Diseases of zang and Fu organs Flashcards
Lung normal Function
dominates qi, descends and disperses qi, upper source of water, manifests at the skin, opens to the nose
Invasion of pathogenic cold to the lung-pathogenic wind and cold
Sx
Tx
Pts
Sxs: aversion to cold and fever, no sweating, headache and body discomfort, stuffy nose and watery nasal discaharge, cough with thin sputum, thin and white tongue coating, and floating and tense pulse;
In cases with cold retention: severe cough, shortness of breath and heaviness sensation in the body, whitish and frothy sputum and large quantity of sputum, whitish, moist, and glossy coat, floating or slipper pulse.
Tx: Ventilating the lung and dispelling the cold, or warming and resolving phlegm
Points: LI-4, LU-7(relieve exterior) UB-12 (wind), UB-13 (LU shu), GB-20 (wind)
The encroachment of the lung by pathogenic heat -wind heat
Sx
Tx
Pts
Sxs: cough with yellow sputum or thick nasal d/c, or aversion to wind and heat, fever, sore throat, thin and yellowish coating and floating and rapid pulse; -In cases with accumulation of phlegm and heat in the lung; cough with large quantity of thick and yellowish sputum, difficult breathing with wheezing, cough with pain in the chest, extreme thirst and desire for cold drink, dark urine and constipation, red tongue and dry and yellowish coat, slippery and rapid pulse
Tx: Dispel wind and remove heat
Points: LI-4, LI-11(dispel heat), SJ-5, DU-14 (expel pathogen), GB-20.
stagnation of phlegm in the lung
Pathigenesis
Sx
Tx
Pts
Pathogenesis: Invasion by exogenous factors or prolonged; or the spleen is too weak to perform its transporting function, and accumulated dampness turning into phlegm -Sxs: cough with thick and sticky, whitish or grey sputum, shortness of breath, tongue with thick and whitish and greasy coating, and soft floating and slippery pulse -In cases with stagnation of excessive fluid in the lung: difficult breathing with wheezing, pain and fullness sensation in the chest and hypochondrium, tongue with greasy and yellowish coating (if stagnant phlegm turn to heat), and slippery or rapid pulse. Green/yellow sputum is always heat combined with phelgm.
Tx: Remove dampness from the lung to reduce phlegm
Points: LU-1(transforms phlegm, clears, heat), UB-13 (LU shu), ST-40
Lung dryness due to yin deficiency
Pathogenisis
Sx
Tx
Pts
Pathogenesis: exogenous dryness leading to consumption of the lung fluid or pathogenic wind, pathogenic warm (could be a heat condition consumed the yin and dried the fluids).
Sxs: cough with dyspnea, little but sticky phlegm sometimes with blood streak dry mouth and sore throat, or sensation of slight cold and fever, thin and dry coating, red tip and margin of the tongue, pulse thready and rapid -In cases with fever of deficiency type dry cough with little phlegm or phlegm with blood, hoarseness and red throat, hectic fever and night sweats (yin def), emaciation, red tongue with thin coating, and thready rapid pulse. Possible skin dryness
Tx: clear lung heat and moisturize lung dryness
Points: LU-7 (regulates water passages, relieve exterior), KD-6 (yin qiao)
Deficiency of lung qi
Pathogenesis
Sx
Tx
Pts
Pathogenesis: overstraining causing impairment of lung due to prolonged cough or insufficient transformation of qi
Sxs: cough with shortness of breath, fatigue and dislike of speaking, weak and low voice, intolerance of wind and spontaneous perspiration, pale tongue and thin and whitish coat, weak pulse. May see thin skin.
Tx: replenishing and restoring the lung qi
Points: LU-9 (yuan source & earth pt), ST-36, UB-13, REN-17
Excess heat of the large intestine
Pathogenesis
Sx
Tx
Pts
Pathogenesis: excess pathogenic heat accumulating in the yangming fu organ leading to obstruction
Sxs: constipation (dry, hard), abdominal pain and tenderness, or fever & vomiting, or loose, smelly, sticky stool (sneaks around the impacted stool) or fecal impaction due to heat with watery discharge (yellow & bad smell) or irritability, dry and yellowish or sallow and prickled fur, deep and forceful, rapid pulse
Tx: clear heat and resolve stagnation
Points: ST-25 (LI mu), ST-37, SJ-6 (moves the stool, clears heat in 3 jiao) Could also add LI-11 to clear heat or LI-4 to create movement.
