fever, fainting, twitching of limbs, convulsions, rigidity of neck, opisthotonus, eyeballs turning up, clenching of teeth CD Dark-red tongue without coating ® Wiry-Rapid pulse Low-grade fever, tremor of limbs, twitching, loss of weight, malar flush, listlessness CD Dark-red tongue without coating and Dry ® Fine-Rapid pulse Low-grade fever, night sweating, mental restlessness, dry mouth with desire to sip liquids, five-palm heat, malar flush, emaciation CD Dark-red and Dry tongue without coating ® Fine-Rapid pulse A feeling of cold, cold limbs, bright-white complexion, profuse sweating on the forehead, listlessness CD Pale-Swollen and Short tongue ® Hidden, Slow, Scattered pulse
Differentiation I 8. Wen Bing Lun
Bai Hu Tang
Gan Xi Feng
DIAGNOSIS
113
9. THREE BURNERS DIFFERENTIATION
CAM -DAMP-HEAT IN UPPER JIAO
DAMP-HEAT IN MIDDLE JIAO
Severe aversion to cold, mild fever or absence of fever, a heavy sensation in the head as if it were tightly wrapped by a cloth, heaviness of the limbs and trunk, a stifling sensation in the chest, absence of thirst, dull facial expression, epigastric fullness and distension, poor appetit e, borborygmus, loose stools G:l white, sticky tongue coating ® soft, slowing-down pulse
DAMP-HEAT IN LOWER JIAO
Indistinct at the first touch of the skin, but becomes pronounced after being felt for a rather long time; or fever which recurs after reduced by sweating; or fever which is more pronounced in the afternoon, heaviness of the limbs and trunk, distension and fullness in the chest and epigastrium, nausea, vomiting, anorexia, thirst with desire to drink only a little, sca nty and deep-yellow urine, loose but hesitant stools; and in severe cases, dull facial expression w ith few words said or mental cloudiness G:l sticky white coating + yellow tinge ® soft, rapid pulse
Retention of urine, thirst with desire to drink only a little, constipation, hardness and fullness in the lower abdomen G:l sticky yellow or white coating ® soft, rapid pulse
FCM SIGNS AND SYMPTOMS Fever, aversion to cold, headache, sore throat, slight sweating, runny nose with yellow discharge, swollen tonsils, body aches, slight thirst G:l Red in the front or sides with a thin white coating ® Floating-Rapid pulse
Ll4, Llll, SJS, DU14, UB12, LUll
••
Yin Qiao San Sang Ju Yin
lU HEAT (QI LEVEL)
Fever, sweating, cough, breathlessness, thirst, feeling of (f)pression and pain of the chest T Red tongue w ith yellow coating ® Rapid-Overflowing pulse
LUS, LUlO, LU l, Llll, UB13
• ••
Ma Xing Shi Gan T. Xie Bai San Qing Qi Hua Tan T.
HEAT IN PC (YING LEVEL)
High fever at night, a burning sensation of the Cbigastrium, cold limbs, delirium, aphasia T Deep-red and Stiff tongue without coating ® Fine and Rapid
PC9, PC3, Llll, PCB, HT9, KD6, Shixuan
•
Qing Ying Tang
HEAT IN YANG MING
High fever that is worse in the afternoon, no aversion to cold, feeling of heat, intense thirst , profuse sweating G:l Red tongue with yellow coating ® Overflowing-Rapid pulse
ST44, ST34, ST21, ST43, Llll, ST25
•
Bai Hu Tang
DAMP-HEAT IN SP
Fever, epigastric fullness, a feeling of heaviness of the body and head, nausea, vomiting G:l Red tongue with sticky yellow coating ® Soggy and Rapid pulse
RN12, SP9, SP6, RN9, ST36, Llll, UB20, UB22
•
Lian Po Yin
HEAT IN KD
Fever in the afternoon and evening, five-pa lm heat, dry mouth and throat, night sw eating, deafness, lassitude G:l Deep-red tongue without coating ® Floating-Empty and Rapid pulse
KD3, KD6, SP6, KD2, Llll
••
Huang Lian E Jiao T. Xi Jiao Di Huang T.
LV-HEAT STIRS WIND
G:l ®
High fever at night, coma, convulsions, clenched teeth Deep-red tongue without coating Wiry-Fine-Rapid pulse
LV3, LV2, GB20, DU16, S13, UB62, SPlO, Llll, KD6, HT9, Sh ixuan
Ling Jiao Gou Teng • Tang
LV EMPTY-WIND
Low-grade fever, cold limbs, dry and black t eeth, dry and cracked lips, convu lsions, tremor of limbs G:l Deep-red tongue without coating ® Deep-Fine-Rapid pulse
LV3, LV2, GB20, DU16, S13, UB62, KD3, KD6, SP6, LV8
c
"0
;ltl
11:1
FORMULA
WIND-HEAT IN lU (WEI LEVEL) "0 ,..,
c ;ltl
ACUPUNCTURE
,..,
2
;ltl
3:
5
.... ,..,
0
11:1
c
;ltl
,..,
2
;ltl
.... 0 ~ ,.., ;ltl
11:1
c
;ltl
2 ,..,
;ltl
•
• •
Zhen Gan Xi Feng T. San Jia Fu M ai T. Da Ding Feng Zhu
SHANG HAN • WEN BING • SAN JIAO
Author
• Theory •
SHANG HAN LUN
WEN BING LUN
SAN JIAO
Zhang, Zhong Jing
Ye, Tian Shi
Wu, Ju Tong
The pathology and treatment of disease from ext erior pathogens Exterior pathogenic factors w ere considered to be ca used by Cold
• •
The pathologica l changes resulting from invasion of W-H in a Warm disease Exterior diseases caused by invasion of W-H and understood the infectious nature of such diseases
•
The Three Burners to describe the pathological changes resulting from invasion of W -H in a Warm disease
Differentiation I 9. Three Burners
114
DIAGNOSIS
TCM DISEASES AND PAnERNS
WEB
1
ABDOM INAL PAIN
12
HEADACHE
2 3
CHEST AND FLAN K PAIN
HEM ORRHAGING - BLOOD IN STOOL
CONSTIPATION
13 14
4
COUGHING
15
HEMORRHAGING - COUGHI NG BLOOD
5 6 7
DIARRHEA
INSOM NIA
EDEMA
16 17 18
8
FEVER
19
SPASMS, TREMORS, AND CONV ULSIONS
9 10 11
GYNECOLOGY - ABNOR MAL UTERIN E BLEEDING
20
THIRST
GYNECOLOGY - AM ENORRHEA
21 22
VERTIGO
DRIBBLING URINE
GYNECOLOGY - DYSMENORRH EA
HEMORRHAGING - BLOOD IN URIN E
HEMORRHAGING - NOSEBLEED
LOW BACK PAIN
VOM ITI NG
1 ABDOMINAL PAIN SIGNS
PATTERN
TONGUE
PULSE
COLD OBSTRUCTING
Sudden, urgent, severe pain, warmth relieves and cold aggravates pain, no th irst, clear urine
Pale white material
Deep, tense
COLD IN LV CH.
Urgent cold pa in in groin, pain connects to testicles
Wh ite material
Deep, string-taut
HEAT
Painf ul and dist ended abdomen, warm body and abdomen, vomiting, const ipat ion, yellow, scanty urine, irritability
Yellow moss
Rapid, excess
LV/GB D-H
Usually upper right quadrant of body is sore, pa in, nausea, vomiting, food is repu lsive, somet imes jau ndice
Greasy yellow moss
St ring-taut, rapid
Greasy yellow moss
Rolling, rapid
Pa in in abdomen accompanied by diarrhea with pus or blood, patient ST/LI DAMP-HEAT fee ls heavy and worse after defecation, burning anus, fever, scanty, dark urine INTESTINAL ABSCESS
Abdomen (especia lly lower right quadrant) is sore and painful, abdomen resists touch, right foot wants to curl up, sometimes accompanied by fever, vom iting
Greasy yellow moss
Rapid
UB DAMP-HEAT
Urgent pain in lower abdomen t hat sometimes con nects with lower back, bu rning urination t hat is pa inful and rough, may contain blood or granules
Yellow moss
Rapid
LV Ql STAG.
Distended epigastrium and abdomen, distended f lanks, patient resists touch, passing gas relieves pain, condition is emotionally related at times
Thin moss
Stri ng-taut
BLOOD STASIS
Sharp, stabbing abdomina l pain that connects to sides, pain is located in fixed position, or pa lpable mass
Darkish material
Hesitant
DEFICIENT COLD
Slight, dull abdomina l pa in, patient desires heat and touching, loose st ools, lethargy
Pa le material
Weak
Greasy moss
Rolling or deep, excess
Distended abdomen, soreness, pain that resists touch, patient is FOOD RETENTION repelled by food, belch ing of sour, rotten material, eating aggravates pain, diarrhea relieves pain PARASITES
Intermittent abdomina l pain, sometimes very severe, often clusters around navel or to one side, sometimes vomiting of worms, emaciation, peculiar eating prejudices, inner lips or cheeks have tiny white dots
2. CHEST AND FLANK PAIN PATTERN
SIGNS
TONGUE
PULSE
WIND-HEAT
Chest and flanks are painfu l and sore, cough, asthma, yellow or rust-colored phlegm, fever, chills
Yellow moss, red tip
Superficial, rapid
LU DRYNESS
Hot body, painful chest, cough, little phlegm, thirst
Red material; dry moss
Rapid
PHLEGM
Flanks are painfu l and distended, frothy cough w ith phlegm and sa liva, cough aggravates pain, sometimes fever, no thirst
Greasy white moss
String-taut, rol ling
HT YANG DEF. Sporadic chest pain, sometimes stabbing pain, fixed pain, pressure in ~ BLOOD STASIS chest
Darkish material or red spots
Hesitant, weak
HT YANG DEF. + DAMP-PHLEGM
Chest is distended, sore, and pa inful, pain connects to shoulder, cough w ith phlegm, shortness of breath or asthma
Darkish material or red spots
Rolling
LV/GB D-H
Painfu l f lanks, distended epigastrium, feeling of distress in chest, nausea, ye llow urine, fever, jaundice
Pale material
String-taut, rapid
LV Ql STAG.
Distended/painful flanks, impatience or quickness to anger, emotional stress increases pain, uncomfortable chest, little desire to drink
Thin white or yel low moss
String-taut
Purple, darkish material
String-taut, hesitant
Red material; little moss
String-taut, thready
LV BLOOD STASIS Stabbing flank pain in fixed position, palpable mass under ribs LV/KD YIN DEF.
Flank has slight dull achiness or soreness, dry mouth, irritability, vertigo, lower back pain
TCM Disease a nd Patterns
DIAGNOSIS
115
3 CONSTIPATION PATIERN DRY HEAT Ql STAGNATION BLOOD DEF.
SIGNS
TONGUE
Constipation, dry stool, bad breath, distended abdomen, scanty, dark urine Constipation, distended chest and flanks, no appetite, belching, unproductive desire to defecate Constipation, vertigo, palpitations, face, lips, and nails are lusterless white
PULSE
Red material; thin yellow moss
Rolling, excess
Thin, greasy moss
String-taut, deep
Pale material
Thready
COLD OBSTRUCTING
Const ipation, slight abdominal discomfort, pressure and warmth relieve pain, clear, copious urine, cold limbs
Pale material
Deep, slow
Ql DEFICIENCY
Constipation, fatigue, spontaneous sweating, patient becomes more t ired after defecation, stool is not dry
Pale, swollen material
Deficient
4 PATIERN
. COUGHING
SIGNS
TONGUE
PULSE
LU YIN DEF.
Dry cough, dry mouth and throat, red cheeks, other Deficient Yin signs
Red material; little moss
Thready, rapid
LU Ql DEFICIENCY
Weak cough usually associated with asthma, frequent colds, spontaneous sweati ng, ot her Deficient Qi signs
Pale, moist material
Deficient or weak
LU DAMP-PHLEGM
Cough with copious w hite expectoration, distended chest and epigastrium, no appetite, fatigue, symptoms often occur with Deficient or Damp SP signs
Greasy white moss
Soft or rolling
LU PHLEGM-HEAT
Cough with copious, thick, yellow expectoration, sometimes ph legm has foul smell, other signs of heat
Greasy yellow moss
Rolling, rapid
LV FIRE 7 LU
Sputtering, sporadic cough, cough causes flanks to be painful, dry throat, red face, other LV disharmony signs
Thin, dry yellow moss
String-taut, rapid
KD YANG DEF. NOT GRASPING lU Ql
Usually there has been a long history of illness, exhalation is easier t han inhalation, asthma, exertion exacerbates symptoms, sore lower back, fear of cold, dark face
Pale, swollen, moist material
Weak
5 . DIARRHEA PATIERN DAMP-HEAT
SIGNS Acute onset, stools are yellow and seem to be dissolved in fluid, fou l smell, anus is hot, scanty, dark urine, abdominal pain, bitter taste in mouth, dry mouth, fever, vomiting
TONGUE
PULSE
Yellow, or yellow and greasy moss
Soft, rapid
COLD-DAMP
Usually acute onset, watery stool, elimination is uncomfortable, abdomina l pa in, intestinal rumbling, heat relieves pain, chest and epigastrium feel oppressed, symptoms are sometimes accompanied by External Wind-Cold pathogen
Greasy wh ite moss
Soft
FOOD RETENTION
Sticky stool is sour and foul, epigastrium and abdomen are distended and resist pressu re, greater comfort after elimination, sour belching
Greasy moss
Rolling
SP Ql DEF.
Watery st ool, usually chronic, undigested food in stool, distention, no appetite, desire for heat and touch, fear of cold, lethargy
Pale white moss
Weak, thready
Pale material
Deep, thready
Thin moss
String-taut
KD YANG DEF.
LV Ql STAG.
Early-morning need to defecate, sparse, watery stool, all four limbs are cold, desire for heat, symptoms found especially in the elderly, other KD signs Emotionally related, sudden need to defecate, accompanied by pa in, patient is more comfortable after defecation, distended chest and sides, quickness to anger, irritability, belching
6 PATIERN LU HEAT OBSTRUCT WATER'S .(]. MJ DAMP-HEAT SP Ql DEF.
DRIBBLING URINE PULSE
TONGUE
SIGNS Dribbling urination, acute onset, dry throat, irritability, thirst, cough Dribbling, cloudy urination, epigastrium feel s full, distended abdomen, thirst but no desire to drink Clear, dribbling urination, lethargy, chronic Deficient SP signs
Thin yellow moss
Rapid
Greasy moss
Soft, rolling
Pale material
Soft, weak Weak, especially in 3rd position
UB HEAT
Dribbling urination, no strength in elimination, bright white face, tired spirit, lower back is cold, knees are without strength Dribbling, often painful urination, painful hypogastrium
UB OBSTRUCTED
Dribbling urination or thread-like urine, pain in hypogastrium
PATIERN EXTERNAL PATHOGEN
SIGNS Fever, fear of drafts, headache, coughing, sore throat, swollen, puffy face, eventua lly entire body swells, sca nty urination
Thin white moss
Tense, superficial
SP LOSING T&T
Sallow face, dist ended epigastrium, no appetite, w atery stool, scanty urine, all four limbs are cold
Pale, moist material
Deep, moderate, or deficient
KD YANG DEF.
Whole body is edemic, especia lly below w aist, lower back is sore and heavy, scanty urine, all four limbs are cold, fear of cold, no spirit, dark or bright white face
Swollen, pale material; white moss
Weak
MINGMEN DEF.
7
Pale material Red material
Rapid, rolling
Dark purple material
Hesitant
EDEMA TONGUE
PULSE
TCM Dise a se and Patterns
116
DIAGNOSIS
..•.....
.
8 FEVER
.. ,,,' ..,..
,~;~--
.. ,
.• S!Gtf$
...
•'
Fever, aversion to cold, headache or bodyache, sometimes coughing, WIND-COLD sometimes runny or stuffed nose, no thirst Fever, slight aversion to cold, headache, thirst, sore throat, sometimes WIND-HEAT cough with yellow phlegm Very slight fever, acute onset, desire for more clothing, desire for WIND-COLD+ sleep, great aversion to cold YANG DEF. Fever and chills are distinct (i.e., not simultaneous), no appetite, SHAOYANG LEVEL nausea Only fever, no aversion to cold, thirst, irritability, red face, YANGMING LEVEL perspiration Chronic low afternoon fever, warm palms and soles, insomnia, night YIN DEFICIENCY sweats, red cheeks Chronic low fever (especially in morning), spontaneous sweating, fear Ql DEFICIENCY of draft, fatigue, white, shiny face Chronic low fever, no thirst, or thirst but no desire to drink, BLOOD STASIS stabbing, fixed pain, hemorrhage
··•;.,
PULSE
TONGUE
Thin white moss
Superficial, tense or superficial, moderate
Red tip; slightly yellow moss
Superficial, rapid
Pale, moist material
Deficient
Thin and white, or yellow/white moss Red material; dry yellow moss
$~ttS . )'•'
.',········
Surging, forceful, or rolling, rapid
Reddish material; thin moss
Thready, rapid
Pale material; thin white moss
Weak
Dark purple material; or red pimples
Hesitant
9. GYNECOLOGY - ABNORMAL UTERINE BLEEDING .,.· · · TON4U£ > L . )L • ••• ·• ··. .,
,. .!•'
String-taut
.
· PULSE
BLOOD HEAT
Heavy bleeding, ·'''·····bright i red) blood, breasts and flanks are distended, red face, dry mouth, irritability
Red material; yellow moss
Rapid, big
SP UNABLE TO CONTROL BLOOD
Heavy bleeding, pale, thin blood, puffy face, pale, bright face, no spirit, no appetite, watery stool
Pale material; thin white moss
Deficient
QI/BLOOD STAG.
Constant slight bleeding or sudden heavy bleeding, distended flanks, distended lower abdomen, purple or dark blood clots, passing of clots reduces discomfort, dark face
Darkish material
Deep, string-taut, or hesitant
LV/KD YIN DEF.
Menses arrive early, small amount of blood, pale or purple blood, vertigo, tinnitus, spots before eyes, sore back, insomnia, dry mouth
Red, scarlet, and shrivelled material
Rapid, thready, perhaps string-taut
,.,,
;'
,'
.
10. GYNECOLOGY- AMENORRHEA • ...
,..
'"'~"'
....
... '' ,•.•• < •. . •
. •....• >
·.··•
.,
TONGUE
··. . ,.
..•'. PUI.SE
BLOOD/QI DEF.
Menstrual blood over a period of time gradually diminishes until there is none, watery leukorrhea, acrid odor, sallow face, fatigue, no spirit, limbs are without strength, vertigo, palpitations
Pale material; thin white moss
Deep, thready, or deficient
QI/BLOOD STAG.
Amenorrhea seems related to emotional stress, menses suddenly cease, distended breasts and flanks, sallow face, headache
Darkish or purple material
String-taut or hesitant
LV/KD YIN DEF.
Gradual ceasing of menses, weight loss, patient feels hot, afternoon fever, dry skin, dark face, lower back and legs are weak, vertigo, tinnitus, dry mouth, constipation
Red or scarlet material; little moss
Thready, slightly rapid
DAMP-PHLEGM
Slight discomfort in lower abdomen, abdomen feels full but soft, much leukorrhea, vertigo, nausea, no taste in mouth, no appetite, distended breasts, condition is usually found in overweight women
Greasy white moss
Rolling
.,,
.,~
'll"MI1'
>
.•..·..·,.·,
..
,..
11. GYNECOLOGY- DYSMENORRHEA
•
,
........
S!GI\I,S
.·· ....
··.·· .··..
··.·.··
TONGUE
PUI.S£
QI/BLOOD STAG.
Before or during menses, lower abdomen is distended or painful and resists touch, menses flow unevenly, blood is darkish and has clots, passing of clots reduces discomfort, distended breasts
Purple, dark, or normal material
String-taut or hesitant
COLD-DAMP
Before or during menses, lower abdomen is painful and cold, heat relieves pain, menses are not smooth, blood is dark-colored, thin, and watery with clots
Pale material; moist moss
Deep, tense, or slow
BLOOD/QI DEF.
Persistent dull soreness in abdomen during or after menses, pressure relieves pain, pale face, fatigue, no desire to speak, small amount of pale blood
Pale material; white moss
Deficient or thready
.
12 HEADACHE
.\
~
:I:
:I:
CAM MNL W EB
'
'
CROSSING POINTS
ORGAN
LU
No crossing point
LU, Ll, (5T)
Ll
5112, DU 14, 5T4, DU 26
Ll, LU
ST
Ll 20, UB1, DU 26, RN 24, GB3, GB6, GB4, DU 24, DU14, RN13, RN12
5T, 5P
SP
RN 3, RN4, RN10, GB24, LV14, LU1
SP, ST, (HT)
HT
No crossing point
HT, 51, (LU)
m
Sl
UB41, UBll, DU14, RN17, RN13, RN12, GB1, 5J22, UB1
Sl, HT, (ST)
m 2
UB
DU24, GB15, DU 20, GB7, GB8, GB10, GBll, GB12, DU17, DU 14, DU 13, GB30
UB, KD
KD
5P6, DU 1, RN3, RN4
KD, UB, LV, LU, HT PC, SJ
~
PC
No crossing point
c
SJ
5112, DU 14, GB21, (RN1 7), GB6, GB4, GB3, 5118, 5119, GB1
5J, PC
> 2
GB
5T8, 5J22, 5J 20, (5117), DU 14, UBl l, 5112, 5117, 5119, 5T7, 5TS, 5T6, (LV13), (U B31-34)
GB, LV
LV
5P6, 5P13, 5P12, RN2, RN 3, RN4
LV, GB, (LU, 5T)
:I:
s:
Channels I Regular Meridians
128
ACUPUNCTURE CROSSING POINTS COMPREHENSIVE CHART
DU
REN
LU
Ll
ST
SP
KD (CHONG, DAI) UB 6 YANG CHANNELS YANG WEI YANG WEI, (YANG QIAO)
DU1 DU4 DU13 DU14 DU15 DU16 DU17
UB UB ST, UB ll, ST REN DU, CHONG LV SP, KD, LV (3 FOOT YIN) (CHONG) SP ST, Sl Sl, SJ YIN WEI ST SP ST YANG QIAO YANG QIAO REN, YANG QIAO YANG QIAO ll, YANG QIAO GB GB, (YANG WEI) ll, ST, Sl, SJ, GB, YIN QIAO CHONG (CHONG) KD, LV (CHONG) LV, (YIN WEI) LV, YIN WEI YIN WEI
DU20 DU24 DU26 DU28 RNl RN2 RN3·4 RN7 RN10 RN12·13 RN17 RN22·23 RN24 LU1 ll20 ll15 ll16 STl ST3 ST4 STS-6-7 ST8 ST12 ST30 SP1 SP6 SP10 SP12 SP13 SP15·16
'
CHANNEL
POINT
CHANNEL
POINT
CAM MNLl WEB
HT
Sl
UB
KD
PC
SJ
GB
LV
© YANG QIAO, YANG WEI ll, SJ, GB GB SJ SJ, GB ST, Sl, YANG QIAO, YIN QIAO
SilO Sl12 $117 5118 Sl19 UBl UBll UB12 UB23 UB31-34 UB41 UB59·61·62 UB63 KD6·8 KD9 KD11-21
Sl, GB DU (DAI) GB Sl YANG QIAO YANG WEI YIN QIAO YIN WEI CHONG
© SJ15 SJ17 SJ20 SJ22 GBl GB3·4·6 GB7·8·10·11·12 GB13-20 GB15 GB20 GB21 GB24 GB26-28 GB29 GB30 GB35 LVl LV13 LV14
YANG WEI GB GB Sl, GB Sl, SJ ST, SJ UB YANG WEI UB, YANG WEI YANG QIAO, YANG WEI SJ, YANG WEI SP DAI YANG QIAO UB YANG WEI (CHONG) GB SP, YIN WEI
DISTRIBUTION Vertex Eye Both Canthus Ear Gums Supraclavicular fossa Crossing diaphragm Many organs Many Front-Mu Important Exit Points
LV, UB LV, HT(brain) Sl Sl, SJ, GB Upper Gum: ST Lower Gum: Ll All Yang channels except UB All channels except UB KD: KD, UB, LV, LU, HT SP: RN3, RN4, GB24, LV14, LUl LU7, ST42, KD22, PC8, SJ22, GB41
• •
Channels I Regular Meridians
Origin
Genital Tail bone Sacral foramen Heel Tibial branch of ST Important Crossing
• • • • •
LU: ST: HT: KD: PC:
Middle Jiao ll20 Heart Beneath little toe Chest
LV KD UB, GB KD End at lateral side of middle toe C Crossing Points Chart (pg.128)
ACUPUNCTURE EARTH CIRCUIT : LU
C
Ll
C
ST
C
129
SP
LU MERIDIAN PATHWAY PATHWAY 1. The LU Meridian originates in the middle portion of the body cavity 2. and runs downward, internally, to connect with the Ll. 3. Turning back, it passes upward through the diaphragm 4. to enter its pertaining organ, the LU. 5. From the internal zone between the Lungs and the throat, it emerges to the surface of the body under the clavicle. 6. Descending, the LU Meridian then runs along the medial aspect of the upper arm to reach the elbow crease. 7. From there, it runs along the anterior portion of the forearm, 8. passes above the major artery of the wrist, and emerges at the radial side of the tip of the thumb. 9. Another section of the LU Meridian branches off just above the wrist and runs directly to the radial side of the tip of the index finger to connect with the Ll Meridian. ~
CROSSING POINTS
No crossing point
Ll MERIDIAN PATHWAY PATHWAY 1. The Ll Meridian begins at the tip of the index finger and runs upward along the radial side of the index finger and between the thumb and index finger. 2. It passes through the depression between the tendons of the thumb and then continues upward along the lateral aspect of the forearm to the lateral side of the elbow. 3. From there, it ascends along the anterior border of the upper arm (i:', SI12, l::, OU14) 4. to the highest point of the shou lder. 5. On top of the shoulder, the Meridian divides into two branches. 6. The first of these branches enters the body and passes through the LU, 7. diaphragm, and the Ll, its pertaining organ . 8. The second of these branches ascends externally along the neck, 9. passes through the cheek, and enters, internally, the lower teeth and gum. ( L::,ST4) 10. On the exterior, it continues, curving around the upper li p and crossing to the opposite side of th e nose. ( L::, DU26) ~
CROSSING POINTS
Sl12, DU14, ST4, DU26
Channels I Regular Meridians
130
ACUPUNCTURE
ST MERIDIAN PATHWAY PATHWAY 1. The ST Meridian begins, internally, where the Ll Meridian terminates, next to the nose. It then ascends to the bridge of the nose, meeting the Bladder Meridian at the inner corner of the eye, and emerging under the eye. {Ll. ll20, Ll. UBl) 2. Descending from there, lateral to the nose, it enters the upper gum 3. and curves around the lips before passing along the side of the lower jawbone and through the angle of the jaw. {Ll. DU26, Ll. RN24) 4. It then turns upward, running in front of the ear to the corner of the forehead . {Ll. GB3,6,4, Ll. DU24) 5. A branch descends from the lower jaw, (Ll. DU14) 6. enters the body, and descends through the diaphragm. It then enters its pertaining organ, the ST, and connects with the SP. {Ll. RN13,12) 7. Another branch leaves the lower jaw, but remains on the surface of the body as it crosses over the neck, chest, 8. and abdomen, and terminates in the groin . 9. Interna lly, the Meridian reconstitutes itself at the lower end of the ST and descends inside the abdomen to reconnect with the external branch in the groin. 10. From this point, the Meridian runs downward over the front of the thigh 11. to the outer side of the knee, and continues along the center of the front of the lower leg to reach the top of the foot. It terminates at the lateral side of the tip of the second toe. 12. A branch deviates from the Stomach Meridian just below the knee and ends at the lateral side of the middle toe. 13. A short branch also leaves from the top of the foot and terminates at the medial side of the big toe to connect with the SP Meridian. •
CROSSING POINTS
ll20, UBl, DU26, RN24, GB3,6,4, DU24, DU14, RN13,12
SP MERIDIAN PATHWAY PATHWAY 1. The SP Meridian originates at the medial side of the big toe. It then runs along the inside of the foot, turning in front of the inner ankle bone. 2. From there, it ascends along the posterior surface of the lower leg 3. and the medial aspect of the knee and thigh 4. to enter the abdominal cavity. {Ll. RN3,4, Ll. RNlO) 5. It runs internally to its pertaining organ, th e SP, 6. and connects with the ST. 7. The main Meridian continues on the surface of the abdomen, running upward to th e chest, (Ll. GB24, Ll. LV14, Ll. LUl) 8. where it again penetrates internally to fol low the throat 9. up to the root of the tongue, under which it spreads its Qi and Blood. 10. An internal branch leaves the ST, passes upward through the diaphragm, and enters into the HT, where it connects with the HT Merid ian . •
Channels I Regular Meridians
CROSSING POINTS : RN3,4, RNlO, GB24, LV14, LUl
ACUPUNCTURE
131
HEAVEN CIRCUIT: HT C 51 CUB C KD HT MERIDIAN PATHWAY PATHWAY 1. The HT Meridian has three branches, each of which begins in the HT. 2. One branch runs downward through the diaphragm to connect to the Sl. 3. A second branch runs upward from the HT along the side of the throat to meet the eye. 4. The third branch runs across the chest from the Heart to the LU, then descends and emerges in the underarm. 5. It passes along the midline of the inside of the upper arm, 6. runs downward across the inner elbow, along the midline of the inside of the forearm, 7. crosses the wrist and palm, and terminates at the inside tip of the little finger, where it connects with the 51 Meridian . .A. CROSSING POINTS
No crossing point
51 MERIDIAN PATHWAY PATHWAY 1. The 51 Meridian begins on the outside of the tip of the little finger, crosses the palm and wrist, 2. and passes upward along the posterior aspect of the forearm. 3. The Meridian continues upward along the posterior border of the lateral aspect of the upper arm, 4. circles behind the shoulder, and runs to the center of the uppermost part of the back (where it meets the DU Meridian) . (6. UB41, 6. UB11, 6. DU14) 5. Here, the Meridian divides into two branches, one entering internally 6. to connect with the HT, ( 6. RN17) 7. diaphragm, and ST, (6. RN13,12) 8. before entering its pertaining organ, the Sl. 9. The second branch ascends along the side of the neck 10. to the cheek 11. and outer corner of the eye before entering the ear. (6. GB1, 6.SJ22) 12. A short branch leaves the Meridian on the cheek and runs to the inner corner of the eye, where it connects with the Bladder M eridian. (6. UB1) .A. CROSSING POINTS : UB41, UBll, DU14, RN17,13,12, GBl, SJ22, UBl
Channels I Regular Meridians
132
ACUPUNCTURE
UB MERIDIAN PATHWAY PATHWAY 1. The UB Meridian starts at the inner side of the eye and ascends across the forehead to the vertex of the head. (6DU24, 6 GB15, 6 DU20} 2. From this point, a small branch splits off and enters into the brain, (6 GB7,8,10,11,12} 3. while the main Meridian continues to descend along the back of the head ( 6 DU17) 4. and bifurcates at the back of the neck. 5. The inner of these two branches descends a short distance to the center of the base of the neck, ( 6 DU14,13} 6. then descends parallel to the spine. 7. A branch splits off, entering the body in the lumbar region and connecting to the KD 8. and its pertaining organ, the UB. 9. The outer branch traverses the back of the shoulder, 10. descends adjacent to the inner branch and the spinal cord, and crosses the buttocks. ( 6 GB30} 11. The two branches continue downward, descend the posterior aspect of the thigh, and join behind the knee. 12. The single Meridian now continues down the back of the lower leg, circles behind the outer ankle, 13. runs along the outside of the foot, and terminates on the lateral side of the tip of the small toe, whe re it connects with the KD Meridian.
A CROSSING POINTS
DU24, GBlS, DU20, GB7,8,10,11,12, DU17, DU14,13, GB30
KD MERIDIAN PATHWAY PATHWAY 1. The KD Meridian starts from the inferior aspect of the small toe, runs across the sole of the foot, 2. and emerges along the arch of the foot to circle behind the inner ankle and pass through the heel. 3. It then ascends the medial side of the lower leg to the medial side of the knee crease, ( 6 SP6} 4. climbs upward along the innermost aspect of the th igh, 5. and penetrates the body near the base of the spine. (6 DU1} 6. This branch connects internally with the KD, its pertaining organ, 7. and with the UB, 8. before returning to the surface of the abdomen above the pubic bone and running upward over the abdomen and chest. ( 6 RN3,4} 9. Another branch begins inside at the KD, passes upward through the LV and diaphragm, and enters the LU. 10. This branch continues along the throat and terminates at the root of the tongue. 11. A smaller branch le.aves the LU, joins the HT, and flows into the chest to connect with the PC Meridian .
A CROSSING POINTS : SP6, DUl, RN3,4
Channels I Regular Meridians
ACUPUNCTURE
HUMAN CIRCUIT : PC
C
SJ
C
GB
C
133
LV
PC MERIDIAN PATHWAY PATHWAY 1. Beginning in the chest and in its pertaining organ, the PC, 2. this Meridian descends through the diaphragm to link the Upper, middle, and Lower portions of the SJ. 3. A second internal branch of the Meridian crosses the chest, emerging to the surface at the area of the ribs. 4. The Meridian then ascends around the armpit 5. and continues down the medial aspect of the upper arm to the elbow crease. 6. It runs further down the forearm 7. to the palm of the hand, ending at the tip of the middle finger. 8. A short branch splits off from the palm to connect with the SJ Meridian at the end of the ring finger . .& CROSSING POINTS
No crossing point
SJ MERIDIAN PATHWAY PATHWAY 1. Beginning at the outside tip of the ring finger, the SJ Meridian proceeds over the back of the hand 2. and wrist to the forearm . 3. It runs upward, passing around the outer elbow, along the lateral aspect of the upper arm, 4. to reach the posterior shoulder region. (.0.SI12, .0. DU14) 5. From here, the Meridian travels over the shoulder and enters into the chest underneath the breastbone. (.0.GB21) 6. An internal branch passes from this point through the PC, penetrates the diaphragm, (.0. RN17) 7. and then proceeds downward to unite the Upper, Middle, and Lower Burners. 8. Another, exterior branch ascends toward the shoulder and runs internally up the neck. 9. It reaches the posterior border of the ear 10. and then interiorly circles the face. (.0. GB6,4,3) 11. A short branch originates behind the ear, penetrates the ear, and emerges in front of the ear to reach the outer end of the eyebrow and connect to the GB Meridian. (.0.SI19, .0.GB1) .& CROSSING POINTS : Sl12, DU14, GB21, (RN17), GB6,4,3, Sl18, Sl19, GB1
Channels I Regular Meridians
134
ACUPUNCTURE
GB MERIDIAN PATH WAY PATHWAY 1. The GB Meridian begins at the outer corner of the eye, where two branches arise. 2. One branch, remaining on the surface, weaves back and forth on the lateral aspect of the head before curving behind the ear to reach the top of the shoulder. (6.ST8, 6.SJ22, 6.SJ20, 6.SI17, 6. DU14, 6.UB11, 6.SI12) (Ear branch : 6.SJ17, 6.SI19, 6.ST7) 3. It then continues downward, passing in front of the underarm 4. and along the lateral aspect of the rib cage to reach the hip region. 5. The second branch internally traverses the cheek (6.STS,6} 6. and proceeds internally through the neck 7. and chest to reach the LV (6.LV13} 8. and its pertaining organ, the GB. 9. Continuing downward, this branch emerges on the side of the lower abdomen, where it connects with the other branch in the hip area. (6. UB31,32,33,34) 10. The Meridian then descends along the lateral aspect of the thigh 11. and knee to the side of the lower leg and further downward in front of the outer ankle. 12. It crosses the top of the foot and terminates at the lateral side of the tip of the fourth toe. 13. A branch leaves the Meridian just below the ankle to cross over the foot to the big toe, where it connects with the LV Meridian . •
CROSSING POINTS : STS, SJ22, SJ20, (SI17}, DU14, UB11, Sl12, SJ17, Sl19, ST7, STS, ST6, (LV13}, (UB31,32,33,34}
LV MERIDIAN PATHWAY PATHWAY 1. Beginning on the top of the big toe, the LV Meridian traverses the top of the foot, 2. ascending in front of the inner ankle and along the medial aspect of the lower leg and knee. (6.SP6} 3. It runs continuously along the media l aspect of the thigh (6.SP13,12} 4. to the pubic region, where it encircles the external genitalia before entering the lower abdomen. (6. RN2,3,4} 5. It ascends internal ly, 6. connects with its pertaining organ, the LV, 7. and with the GB, and scatters underneath the ribs 8. before pouring into the LU, where it connects with the LU Meridian. 9. The entire cycle of the Meridian system begins anew here. Reconstituting itself, the Meridian follows the trachea upward to the throat 10. and connects with the eyes. Two bra nches leave the eye area: 11. One descends across the cheek to encircle the inner surface of the lips; 12. a second branch ascends across the forehead to reach the vertex of the head. •
Cha nne ls I Regular M eridians
CROSSING POINTS : SP6, SP13,12, RN2,3,4
ACUPUNCTURE
135
12 DIVERGENT MERIDIANS 1st CONFLUENCE {UB•KD)
2nd CONFLUENCE {ST•SP)
3rd CONFLUENCE {GB•LV)
4th CONFLUENCE {SI•HT)
Sth CONFLUENCE {LI•LU)
6th CONFLUENCE {SJ•PC)
...................
············...
..·.. ·.
ORIGIN AND EMERGENCE ORIGIN
CONNECT ORGANS
EMERGE
UB
Popliteal fossa
UB, KD, HT
Neck
KD
Poplitea l fossa
KD
Neck
CONFLUENCE
1
2
3 4 5 6
ST
Thigh
ST, SP, HT
Eye
SP
Thigh
SP, ST, HT
Tongue
GB
Thigh
LV, GB, HT
Eye
LV
Foot
LV, GB
Eye
51
Shoulder joint
HT, Sl
Abdomen
HT
Axillary fossa
HT
Face
ll
Hand
LU, Ll
Supraclavicular fossa
LU
Axi lla
LU, Ll
Clavicle
SJ
Vertex
SJ, PC
Chest
PC
3 cun below axilla
PC, SJ
Ear
Channels I Divergent Meridians
136
ACUPUNCTURE
t~"''··
i:,f~ ;,,,;~ ~~.· .;~ +, .•
.,
....,
PATHWAY OF DIVERGENT CHANNEL .,~,~~~·
Illl[ .
MNL
!!'~···.:.
;
.·
'
,.
1. Diverges from the LU primary channel at the axilla and passes anterior to the HT channel in the chest 2. Connects with the LU and disperses in the Ll 3. A branch ascends from the LU, emerges at the SCF(Supraclavicular fossa), ascends across the throat and converges with the Ll
LU
1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 6. 1. 2. 1. 2. 3. 1. 2. 1.
Ll
ST
SP HT 51
UB 2. 1. 2. 3. 4. 5. 6. 7.
KD
PC
1. 2. 3.
SJ
1. 2. 1. 2. 3. 4. 5. 6.
GB
1. 2.
LV
channel Separate from the Ll primary channel on the hand Ascends the arm to the shoulder at L115 Travels medially to the spinal column Crosses to the SCF and descends to the thorax, breast, LU and Ll A branch ascends from the SCF along the throat and unites with the Ll primary channel Branches from the primary channels in the middle of the thigh Ascends and enters the abdomen Travels to the ST and disperses in the SP, Ascends to penetrate the HT Ascends along the esophagus and emerges at the mouth Continues along the nose to connect with the eye and then unites with the primary ST channel Branches from the primary channel in the middle of the anterior thigh Follows the ST divergent channel to the throat where it penetrates the tongue Separates from the primary channel at the axillary fossa Enters the chest and connects with the HT Ascends along the throat and emerges to the face, connecting with the 51 channel at the inner canthus Separates from the primary channel at the shoulder Enters the axilla, crosses the HT and descend to the abdomen where it connects with the 51 Diverges from the primary channel in the popliteal fossa and ascends to a point 5cun inferior to the sacrum, then winds round the anus, connecting with the UB and dispersing in the KD. Ascends alongside the spine and disperses in the cardiac region then emerges at the neck to rejoin the UB primary channel Separates from the primary channel in the popliteal fossa Intersects the UB divergent channel on the thigh Ascends to connect with the KD Crosses the Girdling vessel in the region of the second lumbar vertebra Ascends to the root of the tongue Continues upwards to emerge at the nape of the neck and converge with the UB primary channel Ascends along with the KD primary channel from KD4 to a point below the PC where it travels posteriorly to and spreads into the lumbar vertebrae Separates from the primary channel on the arm, at the level of a point below the axilla and 3cun inferior to GB22 Enters the chest and communicates with the Three Jiao A branch ascends across the throat and emerges behind the ear to converge with the SJ channel Separates from the primary channel on the head and branches to the vertex Descends in to the SCF and across the Three Jiao, dispersing in the chest Diverges from the primary channel on the thigh Enters the pubic hairline where it converges with the divergent channel of the LV Enters the flank between the lower ribs Connects with the GB and spreads upwards through the LV Proceeds upwards across the HT and esophagus Emerges at the Lower Jaw, disperses in the face, connects with the eye and rejoins the GB primary channel at the outer canthus Separates from the primary channel on the dorsum of the foot Ascends to the pubic region where it converges with the GB primary channel
FUNCTIONS OF THE DIVERGENT MERIDIANS 1
Strengthen the Yin-Yang relationship between the internally-externally paired channels and Zang Fu
2 3 4
Integrate areas of the body not supplied or interconnected by the primary channels
5
Apart from the HT and the LV channels, the Yin primary channels do not go to the head and face. The link with the Yang Divergent and primary channels enables the other four Yin channels to make a connection at the top of the body.
Distribute Qi and Blood to the head and face Help explain the clinical action of some commonly-used acupuncture points
Channels I Divergent Meridians
ACUPUNCTURE
137
8 EXTRAORDINARY MERIDIANS FUNCTIONS 1
Act as reservoirs
2 3
Protect t he body
Lin k t he twelve primary cha nn els
NAMES AND COALESCENT POINTS CROSSING POINTS
COALESCENT POINTS
REN
DU
CHONG
DAI
YANG QIAO
YIN QIAO
YANG WEI
CAM
Conception
Governor
Thoroughfare
Belt
Yang Heel
Yin Heel
Yang Link
Yin Link
FCM
Directing
Governing
Penetrating
Girdle
Yang Steppi ng
Yin Stepping
Yang Linking
Yin Linking Yin Linking
MNL
Conception
Points
6 DU28 6 ST1
Governing 6 RN1 6 UB12
Origin
Penetrating
Girdling
1. RNl 2.. 5T30 3. KDll 4. KD12 5. KD13 6. KD14 7. KD15 8. (RN7)@ 9. KD16 10. KD17 11. KD18 12. KD19 13. KD20 14. KD21
1. GB26 2. GB2.7 3. GB28
Lower abdomen
Yang M otility 1. UB62 2. UB61 3. UB59 4. GB29 5. 5110 6. Ll15 7. Ll16 8. (5T9)CD 9. 5T4 10. 5T3 11. 5Tl 12. UBl 13. GB20
Yin M otility 1. 2. 3. 4. 5. 6.
(KD2)(l) KD6 KD8 (ST12)CD (5T9)CD UBl
Yang Linking 1. UB63 2. GB35 3. SilO 4. 5J15 5. GB21 6. (5T8)@ 7. GB13 8. GB14 9. GB15 10. GB16 11. GB17 12. GB18 13. GB19 14. GB20 15. DU 16 16. DU15 UB63
YIN WEI
1. 2. 3. 4. 5. 6. 7. 8.
KD9 (5P12.)@ SP13 5P15 SP16 LV14 RN22 RN23
LV13
UB62
KD6(KD2)
Open
LU7
513
SP4
GB41
UB62
KD6
5J5
PC6
Pair
KD6
UB62
PC6
.
5P4
.
.
GB41
DU l
.
LU7
RN 15
..
Sl3
Luo
..
SJ5
UB59
KD8
GB35
KD9
Xi
.
KD9
.
@l=MNL ONLY, CD=FCM ONLY
.. ANALYSIS
OPENING & COUPLED PT.
location
polarity
REN
LU7
HAND
YIN QIAO
KD6
FOOT
-
DU
513
HAND
+
YANG QIAO
UB62
FOOT
+
DAI
GB41
FOOT
+
YANG WEI
5J5
HAND
CHONG
5P4
. FOOT
YIN WEI
PC6
HAND
Yang Qiao & Yin Qiao
Yang Qiao & Yang Wei
Xi-ClEFT
lUO RN15
2~
RANGE OF ACTION abdomen, chest, lungs, throat, fa ce
KD8 DUl
back of legs, back, spine, neck,
UB59
neck, head, eyes, brain
+
GB35
outer aspect of leg, sides of body, shou lders, side of neck
-
KD9
inner aspect of leg, abdomen, chest , heart, stomach
(f-\ -··-----fl ~r ----~~I
R EN......
\
......,.
DU
O AI
'l)
~r·-
DISTRIBUTION
• UBl
• 5110 • GB20 • (DU16)
Brain • Du • Yang Qiao • Yin Qiao
Vertex • Du
Infraorbital region • Ren
lips • Ren • Chong
Supraclavicular fossa • Yin Qiao
Throat • Ren • Chong • Yin Wei
Channels I Extra Vessels
138
ACUPUNCTURE DU • REN • CHONG • DAI DU
CROSSING P.
REN
CROSSING P.
ORIGIN: Lower Abdomen
ORIGIN: Lower Abdomen
6 RN1
6 DU28
6 UB12
6 ST1
~----ARN1
~DU1
CHONG
COALESCENT P.
DAI
COALESCENT P.
ORIGIN: Lower Abdomen
ORIGIN: LV13
1. RN1 2. ST30
1. GB26 2. GB27
3. KDll 4. KD12 5. KD13
3. GB28
6. KD14 7. KD15 8. (RN7)@) 9. KD16 10. KD17 11. KD18 12. KD19
13. KD20 14. KD21
Channels I Extra Vessels
r---+- -(LV13)
r--t---G826 / i - - - GB27
ACUPUNCTURE
YANG QIAO • YIN QIAO YANG QIAO
COALESCENT P.
• YANG WEI
139
• YIN WEI YIN QIAO
COALESCENT P. ORIGIN: KD6 (or KD2)
ORIGIN: UB62
1. UB62
1. (KD2)CD
2. UB61
2. KD6
3. UB59 4. GB29 5. SilO
3. KD8 4. (ST12)CD 5. (ST9)Q)
6. Lll5
6. UBl
7. Lll6 8. (ST9)Q) 9. ST4 10. ST3
11. STl 12. UBl 13. GB20
YANG WEI
COALESCENT P.
GB16
ORIGIN: UB63
ORIGIN: KD9
1. UB63
1. KD9 2. (SP12)@)
GB17 GB18
(STS) GB15 GB13 G B 14
2. GB35 3. SilO
YIN WEI
COALESCENT P.
4. SJ15
3. SP13 4. SP15
5. GB21 6. (ST8)@)
6. LV14
7. GB13
7. RN22
8. GB14 9. GB15 10. GB16
8. RN23
5. SP16
11. GB17 12. GB18 13. GB19 14. GB20 15. DU16 16. DU15
Channels I Extra Vessels
140
ACUPUNCTURE
BIG PICTURE EXTRA
MAN
HEAVEN
EARTH
SPECIAL POINTS
SJ
GB
LV
LU
Ll
ST
SP
HT
Sl
UB
KD
PC
YUAN-SOURCE
9
4
42
3
7
4
64
3
7
4
40
3
LUO-CONNECTING
7
6
40
4
5
7
58
4
6
5
37
5
6
7
XI-CLEFT
LUl
FRONT-MU
34
6
8
ST25 RN12 LV13 RN14 RN4
4
5
63
6
36
7
RN
8 INFLUENTIAL POINTS
I DU
1s
1
1
6
RN3 GB25 RN17 RNS GB24 LV14
UB13 UB25 UB21 UB20 UBlS UB27 UB28 UB23 UB14 UB22 UB19 UB18
BACK-SHU ENTRY
1
~
1
1
1
1
1
1
1
1
1
1
EXIT
z
20
42
21
9
19
67
22
8
22
41
14
WELL
SPRING
Mental illness, chest stifling, fullness under hea rt
Febrile, complexion change, hot sensations
STREAM
Asthma, cough, hot/cold sensations, voice sound change
Bi, wind, damp, heaviness, joint pain
LV13
FU
RN12
Ql
RN17
BLOOD
UB17
SINEWS
GB34
MARROW
GB39
BONES
UB11 LU9
VESSELS
WINDOW OF THE SKY 5T9
5117
Ll18
5J16
GROUP LUO POINTS
SEA
RIVER
lANG
Fu organs, stomach, intestines, rebel Qi, diarrhea
3 ARM YANG
5J8
3 ARM YIN
PCS
5116
RN22
3 LEG YANG
GB35 (GB39)
UB10
DU16
3 LEG YIN
5P6 LU3
PC1
4 COMMAND POINTS
MUSCLE MERIDIAN MEETING POINTS 3 ARM YANG
Forehead
• GB13
ABDOMEN
5T36
3 ARM YIN
Thoracic cavity
i
HEAD AND BACK OF NECK
LU7
3 LEG YANG
Eyes
• 5118, 5T3
BACK (UPPER AND LOWER)
UB40
3 LEG YIN
Genital
• RN3
FACE AND MOUTH
GB22
Ll4
4 SEA POINTS 13 GHOST POINTS Palace
Faith
DU26 LUll
Fortress Heart SPl
PC7
Road
Pillow
Bed
UB62 DU16
ST6
City
Cave
RN 24
PCB
Hall DU 23
Liar DUl
Leg
Seal
Llll
Jinj in Yuye
3 ARM YANG
3 LEG YANG
ST37
Sl
5T39
SJ
UB39
5T9, RN17, DU15, DU14
BLOOD
UB11, 5T37, 5T39
FOOD
5T30, 5T36
MARROW
DU20, DU16
8 EXTRA MERIDIANS
LOWER HE-SEA POINTS Ll
Ql
MASTER XI-CLEFT REN
LU7
YIN QIAO
KD6
DU
513
YANG QIAO
UB62
LUO RN15
KD8 DU1
ST
5T36
DAI
GB41
UB
UB40
YANG WEI
5JS
GB
GB34
CHONG
5P4
YIN WEI
PC6
RANGE OF ACTION Abdomen, chest, lungs, throat , face
UBS9
Back of legs, back, spine, neck, neck, head, eyes, bra in
GB35
Outer aspect of leg, sides of body, shou lders, side of neck
KD9
Inner aspect of leg, abdomen, chest, heart, stomach
FIVE ELEMENT POINTS ON THE 12 PRIMARY MERIDIANS
TAl YIN SHAD YIN JUE YIN
Well
Spring
Stream
River
Sea
Well
Spring
Stream
River
Sea
Wood
Fire
Earth
Metal
Water
Metal
Water
Wood
Fire
Earth
LU
11
10
9
8
5
Ll
1
2
3
5
11
SP
1
2
3
5
9
ST
45
44
43
41
36
HT
9
8
7
4
3
Sl
1
2
3
5
8
KD
1
2
3
7
10
UB
67
66
65
60
40
PC
9
8
7
5
3
SJ
1
2
3
6
10
LV
1
2
3
4
8
GB
44
43
41
38
34
Points I Big Picture
YANG MING TAl YANG SHAD YANG
ACUPUNCTURE
BIG PICTURE EARTH
SPECIAL POINTS
lU
HEAVEN
ST
ll
SP
HT
Sl
PRACTICE MAN
UB
KD
PC
141
SJ
EXTRA
GB
LV
I DU
RN
8 INFLUENTIAL POINTS lANG
YUAN-SOURCE
FU
LUO-CONNECTING
Ql
I
BLOOD
XI-CLEFT
SINEWS
FRONT-MU
MARROW
BACK-SHU
BONES VESSELS
ENTRY EXIT
WINDOW OF THE SKY
WELL
SPRING
STREAM
RIVER
GROUP LUO POINTS
SEA
3 ARM YANG 3 ARM YIN 3 LEG YANG 3 LEG YIN
4 COMMAND POINTS
MUSCLE MERIDIAN MEETING POINTS 3 ARM YANG
ABDOMEN
3 ARM YIN
HEAD AND BACK OF NECK
3 LEG YANG
BACK (UPPER AND LOWER)
3 LEG YIN
FACE AND MOUTH 4 SEA POINTS 13 GHOST POINTS
Palace
Faith
Fortress
Heart
Road
Pillow
Bed
Cit y
Ql Cave
Hall
Li ar
Leg
Seal
BLOOD FOOD MARROW
8 EXTRA MERIDIANS
LOWER HE-SEA POINTS
MASTER XI-CLEFT
Ll 3 ARM YANG
Sl
YIN QIAO DU
SJ
YANG QIAO
ST 3 LEG YANG
RANGE OF ACTION
LUO
REN
DAI
UB
YANG WEI CHONG
GB
YIN WEI FIVE ELEMENT POINTS ON THE 12 PRIMARY MERIDIANS
TAl YIN SHAO YIN JUE YIN
lU SP HT KD PC lV
Well
Spring
Stream
River
Sea
Well
Spring
Stream
River
Sea
Wood
Fire
Earth
Metal
Water
Metal
Water
Wood
Fire
Earth
YANG MING TAl YANG SHAO YANG
Ll ST Sl UB SJ GB
Points I Big Picture
142
ACUPUNCTURE
POINT CATEGORIES NAME COMPARISON MANUAL
FCM
CHINESE(KOREAN)
POINT CATEGORIES
1. FIVE-SHU
:li8l1i:(29!11 )
Five Transporting
Five Shu
2. FIVE ELEMENT
:lii'T1i:(2~~1
Five Element
Five Phase
3. YUAN-PRIMARY
IJl!'li:(~!ll)
Source (Yuan)
Yuan-Source
4. LUO-CONNECTING
*ll'li:( ~ 34 T ~ 35 ~ ~ 36 Ji\ ~
Hidden White Great Metropolis Supreme White Ancestor & Descendant
1m li
Metal Hill
~
Three Yin Intersection
j,!ij
ft Leaking Valley
il!!
;jilt
~!t>'R
;m
r9 iii r9
13
l(f ~
Bowel Abode
14 15 16 17 18 19 20 21
1m *5
Abdominal Bind
*
1m
tili Great Horizontal ~
:t: Iii 7: ffr ijli) J"JI WJ ~
*
I
Abdominal Lament Food Hole Celestial Ravine Chest Village All-Round Flourishing
-§ Great Embracement
HEAVEN CIRCUIT
HT CHANNEL
1 2 3 4 5 6 7 8
:1-' jJ Lesser Marsh
Calf's Nose
x
Four white
~ ~
g
* * iEt
11
8
~
'~
Outer Mound
!1}
Welcome Fragrance
~
~T ll!l
Celestial Pivot
lilt
Protuberance Assistant
Tear Container
*
7: 1li
Grain Bone-hole
Upper Arm
dL
if!!
Slippery flesh Gate
I 9 IP iii I
SP CHANNEL
ST CHANNEL ,~
*j'iW'f9
1 2 3 4 5 6 7 8 9 10
jf\
Pass Gate
C. Supreme Unity
Upper Ridge Arm Three Mile
12 1 2 3 4 5 6 7 8 9 10 11 12
~~ r~
~ ~ j!f
Highest Spring
m Cyan
Spirit
:1-' ;m Lesser Sea
m iEt
Spirit Pathway
;m
Connecting Village
"-
w
Yin Cleft
~$
r9
Spirit Gate
j..'
l(f
Lesser Mansion
~
I
Bamboo Gathering Eyebrow Ascension Deviating Turn Fifth Place Light Guard Celestial Connection
I
37 1i9: r9 38 39 ~ ~ 40 ~ cp 41 m?t 42 flli!JS 43 f'l 44 ~$ ~ 45 ~ ~~ 46 Jllij B~ 47 r,t r9 48 ~ ~ 49 ,f!!, ~ 50 !!I ~ 51 w r9 52 ~ ~ 53 ~f'l 54 *i! 55 .g. ~ 56 jf\Jej 57 iJ\ w 58 1F1 m 59 ~it ~ 60 n 61 ~ $ 62 $ ll! 63 ~ r9 64 ,?,. ~ 65 ~ 66 )li_iiift 67 ~~
;* w
• ~
*
*
Gate of Abundance Superficial Cleft Bend Yang Bend Middle Attached Branch Po Door Gao Huang Shu Spirit Hall Yi Xi Diaphragm Pass Hun Gate Yang Parameter Reflection Abode Stomach Granary Huang Gate Will Chamber Bladder Huang Sequent ial Limit Yang Union Sinew Support Mountain Support Taking Flight Instep Yang Kunlun Mountains Subservient Visitor Extending Vessel Metal Gate Capital Bone Bundle Bone Foot Open Valley Reaching Yin
Declining Connection
KD CHANNEL
Jade Pillow
j!Jl
~
?;!\
a-
Blazing Valley
* * *
ffr il
Great Ravine
~
Water Spring
Gallbladder Shu
1 2 3 4 5 6 7 8 9 10
Spleen Shu
11
tili
Stomach Shu
12
Triple Burner Shu
13
*t 'A
*~
Kidney Shu
14 15 16 17 18 19 20 21 22 23 24 25 26 27
~
;..,
Fourfold Fullness
cp
~i
Central Flow
Celestial Pillar Great Shuttle Wind Gate Lung Shu Jue Yin Shu Heart Shu Governing Shu Diaphragm Shu Liver Shu
Sea-of-Qi Shu Large Intestin e Shu Origin Pass Shu Small Intestine Shu Bladder Shu Central Backbone Shu White Ring Shu Upper Bone-hole Second Bone-hole Central Bone-hole Lower Bone-hole Meeting of Yang Support
Gushing Spring
Large Goblet
~~ ;m 1£ j'i/
Shining Sea
3'l
I
Narrow Opening
I
LOCATION
2 cun below ST37 (Shangjuxu), midway between SHS (Dubi, located at the lateral infrapatellar fossa) and ST41 (Jiexi, approximately level with the lateral malleolus). Remembering that the distance from the lateral malleolus to the center of the patella is 16 cun, divide this distance in half to find the level of ST38.
ACTIONS
Removes Obstructions from the Channel.
INDICATIONS
Numbness, soreness and pain of the knee and leg, weakness and motor impairment of the foot, pain and motor impairment of the shoulder, and abdominal pain.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun.
ST39
Xiajuxu
Tet;JE:(iViOJJ 1
Moxibustion is applicable.
Lower Great Emptiness
I
NATURE
lower He-Sea point of 51, point of the Sea of Blood.
LOCATION
3 cun below ST37 (Shangjuxu), or 9 cun below the lateral infrapatellar fossa, one finger width from the anterior crest of the tibia, in the tibialis anterior muscle.
ACTIONS
Regulates the Stomach and Intestines, eliminates Damp Heat and Wind Dampness, and stops pain.
INDICATIONS
Lower abdominal pain, backache radiating to the testis, mastitis, and numbness and paralysis of the lower extremities.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun.
ST40
Fenglong
~i!i( ~~l
I
Moxibustion is applicable. Abundant Bulge
I
NATURE
Luo-Connecting.
LOCATION
8 cun superior to the lateral malleolus, about one finger width lateral to ST38 (Tiaokou). Remembering that the distance from the latera l malleolus to the center of the patella is 16 cun, divide this distance in half to find the level of ST40.
ACTIONS
Resolves Dampness and Phlegm, clears Heat, calms asthma, opens the chest, and ca lms the Mind.
INDICATIONS
Headache, dizziness and vertigo, cough, asthma, excessive expectoration of sputum, pain in the chest, constipation, mania, epilepsy, muscular atrophy, motor impairment, pain, swelling or paralysis of the lower extremities.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun .
ST41
Jiexi
Mf!l( oH Jll J 1
Moxibustion is applicable.
Dispersing Stream
I
NATURE
Jing-River and Fire point.
LOCATION
On the dorsum of the foot, at the midpoint of the transverse crease of the ankle joint, in the depression between the tendons of the extensor digitorum longus and hallucis longus muscles approximately level with the tip of the lateral malleolus.
ACTIONS
Expels Wind, removes Obstructions from the Channel, clears Heat, ca lms the Mind, and brightens the eyes.
