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• Author – Zhang Zhong Jing
• Wind-cold (exterior invasions)
• Tai yang, Yang ming, Shao yang, Tai yin, Shao yin, Jue Yin
• Discussed in the Shang Han Lun and mentioned in the Su Wen
Tai Yang
• Basic s/s’s –
• Aversion to cold (chills) and slight fever
• Headache/stiff neck
• Pulse – floating, superficial
Tai Yang Channel
Wind cold (wind strike) – wind is greater than cold
• Slight aversion to cold
• Aversion to wind
• Slight fever
• Sweating
• Headache
• Stiff neck
• Sneezing
• P: floating, slow or tight
• TP: release exterior, expel wind cold
• Points: UB12, LU7, LI4, DU16
• Herbal formula: Gui Zhi Tang
Wind cold (cold strike) – cold is greater than wind
• Aversion to cold
• Slight fever
• No sweat
• Headache, stiff neck
• Sneezing, runny nose
• Breathlessness
• P: floating, tight
• TP: Release exterior, expel wind cold
• Points: UB12, LU7, LI4, GB20, SJ5, DU16 (can add moxa)
• Herbal formula: Ma Huang Tang
Tai Yang Organ
Accumulation of Water
• Aversion to cold
• Fever
• Retention of urine
• Slight thirst
• Vomiting of fluids soon after drinking
• P: floating
• TP: Release exterior, promote bladder function, promote excretion of fluids
• Points: REN9, REN3, ST28, LU7, UB22, UB39, UB64
• Herbal formula: Wu Ling San
Accumulation of Blood
• Hypogastric distention
• Fullness and urgency
• Hematuria
• Mental restlessness
• T: reddish-purple, P: fine, deep, rapid or choppy, deep, rapid
• TP: Invigorate blood, eliminate stasis from lower burner, clear heat from
bladder
• Points: REN3, KD14, ST28, UB22, UB39, SP10, SP6, LV3
• Herbal Formula: Tao He Cheng Qi tang
Yang Ming
Channel
• 4 bigs! Big fever, big sweat, big thirst, big pulse
• Red face
• Feeling of heat
• Irritability (c/b delirium)
• T: red, C: yellow
• P: big, rapid, overflowing
• TP: Clear Stomach Heat
• Points: LI11, DU14, ST44, ST43
• Herbal formula: Bai Hu Tang
Organ
• High fever (worse in the afternoon)
• Profuse sweat
• Abdominal fullness/pain
• Constipation/dry stools
• Thirst
• Dark urination
• T: red, C: thick, dry yellow
• P: deep, full, rapid
• TP: Drain fire from ST/LI, Move downward
• Points: LI11, DU14, PC3, ST44, ST43, ST25, SP15, ST37, SP6
• Herbal formula: Tiao Wei Chang Qi Tang
Shao Yang
• Alternating chill and fever (feeling of heat)
• Bitter taste
• Dry throat
• Blurred vision
• Hypochondriac fullness/distention, no desire to eat or drink
• Irritability
• P: wiry, thin
• TP: harmonize shao yang
• Points: SJ5, SJ6, GB41, DU13
• Herbal formula: Xiao Chai Hu Tang
Tai Yin
• Abdominal fullness
• Feeling cold
• Vomiting
• No appetite
• Diarrhea
• No thirst
• Fatigue
• T: pale, C: white
• P: deep, weak, slow
• TP: Tonify Spleen yang, expel cold
• Points: REN12, UB20, ST36, ST25, SP6 (CAN USE MOXA)
• Herbal formula: Li Zhong Tang
Shao Yin
• 2 patterns: cold transformation and heat transformation
• 1. deficiency of Kidney yang with empty cold
• 2. deficiency of Kidney yin with empty heat
Cold transformation
• Chills/feeling cold
• Lying down with body curled up
• Listlessness
• Desire to sleep
• Cold limbs
• No thirst
• Profuse pale urine
• T: pale, C: wet
• P: deep, weak, slow
• TP: Tonify Kidney yang, expel cold
• Points: UB23, REN4, REN6, REN8, KID7, KID3 (MOXA)
• Herbal formula: Si Ni Tang
Heat transformation
• Feeling of heat
• Irritability
• Insomnia
• Dry mouth and throat at night
• Dark urine
• Night sweats
• T: red, C: none (or scanty)
• P: thin, rapid
• TP: Nourish Kidney yin, clear empty heat
• Points: REN4, REN6, KD3, KD6, SP6
• Herbal formula: Huang Lian E jiao Tang
Jue Yin
• Persistent thirst
• Feeling of energy rising in the chest
• Pain and heat sensation in heart region
• Hungry but no desire to eat
• Cold limbs
• Diarrhea
• Vomiting of round worms
• P: wiry
• TP: clear heat above, expel cold below, harmonize the liver channel
• Points: LV3, LI4, SP4, PC6
• Herbal formula: Wu Mei Tang
Author: Ye, Tian Shi
4 Levels
