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Internal Medicine

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

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Diseases/SDTx PrincipleAcu Formula
Palpitation (Xin Ji) d/t HT Qi Xutonify HT Qi, calm Shen. Use backshu/front‐mu pts with tonifying manipulations.UB14, UB15, Ren14 (HT Mu), PC5, HT7. If easily frightened, +PC7. If excessively sweating, +UB43 (Gaohuangshu). Fu Ling is a good and gentle herb to suggest.
Palpitation (Xin Ji) d/t HT Blood Xunourish blood to calm palpitations. Avoid overthinking, overwork. Suggest eating Long Yan Rou/Longan fruit.UB17 (blood shu), HT5, UB44 (aligned with UB15), UB20, ST36. If restless with excessive dreaming, +PC8 (Ying‐Spring). If red/flushed face, +KD3. If tinnitus, +SJ3.
Palpitation (Xin Ji) d/t Phlegm/Fireclear fire, resolve phlegm. Use very reducing manipulationsHT4 (Jing‐River), PC4, UB13, LU5, ST40. If chest oppression, +PC6, Ren17. Insomnia, +ST45. Hard BM, +ST25, UB25. If more phlegm based, +SJ6.
Palpitation (Xin Ji) d/t Blood Stasismove blood and resolve stasis, strengthen HT Yang. Depending on the pattern, use tonifying or reducing methods.HT3, PC3 (both He‐Sea pts), moxa Ren 6/8, SP10. If pulse is very weak, +PC6, LU9. Shen Fu (Ren Shen and Fu Zi) formula.
Palpitation (Xin Ji) d/t Fluid Retentionstrengthen HT Yang + Qi, resolve water. Use tonifying methods, moxa.UB15, Ren14, HT7, UB20, UB22 (SJ shu, drain water), UB23. It is possible the patient will be unable to lie down due to the water accumulation.
Insomnia (Bu Mei or Shi Mian) d/t HT & SP Xutonify SPUB15, UB17, UB20, SP6, HT7. If excessive dreaming, +UB42. If forgetful, +UB52. Longan fruit, lotus seed are appropriate. Suggest rest, more tonifying diet.
Insomnia (Bu Mei or Shi Mian) d/t HT & GB Qi Xutonify Qi, calm Shen?
Insomnia (Bu Mei or Shi Mian) d/t HT/KD DisharmonyNourish Yin, drain fire, nourish HT to calm ShenPC7, KD3, HT7, LV3. If dizziness, +GB20. If tinnitus, +SI19. If poor memory, +UB52, Du20
Insomnia (Bu Mei or Shi Mian) d/t LV Fire Risingclear heat, drain fire, soothe LV. Use reducing manipulationsLV2, GB44, ST44, GB20. If red eyes, +Taiyang, LI5. Tinnitus, +SJ17, SJ3.
Insomnia (Bu Mei or Shi Mian) d/t ST Disharmony (Phlegm/Fire)harmonize the ST, resolve phlegm, clear heat. Use reducing methods on Ren, ST, SPRen12 (front Mu of ST), ST40, ST45, SP1, LI4, PC6 (both to move Qi).
Chest Bi (Xiong Bi) d/t Deficient Coldwarm + tonify HT Yang, resolve cold. Use tonifying manipulations and moxa.UB14, UB15, PC6, HT5 (Luo), Ren4, Ren6 (moxa), Du4. Avoid cold food and drink.
Chest Bi (Xiong Bi) d/t Turbid Phlegmunblock Yang, resolve turbid phlegm. Use reducing manipulations (not treating root Xu at this time).PC4, Ren14, ST40, Ren17, LU9 (to influence vessels). If radiating chest pain, +UB13, UB15, cupping. If shortness of Qi, +moxa UB24, Ren6. Suggest cinnamon, garlic, ginger.
Chest Bi (Xiong Bi) d/t Blood Stasismove blood, resolve stasis, unblock collateralsRen17, Ren14, HT6, UB15, UB17. If tongue/lips purple, bleed LU11, HT9, PC9 (not to drain heat, to promote circulation) ‐ seek ER care immediately
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FAINTING DISORDERS

