Zang Fu organs Flashcards
S/S: Lustrous bright yellow skin and sclera, fever, thirst, scant dark yel.urin, heavi. of the body, full. in the abd, stuffi. of the chest, nausea.
T: yellow, sticky tongue coating
P: string-taut, rapid
Jaundice:
a) Yang jaundice:
Pts: Sp 9, S 36, B 18, B 19, Du 9
specific: Liv 3, G 34
S/S: Sallow skin, heavi of the body, weak, loss of appet., epig. stuffin, lassitude, aversion to cold, abs of thirst
T: pale tongue, thick, white tongue coating
P: deep, slow
Jaundice: Yin Jaundice:
Pts: Sp 9, S 36, B 18, B 19, Du 9
specific: Moxa to B 2O, B 48-warming cold-damp
S/S: Infreq./difficult defeca fr every 3 to 5 days, or even longer.
i) In accumul. of heat: fever, dire thirst, foul breath.
ii) In qi stag: full and dist pain in the abd and hypochond regions, freq. belching, loss of appet
T: heat accum: yellow, dry tongue coating. qi stag: thin sticky tongue coating
P: heat accum: rolling and forceful. qi stag: string-taut
Constipation: a) excess type:
Pts: B 25 (back shu), S 25 (front mu), SJ 6, K 6
Accumul. of heat: LI 11, LI 4
Stag. of qi: Ren 12, Liv 3
S/S:
i) qi/bld xu: Pale and lustreless complex, lips and nails, dizzi and palp., lassitude, SOB;
ii) agglom of cold: pain and cold sens. in the abd, pref. for warmth and avers to cold.
T: qi/bld xu: pale tongue with thin coating.
agglom of cold: pale tongue with white and moist coating
P: qi/bld xu: thready and weak.
agglom of cold: deep slow
Constipation: b) Xu type
Points: B 25, S 25, SJ 6, K 6
Qi/bld xu: B 20, B 21, S 36
Agglom of cold: Moxa to Ren 8 and Ren 6
S/S: onset is slow, with dist and draggling sens of rectum during defecation, returning to nl after the bowel mvt. If sustained w/o proper tx, recur may happen by overstrain, the prolapsed rectum fails to return spontan w/o the aid of the hand.
At times, lassitude, weak of limbs, sallow complex, dizzi and palp.
T: pale with white coating
P: thready and feeble/weak
Prolapse of rectum:
Pts: Du 20- moxa
B 25
Du 1, 20, S 36-lifting pts
S/S: Abrupt onset of edema with “puffy face and eyelids” and then anasarca, lustrous skin, accomp by C/F, thirst, cough, asthma and reduced urine output
T: TWC
P: superficial or rolling, rapid
Edema: 1) Yang type: wind
Pt:
above the lumbus: L 7-luo pt, LI 4
below the lumbus: LI 6-imp. pt-luo pt, Sp 9, B 39
S/S: Insid onset, at first on pedis dorsum or eyelids, then whole body, esp bel the lumbar, accomp. by sallow complex, avers to cold, cold limbs, sore. of the back and loins, gen. weakness, epig. fullness, abd. distension, loss of appet, loose stools
T: pale tongue, white coating
P: deep, thready
Edema: 2) Yin type: yin edema is a yang xu
Points: B 20, B 23, (K 7 *imp!)-acu and moxa
Ren 9, Ren 4 yuan pt-moxa
S 36
Suppl. points:
Facial puffi: Du 26
pedis dorsum: G 41, Sp 5
S/S: Invol mictur during sleep w/dreams, once in sev nights in mild cases, or sev times a night in severe cases; sallow complex, loss of appet, and weakness in the prolonged cases.
T: pale tongue, white coating
P: thready pulse weak at the chi region
Nocturnal enuresis: Points:
B 23, B 28, Ren 3, Sp 6, Liv 1-moxa
Suppl. points:
Enuresis with dreams: H 7
Loss of appetite: B 20, S 36
S/S: Occ presence of calculi in the urine, dysuria, dark yel turbid urine, or sudden interrup of urin, unbearable pricking pain during urin., pain of the lumbus and abd, or presence of blood in the urine.
