CAP I Final Review

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CAP I Final Review
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2013-04-10 12:49:15
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Zang-Fu Disorders
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  1. Cough with profuse sputum, sticky but easy to expel, chest and epigastric area fullness and tightness, loss of appetite, bodily fatigue, and loose stool
    T: White Sticky
    P: Soggy & Slippery

    What is Diagnosis? Treatment Principle? Points?
    • Blockage of Lung by Phlegm
    • Tonify SP, Transform Phlegm, Regulate LU Qi to stop cough
    • LU-9, SP-3, BL-13, 20, ST-40, LI-4
    • +CV-12, ST-36
  2. Dry cough, very little phlegm or mixed with blood, or hemoptysis, hoarse voice, dry mouth and throat; ache and pain of the lower back and knees, skinny body, night sweating, low energy and insomnia
    T: red /w thin coating
    P: Wiry & Thready / Thready & Rapid

    What is Diagnosis? Treatment Principle? Points?
    • LU Yin Def / LU & KI Yin Def
    • Nourish Yin, Clear Heat, Transform Phlegm, Stop Cough
    • BL-13, 23, LU-1, 5, KI-3, 6
    • Sweating: SI-3
    • Low Energy: BL-43
    • Hemoptysis: LU-6
  3. Paroxysmal cough, sticky sputum but less amount sometimes mixed with blood, chest and costal margin pain, esp during cough; red face, red eyes, bitter taste in mouth, dry throat, irritability; symptoms are related to emotional change
    T: red tip, thin white coating, less fluid
    P: Wiry & Rapid

    What is Diagnosis? Treatment Principle? Points?
    • LR Fire insulting LU
    • Soothe LR, Clear LU Heat, Regulate LU Qi
    • BL-13, 18, LU-8, LR-3, GB-34
    • Costal Margin Pain: LR-14
  4. Cough with thick sticky yellow sputum, not easy to expel / sputum has spoiled fish smell, cough with stuffy sound, heavy breathing, fever, red face, chest pain and full feeling, dry mouth, thirst and preference for cold drinks
    T: red /w thin yellow coating
    P: Slippery & Rapid

    What is Diagnosis? Treatment Principle? Points?
    • Phlegm-Heat blocking the LU
    • Clear Heat, transfer Phlegm, Regulate LU Qi
    • LI-4, 11, LU-1, 6, 7, ST-40
    • High Fever: DU-14, LU-11
    • Chest Pain: CV-17
  5. What is the needle technique of CV-22 for severe cough with productive sputum?
    • Tap needle in first at 45°
    • Curve and go in
  6. Why use acupoints herbal pasting therapy?
    Prevention
  7. What is the key point regarding the TCM pathogenesis of asthma?
    • Constitutional tendency of phlegm
    • due to climate, diet, emotions, overstrain
  8. Acute onset, cough and dyspnea, spit dilute and white sputum, coldness of body, no sweat
    T: thin white coating
    P: floating & tight

    What is Diagnosis? Treatment Principle? Points?
    • Wind-Cold Attack
    • Disperse LU, dispel Wind-Cold, transform phlegm, relieve dyspnea
    • Ding Chuan, BL-12, 13, LI-4, LU-5, 7, CV-17
    • Excessive Phlegm: CV-12, ST-40
    • Severe Dyspnea: cupping → CV-22 & Ding Chuan
    • Continuous Dyspnea: KI-27
  9. Acute onset, cough, dyspnea and rapid breathing, sputum in yellow color which is not thick; fever and aversion to cold, body achy and headache, stuffy nose, ticklish throat
    T: thin yellow coating
    P: floating & rapid

    What is Diagnosis? Treatment Principle? Points?
    • Wind-Heat Attack
    • Disperse LU, dispel Wind-Heat, transform phlegm, relieve dyspnea
    • Ding Chuan, BL-12, 13, LI-4, LU-5, 7, CV-17
    • Severe Dyspnea: cupping → CV-22 & Ding Chuan
    • Continuous Dyspnea: KI-27
    • Chest Pain: LU-1
  10. Chronic case, cough, dyspnea on respiration, sticky phlegm in yellow color and difficult to spit; fever, thirst and desire to cold fluid, constipation, chest pain with annoying and full feeling
    T: slippery & rapid
    P: yellow sticky coating