INDICATIONS
Pain in the ankle joint, muscular atrophy, motor impairment, pain and paralysis of the lower extremities, epilepsy, headache, dizziness and vertigo, abdominal distension, and constipation.
TECHNIQUE
Perpendicular insertion, 0.5-0. 7 cun.
ST42
Chongyang
1ti~ ( 3~l
I
Moxibustion is applicable. Rushing Yang
I
NATURE
Yuan-Source point.
LOCATION
At the highest point of the dorsum of the foot, in the depression between the second and th ird metatarsal bones and the cu neiform bone below ST41 (Jiexi).
ACTIONS
Strengthens the Stomach and Spleen, removes Obstructions from the Channel, and calms the Mind.
INDICATIONS
Pain of the upper teeth, redness and swelling of the dorsum of the foot, facia l para lysis, muscular atrophy, and motor impairment of the foot.
TECHNIQUE
Perpendicular insertion, 0.3-0.5 cun.
ST43
Xiangu
'iHi·(~~ll
Avoid puncturing the artery. Sinking Valley
Moxibustion is applicable.
l
NATURE
Shu-Stream and Wood point.
LOCATION
In the depression distal to the junction of the second and third metatarsal bones.
ACTIONS
Removes Obstructions from the Channel, and expels Wind and Heat.
INDICATIONS
Facial or general edema, abdomina l pain, borborygmus, and swelling and pain of the dorsum of the foot.
TECHNIQUE
Perpendicular insertion, 0.3-0.5 cun.
ST44
Neiting
P;J~ ( UI2J)
I
209
Moxibustion is applicable. Inner Court
J
NATURE
Ying-Spring and Water point.
LOCATION
At the proximal end of the web between the second and third toes, in the depression distal to the metatarsophalangeal joints.
ACTIONS
Clea rs Heat from t he Stomach, regulates Qi, eliminates fullness, promotes digestion, expels Wind from the face, and suppresses pain.
INDICATIONS
Toothache, pain in the face, deviation of the mouth, sore throat, epistaxis, gastric pain, acid regurgitation, abdominal distension, diarrhea, dysentery, constipation, swelling and pain of the dorsum of the foot, and febri le diseases.
TECHNIQUE
Perpendicular insertion, 0.3-0.5 cun.
Moxibustion is applicable.
Point Therapeutics I Comprehensive Charts
210
ACUPUNCTURE
ST45
lidui
~)t(OWl)\
Sick Mouth
I
NATURE
Jing-Well, Metal point.
LOCATION
0.1 cun posterior to the corner of the nail on the lateral side of the second toe.
ACTIONS
Relieves food retention, clears the Heart, brightens the eyes, and calms the Mind.
INDICATIONS
Facial swelling, deviation of the mouth, epistaxis, toothache, sore throat and hoarse voice, abdominal distension, coldness in the leg and foot, febrile diseases, dream-disturbed sleep, and insanity.
TECHNIQUE
Subcutaneous insertion, 0.1 cun.
Moxibustion is applicable.
SP CHANNEL OF FOOT-TAIYIN SP1
Yinbai
~s(g!!'ill
Hidden White
I
NATURE
Jing-Well and Wood point.
LOCATION
0.1 cun posterior to the corner of the nail on the medial side of the great toe.
ACTIONS
Tonifies the Spleen, regulates Blood, and calms the Mind.
INDICATIONS
Abdomina l distension, bloody stools, menorrhagia, uterine bleeding, mental disorders, dream-disturbed sleep, convulsion.
TECHNIQUE
Subcutaneous insertion, 0.1 cun.
SP2
Dadu
Moxibustion is applicable.
:*:ill(OIS:.) I
Big Capital
I
NATURE
Ying-Spring and Fire point.
LOCATION
On the medial side of the great toe, distal and inferior to the first metatarsophalangeal joint, at the border of the light and dark skin.
ACTIONS
Clears Heat, strengthens the Spleen, and promotes digestion.
INDICATIONS
Abdominal distension, gastric pain, constipation, and febrile diseases without sweating.
TECHNIQUE
Perpendicular insertion, 0.1-0.3 cun.
SP3 NATURE
Taibai
;t:8(Ell!1!i)\
Moxibustion is applicable. Great er W hite
I
Shu-Stream, Yuan-Source, and Earth point.
LOCATION
Proximal and inferior to the head of the first metatarsal bone, at the border of the light and dark skin.
ACTIONS
Resolves Dampness, tonifies the Spleen, and strengthens the spine.
INDICATIONS
Gastric pain, abdominal distension, constipation, dysentery, vomiting, diarrhea, borborygmus, body heaviness, and beriberi.
TECHNIQUE
Perpendicu lar insertion, 0.3-0.5 cun.
SP4
Gongsun
0 1*(i1S e)
I
Moxibustion is applicable.
Ancest or and Descendant
I
NATURE
Luo-Connecting, Opening point of Chong.
LOCATION
In the depression distal and inferior to the base of the first metatarsal bone, at the border of the dorsal and plantar surfaces of the foot.
ACTIONS
Strengthens the Stomach and Spleen, controls the Penetrating Channel, regulates menstruation, removes Obstructions from the Channel, dispels fullness, stops bleeding, and soothes the Stomach.
INDICATIONS
Gastric pain, vomiting, abdominal pain and distension, diarrhea, dysentery, and borborygmus.
TECHNIQUE
Perpendicular insertion, 0.5-0.8 cun.
SPS
Shangqiu
itll.fi:(~=i'-)\
Moxibustion is applicable. M etal M ound
I
NATURE
Jing-River and Metal point.
LOCATION
In the depression distal and inferior to the medial malleolus, midway between the tuberosity of the navicular bone and the tip of the medial ma lleolus.
ACTIONS
Resolves Dampness, and strengthens the Stomach and Spleen.
INDICATIONS
Abdominal distension, constipation, diarrhea, borborygmus, pain and rigidity of the tongue, pain in the foot and ankle, and hemorrhoids.
TECHNIQUE
Perpendicular insertion, 0.2-0.3 cun .
SP6 NATURE
Sanyinjiao
.:=.~:X:(~§:lil)\
Moxibust ion is applicable. Three Yin M eeting
I
Crossing point of the three Yin Channels of the foot (LV, KD, SP).
LOCATION
3 cun directly above the tip of the medial malleolus, just posterior to the border of the t ibia.
ACTIONS
Strengthens the Spleen, resolves Dampness, promotes function of Liver and the smooth flow of Liver Qi, nourishes Blood and Yin, strengthens the Kidneys, benefits urination, regulates the Uterus and menstruation, invigorates Blood, removes stasis, cools Blood, stops pain, and calms the Mind.
INDICATIONS
Abdominal pain, borborygmus, abdominal dist ension, diarrhea, dysmenorrhea, irregular menstruation, uterine bleeding, leukorrhea, uterine prolapse, infertility, delayed labor, nocturnal emission, impotence, enuresis, dysuria, edema, hernia, genital pain, muscular atrophy, motor impairment, paralysis and pain of lower limbs, headache, dizziness, and insomnia.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun .
Point The ra pe utics I C omprehe nsive Charts
Moxibustion is applicable.
Contraindicated in pregnant women.
ACUPUNCTURE
SP7
Lougu
~s(!r~l
Seeping Valley
1
I
LOCATION
3 cun above SP6 (Sanyinjiao) on the line connecting the tip of the medial malleolus and SP9 (Yinlingquan).
ACTIONS
Abdominal distension, borborygmus, coldness, numbness and paralysis of the knee and leg.
INDICATIONS
Abdominal pain, borborygmus, abdominal distension, diarrhea, dysmenorrhea, irregular menstruation, uterine bleeding, morbid leukorrhea, uterine prolapse, infertility, delayed labor, nocturnal emission, impotence, enuresis, dysuria, edema, hernia, pain in the external genitalia, muscular atrophy, motor impairment, para lysis and pain of the lower extremities, headache, dizziness and vertigo, and insomnia.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun.
SPB
Diji
Moxibustion is appl icable .
f{f!M(:A:IJI)I
Earth's Pivot
Acupuncture is contraindicated in pregnant women.
J
NATURE
Xi-Cleft point.
LOCATION
3 cun below SP9 (Yinlingquan, located at the inferior border of the medial condyle of the tibia), on the line connecting SP9 (Yinlingquan) and the medial malleolus.
ACTIONS
Regulates Qi and Blood, removes Obstructions from the Channel, regu lates the Uterus, and stops pain.
INDICATIONS
Abdominal pain and distension, diarrhea, edema, dysuria, nocturnal emission, irregular menstruation, and dysmenorrhea.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun.
SP9
Yinlingquan
Moxibustion is applicable.
J!;Ut*(l§g~) I
Yin Mound Spring
J
NATURE
He-Sea and Water point.
LOCATION
On the lower border of the medial condyle of the tibia, in the depression posterior and inferior of the medial border of the tibia.
ACTIONS
Resolves Dampness, benefits urination, removes Obstructions from the Channel, and benefits the Lower Burner.
INDICATIONS
Abdominal pain and distension, diarrhea, dysentery, edema, jaundice, dysuria, enuresis, incontinence of urine, pain in the externa l genitalia, dysmenorrhea, and pain in the knee.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun.
SP10 LOCATION
Xuehai
Moxibustion is applicable.
.lll!.il!I(~5Hl I
Sea of Blood
I
2. cun above the medial and superior border of the patella when the knee is fl exed, on t he bulge of the medial portion of the quadriceps femoris muscle.
ACTIONS
Harmonizes and nourishes Qi and Blood, cools Blood and clears Heat, removes Blood stasis and regulates menstruation.
INDICATIONS
Irregular menstruation, dysmenorrhea, uterine bleeding, amenorrhea, urticaria, eczema, erysipelas, and pain in the media l aspect of the thigh.
TECHNIQUE
Perpendicular insertion, 0.5-1.2 cun.
SP11
Jimen
Moxibustion is applicable.
)mP I ~ l l
Basket's Door
I
LOCATION
6 cun above SPlO (Xuehai) on the line drawn from SPlO (Xuehai) to SP12 (Chongmen).
ACTIONS
Regulates urination, Drains Damp and clears Heat.
INDICATIONS
Dysuria, enu resis, pain and swe lling in the inguinal region, muscular atrophy, motor impairment, pain and paralysis of the lower extremities.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun.
SP12
Chongmen
ilir,( 8~l
Moxibustion is applicable. Rushing Door
1
I
NATURE
Crossing point with LV channel and Yin Wei.
LOCATION
3.5 cun lateral to the midline, leve l with the upper border of the symphysis pubis, superior t o the lat eral end of the inguinal groove, on the lateral side of the femoral artery.
ACTIONS
Tonifies Yin and removes Obstructions from the Channel.
INDICATIONS
Abdominal pain, hern ia, and dysuria.
TECHNIQUE
Perpendicu lar insertion, 0.5-1.0 cun.
SP13
Fushe
!f.f~(JFAfl I
Avoid puncturing the artery. Bowel Abode
Moxibustion is applicable.
I
NATURE
Crossing point with LV channel and Yin Wei.
LOCATION
0.7 cun lat eral and superior to SP12 (Chongmen), 4 cun lat eral to the Ren Channel.
ACTIONS
Regulates Qi and alleviates pain.
INDICATIONS
Lower abdom inal pain and hern ia.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun.
SP14 LOCATION
211
Fujie
IIU'H ~?i! ll
Moxibustion is applicable. Abdomen's Knot
I
1.3 cun below SP15 (Daheng, located 4 cun lateral to the umbilicus), on the mamm illary line (4 cu n lateral to the midline), on the latera l side of m. rectus abdominus.
ACTIONS
Warms and benefits the lower jiao, Regulates Qi and descends rebellion .
INDICATIONS
Pain around the umbilical region, abdominal distension, hernia, diarrhea, and constipation.
TECHNIQUE
Perpendicular insertion, 0.5-1.0 cun.
Moxibustion is applicable.
Point Therapeutics I Comprehensive Charts
212
ACUPUNCTURE
SP15
Daheng
:;l;:tlti(OI!!) I
Big Horizontal Stroke
I
NATURE
Crossing point with Yin Wei.
LOCATION
Lateral t o t he center of the umbilicus on the mammillary line, lateral to m. rectus abdominus muscle.
ACTIONS
Resolves Damp, strengthens Spleen and limbs, regulates Qi, promotes the function of Large Intestine, and stops pain.
INDICATIONS
Abdominal pain and distension, diarrhea, dysentery, and constipation .
TECHNIQUE
Perpendicular insertion, 0. 7-1.2 cun .
SP16
Fuai
Jll(~(~OH)
I
Moxibustion is applicable.
Abdomen's Sorrow
I
NATURE
Crossing point w ith Yin Wei.
LOCATION
3 cun above t he level of the umbilicus, on the mammillary line (4 cun lateral to the midline), level with RN l l (Jianli). Remembering t hat the distance from the umbilicus to the sternocostal angle is 8 cun, move 3 cun superior to the umbilicus to locate the level of SP16 .
ACTIONS
Regulates the intestines.
INDICATIONS
Abdominal pain, indigestion, constipation, and dysentery.
TECHNIQUE
Perpendicular insert ion, 0.5-1.0 cun.
SP17
Shidou
j
Oazhul
·.
:*:~(Cll>?ll
Moxibustion is applicable.
Big Vertebra
NATURE
Meeting point of the 7 Yang Meridians.
LOCATION
On the midline, below the spinous process of the seventh cervical vertebra, approximately level with the shoulders.
ACTIONS
Expels Wind, clears Heat, releases the Exterior, regulates the Nutritive and Defensive Qi, clears Mind, and tonifies Yang.
INDICATIONS
Neck pain and rigidity, malaria, febrile diseases, epilepsy, afternoon fever, cough, asthma, common cold, back stiffness.
TECHNIQUE
Upward oblique insertion, 0.5-1.0 cun.
DU15
Yamen
Moxibustion is applicable.
Mute Gate
I
NATURE
Intersection point with the Yang Linking (Yang Wei) Channel.
LOCATION
0.5 cun directly above the posterior hairline, in the depression below the spinous process of the first cervical vertebra.
ACTIONS
Clears the Mind and stimulates speech.
INDICATIONS
Mental disorders, epilepsy, deafness and mutism, sudden hoarseness of voice, apoplexy, stiffness of the tongue and aphasia, occipital headache, and neck rigidity.
TECHNIQUE
Perpendicular insertion, 0.5-0.8 cun.
DU16
Neither upward Oblique insertion nor deep insertion is advisable.
Wind Palace
Fengfu
I
NATURE
Intersection point with the Yang Linking (Yang Wei) Channel and point of the Sea of Marrow.
LOCATION
On the midline, 1 cun directly above the posterior hairline, directly below the external occipital protuberance, in the depression between the trapezius muscles of both sides.
ACTIONS
Expels Wind, clears the Mind, and benefits the brain.
INDICATIONS
Headache, neck rigidity, blurring of vision, epistaxis, sore throat, post-apoplexy aphasia, hemiplegia, mental disorders.
TECHNIQUE
Perpendicular insertion, 0.5-0.8 cun.
Deep insertion is not advisable.
Naohu
DU17
Brain Window
I
NATURE
Meeting point with the Bladder Channel.
LOCATION
On the midline of the head, 1.5 cun directly above DU16 (Fengfu), superior to the external occipital protuberance.
ACTIONS
Expels Wind, benefits the brain, and clears the Mind.
INDICATIONS
Epilepsy, dizziness, and pain and stiffness of the neck.
TECHNIQUI!!
Subcutaneous insertion, 0.3-0.5 cun.
DU18
T
Qiangjlan
~llll(~~.f)
I
Moxibustion is applicable.
Between
Strength
I
On the midline of the head, 1.5 cun directly above DU17 (Naohu), midway between DU16 (Fengfu) and DU20 (Baihui). Pacifies wind and alleviates pain, calms the spirit. Headache, neck rigidity, blurred vision, and mania.
TECHNIQUE
Subcutaneous insertion, 0.3-0.5 cun.
Point Therapeutics I Comprehensive Charts
Moxibustion is applicable.
ACUPUNCTURE
DU19
Houding
fifll( ~ ~l
I
Posterior Vertex
l
LOCATION
On the midline of the head, 1.5 cun directly above DU18 (Qiangjian).
ACTIONS
Calms the Mind.
INDICATIONS
Headache, vertigo, mania, and epilepsy.
TECHNIQUE
Subcutaneous insertion, 0.3-0.5 cun .
DU20 NATURE
Baihui
eiii(~ ~ l l
Moxibustion is applicable.
Hundred Meetings
l
Meeting point of all t he Yang Channels, point of the Sea of Marrow.
LOCATION
Directly above t he apexes of the two auricles, approximately 7 cun directly above the post erior hairline.
ACTIONS
Expels Interior Wind, tonifies Yang, Raise Spleen Yang Qi, clears the M ind, lifts the spirit, and promotes resuscitation.
INDICATIONS
Headache, vert igo, t innitus, nasal obstruction, aphasia by apoplexy, coma, mental disorders, uterine and rectal prolapse.
TECHNIQUE
Subcut aneous insertion, 0.3-0.5 cun. Moxibustion is applicable. CAUTION: This point is dangerous to use on infants whose fontanels have not closed and on individuals with hydrocephalus.
DU21
Qianding
llflfll(~~l l
Anterior Vertex
I
LOCATION
On the midline of t he head, 1.5 cun anterior to DU20 (Baihui).
ACTIONS
Eliminates wi nd and treats convulsions, benefits the head.
INDICATIONS
Epilepsy, dizziness, blurred vision, vertical headache, and rhinorrhea.
TECHNIQUE
Subcutaneous insertion, 0.3-0.5 cun. Moxibustion is applicable. CAUTION: This point is dangerous to use on infant s whose fontanels have not closed and on individuals with hydrocephalus.
DU22 LOCATION
Xinhuui
~- ( t! ~ l
I
Fontanel M eet ing
I
On the midline, 2 cun posterior to the anterior hairline, 3 cun anterior t o DU20 (Baihui).
ACTIONS
Benefits the nose, eliminates wind and benefits the head.
INDICATIONS
Headache, blurred vision, rhinorrhea, and infantile convulsion.
TECHNIQUE
Subcutaneous insertion, 0. 3-0.5 cun . Moxibustion is applicable. CAUTION : This point is dangerous to use on infants whose font anels have not closed and on individuals with hydrocephalus.
DU23
Shangxing
_.c~ ( 2t{g J
I
Upper Star
l
LOCATION
On the midline, 1 cun above the anterior hairlin e.
ACTIONS
Opens the nose, clears the nasal cavity, and disperses Wind Heat.
INDICATIONS
Headache, ophthalmalgia, epist axis, rhinorrhea, and mental disorders.
TECHNIQUE
Subcutaneous insertion, 0.3-0.5 cun or prick to cause bleeding. M oxibustion is applicable. CAUTION : This point is dangerous to use on infants whose fontanels have not closed and on individuals with hydrocephalus.
DU24
Shenting
~• ilf(t!~ l
I
Mind Courtyard
NATURE
Crossing point with ST, UB channels.
LOCATION
On the midline, 0.5 cun post erior t o the anterior hairline.
I
ACTIONS
Ca lms the Mind.
INDICATIONS
Epilepsy, anxiety, palpitat ion, insomnia, headache, vertigo, and rhinorrhea.
TECHNIQUE
Subcutaneous insertion, 0.3-0.5 cun, or prick to cause bleeding.
DU25
Suliao
~~(:::::fi ll
Plain Seam
M oxibustion is applica ble.
I
LOCATION
On the tip of the nose.
ACTIONS
Raises the Yang to the head, restores Qi, clears the senses, and clears Heat.
INDICATIONS
Loss of consciousness, nasa l obstruction, epist axis, rhinorrhea, and rosacea.
TECHNIQUE
Perpendicular insertion, 0.2-0.3 cun, or prick to ca use bleeding.
DU26
Renzhong
7JIii
Cough•asthma
I
Swollen•painful throat
Acute or chronic cough•asthma Cough•asthma Chronic cough, shortness of breath
I
Chronic bronchitis
Cough•asthma I Hiccup, ST Qi rebellious KD not grasping LU Qi I Spermatorrhea, impotence I Irregular menstruation Deficient type of cough•asthma Fever, cough, chest pain I Swollen and painful throat Cough due to Wind -Phlegm I Dry throat with Yin def. I Chest fullness due to phlegm
9 CLEAR BLOOD-HEAT AND STOP BLEEDING DUI-XUE 1
DU23 + SJ22
CHINESE ::!
==
5. MALARIA: DU14, DU13, Sl3, PC5, SJ2, GB41 • High fever: .J,.U11 • With splenomegaly: LV13, moxa at Pigen • High fever with delirium & mental confusion: prick the 12 Jing-well on hands
5. HICCUP: UB17, RN12, PC6, ST36 (1) FOOD RETENTION: RN14, lnner-Neiting
:1>
(Plantar side, opposite ST44)
(2) LV Ql STAGNATION: RN17, LV3 (3) ST Cold: RN13
e
CUPPING: UB17, UB46, UB18, RN1 2, ST18
n c c z n
,
-1
c ::a m N
Ul Ul
.,
..:r [.. c;· 0
fl)
CD
:I
14. NOCTURNAL ENURESIS: UB23, UB28, RN3, SP6, moxa LV1
6. ABDOMINAL PAIN: RN12, ST36 (1) COLD ACCUMULATION: RN8, SP4
• Enuresis with dreams: HT7
(2) SP YANG DEFICIENCY: UB20, UB21, LV13, RNG
• Loss of appetite: UB20, ST36
aa
,.s::
n
15. URINATION DISTURBANCE (LIN): UB28, RN3, SP9 (1) STONE LIN: UB39
7. DIARRHEA: ST36 (1) ACUTE DIARRHEA: ST25
@ Cold-Damp: RN12, RNG @ Damp-Heat: ST44, SP9
© (2) CHRONIC DIARRHEA: UB20
Food retention: lnner-Neiting
@ SP deficiency: LV13, SP3, RN12
(2) Ql LIN: LV2 (3) BLOOD LIN: SPlO, SPG (4) GAO LIN: UB23, KDG (5) LAO LIN: DU20, RNG, ST36
@ KD deficiency: UB23, DU4, RN4, KD3 16. RETENTION OF URINE 8. DYSENTERY: ST25, ST37
(1) HEAT ACCUMULATION IN THE UB: UB28, RN3, SPG, UB39
(1) DAMP-HEAT: Llll, Ll4
(2) MINGMEN FIRE DECLINE: DU4, UB23, DU20, RN4, SJ4
(2) COLD-DAMP: RN12, moxa RNG, SP9
(3) DAMAGE OF THE MERIDIAN Ql: RN3, SPG, ST28, KDS
(3) FOOD-RESISTANT: RN12, PCG (4) INTERMITTENT: UB20, UB21, RN4, ST36
17. IMPOTENCE (1) MINGMEN FIRE DECLINE: RN4, DU4, UB23, KD3
9. ABDOMINAL DISTENTION: RN12, ST25, ST36, ST37 (1) EXCESS: Ll4, RNG, SP9
• HT & SP Qi damage: UBlS, HT7, SPG (2) DAMP-HEAT FLOW DOWNWARD: RN3, SPG, SP9, ST36
(2) DEFICIENCY: RN4, SP3 [!] SEMINAL EMISSION 10. JAUNDICE: SP9, ST36, UB18, UB19, DU9 (1) YANG JAUNDICE {DAMP-HEAT): LV3, GB34
(1) NOCTURNAL EMISSION: HT7, UBlS, KD3, UB52 (2) SPERMATORRHEA: UB23, KD12, SPG, RN4, RNG
(2) YIN JAUNDICE {COLD-DAMP): UB20, UB48 18. INSOMNIA: HT7, SP6, Anmian 11. CONSTIPATION: UB25, ST25, SJ6, KD6 (1) EXCESS (2) DEFICIENCY
® ® ®
(1) HT & SP Ql DEFICIENCY: UB20, UBlS, moxa SPl
Heat accumulation: Llll, Ll4
(2) HT & KD DISHARMONY: UBlS, UB23, KD3
Qi stagnation: RN12, LV3
(3) LV FIRE DISTURB UPWARD: UB18, UB19, GB12
@ Qi & Blood deficiency: UB20, UB21, ST36
(4) ST DYSFUNCTION: UB21, ST36
Cold agglomeration: moxa RN8, RNG [!] POOR MEMORY: SISHENCONG, UB15, UB20, ST36, UB23, KD6
12. PROLAPSE OF RECTUM: DU20, UB25, DU1, ST36 19. PALPITATION: UB15, RN14, HT7, PC6 13. EDEMA (1) YANG EDEMA: LU7, Ll4, LIG, SP9, UB39 (2) YIN EDEMA: UB20, UB23, RN9, RN4, KD7, ST36
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(3) FOOD RETENTION: ST25, RNG, lnner-Neiting
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(1) DISTURBANCE OF THE MIND: HTS, GB40 • If accompanied with Phlegm-Heat : ST40, UB19 (2) Ql & BLOOD DEFICIENCY: UB20, UB21, ST36
• Facial puffiness: DU26
(3) YIN DEFICIENCY WITH FIRE: UB14, UB23, KD3
• Edema on the pedis dorsum: GB41, SPS
(4) FLUID RETENTION: RN9, RN4, RN8, SP9
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ill. DISEASES OF HEAD, TRUNK AND LUMBAR REGIONS
20. MANIC-DEPRESSIVE DISORDERS: ST40
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(1) DEPRESSIVE DISORDER: UB15, UB18, UB20, HT7 (2) MANIC DISORDER: DU14, DU16, DU26, PCG, 13 ghost point
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13 GHOST POINTS: DU26, LUll, SP1, PC7, UB62, DU16, STG, RN24, PC8, DU23,
1. HEADACHE (1) WIND INVASION INTO MERIDIANS AND COLLATERALS
RN1, Llll, Shexiazhongfeng
• Occipital (Taiyang): GB20, UBGO, 513 • Frontal (Yangming): ST8, Yintang, DU23, Ll4, ST44
21. EPILEPSY
• Temporal (Shaoyang): Taiyang, GB8, SJS, GB41
(1) DURING SEIZURE: DU26, RN15, PCS, LV3, ST40 (2) AFTER SEIZURE: UB15, Yintang, HT7, SPG, KD3, Yaoqi
• Vertex (Jueyin): DU20, 513, UB67, LV3 (2) LV YANG RISING: GB20, DU20, GBS, GB43, LV2
• Daytime seizure: UB62
(3) Ql AND BLOOD DEFICIENCY: DU20, RNG, UB18, UB20, UB23, ST36
• Night seizure: KDG
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CUTANEOUS NEEDLES & CUPPING METHOD: along L1 to 54, GB20, Taiyang, GB1
• Phlegm stagnation: RN12, ST40 • Severe Qi and Blood deficiency : RN4, ST36
2. FACIAL PAIN
• Supraorbital region: GB14, Taiyang, UB2, SJS • Maxillary region: ST2, 5118, Ll20, Ll4
22. DIZZINESS
• Mandibular region: ST7, STG, STS, Jiachengjiang, Ll4
(1) LV YANG RISING: GB20, UB18, UB23, KD3, LV2
(1) WIND-COLD INVASION: GB20
(2) Ql AND BLOOD DEFICIENCY: DU20, UB20, RN4, ST36, SPG
(2) LV AND ST EXCESSIVE FIRE: LV3, ST44
(3) PHLEGM-DAMP RETENTION: ST8, UB20, RN12, PCG, ST40
(3) YIN DEFICIENCY WITH EXCESSIVE FIRE: KDG, SPG
23. MELANCHOLIA
3. DEVIATION OF EYE AND MOUTH: SJ17, GB14, Taiyang, Sl18, ST7, ST4, ST6, Ll4
(1) LV Ql STAGNATION: UB18, RN17, RN12, ST36, SP4, LV3
• Headache: GB20
(2) Ql STAGNATION TRANSFORMING INTO FIRE: RN13, SJG, GB34, LV2, GB43
• Difficulty in frowning and raising the eyebrow: UB2, SJ23
(3) PHLEGM STAGNATION (A.K.A. GLOBUS HYSTERICUS): RN22, RN17, PCG, ST40, LV3
• Incomplete closing of the eye: UB2, UB1, GB1, Yuyao, SJ23
(4) BLOOD INSUFFICIENCY (A.K.A. HYSTERIA): RN14, HT7, SPG, LV3 • Distress of the chest: PCG, RN17
• Difficulty in sniffling: Ll20 • Deviation of the philtrum: DU26
• Hiccup: SP4, RN22
• Irritability to show the teeth: ST3
• Sudden aphonia: HTS, RN23
• Tinnitus and deafness: GB2
• Convulsion: Ll4, GB34
• Tenderness of the mastoid region: GB12, SJS
• Loss of consciousness: DU26, KD1 4. PAIN IN HYPOCHONDRIAC REGION: LV14
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(1) EXCESS: SJG, GB34
@ Qi stagnation: LV3, GB40
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Blood stasis: UB17, UB18
(2) DEFICIENCY: UB18, UB23, ST36, SPG, LV3
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5. LOW BACK PAIN: UB23, DU3, UB40 (1) COLD-DAMP: UB25, UB26
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(2) KD YANG DEFICIENCY: DU4, Yaoyan
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(3) KD YIN DEFICIENCY: UBS2, KD3
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(4) TRAUMATIC INJURY: DU26, Yaotongxue, Ashi point
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6. Bl SYNDROMES
• Shoulder joint: LllS, SJ14, SJ19, SilO
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• Scapula : Sill, Sll2, Sl14, UB43 • Elbow: Llll, LUS, SJlO, SJS, Ll4
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• Wrist: SJ4, LIS, SIS, SJS
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• Numbness and pain in the fingers : Sl3, L13, Baxie
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• Lumbar reg ion : DU26, DU12, DU3
~
GYNECOLOGICAL & OTHER DISEASES
I . GYNECOLOGICAL DISEASE liitAl4
• Stiffness of the fingers : SIS, Ll4, Sl3
• Hip joint: GB30, GB29, GB39
1. IRREGULAR MENSTRUATION
(1) ANTEDATED MENSTRUATION
@ Blood heat: Llll, RN3, SPlO, KDS • LV Qi transforming into fire : LV2
• Knee joint: Heding, ST3S, Medial Xiyan, GB34, SP9 • An kle : ST41, SPS, GB40, UB60, KD3 • Numbness and pain in the toes: SP4, UB6S, Bafeng • Back: DU 26, DU12, DU3 • General pa in: Sl3, UB62, SP21, UB17, LllS, Llll, Ll4, SJ4, GB30, GB34, GB39, ST41 (1) WANDERING Bl, VESSEL Bl : UB17, SPlO (2) PAINFUL Bl : UB23, RN4 (3) FIXED Bl : ST36, SPS
• Yin deficiency with internal heat: KD2
@ Qi deficiency: RN6, SP6, RN12, ST36 (2) POSTDATED MENSTRUATION
®
Blood deficiency & cold in the Blood : RN4, RN6, SP6
• Dizziness & blurred vision : DU20 • Palpitation & insomnia : HT7
@ Qi stagnation: ST2S, KD13, SP8, LV3 • Chest Bi : PC6 • Distension in the hypochondria region and breast: LV14
(4) HEAT Bl : DU14, Llll
(3) IRREGULAR MENSTRUAL CYCLE
(5) TENDON Bl : GB34
@ LV Qi stagnation: RN6, KD14, PCS, LVS
(6) BONE Bl : UBll, GB39
• Distension in the hypochondriac region and breast: RN17, LV14 • Mental depression : HT7, LV3
7. WEI SYNDROMES
•
Upper limb: LllS, Llll, Ll 4, SJS
•
Lower limb: ST31, GB30, SPlO, ST34, ST36, GB34, ST41, GB39
(1) LU HEAT: LUS, UB13
@ KD deficiency: RN4, UB23, KD8 • Sore and weak low back and knees : Yaoyan, KDlO • Dizziness and tinnitis: DU20, KD3
(2) DAMP-HEAT: UB20, SP9 (3) LV & KD YIN DEFICIENCY: UB18, UB23 (4) TRAUMA: Huatuojiaji points at the corresponding level of spinal injury (5) INCONTINENCE OF URINE: RN3, SP6 (6) INCONTINENCE OF FECES: UB2S, UB32
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• Thigh region: UBS4, UB36, GB34 • Numbness and pain in the leg: UBS7, UBS8
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2. DYSMENORRHEA
(1) EXCESS: RN3, UB32, Ll4, SPlO, SP8, LV3 • Distending pain in the lower abdomen: KD14, ST28 • Pain with cold feeling in the lower abdomen : ST29, ST27 (2) DEFICIENCY: RN4, UB20, UB23, ST36, SP6 3. AMENORRHEA: SP6
(1) BLOOD STAGNATION: RN3, ST29, SPlO, LV3, Ll4 • Pain in the lower abdomen with hard mass aggravated by pressure: KD14 (2) BLOOD DEFICIENCY: RN4, UB18, UB20, UB23, ST36
II. PEDIATRIC DISEASES •l'§e'*
4. UTERINE BLEEDING: moxa SP1 (1) EXCESSIVE HEAT: RN3, SP10, LVS • External heat: Llll • HT fire: HTS • LV fire: LV3 (2) Ql DEFICIENCY: DU20, RN4, ST36, SP6, SJ4 • SP Qi deficiency manifested by anorexia and loose stools: UB20, UB21
1. INFANTILE CONWLSION (1) ACUTE INFANTILE CONWLSION: Yintang, DU26, LV3 • Invasion of pathogenic heat: DU14, Llll, 12 jing-well point on both hands • Convulsion due to phlegm-heat: SJ18, RN12, Ll4, ST40 • Convulsion due to fright: PCS, KDl (2) CHRONIC INFANTILE CONWLSION: DU20, DU24, RN4, SP6, ST36
5. MORBID LEUKORRHEA (1) SP DEFICIENCY: GB26, RN6, UB30, SP9, ST36
• SP & KD Yang deficiency: UB20, UB23, RN12 • Blood deficiency: LV3, KD2
(2) KD DEFICIENCY: UB23, RN4, KD12, GB26, KD7 (3) DAMP-HEAT: RN3, UB32, SP6, LV3
2. INFANTILE DIARRHEA: ST25, ST37, Sifeng
• Itching in the vulva: LVS
• Diarrhea due to overfeeding: RNll, RN6
• Reddish leukorrhea: SPlO
• Diarrhea due to damp-heat: Llll, Ll4, SP9
• Excessive heat: Llll 3. INFANTILE MALNUTRITION: RN10, UB21, UB20, ST36, Sifeng, SP3 6. MORNING SICKNESS: RN12, PC6, ST36
• Parasitosis: Baichongwo
(1) SP & ST DEFICIENCY: RN13, SP4 (2) LV & ST DISHARMONY: RN17, LV3
4. INFANTILE PARALYSIS • Upper limb: LllS, Llll, Ll4, SJS, DU14, UBlO
7. PROLONGED LABOUR: SP6, UB67
• Lower limb: ST31, ST36, ST41, GB30, GB34, SP6, UB60, Huatuojiaji (L1 - LS)
(1) Ql & BLOOD DEFICIENCY: ST36 (2) Ql & BLOOD STAGNATION: Ll4
• Abdominal muscles: ST21, ST25, GB26, RN4 • Contracted knee: ST33 • Reverse flexion of knee: UB36, UB40, UB57
00
MALPOSITION OF FETUS: moxa at UB67
• Inversion of foot: GB31, UB62, GB40 • Eversion of foot: KD6, KD3
8. INSUFFICIENT LACTATION: ST18, RN17, Sl1 (1) Ql & BLOOD DEFICIENCY: UB20, ST36, SP6
• Difficult intorsion and extorsion of hand: SJ4, LIS, 513, SJ9, HT3 • Drop of wrist: SJ9, SJS
(2) LV Ql STAGNATION: LV14, PC6, LV3 5. MUMPS: ST6, SJ17, SJ5, Llll, Ll4
00
TO INHIBIT LACTATION: GB41, GB37
• Chills and fever: LU7 • High fever: DU14, 12 jing-well points on both hands
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9. PROLAPSE OF UTERUS (1) Ql DEFICIENCY: DU20, RN6, RN12, ST36, ST29 (2) KD DEFICIENCY: RN4, Zigong, LVS, KD6
• Swelling and pain of testis: LV3, LVS •
MOXA: with Medulla Junci (Deng Xin Cao) at SJ20
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Ill. EXTERNAL DISEASES ?1-'f.'+
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• Neck: UBlO, 513 1. URTICARIA: Ll11, Ll4, UB40, SP10, SP6
• Shoulder joint: GB21, LllS
(1) WIND-HEAT: DU14
• Elbow joint: Llll, Ll4
(2) WIND-DAMP: SP9
• Wrist joint: SJ4, Ll4
(3) HEAT ACCUMULATION IN THE ST & INTESTINES: ST25, ST36
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7. SPRAIN AND CONTUSION: ASHI POINTS
• Hip joint: GB30, GB34 • Knee joint: ST35, ST44
2. ERYSIPELAS: Ll11, Ll4, PC3, UB40, SP10, Ashi points
• Ankle joint: ST41, GB40, UB60
• Wind-heat: GB20 • Damp-heat: ST36, SP9
~ TORTICOLLIS
• Fever: DU14
• The reducing method and moxa are applied to DU14, UB10, Sl14, GB39, Sl3
• Pathogenic toxin attacking the interior: 12 jing-well points on hands, PC8
• Inability of flexion and extension: UB60, LU7
• Constipation: SJ6
• Difficulty in rotating the neck: Sl7 • Cupping may be applied after needling.
~ HERPES ZOSTER
• Prick the skin around herpes zoster with a three-edged needle to cause a little bleeding • Five pricks at 0.5 cun from the head of the herpes zoster area • And then five pricks at 0.5 cun from the tail, and also several pricks along both sides • Then select Ll11, SP10, UB40, GB34, LV3 3. BOIL AND RED-THREAD BOIL: DU10, DU12, PC4, Ll4, UB40 • Face: Lll, Llll • Tip of fingers: Llll, Ll20 • Temporal region: GB34, GB44 • 4th or 5th toe: GB34, GB2 4. BREAST ABSCESS: GB21, RN17, ST18, Sl1, ST36, LV3 • Chills and fever: Ll4, SJS • Distension and pain in the breast: GB41 5. INTESTINAL ABSCESS: STZS, Llll, Lanwei, ST37 • Fever: DU14, Ll4 • Vomiting: PC6, RN12 6. GOITER: SJ13, Ll17, Sl17, RNZZ, Ll4, ST36 • LV Qi stagnation: RN17, LV3 with even movement • Palpitation: PC6, HT7 with reinforcing method • Exophthalmos: SJ23, UB2, UBl, GB20 with even movement • Hot temper, anxiety and sweating: SP6, KD7 with even movement
• Luozen is used alone for stiff neck.
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N. DISEASES OF EYES, EARS, NOSE AND THROAT
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1. DEAFNESS AND TINNITUS: SJ17, GB2, SJ3, GB43 (1) LV & GB FIRE: LV2, GB41 (2) WIND INVASION: SJS, Ll4 (3) KD DEFICIENCY: UB23, DU4, KD3 2. CONGESTION, SWELLING AND PAIN OF THE EYE: UBl, GB20, Taiyang, Ll4, LV2 • Wind-heat: SJS • LV fire: LV3 3. THICK AND STICKY NASAL DISCHARGE: LU7, Ll4, Ll20, Bitong, Yintang 4. EPISTAXIS: Ll20, Ll4, DU23 (1) LU HEAT: Llll (2) ST HEAT: ST44 (3) YIN DEFICIENCY WITH FIRE: KDG 5. TOOTHACHE: ST6, ST7 (1) ST FIRE: Ll4, ST44 (2) WIND-FIRE: SJ2, GB20, Ll4, SJS (3) KD YIN DEFICIENCY: KD3 6. SORE THROAT (1) EXCESS HEAT: lUll, Ll4, ST44, 5117 (2) YIN DEFICIENCY: Two prescriptions may be used alternatively
@ KD3, LUlO, RN23 @ KDG, LU7, Ll18 7. OPTIC ATROPHY: GB20, UBl, Qiuhou, GB37 (1) LV AND KD DEFICIENCY: LV3, KD3, UB18, UB23 (2) Ql AND BLOOD DEFICIENCY: ST36, SPG
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(3) LV Ql STAGNATION: LV14, LV3, GB34
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POINT SELECTION
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31:
ELEMENT
-
1 2 3
PAGE
LV PATTERNS
263
GB PATTERNS
264
HT PATTERNS
265
Sl PATTERNS
266
SP PATTERNS
267
ST PATTERNS
268
LU PATTERNS
269
Ll PATTERNS
270
KD PATTERNS
271
UB PATTERNS
272
FIRE
5 EARTH
6
-
PATTERNS
FCM
WOOD
4
-
FROM
7 METAL
8 9 -
WATER
10 11
COMBINED PATTERNS
273
~
LIVER PATTERN IDENTIFICATION ~ EXCESS
DEFICIENCY
DEF + EXCESS
BLOOD
YANG RISING
WIND Ql STAGNATION
FIRE
BLOOD STASIS
DAMP-HEAT HEAT
COLD
BLOOD
YANG
LV3 LV14
GB20 DU 16
GB34
DU20 LV8
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LV13
UB18
LV2
LV2
LV14
UB17
GB20
Shixuan
SJ6
SPlO
Taiyang
PC6
RN6
GB13
UB18 SP6
513
KD3 UB17
m
UB20 UB23 Ll4
RN3
UB18
LV3
GB24
LVS
UB20
SJS
GB34
LVl
UB23
SP6
UB18
UB17
KD3
UB19
LV8
LV8
DU9
SP6
GB43
RN12
ST36
GB38
SP9
RN4
UB2
SP6
Ta iyang
SP3
GB20
Llll
GB9
LV2
GB8 GB6
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•Xiao Yao San •Ban Xia Hou Po Tang
•Si Wu Tang + Tao •Long Dan Xie Gan •Huang Lian Jie Du T. + Ren, Hong Hua Tang Gou Teng,
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•Tian Ma Gou Teng Yin
•Si Wu Tang
Sudden unconscious
Shaking of
Fever, fulln ess chest Hypogastric pain
Blurred vision,
Headache,
head,
and hypochondrium, referring to
scanty periods,
irritability, wiry
-ness,
tremors,
nausea, sticky
scrotum,
dull-pale
pulse
convulsions,
pale tongue
yellow coating,
wiry-deep-slow
complexion, pale
sl ippery pulse
pulse
tongue
+ Tian Ma,
• Long Dan Xie Gan Ta ng
Gou Teng
•Sing Herb: Xiao • Si Wu Tang Hui Xiang, Wu Zhu • Suan Zao Ren T. Yu
• Tian Ma Gou Teng Yin
Ju Hua Hypochondriac and
Dark and clotted
Irritability, red
chest distension,
menstrual blood, purple tongue
face, red eyes, red temperature, convulsions, tongue with
depression, moodiness, wiry pulse
yellow coating
High
stiff tongue
deviation of eye/ mouth
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~ GALL BLADDER PATTERN IDENTIFICATION ~
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DEFICJINCV ·····
DAMP-HEAT
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UB19
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•Long Dan Xie Gan Tang
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Hypochondriac pain, bitter taste and thick-sticky yellow coating on the right side
Timidity, sighing, lack of courage
~HEART
PATTERN IDENTIFICATION ~
DEFICIENCY
Ql
EXCESS
YANG
BLOOD
YIN
FIRE
PHLEGM-FIRE
PC6
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HT7 RN14 RN15 RN4 UB17 UB20
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YANG COLLAPSE
HT6 SP6 KD7 KD6
HT7 HT8 SP6 RN15 KD6
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RN4 RN8 DU4 ST36 UB23 DU20 DU14
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•Si Jun Zi Tang + Wu Wei Zi, Huang Qi •Gan Mai Da Zao Tang (Zang Zao)
•Si Jun Zi Tang + Fu Zi, Gui Zhi
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512
GB34
SIS
LV3
HTS
SP6
z
LV13
c
ST27
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ST29
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~ COMBINED PATTERN IDENTIFICATION ~ LIVER LV •
SP
LV •
ST
SPLEEN LV FIRE •
LU
SP+LU Ql XU
SP+LV BLOOD
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LV3 RN6 RN12 SP6
RN13 RNlO UB21
SP DAMP
xu
+ LV Ql YU
KD+LV YIN XU
UB20
RN4 KD6
ST36 UB21
RN22 PC6
LU9 UB13
LV8 UB18
RN12 LV13 LV14 GB24
LU7 Llll
DU12
UB17
GB34
LV2 RN17
LV8
LU7
HT7 HT6
UB23 UB20 UB17 UB18 UBlO DU20
UB43 LU9
Yintang
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RN6 ST37 ST25 UB25
•Long Dan Xie Gan Tang
•Si Jun Zi Tang •Si Wu Tang + Huang Qi, Wu Wei Zi
•Xiao Yao San
•Liu Wei Di Huang Wan
•Liu Wei Di •Tian Wang Bu Huang Wan + Xin Dan Mai Men Dong, Wu Wei Zi
•Si Shen Wan (diarrhea)
Alternation of constipation and diarrhea, abdominal distension and pain
Irrita bi Iity, hypochondriac pain, and rebellious ST Qi symptoms
Breathlessness, asthma, hypochondriac fullness, headache, wiry pulse
No appetite, tiredness and breathlessness
Stuffy/fullness of epigastrium, hypochondriac pain and a thick-stickyyellow tongue coating
Dry eyes, dry throat, night sweating, scanty menses, red-peeled tongue
Dry cough, feeling of heat in the evening, night sweating, red-peeled tongue
Chronic diarrhea, chil liness, fee ling of cold in the back, deep-weak-slow pulse
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in
SPASM OF THE DIAPHRAGM (HICCUP)
RN22, UB17, PCG
RN12, RN17, 5T36, RN14, LV2, 5T44, RN4, RNG, 5T25
:a
CEREBROVASCULAR ACCIDENT (STROKE}
••
PC7, LV2, 5T25, 5T37, RN17, UB23, DU4, LV3, GB34, RN22, 5T40
SEIZURES (EPILEPSY)
DU16, GB20, DU26, DU14, Yaoqi
UB62, KDG, PCG or PCS, HT7 or HTS, Ll4, LV3, 5P6, GB34, RN14, RN12, 5T40, DU24
HEADACHE
GB20, Taiyang, DU20, LV3, GB8, 5J3
Ll4, LU7, 5JS, DU16, LV2, GB40, KD3, 513, GB41, UBGS, UB2, GB14, 5T8, RN12, 5T40, RNG, RN4, UBlO
NEURASTHENIA
PCG, HT7, Yintang, Anmian, 5T36, KD3
GB20, DU20, 5J23, RN12, UB20, UB18, 5P6, UBlS, UB23, DU4, RN4, RNG, LV2, PC4
HYSTERIA
PCG, HT7, DU26, 513
Ll4, LV3, LUll, LVl, KDl, 5P6, Llll, GB34, GB30, Yi long, 5J21, 5J17, KD4, RN22, UBl, 5J23, DU20, KDG
PSYCHOSIS (SCHIZOPHRENIA}
• •
5119, 5J17, UBl, Anmian, UB39, UB18, Ll4, Hubian, GB34, LVS, LV3, LU l l , PC8, KD4, HT7
INDIGESTION
5T36, 5T25, RN12, Sifeng
PCG, Ll4, LV3, SP9, SPG, Llll, GB34, RN4, RNG, UB20, UB23, LUll, LUS, UB40
ENURESIS
RN4, 5P6
DU20, RNG, RN3, 5P9, UB23, UB20, 5T36, LU7
c;·
'II
a3 (I)
(j)
CLOSED acute type: DU26, KDl, PC8, GB20, PCG, Ll4, 12 well ABANDONED acute type: Points above + RN4, RNG, 5T36
::z:
MADNESS: Dingshen, DU14, GB20, RN15-7RN13, PCS-7 5J6, 5T40 INSANITY: DUlS, RNll, PCG, HTS, SPG, DU20-7Sishenchong, Yintang
SURGICAL AND DERMATOLOGICAL DISEASES SUPPLEMENTARY POINTS
PRINCIPAL POINTS ERYSIPELAS
DU14, Llll, 5T43, UB40
Taiyang, PCG, ST36
FURUNCLE (BOIL}
DU12, DUlO, L14, UB40 (bleeding)
•• ••
ACUTE MASTITIS
RN17, 511, ST18
PCG, 5J10
TETANUS
GB20, DU26, LV3
Ll4, 513, ST7
Loca I point s Acute lymphangitis: let blood & incise the head of furuncle High fever: Llll, DU14 Disorientation, delirium: DU26, 5hixuan, 518, PC4
ACUTE APPENDICITIS
Lanweixue, ST37, 5T36
Ll4, PCG, Llll, ST25
ACUTE INTESTINAL OBSTRUCTION
ST37, 5T39, RN4, 5T25
UB25, PCG, 5T36
ACUTE PERFORATION OF GASTRIC AND DUODENAL ULCER
RN13, RN12, 5T21, 5T25, PCG, 5T36, Ashi point
ACUTE DISEASE OF THE BILIARY TRACT (Cholecystitis, Gall Stones, Round Worm)
1ST GROUP
Danangxue, PCG
GB34, ST36, GB24 on the right side, and Jiaji (T8-T9)
2ND GROUP
Ll20, ST2
ST36, Llll, DU26
HEMORRHOIDS
UB30, DUl, UB57
PROLAPSED RECTUM
DUl, UB57
UB30, DU20
n c ~ c z n -t c ::a m
.,
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;·
BUERGER'S DISEASE
••
URINARY TRACT INFECTION
UB23, UB28, RN3, SP6
UB32, LV8
RENAL COLIC
UB23, SP6
UBS2 KD3
Upper limb: Llll-7 HT3, SJS-7PC6, Jiaji (C6-T3) Lower lim b: GB34-7SP9, GB39-7SP6, Jiaji {Ll-L3), Xiajiaoshu
Shangbaxie, Shangbafeng
PROSTATITIS
UB23, UB28, RN4, SP6
SPERMATORRHEA
RN4, SP6
PCS, UB23
IMPOTENCE
RN4, SP6, LVS
HT7, DU4
URINARY RETENTION, INCONTINENCE
UB32, UB39, RN3
ACUTE SPRAIN OF LOWER BACK
DU26, UB40, KD2
or SP6, UB23, UB33
CHRONIC LOW BACK PAIN
Ashi, UB40, UB60
UB22, UB23, Yaoyan
DISEASES AFFECTING THE SOFT TISSUES OF THE SHOULDER
LllS, Sill, SJ14, Jianneiling, Ll16
Llll, L14, LUS, LU9, SJ9, SJ4
TENDINITIS OF THE ELBOW
As hi
Ll4, LllO
STENOSING-TENOSYNOVITIS OF THE RADIAL STYLOID PROCESS
As hi
LUS, LU7, Ll4
TENOSYNOVITIS OF THE FLEXOR DIGITORUM MUSCLE
As hi
TENOSYNOVIAL CYST
Locality of the cyst
INJURIES TO THE SOFT TISSUES OF THE KNEE
Xiyan {both medial and lateral), UB40, Ashi
INJURIES TO THE SOFT TISSUES OF THE ANKLE
Points of tenderness
GB39, SP6
STIFF NECK
Luozhen, Ashi
Sl3, GB39
CARPAL TUNNEL SYNDROME
PC7, Shangbaxie
PC6, SJS
PAIN AT THE SOLE OF THE FOOT
Ashi
UBS7, KD3, UB60
ECZEMA
DU14, Llll, SP6, HT7
SPl O, ST36
URTICARIA
Llll, SPlO, SP6, ST36
DU14, SP9
NEURODERMATITIS {CHRONIC LICHEN SIMPLEX)
Llll, SPlO
Ll4, SP6, Ashi
FROSTBITE
Perimeter of the frostbite with shallow pricking insertion -7 Moxa
•
LEPROSY
SP4, KDl, KD2, ST36, ST21
LUlO, Llll, Ll lO, 518, UB57, ST40, GB34, SP9
Large surface of body: DU14, DU26, KDl. Treat once daily
n
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i
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OBSTETRIC AND GYNECOLOGICAL DISEASES
i n
PRINCIPAL POINTS
SUPPLEMENTARY POINTS
IRREGULAR MENSTRUATION
RN4, 5P6
5Pl0, LV2, 5T36, 5P4, LV3, DU4, PC6
AMENORRHEA
UB23, RN7, 5P6
UB17, 5P10, 5T30, 5P8, LV8
DYSMENORRHEA
RN4, 5P6
5T29, RN7, 5T36, UB23, RN6
en
ABNORMAL UTERINE BLEEDING
RN7, 5P6, UB20, UB18, 5P1
DU4, RN4, 5P10, LV1, DU20
::1:
PROLAPSE OF UTERUS
DU20, 5T30, GB28, 5P6
RN6, 5P9, LV3, LV8
LEUKORRHEA
GB26, 5P6, RN6
LV2, 5P9, RN4, 5T36
MORNING SICKNESS
RN12, PC6, 5P4
LV3, 5T44, 5T40
MALPOSITION OF FETUS
UB67
INDUCTION OF LABOR
UB31, UB32, Ll4, 5P6
INSUFFICIENT LACTATION
RN17, 5T18, 511
UB18, UB20, 5T36
1ST GROUP
L14, SP6
DU1, 5P9
2ND GROUP
Ll4, SP6
UB67
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ARTIFICIAL ABORTION
DISEASES OF THE EYES EARS NOSE AND THROAT PRINCIPAL POINTS
'
'
SUPPLEMENTARY POINTS
MYOPIA
GB20, Ll4, UB1, 5Tl
COLOR BLINDNESS
GB20, Ll3, UB2, Waiming
GLAUCOMA
GB20, UB2, GB1, Ll4, LV3, KD3, 5P6, UB18
UB63, UB62, LV2, ST36
CONJUNCTIVITIS
GB20, Taiyang, Ll4
UB1, GB8
ELECTRIC OPTHALMIA
Ll4, GB20, Taiyang
UB1, UB2, ST2, GB37
OPTIC NEURITIS OR ATROPHY
GB20, Qiuhou, UB1, Ll4
5Tl, UB18, UB23, ST36, GB37
STRABISMUS
••
AURAL VERTIGO (MENIERE'S DISEASE)
GB20, LV3, 5J17, 5119, PC6
DEAF-MUTISM
5J21, 5119, GB2, 5J17, DU15, RN23
Ll4, 5J3, 5JS
TINNITUS, DEAFNESS
5J17, GB20, 5J3
LV2, 5T40, KD3, UB23
RHINITIS
Yintang, Ll4, Ll20, Bitong
Internal: GB20, Ll4, Qiuhou External: GB20, Ll4, Jianming 5T36, RN12, KD3, Anmian
CHRONIC SINUSITIS
Ll20, UB2, UB7
ACUTE TONSILLITIS
5117, LUll,
Ll4, Llll
TOOTHACHE
L14, ST6, 5T7
5T44, KD3
GB30, Ll4, LV2, LU7
.,~cc z n
.... c ::a
m
POINT SELECTION FROM ACUPUNCTURE CASE HISTORIES FROM CHINA
CHAPTER 1 : GENERAL INTERNAL MEDICINE PAGE
DISORDER
POINT SELECTION
CHINESE
21 24 26 29
Asthmatic Condition (Bronchial Asthma)
Xiao Zheng
32
Collapse from Roundworm (Biliary Ascariasis)
Hui Jue
35
Constipation
Sian Bi iJ!Iti\
37
Coughing of Blood (Pulmonary Tuberculosis)
Ka Xue "!'.llll
39
Dizziness from Ascendant LV Yang (Hypertension)
Xuan Yun
41
Dysentery-Like Disorder (Bacillary Dysentery)
Li Ji
43
Epigastric Pain and Distention (Gastroptosis)
Wei Zhang Tong 111111110;
CV12-7CV10 ; ST21-7ST23 ; CV6-7CV4 ; ST36
45
Fever
Nei Shang Fa Re ~!IR~
CV12, CV6, ST36, UB20, UB21, Llll, GV20
48
Abdominal Distention from Stagnant LV Qi
Gu Zhang
Waft
CV17, CV12, LV13, PC6, ST36, SP6, LV3, SP4
Abdominal Dist ention from Stagnant LV Qi
Gu Zhang
Waft
ST36, SP6, LV4, CV9, CV6, CV3, UB18, UB20, UB23, UB28
Abdominal Distention from Damp-Heat (Paralytic ileus)
Gu Zhang
Waft
ST25, ST37, PC6, ST36
from Internal Disharmonies (Fever of Unknown Origin)
Goiter (Hyperthyroidism)
IIJI]O
!.!!~
••
Moxa: at UB13, UB43, CV12, ST36 Acupuncture: at CV22, CV17, LU7, ST40
GB34, CV12, UB19, GB24, ST36 UB20, UB21, ST36, TB6, ST37
tt•
•• ••
Drain LUS, LUlO, LU6, Llll, UB17 Tonify SP6 Principal: LV3, KD3, PC7, LV8 Supplemental: Llll, ST40
Llll, ST25, ST37, Ll4
jji]~
Ying Bing Jlli!i
1. KD3, PCS, STlO, UBlO, UB2
2. KD7, ST36, CV22, PC6, GBl
3. KD6, SP6, Ll4, Llll, STlO
4. KD3, LV3, ST40, STlO, UBlO
5. KD7, ST36, PCS, CV22
6. KD6, PC6, LV3, STlO, UBlO
7. KD3,
.,
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(I)
CD
i n
c;·
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a
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(")
:z:
..........
SP6, Ll4, ST40, CV22
51
Heart Pain (coronary Artery Disease)
Xin Tong -L.-10;
53
Hiccough
E Ni
55
Impotence (Male Infertility)
Yang Wei IIIJJ
CV4, SP6
58
Impotence
Yang Wei !!Ill
60
••
Inhibited Orgasm
Yang Qiang
62
Insomnia
Bu Mei 'fill
65
Pain in the Ribs (Gallstone)
Xie Tong
67
Painful Obstruction of the Chest (Angina Pectoris)
Xiong Bi .!G;Jjjlf
UBlS, UB14(-), PC6, HTS, ST40(-), ST36{+), CV17
,.
70
Painful Urinary Dysfunction (Renal Calculus)
Lin Zheng ;!;11]0
UB23, UB28, UB20, CV4, CV3, SP6, KD8, SPlS
c
72
Palpitations (Paroxysmal Supraventricular Tachycardia)
Xin Ji {.·tt
PC6, HT7, SP6
c
75
Palpitations (Ventricular Septal Defect)
Xin Ji •i:.'tt
PC6, HT7, CV17, ST36, CV6, SP6, KD6, UB14, UBlS, UB17
78
Pulseless Syndrome (Takayasu's Syndrome)
Wu Mai Zheng l!!\Jiii]O
HT3, HTS, HT7, PC3, PC6, PC7
PC6, SP4, UBlS, CV14, ST36, SP6 LV3, UB18, UB17, CV22, CV17, CV12, PC6
P]il~
!Ill~
1!1J10i
Principal: CV6, CV4, UB23, GV4, SP6, ST29, UB32, LV3 Supplemental: UBlS, UB18, UB19, ST36, KD3
CV2, LVll, LVl HT7, KD3, UB14, UBlS, UB23, Anmian Ear Seed: GB, Pancreas, LV, Sympathetic, SP, ST, TB and Shenmen
(")
., z
(")
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N
=
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.. ..
