Pre-Midterm Flashcards
(164 cards)
0
Q
Sudden onset, wry mouth and eye, incomplete closure of eye on affected side. Aversion to wind-cold, mild fever, facial muscle tightness which is alleviated by warmth. Tongue coating is thin and white.
Dx?
What should the pulse be?
A
Bell’s Palsy
W-C Syndrome
pulse should be superficial and tight or superficial and moderate
1
Q
Sniffing issues/ shallow naso-labial groove
Add Pts?
A
Bitong
LI 20
2
Q
Drooling
Add Pts?
A
St 4, 6
Ren 23, 24
3
Q
Eyebrow Issues
Add Pts?
A
UB 2
SJ 23
4
Q
Deviation of Philtrum
Add Pts?
A
Du 26
5
Q
Issues closing Eyes
Add Pts?
A
UB 1, 2
GB 1
SJ 23
Eyaow (?)
6
Q
Loss of Taste
Add Pts?
A
Yangming Meridian
Ren 23
7
Q
Headache (rear)
Add Pts?
A
GB 20, Du 20
8
Q
Can’t bear teeth
Add Pts?
A
St 3
9
Q
Tennitus/Deafness
Add Pts?
A
GB 2
10
Q
Mastoid Pain
Add Pts:
A
SJ 5, 17
St 9
Ashi
11
Q
Reverse Deviation of Mouth
Add Pts?
A
SI 18
12
Q
Sudden Onset, Wry mouth and eye, incomplete closure of eye on affected side. Bitter taste in mouth, dry or sore throat, burning pain in the mastoid region or ear, facial muscle weakness or flaccid. Fever with mild chills. Tongue has red tip, and thin yellow coating.
Dx?
What should the pulse be?
A
Bell’s Palsy
W-H
Superficial and rapid or wiry and rapid
13
Q
Types of Bell’s Palsy:
A
W-C
W-H
Phlegm / Blood Stasis
14
Q
Prolonged wry mouth and eye, stiffness and numbness of the face, facial contractions. Dull and dark face, heaviness in the head. . Reveresed mouth deviation/ spasm/ slobbering. Dark or purple tongue with white and sticky coating.
Dx?
Pulse expected?
A
Bell’s Palsy
Ph/Bl Stasis
Slippery or wiry and choppy
15
Q
Is electro good for Bell’s Palsy?
A
Yes! Excellent.
Mild stim early on, then later do stronger stim.
GB 14, 21, St 4-6 threaded, LI 20, etc.
16
Q
Is cupping good for Bell’s Palsy?
A
Yes - flash cupping after acupuncture for gentle stimulation and warmth.
17
Q
Types of Facial Paralysis
A
Bell's Palsy (W-C/ W-H/ Ph+Bl Stasis) (7th/Facial Nerve) Central Paralysis (Injury of Cerebral Hemisphere)
18
Q
Difference b/w Bell’s Palsy and Central Paralysis
A
Bell’s Palsy
= 7th (facial) nerve, can’t wrinkle forehead
Central Paralysis
= Injury of cerebral hemisphere/ brainstem, can still close eyelid, or can mostly close it.
19
Q
DDx for Bell’s Palsy
A
Hemiplegia
Central Paralysis
20
Q
Bell’s Palsy
W-C
Tx?
A
GB 20
LI 4
SJ 17 (moxa)
Xiao Xu Ming Tang
21
Q
W-H Bell’s Palsy
Tx?
A
SJ 5
LI 11
St 44
Yin qiao san
22
Q
Phlegm/Blood Stasis Bell’s Palsy
Tx?
A
St 40
SJ 10 (moxa)
Tia hong si wu tang
23
Q
W-C Bell’s Palsy
Pulse?
A
Superficial and tight
or superficial and moderate
24
W-H Bell's Palsy
| Pulse?
Superficial and Rapid
| or Wiry and Rapid
25
Phlegm/Blood Stasis Bell's Palsy
| Pulse?
Slippery or Wiry
| and Choppy
26
What is the long term version of Bell's Palsy?
Phlegm/Blood Stasis
(reversed mouth deviation, contractions, slobbering)
from liver yin and blood Xu failing to nourish tendons
27
Facial Spasm
| definition
Involuntary contraction of the facial muscles
28
Types of Interior Wind
Yin or Yang Xu
Blood or Qi Xu
Extreme Heat stirring wind
Liver Yang Rising
29
Majority of Facial Spasms caused by?
