Modifications
1. If there is stagnation of Qi in the Stomach and oesophagus, add ST-21 and CV-12 to promote Qi circulation in the Stomach and to sedate the pain.
2. If there is pain in the abdomen, add ST-25 and ST-28 to circulate Qi in the abdomen and to sedate the pain.
3. If there is coughing and chest pain due to stagnation of Qi in the Lung, add LU-5 and BL-13 to circulate the Qi in the Lung, to cause the Lung-Qi to descend and to relieve the cough.
4. If there is pain in the groin or perineum, add LR-Il and LR-12 to harmonise the collaterals and to sedate pain.
5. If there is irritability and nervousness, add GV-20 and LR-2 to clear the Heat in the Liver and to suppress the Liver.
6. If there is insomnia and restlessness, add HT-3 and HT-8 to calm the Heart and to tranquillise the Mind.
7. If there is a poor appetite, belching and nausea, add SP-4, ST-36 and ST-40 to cause the Stomach-Qi to descend and to improve the appetite.
8. If there is constipation, add ΊΈ-6 and LI-4 to promote defecation.
STAGNATION OF BLOOD
Symptoms and signs
Stabbing pain with a fixed location, aggravation of the pain at night or by immobility, alleviation of the pain with activity, hard swelling, hard masses, bleeding with purplish blood, a dark complexion, a purplish tongue and a choppy pulse.
Principle of treatment
Promote the circulation of Qi and Blood, eliminate the Blood stasis and sedate the pain.
HERBAL TREATMENT
Prescription
GE XIA ZHU YU TANG
Drive out Blood Stasis Below the Diaphragm Decoction Tao Ren Semen Persicae 9 g Hong Hua Flos Carthami 9 g Yan Hu Suo Rhizoma Corydalis 6 g
Wu Ling Zhi Faeces Trogopterorum 9 g
Chuan Xiong Rhizoma Ligustici Chuanxiong 9 g
Dang Gui Radix Angelicae Sinensis 9 g
Dan Pi Cortex Moutan Radicis 6 g
Chi Shao Radix Paeoniae Rubra 6 g
Xiang Fu Rhizoma Cyperi 9 g
Zhi Qiao Fructus Aurantii 6 g
Wu Yao Radix Linderae 6 g
Gan Cao Radix Glycyrrhizae 6 g
Chen Pi Pericardium Citri Reticulatae 9 g
Sha Ren Fructus Amomi 6 g
Explanations
• This formula is suitable for upper abdominal pain radiating to the hypochondriac region. The herbs can be divided into two groups.
• One group of herbs invigorates the Blood and dispels Blood stasis. Tao Ren, Hong Hua, Yan Hu Suo, Wu Ling Zhi, Chuan Xiong, Dang Gui, Chi Shao and Dan Pi are commonly used herbs for invigorating the Blood and relieving the pain. But there are some differences among them.
• Tao Ren and Hong Hua are pungent and warm, breaking up and dispersing the stagnant Blood; they can be used for Blood stagnation in different regions of the body, especially for abdominal pain or swelling and pain of the limbs after trauma or operation.
• Yan Hu Suo can regulate both Qi and Blood and is very effective for stopping the pain. It can be used alone or in combination with other herbs.
• Wu Ling Zhi can break up Blood stasis, but will not consume the Blood nor disturb its normal circulation. Dang Gui can tonify and move the Blood. Both of these are especially suitable for Blood stagnation in deficiency syndrome.
• Chuan Xiong has a very strong effect on activating the circulation of Blood. It reaches all parts of the body and is very effective in stopping the pain.
• Chi Shao and Dan Pi can clear Heat in the Blood.
• Another group of herbs regulates the Qi; Xiang Fu, Zhi Qiao, Wu Yao, Sha Ren, Chen Pi and Gan Cao.
• Xiang Fu, Zhi Qiao and Wu Yao particularly regulate the Liver-Qi; they treat pain at the sides of the abdomen.
