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Internal Medicine A
Chronic Fatique Syndrome
| Disease | Clinical manisfestation | Tongue & Pulse | Acupuncture | Formulas |
|---|---|---|---|---|
| Heat Lurking in interior | muscle fatigue w/o ache or sli ache, thirst, insomnia, cough w/ scanty yellow sputum, tired, breathlessness on exertion, loss weight, dry throat | T: red w/ yellow coat, redder on front part P: rapid & sli wiry | DU14, [TB5, LI11], [LU10, LU5], SP6 | Zhi Shi Zhi Zi Tang |
| Lesser Yang Pattern Six stage | alternate chill & feel heat, fullness of hypochon region, poor appetite, irri, dry throat, nausea, bitter taste, blurred vision | T: white slippery t/c on one side only P: Wiry | TB5, DU14 | Xiao Chai Hu Tang |
| Lesser Yang Pattern Four Level | alternate chill & feel heat, latter being more marked, bitter taste, thirst, dry throat, full & pain hypochon region, nuasea | T: Red T. w/ yellow coat on one side P: wiry rapid | TB5, DU14 | Hao Qin Qing Dan Tang |
| Yin Fire | Feel heat in face, red face, mouth ulcers, occation low grade fever, dizzy, weak voice, depression, muscle weakness, exhaustion, feel cold in general, loose stool, cold feet, spon sweat, SOB | T: Pale P: weak | REN4, [REN12, REN6, ST36, DU20], [DU24, DU19, REN15, HT5], [PC8, PC7], [TB6, TB5], [REN9, SP6, SP9, ST28] | Bu Zhong Yi QI Tang |
| Lu & Sp Qi Def | tiredness worse in morning, sli ache in muscle, muscle fatigue after sli exertion, SOB, weak voice, spon daytime sweat, poor appetite, sli epigastric & abdm distension, loose stool | T: Pale P: Empty | [REN12, ST36, SP6, BL20, BL21], [LU9, DU12, BL13], REN6, LI10, DU20 | Bu Zhong Yi Qi Tang |
| Sp & Kd Yang Def | tiredness that worse in morning, sli ache in muscle, muscle fatigue after sli exertion, sli epigas & abdm distention, lose stool, lower back ache, weak knee, frequent pale urine, dizzy, tinnitus, feel cold, cold feet | T: Pale P: weak & deep | [REN12, ST36, SP6 BL20, BL21], [KI3, REN4, KI7, BL23], DU20, [REN9, SP9] | You Gui Wan Plus Liu Jun Zi Tang |
| Liver Blodd Def | tiredness, muscle fatigue on sli exertion, sli muscle ache, blur vision, numbness of limbs, dizzy, scanty period | T: Pale & thin P: Choppy or fine | [LIV8, ST36, SP6, REN4], GB34, [REN9, SP9] | Bu Gan Tang |
| Yin Def Lu Yin Def | dry throat, dry cough, exhaustion, breathlessness, horse voice, feel heat in afternoon, night sweat | T: w/o coat, crack in lu area P: floating empty | [LU9, REN17], BL43, [BL13, DU12], [REN12, ST36, SP6], DU20 | Sha Shen Mai Dong Tang |
| Yin Def St Yin Def | dry mouth, no appetite, tiredness, dry stool, sli epigas pain, malar flush, thirst no desire to drink or small sip | T: normal body color, mid line crack, rootless coat or no coat in center if transv crack on side indicate Sp Qi & Sp Yin Def P: Floating empty on right M position | [ST36, SP6, REN12], ST44, DU20 | Yi Wei Tang |
| Yin Def Kd Yin Def | soreness of lower back, exhaustion, depression, lack of drive & will power, weak legs & knee, dizzy tinnitus, deafness, dry mouth & throat worse at night, night sweat, disturb sleep, thin body | T: w/o coat (red) P: floating empty (rapid) | KI3, [LU7, KI6], [REN4, SP6], [BL23, BL52], DU20 | Zuo Gui Wan |
| Dampness in muscle | Pronounce ache in muscle, feel heavy of limbs, muscle fatique on sli exertion, tire & sleepiness, feel heavy body/head, no appetite, feel full in chest/epig, sticky taste, poor memory, lack concentr, muzzy brain, dull h/a | T: sticky t/c P: slippery | [SP9, SP6, BL22], [REN12, REN9], LI11, SP3 ,ST8, TB7 ,DU14 | -Lian Po Yin (heat) -Hou Po Xia Ling Tang |
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