CAP 3 Final Review II

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son850
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CAP 3 Final Review II
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2012-12-12 20:25:11
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  1. Excessive vaginal discharge that is white or slightly yellow, thin without smell and persistent.  Dull complexion, tiredness, depression, poor appetite, nausea, loose stools.
    Tongue: pale with sticky white coating
    Pulse: weak & slightly slippery
    What is diagnosis? Tx Principle? Points? Modifications?
    • SP Def (Tonify, except SP-6, 9)
    • Points: [CV-12 + BL-20], ST-36, SP3, [6 + 9]
    • Mods:
    • Dampness in Lower Jiao: BL-22, [BL-32 + CV-3]
    • SP Qi sinking: [CV-6 + DU-20]
    • SP Yang Def: DU-20, BL-20, CV-3, 6, ST-36
  2. Leucorrhea with profuse, white and dilute vaginal discharge, watery, dizziness, tiredness, backache, frequent-pale urination, cold lower back and abdomen or daybreak diarrrhea.
    Tongue: Pale and watery
    Pulse: Deep & Weak
    What is diagnosis? Tx Principle? Points?
    • SP & KI Yang Def
    • Points: [CV-12 + BL-20], ST-36, SP3, [6 + 9], DU-4, BL-23, KI-3, 13, GB-26
  3. Scanty vaginal discharge, white or slightly yellowish, dry, itchy and burning at the external vagina.  Five-center heat, weakness and softness of low back, dizziness, tinnitus.
    Tongue: red and thin coating
    Pulse: thready & fast
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI & LR Yin Def (Tonify, no moxa)
    • Points: CV-4, KI-3, 13, SP-6, [LU-7 + KI-6], DU-20
    • Mods: GB-26
  4. Profuse white or yellow, sticky vaginal discharge without odor.  Hypochondriac pain and distension, tender breasts, irritability, depression.
    Tongue: slightly red on the sides
    Pulse: wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • LR Qi Stag, either invading SP or affecting genital area along meridian (Reducing or Even, except BL-20, ST-36, SP-6)
    • Points: SJ-6, GB-34, LR-3, 5, [BL-20 + ST-36 + SP-6]
    • Mods:
    • Regulate Dai and damp-heat: [GB-41 + SJ-5]
    • Move LR Qi and resolved damp in genitals: [BL-18 + SP-9]
  5. Profuse yellow or brown discharge, sticky with odor, itchy external vagina.  Bitter taste in the mouth, poor appetite, chest distenstion or irritability
    Tongue: red with greasy & yellow coating
    Pulse: slippery / wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • Damp-Heat (reducing or even)
    • Points: [GB-41 + SJ-5], GB-26, [CV-2 + 3], [LR-2 + 3]
    • Mods:
    • Clear Damp-heat: SP-6, 9, [SP-10 + BL-22]
    • Stop Itchiness: LR-5
  6. Profuse, yellowish and blood-stained or five-color discharge that is sticky with odor.  A feeling of heat, thirst, desire for cold drinks, dark urine, constipation.
    Tongue: Red with sticky-yellow coating, or with red spots
    Pulse: slippery & rapid
    What is diagnosis? Tx Principle? Points? Modifications?
    • Toxic heat (Reducing or Even)
    • Points: LI-11, [SP-6 + 9], [CV-2 + 3], SP-10, KI-2, LR-3
    • Mods: [SP-1 + SP-8]
  7. Intense vaginal itching, yellow vaginal discharge, occasionally pain on intercourse.  Mental restlessness, irritability, insomnia, dark urine.
    Tongue: red with redder sides and a yellow sticky coating on the root with red spots
    Pulse: slippery / wiry
    What is diagnosis? Tx Principle? Points?
    • Damp-Heat in the LR meridian (Reducing or Even, no moxa)
    • Points: CV-2, 3, LR-4, 5, [SP-6 + 9], BL-33
  8. Vaginal itching, slight white vaginal discharge.  Tiredness, loose stools, heaviness of the body.
    Tongue: pale with white and sticky coating
    Pulse: weak & slightly slippery
    What is diagnosis? Tx Principle? Points?
