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77 Cards in this Set
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tension h.a.
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*Band-like tightness or pressure in the back of the head and upper neck
*band of pressure encircling the head with the most intense pain over the eyebrows. *Pain is usually mild (not disabling) and bilateral *Not associated with an aura, nausea, vomiting, or sensitivity to light and sound |
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migraine h.a.
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*A form of vascular headache caused by vasodilatation of the large arteries of the brain.
*Vasodilatation stretches the nerves that coil around the blood vessels, causing the nerves to release chemicals. *The chemicals cause inflammation, pain, and further vasodilatation which magnifies the pain. *intense, throbbing, pounding, usu. unilateral (but switches sides often w/ subseq attack) red flag if always in same place * Nausea, vomiting, diarrhea, facial pallor, cold hands, cold feet, sensitivity to light + sound commonly accompany *40-60% preceded by: sleepiness irritability fatigue depression or euphoria yawning cravings for sweet or salty foods. *20% classic w/aura (pins/needles, flashing, scotoma (blind spot) rest are common |
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cluster h.a.
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Attacks tend to occur at about the same time every day and often awaken the patient at night
* Come in groups (clusters) lasting weeks or months, often pain comes 1-2x daily or more * The pain typically is excruciating and located around or behind one eye. ///runny nose/eye on same side |
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Tóu Tòng etiology + pathogenesis
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head pain
*EPF: wind primary + pathogen's that obstruct the flow of clear Yang Qi to/in the head *Int. organ dysfx: lack nourishmnt frm kd, lv, sp +phlegm can obstruct *trauma: blood stasis in ch.coll |
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Tóu Tòng ext. vs. int.
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acute/ gradual-chronic
severe/mild constant/intermittant sharp,distending/dull,empty *int. worse w/exertion |
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Tóu Tòng jue yin/shao yin
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Vertex and eyes: Jueyin
Radiating to the cheeks and teeth: Shaoyin |
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distending/throbbing h.a. / + stiff + empty h.a.
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Distending/throbbing = Liver Yang Rising (sides), Liver Fire (sides or vertex); Wind-Heat (whole head)
Stiff = Wind-Cold Empty = Kd. xu |
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Tóu Tòng better w/ light activity
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LV Yang rising (worse w/ relaxation)
+LV fire = worse w/ anger, heat |
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Tóu Tòng worse/better after sex/food
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Worse after sex: KI def.
Better after sex: LV Fire Worse after eating: Dampness, Phlegm Better after eating: Qi and Blood def. |
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Tóu Tòng + menses (b4, during, after)
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Worse before menses: LV Yang rising or LV Qi stag.
Worse during menses: LV Fire or Blood stasis Worse after menses: Blood def. |
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Acu for Tóu Tòng Manifesting as Wind-Cold Invasion
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W-C: LI4, LU7, GB20, BL12
Local and Distal Pts: tight neck/shoulders Frontal headache: ST8, Yintang, DU23, LI4, ST44 Vertex headache: DU20, SI3, BL67, LR3 Occipital headache: GB20, BL10, GV 19, BL60, SI3 Temporal headache: Taiyang, GB8, TB5, GB41, GB43 |
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Herbs for Tóu Tòng Manifesting as Wind-Cold Invasion