Diseases/SDTx PrincipleAcu Formula
Fainting Disorders (Jue Zheng) d/t Qi Jue Excess-Du26, PC6, LV3. If clenched teeth, +ST6, LI4
Fainting Disorders (Jue Zheng) d/t Qi Jue Xu-Du20, Ren6, ST36
Fainting Disorders (Jue Zheng) d/t Xue Jue Excess-Du26, PC6, KD1, LV2
Fainting Disorders (Jue Zheng) d/t Xue Jue Xu-Du20, Ren6, Ren4
Fainting Disorders (Jue Zheng) d/t Phlegm (Tan) Jue-Du26, PC6, ST40, Ren14 (HT Mu).
Fainting Disorders (Jue Zheng) d/t Cold Jue-Ren8 with heavy moxa and topical Fu Zi. If incontinent diarrhea, +ST25.
Fainting Disorders (Jue Zheng) d/t Heat Jue-Use the 12 Jing‐Well points with bleeding, beginning with HT, PC and Yangming
Fainting Disorders (Jue Zheng) d/t Food Jue-Because this pattern is only due to Xu, treatment is tonification and moxa with the goal to rescue the devastated Yang. Do not reduce to open the orifices
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CONVULSIONS, EPILEPSY

Diseases/SDTx PrincipleAcu Formula
Convulsion (Jing Zheng) d/t High Feverclear heat, nourish Yin, calm LV, extinguish wind. Use reducing manipulations.Du20, Du16, Du14, LV3, KD1, 12 Jing‐wells. These points focus on treating fever. Du8, SP6, KD3, UB20, GB34, LV3, ST36. Use these if Yin has been damaged by other factors such as dehydration
Convulsion (Jing Zheng) d/t Heat in Ying and XueClear heat from Ying/Xue levels, extinguish wind to stop convulsions.PC3, PC8, UB40, LV2, Shixuan, GB34. If intense heat, +Du14. If LOC, +Du26.
Convulsion (Jing Zheng) d/t Meridians Blocked by Pathogen-such as wind, cold, or damp. This is primarily an 'herbal pattern' and not a focus in this course.
Epilepsy (Xian Zheng/Dian Xian) d/t excessextinguish wind, resolve phlegm, drain fire, calm Shen. Use Ren & Du, LV/GB, ST.GB13, LV3, ST40, Du12, Ren15 (with caution). If acute flare, +Du26, HT7. If clenched teeth, +ST6. If worse at night, +KD6. If worse in day, +UB62.
Epilepsy (Xian Zheng/Dian Xian) d/t Xutonify HT, SP, KD and resolve phlegm. Focus on HT SP ST GB, back‐shu. Tonify and use moxa.HT5, PC5, ST40, GB34, Du8, UB23, SP6. If LoC, +KD1, moxa Ren6. In stable stage, +Du20, ST36, Ren12.
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STROKE

Diseases/SDTx PrincipleAcu Formula
Channel Stroke (Zhong Feng) w/ Hemiplegiasoothe channels, regulate Qi/Blood.LI15, LI11, LI4, ST36, ST41, SJ5, GB30, GB34, UB60 (points focused around large joints). If upper limbs affected, +Du14, SI14. If lower limbs, +Du3, UB30. If spasm at wrist area, +PC7. At elbow, +PC3. Knee, +LV8. Ankle, +KD3. Fingers, +Baxie pts. Toes, +Bafeng. If speaking disrupted: +Ren23, HT5. If sublingual veins enlarged, +Jin Jin, Yu Ye. Avoid the use of plum‐blossom needling for Xu or diabetic patients. Tui Na is very important for this condition.
Channel Stroke (Zhong Feng) w/ Deviation Mouth/Eyessoothe channels, regulate Qi/Blood.Prefer LI, ST, UB pts. In early stage, treat ill side. Later stage, treat healthy side as well. ST1, ST4, ST6, GB14, UB2. Distal pts: LI4, ST44, UB60, SI6. These points are also appropriate for facial paralysis. Other appropriate pts: LV3, LI20
Organ Stroke (Zhong Feng) d/t Tense/Closed Syndrome (Bi)open the orifices. Use Du, Jue Yin, Yang Ming pts and the 12 Jing‐wells. Use reducing manipulations, consider bleeding methods.DU26, 12 Jing‐Well (bleed), ST40, PC8. When they have regained consciousness, stop using these aggressive pts and use Yintang, GB31, SP6. If clenched teeth, ST6, ST7. Slurred speech, +HT5, Du15, sublingual pts. If difficulty swallowing, +KD6, Ren22
Organ Stroke (Zhong Feng) d/t Flaccid Syndrome (Tou)rescue the devastated Yang. Use tonifying manipulations and heavy moxa. Favor Ren pts.Ren4 (meeting pt of Yin meridians), Ren8 (moxa only, use care not to cause burns if they are unconscious). If profuse oily sweat, +HT6. If hypersomnia, +UB62. If incontinence, +ST28, SP6, ST36. If Yang floating, heavy moxa on Du4, UB23, KD1 to guide Yang down
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