C hinese M edical T raumatology and O rthopedics

by Robert Chu, PhD, LAc, QME

2011 Disclaimer

Please note that the author and publisher of these lecture notes are NOT RESPONSIBLE in any manner whatsoever for any injury that may result from practicing the techniques and/or following the instructions given within. Since the material deals with prior knowledge of acupuncture described herein, it will be too complex in nature for some readers to engage in safely, and it is essential that a licensed acupuncturist be consulted prior to application.

These lecture notes are to be used as a supplement when taking a course with Robert Chu and are not to be distributed to others who have not taken the course on Chinese Medicine Orthopedics and Traumatology with Robert Chu.

1 Author's Preface:

Since 2002,1 have begun seminars publicly on my paradigm of acupuncture and how to use the system in a practical and systematic way in English. In this edition of this book, I hope to guide my fellow colleagues into the intricacies of Chinese Medicine Traumatology and Orthopedics and the use of Master Tung's Acupuncture and my own paradigm called Optimal Acupuncture in Traumatology and Orthopedics, and share the principles and concepts that make it a highly useful in the clinical setting. I discuss here the principles and concepts that are used in the clinic and of particular use to the Licensed Acupuncturist who also practices Chinese Herbology.

There are thousands of prescriptions for Traumatology and Orthopedics and after studying the subject for over 20 years and reading almost every book in Chinese that dealt with the subject matter, I still like to distill the essentials and approach work in a practical manner, and for one to use clinically on a daily basis. It is hoped that the reader can use these principles and concepts here and achieve amazing results in his or her practice, as these are the principles and concepts I use in my own practice daily with amazing results!

I will, in future revisions of this work, further explain the analysis and understanding of each of the points. It is hoped that reader's questions and interest will lead to new revisions of this book.

I would like to thank my masters Kwan Jong Yuen, Yee Chi Wai, Lui Yon Sang, Chan Tai Shan, Gong Duk Foon, for their early instruction in Chinese Dit Da methods and stimulating me to further study Chinese medicine. I would also acknowledge my teacher, Dr. Young Wei-chieh for instructing me in Master Tung's Acupuncture, and Dr. Chen Chao for teaching me his I Ching Acupuncture system, without which I could not create Optimal Acupuncture.

I would also like to thank my many teachers of Acupuncture, Tui Na and Chinese Medicine for helping me along this path.

I would also like to thank my students for helping me develop the ITARA Master Tung Acupuncture system and Optimal Acupuncture.

My good fortune of having talented people like David McKinnon, L.Ac, and Jack Chang, L.Ac, has always made things worthwhile during these years of travel and seminars.

2 Note of Abbreviations used in this text

In this text we use the following abbreviations for the various channels:

Lu = Lung Channel

LI = Large Intestine Channel

St = Stomach Channel

Sp = Spleen Channel

H = Heart Channel

SI = Small Intestine Channel

UB = Urinary Bladder Channel

K = Kidney Channel

Pc = Pericardium Channel

SJ = Sanjiao Channel

GB = Gallbladder Channel

Liv = Liver Channel

Ren = Ren Channel

Du = Du Channel

3 Introduction

Over thousands of years man has sought to alleviate pain and suffering, and trauma is the most common disease, outside of affliction of the mind by greed, anger and stupidity. Man has sought relief through herbals and other material medica, which spawned various indigenous medical systems. In China, Chinese medicine was used to allieve pain, stop swelling, engender flesh, set broken bones, and care for wounds in many forms - herbology was practiced in many flexible methods: burning it as moxibustion, ingesting it by decoction, infusion, pills, used topically as powders, pastes, liniments, lotions, wraps, fulmigation, soaks, washes and oils; Cupping was used to relieve exterior wind, cold, and damp or to move stagnant blood; Acupuncture and blood letting methods were used to move the Qi and blood in the 12 channels and 15 collaterals, as well as the 8 extra vessels.

The literally thousands of prescriptions created by the various doctors of yesteryear could take thousands of years to learn, categorize and memorize. Rather than memorizing prescriptions of herbs or acupuncture, we should seek to instate and create prescriptions based upon logical principles and concepts. In this way, we do not have to be bound by tradition. My own creation of

Optimal Acupuncture as a clinically efficient system, breaks down the art of acupuncture based on signs and symptoms of the channels, and the use of flexible principles and concepts to apply them clinically. Similarly, herbals used for Traumatology and Orthopedics should also be applied in this manner. In this spirit, we will now examine the art of Chinese Medical Traumatology and

Orthopedics.

Since the scope of this book is concentrated, we will concentrate primarily on the use of the herbals and acupuncture for Traumatology and Orthopedics.

4 Chinese Medical Traumatoloav and Orthopedics

What is Trauma?

Trauma is from:

Accidents Surgery Radiation Chemotherapy Exercise Physical Therapy Chiropractic Acupuncture Invasive procedures Dental Work Falls Fights Sports Burns

5 Why Study Traumatology and Orthopedics? Generally not taught in schools Pain is the most frequent complaint in the clinic A new way to look at Rx's and Chinese Medicine Better treatment plans for Sports Injuries, Pain Management, Orthopedic problems, Neuro Musculoskeletal Problems Traumatology and Orthopedics is in stages of healing from initial to intermediate to resolution. After that the Traumatology and Orthopedics practitioner must support the patient in further health. Common formulas are also used in Traumatology and Orthopedics: Gan Mai Da Zao Wan - is used when people are fearful, depressed, and can't get over their accident/injury Curing Pills - when there are damp heat toxins that the internal bleeding causes, you need to purge them! Er Chen Wan - is the base of treating old painful injuries! Old injuries have both phlegm and damp and blood stasis! Si Jun Zi Tang - Is at the resolution stage when you need to tonify the qi to have them heal faster! Liu Jun Zi Tang - Same as in Si Jun Zi Tang - for the resolution stage to speed up healing, strengthen Sp/St Jiao Gu Lan - Strengthens Wei Qi to fight pernicious Wind, cold, damp Yu Ping Feng Wan - For old injuries that arise because the Wei qi is impaired Ma Zi Ren Wan - When there is constipation in the initial stage of trauma, this is a gentle purgative. Tao Ren Wan - As is this, a gentle purgative to relieve internal blood stasis Nu Ke Ba Zhen Wan - to build up Qi and blood after trauma/trauma of childbirth! Xiao Yao Wan - To relax patients who are freaking out while they are injured This is only the tip of the iceberg! It is just that many people do not have this knowledge as they approach herbals from an internal medicine point of view. Also many medicinals can be combined for a superb effect! In this manner, we treat a patient with a month - 2 months treatment plan, as we already know the stages!

6 A Long History of Traumatology and Orthopedics in China:

Moxibustion Classic/52 Rx's from Early Han Ma Wang Dui excavation

Acupuncture

Nei Jing

Ling Shu

Nan Jing

Jia Yi Jing

Zhen Jiu Da Cheng

Shang Han Lun/Jin Gui Yao Lue

Zhou Hou Fang

Qian Jin Yao Fang

Various Families: Wang, Su, etc.

Shaolin

Martial Arts Traditions

Famous Rx's passed down from many masters Li Shi Zhen, Sun Si Miao, Ge Hong, Wang Qing Ren - Yi Lin Gai Cuo

7 Some Maxims about Gu Shang Ke:

Pain Management is about functionality, not absence of pain. Pain is a good thing; tells you to be cautious. Initial Pain is from Qi and Blood Stagnation; Chronic Pain is mainly from Wind/Cold/Damp entering tissues due to leakage/seepage of Wei Qi at pain site

Things that limit Acupuncture and herbals: 1. If surgery is required 2. If the patient is on certain medications - blood thinners, anticoagulants, neurotransmitters, anti-depressants, NSAIDs, Opiates, other analgesics 3. Qi and Blood Deficiency 4. Elderly - usually means they are qi/blood deficient, or emaciated

Diagnosis of Traumatology and Orthopedics:

Signs and Symptoms

History

Injury Site

Channels

Pulse

ROM

Orthopedic Testing

X Rays, MRI's, Radiologist's Report of Findings

8 Summary view of Strategies and Basic Principles:

Week 1-2

• Move Qi and Stagnant Blood • Remove Stasis, Relieve swelling • Clear Heat and Toxins • Move Blood, Calm Shen

Week 3-6

• Relieve Pain, Regulate Ying • Engender Flesh, Join Bones

Week 7-8

• Relax Muscles and Tendons, Move Qi Blood in Jing Luo • Tonify Qi and Blood • Strengthen Spleen/Stomach • Tonify Liver/Kidney

Chronic Pain:

• Continue strategies above, plus • Remove Phlegm • Remove Blood Stasis • Clear Wind/Cold/Damp • Exercises to rehabilitate the body

9 Strategies and Basic Principles in detail:

Not all injuries follow this pattern and time frame, however we can use this as a general roadmap and elicit the most appropriate strategies and principle to fit the situation. Here all the treatment principles are suggested, they need to correspond with your diagnosis.

Week 1-2

• Move Qi and Stagnant Blood This is for all local blood stasis, swelling, and pain. Focus is on moving qi and blood, and modified accordingly to heat, cold, excess or deficiency.

Common Rx's include: Tao Hong Si Wu Tang Fu Yuan Huo Xue Tang Qi Li San Die Da Wan

Acupuncture wise, we focus on the channels involved and to move the qi and blood. Example: A patient sprains his left ankle around GB 40 area -choose points on the opposite ankle on the GB channel and needle these.

• Remove Stasis, Relieve swelling With more local swelling, in this stage, we address local swelling, pain, and distention. We need to focus on moving out the local edema.

Common Rx's include: Xiao Zhong Zhi Tong Tang Xiao Zhong Zhi Tong Gao Zhen Wu Tang

Acupuncture wise, we should focus on the Stomach and spleen channels and the affected channels.

Example: A patient sprains his left wrist around SJ4 area; choose GB40, 41 on the opposite side and also choose points on the Stomach and Spleen channels like St 44, 43, Sp 2, 3

10 • Clear Heat and Toxins In this treatment protocol, we should get rid of toxins. We focus on clearing toxins through the bowels.

Common Rx's include: Tao Hong Cheng Qi Tang Da Cheng QiTang Shun Qi Huo Xue Tang Wu Wei Xiao Du Yin

Acupuncture wise, we need to focus on the Jing Well or Ying Spring points of the affected channels.

Example: A patient's ankle is better, but there is a rash in the affected ankle. We can prick the GB 44 and 43 points.

• Move Blood, Calm Shen In this method, we focus on moving blood and calming the Shen of the patient.

We can use: Xiao Yao San Chai Hu Shu Gan Tang Tao Hong Si Wu Tang Gan Mai Da Zao Tang Suan Zao Ren Tang

We can instruct the patient in the Qi gong set of the Six Healing Sounds. Acupuncture wise, we focus on Sp 6 and Sp 9, and the Pc or H channels.

11 Week 3-6

• Relieve Pain, Regulate Ying Reunion of bone is difficult, there is some residual blood stasis, and we should focus on moving qi and blood, and regenerating new tissues.

Rx's should include: Tao Hong Si Wu Tang Xiao Huo Luo Dan Zhu Yu Tang variations Er Cha, Zi Ran Tong Bu Zhong Yi Qi Tang He Ying Zhi Tong Tang Qing Ying Tang Xi Jiao Di Huang Tang

Acupuncture wise, we should focus on tonifying the Sp and St channels and moving Qi and blood in the UB and GB channels.

Example: In addition to the treating points, we use Sp 3, 9 and St 36 and 43.

• Engender Flesh, Join Bones In this stage, we should consider removing stasis and promoting joining of the bones, tendons and muscles.

Common Rx's include: Jie Gu Dan Wai Yong Jie Gu Gao Xu Gu Huo Xue Tang

Acupuncture includes needling the Spleen, Liver, Gall bladder, Kidney and UB channels

12 Week 7-8

• Relax Muscles and Tendons, Move Qi Blood in Jing Luo In this stage, Wind, cold, dampness may attack the body and deficiency of Qi and blood may be apparent. We need to warm the channels.

Common Rx's include: Shu Jin Huo Xue Tang Juan Bi Tang San Bi Tang Da Huo Luo Wan Xiao Huo Luo Wan Du Huo Ji Sheng Wan Qiang Huo Sheng Shi Pian

Acupuncture wise, we want to move the blood and qi in the affected channels, apply moxa if needed, use TDP and moxa essence, or use external herbs to warm the body.

• Tonify Qi and Blood After long-term injury, a person is weak, body is flaccid, all limbs weakened from disuse. We need to tonify Qi and Blood.

Common Rx's include: Dang Gui Bu Xue Tang Ba Zhen Tang Shi Quan Da Bu Tang

We prescribe a set of Qi Gung exercises and may do additional Tui Na on the patient to help develop the body.

Acupuncture wise, we need to treat the Shu Stream and He Sea points, particularly on the Stomach and Spleen.

13 • Strengthen Spleen/Stomach When a patient has weakness in the limbs and muscular atrophy, indigestion, bloating and low energy, it is good to focus on the Spleen and Stomach.

Common Rx's include: Bu Zhong Yi Qi Tang Gui Pi Wan Shen Ling Bai Zhu San Jian Pi Yang Wei Wan Li Zhong Wan Fu Zi Li Zhong Wan

Acupuncture should focus on the Stomach and Spleen channels. Qi Gong is especially important and self-massage is also very important.

• Tonify Liver/Kidney The liver is in charge of the tendons and movement, and the Kidney is in charge of bone and sinew, we will need to tonify the Liver and Kidney systems.

Common Rx's include: Liu Wei Di Huang Wan Qi Ju Di Huang Wan Zuo Gui Wan Jin Gui Shen Qi Wan Cordyceps Hai Ma Gou Shen Wan Hai Ma Gou Shen Yin

Continued practice of Qi Gong can help regulate and develop the body. Special focus is on the set of motions that restore the Kidney (Shun Qi Gui Yuan).

With Acupuncture, we can treat K3, 10, Liv 3, 8, GB 34, 41, UB 40, 65.

14 Chronic Pain:

Continue strategies above, plus:

• Remove Phlegm We can use herbals such as Er Chen Tang to help remove stagnant phlegm.

With acupuncture, we must treat the Spleen and St 40 to move phlegm out.

• Remove Blood Stasis

Common Rx's include: Tao Hong Si Wu Tang Ba Zhen Tang

We should employ some blood letting with cupping at the fixed site.

• Clear Wind/Cold/Damp

Common Rx's include: Xiao Huo Luo Dan Qiang Huo Shen Shi Wan Du Huo Ji Sheng Tang

Cupping, Gua Sha, Tui Na with herbals would be to move Qi and Blood and expel wind, cold and damp. Acupuncture should be used to move the Qi and Blood in the Spleen and Stomach channels.

• Exercises to rehabilitate the body Individual exercises for a particular injury Complete Qi Gong Set Six Healing Sounds Self massage/Tui Na

15 A Quick summary of Materia Medica:

7 Flavors: Five main flavors are pungent, sweet, sour, bitter and salty tastes of herbs, representing their different effects. In addition, tasteless and astringent flavors are two extra that have similar function to two of the five tastes. Pungent (acrid) flavor has the effect of inducing diaphoresis, promoting flow of qi and blood circulation. Pungent flavor has an effect on the Lungs. Sweet flavor has the effect of tonification, relieving spasm and harmonizing the effect of other herbs. Sweet flavor has an effect on the Spleen. Sour flavor has the astringent effect of suppressing sweating, arresting bleeding, relieving diarrhea and controlling nocturnal emission. Sour flavor has an effect on the Liver. Bitter flavor has the effects of eliminating dampness, lowering rebellious qi, purging heat and relaxing the bowels. Bitter flavor is said to act on the Heart. Salty flavor has the effects of softening and resolving hard lumps to treat scrofula, subcutaneous nodule, mass in the abdomen, and other pathologically formations. It is said that "salty flavor acts on the blood" and "salty flavor acts on the kidney". Therefore, some herbs with the effects of removing heat from blood and tonifying the kidney taste salty. Salty flavor acts on the Kidney. Tasteless flavor is similar to sweet with the effect of inducing diuresis to remove dampness. Astringent flavor is similar to the sour flavor and has the effect of astringency. Temperature: Four temperatures are cold, hot, warm and cool herbs. Cold and cool temperatures are different in essence form and antagonistic against warm and hot temperatures, forming the two major properties. Cold nature is the same in essence as but, stronger than cool nature; and hot nature is the same in essence as but stronger than warm nature. In general, warm and hot herbs have the effects of warming and clearing the channels, warming the interior to disperse cold, supplementing fire to support yang, warming yang to induce diuresis, and recuperating depleted Yang to rescue patients from collapse. Cold and cool herbs have the effects of clearing heat to purge fire, removing heat from blood to eliminate toxicity, purging heat to relax the bowels, inducing diuresis to treat stranguria, and removing heat from the heart and liver. Combining Flavors and temperature: Flavors and temperatures reflect properties and the principle of applications in limited aspects. Therefore, only by combining natures with flavors, can the properties be comprehensively grasped. Temperatures and flavors are inseparably linked to each other.

16 Toxic Herbs: Toxicity is referred to as harmful effect or toxic effect of herbs on the human body. Special attention should be paid when choosing toxic herbs If used improperly, a poisonous remedy could cause severe damage to tissues and organs of the human body and even lead to death. Therefore, when using a toxic remedy, especially an extremely toxic one, in order to guarantee its safety dose, physicians should pay attention to the following points: • The dose of a poisonous herb should be strictly controlled. • Attention should be paid to use the toxic herbs correctly. • Preparation technique should be followed The therapy of attacking toxicity with poisonous remedies is often used to treat scrofula, malignant lump and tumor. Channels Entered: These refer to which of the 12 Acupuncture channels an herb affects Usage: This relates to the basic function of the herb and how they are generally used Methods of applying herbs: Decoction - the most common method for ingesting the herbals internally Pills - generally used for long term administration Powder - generally used internally and taken as a draught and is the fastest method of ingestion next to granules, or used externally when mixed in a medium (sesame oil, Vaseline, bee's wax, cold cream, mud, or other medium) to suspend herbs topically and used as a soft plaster Soft extract - generally used as a plaster externally Granules - these are generally concentrated powders infused in warm boiled water or put into 0.5 g capsules Syrup - these are generally taken orally. Tablet and injections are modern methods of administering Lotions - are dissolved herbs in solution or decocted, used topically directly, with cupping, or on a cloth medium known as a compress Tinctures - these are herbs steeped in Alcohol and used topically, or ingested in small doses Washes are rinsed over the affected areas, or an affected area is soaked in the liquid. These can also be used in a bath or sitz bath. Herbal Boluses and other mediums are also applied topically.

17 The Materia Medica of Traumatology and Orthopedics

1) Move Qi, Stop Pain Herbs

Ju Hong (Exocarpium Citri Rubrum) Bitter, Acrid, Warm Enters Lung and Stomach channels Regulates Qi, Opens middle jiao, dries dampness Moves Qi to stop pain 3-10g

Qing Pi (Pericarpium Citri Reticulatae Viride) Bitter, Acrid, Warm Enters Liver, Gallbladder, Stomach Spreads Liver Qi, Breaks Up Qi Stagnation Disperses Nodules, Resolves Stagnation for Mass formation due to qi or blood stasis Moves Qi to stop pain 3-10g

Mu Xiang (Radix Aucklandiae) Pungent and bitter in flavor, warm spleen, stomach and large intestine channels Promotes circulation of qi, alleviates pain, resolving food retention and strengthens the spleen to treat qi stagnation, gastro-intestinal distension, food retention, diarrhea, dysentery and abdominal pain 3-10g

Xiang Fu (Rhizoma Cyperi) Pungent, sweet and slightly bitter in flavor, and neutral Acts on the liver channel Being pungent, it disperses; being bitter, it purges heat, sweet for mild tonification, Xiang Fu acts on the liver channel to promote qi circulation, therefore the herb can soothe the liver and regulate the liver-qi. As blood circulation follows qi circulation, the herb can smoothly move Qi to regulate menses and stop pain. 6-12g

Zhi Shi (Fructus Aurantii Immaturus) Bitter, pungent, slightly cold Acts on the spleen, stomach and large intestine channels Being pungent, it can disperse; Being bitter it can purge heat, sinking, lowering and guides downward, this herb can relieve qi stagnation in the stomach and intestine to clear stagnated food and alleviate fullness, and caneliminate phlegm and promote qi circulation to resolve masses. It is indicated for gastrointestinal food retention, qi stagnation, and distention, obstruction of normal flow of qi by phlegm, oppressive chest, and masses in the stomach. 3-10g

Chen Xiang (Fructus Citri) Acrid, slightly bitter, sour, warm Liver, Spleen, Lung Channels Spreads Liver Qi, Regulates Qi, Harmonizes the Middle and Dissolves Phlegm 1-3g

18 Xie Bai (Bulbus Allii Macrostemi) Pungent and bitter and warm Acts on the lung, stomach and large intestine channels Activates Yang, disperses lumps and masses, promotes qi circulation and removes stagnancy. 10-15g

Chuan Lian Zi (Fructus Meliae Toosendan) Bitter in flavor, cold in nature and toxic Acts on the liver and stomach channels Soothes the liver, promotes qi circulation, purges fire, alleviates pain and expels worms. 5-10g

Tan Xiang (Lignum Santali Albi) Acrid, warm, aromatic Enters Spleen, Stomach, Lung channels Regulates Qi, Harmonizes the Middle Jiao, Disperses Cold and Relieves Pain 3-6g

19 2) Move Blood, Stop Pain Herbs:

Chuan Xiong (Rhizoma Ligustici Chuanxiong) Pungent, warm Acts on the liver, gallbladder, and pericardium meridian Promotes blood circulation and the flow of qi, dispels wind and relieves pain. 3-10g

Chi Shao (Radix Paeoniae Rubra) Bitter, slightly cold Acts on the liver channel Removes pathogenic fire from the blood, dissipates blood stasis 3-12g

Mu Dan Pi (Cortex Moutan Radicis) Pungent, bitter, cold Acts on the heart and liver channel Removes heat from the blood, promotes blood circulation and relieves blood stasis. 5-10g

Ru Xiang (Resina Olibani) Pungent, bitter, warm Acts on the heart, liver and spleen channels Promotes blood circulation, relieves pain, subsides swelling and promotes tissue regeneration. 3-10g

Mo Yao (Myrrha) Bitter in flavor and neutral in nature Acts on the heart, liver and spleen Promotes blood circulation to relieve pain, subdues swellings and promotes tissue regeneration. 3-10g

Yu Jin (Radix Curcumae) Pungent and bitter in flavor, slightly cold Acts on the heart, lung, liver and gallbladder channels Promotes circulation of blood and qi, clears heart fire, and relieves depression, facilitates bile excretion and cures jaundice. 3-10g

Jiang Huang (Rhizoma Curcumae Longae) Pungent, bitter, warm Spleen, Liver channels Activates Blood Circulation, Eliminates Blood Stasis, Opens Channels and Collaterals to Relieve Pain, Reduces Swellings 3-10g

San Leng (Rhizoma Sparganii) Bitter and neutral Acts on the liver and spleen channels Relieves blood stasis, promotes circulation of qi, and removes qi stagnation to stop pain. 3-10g

20 E Zhu (Rhizoma Zedoariae) Bitter, pungent, warm Acts on the liver and spleen channels Relieves blood and qi stasis, promotes digestion and relieves pain. 3-10g

Dan Shen (Radix Salviae Miltiorrhizae) Bitter in flavor, slightly cold in nature Acts on the heart meridian and liver channels Promotes blood circulation, relieves blood stasis, clears heat from the blood, resolves swelling, tranquilizes the mind. 3-15g

Yi Mu Cao (Herba Leonuri) Pungent and bitter in flavor, slightly cold Enters the heart, liver, and urinary bladder channels Promotes blood circulation to regulate menses, subsides edema by inducing diuresis 10-20g

Tao Ren (Semen Persicae) Bitter and sweet in flavor, neutral in nature, Acts on the heart, liver, lung, large intestine channels Promotes blood circulation by relieving blood stasis, lubricates the bowels to relieve constipation. 6-12g

Hong Hua (Flos Carthami) Pungent in flavor, warm in nature Acts on the heart and liver channels Promotes blood circulation and relieves blood stasis, regulates menstruation and relieves pain. 3-10g

Ji Xue Teng (Caulis Spatholobi) Bitter, slightly sweet, warm Liver channel Activates Blood Circulation, Tonifies the blood, relaxes the tendons, Opens the Channels and Collaterals 10-30g

Ze Lan (Herba Lycopi) Bitter, acrid, slightly warm Liver, Spleen channels Activates circulation, dispels stasis of blood, regulates water passage reduces swellings 3-10g

Yan Hu Suo (Rhizoma Corydalis) Pungent, bitter, warm Acts on the heart, liver and spleen channels Promotes blood circulation by removing blood stasis, and promotes qi circulation to stop pain. 3-10g

21 Wu Ling Zhi (Faeces Trogopterorum) Sweet, bitter, warm Acts on the liver channel Promotes blood circulation to relieve pain, stops bleeding by removing blood stasis. 5-10g

San Qi (Radix Notoginseng) Sweet, slightly bitter, slightly warm Acts on the heart, liver and spleen channels Resolves blood stasis, stops bleeding, promotes blood circulation and alleviates pain. 5-10g

Niu Xi (Radix Achyranthis Bidentatae) Bitter, sour, neutral Affects liver and kidney channels Promotes blood circulation and restores menses, conducts downward, induces diuresis, and tonifies liver and kidney. 6-15g

Su Mu (Lignum Sappan) Sweet, salty, slightly acrid, neutral Enters Heart, Liver, Spleen channels Activates blood circulation, dispels blood stasis, opens channels and relieves pain 3-10g

Chuan Shan Jia (Squama Manis) Salty, cool Liver, Stomach channels Activates blood circulation, opens channels, promotes lactation, reduces swellings and drains pus 3-10g