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Chuan Xiong Cha Tiao San
(Tea-Blended Ligusticum Powder) Chuan Xiong (Ligusticum Root) 9g Jing Jie (Schizonepeta) 9g Bai Zhi (Angelica Root) 6g Qiang Huo (Notopterygium Root) 6g Xi Xin (Asarum) 3g Fang Feng (Ledebouriella Root) 6g Gan Cao (Licorice Root) 6g Bo He (Field Mint) 9g |
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Acu for Tóu Tòng Manifesting as Wind-Heat Invasion
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W-H: LI4, LI11, GB20, TB5, GV14
Local and Distal Pts: W/H: distending/splitting Frontal headache: ST8, Yintang, DU23, LI4, ST44 Vertex headache: DU20, SI3, BL67, LR3 Occipital headache: GB20, BL10, GV 19, BL60, SI3 Temporal headache: Taiyang, GB8, TB5, GB41, GB43 |
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Herbs for Tóu Tòng Manifesting as Wind-Heat Invasion
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Ju Hua Cha Tiao San
(Chrysanthemum Flower Powder to Be Taken with Green Tea) Chuan Xiong Cha Tiao San + Bai Jiang Can (Stiff Silkworm) 6g Ju Hua (Chrysanthemum flower) 12g OR Xiong Zhi Shi Gao Tang (Ligusticum, Dahurican Angelica and Gypsum Decoction) Chuan Xiong (Ligusticum Root) 9g Bai Zhi (Angelica Root) 9g Shi Gao (Gypsum Powder) 30g Ju Hua (Chrysanthemum Flower) 9g Gao Ben (Chinese Lovage Root) 6g Qiang Huo (Notopterygium Root) 6g |
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Tóu Tòng Manifesting as Wind-Damp Invasion s/s
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Main Symptoms: Headache with sensation of heaviness, worse by damp/cloudy weather
Additional Symptoms: Heaviness of extremities, loss of appetite, sensation of chest and epigastric oppression, scanty urine, constipation, loss of appetite, fever Tongue: White, greasy coating Pulse: Soft |
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Acu for Tóu Tòng Manifesting as Wind-Damp Invasion
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W-D: LI4, LU7, GB20, ST8, SP9
Local and Distal Pts: Frontal headache: ST8, Yintang, DU23, LI4, ST44 Vertex headache: DU20, SI3, BL67, LR3 Occipital headache: GB20, BL10, GV 19, BL60, SI3 Temporal headache: Taiyang, GB8, TB5, GB41, GB43 |
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Herbs for Tóu Tòng Manifesting as Wind-Damp Invasion
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Qiang Huo Sheng Shi Tang
(Notopterygium Dampness-Overcoming Decoction) Qiang Huo (Notopterygium Root) 6g Du Huo (Pubescent Angelica Root) 6g Gao Ben (Chinese Lovage Root) 6g Fang Feng (Ledebouriella Root) 6g Man Jing Zi (Vitex Fruit) 6g Chuan Xiong (Ligusticum Root) 6g Zhi Gan Cao (Honey-fried Licorice Root) 3g |
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Tóu Tòng Manifesting as Phlegm Turbidity
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dizzy/heavy h.a, n, v, phlegm
* Transform Turbid Phlegm, descend rebellious Qi, relieve pain |
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Acu for Tóu Tòng Manifesting as Phlegm Turbidity
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Phlegm Turbidity: CV12, ST36, ST40, DU20, Yintang, LI4
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Herbs for Tóu Tòng Manifesting as Phlegm Turbidity
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Ban Xia Bai Zhu Tian Ma Tang
(Pinellia, Ovate Atractylodes and Gastrodia Decoction) Fa Ban Xia (Processed Pinellia Tuber) 9g Tian Ma (Gastrodia Root) 6g Fu Ling (Poria) 6g Ju Hong (Red Tangerine Peel) 6g Bai Zhu (Ovate Atractylodes Root) 15g Gan Cao (Licorice Root) 3g Sheng Jiang (Fresh Ginger) 3g Da Zao (Jujube Fruit) 2 pc |
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Acu for Tóu Tòng Manifesting as Blood Stasis
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Blood stasis: Ashi points, LI4, SP6, LR3, ST36, SP10
Local and Distal Points Based on Location: Frontal headache: ST8, Yintang, DU23, LI4, ST44 Vertex headache: DU20, SI3, BL67, LR3 Occipital headache: GB20, BL10, GV 19, BL60, SI3 Temporal headache: Taiyang, GB8, TB5, GB41, GB43 |
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Herbs for Tóu Tòng Manifesting as Blood Stasis