    • Dampness and SP Qi Def (Reducing or Even, expect CV-12, ST-36, BL-20]
    • Points: [SP-6 + 9], [CV-12 + ST-36 + BL-20], [CV-9 + BL-22], [BL-32 + 33], [CV-2 + 3]
  9. Slight vaginal itching with a burning sensation, dryness of vagina.  Five center heat, dizziness, tinnitus, a feeling of heat in the afternoon.
    Tongue: red tongue w/o coating
    Pulse: thready & rapid
    What is diagnosis? Tx Principle? Points?
    • LR & KI Yin Def (Tonify, no moxa)
    • Points: CV-3, 4, [LR-8 + SP-6 + KI-3], [LU-7 + KI-6], LR-5
  10. Infertility with prolonged menstrual cycle, the periods can be either scanty or heavy.  Backache, dizziness, feeling cold, cold extremities, depression, frequent urination, low sexual drive, loose stool and frequent urination.
    Tongue: pale, swollen, watery
    Pulse: deep & weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI Yang Def (Tonify, moxa)
    • Points: KI-13, [KI-3 + BL-23 + 52], CV-4, DU-4
    • Mods: [LU-7 + KI-6]
  11. No periods or light menstrual flow, tiredness, loose stools, poor appetite, feeling of cold, lower backache, weak limbs, abdominal distension, dizziness, frequent urination.
    Tongue: Pale and Swollen
    Pulse: weak, slow, deep
    What is diagnosis? Tx Principle? Points?
    • SP & KI Yang Def
    • Points: KI-13, [KI-3 + BL-23 + 52], CV-4, 6, 12, DU-4, ST-36, SP-6, BL-20
  12. Long-term infertility, preceded periods, scanty & bright red color.  Dizziness, tinnitus, night sweats, five palm heat, dry mouth.
    Tongue: Red w/o coating
    Pulse: rapid & thready
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI Yin Def (Tonify, no moxa)
    • Points: CV-4, 7, [KI-3 + SP-6], KI-13, [LU-7 + KI-6], BL-52
    • Mods: KI-2, LR-2
  13. Delayed menarche (after age of 18), scanty and light menstrual flow, gradually the periods stop.  Dizziness, tinnitus, soreness of lower back and knees, poor concentration.
    Tongue: Pale
    Pulse: deep & thready
    What is diagnosis? Tx Principle? Points?
    • KI Essence Def
    • Points: CV-4, 6, 7, [KI-3 + SP-6], KI-13, [LU-7 + KI-6], BL-17, 18, 23, 52, SP-10, ST-36
  14. Infertility with scanty periods, pale menstrual flow, delayed cycle.  Tiredness, dizziness, pale complexion, blurred vision, numb extremities.
    Tongue: pale & thin
    Pulse: choppy / fine
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Def (tonify, moxa)
    • Points: CV-4, [ST-36 & SP-6], KI-13, [BL-20 + 23], BL-17
    • Mods: Zi Gong, [LU-7 + KI-6], KI-3
  15. Primary infertility, delayed cycle with small clots, scanty or amenorrhea, painful periods better with heat, feeling colder during period.  Pale face, sore back, cold abdomen and lower extremities.
    Tongue: pale tongue and white coating
    Pulse: tight
    What is diagnosis? Tx Principle? Points?
    • Cold in the uterus (Reducing or Even, moxa)
    • Points: CV-2, 4, Zi Gong, DU-4, [KI-7 & BL-23]
  16. Severe cold type with purplish menstrual flow and larger clots, and painful period.
    Tongue: Bluish and purplish
    What is diagnosis? Tx Principle? Points?
    • Blood Stasis developed from cold
    • Points: CV-2, 4, Zi Gong, DU-4, [KI-7 & BL-23], BL-32, ST-29, SP-10
  17. Loose stools with undigested food, poor appetite, tiredness, worse by doing activities.
    Tongue: Pale, puffy with teethmarks
    Pulse: deep & tight
    What is diagnosis? Tx Principle? Points?
    • Def and Excess Cold Complex
    • Points: CV-2, 4, Zi Gong, DU-4, [KI-7 & BL-23], BL-20, 52, KI-3, ST-36, SP-6
  18. Long term infertility, irregular menses, delayed cycle, mid-cycle pain, abdominal adhesions, white and copious vaginal discharge.  Overweight, feeling of heaviness.
