Week 12

Review of Diagnosis
Case Study + Treatment Principles + Treatment Plan

34 Year old Female, Tai Yin with Shao Yang
Insomnia, Onset and Magnitudial
Nightmares, Anxiety, wakes up in a fright
Fatigue
No appetite
Stress induces Diarrhea
Reoccuring Yeast Infection, thick, copious, yellow, odor discharge
Grinds teeth at night
Complexion - Malar flushing, pale lips, acne,
Tongue - Red, distended, LV/GB area, Toothmarks, Red in the anterior
Thick yellow greasy coating
Pulse - Sp- soggy wiry, LV - Forceful wiry, HT - Faint - KD - Hidden

Ht-Sp Dual Vacuity - Magnitudial Insomnia
Liver Fire - Onset Insomnia
Wood - Earth Disharmony - Diarrhea with Stress
Damp Heat - Bowels + Vaginal discharge
Phlegm - Plumpit throat


Gui Pi Tang
Jia Wei Xao Yao San
Er Miao San
Er Chen Tang


Huang Qi + add Qi in the exterior, moves
Ren Shen + add Qi to the Center, static
Dang Gui + moving blood nourisher
Chen Pi + regulates Qi, harmonizes stomach
Chai Hu + Courses the Chai Hu, plunders Qi
Bai Zhu - Constructs Sp
Huang Lian + Clears Lv Fire, Gb fire St Fire (light doses, bitter, cold, and draining)
Ban Sha + Dries transform phlegm, downbears the turbid
Fu Ling - Constructs Sp, Bai Zhu + Fu Ling, Perculates Damp, Calms Shen
Bai Shao + Nourishes the LV Blood, astringes to temper Chai Hu
Sheng Jiang + Warms st, Wei Qi
Da Zao + Supplements Sp, Ying Qi
Zhi Gan Cao + Harmonizer
Long Gu + Drain Liver Fire
Mu Li + Drain Liver Fire
Wu Mei + Attacking, Supplementing, Heat Clearing, and Calming

Suan Zao Ren - Heart Lv Hun
Bai Zi Ren - Heart Liver Lungs Po
Fu Shen - Calm spirit
Zhi Mu - Clears heat moistens, Yin vacuity with vacuity heat
Yuan Zhi - Calms Spirit, Transform phlegm misting the portals, reinstate connection of Heart and Kidney
Huang Lian - drain liver
Long Yan Rou - Supplements Qi and Blood, Sp, Special use for damage by overthinking
Bai He - Nourish Yin, Clear Heat for severe vexation (bored stubbornness)
He Shou Wu - Nourishes KD Yin, Calms the Spirit, Moisten intestines
Long Gu - Drain Liver
Mu Li - Drain Liver


P 8
St 36, ST 40
St 44
Lv-3 to Kd-1
Gb 41?


Children Physiology and pathology is different than adults
Onset of Puberty = Onset of Adult physiology
Organs are weak and tender
5 Zang and 6 Fu = Forming and not complete, and not complete, not vigorous
Ministerial Fire is entrusted to the Gall Bladder Sanjiao and Pericardium
Children have the young yin and young yang.
Under 3, the body is pure yang.
Children go through growth spurts, each spurt = flaring of Ministerial Fire
2 = first Flare.
As they age, the Yin is engendered and flourishes.
Easily damaged by food and drink. the Yang Ming is fragile
Sinews and Tendons are tender so easily invaded by wind and cold.
Liver has Surplus
Liver Qi Stagnation easy.
Easy to transform Wind
Children are extremely reactive, responds quickly.
Food stagnation is pretty common
Causes of Disease is simple
Observe Shen
JingShen is lively, and flexible
Tendacy to sleep prone = food stagnation or parasites
Map tongue is common.
Sp/St vacuity problem
Moldy coat = food stagnation sign
Sloppy stool with white clots = trouble digesting milk
Diarrhea from Wind Cold - frothy bubbles
Febrile diseases have papules and rashes (measles)
If wind-heat invasion, the back of the mouth has white dots, then about to invade blood level
Papules start back of the neck
Bo He will vent rashes, prevent sinking of measle toxins, will express through the legs
Look for masses in neck lymph nodes
Ear Infections
Rooted in Food stagnation
St-Int = Weak
Often includes nausea and vomitting
Bad food = Sugar, Cheese, Nut Butters, Wheat and Corn products, uncooked chilled foods
In general, no high allergic food for children
Soy based formulas are bad, too cold.
Sp vacuity
+ Heat = Phlegm
+ Heat + Phlegm = Yang + San Jiao
Post Antibiotic Spleen Vacuity Syndrome?

Ear aches 2-3
strep throat in 3-5
tonsillitis,
bronchitis
long term asthma


Crystal Geyser Lemon Water will remove the taste of herbs

Week 11

Somnolence - Jing Shen - Alertness, consciousness, body/mind
Yang Qi
Yang Governs activity, Yin governs rest
If Yang is Xu, then there is going to be less activity - Weak Pusle,
Or If Yang is repressed - Confined Pulse
Its going to be combinations of both.
Yang Xu due to qi xu
Engenders damp, etc, giving excess

Yang functions to warm and nourish
1) Limbs
2) Spirit Light - Jing Shen

Yang Qi is rooted in the Kidneys, Spleen, Heart, and Brain
Patterns
Spleen Qi Xu
Spleen Upbears Clear Qi to empower the Jing Shen
Use herbs to boost the qi right after the eating if postpernial somnolence

Heart blood sp qi xu = magnitudial insomnia
Insufficient Essence = Severe disease or over-rioteousness
Spleen encumbered by damp/phlegm - usually with the others

Ht-Kd dual vacuity

Ht-GB vacuity - susceptible to fear and fright

ht-lv - susceptible to stress

Sp-1 treats profuse dreaming.

