Chinese Medicine Treatment
اسلاید 1: www.tabaye.ir
اسلاید 2: ME & Chinese Medicine TreatmentHuijun ShenSenior lecturerAcupuncture ProgrammeUniversity of Lincolnhshen@lincoln.ac.uk
اسلاید 3: ME: TCM UnderstandingTCM Name: Xu LaoXu: DeficiencyLao: FatigueCore Etiology & pathogenesis: Damp retention, and Qi deficiency
اسلاید 4: What is damp retentionAn abnormal accumulation of body fluids, which affect the physical functions of organs (most commonly spleen), tissues (muscles etc) and cells, leading to dysfunction of cellular metabolism. Damp: intercellular accumulation of body fluids?
اسلاید 5: Where does damp retention come from?Damp retention leading to Spleen dysfunctionSpleen has the function in transformation and transportation of food essence to produce QiExogenous Damp:Damp environment, damp weather, etc.Endogenous damp:Cold food/ unhealthy dietDamp accumulating in Middle JiaoSpleenDysfunctionXu Lao
اسلاید 6: What is Qi Deficiency?Qi: life force, vital energyQi deficiency: Qi becomes weaker than normal leading to lessened energy level in the body, manifesting as fatigue/lethargy, weak muscles, poor appetite, weak voice, pale tongue and weak pulse.
اسلاید 7: Where does Qi Deficiency come from? Too little productionlong term illnesserratic dietmalnutrition Typical Qi Deficiency is Spleen Qi Deficiency Spleen Qi Deficiency - failing to transform and transport body fluids, leading to Damp retentionSpleen Deficiency- Failing to produce Qi, Qi becomes weakToo much consumptionlong term illnessoverworkCongenital Weakness
اسلاید 8: Damp Retention vs Spleen Qi Deficiency mutually causative mutually consequent Damp Retention Spleen Qi Deficiency
اسلاید 9: A. Early stage: predominantly excess patternsDamp accumulated in the interior1. Damp heat accumulated in the interiorMain symptoms: feeling slightly hot but no fever, sweating, thirst but no desire for drinking;distension/fullness in abdomen, with dull pain, poor appetite, erratic bowel movement or diarrhoea, nausea, vomiting;red tongue with yellow greasy coating, rapid soft pulse.
اسلاید 10: Treatment principles: Clear damp heatHerbal formulae: San Ren TangHerbal prescription: Xing Ren, Sha Ren, Yi Yi Ren, Huan Qin, Zhi Zi, Bai Zhu, Chen Pi, Gan CaoPoint selection: GB34, SP9, ST38, ST25, LI11
اسلاید 11: 2. Damp cold accumulated in the interiorMain symptoms: feeling cold, no or little sweating, no desire for drinking, distension/fullness in abdomen, poor appetite, nausea, erratic bowel movement or diarrhoea, pale tongue with white greasy coating, slow soft (soggy) pulseTreatment principles: expel cold and remove dampPoint selection: GB34, SP4, SP6, SP9, ST36, ST38, ST25, Ren 12, Ren6, or moxa
اسلاید 12: Treatment principles: expel cold and remove dampHerbal formulae: Ping Wei San with Huo Zhu WanHerbal prescription: Cang Zhu, Hou Po, Chen Pi, Sha Ren, Yi Yi Ren, Huo Xiang, Bai Zhu, Gan Cao, Fu Ling, Point selection: GB34, SP4, SP6, SP9, ST36, ST38, ST25, Ren 12, Ren6, or moxa
اسلاید 13: 3. Damp /phlegm retention combined with Liver Qi stagnationMain symptoms: no feeling cold or hot distension/fullness in abdomen, or abdominal painpoor appetite, nauseaor fullness in chest with cough and phlegmerratic bowel movement or diarrhoeairregular or painful menstruationirritability, frequent sighingpale tongue with white greasy coating, pulse soft in spleen position and wiring in liver position
اسلاید 14: Treatment principles: remove damp/phlegm and spread liver qiHerbal formulae: Er Chen Tang with Si Ni SanHerbal prescription: Chen Pi, Ban Xia, Fu Ling, Gan Cao; Chai Hu, Bai Shao Yao, Zhi Shi; plus Qing Pi, Yu Jin, Xing Ren.Point selection: Liv3 (or with LI4), GB34, SP4, SP6, SP9, ST36, ST40, ST25, Ren 12, Ren6, Liv13, Liv14.
اسلاید 15: B. Middle Stage: predominantly deficiency patterns1. Qi deficiency mingled with dampMain symptoms: Fatigue, low energy level, poor appetite, loose stools or even diarrhoea, weight loss, pale tongue with teeth marks on the tongue edge, weak pulse.
