Oct 27 1. Recurrent Aphtha 复复复复复 Etiology/Pathology Symptoms/signs: - ulcers/boils: superficial, isolated, few, light red with greyish white in the base - on lips, cheeks, tongue edges/tip/bottom, gums - dry throat/mouth, burning pain - recurrent, chronic - triggered by stress Syndrome/treatment Nourish yin and anchor fire Formula: gui shao tian di jian Dang gui 15, bai shao 15, tian men dong 15, shu di 18 Shan zhu yu 9, shan yao 30, huang bai 9, huang qin 9 Fu ling 15 If long lasting, + wu bei zi 9g If heat, + zhi mu 9, niu xi 15 If tasteless in mouth, + bei lan 9, shi chang pu 9
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· Web viewIf bleeding, + bai mai gen 30 Patent herbs: san huang pian (三黄片) Mouthwash: jing jie tang (jing jie15, bo he 15, sheng ma 9, xi xin 6, decoction) 3. Acute Laryngitis
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Oct 27
1. Recurrent Aphtha 复发性口疮
Etiology/Pathology
Symptoms/signs: - ulcers/boils: superficial, isolated, few, light red with greyish white in the base - on lips, cheeks, tongue edges/tip/bottom, gums - dry throat/mouth, burning pain - recurrent, chronic - triggered by stress
Syndrome/treatment
Nourish yin and anchor fire
Formula: gui shao tian di jian Dang gui 15, bai shao 15, tian men dong 15, shu di 18 Shan zhu yu 9, shan yao 30, huang bai 9, huang qin 9 Fu ling 15
If long lasting, + wu bei zi 9g If heat, + zhi mu 9, niu xi 15 If tasteless in mouth, + bei lan 9, shi chang pu 9
Patent Formula: liu wei di huang wan Zhi bai di huang wan
Other treatment: egg yolk -- smear Wu zhu yu powder + vinegar -- KI 1 (acupoint)
2. Acute Gingivitis 急性牙龈炎Etiology/Pathology
Symptoms/signs:
Syndrome/treatment
Clear heat, purge fire
Formula: qing re jie du tang
Jin yin hua 30, lian qian 15, sheng di 9, dan pi 9 Huang qin 9, han cao 6, sheng shi gao 30, zhi mu 9, da huang 9
If thirst, bad mouth, + sheng ma9, tian hua fen 18, xuan shen 15 If pus, + yi yi ren 30, bai zhi 18 If bleeding, + bai mai gen 30
Patent herbs: san huang pian (三黄片)
Mouthwash: jing jie tang (jing jie15, bo he 15, sheng ma 9, xi xin 6, decoction)
formula/herbs: yin qiao san Jin yin hua 30, lian qiao 15, niu banb zi 15, jing jie 9 Huang qin 9, bo he 4.5, zhu ye 9, can tui 4.5 Gan cao 6
If heat severe, + shi gao 30, dan pi 15 If pain and swelling, + xuan shen 15, ban nan gen 30, zi hua di ding 18 If cough with thick yellow phlegm, + ze bei mu 9, gua lou 18
Patent herbs: niu huang jie du pian, 6 tablets, Bid Bing peng san 冰硼散 (bing pian, peng sha, zhu sha, mang xiao)
1) yin defSymptom:Treatment p: Formula and herbs: Zhi bo di huang wan -- for KI yin def
Zhi mu 9, huang 9, sheng di 12, shan zhu yu 12 Dan pi 9, ze xie 9, gou qi zi 12, shan yao 15
Yang yin qing fei tang -- for LU yin def
Sheng di 12, sha shen 15, chuan bei mu 9, dan pi 9 Bai shao 12, bo he 6, sheng gan cao 6
2) yang defSymptom:Treatment p: Formula and herbs:
Jin gui shen qi wan
Sheng di 12, shan yao 15, shan zhu yu 15, ze xie 9 Dan pi 9, gui zhi 9, fu zi 9, Other treatment: Jing yin hua 30, pang da hai 30, mai dong 30, decoction
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Nov 3
5. Allergic Rhinitis 过敏性鼻炎
