Treatment Of Disease 2 - 2Nd Test

Front 1

Basic points for epilepsy?

Back 1

BL-62; KID-6; P-4, 6; GB-34; SI-3; Yao qi

Front 2

Early signs of epilepsy

Back 2

Headaches, dizziness = Qi and Yang
Chest tightness = Ph retention
Greenish tinge between eyebrows
P: Wiry (inner wind), superficial/floating
(tells location of seizure: seizure may be coming)

Descend Rebellious Qi, Remove Phlegm
------------------------------
REN-17; P-6; GB-34; SI-3; P-5

Front 3

Seizure stage of eplipsy

Back 3

Inner Wind Sx w/ retention of Phlegm and rebellious Wei Qi:
Suddenly falls down, loss of consciousness, screams, clenched face/jaw/teeth, incontinence

DU26, GB20, DU16, P4-5-6, ST40, GB34

P: Wiry, uneven

Front 4

After seizure: Qi Xu

Back 4

Fatigue, poor sleep, poor appetite, pale face, …
T: Pale, white greasy.
P: Weak, deep

Tonify Qi
------------------------------
All Qi tonifing pts:
REN-17, 4, 6; ST-36; LU-9; UB-13, 20, 23

Front 5

- Infrequent yang seizures induced by anger; anxiety
or emotional stress
- Irritable & restless after seizures; insomnia;
- Bitter taste in mouth; thirst or dry mouth;constipation

T: Red with yellow coat
P: Wiry & rapid

Back 5

LIV Fire w/ Phlegm Heat
*Before seizure

Purge LIV Fire;
Transform Phlegm
------------------
DU-26, 20, 12; GB-13;
P-8; REN-14; ST-40;
LIV-3, 2; UB-18; Si shen cong

Front 6

- Infrequent seizures; long hx of seizures
- Vague or trance-like mental state
- Dark complexion; tinnitus; dry, sore eyes; withered
ears;
insomnia or restless sleep; forgetfulness;
low back & knee soreness/weakness;
dry stool/constipation

T: Red w/ little or no coat
P: Thready, rapid

Back 6

LIV & KID Yin Xu
*Before seizure

Nourish & tonify LIV & KID
---------------------
UB-23, 18; KID-3, 6; LIV-3; REN-4; An mian; Si shen cong

Also: SP-6; HT-7; DU-14; GB-13

Front 7

During onset of a seizure?

Back 7

du 26, yao qi (2 cun above coccyx), Ren 15, PC 5, ST40, GB34

Front 8

After a seizure? Qi Xu

Back 8

Ren 6 - qi ocean
St36
Lu/sp/kd back shu
lu9-nourish lung yin
ren 17 - chest stuffiness
ren 4 - yang qi

Front 9

- Tonic-clonic or grand-mal seizures
- Frequent or uncontrolled seizures w/signs of excess
- Before seizure (hrs or days): irritable; mood
alteration; uneasiness
- Before (immediately before): aura; hallucinations;
jerking of limbs
- During: sudden collapse & loss of consciousness
w/tonic contraction of all muscles (arms flexed &
adducted; legs extended; jaw clenched): spasms of
diaphragm result in cry; spasmodic contractions of
muscles w/ jerky movements; possible incontinence
- After seizure: loss of consciousness may continue
for a time; drowsiness; headache; muscle pain;
weakness
T: Greasy, white or yellow coat
P: Wiry & rapid, or wiry & slippery

Back 9

Uncontrolled Yang Seizures
Excess type *During seizure

Clear & Transform phlegm;
Extinguish wind; Stop seizures
--------------------
DU-12, 20; GB-13; REN-15, 14, 12
ST-40; LIV-3
KID-6 – if at night
UB-62 – if during day
P-6, 5; DU-14, 24
Yao qi (2 cun above coccyx)

Front 10

Partial, “petit-mal” or chronic seizures
- Frequent or uncontrolled seizures w/signs of
deficiency
- Hx of long term yang seizures in adults; may have
seizure or absence seizure (very brief seizure)
- During: dark or sallow face; cold extremities; eyes
half open; LOC with initial rigidity then twitching;
drooling; no cry or weak cry
- During absence: sudden blank; expressionless stare;
upwards rolling of eyes; unresponsive to sound;
usually lasts only a few seconds; may occur many
times a day
T: Pale with thick greasy white coat

Back 10

Uncontrolled Yin Seizures
Deficient type *During seizure

Warm Yang &
Transform Phlegm
--------------------
DU-12, 20; GB-13; REN-15, 14, 12, 4
ST-40; LIV-3
KID-6 – if at night
UB-62 – if during day
UB-15; ST-36; SP-6; HT-7

Front 11

- Long hx of seizures or medication for epilepsy
- Lethargy & fatigue; emaciation or poor appetite;
nausea & vomiting
- Loose stool or diarrhea; pale or sallow complexion;
fullness & stuffiness in chest & abdomen
T: Pale w/ greasy white coat
P: Soft & slippery; or thready, wiry, slippery

Back 11

SP Deficiency w/
Phlegm
*After seizure

Front 12

Most important for prevention?

