Windstroke (Attack Channels) No Loss of Consciousness!

Course: Herbal Treatment of Disease 1 Date: June 14, 2010 (modified 2/28/11) Doc: Exam 2 Study Guide Instructor: Lesley Hamilton (modified for Dr. He’s class)

Windstroke (attack channels) – No Loss Of Consciousness! Wind Phlegm and Blood Stasis Blocking Liver Yang Rising and Wind Fire Liver Wind due to Phlegm Heat Blocking the Fu with Wind the Meridians Upward Disturbance Liver and Kidney Yin xu Phlegm Upward Disturbance WindStroke WindStroke Signs: WindStroke Signs: WindStroke Signs: o Motor dysfunction/lack of mobility o Sudden hemiplegia o Early stage prior to stroke or o Sudden onset hemiplegia or o Hemiplegia o Unilateral sequellae of stroke with trembling numbness/tingling o Sudden unilateral numbness/weakness limbs, numbness, tingling. weakness/numbness o Dizziness Tongue may tremble Phlegm Heat Signs: (lack of sensation, not tingling) o Overweight o Difficulty talking Liver Yang Rising/Wind signs Can be due to again or drug induced. o Poor diet + greasy foods o May wake in middle of night w/ o Headache o Alcohol intake paroxysmal paralysis or tongue stiffness. o Bitter taste Liver/Kidney yin xu signs: o Smoker o Dizziness o Irritability o Night heat/sweating o Thirst o Stress o Malar flush o Headache Phlegm o Anger o Thirst o Dizziness o Overweight o Restlessness o Dryness o Cough + thick Y phlegm o Hypercholesterolemia o Red face/eyes o Tinnitus o Hypercholesteremia o Thirst o Dizziness/vertigo Blood Stasis o Hypertension o Headache o Blocked blood vessels o Reduced circulation Urine: Urine: BM: o Dark o Scanty o Constipation Other BM: o Blurred vision o Dry stool o Hypertension (can be a turbid phlegm sign too.) Hypercholesterolemia

T: deep R + minimal coat, may tremble T: dark R or P + thick Y greasy coat T: Pale R or purplish + W or thick W coating T: deep R, thin Y coat P: wiry, rapid P: slippery, wiry P: Slippery, wiry, choppy P: wiry, slippery

F: Hua Tan Tong Luo Tang F: Tian Ma Gou Teng Yin F: Zhen Gan Xi Feng Tang F’s: 1) Xing Luo Cheng Qi Tang 2) Da Cheng Qi Tang 3) Xiao Cheng Qi Tang

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 1 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Windstroke attack ZangFu – Definite Loss of Consciousness! Ph-H Internally Ph-D Misting the Mind Collapse of Yang Collapse of Yin Disturbing the Clear Orifice (Closed Yin Type) (Flaccid Yang Type) (Flaccid Yin Type) (Closed Yang Type) WindStroke Signs: WindStroke Signs: WindStroke Signs: WindStroke Signs: o Sudden LOC o LOC o Sudden LOC o Sudden LOC o Muscle spasms, whole body o Flaccid muscles o Closed eyes o Closed eyes spasms o Clenched teeth o Open mouth o Open mouth o Jaw/hands clenched tightly o Convulsions o Relaxed hands o Relaxed hands o Rigidity of limbs o Cold limbs o Flaccid paralysis o Flaccid paralysis o Hemiplegia o Death is imminent o Death is imminent

Phlegm/Heat Signs Yang signs: Yang signs: o Heavy wheezing o Cold limbs o Shallow irregular breathing o Restlessness o Profuse cold sweat o Cold sticky sweat o Agitation o Purplish face o Red face o Red complexion o Fever o Body hot to touch

BM/Urine: incontinence BM/Urine: incontinence BM/Urine: retained

T: Pale P + thick W coat T: R + Y slimy coating P: deep, slow, slippery P: minimal P: fast, fine P: wiry, rapid, slippery F: Ling Jiao Gou Teng Tang F: Su He Xiang Wan – or - F: Shen Fu Tang F: Sheng Mai Yin Di Tan Tang

