Internal Therapeutics Flashcards
0
Q
Severe chills, mild fever, no sweating or with mild sweating, headache, general aching or soreness of limbs, nasal obstruction, sneezing, clear nasal discharge, itchy throat, coughing up thin white sputum, no thirst or slight thirst
Tongue normal, coating thin and white
Pulse superficial, tense and soft
A
Wind cold Common cold POT relieve the exterior with acrid-warm herbs GV 16, UB 12, GB 20, LU 7, LI 14 Ma huang tang, Gui zhi tang
1
Q
Common Cold- pathology
A
Wind cold…..damp
Wind heat…..summer heat
2
Q
Severe fever, mild chills, sweating, distending or pounding headache, nasal obstruction, white or sticky nasal discharge, congested and sore throat, coughing up white or sticky sputum, thirst or mild thirst
Red tongue tip
Coating thin, white, dry or thin yellow
Pulse … Superficial and rapid
A
Common Cold
Wind Heat
POT
Relieve the exterior
Acrid cool herbs
GV 14, LI 11, SJ 5, LI 4, LU 10, LU 11
Yin qiao San
Sang ju yin
3
Q
Mild chills, fever, mild sweating, heavy sensation in head or whole body, cough with sticky sputum, dizziness, irritability,stuffiness in chest, poor appetite, no thirst, abdominal distension and pain, nausea, vomiting,diarrhea with foul smell
Tongue: red tip, thin or thick yellow sticky coating
Pulse:superficial,rapid, slippery or soft
A
Common Cold… Summer-Heat with Damp
4
Q
Common Cold -Syndromes
A
Wind-Cold
Wind-Heat
Summer-Heat with Damp
5
Q
Common Cold -Points
A
LI 4 (¥,entry, h.s.)
Heat: du 14, SJ 5 (£, yangwei)
Cold: GV 16, UB 12, GB 20, LU 7 (£, Ren)
Wind:LI 11 (tonification, hs, he sea)Lu 10 (yin spring) Lu11(jing well)
Damp: St 36 (he sea, hs), Sp 9 (he sea), CV 12
6
Q
Cough Syndromes-Exogenous
A
Wind-Cold
Wind-Heat
Wind-Warm Dryness
Wind-Cool Dryness
7
Q
Spasmodic cough, itchy throat
A little dilute white sputum, easy expectoration
Exterior wind-cold Sx
A
Wind-Cold Syndrome Cough
Exogenous
8
Q
Paroxysmal cough, hoarse voice
Yellow or white sticky sputum
Exterior W-H Sx
A
Wind-Heat Cough, exogenous
9
Q
Common Cold, Summer-Heat with Damp Tx
A
POT: Clear Summer-Heat and Remove Damp to Relieve the Exterior
GV 14, LI 4, SJ 5, ST 36, SP 9, CV 12
10
Q
Wind Heat Cough Tx
A
Course wind, clear heat, depurate lung
GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1, LI 11, Du 14
Mulberry Leaf and Chrysanthemum decoction
Ephedra-prunus-gypsum-liquorice decoction
11
Q
Severe dry cough, little sputum, difficult expectoration (May be blood), dry nose and lips, dry throat with pain
Ext W-H Sx
A
Wind Warm Dryness Syndrome Cough
12
Q
Wind Warm Dryness Syndrome Cough Tx?
A
Course wind, clear lung, moisten dryness
GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1, K6
13
Q
Wind-Cold Syndrome Cough
A
POT: course wind, dissipate cold, diffuse lung
GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1 & SJ 5
Stop cough powder, 3 unbinding decoction
14
Q
Severe dry cough, little sputum, difficult expectoration (maybe blood), dry nose, dry lips, dry throat with pain
Exterior W-C Sx
A
Wind-Cool Dryness
Exogenous cough
15
Q
Wind-Cool Dryness Cough Tx
A
Course wind, warm lung, moisten dryness
GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1, & K 6
Apricot kernel and perilla leaf powder
16
Q
Exogenous Cough - Points
A
Exogenous Cough: GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1
Cold: SJ 5
Heat: GV 14
Dry: K 6
17
Q
Endogenous Cough Types
A
Retention of Phlegm-Damp in the Lung Retention of Phlegm-Heat in the Lung Retention of Cold-Fluid Phlegm in the Lung Liver Fire Burning Lung Lung Qi Xu Lung Yin Xu
18
Q
Endogenous Cough -Points
A
Retention of Phlegm +…: Lu 5, Lu 7, St 40, Lu 1, UB 13, UB 20
+Heat: LI 11
+Cold Fluid: St 36, Sp 9
Liver Fire: Liv 2, Lu 10, Lu 8, UB 13, UB 18
Lung Xu:UB 13, Lu 9, Lu 7, Lu 1
If Lu Qi Xu: +UB 20
If Lu Yin Xu:+K 6, UB 43
19
Q
Cough or heavy cough, heavy rattling sound
Copious sticky greasy/ v.thick white or grey sputum
Fullness in chest/epigastrum, nausea, poor appetite, general lassitude
Tongue normal to pale and puffy, with white greasy coating
Pulse slippery and soft
A
Retention of Phlegm-Damp in Lung
Exogenous Cough
20
Q
Retention of Phlegm-Damp in Lung
Exogenous Cough
Tx ?
A
Lu 5, Lu 7, St 40, Lu1, UB 13, UB 20
21
Q
Cough or heavy cough with rattling sound, yellow thin or thick, sticky sputum. Fevered sensation and or red face. Tongue red with yellow sticky coating, pulse slippery and fast.
A
Retention of Phlegm-Heat in the Lung
Endogenous Cough
22
Q
Retention of Phlegm-Heat in the Lung Tx?
A
Lu 5, Lu 7, St 40, Lu 1, UB 13, UB 20, + LI 11
Clear Heat and Transform Phlegm Pill
23
Q
Cough, copious clear or white, frothy, dilute sputum. Cold limbs, aversion to cold, often in winter. Tongue pale, puffy, slightly purple with white, slippery or sticky coating. Soft pulse.
A
Retention of Cold Fluid/Phlegm in the Lung
Endogenous Cough
24
Retention of Cold Fluid/Phlegm in the Lung Tx?
Lu 5, Lu7, St 40, Lu 1, UB 13, UB 20,
| + St 36, Sp 9
25
Irritating cough, no or small amount of sticky, difficult to expectorate sputum, red eyes and face, dry mouth and throat, hypochondriac pain, emotions easily change condition. Tongue red with thin dry yellow coat. Pulse wiry and rapid.
