Chinese Herbal Medicine and Medical Acupuncture in Family Practice

صفحه 1:
طبايع ‎www.tabaye.ir ۹‏ 

صفحه 2:
Circle the Dragon Chinese Herbal Medicine and Medical | Kem nat Family Practice 

صفحه 3:
9 * Pattern Recognition * Chinese Medicine Physiology - Three Treasures - Jing, Shen, Qi - Physiology of Qi and Blood - Five Elements - Eight Principles - External Pathogenic Factors — Psyche-Soma: The Five Parts of the Soul * Diagnostics: Tongue and Pulse * Cases Discussed 

صفحه 4:
Pattern Recognition 

صفحه 5:
Pattern Recognition - Diagnoses Western Medicine Chinese Medicine Liver Qi Stagnation Liver Blood Deficiency Liver Blood Stagnation Kidney Yin Deficiency Kidney Yang Deficiency Lung Qi Deficiency Spleen Qi Deficiency Phlegm Heat misting the Heart and Mind’s Orifices Wind Cold (or Heat) Invasion Latent Wind Heat Heart Yin Deficiency Heart Qi Deficiency Premenstrual Syndrome Hypertension Depression Migraine Congestive Heart Failure Pneumonia Diabetes Chronic Fatigue Syndrome Eczema Asthma Angina Pleurisy Dysmenorrhea 

صفحه 6:
Physiology Of 

صفحه 7:
5 111766 ت۱۷ ~ | (Essence) - derived from the Kidney - Shen and Qi are derived from Jing - Inherited from parents - Genetics/Constitution - Determines growth, sexual maturation, conception, pregnancy, brain/cognitive function = derived from Spleen (food) and Lung (air) - Replenished day-to-day - Nutrition and air quality important (Mind) - housed in the Heart - Creativity, Drive, Vision, and Intelligence 

صفحه 8:


صفحه 9:
Lost in Translation? * Qi (Character with vapor rising above cooking rice) - Early 1900s - Soulie de Mourant- Qi = “energy” and Jing = “meridian” - Simplified translation of complicated terms - “Life Force” made up of air and food transformed by body into blood and body fluids * Nei Jing written during 3rd - 1st Century BCE - Chinese physicians & cadaver dissections - Using needles of glass, metal and bone to influence neurovascular system. 

صفحه 10:
TCM Qi Physiology * Stomach separates pure from impure Qi of food ~ Pure Qi to Spleen - Impure to Small Intestine (process repeats again) ٠ Spleen sends Food Qi to Lung - Lung combines it with pure Qi extracted from air - Food/Air Qi “heated” by Yuan Qi (ancestral pilot light) provided by Kidney to make “Nutritive Qi” + In Heart to make Blood * In Meridians 

صفحه 11:
Fig. 30 Origin of Qi 

صفحه 12:
LUNGS of Blood 

صفحه 13:
Blood Deficiency * Causes: - Hemorrhage, low dietary protein, constitution - Deficiency or stagnation of Qi Fatigue, brain fog, dizziness, dry skin, dry hair, brittle nails, pale tongue, irregular and very light menses, pale complexion, trouble falling asleep, anemia, headache, anxiety 

صفحه 14:
Blood Stagnation * Caused by Blood Deficiency or Qi Stagnation * Dark/dusky tongue, purple sublingual veins * Chronic stabbing pain ¢ Musculoskeletal - Pleurisy, Angina - Degenerative disc disease, spinal ste: - Blood moving herbs are anti-inflamm: * Gynecological - Painful and heavy menstrual periods - Large dark clots 

صفحه 15:
Meridians * Acupuncture points linked together in lines called “meridians” * Qi circulates through meridians * Meridians named for associated Organ - Kidney, Heart, Small Intestine, Bladder - Liver, Pericardium, Triple Energizer, Gallbladder - Spleen, Lung, Large Intestine, Stomach 

صفحه 16:
Meridians 

صفحه 17:
91% of Acupuncture Points share this Histolog 

صفحه 18:
fMRI Study * Needle placed in foot Acupuncture point associated vision ¢ fMRI shows stimulation of visual cortex 

صفحه 19:
fMRI Study ¢ Auditory Complex stimulated by needle placed in AP point on the leg associated with hearing 