Etiology/Pathology
Pathogen -- --LU – dispersing/descending --- SP /KI turbid f
Symptoms/signs:
Syndrome/treatment
Treatment p: tonify SP qi, open nose orifice,
formula/herbs: bu zhong yi qi tang
Zhi huang qi 18, zhi gan cao 9, dang shen 15, dang gui 12 Chen pi 12, sheng ma 9, chai hu 9, bai zhu 15
If qi def severe: increase huangqi to 30g, + fang feng 12 If profuse thin secretion: + bai zhi 15, wu wei zi 9
6. Acute Sinusitis /bi yuan
Nasal sinuses mucosa -- acute inflammation
Bi Yuan
4
Etiology and Pathogenesis
Ext Toxin + Int heat (LU, SP, GB) → nose
Symptoms/signs
- Nasal obstruction -- smelling sense ↓- nasal discharge: profuse, purulent, stinking- headache: splitting, or distension- pain in corresponding area; mucous membrane swelling; profuse mucous
Treatment principle: disperse wind, clear heat, open orifices with aromatic
Formula and herbs: qing kong gao
Huang qin 15g, fang feng 15g, qiang huo 9, huang lian 12Chai hu 15, chuang xiong 9, sheng gan cao 6
If cough with profuse phlegm, + xing ren 9, pi ba ye 12If nose obstruction, + bai zhi 15, xin yi hua 9If profuse/yellow, + yu xing cao 15, zhao jiao chi 15If headache, top, + gao ben Front head, + bai zhi 15, man jing zi 12 Back, + ge gen 24; Side, + chai hu, dan pi 12
Formula and herbs: long dan xie gan tang Long dan cao, huang qin, zhi zi
3) SP channel damp heat
Chief complaint: profuse yellow running mucous, severe obstruction, loss of smelling, Headache, heavy head, abdominal distension; C yellow greasy, P smooth rapid pulse
H q 12, hua shi 24, mu tong 6, fu ling 15, zhu ling 12Da fu pi 15, bai dou kou 6
7. Chronic Sinusitis
Acute → chronic
Etiology and Pathogenesis
SP/LU def, defensive qi weakness --- pathogen lingering --- qi/blood blockage (in nose) -- turbid dampness gathering in nose orifice
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Symptoms/signs
- profuse white mucous, no stinking smelling, nasal obstruction (comes and goes), worsen by wind cold- nasal mucous membrane red, swelling- drowsy, brain power ↓ fatigue, shortness of breath
Syndrome and treatment
Chief complaint:
Treatment principle: tonify LU qi, disperse wind cold
Formula and herbs: wen fei tang
Huang qi 18, sheng ma 12, ge gen 15, qiang huo 9Fang feng 12, zhi ma huang 3, ding xiang 6, gan cao 6
If headache/drowsiness: + bai zhi 15, chuang xiong 9If obstruction; + xin yi yua 9, cang er zi 12If yellow thick, + ju hua 15, huang qin 12
If qi def severe, shen ling bai zhu san
If headache/dizziness severe, + bai zhi 15, chuang xiong 9If obstructed nose severe, + xin yi hua 9, cang er zi 12If discharge yellow purulent, + ju hua 15, huang qin 12
Congestion of bulbar conjunctivaMuco-purulent dischargeBacteria infection
Etiology and PathogenesisWind heat – LU – wind heat -- eyes
Manifestations
Foreign body sensationBurning painPhotophobiaLacrimation and profuse eye secretionConjuctival congestionSwellingbulbar conjuctival congestion or edema eyelid
Syndromes and treatment
1) wind heatEye lids + headache
Qu feng san re yin ziNiu bang zi 12, qiang huo 9, fang feng 12, bo he 9, ju hua, Sang ye9, lian qian 12, zhi zi 9, da huang 3, chi shao 9Dang gui 9, chuang xiong 6,