External 2

Question 1

Acute onset, severe contracting pain which is alleviated by warmth and aggravated by wind cold. Aversion to wind, cold, headache, running nose. Thin and white coating. Floating and tight pulse. Disperse wind cold to stop pain. CHUAN XIONG CHA TIAO SAN. LI4, GB20.

Answer 1

Invasion of Wind Cold (Trigeminal Neuralgia)

Question 2

Invasion of Wind Cold (TN points)

Answer 2

LI4, GB20, DU16, SJ5

Question 3

Paroxysmal burning pain, referred to the corner of the head, frequently precipitated by emotional frustration. Irritability, redness of face and eyes, bitter taste. Red tip and edge, yellow and sticky coating. Wiry and rapid pulse. Remove damp heat from LV7 and GB to stop pain. LONGDAN XIE GAN TANG. GB20, LV3

Answer 3

Damp Heat in the Liver and Gall Bladder (Trigeminal Neuralgia)

Question 4

Damp Heat in the Liver and Gall Bladder (TN points)

Answer 4

GB20, LV3

Question 5

)Burning pain on face, cheek and gum, aggravated by heat. Redness of face and eyes, dryness of mouth, halitosis, constipation, dark yellow urine. Red tongue with yellow coating. Slippery and rapid or flooding pulse. Clear stomach fire to stop pain. QING WEI SAN. ST44, LI11.

Answer 5

Flare up of Stomach Fire (Trigeminal Neuralgia)

Question 6

Flare up of Stomach Fire (TM points)

Answer 6

ST44, LI11, LV5, 2, 3

Question 7

Dull or distention pain, tic or numbness of the face, aggravated by anger. Insomnia, poor memory, soreness and weakness in lumbar region and yin deficiency. Red tongue with little or no coating. Thready and rapid pulse. Nourish yin to clear deficient fire. ZHI BAI DI HUANG WAN. KD3, SP6.

Answer 7

Flare up of Deficient Fire (Trigeminal Neuralgia)

Question 8

Flare up of Deficient fire (TN points)

Answer 8

Kd3, SP6, KD7

Question 9

Dull pain or numbness of the face. Heaviness and cloud of head, stuffy sensation in the chest, too much sputum, numbness of face. Puffy tongue with white and sticky coating. Wiry and slippery pulse. Disperse wind phlegm, remove blockage to stop pain. BAN XIA BAI ZHU TIAN MA TANG. ST40, GB20.

Answer 9

Obstruction by wind phlegm (Trigeminal Neuralgia)

Question 10

Obstruction by wind phlegm (TN points)

Answer 10

ST40, GB20.

Question 11

Recurrent, fixed stabbing pain, severe at night numbness after pain. Dull face. Dark and purple tongue or with petechiae, thin white coating. Wire and tight or choppy pulse. Quicken blood to stop pain. TONG QIAO HUO XUE TANG. SP10, BL17.

Answer 11

Blood Stasis (Trigeminal Neuralgia)

Question 12

Blood Stasis (TN points)

Answer 12

Sp10, BL17, local bleeding

Question 13

Recurrent dull or hollow pain, severe in stand up, mild when lie down, aggravated by overwork. Pale face, fatigue, shortness of breath, poor appetite. Pale tongue with white coating. Thready pulse. Tonify Qi and blood to nourish the head. BU ZHONG YI QI TANG and SI WU TANG. ST36, CV6.

Answer 13

Qi and Blood Xu (Trigeminal Neuralgia)

Question 14

Qi and Blood Xu (TN points)

Answer 14

ST36, CV6, SP6.

Question 15

Cranial nerve 7 (facial nerve) is compressed at the temporal bone pathway by edema produced by an unknown cause. Inability to frown or wrinkle the forehead, obvious inability to close eyelid, dimished corneal reflex, no hemiplegia, no other cranial nerve paralysis. Deviation of the mouth, no coma, no increased blood pressure, no aphasia, pain around the mastoid process.