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N
tn ID
CHAPTER 5
~
DISORDERS OF THE SKIN
iD n
PAGE
:I
233
Damp Tinea - Like Rash (Eczema)
Shi Xuan i!l.lil
L111, TBS, SP10, ST37, SP9
236
Numbness of the Skin (lateral Femoral Cutaneous Neuritis)
Pi Fu Ma Mu JlZ. IiiM*
local points, 1 needle in the center, 4 needles around it
n
238
Purple Patches (Thrombocytopenic Purpura)
Zi Ban ~ill
SP10, SP6, GV14
c
240
Skin Rash
Pi Zhen ll1.1fi
Drain UB13, PC7 ; Even UB17 ; Tonify SP6 ; Plum-blossom directly on the rashes
242
Snake-Creeping Red Papules (Herpes Zoster)
She Dan tt:l'l-
GB20, UB40, PC7, Lll1, Local needling at the affected site
244
White Thorns (Acne Vulgaris)
Fen Ci
c;·
., 0
3 Jlo n :z:
CHINESE
DISORDER
POINT SELECTION
CHAPTER 6
WOMEN"S DISORDERS
CHINESE
POINT SELECTION
PAGE 249
Abdominal Mass (Inflammation of the Adnexa Uteri)
Zheng Jia lilifl
252
Abnormal Menstruation
Vue Jing Shi Tiao JH'I'1c!Jil
25S
Breast Abscess (Acute Mastitis)
Ru Yang
257
Breast Masses (Fibrocystic Breast Disease)
Ru Pi
260
Eye Pain During Menstruation (Periodic Keratitis)
Xing Jing Mu Tong li'*'l' § II
UB18, UB23, LV8, SP6, KD2, LV2, Local points include UB1, UB2, Taiyang
262
Infertility (Tubal Occlusion)
Bu Yun Zheng 'l'!1>llE
CV4, ST28, ST29, ST36, SP6, LV3
265
Itching of the Vulva (Senile Vaginitis)
Yin Yang
267
Menopausal Syndrome
Geng Nian Qi Zong He Zheng i!! 'f-liJll*il-llE
270
Painful Menstruation
Tong jing liU'I'
LV14, LV3, CV6, SP6
272
Vaginal Bleeding
Beng Lou AI!""
GV20, CV4, SP10, ST36, SP6
274
Vaginal Discharge
Bai Dai
276
Vomiting During Pregnancy
Ren Shen Ou Tu llffli>'Vl'i
LV11, LV8, CV1, SP10
~ If
••
Group 1: KD6, KD3, SP4, SP10, PC6 Group 2: KD7, SP6, CV4, PC7, LV3
CV4, SP9, SP6, UB31, GB26
1'3'*
CHINESE
DISORDER
Even CV17, PC6, GB34, LV3, SP6 ; Tonify CV4, ST36 GB21, ST36, PC6, GV14, Bloodletting on the back CV17, 511, GB21, Ll4, LV3, LV8, ST36
CHAPTER 7 PAGE
CV4, CV3, ST28, ST29, SP8, SP13, SP6, ST36
~ff
•H~ ~ibllE
ST36, PC6, SP4
CHILDREN"S DISORDERS POINT SELECTION GV20, Sishencong, PC6, HT7, LV8, LV3, SP6
Childhood Hyperactivity
Xiao Er Duo Dong Zheng
284
Enuresis
Yi Niao ill*
GV20, UB13, UB20, ST36, SP6, CV6, CV4 ; moxa CV6, CV4
287
Excessive Childhood Salivation
Xiao Er Liu Xian •HVltJ!:
ST36, CV12, CV6, ST4, CV24, CV23
281
-t
::a
DISORDER
~~~
"a
c z
SP10, Ll1, UB17, SP6, Ll4, GV14,
ffl~IJ
c
m
.
CHAPTER 3 · PAIN DISORDER
PAGE
CHINESE Arthritis)
POINT SELECTION
155
Crane's Knee Wind (Rheumatoid
157
Facial Pain (Trigeminal Neuralgia)
Tau Tong Blllili
••
160
Headache from Phlegm-Dampness
Tau Tong Blilili
GV20, Taiyang, GB20, PC6, 5P4, 5P9, ST40, Llll, ST44, ST36
162
Headache from Stagnation of Qi and Blood
Tau Tong nlilili
Yintang, GB8, GB20, Ll4, TB8, ST37, Taiyang
164
Lower back pain from invasion of Damp-Cold
Yao Tong !l!lili
UB23, UB25, UB40, Jiaji (T7,9,11)
166
Lower back pain from Trauma (Acute lumbar Sprain)
Yao Tong !l!lili
UB23, UB25, UB26, Yaoyi, UB40
168
Lower back pain from Trauma (Acute lumbar Sprain)
Yao Tong !l!lili
171
Painful Obstruction (Ankylosing Spondylitis)
Bi Zheng
INIIE
GV14, UB17, UB20, UB23, CV6, 5T36, 5P6
174
Painful Obstruction (Cervical Disc Degeneration)
Bi Zheng
INIIE
GV14 Jiaji (CS-C6}, UBlO, 5114, UB14, GB21, Sill, LllS, L14, Llll
176
Painful Obstruction (Cervical Disc Degeneration)
Bi Zheng
INIIE
GV14, UB11, LllS, Llll, Ll4
178
Painful Obstruction {lateral Humeral Epicondylitis)
Bi Zheng
INIIE
Ll11, L14, Points of tenderness
180
Painful Obstruction {Perifocal Inflammation of Shoulder)
Bi Zheng
INIIE
5T38, UB57, Jian Nei Ling, LllO, TBS, LllS, TB14
183
Painful Obstruction (Sciatica)
Bi Zheng
INIIE
Jiaji (L4-LS}, Ashi point on the buttock, GB30, UB57, UB37, UB40, GB34, GB40, UB64
186
Painful Obstruction (Senile Panarthralgia)
Bi Zheng
IN ~
GB20, UBlO, Ll11, TBS, Ll4, 513, GB34, 5T35, Dubi, UB62, ST36
189
Painful Obstruction of Blood (Acromelalgia)
Xue Bi
191
Painful Obstruction of the Bone (Calcaneal spur)
Gu Bi
itJN
Ashi point at the bott om of t he heel ; Right: KD3, UB60,
194
Painful Obstruction of the Bone (Costal Chondritis)
Gu Bi
itJN
CV17, KD22, KD23, 2 points of pain over the 4th and 5th costochondral junctions, LUl, PC6
196
Painful Obstruction of the Sinews
Jin Bi
~JN
Ll4, LIS, TBS, 3 points of pain in the area of swelling
CHAPTER 4 PAGE
He Xi Feng iUUl
UBll, UB17, UB23, GV4, CV6, 5P10, Heding, 5T35, Xiyan, 5T34, GB34, 5P9
JJJJ.JN
UB40, UB59, UB23, UB25, UB65
GV14, Llll, TBS, Ll4
Absence of Facial Sweating (Hemifacial Anhidrosis)
203
UB57, UB23
DISORDERS OF THE EYES, EARS, NOSE AND THROAT
DISORDER
201
Bloodletting: TB18, t he 12 well points, Taiyang Needling: bilateral GV16, GB20, Ll4, LU7 ; right TB17
CHINESE
POINT SELECTION
Ban Mian Wu Han Zheng 'l' ilii1!!LfiiE
Ll4, LU7, KD7, Taiyang
Difficulty in Swallowing
Ye Ge "fill
UB13
205
Discharge of Pus from the Ear
Ting Er IIJ]l:
On left side: GB2, TB17, TB2, GB40, KD3
207
Glaucoma-like Condition
Qing Guang Van ;J!!:i'ti.ll
UB2, Taiyang, GB20, CV12, PC6, 5T36, LV2, KD3
.,
210
loss of Voice
Shi Yin ;I:Jli
LU9, LU7, LUlO, KD6, KD7, KD3, CV22, UB13
Nasal Discharge from Deficient
Bi Yuan • ;~
... en
213
UB13, LU9, Ll20, Ll4
:I
216
Nasal Discharge from heat in the lU (Chronic Maxillary Sinusitis)
Bi Yuan • ;~
Llll, LU7, L14, LUlO, Ll 20, Yintang, 5T44
CD
219
Sparks Before the Eyes
Shen Guang Zi Xian " :i't EI IJ!
LV3, KD3, SP6, 5T36, UBl, Qiuhou, Taiya ng, GB37, GB20, GV20, Ll4
...c;·n
iD
221
Squint (Strabismus)
223
Sudden Visual Failure
Baa Mang • •
GB20, LV2, GB37, L14, Taiyang, UBl
:I
225
Tinnitus and Deafness (Sudden Neural Deafness)
Er M ing ]l: oJ , Er Long ]l: )f
GB2, GB20, GB34, LV3
'II
228
Visual Disturbance (Optic Neuritis)
Shi Li Zhang Ai JJ!:IJ"!t
GB20, Qiuhou, UBl, TB23, UB23, UB18, KD7, SP6, LV8
2.
a 3
~
:z:
lU Qi (Allergic Rhinitis)
{Photopsia)
Xie Shi
~tJ!
Right: GBl, 5T2, Taiyang, TB23, Qiuhou / Bilateral: 5T36, LV3
:1>
n
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n
....
c
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.,
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.
til
CD
CHAPTER 5 · DISORDERS OF THE SKIN
..
PAGE
:I
233
Damp Tinea - like Rash (Eczema)
.,..
236
Numbness of the Skin (lateral Femoral Cutaneous Neuritis)
Pi Fu Ma Mu
238
Purple Patches (Thrombocytopenic Purpura)
Zi Ban :.villi
J>
240
Skin Rash
Pi Zhen
:z:
242
Snake-Creeping Red Papules (Herpes Zoster)
She Dan tt!'l-
244
White Thorns (Acne Vulgaris)
Fen Ci
i
C'l
c;·
a3 n
DISORDER
CHINESE
POINT SELECTION
z
Llll, TBS, SP10, ST37, SP9
Shi Xuan iAC
!ll•a*
Local points, 1 needle in the center, 4 needles around it
Drain UB13, PC7 ; Even UB17 ; Tonify SPG ; Plum-blossom directly on the rashes GB20, UB40, PC7, Llll, Local needling at the affected site SP10, Ll1, UB17, SPG, Ll4, GV14,
ffl~J!
.
CHAPTER 6 · WOMEN'S DISORDERS POINT SELECTION
PAGE
DISORDER
249
Abdominal Mass (Inflammation of the Adnexa Uteri)
Zheng Jia lilifi
252
Abnormal Menstruation
Vue Jing Shi Tiao
255
Breast Abscess (Acute Mastitis)
Ru Yong
257
Breast Masses (Fibrocystic Breast Disease)
Ru Pi
260
Eye Pain During Menstruation (Periodic Keratitis)
Xing Jing Mu Tong ltj!!l Ellii
UB18, UB23, LV8, SPG, KD2, LV2, Local points include UB1, UB2, Taiyang
262
Infertility (Tubal Occlusion)
Bu Yun Zheng '!'';Oll.
CV4, ST28, ST29, ST36, SPG, LV3
265
Itching of the Vulva (Senile Vaginitis)
Yin Yang Mi!t
LVll, LV8, CV1, SP10
267
Menopausal Syndrome
Geng Nian Qi Zong He Zheng :!eif-Jtlll*.g-1]!
••
270
Painful Menstruation
Tong jing fiij!!l
272
Vaginal Bleeding
Beng Lou
274
Vaginal Discharge
Bai Dai 81,11
CV4, SP9, SPG, UB31, GB26
276
Vomiting During Pregnancy
Ren Shen Ou Tu i!IM
cVI m
s:
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z :;; m
!!I
~
0 zVI
s:l>
z
l> ~
m
s:m z-t
AFTER-EFFECT
FAINTING
STUCK NEEDLE
BENT NEEDLE
BROKEN NEEDLE
HEMATOMA
.it(lHl)
;'ft!£Wlll>ll
itit(e!l>l)
tliit(~ el)
JID.I!I(~ ~)
• Nervous tension, delicate constitution, hunger, fatigue, improper position or too forceful manipulation
• Nervousness, strong spasm of the local muscle after the insertion, excessive rotation, changing position
• Unskillful manipulation, hard tissue, a sudden change of posture, improper management of a stuck needle
• Poor quality of the needle, too strong manipulation, strong muscle spasm, sudden movement, withdrawing a stuck needle
• Injury of the blood vessels during insertion, or not pressing the point after withdrawing the needle
• Unskilled manipulation and forceful stimulation
• Dizziness, vertigo, palpitations, short of breath, fidgeting, nausea, pallor, cold sweating, weak pulse • In severe cases, cold limbs, drop of blood pressure and loss of consciousness
• After the needle is inserted, it if found at times difficult or impossible to rotate, lift or thrust
• It is difficult to lift thrust, rotate and withdraw the needle • At the same time the patient feels pain
• The needle body is broken during manipulation and the broken part is below the skin surface
• Local swelling, distension and pain after withd rawal of the needle
• Afte r withd rawal of the needle, there remains an uncomfortable feeling of soreness and pain which may persist for a long period
• Fainting aura ~ withdraw all the needles ~ help the patient to lie down ~ and offer him some warm or sw eet water. • In severe cases, press or needle DU26, PC9, DU25, PC6, ST36 or Moxa DU20, RN6, RN4 • If no response, call 911
• Excessive rotation: Twirl the needle in the opposite direction • Muscle tension: Leave the needle in place for a while I or by massaging the skin near the point I by inserting another needle nearby to transfer the patient's attention. • Changing position: The Original posture should be resumed and then withdraw the needle
• Lifting, thrusting, and rotating shall in no case be applied • Removed slowly and withdrawn by following the course of the bend • From changing posture: move patient to his original position, relax the local muscle and then remove the needle. • Never try to withdraw the needle with force
• Patient shou ld be asked to keep ca lm • Above the skin: Remove it with forceps or fingers • Same level: Press the tissue around the site until the broken end is exposed • Under the skin: Surgery should be resorted to
• Mild hematoma: Will disappear by itself • Severe swelling and pain: Apply local pressing, or light massage, or warming moxa to help disperse the hematoma
• Mild case: Press the local area • Severe case: in addition to pressing, moxa is applied to the local area
©
• Release the t ensions before and during insertion • Don't twirl with too large amplitude or in one direction • Keep the origi nal posture
• Perfect insertion & • Too forceful gentle manipulation manipulation shall in are required no case be applied • A proper and comfortable position • Changing position is not allowed • Don't impact or press the needling area
• Avoid injuring the blood vessels
• Too Forceful manipulation sha ll in no case be applied
~
:::0
m < m
z-t 0 z
Techniques I Caution
'iilll~l.llt~m
ACUPUNCTURE
293
OTHER TYPES OF NEEDLE THREE-EDGED NEEDLE
CUTANEOUS NEEDLE
INTRADERMAL NEEDLE
=tUt! et~el l
Bilit&tilll'i'ell
Hi P>litllll LH eJ l
PLUMBLOSSOM
,
SEVEN-STAR
n
..... c ::1:1
m
THUMBTACK
z
m m
0 ,....
• Developed from Sharp needle of the Nine Needles
•
Plum-blossom i!HBt: 5, long
• Seven-star t!ilit: 7, short
m
• Shaped in a round handle, a triangular head and a sharp tip
•
z
• Indication: blockage of the meridians, blood stasis, excess syndrome and heat syndrome (such as high fever, loss of consciousness, sore throat, local congestion or swelling)
0
• Action:
Ill
1. Move Qi and Blood in meridians
• Action: 1. Move Qi in the meridians 2. Regulates the Zang-Fu functions
0
n
)>
.....
z
s:
)>
z
,
c
2. Dispel blood stasis 3. Eliminate the heat
• Spot pricking &1*'1 : A.k.a. Collateral pricking, UB40: blood stasis lumbago, LUll: sore throat, PC3&UB40: acute vomiting, Taiyang&Erjian: acute conjunctivitis
l: • -t
0 Z
•
::1:1
m
n
)>
c ..... 0
z
Ill
A.k.a. Embedding needle
• Thumbtack type l'l'iJ!t!: 0.3cm • Grain-like type ll
3 Blunt n.
AI eJ
4 Sharp-edged n.
*el
5 Sword-shaped n. ill eJ 6 Round-sharp n.
~cl ei
295
ANCIENT TIMES
SHAPES AND INDICATIONS
PICTURE
Superficial diseases 1.6 inches long with a round head & sharp tip like an arrow Disorders of the muscles or for massage treatment 1.6 inches long with a oval-rounded tip Blood vessels diseases and pressing purpose 3.5 inches long with a round body and sharp tip Abscesses as a scalpel or for blood-letting 1.6 inches long w ith a triangle body, sharp-pyramid tip
Arrowheado-- Round= Pressure Sharp~
Sword Roundsharpc:=--Fine
Pain and drainage of pus 4 inches long, 0.25 inch wide, shaped as a sword Attack of rheumatic arthritis and pain
long
1.6 inches long with a thin round body and large head Cold, heat and painful conditions
larg I
7 Filiform n.
~ei
8 Long n.
~ei
Deep-tissue disorders or bi-syndrome 7 inches long with a round and sharp tip and big body
9 Large n.
Die'
Joint disorders due to water retention 4 inches long with a round tip shaped as a stick
1.6 inches long with a sharp tip and a thin body
FINDING POINT
I
I
I I I
I
I
1
I I I
I
I
7Units
CLINICAL
NEEDLING
PALPATING
IMAGE
I
0 1 2 3 4 5 6
95%
1. SKIN
1. GATE OF POINT
2. OPEN POINT
2. DIRECTION OF POINT
3. CLOSED POINT
3. POINT
4. SIMPLE SUNKEN SITE
4•5. WRONG NEEDLING
5•6. CLOSING SITE OF THE POINT
6. CORRECT NEEDLING
7. DIRECTION OF POINT
5%
8. NEEDLING TARGET
Techniques I Finding Point
296
ACUPUNCTURE
MOXA
• • •
r;: ,,,
~
ARTEMISIA VULGARIS (AI YE)
•
NATURE: bitter, acrid I warm I SP LV KD Pure yang nature having the ability to restore the yang collapse Open the twelve regu lar meridians, travelling through the 3 Foot Yin meridians to regulate Qi and blood, expel cold and dampness, warm the uterus, stop bleeding, warm the SPIST to remove stagnation, regulate menstruation and ease the fetus "When burned, it penetrates all the meridians, eliminating hundreds of diseases."
warm meridians and expel cold • To induce the smooth flow of Qi and • To Yang from collapse To •• To strengthen prevent diseases and keep healthy
FUNCTIONS
I I
SCARRING & NON-SCARRING DIRECT INDIRECT GINGER I GARLIC I SALT I MONKSHOOD MID-WARM
CONES JHH MOXA
CLASSIFICATION
STICKS x1H WARMING NEEDLE i.IIU:tit
GARLIC
• SALT
• • ••• • • • • •
FUZI (MONKSHOOD)
PROCESS & VOLUME
CONTRAINDICATIONS
APPLICATION
SPARROW-PECKING MOXA + NEEDLE
of SPIST such as diarrhea, abdominal pain, painful joints and • Weakness symptoms due to Yang deficiency tuberculosis, the early stage of skin ulcer w ith boils, poisonous insect • Scrofula, bite, etc.
GINGER
INDIRECT MOXIBUSTION
blood
MOXA BURN
Abdominal pain, vomiting and diarrhea, pain around the umbilicus, pain cause by hernia, prolonged dysentery, etc. Restore Yang collapse (e.g. excessive sweating, cold limbs and minute pulse) Fuzi warms Yang, expels cold, for persistent Yin-Cold syndromes (such as impotence and premature ejaculation cause by Mingmen Fire decline) YANG portion (back, upper) -7 Yin portion (front, lower) FACTOR: Condition, constitution, age, site CONES: 3-7 cones I STICK: 10-15 minutes Excess syndrome, and heat syndrome (including high fever caused by common cold or Heat due to Yin deficiency). Although the heat of moxibustion is weak, strong internal impact may be produced Scarring moxa : NOT to the face, head, large blood vessels The abdominal region and lumbo-sacral region of pregnant woman SMALL BLISTER: Heals by themselves LARGE BLISTER: Should be punctured and drained. If pus is formed, the blister should be dressed to prevent further infection
CUPPING TYPE OF JAR
BAMBOO JAR & GLASS CUP ACTIONS
ACTIONS & INDICATIONS INDICATIONS
MANIPULATIONS
• ••
• •• • ••
•
Warming and promoting the free flow of Qi and Blood Dispelling cold dampness Diminishing swellings and pains Bi syndrome due to Wind-damp: low back, shoulders, leg Gastrointestinal disorders: stomachache, vomiting, diarrhea lung disease: such as cough and asthma Cupping with bloodletting: acute sprains with blood stasis
•
.---- ...
. ~ '=".:::.-.-.:~:.
TWO STYLES: FIRE THROWING METHOD & FIRE TWINKLING METHOD TECHNIQUE General: Place for 10 minutes -7 Skin becomes congest ed with violet coloured blood sta sis formation -7 On withdrawing the cup, hold the cup with the right hand, and press the skin around the rim of the cup with the left hand to let air in Cupping + Blood letting: Sterilize the area -7 prick a small vein -7 Cupping
• PATIENT: comfortable position, right cup size and location •• TECHNIQUE: Strong enough burning flame, cup rapidly and deftly • CONTRA-INDICATION PRECAUTIONS
~~
• Skin ulcer, edema, large blood vessels, high fever and convulsion • Abdominal and sacral regions of pregnant women • If the patient is susceptible to spontaneous bleeding or endless bleeding after trauma MANAGEMENT OF CUPPING BRUISE • BRUISE or SMALL BLISTER: will disappear several days later • SEVERE BLISTER: draw out the liquid, apply gentian violet and cover with gauze
Techniques I Moxa and Cupping
ACUPUNCTURE
AURICULAR ACUPUNCTURE
297
SGH & CAM
IMAGE OF AURICULAR ACUPUNCTURE UPPER LIMBS
LOWER LIMBS
SURFACE ANATOMY OF AURICLE
Triangular fossa ....;,~"--t~M Inferior crus of antehelix Darw in's tubercle
Crura of helix_..-:;_ _
Supratragic notch
DISTRIBUTION OF AURICULAR POINTS EAR
BODY
Lobule
Hea d and facial region
Scaph a
Upper limb
Antihelix
Trunk
2 crura
Low er li mb
Cavum and Cymba conchae
Internal organ
Other Types I Auricular Acupuncture
298
ACUPUNCTURE
AURICULAR POINTS
Ear Apex
0
Raise Blood PressureO
Other Types I Auricular Acupuncture
0
Tonsil#l
ACUPUNCTURE
299
AURICULAR POINTS
HELIX AND HELIX-CRUS NAME
"'
LOCATION
INDICATIONS
Spasm of diaphragm, hemorrhage, pruritis, hemorrhagic skin disorders, hematological diseases
DIAPHRAGM
On crus of the helix
BRANCH
On crus of helix, midway between UB and Brain points
Usually used for incontinence
MIDEAR
Center of crus of helix
Not listed
NERVOUS DYSFUNCTION
Superior aspect of crus of helix
Not listed
DISTAL SEGMENT
On helix, almost level with Ll point on the cymba conchae
Dysentery, enteritis, prolapsed anus, f issure of anus, hemorrhoids, constipation
URETHRA
On helix, level with UB point on the cymba conchae
Urinary tract infection, incontinence
ANUS
On helix, midway between Dista l Segment Rectum and Urethra point s
Itching around anus, anal fissure, hemorrhoids, prolapsed anus Sexual dysfunction, inflammation of scrotum or penis, cervicitis, low back pain, sciatica
EXTERNAL GENITALIA On helix, level with inferior crus of antehelix COMMON COLD
On t he margin of helix, slightly anterior to superior margin of superior crus of antehelix
Common Cold (Prick point)
HEMORRHOIDS
On helix bordering lateral margin of triangular fossa
Hemorrhoids, fissure of anus
EAR APEX
Prick point for fever, inflammation, When ea r is bent toward tragus, this point can be found at tip of hypertension, revival from hepatic coma, or fold on su perior aspect of helix for analgesic or sedative effect. Use moxibustion for keratitis
TONSIL #1
On helix, posterior to Ear Apex point
LIVER YANG #1
Superior border of Darwin's tubercle
LIVER YANG #2
Inferior border of Darwin's tu bercle
HELIX #1-6
Six points even ly spaced along helix from inferior margin of Da rwin's tubercle to inferior margin of ear lobe
TONSIL #2
On helix, level w ith the Shoulder point of the scapula
TONSIL #3
On t he 'tai l' of the helix
Tonsil litis, Pharyngitis Ch ronic hepatitis
Tonsillitis, Pharyngitis
~
NAME
INDICATIONS
LOCATION
APPENDIX #1
On scapha, midway between the Toe and Finger points
Appendicitis
FINGERS
On scapha, above Darwin's tubercle
Pain or hindered movement of finger joints
WRIST
On scapha, level with prominence on Darwin's tubercle
Pain or hindered movement of the wrist
ALLERGY
On scapha, medial to Wrist point
Allergic diseases
SHOULDER
On scapha, level with supratragic notch
Pain or hindered movement of shoulder
ELBOW
On scapha, midway between shou lder and wrist points
Pain of elbow joint
APPENDIX #2
On scapha, midway between shoulder and elbow points
Appendicitis
SHOULDER JOINT
On scapha, midway between shoulder and Clavicle points
Pain or hindered movement of shoulder
CLAVICLE
On sca pha, level with Neck point on antehelix
Diseases of clavicle
SHOULDER PAIN
On scapha, superior and medial to Should er Joint point
Shoulder pain
AXILLA
On scapha, above Shou lder pain point
Swelling of subaxillary lymph glands and other diseases of this region
CHEST WALL
On scapha, above Shou lder joint point
Pain of chest and ribs, gallstones
ABDOMINAL WALL
On scapha, above Shou lder point on border of antehelix and scapha
Abdomina l pain, pain in hypochondriac region, renal colic
N EPHRITIS
Lateral an inferior to the Clavicle point, in the lower margin of scapha
Nephritis, pyelonephritis
THYROID #1
On border of scapha, lateral to Neck point on antehelix
Regu lates function of thyroid gland: may also be used in shock to raise blood pressure
APPENDIX #3
On scapha, medial and inferior to Clavicle point
Appendicitis
depression on
Other Types I Auricular Acupunc ture
300
ACUPUNCTURE ANTEHELIX CRUS (SUPERIOR AND INFERIOR) LOCATION
NAME
On the lateral, superior angle to superior crus of Pain or functional antehelix On the medial, superior angle of superior crus of Pain or functional antehelix (below Heel point) On the medial, superior angle of superior crus of Pain or functional antehelix On the superior crus of antehelix, level with superior border of inferior crus of antehelix Pain or functional On the superior crus of antehelix 1/3 the distance from the Ankle to the knee point
TOES ANKLE HEEL KNEE KNEE JOINT
On the superior crus of antehelix 1/3 the distance from the knee to the Ankle point On the superior crus of antehelix, medial and inferior to the knee Joint point On the superior crus of antehelix, medial to the knee point
HIP JOINT GASTROCNEMIUS POPLITEAL FOSSA
0 fi"'lll4lrD1"" ~·'l INDICATIONS
hinderance of the toes hinderance of the ankle hinderance of the heel
hinderance of the knee
Pain or functional hinderance of the hip Pain or functional hinderance along the gastrocnemius muscles Pain or functional hinderance in the popliteal fossa Used for numerous diseases related to disruption in • autonomic (both sympathetic and parasympathetic) nervous system
Strong analgesic and relaxant effect upon internal organs. • (esp. for relieving pain associated with ulcers, stomach
At the intersection of the superior border of the inferior crus of antehelix and the medial border of the helix
SYMPATHETIC
spasm, roundworm in bile duct, gall and urethral stones) • Dilates blood vessels • Useful in treating circulatory and ophthalmological diseases, and excessive sweating. Important point of anesthesia
SCIATIC NERVE (ISCHIUM)
Slightly medial to mid-point on superior margin of inferior crus of antehelix
Sciatica
BUTTOCKS
Slightly lateral to mid-point on superior margin of inferior crus of antehelix
Pain of hip and sacroiliac joints, atrophy of gluteal muscles
HOT LOWER ABDOMEN
On antehelix directly below Popliteal Fossa point
Low-grade fever
On antehelix,
Pain of lower abdomen
lateral and inferior to Knee point
ANTEHELIX
t.t"'rDI~J
LOCATION
NAME····
INDICATIONS
LUMBAR VERTEBRAE
On the prominence of the antehelix, level with Distal Segment of Rectum point
ABDOMEN (A)
On the antehelix, level with the superior border of the inferior crus of antehelix
Pain of mid or lower abdomen
LUMBAGO
Near medial border of antehelix, level with Lumbar Vertebrae point
Acute lower back sprain, chronic low back pain
CHEST (THORAX)
On antehelix, level with supratragic notch
Intercostal neuralgia, soreness of depressed sensation in chest
Lower back pain
ABDOMEN (B)
On antehelix, between Lumbar vertebrae and Chest points
Pain of upper abdomen
MAMMARY GLANDS
Two points on antehelix, both below Chest point, one medial, the other lateral
Acute mastitis, lumps in the breast
NECK
In notch at the intersection of the antehelix and antitragus
Pain or dysfunction of the neck
•
•
Regulates function of thyroid gland May also be used in shock to raise blood pressure (same as Thyroid #1)
THYROID #2
On medial margin of antehelix, medial
SACRAL, LUMBAR, THORACIC AND CERVICAL VERTEBRAE
These vertebral points are found along the curved, medial margin of the antehelix from a point level with the Urethra point (above) to Shoulder Joint point (below). The curved line Each segment corresponds to pain or can be divided into four segments each corresponding to one of dysfunction along that part of the spine the vertebral groupings, from the Sacral (above) to the Cervical (below)
to Neck point
TRAGUS AND ANTITRAGUS ··LOCATION
NAME EXTERNAL EAR HT (A)
In depression slightly anterior to supratragic notch On tragus, posterior and inferior to External Ear point
TRAGUS APEX
The prominence on Superior part of tragus
ADRENAL
At the prominence on inferior part of tragus (if the ear has only one such prominence, the point is on the inferior border)
Other Types I Auricular Acupuncture
Jj:fil-.fifil-rw-DI=J ~
~
INDICATIONS Tinnitus, deafness Tachycardia, arrhythmias, and other heart disorders Inflammation, fever, hypertension, pain (in general), Prick point • Functions to stimulate adrenalin and adrenocortical hormones • Used for inflammation, allergies, shock, rheumatism and serious poisoning symptoms resulting form bacterial infection • Affects the dilation and constriction of blood vessels, hyper and hypotension, capillary hemorrhage • Regulates excitation or inhibition of respiratory function • Used for fever, certain skin diseases, and chronic illnesses
ACUPUNCTURE
EXTERNAL NOSE
At the middle of the anterior aspect of the tragus
Brandy - nose
THIRST
Above External Nose point on tragus
Relieves thirst, diabetes, Polyuria
HUNGER
Below External Nose point on tragus
Relieves hunger, diabetes, compulsive eating
CLEAR NOSE/EYES
On tragus,
Acute and chronic rhinitis, eye inflammation
HYPERTENSION
On upper half of medial aspect of tragus
Hypertension
THROAT
On upper half of medial aspect of tragus
Acute and chronic laryngitis, hoarseness, tonsillitis, edema of the uvula
INNER NOSE
On lower half of medial aspect of tragus
Rhinitis, nosebleed
THYROID #4
On tragus latera l and superior to Throat point
• Regulates function of thyroid gland • May also be used in stock to raise blood pressure (same as Thyroid # 1)
FOREHEAD
On anterior, inferior part of antitragus
Frontal headache, rhinitis
behind Thirst point
301
•
Used for neuropsychiatric disorders and symptoms due to meningeal irritation: convulsions, locked jaw, stiffness along nape of neck, psychosis, etc. • Also useful in preventing motion or sea sickness Used for various skin and eye diseases, inflammation, pain, shock
OCCIPUT
On posterior, superior part of antitragus
TEMPLE
On antitragus, between Forehead and Occiput points
VERTEX
On antitragus, between and below Temple and Headache at the vertex, vertigo Occiput points
STOP WHEEZING
At apex to angle of antitragus (if angle unclear, mid-point on medial border of antitragus
PAROTID GLAND
On antitragus, medial to Stop Wheezing point
BRAIN
On antitragus, between stop Wheezing and Brain Stem points
BRAIN STEM
On the border of the lower segment of the antitragus, near Neck point
VERTIGO
On antitragus, between Brain point and Brain Stem point
Aural vertigo, prevents motion sickness
THROAT & TEETH
On antitragus, superior and posterior to Occiput point
Toothache, swelling of gums, pharyngitis, tonsillitis
VISION #1 VISION #2
Inferior and anterior to the intertragic notch Inferior and posterior to the intertragic notch
•
Headache at the temple, migraine headache, vertigo, lassitude
excitation or inhibition of respiratory center • Regulates, • Used for coughing, panting, and/or itching Parotitis, obstruction of parotid ducts • Relieves itching symptoms of many skin diseases • Regulates excitation or inhibition of the cerebral cortex • Used for disease of nervous, digestive, endocrine, and urogenital • systems; hemorrhage Disorders of the cerebral blood vessels and meninges, (e.g., • apoplexy, hemiplegia, convulsions, stiffness along nape of neck, etc. ) • Also used for sequelae of cerebral shock, incomplete development of the brain
Glaucoma, atrophy of optic nerve, diseases below the eyes Astigmatism and other ophthalmological diseases • Regulates disturbance of endocrine f unction, aids in metabolic function of absorption and excretion • Has antiallergic and antirheumatic function • Used for gynecological and urogenital diseases, for dysfunction of the digestive system, blood and skin diseases, malaria
ENDOCRINE
At the extreme anterior portion in the bottom of the intertragic notch
OVARIES
On anterior, inferior part of the inner wall of the antitragus
SUBCORTEX
On anterior side of the inner wall of the antitragus
•
HORMONE
On medial side in the bottom of the intertragic notch
Inflammation, allergies, shock, rheumatism
TESTICLES
On superior part of inner wall of antitragus
Sexual dysfunction, orchitis, eczema of scrotum
EXCITATION
On inner wall of antitragus below Testicles point
Narcolepsy, depression, emotional withdrawal
NERVE
On inner wall of antitragus, below and posterior to Excitation point
Facia l nerve paralysis, severe muscle weakness, oculomotor nerve para lysis
TOOTHACHE
On inner wall of antitragus, below and posterior to Nerve point
Toothache
At the bottom of inner wall of antitragus
• Regulates function of pituitary • Used for dwarfism, acromegalic gigantism, polyuria • Also used for shock, improper contraction of uterus after childbirth, sexual dysfunction, and disease resulting from disturbances of endocrine function
PITUITARY
Irregular menstruation, painful menstruation, infertility, developmental gynecological disorders Regulates excitation and inhibition of cerebra l cortex Often used for insomnia, lassitude and other neuropsychiatric disorders • Also for inflammation, excessive sw eating, and pain
•
TRIANGULAR FOSSA NAME UTERUS PELVIC CAVITY
LOCATION
Slightly above the parting of the two crura of the antehelix, in the triangu lar fossa In the lateral angle of the triangular fossa near the intersection of the superior and inferior crura of the ante helix
= fll~l"' ?'2!1 0~
INDICATIONS
Obstetrical and gynecological diseases, sexual dysfunction in the male Pelvic cavity inflammation, painful menstruation
Other Types I Auricular Acupuncture
302
ACUPUNCTURE
NEUROGATE (EAR-SHENMEN)
WHEEZING HEPATITIS HIP JOINT ADNEXA CONSTIPATION LOWER BLOOD PRESSURE (NEW) DISTAL SEGMENT RECTUM
• Regulates excitation and inhibition of cerebral cortex • Sedative, analgesic, antiallergy effects • Used for neuropsychiatric disorder (hysteria, psychosis, etc), hypertension, coughing, allergic asthma, itching symptoms, and pain • Important point for anesthesia
In the triangular fossa, medial and superior to the pelvic Cavity point
In the triangular fossa, between the Uterus and Pelvic cavity points In the triangular fossa, between the wheezing and Pelvic cavity points In the triangular fossa, below the Hepatitis point
Anti-allergy, suppresses wheezing, bronchial asthma
In the triangular fossa, lateral and inferior to the Uterus point In the triangular fossa, below the Adnexa point
Inflammation of the adnexa, painful menstruation
Acute and chronic hepatitis Often used for pain of lower limb joints or buttocks
Constipation, bleeding from hemorrhoids
In the superior angle of the triangular fossa where the superior crus meets the helix At the inferior angle of triangular fossa where the inferior crus of the antehelix meets the helix
Hypertension, headache (due to hypertension) Enteritis, constipation, hemorrhoids, prolapsed anus
(NEW) URETHRA
In the triangular fossa, medial to Uterus point and near the border of helix
Frequent and urgent urination, painful urination, incontinence, retention of urine
(NEW) EXTERNAL GENITALIA
In the triangular fossa, anterior and superior to Uterus point
Sexual dysfunction, leukorrhea, excessive menstruation
(NEW) PROXIMAL SEGMENT RECTUM
In the triangular fossa, above the (new) Urethra point
Functional disturbance of the colon
CONCHAE (CAVUM AND CYMBA)
:fl:if!:fi-~IW'JH="J ~
0
INDICATIONS
LOCATION On superior, posterior wall of the opening of the external meatus
Ulcers in the mouth, stiffness in the tempera-mandibular joint
ESOPHAGUS
In the cavum of conchae, below midpoint of the crus of helix
Functional constipation of larynx, difficulty in swallowing due to hysteria, belching
PYLORUS
In the cavum of conchae, below the crus of helix and posterior to the Esophagus point
Pyloric spasm, belching, constriction of diaphragm causing regurgitation
STOMACH
In the cavum of conchae, where the crus of helix 'disappears'
Diseases of ST including indigestion, acute and chronic gastritis, peptic ulcer, distension of ST, belching, insomnia, etc.
PROLAPSE
In the cymba of conchae, above the ST point and posterior to the Duodenum point
Prolapse of the viscera
DUODENUM
In the cymba of conchae, between Prolapse and small intestine points
Duodenal ulcer, pyloric spasm, hypoacidic ST
Sl
In the cymba of conchae, above midpoint of crus of helix
Indigestion, enteritis, distension of intestine by gas heart disease
Ll
In the cymba of conchae, above crus of helix, anterior to 51 point
Enteritis, dysentery, diarrhea, constipation, hemorrhoids, diseases of respiratory system
APPENDIX
In the cymba of conchae, between Ll and
Acute and chronic appendicitis
COLON #1
In the cymba of conchae, between Ll and UB points
COLON #2
In the cymba of conchae, between Appendix and Ureter points
BLOOD BASE
In the cymba of conchae, between the Prostate and Ll points
PROSTATE
In the cymba of conchae, medial to the UB point
Prostatitis, urinary tract infection, blood in the urine, painful urination, spermatorrhea, premature ejaculation
UB
In the cymba of conchae, above the Ll point
Cystitis, frequent and urgent urination, incontinence, retention of urine, enuresis, low back pain, neck pain
KD
In the cymba of conchae, above the 51 point
• Strengthening point, beneficial to the cerebrum, KD, and hematopoietic system • Used for incomplete development of brain, amnesia, neurasthenia, vertigo, headache, lassitude, nerve deafness, tinnitus, advancing deafness, loss of hair, disease of the eyes, gynecological and urogenital system diseases, assists in bone mending, loose teeth, aplastic anemia, leukemia, edema, chronic pharyngitis, electrolyte imbalance, etc.
URETER
In the cymba of conchae, between UB and KD points
KD stones, renal colic
ASCITES
In the cymba of conchae, above the 51 points
Electrolyte imbalance, ascites, cirrhosis of LV intestinal adhesions
PANCREAS
In the cymba of conchae, above Duodenum point
Acute and chronic pancreatitis, diabetes, indigestion, pancreatic diarrhea
RELAX MUSCLES
In the cymba of conchae, posterior to ST point
NAME MOUTH
Other Types I Auricular Acupuncture
51 points
The 3 points treat allergic colitis, ulcer of the colon, intestinal polyps, bleeding in lower digestive tract, diarrhea due to schistosomiasis
•
Used for relaxing muscles, and is important point in anesthesia • Also for hepatitis and cirrhosis of LV
ACUPUNCTURE LEFT HEPATOMEGALY AREA
Above relax muscle point and lateral to Prolapse poi nt (approximately Smm long and 2 mm wide)
Hepatitis, enlargement of LV (hepatomegaly)
LV
In t he cymba of conchae, above Left Hepatomegaly Area
Acute and chronic hepatitis, eye diseases, iron deficient anemia and other blood diseases, arthritic pain, neuralgia, headache, vertigo, ST gas and pain, gas in the Gl tract, hemiplegia, seizures, muscle spasms
PANCREAS/GB
In t he cymba of conchae, between LV and KD point
Indigestion, pancreatitis, diabetes, cholecystitis, GB stones, roundworm in bi le duct, chest and rib pain
303
RIGHT HEPATOMEGALY In t he cymba of conchae, between Relax Muscle and AREA SP points (approximately Smm long and 2 mm wide) Hepatitis, enlargement of LV (hepatomega ly) SCHISTOSOMIASIA LINE A straight line from Relax Muscle point to the Right Hepatomegaly Area in t he cavum of conchae
Cirrhosis of LV due to schistosoiasis, as well as enlargement of SP, diarrhea, indigestion
HEPATITIS AREA
Between ST point and Right Hepatomegaly Area, in the cymba of conchae
Acute and chronic hepatitis
SP
Between Blood pont and Right Hepatomegaly area, in the cavum of conchae
Indigestion, muscle atrophy (in general), blood diseases, abnormal uterine bleeding, prolapsed anus, weakness following a disease, prolapse of viscera, muscle weakness
BLOOD
In the cymba of conchae, level with t he Neck poi nt
Hemorrhagic diseases
HT (B)
In depression at the center of the cavum of conchae
UPPER LU, LOWER LU
Two points, one above and one below the HT point, near t he center of cavum of conchae
LATERAL LU
Posterior to and between the LU points, near the cavum of conchae
BRONCHI
Two poi nts ant erior to and between the LU points, near t he center of cavum of conchae
Acute and chronic bronchitis, asthma
NEW EYE
Between and below the Esophagus and Pylorus point, above t he LU point
Ametropia, disease below the eye
TRACHEA
Between and medial to the two Bronchi points
Diseases of trachea
Below Trachea point, above Bronchiectasis point, in the cavum of conchae Above Hormone point in the cavum of conchae
Hepatitis, trachea l disorders, diseases affecting mesentery or peritoneum; diuretic function
TRIPLE BURNER BRONCHIECTASIS EMPHYSEMA
LU
below the SP point and
Strengthens HT, anti-shock, regulates blood pressure HT diseases, glossitis,
• Various respiratory system and skin diseases, rhinitis, mutism, night sweats, spontaneous sweating • Also used as analgesic points in acupuncture anesthesia
Bronchiectasis
Anterior and inferior to Pituitary point in the cavum of conchae
Emphysema, wheezing
Posterior to the Pituitary point
• Various respiratory system and skin diseases, rhinitis, mutism, night sweats, spontaneous sweating • Also used as analgesic points in acupuncture anesthesia (Same as other LU points)
EAR LOBE NAME
•
for various mental diseases, • Used Buerger 's disease, anemia
lHI!:iOI*J
INDICATIONS
LOCATION
EYE
If the ea rlobe from below the intertragic notch is divided by three para llel, horizontal lines, then sub-divided by two parallel Eye diseases vertica l lines, t he lobe wi ll be comprised of 9 sections (numbered left to right, top to bottom). The eye point is in section 5
TOOTH EXTRACTION ANESTHETIC
Using the system outlined above under Eye point, one Tooth Extraction Anesthetic point is in section 1, and the other Tooth Extraction Anesthetic point in section 4
Toothache, anesthesia for tooth extraction
NEURASTHENIA
Using syst em outlined above under Eye point, this point is between sections 1 and 4
Neurasthenia
TONGUE
Using system outlined above under Eye point, this point is in the center of section 2
Glossitis, nervous aphasia
UPPER AND LOWER PALATE
Using system outlined above under Eye point, the Lower Palate point is in the anterior, superior part of section 2, and the Upper Pa late point in the posterior, inferior part of section 2
MAXILLA AND MANDIBLE
• These points are used for toothache, swelling of gums, stiffness in temporomand ibular joint, ulcers in the Using system outlined above under Eye point, the Mandible mouth, swelling of submaxillary lymph glands poi nt is at the top of section 3, the Maxilla point in the lower • Also anesthesia points for tooth extraction pa rt of section 3
INNER EAR
Using system outlined above under Eye point, this point is in section 6
Aural vertigo, tinnitus, deafness
TONSIL #4
Using system outlined above under Eye point, this point is in section 8
Tonsillitis, pharyngitis
FACE AREA
An elongated region stretching between the Eye and the Inner Ear points on the earlobe
Facial paralysis, spasms of facial muscles, trigeminal neuralgia, parotitis
SPECIAL TUMOR AREA
A line extending from Helix # 4 to Helix #6 on the earlobe
Definite ana lgesic effect for pa in from tumors
Other Types I Auricular Acupuncture
304
ACUPUNCTURE BACK OF EAR
....
LOCATION
~
Jlil''lftoiJH~Hl
.
· ..
'
LOWER BLOOD PRESSURE GROOVE
In trough along the backside of antehelix on the back of ear. This groove is divided into upper, middle and lower segments
UPPER BACK
On back of ear, on lower cartilaginous prominence
LOWER BACK
On back of ear, on upper cartilaginous prominence
MIDDLE BACK
On back of ear, between Upper and Lower Back points
VAGUS ROOT
At midpoint on back of ear where the auricle intersects the mastoid process
SUPERIOR ROOT OF AURICLE
At intersection of superior border of auricle with the skin of face
INFERIOR ROOT OF AURICLE
At intersection of inferior border of superior auricular root
.,.·
INDICATIONS
Hypertension (prick point)
Acute sprain of lower back, back pain: pruritis
SPINAL CORD #1
Posterior border of superior auricular root
SPINAL CORD #2
Superior border of inferior auricular root
YANG LINKING
Lateral and inferior to Vagus Root point, on back of ear
Diseases of internal organs
Hemiplegia, hardening of funiculus lateral is spinalis
Muscle atrophy, paralysis Tinnitus
PRECAUTION OF AURICULAR ACUPUNCTURE 1
• If sudden dizziness, nausea, stuffiness of the chest or other fainting symptoms occur during treatment, the patient should be managed in the same manner as during ordinary body acupuncture • During initial visits, patients should be in a reclining position in order to avoid fainting
2
• STRICT ANTISEPSIS is necessary to avoid infection of the auricle • In case of inflammation or redness of the needle hole or distension and pain of the auricle, timely and appropriate measures should be taken such as applying 2% iodine or oral administration of anti-inflammation drugs Needling is contraindicated if frost-bite or inflammation is present on the auricle in order to avoid diffusion or inflammation
3
4
• Ear acupuncture is not advisable for WOMEN DURING PREGNANCY IF THERE IS A HISTORY OF MISCARRIAGE •• Aged and weak patients with hypertension and arteriosclerosis should have proper rest before and after needling
• While there are extensive indications for ear acupuncture, it still has its limitations • The therapeutic effects for some diseases are not satisfactory, or only symptomatic relief is achieved, therefore, in treating some disorders, it is necessary to combine some other therapies
TERMINOLOGY COMPARISON
SHANGHAI Adrenal Allergy Brain Diaphragm Endocrine Lower Blood Pressure Groove Neurogate Parotid Gland Siactic Nerve Stop Wheezing Sympathetic Uterus Vagus Root Vision #1 Vision #2
Other Types I Auricular Acupuncture
SHANGHAI •'
vs
CAM
CAM
Infratragic Apex Interior Tubercle Middle Border Middle Ear lntertragus Groove of inferior Antihelix crus Ear-shenmen Antitragic Apex Ischium Antitragic Apex End of inferior Antihelix crus Depression in Triangular Fossa Root of Auricular vagus Anterior Tragic Notch Posterior Tragic Notch
...' '·.
ACUPUNCTURE
AURICULAR ACUPUNCTURE PRESCRIPTION
1 2 3 4 5 6 7 8 9
CAM
COMMON DISEASES
EAR POINTS (SHANGHAI TERMINOLOGY)
Headache
Forehead, Occiput, Subcortex, Brain, Neurogate
Migraine Stiff neck
Forehead, Temple, Occiput, Neurogate I Neck, HT, LV, Ear apex, Helix # 6 Forehead, Cervical Vertebrae: (Tender spot)
Acute sprain
Neurogate, Subcortex, sprained area (tender spot) Sciatic nerve
Sciatica Phantom limb pain
Neurogate, Forehead, Subcortex, corresponding areas
Postoperative incision pain Postoperative abdominal distension
Neurogate, Subcortex, Ear apex, LU, Corresponding areas Ll, 51, ST, Sympathetic, SP
Perifocal inflammation of the shoulder
Shoulder, Shoulder joint, Clavicle, Adrenal cavum conchae
10 Acute cholecystitis and gallstones
® ©
11 Ascariasis in the biliary duct
LV, GB, Duodenum, Vagus root
I
LV, SP, Brain, Tender spots in the
Neurogate-7Abdomen, Sympathetic, GB, 0.2mm below GB-7Duodenum GB-7Duodenum
12 Colic pain due t o urethral calculus
KD, Abdomen, Sympathetic, Subcortex
13 Pain caused by cancer or tumor
Subcortex,
14 15 16 17 18 19 20
Transfusion reaction
Neurogate, Adrenal, Subcortex
Acute bacterial dysentery Tertian malaria
Ll, 51, Lower Portion of Rectum Adrenal, Subcortex, Endocrine
HT, Ear apex, Corresponding areas
I
Sympathetic, LV, Neurogate
Epidemic parotitis (mumps)
Parotid gland, Cheek, Subcortex
Bronchial asthma
LU, Trachea, Adrenal, Stop wheezing, Neurogate
Acute bronchitis
LU Trachea, Neurogate, Occiput, Adrenal, Vagus root HT, Sympathetic, Neurogate, Subcortex
Paroxysmal tachycardia
I
Vagus root, KD, SJ, Ll
21 Hypertension
Adrenal, Lower blood pressure groove, Helix, Neurogate Temple, LV, KD
22 Hiccough 23 Vomiting 24 Chronic gastritis
Sensitive spots near Diaphragm or Vagus root
25 Gastric or duodenal ulcer 26 27 28 29 30
Acute diarrhea
I
I
Hysteria
HT, Subcortex, Occiput, Brain Eye, Cheek, LV, Mouth
Sequelae of cerebrovascular
Subcortex, Brain, LV, SJ, Corresponding areas Mouth, Vagu s nerve, Throat
Urticaria Neurodermatit is Herpes zoster Verruca plana Stye
41 Acute conjunctivitis Electric ophthalmalgia and snow
Endocrine, Forehead,
LV, SP, Mouth, Endocrine
ST, Duodenum, Sympathetic, Subcortex, Mouth Diaphragm Ll {3 needles), ST
Facial neuritis
35 Itching of the skin 36 37 38 39 40
ST, Sympathetic, LU
I
SJ, Neurogate, LV, SP,
KD, UB, LV, Subcortex I Endocrine, Brain, Urethra Neurogate, HT, Subcortex, Brain I KD, LV, Endocrine
31 accident 32 Dysmenorrhea 33 Functional bleeding of uterus 34 Insufficient lactation
I
ST, LV, SP, Neurogate
Neurasthesia
Enuresis
I
LV, Endocrine, Neurogate, Corresponding points
SP, Forehead, Neurogate, Adrenal
I
aphasia: HT, SP, dysphagia :
Uterus, Endocrine, Vagus root Uterus, Endocri ne, Neurogate I SP, Subcortex, LV, Diaphragm Chest (Puncture Most sensitive spot) Neurogate, LU, Subcortex, Adrenal, Allergy I LV, SP, HT, Endocrine, Pancreas and GB Allergy, Adrenal, Parotid gland, LV LU, Adrenal, Endocrine, Corresponding points LU, Subcortex, Endocrine, Corresponding areas Neurogate, LU, Subcortex, Ll, Occiput, Endocrine Ear apex
I
Vision #1, Vision #2
Bloodletting on Ear apex or on minor veins of retroauricle Ear apex
I
42 blindness
Eye
43 Congestive glaucoma
Bloodletting on Lower blood pressure groove, Ear apex Vision #2
44 Tinnitus and impaired hearing
Ear, LV, KD Bleeding the veins of retroa u ride Ear apex, or Helix #3,4,6, LU, Throat, Neck, Trachea, HT, Ll, KD Ear apex
45 Acute tonsillitis 46 Hoarseness 47 Toothache
305
I
Eye, Neurogate,
Eye, LV, KD
I
Eye, LV, Vision #1,
Ot her Types I Auricular Acupuncture
306
ACUPUNCTURE
SCALP ACUPUNCTURE
DEFINITION OF LINES OF THE SCALP •
MIDLINE OF THE HEAD: From the glabella to the EOP (occipital protuberance), this is the antero-posterior line
•
e
EYEBROW-OCCIPITAL LINE: Each eyebrow (Yuyao) to the EOP (occipital protuberance) LOWER BORDER OF THE MOTOR LINE: The intersection of E-0 line with the hairline at the temple
•
If the hairline is not present at this lower point, then a line is drawn above the midline of the zygomatic arch
METHOD
• • • • • • • • • •
26-28 gauge 2.5-3 inch needles are recommended Insert almost horizontally to the scalp (not touching the bone) Once the needle is in place the needle should NOT be further raised or thrust It should be rapidly twirled (200 times per minutes is ideal) Wide amplitude should be used (2-3 rotations forward and 2-3 rotations back) until Qi is obtained Leave In place for 5-10 minutes Repeat the proceeding procedure 2 to 3 times Stimulation must be strong and the response somewhat intense to obtain satisfactory result It is best to have the client lie down to avoid fainting The precise location of the area lines bears directly on the result
PRINCIPLES OF SITE LOCATION FOR NEEDLING
Disease affecting ONE LIMB Disease affecting limbs BILATERALLY Disease of internal organs, SYSTEMIC
Other Types I Scalp Acupuncture
Contralateral side of the head is used. Stimulate sites on both sides of the head. In nature as hypertension, arteriosclerosis accompanied by numbness in the limbs, urticaria or illness that are difficult to distinguish one side from the other, should be treated on both sides of the scalp.
ACUPUNCTURE
I
SCALP ACUPUNCTURE LINES
LINES OF MEASUREMENT
--
307
I
MOTOR AREA MEASUREMENTS
Midline of Head Midpoint of eyebrow
,
~
#
*
,_,_.. ..
....... ,
•
''
0.5 em behind midpoint is upper \ point of motor area
\
\
•\
\
I
• Eyebrow-occiput line
Point of intersection between eyebrow -occiput line and hairline at temple
External occipital protuberance
STIMULATION AREAS - SIDE VIEW
Chorea and tremor control area
STIMULATION AREAS - TOP VIEW
Upper point of
Blood vessel movement area
Leg motor and sensory area
Upper point of sensory area
STIMULATION AREAS - BACK VIEW
Leg motor and sensory area
STIMULATION AREAS - FRONT VIEW
Thoracic cavity area
Speech #2 area Reproduction area LV and GB area
Balance area
Other Types I Scalp Acupuncture
308
ACUPUNCTURE
AREA
:
,.
LOWER LIMB AND TRUNK ...
UPPER LIMB
0 T 0 R
~.·:,
FACIAL
A line starting from a point O.Scm posterior to midpoint of midline and stretching diagonally across the head to a point at the intersection of the zygomatic arch (superior margin) with the hairline at the temple
~·~
t"'
>
..
·,, 1£~~~/
..
Upper fifth
Paralysis of lower limb (opposite side)
2nd & 3rd fifths
Paralysis of upper limb (opposite side)
Lower 2 fifth
Upper motor neuron paralysis of face (opposite side), motor aphasia, dribbling saliva, impaired speech
Upper fifth
Low back numbness that area, stiff neck,
2nd & 3rd fifths
Pain, numbness or other paresthesia of upper limb (opposite side)
Lower 2 fifths
Migraine headache, trigeminal neuralgia, toothache (opposite side), arthritis of the temporomandibular joint
I ,,,~
,. "
LOWER LIMB, HEAD AND TRUNK
i;'-~, ...
UPPER LIMB
0
•
~a ·:: ·.
INDICATION
LOCATION
A line parallel and l.Scm posterior to the Motor line
y
FACIAL
~;
,·..
'
"'"
CHOREA & TREMOR CONTROL ... . ?; ,··· ·
BLOOD VESSEL DILATIONS & ·J"l';r'"~ CONSTRICTION
...
Parallel with and l.Scm anterior to
Motor area line
pain (opposite side), or paresthesia in occipital headache, vertigo
Sydenham's chorea, tremors, palsy and related syndromes
Parallel with and l.Scm to Chorea and tremor control area
Superficial edema, hypertension
VERTIGO & HEARING
Horizontal line l.Scm above and centered on the apex of ear, 4cm in length
Tinnitus, vertigo, diminished hearing, Meniere's syndrome
SPEECH #3
Overlaps vertigo and hearing area at midpoint and continues 3cm posteriorly
Receptive aphasia
VOLUNTARY MOVEMENT
With the tuber parietale origin, three needles can be inserted inferiorly, anteriorly and posteriorly to a length of 3cm, between them, the 3 lines will form a 4Qo angle
Apraxia
:~-~~
LEG MOTOR & SENSORY
Parallel with midline of head lcm beside midpoint (bilaterally), about 3cm long
Paralysis, pain, or numbness of lower limb, acute lower back sprain, nocturnal urination, prolapsed uterus
~~
SPEECH #2
Vertical line 2cm beside tuber parietale on back of head, 3cm in length
Nominal aphasia
VISION
lcm lateral to external occipital protuberance, parallel to midline of head, 4cm in length extending upward
Cortical blindness
BALANCE
3cm lateral to external occipital protuberance, parallel to midline of head, 4cm in length, extending downward
Loss of balance due to cerebellar disorders
Midway betwee~ and parallel with Stomach area and midline of head, bilaterally, 2cm in length
Asthma, chest pain, intermittent supra-ventricular tachycardia
ST
Beginning at the hairline directly above pupil of eye, parallel with midline of head, 2cm in length extending posteriorly
Discomfort in upper abdomen
LV & GB
A line 2cm in length extending anteriorly from the Stomach area
Pain in upper right quadrant of the abdomen and/or right rib cage; chronic hepatitis
REPRODUCTION
Parallel and lateral to the Stomach area at a distance equal to that between stomach area and the Thoracic cavity area, 2cm in length
Abnormal uterine bleeding, combined with leg motor area for prolapsed uterus
~
;·.
~'" ;~
.
~·.
.,p, ..,,j
.':.. ·..,
H,.
,.. ·.
:.1 "0 ··~
(.·i . ~~.
'~2,
F \\j THORACIC
CAVITY
,;:,~"
· ·~ ~~', !~f
,,~ I{'
Other Types I Scalp Acupuncture
ACUPUNCTURE
309
ELECTRO ACUPUNCTURE DEFINITION
•
After a needle has been inserted at a point and the Qi sensation obtained, an electric current is passed through the needle both to strengthen and alter the nature of stimulation
ADVANTAGES
•
Time-saving
• • •
The amount of stimulation can be objectively measured and regulated It produces a higher and more continuous level of stimulation It can supplement or, to some degree, substitute for needle puncture
METHODS
• •
Make sure the machine is turned off Conduct wires to the needles
• •
Gradually increase the current so as to monitor the patient's reaction Treatment time: 10-20 minutes, as long as 4-5 hours
SELECTING POINTS
• •
If TWO points complete the circuit: identical to regular acupuncture If Only ONE point is selected: the other electrode can be held in the hand or taped to the site
FREQUENCIES ALTERNATE QUICK AND SLOW
REGULAR FREQUENCIES
• •
• •
Best for treating pain and spasm Drain Excess
Preferable in treating paralysis and numbness Strengthen Deficiency
REMARKS
• •
Guard against fainting Prevent bending or breaking of needles
• •
Adjust the power very slowly When opposing points differ markedly in sensation, check the machine or wires ("~ Points below the elbow and knee or on the face are more sensitive)
OTHER CONSIDERATIONS
•
Some oxidation on the surface of the needle, preventing proper conduction of the electric current • A needle has been used for burning moxa • A gold coloration
•
•
C
Attach the clip to the body of the needle
Don't use SILVER NEEDLES: because they are softer than stainless steel, and they may electrolyze in the body very quickly and may result in a toxic reaction Contra-indicated for patients with a history of heart diseases. It is particularly important in such cases that the electrical path DOES NOT CROSS THE HEART
Other Types I Electro Acupuncture
310
ACUPUNCTURE
FACE AND NOSE ACUPUNCTURE
NCCAOM
NOSE ACUPUNCTURE
FACE ACUPUNCTURE
TopofFace Throat
KD Arm Hand Back Umbilicus Thigh Knee Patella lower leg
LU
Breast HT
LV GB
SP ST Uterus-US 51
Shoulder Medial Thigh
First Line Second line Ear Third Line Chest Breast Neck and Upper Back Lumbar Vertebrae Upper limb Thigh and Hip Knee and Lower Leg Foot and Toes
SP Reproductive Organs KD Genitals
ll
Foot
HAND ACUPUNCTURE
NCCAOM
DORSAL ASPECT
PALMAR ASPECT
Chest Throat - ---ii-+-!-+___.