• Sha Ren regulates the Spleen-Qi and treats pain in the middle or lower abdomen.
• Chen Pi regulates the Stomach-Qi as well as the Spleen-Qi and treats the pain in the upper and middle abdomen.
• Gan Cao harmonises the actions of other herbs in the formula that work on different levels and in different directions. It can also protect the Spleen-Qi.
• All the herbs together are used to remove the stagnation of Blood and Qi in order to stop the pain. This formula can be used in the early stage of cirrhosis of the liver, trauma, adhesions and tumours.
Modifications
1. If there is irritability and restlessness, add Chai Hu Radix Bupleuri 5 g to diffuse the Liver-Qi and Dan Shen Radix Salviae Miltiorrhizae 10 g to clear the Heat in the Heart.
2. If there is severe pain of a cramping nature, add Bai Shao Radix Paeoniae Alba 10 g to smooth the muscles and tendons in order to relieve the cramp.
3. If there are palpable, immobile masses, add the herbs to soften the hardness, such as Xuan Shen Radix Scrophulariae 10 g, Zhe Bei Mu Bulbus FritiIIariae Thunbergii 10 g, Mu Li Concha Ostreae 20 g, Shan Zha Fructus Crataegi 10 g, Ji Nei Jin Endothelium Galli Corneum Gigeriae 10 g, San Leng Rhizoma Spargami 10 g and E Zhu Rhizoma Zedoariae 10 g.
4. If there is deficiency of Liver-Yin and Liver-Qi stagnation, add Bai Shao Radix Paconiae Alba 10 g, Sheng Di Huang Radix Rehmanniae Recens 10 g and Chuan Lian Zi Fructus Meliae Toosendan 10 g to nourish the Yin and to promote the circulation of
QiPatent remedy
Bie Jia Jian Wan Turtle Shell Pill
ACUPUNCTURE TREATMENT
LR-3 Taichong, LR-5 Ligou, PC-6 Neiguan, SP-6
Sanyinjiao, SP-10 Xuehai, BL-17 Geshu and LI-4 Hegu.
Reducing method is used on these points.
Explanations
• LR-3 and PC-6 promote the circulation of Qi in order to regulate the circulation of Blood.
• LI-4, SP-6, SP-10 and BL-17 promote the circulation of Blood, eliminate Blood stasis and sedate the pain.
• LR-5, the Connecting point of the Liver channel, harmonises the collateral and sedates the pain.
Modifications
I. If there is severe pain, add LR-6 and some other Accumulation points on the channels that are related to the affected organs to harmonise the collateral and sedate the pain.
2. If there is restlessness and insomnia, add HT-3 and HT-7 to calm the Mind and benefit sleep.
3. If there is bleeding with purplish blood, add SP-1 to stop the bleeding.
4. If there is weakness of the body, tiredness and poor appetite, add ST-36 and SP-3 to improve the appetite and raise the Yang and the Qi in the body.
5. If there is constipation, add ST-25 and ST-40 to promote defecation.
ACCUMULATION OF TOXIC FIRE
Symptoms and signs
Acute or subacute pain in the body, which is usually fixed at one place, but can also be throughout the body, formation of masses on the skin or within the body, erosion and necrosis with foul smell, discharge of yellow and sticky liquid from the masses, high fever, restlessness, thirst, a bitter taste in the mouth, deep yellow urine, constipation, a red tongue with a yellow and greasy coating and a wiry, slippery and rapid pulse.
Treatment principle
Cool Heat and remove Toxin, reduce Fire and sedate the pain.
