Elucidation of Single-Acupoint Acupuncture and Moxibustion Therapy ( PDFDrive.com ).pdf

Writ↑en bγDr. Lu Zhao & Zhou Chenhua

CHINESE- ENGLISH

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R45 中国版本图书馆CIP数据核宇(2005)第002360号

汉英对照独穴针灸疗法 著

译:  J 昭

周晨华

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Preface This bk, namely Chinse-Englh Elition of Sile upoint Acupuncture and Moxibtn Tera, is  acadeic monoaph on sine-acupoint acupncture and moxibstion ( SAM). It is accompished on the base of TCM ' s theo of meridians and sdmedierentiation sdmediere ntiation combining t the athors  cinic experiences obtained from teir many yea  cinica practice of acupnctre and moxibustion, it mainy narrated the principes of SAM and ow to se it in te concrete cinic practice. Science of acpunctur and moxibstion is an imant p of TCM it is dey sed in a te medic practice n the folk, there is a popular sayng to appraise te quiy of acupuncture" one god  two siver and tree t ree broze  ( te te meaning is : the fewer acupoint sed, sed, te better the qaliy of te acpncture )  This means te sccessfu acpncture reatment sold be simpe in perfoance wile prominent in terapetic eec As ck wod ave it, the ato aso regaed suc viepoint as the star int to rite this book in wic hese eective methods of Sile acupoint Acupuncture and Moxibtion tat ave been athenicated in teir many years  cnic pracice are veritaby pbicized to he reade so as to have a deeper discussion about SAM wit te readers together SAM reqires the acpncturist to be in possession of e sperexce�en abiity to work ot accrate diagnosis and syndrome derentiation. At rst it reqires reqi res te acpncturist sod expery 

Prefae master locaton and indcations of the acupoins al around he body as we as he acupoins ' muifarious eect n treamen; second, he acupuncuris should be abe o work out accurate dagnoss and perform he coesponding syndrome-dfferenation and treatmen accordng o he concrete feaures of diseases; nally t ' s mos impotan for the acupunctuis o make hs manpuaton just a the most approprae appropra e measure me asure when perfoing manpuaon. Thus, coud he paen  s suerng suerng be allevated allevated mos eecivey eecivey Al of these mean ha: n SAM, the acupunctust shoud adroly maser hesysemaic knowedge of acupuncure and moxibuson ncludng he basic heory, the therapeuc pncple and the presciption o acupont as wel as he manpulaon echniques, futheore, be be good a usng hem n concree clnc pracce with grea acity In addion, he acupunctuis should be amliar wih some unque methods of acupuncture and moxibuston such as Mdnghnoon Ebb-ow and a nd Eight E ight Mehods M ehods of Magic Mag ic Tue , for hey are a usefu to dea wth some obstnate dseases n SAMs cinic pracice. Jus accordng to he above requrements, his book, wh ts two ps: genera ntroduction of SAM and case records of SAM, SAM , adequatey reveaed SAMs academc feaures referng to the basc heory, the herapeuc pncple and he presciption of acupoin as we as he manpuaion technques, more vauaby, it aso deailed hw o use SAM Therapy n concree cnic pracce. Is pomnenty charactezed by s mature heo and entire cnc records, especialy he h�rapeuc mehods of SAM were a narraed vey deailedly so ha i is exremely avalabe and he readers can reay benet fom her readng Besides, hs book b ook has anoher ano her characer  is a bilingual ChneseEnglsh ok. Such writng s vey convenen  for boh Chinese and foreign reades reades readng and sudyng, sudyng, especaly 132

Prefae advantageous to spread and popularize SAM Theapy fa and wide. In fact, this book plays a pomotive and bidge-like ole in helping Chinese and foeign schols ecoge and study SAM Theapy Theap y Cuently, Cuently, it s he st bilingua bilingua  Chinese-English Chinese-English monogaph on SAM in the wod D uZhao and Zhou Chenhua, the authos of this book, book , e all employed by Jiangyin Hospit of TCM in iangsu Povince at pesent. pesent. D. iuZhao was bo in Tianshui City, Gansu Povince Povince his famiy is a well-kno TCM family, so that he was stongly inuenced by TCM culue when he w a lile boy Moeove he staed acquiing fundamenta TCM knowledge fom hs fahe in his eay youth te he was enolled into Nanjing Railway Medical Colege, he

then

systematicaly s ystematicaly

studied

wese

medicine

knowledge. Duing his collegeliving he designed and invented the Manikn of Midnight-noon Ebb-ow and Eight Mehods of Magic Tue conoled co noled by SCM. As his talent D LiuZhao is ve accomplished n TCM TCM acupuncue and moxibusion as well as pofessional anslation of TCM udably, he ssesses supeexcellen ception on TCM which led him o b extemely epeenced and skful in eaing my coon dseases and obsinae diseases with Cnese hebs, hebs, acupunce acupunce and moxibustion moxi bustion D Zhou Chenhua gaduated fom cinic depamaen o Nanng Ralway Medica College Dung he colegeliving, she ep ecelen gades a along She aso has good go od TCM knowledge knowl edge and keeps long-tem eseaches of TCM TCM she has been paicpating n D uZhao ' s geat quantity of medica pacice a aong Fuheoe, she has geat aainmens in pofessiona anslaon ansla on of TCM Theefoe, we can know this book is accomplished a ccomplished acually acua lly undego the authos  longtem accumulation of studies and pactce 13

Pfa The adial ee of his book is o reieve he pae ' s suferig mos eeivey oly wih he fewes aupoi ad he mehods ha a be b e easies grasped, ad he ayig ford SAM herapy May moe sholars gasp SAM erapy ogeher. May SAM herapy brg he paies more bee ad happiess Ro g

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Frwrd Siee of aupuue ad moxibusio, wih is aie orig ad log developme has exised fo may housads yeas i ou oury i whih sigle-aupoi aupuue ad moxibusio ( SAM)  as a uique heapeui mehod akes a very impoa plae As fo SAM i meas o maagig isease oly i ihh oe aupoi s meod i liial paie is pomiely haraed by he fea iludig iludig fewe eloy ui sile oe ad apid a pid uive ee ee as well  less pai fo paie This book amely Chise-English Elucdation of Single-acupont Acupuncture Chiese-gish moogaph and Moxibton Therapy is a biligual Chiese-gish o SAM hee e a gea may eods aou SAM i al he books of aupuue ad moxiusio moxiusio hrough he ages Sequeially i ee e yeas o so some shola i ou ouy olleed a lo of elaive ifoaio ad published he books o SAM us i suh bakgoud his book Chinese-Englis Chinese-English h Elucdaton of Single Single acupont Acuputure and Moxibustion Therapy, is woke ou ude he isuio of TCM ' s heory of meidias ad sydme diffeeiaio ombiig wih ou liial expeiees obaie fom may yeas  lii paie of aupuue ad moxibusio moxibusio i sysemaally aaes he piiples of SAM ad how o use i i he oee lii paie This book iludes iludes o pas  he rs pa is geea ioduio of SAM ad e seod is ase eods of SAM he s pa ihes he adiioal heoies of TCM ad

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 deaedy aaes SAM s heoreal fudame ad s aadem haer he seod par, par, adopg he form of oree ase reords, adequaey reveed SAM ' s aadem feaures m suh aspes as he bas heo he herapeu prpe ad he presrpo of aupo as we  he mapuao ehques more remarkaby, remarkaby,  eary es he readers how o oely use SAM Therapy Therapy  oree  prae. We reay hope hope suh omposg a eevey hep our eades maser SAM Therapy sysemaay ad he use   he  pe oey ad  freey. The book hes he radoa heores heores of TCM. Meawhe , as for he omposg sye of ase reords,   s absouey dsve for he hso of ess physa examao ad dagoss were a e  he form of ure admsso reord  whe TCM ' s reame based o sydrome-dereao sydrome-dereao was emphased whe aaysg he oree ase, fuheore hese  feaures f SAM referrg referrg o he bas heo, heo, he herapeu herapeu prpe, he presrpo of aupo ad he mapuao ehques were sy peeaed roughou he proess of whoe reame We osder hs ew omposg omposg s o oly advaageous o fo SAM's SAM's uue u ue sysem of heory, bu aso ve save for TCM o advae oward he wod d owd modeao. Besdes, Besdes , hs book s a bgua Chesegsh book,  s very advaageous o spread ad popuare SAM eapy fa ad wde, wde,  fuhermore,  pays a promove ad brdgeke roe  hepg Chese ad foreg shoars reoge ad sudy SAM Therapy SAM requres he aupuurs o ady maser he sysemaa kowedge of aupuure ad mobuso, udg some advaed aupuure ehques suh as Mdghoo

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Forord bbow, igh Mehods of Mag ule ad Swf-yig igh Mehods, Mehods, e Ahough Ahough i ' s diu diu fo us o udead udead ad use hem  fo example, example, i's muh moe dul dul o alulae alulae he opeg aupo i Najia mehod o Yag mehod of Mdighoo ebb ow ) , we sll seleed some ase eods a a be easily udesood by he eades i his boo  fo exampe exampe we seleed some ase eods efeg o Na mehod of Midghoo ebb ow)  hough eadg hese ase eods, eods, ou eades a ow abou some elae owledge Neerheess,   fo  fo he deaied oes abou hese owedge, we adse he eades o ead ohe moogaph o hese owledge so as o impoe he media a moe ad ad moe I addiio, addiio , ha should be explaied is   ou ou, ou, may aupuuss hae he ow ow osummae slls  SAM. SAM. Howee hese hese seeed ase eods  eods  his boo ae he ea ase eods of SAM olleed ad summared by us  ou lii paie, pa ie, hey ae all sfe ad smpe smpe i pefomae pefo mae ad a be easiy grasped As fo some speial SAM Theapy, hey  wee' uded uded  his boo fo hey are all sy ad ompaed  pefoae  fo example, eaig aphasa o hepaiis wih SAM heapy) o  's eally dul fo he eades ead es o gasp hem  fo exampe, eag dabees o hyperplasia of posae wh SAM eapy)  We eay hope ou eaders a udesad ou seeo Wig hs boo spe almos e yes, beause 's ealy du o olle he eielysueyed ad auabe ases  aual li pae, i's always dsubed by some objeie o subjee  faos speially  he ee yeas , wh he feque hagg of he auhos wo eome, ou wig was eped fo see mes Alhough hee wee may dfues  he poess of ou wg, some id-heed people helped us whe we wee i

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 predcamen Mr. Huang Janua n JangYn pvded us wt a stale envronent of wo and oed us stng suppo and ep wen o tng was stopped ; ter ths oo was naly nal y wored wo red out t's atly honoed that Mr.   Zhpng n Nanjng specaly wte the preface for ths boo  of these encouraged us to conquer  the suerng d acheve wtng te b. So that ths ok actually concentrated the panstang labo of all these knd hearted people Because te theores of SAM herapy are much more compreensve and profound profo und especy especy many CM tems came from the ancent peod and have partcuar denotatons. t s matter-of  factly dct ct to accutey translate tem Therefore  naccuraces naccuraces n ths bk  unavodable We realy hope that our TCM frends n te world wl help us wt tmely coectons. May SAM herapy spread and poparze far and wde a over the wod! May eveone under te heaven enoy a long and healthy lfe Dr L Zho & Zho Che October   

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Contents

        ra l T a lk ter  One Genera l  lk Chapter 

               

Cter wo eoreticl Bis o Singe-cuoint Acuuncture d Moxibustion   Etio lo  log ic Teo  Meridins eo        T heo o f  Syndr ome-d er entiation  Tereutic rincie    unctions o Some Secic Acuints   .  (1) L uo-( Connecting ) Acupoints  () F ive-Shu Acupoints                                        

       

    

   .



                        

t-Mu Acup ints ront-M cupoints () F ron  C lee f t) Acuints (4) Xi-( C l



         ·      ·    ·        

  .  

() Conuent Acuoints o Eigt Ex Meridins

 ints (6) Cr ossing  Acupoint .... tia l Acupoint ints . (7) Eig ht Iuentia (8  Iwer  He-( Sea) Acupoints   (9) Yuan-( P r r im) Acupoints ck-Shu Acupoin oints (0) Back          



      

    �  



        . 

             

43

 4

 

  156 5  160

 6 162 163 163 64

Cter Tree Mniultion Tecniues o Single-cuoint  stion  xibusti Acupunctur e and Mo xi  Mniution o Acuuncture o Sinecuoint                                           ery       

139

oes 2. Mapuaio of Moxibusio of Sige-aupo Therapy                                                          172 3 Appiaio of Oer Spei Mehods i Sge-aupoi erapy                                                          175 Caper Four Some Reae Tops of Sge-aupo Aupuure ad Moxbusio                                  176 Chaper Fie The Idiaos ad oradaios of Sge-Aupoi Aupuure ad Moxbusio            180

Cs Rods o SApot pt d oxbsto Cha per  Oe

I Iea  Dsea ses

                     ·             

183

               183 1  Ifeo of pper Respraory Tra  2. Obsia  e Cou ia e g  oug 

                         .                     

3. B o thma  ochia  l Asthm

 .   . .   . .  .   .    .   . .  . . .  . . .  . .  . .  .    .

18 8

195

. Sius Tayardia                                            2 5 Hypeeso                                201         ·                            .          ·

205

7. Somahahe                                                  8· Fauee                                                   9 Gasroposis                             10. Vomiig                                         

207 213 218 221

11. Coe stiss oeyysti

227

s 6. Ang ina  r s ina  Peto etor 

                                                

                     231 12 Hup                                   13 Cro eis                                             233

 oeuo H ea da he 4. Ag o 15 Neous Isomia                    16 Bou of pepsy                                       Caper Two Surga Dseases                                         

1

           .             

2 37

2 28 250

o 1 Cainomaous Pain                                                                                           2.  enal enal Colic                                                    3 Pain of Testis        

 2 5 0  2 5 7  262

 4. T rem ge s remo  o f Finge   5. Sca pulohumer a  al  P eria  itiss hiti ria h

 · · · ·    ·  ·  · · ·  · · · · · · · · · · · ·  · · · · · ·   · ·    · · ·  · · · ·  ·

 2 6 6

 · · ·  · · · · ·  · ·    ·   ·  ·   · · · · ·  · · · · ·  · · ·   ·

 2 7 0

 6 Sciatica                                                           27 9

 7 Sp a  in o f Ankle a in

                                                   

 28 4

                                              28 6 8 Si nec               9 Lumbago   2 90       2 9 6 1 0 Extea Humea Epicondytis     11 Hemo hod hod                                                     2 98 1 2. Devia ton ong  on of  Qig ong 

                                                

 3 01

           303 1 3 Facal Fuunculi       Chapte Thee Diseases of Obsetics· and Gynecolo           30 5 1 P edculot ia n Cyst lotor sion o f  Ova ia 

 · ·  · · · ·  ·     ·  · ·    ·   · · ·  · · ·   ·    · 

 3 0 5

                        308  2 Pan of Beas                   3 Dysmeno hea hea    31 0     31 5  4 Pospaum Sunvoluion of Utes   5. P ospa r  r um P a  ai  n o f Wr st

  · · ·  · ·   · ·  · ·    · ·  ·  ·  ·  · · ·  · · 

 6 Menopausal Syndome                                                   7 euohagia        8 Dys f uncion ne Hemo ha g  g e iona l Uer  er ne ic Dise e  Fou  P eda ic isea ses Cha pe  1. Hype py etc Convulsi lsion

  ·   ·     · ·  · · · · ·  · · ·  · ·

                                     

                                   

 318

 3 20  3 22  3 2 4  3 2 9

 3 2 9

 2 Enuesis                                                       333 Chapte Five Dseases of Skin                                      335 1. Fa cial cial Chl oa sma hloa   2. Ae g    c Dea  gc itis ea itis  3. Sola  iis us Dema  ma ii ola iius

                                                          

                                         

.  

 

                                           

 3 3 5  3 38  3 41  41

141

ntn

4 Cuaneous Pruus                              343 5 Urcra                                               345                    355 Chaper Six Ophhalmc Diseases              cue Conjunciviis                                355 2 Hordeolum                                          357 3 Tauma of Ee                                               36         3  Chape Seven Diseases of Oohnolangoog                36 1 cue angopharngiis                      ·          2.

nic P ha ng is ron Chro is

                         ·                 

3 Tnnus and Deafness                                     4 Toohach                                             5 Menere's Disease                                     6 Phangoa ngea  ngea Neurosis               7 Trauma of urcle            8 Chronic lergic Rhiniis                           

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372 376 38 383 385 387

n Indun  ng-Aun Aunu nd Mxun Chapter One

General Talk

Ths therapy snge-acupont acupuncture and mouston ( SAM ) s an unque therapeutc method of TCM TCM t efers to managng dsease ony wth one acupont. In cnca practce, t s promnenty characterized y these features ncudng fewe empoyed acupont, smpe peormce and apd curatve effect as  we  we as ess ess pain pain for patent Over many thousands years years  span span of acupuncture s hstory hs tory t grows up and and evoves contnuousy wth w th growng and deveopng of tradtonal acupuncture and mouston ( TAM) al along As a knd of speca method of acupuncture and mouston, t not ony has ndscerpte and mmanent eaton to TAM s also derent derent from TAM TA M wth ts own partcuarity Deep comprehendng ts academic character and analyzng ts sameness and derence wth TAM TAM t can eaty hep us to systematcay study and master ts dagnostc and therapeutc es moreove s more eneca for us to adroty use t  as to make eat progess n our cnc practce

Chapter Two Theoretical B of Single acupoint Acupuncture and Moxibtion Just a TAM, SAM aso caes on tadtonal theories of TCM

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lition ofSile-i Ate an Moibtion hea

especialy the theories on merdian and sndromediereniation Among them them meridians heo d meridian sde-diffentiation are al al mos centa heories of SAM In its clinic clini c pracice acupuncturists diagnosis syndromedierentiati syndromedierentiation on herapeutic herapeutic plan and idioaphic manipulation are l established under their instruction Now we l respecely discuss some TCM s theories connecting with SAM.   Etiologica Theo SAMs etiologic theo basicaly follows TCM s heory of six eis In SAM s clinic pracice pracice acupuncturist acupuncturists cogniion on o n causes of ilness simialy beongs to the catego of six eils eils  while the dierence between them is that: SAM equires he acupuncuris can more accuraely nd out the pahogenic facors and analye out he most pio pathogenic tache in order to establish the mos efcient therapeutc plan nd choose he mos suiable acupoin for the disease For example, how to recoie a syndrome caused by attacking of exogenous windcold eil it  s different differe nt for the acupuncurists acupuncurists who c out TAM and SAM TAM merely quires he acupuncturis can co ecy ecy nd out he pahogenic factors are  wind ei and cold eil and hen select some coesponding coesponding  4) and FengChi ( GB  20) for expelng acupoints such as HeGu (  4 he exogenous exogenous windcod eil ei l howeer SAM requires he acupuncuris can not only nd out he pahogenic facors bu also accuraely analye ou which one is the most pioa facor if the  windeil is he pio pahogenic factor, he coesponding c oesponding acupoint such as FengChi ( GB  20) should be selected for expeling the wind eil if the t he coldeil is the pioal factor then he coesponding acupoin such  DaZhui aZhui ( GV14) should be seleced fo inigorating YangQi in order to expel the coldeil Of course such dierence is

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e Intoto Intotonn of SleA SleAont ont Auputue a Moton

lave In daphc pess f acupcue pcce acupcuss shuld cevey judge  sequenlly dsngush he pima sde  fm he secnday sde sde fuheme cnsde all sdes sdes f he dsease as a hle  Merdians Theo As he academc bass f acupuncue acupuncue medans hey s lkese mpan f bh TA and SA In all clnc pacce f acupuncue acupuncue meidans hey s he key ke y pn  nsuc he acupunuiss  eamen based n syndme-deen syndme-deenan an and esablshmen f heapeuc plan Cnceey speakng meidans hey ffes  nsucns  acupuncuss hey  accdng  he meidans dsbung lnes physlgcal funcns chaces f he medans  Q and bl and he muual eanshps as ell el l as he dsbung ens and ccung chaaces f he sndme and he psve ss he acupuncuis cnceely analyze he dsease and hen am he cec syndme-deenan ype n de  summaze u he cncee medan affeced by he llness and he key pns  he sdme deenan; accdng  he summazed key pns f he syndme dffeenan dffeenan  he affeced meidan and s eanshp h he elave meidans he acupuncuss fuhe esabsh he heapeuc pan selec he ms suable acupn f acupuncue and decde h  manpulae he needle S ha e can say acully meidans hey s jus he sul  nsc he acupuncuiss h  pacse acupuncue heapes In SA SA such nsucve nuence f medans hey appeas me pmnen f he acupuncuss jus lean upn medans hey  pefm analyzng and ecgnzng he syndme and sgns f dsease hughu he hle pcess f SA pacce

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lucition of Sile- Sile-on ontt Acutue n oibtion py

 fhemoe  nscs he acpncss o deeply dssec he mechansm of he dsease dsease and hen esalsh he heapec pncple nally concenae all he heapec nenons pon he seleced one acpon and nsh he eamen wh mos sale manplaon. All he aove aches eqe he acpncss o ecognze and ndesand medans heo moe hooghly and exensvely he acpncss ogh o mase all he knowledge of he sysem of o f Twelve Regla Re gla Medans and Egh E gh Exa Medans ncldng he medans' medans' dsng   ne ne physologcal fncons fncons medan dsees and he mal elaonshps Ony y hs cold he acpncss sccessflly sdy he medans heoy and clevey employ  n he clnc pacce fhemoe hey cold compehend moe hoogh and exensve knowledge only y gaspng one p p daw nfeence ao ohe cases only fom one nsance nsance even eang some osnae dseases dseases cold hey acheve sccess y spse accs Hee Hee ha ms e poned o s  SAM s nehe selecng acpon only accodng o someone s expeence no selecng he espondng pon of dsease.  SAM s specally egaded as selecng acpon only accodng o expeence whle s mmanen medcal hogh s gnoed o  s smply consdeed as selecng he espondng pon of dsease acally he essence of all hese nsances s o casae he hogh and sol of SAM SAM  aolsh s anen medcal heoy and only eseve s ecen pon. In fac sch " SAM  has aleady lapsed fom he asc pncples of he scence of acpnce and moxson moxson  js lke a soess ody. Academcly sch SAM has los s lfe and coldn make make any pogess paccally  wll js n no a sone wall soone o lae js lke a lndman lndman walkng alone n he ngh

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enerl Introt Introton on o SngSng-Aco Acon n Acupuncure n Mbton

Advisably , we should have a scieic aiude o make make a deep aysis o some really ecie acupois based o meridias heo so as o comprehed heir immae mechaism, by such way, we ca o oly kow he hows bu also udersad he whys Accordig o auhors  may years years experiece, experiece, i we could really comprehed he iae mechaism o oe experieial acupoi, academicay,  we would have a ver deep sesaio sesaio o beig suddely suddely brigh ope, i could elighe us o our proessioal comprehesio as wel as help us draw ierece abou oher cases oly ro oe isace i our cliic pracice For example, I oce me wih a old TCM docor, h oly seleced he acupoi o YeMe ( TE 2 ) or reaig somachache, somachache, a ha ime I was ve amazed a his decisio ad  wodered why he seleced so uusual acupoi. I hough hese acupois such as ZuSaLi ( S 6) or ZhogWa ( CV1 2) migh be more suiable or alleviaig somachache, why he did selec hose acupois? ereore I asked him or he reaso o his selecio, selecio, bu he oly ell me i s a ecie expereial acupoi or soppig somachache haded dow rom his acupucure eacher, he did  kow he why eiher. Thereore, Thereore, le a doub o me er o, whe I was reviewig he kowledge o meridias heo, I oud ha Triple-Eergizer Meridia o Had-Shaoyag is he ihouse or sorig meridia-i o all he meridias, i usuay goves he  ucioa  uci oa aciviies acivi ies o all he meridia-i. meridia -i. I was suddely sudde ly ispired ispire d by his ew discove ad seueially udersood he ormer doub As a amiliar sigh, sigh, somachache was mosly caused by sagacy o gasric i, while TripleEergizer Meridia is ju resposible or oalizig he ucioal aciviies o all he meridia-i, meridia -i, so ha prickig p rickig is acupoi acup oi ca ca  eecive eecive dredge dredg e he saga gasric i ad he sop somachache, somachache, his is why he old

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lton of of S-acont Acutue a obton epy

TCM doco seleced he uusual acupoi bu sopped somachache quickly. Such asue heapeuic mehod acually suled fom mase he kolede koled e of meidias me idias heo As a esul of udesadi he eec mechaism, hee appeaed such ispiaio i my hea immediaely, I cojecued ha he sdome maily caused by saacy of Qi c be silaly eaed by simuai a pope acupo  TpleEeze Meidia of HadShaoya Some imes lae o, I seleced he acupoi of YeMe ( TE 2) fo eai acue bou of hma accod o he same piciple piciple  as expeced hee as pomie cuaive effec oo Ayay, i ode o eally asp SAM, i is ve sica o skifuly mase ll he cocee coe of medias heo as el as hk moe ad summaze moe combi ih clic pacce Meidias heoy, as he academc souce of SAM should be scecaly ecoized fo i is vey impoa o coiuously develop SAM  eoy of Syndome-deenaion I TCM TCM hee e may sysems of sydomedieeiaio sydomedieeiaio icludi sydomediffeeiaio of Eih Piciples sydome diffeeaio of ZaFu oas, sydomedieeiao of Tiple Eeze sydomediffeeiaio of si meidias sydome deeiaio deeiaio of meidas ec Ho o use hese sysems of sydome diffeeiao diffeeiao i SAM SAM is o ed ad uchaeable uchaeable hey ae a used clevely based o he occui chace of disease Amo hem sydomediffeeiaio of Eih Picples ad sydomediffeeiaio of meidias ae mos commoy used  SAM  s clic pacce: We should ko ha sydome diffeeaio of Eh Piciples is he mos impoa eeal pciple o isc al he pacice of TCM, TCM, boh acupucue

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el Ioucon Ioucon of SleAupo SleAupot t Auputue  obton

reame ad clc clc medcao mus mus folow  I he he cocree racce sydrome-dereao of Egh Prcles s seldom aled solely usualy  s used wh oher sysem of sydrome dereao ogeher For eame somemes  combes h sydromedereao of s merdas for reag eogeous  febre dsees; someme t combes wh sydrome-dereao sydrome-dereao of defesvehase Qhase ure-hase ad boodhase for reag some edemc dseases somemes  combes wh sydrome-dereao of Egh Era Merdas for reag some dseases of obsercs obsercs ad gyecology gyecology ec Whle  acuucure racce  always combes wh sydromedereao of merdas For sace o he aes havg a headache rs he M docors ofe corm he eced eced merdas accordg o eced regos  hs rocess belogs o sydromedffereao of merdas; secod secod based o occurrg characer of sydrome ad sgs ad he feaures fea ures of four dagosc mehod he docors he  he  dsgush cod sydrome from hea sydrome; sydrome; ashea sydrome  from shea sydrome as well as eror sydrome from eeror  sydrome  hs rocess belogs o sydromedereao of Egh Prcles I cocree clc racce boh AM ad SAM mosy  foow such ra of hough  course some sysems of sydrome dffereao ha are seldom emloyed  acuucure racce ca be aso combed wh sydrome-dereao of Egh Prces ad emoyed for reag some secal dseases furheore here  wll be rome curave eec above eecao For eamle  oce reaed a case ha as dagosed as  lergc deas afer jecg Amcl   a ha me some dy-dsrbu dy-dsrbued ed red macuoaules could be see o he ss l over he body Because he aeced regos dsrbued oo wde s s much

149

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lion of Si- Si-uui i Acutue a otion 

more dcult to  the medans nvolved n the less onl b usng sndome-derentaton sndome-derentaton of meds. However through cefull alzng he occung chaacer of he lness  found ha the occung character of the llness w just as same as the sndome of bloodphase that had been epaaed n he ssem of sndomederenaton of defensve-phe Q-phase, nuten phase and bloodphase. So that  decded to combne he sndome dfferentaon of Eght Prncples wth the sndrome-derenaton of defensvephase Qphase, nutent-phase and bloodphase togeher n order o anaze the ce Along such an of thought, t  was coed as exuberance of bood-hea and then was treated b neeng the nuenal acupon of blood GeShu  BL 1 7 ) h reducng manpulaon and cuppng herap on t Under 1 2 das' teatmen  was completel c ompletel cued. t ndcates ndc ates that although although there there  some derences among hose sstems of sndme derenaton derenaton here wll be proden curatve curat ve eect cetanl f he could be poperl emploed n concree clnc pacce what couns s whether the doctos can coecl and cleve use hem or no t s much moe sgncant for an emploable TCM doctor o use these sstems of ndome-deenaon coecl and clevel accodng to varous smptoms and ss n concte clnc practce t's also  mpoant sandad to udge the qualt of TCM doctos' clnc practce  a TCM doctor can skllfull master the chaactes of al the ssems of sndrome-derenton erenton and be good at usng them pope and cleve he  or she ) l be capable of geng successful successful nspraton nspraton evehere evehere n hs ( or her) he r) clnc clnc practce wth gea facl ohese f a TCM doctor s lack of substantal fundamental knowledge of TCM nd lso sho of deep

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er Iton of S-Aco Acutu a bton

comprehenion on eve tem of ndmdiereniaion, he ( or he) will cetainl cetai nl run into a tone tone wa in clinic clini c practicejut practicejut lie a blindman feeling an elephant. Of coue, to an TCM T CM doctor, impoving hi ( or her) qualit of ndromedierentiation can no be accomplihed m one tep pecial in SAM, he requiremen requiremen to him ( or her) i higher and tricter  require the acupuncturit can no o accurae and clevel ue each tem of ndromediffereniaion but alo poe the upeecellent ummaizing abilit in order to concentrate all the pathogenic mechanim on one acupoint and ma e good preparation for SAM treatment. Now, that i a poblem, how can we eectivel improve our qualit of ndrome dierentiation? A author a uthor eperience eperienc e obtained fm f m man ea  tud, we feel that: that: baed on hooughl comprehending a the nowledge of ndromedientiaion, it i he rt impoant thing that we hould la te on clinic pracice and then deepl thin  about in clinic practice and timel ummarize our medic eperence, econd, we hould attach impoance to ldl tuding the enior doctor doctor cae record, duing he proce of tuding the cae recod, we hould continuoul compare our coiion with the enior docto docto cognition on thee ce le fm the enior doctor doctor trongpoin to countect our own blind ide. A a reult of uch diligent tud, our abilit of ndromedifferentiation will be eatl improved ooner or later, thi i another ecient method to impve our qualit of ndromedifferentiation Additional that mu m u be pointed out i in clinic practice, TCM' ndromedierentiation i doctor' occupaional behavior, it ve eriou, becaue i i the mot deteinant factor hat can direcl lead the treament to be ucceful or ftrated, i can alo

151

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lition lition of Singu Singupoint point Acutue Acutue  oibtion rpy

cause the cuate eect s poet o fat, especly, t's closely coected wth the patet ' s edate teests. Theefoe, the docto ust detaedly aayze the hstoy of less, ceully exae e syptos ad sgs wth fou dagostc ethods befoe cog the type of sydoedeetao. H he obece codo pets, soe eate laboatoy exaao shoud be doe fo hag oe accuate cogto o the lless The docto shoud gathe all esults of the edcal exaato togethe, caefully aalyze the ad ake a coscetous study, ad the daw a cocluso aly ly by such cautous cocludg, coud the eos be educed to a u  clc pactce, t s the bggest taboo that he doctos do a sloppy job o ake a caeess study ad e daw a specous cocluso Addtoally, t s the ost shaeful hat soeoe speaks at ado ad talks osese, osese , ges the patet a esposble cocluso, such " doctos ways egad the patets' teests as a tg atte  the clc pacce, they st te te the the patet " t ght be b e dececy of o f Y , f the lless coud't be b e cued, cue d, they w tell te patet: " t ght be dececy of Yag  , f the lless could't be cud yet, hey ll tell the paet " t ght ght  dececy of both Y ad Yag   So " cleel cleelyy usg usg TCM's TCM's sydoe-deetato ad egadg t as a agc weapo to cheat the patets, ually t s a agat olato of TCM, t's just the afestato of edcal ua Cealy, t shoud be adted hat t s ely dcult fo TCM doctos to esue the sydoe-dfeetao o eey case beg  appopate easue whe peog the coplex clc pactce Especaly  he pocess of dealg wth soe obstate dseases, t's uaodable that thee thee would appea e os os  ths sde o that as he doctos hae sydoe deetatg Howee, as a

15

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e Intoti Intotion on of of SieAcupoi SieAcupoi Acunctue  Moxition

employle TCM docto f there relly pper eor, we hould crefuy reeme eve tche of the orgl ydrome deretto d thk deeply d erouly  order to d out t reo d coect our ydromedfferetto g Though uch cutou d cocetou ummzg d cotuou urgg ourelfve o wth dlget d fctultc tttude eve the doctor   hor of ome profeol kowledge kowledge he  or he ) w cerly mke gret pogre  medcl kll d ucceed  clc prctce ooer or lter A  cocluo we mut kow tht TCM   ydrome deretto deretto   the oul to truct TCM '  clc prctce, t poee gret power to togly uece ll the clc prctce of TCM TCM cudg cudg SAM d the other other  our clc prctce prctce deeply tudyg every ytem of ydromederetto d ug them coecty d cleverly wll offer u trog upport d eure ou clc prctce eg ucceful  herapeutc Principle  clc prctce prctc e therpeutc pcple of SAM    mot me  thoe of TAM Geer pekg, there re thee pcple tht re ll gct to uverly tct cupucture tretmet d electo of cupot  well  mpulto techque The rt  regutg the Y d Yg the ecod  replehg the decet hethyQ d elmtg the ece evl the thrd  dtguhg the pm pm from the ecody. ecody. Amog them regultg the Y d Yg  the mot fudmet prcple  the fth chpter of Muu pivot, t drecty pot out tht " how to regute Y d Yg Yg  the mot mpot   cupucture tretmet  t clely dcte the mportce of th prcple m cupucture ttmet Eetly the eect mechm of

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lucition lucition of of ingle- ingle-int int Acutue Acutue n Moxition Te

pnre remen s o orre he se of mblne beeen Yn d Yng sed by he dseses, so  o resore he norml se of elbrm beeen Yn nd Yng.  he seond prnplereplenshg he deen hehy-Q nd elmnng he exess els, s se p s  for ensrng omplshmen omplshmen of he boe herpe nenon. nenon. n he enh hper of Mcuus pivot,  pons o h he shen syndrome shod be reed by enng skll skll he shen syndrome shold be reed by replenshng replenshng skll, he he syndrome shold be reed by rpd mnplon mnplon sklls sk lls, he old o ld syndrome shod be b e reed by neede renng skll , he ollpse syndrome shold be reed by moxbson, he non-shen nd non-shen syndrome shold be reed by needlng he pons of he  he eed merdn. Frhermore, n he frs hper of Miculous pivot  pons o h n pnrs shold re he shen syndrome hrogh replenshng he deen helhy-Q re he fllness syndrome hrogh enng he sgnn Q Q  re he mled syndrome hrogh remong he mlon, re he shen syndrome hrogh ekenng he rmpn es. All he boe hpers expe hs prnple e lerly. n onree pnre pre, he pnrs 's nenon of repenshng he he deen helhy-Q nd elmnng he shen es s mnly heed hrogh he seeed pons nd he sed mnplon mehod Whle he hrd prnpledsngshng he prm  from he h e seo se ond nd, , mnly m nly refers ref ers o ds d sn ng gs sh hng ng he prmr pr mryy onrdon nd he seondry onrdon nd respeey gng hem oespondng remen Gener Gener  spekng he helhy-Q s he prm hle he el s he seond; he phogen for s he prmry nd he sympom s he

154

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enerl In Inroton of Sile Sile-Acont -Acont Auture n Moxton

secondary the prma dsease s the prmary and the secondary dsease s the secondary etc ut n concrete clnc practce practce  such dstngushng s relatve t must be judged accordng to the actual condtons Essenty y the above pncples respond to the some dentaton dentaton of Eght Eght ncples ncples Concretel Concretelyy speakng speakng n SAM s clnc pctce the therapeutc prncple s determned by the concte type of sdrome-dentaton. It just clearly ects the mpoance of syndmedentaton entaton and ts strong uence on treatment. For nstnce to a patent havng stomachache, stomachache, f the the sydme-derentaton s ed ed as thena-cold sydrome of mddle-enerer the coespondng thepeutc prncple shod be  wang the the mdde-energer mdde-energer and elnatng elnatng the cold-evl f the syndromederentaton s fed as decency of Yn and heat sndrome of stomch the co  espondng espondng thepeutc prncple should  nourshng Yn and cleang away heat-evl fm stomach T the paents who have shoulde pan usuly he sdrome-derentaton of merdans s employed accordng to the dstrbuton regons of the symptom and ss  the anteror regons of the shoulder  manly ffected ffected the ected merdan should be rge ntestne Merdan of Hand-Yangmng Hand-Yangmng and the acupont of HeGu  U) should  selected  for teatng teatng th dsese dsese  he posteror regons of the shouder re maly aected aected and the neck back e  nvolved nvolved t the ected merdn shod be Sma Intestne Medan of Hand-Tyang and the acupont of hheng ( S ) shoud b selected for tatng the dsease; dsease; f the most panful regon s located at the medn area the ected merdn should be Tple Energer Medan of Hand Shaoyg d the acupont of WaGuan   shoud be selected for treang the dsese.

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lucition of of Sileoi Sileoi  Acuure  Moition Ter

All the above examples exa mples reveal rev eal that: under the nstructon nstru cton of the above three prncples establshmen of therapeutc prncple s closely connected wh the concrete type of syndrome-dfferentaton n concrete clnc practce vually they are ndscerptible. Acupunctust should regard them as a whole body then he could  wor out the perfect therapeutc prncple that s most sutable for the llness  Functons of Some Specific Acupoints In the scence of acupuncture and moxibuston moxibuston there  sever nds of specc acuponts They  all n eat mpoance and possess pacular curatve eect n acupuncture treatment Thereby they e  ve commonly-used commonly-used acuponts acuponts n SAM ' s clnc clnc practce These specc acuponts are all lsted as below  (  ) Lo- ( Coecg) cpo In twelve regular meridans merida ns Luo-( Luo- ( connectng) acuponts refer to these acuponts through whch the exteriorly-nteoly related Yn and Yang merdans merdans are lned They are all on the lmbs besdes there are the Luo-( connectng ) acuponts of oveor and Concepton Vessels and the Major Collateral of Spleen they are all dstbuted on the the bac abdomen and lateral sde of hypo chondrum. These acuponts e teed  the fteen Luo ( Connectng Connectng ) Acupont  . The specc physologcal functon of Luo-( connectng ) acuponts s that these acuponts ln the eterorly-nterory eterorly- nterory related Yn and Yang merdans. In SAM  s clnc practce the acupuncturst ust use ths specc functon of Luo-( Luo- ( connectng) acuponts so as to treat several symptoms only  with selectng selectng one acupont acupont These These Luo-( Luo- ( connectng) acuponts acuponts are all as below below(( See Table) Table) .