Damp Heat of the large intestine
Pathogenesis
Sx
Tx
Pts
Pathogenesis: summer heat and dampness and improper or dirty diet leading to the accumulation of damp heat in the large intestine
Sxs: frequent diarrhea or dysentary with bloody stool or with mucus or purulent discharge (may be smelly), tenesmus, burning sensation in the anus, abdominal pain, fever and heaviness sensation in the body, greasy and yellowish coating, and slippery and rapid pulse.
Tx: clear heat and eliminate dampness
Points: LI-4, LI-11, ST-25, ST-44 (ying spring); could add SP-9
Deficiency cold of the large intestine
Pathogenesis
Sx
Tx
Pts
Pathogenesis: insufficiency of both the spleen and kidney or impairment of yang caused by extreme cold, or pathogenic cold entering the intestines directly
Sxs: loose stool or constant diarrhea (more watery, clear, not strong smell), fullness in the abdomen and occasional pain relieved by warming and pressing, or anal prolapse, coldness in the limbs, pale tongue, thin and white coat, pulse thready and weak. (If tight that indicates excess cold)
Tx: warm yang and dispel cold
Points: REN-4 (to warm lower jiao), REN-8 (warm yang qi, tx abdominal pain), REN-9 (separate clear & turbid), ST-25 (LI mu).
Moxa good for this type. May add DU-20 for prolapse.
Insufficiency of body fluid in the large intestine
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Impairment of the LI fluids caused by dryness-heat, or spleen yin deficiency goes down into the large intestine
Sxs: dry and hard stool passed every few days, foul breath and dry throat, dizziness and abdominal distension (but not painful), reddened tongue with little saliva, dry and yellowish tongue coat; thin pulse b/c lack of fluids. pulse may be a bit rapid.
Tx: loosen the bowel to relieve constipation
Points: ST-25, REN-4, SP-6
Insufficiency of the heart yang qi
Pathogenesis
Sx
Tx
Pts
Pathogenesis: prolonged illness or impairment of yang caused by sudden attack of serious illness or very strong emotions
Sxs: palpitation, shortness of breath, oppressed feeling in the chest, chest pain, pale complexion, dullness in the body, and spontaneous perspiration. Weak or knotted and intermittent pulse. Tongue pale, flabby, may be dusky. May have symptoms of deficiency cold, but often not because as a fire organ, these sxs are often masked. Pt may feel tired and sleep more.
Tx: warm the heart yang. Supplement the heart qi
Points: HT-7 (yuan source), UB-15 (HT shu), REN-14 (HT mu), PC-6 (benefit chest). Can use moxa for this type.
Insufficiency of heart yin/blood
Pathogenesis
Sx
Tx
Pts
Pathogenesis: febrile diseases or excessive anxiety can damage the yin/blood or there may be insufficient transformation of blood or there may have been excessive blood loss
Sxs: palpitation, vexation, fear, and restlessness, dreamy sleep, red tongue with cracks (yin def) or pale tongue (blood def) with little coating, pulse thready and rapid (yin def). If blood def, pulse thready but not rapid. If yin def, pt may have 5 center heat, heat sxs at night, insomnia. If blood def, see pale complexion, insomnia, etc.
Tx: nourish yin, nourish the heart, and tranquilize the mind
Points: HT-7 (yuan source), HT-9 (clear def heat, tranquilize mind), UB-15 (HT shu), KD-6 (nourish yin). If blood def, add SP-6, UB-17.
Internal Disturbance by phlegm fire
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Emotional depression leading to stagnation of qi and fire-transmission that boils fluid and turns it into phlegm.
Sxs: palpitation, manic-depression, insomnia, anxiety, red tongue with yellow thick coat, pulse slippery and rapid -
Tx: clear away heart-fire, dissolve phlegm and purge intense heat
Points: jing well points, HT-3 (he-sea), LI-4, PC-8 (clear phlegm ht, ghost pt, open ht orifice). Can add ST-40.
Blockage of heart yang by fluid retention
Pathogenesis
Sx
Tx
Pts
Pathology: stagnation of phlegm and fluid accumulated in heart and blocking heart yang.
