November 2018

November 2018

The Office: How to Treat Tibial Ulcers

  • A tibial ulcer occurs due to bad blood flow in the patient’s leg, combined with an injury that cannot heal
    • Many times they can be so deep that you see bone.
    • The patient may have specialized pumps or wound management care devices.
    • Diabetics are more susceptible due to excess blood sugar making the blood gooey.
  • Pulse
    • Pulse will always be deep and pounding. Why?
      • Ulcer can’t heal due to blood stasis
      • Infection begins producing dampness and heat
      • The pattern is dampness with heat or heat toxins with blood stasis
      • Tibial ulcers are not due to spleen qi deficiency
  • Herbs
    • You need herbs that will do everything listed below in your formula
      • Drain damp
      • Clear heat/ heat toxins
      • Move blood
      • Generate flesh
    • Formula:
      • Herbs that cool and eliminate heat toxins
        • Jin Yin Hua
        • Zi Hua Di Ding
        • 3 yellows combination
          • Liu Zhu Huang
          • Huang Jin Gui
          • Mo Gu Xiao
      • Herbs That Clear damp
        • Ze Xie
        • Yi Yi Ren
        • Fu Ling
      • Herbs that move blood
        • Chi Shao
        • Ru Xiang
        • Mo Yao
      • Herbs that generate flesh
        • Huang Qi
          • Magic herb, use at least 20 g
          • The wound will heal much faster with Huang Qi than without
        • Dang Sheng
          • You can also add 10 g of this
      • For Pus
        • Zao Ji Ci
      • If there is itching
        • Bai Ji Li
        • Ku Shen
        • Huang Bai
          • For damp heat causing itching
      • If the limb is extremely cold
        • Gui Zhi
      • If the patient has constipation
        • Da Huang
    • The patient will notice improvements in two weeks
      • Tissues will be less inflamed and new tissue growth will start to occur
      • May take 4 or 5 months overall.

The Office: How to Treat Psoriasis

  • 5 patterns of psoriasis pulses
  • 3 high pulses, 2 low pulses
  • High pulses
    • High, wiry, strong right cun
      • Wind-heat toxins causing psoriasis with itching
      • Herbs
        • Sheng Di Huang – 30
        • Mu Dan Pi -10
        • Fang Feng – 10
        • Tu Fu Ling – 10
        • Bai Ji Li – 10
        • Chan Tui – 10
        • Jin Yin Hua – 20
        • Gan Cao – 6
      • With a lot of heat add
        • Da Qing Ye – 10
    • Convex pounding at any position in right cun
      • Excess fire causing psoriasis
        • Sheng Di Huang – 30
        • Bai Xian Pi – 10
        • Da Qing ye – 10
        • Mu Dan Pi – 10
        • Tu Fu Ling – 30
        • Ban Lan Gen – 15
        • Jin Yin Hua – 15
        • Gan Cao 6
    • Wiry, superficial pulse that is weak in right cun
      • Long-term cases of psoriasis might be due to excess fire scorching all the yin
      • Pulse collapses on pressure
      • Dryness due to blood & yin deficiency with wind causing psoriasis
        • Sheng Di Huang – 15
        • Shu Di Huang – 15
        • He Shou Wu – 15
        • Bai Ji Li – 10
        • Huo Ma Ren – 10
        • Fang Feng – 10
        • Xuan Shen – 10
        • Gan Cao – 6
  • 2 Low pulses
    • Deep, convex and pounding
      • Damp heat with blood stasis
        • Sheng Di Huang – 15
        • Zi Cao – 30
        • San Leng – 10
        • Qiao Cao Gen – 10
        • Yu Jin – 10
        • Chi Shao – 10
        • E Zhu -10
        • Hong Hua – 10
        • Ji Xue Teng – 15
        • Bai Hua She She Cao – 30
        • Gan Cao -6
      • With lots of itching, you can add
        • Quan Xie – 10
        • Bai Zhi – 10
        • Ku Shen – 10-20
    • Blocked pulse with strength
      • Blood stasis with trapped heat
        • Sheng Di Huang – 15
        • Zi Cao –  30
        • San Leng – 10
        • Qiao Cao Gen – 10
        • Yu Jin – 10
        • Chi Shao – 10
        • E Zhu -10
        • Hong Hua – 10
        • Ji Xue Teng – 15
        • Bai Hua She She Cao – 30
        • Gan Cao -6
      • With lots of itching, you can add
        • Quan Xie – 10
        • Bai Zhi – 10
        • Ku Shen – 10-20

