Treatment Principle Basics

Transcription

1 Treatment Principle Basics Blood : Main TX: Nourish Blood + Tonify the Organ so: : Heart Blood Nourish Blood, tonify HT Calm Mind Pericardium Blood Nourish Blood, strengthen Heart and Pericardium Move Qi and Blood in the chest Liver Blood Nourish the Blood, tonify Liver Liver and Heart Blood Nourish Blood, tonify Heart and Liver Calm Mind and settle Ethereal Soul SP and HT Blood Nourish Blood, tonify Heart and Spleen Calm Mind Exception: SP Blood (Tonify SP Qi and Nourish Blood) SP and LV Blood (Tonify Spleen Qi and nourish Liver Blood) Yin : Main TX: Nourish (Organ) Yin : Heart Yin Nourish HT Yin Calm Mind; if Empty is pronounced: clear Empty Liver Yin Tonify Liver, nourish Yin Clear Empty if necessary Lung Yin Tonify LU Yin Nourish Body Fluids, and if necessary, clear Empty Kidney Yin Nourish Kidney Yin Kidney Yin Nourish Kidney Yin Clear Empty and calm Mind Fire Blazing Kidney ESSENCE Nourish Essence and tonify Kidney Kidney KD and LV Yin Nourish Liver and Kidney Yin Kidney KD and HT Not Nourish Kidney and Heart Yin Clear Empty and calm Mind Communicating Kidney KD and LU Yin Nourish Lung and Kidney Yin Nourish Body Fluids Stomach Yin Nourish Stomach Yin Nourish fluids

2 Yang : Main TX: tonify and Warm (Organ) Yang : Heart Yang Tonify and warm HT Yang Spleen Yang Tonify and warm Spleen Yang Kidney Yang Tonify and warm Kidney Strengthen Fire of the Gate of Life Kidney Yang/ Water Overflowing Tonify and warm Kidney Transform Water and warm and tonify Spleen Yang (in cases of Water Overflowing to Heart and Lung, warm or tonify Heart Yang and Lung Qi Kidney Failing to Receive Qi Kidney KD and SP Yang Stomach Cold Small Intestine Cold Large Intestine Cold Tonify and warm Kidney Tonify and warm Spleen and Kidney Yang Tonify and warm Stomach and Spleen Qi Warm the intestines and tonify Spleen Yang Tonify and warm Large Intestine and Spleen Yang Exception: HT Yang Collapse: Rescue Yang, restore consciousness and stop sweating respectively) Stimulate Kidney s receiving Qi and stimulate descending of Lung Qi Expel Cold Qi : Main TX: Tonify (Organ) Qi : Heart Qi Tonify HT Qi Lung Qi Tonify Lung Qi Warm Yang LU and HT Qi Tonify Qi Strengthen Heart and Lung and calm Mind Spleen Qi Tonify Spleen Qi Spleen Qi Sinking Tonify Spleen Qi Raise Qi Spleen Not Controlling Tonify Spleen Qi Stop bleeding Blood SP and LU Qi Tonify Lung and Spleen Qi Stomach Qi Tonify Stomach Qi ST and SP Qi Tonify Stomach and Spleen Qi Exception: Kidney Qi Not Firm: Reinforce and stabilize Kidney Qi, raise Qi and tonify Yang Large Intestine Collapse: Tonify Stomach and Spleen and raise Qi

3 Blood Stasis: Main TX: Move Blood : Heart Blood Stasis Move Blood Eliminate stasis, tonify and warm Heart Yang, calm Mind Pericardium Blood Stasis Move Blood Move Blood in the chest, regulate the Pericardium and Heart and calm Mind Liver Blood Stasis Move Blood Smooth Liver, move Qi, eliminate Stasis Exception: Stomach Blood Stasis: Invigorate Blood, eliminate stasis and stimulate descending of Stomach Qi Qi Stagnation: Main TX: Move Qi + organ so Small Intestine Qi Pain Small Intestine Qi Tied Large Intestine Qi Stag Move Small Intestine Qi Move Qi of Small Intestine Move Qi in Large Intestine Promote smooth flow of Liver Qi Remove obstruction from Lower Burner Heart Qi Stagnation Move HT Qi Open the chest and calm Mind Pericardium Qi Stag Move Qi Move Qi in the chest, regulate Pericardium and Heart and calm Mind Liver Qi Stagnation Move Qi Soothe Liver Liver Stagnant LV Qi Move Qi Smooth Liver, lightly clear Turning into Stomach Qi Stag Move Stomach Qi Eliminate stagnation and restore the descending of Stomach Qi Food Stagnation: Main TX: See on table Stomach Food Stag Resolve retention of food and stimulate descending of Stomach Qi

