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Internal Medicine - 2

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chantalinha's version from 2017-07-31 20:27

DIGESTIVE DISORDERS

Question Answer Column 3
Stomachache (Wei Tong) d/t excesswarm the MJ to resolve cold; clear heat, resolve dampness; soothe LV to regulate Qi. Use ST's Mu, He‐Sea, PC, SP pts with reducing. For cold, +moxa.Ren12, ST36, PC6, SP4, LV2 (LV3 if no heat). If sharp pain, +ST34 (luo). If LV channel pain, +GB34. For damp, +SP9, ST40. If profuse heat, +ST44, Li Nei Ting (extra pt, bottom area of Ba Xie b/t 2/3rd fingers).
Stomachache (Wei Tong) d/t Xutonify SP/ST; if Yang xu, warm the MJ and resolve cold; if Yin xu, nourish Yin. Prefer using back Shu, front Mu with tonification.UB20, LV13, UB21, Ren12, ST36, SP6, PC6. If cold, add moxa. If burning pain, +KD3. If bleeding from ST, +SP10, UB17
Hiccup and Belchingregardless of cause, harmonize the ST to control rebellionRen12, PC6, ST36, UB17 (diaphragm shu), UB46 (in‐line w/ UB17). If triggered by cold, +moxa Ren12 and ST21. If heat, +ST43, Xian Gu, ST44. If Yang xu, moxa Ren6, Ren8. If Yin xu, no moxa, +SP6, KD3. If LV Qi, +LV3, LV14.
Dysphagia (Ye Ge)assist the ST's ability to receive and descend.Ren17, Ren22 (both open the throat), PC6, Ren13, UB17, ST36, UB20, UB21 (3 pts for Zheng Qi). Use tonifying (tx sequelae) and moxa. If Qi-Xu, +moxa Ren6. If cold limbs and weak pulse, tonify Yang by moxa Du4, UB23. If phlegm, +ST40.
Vomiting (Ou Tu) d/t EPI attackreleasing the exterior, resolve the cold/clear the heat, harmonize the ST, stop vomiting. (heat)SP6, ST36, LI4, GB20, PC6, moxa. Suggest ginger with brown sugar. (cold) or Du14, SJ5, LI4, Ren12, ST44. (heat)
Vomiting (Ou Tu) d/t Dietarymove Qi, resolve stagnation (of food and Qi). Use reducing manipulations.Ren10, Ren21, ST36, SP14 (Point name, Fu Jie means 'knotted abdomen'). If very bloated, +Ren6. If due to greasy foods, add warming spices (pepper, clove)
Vomiting (Ou Tu) d/t LV Attackingsoothe LV, harmonize ST.Ren12, Ren13, ST34, LV3, GB34, HT7. If intense vomiting, +SP4, PC6.
Vomiting (Ou Tu) d/t Tan Yinresolve tan yin, strengthen SP/ST by warming and tonifying. Use strong moxa.LV13, SP4 (benefits Chong), Ren12, ST40. If borborygmus, +UB20, UB25 or ST25.
Abdominal Pain (Fu Tong) d/t EPIresolve the cold, regulate Qi. Use reducing manipulations with moxa.Ren12, ST36, SP15, SP4, LI4. If diarrhea, moxa Ren8.
Abdominal Pain (Fu Tong) d/t Diet/Food stagnationresolve food stagnation. Suggest reduce food intake, practice gentle abd. tui na.Ren10, ST21, ST25, LI11. If profuse thirst, +ST44. If regurgitation, +GB34.
Abdominal Pain (Fu Tong) d/t LIV attackingsoothe LV, regulate Qi, stop pain. Prefer needles over moxa.Ren17, PC6, LV3, GB34, LV14, Ren12, Ren10, Ren6, SJ6. If there is no heat, consider warming and unblocking the channels.
Abdominal Pain (Fu Tong) d/t SP/KID Yang Qi Xuwarm, tonify SP/KD Yang, warm vessels, stop pain. Use shu‐mu combinations with tonifying manipulations, heavy moxa. Ear seeds are useful.UB20, UB23, LV13, Ren4. If loose stool, +ST36, SP6, ST25.
Abdominal Pain (Fu Tong) d/t Blood StasisWarm, unblock collaterals with acu, moxa and herbs.-
Constipation (Bian Bi) d/t Heatclear heat as early as possible to protect fluids. Use reducing manipulations.LI4, LI11, SP14, ST37. If profuse thirst, + HT8, Ren23. If headache, +Yintang. If foul breath, +Ren24, Ren17, Ren12. When appropriate, consider herbal purgatives (Da Huang, Mang Xiao). If distention is profuse, don't needle the abdomen (may pierce the organ). Use tui na instead.
