Monday, December 25, 2006

PRESCRIPTION FOR REGULATING TWO OR MORE ZANGFU ORGANS

Physically, zangfu organs cooperate and promote mutually. Pathologically, they could also interact, giving rise to various accompanying symptoms. It is common to see two or moe zangfu organs suffering from disorders simultaneously in clinic. Treatment needs to consider the situation of all invovling zangfu organs.


PRESCRIPTION FOR HARMONIZING HEART AND KIDNEYS
BL (Xinshu)
NT 7 (Shenmen)
BL 23 (Shenshu)
KI 3 (Taixi)

FUNCTIONS:
-Harmonizing heart and kidneys
-Coordingation between te heat and kidney
-Disharmony between the heart and kidney
-Deficiency of both heart blood and kidney essence
-Nourishing yin and descending fire

MANIPULATIONS:
-Reinforcing method (Back shu) or even method (HT 7 and KI 3)

INDICATIONS:
Insomnia, vexation, palpitation, vivid dream, nocturnal emission, dizziness, tinnitus, poor memory, hot sensation in five palms, tidal fever, night sweat, dry mouth, dry throat, red tongue little coating, thin and slippery pulse.

PRESCRIPTION ANALYSIS:
BL 15 and HT 7: Tonify heart and calm spirit
BL 23 and KI 3: Back-shu and Yuan Source point combination, tonify kidney and nourish yin, strengthen the water to control the fire.

CLINICAL APPLICATIONS:
-Insomnia
-Excess patterns
-Heart fire
-Stomach (food retention)
-Phlegm obstructing heart
-Deficiency patterns
-Blood/yin deficiency
-Heart and Gall bladder
-Qi deficiency
-Oversleeping
-Menopausal syndrome
-Hot flashes
-Red face
-Night sweat, esp 3-5 am
-Irritability
-Depression


PRESCRIPTION FOR SOOTHING LIVER, TONIFYING SPLEEN AND HARMONIZING STOMACH

PHYSIOLOGICAL RELATIONSHIP:
-Digestion
-Spleen qi rises
-Stomach qi descends
-Blood circulation
-Liver stores blood
-Spleen produces blood
-Blood deficiency causes liver yin deficiency
-Spleen controls blood in the vessels

PATHOLOGICAL CHANGE
-Liver invades the spleen
-Pain
-Hypochondrium pain
-Diarrhea and constipation alternating

LR 14 (Qimen)
RN 12 (Zhongwan)
LR 3 (Taichong)
ST 36 (Zusanli)

FUNCTIONS:
-Soothing the liver and tonifying spleen and stomach
-Harmonixing the liver and spleen

MANIFESTATIONS:
Even method at LR 14, RN 12; reducing method at LR 3; reinforcing method at ST 36

INDICATIONS:
Abdominal distention, epigastric pain, acid regurgitation, stomach upset, vomiting, hiccup, gastric reflux, constiation, diarrhea, poor appetite, hot temper, depression, anxiety

PRESCRIPTION ANALYSIS:
LR 14: Soothes the liver and alleviates hypochondrium
RN 12 and ST 36: Front Mu and Lower H Sea combination, tonify spleen and strengthen te stomach
LR 3: Yuan source point of liver, combines with ST 36, Yuan source and He sea combination, regulates liver qi, disperses abdominal distention

CLINICAL APPLICATONS:
-Peptic ulcers
-Stress
-Liver qi invade stomach
-Effects digestion, causes ulcers
-Type O blood people are more prone to ulcers due to stress.
-Can add ST 44, ST 25, GB 24, 34 (to soothe the liver), Back shu points are very effective. Ear points.
-Irritable bowel syndrome
-Can combine with LR 3 and KI 6,7
-Can combine ST 25, ST 37, RN 12, LR 3 ST 36, LR 14


PRESCRIPTION FOR TONIFYING SPLEEN AND NOURISHING HEART

PHYSIOLOGICAL RELATIONSHIP
-Ensure the normal circulation of the blood
-Heart regulates the spleen's function
-Heart controls blood
-Heart dominates the mind (hence relates to spleen)
-Spleen nourishes the heart
-Depends on normal mind

PATHOLOGICAL CHANGE
-Disorder of both heart and spleen

BL 15 (Xinshu)
BL 20 (Pishu)
HT7 (Shenmen)
ST 36 (Zusanli)
SP 6 (Sanyinjiao)

FUNCTIONS:
-Tonifying spleen and nourishing heart
-Supplementing qi and replentishing blood

MANIPULATIONS:
Reinforcing method, moxa is available

INDICATIONS:
-Palpitations, insomnia dream disturbed sleep, dizziness, poor memory, prro appetite, epigastric distention, diarrhea, lassitude, pale complexion
-Subcutaneous hemorrhage, or scant and pale color mentruation, or prolonged menses days. Or spontaneous sweating, short of breat, aggravated by exertion

PRESCRIPTION ANALYSIS:
BL 15 and BL 21: Tonify the spleen and replentish qi, nourish heart and calm spirit
ST 36 AND SP 6: Strengthen the spleen and stomach, replentish qi and nourish blood
HT 7: Combines with SP 6 to tonify spleen and nourish heart, calm the spirit

CLINICAL APPLICATIONS:
-Insomnia
-Palpitations
-Combine with PC 6, BL 17, 18,


PRESCRIPTION FOR TONIFYING KIDNEY AND STRENGTHENING LUNG

PHYSIOLOGICAL RELATIONSHIP
-Respiration
-Lung functions to disperse and descend qi (to kidney)
-Fluid metabolism

PATHOLOGICAL CHANGE
-Respiration
-Water retention

BL 13 (Feishu)
BL 23 (Shenshu)
RN 6 (Qihai)
KI 3 (Taixi)
LU 9 ( Taiyuan)

FUNCTIONS:
-Tonifying kidney and strengthening lung
-Accepting qi and relieving asthma

MANIPULATIONS:
Reinforcing method, moxa is available

INDICATIONS:
-Breathlessness, more exhale than inhale, worse by exertion, low voice, no desire to speak, spontaneous sweat, lassitude, weak loin and knees, aversion to cold, edema of all over the body especially at the lower limbs, pale tongue enlarged tongue body with teeth marks, weak deep pusle.
-Dry cough with scanty sputum, or even cough with blood, dry mouth and throat, hoarse voice, heavy and ache lower back and legs, nightsweating, impotence, scanty menstruation or even amenorrhea, red tongue, scanty coathing, fine and rapid pulse.