Liver Fire Burning Lung
| Endogenous Cough
26
Liver Fire Burning Lung Tx?
Lv 2, Lu 10, Lu 8, UB 13, UB 18
| Mulberry Leaf and Moutan Decoction to Drain The White
27
Cough and weak voice, SOB. Copious, clear dilute sputum difficult to expectorate due to low e-. Pallor, aversion to wind, sweating, vulnerable to colds, lassitude, dislike speech, fatigue. Tongue pale with scallops, normal coating. Weak pulse.
Lung Qi Xu
| Endogenous Cough
28
Lung Qi Xu Tx?
UB 13, Lu 9, Lu7, Lu 1
+ UB 20
Warm Lung herbals, 6 Gentlemen with Auc and Amomum
29
Unproductive Cough, some sticky sputum which may have blood, Yin Xu Sx. Tongue red with little coat. Pulse threads and rapid.
Lung Yin Xu
| Endogenous Cough
30
Lung Yin Xu Endogenous Cough Tx?
UB 13, Lu 9, Lu7, Lu 1, K 6, UB 43
| Lilly Bulb Decoction to preserve Metal
31
Types of Athsma
Shi (exhalation):
Phlegm-Heat, Phlegm-Cold
Xu (inhalation issues):
Yin, Yang, Zong-Fu (Sp, K, Lu, Ht)
```
During Attack:
Cold Phlegm
Heat Phlegm
Phlegm Damp
Yin Xu with Phlegm Heat
Yang Qi Xu with Phlegm Damp
```
During Remission:
Lung Xu
Spleen Xu
Kidney Xu
32
Asthmatic breathing, rattling in throat, difficult exhalation.
Mild cough with white, dilute, or frothy sputum
No thirst, pref hot drinks
Chills with fever, anhidrosis, headache, general aching.
Pale bluish complexion, tongue coating white and slippery, pulse wiry and tense, maybe superficial.
Cold Phlegm in the Lung
| Asthma, attack phase
33
Cold Phlegm in the Lung
Asthma Attack
Tx?
POT: warm lung, dissipate cold, transform phlegm to relieve asthma
Dingchuan, UB 13, Lu 1, CV 17, CV 22, Lu 5, Lu 7, St 40
Xiao Qing Long Tang
34
Asthmatic breathing, rattling in throat, difficult exhalation.
Paroxysmal cough with thick yellow sputum, thirst for cold drinks, irritability, sweats, no chills (internal heat), possible exterior wind cold Sx , red face and tongue, thin, yellow sticky tongue coating, rapid or superficial rapid pulse
Phlegm Heat in the Lung
| Asthma Attack
35
Phlegm Heat in the Lung
Asthma Attack
Tx?
Clear heat and facilitate the lung, transform phlegm to relieve asthma.
Dingchuan, UB 13, Lu1, CV 17, CV 22, Lu 5, Lu 7, St 40
+Lu 10 or LI 11
36
Asthmatic breathing, rattling in throat, difficult exhalation.
Cough with profuse white sticky sputum, gurgling throat, no thirst, thick sticky tongue coat, slippery pulse
Phlegm Damp in the Lung
| Asthma Attack
37
Phlegm Damp in the Lung
Asthma Attack
Tx?
Expel phlegm, check upward flow of Qi to relieve asthma
Dingchuan, UB 13, Lu 1, CV 17, CV 22, Lu 5, Lu 7, St 40
+ Sp 9, CV 12
38
Inconsistent breathlessness, asthmatic breathing on exertion, or severe wheezing, esp. difficult inhalation, or continued asthma, rattling in throat. Cough maybe a little sticky sputum, dry mouth and throat, afternoon fever and night sweats, malar flush, deep red tongue with little or thin yellow sticky coating, threads and rapid pulse (Xu).
(Chronic or Xu)
| Yin Xu with Phlegm Heat
39
Yin Xu with Phlegm Heat
Xu or Chronic Asthma
Tx?
Nourish Yin of Lung and Kidney, Clear Phlegm Heat
Dingchuan, UB 13, Lu 1, CV 17, CV 22, Lu 5, Lu 7, St 40
+ UB 43
Mai Men Dong Tang
40
Inconsistent breathlessness, asthmatic breathing on exertion, or severe wheezing, esp. difficult inhalation, or continued asthma, rattling in throat. Feeble cough with clear dilute sputum, no thirst, chills, cold limbs, spontaneous sweats, pale complexion with purple lips, pale, puffy or purple tongue with slippery coating, deep, thready pulse
Yang Qi Xu with Phlegm Damp
Asthma Attack
Chronic Xu
41
Yang Qi Xu with Phlegm Damp
Chronic or Xu
Asthma Attack
Tx?
Tonify Qi and Warm Yang, dispel Phlegm Damp
Dingchuan, UB 13, Lu 1, CV 17, CV 22, Lu 5, Lu 7, St 40
+ Lu 9, St 36, GV 4
Su Zi Jiang Qi Tang, Ren Shen Ge Jie San
42
Types of Seizure
| Western Nomenclature
Petite Mal
Grande Mal
Focal
Psycho-motor
43
Epilepsy
| Grand Mal Stages
1. Aura
2. Tonic -colonic
3. Convulsion
4. Drowsiness
44
Stages do Petit Mal Seizure
Xxxxxx
45
Focal Seizure
(Jackson Niel, Partial)
Stages
Spasm of face/hands/feat
Spreads
Lasts less than a minute
46
Psycho Motor Seizure
| What is it?
