Jaundice

Question 1

In TCM, Jaundice 黃疸 (Huáng Dǎn) can be divided into what two patterns? Differentiate the two.

Answer 1

Yang Huang - bright yellow, orange skin, scanty urine, constipation

Yin Huang - dark yellow, aversion to cold, cold extremities, ST and abdominal bloating

Question 2

Yang Huang can be sub-divided into _______ patterns. Differentiate them.

Answer 2

Heat Predominant - fever, nausea, vomit, scanty urine, constipation

Damp Predominant - nausea, vomit, diarrhea, heaviness in the head and body, oppression in the chest and ST

Question 3

Yin Huang can be sub-divided into _______ patterns. Differentiate them.

Answer 3

Excess - smoky yellow, fatigue, aversion to cold, abdominal bloating, diarrhea, white greasy coat, deep slow pulse

Deficiency - dull yellow, pale, poor appetite, abdominal bloating, loose stools, SOB, palpitations, thin white coat, thin soft pulse

Question 4

Basic Point Rx for Jaundice

Answer 4

Du 17, Du 9, SI 4, GB 34, LV 3

Question 5

Basic Tx Principles for Yang Huang Jaundice

Answer 5

Clear Heat, Promote BM, Promote Urination, Relieve Nausea, Build Qi

Question 6

Basic Tx Principles for Yin Huang Jaundice

Answer 6

Drain Dampness,

Warm and Tonify Middle Jiao, Relieve Diarrhea

Question 7

Point Rx for Yang Huang Jaundice based on Tx Principles

Answer 7

Clear Heat - LI 4, LI 11, Du 14
Promote BM - SJ 6, ST 25, ST 37
Promote Urination - ST 28, Ren 4
Relieve Nausea - PC 6, ST 36, Ren 12
Build Qi - SP 6

Question 8

Point Rx for Yin Huang Jaundice based on Tx Principles

Answer 8

Drain Dampness - SP 9, ST 40
Warm and Tonify Middle Jiao - moxa ST 36, Ren 6, Ren 12
Relieve Diarrhea - ST 25, ST 36, ST 37

Question 9

Additional Point Rx for Yang Huang Jaundice due to Exterior damp heat invasion

Answer 9

LU 7, SJ 5 - release exterior

Question 10

Herb Rx for Yang Huang Jaundice due to damp heat with heat predominating

Answer 10

Yin Chen Hao Tang

Question 11

Herb Rx for Yang Huang Jaundice due to damp heat with Damp predominating

Answer 11

Yin Chen Wu Ling Tang

Question 12

Additional Point Rx for Yang Huang Jaundice due to Heat accumulation in bile duct

Answer 12

LI 20 - empirical point for bile duct blockage

GB 31, SJ 5 - Open Yang Wei

Question 13

Herb Rx for Yang Huang Jaundice due to Heat accumulation in bile duct

Answer 13

Da Chai Hu Tang

Question 14

Herb Rx for Yin Huang Jaundice due to Cold Dampness Invasion

Answer 14

Yin Chen Zhu Fu Tang

Question 15

Herb Rx for Yin Huang Jaundice due to SP and ST Deficiency

Answer 15

Xiao Jian Zhong Tang