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Tong Qiao Huo Xue Tang
(Orifice-Freeing Blood-Quickening Decoction) Chi Shao yao (Red Peony Root) 3g Chuan Xiong (Ligusticum Root) 3g Tao Ren (Peach Seed) 9g Hong Hua (Carthamus Flower) 9g Cong Bai (Scallion white) 3g Da Zao (Jujube Fruit) 5 pc She Xiang (Musk) 0.1g Huang Jiu (Yellow wine) 50cc |
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Acu for Tóu Tòng Manifesting as Liver Yang Rising
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*throbbing/distending w/dizzyness or vertigo
Liver Yang Rising: GB20, DU20, GB5, GB43, LR2, LV3 Local and Distal Points Based on Location: Frontal headache: ST8, Yintang, DU23, LI4, ST44 Vertex headache: DU20, SI3, BL67, LR3 Occipital headache: GB20, BL10, GV 19, BL60, SI3 Temporal headache: Taiyang, GB8, TB5, GB41, GB43 |
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Herbs for Tóu Tòng Manifesting as Liver Yang Rising
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Tian Ma Gou Teng Yin
(Gastrodia and Uncaria Beverage) Tian Ma (Gastrodia Root) 9g Gou Teng (Uncaria Stem and Thorn) 12g Shi Jue Ming (Abalone Shell) 18g Shan Zhi Zi (Gardenia Fruit) 9g Huang Qin (Scutellaria Root) 9g Chaun Niu Xi (Cyathula Root) 12g Du Zhong (Eucommia Bark) 9g Yi Mu Cao (Leonurus) 9g Sang Ji Sheng (Mistletoe) 9g Ye Jiao Teng (Knotweed Stem) 9g Fu Shen (Poria Root) 9g |
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Acu for Tóu Tòng Manifesting as Qi Deficiency
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Qi Deficiency: DU20, CV6, BL20, ST36, LI4, DU23
Local and Distal Points Based on Location: Frontal headache: ST8, Yintang, DU23, LI4, ST44 Vertex headache: DU20, SI3, BL67, LR3 Occipital headache: GB20, BL10, GV 19, BL60, SI3 Temporal headache: Taiyang, GB8, TB5, GB41, GB43 |
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Herbs for Tóu Tòng Manifesting as Qi Deficiency
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Bu Zhong Yi Qi Tang
(Center-Supplementing Qi-Boosting Decoction) Huang Qi (Astragalus Root) 15g Ren Shen (Ginseng) 9g Bai Zhu (Atractylodes Root) 9g Dang Gui (Tangkuei) 9g Chen Pi (Tangerine Peel) 6g Sheng Ma (Cimicifuga Root) 3g Chai Hu (Bupleurum Root) 3g Zhi Gan Cao (Honey-fried Licorice Root) 6g |
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Acu for Tóu Tòng Manifesting as Blood Deficiency
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dull h.a/ w dizzy/vertigo, wrse w exertion
Blood Deficiency: BL18, BL17, BL20, SP6, DU23, ST36 Local and Distal Points Based on Location: Frontal headache: ST8, Yintang, DU23, LI4, ST44 Vertex headache: DU20, SI3, BL67, LR3 Occipital headache: GB20, BL10, GV 19, BL60, SI3 Temporal headache: Taiyang, GB8, TB5, GB41, GB43 |
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Herbs for Tóu Tòng Manifesting as Blood Deficiency
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Si Wu Tang Jia Wei
(Four Gentlemen Decoction With Additional Flavors) Dang Gui (Tangkuei) 12g Bai Shao Yao (White Peony Root) 12g Shu Di Huang (Cooked Rehmannia Root) 12g Chuan Xiong (Ligusticum Root) 9g + Ju Hua (Chrysanthemum Flower) 9g Man Jing Zi (Vitex Fruit) 9g Huang Qi (Astragalus Root) 12g Gan Cao (Licorice Root) 6g |
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Acu for Tóu Tòng Manifesting as Kidney Essence/Yin Deficiency
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h.a. w/ "empty" head/ dizzy/vert
Kidney Yin Deficiency: DU20, BL23, BL18, KI3, SP6, DU23 Local and Distal Points Based on Location: Frontal headache: ST8, Yintang, DU23, LI4, ST44 Vertex headache: DU20, SI3, BL67, LR3 Occipital headache: GB20, BL10, GV 19, BL60, SI3 Temporal headache: Taiyang, GB8, TB5, GB41, GB43 |
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Herbs for Tóu Tòng Manifesting as Kidney Essence/Yin Deficiency
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Liu Wei Di Huang Wan
OR Da Bu Yuan Jian (Major Origin-Supplementing Brew) Shu Di Huang (Cooked Rehmannia Root) 24g Shan Zhu Yu (Cornus Fruit) 12g Shan Yao (Dioscorea Root) 12g Gou Qi Zi (Lycium Berry) 12g Ren Shen (Ginseng) 9g Dang Gui (Tangkuei) 9g Zhi Gan Cao (Honey-fried Licorice Root) 6g |