Constipation (Bian Bi) d/t Qi stagnationsoothe LV, regulate Qi. Use reducing manipulations.Ren12, Ren6, GB34, LV2 or 3, SJ6, SP6, Ren17. If uncomfortable hypo are, +LV14, GB24. If intense bloating, +SP15. Needling of abdomen is less concerning than Heat pattern.
Constipation (Bian Bi) d/t Qi/Blood Xutonify SP/ST, Qi. Back‐shu pts useful, as well as moxa.UB20, UB21, UB25, SP6, ST36, Ren4. If profuse sweating, +HT6. If palpitations, +PC6. Suggest blood building foods, more rest.
Constipation (Bian Bi) d/t Xu Coldwarm, tonify KD Yang. Tonify and use strong moxa.Ren6, KD6, KD18, KD13, UB23, UB26. If prolapsing, +Du20, Du1.
Diarrhea (Xie Xie) acute (cold damp or summer heat)regulate intestines, ST Qi. Use reducing manipulations. If cold, add moxa. If heat, using bleeding.ST25, ST37, ST39, SP9. If heat, ST44, LI1. If cold, use ginger moxa on Ren8.
Diarrhea (Xie Xie) chronic (sp/st xu or LIV attacking ) tonify SP, soothe LV, warm KD. Add moxa except LV patterns.Ren6, Ren12, ST36, ST25. If SP Xu, +UB20, UB26. If damp, +SP9. If KD Xu, +UB23, Du4. If LV, +UB18, LV2, GB34.
Dysentery (Li Ji) d/t Cold/Dampclearing Damp/Heat, regulating Qi of LI and harmonizing blood.LI4, ST25, ST37 to regulate LI's function. With heat, +LI11. If fulminant, +Du14, Shixuan bleeding. Add: Use moxa, SP9, Ren6.
Dysentery (Li Ji) d/t Fulminant (Yi Du)clearing Damp/Heat, regulating Qi of LI and harmonizing blood.LI4, ST25, ST37 to regulate LI's function. With heat, +LI11. If fulminant, +Du14, Shixuan bleeding. Add: The only appropriate treatment is the ER.
Dysentery (Li Ji) d/t Food‐Denying Liclearing Damp/Heat, regulating Qi of LI and harmonizing blood.LI4, ST25, ST37 to regulate LI's function. With heat, +LI11. If fulminant, +Du14, Shixuan bleeding. Add: Ren12, PC6 to improve ability to intake food. To treat Xu, +ST36, Ren6, back‐shu (Ge, Pi, Wei).
Dysentery (Li Ji) d/t Recurrent Liclearing Damp/Heat, regulating Qi of LI and harmonizing blood.LI4, ST25, ST37 to regulate LI's function. With heat, +LI11. If fulminant, +Du14, Shixuan bleeding. Add: If Yang Xu, treat SP/KD, +UB20, UB23, moxa. If Yin Xu, nourish Yin, blood, +KD6, SP10. Ear points are useful ‐ LI, SI, ST, rectum, SP, KD, Shenmen.
Abdominal Masses (Ji Ju)--
Watery Phlegm (Tan Yin)-Ren12, UB20, ST25, PC6, ST40, ST36. Use even method, with strong moxa. Suggest diet therapy (reduce cold food, add warm condiments)
Xuan Yin-LV13, UB20, SP4, Ren9, GB40, GB38, KD7.
Yi Yin-LU7, LI4, LI6, SP9, UB39 (Lower He‐Sea of SJ), UB13 ‐ intention of regulating the channels, releasing the exterior (Kai Gui Men).
Zhi YinWarming and tonifying the LU is a general TP. Serious cases may involve SP, KDLU5, LU7, LU9, UB12, UB13, LI4
Edema (Shui Zhong) w/ Yang Shuirelease wind, clear heat (or cold if applicable), benefit water metabolism. Use reducing methods.UB13, LI6, SJ5, LI4, UB22, SP9. If throat swollen/painful, +LU10. If facial edema, +Du26
Edema (Shui Zhong) w/ Yin Shuiwarm and tonify SP, KD, benefit water metabolism. Use moxa but with caution as the patient may have reduced sensation.UB20, ST36, SP9, UB23, KD3. Heavy moxa on Ren6, Ren9. If bloating, + Ren12. If BM disorder, + ST25.
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LIVER / GALLBLADDER

