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OM Internal D Final
The Complication of Mens
Pathology | Clinical symptom | Tongue/Pulse | Tx Plan | Herbal Tx | Herbal Modification | Acupoints |
---|---|---|---|---|---|---|
Breast Distension -Liv Qi Stag | painful distention of breast before mens start, breast pain intolerance if touched, irri, dysmens, oppress in chest, deep sighing, short temper | T.deep red t., side is red, thin white or sli yellow t/c P. wiry or wiry rapid | sooth Liv, regulate qi, eliminate stag Liv qi & releive pain | Chai Hu Shu Gan San Add: Fu Ling | hard mass w/ breast distension& pain use: -Xian Ku Cao, Wang Bu Liu Xing *Chest oppress w/ bitter taste in mouth, itching & pain nipl, b. disten & pain, yellow urine, const, dry throat, red dry t. w/ thin yellow t/c, wiry rapid p. Mo: Dan Zhi Xiao Yao S | (Liv 3, GB34, GB41, Liv14), St18, (Sj6, Gb21, Pc6) |
Breast Distension - Liv & Kd Yin Def | breast disten during or after mens, dull pain, scanty mens, dry parched mouth & throat, five center heat, dry eyes, weak or pain knee | T. red scanty t/c P.thready rapid | nourish Kd, liv Yin & calm Liv | Yi Guan Jian | - | (Lu7, Kd6), (Ren4, Ren7), (sp6, Kd3), (Liv3, Pc7), (Ht6, Kd2) |
Fever -blood heat exubaerance Interior | fever & red face before or during mens, irri, short temper, hypermens,thrist like to drink, h/a, blood short eyes, yellow urine, const | T.red t. w/ yellow t/c P.sliperryrapid | clear heat, cool blood & regulate mens | Qing Jing San Add: Yi Mu Cao | - | (Li11, Sp10), (Liv2, Kd2), (Sp4, Pc6), (Ht6, Pc7), Sp1, Li4 |
Fever -qi & Blood Def | low fever during or after mens, hypermens,spon sweat, aver to cold, SOB, laconic speech, shiny pale complex | T.pale t. w/ thin white t/c P. def | tonify Qi, stabilize exterior & stop sweating & nourish Ying & Blood | Yu Ping Feng San Add: Dang Gui, Bai Shao | - | (St36, Sp6, Ren12, Ren4), (Un20, Ub21), Sj5 |
Headche -Blood def | Dull h/a on vertex, during or after mens, dizzy, scanty mens, palpitation, insomnia, tiredness | T. pale w/ thin white t/c P. choppy | tonify qi & nourish blood | Ba Zheng Tang | if pronouce sign of Qi Def add: Huang Qi | (Lu7, Kd6), (St36, Sp6), (Ren4, Liv8), (UB20, UU23, UB18) |
Headche -Liv Fire | severe throbbing h/a in temper, eyes, before or during mens, heavy mens, dizzy, red face & eyes, irri, thirst, short temper, pain eyes, bitter taste dry mouth & throat, const w/ dry stool, dark yellow urine | T. red w/ yellow t/c P. wiry rapid | enrish Yin, clear heat, sooth Liv & extinq wind | -Long Dan Xie Gan Tang -Qi Ju Di Huang Wan | - | (Liv2, Liv3, LI4, LI11), (Sp6, Kd3), (SI3, DU20, Du16, GB20), (Tai Yang, SJ5, GB5,6,7,8,9, 43) |
Headache -Blood stagnation | fix piercing h/a in temple, eyes before or during mens, dark purple mens w/ clots, abdm disten & pain due to blood stag in low abdm, painful period, dislike to touch | T. purple t. P. choppy or wiry | regulate qi, activate blood, dispel blood stag & unblock chnl | Tong Qiao Huo Xue Tang | - | (SP4, Pc6), (Sp6, Sp10, UB17, Liv3), (GB17, Du20), (St29, Kd14) |