    What is Diagnosis? Treatment Principle? Points?
    • Phlegm Fire affecting LU
    • Disperse LU, clear heat, transform phlegm, relieve dyspnea
    • Ding Chuan, BL-12, 13, LI-4, LU-5, 7, CV-17
    • Phlegm-Fire: ST-40, CV-17, LI-11
    • Chest Pain: LU-1
    • Severe Dyspnea: cupping → CV-22 & Ding Chuan
    • Continuous Dyspnea: KI-27
    • LR Qi Stag: LR-3, 14
  11. Short and rapid breathing, feeble voice, weak and low sound of cough, sweat on exertion
    T: pale
    P: thready & weak

    What is Diagnosis? Treatment Principle? Points?
    • LU & SP Def
    • Build up constitution, transform phlegm, stop wheezing
    • Ding Chuan, BL-13, 20, 43, LU-9, ST-36, 40, SP-3
    • Persistent Asthma: DU-12
    • Severe wheezing: CV-22
  12. Dyspnea on exertion after longstanding asthma, severe wheezing, indrawing of the soft tissues of the neck, shortness of breath, lassitude and weakness, sweating, cold limbs, unable to sleep in a flat position (requires extra pillows to raise head higher)
    T: pale
    P: deep & thready

    What is Diagnosis? Treatment Principle? Points?
    • LU & KI Def
    • Build up constitution, transform phlegm, stop wheezing
    • Ding Chuan, BL-13, 23, 43, LU-9, ST-40, KI-3, CV-4, 6, 17
    • Persistent Asthma: DU-12
    • Severe wheezing: CV-22
  13. What is the best point for asthma especially for relieving wheezing?
    Ding Chuan (.5 cun lateral to DU-14)
  14. What is the importance of CV-17 in treating asthma?
    • Hui-Meeting point of Qi
    • Point of Sea of Qi
  15. What are Auricular points for the treatment of allergy?
    • Inner Nose (for post nasal drip)
    • Shen Men
    • Endocrine
    • Lung
    • Wind Stream (a.k.a. Allergic)
    • Spleen
  16. What is an easy way to locate DU-23 (esp. in the case of patients with unusual or receding hair lines)?
    Midpoint of Yin Tang & DU-20
  17. What is the needle technique of LI-20 & Bi Tong?
    • Through-needle starting at LI-20
    • 30° towards the nose
  18. How do you determine whether Aphonia is "Metal Fullness" (金實無聲) or "Metal Broken" (金碎不鳴)
    • Metal Fullness - Excess - due to EPF / emotional, short duration
    • Metal Broken - Deficiency - due to Yin Def / overstrain of vocal cords, long duration
  19. What major points for Chronic-type Aphonia?
    • LU-10
    • KI-6
  20. What is the needle technique of SI-17 for the treatment of Aphonia?
    • 45° towards tongue root
    • *especially for tonsillitis / laryngitis
    • *also good for Phlegm-Heat blocking LU
  21. Palpitations, easy to fright / fear, restlessness, dream-disturbed sleep that often wakens the patient, poor appetite
    T: thin white coat
    P: rapid & thready

    What is Diagnosis? Treatment Principle? Points?
    • Heart-Mind Disturbance
    • Calm HT / Mind, Sedate Fright
    • HT-7, BL-15, PC-5, 6, CV-14
  22. Palpitations, restlessness, shortness of breath, lassitude, pallor complexion, dizziness, vertigo
    T: pale
    P: weak, thready or choppy

    What is Diagnosis? Treatment Principle? Points?
    • Qi & Blood Def
    • Strengthen Qi, Nourish Blood, Sedate Palpitation
    • BL-15, 17, 20, CV-14, ST-36, CV-6, HT-7, PC-6
  23. Intermittent palpitation, restlessness, fullness sensation in the chest, dizziness, insomnia with dream-disturbed sleep, frights easily, forgetfulness, bitter taste in mouth, cough with sticky sputum, yellow urine, slight dry stools
    T: yellow greasy coat
    P: rapid, slippery

    What is Diagnosis? Treatment Principle? Points?
    • Phlegm-Fire Disturbance
    • Eliminate Fire, resolve phlegm, calm HT
    • HT-4, PC-4, BL-13, LU-5, ST-40, GB-34
  24. Worsening palpitation for years asthmatic breathing upon exertion, occasional cardiac pain, sallow emaciated complexion.  In severe cases there may be cold limbs, dyspnea that is difficult for patient to lie down, cold sweats, puffiness.
    T: purple
    P: thready & choppy