HERBAL TREATMENT
Prescription
GAN LU XIAO DU DAN
Special Sweet Dew Pill to Eliminate Toxin
Hua Shi Talcum 10 g
Yin Chen Herba Artemisiae Capillaris 10 g
Huang Qin Radix Scutellariae 10 g
Shi Chang Pu Rhizoma Acori Graminei 10 g
Mu Tong Caulis Akebiae 5 g
Chuan Bei Mu Bulbus Fritillariae Cirrhosae 10 g
She Gan Rhizoma Belamcandae 10 g
Lian Qiao Fructus Forsythiac 10 g
Bo He Herba Mcnthae 5 g
Bai Kou Ren Semen Amomi Rotundus 10 g
Huo Xiang Herba Agastachis 10 g
Explanations
• Huang Qin, Lian Qiao and Chuan Bei Mu clear Heat and eliminate the Toxin.
• Lian Qian, Chuan Bei Mu and She Gan disperse stagnation, reduce the swelling and stop the pain.
• Mu Tong, Hua Shi and Yin Chen clear Heat and dry up Damp.
• Yin Chen can relieve jaundice.
• Huo Xiang, Shi Chang Pu, Bai Kou Ren and Bo He are aromatic herbs to resolve turbidity and Damp and to promote the circulation of Qi.
Modifications
1. If there is severe Heat Toxin in the Intestines, manifesting as constipation and abdominal pain, add Yin Hua Flos Lonicerae 10 g, Ma Chi Xian Herba Portulacae 10 g and Da Huang Radix et Rhizoma Rhei 10 g to clear the Heat and to remove the Toxicity.
2. If there is blood and mucus in the stools, but the blood predominates, add Zi Cao Radix Amebiae seu Lithospermi 10 g, Dan Pi Cortex Moutan Radicis 10 g, Huai Hua Flos Sophorae IOg and Di Yu Radix Sanguisorbae 10 g to cool the Blood and stop bleeding.
3. If the mucus predominates, add Fu Ling Poria 10 g, Yi Yi Ren Semen Coieis 10 g to transform the Damp.
4. If there is pronounced tenesmus, add Bai Shao Radix Paeoniae Alba 10 g to moderate the Qi in the Intestines.
5. If there is weakness of the Spleen, manifesting as poor appetite, tiredness and loose stools, add Dang Shen Radix Codonopsis Pilosulae 10 g, Bai Zhu Rhizoma Atraetylodis Macroeephalae 10 g and Fu Ling Porta 10 g to tonify the Spleen and to transform the Damp.
6. If there is stagnation of the Liver-Qi, manifesting as depression, fullness of the chest and hypochondriac pain, add Xiang Fu Rhizoma Cyperi IOg and Chai Hu Radix Bupleuri 5 g to promote the circulation of Liver-Qi.
Patent remedy
Gan Lu Xiao Du Dan Special Sweet Dew Pill to Eliminate Toxin
ACUPUNCTURE TREATMENT
LI-4 Hegu, LI-Il Quchi, TE-6 Zhigou, ST-37 Shangjuxu, ST-40 Fenglong, ST-44 Neiting, SP-21 Dabao, SP-2 Dadu, SP-6 Sanyinjiao, SP-IO Xuehai and LR-2 Xingjian. Reducing method is used on these points.
Explanations
• LI-4 and LI-11, the Source and Sea points from the Large Intestine channel, and ST-44, the Spring (Ying) point from the Stomach channel, clear the Heat, reduce Fire and remove Toxin.
• TE-6 promotes discharge of Fire and eliminates Toxin.
• ST-37, the Lower Sea point of the Large Intestine, and ST-40, the Connecting point of the Stomach channel, promote defecation in order to clear Heat and to remove Toxin.
• LR-2 and SP-2, the Spring points from the Liver and Spleen channel respectively, cool the Heat and reduce Toxic Fire.
• SP-6 and SP-10 cool toxic Fire at the Blood level and prevent Blood stagnation due to the accumulation of Heat in the Blood.
• SP-21, the great Connecting point of the Spleen channel, circulates Qi and Blood in the whole body and sedates body pain.
Modifications
1. If there is high fever and restlessness, add HT-8 and PC-8, the Spring points, to eliminate the Toxin, reduce the Fire and calm the Mind.