• Wen Bing focused on warm diseases with warm disease as a cause
• Wei
• Qi
• Ying
• Blood
Wei Level
• Wind heat
• Damp heat
• Summer heat
• Dry heat
Wind Heat
• Fever (actual)
• Aversion to cold
• Headache
• Sore throat
• Slight sweat
• Runny nose with yellow discharge
• Swollen tonsils
• Body aches
• Slight thirst
• T: red in front/tip
• P: floating, rapid
• TP: release exterior, expel wind-heat, restore diffusing and descending of lung qi
• Points: LI4, LI11 (BLEED), SJ5, DU14, UB12 (CUP)
• Herbal formula: Yin Qiao San
Damp Heat
• Fever worse in afternoon
• Body hot to the touch
• Aversion to heat
• Swollen glands
• Headache
• Feeling of heaviness
• Sticky taste in the mouth
• Thirst with no desire to drink
• P: soggy (slippery), TC: sticky
• TP: release exterior, resolve dampness, clear heat
• Points: LI4, LI11, SP9, SP6, REN12, REN9
• Herbal formula: Huo Xiang Zheng Qi San
Summer Heat
• Fever
• Aversion to cold
• Headache
• Felling of heaviness
• Uncomfortable sensation in the epigastrium
• Irritability
• Thirst
• T: red tip or side, C: sticky, P: soggy, rapid
• TP: release exterior, expel summer heat, clear heat, promote fluids
• Points: LI4, LI11, SJ5, DU14, DU26, UB40, PC9
• Herbal formula: Qing Lou Yin
Dry Heat
• Fever
• Slight aversion to cold
• Slight sweat
• Dry skin, nose, throat, mouth
• Dry cough
• Sore throat
• T: dry, C: thin, P: floating, rapid
• TP: release exterior, clear heat, promote fluids
• Points: LI4, LI11, SJ5, LU9, REN12, ST36
• Herbal formula: Xing Su San
Qi Level
• Stomach heat
• Gallbladder heat
• Lung heat (heat in the chest and diaphragm)
• Intestine dry heat
• Damp heat in the stomach and spleen
Stomach heat
• High fever worse in the afternoon
• No aversion to cold
• Feeling of heat
• Intense thirst
• Profuse sweating
• T: red, C: yellow, P: overflowing, forceful, rapid
• TP: clear qi, clear stomach heat
• Points: ST44, ST43, ST34, ST21, LI11
• Herbal formula: Bai Hu Tang
Gallbladder Heat
• Alternating hot and cold (more hot than cold)
• Bitter taste in the mouth
• Thirst
• Dry throat
• Hypochondriac pain
• Nausea
• Epigastric fullness
• P: wiry, rapid T: red C: yellow, sticky
• TP: harmonize lesser yang, clear gallbladder heat
• Points: GB34, GB43, SJ6, SJ5
• Herbal formula: Yao Qin Qing Dan Tang
Intestinal Dry Heat
• High fever worse in afternoon
• Constipation/dry stools
• Burning anus
• Abdominal fullness/pain
• Irritability
• T: red, C: thick, dry, yellow, P: deep, full, rapid
• TP: drain fire, clear stomach and intestines, move downwards
• Points: LI11, ST25, SP15, ST39
• Herbal formula: Tiao Wei Cheng Qi Tang or Da Cheng Qi Tang
Lung Heat
• High fever
• Feeling of heat
• No aversion to cold
• Thirst
• Cough with thin yellow mucus
• Sweating
• T: red, C: yellow, P: slippery, rapid
• TP: clear qi, clear lung heat, resolve phlegm, restore descending function of
lung qi
• Points: LU5, LU10, LU1,DU14, LI11, UB13
• Herbal formula: Ma Xing Shi Gan Tang
Damp heat in Stomach and Spleen
• Continuous fever (decreases with sweating but then returns)
• Chest/epigastric oppression
• Nausea
• Loose stools
• C: sticky, yellow, P: slippery, rapid
• TP: clear heat in stomach/spleen, clear dampness
• Points: REN12, REN9, ST36, SP6, LI11, UB20, UB21
• Herbal formula: Lian Po Yin
Ying Level
• Heat in the Ying Level
• Heat in Pericardium
Heat in Ying Level
• Fever (grows stronger at night)
• Dry mouth/ no desire to drink
• Mental restlessness
• Insomnia
• Delirium
• Incoherent speech or aphasia
• Macules
• T: red/crimson, C: none, P: thin, fine, rapid
• TP: clear nutritive qi level heat, promote fluids
• Points: PC9, PC8, HT9, KD6, SHI XUAN
• Herbal formula: Qing Ying Tang
Heat in the Pericardium
• Fever at night with scorching body heat
• Mental confusion, delirium
• Incoherent speech or aphasia
• Body is hot but hands are cold
• Macules
• T: red, C: none, P: fine, rapid
• TP: clear nutritive qi heat, clear pericardium heat, restore consciousness,
promote fluids