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 2 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Sequella of Stroke Qi Deficiency + Blood Stasis Liver/Kidney Yin Deficiency Sequella of Stroke Signs: Sequella of Stroke Signs: o Hemiplegia o Dysfunction/paralysis of extremities o Lack of mobility/loss sensation o Difficulty with speech one side o Possible trembling limbs, numbness, o Drooping face w/ wrinkles over tingling eye, one side o Upper and/or lower limb Yin Deficiency Signs immobile or spasming o Night heat/sweating o Dribbling saliva o Malar flush o Thirst Qi Deficiency Signs: o Dryness o SOB o Tinnitus o Fatigue/low energy o Dizziness/vertigo o Spontaneous sweating o Headache o Pale face o Scanty urination

Blood Stasis Signs: o Palpitations o Poor blood circulation

Possible hypercholesteremia

T: Pale P, P spots, congested veins under T: thin, deep R + minimal/peeled coat P: weak, choppy P: wiry/rapid or thready/rapid

F: Bu Yang Huan Wu Tang F: Zuo Gui Wan –or – Di Huang Yin Zi

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 3 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Windstroke Single Herbs Open Orifices, Induce Consc Liver Wind/Liver Yang Rising Liver Fire Phlegm Heart orifices/closed disorders Ext lv wind/clr lv fire/lv yang rising LV fire w/ Heat o She xiang o Tian ma o Ju hua o Dan nan xing o Su he xiang o Gou teng o Xia ku cao o Zhu ru/ling o Bing pian o Ling yang jiao o Long dan cao o Zhe bei mu o Gua lou Also vaporizes phlegm Calm lv/anchor floating yang o Zhi zi o Niu huang o Zhen zhu mu o Huang qin w/ Cold or for Phlegm + Damp o Shi chang pu o Long gu o Mu dan pi o Tian nan xing o Mu li o Bai fu zi o Ban xia Calm lv/anchor yang, clr lv fire o Dai zhe shi o Shi jue ming

Blood Stasis Bleeding Unblock channels/collaterals o Tao ren + hong hua o San qi o Di long o Ji xue teng o Yun nan bai yao formula o Quan xie o Dan shen o Wu gong (This space for lease!) o E zhu o Jiang can o Chuan niu xi (invig, -d/h) o Tian ma o Huai niu xi (+lv/ki, move bld down)

Yin Deficiency + Yang Rising Blood Deficiency Qi Deficiency Etc… LV/KI Yin Deficiency o Shu di huang o Dang gui o Ren shen Da huang o Mai men dong o Shu di o Huang qi o Cook short time: o Tian men dong o Bai shou o Bai zhu purges accumulations of Fu organ o Gui ban o He shou wu o Shan yao o Cook longer: o Bie jia o E jiao o Bai bian dou drains damp, clears heat/fire, stops o Sang ji sheng o Long yan rou o Gan cao/zhi gan cao bleeding, invig blood, dispels stasis. o Da zao o Yi tang

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 4 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Somnolence Accumulation of Phlegm-Damp Spleen Qi Deficiency Yang Deficiency Blood Stasis Somnolence Somnolence: Somnolence: Somnolence: o Sleepiness o Sleepiness o Sleepiness o Sleepiness o Desire to sleep all the time o Desire to sleep a lot/often o Always needs a nap o Difficulty concentrating o Fatigue, continual tiredness o Unclear thinking Phlegm/Damp Signs: Yang Deficiency: o Heaviness of body Spleen Qi Deficiency: o Low energy, easily fatigued Blood Stasis: o Foggy head with lack of clear o Lack of clear thought o Cold limbs o Headache + stabbing pain though o Appetite may/may not be o Frequent profuse urinaton o Hx of trauma or surgery o Excesive sticky saliva affected o Prefers warm drinks o Easy blood coagulation o Sweet taste in the mouth o Stools may/may not be affected o Rough, uneven skin o Loose stool o May be overweight + slow metab o Ab distention Usually found in elderly people or after a o Possible nausea long illness when yang is damaged o Chest tightness Clear yang cannot ascend, hence the sleepy

T: pale, swollen + smooth slippery coat T: P or + P spots, congested sublingual T: greasy coat T: pale + thick coat P: deep, weak esp in KI position veins P: slippery P: slippery/soggy P: choppy

