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94 Cards in this Set
- Front
- Back
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3 HA Etiologies
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Exogenous Factors, Internal Organ Dysfunction, Trauma
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Exogenous Factors (4)
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Wind, Wind-Cold, Wind-Heat, Wind-Damp ALL obstruct clear flow of Clear Yang Qi to the Head=HA
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Describe internal Organ Pathogenesis
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Brain needs nourishment. Dysfunction LV, KI, and Sp lead to malnourishment. Phlegm can also accum w Sp Qi Dys. These all prevent clear Yang Qi from reaching head.
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Trauma Pathogenesis?
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disrupts Qi and Blood flow=Blood Stasis in C&C=HA will be in fixed location. (Enduring DZ can also lodge in C&C and cause Blood Stasis)
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Diagnose HA Exterior vs. Interior
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Ext= sudden, severe, Sharp, throbbing, burning, distending, constant VS. Int= Gradual, Mild, Dull, empty lingering, worse w exertion, intermittent
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HA Channels by Location Back of Head, Occiput, Neck
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Tai Yang = BL/SI
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HA Channels by Location Forehead Eyebrows, Maxilla
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YangMing= ST/LI
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HA Channels by Location Temporal and/or Auricular
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ShaoYang= TB/GB
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HA Channels by Location Vertex and Eyes
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JueYin= LV/PC
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HA Channels by Location Cheeks and Teeth
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ShaoYin HT/KI
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Describe a Blood Stasis HA
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Sharp, Stabbing, Fixed, Worse at night, usually chronic, Hx head trauma
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If Nausea and Vomiting are present which Pattern is too?
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Phlegm-Turbidity
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Pain Characteristics
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….
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Dull Pain =
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deficiency Qi & Blood
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Heaviness=
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Dampness, Phlegm (usually w/ dizziness and N&V)
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Distending/Throbbing sides of head=
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LV Yang Rising
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Distending Throbbing Vertex or sides?
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LV Fire
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Distending Throbbing Whole head=
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Wind Heat
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Stiff=
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Wind-Cold
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Sharp Stabbing=
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Blood Stasis
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Empty feeling in head=
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KI deficiency
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Provocation/Palliation
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….
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worse w/ activity=
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Qi & Blood Xu
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Better w light activity=
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LV Yang Rising(this is often migraines)
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Worse in Daytime=
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Qi/Yang Xu
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Worse in Eve or night=
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Blood or Yin Xu-Blood Stasis
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Worse w/ Heat=
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LV Yang Rising or LV Fire
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Worse w Cold=
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Yang Xu
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Worse w Damp Weather
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Damp or Phlegm
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Worse w Anger=
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LV Yang Rising/LV Fire
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Worse w/ Relaxation=
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LV Yang Rising
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Worse after sex?
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KI Defic.
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Better after Sex?
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LV Fire
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Worse after eating?
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Dampness/Phlegm
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Better after eating?
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Qi and Blood Xu
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Worse before Menses?
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LV Yang Rise or LV Qi Stag
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Worse During Menses?
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LV Fire or Blood Stasis
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Worse after Menses?
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Blood Xu
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Worse w Pressure?
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Excess
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Better w/ Pressure?
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Deficiency
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HA Patterns? (10)
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W/C, W/H, W/D, LV Yang Rising, KI Essence and Yin Xu, KI Yang Xu, Qi Xu, Blood Xu, Phlegm Turbidity, Blood Stasis
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W/C Symptoms
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HA w/ stiff neck and back, aversion Cold, no thirst, P=tight, float T= C/B Normal
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W/C Tx Principles
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Eliminate Wind, Scatter Cold, Relieve Px
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W/C HA Formula
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Chuan Xiong Cha Tiao San
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W/H Symptoms
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Distending, Splitting HA, fever, aversion Wind, Flushed face, thirst desire cold, runny yellow discharge, sore throat, swollen tonsils, red eyes, constip, dark urine T= dry, red yellow p= rapid floating
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W/H Tx Principles
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Elim Wind, Clr Heat, Relieve Pain
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W/H Formula 1
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Ju Hua Cha Tiao San= Chuan Xiong Cha Tiao San + Bai Jiang Can and Ju Hua
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W/H Formula 2
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Xiong Zhi Shi Gao Tang
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W/D Symptoms
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HA w heaviness, worse with Portland-like weather, heavy extremities, loss of app, chest epigast oppression, scanty urine, constip T=white greasy coat P=Soft
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LV Yang Rising Symptoms
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throbbing, distending w/ dizziness and Vertigo, irritable, restless, restless sleep, costal pain, red eyes, flushed face, bitter taste, tinnitus, hypochon pain T= red, thin yellow coat P= Wiry, forceful, thin, rapid
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LV Yang Rise Tx Principles
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Soothe LV, Descend LV Yang, Relieve Pain
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LV Yang Rise Formula
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Tian Ma Gou Teng Yin
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LV Yang Rise Unique Characteristics?
