May 2020

May 2020

The Office: The Yamamoto Method

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The Office: How to treat Wind Damp Heat Bi Pain

  • Pulses:
    • Left Yang Wei pulse:
      • Wiry, superficial and strong. This means Wind Heat Bi Pain.
      • If the same pulse is deeper: there is a lot of Dampness as well. Then it is Wind Damp Heat.
      • Rounded or convex and strong and superficial: This means Excess Heat Bi pain.
      • If the same pulse is deeper: there is dampness as well. Then it is Excess Damp Heat.
      • Deep and blocked and strong: there is a lot of Blood Stasis with Damp Heat.
  • Herbs:
    • Basic formula:
      • Shi Gao – 30
      • Zhi Mu – 10
      • Gui Zhi – 5
      • Cang Zhu – 10
      • Fang Ji – 10
      • Yi Yi Ren – 10
      • Huang Bai – 10
    • If Yin Deficiency:
      • Take out:
        • Cang Zhu
        • Gui Zhi
        • Shi Gao
      • Add:
        • Qin Jiao – 15
        • Bai Shao 10
        • Sheng Di Huang -30
    • If the pulse is superficial and not in the middle or deeper and the painful area is not swollen:
      • Take out 2 of the Damp removing herbs.
    • If there is Blood Stasis:
      • Add:
        • Chi Shao – 10
        • Di Bie Chong – 10
        • Di long – 10
        • Dan Shen – 10
    • For more severe cases such as acute Rheumatoid Arthritis:
      • Shi Gao – 30
      • Ren Dong Teng – 30
      • Zhi Mu – 10
      • Gui Zhi – 5
      • Chi Shao – 10
      • Hu Zhang – 10
      • Yi Yi Ren – 15
      • Qin Jiao – 10
      • Can Sha – 10
      • Gan Cao – 5
    • If there are obvious more Yin Deficiency signs rather than Dampness:
      • Replace Shi Gao with Sheng Di Huang
    • If there is more Blood Stasis:
      • Add
        • Chi Shao – 10
        • Di Bie Chong – 10
        • Di long – 10
        • Dan Shen – 10

The Office: How to treat Wind Damp Cold Bi-Pain

  • Arthritic pains that affect joints and soft tissue are determined by the Left Yang Wei pulse.
  • Pulses:
    • If the condition is Wind the pulse will be wiry and superficial.
    • If the condition is Excess Cold the pulse will be firm or slightly hard and superficial.
    • If the condition involves Dampness, the pulse will be wiry, firm and will be located in the middle or deep depth.
    • If there is Blood Stasis the Pulse will be deep and blocked.
    • If there is weakness due to Qi and Blood Deficiency the pulse will not be firm but a weak kleenex pulse.
    • If there is Kidney Yin or Yang Deficiency that will be shown in the Left Chi position. Yin Deficiency makes the pulse too high and Yang Deficiency makes the pulse too thin and weak and deep.
  • Main herbal formula:
    • Shu Jing Huo Xue Tang. You can use Yi Yi Ren Tang, but the former is better.
  • If there is a lot of Wind involved the pain will tend to move. In this case add:
    • Wei Ling Xian
    • Wu Shao She
    • Fang Feng
    • Wei Ling Xian and Fang Feng are already in the formula but 10 more of each of these herbs will really help the wind problem.
  • If there is a lot of pain and the area of pain is cold add:
    • Fu Zi – 5
  • If there is a lot of Dampness add:
    • Fang Ji – 10 more in addition to what is in the formula
    • Yi Yi Ren – 10 or
    • Bai Zhu – 10.
  • If there is Blood Stasis add:
    • Ru Xiang – 5
    • Mo Yao – 5
    • Yan Hu Suo – 5
    • Pu Huang – 5
    • Wu Ling Zhi – 5
  • If there is long, chronic pain add:
    • Di Bie Chong – 10
    • Shui Zhi – 10.
  • If the pulse is weak then add:
    • Huang qi – 10
  • If there are obvious signs of Blood Deficiency add:
    • Dang Gui – 10 in addition to what is already in the formula.
  • If the patient is over 55 and there are signs of Yin Deficiency add:
    • Sang Ji Sheng – 10
  • If the patient is over 55 and there are signs of Yang Deficiency add:
    • Gou Ji – 10.
  • Sang Ji Sheng and Gou Ji take away Bi pain and tonify Yin and Yang.