September 2018

September 2018

The Office: MPD® Seminar Case Studies: Common Cold & Early Stage Heart Failure
  • Case-study #1: Louise
  • Sx
    • caught a cold
  • Dx
  • Right cun: wiry, pounding pulse – common cold
    • If the immune system is strong, the pulse turns convex; if the immune system is weak, the wiry pulse develops into a blocked pulse
  • Left cun: blocked – tired, anxious, bad sleep
  • Left guan: ok
    • Left proximal: compressed pulse- inguinal hernia
  • Rx
    • Yin Qiao San 80
    • Pu Ji Xiao Du Yin 20
  • Tx
    • DNA™- LI 5, LI2, LI3, ST36 to treat head & throat colds (Yangming)
  • Notes
    • ask the patient if they usually get over colds quickly or not; if not, then add 10-20% of tonics (Yu Ping Feng San)
  • Case-study #2: Leo
    • Dx
      • Right cun: blocked and compressed pulse – large intestine issue most likely diverticulosis
      • Right guan: too deep
      • Right chi: too deep
      • Left cun: blocked
      • Left guan: ok
      • Left chi: compressed pulse – knee (or hip) injury
    • Sx
      • edema
    • Rx
      • Xue Fu Zhu Yu Tang 35
      • Gua Lou Xie Bai Ban Xia Tang 35
      • Ze Xie 10
      • Fu Ling 10
      • Yi Yi Ren 10
    • Notes
      • Do not forget to visually inspect the patient.
      • Leo has puffy hands and pitting edema at the ankles.
      • Constitutional analysis:
        • The thin, nervous people are the nervous-system tense/ sympathetic-dominant types and you need to fix their nervous system (usually yin deficiency, deficiency fire). The big, puffy people tend to get heart failure (dampness, stasis).
        • The vivacious ones are very prone to heart blood deficiency (the “outgoingness” is a protective mechanism)
        • “Look at the toaster before you take the lid off.”
    • A-fibs can be caused by stasis or weakness. Usually caused by heart murmurs which lead to pooled blood in the atria.
    • Closing remarks: Study cardiology!

The Office: Endometriosis & Fatigue

      • Right Cun:  pounding – nasal drip
      • Right Guan: deep – gas& bloating
      • Right Chi: compressed pulse – injury shoulder
      • Right Chi/ Proximal: Du Mai (a proximal pulse that is thin or thick, but usually thin, in the middle depth and wiry)- stiff neck
      • —-
      • Left Cun: normal – good heart function
      • Left Guan: normal – good liver function
      • Left Chi/ Proximal: Ren Mai (deep, thin, wiry pulse) with compressed pulses – endometriosis with cysts
    • Rx
      • Ge Xia Zhu Yu Tang 20
      • Shao Fu Zhu Yu Tang 20
      • Zhe Chong Yin 20
      • Cold Breakers (Wang Bu Liu Xing, San Leng, E Zhu) 20
      • Gui Zhi Fu Ling Wan 20
      • 3 spoons, 3x/d for 3 months
    • Strategy
      • Take above formulas for 3 months to clear the Ren Mai
      • Once the Ren Mai pulse has cleared, switch to kidney Yin and Yang tonics (Zuo Gui Wan/ You Gui Wan) for another month or two and then go for “making a baby”
    • Notes
      • Touch the belly with the back of your hand to determine if there is cold or heat in the lower abdomen
      • Etain’s lower abdomen felt cold – so we will use cold-breakers
  • Case Study #2: Fiona
    • Dx
      • Right Cun: extremely paper-thin, wiry, superficial pulse – wind-cold: Bell’s palsy (partial facial numbness)
      • Right Guan: strongest in the middle (so digestive function is generally ok), but also palpable in the superficial level and a little too wiry.  – emotional stomach
      • Right Chi: Du Mai (a proximal pulse that is thin or thick, but usually thin, in the middle depth and wiry)- stiff neck
      • —-
      • Left Cun: weak pulse – fatigue, easy to cry, “thin skin”, emotional, anxiety
      • Left Guan: a little too high, but almost normal – strung tight (sympathetic dominant)
      • Left Chi/ Proximal: NA
    • Rx
      • Si Wu Tang 30
      • Yang Xin Tang 20
      • Chai Hu Jia Long Gu Mu Li Tang 30
      • He Huan Pi 10
      • Yan Hu Suo 10
      • Ye Jiao Teng 10
    • Strategy
      • Heart Blood Deficiency
    • Tx
      • Numbness improved more than 50% after 3 DNA™ treatments; used to be the whole right side of the face, now only lower lip
      • Target lower lip- Treat via: ST38-ankle
    • Notes
      • If you don’t do herbs, still do your MPD® to determine what is wrong and simply fix it with the acupuncture!

