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M y H o l i s t i c . c o m
F i n d H e a l e r . c o m
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6.15 Melancholia
6. 15. 1 What is the basic concept of raclancholia?
Melancholia is a complicated morbid condition manifested as emotional depression, restlessnes. distenriing pain in bypochondrium, irritability, being apt to cry, feeling something checking the throat and insomnia caused by stagnation of functional activities of and mental depression.
6. 15.2 What are the respective etiologies and pathogeneses sympEarns, treatments and recipes of stzagnation of the liver- Qi and deficiency of both the heart and spleen?
(1 )Stagnation of the liver-Qi
[Etiology and Pathogenesis] Melancholia caused by depression arid anger, dysfunction of the liver and its failure in dispersing.
[Symptoms] Gloomy mind, restlessness, susceptibility to signing, distending pain in chest and hypochondriun-i with unfixed paining-spot, eructalion, fullness in stomach. abdominal distention, poor appetite, or vomiting, without menses in women, greasy and thin fur, and wiry pulse.
[Treatment] Soothing the liver and regulating the circulation of Qi. Relieving mental depression.
[Recipe] Chai Hu Shu Gan San
(2)Deficiency of both the heart and spleen
[Etiology and Pathogenesis] Lasting stagnation will injure the spleen causing reduced did arid inadequate production of Qi and blood and deficiency of Qi and blood in the heart and spleen.
[Symptoms] Over-anxiety, palpitation, lirnidness, insomnia, amnesia, pale complexion, dizziness, listlessness, poor appetite, pale tongue, and thready and weak pulseˉ.
[Treatment] lnvigoradng the spleen, nourishing the heart and replenishing Qi and blood.
[Recipe] Gui Pi Tang
6. 16 Mania-Depressive Psychosis
6. 16. 1 What arc the pathogenctic and clinical differences between dci ressed Psychos is and mania?
The pathogenenc of depressive psychosis are stagnation of Qi and phlegm-fire, imbalance between yin and yang. Accumulation phlegm and qi resulting in depressive psychosis; phlegm-fire diswrbing upward resulting in mania.
Depressive psychosis is manifested as silence, dementia, paraphasis, quietness and hyperpleasure, while mania as tumuft, restlessness, beating and scolding and polyanger.
6.1 6. 2 What are the respective symptoms, treatments and recipes of stagnation of phlegni- Qi in depressed psychosis, and those of phlegm-fire flaring-up in mania?
(1) Stagnation of phlegm and Qi
[Symptoms] Depression, cold complexion, dementia, paraphasia or sclf-niuamuringbeing subjeci in changing moods, no desire for eating, greasy fur, and wiry and slippery pulse.
[Treatrnent] Regulating the flow of a to alleviate mental depresson, and eliminating phlegm for resuscitation
[Recipe] ?Shun Qi Dan Tan Tang
(2) Phlegm- fire disturbing upward
[Symptoms] Sudden onset, at the beginning displaying the iigns of ehocric mood, headache, ;insomnia, angry-staring eyes, hushed face and eyes, and then suddenly becoming mad, climbing walls, getting on roofs, scolding, shouting, regardless of close or distant relationship, or damaging things and injuring persons, having excessive strength,not eating nor sleeping, deep-red tongue, yellowish and greasy fur, wiry large, slippery and rapid pulse.
[Treaiment] Tranquilizing the mind, removing phlegm and purging the liver of pathogenic fire.
[Recipe] Sheng Tie Luo Yin
6.17 Epilepsy
6. 17. 1 Try to describe the concept of epilepsy?
Epilepsy is a kind of paroxysnial mental disorder characterized by episodic mental confusion, even sudden tainting and loss of consciousness, frothy salivation, upward turning of eyeballs, convulsion of limbs or crying like a pig or sheep, being mentally nomial as usual men after regaining consciousness.
6. 17 .2 What is the pathogeneis of epilepsy?
(1) EmotionaI disorder Epilepsy caused by the generation of wind and heat due to yin unable to keep yang well, resulling from the disordcr of functional activities of Qi , and the irnpaimwra of kidney and liver after sudden onset of convulsion.
(2) Congenital factors The diseases that occur in childhood, are related to congenital factors. If the mother was suddenly frightened during the period of pregnancy, the consumption of mother’s essence and the deficiency of kidney will cause the growth of uimorrnal fetal. The baby will suffer from epilepsy after birth.
(3) Brain trauma Epilepsy caused by falling down, or being striken or difficulty in birth leading to the impairment of brain. stagnation of Qi, stasis of blood and the obstruction of collaterals.
6. 17. 3 What are the respective symptoms, therapeutic principles and recipes of obstruction of windphlegrn and excessive phlegm-fire inside?