Sxs: palpitation, oppressed feeling in the chest, dizziness, vomiting with phlegm and saliva, greasy and white coat, pulse slippery, deep, and tense (fluid obstruct yang qi) -
Tx: remove stagnant fluid and eliminate phlegm.
Points: REN-17 (PC mu), REN-14 (HT mu), UB-15 (HT shu), ST-40 (phlegm), PC- 5(open HT orifice by transforming phlegm) Use reducing technique.
Stagnation of heart blood
Pathogenesis
Sx
Tx
Pts
Pathogenesis: heart qi or heart yang deficiency cannot promote blood movement
Sxs: severe palpitation, oppressed feeling in the chest with stabbing pain, sharp pain in the chest in severe cases, bluish purple lips, coma and coldness of limbs, dark tongue with purple dots, thready and uneven or knotted intermittent pulse
Tx: promote blood circulation to remove obstruction in the collaterals and blood stasis
Points: UB-17 (influential pt for blood), SP-10 (xue hai-move blood stasis), HT-6 (xi-cleft for blood & acute)
cold deficiency of the small intestine
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Improper diet leads to SI’s inability to separate the clear from the turbid.
Sxs: diarrhea with borborygmus, vague abdominal pain relieved by pressing, pale tongue with thin white coat; pulse thready and moderate.
Tx: warm and promote the small intestine
Points: UB-27 (SI shu), REN-4, SI-3 (shu-stream wood pt)
heat excess in the small intestine
Pathogenesis
Sx
Tx
Pts
Pathogenesis: the heart fire descends to the small intestine
Sxs: vexation and insomnia, mouth and tongue sore (canker sores), dark urine with pain or even hematuria, red tongue with yellowish coating, and slippery rapid pulse.
Tx: clear heart fire and promote descension of heat
Points: SI-8 (he-sea), SI-7 (luo ), ST-39 (lower he-sea of SI), REN-3 (clear lower jiao heat-UB mu)
Insufficiency of Spleen Yang:
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Excessive cold or uncooked food, weakness due to prolonged illness, or drugs with cold nature
Sxs: sallow complexion and coldness in the gastric cavity, vomiting with watery fluid, anorexia and loose stool, or coldness of the limbs, pale tongue, whitish coating, and soft floating and weak pulse. If severe, pulse may be a bit slow.
Tx: Warm the middle jiao yang
Points: UB-20 (SP shu), LR-13 (SP Mu), SP-4, ST-36, REN-8. Consider using moxa on these. Consider SP-2 (fire pt, mother of earth).
Deficiency of Qi in the Middle Jiao
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Excessive cold or uncooked food, weakness due to prolonged illness, or drugs with cold nature
Sxs: sallow complexion and coldness in the gastric cavity, vomiting with watery fluid, anorexia and loose stool, or coldness of the limbs, pale tongue, whitish coating, and soft floating and weak pulse. If severe, pulse may be a bit slow.
Tx: Warm the middle jiao yang
Points: UB-20 (SP shu), LR-13 (SP Mu), SP-4, ST-36, REN-8. Consider using moxa on these. Consider SP-2 (fire pt, mother of earth).
Deficiency of Qi in the Middle Jiao
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Weak constitution, overstraining/thinking/worrying, impairment due to prolonged illness
Sxs: Poor appetite, abdominal distension, fatigue and dislike of speaking, diarrhea, prolapses in severe cases. Tongue pale with thin white coat. Pulse weak & moderate.
Tx: Invigorate the spleen and replenish qi.
Points: UB-20, SP-3 (yuan source & Earth pt), ST-36, REN-6
Cold Dampness retention in the spleen
Pathogenesis
Sx
Tx
Pts
Pathogenesis: cold dampness or excessive endogenous pathogenic dampness
Sxs: Fullness in the gastric cavity (discomfort with pressure), anorexia, fatigue and heaviness sensation of the head and body. Stickiness of the mouth, loose stool or diarrhea (sticky stool). Tongue greasy and whitish coat. Pulse soft and floating (cotton ball floating on water).