T: normal coat
P:
Urination Disturbance: a) dysuria from calculi: Stone Lin. Points:
B 28, Ren 3, Sp 9
*specific: B 39- stone pt
S/S: Difficult and hesitant urination, fullness and pain of the lower abdomen
T: TWC
P: deep, string-taut
Urination Disturbance: b) dysuria from qi dysfxn: Qi Lin. Points:
B 28, Ren 3, Sp 9
*specific: Liv 2
S/S: Hematuria with pain and urgency of micturition, burning sensation and pricking pain in urination.
T: TYC
P: rapid, forceful
Urination Disturbance: c) painful urination w/blood: Blood Lin. Points:
B 28, Ren 3, Sp 9
*specific: Sp 10, Sp 6
S/S: Cloudy urine with milky or creamy appear, urethral burning pain in urination. Dx: K yin xu
T: red tongue proper, sticky coating
P: thready, rapid
Urination Disturbance: d) dysuria w/milky urine: Gao Lin. Points:
B 28, Ren 3, Sp 9
*specific: B 23, K 6
S/S: Difficulty in urination with dribbling of urine, occurring “off and on,” exacerbated after overwork, and usually refractory to treatment.
T:
P: weak
Urination Disturbance: e) dysuria from overstrain: Lao Lin. Points:
B 28, Ren 3, Sp 9
*specific: Du 20, Ren 6, S 36-prolapse pts
S/S: Scanty hot urine or retention of urine, distention and fullness of the lower abd, thirst but without desire to drink, constip
T: red tongue with yellow coating
P: rapid
Retention of Urine: a) Accumulation of heat in the bladder: Points:
B 28, Ren 3, Sp 6
B 39
S/S: Dribbling urination, attenuating in force of the urine discharge, pallor, listlessness, chilliness below the lumbus, weakness of the loins and knees
T: pale tongue
P: deep, thready pulse weak at the chi region
Retention of Urine: b) decline of Mingmen fire: Points:
Du 4, B 23-reinforce
Du 20, Ren 4-moxa
SJ 4-yuan pt, reinforce
S/S: Dribbling urination or retention of urine, distention and dull pain in the lower abd
T: purplish spots on the tongue
P: hesitant, rapid
Retention of Urine: c) damage of the qi of the meridian: Points: Ren 3 Sp 6-prom qi/bld S 28-water pt, K 5-xi-cleft (Qi-St 27, water-St 28, Blood-St 29)
S/S: Failure of penis in erect, or wk erect, pallor, cold extrem, dizzi, listless, sore/weak of the loins/knees, freq urin. If Ht/Sp qi is damaged, palp and insomnia may be present.
T: pale tongue with white coating.
P: deep, thread
Impotence: a) decline of Mingmen fire: Points:
Ren 4, Du 4, B 23, K 3 (yuan pt)
Suppl. points:
B 15,H 7, Sp 6
S/S: Inability of the penis to erect, complic with bitter taste in the mouth, thirst, hot and dark red urine, sore. and weak. of the lower extremities.
T: yellow, sticky tongue coating
P: soft, rapid
Impotence: b) downward flowing of D-H: Points:
Ren 3 (local?), SJ 3,
Sp 6, Sp 9 (damp), S 36
Our own pts: gb 34, St 40, L 5, Ren 12, Du 24
S/S: nocturnal emissions plus: dizzi, palp, listless, lassitude and scanty yellow urine.
T: red tongue
P: thready, rapid
(appx) Seminal Emission: a) Nocturnal emission: Points:
H 7, B 15, K 3, B 52-essence pt
(others: du 4, K 12, b 23, b 52, jing gong)
S/S: frequent spermatorrhea at day or night, particularly if there is a desire for sex, pallor, lassitude, listlessness
T: pale tongue
P: deep, thready, weak
appx: Seminal Emission: b) Spermatorrhea: Points: B 23, Sp 6, Ren 4, Ren 6 K 12
S/S: itching of the throat, thin and white sputum, aversion to cold, fever, no sweat, headache, nasal obstruction and discharge
T: TWC
P: superficial/floating
Cough: a) Invasion by exogenous patho. factors: i) Wind-cold type:
Points:
Lu 7, LI 4, B 13
suppl. LI-11, pain/swell throat. Du-14, SJ-5, fever, avers to cold
S/S: Cough with yellow, thick sputum, choking cough, thirst, sore throat, fever, or headache, aversion to wind, sweating.
