January 2019

January 2019

The Office: Case studies

  • Case Studies:
  • Mark
  • 49 Years old
  • Brain fog, High Blood Pressure, Insomnia Stress, Anxiety, Food Cravings at night, weightloss
    • Takes testosterone which is ok
  • Pulse
    • Left Cun: Block 2
    • Right Cun Block 1
    • Guans ok
    • Chis are ok
  • Herbs
    • Gua Luo Xie Bai Ban Xia Tang
    • Xue Fu Zhu Yu Tang
    • Yan Hu Suo
    • Shan Zha
    • Shui Zhi
    • Herbal ABX
    • Liver DTX
    • Yuan Zhi
    • Da Zao
    • Shi Chang Pu
  • 1 Week later
    • Anxiety 20% better
    • Stress 20%
    • Herbs
    • He Huan Pi
    • Hu Po
  • 1 week later (2 weeks in)
    • Anxiety 30% better
    • High Blood Pressure is down
      • We gave him Kyolic 108 (Aged Garlic Pills)
  • 1 week later (3 weeks in)
    • Anxiety 50% better
    • Insomnia is not better
    • Blood Pressure is down
  • 1 week later (4 weeks in)
    • Insomnia 35% better
    • Anxiety 35% better
    • Lost 13 lbs
    • Now Has loose stools
    • Added Ping Wei San for loose stools
  • 1 week later (5 weeks in)
    • Anxiety 60%
    • Insomnia 30% better
    • Now complains of ADHD
    •  Added Bai Zi Ren and Suan Zao Ren for sleep
  • 2 weeks later (7 weeks in)
    • ADHD is 30%
    • Anxiety 70%
    • Insomnia 70%
    • Weightloss is staying at 13lbs
    • Blood Pressure is good
  • 2 Weeks later (9 weeks in)
    • Things are the same
    • Added Long Yan Rou
  • Sherry
    • Joint Pain Rosacea, Insomnia, High Blood Pressure and Hypothyroid
    • Pulses
      • Left Cun: Blocked 1
      • Left Guan: Too low (fatty)
      • Left Chi: Du Mai Pulse
      • Right Cun: thin wiry and weak
      • Right Guan: Low and pounding (Damp heat)
      • Right Chi: compressed pulse
    • Herbs
      • Xue Fu Zhu Yu Tang
      • Gua Luo Xie Bai Ban Xia Tang
      • Vitality
      • Liver DTX
      • Kyolic Pills
    • 1st week
      • Fatigue 50%
      • Rosacea 80%
      • Joint Pain 0% better
    • Today's appointment
      • If the joint pain is no better
        • Vitality will bed reduced
        • Add Shen Tong Zhu Yu Tang
        • Add Shu Jing Huo Xue Tang
        • Ru Xiang
        • Mo Yao

The Office: The Right Guan

  • The Right Guan is the stomach and the pancreas
  • Physiological pulse is in the middle and slightly rounded
  • Common pathological pulses:
  • Pulse is high and convex
    • Excess heat in the stomach
    • Formula
      • He Zi – 15
      • Wu Bei Zi – 15
      • Tian Hu Fen – 15
      • Bai Wei – 15
      • Huang Lian Jie Du Tang – 20
      • Jia Wei Xiao Yao San – 20
    • With lots of pain
      • Take out Jia Wei Xiao Yao San and increase Huang Lian Jie Du Tang to 40
  • Pulse low and convex
    • Excess heat in the stomach
    • Pulse is likely low because they consume too much sugar
    • Formula
      • He Zi – 15
      • Wu Bei Zi – 15
      • Tian Hu Fen – 15
      • Bai Wei – 15
      • Huang Lian Jie Du Tang – 20
      • Jia Wei Xiao Yao San – 20
    • With lots of pain
      • Take out Jia Wei Xiao Yao San and increase Huang Lian Jie Du Tang to 40
  • Pulse is too high and wiry
    • Liver invading the stomach with stomach heat
    • Hu Zhang – 15
    • Huang Shui Qie – 15
      • Can sub with Ban Zhi Lian
    • Chi Chi Huang – 15
      • Can sub with Zhi Zi
    • Xia Ku Cao -15
    • Jia Wei Xiao Yao San – 20
    • Huang Lian Jie Du Tang – 20
  • Pulse Too Low and blocked
    • Elbow is warm and the pulse has a jump
      • Blood Stasis and heat
        • Huang Lian Jie Du Tang – 50
        • Ge Xia Zhu Yu Tang – 50
  • With lots of pain and wiry
    • Hu Zhang – 15
    • Huang Shui Qie – 15
      • Can sub with Ban Zhi Lian
    • Chi Chi Huang – 15
      • Can sub with Zhi Zi
    • Xia Ku Cao – 15
    • Gan Cao Xie Xin Tang – 40 Or
    • Gan Cao Xie Xin Tang – 20 with Jia Wei Xiao Yao San – 20
  • Pounding at all depths
    • Stomach fire
    • Jia Wei Xiao Yao San Formulas will not work
    • Formula
      • Huang Lian Jie Du Tang – 20
      • Shi Gao – 20
      • He Zi – 15
      • Wu Bei Zi – 15
      • Tian Hua Fen – 15
      • Bai Wei – 15
  • Lots of pounding can indicate an ulcer or possible Helicobacter pylori Infection

