Acupuncture CEU Online
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The following is an excerpt of an online acupuncture CEU course:
Specific Chinese Medicine Theories and Methods for Diagnosis and Treatment of Chronic Hepatitis:
• Qi stagnation with blood stagnation in the blood network vessels:
Dr. Fang Xing states that long term illness of any type, including CH, can lead to stagnation of qi, and blood stagnation in the blood network vessels. In these cases, Fang suggests the use of invigorating the blood and transforming blood stasis method. Once stagnant blood has been removed, new blood can generate, pathogenic qi can be expelled, and zheng qi can regenerate.
Formula:
• Dan Shen 丹参 Radix Salviae Miltiorrhizae, 30 grams.
• Tao Ren 桃仁 Semen Pruni Persicae, 10 grams.
• Hong Hua 红花 Stigma Croci Sativi, 10 grams.
• San Qi 三七 Radix Pseudoginseng, 3 grams.
• San Leng 三棱 Rhizoma Sparganii, 6 grams.
• E Zhu 莪术 Rhizoma Curcumae Zedoariae, 6 grams.
Modifications:
- Damp Heat, add one or more of the following:
• Yin Chen Hao 茵陈蒿 Herba Artemisiae Yinchenhao.
• Shan Zhi Zi 山栀子 Fructus Gardeniae Jasminoidis.
• Xia Ku Cao 夏枯草 Spica Prunellae Vulgaris.
• Long Dan Cao 龙胆草 Radix Gentianae Longdancao.
• Che Qian Cao 车前草 Folium Plantaginis.
• Tian Ji Huang田基黄 Herba Hyperici Japonici.
• Bai Hua She She Cao 白花蛇舌草 Herba Hedyotidis Diffusae.
- Liver Depression and Qi Stagnation, add one or more of the following:
• Chai Hu 柴胡 Radix Bupleuri.
• Yu Jin 郁金 Tuber Curcumae.
• Chuan Lian Zi 川楝子 Fructus Meliae Toosendan.
• Zhi Ke 枳壳 Fructus Citri Aurantii.
• Yan Hu Suo 延胡索 Corydalis Rhizome.
• Bai Shao 白芍 Radix Albus Paeoniae Lactiflorae.
- Phlegm Dampness, add one or more of the following:
• Chen Pi 陈皮 Pericarpium Citri Reticulatae
• Fa Ban Xia 法半夏 Rhizoma Pinelliae Tematae
• Sheng Jiang 生姜 Uncooked Rhizoma Zingiberis
• Bai Jie Zi 白芥子 Semen Sinapis Albae
- Spleen Deficiency, add one or more of the following:
• Dang Shen 党参 Radix Codonopsitis Pilosulae
• Bai Zhu 白术 Rhizoma Atractylodis Macrocephalae
• Huang Qi 黄芪 Radix Astragali Membranacei
• Shan Zha 山楂 Fructus Crataegi
• Mai Ya 麦芽 Fructus Germinatus Hordei Vulgaris
• Shen Qu 神曲 Massa Medica Fermentata
- Liver and Kidney Yin Deficiency, add one or more of the following:
• Bai Shao 白芍 Radix Albus Paeoniae Lactiflorae
• Bei Sha Shen 北沙参 Radix Glehniae Littoralis
• Mai Men Dong 麦门冬 Tuber Ophiopogonis Japonici
• Sheng Di Huang 生地黄 Radix Rehmanniae Glutinosae
• Gou Qi Zi 枸杞子 Fructus Lycii Chinensis
Notes:
Application of invigorating blood and transforming blood stasis method is only suitable for short-term use, in which case the effect can be quite good. Long-term use can lead to damage of zheng qi, and should be avoided.
• Chronic hepatitis of long duration can injure the Liver Yang:
Dr. Xiao Shou-Gui asserts that protracted CH which has been treated unsuccessfully for a long time may involve deficiency of Liver yang, and discusses the use of Wen Gan Qiang Yong Tang (温肝强用汤 “Warm the Liver Strong Decoction”) in the treatment of such cases.
Xiao explains that during the early stages of hepatitis, many patients take large amounts of cold and bitter herbs which damage the yang. Furthermore, overuse of aromatic and dry herbs to regulate Liver qi depletes and impairs the movement of yang.
Formula:
- Wen Gan Qiang Yong Tang (温肝强用汤 “Warm the Liver Strong Decoction”)
• Huang Qi 黄芪 Radix Astragali Membranacei, 30 grams.
• Bai Zhu 白术 Rhizoma Atractylodis Macrocephalae, 15 grams.
• Shu Di Huang 熟地黄 Processed Radix Rehmanniae, 10 grams.
• Rou Cong Rong 肉苁蓉 Herba Cistanchis Deserticolae, 10 grams.
• Gan Song 甘松 Radix Et Rhizoma Nardostachydis, 6 grams.
• Rou Gui 肉桂 Cortex Cinnamomi Cassiae, 6 grams.
• Dan Shen 丹参 Radix Salviae Miltiorrhizae, 12 grams.
• Sha Ren 砂仁 Fructus Amomi, 9 grams.
Explanation:
Huang Qi is one of the primary herbs to tonify the Liver. Bai Zhu tonifies the source of later-heaven qi. Shu Di Huang nourishes Liver yin, and is applied according to the principle of “acquire the yang from within the yin”, in other words, to strengthen the yang it is also necessary to nourish the yin. Sha Ren warms the Stomach and strengthens the Spleen, and also protects against the sticky and cloying nature of the other herbs. Rou Gui, spicy and warm, strengthens the yang and supplements the Liver. Dan Shen invigorates the network vessels and moves blood stasis. Gan Song is aromatic but not drying, resolves stagnation, assists the Spleen, moves blood stasis, and invigorates the blood.