STAGNATION OF BLOOD
Symptoms and signs
History of trauma or operation, long duration of pain in the body with a fixed location, sharp pain with a stabbing sensation, joint pain, pain in the entire body induced by a change of posture or movement, aggravation of the pain at night, thirst without much drinking, a purplish tongue with a white coating and a deep and choppy pulse.
Principle of treatment
Promote Blood circulation, remove Blood stagnation and sedate the pain.
HERBAL TREATMENT
Prescription
SHEN TONG ZHU YU TANG
Meridian Passage
Qin Jiao Radix Gentianae Macrophyllac 10 g
Hong Hua Flos Carthami IOg
Gan Cao Radix Glycyrrhizae 5 g
Qiang Huo Rhizoma s eu Radix Notopterygii IOg
Xiang Fu Rhizoma Cyperi 10 g
Huai Niu Xi Radix Achyranthis Bidentatae IOg
Tao Ren Semen Persicae 10 g
Mo Yao Resina Myrrhae 6 g
Dang Gui Radix Angelicae Sinensis 12 g
Chuan Xiong Radix Ligustici Chuanxiong 6 g
Wu Ling Zhi Faeces Trogopterorum 9 g
Di Long Lumbricus 10 g
Explanations
• Qin Jiao, Qiang Huo and Xiang Fu promote the circulation of Qi and relieve the pain.
• Tao Ren, Hong Hua, Chuan Xiong, Huai Niu Xi and Dang Gui remove the Blood stagnation and relieve the pain.
• Mo Yao, Wu Ling Zhi and Di Long promote the circulation of Blood and remove the Blood stagnation in order to relieve the pain.
• Gan Cao harmonises the herbs in the prescription.
Modifications
1. If there is sharp pain, add Yan Hu Suo Rhizoma Corydalis 10 g and Pu Huang Pollen Typhae 10 g to increase the pain-relieving effect.
2. If there is aggravation of pain at night, add Gui Zhi Ramulus Cinnamomi 6 g and Xi Xin Herba Asari 3 g to warm the channels and relieve the pain.
3. If the joints are painful, add Chuan Shan Long Rhizortta Dioscoreae 20 g and Jiang Huang Rhizoma Curcumae Longae 10 g to regulate the Qi circulation in the channels and relieve the joint pain.
Patent remedies
Yan Hu Suo Pian Rhizoma Corydalis Tablet
Xiao Huo Luo Dan Minor Invigorate tlte Collaterals Special Pill
ACUPUNCTURE TREATMENT
LI-4 Hegu, LR-3 Taichong, SP-10 Xuehai, BL-17 Geshu, GB-34 Yanglingquan and ST-36 Zusanli. Reducing method is used on these points.
Explanations
• LI-4, the Source point of the Large Intestine channel, promotes the circulation of Qi and relieves pain in the entire body.
• LR-3 is the Stream and Source point of the Liver channel. Qi is the guide for Blood, so improvement of the circulation of Qi leads to a better Blood circulation. SP-IO is the patent point to treat Blood stasis and to relieve pain in the body. BL-17 is the Gathering point for the Blood. These two points are used to promote the circulation of Blood and to remove the Blood stasis.
• GB-34, the Gathering point for the tendons, relieves pain. ST-36, the Sea point of the Stomach channel, tonifies the Qi and promotes the circulation of Blood. These two points are also used to relieve local pain in the knee.
Modifications
1. If there is sharp pain, add PC-6 and SP-6 to promote the Qi circulation and to relieve the pain.
2. If there is joint pain, add some local Ah Shi points and the Accumulation points of the channels that are involved, to promote the local circulation of Blood and eliminate the Blood stasis.
3. If there is pain induced by movement, add TE-5 and GB-39 to activate the local Qi circulation and stop the pain.
4. If there is aggravation of the pain at night, add HT-7 and KI-6 to promote the circulation of Qi and Blood and remove Blood stasis.
DEFICIENCY OF QI AND BLOOD
Symptoms and signs
Chronic pain in the entire body, soreness of the muscles, fatigue, shortness of breath, dizziness, spontaneous sweating on exertion, an aversion to wind, a poor appetite, a pale complexion, diarrhoea with loose stools, a pale tongue with a white coating and a weak and thready pulse.
Principle of treatment
Tonify Qi and Blood and relieve the pain.
HERBAL TREATMENT
Prescription
BU ZHONG YI QI TANG
Tonifying the Middle and Benefiting Qi Decoction Huang Qi Radix Astragali seu Hedysari 20 g Zhi Gan Cao Radix Glycyrrhizae Praeparata 5 g Ren Shen Radix Ginseng IOg
Dang Gui Radix Angclicac Sinensis 10 g
Ju Pi Pericarpium Citri Reticulatae 6 g
Sheng Ma Rhizoma Cimicifugae 3 g
Chai Hu Radix Bupleuri 3 g
Qin Jiao Radix Gcntianae Macrophyllae 10 g
Fang Feng Radix Ledebouriellae IOg
Bai Zhu Rhizoma Atractylodis Macrocephalae 10 g
Explanations
• Ren Shen, Huang Qi, Bai Zhu and Zhi Gan Cao strengthen the Spleen and tonify the Spleen-Qi and Stomach-Qi.