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 be

e Into Intotion tion of Si-Acupoin Acuputue  Moxiton

the een Lu-( Lu- ( Cecng Cecng)) Acupt

Merdians

Luo( Connecing) Acupoin Acupoin

Lung Lung Medan o HandTaiyn

LieQue ( LU7)

rge nestine Meridi o Hdgmng Hdgmng

Pan PanLi Li(( 6)

Stomach Meridian o Fangming

Fengng( Fengng ( ST40) ST40)

Spleen Spleen Meridia Meri diann of Foo FootTaiyin tTaiyin

GongSun ( SP4)

Hear Medi o HandShaoyin HandSha oyin

TongLi TongLi ( H)

Small Inesine Median o HdTaiyang

ZhiZheng( S7)

Bladde Meridi o Fo FooTa oTayan yangg

Feiang( eiang( B8)

Kdney Meridi of FootShaoyin

DaZhong( K4)

Pericardium Median o HandJueyin

NeiGuan ( PC6)

Triple Enezer Median o HandShaoyg

WaiG WaiGua uann ( TE 1 5)

Gabladde Meidian o FootShaoyang

GuangMing( GB37)

Liver Merdian of FtJueyin

LiGou(



Concepti Conception on Vese Vese

JiuWei JiuWei(( CV1 CV 1))

Goveo Vesse Vesse

ChangQig( ChangQig( GV )

Major Coateral o Speen

DaBao( S)

(  FiveShu Acui The Fve-Shu Aupot refer o he ve pe aupot of eah of the welve regular merdia below the elbow or kee joit amely amely Jig( Jig ( ell e ll )  Yg- ( Sprig )  Shu-( Shu- ( Stream ) , Jg ( River) River)  He-( He -( Sea) Sea) . They are al temed temed  Five-Sh Five-Sh Aupot Aupot a a whole Thee aupoi i Naz mehod of Midight-oo ebb ow are applied to deribe the hage of ow of merda-Qi from  weak  weak o euberat it '  the ba ba of Midght-oo ebb-ow I addito eah of he Five-Shu aupo poee t ow atbue of Five-Elemet he aribue of FveElemet i he importat ba o work ou he opeg aupoit i Naja method o Yagzi

157

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iion of Siint uture  Moxition Ter

mehod of of Midnigh Mi dnight-nn t-nn ebb-ow While Whil e Midnight-noon Midnight- noon ebb-ow, a an advanced kill o acpnctre  i widely ed in SAM, thogh i   ver hd to tdy and grap it Thee pecc acpoint are al a below( See Tabe 2 3) b

FveShu Acu of Y-Me

Acun

Jng( Well) ell)

Yng ( Sp Spn ng) g)

Shu ( Sre rem) m)

Jng( Rver Rver))

He ( Se Se)

Arbue

Wood

e

Eh

Met

Wer

Lung Merdn Spleen Merdn He Merdn Kdney Medn Percrdum medn ver Merdn

ShoShng YuJ (LU) ( UO) YnB DDou ( SP SP)) ( S) ShoChong Shou ( H) H) ( H) H) YongQun RnGu ( K K ) ( K) ZhongChong oong ( PC9) C9) ( PC) C) DDun XnJn ( LR LR ) ( L) abl ab l

Yun LU9) B B ( S) ShenMen ( H) X X (K) DLng ( PC7) C7) Chong ( L)

JngQu Jng Qu ChZe ( LU) LU) ( U5) U5) ShgQu ShgQ u YnLngQun ( SP5) ( S) LngDo ShoH ( H) H) ( H4) uLu YnGu ( K KO O)) (K7) QuZe JnSh ( PC5) C5) ( PC) PC) QuQun Zhongen ( R4) ( LR) R)

eShu e Shu Acu Acu of YMe

Acun

Jng( We e))

Yng ( Sp Sprn rng) g)

Shu ( S Se e))

Jng( Rve Rve) )

He ( Se Se) )

Abue

Met

Wer

Wd

e

Erh

S ( L) XnGu ( S4 ) HouX ( S) ShuGu ( B5) 5)

YngX ( LI) I) JeX ( S S4 1 ) YngGu ( S) KunLun ( B)

QuCh () ZuSn ( S S6) 6) XoH ( S) ) WeZhong ( BO) BO)

ge Inesne ShngYg ShngYg E E Medn ( ) ( L) Stomch Du Neng ( S45) Med ( S ) Smll nestne ShoZe QnGu Merdn ( S S ) ( S) Bdder ZhYn ZuongGu Medn ( B7) B7) ( B6) B6)

1



enel tti ttin n f f Single-Ac1pn Single-Ac1pn Acuunctue  Mxitn Coue

JgYg Shu  We e))  S Sr rg) g)  Srea Sream) m) Trleeergzer Guachog eMe ZhogZhu Merda  T3) Galbladder ZuQaoY XaX ZuLQ  G  Merda  G3)  G) Acuot

(T)

()

Jg  Rer Rer ZhGou

e Sea TaJ TO YagFu YagLgqua YagLgqua  GB34  GB GB38 



( 3) FroM cpoi

The Fro-Mu Acupo reer o hee acpo a hch he  a boo of he repece Zag-orga or Fuorga are fue a coerge ogeher Tee acpo are all locae cloe o her coepog Zag or Fu orga, a e ca rec reec he  fucoal ae of her her cog cog Zag or Fu orga orga .. I SA A  clc pccehe acupcur eec he Fro-Mu acu l  for  for ag ag he ee ee of  correpog Zag or Fu og recl a effecel Thee acupo are all a belo  See Tabl) Tble o-Mu Acu

Merd

Fro-Mu Acuo

Lug Merda o Had-Ta

Zho ZhogF gFuu  L 

Larg Largee Itee Merda Merda  o Had-Y Had- Yagmg

aShu  S 

Somach Merda o F-Yagmg F-Yagmg

ZhgW ZhgWa a CV2)

See Merda  Ft-a

ZhagMe ZhagMe LR3)

Hear Merda of ad-Shao

JuQ JuQue CV14 

Sma Iete Merda o HadTaag

GuaY GuaYua ua CV4 CV4 

Badder Merda o Footaag

Zho Zho CV3 CV3 

Kde Merda o F-Shao

JgGu JgGu B4 B4 

re-eergzer Merda o Had-Shaoag

ShM ShMe e CV

Gallbadder Merda o FootShaoag

RYue GB24

ver Merda o F-ue

QMe QMe  LR1 LR14 4

159

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lition of Sile-int Sile-int Aute Au te  Moxition Ter

( ) X-( cet c he  Cle) Cle) Acupoint Acupoi nt reer reer to thee cupoint where the meridinQi merid inQi  deeply deep ly ored ore d nd converged converg ed Ech o the twelve gl medin nd he o  medin (in L Ve Ve ng L Vl , in Heel Vel d ng Hee Veel) h  X ( Cl Cle et) t) Acuint dituting dituting on the the im im moing moing to Stn Stn X  Cet ) Acuint   whole Stimulting  X- Clet) cuint cn pidly  elt  eltee he nction nctionl l te te o i ini ining ng mei meidi di  clinic pcice cupunctt lwy elect X ( Clet) cuint or lgei d recingor here i pminen cutive eect( e Te). Tabl



- ce) Acu

Medi

X X  Cle) Cle) Acun Acun

Lung Medin of HdTiyn

KongZui  LU6)

rge Intesne Medin o Hndning

WenL WenLiu iu 7)

Somch Meid of Ftngng

LngQiu  S4)

Spleen Medin of FTiyn

DJi DJi S) S)

He Meridn o HndShoyin

nX nXii  H) H)

Sm Inesne Merd of HndTyg

ngLo ngLo  SI6) SI6 )

Bldde Medn of FtTyg

JinMen B3)

Kidney Meidin of ooShoyn

ShuiQun



Peicdum Peicdum Medin o HndJueyn HndJueyn

XiMen Xi Men PC4)

Triple Eneizer Eneizer Meidin of HdShoyg

HuiZong TE7)

Gllbld Gllbldde de Merid of Foot FootSh Shoyn oyngg

WiQiu WiQiu  GB36)

Live Meridin of FJueyin

ZhongDu  LR6)

in Link Vesse

ZhuBin ZhuBi n KI9)

ng Link Vessel

no GB35)

n Hee Vessel

JioXin KI)

ng Heel Vessel

Fu Fung ng B9)

1



e Intro Introtion tion of SiAoi SiAoint nt Auture  Mition ition

(   Coue cu o E E Mer The Couent Acupons of Eght Exta Meidans efe to the eght acuponts whee the Q and blood of eght exta medans communcate wth the Q and blood of the twelve egula medans All of them ae dstributed on the aeas aound the st onts and ankle onts n addton accodng o the heoy o Eght Tgams each of them has ts own attbute of Eght Tigams    s  just the bass to wok out he openng acupont of Eght Mehod of Magc Tule and Swftyng Egh Method Eght Method of Magc Tule and Swftyng Egh Method ae wo unque adanced acupunctue sklls n he ancent peod bu now they ae seldom used n clnc pactce fo the equement to the acupuncturst s much hghe The Couent Acuponts of Eght Ext Medans ae al as beow( See Table 6) . Tabl Tabl 

Couent Acuints of Ei Exa Medians

Relave Medians Pericardum Meridian o HandJueyn and n Link Vessel Tpeeergzer Med o Link Vessel and Gallbladder Merdian o ad Bel Vessel Spleen Merdian o Foo-Taiyn and Thoughare Vessel Lung Meridian o HandTayin ad Vessel Smal Inesine Meridian o Handad Goveor Vessel Blader Merdian o F-Taiyg and Heel Vessel Kidney Merdian o F-Shaoyn and in Heel Vessel

Conuen Acuins o igh x Meridians NeiGu NeiGuan( an( PC6) PC6) WaiGua WaiGuann ( T5) ZuLinQi ( G ) GongSun( SP4) LeQue LeQue  7 7  HouXi HouXi(( SI) ShenMai ( B2) ZhaoHai ( KI6)

161



l f g g  c a Mbt T

(   Crg g c Th Coing Acpoint  to th poiton t th intction intction o tw twoo o mo mi mi, mot mo t o thm thm    itibt itibt on th h, c n tunk. t unk. A Cing Acpont h w thptic ng thn  common cupoin n SAM, cpnctt alwy lct on Coing Acpoint to l with vl ymptom,  o vn timultng on Coing Acupoint cn o thptic ct to vl miin tht co t th cpoint t th m tim. (   Eigh e c Th ight Ini Acupoint  to th ight cpont  wh th vitl nc n Qi o ng ogn, F ogn, Qi, bloo, tnon, tnon, vl, bon n mw convg togth, thy  all dtbu on th tnk nd  nd limb In SAM clinic pctic, ight unt Acupoint a otn  minly o tting om ymptom tht wily involv many pct o o tting om unuual c. Th ight Iuntial Acupoint a all a blow ( S S Tb Tbl l 7)  Tabe7 Tabe7

16

Et Iue Acupi

Te Reltve ctors

Egt Iuet Acupos

Zg-org

ZgM ZgMe e ( LR L R33 

Fuorg

ZogW ZogW ( C 

Q

S S Z Zog( og( C C 7 

Boo

eS eSuu ( BL1 B L1 

Teo

YgL YgLu u ( GB34 

esse

TYu Yu(( L9

Boe

Du( BL BL  

Mw

JueGu JueGu ( GB3 GB39 9



e e  ntrtn ntrtn f f c cnc a Mxn

( 8  w wr H- S Sa  c e Lwer He( Sea) Acupts reer re er t te sx acups  e ree Yag merds  t were te dwward-wg Q  sx Fu rgas ag te e Yag merdans  t ad te tree Yag merdas  and meet tgeter ey e  dstrbuted arud te kee ts ad respsble r tatg dsrde  te sx Fu rgas rgas I addt tey re as used us ed r treatg te symptms tat tat vlved te peag t Yag merdas e Lwer He-( Sea) Acupts Acupts ar all as belw( belw( See able 



Tab wr H- a) A

Reve Mei

wer He( He ( Se ci

e Ie Merii

SX S X(( S S37 

Sm Ieie Mer

Xi.X Xi.X ( S9 S9 

ripe ergizer Mei

eiY eiYgg ( B9 B9 

Smc Merii

ZSLi ZSLi ( S6 S6 

Ger Meri

YgLgQ gLgQ ( GB34 

Ber Meri

eiZ eiZg ( B 

   Ya Ya(( Pa)

c c  e Yua( Yua ( Prm) Acupts Acupts reer t tese acuts  te telve regula regula merdas  te lmbs were te Yua-( Prm) Q  Zag rgas rgas ad Fu rgas rgas pass tug tug ad te s retaed reta ed , amely amely " te Tweve Tweve Yua( Yua( Prm Prma a ) Acup Acupts ts  as a wle wle ( Actually te Yua-( Pm Pma a)) Acupts Acupts  Y merdas ust velap velap wt te Su-( Stream  Acupts  te Fve-Su Acupt ) Te Yua-( Yu a-( Prma) Acupts play a mprtat rle  dass ad reatmet  dsrders  merdas ad te Zag Fu rgas Tese acupts are  as belw( See able9) able9) 

1



litn ofSileit Aue  Moxition Te



Tabl Y- P ) A A

ei Lg eri o i rge Iee e o g Somc er of Foo-g Foo-g

(  ( Prm Prm  Ac Ac  ((



eG ( L4 Cogg( Cogg( S4

See er o F

Bi ( SP 

er e o -So

SeMe( S eMe(  

Sm Itee er o g

WG W G(( SI4 SI4

Be eri o Fg

Jg JgG( G( B B 

e eri o FSo

X( X (  

Pecrm e of Je pe Eerzer e o Sog Gber er of FSog

gC (

Lve e e o F-Je

Cog Cog(( L 

Lg( Lg( PC? PC? 



QX( QX( G

( 0  0 ) BakBak-S S  in in

The BakShu Acupoins efe o hese coesponding acupoins on he back whee he Qi of he especve ZangFu ogans is nfused nfused The BackShu Back Shu Acupoins Acupoins  all locaed on Bladde Meidian of FooTaiyang bilaeal o he spnal column on he back Mos of hemae siuaed close o he especively peainng ZangFu ogans So he BackShu Acupoins pesen abnomal eacions such as endeess o he dysfuncon of he especively peaining ZangFu oans They  ve signcan n dagnoss and eamen of he disodes of hei especively peaining Zang

1

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eal ro roio io of igleAoi Act a Moxibtio

Fu organs esdes  here are MoheAcupons, MoheAcupons, SonAcupons SonAcupons and so on These acupons are wdel wdel  used n SAM ' s clnc clnc pracce pracc e because of her specc funcons, so ha ad maserng he nowledge of hese specc acupons s ver sgncan n maserng SAM enrel.

Capter Tree Manipulation Tecniques of Single-acupoint Acupuncture and Moxibtion The manpuaon echnques of SAM manl nclude acupuncure echnque echnqu e and moxbuson echnque  secondarly here are cuppng herapy her apy  acuponnecon herapy, bloodletng herapy wh threeedged needle needle ec Here Here we wl manl dscuss he acupuncure echnque and moxbuson echnque respecvely   Manpuation of upunctue of Singe-acuint Theapy The whole process of acupuncure manpulaon ncludes he prepave wors, manpulaon of acupuncure and managemen of some accdena maer Al he nowedge of he rs  ncludng how o selec he proper proper needle, dsnfecon dsnfecon  he requse requse psychoherapy and seng he paen n a comforable posure, posure , ec ) and he hrd can be leed from some common boos abou TAM, so ha we wl no have a parcular dscusson on hs conen anmore anmore Here  we wl al abou the manpulao manpulaonn echnques echnques of acupuncure n SM as an emphass, for  's jus of mporance mporance n SAM's pracce ascally ascally  he manpulaon echnques of acupuncure n SAM ca on he manpuaon echnques e chnques of TAM However, n SAM, the requremen of he echnques o he acupuncurs s hgher and

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lucton of of S-cupont S-cupont Acutu Acutu  Moxton py

e. I SM' l ae e maulao eue  oe of e mo moa fao o affe e eaeu effe, fo  a mo dely e e eaeu effe f SM. Ude may odo, e ye of ydome-dffeeao  g, e eleed auo  alo uale, u ee  '  eaeu ee ee a all. Wy?  '  moly aued au ed y e moe moe maulao eue o eamle oe of my foe lamae oe eaed  wfe '  ooae w auu auuue ue e eleed e mo ommolyued auoHeGu   . Bu ee wa o eo of ay ee afe e eed a eedle o e auo ad eaed e eedle fo ao wey mue   wfe wa ll  e ueg e e ame o me  ae ad aked me fo eag e lle. I eked  ye  ye of ydome-dffeeao ydome-dffeeao ad e eleed auo w me  foud ey wee all uale fo e lle So I wodeed wy o effe aeaed. e  aked  wfe ow aou e eedlg eao,  wfe old me a ee wa meely egoal ag ad eay eao. eefoe,  odeed u uele eul wa ealy aued y  moe maulao eue w offeed e ae fa mulag ad e ould  effeely aae aae e meda meda a a, o a ee wa a falue of e eame eame  Baed o u odeao odeao I lgly lfed e eedle a lle ad e laway eed e eedle o e auo aga w   uwad, fuemoe, maulaed e meedle w edug eue adly ukly  wfe fel a a lgg agdedg eao u uwad alo e foem ad e ooae daeaed mmedaely  ae dly eeaed ee aed a   l ae of auuue  f  we ould ould o ga ga e oe oe maulao eue, e ue, all e eoe of auuue a we ad leaed ould e ealy deaed

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l Itoton of of SAu SAuon Autu  Moxton

  a uele ubbh by he he mpper mapula ehque ehque  ! I l prae he mapua f refrg ehque ad redug ehque aualy arre u he herapeu prple f replehg he dee heahyQ ad elmag he exe evl ' he m rada mehd  aheve he ga Whle  SM he requreme f mapula ehque  he aupuur  eve hgher ad rer ha he mm e r ly e aup  eleed  SM SM hh erae aupuur' all he g f ydrme-derea d all he herapeu e  ha e a ay he eeed ap  ju e fu f he dag ad reame  SM. If he aupuur' mapula  ju  he apprprae meaure he a favurably a u he eablhed g f ydrme dfferea ad perfey aheve h herapeu e  here  uh r ha ha  defe  he aupuur aupuur '  mapula mapula  ardgly he aul reame uld drf ff he frmer g f drmederea ad he here uld be a dparure  frm he frmer herapeu e  uh r ha ay meme  uld be  dameral pp  he eablhed herapeu pla  ha e a ay ha he mapula ehque  e f he m mpa deve fa ha a dey lead SM  be uef r fruraed  l prae Well he h a e rrely grap he mapula ehque ehque rdg rdg  auhr  epeee epeee baed baed frm may yea' udy e deeply eel ha e huld erae ur er  hee ape  be dued bel  a  mer he mapua ehque qukly ad effevely Fr e huld grap he  he baal g f me prmary mapula f redug ehque ad refrg ehque F

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lo lo f k k re a Moxb Tera

example, example, to the einfocing and educing ed ucing eect acheved b apid and slo manipulation of needle, the gist of this action is that: slo iseion d apid thdaal is to achieve he intention of educing, contail, contail, apid insetion and slo slo ithdaal is to achieve the intenton of einfocing  to the eifocing and educing eect achieved b means of espiation, the main point of this acton is that: that: the einfocing eect e ect is achieved achie ved b b  inseing the needle in the patient s expation and and ithding the needl needlee in he patient s inspation just in the opposite a the educing effect is obtained b nseing the needle in the patients inspiation and ithdang he needle in the patient  s expiaton; expiaton; to the einfocing and educing effect achieved b lifting and thsting the needle the gist of this this action action s that that  the einfocing eect is acheved b thusting thusting the neede heavil and lifting the needle gentl, the educing eect s obtaned b thusting he needle gentl and lftng the needle heavl; the einfocing and educing effect acheved b donsteam and upsteam inseion the gist of ths action s that: the eifocng eect s achieved b nserting the neede along he meidin-Qi s oing, the educing educing eect s obtained b inseing the needle against the median-Qi media n-Qi  s oing, etc te gaspng the man points of those basal manpulations, e should epeatedl pactise the manpulations techniques so as to use them in clinic pactice skif, , this is the th e basal pecondition to coect maste he manipulation techniqu techniques es of acupunctue Moeove, it  s just he  foundation to stud some advanced manpulation techniques techniques such as heatpoducing technique, coolpoducing technique, Yang hiding in Yn and Y hiding in Yang and so on Second  hen pefoing pef oing the manipulaton, manipu laton, e should should keep ou heat extemel cam and ale so as to be paiculal good at

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ene ene Int Intoton of S S-Acont Acuputue  Mition

 waiin he he arrival of Qi and and jude he he sa saee of Qi, we should sensiively feel ou he iny chane of he needlin sensaion and co ecly ecly respond o i wih proper manipuaion In concree clinic pracie, hese persons who e all differen in heir aes, sees, consiuions and so on have differen feeins and reacions o a same manipulaion, herefore, he co espondin espondin needlin sensaions are also differen, differen, i requires he acupuncuris shoud no ony e keenly awe of he iny chanes of he needli sensaion, sensaion , u also e capale of accuraely judin he concree sae of Qi such as ival Qia   i val or Qi-delay, shenia of Qi or ashenia of Qi Fuhermore, ased on he former coniion of syndromediereniaion and he esalished herapeutic plan, co espondinly, espondinly, e acupuncuris should respond them wih proper manipulaion For insance, he delay of Qi due o Qiashenia Qiashenia should e manaed y paien  waiin, or some Qiarrival inducin echniques or some reinforcin echniques he rapid rapid arrival arriv al of Qi due o senia of evil-Qi should e manaed y some reducin echniques or some dissipain echniques in order o e rid of he accumulaed evils is process of feelin and judin he Qi is e mos imporan ache in concree acupuncure pracice, acually, all he rea acupuncuriss of he pas laid sress on i. Mr Dou Hanqin, one of e mos famous acupuncuris durin he Jin and Yuan Dynasies, in his famous aicle of A Poe Po et on o n th the el e lc cn n of Ac pnc pncttre re  oe ha   e feein feein of lihness, slipperiness and loosen looseness ess means means he delay of Qi, Qi, while he feelin of heaviness heavin ess, unsmoohness unsmooh ness and inensiy means he arriva of Qi.  e feelin of te Qi-arrival is oain oain and sinkin a if a sh iin he ai, he feein of he Qi delay is deep and lonely jus like sayin in a vacan hal  Al he aove descripi d escripions ons clearly reec he senior acupuncuris acupunc uris  s

169

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ln f n n c  Mxbwn r

cogniion and and jdgemen j dgemen o he he needling need ling · sensaion Cefl Cefl coing he medianQi s sponse o acpncre acpncre ,  frhe  frheoe oe , being being capable of acael jdging he in change of he meanQi , all of e aboe reqire he acpcris shold be paicl paicll l calmheaed calmh eaed in he pcess of maniplaion , he  o she) shold keep his ( o her) he etremel caios and ale , js  like ha a chinese idiom said : as if sanding sanding pon he edge of an abss and s if alking on he hin ice In he  chape of Mcuus ot i poins o tha :  Thee are principles for acpncris acpncris o peom peom maniplations , i's mos imporan fo him o hold he needle l l When pncring he acpoin acpoin  he acpncris shold hae he neee aiming a he seleced acpoin diectl diectl and pnce pnce he acpoin pigh pigh , b sch a a  his acpnce acpnce od no miss he aimed acpoin acpoin The acpncs shold concenae all he aenion on he paien and be sensie o o he mines change of he needling sensaion , keeping aa fm he neb blood essels  sch acpnce is ea sfe and sccessfl  In the aicle of A o on t lucn of Acuuncr  D D Do anqing anqing o oee ha  " When manplang manplang he he needle , he he acpncs shold be blind o eehing going on ond so as o concenrae  he aenion on he neede neede  as if asping asping a iger  he sho s hold ld be caios caios and ale al e in cogizng he Qi  s esponse esponse itho an disacting disacting hogh hoghs s  js ike eneaining a disingished ges  A the aboe descpions ien b he pas sages all exhoed s o concenrae o aenon on he anplaon holeheaedl and exclse hen peoing acpnce so as o obain obain pminen heapeic eec eec I ' s the bigges aboo tha he acpncis is impsieheaed and aning in cae hen h en peong peong acpnce Someon Som eonee een

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al tn tn f c c t ar Mbtn

peos acupuncture acupuncture wle e ( or se ) s takng takng voluy  suc suc  acupuncte acupuncte s ust lke a   talkng talkn g aou aoutt a eam eam  t 's lttle useul useul certany In addton  wen perong perong acupuncture  te acupuncturst soud pay atenton to usng some aux manpulaon tecnues suc as pressng  knockng  pluckng  scrpng  vrat vratng ng  sakng  poutng  yng and so on Tese auxla manpuatons e  ute mpoant mpoant   tey e appled appled propery and and coec coecyy  tey could eectvely smulate te merdan-Q and nduce te needng sensaton s radatng so s to re ren nor orccng te needlng sensaton and urter mprove te terapeutc eec In SM s clnc practce  te acupunctursts oten employ tem n order to stngten te needng sensaton and mprove te erapeutc eec On te bass o msterng te te basal manpulaon tecnues  we sould urter study some advanced manpuaton tecnues suc as eat-produ eat-producng cng tecnue tecnue  cool-produc cool-producng ng tecnue tecnue  te tecnue o Yn dng n Yang and te tecnue o Yang dng n Yn  etc We sould cannly grasp te man ponts o te actons  te terapeutc ntentons  especally ter ndcatons ndcatons and and conrandcato conrandcatons. ns. For example example  te te eat-producng eat-producng tecnue  ts man pont o acton s eavly trustng and geny ltng te needle rom te supercal poron to te deep poron and tstng trce and ln lngg once ; ts terapeutc ntenton s to produce produce eat sensato sensatonn n te punctured punctured ste ; s ndcat ndcaton on s decency-cold decency-col d syndrome and and ts contrandcaton contrandcaton s excess-eat excess- eat syndrome. syndrome. Te cool-producng tecnue  s man pont o acton s eavly lng d gently tstng te needle rom te deep porton to e supec supe c poon and trustng trust ng oe and ltng ltng trce ; ts erapeutc ntenton s to produce coo sensaton n te punctured

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la f le le cue a Mb ra

site ; its idiati is exessheat syde syde ad its taidiati taidiati is deiey-ld deiey-ld syde syde The tehiqe f Yag hidig i Yi  its a it f ati is dee tg fllwed by seial tg  edig ailatis f fwed wed by eifig eifig ailatis  its theaet iteti is that the eifig effet eisely esides esides i the edig eet e et  its idiati is shei syde biig with asthei stitti The ehiqe f Yi hidig i Yg  its a it f ati ati is seial seial tg d ee tig tig  eifig eifig aiati aiatiss f fwed wed by  fllwed  fllwed by dee edig ailati ailatis s , its theaeti iteti iteti is that the edig eet e et isely esides i the eifig eet eet  its idiai is astheisyde astheisyde biig wth w th sthei sthe i stitt stitt  et. These adaed alati tehiqes sty bled seel ids f basa basa ai ailat lati i tehiqes tgethe  sally the eedlig eedlig sesati is fthe stge ad the heaeti eet s e iet  st lie se shae sha eeed eed ad we-e we-eeted eted hiese hebs  that ath side that sig these tehiqes shld be e atis adig t the ete state f the atiet  al al these the se alatis shld be sted sted at the e e e e whe they ae aied aied Eseially thei taidiati taidiati st be tied  the atst atst shd be se t t at ashly Ayway Ayway  e asteig he ailati ailati tehiqes is i s e f the st sigiat sigia t tae f stdyig ate et asteig the ailati tehiqes ad sillfl sig he will stgly ese he atst a sessfl lii atie  Manulaton of Moxbuston of Sngleacuint era Biy  the la la ehiqes ehiqes f xbsti xbsti i AM   the the alai alai tehies tehies f xibst xibsti i i TM Geea Ge eally lly seaig  xibsi is stly alied t t hese deie syde syde 

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G

er   f f Sn  a Mbn

cold syndme and neror syndme  so as o nvgorae Q and nours nours blood  warm e neror and expel expel e cold-evl cold-ev l  warm and dredge dredge e obsuced merdans merdans and so on. Neveless  under under some pcuar condons condon s  moxbuson moxbus on can be also appled o ese senc syndro syndrome me  ea syndme syndme and superc superc syndrom syndrome e For nsance  e ordeo ordeolum lum  wc s usually usually caused by wnd-ea wnd-ea evls and perans perans o e caego caego of  TaYg supeces supec essyn syndo dome me  ca cann b so rea reaed ed by moxbuson upon upo n HouX ( S3 ) or SaoZ SaoZee ( S S  ) or ZYn ( 7 )  for suc moxbuson reamen can eecvely expel e wndea evl from TaYang TaYang merdan merdan ; angoneuro angoneuroc c eadace eadace  wc s caused by senc senc ea-ev of lver and gallbla gallbladder dder  lkewse  can be reaed reaed by moxbuso moxbusonn upon ZuLnQ ( G1 )  ec. As for ow ow o concreely concreely use    s compleely compleely based on e concree concree syndromed syndromed erenaon of e  e cases In clnc pracce pracce of acupuncure acupuncure  e acupuncurs acupuncurs soud cevery use moxbuson accordng o e deren caracers of e deren llnesses llnesses and e concree gss of syndme-d syndme -dffferena ferenaon on  no only e ( or se ) sould skluly skluly maser e adona adona knowledge of moxbuson  bu also e ( o se ) souldn souldn  sck sck o e od rack  for  s us us e manfesaon of beng consraned by e  e radonal expeences. Wa an excelen acupuncus sould do s o be bod n makng nnovaons n order order o deepen s s ( or er ) compreenson compreenson on on e TC eory and wden s ( or er) clncal vson. vson. In e second par of s book  ere are some suc suc  case records ncludng acue conu conuncvs ncvs  cronc cronc aller allergc gc rs  con concc pang pangs s  nu nu of e and so on  ey were  reaed by moxbuson moxbuson success succe ssffuly  our reade reade  sould so uld noce no ce e unue amen so as o deepen your compreenson on acupuncure and moxbuson

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iion of Siupon Siupon Aupuue  Moiion py

Tere are may kids of moxibusio maiy iudig dire moxibusio idire moxibusio moxibusio ad moxibusio moxibusio i armig eede Amog em e dire moxibusio a be b e divided io e  e sarrig moxibusio ad e osarrig moxibusio Cuey aupuuris aupuuriss s ofe empoy e osrig osrig moxibusio moxibusio for i ' s safer ad more o-raumai a e oer oe. Te auors are aso fod of usig e osarrig moxibusio i our o ii praie Te idire moxibusio  be divided io e giger paiioed mxibusio gi-pariioed moxibusio sa paiioed moxibusio erb-ake moxibusio ad so o amog em e gger-pariioed moxibusio moxibusio is ofe appied o e asei sydrome ad e od sydrome i order o arm e ieror ad expe e od evi; e gari-paiioed moxibusio is ofe appied o ese furues aused by id-ea evi for deoxiaio deoxiaio  aagesia d deumese deu mesee e As or e erbake erba ke moxibusio e aupuurss aupu urss soud see diere diere erbs for makig ou e oree erbake i soud be suiabe for e differe iesses usuay e ee of erb-a e moxibusio oeraes e ofod effe of erbs ad moxibusio so i's us i more promie erapeui ee a is y i is aays empoyd by aupuuss i SAM s ii praie Bu i requires e aupuuris soud o oy skiuy mase e maipuaio eiques of aupuure ad moxibusio bu aso ave deep ompreesio o e meaism of iese erbs oy o su basis oud e aupuuris use u se is eique orey ad  freey Besides e moxibusio i armig eede is idey used oo i SAM  s ii praie is meod ombies aupuure i moxibusio ogeer i is exremey eeive o ese sydrome aused by aumuaio of dampessod evis is is wy is used

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eral eral tr tr  f Ac Ac Acp a Mxbt

widely in clinic practice Genealy speaking the manipulation of moxibustion is more cockamamie cockamamie , moreover moreover,, it alwa always ys poduces too much smoke , so that most o acupuncturists or patients are not fond of using it But to be hones , moxibustion reay akes indispensable indispensable eect fo fo treating some diseases Authors consider consider that we shoud not ignore its pminen heapeutic eect oy because its unimpoant shorcoming  we should ay stress on is unpaalleed unpaalleed heapeui heapeuicc eect and correcly use it in the cinic practice of acupunctue and moxibustion What we must avoid is to give up eating ony for fear of choking  Applicaton o Oter Specific Methos n Sngle  acupont Therapy Therapy

These specic methods mainly incude blood-letting with three edged neee , cupping herap herapyy , intad intaderma ermall embedding embedding of needle and so on Compaatively speaking  these methods are seldom employed in SAM  s clinic practic practicee , most of them are always always combined with other mehod together when being used We should adroity maste thei indications and contraindications   to be capable of using usin g them them coectly in proper situation  for sometimes sometimes there wi be good therapeutic eect above ou expectation Fo instance instance , hodeo hodeolum lum  it can be quickly remo remove vedd by bloodletting method with hreeedged neede combining with garlicpiioned moxibustion at the acupoint of ShaoZe ( S ) o ZhiYi Z hiYinn ( B7 ) , while it  s moe signicant signicant to teat teat the chronic chron ic gastr gastritis itis by intadeal embedding of neede in the acupoint of PiShu ( B0 ) or ZhongWan ZhongWan ( C V 1 2 ) combining with herb-cake herb-cake moxibustion As for for cupping theapy, i  s more common that i s employed combining wih other mehod Al these instances menioned above indicae 15

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lao of of laco Accr a Moxbo hrapy

that through adoitly masteing several kinds of manipation technique technique , acupuncturist is i s capable of geting success succ essful ful inspiration everw everwhe here re in his ( or her her  clinic practice practice with eat eat facility facility t  s also signicant for us to use SAM cleverly and correcy in our clinic practice Chapter Four Some Reative Topics of Singeacupoint Singeacupoint Acupuncture Acupuncture an Moxibustion

As an an advanced acupuncture acupuncture technique technique , the requireme requirement nt of SAM to the acupuncturist is even higher and stricter The acupuncturist shoud not only master the professional knowledge mentioned mentioned above  but also pay atention to these requisites requisites hat will be mentioned below First , excellent acupuncturists acupuncturists should attach imporance to impoving impoving their own diatheses diatheses and and cultivating heir own own viues viues , they should be in possession of strong body and extemely calm and composed mental state None of the great acupunctuists and TCM doctors doctors of the past didn  t lay stress stress �n this For For example  r Hua Hua Tuo ( a famous famous TCM doctor in Han dynasty  mastere he ve ve anim ani m exercises exercises ; Mr  Shizhen ( a great phaacologist of Chinese herbs in Ming Mi ng dynasty dynasty  master mastered ed the meidian-Q meidian-Qii  s guiding exercises exercises ; Mr Gao Wu Wu and and Mr Xue Xue ( they  all eat TCM doctors in Ming Ming and Qing dynasties  all mastered mashal mashal ats ; Mr Yang Jizhou and Mr Xu Feng, Feng , ( they are all eat eat acupuncturists acupuncturists dynasty  all mastered he he techniques of cultivating cultivating l le and in Ming dynasty nourishing nourishing Qi All of these sages , hey t beneted beneted themselves and ctivated their own life with their edical knowledge ' secondaily  they beneted the others and cured many sicknesses to save the 16

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e Io Ioton ton of Se-Aupont Autue n Moxwton

paens H a docor docor couldn  t bene hmself hmself wh wh hs hs own medcal medcal knowledg knowledgee  how could he bene the others on ear earhh ? ne who can can  save save hms hmse e can   save save the other otherss ether ether ! Such  medca medca echnque echnque"" mosty perans to he caego of  method of cheatng oneself oneself and and ohers ohers "  a the mos    s a mehod mehod of makng a vng Vrualy  s realy far away to he rue essence of TCM A rue docor should pracse hs medcal knowledge from hmself to others others  he shoud star hs medcal career from from hmsef hmsef Ony by ths way way  could hs medcal technque be the realy hoy technque ha can realy bene hmsef and othes cure scknesses and save the patents Also by ths way way  could a docor rea reay y attan the acme of peecon peecon n medc a All the TCM T CM s sages of he he past  none none of hem dd t folow hs way Wh strong body and exremey cal and composed mental sae  could he acupuncturs acupuncturs accuratey measure Q and bood are are plenudnous or decen dsncy understand the evls are n deep or n superca  so as to freely grasp the trends of sckness and then work ou the correc udgement and therapeuc pan n cnc practce It s more pacularly mpoant for he acupuncurss to keep keep such such good sae sae n our many years years  cnc pracce pracce  we deeply feel tha : keepng keepng such composed and and calm menal stae stae   s ust ust the most mporan quacaton for the acupuncturss to obtan the good therapeutc therapeutc ee eect of acupuncture acupuncture Because ony n such state state  could the acupuncturs keep hs hear qute alerhen performng the manpulatons so as o udge the tny changes of the needlng sensaton keenly and coectly coectly  and he merdan-Q could be eecvey acvaed o quckly reach the eced eced regon by such mpuatons However f the acupuncturst s mpetuous-heared and and l-mnded  t  s neary neary mpossble for hm to achev achevee good good 1

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litio of Silepoit Silepoit Acctre a Moxibtio Terapy

eec Second , except being capable of sctinizing sctinizing the sicknesses , mreover, a doctor should be good at scrutinizing he persons In our cinic praic praicee  who we meet are varied varied in their virtues and diatheses , including includ ing the honest , the fraudulent raudulent , the kind , the vicious , the rich , the poor poor , he wort worthy hy , and the humble, humble , etc ealist ealistical ically ly , all of these persons can meet us in our clinic practice , it requires that we should oer them different treatments according to their own personal condiions condiions and their dierent dierent sickness sickness That That ust means that  a doctor should not only be good at  treatment based on syndrome diere dierentiation ntiation""  but aso he should be good at  treatm treatmnt based on person-di person-diereni ereniation ation""  In TCM , he TCM TC M doctors doctors partic particula ularly rly stress stress the  treatment treatment of spirit" spirit " , which requires the doctor must scrutinize scrutin ize the patient  s spirit and mental state befo before re treating the sickness of body Through carefully understanding these things combining with the concrete symptoms , the doctor is capable of working out a proper therapeutic plan that is really suitabe for the holistic conditions of the patient Essentiy , such reatment oe oers rs the patient h hee duple treament , including the psychotherapy and the somatotherapy somatotherapy , it maximizes the therapeutic eect in fact But But the staing stain g point of the  treatment based on person person die diere rentiation ntiation"" must be loyal to the patient  s benet in the mimum mimum degree This Thi s goal goal should should be achieved by vaous methods For instance , the cowhearted hearted should be encouraged, encouraged , he slowwited slowwited should should be enlightened enlightened , the irresolu irresolute te should be strenghened As for these suered from sickness due to their evil doing, they should be strictly admonished at rst in order to make them realize their eor, secondarily , treating heir sickness In the whole process of the treatment , the doctor must be in great mercy for 18

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r Iroio Iroio of iAoim iAoim Auure  Mbwtio

sering the patient no matter what he did Just like a se teacher whatever he dose the nal goal is to cultivate his student As an employable employable doctor , don tgive in to the patient patient too much  don t fa on the patient too much  for these improper actions always disturb the coect linic decision In clinic practice a doctor mus be a doctor his statements and actions should be of serice to the patients Although the faithful admonitions are unpleasant to hear and the good medicine tastes bitter we should peorm o responsibility These who always give in to the patient and fa on the patient in spite of the therapeutic therapeutic effect  are al hypocrites in fact  a of their statements and actions are the ust manifestation of pretended mercy  f course course  all the treatment that that we o oered ered to the patients  including the psychotherapy and he soatotherapy  shoud be in the proper measures according to the concrete conditions of the patiens  furtheore urtheore  they should be be explained explained cleary to the patien patiens s patients  undet undetng ng as ssible herse herse  if it  as to obtain he patients can not b done done pror prorly ly  sometim sometimes es it wi produce produce the contrary contrary eect Additionally Additionally  that need be pointed ot is : these sensations caused caused by acupuncture acupuncture  including including soren soreness ess  numbness  heaviness heaviness and distension  a of them perain to he normal needling sensation  which is the basis of acupuncture to produce he therapeutic effects ects While in in clinic practic practicee of acupuncture  there are some patients  who don  t understand understand it So that it  s necessa necessa for for acupuncturists to clearly clearly explain it to them Especially in SAM  the needlin needlingg sensation is stronger than than the the common one  there thereffore  it  s more impoant for us to communicate with the patients in SAM s clinic practice 19

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itn itn of Siu Si upoi poi Acuue a Moxibtion Te

Chapter Five iv e The The Indicatio and contraindications contraindications of SingleAcupoin SingleAcupointt Acupuncture and Moibustion

Just as as AM , SAM has some idicatios ad cotraidcaios cotraidcaios too  clc pracice, it s ve ecessary for us to kow about these dicatios ad cotradicatos Fo t ca help us select he proper herapeutc method ad avod makg msakes. Geerally speakig, the datios of SAM bicay ovelap wi the dicatos of AM , most of he dseases that ca be treaed by AM ca be also treated by SAM hese diseases ca be divided io : Some diseases of emergecy such as coma , covulsio  ec ®Some acute paiful dseases such as lumbar sprai , steocarda , pai caused by epholit epholithias hiasisis or cholecystt cholecysttisis , etc @ Some acue pai chroic diseases of iamatio: such as chroic gasritis ad eter eteris is , chroi chroicc rhis rhis , chroic chroic phag phagits its , etc  Some chroc oseoarthropathy such as chroic rheumaic arthrtis, chroic uar muscle strai,cecal strai,cecal spodylosis ad so o Some vral diseases such as epdemc iueza, viral dysee, epidemc couctivis, hees zoser ad so o Besides, SAM is ptcuary eecive agais agais some some aergc aergc dseases dseases ad he he dseases dseases of dysfu dysfu cio. Cuety, the rage of dicatios of acupucure ad mobusto has bee beg earged cotiuously, some disees such as ifectve dseases ad he severe orgac dseases ( for for eamp eample le : he cacer) tha was regarded as the cotradicatos of acupucture ad moibusto  he pt , ow they ca be also reaed reaed by acupucture ad mobusto. For acupucture ad moibusio ca eecctvey releve the seig eig ad peve them from beig aggravated, boh AM ad SAM ca successfuly peorm the 1

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el Intouct Intoucton on of le-Acuoi le-Acuoitt Acuutue  Mton

aulay actos heefoe the dcaos of AM ad SAM stll ema to e poed ad foud y al the acupucuss  cc pactce of acupuce ad mousto we should aso oce e coadcatos of acupucue ad mouso Especally ude some specal codtos  we shoud e mo moe e cauous  ode to avod eakg these cotadcaos  he fyffths chapte of Miculou pivot t pots out tha " Do   pucue these patets eg  hgh feve do   puctue these pates eg  ecessve sweatg; do  t puctue these pates wth dsode dsodeed ed puse puse  do  puctue these these patets patets whose puse s ust coay to the sckess    he styst chape of Miracuu pivot  pos ou tha " Fve kds of eg m eteme dececy effe to hese staes the s s the musces of ody s etemely wheed  the the secod secod s the the stae ust u st afte afte massve hemohage he hd s he sae ust afte ecessve sweatg the fouh s he state ust afte sevee dhea hea  he fth s he stae ust afe delve ad leedg too much All hese sates of sckess ca o e teated y educg mapulaos  l the seeces metoed aove uged us o e patcualy cautous ude some specal codos  addo hee ae wetyfou acupos whee acupuctue s fodde ad some acupos tha ca  t e puctued deepy  the medc ooks of he pas u susatay   s tha he scholas of he past equed e acupucus should e patcualy cauous whe puctug these acupos tha ea some coductg atees  lage ves  sme mao ots ad some cadal ogas such as heat lug spee  lve lve  kdey  a ad spa cod he pucug these acupos he acupucust shoud esue hs mapulaos must e  pope measues As fo wome who ae  the mestal 181

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uca of of lupoi cuu a Mbo Ta

peiod or i pregacy their acupos of eGu   4)  SaYiiao ( S )  ShiMe  CV5  ad these acupoits i the lumbosacra io ad low ome should b forbidde to b pctur Fially  there are twelve coraidcaios of acupucture i the th chaper of Mracuus pvot: " do t pucture he perso who had se tercourse ust ow do  t have se itercourse after beig puctured us ow; do t pucture he peo who is tpsy do t be tpsy fer beig pucured ust ow; do  pucture the perso who is agry  do   be agry afer afer beig puctured ust ow ; do  t pucture pucture he peso who s ired , do  t be tred fer beig   pucured us ow; do t pucure the perso who ate eough do t eat eough after beg puctured us ow; do  t pucture the perso who is hugry do t be hugry afer beg puctured; do t pucture the peo who is thirsy thirsy , do  t be hity fter beig pucured ; the perso who s frighte eatly should be calmed for a while ad the ca be puctured; the perso who came here by a carriage should be ested for a ust while of havig a meal ad the ca be puctured; the perso who waked here shoud sit restig for some times of havig teli log walkg ad he ca be puctured  a the twelve cotraidicatios said mostly refer to  the patiet s persoal livg i certai degree i s reasoable So that they they shoud be oticed i our ciic pracice pracice , otheise, otheise , some some suddeess such as faitig ad so o coud be caused

18

 Rd  ngAun Auunu nd Mxun Chapter One Internal Disees 1  Iection Iection of pper pper Repirator Repirator Tract Case  Pu  mal male  age 35 years years worker. worker. Pant: Pu Ci Cmaint Cmaint : Dzzess ad achg pa of whole boy for

3 days.

t  Pnt  : hree

days ago whe the patet w  hs travel travel by tra tra  he sue suere redd from dzzess dzzess  rhohea ad achg pa of whole body due to catchg a cold he he hmse took the plls amed as " GaMaoog  ad some other commo atbo atbotcs tcs  but the above above symptoms symptoms were were 't releve relevedd yet  he came to ths hospt for treatmet o September 1  199 3 ter the lless came o  there were ' t fever ad cough s appette  sleepg  urato ad bowel motios were all  ormal all alog.  xain xainat atin in : he patet appeared lucd wth a pale ad lusterless compleo Lght red togue wth a th layer of whtsh fur Floatg ad tese pulse. Both tosls swelg   No promet cogesto  phageal wal. Both lugs l clear to auscultato Some scattered rhoch were heard occasoally No 1

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l f ue a Mxb a

oher abormaity prese Da Da   Ifeco of Upper Respraory Tc. TCM peras o the caegory Drnatn  This disee  i TCM of  GaMao   commo cold )    s supecial sydme of wid-cold  ee  whch was caused by he atack ata ck of wid-cold evil  from he exerior e wid-cold wid-cold evil ihibied he supecial defesive Qi ad caused he ihbied defesive Qi could o ow smoohly as ormal o rmal herefore herefor e  here was muscu achig pa of whole body  addiioally   is characerisic characerisic , he wid-evil wid-evil has a edecy o aack upward ad he he head ad face are all ivolved usually , he he dizziess was caused Tra Trati ti Prni  vigoraig Yag-Qi ad epellig he supecil evil nt ntr r Tratmnt Tratmnt  GV14 Dhui was seleced for acupucure acupucure ad giger-paiioed moxibusio moxibusio  A A s, s , a 1 0 cu eedle was vericy iser isered ed �o �o the acupoi acupoi  , ad he he , maipulaed h twirig ad roaig echique i order o poduce eedlig sesaio sesaio , more sigicaly sigicaly , which was iduced o spread upward o he eck ec k ad head  a same sa me ime , doward o he ack erward erward , he eedle was reaied i i  he acupoi for 20 miues i oal O wihdrawal  was gely roaed aroud ad he pulled ou rapidly , immedaely , he iseed iseed hole was wa s rmly pressed wih a coo coo all As he ex sep , giger-pariioed giger-pariioed moxibusio was peo peormed rmed o he acupoi a a oce , 9 uis of moxa coes were bu ou oally reame , he dizziess ad  tt Obsrvatin Obsrvatin  der oce reame achig-pai of whole body were relieved greay ially he illess was cured compleely er er wice reame reame The  s ed

1

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  f     Mxbn

  Pati Pa tin ntt  Wang Wang male male  age 30 ye year arss  worke workerr Ci Cmain Cmaintt  Headache  stu nose and uneven breath breath for

 week

stry stry  Prsn Prsntt Wn  ne week ago the patient suffered

from fever fever  dizziness  headache and sore that that wihou any protdent causes rough physical examination in a local hospital it was diaosed as  Common Cold" He was treaed by intravenous dripping dripping  Benzylpenicillin  Amikacini and and barizin barizin " and intramusclar intramusclar inec inectin tingg febrcide febrcide ter 3 days  reatment reatment dizziness and fever fever quicy quicy disappeared  bu he headache and stu nose were were remained as befo before re  it seemed that his nose was obsruced obsruced by by some cotton and caused he could not breahe smthly  tha he had to have mouth mouth breath breath More troublesomey troublesomey  he was seized seized with a constricting-pain in his forehead which annoyed him constanty and made he couldn t stand or sit sit at ease Then he had to come to this hospital fo for treat treatmen mentt on ctober 2  1993 19 93 ter the illness illness came on  his appetite appetite  sleeping  urination urination d bowel bowel moions moion s were were all in normal No other complain Pysia Pysia xamina xaminatin tin : The paient appeared lucid with a pale and usteress complexion Light red tongue th a thin layer of whie whie fur fur Tense and uneven puse Slight Slight congestion congestion in he phangea phangea wl Both tonsis tonsis swelling swelling  o  Boh lungs cle to ausculaion No rhonchi or mois res could be heard No oher abno sgn present Dian Dian ss  nfection of upper respiratory tract Dirntiatin  This disease  in TCM  perans to the categoy of  GanMao GanMao ( common common cold cold )  It  s supecia supeciall syndr syndrom omee of wind 1

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liatio f ileaci cutu cutu a Moxibtio r

heat type , whch was was caused caused by the the attack attack of nd-heat nd-heat evl from from the the exteor. Prevously Prevously , t was treated treated by nravenous drppng some antbotcs  whch rapdly defeated the heat-evl whle the wnd-ev w nd-evl l wasn wasn ' t expeled expeled tmely Because the nd-evl has a tendency to atack upward , t always attack attackss the head and face drectly drectly In In ths case , the constrctng-pan n forehead forehead and and st nose ndcated he wnd-evl had attacked the Yanng merdan upward and caused he Yangmng medan-Q w obstcted regonay Trati Trati Prini Prini  Expellng wnd-evl and releasng supecal supecal sydome  dredgng dredgng the obstructed Yanng me d-Q ntr Trant Trant    HeGu w selected for acupuncture A 1  5 cun needle was nseted nto te acupon Mter needlng sensaton was nduced nduc ed , the needle w manpulated wth mld reforcng reforcng and reducng technque technq ue  and then he needlng sensaton was was nduced to spread upward through the wrst Fnally , the needle was retaned n the acupont for 30 mnutes mnutes totall totallyy , dung the proce pr ocess ss of retanng retanng , t was regularly regularly manpulated wth reducng technque once every 10 mnutes On wthdrawal of the needle , t was gently shaked aund and then ped out slowly so as o enlarge the hole  tt Obsran  Mter once tatment tatment,, the headache dsappeared dsappeared mmed mmedately , te stu nose was releved releved greatly greatly  he could could breathe as normal a once Under Under twce reatment reatment , he llness was cued cued completely Then t s end

  Patint  Zhao , female emale , age 19 years  collegecollege-student. student. Ci Cma Cmaint int Dness and headache for 1 week.

