6 Stages and 4 Levels- Pattern Recognition and Tx with Acupuncture

Question 1

Slight aversion to cold, aversion to wind (both subjective), slight fever (objective - hot upon palpation), slight sweating (Ying Qi deficient, failing to hold sweat in), headache, stiff neck, sneezing (Lung Qi unable to diffuse in nose), Floating-Slow pulse (Wind contracts and slows down). What is treatment?

Answer 1

Tx: release exterior, expel W and C, restore diffusing of LU Qi, harmonize Ying and Wei Qi. BL12 (cupping), LU7, LI4, GB20, TW5, ST36. Gui Zhi Tang. (for TaiYang Stage Wind-Cold with Prevalence of Wind)

Question 2

Aversion to cold, slight fever, NO sweat (Cold contracts the pores), HA, stiff neck, sneezing, runny nose with white discharge (LU Qi unable to descend), breathlessness (same), Floating-Tight pulse. What is the treatment?

Answer 2

Tx: release exterior, expel W and C, restore diffusing and descending of LU Qi. BL12 (cupping), LU7, LI4, TW5, GB20, GV16. Moxa applicable. Ma Huang Tang. (For TaiYang Wind Cold with prevalence of Cold)

Question 3

Aversion to cold, fever (d/t Wind on Exterior), retention of urine, slight thirst/thirst not relieved by drinking), vomiting of fluids soon after drinking (BL’s function of Qi transformation if impaired, water not transformed, accumulates in stomach), Floating-Rapid pulse. What is treatment?

Answer 3

Tx: release exterior, promote BL’s function of Qi transformation, promote excretion of fluids. CV9, CV3, ST28, LU7, BL22, BL39, BL64. Wu Ling San. (for TaiYang Stage Accumulation of Water)

Question 4

Hypogastric distention, fullness and urgency (d/t Heat and stasis in lower burner and BL organ), blood in urine (pathogenic factor at Blood level), mental restlessness/mania (Blood houses Shen and Heat and stasis at Blood level disturbs Shen), Reddish-Purple tongue w/o coat, Deep-Fine-Rapid or Deep-Choppy pulse (blood vessels obstructed). What is the treatment?

Answer 4

Tx: invigorate Blood, eliminate stasis from Lower Burner, clear Heat from BL. CV3, KD14, ST28, BL39, BL22, SP10, LIV3, SP6. Tao He Cheng Qi Tang (Persica Conducting Qi Decoction). (For TaiYang Stage Accumulation of Blood)

Question 5

4 Bigs: fever, sweat, thirst, pulse. (Thirst because Heat is in ST, source of fluids.) Also red face, feeling of heat, actual fever, irrtability, delirium. T: red w/yellow t.c. P: Overflowing-Rapid/Big-Rapid. What is the treatment?

Answer 5

Tx: clear ST Heat. LI11, GV14, PC3, ST44, ST43. Bai Hu Tang (White Tiger Decoction). Pungent-cold herbs to clear Heat outward. (For YangMing Stage of 6 Stages)

Question 6

High fever worse in afternoon, profuse sweat esp. upper limbs (Fire flares upward), abdominal fullness and pain (Heat/Fire has dried body fluids leading to dried feces, constipation), dry stools, thirst, dark urine. T: red w/thich, dry yellow t.c. P: Deep-Full-Slipper-Rapid. Tx: drain Fire from ST and Intestines, move downward. What is the treatment?

Answer 6

LI11, GV14, PC3, ST44, ST43, ST25, SP15, ST37, SP6. Tiao Wei Cheng Qi Tang (Regulating the Stomach Conducting Qi Decoction). Bitter-Cold herbs to stimulate bowels, expel Fire. (For YangMing organ stage)

Question 7

Alternating chills/cold feeling and fever/hot feeling (pathogenic factor oscillating b/t TaiYang andYangMing) + GB s/s like bitter taste, dry throat, blurred vision, hypochondrial fullness/distention, irritability, nausea/vomiting. T: unilateral coating typically, thin white t.c. P: Wiry-Fine. What is the treatment?

Answer 7

Tx: harmonize ShaoYang (Lesser Yang). TW5, TW6, GB41, GV13. Xiao Chai Hu Tang (Small Bupleurum Decoction). (For ShaoYang Stage)

Question 8

Abdominal fullness and vomiting (d/t Cold), feeling of cold, lack of appetite, diarrhea, no thirst, tiredness (d/t SP Yang deficiency). T: pale, sticky white t.c. P: Deep-Weak-Slow. What is the treatment?

Answer 8

Tx: tonify SP Yang, expel Cold. CV12, BL20, ST36, ST25, SP6. Moxa applicable. Li Zhong Tang (Regulating the Center Decoction). (For TaiYin Stage)

Question 9

Chills, feeling cold, lying with body curled, listlessness, desire to sleep, cold limbs, diarrhea, absence of thirst, frequent pale urination. T: pale, wet, white t.c. P: Deep-Weak-Slow. What is the treatment?

