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OMD II Final

Syndromes of LR, Fu organs, and combined (all Zang except one LR-ST))

QuestionAnswer
Mental restlessness, insomnia, palpitations, P.M., dry throat, SWLBK, wet dreams in men, tidal fever, night sweat, 5CH, red T little coat; thready, rapid P Disharmony between HT and KD
Disharmony between HT and KD Emperor of Heaven's Special Pill to Tonify the Heart (Tian Wang Bu Xin Dan)
Treatment principle for Disharmony between HT and KD Nourish HT & KD Yin, Clear Empty Heat, Calm the Shen
Points for Disharmony between HT and KD UB15, Ren 14; UB23, GB25; SP6, K6, Ren 4. H8, P8, K2.
Clinical applications in Western medicine for Disharmony between HT and KD Menopause, chronic cardiovascular d/o, insomnia
Pallor, lethargy, cold limbs, pain&SWLBK, or... scanty urine and edema, worse below waist, palpitations, anxiety, ashen complexion, cyanosis of lips. Pale, swollen, delicate T or purplish, dark T with TM and white slippery coat. Deep, weak, slippery P. KD & HT Yang Xu
Formula(s) for KD & HT Yang Xu Zhen Wu Tang (True Warrior Decoction, for KD) PLUS Bao Yuan Tang (Preserve the Primal Decoction)
Treatment principle for KD & HT Yang Xu Warm & tonify HT & KD Yang, Promote Urination, Invigorate Blood
Points for KD & HT Yang Xu Warm HT&KD Yang: Moxa Ren 4, Du 4, UB23, UB15, GB25, Ren 14, K3, K7, K10, H3, H7. Promote urination: Ren 3 (FM of UB), UB28 (BS of UB), Ren 9 ("Water Separation"), ST28 ("Waterway," 2 cun lateral to Ren 4)
Clinical applicationss in Western medicine for KD & HT Yang Xu Congestive heart failure, renal blood (?), menopause
Asthmatic breathing or SOB (w/ more exhale than inhale), all WOE. Low voice, cold limbs, blue complexion, spontaneous sweat, incontinence of urine d/t severe cough. Pale T, TWC; weak or deficiency P. LU & KD Qi Xu
Formula(s) for LU & KD Qi Xu Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet) PLUS Si Jun Zi Tang (Four Gentlemen's Decoction)
Treatment principle for LU & KD Qi Xu Warm & tonify LU & KD qi, Grasp qi
Points for LU & KD Qi Xu For qi: Ren 17,12,6,ST36. For Lung: UB13, LU1, LU5, LU9. For Kidney: UB23, GB25, K3, K7, K10
Clinical applications in Western medicine for LU & KD Qi Xu Chronic respiratory disorders: chronic asthma, chronic bronchitis, chronic emphysema
Cough with small amount of sputum or sputum tinged with blood, dry mouth/throat, hoarse or no voice, SWLBK, tidal fever, malar flush, night sweat, 5CH, nocturnal emission or IRREGULAR menstruation. Red T little coat; thready, rapid P. LU & KD Yin Xu
Formula for LU & KD Yin Xu Bai He Gu Jin Tang (Lily Decoction to Strengthen Metal)
Treatment principles for LU & KD Yin Xu Tonify (or Nourish) LU & KD Yin, Clear Empty Heat, (Descend Lung Qi)
Points for LU & KD Yin Xu For Tonify Yin: SP6, K3, K6, Ren 4. For LU: UB13, LU1, LU5, LU6 (XCP, for bleeding in LU), LU9, LU10. For KD: UB23, GB25, K10, K6, K3, K2
Clinical applications in Western medicine for LU & KD Yin Xu "Consumptive diseases" (TB, diabetes, cancer, AIDS)
Bonus round: What is the Five Elements explanation for LU & KD Yin Xu? "Metal & Water cannot generate each other"
Dizziness, blurry vision, dry throat, tinnitus, malar flush, night sweat, 5CH, SWLBK, nocturnal emission, SCANTY menstruation, red T with little coating; thready, rapid P. LR & KD Yin Xu
Formula for LR & KD Yin Xu Six Ingredient Pill with Rehamannia (Liu Wei Di Huang Wan)
Treatment principles for LR & KD Yin Xu Nourish (or Tonify) LR & KD Yin, Clear Empty Heat