1

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 co of SiglAcoi Ac a Mibio

Hist Hist   Prnt Prnt n : One week ago , te patient suered suered from diiness  eadae , rinoea d sore ta beause of aving a old ug pysial examination in te loal ospial  it was diagnosed as  Common Cold C old "  Se was reated reated by oral taking some ommon anibioti d and some oon d for treating treament  rinoea and so troa disappead disappead  old. Mer 6 days  treament din ess and a nd eadae remained remained unanged Espeially Espe ially a but diness ontinuousdisend -pain in bo sides of ead ea d annoyed annoyed er ontinuously ontinuous ly , wi wi  prevented er from from studyin stud yingg as noal noal , ten se ad to ome to is ospial for treatment on ay 6,995 Mer te iness ame ame on , er appetite appetite , sleeping sleeping , urination urination and bowel bowel motions were  normal Tere was no oer omplain Pysia Pysia xaminati xaminatin n  Te patient appeared luid wit a normal geneal ondition. Lig red tongue w a tin layer of wite fur Tense and oating puse Te paryngeal wall was not prominently ongestive Bot onsils swelling    Bo lungs lear o ausultation No roni or moist rales No oter abnormal sign Dia Dian nsi siss : Infeion of upper respiraor trat Dirntan  Tis disee , in TC , perains to te atego of  Ganao ( ommon ommon old old )  It was was aused aused by te atta attakk of wind old evil fm te exterior, wi attaked te Saoyg meridian and obstruted te meridian passage  terefo terefoee , te Saoyang Saoyang meridianQi meridianQi ould not ow ow smootly as normal normal  it resulted in i n te distend distend pain loae loaedd in bot sides sides of ead. Su Su eadae  in TC , also pertains to te atego of  Saoyang Headae" Tra Tra Prin Prin : Dredging te obstruted Saoyang meridianQi meridian Qi  expeing expeing wind-old wind-o ld evil and releasing releasing te superial superial syndome ntr Trat Tratmn mntt : 2 , Yeen of one side was

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lto of ile ile cute  Mobto 

seleced fr acupuncure A 1. 5 cun needle was insered in he seleced acupin , he deph deph f insein was abu 0 6  0 7 cun Afer needin sensain appeared , he needle was maipulaed wih mild reinfr reinfrcin cin an reducin echnique echniqu e  and hen he needln sensain was induced  spread upward aln he ap beween he hird and he lile ner, ner , furhermre urhermre huh he back f he hand and  he h e laera laera frearm Finaly Finaly , he needle needle was reained reained in he acupin fr 30 minues aly and manipulaed th mild reifrcin and reducin echnique nce every 10 minues On wihdraw wihdrawal al , i was shaked arund and pulled u  u slwly in i n rder  eare he hle Eec Eectt Obrvation  Under nce ream reamen en  he heache heache and diiness disappeared immediaely Mer 3 days days ' fl fll lw w up , he paien was in d healh all aln. Then Then i s end 2 . Obate Cou

  Patent  e , female female  ae

26 years years , eacher

Chief Chief Complain Complaintt : Persisen cuh fr

mnh tory of Prent Prent lne lne  One mnh a a , he paien had a cmmn cd , hen she sered frm frm cuh , expecra expecrain in , rhinhea  fever fever and headache Mer ani ani -iamma -i ammary ry and expec expecan an reamen in he lcal hspial  fever fever  headach headachee and rhinhea disappeared disappeared sn , whie cu cu and and expec expeci in n cudn   be reeved r eeved ye Fm hen n  she had been ineietly ineietly reae reaedd by akin varius anibiics anib iics and syrup fr reievin reievin  cuh , bu hey were n eecive aains he syndme eiher She sill cuhed pxysmally pxysmally  when i ccued severely  her breah became uneven s ha i severely prevened her frm eachin and resin. e she

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 Rco of lAco lAco Ac a Mobon

came toto me for trea treatmet tmet o May 1 3  995 9 95 ter the the iless iless came o, her appetite seepig uatio ad bowel motios wee all ormal There was t oer complait Pyscal Pyscal Exaaon : The patiet was lucid ad i a oa geeral geeral status Light red togue wth a hi layer of white f hready ad soggy pulse he phageal wall was ot obviously cogestive Both tosils swellig I   ash breathig souds ad some scattered big moist rales positive i boh lugs No othe abormal si Dagnoss : Brochits Dierentaton :his disease i CM  peais o he catego of " aKe  ( obstiate obstiate cough )  Previously Previously  it wa wass caused caused by eogeous widheat evil, which ivaded the lugs ad disurbed the fucoa actvities of pulmory pulmory Qi  the the the paiet paiet epereced cough ad epectoraio additoally the peaet cough would ot oly dsturb the fuctioal fuctioal activities activities of pulmoary pulmoary Qi  but also he kidey was so ivolved  for permet cugh could agavate cosumpto of real Qi ad caused a failure of he kdey to gove recepio o air, which would cause he it Q to be dvorced from s foudato So he lless becae moe itractable Therautic Prnci Prncie e : reaig the asthec sydrome hrough repleishg s moherorga: reifocig he decet rel Q  oder to ormlze its fuctio of goveg receptio of air air  by ths way , cou could be stopped cuuncture cuuncture Treatment Treatment : K  FuLiu of oe sde was selected for reame Accordg to NaZi method of Midght-oo ebb-ow ad the followig its piciple of reforcig the decie helthy Qi i the isufciet case , Xu o clk ( about 19 : o clk  21 :  o clock) wa chose as the therapeutic period  for whe the Qi ad 1

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la f gle gle cce a Moxb ra

bld wed trug trug te Kdney eridia f FtSayin just nw  te Qi d bld f te Kdney eridian is st insucient at Xu  clc  s tat it s te st suitable ie t reinfrce te decient Qi ad bld f te Kdney eridian eridian in iu degree A 1 5 cun needle  it ts i uwar uwardd  was inserted int te seleced seleced acuint , twiling te needle ligtly till te needling sensatn aeared Te needle needle was ten retained in i n te t e acuint fr 30 inutes tally and aniulated wt reinfrcing tecnique nce eve 0 inutes On wtdrawal wtdrawal f te needle  it was ed ed ut quicly quicly and iediately ressed te needling le rly r ly Subsequenly Subsequenly , direc xibusin xibusin was iediately iediately alied alied n e unctur unctured ed le le , 10 xacnes was used in ttal Ec Ec Obvaon Obvaon  er nce acuuncture acuunctur e , te atien atientt felt tere w itcing sensatin in e tat and fullness sensain in te cest , subsequently subsequently , se began  cug severely severely  a add ten exectraed u a l f wiis and sticy stic y suta Mter exectratin exectratin , se felt cfr cfrabl ablee very uc and er e r cug was sted Mter 3 ties ' teaent  er cug ad exectratin exectrati n all disaeared cletely cletely Mter Mter af a year  s fllw-u llw-u  te te ness ness didn t rela relas see  ten ten it 's end end

  Pa Pan n  Wu  fe feal alee , age 2 years  retired eacer eacer Chf Chf Copan Copan  Interitten cug ad exectratin fr 1 2 years , recuence and aggravain fr 1 nt Ho of Pn Pn n n  Twelve Twelve yea ag , te atient

suered fr cug ad exectratin witut any bvius causes Previusly , i ccurred interittently and ad a tendency  ccur m te winter ad sring, seties it was agavated by

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 cr cr f iglc iglcuu  cur  Mx

overtrain or having a co  the epectorate epectorate ptm wa white coore an an icky ick ye ere. re. ter on on   recrence becme more freqent reqent an ieg  the epectorate pta became prof profee , whitih an frothy rothy Then he went to the ocal hopit hopit  for treatment Mter Mter many time time  eamination eamination of chet chet roentgenoam an ptm ctre , the ine w cone a  Chronic Chronic Bnchiti"  the pat 12 year year , he w ay ay treate treate by taking vario antibiotic antibiotic  antitive n  n epecora epecorant nt  the ymptom bece ometime mi an ometime evere  evere One month month ago  the above ymptom were agavate by weather changing , he epectorate ot pfe whith fthy pta  ay an ght Then he wa given the imiar treamen in the oca hopita for one monh  whie the ymptom con  t be abate abate yet rhermore rhermore  there ther e appeare chet opprei oppr eion on  hone of breath breath , eceive eceiv e weating an an o on  in aition aition  her ba cogh cogh prevente her fro from eeping eeping a norm throghot night Then he he came to me for for treatment on Jne 3  22 Afer Afer he ine ine came on  her appetite appetite got poor her eeping wa itbe everey Ony rination an owe moion were a noa. There wan  other compaint Pys Pys Ena Enaon on  The paten wa c an in a noa genera conition. Pae Pae onge with a greay ayer of waery hreay  og an mooth mooth pe No obvio congeion in i n the fr hreay phangea wa. Boh oni weng    Hah beathing on  eenive big an meim moi rae in boh ng. Hea an aoen were a negative. No oher abnorma ign Dag Dagno noss ss  Chronic Broncht Derentaton erentaton  h eae  in TC , pertan to e caegory of  Wane  ( obtnate obtnate cogh )   wa cae by athena of the peen e ahenic penic Qi con t ranpor he phyioogic

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ln of l le e  ce a Mbn r

damness damness and and hegm nomay  then the damness damness and hle wee accumuated ogehe in the lungs and hen evented the lungs fom conducting disesing ufying and descen�ing function as nomal So that the initia Q couldn  t ow smoothly and nomall nomally y Coesondingly  the atient atient exeienced the cough cough d execoaio execoaionn fo many yeas yeas Essentialy Essentialy  in his case  the the ashenia ashenia of sleen was the ima and the obstuction of damness and hle in the lungs lungs was the second  it  s ust the syndome syndome of asthenia in the imay and sthenia in the seconday eapetic incipe : Invigoating the sleen d noushing Qi ; egulat egulating ing the functional activities ac tivities of he initial Qi  eliminating the damness d hlegm evil oxibustion Te Teat atment ment : S1 S 1  DaBao was selected fo fo hebcake moxibustion The escition of the heb-cake was as below below  HuoXiang HuoXiang  Agastach Agastachee g Pein Pein  Euatoum Euatoum 1 g BingPian  Boeol 5 g All the above hebs wee to be gound into ne owde togethe When used  a ittle of the owde was mixed with some wate and ou to make coin-shaed hebcake ne hebcake was set on the seleced acuoint  and then baked with a ing moxa-o moxa-o fo 30 minutes minutes otally otally  having such heb-cake heb-ca ke moxibustion moxibustion once a day In addiion addiion  she was told to take  Aucklandia Aucklandia and Villou Villouss Amomum Pills fo Nouishing Stomach  in ode ode to to eifoce eifoce waing the middle enegze and eliminating the cold evil E Obsevaton  Mte once moxibustion moxibustion  cough cough and exectoation wee elieved elieved geatl geatly. y. Chest oession disaeaed  theef theefoe  the atien at ientt could coul d slee slee noma nomaly ly thoughout thoughout night ni ght Mte Mte 6 times  moxibustio moxibustionn  cough and execoa execoaion ion also disaea disaeaed ed

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e Re Reo or r of SleAo Apre a Moxbto

compleely  e appeie go bee bee oo Me 7 mo mos s  followup llowup  e paie was was i good eal eal  all alo alogg  e illess did  elap elapse se  e e i s ed

  Patient  Xu  female female  ge 79 ye ye  eied woe Ce Ce Complain Complaintt : Repeaed coug d expecoaio fo

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Hstory o Prent Prent llnss  Tweywo Tweywo days ago ago  e paie pa ie

sueed from coug ad expecoaio due o cacg a cold. Se couged paoxysm paoxysmall allyy  moe moe oublesomely oublesomely  accompaied wi pofuse pofuse wis wis sicy spua  bu se was o volved m ces oppessio oppessio  soess so ess of bea bea   soe oa  feve ad so o Te se we o e local ospial fo eame Toug some elaive examaos examaos  i  s dagosed as  Brociis Brociis   se se was eaed by aveous dppg some abioics d oal ag pecoa syup as we as some Ces C esee ebs fo educig ple  egulag i ad vgoag e splee. Me 20 days days  eame eame   e coug ad expecoaio expecoaio  could   be eieved ye. Te pae paoxysm paoxysmal alyy couged ll day ad g wou a iemisso. Someimes sevee coug woud cause ces oppessio ad soess of bea Caaceisi Caaceisicay cay  i ad a edecy o occu occu a feoo feoo ad g  so a e sleepg sleepg was seveey disubed Someimes  e sevee coug ivolved e ces ad bo ypocoda beig i suffeg oo. Te se came o me fo eame o ugus ,22 oug oug somebody. Me Me e lless came o  e appeie  uaio ad def defecao ecao wee ll oa oa  oly sleepig sleepig w disubed No oe comp Pysic Pysica a Examination Examination : Te paie was coscous ad m a

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l l f l l   c a Mxbt Tr

noma geneal stats Dak ed tonge th a thin lae f white f og and deep pse No obvios congestin in phangea wall Both tonsils sweling   ash ash beahing beahing sonds psitive  some scatteed big and medim mist ales cld be cleal head in both lngs a and domen al negative No othe abnoal si Diagn Diagnos osis is  Bonchitis Dieenaton  This disease  in T  peains to the catego of  Wane " ( obstinate obstinate cogh )  oncet oncetel el speaking speakin g  it  s jst  Shene Shen e ( cogh de to decienc of en Qi )  In this case  the patient had been been in od age  both both he Qi Q i and blod wee  decient decie nt Althog Althoghh this sickness was pevios pevios cased b exgeno exgenoss windheat win dheat evil  while essentia essentiall ll its pt pta acted cted cose co se w eslted fm he decient heath Qi  f which w too decient to eectiv eectivel el esist the invasi inva sinn of the exogenos evils Theefo Theefoe e  in this case  the ke ke point of sdmedieeniation sdmedieeniation is i s decienc decien c of heat heath h Qi  not excess of the exogenos evils oe oe concetel concetel speing  it was jst cased b the decient enal enal Qi , f which is the most podent chaacteistic fo an old woman The decient eal Qi coldn t consolidate and gove the initial Qi in the chest  it s jst he eason wh wh he cogh peisted fo fo a long time At the beginning f the teatment  intavenos intavenos dipping di pping antibiotics was the manifesation of emphasiing the exogenos evils while ignoing the endogens pathogenesisdeci pathogenesisd ecienc enc of the enal enal Qi ;  fo fo oal oal taking some some phleedcin phleedcingg  Qieglat Qi eglating ing and and spleeni spleeninvigoating nvigoating manifestation of impp impp sndme snd me hebs  it  s jst the manifestation dieentiation  as if shoting an aow at a nonexistent taget So that the ilness became intactale eatic eatic inc incipl iplee  Noshing the decient enal Qi and waming the kidneang sending he advese wing of plmona

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 Rcor Rcor of co co cpctr  Mobt

Qi downwd in order to stop cough. Acpcte Acpcte Teatment Teatment : 3 , TaiXi o one side was selected or her-cake moxiustion The prescription o the hercake was as elow Ni�Xi Ni�X i  Achanthe Achanthess Roo  g ZhiShi , mmature Bitter Orange 5 g BingPia BingPiann  Boeol g XuDuan Teasel Root 2g Al the aove hers were to e  e  ground ground into ne n e powder together together When used  a little o the powder was mixed with some water and o to make coin-shaped her-cake One her-cake was set on the selected acupoint  and then aked ak ed with a ring moxa-rol moxa-rol or 30 minutes each time ota otay y , having such her-cake moxiustion moxiustion once a day Eec Eectt Obsevation Obsevation : Mter once such reatme reatment nt  cough and expectoraion were relieved eatly eatly,, chest chest oppression oppressio n disappeed. The patient could sleep we throughout night Mter  0 times  treatmen treatmentt , cough cough and expectoration expectoration disappeared completely completely  her spirit got etter too Mter 6 months months  ol ollo low-up w-up  the illness did t reaps reapsee  the patien patientt was in good good heath heath  ong, ong , then it s end. end.

3  a Ata   Pae Paent nt : Shuai , mae mae  age 22 years years  colleg collegee sudent

6

Chief Chief Compai Compaint nt  Repeated asthma or  years , recuence or hours. Histoy Histoy of Pes Pesent ent ness : Four years ag agoo , he patient suer suered ed

rom asthma whout any ovious causes It always occued when the weather was changng or he was in emotional tenson. Then he

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litio litio of of ileacoit cuture a Moxibtio py

wet to te local local ospital  it was diagosed as " Bcia Astma  toug some elative eamiatios. te teatmet of takig some atitussives ad atiastmatics e symptom became sometimes mild ad someimes sevee 6 ous ago  i elapsed because e a a log distace i iaveous dippig " Peicii Amiopyllie   it could t be elieved ye. e e came to tis ospital fo teamet o Jue 2  995 Afte te lless came o is appette uiato, bowel motios ad sleepig wee a i oa No ote complai Physica Physicall Examinat Examination ion : e patiet appeaed coscious wi a acute compleio. compleio. Mout beatig beatig wit puple lips Ligt ed ed ogue wit a ti laye of wite fu fu eady ad api apidd pulse. pulse. No obvious cogestio i payge wl. Bo tosils swellig I  Has beatig souds  oci ad weezes a peset i bot lugs HR a 108 beats/mi Cadac ytm egula o systolic mumu ad diastolic mumu. No oe aboal sig Diag Diagnos nosis is  Bocia Astma Diere Dierent ntation ation : is disease i CM  peais to te categoy of " XiaoZeg , CuaZeg CuaZeg  ( astma )  It was caused by disode of fucioal activities of pulmoay Qi  wic caused tee was a falue of lug o coduct dispesig puifyig ad desced fuctio So at e pate could  smooly beae ad te was ivolved i asma Therapeti Therapeticc Principle Principle  Because e patiet was us m sueg of astma at at time followig e pciple of elievig secoday sydome i te acute stage, acupuctue was employed fo dedgig te obstcted pulmoay Qi ad egulatig e fuctioal activities activities of pulmoay pulmoay Qi , stabilizig stabilizig e tple eegizere ouse of Qi  by suc way astma cod be quickly stopped 1

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 c c f lcnt lcnt

ct  Mxbtn

Apnre Apnre reaen reaen  2  Yeen of one sie w

selecte fo acupunctue A 1 5 cun neele w insee into the seecte acupoin The epth of inseion was out 1. 0 cun so  to stmulate ZhongZh , 3 togethe Mte the neeling sensation sensation appeae , the neee was manipulate with mil einf einfocing ocing an eucing technique in oe to inuce the neeling sensation to spea upwa along the gap between the 3  an the little nge, an then though the the back of han , nally to the lateal lateal foeam foeam.. The neele was etaine in the acupoint fo 30 mnutes mnutes n tota tota  ung un g the pocess of taning , it was maipulate maipulate th mil ein einocing an eucing technique once ee 10 minutes On thaw thawal al , it was pulle out apily an the insee hole w immeiately pesse ly. Ee Ee Oervaion  Une once such acupunctue acupunctue  the patent  s asthma w stoppe immeiately immeiately  he coul beathe smoothly an noally at once once Then he was tol to to takng  Plls fo fo nigoating nigoating he Speen " by himself fo fo consoliating the cuatie eect Mte 3 months months ' foll follow-up ow-up , the paent paent was in goo goo health health al alon al ongg , then it s en en

  Pae Paen n : Li  mle  age 80 yea  etie etie teache teache ef ef opla oplain in  Repeate cogh an asthma fo

9

yea yeass 

ecuence an agaation fo  ays ory of Pren Des: Nine ye ago , the patient suee suee om u  th u of once haing a co tescly, its ecuence was epeate epeate an fequent fequent  always always inuce in uce by b y weathe weathe changing o oewoking When occuing , it 's always accompanie wih uneen une en beathing beathing  chest oppssion an shoness shoness of beat beathh 

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lon ofl c a Mbon Ta

moreover , there were profuse whitish sticky sputa. While palpiation  diiness and so on seldom appeared In eve recuence , he had to be gven he eatment of intravenous dpping various antibiotics such  " Ainophyll Ainophylline ine , Injection Injection of Houtu Houtuynia ynia and ora taking taking some antiast antiasthma hmaic icss and phlegm-eliminating phlegm-eliminating drugs  under the tatment he symptom could be reeved Over the p 9 years , the above symptoms became sometimes mld and someimes seve  days o , it got cl suddenly , then his cough and hma came back again again He went went to the loca hospita , whle the sptom sptom couldn couldn 't be treamentt  the severe asthma o o ered him relieved after 1 week  s treamen uneven breathing during daytime and prevented hm fm sleeping we we throuout nigh Then he came to me m e for treament on on November 12 21 Mter Mter the the ilness came on  his appei appeite te was pr pr  bowel bowel motio motions ns d urinaon were were  noa noa No other other complaint Physca Physcall Eon Eon  The patient was conscious with an acute complexion outh breathing with purple lips Smooth and soggy pulse No obvious congestion in phgeal wa Both tonsils sweling    h h breaing sounds , rhnchi rhnchi , mis res and wheezes al clerly positive in both lungs R a 112 beat/ min Cardiac rhyth regular  no sysic r diastolic muur present Abdomen nrm No other anm sign Dag Dagno nosis sis  Brnchi Ashma Dieren Dierena aion ion  This dsease ds ease  in TC  peains peains  the the categ categy y of  Xi Xiao aoZh Zheng eng ChuanZh ChuanZheng eng ( asma asma )  I w w caus caused ed by ast asten enia ia f the spleen The asenic splenic Qi coudn  t transport ransport e physilgc damnes nd phe nay  then he dmpness and phlegm were accumulated gether in te lungs and revened lungs fm conducting conducting dispering disper ing , puify puifying ing  and descending descend ing funcon funcon as

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e Re Re f An An Ape a Mxb

noal  tat te initial Qi couldn 't ow ow smtly and noaly noaly Coespondingly Coespondingly  te patient sered ered m coug  astma and expectoratio expectoration n Essentiay  in tis tis case  te teni teniaa o spleen spleen was was te primary and te obsuction o dampness and ple in lungs was te seconda seconda , it s ust te syndme o astena astena in te prima and senia in te seconda Theapeuic nciple : Invigorating te spleen and nouising Qi ; wng e interior interior and expen expengg te cod cod evil  reguating reguating te uctional activities activities o te initial initi al Qi  eliminating eliminating te te dampness and plegm evil Acupuncue Acupuncue Teaen Teaen  S1  DaBao w selected or erb erb cake moxibustion moxibustion e prescription o o te erbcake was as below : Huoang Huoang  Agasta Agastace ce 1 g Pein  Eupato Eupatoriu rium m 1 g BingPia BingPiann  Boeol Boeol 5 g Qing QingPi Pi  GreenTgerine GreenTgerine Peel g ZiSi  Immature Biter Orange g CaiHu  Bupleum Bupleum Root Root  g All te above erbs were to be und into ne powder ogeer ogeer en used  a itle o e powder powder was mixed wi some our  water water and ginger uce to make coinsaped coinsaped erbcake One erbcake erbcake was se on te seeced acupoint  and ten baed wit a ng moxao or 30 mnutes in ota otall  peo peoing ing suc erbcake erbcake moxibustion once a day Et Oevation  Ater once moxbuston  e aien ad aus constanty Howeer  coug and exectoraton were reeed greaty Astma and cest oppresson disappeared  ere ereor oree  te aient could breae smooty d sleep nomally trougout nig Ater Ater 15 tmes  moxbusion  coug  expectorat expectoraton on and oter

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l ofi  a Moxbo T

ucomfor ucomforle le sensat sensatons ons dsappeared dsappeared completely completely , hs appette appette was mpro mproved ved too Mter 6 months ' foo foow wup up , the the patent w n good health all ong  ony when havng havng a cold  he merely merely coughed mdl mdlyy , whle the llnes llnesss ddn 't relaps relapsee , then t 's end

 Sinu Tacycara  Pati Patien entt : Gu  female emale  age age 56 year yearss  worke worker r Chief Complaint: Palptaton and chest oppresson for hf an

hour History of Prent ln  Ha an ho ago , the patent patent ws

attacked attacked by sudden palptaton palptaton  chest chest oppresson and shornes shornesss of breath wthout promnent cause She felt tat she hardly had the ablty to suppor herse herse because because of the severe palpato palpatonn , uneven breathng  well as annoyance over he chest Then she was sent to a hosptal hosptal n Nanj Nanjng ng for treatment Through Through some relatve examnat examnatons ons  t was dagose dagosedd as  Snus Tachyc Tachycarda" arda"  er takng takng some plls ( ts name was unknown )  the symptom couldn ' t be releved yet Then she came to me for treatment on Janua Janua 3  1 993 Mter he ness came on  her appett appettee  sleepng sleepng,, urna urnat ton on and and bowel motons motons were all norma In addton  she had  Hentenson" Hentenso n" for many years Physical Physical Exaination Exaination : BP  1 35/8 35 /85mmHg 5mmHg The pat paten entt appeared appeared lucd wth a normal genera status Thready Thready and rapd pulse pulse , lght red tongue wth a thn layer o whte fur. The pharyngeal wal wasn wasn  t obvously congesve Bot tonsls tonsls swen swengg  I   Bo lungs clear to auscultaton Some rhonch could be heard heard occasonaly occasonaly HR at 1 40 beats/mn beats/ mn Cardac Cardac rhym regular regular No systolc or dastolc muur coud be heard Abdomen noal No

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e Reord of So So  upunure  Moxon

othe abnoma sign Dag Dagno noss ss  Sinus Tachycarda Deenaton  This disease  in TC  pertains to the category of  XinJi  ZhengChong  ( seere ppitation ppitation )   was caused caused by saation of cadiac Qi and stasis stasis of cardiac bood  so that that he he patient had seere papiaton Theapeuc Pnciple  Dredging the obstrcted meridian and actiating he stagnant stagnant cardiac Qi  cming the hyperacie he cupunce cupunce Treatment Treatment : PC6  NeiGuan of one side was seected for acupuncture A 1 5 cun cun neede  with is is tip tip upward upward  was inserted into the seected acupoin Mer the neeing sensation appeared appeared  he neede was manipuated wih reducing skis 3  4 times  and en was retained in the acupoin for 30 minutes toay  during duri ng the process proces s of retaining  the neede was manipuaed wih wih mid reinforcing and reducing echnique once eery 1 0 minutes On withdrawa withdrawa of he neede  it was ped ed out rapidy and the inserted hoe was immediaey pressed pressed frmy frmy During he herapeuic herapeuic period   wa suggested ht her diet shoud be free from a and greasy food acupuncture  papitation papitation Eec Eectt Obseration Obseration  Under once such acupuncture and and ches oppression disappeared disappeared at once  she fe fe her chest got got much more comortabe and she coud breathe smoothy as norma Then she was tod to aking pis of Red Sage Root and pis of Xinxuekang or consoidating he curaie effect Mter 9 days  foowup oowup  he paien was in good heah heah a ong ong  then i s end

5 Heenion   Pate Patent nt  Wang Wang  fem fema aee  age 45 year yearss  teacher teacher

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liio of ioi Acuure a Moxibio Ter

Chef Complant  Dzzness and palpaon or h a monh Hstoy of ent n  Hal a monh ago ago , h pain was

aacked by dzness and palpaon hou any obvous causes n a locl hospal hospal,,  was ound ound ha she had  Hypeenson Hypeenson"" hugh hugh physcal examnaon Then she w r reaed wh akng akng  Npn pnee and and Compound Hypoensor Hypoensor "  Mer some days  am amen en  he dzzness dzzness and and palpa palpaon on dd no abae abae Somems  she couldn  gve gve a lecue due o her severe dzzness d zzness  sommes he palpaon palpaon occued consanly , so ha her sleepng was dsurbed and bcame unsable and rrile Thn she came o me or reamen on June  2  995 9 95 Mer er he lness lness came on  her her app appe e  urina urinaon on and bowel moions were  noal No oher complain ysca yscall Eamna Eamnaon on BP /mHg e paen was consco conscous us wh wh a normal normal genel genel condi condion on ady ady and uneven uneven pulse , lgh red ongue h a hn layer o whie ur ur The phangeal phangeal wall wall wasn   obvously congesve Boh Boh lungs lungs clear clear o ausculaion No rhonch or mos raes. HR a 88 beas/mn Relar cardac rhyhm rhyhm No sysolc or dolc muur could behed Noal abdomen No ·oher abnormal s. Dag Dagno noss ss  Herenson Denaton  Ths dsease  m TC , s s caegorized as  XuanY uanYun un  XnJ XnJ " ( dzne dzness ss , plp plp a ao onn )  I w w caus caused ed by by ss ss o o crdac blood and hyperacves o cardac Q  ha he Q and bld o he whole body we nced  nced n a ee een n Co Coes espo pondny ndny , he paen had hypeenson and palpaon. heatc heatc Pncple  Promong blood crculaon and removng removng bld sass  redging redging he obsruced cardac cardac merdan  calming he hyperacve hear cpncte cpncte eaent eaent : Acuponnecon was employed

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   f ilt pt  Mxibti

and and BL B L 5 , XinShu w seleced for reamen reamen ml injecion of Red Sage Sage Roo Roo was injeced injeced ino acupoin of BL B L55 , Xinshu , once a da, da , he seleced acupoin of each side was injeced aleaivel once ever oher da During During he herapeutic herapeutic period , i was suggesed ha her die should be free of fa d greas food E brvaon brvaon : Mer Mer  das  treamen treamen , he palpiaion palpiaio n disappeared and diiness diiness was relieved grea grea , her sleeping go go beter obviousl Her Her BP wen wen down down o 30/  30/95m 95mmHg mHg , al hese signs suggesed ha he reamen was remarkabl effecive. The reatmen was peormed 8 imes in o. o. Ulimael , he paien was cured compleel compleel Her BP dropped o 30  30/85 /85 mmHgM mmHgMer er 4 monhs  follow up , he paien was was in good good healh l aong aong , then  s end.

  Patent   , mae , age 36 ears ears , worker worker Cef Cef Complan Complantt : Diiness and headache for 5 das Htory of Prent Wn  Fif Fifeen een das ago ago , he paien paien

suered from diiness and headache wihou an obvious causes The weren   accompanied accompanied wih fever , rhinorrhea rhinorrhea and so on He himself considered he mabe had a common cold , hen he ora ook some pills for reaing common cold ( he name was unknown unknown  , bu he smpoms smpoms couldn  be relieved relieved , however , he bece worse and worse so ha he had disending pain and heav sensaion sensaion of head al a da da , hen he couldn   work and live as no Then he wen o a hospia for reamen. Mer some relaive examinaions , i was found found ha he had hpeension hpeension The docor suggesed ha he should accep he treatmen of aking some hpoenso hpoenso for a long ime , bu he paien himself didn  wan o ake medicines for a long ime Then he came o me for reamen on

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n f f n n cr a Mxbn Tra

Octobe Octobe 6  99 9 9 Mt Mte the ness ness came came on  hs appe appete te  seepn seepngg  unaton and bowe motons wee a noma No othe compant Physical Physical Einatio Eination n : BP : 50/96mmHg. 5 0/96mmHg. The The patent was was ucd wth a nom genea status Red and dy tongue wth a hn aye of dy dy and whtsh whtsh fu Taut and tense puse. No evdent congeston n phangea wa. Boh tonss sweng I   Boh ungs cea to auscutaon auscutaon No honch o most es HR a  beas/ beas/ mn  cadac cadac hhm ea ea No sysoc sysoc o dastoc mumu mumu coud be head No othe abnoma s Diagn Diagnos osis is  Hypeenson De Dee ena nation tion : Ths dsease  n TC  peans to he ca cate tego goy y of  TouTong  uan uanY Yun" un " ( hea headache che  dzz dzzn nes esss )   was caused by asthena asthena of kdney  whch whch coudn   suppo suppot t the funcona funcona acves acves of veYang whn noma ms So that hee appeaed appeaed hypeactve hypeactve ve veYang Yang  futhemoe uthemoe whch amed upwad to the the top of head Theefoe  the patent had he dzzness and headache Theapeut Theapeutc c Pincple Pincple:: Noushng kdneyYn and nducng he upamng upamng e downwa downwad d  comfot comfotng ng the ban ban and noazng he menta actves Moxibuson Moxibuson Teaent Teaent:: K  YongQuan w seeced fo heb cake mobuston. mobuston. The pescpto pescptonn of the hebcake ws as beow beow : Nu  Achya Achyant nthes hes 0g Bng BngP Pan an  Boeo Boeo   g Al the above hebs wee to be ound nto ne powde togethe togethe  When used  a tte o he powde was med med wh some ou and wate o make conshaped hebcake One hebcake was set on the seeced acupont  and hen baked baked wh wh a ng n g moao moao fo 0 mnues totay  pefomng pefomng such hebcake mo�buston once evey evey day Dung the theapeutc theapeutc peod  t w suggested suggested that hs

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 co co of gco gco c a Moxbo

die shoud be ree o a and greasy ood. E Oervation : Mer once moxibusion moxibus ion  he dizziness dizziness and and headache headac he were al relieed. relieed. Ae Aerr e days days ' moxibus moxibusion ion  he dizziness dizziness and headache disappeared. His His B dropped o  20/ 7 8 mmHg n oa oall  he was was rea reae edd or 5  5 days. days. Mer Mer ha ha a year ' s ollow-up  he illness didn  rela relapse pse  hen hen i 's end

6 Anna t  Pati Patien entt : Wang Wang  emale emale  age 56 year yearss  each eacher er.. Cef Compnt  Repeaed crushed precordialgia or ha a

ye tory of Preent ne : H a year ago  he paien

suered suered rom precordialg precordialgia ia A he beginning beginnin g  i was oen oen induced induc ed by oeorki oeorking ng or emoional ension. er  er on  is recuence became more r requen inally  i occued een wihou any causes When occung  i  s a cshed pan oer her ches  accompanied accompanied wih wih dyspnea dyspnea and purple lips  i obliged her o sop anyhing whaeer whaeer she was doing  and hen sand here rgidly or 3  4 minues ill i abaed Wen occurring seerely  she would be caugh by an agonal sensaion  accompanied wih wih he pecordialgia radiaing radiaing o he median median aspec aspec o he le le upper arm Since Since he illnes illnesss came on  she had been o seeral hospials in Naning or reamen. Through some elaie medic examinaions  i w diagnosed diagnosed as  Corona Corona Hear Disease  Angina ecor ecoris is " . She was rea reaed ed wih some blood aciaing aciai ng drugs and some drugs or or lowerng lowerng he blood-lipid blood-l ipid  wen he precordiagia occurred  she ad o breahe breahe in some some rsaid rs aid medicin medicines es such as  Niogl Nioglyce ycein in "  n h h pas pas h a ye  he sympom was someimes mld and someimes seere  bu i usually

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lton lton of of SleSle- nt nt Actre  Mobton Te

elapsed f fequeny equeny.. Then she ame  me f f eamen n Sepembe 8  996. Me he llness ame n  he appee  unan and bwel mns wee a nal nal  bu he sleepng sleepng beame unseady as usuy. usuy. N he mplan Pysical Pysical xaminaion : B   20/7 20/7 8mmHg 8mmH g The The paen paen was was nsus wh a nmal geneal ndn Lgh ed ngue wh a hn laye laye f whe fu Theady Theady and uneen pulse N eden ngesn n phangeal w Bh nsls swellng I   Bh lungs le  ausulan N hnh  ms aes. HR a 82 beas/ mn  ada hyhm eul. A 3/6 blwng sysl mumu w head a he apex Sf Sf and a a abdmen  n endeess endeess d ebund endeess e he whle abdmen e and spleen npapable N he abnal sgn xaminaon of of ladiog ladiog : HR a 82 beas/ beas/mn  STseen subsdene subsden e  T wae hanged. hanged . I suggesed suggesed myad myad shema. Diagnosis  Angna es Dieenaion  Ths dsease  n TC  peans  he aeg f  ZhenX ZhenXnT nTng ng " ( my myda da fa fa n n  . I was was aus aused ed by sagnan f ada Q and sass f ada bld  ha he hea uld n be adequaely adequaely nushed nushed as nmal Cespndngly Cespndngly  he paen had he ushed pedga. Theapeui Theapeuicc Pincipe Pincipe  mng bld ulan d emng bld bld sass  dedgng dedgng he bsed ada medan  nushng he he ada Q and bd and mfng he he. cpctue cpctue Teamen Teamentt : C C66  NeGuan NeGuan f  ne sde was seleed f f auunue auunue.. A  . 5 u neee  wh s p upwa upwad d  was nseed n n  he seleed sel eed aupn aupn  Afe Afe he needng ne edng sensa sensann apeaed apeaed  he needle was manpulaed wh ef efng ng sklls 3  4

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e Recod Recod of Sg-Aco Sg-Aco Acpt  Moxbon

ms  and hn h nl nl was rand n  n h aupon aupon or 30 mnus oall oallyy  durng h pross pr oss o ra ranng nng , h ndl was was manpad wh mld rnorng and rdung hnqu on v 0  0 mnus. mnus . On whdraw whdrawal al o h ndl ndl  ,  was pld ou rapdy and h nsrd hol was mmdaly prssd rmly. h sld aupon o ah sd was usd alavy on vry ohr day Durng h hrapu hrapu prod   was suggsd ha hr d was r rom a and grasy ood Eec Eectt Obvatio  Undr 2 days days  suh aupun aupunur ur , ourrng rquny o h prordalga was obvousy lss h bor bor  ar 5 days  aupunur  h prordalga prordalg a mosly dsappar dsappard d.. A Arr  5 days  aupunur aupunur , hr hr was no rurrn rurrn o h prordalga any mor. M Mr r ha ha a yars yar s oow-up oow-up  h pan was n good halh halh all along along  hn  s nd.