```
Brief loss of Conciousness , judgement,
Uncontrolled behaviour
Abnormal acts
No spasms
Loss of memory of event
```
47
Seizures
| Organs involved
```
Liver
Spleen
Heart
Kidney
(All yin organs)
```
48
Epilepsy Types
| TCM
```
During:
Liver Fire with Turbid Phlegm
Liver Fire with Phlegm Heat
After:
Liver & Kidney Yin Xu
Spleen & Stomach Xu
Qi Xu with Blood Stasis
```
49
Epilepsy
During
TCM types
Liver Fire with Turbid Phlegm
| Liver Fire with Phlegm Heat
50
Epilepsy
After Attack
TCM types
Liver & Kidney Yin Xu
Spleen & Stomach Xu
Qi Xu with Blood Stasis
51
Palpitations
| Xu Types
```
Heart and Spleen Xu
Qi and Blood Xu
Heart Yang Xu
Yin Xu with Empty Fire
Heart Qi and Yin Xu
```
52
Palpitations
| Shi Types
Disturbance of the Mind
Heart Blood Stagnation
Phlegm Fire Disturbs Heart
Retention of Harmful Fluid
53
Palpitations
| Common Points
UB 14 + 15
Ren 14 + 17
H 7
Pc 6
54
Palpitations
Qi and Blood Xu
Tx
```
UB 14,15/Ren 14,17/ H 7/ P 6
UB 17 (Hui Meeting of Blood)
UB 20 (Spleen)
St 36 (Stomach = Qi, Sea of Water and Grain)
Sp 6 (Yin/ Invigorates Blood)
Ren 6 (Harmonizes blood, fosters original Qi)
Sp 9 (Regulates Spleen and Resolves Damp)
```
55
Palpitations
Ht Yang Xu
Tx
```
UB 14,15/Ren 14,17/ H 7/ P 6
St 36 (St/Sp/Yang/Yin/Qi/He-Sea/Heat)
Ren 8 (Yang Collapse/ Qi)
Ren 4 (Yang/Qi)
```
56
Palpitations
Heart and Spleen Xu
Tx
```
UB 14,15/Ren 14,17/ H 7/ P 6
UB 17 (Hui Meeting pt of Blood)
UB 20 (Spleen)
St 36 (He Sea/Sp/St/Qi/Yin/Yang/Qi)
Sp 9 (Sp/Damp/Blood (Sp))
Sp 6 (3 Leg Yin/Blood)
Ren 6 (Harmonizes Blood/Original Qi)
```
57
Palpitations
Yin Xu with Empty Fire
Tx
```
UB 14,15/Ren 14,17/ H 7/ P 6
UB 23 (Kidney)
Sp 6 (3 leg Yin, Invigorates Blood)
K 3 (PV* K)
H 8/ P 8/ Liv 2 (Ying Spring and Fire pts)
```
58
Palpitations, listlessness, short of breath, poor memory, insomnia, dizziness, blurred vision, sallow complexion, spontaneous sweating, pale tongue with thin white coat, thready pulse.
Dx?
POT?
Heart and Spleen Xu / Qi and Blood Xu
| Tonify Qi and Blood, Calm the Mind
59
Palpitations, worse with movement, chills, cold limbs, pale complexion. Suffocation in the chest, SOB, pale and puffy tongue with thin white coat. Pulse is deep and thready.
Dx?
POT?
Heart Yang Xu
| Warm the Heart Yang to calm the mind
60
Palpitations, worse with anger, restlessness. Insomnia, dizziness, tinnitus, malar flush, night sweats, feverish sensation of the five hearts, soreness in the lumbar. Tongue is red with a thin and yellow coating. Pulse is thready and rapid
Dx?
POT?
Palpitations,
Yin Xu with Empty Fire
Nourish Heart and Kidney Yin to Clear Empty Fire
61
Palpitations, fatigue. Suffocation in the chest, SOB, sallow complexion, spontaneous sweating or night sweats, afternoon fever. Tongue si red with only a little coating. Pulse is thready and rapid, or intermittent.
Dx?
POT?
Palpitations
Heart Qi and Yin Xu
Tonify Qi and Yin to Calm the Mind
62
Shi Types of Palpitations
Disturbance of the Mind
Heart Blood Stagnation
Phlegm Fire Disturbs Heart
Retention of Harmful Fluid
63
Palpitations:
Disturbance of the Mind
Tx?
UB 14,15/Ren 14,17/ H 7/ P 6
P5 (Jing River/ Spirit)
GB 40 (Liv/GB)
UB 19 (GB)
64
Palpitations:
Heart Blood Stagnation
Tx?
```
UB 14,15/Ren 14,17/ H 7/ P 6
P 4 (moves and cools blood)
UB 17 (Hui * of Blood)
```
65
Palpitations
Phlegm Fire Disturbs Heart
Tx?
```
UB 14,15/Ren 14,17/ H 7/ P 6
H 8/Pc 8/ Liv 2 (Ying Spring, Fire)
GB 34/40, UB 19 (Liv+GB Damp Heat/ Spreads Qi)(Liv = Mom o'Ht)
H 5 (Heart Rhythm)
St 40 (Luo/ Ht Phlegm)
Sp 9 (Damp/Yin/ He-Sea)
Sp 9
```
66
Palpitations:
Retention of Harmful Fluids
Tx?
UB 14,15/Ren 14,17/ H 7/ P 6
Ren 4,6,8,9 (move the fluid)
Sp 9 (damp)
67
Timid people are likely to have palpitations when they are frightened by strange noises, surprising objects, or dangerous environments. insomnia, dream disturbed sleep. Thin white coating on a regular tongue. Pulse is rapid or thready and wiry.
Dx?
POT?
Palpitations: Disturbance of the Mind
| Relieve palpitations, nourish the Heart to calm the Mind
68
Palpitations, stabbing cardiac pain. Suffocation in the chest, purple complexion, purple lips and nails. Tongue is purple with echymosis. Pulse is choppy or knotted.
Dx?
POT?
Palpitations: Heart Blood Stagnation
| Quicken Qi and Blood to Remove Blood Stasis
69
Palpitations, worse when frightened, suffocation in the chest, restlessness, dream disturbed sleep, dry and bitter taste in the mouth. Insomnia, constipation, scanty and yellow urine. Tongue is red with a yellow and sticky coating. Pulse is wiry and slippery.
Dx?
POT?
Palpitations: Phlegm Fire Disturbs Heart
| Transform phlegm and clear heat, calm the mind.
70
Palpitations, scanty urine, oedema. Suffocation and fullness in the chest and epigastrium, thirst without desire to drink, chills, cold limbs, vertigo, nausea, vomiting. Tongue is pale and puffy with a slippery coating. Pulse is wiry and slippery or deep thready and slippery.
Dx?
POT?
Palpitations: Retention of Harmful Fluid
| Tonify Heart Yang, Warm and Resolve the Retention of Fluid
71
Heart Fire
| Points
H 8/ P 8/ Lv 2 (Ying Spring, Fire)
72
Phlegm Fire Points
P 5
73
Blood Stagnation
P 4
| UB 17
74
Regulate Heart Rythm
H 5 (spirit too)
75
Yin Xu
Sp 6
K 13
UB 23
76
Ht Qi
Ht 5
77
SJ 5, LI 4
Clear Heat
78
Differential Dx for Chest Bi
Stomach Ache: (Palpate!/ Assosiated Sx - heartburn, diarrhea, etc, Inducing factors, age/gender)
Palpitations: (irregularity = chief complaint, not pain)
Pleurisy: X rays, breathing (no deep breathing, can't lie flat)
79
Palpitations
| Causes
```
lifestyle
gender
heredity
BCP
Blood Pressure high or low
Vitamin C or E deficiency
Viral
Elderly
```
80
Chest Bi
| Western Classifications
Coronary Artery Disease - Angina/ chest pain ( <15 minutes)
- Myocardial Infarct
Coronary Heart Disease
Lung Diseases
81
Heart Attack
| What is the pain like?