    What is Diagnosis? Treatment Principle? Points?
    • Blood Stasis
    • Activate Blood, Remove Stasis, Strengthen HT, ease palpitation
    • PC-3, 6, HT-3, BL-17, CV-6
  25. What is the best point to treat Arrhythmia?
    PC-6 w/ light stimulation, < 90° manipulation
  26. During initial attack, patient experiences dizziness, headache and suffocating sensation in the chest.  This is followed by sudden falling down with loss of consciousness, pallor complexion, clenched jaws, upwards staring of the eyes, limb convulsion, mouth full of foam, screaming like a pig / sheep, incontinence of urine / feces

    What is Diagnosis? Treatment Principle? Points?
    • Yang Epilepsy / Generalized Seizures
    • Dissolve Phlegm, resuscitate patient, sooth the LR, quench wind
    • DU-8, 12, 13, 16, PC-5, LR-3, ST-40
    • *Think about using DU / Yang Qiao
  27. Lusterless, only minute loss of consciousness, eyes staring upward, items drop from hand, or eyelid, face or some limb tics
    T: pale, white greasy coat
    P: deep, thready, & slow

    What is Diagnosis? Treatment Principle? Points?
    • Yin Epilepsy / Absence Seizures
    • Warm up Yang, Resolve Phlegm
    • CV-6, 12, 15, 22, PC-5, 6, LR-3, ST-36, 40, DU-20
    • *Think about using CV / Yin Qiao
  28. What points are used to treat Seizures?
    • DU-8, 14
    • CV-15
    • Yao Qi - 1→1.5 cun above hiatus
  29. Legally speaking, do acupuncturist treat seizures?
    • No
    • Call 911 immediately
  30. Not easy to fall asleep, dream-disturbed sleep that can often wake up the patient, hard to got back to sleep after waking, palpitation, poor memory, dizziness, general lassitude, pallor complexion, poor appetite, epigastric distension, loose stools
    T: pale /w thin white coat
    P: feeble, thready

    What is Diagnosis? Treatment Principle? Points?
    • HT & SP Def
    • Reinforce HT & SP, Nourish Blood, calm Mind
    • BL-15, 20, HT-7, SP-6
  31. Restless, poor sleep, difficulty in falling asleep, dizziness, tinnitus, dry mouth with lack of fluid, feverish sensation in the palm and soles, poor memory, palpitation, seminal emission, lumbar soreness
    T: red /w less coat
    P: thin, rapid

    What is Diagnosis? Treatment Principle? Points?
    • HT & KI Disharmony
    • Harmonize HT & KI
    • BL-15, 23, KI-3, 6, PC-7, HT-7
  32. Poor sleep disturbed by dreams, epigastric discomfort, feverish sensation in the chest, distension / pain in epigastrium and abdomen, occasional nausea / vomiting, belching, acid reflux, difficult defecation
    T: yellow greasy coat
    P: slippery / wiry

    What is Diagnosis? Treatment Principle? Points?
    • Derangement of ST
    • Strengthen SP & ST, eliminate damp, resolve phlegm
    • CV-12, ST-36, 40, 45, SP-1, HT-7
  33. Difficulty falling asleep accompanied with bad dreams / nightmares, dizziness, head distension, restlessness, short tempered, sighs easily, possible eye congestion, bitter taste in mouth, hypochondriac pain
    T: thin yellow coat
    P: wiry, rapid

    What is Diagnosis? Treatment Principle? Points?
    • Flaring up of LR Fire
    • Eliminate LR Fire, moisten Yin, sedate LR Yang
    • LR-2, GB-20, 41, HT-7
  34. What is the indication for moxa therapy in the treatment of insomnia?
    • DU-20
    • *esp for HT Blood & SP Qi Def
  35. How do you locate An Mian?
    Midpoint of SJ-17 & GB-20
  36. Epigastric fullness, distension and wandering pain which radiates to hypochondriac region, frequent belching, acid reflux, vomiting, bitter taste in mouth
    T: thin white coat
    P: thready

    What is Diagnosis? Treatment Principle? Points?
    • LR Qi attacking ST
    • Soothe LR Qi, pacify ST, stop pain
    • CV-12, PC-6, LR-3, 14, ST-36
  37. Epigastric pain with fullness and distension, foul smell of belching, acid reflux, poor appetite, vomiting of undigested food, pain aggravated after food intake but relieved upon vomiting
    T: thick greasy
    P: deep, strong or slippery