Interior Wind
30
Organs involved in Facial Muscular Spasms?
Liver
Spleen
Stomach
Kidney
31
Causes of Facial Muscular Spasm
W-C in Shaoyang and Yang Ming
Blood Xu --> Wind
Yin Xu--> Hyperactive Yang
32
Where do facial spasms generally start?
Orbicular muscle of eye
33
Difference b/w Facial Muscular Spasm and Facial Paralysis
No pain
| Movement as opposed to lack of movement
34
DDx of Facial Muscular Spasm
Neurothenia (weak nerve)
| Lack of Sleep (eye only, not long term usually)
35
Facial Muscular Spasm
| Tx?
```
Local
GB 20
Du 14
Ashi (muscle spasm centre, not necessarily painful)
Sj 17
St 2,4,6,7
SI 18
Taiyang
St 2
```
Distal
LI 4
St 36
SJ 5 if it's SJ related
36
Facial Spasm
| POT?
Extinguish Wind
| Relieve the Spasm
37
Irritability and Insomnia
| Add pts:
Anmian
H7
UB 15
UB 23
38
Types of Fascial Muscular Spasm
W-C
Sp-St Xu
Liver Yang Rising (due to Yin Xu)
39
Facial Muscular Spasm
W-C
Tx?
GB 20
Du 14
LI 4
40
Facial Muscular Spasm
Sp-St Xu
Tx?
```
St 36
Ren 12
UB 17, 20, 21
Sp 6
if damp add:
Sp 9
St 40
```
41
Facial Muscular Spasm
Liver Yang Rising (Yin Xu)
Tx?
```
GB 20
Du 20
Liver 3, 8 (He-Sea)
K 3, 7
Sp 6
```
42
Sp 9, St 40
| Good for what?
Damp
43
Trigeminal Neuralgia
| Definition?
Clinical syndrome characterized by sudden, lightning like paroxysms of pain in the distribution of one or more division of the Trigeminal nerve due to primary and secondary injuries. Falls into Facial pain or Temporal Headache category in TCM
44
```
Cranial Nerves
# 5
```
Trigeminal
45
```
Cranial Nerves
#7
```
Facial
46
```
Cranial Nerves
#1
```
Olfactory
47
```
Cranial Nerves
#2
```
Optic
48
```
Cranial Nerves
#10
```
Vagus
49
```
Cranial Nerves
#4
```
Trochlear
50
```
Cranial Nerves
#3
```
Oculomotor
51
```
Trigeminal Nerves
#1, 2, 3?
```
```
#1 - Opthalmic Nerve
#2 - Maxillary Nerve
#3 - Mandibular
```
52
Which are the main meridians that Trigeminal Neuralgia affects
Yangming and Shaoyang
53
TCM name for Trigeminal Neuralgia
Facial Pain or Severe Headache
54
Excess type of Trigeminal Neuralgia
less frequent
very severe pain
distending or burning pain
contracting or spasming pain
55
Types of Parkinson's Disease
| TCM
Liver and Kidney Xu
Qi and Blood Xu
Retention of Phlegm and Damp
Qi and Blood Stasis
56
Thready, Wiry and Rapid Pulse
| Which type of Parkinson's?
Liver and Kidney Xu
57
Deep and Thready pulse
| Which type of Parkinson's?
Qi and Blood Xu
58
Wiry and Slippery Pulse
| Which type of Parkinson's?
Retention of Phlegm and Damp
59
Thready, wiry and Choppy pulse
| Which type of Parkinsons'?
Qi and Blood Stasis
60
Muscular Stiffness, hand and foot or lower jaw trembling, aching pain, and numbness of the four limbs which is worse after rest and better after movement, instability in walking. Blurred vision, spiritless eyes or dark circles under the eyes, low back pain, tinnitus, possible difficulty swallowing, constipation. Red quivering tongue with little coating. Pulse Thready, wiry, and rapid
Dx?
Parkinson's
| Liver and Kidney Xu
61
Parkinson's
Liver and Kidney Xu
Specific Points for Tx?
K 3
Sp 6
Liv 3
LI 4
62
Parkinson's General Points?
