6. 4 2 How is dyspnea of excess type discriminated from that of deficiency type? And how many types are respectively classified?
Excess type: Accumulation of pathogen in the lung. It can be divided into exterior and interior syndrome. For example: Attack of wind-clod in the lung, Exterior cold and interior heat, stagnation of phlegm-heat in the lung, obstructed lung-Qi by retention of phlegm stagnated lung-Qi. Deficiency type: Dysfunction of the kidney. It is an interior syndrome, and can be Ced into two types: defkency oF the lung and deficiency of the kidney.

6. 4.3 Acupuncture Treatment
(1) Excessive pattern
① Retention of cold and fluid in the lung
[Treatment]
Select points on the Hand-Taiyin and Foot- Taiynzg meridians. The reducing method of needling is used. Moxibustion and cupping are applicable to the back Shu points.
[Prescription]
Lieque ChizeFengmen and Feilshu
②Retention of heat and phlegm in the 1ung
[Treatment]
Select points on the Taiyin and Yangtning meridians as main points. The reducing method of needling is used
[Prescription]
Hegu, Dazhui, Fenglong,? Tanzhong, Zhongfu and Kongzui

(2)Deficicnt pattern
[treatnient]
Select points from the hand- Taiyin and back Shu points, The reinforceing method or combination of: reinforcing and reducing or rnoxibusiion are all applicable
[Prescription]
Dingchuan , Gaohuang, Feishu and Taiyuan
6.5 Fluid Retention

6.5- 1 How is fluid retention classified in a broad sense? And how arc the discriminaied?
Bathogenesis Characicrisrks
Thick, Vuald evernvhere, changeable, heat evajrwaiion. Fluid Thin,usu. retaining locally within the body. the ru]t retentioTi of cold aceLinlulation, beionging to pethogenie Yin
body fluid due to Gear seereuon often suf[usng the surface of tlw body Water metabosm dis and the whole body, belonging to pathogenic Yin and acccrnpai-iktl by other pathogen

6.5.3 How is excessive fluid iii the hypochondrium and epigastrium differentiated and treated clincally?
(1) Location of cold-fluid in the lung
[Main points of differentiation] Cough. dyspnea, and adverse ilow of Qi, and inability to keep horizontal posture, much white sputum, immediate outbreak when attacked by cold.
[Treatment] Warming the lung in rclievc fluid retention.
[Recipe] Xiao Qing Long Tang
(2) Deficient Yang of the spieen and kidney
[Main points of differentiation] Dvspnea arid shortness of rear h, aversion to cold and cold limbs, instep swe lii ngt pcxw appe - iite, much sputum, dizzincss blurred vision; enlarged tongue, deep and thready pulse.
[Treatrnent] Warming and invigorating the spleen and kidney o remove fluid retention.
[Recipe] Jin Gui Shen Qi Wan. Ling Gui Zhu Gan Tang

6.6 Spontaneous Perspiration & Night Sweat

66. 1 How is spontaneous perspiration distinguished from night
, sweating from exhausdon and sweating with rgor?
6. 6. 2 Flow ninny yndrornes is spontaneous perspiration c1asified into? Why do the deficiency syndrome and excess syndrome both in spontaneous sweating?
There are four syndromes: lowered resistance of the Iyiig-Qi, dishamiony between ying-Qi and wei-Qi, deficiency of Yang and stagnation of pathogenic heat into spontaneous perspiration.
Deficiency type and excess type of spontaneous perspiration cause lowered superficial resistance and open striac.

6. 6.3 What are main differentiation points. pathogenesis out[ine, therapeutic methods and recipes for each type of night sweat?

(1) Dificiency of the heart blood
[Main points oF differentiation] Night sweat, palpitation, drean iness, pale tongue
[Pathogenesis] The deficiency and consumption of heart blood causes the body fluid to overflow and discharge a-z sweat due to imiterior disturbance by fire of deficiency type.
[Treatnient] Enriching the blcxd and nourishing the heart to arrest sweat.
[Recipe] Gui Pi Tang
(2) Deficiency of lung- Yin and kidney- Yin
[Main points of differentiation] Night sweat, hectic fever, dry cough, sHm figure, lassitude in loins, nocwrnal emission reddened tongue with little fur..
[Pathogenesis] Hemorrhage or nocturnal emission will Lead to Yin deficiency of the Jung and kidney and combustion of fire of deficiency type forcing sweat to discharge.
[Treatment] Nourishing Yin and removing heat to arrest sweat.
[Recipe] Dang Gui Liua Huang Tang
6.7 Palpitation
6. 7 1 What arc the pathogenesis of palpitat ion?
All of the etiologies, bring about deficiency of Qi, Blood, yin and Yang, sri obstruction in heart collaterals, impeded circulation of blood; producing phkgrn to turn into fire, disturbing the heart resuiting in palpitation.