F: Ping Wei San F: Liu Jun Zi Tang F: Fu Zi Li Zhong Wan F: Tong Qiao Huo Xue Tang

Somnolence Single Herbs Dampness Phlegm Spleen Qi Deficiency Yang Deficiency o Huo xiang Cold o Huang qi o Fu zi o Pei lan o Tian nan xing o Bai zhu o Gan jiang o Cang zhu o Ban xia o Bai bian dou o Rou gui o Hou po o Bai fu zi o Ren shen o Lu rong o Bai dou kou o Xuan fu hua o Lu jiao jiao o Fu ling o Jie geng o Ba ji tian o Yi yi ren o Yin yang huo o Ze xie Heat o Du zhong o Dan nan xing Open orifices too: o Chuan/zhe bei mu

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 5 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun o Shi chang pu o Gua lou o Yuan zhi Zhu ru/Zhu li

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 6 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Poor Memory Heart and Spleen Deficiency Kidney Essence Deficiency Turbid Ph-Damp Liver Qi Stagnation Upward Disturbance Poor Memory Poor Memory Poor Memory Poor Memory o Poor memory o Poor memory o Poor memory o Poor memory o Difficulty concentrating o Forgetfulness o Difficulty concentrating o Forgetfulness o Poor concentration o Unclear thinking HT/SP Deficiency Liver Qi Stagnation o Insomnia Kidney Essence Deficiency: Phlegm Damp o Hx of depression o Tiredness o Premature aging o Headache with heaviness o Hypochondriac discomfort o Low energy o Hearing loss sensation o Sighing o Poor appetite o Low sex drive o Poor diet w/ greasy and sugary o Chest tightnes o Loose stools o Early thinning, greying hair foods o Lack of ambition, not necessarily o Lots of wrinkles o Excess alcohol intake fatigue o Weak low back/knees o Loose stool (LV overacts on spleen)

T: pale T: thin and R + little coating P: thin and weak P: thin, deep, weak T: T: greasy coating P: wiry P: soggy or slippery F: Gui Pi Tang F: Zuo Gui Wan F: Wen Dan Tang F: Xiao Yao San

Blood Stasis Poor Memory o Poor memory o Difficulty concentrating o Unclear thinking

Blood Stasis o Hx of trauma or surgery o Blood coagulates easily o Skin is rough or uneven

T: P or P + spots, congested veins P: choppy

F: Tong Qiao Huo Xue Tang Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 7 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Poor Memory Single Herbs Nourish Heart Blood Nourish Blood Nourish Kidneys Open Orificies o Long yan rou o Da zao o Ren shen o Shi chang pu o Dan shen o E jiao o Hu tao ren o Yuan zhi o Yin guo ye o Wu wei zi o Yi zhi ren

Relieve Constraint o Chai hu o Yu jin o He huan pi o Bai zi ren

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 8 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Dementia Deficiency and Emptiness Spleen and Kidney Deficiency Phlegm Damp Accumulation Blood Stasis Of Marrow Blocking Orificies Mental Mental Mental Mental o Dementia o Dementia o Dementia o Dementia o Decline in memory/cognition o Decline in memory/cognition o Decline in memory, cognition, o Decline in memory, cognition o Confusion o Confusion and intelligence o Confusion o Elderly o Elderly o Confusion o Elderly o No desire to speak, converse o Elderly o Difficulty finding/remembering Deficiency of Marrow o Loss of judgment o Mood laterations including the right words o Dizziness, vertigo inappropriate laughing/weeping o Frustration o Fatigue Spleen/Kidney Deficiency o irritable o Weak low back/knees o Poor appetite o Difficulty walking o Loose stools Phlegm Damp Onset could be abrupt o Diminished hearing o General weakness of o No appetite o Loose teeth muscles/fatigue o Abdominal distention o Foamy saliva o Heaviness sensations

T: thin and pale + thin W coat T: swollen + moist coat T: P-R or P spots or swollen sublingual P: thin and weak T: pale, swollen + thin W or mirror coat P: slippery veins P: thin, deep, weak, esp in 3rd position P: thin, choppy F: Qi Fu Yin Zi F: Huan Shao Dan F: Di Tan Tang (or Xi Xin Tang) F: Tong Qiao Huo Xue Tang