```
Si sen cong
Du 20, 16
Yintang
Taiyang (for headache)
Du 14, SI 3 (trauma)
UB 13 (sweating)
UB 20, Ren 6
LI 11, St 44 (oily skin)
St 21, Ren 12 (Abdominal Distension)
St 25, Ren 6 (Constipation)
Ren 23, 24 (dry mouth)
Ren 22,23, St 40 (drooling)
UB 10 (stiff neck)
GB 37 (blurred vision)
Ren 23 (difficulty swallowing)
SJ 5, UB 57 (numbness of four limbs)
UB 62, K 6 (unstable walking)
GB 20 (dizziness), 2 (tinnitus), 34
H7 Pc 7 (disturbed sleep)
UB 52 excessive urine
Liv 3 + LI 4 (four gates)
K 3
Sp 6
GB 13
```
63
Scalp Acupuncture for Parkinson's
Motor Line
Sensory Line
Dizziness Line
Chorea and Trauma Line
64
Yangming
| Meridians?
Large Intestine
| Stomach
65
Taiyang
| meridians?
Small Intestine
| Urinary Bladder
66
Shaoyang
| meridians?
San Jiao
| Gall Bladder
67
Taiyin
| meridians?
Lung
| Spleen
68
Shaoyin
| meridians?
Heart
| Kidney
69
Jueyin
| meridians?
Pericardium
| Liver
70
Large Intestine and Stomach make up which pair?
Yangming
71
Small Intestine and Urinary Bladder make up....
Taiyang
72
Lung and Spleen make up the ....
Taiyin
73
Heart and Kidney make up the .....
Shaoyin
74
Pericardium and Liver make up the ....
Jueyin
75
San Jiao and Gallbladder make up the...
Shaoyang
76
Lung pairs with ____ to make the ---yin
Spleen
| Taiyin
77
Heart pairs with ___ to make the ---yin
Kidney
| Shaoyin
78
Pericardium pairs with ____ to make the ---yin
Liver
| Jueyin
79
Stomach pairs with _____ to make the --------- (pair) (not 5 elements)
Large Intestine
| Yangming
80
Urinary Bladder pairs with _____ to make the ------- pair (not 5 elements)
Small Intestine
| Taiyang
81
Gallbladder pairs with _____ to make the ---- pair (not 5 elements)
San Jiao
| Shaoyang
82
Trigeminal Neuralgia
| Types?
```
W-C
W-H
D-H in Liver and Gallbladder
Stomach Fire Flaring Up
------------------
Deficiency Fire Flaring Up
Qi and Blood Xu
---------------------
W-Ph Obstruction
Blood Stasis
```
83
General Points for Trigeminal Neuralgia?
```
St 7
LI 3
LI 4, Liv 3
SJ 3, 5
St 44
```
84
Points to add for Heat in Yangming (re:Trigeminal Neuralgia)
St 44, LI 2
85
Points to add when V1 (Opthalmic) involved in Trigeminal?
```
Yuyao
UB 2
GB 14
Sj 23
St 8
UB 2 (pointed down)
--choose 2 only--
```
86
Points to add if V2 (Maxillary) involved in Trigeminal Neuralgia?
```
St 2
St 3
St 7
LI 20
SI 18
```
87
Points to add if V3 (Mandibular) involved in Trigeminal Neuralgia?
St 4
St 5
St 6
88
Auricular for Trigeminal Neuralgia?
```
Exterior ear/nose
occipital
Sympathetic
Liver
Stomach
Large Intestine
Gallbladder
--3-4 points each time--
```
89
Acute onset, severe contracting pain in face, which is alleviated by warmth and aggravated by wind-cold. Aversion to wind and cold, headache, running nose. Tongue has a thin white coating.
What will the pulse be?
Dx?
POT?
Dx: Trigeminal Neuralgia
W-C
Pulse: Floating and Tight
POT: Disperse the wind and cold to stop pain.
90
Tx for Trigeminal Neuralgia W-C type?
LI 4, GB 20, SJ 5, Du 16
+ General T.N. Points: St 7, 4 gates, SJ 3 & 5, St 44, LI 3
Chuan Xiong Cha Tiao San herbal formula
91
Paroxysmal Burning Pain, referred to the corner of the head, frequently precipitated by emotional frustration. Irritability, redness of face and eyes, bitter taste in mouth. Tongue has a red tip and edge, yellow and sticky coating.
Pulse?
Dx?
POT?
Wiry and Rapid Pulse
Damp Heat in the Liver and Gallbladder, from Trigeminal Neuralgia
Remove Damp-Heat from Liver and Gallbladder to stop Pain
92
Trigeminal Neuralgia
Damp Heat in the Liver and GB type
Tx?