• Sheng Ma and Chai Hu raise the Yang-Qi.
• Dang Gui aids Chai Hu to regulate the Liver-Qi in order to tonify the Blood.
• Ju Pi promotes the Qi circulation and strengthens the Spleen and Stomach.
• Qin Jiao and Fang Feng dispel the Wind and relieve the body pain.
Modifications
1. If there is muscle pain, add Qiang Huo Riiizoma seu Radix Notopterygii 10 g and Du Huo Radix Angelicae Pubescentis 10 g to regulate the circulation of Qi and relieve the pain.
2. If there is dizziness, add Tian Ma Rhizoma Gastrodiae 10 g and Man Jing Zi Fructus Viticis 10 g to regulate the circulation of Qi in order to relieve the dizziness.
3. If there is a poor appetite, add Sha Ren Fructus Amomi 6 g and Mu Xiang Radix Aucklandiae 10 g to promote the Spleen-Qi and improve the appetite.
Patent remedy
Shi Quan Da Bu Wan Ten Inclusive Great Tonifying Pill
ACUPUNCTURE TREATMENT
GV-20 Baihui, SP-6 Sanyinjiao, CV-6 Qihai, BL-20 Pishu, BL-23 Shenshu and ST-36 Zusanli. Reinforcing method is used on these points. Moxibustion treatment is recommended.
Explanations
• GV-20, the crossing point of the Governing Vessel and the Bladder channel, can raise the Yang-Qi and reinforce the Internal organs.
• CV-6 tonifies the Spleen-Qi and produces the Blood.
• BL-20 is the Back Transporting point of the Spleen and BL-23 is the Back Transporting point of the
Kidney. These two points in combination can tonify the Qi of Spleen and Kidney.
• SP-6, the crossing point of the three Yin channels of the foot, and ST-36, the Sea point of the Stomach channel, tonify the Qi and produce the Blood.
Modifications
1. If the appetite is poor, add CV-12 and SP-3 to regulate the Spleen-Qi and improve the appetite.
2. If there is dizziness, add CV-4 and GB-39 to reinforce the Qi, to tonify the Blood and relieve the dizziness.
3. If there is fatigue, add moxibustion on CV-8 to tonify the Spleen and warm the Yang.
4. If there is muscle soreness, add LI-4 and GB-34 to regulate the Qi circulation and relieve the pain.
5. If there is diarrhoea, add ST-25 and SP-9 to reinforce the Qi and stop the diarrhoea.
DEFICIENCY OF KIDNEY-YIN
Symptoms and signs
Chronic pain in the entire body, a hot sensation in the palms and soles, lumbago with soreness, a slight fever, night sweating, a dry mouth, thirst, a poor appetite, restlessness, insomnia, lassitude, tinnitus, constipation, a deep red tongue with a thin or no coating and a thready and rapid pulse.
Principle of treatment
Nourish Kidney-Yin and relieve the pain.
HERBAL TREATMENT
Prescription
LIU WEI DI HUANG WAN
Six-Flavour Rchmanniae Pill
Shu Di Huang Radix Rehmanniae Praeparata 24 g
Shan Zhu Yu Fructus Corni 12 g
Shan Yao Rhiioma Dioscoreae 12 g
Fu Ling Paria 9 g
Mu Dan Pi Cortex Moutan Radicis 9 g Ze Xie Rhizoma Alismatis 9 g Fang Feng Radix Ledebouriellae 10 g Dang Gui Radix Angelicae Sinensis 10 g
Explanations
• Shu Di Huang, Shan Zhu Yu and Shan Yao tonify the Blood and tonify the Essence of the Liver and Kidney.
• Ze Xie promotes urination and clears Deficient-Heat.
• Mu Dan Pi cools the Blood and activates the Blood circulation.
• Fu Ling strengthens the Spleen and drains the Damp.
• Dang Gui nourishes the Blood and relieves the pain.
• Fang Feng dispels the Wind and relieves the pain.
Modifications
1. If there is insomnia, add Suan Zao Ren Semen Ziziphi Spinosae 10 g and Wu Wei Zi Fructus Schisandrae 10 g to calm the Mind and improve the sleep.
2. If there is severe pain, add Fang Ji Radix Stephaniae Tetrandrae 10 g and Lao Guan Cao Herba Erodii seu Ceranti 20 g to relieve the pain.
3. If there is lower back pain, add Xu Duang Radix Dipsaci 10 g, Sang Ji Sheng Ramulus Loranthi IOg and Bai Shao Radix Paeoniae Alba 10 g to strengthen the Kidney and relieve the lower back pain.
4. If there is constipation, add Sheng Di Huang Radix Rehmanniae 15 g and Xuan Shen Radix Serophuiariac 12 g to tonify the Kidney-Yin and lubricate the Large Intestine in order to relieve the constipation.