Shoulder blade up to the teeth hurts deeply, sense of fear or horror.
82
Chest Bi
| Causes
Stasis Types----W-C-D Invasion
----Emo(Liv/Sp)
Ph-H Types-----Diet (Sp---> ph damp)
-----Ph-D Constitution (Sp----> Ph D)
-----Elderly (K/H Yin Xu)
K Yang Xu (from being Elderly)
83
Chest Bi
| Shi Types
Heart Blood Stagnation
Retention of Turbid Phlegm in the Chest
Stagnation of Cold in the Chest
84
Chest Bi
| Xu Types
Liver Kidney Heart Yin Xu
Spleen Kidney Heart Yang/ Qi Xu (esp w/ Turbid Phlegm)
Qi and Yin Xu (esp w/ Blood Stasis)
85
Chest Bi
| All Types
```
Shi: ---H Bl Stag
---Ret. Turbid Ph in Chest
---Cold Stag in Chest
Xu: ---Liv/K/H Yin Xu
---Sp/K/H Yang Qi Xu
---Qi + Yin Xu (esp with Blood Stasis)
```
86
Fixed stabbing pain in the chest which becomes more severe at night. Pain may radiate to the shoulder and upper back or left arm. Suffocation in the chest. Tongue is dark purple with ecchymoses. Pulse is wiry, choppy or intermittent.
Dx?
POT?
Chest Bi - Heart Blood Stagnation
| Quicken the Qi and Blood to remove Blood Stasis
87
Suffocation and pain in the chest, shortness of breath with a large amount of sputum. Cough, asthma, overweight, heaviness of body, likes to eat phlegm food, may have nausea. Thick, sticky and turbid coating on the tongue. Pulse is soft and moderate.
Dx?
POT?
Chest Bi - Retention of Turbid Phlegm in the chest.
| Disperse obstruction of chest yang, promote the circulation of Qi to expel Phlegm.
88
Sudden attack of severe pain which can be relieved by warmth and aggravated by cold. Chills and cold limbs. Palpitations, pale complexion. Tongue coating is white and slippery or white and sticky. Pulse is deep and slow.
Dx?
POT?
Chest Bi- Stagnation of cold in the chest.
| Circulate the chest yang, dissipate pathogenic cold.
89
Oppression and intermittent pain in the chest, dizziness, tinnitus, dry throat, feverish sensation in the five hearts, insomnia, restlessness, palpitations, lumbar soreness. Tongue is red or dark purple. Pulse is thready and wiry or thready and rapid.
Dx?
POT?
Chest Bi - Liver Kidney Heart Yin Xu
| Nourish Yin, Quicken the Blood, Calm the Mind
90
Oppression and pain in the chest, palpitations, shortness of breath, dizziness, fatigue. Insomnia, sallow complexion. Tongue is tender and red. Pulse is thready or knotted. May have Blood Stasis symptoms as well.
Dx?
Tx?
Chest Bi- Qi and Yin Xu
| Tonify Qi and Yin, Quicken the Blood in the collaterals
91
Oppression and intermittent pain in the chest, shortness of breath, palpitations, lumbar soreness, chills, cold limbs. Pale complexion and lips. Tongue dark purple with white coating. Deep thready or intermittent pulse. Possible turbid phlegm signs.
Dx?
POT?
Chest Bi - Spleen Heart Kidney Yang Xu
| Tonify Qi, warm Yang, Quicken Blood in the collaterals.
92
Chest Bi- Heart Blood Stagnation
| Tx?
```
Ren 14, 17 (or UB 14,15)/ P 4,6/ Ht 6/7
Liv 3 (Yuan)
LI 4 (heat/move/Yuan)
Sp 10 (Blood)
UB 17 (Blood)
```
93
Chest Bi - Retention of Turbid Phlegm in the Chest
| Tx?
```
Ren 14, 17 (or UB 14,15)/ P 4,6/ Ht 6/7
St 40 (Phlegm, Luo)
Sp 9 (He Sea, Damp)
GB 34 (He-Sea, Liv-GB D-H)
```
94
Chest Bi - Stagnation of Cold in the Chest
| Tx?
Ren 14, 17 (or UB 14,15)/ P 4,6/ Ht 6/7
Moxa Ren 17
P 8 (Ying Spring/Fire Pt/Ghost Pt/ Clears Heat (esp Blood Heat))
K 1 (Descends/ Jing Well)
95
Chest Bi- Liver Kidney Heart Yin Xu
| Tx?
```
Ren 14, 17 (or UB 14,15)/ P 4,6/ Ht 6/7
K 6 (Yin Qiao)
Sp 6 (3 leg Yin)
```
96
Chest Bi - QI and Yin Xu
| Tx?
Ren 14, 17/ UB 14,15 / P 4,6/ H 6,7
St 36 or Ren 6 (Qi)
K 6 or Sp 6 (Yin)
97
Chest Bi - Spleen Kidney Heart Yang Qi Xu
| Tx?
Ren 14, 17 / UB 14, 15 / Pc 4,6 / H 6,7
Du 4 (Yang)
Moxa Ren 4-8 (bring Yang up)
98
Types of Hypertension
Shi---Liver Fire Flaring Up
---Liver Yang Rising
Xu---Retention of Ph-D
---Yin and Yang Xu
99
Western types of Hypertension
Primary/ Essential - no clear cause
| Secondary - caused by another issue
100
Benchmark for hypertension (reading)
>140/90
101
Stages of Hypertension (Western)
1. >140/90, but no damage
2. left ventricle becomes thicker/bigger *or* optic manifestations *or* protein in urine
3. Ischemic Stroke /Hemorrhage/ left sided heart failure/kidney failure
102
Blood Pressure - meaning of numbers
Systolic (closed) / Diastolic (open)
103
Area of points most effective for dropping BP?
Sacrum
Du 20
Auricular - bleed apex
104
Hypertension, fluctuation in early stage and consistene in middle and late stage. Dizziness, headache, palpitations, insomnia. Restlessness, irritability, stiff neck, red face and eyes, thirsty, constipation. Red tongue with yellow coating. Wiry and strong or wiry and rapid pulse.