T: TYC
P: superficial and rapid
Cough: a) Invasion by exogenous pathogenic factors: ii) W-H type:
Points:
L 7, LI 4, B 13
Suppl. pts: LI-11, Du-14, SJ-5
S/S: cough with profuse, white and sticky sputum, stuffiness and depression of the chest, loss of appetite.
T: white, sticky tongue coating
P: rolling
Cough: b) Internal injury: i) Blockage of the lung by phlegm: Points: B-13 Ren-12 L-5 S-36, S-40
S/S: Dry cough without sputum or with scanty sputum, dryness of the nose and throat, sore throat, spit blood or even cough blood, aft fever, malar flush.
T: red tongue, thin coating
P: thready and rapid
Cough: b) Internal injury: ii) Dryness of Lung w/Yin Xu: Points:
B-13, L-1
L-7, K-6
L-6, acute lung conditions + B-17, comb to stop bleeding.
S/S: cough w/thin sputum, rapid breathing, chills, fever, HA, no sweat, early stage, no thirst.
T: TWC
P: float, tense
Asthma: 1)Excess types: i) WC type
Pts:
B-12, 13
Du-14, L-7, LI-4
S/S: rapid/short breathing, strong/coarse voice, cough w/thick yellow sputum, sensat. of chest stuffiness, fever, restless, dry mouth
T: thick, yellow or sticky coat
P: rolling, rapid
Asthma: 1)Excess types: ii) Phlegm-heat type:
Pts:L-5, S-40, B-13
Ren-22, *Dingchuan=pacify breathing
S/S: short, rapid breathing, feeble voice, weak and low sound cough, sweat on exert.
T: pale
P: deficient
Asthma: 2) Deficient types: i) Lung Xu
pts: B-13, L-9
S-36, Sp-3
S/S: dyspnea w/exert, after longstand asthma, severe wheezing, indrawing neck, short breath, lassit, weak, sweating cold limbs
T: pale
P: deep, thready
Asthma: 2) Deficient types: ii) Kidney Xu:
pts: K-3, B-23, B-13
Ren-17, Ren-6 Imp
+/- moxa Du-12 & B-43, +/- moxa Ren-12 & B-20
S/S: distend pain in epig, worse w/pressure or aft meals, belch w/fetid odor, anorex.
T: thick, sticky coat (+/- yellow)
P: deep, forceful or rolling
Epigastric Pain: 1) Retention of food/food stag:
pts:
Ren-12, P-6, S-36
Inner Neiting
S/S: paroxysmal pain in epig, radiating to hypochond region, freq belch, w/N/V, acid regurg, abd dist, anorex.
T: TWC
P: deep, string-taut
Epigastric Pain: 2) Attack of Stomach by Liv Qi
pts:
Ren-12, P-6, S 36
Liv-14, Liv-3,
S/S: dull pain in epig, rel by pressure and warmth, lassitude, regurg, thin fluid
T: TWC
P: deep, slow
Epigastric Pain: 3) Stomach Xu w/cold stag
pts: Ren-12, P-6, S-36, acu/ginger
Sp-4, B-20
Ren-6, tx chr cold xu gastric pain, w/indirect ginger moxa
Note: cupping w/lg, med cups to upper abd or back shu pts 10-15min, before other tx.
S/S: acid fermented vomit, epig/abd distend, belching, loose stool or constip, anorexia.