Answer 15

Bell’s Palsy (Peripheral Paralysis)

Question 16

Injury of cerebral hemisphere or brain stem caused by cerebrovascular diseases, intracranial tumors, head injuries, brain infections. Normal expressions. Slight inability to close the eyelid. Normal corneal reflex, hemiplegia is often, other cranial nerve paralysis occurs often. Deviation of the mouth. Maybe coma, maybe increased blood pressure, aphasia and slurred speech, no pain around the mastoid process.

Answer 16

Central Paralysis (Bell’s Palsy)

Question 17

Sudden onset, wry mouth and eye, incomplete closure on affected side. Aversion to wind cold, mild fever, facial muscle tightness which is alleviated by warmth. Thin and white tongue coating. Superficial and tight pulse or superficial and moderate pulse. XIAO XU MING TANG. GB20, LI4, TB17.

Answer 17

Wind Cold Syndrome (Bell’s Palsy)

Question 18

Wind Cold Syndrome Point (Bell’s Palsy)

Answer 18

GB20, LI4, TB17

Question 19

Sudden onset, wry mouth and eye, incomplete closure on affected side. Bitter taste in the mouth, dry or sore throat, burning pain in the mastoid region or ear, facial muscle weakness or flaccid, fever, mild chills. Red tongue tip with thin and yellow coating. Superficial and rapid or wiry and rapid pulse. YIN QIAO SAN. TB5, LI11, ST44.

Answer 19

Wind Heat Syndrome (Bell’s Palsy)

Question 20

Wind Heat Syndrome Points (Bell’s Palsy)

Answer 20

TB5, LI11, ST44

Question 21

Prolonged wry mouth and eye, stiffness and numbness of the face, facial contractures. Dull and dark face, heaviness in the head. Dark or purple tongue with white and sticky coating. Slippery or wiry and choppy pulse. TIAO HONG SI WU TANG. ST40, TB10

Answer 21

Phlegm/Blood Stasis (Bell’s Palsy)

Question 22

Phlegm/ Blood Stasis Points (Bell’s Palsy)

Answer 22

ST40, TB10

Question 23

Muscular stiffness, hand and foot or lower jaw trembling, aching, pain, and numbness of the four limbs, which is worse after rest and better after movement, instability when walking. Blurred vision, spiritless eyes or dark circles under the eyes, low back pain, tinnitus, possible difficulty swallowing, constipation. Red quivering tongue with little coating. Thready, wiry and rapid pulse. Nourish the Liver and Kidney yin to extinguish Liver wind. YIN GUAN JIAN, LING JIAO GOU TENG TANG. KD3, SP6, LV3, LI4.

Answer 23

Liver and Kidney XU (Parkinson’s Disease)

Question 24

Liver and Kidney XU Points (Parkinson’s Disease)

Answer 24

KD3, SP6, LV3, LI4

Question 25

Spasm and contracture of the extremities, trembling of the limbs and stiffness of the neck and back, difficulty moving. Pale complexion, fatigue, lassitude of the spirit, lack of strength, fear of cold, disinclination to speak, spontaneous perspirations, dizziness, loose stools, possible edema. Puffy, pale tongue with thin coating. Deep and thready puse. Supplement the qi and blood, extinguish wind and free the flow of the network vessels. GUI PI TANG. BL17, BL20, ST36.

Answer 25

Qi and Blood XU (Parkinson’s Disease)

Question 26

Qi and Blood XU Points (Parkinson’s Disease)

Answer 26

BL17, BL20, ST36

Question 27

Inhibited movement of the hands and feet or restless shaking. Heavy headedness, chills, cold limbs, poor appetite, gas, bloating, loose stools. Puffy and pale tongue with white and greasy coating. Wiry and slippery pulse. Transform phlegm, remove damp to strengthen the spleen. BAN XIA BAI ZHU TIAN MA TANG. CV12, ST40, GB20

Answer 27

Retention of Phlegm and Damp (Parkinson’s Disease)

Question 28

Retention of Phlegm and Damp Points (Parkinson’s Disease)

Answer 28

CV12, ST40, GB20

Question 29

Head, lower jaw, hand and foot shaking, especially at rest and at night, inhibited bending and stretching. Fixed pain and numbness in the body, and/or limbs, irritability. Purplish, dark tongue or purple spots. Thready, wiry and choppy pulse. Quicken the blood and free the flow of the network vessels, check the liver to extinguish wind. TONG QIAO HUO XUE TANG, ZHEN GAN XI FENG TANG. LV3, LI4, GB34, SP6