Diarrhea -Sp Def | loose stool or diarrhea during or after mens, heavy mens, sli abdm pain, poor digest, tiredness,weak of extremities, swollen face or eyelids | T. pale w/ white t/c P. weak | strengthen qi & sp, leach out dampness & stop diarrhea | Shen Ling Bai Zhu San | - | (Ren12, Sp6), (Ren6, Du20), (St37, St25), (UB20, UB21) |
Diarrhea -Kd def | watery diarrhea during or after mens or diarrhea at dawn, weak or pain low back pain & knee, tinnitus, aver to cold, cold extremities | T. pale swollen & wet t. w/ thin white t/c P. deep weak | tonify & warm Kd, strengthenFire of Gate of Vitality & stop diarrhea | Jian Gu Tang Add: Si Shen Wan | - | (UB23, UB20, Ren4), (ST25, ST37) |
Diarrhea -Liv Qi stag & invade Sp | diarrhea before period, pre mens tension, irri, irre period, tiredness,depression, abdm distension | P. wiry | pacify Lv, strengthen Sp, resolve damp & stop diarrhea | Tong Xie Yao Fang | - | (Liv3, GB34), Liv13, (Ren12, Sp6, St36), (St37, UB18, UB20) |
Urticaria -Blood Def | wind rash freq come out during or after mens on the body limb, severe itch but worse at night, acanty mens, dry skin w/ pale face | T. red t. w/ thin t/c P. thready rapid | nourish blood & expel wind | Dang Gui Yin Zhi | - | (Lu7, Kd6), (Ren4, Sp6, St36, Liv8), (SJ6, GB31, du14), LI11 |
Urticaria -wind heat | red rash with severe itching during or before mens, heavy mens w/ early cycle, thirst and like to drink water, yellow urine, constipation | T. red t. P. superf p. | dispel wind, clear heat, harmo blood & regulate period | Xiao Feng San | - | (Du14, SJ6, GB31), (LI11, SP10, UB17), (LU7, Kd6), (Sp6, Liv8) |
Edema -Sp & Kd yang Def | swollen face, generalize edema during or after period, more swollen face early in the morning, late period, full in chest, loose appe, cold limbs, abdm disten, loose stool, scanty period w/ light color, small amount urine | T. swollen P. deep slow or weak | warm Kd yang, strengths sp & resolve damp | Ling Gui Zhu Gan Tang | - | (UB20, UB23, Ren12, ST36, KD7), (Ren9, ST28, Sp9, UB22, Ren5), (Lu6, LI6) |
Edema -Qi & blood stag | edema before or during period, swollen limbs or body w/ pain, weakness, yang edema, late period w/ dark purple clots, abdm pain before period, sigh freq | T. purple t. P. choppy | activate qi & blood & reduce edema | Ba Wu Tang | - | (Liv3, GB34, GB41, Liv14), (UB18, Ren6, Ren5, SJ6), Ren9, Pc6 |
Emotion stress -Liv Qi stag | depress, uncomf mainly before mens or during mens, hypochon pain, poor appe, dislike speak, chest congest, irri, short temper in severe case, disorientation, maniac behavior, cant control oneself | T. pale red t. P. wiry def p. | smooth Liv & disperse Liv qi & calm shen | -Dan Zi Xiao Yao San -Long Dan Xie Gan Tang | - | (Liv3, GB34, GB41, Liv14), (ST18, GB21), (SJ6, PC6) |
Emotion stress -uprising phlegm-heat | restless agitation, bad temper, severe throb h/a, insomnia, extreme emo, instability, manic behavior, shouting, yelling at people for no reason, yellow leukorrhea, constipa | T. scarlet t. w/ yellow greasy t/c P. wiry sliperry rapid | clear heat & eliminate phlegm | Wen Dan Tang add: Shi Chan Pu, Yu Jin | severe insomnia due to Ht fire add: Zhu Sha An Shen Wan | (Pc7, St40), (ST8, DU24), (SP4, Pc6), (Ren12, UB20), LI11 |