Case Study Ii

Front 1

Abdominal Pain due to Accumulation of cold.
Main manifestations

Back 1

Sudden onset, violent pain
better with warm
worse with cold
loose stools
cold limbs
absence of thirst
clear and profuse urine

Front 2

Abdominal Pain due to Accumulation of cold
T: + P:

Back 2

T: Thin white coat
P:Deep tense or deep slow

Front 3

Abdominal Pain due to Accumulation of cold
TX princ:

Back 3

Reducing, moxa
-Warm the ST
-Dispel cold

Front 4

Abdominal Pain due to Accumulation of cold
Point Rx:

Back 4

Ren-12
Ren-8,
ST-36,
SP-4
(ren, taiyin, yangming,of the foot)

Front 5

Abdominal Pain due to Hypoactivity of Spleen Yang.
Main manifestations

Back 5

Intermitant dull pain
aggravated by cold+hunger+fatigue
relieved by warmth
lassitude
aversion to cold

Front 6

Abdominal Pain due to Hypoactivity of Spleen Yang.
T: + P:

Back 6

T: thin white coat
P: deep/ thready

Front 7

Abdominal Pain due to Hypoactivity of Spleen Yang.
Point Rx:

Back 7

UB-20
UB-21
Ren-12
Liv-13
Ren-6
St 36

Front 8

Abdominal Pain due to Hypoactivity of Spleen Yang
TX princ

Back 8

Reinforcing, moxa
Warm + activate the channel

Front 9

Abdominal Pain due to Retention for food.
Main manifestations

Back 9

-Epigastric + abdominal distending pain
-aggervated by pressure
-anorexia
-foul belching, sour regurgitation
-abdominal pain w/ dirrhea, releived by defecation

Front 10

Abdominal Pain due to Retention of food
T: + P:

Back 10

T: Sticky
P: Rolling

Front 11

Abdominal Pain due to Accumulation of cold.
Main manifestations

Back 11

Sudeen onset, violent pain
better with warm
worse with cold
loose stools
cold limbs
absence of thirst
clear and profuse urine

Front 12

Abdominal Pain due to Accumulation of cold
T: + P:

Back 12

T: Thin white coat
P:Deep tense or deep slow

Front 13

Abdominal Pain due to Accumulation of cold
TX princ:

Back 13

Reducing, moxa
-Warm the ST
-Dispel cold

Front 14

Abdominal Pain due to Accumulation of cold
Point Rx:

Back 14

Ren-12
Ren-8,
ST-36,
SP-4
(ren, taiyin, yangming,of the foot)

Front 15

Abdominal Pain due to Hypoactivity of Spleen Yang.
Main manifestations

Back 15

Intermitant dull pain
aggravated by cold+hunger+fatigue
relieved by warmth
lassitude
aversion to cold

Front 16

Abdominal Pain due to Hypoactivity of Spleen Yang.
T: + P:

Back 16

T: thin white coat
P: deep/ thready

Front 17

Abdominal Pain due to Hypoactivity of Spleen Yang.
Point Rx:

Back 17

UB-20
UB-21
Ren-12
Liv-13
Ren-6
St 36

Front 18

Abdominal Pain due to Hypoactivity of Spleen Yang
TX princ

Back 18

Reinforcing, moxa
Warm + activate the channel

Front 19

Abdominal Pain due to Retention for food.
Main manifestations

Back 19

-Epigastric + abdominal distending pain
-aggervated by pressure
-anorexia
-foul belching, sour regurgitation
-abdominal pain w/ dirrhea, releived by defecation

Front 20

Abdominal Pain due to Retention of food
T: + P:

Back 20

T: Sticky
P: Rolling

Front 21

Abdominal Pain due to Accumulation of cold.
Main manifestations

Back 21

Sudeen onset, violent pain
better with warm
worse with cold
loose stools
cold limbs
absence of thirst
clear and profuse urine

Front 22

Abdominal Pain due to Accumulation of cold
T: + P:

Back 22

T: Thin white coat
P:Deep tense or deep slow

Front 23

Abdominal Pain due to Accumulation of cold
TX princ:

Back 23

Reducing, moxa
-Warm the ST
-Dispel cold

Front 24

Abdominal Pain due to Accumulation of cold
Point Rx:

Back 24

Ren-12
Ren-8,
ST-36,
SP-4
(ren, taiyin, yangming,of the foot)

Front 25

Abdominal Pain due to Hypoactivity of Spleen Yang.
Main manifestations

Back 25

Intermitant dull pain
aggravated by cold+hunger+fatigue
relieved by warmth
lassitude
aversion to cold

Front 26

Abdominal Pain due to Hypoactivity of Spleen Yang.
T: + P:

Back 26

T: thin white coat
P: deep/ thready

Front 27

Abdominal Pain due to Hypoactivity of Spleen Yang.
Point Rx:

Back 27

UB-20
UB-21
Ren-12
Liv-13
Ren-6
St 36

Front 28

Abdominal Pain due to Hypoactivity of Spleen Yang
TX princ

Back 28

Reinforcing, moxa
Warm + activate the channel

Front 29

Abdominal Pain due to Retention for food.
Main manifestations

Back 29

-Epigastric + abdominal distending pain
-aggervated by pressure
-anorexia
-foul belching, sour regurgitation
-abdominal pain w/ dirrhea, releived by defecation

Front 30

Abdominal Pain due to Retention of food
T: + P:

Back 30

T: Sticky
P: Rolling

Front 31

Abdominal Pain due to Retention for food.
Tx Princ

Back 31

Reducing
-Remove food stagnation

Front 32

Epigastric pain due to food retention
Main manifestations

Back 32

-Distending pain in epigastrium
-Aggravated w. pressure+ after meals
-Belching w/ fetid oder
-Anorexia

Front 33

Epigastric pain due to food retention
Point Rx

Back 33

Front mu ST, Yang ming of foot
Ren12
PC6
ST36
InnerNeiting

Front 34

Epigastric pain due to food retention
Tx Princ.

Back 34

reducing
Remove food retention
Pacify ST
Releive pain

Front 35

Epigastric pain due to food retention
T:+P:

Back 35

T: Thick + sticky coat
P:Deep Forceful, rolling

Front 36

Epigastric pain due Attack of liver Qi
Main manifestations

Back 36

Paroxysmal pain in epigastrium radiating to the Hypochondriac regions
-frequent belching
-nausea, vomiting,
-acid regurd
-abdominal distention
-anorexia

Front 37

Epigastric pain due Attack of liver Qi
Point Rx

Back 37

Liv-14
Ren-12
PC-6
Liv-3

Front 38

Epigastric pain due to Attack of liver Qi
Tx Princ

Back 38

Reducing
Remove stagnation of liver Qi
Pacify the ST
Releive pain

Front 39

Epigastric pain due Attack of liver Qi
T:+P

Back 39

T: Thin White coat
P: Deep, String-taut

Front 40

Epigastric pain due to Deficiency of ST w/ stag. of cold
Main manifestation

Back 40

Dull pain in Epigastrium
relieved by pressure + warmth
-general lassitude
-regurgation of thin fluid

Front 41

Epigastric pain due to Deficiency of ST w/ stag. of cold
T: + P:

Back 41

T: thin white coat
P:Deep, slow

Front 42

Epigastric pain due to Deficiency of ST w/ stag. of cold
Point Rx:

Back 42

Ren12
Ren6
UB-20
PC-6
St-36
SP-4

Front 43

Epigastric pain due to Deficiency of ST w/ stag. of cold
Tx Princ:

Back 43

-Warm middle Jiao
-dispel cold
-regulate flow of qi
-releive pain

Front 44

Hypochondriac Pain due to Excess
Main manifestations

Back 44

Distending pain in hyp. region, stifling sense in chest, sighing, poor appetite, bitter taste,