• Points: PC9, PC8, HT9, KD6, LI11, SHI XUAN
• Herbal formula: Qing Ying Tang
Blood Level
• Heat victorious agitates blood
• Heat victorious stirring wind
• Empty heat agitating in the interior
• Collapse of yin
• Collapse of yang
Heat victorious agitating blood
• High fever
• Mental restlessness
• Manic behavior
• Dark macules
• Bleeding! (epistaxis, hematuria, etc)
• T: dark red (crimson), C: none, P: wiry, rapid
• TP: clear blood heat, stop bleeding
• Points: UB17, SP10, LV5, SP4, LI11, LV2, KD6, HT9, SHI XUAN
• Herbal formula: Shui Niu Jiao
Heat victorious stirring wind
• High fever
• Fainting
• Twitching limbs
• Convulsions
• Rigidity of neck
• Eyeballs turning up
• Clenching of teeth
• T: crimson, C: none, P: wiry, rapid
• TP: clear blood heat, extinguish wind
• Points: SP10, LI11, LV2, KD6, HT9, LV3, DU16, GB20, SI3, UB62, SHI XUAN
• Herbal formula: Ling Jiao Gou Teng Tang
Empty wind agitating in the interior
• Low grade fever
• Tremor of limbs
• Twitching
• Loss of weight
• Malar flush
• Listlessness
• T: crimson, C: none, P: fine, rapid
• TP: clear blood heat, nourish liver/kidney yin, extinguish wind
• Points: LV3, GB20, SI3, UB62, LV8, KD6, KD3, SP6
• Herbal formula: Zhen Gan Xi Feng Tang
Collapse of yin
• Low grade fever
• Mental restlessness
• Dry mouth with desire to take small sips
• 5 palm heat
• Malar flush
• Unconsciousness
• T: crimson & dry, C: none, P: fine, rapid
• TP: rescue yin, restore consciousness
• Points: ST36, KD3, SP6, REN4
• Herbal formula: Da Bu Yin Wan
Collapse of yang
• Feeling of cold
• Cold limbs
• Bright white complexion
• Profuse sweat on forehead
• Listlessness
• T: pale, swollen, short, P: hidden, slow, scattered
• TP: rescue the yang, restore consciousness
• Points: ST36, REN6, REN4, REN8 with moxa
• Herbal formula: Shen Fu Tang
Author: Wu, Ju Tong
3 Jiaos
• Upper jiao
• Pathogenic heat invades the lung and wei qi
• Accumulation of pathogenic heat in the lungs
• Pericardium channel syndrome
• Middle jiao
• Pathogenic heat in the yang ming channel
• Spleen channel syndrome
• Lower jiao
• Kidney channel syndrome
• Liver channel syndrome
Upper jiao
Pathogenic heat in lung and Wei Qi
• Fever
• Slight aversion to wind and cold
• Slight thirst
• Sore throat
• Headache
• Slight cough
• T: no change, P: floating, rapid
• TP: disperse wind heat
• Points:
• Herbal formula:
Accumulation of pathogenic heat in the lung
• Fever
• No aversion to cold
• Thirst
• Pronounced sweat
• Cough, yellow sputum
• Fullness and pain in the chest
• TC: yellow, P: rapid
• TP: clear heat and resolve phlegm
• Points:
• Herbal formula:
Pericardium channel syndrome
• Fever
• Burning sensation in epigastrium
• Cold limbs
• Delirium, aphasia, loss of consciousness
• Difficulty moving tongue
• T: red, P: rapid
• TP: clear heat, promote resuscitation, resolve phlegm
• Points:
• Herbal formula:
Middle jiao
Pathogenic factors in Yang Ming channel
• The 4 bigs
• No aversion to cold, aversion to heat
• Irritablitiy
• Wheezing cough
• Epigastric/abdominal pain
• Constipation
• T: red, C: yellow, dry, P: rapid, big
• TP: clear heat in the Yang ming
• Points:
• Herbal formula:
Spleen channel syndrome
• Slight fever, worse in the afternoon
• Aversion to cold
• Heavy head or the feeling of a band around head
• Heavy body and limbs
• Fullness of chest and epigastrium
• Nausea (c/b vomiting)
• TC: white, sticky, P: soft, slow
• TP: dispel damp heat
• Points:
• Herbal formula:
Lower jiao
Kidney channel syndrome
• Slight fever
• 5 palm heat
• Dry mouth with no desire to drink
• Lassitude
• c/b deafness
• T: deep red, dry, P: fine, rapid, empty
• TP: nourish kidney yin, clear deficient heat
• Points
• Herbal formula
Liver channel syndrome
• Low grade fever
• Cold limbs
• Dry black teeth
• Dry cracked lips
• Trembling fingers
• Convulsions
• T: purple, C: dry, P: deep, thin, rapid, empty
• TP: nourish yin, dispel wind
• Points:
• Herbal formula:
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