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Acu for Tóu Tòng Manifesting as Kidney Yang Deficiency
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h.a. w/cold body sx
Kidney Yang Deficiency: DU20, BL23, CV4, KI3, DU4, DU23 Local and Distal Points Based on Location: Frontal headache: ST8, Yintang, DU23, LI4, ST44 Vertex headache: DU20, SI3, BL67, LR3 Occipital headache: GB20, BL10, GV 19, BL60, SI3 Temporal headache: Taiyang, GB8, TB5, GB41, GB43 |
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Herbs for Tóu Tòng Manifesting as Kidney Yang Deficiency
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You Gui Wan
(Right-Restoring Kidney Yang Pill) Shu Di Huang (Cooked Rehmannia Root) 24g Shan Yao (Dioscorea Root) 12g Shan Zhu Yu (Cornus Fruit) 9g Gou Qi Zi (Lycium Berry) 12g Lu Jiao Jiao (Deerhorn Glue) 12g Tu Si Zi (Cuscata Seed) 12g Du Zhong (Eucommia Bark) 12g Dang Gui (Tangkuei) 9g Rou Gui (Cinnamon Bark) 6g Zhi Fu Zi (Processed Aconite) 6g OR Jin Gui Shen Qi Wan (Golden Coffer Kidney Qi Pill) Shu Di Huang (Cooked Rehmannia root) 24g Shan Zhu Yu (Cornus fruit) 12g Shan Yao (Dioscorea root) 12g Ze Xie (Alisma tuber) 9g Mu Dan Pi (Moutan root bark) 9g Fu Ling (Poria) 9g Rou Gui (Cinnamon bark) 3g Pao Fu Zi (Blast-fried Aconite) 3g |
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guiding herbs to 6 stages
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tai yang: qiang huo, ge gen
yang ming: bai zhi, man jing zi shao yang: chai hu, chuan xiong, tian ma jue yin: wu zhu yu, gao ben, chuan xiong shao yin: xi xin **+ herbs for deep obstr. in collaterals Tao Ren, Hong Hua, Chi Shao, Si Gua Luo as well as “insect” medicinals such as Quan Xie, Wu Gong, and Di Long to root out the pathogen. |
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h.a red flags:
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hypertension
increase severity increase frequency |
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LV fx/characteristics + implications
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STORES BLOOD
*moistening/nourishing, menses, reg general blood volume SMOOTH FLOW QI *bile secretion, fx of qi in all organs, emotions Controls SINEWS/tendons manifests in NAILS Opens to EYES houses the HUN |
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Dizziness + Vertigo
Xuàn Yùn - definition |
•In Chinese, dizziness and vertigo are known as Xuàn Yùn. Xuàn means blurred vision or blackouts, while Yùn means the subjective sensation that the body or the environment is spinning.
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Dizziness + Vertigo
Xuàn Yùn - relevant biomedical conditions |
•Hypertension
•Hypotension •Hypoglycemia •Anemia •Labyrinthitis •Meniere’s disease •Traumatic head injury |
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Dizziness + Vertigo
Xuàn Yùn - etiology + pathogenesis |
1.Emotional stress:
A.Liver: emotions = Qi stagnation which, in turn, can generate Heat. Heat can damage Liver and Kidney Yin, = failure to nourish the Liver + dysregulation btwn Yin and Yang = Liver Yang to rise hyperactively, disturbing clear orifices + dizziness and vertigo. “All manifestations of Wind, such as dizziness, tremors and twitching, pertain to Liver pathology.” B.Spleen: excessive pensiveness can weaken the Spleen, = failure to generate Qi and Blood + lack of nourishment to the Brain, resulting in dizziness +vertigo. 2. Improper diet, overwork, hemorrhage: weaken SP + ST = failure generate Qi and Blood and lack of nourishment to Brain, = Xuan yun. Sp + St Deficiency.... Accum of Phlegm-Dampness. Turbid Phlegm prevents clear Yang Qi going to the Brain. "No Dizziness no Phlegm" 3. Chronic illness, aging, congenital Deficiency, excessive sexual activity: the preceding factors result in Kidney Essence xu, cant generate Marrow = failure to nourish the Brain. “Insufficient Sea of Marrow = dizziness, vertigo, blurred vision, tinnitus |
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Dizziness + Vertigo
