Internal Medicine - LU and Bleeding

chantalinha's version from 2017-10-08 18:49


Diseases/SDTx PrincipleAcu Formula
Common-Cold d/t wind-coldexpel/release wind, resolve cold (to), release the exterior, open the LULI20, LU7, SI7 (Luo), UB12 (wind‐shu), GB20, LI4. If body ache (esp traps), +Du14, UB13 (Feishu), GB21, cupping.
Common-Cold d/t wind-heatexpel/release wind, clear heat, regulate LU/Open Lu (benefit LU Qi) (aka open LU)LU10, LU5 (benefit water/fluids), LU7, ST44 + LI11 (protect fluids), Du14 (very good for superficial patterns), SJ5. If throat is painful, +bleed LU11. If w/ dry constipation, +bleed LI1. With high fever and convulsions in children, +Du26, Shi Xuan
Common-Cold d/t summer-dampclear summer-heat, resolve/expel dampness (expel rather than resolve, it's exterior), release the exterior (, harmonize the interior)LU6 (open the LU + superficial), LI4, LU5, ST36, Ren12 (harmonize MJ), SJ6 (regulate Qi, water metabolism). If high fever, +Du14. If diarrhea (damp type), +ST25, SP9. If Qi Xu (possibly from serious diarrhea or late stage summer‐heat), UB43, Ren6.
Not covered - Common-Cold d/t Dryness-Ear seeds (LU area) are a good choice for most patients (ensure they have good hygiene esp in the summer).For those of weaker constitution, suggest preventative treatments, such as LI20, LI4 acupressure. In Yang Xu, moxa ST36.
Cough d/t Ext. Wind-cold (Ke Sou)regulate LU-Qi, open LU, Stop cough, Release wind, resolve coldLU7, UB13, LI4, SJ5. If headache, +Du23, Taiyang. If body ache, +UB60, LI7.
Cough d/t Ext. Wind-heat (Ke Sou)regulate LU-Qi, open LU, Stop cough, Release wind, clear heatLU5, UB13, LI11, Du14. If severe throat symptoms, +bleed LU11. If sweating occurs, but still has aversion to wind, +LI4, SJ5. If profuse sweating, protect fluids/Yin +KD7, SP10, SP6
Cough d/t Int. damp-phlegm (Ke Sou)tonify SP, dry dampness, resolve phlegm, regulate LU Qi, stop cough.ST40, UB20, SP3 (Yuan/Shu combination), SP9, UB13, LU9, LI4 (LU/LI relationships, move Qi). If severe cough w/ wheezing, +Dingchuan (0.5 cun lateral to Du14). If strong chest oppression, bloating, +PC6, ST36, Ren12.
Cough d/t LV Fire Attacking LU (Ke Sou)soothe/calm LIV, drain fire, regulate LU-Qi, (resolve phlegm (if present),) stop coughUB13, UB18, LV2, LU8 (Jing‐River benefits cough). If dry throat, +KD6 (Yin‐Qiao reaches throat), LU7. If cough w/ blood, +LU6 (Xi‐Cleft).
Pulmonary Abscess (Fei Yong) - Early Stageclear heat, release exterior, resolve pathogenBL13, Ren17, LU5, ST40, LI11. +LU10, SJ5.
Pulmonary Abscess (Fei Yong) - Abscess Stageclear heat, detoxify, resolve pathogenBL13, Ren17, LU5, ST40, LI11. +Du14 (bleed or plum‐needle, cup), LU11, LU1.
Pulmonary Abscess (Fei Yong) - Pus-discharge Stageclear heat, resolve pathogen, regulate LUBL13, Ren17, LU5, ST40, LI11. +Dingchuan, LU1.