An
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"m
n
-1
Other Types I Korean Hand Acupunc ture
ACUPUNCTURE
ACUPUNCTURE ANALGESIA BOTH SlOES
DISEASED SIDE
®
@
itMMieJDI~ l LEFT SIDE
SELECTING POINTS
OPERATION PRIMARY
2
RETINA DETACHMENT
3
OPERATIONS OF TRICHIASIS FOR ENTROPION
• • •
4
CORRECTION OF STRABISMUS
•
5
CATARACT COUCHING
1
CRANIAL OPERATION
6
ENUCLEATION OF EYEBALL
7
IRIDECTOMY
8
SHORTENING OF SCLERA
9
REPLANTATION OF PTERYGIUM
313
• • •• • • •
10
EXENTERATION OF ORBIT
11
RESECTION OF TUMOUR IN PAROTID GLANDS
12
OPERATION IN THE SUBMAXILLARY REGION
13
PLASTIC OPERATION OF THE TEMPROMENDIBULAR JOINT
14
RESECTION OF THE MIXED TUMOR OF THE PALATE
15
RADICAL MASTOIDECTOMY
16
OPERATION TO EXPOSE THE TYMPANIC CAVITY
17
TYMPANOTOMY
18
TOTAL LARYNGECTOMY
20
TONSILLECTOMY
21
TOOTH EXTRACTION
22
LATERAL NASAL INCISION
23
RADICAL MAXILLARY SINUSOTOMY
24
RADICAL FRONTAL SINUSOTOMY
25
NASAL POLYPECTOMY
26
RESECTION OF THYROID ADENOMA
27
SEPARATION OF MITRAL VALVE
• • • •
28
RESECTION OF PERICARDIUM
•
•
ST43, GB41, LV3, Sl18 (@ side) Ll4, SJ6 (All @ side) Ll4 (@ side) Ll4, SJ6, GB14-7Yuyao, ST2-75Tl (All @ side + electric stimulation) Ll4, SJS-7PC6 (All @ side) Ll4, SJS, Sl3 (All @ side. If the eyeball is sensitive, administer 1% dicaine for surface anaesthesia during the operation)
SECONDARY
• • • • • •
Ll4, SJS (All @ side): hand manipulation ST44 (@ side): retain t he needle after "De Qi"
@
Ll4, SJ6, GB14-7Yuyao, ST2-75Tl (All @ side + electric stimu lation.)
•
AURICULAR: Eye, LV (All
1:)) side)
Ll4, SJ6 / AURICULAR: Forehead-7~1 EarShenmen-?Sympathetic Nerve (All B side) ST40, GB38, UB59, ST43, LV3, GB43 (All @ side. Needles are retained after needling sensation is produced)
• • @
Ll4, PC6, SP4
@
•
SJS, GB34 (All
• • • • • •• • •
Ll4, Sl3, SJS (All
side + electric stimulation)
®
sides)
LV3, GB37 Ll4, SJ6, Sl3, GB25 Ll4, SJ6 (All @ side) AURICULAR: LU, LV, KD, Eye1, Eye2,
Ea r-Shenmen, Sympathetic Nerve
Ll4, SJ6 (All @ side + electric stimulation.)
@
ST40, GB38, UB59, LV3 (@ sides) SP4, Ll4 (@ side)
®
GB14-7Yuyao (All @ side)
@
• •• •
ST40, GB34, UB59, LV3, SP4, PC6 (All @ side)
Ll4, PC6, Sl18 AURICULAR: Forehead towards Eye1; Eye2,
••
ST44, PC6 towards SJS AURICULAR: Maxillary, KD, Ear-Shenmen, towards Sympathetic Nerve, LU
Ll4, SJ6, (All @ side) (All @ side. In the induction period, use the auricular points only)
AURICULAR: Ear-Shenmen, LU, KD, Ear
@
•
SJS, PC6, GB34, Ll4
•
Ll4, PC6, ST9
Throat, Tonsil (All @ side)
•
Ll4 (@ side)
For upper Teeth : ST6, Sl18 For lower teet: STS
@
Ll4, SJ6, ST3, ST2 (All @ side)
@
Ll4, SJ6, (During the induction period, ST3-7Dicang is added)
•
GB14, UB2, ST3, ST2, Ll4, SJ6 (All @ side)
@
Ll4 (@ or @ side) AURICULAR: Ear-Shenmen towards Sympathetic
Nerve, Forehead towards Ear-Asthma, Adrenal Ll4, SJ6 (All © side)
Ll4, Ll20 (@ or @ side) Ll4, PC6
• ••
PC6, Ll4, SJ6 (All @ side)
@
Ll4, PC6 (All @ side)
@
Ll4, PC6, ST44, Ll 20
AURICULAR: LU, Nose, Ear-Shenmen-7
Sym pathetic Nerve Ll18 AURICULAR: Ea r-Shenmen, LU, Neck, Endocrine
Other Types I Acupuncture Analgesia
314
ACUPUNCTURE
e
Ll4, PCG, SJS, PCG,
PC4
e AURICULAR:
Ear-Shenmen, LU, Sympathetic Nerve, Gastric (All © side)
•
e
ST36, GB28 (All @
•
ST36, SPG, GB26, Neimadian (midpoint of SP9 and internal malleolus) {All ® side)
•
DU2, DU4, GB26, ST36, SPG, UB33 or UB3 2 (All ® side)
e
ST36, LVG {All @ side)
HEMORRHOIDECTOMY
e
SPG, UB32, UB57
NEPHRECTOMY
e
L14, PCG, ST36, SPG, LV3 {All @ side)
•
AURICULAR: Shoulder towards Shoulder Joint,
PANHYSTERECTOMY WITH RESECTION OF APPENDIXES OF THE UTERUS
.
RESECTION OF VALVULA SEMILUNARIS AND FUSION OF ARTICULATIO GENUS
e AURICULAR:
Ear-Shenmen, LU, Uterus (Triangular fossa), Abdomen
e AURICULAR:
Uterus, LU, Ear-Shenmen, Abdomen, Endocrine (in cavum conchae), External Genitals
•
ST36, SPG, GB26, Qiecou {Peri-incision acupuncture)
e AURICULAR:
LU, Lower Portion of Rectum (All @ side + electric stimulation)
Ear-Shenmen, Sympathetic Nerve, KD {All @ side)
INTERNAL FIXATION OF FRACTURES OF THE FEMURAL NECK WITH THREE-FLANGED NAIL
LU, SP, Sympathetic Nerve, Ear-Shenmen, SJ
•
AURICULAR: Ear-Shenmen, LU, waist, Ureter (All @side)
•
Ll4, (@ side) Shoulder, Arm. (All @ side)
e AURICULAR:
e
Sl9, LllS, 513, L14, PCG
e
LUS, HT2 (All
e
ST36, ST40, UB59, GB36, GB39, SPG, GB40, ST43 (All @ side + electric stimulation)
e AURICULAR:
e
ST32, SP9, GB34, SPlO, ST34, SPG, GB30, GB31
e AURICULAR:
e
GB30, UB54, GB31, GB34, SP9, SPG
e AURICULAR:
side) Ear-Shenmen, Sympathetic Nerve, Coxa, Ischium, LU, KD
e AURICULAR:
Other Types I Acupuncture Analgesia
Ear Shenmen, LU, Arm, Elbow
Sympathetic Nerve, KD, Knee, LU
Ear-Shenmen, LU, KD, Ischium~ Sympathetic Nerve {All @ side + electric stimulation)
CHAPTER4
Herbs
HERBS
CA BOARD HERB LIST
•
• • • •
• • •
1. DISPERSE WIND-COLD Ma Huang Ji: Ji'i (Df ~) Gui Zhi fi tt (JU XI ) Zi Su Ve ~M~ ( :A:f~gJ ) Jing Jie
iiiJ iF
Fang Feng Qiang Huo Gao Ben Bai Zhi Xi Xin Xin Vi Hua
•
Cang Er Zi Sheng Jiang Xiang Ru
• • • • • • • •
• • • • • • •
•
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Sang Ye
~
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gJ)
Ju Hua Man Jing Zi
~
1£ ( ~
Dan Dou Chi
£1-) !hJ -T- ('2! gj :A:f) 5i!ZILilt (15- -'FAI )
Mu Zei Chai Hu
*
Sheng Ma Ge Gen
Tt Ill (@
Of)
:e;
2)
~
l!iX(~
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tJl (AI
.2 )
~~ ( ~
3. CLEAR & PURGE HEAT ::t:i If ( ~ ::J) Shi Gao 2) ~ ill: (XI Zhi Mu Tian Hua Fen ~1£*51 (c:!£f3'! )
Zhi Zi
lit
~~ (!:c
2)
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• • •
• • • •
• • • • •
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~Ufj:!jt ( g \5" ~ )
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• • • •
jOf
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1'& fi 1jt (Jill 21" ~ ) filf :l!!: (of gJ)
• •
±~~ ( £~~)
• •
7. CLEAR DEFICIENT-HEAT Qing Hao 'llf ~ ( ~ :2) Di Gu Pi ±-til~ Bl (XI ~III )
8
li&(~
8. PURGATIVES Ji'i((] Da Huang *
c
~j!j
(2{
~)
lit
i§(!:c
:2J)
I*
U([]
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11. DRAIN DAMP Fu Ling ~ ~~~ ~) Fu Ling Pi ~~Bl ~~~lll) Vi Vi Ren Zhu Ling Ze Xie
~:0:1= (~01~)
" ;;
(:A:1
~)
~ (§j
Af)
~
Dong Gua Ren Han Fang Ji
~Jl\1= ( ~llf:A:f)
Yin Chen Deng Xin Cao Mu Tong
Ill ( ~
ffi:{.':!jt ( §~~)
Dong Kui Zi
~~-T- ( ~1Hf)
Qu Mai Bian Xu Shi Wei Che Qian Zi Hua Shi Di Fu Zi Bi Xie Sheng Jiang Pi
;~\HJJc ~ ~~ J I)
00
*
;m
(~
~)
• •
Tian Nan Xing Ban Xia Xuan Fu Hua
•
Bai Qian Bai Jie Zi Jie Geng
I
• • • • • •
w-
(=?
'···••i'r
.(;.'
.
Corydalis Rhizoma Polygoni Multiflori Caulis Leonuri Herba Maltosum
Artmisiae Scopariae Herba Epimedii Herba Curcumae Radix Polygalae Radix
·z"·
Lycopi Herba Alismatis Rhizoma Fritillariae Thunbergii Bulbus Margarita Glycyrrhizae Radix Preparata Aurantii Fructus Anemarrhenae Rhizoma Aurantii Fructus lmmaturus Gardeniae Fructus Polyporus Bambusae Caulis in Taeniam Cinnabaris Arnebiae/Lithospermi Radix Perillae Folium Asteris Radix
1:220 1:228 1:220 1:222 11 1:224 11 1:224 1:220 1:228
c c
Coicis Semen Alpiniae Oxyphyllae Fructus
Perillae Fructus
1:21 1:23 19 C24 18 C1 C21 1:21 15 1:224 14 1:24
..
1:220 11 13 1:227 1:222 18 1:23 18 1:23 11 13 1:233 1:24 1:21 15 15
c c c
c c c
c c
HERBS
CATEGORY INDEX
PHARMACEUTICAL NAME- PINYIN
CATEGORY NUMBER
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33
325
A Achyranthis Bidentatae Radix
HUAI NIU XI
DISPERSE WIND-COLD
Aconiti Kusnezoffii Preparata
CAO WU
DISPERSE WIND-HEAT
Aconiti Radix Lateralis Preparata
FU Zl
CLEAR & PURGE HEAT
Aconiti Radix Preparata
CHUAN WU
CLEAR BLOOD-HEAT
Agkistrodon/Bungarus
BAI HUA SHE
CLEAR DAMP-HEAT
Agrimoniae Herba
XIAN HE CAO CHUN PI
CLEAR TOXIC-HEAT
Ailanthi Cortex
CLEAR SUMMER-HEAT
Akebiae Cauris
MU TONG
PURGATIVES
Alismatis Rhizoma
ZE XIE
LAXATIVES
Aloe
lU HUI
CATHARTICS
Alpiniae Katsumadai Semen
CAO DOU KOU
DRAIN DAMP
Alpiniae Officinarum Rhizoma
GAO LIANG JIANG
DISPEL WIND-DAMP
Alpiniae Oxyphyllae Fructus
VI ZHI REN
DISSOLVE HOT-PHLEGM
Amomi Fructus Rotundus
BAI DOU KOU
DISSOLVE COLD-PHLEGM
Amomi Fructus
SHA REN
STOP COUGH & WHEEZING
Anemarrhenae Rhizoma
ZHI MU
AROMATICS FOR DAMP
Angelicae Dahuricae Radix
BAI ZHI
DIGESTIVES
Angelicae Pubescentis Radix
DU HUO
REGULATE Ql
Angelicae Sinensis Radix
DANG GUI
STOP BLEEDING
Aquilariae lignum Resinatum
CHEN XIANG
ACTIVATE BLOOD
Arctii Fructus
NIU BANG Zl
WARM INTERIOR
Arecae Pericarpium
DA FU PI
Ql TONICS
Arecae Semen
BING LANG TIAN NAN XING
BLOOD TONICS
Arisaematis Rhizoma Preparatum
YANG TONICS
Aristolochiae Fructus
MA DOU LING
YIN TONICS
Armeniacae Semen
XING REN
ASTRINGENTS
Arnebiae/lithospermi Radix
Zl CAO
ANCHOR SHEN
Artemisiae Annuae Herba
QING HAO
NOURISH & CALM SHEN
Artemisiae Argyi Folium
AI YE
AROMATICS FOR ORIFICES
Artmisiae Scopariae Herba
YIN CHEN
EXTINGUISH LIVER WIND
Asari Herba
XI XIN
EXPEL PARASITES
Asini Corii Colla
E JIAO
EXTERNAL USE
Asparagi Radix
TIAN MEN DONG
OBSOLETE SUBSTANCES
Asteris Radix
Zl WAN
Astragali Radix
HUANG Ql
c c c c c c c c c
20 21 21 21 12 19 26 11 11 C8 16 21 24 16 16 C3 C1 12 23 18 C2 18 31 14 33 15 C4 C7 19 11 C1 23 25 15 22 22 16 18 18 18
c c c c c
c c c
c c c c c c c
ZHI KE
c c c c c c c c c
Bambusae Caulis in Taeniam
ZHU RU
c
Belamcandae Rhizoma
SHE GAN
Benincasae Semen
DONG GUA REN
Bletillae Rhizoma
BAI Jl
Bovis Calculus
NIU HUANG
Atractylodis Macrocephalae Rhizoma
BAI ZHU
Atractylodis Rhizoma
CANG ZHU
Aucklandiae Radix
MU XIANG
Aurantii Fructus lmmaturus
ZHI SHI
Aurantii Fructus
B
Bubali Cornu
SHUI NIU JIAO
Bupleuri Radix
CHAI HU
13 C6 11 19 29 C4 C2
c c c
c Cannabis Semen
HUO MA REN
Carthami Flos
HONG HUA
Caryophylli Flos
DING XIANG
Cassiae Semen
JUE MING Zl
Cervi Cornu Pantotrichum
LU RONG
Chaenomelis Fructus
MU GUA
Chebulae Fructus
HE Zl
Chrysanthemi Flos
JU HUA
Chuanxiong Rhizoma
CHUAN XIONG
C9 20 21 C3 24 12 26 C2 20
c c c c c c
Index I Pharmaceutical to Pinyin
326
HERBS
c
Cibotii Rhizoma
GOU Jl
Cicadae Periostracum
CHAN TUI
Cimicifugae Rhizoma
SHENG MA
Cinnabaris Cinnamomi Cortex
ZHU SHA
Cinnamomi Ramulus
GUI ZHI
Cistanches Herba
ROU CONG RONG
Citri Reticulatae Exocarpium Rub rum
JU HONG
Citri Reticulatae Pericarpium Citri Reticulatae Viride Pericarpium
CHEN PI
ROU GUI
Clematidis Radix
QING PI WEI LING XIAN
Cnidii Fructus
SHE CHUANG Zl
Codonopsis Radix
DANG SHEN
Coicis Semen
VI VI REN
Coptidis Rhizoma
HUANG LIAN
Corni Fructus
SHAN ZHU YU
Corydalis Rhizoma
VAN HU SUO
Crataegi Fructus
SHAN ZHA
Curculiginis Rhizoma
XIAN MAO
Curcumae Radix
YU JIN
Curcumae Rhizoma
E ZHU
Cuscutae Semen
TU Sl Zl
Cyathulae Radix
CHUAN NIU XI
Cynanchi Atrati Radix
BAI WEI
Cynanchi Stauntonii Rhizoma
BAI QIAN
Cynomorii Herba
SUO YANG
Cyperi Rhizoma
XIANG FU
D Dendrobii Herba
SHI HU
Dianthi Herba
QU MAl
Dioscoreae Hypoglaucae Rhizoma
Bl XIE
Dioscoreae Rhizoma
SHAN YAO
Dipsaci Radix
XU DUAN
Drynariae Rhizoma
],2;;,,, ', '
GU SUI BU
E MAHUANG
Epimedii Herba
YIN YANG HUO
Equiseti Hiemalis herba
MU ZEI
Eriobotryae Folium
PI PA YE
Erythrinae Cortex
HAl TONG PI
Eucommiae Cortex Euphorbiae Pekinensis Radix
DU ZHONG DA Jl
Euryales Semen
QIAN SHI
Evodiae Fructus
WU ZHU YU
F
Farfarae Flos
KUAN DONG HUA
Foeniculi Fructus
XIAO HUI XIANG
Forsythiae Fructus
LIAN QIAO
Fossilia Ossis Mastodi
LONG GU
Fritillariae Cirrhosae Bulbus
CHUAN BEl MU
••• ,,"' ,C< ••• , ',, ','
ZHE BEl MU
G ',•, ZHI Zl
Gastrodiae Rhizoma Gentianae Macrophyllae Radix
TIAN MA QIN JIAO
Gentianae Radix
LONG DAN CAO
Gigeriae Galli Endothelium Corneum
Jl NEI JIN
Ginkgo Semen
BAI GUO REN SHEN
Index I Pharmaceutical to Pinyin
12 C1 C24 C2 15 12 C24 10 26 21
c c c c c c 15 c 21 C6 c 27 c 13 c 13
'
Sophorae Tonkinensis Radix
TU FU LING
±tli:*
Smilacis Glabrae Rhizoma
PU GONG VING
iifi0:1€
Taraxaci Herba
BAI JIANG CAO HE VE
l&Mff:!\!:
Patriniae Herba
?iii
~
lsatidis/Baphicacanthis Radix
Nelumbinis Folium
20. Which one is not incompatible with li lu? A. Ku Shen B. Ban Xia C. Xi Xin D. Bai Shao
1. What are the properties of Jin Yin Hua? A. Acrid, bitter I sl cold B. Bitter I cold C. Sour I cold D. Sweet I cold
21. What is the indication of Ku Shen? A. Cough B. Skin disease and genital sores C. Irritability due to Heat D. Diarrhea due to SP deficiency
22. What are the common clearing Damp-Heat herbs? A. Bitter I cold B. Sweet I cold C. Sour I cold D. Salty I cold
taste
and
temperature
of
23. What is the property of the king herb in long Dan Xie Gan Tang? A. Bitter I warm I LV GB ST B. Bitter I cold I LV GB ST C. Bitter I warm I HT GB ST D. Bitter I cold I HT GB ST
24. What herb can be combined to Huang lian for the lack of interaction between the HT and KD? A. Rou Gui B. Mu Xiang C. Da Huang D. Huang Qin
25. What is the general caution for clearing Heat herbs that are bitter and cold? A. SP and ST Deficient Cold B. Blood Heat C. Damp Heat D. Toxic Heat
2. Which herb is best to clear Heat in the HT, and also disperse stagnation? A. Jin Yin Hua B. Xuan Shen C. Xia Ku Cao D. Lian Qiao
3. Which herb is the best for Heat invading the PC causing Shen disturbance? A. Jin Yin Hua B. Lian Qiao C. Huang Lian D. Gan Cao
4. What herb is for various types of swelling due to poisoning, scrofula and nodules caused by Toxic-Heat? A. Huang Qi B. Lian Qiao C. Bai Zhi D. Tian Hua Fen
5. Which herb does not benefit the throat? A. She Gan B. Ban Lan Gen C. Shan Dou Gen D. Pu Gong Ying
6. Which herb can be used to prevent viral epidemics? A. Ge Gen B. Ban Lan Gen C. Jin Yin Hua D. Lian Qiao
7. Which is not correct? A. Pu Gong Ying - use for breast abscess B. Bai Jiang Cao - use for intestinal abscess C. Tu Fu Ling - use for syphilis D. She Gan - use for pregnancy
Quiz I 6. Clear Toxic-Heat
HERBS
397
8. Which herb does not promote lactation? A. Dong Kui Zi B. Pu Gong Ying C. Mu Tong D. Dan Dou Chi
9. Pu Gong Ying can clear Heat-Toxin and A. Eliminate Dampness B. Used for breast abscess C. Promote lactation D. All of the above
10. What is the main indication for Bai Jiang Cao? A. Stomach pain due to stomach Cold B. Abdominal pain due to intestinal abscess C. Nausea and vomiting due to SP deficiency D. Headache due to Blood deficiency
11. Which herb benefits throat and dissolves Hot-Phlegm? A. Shan Dou Gen B. Ban Lan Gen C. Bo He D. She Gan
12. Which herb can detoxify, eliminate Dampness, and benefit the joints? A. Jin Yin Hua B. Pu Gong Ying C. Tu Fu Ling D. Fu Ling
13. Which is the most commonly combined herb with Jin Yin Hua in order to clear Heat-Toxins? A. Lian Qiao B. Huang Bai C. Shi Gao D. Sheng Di Huang
14. Which combination can be used in the 4 stages of Wen Bing (warm febrile disease)? A. Shi Gao + Zhi Mu B. Ban Lan Gen + Xuan Shen C. Qing Hao + Bie Jia D. Jin Yin Hua + Lian Qiao
7. CLEAR DEFICIENT HEAT • •
QJNG HAO Dl GU PI
ll!' :1>
Artemisiae Annuae Herba
ill!~$:
Lycii Cortex
•
BAI WEI
B
Cynanchi Atrati Radix
jlfj
1. Which "Clear Deficient Heat" herb can clear SummerHeat and stop malaria? A. He Ye B. Bian Dou C. Qing Hao D. Qiang Huo
2. Which herb checks malarial disorder? A. Chai Hu B. Qing Hao C. Cao Guo D. all of the above
3. Which of the following functions are common to both Mu Dan Pi and Di Gu Pi? A. Clear Toxic Heat B. Clear Deficient Heat C. Clear Damp Heat D. Activate Blood
4. Which herb can cool the Blood, reduce Deficient Heat, and purge LU Heat? A. Di Gu Pi B. Mu Dan Pi C. Bai Wei D. Qing Hao
5. What is not the function of Bai Wei? A. Clear Deficient Heat B. Promote urination C. Relieve toxicity, reduce swelling D. Moisten the intestine
15. Which herb can clear Summer Heat, also raise the SP Yang and stop bleeding? A. He Ye B. Bian Dou C. Qing Hao D. Huang Qi
Quiz I 7. Clear Deficient-Heat
398
HERBS
D. Da Huang
8. PURGATIVES
9. Which herb is contraindicated •
DA HUANG
*-
'Iii:
•
MANG XIAO
c
~11i
•
lU HUI
ii ii
Rhei Radix et Rhizoma Natrii Sulfas Aloe
1. Which category of herbs are better to use when using "Anthelmintic" in order to promote elimination of parasites from the body? A. Digestive herbs B. Qi Regulator herbs C. Clearing Heat herbs D. Purgative herbs
2. What is Da Huang's main indication? A. B. C. D.
Constipation Constipation Constipation Constipation
due due due due
to to to to
Cold stagnation post-partum blood deficiency Yin deficiency due to old age Heat stagnation
3. Which herb is for jaundice due to Damp-Heat? A. B. C. D.
Da Huang Mang Xiao Lu Hui Da Ji
4. Which purgative herb enters the Blood division? A. B. C. D.
Mang Xiao Da Huang Lu Hui Da Ji
5. If one wants to make use of Da Huang's purgative effect, how should it be cooked? A. Decocted in advance B. Decocted with the other herbs as usual C. Decocted in filter D. No more than 10 minutes
6. Jiu Da Huang (Wine-treated treating _ __ _ __ _ _ __ A. B. C. D.
Da
Huang)
is best for
Blood stagnation Dysentery due to Damp-Heat Boils due to Heat toxin Heat stagnation causing constipation
7. To purge bowels, one should use _ _ _ __ A. B. C. D.
Cooked Da Huang Wine-prepared Da Huang Charred Da Huang Raw Da Huang
8. Which of the following herbs can be used to treat amenorrhea due to Blood stasis? A. Lu Hui B. Yu Li Ren C. Mang Xiao
Quiz I 8. Purgatives
f or
nursing
mother
because it enters the breast milk? A. Mai Ya B. Da Huang C. Bo He D. Dan Dou Chi
10. What is the proper way to cook Mang Xiao? A. Wrapped when cooking B. Cook 30 minutes first C. Cook last 5 minute D. Dissolve into the strained decoction
11. Which purgative can moisten dryness and soften hardness for constipation due to Excess Heat? A. Da Huang B. Lu Hui C. Mang Xiao D. Hua Ma Ren
12. Which combination is the best to treat Excess Heat stagnation causing dryness constipation? A. Da Huang + Mang Xiao B. Da Huang + Hou Po C. Da Huang + Zhi Shi D. Da Huang + Yu Li Ren 13. Which herb not only purges and promotes bowel movements but can also clear the LV and kill parasites? A. Da Ji B. Da Huang C. Mang Xiao D. Lu Hui
HERBS
9. LAXATIVES
I·
HUO MA REN
Cannabis Semen
11. DIURETICS
•
FU LING
?*: li Poria
FU LING PI
7*:~/.li
•
VI VI REN ZHU LING ZE XIE
•nH=
DENG XIN CAO
lil•l.':!jl: Junci Medulla
•
MU TONG DONG KUI Zl
*
QU MAl BIAN XU
1i II Polygoni Avicularis Herba
• 1. Which herb can be substituted for Huo Ma Ren to moisten the intestine? A. Dang Gui B. Tao Ren C. Rou Cong Rong D. All of the above are possible
399
Poriae Cutis Coicis Semen .,., Polyporus M! ~ if ;"f.! Alismatis Rhizoma DONG GUA REN ~11\1= Benincasae Semen ~~Jic Stephaniae Tetrandrae Radix HAN FANG Jl YIN CHEN 00 iii Artmisiae Scopariae Herba
• • • • • •
• • • • • • • • •
~
Akebiae Cauris Malvae Fructus
~~'f
Ill WI' Dianthi Herba
:0 I Pyrrosiae Folium :lliilH Plantaginis Semen iiit :0 Talcum HUA SHI ii!!•.:r Kochiae Fructus Dl FU Zl Bl XIE ~ Dioscoreae Hypoglaucae Rhizoma SHENG JIANG PI 1:11/.li Zingiberis Rhizomatis Cortex
SHI WEI
CHE QIAN Zl
•
1. What are properties of Fu Ling? A. B. C. D.
10. CATHARTICS
I·
DA Jl
Euphorbiae Pekinensis Radix
1. What does Da Ji (Hb. Euphorbiae Pekinesis) do besides heavily purge? A. Generate fluids B. Heal wounds C. Reduce jaundice D. Reduce swelling and disperse stagnation
Sweet, Sweet, Sweet, Sweet,
sour I warm acrid I cool bland I neutral bitter I cold
2. What are the general caution or contraindication of using A. B. C. D.
diuretic herbs? Consumed fluid Turbid urination Diarrhea Phlegm
3. What is the function of Fu Ling? A. B. C. D.
Drains Dampness and transforms Phlegm Strengthens SP and harmonizes Middle Calms the HT and quiets the spirit All of the above
4. What is the common function of Fu Ling and Vi Vi Ren? A. B. C. D.
Promote Promote Promote Promote
diuresis, diuresis, diuresis, diuresis,
drain drain drain drain
Damp, Damp, Damp, Damp,
reduce jaundice calm Shen eliminate pus strengthen SP
5. Which herb strengthens the SP, drains Dampness, clears Heat A. B. C. D.
and expels pus? Fu Ling Vi Vi Ren Tian Hua Fen Jie Geng
6. Which herb treats both LU and intestinal abscesses?
Quiz I 9. Laxatives, 10. Cathartics
400
HERBS
A. B. C. D.
D. Bian Xu
Jie Geng Bai Jiang Cao Lu Gen Vi Vi Ren
7. Which herb is for reddish urination, ulceration in the mouth and tongue? A. Hua Shi B. Che Qian Zi C. Mu Tong D. Di Fu Zi
16. Which herb is best for jaundice due to Damp-Heat?
irritability,
8. What is not the function of Dong Gua Ren? A. Clear Heat and expel Phlegm B. Discharge pus C. Clear Heat and drain Damp D. Expel Cold Damp
9. Which herb can drain Damp and expel Wind-Damp? A. B. C. D.
Fu Ling Zhu Ling Dong Gua Ren Han Fang Ji
10. What type of Dampness is the best for Han Fang Ji? A. B. C. D.
Cold-Damp Damp-Heat LV and KD SP and ST
impediment impediment deficiency deficiency
11. Which is not the function of Che Qian Zi? A. B. C. D.
Clear LU, expel phlegm Clear LV, brighten eyes Permeate Dampness, stop diarrhea kill parasites
12. Which herb should be wrapped during decoction? A. B. C. D.
Hua Shi Che Qian Zi Xin Vi Hua all of above
A. B. C. D.
Mu Tong Ze Xie Deng Xin Cao Yin Chen Hao
17. Which "Diuretic" can break up Blood stasis and promote movement of stool? A. Qu Mai B. Bian Xu C. Shi Wei D. Hua Shi
18. Which of the following herb can promote diuresis, clear A. B. C. D.
Lin syndrome, kill worms and stop itching? Qu Mai Bian Xu Shi Wei Hua Shi
19. Which diuretic not only clears Heat and stops bleeding, but also clears LU, expels phlegm and stops cough? A. Qu Mai B. Bian Xu C. Shi Wei D. Hua Shi 20. Which herb drains KD Fire? A. Deng Xin Cao B. Fu Ling C. Mu Dan Pi D. Ze Xie
21. Which of the following herbs is most effective for treating skin diseases? A. Bian Xu B. Dong Gua Ren C. Qu Mai D. Di Fu Zi
13. Which is the best herb to treat Lin syndrome due to Damp-Heat? A. Fu Ling B. Zhu Ling C. Hua Shi D. Ze Xie
22. Which herb is the king herb for treating Gao Lin? A. Bei Xie B. Hua Shi C. Che Qian Zi D. Shi Wei
14. Which herb not only can promote diuresis, clear Lin syndrome, but also promote lactation? A. Wang Bu Liu Xing B. Pu Gong Ying C. Chuan Shan Jia D. Mu Tong
23. Which herb clears HT Heat, removes irritability and
15. Which herb can be used for dysuria with dry stool?
24. Which is not correct?
A. Qu Mai B. Deng Xin Cao C. Dong Kui Zi
Quiz /11. Diuretics
promotes urination? A. Deng Xin Cao B. Mu Tong C. Dan Zhu Ye D. All of above
A. Bian Xu - diuretic, kills parasites B. Dong Kui Zi - diuretic, treats diarrhea C. Hua Shi - diuretic, clears Summer-Heat
HERBS
401
D. Qu Mai - diuretic, moves Blood stasis
12. DISPEL WIND-DAMP
25. Which herb is contraindicated for pregnancy? A. Mu Tong B. Che Qian Zi C. Qu Mai D. All of the above
• • • • • • • • •
•
DU HUO
~
WEI LING XIAN
J~HIIiill
Clematidis Radix
HAl TONG PI
~Wil&'
Erythrinae Cortex
QIN JIAO
~
MU GUA
*
;;!
Angelicae Pubescentis Radix
"'fi: Gent ianae Macrophyllae Radix
m ~
Chaenomelis Fructus
SANG ZHI
~
XI XIAN CAO
~ii:!it
Siegesbeckiae Herba Agkistrodon/Bungarus
Mori Ramulus
BAI HUA SHE
Bi'Ett
WU JIA PI
Jit.JD&'
Eleutherococci Gracilistyli Cortex
SANG Jl SHENG
~'i:tjo
Taxilli Herba
1. Which herb can dispel Wind-Damp and also relieve the ext erior? A. Qin Jiao B. Sang Zhi C. Du Huo D. Wei Ling Xian 2.
What A. KD, B. KD, C. KD,
channels do Du Huo enter? HT UB LV
D. GB, UB
3. Which herb not only expels W ind-Damp but also resolves the exterior? A. Du Huo B. Qiang Huo C. Cang Er Zi D. All of the above
4 . Which herb is especially for pain of t he feet or lumbar region and leg due to W ind-Cold-Damp Bi? A. Sang Ji B. Du Huo C. Qiang Huo D. Fang Feng 5. W hich herb can expel Wi nd-Damp, tonify LV & KD and
strengthen sinews and bones? A. Chen Pi B. Da Fu Pi C. Sheng Jiang Pi D. Wu Jia Pi
6. Which herb dispels Wind-Damp, clears Deficient Heat and moistens the intestine? A. Huang Bai B. Bie Jia C. Qing Hao D. Qin Jiao
7. What is the fu nction of Qin Jiao? A. Clear Heat from the deficiency B. Resolve Damp and remove jaundice
Quiz I 12. Dispel Wind-Damp
402
HERBS
C. Moisten the intestine and move stool D. All of the above
8. Which herb is for Bi syndrome with Heat, red and swollen joints? A. Qin Jiao B. Du Huo C. Wei Ling Xian D. Wu Jia Pi
17. Which herb mainly treats upper extremity Wind-Damp
9. Which anti-rheumatic herb can resolve Dampness and remove jaundice? A. Du Huo B. Qin Jiao C. Wei Ling Xian D. Cang Er Zi
10. Which of the following herbs has the best effect in opening channels and collaterals, and alleviating pain? A. Qin Jiao B. Qiang Huo C. Du Huo D. Wei Ling Xian 11. Which herb would you combine with Wei Ling Xian in order to treat lower extremities pain due to Wind-Damp? A. Niu Xi B. Sang Zhi C. Gui Zhi D. Qiang Huo 12. Which herb not only can dispel Wind-Damp, open channels and collaterals, but also can treat fish bones stuck in the throat? A. Du Huo B. Bai Hua She C. Qin Jiao D. Wei Ling Xian
13. Which anti-rheumatic herb lesions used topically for scabies? A. Qin Jiao B. Mu Gua C. Xi Xian Cao D. Hai Tong Pi
can
treat
itching skin
14. Which herb is good for treating vomiting, diarrhea and muscle spasms? A. Bai Shao B. Wu Zhu Vu C. Ban Xia D. Mu Gua 15. Which herb not only can soothe tendons, but open collaterals, harmonizes ST and resolve Dampness? A. Mu Gua B. Xi Xian Cao C. Bai Hua She D. Wu Jia Pi
Quiz /12. Dispel Wind-Damp
16. What is the caution of using Mu Gua? A. Food stagnation B. Spasm and cramping of calves C. Excess taking can harm the teeth and bones D. Turbid Damp in the Middle
pain? A. Sang B. Sang C. Sang D. Sang
Ve Shen Bai Pi Zhi
18. Which "Expel Wind-Damp" herb can calm the Shen? A. Xi Xian Cao B. Bao Hua She C. Wu Jia Pi D. Mu Gua
19. Which herb unblock the channels, extinguishes Wind and dispels Wind from the skin? A. Bai Hua She B. Wu Jia Pi C. Xi Xian Cao D. Hai Tong Pi
20. Which is correct? A. B. C. D.
Hai Dong Pi - expel W-D, kill parasites Xi Xian Cao - expel W-D, lower blood pressure Wu Jia Pi - expel W-D, strengthen tendons/bones All of the above
21. What is the common function of Du Zhong and Sang Ji Sheng? A. Lower blood pressure B. Strengthen muscles and bone C. Calm the fetus D. All of the above
22. Which of the following herbs can quiet the fetus? A. B. C. D.
Gui Ban Bie Jia Bai Ji Li Sang Ji Sheng
HERBS
403
D. Gua Lou Gen (=Tian Hua Fen)
13. DISSOLVE HOT PHLEGM
8. Which herb is good for nausea and vomiting due to ST
•
CHUAN BEl MU
iltr all Jlll'l.Jll:
• •
ZHE BEl MU
;tfil'l_Jlj:
Fritillariae Thunbergii Bulbus
GUA LOU PI
JJ.\4.$:
Trichosanthis Pericarpium
GUA LOU
}).\
Trichosanthis Fructus
•
GUA LOU REN
Trichosanthis Semen
ZHU RU
JJ.\41= t1 mi
HAl ZAO
iii
Sargassum
• • •
•
QIAN HU
• )I
Heat? A. Sheng Jiang B. Zhu Ru C. Ban Xia D. Wu Zhu Yu
Peucedani Radix Fritillariae Cirrhosae Bulbus
9. Which herb is incompatible with Hai Zao?
Bambusae Caulis in Taeniam
A. B. C. D.
1. Which herb not only descends LU Qi, expels phlegm, but also dispels exterior Wind-Heat? A. Qian Hu B. Chuan Bei Mu C. Zhe Bei Mu D. Gua Lou
Kun Bu Sheng Jiang Da Zao Gan Cao
10. Which herb is incompatible with Wu Tou? A. B. C. D.
Bei Mu Gua Lou Ban Xia All of the above
2. Which of the following herbs is best for cough due to LU Yin deficiency? A. Chuan Bei Mu B. Zhe Bei Mu C. Ban Xia D. Ma Huang
3. Which
herb is used in Phlegm-Fire stagnation together? A. Chuan Bei Mu B. Zhi Bei Mu C. Ban Xia D. Xuan Fu Hua
exterior
Wind-Heat
and
4. What is not the function of Zhe Bei Mu? A. B. C. D.
Transform Hot-Phlegm Stop cough Dissipate nodules Moisten LU
5. What is common of both Zhe Bei Mu and Hai Zao? A. B. C. D.
Taste: salty Channels: KD Function: transform phlegm and scatter nodules Incompatibility: incompatible with Gan Cao
6. Which herb not only clears LU and expels phlegm, but also can lubricate intestine and disperse stagnation to open the chest? A. Xing Ren B. Gua Lou C. Zhu Ru D. Zhe Bei Mu
7. Which part of Gua Lou (Trichosanthes) is best in order to moisten the intestine? A. Quan Gua Lou B. Gua Lou Ren C. Gua Lou Pi
Quiz I 13. Dissolve Hot-Phlegm
404
HERBS
14. DISSOLVE COLD PHLEGM
• • •
TIAN NAN XING BAN XIA XUAN FU HUA BAI QIAN BAI JIE Zl
*
~
lilE!Iit lnulae Flos B WI Cynanchi Stauntonii Rhizoma 831'-T Sinapis Semen
•
JIE GENG
~6
~f
• •
?!1:+1!*$:
DOSE
SANG BAI PI
sweet cold LU
TASTE
CHANNEL
@ XIE BAI SAN
tM~ + 1t:!\!:
JIE GENG sweet
C
@ GAN JIE TANG COMMON
GAN CAO bitter, acrid
neutral HT SP ST LU S-lOg 9-lSg 1. Pulmonary abscess with cough, profuse phlegm, and chest oppression due to Heat stagnation 2. Pain, redness, and swelling of the throat due to Heat (deficiency/excess, external/internal) 3. Loss of voice, hoarse/husky voice
43. ZHE BEl MU + XIA KU CAO ;jJiJl.Ht+!l:t.'i:!\!: ZHE BEl MU NATURE CHANNEL DOSE INDICATION
COMMON
bitter cold
TASTE
XIA KU CAO acrid
LV GB HT LU 10-lSg 6-lOg 1. Neck lumps/nodules such as in scrofula, lipoma, swollen glands, or goiter due to Phlegm-Fire 2. Similar nodules in the inguinal canal and other parts of the body
Dui-Yao /6. Stop Cough & Dissolve Phlegm
HERBS
439
7. DESCEND ST REBELLIOUS Ql 44. BAN XIA + SHENG JIANG
'f,-~ + joJl
C
BAN XIA
BAN XIA HOU PO TANG / ER CHEN TANG
acrid warm
NATURE
LU SP ST
CHANNEL DOSE INDICATION
6-lOg 6-lOg 1. Nausea, vomiting with no thirst, and greasy tongue coating due to Damp-Phlegm in Middle Jiao 2. Enduring cough with white, watery, and profuse phlegm
C
45. ZHU RU + BAN XIA tt'lih*Jl: TASTE
ZHU RU sweet
NATURE
sl, Cold
CHANNEL DOSE
INDICATION
acrid warm, toxic LU ST
GB
C
sweet
NATURE
sl cold
JU PI ZHU RU TANG
acrid, bitter warm, aromatic LU ST
1. Nausea, vomiting and epigastric/abdominal distention due to SP/ST deficiency mixed with Cold and Heat 2. Nausea and vomiting during pregnancy
C
HUO XIANG ZHENG Ql SAN
INDICATION
acrid sl Warm
NATURE CHANNEL DOSE INDICATION
LU SP
6-lOg 6-lOg 1. Disharmony SP/ST, nausea, vomiting and diarrhea due to Wind-Cold Exterior + Damp Interior 2. Nausea, diarrhea due to Summer-Heat disorders !RJiU~:+ji\' l!
NATURE CHANNEL DOSE
INDICATION
C
@ ZUO JIN WAN
WU ZHU VU
COMMON
acrid
bitter
hot, sl toxic
HUANG LIAN cold
SP KD 2-Sg
LV ST
HT Ll 3-lOg
1. Acid regurgitation, nausea, belching, clamoring stomach, and bitter taste due to LV Fire attacking ST 2. Diarrhea and dysentery due to Damp-Heat
49. XUAN FU HUA + DAI ZHE SHI MEllf't+fi:MI:O TASTE
warm, aromatic
ST
48. WU ZHU VU + HUANG LIAN TASTE
Zl SU VE
COMMON
TASTE
DOSE
SP 6-lOg
6-lOg
HUO XIANG
CHANNEL
CHEN PI
COMMON
GB
47. HUO XIANG + Zl SU VE il'llf+~in'il:
NATURE
SP 6-lOg
1. Hiccup, nausea, and vomiting due to disharmony and counterflow of ST Qi 2. Vertigo, agitation and insomnia due to Phlegm turbidity 3. Nausea/vomiting during pregnancy due to disharmony of ST, Phlegm-Heat or ST Heat
TASTE
INDICATION
BAN XIA
COMMON
ZHU RU
DOSE
WEN DAN TANG
6-lOg
46. ZHU RU + CHEN PI ttllii+i!l.Bt
CHANNEL
SHENG JIANG
COMMON
TASTE
C @
XUAN FU DAI ZHE TANG
XUAN FU HUA acrid sl w arm
COMMON
LU SP ST 4.5-6g
LV
DAI ZHE SHI
bitter cold HT PC 10-lSg
1. Nausea, vomiting and hiccup due to turbid phlegm stagnation in diaphragm area 2. Cough and wheezing with phlegm, nose bleed, hematemesis 3. Hypertension
Dui-Yao /7. Descend ST Qi
440
HERBS
8. HARMONIZING SO. GUI ZHI + BAI SHAO titt+89 GUI ZHI acrid, sweet
TASTE
GUI ZHI TANG
BAI SHAO
COMMON
bitter, sour cool LV SP 6-lOg
warm HT LU UB 6-lOg
NATURE CHANNEL DOSE
INDICATION
C
1. Chills and fever, slight sweating, headache due to W-C deficient type (Ying and Wei disharmony) 2. Spontaneous or night sweats accompanied by aversion to Wind (Ying and Wei disharmony) 3. Chest and cardiac pain due to HT Yang deficiency (disharmony between the Qi and Blood) 4. Abdominal pain with spasms and cramps due to deficient Cold (disharmony between t he Qi and Blood)
s. Pain or numbness of the limb (disharmony between the Qi and blood) 6. Nausea/vomiting during pregnancy with aversion to cold, no appetite, weak pulse (SP/ST disharmony) 7. Weakness in elderly, postpartum, post-surgery, aversion to wind, sweating (Ying and Wei disharmony) 51. SHENG JIANG + DA ZAO
C
DOSE
INDICATION
!li!iiill+Ji\'~
C
CHAI HU acrid cool
TASTE NATURE
XIAO YAO SAN
I
51 Nl SAN
COMMON
BAI SHAO
bitter
sour
GB PC SJ SP 6-lOg 10-lSg 1. LV Qi stagnation causing disharmony between the Qi and blood 2. Vertigo, unclear vision, menstrual irregularities, dysmenorrhea, breast distention, PMS 3. Disharmony between LV and SP
53. CHAI HU + HUANG QIN
CHANNEL
DA ZAO sweet neutral
cool LV
NATURE
INDICATION
SHI QUAN DA BU TANG
SP ST
CHAI HU acrid
TASTE
DOSE
I
2-S fruits 1. Sweating, Aversion to wind, and fever due to disharmony between Ying(constructive) and Wei(defensive) 2. Fatigue, lack of strength, abdominal pain, and no appetite due to disharmony between Ying and Wei
52. CHAI HU + BAI SHAO !ll§·i;!l+89
CHANNEL
GUI ZHI TANG COMMON
warm LU 2-5 pieces
NATURE CHANNEL
INDICATION
C
SHENG JIANG acrid
TASTE
DOSE
~ll+xl»
XIAO CHAI HU TANG COMMON
HUANG QIN
bitter
cold LV PC SJ GB LU Ll ST S-lOg 6-lOg 1. Alternating fever and chills, a bitter taste, dry throat, dizziness, nausea due to Shao Yang syndrome 2. M alaria due to a Shao yang syndrome
3. LV Qi stagnation transforming into Fire 54. BAN XIA + HUANG QIN
TASTE NATURE CHANNEL DOSE
INDICATION
'I>~+Ji\'~
C
XIAO CHAI HU TANG / BAN XIA XIE XIN TANG
COMMON HUANG QIN BAN XIA bitter acrid cold warm, toxic GB Ll LU ST SP 6-lOg 6-lOg 1. Nausea and vomiting due to Shao Yang syndrome 2. Phlegm Heat 3. Pi syndrome: nausea, no appetite and sensation of fullness in the stomach due to mixed Heat/Cold
Dui-Yao /8. Harmonizing
HERBS
55. CAO GUO + CHANG SHAN
1l!* + ~ W-1
CAO GUO
CHANG SHAN
COMMON
acrid
TASTE
bitter
NATURE
warm
cold, toxic
CHANNEL
SP ST
HT LV LU
DOSE
6-lOg
S-lOg
INDICATION
441
1. Disharmony between exterior and interior, Alternating chills and fever 2. Malarial disorder, Cold-Damp, no appetite, fatigue, Parasites
9. MOVE Ql & STOP PAIN
56. ZHI KE + JIE GENG
ffi~+tM.f
C
ZHI KE
REN SHEN BAI DU SAN
JIE GENG
bitter
NATURE CHANNEL DOSE
acrid
cool
neutral
SP ST 3-lOg
LU 3-lOg
1. Chest oppression and distention or chest Bi due to accumulation of Phlegm and Qi stagnation 2. Epigastric distention and difficult defecation due to disturbance of ascending and descending
57. GUA LOU + XIE BAI
11\~+Hts
GUA LOU
C
@ GUA LOU XIE BAI BAI JIU TANG XIE BAI
COMMON
sweet
TASTE
acrid, bitter
cold
NATURE
warm Ll LU ST
CHANNEL
10-20g
DOSE INDICATION
XUE FU ZHU YU TANG
COMMON
TASTE
INDICATION
I
5-lSg
1. Chest Bi, cardiac disease due to turbid Phlegm blocking the Qi and Yang of the chest 2. Constipation due to fluid dryness of the Ll or to Qi stagnation
58. XIANG FU + WU YAO iHtt'f+ffi.;;!¥!
C @
WU YAO SAN
I @
GE XIA ZHU YU TANG
XIANG FU
COMMON
acrid
NATURE
sl bitter, sl sweet neutral
CHANNEL
LV SJ
KD UB LU SP
10-lSg
6-lOg
TASTE
DOSE
INDICATION
* 'lli+t~m
MU XIANG NATURE
INDICATION
C @
MU XIANG BING LANG WAN
COMMON
BING LANG
acrid, bitter
TASTE
DOSE
warm
1. Abdominal distention and pain due to cold constraint and Qi stagnation 2. Acute/chronic hepatitis 3. Acute/ chronic dysentery, tenesmus
59. MU XIANG + BING LANG
CHANNEL
WU YAO
GB SP S-lOg
warm Ll ST 10-12g
1. No appetite, abdominal dist ention/pain, difficult defecation due to food retention in ST and intestine 2. Dysentery or diarrhea with tenesmus and abdominal pain due to Qi stagnation 3. Constipation or difficult defecation due to Qi st agnation
Dui-Yao /9. Move Qi & Stop Pain
442
HERBS
60. CHUAN LIAN Zl + YAN HU SUO
Jil'lt-T-+N~*
C @
CHUAN LIAN Zl
COMMON
bitter
TASTE NATURE
cold, toxic
CHANNEL
UB 51
DOSE
6-lOg
INDICATION
JIN LING Zl SAN
YAN HU SUO acrid warm
LV ST
HT LU 6-lSg
1. Pain in HT, epigastrium, abdomen, and lateral costal regions due to LV Qi stagnation or Blood stasis 2. Dysmenorrhea and menstrual irregularities due to Qi stagnation and/or Blood stasis 3. Inguinal hernia or diseases of the scrotum/testicles due to Qi stagnating in the LV channel
4. Hepatitis, cholecystitis, and angiocholitis due to Damp-Heat in LV/GB
10. REGULATE BLOOD 61. TAO REN + HONG HUA
:jj~i=+U:ft
C @
COMMON
TAO REN TASTE NATURE
INDICATION
acrid
neutral
warm HT LV 6-lOg
6-lOg
DOSE
1. Cardiac and chest pain due to HT Blood stasis 2. Amenorrhea, dysmenorrhea, menstrual irregularities, and dark blood clots due to Blood stasis 3. Fixed, stabbing, and severe pain aggravate by pressure to Blood stasis
62. RU XIANG + MO YAO flii'+iil¥!
C
XIAO HUO LUO DAN
RU XIANG
COMMON
TASTE
acrid
bitter
NATURE
warm
neutral
3-lOg
DOSE
1. 2. 3. 4.
s.
3-lOg
Pain due to Qi and blood stagnation in the viscera and bowels or channels and network vessels Amenorrhea, dysmenorrhea, or postpartum abdominal pain due to blood stasis Bi syndrome due to Wind-Damp causing Qi and blood stagnation in the network vessels Wounds, scars, and skin inflammations with Bood stasis and necrotic tissue Traumatic injuries with pain, swelling, and redness due to Qi stagnation and blood stasis
63. SAN LENG + E ZHU
C
2~+iillt
SAN LENG
COMMON
neutral
NATURE
warm
S-lOg S-lOg 1. Abdominal mass, lump glomus, hepatomegaly, and splenomegaly due to Qi/Biood stagnation 2. Amenorrhea, dysmenorrhea, clots in the menstrual flow, and infertility, due to Blood stasis 3. Abdominal pain due to Food accumulation
64. CHUAN XIONG + DANG GUI
Jii~+~M
CHUAN XIONG
C
51 WU TANG
COMMON
acrid
TASTE
DANG GUI sweet, bitter
warm
NATURE
GB PC 6-lOg
CHANNEL DOSE
INDICATION
E ZHU
LV SP
CHANNEL
INDICATION
@ E LENG TONG JING TANG bitter, acrid
TASTE
DOSE
MO YAO
HT LV SP
CHANNEL
INDICATION
HONG HUA
bitter, sweet Ll LU
CHANNEL
TAO HONG 51 WU TANG
LV
HT SP 6-lOg
1. Menstrual irregularities, dysmenorrhea, and postpartum abdominal pain due to Blood stasis 2. Rheumatic pain due to W-D and blood deficiency 3. Headaches due to Blood deficiency or Blood stasis
4. Wounds, ulcers, or cutaneous inflammations due to Qi/Biood deficiency with Qi/Biood stagnation
Dui-Yao /10. Regulate Blood
HERBS
65. PU HUANG + WU liNG ZHI
PU HUANG sweet, acrid
TASTE
CHANNEL DOSE
WU liNG ZHI bitter, sweet warm
LV SP 6-12g
1. Epigastric, cardiac, abdominal, and lateral costal pain due to Qi/Biood stagnation 2. Menstrual irregularities, dysmenorrhea, postpartum pain due to retention of lochia or Blood stasis
66. Dl YU + HUAI HUA
C
±i!!~+tlti'E
TASTE NATURE CHANNEL DOSE INDICATION
@ SHI XIAO SAN COMMON
neutral HT 6-10g
NATURE
INDICATION
C
IT!iJii'+li~Ui
443
@ HUAI YU JIAN
Dl YU
COMMON
sour
bitter
sl cold ST 6-15g
LV Ll
HUAI HUA cool 6-15g
1. Hot bleeding, hemorrhoids
11. TONICS
67. REN SHEN + HUANG Ql
J...'ii+J\1:~
C
REN SHEN sl bitter
TASTE
HUANG Ql
COMMON
sweet sl warm LU SP
NATURE CHANNEL
6-12g
DOSE
INDICATION
BU ZHONG VI Ql TANG
10-15g
1. Chronic illness leading to Qi deficiency 2. Rectal and uterine prolapse and gastric ptosis due to SP Qi sinking 3. Lack of appetite, loose stool, fatigue, and spontaneous sweating due to Qi deficiency
4. Low grade fever due to Qi deficiency
68. REN SHEN + FU Zl J...i'+Mt.:Y.
TASTE NATURE
51 Nl JIA REN SHEN TANG
COMMON
FU Zl acrid hot, toxic
LU 6-30g
SP
HT KD 6-10
DOSE
1. Chronic disease, loss of blood, HT disease with cold limbs, cold spontaneous sweating 2. Collapse of Qi, minute pulse 3. Jue Yin syndrome in Shang Han Lun, cold limbs
69. BAI ZHU + FU liNG
l=lltt+'fJ:* BAI ZHU bitter warm ST 10-15g
TASTE NATURE CHANNEL DOSE
INDICATION
@ SAN BU TANG I @
REN SHEN sweet, sl bitter sl w arm
CHANNEL
INDICATION
C
1. 2. 3. 4.
Edema, Fatigue, Vertigo, Chronic
C
51 JUN Zl TANG COMMON
sweet SP
I
(['~) LING GUI ZHU GAN TANG
FU liNG bland neutral HT LU 10-15g
accumu lation of Damp caused by SP deficiency weakness in limbus, loose stool caused by SP deficiency with Damp accumulation blurred vision, heart palpitation due to Damp-Phlegm cough due to Damp-Phlegm and SP deficiency
Dui-Yao /11. Tonics
444
HERBS 70. CHAI HU + SHENG MA
~M+71-lli!
TASTE
C
BU ZHONG VI Ql TANG
Ctw HU
tolliiMON
SHENG MA
bitter
acrid
sweet
NATURE
cool
CHANNEL
LV GB PC SJ
LU Ll SP ST
6-lOg
3-6g
DOSE
1. Uterine prolapse, rectal prolapse, gastric ptosis due to central Qi sinking INDICATION
2. metrorrhagia and abnormal vaginal discharge due to central Qi sinking 3. chronic diarrhea or chronic dysentery due to central Qi sinking 4. SOB and dyspnea with feeling of oppression and falling of the LU due to Qi sinking
71. HUANG Ql + SHAN YAO :lfi\!HlHl ~JIIIMON
HUANG Ql NATURE
neutral
sl warm
KD
LU SP
CHANNEL
9-30g
9-30g
DOSE INDICATION
SHAN VAO
sweet
TASTE
1. Xiao-Ke syndrome {Diabetes) 2. Chronic gastritis, SP and ST Qi deficiency
72. SHU Dl HUANG + DANG GUI
:lM!!!:lfi+"li'i~
SHU Dl HUANG TASTE NATURE
sl warm
CHANNEL
KD
DOSE
C
51 WU TANG
·COMMON sweet
DANG·GUI acrid, bitter warm SP
HT LV
6-lOg
6-lSg
1. Chronic cough/asthma due to Yin deficiency of the KD associated with Blood deficiency INDICATION
2. Blood deficiency 3. Constipation due to blood deficiency
73. SHU Dl HUANG + SHA REN
TASTE
'-!!:tl!!:lfi+o:Jit
SHU Dl. HUANG sweet
COMMON
SHAREN acrid
NATURE
sl warm
warm, aromatic
CHANNEL
HT KD LV
SP ST 2-Sg
DOSE INDICATION
10-30g
1. Blood/Yin/Jing deficiency associated with weakness of SP/ST
74. DANG GUI + HUANG Ql
TASTE
"li!i~+:lfi\!
DANG GUI
COMMON sweet
NATURE
warm HT LV 6-9g
Dui-Yao /11. Tonics
DANG GUI BU XUE TANG
acrid , bitter
CHANNEL DOSE
INDICATION
C ®
HUANG Ql sl warm
SP 1 : 5 RATIO
LU 15-30g
1. Delayed menstruation, postpartum weakness, agalactia due to Qi and blood deficiency 2. Low grade fever due to Blood deficiency 3. Sores and welling abscesses which do not heal due to Qi and Blood deficiency 4. Numbness of the limbs due to blood deficiency not nourishing the sinews 5. Various hemorrhages due to Qi not containing the Blood within the vessels
HERBS
75. GOU Ql Zl + JU HUA
C
t'iiJ~cT-+ii!HE
GOU Ql Zl
sweet
NATURE
neutral
CHANNEL DOSE INDICATION
LU LV
10·15g 6-15g 1. Eye disorders: Blurred vision, diminished visual acuity, photophobia, dry eyes with possible headache 2. Pain in the low back and knees due to LV/KD deficiency ~1H+~I
C
FU Zl
DOSE INDICATION
toxic
hot
KD
HT SP
ST 1. Loss of consciousness, cold perspiration, cold limbs, and a minute pulse due to Yang collapse 2. Pain and feeling of cold in the ST and abdomen, vomiting/diarrhea due to SP deficient cold
C
iili¥+ ~ -'Fili
~ ER XIAN TANG
COMMON
TASTE
acrid hot toxic
YIN YANG HUO sweet warm
CHANNEL
INDICATION
LU
6-10g
XIAN MAO
DOSE
GAN JIANG
acrid
77. XIAN MAO + YIN YANG HUO
NATURE
51 Nl TANG
COMMON
TASTE NATURE
JU HUA bitter sl cold
KD
76. FU Zl + GAN JIANG
CHANNEL
@ Ql JU Dl HUANG WAN COMMON
TASTE
445
KD LV 6-10 6-15g 1. Menopausal syndrome due to KD Yin/Yang deficiency 2. Hypertension accompanied by cold limbs, aversion to cold, weakness of back and knee
78. DU ZHONG + XU DUAN HA•+*llllf DU ZHONG TASTE NATURE
COMMON
sweet, sl acrid warm
sl warm
CHANNEL DOSE INDICATION
XU DUAN bitter acrid
KD LV 10-12g
10-12g
1. Aches/pains, stiffness, lumbar pain, and weakness of lower limbs due to LV/KD(sinew/bone) deficiency 2. Knee and lumbar pain due to Wind-Damp or Trauma 3. Metrorrhagia during pregnancy, threatened miscarriage and lumbago due to KD deficienc
79 TIAN MEN DONG + MAl MEN DONG TASTE
TIAN WANG BU XIN DAN
COMMON
MAl MEN DONG
bitter
sweet
sl bitter
very cold
CHANNEL
KD 10-15
INDICATION
C
TIAN MEN DONG NATURE DOSE
-
5U9~+l!H9 ~
sl cold LU
HT ST 10-15
1. Dry mouth, thrist, dry cough with little phlegm, fever, and vexation due to Yin deficiency 2. Cough with hemoptysis due to heat damaging the network vessels of the LU 3. Upper Xiao Ke with excessive drinking, thrist, and dry throat due to LU Heat damaging the fluids
4. Whooping cough damaging LU Yin 80. GUI BAN + BIE JIA i!if&+=Efl
C
@ DA DING FENG ZHU COMMON
NATURE
GUI BAN sweet cold
CHANNEL
HT KD
LV
DOSE
10-30g
TASTE
INDICATION
BIE JIA
salty sl cold SP 10-30g
1. Tidal fever, stea ming bones, and night sweats due to deficient heat caused by Yin deficiency 2. Weakness of limbs, trembling due to Warm disease damaging fluids and stirring LV Wind 3. Hypertension, headaches, vertigo, head distention, and tinnitus due to LV yang rising 4 . Abdominal congestion, such as hepatomegaly and splenomegaly
Dui-Yao /11. Tonics
446
HERBS 81. MAl MEN DONG + XUAN SHEN l!HH-+:'Kw
COMMON
XUAN SHEN
sl bitter
sweet
salty, bitter cold
sl cold
NATURE
LU ST
HT
CHANNEL DOSE
TIAN WAN G BU XIN DAN
MAl MEN DONG TASTE
INDICATION
C
KD 10-30g
10-15g 1. Xiao Ke (diabetes) accompanied by dry mouth and throat, red tongue, scanty tongue coating
12. ASTRINGENT
C
YU PIN G FEN G SAN
HUANG Ql
COMMON
FANG FENG
sweet
acrid
TASTE
sl warm
NATURE
1. Spontaneous sweating due to Wei Qi (Defensive Qi) deficiency 2. Tendency to catch cold frequently due to Wei Qi (Defensive Qi) deficiency
83. HUANG Ql + MU Ll i'il'1l'f+'l±,.
NATURE CHANNEL
INDICATION
COMMON
cool LV KD
C
COMMON
hot, toxic
LU
SP
6-10g 1. Cold spontaneous sweating accompanied by aversion to cold, cold limbs due to Yang deficiency
;, , ,;,;,,.