4 Fire: Main TX: Clear + Organ, Drain Fire Heart Fire Blazing Clear Heart, drain Fire Calm Mind Pericardium Fire Drain Fire in Heart and Pericardium Liver Fire Blazing Clear Liver, drain Fire Lung Clear Lung Restore descending of Lung Qi Stomach Fire Drain Stomach Fire Stimulate the descending of Stomach Qi Small Intestine Drain Heart Fire and Small Intestine Fire Large Intestine Clear in Large Intestine and Stomach Promote Body Fluids Large Intestine Obstruct Clear in Stomach and Large Intestine Promote bowel movement Exception: Pericardium : Clear Nutritive (Ying) Qi Level Phlegm: Category 1: Resolve Phlegm, Drain Fire + Organs Category 2: Resolve Phlegm + clear Category 3: Resolve Phlegm Disorder : Heart Phlegm Fire Drain Fire, Resolve Phlegm, Clear Heart Calm Mind, open Mind s 1 orifices Pericardium Drain Fire in the Pericardium and Heart, Open Mind s orifices, calm Phlegm Fire Resolve Phlegm Mind 2 Lung Phlegm Resolve Phlegm, clear Stimulate descending of Lung Qi Phlegm Misting the Mind Resolve Phlegm Open Heart, open Mind s orifices Lung Damp Phlegm Resolve Phlegm Resolve Dampness and Phlegm restore descending of Lung Qi Lung Cold Phlegm Resolve Phlegm Expel Cold, warm Yang and 3 restore descending of Lung Qi Lung Dry Phlegm Resolve Phlegm Nourish Fluids, nourish Lung Yin and restore descending of Lung Qi Lung Phlegm Fluids Obstructing Resolve Phlegm Tonify Spleen, Lung and Kidney Yang

5 Damp: Damp: Resolve Dampness Damp Cold: Resolve Dampness + Expel Cold Damp : Resolve Dampness + Clear Disorder : Gall Bladder Damp Resolve Dampness Clear Gallbladder and promote Damp smooth flow of Liver Qi Cold Damp Damp Damp with LQS Spleen Cold Damp Resolve Dampness and expel Cold Urinary Bladder Damp Cold Resolve Dampness, expel Cold Remove obstruction from Lower Burner s Water Passages Spleen Damp Resolve Dampness and clear Stomach Damp Resolve Dampness, clear Restore descending of Stomach Qi Large Intestine Clear, resolve Dampness Stop diarrhea Damp Gall Bladder Damp Resolve Dampness, clear in Gall Stimulate smooth flow of Liver Qi Bladder GB/LV Damp Resolve Dampness, clear Clear Liver and Gallbladder and promote smooth flow of Liver Qi Urinary Bladder Resolve Dampness, clear Open the Water Passages of Lower Damp Burner Liver Damp Resolve Dampness, clear Clear Liver SP Damp w/ LQS Resolve Dampness, promote the smooth flow of Liver Qi and clear Worms: Small Intestine Worms Acupuncture is not applicable in this case and herbal treatment is the treatment of choice Vessel Obstruction: Heart Vessel Obstruct Move HT Qi and HT Blood, eliminate stasis, open the chest, resolve Phlegm, expel Cold, calm Mind Yang Rising: LIVER YANG RISING Subdue Liver Yang, nourish Yin or Blood

6 Cold: Main TX: Expel Cold Liver Stagnation of Cold Expel Cold Clear Liver Stomach Cold Invading Expel Cold Warm Stomach and stimulate descending of Large Intestine Cold Expel Cold from Large Intestine Stomach Qi Warm Lower Burner Dryness: Main TX: No clear tx principle. Either nourish or promote fluids Lung Dryness Nourish Fluids Moisten Lung Large Intestine Dry Promote Fluids in Large Intestine Exterior Invasion: Main TX: Release Exterior Lung Wind Cold Release Exterior Expel Cold and stimulate the descending and diffusing of Lung Qi Lung Wind Release Exterior Clear and stimulate descending and diffusing of Lung Qi Lung Wind Water Release Exterior Expel Cold, resolve Dampness, restore descending of Lung Qi and open Water Passages

7 Liver Overacting: Main TX: Subdue Rebellion (Liver) Qi Liver overacting on Spleen Liver overacting on Stomach Liver Fire Insulting the Lungs Subdue rebellious Qi Subdue rebellious Liver Qi Subdue Liver Qi Tonify Spleen Tonify Stomach Qi Clear Liver, drain Fire and stimulate descending of Lung Qi Qi Rebelling: Main TX: Subdue Qi (either Liver or Stomach) Liver Qi Rebelling Subdue Liver Qi Smooth Liver Stomach Qi Subdue rebellious Qi Stimulate descending of Stomach Qi Rebelling Wind: Main TX: Extinguish Wind Liver Yang Rising Patterns: also subdue Liver Yang Wind due to Liver Yang Subdue Liver Yang, extinguish Wind Nourish Liver Blood Rising/Liver Blood Wind due to Liver Yang Subdue Liver Yang, extinguish Wind Nourish Liver Yin Rising/ Liver Yin Wind due to Liver Yang Subdue Liver Yang, extinguish Wind Nourish Liver and Kidney Yin Rising/ Liver and Kidney Yin Wind due to Extreme Extinguish Wind Cool Blood, nourish Yin Wind due to Liver Blood Extinguish Wind Nourish Liver Blood Wind due to Liver Fire Extinguish Wind Clear Liver, drain Fire