Back 12

gb34, si3

Front 13

Points for onset?

Back 13

du 26, ren 15, st 40, gb34, p5, yao qi.

Front 14

- Early signs: dizziness, vertigo, headaches,
tinnitus, numbness of extremities, local
weakness [hx of LIV Yang ^]
- Followed by: sudden deviation of the mouth,
dysphagia, aphasia; hemiplegia; facial paralysis
(central facial paralysis); disorientation; lose
balance/unsteadiness
- LIV & KID Yin Xu Sx:
Weakness of lower back, …

Back 14

Liver Yang Rising
d/t LIV and KID Yin
Xu w/ Inner Wind
May first have sx’s of LIV
Yang Rising which then
suddenly turn into LIV /
Inner Wind

Front 15

- Hx of overweight or weight gain/obesity, w/ high
cholesterol
- Early: heavy head, headaches, heaviness of one
side of the body, foggy head or mental confusion
- Profuse yellow, sticky phlegm/sputum w/ chest
tightness
- Nausea, vomiting; dark yellow urination,
constipation
- Followed by: deviation of mouth; hemiplegia;
dysphagia, aphasia; numbness or flaccidity on one
side of the body
- Unsteady gait
- Dizziness and vertigo

Back 15

Damp-Phlegm and Inner Wind
harassing the meridians
- Acute onset -
May be d/t high
cholesterol,
overweight

Front 16

- Clearly related to emotional d.o.
- Sudden falling into convulsion with LOC
- Clenched teeth and mouth; closed fist; Tetany
or convulsions; red face
- Eyes remain open
- Warm or hot body temperature; no sweating
- Constipation / retention of stool and urine
- Restlessness; irritability
T: Scarlet C: Yellow, brown, black, dry
P: Slippery, wiry, fast

Back 16

Closed/Tense Syndrome
YANG CLOSING
LIV Yang rising w/
Rebellious Qi & Blood w/ Inner
wind - Rising of LIV yang will
carry up Qi and blood

Front 17

- Clearly related to emotional d.o.
- Sudden falling down with convulsion, LOC
- Pale face; clenched teeth, jaw, mouth; tight
faced
- Eyes are closed
- No bm, no sweat
- Cold limbs; cooler body temperature
- No restlessness (may lie quiet)
- Rattling sound of phlegm in throat, or rough,
fast breath, or wheezing
- Must remove phlegm/mucous or PT may
suffocate
T: Normal or pale; may be swollen
C: Thick, greasy – white
P: Deep and slippery

Back 17

Closed Tense Syndrome

YIN CLOSING

Turbid Phlegm - blocking the 5
sense organs w/ Inner Wind

Front 18

yang collapse moxa ren 8 - root, survive the yang

Back 18

ok

Front 19

yin collapse ren 1 kd 1 sp6

Back 19

ok

Front 20

- Infrequent yang seizures induced by anger; anxiety
or emotional stress
- Irritable & restless after seizures; insomnia;
- Bitter taste in mouth; thirst or dry mouth;
constipation
T: Red with yellow coat
P: Wiry & rapid

Back 20

liver fire with phlegm heat

Front 21

- Infrequent seizures; long hx of seizures
- Vague or trance-like mental state
- Dark complexion; tinnitus; dry, sore eyes; withered
ears; insomnia or restless sleep; forgetfulness; low
back & knee soreness/weakness; dry
stool/constipation
T: Red w/ little or no coat
P: Thready, rapid

Back 21

liv and kid yin xu

Front 22

- Seizures w/ hx of trauma or brain lesions
- Insomnia or restless sleep; irritable or anger;
depression or mood swings
- Low grade fever at night; fixed sharp pains; dry,
scaly skin; broken vessels on face, trunk, inner knee
or ankle; purplish lips, sclera, conjunctiva, nail beds
T: Dark or purple or w/ purple spots
C: Thin white
P: Choppy or wiry; thready