Tx: Activate the spleen and resolve the dampness
Points: REN-12, SP-5 (metal pt-reduce earth?), LR-13, SP-9 (water pt, drains damp). Use reducing techniques because this is an excess/pathogen condition
Retention of Damp Heat in the Interior
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Affection of seasonal pathogens or excessive alcohol and sweets
Sxs: Distension of the hypochondrium and abdomen, poor appetite and bitter taste, patient feels hot and heaviness sensation in the body, dark urine and loose
stool (sticky & strong smell w/ burning sensation), sallow complexion. Tongue greasy with yellow coating and soft floating and rapid pulse.
Tx: clear away heat and promote diuresis
Points: SP-2 (ying spring-tx heat), LR-13, SP-9 (water pt, drains damp), LI-11 (to clear heat). Use reducing technique to expel pathogenic heat & damp
Cold Syndrome of the Stomach
Pathogenesis
Sx
Tx
Pts
Pathogenesis: constant insufficiency of stomach yang or excessive cold and uncooked foods leading to invasion of pathogenic cold and its accumulation in the stomach
Sxs: pain and coldness in the gastric cavity, in severe cases causes a subjective sensation of contraction, and gets more serious in cold and relieved by warmth. Vomiting of watery fluid. Tongue pale, whitish and glossy coating. Pulse slow
Tx: warm the stomach and dispel cold
Points: REN-12, ST-21 (gateway to stomach), ST-36. PC-6 could be considered to relieve pain in the stomach
Heat Syndrome of the Stomach
Pathogenesis
Sx
Tx
Pts
Pathogenesis: pathogenic heat, excessive pungent food, or stagnation of fire due to uncontrolled emotions. -
Sxs: burning pain in the stomach, gastric discomfort, acid reflux, desire for cold drinks, foul breath, gingival swelling, pain, and bleeding, reddened tongue with little saliva, yellowish coating. Pulse slippery and rapid.
Tx: clear stomach heat
Points: REN-12 (ST Mu), ST-44 (ying spring-clear heat), LI-11 (clear heat). Use reducing techniques.
Yin Deficiency syndrome of the stomach
Pathogenesis
Sx
Tx
Pts
Pathogenesis: exhaustion of stomach yin caused by pathogenic fire. Lack of fluids to nourish the stomach -
Sxs: dry mouth and lips, anorexia, retching and hiccuping, dry stool, reddened tongue with little coating or glossy. Pulse thready and rapid.
Tx: Nourish the ST to promote the production of body fluid
Points: UB-20 (SP shu), UB-21 (ST shu), REN-12 (ST Mu), ST-36. Consider adding SP-6 to nourish yin.
Excess Syndrome of the Stomach
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Improper diet (overeating or food that does not agree) leading to food stagnation
Sxs: distending pain in the stomach, anorexia, burping, vomiting of sour and foul undigested food. Tongue greasy thick coating. Pulse slippery and forceful.
Tx: promote digestion and eliminate undigested food.
Points: SP-4 (luo), PC-6 (harmonizes ST, nausea, & vomiting), REN-11 (promotes descending from the ST). Consider extra point: bottom of foot just opposite ST-44
Liver syndromes
any excess emotions, liver storage of blood, liver in charge of smooth flow of qi
Liver Qi Stagnation
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Depression and anger impair the liver and cause abnormal dispersing function leading to obstructed flow of qi and block blood circulation.
Sxs: Fullness and distending pain in the hypochondriac regions, nausea, regurgitation, abdominal pain (moves around and relieved by bowel movement), diarrhea, which come on or get aggravated by emotions; or could be abdominal mass (that moves around) or menstrual irregularity; Tongue coating thin. Pulse wiry.
Tx: Remove stagnation of liver qi and eliminate abdominal mass.
Points: LR-3 (regulate LR qi), LR-14 (front Mu), LI-4 (to move qi)
Flaming up of Liver Fire
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Failure of the liver and gallbladder in dispersing
Sxs: burning pain in the hypochondrium, vomiting of bitter saliva, distending pain in the head, dizziness, tinnitus, red eyes, irritability, hematemesis, dark urine, constipation, reddened tongue with yellowish coating, wirey and rapid pulse.
Tx: Clear fire in the LR & GB
Points: LR-2 (ying spring, fire pt), GB-34 (clears LR, GB damp heat, disperses LR/GB qi), SJ-5 (shaoyang, descend fire). Can add LI-11.