صفحه 20:
Acupuncture Models - Meridian-based: Japanese, Vietnamese, French Energetics - Traditional Chinese Medicine (“TCM”) + Eight Principles (Yin/Yang, Damp/Dry, Cold/Heat, Interior/Exterior) + Zhang-Fu organ pairings blends Yin-Yang and 5 Element - Five Element (Korean) * Wood, Fire, Earth, Metal and Water - Different schools of thought regarding etiology of disease (Kidney versus Spleen/Stomach) - Neuroanatomical - CraigPENS, osteopuncture 

صفحه 21:
Meridian-Based * Blockage in meridian flow produces disease ٠ Therapeutic action of “unblocking” meridian flow (Relieving Stagnation) - Pain - Asthma - Heavy, Painful, or Irregular Menstrual Periods 

صفحه 22:
ee ee ‏زب‎ awe ‏لحا‎ ‎Acupuncture ‎Principal Meridian Yin Tonification Tre atment DEV MDs 1 REINFORCEMENT MOVEMENT OF YIN ONTO YANG fl Balance needles so that more are ۳ on Yang Balance needles meridians so that more are ‏كصة نعم صللا ده‎ 8 

صفحه 23:
Principal Meridians 2 Shao Min *Tai Yang — * Jue Yin * Shao Yang = ‏نك‎ ۳ =i 2 Heater, ° Tai Yin * Yang Ming - Spleen,Lung _—_~ Large Intestine, 

صفحه 24:
French Energetics Acupuncture Principal Meridian * How do you chose the Principal Meridian? - Location of clinical problem (ex: pain) - Meridian associated with function of problematic organ system (ex: diarrhea) - Constitution of the patient * Central low back pain in patient with Wood- Fire as principal meridian system - Anger/frustration/irritability - Consider Jue Yin - Shao Yang (LR-PC-TH-GB) instead of Shao Yin - Tai Yang (KI-HT-SI-BL) 

صفحه 25:
Pattern Recognition Interconnections bet Patterns and ‏عصما و‎ Yin Interior ‏هوق‎ bone marron, i Deficiency(xu) Degas prover fess Patogenia 

صفحه 26:
Eight Principles Yang Yin Interior Organs, bone marrow, qi & Deficiency(xu) factors () 

صفحه 27:
Yang Light Sun Activity Energy Expansion 

صفحه 28:
2 ‏اي سم‎ and 

صفحه 29:
External Pathogenic Factors ° Wind = Cold * Summer Heat ٠ Damp ¢ Dryness ° Fire 

صفحه 30:
cternal Pathogenic Factors Wind * Wind in the Skin - Eczema, dermatitis, itching * Chronic allergic rhinitis — Dry/Wind plus Yin Def 8 0 respiratory infection signs ~ Chills, cold intolerance, sore throat, clear nasal drainage that warms to yellow/thick * Internal Wind (neurologic) - Stroke, seizures, tremor, headaches, hypertension, paresthesias/neuropathy Rapid onset _ ~ Wind Cold to Wind Heat Symptoms & signs change rapidly and move from. ‏مي‎ 10 place in body Enters neck to respiratory tract Circulates between skin and muscles Warms muscles ~ Aversion to cold or to wind = Chills/myalgias Further warmed by body ~ Fever, rigors, rash/hives 1 

صفحه 31:
External Pathogenic Factors Cold Internal Cold (from Yang Def) Consumes Spleen Yang = Chilliness, dull pain, prefer warm liquids, cold limbs, no thirst, fatigue Heart Yang Deficiency - Stuffy pain in chest, palpitations Lung Qi Deficiency - Catch every cold, sweats, cough with thin white mucus Spleen Yang Deficiency - Diarrheafloose stools, low appetite Kidney Yang Deficiency - Frequent pale profuse urination, low back pain, cold feet/knees, erectile dysfunction, white vaginal discharge Usually enters via Wind Cold invasion Direct channel invasion Bi Syndrome - Painful Obstruction Syndrome - Arthritis without hot/red. joints - Wind-Damp-Cold Contracts muscles/tendons Chronic, dull pain (abdomen, pelvis, joints) better with heat 

صفحه 32:
External Pathogenic Factors Summer Heat * Specific to hot weather * Aversion to heat, sweating, headache, dark scant urine, dry lips, thirst, rapid pulse * Severe Summer Heat - Invades Pericardium * Delirium, slurred speech, loss of consciousness * “Heat Exhaustion” or “Heat Stroke” in western med 