Patent remedies
Liu Wei Di Huang Wan Six-Flavour Rehmanniae Pill
Qi Ju Di Huang Wan Lyeuim Fruit, Chrysanthemum and
Rehmannia Pill
ACUPUNCTURE TREATMENT
LR-3 Taichong, KI-3 Taixi, KI-7 Fuliu, SP-6 Sanyinjiao,
CV-3 Zhongji, BL-18 Ganshu and BL-23 Shenshu.
Reinforcing method is used on these points.
Explanations
• LR-3, the Stream and Source point of the Liver channel, nourishes the Liver Yin and relieves pain.
• KI-3, the Stream and Source point of the Kidney channel, and KI-7, the River and Metal point, nourish the Kidney-Yin and relieve the pain.
• CV-3, the Front Collecting point of the Bladder channel and the crossing point of the Directing Vessel and the three Yin channels of the foot, is often used in the treatment for reinforcement.
• SP-6, the crossing point of the Spleen, Kidney and Liver channels, can nourish the Yin and clear the Deficient-Fire.
• BL-18, the Back Transporting point of the Liver, and BL-23, the Back Transporting point of the Kidney, nourish the Yin of the Kidney and Liver.
Modifications
1. If there is lumbago with soreness, add BL-36, BL-58 and BL-62 to strengthen the lower back and relieve the pain.
2. if there is dizziness and lassitude, add SP-3, GV-20 and CV-4 to strengthen the body and relieve the dizziness.
3. If there is insomnia, add HT-7 and GV-20 to tranquillise the Mind and to improve the sleep.
4. If there is a poor appetite, add CV-12 and SP-3 to activate the Spleen and Stomach, regulate the Qi in the Middle Burner and improve the appetite.
5. If there is constipation, add BL-25, the Back Transporting point of the Large Intestine channel, and ST-37, the Lower Sea point of the Large Intestine channel, to regulate the Qi in the Large Intestine and to promote defecation.
DEFICIENCY OF KIDNEY-YANG
Symptoms and signs
A weak constitution or chronic disease, pain in the entire body with a cold sensation, lassitude, an aversion to cold, cold limbs, a pale complexion, frequent urination, especially at night, lower back pain with soreness, a pale tongue with a white coating and a deep and thready pulse.
Principle of treatment
Tonify Kidney, warm the channels and relieve the pain.
HERBAL TREATMENT
Prescription
FU ZI TANG
Prepared Aconite Decoction Zhi Fu Zi Radix Aconiti Praeparata 10 g Bai Shao Radix Paeoniae Alba 30 g Fu Ling Poria 15 g
Bai Zhu Rhizoma Atractylodis Macroccphalae 10 g
Ren Shen Radix Ginseng 10 g
Sang Ji Sheng Ramulus Loranthi 12 g
Explanations
• Zhi Fu Zi and Sang Ji Sheng tonify the Kidney-Yang and warm the channels as well as relieve the pain.
• Fu Ling and Bai Zhu strengthen the Spleen and eliminate the Damp.
• Bai Shao and Ren Shen tonify the Qi and improve energy.
Modifications
1. If there is pain with a cold sensation, add Wu Zhu Yu Fructus Evodiae 10 g and Gui Zhi Ramulus Cinnamomi 10 g to warm the Kidney-Yang and relieve the pain.
2. If there is lower back pain with soreness, add Xu Duan Radix Dipsaci 12 g and Tu Si Zi Semen Cuscutae 10 g to tonify the Kidney-Yang and relieve the pain in the lower back.
3. If there is an aversion to cold, add Gan Jiang Rhizoma Zingiberis 10 g and Rou Gui Cortex Cinnamomi 5 g to warm the channels and dispel the Cold.
Patent remedy
Jin Gui Shen Qi Wan Kidney Qi Pill
ACUPUNCTURE TREATMENT
KI-3 Taixi, BL-23 Shenshu, CV-4 Guanyuan, CV-6
Qihai, ST-36 Zusanli and GV-20 Baihui. Reinforcing method is used for these points. Moxibustion is recommended.
Explanations
• KI-3 is the Stream and Source point of the Kidney channel. BL-23 is the Back Transporting point of the Kidney. These two points are used to tonify Kidney-Yang, to warm the channels and to relieve the pain.
• CV-4 and CV-6 tonify the Yang, warm the body and remove the Cold from the interior.
• ST-36, the Sea point of the Stomach channel, tonifies the Qi and relieves the pain.
• GV-20 raises the Yang-Qi and improves the energy.
• Moxibustion treatment has a strong effect in warming the Yang and promotes the circulation of Qi in order to relieve the pain in the entire body.
Modifications
1. If there is pain with a cold sensation, add moxibustion on CV-8 to warm the channels, to dispel the Cold and relieve the pain.
2. If there is lower back pain with soreness, add BL-25 and BL-58 to harmonise the collateral and relieve the lower back pain.
3. If there is dizziness, add GB-20 and GB-39 to tonify the Blood and relieve the dizziness.
4. If there is lassitude, add SP-3 and BL-20 to tonify the Qi and strengthen the body.
5. If there is a poor appetite, add CV-12 and SP-4 to reinforce the Stomach-Qi, regulate the Spleen-Qi and improve the appetite.