GB 20, Liver 3, Liver 5, Yin-Spring Points
+General T.N. Points: St 7, 4 gates, SJ 3 & 5, St 44, LI 3
Long Dan Xie Gan Tang herbal formula
93
Burning pain on the face, cheek and gum which is aggravated by heat. Redness of the face and eyes, dryness of the mouth, halitosis, constipation, dark yellow urine. Red tongue with yellow coating.
Dx?
Pulse?
Trigeminal Neuralgia
Stomach Fire Flaring Up
Pulse = Slippery and Rapid or Flooding
94
Trigeminal Neuralgia - Flaring up of Stomach Fire
POT?
Tx?
Clear stomach fire to stop pain.
St 44, LI 11
+ General T.N. Points: St 7, 4 gates, SJ 3 & 5, St 44, LI 3
Herbals: Qing Wei San
95
Dull or distending pain in face, tic or numbness of the face, aggravated by anger. Insomnia, poor memory, soreness and weakness in the lumbar region and yin Xu. Tongue is red with little or no coating.
Dx?
Pulse?
Dx: Trigeminal Neuralgia, Flaring up of Xu Fire
Pulse: Thready and Rapid
96
Trigeminal Neuralgia- Flaring up of Xu Fire
POT?
Tx?
Nourish Yin to Clear Deficient Heat
K 3, K 7, Sp 6
+ General T.N. Points: St 7, Liv3/LI 4, SJ 3 & 5, St 44, LI 3
Zhi bai di huang wan
97
Dull pain or numbness of the face, heaviness and cloudiness in the head, stuffy sensationin the chest, too much sputum, numbness of the face. Puffy tongue with wite and sticky coating.
Dx?
Pulse?
Trigeminal Neuralgia
Obstruction by Wind-Phlegm
Pulse will be Wiry and Slippery
98
Trigeminal Neuralgia - Obstruction by Wind-Phlegm
POT?
Tx?
Disperse wind phlegm, remove blockage to stop pain.
St 40, GB 20
+ General T.N. Points: St 7, Liv3/LI 4, SJ 3 & 5, St 44, LI 3
Ban xia bai zhu tian ma tang
99
Reccurrent, fixed stabbing pain in face, severe at night, numbness after the pain. Dull face Drk and purple tongue with petechiae and thin white coating.
Tx?
Pulse?
Trigeminal Neuralgia
Blood Stasis
Pulse will be Wiry and Tight or Choppy
100
Trigeminal Neuralgia
Blood Stasis
POT?
Tx?
Quicken blood to stop pain
Sp 10, UB 17
+General T.N. Points: St 7, Liv3/LI 4, SJ 3 & 5, St 44, LI 3
Tong qiao huo xue tang
101
Recurrent dull or hollow pain in face, severe upon standing, mild when lying down, aggravated by overwork. Pale face, fatigue, SOB, poor appetite. Pale tongue with white coating.
Dx?
Pulse?
Trigeminal Neuralgia
Qi and Blood Xu
Pulse will be Thready
102
Trigeminal Neuralgia
Qi and Blood Xu
POT?
Tx?
Tonify Qi and Blood to Nourish the Head
St 36, Ren 6, Sp 6
+ General T.N. Points: St 7, Liv3/LI 4, SJ 3 & 5, St 44, LI 3
Bu zhong yi qi tang + si wu tang
103
Acute onset, severe contracting pain on face which is allieviated by cold and aggravated by wind and heat. Aversion to heat, headache. Heat signs.
Dx?
Trigeminal neuralgia
| W-H
104
Spasms and contractures of the extremities, trembling of the limbs and stiffness of the neck and back, difficulty moving. Pale complexion, fatigue, lassitude of the spirit, lack of strength, fear of cold. Disinclination to speak, spontaneous perspirations, dizziness, loose stools, possible edema. Tongue is pale and puffy with a thin white coating.
Dx?
Pulse?
Parkinson's - Qi and Blood Xu
Pulse will be deep and thready
105
Parkinsons - Qi and Blood Xu
POT?
Tx?
Supplement the QI and Blood (easier on the Yang surface), extinguish wind and free the flow of the network vessels.
UB 17, UB 20, St 36
+ General Parkinson's Points: Si sen cong, Du 20, Yintang, Du 16, GB 13, GB 20, GB 34, Liv 3/LI 4, K 3, Sp 6
Gui pi tang
106
Parkinson's
| Types?
