August 2019

August 2019

The Office: How to Treat Anxiety

  • One of the most common conditions you will see in your practice.
    • Usually a heart and liver problem
    • Any kind of ischemia in the heart will weaken the muscle in the heart wall over time. This commonly leads to anxiety.
  • Typical Chinese Medicine Patterns
    • Heart blood stasis with qi and blood deficiency
    • Heart/pericardium invaded by heat
    • Heart/pericardium invaded by cold
    • Excess liver heat
    • Liver blood/damp stasis
  • Pulses
    • Blocked Left Cun pulse
      • Base Formula for blocked pulse
        • Xue Fu Zhu Yu Tang – 50-60
        • Dan Shen – 10 -20
      • If other pulses are still strong
        • Weakness in the heart may not have happened yet.
      • Modifications based on symptoms
        • Anxiety with sleeping issues
          • Bai Zi Ren – 15-20
          • Suan Zao Ren – 10
          • He Huan Pi – 15
          • Ye Jiao Teng – 10-15
        • Anxiety with Heart Palpitations
          • Hu Po – 15
        • Liver Fire
          • Long Gu – 15
        • Brain Fog
          • Yuan Zhi – 10-15
          • Shi Chang Pu – 10-15
    • Blocked Left Cun with Spongy Pulses
      • Atherosclerosis
        • San Leng – 15
        • E Zhu- 15
    • Blocked Left Cun with Weak pulses
      • If other pulses are weak, that indicates that there is a weak heart pulse hiding underneath the blocked pulse
      • Add tonics to protect the heart
        • Add Yang Xin Tang – 20
    • Blocked Left Cun Pulse within a Pulse
      • Cold invasion of the heart
        • Feels like a tiny human hair within the blocked pulse.
        • Add Si Ni Tang – 20
    • Blocked Pounding Left Cun
      • Pulse will be blocked, but with a distinct pounding sensation in the deep level
      • This signifies low-level pericarditis or heat affecting the heart
      • Can cause mental/emotional problems like Attention Hyperactivity/Deficit Disorder, Obsessive Compulsive Disorder, strong vivid dreams. Etc.
      • Add Huang Lian – 10
    • Thin & Weak Left Cun
      • Add Yang Xin Tang – 40
    • If the patient has trouble digesting the formula
      • Add An Zhong San – 10-15
        • Helps patients digest herbs better

The Office: Updated Treatments for Irritable Bowel Syndrome

  • IBS Syndromes
    • Weak stomach
      • Not very common
      • Weak pulse in Right Guan
        • Feels like the edge of a Kleenex (tissue paper)
      • Cold Li 10 area
        • Assessing constitutional stomach status using Li 10 area
          • Makes sure your hands are not hot, otherwise everything will be warm to the touch
      • Herbs
        • Fu Zi Li Zhong Wan – 50
        • Si Jun Zi Tang – 25
        • Jia Wei Xiao Yao San – 25
    • Liver invading stomach/spleen
      • Wiry pulse in Left Guan and Right Guan
      • If Left Guan is more pronounced (More of a liver issue)
        • Hu Zhang – 15
        • Xia Ku Cao – 15
        • Huang Shui Qie – 15
        • Cha Chi Huang – 15
        • Jia Wei Xiao Yao San – 20
        • Huang Lian Jiu Du Tang – 20
      • If Right Guan problem is more pronounced (more of stomach issue)
        • He Zi – 15
        • Wu Bei Zi – 15
        • Tian Hua Fen – 15
        • Bai Wei – 15
        • Huang Lian Jiu Du Tang – 20
        • Jia Wei Xiao Yao San – 20
    • Fire in stomach/ intestines
      • Heat in the large intestine
        • Strong Right Yang Wei Pulse
        • Herbs
          • He Zi – 15
          • Wu Bei Zi – 15
          • Tian Hua Fen – 15
          • Bai Wei – 15
          • Huang Lian Jiu Du Tang – 20
          • Ge Gen Huang Lian Tang or Shao Yao Tang – 20
      • Liver invading the large intestine
        • Wiry Right Yan Wei Pulse
        • Herbs
          • He Zi – 15
          • Wu Bei Zi – 15
          • Tian Hua Fen – 15
          • Bai Wei – 15
          • Huang Lian Jiu Du Tang – 20
          • Ge Gen Huang Lian Tang or Shao Yao Tang – 20
      • Stomach Fire
        • Herbs
          • He Zi – 15
          • Wu Bei Zi – 15
          • Tian Hua Fen – 15
          • Bai Wei – 15
          • Huang Lian Jiu Du Tang – 40
      • Large intestine Fire
        • Herbs
          • He Zi – 15
          • Wu Bei Zi – 15
          • Tian Hua Fen – 15
          • Bai Wei – 15
          • Ge Gen Huang Lian Tang or Shao Yao Tang – 40
  • DNA™
    • Stomach/Gallbladder/Spleen problem
    • Anterior-medial, anterior-lateral, and lateral-lateral problem.
    • Needle a yin and yang point on the ankles and wrists
      • Needle Li 5, St 41, Sj, 4, Gb 40, on wrists/ankles
      • Can also needle Gb 34, St 36, Li 10, Sj 8 on knee/elbow