Shui Zhi (Hirudo) Bitter, salty in flavor and neutral Acts on the liver channel Relieves blood stasis, generally used for abdominal mass due to blood stasis, large hard mass and amenorrhea due to stagnation of blood, and pain caused by traumatic ecchymoses. 3-6g

22 3) Guide Downwards to purge, Stop Pain Herbs Da Huang (Radix et Rhizoma Rhei) Bitter, cold Acts on the spleen, stomach, large intestine, heart and liver channels Purges heat, loosens the bowels, removes heat from the blood, clears toxins, promotes blood circulation to relieve blood stasis. Use charred. 3-12g

Mang Xiao (Natrii Sulphas) Salty, bitter, cold Acts on stomach and large intestine channels Purges heat, loosens the bowels, softens hard masses, and moistens, clears away heat and eliminates edema. 10-15g

Fan Xie Ye (Folium Cassiae) Sweet and bitter in flavor, cold acts on large intestine channel Used in cases of accumulation of heat in large intestine, food stagnation, and abdominal fullness due to dry stools and constipation. Small dosage of the herb has a laxative effect and eliminates stagnation. A large dosage has effects of a drastic hydragogue. Purges heat and removes stagnation 3-10g

Ba Dou (Fructus Crotonis) Pungent, hot, Toxic Stomach, Large Intestine Purges Cold Accumulation, Eliminates Water Accumulation, Eliminates phlegm, Stops Diarrhea, Kills Parasites and Heals Ulceration Ba Dou is toxic, and is one of the most potent cathartics. It must be used with extreme caution, and only when necessary. 0.1-0.3 g

Huo Ma Ren (Fructus Cannabis) Sweet, neutral Spleen, Stomach, Large Intestine channels Lubricates the Intestines, Moistens Dryness 9-30g

Yu Li Ren (Semen Pruni) Pungent, bitter, sweet, neutral Acts on spleen, large and small intestine channels Moistens the bowels to relieve constipation and induces diuresis to eliminate edema. 3-12g

23 4) Cool Heat, Stop Pain Herbs

Shi Gao (Gypsum Fibrosum) Pungent, sweet, cold Acts on the lung and stomach channels Clears away heat and fire, relieves restlessness and thirst, and promotes the regeneration of the tissue for wound healing. 15-60g

Zhi Mu (Rhizoma Anemarrhenae) Sweet, bitter, cold Acts on the lung, stomach and kidney channels Clears heat and fire, nourishes yin and moisturizes dryness. 6-12g

ZhiZi (Fructus Gardeniae) Bitter in flavor and cold Acts on the heart, lung, liver, gallbladder and San Jiao channels Purges fire, relieves dysphoria, cools blood and detoxifies, clears heat and promotes diuresis. 3-10g

Xia Ku Cao (Spica Prunellae) Bitter, pungent, cold Acts on liver, gallbladder channel Clears liver heat, purges fire, subdues swellings and resolves hard lumps. 9-15g

Jue Ming Zi (Semen Cassiae) Sweet, bitter, salty in flavor, slightly cold Acts on liver and large intestine channels Removes intensive heat from the liver and improves vision, moisturizes intestine and moves the bowels. 6-15g

Lu Gen (Rhizoma Phragmitis) Sweet in flavor, cold Acts on the lung and stomach channels Clears heat, promotes the production of body fluid, relieves restlessness and arrests vomiting 15-30g

Lian Zi Xin (Plumula Nelumbinis) Bitter and cold Enters the Heart, Kidney, Spleen channels Clears heat, treats irritability, delirium and other heat signs associated with febrile disorders. 1.5-6g

24 Huang Qin (Radix Scutellariae) Bitter in flavor, cold Acts on the lung, large intestine, small intestine, heart, stomach and gallbladder channels Clears heat and fire, eliminates dampness, detoxicates, stops bleeding and prevents miscarriage. 3-12g

Huang Lian (Rhizoma Coptidis) Bitter, cold Acts on the heart, liver, gallbladder, spleen, stomach and large intestine channels Clears away heat, dampness, fire, and detoxicates toxins. 1.5-10g

Huang Bai (Cortex Phellodendri) Bitter, cold Acts on the kidney, bladder, large intestine channels Clears heat, dampness and fire, and detoxicates 5-10g

Long Dan Cao (Radix Gentianae) Bitter, cold Acts on the liver, gallbladder and bladder channels Clears heat and dampness, and purges fire in the liver and gallbladder. 3-10g

Xuan Shen (Radix Scrophulariae) Bitter, sweet, salty, cold Acts on the lung and kidney channels Clears away heat to cool the blood, detoxicates, dissolves lumps, nourishes yin and purges fire. 10-15g

Jin Yin Hua (Flos Lonicerae) Sweet, cold Acts on the lung, heat and stomach channels Clears away heat, detoxicates and expels wind-heat. 5-10g

Zi Hua Di Ding (Herba Violae) Bitter and pungent in flavor, cold Acts on the heart and liver channels Clears away heat, detoxicates, treats boils and dissolves lumps. 10-16g

Pu Gong Ying (Herba Taraxaci) Sweet and bitter, cold Acts on the liver and stomach channels Clears away heat, detoxicates, subdues swellings, removes dampness through diuresis for treating stranguria. 10-30g

25 Tian Hua Fen (Radix Trichosanthis) Sweet and slightly bitter in flavor, slightly cold Acts on the lung and stomach channels Clears away heat, promotes the production of body fluid, subdues swellings and drains pus. 10-15g

Shan Dou Gen (Radix Sophorae Subprostraiae) Bitter in flavor, cold Acts on the lung and stomach channels Clears away heat, detoxicates, relieves sore throat. 6-10g

26 5) Join Bone, Stop Pain Herbs

Gu Sui Bu (Rhizoma Drynariae) Bitter, warm Liver, Kidney channels Tonifies the Kidney, strengthens the Bones, promotes mending of bones and relieves pain 10-15g

Zi Ran Tong (Pyritum) Pungent, neutral Acts on the Liver channel Disperses Blood Stasis, Relieves Pain, Connects Bones and Facilitates Healing of fractured bones or traumatic injuries with swelling and pain Contraindicated in blood deficiency or when there is no blood stasis. 3-10g

Tu Bie Chong (Eupolyphaga), aka Di Bie Chong Salty, cold Acts on the Liver channel Breaks up and eliminates Blood Stasis, connects tendons, mends bones 3-10g

Xu Duan (Radix Dipsaci) Bitter, sweet, pungent, mildly warm Acts on the liver and kidney channels Tonifies liver and kidney, promotes reunion of fractured bones. 9-15g

Ban Mao (Mylabris) Pungent, cold Acts on the Large Intestine, Small Intestine, Liver, Kidney channels Attacks toxins, dispels sores, breaks up Blood Stagnation, disperses nodules and circulates Blood 9-15 g

Wu Jia Pi (Cortex Acanthopanacis Radicis) Pungent, bitter, warm Acts on the liver and kidney channels Expels wind-dampness, nourishes the muscle and bone, promotes diuresis to alleviate edema 5-10g

Gou Ji (Rhizoma Cibotii) Sweet, bitter, warm Enters Liver, Kidney channels Tonifies the Liver and Kidney, strengthens bones and sinews, dispels Wind-Dampness and Relieves Bi Zheng (Painful Obstruction Syndrome), consolidates Jing (Essence), prevents leakage 10-15g

27 Sang Ji Sheng (Ramulus Loranthis) Bitter, sweet, neutral Acts on liver and kidney channels Expels wind-dampness, invigorates the liver and kidney, strengthens the muscles and bones, and nourishes blood. 9-18g

28 6) Harmonize Ying Qi, Stop Pain

Mu Tong (Caulis Aristolochiae Manshuriensis) Bitter, cold Acts on the heart, small intestine and urinary bladder channels Induces diuresis, treats stranguria, removes fire from the heart and clears breast distension. 3-6g

Ze Lan (Herba Lycopi) Bitter, pungent, slightly warm Enters Liver, Spleen Activates blood circulation, dispels blood stasis, regulates water circulation, reduces swelling 6-10g

Hua Shi (Talcum) Sweet, tasteless, cold Acts on the stomach and urinary bladder channels Treats stranguria by removing urinary calculus, clears fever and summer heat. Also used externally for Tui Na. 10-15g

Chi Xiao Dou (Semen Phaseoli) Sweet, sour, neutral Enters Heart, Small Intestine channels Promotes diuresis and reduces swelling, clears Damp-Heat, relieves Jaundice, eliminates toxins, drains pus, can be used topically as a paste for trauma 10-30g

29 7) Extinguish Wind, Stop Pain

Ma Huang (Herba Ephedrae) Pungent and slightly bitter in flavor, warm Acts on the lung and urinary bladder channels Induces sweating to dispel exogenous pathogenic factors, facilitates the circulation of the lung-qi to relieve asthma, and induces diuresis to remove edema for swellings. 1.5-10g

Jing Jie (Herba Schizonepetae) Pungent, slightly warm Acts on the lung and liver channels Induces sweats, dispels wind cold, disperses pathogenic wind and arrests bleeding. 5-10g

Fang Feng (Radix Ledebouriellae) Pungent, sweet, slightly warm Acts on the urinary bladder, liver and spleen channels Expels pathogenic wind cold, wind heat, wind damp, dispels exogenous pathogenic factors, and relieves pain and spasm 3-10g

Qiang Huo (Rhizoma seu Radix Notopterygii) Pungent, bitter, warm Acts on urinary bladder, liver and kidney channels Induces diaphoresis, disperses cold, expels wind, removes dampness and relieves pain. Typically used for pain in the upper back, shoulder, neck area. 3-10g

Bai Zhi (Radix Angelicae Dahuricae) Pungent, warm Acts on the lung and stomach channels Disperses pathogenic wind-cold from the lung channel, and particularly good at removing pathogenic wind-dampness from the Yang Ming channel to relieve pain effectively, clears passages, arrests leukorrhea, eliminates swelling, and drains pus. 3-10g

Gao Ben (Rhizoma Ligustici) Pungent, Warm Enters the Urinary Bladder channel Releases the exterior and dispels cold, dispels Wind, Cold, and Damp and Relieves Pain for headaches and Bi syndrome 3-10g

Cang Er Zi (Fructus Xanthii) Pungent, bitter, warm Acts on the Lung channel Dispersing wind-cold, clearing nasal congestion and removing wind-dampness for arthralgia due to wind-dampness, headache with rhinorrhea of turbid discharge, headache due to pathogenic wind-cold 3-10g

30 Xin Yi Hua (Flos Magnoliae) Pungent, warm Acts on the Lung and Stomach channels Dispels Wind-Cold, Opens Nasal Orifices 3-10g

Bo He (Herba Menthae) Pungent, cool Acts on the lung and liver channels Disperses wind-heat, soothes sore throat, promotes eruption, soothes the liver and alleviates mental depression. Externally applied gives a cold sensation with the effects of anti-inflammation, and relieves pain and itching. 1.5-6g

Niu Bang Zi (Fructus Arctii) Bitter, cold Acts on the lung, stomach and large intestine channels Dispersing wind-heat, relieving sore throat, promoting eruption, clearing heat and removing toxins for constipation due to excessive toxic heat in the lung and stomach. 3-10g

Sang Ye (Folium Mori) Bitter, sweet, cold Acts on the lung and liver channels Light in quality for lifting, floating and mainly dispersing, and sweet and cold for clearing heat and moistening, this herb disperses wind-heat, clears heat from the liver and improves eyesight. 5-10g

Ju Hua (Flos Chrysanthemi) Pungent, sweet, bitter, slightly cold Acts on the lung and liver channels Disperses wind-heat, purges heat from the liver, improves eyesight, clears heat and removes toxins. 10-15g

Man Jing Zi (Fructus Viticis) Pungent, bitter, cool Liver, Stomach, Urinary Bladder channels Dispels Wind-Heat in the Liver Channel, Brightens the Eyes, Dispels Wind and Relieves Pain 5-10g

Chan Tui (Periostracum Cicadae) Sweet, cold Acts on the lung and liver channels Disperses wind-heat, promotes eruption, improves eyesight, dispels wind and relieves spasms. 3-10g

31 Tian Ma (Rhizoma Gastrodiae) Sweet and neutral Acts on liver channel Calms the liver, checks endogenous wind, clears obstruction in the channels to expel evil- wind. 3-10g

Gou Teng (Ramulus Uncariae cum Uncis) Sweet, slightly cold Acts on liver and pericardium channels Clears away heat and calms the liver, checks endogenous wind and relieves spasm. 10-15g

Jue Ming Zi (Semen Cassiae) Sweet, bitter, salty in flavor, slightly cold Acts on liver and large intestine channels Removes intensive heat from the liver and improves vision, moisturizes intestines and eases the bowels. 10-30g

Quan Xie (Scorpio) Pungent in flavor, neutral Acts on liver channel Checks endogenous wind to relieve convulsion, clears obstruction in the channels to relieve pain and clears away toxins and resolves masses. 2-5g

Wu Gong (Scolopendra) Pungent in flavor, warm Acts on liver channel Checks endogenous wind to relieve convulsion, clears obstruction in the channels to relieve pain, clears away toxins and resolves masses. 1-5g

Di Long (Lumbricus) Salty in flavor and cold Acts on liver and lung channels Clears away heat to arrest convulsion, relieves asthma and the obstruction in the channels/collaterals. 1-3g

32 8) Extinguish Dampness, Stop Pain

Wei Ling Xian (Radix Clematidis) Pungent and salty in flavor, warm Acts primarily on urinary bladder channel, then migrates to all 12 channels. Eliminates wind-dampness, clears stasis in the channels to relieve pain, softens fish bone stuck in throat. 3-10g

Hai Tong Pi (Cortex Erythrinae) Bitter, pungent, neutral Enters the Liver channel Dispels Wind and Dampness, Opens Channels and Collaterals, Kills Parasites and Relieves Itching 6-12g

Qian Nian Jian (Rhizoma Homalomenae) Bitter, acrid, warm Enters Kidney, Liver channels Dispels Wind and Dampness, Strengthens Tendons and Bones for Bi Zheng (painful obstruction syndrome), numbness and tightness of tendons 5-10g

Mu Gua (Fructus Chaenomelis) Sour in flavor, warm Acts on liver and spleen channels Relaxes muscles and tendons, activates flow of qi and blood in the channels and collaterals, and removes dampness to restore normal function of the stomach. 5-10g

Du Huo (Radix Angelicae pubescentis) Pungent and bitter in flavor, warm Acts on liver, kidney and urinary bladder channels Expels pathogenic wind, dampness, cold and relieves pain. 3-10g

Chuan Wu (Radix Aconiti Preparata) Pungent, bitter, hot, extremely toxic Enters Heart, Liver, Spleen channels Dispels Wind, Disperses Cold, and relieves pain, reduces swellings and treats abscesses and Lesions 1-2g

Cao Wu (Radix Aconiti Kusnezoffii) Pungent, bitter, hot, extremely toxic Enters Heart, Liver, Spleen channels Dispels Wind, disperses cold, relieves pain, reduces swellings and treats abscesses and lesions 1-2g

33 She Xiang (Moschus) Pungent, warm Enters the Heart, Liver, Spleen channels Opens Orifices, awakens the Shen, unblocks Bi Zheng (Closed Disorder), invigorates the Blood, opens Channels and Collaterals, dissipates clumps and reduces swelling 5-10g

Cang Zhu (Rhizoma Atractylodis) Bitter and pungent in flavor, warm Acts on the spleen and stomach channels Eliminates dampness, strengthens the spleen, dispels wind and cold, and relieves exterior syndrome. 5-10g

Hou Po (Cortex Magnoliae Officinalis) Bitter, pungent, warm, aromatic Enters Large Intestine, Lung, Spleen, Stomach channels Regulates Qi and Reduces Stagnation, Regulates Qi Circulation and Dries Dampness, Descends Qi, Dissolves Phlegm, Relieves Wheezing 3-10g

Yi Yi Ren (Semen Coicis) Sweet, bland in flavor, slightly cold Acts on spleen, stomach and lung channels Induces diuresis, excretes dampness, strengthens spleen, arrests diarrhea, and clears heat and pus. 10-30g

Fang Ji (Radix Stephaniae Tetrandrae) Bitter and pungent in flavor, cold Acts on the urinary bladder, spleen and kidney channels Expels wind-dampness, induces diuresis to alleviate edema. 5-10g

Che Qian Zi (Semen Plantaginis) Sweet in flavor, and cold Acts on the liver, kidney and lung channels Induces diuresis, treats stranguria, clears heat from the liver for improving vision, removes heat from the lung to clear phlegm. 10-15g

34 9) Warm Channels, Stop Pain

Fu Zi (Radix Aconiti Praeparata) Pungent, hot, and toxic Acts on the heart, spleen and kidney channels Supplements fire and yang, disperses cold, alleviates pain, and restores depleted yang to rescue patients from collapse. 3-15g

Gan Jiang (Rhizoma Zingiberis) Pungent, hot Acts on the spleen, stomach, heart and lung channels Warms the middle-jiao, disperses cold, restores depleted yang to rescue patients from collapse, warms the lung and removes fluid retention. 3-10g

Rou Gui (Cortex Cinnamomi) Pungent and sweet in flavor, and hot Acts on the heart, spleen, liver and kidney channels Supplements fire, supports yang, disperses cold, alleviates pain, and conducts the Ming Men fire back to its source. 1.5-4.5 g

Gao Liang Jiang (Rhizoma Galangae) Pungent, hot Acts on the spleen and stomach channels Warms the middle-jiao and alleviates pain. 3-6g

Xi Xin (Herba Asari) Pungent in flavor, warm Acts on the heart, lung and kidney channels Expels wind, disperses cold, clears passages, relieves pain, warms the lung and removes fluid retention. 1.5-3g

Wu Zhu Yu (Fructus Evodiae) Pungent, bitter, hot, slightly toxic Acts on the liver, spleen and stomach channels Soothes the liver, keeps the adverse qi flowing downward, disperses cold, alleviates pain, supports yang and arrests diarrhea. 1.5-6g

Chuan Jiao (Pericarpium Zanthoxyli) Pungent, hot Enters the Kidney, Spleen, Stomach channels Warms the Middle Jiao, Stops Pain and Relieves Diarrhea, Kills Parasites, external use to warm the body and improve circulation 3-6g

35 Hu Jiao (Fructus Piper) Pungent, hot Enters the Stomach, Large Intestine channels Warms the Middle and Relieves Pain 2-4g

Ding Xiang (Flos Caryophylli) Pungent, warm Acts on the spleen, stomach and kidney channels Warms the middle-jiao, lowers adverse rising, warms the kidney and supports yang. 1.5-4.5 g

Xiao Hui Xiang (Fructus Foenicuii) Pungent, warm Acts on the liver, kidney, spleen and stomach channels Disperses cold, alleviates pain, regulates the flow of qi and normalizes functions of the stomach. 3-10g

36 10) Soothe Tendons, Stop Pain Shen Jin Cao (Herba Lycopodii) Bitter, acrid, warm Enters the Liver channel Dispels Wind and Dampness, Relaxes the Tendons and Sinews, Opens the Channels and Collaterals for Bi Zheng (painful obstruction syndrome) 6-15g Si Gua Luo (Retinervus Luffae Fructus) Sweet, neutral Enters the Lung, Stomach, Liver channels Eliminates Toxins, dissolves Phlegm, opens Peripheral Channels and Collaterals, dispels Wind, opens Peripheral Channels and Collaterals in the Breast, dissolves Phlegm, stops Bleeding when charred 3-12g Lu Lu Tong (Fructus Liquidambaris) Bitter, neutral Enters Liver and Stomach channels Activates Qi and Blood Circulation, Opens Channels, Promotes Urination, treats allergies 3-10g Lou Shi Teng (Caulis Trachelospermi) Bitter, cool Enters Heart, Liver Dispels Wind, Opens Channels and Collaterals, Cools Blood, Reduces Swelling 6-12g

Bai Hua She (Agkistrodon acutus) Sweet and salty in flavor, warm Acts on liver channel Expels wind from the channels, arrests wind and convulsions. 3-10g

Wu Shao She (Zaocys) Sweet, salty, neutral Enters Spleen and Liver channels Dispels Wind, Opens Channels and Collaterals, Stops Convulsions 5-12g

Sang Zhi (Ramulus Mori) Bitter, neutral Liver Channel Dispels Wind, Opens Channels and Collaterals, Promotes Diuresis and Reduces Swelling 15-30g

Gui Zhi (Ramulus Cinnamomi) Pungent and sweet in flavor, warm Acts on heart, lung and urinary bladder channels Induces sweats to dispel exogenous pathogenic factors, warms the channels to clear obstruction and reinforces Yang to promote qi flow. Used for arthritis in the fingers. 3-10g

37 11) Tonify Deficiency, Stop Pain

Ren Shen (Radix Ginseng) Sweet and slightly bitter in flavor, slightly warm Acts on the heart, spleen and lung channels Invigorates qi, treats collapse, reinforces the spleen, nourishes the lung, promotes production of the body fluid, quenches thirst, tranquilizes the mind and improves intelligence. 5-10g

Dang Shen (Radix Codonopsis Pilosulae) Sweet in flavor, neutral Acts on the lung and spleen channels Reinforces the spleen, tonifies the lung, nourishes blood and promotes the production of the body fluid. 10-15g

Huang Qi (Radix Astragali) Sweet in flavor, slightly warm Acts on the spleen and lung channels Invigorates qi to elevate yang, consolidates superficies to stop sweating, induces diuresis to remove edema, and promotes healing of sores to regenerate tissue. 10-20g

Bai Zhu (Rhizoma Atractylodis Macrocephalae) Bitter and sweet in flavor, warm Acts on the spleen and stomach channels Invigorates qi, consolidates superficies, removes dampness, induces diuresis and prevents miscarriage. 5-15g

Shan Yao (Rhizoma Dioscoreae) Sweet in flavor, neutral Acts on the lung, spleen and kidney channels Invigorates qi, nourishes yin, controls spermatorrhea and reduces urination. 10-30g

Bian Dou (Semen Lablab Album) Sweet, slightly warm Enters Spleen, Stomach channels Strengthens Spleen, Clears Summer-Heat and Dampness, Eliminates Toxins 10-20 g

Lu Rong (Cornu Cervi Pantotrichum) Sweet and salty in flavor, warm Acts on the liver and kidney channels Reinforces kidney-yang, supplements essence and blood, strengthens muscles and bones. 1-3g

38 Ba Ji Tian (Radix Morindae Officinalis) Pungent, sweet, slightly warm Enters the Kidney channel Tonifies the Kidney, assists the Yang, strengthens Sinews and Bones, treats Bi Zheng (Painful Obstruction Syndrome) 10-16g

Xian Mao (Rhizoma Curculiginis) Pungent, highly warm, mildly toxic Acts on the liver, kidney and spleen channels Tonifies kidney-yang, strengthens muscles and bones, dispels pathogenic wind and eliminates dampness. 3-10g

Rou Cong Rong (Herba Cistanchis) Sweet and salty in flavor, warm Acts on the kidney and large intestine channels Tonifies yang, supplements essence, moistens and relaxes bowels. 10-20g

Bu Gu Zhi (Fructus Psoraleae) Sweet in flavor, warm Acts on the kidney and spleen channels Tonifies kidney, strengthens yang, warms the spleen, and arrests diarrhea, helps inspiration of air and relieves asthma. 5-10g

Tu Si Zi (Semen Cuscutae) Pungent, sweet, neutral Enters the Liver, Kidney channels Tonifies Kidney Yin and Yang, Consolidates Kidney Jing, Reserves the Urine, brightens eyes, stops diarrhea, treats Xiao Ke 10-16g

Ge Jie (Gecko) Salty in flavor, neutral Acts on the lung and kidney channels Tonifies kidney, supplements vital essence, helps inhalation of breath and relieves asthma. 1 -2 pieces (usually a pair - 1 male, 1 female)

Shu Di Huang (Radix Rehmanniae Praeparata) Sweet in flavor, slightly warm Enters the heart, liver and kidney channels Replenishes blood and tonifies yin. 10-30g

Dang Gui (Radix Angelicae Sinensis) Pungent and sweet in flavor, warm Acts on the heart, liver and spleen channels Tonifies blood, promotes blood circulation, regulates menses, alleviates pain, and lubricates the bowels to relieve constipation. 5-15g

39 Bai Shao (Radix Paeoniae Alba) Sweet, sour and bitter in flavor, slightly cold Acts on the liver and spleen channels Replenishes blood, regulates menses, suppresses hyperactivity of liver-yang and astringes yin to arrest sweating. 5-10g

E Jiao (Colla Corii Asini) Sweet in flavor, neutral in nature Acts on the lung, liver and kidney channels Replenishes blood, stops bleeding, nourishes yin and moistens the lung. 5-10g

Long Yan Rou (Arillus Longan) Sweet in flavor, warm in nature Acts on the heart and spleen channels Tonifies heart and spleen, nourishes blood and calms the mind. 10-15g

He Shou Wu (Radix Polygoni Multiflori) Sweet, astringent and bitter in flavor, slightly warm Enters the liver and kidney channels Replenishes liver and kidney, enriches vital essence and blood, lubricates bowel and clears away toxins. 10-20g

Sha Shen (Radix Adenophorae Striciae) Sweet and slightly bitter in flavor, slightly cold, Acts on the lung and stomach channels Nourishes yin to clear heat from the lung, and tonifies the stomach to promote the production of the body fluid. 10-15g

Yu Zhu (Rhizoma Polygonati Odorati) Sweet in flavor, neutral in nature Acts on the lung and stomach channels Nourishes yin to moisten the lung and promotes the generation of the body fluid to quench thirst. 10-15g

Huang Jing (Rhizoma Polygonati) Sweet in flavor, neutral Acts on the lung, spleen and kidney Nourishes yin, moistens lungs, tonifies the spleen and invigorates qi. 10-20g

Mai Men Dong (Radix Ophiopogonis) Sweet and slightly bitter in flavor, slightly cold Acts on the heart, stomach and lung channels Nourishes yin, moistens the lung, tonifies the stomach, promotes the production of the body fluid, dispels heat from the heart and relieves vexation. 3-9g

