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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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(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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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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(2) DEFICIENCY: UB18, UB23, ST36, SPG, LV3



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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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• 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



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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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LV PATTERNS



263



GB PATTERNS



264



HT PATTERNS



265



Sl PATTERNS



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SP PATTERNS



267



ST PATTERNS



268



LU PATTERNS



269



Ll PATTERNS



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KD PATTERNS



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UB PATTERNS



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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



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UB20 UB23 Ll4



RN3



UB18



LV3



GB24



LVS



UB20



SJS



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LVl



UB23



SP6



UB18



UB17



KD3



UB19



LV8



LV8



DU9



SP6



GB43



RN12



ST36



GB38



SP9



RN4



UB2



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Ta iyang



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GB20



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GB9



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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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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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HT6 SP6 KD7 KD6



HT7 HT8 SP6 RN15 KD6



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SP+LV BLOOD



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RN13 RNlO UB21



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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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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



.,



. ..a· 0



;·



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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Ul ID



i



"'I



a3 Ul



a



%



z



-1



c:



:Ill



m



.,



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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



:I



., a3 G')



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,



.,



..:;· .. 0



(I)



CD



i n



c;·



-., :I



a



,.3



(")



: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



(")



-t



c



::ICI



m



N



=



"a 0



.. ..



:r



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



.,cc z



n



....



c



::a



m



.,



..;· 0



.



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:



)>



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



?;;



"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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~JJ



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4~-T- ( Sf-~:A:f )



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Sang Ye



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Ju Hua Man Jing Zi



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1£ ( ~



Dan Dou Chi



£1-) !hJ -T- ('2! gj :A:f) 5i!ZILilt (15- -'FAI )



Mu Zei Chai Hu



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Sheng Ma Ge Gen



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l!iX(~



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3. CLEAR & PURGE HEAT ::t:i If ( ~ ::J) Shi Gao 2) ~ ill: (XI Zhi Mu Tian Hua Fen ~1£*51 (c:!£f3'! )



Zhi Zi



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• • • •



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jOf



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1'& fi 1jt (Jill 21" ~ ) filf :l!!: (of gJ)



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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



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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



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~ (§j



Af)



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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



0



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



"'I



c



~



Adzuki Bean, Alfalfa, Anchovy, Barley, Frog, Black Soybean, Broad Bean, Celery, Clam, Fenugreek, Grape, Job's Tears, Kelp, Lettuce, Mackerel, Sardine, Seaweed



C



BLAND



"'I



c)>



'"0:a



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



z



Sweeteners, Saturated fats CONDITION



3:



"'I



!



C)



C



CAUTION FOR DAMP



c iii (I) 0



< m "'I



::z: m



I"' C)



3:



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



::a 31: c: ~ en



~



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



:::a CD



i



Ill Cll CD



..



m )(



CD



::::!.



... 0



~



;· a. n



'II



0



:::a



3:



,.enc: r-



I



0



i5:



.ll-



=



.....



t



if



ii' Ill Ill CD



m



r :::!. 0



~



!:::s



a.



n 0



a:



N



4



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



0



;c



E



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.



::a CD



i



I»



en CD



...



m )(



.,



CD



::a 3: c:



.



c;·



0



E



~



iD



Ill Ul



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:



c



~ 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



.



:::!. 0



., 0



::a 3:



c



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



::a



n



0



3:



+



c



Cl



E



~



n



;· :I



n



'




en ~



co



U)



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



,3



......,.c ii ::;:



'
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.



>C



!!.



,



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.



"'I



0



Ic



E



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



~



e Dl



:I



a.



.,0



::a 3: c



r:1> tn



Ill



0 0 a.



Ul



.... Co)



Cll



w N



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 '



;(!'



,;:'



3 TONIFY 3 SEDATE



,\;;



',',,



,SO>"",,, !';;!'



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



::a



3:



c



E



...0 ::s



~ n 0



~ 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



...



,



~ n 0 3



::a 31: c



0 :I



.iii'



'D Dl



0 :I



0



rJ>



en



Ul



w



Ul



~ 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.



:;v CD



ca



.. e .. .. e c



r.r CD



til



Ill



ca



:::s



"1'1



0



:;v



:1



c ,...



:1> til



Ill :::s



Ul



w



.....



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



::a c ~ (II



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.



::u



"ic



ca



.. ID



~



::u



" IT



!.



o'c



Ill



~



.,



0



::u 3:



,..c :1>



Ul (II



....lao



::a



"



ca c



~ COMPARISON ~



...Di



" g,



CD



Sl Nl SAN



0



,3 ...



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



::a tD



ca



. r:::



Di tD



"'1'1



0



9.



::a



n



c ~ (I)



0



,3



3:



..iii'



Ul



:II



w



Ill



0



~



Ul



:I



t




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



;c E



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



!!! 0



m



z



c



::0 VI



z



G\



~



"C



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