    Tongue: White and greasy coating
    Pulse: slippery
    What is diagnosis? Tx Principle? Points? Modifications?
    • Dampness in the Lower Jiao (Reducing or Even, no moxa)
    • Points: [CV-3 + Zi Gong], [ST-28 + SP-6 + 9 + CV-9], [LU-7 + KI-6], ST-30
    • Mods:
    • Dampness turning to damp-heat: GB-26, 34, [GB-41 + SJ-5]
    • Dampness turning to cold-damp: KI-14, BL-32
  19. Long-term infertility, irregular periods, premenstrual tension, painful periods, scanty and dark blood flow with clots.  Tender breasts, irritability and depression.
    Tongue: red on the sides
    Pulse: wiry
    What is diagnosis? Tx Principle? Points?
    • Qi Stag (Reducing or Even)
    • Points: [LR-3 + GB-34 + SJ-6], PC-6, CV-4, 6, KI-14, [SP-4 + 6]
  20. Infertility, bitter taste in mouth, agitation, headache, moodiness, short temper, red eyes and face.
    Tongue: red on sides
    Pulse: wiry
    What is diagnosis? Tx Principle? Points?
    • LR Qi Stag turning to Heat
    • Points: [LR-3 + GB-34 + SJ-6], PC-6, CV-4, 6, KI-14, [SP-4 + 6], LR-2, LI-11
  21. Long-term infertility, delayed periods or painful periods, scanty dark blood flow with larger clots, or feeling of cold in abdomen.  Irritability, manic behavior, mental restlessness, abdominal pain, masses or adhesions.
    Tongue: purple
    Pulse: wiry & choppy
    What is diagnosis? Tx Principle? Points? Modification?
    • Blood Stasis (Reducing or Even)
    • Points: [LR-3 + GB-34], [BL-17 + SP 6 + 10 + PC-6], [SJ-6 + CV-6], CV-4, [SP-4 + PC-6], KI-6
    • Mods: BL-32, ST-29, KI-14, Zi Gong
  22. Infertility, early periods (short cycle) up to twice a month, heavy flow.  Warm feeling during period, thirst, yellow urine and constipation, mental restlessness.
    Tongue: Red
    Pulse: Rapid, overflowing
    What is diagnosis? Tx Principle? Points?
    • Blood Heat (Reducing or Even, no moxa)
    • Points: [LI-11, SP-6 + 10 + PC-3, BL-17], [LR-2 + KI-2], [LU-7 + KI-6], CV-4
  23. Slight morning sickness, nausea w/o vomiting or vomiting of dilute fluids.  Tiredness, feeling cold, poor appetite.
    Tongue: pale
    Pulse: weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • ST Qi Def with Def Cold (Tonify, moxa)
    • Points: [UB-20 + 21 + CV-12, ST-36], CV-13, [SP-4 + PC-6]
    • Mods: ST-19, 20, 21, KI-20, 21
  24. Morning sickness, belching, vomiting of food with sour taste, abdominal and epigastric distention.  Depression, irritability.
    Tongue: slightly red sides
    Pulse: wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • Stagnant LR Qi invading the ST (Even, except ST-36 (tonify))
    • Points: [LR-3 + GB-34], [CV-12 + 13], [SP-4 + PC-6], ST-36
    • Mods: KI-21, LR-14
  25. Morning sickness that may persist beyond the first 3 months, vomiting of food soon after eating.  Thirst, dry mouth, bleeding gums.
    Tongue: red with yellow coating in the center
    Pulse: rapid & wiry
    What is diagnosis? Tx Principle? Points?
    • ST Heat (Reducing)
    • Points: [ST-44 + CV-11], ST-34, PC-3, 6
  26. Morning sickness, slight nausea, dry mouth without desire to drink or with desire to drink in small sips, bleeding gums, poor appetite.
    Tongue: Red with peeled coating and cracks in ST area
    Pulse: thready & rapid
    What is diagnosis? Tx Principles? Points?
    • ST Yin Def with Def Heat (even method, tonify expect ST-44)
    • Points: [CV-12 + ST-36 + SP-6], [ST-21 + PC-6], ST-44
  27. Miscarriage early in the pregnancy and a history of infertility.  Backache, cold extremities, frequent pale urination.