Dementia Single Herbs Essence Deficiency Qi Deficency Blood Deficiency Phlegm Damp o Lu jiao o Ren shen o E jiao o Shi chang pu o Lu rong o Huang qi o Dang gui o Yuan zhi o Gui ban o Shu di o Zi he che o Bai shao o He shou wu o He shou wu o Shu di huang o Long yan rou

Blood Stasis (esp head) o Dan shen o Chuan xiong o She xiang o Yin guo ye Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 9 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Depressive Disorders Notes Liver Qi Stagnation/Yu Phlegm Qi Stagnation Heart and Spleen Deficiency Mental/emotional/behavioral Mental/emotional/behavioral Mental/emotional/behavioral The term “dian kuang” is used in TCM to o History of emotional instability o Similar symptoms to dementia o Confusion, unclear cognition describe mental illness disorders. Western medicine breaks mental illness into 4 basic o Quiet, doesn’t want to talk, o Behavioral issues o Easily frightened categories: withdrawn  Unpredictable mood swings o Panic attacks 1. Mood disorders/emotional disorders o May cry or sigh a lot  Foolishness o Abrupt or inappropriate laughter 2. Anxiety disorders (which include PTSD,  Doesn’t care for self, doesn’t or sobbing general anxiety and OCD) eat/drink, clean themselves o Obsessive compulsive behavior 3. Psychotic disorders which includes More severe than just feeling depressed  Mutters to him/herself schizophrenic disorders, hallucinations, o Can’t understand others, illogical and delusional disorders Physical manifestations speech, incorrect responses 4. Personality disorders like borderline o Palpitations personality disorder and brain chemistry o Feels half asleep, half clear o Dream disturbed sleep with related illnesses. headed confusion upon wakening Physical manifestations o Daydreaming TCM uses the term dian to refer to the more o Chest tightness/restriction Physical manifestations o Lassitude, fatigue or low energy yin aspect of these types of disorders. These o Distending pain in hypochondria o Dull complexion o Poor appetite will have more of a flat or sad aspect to them o Discomfort in chest and and include the mood and anxiety disorders o Loose stools above. epigastrium T: pale with thin white coat o Heavy feeling in body T: pale with thick white coat Kuang refers to the more yang aspect of mental P: wiry P: thin, weak, deep illness in which there is obvious fire, high T: red with thick greasy sticky coat emotions, and more yang expression. These P: wiry or slippery include the psychotic and personality disorders. F: Chai Hu Shu Gan San F: Shun Qi Dao Tan Tang F: Yang Xin Tang can be combined with Yue Yu Wan

Depressive Disorder Singles Qi Stagnation Turbid Phlegm Blood Stasis Calm Shen/Heart-Mind Nourish Heart Chai hu Shi chang pu Yu jin He huan pi Long yan rou Xiang fu Yuan zhi Tao ren Yuan zhi Dang gui Fo shou Meng shi Dan shen Suan zao ren Suan zao ren He huan pi Ban xia Chuan xiong Long gu Dan shen Yu jin Zhu ru Wu wei zi Fu shen Dan nan xing Fu shen Zhe bei mu Dan shen

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 10 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Manic Disorders Phlegm Fire Disturbing Ht/Spirit Phlegm Heat Excessive Fire Injuring Yin Phlegm and Blood Stasis Obstruction Behavior manifestations: Less dramatic symptoms than Phlegm Behavior manifestations: Behavior manifestations:  History of uncontrollable hyperactive Fire, but very similar.  Periodic severe episodes – last a few  Chronic lingering hx of mania that behavior days, then pt calms down comes/goes.  Irritability, anger, rage or violent  Pt is tired after episodes  Restlessness behavior  Easily frightened  Abnormal behavior – can be violent  Jittery, erratic, inappropriate behavior  Restless  Climbs to high places  Overactive  Irritable  Constant talking  Lack of judgment  Unreasonable lack of fear  Impulsiveness