    What is Diagnosis? Treatment Principle? Points?
    • Food Retention
    • Relieve food retention, pacify ST, stop pain
    • CV-12, ST-21, 25, 36
  38. Dull pain in the epigastrium that is relieved by warmth and pressing, watery regurgitation, listlessness, preference for warmth, cold limbs, loss of appetite, loose stools
    T: pale
    P: weak

    What is Diagnosis? Treatment Principle? Points?
    • Def-Cold of SP & ST
    • Warm Middle Jiao, strengthen SP, eliminate cold, stop pain
    • BL-20, 21, LR-13, CV-12, ST-36, PC-6
    • Prolonged History: CV-6
    • Loose Stools: SP-4
  39. What are most common causes of Erosive Gastritis?
    • NSAIDs
    • Alcohol
    • Stress
  40. This term refers to gastric Qi reversing, characterized by epigastric distension with undigested food and fullness of abdomen hours after food intake.  This condition is more suffered by the aged.
    Retroaction of ST Qi
  41. Distension and fullness sensation in the epigastrium and abdomen after meals, vomiting of undigested food and gastric fluid hours after the food intake. Relief is attained with thorough vomiting. Lassitude, weakness, pallor complexion, loose stools
    T: pale /w white coat
    P: weak

    What is Diagnosis? Treatment Principle? Points?
    • Def Cold in SP & ST
    • Warm Middle Jiao, eliminate cold, pacify ST, ease retroactive ST Qi
    • BL-20, 21, LR-13, CV-12, ST-36, PC-6
    • Emotional Disturbance: LR-3, GB-34
    • Nervousness: HT-7, Yin Tang
    • Panic: Si Shen Cong
  42. Epigastric and abdominal distension worse after meals, possible mass in the upper abdomen, vomiting of food retained in the ST hours after food intake. Vomiting may involve some watery discharge and foam. Dizziness, palpitation
    T: white greasy coat
    P: thready, slippery

    What is Diagnosis? Treatment Principle? Points?
    • Turbid Phlegm obstructing ST
    • Resolve turbid phlegm, pacify ST, send down rebellious Qi
    • CV-11, 12, ST-40, ST-36, PC-6
    • Heartburn: CV-17
    • Emotional Disturbance: LR-3, GB-34
    • Nervousness: Yin Tang, HT-7
    • Panic: Si Shen Cong
  43. What TCM syndrome is associated with GERD?
    LR Qi Stag
  44. Prolonged and recurrent loose stools with undigested food, decrease in appetite, full sensation in the epigastric region after food intake, increase in bowel movement soon after intake of greasy / oily food, sallow complexion
    T: white sticky coat
    P: soft, slow

    What is Diagnosis? Treatment Principle? Points?
    • SP Def
    • Strengthen SP, stop diarrhea
    • BL-20, LR-13, SP-3, CV-12, ST-25, 36
  45. Bowel movement stimulated by abdominal pain that still remains the same after bowel movement, recurrent diarrhea due to emotional disturbance / stress.  Hypochondriac discomfort during diarrhea
    T: thin coat
    P: wiry

    What is Diagnosis? Treatment Principle? Points?
    • LR & SP Derangement
    • Soothe LR Qi, Strengthen SP, pacify ST, stop diarrhea
    • BL-18, 20, LR-3, 13, ST-25, 36, Yin Tang, SP-6
    • Hypochondriac distension: GB-34, PC-6
  46. Borborygmus, diarrhea /w abdominal pain before dawn, cold limbs, soreness and weakness of knee joints and lumbar region, patient feels comfortable after bowel movement
    T: white coat
    P: deep & thready

    What is Diagnosis? Treatment Principle? Points?
    • KI Def
    • Warm up and tonify SP & KI
    • BL-20, 23, DU-4, CV-4, ST-25, 37
    • Lingering diarrhea, Qi Sinking of Middle Jiao: DU-20
  47. What TCM syndrome is associated with Ulcerative Colitis and Crohn's Disease?
    SP Qi Def
  48. This type of headache is characterized by a sudden onset of pain in paroxysmal attacks. Pain is severe and may radiate to the back. It can sometimes be a kind of pricking pain in a fixed location
    T: thin white coating
    P: floating & tense