صفحه 33:
External Pathogenic Factors Damp Damp weather * Heaviness of limbs/head 1 1 - Tired, fullness of chest or Wearing Cae abdomen, muscles Sitting on damp ground sore/weak Consuming damp diet + Dirtiness/clouded color - Refined sugars, dairy - Clouded urine, thick - Excessive raw veg/fruit discharge (vaginal or skin) ٠ 8506205 5 : eee 1 - ‏و5001‎ tongue coating, Symptoms depend on | wel where damp settles pulse - Pelvis - vaginal discharge - With Heat - GI - loose stools + Fever, sticky yellow - Bladder - urinary tongue coat frequency or burning ۳ ~ Chronic Damp (with Fire) 

صفحه 34:
External Pathogenic Factors Dryness * Very dry weather ¢ Artificially dry, centrally heated buildings * Dry skin/mouth, throat, lips, tongue, stools, and scanty urination * Injures Yang - Lung Qi Deficiency as Allergic Rhinitis - Specific to Dry/Wind exposure in Idaho - Chronic Dry/Wind exposure in population with Yin Deficiency (due to overwork/hectic lifestyles) 

صفحه 35:
External Pathogenic Factors ۹3 1 08 ۲0۲ مور ۰ * Quickly becomes Internal pathogenic factor ¢ Fever, thirst, bitter taste, sweating, constipation (dry), ulcers, bleeding gums, canker sores, delirium, scanty dark urine, headache, dizziness, irritability, red face, ¢ Tongue red with dry yellow coat 

صفحه 36:


صفحه 37:
Homeostasis Sheng - Ke Cycle Sheng Cycle Ke Cycle 

صفحه 38:
Five Element Acupuncture 

صفحه 39:
Treatment 

صفحه 40:
Five Element Correspondences * Wood (Liver, Gallbladder) - Driven, multiple projects, movement, CEO, anger/anxiety, tight traps/lateral neck/IT band, TMJ, migraines, caffeine sensitivity, fibromyalgia, blue/green, sour/citrus, Spring, expansion, insomnia (esp. sleep maintenance 11pm-3am), east - Augments Fire, controls Earth, augmented by Water and controlled by Metal - Coupled with Fire 

صفحه 41:
Five Element Correspondences ° Fire (Heart, Small Intestine, Pericardium, Triple Energizer) - Creative, CEO, joy, awareness, love/attachment, mania, palpitations, insomnia (esp. sleep initiation), hot flashes, night sweats, cardiac disease, dysrhythmias, red/orange, bitter/roasted, summer, south - Augments Earth, Controls Metal, Augmented by Wood, Controlled by Water - Coupled with Wood and Water 

صفحه 42:
معا و۳۲ ات 0000 - Nurturing, worry/obsession, GI issues (loose stools, gastritis, bloating, abd pain), sinusitis, cysts, tumors, lumps, dampness, obesity, chronic fatigue(multifactorial), sweet, dampness (cysts, edema), yellow/brown, transitions of seasons, center of compass positions - Nurtures Metal, Controls Water, Controlled by Wood - Coupled with Metal 

صفحه 43:
Five Element Correspondences * Metal (Lung, Large Intestine) - Respiratory, skin disorders (“3rd lung”), constipation, dryness, sense of duty, grief, loss, depression (multifactorial), flavorful/spicy, white/grey/colorless, autumn, west - Nurtures Water, Controls Wood, Controlled by Fire - Coupled with Earth 

صفحه 44:
Five Element Correspondences ° Water (Kidney, Bladder) - UTI, Kidney stones, incontinence, joint pain, low back pain, inner chill, abuse, philosopher, music, hearing problems, throat, winter, black, north, salty, motivation/willpower - Nurtures Wood, Controls Fire, Controlled by Earth - Coupled with Fire 

صفحه 45:


صفحه 46:
Excessive Attachment to ‏و‎ ‎Bottled up 0 ‏م2‎ a 17 ~ Liver Qi Stagnation (irritable, “short fuse,” if chronic, then depression) Liver Qi Stagnation -> Lung and Spleen Qi Stag. (see Worry) Liver Qi Stagnation -> Liver Blood Stagnation (chronic pain) If with Kidney Yin Deficiency (overwork or excessive sex), then Liver Yin Deficiency leads to LiverYang Rising - Deficient Water fails to nourish Wood through Sheng cycle tien Qi vor Gi invention, Stomach oe oe 0 ‏ا‎ 

