Treatment Treatment 3) Bleeding under the skin A) Blood heat Signs & Symptoms: – Main Sym. : Suddenly onset, purple spots or plague in skin – Concurrent sym.: blood from other sites such as nose, intestines or bladder, mental restlessness, thirsty, constipation, fever at night. – Tongue: red body without coating, red points all over – Pulse: rapid & fine • Treatment Protocol: – Expel poison – Clear away heat – Cool blood to stop bleeding
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Treatment 3) Bleeding under the skin A) Blood heat Signs & Symptoms: –Main Sym. : Suddenly onset, purple spots or plague in skin –Concurrent sym.: blood.
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TreatmentTreatment 3) Bleeding under the skin
A) Blood heatSigns & Symptoms:
– Main Sym. : Suddenly onset, purple spots or plague in skin– Concurrent sym.: blood from other sites such as nose, intestines
or bladder, mental restlessness, thirsty, constipation, fever at night.
– Tongue: red body without coating, red points all over
Night sweating-- Ru Dao Geng, Fu xiao mai, wu wei zi, Mu li
Bai He Gu Jing Wan
Bai He Sheng di Mai Dong Xuan Shen Bai shao Di Gu Pi
Bei Mu Ce bai ye Bai Mao gen Bai Ji Gan Cao Dang Gui
Case History
1. Female 67 years Medical history:Medical history: She had TB of the lungs for 40 years, had been suffering from breathlessness for many years. First visiting:First visiting:
Main complain: coughing of blood-specked sputum breathlessness on exertion, general exhaustion and
coughing of blood sputum. Night sweating, dry throat, and fever in the afternoon, was very prone to cold which immediately affected her chest and caused bronchitis with the expectoration of profuse yellow-greenish sputum. Overweight body type,
Tongue: slightly red, swollen with a rootless coating in the front part Pulse: Slippery
– Main Sym. : Fresh blood in the stools– Concurrent sym.: loose and frequent stools with mucus, burning
sensation in the anus, abdominal pain– Tongue:
Red with yellow-sticky coating on root, with red spots– Pulse:
slippery-rapid
• Treatment Protocol:
– Resolve dampness– Clear heat– Stop bleeding
Formula:
Modifications:
Yin Def.
-- Bai Shao, E Jiao, Shen Di
Stop bleeding
-- Bai Ji
Di Yu San
Di Yu Qian Cao Geng Huang Qin Huang Lian Zhi Zi Fu ling
TreatmentTreatment 5) Blood in the stools
B) Stomach & Spleen Def.Signs & Symptoms:
– Main Sym. : Profuse fresh blood in the stools– Concurrent sym.: slight abdominal pain, pale face, exhaustion,
depression, loose & frequent stools with mucus– Tongue:
pale tongue– Pulse:
thready weak
• Treatment Protocol:
– Strength the spleen– Warm the centre– Stop bleeding
Formula:
Modifications:
Yang Def.
-- Lu Jiao Shuang, Pao Jiang, Ai Ye
Stop bleeding
-- Bai Ji, Wu Zei Gu
Huang Tu Tang
Zao Xing Tu Gan Cao Shen Di Huang Bai Zhu Fu Zi Er Jiao
Huang Qin
Case History
1. male 60 years First visiting:First visiting:
Main complain: Blood in the stools for 2 years No abdomen pain and his bowl movements were loose and
very frequent. The blood was fresh-red and haemorrhoids were excluded as a cause of bleeding. He felt very tired most of the time and felt the cold very much. Even in summertime on a hot day when he came for his consultation he had a jumper and a jacket on.
Tongue: Pale swollen and had a white-sticky coating Pulse: Generally weak, especially so on the right-middle position
TCM diagnose: Spleen Yang Def. + Internal cold
Treatment protocol:Tonify & warm Sp yang
Formula:Li Zhong Tang
TreatmentTreatment 6) Blood in the Urine
A) Bladder HeatSigns & Symptoms:
– Main Sym. : Scanty-dark urine with fresh blood– Concurrent sym.: Mental restlessness, thirsty, insomnia,
red face, tongue ulcers, bitter taste– Tongue:
Red with redder tip, with yellow spots, or red spots on the root
– Pulse: Rapid, slightly overflowing
• Treatment Protocol:
– Clear heat from bladder– Stop bleeding
Formula:
Modifications:
Xiao Ji Ying Zi
Sheng Di Xiao Ji Hua Shi Tong Cao Pu Huang Dan Zu Ye
Ou Jie Dang Gui Shan Zhi Zi Gan Cao
TreatmentTreatment 6) Blood in the Urine
B) Kidney Yin def. with empty-heatSigns & Symptoms:
– Main Sym. : Scanty-dark urine with blood– Concurrent sym.: dizziness, tinnitus, back-ache, exhaustion,
feeling fever in the afternoon, night sweating– Tongue:
– Main Sym. : Palpitation, restlessness, oppressed feeling in chest, dyspnea, edema
– Concurrent sym.: dizziness, cold limbs, feeling of stuffiness and fullness in the chest, thirst, nausea and vomiting of water fluid
– Tongue: whitish & slippery coating,
– Pulse: taut & slippery pulse
• Treatment Protocol:
– Activating the heart yang– Promoting the circulation of qi to induce diuresis
Formula:
Modifications:Nausea & vomiting
-- Ban Xia, Chen Pi, Sheng JiangKidney Yang def.
-- Zhen Wu Tang
Lin Gui Zhu Gan Tang
Gui Zhi Fu Ling Bai Zhu Gan Cao
TreatmentTreatment 6) Heart blood stasis
Signs & Symptoms:
– Main Sym. : Palpitation, restlessness, chest pain
– Concurrent sym.: oppressed feeling in chest, unease, dark purple lips and nails
– Tongue: dark purple ,
– Pulse: knotted, intermittent or uneven
• Treatment Protocol:
– Remove blood stasis
Formula:
Modifications:Warm heart Yang
-- Gui Zhi, Gan CaoCalm mind
-- Long Gu, Mu LiPhlegm block the channel
-- Gua Lou xie bai Ban Xia Tang
Tao Ren Hong Hua Tang
Tao Ren Hong Hua Dan shen Chi Shao Chuan Xiong Yuan Hu
Xiang Fu Qing Pi Shen Di Dang Gui
Case History
1. Female 54 yearsMedical History:Medical History: Patient had a fever 2 month ago, after the fever was gone, patient started feeling palpitation. She had looked for several doctors, but no one can help her, which caused her feel depressed. She could sit whole day quietly without talking to anyone… First visiting:First visiting:
Main complainMain complain: Palpitation for 2 month Insomnia, lower fever sometimes, small quantity of menstrual
flow with light color blood Tongue:Tongue: Pale body with thin white coating PulsePulse: Floating-empty