    What is Diagnosis? Treatment Principle? Points?
    • Exogenous Type
    • Eliminate Wind, remove obstruction from the channels, activate blood, stop pain
    • GB-20, ST-8, DU-20, LI-4
    • Frontal Headache: DU-23, GB-14, Yin Tang
    • Occipital Headache: BL-10, 60, SI-3
    • Temporal Headache: BL-7, GB-19
    • Vertex: LR-3
  49. This type of headache includes pain, dizziness, irritability, short temper, poor sleep, red face, eye congestion, bitter taste in mouth
    T: thin yellow coating
    P: wiry, forceful

    What is Diagnosis? Treatment Principle? Points?
    • LR Yang
    • Soothe LR, sedate Yang, Quench Wind
    • GB-5, 20, Tai Yang, LR-2, GB-43, KI-3
    • Eye congestion: SJ-1 (prick to bleed)
    • Restless / Short tempter: GB-18, PC-5
  50. This type of headache includes pain in the forehead as if wrapped up, fullness sensation in the chest, nausea, vomiting of saliva in severe case, loose stools
    T: white greasy coat
    P: slippery

    What is Diagnosis? Treatment Principle? Points?
    • Turbid Phlegm
    • Resolve Phlegm, sedate, turbidity, remove obstruction from channels and collaterals
    • CV-12, ST-40, DU-20, Yin Tang, GB-39
    • Vomiting Saliva: PC-6
    • Loose Stools: ST-25
  51. This type of headache includes dizziness, lingering pain worsened by overstrain and alleviated by rest, lassitude, shortness of breath, palpitation, poor memory, poor appetite, pallor complexion
    T: pale /w thin white coat
    P: thready, feeble

    What is Diagnosis? Treatment Principle? Points?
    • Blood Def
    • Reinforce Qi, Nourish Blood, promote circulation
    • BL-17, 18, 20, 23, CV-6, DU-20, ST-36, SP-6
  52. This type of headache includes fixed stabbing pain that last for long time, blurry vision, poor memory
    T: purplish ecchymosis
    P: thready, choppy

    What is Diagnosis? Treatment Principle? Points?
    • Blood Stasis
    • Activate blood, resolve blood stasis, promote Qi circulation
    • [LI-4 + SP-6] activates circulation, BL-17
    • Superciliary ridge pain: BL-2
    • Migraine: Tai Yang, GB-8, 41
    • Occipital: BL-9
    • Vertex: Si Shen Cong
  53. What are common points used for any type of Headache?
    • DU-20
    • ST-8
    • GB-20
    • LI-4
  54. What are some triggers for Migraine?
    • Family history
    • Stress-related
    • Altered sleep patterns
    • Menses
    • Oral Contraceptives
    • Alcohol
    • Caffeine withdrawal
    • MSG
    • Chocolate
    • Nuts
    • Smoking
  55. What are red flags for Headache?
    Intracranial Pressure (excruciating headachce, projectile vomiting)
  56. This type is dizziness includes tinnitus, distending pain in the head aggravated by overstrain or short temper, flushed face, eye congestion, irritability, dream-disturbed sleep, bitter taste in mouth
    T: red /w less coat
    P: wiry, rapid

    What is Diagnosis? Treatment Principle? Points?
    • Hyperactivity of LR Yang / Hypertension
    • Nourish Yin, reduce hyperactivity
    • GB-20, 43, LR-3,BL-18, 23, KI-3
  57. This type of dizziness included blurred vision aggravated by exertion / overstrain, pale complexion, poor spirit, palpitation, insomnia, pallor lips and nails, shortness of breath, reluctant speech, weak limbs, poor appetite
    T: pale
    P: thin, weak

    What is Diagnosis? Treatment Principle? Points?
    • Qi and Blood Def / Hypotension
    • Invigorate Qi, nourish Blood, strengthen SP & ST
    • ST-36, SP-6, BL-20, 23, CV-4, DU-20
    • Palpitations / Insomnia: PC-6, HT-7
  58. This type of dizziness includes poor memory, weakness of lumbar and knees, seminal emission, tinnitus, poor sleep

    Yang Def: cold limbs
    T: pale
    P: thin, deep

    Yin Def: feverish palms soles and chest, night sweating
    T: red
    P: thin, wiry