·. :···· ;;\;!,
1 Zhi Ban Xia 2 Zhi Tian Nan Xing
.•.• ,
Hordei Fructus Germinatus Setariae(Oryzae) Fructus
Su Ya
Setariae Fructus Germinatus
Dao Ya
Oryzae Fructus Germinatus
7 8
Lai Fu Zi
Raphani Semen
Ji Nei Jin
Gigeriae Galli Endothelium Corneum
!
;;!
,,..
li,, •. ·,), •.
1 Chen Pi 2 Ju Hong
Citri Grandis Exocarpium Rubrum
Arisaematis Rhizoma Preparatum
4 5
Qing Pi
Citri Reticulatae Viride Pericarpium
Zhi Shi
Aurantii Fructus lmmaturus
Zhi Ke
Aurantii Fructus
Fa Shou
Citri Sarcodactylis Fructus
Zhi Guan Bai Fu
Aconiti Coreani Radix Preparata
5
Bai Jie Zi
Sinapis Semen
6 7
Zao Jia
Gleditsiae Fructus
Zao Jiao Ci
Gleditsiae Spina
6 7 8 9
Platycodi Radix lnulae Flos Cynanchi Stauntonii Rhizoma
Gan Song
Nardostachydis Radix seu Rhizoma
Xiang Yuan
Citri Fructus
10 Da Fu Pi 11 Xiang Fu 12 Mu Xiang
Cyperi Rhizoma
Dolomiaeae Radix Aquilariae Lignum Resinatum
Xing Ren
Armeniacae Semen
13 Tu Mu Xiang 14 Chuan Mu Xiang 15 Wu Yao
Zi Wan
Asteris Radix
16 Chen Xiang
Kuan Dong Hua
Farfarae Flos Perillae Fructus
5
Zi Su Zi Pi Pa Ye
6
Bai Bu
7 8 9
Sang Bai Pi
Stemonae Radix Mori Cortex
17 18 19 20
Ting Li Zi
Lepidii/ Descurainiae Semen
Zi Jin Niu
Ardisiae Japonicae Herba
,:!2'!2!2!2'·.·. '"':'' ..
ll, 511f'!'(IUIHIWtJ!lAING
1~: .
.
...·.,.
Eriobotryae Folium
10 Mu Hu Die 11 Luo Han Guo 12 Gua Di 13 Li Lu
Oroxyli Semen Momordicae Fructus Mel a Pedicellus Veratri Nigri Radix et Rhizoma
·:> ..•,·•. .,,;·~-.fOR' DAMP Cang Zhu Atractylodis Rhizoma Hou Po Magnoliae Officina lis Cortex Huo Xiang Pogostemonis/Agastaches Herba Guang Huo Xiang Pogostemonis Herba Tu Huo Xiang Agastaches Herb a Pei Lan Eupatorii Herba Sha Ren Amomi Fructus .;!
10 Cao Dou Kou 11 Cao Guo
NCCAOM Herbs I Categories
Arecae Pericarpium Aucklandiae Radix lnulae Radix Linderae Radix
Tan Xiang
Santali Albi Lignum
Xie Bai
Allii Macrostemi Bulbus
Mei Gui Hua
Rosae Rugosae Flos
Dao Dou
Canavaliae Semen
21 Chuan Lian Zi
Toosendan Fructus
22 23 24 25 26 27
Litchi Semen
Li Zhi He Shi Di
Kaki Calyx
Ba Vue Zha
Akebiae Fructus
Jiu Xiang Chong
Aspongopus
Suo Luo Zi
Aesculi Semen
Zi Su Geng
Perillae Caulis
...
i
Bai oou Kou Hong Dou Kou
Citri Reticulatae Exocarpium Rubrum
Hua Ju Hong
Typhonii Rhizoma Preparatum
,;;
!.•··· ;12';.
3
Zhi Bai Fu Zi
ii;'); 1 2 3 4
qf/',1'' •. •:;'.~::.~:,;:, ,;\ Citri Reticulatae Pericarpium
Pinelliae Rhizoma Preparatum
3 4
8 Jie Geng 9 Xuan Fu Hua 10 Bai Qian
.·;·
Mai Ya Gu Ya
1 San Qi 2 Pu Huang
1•~· STC!)P f,U&otNG Notoginseng Radix
Qian Cao
Typhae Pollen Rubiae Radix
4
Da Ji
Cirsii Japonici Herba sive Radix
5 6
Xiao Ji
Cirsii Herba
Di Yu
Sanguisorbae Radix
7
Huai Hua Mi
Sophorae Flos lmmaturus
8 9
Huai Jiao Ce Bai Ye
Sophorae Fructus Platycladi Cacumen
Alpiniae Katsumadai Semen
10 Bai Mao Gen
lmperatae Rhizoma
Tsaoko Fructus
11 Zhu Ma Gen 12 Zi Zhu 13 Xian He Cao 14 Bai Ji 15 Xue Yu Tan 16 Zong Lu Pi 17 Ou Jie 18 Lian Fang
Amomi Fructus Rotund us Galangae Fructus
3
Boehmeriae Radix Callicarpae Formosanae Folium Agrimoniae Herba Bletillae Rhizoma Crinis Carbonisatus Trachycarpi Petiolus Nelumbinis Nodus Rhizomatis Nelumbinis Receptaculum
HERBS
19
Hua Rui Shi
Ophicalcitum
20
Ai Ye
Artemisiae Argyi Folium
21
Zao Xin Tu
Terra Flava Usta
1 2
Chuan Xiong
Chuanxiong Rhizoma
Dan Shen
Salviae Miltiorrhizae Radix
3
Ji Xue Teng
4 5
114 1Hu Jiao
453
IPiperis Fructus CH12. TONIFYING HERBS
20. ACTIVATE BLOOD 22. Ql TONICS Ren Shen
Ginseng Radix
Spatholobi Caulis
1 2
Dang Shen
Codonopsis Radix
Van Hu Suo
Corydalis Rhizoma
3
Tai Zi Shen
Pseudostellariae Radix
Yu Jin
Curcumae Radix
4
Huang Qi
Astragali Radix
6
Jiang Huang
Curcumae Longae Rhizoma
5
Hong Qi
Hedysari Radix
7
Yi Mu Cao
Leonuri Herba
Shan Yao
Dioscoreae Rhizoma
8
Chong Wei Zi
Leonuri Fructu s
9
Ze Lan
Lycopi Herba Rosae Chinensis Flos
6 7 8 9
Gan Cao
Glycyrrhizae Radix
11
Hu Zhang
Polygoni Cuspidati Rhi zoma
10
Ci Wu Jia
Acanthopanacis Senticosi Radix et Caulis
12 13 14
Chi Shao
Paeoniae Radix Rubra
11
Huang Jing
Polygonati Rhizoma
Tao Ren
Persicae Semen
12
Bai Bian Dou
Lablab Semen Album
Hong Hua
Carthami Flos
13
Sha Ji
Hippophae Fructus
14
Yi Tang
Maltosum
10 Yue Ji Hua
15
Fan Hong Hua
Croci Stigma
16 17 18 19 20 21 22
E Zhu
Curcumae Rhizoma
Bai Zhu
Atractylodis Macrocephalae Rhizoma
Da Zao
Jujubae Fructus
San Leng
Sparganii Rhizoma
Ru Xiang
Olibanum
1
Shu Di Huang
Rehmanniae Radix Preparata
Mo Yao
Myrrh a
2
Zhi He Shou Wu
Polygoni Multiflori Radix Preparata
Huai Niu Xi
Achyranthis Bidentatae Radix
3
Sheng He Shou Wu
Polygoni Multiflori Radix
Chuan Niu Xi
Cyathulae Radix
Dang Gui
Angelicae Sinensis Radix
Wang Bu liu Xing
Vaccariae Semen
Lu Lu Tong
Liquidambari s Fructus
24
Liu Ji Nu
Artemisiae Anomala e Herba
4 5 6 7
Gou Qi Zi
Lycii Fructus
25
Zi Ran Tong
Pyritum
8
Sang Shen
Mori Fructus
9
Long Van Rou
Longan Arillus
Dalbergiae Odoriferae Lignum
1
Lu Rong
Cervi Cornu Pantotrichum
Wa Leng Zi
Arcae Con cha
2
Ge Ji e
Gecko
31
Shui Zhi
Hirudo
3
Dong Chong Xia Cao
Cordyceps
32
Tu Bie Chong
Eupolyphaga/Ste leophaga
Rou Cong Rong
Cistanches Herba
33
Meng Chong
Tabanus
Suo Yang
Cynomorii Herba
Yin Yang Huo
Epimedii Herba
23
26
Xue Jie
Daemonoropi s Resina
27
Su Mu
Sappan Lignum
28
Wu Ling Zhi
Trogopterori Faeces
29 Jiang Xiang 30
23. BLOOD TONICS
Bai Shao
Paeoniae Radix Alba
E Jiao
Asini Corii Colla
24. YANG TONICS
34
Gan Qi
Toxicodendri Resina
35
Ling Xiao Hua
Campsis Flos
4 5 6 7
36
Mao Dong Qing
llicis Pubescenti s Radix
8
37
Ma Bian Cao
Verbenae Herba
38
Gui Jian Yu
Euonymi Ramulu s
Ba Ji Tian
Morindae Officinalis Radix
Hu Lu Ba
Trigonellae Semen
He Tao Ren
Juglandis Semen
1 2 3 4 5
Zhi Fu Zi
Aconiti Radix lateralis Preparata
Zhi Chuan Wu
Aconiti Radix Preparata
9 10 11 12 13 14 15 16 17
Tu Si Zi
Cuscutae Semen
Zhi Cao Wu
Aconiti Kusnezoffii Preparata
18
Sha Yuan Zi
Astragali Complanati Semen
Gan Jiang
Zingiberis Rhizoma
19
Zi He Che
Homini s Placenta
Rou Gui
Cinnamomi Cortex
20
Jiu Cai Zi
Allii Tuberosi Semen
6
Wu Zhu Yu
Evodiae Fructus
21
Hai Gou Shen
Callorhini Testes et Penis
7
Hua Jiao
Zanthoxyli Pericarpium
22
Yang Qi Sh i
Actinolitum
8
Jiao Mu
Zanthoxyli Semen
23
Zhong Ru Shi
Stalactitum
Gao Liang Jiang
Alpiniae Officinarum Rhizoma
24
Hai Long
Syngnathu s
Ding Xiang
Caryophylli Flos
25
Hai Ma
Hippocampu s
Xiao Hui Xiang
Foeniculi Fructus
26
Hai Shen
Stichopus
CHll. HERBS THAT WARM THE INTERIOR AND EXPEL COLD
I
21. WARM INTERIOR
9 10 11 12
Bi Cheng Qie
Litseae Fructus
13
Bi Ba
Piperis longi Fructus
I
Bu Gu Zhi
Psoraleae Fructus
Yi Zhi Ren
Alpiniae Oxyphyllae Fructus
Xian Mao
Curculiginis Rhizoma
Du Zhong
Eucommiae Cortex
Gou Ji
Cibotii Rhizoma
Xu Duan
Dipsaci Radix
Gu Sui Bu
Drynariae Rhizoma
25. YIN TONICS
I
NCCAOM Herbs I Categories
454
HERBS
1 2
Bei Sha Shen
Glehniae Radix
3
Yuan Zhi
Polygalae Radix
Nan Sha Shen
Adenophorae Radix
4
Ling Zhi
Ganoderma
3
Xi Yang Shen
Panacis Quinquefolii Radix
5
He Huan Pi
Albiziae Cortex
4
Mai Men Dong
Ophiopogonis Radix
6
He Huan Hua
Albiziae Flos
5
Tian Men Dong
Asparagi Radix
7
Ye He Hua
Magnoliae Coconis Flos
6
Shi Hu
Dendrobii Herba
8
Ye Jiao Teng
Polygoni Multiflori Caulis
Polygonati Odorati Rhizoma
7
Yu Zhu
8
Bai He
Lilii Bulbus
9
Han Lian Cao
Ecliptae Herba
10 11 12 13
I
CH15. AROMATIC SUBSTANCES THAT OPEN THE ORIFICES
Nu Zhen Zi
Ligustri Lucidi Fructus
Hei Zhi Ma
Sesami Semen Nigrum
Gui Ban
Testudinis Plastrum
1
She Xiang
Moschus
Bie Jia
Trionycis Carapax
2
Su He Xiang
Styrax
29. AROMATICS FOR ORIFICES
14 Yin Er
Tremella
3
An Xi Xiang
Benzoinum
15 Chu 5hi Zi
Broussonetiae Fructus
4
Bing Pian
Borneolum
5
Shi Chang Pu
Acori Tatarinowii Rhizoma
6
Shui Chang Pu
Acori Calami Rhizoma
7
Jiu Jie Chang Pu
Anemones Altaicae Rhizoma
8
Niu Huang
Bovis Calculus
I
CH13. HERBS THAT STABILIZE AND BIND
26. ASTRINGENTS
I I
1 2
Shan Zhu Yu
Corni Fructus
Wu Wei Zi
Schisandrae Fructus
3
Wu Mei
Mume Fructus
4
He Zi
Chebulae Fructus
5
Rou Dou Kou
Myristicae Semen
1
Ling Yang Jiao
6
Shi Liu Pi
Granati Pericarpium
2
Gou Teng
Uncariae Ramulus Cum Uncis
7
Chun Pi
Ailanthi Cortex
3
Tian Ma
Gastrodiae Rhizoma
8
Chi Shi Zhi
Halloysitum Rubrum
4
Bai Ji Li
Tribuli Fructus
9
Yu Yu Liang
Limonitum
5
Lu Dou Vi
Glyci nis Testa
Lian Zi
Nelumbinis Semen
6
Luo Bu Ma Ye
Apocyni Veneti Folium
10
CH16. SUBSTANCES THAT EXTINGUISH WIND AND STOP TREMOR
30. EXTINGUISH LIVER WIND Saigae Tataricae Cornu
11
Lian Xu
Nelumbinis Stamen
7
Shi Jue Ming
Haliotidis Concha
12 13 14
Qian Shi
Euryales Semen
8
Di Long
Pheretima
Jin Ving Zi
Rosae Laevigatae Fructus
9
Bai Jiang Can
Fu Pen Zi
Rubi Fructus
10 Quan Xie
Bombyx Batryticatus Scorpio
15
Wu Bei Zi
Galla Chinensis
11 Wu Gong
Scolopendra
16 17
Bai Guo
Ginkgo Semen
12
Haematitum
Fu Xiao Mai
Tritici Fructus Levis
18
Ma Huang Gen
Ephedrae Radix
19
Nuo Dao Gen
Oryzae Glutinosae Radix
20
Hai Piao Xiao
Sepiae Endoconcha
21
Sang Piao Xiao
Mantidis Ootheca
22
Ji Guan Hua
Celosiae Cristatae Flos
I
CH14. SUBSTANCES THAT CALM THE SPIRIT
Dai Zhe Shi
I
CH17. HERBS THAT EXPEL PARASITES
31. EXPEL PARASITES
I
27. ANCHOR SHEN
1
Shi Jun Zi
Quisqualis Fructus
2
Ku Lian Pi
M eliae Cortex
3
Fei Zi
Torreyae Semen
4
He Shi
Carpesii Abrotanoidis Fructus
5
Nan He Shi
Carotae Fructus
6
Lei Wan
Omphalia
1
Long Gu
Fossilia Ossis Mastodi
7
Wu Vi
Ulmi Macrocarpae Fructus
2
Long Chi
Fossilia Dentis Mastodi
8
Bing Lang
Arecae Semen
Mian Ma Guan Zhong Dryopteridis Crassirhizomae Rhizoma
3
Mu Li
Ostreae Concha
9
4
Ci Shi
Magnetitum
10 Guan Zhong
5
Zhen Zhu
Margarita
11
Nan Gua Zi
Cucurbitae Moschatae Semen
6
Zhen Zhu Mu
Margaritiferae Concha Usta
12
Da Suan
Allii Sativi Bulbus
7
Zi Shi Ying
Fluoritum
13
Chang Shan
Dichroae Radix
8
Hu Po
Succinum
9
Zi Bei Chi
Mauritiae/ Cypraeae Concha
10 Sheng Tie Luo
Ferri Frustav
I
CH18. SUBSTANCES FOR TOPICAL APPLICATION
32. EXTERNAL USE
28. NOURISH & CALM SHEN
1 I Suan Zao Ren 2 I Bai Zi Ren
NCCAOM Herbs I Categories
Cyrtomii Rhizoma
j Bai
I Ziziphi Spinosae Semen
1
Fan
I Platycladi Semen
2 I Lu Gan Shi
IAiumen
ICalamina
I
HERBS
3
Liu Huang
4
Qian Dan
Minium
5
She Chuang Zi
Cnidii Fructus
6
Tu Jing Pi
Pseudolaricis Cortex
7
Mu Bie Zi
Momordicae Semen
8
Da Fang Zi
Hydnocarpi Semen
9
Er Cha
Catechu
455
Sulfur
10 Zhang Nao
Camphora
11 Ban Mao 12 Chan Su
Mylabris
13 Lu Feng Fang
Vespae Nidus
Bufonis Venenum
CH19. OBSOLETE SUBSTANCES
33-1. SUBSTANCES WITH UNACCEPTABLE TOXICITY
1 2
Zhu Sha
Ying Su Ke
Papaveris Pericarpium
3
Ma Qian Zi
Strychni Semen
Cinnabaris
4
Lei Gong Teng
Tripterygii Wilfordii Radix
5
Ma Dou ling
Aristolochiae Fructus
6
Guan Mu Tong
Aristolochiae Manshuriensis
7
Guang Fang Ji
Aristolochiae Fangchi Radix
8
Xun Gu Feng
Aristolochiae mollissimae Herba
9
Qing Fen
Calomelas
10 Xiong Huang 11 Mi Tuo Seng 12 Peng Sha
Realgar Lithargyrum Borax
33-2. SUBSTANCES FROM ENDANGERED SPECIES
1
Xiong Dan
Vesica Fellea Ursi
2
Chuan Shan Jia
Manitis Squama
3
Dai Mao
Eretmochelydis Carapax
4
Hou Zao
Macacae Mulattae Calcu lus
5
Hu Gu
Tigris Os
Pg.450-455: There is no official herb list provided by NCCAOM. This list includes the vast majority of herbs presented in Bensky & Barolet's Chinese Herbal Medicine: Materia Medica. A good strategy is to focus on the most important and commonly used herbs. NCCAOM does not endorse any third party study guide. Pg.456-469: CA State board herbs are the most important, and should be the core of study. This charts summarize the properties of herbs tested by NCCAOM in addition to the CA State Board herbs. Blue boxes indicate more commonly used herbs, while grey boxes indicate less commonly used herbs.
NCCAOM Herbs I Categories
456
HERBS
EXTRA HERBS FOR NCCAOM 1. DISPERSE WIND-COLD HERB
NATURE
CONG SAl
acrid I warm I LU 5T
XI HE LIU
ACTIONS AND INDICATIONS
• •
Release Exterior: Exterior wind-heat Unblocks the Yang Qi: Excessive forcing weakened yang upward; diarrhea, lassitude, cold extremities, flushed face, and a faint pulse
acrid, sweet I warm I LU 5T HT
•
Disperse rashes, vents heat toxin: Unexpressed rashes such as measles
HERB
NATURE
ACTIONS AND INDICATIONS
DA DOU JUAN
sweet I neutral I 5T
FU PING
acrid I cold I UB LU
2. DISPERSE WIND-HEAT
• • •
Clears summer heat and damp heat: Early stages of summer-heat or damp-heat Disperses wind heat: Exterior wind-heat, wind rash, or damp-heat rash and itching Promotes urination, unblock the fluid pathways: Fluid retention and urinary difficulty due to dampness of pathogenic water
3. CLEAR & PURGE HEAT HERB
NATURE
VA ZHI CAO
sweet, bland I cold I LU 5T 51
XI GUA
sweet I cold I UB HT 51
HAN SHUI SHI
acrid, salty I cold I HT 5T KD
LIAN Zl XIN
bitter I cold I HT PC
ACTIONS AND INDICATIONS
• • • • • • • • •
QING XIANG Zl
sweet I sl cold I LV
Ml MENG HUA
sweet I sl cool I LV
•
GU JING CAO
sweet I neutral I LV 5T
• •
•
YE MING SHA
acrid I cold I LV
• • •
Clears Heat and Drains Fire: Fever of relatively superficial warm diseases, hot painful urinary dribbling Clears Summer Heat and generates fluids: Summer Heat with thirst and scanty urine Promotes urination and expels jaundice: Adjunct herb in treatment of jaundice Clears heat, directs fire downward: Yang brightness qi level heat, summer-heat, inflamed eyes due to wind heat Softens hardness: Swelling and pain of throat and gums, abdominal clumps and masses Promotes urination: Edema and anuria Clears heat from HT and PC: Disturbed consciousness due to heat pathogen; mouth sores or ulcers due to HT heat Strongly clears LV fire: Fire from excess in LV channel; wind heat toxin or LV fire affecting the eyes Eliminates superficial visual obstruction: Insidious loss of vision, contraction of pupils due to wind-heat Directs the qi downward: Hypertension due to ascendant LV Yang Benefits eyes by nourishing the yin and cooling the LV: LV deficiency with heat; insidious loss of vision, blurriness, visual obstruction Disperses wind heat: Wind heat affecting eyes; wind heat toothache or headache Benefits the eyes: Superficial visual obstruction Cools the blood, reduce stasis: Pain due to LV blood stasis Clears the eyes and stops pain: Inner or outer visual obstruction, insidious loss of vision Reduces childhood nutritional impairment: Nutritional impairment with abdominal pain; childhood fright
4. CLEAR BLOOD-HEAT NONE
5. CLEAR DAMP-HEAT HERB
NATURE
ACTIONS AND INDICATIONS
•
Cools heat, drains dampness, binds the ll: Dysenteric disorders, damp-heat in the Ll, vaginal discharge Benefit the eyes, calms and cools the LV: Red and swollen eyes, superficial visual obstruction; LV and GB fire Disperses wind damp heat: Hot painful obstruction
QIN PI
bitter, astringent I cold I GB Ll LV 5T
• •
HERB
NATURE
ACTIONS AND INDICATIONS
6. CLEAR TOXIC-HEAT
REN DONG TENG
sweet I cold I Ll LU 5T
•
• •
NCCAOM Herbs I Act ions and Indications
Expels heat, resolves toxicity, unblock the collaterals: Wind heat obstruction the channels and collaterals; abscesses and sores, breast inflammation; heat in the blood Soothes the sinews, unblocks the channels: Painful obstruction syndrome due to wind heat Clears heat and stops abdominal pain: Pain from heat in the pelvis
HERBS
DA QING YE
bitter, salty I very cold I HT LU 5T
• • •
QING DAI
sa lty I cold I LV LU 5T
Zl HUA Dl DING
acrid, bitter I cold I HT LV
YE JU HUA
bitter, acrid I sl cold I LU LV
Sl GUA LUO
sweet I neutral I LU 5T LV
TIAN KUI Zl
sweet, bitter I cold I LV 5P UB
LONG KUI
sl bitter I cold, sl toxic I LU 5T UB
WAN NIAN QING
bitter, sl sweet I cold, sl toxic I LU
YU XING CAO
acrid I cool I LU Ll
CHONG LOU
bitter I sl cold, sl toxic I LV
• • • • • • • • • • • • • • • • • •
QUAN SHEN
bitter, astringe I cool I LV 5T Ll
CHUAN XIN LIAN
bitter I cold I L1 LU 51 5T
BAI HUA SHE SHE CAO
bitter, sweet I cold I LV 5T Ll 51
BAI TOU WENG
bitter I cold I LV 5T
WEI LING CAl
bitter I cold I LV Ll
VA DAN Zl
bitter I cold, toxic I Ll LV
MACHI XIAN
sour I cold I Ll LV
LU DOU
sweet I cold I HT ST
HONG TENG
bitter I neutral I Ll LV
BAI XIAN PI
bitter I cold I 5P 5T
• • • • • • • • • • • •
• • • •
• •
•
457
Strongly cools heat toxin: Warm di sease fever with ra shes and delirium Cools heat from excess heat at qi and blood levels: Sore throat, mouth ulcers, rashes, and ski n eruptions Clears heat, resolves toxicity, cools the blood: Macules due to heat in the blood level or other types of warm toxin; swelling such as sore throat and mumps Clears LV fire, dispels summer-heat: Summer-heat affecting the LV, cough due to LV fire accosting the LU Cools heat, resolves toxicity: Fire toxin, deep rooted sores and reddened swelling Cools the blood : HT and LV blood level heat Disperses wind, clears heat: Hot, painful eyes Reduces swelling, resolves toxicity: Swollen, toxic sores, boils, abscess; Intestinal wind with bleeding (charred) Resolves toxicity and reduce swelling: Most commonly used for problems affecting the breasts Unblocks the channels and dispels wind: Wind-damp obstruction with soreness and phlegm Expels phlegm and stops coughs: Cough due to LU heat with phlegm Clears heat, resolves toxicity: Toxic sores, scrofula, clumps of phlegm, and some tumors Clears heat, resolves toxicity, disperses clumps: Toxic swell ings, sores, carbuncles and furuncles; blister sores (topically) ; tumors, bronchitis Facilitates urination: Hot painful urinary dribbling Clears heat and resolves toxicity: Toxins affecting the throat, snakebite Cools the blood, stops bleeding: Bleeding from heat in the blood Disperses heat, resolves toxicity, reduces swelling: Heat toxin sores and swellings; LU abscess due to accumulation of phlegm heat Drains damp heat, promotes urination: Diarrhea, painful urinary dribbling Cools heat, resolves toxicity: Sores and boils, swollen sore throat, poisoning from snakebite Extinguishes wind and settles tremors: Seizures due to heat Clears internal heat, removes dampness: Febrile convulsions, muscular tetany; damp-heat dysenteric disorders with or without bleeding; applied topically for toxic swelling, so res, scrofula, hemorrhoids, snakebite Cools the blood and stops bleeding: Bleeding including nosebleed, vomiting blood, hemorrhoids Cools and resolves heat toxin anywhere in body: Heat toxin in LU and ST, LU abscess, sore swollen throat, boils due to fire toxin; damp heat dysenteric disorder; scalds, burns, and snakebite (topically); superficial visual obstruction Cools heat, resolves toxicity: Toxic accumulation, sores due to fire toxin, swollen sore throat Promotes expulsion of dampness through the urine: Damp-heat jaundice, painful urinary dribbling, intestinal abscess, dysenteric disorder Clears heat, resolves toxicity, cools the blood : Heat accumulating into clumps in ST and IT Alleviates dysenteric disorder: Hot dysenteric disorder, esp. if bleeding Cools heat, resolves toxicity, cools the blood, expels dampness: Dysenteric disorder due to heat toxin or damp heat; malarial disorder Kills parasites: Corns and warts (topically) Cools heat, resolves toxicity: Fever of common cold, swollen sore throat, stubborn fever due to warm disorder; toxic swellings or sores Facilitates urination: Edema with scanty urine; hot painful urinary dribbling Clears heat, resolves toxicity, eases the Ll: Toxic boils and abscesses, dysenteric disorder with griping tenesmus, vaginal discharge, painful urinary dribbling, hemorrhoids Clears Summer Heat: Summer Heat esp. with pronounced thirst Resolves toxicity: Toxic sores and swellings (topically) Resolves toxicity, reduces abscesses: Intestinal abscesses and toxic, painful skin lesions Invigorates the blood, dispels stasis: Trauma, dysmenorrhea, and joint pain Expels damp-heat in the blood: Itchy damp-heat skin conditions, pruritis Stops itching, clears sores: Wind heat or damp heat sores and rashes marked by pus or yellow fluid and moist skin Resolves painful obstruction: Wind painful obstruction Expels lower burner damp heat: Vaginal discharge
NCCAOM Herbs I Actions and Indications
458
HERBS
CHUI PEN CAO
sweet, bland, sl sour I coo\ I LV GB 51
Jl GU CAO
sweet I cool I LV GB
Jl XUE CAO
bitter, acrid I cold I LV 5P KD
BAN ZHI liAN
• • • • • •
acrid, sl bitter I cool I LV LU 5T
MA BO
acrid I neutral I LU
BEl DOU GEN
bitter I cold I LU 5T Ll
• • • •
QING GUO
sweet, sour I neutral I LV KD
•
TU NIU XI
bitter, sour I neutral I LV KD
BAI liAN
bitter, acrid I neutral tending to cold I HT 5T LV
• • •
• • • •
Clears heat and reduces jaundice: Damp heat jaundice, hepatitis Clears heat, resolves toxicity, reduces abscess: Sores, abscesses, snakebite, burns Clears heat, disperses stasis, reduces jaundice: Jaundice, hepatitis, abscesses, trauma Clears heat, resolves toxicity, promotes urination: Sores, abscesses, painful urinary dribbling, red eyes Invigorates the blood, reduces swelling: trauma Clears heat toxin and dampness, resolves stasis: Sores, furuncles, and swelling due to heat toxin, LU abscess, swollen sore throat; injury from external trauma; enlarged SP or LV; cancer of LU, LV or ST Promotes urination: Urinary difficulty due to clumping of damp heat Clears heat constraint in the LU: Toxic swe lling of throat with cough and loss of voice Stops bleeding: Continuous nosebleed Clears heat, resolves toxicity: Problems due to heat toxin, esp. those involving swelling Clears heat, resolves toxicity, generates fluids: Sore throat from wind heat or heat toxin Drains and resolves fire toxin: Diphtheria, swo llen painful throat; ulcers of the mouth and tongue Unblock painful urinary dribbling: Painful urinary dribbling Clears heat, resolves toxicity, reduces abscesses: Heat toxin leading to sores and abscesses Resolves toxicity, disperses clumps, and expels pus: Heat toxin in skin, boils, hemorrhoids Causes milk to descend: Suppressed lactation, breast pain, and distention; threatened breast abscess
LOU LU
bitter, salty I cold I Ll 5T
SHI SHANG BAI
sweet, acrid, bitter I neutral, cold I LV
HERB
NATURE
ACTIONS AND INDICATIONS
YIN CHAI HU
sweet I sl cold I LV 5T
•
HU HUANG liAN
bitter I cold I LV 5T Ll
•
HERB
NATURE
ACTIONS AND INDICATIONS
FAN XIE YE
sweet, bitter I cold I Ll
•
HERB
NATURE
ACTIONS AND INDICATIONS
HUO MA REN
sweet I neutral I Ll 5P 5T
•
Clears heat, resolves toxicity: Fevers, sores, sore throat, cough Clears and drains damp heat: Damp heat jaundice, ascites
7. CLEAR DEFICIENT-HEAT
• •
Clears heat from deficiency: Steaming bone disorder Reduces childhood nutritional impairment: Childhood nutritional impairment accumulation with heat Cools the blood, stops bleeding: Bleeding due to reckless movement of hot blood Clears heat from excess of deficiency, cools the blood: Yin deficiency with heat signs, lurking heat in the yin levels
8. PURGATIVE Drains downward and guides out stagnant heat in ll: Accumulated pathogenic heat in Ll ; small dosage can dissolve food stagnation
9. LAXATIVES
YU ll REN
acrid, bitter, sweet
I neutral I Ll
•
Enriches yin fluids, moistens the ll: Dry constipation in order or deficient patient, or postpartum, due to deficiency Moistens the ll, unblocks the bowels: Constipation due to qi stagnation and dryness Promotes urination: Swelling and distention of abdomen and limbs due to edema
51 5P
•
HERB
NATURE
ACTIONS AND INDICATIONS
QIAN NIU Zl
bitter, acrid I cold, sl toxic I KD Ll LU 51
GAN SUI
bitter, sweet I cold, toxic I KD Ll LU
HONG DA Jl
bitter, acrid I cold, sl toxic I KD Ll 5P
10 CATHARTICS
NCCAOM Herbs I Actions and Indications
• • • • • • •
Drains water, promotes urination: Edema, ascites from pathogenic water Drives out phlegm: Cough, wheezing from thin mucus obstructing the LU Expels parasites: Roundworms, tapeworms with abdominal stagnation Vigorously drains water downward, drives out thin mucus: Generalized edema, abdominal distention from pathogenic water Drives out phlegm: Seizures or Psychiatric disorders from phlegm Clears heat, reduces swelling (topically): Swollen, painful nodular skin lesions Drains water downwards, drives out thin mucus: Moderate accumulations of fluids in the chest
HERBS
JING DA Jl
bitter, acrid I cold, toxic I KD Ll 5P
•
YUAN HUA
bitter, acrid I warm, toxic I KD Ll LU
•
459
Vigorously drains water downward, drives out thin mucus: Severe, excess accumulations of fluids Harsh cathartic: Accumulation of fluids in chest and abdomen; cough, wheezing with preponderance of dampness and cold
BA DOU
acrid I hot, toxic I 5T Ll LU
SHANG LU
bitter I cold, toxic I UB KD Ll 5P
• • • •
HERB
NATURE
ACTIONS AND INDICATIONS
TONG CAO
sweet, bland I sl cold I LU 5T
DONG GUA PI
sweet I cold I LU 5T
Warmly unblocks, vigorously purges: Severe constipation and abdominal fullness from cold accumulation Breaks up clogged phlegm in head and throat: Phlegm clogging the throat or sensory orifices Drives out water: Ascites, primarily from schistosomiasis Drives out water from lower orifices: Edema from excess with severe constipation and urinary difficulty
11. DRAIN DAMP
DONG KUI GUO sweet I cold I UB Ll 51
QING MA Zl
bitter I neutral I UB Ll LV
JIN QIAN CAO
sweet, salt I sl cold I UB GB KD LV
HAl JIN SHA
sweet, bland I cold I UB 51
CHI XIAO DOU
sweet, sour I neutral I HT 51
BAN BIAN LIAN
sweet, bland I sl cold I HT LU 51
YU Ml XU
sweet, bland I neutral I UB GB LV
HERB
NATURE
• • • • • • • • • •
• • • • • • • • • • •
Promotes urination, leaches out dampness: Dark, scanty urine hot, painful urinary dribbling Promote lactation: Insufficient or blocked lactation Facilitates urination, reduces swelling: Edema, primarily from damp heat Promotes urination, unblocks painful urinary dribbling: Painful urinary dribbling, edema Moistens the Ll and promotes bowel movements: Dry constipation Benefits the breasts, promotes lactation: Lack of milk in breast-feeding with painful breast distention, early stage of breast abscess Clears heat, facilitates resolution of dampness: Painful urinary dribbling, red-and-white dysenteric disorder Resolves toxicity: Swollen abscesses, superficial visual obstruction Promote urination: Stony painful urination dribbling with a rough, gravelly sensation on urination Expels stones: Biliary and urinary tract stones Clears LV and GB damp heat: Jaundice, red, swollen eyes due to damp heat Resolves toxicity: Toxic sores, snakebite, traumatic injury Promotes urination, expels stones: Painful urinary dribbling and urinary tract stones Clears damp heat: Damp heat jaundice Clears heat, promotes urination: Edema, summer-heat, and insatiable thirst due to ST heat Disperses blood stasis and fire toxin: Swollen sores and boils due to blood heat with toxicity Clears damp heat: Mild jaundice from damp heat Promotes urination, reduces edema: Edema, ascites, esp. floating edema Cools the blood, resolves toxicity: Sores, abscesses, sore throat, and toxic swellings, snake and wasp bite Promotes urination, stops pain: Hot painfu l urinary dribbling or painful urinary dribbling with stones, edema Clears damp heat from LV and GB: Jaundice, hepatitis, cholecystitis
12 DISPEL WIND-DAMP
CAN SHA
sweet, acrid I warm I LV SP ST
XIANG JIA PI
acrid, bland I warm, toxic I LV KD HT
LAO GUAN CAO
acrid, bitter I neutral I LV KD 5P
ACTIONS AND INDICATIONS
• • • • • •
• LU XIAN CAO
sweet, bland I warm I LV KD
SHEN JIN CAO
bitter, acrid I warm I LV SP KD
•• •
•
Dispel wind dampness: Wind Damp painful obstruction, itchy rashes due to wind dampness Harmonizes the ST, transforms turbid dampness: Turbid dampness in the ST and IT with vomiting, diarrhea, chest and epigastric fullness Dispel wind dampness, strengthens the sinews: Wind damp pa inful obstruction with spasms and joint pain Promotes urination to get rid of excess fluids: Edema due to dampness Dispel wind, eliminates dampness, unblocks the channels and collaterals: Severe pain due to wind dampness Clears heat, resolves toxicity, generates flesh: Sores, abscesses, burns, eczema Dispels wind dampness, strengthens the bones and sinews: Painful obstruction and lack of strength in lower back and legs Stops bleeding: Various bleeding problems Assists KD's acceptance of qi: Cough, wheezing Dispels wind-dampness: Wind damp painful obstruction with contraction of the sinews restricting limb movement; leg cramps Relax the sinews, invigorates the collaterals: External trauma injuring the sinews, channels, and collaterals
NCCAOM Herbs I Actions and Indications
460
HERBS
XU CHANG QING CHUAN .SHAN
LONG Ql~ FENG TE~
LIANG··MIAN ZHEN
•
acrid I warm I LV ST
bitter I neutral, sl toxic I LV LU
bitter, acrid I neutral I LV SP acrid, bitter I sl warm, sl toxic I LV ST
HAl FENG TENG acrid, bitter I sl warm I LV QIAN NIAN JIAN
CHOU WU TONG
acrid, bitter, sweet I cool I LV
····..
LU0 SHI TENG
IWAA
acrid, bitter I warm I KD LV
bitter I sl cold I LV
• • •• • • • • •
• • •
,liN tENG bitter I sl cold I LV
QISHE
sweet, salty I warm, toxic I LV
WU SHAOSHE
sweet, salty I neutral I LV SP
SHE TUI
sweet, salty I neutral I LV
SONG JIE
bitter I warm I LV
HERB
NATURE
TIAN ZHU HUANG
sweet I cold I GB HT LV
ZHU Ll
sweet I cold I HT LU ST
•• • • • • • • •
Dispels wind, invigorates the blood: Wind damp painful obstruction, and trauma Resolves toxicity, stops itching: Pruritis, eczema, snakebite Dispels wind, eliminates dampness: Painful obstruction, numbness of the flesh, exp . for hot painful obstruction Invigorates the blood, unblock the collaterals: Trauma, painful chest obstruction Transforms phlegm, stops coughs: LU heat cough Dispels wind, stops pain: Painful obstruction, leg qi (Orally or topically) Dispels wind, unblocks the collaterals: Painful obstruction, pain in the sinews and bones, trauma Dispels wind-dampness, unblocks the collaterals: Painful obstruction due to pathogenic wind, cold, and dampness; pain due to trauma Dispels wind-dampness, strengthen the sinews and bones, fortifies the elderly: Painful obstruction due to wind, cold, and dampness with lower back pain, weakness of the legs and feet, cramps and numbness Dispels wind dampness: Painful obstruction due to wind dampness, numbness in the trunk or limbs, eczema (topically) Calms the LV yang: Vertigo and headache due to ascendant LV yang hypertension Dispel wind dampness, invigorates the collaterals: Pain due to wind-damp painful obstruction; cramping spasm of the sinews; restricted movement of the joints Cools the blood, reduces swelling: Red, hot, painful abscesses and sores: painful obstruction of the throat Dispels wind dampness: Hot painful obstruction Unblocks the channels, relaxes the sinews: Red, swollen, hot and painful injury from trauma Powerfully unblocks the channels and collaterals, extinguishes wind: Chronic wind dampness with numbness and weakness of the limbs Dispels wind from the skin: Tinea, numbness, any kind of rash Dispels wind from the sinews, settles fright: Spasms, tremors, seizures, facial paralysis, hemiplegia Dispel wind, unblock the collaterals, settles fright: Wind damp painful obstruction; itching skin; fright convulsions Dispels wind, settles convulsions: Skin lesions; seizures and convulsions due to pathogenic wind Treats eye disorders: Superficial visual obstruction, pterygium, or corneal disorders Dispels wind, dries dampness: Joint pain due to pathogenic cold and dampness, or traumatic injury
13 DISSOLVE HOT-PHLEGM
FU SHI/ FU HAl SHI
salty I cold I LU
................
I neutral I
QING ·IV!ENG SHI
sweet, salty
GE QIAO
bitter, salty I cold I LU ST
ACTIONS AND INDICATIONS Clears and transforms phlegm heat: Phlegm heat in the LU with difficult to expectorate phlegm Clears the HT, settles tremors and convulsions: Spasms and convulsions due to phlegm-heat, esp. childhood convulsions, wind-stroke with phlegm obstruction, phlegm-heat causing restless sleep
• •
• • • • • •
LV LU
ST
NCCAOM Herbs I Actions and Indications
• • • • •
Clears and transforms phlegm, and opens the orifices: Phlegm obstruction the HT orifice with fainting paralysis of the hands and feet, hemiplegia Transforms phlegm-heat, stops cough: Accumulation of phlegm-heat in the LU Clears LU heat, expels phlegm heat: Phlegm heat in LU; upper burner clumping from long term stubborn phlegm Softens hardness, dissipates phlegm nodules: Phlegm nodules such as scrofula Promotes urination: Urethral discomfort in bloody painful urinary difficulty or stony painful urinary difficulty Drives phlegm retained in the ST and IT down and out of the body: Cough and wheezing due to stubborn phlegm clogging the upper or middle burner; severe food stagnation Calms the LV, suppresses fright: Phlegm-heat accumulation causing fright seizures; mania withdrawal; severe palpitations Clears heat, redirects LU qi downward, transforms phlegm heat: Phlegm that is hard to expectorate; chest and flank pain from clumped phlegm-fire, coughing up blood Softens hardness and dissipates phlegm nodules: Clumped phlegm-fire scrofula Promotes urination: Superficial edema, edema with damp heat and urinary difficulty; vaginal discharge Controls acidity, stops pain: Epigastric pain, acid regurgitation
HERBS
KUN BU
PANG DA HAl
ZE Ql
salty
I
cold
I
sweet
I
KD LV ST
I
cold
Ll LU
acrid, bitter I sl cold, toxic I 51 Ll LU
I
HUANG YAO Zl
bitter
HERB
NATURE
I
cold
LV LU
• • • • • • • • • •
461
Reduces phlegm, softens areas of harness: Nodules in the neck; fullness and obstruction of the chest from phlegm Promotes urination, reduces swelling: Edema; leg qi (adjunctive use only) Clears and disseminates the lU qi: loss of voice, sore throat, or phlegm-heat cough resu lting from LU qi constraint Clears the ll, unblocks the bowels: Fire above leading to constipation below Encourages the expression of rashes: Applied topically for incomplete expression of rashes Transforms phlegm, stops coughs: Wheezing and cough due to LU heat with phlegm and congested fluids Dissipates phlegm nodules: Scrofula (internally and topically) Dissipates nodules, reduces masses: Goiter; many kinds of cancers Cools the blood, stops bleeding: Bleeding due to blood heat Resolves toxicity: Toxic sores; snake or dog bites
14. DISSOLVE COLD-PHLEGM ACTIONS AND INDICATIONS
• • ZAO JIA
acrid
I
I
warm, sl toxic
LU Ll
•
•
Dispels phlegm: Phlegm obstruction; phlegm nodules; cough or wheezing with profuse, difficult to expectorate phlegm Opens the orifices, revives the spirit: Sudden loss of consciousness with seizures or facial paralysis from excessive phlegm Dissipates clumps, reduces swelling: Initial stage of abscess or boils; difficult discharge of pus Unblocks the bowels, expels roundworms: Constipation or intestinal obstruction due to roundworms (suppository)
15. STOP COUGH/WHEEZING HERB
TING ll Zl
ACTIONS AND INDICATIONS
NATURE
acrid, bitter
I
very cold
I
Zl JIN NIU
bitter, acrid
MU HU DIE
sweet, bland
lUO HAN GUO
sweet
I
cool
GUA Dl
bitter
I
cold, sl toxic
ll lU
acrid, bitter LU ST
HERB
NATURE
neutral
I
cool
I
LV LU
I
I
I
I
LU UB
LU LV
LV LU
I
•
ST
cold, toxic
I
• • • • • • • • • • •
LV
• • •
Drains the lU, reduces phlegm, calms wheezing: Excess type wheezing due to phlegm and thin mucus obstructing the LU qi, or from LU Heat Moves water, reduces edema: Excess type obstruction of LU and UB qi leading to urinary obstruction, edema of the face, fluid accumulation in the chest and abdomen Dispels phlegm, stops coughs and wheezing: Cough and wheezing with copious sputum due to heat Clears and resolves damp heat: Yang Jaundice, edema with urinary difficulty Invigorates the blood, transforms stasis: Traumatic injury, irregular menstruation Moistens the LU, clears the voice: Cough, sore throat, and hoarseness Gently frees the flow of LV qi: Flank and epigastric pain due to constrained qi Promotes the healing of sores: Ulcerated suppurative sores (topically) Moistens and cools the lU: Cough from heat with yellow sputum and dry cough Generates fluids, stop thirst: Thirst from heat or summer heat Moistens the ll: Constipation from dryness, esp. with LU qi dysfunction Induces vomiting to treat phlegm or food stagnation: Accumulations above the diaphragm Dispels damp heat, relieves jaundice: Damp-heat jaundice (dampness predominant) Induces vomiting to expel wind: Wind stroke, seizures, painful obstruction of the throat form welling up of phlegm Kills parasites, stops itching: Scabies, tinea, lice (topically)
16. AROMATICS FOR DAMP ACTIONS AND INDICATIONS
• PEl LAN
HONG DOU KOU
acrid
acrid
I
I
neutral
warm
I
I
SP ST
SP LU
•
• •
Aromatical/y transforms dampness, awakens the SP, regulates the middle: Dampness encumbering the SP; sweet sticky or metallic taste in the mouth, excessive saliva, and halitosis Disperses summer-heat-dampness outward, releases the exterior: Acute distending headache, stifling sensation in the chest, and heavy lethargy due to summer-heat dampness Aromatically dispel middle burner turbid filth: Internal accumulation of turbid dampness in the middle burner leading to lethargy, nausea, and bloating Warms the middle, dries dampness, awakens the SP, reduces food stagnation: Significant food stagnation and cold with epigastric pain, abdominal distention, and vomiting
NCCAOM Herbs I Actions and Indications
462
HERBS 17. DIGESTIVES NONE
18. REGULATES Ql HERB
NATURE
FO SHOU
acrid, bitter I warm I LV LU ST SP
GAN SONG
acrid, sweet I warm I SP ST
XIANG YUAN
acrid, sl bitter, sour I warm I LV SP LU
TAN XIANG
acrid I warm, aromatic I LU SP ST
XIE BAI
acrid, bitter I warm I Ll LU ST
MEl GUI HUA
sweet, sl bitter I warm I LV SP
DAO DOU
sweet I warm I SP KD
Ll ZHI HE
sweet I warm I SP KD
SHI Dl
bitter, astringe I neutral I LU ST
BA VUE ZHA
bitter I neutral I LV ST
JIU XIANG CHONG
salty I warm I SP LV KD
SUO LUO Zl
sweet I warm I LV ST
Zl SU GENG
acrid, sweet I sl warm I LU SP ST
HERB
NATURE
ACTIONS AND INDICATIONS
• • • • • • • • • • • • • • •
• • • • • • • • •
Relieves constraint, regulates the qi, stops pain: Constrained LV and SP qi causing distending fullness of the flanks and abdomen and loss of appetite Harmonizes the SP and ST: Middle burner stagnation with epigastric pain and fullness Transforms phlegm and stops coughs: Cough and stifling sensation in the chest with profuse phlegm Awakens the SP, promotes the movement of qi, alleviates pain: Poor appetite, abdominal distention and cramping, esp. sudden turmoil disorder Regulates the qi, awakens the SP, eases the middle: Qi stagnation leading to epigastric and abdominal distention and pain Dredges and regulates the LV qi: Chest and flank distention and pain Reduces phlegm and cough by directing downward: Wheezing cough, stifling sensation in the chest with profuse phlegm Unblocks qi stasis in the chest, stops pain, stops belching and nausea: Qi stasis in the chest and abdomen causing pain, belch ing, nausea and vomiting; cold pain in the upper body, HT and abdomen Unblock the yang qi, disperses turbid phlegm: Painful obstruction of the chest with wheezing, cough, pain through the chest and back, and shortness of breath Reaches into areas of congealed constraint to unbind, warm, drain, and facilitates the orifices: Cold stagnation in upper body; stagnant qi in Ll Gently regulates the qi and blood, harmonizes the LV, and ST: Stifling sensation in the chest, belching flank distention, and poor appetite due to LV constraint Regulates menstruation: Irregular menstruation, breast distention, or abdom inal pain due to qi and blood stasis Drives the qi downward, warms the middle: Hiccough, nausea, vomiting and diarrhea due to cold from deficiency Tonifies the KD, augments the primal qi: Lower backache, wheezing Disperses the cold stagnation in LV channel: Bulging disorder or testicular pain due to stagnation in LV channel, esp. that due to cold Regulates the qi, stops pain: Epigastric or abdominal pain from Liver Qi constraint with or without blood stasis (including that related to menses) Stops hiccough by directing rebellious ST qi downward: Rebellious ST qi causing hiccough Drives the qi downward: Treats pain in the chest, epigastrium, and testicles Disperses clumping: Breast distention and lumps, scrofula fibrous masses Regulates the qi: Distention and stifling sensation in the chest and epigastrium due to qi constraint Warms the KD yang: Impotence and soreness of the lower back and knees due to KD yang deficiency Smooths the flow of LV qi, stops epigastric pain, directs rebellious qi downward: Distention and pain in the chest and epigastrium due to LV qi stasis accosting the ST Expands the chest and diaphragm, promotes qi flow, harmonizes the middle burner: Qi obstruction lead ing to discomfort and distention in the epigastrium and abdomen Calms the fetus in pregnancy: Symptoms of morning sickness during pregnancy
19 STOP BLEEDING
DA Jl
sweet I cool I LV SP HT
XIAO Jl
sweet I cool I LV HT
HUAI JIAO
bitter I cold I LV GB Ll
NCCAOM Herbs I Actions and Indications
ACTIONS AND INDICATIONS
• • • • • • • • • •
Cools the blood to stop bleeding: Reckless movement of hot blood; bleeding from externa l trauma (topically) Reduces swelling, generates flesh (Esp. the fresh herb): Boils and furuncles Benefits the GB, reduces jaundice: Jaundice due to damp heat Reduces hypertension: Hypertension due to LV heat Cools the blood to stop bleeding: Any bleeding due to blood heat Resolves toxicity, reduces abscesses: Sores and abscesses due to heat toxin Promotes urination: Blood in the urine due to damp-heat, reduces jaundice, hepatitis, and hypertension Clears and directs heat downward: Hemorrhoids from heat toxin or damp heat Stops bleeding: Blood in the stool Clears and drains LV fire: Headache, red eyes, hypertension
HERBS
ZHU MA GEN
sweet I cold I HT LV
Zl ZHU
bitter, astringe I cool I LV LU ST
XUE YUTAN
bitter I neutral I HT LV KD
ZONG LU PI
bitter, astringe I neutral I LV Ll LU
OU JIE
sweet, astringe I neutral I LU ST LV
LIAN FANG
bitter, astringe I warm I LV SP KD
HUA RUI SHI
sour, astringe I neutral I LV
lAO XIN TU
acrid I warm I SP ST
HERB
NATURE
• • • • • • • • • • • • • • •
463
Calms the fetus, stops bleeding: Threatened miscarriage with bleeding Cools the blood: Bleeding due to heat in the blood Promotes urination: Urinary difficulty due to damp heat Cools the blood and resolves toxicity: Toxic sores and snakebite (topically) Cools the blood to stop bleeding: All types of bleeding, esp. Gl tract and LU Resolves toxicity: Sores and burns (topically) Restrains leakage to stop bleeding without promoting stasis: Bleeding, esp. uterine, and nosebleeds Promotes urination: Urinary difficulty, blood in the urine Generates flesh, resolves sores: Slow healing wounds and sores (topically) Restrains and inhibits bleeding: Bleeding of all types, as long as there is no stasis Stops bleeding by removing blood stasis and by restraining: Bleeding of all types Dispels blood stasis, stops bleeding: Retained placenta, hemorrhoids, prolonged lochia (unprepared); uterine bleeding, blood in the urine (carbonized) Stops bleeding by removing blood stasis and by restraining: Vomiting and coughing of blood due to blood stasis; postpartum bleedi ng; external bleeding (topically) Warms the blood to stop bleeding: Bleeding due to SP deficiency unable to contain the blood Warms the ST to stop bleeding and vomiting: Bleeding related to digestion, such as vomiting of blood or passage of blood in the stool; nausea and vomiting from ST deficiency
20 ACTIVATE BLOOD
Jl XUE TENG
bitter, sweet I warm I HT LV SP
JIANG HUANG
acrid, bitter I warm I SP ST LV
VUE Jl HUA
sweet I warm I LV
HU ZHANG
LU LU TONG
bitter I cold I LV GB LU
bitter I neutral I LV ST
LIU Jl NU
bitter I warm I HT 51
Zl RAN DONG
acrid I neutral I LV
XUE JIE
sweet, salty I neutral I HT LV
SU MU
sweet, salty, acrid I neutral I HT LV SP
ACTIONS AND INDICATIONS
• • • • • • • • • • • •
• • • • • •
• •
Invigorates the blood, tonifies the blood: Irregular menstruation, pain of dysmenorrhea and postpartum Soothes the sinews and invigorates the collaterals: Numbness and paralysis of the extremities; pain in the lumbar and knees, or due to wind damp painful obstruction Invigorates the blood, breaks up blood stasis: Chest or abdomen pain due to blood stasis caused by cold from deficiency, or stagnant qi; gynecological disorders; painful swelling due to trauma Promotes the downward movement of qi: Epigastric or abdominal pain from qi stagnation Treats wind painful obstruction: Wind damp painful obstruction causing aching arms or shoulders Invigorates the blood and promotes qi movement: Ql constraint and blood stasis causing irregular menstruation with distending pain in the chest and abdomen Reduces swelling and resolves toxicity: Qi constraint generating fire, thickening the blood so that it stagnates locally and forms swollen, toxic sores; esp, scrofula Invigorates the blood, unblocks the channels: Amenorrhea, wind-damp painful obstruction, trauma Clear heat, resolves dampness: Damp heat jaundice and turbid vaginal discharge; cough due to LU heat; constipation due to clumping heat Clears heat, resolves toxicity: Burns, carbuncles, skin infections, snakebite Invigorates the qi and blood: Breast distention, insufficient lactation, irregular menstruation due to qi and blood stasis Expels wind: Nasal congestion, aching from painful obstruction Facilitates urination: Edema with urinary difficulty Breaks up blood stasis, unblocks menstruation: Abdominal pain or masses, postpartu m disorders such as retained placenta Heals trauma: Wounds, contusions, burns Reduces accumulation: Food stagnation Disperses stasis, stops pain, heals injured sinews and bones: Injures from trauma such as pain from fall s, contusions, broken bones, and hematoma Invigorate the blood, disperses stasis, stops pain (orally): Blood stasis due to internal injury; contusions from falls; sta bbing pain in chest and abdomen; amenorrhea or postpartum pain due to blood stasis Generates flesh, help sores and wounds heal, stops bleeding (topically): Wounds and sores that resist hea ling Invigorates the blood, expels stagnation, stops pain: Injures from trauma, such as painful bruises, amenorrhea and dysmenorrhea due to blood stasis, postpartum bleeding due to blood stasis
NCCAOM Herbs I Actions and Indications
464
HERBS
• bitter, sweet I warm I LV
WU LING ZHI
acrid I warm I LV SP ST
JIANG XIANG
salty I neutral I LV SP LU
WA LENG Zl
salty, bitter I neutral, sl toxic I
SHUI ZH!