7. tomcce   Pae Paent nt : Wang Wang  m m , ag 33 yar yarss , ah ahr. r. Chief Complaint : Rpad pgasalga or mor han ha a

yar agavaon or  wk Histoy of Pesent s: or han hal a yar yar ago ago , h pan surd rom pgasrlga whou any obvous auss Chararsa Chararsay y ,  mosly mosly ourrd ourrd a arr ang ang  usually aompand h a ul snsaon ovr h uppr abdomn. Somms sh had psyhroalga o h somah and los hr app. Sn h llnss am on  sh had bn o h loal hospals hrough gasro gasrosopy sopy xamnaon ,  was dagnosd as  Chron Supr Gasrs" . Sh was rad wh orally akng som Chns pan pan mdns mdn s suh as  Sanu SanuWa Wa ,

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ln of of Sl Slen en Ace an Mobon Tea_

WeSuC We SuCho hon n   But the the treatmen treatmen as no eect eectve ve aganst her he r lness  her epgtrala epgtrala couln t  leve ye Then she came to me for eatmen on November 1 , 1 7  Mter Mter the llness llness ame on  her appete got r  hle sleepng sleepng  urnat urnaton on an boe moton motonss ere  normal. No other omplan Phsc Phscal al Examnaon Examnaon  The paen appeare luc th a noal general conton. Pale tongue th a hn layer of htsh fur an teethprnte ege Deep an tense pulse No event congeston n pharngeal all Both tonsls seln    Boh lungs clear to auscultat auscultaton on No rhonch or most rales rales Soft Soft an at aboen  teneess over the mean epgtrum belo te xpho process No muscr enson enson an reboun reboun eneess eneess Lver an spleen npalpable n both nferocosta regons No other abnoal sgn . Da Daos osss  Chronc Gastrts Dieenat Dieenaton on : Ts see , n TC  petans to he catego of  WeWa eWanT nTong ong ( stom stomac acha hach chee ) . It as ca caus use e by ac accum cumul ulat aton on of colevl colevl n he stomah stomah  hch prevente prevente e gastrc Q f noal ong an en there  stagnaton of gastrc Q an bloo stass , so e paent ha the stoachache hea heautc utc Pincip Pincipee : Wamng te mle energer  nvgoratng nvgoratng the the spleen  spellng spellng pathogenc col c ol an levng the the pan cupunctue cupunctue eatment  B0  PShu of one se as selecte for the reatmen of neeeang acupuncture cobne th gngerpattone gngerpattone moxbuston At st  a  5 cun neee as nserte pepencary nto the selecte acupont The neele as retane retane n  n the acupont acupont for 30 mnutes mnutes totally totally  ung the pocess of retanng   as contnuously contnuously bake bake th th a ng moxao an manpuate h renforcng technque once eve 10 mnutes On

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e Reord o SiAi SiAi At  Moibtn

thdawal thdawal f the neede  the bung mxa was extnshed  afte afte a whle  when the t he needle need le became bec ame cl  t was we wedd aund aund and then puled ut apdl d the nseed hle was mmedatel pessed  Mteads teads  Gngepattned Gngepattned mxbustn ws empled mmedatel 9 unts f mxa cnes wee but ut each tme tme  pefng pefng such mxbustn mxbustn wce a da Dung the theapeutc ped  t w suggested that he det shuld be fee f cl and cld fd E E rvaon rvaon unde nce teatmen teatmentt  he stmachache dsappeaed mmedatel mmedatel Me Me 6 tmes  eatment eatment sensatn f funess n the uppe uppe dme dmenn dsappeaed dsappeaed t t Mte  mnths  fwup wup  the patent patent was was n gd health a a alng alng  then t s end

  Pa Pan n : Zhg Zhg  me me  age  eas eas  wke wke Chf Chf Complan Complan : Repeated epgastalga f m than 4

eas  agaatn agaatn f f  week Hsory of Prsn Prsn ln  e th 4 eas ag ag  the patent patent

was attacked b epeated epgastalga wthut an bus causes At the the begnnng  t was alwas nduced b ek ekng ng  late late n  the ecuence became became extemel extemel egula egula gadu gadu It alwas alwas came back bef befee eatn eatngg  n hungness  futhem utheme e  t had a tendenc tendenc t ccu at nght nght When t ccued ccued seel  t s alwas alwas accmpaned wth backace Snce the llness came n  he had been t seeal hsptals n Nanjng f teatment ugh sme elate medc medcal al examn examnatns atns  t was was dagn dagnsed sed as  Gtc Gtc Uce   Hewa Hewass then teated wth sme antacds and Chnese hebs Oe the past 4 ea  the abe ab e sptms sptms became smetmes mld and smetmes smetmes seee  week ag  the patent sueed fm epgastalga agan due

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lon lon of Sleo Sleo  Acre n Mobon r

o drinking a ie He had a buing sensaion and insuerabe pain in his somach o ha he had o go o he oca hospia and w si gien gien he simiar reamen reamen Howeer   week  s reamen reamen coudn '  reiee he sympoms ye Then he was ed o me for ream reamen en hro hrough ugh somebody somebody on Augus Augus 6   999  er er he iness came on  his appeie go poor In addiion he serious somachache usuay preened him from se ·;�ng  no no  whie his defecaion defecaion d urinaion we  noa o oer compain Physical Physical ami amiao aon n  The paien appeed ucid wih a pae and useess compexion Deep and hready puse  igh d ongue wih a hin ayer of whie fu V pfunda ariciform and dark bue in coour No eiden congesion in phyngea wa Boh onsis sweng { Boh ungs a cear o auscuaion No rhonchi or mois raes Abdomen Abdomen sof sof and a No endeess oer he median epigrium beow he xphoid pcess No muscuar ension and rebound endeess er and speen inpapabe in boh infeocosa gions No oher abnoa sign Diaos Diaosis is  Gasrc ce Dieenaion  Tis disease  in TC  perains o he caegory of  WeiWanT WeiWanTong ong " ( somacha somachache che )  I was caused by ashenia ashenia of gasc Qi The ashenic grc Qi was oo weak o smhy ow as norma  herefore herefore  hee were sagnaion of gasric Qi and bood sasis  so he paien had somachache somachache Esseniay  he pahogenesis of his case w ashenia of gasric Qi Theapeuic Pinciple  renghening he dde energizer and inigoraing e asenic asen ic gasric Qi  dredgng he obsruced meidian and reieing pain. According o NaZi mehod of idnigh noon ebbow and foowng s pncipe of reinforcing he decien heahy Qi in he insufcien case  i o cock ( abou 9   o cock 

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e Reod of SleAon Apnte  Mbton

1 1 :  o coc cockk  was was chosen chosen  the ther thera aeu eut tcc erod erod , or when when the the Q and bood owed through the Stomach erdan o Foot us t now , the Stomach Stomach erdan erdan s most nsucent nsucent n Q yangmng ust and and bood at S o ' cock , so that t ' s the most sutabe sutabe tme to renorce the asthenc gastrc Q and the decent bood o the somach n the maxmum deee Acupunctur Acupunctur Tr Trnt nt  S6 S6 , ZuSa ZuSan n was was see seect cted ed or or acuuncture. Accordng to NaZ NaZ method o dnght dnghtnn nn ebbow ebbow , neeewa neee warmn rmngg acuuncture acuuncture was emoed emoed at a t S o cock c ock At t , a 1. 5 cun neede was erendcuar nserted nto the seected acuont e deth o nseron was  0 cun or so , trng the neede gent t the needng sensaton sensaton aeared aeared , contnuous , the neede w uated h md renong and reducng technque so as to nduce he needng sensaton to sread dowds aong the teror asect o the tb Fna , the neede w retaned n the acunt or 30 mnutes tota tota , durng the rocess o reta retanng nng , t was baked wth a rng moxa moxa On wthdr wthdrawa awa o the neede , the bng moxaro moxaro w extngushed extngushed , ter a whe , when the neede became coo , t was twred  and then ed out rad and the nserted hoe was mmedate ressed rm  Ec Ectt Obsrvan  Under once onc e such treatmen treatmentt , the stomachache stomachache was reeved reeved great great , ater ater 3 das  treatment , the bung sensaton sen saton n hs stomach stomach dsae dsaeare aredd comete Hs seeng seen g and aette aette got norma norma too Mter Mter 0 das das  tream treament ent , the the atent atent w cured cured comee Mter Mter ha a ear ' s oowu oowu  , the ness ness ddn 't rea reas see , then then t 's end

 Pa Pant nt  Wang Wang , mae mae , age 43 ear earss , teac teache her r

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lon l on of S- S- Ace Ace  Mobon r

Chie Chieff Complain : Repeed epgtrg r mre tn 6

yers  ggrvtn r 2 weeks Hisory of Pesen s Abut 6 yers g g  e ptent d  pn n te pper bdmen tt ny bvus cuses At te begnnng  t w wys wys ndced by verkng verkng r beng n  ter n  ts recence becme rregr dy It s n egur du pn nd bged m t g t te c spt fr trenent Tug gstrscpy exmnt exmntnn  t ws ws und und tt tere w  Inesn Inesn etps etps " nd ten e e ness ness ws dgnsed s  Crnc Crnc Atrp Atrpc c Gstt Gstts s   He w tret treted ed t t sme medcnes medcnes suc s  Ynesu nesu  Snj Snjuw uwet et   Wey Weynng nng " nd s n  te symptm becme smetmes md nd smetmes severe. 2 weeks g g  te pn g we wtu ny evden cuses Mer Mer ry ry tkng sme medcn med cnes es  t cud nt be reeved reeved yet  ten e cme t s spt spt  r r re retm tmen en n Apr Apr 1  1995 Mter e ness cme n  s ppette w pr nd seepng ws unstedy  we s ntn nd defecn were  nrm N er cmpnt Physi Exami Examina naon on : Te pent ppered ucd wt  pe nd usteess cmpexn. Tdy  deep nd neven puse  drk red tngue wt  n yer f wte ur V prfund ws vrcfrm nd dr drkk bue bue n cur cur N evden evden cngestn cngestn n prynge w Bt tnss sweng I   Bt ngs cer t sctn N rnc  ms es Sft nd t bdmen  n endeess ver te medn epgstrum epgstrum bew bew te xpd xp d process N mscur tensn nd rebund tendeess  ver e bdmen Lver nd speen nppbe n bt ecs regns N ter bn sgn Diag Diago osis sis : Crnc Atpc Grts Dieren Diereniaion iaion  Ts dsese  n TC  pertns t te cteg cteg  f  WeW WeWn nT Tng"  stm stmcce cce )   w cus cused ed by decency decency f

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e Record Record of SkAco SkAco  Actre  Mbton

Qi nd nd blood e decien decien Qi Q i nd bd coud coud no eecive eecive nouish he sric coels s norl nd hen he sric coles bece hic Therefore he ien hd n ireulr du in in his och. Therapeutc Therapeutc Prncple Prncple : Noi Noi shin blood blood nd inviorin inviorin Qi  onin he sleen nd soch so s o noursh he ic colers Acupun Acupuncu cure re Trea Treatm tmen entt : 0 , PiShu ws seleced for reen reen  cuoininecion cuoin inecion ehod ehod ws eloye eloyed d 1 l of ebrnous ilkvech Roo Inecion nd 1 l of Chnese Anec Roo Inecion were ied oeher nd hen he ied inecion ws ineced ino he cuoin of 0  PiShu  erf erfoing such cuoin iecon once  dy The seeced cuoin of ech side ws ineced levely once evey oher dy The ien ws od o viod ein he f nd esy food during he een. Eec Eectt Oervaton  Under wce such re reen en  his sochche ws ws reeved reeved re reyy  f fer 3 ies  re reen en  his sochche disered coleey. The reen ws erfoed 1 0 dys olly olly   s  he ien ws ced ced Afe Aferr 8 onhs ' folow   he he llne llness ss ddn  rel rels see  hen hen i s end

 Flatulence   Pat Paten entt :   e  ge 32 yer yerss  fr frer. Che Che Complant Complant : Dsendin n of uer bdoen for 3

dys to of Prent lne lne : Three dys o  he ien hd

drin drinkn kn wih soe friends friends Afer heir drinkin drink in  he fe no  roube of fulness senso nd dsendin in over hs uer

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ltn ltn of SleSle-c c Acte  Moxbton Te

abdomen. He felt that that her heree were were a lo lo of umy um y gases bumi buming ng u and down in the intestine without an intermission  it made him very uncomforabe So he had to go o the local hosial for treament. Throug Throughh hysica hysica examinati examination on  it was diagnosed diagnosed as  Flatul Flatulenc ence e  he was reaed wih oral aki aking ng some dgs such as  Tabelae Tabelae omer omerido idoni ni  Mer Mer 3 days days ' ta tame ment nt  the distending distending ain in the uer abdomen was no reieved yet Then he came to this hosital for rea reamen mentt on Setemb Setember er 1 2  1 993 993  After After the the illnes illnesss came came on  the aient ' s aetit aetitee got got oor oor  while his sleeing  urination urination and and defecation were all normal There was not other comlaint Physica Physica Etion Etion  The atient aeared lucid wth normal general conditions ee and tense tense ulse  ligh red red tongue with a hin layer of whie fur No evident congestion in haryngeal wal Both tonsils swelling    Both lungs clear o auscultation No rhonchi honchi or mois mois rales. Hea noal noal  abdomen abdomen exansive Tymy Tymy could be found through ercussion over the abdomen Active bowel sounds  over the uer abdomen No tendeess and rebound tendeess over the abdomen No other abnoal sign Diaosis  Flatulence Dierent Dierentiation iation : This hi s disease  in TC  erains erains to the catego category ry o  Peng Pengh han angg  WeiT WeiTon ongg " ( abdo abdomi mina nall disten distenion ion  stom stomac acha hach chee )  t was caused by eating eating too much fat and greasy food  which severey obstruced the somach and inestine and revented he gric Qi d inestinal Qi from owing smoothly as noal So that there was sagnati sagnation on of the gastrc gastrc Qi and intesinal intesin al Qi  the aient had the distending ain in the uer abdomen herapeutic herapeutic Principe : Benetin Benetingg he somach somach and inesine  activating and noalizing the functional activities of the gastc Qi and intestinal Qi in order to remove he Qi stnation and reieve

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e Record Record of SleAc SleAc Actre  Mobton

th dstndng pan Acpncre Acpncre Treamen   dpont bwn bwn S6 

ZuSanL and S7 , SagJuXu SagJuXu of on sd was slcd slc d for acupunctur acupunctur A 1  5 cun ndl was prpndcly prpndcly nsrtd nto  slcd slc d pont T dph of nso nsonn was about 1  2 cun A rst rst  th ndl was manpulad manpulad wth lfng lfng and thstng chnqu chn qu l h h ndlng snsaton appard appard , and hn t was manpula manpulad d th rducng tchnqu tchnq u 3 tms Mr a  t ndl was slghy td up to h supc poron and hn oblquy nstd nto  pon agan but w s tp upwrd twa wa S6  ZuSanL  t was manpulatd manpulatd th th sam tchnqus 3 tms Connuously  th ndl was slgly lftd up agan o  supcal poron and n oblquly nsrd nto h pon onc mor but with ts tp downward toward toward S  ShangJuXu , t was aso manpulad wh h h sam sam chnqs 3 ms m s A last  th ndl nd l was slowly slowly ltd ltd up to th supcal supc al poon poon gan and and prpndculay nsrd no th pon  t was rand n  slctd pon for 20 mnuts otally E Observat Observaton on  ndr onc such acupunct acupunc t , th pa pan n bgan bgan o bak wnd connuously  whl th dstndng pan n  n th uppr abdomn abdomn was rlvd mmdatly mmdatly Mtr 2 days days ' followu ollowupp , h h patnt was n good hal hal al along along  hn t s nd

  Pate aten n    fmal  ag 32 3 2 yars yars , accountan accountan Che Che Compa Compan n  Abdomnal pan and dstnton for 1 wk Hsory o Present Present ness ness  On wk ago   patn sufrd

om abdomnal pan and dsnton du to atng much mor pyramdsapd rc dumplng  sympoms occud connuousy and oudn oudn  t aba Thn sh wn to th ocal hospal for

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lation ofSile- Acte an Moxibtion Tera

atme atme Thruh Thruh physca physca examat  t was dased as  atuece  she was the treaed wh ra a sme ds such as  Tabeae Tabeae Dmperd d et Ps Ps   Mter 1 wee  s treatme treatmett  the pa ad dset were were t reeved yet urhe urherm rmre re  t seemed that there there were a t f jumpy es bump up ad dw    her este  the bwe suds became frequet ad hypeuct  s hat she t a sy sesat  her dme ay she suered frm the dsted pa ad the sesat f fuess ver the abdme s much that she cud t stad t. The she came t ths hspta fr reatmet  Jue 22 , 15 1 5 Mte Mter he ess came   the patet  s appet appett tee t pr pr whe her seep urat ad defeca wee a a Thee was t her cmpat Phys Enao Enaon n : The paet was cscus wh a a a eera eera cdt c dt. . Thre Thread adyy ad ueve pse  ht red tue wth a th ayer f whte fur N evdet cest m phary pharyea ea wa wa  Bth Bth ts tsss swe I o  · Bth us ce t auscutat N rhch r ms raes Hea rma The abdme was expasve Tympay cud be fud thruh percuss ver the abdme. abdme. Actve bwe suds suds There There was edeess edeess ver the sser abdme ad the epasrum epasrum bew he xphd pcess , but there there was t rebud tedeess ver he abdme N ther ba s Dagnosis  atuece Dere Derenaon naon : Ths dsease   TC  peras t he cate cate  WeT   ( staa staacy cy f fd , smach smachach achee )  It was f  Sh  WeT caused by mprper det , whch cud t be traspred as rma by the smach ad he became he putd stagacy f fd that stayed stayed  the stmach stmach ad este est e  thereby thereby  the stmach ad

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e Record Record of SAcnt SAcnt Atre  Moxbton

intstin intstin w w a lock As a sult of it  h h gastic Qi Q i an intstin intstin Qi couln couln  t ow in th G tact tact smoothly smoothly  nomal nomal  hfo hfo   th functiona functiona activiti activ itiss of th gastc Qi an a n intstinal Qi w all istu an th was stagnation of th gastic Qi an intstina Qi  hn th patint got th istning pain in th upp aomn. In aition  thos ugs hat h patint ha takn such   Talla Talla Dompioni Dompioni an Yast Pils Pils  a not ctiv ctiv nough n ough o activat th sagnant gastic Qi Q i an intstinal int stinal Qi  fo th cacy of thos micins mic ins a all too wak wak an incomptnt incomptnt So that th atmnt n in failu h hic ic Pincipl Pincipl  Activating th mil ngiz an pomoting igstion  moving th stagnancy of f an noalizing h functional functional activitis of th gastic gastic Qi an intstinal Qi , activating activating Qi fo living th istntion an stopping th pain cpnc cpnc n n  S5 , TianShu of on sith Fontu acupoint of h Lag Instin iian of Han yaning was slct fo acupunctu an hcak moxiustion At t t  a   5 cun nl was ppniculaly ins into th slct acupoint  manipulat with mil ucing an infocing infocing tchniqu tchniq u  it was ain in th acupoin fo fo 20 minuts in otal otal Mt wihawal wihawal of th nl , th hcak moxiustion was mploy immiatl Th psciption of th hcak was ust as as low low  Huan HuangL gLia iann  Coptis Coptis Root  g HuangQ HuangQin in  Scut Scutll lla aia ia Roo   g QingPi , GnT GnTang angi in n P 20g 20 g ZhiShi , Immatu Bitt Oang 20g BingPian BingPian,, Bool Bool 8g Al th aov hs w to  goun into n pow

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ltn of of Sle- Sle-c c  Acncte  Mobton Ter

togth n usd a litl of th podr as mixd ith som  our and atr to mak coin-shapd hrb-cak On hrb-cak  st on th slctd acupoint and thn bakd bak d ith a ing moxaroll  for 3 minuts totally poming such acupunctur and hrbcak moxibustion onc a day Eec Eectt Obaon  Undr onc such tratmnt th patint passd atus continuously hi th abdomina distnton and pain   al rlid atly th acti bol sounds r a noalizd noalizd th noisy noisy snsation snsa tion also disappard. disapp ard. tr tr 3 days' tatmnt th patint  curd complty hn its nd

9  Gastroptoss  Pat Paten entt  Huang fmal ag 42 yars pasant Che Complant: Abdominal distntion and pain accompanid

 th anorxia for 6 y to t oy y o Pent Pent Wne Wne  Six ya ago th patint gradually

sufrd from abdominal pain and distntion accompanid ith anorxia ithout any obious causs At th bginning bginning  h symptoms mostly occurrd tr ating latr on thy occurrd constany Espcially aftr ating h abdomina distntion and pain bcam bcam  mor protrudnt At last h prmannt distntion di stntion and pain causd sh did t da b ful up in hr  dit thrfor thrfor sh graduay got poor apptit and anorxia. Somtims hn sh as  full up thr oud b a snsation of gastric tnsmus tnsmu s in hr abdomn  th abdomina pain pai n and distntion bcam b cam mor sr and insurabl insurabl Thn sh had to go to th ocal hospita for tratmnt Though gastroscopy xamination and barium mal xamination of uppr digsti trac th ilnss as conrmd as

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e Record Record of SleAco SleAco Actre a Moxbton

 Gastoptoss" , she was then teated wth some medcnes such as  Wesuchon esuchon  , Tabel Tabellae lae Dompedon Dompedon  but the abdomn abdomnal al pan  dstenton and the sensaton of gastc tenesmus could not  eleved all along along n the past past 6 yea yea  she had to go to the local hosptals hosptals agan and agan  whle the the teatments wee wee not eect eectve ve agnst he ness Then she came to ths hosptal fo teatment on June  2 , 99 lness came on  the patent got poo 999 Mte the lness appette and anoexa  whle he sleepng , unaton d defecaton wee all nomal. Thee was not othe complant Pyscal Pyscal Exanaton Exanaton : The patent appeaed sptess and emacated wth a sallow complexon Dsnclnaton to speak. Floatng Floatng and tense puse , lght d tongue with wit h a thn laye of whte fu. The pha  lungs and he wee all noal Soft Soft and at abdomen wth tendeess ove the epgastum above the umblcus and below the xphod xphod pcess , no ebound tendeess tendeess ove the abdomen. abdomen. No masses pesented pesented on palpaton palpaton Lve and spleen spleen npalpable n both nfeocostal egons No othe noal sgn Bau Bau ml Exanaton of Uppe Dgestve Dgestve act  t evealed that the nfeo lmt of the stomach was at the level 4. 5 m below the lne onng he anteosupeo lac spnes of both sdes , the gastc gastc mucosa became bec ame thcke and dsode dsodey y , the gast gastcc pesalses became slowe than nomal. All these sgns ndcated thee wee chonc gastts and gastoptoss Dagn Dagnos osss : Chonc Gastts Gastts , Gasto Gastoptoss ptoss Deen Deenato aton n  Ths dsease , n TC  pet petans ans to the catego catego  of  WeX WeXaa , WeHuan eHuan " ( gasoptoss gasoptoss , gastc gastc elaxat elaxaton on   t w caused by decency of gasosplenc  The decent gastsplenc  coud coud not eff effectvel ectvelyy pomote the gastc gastc pestases as noal , hen the food would be etaned n he stomach fo a longe peod

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lton ofS Act a Mbton 

th nomal Theefoe Theefoe , hee always be food food tha couldn couldn  t be evacuaed evacuaed imely in he somach Moeove Moeove , he decien gas gas osplenic Qi couldn t eectively lift and astinge he stomach as noal noal , so tha the th e stomac stomachh polap polapsed sed and and hen h en the th e paient got go t the abdomin pain and distention , moe chaaceisically chaaceisically  the sensaion of gasti gasticc enesmus enesmus was was caused caused ; in addiion  it s moe dicult fo he polapsed stomach to anspo the wate and food food  so that the patien patien got the poo appeite and anoexia Thatc Thatc ncp ncpl l  Beneing the middle enegze and invigoating the gasosplenic Qi in ode o elevate the Qi and bld , lift and tinge the stomach Acpnct Acpnct Tant Tant  The somachlifing mehod w employed fo teatmen A  0 cun needle was ansvesely inseed ino he he skin fo fom CV CV  3 , Shang ShangWa Wann to CV C V  XiaWan, XiaWan, the peneated acupoints included CV3  ShangW ShangWan  CV CV  2 , Zhon ZhonggWan, CV  , Jian JianLi Li , CV CV  , Xi XiaW aWan an in u e he he needle needle was was inse inseed ed ino in o the skin sk in completely  it was s manipulated with einfo einfocing cing technique and then manipulated wth singlediection twiling echnique so as to twine he egional muscle aound the needle mly mly Connuously Connuously , the needle was was lifted upwad upwad wih he muscle ogethe and his acion was etained fo fo   2 minues o so Af Afte te tha  the the needle was was eained unde und e the the skin skin fo fo 30 30 minutes minutes totally totally , dung he pocess of etaining it was eglaly manipulated with he same technique technique once evey ev ey 0 minutes minutes On whd whdaw awal al of he needle  i ws pulled out wth ein eino ocing cing technque Such acupunctue was pefomed once eve othe day Ec Ectt Obvatn  Unde Unde once such such acupuncue  he abdominal abdominal pain pain and diste disteni nion on wee  elieved geatly geatly  the sensation of gastic enesmus disappeaed e 6 times times ' teat teatme men n 

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e Recod of SleAcoi SleAcoi Ate  Moxbon

here was o dscomf dscomfor or ay more hrough X-ray Barum examao   was revealed revealed ha he feror feror lm lm  of he somach was a he level  5 m beow he le og he aerosuperor lac spes of boh sdes he he  s ed

1 0  Vo Vong ng   Paie Paien n  Wag Wag  male  age age 8 yea  pupl Cef Compl Complain ain  Repeaed vomg for haf a moh Histor History y of Pren Wne : Haf Haf a moh moh ago ago , he pae

suere sueredd from from repeaed vomg whou ay obvous obvous causes causes I usually usually occued  every mog mog afer afer he woke up. Whe occurg occurg  he  had vexao  ches ches oppresso oppresso and ausea ausea ad he beg o vom Bu he ever vomed vomed he food food he had eae  eve he vomed severel severelyy  he oly scked up some h-ex h-exured ured wae wae ud As usual  s occuece perssed for for abou abou 0 mues each me er he lless came o  hs moher led hm o some oca hospals for reame. reame. hroug hroughh some medcal examaos  here was o abormal resul a al He was merely reaed wh some commo drugs such as " VC  VB  ad Ozaol , bu he pae sll kep vomg  eve mog he hs moher led hm o o hs hospal hospal for reame o March  3  2002 er he less less came came o  hs appee appee  sleepg  urao urao and bowel bowel moons moons were all oal here was o oher compla Physica Examinaion Examinaion : he pae was coscous ad  a oal oal genera genera cod codo o gh red r ed ogue ogue wh a h h layer of whe fur ur au ad ese pulse No evde congeso n phgea wal. Boh osls swellg    Clear breahg souds  both lungs No rhonch ad mos rales rales could be heard Hearad

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lon of of Sn Ac Ac re re n Moxbon r

abdomn a ngativ No oth abnoma sign Dag Dagno noss ss  Nos Vomiting Derentaton  his dsas  in M  pains to th catgo catgoy y of " GanOu anOu  ( nous vomitng )  t was cas casdd by hp�activ hpatc Qi  whch whch distubd distubd th noma functiona functiona activitis of midd ngiz and thn casd th gastic Qi advsy owd upwad  so that th patint had th patd votng Therapeutic Prncpe  Suppssng th hypactiv hpatic Q and snding th advs owing of gastic Qi downwd  iving th nausa d stopping th vomiting Acupuncte Acupuncte Treatment Treatment    ahong of on sid was sctd fo acpunctu A 1  0 cun nd was nsd ppn dcuay into th sctd acupont h dpth of nston was 0 5  0 6 cun o so  th nd w manipat manipatd d with dcng dcng tchniqu so as to induc th nding snsation to spad upwad to dosum of th foot  d thn h nd was taind in th acupoint fo 30 minuts tota totay y  duing th pocss of taining taining  it was manipuatd with dcing tchniqu onc v 10 mnuts On withdawa withdawa of th nd nd  it was shakd and and and pd pd out sowy in od to nag th ho and bd a itt Such acupunctu was pfod onc v day E Oservat Oservaton on  Und onc onc h tatm tatmnt nt h nausa nausa and vomiting w w  ivd iv d gaty gaty  at at 3 days  tat tatmnt mnt  th nasa and vomiting disappad t 1 mont monthh  s foo oowp wp  h h patint was in good hth  aong aong hn hn t  t 's nd

  Pae Paent nt  iu iu  fm fma a  ag 15 yas yas  high schoo studnt studnt Che Che Complai Complaint nt  Vomting fo 1 5 mnuts

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e Rerd f Sngle-Ant Sngle-Ant Apte a Moxbtn

so of Presen s One o ago ago , e aen k a

bs fo fo e sng ong e e 30 mes ' avel n e bs  se as sddenly sddenly aacked by dzzness dzz ness  nasea and ces oesson and en began o seveely vom Se scked  a lo of food a se ad eaen and some n-ex n-exdd mcs mcs e ee efo foe e  se ad o ake e lls of " damamne  fom e cassmae  b e lls lls cold no so e connos vomng vomng A a me  I aened o be n e bs and en I decded o ckly so e vomng by acnce ee as no oe coman Physic Physica a Examinaion Examinaion : e aen as sless  a ae and lseless comlexon He foead and ams ee ll coveed  cold sea Se  vomng connosly. Floang and ense lse Becase e aen ms  eaed eemoly nde a condon  e one  ea ea   gs and and abdomen abdomen ee no examnaed a a me o oe abomaly esen Diagnosis  Kneoss. Dieren Diereniaion iaion : s dsease   C  eas o e cae caego goy y of  an anY  ( vego vego  . I as as cased cased by akg akg e bs  c joled e ae a e ad en dsbed e aen 's ong of of Q and and bood  eefo eefoe e  e Q and and bood bood ee ee a  a blence blence So a e ae ae ad e dzzness dzznes s  nasea nasea and vomg. Therapeu Therapeuic ic Pricipe Pricipe  Ivgoang Ivgoang e Q and and blood blood  calmng e dsed s ad anqlzg e mnd. I ode o manan e a a  za zaon on of e Q ad ood  e acos acos a a ae eaed o e Yn k essel d Yag k essel sold be seeced fo eamen cupuncure cupuncure Treaen Treaen  PC  NeGan of oe sde as seeced fo acce. A 1  5 cn needle  vecaly seed o e seeced aco Te de of nseon  abo 1  

2

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lon of of SleSle-n n Ace  Moxbon r

cu ( cota cotag g the theraeut theraeutc c teto tet o of eetatig 5  WaGua aGua together) ter the eedg sesato aeared  the eede was mauated wth md reducg ad eforcg techque so  to duce the eedg sesato to sread to the uer  aog the ateor ad osterior asect of the foream  ad the cotug mauatg the eede h md ducg ad forcg techque fo 2  3 mutes toty toty O wthdraw wthdraw of the eede  t w ued ued out dy ad the seed hoe w mmedatey essed ry Eec Eectt Observon  Uder oce such acuucture , the ausea ad omtg omtg were  stoed mmedatey mmeda tey , he atet was comforte comfortedd greaty greaty.. Dug Dug the ext 2 hours  tra trae e  the bus , he ess ess dd t rea rease se , the t s ed

  Ptient  ao , femae  age 4 yea  worker worker Chie Chie Compli Complint nt  Reeated tmexed omtg for more tha

2 moths. History History o Present Present lness : More ha 2 moths ago ago  the

atet omted at 3 o cock ee eary mog wthout ay ay obous causes causes Befo Before re eeryday occuece occuece , she rmary had aroxysma aroxysma dess ad a costctg sesao  her forhead ad the ega to omt She S he omted a he food food she had eate  fheore heore , she scked u u  some some thtextud ad whte yao-ud yao-ud too too  y y  whe ther theree was o gastc cotet to e omted omted , she st s t etche etchedd cotuousy cotuousy t 4 o cock  he ast ast 2 moths moths , the occur occurece ece w extremey uctua ad aways erssted fo  hour each tme tme Durg Durg the su  suerae erae occuece occuece  she suff suffere eredd from the sckess so much that she woud raher de Sce the ess came o , she had bee bee to seer seer hostas  Jagy , Wux Wux etc etc er

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e &ord &ord of S-Aont S-Aont Atre  Mobton

beng teated by some Chnese hebs and weste mednes  hee wasn t any uate uate ee ee on he at al al  she sil ept ept omng n he xed peod peod Fuheoe Fuheoe  tee slowly slowly appeaed appeaed ahng ahng and mpness mpness  odness odness and hy hy sensaton sensaton o he lmbs  n addton  the patent got poo appete and anoexa n eent days. Then she ame o me o teatment though he olde sste on Septembe 1 8  2 Sne te lness ln ess ame on  he seepng  unaio unaionn and an d bowel bowel motons wee all nomal Thee wasnot ohe ompaint Physica Exi Exina naion ion  The paen appeaed onsous and spless wth a slow slow and and luseess omplexion Theady Theady  aut and hoow pulse  pae tongue wth a n laye o whsh whs h  waey waey u u No eden ongeston n phngeal wall Both tonsls sweing f Clea beahng sounds n both lungs No honh and mos ales ould be head Hea and abdomen al negate No ohe abnoal sgn Diagno Diagnosis sis : Cy Vomtng Diee Dieenia niaon on : Ths dsease  n TCM  peans peans to the atego atego  o  OuTu  ( omng ) . I was aused by thena thena o spen spen Yang and gt Yang Aod Aodng ng to TCM s done o sea seastate  te att attibute ibute o o te speen speen s eah  whose hd hdo og gan an s lung-metal whh esis he lewood o he nomal untonal attes so as o peent he hypeaes o the e-wood The peod om 3 o  o to 4 o  lo ee eeyy ey mong s us Yn o  lo Aodng o the heoy heoy o N method o Mdngh-noon ebb-ow ebb-ow  Yn o lo should be the owng peod o the Lung Medan o Hand-Tayn Hand-Tayn unde no ondons  he Q and blood blood o Lung Lung Medan ae ust ust o ood tde duing he peod Howee Howee  n ths ths ase ase  he paen  s splen Yang and gast gast  Yang wee all  deent tha hey ould no eeely pomote he untonal attes o the lungmetal as nomal As a esut o   he asthena asthena

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ltn of of Slepo Slepo At  Moxbton Te

of the speen an the stomach cuse the asthen of the ung mea , an then the Q an boo of Lung Meran Meran became much more ecent hs spec cnca phenomenon was name as " ness of of a moth motherer-org org  nvovng ts ch-o ch -org rgan an  n M hee heefore fore , not ony the ecent ecent Q an boo of Lung Merin Meri n cou not not be of oo te t Yn o  coc , but aso they wee aveey resrante by the hyperactve Q an boo of Lver Meran  that the patent vomte vomte at Yn o  coc agan an agan hs case , essentay essenta y , s the typca synome synome nme as " ness of  mothermother-or orga gann nvovng ts ch-orgn ch-orgn  Theic ciple : Stngthenng the me energzer an nvgoratng the gastric Q , regng he obstcte meran an stoppng the vomtng Foowng the prncpe of renforcng the ecent Heathy-Q n he nsucent case of N metho of n ngh ght tno noon on ebb ebbow ow , S o  coc coc ( bou boutt 9 : 00 o  coc oc      o coc ) was chosen as the therapeutc therapeutc pero per o , for when when the Q n n boo boo owe through through the Stomch ern ern of FooY Foo Y angmng angmng ust ust now , the Q an boo boo of the Stomach Stomach Meran Mera n s most nscent cent t S o coc , so that t s the most sutabe tme to renf renforc orcee the Q an boo of the Stomach Meran n the mxmum egree By such way , the ec ecent ent spenc spe nc Q an gastrc gastrc Q cou be renfo renforce rce enough to promote the ung eectvey an then the ung cou trumphanty suppress e rebeon of the ver cpnce cpnce Temen Temen S36 , ZuSanL ZuSanL ws seecte for acupuncture Accorng to N metho of Mnght-noon ebbow, neeewarmng metho meth o was w as empoye at S o  coc A 1 5 cun neee was nsee perpencuary nto the seecte acupont he epth epth of nseon was   0    2 cuno cunorr so , twr twrng ng the the nee neeee ghty ghty t the neeng sensaton appare appare he neee was then

6

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e Reod Reod of SnleA SnleAo o  Apnte a Mobtn

manpuated wth md renrcng and reducng technque s as t nduce the needng sensatn t spread dwnwards ng the anterr aspect  the tba e neede was retaned n he acupnt r 30 mnutes n t t  durng the pcess  retanng , the neede was peanenty baked wh a ng mxar mxar , the warmn warmngg sensatn wud spread a ver the anterr aspect  the eg and the drsum   the t. t. On wthdrawa  the neede , the bung mxa r was extnshed , ae aerr the neede became c , t was twred aund and then pued ut rapdy and he nserted he w mmedaey pressed rmy Eec Eectt Obervation  Under nce such treatme treatment nt , the patent sept sept very we we hrughut the the nght , the vmtng ddn t appear any any nger. Mter Mter 5 tmes  treatment  the chy sensatn and cdness  extremtes extremtes dsappeared cmpetey , the achng and weakness  the extremtes extremtes dsappeared t Her appete gt better , there w nt ther cmpant any mre. Ater 1 0 tmes  treatment treatment , the patent was cured cmpetey , her cmpexn became ddy and ustrus. Ate Aterr yeas yea s  wup wup , the ness ddn t rea reaps psee , then hen t s end.