Liver wind stirring internally
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Liver qi producing fire, excessive yang leading to fire rising upward disturbing the head.
Sxs: coma, convulsions, vertigo, numbness, headache, sometimes with deviated mouth and eyes (stroke), tongue rigidity, and hemiplegia. Restless legs.
Tx: calm the liver to stop wind and restrain yang
Points: LR-3, LR-8 (water pt, restrains yang), GB-20 (wind gate), DU-20 (promote descension). Not UB-12 for internal wind.
Accumulation of cold in the liver meridian
Pathogenesis
Sx
Tx
Pts
Pathogenesis: The liver meridian affected by cold (could be external invasion or internally generated due to weak yang qi) causing disturbance of the LR qi, and obstruction of the collaterals.
Sxs: lower abdominal distension, dragging sensation and pain in the testes, contracture of the scrotum (for women may have lower abd. pain around liver channel), hernias, emaciation, pt. aggravated by cold and alleviated by warmth, moist tongue with whitish coating. Pulse deep and wiry.
Tx: warm the meridian and the liver
Points: REN-4 (warm lower jiao), LR-1 (moxa here), SP-6 (3 foot yin to create movement)
Deficiency of liver yin
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Deficiency of the kidney –> kidney water not nourishing liver wood. Stagnant liver
Sxs: dizziness, headache, tinnitus, deafness, numbness of the limbs, mild trembling of the muscles, dryness and uneasy feeling of the eyes, less sleep, dry throat. Tongue reddened with scanty saliva and little coating. Pulse thready and rapid.
Sxs If blood def: dizziness, vertex headache, mild trembling, blurred vision, fatigue, scanty menses, or amenorrhea, pale tongue, thin pulse (sometimes wiry), not much yang rising.
Tx: nourishing kidney yin and liver yin to suppress the yang.
Points: LR-8 (he sea, water), SP-6 (3 leg yin), UB-18 (LR shu), LR-14 (LR Mu)
Excess Syndrome of the Gallbladder
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Emotional upset causes functional disorder of qi and generation of phlegm. GB normally assists in descension of qi. Wood energy carries phlegm up.
Sxs: blurred vision, deafness, fullness in the chest and hypochondriac pain, irritability, insomnia, vomiting of bitter saliva, palpitation and restlessness; yellowish and greasy coating, wiry and slippery pulse.
Tx: Clear away phlegm heat and regulate the stomach
Points: GB-41 (wood pt & transforms phlegm), SJ-5 (assist ST), GB-20 (clear head problems), LR-14, LR-3. Consider adding ST-40 if more phlegm sxs. Could also add GB-34.
Unconsolidation of the Kidney Qi
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Insufficiency of KD Qi (due to constitutional weakness or overstraining or chronic illness or postnatal qi not supporting the essence, etc.) -
Sxs: weakness and soreness of the loins and back, nocturnal emission (qi not sufficient to contain the essence), premature ejaculation, nocturia, frequent clear and dribbling urination, even incontinence of urine, pale tongue with thin white coat. Weak pulse.
Tx: Consolidating and regulating kidney qi
Points: KD-3 (yuan source), REN-4, UB-23, UB-52
Failure of the KD to receive inspiration
Pathogenesis
Sx
Tx
Pts
Pathogenesis: overwork or qi deficiency after protracted illness and failure of the kidney to pull the qi down.
Sxs: SOB, severe panting, aggravated on slight exertion, cough with sweating, even incontinence of urine with cough, pale complexion, pale tongue with thin coat, weak chi pulse.
Tx: Promote inspiration and reinforce the kidneys
Points: REN-17 (influential pt. for qi), UB-23, KD-3. Consider adding some lung pts. too.
Deficiency of Kidney Yang
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Insufficiency of the kidney and the vital portal fire resulting from intemperance in sexual life or protracted illness
Sxs: Soreness and weakness of the loins and knees, aversion to cold, feeling of cold, nocturia, impotence, dizziness, tinnitus (low pitched), pale tongue, deep and weak pulse.
Tx: Warming and reinforcing kidney yang
Points: DU-4 (mingmen), REN-4, UB-23, KD-3
Edema due to kidney insufficiency
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Deficiency of kidney yang
Sxs: generalized pitting edema due to overflow of fluid in the skin, especially over the lower limbs, scanty urination; in case of phlegm converted from the fluid: cough with much sputum, and dyspnea on moving; pale tongue with whitish coating; pulse deep and slippery.