    Tongue: pale
    Pulse: deep & weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI Yang Def (Tonify, moxa)
    • Points: [BL-23 + 52], DU-4, [DU-20 + CV-6]
    • Mods: ST-36, BL-20, Jing Gong
  28. Repeated miscarriage (usually within the first 3 months) and a history of infertility.  Dizziness, tinnitus, night sweats, backache, hot flashes.
    Tongue: red without coating
    Pulse: thready & rapid
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI Yin Def (Tonify)
    • Points: KI-3, [KI-6 + LU-7], DU-4
    • Mods: [CV-6 + DU-20], ST-36
  29. Miscarriage after 3 months.  Tiredness, loose stools, depression, poor appetite.
    Tongue: pale
    Pulse: Weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • SP Qi Def (Tonify, moxa)
    • Points: [DU-20 + CV-6], [CV-12 + ST-36 + BL-20]
  30. Miscarriage with a history of scanty periods.  Blurred vision, dizziness, insomnia, depression, dry hair and skin, tingling of limbs.
    Tongue: pale & thin
    Pulse: weak & thready
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Def (Tonify)
    • Points: [LR-8 + BL-18], [ST-36 + SP-6], BL-17, CV-4
    • Mods: [LU-7 + KI-6], [BL-20 + 23], [DU-20 & CV-6]
  31. Miscarriage with a history of painful periods, dark clotted blood or history of trauma.  Abdominal pain.
    Tongue: purplish or bluish
    Pulse: choppy / wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Stasis - possibly due to KI Yang Def and Blood Stasis arising from cold in uterus (Reduce, moxa)
    • Points: [SP-6 + 10 + BL-17 + LR-3], CV-6, [CV-4 + Zi Gong]
    • Mods: KI-14, [SP-4 + PC-6], BL-23
  32. Miscarriage with a history of emotional shocks or attacked by Warm-Febrile Disease or heavy periods.  A feeling of heat, thirst, mental restlessness, skin rash.
    Tongue: red with yellowish coating
    Pulse: wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Heat - related to LR Fire or Warm Febrile disease during pregnancy (Reducing or Even)
    • Points: [SP-10 + BL-17 + LI-11], [KI-2 + LR-3]
    • Mods: [SP-6 + KI-6], LR-2, PC-3
  33. Pregnant women with irritability, frequent drinking, and dry mouth and tongue.  Polyuria and gradually developing emaciation.
    Tongue: red tip of the tongue with thin yellow coating
    Pulse: rapid & flooding
    What is diagnosis? Tx Principle? Points? Modifications?
    • LU Heat injuring the fluid - Upper Xiao (Even, except LU-10, 11)
    • Points: [LU-10 + 11], LU-9, BL-13, Jin Jing Yu Ye, Yi Shu (a.k.a. Wei Guan Shu - pancreas shu point, T8)
    • Mods:
    • Irritability: [HT-8 + BL-15]
    • Thirst, dry mouth: [CV-23 + 24]
  34. Polyphagia, tendency to get hungery easily, and dry stool, emaciation.
    Tongue: dry yellow coating
    Pulse: slippery, full and forceful
    What is diagnosis? Tx Principle? Points? Modifications?
    • Excess ST Heat - Middle Xiao (Even, except ST-44)
    • Points: [BL-20 + 21 + CV-12], [ST-36 + SP-4], ST-44, Yi Shu
    • Mods: [CV-10 + 11 + PC-6]
  35. Polyuria, and turbid cloudy or sweet urine.  Dry mouth and lips, possible five center heat.
    Tongue: red
    Pulse: rapid, deep and thready
    What is diagnosis? Tx Principle? Points?
    • KI Yin Def - Lower Xiao (Tonify)
    • Points: [KI-3 + 6 + BL-23], [LR-3 + BL-18], Yi Shu (Wei Guan Shu)
  36. Polyuria, turbid and cloudy urine, greater urine output than fluid intake, cold intolerance and cold limbs.  Dry skin and skin itchiness, soreness and weakness of lower back and knees.
    Tongue: pale with white coating
    Pulse: deep, thready & forceless
    What is diagnosis? Tx Principle? Points?
    • KI Yin & Yang Def (Tonify, moxa - for yang def)
    • Points: [KI-3 + 6 + BL-23], [LR-3 + BL-18], Yi Shu (Wei Guan Shu)
  37. Prolonged labor, contractions are weak or absent.  There is delayed dilation of cervix.  Tiredness, may have shortness of breath.