Question Answer Column 3
Hypochondriac Pain (Xie Tong) d/t Qi Stagnationsoothe LV to relieve constraint.Ren17, UB18, LV14, GB34, LV3. If intense anger, +GB43. If insomnia, +HT7.
Hypochondriac Pain (Xie Tong) d/t Blood Stasismove blood and Qi to resolve stasis, unblock the collaterals. Use reducing manipulations. Consider cupping and gua sha. Moxa if cold is present.SP21, GB25, LV3, UB17, SP6.
Hypochondriac Pain (Xie Tong) d/t LIV/GB-Damp-heatclear heat, resolve dampness, soothe the LV. Use reducing manipulations and local pts.LV14, GB24, SJ6, LV3, GB34. Lack of appetite or aversion to food may be intense, +PC6, SP9, ST40 ‐ suggest lighter meals.
Hypochondriac Pain (Xie Tong) d/t LIV-Yin/Blood-Xunourish Yin and blood, harmonize collaterals to stop pain.SP6, SP10, HT6, UB15, LV3, LV8, UB18. If tidal fever, +UB43 (Gaohuangshu). KD may be involved. Consider the formula Yi Guan Jian.
Jaundice (Huang Dan) d/t external Damp/Heat (Yang type)soothe, benefit the LV/GB, clear damp/heat.Du9 (Zhiyang, at T7), SI4, GB34, LV3. If more heat (such as fever), +Shixuan, bleed Du14. If LOC (often Yi Du pattern), +Du26. If damp blocking, +SP9, PC6. If constipated, draining downwards will help the heat (Fu organs must remain unblocked), +UB25, ST25, ST37, SJ6.
Jaundice (Huang Dan) d/t internal diet disorder (Yin type)warm, transform, resolve dampness. Moxa is often appropriate.GB34, UB19, UB20, ST36. If blood stasis signs are present, +SP6, Ren6. Ear pts, such as Diaphragm, LV, GB, Er Mi Gen.
Drum Distention (Gu Zhang) d/t Qi-stagnationsoothe LV, regulate Qi, harmonize MJ to relieve distention. Use reducing techniques.Ren17, Ren12, Ren6 (covers SJs), LV3, ST36. If constipation, +SP14, ST25, SJ6. If hypochondriac pain, +GB34, SJ6. If dark urination, +SP9.
Drum Distention (Gu Zhang) d/t Water Retentiontonify SP, KD to regulate the Qi, benefit the water. Reduce with moxa. Consider 'harsh expellant' herbs such as Hong Da JiUB20, SP4, UB23, KD7, Ren9. If loose stools, +ST25, ST37, ST39. If cold body, +moxa Du4, UB24 or Ren4, Ren8.
Drum Distention (Gu Zhang) d/t Blood Stasisoothe LV, regulate SP, move blood, resolve stasis. Reduce and tonify depend on point.LV14, LV13 (both may be difficult to needle, consider cupping instead), Ren5, SP6. LU5 - to regulate water. If v. bloated, SP21. If jaundice, SI4, UB48, UB19.
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URINARY LIN