Front 45

Hypochondriac Pain due to Deficiency
Main manifestations

Back 45

Dull lingering pain in hyp. region, dry mouth, etc. , irritable, dizzy, blurry vision

Front 46

Hypochondriac Pain due to Deficiency
Point Rx

Back 46

Liv 14,
SJ-6
GB-34
Qi stag Liv 3, GB 40
Bld Stag UB-17, UB-18

Front 47

Hypochondriac Pain due to Deficiency
T: + P:

Back 47

T: Red tongue or pale with little coating
P:Weak or Rapid, thready (def.)

Front 48

Hypochondriac Pain due to Excess
T: + P:

Back 48

T: Thin White
P: String-taut

Front 49

Hypochondriac Pain due to Excess
point rx

Back 49

Liv-14
UB-18, 23
ST-36
SP-6

Front 50

Yang Jaundice main manifestations

Back 50

Bright yellow skin & sclera, fever, thirst, scanty dark urine, heavy body, full abdomen, stuffy chest, nausea

Front 51

Yang Jaundice T: + P:

Back 51

T: Yellow sticky coat
P: Wiry, rapid, String taut

Front 52

Yang Jaundice Point Rx

Back 52

-SP 9 & ST 36: tone SP & resolve damp
-BL 18,19 & Du 9: LV/GB shu & treat jaundice
-LV 3: regulate qi flow LV/GB
-GB 34: reduce heat

Front 53

Yang Jaundice TX Princ

Back 53

Reducing
Remove damp heat

Front 54

Yin Jaundice Main manifestations

Back 54

Sallow yellow skin, heavy body, weak, lost appetite, epig. fullness, lassitude, aversion to cold, no thirst, loose stool/diarrhea

Front 55

Yin Jaundice T: + P:

Back 55

Pale tongue, thin white coat
Deep, slow

Front 56

Yin Jaundice Tx Princ

Back 56

Even method & moxa
Warm middle jiao
Resolve damp

Front 57

Yin Jaundice Point RX

Back 57

SP 9 & ST 36: tone SP & resolve damp
-BL 18,19 & Du 9: LV/GB shu & treat jaundice
-BL 20, 48: -moxa to resolve cold damp

Front 58

Yin Edema Main mainifestation

Back 58

Insidious onset beginning with tops of feet/eyelids, spreads t/o body, worse below lumbar with pitting, sallow, aversion/cold, cold limbs, sore back/loins, weak, epig. full, abd. dist., anorexia, loose stools, fatigue, somnolence, heavy

Front 59

Yang edema Main Manifestations

Back 59

Abrupt onset starting from & worse in upper portion with puffy face/eyelids, shiny skin, more superficial, chills, fever, aversion to wind, thirst, cough, asthma, reduced dark urine, heaviness/ache

Front 60

Yang Edema Point Rx

Back 60

-K 10, Ren 6/9/3, ST 36, UB 22/24
-Other Sx: UB 39, SP 9, ST 40, Du 26

Front 61

Yang Edema Tx Princ

Back 61

Even method
Disperse LU qi
Relieve exterior symptoms
Remove edema by promoting urination

Front 62

Yang Edema T: + P:

Back 62

Thin white coat with possible quiver
Superficial (cold wind water) or
Rolling, rapid

Front 63

Yin Edema Tx Princ

Back 63

Reinforcing with moxa
Supplement SP & KD
Warm yang & dispel cold damp

Front 64

Yin Edema T: +P:

Back 64

Pale tongue with white coat, teeth marks, swollen
Deep, thready, weak, slow, tense

Front 65

Yin Edema Point Rx

Back 65

-UB 20, 23, LV 13, KD 3, SP 3
-Ren 4, 9, 6
-KD 7, ST 36, Jing Rivers
-Local areas with edema
-Ear: LU, SP, KD, UB, SJ, subcort, abd.
-Food: no salt, hot, spicy, stimulants