(1 )Obstruction of wind-phlegm
[Symptoms] Before the onset of epilepsy, there are some aural symptoms of dizziness, feeling of oppression over the chest, and lassitude; during the attack, it is manifested as sudden Joss of COflSCiouSness . convulsion, frothy salivation, or in association with crying, urinary and fecal incontinence; and some with just a transient loss of consciousness or mental confusion but without convulsion; whitish arid greasy fur, wiry and rapid pulse.
[Treatment] Eliminating phlegm and calming liver-wind, gaining consciousness and arresting epilepsy.
[Recipe] Ding Xian Wan
(2 )Exceive phlegm-fire inside
[Symptorns] During the attack, manifested as loss of sciousness convulsion, frothy sahvarion, or roaring; at usual times, rnanifcsted as irritability. upset, insomnia, difficult expectoration, bitter taste and dry leeling in the mouth, constipation, red tongue with yellowish and greasy fur, wiry aid slippery, rapid pulse.
[Treatment] CLearing away liver-lire, ehrninating phlegm., waking up patiei its from uncoiisc k usness.
[Recipe] Long Dan Xie Gan Tang with Di Tan Tang
6. 18 Stomachache
6. 18. 1 What is the difference between stornachachc and angina
Regular or sudden pain appearing between the pit of stomach and the umbilicus, including disictiding pain, pinching pain, dull pain and severe pain, is the main syniptorn of stornachache. It is often in combination with sonic symptoms of the funcrbnal disorder of spleen arid stomach such as feeling of fullness arid distension over t he epigastrium and abdomen, acid regurgitation and crutation with fetid odour, nausea, vomiting, no desire for eating, fry stcxl or loose stool as well as some general symptoms such as lassitude, sallow complexion, emaciation and edema.
Angina pectoris. which is chancierized by sudden onset of severe or pinching or suffocative pain, is a serious case of chest pain and appears in the left chest. The position of abdominal pain is somewhat di f fermi t from that of stomache.
6. 18.2 What are the main etiology and pathogenesis ol stomache
?
(1) Stomach being attacked by exogenous pathogen The attack of exogenous cold or overeating of uncooked and cold food will lead to accumulation of cold in rniddle-Jiao, which hinders the stomach-Yang, and obstructs the functional activities of Qi. resulting in stomachache.
(2) Stagnation oi liver-Qi Stomachache due to the stagnation of the functional activities of Qi and the failure of stomach-Qi in descending resulting from, worry and anger impairing the Iiver and causing stagnated liver-Qi to attack the stomach.
(3) Deficiency-cold of the spleen and stomach Stomachache resulting from the deficiency-cold in the middle-Jiao and the impairment of spleen and stomach by over strain or abnormal ingestion.
6.18.3 How d0 you differentiate and treat syndromes of liver-Qi anacking stomach and asthenia cold of spleen and stomach?
(1)Deficiency-cold of spleen and stomach
[Main poitits of differentiation] Dull pain with preference for warmth and pressure.
[Treatment] Expelling cold by warming middle-Jiuo,
[Recipe] Huang Qi Jian Zhong Tang
(2) Hyperactive liver-qi attacking stomach
[Main points of differentiation] Distending and wandering pain over the epigastriurn radiaTing to the hypochondriac region, and related to emotional Changes
[Treatment] Dispersing the stagnated liver-Qi
[Recipe] Chai Hu Shu Gan San
6 18.4 Acupuncture Treatment
(1) Excessive pattern
[treatment]
Select the front Mu and front ?points of the stomache and points from the Jueyin and foot Taiyin meridians. The reducing method of needling is used. Moxibustion is applicable in the case of retention of cold in the stomach
[Prescription]
Zhongwan, Zusanli, Neiguan, Gongsun and Takhong
(2) Deficient pattern
[Treatment]
Select back shu points, and fromt Mu point and points from
the Foot Taiyin and Yangming meridians as chief points. The rein forcing method of needling is used.
[Prescripton]
Pishu, Weishu, Zhongwan, Zhangmen, and Zusanli
[ Additional] prescription depend on different syridromes]
Deficiency of stomach Yin Taixi and Sanyinjiao ;
Deficiency of spleen and stomach Yang: Moxibustion on Qi hai;
6.19 Vomiting
6. 19. I Try o describe the etiology and parhogenesis of vomiting.
(1) Attack of exogenous evils Vomiting resuliing from food going up along with the adverse-rising siomach-Qi due to wind, cold, surirner-heat, dampness and filthy cvils attacking stomach.
(2) Improper diet Voruhing caused hy the failure of stomach-Qi in descending due to overeating or the retention of undigested greasy, raw and cold food; or by the adverse rising of phlegm and fluid in the epigastrium due to the failure of transforrnatbn of food into refined materials, resulting from the dysfunction of the spleen and stomach in transportation and transformation.