T: thick, granular
P: rolling, forceful
Vomiting: 1) Retention of food/food stag, pts: Ren-12, P-6, S-36 Sp-4 suppl: Ren-10, B-20, S-36, Sp-4 Pricking to bleed Jinjing/Yuye
S/S: vomit, acid regurg, freq belch, distend pain in chest/hypoch regions, irritabil w/oppressed feeling
T: thin, sticky coat
P: string-taut
Vomiting: 2) Liv Qi att Stomach
pts: Ren-12, P-6, S-36
Sp-4
suppl: Liv-3
S/S: Sallow complex, vomiting after a big meal, loss of appetite, lassitude, weakness, slightly loose stool
T: pale tongue, TWC
P: thready and forceless
Vomiting: 3) Hypofunction of the Spleen and stomach: pts:
Ren-12, P-6, S-36
Sp-4
suppl: B-20 in comb w/S 36 and Sp-4
**Pricking Jinjing(Extra) and Yuye(Extra)
S/S: Loud hiccups, epigastric and abdominal distension, anorexia
T: thick, sticky tongue coating
P: rolling and forceful
Hiccups: 1) Retention of food/Irregular diet:
pts: B-17, stop hiccup
Ren-12, P-6, S-36
*specific: Ren-14, Inner- Neiting (Extra)
S/S: Continual hiccups, distending pain and feeling of oppression in the chest and hypoch
T: thin tongue coating
P: string-taut and forceful
Hiccups: 2) (Liv) Qi Stagnation:
pts: B-17, stop hiccup
Ren-12, P-6, S-36
*specif: Ren-17, Liv-3
S/S: Slow and forceful hiccups which may be rel by heat and aggr by cold, discomfort in the epig
T: white, moist tongue coating
P: slow
Hiccups: 3) Cold in the stomach: pts: B-17, stop hiccup Ren-12, P-6, S-36 *specific: moxa Ren-13 may warm the middlejiao **cupping pts: B-17, B-46, B-18, Ren-12, S-18
S/S: Sudden onset of violent abd pain which likes warmth and worse by cold, loose stool, absence of thirst, clear and profuse urine, cold limbs
T: TWC
P: deep, tense or deep, slow
Abd. Pain: 1)Accumulation of Cold: pts:
Ren-12, Ren-8,
S-36, SP-4
*Indirect moxa with salt is applied to warm the stomach & dispel cold
S/S: Intermittent dull pain which may be better warmth or by pressure and aggr. by cold or by hunger and fatigue, lassitude, aversion to cold
T: TWC
P: deep, thready
Abd. Pain: 2) Hypoactive Sp Yang: pts:
B-20, B-21, Ren-12, Liv-13, (front mu/back shu)
Ren-6, S-36
S/S: Epig and abd distend pain which is aggr by pressure, anorexia, foul belching and sour regurg, or abd pain accompanied by diarrhea and relieved after defecation
T: sticky tongue coating
P: rolling
Abd. Pain: 3) Retention of food: pts:
Ren-12, Ren-6,
S-25, S-36,
Inner-Neiting (Extra)
S/S: Watery diarrhea, abd pain and borbor, chilliness which responds to warmth, absence of thirst
T: pale tongue, white tongue coating
P: deep, slow
Diarrhea: 1) Acute: i) Cold-dampness: pts:
S-25,
S-36,
*specific: Ren-12, Ren-6
S/S: Diarrhea w/abd pain, yellow, hot and fetid stools, burning anus, scanty urine, or accomp by general feverish feeling, thirst
T: yellow, sticky tongue coating
P: rolling and rapid
Diarrhea: Acute: ii) Damp Heat: pts:
S-25,
S-36,
*specific: S-44, Sp-9
S/S: Abd pain relieved after bowel mvt, borbor, diarrhea with fetid stools, epig and abd full and disten, belching, anorexia
T: thick filthy tongue coating
P: rolling, rapid or deep, string-taut
Diarrhea: Acute: iii) Retention of food: pts:
S-25,
S-36,
*specific: Inner-Neiting (Extra)
S/S: Loose stool with undig food, anorexia, epig distress after eating, sallow complex, lassitude
T: pale tongue, white tongue coating
P: thready, forceless
Diarrhea: 2) Chronic: i) Sp Xu: pts:
B-20, Liv-13, Sp-3,
(Sp points) comb with
Ren-12, S-36, (S points) needled with moxibustion
S/S: Pain below the umbil, borbor and diarrhea usu occur at dawn, relieved aft bowel mvt, and aggr by cold, abd disten at times, cold LE
T: pale tongue, white tongue coating
P: deep, forceless
Diarrhea: 2) Chronic: ii) Kidney Xu: pts:
B-23, B-20,
Du-4, Ren-4, K-3,
S-36
S/S: Abd pain, tenesmus, mix of pus and blood in stool, burning sens. of the anus, scanty and yellow urine, or C/F, restless, thirst
T: yellow, sticky tongue coating
P: rolling, rapid or soft, rapid
Dysentery: 1) D-H: pts:
S-25, S 37
LI-4, 11,
*specific: Fever: Du-14. Tenesmus: B-29
S/S: Diffic defecation, white mucus in stools, pref. for warm and avers to cold, mostly accomp w/full. in the chest and epig, lingering abd pain, tasteless in the mouth, no thirst
T: white, sticky tongue coating
P: deep, slow
Dysentery: 2) Cold-Damp: pts:
S-25, 37,
*specific: Ren-12 added with moxa to Ren-6, Sp-9
S/S: Freq stools with blood and pus, total loss of appetite, N/V
T: yellow, sticky tongue coat
P: soft, rapid
Dysentery: 3) Food Resistant: pts:
S-25, 37,
*specific: Ren-12, P-6
S/S: Dysentery occurring on and off, difficult to cure, lassitude, avers. to cold, somnolence, anorexia
T: pale tongue, sticky coating
P: soft
Dysentery: 4) Intermittent Dysentery: pts:
S-25, 37,
*specific: B-20, 21, Ren-4, S-36
Suppl: Fever: Du-14, Tenesmus: B-29, Prolapse of rectum: Du-29 with moxa, Du-1
S/S: Persistence of distent and fullness in the abd, which is aggr by press., abd pain, belch, foul breath, dark yellow urine, constip, sometimes assoc. with fever, vomit
T: yellow thick tongue coat
P: rolling, rapid and forceful
Abd. Distent.: 1) Excess type: pts:
Ren-12, S-25, S-36, S-37
Excess: LI-4 + Ren-6, Sp-9
S/S: Abd distent. relieved by pressure, borbor, loose stools, loss of appet, lassitude, listless, clear urine
T: pale tongue with white
P: forceless
Abd. Distention: 2) Xu type: pts:
Ren-12, S-25, S-36, S-37
*specific: Ren-4, Sp-3
S/S: Difficulty in falling asleep, dream-disturb sleep, palp., poor memory, lassitude, listless, anorexia, sallow complex.
T: pale tongue with a thin coating
P: thready, weak
Insomnia: a) Anxiety and overwork: Heart/Sp Qi Xu, pts:
H 7, Sp 6, Anmian (Extra).
B 20, B 15, Sp 1(moxibustion with small moxa cones.)
S/S: Restless, insomnia, dizzi, tinnitus, dry mouth w/little saliva, burning sens. of the chest, palms, soles, or nocturnal emiss., poor memory, palp., low back pain.
T: red tongue
P: thready rapid
Insomnia: b) Disharmony between the heart and kidney: pts:
B 15, B 23,
K 3
S/S: Irritability, dream-disturb sleep, fright and fear accomp with HA, distending pain in the costal region, bitter taste in the mouth.
T: red sides
P: string-taut
Insomnia: c) Upward disturbance of the liver fire: pts:
B 18, B 19,
G 12
S/S: forgetfullness
T: n/a
P: n/a
Poor Memory: Sishencong (Extra)-(empirical pt for tx of poor memory) B 15, B 20, S 36, B 23, K 6
S/S: Palp., fear and fright, irrit, restless, dream disturb sleep, anorexia
T: TWC;
In cases of phlegm heat, yellow, sticky tongue coating
P: a little bit rapid, phlegm heat may have rolling, rapid
Palpitations: a) Disturbance of the mind: pts:
B 15, Ren 14, H 7, P 6
suppl pts: P 5, G 40, with Phl.-ht: S 40, B 19
S/S: Palp., lustreless complexion, dizzi., blur of vision, SOB, lassitude
T: pale tongue with tooth prints
P: thready, weak or intermittent
Palpitations: b) Insufficiency of qi and blood: pts:
B 15, Ren 14, H 7, P 6
suppl pts: B 20, B 21, S 36
S/S: Palpitation, restless, irrit, insomnia, dizzi, blur of vision, tinnitus
T: red tongue with little coating
P: thready, rapid
Palpitations: c) Fire hyperactivity due to yin xu: pts:
B 15, Ren 14, H 7, P 6
suppl pts:
B 14, B 23, K 3
S/S: Palp., expect.of mucoid sputum, full in the chest/epig region, lassit., weak, cold extrem. In yang xu of spleen and kidney, scant urine, thirst w/o desire to drink
T: white tongue coating, in yang xu: slippery tongue coating.
