Combined Patterns Flashcards
Key S/S of what combined pattern?
**alternating diarrhea / constipation **(ie xiao yao san)
moodiness/anger
poor appetite, stomachache w/ stress. abdominal distention and pain, flatulence
stools sometimes dry and bitty, sometimes loose
fatigue/tired
T can be normal, could be teeth marks, puffy, sl. red on sides
P wiry on left, weak on right
Liver Qi Attacking the Spleen
face color is color of attacker
most s/s are in victim pathology
TP: supplement spleen, course liver rectify qi
T & P can be either or both
liver qi:
Lv 3, 13, 14
GB 34
SJ 6
P6 - Sp 4
Ren 6
St 25 - Sp 15
Supplement Spleen:
Sp 6
St 36
Ren 12
Liver Qi attacking Spleen
Liver 13 - big point for wood-earth disharmony (front mu of spleen)
St 25 - Sp 15 for excess and deficiency stool diarrhea/constipation
P6 - Sp 4 -harmonize chong- emotional and digestive problems
Key s/s for what combined pattern? **epigastric*** nausea/vomit//hiccups/belching feeling of oppression, dullness sour regurgitation weak limbs
irritability, hypochondrial distention and pain
T normal, sl. red on sides
P wiry on left, weak on right OR wiry on both middle positions
Rebellious Liver Qi Invading the Stomach
aka Liver Attacks Stomach
aka wood-earth disharmony
wiry = liver qi
wiry in middle right = spleen stomach
best points for what combined pattern
Lv 14
Gb 34
St 36 St 21 St 19 Ren 13 Ren 10
St 34
Bl 21
Liver attacking stomach
tp: course liver, rectify qi, supplement stomach and restore descending fx of stomach
St 34 - xi cleft of stomach
liver attacks spleen look for lv 13
liver attacks stomach look for lv 14
key s/s for what combined pattern?
HA, dizziness, red face, bloodshot eyes, scanty dark urine, constipation, thirst, bittter taste, anger (need therapy)
breathlessness, asthma, feeling of fullness and distension in the chest and hypochondrium, coughing yellow sputum - could be blood tinged
T red, redder in sides, dry yellow coat
P wiry
Liver Fire Attacking the Lungs
subdue liver fire, rectify liver, direct lung qi down
best points for what combined pattern?
lv 2, 3, 14
lu 7, P 6
ren 17, ren 22
li 11
Liver Fire attacking lungs
rx: long dan xie gan tang - clear organ heat (liver fire)
key s/s for what combined pattern? palpitations & loose stools (KEY) insomnia poor memory fatigue, tiredness anxiety poor appetite dizziness pale lips propensity to be startled dull pale complexion weak limbs and muscles scanty periods
T: pale, thin
P: fine, (thin) choppy
spleen qi and heart blood deficiency
aka student syndrome
rx gui pi tang (if digestion is too poor to handle sticky herb long yan rou - you can use ba zhen tang or mix bu zhong yi qi tang w/si wu tang)
P6
Ht 7
B 20, Ren 12, St 36
Ren 4, Bl 17
Ren 14, 15
Sp 6
Sp Qi and Ht Blood Xu
P6 (all def heart patterns) Ht 7 (for the blood)
B 20, Ren 12, St 36 (spleen qi xu)
Ren 4, Bl 17 (blood)
Ren 14, 15 (for the heart)
Sp 6 (Qi and fluids)
key s/s for what combined pattern
Worse on exertion, spontaneous daytime sweating
poor appetite, abdominal distention or discomfort after eating, post prandial fatigue, loose stools, weak limbs, fatigue
SOB, weak voice, dislikes speaking, weak cough, low voice, catch colds EZ
T Pale
P Empty/Weak
Spleen and Lung Qi Xu
Rx: si jun zi tang
P worse on right side
best points for what combined pattern? Lu 9 B 13 Lu 7 B 43 Du 12
Ren 6
St 36
Ren 12
Sp 3, 6
B 20, 21
Spleen and Lung Qi Xu
Lu 9
B 13
Lu 7
B 43 Du 12 (key combo for chronic lung issues)
Ren 6 (gio go to qi point) St 36 (cam go to qi point)
Ren 12
Sp 3, 6
B 20, 21
key s/s for what pattern?
feeling of oppression in abdomen and epigastric
nausea, lack of appetite, loose stools,
dry mouth with no desire to drink
sallow complexion, heavy sensations
hypogastric pain, bitter taste, irritability
T thick yellow coat, may have red sides
P slippery and wiry
obstruction of spleen by damp plus liver qi stagnation
s/s of
spleen qi xu
spleen damp obstruction (could be damp heat)
liver qi stagnation
supplement spleen, drain damp, move liver qi
Rx: Ping Wei San (for damp stuck in the middle) or
Huo Xiong Zheng Qi Tang
Best points for what combined pattern:
Ren 12, Sp 3, 6, 9, Bl 20
Lv 3, 13, 14, GB 34, GB 24
St 19
Spleen Damp Heat plus liver qi stagnation
GB 24 is front mu of GB
St 19 descend the damp down
Liv 13 key for wood-earth disharmony
key s/s for what combined pattern:
dull occipital or vertical HA* (key for this pattern)
scanty or no menstruation, could be delayed cycle
dizziness, tinnitus, hard of hearing, low back pain
insomnia (waking often), numb limbs
dry - eyes, throat, nails, hair, skin, vagina, stools, dry mouth at night
night sweats
nocturnal emissions, infertility
anxious, talk fast, wound up, red around lower eyes
T red no coat
P thready + rapid OR superficial + empty
Kidney and Liver Yin Xu
rx: zou gui wan (kidney yin xu)
michelle says can use tian wan bu xin dan if more insomnia
also for more heat use zhi bai di huang wan
insomnia
waking early\_\_\_\_\_\_ trouble falling asleep\_\_\_\_\_\_\_ waking often\_\_\_\_\_\_\_\_ dream disturbed\_\_\_\_\_\_\_ dream disturbed and wake up tired \_\_\_\_\_\_
waking early______gallbladder qi xu
trouble falling asleep_______blood xu and qi xu
waking often________yin xu
dream disturbed_______heat
dream disturbed and wake up tired _____food stagnation
best points for what combined pattern?
K 3, 6 Lv 8 Ren 4 Bl 23 Sp 6 Kd 13 B 10
Kidney and Liver Yin Xu
B 10 local for occipital HA which is a key sign
K 13 chong