Points for LR & KD Yin Xu For Yin: SP6, Ren 4. For LR: UB18, LR14, LR8, LR3, LR2. For KD: UB23, GB25, K10, K6, K3, K2
Clinical applications in Western medicine for LR & KD Yin Xu Menopause, repro d/o, emotional d/o
Why irregular menstruation? KD Yin Xu causes Chong & Ren Xu (which regulate menstruation or the uterus at least)
Why scanty menstruation? LR Blood Xu
Pallor, cold limbs, SW&painLBK, loose stools, diarrhea w- undigested food or cock's crow" diarrhea, facial puffiness, difficult urination, edema at limbs (or ascites!). Pale, swollen, delicate T with TM, thin, white, slippery coat. Deak, slow, weak P. SP & KD Yang Xu
Formula for SP & KD Yang Xu Si Shen Wan (Four Miracle Pill)= Bu Gu Zh (Fr Psoraleae)i, Rou Dou Kou (Hb Cistances), Wu Zhu Yu (Fr Evodia), Wu Wei Zi (Fr Schisandrae)
Treatment principles for SP & KD Yang Xu Warm & tonify SP & KD Yang, Transform Damp, Promote Urination
Points for SP & KD Yang Xu For warm Yang: Moxa Ren 4, Du 4. For SP: UB20, LR13, SP3. For KD: UB23, GB25, K3, K7, K10. For Damp: SP9, SP6. Promote urination: Ren 3 (FM UB), UB28 (BS UB), Ren 9 (Water Separation), ST28 (Water Way)
Clinical applications in Western medicine for SP & KD Yang Xu Hyopthyroidism, chronic colitis, Crohn's disease
Bonus round: What is the Five Elements explanation for SP & KD Yang Xu? "Fire cannot generate Earth" (but here the Fire is Ming Men Fire)
General lassitude, asthma or cough with profuse, dilute, white sputum; SOB, PA, LS, abdominal distention, facial puffiness, edema of feet. Pale T with white coat; Pulse? (Prob "weak or deficiency") LU & SP Qi Xu
Formula for LU & SP Qi Xu Four Gentlemen's Decoction (Si Jun Zi Tang)
Treatment principles for LU & SP Qi Xu Tonify LU & SP qi, Descend LU qi, Dry Dampness
Points for LU & SP Qi Xu Tonify qi: Ren 17, 12, 6, ST36. Lung: UB13, LU1, LU9, LU5. Spleen: UB20, LR13, SP3. Damp: SP9, SP6
Clinical applications in Western medicine for LU & SP Qi Xu Chronic respiratory (chronic asthma, chronic bronchitis, chronic emphysema) and ALSO digestive disorders (chronic colitis, chronic gastritis)
Palpitations and SOB, WOE. Cough, asthma, spontaneous sweating, pale or ashen complexion. Cyanosis of lips. Pale, swollen and DELICATE T or purplish dark T with white coat; thready, weak or missed beat P. HT & LU qi Xu
Why "missed beat" pulse? Heart qi Xu
Formula for HT & LU qi Xu Bao Yuan Tang (Preserve the Primal Decoction)
Treatment principles for HT & LU qi Xu Tonify HT & LU qi, INVIGORATE BLOOD (she didn't add Descend LU qi or Grasp qi)
Points for HT & LU qi Xu For qi: Ren 17, 12, 6, ST36. For HT: UB15, Ren14, H7, P6/SP49!!) For LU: UB13, LU1, LU9, LU5. Invigorate Blood: SP10, SP6, UB17
Clinical applications in Western medicine for HT & LU qi Xu Chronic respiratory disorders (asthma, bronchitis, emphysema) and ALSO cardiovascular disorders (arteriosclerosis, valve stenosis, congenital heart disorder)
Distention or fullness and pain in costal or HCR. Mental depression or irritability. PA-LS, abdominal distention. Or... alternating constipation and diarrhea Or... diarrhea with abdominal pain. TWC; wiry P. "Imbalance" between LR and SP
Formula for "Imbalance" between LR and SP Xiao Yao San (Chai Hu, Dang Gui, Bai Shao, Bai Zhu, Fu Ling, Wei Jiang (roasted fresh ginger), Bo He)
Treatment principles for "Imbalance" between LR and SP Soothe LR qi, strengthen SP
Points for "Imbalance" between LR and SP Move qi: LR3/LI4, Ren 17, Ren 6. Liver: UB18, LR14. Spleen: UB20, LR13, SP3, (SP6/SP9???)