40 Gou Qi Zi (Fructus Lycii) Sweet in flavor, neutral Acts on the liver and kidney channels Reinforces the kidney to benefit essence, tonifies the liver to improve vision. 5-10g

Gui Ban (Plastrum Testudinis) Salty, sweet, cold Enters Liver, Kidney, Heart channels Nourishes Yin and Anchors Yang, tonifies the Kidney and strengthens bones, nourishes Blood and tonifies Heart, stops bleeding, promotes healing of sores 10-30g

Bie Jia (Carapax Trionycis) salty, cold Enters Liver Channel Nourishes Yin, anchors Yang, softens Hardness and Dissipates Nodules 10-30g

41 Summary of Materia Medica of Traumatology and Orthopedics

1) Move Qi, Stop Pain Herbs Ju Hong 3-10 g Qing Pi 3-10g Mu Xiang 3-10g Xiang Fu 6-12g Zhi Shi 3-10g Chen Xiang 1-3g Xie Bai 10-15 g Chuan Lian Zi 5-10 g Tan Xiang 3-6 g

2) Move Blood, Stop Pain Herbs: Chuan Xiong 3-10g Chi Shao 3-12g Mu Dan Pi 5-10 g Ru Xiang 3-10g Mo Yao 3-10g Yu Jin 3-10 g Jiang Huang 3-10 g San Leng 3-10g E Zhu 3-10g Dan Shen 3-15g Yi Mu Cao 10-20g Tao Ren 6-12g Hong Hua 3-10g Ji Xue Teng 10-30g Ze Lan 3-10g Yan Hu Suo 3-10g Wu Ling Zhi 5-10g San Qi 5-10g Niu Xi 6-15g Su Mu 3-10g Chuan Shan Jia 3-10 g

3) Guide Downwards to purge, Stop Pain Herbs Da Huang 3-12 g Mang Xiao 10-15g Fan Xie Ye 3-10g Ba Dou 0.1-0.3g Huo Ma Ren 9-30 g Yu Li Ren 3-12 g

42 4) CooI Heat, Stop Pain Herbs Shi Gao 15-60g Zhi Mu 6-12g Zhi Zi 3-10g Xia Ku Cao 9-15g Jue Ming Zi 6-15g LuGen 15-30g Lian Zi Xin 1.5-6g Huang Qin 3-12g Huang Lian 1.5-10g Huang Bai 5-10g Long Dan Cao 3-10g Xuan Shen 10-15g Jin Yin Hua 5-10g Zi Hua Di Ding 10-16g Pu Gong Ying 10-30g Tian Hua Fen 10 -15 g Shan Dou Gen 6-10g

5) Join Bone, Stop Pain Herbs Gu Sui Bu 10-15g Zi Ran Tong 3-10g Tu Bie Chong 3-10g Xu Duan 9-15g Ban Mao 9-15 g WuJiaPi 5-10g Gou Ji 10-15g Sang Ji Sheng 9-18 g

6) Harmonize Ying Qi, Stop Pain Mu Tong 3-6 g Ze Lan 6-10 g Hua Shi 10-15g Chi Xiao Dou 10-30g

43 7) Extinguish Wind, Stop Pain Ma Huang 3-10 g Jing Jie 5-10g Fang Feng 3-10 g Qiang Huo 3-10g Bai Zhi 3-10g Gao Ben 3-10 g Cang Er Zi 3-10g Xin Yi Hua 3-10g Bo He 1.5-6 g Niu Bang Zi 3-10g Sang Ye 5-10 g Ju Hua 10-15g Man Jing Zi 5-10 g Chan Tui 3-10g Tian Ma 3-10g Gou Teng 10-15 g Jue Ming Zi 10-30g Chuan Xie 2-5 g Wu Gong 1-5 g Di Long 1-3 g

8) Extinguish Dampness, Stop Pain Wei Ling Xian 3-10 g Hai Tong Pi 6-12 g Qian Nian Jian 5-10 g Mu Gua 5-10g Du Huo 3-10g Chuan Wu 1-2 g Cao Wu 1-2 g She Xiang 5-10g Cang Zhu 5-10g Hou Po 3-10g Yi Yi Ren10-30g Fang Ji 5-10g Che Qian Zi 10-15g

9) Warm Channels, Stop Pain Fu Zi 3-15g Gan Jiang 3-10g Rou Gui 1.5-4.5 g Gao Liang Jiang 3-6 g Xi Xin1.5-3g Wu Zhu Yu 1.5-6 g Chuan Jiao 3-6 g Hu Jiao 2-4 g Ding Xiang 1.5-4.5 g Xiao Hui Xiang 3-10 g

44 10) Soothe Tendons, Stop Pain Shen Jin Cao 6-15 g Si Gua Luo 3-12g Lu Lu Tong 3-10 g Lou Shi Teng 6-12g Bai Hua She 3-10g Wu Shao She 5-12g Sang Zhi 15-30 g

11) Tonify Deficiency, Stop Pain Ren Shen 5-10g Dang Shen 10-15g Huang Qi 10-20g Bai Zhu 5-15 g Shan Yao 10-30g Bian Dou 10-20g Lu Rong 1 - 3 g Ba Ji Tian 10-16g Xian Mao 3-10g Rou Cong Rong 10-20 g Bu Gu Zhi 5-10g Tu Si Zi 10-16g Ge Jie 1 -2 pieces Shu Di Huang 10-30g Dang Gui 5-15g Bai Shao 5-10g E Jiao 5-10g Long Yan Rou 10-15 g He Shou Wu10-20g Sha Shen 10-15g Yu Zhu 10-15g Huang Jing 10-20g Mai Men Dong 3 - 9 g Gou Qi Zi 5-10g Gui Ban 10-30g Bie Jia 10-30 g

45 Guiding Herbs:

Lung Hand Tai Yin: Jie Geng, Sheng Ma, Cong Bai, Bai Zhi

Large Intestine Hand Yang Ming: Da Huang, Bai Zhi, Sheng Ma, Shi Gao

Stomach Foot Yang Ming: Bai Zhi, Sheng Ma, Shi Gao, Ge Gen

Spleen Foot Tai Yin: Bai Zhu, Ge Gen, Cang Zhu, Sheng Ma, Bai Shao

Heart Hand Shao Yin: Huang Lian, Xi Xin

Small Intestine Hand Tai Yang: Mu Tong, Deng Xin Cao, Gao Ben, Huang Bai Urinary

Bladder Foot Tai Yang: Ge Gen, Qiang Huo

Kidney Foot Shao Yin: Du Huo, Rou Gui, Zhi Mu, Xi Xin

Pericardium Hand Jue Yin: Chai Hu, Mu Dan Pi

San Jiao Hand Shao Yang: Upper Burner: Zhi Zi, Gui Zhi, Di Gu Pi Middle Burner: Qing Pi Lower Burner: Fu Zi Gallbladder Foot Shao Yang: Chai Hu, Qing Pi

Liver Foot Jue Yin: Wu Zhu Yu, Chai Hu, Chuan Xiong, Qing Pi

Source: Sionneau, Philippe. Dui Yao: The Art of Combining Chinese Medicinals, Blue Poppy Press, Boulder, CO. pg.10

46 Illegal Herbs

These herbs are either illegal or considered toxic in the United States and are replaced by other medicinal herbs with similar properties in preparations. They are used in many classic formulas; however, some are from endangered species, or ignorance or politics behind them prohibit their use. Herbs indicated on this page should be substituted with equivalents or omitted.

Herb Latin Use: Chuan Wu Aconiti Carmichaeli, Radix Cao Wu Cong Bai Allii Fistulosi, Bulbus Onion Feng Mi Mel Honey Fu Zi Aconiti Carmichaeli Preparata, Radix Lateralis Wu Tou Gan Sui Euphorbiae Kansui, Radix Lu Hui Ge Jie Gecko Hai Ma HuGu Tigris, Os Omit Hu Lu Ba Trigonellae Foeni-graeci, Semen Omit HuPo Succinum Omit Huo Ma Ren Cannabis Sativae, Semen Yu Li Ren Jiang Can Bombyx Batryticatus Omit Liu Huang Sulphur Hua Shi Lu Jiao Cervi, Cornu Niu Jiao Qian Niu Zi Pharbitidis, Semen Omit Quan Xie Buthus Martensi Di Long She Xiang Moschus, Secretio Zhang Nao Shi Chang Pu Acori Graminei, Rhizoma Omit Shi Jun Zi Quisqualis Indicae, Fructus Omit Su He Xiang Liquidis, Styrax Bing Plan Tan Xiang SantaliAlbi, Lignum Dan Shen Wu Gong Scolopendra Subspinipes Shui Zhi Wu Ling Zhi Trogopteri seu Pteromi, Excrementum Omit Xi Jiao Rhinoceri, Cornu Niu Jiao Xiong Dan Ursi, Vesica Fellea Omit Zhu Sha Cinnabaris Omit Zi He Che Hominis, Placenta Chuan Shan Jia

47 Making Custom Rx's:

Step 1 - Check the signs and symptoms and site of injury based on detailed history Step 2 - Determine which channels are affected, choose guiding herbs Step 3 - Flavors and Temperature of herbs is determined: i.e. Avoid hot herbs if you see inflammation Step 4 - Create own formula by using:

• Detailed Materia medica • Use existing Rx that fits situation • Modify (Add/subtract) herbs from existing Rx • Combine 2 or more Rx's and take away all common herbs • Modify Rx by using a greater dosage of Guiding herbs • Modify Rx by varying dosage of different Rx's • Combine 2 or more patent Rx's Step 5 - Choose proper dosage and duration of taking Rx by stage of disorder: Avoid giving Di Shang Gu Jin Wan at late stage of disease, avoid giving chronic Rx like Jin Gui Shen Qi Wan at early stage of disease

48 Some examples:

1) A patient comes to you with chronic back pain, his Doctor states that this is Spinal Stenosis. He has a 5mm disc bulge at L5 - S1. What Rx will you create for him?

2) Your patient has just woken up with neck pain from sleeping on a new pillow. What Rx will you create for her?

3) A patient of yours is sorely overweight and is diabetic. Over the last few weeks, he has had swelling on the legs and developed lesions that do not heal. Yesterday, he just sprained his ankle, and has bruising, swelling and pus extruding from the sores. What Rx will you create for him?

Analyze these Rx's:

What dosage of the herbs should you provide? Mu Xiang Xiao Hui Xiang Chuan Shan Jia Qing Pi Chen Pi Bai Zhu Gan Cao Lu Lu Tong Chuan Bei Mu

What does this Rx do? Dang Gui, Chuan Xiong, Xue Jie, Mo Yao, Ma Huang 30g Zi Ran Tong, Ru Xiang 60 g

49 Base and Secret/Famous Prescriptions for Traumatology and Orthopedics

1) Regulate Qi, Stop Pain Rx's:

Fu Yuan Jong Qi San Mu Xiang Xiao Hui Xiang C huan Shan Jia Qing Pi Chen Pi Bai Zhu Gan Cao Lu Lu Tong Chuan Bei Mu Use for Trauma and swelling

Chai Hu Shu Gan San Chen Pi, Chai Hu 6 g Chuan Xiong, Xiang Fu, Zhi Ke, Bai Shao 4.5 g Zhi Gan Cao 1.5 g Soothes Liver, Moves Qi, Harmonizes blood, stops Pain Coastal Margin Pain, Rib Pain

Shun Qi Huo Xue Tang Su Geng, Huo Po, Zhi Ke, Xiang Fu, Chi Shao 3 g Sha Ren, Hong Hua 1.5 g Dang Gui Wei, Su Mu 6 g Tao Ren 9 g Moves Qi and Blood, stops Pain

2) Move Blood, Stop Pain Rx:

Tao Hong Si Wu Tang Dang Gui, Chuan Xiong, Bai Shao, Tao Ren 6 g Sheng Di 9 g Hong Hua 3 g Moves and Tonifies Blood, Regulates menses, stops Pain

Die Da Wan Dang Gui, Tu Bie Chong, Chuan Xiong, Xue Jie, Mo Yao, Ma Huang 30g Zi Ran Tong, Ru Xiang 60 g Make into bolus with honey 3 grams each, one bolus BID Or make into capsules, 6 capsules TID Moves blood, eliminates blood stasis, knits bones, repairs muscles/tendons

50 Xiao Zhong Zhi Tong Tang (Dispel Swelling, Stop Pain Decoction) Hong Hua, Tao Ren, Su Mu, Chi Shao, Zi Ran Tong, 9 g Yan Hu Suo, Chuan Xiong 12 g Ru Xiang, Mo Yao 6 g Decoct and take TID, stops swelling, moves blood, stops pain

Xue Fu Zhu Yu Tang Tao Ren 12 g Hong Hua, Dang Gui, Sheng Di, Niu Xi 9 g Chi Sao, Zhi Ke 6 g Jie Geng 4.5 g Gan Cao 3 g Moves Blood and Qi, stops pain Generally used for Chest Pain/trauma

Shi San Wei Tang San Leng 15 g Chi Shao, Gu Sui Bu 4.5 g Dang Gui, E Zhu, Yan Hu Suo, Mu Xiang, Wu Yao, Qing Pi, Tao Ren, Su Mu 3 g Moves Blood stagnation, regulates Qi, Stops Pain

Tong Qiao Huo Xue Tang Chi Shao, Chuan Xiong, Lao Cong 3 g Tao Ren, Hong Hua 9 g Hong Zao, Sheng Jiang 5g She Xiang 0.15 g Huang Jiu 250 g Moves Blood, Stops pain for head/Face Trauma

Ge Xia Zhu Yu Tang Wu Ling Zhi, Dang Gui, Tao Ren, Hong Hua 9 g Chuan Xiong, Chi Shao, Wu Yao 6 g Yan Hu Suo 3 g Xiang Fu, Zhi Ke 4.5 g Gan Cao 9 g Moves Blood, dispels stasis, moves qi, stops Pain For Lower Abdominal bloating below diaphragm

Shao Fu Zhu Yu Tang Xiao Hui Xiang 1.5 g Gan Jiang, Yan Hu Suo, Chuan Xiong, Rou Gui 3 g Mo Yao, Chi Shao, Wu Ling Zhi 6 g Dang Gui, Pu Huang 9 g Moves Blood, dispels stasis, warms menses, stops pain in Lower Abdomen

51 Shen Jong Zhu Yu Tang Qian Jiao, Xiang Fu, Qiang Huo 3 g Chuan Xiong, Gan Cao, Mo Yao, Di Long, Wu Ling Zhi, 6 g Tao Ren, Hong Hua, Niu Xi, Dang Gui 9 g Moves Qi and blood, dispels stasis, open collaterals, dispels Bi, stops pain. For whole body pain, especially good for chronic fatigue syndrome/fibromyalgia

Huo Xue Zhi Tong Tang Dang Gui, Su Mu 6 g Ru Xiang, Mo Yao, Chi Shao, Chen Pi, San Qi 3 g Chuan Xiong 2 g Hong Hua 1.5 g Tu Bie Chong 9 g Moves Blood, dispels stasis, opens menses, stops pain

3) Purging to stop pain Rx's:

Tiao Wei Cheng Qi Tang: Tao Ren, Da Huang 12 g Mang Xiao, Zhi Gan Cao, Gui Zhi 6 g Dispels stasis through purgation (mild)

Da Cheng Tang Dang Gui, Mu Tong, Zhi Ke 10 g Huo Po, Su Mu, Da Huang, Mang Xiao, Hong Hua, Chen Pi, Gan Cao 6g Dispels stasis through purgation (strong)

Fu Yuan Huo Xue Tang ChaiHu 15 g Gua Lou Gen, Dang Gui, Tao Ren 9 g Hong Hua, Gan Cao, Chuan Shan Jia 6 g Da Huang 30 g Moves blood, purges, soothes liver, clears collaterals

4) Clear Heat to Stop Pain Rx's:

Bai Hu Tang Shi Gao 30 g Zhi Mu, Geng Mi 9 g Zhi Gan Cao 9 g

52 Qing Ying Tang Xi Jiao (replace with Shui Niu Jiao) 10 g Sheng Di Huang 15 g Yuan Shen, Mai Men Dong, Jin Yin Hua 9 g Zhu Ye 3 g Dan Shen, Lian Qiao 6 g Huang Lian 5 g

Xi Jiao Di Huang Tang Shui Niu Jiao 10 g Sheng Di Huang 30 g ChiShao 12 g Mu Dan Pi 9 g

Huang Lian Jie Du Tang Huang Lian, Zhi Zi 9 g Huang Qin, Huang Bai 6 g Decoct and take TID. For detoxifying and clearing damp heat and stagnant blood.

Xian Fang Huo Ming Yin Bai Zhi, Bei Mu, Fang Feng, Chi Shao, Dang Gui Wei, Gan Cao, Zao Jia Ci, Chuan Shan Jia, Tian Hua Fen, Ru Xiang, Mo Yao 3 g Jin Yin Hua, Chen Pi 9 g Clears Heat, eliminates toxins, shrinks swellings, moves blood, stops pain

Dao Chi San Sheng Di Huang, Mu Tong, Gan Cao, Zhu Ye 9 g

Xiao Chai Hu Tang Chai Hu 12 g Huang Qin, Sheng Jiang, Ban Xia 9 g Ren Shen 6 g Zhi Gan Cao 5 g Da Zao 4 pieces

Long Dan Xie Gan Tang Long Dan Cao, Chai Hu, Gan Cao 6 g Sheng Di Huang, Huang Qin, Zhi Zi, Mu Tong, Che Qian Zi 9 g Ze Lan 12 g

Ru Yi Jin Huang San Tian Hua Fen 50 g Huang Bai, Da Huang, Jiang Huang, Bai Zhi 25 g Huo Po, Chen Pi, Cang Zhu, Gan Cao, Tian Nan Xing, 10 g Use as a paste externally with Vaseline or Cold Cream, bee's wax or other medium. Clears Heat, Removes toxins, Reduces swellings, stops pain

53 5) Mend Bones, Stop Pain Rx's:

Jie Gu Dan Dang Gui Wei 120g Ru Xiang, Mo Yao, Zi Ran Tong, Gu Sui Bu, Tao Ren, Da Huang, Xiong Huang, Bai Ji 30g Xue Jie, Tu Bie Chong, San Qi, Chi Shao, Hong Hua, Er Cha 15 g Bing Pian, Zhu Sha 6 g She Xiang 1.5 g All herbs are ground and made into capsules, take 6-8 capsules TID. Removes blood stasis, repairs fracture and tissues.

Xu Gu Huo Xue Tang Hong Hua, Tu Bie Chong, Ru Xiang, Mo Yao 6 g Bai Shao, Chi Shao, Zi Ran Tong 10 g Xu Duan, Gu Sui Bu, Dang Gui Wei 12 g Sheng Di Huang 15 g Decoct and take internally per oral TID. Joins Bone, Stops Bleeding, moves blood

6) Tonify Qi and Blood, strengthen bones and tendons Rx's:

Gu Lao Di Gu Sui Bu, San Qi, Ru Xiang, Mo Yao, Huang Qi 10 g Decoct and take orally TID.

Du Shen Tang (Single Root Decoction) Ginseng - high quality 20 g Decoct slowly, then ingest root. For replenishing Qi, moving blood, rescuing from collapse; For deficient syndrome and exhaustion of qi, blood and yang as a result of hemorrhage.

7) Move Blood, Relax Tendon Rx's:

Huo Xue Shu Jin Tang Dang Gui, Dan Shen 15 g Ji XueTeng 18 g Hong Hua, Qing Pi, Wei Ling Xian, Jiang Huang, Qiang Huo, Niu Xi 9g SangZhi 12 g Decoct and take orally TID. Tonifies Blood, relaxes muscles and tendons, removes obstruction of the Jing Luo

54 8) Medicated Wines:

Huo Xue Jiu (Move Blood Wine) Ru Xiang, Mo Yao, Xue Jie, Qiang Huo, Xiang Fu, Chuan Shan Jia, Zi Ran Tong, Du Huo, Xu Duan, Chuan Xiong, Mu Gua 15 g Bei Mu, Huo Po, Xiao Hui Xiang, Rou Gui 9 g Mu Xiang 6 g Chuan Wu, Cao Wu 3 g Bai Zhi, Jing Jie, Dang Gui 24 g She Xiang 1.5 g Soak all herbs in vodka or gin for 7-10 days. After that time, you may use wine for external application or use internally. Moves blood, stops pain

Shu Jin Zhi Tong Shui (Relax Tendons, Stop Pain Liniment) San Qi Fen, San Leng, 18 g Hong Hua, Zhang Nao 30 g Cao Wu, Chuan Wu, Wu Jia Pi, Mu Gua, Niu Xi, Dang Gui Wei 10g Soak herbs in gin or vodka for 1 month, then apply liniment externally on affected area TID. Relaxes muscles and tendons, moves blood, stops pain.

9) External Washes/Lotions/Soaks/Compresses:

Huo Xue Zhi Tong San Dang Gui Wei, Hong Hua, Su Mu, Bai Zhi, Jiang Huang, Wei Ling Xian, Qiang Huo, Wu Jia Pi, Hai Tong Pi, Niu Xi, Chuan Lian Zi, Tu Fu Ling 15 g Ru Xiang 6 g Hua Jiao 9 g Gu Sui Bu 30 g Decoct herbs and then use as a lotion or compress on affected area

Jie Du Xi Yao Pu Gong Ying 30 g Ku Shen, Huang Bai, Lian Qiao 12 g Jin Yin Hua, Bai Zhi, Chi Shao, Mu Dan Pi, Gan Cao 9 g Decoct herbs and rinse over affected area, use as a lotion or compress to clear pathogenic heat and toxins, moves blood, reduces swelling, promotes absorption of necrotic tissues, expels pus

Xi Yao Fang Chuan Wu, Cao Wu, Hua Jiao, Ai Ye, Cang Zhu, Du Huo, Gui Zhi, Fang Feng, Hong Hua, Gu Sui Bu, Shen Jin Cao 9 g Decoct herbs, then apply cooled decoction over affected area as a lotion, or compress. Warms Jing Luo, clears cold, relaxes muscles and tendons, dredges channels, moves blood, stops pain.

55 10) Special Rx's:

Kan Li Sha (Water Fire Sand) Ma Huang, Dang Gui Wei, Fu Zi, Gu Sui Bu, Hong Hua, Gan Jiang, Gui Zhi, Niu Xi, Bai Zhi, Jing Jie, Fang Feng, Mu Gua, Ai Ye, Qiang Huo, Du Huo 10 g Decoct herbs in 50/50 water/vinegar, add iron filings to concentrated decoction, then put into cloth bags. When ready to use, add small amount of vinegar to bags and apply at affected areas.

Shang You Gao (Trauma Oil Paste) Xue Jie 60 g Hong Hua, Ru Xiang, Mo Yao, Er Cha 6 g Huo Po 3 g Bing Pian 6 g All herbs are ground together, then resolve powder into 1500 ml of heated sesame oil, then sealed in an airtight container. Use as an ointment externally. Moves blood and stops pain.

Shuang Bai San (Double Bai Powder) Ce Bai Ye, Da Huang 2 portions Huang Bai, Bo He, Ze Lan 1 portion Grind herbs to a powder, then when ready to use, make a paste with water and honey to apply externally to the affected area. Clears heat and toxins, moves blood.

Si Chong Wan (Four Insect Pills) Quan Xie, Wu Gong, Tu Bie Chong, Di Long equal parts Grind materials into powder, then put into capsules. Take 3 g BID. Moves Qi and Blood in Channels and collaterals, eliminates blood stasis, stops pain for chronic pain. Must add guiding herbs.

Si Huang San (Four Yellow Powder) Huang Lian 1 portion Huang Bai, Da Huang, Huang Qin 3 portions Grind herbs into powder, then mix into Vaseline. Apply to affected area as a wrap. Clears toxic damp heat, reduces swellings, alleviates pain.

Tou Nong San (Expels Pus Powder) Huang Qi, Dang Gui 15 g Chuan Shan Jia, Zao Jia Ci, Chuan Xiong 9 g Grind all herbs, divide into 3 equal portions, then take as a draught with warm water. Tonifies Qi, expels toxins, drains pus.

Wai Yong Jie Gu Gao (External Use Join Bones Paste) Zi Ran Tong, Ru Xiang, Mo Yao 30 g Ren Zhong Bai 45 g Xue Jie 6 g Wu Bei Zi 90 g Grind herbs and mix with urine, and a small amount of vinegar to make a paste, then spread on gauze and apply to affected area. Joins bones, repairs sinews and ligaments.

56 Xiao Zhong Zhi Tong Gao (Stop swelling and pain paste) Jiang Huang, Qiang Huo, Gan Jiang, Zhi Zi, Mo Yao, Ru Xiang 1 portion Grind all herbs into a powder, then mix with Vaseline to form a paste, apply on affected area. Removes blood stasis, subdues swelling, alleviates pain.

Zheng Gu Tang Yao (Correct Bone Decoction Herbals) Dang Gui, Qiang Huo, Hong Hua, Bai Zhi, Ru Xiang, Mo Yao, Gu Sui Bu, Fang Feng, Mu Gua, Chuan Jiao, Bu Gu Zhi, Xu Duan 12g Place all herbals in cloth bags, then steam. Apply on affected area. Moves blood, relaxes muscles and tendons.

Hong Hua Jiu (Safflower Tincture) Dang Gui, Chi Shao 12 g Hong Hua 15 g Zi Cao 9 g Soak herbs in alcohol for 4- 5 days, use tincture for bed sores for the bedridden.

Xi Yao Fang Yi (Herbal Bath Remedy I) Mu Gua 9 g Qin Jiao, Fang Feng, Fang Ji, Shen Jing Cao, Bai Zhi 6 g Use powders and dissolve in bath for Wind - damp hand and foot Bi.

Xi Yao Fang Er (Herbal Bath Remedy II) Mu Gua, Du Zhong, Niu Xi, Qin Jiao, Han Fang Ji, Bai Zhu 9g Gou Teng 6g Sang Zhi 12g Use powders and 100 g of grain alcohol added to bath for Wind Cold Damp in lumbar and leg region.