Liver and Kidney Xu
Qi and Blood Xu
Retention of Phlegm and Damp
Qi and Blood Stasis
107
Meniere's
| Types?
Liver Yang Rising
Phlegm Retention
Kidney Essence Xu
Qi and Blood (Heart and Spleen) Xu
108
Hemorrhoid
| TCM Types?
Dry Heat
Damp Heat
Qi and Blood Stasis
Sinking of Qi
109
Hemorroid
| Western Types?
1, 2, 3 degree
110
Prolapse of the Rectum
| Types?
Qi and Blood Xu/Sinking
| Damp Heat
111
Inhibited movement of the hands and feet or restless shaking. Heavy headedness, chills, cold limbs, poor appetite, gas, bloating, loose stools. Pale and puffy tongue with white and greasy coating.
Dx?
Pulse?
Parkinson's -- Retention of Phlegm and Damp
Pulse would be Wiry and Slippery
112
Parkinson's
Retention of Phlegm and Damp
Tx?
POT?
Transform Phlegm, remove damp to strengthen the spleen.
Ren 12, St 40, GB 20
+ General Points for Parkinson's: Si sen Cong, Du 20, Yintang, Du 16, GB 16, GB 20, GB 34, Four Gates, K 3, Sp 6
Herbal: Ban xia bai zhu, tian ma tang.
113
Head, lower jaw, hand and foot shaking, especially at rest and at night, inhibited bending and stretching. Fixed pain and numbness in the body and/or limbs. Purplish, dark tongue or purple spots.
Dx?
Pulse?
Parkinson's - Qi and Blood Stasis
Pulse should be Thready, wiry, and choppy.
114
Parkinson's
Qi and Blood Stasis
Tx?
POT?
Quicken the blood and free the flow of the network vessels, check the liver to extinguish wind.
General Prescription works best
Si sen Cong, Du 20, Yintang, Du 16, GB 16, GB 20, *GB 34, *Four Gates, K 3, *Sp 6
115
Distending headache, dizziness, heat in face, irritability and anger, recurrent vertigo, tinitus, hearing loss. Vertigo aggravated by changing position. Nausea, vomiting, perspiration, fainting.
Dx?
Meniere's Dz
"Xuan Yun"
Liver yang Rising type
116
Vertigo, tinnitus, hearing loss, balance issues, vomiting, perspiration, nausea, fainting, heavy tight headache, chest tightness, extreme nausea.
Dx?
Phlegm Retention type of Meniere's Dz ("Xuan Yun")
117
Xuan Yun/Meniere's Dz
Liver Yang Rising
Tx?
4 Gates, Taiyang, Du 23, Sp 6, UB 18, UB 23, Liver 8 (He-Sea), K 7
+ General Meniere's Pts: GB 20, GB 39, SI 19 (ears and lymph), PC 6, Moxa Du 20, Sp 6, St 40, 4 Gates
118
Xuan Yun/Meniere's Dz
Phlegm Retention type
Tx?
St 40, Ren 12, St 36, Yintang, UB 20/21
+ General Meniere's Pts: GB 20, GB 39, SI 19 (ears and lymph), PC 6, Moxa Du 20, Sp 6, St 40, 4 Gates
119
Vertigo, tinnitus, hearing loss, nausea, vomiting, perspiration, fainting, accompanied by low back pain, weak knees, patient is older than 50.
Dx?
Meniere's Disease / Xuan Yun
| Kidney Essence Xu Type
120
Meniere's Dz/Xuan Yun
Kidney Essence Xu type
Tx?
K 3, GB 39 (marrow), UB 23, UB 52 (residence of the will), Sp 6
+ General Meniere's Pts: GB 20, GB 39, SI 19 (ears and lymph), PC 6, Moxa Du 20, Sp 6, St 40, 4 Gates
121
Reccurrent vertigo and balance issues, tinnitus, hearing loss, Sx aggravated by change in position, nausea, vomiting, perspiration, fainting. Palpitations, pale complexion, loose stools.
Dx?
Meniere's Dz (Xuan Yun)
| Qi and Blood (Heart and Spleen) Xu
122
Meniere's Dz / Xuan Yun
Qi and Blood (Heart and Spleen) Xu
Tx?
Du 20, UB 20/21, UB 17/18, St 36, Sp 6
+ General Meniere's Pts: GB 20, GB 39, SI 19 (ears and lymph), PC 6, Moxa Du 20, Sp 6, St 40, 4 Gates
123
Common Sx:
Tinnitus
Tx?