LV UB
salty I cold, sl toxic I LV HT SP
TUB!£ CHONG
. bitter I sl cold, toxic I LV
MENG CHQNG GAN
acrid, bitter I warm, sl toxic I
Ql
LV ST
LING XIAO HUA sweet, sour I sl cold I LV PC
bitter, astringe, acrid I sl cold I
MAO DONG QING
HT SP
>
MA BIAN CAO
bitter I sl cold I LV SP
GUI JIAN VU
bitter I cold I LV
HERB
NATURE
PAO JIANG
bitter I warm I KD
• • • • • • • • • • • • • • • • • • • • •
Invigorates the blood, stops intense pain: Disorders due to blood stasis including dysmenorrhea, amenorrhea, and epigastric pain; stabbing pain in the HT from blood stasis and qi stagnation Stops bleeding due to stasis: Uterine bleeding due to blood stasis Stops bleeding by removing stasis: Internal or external injuries such as fractures or sprains due to trauma Invigorates the blood and qi, arrests pain: Pain due to qi stagnation or blood stasis Disperses blood stasis and old phlegm: Nodules and masses around the body; blood clotting abdominal masses in women; phlegm lumps Absorbs acid and alleviates epigastric pain: Gastric acid causing ulcers and chronic pain Breaks up blood stasis (slow but persistent), unblock deep stasis in lower burner: Amenorrhea due to blood stasis, pain from trauma Reduces fixed abdominal masses: Abdominal and uterine masses Breaks up blood stasis: Amenorrhea, abdominal masses, numb tongue due to blood stasis Knits the sinews and joints the bones: injury to sinews and bones form trauma Strongly breaks up blood stasis (quick-acting but short-lived): Blood accumulation, mobile and fixed abdominal masses Strongly breaks up blood stasis and areas of hardness: Abdominal masses, amenorrhea from blood stasis Clears blood stasis: Amenorrhea, abdominal masses Expels lurking fire at the blood level: Itching and bleeding from the rectum or vagina due to blood heat Invigorates the blood and unblocks the vessels: Chest painful obstruction, hemiplegia Clears heat and resolves toxicity: Cough and wheezing fro LU heat, swollen and sore throat, burns Invigorates the blood and cools blood heat: Amenorrhea, abdominal masses esp . blood stasis from heat drying the blood Clears heat, resolves toxicity: Clogging accumulation of heat toxin in the throat Facilitates urination: Edema, leg qi Checks malarial disorders: Chills and fever from malaria Breaks up blood stasis, unblocks menstruation: Abdominal masses, irregular menses, amenorrhea Kills parasites: Abdominal pain due to parasitic accumulation
21. WARM INTERIOR ACTIOI\IS AND INDICATIONS
• • • •
Warms the middle and stops diarrhea: Diarrhea due to cold in the middle and lower burners Stops bleeding by warming the yang: Bleeding due to yang qi deficiency Warms the middle burner, drives rebellious qi downward: Nausea, vomiting, hiccough, epigastric cold pain, abdominal distention due to cold stasis Warms the qi of the KD and UB: Turbid urine or urinary difficulty due to lower burner cold dampness; cold hernial disorders
Bl CHENG QIE
acrid I warm I SP ST KD UB
HERB
NATURE
ACTIONS AND INDICATIONS
sweet, sl bitter I neutral I LU
•
22. Ql TONICS
TAl Zl SHEN
Cl WU JIA
HUANG JING
SP
acrid, sl bitter I warm I SP HT KD
sweet I neutral I KD LU SP
NCCAOM Herbs I Actions and Indications
• • • • •
Mildly tonifies the qi and yin: SP and ST deficiency with fatigue or lack of appetite, LU deficiency with spontaneous sweating, injury to fluids after febrile disease, unrelenting fever or summer-heat in children Tonifies the SP and KD: General weakness and malaise, loss of appetite, headache, insomnia, impotence Augments the HT, calms the spirit: Poor concentration, mild depression, frustration, fearfulness Invigorates the blood, unblocks the collaterals: Poor peripheral circulation, pain due to blood stasis Tonifies the SP qi, augments the SP yin: SP and ST qi deficiency with S,Q.B,, lassitude, and poor appetite; SP and ST yin deficiency with dry mouth. loss of taste, dry stools, dry red tongue Enriches the yin, moistens the LU, augments the essence: Dry cough due to qi and yin deficiency, waning of the essence with lumbar pain, weakness of legs, light headedness; wasting and thirsting disorder
HERBS
SHA Jl
sour, astringe, sl sweet
I warm
I LU SP ST L1
• • • •
465
Augments the Qi, generates fluids: Injury to the qi and fluids from chronic or febrile disease Warms the SP/ST, reduces food stagnation: Chronic diarrhea and dysenteric disorders with food accumulation Warms the menses, invigorates the blood: Menstrual problems due to blood stasis Benefits the LU: Stops coughs due to LU qi deficiency, esp. those which worsen on exertion
23. BLOOD TONICS HERB
NATURE
HE SHOU WU (ZHI)
bitter, sweet, astringe I sl warm I LV KD
HE SHOU WU (SHENG)
bitter, sweet, astringe I neutral I LV HT L1
HERB
NATURE
GE JIE
salty I neutral I LU KD
ACTIONS AND INDICATIONS.
• •
Nourishes the blood and yin, preserves the essence: LV and KD deficiency causing premature greying of hair, weak lower back and knees Moistens the Ll, resolves fire toxicity, expels wind from the skin, reduces sores, and checks malarial disorder: Fire toxin carbuncles, sores and neck lumps; constipation due to blood deficiency; wind rash due to blood deficiency; chronic malarial disorders with qi and blood deficiency
24. YANG TONICS
DONG CHONG XIA CAO
sweet I warm I LU KD
HU LU BA
bitter I warm I KD
SHA YUAN Zl
sweet I warm I KD LV
ACTIONS AND INDICATIONS
• • • •
•
Zl HE CHE
sweet, salty I warm I LV LU KD
JIU CAl Zl
acrid, sweet I warm I KD LV
HAl GOU SHEN
salty I hot I KD LV
• • • • • • •
YANG Ql SHI
salty I sl warm I KD
•
ZHONG RU SHI
sweet, acrid I warm I LU
HAl LONG
sweet I salty I sl warm I KD
• • • • • •
HAlMA
sweet, salty I warm I KD LV
HAl SHEN
salty I warm I HT KD
• • •
Fortifies the KD yang, tonifies the LU: KD unable to grasp qi; consumptive cough or cough with blood streaked sputum Assists the KD yang, augments the essence and blood: Impotence, daybreak diarrhea, or urinary frequency from KD yang deficiency Gently tonifies the KD yang, augments the essence: Impotence, sore and weak lower back and legs due to KD yang deficiency Tonifies the LU yin, settles coughs and wheezing, stops sweating and bleeding: Chronic cough, or consumptive cough with blood streaked sputum; wheezing from deficiency Fortifies the KD yang; drives out lower burner cold qi: KD yang deficiency patterns with accumulation of cold or stagnant qi; cold-damp leg qi, pain due to cold type bulging disorder Fortifies the yang, secures the essence: Deficient KD yang with lower back pain, tinnitus, impotence, urinary frequency Tonifies the LV and KD and improves the vision: Reduced visual acuity or blurred vision from deficiency Tonifies the LV and KD, augments the essence: Deficiency of KD qi and essence leading to infertility, impotence, spermatorrhea, lower back pain, and tinnitus Augments the qi, nourishes the blood: Emaciation, pallor insufficient lactation due to qi and blood exhaustion Tonifies the LU qi, augments the KD essence: Wheezing due to LU and KD deficiency, esp. in non-acute stage Warms the KD, fortifies the yang, secures the essence, secures the urine: KD yang deficiency Strengthen the yang and essence, tonifies the marrow: Impotence, decreased libido (Aversion to cold and cold limbs from KD yang deficiency) Warms the KD and lower burner, fortifies the yang: KD yang deficiency and cold Warms the Womb: Infertility and uterine blooding from cold Womb Augment the KD, assists the yang, directs qi downward: Cough and wheezing in patterns of yang deficiency with phlegm Benefit the qi and promotes lactation: Insufficient lactation Tonifies the KD, fortifies the yang: Impotence and debility, esp. in the elderly Reduces swelling and dissipates nodules: scrofula Tonifies the KD, fortifies the yang: Impotence, urinary incontinence, and wheezing from deficiency, esp. in the elderly Invigorates the blood: Bleeding and pain from blood stasis; swe lling due to sores and boils; abdominal masses Tonifies the KD, benefits the essence fortifies the yang: Impotence, nocturnal emissions, urinary frequency Moistens the Ll: Constipation due to Ll dryness
NCCAOM Herbs I Actions and Indications
466
HERBS
25. YIN TONICS HERB
NATURE
NAN SHA SHEN
sweet, sl bitter I cool I LU ST
XI YANG SHEN
sweet, sl bitter I cold I HT KD LU
YU ZHU
sweet I sl cold I LU ST
HAN LIAN CAO
sweet, sour I cool I KD LV
YIN ER
sweet, bland I neutral I LU ST
CHU SHI Zl
sweet I cold I LV KD
HERB
NATURE
SHI LIU PI
sour, astringe I warm toxic I Ll ST
ACTIONS AND INDICATIONS
• • • •
• • • • •
• • • • •
Clears the LU heat, expels phlegm, and moistens the LU yin: Cough and wheezing due to LU deficiency with heat, esp., with traces of blood in the scanty sputum Nourishes the ST yin: Dry mouth and thirst due to heat or febrile disease injuring the fluids Moistens the exterior: Dry, itchy skin, esp. aggravated by dry, cold weather Tonifies the qi, generates fluids and nourishes the yin: Yin deficiency with heat signs; chronic, unabating fever, or weakness, irritability and thirst after febrile disease Nurtures the LU yin and clears fire from the LU: LU yin deficiency with fire blazing; loss of voice due to yin deficiency Enriches the LU and ST yin, restores fluids (not cloying): LU and ST dry heat or yin deficiency patterns with cough, dry throat, irritability, and thirst; invasion of wind hat with a yin deficient constitution; steaming bone disorder; wasting and thirsting disorder with intense hunger and constipation Extinguishes wind and softens and moistens the sinews: Wind generated by insufficient fluids, leading to pain and spasms in the sinews; dizziness due to internal wind caused by yin deficiency Tonifies the LV and KD yin: Yin deficiency with dizziness, blurred vision, vertigo, premature greying of the hair Cools the blood and stops bleeding: Bleeding due to heat in the blood in yin deficiency patterns Enriches the LU yin, moistens the fluids: Cough due to LU yin deficiency, or LU consumption Nourishes the ST yin: Yin deficiency with ascendant yang Tonifies the LV and KD yin: Weakness of lower back and legs, steaming bone disorder, deficiency consumption Clears the LV, clears the eyes: Superficial visual obstruction from heat in LV channel Tonifies the KD qi: Edema and urinary difficulty from KD qi dysfunction
26 ASTRINGENTS
YU YU LIANG
sweet, astringe I neutral I Ll ST
LIAN XU
sweet, astringe I neutral I HT KD LV
WU BEl Zl
MAHUANG GEN NUO DAO GEN
xu
sour, salty I cold I KD Ll LU
sweet I neutral I LU sweet I neutral I KD LV LU
ACTIONS AND INDICATIONS
• • • • • • • • • • •
• •
Binds the ll, stops diarrhea and uterine bleeding: Chronic diarrhea due to cold from deficiency, dysenteric disorders, and rectal prolapse; excessive uterine bleeding and vaginal discharge Kills parasites: Tapeworms and roundworms; also ringworms (topically) Binds the ll, stops diarrhea: Lower burner weakness to point of incontinence; chronic diarrhea and dysenteric disorders Restrains, inhibits and stops bleeding: Incessant vaginal discharge of uterine bleeding Clears heat, stabilizes the KD: Premature ejaculation, enuresis, vaginal discharge Stops bleeding (mild effect): Variety of bleeding disorder Contains leaking LU qi and stops coughs; eliminates phlegm and thin mucus: Chronic cough due to LU deficiency Binds the ll and stops diarrhea: Chronic diarrhea, chronic blood in the stool dysenteric disorders, recta l prolapse Reserves and restrains: Leakage problems, such as nocturnal emissions, excessive sw eating and bleeding Absorbs moisture, reduces swelling, resolves fire toxicity: Sores, ringworms, toxic swellings, damp, ulcerated skin (topically) Inhibits the exterior to stop sweating caused by deficiency: Many types of sweating due to qi or yin deficiency; postpartum sweating Clears heat from deficiency, stops sweating: Night sweats due to yin deficiency, spontaneous sweating, deficient yin fevers Tonifies the KD yang, secures the essence, contains the urine: KD yang deficiency with dribbling urine, urinary frequency, nocturnal emissions without dreams, bedwetting in children
SANG PIAO XIAO
sweet, salty I neutral I KD LV
HERB
NATURE
ACTIONS AND INDICATIONS
LONG CHI
sweet, astringe I cool I HT LU
• • • • •
27 ANCHOR SHEN
ZHEN ZHU MU
sweet, sa lty I cold I HT LV
NCCAOM Herbs I Actions and Indications
Settles anxiety, calms the spirit: Palpitations with anxiety, withdrawal mania, insomnia Calms the LV, anchors the ya!lg, drains LV fire: Headache, dizziness, tinnitus, insomnia fro hyperactive LV yang Clears the LV, clears the eyes: Red eyes, photophobia, superficial visual obstruction Sedates fright, calms the spirit: Palpitation with anxiety, insomnia, irritability Stops bleeding: Bleeding, esp. from the upper part of the body
HERBS
Zl SHI YING
sweet I warm I HT LV
HU PO
sweet I neutral I UB HT LV
Zl BEl CHI
salty I neutral I LV
• • •
467
Sedates the HT, settles tremors, nourishes LV blood: Disorientation, insomnia, palpitations with anxiety, or convulsions due to HT blood deficiency or rising LV ya ng Warms the LU and directs qi downward: Cough or wheezing due to cold from deficiency of the LU; wheezing with copious sputum Warms the Womb, Penetrating, and Conception vessels: Excessive menstruation, uterine bleeding or infertility due to cold from deficiency in the "sea of blood"
palpitations, calms the spirit: Palpitations with anxiety, excessive dreams, • Arrests insomnia, forgetfulness, anxiety, seizures the blood, dissipates stasis: Amenorrhea or pain associated with palpable • Invigorates masses due to blood stasis; coronary heart disease Promotes urination, invigorates the blood: Urinary retention or painful urinary • dysfunction, esp. with bloody urine Reduces swelling, promotes healing: Sores, ulcerations, swelling and pain of the • scrotum or vulva (topically) Cools heat, brightens the eyes: Superficial visual obstruction due to heat toxin, rashes • threatening eyes of children
•
Calms the liver, anchors the yang: Dizziness, palpitations, insomnia
SHENG TIE LUO acrid I coo/ I HT LV
•
HERB
NATURE
ACTIONS AND INDICATIONS
LING ZHI
sweet I neutral I HT LV LU
Calms the LV, sedates the spirit: Withdrawal-mania, delirium from febrile disease, palpitations, insomnia
28. NOURISH & CALM SHEN
HE HUAN PI
sweet I neutral I HT LV
HE HUAN HUA
sweet I neutral I LV ST
HERB
NATURE
• • • •
• •
Calms the spirit, augments the HT qi, tonifies the HT blood: Insomnia, fright, palpitations, poor memory due to weak HT qi and blood Tonifies the qi, nourishes the blood: Deficiency consumption with shortness of breath, poor appetite, frigid extremities or irritability, dry mouth Calms the spirit, regulate the qi, relieves constraint: Bad temper, depression, insomnia, irritability, poor memory Harmonizes the blood, stops pain, reconnects the sinews and bones: Pain and swelling due to trauma, including fractures Dissipates swellings, reduces abscesses: swollen, painful abscesses, esp. LU abscess Relieves constrained LV qi; promotes qi flow in co/laterals, and calms the spirit: Insomnia, poor memory, and irritability due to constraint; stops pain by promoting qi circulation through the co/laterals
29 AROMATICS FOR ORIFICES ACTIONS AND INDICATIONS
• SHE XIANG
acrid I warm, aromatic I HT SP LV
SU HE XIANG
sweet, acrid I warm, aromatic I HT SP
AN XI XIANG
acrid, bitter I neutral I HT LV SP
BING PIAN
acrid, bitter I s/ cold I HT SP
SHI CHANG PU
acrid, bitter I warm, aromatic I HT ST
Intensely opens the orifices, revives the spirit, unblocks closed disorder: Convulsions, delirium, stupor, fainting due to heat entering the PC; closed disorders, tetanic collapse, phlegm collapse, seizures Invigorates the blood, dissipates clumps, reduces swelling, alleviates pain: Severe obstruction and pain due to blood stasis Facilitates delivery and uterine expulsion: Stillborn birth, delayed passage of afterbirth
• • the orifices, penetrates through turbidity: Closed disorder, phlegm blockage, • Opens and epidemic toxic diseases, esp. for cold disorders constraint, clears away filth: Stifling sensation, cold, fullness, and pain in the • Opens chest and abdomen
• •
Opens the orifices, awakens the spirit, promotes the movement of qi: Coma, or delirium with a stifling sensation and distention of the chest and abdomen Invigorate the blood, promotes the movement of qi: Pain in the chest and abdomen; muscle and joint pain)
opens the orifices and awakens the spirit: Fainting or convulsions • Aromatically Disperses fire from constraint, alleviates pain, dissipates nodules, alleviates itching: • Painful and swollen throat; skin diseases (topically) the orifices, vaporizes phlegm, quiets the spirit: Phlegm veiling the sensory • Opens orifices, coma, withdrawal-mania, or impaired mental functioning due to
•
•
phlegm-dampness veiling the consciousness Harmonizes the middle burner, transforms turbid dampness: Chest and epigastric fulln ess and abdom inal pain from dampness distressing the SP and ST Reduces swelling, promotes blood flow: Ulceration of mucous membranes; wind-cold-damp painful obstruction
NCCAOM Herbs I Actions and Indications
468
HERBS 30 EXTINGUISH LIVER WIND HERB
LING YANG JIAO
Cl Jl Ll
LU DOU VI
LUO BU MA YE
BAI JIANG CAN
QUAN XIE
NATURE
salty I cold I HT LV
acrid, bitter I neutral I LV
sweet I neutral I LV
sweet, bitter I cool I LV
acrid, salty I neutral I LV LU
salty, acrid I neutral, toxic I LV
WU GONG
acrid I warm, toxic I LV
HERB
NATURE
SHI JUN Zl
sweet I warm I SP ST
KU LIAN PI
bitter I cold, toxic I LV SP ST
ACTIONS AND INDICATIONS
• • • • •
• • • • • • • • • • • • • • • • • • •
Extinguish wind, controls spasms and convulsions: Stubborn high fever with internal movement of wind due to inten se heat; childhood convulsions due to high fever Calms the LV and anchors the yang, improves the vision : Dizziness, headaches, blurred vision, red eyes, spasms due to blazing LV fire Drains heat and resolves fire toxicity: Warm-fe brile diseases with high fever, delirium, manic behavior (heat in PC) Clears damp-heat: Wind-damp-heat painful obstruction Calms the LV; anchors the yang: Headache, dizziness, vertigo due to LV yang rising Dispels wind heat, brightens the eyes: Red, swollen and painful eyes, or increased tearing Dredges LV qi, disperses constraint: Pain and distention in chest or flanks or insufficient lactation due to constrained LV qi Dispels wind, stops itching: Any skin lesion with itching, such as hives Calms the LV yang, nourishes the LV yin and blood: Dizziness and headaches due to yin and blood deficiency precipitating hyperactive yang Enriches the KD yin, cools heat from deficiency: Night sweats and fever due to yin deficiency Clears heat, resolves toxicity: Swelling and abscesses (also topically) Clams and curbs LV yang, cools LV fire: Dizziness, vertigo, irritability, restlessness, and insomnia, hypertension Clears heat, promotes urination: Edema and urinary difficulty with heat Nourishes the HT, calms the spirit: Insomnia, palpitations, nervousness, post-concussion syndrome Extinguishes wind, stops spasms and convulsions: Childhood convulsions, lockjaw and seizures, facial paralysis Dispels wind heat, stops itching and pain: Headache, toothache, red eyes, sore and swollen throat, loss of voice due to external or internal wind Transforms phlegm, dispels clumping: Phlegm-heat scrofula and other phlegm nodes Expels wind, stops itching: Wind rash and itching skin lesions Extinguishes wind, stops tremors and convulsions: LV wind-phlegm patterns Attacks and resolves fire toxin: Toxic sores and scrofula (topically) Tracks down wind, unblocks the collaterals, stops pain: Stubborn headache and painful obstruction Extinguishes wind, stops spasms and convulsions: Childhood convulsions, lockjaw and seizure Attacks toxin, dissipates nodules: Toxic nodules including sores and neck lumps, and snakebite Unblocks the collaterals, stops pain: Stubborn headache and painful obstruction
31 EXPEL PARASTIES
FEI Zl
sweet I neutral I Ll LU ST
HE SHI
bitter, acrid I neutral, sl toxic I SP ST
LEI WAN
bitter I cold, sl toxic I Ll ST
WU VI
bitter, acrid I warm I SP ST
GUAN ZHONG
bitter I cold I LV ST
NCCAOM Herbs I Actions and Indications
ACTIONS AND INDICATIONS
• • • • • • • • •
• • • • •
Kills parasites: Esp. for roundworm Strengthens the SP, dissolves accumulations: Childhood nutritional impairment, poor appetite, abdominal distention (esp. for children or those with a weak constitution) Kills parasites, clears damp heat: Esp. for roundworm, hookworm, and ringworm; vaginal Trichomonas infections, candidiasis; tinea infection (topically) Kills parasites: Intestinal parasites, including tapeworm, pinworm, hookworm, roundworm Moistens the Ll: Constipation, esp. with hemorrhoids Moistens the LU, stops coughs: Mild cough due to dry LU Kills parasites: Intestinal parasites, esp. for abdominal pain from roundworm, pinworm, hookworm, or tapeworm Kills parasites: Esp. for tapeworm (uncooked powder), but also hookworm and roundworm Clears damp-heat in the ST and Ll, treats childhood nutritional impairments: Accumulation disorders in childhood nutritional impairment (esp. if associated with parasites) Kills parasites: Esp. for roundworm and tapeworm , childhood nutritional impairment form parasites, esp. with abdominal pain or diarrhea Topical use: Tinea infections Kills parasites: Intestinal parasites including tapeworm, roundworm, pinworm, hookworm, and LV fluke Clears heat, resolves toxicity: Wind-heat common cold, warm disease macules, or damp heat sores, mumps or epidemic toxin Cools the blood, stops bleeding: Bleeding due to hot blood, esp. uterine
HERBS
NAN GUA Zl
DA SUAN
sweet I neutral I Ll ST
acrid I warm I L1 LU SP ST
• • • •
469
Expels parasites and alleviates pain: Especially fro tapeworm, but also for roundworm and schistosomes Kills parasites: Hookworm and pinworm, and other intestinal parasites; tinea of the scalp Resolves toxicity: Diarrhea, dysentery, consumption; early stage toxic swollen sores and abscesses Warms the ST, strengthens the SP, reduces stagnation Accumulation of thin mucus or food stagnation (esp. from meat); cold pain in the epigastrium and abdomen; distention associated with fluid retention
CHANG SHAN
bitter, acrid I cold, toxic I HT LV LU
• •
HERB
NATURE
ACTIONS AND INDICATIONS
sour, astringe I cold I Ll LV LU SP
• • •
Checks malarial conditions: Outbreak or malarial symptoms Induces vomiting to expel phlegm: Phlegm collecting in the chest
32 EXTERNAL USE
BAI FAN
LU GAN SHI
sweet I neutral I LV ST
LIU HUANG
sour I hot, toxic I KD Ll PC
QIAN DAN
acrid I cool, toxic I HT LV SP
TU JING PI
acrid I warm, toxic I LU SP
MU BIE Zl
bitter, sl sweet I warm, toxic I Ll LV ST
DA FENG Zl
acrid I hot, toxic I KD LV SP
ER CHA
bitter, astringe I sl cold I LU
ZHANG NAO
acrid I hot, toxic I HT SP
BAN MAO
acrid I cold, toxic I Ll LV ST
CHAN SU
sweet, acrid I warm, toxic I HT ST
FENG FANG
sweet I neutral, toxic I LU ST
• • • • • • • • • • • • • •
• • •
• • • • • •
Restrains pathogenic dampness, resolves toxicity: Wash for scabies, ringworm, and rashes due to dampness or damp heat, swollen and painful eyes or throat Inhibits sores, generates flesh, transforms putrefaction: Chronic, non-healing ulcers or sores, fistulas Stops bleeding, alleviates diarrhea: Chronic diarrhea, blood in stool, uterine bleeding or vaginal discharge (internally); nosebleed, hemorrhoidal bleeding, bleeding gums, bleeding due to trauma Clears heat, expels phlegm (by vomiting), resolves thin mucus: Wind-phlegm disorders with irritability, delirium, or convulsions cough with difficult to expectorate sputum Brightens the eyes, removes superficial visual obstructions: Red and swollen eyes due to wind heat, or pterygium Dries dampness, generates flesh: Long-term drainage of pus from open or poorly healing sores Resolves toxicity, kills parasites, stops itching: Scabies, ringworm, yin furuncles and damp festering sores and ulcers Tonifies the fire at the gate of vitality: Impotence, lumber soreness, KD yang deficiency (prepared, internally) Expels toxin, generates flesh, stops itching: Swollen, toxic sores and ulcers Directs phlegm downward, suppresses spasm: Seizures (internally; no longer recommended) Kills parasites, dispels dampness, stops itching: Tinea, eczema, scabies, lichen simplex Resolves toxicity, reduces swelling: Toxic swollen sores, breast abscess, scrofula, hemorrhoids Reduces swelling, invigorates the blood: Swelling and pain due to external trauma or lumbar pain Expels wind, dries dampness, attacks toxicity, kills parasites: Scabies tinea; leprosy (internally, no longer recommended) Drains dampness and absorbs seepage: Sores filled with purulent fluids; mouth sores Stops bleeding: Bleeding fue to external injury Clears upper burner heat, transforms phlegm, generates fluids: Cough due to LU heat, summer-heat thirst, diarrhea (internally; rarely used) Expels wind and dampness; kills parasites: Scabies, ringworm, itching sores Opens the orifices and expels turbidity: Delirium and sudden loss of consciousness due to heat (internally) Invigorates the blood and alleviates pain: External injuries with pain and swelling Attacks toxins, wears away sores: Sores, carbuncles, scrofula Breaks up blood stasis, disperses clumps Palpable fixed masses (internally; rarely used) Resolves toxicity, reduces swelling, alleviates pain: Swelling sores, ulcers, and carbuncles; pain and swelling of the throat Expels summer-heat and dampness, opens the orifices: Extremely turbid summer-heat with abdominal pain, vomiting, diarrhea Resolves toxicity, expels wind, alleviates pain: Rash, itching, sores, scabies, ringworm; severe toothache (as a gargle) Expels wind, dries dampness: Wind-damp painful obstruction or wind rash
NCCAOM Herbs I Actions and Indications
470
HERBS
THE TAO OF NUTRITION
MAOSHING & CATHY
VEGETABLES
1
2 3 4 5 6
FRUITS GRAINS SEEDS, NUTS & LEGUMES MEAT, FISH, POULTRY & ANIMAL PRODUCTS MISCELLANEOUS FOODS, HERBS, AND BEVERAGES
1.VEGETABLES Nature/Taste
Name
1
Alfalfa Sprout
cool
I
Actions
sl bitter
Benefits SP,ST
I
I
I
Dispels damp
I
Lubricates intestines
I
2
Asparagus
cool
I
sweet, bitter
Clear heat
3
Bamboo Shoot
cool
I
sweet
Strengthens ST I Relieves food retention I Resolves mucus I Promotes diuresis I Cuts or emulsifies fats I Relieves alcohol intoxication I Promotes measles
4
Beet
cool
I
sweet
Nourishes blood I Tonifies HT intestines I Cleanses LV
5
Bell Pepper
sl warm sweet
6
Bok Choy
cool
I
pungent, sweet
Clears heat I Lubricates the intestines Quenches thirst I Promotes digestion
7
Broccoli
cool
I
sweet
Clears heat I Promotes diuresis I Brightens eyes summer-heat I (This vegetable is weak in action)
8
Burdock root (Gobo)
cool
I
pungent, bitter
Clears heat
I
Dispels wind
cool
I
sweet
Clears heat
I
Lubricates intestines
9
Cabbage (Red/Green)
I
pungent,
Detoxifies
Promotes blood circulation
I
Calms the spirit
I
Clears LU
Lubricates
Strengthens ST I Improves appetite I Promotes blood circulation Removes food stagnation I Reduces swelling
I
I
I
Removes food stagnation
I
I
Clears
Brightens vision
I
Stops cough
10
Carrot
cool
I
sweet, pungent
Clears heat I Detoxifies I Strengthens all internal organs I Benefits the eyes I Relieves measles I Lubricates the intestines I Promotes digestion
11
Cauliflower
cool
I
sweet
Lubricates intestines action)
12
Celery
cool
I
sweet, sl bitter
Tonifies KD I Stops bleeding I Strengthens SP,ST Lowers blood pressure I Promotes diuresis
13
Chard
neutral
14
Chinese Cabbage (Napa Cabbage)
cold
15
Chinese Chive
warm
16
Cilantro Leaf (Chinese Parsley)
sl cool
I
I
sweet
sweet
I
pungent
I
I
pungent
Clears Toxic-heat Clears heat Diaphoretic
I
I
I
Strengthens SP
(This vegetable is weak in
I
I
I
Tonifies KD and sexual functions coldness
I
Removes damp
Strengthens digestion
Stops bleeding I Promotes diuresis pressure I Clears heat I Detoxifies
I
Promotes urination
I
I
I
Warms up
Promotes Qi flow
Benefits GB
I
Lowers blood
17
Corn
cool
18
Cucumber
cool I sweet, bland (peels are bitter)
19
Daikon Radish (White carrot)
cool
I
pungent, sweet
Removes food stagnation I Moistens LU I Resolves mucus Quenches thirst I Relieves alcohol intoxication
20
Dandelion Greens
cool
I
bitter, sl sweet
Clears heat I Detoxifies I Anti-tumor Promotes the flow of bile I Diuretic
21
Eggplant
cool
I
sweet
Relieves pain I Promotes diuresis blood stagnation
22
Garlic
hot
23
Green Bean
warm
24
Kale
warm
I
sweet
Quenches thirst
I I
sweet
Warms SP,ST
sl bitter
Strengthens ST
neutral
26
Lotus Root
cool
27
Mushroom (Button)
sl cool
I
bland
I
Relieves irritability
I
I
I
Promotes
I
Benefits LV function
Reduces swelling
I
I
Removes
Anti-viral I Anti-fungal I Detoxifies meat and seafood I Kills worms Removes food stagnation and blood stagnation I Reduces abscess
I
Lettuce
Foods I Actions
I
pungent
25
I
Clears heat diuresis
I
Clears heat
Benefits blood
Lubricates intestines
Promotes sweating
I
I
Descends Qi
I
Stops pain
I I
Tonifies KD
I
Benefits Qi
Promotes regrowth of tissue
Invigorates Qi I Remove stagnation I Reduces swelling hardening I (This vegetable is weak in action)
I
Softens
sweet
Very healing I Clears heat I Quenches thirst I Relieves irritability I Stops bleeding I Strengthens ST I Promotes diuresis I Cools blood
I
Induces measles eruptions I Detoxifies I diarrhea I Resolves phlegm I Anti-tumor
sweet
Improves appetite
I
Stops
HERBS
28
Mushroom (Ganoderma, ling Zhi)
I
warm
bland
Nourishes HT
I
I
Clams t he spirit
Fortifies the Qi and Blood
Strengthens ST I Promotes healing I Lowers blood pressure Detoxifies I Anti-tumor I Lowers cholesterol
I
29
Mushroom (Shitake, Black)
neutral
30
Mushroom (White)
cold
31
Mustard Green
warm
I
pungent
Relieves common colds I Promotes diuresis I Dissolves mucus 1 Strengthens and lubricates I Ventilates LU I Increases appetite
32
Onion (or leek)
warm
I
pungent
Promotes sweating
33
Parsley
sl warm
I
Promotes digestion I Removes food stagnation Qi I Induces measle eruption I Diuretic
34
Parsnip
warm
35
Potato
cool
I
sweet
36
Pumpkin (and Winter Squash}
cool
I
sweet
37
Scallion (Green Onion)
hot
38
Seaweed
cold
I
salty
Soften hardenings I Clears heat I Detoxifies I Benefits the thyroid gland I Neutralizes radioactive material I Benefits the lymphatic system I Promotes diuresis I Provides many minerals
39
Snow Pea
cold
I
sweet
Strengthens middle-warmer I Detoxifies I Relieves vomiting I Promotes diuresis I Relieves belching I Stops dysentery I Aids lactation I Quenches thirst
40
Soybean Sprout
cool
I
sweet
Promotes diuresis
41
Spinach
cool
I
sweet
Strengthens all organs I Lubricates intestines Ventilates the chest I Quenches thirst
42
Squash (Summer Squash, Zucchini)
cool
I
sweet
Clears heat I Detoxifies Relieves restlessness
43
Sweet Potato (Yam)
neutral
I
sweet
Strengthens SP,ST I Tonifies Qi I Clears heat Increases the production of milk
44
Taro Root
neutral
I
sweet, pungent
Clears heat system
45
Turnip
cool I sweet, bitter, pungent
46
Water Chestnut
cold
I
sweet
Clears heat
I
Stops bleeding
47
Watercress
cool
I
bitter
Clears heat
Quenches thirst
48
Winter Melon
cool
I
sweet, bland
I I
Clears heat Detoxifies I Promotes urination I Quenches thirst I Relieves irritability I Dispels damp I Antidote for seafood poisoning
I
I
I
sweet
I
I
Clears summer-heat Detoxifies
sweet
pungent
I
I
Lowers blood pressure
Resolves phlegm
I
Promotes sweating I Dispels wind-damp bleeding (when charred)
pungent
471
I
Anti-tumor
Diuretic
I
I
Regu lates flow of
Re lieves pain
1 Stops
Relieves ulcer pain I Strengthens SP I Harmonizes ST I Tonifies Qi Lubricates intestines I Promotes diuresis I Heals inflammations
I
Dispels damp I Reduces fever I Relieves pain I Stabilizes hyperactive fetus I Stops dysentery I Benefits diabetes I The seeds kill worms and parasites Expels external pathogens Anti-viral I Anti-bacterial
pungent
I
I
I
I
Dispels wind-cold
Induces sweating
I
Clears heat
I
I
Clears heat I Removes damp Detoxifies I Stops cough
Benefits SP
I
Promotes urination
I
Promotes diuresis
Reduces swelling
I
Quenches thirst
I
I
Detoxifies
I
Regulates digestive
I
Removes food stagnation
I
Lubricates LU
I
I
I
Promotes diuresis
2. FRUITS Name
I
Nature/Taste
Actions
sweet, sl sour
Strengthens HT I Tonifies Qi I Quenches thirst Lubricates LU I Resolves mucus
I
Regenerates body fluids
I
Promotes body fluids
I
1
Apple
cool
2
Apricot
sl cool
3
Banana
cold
I
sweet
I
4
Cantaloupe
cold
I
sweet
Clears heat
5
Cherry
warm
6
Chinese Date (Red/Black jujube)
neutral
7
Chinese Prune
warm
I
sour
Astringes intestines I Stops diarrhea I Kills worms I Stops cough I Consolidates LU I Quenches thirst I Promotes body fluids I (The sweet prunes quench thirst, promote body fluids, and moisten the intestines)
8
Coconut
warm
I
sweet
Strengthens the body Activates HT function
I
sweet, sour
sweet
I
sweet
I
Clears heat I Lubricates LU Aids alcohol intoxication
I
I
Quenches thirst
I
Detoxifies
I
Quenches thirst
Lubricates intestines
I
Lowers blood pressure
Clears heat
I
Relives summer-heat
I
Eases urination
Benefits skin and overall body I Rejuvenates I Strengthens SP I Stimulates appetite I Stops dysentery and diarrhea I Quenches thirst I Regenerates fluids I Stops seminal emissions I Prolongs life Strengthens SP I Tonifies Yin I Nourishes body I Ton ifies blood I Lubricates LU I Stops cough I Stops diarrhea I Harmonizes within the body or within an herb formula I (Dates and Licorice can reduce the harshness of a food or herb and unite the combination into action)
I
Reduces swelling
I
Stops bleeding
I
Kills worms
I
Foods I Actions
472
HERBS
9
Fig
cool
I
Clears heat
I
Very tomfying (particularly the red or purple variet1es) I Nounshes blood I Strengthens bone s and tendons I Ton1f 1es Q1 I Harmon 1zes ST I Promotes diuresis I Relieves irritability
sweet, sour
Lubricates LU and intestines
I
sweet
I
Stops diarrhea
10
Grape
warm
11
Grapefruit
cold
12
Hawthorn Berry
sl warm
13
Lemon
cool
14
Litchi Fruit (Lychee)
warm
15
loquat
neutral
I
sweet, sour
I
16
Mango
neutral
I
sweet, sour
Regenerates body f luid s
sweet
Quenches thirst I Detoxifies I Nourishes blood I Tonifies KD LU I Rel ieves constipation I Calms spirit I Promotes diuresis
I
I
I
sweet, sour
sour
I
17
Mulberry
sl cold
18
Orange
coo l
19
Papaya
neutral
20
Peach
very cool
21
Pear Apple (Asian Pear)
cold
I
sweet
22
Persimmon
cool
I
sweet, astringent
23
Pineapple
warm
I
I
I
Circulates Qi
Detoxifies alcohol
Strengthen s SP I Removes food stagnation I Invigorates blood sputum I Relieves Qi stagnation I Aids digestion
I
Dissolves
Regenerates body flu ids I Harmonizes ST I Regu lates Qi I Quenches thirst Benefits LV Nourishes blood I Calms spirit I Soothes LV I Regu lates Qi Lubricates dryness Calm s LV
I
Stops cough
I
I
I
Harmonizes ST
I
Stops cough
Descen ds rebellious Qi
Stops thirst
Lubricates LU I Resolves mucus I Increases appetite Quenches thirst I Promotes body fluids
sweet, sour
I
I
Aids digestion
I
sweet, astringent
I
I
Strengthen s ST intoxication
sweet, sour
I
I
Strengthe ns ST
I
Lubricates
St rengthens SP
I
sweet, sour
Strengthens SP,ST I Aids digestion I Clears sum mer-heat I Lubricates LU Stops cough I Aids irritability I Kills wo rms I Increases milk production
I
Lubricates LU I Clears heat Induces sweating
sweet, sl sour
I
Aids diabetes
I
Promotes body fluids
I
Regenerates body fluid s I Quenches thirst I Calms HT I Lubricates lU Relieves restlessness I Promotes urination I Clears heat I Detox ifies I Lubricates throat I Dissolves mucus I Descends Qi and stops cough Lubricates LU I Stops cough with heat I Dissolves sputum Stops diarrhea I Quenches thirst I Clears heat
I
sweet, sour
Aids digestion
I
I
Stops diarrhea
I
I
I
Strengthens SP
Dispels summer-heat
24
Plum
sl warm
I
sweet, sour
Stimulates appetite I Aids digestion I Regulates body fluids I Stops th irst I Softens or soothes the LV I Removes Qi stagnation I Removes t he feel ing of steaming bones
25
Raspberry
sl warm
I
sweet, sour
Tonifies LV,KD
I
26
Strawberry
coo l
27
Tangerine
warm
28
Tomato
sl cool
29
Watermelon
cold
I
sweet, sour
I
sweet, sour
I
I
I
Astringes essence
sweet, sour
Carminative
I
Opens channels
I
I
Strengthens SP
Strengthens ST
I
Brightens eyes Detoxifies in
Stops cough
Promotes body fluids I Que nches t hi rst I Strengthens ST I Aids digestion Cools blood I Clears heat I Detoxifies I Ca lms LV I Removes food stagnation Quenches thirst I Relieves irritab ility diuresi s I Detoxifies
sweet
I I
Astringes urination
Lubricates LU I Promotes body f luids alcohol intoxication
I
Dispels summer-heat
I
I
Promotes
3. GRAINS Name
Nature/Taste
Actions
1
Buckwheat
neutra l
I
sweet
Descends Qi I Strengthens ST Strengthens blood vesse ls
2
Corn Meal
neutra l
I
sweet
Ton ifies Qi I Strengthens SP,ST flow of bile
3
Millet
cool
4
Oats
warm
5
Pearl Barley (Coix, JoB's Tears)
cool
I
sweet
I
I
sweet
bland
I
neutral
sweet
6
Rice (Brown)
7
Rice (Sweet)
warm
8
Rice (White)
sl cool
I
sweet
9
Rice Bran
neutral
I
10
Rye
neutral
I
I
I
Wheat
sl coo l
12
Wheat Bran
sl warm
13
Wheat Germ
warm
Foods I Actions
I
I
Stops dysent ery
I
Benefits HT
I
Diuretic
Strengthens SP I Tonifies Qi I Harmonizes ST Stops lactation (sprouted form only)
I
Promotes diuresis
I
Strengthens SP
I
I
I
Benefits GB
Strengthens SP I Nourishes ST I Quenches t hirst Astringes intestines I Stops diarrhea
I
Clears heat
I
Astringes urine
I
Diuretic
I
Reduces swe lling
sweet
Dispels
sweet
Arrest s perspiration due to weakness
I
Strengthens ST
sweet
Clears heat Calms spirit
Quenches thirst Stops sweating
I
Re lieves rest lessness
Calms
Resolves damp
I
Moves stool
Warms SP,ST Moistens Yin
I I spirit I
I
Carminative
I
Detoxifies
Relieves irrita bility
Tonifies Qi
sweet
Stimulates the
Regulates Qi
Clears heat
I
I
Stops vomiting I Rel ieves diarrhea I Conso lidates or astringes ST and intestines I Clears heat I Promotes urination I Soothes morning sickness
I
sweet
I
Lowers blood pressure
I damp I
sweet
11
I
I
Diuretic
Re lieves restlessness
I
Arrests diabetes
I
I
Fortifies Qi
Promotes diuresis
I
HERBS
473
4 . SEEDS, NUTS & LEGUMES Name
Nature/Taste
Actions
I
1
Almond
neutral
I
sweet
Ventilates LU intestines
2
Azuki Bean (Aduki, Red)
neutral
I
sweet, sour
Strengthens SP Benefits KD
3
Black Bean
warm
I
sweet
4
Chestnut
warm
I
sweet, salty
5
Filbert (Hazel Nut)
neutral
I
sweet
6
Kidney Bean
neutral
I
sweet
I
I
I
Strengthens digestion
Fortifies Qi
I
Strengthens digestion
I
Promotes elimination
I
Strengthens ST
lotus Seed
neutral / sweet
9
Mung Bean
very cool
10
Peanut
neutral
I
sweet
Improves appetite Promotes diuresis
11
Pea
neutral
I
sweet
Strengthens digestion intestines
12
Pine Nut
w ar m
13
Pumpkin Seed
cold
Strengthens KD
sweet
sweet
I
I
Astringes
I
I
Anti-parasitic
I I
I I
I
Brightens eyes
Diuretic
I
Clear
Nutritive tonic
I I
Promotes urination Counteracts toxins
I
Strengthens SP,ST
Stops cough
1
I
I
I
Reduces
Lu bricates LU
Promotes diuresis
Lubricates intestines
I
I
Promot es body fluids
Diuretic
Nourishes LV,KD I Lubricates intestines overall I Benefits skin
I
Blackens gray hair
I
Tonifies the body
Sesame Seed (Brown)
sl warm
15
Sesame Seed (Black)
neutral
I
sweet
Tonifies LV,KD I Harmonizes blood Nourishes Yin I Promotes lactation
16
Sunflower Seed
neutral
I
sweet
Subdues LV I Lowers blood pressure Moisten intestines
17
Soy Bean
cool
I
sweet
Clears heat I Detoxifies I Eases urination Provides an excellent protein food
18
Tofu (Soy Bean Curd)
cool
I
sweet
Clears heat / Lubricates dryness / Promotes body fluids / Detoxifies / Strengthens SP,ST
19
Walnut
sl warm
20
Winter Melon Seed
cool
I
I
sweet
bland
I
Lubricates
14
sweet
1
Arrests cough
Strengthens SP I Regulates blood Aids in lactation
I
Lubricates
Reduces damp
Descend rebellious Qi
Clears heat I Detoxifies I Quenches thirst swelling I Aids edema in the lower limbs
Lubricates LU
sweet
I
I
Fortifies Qi
Strengthens digestion
8
sweet
I
Harmonizes digestion summer-heat
sl warm
I
Counteracts toxins
Tonifies KD I Nourishes Yin I Strengthens and nourishes blood Promotes diuresis I Strengthens KD
Tonifies KD
I
Transform phlegm
I
Lentil
I
I
Benefits diabetes
7
I
I
Relieves cough and asthma
I
Lubricates intestines
I
Restore hair color
I
I
Resolves pus
Relieves dysentery
I
Lubricates LU and intestines
Tonifies KD I Strengthens back I Astringes LU I Relieves asthma intestines I Aids erratic or rebellious Qi I Reduces cholesterol Promotes diuresis
I
Resolves mucus
I
I
Stops cough
Clears heat
I
I I
I
Lubricates
I
Detoxifies
5. MEAT, FISH, POULTRY & ANIMAL PRODUCTS Name
Nature/Taste
Actions
1
Beef
warm
I
sweet
Tonifies Qi and blood I Strengthens SP,ST Strengthens bones and tendons
2
Chicken
warm
I
sweet
Tonifies Qi
3
Chicken Egg
cool
4
Fish
warm
5
lamb
hot
6
Milk & Milk Products
neutral
7
Pork
sl cold
I
I
sweet
I
Nourishes blood
I
I
Tonifies blood
Dispels damp
Aids KD deficiency
I
I
I
I
Relieves edema
Benefits SP,ST
Stabilizes hyperactive fetus
I
Lubricates dryness
Strengthens SP I Tonifies Qi I Removes damp I Regulates blood I Aids diarrhea from SP weakness I (Ocean Fish would be cooler than Freshwater Fish. Clams/Crabs ~ cool, Oysters ~ neutral, and Shrimp ~ warm . The Shel lfi sh can cause rashes and other allergic reactions)
sw eet
Tonifies weakness I Dispels cold appetite I Aids lactation
sweet
I I
I
Nourishes Yin
I
I
sweet
Strengthens w ea kness
sweet
Moistens and nourishes organs
I
Strengthens and nourishes Qi and blood
Nourishes Qi and blood
I
Tonifies Qi
I
I
I
Promotes
Lubricates dryness
Strengthens digestion
6. MISCELLANEOUS FOODS, H E RBS, AND BEVERAGES Name Anise Seed
warm
Nature/Taste
Actions
I
Strengthens ST
pungent
I
Regulates Qi flow
I
Harmonizes ST
I
Stops vomiting
Foods I Actions
474
HERBS
I
2
Barley Malt Syrup
neutral
3
Basil
warm
4
Black Fungus (Wood Ears)
neutral, (sl toxic)
5
Black Pepper
hot
6
Brown Sugar (Turbinado Sugar)
warm
I
I
Promotes digestion Stops lactation
sweet
Induces sweating
pungent
I
sweet
I
I
Harmonizes ST
Nourishes ST I Calms spirit flow I Removes stagnation
I
pungent
Warms digestion
I
sweet
Strengthens digestion
I
I
Lubricates LU
Cardamon Seed
warm
I
pungent
8
Carob Pod
warm
I
sweet
Soothes and Calms spirit
9
Cinnamon
hot
Strengthens ST
I
I
I
I
Promotes blood
Stops cough
I
Warms body
Invigorates the flow of Qi
10
Clove
warm
I
pungent
11
Coffee
warm
I
sweet, bitter
Stimulating
I
I
Antidote to food poisoning
I
Warms and coldness in body
Diuretic
I
Antidote for seafood poisoning
Warm the middle I Dispels internal cold Warms KD I Stops pain
I
Strengthens ST
Lubricates dryness
Resolves damp
7
pungent, sweet
I
I
Dispels internal cold
Warms digestion Stops vomiting
I
I
Relieves food stagnation
I
I
Stops pain
Reverse rebellious Qi
Promotes elimination
Fennel Seed
warm
I
pungent
13
Ginger Root (Fresh)
warm
I
pungent
Promotes sweating I Anti-toxin I Antidote for seafood poisoning Benefits LU and ST I Expels pathogen
14
Honey
neutral
15
Molasses
warm
16
Olive
neutral I sweet, astringent
17
Rice Vinegar
warm
18
Salt
cold
I
salty, sl sweet
I
19
Tea
cool
I
bitter, sweet
Clears heat I Refreshes mind I Relieves thirst and restlessness Resolves phlegm I Diuretic I Promotes digestion I Detoxifies I Reduces cholesterol
20
White Fungus (Silver Ears)
neutral
21
Wine
warm
Foods I Actions
I
I
I
Tonifies Qi sour~
sour
I
Dispels cold
Nourishes Yin I Lubricates dryness I Tonifies weakness Antidote to drugs I Strengthens SP
sweet sweet
I
I
I
12
Unblocks and regulates Qi I Strengthens ST pain I Stimulates peristalsis
I
sweet
pungent, sweet
I
I
Strengthens SP
I
Lubricates LU
I
Clears heat I Detoxifies I Promotes body fluids Clears LU I Benefits throat Detoxifies I Invigorates blood circulation Astringents I Closes pores
I
I
Stops
I
Harmonizes
Stops cough
I
Quenches thirst
Inhibits bacteria
I
1
Harmonizes and promotes digestion I Strengthens KD (small amounts) Fortifies bones, tendons and teeth I Brightens eyes I Detoxifies 1 Used as a natural preservative
I
Clears LU heat I Strengthens SP,ST I Promotes body fluids I Tonifies Qi I Invigorates blood I Lubricates intestines I Re lieves alcohol intoxication I Nourishes Yin, especially of the LU Promotes circulation I Enhances the effect of circulatory herbs Stops pain temporarily
I
HERBS
475
ENERGETIC PROPERTIES OF FOODS
COLD
•• •• ••
chinese cabbage mung bean sprout seaweed snow pea wat er chestnut white mushroom
•• •• •• •
banana cantaloupe grapefruit mulberry pea r pear-apple watermelon
VEGETABLES
FRUITS
GRAINS
•
pumpkin seed
SEEDS/BEANS
•
pork
ANIMAL PRODUCTS
•
HERBS
MISCELLANEOUS
•• •• • •• •• •
•• e
bamboo shavings cassia seeds chinese cucumber chrysanthemum goldenseal root honeysuckle f lower lily bu lb motherwort leaf mulberry leaf oyster shell reed root sa lt vitamin C w hite sugar
COOL
•• •• •• •• •• •• ••• ••• •• •• •• ••• •• • •• •• •• •• •
alfalfa sprout asparagus bamboo shoot beet bok choy broccoli burdock root button mushroom cabbage carrot cauliflower celery corn cucumber daikon radish dandelion greens eggplant endive lettuce lotus root potato pumpkin romaine lettuce soy bean sprout spinach summer squash turnip winter melon watercress winter squash zucchini
millet pearl barley white rice wheat
•• ••
mung bean soy bean tofu winter melon seed
•• •
chicken egg clam crab
•• •• • •
•• •• ••
apple apricot fig lemon orange peach persimmon strawberry tomato
••• •
•
NEUTRAL chard lettuce shitake mushroom sweet potato taro root yam
american ginseng cilantro corn silk kudzu (pueraria) mint leaf pueraria root
tea
•• •• ••• •• •• •• •
almond adzuki bean black sesame seed filbert kidney bean lotus seed peanut pea sunflower seed fish (ocean) gelatin dairy products oyster
•• •
chinese yam licorice root lycii berry poria mushroom
•• •• •
barley malt rice malt black fungus honey white fungus
•
bell pepper chinese chive ganoderma mushroom green bean kale leek mustard green onion parsley parsnip
•• •• •
chinese date loquat mango olive papaya
•• •• • •• ••
•• •• •• • •• ••
HOT
WARM
••• ••• •• ••
buckwheat brown rice corn meal rice bran rye
••
garlic scallion
•• •• •• •• •• • ••• •
cherry chinese prune coconut dried papaya grape hawthorn berry litchi (lychee) pineapple plum raspberry tangerine oats sweet rice wheat bran wheat germ
•
lamb
•• •
black pepper cin namon bark dry ginger
black bean brown sesame seed chestnut lentil pine nut walnut
beef chicken fi sh (freshwater) shrimp turkey anise seed basil cardamon seed carob pod citrus peels clove coriander seed dang gui fennel seed fresh ginger oriental ginseng brown sugar coffee molasses rice vinegar wine
Foods I Energetic Properties
476
HERBS
FOOD CATEGORY BY ACTIONS REGULAT ING
T ONIFYING
:a
m C)
Basil, Caraway, Cardamom, Carrot, Cayenne, Chive,
Beef, Cherry, Chicken, Coconut, Date, Eel, Fig, Ginseng, Goose, Grape, Ham, Herring, Lentil, Licorice, Longan,
5 m
M ackerel, Microalgae, Molasses, Oats, Octopus, Potato, Rabbit, . Rice, Royal Jelly, Sweet Potato, Shiitake Mushroom, Squash, Sturgeon, Tofu, Yam
E
Clove, Coriander, Dill Seed, Garlic, Marjoram, Mustard Leaf, Orange Peel, Radish, Star Anise, Tangerines Peel, Turmeric C SWEET & ACRID
c E
... 0 z n
3:
~
m Ill I"'
0 0
Amasake, Aubergine, Crab, Brown Sugar, Chestnut, Chili Pepper, Chive, Hawthorn Berry, Onion, Mustard Leaf, Peach, Scallion, Sturgeon, Vinegar C SWEET & ACRID
c
Ill I"'
0 0
c
...
0
z
n
Adzuki Bean, Apricot, Beef, Beetroot, Bone Marrow, Chicken Egg, Cuttlefish, Dandelion, Dark Leafy Greens, Date, Dandelion, Dang Gui, Fig, Grape, Kidney Bean, Liver, Longan, Microalgae, Nettle, Oyster, Octopus, Parsley, Sardine, Spinach, Sweet Rice, Watercress
(")
I"'
m )>
:a ::z: m
~
~
:a
-< )> z C)
...0 z
n
Basil, Cassia Fruit, Chestnut, Chive Seed, Cinnamon Bark, Clove, Dill Seed, Fennel Seed, Garlic, Fenugreek Seed, Ginger(dried), Kidney, Lamb, Lobster, Nutmeg, Pistachio, Raspberry, Rosemary, Sage, Savory, Shrimp, Star Anise, Thyme, Walnut
3:
(")
0
I"'
c
z
m
(I) (I)
Asparagus, Aubergine, Bamboo shoot, Banana, Chicken Egg White, Clam, Elderflower, Grapefruit, Lemon, Lettuce, Millet, Mung Bean, Mung Bean Sprout, Peppermint, Potato, Salt, Tofu, Watermelon, Wheat C COOL & MOISTEN
Anchovy, Basil, Bay, Black Pepper, Cayenne, Cherry, Chestnut, Chicken, Leek, Coriander Seed, Dill Seed, Fennel Seed, Garlic, Ginger, Kohlrabi, Lamb Kidney, Mussel, Mustard Leaf, Mutton, Nutmeg, Onion, Peach, Pine Kernel, Walnut, Rosemary, Scallion, Shrimp, Squash, Sweet Potato, Sweet Rice, Trout, Turnip, Vinegar, Wine C WARM / SWEET & ACRID
...
~
z
en
'" g 0
;
:::s
z
... z n
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App le, Asparagus, Cheese, Chicken Egg, Clam, Crab, Cuttlefish, Duck, Duck Egg, Honey, Kidney Bean, Lemon, Malt, Mango, Milk, Oyster, Pea, Pear, Pineapple, Pomegranate, Pork, Rabbit, String Bean, Tofu, Tomato, Watermelon, Yam
3:
Adzuki Bean, Alfalfa, Anchovy, Barley, Celery, Corn, Daikon, Garlic, Green Tea, Horseradish, Jasmine Tea, Job's Tears, Kidney Bean, Kohlrabi, Lemon, Mackerel, Marjoram, Mushroom (button), Mustard Leaf, Onion, Parsley, Pumpkin, Radish, Rye, Scallion, Turnip, Umeboshi Plum C BITIER
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Adzuki Bean, Alfalfa, Anchovy, Barley, Frog, Black Soybean, Broad Bean, Celery, Clam, Fenugreek, Grape, Job's Tears, Kelp, Lettuce, Mackerel, Sardine, Seaweed
C
BLAND
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Dairy product (sheep and goat products are less dampening), Pork & rich meat, Roasted Peanuts, Concentrated j uices (especially Orange and Tomato), Wheat, Bread, Yea st, Beer Bananas, Sugar and
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Sweeteners, Saturated fats CONDITION
3:
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CAUTION FOR DAMP
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Foods I TCM Pa tterns
Almond, Apple Peel, Clam, Daikon, Garlic, Grapefruit, Lemon Peel, Licorice, Olive, Marjoram, Orange Peel, Mushroom(button), Onion, Mustard Leaf, Peppermint, Mustard Seed, Pear, Radish, Black and White Pepper, Persimmon, Plantain, Tea, Seaweed, Shiitake, Shrimp Mushroom, Thyme, W alnut, Watercress C BITIER
CHAPTERS
Formulas J]itfiJ
CONTENTS NAME
CATEGORIES -
MA HUANG TANG
ii'JI'~
(Df!f® J
481
2
GUI ZHI TANG
tH.V~
(;ljiJ.:I®)
482
-
-
-
-
-
-
(')
.. .. 0
:I ~
:I
en
526
33
BU ZHONG VI Ql TANG
fili~~~
527
34
SHENG MAl SAN
~~!Ill (~9.!10)
528
-
35
51 WU TANG
~~~ (Af~®)
529
M!~~
530
SHI QUAN DA BU TANG
+~:*:filii~ (~~OI.'i!® )
531
LIU WEI Dl HUANG WAN
:t~§ J
(l!H2lli1' 0)
562 563
'TI
0
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~
iAI
Ill
~
....
~ KING HERBS
RELEASE EXTERIOR M~Jiil !~HEXill
ID
m
CATEGORY
SUB-CATEGORY
FORMULAS
ID
..c;·
1
KING HERBS
0
c ~ (II
M a Huang Ta ng
1
Ma Huang Tang
Ma Huang
Gui Zhi Tang
2
Gui Zhi Tang
Gui Zhi
Ge Gen Tang
3
Ge Gen Tang
Ge Gen
Sang Ju Yin
4
Sang Ju Yin
Sang Ye, Ju Hua
Yin Qiao San
5
Yin Qiao San
Jin Yin Hua, Lian Qiao
Chai Ge Jie Ji Tang
6
Chai Ge Jie Ji Tang
Chai Hu, Ge Gen
Ren Shen Bai Du San
7
Ren Shen Bai Du San
Qiang Huo, Du Huo
1--
2
Disperse Wind-Cold
1--
3 1---
RELEASE 4 EXTERIOR 1---
5
Disperse Wind-Heat
1---
6 1---
7
Release Exterior & Tonify deficiency
"'::a"
FORMULA
>C
31:
1. MA HUANG TANG (Ephedra Decoction)
... Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Hierarchy
Functions
Ma Huang
acrid, sl bitter
warm
LU UB
9g
Ma Huang
king
Strong diaphoretic, dissem inates LU qi and treats w heezing
Gui Zhi
acrid, sweet bitter
warm
Xing Ren
sl warm, sl toxic
HT LU UB LU Ll
6g 9-12g
Gui Zhi Xing Ren
deputy assistant
Diaphoretic, warms and facilitates the flow in t he channels Unblocks the f low of LU qi and helps the chief herb
Zhi Gan Cao
sweet
warm
HT LU SP ST
3g
Zhi Gan Cao
envoy
Harmonizes and moderates t he actions of t he other herbs
... Modifications
Actions • •
1. exterior cold with interior heat: + Shi Gao
Release exterior Wind-Cold by drastic diaphoretic Arrest w heezing by faci litating t he flow of LU Qi
2. concurrent yang deficiency: + Huang Qi
-
Indications· Exterior Wind Cold of excess type
3. sore throat: ,J...Gui Zhi (Y,), + Tian Hua Fen, She Gan 4. cough/ w heezing, white sputum, tight chest: + Su Zi, Chen Pi 5. childhood psoriasis: + Si Wu Tang
Signs & Symptoms
chills & fever (chills 12redominant) wit hout sweating, headache, generalized bod~ aches, wheezing, dyspnea, runny nose with clear discharge
Tongue
normal + t hin, white coating
•
Ma Huang Jia Zhu Tang
Pulse
floating, tense
• • •
Da Qing Long Tang San Ao Tang Hua Gai San
Cautions & Contraindications
•
Ma Xing Yi Gan Tang
• • •
Contra: Debility & copious urination Contra: Patient who are 12rone to bleeding (es12eciall~ from nose) Caution: hypertension (because of the adrenergic effects of Hb. Ephedrae)
Biomedically-defined disorders: • upper respiratory tract infection,
influenza,
acute
bronchitis,
pneumonia, and acute glomerulonephritis
bronchial
... Associated Formulas
... Identificat ion of Patterns
asthma,
lobar
I
I
I
Eight Principles
Exterior
Shang Han Lun
Tai Yang Sha ng Han (wind-COLD)
Cold
Excess
Yang
Wen Bing Lun
not applicable
Zang Fu
Invasion of LU by Wind-Cold
Five Elements
not applicable
... Comparison
ANALYSIS
• •
Ma Huang Tang vs. Gu i Zh i Tang Ma Huang Tang vs. Ge Ge n Tang
•
Ma Huang Tang vs. Ma Xing Shi Gan Tang
c c c
488 488 496
... CASE: Travis, 17-year-old male; One cold day, after coming back from school, he had a
DUI-YAO
ACTIONS
Ma Huang + Gui Zhi
Promote sweating
headache, body ache, and a stiff neck. He covered himself with blanket, but he is still cold. His
Stop Cough and wheezing
body temperature is 103°F . He has no sweating, little nausea, and difficu lt y breath ing. His tongue coating is thin and white. His pulse is f loating an d t ense.