Dx?
POT?
Hypertension - Liver Fire Flaring UP
| Clear Liver Fire
105
>140/90, fluctuation in early stage and consistence in middle and late stage. Dizziness, headache, palpitations, insomnia. Blurred vision, tinnitus, restlessness, dream disturbed sleep, numbness of limbs, soreness and weakness of lumbar region and knees. Red tongue, wiry, thready and rapid pulse.
Dx? POT?
Hypertension - Liver Yang Rising
| Nourish Kidney and Liver Yin to check Liver Yang
106
>140/90 pulse, fluctuation in early stage and consistence in middle and late stage. Dizziness, headache, palpitations, insomnia, SOB, tinnitus, listlessness, fatigue, withered complexion, numbness of limbs, weakness of lower limbs, frequent urination especially at night. Pale tongue, and pulse is deep and thready.
Dx? POT?
Hypertension - Yin and Yang Xu
| Tonify Yin and Yang
107
>140/90 pulse, fluctuation in early stage and consistence in middle and late stage. Dizziness, headache, palpitations, insomnia. Chest tightness full sensation in epigastric region, palpitations, dizziness, nausea, vomiting, numbness of limbs, clumsy in movement. Tongue coating is thick and sticky. Pulse is wiry and slippery or soft and slippery.
Dx? POT?
Hypertension - Retention of Phlegm-Damp
| Transform Phlegm and Remove Dampness
108
Liver Fire Flaring Up
| Tx?
GB 20/ LI 11/ St 36 / Liv 3
Liv 2
Taiyang
109
Hypertension:
Liver Yang Rising
Tx?
GB 20, LI 11, St 36, Liv 3
K 3
Sp 6
H 7
110
Hypertension:
Retention of Phlegm Damp
Tx?
GB 20, LI 11, St 36, Liv 3
St 40 (Luo/ Phlegm)
P 6 Qi (Heart /Spirit /Heat /Nausea)
111
Hypertension: Yin and Yang Xu
| Tx?
GB 20, LI 11, St 36, Liv 3
Ren 6
Ren 4 (moxa)
112
Hypertension
| Basic Points
```
GB 20 (wind)
LI 11 (Qi, Blood, Wind, Damp, Heat, He-Sea/Ghost/Heavenly Star)
St 36 (Qi)
Liv 3 (Shu Stream, Yuan, Hstar, Liv Qi, Liv Yang, Liv Blood)
```
113
Hypotension - numbers
<90/60
114
Insomnia
| Major Organs?
```
Heart
Liver
GB
Sp
St
Kidney
```
115
Insomnia
| Common Points
```
Shenmen
Si Shen Cong
Anmian
H 7
Sp 6
```
116
Insomnia
| Types?
Shi - Hyperactivity of Heart Fire
- Upward Disturbance of the Liver Fire
- Disturbance of Heart by Phlegm Heat
- Dysfunction of the Stomach
Xu ...Heart and Spleen Xu
... Yin Xu with Empty Fire
... Heart and Gallbladder Qi Xu
117
Insomnia
| Xu Types
Heart and Spleen Xu
Yin Xu with Empty Fire
Heart and GB Qi Xu
118
Insomnia
| Shi Types
Hyperactivity of Heart Fire
Upward Disturbance of the Liver Fire
Disturbance of the Heart by Phlegm Heat
Dysfunction of the Stomach
119
Insomnia, Restlessness, dry mouth, scanty and yellow urine, sores on the tongue and lips. Red tip on the tongue, and a thin and yellow coat. Pulse is flooding and rapid.
Dx? POT?
Insomnia - Shi - Hyperactivity of Heart Fire
| Clear Heart Fire, Calm the Mind
120
Insomnia, irritability, dizziness, distending headache, bitter taste in mouth. Dream disturbed sleep, red eyes, tinnitus, constipation, yellow urine. Tongue body is red, tongue coating yellow. Pulse is wiry and rapid.
Dx? POT?
Insomnia - Shi - Upward Disturbance of the Liver Fire
| Purge excessive fire from the liver and GB, calm the mind
121
Insomnia, suffocation in the chest, restlessness, nausea, belching, heaviness of the head, blurred vision. Tongue body red, tongue coating yellow and sticky. Pulse is slippery and rapid.
Dx? POT?
Insomnia - Shi - Disturbance of Heart by Phlegm Heat
| Clear heat, transform phlegm, calm the mind.
122
Insomnia, suffocation and fullness in the chest and epigastrium. Belching. Abdomen pain, belching with fetid odour and acid regurgitation. Diarrhea. Tongue is red, and coating is thick and sticky. Pulse is slippery.
Dx? POT?
Insomnia - Shi - Dysfunction of the Stomach
| Harmonize the Stomach and Strengthen the Spleen
123
Insomnia:
Hyperactivity of Heart Fire
Tx?
```
Shenmen, Si Shen Cong, Anmian, H 7, Sp 6
H 8 (Ying Spring, Heat, Spirit, Heart)
UB 15 (Heart)
```
124
Insomnia:
Upward Disturbance of Liver Fire
Tx?
```
Shenmen, Anmian, Shi Shen Cong, H 7, Sp 6
UB 18 (Liv) , 19 (GB)
GB 12 (wind head pain spirit)
Liv 2 (Ying Spring, Fire Heat Wind Qi Bleeding)
```
125
Insomnia:
Disturbance of the Heart by Phlegm Heat
Tx?
```
Si Shen Cong, Anmian, Shenmen, Sp 6, H7
Ren 12 (front Mu St)
St 36 (Qi)
St 44 (Ying Spring, Hstar, Damp Heat St)
Liv 2 (Ying Spring, Liv Fire, Liv Qi, Liv Wind, Bleeding)
```
126
Insomnia:
Dysfunction of the Stomach
Tx?
```
Shi Shen Cong, Anmian, Shenmen, H7, Sp 6
UB 21(St)
St 36 (St, Qi)
Ren 12 (Front Mu of St)
P 6 (Heart)
```
127
Insomnia:
Heart and Sp Xu
Tx?
```
H 7, Sp 6, Shenmen, Shi Shen Cong, Anmian
UB 20 (Sp)
UB 15 (H)
Sp 1 (Sp)
```
128
Insomnia:
Yin Xu with Empty Fire
Tx?
```
H 7, Sp 6, Shi Shen Cong, Anmian, Shenmen
UB 15 (ht)
UB 23 (K)
K 3 (K)
```
129
Insomnia:
Heart and Gallbladder Qi Xu
Tx?