1 1  Col Cole es ss s   Pae Paent nt : Ya , mae mae , age age 46 yea , wrker wrker Chief Chief Compa Compaint int  Pan  dexta upper abdmen r 1 day. Hitory Hitory of Preent lne  One day ag , the paten paten su suered ered

rm a pan n hs dextra upper abdmen due t havng sme at d d e pan pan was was a cnsta cnstant nt du pan and and he cudn cudn   stand t. en hewent t the ca hspta hspta r treatment Mter sme reave reave cnc cnca a examnatns examnatns , the ness ness was dagnsed dagnsed s  Checystts Checystts  , he was treate treatedd by ntramuscuar nect nectng ng

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lon of of Sle-on Acre a Mobon a

"Atropie54-  "  ad ad itraveous itraveous drippig some some atibiotic drugs for for  day day But it could could ' t e mitig mitigat ated ed ye ye he he he came came o emergecy emergecy departmet departmet of of his his hospital o December 2 2 , 998 hugh askig his history of iless carefy  it was foud oud hat he had had gotte gotte " Cholecystitis Cholecystitis for more more ha ha 20 years years However However is eve recuece coud be relieved by itramuscular ijectig " Atropi Atropie e ad itraveous drippig some ati-iammato ati-iammatory ry dgs as usual  oy oy this attack of of the illess could t e miigated by b y he same reamet ter the illess came o  his appeite  uatio ad bowel motios were all ormal  whie the the severe abdomial pai preveted him from sleepig  oal. here was ot other complait Physical Physical Etion Etion:: he patiet appeared lucid with a acute paifu compleio he suace of his body was wet by his ecessive sweati sweatig g  he was w as i cotiuous cotiuous groai groaig g ad a d moag moag.. ready ready ad ad smooth smooth puse  pale togue togue h  h a thick ayer of of white fur fur Heart ad ugs ugs al egative egative Flat ad soft soft abdome abdome with protrudet tedeess ad muscular tesio at he pa of the detral upper abdome abdome Murphy s sig positive. positive. No other other aboal sig Diagno Diagnosis sis  Acute Bout of Chroic Choecystiis Derenti erentiat ation ion : his disease  i CM  perais perais to the catego catego of " Xieo Xieogg  ( hypocho hypochodriac driac pai pai ) . It was was caused caused by deciecy of gallbladder-Yag gallbladder-Yag  which caused the gallbladder gallbladder coud ot be eect eective ivey y warm warmed ed up So that the the gallblad gallbladder der was ivov ivoved ed i i a predica predicamet met of dampess-phlegm dampess-phlegm evil  theref therefor oree  the og ad circulati circulatio o of the gallbla gallbladder-Qi dder-Qi became sow ad ueve  aly it caused stagatio o galladeder-Qi ad blood stasis i galbadder ad the he patie had a pai i his detra upper abdome. Therapeutic Therapeutic Principle Principle  elievig he secoda symptom i

2

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 Rcord Rcord of SngAcon SngAcontt Actre  Mobton

the acute stage  nng the medan and actvatng the stagnant mdan-Q da n-Q n ode ode to apdly apdly mtgate the pan  cung cung the pma symptom symptom n the chonc stage stage  usng acupunctue th t h plls togethe togethe to nvgoate the gallbladde-Yg and elmnate dampnessphlegm evl te elevng the symptom. cupuncture cupuncture Treatment Treatment  GB37  GuangMng GuangMng of dextal dextal sde s de  selected fo fo acupunctu acupunctue e A 1 . 5 cun neede as vecly nseted nto the selected acupont and manpulated th tng and otat otatng ng technque technque n ode to nduce needlng sensaton  afte afte the needlng sensaton appeaed  the needle as manpulated th heat-poducng method to poduce a heat sensaton ove the lateal egons of of dextal anklejo ankl ejont nt and dexta leg l eg  futhemoe uthemoe  the heat sensaton as nduced to spead upad along the lateal aspect of the the dextal leg  the the needle needle as etaned etaned n the acupo acupont nt fo fo 30 mnutes entely entely manpulatng manpulatng the th e needle th t h enf enfocng technque once once eve eve 1 0 mnutes. mnutes. On thda thda of of the the needle needle  t as pulled out apdly and the hole as mmedatey pessed ly Eec Eectt Obrvation  Unde once the above teatment  the abdomnal pan dsappeaed at once  then he as told to to have dect d ect moxbuston on the selected acupont  3 tmes a day  9 cones each tme. Dung the same peod  he as told to oaly take Plls Pl ls of Acont fo Regulatng Mddle Mddl e Enegze te 4 months months ' folloup  the patent as as n  n good health health all along along  the llness lln ess dd t elaps elapsee anym anymo oee  hen hen t 's end end

  Pati Patien entt  Wu  female emale  age 45 yeas yeas  teache teache  Chief Chief Compain Compaintt : Pan of dextal uppe abdomen fo 2 days History History of Presen Presentt ne ne  o o days ago  the patent had a

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lcn of of SlP SlP Acce Acce  Moxbn Te Te

ain in he dextal e abdmen withut any bvis auses The ain was a nstant nstant ikling ikling ain , invlving the dextl dextl bak and the the dext dextal al shlde , it w a ins ins eable eable abdminal ain and amanied by a feve and vmiting en she went t a hsital f teatm teatment ent , Mte sme elative medial examinatins examinatins , the illness ws diagnsed diagnsed as  Chleystitis Chleystitis  , she was teate teatedd by intam intamsl sla a injeting injeting  At Atine ine , 654-   , and ntavenus diing sme antbiti dgs f 2 day , te feve and vmiting wee ed bt he ain in he dextal dextal e abdmen emained as bef befe e , hen she ame hee f teatment n Feb 1 2  1999. Afte the iness ame n , e aetit aetitee , unatin and bwel mtins wee al al nmal , while the sevee abdminal ain evented he fm sleeing nay Thee was nt the mlaint Physic Physic Examinao Examinaon n : The atent was nss wth an ate ainful mlexin The sufae f he bdy was wet by he exessve exessve sweatin sweatingg , se was m ntinus ganing and mani maning. ng. Taut and uneven ulse , ih ed tng tnge e wth w th a hin , d laye f whte fu eat and lngs lngs all nal. Fla and sft sft abdmen , tendeness tendeness ad msula tensn was was stive stive at at the the at at f the the dext dext  ue admen. admen. hy  s sgn sgn siive N te anm sgn Dino Dinosis sis : Chleystitis Dirn Dirntia tiati tion on : Tis dsease   C , etas  te aegy aegy f  eTng  ( yd ydia ia i i )  t was aused aused by amant amant   ued ad teni eatevil  te live and glbladde wh   ten ten exessively exessively nsumed the ld and and e bdy uid , s tha e  e ld ad e le d f the live and gallbladde eame ded u  the the wng and ulan  ulan f ld ad a d Qi  e live and gallbladde beame slw and and neven neven , it aused thee wee stagna stagna 

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e Record Record of SleAco SleAco Acte  Mobton

of gbldde-Qi d blood ssis i he galbldde, so he pie seed fom he os bdomil pi erapetc erapetc Prcple Prcple  Coolig blood d dedg he obsued meidi leg wy heevil d movig blood ssis oaliig he fuiol iviies of gllbldde d soppig he pi. cupuctre cupuctre Tret : GB34  YggQua of dexral side ws seleed fo upuu A 1  5 u eedle w veily isered io he seleed upoi he deph of iserio ws bou 1  0 u he eedle ws rs mipuled wih wilig ad oig ehique i ode o idue eedlig sesio fe he eedlig sesio ppead i ws mpuled wih ool-poduig mehod o podue  ool sesio ove he leal egios of dexl kee  joi d dexal leg furhemoe he ool sesio ws idued o sped dowwad log he leal spe of he dexal leg, leg , he eedle ws eied i he upoi fo 30 miues oly, mipulig he eedle ih eduig ehique oe eve 1 0 miues O wihdwal of he eedle, i ws shked oud ad puled ou slowly i ode o elge he hoe. Eec Eectt Oservato : Ude oe he above eme he abdomial pi disppeaed  oe she go he bove upuue u puue eme 5 imes oally dug he same peod she ws old o ol ke s of ia fo lig ivee e 6 mo mohs hs   foloup he pie ws i good heh l log he iless did   epse aymoe, he i s ed 12 Hup

Cse atet : M, feme ge 22 yeas yeas oege sude

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lon ofSleo Ae  Moxbon Tepy

Chef Chef Complan Complan  Hiup for  dys Hsoy of Pn s Two dys dys go  he pien sered ered

fm hiup hou ny obvious uses I ourred oninuousy and severely eed her sudy nd living. Then she wen o  lol hospil nd ws ree reedd h orl orl king " Tbell Tbellee Dompedoni Dompedoni   Afe Af err  dys  remen remen  her hiu hiupp ws no sopped ye. Then Then she e o his hospil for remen on Mrh 1 2  997  997 e err he iness me on  her sleeping  ppeie  urinion d bowel moions were all noml There ws no oher omplain Physc Physcal al Eamnai Eamnaion on  The pien ws onsious wih  norma norma gener general al ondiion Thredy Thredy nd uneven pulse  ligh ligh  red one wih  hin lyer of whie fur No eviden ongesion in phngel wll Boh onsils swellng    The respiro sounds in boh lungs were ll ler. No rhonhi nd mois rales ould be herd He nd bdomen  normal. No oher bnol sign Dia Diaos osis is  Hiup Dienia Dieniaon on  This This dise disese se  in TCM TCM  perins o he ego of " E ' Ni  ( hiup  .  ws used by disorder of funionl funionl iviies iviies of gsi gsi Qi  whih used he gsri Qi dvesely dvesely owed upward Then he pien hd he hiup. Theapeuc Theapeuc Pncipl Pncipl  Reguling he funionl iviies of gri Qi  subduin subduingg he dverse ow of gs gs Qi nd sopping sopping he hiup  harmonizin harmonizingg he somh  s funion nd relieving relieving he sion of Qi Aording o he heo of meridins  he Somh Meridian of FooYngming FooYngming sars from he lerl side of  ni nd sends o he bridge bridge of nose nose  where where i mees he Bldder Meidin of Foo-Tiy Foo-Tiyng ng Ther Theref efor oree  we ould drw  onlusion h he bridge of nose is he speil ple h onnes he somh meridin meridin wih bldder bldder meridin As vluble vluble ppying  if we seleed seleed

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e Recod Recod of SAco SAco Acte  Moxbwton

h prop proprr acupoint locating locating in this plac  w could ctivly ctivly strngthn h connction btwn th stomach mdian and bladdr mridian so a to achv th curaiv t of rguating th functona actvitis actvit is of gasrc gasrc Qi Q i  subdung subdun g th advs ow of gtric gtric Qi and and stopping h hiccup hiccup Puncturing th th acupoins such  Zuanzhu and Jingming which locatd btwn nasion and th ir canthu  can uctua th chann qi of two dirn chann. Whn locaion locaion wr takn nto accoun  Zuahu is safr safr than Jingming. So w usualy sc Zuanzhu in th ramn. Acpnctre Acpnctre Treatme Treatment nt : B  ZanZhu of on sid sid was slcd for acupunctur. At rst  a 1 . 0 cun nd was insd nto th scd acupont  th dpth of of nsrion was was about 0   0 5 cun t was manipulatd with twing and rotatng tchniqu so as to induc th aching ndling snsation n th rgional pa h ndl was rtaind n th acupont for 0 minus ntirly On withdrawa of th ndl  it was twirld around around and thn thn puld ou ou apidly apidly  h h nsd hol was mmdiatly prssd rmly E Observat Observation ion : Undr Undr onc abov acupunctur  hr hiccup hiccup was stoppd stoppd at onc Af Aftr tr 5 days days  folowup olowup  th inss in ss dd  raps raps  thn it i t 's nd

13 Croc ntets   Pati Patien entt : Xu  m  ag ag 41 yars  workr Ce Ce Complai Complaint nt : Darrha and noisy snsation of abdomn for

mo than  yas. istory o Preset ness  or han  yas ago  th patin

surd fm abdomina pan and dha ha bcaus of an impropr dit. A tha im  h wnt o a hospita in Jianin for tratmn tratmn 

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lton of Sleo Sleont nt Acut  Mobton r

hrough hrough hyscal examaon examaon   w dagnosed as  Acue Eert Eertss   he w he he tea teae edd wh nravenou nravenouss drng drng some some abocs abocs d ansasmodcs ansasmodcs Under he ea eame men n  he domnal domnal an dsaeared quckly and he darrrhea was releved grealy. grealy. However However  he had goe a nosy sensao sensao ad acve bowel souds n hs abdomen snce he  whch anoyed anoyed hm eve day whou an nersson Esecay Esecay fer hs mel mel  the bowel sounds mmedaely mmedaely rang ou ou  jus as f a large cwd of frogs rogs and crows beng n shndy Such nosy sesaon always esed for a log eod each me More ublesomely ublesomely  here woud be be darrhea  ha erod erod less ha 30 mue muess afer afer hs meal  he sools sools looked waery or or lke lke yelow sou wh a foul foul smel  somemes accomaned wh slgh abdomal a a  In addo  he ae ae defecaed defecaed 5   mes each day  he sools sools were uly ad foless  jus lke laser laser More More characersc characerscally ally  here here ways ways be some some dgesed gras of rce and vegeable leaves n hs sool er he lless came o  he had bee bee o several hosals n  n angy fo for tream treamen en  he w reaed wh Chnese herbs ad wese medces for several mes Unforu Unforuaely aely  oe of of he above symoms coud coud be be releved ll alog alhough he asked may docors  he as 3 years Half a moh moh ago ago  hese hese symoms were were aggrav aggravae aedd because beca use he he had a beer e he had o go o a local hosal aga ad was reaed wh nravenous nravenous drig " Ooxacn and eerges eerges   bu he reame w o effecve agas hs lless e he came o hs hosal for reame o May 15  22  er er he less came on on  hs aee  seeng ad a d uraon were were all oa There There was no oher comla Phy Phy Exana Exanato ton n : The aen aeared lucd wh a orm ormal al gene general ral saus Dee  so and slery sl ery ulse uls e Lgh red

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e Recod Recod of SleA SleAco cont nt Acte  Moxbon

onge wh a hn laye of whie f Hea and boh lng all noal. Sof Sof and a domen. No endee and ebond endee l ove he abdomen ve d pleen mpapable in he boh nfeocoal egon Acive bowel ond cold be ealy head all ove he abdomen even who ng echomee. No ohe abnomal gn. Diagno Diagnosis sis  Chonc Ene Dierenation  hi deae  n CM  pean o he caego caego of  SnXe SnXe  ( dahea wh ndgee food  . I wa caed caed by decency of plenc Q. Accodng o he heoy of vcea of CM  he abe abe of pleen  eah    eponble fo goveng goven g he fnconal acive of he mddle enegie and ae chage of dgeo dge onn and anpo. hee heefo foe e  he pleen ple en  egde egdedd a he ponaal bae of life n CM. On he ohe han  he decency of plenc Q wold ceanly el n nably o dge he daly food and wae and hen hee wold appea a fae of mddle enege o gove anpo. So ha he paen eed fom he dhea wh ndgeed food. Addonally  a he ponaal bae of lfe lfe  he peen neoly eep mmanen laon wh he ohe Zang and F ogan hogh i Majo Coaeal o a o noh he Zang and F ogan and fhe manan he noal fnconal acv acv e e heef heefo oee  we can daw a concl conclo onn ha ha he Majo Majo Collaea of he pleen i j he hnge o manan he anen aon beween he pleen and he ohe Zg d F ogan. So ha he old age of he pa paed he acpon of S1  DaBao a he mo impoan acpon o wdely gove all he Yn and Yg medan and geneally eglae he Q of  he Zang and F ogan. Followng ch compehenon on he Majo Colaeal of he pleen  we can conide ha ha he acpoin acpoin  of S1  DaBao i he ey

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litn of Sil Sileoint eoint Acte an Moibion ra

poin o insure he immanen iaison of Qi and bood between he speen and and he oher Zang and Fu organs organs In his ce  he spenic spenic Qi was so decien ha he ajor Coaera of he speen was eced oo , i coud no insure he immanen iason of Qi and bood between he speen and he oher Zang and Fu organs Then he dihea hea and noisy sensaion of abdomen peised for severa yes and coud no be cured easiy Theac ncipe  Invigoraing he spenic Qi and beneing he spenc Yang   o einforce he gspenic Qi enough o nomy gove digesing and nsing he daiy fd and and waer. waer. Because Because he he ajo ajorr Coae of he speen speen is i s jus ju s he hinge o mainan he i en ison beween he speen and he oher Zg d Fu organs organs , wing and info infocin cingg he ajo ajorr Coaera o he speen coud no ony eectvey invgorae he speen bu aso widey gove  he Yin and Yang medians and genery reguae he Qi of  he Zang and Fu orgs so  o ameioae he sympoms rapidy rapidy Such Such heraeutic prncip prncipee is jus jus he key poin poin of S S , for such herapeu herapeuic ic principe principe can achieve he specia specia curai curaive ve eec eec  cuing sever sever sympoms sympoms ony ony wh seecing one acupoin acupoin  jus ike wha a Chinese idiom sad o give a pu a one hr makes he whoe body sway sway In addiion addiion  foown oowngg he pncipe of reinf reinfocing ocing he decien heahyQi in he insufcien case of NZi mehod of idnig idnigh hnn nn ebbebb-o ow w  Wu o cock cock ( abou bou   :  o cock cock   3 :  o cock ) w chosen chosen as herapeuic period  for for when he Qi Qi and bd owed hugh hugh he Speen erdian of F-Taiyin F-Taiyin jus now now  he Qi and bood of he speen median is mos inscien cien a Wu o co cock ck , so ha i i  s he mos suibe ime o reinf reinfor orce ce he Qi and bd of he speen merdi in he mamum deee Acpnce Acpnce Teamen Teamen : S   , DaBao of siniser side w

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e Recod Recod of SleAc SleAco o Acte a Moxbton

selected selected fo fo heb-cake heb-cake moxibustio_ The pescriptio pescriptio of the heb cake was was as as below below  HuoXiag HuoXiag,, Agasta Agastache che 10 1 0 g Pei Pei , Eupa Eupato toi ium um 1 0g 0 g All the above hebs wee to be groud ito e powder togethe We used used , a little little of the powde was mixed with some wate ad ou to make coi-shaped hebcake Oe hebcake was set oo the seeced seeced acupoit acupoit ( pot of itesec itesectio tio of the md md  illa illayy lie ad he 6th teco tecosta sta space ) fo beig baked wih wi h a buig moxa- moxa-o o , peoig peoig such heb-cake h eb-cake moxbustio moxbustio oce a day , 0 miutes each ime ime  Drikig  gea geasy sy d ho food food wee al fobidde duig the teatme Et Et Obaon  te oce such moxi moxibustio , the bowe souds wee educed aty , e osy sesatio sesatio i the bdome bdome dsappeed dsappeed at oce te 2 imes  heb-cake moxibust moxibusto o , the bowel sods got oml , he stools became shaped , he defecae defecaedd 1  2 imes a day Bu hee wee some idgested s of ce ad vegetable eaves i hs sls ye e 6 times  tamet , ll he ucomfote sesato sesato disappeed disappeed cleay , the stools stools ecame ecame om omal al complete completely ly , he defecated oce a day hee wee ot digested g of ice ad vegetabe eaves  his stools y moe he he was told to pay atteio to usig himself well ad pect himsef fom the impope de e 1 ye s foow-up foow-up , he he patiet was i gd helh log  the illess illess did t lapse lapse , the it s ed  log 14. Anoneoc Heaace

  Pati Patien entt  Huang Huang , male male , age 2 year yearss  tai dive dive Chief Chief Complain Complaintt  Repeaed Repeaed headache fo 8 yeas yeas , ggavat ggavatio io

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lcto of Slc Slcot Acpt Acpt  Mobto 

for 6 days sory of Presen Ds Eight Eight years ago  the patient

sered from headache withot any ovios cases Previosly it was only indced indced y emotional tension or oveorking. Finally it occrred more more and more freqenty freqenty  weather changing or a long time of drving drving always always indced is recence. recence. en e n the attack attack came on  the patient got a sensaton of eing constricted in his scp and a distending pain  which especially especially appeare appearedd more protr protrden dentt in his forehead. In the past 8 years  he asked innmerale innmerale doctors for treatment treatment t ter er physic physical al examination examination  i was was diagnosed diagnosed as " Angionerotic Headache Headache  and and was intermittenly treated wih " Bfe Bfenn d Piminodine Piminodine  . The symptom ecame sometimes sometimes mild and sometimes severe. 6 days ago  the headache relapsed. t ter er taking the the aove aove medicines medicin es  the the pain pain coldn col dn t e relieved The Thenn he came her heree for for reamen reamentt on Novemer  3  99 3. Af After ter the the iness came on on  his appetite appetite  seeping and rination rination weren weren 't disted. disted. Bt the sools were were dry and costive as sal  i was moved once every 2 or 3 days. There was no other complaint Physical Examinaon  he patient appeed lcid with an acte painfl compeion. compeion. Deep and strong pse  ed tonge wih a dry ayer ayer of whie whie fr. Head noal noal shaped withot endeess Piae nape Pahologica ree negative Movemen of neck nlimited nlimited No eviden eviden congestio congestionn in phangeal phangeal wal. Both Both onsils sweing  o  Hea  oth oth ngs ngs and adomen  noal No oher anomal sign Diano Dianoss ss  Angoneoic Headache Diereniaion  his disease  in M  M  peains o the catego catego of  o oon ongg   headach headachee )  also also namely namely  Yangm angming ing Headac Headache he . This case  centy centy  was was pominently characer characerzed zed y the headache

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e Record Record of SleAcnt Actre a Mobton

in the forehead forehead  i was was just caused by he obstruction of Yangmng Yangmng merdian and bockage of Yangmng angmng meridian meridian Qi Additionay  he shenic heat was inteory accumuated in the Yaning organ  which was cey cey manifested manifested by d fur fur costive costivenes nesss and and durabe headache in this case Therape Therapeutic utic Principl Principlee  Reieing he seconda syptoms in the acute sage : dredging the obscted Yangming Yangming meridian in order o mmediatey reieve the headache th acupuncure Treaing the prmary symp sympom omss in he chronic stage : ater te r the headache was reieved eieve d  using pis pis or powder to to expe the heat-evi in Yangming Yangming orga organn  eradicating this disease with with simutaneous simutaneous reief of pathogenic factors from the exterior and interior. cupunc cupunce e Treaent Treaent : 4  HeGu of one side was seeced for acupuncture A  5 cun neede was verticay insered into the seected acpoin Mer needing sensation appeared  the neede was manipuated manipuated wih reducing technique  and hen he needing sensation was induced to spread upward to the pper  aong the index nger through the wrst e neede was totay retained in the acupoint fo for 30 minutes  during he process process of retaining retaining  it was mapuated with reducing technique once every 0 minutes On wihdra wihdrawa wa  it was was shaked around around and pued out sowy in order to enarge the hoe and beed a ite Eec Eectt Observation : Under once the reament reament  he headache was was reieved greay Mer the second treatme treatment nt  he headache headache disappeared immediatey Then he was tod to continue the treatment by taking he iracuous P of debourea Mter haf a year 's foowup oowup  he iness did di d t reapse reapse  then then it s end   Patie Patient nt : Bian Bian  femae emae  age 9 year yearss  coege coege sudent sudent

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ltn of Sc Sc Accte Accte a Mbton er

Che Cheff Compain Compain  Headache o 5 yea yea  ecue ecuence nce and

agavaion o  4 days Hioy of Peen   Five ye ago , the patient always

had a headache caused by he had studyng en the attack came on  she el el into a tuble tuble o distend distendng ng pan ove the both sides sides o occipitotempo egion  it seemed seemed that he scalp w consticted mly. It seveely pevented he m studying as noal. So she had to have a est o elievng it Finy it was always induced by emotional tension tens ion o aggav aggavate atedd i n he pemensua pemensuall peiod pe iod She once went to the local local hospi h ospital tal o teatment teatment , the iness w dagnosed as " Angioneuotic Headache   she she was teated wth oal taking taking some some medicines such as " Oyzan Oyzanol ol  VtB  Be Benn and and Piminodine Piminodine   Unde Unde the teatm teatment ent , the symptom symptom became became sometimes mild and sometimes sevee  4 days ago  the headache elapsed because o he had studyng She was annoyed by a distending pain and a busting sensation in the both sides si des o head , accompanied th dizziness  atigue atigue  vomiting vomiting and anoexi anoexi The headache headache was was so sevee sevee that that she couldn t stand stand it e e taking taking the above above medicines  the pain pain couldn t be elieved yet Then Then she came to to this hospital o o teatment on uly   1995 te te the illness came on , he bowel bowel motions motions and and unation ween ween  t distubed. distubed. But he appetite got got poo and sleeping was bad Thee w not othe complaint. Phyica Phyica Examin Examinai aion on : The patient was conscious with an acut acutee painu painu complexion. Taut and uneven un even pulse pulse  ed ed tongue tongue th a thin laye laye o yellow u u Head was noal noal shaped without tendeess Pliable nape. Pa Pahological hological eex eex negative negative Movement o neck unlimited No evident congestion in phayng phayngeal eal wall Both tonsils swelling I 0 • Hea  both lungs and abdomen abdomen all noma noma No othe abnomal sign

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e Reord of SA SA A  Mobon

Dagno Dagnos s : Angoneutc Headache. De Deen ena at ton on : hs dsease  n CM  peans peans to the categ catego oyy

o " Pano Panouo uong ng  . It was was just Shaoyan Shaoyangg headache headache  whch was causd by the sthenc heat n lve and gallbladde. he pathogenc heat ed upwad to the ace ong the medans and obstcted the owng passage o the egon medan Q eeoe , the blockage o Shaoyang medan Q was caused  whch esulted n he he dache located n both tempoal egons Theapetc Theapetc Prncpe Prncpe : Relevng the seconda symptoms n the acute stage : dedng the obstcted Shaoyang medan n ode to eleve the headche medately wh acupunctue eatng the pmay symptoms n the chonc chonc stage  te the headache w leved , usn usngg ps o powde to expel the t he sthenc heat om om the lve and gallbladde to eadcate ths dsee. Acpnct Acpncte e Treatment Treatment : 2  YeMen YeMen o one sde sde was selected o acupunctue A 1  5 cun needle was nseted nto the selected acupont , the depth depth o nseon was about 6  7 en te the needlng sensaton appeaed appeaed , the needle ws manpulated wth mld supplementng and educng technue so that the needlng sensaton coud be nduced to spead upwad o the uppe a along the gap between he thd nge and the ltle nge, though the s and to the lateal oeam he needle was etaned n the dun g the pocess o etann etanngg , t acupont o 0 mnutes entely  dung was manpulated wh educng technue once evey 10 mnutes n whdawal whdawal o the needle need le   was shaked ound ound and pulled out slowly slowly n ode o enlage he hole and bleed a lttle Eec Eectt Oevaton : Unde once the teatment  the headache was eleed eleed geatly Ae Ae the second teatm teatment ent  he headache dsappeaed completely. hen he was told to contnue takng the

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ln of Sl Sle- e-ont ont Acncte Acncte a Moxbton a

Gentianae Pi Pi fo Pugng Pugng Live-e te te haf a ye  s foow-up oow-up  he iness iness didn t ea eapse pse  then then it s end

  Pae Paen n  Gan  mae mae  age 20 yea yeass  coe coegege-stu student dent.. Ce Compl Complan an : Dizziness Dizziness and headache fo fo 4 yea yeass 

aggvaton fo  days oy o Pe Pesen sen lness  Fou yea ago  the patient patient aways aways

sueed fm a headache caused by had studying It was a constant du pain and coud be tued into a sha picking-ike pan when the headache occued occued seveey seveey Usuay Usuay  the aected aected egion wn  t imited When the attack attack came on  the patient patient had ha d a heav sensaion of the head  accompanied with dizziness te many times of teatmen teatmentt n the oca hospita  it was diaosed  " Angioneuotic Headache  though though examination and he w teated with " Ozano Ozano  VitB  Buf Bufen en  Pinodine Pinodine and Pis Pis of Gast Gastodia odiaee   he symptom got someimes md and sometimes seve  days ago  it s nea to e na  his hi s had had -studying made the th e headache headache eapse eapse he he patient had a distending pain a ove the head accompanied th diin diiness ess  fatigue tigue  nausea and anoexia It pevented him fm noma noma studying studying te te aking the abov abovee medicines medicines  he pan pan coudn coudn  t be eev eeved ed hen he came hee hee fo teatment teatment on une 0  1 994 te te the iness came on  his defecation and uinaton ween t distubed But his appetite got poo and seeping w bad hee was not ohe compaint Physcal Examnao Examnaon n : he patient w conscious with an acute acute painfu compexion compexion aut d theady theady puse puse  ight ight ed ed tongue tongue th a hn aye o white fu Noa-shaped Noa-shaped head thout tendees tendeesss ove ove the aect aected ed pat pat he nape nape wasn t stiff stiff Pathoogca Pathoogca

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e Recod of SAco SAco Acpte  Moxbton

reex negaive No eviden congesion in phyngeal al. Boh onsils selling    Hear , boh lngs lngs and abdomen  normal No oher abnoal sign Diagn Diagno o  Angioneoic Headache Diee Dieena nation tion  This disease , in TCM , perains perains o he caego caego of  ToFeng eng  ( hea head- d-ind ind syn syndrome   I  cased by pard aacki aacking ng of of nd evil evil  hich aacked he head direcly and cased cased obsrcion obsrcion of regional meridian meridian Qi  he regional meridian Qi coldn  o hgh he aeced aeced region smhy as normal normal  so he paien had had headache and diiness ; addiionally addiionally  becase he he pahological pahological characer characerisics isics of ind evil ev il are are sdden onse , changeabi changeabiliy liy and endency endenc y of ande andeing ing , headache headache occed occed freenly and here ere no seled aeced reons Theapeuc Pincipe xpelling nd evil and relieving he special syndrome syndrome  dredging he obsrced obsrced meridian , promoing promoing inelligence inelligence and resoring consciosness consciosness  reglaing he Qi and and blood Acupctue Acupctue Teatmen Teatmentt  GB2 , FengChi of one side side as seleced seleced for acpnc acpncre re A  . 5 cn needle as insered ino he seleced acpoin The deph of inserion as 6  7 fen or so The direcion direcion of he needle ip is oard oard he eye of he opposie opposie side side  irling he needle lighly ill he needing sensaion appeared The neede  hen maniplaed ih mid reinforcing and redcing echnie so as o indce he needling sensaion o spread o he op of head head and and he he occip occipio ioempor emporal al region of of he same same side , nally  he needle as reained eained in he acpoi acpoin n for for  mines mines oal oally ly  dring he pocess pocess of rea reaining ining  he neede as maniplaed maniplaed h h redcing echnie once eve eve   mines On ihdraa ihdraa  i as shaked nd and plled o sloly m order o enarge he hole Sbseeny Sbseen y , herbcake moxibsion  immediaely applied

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lton of Sle Sle Ate a Mobton Tea

on the punctued hole  ( the heb-cake heb-cake was made o a litte o wate wate and and  some some powde powde o BoHe  Peppe Peppemin mintt Heb and BingPian BingPian  Boeo oeoll  it ' s coin coin-s -sha hape ped d   8 moxa cones cones wee used each each tme tme  peoing such teatment once evey day Ee Ee Obervaion Obervaion : te once acupunctue acupunctue  his headache was elieved eatly eatly  ate twice acupunctu  his headache and dizziness disappeaed completely completely He w teat teated ed 6 times times in tota totall  and then thee w w not discom di scomo o any moe t 3 months months ' ollow-up  the iness iness didn t el elaapse  then it s end

15 Neous Insoa   Paen  Zhang  male  age 39 yeas  bus dve dve  Chief Chief Compain Compain : nsomnia o a a month Hio of Pren e: e : About ha a month month ago ago  the patient

suee sueedd om insoia because because o oveoking When lying lying on bed  he ted aound aound and aound continuously al a night nigh t but he wasn t able to get to sleep yet Sometimes  even he just got to sleep  he could be easily woken up by some slight sounds Since the iness came on  he had been to a local hospita o o teatme teatment nt heillness was diagnosed as " Neous Insomnia  though physical examinati examination on  he was was teated teated  with oal taking taking " VitC  VitB VitB and Ozano Ozanoll   Ate  0 days days ' teatm teatment ent  the insomnia insomnia didn ' t abate abate So he asked me o o teatment teatment on August  8  22 A Ate te the illness illness came came on  his appetite appetite  sleeping  uination uination and de deecation ecation we we all noal hee was not ohe complaint Phyi Phyia a Examinaon Examinaon : he patient appeaed lucid th a nom nom genea geneall condi condition tion Floating  scatteed scatteed and apid apid pulse  light ed tongue with a thin aye o white u No evident congestion in

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 Rcod Rcod of SlAc SlAcnt nt Act  Moxbwton

he mucous membrane of he haryngeal wall Boh onsls swellng

I  Clear resrao sounds n boh lungs No rhonch and mos raes could be hed. Hear and abdomen a negave No oher abnoal s Daos Daoss s : Nervous nsomna Deen Deena aon on : hs hs dse dseas asee  n CM CM  erans o he caego of " BuMe BuM e  ( nsomna )   was caused caused by overork overorkng ng  whch dsurbed he funconal acves of hear and caused he mbalance beween Q and blood  so ha he hear could no eecvey gove he funconal funconal acves acv es of sr As A s a resul of   he aen had he reslessness and nsoa. Theauc Pncpe  Calmng he dsurbed hear  reguang he Q and blood  ranqulzng he mnd and resng he sr Acupunc Acupuncee Tean Tean  BL1 BL 1 5  XnShu was seleced seleced fo for acuuncure A 1  5 cun needle was vercally nsered no he seleced acuon  he deh of nseron was was abou 1  0 cun h needle was rs manulaed wh wrlng and roang echnque so  o nduce he needlng sensaon er he needlng sensaon aeared aeared  he needle was hen manulaed wh mld m ld ren renfo forcng rcng and reducng echnque for 3 or  mes mes  nally nally   was was rea reaned ned n he acuon for 30 mnues oaly Durng e rocess of reanng  was manulaed wh md renforcng and reducng echnque once every 10 mnues mnues On whdrawa whdrawall of he needle   was geny wed around and hen ulled ou rady and he nsered hole was medaely ressed rmly Eec Eectt Obseran Obseran : Under once such such acuuncure  he aen had a sooh· sooh · and sound sleeng sleeng a ha ngh Afer 5 mes  acuunc acuuncure ure  hs seeng was noazed noazed comle comleely ely He coud coud favorngly ge o slee 6  7 hours eve ngh ngh  er er 1 monh  s

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lton of of Sl Sle-c e-c  Ace  Mobton r

olowp  e was n goo good ealt al along along  ten t  t 's end end 

  Pe Pent nt : Wang Wang  eme eme  age 43 yea yeass  docto docto. . Chie Chie Compi Compint nt  nsomna o 2 monts Hstor Hstory y o Present ness ness : wo monts ago ago  te patent

seed om nsomna wtot any obvos cases Wen se w lyng on bed  se ted aond aond and aond aond and togt togt ove and ove all a ngt bt coldn 't get to seep at l. Sometmes  even st beng n sleepng sleep ng  t 's vey easy o o e to to be woken p by a slgt sond. Dng e daytme  se became sptless and seed om eadace  dzzness dzzn ess and weakness o wole wole body body Snce Snce te llness came on  se ad been to e ocal osptals o teatment e lness was was daosed daosed as as  eos nsomna nsomn a tog some medca medca eamnatons  se was eated wt oal takng tak ng some medcnes  bt te catve eect was vey ant  se stl seed om te lness as be beo o At ast ast  se ad to be teated wt some seepng plls sc   Dazepam Dazepam  and and  Mepobamatm Mepobamatm   Dng Dng te peod o takng te plls pll s  se cold get a a-amel a-ameloat oated ed sleepng n  n te ngttme. We se got an aggavated eadace w lstde and atge n te dayme en se asked me o teatment on Octobe  8 22 te te llness came on  e appette appette  sleepng  naton naton and bowel motons wee al noal ee w not ote complant. Physc Physc Exmntion : e patent was sptess wt a noa gene geneal al condton Floa Floatng tng  tead teadyy and tat plse  ed and and n tonge wt a n aye o wte  o evdent congeston n te mcos meane o te pane wa Bot tonss swelng

I  Clea espatoy sonds n bot lngs o onc and most ales ales cold be ead. e ad. Hea and abdomen all negatve. o ote

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e Reod of Sle SleAont Aont Ate  Moxbton

abnrma sgn Diagno Diagnosis sis : Nus Insmna Dieren Dierenia iaion ion : hs sas  n CM  pra prans ns  h ag ag 

f " Bu Bu  ns nsmna mna))  t as aus by upar aak f ashn Yang Yang  hh surb surb  h sp sp  an aus h funna funna avs a vs f rbra r u f h n n ay  hrf hrfr r  h pan pa n bam bam sprss n h aym wh ha rsssnss an nsmna n h nghm. herape herape Prinipe Prinipe : Snng  upamng r nar nar  amng h surb Q an an b  ran ranqu quz zng ng h mn an rsng h spr pn pnre re reamen reamen : K  YngQuan as s fr hrbak mxbusn h prsrpn prsrpn f f hrbak as as b b  NuX  Ahy Ahya an nh hss R R 30g 30 g HuP HuP  Amb Ambrr g YJa Jang ng  Fr Fr Sm 25 g h abv hrbs r a grun n n pr an mx ghr ghr n n us  sm mx m x pwrs r mx ghr g hr wh sm ar ar an ur  mak mak u a nshap n shap hrbak  n hrbak was s a h aupn f K  YngQuan n rdr  b bakd h a rng rn g mxa r r  prf prfmng suh hrbak hrba k mxus mxusn n 2 mnus ah m  n a ay h ra ramn shu b sa a h m 40 mnus bfr hr spng Oervao on n : Unr n suh mxbus mxbusn n  hr Ee Oerva spn spngg bam smh smh an sun a ha ngh Ar 5  5 ays  ram ramn n f hrbak mxbusn mxbusn  hr spng as mpy mpy na Sh  f asp sussfuy Hr spng ud  fr u   7 hurs n vry ngh. hr as n ngr dzznss an haah  h pan f f  mr nrg han bf bfr r an an hr

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lton lton of Scpo Scpo Act n Moxbton T

spirit got got better obiousy in the the dyime Mter Mter 2 months months  folow olow up  the ptient ws in good helth helth l long long nd the illness didn  t relp relpse se hen it s end

1 6  Bout of Epeps Epepsy y  Pae Paent nt : Wu  femle emle  ge ge 35 yer yerss  ccount ccountnt nt Chef Complant  Repeted conulsion for 6 yers  recuence

for 15 minutes. tory tory of Prent Ine : Six ye go  the ptient ptient ws

ttcked by bpt onset of proxysm conulsion without ny obious cuses When it ws occuing he forers exed bck nd her neck go go si si more chrcteristcly chrcteristcly  her body body bent bckwrd bckwrd nd becme opisthotonoid with lockw nd up-string eyes Usully its ech ech onset persiste persistedd for for bout 3  5 minutes  ccompnie ccompniedd by temporry loss of consciousness nd memory Since he iness cme on  she hd been to seerl seerl hospitls for trement trement hrough some retie retie medic medic exminons exminons  i w comrmed comrmed s  Epilepsy" Epilepsy "  then she ws usuly reted with orl tking some ntiepilepic drugs nder the tretmen tretmentt  the symptom becme sometimes mild nd sometimes serious seriou s Neertheless  t woud repse ieditely s soon s she ws in oerworking or ment tenseness 5 minutes go  she suff suffered ered from from the recurr recurrence ence gin gin becu becuse se of her mentl tenseness Her forerms exed bck nd the hnds sted y with st neck  lockw lockw  up-stng eyes nd the the chcterist chcteristic ic opisthotonos opisthotonos position position hen her fmily member sked me for tre tretm tmen entt on on Apri Aprill 24  1993 19 93.. Mter Mter h he illness cme on  her ppe ppeti tite te  sleeping  bowel motions mot ions nd urtion ur tion were ll nor norll  long here ws not other complint

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 Rcord Rcord of Sl-Acont Sl-Acont Acctr  Moxbton

Physica Examinai Examinaion on : The aie aie was ucoscious ucos cious  her

fores exed back ad he hads sed rmly h si eck  locka lockaw w  u-sari u-sar i eyes ad he chaac chaacer erii sic oishoo oishooos os osiio osiio A ha ime  here here was o  o eouh eouh me o eame he ulse  he oue  boh lus  he hear ad he abdome because of he emerecy No oher aborma si. Dia Diaos osis is : Bou of Eiesy. Diereniaion : This disease  i TC  erais erais o he caeo caeory ry of  XiaZhe XiaZhe  " ( eilesy ) . I was caused caused by he blocka blockaee of meridia meridia i i i  he cerebr cerebra a meridia meridia assae  which which obsced he he cerebral merdia assage ad caused he urbid Yii could o desced from he cerebra ad he clea Yai Yai could o asced o he cerebra Therefore  here w he revers of clea i ad urbid i  which dsurbed he fuctioal aciviies aciviies of he cerebra ad defeaed he sir  so he aie los her cosciousess ad o he covulsio herapeu herapeuic ic Principe Principe : Relievi he secodary asec i he acue sage : raidl raidlyy iviorai iviorai i  i i order o drede he obsruce obsrucedd Goveor Goveor Vessel  ascedi he Yai ad descedi he urbid maeals maeals  suressi suressi he edoeous wid evil i order o so he covulsio covul sio  resore he he cosciouse cosc iousess ss ad rauliz raulizee he mid Treai Treai he mary mary asec i i  he chic sae : whe he covulsio ws lieved  warmi ad dredi he meridia i order o asced he clea Y a-i  desced desced he urbid i more eecive eecivey y ad relae he blood ad i cupunce cupunce reamen reamen  GV1 GV 1 4  DaZhui DaZhui was seleced for for acuucure A  5 cu eedle was isered eredicularly io he seleced acuoi The eede was maiulaed wih twirli ad roai echiue so  o iduce the eedli sesaio o sread

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luiion luiion of of Silecoi Acuure Acuure n Moxition Ter

pwa o he op of he hea an he neck , an hen ownwa o he back a he same me The neee ws eane n he acpon fo 30 mnes oay Dng he pocess of eanng, afe he convson was soppe soppe  he neee was connosy bake bake wh a ng moxao  he wamng wamng sensaon wo spea spea o he neck an an  back ong he mean Eec Eectt Observation  e   2 mnes ' above above acpnce acpnce  he convson was soppe a once an he conscosness go esoe n he foowng 20 ays  he paen was was eae eae by he above wang neee neee meho once a ay ay , hee heefo foee he ness    eaps eapsee any any moe moe e 4 monhs monhs  foowp , e ness ness n  eapse a aong he s en

Chapter o Sical Diseases 1 Carcnomatous Pan 

1

Pati Patien entt  Ye , femae  age age 57

yeas yeas , woke woke Ce Complaint Pan of snse ppe abomen fo haf a yea  aggavaon aggavaon fo fo 2 monhs History o Prent ne  Haf a yea ago  he paen ha a pan n he snse ppe abomen who any obvos cases A he begnnng,  was a  pan occng somemes my an somemes seveey , b s s occrng an agga aggavaon vaon wee no eave eave o he ay e e e on ,  e e no no a paoxysma paoxysma pan n he snse ppe abomen Moeove  go wose an wose n he ecen 2 monhs monhs Then she wen o he oca oca hospa hospa fo fo eamen eamen Thogh Thogh some eave meca mec a examnaons ,  was was agnose agnose as  Cacnom Cacnomaa of Somach "  Moe obesomey obesomey ,  was 0

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e Reord Reord of Sngle SngleAont Aont Apnte a Moxbton

conmed conmed a  Advanced Sage Sage of Gac Gac Cacnoma Cacnom a ha had o o he oppouny of opeaon hough expoaoy apaoomy So ha he had o be eaed by he paave eamen and uppong eamen Dung he poce of he eamen , he abdomna pan poge pogeve vey y agavaed , he uff uffeed fo fom m he eou eou pan o much much ha he ofen oe and b he bedcohe and he body wa ofen weed by by wea Becaue Becaue he nu nue eabe abe pan pa n coud no be be effecvey ecvey eeved by namucua njecng he anodyne , he on aked me fo eamen eamen on Deceme 3 , 993 9 93 hough omebody Afe he ne came on  he paen o he appee and go a dubed eepng , whe he unaon and bowe moon wee a noa Thee wa no ohe compan Physi Exanation  The paen wa concou and pe pe wh an emacaed emacaed , panfu panfu , aow and uee compexo compexon n Tene Tene , uneven , deep and ow ow pue. Dak ed ed ongue ongue wh a hck aye of whe fu The foehead wa coveed wh wea. She wa m conan oann oanngg and moanng Phay Phay noa Two oybeanhaped and enacouexued ymph node n he ne upacavcu upacavcua a egon egon , whc whchh coudn   be f feey move movedd and dvded dvd ed fom fom he he adj adj acen ue ue unceay  If ouched upon , pomnen endee appeaed No ohe abnoma gn Boh ung a cea o aucuaon Some caeed honch coud be hea occaonay. HR a 68 bea/mn , cadac cadac hyhm hyhm egua egua  No yoc o daoc muu cou coudd be head A 1 0 m ong ongudna cab wa een on he kn of he ne uppe abdomen abdomen , egona egona endee endee wa wa peen peen , bu eboun eboundd endee endee and mucua enon wee a negave Lve and peen npapabe n he boh feocoa egon No ohe abnoay peen Pathooi Pathooicc Exanation Exanation  Numeou adenocacnoma ce

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ition ofSiecoi Acue  Moxition r

wee wee see see though though mcoscopc mcoscopc eamato  t suggested gastc gastc adeocacoma Dagn Dagnos oss s : daced Stage o Gstc Cacoma Drnt Drntaton aton : Ths dsease   TC  petas petas to the catego catego o  YeGe" o  WeWa WeWaT Tog ( dyspha dysphaga ga o o stoma stomacha chache che  . It w caused by the accumulato o cacomatous to  the mddle eegze  whch obstucted the passage o the gast gastosple ospleic ic Q ad deeated the uctoal acttes o the gastosplec Q So that thee thee was stagato o the gatosplec Q  whch was eected by the seee stomachache stomachache I ths case  the pma was the accumulato o cacomatous to whle the secoda was the stagato stagato o the gastosplec gastosplec Q Besdes Bes des  because the cacoma cacomatous tous to to had aded aded the the scea  the the medas medas  the Q Q ad blood ey deeply   act act  t 's just a ciss that tha t w w pometly pometly chaactezed by asthea o healthy Q ad sthea o cacomatous to Traputc Traputc Prncpl : Igoatg the thec healthy Q ad etg the sthec cacomatous to  pomotg pomotg the uctoal acttes o the gastosplec Q ad eleasg the stagato o the gastosplec Q  dedgg the obstucted meda  ode to elee the stomachache pallately. Acupunct Acupunctur ur Trtmn Trtmntt : S6  ZuSa was selected o acupuctue  1  5 cu eedle ws setd peedculal peedculalyy to the selected acupot The depth o seto w 1.  2 cu o so  tlg the eedle lghtly tll the eedlg sesato appeaed The edle w the mapulated wth mld eocg ad educg techque so as to duce the eedlg sesato to spead dowwds alog the ateo spect o the tba cotuously  t was mapulated wth the techque o Yag hdg  Y ( cotag

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e Red Red f SnleApnt Apnte a Mxbton

he herapeuc nenon of renforcng eec precsely resdng n he reducng eec) d hen reaned n he acupon for 3 mnues oally oally Durng he process of reanng reanng  he needle needle was manpulaed manpulaed wh he echnque of Yang hdng n Yn once ee 10 mnues. On whdrawal whdrawal of he neee nee e   was wrled around around and hen pulled ou rapdly and he nseed hole was mmedaely pressed ly Such acupuncture was performed once ee day Eect Observat Observaton on : Under once such acupuncur acupuncuree  he he somachache was was quckly quc kly releed  hen he paen paen could could sleep smoohly and seadly She was reaed by such acupuncure for 9 mes n oal oal  he r 8 mes  acupuncure successfuy sopped he somachache whle he 9h acupuncure ended n falure I ndcaed he healhy Q had been eremely henc and he ness could no be leed any more  so ha I declned decl ned her naon for connuous reamen 5 days laer he paen ded of abdomnal pan and ehauson.