Xuàn Yùn - dt LV yang rising Tx princ + pts |
Tx princ: Settle the Liver, subdue Yang, nourish + supplement the Liver + Kidney, relieve dizziness and vertigo
•Liver Yang Rising: LR2/LR3, BL18, BL23, KI3, SP6, GB20 •Ear Points: Shen Men, Kidney, Occiput, Inner Ear, Subcortex •Scalp Points: Yun Ting Qu (vertigo & hearing region) |
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Dizziness + Vertigo
Xuàn Yùn - dt LV yang rising Herbs |
Tian Ma Gou Teng Yin
(Gastrodia and Uncaria Beverage) Tian Ma (Gastrodia Root) 9g Gou Teng (Uncaria Stem and Thorn) 12g Shi Jue Ming (Abalone Shell) 12g Shan Zhi Zi (Gardenia Fruit) 9g Huang Qin (Scutellaria Root) 9g Chuan Niu Xi (Cyathula Root) 12g Du Zhong (Eucommia Bark) 9g Yi Mu Cao (Leonurus) 9g Sang Ji Sheng (Mistletoe) 9g Ye Jiao Teng (Flowery Knotweed Stem) 9g Fu Shen (Poria Root) 9g |
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Dizziness + Vertigo
Xuàn Yùn - dt Phlegm damp in MJ Tx principle + pts |
Tx princ: Strengthen Spleen, harmonize Stomach, dry dampness, resolve phlegm, relieve dizziness + vertigo
•Phlegm-Damp in the Middle Jiao: ST8, ST36, ST40, CV12, PC6, GB20, BL20 •Ear Points: Shen Men, Kidney, Occiput, Inner Ear, Subcortex •Scalp Points: Yun Ting Qu (vertigo & hearing region) |
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Dizziness + Vertigo
Xuàn Yùn - dt Phlegm damp in MJ Herbs |
Ban Xia Bai Zhu Tian Ma Tang
(Pinellia, Ovate Atractylodes and Gastrodia Decoction) Fa Ban Xia (Processed Pinellia Tuber) 9g Tian Ma (Gastrodia Root) 6g Fu Ling (Poria) 6g Ju Hong (Red Tangerine Peel) 6g Bai Zhu (Ovate Atractylodes Root) 15g Gan Cao (Licorice Root) 4g Sheng Jiang (Fresh Ginger) 3g Da Zao (Jujube Fruit) 2 pcs. |
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Dizziness + Vertigo
Xuàn Yùn - dt Phlegm fire in MJ tx principle + pts |
TX princ: transform Phlegm, clear Heat, relieve dizziness and vertigo
•Phlegm-Fire in the Middle Jiao: ST8, ST40, LR2, GB20, PC6, CV12 •Ear Points: Shen Men, Kidney, Occiput, Inner Ear, Subcortex •Scalp Points: Yun Ting Qu (vertigo & hearing region) |
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Dizziness + Vertigo
Xuàn Yùn - dt Phlegm fire in MJ herbs |
Wen Dan Tang
(Gallbladder-Warming Decoction) Fa Ban Xia (Pinellia Tuber) 6g Zhu Ru (Bamboo Shavings) 6g Zhi Shi (Unripe Bitter Orange) 6g Chen Pi (Tangerine Peel) 6g Gan Cao (Licorice Root) 6g Fu Ling (Poria) 9g Sheng Jiang (Fresh Ginger) 2 pc Da Zao (Jujube Fruit) 3 pc Plus: Huang Lian (Coptis Root) 9g Huang Qin (Scutellaria Root) 9g |
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Dizziness + Vertigo
Xuàn Yùn - dt qi + blood xu tx principle + pts |
Tx princ: Strengthen Spleen and Stomach, supplement qi and blood, relieve dizziness and vertigo
•Deficiency of Qi & Blood: BL17, BL18, CV6, CV4, GV20, SP6, ST36, GB39, LR8 •Ear Points: Shen Men, Kidney, Occiput, Inner Ear, Subcortex •Scalp Points: Yun Ting Qu (vertigo & hearing region) |
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Dizziness + Vertigo
Xuàn Yùn - dt qi + blood xu herbs |
Gui Pi Tang
(Spleen-Returning Decoction) Huang Qi (Astragalus Root) 9g Ren Shen (Ginseng) 9g Bai Zhu (Ovate Atractylodes Root) 9g Fu Shen (Poria Root) 9g Long Yan Rou (Longan Fruit) 9g Suan Zao Ren (Spiny Jujube Kernel) 9g Mu Xiang (Saussurea Root) 6g Dang Gui (Tangkuei) 6g Yuan Zhi (Polygala Root) 3 g Zhi Gan Cao (Honey-fried Licorice Root) 6g Shang Jiang (Fresh Ginger) 3g Da Zao (Jujube Fruit) 5 pc |
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Dizziness + Vertigo
Xuàn Yùn - dt KD essence + yin xu tx principle + pts |
Tx principle: Supplement the Kidney, nourish Yin, relieve dizziness and vertigo
(dizziness doesn't abate) •Deficiency of Kidney Yin: KI3, KI6, BL18, BL23, GV20, ST36, SP6 •Ear Points: Shen Men, Kidney, Occiput, Inner Ear, Subcortex •Scalp Points: Yun Ting Qu (vertigo & hearing region) |
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Dizziness + Vertigo
Xuàn Yùn - dt KD essence + yin xu herbs |
Zuo Gui Wan
