• Quchi LI-11 , the he-sea point of the Large Intestine channel , Neiting ST-44 , the ying-spring point of the Stomach channel , and Sanyinjiao SP-6 , the crossing point of the three yin channels of the foot , clear heat , reduce fever and remove toxin ( reducing method ).
• Zhongwan REN-12 , the hui-meeting point of the fu organs and the front-mu point of the Stomach , Yinlingquan SP-9 , the he-sea point of the Spleen channel , and Yanglingquan GB- 34 , the he-sea point of the Gall Bladder channel , eliminate dampness , harmonise the middle jiao and promote digestion ( even method ).
• Zusanli ST-36 , the he-sea point of the Stomach channel , tonify the zheng qi and activate Spleen and Stomach to strengthen the body ( reinforcing method ).
Modifications
• If there is headache , add Yintang M-HN-3 and / or Taiyang M-HN-9 .
• If there is emotional stress , add Shaohai HE-3 and Shenmen HE-7 .
• If there is loss of smell and taste , add Yingxiang L . I . -20 and Juliao ST-3 .
• If there is profuse expectoration of yellow phlegm , add Yuji LU-10 , the ying-stream point of the Lung channel .
• If there is severe diarrhea and abdominal bloating , add Tianshu ST- 25 , the front-mu point of the Large Intestine .
3 . Obstruction of qi and blood circulation Stabbing pain in the chest with tightness , shortness of breath , aggravation of symptoms on exertion , palpitations , restlessness , insomnia , stabbing muscle pains , weakness of the limbs , weak defecation and urination , headache , pale and slightly purple tongue , and a wiry and thready pulse .
Principles of treatment Promote qi and blood circulation , eliminate dampness and remove toxin .
Herbal treatment Xue Fu Zhu Yu Tang ( Drive out Stasis in the Mansion of Blood Decoction )
• Tao Ren ( Persicae Semen ) 10g
• Hong Hua ( Carthami Flos ) 10g
• Chi Shao ( Paeoniae Radix rubra ) 10g
• Yu Jin ( Curcumae Radix ) 10g
• Pu Huang ( Typhae Pollen ) 10g
• Xing Ren ( Armeniacae Semen ) 10g
• Huang Qin ( Scutellariae Radix ) 10g
• Hou Po ( Magnoliae officinalis Cortex ) 10g
• Zhi Ke ( Aurantii Fructus ) 10g
• Tong Cao ( Tetrapanacis Medulla ) 5g
• Fu Shen ( Poriae Sclerotium pararadicis ) 15g
• Zhu Ling ( Polyporus ) 10g
• Chuan Niu Xi ( Cyathulae Radix ) 10g
• Da Fu Pi ( Arecae Pericarpium ) 10g
Explanation Tao Ren , Hong Hua , Yu Jin , Chi Shao and Pu Huang eliminate blood stasis and relieve chest and muscle pain . Zhi Ke and Hou Po promote qi circulation to eliminate blood stasis . Hou Po and Xing Ren combine to eliminate dampness and phlegm , and descend Lung qi to relieve cough and asthma . Fu Shen calms the shen and improves sleep . Huang Qin clears heat in the Lung . Tong Cao and Zhu Ling promote urination . Da Fu Pi promotes qi circulation in the abdomen and promotes defecation . Chuan Niu Xi promotes blood circulation and induces blood to move downwards .
Modifications :
• If there is headache , add Chuan Xiong ( Chuanxiong Rhizoma ) 10g .
• If there is emotional disturbance , add He Huan Pi ( Albiziae Cortex ) 10g and Long Gu ( Draconis Os ) 20g .
• If there is loss of smell and taste , add Cang Er Zi ( Xanthii Fructus ) 10g and Xin Yi Hua ( Magnoliae Flos ) 10g .
• If the stabbing pain in the chest is severe , add Dan Shen ( Salviae Miltiorrhizae Radix ) 10g and Tan Xiang ( Santali albi Lignum ) 5g .
• If there is depression , add Chai Hu ( Bupleuri Radix ) 5g and Bai Shao ( Paeonia Radix alba ) 10g .
Acupuncture treatment
• Neiguan P-6 and Gongsun SP-4 descend Lung qi to relieve cough and promote qi circulation ( even method ).
• Chize LU-5 and Feishu BL-13 , the he-sea point of the Lung channel and the back-shu point of the Lung respectively , together with Tanzhong Ren-17 , the hui-meeting point of the qi , eliminate remaining pathogens in the Lung and relieve cough and asthma ( reducing method ); Tanzhong Ren-17 also regulates qi circulation in the body .
• Taiyuan LU-9 , the hui-meeting point of the vessels , Sanyinjiao SP-6 , the crossing point of three yin channels of the leg , and Geshu BL-17 and Xuehai SP-10 the hui-meeting point of the blood and the ‘ Sea of Blood ’ respectively , promote blood circulation and eliminate blood stasis ( reducing method ).
• Shaohai HE-3 , the he-sea point of the Heart channel , promotes blood circulation , calms the shen and improves sleep ( reducing method ).
• Yinlingquan SP-9 , the he-sea point of the Spleen channel , Fenglong ST- 40 , the luo-connecting point of the Stomach channel , and Yanglingquan GB-34 , the he-sea point of the Gall Bladder channel , eliminate dampness in the body ( reducing method ).
Modifications
• If there is headache , add Fengchi GB- 20 and Yintang M-HN-3 .
• If there is emotional disturbance , add Xinshu BL-15 and Shenmen HE-7 .
192 | vol28 | no4 | JATMS