صفحه 47:
Excessive Attachment to Emotions ¢ Knots the Qi ‏ت۱۹‎ of Qii is the domain of ‏و‎ ase but the effect is most prominent at LU an * Affects the Lung and Spleen * Lung 0 0 ‏هقط‎ tems ON oa - Chest/lungs reduce expansion with shallow breaths - Lung Qi stagnates - Heart Qi stagnation can follow, as can Heart Blood Deficiency (due to lack of Lu Qi) * Spleen Qi Stagnation: Seales 1 7 pie ig) 0 7 

صفحه 48:
۱ UreColtrecvel ae) Emotions - Hatred - ١ ‏بدن‎ >>| - Wood/Fire - Sadness, Grief, Regret- ۰... - Metal = Pear - ۱۹۱۹۱۰۸ - ‏عار و دک عن مه‎ <- 1.0۷6 - ۱:۱ Bire -Craving- => - Fire - Guilt - (5) 2) - Water/Fire 

صفحه 49:
۰ 1۱1000 166016020۲ 0000000000000 ۰ Yin Deficiency (KI, HT, LR, LU) with Shen Ungrounded- = ———————— — KI Yin Def: Exhausted, low willpower, start projects but don’t finish them, thirst, dry mouth - HT Yin Def: Palpitations, anxiety, sweats — LR Yin Def: Chronic depression, anger - LU Yin Def: Sweat, itchy skin, lonely, breathless + Hun Ungrounded - )=20) 0 02050) sleep, Sleep walking/talking, Restlessness * Heart-Gallbladder Deficiency - >» too early 

صفحه 50:
Depression - Many ةا ‎Mind Obstructed‏ * ‎Liver Qi Stagnation‏ - ‎Heart and Lung Qi Stagnation‏ - ‎Heart or Liver Blood Stagnation‏ ~ ‎Phlegm Misting the Mind’s Orifices‏ - ‎Phlegm Heat obstructed the Mind/Heart‏ - ‎٠ Mind Unsettled‏ ‎Heart or Liver Fire blazing‏ - ‎Heart Blood or Yin Deficiency‏ - ‎Liver Blood Deficiency‏ ~ ‎Kidney Yin Deficiency (+/- Empty Heat)‏ - ‎Mind Weakened‏ * ‎Blood, Qi, and/or Yang Deficiency‏ - 

صفحه 51:
Chinese Diagnostics * Tongue - Color, size, wetness/“scalloping”, coating, cracks ~ Geographic representations of organs - Clinical changes occur slowly (weeks) * Pulses ~ Radial artery - Organ assessment at certain positions/depths - Clinical changes occur quickly (during treatment) * Body Type/Morphology * Skin/Complexion Color/Lesions * Palpation - heat/cold, lumps/knots 

صفحه 52:
Tongue Diagnosis 

صفحه 53:
KI Yan: ‏کت و‎ wollen, pale, ١ loped, thin clear coat ۳ 7 Kidney Yin Deficiency Severe Yin Excess Heat in Deficiency Heart Long-standing heat Invasion of Wind or fire (LR or ST) Long, thin, di red bod: Red tongue body with oe ‏ل‎ ‎black. drv central coat hs Heart Yin and Blood Deficiency Tongue body pale and tip red and pointed No coat 

صفحه 54:
Pulse Diagnosis SUPERFICIAL WAVE DEEP WAVE ‏تسس‎ ‎way sy‏ ید ‎R‏ م عبر 06 ‎STOMACH‏ ‏وت ‎LARGE‏ ‏یهرز ‎USL‏ ‎YANG ‎ORGANS ‎ 

صفحه 55:


صفحه 56:
Jiao Scalp Acupuncture 

صفحه 57:
Herbs 

صفحه 58:
Modular Herbal Formulae 11 7 9 Eee 3 ‏اس لا‎ cule 9 nie ۱ - ‏منود مضا که اممگگه قطا 0قم1۳6076‎ * Assistants 9 ee ‏ی‎ ۳ عنما صللا توعصفة1 للمدونده صذ عنصما صمملوگ ۵۶ معمل للمهق + ‎Guides/Conductors‏ 5 