```
H 7, Sp 6, Anmian, Shenmen, Shi Shen Cong
P 5 (H regulation)
GB 40 (Qi Heat Damp, Yuan)
UB 19 (GB)
```
130
Insomnia, dream disturbed sleep, poor memory, lassitude, poor appetite, sallow complexion, abdominal distension, loose stool. Tongue is pale and pulse is thready.
Dx? POT?
Insomnia: Heart and Spleen Xu
| Tonify Qi and Blood, Nourish the Heart to Calm the Mind
131
Insomnia, palpitations, restlessness, soreness and weakness in the lumbar region knee joints. Dizziness, tinnitus, poor memory, nocturnal emission. Tongue is red with a little coating.Pulse is thready and rapid.
Dx? POT?
Insomnia- Yin Xu with Empty Fire
| Nourish Yin to descend fire, harmonize Heart and Kidney
132
Insomnia, timidity, palpitations, easily frightened. Lassitude, shortness of breath, clear urine. Tongue is pale, and pulse is wiry and thready.
Dx? POT?
Insomnia - Heart and GB Qi Xu
| Tonify the Qi, Sedate and Calm the Mind.
133
Somnolence
| Types?
Shi - Rentention of Phlegm Damp in the Spleen
| Xu- Spleen Qi Yang Xu
134
Tired or sleepy sensation that is worse in the rainy season or in a dmp place, accompanied by over-weight, body heaviness, oppression in the chest, poor appetite, nausea and or phlegm in the throat, even expectorating phlegm. Tongue is normal or pale and puffy, and coating is white, thick and sticky. Pulse is slippery and soft, or slow.
Dx? POT?
Somnolence - Shi - Retention of Phlegm-Damp in the Spleen
| Dry Damp, Transform Phlegm, Fortify the Spleen.
135
Somnolence:
Retention of Phlegm -Damp in the Spleen (Shi)
Tx?
```
Du 20, Shi Shen Cong, Yin Tang
St 40
Sp 6
P 6
Yaoqi
If it they have a warm type disease, and somnolence is actually from that, no need to treat them... they need to sleep.
```
136
Sleepy, usually after prolonged illness, or in the elderly, accompanied by eating less, and tired after eating. Listlessness, no energy to dpeak, sweats easily, may have spontaneous sweating, cold limbs, spleen yang Xu symptoms. Tongue is pale and puffy with scallops, and a think white coat. Pulse is deep and weak.
Dx? POT?
Somnolence- Xu - Spleen Qi/Yang Xu
| Boost Qi, Strengthen the Spleen
137
Somnolence - Xu - Spleen Qi/Yang Xu
| Tx?
```
Du 20, Yintang
Sp 9
St 36
Ren 4, 6
UB 20, 23
```
138
Chinese name for Headache
Tou Tong
139
Types of Headache
| Exogenous
W-C
W-H
W-D
140
Types of Headache
| Endogenous
```
Shi -Turbid Phlegm
-Blood Stasis
-Liver Yang Rising
Xu...Kidney Xu
...Yin & Blood Xu
```
141
Exogenous Headache
W-C
Tx?
Sj 5
| Taiyang
142
Exogenous Headache
W-H
Tx?
Du 14
| LI 4
143
Exogenous Headache
W-D
Tx?
SJ 5
| St 36
144
Endogenous Headache - Shi - Turbid Phlegm
| Tx?
Du 12
St 36
P 6
145
Endogenous Headache - Shi - Blood Stasis
| Tx?
```
Sp 10
UB 17 (blood point)
```
146
Endogenous Headache - Shi - Liver Yang Rising
| Tx?
Du 20
| Liver 3
147
Endogenous Headache - Xu - Kidney Xu
| Tx?
Kidney 3
| UB 23
148
Endogenous Headache - Xu - Yin and Blood Xu
| Tx?
St 36
| Sp 9
149
Intermittent headache, which refers to occipital and nape, aggravated when exposed to wind. Aversion to wind cold, mild fever, not thirsty. Tongue has a thin white coating, pulse is floating.
Dx? POT?
Exogenous Headache - Wind Cold
| Disperse wind cold
150
Distending headache, or severe headache. Fever, aversion to wind, red face and eyes, thirsty, constipation, scanty yellow urine. Tongue tip is red, and there is a thin yellow coating on the tongue. Pulse is floating and rapid.
Dx? POT?
Exogenous Headache - Wind Heat
| Disperse wind, clear heat
151
Headache with heavy sensation, listlessness, fatigue, heaviness of limbs, poor appetite, chest tightness, dysuria, loose stools. Coating on tongue is white and sticky. Pulse is soft.
Dx? POT?
Exogenous Headache - Wind Damp
| Disperse wind and remove damp
152
Cloudy Headache, vertigo, fullness sensation in the chest and epigastrium, vomit with phlegm. Tongue coating is white and sticky. Pulse is slippery or wiry and slippery.
Dx? POT?
Endogenous Headache - Turbid Phlegm (Shi)
| Transform phlegm, check the rebellious Qi.
153
Chronic, stabbing, fixed headache. History of injury, local swelling or bruise. Tongue is purple, think white coating. Pulse is thready or thready and choppy.
Dx? POT?
Endogenous Headache - Blood Stasis
| Move blood to remove stasis
154
Headache, dizziness, blurred vision, restlessness, irritability, insomnia, hypochondriac pain, red face, bitter taste in the mouth. Red tongue with thin yellow coating. Pulse is wiry.
Dx? POT?
Endogenous Headache - Liver Yang Rising
| Subdue Liver Yang
155
Hollow headache, dizziness, soreness and weakness in the lubar region and knees, listlessness, fatigue, nocturnal emission, excessive leucorrhoea, tinnitus, insomnia. Red tongue with little coating. Pulse is thready and weak.
Dx? POT?
Endogenous Headache - Kidney Xu
| Replenish the Kidney Jing
156
Lingering headache, dizziness which is aggravated by overowrk. Tennitus, five heart heat, restlessness, insomnia, dream distrubed sleep, fatigue, palpitations, pale complexion. Tongue is pale and has a thin white coating. Pulse is deep and thready.
Dx? POT?