(Left-Restoring Kidney Yin Pill) Shu Di Huang (Cooked Rehmannia Root) 24g Shan Yao (Dioscorea Root) 12g Shan Zhu Yu (Cornus Fruit) 12g Gou Qi Zi (Lycium Berry) 12g Chuan Niu Xi (Cyathula Root) 9g Tu Si Zi (Cuscuta Seed) 12g Lu Jiao Jiao (Deerhorn Glue) 12g Gui Ban Jiao (Tortoise Plastron Glue) 12g |
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Dizziness + Vertigo
Xuàn Yùn - dt KD essence + yang xu tx principle + pts |
Tx princ: Supplement the Kidneys, tonify Kidney Yang, relieve dizziness and vertigo
•Deficiency of Kidney Yang: BL17, BL23, KI 3, GV20, CV4, GV4 •Ear Points: Shen Men, Kidney, Occiput, Inner Ear, Subcortex •Scalp Points: Yun Ting Qu (vertigo & hearing region) |
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Dizziness + Vertigo
Xuàn Yùn - dt KD essence + yang xu herbs |
You Gui Wan
(Right-Restoring Kidney Yang Pill) Shu Di Huang (Cooked Rehmannia Root) 24g Shan Yao (Dioscorea Root) 12g Shan Zhu Yu (Cornus Fruit) 9g Gou Qi Zi (Lycium Berry) 12g Lu Jiao Jiao (Deerhorn Glue) 12g Tu Si Zi (Cuscata Seed) 12g Du Zhong (Eucommia Bark) 12g Dang Gui (Tangkuei) 9g Rou Gui (Cinnamon Bark) 6g Zhi Fu Zi (Processed Aconite) 6g |
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Clinical tips for Xuàn Yùn
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•In middle-aged and older patients there is a distinct possibility that more severe cases of dizziness and vertigo, particularly crossed by Liver Yang rising, may result in Wind-Stroke. Hence, prevention and prompt treatment of dizziness and vertigo in older patients is very important.
•Preventive measures include decreasing consumption of rich foods and alcohol, abstaining from hot, spicy foods, controlling the emotions, engaging in appropriate physical exercise. |
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Herb combo for aphasia, depression, obstruction of heart orifice
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Shi Chang pu
Yuan zhi |
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Depression Patterns/Yù Zhèng - definition
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Yù refers to any obstruction resulting from stagnation, stasis, accumulation and retention.
The broad concept of Depression Patterns/Yù Zhèng encompasses all clinical manifestations caused by stagnation of Qi, Blood, Phlegm, Fire, Dampness, and food arising from internal organ dysfunction or from invasion by exogenous pathogenic influences. |
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Depression Patterns/Yù Zhèng patterns
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*narrow sense, Yù Zhèng = syndrome with a variety of patterns stemming from emotional disturbance characterized by stag + obstruction of Qi flow
* melancholy, moodiness, despondence, depression, anxiety, irritability, or bouts of crying. *Associated manifestations: costal distention or pain and an uncomfortable sensation in the throat (plum pit) |
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“All depression can be classified as...
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a Liver disease.”
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Depression Patterns/Yù Zhèng:
Etiology and Pathogenesis: early stage
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Early-stage Depression Patterns/Yù Zhèng: emotional stress such as frustration, anger, and depression may cause Liver Qi stagnation. Qi is the motive force of metabolism. In a condition of prolonged Qi stag, other pathologies of Blood stasis, accum of Dampness or Phlegm, or Food stagnation may arise as a consequence. These pathogenic factors may, in time, turn to Fire, = another source of stagnation.
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Depression Patterns/Yù Zhèng:
Etiology and Pathogenesis: late stage
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Later stage Depression Yù Zhèng: early stage one of shi, the later stage is relatively more xu. Constrained LV Qi inhibits the SP function, resulting in insufficient generation of Qi and Blood and malnourishment of the HT Spirit. Deficiency of HT Blood and Yin will lead to KD Yin deficiency with empty Fire.
