June 2019

June 2019

The Office: How to Treat Diarrhea with Acupuncture

  • Diarrhea is an Anterior Lateral and Lateral Lateral problem
  • Start by needling points on the leg
    • St 41, GB 41 on Right ankle
  • Needle the cross body relationship on the other side
    • Sp 5, Lv 4
  • Wrists
    • Left wrist
      • Sj 4, Li 5
    • Right wrist
      • Lu 9, Pc 7
  • You can also spread the image by needling up the legs and arms.
    • Pc 6, Sj 5, Li 10, Sj 6
    • St 36, gb 34, lv 8, sp 9

The Office: How to Treat Diarrhea with Herbs

  • Diarrhea is a frequent complaint.
    • Herbs alone can give a patient diarrhea, so you must be ready to handle it.
  • Patterns of diarrhea
    • Right Guan is tight
      • Cold pathogen enters the stomach and causes stomach pain
        • Huo Xiang Zheng Qi Tang works very well
    • Right Guan is convex and pounding
      • Heat in the Middle Jiao causing diarrhea
      • Four formulas to choose from:
        • Huang Lian Jiu Du Tang
        • Bai Tou Weng Tang
        • Ge Gen Huang Lian Tang
        • Shao Yao Tang
    • Weak type of diarrhea
      • Li 10 area will be cold
      • This is due to constitutional weakness in the stomach
      • Add warming formula for middle Jiao
        • An Zhong San
        • Ping Wei San
        • Si Jun Zi Tang
  • Other herbs you can add
    • Astringent herbs
      • Cold type
        • Wu Wei Zi
      • Heat Type
        • He Zi
        • Wu Bei Zi
    • With bleeding
      • Black 1 or 5 Tans proprietary formulas
      • Tastes terrible! Warn the patient.
  • For diarrhea you are unable to treat successfully
    • You must consider parasitic infections
    • Suspect areas/ countries include:
      • Bali
      • Africa
      • India
      • Mexico
      • South America
      • Rural areas/ non-treated water sources in developed countries
    • Refer to Medical Doctor for antiparasitic care
      • Dr. Kevin Cahill’s Protocol
        • Tinidazole and Paromomycin
          • 1 round of treatment entails:
            • 2g a day for 3 Days of tinidazole
            • 250mg 3x per day for 10 days of paromomycin
          • Sometimes 2 rounds are needed
        • Parasites are sexually transmittable, so sexual partners must be treated.
      • Antiparasitic medications work much better than herbs (Western or Chinese)
        • Herbs will calm parasites down but won’t kill them outright.
        • Does your patient a disservice by not adequately treating the problem.

The Office: Updated Headache Treatments

  • Traditionally headaches are ascribed to liver heat or liver yang rising
    • This is due to high blood pressure
    • This doesn’t happen as much anymore because many people are medicated for high blood pressure
  • Pulse
    • Long, wiry pulse that starts in the right chi and is palpable in the proximal positions
      • This signifies a tight neck and upper back
  • Herbs (for most headaches from upper neck and back pain)
    • Flex Spur formula from Evergreen Herbs 25%
      • Can substitute with Zhen Ren Huo Ming Yin
    • Clear Heat 25%
      • Or Gardenia from Evergreen Herbs
    • Ge Gen Tang 25%
    • Chuan Xiong Cha Tiao San 25%
  • Herbs for high blood pressure headaches
    • Cha Chi Huang – 20
    • Da Huang – 20
      • If they get diarrhea use Chi Shao and Jiang Huang instead
    • Hu Zhang – 20
    • Mu Dan Pi – 20
    • Tian Ma – 20
    • Gou Teng – 20
  • Other things you can add
    • A “Bug” like Shui Zhi, Di Long, etc.
      • These herbs move the blood which is often the underlying problem in any etiology.
    • An exterior clearing herb
      • Ge Gen, Sheng Ma, Chuan Xiong, Gui Zhi…
        • Makes formula work better overall
        • Use an herb appropriate for the patient’s constitutional pattern
  • DNA™
    • Jing Jin affected for headaches from upper back and neck pain:
      • Posterior Lateral (PL) and Posterior Medial (PM)
        • Needle PM and PL at both wrists (Si 5 and Ht 7)
        • Needle PM and PL at the ankles (Ki 6 and Ub 62)
    • Can also spread the image by adding more needles by needling hands and feet or by needling the arm and leg
      • Hands and feet
        • Needle Ht 8, Si 3, Ub 64/65 and Ki 2
      • Arms and legs
        • Ht 4, Si 6, Ub 57 and Ki 6

The Office: Herbs for Peripheral Neuropathy

  • Warm extremities
    • This pattern has both inflammation and ischemia.
    • Swollen blood vessels impair blood flow into feet.
    • This pattern occurs more with diabetics.
    • Using cooling herbs to shrink the swelling of the vessels and then blood moving herbs to promote blood flow.
      • Dan Gui Nian Tong Tang -30- 40
      • Chi Shao – 15
      • Yu Jin – 15
      • Dang Gui -15
      • Chuang Xiong – 15
      • Shui Zhi – 5
      • Tu Bie Cong – 5
      • Quan Xie – 5
      • Astringents – 20
    • If there is heat in the body, you can also use herbs to clear heat.
      • Mu Dan Pi
      • Xuan Shen
      • Zhi Mu
      • Huang Bai
      •  
  • Cold extremities
    • Ischemic problem. Move the Blood
      • Si Ni Tang – 20
      • Dang Gui Si Ni Tang – 20
      • Chuang Xiong – 10
      • Dang Gui – 10
      • Tu Bie Chong – 5
      • Di Long – 5
      • Quan Xie -5
      • Tao Ren – 10
      • Dan Shen – 10
      • Hong Hua – 10