Pulmonary Abscess (Fei Yong) - Recovery Stageregulate LU, resolve pathogen, build Earth to benefit Metal (tonify SP and LU)BL13, Ren17, LU5, ST40, LI11. +ST-36/ZuSanLi, KID-3/TaiXi, SP-6/SanYinJiao.If dry, hard constipation, +LI1 ('Fu Di Chou Xin' ‐ remove the wood from the stove). If lingering chest pain, move Qi/Blood +UB17, PC6
Pulmonary Tuberculosis (Fei Lao)tonify Zheng Qi. Build Zheng Qi, Earth to benefit Metal.LU9, UB13, UB43, ST36, SP 6. If Yang Xu, +moxa. If cough: +LU-6. If hoarseness: +KID-6. If nocturnal emission: +BL-52. If amenorrhea: +SP-10. If cold limbs: +moxa REN-4.
Wheezing d/t Cold-Phlegm (acute stage)warm the LU to resolve/dispel cold, resolve phlegm, control wheezingLU7, LU5, UB12, UB13, Ren17, Ren22, ST40. f nasal congestion, +LI20, ST3. If body pain (wind/cold), +GB20, GB21, LI7 (Xi‐Cleft).
Wheezing d/t Phlegm-Heat (acute stage)clear heat, resolve the phlegm, open LU, control wheezing. Use reducing manipulations on Taiyin, Yangming (esp if constipation present).LI4, Du14 (both release exterior, clear heat), LU1, LU6, UB13, LU5 (Ren17, Ren22, ST40 still appropriate). If wheezing seriously, +LU2, cupping.
Wheezing in Stable stagetonify Zheng Qi (of appropriate organs), resolve phlegm, control wheezing. Use Taiyin, Backshu w/ tonifying manipulations (except phlegm pts). Likely use moxa (with caution in asthmatics)Dingchuan, LU9, UB43 (used for Xu patterns; the Gaohuang Shu is where extremely deep and chronic pathogens reside), UB13, If LU/SP Xu, +UB20, ST36. If copious phlegm, +SP9. If LU/KD Xu, +UB23, KD3. If palpitation, profuse sweating, cold limbs, purple tongue treat HT Yang (syncope possible, refer to ER) +HT7, PC6. Ear pts are useful (LU/SP/KD), Qiguan, Pingchuan, Shenmen. Special moxa treatment on 'Fujiu' pts ‐ UB13 43 20 23 esp for kids.
Lung Distention (Fei Zhang) d/t Phlegm-turbid accumulation (cold-phlegm)resolve phlegm, dispel coldGeneral formula: UB13, LU9, Ren17. +ST40, Ren12, ST36.
Lung Distention (Fei Zhang) d/t Phlegm-heat accumulationclear heat, resolve phlegm, open LUGeneral formula: UB13, LU9, Ren17. +Du14, LI11, ST40.
Lung Distention (Fei Zhang) d/t Phlegm block spirit orificeresolve phlegm, open orificesGeneral formula: UB13, LU9, Ren17. delirium, restless, somnolence, urgent need for ER care; +Du26, PC6, UB15.
Lung Distention (Fei Zhang) d/t Yang-Xu/water-retentionwarm/tonify Yang QiGeneral formula: UB13, LU9, Ren17. (HT SP KD involved); +UB23, Ren4, SP9, moxa on Ren8, Ren6.
Lung Distention (Fei Zhang) d/t LU/KID-Qi-Xutonify LU/KID-Qi and SP with moxaGeneral formula: UB13, LU9, Ren17. (will have very shallow breath, cannot lay down. Cough w/ phlegm). +UB23, KD3, Ren6, ST36.
Dyspnea (Chuan Zheng)if excess, resolve phlegm, unblock Qi. If deficiency, tonify and consolidate QiUB13, Ren17, Ren22, LU10, Dingchuan ‐ these are common to all Chuan Zheng patterns. If cold, +UB12, LI4, moxa. If exterior heat, +UB12, LU5, Du14. If phlegm, +ST40, LI11, SP9, Ren12. If emotional trigger, +LU1, LV14, LV3, PC6. If LU Qi Xu, +LU9, Ren6. If KD Xu, +UB23, Ren4, KD3, moxa.