8 Six Stages Treatment Principles Stage Pattern Name Treatment Principle Wind-Cold (Wind) Release the Exterior, expel Wind, harmonize Nutritive and Defense Qi Wind-Cold (Cold) Release the exterior, expel Wind and Cold, restore the Taiyang (Greater Yang) diffusing and descending of Lung Qi UB Water Release the Exterior, promote the Bladder s function of Qi Accumulation Transformation, promote the excretion of fluids UB Blood Accumulation Invigorate Blood, eliminate stasis from the Lower Burner, clear from the Bladder Yang Ming Channel Stomach Yang Ming (Brighter Yang Ming Organ Drain Fire from the Stomach and Intestines, move Yang) downward Shao Yang (Lesser Yang) Harmonize the Lesser Yang (Shao Yang) Tai Yin (Greater Yin) Tonify Spleen Yang, expel Cold Shao Yin (Lesser Yin) Cold Transformation Tonify KD Yang, expel Cold Transformation Nourish KD Yin, clear Empty- Jue Yin (Terminal Yin) Clear above, expel Cold below, harmonize the Liver channel

9 Four Levels Treatment Principles Level Pattern Name Treatment Principle Wind Release the Exterior, expel Wind-, restore the diffusing and descending of Lung Qi Summer Release the Exterior, expel Summer, Wei (Defensive Qi) promote fluids Level Damp Release the Exterior, resolve Dampness, clear Qi Level Ying (Nutritive Qi) Level Xue (Blood) Level Dry Lung ( in the chest and diaphragm) Stomach Intestine Dry Gallbladder Damp in the Spleen and Stomach in Nutritive Qi Level in the Pericardium Victorious Agitates Blood Victorious Stirring Wind Empty-Wind Agitating in the Interior Collapse of Yin Collapse of Yang Release the Exterior, clear, promote fluids Clear Qi, clear Lung, resolve Phlegm, restore the descending of Lung Qi Clear Qi, clear Stomach Drain Fire, clear Stomach and Intestines, move downwards Harmonize the Lesser Yang, clear Gallbladder Clear in the Stomach and Spleen, resolve Dampness Clear Nutritive Qi, promote fluids Clear Nutritive Qi, clear Pericardium, restore consciousness, promote fluids Clear Blood, stop bleeding Clear Blood-, extinguish Wind Clear Blood-, nourish Liver and Kidney Yin, extinguish Wind. Rescue Yin, restore consciousness Rescue Yang, restore consciousness

10 San Jiao Pattern Treatment Principles Burner Pattern Name Treatment Principle Wind in the Lung s Defensive Qi Portion Release the Exterior, expel Wind-, restore the diffusing and descending of Lung-Qi Upper Burner in the Lungs (Qi Level) Clear Lung, resolve Phlegm, restore the descending of Lung Qi in the Pericardium (nutritive Level) Clear in the Pericardium, restore consciousness, promote fluids Middle Burner Lower Burner in the Bright Yang Damp in the Spleen in the Kidneys Liver stirs Wind Liver Empty Wind Clear Stomach Clear and resolve Dampness in the Spleen Nourish Kidney Yin, clear Empty Clear, extinguish Wind, stop convulsions, restore consciousness Nourish Yin, extinguish Wind, stop convulsions

11 Five Element Treatment Principles: Excess Cases: Tonify the grandmother element and sedate the son element Cases: Tonify the mother and sedate the Grandmother Excess Treatment principles are used for the Overacting and Insulting cycle patterns treatment principles are used for the Generating cycle patterns Liver and Gallbladder: Excess: tonify the Metal element, sedate the Fire element : tonify Water element, sedate the Metal element Heart and Small Intestine: Excess: tonify the Water element, sedate the Earth element : tonify the Wood element, sedate the Water element Spleen and Stomach: Excess: tonify the Wood element, sedate the Metal element : tonify the Fire element, sedate the Wood element Lung and Large Intestine: Excess: tonify the Fire element, sedate the Water element : tonify the Earth element, sedate the Fire Kidney and Urinary Bladder: Excess: tonify the Earth element, sedate the Wood element : tonify the Metal element, sedate the Earth element