(3) Emotional disorder Anxiety, worry and anger often causes the dysfunction of the liver. When the stomach is affected, vomiting occurs as the resuk. of the rising of food along with the adversed stornach-qi
(4) Deficiency of spleen and stomach Vomiting caused by the retention of cold turbid evil in middlc-Jiao due to the deficiency oi rnddle-J yang and deficiency of the spleen and the stomache after illness; or by the deficiency of stomach-yin which fails to nourish the stomach and the failure of stornach-Qi in descending.
6.19-2 What are the common types of vomiting? Try to describe the main symptoms, therapeutic principles1 recipes of each type.
Excessive paltern
(1) Invasion of exogcnous evils to stomach
[Symptoms] Suddely onset of vomiting combined with chilliness, lever, headache, general aching, feeNng of oppression in the chest, feeling of distress and burning, epigastric pain and diarrhea,ropy and greasy mouth, whitish and greasy fur, soft-floating and moderate pulse.
[Treatment] Expelling superficial evils and relieving exterior syndrome, eliminating turbid-evil with drugs of fragrant flavour.
[Recipe] Huo Xiang Zheng Qi San
(2) Retention of food
[Symptoms] Vomiting of sour and putrid content, feeling of fullness and distension over the epigastrium and abdomen, pain with aversion to pressure, belching and anorexia, which become severe after taking food and get relieved after vomiting, loose stool or dry stool, thick and greasy fur, slippery and replete pulse.
[Treatment] Relieving dyspepsia, regulating stomach and lowering the adverse-rising Qi.
[Recipe] Bao He Wan
(3)Retention of phlegm and fluid
[Syrnptonis] Vomiting of thin and mucous fluid, fullness of epigastrium, loos of appetite, dizziness, palpitation, whitish and greasy fur, slippery pulse.
[Treatment] Invigorating spleen and warming rniddle-Jiao;
eliminating fluid retention, lowering adverse-rising Qi.
[Recipe] Xiao Ban Xia Tang
(4)Attack of !iver-Qi to stomach
[Symptoms] Vomiting, acid regurgitation, frequent belching, feeling of oppression and pain in the chest and hypochondrium which can be aggravated by depression and anger, redness of tongue margin, thin and greasy fur, wiry pulse.
[Treatment] Dispersing the stagnated liver- Qi and regulating stomach, lowering adverse-rising Qi and relieving vomiting.
[Recipe] Ban Xia Hon Pu Tang and Zuo Jin Wan
Dificient pattern
(1)eficiency-cold of spiecn and stomach
[Symptoms] Epigastric distension after eating a little bit more, even nausea and vomiting, lassitude, dry mouth but no desire for drinking1 preference for warmth and into[erancc to cold, pale complexion, ever! cold extremities, loose stool, pale tongut with whitish and greasy fur, soft-floating and weak puise.
[Treatment] Invigorating spleen by warming middle-Jiao lowering adverse rising Qi by regulating stomach.
[Recipe] Li Zhong Wan
(2)Dcficiency of slomach- Yin
[Symptoms] Recurrence of vomiting and smetimes retching, dry mouth and throat, seeming hunger but no desire for eating, reddish tongue with little saliva, thready and rapid pulse.
[Treatment] Nourishing stomach-Yin, relieving vomiting by lowering an verse-rising Qi.
[Recipe] Mai Men, Dong Tang
6. 93 Acupunenire Treatment -
(1) Excessive pattern
①Vomiting caused by food retention
[Treatment]
The points selected are mainly from the Ren and Foot-Yangming meridians, The reducing method of needling is used.
[Prescrption]
Xiawan , Zusanli , Xuanji . and Fenglong
②Vormiting caused by exogenous affection
[Treatment]
Points selected are mainly from the Shaong and Yangni/ng meridians. The reducing method of necdling is used.
[Prescription]
Iiazhui, Waiguon, Hegu and Neiting
③Vomiting caused by Liver Qi affecting
[Treatment]
Sected pci n ts arc mainly f n rn the Foot -Jueyin, Shaoyang and Yangining meridians, it is advisable to use the reducing method of needling.
[Prescription]
Shangwan ?Yanglingquan Taichong and Lianqiu
(2) Deficient pattern
① Deficiency cispleen and stoniach Yang
[Treatment]
Points are mainly selected from the Foot-Shaoyinaiyin and Yangming meridians. The reinforeing method of needling is used together with moxibustion
[Prescription]
Pishu, Weishu, Zhongwan, Yinbai and Zusanli
Deficiency of stomach Yin
[Treatment]
Points are mainly selected from the Foot- Shauyin and Ez lyin meridians. The reinforcing method of needling is used.
[Prescription]
Zhongwan, Sanyinjiao, Thin, Weishu
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