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Diagnosis I
Shaozhi Li's Diagnosis 1 Lecture Notes
| Diagnosis | Key word of Diagnosis | Clinical Manifestations | Principal Treatment | Acupuncture Treatment | Herb Formuals | Other Notes |
|---|---|---|---|---|---|---|
| Warm Dryness Attacking Lung | Wind heat + dryness | Dry cough, chills & fever, dry symptoms | LI4, LI11, DU14, BL13, LU1 | Sang xing tang (mulberry leaf & apricot kernel decoction) | ||
| Cold Dryness Attacking Lung | Wind cold + dryness | TONGUE: thin white coating; PULSE: superficial & tight; dry symptoms, fatigue, chest pain, dry cough, chills & fever | LI4, LU7, GB20, BL13, LU1 | Xing su san (apricot kernel & perilla leaf powder) | ||
| Lung Clogged with Heat | Cough w/ thick yellow sputum and high fever | TONGUE: red w/ thick yellow coating; PULSE: rapid; cough w/ tick yellow sputum, high fever, vexation, flaring nostrils, constipation, NO CHILLS! | Clear heat, transform phlegm | LI4, LI11, DU14, ST40, BL13, LU1 | Ma xing shi gan tang (ephedra apricot kernnel, gypsum & licorice decoction) | "Lung heat" Interior excess heat |
| Phlegm & Fluid Retention in Lung | Cough w/ copious white sputum | TONGUE: white greasy coating, PULSE: slippery, asthma, difficulty laying flat | Transform Phlegm, stop cough | BL13, LU1, ST40 | Er chen tang, San zi yang qin tang (3 seed decoction to nourish one' parent), Liu jun zi tang | |
| Damp Heat in Large Intestine | Diarrhea + heat manifestions | Diarrhea (often acute w/ blood, pus or mucus), abdominal pain (lower), urgency to go, gasious, hot sensation in the anus, fever, thirsty, vomiting/coma (severe cases) | Clear heat, transform dampness | ST25, ST36, ST44, SP9 | ||
| Defiiency Cold in Large Intestine | Chronic cold pain in abdomen relieved by warming and pressure | TONGUE: pale w/ white coating; PULSE: week deep & slow; cold pain in abdomen, loose stool/diarrhea OR difficult defication, relieved by warming and pressure, prolapsed rectum, cold sensations (cold limbs), fatigue | Tonify Yang | ST25, ST36, RN12, RN6 | Li zhong wan (regulate the Middle Pill), Ji chuan jian | |
| Loss of Large Intestine Fluid | Constipation + dryness | TONGUE: dry w dry tongue coating (possibly yellow); PULSE: thready; constipatoin, dry mouth | Moisten Large Intestine | BL25, ST25, SJ6, KI6 | Run chang wan (moisten the Inestine Pill from Shen's Book) | |
| Lung Qi Deficiency | ||||||
| Lung Yin Deficiency | 4 smalls and dry cough | TONGUE: red w/ little/no tongue coating, PULSE: thready & rapid, hoarse voice, cry cough (or w/ bloody sputum), mild flushing, 5 hot spot sensations, | ||||
| Wind Cold Attacking Lung | cough | expel wind cold, release exterior | LI4, LU7, GB20, LU1 | Ma huang tang (ephedra decoction) | ||
| Wind Heat Attacking | Fever w/ mild chills and cough w/ thick yellow sputum | TONGUE: red tip w/ yellow coating; PULSE: superficial & rapid; chills & fever, cough w/ think yellow sputum, sore throat, stuffy nose, thirsty | LI4, LI11, DU14, BL13, LU1 | Sang ju yin, Yi qiao san (honeysuckle & forsythia powder) |
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StephOnnie1313
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