Gb 2, SJ 17, SI 19
124
Common Sx
Vomiting
Tx?
P 6
| Ren 12
125
Insomnia
| add pts?
Anmian
H 7
Sp 6
126
Vertex Headache
| add points?
Du 20, K 1
127
Temple Headache
| Add Points?
Thread Taiyang to St 8
128
Low back Pain
| add points?
UB 23/35/52
129
Irritability
| add points?
Yintang
| P 6
130
5 Common Sx of Haemorrhoids?
```
Blood
Prolapse
Mucus
Pain
Itching
Constipation
```
131
Types of Hemorroids?
Dry Heat
Damp Heat
Qi and Blood Stasis
Sinking of Qi
132
Piles which possibly protrude beyond the anus, difficult defecation of dry stools, explosive discharge of fresh red blood from the anus. Constipation with dry stools, abdominal distention, a dry mouth, thirst, dark yellow urine. Red tongue with little fluids, dry yellow fur.
Dx?
Dry Heat type Hemorroids
133
Dry Heat type Hemorroids
| Tx?
St 44, K 6, SJ 6, LI 11
+ General Points for Hemorroids: Du 1, UB 57, UB 35, Er Bai, UB 32, Yaoqi, and if bleeding Lu 6
134
Swollen, severely painful hemorrhoids, protrusion which looks dull red in colour and is ulcerated. Anal discharge of turbid blood. Difficult defecation, a hot burning, sagging, distended feeling in the anus, especially during defecation, itchy anus, tenesmus, abdominal distension, poor appetite, heavy body, fatigue, yellow greasy coating on the tongue.
Dx?
Damp Heat type Hemorroids.
135
Damp Heat type Hemorroids:
Tx?
Pulse?
Slippery, rapid
Sp 9, St 37
+ General Points for Hemorroids: Du 1, UB 57, UB 35, Er Bai, UB 32, Yaoqi, and if bleeding Lu 6
136
Protruding hemorrhoids when defecating, discharge of blood, sagging, distended and painful anus, dark, swollen, mixed hemorrhoids which are comparatively large with severe pain. Difficult deffication, abdominal distention and fullness. A dark, purple tongue.
Dx?
Pulse?
Pulse would be wiry or choppy
Qi and Blood Stasis type of Hemorroids
137
Qi and Blood Stasis type of Hemorroids:
| Tx?
Sp 6, SJ 6, UB 25
+ General Points for Hemorroids: Du 1, UB 57, UB 35, Er Bai, UB 32, Yaoqi, and if bleeding Lu 6
138
Protruding hemorrhoids when defecating or walking, coughing, sneezing, or standing for a long time. Non returning piles unless helped by hands or by lying flat. Discharge of a large or small amount of pale coloured blood. Forceless defecation, enduring diarrhea or frequent defecation, fatigue, lassitude of the spirit, a lustreless facial complexion. Pale tongue.
Dx?
Pulse?
Pulse would be thready and weak.
Dx: Sinking of Qi type of Hemorroids.
139
Sinking of Qi type of Hemorroids:
| Tx?
Du 20, St 36, Ren 6
+ General Points for Hemorroids: Du 1, UB 57, UB 35, Er Bai, UB 32, Yaoqi, and if bleeding Lu 6
140
Types of Prolapsed Rectum?
Qi and Blood Xu
| Damp Heat
141
Slow onset, start with distending and dragging sensation of rectum during defecation, and returning to normal after the bowel movement. It is sustained without proper treatment, recurrence may happen by overstrain and the prolapsed rectum fails to return spontaneously without aid. Sallow complexion, fatigue, SOB, palpitations, dizziness. Tongue is pale with thin white coating.
Dx?
Pulse?
Qi and Blood Xu/Sinking type of Rectal Prolapse
| Pulse should be soft and thin.
142
Tx for
Qi and Blood Xu/sinking
Rectal Prolapse?
St 36, Ren 6, UB 20, UB 23, UB 24
+ general points: Du 20 moxa, Du 1, UB 25/57
daily for 12 days
143
Usually seen in acute dysentery or inflamed hemorrhoids, prolapse of rectum with bearing down sensation around the anus, tenesmus. Red and swollen anus with burning pain and itching. Red tongue with yellow and greasy coating. Soft or slippery pulse.
Tx?