Question Answer Column 3
Urination Disturbance (Lin Zheng)soothe, benefit UB. Clearing heat/damp, promote urination, stop pain. B/c most Lin patterns are acute, rapid relief is possible. Reduce or tonify depend on pattern, consider moxa when appropriate.UB28, Ren3, SP9 (all generally useful), LV2, KD3. If fever due to EPI, +SJ5, LI4. If high fever, +Du14, ST44. If stone, +UB39 (lower He‐Sea of SJ), KD2. If blood, +SP10, SP6. If Qi Xu, +moxa Ren6, ST28 (Shui Dao). If cloudy, +moxa UB24, Du20. If cramping pain, +PC6 (to calm mind).
Urine Retention (Long Bi) d/t KID-Yang/Sp-Qi Xuwarm and tonify SP/KD, open the blockage. Tonify and moxa.KD10, UB20, UB22, UB23, UB39, Ren6. If prolapsing, +UB32, Du20. If irritable, +PC6.
Urine Retention (Long Bi) d/t Blood-Stasisclear heat, resolve dampness, move Qi and Blood, promote urination. Use reducing methods.SP6, SP9, UB28, LI11, UB17, SJ6, UB22. If SOB, dyspnea or restless, consider that damp/heat toxin is ascending (may be renal failure) ‐ LU5, LU11 (bleed), PC6. If LOC, +Du26, PC9x.
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MUSCULOSKELETAL DISORDER

Question Answer Column 3
Lower Back Pain (Yao Tong) d/t Cold-Damp-UB23, UB40, UB52 (best for Yin Xu), Du3, Du4, GB34, SP6, KD3; Add: UB22 (SJ Shu, for water passages), heavy moxa, tinctured herbs.
Lower Back Pain (Yao Tong) d/t Injury (Lao Sun)-UB23, UB40, UB52 (best for Yin Xu), Du3, Du4, GB34, SP6, KD3; Add: Ashi points of particular signifigance. Use Qi moving pts such as 4 Gates. Consider bleeding UB40.
Lower Back Pain (Yao Tong) d/t Kid-Xu-UB23, UB40, UB52 (best for Yin Xu), Du3, Du4, GB34, SP6, KD3; Add: KD3, tonify GB34.
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ANDROLOGY

Question Answer Column 3
Emission (Yi Jing) d/t HT & KD Disharmonycleat HT of heat, drain fire, nourish Yin (esp KD) to secure the essence.UB15, UB23, Ren4, LV4. If insomnia, +HT7, ST45, PC8.
Emission (Yi Jing) d/t KID-Xuwarm/tonify KD Qi to secure essence.UB23, UB52, SP6, Du4. Heavy moxa, perhaps even scarring type. If spontaneous sweating, +HT6, ST36. If SOB, moxa UB13. Ear pts on Shenmen, HT, KD, endocrine, Jinggong.
Impotence (Yang Wei) d/t KD Qi Xuwarm/tonify KD Yang.Du4, UB23, UB52, Ren4, KD3, Du20. UB15, UB20 often appropriate. Use moxa.
Impotence (Yang Wei) d/t Damp Heat in the LJ-Ren3, SP9, SP6, ST36, LV3
Impotence (Yang Wei) d/t LIV-Qi-Stagnation-not covered in this course
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HEADACHE, VERTIGO

