FOREWORD
Course books and manuals describing Chinese medicine clinics in
The vast majority of the diagnosis and treatment of my own greatladies. They are listed in two ways, either by traditional categories
tional Chinese (pain of the hypochondrium, Shan Qi, strangury ...), or
diagnosed by modern western medicine (cholecystitis, appendicitis
chronic facial paralysis, endometriosis ...).
But the Western practitioner of Chinese medicine is often consulted by
patients who complain of atypical symptoms or unusual or
not retain a lot of attention by doctors dry nose,
heaviness of head, strong odor in the armpits, taste loss, itchy
eyes, feeling cold in the loins, shaking hands, blanciated premature hair, sweating hands, feeling
lump in the throat ...
However, these complaints are not considered diseases full
nor by modern western medicine, Chinese medicine or by conporary, they do not appear as chapters in our books
study. Thus, often through lack of knowledge, their diagnosis and
Treatment is frequently a problem. Failing involving uscommunicate more forward in the Chinese medical literature, we might even
be tempted to say that Chinese medicine does not fully adeadequate reaction to these situations.
Faced with this difficulty and aware of the shortcomings of our literature, I
focused particular attention on the discovery and compilation of intraining on this type of unusual symptoms and illnesses during my
studies in China, the avowed purpose was to expand our understanding in order to imimproves our clinical effectiveness.
This led me to write this series of practical manuals
clinical use. Classified according to the part of the body where symptoms
appear, they will cover, in addition to the major diseases of large specialization of Chinese medicine, many of these minor complaints if
frequent in daily practice.
This approach offers two important advantages. It is first
Often a complex and confusing symptoms make it difficult to
diagnosis of a patient's major complaint. Even a knowledge apdeep usual methods of diagnosis and disease commonplace
Your time may be insufficient to establish a clear diagnosis. These
symptoms and diseases not listed, or on which there is little
publications in Western languages, are so valuable assistance
illuminating the problem from a different angle.
Suppose a patient with sinusitis or rhinitis does not ClaIrately usual differential diagnosis of Bi Yuan (sinusitis). Prepossible concomitant presence in this patient dry nose (Bi
Gan), or pain of the nose (Bi Tong), or itching of the nose (Bi Yang), or
bad smell in the nose (Bi Shu), or nasal congestion (Bi Se), or
rhinorrhea (Liu Bi Ti), or enlarged nose (Bi Zhong) or feeling
Nose acid (Bi Suan), can then lead us to consider his case in a
new perspective. These complaints apparently "minor" may be
many new doors, all new frames diagnosed
questions and therapeutic methods to see clearer and be more competent
tent in difficult cases that come to us.
This series of books will also allow a deeper exhensively of many key symptoms of Chinese medicine as,
For example, spontaneous sweating, night sweats, fear of
wind and cold, redness of the cheeks, pale nails, lips purple ... The
most Western Chinese medical texts do not deal, in fact,
the causes and mechanisms of the most basic of these events
sugar can damage the stomach and weaken the movement of Qi inYang Ming bowels. "The Stomach governs food intake, the fordieback and ripening "and Qi to descend. If it is weakened, the Esstomach can not break or mature and bring down the food bowl
silent. The food stagnates and putrid. Since he can not,
ash, Qi Disorder Stomach back, resulting in poor breath.
2 - The Fire of the Stomach vaporizes up
Excessive consumption of pungent foods, heating, fried, fatty and /
or rich in flavor or contraction of Heat external Pervert
entering the Yang Ming can cause Stomach-Fire.
If the Fire accumulates in the stomach and becomes exuberant, it vaporizes
up and burn the gums, putrefying Blood locally,
causes bad breath. Or simply heat excessive amounts of Stomach and raises Disorder, inducing a-ha
leine foul.
5 If the bad breath odor specific, eg hydrogen, it will be interesting
complement this approach by studying the chapters on the acid taste in the mouth.
3 - Phlegm-Heat obstructing the Lungs
Phlegm-Heat can be caused by Pervert home
External entering the house, turn into heat and coagulaseslow fluids or mucus that accumulates in the Lungs
Heat and transform over time. If Phlegm-Heat, which
stagnate in the Lungs persist, they may burn and injure the Qi and
Blood in the Lungs, causing an abscess of the lung. Poor
breath occurs when the putrid Fire Blood and transforms into
pus.
4 - Liver-Stomach disharmony
Because of frustration and emotional tension, an overpressure
Liver may occur. This eventually turns into heat. Liver
Fullness in the stomach can attack transversely. The Heat of the preMier are then passed to the second. Stomach-Heat pushed the
Trouble thereby causing bad breath.
DIFFERENTIAL DIAGNOSIS - THERAPY
1 - Food Stagnation in Stomach
Symptoms
Bad breath often sour smell or food - Feti-belching
of, putrid odor - acid reflux - distension and fullness and /
or epigastric pain and abdominal - constipation or diarrhea with
presence of undigested food in stool - intestinal gas emission
tional nauseating - thick and greasy tongue coating - pulse Hua (slippery).
Therapeutic principle
- Dispelling the stagnation of food.
Acupuncture & Moxibustion
RM 10 (Xia Wan)
Together they dissipate food, mobilizes and
E 21 (Liang Men)
lower the Qi of the Stomach.
E 25 (Tian Shu)
Together they free the intestines and eliminate
E 37 (Shang Ju Xu) stagnation.
TF 6 (Zhi Gou)
Moves Qi and dissipates stagnation
Pharmacopoeia
BAO HE WAN amended (the pill to preserve the harmony).