    What is Diagnosis? Treatment Principle? Points?
    • Kidney Essence Def / Atherosclerosis / Vertebrobasilar Ischemia
    • Reinforce KI, tonify Yuan Qi
    • CV-4, BL-23, KI-3, ST-36
    • KI Yang Def: DU-4 & 20 with moxa
  59. This type of dizziness includes lassitude, heaviness of head, nausea, vomiting, fullness in chest and epigastrium, stick mouth with no thirst, poor appetite, dream-disturbed sleep, numbness of limbs
    T: white greasy tongue coat
    P: soft, slippery

    What is Diagnosis? Treatment Principle? Points?
    • Phlegm-Damp obstructing Middle Jiao / Meniere's Disease
    • Strengthen SP, pacify ST, eliminate phlegm, resolve damp
    • CV-12, BL-20, ST-36, 40, DU-20, PC-6
  60. What are major points used for Hypertension?
    • GB-20
    • LI-11
    • ST-36
    • LR-3
  61. What are red flags for Hypertension?
    160/120 or greater - Send to Hospital
  62. Emotional depression, restlessness, fullness in chest and distending pain in hypochondrium, abdominal distension and eructation, anorexia or abdominal pain, nausea or vomiting
    T: slight purple / red
    P: wiry

    What is Diagnosis? Treatment Principle? Points?
    • LR Qi Stag
    • Soothe LR Qi, regulate Qi circulation
    • CV-12, 17, BL-18, LR-3, ST-36, SP-4
  63. Irritable temper, fullness of chest and hypochondriac region, dryness and bitter taste in mouth, headache, eye congestion, tinnitus or acid reflux, constipation
    T: red
    P: rapid, wiry

    What is Diagnosis? Treatment Principle? Points?
    • Qi Stag turning to Fire
    • Eliminate LR Fire, soothe LR Qi, regulate Qi circulation, pacify Middle Jiao
    • LR-2, GB-34, 43, SJ-6, CV-13, ST-36
  64. Depression, chest fullness, discomfort sensation of the throat with lump feeling but no difficulty swallowing
    T: thin greasy
    P: wiry / slippery

    What is Diagnosis? Treatment Principle? Points?
    • Phlegm Qi Stag (Plum Pit Qi)
    • Soothe the LR Qi, promote Qi circulation, resolve phlegm
    • CV-17, PC-6, HT-7, LU-10, ST-40, LR-3
    • Dry and Sore throat: LI-17, LI-1
    • Insomnia: ST-45 (moxa)
  65. Frequent sorrow w/o any obvious causes, abnormal joy or rage, unreasonable suspicion of fear, palpitation and irritability, unsound sleep, sudden full sensation in chest, hiccups, sudden loss of voice, convulsions, syncope
    T: thin white coat
    P: wiry

    What is Diagnosis? Treatment Principle? Points?
    • Blood Def leading to Qi Stag (Zang Organ Dryness)
    • Regulate LR, Nourish Blood, calm Heart and Mind
    • BL-15, 17, PC-6, SP-6, CV-14
    • Trembling Extremities: LR-3, GB-34
    • Stupor: DU-20, PC-7
    • Hoarseness of voice: HT-5, CV-23
  66. What points are used to treat Yu Syndrome (Depression)?
    • CV-17
    • LR-14
    • LR-3
    • *all reducing
  67. What are points used to treat Plum Pit Qi (Mei He Qi)?
    • Due to Phlegm Qi Stag
    • CV-17
    • PC-6
    • HT-7
    • LU-10
    • ST-40
    • LR-3
  68. What are points used to treat Zang Zao (Zang-organ dryness)?
    • Due to Blood Def
    • CV-14
    • BL-15, 17
    • PC-6
    • SP-6
  69. Sudden falling down with loss of conciousness, locked jaw, clenched teeth, tight fists, rough sound due to phlegm in the throat, dysuria, constipation
    T: thick yellow / gray dark coating
    P: wiry / slippery

    What is Diagnosis? Treatment Principle? Points?
    • Organ-Stroke -- Obstructive Type
    • Revive consciousness, quench wind, eliminate fire, clear phlegm
    • DU-26, PC-8, LR-3, KI-1, ST-40, Jing-Well points (prick to bleed)
    • Lock Jaw: ST-4, 6
  70. Sudden falling down with loss of consciousness, closed eyes, opened mouth, weak nasal breathing, incontinence of urine and stools, cold limbs, flushed face
    T: flaccid tongue
    P: weak & thready; indistinct / rootless superficial (in the severe case)

