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I. WIND
1.) WIND COLD
a) KEY SYMPTOMS: aversion to Cold/wind (chills and fever),
thin secretions, pain, patient is easily chilled. No perspiration. Chill predominant. Headache and upper back pain.
Method: Diaphoresis
Tx Principle: Release Exterior with acrid and warming herbs
Points: GB 20, UB 12, L.I.4, Lu 7
Herbs: MaHuang ( Ephedra), Gui Zhi (Cinnamon), Fang Feng ( Siler)
Prescription: MaHuang Tang (MaHuang, Gui Zhi, Xing Ren, Gan Cao)
2.) WIND HEAT
KEY SYMPTOMS: Feverish, but sensitive to wind (chills and fever)sore throat, thick secretions, with difficulty expectorating. Perspiration. Attacks front of face and eyes. Can cause or aggravate skin eruptions
Method: Diaphoresis
Tx Principle: Release Exterior with acrid and cool herbs.
Points: L.I. 4,L.I. 11, SJ 5, Lu 10
Herbs: Bo He ( Mentha), Niu Bang Zi ( Arctium), Chan Tui
( Cicada).
Prescription; Yin Qiao San ( Lonicera and Forsythia Powder)
Disperses Wind Heat, Clears Heat, Relieves toxicity
- Jin Yin Hua, Lian Qiao, Jie Geng, Niu Bang Zi, Bo He, Dan Dou Chi, Jing Jie, Dan Zhu Ye, Lu Gen, Gan Cao
3.) BI SYNDROME: WIND DAMP WITH COLD OR HEAT
KEY SYMPTOMS: Joint pain with swelling, aggravated by changes in weather or exposure to heat, damp, or cold pathogen, stiffness, decreased mobility.
1) "Rheumatic" pain ( from blockage of Qi),
2) swelling (damp)
3) weakness (with increasing chronicity)
B. TREATMENT PRINCIPLES
1. Expel Wind Dampness
2. Alleviate Pain
3. Activate the Channels
4. Strengthen sinew and bone
5. Reduce Swelling
C. HERBS:
1. Du Huo ( Angelica ) Expels wind damp and alleviates pain, especially lower body (back and legs)
2. Chiang Huo (Notopterygium) : Releases Exterior and disperses Cold; Penetrates through painful obstruction.
" guides Qi to Greater Yang and Governing Channels"
- especially upper limbs ( neck and shoulders)
3. Qin Jiao (Gentiana)- expels wind damp, cramping of extremities
- Clears Deficiency heat
4. Wei Ling Xian ( Clematis ) Expels Wind damp, activatesChannels, alleviates pain:
-Releases Exterior and moves the Qi of the Channels.
Treatment Method: Diaphoresis- but can be combined with activating substances to remove obstruction in the channels
Treatment Principle: Dispel wind-dampness, Remove obstruction from channels, transform damp, relax sinews
Prescription: Shu Jing Huo Xue Tang ( Relax the Channels and Invigorate Blood Decoction) (Clematis and Stephania)
4). INTERNAL WIND
GENERAL WIND SYMPTOMS: erratic movement or lack of movement: trembling, spasmodic movements, convulsions, seizures, uneven movements, opistothonos, twitches, sudden loss of consciousness or movement, dizziness, numbness or hemiplegia
1. EXTREME HEAT
Key Symptoms: convulsions or seizures accompanied by high fever, delirium, perspiration, etc with possible loss of consciousness or paralysis.
Tongue: Red, stiff, quivering
Pulse: Rapid, taut, superificial, replete
Method: Clearing (combined)
Principle: Clear Heat and Subdue Liver Wind
Points: Du 20, 14, Liv 2, 3,
Herbs: Ling Yang Jiao ( Cornus Antelopis), Gou Teng (Uncaria), Niu Xi ( Acyranthes).
Prescription: Ling Jiao Gou Teng Tang ( Antelope Horn and Uncaria Decoction)
- Cools Liver, Extinguishes Wind, increase fluids, relax sinews
2.) YANG RISING
Key Symptoms: dizziness, headache, irritability, hemiplegia, lesser seizure disorders. Stroke, HBP, tinnitus, plus sx of Liver Blood Xu or Kid Yin Xu
Method: Combined- Supplement ( Yin) and Subdue Wind.
Treatment Principle: Extinguish Liver wind and Subdue Yang. Nourish Yin. Regulate Liver.
YANG RISING
Points: Du 20, GB 20, Liv 3
Herbs: Tian Ma ( Gastrodia), Gou Teng ( Uncaria )
Prescription: Tian Ma Gou Teng Yin ( Gastrodia and Uncaria Decoction)
Calms the Liver, Extinguishes Wind, Clears Heat, invigorates the Blood, Tonifies Liver and kidneys
- Tian Ma, Gou Teng, Shi Jue Ming, Zhi Zi, Huang Qin, Yi Mu Cao, Niu Xi, Du Zhong, Sang Ji Sheng, Fu Shen
3) LIVER BLOOD DEFICIENCY WIND (Like Wind in the Channels, but weaker pattern and more predominantly vacuity)
KEY SYMPTOMS: tics, slight tremors, numbness, itchy rash that changes location.