  Paent  Sun  mae  age 83 yea yea  peasan Chef Complat : Sore hroa for 2 mons  hemopyss for 

monh story of Prent ne ne  Two monhs ago ago  he paen

suere sueredd fr from sore hroa hroa hou hou any obous obous cause cause A he begnnng   seemed ha ha somehng somehng obsruced obsruced hs hro hroa a  whch caused he go a prckng pan when speakng or swalowng er on  he pan go woe and worse and hen became connuous soreness of hoa hoa   seerely preened hm from speakng and and eang  normal 1 monh ago ago  he had hemoptyss hemoptyss  he blood blood was was fresh re n colour and he usualy epecoaed one bg eacup of

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lton of Slecpont Slecpont Ac Ac ee n Mobton Tepy

bd each each da  then he was sent t a ca hspita hspita and and treated with intraenus dipping sme antibitics and taing sme ra cntaning pis pi s  but but the curatie curatie eect eect was nt rea rea pminent He had t be sent t a hspita in Naning fr treament hrugh sme reatie medica eaminatins such as efiaie ce eaminain f sputum  etc  the ines inesss was was na diagnsed as  Adanced Adanced Stage Stage f ngcarc ngcarcinma inma  Because the patient patient had been in i n d age and and pr heath  he dctrs in the hspita cnsidered cnsidered that he had st s t the ppunit t accept chemtherap chemtherap r peratin peratin treatment treatment  eref erefr ree  the dctrs  suggested he shu shudd sta sta at hme fr recuperatin recuperatin Hweer  when when he retued retu ed hme  the sre sre thrat thrat ccued seere seere and he epectrated bd bd frequent frequent  s that he cud nt seep at a thrughut night reer he cud nt hae dai mea as na  n b taking sme ndes sup r ice sup  was he maintained th great great dicutes dicutes On December    994  his sn ased as ed me f fr teatment teatment thrugh thrugh smebd Aft After er the iness ines s came n  his urinatin urinatin and bwe mtins mtins were a na here was nt ther cmpaint. Phys xa xana na n n : he patient w in cnsciusness d etreme spirtess. Emaciated  saw and usteess cmpein Ganing and maning cntinuus he majr musces a er the bd had been atrphied atrphied hread hread  sgg and sw puse Scaet tngue withut fu  being gabus just as a mirr mirr he he mucus mucus membrane f the retrphange retrphangea a wa wa was bius being bein g in chnic cngestin  which was dak red red in cur Bth tnsis sweing 0 with sme eudate attached Sme cngestie cngestie  scaret streaks streaks were were cea seen n the suac suacee f the phngea wa Breathing Breathing sunds m bth ungs were a harsh Sme scatted rhnchi cud be hed ccasna HR at 70

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e Recd Recd f Sle-Acnt Acte  Mxbtn

beats/ beats/ min , cadiac cadiac hhm egua. A 2/6 mild blowing systolic munu was hed at the apex The abdomen negative. No ote abnoality pesent Laboa Laboato to  Tet  CEA  55 g. Exfo Exfolave lave Ce Examnaton of Sputum  Numeous squamous cacoma cels wee seen unde micoscopic examination It suggested squous cacinoma. Dao  Advanced tage o ygocacinom De Dere rena naon on  This disease , in TCM , peains to the catego catego  o " La LanHo nHouu , Houun Houun ( eosive eosive phanx phanx  cci ccino noma ma o the tho thoat at  It was a cisis o excessively consuming o healthy i and unavoidable divoce o Yin and Yang  which wee  caused caused by the accumulation o cacinomatous toxin  this ce  the healthy i was extmely asthenic while te evil was much moe sthenic , the cacinomatous toxin had invaded the viscea , the meidians , the i and blood vey deeply , theeby theeby   the mao mao muscles all ove the body wee wee atphie atphiedd , both both i and Yin wee all excessively excessively consumed In additon dditon , the cacinomatous toxin accumulated togethe in the tho thoat at and then otted otted the thoat , so that the patien patientt sueed sueed om om the sevee soeness o thoat and hemoptysis Theapetc Prncpe  Retieving Retieving the cisis and saving Yin Yi n , counteacting the cacinomatous toxin d dedgng the obstcted meidians and colateals , easing the soe thoat and polonging le Acupun Acupunctu cture re Treatment Treatment  6 , ZhaoHai was selected o eb cake moxibustion Accoding to Ni method o Midnightnoon ebb ow and then olowing its pinciple o einocing te decient heal health thyy i in he insucie insucient nt ca ca , Xu o clk ( a aut ut 9  o clock clock  21  o clock clock  was chosen as the theapeut theapeutic ic peiod , o when the i and blood owed though the Kidney Median o Foot-haoyin

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lton of of Sng-a Sng-ao o Ate  Mobton r

jut now , the Qi nd blood blood of the Kidne Meidin i mot mot incent t Xu o ' clock  o tht tht it   the mot uitb uitble le time time to einfoce the Qi nd blood of the Kdne Meidin in the mimum degee The pciption of of the hebce hebc e w  below below : NiuX , Ac Ach h nth nthe e Root 30g 30 g BingPin BingPin,, Boeol Boeol 1 5 g ShuDiHung , Pep Pepr red ed Rehmnni Rehmnni Root  g NiuXi , Achn Achnthe the Root nd BingPin BingPin , Boeol wee ll gund gund into ne ne powde powde nd mied mied togethe togethe  ShuDiung ShuDi ung  Pepa Pepaed ed Rehmnni Root w pounded in  mo with ome eow ce ne togehe togehe When ued ued , ome mied powde powde nd ome pounded pou nded ShuDiHung ShuDi Hung , Pepe Pepedd Rehmnni Root wee mied togethe th ome wte nd ou to mke out the coin-hped hebcke One heb-cke w et onto the cupoint cupoint of KI6 , ZhoH in ode ode to to hve heb-cke heb-cke moibution , peormin peormingg uch moibution 30 minute ech time , once once  d t Xu o 'clock 'clock At the me me time , the pient w teted with ome pecil Chinee heb pill mnctud b me to kill the ccinom cel nd benet the heth Qi Eec Eectt Obon Obon  Unde Unde  once uch tetm tetment ent , the oene oene of hot hot w w quick quick elieved , hen the ptient didn 't e e fom the eeple nigh n more nd coud leep moothl nd tedil houghout nigh te te 6 d  tetment tetment of hebcke moibution cominted cominted with Chinee heb , he hemopti hemopti dippeed completel , te 22 d  ttmen ttmentt , thee w not dicomfo dicomfo n moe moe  the pient pient could get up , wlk bout nd bk in the un. Moeove, he could hve the pok-live noode nd milk jut  noa. He w teed b me fo 60 d in totl , heeb , he could do ome common dil woking woking Howeve , it w bout to be he

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 Rod Rod of of SnAont At  Moxbto

Sprg Fesal a ha ie  his faly was e supers supersious ious  hey cosidered ha ha  s o lucky o ake ake Chese herbs ad perf perfor or  he herbcake oibusio oibusi o durig he Sprig Sprig Fesial Fesial , so ha hey sopped l he reae behid e Half a oh aer, he paie died of seous sore hroa ad heopysis

2. Ren Coc   Patie Patient nt : Xu  a ale , age age 32 years years , worker worker Ce

Complaint: Seere

lumbago

accopaied

wih

heaura for 4 hours istory istory  Prese Present nt lness : Four hours ago ago  he paie w

aacked by seere lubago accopaed wih heauria wihou ay obous causes  was a seere dsedig pai ad occurred soees ldy ad soee soeess seerely , radiaig radiaig dowward dowward o he ower abdoe ad perieu alog he dexra sde of abdoe ore chacerisically  his uriaig uria ig could could aggr aggra aa aee he lubago His ure was pkish  coour us ke eawashig waer , bu here were o frohy ohy ure  awy urie ad so o As soo as he iess cae   he paie paie was was edaey se o a local hospia hos pia Thro Throug ughh soe rela relae e eaiaios eaiaios   was dagosed as  reera reera Soe" , he was was he reaed wh soe abiocs ad aspasodics for 4 hours Bu Bu he he reae reae  was o eff effecie ecie agai agais s he illess ille ss  he sill sill suere sueredd fro fro he seere se ere ubago oreoer , he uraed wce durig he reae reae , he urie rea reaed ed pkish  colour us as eaw e awash ashg g waer e he asked e for reae hugh oe of y freds o Ocober 6 , lless cae o , his appeie ad defecaio defecaio were were al 993 Mer he lless oal  while hs sleepi sleepig g was seerely disurbed disurbed by he he seous seous

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lion of of SleSle- nt nt Acte a Moxtion Terapy

lumbgo Thee w not othe complin Psc Pscal al Examnaon Examnaon : Te ptient ppeed lucid  n cute pinul complexion His body bent oe ust   shimp Te hed ws wet by his excessie swetng swetng  he ws oning nd moning continuously ght ed tngue with  thin lye o whte u Flot nd tense pulse He nd lungs ll negtie Flt nd sot bdomen wt pomnent tendeess oe the egions long the distibuting distibuting line o te dextl uete. Rebound Rebound tendeess nd muscul tension tension wsn t positie Spleen nd lie lie  implp implpble ble below the dextl nd siniste costl mgin. No othe bnol sign. Rotn Rotnee Urne Examna Examnaton ton : RBC  +      no othe bnoml suts pesent Examnaton of Ultrasonogram Ultrasonogram B : A mss o stong echo whose sze ws 0 7 m X 0. 4cm ws exploed out t the mddle o the dextl uete Hydonephosis o dext dextll kidney kidney ws oun oundd too  whose depth wa 3  2cm. No ote bnomlity pesent All these sis indicted uetel stone Dag Dagno noss ss : Ueteolit Derentaton Derentaton : This dsese  n TCM , pens to the ctegoy ctegoy Shin  XueLin XueLin  FuTo FuTong ng   stony stony stng stngu ui i  blood bloodyy uine  o " Shin bdomnl bdomnl pin )  It It ws w s cused by the stone ston e in the une  which oted ound with e ong o une nd then obstucted the meidin pssge o Q n the lowe bdomen nd the wist  theeby the stgnncy o meidin meidin Qi ws cused As to the medin Qi  whee whee the s obstuction obstuction  thee thee is  pn. So tht the ptient expeienced the seee lumgo ditng dowwd to the lowe bdomen nd peineum peineum ong the dexl sde o bdomen In ddition  the stgnncy o unctonl ctiities o Qi in the lowe bdomen would ggt ggtee e stgnnt e tnspiing upwd ,

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e Record Record of SleAcpo SleAcpont nt Actre  Moxbton

which b he regiona meridians and coaers and hen disrbed he noa ong of bood. As As a res of of i  he consan consan hemaria was cased. Thrautic Princip  Dredging he obsrced meridian and coaer coaera a  aciaing aciaing he sagnan Qi and cearing away away hea ei  expeing he sone and aeiaing he pn Acupunctur Acupunctur Trant Trant  S  SanYiniao SanYiniao of he dexra side w seeced see ced for acpncre. A   5 cn neede was w as ericay ericay insered ino he seeced seeced acpoin  he deph of inseion inseion was abo  2 cn. he neede was rs manipaed wih ifing and hrsing echniqe echniqe in order o indce indc e he needing sensaion  afer he needing sensaion appeare appearedd  i was manipaed wih redcing echniqe so as o indce he needing sensaion o spread pward and downward oer he whoe caf  someimes he neede sensaion cod radiae pward o he he perinem perinem and ower abdomen   h neede was reained reained in i n he acpoin acpo in fo for 30 min mines es oa oay y  manipaing he neede wih redcing echniqe once eery 0 mines. Ect Ect Obsrvation  Afer peoing sch eamen for 0 mines  he seere mbago mbago was reieed reieed grea greayy  h e did no groan groan and moan any more 5 mines mines afer afer he acpncre acpncre  he paien paien hereby had impsion o micriio and hen a soybean-sied sone was ejeced ejeced o en i 's end

  Pati Patin ntt  Bao  mae  age 43 year yearss  indiida indiida pedde. pedde. Chi Comp Compai aint nt : Seere mbago for 2 days History o Prsnt Prsnt nss nss : wo days ago ago  he paien paien se sere redd

from seere mbago ho any eiden cases I was a seere

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lcton of of Snlpo Snlpo Act  Moxbton 

disedig pai ad occued sometimes mildy ad sometimes severey severey  radatig dowward to he ower abdome ad a d pereum alog he both sides of abdome s s characer, his uriatig could coul d agav agavae ae the umbago. umbago. As soo soo  as the t he iess came cam e o  he patiet wet to a local hospital for reatmet. Through some relaive examia examiaios ios   w diagosed diagosed as " Nephrol Nephrolhass hass   he was he eated wth some abioics ad atispasmodics for 2 days Bu he reamet reamet was o eeci eecive ve agaist the less less , he sill suf ufffered fr from he severe lumbago ve much The he came o me for reamet o Jauary Jauary 6  6  20. Mer the iess iess came o , his appetie appetie ad bowe motos were a oal oal , bu he fel hat hat it  s dicult for him to smoohy uriate as ormal  for the lumbago was always aggravated by his his uiato uiato  meawhie meawhie   he rece rece  2 days  his his sleepig was was severely dsu dsurbed rbed by the seious seious umbago. umbago. There There  was ot oher complai. Phyic Phyica a Examnation Examnation  The patiet was coscous wih a acue paiful complexio. His body bet over jus as a shrimp The head head was we by hs hs excessive excessive sweaig  he was beig i cotuous cot uous groag ad moag. ght red ogue wth a deep layer of whte fur Deep ad ese puse No abomay i hea ad lugs. Fa ad sof abdome with tedeess over he regios aog he dsbuig es of both ureers Percusso edeess over kidey regos was posive. Reboud edeess ad muscuar esio was ot preset. Spee ad ver impapabe beow he dexal ad siser cosa mag. No oher abormay prese. outin outinee Urine Eamination Eamination  RBC  + +   PC  +  . No other abomal resus prese Eamnaton of Utonoam B  A 1 2cm  . cm sied mass of sg echo was exploed ou i he dextral real pelvis. Two

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 Rcod Rcod of Sl-Acont Sl-Acont Act  Mobton

peces o srong echo whose sze w respecey 0. cm  0. cm and 0. 6cm  0. cm were ound n he snser rena pes and he ne o snser ureer. ydronephross o boh kdneys was aso ound  whose whose deph deph was respecey 3. 6cm n he snser snser and 2 6cm n he dexra No oher abnormat presen.  hese sgns ndcaed ha here were sones n boh kdneys. Dag Dagno nosis sis  Nephrohass Derentaon  Ths dsease  n TCM  perans o he caegor o " ShLn ShLn  FuTong FuTong  ( sony sony srang srangura ura  abdomna abdomna pan   I was caused by he aen hea e e n he kdneys  whch connuousy and excessey decoced he urne or years and hen some urbd maeras n he urne accumuaed ogeher and became he sones n he kdneys The sones oaed around wh he owng o urne and hen obsruced he merdan passage o Q n he ower abdomen and he was So ha he paen had he seere umbago radang downward o he ower abdomen and peneum aong he boh sdes of abdomen In In hs case  e aen hea e n kdneys kdneys was he prmar aspec whe he sagnancy o merdan Q caused by he he sones sones was he seconda aspec aspec  acuy acuy    s jus he syndrome o smuaneous shena n he prma and seconda ogeher Therapeutic Principe  Dredgng he obsruced merdan and ceang away away hea e  aca acang ng Q and reeng pan  remong remong he accumuaon and dssong he sones  nducng nducng duress dures s n order o cear away he urbd maeras n he urne. cupuncture cupuncture Treatm Treatment ent  R6  ZhongDu was seeced o o acpncure.    5 cun neede was was ercay nsered no he seeced acupon  he deph deph o nseron was abo   2 cn cn The The neede was rs manpuaed wh ng and hsng echnque n

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lton lton of Sle Sle  Acncte n Mobton Te

order o produce the needng needng sensaton  after after he needng needng sensaton appeared appeared  t was was manuated w reducn r educngg technue technue n order to nduce the needng sensaton to spread upward oer the whoe caf fut futhermore hermore  to perneum and and ower adomen  at the th e same tme t me  the needng sensaton was nduced to spread downward to the anke jont Fnay Fnay  the neede was retaned n the acupont for 30 mnutes n tota tota  manpuatng the neede wth reducng techn technue ue once eery 10 mnutes mnutes In addton  the patent patent was tod tod to take he racuous Bous for dssong the stone manufactured y mysef. Eet Eet Obsevatn Obsevatn : Mter peformng such treatment for 10 mnutes mnutes  the seere umago was aeated aeated great greaty y Mter 30 mnutes ' acupunct acupuncture ure  the th e pan dsappeared dsappeared competey Mter Mter 2 days ays ' aoe aoe treatment treatment  the umago dd not reapse any a ny onger e was was treated for 1 5 consecute consecute days  reeamnaton reeamnaton of utr utron onoa oam m B reeaed that the stones and the hydronephross n oth kdneys a dsappeared Then ts end 3 Pn of Tess   Pat Paten entt : Xu  ma mae e  age age 3 3 years  teacher Chef Cmpant  Pan of tests for 3 hours ty f f Pesent Pesent ness ness : Thee hours ago  the patent w

ht ht y a yng foota on hs perne perneum um Immedate Immedatey y h got got a so so seere pan n hs oth tests that he coudn t stand t The pan radated upward to the ower adomen and the wast Then he was ucky sent to the surgery deparment of a oca hospta Through some reate eamnatons  no organc organc damncat damncaton on w found  he was then teated teated th some anodyne anodyne such as " Bfen and Chnese patent medcne medcn e such as  P of Notognseng Notognseng   Mter usng the 262

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e Recd f SngleA SngleAn n Apte a Mbtn

medicines , he he insu in suer erb bee pn coud no be evie eviedd ye  he si suered rom he severe pin very much. Then he cme o me or emen on y 1 2  199 1 997 7 Mer he iness cme on  here ws no oher compin Physca Physca Examnat Examnaton on  The pien ws conscous wih n pinu compexion nd swewee sweweedd hed , he ws m cue pinu coninuous groning nd moning. gh red ongue wh  hin yer o whie whie ur ur Tu , uneven nd rpid puse puse No bnomiy in her d ungs. F nd so bdomen wihou endeess nd rebound endeess. Appernce o pudendum no , whie he skin ws exensivey congesive. Prominen endeess ws posiive in boh esis No oher bnoiy presen Dag Dagno noss ss  Conusion o Tesis Deenaton Deenaton  I ws cused by he cciden exe orce  which which suddeny hi he peineum nd severey severey disged he owing o region meidi Qi nd bood. The regon meridin pssge ws hen obsced nd he region meidin Qi nd bood coud no smoohy pss hrough he eced region  nom becuse o he bood ssis nd Qisgnncy. Qi sgnncy. According o he heory heory o medin , he Lver erdin er din o Fooueyin curves curves round round he exe exe genii genii nd hen goes up o he he ower bdomen bdomen  so h his his cse cse ws us he syndrome syndrome o Qi sgnncy nd bood ssis in Liver eridin o FooJueyn in c c Where Where here here is is obsucion , here is  pin. Thereby  he pien suered rom he insuerbe pin in his perneum. Theapetc Pncpe  Dredging he obsuced medin nd coer , promoing bo circuion nd civing he sn Qi  removing he bood ssis in order o eve he pin Acpnce Acpnce Teaent Teaent  LR6 , hongDu ws seeced or

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lton of Sl Sle ent nt Actre Actre  Moxbton r

cupuctur cupuctur A 1  5 cu  ws vrtc vrtcy y is ito th sct cupoit  h pth of isrio ws bout 1 2 cu Th  ws rst miput with ftig  thrustig tchiqu i orr to puc th ig sstio  ftr th ig sstio ppr ppr   it ws ws mput mput wih w ih rucig tchiqu tchiqu   to iuc th ig sstio to spr upw  owwr ovr th who cf cf  ( somtims th  sstio cou it upwr to th prium  owr bom ) Fiy  th  ws rti i h cupoit for 30 muts muts i tot  miputig miputig th  with rucig tchiqu oc v  0 miuts Eec Eectt Obvaon Obvaon : Ur oc th bov bov trtm trtmt t th pi ws y riv t oc Th ptit cou st  wk  orm orm without without y ucomfort ucomfortb b sstio Ur Ur c c such trtmt trtmt h pi isppr isppr compty compty Mtr Mtr 6 ys ys ' fo foo ow-up w-up  th ptit ws i i  goo h h th th  og og th it 's   

m g g 27 yrs yrs  tchr tchr Pae Paent nt : Luo  m Chief Complaint  Distig p of tstis for 6 ys Histo Histoy y of Pent llne llne : Six ys go  th ptit s

ttck by istig pi of tstis ithout y vt cuss At th bgiig  h mry ft  itt istig pi i th xt giti giti tr o  th istig istig pi bcm bcm mor mor  mor mor promit So tht h wou gt  immi iscomfor s soo s his urcoths touch th th xt giti giti  it svry svry prvt prvt him fm sittig  wkig s orm Th h h to go to  hospit m N N ig for trtmt trtmt  throug throughh som rtiv rtiv xmi xmiti tios os  it s igos igos  s " Chroic Epiiyitis Epiiyitis  h ws ws trt trt with or or tkig " Tb Erythromyci Erythromyciii Ethysucciis Ethysucc iis 

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 Rcord o SnglA SnglAont ont Acptr  Mobton

Tab Tab Lncom Lncomycini ycini  Mte Mte  week week ' s teatme teatment nt  the symp sympto tom m did did not abae abae Then he came o this hospita fo fo teatm teatmen en on pl     997 Duing Duing his iness iness  hs appe appeie ie  seep seepng ng  unaion unaion ad defecation ad been all noma ee was not othe complant Physical Examination  Te paent appeaed lucid wth a noal genea condition The body of tongue dak ed n colou, he p and e mdde of he ongue wee al coveed wth a in aye of whitish whitish fu fu  while the the oot oot was was coveed with with a geasy laye laye of yellowish fu fu Deep  uneven and and aut pulse o evident congeston congesto n n phangeal wall Both tonsils swelling   ea , lungs and domen all negative ppeaance of pudendum no Pomnent endeess pesent pesent in boh boh testis  especly in e epddyides ep ddyides No ohe abnoa sign Diagn Diagnos osis is  Chonic Epididymtis Dirntiation : This disease  in TC , petains petains o he caego caegoy y of ZYong ZYong ( epddym epd dymits its )  It was caused caused by downwad downwad atack of apnesshea apnessheatt evi  wich wich fumgated fumgated and but but the Lve edian ed ian of FootJueyin FootJueyin and blocke e mean passage passage  eeby eeby thee thee wee stagany stagan y of Qi a bood sasis in in the ve e eda dann of Fooueyi Fooueyinn  so tat tat he he paien paien had had e e dsend dsendng ng pan o e e tess tes s Thratic Thratic Princi Princi : Ceang away ea evil and elnang apness a pness ev  degng e obsced edan and coatea coatea  emovng te bood stasis n ode to aevae the pan cnct cnctr r Tratmnt Tratmnt  R  DaDun of one side was seeced fo ebcake moibustion and boodeng wh a ee edge neee en peomng peomng the eam eamen en  he he paien s leg was pessed downwad fo e knee o te ale n ode to make the foot congesve Ten LR  DaDun of he sde was puncued with a heeedged needle n ode to bleed a litle Mte a lttle of

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liion of of Sile-a Sile-acoi coi Acte  Mibtn Tera

dark-coloed dark-coloed blood wa wa dropped down  the colour of the the blood wod become freh red gradualy , at that time , the hole hould be preed rmly with a cotton ba in order to top bleeding in time Mteard teard , heb-ca heb-cake ke moxibution moxibution w employed employed imediately The precription precription of the heb heb-cake -cake wa  below : NiuXi  Achyranthe Achyranthe Rt 30g QiYeYiZhiHua Windpipe Trachea 25g BingPian , Boeo 15 g All the above herb were _ to be ground into ne powder together together When ued , a ittle ittle of the powder wa mixed th ome water water , o and mhed galic to make coinh c oinhaped aped herbcake herbcak e One herbcake wa et on the elected acupoint  and then baked th a ring moxa-rol moxa-rol for for 30 minut m inute e totay , perf perfor ormng mng uch blood-let blood-lettng tng therapy and and herb-c herb-cake ake moxibution once a day In addition , he patient wa told to oray take the  Pil of Gentian Root for cearng cearng away heatevl fr from liver l iver for reinforcing reinforcing cleaing away heatevil , elimnatng toxic materal and dampne Eec Eectt Obseratio  Under once the above treatment treatment , the pain pain wa wa grea grealy ly reieved reieved at once. Under 3 time  trea treatme tment nt  the pan p an dappeared completey After 10 day  treatment treatment , the patent wa cured cured Mter Mter 3 month ' folow-up olow- up , the patent patent wa in good heth al along  then then it  end 4 Tremor of Fingers

 Pati Patie ett : Yang Yang , male male , age age 57 year year , retred retred teach teacher er Chief Chief Complai Complaitt : Tremor of the dextra hand for 4 year istory istory of Preset s s : Four year ago  the patient uere ueredd

from tremor of the dexral nger wthout any obviou caue. At the

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e Record Record of SAco SAcont nt Actre  Moxbton

beginning beginning , it meely occued occued ony afte afte doing doing ome heavy heavy woking. woking. e on  it occuence occuence appeaed moe and moe f fequen when he pefomed ome tiny action uch a iting counting and o on. Chaaceitically  the manetation beonged to he exiguou tem temo o hi dextal dextal nge ofte oftenn being in mall temo temo,, it wan '  accompanied by convulion of limb  enoy enoy numbne and o on. Since Sin ce the ilne iln e came came on  he had been been o evea evea hopital in Nanjing Nanjin g fo fo teatment. teatment. Mte Mte ome elaive elaive examination  it wa diagnoed a  Temo Temo of Finge Finge  . He H e a hen teated by many kind kind of wete wete  medicin medicine e and Chinee Chinee heb  but the ymptom ymptom couldn couldn ' t be elieved  moeove moeove it became woe and woe woe adually. In the pat 2 yea  the ymptom ymptom wa aggavated aggavated Foely  the temo temo occu occued ed intemittenly  but now  i obviouly. Foely occued contantly Epecialy the evee temo of dextal nge pevented him fom fom witing and woking a nom nom   it caued e could not give a leon o i tudent tude nt  o at he had ha d to etie etie in advance. n e ecent one ye te ymptom wa pogeively aggavate aggavatedd  theef theefo oee  he completey ot the abiliy abiliy to do any common daiy daiy woking by himelf: him elf: wen he wa in wahoom wahoom  e couldn couldn 't unt untie ie and ie ie the gi gidl dlee  wen wen he had a meal meal  he couldn couldn t eadily eadily manipula manipulate te he choptick choptick  when he h e wa dinking tea  the the emo of nge often aked the cup o eveely ha the wae ofen wetted hi clothe. Then e came o me fo teamen on Juy 1 2  1 992. fte fte the illne illne  came came on  hi appeti appetite te  leeping leeping uinatio uinationn and bowel motion wee all being in nomal Tee wa not ote complaint Physi Physi Exanao Exanaon n  The patien appeaed ucid wi a noal geneal condiion Light ed ongue wih a thin laye of whie fu. Theady and uneven pue No eviden congetion in phayngeal

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lcton o o Sle-pont Aue  Moxbston hep

wal. Boh onsils sweling! o  Boh lungs al clear o ausculaon No rhonchi an ois rale raless presen presen No abnoaliy abnoaliy in hea an aboen. The ngers of exra han we  nora in shape an scure scure while coninuous coninuous exguous reor coul be seen seen obvousy obvousy  whch prevene hi perforing soe ny acions such as ing buonng  yng yn g ec The sense sens e of each nger nge r was nor nora a No oher abnoral si presen Diagn Diagno oi i  Treor of Finge Die Diere ren nat ation ion  Ths sease  n TC  peains o he caeg caegory ory of " ChanZhen  Shang Shang i n  ( re reor or  inury inury of enon )   was cause by ecency of Qi an bloo resuing fro consenescence hen a person is oler oler in i n age age  coespon coesponin ingly gly  s Q an boo wou becoe ore ecen  he ecen Q an bloo couln '  effecivey noursh he enons  noral noral  hen he funciona acvies of enons were ou of he noral way an he paen ha he reor of ngers Therapeutic Therapeutic Principe Principe : Dregng he obsruce ean an colaer colaeraa  nourshng nourshng boo an acivaing acivaing boo owng owng  srenghening enon n orer o sop he reor cupunct cupuncture ure Tretent Tretent PC  QuZe o he exral sie was selee selee for for acupuncre acupuncre an an herbcake herbcake oxibsion oxibsion  rs  a 1  5 cun neee was perpenicuary nsere no he seece acupoin  he eph of inseon was abou 1 0  1  2 cun ( jus away away fro ro ulnar ae  raial raial aery aery  eian eian vein an eian eian nee n he eian par o he ebow ) The neele was rs anipulae wh wng a roaing echniqe n orer o nuce he neeng sensaon  er he neeling sensaion appeare appeare   was was anipuae wh reinforcing echnique so as o inuce he achng an heaviness neeling sensaon sensaon o o sprea aroun he on of he exral ebow ebow 

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e ord ord of SAon SAontt Atre  Moxbton

and adiate downwad to the whole foeam At at , the needle wa eained in the acupoint fo 30 minute totay uing the poce of etaining, the needle wa egulaly manipulated th the einfocing technique once evey 10 minute minute On withdaw withdawal al  it wa genty twied aound and then pued out o ut apidly , the ineed inee d hole wa immediately immediately peed y Mtead tead , the heb heb -cake -cake mobution wa employed immediately The pciption of the hebcake w  belo below w angGui angGui  Chinee Angelica Root Root 30g SheXia SheXiang  uk 1 g GuiZ Gu iZhi hi , Cinnam Cinnamon on Twig Twig 1 5 g JiXueTeng JiXueTeng , Spatholo Spatholobu bu Sem 50g 5 0g JiangHuang, Tuec Rhiome 20g Tiana, Gaodia Tube 20g iLong, iLong , Eat Eathw hwom om 15 g BaiJiangCan BaiJiangCan , Ba Bay yticate ticatedd Silkwo 25 g  the above heb wee to  ound ino ne powde ogethe When ued , a little of the powde wa med wth ome ou, ginge uice to make coin-haped eb-cake One heb-cake wa et on the elected acupoint , and then baked with a ing moa moa pefoing uch u ch acupunctue and heb h eb ll fo 30 mnute in total , pefoing cake moibuion once a day Et Et Obsev Obsevaon aon : Afte Afte 5 day ' tea teatmen tmen  the temo of detal finge wa alleviated alleviated geatly geatly , now he could could feely untie and ie the gidle when he wa in wahoom wahoom  moeov moeove e  it  not dcul cul fo him to teadily manipulate the choptck when he had a meal All thee ign indicated he teament wa eective again neceay to continue he teatmen teatmentt Mte Mte 20 day  the illne , o it ' neceay teatment  the patient could accomplih ome common daily woking

9

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lton lton of Sle Sle Atre a Mobton Ter

by himef, it  not iclt for him to have a meal  rink water or go to whroom any more Then I toppe he acpnctre an tol him to contine peorming the herbcake moxibtion by himelf himelf Thro Throg ghh 1 year '  follow ollowpp , i t wa fon that that the th e patient wa in goo health all along  the illne illne wan  t aggravate aggravate any ·more ore , then then it ' en

.

Scapulohumer Periaris

  Pae Paen n Wang Wang,, male male , age 34 year year  r rve ver r Chef Complan Complan  Pain of exral holer an neck for 15

ay

Des

Fft Ffteen een ay ago , the patient ere from pain in the extral holer oint a neck e to being blown irectly by col win when he w riving. Then it wa iclt for him to lift an abct the extral holer, o that he himelf coln  t comb hi har or re himelf himelf Frthe Frtheor oree  a aching pain wa alo preent in the exal neck  which cae the neck became gi , a if being being bon by omething omething , thereby thereby  he col not freely rotate hi hea a normal. Since the illne came on  he ha ha  been been to a local hopital hopital for for treament ter ter ome relative relative examinaton examinaton  it wa agno agnoe e a " Scaplo Scaplohme hmeral ral Peri Periti ti  He wa then treate treate by acpnct acpnct  , the the e acpoint acpoint were 4  HeG ;   ieQe ;    QCh QCh ; 15  JianY ;  14 , Janiao an o on fte fterr more than 0 ay ' treame treamenn t  thoe ymptom ymptom weren ' t alleviate alleviate yet  he coln ' t comb h i  hair a n  ree himelf himelf ether ether Then he ake me for for treament treament on October 2 1  1 99. ter ter h rinat rinaton on , efecation efecation a appeti appetite te , leeping leeping the ilne came on , h were all in normal. There wan 't other complaint oy of Pesen

2

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 Rcod Rcod of S-Aco S-Aco Acpnct a Moxbtn

Physica Physica Examinatio Examination n : The patient appeared lucid with a

normal general condition ight red tongue wth a thin layer of white fur Floating Floating  ense and uneven pulse No evident congeston congest on in pharyngeal wa Both tonsls sweng I o No abnomai abnomaity ty in heart heart  abdomen and both lungs The detral upper arm  shoulder jont and neck were al nomal n shape and structure Evident tendeess was positve over the anerior aspect of the detra shouder jont and the detral detral neck  accompaned with muscuar muscuar tension The The moton of lifting and abducton of the shouder was lted  rotating neck and lifting head were all imited too No other abnormality presen Diagnosis  Scapulohumera Peiahritis Dieretiatio  Ths dsease dsea se  n TC  pertains pertains to the catego catego of  BiTong BiTong  ( pain due to obstc obstcti tion on of Qi and blood blood   Fome Fomerl rlyy  it was caused by the attack attack of the eteri eterior or wind-cold wind-col d evil  which attacked the meridan of the shouder and inhbted the owing of merida meridann Qi and bood  there thereby by  there there were bood stass and stagnancy of meridian Qi in the aected regions Accordng to the theory of meridians  the anterior and medan parts of shoder the atera parts of neck e al the passage of the Triple Energizer edan ed an of HandShaoyang  so that actually actually this case was just the syndrome of Qi-stagnancy and blood stasis n the Triple Energizer eridan of HandShaoyang caused by the attack of wnd-cold evil from the eterior The for former acupuncturst acupuncturst who he had asked asked  neither familialy master the distributing line of meridians nor deeply deep ly comprehend the sydr sydrome ome-de -derentiaton rentiaton of merid meridians ians  so that he couldn could n 't coectly recogn recognze ze the syndrome syndrome and then selected the impoper acupoints acupoints for the illness illness Essentially Essentially  the illness nvolved nvolve d the Shaoyang Shaoyang merdan merda n  however however  the former ormer therapeutic intention aimed at the Yangming Yangming meridian Although the used

2

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lon of Sle-cupon Sle-cupon Auputue  Moxbwton py

acupoits wee umeous i amout  while the the teatmet ly ee i i  falue falue As to a acupuctuist acupuctuist  he ( o she ) must kow that : employig acupoits is ust like employg employg ay  the pivot thig of employig y is oe ot of amout but of eactess  fo eact strikig the ubbi ubbi coul coul iectly lea to capot  the pivotal thig of employig acupoits is lso oe ot of amout but of eactess eactess , fo eact teatmet teatmet aimig aimi g at the pathogeesis cou iecy achieve success by suprise tactics As fo why the pvious acupuctue teatmet ee i failue although it took may ays  my acupoits a cupoits were employe employe  it w ust cause by the wo wogg syme-iffeetiatio a the impope selecte acupoits heape heapeuc uc Pncipe Pncipe : The acupoit of the Tiple Eee eriia of HShaoyag shou be selecte fo eg the obstucte meriia passage , activatig the staat meii meiia a Qi  bl owig i oe to elieve the shoule pi quickly Acupunctue Acupunctue eaent : TE2  Yee of oe sie was selecte fo acupuctue A 1 5 cu eele ws isee ito the selecte acupoit The epth of iseio w about 1 0 cu so  to stimulate he acupoit of TE3 , ZhogZhu at the same time Mte the eelig sesatio appeae  the eele was maipulate with mil eiocig a eucig techique i oe to iuce the eeig sesatio to spea upwa alog he gap betwee the 3 a the little ge  through the back of ha a to he lateal foearm The eele was ete i he acupoi fo fo 30 miues m iues totally totally  uig the pocess of etiig  it was maipulate with mil mil  eifoci eifocig a eucig techique oce eve 10 miutes O wthawl of the eele , it was pue out apily a the the isee hole was immeiately pesse ly. Eect Eect Obsevation Obsevation : Mte oce such acupuctue acupuctue  the

2



e Record Record of Sle-Acont Acpt  Mobton

shoulder shoulder pai was grealy grealy alleviaed a oce , he could freely freely lif lif ad abduc he deral shoulder wihou ay diculy He could lif his head ad rae he eck freel freely y Mer wice reae , he was cured copleely Mer 2 ohs  follo ollowup wup  he he ill illes esss did did '  rela relaps psee , he i 's ed ed

  Patie Patien n  Zhag Zhag , ale ale , age 43 year yearss , gard garde eer er.. Chief Complaint  Pai of siiser shoulder for 3 days. Hitoy Hitoy of Peent Wne : hre hreee days ago , he paie

suered fro a pai i his siiser shoulder caused by cachig a cold. I I  was a coiuous achig pai pai , accopaied wh wh diculy diculy i ovig foar foardd , abducig ad a d lifi lifig. g. The The he could   do gardeig as before ad his work was sopped Mer h illess cae o , he had o go o a local hospial for reae Throug Throughh physical physica l ea eaiaio  i was diagose diagosedd as  Scapohu Scapohuer eral al Peria Periar rhr hriis iis  e was he reaed wh eeal applyig he plaser aely " Zhuifegao Zhuifegao ad oral akig " Bruf Brufe  for 3 days Mer 3 days  eae , he paie si suffered fo he achig pai  he oio of his siiser a was was severely severely liied liie d , hereby hereby , he los he abiliy o ory ory work work a all. The he ked k ed e for for reae reae o ay 21 21 , 1 994 Mer er he illess cae o , his uriaio uriaio,, de deffecaio ad appeie , sleepig were all i oal. o al. her heree was wa s  oher oh er coplai. Examinatio tion n : The paie was coscious wih a Pyical Examina oal geeral codiio Ligh red ogue wih a hi layer of whie f Floaig ad ese pulse No aboriy aboriy i hear, hear , boh lugs lugs ad abdoe The siiser upper  ad shoulder joi were a oal i shape ad srucure. Evide edeess was prese over he aerior aerior pec  pec of he siiser shoulder oi , accopaied wih

2

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lucton of Sle-on Sle-ontt Acute  Mobton Tepy

msclar tension The siniser pper  and and sholder sholder oint coldn  freey abdc abdc   lif lif and move move foard foard No oher abnorma sign. s ign. Diag Diagn n  : Scaplohmer Perarthris Dieentiatin  his disease  in TC  peains o the category of  Bong Bong  ( pan de o obsrct obsrcton on of Q and and bd ) . I was was cased cased by he atack of he exerior exerior wndcol wnd coldd evi  which aacked aacked the meridian of shoder and inhibited he owing of merdan Qi and blood  thereby  blood stasis d stagnancy of meridian Qi were cased n he aected regions According to the theory of merdians  he anterior and aera pars of sholder are a e passage of he ge Inestne eridan of Hand-Yangmng so that acay ths case was st st he syndme of Qi saancy d  d bood bood sasis in he rge nestine eridian of HandYangming HandYangming Theapetic Pinciple : Dredging the obsced meridan and colaeral  acivatng he blood owing and removing removing he bood sasis  epe epeng ng wnd evl and releasing releasing the special syndrome cpncte cpncte Teatment Teatment :   HeG of the sniser sde was seected for acpnctre A 1 . 5 cn needle was nseed perpendicary into the seected acpoint The deph of inseion was 1 2 cn or so  the needle was was manipaed manipaed wih wirling and rotang techniqe il e needlng sensaion appeared. Mter e needing sensaton appeared  the neede was manipaed wi mid reinfor reinforcng cng and redcing technqe  by which he needng sensaion of achng  nmbness and heavness was indced to spread pward pward to he anerior pec of the forearm and pper  hrogh the sinister wrs. Fnay Fnay  he he needle was manplated manplated wh redc redcng ng techniqe and retained in he acpont for 30 mines in oal Dring the process of reainng it was anipated wi redcing echniqe  once eve 10 1 0 mines On withdr withdraw awal al of e neede neede  i was shaked shaked

2

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 Rcod Rcod of of SiAci Apt  Moton

around and puled ou slowly in order o enlarge he hole Ee Eett Oervation : Under perfoing such acupuncture for   2 minues , the pain of he sinister shouder disappeared disappeared immediaely Mer once treatmen treatmen , he moion of he siniser sinise r shoulder joint wn ' t imited im ited any more He was reaed by such acupuncture acupuncture wice in oal  and hen there was was no discomfo discomfort rt on him any longer longer hen hen i 's end

  Paent  ei , male , age 28 yeas yeas , eacher eacher Chef Compaint : ching pain of dexra shoulder for 3 days Hitory of of Preen Preentt ne ne  hree hree days ago , he paien p aien

suered from aching pain of he dexra shouder joint due to catching a cod when he was riding a bicycle He fel that he dexr de xra a shoulder became so hea hea and and aching aching ha i 's er ery dicul for him o if the dexral shoulder or move it foard and backward backward oreoer oreoer , he codn  t cay anything anything wih he dexra dexra hand , oherwise , he would ge an insf insfferabe erabe aching aching pain in his dexra shouder Mer he ilness came on  he himse applied some exteal exteal pase namely " Zhuifenggao Zhuifenggao , Shangshigao  ono he aeced aeced region fer 3 days ' such treame treamen n  the the shoulder shoulder pain wasn ' allevia alleviaed ed ye hen he came o me fo for reament reament on on Ocober 2   992 Mter he ines inesss came came on , his urinaion urinaion  de deffecaion , appeie and sleeping were  in normal No oher compain was presen Phyia Eanatio Eanation n  he patien appeared ucid wih a norma genera condiion ight red ongue wih a hin ayer of whte fur Foaing and tense puse No eiden congesion in pharyngea wal Both onsils sweing