The Office: MPD®- Obstructive Airway Disease

  • Pulses: 75% of all obstructive airway disease cases have a blocked right cun – phlegm & blood stasis in their head
  • If the blocked feeling is pushing against your finger, then there is heat-stasis, indicated especially swollen tissues in the upper airways and sinus cavities
  • The sleep apnea machine pushes dry air in the upper airways, which acts dries out the swollen membranes, hence making them less obstructive
  • DNA™:
    • Treat the Yangming (below the eyes) & Shaoyang (above the eyes)
    • Draw lines down to the arms from the head to basically SJ4 and LI5, needle those two points deeply into the joints ( the SJ4 “hole” is just distal to the wrist-crease)
    • Needle deeply into GB40 and ST41 (same image just transferred to the ankles)
    • Add ST 36-ST37, GB 34- myofascial (MF) zones, as well as the LI 10-LI11 MF zone
  • MPD®:
    • Strategy: shrink the swollen membrane and kill possible pathogens
    • Dx
      • Most common: blocked and blocked-pounding or pounding right cun
    • Rx
      • Herbal Abx 15
      • Astrigents (form Jimmy Chang) 15
      • Resolve EM (Zhen Ren Huo Ming Yin) 40
      • Seatle 1 (Bai Hu Tang) 15
      • Di Long (move the blood) 15
      • Huang Qin 15
    • Patients should take the last dosage just before bed!
    • Patients should use a neti-pot (sinus rinse device) with salt and distilled water, not tap-water
    • In most cases the obstructive airway disease is driven by an allergy, but you are still going to use above Rx
    • If the right cun is not blocked instead wiry & thin and tight (plus cold nose) – wind-cold:
      • Rx 1
        • Xin Yi San 100
      • or Rx 2
        • Xin Yi San 50
        • Ge Gen Tang 20
        • Jing Jie 10
        • Jie Geng 10
        • Fang Feng 10
    • If the right cun is wiry & wider and stronger (plus warm nose) – wind heat:
      • Rx 1
        • Cang Er Zi San 100
      • or Rx 2
        • Cang Er Zi San 30
        • Mu Dan Pi 20
        • Yi Bu Shi Cao (runny nose) 10
        • Bai Zhi (runny nose) 10
        • Lian Qiao 10
        • Jin Yin Hua 10
        • Astrigents 10

The Office: MPD® & DNA™ – Treating Irregular Periods

The Office: MPD® & DNA™ – Treating Irregular Periods Notes:

  • I don’t start from the disease and back-track, but I start from the pulse instead
  • Generally there are two main categories with irregular menses:
    • Blood stasis (in combination with trapped heat)
    • Blood deficiency (and systemic weakness)
  • Rx blood stasis:
    • Ge Xia Zhu Yu Tang (30-100)
    • Shao Fu Zhu Yu Tang 30-50
    • Zhe Chong Yin 30
    • If there is cold, add in San Leng, E Zhu, Wang Bu Liu Xing 30
    • Shui Zhi 10
    • If there is (trapped) heat, add Huang Bai 15
    • Let the patient take the formula for 1-2 cycles to clear out all the blood stasis
  • Dx
    • Left Chi is deep and blocked
  • Rx blood deficiency:
    • Si Wu Tang 20-40
    • Yang Xin Tang (esp with anxiety) or Tian Wang Bu Xin Tang (if there is just tiredness, insomnia) 20-30
    • Xiao Yao San 20 (keep “the liver” open)
    • If pulses are really high and thin – Yin def., add Zuo Gui Wan 20
    • If pulses are really deep and hands are cold – Yang def., add Ba Wei Di Huang Tang 20 (can also add Ge Xia Zhu Yu Tang 10)
    • If the left Cun is very thin, weak and deep (heart def.), add Fang Ji Huang Qi Tang 20
    • If there is excessive bleeding or spotting, add “Black 1” – 20-30
      • Ce Bai Ye Tan
      • Di Yu Tan
      • Pu Huang Tan
      • Shan Zha Tan
      • Jing Jie Tan – all equal amounts
    • If there is a lot anxiety, add He Huan Pi and Suan Zao Ren 10 each
  • Dx
    • Left Chi thin and weak (cleanex -like pulses)
    • Overall pulses thin and weak, esp left Cun and left Chi
  • Sx – especially associated with heart weakness:
    • Cold hands
    • Anemia
    • Dry skin
    • Anxiety
    • Insomnia
    • Fatigue
  • DNA™:
    • Target the lower abdomen
    • Treat via AL (Yangming) and LL (Shaoyang)
    • Draw a line from the lower abdomen down to ankle – ST 41, needle deeply into the joint area – AL
    • Jing Jin on the abdomen is Shaoyang – GB 40, needle deeply into the joint area – LL
    • Needle LI and SJ at the wrist – AL and LL on the upper extremities
    • Additionally you can needle the MF zones proximal to the wrist: eg PC 6 area on PC and HT (MM and PM treating LL and AL)