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8 Cards in this Set
- Front
- Back
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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 |
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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 |
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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 |
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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) |
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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 |
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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 |
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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 |
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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. |