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LV Yin Xu Symptoms, Cannot Stay Asleep, Bitter Taste, thready or thin pulse
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LV Fire Characteristics?
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Can Lead to LV Yang Rise, Vertex of Head, Cannot fall asleep, Eyes really sensitive, Hair Trigger Temper, Pulse is full and wiry
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KI Essence and Yin Xu Symptoms
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HA w/ empti feeling in head, dizzi and vertigo, weak achy Low Back, knees, fatigue, seminal emission, tinnitus, insomnia T= red scanty P= Thin thready forceless
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KI Essence and Yin Xu TX Principles
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Strengthen KI, Supplement Essence, Nourish Yin, Relieve Pain
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KI Essence and Yin Xu Formula 1
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Lie Wei Di Huang Wan
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KI Essence and Yin Xu Formula 2
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Da Bu Yuan Jian
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KI Yang Xu Symptoms
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HA w/ Cold body, Pale Cxn, cold extremities, sore low back, knees, fatigue T=Pale P= Deep, slow, thready
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KI Yang Xu Treatment Principles
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Warm & Supplement KI Yang, Relieve Pain
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KI Yang Xu Formula 1
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You Gui Wan
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KI Yang Xu Formula 2
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Jin Gui Shen Qi Wan
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HA as Qi Xu Symptoms
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Constant, dull, aggravated by overexertion T= Pale, thin white coat P= Weak
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Qi Xu Tx Principles
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Supplement Qi, Relieve Pain
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Qi Xu Formula
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Bu Zhong Yi Qi Tang
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HA as Blood Xu Symptoms
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Dull HA Dizzi, vertigo, worse w/ over exertion, pale lusterless cxn, blurred vision, palpitation, fatigue, difficult falling asleep, Hx Bleeding, t= pale P= weak, thready
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Blood Xu HA Tx Principles
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Nourish Blood, Relieve Px
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Blood Xu HA Formula
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Si Wu Tan Jia Wei =(Ju Hua, Man Jing Zi, Huang Qi, Gan Cao)
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Phlegm Turbidity HA Symptoms
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HA w dizziness and heaviness, Epi and chest fullness, stuffiness, N&V, phlegm or mucus T= white greasy P= slippery and wiry
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Phlegm Turbidity Tx Principles
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Transform Phlegm, Descend Rebel Qi, Relieve Px
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Phlegm Turbidity Formula?
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Ban Xia Bai Zhu tian Ma Tang
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HA as Blood Stasis Symptoms
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Persistent, fixed, stabbing HA, HX trauma to head T= dark, purple P= choppy, thready, wiry
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Blood Stasis HA Tx Principles
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Quicken the Blood, Resolve Stasis, Relieve Pain
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Blood Stasis HA Formula
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Tong Qiao Huo Xue tang
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Frontal HA Pts (5)
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ST8, Yin Tang, Du23, LI4, St44
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Vertex HA Pts (4)
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Du20, SI3, BL67, LV3
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Occipital HA Pts (5)
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GB20, BL10, GV19, BL60, SI3
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Temporal HA Pts (5)
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TaiYang, GB8, TB5, GB41, GB43
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W/C pts
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affected channel pts and GB20, BL12, LI4, Lu7
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W/H pts
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affected channel points and LI4, LI11, GB20, GV14, TB5
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W/D pts
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affected channel pts and LI4, Lu7, GB20, St8, Sp9
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LV Yang Rising Pts (5)
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GB20, Du20, GB5, GB43, LV2
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Kid Yin Xu Pts (6)
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Du 20, BL23, BL18, KI3, Sp6, Du23
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KI Yang Xu Pts (6)
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Du20, BL23, CV4, KI3, Du4, Du23
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Qi Xu Pts (6)
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Du20, CV6, BL20, ST36, LI4, Du23
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Blood Xu Pts (6)
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BL18, BL17, BL20, Sp6, Du23, St36
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Phlegm Turbidity Pts (6)
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CV12, ST36, ST40, Du20, Yin Tang, LI4
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Blood Stasis Pts (6)
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Ashi, LI4, SP6, LV3, ST36, Sp10
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TaiYang Guiding Herbs BL/SI (2)
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Qiang Huo, Ge Gen
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YangMing guiding herbs LI/ST (2)
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Bai Zhu, Man Jing Zi
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ShaoYang Guiding Herbs TB/GB (3)
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Chuan Xiong, Chai Hu, Tian Ma
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JueYin Guiding herbs (3)
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Wu Zhu Yu, Gao Ben, Chuan Xiong
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ShaoYin Guiding Herbs KI/HT (1)
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Xi Xin
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Red Flags
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HA after 50y.o, Sudden Onset, increase in frequency and severity, already HIV or Cancer, sign of systemic illness fever rigid neck, trauma
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