صفحه 59:
Cases 

صفحه 60:
Chronic Tonsillitis ¢ 10 yr old girl ¢ Frequently upper respiratory illnesses ¢ Enlarged Tonsils - Tonsillectomy Advised - Voice husky, tonsils nearly touching * Herbal Formula: ©) (0:5) 1: =\ (Beinfield, Korngold) 00 - Purge Phlegm, Heat, and Toxins for Blood and lymph system ¢ Acupuncture - LU/LI Distinct Meridian - SP-LU-LI-ST movement (Tai Yin - Yang Ming) 

صفحه 61:
Menopausal Sweats, Insomnia, Mood Swings, Abdominal Bloatin ۰ 49 yo female - insomnia, hot 1 with sweats, thirst, dry mouth, irritable mood, gas, upper abdominal bloating/pain, borborygmus (gurgling) * Tongue - Dry red body, red tip, di white on sides, yellow centrally * Pulse - rapid, floating, choppy, KI position deep * Kidney Yin Deficiency with Empty H ¢ Liver Qi Stagnation _ Food Qi Stagn: ~~ Stomach Heat 

صفحه 62:
Menopausal Sweats, Insomnia, Mood Swings, Abdominal Bloating ¢ Herbs: - Ease the Journey-Yin ‏ا‎ + Kidney Yin Def with Empty Heat ~ 0 (Beinfield, Korngold) * Food Qi Stagnation ¢ Acupuncture: Operator 5 Phase - Tonify Kidney and Spleen - Disperse heat - Move Liver Qi 

صفحه 63:
Phlegm Heat ¢ 52 yo male with a 3 year history of progressively severe headaches, anxiety, palpitations, heat, and brain fog. - Evaluated at the Mayo Clinic in Rochester, MN with a large metabolic and neurologic workup - Brain biopsy ruled out Pick’s Disease. - Declared psychiatric illness * Dietary history included - 2-3 regular sodas per day - “Processed foods diet” (foods that are boxed, canned, or otherwise packaged with generally high glycemic indices and artificial preservatives). 

صفحه 64:
¢ Tongue - Swollen, red, sticky thick damp yellow coating extending to tip * Pulse - Wet/slippery at right middle position (SP) 

صفحه 65:
Phlegm Heat ۰ Herbal Formula: © (22: © (Maciocia) ~ Clear Phlegm and Heat, Open the Mind and Heart’s Orifices, relax the chest ¢ Acupuncture - Spleen Qi tonification and movement, Heart points ~ Phlegm clearing points ~ Heat clearing points * Dietary change - cessation of refined sugar/dairy * Symptoms and pulses improved within 3 weeks * Tongue improved after 6-10 weeks 

صفحه 66:
Fatigue and (۵ * 39 yo female with fatigue, chilled, low libido, irritable bowel syndrome with intermittent diarrhea worse with irritability/anger ٠ History of childhood emotional trauma * Loose stool upon awakening - “Cock-crow diarrhea” - Kidney Yang Deficiency 

صفحه 67:
Fatigue and Diarrhea 

صفحه 68:
Peeling the Onion (Manifestation) and work 

صفحه 69:
Metaphor of the Tree 

صفحه 70:
What is the Root Etiology? + Spleen versus Kidney 2° 1 ro * Qi (from Environment plus Life Experience) Versus ۰ Jing (from Constitution/Genetics plus Life Experience) - Jing as source of KI Yin/Yang and, ultimately, of Qi * Childhood emotional trauma likely trumps all and injures Water (Kidney) Presume that Kidney Yang Deficiency is Root * But start with Spleen/Liver treatment to improve digestion and mood - Therefore improve ability to generate Qi 

صفحه 71:
Strengthen the Root Irritease movement onto 5 0 CoP) 0-00 

صفحه 72:


صفحه 73:
Spleen Yang Deficiency Liver Blood/Qi Stagnation * 35 yo female - generally colder than others, cold hands/feet, intermittent abdominal pain with loose stools, mild fatigue, feels best with exercise, missing menstrual periods, uterine fibroids ٠ Herbs ۸0096 ۷۱۵۵ apenul) * Tonify Yuan Qi, Tonify Spleen/Stomach Qi, and Raise Yang - Women’s Chamber * Invigorate Blood, transform Blood Stasis, reduce Abd Masses ¢ Acupuncture: SP-ST tonification, LR movement 