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Depression Patterns/Yù Zhèng Manifesting as Stagnation of Liver Qi sxs + sns
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Main Symptoms: Depression, mood swings, restlessness, chest, epigastric, abdominal, and hypochondriac distention and pain
Additional Symptoms: Sighing, pain and distention relieved by belching and/or passing gas, reduced appetite, menstrual irregularities Tongue: Thin white or thin greasy coating Pulse: Wiry, slippery |
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Depression Patterns/Yù Zhèng Manifesting as Stagnation of Liver Qi tx princ + pts
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Soothe Liver, regulate Qi, relieve depression
Basic Points: DU20, DU24 Liver Qi Stagnation: BL18, LR3, ST36, SP4, PC6, CV12, CV17 |
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Depression Patterns/Yù Zhèng Manifesting as Stagnation of Liver Qi herbs
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Chai Hu Shu Gan San
(Bupleurum Liver-Coursing Powder) Chai Hu (Bupleurum Root) 6g Bai Shao Yao (White Peony Root) 9g Xiang Fu Zi (Cyperus Root) 6g Chuan Xiong (Ligusticum Root) 6g Chen Pi (Tangerine Peel) 6g Zhi Ke (Bitter Orange Peel) 6g Zhi Gan Cao (Honey-fried Licorice Root) 3g |
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Depression Patterns/Yù Zhèng Manifesting as Qi Stagnation turning into Fire sxs + sns
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Main Symptoms: Easily agitated and irritable, hypochondriac distention and pain, chest oppression
Additional Symptoms: Headache, red eyes, tinnitus, acid regurgitation, dry mouth, bitter taste in mouth, constipation, stomach upset Tongue: Red, thin yellow coating Pulse: Wiry, rapid |
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Depression Patterns/Yù Zhèng Manifesting as Qi Stagnation turning into Fire tx princ + pts
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Clear Liver, drain Fire, calm Stomach, regulate Qi, relieve depression
Basic Points: DU20, DU24 Qi Stagnation turning into Fire: GB34, GB43, LR2, TB6, CV13 |
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Depression Patterns/Yù Zhèng Manifesting as Qi Stagnation turning into Fire herbs
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Dan Zhi Xiao Yao San
(Moutan & Gardenia Free Wanderer Powder) Chai Hu (Bupleurum Root) 9g Bai Shao Yao (White Peony Root) 12g Dang Gui (Tangkuei Root) 9g Bai Zhu (Atractylodes Root) 9g Fu Ling (Poria) 9g Mu Dan Pi (Moutan Root Bark) 9g Shan Zhi Zi (Gardenia Fruit) 9g Zhi Gan Cao (Honey-fried Licorice Root) 6g Sheng Jiang (Fresh Ginger) 3g Bo He (Field Mint) 3g |
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Depression Patterns/Yù Zhèng Manifesting as Obstruction of Static Qi & Phlegm sxs + sns
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Main Symptoms: Plum-pit sensation in the throat that cannot be expectorated or swallowed
Additional Symptoms: Chest and hypochondriac distention, costal pain Tongue: White, greasy coating Pulse: Wiry, slippery |
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Depression Patterns/Yù Zhèng Manifesting as Obstruction of Static Qi & Phlegm tx princ + pts
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Regulate Qi to relieve constraint, resolve Phlegm, relieve depression
Basic Points: DU20, DU24 Obstruction of Static Qi & Phlegm: CV12, CV17, CV22, ST40, LR3, PC6 |
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Depression Patterns/Yù Zhèng Manifesting as Obstruction of Static Qi & Phlegm herbs
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Ban Xia Hou Po Tang
(Pinellia & Magnolia Bark Decoction) Fa Ban Xia (Pinellia Tuber) 12g Hou Po (Magnolia Bark) 9g Fu Ling (Poria) 12g Sheng Jiang (Fresh Ginger) 9g Zi Su Ye (Perilla Leaf) 6g |
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Depression Patterns/Yù Zhèng Manifesting as Xy of Yin and Blood (Restless Organ Disorder)
sxs + sns |
Main Symptoms: Depression, frequent attacks of melancholy, crying spells, hysteria, abnormal and unregulated emotional responses, mood swings, suspiciousness, trance-like mental state, frequent yawning