    Tongue: pale with thin white coating
    Pale: deep, fine, weak
    What is diagnosis? Tx Principle? Points?
    • Qi & Blood Def (Tonify)
    • Points: [ST-36 + SP-6], [BL-20 + 21], BL-67
  38. Prolonged labor, severe pain in the back and abdomen, the internal examination shos the cervix is tense.  A feeling of distension and oppression of the epigastrium, nausea, vomiting, nervousness.
    Tongue: dark-red
    Pulse: deep & wiry
    What is diagnosis? Tx Principle? Points?
    • Qi & Blood Stag (Reducing)
    • Points: [LI-4 + SP-6], GB-34, LR-3, BL-67
  39. Retained placenta.  Fatigue, dizziness, shortness of breath, feeling of cold.
    Tongue: pale with thin coating
    Pulse: hollow & weak
    What is diagnosis? Tx Principle? Points?
    • Qi Def
    • Points: [SP-6 + LI-4], CV-4, 6, GB-21
  40. Retained placenta.  Dark blue complexion, pain in the lower abdomen, possible vomiting.
    Tongue: pale / purplish
    Pulse: deep, wiry, slow
    What is diagnosis? Tx Principle? Points?
    • Cold leading to Blood Stasis
    • Points: GB-21, BL-60, SP-8, CV-4
  41. Post-natal depression, mild anxiety, a feeling of guilt, loss of libido, tearfulness.  Insomnia, fatigue, poor memory, palpitations.
    Tongue: pale & thin
    Pulse: weak on left side
    What is diagnosis? Tx Principle? Points? Modifications?
    • HT Blood Def (tonify, except DU-19)
    • Points: [BL-15 + HT-5], [HT-7 + CV-14], DU-19, 20
    • Mods: [ST-36 + SP-6 + 10], PC-6
  42. Post-natal depression, mental restlessness, feeling of guilt, loss of libido, scanty breast milk.  Insomnia, exhaustion, palpitations, feeling of heat in the evening, night sweats.
    Tongue: red w/o coating
    Pulse: rapid & thready
    What is diagnosis? Tx Principle? Points? Modifications?
    • HT Yin Def (tonify, except head points (even))
    • Points: [HT-7 + CV-14], HT-5, CV-4, [DU-19 + 24]
    • Mods: [LR-8 + SP-6]
  43. Post-natal depression, manic behavior, delusions, aggressive behavior, suicidal, destructive thoughts, lack of bonding with the baby.
    Tongue: purple
    Pulse: wiry and choppy
    What is diagnosis? Tx Principles? Points? Modifications?
    • HT Blood Stasis (reducing)
    • Points: [PC-7 + CV-14], [BL-17 + SP-10], DU-24
    • Mods: BL-15, [SP-4 + PC-6]
  44. Insufficient or absent lactation after childbirth, no feeling of breast distension.  Sallow complexion, dry skin, poor appetite, tiredness.
    Tongue: pale
    Pulse: weak & thready
    What is diagnosis? Tx Principles? Points? Modifications?
    • Qi & Blood Def (tonify, moxa)
    • Points: [ST-36 + BL-20], CV-17, SI-1
    • Mods: ST-18, [LR-8 + SP-6 + BL-23 + CV-4]
  45. Absent or scanty lactation, distension, hardness and pain of the breasts.  Hypochondriac and epigastric distension, irritability.
    Tongue: red sides
    Pulse: wiry
    What is diagnosis? Tx Principles? Points? Modifications?
    • LR Qi Stag (Reducing or Even)
    • Points: LR-3, [SP-4 + PC-6], CV-17, SI-1, ST-18
    • Mods: [GB-34 + 41 + SJ-3]
  46. Persistnent lochia discharge that is red, profuse, dilute, without odor.  Dizziness, exhaustion, breathlessness, a feeling of bearing down in the abdomen, and sweating.
