• If there is emotional disturbance , add He Huan Pi ( Albiziae Cortex ) 10g and Bai He ( Lilii Bulbus ) 10g .
• If there is aversion to cold with cold hands and feet , add Gan Jiang ( Zingiberis Rhizoma ) 6g and Gui Zhi ( Cinnamomi Ramulus ) 10g .
• If there is lower back pain , add Du Zhong ( Eucommiae Cortex ) 10g and Sang Ji Sheng ( Taxilli Herba ) 10g .
Acupuncture treatment
• Neiguan P-6 plus Gongsun SP-4 descend Lung qi and relieve cough ( even method ).
• Lieque LU-7 plus Zhaohai KID-6 tbenefit the qi of the body and relax the chest ( even method ).
• Chize LU-5 , Taiyuan LU-9 and Feishu BL-13 , the he-sea and yuansource points of the Lung channel and the back- shu point of the Lung respectively , together with Zusanli ST-36 , the he-sea point of the Stomach channel , Pishu BL-20 , the back-shu point of the Spleen , Taixi KID-3 , the yuan-source point of the Kidney channel , and Qihai REN-6 , tonify qi , strengthen the body and relieve fatigue ( reinforcing method ).
• Tanzhong Ren-17 , the hui-meeting point of the qi , Geshu BL-17 , the hui-meeting point of the blood , and Yinlingquang SP-9 , the he-sea point of the Spleen channel , eliminate qi stagnation , toxin accumulation and damp obstruction ( even method ).
Modifications
• If there is severe fatigue , add Sanyinjiao SP-6 and Baihui DU-20 .
• If there is emotional disturbance , add Xinshu BL-15 and Ganshu BL- 18 .
• If there is aversion to cold with cold hands and feet , add Guanyuan REN- 4 .
• If there is lower back pain , add Shenshu BL-23 with moxa .
5 . Deficiency of qi and yin Slight shortness of breath , dry cough with scanty sputum , dry mouth , thirst , fatigue , heart palpitations , excessive sweating , night sweating , poor appetite , slight fever , slightly red tongue with a dry and scanty coating , and a thin , weak , and slight rapid pulse .
Principles of treatment Tonify qi , nourish yin , benefit the Lung and relieve cough .
Herbal treatment Sha Shen Mai Men Dong Tang ( Glehnia and Ophiopogonis Decoction )
• Nan Sha Shen ( Adenophorae Radix ) 10g
• Bei Sha Shen ( Glehniae Radix ) 10g
• Mai Men Dong ( Ophiopogonis Radix ) 10g
• Xi Yang Shen ( Panacis quinquefolii Radix ) 10g
• Wu Wei Zi ( Schisandrae Fructus ) 10g
• Xing Ren ( Armeniacae Semen ) 10g
• Sang Bai Pi ( Mori Cortex ) 5g
• Lu Gen ( Phragmitis Rhizoma ) 15g
• Dan Shen ( Salviae Miltiorrhizae Radix ) 10g
• Mu Dan Pi ( Moutan Cortex ) 10g
• Tian Hua Fen ( Trichosanthis Radix ) 10g
• Zhi Gan Cao ( Glycyrrhizae Radix preparata ) 3g
Explanations Nan Sha Shen , Bei Sha Shen and Mai Men Dong nourish the yin of the Lung and Kidney , clear empty heat , promote body fluids and relieve thirst . Xi Yang Shen nourishes qi and yin , improves appetite and relieves fatigue . When this herb is used in combination with Wu Wei Zi , the combination relieves excessive sweating . Xing Ren and Sang Bai Pi clear any remaining heat in the Lung and relieve cough . Dan Shen nourishes Heart yin , clears empty heat , and improves the ability of the Heart to house the shen . Lu Gen and Tian Hua Fen promote fluids and relieve thirst . Mu Dan Pi clears empty heat and removes toxin in the blood . Zhi Gan Cao harmonises the prescription .
Modifications
• If there is severe fatigue , add Huang Qi ( Astragali Radix ) 10g .
• If there is emotional disturbance , add He Huan Pi ( Albiziae Cortex ) 10g and Bai Zi Ren ( Platycladi Semen ) 10g .
• If there is dry cough , add Chuan Bei Mu ( Fritillariae cirrhosae Bulbus ) 10g and Bai Bu ( Stemonae Radix ) 10g .
• If there is severe night sweating , add Gui Ban ( Testudinis Plastrum ) 15g .
• If there is severe constipation , add Huo Ma Ren ( Cannabis Semen ) 10g .
Acupuncture treatment
• Neiguan P-6 plus Gongsun SP-4 descend Lung qi and relieve cough ( even method ).
• Lieque LU-7 plus Zhaohai KID-6 benefit the qi of the body and relax the chest ( even method ).
• Chize LU-5 , Taiyuan LU-9 and Feishu BL-13 , the he-sea and yuan-source points of the Lung channel and the back- shu point of the Lung respectively , together with Zusanli ST-36 , the he-sea point of the Stomach channel , Pishu BL-20 , the back-shu point of the Spleen , Taixi KID-3 , the yuan-source point of the Kidney channel , and Qihai REN-6 , tonify qi and relieve fatigue ( reinforcing method ).
• Jingqu LU-8 , the jing-metal point of the Lung channel , Shenshu BL-23 , the back-shu point of the Kidney , Fuliu KID-7 , the jing-metal point of the Kidney channel , Sanyinjiao SP-6 , the crossing point of three yin channels of the leg , Taixi KID-3 , the yuansource point of the Kidney channel , and Qihai REN-6 , nourish Lung and Kidney yin and clear empty heat ( reinforcing method ).
194 | vol28 | no4 | JATMS