صفحه 74:
Palpitations * 55 yo male - palpitations, dizziness, chronic insomnia, generally hot with hot flashes 1-2 per night, mild anxiety, low back ache, knee soreness, hair/nails are dry/brittle * Overwork, divorced age 48 * Tongue: long, thin, dry, body mild pallor, pointe ¢ Pulse: Floating, deep at KI and 

صفحه 75:
Palpitations * Heart Yin and Blood Deficiency - Yin (hot, dry, insomnia, red/dry/thin tongue) - Blood (tongue with pallor, hair/nails dry/brittle, dizziness) ¢ Kidney Yin Deficiency - Back/joint pain - Yin Deficient symptoms above - Co-exists with HT Yin Deficiency - Overwork, stressful divorce as risk factors 

صفحه 76:
Palpitations ‏ااا‎ 5) 20 (0 NC ReaTenO) - Heart and Kidney Yin Deficiency, Shen ungrounded, Blood Deficiency * Acupuncture - Shao Yin - Tai Yang Principal Meridian * KI-HT-SLBL - Focus on HT primarily at first, then shift to KI later ~ Relieve Fire first, then tonify Water - Settle Shen * Upper Burner/Heater points (CV17, GV20) * Ground Water with KI1 * Palpitations reduced 80% after 5 treatments, insomnia improved, no longer thirsty/dry mouth 

صفحه 77:
Osteoarthritis of the (6 Principal Meridian plus Knee SP9-ST34, SP10-ST36, Eyes of Knee Bi Syndrome Formula (Depends on Pattern) Blood Stagnation Blood Deficiency Wind-Cold-Damp Phlegm Heat more typical of RA Vitamin D 5000iu EPA-DHA 3000- 

صفحه 78:
Scalp Acupuncture added for 

صفحه 79:
اا الها ¢ 41 yo female with 2 weeks bronchitis followed by sudden onset severe chest pain with breathing. ER visit reveals normal cardiac evaluation and normal chest xray. Seen in clinic 5 days later with severe pain failing NSAIDS and narcotics. No DVT. * History of anxiety, insomnia, hyste for menorrhagia * Tongue: red, dry, dusky purple col yellow coat just medial to pur edges 1-2+ scalloping ¢ Pulse: choppy Photo taken 4 days after 1 treatment 

صفحه 80:
وتنام[ (متم‌منمه )00‏ ب سوت اف :ومع ‎Move Blood Stagnation in Chest‏ - ‎Acupuncture: Jue Yin -Shao Yang‏ - LR-PC-TH-GB (needle balance for Yang Dispersal, 20Hz) - Regional chest points, Ear and Scalp points - No Moxa At time of first treatment, “agonizing” pain Next day “woke up with no pain” 2 days 40% pain reduction 4 days 20% pain reduction Retreated on Day 4 

صفحه 81:
۰71 7۵ male with 4-5 years of fatigue following treatment for prostate cancer, low libido, mild memory loss (names), markedly ridged nails - Low testosterone “Andropause” * Testosterone controversial with history Prostate CA - Prolonged personal conflict/anger increases cortisol transiently - burns out over time 

صفحه 82:
Fatigue ٠ High blood pressure - Meditation too time consuming * Renal insufficiency (proteinuria, CrCl 61ml1/min) * Thyroid labs normal except elevated RT3 * Low AM Cortisol - Adrenal Fatigue ~ Kidney Yin or Yang Deficiency * Tongue - red, thin damp yellow coat, deep wide SP/ST crack * Pulse - deep diffusely 

صفحه 83:
Fatigue * Kidney Yin Deficiency, Qi Deficiency, Blood Deficiency ¢ Acupuncture: - Tonify Kidney, Back Shu points, Ming Men - Extra Points: SP/ST points added (damp, ST crack) * Herbs: \/o) 9) i: 1se(c); (Maciocia) - Kidney Yin Tonic ¢ Other: Adrenal support protocol - High dose B5/B6, hydrolyzed collagen, adrenal adaptogenic herbs, adrenal glandular, pregnenolone, GI mucosal support, GI probiotic - Rest 

صفحه 84:


صفحه 85:
KI Tonification plus SP6 

صفحه 86:
Fatigue 

صفحه 87:
LUNGS of Blood 

صفحه 88:
Degenerative Disc Disease Spinal Stenosis * 62 yo male - chronic back pain worse over the last year - Intermittent sciatica into leg - MRI: degenerative disc disease, lumbar spinal stenosis * Neurosurgeon recommends PT, epidural steroid injections, conservative treatment - Come back if genitourinary problems or severe pain failing all other treatments 