    Tongue: pale
    Pulse: weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • Qi Def (tonify, moxa)
    • Points: [CV-6 + 12 + ST-36, SP-6, BL-20], CV-4, SP-1
    • Mods: DU-20, BL-23
  47. Persistent lochia discharge that is dark, scanty and with clots.  Abdominal pain that is relieved by passing clots.
    Tongue: purplish
    Pulse: wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Stasis (even, moxa for cold symptoms)
    • Points: [SP-10 + LR-6], [SP-4 + PC-6], SP-1
    • Mods: BL-17, CV-4
  48. Persistent lochia discharge that is dark red in color.  Mental restlessness, red face, thirst, a feeling of heat, dry stools, and abdominal pain.
    Tongue: red w/o coating
    Pulse: rapid & thready
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Def Heat (even w/o moxa)
    • Points: [LI-11 + SP-10], [KI-2 + LR-3], CV-4, SP-1
    • Mods: [LU-7 + KI-6], SP-8
  49. Prolapsed uterus, a feeling of bearing down in the lower abdomen.  Tiredness, loose stools, poor appetite.
    Tongue: pale
    Pulse: weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • SP Qi Sinking (tonify, moxa)
    • Points: DU-20, [CV-12 + BL-20 + ST-36 + SP-3], GB-28, Zi Gong
    • Mods: [CV-6 + GB-26 + 27]
  50. Prolapsed uterus, a bearing-down feeling in the lower abdomen.  Backache, frequent urination.
    Tongue: pale
    Pulse: weak & deep
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI Qi Def & Sinking (tonify, moxa)
    • Points: DU-20, [CV-6 + ST-36], [KI-3 + BL-23], GB-28
    • Mods: [DU-1 + CV-5], [GB26 + 27]
  51. Hot flashes, night sweats, dizziness, tinnitus, 5-palm heat, backache.  Dry mouth and throat, dry hair, dry skin, itchiness, constipation.
    Tongue: red w/o coating
    Pulse: rapid & fine; weak on both rear positions, overflowing on both front positions
    What is diagnosis? Tx Principles? Points? Modifications?
    • KI Yin Def (tonify, except HT-6 (even), no moxa)
    • Points: [LU-7 (R) + KI-6 (L)], [KI-3 + 10 + SP-10], HT-6, KI-7, BL-23
    • Mods: [HT-5 + 7 + BL-15]
  52. Menopause with headaches, dizziness and vertigo, irritability, red face, short temper, agitation.
    Tongue: red w/o coating
    Pulse: wiry & thready
    What is diagnosis? Tx Principles? Points?
    • LR & KI Yin Def and LR Yang Rising
    • Points: [LU-7 (R) + KI-6 (L)], [KI-3 + 10 + SP-10], HT-6, KI-7, BL-23, LR-3, 8, GB-13, 20, CV-4, DU-24, PC-7
  53. Hot flashes but cold hands and feet, night sweating in the early morning, backache, scanty menstrual flow light color.  Pale face, chilliness, edema around ankles, frequent urination at night, feeling of cold in the lower abdomen, loose stool.
    Tongue: pale
    Pulse: deep & fine
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI Yang Def (tonify, moxa)
    • Points: [BL-23 + 52], [KI-3 + CV-4], [LU-7 (R) + KI-6 (L)], KI-7
    • Mods: [DU-4 + 20 + CV-6 + ST-36] moxa
  54. Hot flashes but cold hands and feet, night sweating, frequent urination, flushed around the neck when talking, chilliness, and backache.  Dizziness, dry throat, tinnitus, slight agitation.
    Tongue: pale or red
    Pulse: weak & deep / fine & rapid
    What is diagnosis? Tx Principle? Points?
    • KI Yin & Yang Def (tonify, moxa for KI  Yang Def)
    • Points: [KI-2 + CV-4 + SP-6], [LU-7 (R) + KI-6 (L)], CV-7, HT-6, [BL-23 + 52 + DU-4]
  55. Hot flashes, night sweating, feeling of heat in the evening, dry mouth and throat, dry stool, blurred vision, backache.  Palpitations, insomnia, dizziness, tinnitus, anxiety, mental restlessness, poor memory.