Endogenous Headache - Yin and Blood Xu
| Nourish Yin and Blood
157
Causes of Dizziness
Emo
Diet
Loss of Blood/Underproduction of blood (diet)
Overstrain
158
Types of Dizziness
Shi - Liver Yang Rising
- Retention of Phlegm-Damp
Xu ...Qi and Blood Xu
...Kidney Jing Xu
159
Dizziness and Vertigo, tinnitus, distending headache, which are aggravated by anger. Red face, irritability, insomnia, dream disturbed sleep, bitter taste in the mouth. Red tongue with yellow coating. Pulse is wiry and rapid, or wiry, thready and rapid.
Dx? POT?
Dizziness - Liver Yang Rising
| Nourish Liver and Kidney, Subdue Liver Yang
160
Dizziness and Vertigo which is aggravated by movement or overwork. Pale and lusterless complexion, palpitations, insomnia, fatigue, unwilling to speak, poor appetite. Pale tongue, thready weak pulse.
Dx? Tx?
Dizziness - Qi and Blood Xu
| Tonify Qi and Blood, strengthen the Spleen and Stomach
161
Dizziness and vertigo, listlessness, insomnia, dream distruved sleep, poor memory, soreness and weakness of the lumbar region and knees, nocturnal emission, tinnitus, pale or red tongue. Thready pulse.
Dx? Tx?
Dizziness - Kidney Jing Xu
| Nourish Kidney essence, tonify Kidney Yin or warm Kidney Yang
162
Dizziness and vertigo, heavy sensation in the head, unclear mind. Chest tightness, nausea, vomiting, poor appetite. Drowsiness. White and sticky tongue coating. Soft and moderate pulse.
Dx? Tx?
Dizziness - Retention of Phlegm-Damp
| Dry Damp, Remove Phlegm, Strengthen Spleen and Harmonize Stomach
163
Dizziness: Liver Yang Rising
| Tx?
GB 20, 34
Liver 3
Kidney 3
Sp 6
164
Dizziness - Qi and Blood Xu
| Tx?
Du 20
St 36
Sp 6
UB 15, 20, 21
165
Dizziness - Kidney Jing Xu
| Tx?
Du 16, 20
UB 23
K 3
GB 39 (SI's Lower He-Se)
166
Dizziness - Retention of Phlegm-Damp
| Tx?
```
St 8 (St*GB*YaW/wind/pain/eyes)
St 40 (Ph, esp Lu & H, Luo)
St 41 (Jing River, Fire pt, St & Fu heat)
Ren 12 (Front Mu of St/ regulates Qi)
LI 4 (heat)
```
167
Depression
| Types
Shi (6 Stagnations: Blood/ Phlegm/ Fire/ Damp/ Food):
- Liver Qi Stagnation
- Liver Fire Flares Up
- Qi Stagnation with Phlegm Retention
Xu ... Malnourishment of Mind (Heart)
... Heart and Spleen Xu
... Yin Xu with Deficient Fire (H and K)
168
Depression, sighing, chest tightness or pain, restlessness, distending pain in lower abdomen and hypochondriac region, irregular menstruation, PMS. Think white tongue coat. Wiry pulse.
Dx? POT?
Depression - Liver Qi Stagnation
| Soothe Liver, Regulate Qi to disperse stagnation.
169
Irritability, anger, headache, redness of eyes. Red, hot face, bitter taste in the mouth, nausea, acid regurgitation, chest tightness, fullness in the hypochondriac region, thirsty, constipation. Red tongue with yellow coating. Pulse is wiry and rapid.
Dx? POT?
Depression - Liver Fire Flaring Up
| Clear Liver fire, disperse stagnation and harmonize Stomach
170
Plum-pit feeling in the throat which can neither be thrown up nor swallowed down. Stuffy chest and hypochondrium. White, moist and greasy coating. Wiry and slippery pulse.
Dx? POT?
Depression - Qi Stagnation with Phlegm Retention
| Soothe Liver to Regulate Qi, transform phlegm to disperse accumulation.
171
Absent minded, sorriness, untranquility in the sleep. Frequent yawning. Incoherent speech, abnormal behaviours, restlessness. Pale tongue with thin white coating. Wiry and thready pulse.
Dx? Tx?
Depression - Malnourishment of the mind.
| Nourish the heart to calm the Shen. Harmonize the heart and Kidney.
172
Insomnia, poor memory, poor appetite, fatigue, loose stools, palpitations, pale complexioin and lips. Dizziness, pale and scanty menses. Bruises easily. Pale tongue, pulse is thready and weak.
Dx? Tx?
Depression - Heart and Spleen Xu
| Strengthen the Heart and Spleen, Tonify Qi and Blood
173
Restlessness, anger, dizziness, palpitations, insomnia, nocturnal emission, low back ache, irregular menstruation, early menopause. Red tongue, wiry and thready and rapid pulse.
Dx? Tx?
Depression - Deficient Fire Flaring Up
| Nourish Yin to Clear Heat, Calm the Shen
174
Depression - Liver Qi Stagnation
| Tx?
P 6, Liv 3 (Modified Four Gates), Sp 6, K 1
UB 17, 18
St 36
175
Depression - Liver Fire Flaring Up
| Tx?
P 6, Liv 3 (M. 4 Gates), Sp 6, K 1
P 8
GB 34
176
Depression - Qi Stagnation with Phlegm Retention
| Tx?
```
P 6, Liver 3 (M. 4 G), Sp 6, K 1
Ren 17 (Sea of Qi, Pc)
Ren 22 (Chest, Qi)
St 40 (Regulates Qi, Phlegm)
```
177
Depression - Malnourishment of the Mind
| Tx?
```
P 6, Liv 3 (M 4 G), Sp 6, K 1
Ren 22 (Window Heaven, Descends Rebellious Qi)
SI 17 (Window Heaven, Descends Rebellious Qi)
```
178
Depression - Heart and Spleen Xu
| Tx?
P 6, Liver 3 (M 4 G), Sp 6, K 1
UB 15, 20
H 7 (Spirit/Heart/Shu Stream/Earth)
179
Depression - Deficient Fire Flares Up
(*Menopause*)
Tx?
P 6, Liv 3 (M 4 G), Sp 6, K 1
K 3
UB 23
180
4 Marvellous Needles
St 25, Ren 6, Ren 12
| Moxa with Ginger
181
Chief Organs of Depression
Heart
Liver
Also: Sp, St, Lu, K, Uterus
182
Chinese name for Schizophrenia
Dian-Quan
183
Dian-Quan - what does it mean
Schizophrenia
184
Types of Schizophrenia
Dian (less violent): Stagnation of Qi and Phlegm
Heart and Spleen Xu
Quan (more violent): Upward disturbance of Phlegm Fire
Yin Xu with Fire
185
Basic Points for Schizophrenia
```
P 5 (Phlegm/Spirit/Rebellion/Menses/Jing-River)
Ren 14 (Front Mu of Heart/ Phlegm/Spirit/Lu/St)
Liver 3 (Window H/ Corporeal Soul/Lu/ Blood)
```
186
Other good meridians/point classes for Schizophrenia
```
Ren
Du
P
Liver
Ghost
```
187
Gradual onset, emotional dejection and mental dullness at the initial stage, followed by incoherent speech, mood swings, muteness, somnolence, anorexia. Tongue has greasy coating, pulse is wiry and slippery.
