Week 3: Point Therapeutics
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Week 3: Point Therapeutics
Cough diarrhea enuresis
Etiology, pathogenesis, and point therapeutics of cough, diarrhea and enuresis
What 2 exogenous pathogens produce "cough"?
1. Wind -Heat
What 4 types of internal injury/dysfunction of internal organs produce "cough"?
1. Spleen can't govern T&T
2. Liver Fire insults the lungs
3. Deficiency of lung Yin
4. Kidney Yin deficiency
What are the clinical manifestations of Wind-Cold type cough?
aversion to cold
, fever, H/A, anhydrosis, nasal obstruction and discharge
Thin, white sputum
What is the treatment principle for Wind-Cold type cough?
* Release the exterio
* Formula: Xing Su San
What are the common points when treating Wind-Cold type cough?
(dispel cold, diffuse lung course channels/collaterals),
(He-Sea, sedation; descends Lu Qi-cough; clears upper burner heat)
(Source LI; courses wind; resolves exterior; clears Lu heat; course channels)
(Infl. Pt. of Qi)
disperse exterior syndrome & descend Lu Qi
What additional points are used to treat WInd-Cold type cough?
Moxa & needle
(course wind; clear heat; clears head & opens portals)
(dispel wind; diffuse Lu, resolve exterior, H/A, cough)
(Lu Shu; regulates Lu Qi, cough)
What are the clinical manifestations of Wind-Heat type cough?
yellow, thick sputum
* Thirst, sore throat, fever, H/A,
Aversion to wind
* Superficial &
What is the treatment principle for cough d/t Wind-Heat?
Dispel wind & clear heat, reduce cough, (use reducing needle technique with excess syndromes)
, outside of common points, are used to treat cough d/t Wind-Heat?
* Common points (UB 13, Lu 7, 5, 1, LI 4, Ren 17)
LI 11 (He-Sea clears heat)
(removes Wind & clears heat -->
What 3 pathologies produce "interior-type" cough?
1. Damp-Phlegm obstructing the Lungs
2. Liver Fire insulting the Lungs
3. Deficiency of Lu/Kid Yin
What are the clinical manifestations of interior cough d/t Damp-Phlegm obstructing the lungs?
* Cough with
* Stuffiness & depression of the chest, loss of appetite
What's the treatment principle for cough d/t interior Damp-Phlegm obstructing the lungs?
Strengthen the Sp to reduce Damp-Phlegm
What additional points are used to treat cough d/t interior Damp-Phlegm obstructing the lungs?
* Common points (UB 13, Lu 5, 1, Ren 17)
(St Mu; tonify Sp & inhibits Damp; Middle SJ point)
(Tonify Sp/St; course Wind; transform Damp; dispel pathos; prevents dz)
(Regulate Sp; transform Damp; dispel W-C),
(Tonify Sp; regulate MJ; regulates Qi, mvmt & transformation)
What common points are used to treat cough d/t an interior condition (a.k.a "interior cough")?
* UB 13
* Lu 5, 1
* Ren 17
: descend Lu Qi & stop cough**
What are the clinical manifestations of cough d/t Liver-Fire insulting the lungs?
* Cough with
Pain in the chest, radiating to h.c.
* Bitter taste in the mouth, dry throat, red face
Red tongue w/ yellow coat
Wiry & rapid
Beside common points, what additional points are used to treat cough d/t liver fire insulting the lungs?
* Common points (UB 13, Lu 5,1, Ren 17 --> descend rebel Qi & stop cough)
: Ying-Spring, clears lung heat, benefits throat))
: Ying-Springclears Liv Fire; treats H-C pain; subdues Liv Yang)
(treats D-H, moves Liv Qi, relieve H-C pain)
What are the clinical manifestations of cough d/t deficiency of lung and kidney Yin?
w/out sputum or scanty sputum
Spitting or coughing blood
* Dry nose & throat, afternoon fever, malar flush, night sweats, 5-palm heat (Yin Def S/S)
Sore lower back & knees
Red tongue w/scanty coat
Thready & rapid pulse
What's the treatment principle for cough d/t deficiency lung & kidney Yin?
Nourish kidney & lung Yin
What's the treatment principle for cough d/t liver fire insulting the lungs?
Clear liver fire & heat
Aside from the common points, what additional points are used to treat cough d/t deficiency kidney & lung Yin?
Lu 7 + Kid 6
(Tonify Kidney; Source point)
(special fx for treating Lung Def cough)
What are the 2 causes of ACUTE diarrhea?