Answer 9

Tx: tonify KD Yang, expel Cold. BL23, CV4, CV6, CV8, KD7, KD3, Moxa applicable. Si Ni Tang (Four Rebellious Decoction). (for ShaoYin (Lesser Yin) Stage Cold Transformation)

Question 10

Feeling of heat, irritability, insomnia, dry mouth and throat at night, dark urine, night sweating. T: red, no coat. P: Fine-Rapid. What is the treatment?

Answer 10

Tx: nourish KD Yin, clear Empty Heat. CV4, CV6, KD3, KD6, SP6. Huang Lian E Jiao Tang (Coptis-Colla Asini Decoction). (For ShaoYin Stage Heat Transformation)

Question 11

(Heat above, cold below.) Persistent thirst, feeling of energy rising to chest, pain and sensation of heat in heart region (all these = heat above), hungry but no desire to eat, cold limbs, diarrhea, vomiting (vomiting roundworms if roundworms infestation). P: wiry. What is the treatment?

Answer 11

Tx: clear Heat above, expel Cold below, harmonize Liver channel. LIV3, LI4, SP4, PC6. Wu Mei Wan (Prunus Mume Decoction). (For JueYin stage)

Question 12

Fever, aversion to cold, sweating, HA, feeling of heaviness and uncomfortable sensation in epigastrium (Damp component), irritability, thirst (b/c Summer-Heat moves to Qi level almost immediately). T: red in front/sides w/sticky white t.c. P: soggy, rapid. What is the treatment?

Answer 12

Tx: release exterior, expel Summer-Heat, clear Heat, promote fluids. LI4, LI11, TW5, GV14, GV26, BL40, PC9. Qing Luo Yin (Clearing the Connecting Channels Decoction). (For Wei Level SummerHeat)

Question 13

Fever worse in afternoon, body hot to touch, aversion to cold, swollen glands, HA (usually frontal), feeling of heaviness, feeling of oppression in epigastrium, sticky taste, thirst w/no desire to drink. T: sticky white t.c. P: soggy. What is the treatment?

Answer 13

Tx: release exterior, resolve Dampness, clear Heat. LI4, LI11, SP9, SP6, CV12, CV9. Huo Xiang Zheng Qi San (Agastache Upright Qi Powder). (For Wei Level Damp-Heat)

Question 14

Fever, slight aversion to cold, slight sweating, dry skin, dry nose/mouth/throat, dry cough, sore throat. T: dry, thin white t.c. P: floating, rapid. What is the treatment?

Answer 14

Tx: release Exterior, clear Heat, promote fluids. LI4, LI11, TW5, SP6, LU9, CV12, ST36. Xing Su San (Prunus-Perilla Powder) or Sang Xing Tang (Morus-Prunus Decoction). For Wei Level Dry-Heat

Question 15

High fever, feeling of heat, NO aversion to cold, thirst, cough w/thin yellow sputum, S.O.B., sweating. T: red w/yellow t.c. P: slipper-rapid. What is the treatment?

Answer 15

clear Qi, clear LU-Heat, resolve Phlegm (IF Phlegm), restore descending of LU Qi. LI5, LU10, GV14, LI11, LU1, BL13. Ma Xing Shi Gan Tang (Ephedra-Prunus-Gypsum-Glycyrrhiza Decoction) or Xie Bai San (Drain the White Powder) or Qing Qi Hua Tan Tang (Clearing the Qi and Resolving Phlegm Decoction - IF profuse sticky yellow sputum) For Qi Level Lung-Heat

Question 16

High fever worse in afternoon, NO aversion to cold, feeling of heat with INTENSE thirst, PROFUSE sweating. T: red w/yellow t.c. P: overflowing-rapid. What is the treatment?

Answer 16

Tx: clear Qi, clear ST Heat. ST44, ST34, ST21, ST43, LI11, ST25. Bai Hu Tang (White Tiger Decoction). For Qi Level Stomach-Heat

Question 17

High fever higher in afternoon, constipation, dry stools, burning anus, abdominal fullness and pain, irritability, delirium. T: red, thick yellow dry t.c. P: Deep-Full-Rapid. What is the treatment?

Answer 17

Tx: drain Fire, clear ST and Intestines, move downward. LI11, ST25, SP15, ST37, ST39. Tiao Wei Cheng Qi Tang (Regulating the Stomach, Condicting Qi Decoction). For Qi Level Inestines Dry-Heat

Question 18

(=Shaoyang of 6 Stages but more Heat and some Damp) Alternating hot and cold feeling with pevalence of heat, bitter taste, thirst, dry throat, hypochondrial pain, nausea, feeling of fullness in epigatrium. T: red with unilateral sticky yellow t.c. P: Wiry-Rapid. What is the treatment?