   No

abnoaliy abnoaliy in hear , both both ungs ungs

2

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lton of of S-ont Ate Ate  Moxbton Tepy

ad abdome The dexal shoulde joi was oal i shape d sucue Thee wa evide edeess ove he aeio aspec of he dexal dexal shoulde shoulde  joi  accompaied accomp aied wih muscua esio. e sio. The The dexal shoulde joi could   feely if ad move foad o backwad The moio of head head ad eck eck was was '  limie limied. d. No ohe aboal sig. Dag Dagno nos sss  Scapulohumeal Peiahiis Deent eenta at ton on  This disease  i TC , peais o he caegoy of " BiTog  ( pai due o obsucio obsucio of Qi Q i ad blood   I wa wa caused by h he exeio exeio d d-cold cold evi  which aacked he meidia meidia of shoulde ad ad he go io he meidia deeply s a esul of of i  he passage of meidia Qi ad blood was obsuced ad he bood sasis ad sagacy of meidia Qi wee caused i he eced eced egio So ha he paie had he achig pai ad he diseased shoulde joi could co uld ' be moved feely. Theatc Pncple : Dedgig he obsced meidia meidia , acivaig he blood b lood og ad emovig he bld sasis , expellig expellig he wid-cold evil ad eleasig he supecial sydome cpcte cpcte Teatment: Teatment : 15  Jia Yu of he dexal side was seleced seleced fo acupucue ad cuppig heapy heapy  1 . 5 cu eed eedle le was iseed peediculaly io he seleced acupoi. The deph of iseio was 1 0  1  2 cu o so  he eee was maipula maipulaed ed wih wig ad oaig echique so as o iduce he eeig sesaio Me he eedlig sesaio appeaed appeaed  he eedle was maipulaed wih wih educi educigg echique , ad he he he eedlig sesaio of achig ad heaviess was iduced o spead o he aeio aspec of he shoulde joi ad adiae dowwad o he aeio pa of he uppe a Fially  he eee was eaied i he acupoi fo 30 miues oay. Duig he pocess of aiig

276

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e Recod Recod of SleAcont SleAcont Apte  Mobton

it was regularly manipuated wth reducing technque once every  0 mnutes. On withdrawa of the needle  it was rotated ound and then pulled out slowly in order to enlarge the hole. Mter peorming the acupuncture acupuncture  cupping therap therapyy was empoyed empoyed immedate i mmedatey y  a cup was quickly placed onto the the selected selected acupont  keeping the cup on the acupoint for 20 nutes in tot Eec Eectt bservaon bservaon  Under once treatment treatment  the aching pain of the dextral shoulder disappeed immedately Mter half a month s foow-up  he he ilness didn t relapse Then it s end

  Paen  Yang Yang  male  age 34 yea  accountant Chef Compl Complan an  Pain of dextral upper  and shoulder oint

for  week. o of Presen  One week ago ago  the patient patie nt suff suffered

fm a pain n the dextra upper arm and shoulder oint due to catching catchin g a cold. It was accompanied accompa nied wth wth eat dfculty dfculty in abducting the shoulder up and moving it backward The shoulder pain was a continuous aching pain  radiang upward and backward and hen involving he lateral regon of the neck and back Mter the lness came on  he went to a oca hospital for treatment treatment Through Through physical examination examination  it was dagnosed as " Scapuohu Scapuohumera merall Periarthritis . He w treated with exteal applying he plaster namely " Zhuifenggao Zhuifenggao and or taking " Bren Bren   Mter  week s treatment treatment  he stil stil suere sueredd fro from the aching pain pai n  n the dextra dextrall shoulder shoulder oreover  it severey prevented prevented him from moving mov ing his his dextral upper a and shoulder as noa. en he came to me for treatment on arch 2   2002 he ilness ilness came on  hs 2002 Mter he urination urination  defecation defecation  appette and sleeping were al noal There There

2

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lton of Sl Sle ent nt Ate  Moxbton Tepy

was t other complait Physic Physical al Examination Examination  The patiet appeare luci with a

ormal geeral coitio ght re toe with a hi layer of white fur Floatig Floatig a tese pulse No aboality aboality i het het  both both lugs a abome. The etral upper arm a shouler oit were all ormal i shape a stucture. Eviet teeess was positive over the posteolateral posteolateral aspect of the etral etral shouler oit oi t  accompai accompaie e with muscul tesio. tesio . The e etr tral al shouler oit coul ' t freely reely move backw a abuct up No other abomaliy preset Diagn Diagnos osis is  Scapulohumeral Periahts Diere Dierena nation tion  This This isea iseaee  i TC  perais to the cate catego gory ry of  BiTog BiTog  ( pa pa ue to obstcto of Q a bloo )  It was cause by the attack attack of the eterior eterior wicol wico l evil  which atta attacke cke the meria of shouler a ihbite the owg of meiia Qi a bloo  thereby thereby  there were were bloo sts a staacy staacy of meiia Qi i the affecte regios regios Accorig to the theo of meriias  the posteror regios of shouler eck a back are all the pass passa aee of the Small Small Iteste Itest e eria of aTaiyag  so that that actually this case wa ust the syrome of Qistagacy a bl stasis i the Small Itestie era of a-Taiyag cause by the attack of the eteror w-col evil Therap Therapet etic ic Princip Principee  Warmig the meriia a regig the obstructe collatel removg the bloo stasis a activatig the the owig of of bloo bloo  epelli epelligg the wcol w col evil a elea eleaig ig the supecial syrome Acpctre Acpctre Treatmet Treatmet  S7  ZhiZheg of the etral etral sie si e was selecte for for acupucture acupucture A 1  5 cu eee was isete peeicularly ito the selecte acupoit The epth of isertio was 1 0  1 2 cu or so  the eele was rst rst maipulate wih

2

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e Re Reo ord rd of Sle-A Sle-Aot ot Antre  Moxbton

wirlig ad roag echiqe so as o idce he eedlig sesaio er er he eedlig sesaio appear appeared ed , he eedle was he maipaed wih hea-podcig mehod o prodce hea sesaio ove he he laera rego of he dexral forea forea  , frheore, rheore , he hea sesaio was idced o spread pward alog he laera aspec of he dexral elbow joi o he aera regio of he dexral pper pper a Fiay  he eed eedle le w reaed reaed i he acpo a cpoi i for 30 mies mies oay Drig Drig he process of reiig  i was reglarly reglarly maipaed wih reiforcig echiqe oce eve 10 mies O wihdr wihdrawal awal of he eedle eedl e , i was wied wied arod ad he plled plled o rapidly rapidly , he hole w immediaely pressed pressed rmly rmly E Observ Observati ation on : Uder Uder oce oce he above reame reame , he pai of he dexral pper arm ad sholder joi was leviaed greay  abdctig he he sholder ad movig movig i backwar backwardd were were ' limied ay more more Mer 3 imes  reame , he illess was cred compee compeely ly e i i  s ed

6 aa   Pae Paent nt  Li , male male  age 3 8 years years , peasa peasa Cef Compl Complain aintt  Repeaed pai of dexr bock d high

fo 1 yea , relapse ad ad agavaio agavaio for for 3 days Htor of Prent ness ness  Oe year ago ago , he paie paie ser sered ed from a pai i he dexral bock ad high wiho ay evide cases cases  he begiig begiig  i was mere merely ly idced by oveor oveorki kig g er o  i appeed appeed eve wiho ay cases Whe occrig , he sered ered from a severe lighig pai i he dexral bock bock ad high , which which always radiaed o he laer laer aspec as pec of he dexral high high alog he laeral laeral p of he dexral dexral bock bock I cased cased

2

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lton lton of Sle- Sle-ont ont Acte  Mobton Te

hs extr leg coun 't stan up an walk about as nonal Mter the illness came on , he went to a local hospital hospital , thugh physical physica l examination examination , it was was iagnose as  Sciatica Sciati ca   he was then treate treate wih wih oral oral ing some anoynes anoynes such as " Brf Brfen en an an Ibuprof Ibuprofen en  Uner the treatment treatment,, te te symptom became someimes mil an sometimes severe en occu occung ng severely , the serious symptom symptom cause he couln t stan an walk walk a all , he ha to lie lie own on on a be so as to have tempor temporary ary amelioration Sometimes , even by sneeing sneeing or or coughing coughing , coul it be agavate agavate 3 ays ago  it relapse again , he eeply suere rom a lightning pain in the extral buttock an thigh thigh , so that he was was oblige to lie own on a be an couln t o anhing Mter taking some anoynes , the pain w not relieve yet. Then his wife came to me m e an aske me for treatment treatment on Septem September ber 1 3 , 1 994 Mter the illness came on , his urinat urination ion  efecation efecation , appetite an sleeping were  in noal ere wasn t other complaint Physic Physica a Eaminatio Eamination n  The patient was conscious with an acute painful complexion. He was in continuous groaning an moaning. ght re tongue with a thin layer of white fur Deep an tense pulse. o evient congestion in phange wall Both tonsils swelling   Both lungs  hea an abomen all negative The extral buttock an righ lower limb appeare nonal in shape an stcture Raisin Raisingg test test of straightle straightlegg on the extra extrall sie sie was positve Evient teneess was present over the latel aspect of the extral buttock an high along the istributing line of the extral sciatic nerve o other abnoality present Diagnosis  Sciaica Dierenation  This isease  in TC , pertains to the category of " YaoTui YaoTuiTong Tong ZuoTunFeng ZuoTunFeng  pain of of wais waistt an an legs legs , sciatica sciatica  It



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e Record Record o S-Acont S-Acont Acncre a Mobon

ws cused by the exteior exteior wi cold evil , which ttcke ttckedd e Gbldder Gbldder eridi of FootShoyg. FootShoyg. s its chrc chrcter teris isii c , the codevi cod evi hs  edecy edecy o corc corc , he i i  res resriced riced he owig of the meridi Qi of Gbdder eidi of FootShoyg,   resut of of i , sgcy sgc y of meridi Qi ws cused i i  Gllbldder Gllbldder eridi of of FooShoyg , so tht he he ptiet expeieced expeiece d he severe pi i he butock d high hapuic Pincip  Dredgig the obstruced meridi d collterl collterl,, ctivtig the owig of blood d meidi Qi  wrmig wrmig up the meidi i order o relieve he pi. cupuncu cupuncu an an : GB30 , HuTio of the dextrl dextrl side ws seeced for cupucture  4 0 cu eedle ws iserted peediculrly io he seleced cupoi The deph of isertio ws ws 3 0  3. 5 cu or so , he he eede eede ws ws rs rs mipul mipulted ted with twirlig d rotig techique till the eedlig sesio ppeed Mer Mer he eedlig sestio pper ppered ed , the eedle ws he miued with hetproducig method o produce het sestio sestio over the the lterl regio of dextr dextr buttock buttock , fuheore , he he sestio ws iduced o spred dowwrd log the lter sect of the dextrl thigh to he lter regio of the dextrl cf thugh the lteral lteral prt of of the dexrl dexrl kee oi o i Filly , the eedle w retied i the cupoit for 30 miutes ltogether Durig the process of ret retii iig g , it w regulrly regulrly mipued wi reifo reiforcig rcig techique oce every 1 0 miutes O withdr withdrw of the eed eedee , it ws getly rotted roud d the puled out rpidly, the hole ws immeditely pressed ly with  coto b E Obva Obvaon on : Uder Uder oce the bove remet remet , the pi pi of the dextrl dextrl butock d the high high disppered completely , the ptiet coud std up d wk bou as orml without y

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luton of Sl-upont Auntu an Moxbton hapy

ucomf ucomfotbl otbl ss s sto to  Aft Aftrr 5 ys  trtmt  th th pt pttt coul coul go to work work s bfor bfor Mtr h  oth  s follow-up  th llss  t rlps Th t s 

  Paen  Gu  ml  g g  8 yrs  pst Chie Complai  P of trl buttock  thgh for 7

ys Hisoy Hisoy o Pese Pesen n Ine : Sv ys go  th ptt

sur from  p  h trl buttock  thgh cus by ctchg  co t ws  svr lghtg p  th trl buttock  hgh  wys rt to t? ltr spct of th xtr hgh log th ltrl p of th trl buttock. t cus hs t g coul t st up  wlk bout  orm Mtr th lss cm cm o  h wt to  locl hospt  through physc mtio mtio  t ws gos gos s  Sctic Sctic "  h ws th trt trt  wth tl pplyig som plstr  orl tkg som oys such suc h s  Bf  Ibupr Ibuprof of    Mtr 7 ys ys  tr trtm tmt t  th th symptom symptom ws ot rlv yt Th Th svr p cus cu s h cou  t hlp tolg wh wlkg s tht h coul  t g o to work work s oml oml Th h cm to m for trt trtmt mt o o  Novmb Novmbr r 21 2 1  1995 19 95 thugh thugh somboy. somboy. Mtr th t h lss  cm o  hs uo  fct fcto o  pptt  spg wr ll ll  orm orml l Thr Thr ws t othr complt Physia Physia Examna Examnaion ion : Th ptt pp uc wth  cut pf pful ul compo H ws    couous co uous g ggg  mog Shufg gt prst Lght r  th togu wh  th th lyr of wht fur fur Dp  uv u v puls No vt cogsto  phgl Both toss swllg   No bormty 

282

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e Recod of Sle-Aco Sle-Acot t Acte  Mobton

both both lugs , heart ad abdoe The detral buttock ad lower etreities appeared oal i shape ad stucture Raisig tes of straight-l straight-leg eg o he deal side was positive The w evidet ev idet tedeess over the latera aspect of the detral buttock ad thigh aog he distributig lie of he dera sciatic ee No other aboality preset. iagno  Sciatica ie i ee enation nation : This disease , i TC , pertais to the category of " YaoT YaoTui uiTo Tog g,, ZuoT ZuoTuFe uFeg g ( pai of waist waist ad ad legs legs , sciatica sciatica))  It was caused by the eerior eerior wid-cold evi , which which atta attacke ckedd the Gbladder bladder eridia of FootShaoya FootShaoyag g s its characeristic characeristic , the cold-evil cold- evil has a edecy edecy to coract coract , the it restr restriced iced the owig of the eridia eridia Qi of Gabladder Gabladder eidia of FootShaoyag , as a result of i  there there was stagacy of eridia eridia  Qi of Galbladder Galbladder eridia of Foot-Shaoyag, so that the patiet had the severe pai i the buttock ad high Theapeutic Theapeutic Pinciple Pinciple : Dredgig the obstcted edia d coll collat ater era a , activatig he owig owig of blood ad edia Qi , waig waig up the erdia i order to aleviate the pai. Acupuncue Acupuncue reaent reaent  GB31 GB3 1 , FegShi of the de de ra ra side was seected for acupucture acup ucture  2. 5 cu cu  eede was iseed peediculary ito the seected acupoit The depth of isetio was was 1  5  2 0 cu or so , at st st , the eedle was aipulated aipulated with twirig ad rotatig techique so as to iduce he eedlig sesatio. fter fter the eedlig eedlig sesatio sesatio appeed , the eede was the aipuaed with heat-producig ehod o produce hea sesatio over the lateral regio of the detra thigh , futherore , the heat sesatio was iduced to spread upward to he latera part of he detral buttock , d radiate dowward alog the lateral aspect of

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lctn of Sngle-acon Sngle-acon Acre Acre  Mxbton Ter

te extral g to te lateral regon of te extral calf troug te latera laterall art of te extra knee knee jont jo nt nally  te neele neele was retane n te acuont for 30 mnutes mnutes totally. Durng te rocess of reta retan nng ng  t was regu reguarl arlyy manulate wt wt renforcng renforcng tecnque once every 10 mnutes On wrawal wrawal of te te neele  t was sgtly s gtly rotate rotate aroun an ten ulle out raly raly  te ole was mmeately m meately resse rmly E Observatin : Uner once te aove treatm treatment ent te an of te exral uttock an tg saeare comletely  te atent coul stan u  wk aout as noal wtout any uncomfoale sensaton Mter 3 tmes  treament treament  te atent atent coul go to work work as efore efore.. Afte Afterr alf alf a mont mont  s folow olowu  the ness   t  t relas relase e en t s en

7 Sprn of e   Pati Patien entt  Qu  male male  age 23 yea yea  college stuen stuen Chie Chie Cmplai Cmplaint nt  Sran of snster ankle jont for 6 ays. try  Prent Des: Sx ays ago  te te aent wence wence

s snster ankle jont wen e was layng footall At tat tme  te ecte ecte jont got severely swolen  accomane wt severe severe stenng stenng an It mmeately cause cause e couln couln  t walk  stan en e w sent to a local ostal  tug yscal examnaton  t was agnose as  Sran of Ankle Jont" Jont "  He was trea treate te wt ora orall takng  Plls of of Notognseng Notognseng " an exte exteal al alyng  Saower Ol O l "  Uner Uner the treatment treatment  the an n te snster ankle jont was releve greay  ut te swellng of te jont remane remane uncange uncange urteo urteore re  te atent st s t sue suere re from from te an of te snster ankle jont wen e w walkng  tat e e

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e Record Record of SleAcot SleAcot Accte  Moxto

not wak fast  and t ' s more dcu dcutt fo hm to go upstas upstas and downsta Then he came o me for treatment on Noer 2   ugh ugh somedy somedy er the ne ne ce on on,, hs urn urnat aton on,, def efaton aton,, apte apte and and seepng seepng we we l noa ere wn wn t ohe compan compan Psic Psical al Eaminaion Eaminaion  Th patent appeaed conscous wth a noa gene condon ght red ongue wth a hn ayer of whte fur fur Tense and uneen puse pus e Boh ungs , the hear d the abdomen abdomen a noma Swoen atea pa of the snster anke jont wth endeess oer the aected jont Te moton of he snster anke jont was mted No other abnoay pesent Roengeno Roengenogram gram Eaminaon : The Xray m reeaed the snster anke jont was norma n shape and stcture No sgn of fracure was found Diag Diagno nosi siss : Spran of Anke Jont. perans o the catego category ry Diee Dieeniaion niaion  Ths dsease , n T , perans of Sh  Shan angJ gJn n ( nju njury ry of tendon tendon))   was was caused by mpr mprop oper er spors spors , whch njured njure d the regona regona merdan mer dan and a nd coa coaera era , thereby thereby , there there were stagnancy of merdan Q and bood stass n the aected jont So the patent had the sweng pan n the ected ected jont erapeuic erapeuic Pincipe Pincipe : Dredgng the obstruced merdan and coatera coatera , remong remo ng he bood bood stas stas s and actat actatng ng the owng of bood , nducng subsdence of sweng and aeatng he pan Acpuncue Acpuncue eamen eamen : G0 QuXu of the snster sde was seeced for for acupunce and herb-cake moxbus m oxbuson on A rs , a nse ed no the seected see cted acupon    5 cun neede w obquey nseed he deph of nseon was abou 1 0   2 cun The neede was rs manpuaed wth wrng and roang technque n order o nduce the needn ne edngg sensaon Mer Mer the needng needng sensaton appea appeaed ,  was manpuated wh md renforcng and reducng technque so as to

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luton of Sle Slent nt Auture n Mowton Terpy

indce the needling senstion to sped ond the whole dosm pedis nd the lte p o the siniste sinis te nkle oint t lst  the needle ws etned i the cpoint o 30 mintes totlly Ding the pocess o tining the needle ws egly mniplted wth the mild eino einoci cing ng nd edcing ed cing techniq tech niqe e once ev eve eyy 1 0 mintes mint es On withd withdwl wl o o the needle  it ws tled ond nd then ped ot o t pidly pidly  the inseted hole ws immeditely immeditely pessed y Mte ted d  the heb-c heb-cke ke moibstion ws employed employed t once. The The pesciption pesciption o the heb heb cke ws s below : Hong HongH H  S Sowe owe 15g ChnXiong ChnXiong Chniong Chniong Rhizome Rhizome 1 5 g H Hng ng  Ephe Ephed d g  g XiXin  sm sm Heb Heb  g ToGCo  Tbecl Tbeclte te Spenski Spenski Heb 30g 30 g QinNinJin  Obsced Homomen Rhizome 20g l the bove hebs wee to b gond into ne powde togethe hen sed   litte o the powde ws mied wth some o nd wte to mke coin-shped heb-cke. One heb-cke ws set on the selected selected cpoint  d then bked with  ing ing mo-oll mo-oll tim e  peoing peoing sch cpncte cpncte nd heb o 30 mintes ech time cke moibstion once  dy. E Obon Obon : Unde once the bove emen ementt  the ptient did 't eel eel the pin in the sinist si niste e nkle oint oi nt ny longe  nd the swelling o the siniste nke oint qickly disppeed. Mte 3 dys  te tetme tment nt  the ptient ecoveed ecoveed completely completely Then it 's end

8. Sneck   Pe Pen n : Ling Ling  me me  ge 34 ye yess  sgeo sgeon n

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e Record Record of SleAco SleAco Acutu a Mbuston

Chief Complain Aching

pain of extal neck fo 2 ays, accompanie with igiity of neck oy of Pen n  Two ays ago ago , when he patient patient was was sleeping wih a winow open , he caught a col an then ha an aching pain in the extal neck Moeove hs ext neck became sti an cou no oae abo as nomal , the extal shole oin con 't f feey lift lift an abct Then Then he himsef himse f applie the exe exe plaste namely  Zhuifenggao" onto he ece ece egion an oaly took some anoyne pis sch as  Bufen Bufen"" an so on te 2 ays  teatmenhe teatmenhe pain was not elieve ye Because the igiiy of neck seveely af affecte his wok , he came to me fo fo teatment on Novembe 23  1992. e he ilness came on , his uination , efecao efecaonn , appet appetee an sleeping sleepin g wee a in noal. noal. Thee wasn  t ohe compaint Physic Physical al aminaion aminaion  The patien appeae conscious wih a noal gene geneal al conition conition Plse oating an ense  onge light e e with a thin laye of white fu No evient congestion in phangea wall Both tonsils sweling    No abnoality abnoality in both both lngs , hea hea an abomen The ext shoule oint an the extal neck wee al no in shape an stcte Evient teneess was positive ove he ece ece egions egions , mos chaactei chaacteistica stically lly accompanie accompanie with pominent mscula tension The motions of the extal shoule oint an neck wee all limite No othe abnomality pesent Diagnosis  Sti neck Diee Dieena naion ion  This isease, in TCM , petains to the catego of JianB  JianBeiT eiTong" ong"  pain pain in h hee sho shoe e an an back back )  t was was case by by he exeio win-col win-col evi , which atacke the supecial supec ial potion of Tyang an inhibite the owing of the Tyang meiian Qi As to the meiian meiian Qi  whee whee thee thee  is obstucion obstucion  thee thee is a pain pain So that 

E

lio l ionn of of Sileci Sileci Acre Acre  Moibtion rpy

the patent seed eed fom the achng pan and gdty of the dex neck ssentally ssentally  hs case w ust he supecal syndome of Tayang Terpeuc Terpeuc Princip Principle le : xpellng wndcold evl and eleasng the supecal syndme , dedgng the obscted medan and collaeal collaeal  wamng up he medan medan n  n ode to allevate allevate the pan pan cupuncture cupuncture Tretment Tretment : 7  ZhZheng of the dextal sde was seleced fo acupuncue A 1 5 cun needle was oblquely nseed nto the selecte acunt wh ts tp upwad The depth  nseon was 1 0  1 2 cun o s  he neele was s manpulaed wh twng and oang echnque so as to nduce he needlng sensaon sensaon t te e he needlng needlng sensaton sensaton appeaed  he needle needle was hen manpulaed wh hea-poducng method to poduce a hea sensaon sensaon ove he late late egon egon of the the dextal dextal foea foea   fuheoe uheoe   was nduced o spead upwad along the lateal aspect of he dextal elbow ont to the laeal egon of the dextal uppe a Fnally  he needle wa etaned etaned n he acupont fo fo 30 mnutes totally totally Dung he pocess of eanng eanng   was eglal eglalyy manpulaed wth enfocng technque once evey 10 mnutes On whdawal of he he needle needle   was wled aound and then pulled out apdly apdly  the hole was mmedaely pessed med Eec Eectt Observon : Unde once he above teatmen teatmen , the achng achng pan and gdty of neck dsappeaed completely completely The motons of the eced eced pas ween ween  t lmted any any longe longe Af Afte te 1 week week s folo olowup wup  the llness ddn t ela elapse pse  hen hen   s end

  Pti Ptien entt : Huang Huang  fema female le  age 42 yea yeass  doco Chief Compint: Achng pan and gdty of neck fo 3

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e Recod of SnA SnAcon contt Acte  oxbton

days ago he paie Hitory o Preet De  Thee days ago sueed om ahig pa ad gdy of ek due o ahig a od  whe she was seepig seepig I aused oag oag he ek beame muh moe aduous fuheoe she oud oud   if ad owe he head a a Afe he iess ame o she hesef appied he  he eea pase amey  Shagshgao  oo e aeed aeed egio Bu he uaive effe was o pode he she asked me fo reame o Ap 26 1993. Afe he iess ame o he appee seepig uao ad defeaio wee a i oa Thee was o oe ompai Phyil Phyil Eiatio  e pae appeaed osious  a oma geea odio use oaig ad ueve ueve i ed ogue h a i aye of whe fu No evide ogeso i phagea  wa  wa Boh osis osis sweig sweig  Boh ugs ugs he hea ad he abdome a oa No aboay of ek i shape sha pe hee was evde edeess ove ove he poseo egio of he ek aompaied wh pome mus eso he ek oud oae abou aduousy  whe she od o f ad owe he head No oe aboaiy aboaiy pese iaoi  S ek aego y iere ieret tiatio iatio  is dsease  TCM  peais o he aegoy of  JigX JigXag ago og g ( pai pai of ek) ek)  I was aused aused by he exe exeo o  wdod ev whih aaked he media i he ek ad he obsrued he passage of meidia Q heefoe hee was sagay of meidia Qi  he aeed ego So he paie had he ahig pa ad gidiy of ek Therapeutic Therapeutic Priciple Priciple  peg widod evi ad eeasig he supeia sydome dedgig he obsed meidia ad oaea oaea wamig up meidia i ode o aevae pai

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lctn of So So Actre  Moxbton Tery

Du  4  Dhu ws ws selected selected or or Acuuc Acuucee Tree Tree  Du acuunctur acuuncturee and ner-ar ner-artone tonedd mobuston mobuston At t  a   0 cun needle was ercally nseed nto the selected acuon and manulated wth twrn and rotatn technue n order to duce needln sensaon sensa on  uhermor uhermoree  the needn sensaton sensato n was nduced o sread uward o the neck and head and downward to he back teard teard  the needle was retaned retaned n he acuont or 20 mnutes totally On wthdraw o he needle  t was was roated around around and and then uled out radly  the nseed n seed hole was mmedately mmedately ressed ressed rmy th a cotton cotton b Contnuously  ner-artoned mobus mobuson on w eor eorme medd on the acuont at once  9 uns o moa cones were b out n oal treatment  the ach achn n Et Obervo Obervo  Under once such treatment an and rdty o neck mmedately dsaeared She could l and lower her head h ead reely reely t ter er  week week  s ollow-u  the llness ddn t rela relase se  then then  s end

9 Lumbago 

1

Pet  Zhou  emale  ae a e 35 years  adersement adersement desner. desner. Che Che Com Comt t  Seere lumbao or 4 days days ao ao  when he aten Htory o Pree Preet t e  Four days was stan her moorcycle  she w sudeny sudeny atacked by shar lumbao lumbao due due to mroer mroer eern eern her srenh srenh It  s a seere seere hnn hn n an an and radatn o he buocks buocks and lower etremes etremes  as  ben cut and slced by a shar kne. It mmedately caused her wast d lower eremtes couldn t moe about a a. Then she was uckly sent to the dearmen o orhoedcs o a local hosal or treatment Throuh Throuh some common medcal medcal eamnaons eamnaons  t was

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 cord cord of of SAco

Acr  Mobon

diagnosed diagnosed   Acute Lumbar Sprain Sprain  and she was treated treated wih oral oral aking aking anodyne , msage and eteal eteal applying medic medic plaster onto the pai pa i  reon At that time , the lumbago was relieved a litle and then she retued home for resting But only 1 day later  the lumbago became bec ame as severe  befo before re , furtheo urtheore re , it quic q uickly kly got worse and worse  so that she couldn ' stand it Then she was sent to the specialist policlinic of the hospital again Through CT scanning eamination , i was coned coned as  Prolaps Prolaps of Lumbar nervertebr nervertebral al Disc bewe beween en he 3 rd and 4th , the 4th 4th and and 5th 5 th Lumbar Lumbar Vereb Verebra ra  The doctors in the hospital  suggested that that the illness should be reated by operation  but the patient herse and her family did 't accept the the operatio operation n Then they asked me fo for trea treatm tmen entt on o n July July 1   999. Mte Mter the illness came on , her appetit appetitee , urinaion urinaion and defecation defecation were were  in normal , while she got got a bad sleeping sl eeping due to he sharp pain , i prevented her fro from m sleeping sleeping hroughou hroughou night. There wasn ' other complant Phyi Exaiati  e patient appeed conscious with an acute painful compleion She stretched herself out on the r  with continuous groaning and moaning Chest and abdomen all ormal The boh lower ereties couldn 't move about at all She daren t tu over and ge up. Prominent tendeess and percussion pain were present over the lumbosacra poron Pulse hready and uneven  tongue dark red with a thin thin layer of white fur fur No other abnormaity present.   C ng  g nteeebr spaces of he 3rd to the 4th , the 4th to the 5  lumbar verte vertebra bra bece more more naw han norma  suggested plaps of lumbar inteeebral disc. iagi  Prolaps of Lumbar Ineerebral Disc iereiat iereiati i  This disease disease , n TC , peans to the catego catego 

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lcton of of Sle-pont Accte  Moxbton Tep

of "JiGu " JiGuhag hag ( i i u of boe ad tedo tedo )  It dose dose t belog belog to to the cate catego goy y of of " isy i syd dome ome caused by by widdampess widdampess evil evil   It s o commo achigpai i he lumba egos ad he kee joits It w actually caused by impope exetig segth o he lumba egios  which caused a sudde foce acted o the lumba veeba ad the iteveebal disc violetly  the the lumba vetba was ijued ad the iteetebal discs wee cashed s o the iteetebal disc  although it has eve bee descibed i he wri writ tg gss of TC of o f he past ad the t he pes peset et , we should should objecively ecogie its fuctio ad the coectly dee its attibute attibute Because he aatomica aa tomicall positio of itee iteetebal tebal disc estles closely up to he boes ad its fuctio is to assist he boes i movig So that we ca coside that the attibue of ieveebal disc should be the appedage of boe  it should be he tedo attached boeit s meely dieet fom the commo tedo oy i shape. I this case  he impope exeig stegh stegh o he lumba egios caused the iteveebal discs wee cshed ad he lumba vetebas vetebas wee iued  the Qistaatio Qi staatio ad blood stasis stasis wee caused caus ed i i  he lumba lumba egos egos  which which obstucted the medas though though the the luma luma eg egio ioss ad caused he meidiaQi meidiaQi could   ow though he lumba egios as omal Because the lumba egio is the the movemet hub of whole body  it is the ecessa oad oad fo the mediaQi of Taiyag Bladde eda to pass though But he media i the lumba egios had bee obstcted by he stag stagatio atio of vial Qi ad blood blood stasis  the the the meidia meidiaQ Qii of Taiyag Bladde eidia could  t smoothly ad omay pass though the lumba lumba egios  whee hee is obstuctio obstuctio  thee  a pai So hat he paiet expeieced the isuffeable lumbago Therpetic Priciple  Reievig the secod symptom m

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e Record Record of SleAcont SleAcont Actre  Moxbton

he ace sage : regig he obsruce eria immeiaely wh acpcre  crg he prma sympom i he chic sage : afer he shar sharpp pai pai w relieve grealy  ecocio ecocio a a pils shol be se i orer o acvae he owig of b a remove bloo sasis  reo reoi i he he cshe cshe eo eo a orish he ire boe boe Acupctur Acupcturee Trete Tretett  B4  eiZhog of he exra sie was seece for for acpcre  1  5 c eee was veicaly veicaly isere io he seece acpoi  a he maiplae wh yig echiqe e e meriia-Qi ws gahere ogeher aro he eele  I rappe rappe he he whole lie of Baer eriia of Foo-Taiya Foo-Taiyag g wih gers a coiosly maiplae he eele wih yig echiqe Sch special meho ca simlae he meriiaQi o rapily rapily ow aog he meriia meriia  I I  his case  i eecively eecively slae he eelig sesaio o sprea pwar hrogh he bock o he lmb regios a owwar o he fee I iicae he whole lie of Blaer eriia of FooTaiyag ha bee compleely rege The eele was eaie i he acpoi for 30 mies oay oay , ri rigg he process of rea reai ii igg , i was reglly maiplae wih recig skills oce every 10 mies O wihrawal of he eele  i was gey roae aro aro a he plle plle o slowly i orer o elage he hole Eec E ectt Obervtio Obervtio  Uer oce sch acpcre reame he paie fel he sharp mbago immeiaely isappeare. She col col ge ge p  p     over over  si ow ow a wk abo abo a oce  s like a oal oe. Her hsba a agher were a amae a he magic craive craive effec  hey crie wih wih srse srse : How woerf woerf   Becase Beca se he lmbago ha bee grealy grealy miigae  he she was ol o orally ake Pills of Five-Drago mufacre by myse i orer o cre he iess compeely Mer 1 moh s reame of

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lton lton of of Slpont Slpont Ant a Moxbtn Ta

aupuure ad ora akig he pis ogeher og eher he paie ' s ivig ad workig beame orma ompleely she ould keep walkig sadig or sig for a og ime wihou ay diuy Al hese sigs reveaed he illess had bee ured ompleely Afer 3 years'  follow-up he iless did relapse The i's ed  

Yu female female age 65 yes yes aoua. Paet : Yu Chie Chie Cmpait Cmpait : Lumbago for 3 days Hity Hity  Peet Peet De  Three days ago he paie suered from a sudde pai i her wais whe she was movig a heavy obje. A ha me he pa was so sharp ha she ould si ie ad bed forward or bakward The she we o he surgal depame of a loa hospial, hrough physi examiaio i was dagosed dagosed as  Aue Lumbar Lumbar Sprai  she was reaed wih massage ad aupuure ( he seleed aupoi were B 4 Weihog ad some oher aupois i he lumbar rego )  Afer 3 days' days' reame reame he umbago was o relieved ye ye she ould o s walk ad lie as oal. So she ame o me for reame o uly 7  appeie sleepig uriao ad 22 Afer he iless ame o her appeie bowel moios were al i oal There was o oher opai Phyica Phyica Examiati Examiati   The pae appeed ervous h a aue paiful omplexio Pae ad luseress faes shoess of breah ad disiliai disiliaio o o speak. She was i passve passve posiio ad ould o s ad lie dow as oa Pulse hready ad ueve ogue dark red h a hi ayer of whie fur. The edge of ogue  was marked wih some spos of bood sasis. No evide ogesio i pharygeal wal Boh osils swelig    No abormaliy i boh lugs hear ad a d abdome. Moios of wais were severely limed lim ed 2

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e cord of SngAc SngAcnt nt Acture a Moxbton

she co no ben ben foar foar an backwar There was evie evient nt eneess over the aece region , accompanie accompanie with prominent msclar tension Percssi Percssion on pain over he lmbar region was was positive No other abnormality present g go o   Acte Lmbar Sprain eeto  This isease , in TCM , perains to the catego of  YXe YXeYaoT YaoTon ongg "  lmba lmbago go e to bloo bloo stasis stasis))  It was cas case e by improper exering exering strength strength on the lmbar lmbar regi regions ons , which case a sen force ace on the lmb mscle an tenon, so tha bloo stasis an stagnancy of meriian Qi were case in the aecte regions , ther theref efore ore , the patien ha he sharp lmbago Besies Besi es , in this case , sch sch symptoms symptoms as threay threay an neve nevenn plse plse , pale an lsterless complexion , shorness of breath breath an isincli isinclinai naion on to speak , al these signs sggeste sggeste the the eci ecien ency cy of healthy healthy Qi The ecient healhy healhy Qi coln c oln  t eectv eectvely ely promoe promoe he bloo owing l over the boy , therefo thereforre , the bloo stasis in the mbar regions col not be remove either Ths is why he previos acpncre treatment treatment ene in failre failre , for its its therapetic plan was simply esablishe merely accoring to synrome-ierenaion of meriians while the foer acpnctrist isregare jgement on the sae of Qi an bloo bloo all over the patient  s boy  n all he clinical pracice of TCM , to jge the stats of Qi an bloo of he whole boy is mch more signicant than only o jge the stas of one pa, pa , his his is js j s the manifestati manifestation on of TCM TC M  s holistic holistic vew applying in the concree clinical practice ) epetc epetc Pcpe Pcpe  Invigoraing the cariac Qi an reging the obstce obstce meriian merii an , activating he bloo owing an Becasee heart , as the paishah of whole removing bloo sasis Becas boy , is generally responsible for concng the bloo owing l 

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lton of of Sngleo Sngleont nt Ate  Moxbtn Te

ove the the body , if the the cadiac cadiac Qi could could be epleished epleish ed eectively eectively  coespodigly  it could also eectively eectively pomote the owg of blood a ad meidia meidia Qi all all ove ove the body s a esult of it , the obsuced meidia Qi could be favouably dedged ad he blood stasis i the umba egios could be also easy emoved So that the Shuacupoit of Hea eidia of Had-Shaoyi should be selected fo pomotig he owg of bood ad meidia Qi a ove he body Acupuct Acupucture ure Tret Tret  H  Shege Shege was seected seected fo fo acupuctue    0 cu eedle was iseed io the selected selected acupoit. e depth of isetio was about 0 6 cu The eede w maipuated with mild eifocig ad educig echique i ode o iduce the eedlig sesaio to spead upwad to the dia aspect of he foea ad elbow joit The eedle w etaied i the acupoit fo fo 30 miutes totally totally , duig the pocess of etaiig etai ig  the eede was egulaly maipulated with mid eifocig ad educig techique oce eve 0 miutes miutes O wthdawa wthdawall  the eede was gely tated aoud ad the pulled ou apidly ad he iseted hole was immediatey pessed my Eect E ect Obervati Obervati  Mte 2  3 miutes miutes of such acupuctu acupuctue e  the lumbago lumbago disappeed disappe ed at oce  she could fe feely ely std up  walk about about  sit ad lie dow dow wihout ay dicuty Mte Mte oce teatme teatme  thee was  t u ucom comfo fotab table le sesatio ses atio ay oge Me Me  week  s follow-up ollow-up  the illess did t elapse elapse  the the it s ed

10 Exteal Humeral Epicondylis  Paiet  Qu  femae , age age 46 yeas , accoutat Chie Cpla Cplait it  Pai of the dextal elbow ad foea fo

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e Reod of Sngle-A Sngle-A Aupte  Moxbton

half a year Half a yea ago , he pae �try try  Preet De  Half uere ueredd from rom a pa pa  he dexral ebow ebo w ad e ada apec ap ec of he dexr de xral al foea oeam m whou who u ay obvou caue So ha he could '  freey ex ad roae her dexral forearm a oal. Mer he lle came o , he we o a local hopal hopal , ho houg ughh phyca phyca exaao exaao ,  wa wa dagoe dagoedd a " Exe Exea all Huer Huer Epcod Epcodyl yl   , he he wa eaed eaed wh block heapy heapy  he aeced ece d ego Ude he reame reame , e pa wa eleved oo Neverhee Neverhee , abou 10 day aer, aer , he ympo became a ame a befo befoe e , moeo moeove ve,,    moe moe dcu for her o ex ad oae er dexral forea a befoe befoe Therefo Therefoe e , he had o go o he hop hopal al aga aga fo eame eame , he wa he reaed w acupucu acupu cue e fe ferr 1 moh  ream reame e,, he pa wa o eeved ye So he cae o e fo eame o Jue 23 23  20 2000 1 . f fe he le le cae o , e appee appee , eepg eepg , uao ad bowel moo wee al  oa Thee wa o ohe compla Phyica Phyica Examiati Examiati  The pae appeaed ucd wh a ormal geeral codo Togue g red wh a  ayer of whe fu Pue heady ad ueve The dexal ebow jo wa oa  hape ad rucure Roao ad exo of ebow o wee al lmed Evde edee wa pee ove he poeo par of dexal dexal ebow ad a d he rada apec apec of e dexal dexal oecrao , f preed preed h a ger , a ghg pa mmedaely mmeda ely appeare appearedd , fureoe , ada adag g o e  e dexra dexrall foear oear No oher oher aboaly pree iag iag i i  Exeal Humera Epcodyl ieretiati  Th deae ,  TC , pera o he caegory of  S Sag agJ J , ZhouT ZhouTog og ( u ury ry of edo edo , pa pa of elbo elbow w  , mo moe 

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ln ln of Spont Apt Aptre re an Moxbwon Terapy

popular popularly ly  it '  alo alo named a  WangQiuZh angQiuZhou ou  ( tenni tenni elbow elbow   It w caued by repeated working for a ve v e ong o ng time time , which inuried inuried  the regional tendon and then caued region blockage of meridian Qi  o that it became more dicult to eectively nourih the inued tendon tendon   a reult reult of it , there wa wa a pain in the ected ected tendon Therautic Pricipe  redng the obtructed median and collateral  removing the blood ti and aleviating the pain Acupuctur Acupucturee Treaet Treaet SI  Xiaoai Xiaoai of the aected aected ide wa elected for for acupuncture A 1  5 cun neede w obiquey ineed into the eected acupoint with the direction of it tip toward the detral hand The depth of ineion wa 1. 0 cun or o  the needle wa manipulated th rling and rotating technique o a to induce the needing enation of aching and nune to pread downward ong the detral forem forem Finaly , the needle wa retaine retainedd in he acpoint for 30 minute in total uring the proce of retaining , it wa regular regularly ly manipulated manipulated th th twirling and an d taing taing technique once every  0 minute. On withdr withdrawal awal  it wa genty twirled around around and hen pulled out rapidly  the hole wa immediatey preed mly Eect E ect Obervatio Obervatio  Under once once the above treatm treatment ent  the pain of detra ebow and radial apect of detral fore diappered immediatey The motion of the dera arm weren  t limited any onger After After 5 time time ' treatment  there wan ' t uncomf uncomfoable oable enati enation on any more more After After 5 month month  foowup  the illne illne didn didn ' t reape then it end

11. Hemohoid  emae  age age 54 yea yea  houe fe Pae Paet t  a  femae

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e Record Record of SAco SAco Actre a Mobton

Chi Com Comai ai  Heiation o lump om anus o moe than 30 yes , accompied accompied th epeated pain ; elapse elapse and aggvation aggvation o 7 days yeas ago ago , the patient Hitory Hitory o Pr Pr  D D  Mo than 30 yeas st expeienced expeienced noa pauition pauition At that time , a lump appeae appeaedd out o he anus Fom Fom then on  the lump had been intemittently swollen and sequentiay enaged in size as soon as she had oveoking oveoking  moeove moeove , accompied accompied with egional sweling pain and beedin beeding g Then she went to the th e local hospitals hospitals o o teatment teatment  te physical examinati examination on , it was was diagnosed diagnosed as  Exteal Exteal Hemo Hemohoid hoid  She w teated with extea appying many kinds o ointment and oa taking many weste medicine and Chinese hebs nde the teatment teatment these sptoms sp toms bece sometimes sometimes mild and sometimes sevee When occung seveely  the lump would elag elagee as big big as an egg  uthemo uthemoee , a discom discomo o and a sevee sweng pain pain wee always caused by iction o the lump and he undeclothes 7 days ago , the above symptoms symptoms wee aggavated again , she elt elt the lump lump heiated heiated out out om om he anus again  accompanied accompanied wih wih sevee sensation o ectal tenesmus Then she came to this hospita o teatment on Decembe 2   2 1 . t te e the ilness ilness ce on  he sleeping, appetite and uination wee a in noma te this attack o the illness illness , he deecation deecation was aso nomal , but it s sometime good good while while sometimes sometimes bad as usuay Thee was not ohe ohe compaint compaint Phyic Phyica a Examiatio Examiatio  The patient appeaed conscious with a noma gene condiion Tongue dak ed with a hin laye o white u Puse tense and uneven No evident congestion in phangea

wall Both tonsils swelling I   No abnoality in both lungs , heat and and abdomen abdomen An eggsized eggsized ump was seen out o the anus anus  it was pliabe in textu  touched upon , thee thee w sevee sevee tendeess ts ts

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lcon lcon of of Slpon Acp Acp   Moxbon 

sufa suface ce was coveed wh wh some some bood bo odged ged  h-eue h-eue eudae ad a aye of mucous memba membae e  whch was dak ed i colou ad ough  eue No ump could be ouched  he aea above he deae ie No ohe abomaiy pese iag iago oi i  Eeal emohoid ieretatio ieretatio  This dsease   TC  peais o he caegoy of  ZhTog ZhTog  ChagFegXaXue ChagFegXaXue  ( pa pa due o hemohod hemohod  hemaoch hemaocheza eza))  I was caused caused by he pauio pauio Whe a woma woma was was  he pocess pocess of pauo  she eeed heself  ode o foce foce he bood ad Q o go dowwad Thee heefo foe e  bood sis ad Q Q  sagacy sagacy appeaed appeaed  he he  aus a us  by whch he h e hemohoi hemohoidd was was caused Because he hemohoid was o emoved  me ad sayed hee hee fo may may mohs ad yeas yeas  he bood sass ad Qsagacy Q sagacy deeply go io he egio meidas ad colaeals The hee was he sydome of he evs hidig io he colaeals due o a log me s lless Therapeutic Therapeutic Prcipe Prcipe  Ivgoaig he YagQ YagQ  Goveo Vessel ad coolig he blood , emovig he blood sass ad acivag acivag he blood owg  dedgg he obsuced medas ad collaeals i ode o duce he subsdece of he lump Acupucture Acupucture Treatet Treatet  GV  ChagQag was seleced fo acupo ijecio ijecio  2ml 2m l of jecio of DaShe  Red Sage Sage Roo was jeced o o he acupo  he achg sesaio coud be duced duc ed o adae fod fod o he peieum , pef pefo om mgg such s uch acupo jeco oce evey ohe day Ho ad geasy food was fobidde duig he eame Eect E ect Ober Obervatio vatio   Ude oce above eame  he swellg pai aoud aoud he aus was gealy eeved Me 3 days ' eame eame  he swole ump bega o be smalle ad smalle ad hee wee

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e Record Record of Sle-Acont Acpte a Moxton

not pain and bleeding in the egional pat eady. fte 8 day of the above teatment  a the ncomf nc omfotable otable enatio enationn diappeaed. The hemohoid diappeed too. Only a laye of kinny fold fold lef leftt thee. Me Me 4 monh ' folowfolow-p p  the illne didn  t elap elape. e. Then i ' end.