Physical manifestations: Physical Manifestations: Physical Manifestations  Red eyes  Dark complexion  Red face  Unclean look  Headaches  Palpitations  Insomnia with no desire to sleep  Headaches  Physically strong  Possible fibroids/tumors  No desire to eat

T: red + greasy yellow coat T: Red + scanty or no coating T: Purple, dark spots and/or congested sublingual veins + greasy yellow coat P: rapid, wiry and/or slippery and full or P: Thready and rapid P: Thready or slippery, rapid and choppy flooding

F: Sheng Tie Luo Yin F: Meng Shi Gun Tan Wan or F: Er Yin Jian F: Dian Kuang Meng Xin Dan Gun Tan Wan

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 11 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Manic Disorders (cont’d) Blood Stasis Blocking Orifice Disharmony of Ht and Ki Behavior manifestations: Behavior manifestations:  Hallucinations  Long hx of chronic mental illness  Suspicious  Easily frightened  Easily frightened  Restlessness  Difficult to understand with illogical  Irritability thinking  Poor comprehension Physical Manifestations:  Insomnia Physical Manifestations:  Dry mouth  Insomnia  Thirst  Dark complexion – purplish  Dizziness  Dark eyes  Tinnitus  Purple spots on the body  Frequent urination  Dry stools

T: dark purple w/spots, congested T: thin, red body with scanty or no coat sublinguals + thin slippery white coat P: Thready, rapid P: thin and wiry or thin and choppy

F: Ding Kuang Zhu Ru Tang F: Huang Lian E Jiao Tang Hu Po Yang Xin Dan

Manic Disorder Singles Phlegm Fire – Ht/Lv Phlegm Heat Blood Stasis Huang lian 3 yellows + da huang Meng shi Tao ren Zhu sha (or huang lian + long gu) Long gu Dan nan xing E zhu Zhi zi Meng shi Zhu ru San leng Dan zhu ye Shi chang pu Zhu li Mu tong Huang qin Mu dan pi Xia ku cao

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 12 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Epilepsy/Seizure Wind Phlegm Obstruction Phlegm Fire Disturbing Spirit Blood Stasis Obstructing Ht Blood and Sp Qi Xu Ht and Ki Deficiency Orifices Acute Attack – seizures within Acute Attack – seizures within Acute Attack – seizures within last 3 months last 3 months last 3 months

Seizure appearance: Seizure appearance: Seizure appearance: Seizure appearance: Seizure appearance:  Chronic recurrent seizures  Chronic seizures  Chronic recurrent  Chronic recurrent  Chronic recurrent frequent + foaming saliva during  Abrupt onset after physical attacks Other: head trauma  Possible incontinence of  Foul temper stool/urine  Anxiety Other: Other: Other:  Loss consciousness  Insomnia  Chronic headaches  Fatigue  Poor concentration  Convulsions  Bitter taste in mouth  Stabbing, fixed pain  Poor appetite  Aimless drifting in thought  Rattling noise in throat  Red complexion  Loose stools or without thought  Dizziness/vertigo  Red eyes  Palpitations  Poor memory  Dry throat  Poor mem/concentration  Dizziness/vertigo Foggy mind after seizures  Thirst  Insomnia  Grayish pale or dark pale  Thick phlegm – hard to  Dizziness complexion expel  Pale complexion  Chest tightness  Dark yellow urine

T: Red + yellow greasy coat T: Purple or purple/red spots, T: Pale + thin coat T: Thin and red + thin yellow or congested sublingual veins scanty coat P: Slippery, wiry + rapid P: choppy, rough P: Weak, deep P: Deep, thin and rapid

F: Ding Xian Wan F: Long Dan Xie Gan Tang & F: Tong Qiao Huo Xue Tang F: Li Jun Zi Tang & F: Zuo Gui Wan & Di Tan Tang Gui Pi Tang Tian Wan Bu Xin Dang