2. If there is discharge of blood with pus from the masses, add BL-17 to reduce the Heat in the Blood and cool the Blood.
3. If there is profuse discharge of pus, add SP-9 to eliminate the Toxic Damp.
4. If the person is only semiconscious, add HT-8 and GV-26 to waken the patient.
ACCUMULATION OF DAMP-PHLEGM
Symptoms and signs
Prolonged persistence of dull pain, sometimes pain with a distending and heavy feeling, lassitude, poor appetite, loose stools, formation of tumours that are soft in nature, gradual occurrence of erosions, discharge of white and sticky phlegm from the tumours, nausea, vomiting, a pale and swollen tongue with a white and greasy coating, and a slippery pulse.
Principle of treatment
Eliminate Phlegm and resolve Damp, disperse hardness and sedate the pain.
HERBAL TREATMENT
Prescription
DI TAN TANG
Scour Phlegm Decoction
Huang Qin Radix Scutellariae 10 g
Huang Lian Rhizoma Coptidis IOg
Ge Gen Radix Prerariae 15 g
Yin Hua Flos Lonicerae 10 g
Mu Tong Caulis Akebiae 5 g
Fu Ling Poria 15 g
Che Qian Zi Semen Plantaginis 10 g
Explanations
• Huang Qin and Huang Lian, Cold and bitter in nature, enter the Large Intestine channel, are effective in clearing Heat and drying up Damp in the Intestines.
• Ge Gen, pungent and Cold in nature, enters the Bright Yang channels, and can not only clear the Heat, but can also cause the clear Spleen-Qi to ascend in order to stop the diarrhoea.
• Yin Hua can enhance the action of Huang Qin and Huang Lian to reduce Heat.
• Mu Tong, Fu Ling and Che Qian Zi increase urination and eliminate Damp.
Modifications
1. If there is a poor appetite, add Huo Xiang Herba Agastachis 10 g and Pei Lan Herba Eupatorii 10 g to eliminate the Damp and Phlegm and improve the appetite.
2. If there is nausea or vomiting, add Zhi Ban Xia Rhizoma Pinelliae Praeparata 10 g and Chen Pi Pericarpium Citri Reticulatae 10 g to dry the Damp and regulate the Qi circulation.
3. If there are loose stools, add Cang Zhu Rhizoma Atractylodis 10 g to help Fu Ling eliminate the Damp.
4. If there is severe diarrhoea, add Ze Xie Rhizoma Alismatis 10 g to promote urination and eliminate the Damp.
Patent remedy
Xiang Sha Liu Jun Wan Six-Gentleman Pill with Aucklandia and Amomum
ACUPUNCTURE TREATMENT
LI-4 Hegu, LI-Il Quchi, ST-39 Xiajuxu, SP-9 Yinling- quan, SP-6 Sanyinjiao, ST-25 Tianshu and CV-6 Qihai.
Reducing method is used on these points.
Explanations
• LI-4, the Source point and LI-11, the Sea point, can clear Heat in the Large Intestine channel. They can also expel the Wind-Heat and reduce fever in an Exterior syndrome.
• ST-39, the Lower Sea point of the Small Intestine, and SP-9, the Sea point of the Spleen channel, are able to reduce the Heat, to transform the Damp in the Middle and Lower Burners and to stop the abdominal pain.
• SP-6 is an important point to resolve Damp and to stop pain in the lower abdomen.
• ST-25, the Front Collecting point of the Large Intestine, regulates the function of the Large Intestine.
• CV-6, the point where the Qi gathers, is used to regulate the Qi and open the obstructions in order to stop the abdominal pain.
• When all the points are used together, the Damp-Heat can be eliminated, the diarrhoea stops and the abdominal pain will disappear.
Modifications
1. If there is exterior syndrome, add TE-5 to expel the Wind-Heat.
2. If there is high fever, add GV-14 and ST-44 to reduce the fever.
3. If there is indigestion, add CV-12 and ST-44 to reduce the Heat and regulate the Large Intestine.