PRESCRIPTION ANALYSIS:
BL 23 and KI 3: Tonify kidney, accept qi and stop asthma
BL 13 and LU 9: Tonify qi, stop cough and relieve asthma
RN 6: Tonifies kidney qi, benefits original qi and stop asthma

CLINICAL APPLICATIONS:
-Asthma
-Lung qi deficiency
-Kidney deficiency
-Phlegm retention in the body (phlegm heat)
-Spleen qi with lung qi deficiency
-Combinge with ST 40, Dinchuan, LU 6, BL 43, (Gong Huang Shu) RN 17
-Night Sweating
-Lung deficiency, Spleen deficiency with Liver deficiency
-Combine points with KI 7 (to treat sweating) LI 4,


PRESCRIPTION FOR WARMING KIDNEY AND STRENGTHENING SPLEEN

PHYSIOLOGICAL RELATIONSHIP
-Prenatal basis of life
-Postnatal basis of life
-Regulate water metabolism

PATHOLOGICAL CHANGE
-Spleen qi deficiency cause kidney essence deficiency
-Kidney yang and spleen yang deficiency

DU 4 (Mingmen)
RN 4 (Guanyuan)
ST 36 (Zusanli)
BL 20 (Pishu)
ST 25 (Tianshu)

FUNCTIONS:
-Tonifying kidney and warming spleen
-Consolidating the root and regulating defecation
-For yang deficiency

MANIPULATIONS:
Reinforcing method or applying moxa

INDICATIONS:
-Protracted diarrhea, diarrhea at the early morning, diarrhea with undigested food
-Edema of all over the body, dysuria, pale complexion, aversion to cold, cold hands and feet, cold pain at lumbar region and abdomen, Pale enlarged tongue with teeth marks, white coat with saliva, deep slow pulse

PRESCRIPTION ANALSYS:
DU 4 and RN 4: Front and back combination, warm kidney yang, consolidate the root
BL 20: Tonifies spleen yang, removes dampness
ST 36 and ST 25: Tonify spleen and regulate stomach, remove dampness and help digestion

CLINICAL APPLICATIONS:
-Diarrhea
-Damp heat in intestines
-Spleen qi/yang deficiency
-Cold obstructing
-Liver overacting on spleen
-Food stagnation
-Combine with ST 37, SP 4, SP 15, BL 23,
-Constipation
-Excess
-Intestine heat
-Qi stagnation
-Deficiency
-Yin deficiency
-Qi deficiency
-Cold stagnation
-Combine with SJ 6, ST 28, RN 6 (alternate with RN 4)


PRESCRIPTION FOR NOURISHING LIVER AND KIDNEY

PHYSIOLOGICAL RELATIONSHIP
-The liver and kidney share the same origin
-Liver stores blood
-Kidney stores essence

PATHOLOGICAL CHANGE
-Liver blood deficiency and kidney essence deficiency
-Dizziness, tinnitis, insomnia, poor memory, amenorrhea, lower back pain, body ache

BL 18 (Ganshu)
LR 3 (Taichong)
BL 23 (Shenshu)
KI 3 (Taixi)

FUNCTIONS:
-Tonifying kidney and nourishing liver
-Tonifying yin and nourishing blood

MANIPULATIONS:
Reinforcing method

INDICATIONS:
-Dizziness, tinnitus,insomnia, multiple dreams, poor memory, pain at ribs, back pan and weak knees, red tongue little coating, thin pulse.
-Five palms heat, night sweat, hot flashes, irritability
-Nocturnal emission, late priods, scanty periods or amenorrhea
-Night blindness, dry eyes, blurred vision

PRESCRIPTION ANALYSIS:
BL 23 and KI 3: Tonify kidney yin, benefit essence
BL 18 and LR 3: Nourish liver blood, prevent empty fire rising

CLINICAL APPLICATIONS:
-Menopausal syndrome
-Dizziness
-Liver yang rising (fire)
-Blood deficiency
-Liver wind
-Kidney yin deficiency
-Phlegm
-Combine DU 20, Si Shen Cong, KI 1, SP 6, BL 17


PRESCRIPTION FOR REGULATING FIVE ZANG ORGANS

***Can use Jia Ji points instead of these Back Shu points.
BL 18 (Ganshu)
BL 23 (Shenshu)
BL 15 (Xinshu)
BL 20 (Pishu)
BL 13 (Feishu)

FUNCTIONS:
-Regulating the five zang organs functions

MANIPULATIONS:
Even method

INDICATIONS:
-Insomnia, fatigue, pain of all over the body

PRESCRIPTION ANALYSIS:
-Back shu points combination, regulate five zang, harmony five Zang's functions

CLINICAL APPLICATIONS:
-Chronic fatigue syndrome
-Depression, emotion problem
-Poor concentration
-Ren 4,6, ST 36, SP 6, (Do all Jia Ji points from T1-L4) LI 4, LR 3
-Insomnia
-HT 7, Auricular points,
-Fibromyalgia

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