Huo Luo Tie Yao Gao (Herbal Plaster for Activating Channels) Ru Xiang 3 g Mo Yao, Wei Ling Xian, Jiang Huang, Du Huo, Xiang Fu 1.5 g Er Cha 9 g Powder herbs then mix with liquid to make a paste, then spread on cloth and heated, to be placed on affected area. Moves blood, eliminates dampness.

Mu Yu Xi Fang (Herbal Bath Remedy) Mu Gua 30 g Fang Feng, Chi Shao, Huang Bai 9 g Mu Dan Pi, Chuan Jiao 6 g Di Fu Zi, Lian Qiao 12 g Use powdered herbs and add to bath. This Rx cools blood, and eliminates Wind and dampness for 4 limbs painful joints.

57 Shaolin Gu Shang Zhu Fang (Shaolin Orthopedic Ruling Rx) Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g

Modifications: Head: Tian Ma, Gou Teng, Qiang Huo 10 g Neck: Du Huo 15 g, Wei Ling Xian 20 g Chest: Huang Qin 10 g, Zhi Ke 10 g Throat: Gu Ya 15 g, Mai Ya 15 g, Xue Jie 10 g Rib Cage: Chai Hu 10 g, Long Dan Cao 10 g Upper Back: Wei Ling Xian 10 g, Chuan Wu 15 g Shoulder: Gui Zhi 10 g, Gu Sui Bu 10 g Humerus: Wu Jia Pi 10 g, Qiang Huo 10 g Forearm: Gui Zhi 15 g, Wu Jia Pi 10g Wrist: Sang Zhi 10 g, Du Huo 15 g Lumbar: Du Zhong 15 g, Wu Ling Zhi 15 g Sciatic: Xu Duan 10 g, Bu Gu Zhi 20 g Hip: Du Huo 10 g, Xue Jie 10 g, Chuan Wu 10 g Thigh: Chuan Wu 10 g, Cao Wu 10 g Knee: Niu Xi 10 g Tibia: Xue Jie 5 g, Mu Gua 15 g Fibula: Qiang Huo 10 g, Du Huo, 10 g, Niu Xi 10 g, Ze Lan 10 g Ankles/Toes: Niu Xi 10 g, Mu Gua 10 g, Ze Lan 10 g Decoct all ingredients, then take QID.

Shaolin Duo Ming San (Seizing Life Powder from Shaolin) Cao Wu, Ru Xiang, Mo Yao, Xue Jie, Zi Ran Tong equal parts Save as a powder, then take 6g with wine. Indicated in emergencies of traumatic injury.

Fu Mai Tang (Recover Pulse Decoction) Ren Shen 30 g Huang Qi, Bai Zhu 9 g Fu Zi 3g Decoct as a tea, then take TID. Tonifies Qi, restores Yang, restores the pulse.

Yang Jia Chang Shang San (Yang Family Spear Injury Powder) Ru Xiang, Mo Yao, Zhu Sha, Ma Deng Cao, Bai Ji, Tao Ren, Chi Shao 30 g She Xiang 1.5 g Er Cha 60 g Xue Jie 24g Gan Cao 15 Grind all ingredients into a powder, take 1.5 g of powder each dose with wine. May also be used externally. Disperses swelling, stops pain, stops bleeding, itching and expels toxins. Can be used for knife wounds.

Die Da Wai Shang Tang (Fall Strike External Injury Decoction) Hong Hua 6g Chi Shao, Dang Gui 15 g Tao Ren, Mu Xiang, Gan Cao 3 g Zi Ran Tong 1 g Decoct, drink TID. Chase with wine.

58 Pi Shang San (Skin Injury Powder) San Qi Fen 9 g Xue Yu Tan, Tian Hua Fen 1.5 g She Xiang 0.3 g BaiZhi 15 g All ingredients are powdered and used externally for local bleeding.

Qi Li San (7 Taels Powder) Xue Jie 30 g She Xiang, Bing Pian 0.4 g Ru Xiang, Mo Yao, Hong Hua, 4.5 g Zhu Sha 3.6 g Er Cha 7.2 g Powder all ingredients, and use 0.25 - 1.25 g each dose internally with wine. Can also be applied externally. Removes blood stasis, stops pain and bleeding.

Zhu Si Huai Bu Shang Fang (Chu's Ankle Area Trauma Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu, Xu Duan 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Du Huo, Ze Lan 10 g Sang Zhi 12 g All herbs are powdered extract, encapsulate, 6 TID

Zhu Si Zhou Shang Fang (Chu's Elbow Trauma Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu, Xu Duan 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Ze Lan 10 g Sang Zhi 10 g, Wu Jia Pi 10 g, Qiang Huo 10 g, Du Huo 15 g All herbs are powdered extract, encapsulate, 6 TID

Zhu Si Xi Shang Fang (Chu's Knee Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Du Huo, Ze Lan 10 g Sang Zhi 12 g All herbs are powdered extract, encapsulate, 6 TID

59 Making Dit Da Jow:

Ru Xiang (Gummi Olibanum) 12 g Mo Yao (Myrrh) 12 g Chi Shao (Radix Paeoniae Rubra) 12 g Mu Xiang (Radix Saussureae seu Vladimiriae) 12 g Hong Hua (Flos Carthami Tinctorii) 9 g Tao Ren (Semen Persicae) 9 g Dang Gui Wei (Radix Angelicae Sinensis)12 g Pu Huang (Pollen Typhae) 12 g Da Huang Tan (Rhizoma Rhei - Charred) 9 g Tian Qi (Radix Pseudoginseng) 12 g Xue Jie (Sanguois Draconis) 9 g Ding Xiang (Flos Caryophylli) 9 g

To modify: This Rx is fine for bruises, minor contusions, and sprains, addresses pain, blood movement and can stop bleeding. We should modify the Rx according to our uses.

For example, if there are broken bones, we should add Xu Duan (Radix Dipsaci Asperi), Wei Ling Xian (Radix Clematidis), and Tu Bie Chong (Eupolyphaga seu Opisthoplatia).

If our focus is pain, add chuan xiong (Radix Ligustici), yan hu suo (Rhizoma Corydalis), yujin (Curcumae), jiang huang (Rhizoma Curcumae Longae), ji xue teng (Radix et Caulis Jixueteng), san leng (Rhizoma Sparganii Stoloniferi), mu tong (Caulis Mutong), di long (Lumbricus), su mu (Lignum Sappan), or wu ling zhi (Excrementum Trogopteri seu Pteromi) according to what your needs are.

If there is pain in a certain area, we should add in Qiang Huo (Rhizoma et Radix Notopterygii) for the upper back, Du Huo (Radix Angelicae Pubescentis) for lower back, Bai Zhi (Radix Angelicae Dahuricae) for front of head, Tan Xiang (Lignum Sappan) for the chest, Niu Xi (Radix Achyranthis Bidentatae) to guide to the lower extremities, Xuan Fu Hua (Flos lnsulate)to guide downwards, and Ma Huang (Herba Ephedrae) to guide upwards to the skin.

We can even get more specific to use the guiding herbs enter particular channels by simply choosing herbs that go to that channel. We should refer to the list of guiding herbs.

For internal bleeding, add Di Yu (Radix Sanguisorbae Officinalis), Da Ji (Herba seu Radix Cirsii Japonici) and Xiao Ji (Herba Cephalanoploris).

To make the Rx more fragrant to stop pain and open the orifices, add bing pian (Borneol) she xiang (Secretio Moschus Moschiferi) su he xiang (Styrax Liquidis).

To address wind, cold or damp Bi, you can also modify it with expel wind damp herbs, such as fang feng, gui zhi (Hamulus Cinnamoni) bai hua she (Agkistrodon seu Bungarus), hu gu (os tigris), iou shi teng (Caulis Trachelospermi Jasminoidis), hai feng teng (Caulis Piperis Futokadsurae), wujia pi (Cortex Acanthopanacis Gracilistyli Radicis), and kuanjin teng (Flos Tussilaginis Farfarae).

For more traumatic swellings, add Ban Xia (Rhizoma Pinelliae Ternatae), Chuan Wu (Radix Aconiti Carmichaeli), Cao Wu ( Radix Aconiti Kusnezoffii) and Tian Nan Xing (Rhizoma Arisaematis).

60 With these herbs, please follow these steps :

1. Take the herbs out and put on a pan and put them in a toaster oven and slightly char them.

2. * Optional Step* If you have a mortar and pestle, grind the herbs to a powder. You can also use a coffee or herb grinder, but again, this step is optional.

3. You will also need a clean glass gallon wide mouth jar and enough gin or vodka to fill a gallon. If you prefer a more traditional approach, of equal parts alcohol and water, you may use 50% spring water and 50% Everclear grain alcohol to make one gallon.

4. Place the herbs in the container and pour the alcohol over the herbs.

5. This Dit Da Jow has poisonous ingredients, it would not do well to ingest it internally or in open wounds, or for pregnant ladies.

6. Seal the container so that it is airtight and date and mark the bottle, and store in a dark place. Shake the bottle occasionally. In about 3 - 4 months, your Dit Da Jow will be ready and will be superior to any on the market. If you use Optional step 2 where you grind all the herbs, the Dit Da Jow will be ready in 2 weeks to a month.

The herbal wine you created can be used simply by massaging it in to the affected area, or for use with tui na.

One can customize the Dit Da Jow with various essential oils, which you may purchase at a health food store or pharmacy. I typically add:

Eucalyptus for poor circulation

Frankincense (Olibanum) for scars, stretch marks

Lavender for anxiety, bruises, burns, cuts, depression, dermatitis, headache, itching, rheumatism, scars, sores, sprains, strains, stress

Myrrh for chapped skin, itching

Sandalwood for chapped skin, dry skin, oily skin, scars, sensitive skin, stress, stretch marks

61 Common Patent and commonly used Rx's Used in Traumatology and Orthopedics

Chai Hu Shu Gan Wan Typically used for pain, trauma in the chest or ribcage, along with stress/depression. Ingredients: Bupleurum chinense root, Paeonia lactiflora root-wine-fried, Cyperus rotundus rhizome-vinegared, Citrus aurantium -ripe-fried, Ligusticum wallichii rhizome, Glycyrrhiza uralensis root, Citrus reticulata peel. - Chai hu, Jiu chao bai shao, Cu zhi xiang fu, Chao zhi ke, Chuan xiong, Gan cao, Chen pi.

Gan Mai Da Zao Wan Calms Shen Ingredients: Polygonum multiflorum , Triticum aestivum seed, Ziziphus jujuba fruit, Poria cocos fungus, Lilium brownii bulb, Glycyrrhiza uralensis root, Albizzia julibrissin bark. - Ye jiao teng, Fu xiao mai, Da zao, Fu ling, Bai he, Gan cao, He huan pi.

Tong Xie Yao Fang Wan For painful diarrhea resulting from trauma and stress. Ingredients: Paeonia lactiflora root-fried, Atractylodes macrocephala rhizome-fried, Citrus reticulata peel-fried, Ledebouriella divaricata root. - Chao bai shao, Chao bai zhu, Chao chen pi, Fang feng.

Bu Zhong Yi Qi Wan This is to tonify the Spleen and Stomach after recovery of trauma. Ingredients: Astragalus membranaceus root, Glycyrrhiza uralensis root, Codonopsis pilosula root, Atractylodes macrocephala rhizome, Angelica sinensis root, Cimicifuga foetida rhizome, Bupleurum chinense root, Citrus reticulata peel, Ziziphus jujuba fruit, Zingiber officinale rhizome-fresh. - Huang qi, Gan cao, Dang shen, Bai zhu, Dang gui, Sheng ma, Chai hu, Chen pi, Da zao, Sheng jiang.

Gui Zhi Fu Ling Tang For weakness and pain in the lower abdomen, also used for migraine headaches. Ingredients: Cinnamomum cassia twig, Poria cocos fungus, Paeonia veitchii root, Paeonia suffruticosa root-bark, Prunus persica seed. - Gui zhi, Fu ling, Chi shao, Mu dan pi, Tao ren. Cautions & Contraindications: Contraindicated during pregnancy

Juan Bi Wan Used to clear out wind, cold and dampness. Ingredients: Moms alba twig, Piper futokadsura stem, Angelica sinensis root, Notopterygium incisium root, Angelica pubescens root, Gentiana macrophylla root, Ligusticurn wallichii rhizome, Aucklandia lappa root, Cinnamomum cassia twig, Boswellia carterii resin, Glycyrrhiza uralensis root-prep. - Sang zhi, Hai feng teng, Dang gui, Qiang huo, Du huo, Qin jiao, Chuan xiong, Mu xiang, Gui zhi, Ru xiang, Zhi gan cao. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anticoagulant treatment

62 Huang Lian Su Wan Used to clear heat and toxins from trauma arising in the upper and middle jiao. Ingredients: Coptis chinensis rhizome. - Huang lian.

Dang Gui Si Ni Wan For weakness and coldness in the 4 limbs; typically used post traumatically. Ingredients: Angelica sinensis root, Paeonia actiflora root, Cinnamomum cassia twig, Glycyrrhiza uralensis root-prep, Akebia trifoliata stem, Ziziphus ujuba fruit. - Dang gui, Bai shao, Cautions & Contraindications: Contraindicated during pregnancy, Contraindicated for Yin deficiency with Heat, Caution in spring and summer seasons and in warm climates Gui zhi, Zhi gan cao, Mu tong, Da zao.

Zhi Bai Di Huang Wan Used for damp Heat and tonifying Liver and Kidney Yin. Ingredients: Rehmannia glutinosa root-prep, Cornus officinalis fruit, Dioscorea opposita rhizome, Alisma plantago aquatica rhizome, Paeonia suffruticosa root-bark, Poria cocos fungus, Phellodendron amurense bark, Anemarrhena asphodeloides rhizome. - Shu di huang, Shan zhu yu, Shan yao, Ze xie, Mu dan pi, Fu ling, Huang bai, Zhi mu.

Ba Zheng San Wan For pain and obstruction in the Urinary Bladder due to damp heat. Ingredients: Lysimachia christinae herb, Akebia trifoliata stem, Plantago asiatica seed, Dianthus superbus herb, Polygonum aviculare herb, Gardenia jasminoides fruit, Glycyrrhiza uralensis root, Phellodendron amurense bark, Rheum palmatum root. - Jin qian cao, Mu tong, Che qian zi, Qu mai, Bian xu, Zhi zi, Gan cao, Huang bai, Da huang. Cautions & Contraindications: Contraindicated during pregnancy

Er Chen Wan Base Rx for clearing phlegm stagnation after weakened Spleen and Stomach following recovery from trauma. Ingredients: Pinellia ternata rhizome, Citrus reticulata peel, Poria cocos fungus, Glycyrrhiza uralensis root, Zingiber officinale rhizome-fresh. - Ban xia, Chen pi, Fu ling, Gan cao, Sheng jiang.

Wu Wei Xiao Du Wan Used to clear heat and toxins from the skin, or damp heat in the skin layer. Can also be used in case of allergic reaction to topical herbals. Ingredients: Lonicera japonica flower, Chrysanthemum indicum flower, Taraxacum mongolicum herb, Viola yedoensis herb, Begonia fimbristipulata herb. - Jin yin hua, Ye ju hua, Pu gong ying, Zi hua di ding, Zi bei tian kui.

Si Jun Zi Tang Wan Base Rx for tonifying Qi, strengthens the Spleen. Ingredients: Codonopsis pilosula root, Atractylodes macrocephala rhizome- fried, Poria cocos fungus, Glycyrrhiza : uralensis root. - Dang shen, Chao bai zhu, Fu ling, Gan cao. Cautions & Contraindications: Caution in hypertensive.

63 Si Miao Wan Used for clearing damp heat in the lower jiao. Ingredients: Phellodendron amurense bark, Coix lachryma jobi seed, Atractylodes lancea rhizome, Achyranthes bidentata root. - Huang bai, Yi yi ren, Cang zhu, Huai niu xi.

Si Ni San Wan Used for coldness and weakness in the 4 limbs, following traumatic injury. Ingredients: Paeonia lactifiora root, Bupleurum chinense root, Citrus aurantium fruit-immature, Glycyrrhiza uralensis root-prep. - Bai shao, Chai hu, Zhi shi, Zhi gan cao.

Si Wu Tang Wan Base Rx for tonifying the blood after trauma. Ingredients: Rehmannia glutinosa root-prep, Angelica sinensis root, Paeonia lactifiora root, Ligustlcum wallichii rhizome. - Shu di huang, Dang gui, Bai shao, Chuan xiong.

Jia Wei Xiao Yao Wan For Liver Qi stagnation following trauma, but has a stronger cooling effect. Ingredients: Paeonia lactifiora root-wine-fried, Poria cocos fungus, Atractylodes macrocephala rhizome, Paeonia suffruticosa root- bark, Gardenia jasminoides fruit, Bupleurum chinense root, Angelica sinensis root, Zingiber officinale rhizome-fresh, Glycyrrhiza uralensis root, Mentha haplocalyx herb. - Jiu chao bai shao, Fu ling, Bai zhu, Mu dan pi, Zhi zi, Chai hu, Dang gui, Sheng jiang, Gan cao, Bo he.

Xiao Yao Wan Used for Liver Qi stagnation and rib pain following trauma. Ingredients: Bupleurum chinense root, Paeonia lactiflora root, Angelica sinensis root, Atractylodes macrocephala rhizome, Poria cocos fungus, Zingiber officinale rhizome-fresh, Glycyrrhiza uralensis root, Mentha haplocalyx herb. - Chai hu, Bai shao, Dang gui, Bai zhu, Fu ling, Sheng jiang, Gan cao, Bo he.

Ge Jie Da Bu Wan Used for tonifying the kidneys and lungs following prolonged bed weakness. Ingredients: Cibotium barometz rhizome, Rehmannia glutinosa root-prep, Polygonatum sibiricum rhizome, Ligustrum lucidum fruit, Eucommia ulmoides bark, Dipsacus asper root, Drynaria fortunei rhizome, Codonopsis pilosula root, Gekko gecko, Angelica sinensis root, Astragalus membranaceus root, Poria cocos fungus, Dioscorea opposita rhizome, Lycium chinense fruit, Chaenomeles lagenaria fruit, Morinda officinalis root, Glycyrrhiza uralensis root, Atractylodes macrocephala rhizome. - Gou ji, Shu di huang, Huang jing, Nu zhen zi, Du zhong, Xu duan, Gu sui bu, Dang shen, Ge jie, Dang gui, Huang qi, Fu ling, Shan yao, Gou qi zi, Mu gua, Ba ji tian, Gan cao, Bai zhu.

Jin Gui Shen Qi Wan Used for tonifying and strengthening Kidney Yang, used in the resolution stages of trauma. Ingredients: Rehmannia glutinosa root-prep, Dioscorea opposita rhizome, Cornus officinalis fruit, Paeonia suffruticosa root-bark, Poria cocos fungus, Alisma plantago aquatica rhizome, Cinnamomum cassia bark, Aconitum carmichaeli root-prep. - Shu di huang, Shan yao, Shan zhu yu, Mu dan pi, 1 Fu ling, Ze xie, Rou gui, Fu zi.

64 Yan Hu Suo Wan Used for pain as an herbal analgesic for all trauma. Ingredients: Corydalis yanhusuo rhizome, Angelica dahurica root. - Yan hu suo, Caution with hemorrhagic disorders, Bai zhi. Cautions & Contraindications: Contraindicated during pregnancy, Caution with concurrent anti-coagulant treatment.

Shen Tong Zhu Yu Wan Used for pain caused by Qi and blood stagnation in the entire body. Better to use this with a guiding herb. Ingredients: Prunus persica seed, Carthamus tinctorius flower, Angelica sinensis root, Cyathula officinalis root, Ligusticum wallichii rhizome, Glycyrrhiza uralensis root, Commiphora myrrha resin, Trogopterus xanthipes excrementum, Pheretima aspergillum, Gentiana macrophylla root, Notopterygium incisium root, Cyperus rotundus rhizome. - Tao ren, Hong hua, Dang gui, Chuan niu xi, Chuan xiong, Gan cao, Mo yao, Wu ling zhi, Di long, Qin jiao, Qiang huo, Xiang fu. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anti-coagulant treatment

Jin Gu Die Shang Wan Used in the initial stage of trauma to move qi and blood, remove stasis and swelling. Ingredients: Dipsacus asper root, Panax notoginseng root, Paeonia veitchii root, Boswellia carterli resin, Commiphora myrrha resin, Carthamus tinctorius flower, Daemonorops draco resin, Sparganium simplex rhizome, Paeonia lactiflora root, Caesalpinia sappan wood, Glycyrrhiza uralensis root, Angelica sinensis root, Eupolyphaga sinensis, Paeonia suffruticosa root-bark, Cucumis melo seed, Prunus persica seed, Ledebouriella divaricata root, Akebia trifoliata stem, Drynaria fortunei rhizome, Citrus aurantium fruit-immature, Artemisia anomala herb, Platycodon grandiflorum root, Corydalis yanhusuo rhizome, Curcuma longa rhizome. - Xu duan, Tian san qi, Chi shao, Ru xiang, Mo yao, Hong hua, Xue Jie, San leng, Bai shao, Su mu, Gan cao, Dang gui, Tu bie chong, Mu dan pi, Tian gua zi, Tao ren, Fang feng, Mu tong, Gu sui bu, Zhi shi, Liu ji nu, Jie geng, Yan hu suo, Jiang huang. Cautions & Contraindications: Contraindicated during pregnancy

Sheng Mai San Wan Used for a weak pulse, following loss of blood, better to use with Si Wu Tang Wan or Ba Zhen Wan. Ingredients: Codonopsis pilosula root, Ophiopogon japonicus tuber, Schisandra chinensis fruit. - Dang shen, Mai men dong, Wu wei zi.

Xiao Feng Wan Used to clear heat and toxins that have arisen in a rash to the surface of the skin. Clears damp heat and swelling. Ingredients: Ledebouhella divaricata root, Sophora flavescens root, Gypsum fibrosum mineral, Rehmannia glutinosa root-raw, Schizonepeta tenuifolia herb, Cryptotympana atrata molting, Arctium lappa fruit, Sesamum indicum seed, Anemarrhena asphodeloides rhizome, Angelica sinensis root, Atractylodes lancea rhizome, Akebia trifoliata stem, Glycyrrhiza uralensis root. - Fang feng, Ku shen, Shi gao, Sheng di huang, Jing jie, Chan tui, Niu bang zi, Hei zhi ma, Zhi mu, Dang gui, Cang zhu, Mu tong, Gan cao.

65 Bu Yang Huan Wu Wan Used for Qi and Blood stasis in one half of the body, such as hemiplegia or Bell's Palsy. Ingredients: Astragalus membranaceus root, Paeonia veitchii root, Angelica sinensis root, Ligusticum wallichii rhizome, Prunus persica seed, Carthamus tinctorius flower, Pheretima aspergillum. - Huang qi, Chi shao, Dang gui, Chuan xiong, Tao ren, Hong hua, Di long. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anticoagulant treatment

Gui Pi Wan Used to tonify the Spleen and Stomach, when a patient suffers from weakness, low energy, mental insufficiency following trauma. Ingredients: Atractylodes macrocephala rhizome, Poria cocos fungus, Polygala tenuifolia root, Euphoria longan fruit, Angelica sinensis root, Codonopsis pilosula root, Astragalus membranaceus root, Ziziphus spinosa seed, Aucklandia lappa root, Ziziphus jujuba fruit, Glycyrrhiza uralensis root. - Bai zhu, Fu ling, Yuan zhi, Long yan rou, Dang gui, Dang shen, Huang qi, Suan zao ren, Mu xiang, Da zao, Gan cao. Cautions & Contraindications: Caution with High blood pressure.

Huang Lian Jie Du Wan Used to clear heat and toxins following initial stage of trauma. Ingredients: Coptis chinensis rhizome, Gardenia jasminoides fruit, Scutellaria baicalensis root, Phellodendron amurense bark. - Huang lian, Zhi zi, Huang qin, Huang bai. Cautions & Contraindications: Avoid with cold or Yang deficient patients.

Yu Ping Feng San Wan Used to tonify the Wei-Qi, particularly when there is scarring and a patient is constantly suffering from attacks of Wind, cold and dampness. Ingredients: Astragalus membranaceus root, Atractylodes macrocephala rhizome, Ledebouriella divaricata root. - Huang qi, Bai zhu, Fang feng. Cautions & Contraindications: Caution for patients with hypertension.