The Office: How to Treat Eczema & Shingles

  • Eczema
    • Two types of pulses
      • Too high on both sides
        • Too much heat
      • Too low on both sides
        • Damp heat with blood stasis
    • Pulse too high
      • Xiao Feng San – 30
      • Sheng Di Huang – 30
        • Magic herb for blood heat skin problems!
      • Astringents
        • He Zi – 10
        • Wu Bei Zi – 10
        • Tian Hua Fen – 10
        • Ma Chi Xian – 10
    • Pulse too deep
      • Jing Fang Bai Du San – 20
      • Sheng Di Huang 20
        • Even though Sheng Di Huang adds damp, it’s very useful for skin conditions, and the Jing Fang Bai Du San makes up for the dampness
      • Astringents
        • He Zi – 15
        • Wu Bei Zi – 15
        • Tian Hua Fen – 15
        • Ma Chi Xian – 15
      • Blood Movers you can use:
        • Yu Jin
        • Chi Shao
  • Shingles
    • Formula
      • Ru Xiang – 20
      • Mo Yao -20
      • Zhen Ren Huo Ming Yin – 30/40
      • Lu Fang Feng – 10
      • He Zi – 10
      • Wu Bei Zi – 10
      • (Also, can use Tian Hua Fen)
    • Painkilling herbs are not enough for shingles because it is an inflammatory problem, so you must use anti-inflammatories
  • Itching
    • Main herb:
      • Bai Ji Li – 10-20
    • Emotional problems with itching
      • Ku Shen 15-20
    • Wiry pulse
      • Chan Tui – 15
  • Gout
    • Use 100% astringents
  • Toxic swellings use:
    • Jin Yin Hua
    • Lian Qiao
    • Zao Jiao Zi
      • Great for pus
  • Next time: How to treat tibial/ diabetic ulcers!

The Office: How to Treat Migraines

  • Medical Pulse Diagnosis® Book is now available on Amazon!
  • Migraines In Chinese medicine
    • Most Chinese medical texts focus on liver based pathologies
    • The ancient Chinese most likely were getting headaches due to high blood pressure related to liver fire/yang rising
    • Today most people with high blood pressure are on medications for it and are not getting headaches from high blood pressure but instead getting headaches from a tight neck
  • Acupuncture
    • Treat Posterior lateral – Tai yang or Posterior medial – Shao Yin
      • Needle the wrist at SI 5, deeply on both wrists
      • Needle into HT 7 at the wrist distally into the palm of the hand on both wrists
      • Needle UB 60, and KI 6 in both ankles.
    • If there is any pain on the side of the head left, needle Lateral-Lateral or Shao Yang
      • SJ on the wrist, GB points on the ankle
    • If in the front of the head needle anterior lateral – Yang Ming
      • needle into li 4 and st 41 at the ankle
    • Needling deeper into the joint will get a better response due to increase midbrain signal
  • Herbs
    • Relax the neck
      • Chuang Xiong Cha Tiao San – 20
      • Seattle 1 – 20
      • Flex Spur -20
      • Ge Gen tang – 20
      • Add another formula based on pulse
        • Strong liver pulse – excess fire
          •  Add Long Dan Xie Gan tang 20
        • Deep pounding liver damp heat pulse
          • Add Yin Chen Hao Tang 20
    • Sinus problem causing a headache
      • Herbal Abx – 20
        • Can also use Wu Wei Xiao Du Yin – 20
      • Astringent 1 – 20
      • Huang Lian Shang Qin Wan – 20
      • Resolve EM – 40
      • Can also Add Ru Xiang – 10, Mo Yao -10