(Chao) SHAN ZHA (fructus Crataegi) 9g, (chao) SHEN QU (Massa
Ferment) 9g, (F) BAN XIA (tuber Pinelliae) 9g, (chao) CHEN PI
(Epicarpium Citri Reticulatae) 6g, Fu Ling (Sclerotium Poriae) 9g, LIAN
QIAO (fructus Forsythiae) 3g, LAI FU ZI (semen raphani) 9g, (jiao chao)
BING LANG (semen Arecae) 9g, CAO DOU KOU
6
(Semen alpinae) 6g.
2 - The Fire of the Stomach vaporizes up
Symptoms
Bad breath - thirst with desire for cold drinks - sometimes gums
painful and swollen or rotten with pus and blood
or polyphagia - constipation - dark urine - red tongue - induced yellow tongue - pulse Shuo (fast), You Li (forcefully).
Therapeutic Principles
- Clarify and drain the Heat of the Stomach.
Acupuncture & Moxibustion
MR 24 (Sheng Jiang)
Together, they clarify the Heat and
DM 26 (Ren Zhong)
drain Fire.
Cao Dou Kou 6 is a Chinese medicinal substances effective in the treatment of
bad breath, especially of gastrointestinal origin.A simple formula is popular and comCAO DOU KOU poses (semen Alpiniae) 3g XI XIN (Herba Asari cum radice) 1g.
Reduce to a powder and take three times daily after meals.
EC 7 (Da Ling)
Together, they clarify and lower the lamp
E 44 (Nei Ting)
Stomach.
E 41 (Xi Jie)
Changes
In case of constipation, add E 25 (Tian Shu).
In case of toothache, add E 5 (Ying Da).
In case of swollen and painful gums, add GI4 (He Gu).
Pharmacopoeia
QING WEI TANG (powder to clarify the Stomach).
(Sheng) SHI GAO (fibrosum Gypsum) 20g, (sheng) Huang Qin (radix
Scutellariae) 9g, (sheng) Huang Lian (Rhizoma Coptidis) 6g, (sheng)
SHENG DI HUANG (Radix Rehmanniae) 9g, MU DAN PI (cortex Moutan
radicis) 9g, (sheng) SHENG MA (Rhizoma Cimicifugae) 6g.
3 - Phlegm-Heat obstructing the Lungs
Symptoms
Bad breath with smell of fish - pain and distention of the poiTriune - cough with sputum foul (fishy), greenish
meters or with pus and blood - dry mouth without desire to drink - Lin-coated
gual yellow fat - pulse Hua (sliding), Shuo (fast).
Therapeutic Principles
- Clarify the Lungs.
- Dissolve mucus.
Acupuncture & Moxibustion
P 5 (Chi Ze)
Together, they clarify the Heat of the Hearth
P 10 (Yu Ji)
Superior, particularly the Lungs.
GI 4 (He Gu)
TF 6 (Zhi Gou)
Together they mobilize the Qi and dissolve
E 40 (Feng Long)
mucus.
Remark
In case of lung abscess, acupuncture is a complement of treatment by Chinese medicinal substances administered.
Pharmacopoeia
JING WEI TANG amended (decoction of Rhizoma Phragmites).
LU GEN (Rhizoma Phragmites) 30g, (sheng) YI YI REN (semen CICO)
20g DONG GUA REN (semen Benincasae) 15g, TAO REN (semen
Persicae) 9g, CHUAN MU Bank (Bulbus Fritillariae Cirrhosae) 9g, (sheng)
JIE GENG (radix Platycodi) 9g, JIN YIN HUA (flos Lonicerae) 9g, YU
XING GAO (Houttuyniae Herba) 15g, GAN CAO (Radix Glycyrrhizae) 6g.
Remark
The lung abscess is a serious disease and acute dosages element
Vees above are only minimums. It is recommended to reduce them,
except in special cases.
4 - Liver-Stomach disharmony
Symptoms
Bad breath - belching - sometimes acid regurgitation - tendance to be hungry and thirsty - chest tightness - pain and distended
sion of hypochondria aggravated by stress and emotions - irritability
- Normal tongue or red border - white or slightly yellow coating pulse Xian (rope).
Therapeutic Principles
- Drain the Liver.
- Regulate Qi.
- Clarify the Heat.
- Harmonize the Stomach.
Acupuncture & Moxibustion
F 3 (Tai Chong)
Together they drain the Liver and
GI 4 (He Gu)
regulate Qi.
E 44 (Nei Ting)
Together, they clarify the Heat and
ST 36 (Zu San Li)
harmonize the Stomach.
RM 12 (Zhong Wan)
Harmonize the Stomach.
F 14 (Qi Men)
Drain the liver and eliminates stretching.
Pharmacopoeia
CHAI HU SHU GAN SAN amended (powdered Radix Bupleuri for drainage,
ner the Liver).
(Cu zhi) CHAI HU (Bupleuri radix) 9g, (sheng) BAI SHAO YAO (radix
Paeoniae Alba) 9g, ZHI KE (Citri aurantii fructus) 6g, CHUAN XIONG
(Ligustica wallichii Radix) 3g, XIANG FU (Rhizoma Cypers) 9g, (sheng)
Huang Qin (Radix Scutellariae) 9g, GAN CAO (Radix Glycyrrhizae) 3g.
Changes
In case of severe heat, add Huang Lian (rhizoma
Coptidis) 3g.
In case of severe abdominal pain, add YAN HU SUO
(Rhizoma Corydalis) 15g.
If belching and acid regurgitation, add WALENG
ZI (concha Arca) 9g GU and WU ZEI (bone Sepiae) 9g.