Guan Jie Yan Wan Used for joint pain and wind, cold, damp Bi syndrome, usually used to relax muscles and tendons, and move qi and blood in the channels and collaterals. Ingredients: Coix lachryma jobi seed, Stephania tetrandra root, Atractylodes lancea rhizome, Erythrina variegata bark, Cinnamomum cassia twig, Achyranthes bidentata root, Evodia rutaecarpa fruit, Gentiana macrophylla root, Periploca sepium root-bark, Scutellaria baicalensis root, Angelica pubescens root, Zingiber officinale rhizome-fresh. - Yi yi ren, Fang ji, Cang zhu, Hai tong pi, Gui zhi, Huai niu xi, Wu zhu yu, Qin jiao, Xiang jia pi, Huang qin, Du huo, Sheng jiang. Cautions & Contraindications: Contraindicated during pregnancy

66 Ge Gen Wan Used for neck and shoulder pain arising from wind, cold, damp attack. Ingredients: Pueraria lobata root, Ephedra sinica herb, Zingiber officinale rhizome-fresh, Cinnamomum cassia twig, Paeonia lactiflora root, Glycyrrhiza uralensis root, Ziziphus jujuba fruit. - Ge gen, Ma huang, Sheng jiang, Gui zhi, Bai shao, Gan cao, Da zao. Cautions & Contraindications: Contraindicated during pregnancy, Caution with high blood pressure

Fang Feng Tong Sheng Wan Typically used for clearing heat at the surface for toxins and infections arising from skin rupture from trauma, or diabetic ulceration. Ingredients: Forsythia suspensa fruit, Ledebourieila divaricata root, Schizonepeta tenuifolia herb, Mirabilite mineral, Gardenia jasminoides fruit, Scutellaria baicalensis root, Angelica sinensis root, Ligusticum : wallichii rhizome, Atractylodes macrocephala hizome, Platycodon grandiflorum root, Glycyrrhiza ; uralensis root, Rheum palmatum root-alcohol steamed, Mentha haplocalyx herb. - Lian qiao, Fang ! feng, Jing jie, Mang xiao, Zhi zi, Huang qin, Dang j gui, Chuan xiong, Bai zhu, Jie geng, Gan cao, Jiu zheng da huang. Bo he. Cautions & Contraindications: Contraindicated during pregnancy, Caution with Spleen Qi deficiency

Tian Tai Wu Yao Wan Used for groin pain due to trauma or hernia, and radiating pain in the lower abdomen from cold. Ingredients: Lindera strychnifolia root, Foeniculum vulgare fruit, Alpinia officinarum rhizome, Aucklandia lappa root, Citrus reticulata peel-immature, Melia toosendan fruit, Areca catechu seed, Evodia rutaecarpa fruit. -Wu yao, Xiao hui xiang, Gao liang jiang, Mu xiang, Qing pi, Chuan lian zi, Bing lang, Wu zhu yu. Cautions & Contraindications: Contraindicated during pregnancy. Slightly toxic, caution with immuno compromised patients. Avoid with hot patients.

Yi Guan Jian Wan Used to strengthen Liver and Kidney following trauma, used for healing bones and tendons after healing stage. Ingredients: Rehmannia glutinosa root-raw, Lycium chinense fruit, Glehnia littoralis root, Ophiopogon japonicus tuber, Angelica sinensis root, Melia toosendan fruit. - Sheng di huang, Gou qi zi, Bei sha shen, Mai men dong, Dang gui, Chuan lian zi.

Qi Ju Di Huang Wan Used to strengthen Liver and Kidney following trauma, used for healing bones and tendons after healing stage. Ingredients: Rehmannia glutinosa root-prep, Cornus officinalis fruit, Dioscorea opposita rhizome, Paeonia suffruticosa root-bark, Poria cocos fungus, Alisma plantago aquatica rhizome, Lycium chinense fruit, Chrysanthemum morifolium flower. - Shu di huang, Shan zhu yu, Shan yao, Mu dan pi, Fu ling, Ze xie, Gou qi zi, Ju hua.

Ma Zi Ren Wan Used as a mild purgative to clear heat and stagnant blood in the lower jiao. Ingredients: Linum usitatissimum seed, Prunus armeniaca seed, Citrus aurantium fruit-immature, Magnolia officinalis bark, Paeonia lactiflora root, Rheum palmatum root. - Ya ma zi, Xing ren, Zhi shi, Hou po, Bai shao, Da huang. Cautions & Contraindications: Contraindicated during pregnancy

67 Sang Piao Xiao Wan Used to strengthen the Kidneys after prolonged bed rest. Also used for restlessness, ED, impotence. Ingredients: Os draconis, Chinemys reevesii shell-prep, Tenodera sinensis egg-case, Panax ginseng root, Poria cocos fungus, Acorus gramineus rhizome, Angelica sinensis root, Polygala tenuifolia root. - Long gu, Zhi gui ban, Sang piao xiao, Ren shen, Fu ling, Shi chang pu, Dang gui, Yuan zhi.

Ming Mu Di Huang Wan Used to strengthen Liver and Kidney following recovery of trauma. This Rx focuses on the eyes. Ingredients: Rehmannia glutinosa root-prep, Cornus officinalis fruit, Dioscorea opposita rhizome, Haliotis diversicolor shell, Paeonia suffruticosa root-bark, Poria cocos fungus, Alisma plantago aquatica rhizome, Lycium chinense fruit, Tribulus terrestris fruit, Paeonia lactiflora root, Angelica sinensis root, Chrysanthemum morifolium flower. - Shu di huang, Shan zhu yu, Shan yao, Shi jue ming, Mu dan pi, Fu ling, Ze xie, Gou qi zi, Bai ji li, Bai shao, Dang gui, Ju hua.

Xiao Jian Zhong Wan Strengthens the Spleen and Stomach to normal function during the recovery stage following trauma. Ingredients: Maltose, Paeonia lactiflora root, Ziziphus jujuba fruit, Cinnamomum cassia twig, Zingiber officinale rhizome-fresh, Glycyrrhiza uralensis root. - Yi tang, Bai shao, Da zao, Gui zhi, Sheng jiang, Gan cao. Cautions & Contraindications: Caution during pregnancy, Contraindicated for cases of excess Heat or Yin deficiency

Nei Xiao Luo Li Wan Used to clear damp heat accumulation in the upper jiao. Ingredients: Prunella vulgaris spike, Scrophularia ningpoensis root, Halitum mineral, Angelica sinensis root, Mentha haplocalyx herb, Citrus aurantium fruit-ripe, Rheum palmatum root, Platycodon grandiflorum root, Forsythia suspensa fruit, Sargassum pallidum herb, Fritillaria thunbergii bulb, root, Glycyrrhiza uralensis root, Rehmannia glutinosa root-prep, Ampelopsis japonica root, Meretrix meretrix shell, Mirabilitum mineral. - Xia ku cao, Xuan shen, Da qing yan, Dang gui, Bo he, Zhi ke, Da huang, Jie geng, Lian qiao, Hai zao, Zhe bei mu, Tian hua fen, Gan cao, Shu di huang, Bai lian, Ge ke, Xuan ming fen. Cautions & Contraindications: Contraindicated during pregnancy

Dang Gui Yin Zi Wan Tonifies blood, circulates the blood, expels wind and itching after removal of casts or due to contact dermatitis. Ingredients: Angelica sinensis root, Rehmannia glutinosa root-raw, Ligusticum wallichii rhizome, Ledebouriella divaricata root, Paeonia lactiflora root, Tribulus terrestris fruit, Polygonum multiflorum root, Astragalus membranaceus root, Schizonepeta tenuifolia herb, Glycyrrhiza uralensis root. - Dang gui, Sheng di huang, Chuan xiong, Fang feng, Bai shao, Bai ji li, He shou wu, Huang qi, Jing jie, Gan cao. Cautions & Contraindications: Contraindicated during pregnancy

Tao Ren Wan / Run Chang Wan For constipation due to blood deficiency following trauma. Ingredients: Prunus persica seed, Linum usitatissimum seed, Rheum palmatum root, Notopterygium incisium root, Angelica sinensis root. - Tao ren, Ya ma zi, Da huang, Qiang huo, Dang gui. Cautions & Contraindications: Contraindicated during pregnancy

68 Shao Yao Gan Cao Wan Base Rx to stop and relieve spasms, cramps Ingredients: Paeonia lactiflora root, Glycyrrhiza uralensis root-prep. - Bai shao, Zhi gan cao.

Dan Shen Huo Xue Wan For dry itchy skin with bleeding. Ingredients: Salvia miltiorrhiza root, Rehmannia glutinosa root-raw, Rubia cordifolia root, Paeonia veitchii root, Carthamus tinctorius flower, Lycopus lucidus herb, Dictamnus dasycarpus root-bark, Angelica sinensis root, Tribulus terrestris fruit, Polygonum bistorta rhizome, Sophora tokinensis root, Citrus reticulata peel-immature. - Dan shen, Sheng di huang, Qian cao gen, Chi shao, Hong hua, Ze Ian, Bai xian pi, Dang gui, Bai ji li, Quan shen, Shan dou gen, Qing pi. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anticoagulant treatment

Dao Chi Wan To clear heart fire through the urination. Ingredients: Rehmannia glutinosa root-raw, Akebia trifoliata stem, Lophatherum gracile herb, Glycyrrhiza uralensis root. - Sheng di huang, Mu tong, Dan zhu ye, Gan cao. Cautions & Contraindications: Contraindicated during pregnancy

Huo Luo Xiao Ling Wan Invigorates blood, removes blood stagnation, unblocks channels and collaterals, relieves pain. Good base Rx to be modified for specific area with proper guiding herbals. Ingredients: Angelica sinensis root, Salvia miltiorrhiza root, Boswellia carterii resin, Commiphora myrrha resin. - Dang gui, Dan shen, Ru xiang, Mo yao, Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anti-coagulant treatment

Huan Shao Dan Wan Strengthens Kidney Yang, nourishes blood and essence, preserves Yin. Good for strengthening kidneys following trauma. Ingredients: Ziziphus jujuba fruit, Rehmannia glutinosa root-prep, Lycium chinense fruit, Dioscorea hypoglauca rhizome, Poria cocos fungus, Cistanche deserticola herb, Foeniculum vulgare fruit, Morinda officinalis root, Eucommia ulmoides bark, Achyranthes bidentata root, Schisandra chinensis fruit, Cornus officinalis fruit, Broussonetia papyrifera fruit. - Da zao, Shu di huang, Gou qi zi, Bi xie, Fu ling, Rou cong rang, Xiao hui xiang, Ba ji tian, Du zhong, Huai niu xi, Wu wei zi, Shan zhu yu, Zhu shi zi. Cautions & Contraindications: Contraindicated during pregnancy

Wen Dan Tang Wan For disharmony between Liver and Spleen following recovery stage of trauma, clears phlegm and treats chronic pain, with modification and guiding herbs/ Rx's. Ingredients: Bambusa tuldoides shavings, Citrus aurantium fruit-immature, Pinellia ternata rhizome, Citrus reticulata peel, Poria cocos fungus, Glycyrrhiza uralensis root, Zingiber officinale rhizome-fresh, Ziziphus jujuba fruit. - Zhu ru, Zhi shi, Ban xia, Chen pi, Fu ling, Gan cao, Sheng jiang, Da zao. Cautions & Contraindications: Caution during pregnancy

69 Dan Shen Yin Wan Moves Qi and Blood, relieves blood stasis and pain. Good base Rx to create custom Rx or combine with other Rx's. Ingredients: Salvia miltiorrhiza root, Santalum album wood, Amomum villosum fruit, Glycyrrhiza uralensis root. -Dan shen, Tan xiang, Sha ren, Gan cao. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anticoagulant treatment

San Bi Wan To dispel wind, cold, damp bi following recovery of trauma, typically used after intermediate stage or ii recovery stage. Tonifies Liver and Kidney. Ingredients: Dipsacus asper root, Eucommia ulmoides bark-fried, Ledebouriella divaricata root, Cinnamomum cassia bark, Panax ginseng root, Poria cocos fungus, Angelica sinensis root, Paeonia lactiflora root-wine-fried, Astragalus membranaceus root, Achyranthes bidentata root-wine-fried, Glycyrrhiza uralensis root-prep, Gentiana macrophylla root, Rehmannia glutinosa root-raw, Ligusticum wallichii rhizome, Angelica pubescens root. - Xu duan, Chao du zhong, Fang feng, Rou gui, Ren shen, Fu ling, Dang gui, Jiu chao bai shao, Huang qi, Jiu chao niu xi, Zhi gan cao, Qin jiao, Sheng di huang, Chuan xiong, Du huo. Cautions & Contraindications: Contraindicated during pregnancy

Liu Wei Di Huang Wan To tonify Liver and Kidney during recovery stage of trauma. Ingredients: Rehmannia glutinosa root-prep, Dioscorea opposita rhizome, Cornus officinalis fruit, Paeonia suffruticosa root-bark, Poria cocos fungus, Alisma plantago aquatica rhizome. - Shu di huang, Shan yao, Shan zhu yu, Mu dan pi, Fu ling, Ze xie.

Liu Jun Zi Wan Tonifies Spleen and stomach, tonifies Qi, Clear phlegm and internal dampness. Ingredients: Codonopsis pilosula root, Atractylodes macrocephala rhizome, Poria cocos fungus, Citrus reticulata peel, Pinellia ternata rhizome, Ziziphus jujuba fruit, Glycyrrhiza uralensis root, Zingiber officinale rhizome-fresh. - Dang shen, Bai zhu, Fu ling, Chen pi, Ban xia, Da zao, Gan cao, Sheng jiang.

Xiang Sha Liu Jun Zi Wan Clear cold and dampness and strengthens Spleen and Stomach Qi. Ingredients: Atractylodes macrocephala rhizome, Poria cocos fungus, Codonopsis pilosula root, Pinellia ternata rhizome, Citrus reticulata peel, Amomum villosum fruit, Aucklandia lappa root, Glycyrrhiza uralensis root, Ziziphus jujuba fruit, Zingiber officinale rhizome-fresh. - Bai zhu, Fu ling, Dang shen, Ban xia, Chen pi, Sha ren, Mu xiang, Gan cao, Da zao, Sheng jiang.

Long Dan Xie Gan Wan Used for Liver and Gallbladder damp heat and clears heat and dampness in all 3 burners. This is used in all forms of -itls. Ingredients: Gentiana scabra root, Bupleurum chinense root, Alisma plantago aquatica rhizome, Rehmannia glutinosa root-raw, Angelica sinensis root, Scutellaria baicalensis root, Gardenia jasminoides fruit, Akebia trifoliata stem, Plantago asiatica seed, Glycyrrhiza uralensis root. -Long dan cao, Chai hu, Ze xie, Sheng di huang, Dang gui, Huang qin, Zhi zi, Mu tong, Che qian zi, Gan cao. Cautions & Contraindications: Contraindicated during pregnancy

70 Du Huo Ji Sheng Wan Used for Wind, cold, and dampness in the waist and lower back. Tonifies Liver and Kidney, strengthens Q and Blood. Ingredients: Taxillus chinensis twig, Rehmannia glutinosa root-prep, Codonopsis pilosula root, Angelica sinensis root, Poria cocos fungus, Angelica pubescens root, Achyranthes bidentata root, Eucommia ulmoides bark, Paeonia lactiflora root, Ledebouriella divaricata root, Gentiana macrophylla root, Cinnamomum cassia bark, Ligusticum wallichii rhizome, Glycyrrhiza uralensis root. - Sang ji sheng, Shu di huang, Dang shen, Dang gui, Fu ling, Du huo, Huai niu xi, Du zhong, Bai shao, Fang feng, Qin jiao, Rou gui, Chuan xiong, Gan cao. Cautions & Contraindications: Contraindicated during pregnancy

Shu Gan Wan Regulates liver, stops pain in hypochondrium and rib cage, abdomen, epigastrum. Ingredients: Cyperus rotundus rhizome, Paeonia lactiflora root, Bupleurum chinense root, Citrus aurantium fruit-ripe, Citrus reticulata peel-immature, Citrus reticulata peel, Amomum villosum fruit, Magnolia officinalis bark, Corydalis yanhusuo rhizome, Paeonia suffruticosa root-bark, Citrus medica fruit, Glycyrrhiza uralensis root, Aucklandia lappa root, Curcuma wenyujin root, Citrus medica finger-fruit, Aquilaria agallocha wood, Amomum kravanh fruit, Santalum album wood. - Xiang fu, Bai shao, Chai hu, Zhi ke, Qing pi, Chen pi, Sha ren, Hou po, Yan hu suo, Mu dan pi, Xiang yuan, Gan cao, Mu xiang, Pian jiang huang, Fo shou gan, Chen xiang, Bai dou kou, Tan xiang. Cautions & Contraindications: Contraindicated during pregnancy

Huai Jiao Wan For Damp heat and pain in the intestines, and pain and bleeding in the lower jiao. Ingredients: Sophora japonica fruit, Sanguisorba officinalis root, Scutellaria baicalensis root. Citrus aurantium fruit-ripe, Ledebouriella divaricata root, Angelica sinensis root. - Huai jiao zi, Di yu, Huang qin, Zhi ke, Fang feng, Dang gui. Cautions & Contraindications: Contraindicated during pregnancy

Ge Xia Zhu Yu Wan Good for pain and qi and blood stagnation in the hypochondrium/diaphragm area. Ingredients: Trogopterus xanthipes excrementum-fried, Angelica sinensis root, Prunus persica seed, Carthamus tinctorius flower, Lindera strychnifolia root, Ligusticum wallichii rhizome, Paeonia suffruticosa root-bark, Paeonia veitchii root, Cyperus rotundus rhizome, Citrus aurantium fruit-ripe, Corydalis yanhusuo rhizome, Glycyrrhiza uralensis root. - Chao wu ling zhi, Dang gui, Tao ren, Hong hua, Wu yao, Chuan xiong, Mu dan pi, Chi shao, Xiang fu, Zhi ke, Yan hu suo, Gan cao. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anti-coagulant treatment

Shao Fu Zhu Yu Wan Moves Qi and Blood in the lower abdomen, warms the lower jiao. Ingredients: Angelica sinensis root, Typha angustifolia pollen, Paeonia veitchii root, Trogopterus xanthipes excrementum-fried, Corydalis yanhusuo rhizome, Ligusticum wallichii rhizome, Commiphora myrrha resin, Cinnamomum cassia bark, Foeniculum vulgare fruit-fried, Zingiber officinale rhizome-fried. -Dang gui, Pu huang, Chi shao, Chao wu ling zhi, Yan hu suo, Chuan xiong, Mo yao, Rou gui, Chao xiao hui xiang, Chao gan jiang. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anti-coagulant treatment

71 Xue Fu Zhu Yu Tang Wan Moves QI and Blood in the chest area, relieves pain. Ingredients: Prunus persica seed, Carthamus tinctorius flower, Angelica sinensis root, Rehmannia glutinosa root-raw, Achyranthes bidentata root, Citrus aurantium fruit-immature, Paeonia veitchii root, Ligusticum wallichii rhizome, Platycodon grandiflorum root, Bupleurum chinense root, Glycyrrhiza uralensis root. - Tao ren, Hong hua, Dang gui, Sheng di huang, Huai niu xi, Zhi shi, Chi shao, Chuan xiong, Jie geng, Chai hu, Gan cao. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anti-coagulant treatment

Bi Xie Sheng Shi Wan Clears damp heat in the lower jiao. Benefits the kidney for proteinuria. Ingredients: Coix lachryma jobi seed, Poria cocos fungus, Dioscorea hypoglauca rhizome, Dictamnus dasycarpus root-bark, Tetrapanax papyriferus pith, Phellodendron amurense bark, Alisma plantago aquatica rhizome, Paeonia suffruticosa root-bark, Gardenia jasminoides fruit. - Yi yi ren, Fu ling, Bi xie, Bai xian pi, Tong cao, Huang bai, Ze xie, Mu dan pi, Zhi zi. Cautions & Contraindications: Contraindicated during pregnancy

Tao Hong Si Wu Tang Wan Good base Rx for moving Qi and Blood and tonifying blood. Ingredients: Rehmannia glutinosa root-prep, Angelica sinensis root, Paeonia lactiflora root, Prunus persica seed, Carthamus tinctorius flower, Ligusticum wallichii rhizome. - Shu di huang, Dang gui, Bai shao, Tao ren, Hong hua, Chuan xiong. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anti-coagulant treatment

Shi Chuan Da Bu Wan Tonifles Qi, Blood and Yang, used following childbirth or major trauma. Ingredients: Rehmannia glutinosa root-prep, Angelica sinensis root, Codonopsis pilosula root, Astragalus membranaceus root, Paeonia lactiflora root, Atractylodes macrocephala rhizome, Poria cocos fungus, Ligusticum wallichii rhizome, Glycyrrhiza uralensis root, Cinnamomum cassia bark. - Shu di huang, Dang gui, Dang shen, Huang qi, Bai shao, Bai znu, Fu ling, Chuan xiong, Gan cao, Rou gui. Cautions & Contraindications: Avoid with hot patients or damp heat conditions.

Tian Ma Gou Teng Yin Wan For all forms of liver wind, spasms, lowers blood pressure. Ingredients: Haliotis diversicolor shell, Taxillus chinensis twig, Uncaria rhynchophylla vine, Polygonum multiflorum vine, Poria cocos fungus, Leonurus heterophyllus herb, Gastrodia elata rhizome, Gardenia jasminoides fruit, Scutellaria baicalensis root, Eucommia ulmoides bark, Cyathula officinalis root. - Shi jue ming, Sang ji sheng, Gou teng, Ye jiao teng, Fu ling, Yi mu cao, Tian ma, Zhi zi, Huang qin, Du zhong, Chuan niu xi. Cautions & Contraindications: Contraindicated during pregnancy

Tian Qi Wan For moving blood and stop bleeding. Ingredients: Panax notoginseng root. - Tian san qi. Cautions & Contraindications: Contraindicated during pregnancy

72 Tong Qiao Huo Xue Wan For moving Qi and blood in the head. Good for headaches due to wind, cold and dampness. Opens the orifices. Ingredients: Prunus persica seed, Carthamus tinctorius flower, Paeonia veitchii root, Ligusticum wallichii rhizome, Angelica dahurica root, Ziziphus jujuba fruit, Zingiber officinale rhizome-fresh, Acorus gramineus rhizome. - Tao ren, Hong hua, Chi shao, Chuan xiong, Bai zhi, Da zao, Sheng jiang, Shi chang pu. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent anticoagulant treatment

Zhen Wu Tang Wan Tonifles Spleen and Kidney Yang, relieves edema and swelling. Ingredients: Poria cocos fungus, Paeonia lactiflora root, Zingiber officinale rhizome-fresh, Aconitum carmichaeli root-prep, Atractylodes macrocephala rhizome. - Fu ling, Bai shao, Sheng jiang, Fu zi, Bai zhu. Cautions & Contraindications: Contraindicated during pregnancy

Pu Ji Xiao Du Yin Wan Clears all wind and heat for dermatological problems. Ingredients: Scutellaria baicalensis root-wine fried, Coptis chinensis rhizome-wine fried, Scrophularia ningpoensis root, Platycodon grandiflorum root, Bupleurum chinense root, Citrus reticulata peel, Glycyrrhiza uralensis root, Forsytnia suspensa fruit, Arctium lappa fruit, Mentha haplocalyx herb, Lasiosphaera fenslii puff-ball, Isatis indigotica root, Bombyx mori, Cimicifuga foetida rhizome. - Jiu chao huang qin, Jiu chao huang lian, Xuan shen, Jie geng, Chai hu, Chen pi, Gan cao, Lian qiao, Niu bang zi, Bo he, Ma bo, Ban Ian gen, Jiang can, Sheng ma.

Cang Er Zi Wan Clears wind and open orifices for sinusitis. Ingredients: Xanthium sibiricum fruit, Angelica dahurica root, Magnolia denudata flower, Mentha haplocalyx herb. - Cang er zi, Bai zhi, Xin yi hua, Bo he.

Wen Jing Tang Wan Dispels cold and warms the channels and collaterals in the lower jiao, nourishes blood and removes blood stasis. Ingredients: Evodia rutaecarpa fruit, Pinellia ternata rhizome, Ophiopogon japonicus tuber, Angelica sinensis root, Paeonia lactiflora root, Panax ginseng root, Rehmannia glutinosa root-prep, Glycyrrhiza uralensis root, Paeonia suffruticosa root-bark, Zingiber officinale rhizome-fresh, Ligusticum wallichii rhizome, Cinnamomum cassia twig. - Wu zhu yu, Ban xia, Mai men dong, Dang gui, Bai shao, Ren shen, Shu di huang, Gan cao, Mu dan pi, Sheng jiang, Chuan xiong, Gui zhi. Cautions & Contraindications: Contraindicated during pregnancy

Bai Hu Tang Wan Clears high fever and heat from infection, tooth abscess, promotes secretion of body fluids. Ingredients: Gypsum fibrosum mineral, Dioscorea opposita rhizome, Anemarrhena asphodeloides rhizome, Glycyrrhiza uralensis root-prep. - Shi gao, Shan yao, Zhi mu, Zhi gan cao. Cautions & Contraindications: Cold disorders

73 Nu Ke Ba Zhen Wan Tonifles Qi and Blood. Ingredients: Rehmannia glutinosa root-prep, Angelica sinensis root, Paeonia lactiflora root, Codonopsis pilosula root, Poria cocos fungus, Atractylodes macrocephala rhizome, Ligusticum wallichii rhizome, Glycyrrhiza uralensis root. - Shu di huang, Dang gui, Bai shao, Dang shen, Fu ling, Bai zhu, Chuan xiong, Gan cao.

Wu Ling San Wan For swelling and edema, used as a diuretic. Ingredients: Alisma plantago aquatica rhizome, Poria cocos fungus, Atractylodes macrocephala rhizome, Polyporus umbellatus fungus, Cinnamomum cassia twig. - Ze xie, Fu ling, Bai zhu, Zhu ling, Gui zhi. Cautions & Contraindications: Caution during pregnancy

Xiao Huo Luo Dan Wan Dispels wind, cold and dampness in the channels and collaterals, used better with a guiding herb or in combination with another Rx. Moves phlegm and stagnant blood. Ingredients: Aconitum carmichaeli root-prep, Aconitum kusnezoffii root-prep, Pheretima aspergillum, Pulvis arisaemae cum felle bovis, Boswellia carterii resin-prep, Commiphora myrrha resin-prep. - Zhi chuan wu, Zhi cao wu, Di long, Dan nan xing, Zhi ru xiang, Zhi mo yao. Cautions & Contraindications: Contraindicated during pregnancy, Caution with hemorrhagic disorders, Caution with concurrent antii-coagulant treatment

Xuan Bi Wan Clears damp heat Bi syndrome, unblocks channels. Ingredients: Coix lachryma jobi seed, Stephania tetrandra root, Prunus armeniaca seed, Forsythia suspensa fruit, Achyranthes bidentata root, Phellodendron amurense bark, Atractylodes lancea rhizome, Gardenia jasminoides fruit, Pinellia ternata rhizome-gingered, Akebia trifoliata stem. - Yi yi ren, Fang ji, Xing ren, Lian qiao, Huai niu xi, Huang bai, Cang zhu, Zhi zi, Jiang ban xia, Mu tong. Cautions & Contraindications: Contraindicated during pregnancy

You Gui Wan Tonifies Kidney Yang. Ingredients: Rehmannia glutinosa root-prep, Dioscorea opposita rhizome, Cornus officinalis fruit, Lycium chinense fruit, Eucommia ulmoides bark, Cuscuta chinensis seed, Angelica sinensis root, Cinnamomum cassia bark. - Shu di huang, Shan yao, Shan zhu yu, Gou qi zi, Du zhong, Tu si zi, Dang gui, Rou gui.