    What is Diagnosis? Treatment Principle? Points?
    • Organ-Stroke -- Collapse Type
    • Reinforce Yuan Qi, Restore Yang
    • CV-4, 6, 8 with moxa
    • Indistinct pulse: PC-6, LU-9
    • Cold Limbs: ST-36
  71. Stroke of slow onset, hemiplegia, numbness of skin and limbs, deviation of mouth and tongue, rigid tongue with poor speech, headache, dizziness and vertigo, mental depression, short temper
    T: yellow greasy coat
    P: wiry / slippery, slow

    What is Diagnosis? Treatment Principle? Points?
    • Channel Stroke
    • Regulate circulation of Qi and Blood, quench wind, remove obstruction from channel and collaterals
    • DU-16, 20, ST-9
    • Hemiplegia of upper limbs: LI-4, 11, 15, SJ-5, 9
    • Hemiplegia of lower limbs: GB-30, 31, 32, 34, ST-36
    • Deviation of mouth: ST-4, 6, 7, LI-4
    • Poor speech: DU-15, CV-23
  72. If there is bleeding from stroke, how long do you wait before treating?
    • 7-10 days before needling
    • *3 month window to treat
  73. What are major points for Facial Paralysis?
    GB-20, SJ-17, Qian Zheng
  74. What is the special Join Puncture technique for mouth / jaw region?
    • ST-7 → ST-6 → ST-4 → ST-6
    • *with opposing LI-4
  75. How do you treat a patient affected by a cutting, stabbing, or burning sensation on the face?
    Avoid using points at the time of pain
  76. Which points can are related to the three branches of the trigeminal nerve?
    • Ophthalmic: BL-2, GB-14, ST-8, GB-8, SJ-3
    • Maxillary: ST-2, SI-18, Tai Yang, LI-20
    • Mandibular: CV-24, ST-5, 6, 43, SJ-17
  77. How long should needle be retained for facial pain?
    Longer time, about 40 minute retention
  78. Trembling and stiffness in the extremities, difficulty in motion, weakness in the lumbar and knee joints, thirst
    T: red /w less coat / mirror-like coat / cracks
    P: thready, rapid

    What is Diagnosis? Treatment Principle? Points?
    • LR & KI Yin Def
    • Nourish LR & KI, extinguish wind, relieve spasm
    • GB-20, BL-18, 23, GB-34, LR-3, DU-20, Si Shen Cong
  79. Trembling of hand and feet, difficulty in motion, fatigue, shortness of breath, less talking, phlegm sound in throat
    T: pale & puffy
    P: deep & thready

    What is Diagnosis? Treatment Principle? Points?
    • Qi and Blood Def
    • Tonify Qi and Blood, remove phlegm, activate circulation
    • LI-4, 5, 11, CV-6, ST-36, GB-34
    • Essential Tremor: Si Shen Cong
  80. What are the Scalp zones used to treat Chan (顫) / Tremor Syndrome?
    • Tremor Control
    • Motor
    • *Connect to E-stim for 20 minutes
  81. Rapid onset of urinary dripping, frequent urination, dark yellow urine with feverish and painful sensation, hasty urinary discharge, pain involving the umbilicus, or fever with aversion to cold, bitter taste in mouth
    T: red w/ yellow greasy coating
    P: rapid, soft

    What is Diagnosis? Treatment Principle? Points?
    • Heat Lin
    • Regulate Qi mechanism in UB, eliminate heat, promote urination
    • BL-28, CV-3, SP-9, LR-2, KI-3, LI-4, SJ-5
  82. Difficult urination with occasional sandy substance in the urine or dysuria with intolerable pain involving the lower abdomen or on and off urination with stabbing lumbar pain that involves both the lower abdomen and external genitalia, occasional bloody urine
    T: thin white / yellow coat
    P: wiry / rapid

    What is Diagnosis? Treatment Principle? Points?
    • Stone Lin
    • Regulate Qi mechanism in UB, eliminate heat, promote urination
    • BL-28, 39, CV-3, SP-9, LR-2, KI-2, 3,
  83. Short reddish urine / with dark purplish clots, severe burning pain, difficulty urinating, distending pain in the urethra, may involve umbilicus
    T: red tip, thin yellow coat
    P: rapid, forceful