اسلاید 16: Treatment principles: tonify spleen Qi and remove dampHerbal formulae: Herbal prescription: Point selection: ST36, SP3, SP6, SP9, Ren 6, Ren 12, BL20
اسلاید 17: 2. Qi and blood deficiencyMain symptoms: Fatigue, low energy level, pale complexion, poor appetite, loose stools or even diarrhoea, more obvious weight loss, abnormal menstruation in women, dizziness when feeling tired, numbness in limbs, blurred vision, pale tongue and weak pulse.
اسلاید 18: Treatment principles: Tonify Qi and nourish bloodHerbal formulae: Ba Zhen TangHerbal prescription: Dang Sehn, Bai Zhu, Fu Ling, Gan Cao; Dang Gui, Bai Shao Yao, Shu Di Huang, Chuan Xiong; Huang Qi, Shan Yao, He Shou Wu can be added.Point selection: ST36, SP6, SP10 Ren 6, BL17, BL18, BL20.
اسلاید 19: 3. Yin deficiencyMain symptoms: Feeling hot or hot flushes, night sweats, dry mouth and thirst, “five palm heat”, weight loss, fatigue, red tongue with little coating, weak/thin and rapid pulse.
اسلاید 20: Treatment principles: Nourish YinHerbal formulae: Liu Wei Di Huang Wan plusHerbal prescription: Shu Di Huang, Shan Yao, Shan Zhu Yu, Mu Dan Pi, Ze Xie, Fu Ling; Mai Men Dong, Nu Zhen Zi, Gou Qi Zi, Tai Zi Shen can be addedPoint selection: SP6, BL18, BL23, Ren4; KI2, 6 or 7
اسلاید 21: 4. Yang deficiencyMain symptoms: Feeling cold with cold hands and feet, lack of sweats, weight loss, very tired with low energy, obvious general weakness, loose stools or diarrhoea, frequent urination, pale or purple tongue, deep weak pulse.
اسلاید 22: Treatment principles: tonify YangHerbal formulae: modified Jing Gui Shen Qi Wan Herbal prescription: Xian Mao (as substitute of Fu Zi), Rou Gui, Shu Di Huang, Shao Yao, Shan Zhu Yu, Mu Dang Pi, Ze Xie, Fu Ling; Tu Si Zi, Ba Ji Tian can be added.Point selection: KI3, 6, 7; BL20, 23; Ren4, 6; DU4, ST36
اسلاید 23: C. Later Stage: predominantly multiple deficiency patterns1. Qi and Yin dual deficiencyMain symptoms: Extreme weakness, feeling hot or hot flushes, night sweats, dry mouth and thirst, “five palm heat”, weight loss, fatigue, poor appetite, erratic bowel movement, red tongue with teeth marks, little tongue coating, weak, thin and rapid pulse.
اسلاید 24: Treatment principles: Tonify Qi and nourish YinHerbal formulae: Bao Yuan Jian with Liu Wei Di Huang WanHerbal prescription: Dang Shen, Bai Zhu, Huang Qi, Fu Ling, Chen Pi, Gan Cao; Shu Di Huang, Shan Yao, Shan Zhu Yu, Mu Dan Pi, Ze Xie; or Sheng Mai Yin (Ren Shen, Mai Men Dong, Wu Wei Zi) can be added.Point selection: ST36, SP6, BL18, BL20, BL23, Ren 4 Ren 6; KI 2, 3, 6 or 7
اسلاید 25: 2. Yin and Yang dual deficiencyMain symptoms: Extreme weakness, no hot or cold feeling, or feeling warm/hot in the afternoon but cold at night or in the morning, night sweats and spontaneous sweats, severe weight loss, very poor appetite, deep and very thin/weak pulse.
اسلاید 26: Treatment principles: tonify Yang and nourish YinHerbal formulae: Liu Wei Di Huang Wan with Zhen Wu TangHerbal prescription: Shu Di Huang, Shan Yao, Shan Zhu Yu, Mu Dan Pi, Ze Xie, Fu Ling; Fu Zi (substituted by Xiao Mao), Gan Jiang, Bai Zhu, Bai Shao Yao; Rou Gui, Ba Ji Tian can be added.Point selection: SP6, ST36, BL18, BL20, BL23, Ren4; KI2, 3, 6 or 7; Ren4, 6; DU4
اسلاید 27: Lifestyle ModificationBalance DietAdequate RestGentle exercise: Tai Ji, Yoga, etc. Spiritual relaxation: Meditation, enjoy life, have a good relationshipFamily supportSocial activity
اسلاید 28: Balanced DietHigh protein food: red meat, fishVegetarian: may not be good for ME sufferersEating hot or cold food?
اسلاید 29: Hot/Cold Property of Common Food 常用食物的寒热属性
اسلاید 30: Qi Tonic herbsGinseng (Ren Shen)Chinese ginsengKorean ginsengSiberian ginsengAmerican ginsengOther Qi tonic herbs:Huang Qi Dang ShenBai ZhuShan Yao
اسلاید 31: Damp Removing herbsCang ZhuHou PoHuo XiangSha Re
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