Zhen Gan Xi Feng Wan Clears Liver Wind for convulsions. Ingredients: Achyranthes bidentata root, Haematitum mineral, Chinemys reevesii shell, Scrophularia ningpoensis root, Paeonia lactiflora root, Asparagus cochinchinensis tuber, Os draconis, Ostrea gigas shell, Melia toosendan fruit, Hordeum vulgare sprout, Artemisia capillaris herb, Glycyrrhiza uralensis root. - Huai niu xi, Dai zhe shi, Gui ban, Xuan shen, Bai shao, Tian men dong, Long gu, Mu li, Chuan Man zi, Mai ya, Yin chen hao, Gan cao. Cautions & Contraindications: Contraindicated during pregnancy

74 Zhi Gan Cao Wan Restores the pulse, stops spasms, arrhythmia, tonifies QI and blood, nourishes Yin. Ingredients: Rehmannia glutinosa root-raw, Glycyrrhiza uralensis root-prep, Ophiopogon japonicus tuber, Cannabis sativa seed, Cinnamomum cassia twig, Zingiber officinale rhizome-fresh, Ziziphus jujuba fruit, Panax ginseng root, Equus asinus gelatin. - Sheng di huang, Zhi gan cao, Mai men dong, Huo ma ren, Gui zhi, Sheng jiang, Da zao, Ren shen, E jiao. Cautions & Contraindications: Caution during pregnancy

Zuo Gui Wan Tonifies Liver and Kidney Yin for night sweats and lumbago. Ingredients: Rehmannia glutinosa root-prep, Dioscorea opposita rhizome, Cornus officinalis fruit, Lycium chinense fruit, Cuscuta chinensis seed, Achyranthes bidentata root. - Shu di huang, Shan yao, Shan zhu yu, Gou qi zi, Tu si zi, Huai niu xi. Cautions & Contraindications: Contraindicated during pregnancy

White Flower Oil, aka Bai Hua Yu Used for wind, cold, damp Bi, applied topically.

Dosage & Administration: Apply to affected areas, 3 x day. Ingredients: Gaultheria probumbens, Lavendula angustifolia oil, Eucalyptus globulus -oil, Menthol, Camphor, Unlisted proprietary ingredients. - Dong lu you, Fen yi cao you, You jia li you, Bo he nao, Zhang nao, Unlisted proprietary ingredients.

75 Gou Pi Gao (Dog Skin Plaster) Applied topically for Wind, cold, damp Bi syndromes.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Commiphora myrrha resin, Boswellia carterii resin, Borneolum, Moschus moschiferus secretion, Unlisted proprietary ingredients. - Mo yao, Ru xiang, Bing pian, She xiang, Unlisted proprietary ingredients.

Emei Medicated Plaster Used topically for Wind cold damp Bi syndromes.

Dosage & Administration: Apply to affected area as needed. Ingredients: Evodia rutaecarpa fruit, Methyl salicylate, Menthol, Camphor, Unlisted proprietary ingredients. - Wu zhu yu, Shui yang suan ja zhi, Bo he nao, Zhang nao, Unlisted proprietary ingredients.

76 Ching Wan Hung -aka Jing Wan Hong Used topically to clear all damp heat sores, burns, scalds.

Dosage & Administration: Apply to affected area as needed. Ingredients: Apis cerana (beeswax), Sesamum indicum seed-oil, Lobelia chinensis herb, Commiphora myrrha resin, Angelica sinensis root, Borneolum, Chaenomeles lagenaria fruit, Sanguisorba officinalis root, Boswellia carterii resin, Carthamus tinctorius flower. - Feng li, Ma you, Ban bian lian, Mo yao, Dang gui, Bing pian, Mu gua, Di yu, Ru xiang, Hong hua.

Eagle Brand Medicated Oil Used topically as an analgesic.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Rosa rugosa oil, Mineral oil, Chlorophyll, Ethanol, Methyl salicylate, Menthol, Unlisted proprietary ingredients. - Mei gui hua you, Kuang zhi you, Lu ye su, Yi chun, Shui yang suan ja zhi, Bo he nao, Unlisted proprietary ingredients.

77 Hua Tuo Medicated Plaster Used topically for wind, cold damp syndromes.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Cinnamomum cassia bark-oil, Eugenia caryophyllata flower bud-oil, Angelica dahurica root, Drynaria fortunei rhizome, Menthol, Eleutherococos senticosus root, Camphor, Unlisted proprietary ingredients. - Rou gui you, Ding xiang you, Bai zhi, Gu sui bu, Bo he nao, Ci wu jia, Zhang nao, Unlisted proprietary ingredients.

Kwan Loong Oil Used topically for wind, cold damp syndromes.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Lavendula angustifolia oil, Eucalyptus globulus leaf-oil, Mineral oil, Methyl salicylate, Menthol, Unlisted proprietary ingredients. - Fen yi cao you, You jia li you, Kuang zhi you, Shui yang suan ja zhi. Bo he nao, Unlisted proprietary ingredients.

78 Plaster For Bruise Die Da Zhi Tong Gao Used externally for bruises and pain.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Gardenia jasminoides fruit, Mentha haplocalyx herb-oil, Rheum palmatum root, Carthamus tinctorius flower, Os draconis, Eupolyphaga sinensis, Lonicera japonica stem. - Zhi zi, Bo he you, Da huang, Hong hua, Long gu, Tu bie chong, Ren dong teng. Cautions & Contraindications: Avoid use with pregnant women.

Shang Shi Bao Zhen Gao For Wind Cold damp pain, applied locally.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Eugenia caryophyllata flower bud-oil, Mentha haplocalyx herb-oil, Asarum sieboldii herb, Methyl salicylate, Menthol, Camphor, Unlisted proprietary ingredients. - Ding xiang you, Bo he you, Xi xin, Shui yang suan ja zhi, Bo he nao, Zhang nao, Unlisted proprietary ingredients.

79 Shang Shi Zhi Tong Gao For Wind, cold damp Bi syndrome.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Eugenia caryophyllata flower bud-oil, Mentha haplocalyx herb-oil, Asarum sieboldii herb, Methyl salicylate, Menthol, Camphor, Unlisted proprietary ingredients. - Ding xiang you, Bo he you, Xi xin, Shui yang suan ja zhi, Bo he nao, Zhang nao, Unlisted proprietary ingredients.

Tieh Ta Yao Jiu Used for external trauma and bruising, weak.

Dosage & Administration: Apply to affected area, 1-3 x day. Ingredients: Daemonorops draco resin, Typha angustifolia pollen, Paeonia veitchii root, Commiphora myrrha resin, Boswellia carterii resin, Ethanol, Angelica sinensis root, Unlisted proprietary ingredients. - Xue Jie, Pu huang, Chi shao, Mo yao, Ru xiang, Yi chun, Dang gui, Unlisted proprietary ingredients. Cautions & Contraindications: Avoid use in open wounds.

80 Wan Hua Oil Opens the orifices, relieves wind, cold, damp Bi.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Chimonanthus praecox flower, Turpentine oil, Panax notoginseng root, Carthamus tinctorius flower, Drynaria fortunei rhizome. Unlisted proprietary ingredients. - La mei hua, Song zhi you, Tian san qi, Hong hua, Gu sui bu, Unlisted proprietary ingredients. Cautions & Contraindications: Avoid use with pregnant women.

Cordyceps - Dong Chong Xia Cao Dong Chong Xia Cao

Used for trauma to the lungs internally, stops bleeding, tonifies Lungs, increase intake of oxygen. Used in sports to increase performance. Ingredients: Cordyceps sinensis fungus. - Dong chong xia cao.

81 Woodlock Oil / Huo Luo Oil Used for external trauma and wind, damp Bi.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Cinnamomum camphora, Methyl salicylate, Menthol, Unlisted proprietary ingredients. -Zheng mu, Shui yang suan ja zhi, Bo he nao, Unlisted proprietary ingredients. Cautions & Contraindications: Can be too warm for | Yang excess, yin deficient patients.

Yunnan Bai Yao Used mainly for bleeding, engendering the flesh. Also good for knife wounds, bleeding.

Dosage & Administration: Sprinkle on affected area Ingredients: Secret

82 Yunnan Bai Yao External Tincture Used mainly for Wind, cold, damp Bi. Sprayed on topically to move blood.

Dosage & Administration: 1 cup, 1-2 x per day. Ingredients: Secret

Yunnan Bai Yao Plasters Yunnan Bai Yao Used mainly for Wind, cold, damp Bi. Sprayed on topically to move blood.

Dosage & Administration: Apply to affected area as needed. Ingredients: Secret formula.

83 Zheng Gu Shui Correct Bones Liniment Used topically for bruises, internal bleeding, bone and ligament injury.

Dosage & Administration: Apply to affected areas, 3-4 x day. Ingredients: Mentha haplocalyx herb-oil, Camphor, Panax notoginseng root, Dalbergia odorifera wood, Cinnamomum camphora, Angelica sinensis root, Flemingia philippinensis root, Ethanol, Unlisted proprietary ingredients. - Bo he you, Zhang nao, Tian san qi, Jiang xiang, Zheng mu, Dang gui, Qian jin ba, Yi chun, Unlisted proprietary ingredients. Cautions & Contraindications: Not for open wounds.

701 Die Da Zheng Tong Gao Topical patches for sprain, pain and trauma Dosage & Administration: Apply to affected areas, once daily

Ingredients: Proprietary

84 Putting it all together

In Optimal Acupuncture, we select a series of points that go with affected channels. The first thing is to correctly identify which channels are affected, then select the points according to function of points, imaging, holographic pictography, chrono acupuncture time, day, season, or through five element analysis. The flexibility in combining the various pillars is what sets this system of acupuncture apart from modern TCM, or those systems that rely on a combination of Microsystems, or Microsystems alone, or method that interplay a wide variety of points across multiple channels, but serve no rhyme or reason of justifying their use. In sum, Optimal Acupuncture is the system that acts like a roadmap to greater clinical efficacy.

In Optimal Acupuncture, clinical efficacy is the real goal. Application is the guide, and function rules over form. We do not rely on empirical knowledge exclusively. We are a flexible, dynamic system that unites the best of all acupuncture systems and are not bound by any particular method. We also do not have a specific preference of a particular method of acupuncture, as there will be many teachers who can explain their method and it can fit into at least one of the pillars that we teach.

The following lists the methods of applying Optimal Acupuncture in clinical practice.

1. Select the channel(s) that is/are affected.

2. Select any acupoints on that/those channel(s) that pertain to the disease. We

apply the most appropriate Acupuncture point selection strategies according

to skill in means.

For example, if the patient was diagnosed with a Lung Excess condition,

select the Lung (or related Channel), and sedate it. We can also choose the

Acupoints that may sedate Metal.

85 3. Select any secondary channels and treat the channels accordingly to the

secondary disease.

4. Retain the needles for 28.8 minutes.

5. Remove the needles, and check with the patient regarding their signs and

symptoms.

In general, an acute condition may take only a few visits to resolve completely. A chronic disease will certainly take longer. In general, painful conditions should be seen at least 3 times a week, sometimes everyday, if indicated. A chronic disease should be seen at least twice a week for a treatment course of 10 -12 sessions, then tapered down to once a week, then once every 2 weeks, finally ending with a follow up visit once a month until completely resolved. I believe it every medicine has it's proper dosage and that in general, Acupuncturists do not see their patients often enough. The proper dosage of acupuncture is at least 1 treatment every 72 hours.

86 Summary of Points used in Optimal Acupuncture

Jing/Well Lu11 LI1 St 45 Sp1 Ying/Spring Lu10 LI2 St44 Sp2 Shu/Stream Lu9 LI3 St43 Sp3 Yuan Lu9 LI4 St42 Sp3 Lou Lu7 LI6 St40 Sp4 Xi Lu6 LI7 St34 Sp8 Jing/River Lu8 LI5 St41 Sp5 He/Sea Lu5 LI11 St36 Sp9 Ben/Horary Lu8 LI1 St36 Sp3 Mu/Mother Lu9 LI11 St41 Sp2 Zi/Son Lu5 LI2 St45 Sp5

Jing/Well H9 SI1 UB67 K1 Ying/Spring H8 SI2 UB66 K2 Shu/Stream H7 SI3 UB65 K3 Yuan H7 SI4 UB64 K3 Lou H5 SI7 UB58 K4 Xi H6 SI6 UB63 K5 Jing/River H4 SI5 UB60 K7 He/Sea H3 SI8 UB40 K10 Ben/Horary H8 SI5 UB66 K10 Mu/Mother H9 SI3 UB67 K7 Zi/Son H7 SI8 UB65 K1

Jing/Well Pc9 SJ1 GB44 Liv1 Ying/Spring Pc8 SJ2 GB43 Liv2 Shu/Stream Pc7 SJ3 GB41 Liv3 Yuan Pc7 SJ4 GB40 Liv3 Lou Pc6 SJ5 GB37 Liv5 Xi Pc4 SJ7 GB36 Liv6 Jing/River Pc5 SJ6 GB38 Liv4 He/Sea Pc3 SJ10 GB34 Liv8 Ben/Horary Pc8 SJ6 GB41 Liv1 Mu/Mother Pc9 SJ3 GB43 Liv8 Zi/Son Pc7 SJ10 GB38 Liv2

87 Chart of Single Points for Diseases

For Area Point Head Lu7 Face LI3 Eyes Liv2 Mouth St44 Throat SJ2 Neck GB39 Back of Neck UB65 Shoulders Sp9 Scapula Liv6 Upper Back Liv6 Lower Back UB40 Chest Pc6 Abdomen St36 Lower Abdomen St36 Groin Liv3 Hypochondrium GB34 Anus Du26 Gynecological Sp6

88 Orthopedics/Traumatoloqy Treatment Formulary

89 Chinese Medicine for Orthopedics/Traumatoloqy

Headaches In the study of Western Medicine, headaches are generally identified as tension type, cluster, or secondary types. Common types of headaches in Western Medicine include: • Cluster headache 339.00 • tension headache 307.81 • migraine with aura 346.00 • migrane without aura 346.10 • primary thunderclap headache 339.43

In TCM, mostly an herbal paradigm, the study of headaches are those headaches that arise from a secondary cause. They may be classified as headaches that arise from: • Wind cold damp • Wind Cold • Wind heat • Liver Yang Rising • Liver Wind • Sp Qi Deficiency • Blood Deficiency • Or other

For the Acupuncturist, it is the location and channel/image which determines how to treat a headache as well as other diseases. We should not go with memorized lists of points, but rather an understanding of channels and collaterals, to determine our treatment strategy and arrive at a point prescription.

Our careers as Licensed Acupuncturists/Herbalists are made through how astute we are in translating or interpreting the Western Medicine paradigm into our own paradigm of TCM and Acupuncture Channels and Collaterals.

90 Frontal or Temporal Headaches

Acupuncture:

1. Mu Dou (66.07), Mu Liu (66.06) - For Frontal or Temporal Headaches Mu Dou (66.07); Mu Liu (66.06)/ Wood Fight; Wood Remains Location: Mu Dou (66.07) is located 0.5 cun from web margin between 3rd and 4th metatarsal bones. Mu Liu (66.06) is anterior to the junction of the 3rd and 4th metatarsal bones.

2. GB 34, 43

3. St 43, 44, 34

4. Pricking Er Jian

Herbals:

Tong Qiao Huo Xue Tang

Yan Hu Suo Zhi Tong Pian

Tian Ma Gou Teng Yin

Bai Hu Tang

Other: Tui Na, cupping

91 Frontal and Occipital Headaches

Acupuncture:

1. Hai Bao (66.01)/ Sea Leopard Location: This point is found between Sp1 and Sp2 on the junction of the red and white skin.

2. UB 63, 65, 40

3. St 34, 36, 44

Herbals:

Tong Qiao Huo Xue Tang

Yan Hu Suo Zhi Tong Pian

Other: Tui Na, cupping

92 Temporal or Migraine headaches

Acupuncture:

1. Liu Wan (66.08)/ Six Whole and Shui Qu (66.09)/ Water Score Location: Liu Wan (66.08) is found 0.5 cun posterior to GB 43. Shui Qu (66.09) is found just distal to the 4th and 5th Metatarsal junction.

2. Liv 2, 3

3. GB 34, 36

Herbals:

Tian Ma Gou Teng Yin

Long Dan Xie Gan Tang

Gui Zhi Fu Ling Wan

Other: Tui Na, cupping

93 Frontal Headache

Acupuncture:

1. Si Hua Shang (77.08)/ Four Flowers Upper Location: This point is level with St 36, along the tibia. Actually, this is the original location of St 36.

2. St 44, 34

3.

4. Sp 2

5. Liv 2, 3

Herbals:

Bai Hu Tang

Tong Qiao Huo Xue Tang

Yan Hu Suo Zhi Tong Wan

Other: Tui Na, cupping

94 Vertex Headache

Acupuncture:

1. Huo Ying (66.03), Huo Zhu (66.04) Location: Huo Ying (66.03) is 0.5 cun proximal from TCM Liv 2 (posterior to the web margin) between the 1st and 2nd toes, Huo Zhu (66.04) is just distal to the junction of the 1st and 2nd metatarsal bones.

2. GB 41, 43

Herbals:

Long Dan Xie Gan Tang

Tian Ma Gou Teng Yin

Jia Wei Xiao Yao Wan

Other: Tui Na, cupping

95 TMJ and Trigeminal Neuralgia

Acupuncture:

1. Ce San Li (77.22), Ce Xia San Li (77.23) Ce San Li (77.22); Ce Xia San Li (77.23)/ Beside Three Miles; Lower Beside Three Miles Location: Ce San Li (77.22) - Level with St 36, 0.5 cun lateral; Ce Xia San Li (77.23) is 2 cun below Ce San Li (77.22).

2. Mu Dou (66.07); Mu Liu (66.06)

Herbals:

Qian Zheng San

Tian Ma Gou Teng Yin

Bu Yang Huan Wu Tang

Other: Tui Na, pricking Er Jian on the affected side. For Trigeminal Neuralgia Prick and cup Tai Yang point

96 Bell's Palsy

1. Huo Ying (66.03), Huo Zhu (66.04)

2. Si Hua Zhong (77.09) – Bloodlet Si Hua Zhong (77.09)/ Four Flowers Center Location: This point is 4.5 cun below Si Hua Shang (77.08), along the tibia

97 3. Xia San Huang (3 Lower Emperors) consists of three points: Shen Guan (77.18)/ Kidney Gate Location: 1.5 cun below Tian Huang (Sp 9).

Di Huang (77.19)/Earth Emperor Location: 4 cun above Ren Huang (77.21)

Ren Huang (77.21)/Man Emperor Location: 3 cun above the tip of the medial malleolus, along the border of the tibia.

98 4. Si Ma Shang/Zhong/Xia Si Ma Zhong (88.17); Si Ma Shang (88.18); Si Ma Xia (88.19)/ Rapid Horses Middle, Upper, and Lower Location: Si Ma Zhong (88.17) is found 4 fingerbreadths anterior to GB 31, Si Ma Shang (88.18) is 2 cun superior, Si Ma Xia (88.19) is 2 cun inferior.

Herbals:

Qian Zheng San

Tian Ma Gou Teng Yin

Bu Yang Huan Wu Tang

Other: Pricking Ear Apex - 10 drops

99 Cervicalgia

Acupuncture:

1. San Zhong (77.07)

2. Hua Gu Yi (55.02)/ Flower Bone One Location: 4 points between the 1st and 2nd metatarsal bones; The 1st point is 0.5 cun posterior to web, and the 3rd point is posterior to Liv 3.

3. Qi Hu (77.26)

4. UB 60, 63, 65

5. GB 39, 40, 41

100 Herbals:

Die Da Yao Jiu with Tui Na topically

Tong Qiao Huo Xue Tang

Ge Gen Tang

Qiang Huo Sheng Shi Tang

Custom Rx: Tao Hong Si Wu Tang + Ge Gen, Qiang Huo, Jiang Huang

Other: Tui Na methods

101 Thoracic Outlet Syndrome

Acupuncture:

1. Si Hua Shang (77.08)

2. Qi Hu (77.26)

3. UB 40

4. Sp 9

5. GB 34

Herbals:

Die Da Yao Jiu with Tui Na topically

Tong Qiao Huo Xue Tang

Ge Gen Tang

Qiang Huo Sheng Shi Tang

Custom Rx: Tao Hong Si Wu Tang + Ge Gen, Qiang Huo

Other: Tui Na Methods

102 Frozen Shoulder (Adhesive capsulitis)

Acupuncture:

1. Lu 5, prick to bleed 10 drops (no illustration)

2. Shen Guan (77.18) Shen Guan (77.18)/ Kidney Gate Location: 1.5 cun below Tian Huang (Sp 9).

3. Pricking GB 34

4. Zu Wu Jin (77.25), Zu Qian Jin (77.24), electrostim Zu Wu Jin (77.25); Zu Qian Jin (77.24)/ Foot Five Gold; Foot Thousand Gold Location: Zu Qian Jin (77.24) is 0.5 cun lateral to Ce Xia San Li (77.23) and 2 cun below; Zu Wu Jin (77.25) is 2 cun below Zu Qian Jin (77.24)

103 Herbals:

Die Da Yao Jiu with Tui Na topically

Tong Qiao Huo Xue Tang

Ge Gen Tang

Qiang Huo Sheng Shi Tang

Custom Rx: Tao Hong Si Wu Tang + Ge Gen, Qiang Huo

Other:

Prick and let 10 drops out of Ear Apex

104 Rotator Cuff Injury

Acupuncture:

1. GB 34

2. Shen Guan (77.18)

3. Chang Men (33.10) Location: On SI channel, 3 cun proximal from the wrist crease.

Herbals:

Die Da Yao Jiu with Tui Na topically, use rotation method

Ge Gen Tang

Qiang Huo Sheng Shi Tang

Other: 701 Patches, Qi Li San, Die Da San Topically

105 Lateral Epicondylitis, aka Tennis elbow, Epitrochlear bursitis; Epicondylitis - Lateral

Acupuncture:

1. Opposite Side Ashi

2. Jian Zhong (44.06) Jian Zhong (44.06) - Shoulder Center Location: On the LI Channel, at the center of the deltoid muscle, 2.5 cun distal to LI 15.

3. Xin Men (33.12) Xin Men (33.12) - Heart Gate Channel Location: This point is on the SI channel, 1.5 cun distal from the elbow.

4. GB 34

5. Shen Guan (77.18)

106 Herbals:

Die Da Yao Jiu with Tui Na topically

Tong Qiao Huo Xue Tang

Ge Gen Tang

Qiang Huo Sheng Shi Tang

Custom Rx: Tao Hong Si Wu Tang + Ge Gen, Qiang Huo

Custom Rx: Zhu Si Zhou Shang Fang (Chu's Elbow Trauma Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu, Xu Duan 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Ze Lan 10 g Sang Zhi 10 g, Wu Jia Pi 10 g, Qiang Huo 10 g, Du Huo 15 g

All herbs are powdered extract, encapsulate, 6 TID

107 Medial Epicondylitis or Golfer's elbow

Acupuncture:

1. Opposite Side H 3

2. SI 10

3. GB 34

4. Opposite Side Lu 5

5. UB 40

Herbals:

Die Da Yao Jiu with Tui Na topically

Tong Qiao Huo Xue Tang

Ge Gen Tang

Qiang Huo Sheng Shi Tang

Custom Rx: Zhu Si Zhou Shang Fang (Chu's Elbow Trauma Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu, Xu Duan 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Ze Lan 10 g Sang Zhi 10 g, Wu Jia Pi 10 g, Qiang Huo 10 g, Du Huo 15 g

All herbs are powdered extract, encapsulate, 6 TID

108 Sprained Wrist

Acupuncture:

1. GB40

2. St 41

3. Liv 4

4. K3

5. UB 60

Herbals:

Die Da Yao Jiu with Tui Na topically

Tong Qiao Huo Xue Tang

Ge Gen Tang

Qiang Huo Sheng Shi Tang

Custom Rx: Zhu Si Shou Wan Shang Fang (Chu's Hand and Wrist Trauma Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu, Xu Duan 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Ze Lan 10 g Gui Zhi, 10 g, Sang Zhi 10 g, Wu Jia Pi 10 g, Qiang Huo 10 g, Du Huo 15 g

All herbs are powdered extract, encapsulate, 6 TID

109 Thoracic/Lumbar Spine Spondylosis - degeneration of the spine. Spondylolysis - defect in arch of the vertebra. Spondylolisthesis - forward displacement on one vertebra over another.

Acupuncture:

1. GB 34

2. Gan Men (33.11) Gan Men (33.11)/ Liver Gate Location: On SI channel, 6 cun proximal from wrist crease.

3. Liv 6

4. UB 40, 60, 63, 65

5. GB 34, 36, 39

110 Herbals:

Du Huo Ji Sheng Tang Kang Gu Zheng Sheng Pian Custom Rx: Die Da Wai Shang Tang (Fall Strike External Injury Decoction) Hong Hua 6g Chi Shao, Dang Gui 15 g Tao Ren, Mu Xiang, Gan Cao 3 g Zi Ran Tong 1 g

Decoct, drink TID. Chase with wine.

Custom Rx: Shaolin Gu Shang Zhu Fang Jia Jian Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g Du Zhong 15 g, Wu Ling Zhi 15 g

All herbs are powdered extract, encapsulate, 6 TID

111 Lumbar Sprain/Strain

Acupuncture:

1. Ling Gu (22.05), Da Bai (22.04) and points along the UB channel Ling Gu (22.05); Da Bai (22.04)/ Adroit Bone; Big White Location: Ling Gu (22.05) is located at the junction of the first and second metacarpal bones on the LI channel. Da Bai (22.04) is located at LI 3.