6.7.2 What are the types of palpitation of deficiency type? What are their respective poinis of differentiation, treatments and recipes?
(1) Timidity due to insufficiency of a and deficiency of blood of the bean
[Main points of dilferendalion ] Palpitation and susceptible to fright.
[Treatment] Tranquilizing the mind and calming the fright by nourishing the heart.
[Recipe] As Shen Ding Zhi Wan

(2 ) Insuflcieiicy of blood of the heart
[Main points of differentiation ] Palpirarion asciated with dizziness, dim complexion and thready pulse.
[Treatment ]Enriching the blood to nourish the heart and supplcmenting Qi to ease the mind.
[Recipe] Gui Pi Tang

(3)Hypcracrivity of fire due to Yin deficiency
[Main points of differentiation] Palpiration, vexation, insorn- nia, feverish sensation in the palms and soles, red tongue with little fur.
[Treatment] Nourishing Yin to remove pathogenic fire and nourishing the heart to calm the mind.
[Recipe]Tian Wang Bu Xin Don

(4)Insuffieiency of the heart-Yang
[Main puints of differentiation] Palpitation associated with short breath, chilliness and cold limbs, pale tongue, and deep and feeble pulse.
[Treatment] Warming and recuperating the heart- Yang, and tranquilizing ihe mind and arresting palpitation.
[Recipe] Gui Zhi Gan Gao Long Cu Mu Li Tang

6. 7 .3 How do you distinguish palpitation from severe palpitatiori?
6. 7 .4 Acupuncture treatment
(1) Deficiency of qi and blood
[Treatment]
Select points f mm the Hand-Shaoyin, foot Yangming meridians, the front Mu and back Slat points. The reinforcing method of needling is used.
[Prescription]
Xinshu, Juque, Jianshi, .Shenmen, Zusanli and Pishu.

(2) Disturbance by phlegm and fire
[Treatment]
Points seLected are mainly from the Hand Taiyin and Fot Yangniing meridians. The reducing nicthod of ncedbng is used.
[Prescription]
Chize,Feishu, Neiguan and Fenglong

(3) Obstructed circulation of Qi and blood in the heart
[Treatment]
Activate circulation of Qi and blood and remove blood stasis. Select points from the hand Shaoyin and Jueyin meridians The relucing method of needling is used.

[Prescription]
Neiguan, Xinzen, Tongli, Tanzhong, Hegu and Sanyinjiao


6. 8. 1 How many clinical types are there in pectoral pain with stuffiness?
There are stagnation of the heart blood, stagnation of phlegm, stagnation of Yin -cold, deficiency of the heart- Yin and the kidney- Yin. deficiency of Yang and Yin and defidency of Yang-Qi in pectoral pain with stuffiness.
6. 8. 2Try to describe the respective main points of differentiation and treatments of stagnation Yin -cold, stagnation of phLegm and stagnancy of the heart blood in pectoral pain with stuffiness.

(1)Stagnation of the heart blood
[Main points of differentiation] Stabbing pain in the chest aggraiva ted at night, dark-purple tongue.
[Treatment]Rerniovng blood stasis by proniotitig blood circulation and reniovng obstruction in the enliaterals to relieve pain.

(2)Sragnation of phlegm
[Main points of differentiation] Choking pain in the chest, polvphlegTn, greasy fur and slippery pulse.
[Treatment] Activating Yang to remove obstruction and eliminating phlegm.
[Recipe] Gua Lou Xie Bai Ban Xia Tang
(3)Sragnation of Yin-cold
[Main points of differentiation] Chest pain dispersing to the back aggravated with cold, pale complexion, cold limbs, whitish fur, deep and thready pulse.
[Treatment] Activating Yang with drugs pungent in flavor and warm in property and expelling cold by removing ohstrucdon.
[Recipe] Gua Lou Xie Bai .Jiu Tang
6.9 Syneope

6. 9. 1 What arc the clinical characteristics of syneope and what are differences between syncope and apoplexy and epilepsy?
Syncope is a morbid condition characterized by sudden fainting and loss of consciousness associated cold limbs, which has symptom of stupor suddenly like apoplexy and epilepsy.