Back 22

blood stasis

Front 23

- Tonic-clonic or grand-mal seizures
- Frequent or uncontrolled seizures w/signs of excess
- Before seizure (hrs or days): irritable; mood
alteration; uneasiness
- Before (immediately before): aura; hallucinations;
jerking of limbs
- During: sudden collapse & loss of consciousness
w/tonic contraction of all muscles (arms flexed &
adducted; legs extended; jaw clenched): spasms of
diaphragm result in cry; spasmodic contractions of
muscles w/ jerky movements; possible incontinence
- After seizure: loss of consciousness may continue
for a time; drowsiness; headache; muscle pain;
weakness
T: Greasy, white or yellow coat
P: Wiry & rapid, or wiry & slippery

Back 23

Uncontrolled
Yang Seizures

Excess type

Front 24

- Partial, “petit-mal” or chronic seizures
- Frequent or uncontrolled seizures w/signs of
deficiency
- Hx of long term yang seizures in adults; may have
seizure or absence seizure (very brief seizure)
- During: dark or sallow face; cold extremities; eyes
half open; LOC with initial rigidity then twitching;
drooling; no cry or weak cry
- During absence: sudden blank; expressionless stare;
upwards rolling of eyes; unresponsive to sound;
usually lasts only a few seconds; may occur many
times a day
T: Pale with thick greasy white coat

Back 24

Uncontrolled
Yin Seizures

Deficient type

Front 25

- Long hx of seizures or medication for epilepsy
- Lethargy & fatigue; emaciation or poor appetite;
nausea & vomiting
- Loose stool or diarrhea; pale or sallow complexion;
fullness & stuffiness in chest & abdomen
T: Pale w/ greasy white coat
P: Soft & slippery; or thready, wiry, slippery

Back 25

Sp Xu with Phlegm

Front 26

- Acute onset
Heat signs:
- Fever, chills
- Restlessness, irritability; thirsty, desire for
drinks
- May or may not have burning pain
- Constipation, dark yellow urination; bitter
taste
T: Red, red spots on tip and sides
P: Wiry, slippery; or wiry & fast

Back 26

1st stage:
Invasion of
Wind-Fire
in LIV & GB
Wind-Fire = infectious,
contagious, febrile,
epidemic

Front 27

- Crops of vesicles full of fluid
- Severe pain – sharp, with heavy head; joint pain
- Poor appetite, nausea
- More Heat: burning sensation, redness and
heat of local area
- More Dampness: n, v, diarrhea or loose stools
T: Red, swollen C: Yellow, greasy,
thick
P: Slippery, wiry, fast

Back 27

2nd stage:
Damp-Heat or
Toxic Heat in the
Dai Mai or SP

Front 28

- Severe, sharp or needling pain, worse at night
–
fixed pain
- No vesicles any more
- Local skin becomes dark-red in color
- Fatigue, insomnia, restlessness at night (1° d/t
pain)
- Pain may last for weeks, months, years (this
typically occurs in 15% of people after “recovery”)
T: Dark red, scarlet C: Thin white
P: Thin, wiry; or hesitant

Back 28

3rd/last stage:
Qi & Xue Yu
Arises from 1st 2 types

Front 29

- Acute onset; follows a common cold, with fever
- Severe, sharp, cutting, or burning pain on one side of the
face
- Worse with talking; swallowing; yawning; eating
- Headaches, thirsty, sore throat
T: Red, w/ red tip C: Thin, yellow
P: Superficial & fast

Back 29

Invasion of Wind-Heat
w/ Phlegm
Retention/blockage

Front 30

- Clearly related to emotional disorder
- Sharp, burning pain on one side of the face
- Lasts for short time, but returns
- Aggravated by emotional disorder
LIV Fire/Heat Sx:
- Red eyes/face, restlessness, irritability, insomnia, bitter
taste, thirsty, constipation, dark yellow urination
T: Red or redder sides C: Yellow, may be greasy
P: Wiry, fast; may be slippery, fast

Back 30

LIV Fire Flaring
w/ Phlegm Retention
Invisible phlegm

Front 31

- Chronic onset
- Intermittent facial pain on one side, depressed facial
sensation
- Momentary episodes of dull pain, which is worse at
night
- Also, needling pain (Xue Yu)
- Associated w/ tight or numb sensation (Qi Yu)
- Purple or gray face
T: Normal or purple -- w/purple spots
C: Normal or greasy
P: Wiry, hesitant, or slippery

Back 31

Qi Stagnation & Blood
Stasis w/Phlegm Retention

Arises from 1st 2 types or trauma