Ma Huang + Xing Ren
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2. GUI ZHI TANG (Cinnamon Twig Decoction) !_ngredient Gui Zhi Bai Shao
Taste acrid, sweet bitter, sour
Temperature warm
Sheng Jiang
acrid
Da Zao Zhi Gan Cao Formula taking
Hierarchy and Functions
Dosage 9g
Ingredient Gui Zhi
Hierarchy king
cool
Channels HT LU UB LV SP
9g
Bai Shao
deputy
warm neutral
LU SP ST SP ST
9g
Sheng Jiang
sweet
12 pieces
sweet
warm
HT LU SP ST
6g
Da Zao Zhi Gan Cao
assistant envoy
Functions Releases externally-contracted wind-cold from the muscle layer Benefits the yin and contains the weak nutritive qi Helps the chief herb, also treating the nausea and vomiting Helps deputy nourish and harmonize the nutritive qi and blood Tonify M.J. and harmonize the actions of the others
Hot rice soup should be taken immediately after intake of the decoction
4
Modifications marked nasal congestion with sneezing: + Fang Feng, Xin Yi Hua SOB and rough breathing: + Hou Po, Xing Ren swollen, heavy sensation in the head: + Ju Hua, Chan Tui profuse sweating: 1'Bai Shao, .J...Gui Zhi(Y,), Sheng Jiang(Y,), Zhi Gan Cao(Y,), + Huang Qi,
Actions • Release pathogenic influences from the muscle layer • Regulate Ying (nutritive) and Wei (protective) Qi
1. 2. 3. 4.
Indications· Exterior Wind-Cold of deflclcmcy twe
Fang Feng 5. severe headache: Bai Shao-7Chi Shao, + Gao Ben 6. severe vomiting: 1'Bai Shao, Sheng Jiang, + Chen Pi, Hou Po 7. joint pain with fatigue (symptoms of damp): + Qiang Huo, Fang Feng
Signs & Symptoms
fever and chills unrelieved by: sweating, aversion to wind, no 12articular thirst, stiff neck, headache, nasal congestion, sneezing, dry heaves, nausea/vomiting ; May also be used for a similar presentation in patients recovering from serious illness or after childbirth
Tongue
normal + thin, white, moist coating
Pulse
floating, moderate or floating, weak
Cautions & Contraindications • Contra: exterior cold + interior heat, characterized by fever and thirst or sore throat rapid pulse • Caution: summer or hot weather. If prescribed with heat, nosebleed may result. • Side Effect: If incorrectly prescribed, or if the dosage is too strong, profuse sweating, fever, severe thirst, palpitations and irritability may result. In such cases, Bai Hu Jia Shen Tang (White Tiger plus ginseng decoction) should be 12rescribed to co12e with side-effects.
4
• • • • • • •
with
high Ren the
• 4
Associated Formulas Gui Zhi Jia Shao Yao Tang Gui Zhi Gu Shao Yao Tang Gui Zhi Jia Hou Po Xing Zi Tang Gui Zhi Fu Zi Tang Gui Zhi Jia Ge Gen Tang Gui Zhi Ma Huang Ge Ban Tang Gui Zhi Er Vue Bi Yi Tang Wu Tau Gui Zhi Tang Identification of Patterns
Eight Principles Shang Han Lun Wen Bing Lun Zang Fu
Biomedically-defined disorders: •
upper respiratory tract infection, influenza, j20Stj2artum fever, allergic rhinitis, angioedema, cerebrovascular spasm, eczema, and urticaria
Five Elements
4 ANALYSIS WEI
YING
Gui Zhi
Bai Shao
Sheng Jiang
Da Zao
HARMONIZE Gan Cao
• • • •
Exterior I Cold I Deficiency I Yin Tai Yang Zhong Feng (WIND-cold) not applicable Invasion of LU & ST by Wind-Cold not applicable
Comparison Gui Zhi Tang vs. Ma Huang Tang Gui Zhi Tang vs. Ge Gen Tang Gui Zhi Tang vs. Chai Ge Jie Ji Tang Gui Zhi Tang vs. Yu Ping Feng San
c c c c
488 488 488 554
4 CASE: Emma, 30-year-old female; After exerc1s1ng, she sweats a lot, so she turned on the air conditioner to the max. One hour later, she had a headache, stiff neck, and aversion to cold, so she turned off the air conditioner. Her body temperature is 101°F. She has sweating, but no thirst, some nasal blockage, and nausea. Her tongue coating is thin and white. Her pulse is floating and moderate.
"''I
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3. GE GEN TANG (Kudzu Decoction)
... Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Hierarchy
Functions
Ge Gen Ma Huang
acrid, sweet acrid, sl bitter
cool
SP ST
12g
king
warm
LU UB
9g
Ge Gen Ma Huang
Releases the upper back by drawing fluids to the affected area Induces sweating, most powerful herb for releasing exterior
Gui Zhi
acrid, sweet
warm
HT LU UB
6g
Gui Zhi
Bai Shao
bitter, sour
cool
LV SP
6g
Bai Shao
Sheng Jiang
acrid
warm
LU SP ST
9g
Sheng Jiang
Da Zao
sweet
neutral
SP ST
12 pieces
Da Zao
Zhi Gan Cao
sweet
warm
HT LU SP ST
6g
Zhi Gan Cao
Actions • Release the exterior Wind-Cold in the muscle layer •
Generate fluids to relax the muscle and tendons
deputy
Helps the chief herb release the exterior and the muscle layer Preserves the yin by preventing the exterior-releasing herbs
assistant
Regulates the protective and nutritive qi and harmonize the ST
envoy
Harmonizes, In concert with Bai Shao, it relieves muscle spasms
Regulates the protective and nutritive qi and harmonize the ST
... Modifications 1. severe nasal blockage: + Chuan Xiong, Huang Qin, Xin Yi Hua, Jie Geng 2. urticaria: + Chan Tui
3. severe facial pain: + Du Huo, Tao He Cheng Qi Tang Indications (1)· Exterior Wind -Cold of excess tvPe with fluid deficiency on neck Signs & Symptoms
chills & fever wLo sweating, stiff and rigid neck and U(:>(:>er back, muscle aches, aversion to wind
Tongue
normal + thin, white coating
Pulse
floating, tense
(2)· Simultaneous Tai Yam!
... Associated Formulas •
... Identification of Patterns
+ Yam! Min2 syndrome
Signs & Symptoms
diarrhea, fever wLo sweating, aversion to wind and cold, muscle aches, body aches
Tongue
slightly red + thin, white coating
Pulse
floating
Ge Gen Jia Ban Xia Tang
I
I
Exterior
Tai Yang Shang Han (wind-COLD)
Cold
Excess
Cautions & Contraindications • •
none noted in Bensky Caution: hypertension
Biomedically-defined disorders: • upper respiratory tract infection, influenza, stomach flu, acute cervical myositis, tendonitis or bursitis of the shoulder, urticaria, allergic rhinitis, and early-stage polio or encephalitis
Yang
Wen Bing lun
not applicable
Zang Fu
Invasion of LU by Wind-Cold
Five Elements
not applicable
... Comparison • •
I
Eight Principles Shang Han Lun
Ge Gen Tang vs. Ma Huang Tang Ge Gen Tang vs. Gui Zhi Tang
c c
488 488
... CASE: Thomas, 16 year-old male; He presents with stiffness in the neck and upper back, general body aches accompanied by chills for the last two days. His temperature the day before was lOO.l ' F at which time his mother gave him Tylenol. He woke this morning with the same symptoms
as
well
as
diarrhea,
headache
in
both
the
frontal
and
orbital
regions
and
is
experiencing irritability. During physical exam there is no inflammation of lymph nodes, however his temperature is now 100.7' F and though he is not perspiring, his face is markedly red. His pulse is floating and tense.
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ID
4. SANG JU YIN (Mulberry leaf & Chrysanthemum Decoction)
m )C
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Sang Ye
LU LV LU LV
Sang Ye
Ju Hua
cold sl cold
7.5g
ID
sweet, bitter sweet, bitter
3g
Ju Hua
0
Lian Qiao
bitter, sl acrid
cool
HT LV GB
4.Sg
Lian Qiao
Bo He
acrid
cool, aromatic
LU LV
2.4g
Bo He
;·~
Jie Geng
bitter, acrid
neutral
LU
6g
Jie Geng
Xing Ren
bitter
sl warm, sl toxic
LU Ll
6g
Xing Ren
:i: ID
Lu Gen
sweet sweet
cold neutral
LU ST
6g 2.4g
Lu Gen
...
..
:::!.
a.
...
Gan Cao
HT LU SP ST
.,
... Hierarchy and Functions
Gan Cao
Hierarchy
Functions
king
Clears heat from the LU and stops the coughing Disperses upper burner w ind-heat, including the eyes
deputy 1 deputy 2 assistant envoy
0
Strengt hens the form ula's exterior-releasing properties Strengthens the form ula's exterior-releasing properties Asce nding action, assists the chief herbs by faci litating LU qi Descending action, assists the chief herbs by facilitating LU qi Clea rs heat and generates f luids, thereby reducing th irst Helps clear heat and harmonizes the actions of the other herbs
Ill
Actions
• •
... Modifications
Release exterior Wind-Heat Stop coughing by facilitating the flow of LU Qi
1. Qi-level dryness: + Shi Gao, Zhi Mu 2. nutritive-level heat with dark-red tongue: + Xuan Shen, Xi Jiao (source text) 3. heat entering the blood: - Lu Gen, Bo He, + Mai Men Dong, Sheng Di Huang, Yu Zhu, Mu
-
Indications· External Wind Heat causin~ cou~h Signs & Symptoms
cough, slight fever, slight thirst, slight sore throat; possi ble red painful eyes
Tongue
normal/red + thin, white coating
Pulse
floating, ra[1id
Cautions & Contraindications
• •
Dan Pi (source text) 4. severe LU heat: + Huang Qin (source text)
none noted in Bensky Contra: Coughing due to external Wind-Cold
5. pronounced thirst: + Tian Hua Fen (source text) 6. viscous, yellow sputum that is difficult to expectorants: + Gua Lou Pi, Zhe Bei Mu 7. labored breathing or slight wheezing: + Shi Gao, Zhi Mu 8. blood-streaked sputum: + Dan Pi, Bai Mao Gen, Ou Ji 9. sore throat: + Ma Bo, Niu Bang Zi 10. wind-heat affecting the eyes: + Bai Ji Li, Jue Ming Zi, Xia Ku Cao ... Identification of Patterns
•
upper respiratory tract infection, influenza, early-stage acute bronchitis, acute tonsillitis, and acute conjunctivitis
Exterior I Heat not applicable
Wen Bing Lun
Wei level
Zang Fu
Invasion of LU by Wind-Heat not applicable
Five Elements
... Comparison
• • ANALYSIS FORMULA
COMMON
DIFFERENCE
SANG JU Y.
Lian Qiao, Bo He, Lu Gen, Jie Geng, Gan Cao
Jin Yin Hua, Niu Bang Zi, Dou Chi, Jing Jie, Zhu Ye
YIN QIAO S.
Sang Ye, Ju Hua, Xing Ren
Sang Ju Yin vs. Yin Qiao San Sang Ju Yin vs. Zhi Sou San
I
I
Shang Han Lun
Eight Principles Biomedically-defined disorders:
Excess
c c
Yang
489
571
... CASE: Abigail, 18-year-old female; She went to picnic one day, She went to rest under the tree because the weather was hot. When she came back home, she had a fever, slight thirst, and cough. Tip of her tongue was red and the tongue coating is thin and white. Pulse is
floating and rapid.
::a
I:
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~ Ul
5. YIN QIAO SAN (Honeysuckle & Forsythia Powder)
•
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Jin Yin Hua
sweet
cold
LU Ll ST
30g (9-15g)
Jin Yin Hua
Lian Qiao
cool neutral
HT LV GB LU
30g (9-15g) 18g (3-6g)
Lian Qiao
Jie Geng
bitter, sl acrid bitter, acrid
Jie Geng
Niu Bang Zi
acrid, bitter
cold
LU ST
18g (9-12g)
Niu Bang Zi
Bo He
acrid
cool, aromatic
LU LV
18g (3-6g)
Bo He
Dan Dou Chi
sweet, sl bitter
cold or wa rm
LU ST
15g (3-6g)
Dan Dou Chi
Jing Jie
acrid
sl warm, aromatic
LU LV
12g (6-9g)
Jing Jie
Boosts the exterior-releasing action w ithout producing dryness
Dan Zhu Ye
sweet, bland
cold
HT 51 ST
12g (3-6g)
Dan Zhu Ye
Generates fluids and alleviates thirst
Xian Lu Gen
sweet
cold
LU ST
15-30g
Xian Lu Gen
Gan Cao
sweet
neutral
HT LU SP ST
15g (3-6g)
Gan Cao
•
Actions
• •
Signs & Symptoms
fever, slight or no chills, thirst, sore throat, cough, headache ; boils, sores
Tongue
normal/red tip + thin, white or thin, }fellow coating
Pulse
floating, rapid
deputy 1
Spreads the LU qi and improve the functioning of t he throat Helps t he chief herbs release exterior heat
deputy 2
Helps the chief herbs release exterior heat
assistant
Generates fluids and alleviates thirst Generates fluids, treat sore throat with Jie Geng
Modifications
2. severe t hirst: + Tian Hua Fen (sou rce text)
5. heat entering the interior with scanty urine: + Sheng Di Huang, Mai Men Dong, Huang Qin, Zhi Mu, Zhi Zi (source text) 7. damp causing t ight/stifling sensation in t he chest/epigastrium: + Huo Xiang, Yu Jin 8. early-stage measles wit h incomplet e expression or rash : + Chan Tui, Fu Ping 9. early-stage carbuncle: + Pu Gong Ying, Da Qi ng Ye 10. yellow tongue coating and diarrhea: + Ge Gen Huang Lian Huang Qin Tang 11. acute endomet ritis: - Gan Cao, Dan Zhu Ye, + Zh i Zi, Fang Feng, Sheng Di Huang
Caution: It will be ineffective with Damp-Heat pattern •
Associated Formulas
•
upper respiratory tract infection, influenza, acute bronchitis, measles, epidem ic parotitis, acute endometritis, and early-stage encepha litis or meningitis
Ill
Re leases heat from the exterior, clear heat, and relieve toxicity Releases heat from the exterior, clear heat, and relieve toxicity Spreads the LU qi and im prove the functioning of t he throat
king
6. nosebleed: - Jing Jie, Dan Dou Chi, + Bai Mao Gen, Zhi Zi (source text)
Biomedically-defined disorders:
•
Functions
3. severe sore throat: + Ma Bo, Xuan Shen (source text) 4. pronounced coughing: + Xing Ren (source text)
Cautions & Contraindications •
Hierarchy
1. stifling sensation in the chest : + Huo Xiang (source text)
Disperse Wind-Heat Clear heat, and relieve toxicity
Indications· External Wind-Heat with Heat-Toxin
::a ID iD Ill
Hierarchy and Functions
•
Yin Qiao San Identification of Patterns
•
I
Eight Principles
Exterior
Shang Han Lun
not applicable
Wen Bing Lun
Wei level
Heat
Excess
I
Yang
Zang Fu
Invasion of LU by Wind-Heat
Five Elements
not appl icable
Comparison
•
I
Yin Qiao San vs. Sang Ju Yin
c
489
CASE: Charley, 7-year-old boy; Charley was diagnosed with mumps by his pediatrician 3 days
ID
•
m )IC
prior. Currently he presents w ith a sore throat and slight thirst, his face is stil l swollen beneath the ears, with some local heat and tenderness. His tongue is red, yellow coat, and his pulse is floating and rapid.
.. ID
.
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E
6. CHAI GE JIE Jl TANG (Bupleurum & Kudzu Decoction to Release the muscle layer)
... Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Chai Hu
acrid, bitter
cool
LV GB PC SJ
3-9g
Chai Hu
Ge Gen
acrid, sweet
cool
SP ST
6-12g
Ge Gen
Qiang Huo
acrid, bitter
warm, aromatic
UB KD
3-6g
Qiang Huo
Bai Zhi
acrid
warm
LU ST
3-6g
Bai Zhi
Huang Qin
bitter
cold
LU Ll GB ST
6-9g
Huang Qin
Shi Gao
sweet, acrid
very cold
LU ST
4.5-lSg
Shi Gao
Jie Geng
bitter, acrid
neutral
LU
3-6g
Jie Geng
Bai Shao
bitter, sour
cool
LV SP
6-9g
Bai Shao
Gan Cao
sweet
neutral
HT LU SP ST
3-6g
Gan Cao
Sheng Jiang
acrid
warm
LU SP ST
3-6g
Sheng Jiang
Da Zao
sweet
neutral
SP ST
2-3 pieces
Da Zao
Actions
• •
-
Yang Ming
exterior W-C presentation characterized by decreasing chills and increasing fever, accompanied by headache, stiffness of the extremities, orbital/eye pain, dry nose, i rrita bi lity, insomnia
Tongue
Tongue : red/normal + thin, yellow coating
Pulse
floating, slightly surging pulse
deputy 2 assistant envoy 1 envoy 2
Helps the chief herbs release the exterior and alleviate pain Clears interior heat from the Ll and upper burner Clears interior heat from the yang brightness channel Facilitates the flow of LU qi and helps scatter the pathogens Preserves the yin by preventing from excessive sweating Harmonizes the actions of other herbs, clear heat from throat Regulates the protective nutritive qi to release the pathogens Regulates the protective nutritive qi to release the pathogens
3. dry mouth and tongue: + Zhi Mu, Tian Hua Fen 4. coughing of viscous sputum: + Gua Lou Pi, Zhe Bei Mu ... Associated Formulas
•
Vi Wu Chai Ge Jie Ji Tang
... Identification of Patterns
Cautions & Contraindications Contra: This formula is inappropriate for simple exterior Wind-Heat disorders
Biomedically-defined disorders:
•
deputy 1
Releases the pathogens from the muscle layer, clears heat Releases the pathogens from the muscle layer, clears heat Helps the chief herbs release the exterior and alleviate pain
Ma Huang ~ Zi Su Ye) (source text) 2. without chills or headache: - Qiang Huo, Bai Zhi
Signs & Symptoms
•
king
Functions
... Modifications 1. severe chills without sweating: - Huang Qin, + Ma Huang (Winter: il' , Spring: .U, , Summer/Fall:
Release pathogens from the muscle layer Clear interior heat, relieve pain
Indications· Exterior Wind Cold transferring Tai Yang 7
Hierarchy
I
Cold + Heat
Eight Principles
Exterior + Interior
Shang Han Lun
Tai Yang and Yang Ming
Wen Bing Lun
Wei level
Zang Fu
not applicable
Five Elements
not applicable
I
Excess
I
Yang
influenza and toothache ... Comparison
•
Chai Ge Jie Ji Tang vs. Gui Zhi Tang
c
488
... CASE: Theresa, 39-year-old female; Her chief complaint is fever for four days. She states that
initially she began getting headaches, some chills, a slight fever, body aches, a runny nose and coughing with whitish phlegm. She then took two aspirin, which didn't affect her symptoms. She states that her temperature is higher now. She sti ll has some aversion to cold, body aches, slight thirst, headaches and pain around her eye. Her tongue is red, yellow coat, and her pulse is floating and slightly surging.
7. REN SHEN BAI DU SAN (Ginseng Powder to overcome Pathogenic Influences)
4t
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Qiang Huo
acrid, bitter
warm, aromatic
UB KD
30g
Qiang Huo
Du Huo
warm warm
KD UB LV GB PC
30g 30g
Ou Huo
Chuan Xiong
bitter, acrid acrid
Chuan Xiong
Chai Hu
acrid, bitter
cool
LV GB PC SJ
30g
Chai Hu
Bo He
acrid
cool, aromatic
LU LV
6g
Bo He
Jie Geng
bitter, acrid
neutral
LU
30g
Jie Geng
Zhi Ke
bitter
cool
SP ST
30g
Zhi Ke
Qian Hu
bitter, acrid
sl cold
LU
30g
Qian Hu
Sheng Jiang
acrid
warm
LU SP ST
6g
Sheng Jiang
Ren Shen
sweet, sl bitter
sl warm
LU SP
30g
Ren Shen
Fu Ling
sweet, bland
neutral
HT SP LU
30g
Fu Ling
Gan Cao
sweet
neutral
HT LU SP ST
15g
Gan Cao
4t
Actions
• •
Release exterior, dispels Wind-Cold-Damp, Augments the Qi to expel the evils from the body
Signs & Symptoms
high fever and severe chi lls with shivering, absence of sweating, j:1ain and stiffness of the head and neck, soreness and j:1ain of the extremities, nasal congestion with sonorous breathing, Qroductive cough, focal distention and fullness of the chest
Tongue
normal + greasy, white coating
Pulse
floating, soft, QOSSibly weak
deputy 2
Functions Dispels wind-cold, dispel dampness, and alleviate pa in Dispels wind-cold, dispel dampness, and alleviate pa in Dispels wind, moves the blood, enhances pain-relieving action
Release the exterior, reduces fever, and expel the pathogens Release the exterior, reduces fever, and expel t he pathogen s Ascending action, circulate LU Qi, and expel phlegm
assistant 1
assistant 2 envoy
Descending action, circulate LU Qi, and relieves the chest Improves circulation of LU Qi, expels phlegm, and stops cough Transforms phlegm and release the exterior Strengthens the normal qi and generates flu ids Transforms phlegm and strengthens SP Assists Ren Shen in tonifying the qi and harmonizes
Modifications
Associated Formulas
Yin Qiao Bai Du San
•
Jing Fang Bai Du San
•
Shen Su Yin
4t
4t surgical infections
king deputy 1
•
Cautions & Contraindications • Contra: Heat condition (because of the warm, drying properties) Biomedically-defined disorders: • upper respiratory tract infection, influenza, early-stage dysentery, early-stage measles, and
Hierarchy
1. malarial disorders: 1'Chai Hu, + Huang Qin, Bing Lang
4t Indications· Exterior Wind-Cold -Damp with Qi deficiency
::a CD i
Hierarchy and Functions
•
4t
Identification of Patterns Eight Principles
Exterior
Shang Han lun
Tai Yang
I
Cold
Wen Bing lun
not applicable
Zang Fu
not applicable
Five Elements
not applicable
I
Excess+Deficiency
I
Ya ng
Comparison
Ren Shen Bai Du San vs. Huo Xiang Zheng Qi San
c
517
CASE: Joseph, 69-year-old male; He has been suffering from chills and fever for three days.
Ill
He presents with a heavy-feeling headache, itchy throat w it h slight coughing and muscle aches in
m
your exam you find Joseph's tem perature to be 100.0°F . On pa lpation you do not feel perspiration. His tongue color is normal pink with greasy white coating, and his pulse is floating
CD
and weak .
Ill CD
..c;·~ ..
his upper back, a runny nose w ith clear discharge, and a tight sensation in his chest. During
m >C
"1'1
CD Ill Ill
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+
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E
~
n
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n
'
en ~
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n
iD
Ill
"'' :z: CD
..
~ CLEAR HEAT
CATEGORY
Ill
8
;M'-!ll!lll ( ~~Xil l
~ KING HERBS
SUB-CATEGORY
FORMULAS
Clear Qi level Heat
Bai Hu Tang
Clear Toxic Heat
Huang Lian Jie Du Tang
.,
FORMULA
KING HERBS
8
Bai Hu Tang
Shi Gao
9
Huang Lian Jie Du Tang
Hua ng Lian
f--
9 f--
10 I--
CLEAR HEAT
Ma Xing Shi Gan Tang
10
Ma Xing Shi Gan Tang
Ma Huang, Shi Gao
Long Dan Xie Gan Tang
11
Long Dan Xie Gan Tang
Long Dan Cao
Qing Hao Bie Jia Tang
12
Qing Hao Bie Jia Tang
Qing Hao, Bie Jia
Clear Heat from Organs
11 I--
12
Clear Deficient Heat
0
"'c3: ~
en
8. BAI HU TANG (White Tiger Decoction)
... Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Hierarchy
Shi Gao
sweet, acrid
very cold
LU ST
30g
Shi Gao
king
Zhi Mu
bitter sweet
cold
9g 3g
deputy
warm
LU ST KD HT LU SP ST
Zhi Mu
Zhi Gan Cao
Zhi Gan Cao
assistant
Be nefits the ST and protect t he fluids
Geng Mi
sweet
neutral
SP ST
9-lSg
Geng Mi
envoy
Nonglutinous rice, benefits the ST and protect the flui ds
... Modifications
Actions
• •
1. concurrent ST Qi deficiency: Nonglutinous rice-7Shan Yao
Clear Qi-level heat, drain ST fire Generates fluids, and alleviates thirst
Indications· FOUR BIG symptoms due to Excess Heat in Qi level
Signs & Symptoms
Functions Extremely cold properties clear heat and drain fire Assist Shi Gao in clearing heat, moistens, and enriches the yin
I
Yam! Ming channel
high fever and aversion to heat without aversion to cold, severe thirst with desire to cold drink, (:!refuse sweat ing, red face, and irritabilit~, incoherent speech, headache, toothache, or bleeding of the gums and nose
Tongue
red + dry, ~ellow coating
Pulse
surging, forceful or rolling, ra(:!id
2. concurrent exterior W-C: + Cong Bai, Dan Dou Chi, Xi Xin 3. red, swollen eyes and excruciating headache: + Huang Lian, Huang Qin 4. pain or swelling of the gums, HA, nose bleed, dry mouth, thirst, and constipation due t o LU heat and ST fire: + Da Huang 5. wasting and thirsting disorder, or heat that severely injures the fluids resulting in thirst, irritability, and insatiable hunger: + Tian Hua Fe n, Lu Gen, Mai Men Dong 6. subcutaneous blotches (petechiae), irritability and restlessness, disorientation, and insomnia associated with febrile disease & heat toxin: + Huang Lian Jie Du Tang ... Associated Formulas
Cautions & Contraindications
•
Bai Hu Jia Ren Shen Tang Bai Hu Gui Zhi Tang Bai Hu Jia Cang Zhu Tang
•
Contra: fever due to SP and ST Qi deficiency characterized by fever, spontaneous sweating,
• •
•
extreme fatigue, aversion to wind, & deficient, floating pulse Contra: true cold syndrome with false heat characterized by fever with a desire for warmth,
• •
Ling Xi Bai Hu Tang Bai Hu Cheng Qi Tang
• •
Chai Hu Bai Hu Tang Zhen Ni Bai Hu Tang
•
thirst with no desire to drink, agitated movement of the limbs in an otherwise subd ued patient, and a surging but weak pulse. Caution: it should be immediately stopped if signs of headache, stiffness of the neck, icy-cold limbs, subjective cold sensation, or impairment of mental faculties occur.
... Identification of Patterns
Biomedically-defined disorders:
•
encephalitis, menignitis, and lobar pneumonia, as well as heart stroke, diabetes mellitus, and periodontitis
I
Eight Principles
Interior
Shang Han Lun
Yang Ming
Heat
Wen Bing Lun
Qi level
Zang Fu
not applicable
Five Elements
not applicable
I
Excess
I
Yang
... Comparison
•
Bai Hu Ta ng vs. Ma Xing Sh i Gan Tang
c
496
... CASE: Matthew, 38-year-old male; He had a common cold for three days. Today he has
n iD
..
Ill
::t
ID
... I»
e rID
C
!.
c
Ill
,3
c Ill
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'
igastrium and abdomen, labored and heavy breathing, urinact difficulty; generalized edema during ~regnanc'{
Tongue
white, greasy coat ing
Pulse
submerged, moderate
Cautions & Contraindications • Caution: severe SP deficiency (Although this is a relatively mild formula, SP-tonifying herbs should be added.) Biomedically-defined disorders: •
edema from ~;> regnan c'{, protein-def iciency edema, ascites from cirrhosis, congestive heart fa ilure, urtica ria, and menopausa l edema. For chronic glomerulonephritis, larger dosage (betw een 30-GOg) of t he ingredients may be prescribed.
4. internal damp-cold: + Gan Jiang, Fu Zi 5. severe abdominal distention: + Lai Fu Zi, Hou Po 6. marked signs of SP deficiency: + Dang Shen, Bai Zhu 7. constipation due to accumulation in the stomach/intestines: + Da Huang, Zhi Shi 8. edema due to pregnancy: + Yu M i Xu 9. edema: + Dong Gua Pi, Che Qian Cao, Huang Qi ... Associated Formulas e Wu Pi Yin e Qi Pi Yin ... Identification of Patterns
I
Eight Principles
Interior
Shang Han lun
not applicable
Cold
I
Def iciency
Wen Bing lun
not applicable
Zang Fu
SP deficiency
Five Elements
Earth not generat ing Metal
I
Yin
... Comparison • Wu Pi San vs. Wu Ling San vs. Zhu Li ng Tang
c
518
... CASE: Samant ha, 30-year-old female; She has generalized edema, abdominal f ullness, breathing difficulty, and difficulty during urination. Her tongue coati ng is white greasy and her pulse is deep and moderate.
0
::a 3:
c
E
4
26. ZHEN WU TANG {True Warrior Decoction) Ingredient
Temperature hot, toxic
Fu Zi Bai Zhu Fu Ling
Taste acrid bitter, sweet sweet, bland
Sheng Jiang
acrid
warm
Bai Shao
bitter, sour
cool
warm neutral
Channels HT KD SP SP ST HT SP LU
Dosage 9g 6g 9g
Ingredient
LU SP ST LV SP
9g 9g
Sheng Jiang
Actions • Warm the Yang to promote urination and drain damp Indications (1) : KD and SP Yanl! deficiency causinl! water retention Signs & Symptoms
abdominal (1ain which is aggravated b:t cold, urinar:t difficult:t, and dee(1 aching and heaviness in the extremities. There may also be generalized edema, loose stools, dizziness, a heav:t sensation in the head, (1a1(1itations, coughing, vomiting
Tongue
(1ale or (1Ur(11e swollen
Pulse
submerged, thread:t, and forceless
wL
tooth marks + white, sli(1(1er:t coating
(2) 0 veruse of d'ra~ ho resis in Tai Yanl! syndromes causinl! palpitation & shiverinl! Signs & Symptoms
fever, (1a1(1itations in the epigastrium, dizziness, shivering and trembling w ith an unsteady appearance
Tongue
white, slippery coating
Pulse
submerged, thready, and forceless
Hierarchy and Functions
Cautions & Contraindications • none noted in Bensky
Fu Zi Bai Zhu Fu Ling Bai Shao
deputy assistant
Functions Restores KD yang and resume their function of transforming water Strengthen SP and promote urination Strengthen SP and promote urination Disperses LU qi, warms the ST, and dispels the pathogenic water Preserves the yin and alleviates pain, prevents the dry, hot herbs
4
Modifications more pronounced SP Yang deficiency with diarrhea: - Bai Shao, + Gan Jiang coughing: + Wu Wei Zi, Xi Xin, Gan Jiang frequent urination: - Fu Ling palpitation due to source Qi deficiency: + Ren Shen palpitation, wheezing, or coughing with copious, watery sputum: + Xi Xin, Wu Wei Zi unremitting spontaneous sweating due to Yang deficiency and instability of the exterior: + Ren Shen, Huang Qi, Wu We i Zi 7. vomiting due to pathogenic water retention in the ST with no signs of U dysfunction: - Fu Zi (to avoid irritation of ST), 1'Sheng Jiang 8. painful obstruction of the chest: + Gua Lou Ren, Xie Bai, Gui Zhi, Dan Shen 9. improper purging which has injured the SP Yang and caused abdominal distention: + Hou Po, Cao Dou Kou, Ze Xie 10. leukorrhea due to damp-cold: + Gui Zhi, Dang Shen 11. urinary difficulty, aching and heaviness in the extremities, and edema: + Wu Ling San, or + Fang Ji Huang Qi Tang 12. edema due to chronic nephrotic syndrome: + Dang Shen, Sha Ren, Du Zhong, Tu Si Zi, Yin Yang Huo 13. edema due to chronic heart failure with Yang deficiency: + Che Qian Zi, Ze Xie, Guang Fang Ji 14. ascites due to liver cirrhosis with SP and KD Yang deficiency: + Dang Shen, Huang Qi, Ba Ji Tian, Hu Lu Ba, Lu Jiao 15. rheumatoid arthritis: + Gui Zhi, Dang Shen 16. chronic bronchitis with SP and KD Yang deficiency: Sheng Jiang -7 Gan Jiang 1. 2. 3. 4. 5. 6.
4
Associated Formulas •
Biomedically-defined disorders: • chronic ne(1hritis, rheumatic valvular heart disease, congestive heart failure, liver cirrhosis or other chronic hepatic disorders and other causes of edema and ascites, chronic enteritis,
Hierarchy king
4
Fu Zi Tang Identification of Patterns
intestinal tuberculosis and other causes of chronic diarrhea, Meniere's diseases, primary hypertension, primary hyperaldosteronism, hypothyroidism, rheumatoid arthritis, and chronic bronchitis
I
I
Eight Principles
Interior
Shang Han Lun
Shao Yin - cold pattern
Cold
Deficiency
I
Yin
Wen Bing Lun
not applicable
Zang Fu Five Elements
SP and KD Yang deficiency Mingmen (fire) not generating SP (earth)
,m
4
cDl
4 CASE: Charlotte, 60-year-old fema le; Charlotte came for whole body edema with heaviness and a sense of coldness in her limbs along with difficulty in respiration. This condition though chronic was recently made worse with the onset of winter. She also communicates to you that she has been having palpitations, a heavy feeling in the chest, cough with mucus that is clear and thin, scanty clear urine, loose stools and a poor appetite. Her tongue is pa le with smooth white moss, and a deep, weak, thready pulse.
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!!.
,
3
-
;r .·,· · • • · •
Strongly tonifies source qi, generates fluids and calms spirit Nourishes the LU and ST yin, clears heat from the HT Restrains the leakage of LU qi and sweats, generates fluids
... Modifications 1. profuse sweating with dark, scanty, and difficult urination: + Huang Qi, Dang Gui (Don't use
Tonify Qi and Nourish Yin Stop sweating and promote body fluids
Indications·
Mal Men Dong
·'~y king
herbs that leach out dampness) LU
Signs & Symptoms
shortness of breath, s12ontaneous sweating, a dr',' mouth and tongue; chronic cough with Sj2arse Sj2utum that is difficult to ex12ectorate
Tongue
12ale, red + dr',', thin coating
Pulse
deficient, raj2id or deficient, thread','
2. 3. 4. 5.
severe coughing: + Kuan Dong Hua, Bai He irritability with relatively severe insomnia: + Suan Zao Ren, He Huan Pi marked palpitations: + Gui Zhi, Long Gu, Mu Li coronary artery disease: + Zhi Gan Cao, Dan Shen, Hong Hua, Chi Shao
... Associated Formulas
•
Jia Jian Sheng Mai San
... Identification of Patterns Cautions & Contraindications •
Caution: high fever
Eight Principles
•
Caution: unresolved j2athogenic influence, or has ','et to injure the fluids
Shang Han Lun Wen Bing Lun Zang Fu
Biomedically-defined disorders:
•
chronic bronchitis, pulmonary tuberculosis, supraventricular arrhythmias, rheumatic heart disease, coronar'i arter'i disease, and post-bypass debility, summer-heat stroke, heat-stroke. In modern China preparations of this formula are often administered via intravenous drip as part of the treatment for hemorrhagic or cardiogenic shock.
Five Elements
Interior I Heat I Deficiency I Yin not applicable not applicable HTILU Qi and Yin deficiency Metal and Fire
... Comparison
•
Sheng Mai San vs. Bei Mu Gua Lou San
c
571
... CASE: Jody, 59-year-old male; One year ago, Jody had a heart attack. Currently he presents with chest pain and shortness of breath especially after any activity. He also complains of cough with scanty sputum that he states is difficult to cough up, some spontaneous night sweating, and a dry mouth. His tongue is pale with a thin dry coating, and his pulse is feeble and thready.
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0
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35. 51 WU TANG (Four Substance Decoction)
... Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Functions
Shu Di Huang
sweet
sl warm
HT KD LV
9-21g
Shu Di Huang
Bai Shao Dang Gui
bitter, sour cool sweet, acrid, bitter warm
LV SP HT LV SP
9-15g 9-12g
Dang Gui
Very strong tonifying effect on the LVIKD, nourish the yin of the blood Tonifies the blood and preserves the yin, a strong tonic for LV blood Tonifies and invigorate the blood, nourishes the yang of blood
Chuan Xiong
acrid
warm
LV GB PC
3-6g
Chuan Xiong
Invigorate the blood and promote the movement of qi
... Modifications
Actions
•
Nourish and move Blood
•
Regu late menstruation and stop pain
Indications· Blood deficiency with Blood stagnation
Signs & Symptoms
Bai Shao
dizziness, blurred vision, lusterless com(:11exion and nails, generalized muscle tension, irregular menstruation with little flow or amenorrhea, periumbilical and lower abdom inal r:1ain . Also used for menorrhagia, hard abdominal masses with recurrent pain, restless fetus disorder, or lochioschesis with a firm and (:1ainful abdomen and S£:10radic fever and chil ls
Tongue
~
Pulse
thread)!, wiry or thread)!, ch0£:1£:11!
Cautions & Contraindications •
Contra: treating acute, severe blood loss or other problems of Blood deficiency which
•
include severe weakness and labored breathing. Caution: SP Yang deficiency with a poor appetite and loose stools
Biomedically-defined disorders: • primary dysmenorrhea, irregular menstruation, anemia
of various etiologies, threatened miscarriage, postpartum weakness, insufficient lactation, urticaria, and neurogenic headache
1. restless fetus disorder with continuous bleeding from vagina: + Ai Ye, E Jiao (source text) 2. signs of heat: Shu Di Huang ~ Sheng Di Huang 3. predominance of blood stasis: Bai Shao ~ Chi Shao 4. blood deficiency and cold in the womb: + Ai Ye, Xiang Fu 5. short menstrual cycle with steaming bone fever which worsens early in the evening: + Di Gu Pi, Mu Dan Pi ... Associated Formulas
•
• • •
• • • • • • •
San Huang Si Wu Tang Wen Qing Yin Sheng Yu Tang Guo Qi Yin Qin Lian Si Wu Tang Tao Hong Si Wu Tang Bu Gan Tang Yu Zhu San Ai Fu Nuan Gong Wan Jia Wei Si Wu Tang Dang Gui Ji Xue Teng Tang
... Identification of Patterns
I
Eight Principles
Interior
Shang Han Lun
not applicable not applicable
Wen Bing Lun
Cold
I
Deficiency
Zang Fu
LV and HT Blood deficiency
Five Elements
Wood and Fi re
I
Yin
... Comparison
• •
Si Wu Tang vs. Xiao Yao San Si Wu Tang vs. Si Jin Zi Tang vs. Shi Quan Da Bu Tang
c c
534 534
... CASE: Madison, 45-year-old female; She has blurry eyes, poor vision, dizziness,
lusterless
complexion, hands, and nails. Her muscles are not soft. She has irregular menstruation (scanty menstruation or ammenorrhea ), pain around umbilicus. Her tongue is pale and pu lse is thready.
m 0 0
Q.
4
36. GUI PI TANG (Restore the Spleen Decoction)
.,
Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Ren Shen
sw eet , sl bitter
sl warm
LU SP
Ren Shen
Huang Qi
sweet
sl warm
LU SP
15g {3-6g) 30g (9-12g)
Bai Zhu
bitter, sweet
warm
SP ST
30g (9-12g)
Bai Zhu
Zhi Gan Cao
sweet
warm
HT LU SP ST
7.5g (3-6g)
Zhi Gan Cao
Tonifies the SP and augments qi
Dang Gui
sweet, acrid, bitter
warm
HT LV SP
30g (6-9g)
Dang Gui
Tonifies the blood and regulates the menses
Long Van Rou
sweet
warm
HT SP
30g (6-9g)
Long Van Rou
Suan Zao Ren
neutral sl warm
GB HT LV SP HT LU
30g (9-12g) 30g (3-6g)
Suan Zao Ren
Zhi Yuan Zhi
sour, sweet bitter, acrid
Fu Ling (Fu Shen)
sweet, bland
neutral
HT SP LU
30g (9-12g)
Fu Ling (Fu Shen)
Mu Xiang
acrid, bitter
warm
GB Ll SP ST
15g {3-6g)
Mu Xiang
Sheng Jiang
acrid
warm
LU SP ST
5 pieces
Sheng Jiang
Da Zao
sweet
neutral
SP ST
1 piece
Da Zao
Tonify Qi and nourish Blood Strengthen SP and nourish HT
1. 2. 3. 4. 5.
Indications (1) · SP Qi & HT Blood deficiency causinl!: insomnia Signs & Symptoms
forgetfulness, QaiQitation (wl or wlo anxiety), insomnia, dream disturbed sleeQ, anxiety and phobia, feverishness, withdrawal, reduced aQQetite, a Qallid and wan comQiexion
Tongue
Qale + thin, wh ite coating
Pulse
thread.,, weak
4 4
assistant envoy
Root the spirit by tonifying the blood and calming spirit Calms the spirit Calms the spirit by facilitating the flow of qi in the HT Calms the spirit, reinforces the SP-tonifying act ion Regulates the qi and revives the SP Improves appetite and regulates nutritive & prot ective qi Improves appetite and regulates nutritive & protective qi
numbness in the lower back and lower extremities: + Wei Ling Xian, Du Huo, Niu Xi painful menstruation with clots in the blood: + Yu Jin,. Xiang Fu very dark menstrual blood: + Hong Hua, Mu Dan Pi, Zhi Zi menstruation that suddenly changes volume and flows continuously: + Shan Zhu Yu, Wu Wei
Gu Ben Zhi Beng Tang Identification of Patterns
4
I
Eight Principles
Interior
Shang Han Lun
not applicable not applicable
Cold
I
Deficiency
Zang Fu
HT and SP deficiency
Five Elements
Fire and Earth deficiency
I
Yin
Comparison
• •
Gui Pi Tang vs. Bu Zhong Yi Qi Tang Gui Pi Ta ng vs. Tian Wang Bu Xin Dan vs. Suan Zao Ren Tang
c c
534 559
none noted in Bensky
4 Biomedically-defined disorders:
•
deputy
en
Modifications numbness in the upper extremities: + Qiang Huo, Ch uan Xiong
Wen Bing Lun
•
king
Associated Formulas
•
Chronic bleeding S'[ndromes may also be part of the presentation. Women may experience ea rly penods With COQious, Qale blood or Qrolonged, almost continuous Qeriods with little flow, leukorrhea. bloody stool, subcutaneous bleeding
Cautions & Contraindications
::a c ~
i::
Zi
(2)· SP deficiency causinl!: chronic bleedinl!:
Signs & Symptoms
0
Functions
Very powerful herb for tonifying the SP qi Very powerful herb for tonifying the SP qi Strengthens the SP and dries dampness
Zhi Yuan Zhi
4
Actions
• •
Huang Qi
Hierarchy
neurasthenia or personality disorders, postconcussion syndrome, myasthenia gravis, congestive heart disease, supraventricular tachycardia, anemia (especia lly from chronic disease), t hrombocytopenic or allergic purpura, cervicitis, and functional uterine bleeding.
CASE: Maria, 29-year-old female; Maria has had insomnia for two years w hich has become
very bothersome this last week. Maria is a full t ime TCM student. She feels t hat school is very stressful and her insomnia and anxiety get worse during midterm and final exams. She reports heavy dreams and yet her sleep feels light. Her other symptoms include fatigue, loss of appetite, forgetfu lness and occasional palpitations. Her tongue is pa le with a thin wh ite coating, and her pulse is thready and weak.
4
37. SHI QUAN DA BU TANG (All Inclusive Great Tonifying Decoction)
Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Hierarchy
Functions
Ren Shen
sweet, sl bitter
sl warm
LU SP
6-9g
Ren Shen
king
Bai Zhu
bitter, sweet sweet, bland
warm neutral
SP ST HT SP LU
9-12g 12-1Sg
Bai Zhu
Fu ling
Augments the qi Strengthens the SP and dries or leach-out dampness Strengthens the SP and dries or leach-out dampness
Fu ling
Zhi Gan Cao
sweet
warm
HT LU SP ST
3-6g
Zhi Gan Cao
Shu Di Huang
sweet
sl warm
HT KD LV
15-18g
Shu Di Huang
Bai Shao
bitter, sour
cool
LV SP
12-1Sg
Bai Shao
Dang Gui
sweet, acrid, bitter
warm
HT LV SP
12-1Sg
Dang Gui
Chuan Xiong
acrid
w arm
LV GB PC
6-9g
Chuan Xiong
Rou Gui
acrid, sweet
hot
HT KD LV SP
6-9g
Rou Gui
Huang Qi
sweet
sl warm
LU SP
15-18g
Huang Qi
Sheng Jiang
acrid
warm
LU SP ST
3 pieces
Sheng Jiang
Da Zao
sweet
neutral
SP ST
2 pieces
Da Zao
deputy 1 assistant 1 king deputy 2 assistant 2
Augments the qi and harmonizes the middle burner Nourishes the blood Nourishes blood and thereby reinforce the action of Shu Di Nourishes blood and thereby reinforce the action of Shu Di Invigorat es the blood and promotes the movement of qi Tonifies t he yang, warms mingmen fire, dispels cold
deputy 3
Tonifies the original qi, relieves fatigue Regulat e STI SP, harmonizes the protective and nutritive qi Regulate STISP, harmonizes t he protective and nutritive qi
envoy
Actions: Tonify Qi + Nourish Blood + Warm Yang
4
Modifications and Associated Formulas
Indications· Qi and Blood deficiency with mild deficient cold
4
Identification of Patterns
Signs & Symptoms
Qi and Blood deficiency in consum[Jtive disorders with coughing, reduced a[J[Jetite, S[Jermatorrhea, and weakness of the lower extremities. May also include sores that refuse to heal, or continuous S[lOtting from uterine bleeding
Tongue
pa le, dusky with thin, white coating
Pulse
thready, weak, deep, possibly slow
4 Cautions & Contraindications
•
4 Biomedically-defined disorders:
•
none noted in Bensky
Interior
not applicable
Cold
I
Deficiency
I
Yin
Wen Bing lun
not applicable
Zang Fu
SP Qi, LV Blood and KD Yang deficiency
Five Elements
not applicable
Comparison
•
none noted in Bensky
I
Eight Principles Shang Han lun
Shi Quan Da Bu Tang vs. Si Jun Zi Tang vs. Si Wu Tang
c
534
CASE: Charlotte, 20-year-old fema le; She states t hat she had a miscarriage with profuse
bleeding two years ago. Since that time she has suffered from dizziness wh ich worsens during the day, heart palpitations and insomnia with some nightmares that wake her up. Other symptoms include fatigue and sweating after exertion, shortness of breath, poor appetite and cold extremities. Her face looks pale. Her tongue is pale with moist white coating, and her pulse is weak and slow.
-t
0
:I
~
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Ill
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Ul
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38. LIU WEI Dl HUANG WAN (Six Ingredient Pill with Rehmannia) "'1'1
0
;c E Actions: Nourish Liver and Kidney Yin severe depletion of the fluids with heat signs: Shu Di Huang -7 Sheng Di Huang 2. wasting and thirsting disorder: - Ze Xie, + Tian Hua Fen (at least 30g when prepared as a
Signs & Symptoms
soreness and weakness in the lower back, light-headedness, vertigo, tinnitus, diminished hearing, night sweats, s1;1ontaneous and nocturnal emissions. The patient may also present with a variety of other symptoms including hot 1;1alms and soles, a chronic dry and sore throat, toothache, or wasting and thirsting disorder
Tongue
red + little coating
Pulse
thready, ra1;1id
Cautions & Contraindications • Caution: indigestion, diarrhea due to SP Qi deficiency •
Caution: white, greasy tongue coating
Biomedically-defined disorders:
•
decoction) 3. childhood nutritional impairment with abdominal distention and loose, watery stools: - Shu Di Huang, + Bai Zhu, Ji Nei Jin, Sha Ren 4. optic neuritis, optic nerve atrophy, or central retinitis: + Chai Hu, Dang Gui, Wu Wei Zi
• • •
Du Qi Wan Qi Ju Di Huang Wan: + Gou Qi Zi, Ju Hua Zhi Bai Di Huang Wan: + Zhi Mu, Huang Bai Mai Wei Di Huang Wan: + Mai Men Dong, Wu Wei Zi
• • • • •
Jia Wei Liu Wei Di Huang Wan Er Long Zuo Ci Wan Dang Gui Di Huang Yin Ba Wei Di Huang Wan Ming Mu Di Huang Wan
neurasthenia, pulmonary tuberculosis, diabetes mellitus, hy1;1erthyroidism, chronic nephritis, chronic glomerulonephritis, urinary tract infection, hypertension, failure to thrive, functional uterine bleeding, optic neuritis, optic nerve atrophy, and central retinitis.
I
Heat
I
Eight Principles
Interior
Shang Han Lun
Shao Yin - Heat pattern
Deficiency
Wen Bing Lun lang Fu
not applicable KD Yin deficiency
Five Elements
Water
I
(=Ba Xian Chang Shou Wan)
Yin
ANALYSIS '
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3 TONIFY 3 SEDATE
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tiV''
"
SP
Shu Di Huang
Shan Zhu Yu
Shan Yao
Ze Xie
Mu Dan Pi
Fu Ling
• •
Liu Wei Di Huang Wan vs. Qing Hao Bie Jia Tang Liu Wei Di Huang Wan vs. Jin Gui Shen Qi Wan
4
C C
496
535
CASE: Christopher, 52-year-old male; His lower back is sore and weak. He also has dizziness, blurred vision, tinnitus, hearing weakness, night sweating, spermatorrhea, heat sensation on palms and soles, dry throat, and toothache. Soon after he drinks water, he urinates. Tongue is red, no
coating. Pulse is thready, rapid.
39. JIN GUI SHEN Ql WAN (Kidney Qi Pill from the Golden Cabinet) Ingredient
Taste
Temperature
Channels
Dosage
Sheng Di Huang
sweet, bitter
cold
HT LV KD
24g
Shan Zhu Yu Shan Yao
sour sweet
sl warm neutral
KD LV KD LU SP
12g 12g
Fu Zi
acrid
hot, toxic
HT KD SP
3g
Gui Zhi
acrid, sweet
warm
HT LU UB
3g
... Hierarchy and Functions
~
Shu Di Huang
Ingredient
Hierarchy
Functions
Sheng Di Huang
king
Nourishes the yin and tonifies the KD Ton ifies LVIKD, thereby helping to preserve the essential qi Strengthens SP, stabilizes the KD, and nourishes t he essence
Shan Zhu Yu Shan Yao Fu Zi ~
Rou Gui
Gui Zhi
Fu Ling
sweet, bland
neutral
HT SP LU
9g
Fu Ling
Mu Dan Pi
acrid, bitter
cool
HT LV KD
9g
Mu Dan Pi
Ze Xie
sweet, bland
cold
KD UB
9g
Ze Xie
deputy 1 deputy 2
Tonifies source fire, dispels cold, and eliminates dampness Warms the channels, and unblocks the vessels, assist yang
assistant
Clears heat and quells LV fire
Stre ngthens the SP and drains dampness Unblocks and regulates t he water pathways
... Modifications
Actions; Warm and tonify KD Yang
1. strengthen the effect of warming & tonifying t he KD Yang: Gui Zhi -7 Rou Gui 2. urination at night: + Wu Wei Zi
Indications
3. frequent, copious, and clear urination with emaciation; + Bu Gu Zhi, Lu Rang
(1) · KD Yang deficiency
Signs & Symptoms
lower back ~a in, weakness of the lower extremities, a cold sensation in the lower half of the body, tenseness in the lower abdomen. The patient may also be irritable to t he point of having difficulty lying down, and wi ll breathe most comfortably w hile leaning against something
Tongue
~ale,
Pulse
deficient or weak pulse which is submerged and faint at the
swollen + thin, white, and moist coating
4. impotence; + Ba Ji Tian, Rou Cong Rang, Suo Yang, Gou Qi Zi
5. painful urinary dysfunction due to cold lodging in t he U characterized by frequent, scanty urination with continuous dripping; + Lu Rang, Chen Xiang 6. incontinence or turbid urine after overuse of excessively bitter and cold herbs: - Ze Xie, + Wu Wei Zi 7. edema of the lower extremities; + Wu Pi Yin
~roximal ~osition
... Associated Formulas
• •
Ji Sheng Shen Qi Wan Sh i Bu Wan
There is either urinary difficulty with edema, or excessive urination, sometimes ... Identification of Patterns
to the point of incontinence
Cautions & Contraindications •
Contra; Yin deficiency with dry mouth & throat and a red tongue with little coating
Biomedically-defined disorders:
•
chronic glomerular, primary
interstitial
hyperaldosteronism,
bronchial asthma.
or
diffuse
nephritis,
hy~othyroid i sm,
chronic
neurastenia,
urethritis,
arthritis,
I
Cold
I
Eight Principles
Interior
Shang Han Lun
Shao Yin - Cold pattern
Deficiency
Wen Bing Lun
not applicable
Zang Fu
KD Yang deficiency
Five Elements
Water
I
Yin
diabetes mellitus,
beriberi,
and
chronic
... Comparison
•
Jin Gui Shen Qi Wan vs. Liu Wei Di Huang Wan
•
Jin Gui Shen Qi Wan vs. Zhen Wu Tang vs. Si Ni Tang
c c
S35 535
... CASE: Todd, 40-year-old male; His chief complaint is dysuria for over a week. He was
diagnosed with benign prostate hypertrophy a year ago. He has also suffered from frequent urination, especially at night and dribbling through the day. Steve also complains of fatigue, feeling cold, low back ache and no desire to have intercourse. He has a pale tongue w ith a thin white coat and a deep, weak pulse. 'II
0
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3:
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E
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~ COMPARISON ~
CD
Sl JUN Zl TANG
3
..
Ill
0
@ Sl JUN Zl TANG
ll ZHONG WAN Sl JUN Zl TANG
'a
iii'
&
Ingredients
::s Common herbs
Sl WU TANG
&
SHI QUAN DA BU TANG
Sl JUN Zl TANG
ll ZHONG WAN •Gan Jiang •Ren Shen •Bai Zhu • Zhi Gan Cao
•Ren Shen •Bai Zhu •Fu Ling • Zhi Gan Cao
&
SHI QUAN DA BU TANG
Sl WU TANG
•Ren Shen •Bai Zhu • Fu Ling • Zhi Gan Cao •Shu Di Huang •Bai Shao •Dang Gui •Chuan Xiong •Rou Gui •Huang Qi • Sheng Jiang • Da Zao
•Shu Di Huang •Bai Shao • Dang Gui • Chuan Xiong
•Ren Shen •Bai Zhu •Fu Ling •Zhi Gan Cao
Ren Shen, Bai Zhu, Zhi Gan Cao SP/ST deficiency
Ingredients
Indications Qi deficiency
Deficiency Cold
DSi Jun Zi Tang DSi Wu Tang Deficiency
{Z) Sl WU TANG
&
Indications
XIAO YAO SAN
Ingredients
•Shu Di Huang •Bai Shao •Dang Gui • Chuan Xiong
Common
XIAO YAO SAN •Chai Hu •Dang Gui •Bai Shao •Bai Zhu •Fu Ling • Zhi Gan Cao •Wei Jiang •Bo He
@ GUI PI TANG
Blood stagnation
LV Qi stagnation
long cycle, clots in the blood ([) pale, dusky or purple ® thready, choppy
breast distension, hypochondriac pain ([) dusky ® wiry, weak, thready UB18, LV8
Ingredients
Dui-Yao
• Suan Zao Ren + Yuan Zhi
• Chai Hu + Sheng Ma
Common
Acupuncture
herbs ST36, SP6, UB17, SPlO
BU ZHONG VI Ql TANG • Huang Qi • Ren Shen • Ba i Zhu • Zhi Gan Cao • Dang Gui •Chen Pi • Sheng Ma • Chai Hu
fatigue, abdominal pain, PMS, menstrual disorders (irregular cycles, dysmenorrhea, amenorrhea, light colored blood) Symptoms
BU ZHONG VI Ql TANG GUI PI TANG
Blood deficiency Indications
&
•Ren Shen •Huang Qi •Bai Zhu •Zhi Gan Cao •Dang Gui •Long Van Rou •Suan Zao Ren • Zhi Yuan Zhi •Fu Ling (Fu Shen) •Mu Xiang •Sheng Jiang •Da Zao
Bai Shao, Dang Gui
herbs
Qi and Blood deficiency + Deficiency Cold
Blood deficiency
Qi deficiency Sl WU TANG
LV3, GB34, LV13, PC6
Ren Shen, Bai Zhu, Zhi Gan Cao, Huang Qi, Dang Gui Tonify Qi, strengthen SP Qi
Functions Raise sunken Yang
Nourish HT Blood SP deficiency Indications
• SP Qi and HT Blood deficiency • SP deficiency causing chronic bleeding
•SP/ST Qi sinking
fatigue, weariness, ([) pale, white coating, Symptoms
insomnia, pa lpitations, anxiety, poor memory
®
weak
fatigue, poor appetite, organ prolapse
(5) LIU WEI 01 HUANG WAN
&
Ingredients
@ JIN GUI SHEN Ql WAN
JIN GUI SHEN Ql WAN
LIU WEI 01 HUANG WAN
JIN GUI SHEN Ql WAN
•Shu Di Huang •Shan Zh u Yu • Shan Yao •Fu Ling • Mu Dan Pi • Ze Xie
•Shu Di Huang • Shan Zhu Yu • Shan Yao • Fu Zi •G ui Zhi (-+ Rou Gui) •Fu Ling • Mu Dan Pi • Ze Xie
&
ZHEN WU TANG
JIN GUI SHEN Ql WAN
Ingredients
•Shu Oi Huang • Shan Zhu Yu • Sha n Yao •Fu Zi •Gui Zhi •Fu Ling •Mu Dan Pi • Ze Xie
Common herbs
KO deficiency Indications
51 Nl TANG Sl Nl TANG
•FU Zi • Bai Zhu • FU Ling • Sheng Jiang •Bai Shao
•Sheng Fu Zi • Gan Jiang • Zhi Gan Cao
Fu Zi
Yang def iciency
Yin deficiency
&
ZHEN WU TANG
Warm KD Yang Functions tonify only
soreness/weakness of lower back and knees, spermat orrhea
Symptoms
light-headedness, vertigo, tinnitus, diminished hearing, night sweats, hot palms and soles, a chronic dry and sore throat, t oothache, or wasting and t hirsting disorder CD red, lit t le coating ® thready, rapid
a cold sensation in the lower half of the body, tenseness in t he lower abdomen, having difficulty lying down, and will breathe most comfortably whi le leaning against something CD pale, swollen, t hin white moist ® deficient, deep at proximal position
KD3, RN4, UB23 Acupuncture KD6, SP6
promote urination
rescues collapse
KD Yang deficiency Indications Simple KD Yang deficiency
Water-Damp
cold limbs, fatigue, aversion to cold, loose stool, Symptoms
impotence, spermatorrhea, ® weak
general edema, deep aching in the limbs, ® rolling
Yang collapse
CD
pale, ®
deep
extremely cold limbs, profuse cold sweating, ® thready, faint
KD7, DU4
...
,
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en
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~ REGULATE Ql
CATEGORY
40 r-41
IUl~J (OI JIAII)
SUB-CATEGORY
~ KING HERBS FORMULAS
FORMULA
KING HERBS
Vue Ju Wan
40
Vue Ju Wan
Xiang Fu
Ban Xia Hou Po Tang
41
Ban Xia Hou Po Tang
Ban Xia
Su Zi Jiang Qi Tang
42
Su Zi Jiang Qi Tang
Su Zi
Ding Chuan Tang
43
Ding Chuan Tang
Ma Huang, Bai Guo (= Yin Xing)
Ju Pi Zhu Ru Tang
44
Ju Pi Zhu Ru Tang
Chen Pi, Zhu Ru
Move Qi
1--
42
REGULATE Ql
1--
43 r-44
Descend Qi
4
40. VUE JU WAN (Escape Restraint Pill)
Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Xiang Fu
acrid, sl bitter, sl sweet
neutral
LV SJ
6-12g
Xiang Fu
Chuan Xiong
acrid
warm
LV GB PC
6-12g
Chuan Xiong
Cang Zhu
warm, aromatic
Shan Zhi Zi
acrid, bitter bitter
cold
SP ST HT LV LU ST SJ
6-12g 6-12g
Shan Zhi Zi
Shen Qu
sweet, acrid
warm
SP ST
6-12g
Shen Qu
4
Actions: Promote Qi circu lation and relieve stagnation Indications· Stagnation of Qi + Blood + Phlegm + Damp + Fire + Food Signs & Symptoms
•
Six constraints
focal distention and a stifling sensation in the chest and abdomen, fixed j:1ain in the hyj:1ochondria, belching, vomiting, acid regurgitation, mild coughing with coj:1ious Sj:1utu m, reduced aj:1j:1etite, and indigestion
Tongue
can vary depending on type of stagnation
Pulse
can vary depending on type of stagnation
Cang Zhu
4 •
deputy
Functions Releases the constraint and disperses qi stagnation Releases constrained blood and thus resolves the f ixed pain Dries dampness and transforms phlegm Clears heat from all San Jiaos and resolves f ire from constraint Re lieves constraint caused by food retention and harmonizes ST
Modifications
1. 2. 3. 4. 5. 6. 7. 8.