    Tongue: red w/o coating with a redder tip
    Pulse: rapid & thready / weak & fine on both rear positions and overflowing on both front positions
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI & HT Disharmony (tonify, except HT-6, 8, PC-7 (reducing / even)
    • Points: [KI-3 + SP-6], [CV-4 + KI-13], KI-7, HT-6, 8, PC-7
    • Mods: [CV-15 + DU-24], [LU-7 + KI-6]
  56. Hot flashes, irregular menses stopping for a long period of time then starting again, dark color with larger clots.  Sighing, depression, anxiety, mental restlessness, irritability, headache, short temper, insomnia, chest oppression, and abdominal pain.
    Tongue: purplish
    Pulse: wiry / choppy
    What is diagnosis? Tx Principle? Points? Modifications?
    • LR Qi Stag and Blood Stasis (reducing / even, moxa if blue-purple tongue)
    • Points: [LR-5 + GB-34], [SP-4 + PC-6], [SP-6 + 10 + BL-17]
    • Mods: [SJ-6 + GB-40], [ST-29 + BL-32 + KI-14]
  57. Hot flashes, clammy skin.  Overweight, congested chest, epigastric distension, belching, nausea, poor appetite, moodiness, irritability, depression.
    Tongue: slightly red sides sticky coating
    Pulse: wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • Acc of Phlegm and Qi Stag (reducing / even)
    • Points: [ST-40 + SP-6 + 9 + CV-10], [CV-17 + SJ-6 + PC-6], LU-7, CV-6
    • Mods: [ST-28 + CV-3]
  58. Breast lumps, small nodules w/out adhering to skin and deeper tissues, relatively soft, they can be moved and the border of the nodules not clearly defined.  Irregular periods, breast distension and tenderness before periods or related to emotional stress.  Sighing, mental depression, irritability.
    Tongue: slightly red sides
    Pulse: wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • LR Qi Stag (reducing / even)
    • Points: [LR-3 + GB-34], [BL-18 + LR-14], GB-21, 41, ST-18
    • Mods: [SJ-6 + PC-6 + CV-17], [LR-8 + SP-6]
  59. Breast lumps relatively soft, no pain but in severe cases the breasts may feel tender to the touch.  Feeling of heaviness, a feeling of oppression of the chest, tiredness, feeling cold, loose stools.
    Tongue: pale
    Pulse: deep, weak, slippery
    What is diagnosis? Tx Principle? Points? Modifications?
    • SP Yang Def w/ phlegm (reducing / even, moxa)
    • Points: [BL-20 + 21 + CV-12 + ST-36 + SP-3 + 6], [CV-9 + SP-9 + BL-22], ST-40
    • Mods: GB-21
  60. Swollen breasts, distension and pain of breasts before or during periods, swelling goes down after period, and may have delayed period or infertility.  Small and hard lumps which are difficult to move, sometimes discharge from the nipple.  A feeling of tightness of the chest, anxiety, abdominal pain, painful periods, sore back, cold limbs, feeling of cold in the lower abdomen.
    Tongue: pale
    Pulse: fine-wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • Disharmony of CV & Chong Vessels (reducing / even except SP-6, CV-4, KI-3, 13 (tonify, moxa)
    • Points: [SP-4 + PC-6], [CV-4 + KI-13], LR-3, [SP-6 + KI-3]
    • Mods: KI-14, GB-21
  61. Larger breast lumps, hard, adhering to skin, inverted nipple, orange-skin effect, purple skin, showing obvious blood vessel.  Irritability, dry mouth, bitter taste, headaches, red face, dark urine, constipatoin.
    Tongue: red with redder sides, dry yellow, coating
    Pulse: wiry & rapid
    What is diagnosis? Tx Principle? Points? Modifications?
    • LR Qi Stag turning to Fire (reducing / even)
    • Points: [LR-3 + 14], [SP-4 + PC-6], [LR-2 + LI-11], SP-6, ST-18
    • Mods: GB-41, SJ-6
  62. Long-standing illness, lumps and yellowish and bloody fluid inside the breast with foul smell, painful breast with discharge from nipple.  Dry mouth, thirst, dark urine, bitter taste in the mouth, red eye, insomnia.
    Tongue: red w/ redder sides, thick sticky, dry yellow coating
    Pulse: wiry, slippery, rapid, overflowing
    What is diagnosis? Tx Principle? Points? Modifications?
    • Toxic Heat (reducing)
    • Points: LR-2, [LI-11 + SP-10], [LI-4 + PC-5], GB-41, ST-18
    • Mods: SI-1, CV-12

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