1. External Pathogenic factors (Cold-Damp, Damp-Heat)
2. Improper Diet (Food Retention)
What are the 3 causes of CHRONIC diarrhea?
1. Liver Qi Stagnation
2. Sp/St Deficiency
3. Kidney Yang Deficiency
What are the clinical manifestations of acute diarrhea d/t Cold-Damp?
Watery, clear, thin
* Abdominal pain & borborygmi,
chilliness that responds to warmth
Absence of thirst
Pale tongue w/ a white, greasy
Deep, slow pulse
What are the common points used to treat diarrhea?
(Reg St/LI; clear D-H; treat diarrhea)), St 25 (Mu of LI)
(Mu of St)
(Yuan of LI)
These points function to regulate the LI & St
Beside the common points, what points treat Cold-Damp diarrhea?
* Ren 12 + Ren 8
(Tonify Yuan Qi)
: moxa both points to
warm the MJ & remove Damp
* Sp 9
( resolves Damp; benefits LJ)
What formula treats Cold-Damp diarrhea?
Hue Xiang Zhen Qi Wan
What are the clinical manifestations of Damp-Heat diarrhea?
Yellow, foul smelling diarrhea
* Burning sensation in the anus
* Scanty, yellow urine, thirst, fever
Yellow, greasy tongue
Slippery & rapid pulse
Beside the common points, what points are recommended for treating Damp-Heat diarrhea?
* Sp 9
, benefit the lower jiao)
* St 44
regulate Qi; relieve pain;
What formula is recommended for treating Damp-Heat diarrhea?
Ge Gen Qing Lian Tang
What's the clinical manifestations of food retention diarrhea?
* Abdominal pain
relieved by a BM
Fetid stool diarrhea
* Abdominal fullness & distention , belching, anorexia
Thick, filthy tongue coat
(may be rapid d/t food stag producing heat)
Beside the common points, what other points treat food stagnation diarrhea?
Ren 10 & 11
(descend Qi, relieve food stag)
Li Nei Ting
All function to remove food stagnation
What formula is used to treat food stagnation diarrhea?
Bao He Wan
What are the clinical manifestations of Spleen & Stomach deficiency diarrhea?
* Loose stools w/ undigested food (no smell)
* Anorexia, epigastric distention after eating, lassitude
* Pale, white tongue coat
* Weak & deep pulse
What points outside of common points treat Spleen & Stomach deficiency diarrhea?
(Sp Shu), UB 21(St Shu)
( Sp Mu)
PC 6 + Sp 4
What formula is recommended for treating Sp/St deficiency diarrhea?
Shen Ling bai Zhu San
What are the clinical manifestations of liver overacting on the spleen?
Diarrhea related to depression
sighing, distention of chest & HC
, hiccup, poor appetite
thin white coat
What additional points treat diarrhea from liver overacting on the spleen?
Liv 3 + LI 4
(4 Gates move Qi)
(benefit LV/GB, move stagnant Qi)
These all function to sooth liver Qi
What formula treats diarrhea from liver Qi stagnation?
Xiao Yao Wan
What are the clinical manifestations of diarrhea from Kidney Yang Deficiency?
* Pain below the umbilicus, borborygmus
Diarrhea usually occurring at dawn
* Cold lower extremities
Pale tongue w/ white coat
Deep, slow, weak pulse
What additional points are used to treat diarrhea from Kidney Yang deficiency?
Moxa Ren 4 + Du 4
(both tonify & warm kidney Yang) &
( Tonify Kid Yang)
WHat are the common points for treating enuresis?
UB 28 + Ren 3
(Shu/Mu of the UB)
(distant point for the UB/reproductive system)
What are the clinical manifestations for enuresis d/t kidney Qi deficiency?
White, clear, frequent urination
* No energy; may affect children with slow growth
Pale tongue w/ white, thin coat
Deep, slow, weak pulse
What additional points are used to treat enuresis d/t kidney Qi deficiency?
: UB 28 + Ren 3, Sp 6, Ren 6
* Kid 3 (Yuan source)
* Ren 4
* UB 23 (Tonify kidney
What are the clinical manifestations for enuresis d/t Sp/Lu Qi deficiency?
* Poor appetite
* Easily catches cold,
Pale tongue w/thin white coat
Deep, weak pulse
Aside from common points, what points are recommended for treating enuresis d/t Sp/Lu Qi deficiency?
UB 28 + Ren 4, Sp 6, Ren 6
, UB 20