The Office: The Left Guan

  • Normal Physiological Pulse of the liver is wiry and in the middle depth
    • If the pulse is in its home but wiry and pounding, then the person is upset by an acute emotional problem
    • If the patient wants the emotional problem treated, then only use 20% of the formula to do so
  • Pathological pulses of the liver
    • Too high and wiry
      • Base formula
        • Hu Zhang – 15
          • If the pulse has a strong pound you can use Huang Lian – 10 instead
        • Cha Chi Huang – 15
          • Can substitute with Zhi Zi – 15 if you can’t find Cha Chi Huang
        • Xia Ku Cao – 15
        • Huang Shui Qie – 15
      • If the patient is really angry
        • Long Dan Xie Gan Tang – 40
      • Anxious, worried or agitated and angry
        • Chai Hu Jia Long Gu Mu Li Tang – 40
      • Less angry
        • Long Dan Xie Gan Tang – 20
        • Si Ni San, Yi Gan San or Jia Wei Xiao Yao San – 20
          • All of the these are milder than Long Dan Xie Gan Tang
      • With fire
        • Long Dan Xie Gan Tang – 40
        • Zhen Zhu Mu – 15
        • Ci Shi – 15
        • With weak digestion or loose stools
          • An Zhong San or Ping Wei San – 15
        • You could also use this formula alone for liver fire
          • Long Dan Xie Gan Tang – 90
          • Huang Lian – 10
    • Too high and convex
      • Base formula
        • Hu Zhang – 15
          • If the pulse has a strong pound you can use Huang Lian – 10 instead
        • Cha Chi Huang – 15
          • Can substitute with Zhi Zi – 15 if you can’t find Cha Chi Huang
        • Xia Ku Cao – 15
        • Huang Shui Qie – 15
      • If the patient is really angry
        • Long Dan Xie Gan Tang – 40
      • Anxious, worried or agitated and angry
        • Chai Hu Jia Long Gu Mu Li Tang – 40
      • Less angry
        • Long Dan Xie Gan Tang – 20
        • Si Ni San, Yi Gan San or Jia Wei Xiao Yao San – 20
          • All of the these are milder than Long Dan Xie Gan Tang
      • With fire
        • Long Dan Xie Gan Tang – 40
        • Zhen Zhu Mu – 15
        • Ci Shi – 15
        • With weak digestion or loose stools
          • An Zhong San or Ping Wei San – 15
        • You could also use this formula alone for liver fire
          • Long Dan Xie Gan Tang – 90
          • Huang Lian – 10
    • Too low and wiry
      • Base Formula
        • Hu Zhang – 15
          • If the pulse has a strong pound you can use Huang Lian – 10 instead
        • Cha Chi Huang – 15
          • Can substitute with Zhi Zi – 15 if you can’t find Cha Chi Huang
        • Xia Ku Cao – 15
        • Huang Shui Qie – 15
        • Ge Xia Zhu Yu Tang – 20
      • With Constipation
        • Yin Chen Hao Tang – 20
      • Loose Stools
        • Long Dan Xie Gan tang – 20
    • Too low and convex
      • Base Formula
        • Hu Zhang – 15
          • If the pulse has a strong pound you can use Huang Lian – 10 instead
        • Cha Chi Huang – 15
          • Can substitute with Zhi Zi – 15 if you can’t find Cha Chi Huang
        • Xia Ku Cao – 15
        • Huang Shui Qie – 15
        • Ge Xia Zhu Yu Tang – 20
      • With Constipation
        • Yin Chen Hao Tang – 20
      • Loose Stools
        • Long Dan Xie Gan tang – 20
    • Too deep and blocked
      • Ge Xia Zhu Yu Tang – 60
        • Can also use Fu Huan Huo Xue Tang – 60
      • Long Dan Xie Gan Tang or Liver DTX – 40
        • With constipation add Yin Chen Hao Tang – 20
      • With a lot of anger
        • Add Huang Lian – 10
    • Gall Stones
      • Use this formula
        • Ji Nei Jin – 10
        • Jin Qian Cao – 50
        • Hai Jin Sha – 15
        • Wei Ling Xian – 10
        • Di Long – 10
        • Da Huang – 10
        • Mang Xiao – 10
        • Gua Luo – 30
        • Chuan Lian Zi – 10
        • Yan Hu Suo – 10