2. Wan Shun Yi (22.08), Wan Shun Er (22.09) for Kidney Deficiency Wan Shun Yi (22.08); Wan Shun Er (22.09)/ Wrist Flow 1 and 2 Location: Wan Shun Yi (22.08) - On the lateral side of the 5th metacarpal bone, on the SI channel, 2.5 cun from the wrist crease. Wan Shun Er (22.09) - On the lateral side of the 5th metacarpal bone, on the SI channel, 1.5 cun from the wrist crease.

3. Si Ma San (88.17, 88.18, 88.19)

112 4. San Jiu Li/ Three Nine Miles Zhong Jiu Li (88.25); Shang Jiu Li (88.26); Xia Jiu Li (88.27)/ Know collectively as San Jiu Li/ Three Nine Miles Location: Zhong Jiu Li (88.25) is located at GB 31; Shang Jiu Li (88.26) is 1.5 cun anterior, Xia Jiu Li (88.27) is 1.5 cun posterior to Zhong Jiu Li (88.25).

5. Shui Jin (1010.20), Shui Tong (1010.19), and Shen Guan (77.18) for Kidney deficiency Shui Jin (1010.20); Shui Tong (1010.19)/ Water Metal; Water Through Location: Shui Tong (1010.19) is 0.4 cun below the outer corner of the mouth; Shui Jin (1010.20) is 0.5 cun medial to Shui Tong (1010.19).

6. Er Jiao Ming (11.12) Er Jiao Ming(11.12) / Two Corner Bright Location: On the G line, two points (0.33 cun and 0.66 cun) at the proximal segment of the dorsal middle finger.

113 7. Xia San Huang for deficiency Xia San Huang (3 Lower Emperors) Consists of three points:

Shen Guan (77.18)/ Kidney Gate Location: 1.5 cun below Tian Huang (Sp 9).

Di Huang (77.19)/Earth Emperor Location: 4 cun above Sp 6

Ren Huang (77.21)/Man Emperor Location: 3 cun above the tip of the medial border of the tibia

8. Zhong Bai (22.06) Zhong Bai (22.06)/ Middle White Location: This point is located at 0.5 cun proximal from SJ 3.

114 9. Ling Gu (22.05), Da Bai (22.04), UB 40, UB 63, San Zhong (77.07)

Ling Gu (22.05) Da Bai (22.04) UB 40, 63 San Zhong (77.07)

115 Herbals:

Du Huo Ji Sheng Tang

Kang Gu Zheng Sheng Pian

Yao Tong Pian

Si Teng Su

Custom Rx: Xi Yao Fang Er (Herbal Bath Remedy II) Mu Gua, Du Zhong, Niu Xi, Qin Jiao, Han Fang Ji, Bai Zhu 9 g Gou Teng 6 g Sang Zhi 12 g Use powders and 100 g of grain alcohol added to bath for Wind Cold Damp in lumbar and leg region.

Custom Rx: Zheng Gu Tang Yao (Correct Bone Decoction Herbals) Dang Gui, Qiang Huo, Hong Hua, Bai Zhi, Ru Xiang, Mo Yao, Gu Sui Bu, Fang Feng, Mu Gua, Chuan Jiao, Bu Gu Zhi, Xu Duan 12g Place all herbals in cloth bags, then steam. Apply on affected area. Moves blood, relaxes muscles and tendons.

Other:

Tui Na, with Die Da Jiu

Pricking, Cupping

Manipulation of Lumbar region

116 Trauma to Rib Cage - From Motor Vehicle Accident, blunt force trauma, fights, falls

Acupuncture:

1. Gan Men (33.11), GB 34 Gan Men (33.11)/ Liver Gate Location: On SI channel, 6 cun from wrist crease.

2. Si Ma San (88.17, 88.18, 88.19)

3. Zhong Bai (22.06) Zhong Bai (22.06)/ Middle White Location: This point is located at 0.5 cun proximal from SJ 3. Traditionally, it was said in the Zhen Jiu Da Cheng (Great Compendium of Acupuncture and Moxibustion) that SJ 3 was indicated for pain behind the heart.

117 Herbals:

Die Da Yao Jiu with Tui Na topically - Rou Fa

Fu Yuan Huo Xue Tang

Xue Fu Zhu Yu Tang

Qiang Huo Sheng Shi Tang

Custom Rx: Xiao Zhong Zhi Tong Gao (Stop swelling and pain paste) Jiang Huang, Qiang Huo, Gan Jiang, Zhi Zi, Mo Yao, Ru Xiang 1 portion

Custom Rx: Wai Yong Jie Gu Gao (External Use Join Bones Paste) Zi Ran Tong, Ru Xiang, Mo Yao 30 g Ren Zhong Bai 45 g Xue Jie 6 g Wu Bei Zi 90 g Grind herbs and mix with urine, and a small amount of vinegar to make a paste, then spread on gauze and apply to affected area. Joins bones, repairs sinews and ligaments.

Custom Rx: Qi Li San (7 Taels Powder) Xue Jie 30 g She Xiang, Bing Pian 0.4 g Ru Xiang, Mo Yao, Hong Hua, 4.5 g Zhu Sha 3.6 g Er Cha 7.2 g Powder all ingredients, and use 0.25 - 1.25 g each dose internally with wine. Can also be applied externally. Removes blood stasis, stops pain and bleeding. Grind all herbs into a powder, then mix with Vaseline to form a paste, apply on affected area. Removes blood stasis, subdues swelling, alleviates pain.

118 Trauma to Chest - From Motor Vehicle Accident, blunt force trauma, blow, fall

Acupuncture:

1. Pc 6 (No illustration)

2. Si Ma San (88.17, 88.18, 88.19)

3. Shui Jin (1010.20), Shui Tong (1010.19) Shui Jin (1010.20); Shui Tong (1010.19)/ Water Metal; Water Through Location: Shui Tong (1010.19) is 0.4 cun below the outer corner of the mouth; Shui Jin (1010.20) is 0.5 cun medial to Shui Tong (1010.19).

4. Xin Ling - 3 points on the Pc Channel Location: between tendons of m. palmaris longus and m. flexor radialis, the first point is 1.5 cun above transverse crease of wrist. The other two points are 1.0 cun and 2.0 cun respectively above this point.; Shui Jin (1010.20) is 0.5 cun medial to Shui Tong (1010.19).

5. Shang Bai (22.03)/ Upper White Location: This point is located at the TCM point Lou Zhen (Fallen Pillow) - 0.5 cun proximal from the 2nd and 3rd metacarpals.

119 6. Shui Xiang (66.14)/ Water Image Location: This point is located at K 3.

Herbals:

Die Da Yao Jiu with Tui Na topically

Xue Fu Zhu Yu Tang

Fu Yuan Huo Xue Tang Custom Rx: Tao Hong Si Wu Tang + Xiao Huo Luo Dan + Chai Hu 10 g, Zhi Ke 10 g

Custom Rx: Shaolin Gu Shang Zhu Fang Jia Jian Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g Chai Hu, Huang Qin, Zhi Ke 10 g

120 Trauma to the Abdominal Area

Acupuncture:

1. Si Ma San (88.17, 88.18, 88.19) Si Ma Zhong (88.17); Si Ma Shang (88.18); Si Ma Xia (88.19)/ Rapid Horses Middle, Upper, and Lower Location: Si Ma Zhong (88.17) is found 4 fingerbreadths anterior to GB 31, Si Ma Shang (88.18) is 2 cun superior, Si Ma Xia (88.19) is 2 cun inferior.

2. Pc 6

3. Men Jin (66.05)/ Door Gold Location: at St 42.

4. Chang Men (33.10)/ Intestine Gate Location: On the SI channel, 3 cun from wrist crease.

5. Qu Ling (33.16)/ Score mound Location: At Lu 5.

121 Herbals:

Die Da Yao Jiu with Tui Na topically

Shao Fu Zhu Yu Tang

Ge Xia Zhu Yu Tang

Fu Zi Li Zhong Wan

Custom Rx: Tao Hong Si Wu Tang + Xiao Huo Luo Dan

Custom Rx: Shaolin Duo Ming San (Seizing Life Powder from Shaolin)

Cao Wu, Ru Xiang, Mo Yao, Xue Jie, Zi Ran Tong equal parts Save as a powder, then take 6g with wine. Indicated in emergencies of traumatic injury.

122 Carpal Tunnel Syndrome

Acupuncture:

1. Wu Hu (11.27) 1, 2 Wu Hu (11.27)/ Five Tigers Location: On the A line of the thumb, along the radial aspect of the proximal segment of the palmar thumb, the 5 points are equidistant. Wu Hu 1 and 2 are most distal.

2. Ce San Li (77.22), Ce Xia San Li (77.23)

3. Zu Wu Hu 1,2/ Foot Five Tigers Location: These points are discovered by Robert Chu. These are 5 points equidistant found at the proximal segment of the big toes distal to Sp 2 on the junction of the red and white skin. The 1st and 2nd points are the most distal.

123 4. Mu Dou (66.07), Mu Liu (66.06)

5. GB 40, Liv 4 combination on opposite side

Herbals:

Die Da Yao Jiu with Tui Na topically

Juan Bi Tang

Custom Rx: Shaolin Gu Shang Zhu Fang Jia Jian Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g Gui Zhi 15 g, Wu Jia Pi 10g, Sang Zhi 10 g, Du Huo 15 g

124 Sciatica and Piriformis Syndrome Chinese Medicine because of its broad spectrum application, treats both Sciatica and Piriformis Syndrome as the same.

Acupuncture:

1. Ling Gu (22.05), Da Bai (22.04), GB 34, 36, 39 Ling Gu (22.05); Da Bai (22.04)/ Adroit Bone; Big White Location: Ling Gu (22.05) is located just distal to the junction of the first and second metacarpal bones on the LI channel. Da Bai (22.04) is located at LI 3.

Ling Gu (22.05) Da Bai (22.04) GB 34, 36, 39

2. Liu Wan (66.08)/ Six Whole Location: 0.5 cun proximal from GB 43.

125 3. Bi Yi (1010.22)/ Nasal wing Location: Located at the superior depression of the ala nasi.

4. UB 40 5. Ma Jin Shui (1010.13); Ma Kuai Shui (1010.14)/ Horse Gold Water; Horse Fast Water Location: Ma Jin Shui (1010.13) is below the outer canthus, at the lower border of the zygomatic bone. Ma Kuai Shui (1010.14) is located 0.4 cun below Ma Jin Shui (1010.13).

Herbals:

Du Huo Ji Sheng Tang

Kang Gu Zheng Sheng Pian

Zu Gu Zhi Tong Pian

Yao Tong Pian

Custom Rx: Shaolin Gu Shang Zhu Fang Jia Jian Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g Du Zhong 15 g, Wu Ling Zhi 15 g, Xu Duan 10 g, Bu Gu Zhi 20 g

126 Hip Strain (ICD-9 843.9) and Bursitis of the Hip

Acupuncture:

1. H 5

2. GB 34

3. Liu Wan (66.08)/ Six Whole

4. SI 13, 14

5. UB 43

Herbals:

Die Da Yao Jiu with Tui Na topically

Xiao Huo Luo Dan

Fu Yuan Huo Xue Tang

Si Teng Su

Du Huo Ji Sheng Tang

127 Zu Gu Sheng Jing Tong Wan

Yao Tong Wan

Kang Gu Zeng Sheng Pian

Shu Jin Huo Xue Tang

Custom Rx: Tao Hong Si Wu Tang + Fu Yuan Huo Xue Tang + Niu Xi, Du Huo

Custom Rx: Shaolin Gu Shang Zhu Fang Jia Jian Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g Du Huo 15 g, Mu Gua 10 g, Du Zhong 15 g, Wu Ling Zhi 15 g, Xu Duan 10 g, Bu Gu Zhi 20 g

128 Iliotibial Band Syndrome

Acupuncture:

1. SJ 14

2. Du 26

3. Zheng Hui (1010.01) Location: at Du 20.

4. Zhou Shui (1010.25)/ Prefecture Water Location: 2 points - 1st point is at the center of the EOP; the 2nd point is 0.8 cun superior.

Herbals: Die Da Yao Jiu with Tui Na topically Shu Jin Huo Xue Tang Du Huo Ji Sheng Wan

Custom Rx: Huo Luo Tie Yao Gao (Herbal Plaster for Activating Channels) Ru Xiang 3 g Mo Yao, Wei Ling Xian, Jiang Huang, Du Huo, Xiang Fu 1.5 g Er Cha 9 g Powder herbs then mix with liquid to make a paste, then spread on cloth and heated, to be placed on affected area. Moves blood, eliminates dampness.

129 Custom Rx: Huo Xue Shu Jin Tang Jia Jian Dang Gui, Dan Shen 15 g Ji XueTeng 18 g Hong Hua, Qing Pi, Wei Ling Xian, Jiang Huang, Du Huo, Qiang Huo, Niu Xi 9 g SangZhi 12 g Decoct and take orally TID. Tonifies Blood, relaxes muscles and tendons, removes obstruction of the Jing Luo

130 Hip Capsulitis

Acupuncture:

1. GB 34, 36

2. GB 41, SJ 5

3. GB 40, SJ 14

4. Ling Gu (22.05), Da Bai (22.04), GB 34, 36, 39 combination

Herbals:

Die Da Yao Jiu with Tui Na topically

Zu Gu Shen Jing Tong Wan

Du Huo Ji Sheng Tang

Custom Rx: Xu Gu Huo Xue Tang Jia Jian Hong Hua, Tu Bie Chong, Ru Xiang, Mo Yao 6 g Bai Shao, Chi Shao, Zi Ran Tong 10 g Xu Duan, Gu Sui Bu, Dang Gui Wei 12 g Sheng Di Huang 15 g DuHuo 10 g, NiuXi 10 g Decoct and take internally per oral TID. Joins Bone, Stops Bleeding, moves blood

131 Perthes' Disease, aka Legg-Calve-Perthes disease, Coxa plana

Acupuncture:

1. Jian Zhong (44.06)

2. Prick and cup SJ 14, SJ 15

3. San Jiu Li/ Three Nine Miles

Herbals:

Die Da Yao Jiu with Tui Na topically

Zu Gu Shen Jing Tong Wan

Du Huo Ji Sheng Tang

Custom Rx: Xu Gu Huo Xue Tang Jia Jian Hong Hua, Tu Bie Chong, Ru Xiang, Mo Yao 6 g Bai Shao, Chi Shao, Zi Ran Tong 10 g Xu Duan, Gu Sui Bu, Dang Gui Wei 12 g Sheng Di Huang 15 g Du Huo 10 g, NiuXi 10 g Decoct and take internally per oral TID. Joins Bone, Stops Bleeding, moves blood

132 Osteoarthritis of Hip

Acupuncture:

1. Jian Zhong (44.06)

2. SJ 14

3. Shang Jiu Li (88.26)

4. GB 34, 36, 39

5. GB 41, 43

Herbals:

Die Da Yao Jiu with Tui Na topically

Du Huo Ji Sheng Tang

Zu Gu Sheng Jing Tong Wan

Kang Gu Zeng Sheng Pian

Shen Tong Zhu Yu Tang

Custom Rx: Shen Tong Zhu Yu Tang Jia Jian Qian Jiao, Xiang Fu, Qiang Huo 3 g Chuan Xiong, Gan Cao, Mo Yao, Di Long, Wu Ling Zhi, 6 g Tao Ren, Hong Hua, Niu Xi, Dang Gui 9 g Du Huo, Ji Xue Teng, Ye Jiao Teng, Shen Jin Cao 9 g

133 Osteoporosis

Acupuncture:

1. Xia San Huang (77.18, 77.19, 77.21)

2. UB 40, 63, 65

3. K 3, 5, 6

4. GB 34, 36, 39

5. GB 41, 43

6. Wai San Guan (77.27) Wai San Guan (77.27) - External Three Gates Location: 3 points on the Gallbladder Channel, start by drawing an imaginary line between the head of the fibula and the tip of the lateral malleolus, the 2nd point is the mid point, the upper point is the midpoint between the 2nd point and the head of the fibula; the lower point is the midpoint between the 2nd point and the tip of the lateral malleolus.

134 Herbals:

Die Da Yao Jiu with Tui Na topically

Du Huo Ji Sheng Tang

Qiang Huo Sheng Shi Tang

Custom Rx: Jie Gu Dan Dang Gui Wei 120g Ru Xiang, Mo Yao, Zi Ran Tong, Gu Sui Bu, Tao Ren, Da Huang, Xiong Huang, Bai Ji 30 g Xue Jie, Tu Bie Chong, San Qi, Chi Shao, Hong Hua, Er Cha 15 g Bing Pian, Zhu Sha 6 g She Xiang 1.5 g All herbs are ground and made into capsules, take 6-8 capsules TID. Removes blood stasis, repairs fracture and tissues.

Custom Rx: Xu Gu Huo Xue Tang Hong Hua, Tu Bie Chong, Ru Xiang, Mo Yao 6 g Bai Shao, Chi Shao, Zi Ran Tong 10 g Xu Duan, Gu Sui Bu, Dang Gui Wei 12 g Sheng Di Huang 15 g Decoct and take internally per oral TID. Joins Bone, Stops Bleeding, moves blood

Other: Encourage patient to exercise with weights, more walking, Tai Ji Quan, Yoga, Qi Gong

Zhan Zhuang Exercises

135 Coccyx Pain

Acupuncture:

1. Du 26

2. Zhou Shui (1010.25)

3. UB 40

4. Bi Yi (1010.22)

5. Du 25

6. Yin Tang

Herbals:

Die Da Yao Jiu with Tui Na topically

Du Huo Ji Sheng Wan

Zu Gu Sheng Jing Tong Wan

Custom Rx: Qi Li San (7 Taels Powder) Xue Jie 30 g She Xiang, Bing Pian 0.4 g Ru Xiang, Mo Yao, Hong Hua, 4.5 g Zhu Sha 3.6 g Er Cha 7.2 g

136 Powder all ingredients, and use 0.25 - 1.25 g each dose internally with wine. Can also be applied externally. Removes blood stasis, stops pain and bleeding.

Custom Rx: Ru Yi Jin Huang San Tian Hua Fen 50 g Huang Bai, Da Huang, Jiang Huang, Bai Zhi 25 g Huo Po, Chen Pi, Cang Zhu, Gan Cao, Tian Nan Xing 10 g Use as a paste externally with Vaseline or Cold Cream, bee's wax or other medium. Clears Heat, Removes toxins, Reduces swellings, stops pain

137 Knee Sprain ACL (anterior cruciate ligament) Injuries PCL (posterior cruciate ligament) Injuries MCL (medial collateral ligament) Injuries

Acupuncture:

1. Jian Zhong (44.06)

2. Huo Ying (66.03), Huo Zhu (66.04)

3. Xin Ling - 3 points on the Pc Channel

4. Xin Men (33.12)

5. Lu 5

6. Pc 3

138 Herbals:

Die Da Yao Jiu with Tui Na topically

Du Huo Ji Sheng Wan

Custom Rx: Zhu Si Xi Shang Fang (Chu's Knee Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Du Huo, Ze Lan 10 g SangZhi 12 g All herbs are powdered extract, encapsulate, 6 TID

139 Synovitis - KNEE SYNOVITIS WITH EFFUSION ("Water on the Knee")

Acupuncture:

1. Xia San Huang (77.18, 77.19, 77.21)

2. Huo Ying (66.03), Huo Zhu (66.04)

3. Jian Zhong (44.06)

4. Lu 5, 6

140 Herbals:

Die Da Yao Jiu with Tui Na topically

Wu Ling San

Wu Pi San

Bu Zhong Yi Qi Tang

Custom Rx: Shaolin Gu Shang Zhu Fang Jia Jian Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g NiuXi, 10 g

Custom Rx: Zhu Si Xi Shang Fang (Chu's Knee Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Du Huo, Ze Lan 10 g Sang Zhi 12 g All herbs are powdered extract, encapsulate, 6 TID

Custom Rx: Xiao Zhong Zhi Tong Gao (Stop swelling and pain paste) Jiang Huang, Qiang Huo, Gan Jiang, Zhi Zi, Mo Yao, Ru Xiang 1 portion Grind all herbs into a powder, then mix with Vaseline to form a paste, apply on affected area. Removes blood stasis, subdues swelling, alleviates pain.

Custom Rx: Zheng Gu Tang Yao (Correct Bone Decoction Herbals) Dang Gui, Qiang Huo, Hong Hua, Bai Zhi, Ru Xiang, Mo Yao, Gu Sui Bu, Fang Feng, Mu Gua, Chuan Jiao, Bu Gu Zhi, Xu Duan 12g Place all herbals in cloth bags, then steam. Apply on affected area. Moves blood, relaxes muscles and tendons.

141 Dislocation of Patella and Chondromalacia Patellae

Acupuncture:

1. Jian Zhong (44.06)

2. Huo Ying (66.03), Huo Zhu (66.04)

3. Xin Ling - 3 points on the Pc Channel

142 Herbals:

Die Da Yao Jiu with Tui Na topically

Custom Rx: Wai Yong Jie Gu Gao (External Use Join Bones Paste) Zi Ran Tong, Ru Xiang, Mo Yao 30 g Ren Zhong Bai 45 g Xue Jie 6 g Wu Bei Zi 90 g Grind herbs and mix with urine, and a small amount of vinegar to make a paste, then spread on gauze and apply to affected area. Joins bones, repairs sinews and ligaments.

Custom Rx: Zhu Si Xi Shang Fang (Chu's Knee Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Du Huo, Ze Lan 10 g SangZhi 12 g All herbs are powdered extract, encapsulate, 6 TID

143 Osgood-Schlatter Disease (Osteochondritis Dissecans)

Acupuncture:

1. Lu 5

2. LI 11

3. Pc 6

4. Huo Ying (66.03), Huo Zhu (66.04)

5. Xin Ling - 3 points on the Pc Channel

6. Jian Zhong (44.06)

144 Herbals:

Die Da Yao Jiu with Tui Na topically

Custom Rx: Wai Yong Jie Gu Gao (External Use Join Bones Paste) Zi Ran Tong, Ru Xiang, Mo Yao 30 g Ren Zhong Bai 45 g Xue Jie 6 g Wu Bei Zi 90 g Grind herbs and mix with urine, and a small amount of vinegar to make a paste, then spread on gauze and apply to affected area. Joins bones, repairs sinews and ligaments.

Custom Rx: Zhu Si Xi Shang Fang (Chu's Knee Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Du Huo, Ze Lan 10 g SangZhi 12 g All herbs are powdered extract, encapsulate, 6 TID

145 Peripheral Neuropathy of Legs

Acupuncture: 1. Si Ma San - Si Ma Zhong (88.17); Si Ma Shang (88.18); Si Ma Xia (88.19)/ Chariot Horses Middle, Upper, and Lower.

2. Wu Hu (11.27) 3, 5 Wu Hu (11.27)/ Five Tigers Location: On the A line of the thumb, along the radial aspect of the proximal segment of the palmar thumb, the 5 points are equidistant.

3. Wai San Guan (77.27)

146 4. Huo Shan (33.06), Huo Fu Hai (33.07) Huo Shan (33.06)/ Fire Mountain Location: On SJ channel, 6.5 cun proximal from wrist crease, along the medial border of the ulna. Huo Fu Hai (33.07)/ Fire Appendage Sea Location: On SJ channel, 8.5 cun proximal from wrist crease, along the medial border of the ulna.

5. Zu Wu Hu 3, 5 Zu Wu Hu 1-5/ Foot Five Tigers Location: These points are discovered by Robert Chu. These are 5 points equidistant found at the proximal segment of the big toes distal to Sp 2 on the junction of the red and white skin.

6. GB 34, 36, 39

147 Herbals:

Die Da Yao Jiu with Tui Na topically Shu Jin Huo Xue Tang

Si Teng Su

Custom Rx: Shaolin Gu Shang Zhu Fang Jia Jian Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g Du Huo 10 g, Xue Jie 10 g, Chuan Wu 10 g Cao Wu 10 g Niu Xi 10 g Xue Jie 5 g, Mu Gua 15 g Qiang Huo 10 g, Ze Lan 10 g

148 Ankle Sprain and Fracture of Ankle

Acupuncture:

1. Wu Hu (11.27) 4, 5

2. Zu Wu Hu 4, 5/ Foot Five Tigers

3. Xiao Jie (A.05) Xiao Jie (A.05)/ Small Joint Location: On the A line of the thumb, at the junction of the base of the thumb and first metacarpal bone. It is needled transversely towards Lu10.

149 Herbals:

Die Da Yao Jiu with Tui Na topically

701 Patches

Ge Gen Tang

Evergreen Knee/Ankle Rx

Custom Rx: Zhu Si Huai Bu Shang Fang (Chu's Ankle Area Trauma Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu, Xu Duan 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Du Huo, Ze Lan 10 g SangZhi 12 g All herbs are powdered extract, encapsulate, 6 TID

150 Ruptured Achilles Tendon

Acupuncture:

1. Wu Hu (11.27) 4, 5

2. Zu Wu Hu 4, 5/ Foot Five Tigers

3. Xiao Jie (A.05)

4. GB 34, 43

151 Herbals:

Die Da Yao Jiu with Tui Na topically

Shu Jin Huo Xue Tang Custom Rx: Die Da Wai Shang Tang (Fall Strike External Injury Decoction) Hong Hua 6g Chi Shao, Dang Gui 15 g Tao Ren, Mu Xiang, Gan Cao 3 g Zi Ran Tong 1 g Decoct, drink TID. Chase with wine. Custom Rx: Zhu Si Huai Bu Shang Fang (Chu's Ankle Area Trauma Rx): Dang Gui, Dan Shen 15 g Ru Xiang, Mo Yao, Su Mu, Xu Duan 9 g Ji Xue Teng, Huai Niu Xi 18 g Hong Hua, Qing Pi, Wei Ling Xian, Sheng Di Huang, all 9 g Du Huo, Ze Lan 10 g SangZhi 12 g All herbs are powdered extract, encapsulate, 6 TID

Custom Rx: Wai Yong die Gu Gao (External Use Join Bones Paste) Zi Ran Tong, Ru Xiang, Mo Yao 30 g Ren Zhong Bai 45 g Xue Jie 6 g Wu Bei Zi 90 g Grind herbs and mix with urine, and a small amount of vinegar to make a paste, then spread on gauze and apply to affected area. Joins bones, repairs sinews and ligaments.