Epilepsy/Seizure Singles Extinguish Wind Nourish Ht/Calm Spirit Transform Phlegm Liver Wind Jiang can Dan shen Dan nan xing He huan pi Di long Suan zao ren Tian nan xing Yu jin Wu gong Bai zi ren Chen pi Chai hu Quan xie Yu jin Bei mu Ling yang jiao Hou po Shi chang pu Tian ma Long gu Yuan zhi Gou teng Ci shi Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 13 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Stomach Pain Cold Invasion Food Stagnation Liver Overacting on Stomach Blood Stasis Stomach Pain Stomach Pain Stomach Pain Stomach Pain o Sudden epi pain and cramping o Epi bloating, painful to touch o Distending pain, radiating to o Chronic, fixed epigastric pain o Better: warmth (kids/babies may cry w/discomfort) hypochondriac region described as cutting, stabbing, knife o Worse: cold o Better: pass gas, bowel o Better: like. movement, vomit undigested food o Worse: emotional disturbance o Worse: with touch, after eating, History of… while sleeping. Worse with stress o Becoming very cold Digestive Other LV overacting on ST o Catching cold o Smelly belching o Sighing Stomach Other History of gastric ulcer(s) o Ingesting very cold foods/drinks o Decreased appetite o Irritability o o Nausea, possible vomiting o Belching o Irregular diet Other undigested food o Gas and bloating o Hematemesis o Nausea/vomiting o Aversion to food smells o Chest tightness o Black stools o Aversion to cold o Sticky, smelly stools o Sticky bowel movements or o No thirst constip T: dark + spots T: thick greasy maybe Y coating P: wiry, choppy T: Pale R + W coating P: slippery, wiry T: Pale R + thin coat P: tight, wiry P: wiry

F: Liang Fu Wan F: Bao He Wan F: Chai Hu Shu Gan San F: Shi Xiao San + Dan Shen Yin

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 14 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Stomach Pain (cont’d) Damp Heat Accumulation Stomach Yin Deficiency Spleen and Stomach Deficient Cold in the Stomach Stomach Pain Stomach Pain Stomach Pain o Burning pain in epigastrium o Chronic atrophic gastritis o Chronic, mild, dull ache that (inflammation of mucosa which comes and goes History of… damages the stomach lining – can o Better: touch, warmth, ingestion o Irregular diet + hot, spicy, greasy lead to cancer) of food. foods o Burning or dull discomfort w/o o Alcohol acid reflux Deficiency and Cold o Aversion to cold Damp/heat Yin Deficiency o Catches cold easily o Bitter taste in mouth o Hunger without desire to eat o Tiredness/fatigue o Thirst, no desire to drink o Weight loss o Weakness o Nausea o Dry mouth o Nausea + occasional vomit clear o Acid reflux o Malar flush fluid o Poor appetite o Night time heat o Cold limbs o Heavy head/body o Dry stool o Loose stools o Lassitude o BM: sticky, smelly May have history of long term alcohol o Urine: yellow, smelly abuse

T: red + Y greasy coat T: R + scanty, peeled coat T: pale, swollen w/TMs + thin W coat P: soggy, rapid P: thready, rapid P: soggy, weak F: Qing Zhong Tang F: Shao Yao Gan Cao Tang + F: Huang Qi Jian Zhong Tang Yi Guan Jian

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 15 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Stomach Pain Single Herbs Regulate Qi Warm Middle Burner Remove Blood Stasis Tonify Middle o Mu xiang o Gan/sheng jiang o San qi o Gan cao/ zhi gan cao o Xiang fu o Ding xiang o Yu jin o Yi tang o Chen xiang o Wu zhu yu o Yan hu suo o Feng mi o Chuan lian zi o Rou gui o Chuan xiong o Da zao o Hou po o Wu ling zhi o Sheng jiang o Zhi shi o Pu huang o San leng o E zhu

Alleviate stomach pain Nourish Yin Food Stagnation Cool blood and remove stasis o Gan cao + bai shao o Mai dong o Lai fu zi o Mu dan pi o Sha shen o Shan zha o Chi shao o Shi hu o Shen qu o Mai ya o Ji nei jin