DiseasesTotalSD Patterns
Common-Cold3wind-cold, wind-heat, summer-damp
Cough4exterior wind-cold, exterior wind-heat, internal damp-phlegm, LIV-Fire attacking LU
Pulmonary Abscess4early stage, abscess stage, pus-discharge, recovery
Wheezing6acute cold-phlegm, acute phlegm-heat, stable LU-Qi-Xu, stable SP-Qi-Xu, stable KID-Qi-Xu, stable HT-Qi-Xu
Lung Distension5phlegm-turbid, phlegm-heat, phlegm block spirit orifices, Yang-Xu causing/water retention, LU/KID-Qi-Xu
Dyspnea7wind-cold attack LU, phlegm-heat accumulated in LU, exterior cold + interior heat, phlegm-turbid/damp block LU, LIV-Fire attack LU (LU-Qi blockage), LU-Xu, KID-Xu


Diseases/SDTx PrincipleAcu Formula
Bleeding Disorders (Xue Zheng) Haemoptysis (cough w/ blood) d/t LV Fire Attacking LUdrain LV fire, clear the LU, harmonize the collaterals, stop bleeding. Use reducing manipulations.LV2, LU10, UB13, PC8 (Jueyin connection, also 'draining the son'). Consider using bleeding techniques.
Bleeding Disorders (Xue Zheng) Haemoptysis (cough w/ blood) d/t LU Yin Xu/Xu Firenourish Yin, clear heat, benefit LU, stop bleeding. Prefer LU and KD pts.LU5, LU6, LU10, KD2, Bailao (on rear of neck), UB43
Bleeding Disorders (Xue Zheng) Haematemesis (vomit w/ blood) d/t ST Heatclear and drain ST heat/fire to stop bleedingST44, Ren13 (descends ST), PC4
Bleeding Disorders (Xue Zheng) Haematemesis (vomit w/ blood) d/t LV Fire Attacking STclear LV, harmonize STLV3, GB43, ST19, ST34 (Xi‐Cleft), PC8, Ren13
Bleeding Disorders (Xue Zheng) Haematemesis (vomit w/ blood) d/t SP/ST Qi Xutonify SP/ST Qi, hold the blood. Use tonifying manipulations, moxa.SP1, ST36, Ren12, UB20
Bleeding Disorders (Xue Zheng) Epistaxis (nose bleeding) d/t LU Heatclear LU heat, cool blood, stop bleedingLU10, LU11, LU3, LI4, Du24, Du16
Bleeding Disorders (Xue Zheng) Epistaxis (nose bleeding) d/t SP Heatclear heat, drain fire, stop bleeding.ST45, LI2, SP1 (bleed), Du23, Ren12 (descend Qi)
Bleeding Disorders (Xue Zheng) Epistaxis (nose bleeding) d/t LV Fireclear LV heat/fireDu27, LV1, KD1 (guides heat downwards), UB40, UB45, LV8.
Bleeding Disorders (Xue Zheng) Haematochezia (stools w/ blood) d/t SP/ST Qi Xutonify SP, hold the blood.Ren4, Ren6, ST36, SP3, UB35 (local pt)
Bleeding Disorders (Xue Zheng) Haematochezia (stools w/ blood) d/t LI Damp/Heatclear heat, resolve dampness, harmonize Ying/nutritive Qi, stop bleeding.Du1, UB32, UB57
Bleeding Disorders (Xue Zheng) Haematuria (blood in urine) d/t Yin Xu/KD Xu Firenourish yin, clear heat/drain fireKD10, KD3, Ren4, LV1
Bleeding Disorders (Xue Zheng) Haematuria (blood in urine) d/t HT Fireclear heat, drain fire from HT, harmonize Ying.Ren4 (front Mu of SI, use draining technique), HT3, PC8.