Clinical applications in Western medicine for "Imbalance" between LR and SP Emotional & digestive d/o's. LR overacting on SP can produce symptoms in Stomach AND Intestine (b/c "Spleen is lower"), so in addition to ulcers could have: IBS, gastritis, colitis
Distention/pain in costal, HC or EPIGASTRIC regions. Belching, acid regurgitation. C/b n/v. "Empty, uncomfortable sensation in stomach." Mental depression, irritability. Thin T w/ yellow coat; wiry P. "Disharmony" between LR and ST
Formula for "Disharmony" between LR and ST Chai Hu Shu Gan San (Buplureum Powder to Dredge the Liver) PLUS Zuo Jin Wan ("Left Metal Pill")= Huang Lian + Wu Zhu Yu
Treatment principles for "Disharmony" between LR and ST Soothe LR qi, descend ST qi, Clear Heat
Points for "Disharmony" between LR and ST Move qi: LR3/LI4, Ren 17, Ren 6. Liver: UB18, LR14. Stomach: UB21, Ren 12, ST36, P6/SP4 (!!). Clear Heat fm Stomach channel: ST44
Clinical applications in Western medicine for "Disharmony" between LR and ST (No intestines here) Emotional and/or digestive disorders: gastritis or gastric ulcer. Depression.
Sallow complexion, general lassitude, palpitations, poor memory, insomnia, DDS, reduced appetite, abdominal distention, LS. Purpura (!!), irregular menstruation in women. Pale T with TWC; thready, weak P. HT (Blood) & SP (Qi) Xu
Formula for HT (Blood) & SP (Qi) Xu Gui Pi Tang (Restore the Spleen Decoction)
Treatment principles for HT (Blood) & SP (Qi) Xu Nourish HT Blood, Tonify SP Qi, Calm the Shen
Points for HT (Blood) & SP (Qi) Xu For Qi: Ren 17, 12, 6, ST36. For Blood (!!): UB17, SP10, SP6. For HT: UB15, Ren 14, H7, H3, P6/SP4 (!!). For SP: UB20, L13, SP3 (she adds SP9. Wow, I guess it is the He-Sea (and Water) point!).
Clinical applications in Western medicine for HT (Blood) & SP (Qi) Xu Anemia, sleep d/o, depression, chronic gastritis/colitis/indigestion (!!? seems a bit broad)
BURNING pain in the costal or HCR. Paroxysmal (=fit/spasm/convulsion) cough or even hemoptysis in severe cases. Short temper, irritability, restlessness. Hot sensation in chest. Bitter taste in mouth. Dizziness, red eyes/face. Red T thin YC; wiry, rapid P Invasion of LU by LR Fire
Formula for Invasion of LU by LR Fire Xie Bai San (Drain the "White" Powder) but more appropriately named (aka ) Xie Fei San (Drain the Lung Powder)
Treatment principles for Invasion of LU by LR Fire Soothe LR qi, Drain LR Fire, Clear LU heat, Descend LU qi" (!!)
Points for Invasion of LU by LR Fire She combined Move qi & Drain LR Fire: Ren 17, 12, 6, ST36, UB18, LR13, LR2. Then for Lung (also combined) she has: UB13, LU1, LU10 (Heat), LU5 (Descend LU qi), and LU6 (!!: XCP for bloody cough!)
Clinic applications in Western medicine for Invasion of LU by LR Fire ACUTE bronchitis. Also... BRONCHIECSTASIS ("a disease state defined by localized, irreversible dilation of part of the bronchial tree")
Created by: mrbarr
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