LI 11, Sp 9, UB 39
+ general points: Du 20 moxa, Du 1, UB 25/57
Tx Daily for 12 days.
144
Types of Acne (TCM)
Lu / St Heat
D-H in MJ -------->(alcohol, smoking, spicy damp food)
Blood Stasis
Chong / Ren Disharmony
---------->(affects both men and women because it's about hormones)
145
Important Tx notes with Bell's Palsy
1. Tell them it will get worse for the first couple of weeks whether or not it's getting treated.
2. Early - less local points and more distal points
3. Late - more local and less distal
4. Tx very gently for early stage Bell's Palsy!
146
Red face with red lesions which feel hot and may be painful, and there are nodules, papuals. Strong appetite, bad breath, thirst with a desire for cold drinks, dry stool or constipation. Scanty yellow urine. Red tongue with yellow coating.
Pulse?
Dx?
Depressive heat in the lung and stomach, either Xu or Shi
Pulse will be Slippery and rapid.
147
Depressive heat in the lung and stomach type of Acne
POT?
Tx?
Clear heat from the Lung and Stomach
LU 11, LU 5, St 44
+ General Acne: LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi
Pi pa qing fei yin
148
Red and painful lesions with pustules on the top, itching, yellowish watery discharge, oily skin, strong appetite, bad breath, scanty dark yellow urine. Red tongue with thick yellow greasy coating.
Dx?
Pulse?
Pulse: Slippery rapid or soft rapid
Dx: Acne from Damp Heat in the Middle Jiao
149
Damp Heat in Middle Jiao type Acne
POT?
Tx?
POT: Clear damp heat from middle jiao, and strengthen the spleen
St 25, Sp 9
+ General Acne: LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi
Wu wei xiao du yin
150
Enduring purple scars or nodular papules. Possible painful menstruation with clots. A dark, purple tongue and/or purple spots.
Pulse?
Dx?
Blood Stasis type Acne
Pulse for Blood Stasis type Acne will be wiry and choppy.
151
Blood Stasis Type Acne
POT?
Tx?
POT: Quicken the pulse to remove blood stasis
Tx: Du 14, UB 17, UB 40, Sp 10
+ General Acne: LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi
152
Acne fluctuates as the cycle of the menstruation, worse before the periods and better after. Irregular and painful menstruation, moody, breasts are tender. Tongue is dark and purple.
Dx? Pulse?
Pulse will be thready
Dx: Disharmony between Chong and Ren causing Acne
153
Acne from Disharmony of Chong and Ren
POT?
Tx?
Soothe liver, regulate Qi. Harmonize Chong and Ren.
Sp 10, Sp 6
+ General Acne: LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi
Dan zhi xiao yao san
154
General Points for Acne
LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi
155
Needling methods for Acne
usually heat, so reducing method
156
Auricular for Acne
```
Lu
LI
Sp
Endocrine
Adrenal
Ear Apex bleeding - good to start with this
```
157
Can you use bleeding cupping for acne?
Yes, very good
158
Acne Education
0 - spicy/oily food, smoking, alcohol, coffee, black tea
^ veggies, fruit, green tea, herbal tea, sunshine, fresh air
0- stress, emo, make up, cosmetics
^ BM daily (acne is heat flaring up, so let toxins come out below)
^ wash face gently with plain water or herbal wash 3x per day
^ lots of water and clean fluids to relieve bowels
0 - PICKING! NONE! Don't do it!!!!
159
Urticaria Types
W-C/ W-H
D-H in St/LI
Qi and Blood Xu
Chong/Ren Disharmony
160
Urticaria - what is it?
Hives/ wheels
generally from allergens or toxins - food, drugs, pets, etc.
Histamine mediated response
161
Do the hives with Urticaria move?
Yes! And they itch.
They move from location to location, and get bigger or smaller. The small can merge into the big, etc. May come in singles or crops. Change and move quickly.
162
Sudden onset, red or pale red patches, unbearable ithing, worse with exposure to W-C/W-H. Chills, fever, body aching, thirst, agitation. Tongue is red bodied sometimes (not always), with a white or slightly yellow coating.
Dx? Pulse?
Urticaria (hives) from Invasion of Wind.
Pulse will be Superficial, tight, and rapid.
163
Urticaria - Invasion of Wind
| Tx? POT?
POT - Disperse W-C/W-H, harmonize the ying and wei using the yang meridians - Du, Taiyang, Yangming, Shaoyang)
Du 14, LI 4, UB 12, LI 11