Tx: Warm yang to promote diuresis
Points: KD-7 (tonifies KD and manages water/urine metabolism), UB-23, REN-4 (with UB-23 tonifies the KD), REN-3 (UB Mu). Consider Moxa.
Deficiency of KD yin
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Impairment of kidney yin-from chronic illness or excessive sexual activity or natural decline with age (often occurs at menopause for women)
Sxs: Lassitude in the loins and knees, dizziness, tinnitus (high pitched), insomnia, seminal emission, premature ejaculation, emaciation, reddened tongue with little coat. Pulse thready.
Tx: Nourish kidney yin
Points: KD-6 (yin qiao), SP-6 (3 leg yin, nourish yin, calm spirit), UB-23 (KD shu). No moxa.
Hyperactivity of fire due to yin deficiency
Pathogenesis
Sx
Tx
Pts
Pathogenesis: internal heat syndrome caused by deficiency of kidney yin
Sxs: Hectic fever, night sweats, dry mouth, sore throat (KD channel connects with throat), nocturnal emission, flushed cheeks, red tongue with little coat. Pulse thready(thin) and rapid.
Tx: Nourish yin and expel fire
Points: KD-3 (yuan source), LR-3(use reducing technique to clear heat), SP-6, UB-23, DU-20 (guide heat down). Consider using KD-2 for fire sxs.
overall what organs does water metabolism involve?
KD, SJ, UB, LU
bladder :Deficiency cold syndrome
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Deficiency of the kidney qi, dysfunction of consolidating of the bladder
Sxs: frequent clear urine (because the yang qi of UB not contain the urine), tender and smooth tongue with white coat, pulse deep and thready (thin). Also pt. may feel cold. If it were an external invasion of cold to the UB there would be scanty urination and a tight pulse.
Tx: Consolidating and governing the kidney qi.
Points: UB-23 (KD shu), UB-52 (KD shu), REN-3 (UB Mu), KD-3 (yuan source). Use moxa or tonifying techniques.
bladder Excess (Damp) Heat Syndrome
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Damp heat attacking the bladder. Could be internally generated from eating greasy sweet food or alcohol. or external invasion.
Sxs: frequent urination, urgency of urination and burning pain, yellowish and turbid urine, hematuria, fever, lumbago, red tongue with yellowish greasy coat. Rapid pulse. (Typical sxs of UTI or IC)
Tx: Clear damp heat (if internal also support the spleen)
Points: UB-23 (KD shu), UB-32 (regulates urination), GB-25 (KD mu), KD-2 (ying spring-clear heat). Could consider adding SP-9 (good for dampness) or REN-3 (UB Mu) or UB-40 (he-sea)
san jiao function
Yuan qi is associated with the triple burner. SJ is associated with water metabolism. SJ connects the three jiaos
Deficiency Syndrome of San Jiao
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Deficiency of the SanJiao; dysfunction of water metabolism
Sxs: Edema of the face, heaviness sensation of the limbs, fullness in the epigastrum and abdomen, reverse flow of qi and cold abdomen, urinary incontinence, swelling of muscle and skin (all over body), pale tongue with whitish and moist coating. Pulse deep and thready (yuan qi not support TB).
Tx: restore qi and promote diuresis
Points: ST-28 (called water passage), SJ-3 (wood pt to nourish fire), UB-22 (SJ shu), SP-9 (water metabolism), UB-39 (lower he sea of SJ), REN-4 (strengthens yuan qi)
Excess Syndrome of San Jiao
Pathogenesis
Sx
Tx
Pts
Pathogenesis: Due to stagnation of qi. Often times damp heat pathogen obstructs the water passages/SJ channel.
Sxs: fever, fullness in the epigastrium and abdomen, enuresis or dribbling urine, swelling of muscle and skin, red tongue with yellow greasy coat. Pulse slippery and rapid.
Tx: regulate qi and promote diuresis
Points: SJ-3 (shu-stream, clears heat, activates channel), SJ-10 (he sea, activates channel), UB-39 (lower he sea of SJ), REN-5 (SJ Mu)