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 16 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Abdominal Pain Cold Invasion Damp Heat Accumulation Damp Heat with Blood Stasis Shaoyang/Yangming Syndromes Abdominal Pain Abdominal Pain This is the early stage of intestinal abscess i.e., Gallbladder Inflammation o Acute, sudden ab pain – sharp, o Ab pain with fullness/distention or appendicitis o Alternating chills/fever cramping o Worse: pressure o Fullness in chest and o Better: warmth hypochondria o Worse: cold Damp/heat signs o Nausea/vomiting o Thirst for cool drinks (if heat o BM = either constipation or Cold things dominates burning diarrhea o History of becoming very cold or o Thirst without desire to drink (if catching cold damp dominates) o Aversion to cold o Irritability o No thirst o No appetite o Copious clear urine o Nausea o Chest tightness

Bowel Movements can be o Constipation o Diarrhea o Difficult, loose stools o Sticky stool o Burning sensation o Smelly stool

Purge intestines to eliminate pathogenic toxins!

T: Pale + W poss greasy coat T: R + Y slimy coat P: deep, tight T: Y coat P: slippery, rapid, forceful P: forceful F: Liang Fu Wan + F: Bao He Wan F: Da Huang Mu Dan Tang F: Da Chai Hu Tang Zheng Qi Tian Xiang San

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 17 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Food Stagnation Qi Stagnation in the Middle Burner Blood Stasis Deficient Cold in Middle Burner (Liver Qi Stagnation) Abdominal Pain Abdominal Pain Abdominal Pain Abdominal Pain o Pain with distention/fullness o Distending pain in lower ab o Chronic, severe, sharp, stabbing o Chronic, dull intermittent ab pain o Worse: pressure radiating to the sides pain in a fixed location o Worse: overexertion or hunger o Hypochondria pain o Better: heat and pressure, rest and Digestive o Pain comes and goes Blood stasis food. o History of overeating, hot spicy o Worse: stress, emotional o May have palpable ab masses greas foods situations o Pain is fixed Deficiency and Cold o Belching o Better: belching, passing gas o May have history of cancer, o Tiredness o Hiccups metastasis, scarring from surgery o Low motivation o Acid reflux Can be Lv Qi stagnation causing o Blood in stool or urine o Coldness of body o Foul breath stagnation in the LI or can be pure qi o Aversion to cold o No appetite during full feelings stagnation in the LI. Refer to biomed exam to rule out o Desire for warm food/drink malignancies or acute appendicitis! o Pale complexion Bowel movements o Loose stool o Constipation, painful diarrhea, tenesmus relieved with BM o Smelly stool

Early stage food stagnation is in stomach, then moves to intestines with damp heat accumulation, which may lead to development of toxins.

T: thick greasy coat T: dark + P spots or congested sublingual T: Pale R + thin W coat P: slippery T: thin W coat veins P: deep, weak, or thin P: wiry P: thready, uneven

F: Zhi Shi Dao Zhi Wan F: Chai Hu Shu Gan San F: Shao Fu Zhu Yu Tang F: Xiao Jian Zhong Tang

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 18 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun Abdominal Pain Single Herbs

Regulate Qi Warm Middle Burner Remove Stasis Clear heat/Detoxify o Mu xiang o Gan jiang o San qi o Huang lian o Xiang fu o Sheng jiang o Yu jin o Huang bai o Chen xiang o Po jiang o Yan hu suo o Da huang o Chuan lian zi o Ding xiang o Chuan xiong o Mang xiao o Wu yao o Wu zhu yu o Mo yao o Bai tou weng o Xiang fu o Rou gui o Ru xiang o Fou shou o Wu lin zhi o Zhi shi o San leng o E zhu

Tonify o Gan cao/zhi gan cao o Yi tang o Feng mi o Bai shao calms LV, -pain esp w/gan cao o Dang gui blood

Herbal Treatment of Disease 1 – Spring 2010 – Exam 2 Study Guide - Page 19 of 19 www.CatsTCMNotes.com Disclaimer: This is not an official AOMA document, is intended for reference only and is not a replacement for your own class notes. This document is available for your use As Is and may contain errors and omissions. Cat Calhoun retains full copyright ownership, rights and protection in all material contained herein. You may use this document for your own purposes and distribute it to other people provided you 1) do not charge for it and 2) attribute it as having been generated by Cat Calhoun and disclose that it available free of charge on CatsTCMNotes.com. © 2010 Catherine (Cat) Calhoun