    What is Diagnosis? Treatment Principle? Points?
    • Blood Lin
    • Regulate Qi mechanism in UB, eliminate heat, promote urination
    • BL-28, CV-3, SP-9, LR-2, KI-3, SP-6, 10
  84. Distending pain in the lower abdomen and pubic region, weakness in force of evacuation, dripping of urine of clear quality and high frequency, reluctant to speak, poor spirit, lumbar soreness
    T: pale, thin white coat
    P: weak, thready

    What is Diagnosis? Treatment Principle? Points?
    • Qi Lin
    • Regulate Qi mechanism in UB, eliminate heat, promote urination
    • BL-28, CV-3, 6, SP-9, LR-2, KI-3, ST-28
  85. Milky urine that soon sediments with catkin substance at the bottom, fatty oily substance at the surface of the urine with coagulation / blood, difficult urination with feverish pain / soreness in the lumbar region and knees, dizziness, lassitude
    T: red, slight white greasy coat
    P: soft, rapid / rapid, thready

    What is Diagnosis? Treatment Principle? Points?
    • Turbid Lin
    • Regulate Qi mechanism in UB, eliminate heat, promote urination
    • BL-23, 28, CV-3, 6, SP-9, LR-2, KI-3, DU-20
  86. Different types of Lin Syndrome (淋症) can become others. Identify which ones turn to what.
    • Heat Lin → Stone Lin → Blood Lin
    • Heat Lin → Blood Lin
  87. Poor erectile quality / erection lasting several seconds, pallor complexion, cold limbs, dizziness, blurry vision, poor spirit, soreness in the lumbar region and knee joints, frequent urination
    T: pale, white coat, puffy, watery body
    P: deep, thready

    What is Diagnosis? Treatment Principle? Points?
    • Ming Men Fire decline
    • Reinforce KI Yang, warm Lower Jiao
    • BL-23, DU-4, CV-4, SP-6, KI-3
    • Dizziness / Blurry Vision: DU-20, ST-36
  88. Poor erectile quality / erection lasting several seconds, palpitations, insomnia, easily tired, poor concentration, poor memory
    T: Pale / light red, thin white coat, teethmarks, center cract
    P: deep, thready

    What is Diagnosis? Treatment Principle? Points?
    • HT Blood & SP Qi Def
    • Tonify HT Blood & SP Qi
    • BL-15, 20, PC-7, ST-36, Si Shen Cong, DU-17, 18, 19, 20, KI-3
  89. No erection, wet scrotum with foul smell, bitter taste in mouth, thirst, short scanty urine, soreness of lower limbs
    T: greasy coat
    P: rapid, soft

    What is Diagnosis? Treatment Principle? Points?
    • Damp-Heat Flowing Downward
    • Eliminate Damp-Heat
    • CV-3, SP-6, 9, LR-2, ST-36, BL-28
  90. What is the procedure of E-Stim on a patient with Impotence?
    • Low frequency pulsing for 3-5 mins
    • Cease for 2 mins
    • Repeat
    • *alternate stimulation between two groups of points once a day for 10 times
  91. Pain with rapid onset of aching and soreness, lumbar rigidity that makes the patient feel difficult to bend forward or extend backward, pain may involve sacrum / hip / popliteal regions, pain aggravated by local aversion to cold or rainy days
    T: white greasy coat
    P: deep & weak / deep, slow

    What is Diagnosis? Treatment Principle? Points?
    • Cold-Damp Invasion
    • Warm the channel and collaterals, eliminate cold, resolve damp
    • BL-23, 26, 32, 40, DU-3
  92. Slow onset of hidden pain in lumbar region last for a long time, weakness of lumbar and knees, lassitude, cold limbs worsened by exertion / fatigue
    T: pale w/ white coat
    P: deep, thready

    What is Diagnosis? Treatment Principle? Points?
    • KI Def
    • Tonify KI Qi, Strengthen lumbar region
    • BL-23, 40, 52, DU-4, KI-3, Yao Yan
  93. Fixed local pain, rigidity that worsens by pressing or turning of the body position
    T: slight red / dark purplish
    P: wiry, choppy

    What is Diagnosis? Treatment Principle? Points?
    • Traumatic Injury
    • Activate Blood circulation, remove obstruction from channels and collaterals, resolve blood stasis, stop pain
    • BL-17, 32, 40, SI-3, Yao Tong Xue
    • Severe Pain: DU-26

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