The Office: How to Treat Prostate Enlargement

  • An enlarged prostate is a very common problem for older men
  • 3 pulses
    • Compressed pulse in the Left Chi
      • Will feel like a pen tip
      • Herbs
        • Resolve EM
        • Astringents 1
        • 3 Breakers
        • Ge Xia Zhu Yu Tang
    • Blocked Left Chi
      • Generalized blood stasis
      • Herbs
        • Resolve EM
        • Astringents 1
        • 3 Breakers
        • Ge Xia Zhu Yu Tang
    • Weak Left Chi
      • Need to use a tonic to improve the condition
      • Herbs
        • Resolve EM
        • Astringents 1
        • 3 Breakers
        • Ge Xia Zhu Yu Tang
        • Shi Quan Da Bu Wan
          • Can use up to 50 grams
    • If the pulse is pounding
      • Damp heat, use diuretic herbs
        • Ba Zheng San
        • Da Huang
  • DNA™
    • Target prostate itself
    • Anterior Lateral, Anterior Medial, and Medial Medial problem
    • Use the wrist/hand & ankle/foot
      • Use both joint and myofascial zones
      • Wrist/hand
        • Li, Lu, PC
      • Ankle/foot
        • Sp, St, Liv
  • Surgery cautions
    • Best to use Chinese medicine first
    • Surgery has risk of retrograde ejaculation/ erectile dysfunction
    • Treat for 3 months, the goal is to get at least 50% improvement.
    • If herbs and acupuncture are ineffective then surgery might be warranted.

The Office: How to Treat Exterior Invasions

  • If treated quickly you can prevent symptoms from the condition entirely
  • You need to be able to correctly anticipate where the disease is going to change and adapt your formula
    • Most practitioners are 1-2 days behind in their treatment strategy
  • For a High Convex Right Cun Pulse presenting before the patient feels symptoms:
    • Sang Ju Yin – 100
    • Yin Qiao San – 100
  • Once the patient starts feeling symptoms you need to expand the formula
    • Treat the pulse and anticipate where the disease is going to go next
      • Ask the patient “where do you typically get symptoms?” Ask about:
        • Sinuses
        • Throat
        • Lungs
      • Look at Right Cun for the sinuses, Right Yang Wei for the lungs
  • Scenarios
    • The patient typically gets a sinus infection
      • Convex Right Cun, warm cheeks
      • Wind-Heat invasion to upper respiratory cavity, no infection yet.
      • Herbs
        • Sang Ju Yin – 40
        • Herbal Abx – 10
        • Astringents – 10
        • Huang Lian Shang Qing Wan – 10
        • Zheng Ren Huo Ming Yin – 10
        • Pu Ji Xiao Du Yin – 10
    •  The patient typically gets a lung infection
      • No strong Right Yang Wei yet
      • Herbs
        • Sang Ju Yin – 40
        • Lung PH – 40
        • Xing Ren – 10
        • Lu Gen – 10
      • If they come back a week later and infection isn’t as bad as usual, but still present, use more herbs for the lung
    • Typically gets a sore throat/throat infection
      • Herbs
        • Sang Ju Yin – 30
        • Pu Ji Xiao Du Yin – 30
        • Ban Lan Gen
        • Jin Yi Hua
        • Lian Qiao
        • Herbal Abx
        • Astringents
        • Zhen Ren Huo Ming
    • If the pulse has a weak quality, add a tonic (20% of formula)
      • If you don’t add these for weak patients. The cold will linger
        • Huang Qi Fang Feng Tang
        • Yu Ping Feng San
  • DNA™
    • Anterior Lateral – Sinuses
      • Li 5, St 41, St 36, 43, Li 10, Li 3
    • Anterior Medial – Lung
      • Lu 9, Lv 4, Lu 5, Sp 9, Lu 6, Sp 6
    • Elbows and knees are images for the diaphragm area