Cautions & Contraindications
Hierarchy king
•
If stagnant Qi predominates: + Yu Jin, Mu Xiang, Wu Yao If LV fire predominates: - Cang Zhu, + Bai Shao, Mu Dan Pi If blood stasis predominates: + Tao Ren, Hong Hua If phlegm predominates: + Ba n Xia, Tian Nan Xing If dampness predominates: + Hou Po, Fu Ling If food stagnation predominates: + Shan Zha, Mai Ya concurrent cold in the middle burner: - Shan Zh i Zi, + Wu Zhu Yu, Gan Jiang severe bloating and distention: + Qing Pi, Chen Pi, Zh i Shi, Bing Lang Associated Formulas Pai Qi Yin
Contra: stagnation due to deficiency
4
Identification of Patterns
Biomedically-defined disorders: • functional gastrointestinal disorders, peptic ulcer, chronic gastritis, infectious hepatitis, cholecystitis, cholelithiasis, intercostal neuralgia, some types of neuroses, and dysmenorrhea.
4 • •
4
I
I
Eight Principles
Interior
Shang Han Lun Wen Bing Lun
not applicable not applicable
Zang Fu
can be complicated
Five Elements
can be compl icated
Heat
Excess
I
Yang
Comparison Vue Ju Wan vs. Si Ni San vs. Xiao Yao San Vue Ju Wan vs. Bao He Wan
c
c
542 574
CASE: Mark, 32-year-old male; He presents with chron ic cholecystitis of two years duration.
His signs and symptoms include pain in the right hypochondrium, sour belching, nausea, distension and an oppressive feeling in the chest and abdomen which are worse with greasy meals. His tongue is red with a gre~sy yellow coating, and his pulse is wiry, rol ling and rapid.
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41. BAN XIA HOU PO TANG (Pinella & Magnolia Bark Decoction) Channels
acrid
Temperature warm, toxic
bitter, acrid
warm, aromatic
Fu Ling
sweet, bland
ca
Sheng Jiang
Dl
Zi Su Ye
.. .. (II
Dl
:::s
Ingredient Ban Xia
Taste
Hou Po
•
Hierarchy and Functions Ingredient
LU SP ST
Dosage 9-12g
Ll LU SP ST
9g
Hou Po
neutral
HT SP LU
12g
Fu ling
acrid
warm
LU SP ST
15g
Sheng Jiang
assistant
Harmonize the ST and thereby to stop the vom iting
acrid
warm, aromatic
LU SP
6g
Zi Su Ye
envoy
Disperse the stagnation, relieves coughing
Ban Xia
Hierarchy king deputy
Functions Transforms phlegm, dissipates clumps, harmonizes the ST Eliminates the stifling sensation, directs the rebellious qi Leaches out damp and assists chief herb in transform ing phlegm
:::s
Actions • Promote the movement of Qi, dissipate clumps • Direct rebellious Qi downward, and transform phlegm
•
1. 2. 3. 4. 5. 6. 7.
-
Indications· LV Qi & phlel!m sta2nation lodl!inl! in the throat causinl! Plum pit svndrome Signs & Symptoms
a feeling of something caught in the throat that can neither be swallowed nor ejected, a stifling sensation in the chest and hl/120chondria. There may also be coughing and vomiting
Tongue
moist or greasl/, white coating
Pulse
wirJl, slow or wirJl, rolling
•
vomiting: + Sha Ren, Ding Xiang, Bai Dou Kou severe stifling sensation in the chest: + Yu Jin, Zhi Ke chest pain: + Gua Lou, Xie Ba i abdominal distention: + Sha Ren, Mu Xiang hypochondriac pain: + Jin Ling Zi, Van Hu Suo pain and swelling in the throat: + Xuan Shen, Jie Geng Associated Formulas
• •
Modifications severe cases of stagnant Qi with above presentation: + Chai Hu, Yu Jin, Xiang Fu, Qing Pi
Si Qi Tang Identification of Patterns
Cautions & Contraindications • Contra: patients presenting with a flushed face, a bitter taste in the mouth, and a red tongue with scanty coating
Eight Principles Shang Han lun
Interior I Cold not applicable
Wen Bing lun
not applicable
Biomedically-defined disorders:
Zang Fu
LU and ST lose their ability to move the Qi downward
Five Elements
Wood overacting Earth
•
hysteria, functional tracheitis.
gastrointestinal
disorders,
esophageal
spasm,
chronic
larJlngitis,
and •
I
Excess
I
Yin
Comparison
• CASE: Olivia, 49-year-old fem ale; After getting stress from her work, she developed chest and hypochondriac fullness, and distention. She has a feeling of someth ing caught in the throat that can't be swallowed nor ejected. She coughs sometimes with vomiting. Her tongue is white greasy and pulse is w iry and roll ing.
"'I
0
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i:
42. SU Zl JIANG Ql TANG {Perilla Fruit Decoction for Direct ing Qi Downward)
4
Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Su Zi
acrid
warm
Ll LU
75g {9-12g)
Su Zi
Ban Xia Hou Po
acrid bitter, acrid
warm, toxic warm, aromatic
LU SP ST Ll LU SP ST
75g {6-9g) 30g {3-6g)
Ban Xia Hou Po
{Chen Pi)
acrid, bitter
warm, aromatic
LU SP ST
45g {6-9g)
(Chen Pi)
Qian Hu
bitter, acrid
sl cold
LU
30g {6-9g)
Qian Hu
hot
Rou Gui
acrid, sweet
HT KD LV SP
45g {1.5-3g)
Rou Gui
Dang Gui
sweet, acrid, bitter warm
HT LV SP
45g {6-9g)
Dang Gui
Sheng Jiang
acrid
warm
LU SP ST
2 slices
Sheng Jiang
Su Ye
warm, aromatic
LU SP
5 leaves
Su Ye
Da Zao
acrid sweet
neutral
SP ST
3 pieces
Da Zao
Zhi Gan Cao
sweet
warm
HT LU SP ST
60g {3-4.5g)
Zhi Gan Cao
Actions • Direct rebellious Qi downward, arrest wheezi ng, stop coughing •
Warm and transform cold-phlegm
Indications· LU Cold-Phlegm {excess above)
Signs & Symptoms
+ KD Yang deficiency {deficiency below)
coughing and wheezing w1th waterv. copious sputum, a stifling sensation in the chest and diaphragm, dyspnea, SOB marked by relatively labored inhalation and smooth exhalation. There may also be pain and weakness of the lower back and legs, edema of the extremities, and/or fatigue
4
deputy
Functions Directs rebellious qi downward, expels phlegm, stops coughing Expels phlegm, stops the coughing, and arresting wheezing Expels ph legm, stops the coughing, and arresting wheezing Directs rebellious qi downward, expels phlegm Transforms phlegm and directs qi downwards
assistant
envoy
Warms the KD and restores their ability to grasp the qi Treats cough from rebellious qi, nourish devitalization of blood Disperse cold and improve circulation in the LU Disperse cold and improve circu lation in the LU Harmonize middle and harmonize the others Harmonize middle and harmonize the others
Modifications
1. 2. 3. 4. 5. 6.
4
Hierarchy king
concurrent exterior cold: + Ma Huang, Xing Ren less severe cold: Zi Su Ye -7 Bo He more sput um and coughing: + Chen Pi Qi deficiency: + Dang Shen, Wu Wei Zi urinary difficulty: + Che Qian Zi greater difficulty in inhalation without lower back pain: - Rou Gui, + Chen Xiang Identification of Patterns
Tongue
w hite tongue coating that is either slippery or greasy
Eight Principles Shang Han lun
Interior I Cold not applicable
Pulse
rolling, weak
Wen Bing lun
not appl icable
Cautions & Contraindications • Contra: LU and KD deficiency in the absence of an external pathogenic influence •
Contra: wheezing and productive cough due to LU Heat
4 •
Biomedically-defined disorders: • chronic bronchitis, emphysema, bronchial asthma, and cardiac asthma.
4
I
Deficiency / Yin
Zang Fu
LU excess and KD deficiency
Five Elements
Metal and Water
Comparison Su Zi Jiang Qi Tang vs. Ding Chuan Tang
c
542
CASE: Susan, 70-year-old female; Susan was diagnosed with emphysema ten years ago. During
your intake you notice that she has shortness of breath, wheezing, coughing with much watery sputum. Further she states that she has a tight feeling in the chest and t hat her legs feel weak with ankles that are swollen. Her tongue is greasy white coating, and her pu lse is rolling and weak.
l I t:
43. DING CHUAN TANG (Arrest Wheezing Decoction)
cg
Ic
-
9.
E
Actions • Disseminate and redirect the LU Qi, arrest wheezing • Clear heat, and transform phlegm
Signs & Symptoms
coughing and wheezing with copious, thick, and yellow sputum, breathing. There may also be simultaneous fever and chills
Tongue
greasy, yellow coating
Pulse
rolling, rapid
labored
1. thick, yellow sputum that is difficult to expectorate: + Dan Nan Xing, Gua lou Pi, Qian Hu 2. severe, stifling sensation in the chest: + Zhi Shi, Hou Po 3. more heat in the LU: + Shi Gao, Yu Xing Cao 4. sputum that is deep-seated and difficult to expectorate with a reduced appetite: + Lai Fu Zi, Bai Jie Zi
•
4
Formulas Shen Mi Tang Identification of Patterns Eight Principles Shang Han Lun Wen Bing Lun Zang Fu Five Elements
Cautions & Contraindications • Contra: external W-C which present with an absence of sweating & internal Phlegm-Heat • Contra: chronic asthma with Qi deficiency and a weak pulse Biomedically-defined disorders: • chronic bronchitis, bronchial asthma, and bronchiolitis.
4 • • •
lnterior+Exterior I Heat+Cold I Excess Tai Yang Qi level Phlegm-Heat obstructing the LU Metal
Comparison Ding Chuan Tang vs. Su Zi Jiang Qi Tang Ding Chuan Tang vs. Wen Dan Tang Ding Chuan Tang vs. Ma Xing Shi Gan Tang
c c c
I
Yang
542 542 542
4 CASE: Ray, 31-year-old male; Ray states that he has a terrible cold. He has chills, fever and headache. Now he complains of cough, wheezing, and congestion with profuse thick yellow phlegm and his chest feels tight and oppressive. His tongue is red with a yellow greasy coating, and his pulse is rolling and slightly floating.
4
44. JU PI ZHU RU TANG (Tangerine Peel & Bamboo Shavings Decoction)
Hierarchy and Functions
Ingredient
Taste
Temperature
Channels
Dosage
Ingredient
Chen Pi
acrid, bitter
warm, aromatic
LU SP ST
9-12g
Chen Pi
Zhu Ru
sweet
sl cold
GB LU ST
9-12g
Zhu Ru
LU SP LU SP ST
3g 18g (6-9g)
Sheng Jiang
Ren Shen
Ren Shen
sweet, sl bitter
Sheng Jiang
acrid
sl warm warm
Gan Cao
sweet
neutral
HT LU SP ST
lSg (3-6g)
Gan Cao
Da Zao
sweet
neutral
SP ST
30 pieces (Sp)
Da Zao
4
Actions
• •
h1ccough, nausea, dry heaves, or retching. Also for vomiting resulting from debility after a prolonged illness, or heat from deficiency of the ST
Tongue
tender, red
Pulse
deficient, ra12id
4
4
Assist Ren Shen in augmenting qi, and harmonize other herbs Assist Ren Shen in augmenti ng qi, and harmonize other herbs
Modifications
gastritis,
12ost-surgical
hiccough,
Ju Pi Tang Ju Pi Zhu Ru Tang Xin Zhi Ju Pi Zhu Ru Tang Identification of Patterns
Contra: Heat from excess or Cold from deficiency
obstruction,
assistant
Provides tonification in the course of regulation Harmonizes the fu nctions of the ST and stopping vomiting
Associated Formulas
• • •
Cautions & Contraindications
pyloric
deputy
2. patients without Qi deficiency: - Ren Shen 3. concurrent phlegm: + Ban Xia, Fu Ling
Signs & Symptoms
Biomedically-defined disorders: • morning sickness, incomplete
king
Functions Harmonizes the ST and stops hiccup Clears heat, calms the ST, and stops hiccup
1. Yin deficiency with thirst, a red tongue with a scanty, dry coating, and a thready, rapid pulse: + Mai Men Dong, Sh i Hu, Lu Gen
Direct rebel lious Qi downward, stop hiccup Augment the Qi, and clear Stomach heat
Indications· ST deficiency and Heat causing hiccoul!h and rebellion ST Qi
•
Hierarchy
or
functional vomiting.
4
I
I
Eight Principles
Interior
Shang Han Lun
not applicable
Wen Bing lun Zang Fu
not applicable ST Qi deficiency
Five Elements
Earth and Wood
Heat
Deficiency
Comparison
•
Ju Pi Zhu Ru Tang vs. Li Zhong Wan
c
I
Yin
543
4 CASE: Miriam, 30-year-old fema le; She presents w ith hiccup and nausea that have been annoying her for over a month. Her symptoms began soon after she had a hysterectomy six weeks ago. Her symptoms are worse after eating spicy food and improves w hen she drinks water while holding her breath. Her tongue is red w ith scanty coating, and her pulse is rapid and weak.
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~ COMPARISON ~
...Di
" g,
CD
Sl Nl SAN
0
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iii'
XIAO YAO SAN
&
Ingredients
@ DING CHUAN TANG
VUE JU WAN XIAO YAO WAN
Sl Nl SAN
n Ill
&
0
:I
•Xiang Fu •Chuan Xiong • Cang Zhu •Shan Zhi Zi •Shen Qu
Ingredients
Stagnation of Blood, Ph legm, Damp, Fire, Food
Indications
LV Qi stagnation Indications
l V Blood deficiency, SP Qi deficiency
LV/SP disharmony
""0::a
WEN DAN TANG WEN DAN TANG
DING CHUAN TANG
VUE JU WAN
•Chai Hu •Da ng Gui •Bai Shao •Bai Zhu • Fu Ling •Zhi Gan Cao • Wei Jiang • Bo He
•Chai Hu • Zhi Shi •Ba i Shao • Zhi Gan Cao
&
• Zhu Ru • Zhi Shi • Ban Xia • Chen Pi •Fu Ling • Gan Cao • Sheng Jiang • (Da Zao)
•Ma Huang •Yin Xing • Xing Ren •Su Zi •Ban Xia • Kuan Dong Hua •Sang Bai Pi •Huang Qin •Gan Cao
Phlegm-Heat Phlegm-Heat (LU) + Wind-Cold (Exterior)
Phlegm-Heat from GB & ST disharmony
hypochondriac/abdominal pain and distension, G) dusky, ® wiry Symptoms cold extremities, diarrhea
®
SU Zl JIANG Ql TANG
&
fatigue, headache, dizziness, dysmenorrhea, irregular menses, PMS
DING CHUAN TANG DING CHUAN TANG
•Su Zi •Ban Xia •Hou Po •(Chen Pi) •Qian Hu • Rou Gui •Dang Gui • Sheng Jiang •Su Ye •Da Zao • Zhi Gan Cao
•Ma Huang •Yin Xing • Xing Ren • Su Zi • Ban Xia • Kuan Dong Hua • Sang Bai Pi • Huang Qin •Gan Cao
Ingredients
&
Excess above (LU Cold-Phlegm) + Deficiency below (KD Yang deficiency)
Interior (LU Phlegm-Heat) + Exterior (Wind-Cold)
abundant th ick yellow sputum, possible chills and fever G) yellow coating ® rapid UB13, LUS, ST40
Acupuncture UB23
MA XING SHI GAN TANG • Ma Huang •Shi Gao • Xing Ren • Zhi Gan Cao
•Ma Huang •Yin Xing • Xing Ren •Su Zi •Ban Xia • Kuan Dong Hua • Sang Bai Pi •H uang Qin •Gan Cao
Ma Huang, Xing Ren, Gan Cao Rebellious lU Qi
Indications
UB12
Exterior (Wind-Cold) + Interior (LU Phlegm-Heat)
Exterior (Wind-Cold I Wind-Heat) + LU (Heat)
cou~ ing, wheezing, dyspnea, chills and fever,
wheezing, dyspnea, coughing, sputum, G) greasy, ® rolling abundant watery clear sputum, ~ pressive feeling in the chest white coating ® weak
nausea, vomit ing, dizziness, insomnia, palpitation, anxiety, bitter taste
MA XING SHI GAN TANG
Su Zi, Ban Xia, Gan Cao Rebellious LU Qi
Symptoms
coughing, wheezing, abundant t hick yellow sputum, possible chills and fever
DING CHUAN TANG
Common herbs
Common herbs Indications
Symptoms
@ DING CHUAN TANG
SU Zl JIANG Ql TANG
Ingredients
G) red, greasy yellow coating, ® ro lling, rapid fixed pain, indigestion, vomiting
T red, yellow coati ng, ®
rapid, rol ling
Symptoms
abundant thick ye llow sputum, labored breathing, possible slight chills and fever, G) greasy
persistent high fever, th irst, possible aversion to wind or cold, nasal fl aring and pain, G) dry with thin coating
Acupuncture
LUS (LU Phlegm-Heat)
LUlO (LU Heat)
i:
c
E
(5) JU PI ZHU RU TANG
&
Ll ZHONG WAN
JU PI ZHU RU TANG
Ingredients
•Chen Pi •Zhu Ru •Ren Shen •Sheng Jiang •Gan Cao •Da Zao
Dui-Yao
•Chen Pi + Zhu Ru •Zhu Ru + Sheng Jiang
Ll ZHONG WAN •Gan Jiang •R en Shen •Bai Zhu •Zhi Gan Cao
•Gan Jiang + Ren Shen Rebellious ST Qi
Indications
ST deficiency + Heat
ST deficiency + Cold
hiccup, belching, vomiting, poor appetite due to ST deficiency Symptoms
loud hiccups or belching (worse from warmth) ® red, ® weak, rapid
quiet hiccups or belching (better from warmth) ® pale, ® weak, deep, slow
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Unblocks the blood vessels and reduce the stasis of blood Leaches downward, promotes the downward circulation of blood Chi Shao: invigorates blood I Bai Shao: relax spasms & stop pain
0
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Cools and invigorates blood, breaks up and dispels blood stasis Invigorates the blood, disperse accumulation Moderates the harshness of those herbs that dispel blood stasis
... Modifications 1. more severe blood stasis: + Da Huang ... Identification of Patterns
Indications
(1)· BloOd staanatlan In the
uterus
durir:ta: D~cv
Eight Principles Shang Han Lun
Signs & Symptoms
mild, l)ersistent uterine bleeding of [1Ur[11e or dark blood during [1regnanc'r' accompanied by abdominal [1ain that increases with 11ressure
Wen Bing Lun Zang Fu
Tongue
purple with dark spots + white or yellow coating
Five Elements
Pulse
~
(2): Blood sta!fuation in the uterus (in general) Signs & Symptoms
Also for such problems as immobile masses in the lower abdomen with [1ain and tenderness, abdominal spasms and tension, amenorrhea with abdominal distention and pain, d','smenorrhea, and retention of the lochia
Cautions & Contraindications • Caution: use with extreme caution during [1regnanc'r' or post partum, and only when there is a confirmed diagnosis of blood stasis producing this pattern. Biomedically-defined disorders: • primary dysmenorrhea, leiomyoma (uterine fibroids), cervical erosion, ovarian C','Sts, chronic salpingitis, chronic pelvic inflammatory disease, endometriosis, and lochioschesis.
Interior I Cold not applicable not applicable
I
Excess
I
Vi n
Blood stagnation in the uterus not applicable
... Comparison • Gui Zhi Fu Ling W vs. Tao He Cheng Qi T vs. Xue Fu Zhu Yu T vs. Wen Jing T
c
549
... CASE: Bonnie, 40-year-old female; Bonnie is four months pregnant and began having uterine bleeding two days ago with blood that is burgundy-colored and has many clots. She also states that her lower abdominal pain is worse with pressure. She has a history of uterine fibromyomas. Her tongue is dark red with purplish spots on the border, and her pulse is choppy.
~ COMPARISON ~
Q) TAO HE CHENG Ql TANG
&
TAO HE CHENG Ql TANG
Ingredients
Common
herbs
®
TIAO WEI CHENG Ql TANG
•Tao Ren •Da Huang •G ui Zhi • Mang Xiao • Zhi Gan Cao
TAO HE CHENG Ql T.
TIAO WEI CHENG Ql TANG
&
XUE FU ZHU YU T.
TAO HE CHENG Ql T.
•Da Huang • Mang Xiao • Gan Cao
•Tao Ren •Da Huang • Gui Zhi • Mang Xiao • Zhi Gan Cao
Tiao Wei Cheng Qi Tang (Da Huang, Mang Xiao, Gan Cao)
Ingredients
Heat Indications Taiyang Fu
Symptoms
Ya ngming Fu
XUE FU ZHU YU T. •Tao Ren •Hong Hua • Chuan Xiong • Dang Gui •Chi Shao • Chuan Niu Xi • Sheng Di Huang • Chai Hu • Jie Geng •Zhi Ke • Ga n Cao
constipation, abdominal &ain that is worse with pressure, fever, thirst, irritabilit y, restlessness, T red tongue, ® deep, forceful, rolling, rapid fever at night, dysmenorrhea or amenorrhea, G) purple, ® choppy
&
GUI ZHI FU LING W. GUI ZHI FU LING W. • Gui Zhi • Fu Ling • Shao Yao • Mu Dan Pi • Tao Ren • Feng Mi
&
W EN JING T. WEN JING T.
• Wu Zhu Yu • Gui Zhi • Dang Gui • Ch uan Xiong • Bai Shao • E Jiao • Mai Men Dong • Mu Dan Pi • Ren Shen • Gan Cao • Sheng Jiang • Ba n Xia
Blood st agnation Indications
fever in the afternoon
+ Heat accumulation
+ Qi stagnation
(Lower Jiao)
(Chest)
GJ Symptoms
severe lower abdominal pain
+ Deficiency Cold (Uterus)
purple tongue,
chest pain, palpitations
®
(Chong and Ren)
choppy
masses, bleeding during pregna ncy
irregular menses, infertility
:II
cJ may occur during pregnancy
Thenar atrophy but no swelling or trophic changes Nighttime numbness of hand (median nerve pattern) Thumb weakness & loss of opposition/abduction specifically APB (beware of substitution of APL, innervated by the radial nerve) (+) Tests: Phalen's, reverse Phalen's, ULNT & Tinel's sign (- ) TOS Normal pulses (medial & ulnar arteries do not pass through tunnel) Sensation of palm is spared Need to rule out C-spine problem Confirmed with CT or MRI
Body & Disease I Musculo-Skeletal System
650
BIOMEDICINE
NERVOUS SYSTEM & MENTAL FUNCTION
NERVOUS SYSTEM PNS
CNS Brain
I
Cranial Nerve
Spinal Cord
I
Spinal Nerves
I I
Autonomic Nerves Parasympathetic
1
Sympathetic
CRANIAL NERVE CRANIAL NERVE
TEST
FUNCTION
S/M
s s
Smell
Identify odors with eyes closed
II Optic
Vision
Test peripheral vision with one eye covered
ill Oculomotor
M
Eye movement & pupillary reaction
Peripheral vision, eye chart, reaction to light
IV Trochlear
M
Eye movement
Test ability to depress & adduct eye
v
Both Face sensation & mastication
I
Olfactory
Trigeminal
Face sensation & clench teeth Test ability to abduct eye past midline
VI Abducens
M
vn vm
Facial
Both Facial muscles & taste
Close eyes & smile; detect various tastes - sweet, sour, salty, bitter
Vestibulocochlear
s
Hearing; balance-feet together, eyes open/closedxSsec; test for past-pointing
IX
Glossopharyngeal
Both Swallow, voice, gag reflex
Eye movement
Hearing & ba lance
Swallow & say "ahh" Use tongue depressor to elicit gag reflex
X Vagus
Both Swallow, voice, gag reflex
XI Accessory
M
SCM & trapezius
Rotate/SB neck; shrug shoulders
xn
M
Tongue movement
Protrude tongue (watch for lateral deviation)
Hypoglossal
Mnemonic to Remember Names of the Cranial Nerves
••
On Old Olympus' Towering Top, A Finn And German Vaulted And Hopped The BOLDED letters stand for Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, Facial, Auditory, Glossopharyngeal, Vagus, Accessory, and Hypoglossa l Mnemonic to Remember Whether Nerve is Sensory, Motor, or Both
•
Some Say Marry Money, But My Brother Says Bad Business M arrying Money
SYMPATHETIC vs. PARASYMPATHETIC SYMPATHETIC {Adrenergic)
PARASYMPATHETIC (muscarinic)
Cardiac Output
increase
decrease
pupil of eye
relaxes
contracts
Smooth muscle of Gl tract
relaxes
contracts
Glands of Gl tract
inhibits
secretes
Bladder wall
relaxes
contracts
Ureter
contracts
relaxes
Genitalia
contracts
erection
Body & Disease I Nervous System
BIOMEDICINE
651
DERMATOMES
C6Thumb C8Ring and little Fingers Inguinal
LS Anterior ankle
DERMATOMES = Relationship between the spinal nerve & skin
PARKINSON'S DISEASE
•••
Primary onset = 5th - 6th decade Affects > 1 in 100 pj:ople Olj~r. the age of 75 yrs Expect 1.5 million people living with PD in USA by 2020
SECONDARY SIGNS & SYMPTOMS
PRIMARY SIGNS & SYMPTOMS
•••
•• • •• •• •
Vague unilateral weakness Muscular rigidity Resting tremor (pill rolling) Bradykinesia -7 akinesia Cogwheel rigidity Impaired postural reflexes (loss of balance): disturbance of spatial organization, dependence on visual input for balance Tight facial appearance (parkinsonian mask) Cognitive decline Depression/panic attacks Gait abnormalities: .J,step length & arm swing, festination of gait (inability to stop) Micrographia (handwriting becomes small)
•• •• •• •• ••
Dementia Vital capacity declines Poorly localized pain Paresthesia .J,Autonomic control Sweating Drooling (sialorrhea) due to abnormal swallow Loss of volume & emotion in voice Reduced libido Inability to stay asleep
Body & Disease I Nervous System
652
BIOMEDICINE MULTIPLE SCLEROSIS
•• • ••
Onset: 13-35 yo; women > men by 2:1 Disease of temperate climates - highest incidence = born in latitudes of 40-45·. Possible genetic risk . Most common location of early lesions are sensory (numbness), pyramidal (LE weakness), cerebellar (double vision, vertigo), & visual pathways (blurred vision, loss of vision in one eye). Sclerotic plaques disseminate through the brain & spinal cord . Presentation is highly variable. The number of exacerbations per year is directly related to the progression of the disease. The younger the onset, the better the prognosis.
SIGNS & SYMPTOMS Intermittent unilateral visual impairment (Blurring, Diplopia)
Reports a sensation of compression around a limb
Paresthesias
Hyper-reflexia
Ataxia
(+) Babinski
Vertigo
Dysmetria
Fatigue
Lhermitte's sign= electric sensation down back with neck flexion
Extremity weakness
Sensitivity to temperature changes
Box & Block test score changes
LBP 2• trunk hypotonia '
MS CLASSIFICATION
';,;,,,,,,,,,,
MANIFESTATION
TYPE Relapsing Remitting
Episode followed by recovery
Secondary Progressive
Steadily progressive pattern
Primary Progressive
Steady decline from onset
Progressive Relapsing
Progressive disease with exacerbation
HEADACHE
TYPE OF''PAIN
'
POSSIBLE ETIOLOGY
Acute
Trauma, infection, impending CVA
Chronic
Eye strain, ETOH, inadequate ventilation
Severe & intense
Meningitis, aneurysm, brain tumor
Throbbing/pulsating
Migraine, fever, hypertension, aortic insufficiency
Constant
Muscle contraction/guarding
AM pain
Sinusitis (with discharge), ETOH, hypertension, sleeping position
Afternoon pain
Eye strain, muscle tension
Night pain
Intracranial disease, nephritis
Forehead
Sinusitis, nephritis
Temporal
Eye or ear Sx, migraine
Occipital
Herniated disk, eye strain, hypertension
Parietal
Meningitis, constipation, tumor
Face
Sinusitis, trigeminal neuralgia, dental Sx, tumor
Stabbing pain
With ear fullness, tinnitus, vertigo
Severe pain
With fever, (+) Kernig's sign
Severe, sudden pain
With 1'BP
Intermittent pain
with fluctuating consciousness
= subarachnoid
= otitis = meningitis
media
hemorrhage
= subdural
hematoma
EATING DISORDERS
•• ••• •• •• •• ••
ANOREXIA Under minimal body weight Fear of being fat Frequent starving Depressed Social withdrawal Insomnia 1'Cortisol, serotonin, GH, corticotropin-releasing factor ,J...LH, FSH, TSH Bradycardia Hypotension Arrhythmias Dry skin, dental caries, anemia, osteoporosis Lab-hypolalemia, 1'BUN, metabolic alkalosis
Body & Disease I Nervous system
••• •• •• •• ••
BUUMIA Binge eating Self-induced vomiting Laxatives, diuretics Excessive exercise Overeating alternating with period of starvation Fear of fatness May be obese Erosion of dental enamel Seizures Weakness & fatigue Lab-metabolic acidosis, ,J...amylase, hypokalemia, hypomagnesia
,,,
BIOMEDICINE
653
ENDOCRINE SYSTEM & METABOLISM GLAND AND HORMONE GLAND HYPOTHALAMUS
ANTERIOR LOBE OF PITUITARY
POSTERIOR LOBE OF PITUITARY
HORMONE
TARGET TISSUE
PRINCIPLE ACTIONS
Releasing and inhibiting hormones
Anterior lobe of pituitary gland
Stimulates or inhibits secretion of specific hormones
GH (growth hormones)
Most tissues in the body
Stimulates growth by promoting prote in synthesis
TSH (Thyroid-stimulating hormone)
Thyroid gland
Increases secretion of thyroid hormone: increase the size of the thyroid gland
ACTH (Ad renocorticotropic hormone)
Adrenal cortex
Increases secretion of adrenocortical hormones, especially glucocorticoids such as cortisol
FSH (Follicle-stim ulating hormone)
Ovarian follicles in the ( )Ui' c '
•• •• •• •• •• •• •• •• •
,,!';>;> ';,
'
f'i'
•• •• •• •• ••• •• •• •• •• •
Tachycardia Hyperactive reflexes 1'Sweating Heat intolerance Fatigue Tremor Nervousness Polydipsia Weakness 1'Appetite Dyspnea Weight loss Diarrhea Apathy Depression Muscular atrophy Anorexia
'''LL~,
,' ' """
,''';'.,,,'
,J,Basal metabolic rate Dry skin Muscle/joint pain Proximal weakness Lethargy, depression, apathy Confusion Weight gain Edema around the eyes Loss of lateral eyebrow Cardiomegaly Constipation Cold intolerance Brittle nails Sparse/coarse hair Peripheral edema Joint effusion with ca++ deposits CTS Slow healing Hoarseness PR < 60 in untrained person
DIABETES MELLITUS Type 1 (IDDM) = Insulin - dependent Diabetes Mellitus, juvenile onset Type 2 (NIDDM) = Non-Insulin-dependent Diabetes Mellitus, adult onset
• •
SIGNS & SYMPTOMS 1'Urination 1'Thirst 1'Hunger 1' Fatigue/lethargy Paresthesia (numbness/tingling) feet/hands
••• ••
•• ••• ••
COMPLICATIONS
Blindness Glaucoma Cataracts H/A Stroke Foot ulcers Kidney disease
ABNORMAL BLOOD GLUCOSE ,/ L"
•• •• •• •• ••
/>c
,,,
•••lA ', :,
~~~~~.
Blood glucose < 50-60 mg/dL Skin is pale, cool, diaphoretic Disoriented or agitated Headache Blurred vision Slurred speech Tachycardic with palpitations Weak/shaky Lip/tongue numbness LOC (Loss Of Consciousness)
Body & Disease I Endocrine System
>
,'
'
•• •• ••• ••• •
,{ ,' ,, ' tl\fP.(ii.YCI;.IA Blood glucose > 180 mg/dL Skin is dry & flushed Fruity breath odor Blurred vision Dizziness Weakness Nausea Vomiting Cramping Increased urination LOC/seizure
___:_ ,, >
;
BIOMEDICINE
655
CARDIOVASCULAR SYSTEM BLOOD PRESSURE Systolic Blood Pressure
Th blood pressure measured during the period of ventricular contraction (Systolic), In blood pressure reading it is the higher of the two measurements '
Diastolic Blood Pressure
The minimum level of blood pressure measured between contraction of the heart. Diastolic pressure for an individual may vary with age, gender, body weight, emotional state, and other factors.
HYPERTENSION PRIMARY
SECONDARY
SIGNS/SYMPTOMS
Elevated BP without a known causative factor. Most common.
Elevated BP with an identifiable cause.
Causes of primary hypertension
Causes of secondary hypertension
predisposition, obesity •• Genetic Stress, increased alcohol intake • Diabetes, sodium and water retention
Renal stenosis •• Congenital heart defects (e.g., coarctation of the aorta) syndrome, pheochromocytoma •• Cushing's Untreated sleep apnea MAOis (Monoamine oxidase inhibitors) •• Stimulants (e.g., cocaine, methamphetamines) • PIH (Pregnancy-induced hypertension)
• •• •• •
Often called the "silent killer" because no initial symptoms usually occur Chronic fatigue Headache Dizziness Dyspnea at rest or with physical exertion Chest pain and palpitations
CHOLESTEROL
~
~
-1
;:g
Ci ~m
2!!
0 m
Level mg/dL
Level mmoi/L
Interpretation
< 200
240
>6.2
High risk
Level mg/dL
Desirable level corresponding to lower risk for heart disease
Level mmoi/L
Interpretation
5.65
Very high, increased risk
Level mg/dl
Level mmoi/L
Interpretation
:I:
NAME
Lisinopril
Prinivil
Fosinopril Quinapril
Monopril Accupril
Diltiazem
Cardizem
Verapamil
Calan
BLOCKERS Amlodipine Nifedipine
Treating Disease I Drugs
Norvasc Lot rei Procardia
Upset stomach, skin rash, bruising, hepatic Sx > lSg
Drowsy, constipation, -J.,BP, nausea, vomiting, addiction (body builds up tolerance after 2 wks) Lightheadedness, dizziness, nausea, vomiting, rash, constipation Dizziness, nausea, headache, weakness, vomiting, constipation Dizziness, headache, vomiting, upset stomach, constipation, -J.,BP, nausea Lightheadedness, nausea, dizziness, vomiting, constipation Dizziness, nausea, headache, vomiting, constipation Drowsiness initially nausea, dizziness, headache, weakness Drowsiness, dizziness, vertigo, agitation, insomnia, headache Gl bleed, drowsiness, dizziness Drowsiness, dry mouth, dizziness not recommended for > 2-3 wks Drowsiness, fatigue, thrombosis, confusion, dysarthria, headache, constipation Lightheadedness, dizziness, nausea, drowsiness, rash, headache, anorexia, Gl upset Renal insufficiency, rash, fever, myalgia Fatigue, headache, dizziness, cough Fatigue, hypotension, diarrhea, rash, impotence Fatigue, dyspepsia, URI, dizziness, headache, cough, rash, -J.,Iibido Fatigue, headache, diarrhea, dizziness, nausea, cough Dizziness, fatigue, cough Peripheral edema, headache, nausea, dizziness, rash, asthenia, arrhythmia Constipation, dizziness, nausea, headache, arrhythmia, abnormal liver studies Peripheral edema, fatigue, headache, flushing Cough, peripheral edema, headache, dizziness Dizziness, flushing, peripheral edema, headache, nausea
BIOMEDICINE
BETA BLOCKERS/ ANTIHYPERTENSIVES
ANTIDEPRESSANTS
Propranolol
lnderal
Bradycardia, CHF, lightheaded, nausea, arrhythmia, fatigue, impotence, weakness
Atenolol
Tenormin
Dizziness, fatigue, nausea, cold extremities, depression, weakness, impotence
Timolol
Blocadren
Fatigue, bradycardia extremity pain, weakness, impotence
Metoprolol
Lopressor
Fatigue, dizziness, depression, confusion, short-term memory loss, headache, impotence
Amitriptyline
Elavil
Desipramine
Norpramin Pertofrane Sinequan Ada pin Zonalon
Lethargy, confusion, dry mouth, urinary retention, constipation, blurred vision & -,l,BP Lethargy, confusion, dry mouth, urinary retention, constipation
Doxepin
669
Lethargy, confusion, dry mouth, urinary retention, constipation, blurred vision & -,l,BP
Bupropion
Wellbutrin Zyban
Insomnia, agitation, dry mouth, nausea, headache, vomiting
Fluoxetine
Prozac
Insomnia, anxiety, drowsiness, headache, diarrhea, sexual dysfunction
Sertraline
Zoloft
Insomnia, dizziness, drowsiness, fatigue, headache, diarrhea, dry mouth, sexual dysfunction
DRUGS TO KNOW FOR EXAMS
ANTIDEPRESSANTS SSRI (SELECTIVE SEROTONIN REUPTAKE INHIBITORS)
> n
-1
6 z
c
VI
m
• • •
Decrease the reuptake of serotonin at selected nerve terminals in the central nervous system. They also have a weak effect on the reuptake of norepinephrine and dopamine. Increased availability of seroton in at the receptors resu lts in mood elevation and reduced anxiety.
•••
Mild to moderate depression Obsessive-compulsive disorder Panic disorder
••
Hypersensitivity to SSRis Concurrent use of monoamine oxidase (MAO) inhibitors
•
Zoloft may cause delusional and aggressive behavior
•• •••
Insomnia, anxiety Palpitations, headache Dyspepsia Diarrhea, tremor, excessive sweating Sexual dysfun ction, seizures, pruritis
VI
n 0
z -1 ~
n > c
-1
6 z
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m
z
c
::0 VI
z
G\
~
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r-
n ~
5 z VI
1. Monitor liver function studies throughout the time of therapy. 2. Check the client's history for possible seizure disorders due to low er seizure threshold. 3. Do not give with MAO inhibitors. 4. Do not stop taking medication. Wit hdraw al should be gradual, not abrupt.
•
• • • • • • • •
MAO (MONOAMINE OXIDASE) INHIBITORS Inhibits monoamine oxidase, the enzyme involved in the metabolism of amines that are found in the body, such as epinephrine, norepinephrine, tyramine, and serotonin. MAO inhibitors help increase these transmitters to relieve the effects of depression. Depression is thought to be associated with low levels of norepinephrine and dopamine. Relieve symptoms of clinical depression, manic-depression, and psychosis Severe depression in patients who have failed to respond to other treatment Impaired renal or hepatic fun ction
Coronary artery disease, congestive heart failure, hypertension, cerebro-vascular defects Possible hypertensive crisis with ingestion of caffeine and tyramine Orthostatic hypotension, seizures, hypertensive crisis Weight gain, sexual dysfunction, edema, blurred vision, diarrhea
1. Check the blood work for effects on platelets. 2. Teach the client to avoid food s and beverages with caffeine and tyramine (aged cheese, sour cream, beer, figs, wine, pickled herring) to prevent hypertensive crisis. 3. Teach the client that while he or she is on the medication, he or she should not take any other medications, prescription or OTC, without checking with a health care provider.
TRICYCLIC ANTIDEPRESSANTS
•
•
• • • • • • •
Decrease the reabsorption of norepinephrine and serotonin, which allows more of the neurotransmitters to be available at postsynaptic receptors.
Endogenous, reactive depression Depression related to alcohol and cocaine withd ra wal Reserved for patients who fail to respond w ell to other antidepressants (e.g., selective serotonin reuptake inhibitors [SSRis]) Acute recovery phase of myoca rdial ischemia or severe coronary artery disease Hyperthyroidism History of suicidal behavior or ideations
Sedation, orthostatic hypotension, arrhythmias Cholinergic effects: dry mouth, headache, urina ry retention
1. Older clients are more susce ptible to morning orthostatic hypotension. 2. Administer at bedtime. 3. Advise the client to stop smoking. 4. Teach the client to avoid alcohol.
Treating Disease I Drugs
670
BIOMEDICINE ANTIHISTAMINES ACTION
USES
CONTRAINDICATION
PRECAUTIONS
SIDE EFFECTS
• •• •• • •• •• • ••
Competitively block the H,-receptor sites on effector cells and impede histamine-mediated responses Prevent and treat allergic reactions Allergic transfusion reactions Motion sickness and insomnia Used with epinephrine in the management of anaphylaxis Sensitivity to antihistamines History of acute asthmatic problems Pregnancy and lactation Urinary obstruction Glaucoma Benadryl: Sedation, disturbed coordination, epigastric distress, thickening of bronchial secretions, dry mouth, drowsiness; not recommended for injection (oral use only) Vistaril: Drowsiness, dry mouth, hypotension; potentiates narcotics and barbiturates Antivert: Drowsiness, dry mouth; oral use only
BRONCHODILATORS ACTION
USES
CONTRAINDICATION PRECAUTIONS
SIDE EFFECTS
•• •• • •• •• •• •• ••
BetarSelective adrenergic agonists . Sympathomimetic agents relax the beta2-receptors to relax the smooth muscles in the bronchioles, producing dilation. Short-acting preparations to treat acute exacerbations of asthma Short-term relief of bronchoconstriction due to bronchitis and emphysema Long-term control of chronic airway problems (Serevent PO) Cardiovascular disease, thyroid disease, diabetes mellitus Lactation, sensitivity, seizure disorders Sensitivity to sympathomimetics Terbutaline: Not given to children 12 years of age and under Tremors Anxiety Convulsions Tachycardia Headache Blood pressure changes
DIURETICS ACTION
USES
CONTRAINDICATIONS
PRECAUTIONS
SIDE EFFECTS
Treating Disease I Drugs
• • • •• • •• • •• •
Loop diuretics inhibit sodium (Na) and chloride (CI) reabsorption through direct action primarily in the ascending loop of Henle but also in the proximal and distal tubules. Thiazide diuretics act primarily on the distal tubules, inhibiting Na and Cl reabsorption . Treat edema that involves fluid volume excess resulting from a number of disorders of the heart, liver, or kidney Hypersensitivity to sulfonamides Severe adrenocortical impairment, anuria, progressive oliguria Fluid and electrolyte depletion Hepatic cirrhosis and coma Renal dysfunction Bronchial asthma Unusual tiredness, weakness, dizziness Irregular heart beat, weak pulse, orthostatic hypotension Tinnitus, hearing loss (Lasix)
BIOMEDICINE HYPERTENSION
CLASSIFICATION
671
ABC
•• • • • • B• •• •
Blood pressure is regulated by cardiac output (CO) and peripheral vascular resistance (PVR) . Medications that influence either one of these systems leads to blood pressure control. Body systems that regulate CO, PVR, and blood pressure include the vascular, cardiac, and renal systems and the sympathetic nervous system. Antihypertensive drugs that influence these systems to lower the blood pressure are angiotensinconverting enzyme (ACE) inhibitors, beta-adrenergic blockers, and calcium channel blockers (CCBs).
A - ACE inhibitors block the conversion of angiotensin I to angiotensin II, a vasoconstrictor. This
ACTION
USES
block causes vasodilation and therefore decreases PVR, resulting in a decrease in blood pressure. Aldosterone is also blocked, causing a decrease in sodium and water retention . Beta-adrenergic blockers prevent sympathetic stimulation of the heart, thereby reducing heart rate and contractility. C - CCBs block calcium influx into the beta-receptors, decrease the force of the myocardial contraction, reduce the heart rate, and decrease PVR. Mild to moderate essential hypertension Frequently in combination either as separate drugs or in a combination drug Beta-adrenergic blockers are among the most widely used
BETA-BLOCKERS EXAMPLES
ACTION
USES CONTRAINDICATIONS PRECAUTIONS
SIDE EFFECTS
• • • •• • • ••
lnderal, Tenormin, Lopressor, Corgard Blocks sympathetic nervous system catecholamines, resulting in reduced renin and aldosterone release and fluid balance. Vasodilation of arterioles leads to a decrease in pulmonary vascular resistance and blood pressure . Hypertension, antianginal agents in long-term treatment of angina Dysrhythmias-suppress sinus and atrial tachydysrhythmias Pregnancy and lactation Can cause bronchoconstriction; use with caution in diabetes, thyrotoxicosis, cerebrovascular insufficiency, renal or hepatic dysfunction Hypotension, bradycardia, drowsiness, depression, symptoms of congestive heart failure Insomnia, wheezing, dyspnea, malaise, lethargy
NITROGLYCERIN vs. DIGITALIS NITROGLYCE RIN
DIGITALIS
NITROGLYCERIN
CLASSIFICATION
Nitrate vasodilator
Cardiac glycoside
ACTION
• •
• • • •• ••
USES
CONTRAINDICATibNS
PRECAUTIONS
SIDE EFFECTS
•• •• ••
Relaxes vascular (arterial and venous) with more prominent effects on veins, which decreases preload. Arteriolar relaxation reduces systemic vascular resistance, which decreases afterload.
Relief of anginal pain In conjunction with beta-blockers or calcium channel blockers to suppress tachycardia Hypersensitive clients Severe anem ia Acute myocardial infarction, cardiomyopathy Head trauma, cerebra l hemorrhage
•
Severe hepatic or renal disease
•
•• •
Orthostatic hypotension Dry mouth, blurred vision Tachycardia, headaches
•• •
Affects the mechanical and electrica l actions of the heart, which increase myocardial contract ility. Alters the electrica l activity in noncontractile tissue and ventricular muscle (e.g., automaticity, refractoriness, and impulse conduction). Inhibits Na-K ATPase . Heart failure - improves cardiac output Atrial fibrillation and flutter Hypersensitivity Ventricu lar tachycardia
Renal insufficiency, hypokalemia, advanced heart disease, acute myocardial infarction, incomplete atrioventricu lar block, pregnancy Dizziness, headache, malaise, fatigue Muscle weakness, visual disturbances, anorexia Hypokalemia, arrhythmias, bradycard ia
Treating Disease I Drugs
672
BIOMEDICINE NSAIDS ACTION
USES CONTRAINDICATIONS PRECAUTIONS SIDE EFFECTS
Treating Disease I Drugs
• • •• •• •• ••
NONSTEROIDAL ANTI-INFLAMMATORY DRUGS
Suppress inflammation by inhibition of cyclooxygenase, an enzyme that is responsible for synthesis of prostaglandins. NSAIDs inhibit the formation and release of prostaglandin. Mild to moderate pain relief Reduce inflammation Hypersensitivity to aspirin Clients with viral illness Upper gastrointestinal disorders Renal and hepatic impairment Dyspepsia, anorexia, nausea and vomiting Rash, dizziness, heartburn, Gl bleeding
BIOMEDICINE
673
WESTERN DISEASES AND TCM PATTERNS WESTERN DISEASE
TCM PATIERNS
DIAGNOSTIC METHOD: X-rays or Endoscopy, Signs & symptoms DISEASE: Peptic Ulcer
PEPTIC ULCER
DIAGNOSTIC METHOD: Tongue and Pulse, Signs & symptoms IDENTIFICATION: Various Patterns
TCM SIGNS AND SYMPTOMS
TCM PATIERNS
1ST PATIENT
The physician finds pain that increases at touch (by palpation) but diminishes with the application of cold compress. The patient has a robust constitution, a reddish complexion, and a full, deep voice. He seems assertive and even aggressive. He is constipated and has dark SP Damp-Heat yellow urine ® Greasy yellow coating ® Full and wiry
2ND PATIENT
The patient is thin. Her complexion is ashen, though her cheeks are ruddy. She is constantly thirsty, her palms are sweaty, and she has a tendency toward constipation, insomnia, and night sweats. She seems nervous and fidgety ® Dry and slightly red with no coating ® Thready and slightly rapid
ST Yin Deficiency
3RD PATIENT
The patient reports that massage and heat somewhat alleviate his pain, which is experienced as a minor but resistant discomfort. He is temporally relieved by eating. The patient fears cold, has a pale face sweats spontaneously in the daytime, and wants to sleep a lot. His urine is clear and his urination frequent: sometimes he has to get up in the middle of the night to empty his bladder. He appears timid, almost afraid. ® Moist and pale ® Empty
SP Yang Deficiency
4TH PATIENT
The patient complains of very severe cramping pain, hid movement and effect is ponderous and heavy. Hot-water bottles relieve the pain, but massaging the abdomen makes it worse . The patient has a bright white face and a tendency toward loose stools. ® Thick, white moist coating ® Tight and slippery
SP/ST Cold-Damp
5TH PATIENT
The patient experiences much sour belching and has headaches. Her pa in is sharp, and although massaging the abdomen makes it diminish, heat and cold have no effect. She seems to precipitate attacks of pain; the pain in also worse during menses. ® Normal ® Wiry
LV invading SP
6TH PATIENT
The patient has an extremely severe stabbing pain in the stomach that sometimes goes around to his back. The pain is much worse after eating and is aggravated by the slightest touch. He has had episodes of vomiting blood, and produces blackish stools. The patient is very thin and has a rather dark complexion. ® Darkish purple and has markedly red eruptions on the sides. ® Choppy
ST Blood Stasis
INDEX
1 2
ACUTE GLOMERULONEPHRITIS
11
CORONARY ARTERY DISEASE
ACUTE PANCREATITIS
12
DIABETES
3
ANEMIA
13
ESSENTIAL HYPERTENSION
4 5 6 7 8 9 10
ARTHRITIS
14 15 16 17 18 19 20
CARDIAC INSUFFICIENCY CEREBRAL VASCULAR ACCIDENT CHOLECYSTITIS CHRONIC GASTRITIS CHRONIC GLOMERULONEPHRITIS COMMON COLD
HYPERTHYROIDISM INFECTIOUS HEPATITIS LIVER CANCER PELVIC INFLAMMATORY DISEASE PNEUMONIA SCARLET FEVER URINARY TRACT INFECTIONS
Diseases to TCM Patterns
674
BIOMEDICINE 1. ACUTE GLOMERULONEPHRITIS
WIND-WATER
DAMP-HEAT
SP/KD YANG DEF. SP DAMP
PULSE
TONGUE
SIGNS
PATTERN
Acute onset, at beginning, eyelids and face are swollen, headaches, fever, fear of drafts, or red, swollen, painful throat, or cough, Thin white moss urination is reduced, dark red urine, condition may progress to entire body with edema Whole body is swollen, skin is crystal-bright, scanty urine, sometimes blood in urine, frequent and urgent urination, headache, Greasy yellow moss vertigo, bitter taste in mouth, constipation Swollen body, bright white face, no appetite, tired spirit, scanty urine, sometimes no urination, rapid breathing, vertigo , nausea, vomiting Yellow face, fatigue, no appetite, vomiting, whole body is swollen
Superficial, rapid
String-taut, rolling, excess
Pale material, white moss
Soft or weak
Greasy white moss
Deep, rolling
2. ACUTE PANCREATITIS
LV Ql STAGNATION DAMP-HEAT IN SP,SP,LV LV/GB EXCESS FIRE
PULSE
TONGUE
SIGNS
PATTERN
Soreness in upper abdomen connects to chest and flanks, bitter taste and dry mouth, vomiting, sometimes heat flushes and then chills, frustration Left upper quadrant feels painful and full, no appetite, thrist but no desire to drink, jaundice, fever, pain that sometimes connects to back and shoulder, dark urine, constipation , pain resists touch Painful upper abdomen, pain that resists touch or stabbing pain that connects to back, nausea, vomiting, bitter taste in mouth, fever, irritability, thrist, constipation, scanty, dark urine
Thin white and yellow moss
String-taut
Red material, greasy yellow moss
String-taut, rolling, and rapid
Red material, yellow moss
Superficial, rapid, string-taut, and excess
3. ANEMIA PATTERN
... ·.
SIGNS
PULSE
TONGUE
SP Ql AND HT BLOOD DEFICIENCY
Pale or sallow face, pale lips and fingernails, vertigo, fatigue, palpitations, tinnitus, no appetite, watery stool, late menses with pale blood
Pale material, white moss
Deficient or weak or thready
DAMP DISTRESSING SP
Sallow, yellow face, swollen body, vertigo, no appetite, no taste in mouth, nausea, distended abdomen, heavy, tired limbs, watery stool
Pale material, greasy white moss
Soft or rolling or thready
LV/KD YIN DEF.
Face lacks brightness, red cheeks, especially in afternoon, low fever, Red or scarlet dry mouth, vertigo, tinnitus, bleeding gums material
Deep, thready, and rapid
SP/KD YANG DEF.
Pale face, pale lips and fingernails, vertigo, spots before eyes, tired spirit, tinnitus, lower limbs are weak, no appetite, no taste in mouth, watery stool, swollen lower limbs, sometimes amenorrhea
Weak
Pale, swollen material, white moss
4. ARTHRITIS ~.
SIGNS
PA,TTJ.Rl\1
TONGUE
PULSE
WIND Bl
Sore, painful joints, pain changes location, sometimes accompanied by fever, chills
White moss
Superficial
COLD Bl
Painful joints, fixed pain, movement aggravates pain, heat relieves pain, cold weather aggravates pain
White moss
Tense
DAMP Bl
Joints are sore and feel heavy, discomfort, fixed pain, numb limbs, damp weather aggravates pain
Greasy moss
Soft and moderate
WIND-COLD-DAMP
Various combinations of the above
Variable
Variable
WIND-HEAT
Sore joints, difficult movement, fever, thirst
Red material, yellow moss
Superficial and rapid
DAMP-HEAT
Fever, thirst, swollen and painful joints, or red eruptions on skin
Red material, greasy yellow moss
Rapid and rolling
5. CARDIAC INSUFFICIENCY PATTERN
SIGNS
TONGUE
PULSE
HT/SP Ql DEF.
Palpitations and shortness of breath after exertion, fatigue, ashen, pale face, spontaneous sweating, little appetite, watery stool
Pale material, thin, white moss
Thready, or weak and knotted
HT/KD YANG DEF.
Palpitations, asthma, face, eyelids, and four limbs are edemic, ashen, white face, sweat on forehead, scanty urine, cold limbs
Sale material, white moss
Thready and weak or knotted, or intermittent
HT YANG DEF. AND HT BLOOD STASIS
Palpitations, hurried breath, darkish face, purplish lips, painful flanks, lower lips are slightly swollen, coughing with blood, scanty urine
Purple, darkish material, or purple material with red spots
Thready and hesitant, or knotted, or intermittent
KD YANG DEF. + WATER 7 LU
Asthma, urgent breathing, saliva and phlegm or even a great amount of foaming phlegm from nose, gray-white face; very cold limbs, copious, cold perspiration, fear, irritability
Pale material, greasy, white moss
Intermittent
Diseases to TCM Patterns
BIOMEDICINE
675
6. CEREBRAL VASCULAR ACCIDENT PATTERN WINO-PHLEGM, LV YANG ASCENDING
SIGNS Slow onset, mouth and eyes are askew, slurred speech, numb or trembling limbs, sometimes hemiplegia, vertigo, head is heavy and painfu l, excess saliva, or sudden loss of consciousness, or sudden collapsing
PHLEGM-FIRE Sudden collapse, unconsciousness, clenched teeth, clenched palms, COLLAPSING, LV FIRE tremors, hot body, red face, snoring, throat sounds phlegmy, BLAZING headache, vom iti ng, scanty, dark urine, constipation Sudden collapse, tremors, slurred speech, headaches, vertigo, COLD-PHLEGM nausea, hemiplegia, pale face, purple lips YIN AND YANG Open eyes and mouth, unconsciousness, pale face, slightly red COLLAPSING cheeks, cold, sweat, open hands Ql DEF. + BLOOD Hemiplegia, slurred speech, numb limbs, sore body without STASIS st rength, fatigue, sallow or pale face lV/KD YIN DEF.
Hemiplegia, emaciation, sore or numb body, vertigo, insomnia, red cheeks, dry mouth, night sweats, quickness to anger, scanty, dark urine, const ipat ion
TONGUE
PULSE
Greasy white moss
String-taut and rolling
Red material, greasy yellow moss
String-taut, rolling and excess
Pale, puffy, darkish material
Deep and string-taut
Variable
Deep, rapid, and thready, or hidden
Pale material with darkness, white moss
Deep, thready and hesitant
Red material
String-taut
7. CHOLECYSTITIS PATTERN LV Ql STAGNATION
LV/GB FIRE DAMP-HEAT IN LV AND SP
SIGNS Flank pain or twisting pain, bitter taste and dry mouth, no appetite, nausea, distended epigastrium and abdomen, constipation or diarrhea Severe pain in flanks and epigastrium that connects to shoulder, intermitt ent fever and chills, dry mouth and throat, distention nausea, constipation Fla nk pain, distended epigastrium and abdomen, distention, heaviness, fatigue, fever, nausea, no appetite, thirst but no desire to drink, jaundice, constipation or diarrhea
TONGUE
PULSE
Normal
St ring-taut
Cracked material, yellow moss
String-taut and rapid
Red material, greasy yellow moss
Rolling, rapid and string-taut
8. CHRONIC GASTRITIS PATTERN LV INVADING SP/ST SP/ST DEFICIENT COLO SP DAMP
SIGNS
PULSE
TONGUE
Distended epigastrium and abdomen, no appetite, belching, soreness, stool passes uncomfortably
Thin moss
String-taut
Stomach discomfort relieved by cold and pressure, distention, no appetit e, vomiting of clear liquid
Pale material, thin white moss
Slow and deficient
Nausea, vomiting, no thirst, persistent distention, scanty urine
Greasy white moss
Soft or moderate
9. CHRONIC GLOMERULONEPHRITIS PATTERN
SIGNS
Lower limbs are swollen, chronic intermittent edema, sallow face, SP YANG DEFICIENCY fatigue, distended chest and abdomen, no appetite, watery stool Chronic condition, reduced urination, swollen abdomen, edema in lower body, bright white face, fear of cold, cold limbs, no taste in SP/KD YANG DEF. mouth, sore lower back, watery stool
LV/KD YIN DEF.
Headache, vertigo, afternoon fever, red cheeks, night sweats, tinnitus, dry throat, insomnia, lumbago, irritability, dark, scanty urine, slight or no edema
TONGUE Pa le material, wh ite moss
PULSE Soft or deficient or slow
Pale, swollen, moist material
Weak
Reddish material
Thready and rapid
10. COMMON COLD PATTERN WIND-COLD WIND-HEAT WINO-COLD-DAMP SUMMERHEAT + DAMP DRYNESS
SIGNS Low fever, severe chills, no perspiration, sore limbs, stuffed or runny nose, itchy throat, cough with clear or white phlegm High fever, slight chills, headache, sweats, dry or sore throat, thirst, cough with thick yellow phlegm, dark urine Wind-Cold signs + head feels swollen, as if in a sack, heavy, tired limbs, sore, heavy joints Wind·Heat signs + nausea, diarrhea, great thirst, irritability, great sweat, occurs in summer time Wind·Heat signs + dry nose, cracked lips, dry cough with no ph legm
TONGUE
PULSE
Thin white moss
Superficial and tense
Thin yellow moss
Superficial and rapid
Greasy white moss
Soft
Greasy yellow moss
Soft and rapid
Red material, dry yellow moss
Superficial, thready, and rapid
Diseases to TCM Patterns
676
BIOMEDICINE
P'l~j······ . PHLEGM OBSTRUCTING HT HT BLOOD STASIS HT YANG DEF.
HT YIN DEFICIENCY
LV/KD YIN DEF.
...
11. CORONARY ARTERY DISEASE
.· · ···•· · :·~~~.~Z