The Office: Compressed Pulses

  • Compressed pulses
    • Small seeds that represent masses, growths, cysts, or other abnormal structures in the body.
    • What they are depends on what the seeds feel like, and what positions they are found in.
  • The key to finding compressed pulses
    • Don’t push too hard!
      • This is a very common problem with beginners.
      • Start with a light touch on the skin, and then go down from there.
  • Compressed pulses are found in the fascia above the pulse
    • Old alternate theory:
      • There is an abnormal jump within the artery itself which feels hard to the touch.
    • Bob’s theory:
      • What you actually feel is an artifact above the pulse in the fascial layer. Can feel like the pulse itself because the radial artery pushes on the artifact which makes it feel indistinguishable from the pulse.
  • Masses or growths occur due to toxic buildup of metabolic waste due to poor blood flow
    • Etiology is blood stasis or poor blood flow.
    • If there was excellent blood flow in the area, the cellular waste would not build up and these growths would not form.
  • Basics of feeling compressed pulses
    • Soft vs. hard
      • Softer pulse: less compressed tissues
        • for example, polyps,
      • Harder Pulses: more compressed tissues
        • For example, stones
    • Jump vs no jump
      • Jumpy pulses equal more inflammation
      • No Jump: less inflammation
    • One vs multiple compressed pulses
      • One mass vs two or more masses
  • Right Cun
    • Large intestine
      • Hemorrhoids
        • Small pointy seed
      • Polyps
        • Slightly bigger rounded and soft pulse
    • Sinus growth
      • Slightly bigger rounded pulse
  • Right Yang Wei
    • Lung
      • Lung cysts
      • Phlegm Block
        • Will often have this pulse on left yang wei as well
        • Indicates asthma, COPD, Eyphesmia
  • Right Guan
    • Stomach polyps
    • Pancreatic polyps
  • Right Chi
    • Upper back, neck, shoulder area
      • Bone spurs
    • Western kidney, bladder
      • Kidney stone in the right ureter,
        • Tiny compressed pulse
        • not in the kidney, you can’t feel kidney stones in the kidney itself
  • Left Cun
    • Small intestine
    • Heart or heart tissue
    • Trauma to the chest
      • Ask this question to help determine if you are feeling tissues damage in the heart or the heart region
    • Possible heart aneurysms
  • Left Guan
    • Gallbladder
      • Gallstones
        • Usually found in deeper depth
      • Cholecystectomy
    • Liver
      • Hepatic cyst
        • Usually found in middle depth
  • Left Chi
    • Lower Back, hips, knee, ankle
    • Kidney stone in left ureter
    • Ovarian cysts
      • Felt in left chi and left proximal pulses

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