Custom Rx: Xiao Zhong Zhi Tong Gao (Stop swelling and pain paste) Jiang Huang, Qiang Huo, Gan Jiang, Zhi Zi, Mo Yao, Ru Xiang 1 portion Grind all herbs into a powder, then mix with Vaseline to form a paste, apply on affected area. Removes blood stasis, subdues swelling, alleviates pain.

152 Tarsal Tunnel Syndrome

Acupuncture:

1. Wrist image points (Lu 9, LI 5, SJ 4, Pc 7, SI 5, H 7)

2. Wu Hu (11.27) 4, 5 Wu Hu (11.27)/ Five Tigers Location: On the A line of the thumb, along the radial aspect of the proximal segment of the palmar thumb, the 5 points are equidistant.

3. UB 40

Herbals:

Die Da Yao Jiu with Tui Na topically

Custom Rx: Shaolin Gu Shang Zhu Fang Jia Jian Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g Niu Xi 10 g, Mu Gua 10 g, Ze Lan 10 g

Custom Rx: Jie Gu Dan Dang Gui Wei 120g Ru Xiang, Mo Yao, Zi Ran Tong, Gu Sui Bu, Tao Ren, Da Huang, Xiong Huang, Bai Ji 30 g Xue Jie, Tu Bie Chong, San Qi, Chi Shao, Hong Hua, Er Cha 15 g Bing Pian, Zhu Sha 6 g She Xiang 1.5 g All herbs are ground and made into capsules, take 6-8 capsules TID. Removes blood stasis, repairs fracture and tissues.

153 Custom Rx: Huo Xue Shu Jin Tang Dang Gui, Dan Shen 15 g Ji Xue Teng 18 g Hong Hua, Qing Pi, Wei Ling Xian 9 g Jiang Huang, Qiang Huo, Niu Xi 9 g Sang Zhi 12 g Decoct and take orally TID. Tonifies Blood, relaxes muscles and tendons, removes obstruction of the Jing Luo

Custom Rx: Shu Jin Zhi Tong Shui (Relax Tendons, Stop Pain Liniment) San Qi Fen, San Leng, 18 g Hong Hua, Zhang Nao 30 g Cao Wu, Chuan Wu, Wu Jia Pi, Mu Gua, Niu Xi, Dang Gui Wei 10 g Soak herbs in gin or vodka for 1 month, then apply liniment externally on affected area TID. Relaxes muscles and tendons, moves blood, stops pain.

Custom Rx: Huo Xue Zhi Tong San Dang Gui Wei, Hong Hua, Su Mu, Bai Zhi, Jiang Huang, Wei Ling Xian, Qiang Huo, Wu Jia Pi, Hai Tong Pi, Niu Xi, Chuan Lian Zi, Tu Fu Ling 15 g Ru Xiang 6 g Hua Jiao 9 g Gu Sui Bu 30 g Decoct herbs and then use as a lotion or compress on affected area

Custom Rx: XI Yao Fang Chuan Wu, Cao Wu, Hua Jiao, Ai Ye, Cang Zhu, Du Huo, Gui Zhi, Fang Feng, Hong Hua, Gu Sui Bu, Shen Jin Cao 9 g Decoct herbs, then apply cooled decoction over affected area as a lotion, or compress. Warms Jing Luo, clears cold, relaxes muscles and tendons, dredges channels, moves blood, stops pain.

Custom Rx: Zheng Gu Tang Yao (Correct Bone Decoction Herbals) Dang Gui, Qiang Huo, Hong Hua, Bai Zhi, Ru Xiang, Mo Yao, Gu Sui Bu, Fang Feng, Mu Gua, Chuan Jiao, Bu Gu Zhi, Xu Duan 12g Place all herbals in cloth bags, then steam. Apply on affected area. Moves blood, relaxes muscles and tendons.

154 Top of Foot Pain

Acupuncture:

1. Wu Hu (11.27) 4 Wu Hu (11.27)/ Five Tigers Location: On the A line of the thumb, along the radial aspect of the proximal segment of the palmar thumb, the 5 points are equidistant.

2. Shang Bai (22.03) Shang Bai (22.03)/ Upper White Location: This point is located at the TCM point Lou Zhen (Fallen Pillow) - 0.5 cun proximal from the 2nd and 3rd metacarpals.

3. Zhong Bai (22.06) Zhong Bai (22.06)/ Middle White Location: This point is located at SJ 3.

155 Herbals:

Die Da Yao Jiu with Tui Na topicall

Custom Rx: Shaolin Gu Shang Zhu Fang Jia Jian Dang Gui, Zi Ran Tong, 20 g Tao Ren, Di Long, Huang Bai, Ru Xiang, Mo Yao, Chen Pi 10 g Chi Shao, Bing Lang 15 g Hong Hua 5 g Gan Cao 3 g Niu Xi 10 g, Mu Gua 10 g, Ze Lan 10 g

Custom Rx: Zheng Gu Tang Yao (Correct Bone Decoction Herbals) Dang Gui, Qiang Huo, Hong Hua, Bai Zhi, Ru Xiang, Mo Yao, Gu Sui Bu, Fang Feng, Mu Gua, Chuan Jiao, Bu Gu Zhi, Xu Duan 12g Place all herbals in cloth bags, then steam. Apply on affected area. Moves blood, relaxes muscles and tendons.

156 Plantar Fasciitis/Heel Spur

Acupuncture:

1. Opposite Side Shui Xiang (66.14), Shui Xian (66.15) Shui Xiang (66.14)/ Water Image Location: This point is located at K3. Shui Xian (66.15)/ Water Sprite Location: This point is located at 2 cun below K3.

2. UB 40 Bloodlet Ipsolateral side

3. Mu Guan, Gu Guan, Zhong Guan - these three points are on the palm of the hand Mu Guan is found at 1 cun distal from the wrist crease on the palm intersecting with an imaginary line extending between the 3rd and 4th digits Gu Guan is located at 1 cun above the wrist crease on the palm intersecting with an imaginary line extending between the 2nd and 3rd digits Zhong Guan is between both Mu Guan and Gu Guan. Refer to diagram below:

4. Wu Hu (11.27) 5 Wu Hu (11.27)/ Five Tigers Location: On the A line of the thumb, along the radial aspect of the proximal segment of the palmar thumb, the 5 points are equidistant.

5. Zu Wu Hu 5/ Foot Five Tigers

6. UB 40

7. San Jiu Li/ Three Nine Miles

157 Herbals:

Die Da Yao Jiu with Tui Na topically

Custom Rx: Xi Yao Fang Yi (Herbal Bath Remedy I) Mu Gua 9 g Qin Jiao, Fang Feng, Fang Ji, Shen Jing Cao, Bai Zhi 6 g Use powders and dissolve in bath for Wind - damp hand and foot Bi. Other: Foot roller exercise followed by Warm compresses or soaks

158 Gout

Acupuncture:

1. Wu Hu (11.27) 3, 4 Wu Hu (11.27)/ Five Tigers Location: On the A line of the thumb, along the radial aspect of the proximal segment of the palmar thumb, the 5 points are equidistant.

2. Zu Wu Hu 3, 4/ Foot Five Tigers

3. Prick affected area - usually Liv 1, 2, 3, Sp 1, 2, 3, St 45, 44, 43

Herbals:

Die Da Yao Jiu with Tui Na topically

Custom Rx: XI Yao Fang Yi (Herbal Bath Remedy I) Mu Gua 9 g Qin Jiao, Fang Feng, Fang Ji, Shen Jing Cao, Bai Zhi 6 g Use powders and dissolve in bath for Wind - damp hand and foot Bi.

Custom Rx: Xi Yao Fang Chuan Wu, Cao Wu, Hua Jiao, Ai Ye, Cang Zhu, Du Huo, Gui Zhi, Fang Feng, Hong Hua, Gu Sui Bu, Shen Jin Cao 9 g Decoct herbs, then apply cooled decoction over affected area as a lotion, or compress. Warms Jing Luo, clears cold, relaxes muscles and tendons, dredges channels, moves blood, stops pain.

159 Custom Rx: Huo Xue Zhi Tong San Dang Gui Wei, Hong Hua, Su Mu, Bai Zhi, Jiang Huang, Wei Ling Xian, Qiang Huo, Wu Jia Pi, Hai Tong Pi, Niu Xi, Chuan Lian Zi, Tu Fu Ling 15 g Ru Xiang 6 g Hua Jiao 9 g Gu Sui Bu 30 g Decoct herbs and then use as a lotion or compress on affected area

Other:

Foot roller exercise, followed by Warm compresses or soaks

160 Optimal Acupuncture for Traumatology and Orthopedics Formulary:

Head Trauma - 1. Ce San Li (77.22), Ce Xia San Li (77.23) - For Frontal or Temporal Head Trauma 2. San Jiu Li/ Three Nine Miles - For Temporal, Occipital head trauma 3. St 36, St 44 - For Frontal Head trauma 4. Liv 2, 3 for Vertex Head trauma 5. GB 34, 43 for Temporal Head trauma

Facial Pain - 1. Men Jin (66.05) 2. St 43, 44

Jaw Pain - 1. Ce San Li (77.22), Ce Xia San Li (77.23) 2. GB 34, 39

Neck Pain - 1. GB 34, 39 2. UB 60, 40

Shoulder Pain - 1. Shen Guan (77.18) 2. GB 34, 39 3. St 36, 41

Frozen Shoulder - 1. Lu 5 Bloodlet, Shen Guan (77.18) 2. St 36, 41 Bloodlet 3. GB 34, 39 4. Liv 3, 6

Mid Back Pain- 1. GB 34, 36 2. Gan Men 3. Liv 3, 6 4. UB 40, UB 63

161 Low Back Pain - 1. Ling Gu (22.05), Da Bai (22.04), UB 63, 65, 40 2. Si Ma San (88.17, 88.18, 88.19) 3. GB 34, 43 4. Shui Jin (1010.20), Shui Tong (1010.19) for kidney deficiency 5. SJ 3, 5

Rib Cage Pain - 1. Gan Men (33.11), GB 34 2. Si Ma San (88.17, 88.18, 88.19) 3. GB 34, 40

Chest Pain - 1. Pc 6 2. Si Ma San (88.17, 88.18, 88.19) 3. St 36, 43 4. Shui Jin (1010.20), Shui Tong (1010.19) 5. Lu 5, 6

Abdominal Pain - 1. Si Ma San (88.17, 88.18, 88.19) 2. Pc 6, 3 3. St 36, 37, 44 4. Chang Men (33.10) 5. Lu 5, 6

Carpal Tunnel Syndrome - 1. Wu Hu (11.27)1,2 2. Liv 4, GB 40 3. Lu 5, 6 4. Mu Dou (66.07), Mu Liu (66.06)

Sciatic Pain - 1. Ling Gu (22.05), Da Bai (22.04), GB40 2. UB 40, 63 3. GB 34, 43

Hip Pain to the Side - 1. H 5, 3 2. GB 34, 40 3. SI 13, 14 4. UB 43, 40

162 Biceps Femoris Pain - 1. Lu 3, 4

Buttocks Pain - 1. SJ 14 2. Du 26

Coccyx Pain - 1. Du 26 2. UB 40

Knee Pain- 1. Jian Zhong (44.06) 2. Lu 5 3. LI 11 4. Pc 6 5. Liv 3

Neuralgia of Leg - 1. Si Ma San (88.17, 88.18, 88.19) 2. GB 34, 36, 39

Ankle Pain - 1. Wrist image points (Lu9, LI5, SJ4, Pc7, SI5, H7) 2. Wu Hu (11.27) 4 3. UB 40, 63

Toe Pain - 1. Wu Hu (11.27) 3 2. Shi Xuan

Top of Foot Pain 1. Wu Hu (11.27) 4 2. SJ 3

Heel Pain - 1. Wu Hu (11.27) 5 2. UB 40, 63 3. K 3, 6

163 Bloodletting Methods

Vertex Head pain - Liv 2, Du 20 Tai Yang Head pain - UB 66, UB 40 Yang Ming Head Pain - St 44, LI 1 Shao Yang Head Pain - GB 43, Ce San Li (77.22), Ce Xia San Li (77.23) Neck Pain - GB 39, SJ 5, UB 40 Shoulder Pain - Si Hua Wai, St 38, GB 34, UB 40 Scapular Pain - Liv 6 Upper Arm Pain - GB 36, Si Hua Wai Forearm Pain - GB 36, GB 39, UB 57 Wrist Pain - GB 39, 40, K 3 Hand Pain - Wu Hu (11.27) 2, Si Hua Zhong (77.09) Finger Pain - Wu Hu (11.27) 1, Shi Xuan, Mu Dou (66.07), Mu Liu (66.06) Upper Back pain - UB 40, UB 57, Du 26, GB 34 Lower Back Pain - UB 40, UB 63, GB 34 Sciatic Pain - GB 34, GB 43, UB 40 Hip Pain - H 5, SI 10 Buttocks Pain - Tai Yang, Yin Tang, SJ 14 Coccyx Pain - Du 26, Yin Tang Groin Pain - Liv 2, St 36 Thigh Pain - Lu 5, San Zong Lower Leg Pain - San Zong, LI 10 Ankle Pain - SJ 5, LI 5, Pc 7 Foot Pain - Wu Hu (11.27) or Zu Wu Hu 3, 4, SJ 3 Heel Pain - UB 63, UB 40 Toe Pain - Wu Hu (11.27) or Zu Wu Hu 3, Hand Jing Well, or Shi Xuan

164 Bibliography:

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166 Yellow Emperor's Classic of Medicine by Maoshing Ni, 1995, ISBN: 1-57062- 080-6 Yellow Emperor's Classic of Internal Medicine by llza Veith, 1949, ISBN: 0-520- 22936-3 Medicine in China: A History of Ideas by Paul U Unschuld, 1985, ISBN: 0-520- 06216-7 Statements of Fact in Traditional Chinese Medicine by Bob Flaws, 1994, ISBN: 0-936185-52-X Personal notes on Chinese Die Da medicine, Robert Chu, 1974 - 2005, various masters, articles, books in Chinese Chinese Herbology Made Easy by Maoshing Ni ISBN: 0-937064-12-2 Chinese Herbal Medicine Materia Medica THIRD EDITION by Dan Bensky, et al, Published: 2004, ISBN: 0-939616-42-4 Chinese Herbal Medicine- Formulas and Strategies by Dan Bensky, Randall Barolet, ISBN: 0-939616-10-6 Chinese Medical Herbology and Pharmacology by John Chen, Tina Chen, 2003, ISBN: 0-9740635-0-9 Chinese Medicated Liquor Therapy by Beijing Science, Tech, ISBN: 7-5304- 1845-9 Handbook of Chinese Herbs Revised Edition by Him-Che Yeung, 1995, ISBN: 0-9639715-2-2 Handbook of Chinese Herbal Formulas, Revised Edition by Him-Che Yeung, 1996, ISBN: 0-9639715-1-4 Pao Zhi-lntro. to Use of Processed Chinese Medicinals by Philippe Sionneau, Bob Flaws, ISBN: 0-936185-62-7 Shaolin Secret Formulas for Treatment of External Injuries by Patriarch Chan, Bob Flaws, 1995, ISBN: 0-936185-08-2 Bi Syndromes by Pei-Lin Sun, L. Vangermeersh, ISBN: 2-87293-011-6 Chinese Medical Psychiatry by Bob Flaws, James Lake, 2001, ISBN: 1-891845- 17-9 Dermatology in Traditional Chinese Medicine by Yihou Xu, 2004, ISBN: 1- 901149-03-X Dui Yao, Art of Combining Chinese Medicinals by Philippe Sionneau, Bernard Cote, ISBN: 0-936185-81-3 Handbook of Chinese Hematology by Simon Becker, 2000, ISBN: 1-891845-16-0 Rheumatology in Chinese Medicine by Mach Chieu, Gerard GuUlaume , ISBN: 0-939616-39-4 Ten Lectures on the Use of Formulas from Personal Experience of Jiao Shu De by Shu De Jiao, Nigel Wiseman (ed), 2005, ISBN: 0-912111-75-5 Ten Lectures on the Use of Medicinals from Personal Experience of Jiao Shu De by Shu-De Jiao, Craig Mitchell (translator), 2001, ISBN: 0-912111-62-3

167 Thirty Years of Kanpo by KeiShi Otsuka, ISBN: 0-941942-16-3 Treatment of Pain w/ Chinese Herbs and Acupuncture byPeilinSun, 2002, ISBN: 0-443-07127-6 Treating Pain with Traditional Chinese Medicine by Dagmar Riley, 2003, ISBN: 0-912111-71-2 Diagnosis in Chinese Medicine by Giovanni Maciocia, 2020 Practical Library of TCM Complete Set by Shanghai UTCM, ISBN: 7-81010- 680-5 Practical Library of TCM Traumatology and Orthopedics and Orthopedics by Shanghai UTCM, 2002, ISBN: 7-81010-659-7 Bone-Setting Skills in TCM by Zhigang Zhang, China, ISBN: 7-5331-1797-2 Chinese Tuina Massage by Xiangcai Xu, ISBN: 1-886969-04-3 Practical Library of TCM Chinese Tuina Massage by Shanghai UTCM, ISBN: 7- 81010-651-1 Physical Examination of the Spine and Extremities by Stanley Hoppenfeld Illustrated Essentials in Orthopedic Physical Assessment by Ronald C. Evans Essential Orthopaedics and Trauma, Fourth Edition by David J. Dandy, Dennis J. Edwards Orthopedic Physical Assessment by David J. Magee Illustrated Orthopedic Physical Assessment, editions Two and Three by Ronald C. Evans Kinesiology: Scientific Basis of Human Motion with Dynamic Human 2.0 and PowerWeb: Health and Human Performance, Edition: 10th Hamiltion, Nancy; Luttgens, Kathryn, 2001, ISBN: 0072489103 Tung's Acupuncture, by Palden Carson, MD, Hsin Ya Publications, Ltd, 1973 Personal notes from lectures by Dr. Young, Robert Chu 2001-2005 Personal notes from Dr. Tan's lectures, Robert Chu, 2001-2004.

168 Sources In Chinese: Ci Xue Liao Fa, by Wang Xiu Zhen, Zhi Yuan Publishing, Taiwan 1990 Dong Shi Qi Xue Zhen Jiu Xue, by Young Wei-Chieh, Zhi Yuan Publishing, Taiwan 1992 Dong Shi Qi Xue Zhen Jiu Xue, by Young Wei-Chieh, Zhong Yi Gu Jing Publishing, China 1994 Zhong Hua Shi Deng Zhen Liao Fa, by Liu Yan, Shang Hai Ke Xue Publishing, China 1992 Zhong Hua Ji He Xue, by Liu Yan, Shang Hai Ke Xue Publishing, China 2002 Zhong Hua Qi Xue Da Cheng, by Liu Yan, Shang Hai Ke Xue Publishing, China 2002, ISBN 7-5439-1738-6/R 444 Zhen Jiu Jing Wei, by Young Wei-Chieh, Zhi Yuan Publishing, Taiwan 1985, ISBN: 957-8609-43-4 Zhen Jiu Wu Shu Xue Ying Yong, by Young Wei-Chieh, Zhi Yuan Publishing, Taiwan 1981 Zhen Jiu Ban Xue Xue, by Young Wei-Chieh, Zhi Yuan Publishing, Taiwan 1980 Taiwan Dong Shi Zhen Jiu Jing Xue Xue, by Li Guo Zhen, Zhi Yuan Publishing, Taiwan 1994 Taiwan Dong Shi Ji Chu Jiang Yi, by Li Guo Zhen, Zhi Yuan Publishing, Taiwan 1995 Taiwan Dong Shi Zhen Jiu Zhen Duan Xue, by Li Guo Zhen, Zhi Yuan Publishing, Taiwan 1994 Taiwan Dong Shi Zhen Jiu Jing Xue Xue, by Li Guo Zhen, Zhi Yuan Publishing, Taiwan 1994 Taiwan Dong Shi Zhen Jiu Dao Ma Zhen Ci Liao Fa, by Li Guo Zhen, Zhi Yuan Publishing, Taiwan 1994 Taiwan Dong Shi Zhen Jiu Shou Zhen Liao Fa, by Li Guo Zhen, Zhi Yuan Publishing, Taiwan 1996 Dong Shi Zhen Jiu Fang Xue Liao Fa, by Li Guo Zhen, Zhi Yuan Publishing, Taiwan 1993 Taiwan Dong Shi Zhen Jiu Shou Jiao Dui Ying Zhen Fa, by Li Guo Zhen, Zhi Yuan Publishing, Taiwan 1996 Taiwan Dong Shi Jiao Yuan Jing Bing Zhen Ci Liao Fa, by Li Guo Zhen, Zhi Yuan Publishing, Taiwan 1996 Dong Shi Zhen Jiu Tu Pu Jing Duan Shang/Xia Pian, by Hu Bing Quan, Zhi Yuan Publishing, Taiwan 1998 Dong Shi Qi Xue Tu Pu Zhi Liao Fa, by Hu Bing Quan, Zhi Yuan Publishing, Taiwan 1988 Dong Shi Zhen Jiu Qi Xue Jieng Nian Lu, by Lai Jin Hong, Zhi Yuan Publishing, Taiwan 1987

169 About the Author: Robert Chu, PhD, L.Ac-, QME Robert Chu (Chu Sau Lei) began studying the martial and Chinese healing arts since childhood. It was the study of Chinese Medicine Traumatology and Orthopedics linked with the martial arts that led him to study Chinese Medicine in depth. Robert is a California Certified and Licensed Acupuncturist and Herbalist in Pasadena, CA. He specializes in the Master Tung and Optimal Acupuncture methods of painless Acupuncture where he effectively treats pain, industrial medicine, sports injuries, and neuromusculoskeletal disorders. He also treats a wide variety of internal diseases including hypertension, hyperlipidemia, diabetes, psoriasis, thyroid disorders, gynecological disorders and side-effects from cancer treatments. He is appointed by the Industrial Medical Council as a Qualified Medical Evaluator (QME).

Dr. Chu was formerly affiliated with the St. Vincent Medical Center, Center for Health and Healing, as the first fulltime Acupuncturist on staff and treated cancer patients with Acupuncture, Herbal Therapy Qigong and Tai Chi. Robert is a former faculty member of Samra University of Oriental Medicine in Los Angeles, where he taught acupuncture. He graduated from Samra University with a Master of Science in Oriental Medicine. Not satisfied with his education, he went on to study with the renowned Young Wei-chieh, student of Master Tung; and Chen Chao, creator of I Ching Acupuncture. His studies in classical acupuncture led him to create the system that he calls "Optimal Acupuncture".

Dr. Chu has taught Tai Chi and Qigong at Loyola Law School. He volunteers regularly at Pasadena's Wellness Community, where he does monthly lectures on Acupuncture and Herbal Therapy for Cancer Patients and a weekly lifestyle/nutrition and Qi Gong class for cancer patients. In July of 2004, he was the Acupuncturist to Olympic Athletes in Sacramento, CA at the Olympic Trials.

Robert also lectures nationally and internationally on Acupuncture and Chinese Medicine to provide continuing education to MD's and Acupuncturists. He has been decorated as an honorary member of the Finnish Traditional Chinese Medicine Society of Acupuncture and Herbs and a therapist member of the National Register of Acupuncture Therapists in Finland. Robert is also listed as a Master Practitioner of Oriental Bodywork Therapy and Master Practitioner of Tui-Na Manipulations, awarded by the International Association of Tui-Na Therapies in London, England. He has lectured at Emperor's College of TCM, CSOMA, American College of Acupuncture and Oriental Medicine, Acupuncture Integrative Medicine College, the American Cancer Society and other functions as a dynamic and entertaining speaker. He is presently on the faculty with Emperor's College of Traditional Chinese Medicine in Los Angeles, CA in teaching

170 Doctorate students and supervising the extemship at the Disney Family Cancer Center Integrative Medicine clinic.

In the martial arts world, he is renowned for his combat application and health aspects with a focus on the Yip Man Wing Chun Kuen system as taught by Hawkins Cheung and the Yuen Kay-San and Gulao Wing Chun Kuen systems as taught by Kwan Jong-Yuen. He is the co-author of Complete Wing Chun. (Charles E. Tuttle Co., Inc, 1998), author of The Essence of Wing Chun (3 volumes, 2004) and has written many articles for Inside Kung Fu, Martial Arts Legends, Inside Martial Arts, Martial Arts Combat Sports and other publications. Dr. Chu was featured in the book, Kung Fu Masters, in 2002.

Robert Chu has been formally involved in the martial arts since 1972, specializing in wing chun kuen and its weapons. Having learned Yip Man wing chun kuen from several prominent instructors such as his current teacher, Hawkins Cheung, and the Yuen Kay-San and Gulao systems from his good friend and teacher Kwan Jong-Yuen, he has also researched several other branches. In 2010, he filmed the popular DVD series Wing Chun Kuen Master Class with EM3 Video.

In addition, he has a background in the empty hand fist and weapons sets of Hung ga kuen under Yee Chi Wai, and the Lama and Southern Fist martial arts as taught by Chen Tai Shan. He is one of the last disciples and a successor to Lui Yon-Sang's Flying Dragon Tiger system in the United States.

Robert can be reached at: (626) 345-0441 or at [email protected] 1028 N Lake Avenue, Suite 107, Pasadena, CA 91104 or for more information on the internet, please see: http://acuchu.com http://www.acupuncturetoday.com/archives2003/jan/01carter.html There will be future revisions of Chinese Medical Traumatology and Orthopedics. Dr. Chu will be available for further seminars. Please feel free to contact him with the information above.

171