Additional Symptoms: Restlessness, disorientation, deafness, aphonia, convulsions, chest oppression, loss of consciousness Tongue: Pale, thin white coating Pulse: Wiry, thready |
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Depression Patterns/Yù Zhèng Manifesting as Xu of Yin and Blood (Restless Organ Disorder)
tx princ + pts |
Nourish the Heart, quiet the Spirit, relieve depression
Basic Points: DU20, DU24 Deficiency of Yin & Blood: HT7, SP6, ST36, LI4, CV14, PC6 |
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Depression Patterns/Yù Zhèng Manifesting as Xu of Yin and Blood (Restless Organ Disorder) herbs
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Gan Mai Da Zao Tang
(Licorice, Wheat & Jujube Decoction) Gan Cao (Licorice Root) 9g Xiao Mai (Wheat) 30g Da Zao (Jujube Fruit) 10 pc |
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Depression Patterns/Yù Zhèng Manifesting as HT + SP Dual Xu (Qi & Blood) sxs + sns
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Main Symptoms: Pensiveness, palpitations, poor memory, insomnia, anxiety, epigastric fullness and discomfort
Additional Symptoms: Loss of appetite, pale complexion, fatigue Tongue: Pale Pulse: Weak, thready |
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Depression Patterns/Yù Zhèng Manifesting as HT + SP Dual Xu (Qi & Blood) tx princ + pts
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Tonify Spleen, nourish Heart, relieve depression
Basic Points: DU20, DU24 Heart & Spleen Deficiency: HT7, ST36, SP6, CV12, BL15, BL20 |
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Depression Patterns/Yù Zhèng Manifesting as HT + SP Dual Xu (Qi & Blood) herbs
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Gui Pi Tang
(Spleen-Returning Decoction) Huang Qi (Astragalus Root) 9g Ren Shen (Ginseng) 9g Bai Zhu (Ovate Atractylodes Root) 9g Fu Shen (Poria Root) 9g Long Yan Rou (Longan Fruit) 9g Suan Zao Ren (Spiny Jujube Kernel) 9g Mu Xiang (Saussurea Root) 6g Dang Gui (Tangkuei) 6g Yuan Zhi (Polygala Root) 3 g Zhi Gan Cao (Honey-fried Licorice Root) 6g Shang Jiang (Fresh Ginger) 3g Da Zao (Jujube Fruit) 5 pc |
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Depression Patterns/Yù Zhèng Manifesting as HT & KD Disharmony sxs + sns
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Main Symptoms: Easily angered and irritable, dizziness, tinnitus, palpitations, insomnia
Additional Symptoms: Weak and sore low back and knees, menstrual irregularities, nocturnal emissions Tongue: Red, scanty coating Pulse: Thready, rapid |
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Depression Patterns/Yù Zhèng Manifesting as HT & KD Disharmony tx princ + pts
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Nourish Yin, clear Heat, sedate the Heart, calm the Spirit, relieve depression
Basic Points: DU20, DU24 Heart & Kidney Disharmony: HT7, HT5, BL15, BL23, KI3, SP6, CV17, PC6 |
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Depression Patterns/Yù Zhèng Manifesting as HT & KD Disharmony herbs
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Tian Wang Bu Xin Dan
(Celestial Emperor Heart-Supplementing Elixir) Sheng Di Huang (Rehmannia Root) 30g Tian Men Dong (Asparagus Tuber) 12g Mai Men Dong (Ophiopogon Tuber) 12g Suan Zao Ren (Spiny Jujube Kernel) 12g Dang Gui (Tangkuei) 9g Dan Shen (Salvia Root) 9g Xuan Shen (Scrophularia Root) 9g Ren Shen (Ginseng) 6g Fu Ling (Poria) 6g Wu Wei Zi (Schisandra Berry) 6g Yuan Zhi (Polygala Root) 6g Jie Geng (Platycodon Root) 6g Bai Zi Ren (Biota Seed) 12g |
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Tx of Depression with Acupuncture and Moxibustion
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Electrical acupuncture has been found in clinical studies to be effective for the treatment of depression:
Connect leads to GV 20 and GV24 OR GV20 and Yin Tang Set at 2Hz continuous frequency; if anxiety is present with depression, set at 2/100 Hz mixed frequency |
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Tx of Depression:
Clinical Tips
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IF not diagnosed by MD:
You may write “depressive feelings” for the chief complaint and “TCM Depression” and “Depression Pattern/Yù Zhèng” for the disease |