Dx? POT?
Schizophrenia - Stagnation of Qi and Phlegm
| Regulate the Qi to relieve stagnation, transform phlegm to open orifices and allow clear Qi in.
188
Gradual onset, emotional dejection, mental confusion, sadness and crying, fatigue, pale and withered complexion, palpitations, dizziness. Pale tongue with thready and weak pulse.
Dx? POT?
Schizophrenia - Heart and Spleen Xu
| Strengthen Spleen and tonify Qi, nourish the heart to calm the Shen.
189
Sudden onset, irritability, being easy to anger, loss of appetite, followed by excessive motor activity with increased energy and violent behaviours. Constipation. deep red tongue with yellow coating. Wiry big, slippery and rapid pulse.
Dx? Tx?
Schizophrenia - Upward disturbance of Phlegm Fire
| Clear Heart and Liver Fire, remove Phlegm to open orifices
190
Irritability, emaciation, red face, red tongue with little coating. thready and rapid pulse.
Dx? POT?
Schizophrenia - Yin Xu with Fire
| Nourish yin to clear fire, calm Shen.
191
Schizophrenia - Stagnation of Qi and Phlegm
| Tx?
```
P 5, Ren 14, Liver 3
Ren 17 (Sea of Qi)
St 40 (Qi, Phlegm)
```
192
Schizophrenia - Heart and Spleen Xu
| Tx?
P 5, Ren 14, Liv 3
UB 15, 20
St 36
193
Schizophrenia - Upward Disturbance of Phelgm-Fire
| Tx?
```
P 5, Ren 14, Liv 3
St 40
Du 14
Du 26
LI 4
```
194
Schizophrenia - Yin Xu with Fire
| Tx?
P 5, Ren 14, Liv 3
Sp 6
K 6 (Spirit/Yin/Heat)
Lu 7 (Wind/Exterior/Phlegm)
195
Causes of Epilepsy
Irregularity of Emo (Liv Qi Stag)
Injury to fetus/Fright - Kidney Xu -- > Liv Qi Stag or Turbid Phlegm
Improper Diet/ EPF--->Sp Xu ---> Turbid Phlegm
Injury from Labour (Forceps)---> Blood Stasis ---> Blockage in Brain
196
Types of Epilepsy
| TCM
During Seizure: - Liver Wind with Turbid Phlegm
- Liver Fire with Phlegm Heat
After Seizure: ...Liver and Kidney Yin Xu
...Spleen and Stomach Xu
...Qi Xu with Blood Stasis
197
Types of Epileptic Seizure
| Western
Petite Mal
Grande Mal
Focal (small spasms of face/hand/foot, lasts < 1 minute)
Psycho-Motor (brief loss of conciousness/awareness, no memory of entire event)
198
Halucinations Point
UB 1
199
Delusions Points
SJ 23
K 3
H 7
200
Auditory Hallucinations
| Points
SJ 21
SI 19
GB 2
201
Olfactory Hallucinations
| Points
LI 20
| LI 4
202
Catatonic
| Points
Du 15, 16
| SI 3
203
Dementia
| Points
Du 20
Si Sen Cong
H 5
204
Dizziness and vertigo, convulsion, coma, screaming. Chest tightness, foam on the lips, incontinence of urine and feces. White and greasy coating on the tongue, wiry and slippery pulse.
Dx? POT?
Epilepsy - Liver Wind with Turbid Phlegm
| Transform Phlegm, Extinguish Wind, Open Orifices to stop Epilepsy
205
Coma, convulsion, bitter taste in the mouth, sticky phlegm. Restlessness, insomnia, irritability, constipation. Red tongue with yellow greasy coating, wiry rapid pulse.
Dx? Tx?
Epilepsy - Liver Fire with Phlegm Heat
| Clear liver fire, transform phlegm to open orifices
206
Chronic recurrent attack, dizziness, soreness and weakness in the lumbar region, five centre heat. Weakness of the legs, poor memory, dry stool, blurred vision. Red tongue with little coating. Pulse is thready and rapid.
Dx? Tx?
Epilepsy - Liver and Kidney yin Xu
| Tonify liver and kidney yin, nourish essence and blood.
207
Chronic recurrent attack, listlessness, fatigue, poor appetite, loose stool. Pale complexion, nausea, abdominal distension, vertigo. Pale tongue, weak pulse.
Dx? POT?
Epilepsy - Spleen and Stomach Xu
| Tonify Qi and Strengthen Spleen. Harmonize the middle jiao.
208
SOB, stabbing pain in the head, chest and hypochondrium. Coma, convulsion, purple or dark lips and eye circles. Purple or dark tongue. Pulse is wiry and choppy.
Dx? POT?
Epilepsy - Qi Xu with Blood Stasis
| Tonify Qi and Move Blood
209
Epilepsy - Liver Wind with Turbid Phlegm (which mists the Heart)
Tx?
Liver 3 (Liv Wind, Lv Qi, Liv Blood)
LI 4
SI 3
Du 20
210
Epilepsy - Liver Fire with Phlegm Heat
| Tx?
```
Du 26 (Consciousness, wind, spirit, lumbar)
Du 14 (wind, heat, exterior, Xu)
Liv 3 (Liv Wind, Liv Qi, Liv Blood)
LI 4
K 1
```
211
Epilepsy - Liver and Kidney Yin Xu
| Tx?
```
Du 3 (wind, local, LJ)
K 6 (heat/spirit/LJ/YinW)
K 3 (Kid Yin/Kid Yang/Heat/Lumbar/Anchors Qi)
Yintang (wind/shen/nose/pain)
```
212
Epilepsy - Spleen and Stomach Xu
| Tx?
Sp 6
H 7 (Spirit, Heart)
Ren 15 (Luo, Heart, Spirit, Lung, Chest)
Yaoqi
213
Epilepsy - Qi Xu with Blood Stasis
| Tx?
St 36
UB 15
Yaoqi
214
Cool fire points
H 8
P8
Liv 2