Treatment Method: Combined- Supplement ( Blood) and Subdue Wind
Treatment Principle: Nourish Blood and Subdue Liver Wind
Points: GB 20, Liv 3, Liv 8, Sp 6, 10, Bl. 17
Herbs: Tian Ma, Gou Teng, plus Liver Blood tonics
5) WIND IN THE CHANNELS ( derived from Blood Deficiency but can have varying degrees of severity depending up strength of Yang) Creates “trembling” in limbs
A. SYMPTOMS
a) seizures, strokes, tremors
b) rash, itchy, usually red
c) cramps, spasms
B. TREATMENT PRINCIPLES
1. Extinguish Wind
2. Expel Wind from Sinews (Tremors seizures and strokes)
3. Expel Wind from skin (rashes ands inflammatory skin probs)
C. HERBS
1. Bai Hua She or Wu Shao She ( Agkistrodon or Zaocys)
-Powerfully activate the channels and extinguish wind
- used for wind-stoke or rashes
2. Sang Ji Sheng (Loranthus)- tonifies Liver and Kidneys (Yin) and expels wind dampness
3. Bai Ji Li ( Tribulus) Extinguishes Wind, alleviates pain, brightens the eyes, Liver Yang or Wind Heat in the Liver Channel
-skin lesions with significant itching.
II. HEAT
General symptoms: redness, burning or heat sensation, thickening of secretions, putrescence of smells, hyperactivity and restlessness, rapid movement, perspiration, thirst (for cold); preference for cold, aggravation from warmth
Method: Clearing
Treatment Principles:
Clear Heat and Quell Fire, Clear Heat and Dispel Toxin, Clear Heat and Cool the Blood, Clear Deficiency Heat and Nourish the Yin or Lower the Kidney Fire. Clear heat and generate Fluids .
Herbs: Shi Gao ( Gypsum), Zhi Mu ( Anemarrhena), Zhi Zi (Gardenia)
Prescription: Bai Hu Tang ( White Tiger Decoction)
Clears Qi Level Heat, drains Stomach Fire, generates fluids, alleviates thirst
- Shi Gao, Zhi Mu, Gan Cao, Geng Mi
III. COLD
KEY SYMPTOMS: Chill or subjective feeling of cold, slowness, thin secretions, increased fluid volumes, contractile pain, improved by Heat, preference for warmth and warm drinks, damage to Yang resulting in imbalance of body fluids ( e.g., abundant urination)
Method: Warming
Treatment Principles: Warm the Center and Expel Cold, Warm the Channels, Restore Yang, Warm Yang and promote urination.
Herbs: Gan Jiang ( Dry Ginger), Rou Gui ( Cinnamon Cortex )
Prescription: Li Zhong Wan ( Regulate the Center Pill )
Warms the Middle Burner and strengthens the Spleen and Stomach
- Gan Jiang, Ren Shen, Bai Zhu, Gan Cao
IV. SUMMER HEAT
A. Etiology-
1) Created by Pathogenic Factor, does not develop internally:
invasion of summerheat disease like sunstroke or heat stroke, or invasion of heat toxin; or co-mingling with extremely Yang climate (hot, humid weather) with the body's existing dampness. Attacks Sp/St
2) Seasonal Pathogen: Related to Late Summer.
B. Differentiation
Although essentially a Yang pathogen, Summerheat usually combines elements of heat and dampness, and must be differentiated according to the preponderance of symptoms. The key here is the presence or absence of HIGH FEVER and the resultant damage to BF
C. Key symptoms
1. Summerheat Heat
High fever, with thirst, sparse urination and restlessness. May be profuse sweating or none. Severe symptoms include "inversion syndrome": tetany, convulsion, loss of consciousness; damage to Yuan QI
causes fatigue, exhaustion, dry tongue coating.
Pulse: Full and surging, rapid; or if deficiency thin, rapid, or large but empty and rapid.
2. Summerheat Damp
persistent low grade fever, thirst with no desire to drink, chest oppression, poor appetite, heavy limbs, nausea and vomiting. Sparse urination which is dark and concentrated. Thin, sticky diarrhea
D. Treatment Principles
1. Clear Summerheat
2. Transform dampness
3. Tonify Yin/ nourish fluids
E. Herbs
Heat: Xi Gua (Citrus Vulgaris), Shi Gao (Gypsum), Qing Hao(Artemesia)
1. Prescription : LIU YI SAN ( Six to One Powder): 6 Hua Shi / 1 Gan Cao
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