Answer 29

Qi and Blood Stasis (Parkinson’s Disease)

Question 30

Qi and Blood Stasis Points (Parkinson’s Disease)

Answer 30

LV3, LI4, GB34, SP6

Question 31

Piles which possibly protrude beyond the anus, difficult defecation of dry stools, explosive discharge of fresh red blood from the anus. Constipation with dry stools, abdominal distention, a dry mouth, thirst, dark yellow urine. Red tongue with little fluids, dry yellow coating. Rapid pulse. Clear heat and moisten dryness, cool the blood and stop bleeding. LIANG XUE DI HUANG TANG. ST44, KD6, SJ6, LI11.

Answer 31

Dry Heat (Hemorrhoids)

Question 32

Dry Heat Points (Hemorrhoids)

Answer 32

ST44, KD6, SJ6, LI11

Question 33

Swollen, severely painful hemorrhoids, protrusion which looks dull red in color and ulcerated, anal discharge of turbid blood. Difficult defecation, a hot burning, sagging distended feeling in the anus, especially during defecation, itchy anus, tenesmus, abdominal distention, poor appetite, heavy body, fatigue. Yellow greasy coating. Slippery and rapid pulse. Clear heat and remove dampness, regulate qi and stop bleeding. ZHI TONG RU SHEN TANG. SP9, ST37.

Answer 33

Damp Heat (Hemorrhoids)

Question 34

Damp Heat Points (Hemorrhoids)

Answer 34

SP9, ST37

Question 35

Protruding hemorrhoids when defecating, discharge of blood, sagging, distended and painful anus, dark, swollen, mixed hemorrhoids which are comparatively large with severe pain. Difficult defecation, abdominal distention and fullness. Dark purple tongue. Wiry or choppy pulse. Regulate qi and quicken blood, disperse swelling and transform stasis. TAO HE CHENG QI TANG. SP6, SJ6, BL25.

Answer 35

Qi and Blood Stasis (Hemorrhoids)

Question 36

Qi and Blood Stasis Points (Hemorrhoids)

Answer 36

SP6, SJ6, BL25

Question 37

Protruding hemorrhoids when defecating or when walking, coughing, sneezing, or standing for a long time, non-returning piles unless helped by the hands or lying flat, discharge of a large or small amount of pale colored blood. Forceless defecation, enduring diarrhea, or frequent defecation, fatigue, lassitude of the spirit, a lusterless facial complexion. Pale tongue. Thready and weak pulse. Strengthen the spleen and tonify qi, lift clear yang to stop falling. BU ZHONG YI QI TANG. DU20, ST36, RN6.

Answer 37

Sinking of Qi (Hemorrhoids)

Question 38

Sinking of Qi Points (Hemorrhoids)

Answer 38

DU20, ST36, RN6

Question 39

Slow onset, start with distending and draggling sensation of rectum during defecation and returning to normal after the bowel movement. It is sustained without proper treatment, recurrence may happen by overstrain and the prolapsed rectum fails to return spontaneously without the aid of a hand. Sallow complexion, fatigue, SOB, palpitations, dizziness. Pale tongue with thin and white coating. Soft and thin pulse. Tonify qi and blood to lift the prolapse. BU ZHONG YI QI TANG. ST36, RN6, BL20, 23

Answer 39

Qi and Blood Xu (Prolapse Rectum)

Question 40

Qi and Blood Xu Points (Prolapse Rectum)

Answer 40

ST36, RN6, BL20, BL23

Question 41

Usually seen in acute dysentry or inflammed emorrhoids, prolapse of rectum with bearing down sensation around anus, tenesmus. Red and swollen anus with burning pain and itching. Red tongue with yellow greasy coating. Soft or slippery pulse. Clear damp heat to lift prolapse. SI MIAO SAN DI YU SAN. LI 11, SP9, BL39

Answer 41

Damp Heat (Prolapsed Rectum)

Question 42

Damp Heat Points (Prolapsed Rectum)

Answer 42

LI11, SP9, BL39