Answer 18

Tx: harmonize ShaoYang and clear Gallbladder Heat. GB34, GB43, TW6, TW5. Hao Qin Qing Dan Tang (Artemesia-Scutellaria Clearing the Gallbladder Decoction). For Qi Level GB Heat.

Question 19

Continuous fever that decreases after sweating but soon increases again, heaviness of body and head (Damp obstructing muscles), feeling oppression of chest and epigastrium (Damp obstructing MB), nausea, loose stools (Damp impairing t&t of SP). T: red, sticky yellow t.c. P: soggy, rapid. What is the treatment?

Answer 19

Clear Heat in ST and SP, resolve Damp. CV12, SP9, SP6, CV9, ST36, LI11, CV12, BL20, BL22. Lian Po Yin (Coptis-Magnolia Decoction). For Qi Level Damp-Heat in ST and SP

Question 20

Fever at night, dry mouth with no desire to drink, mental restlessness, insomnia, delirium, incoherent speech or aphasia (Heat affecting mind), macules (Bood affected by Heat). T: red, no coat (Heat injuring Yin). P: fine-rapid. What is the treatment?

Answer 20

Tx: clear Nutritive-Qi Heat, promote fluids. PC9, PC8, HT9, KD6, ShiXuan extra points. Qing Ying Tang (Clearing Nutritive Qi [Heat] Decoction). For Heat in Ying (Nutritive-Qi) Level

Question 21

Fever at night, mental confusion, incoherent speech/aphasia, delirium (mental signs d/t Heat invading PC), body hot w/cold hands and feet (False Cold d/t Heat stopping Qi circulation to hands), mascules. T: red, no coat. P: fine-rapid. What is the treatment?

Answer 21

Tx: clear Nutritive-Qi Heat, clear Pericardium-Heat, restore consciousness, and promote fluids. PC9, PC3, PC8, HT9, KD6, LI11, ShiXuan. Qing Ying Tang (Clearing the Nutritive-Qi Decoction). For Ying Level Heat in PC

Question 22

High fever, mental restlessness, manic behavior, dark macules, vomiting blood, epitaxis, blood in stools, blood in urine. T: dark-red w/o coat. P: wiry-rapid. What is the treatment?

Answer 22

Tx: clear Blod-Heat, stop bleeding. BL17, SP10, LIV5, SP4, LI11, LIV2, KD6, HT9, ShiXuan. Xi Jiao Di Huang Tang (Cornus Rhinoceri-Rehmania Decoction). For Blood Level Heat: Heat victorious moving Blood

Question 23

High fever, fainting, twitching limbs, convulsions, neck rigidity, opisthotonos, eyeballs turning up, clenching teeth. T: dark-red w/o coat. P: wiry-rapid. What is the treatment?

Answer 23

Tx: clear Blood-Heat, extinguish Wind. SP10, LI11, LIV2, KD6, HT9, LIV3, GV16, GB20, SI3 + BL62, ShiXuan. Ling Jiao Gou Teng Tang (Cornu antelopis-Uncaria Decoction). For Blood Level Heat: Heat victorious stirring Wind

Question 24

Low-grade fever, tremor of limbs, twitching, loss of weight, malar flush, listless. T: drk-red w/o coat. P: dry, fine-rapid. What is the treatment?

Answer 24

Tx: clear Blood-Heat, nourish Liver and Kidney Yin, extinguish Wind. LIV3, GV16, GB20, SI3 + BL62, LIV8, KD6, KD3, SP6. Zhen Gan Xi Feng Tang (Pacifying the Liver and Extinguishing Wind Decoction). For Blood Level Heat: Empty-Wind agitating in Interior

Question 25

Low-grade fever, night sweating, mental restlessness, dry mouth with desire to sip liquids, five-palm heat, malar flush, emaciation. T: dark red, dry, no coat. P: fine-rapid. (Final consequence of Heat at Blood level.) What is the treatment?

Answer 25

Tx: rescure Yin, restore consciousness. ST36, KD3, SP6, KD6, CV4. Da Bu Yin Wan (Great Tonify Yin Pill). (For Blood Level Heat: Collapse of Yin)

Question 26

Feeling cold, cold limbs, bright-white complexion, profuse sweat on forehead, listless. T: pale, swollen, short. P: hidden, slow, scattered. What is the treatment?

Answer 26

Tx: rescue Yang, restore consciousness. ST36, CV6, CV4, CV8. Moxa applicable. Shen Fu Tang (Ginseng-Aconitum Decoction). (For Blood Level Heat collapse of Yang)