P: string-taut, rolling
Palpitations: d) Retention of harmful fluid: pts:
B 15, Ren 14, H 7, P 6
suppl pts: Ren 9, Ren 4, Ren 8, Sp 9
S/S: Grad. onset, emot. deject and ment. dullness initially, followed by incoh. speech, changing moods, or muteness, somnol., anorexia
T: thin, sticky tongue coating
P: string-taut, thready or string-taut rolling
Manic-Depressive Disorder: Depressive:
pts:
B 15, B I8, B 20
H 7, S 40
S/S: Sudden onset, irrit., easy anger, insomnia, loss of appet, followed by excess motor activity with incr energy and violent beh.
T: yellow, sticky tongue coating.
P: String-taut, rolling and rapid
Manic-Depressive D/O: b) Manic disorder: pts:
Du 14, Du 26, Du 16-for mental d/o
P 6, S 40
suppl pts: Mania with extreme heat: Prick twelve Jing-(Well)to bleed
S/S: preceded by dizzi, HA and suffocat.sens. in the chest, and immed. followed by fall down with LOC,pallor, clench jaws, up staring of the eyes, convuls., foam on the lips, scream as pigs/sheep, and even incont of urine and feces. Grad., the pt regains conscious, and the sxs disappear. Apart from fatigue and weakness.
T: White sticky tongue coating
P: string-taut, rolling
Epilepsy: a) During a Sz:
pts:
Du 26, Ren 15, P 5, Liv 3, S 40
S/S: Listless, lustreless complex., dizziness, palp., anorexia, profuse sputum, weak. and sore. of the loins and limbs
T: pale tongue with white coating
P: thready, rolling
Epilepsy (post-ictal): pts:
B 15, Yintang (Extra), H 7, Sp 6, K 3, Yaoqi (Extra)
Suppl pts:
Day seizure: B 62
Night seizure: K 6
Phlegm stagnation: Ren 12, S 40
Severe deficiency of qi and blood: Ren 4, S 36
S/S: Dizziness aggravated by anger, irrit., flushed face, red eyes, tinnitus, bitter taste in the mouth, dream-disturb. sleep
T: red tongue proper with yellow coating
P: string-taut, rapid
Dizziness: a) Hyperactivity of the liver yang: pts:
G 20,
B 18, B 23,
K 3, Liv 2
S/S: Dizziness accomp. by pallor and lustreless complex., weak., palp, insomnia, pale lips and nails, lassitude, occurs most after serious dz or loss of blood and is aggr. by overwork. LOC in severe cases.
T: pale tongue proper
P: thready and weak
Dizziness: b) Qi/Bld Xu: pts
Du 20, B 20,
Ren 4,
S 36, Sp 6
S/S: Dizziness with a heavy feeling of the head and suffocating sensation in the chest, nausea, profuse sputum, anorexia, somnolence
T: white, sticky tongue coating
P: soft, rolling
Dizziness: c) Interior retention of phlegm dampness:
pts:
S 8, S 40
B 20, Ren 12, P 6
S/S: Mental depression, distress of the chest, hypoch pain, abd.dist.,belch, anorexia, or abd. pain, vomit, abn.bowel mvt
T: thin, sticky tongue coating
P: string-taut
Melancholia: a) Depression of the qi in the liver: pts:
B 18,
*Ren 17, Ren 12,
S 36, Sp 4, *Liv 3
S/S: HA, dryness and bitter taste in the mouth, irrit, distress of the chest, hypoch distention; acid regurg, constip, red eyes, tinnitus
T: red tongue with yellow coating
P: string-taut, rapid
Melancholia: b) Transformation of depressed qi into fire: pts:
Ren 13, SJ 6,
G 34, G 43
Liv 2
S/S: Feeling of a lump choking in the throat, hard to spit it out or to swallow it,
T: thin, sticky tongue coating
P: string-taut, rolling
Melancholia: c) Stagnation of phlegm (aka. globus hystericus):
pts:
Ren 22, Ren 17,
P 6, S 40, Liv 3
S/S: Grief without reason, capricious joy/anger, suspicions, easily frightened, palp, irrit, insom, or sudden distress of the chest, hiccup, sudden aphonia, convuls, or LOC in severe cases
T: T WC
P: string-taut, thready
Melancholia: d) Insufficiency of blood (also known as hysteria):pts:
Ren 14, H 7, Sp 6, Liv 3
Suppl.: chest distress: P 6, Ren 17, Hiccup: Sp 4, Ren 22
Sudden aphonia: H 5, Ren 23, convuls. LI 4, G 34
LOC: Du 26, K I