صفحه 89:
PENS * Percutaneous Electrical Nerve Stimulation * A form of “Neuroanatomical Acupuncture” - Dr. Bill Craig * Electrically stimulate spinal segments responsible to the area of pain - Dermatome, Myotome, Sclerotome, Sympathetics 

صفحه 90:


صفحه 91:
T1, head; T1 and T2, neck; T3 and T4, shoulder and arm; T4, T5, T6, thorax; T7, T8, T9, T10, T11, abdomen; T10, lumbar region; T10 and T11, gluteal region; and T12, LI, L2, leg. 

صفحه 92:
Degenerative Disk Disease Shingles Spinal Stenosis Low Back or Neck Pain failing other types of acupuncture Start Single 4Hz Module Then Split into 4Hz/15Hz Then 4Hz/30Hz, 4Hz/80Hz, and up to 4Hz/150Hz Can Use 3-4 Modules 

صفحه 93:
Upper Back Pain * 58 yo female with 3-4 months of upper back pain at trapezius - Shoots into lower shoulder blade, upper arm, and onto dorsal forearm - Recent headaches - Hot, dry mouth, thirst, prefers dark chocolate and salty flavors, emotional stress - irritability, neck/shoulder tightness - History of endometriosis leading to hysterectomy 

صفحه 94:
Upper Back Pain * Tight knots in right trapezius, levator scapulae, rhomboids ۰ Palpation reproduces pain * Tongue - red, dry, red tip, dry yellow coat * Pulse - deep, wiry, slight floating quality * Liver Qi Stagnation, LR Blood Stagnation * Liver Yin Deficiency 

صفحه 95:
REINFORCEMENT , 0۴۷۸ ۸ JueYin - ShaoYang: LR2,LR3,GB — and upper back regiona points "100% better for 3:days 

صفحه 96:
Jiao Scalp Acupuncture 

صفحه 97:
Move Liver Qi/Blood, dissolve masses, dispel Phlegm/Damp, purge Heat/Toxins, tonify Liver and Spleen 

صفحه 98:


صفحه 99:
So What Is It Good For? 

صفحه 100:
Applications * Studies of various standards * Value of RDBPCT design for interactive modalities dubious ¢ Internal Medicine - Asthma, nausea, IBS, Crohn’s/UC, anxiety, depression, epilepsy, chronic UTI, eczema, sinusitis, allergies, headache, TMJ, Bell’s Palsy, neuropathy, stroke (scalp acupuncture) * Substance abuse - smoking, chewing, opiates, alcohol, craving 

صفحه 101:
Applications * OB/GYN - Premenstrual syndrome, (peri)menopausal symptoms, dysmenorrhea, menorrhagia, oligomenorrhea, infertility, labor pain, breech presentation ۰ Pain - Epicondylitis, plantar fasciitis, arthritis, low back pain, neck pain, pelvic pain, zoster 

صفحه 102:
Applications * Essentially, any medical problem should be accessible with AP ~ Issues are practicality and density of disease - Acupuncturist training and experience ¢ Role in Cancer - Helpful for decreasing side effects of chemo/radiation ~ Especially with herbal therapy - Facilitating spiritual transition to interaction with mortality 

صفحه 103:


صفحه 104:
Veterinary Acupuncture aw, 

صفحه 105:
Complications and Precautions ۰ Retained Needle * Pneumothorax (any organ puncture) ¢ Auricular infections * Other skin infections ¢ Temporary (24hr) clinical worsening * Pregnancy - Not a contraindication - Theoretical concern of causing contractions * Anticoagulation - not a contraindication 

صفحه 106:
Recommended Readings ٠ Between Heaven and Earth - Harriet Beinfield, LAc & Efrem Korngold, LAc, OMD ° The Web That Has No Weaver - Ted Kaptchuk, OMD ٠ Getting to Know You - Joseph Helms, MD 

صفحه 107:
Other Sources ‏ل ا ل ا ا الت‎ these sources) * The Foundations of Chinese Medicine - Giovanni Maciocia - Several other texts authored (Practice Diagnosis, Tongue Diagnosis, OB/GYN) * Atlas of Chinese Tongue Diagnosis - Barbara Kirschbaum * Acupuncture Energetics: A Clinical Approach for Physicians - Joseph Helms, MD