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8 Cards in this Set

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Dizziness due to Qi and Blood deficiency

Pathophysiology
Two mechanisms that may contribute to dizziness in this pattern.
1) qi and Blood can be weak or of poor quality and thus unable to nourish blood properly
2) Qi and blood may fail to reach the head at all due to functional weakness of the Heart and Spleen - the zang primarily responsible for correct distribution of qi and Blood
Dizziness due to Qi and Blood deficiency

Clinical Features
-Dizziness that is usually mild or postural, worse with rising from sitting or lying down, or when fatigued
-palpitations with or without anxiety
-Anxiety, phobias, panic attacks
-forgetfulness, poor memory
-blurring vision, spots before the eyes
-insomnia
-fatigue and lethergy
-low spirits or depression
-pale, sallow complexion, pale lips and nails
-poor appetite
-dry skin and hair
-heavy or prolonged menstrual periods, easy bruising
T-pale and maybe swollen with little coat
P-thready and weak
Dizziness due to Qi and Blood deficiency

Treatment Principle
and
Prescription
TP: Tonify qi and Blood
Strengthen the Spleen and Stomach

RX: GUI PI TANG
zhi huang qi 15
suan zao ren 12
fu ling 12
dang shen 12
chao bai zhu 9
dang gui 9
long yan rou 9
yuan zhi 6
mu xiang 5
zhi gan cao 5
Dizziness due to Qi and Blood deficiency

Modifications for:
-Particularly weak Spleen
-Spleen Yang Deficiency
-with easy sweating and frequent colds
-With Blood deficiency
-Particularly weak Spleen
with loose stools and abdominal bloating and loss of appetite
use CHAO dang gui
increase Mu Xiang to 9
+ Shan Yao 12
+ Shen Qu 9

-Spleen Yang Deficiency
(cold extremities, cold abdomen on palpation with desire for warm drinks)
+ Rou Gui 3
Gan Jiang 6
or use
RX: FU ZI LI ZHONG WAN
Fu Zi, Ren Shen, Gan Jiang, Bai Zhu and Zhi Gan Cao
as guiding formula

-Easy sweating and fequent colds:
increase huang qi to 24
+ Ma Huang Gen 9
Wu Wei Zi 6
or use:
RX: BUZHONG YI QI TANG
huang qi 15
dang shen 12
bai zhu 12
dang gui 9
chen pi 6
zhi gan cao 6
sheng ma 3
chai hu 3

-With Blood Deficiency
(pale lips and nails, frequent dizziness, insomnia with anxiety and palpitations)
+ Shu di 16
E Jiao 9 (dissolved later)
Dizziness due to Qi and Blood deficiency

Variations and Additional Prescriptions
Depending of mixture of deficiency...
RX: BA ZHEN WAN
shu di 12
dang shen 12
dang gui 9
bai shao 9
bai zhu 9
fu ling 9
chuan xiong 6
gou teng 12
tian ma 9
zhi gan cao 3

or cold signs...
RX: SHI QUAN DA BU TANG
shu di 15
huang qi 15
dang shen 12
bai zhu 9
fu ling 9
bai shao 9
dang gui 9
chuan xiong 6
rou gui 3
gan cao 3

Following a haemmorrhage (either postpartum or post traumatic) correct TP is to powerfully tonify qi and blood with
RX: DANG GUI BU XUE TANG
huang qi 30
dang gui 6
Dizziness due to Qi and Blood deficiency

Patent Medicines
GUI PI WAN
Heart and Spleen def.
BA ZHEN WAN
qi and Blood def
SHI DUAN DA BU WAN
qi and Blood def with cold
BU ZHONG YI QI TANG
Spleen Qi sinking
BU NAO WAN
Heart and Kidney def with Shen disturbance
DANG GUI JI JING
a liquid extract that is especially good postpartum
Dizziness due to Qi and Blood deficiency

Acupuncture
SYJ + moxa
Pi Shu BL20 +
ZSL +moxa
Qi Hai +moxa
Bai Hui +moxa

with palpitations +nei guan and xin shu +
with insomnia + Shen Men + and an mian
Dizziness due to Qi and Blood deficiency

Clinical Notes
This pattern may be associated with anaemia, thrombocytopoenia, hypotension, and post=partum convalescence.
In general this pattern takes longer to treat than excess patterns, but does respond well to correct and prolonged treatment.