Hypertension

Question 1

• Blood pressure is elevated by SPECIFIC TREATABLE CAUSE
• Renal disease, Endocrine causes, congenital cardiovascular
  disease: Coarctation, a narrowing of the aorta

Answer 1

Secondary hypertension

Question 2

• Wt reduction
• Low Fat and saturated fat diet
• Low sodium diet

Answer 2

Western hypertension tx

Question 3

2 kinds of hypertension
-Blood Pressure is elevated but CAUSE IS UNKNOWN
-Familial incidence, low birth weight, obesity, high sodium intake
migration from rural to urban environment, high alcohol consumption

Answer 3

ESSENTIAL HYPERTENSION

Question 4

-Liver, Kidney, Spleen and Heart involved
-Patterns:
Liver and Kidney Yin Deficiency
Liver Yang or Liver Fire Rising
Spleen Deficiency
Phlegm
Blood stasis ( in advanced cases)
( liver involved because stored blood effected by emotion)

Answer 4

Hypertension

• No ancient Chinese disease called “Hypertension”

Question 5

Hypertension, HA on temples, eyes or lateral side of head,
dizziness , tinnitus, deafness, high systolic BP, blurred vision,
dry mouth and throat, insomnia, irritability, feeling worked up,
anger outbursts, stiff neck.
T: Pale if LV Blood Def…Red on sides, no coat if LV Yin Def.
P: Wiry or Wiry and fine if Yin and Blood Deficient

Tx: Subdue Liver Yang
Tx pts: LV 3 ( big moving point on liver channel, TW5, LI 4, GB 20,
Taiyang, GB 9, If Blood/yin def: Sp 6, LV 8 ( tonifies blood)
Stomach 36, KD 3 ( tonifies KD) KD 6(for women)
KD 7 ( for men)

Answer 5

Liver Yang Rising

Question 6

Hypertension, high systolic BP, irritability, outbursts of anger, tinnitus, deafness, temporal HA, dizziness, red face and eyes, thirst, bitter
taste, dream disturbed sleep, constipation w/ dry stools, dark yellow urine, epistaxis, haematemesis, haemoptysis
T: Red body, redder on sides, dry yellow coat
P: Full-Wiry-Rapid

Tx: Drain liver Fire
Points: LV2, LV 3, GB20 ( good for dizziness, opens head)GB 13, LI 11, GB 1, GB9, GB 8, GB 6SP 6, LV1(Bloodletting), Taiyang
(GB 20 and GV 24 = lobotomy points)

Answer 6

Liver Fire (red face)

Question 7

H/A, high systolic blood pressure, dizziness, epistaxis,
(bleeding from above) hypochondrial distention, depression, moodiness, poor appetite
T: Slighly Red on sides
P: Wiry

Tx: Soothe the Liver, eliminate stagnation, subdue rebellious Blood
PC 6, TW 6, GB 34, LV 3, SP 10, LI 4

Answer 7

Liver Qi Stagnation, Blood rebelling upwards

Question 8

H/A, hypochondrial distention, feeling of distention in chest,
Irritability, moodiness, tiredness, poor appetite, sputum in throat,
desire to lie down, loose stools.
T: Slightly Red on sides, Pale in center
P: Slightly Wiry on left, weak on right

Tx: Soothe the liver, eliminate stagnation, move Qi tonify the spleen,
resolve Phlegm
PC 6, TW 6, GB 34, LV 3, LI 4, ST 40, CV 12, ST 36, SP 6

Answer 8

Liver Invading Spleen

Question 9

Hypertension, high diastolic blood pressure, dizziness, fuzziness,
heaviness of the head, high cholesterol, oppression of chest, blurred
vision, tinnitus, nausea, heaviness, numbness of limbs, obesity.
Stroke, mental emotional problems
( High cholesterol levels)
T: Swollen with sticky coat
P: Slippery

Tx: Resolve Phlegm, open the orifices of the head and middle burner
PC6, PC 5, CV 9, ST 40, SP 6, LI 4, LU 7, BL 20, CV 12, ST8

Answer 9

Phlegm Obstructing the Orifices and Blood Vessels

Question 10

Chronic hypertension, dizziness, blurred vision, tinnitus, dry throat,
lower backache, dry eyes, night sweating, poor memory.
T: no coat, Red if heat
P: Fine or floating-rapid

Tx: Nourish a Liver and Kidney Yin, clear Heat
LV 8, CV4, SP 6, KD 3, KD 6, LI 11, PC 3

Answer 10

Liver and Kidney Yin Deficiency

Question 11

Chronic hypertension, palpatations, SOB, dizziness, blurred vision,
Headache, tinnitus, loose stools, tiredness.
T: Pale or Normal, no coat
P: Floating-Empty or weak

Tx: Nourish Yin, Tonify Qi
LV 8, CV4, KD 3, CV12, ST36, BL 20, KD 6 (yin point)

Answer 11

Qi and Yin Deficiency

Question 12

Chronic Hypertension, lower backache, cold and weak knees,
sensation of cold in the back, feeling cold, weak legs, bright-white
complexion ( yang sign def), impotence, decreased libido, tiredness,
lassitude, abundant clear urination, night urination, edema in legs,
Infertility in women, loose stools, depression, poor appetite, slight
abdominal distention, desire to lie down, early morning diarrhea,
chronic diarrhea.
T: Pale and Wet ( Yang def sign)
P: Deep and weak ( Yang def sign)
Tx: Tonify and warm Spleen and Kidney Yang
BL 23, GV 4, KD 3, KD 7, BL 52, Jinggong, CV 12, ST 36, SP 3, BL20
BL 21, CV 9, ST37 ( he- sea pt), ST 25, BL 25

Answer 12

Spleen and Kidney Yang Deficiency

Question 13

Hypertension in women starting, during or aggravated by
menopause, H/A, irritability, lower backache,
night sweating, hot flashes, insomnia
T: reflects deficiency of KD Yin or Yang
P: Floating empty if Yin def; Weak, deep if Yang
Tx: Tonifys Kidney, nourishes Essence, consolidated Chong and Ren
Calm Mind
LU 7, KD 6, CV 4, KD 13, HT 6, LV 3

Answer 13

Disharmony of Chong and Ren Mai ( Kidney Def)