Question Answer Column 3
Headache (Tou Tong) d/t Wind Dampexpel and resolve the wind/damp/cold, unblock the collaterals and stop the pain. Use reducing techniques and moxa. GB20 (good point for moxa),LI4, ST8, UB7, SJ8. If frontal, +Du23, GB14. If vertex, +Du20. If occiput, +UB10, Du19. If sides of head, +GB8, Taiyang.
Headache (Tou Tong) d/t LV Yang Risingcalm the LV, subdue the Yang, extinguish wind (if present). Use reduce and tonify methods.GB4, GB5, LV3, KD3, SP6 (for Yin). If irritable, bleed LV2. If red eyes, bleed SJ1. If malar flush, +ST44.
Headache (Tou Tong) d/t Turbid Phlegmesolve turbid phlegm to unblock the collaterals. Use reducing.Ren12, ST40, Du20, Yintang. If nausea/vomiting, +PC6, SP9. If loose stools, +ST25.
Headache (Tou Tong) d/t Blood Stasismove Qi and resolve stasis. Mixed manipulations. Cupping appropriate. Turmeric is a good food therapy (move/resolve blood stasis).Tonify LI4, reduce SP6 (inappropriate for use during pregnancy), SP10, ashi pts, Sishencong.
Headache (Tou Tong) d/t Blood Xunourish the blood, tonify Qi (esp SP/ST).Du23, SP10, SP6, ST36. Moxa UB18, UB20, UB23, UB24.
Vertigo (Xuan Yun) d/t Qi/Blood XuNourish the blood and essence, tonify the Qi. Use tonifying methods, gentle moxaGB20, UB17, UB20, UB23, ST36. Use Du20 with caution (very lifting, inappropriate for serious Xu). If insomnia, +HT7.
Vertigo (Xuan Yun) d/t KD Jing/Marrow XuNourish the blood and essence, tonify the Qi. Use tonifying methods, gentle moxaGB20, UB17, UB20, UB23, ST36. Use Du20 with caution (very lifting, inappropriate for serious Xu). If insomnia, +HT7.
Vertigo (Xuan Yun) d/t Phlegm Dampsubdue the LV, extinguish the wind. Use reducing methods other than Yin pts.Ren12, SP9, LV2, KD5, Yintang, ST40, GB20, GB8. If heavy head, +ST8. Ear seeds often useful.
Vertigo (Xuan Yun) d/t V Yang Risingsubdue the LV, extinguish the wind. Use reducing methods other than Yin pts.Ren12, SP9, LV2, KD5, Yintang, ST40, GB20, GB8. If heavy head, +ST8. Ear seeds often useful.
memorize

IMPEDIMENT (BI)

Question Answer Column 3
Impediment Syndrome (Bi Zheng) d/t Wind Biharmonize the blood.UB12, UB17, UB18.
Impediment Syndrome (Bi Zheng) d/t Painful Bi (Cold)warm the channels, prefer moxa.Liberal use of moxa of the local area as well as invigorating Yang Qi. UB23, Du4, Ren4.
Impediment Syndrome (Bi Zheng) d/t Fixed Bi (Damp)tonify Xu, esp the SP, resolve damp.UB20, ST36, SP9.
Impediment Syndrome (Bi Zheng) d/t Heat Bi (Re Bi)-Du14, LI11.
Impediment Syndrome (Bi Zheng)General TxIf shoulder involved: SJ14, LI15, SI10. If elbow: LI11, LI4, SJ10, SJ5, LU5. If wrist: SJ4, SJ5, LI5, SI4. If back: Du26, Du12, Du4, Du3. If hips: GB29, GB30, GB34. If knees: ST34, ST35, GB33, GB34. Xiyan useful if fluid retention. If ankle: UB62, KD6, UB60, GB40.
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ATROPHY, CONSUMPTIVE THIRST

Question Answer Column 3
Atrophy (Wei Zheng) d/t LU/ST heat-LU5, UB13. If high fever, +Du14. If sweating, KD3, HT6.
Atrophy (Wei Zheng) d/t Damp/Heat-ST44, Ren12, SP9, UB20, UB22.
Atrophy (Wei Zheng) d/t LIV/KID-Yin-Xu-UB18, UB23, GB34, GB39
Atrophy (Wei Zheng) d/t SP-Xu-UB20, ST36
Consumptive Thirst (Xiao Ke) in Shang Xiao (UJ)clear HT fire, nourish LU Yin.HT8, UB15, UB13, LU9, Weiguanxiashu/Yi Shu (pancreas shu, b/t T8).
Consumptive Thirst (Xiao Ke) in Zhong Xiao (MJ)regulate SP/ST, clear damp/heat ST44, UB21, SP6, UB20, Weiguanxiashu.
Consumptive Thirst (Xiao Ke) in Xia Xiao (LJ)-KD3, UB23, LV3, UB18, Weiguanxiashu. If very thirsty, Ren23. If excess hunger, Ren12, PC6.
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