LV-Sp disharmony lv 3, li 4, lv 13, sp 14

week 8

Appetite
and Poor Appetite

Wood-Earth Disharmony vs Liver Qi and Sp Qi Xu
LV Qi + Sp Qi Xu = LV Qi attack with stress, and Sp Qi Xu symptoms because of Sp Qi Xu
Wood-Earth = Earth problems because of Stress
Tong Xue Yao Fan = Painful Diarrhea Miracle Cure, = LV-Sp
- Sp = \/
- St = /\
- Wood /\ + Heat = St heat /\ Appetite

St Yin Xu
Hunger without appetite
Clamouring St = Bensky indeterminate gnawing hunger

Sp-St Yang Xu
Undigested food particles (with KD yang)
Cold Hands/Cold Nose
Dull abdominal pain with worse with cold

Sp-St Damp Heat
Loose Stools with stronger smell
Heavy feeling in limbs,
sticky fever,
dry mouth, no desire to drink
worse with alcohol, greasy food
- Food Stagnation - Dual pattern = food that is borderline bad, unclean food

Food Stagnation
Too much food, poor digestible food.
Digestion = all process of passing through body
Meaty foods, Oils, Nuts, Greasy Fried Fatty = hard to digest
Eating too fast
episodic.
Particular in babies/elderly
belching, ab distension, pain, poor appetite

Signs of strange food (raw rice, dirt, etc)
Signs of Chong, Malnutrition due to Chong

Taste
Lack of taste/tastes like cardboard = poor appetite
Sp-St Qi Xu,
When Earth is strong, the tongue can distinguish the 5 flavors
Suspect 1) Depression
2) Diabetes
Central Qi Vacuity + damp
Use Bai Kou Ren

Sour Taste, Acidic taste
LV-Sp with Heat

Bitter Taste
Lv-GB
Heart Fire
Shao Yang

Bland = earth/qi xu, cold, + lack of taste

Sweet Taste
Sp Damp Heat, more damp than heat

Salty
Kidney problem
Vacuity heat
Cold in UB - wu ling san

Greasy/slimy - Sp encumbered by Damp

Hot taste = yin vacuity, vacuity heat

metallic taste = ancient times peppery/acrid taste
Lung Heat - Huang Qin - small dose.

Foul Breath
1) Food Stagnation
2) ST heat
3) Lung Heat

Foul smell
Abcess

Absence of Thirst
With bland Taste = Cold

Thirst with dryness
Damp with deep lingering heat

Dry mouth - Statis, binds Wet
2 Blood Thirst = Heat leating to blood stasis.

Drinks
Thirst for Cold Drinks
Heat
- St Heat
Febrile Disease

Warm drinks
Yang Xu
- Damp obstruction
Water-Rhuem repletion

Drink then Vomit
Water-rhuem in the stomach/intestines

Vomit then desire to drink
St fluid damaged

Thirst with Polydypsia and Polyuria
Xiao Ke = Wasting and thirsting/wasting thirst
Diabetes/Diabetic disease
3 Stages
Upper/Middle/Lower
Manifestation is delayed for signs and symptoms
Upper = Increased Intake/Thirst Normal Appetite
Middle = Increased Intake/Thirst, Above Average Appetite
Lower = Late stage Diabetes
Upper Stage = Qi and Yin Dual Vacuity
Qi tonics = heating harms Yin, Yin tonics = slimy/damp harms Sp

2) Insufficient Jin Ye - abnormal sweating/liquid loss



Thirst with Little or No Drinking

Yin Xu- tidal fever, malar flush, night sweats
Damp-Heat - Sticky Fever, heavy sensation
Water-Rhuem in the LI = Thirst with no drinking
Blood stasis = Blood Thirst

Sleep
1)Time and Quantity of Sleep
When you go to bed is important.
Sun cycle lecture - Consider going to bed by 10, do deep sleep by the time the sun is on the other side of the world. Yang super charges Yin.
Wake up by Sunrise
2) Time to fall asleep
a) staying asleep
b) 15 minutes to fall asleep. not more not less
3) Somnolance
4) soundness, solidity
5) awoken by fever

Insomnia
Heart -Kidney
Heart Yin/Blood Xu
Ht-Sp Dual
Ht-GB Qi timidity
Ht-Fire
Phlegm Fire
Liver Fire
Liver blood w/ Heat
Food Stagnation
Retained Heat

2 types
1) can't fall asleep - typically replete - evil qi
2) staying asleep - typically vacuity - insufficient righteous qi
a) vivid dreams
Liver treasures blood - Shen/Hun
Hun turns inward when carried back tot he LV during sleep, and dreams
Shen goes to Heart (5 patterns)
Hun goes to Liver (3 patterns)
when not getting good results, think of stasis complicating the patterns.
Ht-Sp
Ask for loss of strength as a sign of Sp Qi Xu
Post prenial somnlence
loose stools

Ht-Kid - nightmare insomnia
steaming bone
trouble falling asleep, stays awake, then falls asleep only to wake up again
Replete above, vacuity below
E Jiao - Huang Lian

Ht-GB qi timidity
Waking in a fright/variations of
not wanting to sleep alone
look for hot phlegm
Wan Dan Tang

Liver-Fire
Long Dan Xie Gan Tang

Liver-Blood
Suan Zao Ren Tang