12 Deaon of Qigong   Patiet  Shi  male  age 28 yea  maial at mae mae Chie Cpait Cpait : Lmp of ppe abdomen fo 10 month Hitry   Preet Ie Ie  Ten Ten month month ago  a aagehaped

lmp appeaed in he patien '  ppe abdomen becae he impopey execied Qigong at tha time. I wa accompanied with chet oppeion and dypnea Epecially when he wa pine on bed  he che oppeion and dypnea dypnea became moe pominent Sometime when he wa aleep at night  the evee che oppeion and and dypnea cold wake him p  p  only by maaging the chet and ppe ppe  abdomen abdom en  cold the dicom dicomfo fot t be elieved elieve d Ually  he ai-texed lmp ha obtcted hi che d abdomen pevened him h im fom doing any manal manal wok hen he epaately went to ome local hopial fo teamen fe many kind of teatmen teatment t  thee wa no cative eect eect on o n him a all Then he came came to me fo fo teamen teamentt on Ocobe 2  1993 19 93 Mte Mte the the illne came on  hi leeping  appeite appeite  inatipon and defecaion defecaion wee wee all in noal Thee wa not othe complain Phyica Phyica Exaiat Exaiati i  The paient appeed lcid with a noal noal geneal geneal condition. Ple deep  thenic thenic  ene and neven  tonge ligh ed wth a hin laye of white f No evident congetion in phangea wal Boh tonil weing I   he epiato ond

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liaton liaton of Slei Slei  Aut Aut a Mobon rap

wee all clea in both lungs No honch and moist ales could be head. Hea Hea negative The The abdomen was wa s soft soft and an d a att A soft ai tetued ump whose shape was ust lie a sausage could be clealy palpated unde the sin of the epigastium below the iphoid pocess  it was tangibe tangibe but nonmateia nonmateia No tendeess tendeess pesent oe the egion. No othe abnomality pesent ig  Deviation of Qigong. ierei  This disease  in TCM  petains to the catego of " PiQi PiQi  ( nonm nonmat ate eia iall lump lump es este tedd fom Qi-stag Qi-stagna nanc ncyy   t was caused by impope eecising of Qigong which caused the healthy Qi owed away fom fom the nomal way  theeby  the healthy Qi got out of the meidians meidians and became Qistagnancy Qi stagnancy out out of of the meidians  which caused the ai-tetued lump whose chaacte was tangible but nonmateial nonmateial.. n fact fact  it  s just the manifestation manifestation of Qistagna Qi stagnancy ncy out of the meidians Thereuc Thereuc Pricie Pricie  Reguating the functional actiities of Qi in Tipe Eneze pomoting and nomaing the ow of Qi l oe the dy sting the ss of Qi d dspesing the Qi-scy cuuc cuucure ure Trem Treme e : 2  YeMen of one side was selected fo acupunctue A 1. 5 cun needle w inseed into he selected acupoint The depth of insetion ws abot 1. 0 cun so  to stimulate the acupoint of TE3  ZhongZhu of the same side at the same time. te the needling sensation appeaed appeaed  the needle was manipated with ying sil in ode to induce the needling sensation to spead upwad along the gap between te 3d and the little nge  though the bac of hand and wist to the lateal aspect of uppe am At last  the needle was etained in the acupoint  duing the pcess of etaining the neede was egulaly mipulated wth ying si once eve 10 minutes.

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e Reod Reod of Silen Silen upuu a Moibion

ft Oao  uring h rocss of h av ran  h atin ha svr naus na usaa snsaion snsaion   hn hiccu hiccu  fqunly Th s of his hiccus was xly xly sour an foul anwhil  h airur airur lu in h ur abon abo n go go sallr sallr an sar sar In orr o rlivi rliving ng his nausa nausa snsaion snsaion   ry ry rss h acuoin of S6  ZuSan ZuSan wih y hub  for for by such way way  h gtc Qi co b b  ffcivly inuc in uc o scn sc n o Mr 20 nus  such ra ran n , his nausa snsaio snsaionn go or or an o fain fain  h h hiccus hicc us also isaa sowy  cosoningly cosoningly  h oinal lu isaa  Th n w ain in h acuoin for abou 30 nus oally On ihra ihrawa wall of h nl nl  i was gnly twi aun an hn ull ou iy an h i i hol hol w iialy rss ry Mr svr svr ays  followu llowu  h ilnss i inn ' rla rlas s  hn hn i 's n

13 Facial Furunculi  Zhao  a a  ag ag 3 8 yars yars  olican olican Pa Patt  Zhao Chi Com Comai aitt  Rss  swling an ulcraion ulcraion of ur li for 25 ays wnyv ays ago ago  h atin atin to o Pt s Twnyv sur fro a grou of crow r funcli on his ur li wihou any any obvious causs A h bgining  h fun funcul culii wr all us cosiz an h aacn surfac bca  an swon Lar on  h h c skins go ulcra an hn his ur li bca or swon swon an siv s iv  accoan accoan h svr svr swlling ain in h ac rgion So ha h co no sak alou an on his ouh wily wi ly Thn h wn w n o a local hosial for for ra ran n  through hysical hysical xaina xainaion ion  i was iagnos iagnos  as  Facia Facia Funculi  an

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latn f f Sleaupnt Sleaupnt Aute Aute a Mbwtn 

he wa treated wih intraveno dripping ome antibiotic ch a " Penicillin Penicill in and Amikaci Ami kacinn   Mter more than haf haf a monh   treat treatment ment  hi pper lip remained remained eroive eroive  red and wolen wolen a before. Then he came to hi hopital for treatment on April 2  22 Mer er the illne illne came on , hi leeping leeping  appeti appetite te , rination and defecaion were all in normal There wa not oher complaint Phyic Phyic Exmiio Exmiio  The patient appeared lcid with a normal general general condition condi tion Ple deep and thenic , tonge rich r ich red red with a grey layer of yelow fr The pper lip and the ace near both nare were all characterized by redne  welling , evere eroi eroion on  if toche tochedd pon , evere evere tendee tendee wold be pree preent nt , while while there were not prence d exdation in the aected region No evident congetion n phangeal wal Both tonil weling  o Boh lng all clear to acltation No rhonchi and moit rae cold be heard He and abdomen a normal No oher abnormaliy preent igo igoi i Facial Fncli ieretio  Thi dieae  in TC , pertan to the catego of " DingChang DingChang ( frnc rncli li   According According to to the the theor theoryy of merdia merdian n , the pper lip d the rface near both nare are all the peci region hgh which the ge Intetine eridian of Hand yaning pae. In thi cae  one of the mot protrdent character IS that the fncli t appeare  on thoe pecia region There Thereby by , it cleay ggeted that hi cae wa t the yndrome caed by he thenic heat of large intetine eeing pward along Large Large Intetine Inteti ne eridian eridian of Hand-Y angming The The pward attack of the thenic heat evil bt the region merdian and collater of the the pper lip li p and a nd the rface rface near the nare , o that the frncli were caed Ther Therutic utic Pricip Pricipe e  Venting the thenic re-toxin from

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 Rcod Rcod o o SiglAcoi SiglAcoit t Acupuctu a oxibtio

rge rge Intestine Intestin e eridin eridin of Hnd-Y ngming in order to to dredge the meridin meridin nd cool blood  ctive ctive blood ow nd remove remove the blood ssis  cer wy the het evil nd stringe stringe the fun funcul culi.i. ShgY Yng ng of one side w Acupctur Acupcturee Treatmet Treatmet  1  Shg selected for blood-letting therpy with  three-edged needle nd grlicpiioned moxibustion. The selected cupoin w puncured th  hreeedged needle in order to bleed mo thn 10 drops. fter the drk red bld ws dropped dow  the colour of the blood ould become fresh red duly  t ht time  the hole should be pressed rmly with  cotton b in order to sop bleeding in time time Mterds terds   piece of coin co in-shped -shped glic ws se onto the cupoint for being bked by  firing mox roll. hen the pien felt very ho ho  he mox roll should sho uld be be tken wy wy fo for  while whil e  perf performing orming such grlic grlic-pitioned -pitioned moxibustion moxibustion for for 30 minutes ech time tim e  twice  dy dy In the process of eve grlic-pritioned grlic-pritioned moxibusion ,  new piece of coin-sh coin-shped ped grlic should be used. During the tretment tretment his diet ws free of hot  esy nd ft food retme tment nt  he pient didn  t Eect Oervao : Mer once re suer from the swelling-pin in his upper lip t once Mter wo dys dys  tre trement ment  redness redness  swelling swelling nd nd ulcerion of his upper lip were ll ll cured completely co mpletely Mter 1 month  s follow-up ollow-up  the iness didn t rel relpse pse then then it s end

Chapter Three Disees of Obstetcs d Gyecolo 1. Pedicotorsion of Ovarian Cyst   Patet ng ng  femle emle  ge 37 yer yerss  ccount ccountnt nt

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ltn of Sl Sle ent nt Acute a Mobtn apy

Chie Compait  Coto teg p of ter lower

bome for oe   hlf ye  e evere prcklg p of ter lower bome for 30 mte. Hitoy Hitoy o Peet Peet e e  Oe   h ye go , the ptet ere from coto teg p  her ter lower bome bome wtho wthott y y obvo obvo  ce It w  t ccompe ccompe th fever, ver , chll , vomt , he he  other comf  comfort ort. . e he wet to  locl hoptl for tretmet Mter the emto of ltroogm B  t w goe goe  " Ster Ste r Ovr Cyt   The he w trfee to  hopt  zho for rrgg to ccept  operto Whe he w hvg hvg ome reltv reltvee preopertve em emt to o o Octo Octobe berr 1 2  1993 19 93  he ely ely h  hrp hrp pcklg p  her t ter er lower lower bome bome , t ' o ero ero tht he co t t t t. Throg Throghh mmete mmete phyc phyc emto emto by her octor, octor , t w oe   Pe Pecotoo cotoo of Ov Ov Cyt Cyt  . The The he w trete wth trmclr ectg ome oye g ch ch   Aome , Atrope Atrope   Pheerg Pheerg   whl whlee the p p col t be llevte yet. he eble p me her og  mog mog cotoly cotol y At tht tme I hppee hppee to be there there  o her octor ke me for qck toppg the p. Sce the lle cme o  her ppe ppette tte  eepg , rto  ef efecto ecto h bee a orm There w ot other complt Phyica Examiat Examiatio io  The ptet w eo wth  cte pfl compleo Swetwette boy , coto grog  mog oge lght re wth  th lyer of whte f. Ple rp , tee  otg otg No bomlty bomlty  he  both lg. Teee  mclr teo teo  were preet over the ter lower bome bt wthot rebo teee. No other bormlty preet

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e Recod Recod of Sngle-Acpon Sngle-Acpon Acpe  Mbon

Exiatio o troogram B  Uerine and he adnexal

eas wee al in nomal Volume of he sinise ovay was 7 cm  5 2cm 2cm x 5 cm cm  whee a cysiform mass whose volume was 6 4cm  5 6cm  4 3cm was exp expoe oedd ou  in which hee wee wee some so like and segmened echos No ohe abnomaliy pesen. I suggesed a cysifom ms in he sinise adnexal aea iag iago oi i  Pediculoosion of Ovaian Cys iereatio  This disease  in TC  peains o he caegory of  ShaoFuZheni ShaoFuZhenia a ( ms in lowe abdomen abdomen )  I was was caused by bood sasis in owe abdomen  which was accumulaed accumulaed ogehe in owe owe abdomen fo fo monhs monhs and a nd yeas yeas  nally i i  esuled esuled in a mass mas s of of he owe abdomen abdomen A pesen  he sevee pick pickling ling pain indicaed indic aed ha he mass pessed and obsced he adjacen adjacen meidian passage passage  heeb heebyy  he meidian Qi of ive meridian could no smoohl smoohlyy pass p ass hough hough he aeced egion  and hen  hen he funci funciona ona acivii aciviies es of he he meidian Qi was disubed So ha he paien was aacked by he prickling pain in he low abdomen Therapeutic Priciple  Dedging he obsuced meidian and colaeal  pomoing pomoing bood cicuaion cicua ion and and acivaing acivaing he sagnan sagnan Qi  emoving bood sasis in ode o elieving he pain Acupuct Acupucture ure Treatet Treatet : L  LiGou was seeced fo acupuncue A 1  5 cun needle was veicaly inseed ino he seeced seeced acupoin  he deph of inseion inseion was abou 1 . 2 cun The neede was rs manipuaed wih lifing and hsing echnique in ode o poduce he needling sensaion sensai on  afe he needling needling sensaion appeaed appeaed  i was manipulaed wih educing echnique echnique so as o induce he needling sensaion o spead upwad and downwad a ove he whole ca and he ankle  furher urhermo moe e  he needle sensaion was induced o spead upward o he peineum and lowe

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lition lition of Sileaoint Sileaoint Ature a Moibtion Teap

abdomen. abdomen. Finally Finally , the the neede wa wa reained reained m the acpoint for 30 mintes ota otaly ly  rel relyy maniplating maniplating the th e neede with redci redcing ng techniqe techn iqe once eve every ry 0 mintes On withdr withdrawal awal of the neee , it was genty rotaed arond d then plled ot slowly in order to enarge he hoe Eet E et Obervaio Obervaio  Mter perfoing sch reamen for 0 mines  he pain was relieved relieved greatl greatly. y. Mter 30 3 0 mines ' acpnctre acpnctre , the pan disappeared disappeared completely completely 3 days later later the the patient was treated treated wth wth an operation operation Mter he operatio operationn , her doctors doctors told me that they excsed excsed a cyst  which which was a big as a st st Then t 's end

2 Pa of Breast  emle  age 38 year year  work worker er Pae Paet t a , femle Ce Ce Compait Compait  Pain of dextr breast for  day to o Preet s One day ago  the patent was hi by her hsband hsband ' s st on her dexral dexral breast when they were ghing Immediatey she got an inserable severe pan in the breat Then she wa qckly sent to a locl hospital and treated by oral oral taking " Pill of of Notoginseng and Brfen Brfen and exe applying applying  Sao Saowe werr Ol Ol   Mter ter  day 's treatm treatment ent , he ns ns fferable pain pa in was not reieved  her dextral bret becam b ecamee even more swollen in sie sie and got cyanosed in color, color , more trobles troblesomel omelyy  the sharp �ain immediatey rritated her  soon as her nderclothes oched the breast. ost intolerablely , even her breathng aways agavated he severe severe pain pai n It severey severey prevented her her from from sitting  wking wki ng as normal. Then she came to me for treatment on November 23 23   993. Since the iness iness came came on , her appet appetit itee  see seepng png , nation nation

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 Ro Ro of SlA SlAo o Au a Mobo

n eecon h been ll nol There w no oher compln Phyic Phyicl l Exio Exio  The pen w neo wh  ce pnl pnl compleon compleo n Tonge lgh re wh  hn lyer o whe r Ple ong n ene Boh lng , her n bomen were ll norml norml The The e erl rl bre bre w obvoly obvoly woe woenn , he 1  , 3r 3r  n n he 4h qrer qrer o he bre were ll everely conge co ngev vee , ome ecchymo ecchymoe e col be een on he ce o he ece ece pr  hey were were   re or prple , cynoe n color color No oher bnoly preen ig igo oi i : Conon o Be orce , whch whch eretio   w ce by he eel orce enly h he bre n eveely rnge he owng o regonl mern mern Q n n boo boo Thereby , here were bloo  n gncy gncy o Q n he bre A o women , he bre eenvely converge he Q n bloo o he Jeyn mern ccong o he heory o TC ,  growh , ccy n l he ncon cve re coely reve o he phyologcl e o he Jeyn mern So h h ce w he ynrome o bloo  n Q gncy o Jeyn mern n eence Therpeu Therpeuc c Priciple Priciple : Drwng e bloo  o om he Jeyn men , regng he obrcon n he eyn men Acupuctur Acupucturee Trt Trtet et : BL BL14 14 , JeYnSh YnSh o el el e w elece or cpncre cpncre n cppng her herpy py A 1  5 cn neele neel e w verc vercyy nee n ee no he elece elece cpon , he eph o neron w bo 0 8  cn The neele w  mnple h wrng n rong echnqe n ore o nce he neelng enon enon , er he neelng enon ppe ppee e ,  w mnple mnple wh recng echnqe The neele w ene n he cpon or 30 mne mne olly olly , mnplng he he neele wh wh recng rec ng echnq echnqee

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liation of of Siaoint Siaoint utu utu a Moiution Ta

once eve 1 0 mnutes mnutes On On wthdraw wthdraw  of the neede , t w shaked around and puled out slowy n order to enlarge the hole ter perf perfong the acupuncture , cuppng therapy was empoyed empoyed mmedatey mmedatey , a cup was quckly quckly paced onto the seected acupont wth retnkng retnk ng method method  keepng the cup on the acupont for for 1 5 mnutes toty Ec E c Obrvaio Obrvaio  Under once the aove treatment, the pan n the dextra breast was greaty releved at once The patent coud breath breathee , wak , stand stand , st and sleep as normal wthout any uncomfortbe sensatons te 3 tmes ' treatment , the pan dsappeaed completely Then t's end 3 Dysmenohea  

female , ge ge 23 years years , coege coege student Pa  Ln , female hi ompai Abdomnal pan for 2 days after

menstal

onset ory o      Two days ago, the patent's menses

occued At that tme tme , she had to go ong-dstance nnng at a sports meet ter nng, she had a sudden pan n the ower abdomen , accompaned wth achng pan all over the ody Then she w sent to to a oc oc hospta hospta for for treatment treatment Through physcal physcal eamnat eamnaton on , t was dagnosed dagnosed as  Dsmenohea Dsmenohea and she was treated th ntramuscula njectng antspasmodc ter 2 days  teatment , the patent stll suered fm the pcklng pan n the owe owe abdomen , and her menses owed out ve ve unevenly Then she came to ths hosptal for treatment on Decemer 23 , 1997 te the lness came on , her her appette , seepng , urnaton urnaton and and defecaton defecaton were were l noa There was not other complan 310

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e Recrd Recrd f SAc SAcnt nt Acuputue a Mbtin

Phyc Phyc Exi Exi  Te

atent aeared conscous wt an acue anul anul comle comleon on Se was gonn gonngg and moanng moanng connuously Tongue dar red wt a n layer of we fur Pulse tense and uneven. Te mucous memrane of te angeal wa wasn wasn '  congestve Both tonsls swellng    No anomal sgn n ea and lungs Te adomen was sof and at. Mld endeess was resent at te mddle of e low adomen  t tere wee not reound tendeess and muscula tenson. No oer anoaly resent. ig ig    Dysmenoea. etans o te categ category ory iere iereti ti   Ts dsease  n TCM  etans of  Ton ongJ gJng ng  dy dysm smno noe eaa )  Ge Gene nerl rlyy seang seang  to a woman woman  te te state of er Q and lood would ecome weaer tan noal durng er menstru menstrual al eod  moreover moreover t 's ve easy tat te menstation menstation as affected y e eteror or nteror facos. facos. So ta   s vey morant for a woman to oerly rotect erself from eng aected n er mensual erod However  n hs case  te aten dd 't ay atenton o nusng eel well n er menstrual eriod. Se ad stenuous eerse wen er menstaton occued. Terefore  not only te owing of te Q and lood all over te ody was severely severely dstured dstured  ut also the Q was etra etra consumed. consumed . We Q s e commander of lood lood  t commands commands e owng of lood lood Wen W en Q was etra onsumed  t ecame too wea to effectvely romote romote te owng of of lood as noal. noal. As a result of t  te menstaton menstaton could not smootly ow out as nom and ten tere was lood sass n the uteus So tat te atent ad the riclng an n te lower adomen. There Thereuc uc Prcl Prclee  Dredging te ostcted medan and colaeral  romon romongg lood crculaton and actvang te staant 311

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uciatin f Saci cuc a Miwtin 

Q , removg the bl t  orer to top the p. w Acpc Acpcre re Treme Treme  LR , Zhog of oe e w electe for for cpctre A  . 5 c c eele w vertclly erte to the electe cpot , the epth of erto w bot  . 2 c The eele w rt plte plte wth lftg  thrtg teche teche  orer to proce the eelg eto , fte fterr the eelg eto ppere  t w mpte th recg teche o  to ce the eelg eto  pre pwr  owwr ll over the whole c  the kle , ( ometme the eele eto col be ice to pre pwr to the perem   lowe lowerr bo bome me )  F Fl lyy , the the eele eele w w ret ret e e  the the cpot fo for 30 mte totl totlly ly , rg the the proe of ret retgg , the eele w reglrly mplte wth recg teche oce every 0 mte O O thr th rw w , he eele w hke ro ro   ple ot lowly  orer to erge the hole Eec ec Oeio Oeio  Uer performg ch cpctre for  0 mte , the bom p w releve gre gretl tlyy , he   t gro gro  mo mo y more Mter oce tretmet tretmet,, the p p ppere t  She w trete trete by ch c h cpctre cpctre tce tce totlly totlly ,  the there there w t com comfo fort rt o her y loger After After  week  foll followp owp , the boml boml p  t relpe relpe ,_the t  e

  emle , ge 28 yer yer , pe pe tt Pi Pie e  N  femle Chie Compi Compi  Repete boml p wth metr oet for 3 ye o o Pree e  Three yer go , the ptet ofte ofte worke  the mp el  el , he he he lowly e ere re from repete boml p ter every metl oet. Oce her metrto

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e Red f SieA SieAi i Aunue a xiin

occe , a ach a wol aso aea  the lowe abome , accomae accom ae wth sevee seve e lmess lm ess of mbs  lasste lasste , fate a ach sesao all ove the boy, so that se ha o have a est at home sly sly the sevee a a evete he he fom fom o o some some commo ay wok by ee ee Sce the less came o , she ha bee to some hostals fo teame Toh yscal examato , t w aose as  Dysmeohea Dysmeohea  a she was oft ofte e eate eate t oa ak some hese hebs a wese meces Sometmes whe he aboma a becme becme moe omet , she ha to be eate eate wth wth tams tamscla cla ject ject  Asoame Asoame a Atoe Atoe  Ove the as 3 yes , she was cotosy aoye by the aboma a , whch was eeatey case by he each mestal ose e she came came to me fo fo teamet o ach 23  199 oh oh someboy someboy Mte Mte he he lless came o , e e aete , slee , rato a bowel moos wee a  oal Thee was ot ohe comlat Phyi Eia Eiatio tio   The atet aee c h a om eeal coto Plse eay a so , toe ale a teethte wth a th laye of watey f No evet coesto  hae wall Both toss swell I o eat a s wee al omal The abome was soft soft a at Thee wee o teeess , ebo teeess a mscla teso  ove the the abome abome he stcte stcte  movemet movemet of the lmbs wee al omal No atholocal eect eect ostve ostv e No othe othe abolty eset iag iagoi oi  Dysmeohea iereatio  Ths sese ,  T , eas to the cateo of  To To ( ysmeoea ysmeoea   t was case case by amess amess-- col evl , whch soake soake the boy bo y fo may may moths a yea The Thee efo foe e ,

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ucon of S-upoin Acupuncu a Moxbwon ap

te dampness-cd evi attacked te uteus and ten caused tee was accumuatin f dampnesscd evi n e uteus As a esu f it  te menstuatin menstuatin cud nt smt smt w ut as nma nma  ten te patien ad te dsmen dsmenea ea n addi addin n  Qi and bd f we bd wee as saked b te dampnesscd evi f mnts and eas  teef teefee  it pevented te Qi and bd f fm m ng ng sm as nma nma  wic was manifestate manifestatedd b e sevee mpness f imbs  assiude assiude  fatigue and acing acing sensatin a ve te t e bd Therapeut Therapeutcc Prcpe Prcpe  Waming te uteus in de t epe te cdevi cdevi   actvaing te wng wng f bd and emving emving te te bd sasis  naizing and eating te menstuatin  waming and dedgng te meidians Acupuct Acupucture ure Treatmet Treatmet  CV4 GuanYan was seeced f acupunctue and eb-cake eb-cake mibustn mibustn Te teatment was peed in te peid 1 week week bef befee e menstua menstua nset nset At st  a  5 cun neede was pependicua inseed n e seected acupint  te dept f insein was abut  0 cun Te neede was st manipuated t md educing and einfcing tecnique n de t pduce te needing sensatn  afte e needing sensain appeaed appeaed  it was manipuated manipuated wit eincing eincing tecnique tecnique t induce induce e acng and eaviness needng sensatn t spead aund aund Fina  te neede was eaned eaned in e &cupint f 30 minues minues in tta tta  manipuating manipuating te neede wt ein einf fcing cing tecnque tecn que nce eve 0 minutes dung te pcess f etainng etainng On wtdawa wtdawa f e neede  it was pued u apd apd  and te e was was immedae immedae pessed pessed ed. ed. tea tead d  eb-cake eb-cake mbustin mbustin was emped mmedate e pescptin f te eb-cake was as bew XuDuan  Tease Tease Rt 5 g

314

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e Reod Reod of Sile-Ai Sile-Ai Auutue  Moxiton

XuDu, Teel oo 5g X X o o , Cuculg Cuculgoo hz hzom omee 5 g NuX , Achh oo 2g DgGu DgGu  Chee Agelc Agelc oo oo 5 5 g ouGu ouGu , C Bk 3g ChuXog , Chuog hzome hzome 5 g All he bove heb wee o be ou o e powe ogehe ogehe Whe ue ,  lle of he he powe w me wh ome ou  gge juce o mke cohpe hebcke Oe hebcke w e o he elece elece cupo ,  he bke wh  g mo mo ll fo 3 mue oly  pefog uch cupucue  heb cke mobuo oce  y The eme houl be oppe whe he meuo occue I o , he w uggee o y o cool  col foo ug he eme Eet Obervat Obervatio io  Me Me 5 me  uch uch e eme me , he pe  meuo ecue Dug h eeul peo , he meey uee fom lgh heve  eg eo  he lowe bome , bu he chg p  o come come bck g g ue , fgue  lmpe of lmb lmb wee ll eleve gely The he w ol o hve uch eme oce moe  he peo 5 y befoe he e me oe. Me uch eme, he pe   uffe fom y comfo y moe ug he eme eme u u peo Me Me  moh moh  follo follow wup up , he lle    el elpe pe , he he     e

4. Postpartum Postpartum Subinvolution Subinvolution of Uterus  houewfe e Patiet    femle , ge 2 ye , houewf Che Che Compait Compait  Popum boml p fo  y

315

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uiation of of Sieai Aute a Mibion r

the ptent ptent tory tory o o Pree Pree e  Seve y go , the expeene he t ptto om then o , he n he he nn nntt h been been  n nom nom  y go  he eny eny ee ee o om m  pn n the owe bomen bomen wthot ny obvo e It   poxym poxym l pn n oe oe ometme ometme mly  ometme ometme eveey , bt t w 't ompne wth hehe hehe , e  hemoh hemohge ge n othe nomotbe eton Then he w et to  o hopt o tetment tetment Thogh Thogh phy exmnton , t w gnoe  " otpt otptm m Sbnvoto o Ute Ute  , he w w tete tete wth tveo ppg ome tpmo n eegy g Mte  y   tetm tetmet et , the bomn bom n p  ot bt btee yet , t t oe ntemttenty Then he hbn ke me o tetmet on Novembe Novembe 23 , .  . Mte e e e on , he ppet ppette te  eepng  to n bowe moto wee  n noml. Thee w ot othe ompt Phy Phy Exmo Exmo  The ptet ppee oo wth  o gene onto Tonge ght e wth  th ye o whte . Some petehe w ee on the ege o the tonge e tt , they n neve No evet ongeton  phynge w Both ton welg   et  both g wee  ol. Sot  t bome wthot ebo teee  m teo Spee  ve mppbe n both eootl ego Gyneoogl exmto evele the  o te w t the eve 3m 3 m beow the mb m b   whh w ot ot  texte texte wth wth t tenee , the vg w w obtte wth ome k e boo n  No othe bnoty peet go go  otptm Sbvoto o Ute the tego ereto  Th ee ,  TC , pe to the o  Cho ChoT Tog og ( potp potpm m bom bomn nll p )  It w w e e

316

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e Reod Reod o SAo SAo Auputure a Moxbuson

by e pospum deciecy of Qi d bood  e decie Qi d bood bood were ibiiy ibiiy o eecivey eecivey sr srge ge e ueus ueus s orm  e e bood ssis ws reied i e Jueyi meidi d ere ws sgcy of meridi Qi i Jueyi meridi o  e pie d e pi i e ower bdome Thraputc Pricpl  Dredgig e obsruced meridi d coe coer r  ivigorig Qi d removig removig bd ssis  civg e sg meridi Qi d reievig e pi ZogDu of oe side w Acupuctr Acupuctr Tratmt Tratmt LR6  ZogDu seeced seeced for for cupucure cupucure A rs   1. 5 cu eede w peedicuy peedicuy isered io e seeced cupoi e dep of iserio ws bou 1  cu Te eede ws rs mipued wi wirig d oig ecique i order o iduce e eedig sesiof sesiofe err e eedig sesio ppered  i ws mipued wi mid reducig d reiforcig ecique so s o iduce e eedig seso o spred dowd og e eor spec of e ibi  coiuousy  i ws mpued mpued wi  ee ecique of Yg idig i Yi coiig e erpeuic ieio of reifoig reifoig eec precisey resideig i e reducig eec) d e ied i e cupoi for 30 miues oy Durig e process of reiig e eede ws egury mipued wi e ecique of Yg idig i Yi oce eve 10 miues. O widrw of e roud d e pued pued ou rpidy d e eede  i ws wied roud isered oe ws immediey pressed y Ec E ctt Orvati Orvati : Uder oce bove reme e bdomi pi disppeed immediey Te se ws od o py eio o uig uig erse we Afer  week  s foow-up  e pie ws i good codiio  og. o g. Pysic Pysic  emiio reveed  e ivouio of er urerus d cieved 317

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lton of SleSle- po po Acptre Acptre  Moxbton Tepy

completely Then t s end.

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Posaum Posaum Pain Pain of Wst Wst



Da  fema female le age age 24 year yearss , worker worker Pt Pte ett  Da e at  Post pan of de wrst for 9 monts  o Preet Preet We We  Nne months ago the patent experenced her rst patuton. Haf a month later she had an achng pan n her dextal wst. t was a contnuous achng pan and ected the moton of the dextr wst so that she couldn't do some common daly workng such  holdng a bowl o lftng a pal. Then she was sent to a ocal hosptal for treatment  through physc  " examnaton t was dagnosed as Rheumac Arthrts . She was then teated by exteal applyng plaster and or takng some anodyne dgs ter almost half a year  s teatment  no protrdent curatve eect appeaed on her Then she had to be teated by acupuncture , the used acuponts acuponts are are mostly located n the aected aected ont such as   HeGu and 1  QuCh and so on She accepted such treatment for 3 months n total whe she stl sffred from the achng pan n her dextral wst as beore hen she came to me for teatment on November 12  992 992 After the llness came on  her appette  sleepng sleepng  urnaton urnaton and defeca defecato tonn were were a n noal ere was not othe complant. sa E Eto to   The patent appeared lucd wth a normal generl condton Pulse tense and uneven tonge dark red wth a thn laye o whte fu ea, both lungs and abdomen al negatve negatve The dextal wst was normal m stctu and conguraton Pomnent tendeess present over the lat latera erall and steor sde of the dextral jont  dorsexon and abducton were a 318

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e Recod Recod of leAco leAcott Acupuctue  Mxbto

lmted. No redness nd swellng n the ffected egon No other bnomty pesent. iag iagi i Postprtum Pn of Wst e e a a    ws ced by tprn decency of Q nd bl e decent Q nd blo could not smhly ow s norml  then the ws could not b dequ dequte teyy nous noushed hed t e no noll level level  so tht the pten suered om he chng pn n the wst Therapeuti Therapeuticc Pricip Pricipe e  Nourshng blood nd ctvng bood owng n ode to dequtey noush the ffected ont nd releve he chng pn n he ont ws Acupucure Acupucure Treatmet Treatmet  B L 17  GeShu of one sde ws selected fo cupuncue nd herb-cke moxbuson. At rst  a 1  5 cun needle ws pependc pependcully ully nserted nserted nto the seleced cupon  the depth of nseton ws bout 0. 6 cun he needle ws t mnpulted wth mld educng nd enorcng technque t ws retned n e cupont cupont for 30 mnutes otlly otlly  mnpultng mnpultng the needle wth he sme technque technque once every every 10 mnutes. mnut es. On wthdrwl of the needle  ws pulled out rpdy nd the hoe ws mmed mmedtel telyy pessed pessed ed wh  cotton bl terd  he heb cke moxbuson ws employed mmedtey he prescrpon of the hebcke ws s beow  DngGu DngGu  Chnese Ange Angelc lc Root Root 30g SheX SheXng ng  Musk 1 g Xue Xueeng eng  Spho Spholob lobus us Sem 50g 5 0g  the ve hebs wee to  ound nto ne wde ogehe hen used   ltte of the wder ws med wh some ou d nge uce ogeher to mke conshd herb-cke One heb cke w set on the seected cunt  nd then bked th  ng mo- for  mnuts totly omng such cupunct d heb319

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litin litin f Siaint Ate a Mibtin Terap

ake xuston one a day A te se tme te patent w told to sage e dex st 3 tmes a day  5 mnutes eve me ang pan pan Eect Ee ct Obrvat Obrvatio io  te  days  teatment  e ang n te st dsappeaed e 0 days  su teatment teatment  te paent paent ddn t suffe fom any dsomfos any moe te alf a yea  s follo ollo-up -up  te llness ddn t ela elapse pse  ten ten t s end. 6 Menopaus Menop ausal al Syndrome Syndrome 

Zao  feme  age 5 1 yeas  eted ok oke e.. Patiet  Zao Cest oppess oppesson on  palptaton palptaton  nausea nausea Ce Comait Comait  Cest

and and

abdomnal dstenson fo moe tan 2 monts monts ago ago  te Hitory o Pret s Moe tan 2 monts patent suee sueedd fom fom est est oppesson  palptaton  abdomn dstenton and nausea tou any obvous auses ese symptoms oued paoxysmally Wen oung seveely se sueed fom te est opesson so mu tat se ould adly suppo eself e beat eame uneven and dult  at te same tme  tee appeaed sevee palpaton and fequent nausea sensaton As beng n te seng eng se alays tended to sk out sometng le notng od od be vomed ou In addon  · te patent usually suff suffeed eed fom fom abdomnal abdomnal dse dsenso nsonn  poo appete appete and anoexa e e te llness llness ame on  se ent to a loal osptal osptal fo fo teatment houg houg pysal pysal examnaon examnaon  t as as dagnosed as  Menopausal Syndome" Syndome "  se se as as gven gven te te amen of oal oal akng some mednes su as  olus of Sx Dugs Dugs Inludng Inludng emanna emanna VtC  Vo  Ozan Ozanol ol and Ps fo eat eatng ng Menopausal Menopausal teatment ent  te above symptoms Syndome  Afte 2 monts  su teatm ould not be evated yet en se ame to ts osptal fo



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 Rcod Rcod o Sg SgAc Aco o Acupucu  Moxo

tetet o y 26 , 22 Afte the e ce o, he ppette got poo whe he eepg, to ad defecto wee   o Thee w ot othe copt Phyical Exaiaio  The ptet w coc wth  o gee codto Pe tt d tee , toge dak ed wh  th ye of whte f No evdet cogeto  phge w Both to weg  o The eptoy od  both g wee  ce No hoch d ot e cod be hed He d bdoe  egtve No othe boty pee iag iagoi oi : Meop Sydoe iraio  Th dee ,  TCM , pet to the ctegoy of FR  FReZ eZgZ gZoo  ( hye hye of woe )  It w w ced by dececy of heptc d e Y de to ehto of epodctve eece  the eope tge The decet heptc d e Y cod ot effectvey et the hypectvte of heptc Yg , the the hypectve hypectve heptc Yg decty ced the eo votg d e eto ; ddty , the hpectve hpectve heptc Yg ecevey ppeed ppeed the pee , he the eceve ppeo o pee eted eted  bdo b do dteo , poo ppette d oe oe  ftheoe theoe,, the hypectve heptc Yg Yg dtbed the co ctve ctv e of het het , the the chet oppeo d pptto wee ced hrapuic Pricipl  Ceg wy het ev d coog the ve, tkg the tbbo Q-tgcy d dedgg the obtcted obtcted ed , egtg egtg the fcto cve cv e of he te og Acupcur Acupcur ra ra  : S1 , DBo of oe de w eected fo heb-cke obto The pecpto of heb-cke w  beow  31

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liion of ileoi ileoi Auture a Moibwtion Tera

HagQ HagQi i , Sctel Sctella la Root Root   g Haga, Coptis Root g Big BigPia Pia , Boeol Boeol g MuDnP  Tree Pecny Bi ZOg

ZhiShi ZhiShi  Immat Immatee Bitte Bi tte Oage Oage   g ChaiH,Bplem Root g QigPi, GeeTagee Peel g ShegDiHag Ded Rehmaia Roo 20g All the above hebs wee to be god ito e powde ad mixed mixed togethe togethe.. Whe sed  some som e mixe mixedd powde wee wee mixed togethe with some wat ad o to make ot a coi-shaped heb cake , oe heb-cake was set a the acpoit of S1 , DaBao i ode to be baked with a ig moxa oll pefomig sch heb-cake moxibstio 30 mites each ime  oce a day day Dig the teatmet , he diet shold stay o ho ad geasy food Eec E ectt Obevo  Ude oce sch heb-cake moxibstio the patiet had ats costaly. Howeve he chest oppessio, papitaio abdomial distetio ad asea wee ll aleviated ealy Afte 3 imes  heb-cake moxibsto hee was ot othe comfoable sesatio ay moe Afte 8 times teatmet the patiet go ecoveed compleey. Afe 3 moths  follow-p he patiet was i good health a alog, the it s ed 7 ukohaa 

emle  ag agee 24 yea yeass  coeg coegee Pti Ptie ett  Yo  femle Chie Coplit Coplit Pose lekohea

sdet sdet fo half a yea

accompaied wih faige ad lsitde toy o Peet Dle Dle   Half a yea ago , e paiet 3

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 Rord Rord of Siloi utu a Moxibtion

ere ere from from profe profe lekorrhe lekorrhe who y obvo e  ompe wh wh f fge ge  le l e of whole boy Ully  her lekohe lekohe w prof profe e  mo mo , whe  olor olor  rb rb   ere ere ,    lke lk e he he rewer. Thereby Thereby  her erp erp w w  ofe ofe wee le here here were were   pe pell mell  p p  bleeg bleeg Afe Aferr he lle lle me o  he we we o  lol lol hopl for reme Throgh Throgh phy phyll emo  here were o org hge o her She w he ree wh ome mmo rg  Chee Chee pe pe mee mee Me Merr hlf  yer   re reme me  he ll ff ffer ere e from he profe profe lekorhe lekorhe  whh whh oe o e o ool olyy  looke lke ewer  ewer ore robeomely robeomely  he ere ere fom fom fge fge  le le l l log  whh whh wy e  e he he h h evere lmpe of lmb The he me o h hop for reme o Jly 1  1992 Afer Afer he lle e o  her ro  bowel moo were were ll  ol. B her ppee w w  poor l log There w o oher ompl Phy Eama Eamato to  The pe ppere oo wh ple  lerle ompleo. Sprle ppere ppere , he of Q  lo lo o pek le lppe lppe  oggy  oge lgh re wh  h lyer of whe f fr r No eve ogeo  phge wl. Boh ol welg I  The repro o  lg lg were l ler  o rhoh  mo mo rle ol ol be her her No borm borm g  her  bome yeolog yeolog  emo emo egve No oher bormly pree agoi  Lekohg ere ere at ato o  Th ee ee   TC  per o he egory egory of " DX DX  ( leko lekoh hg g   U Uer er om oml l o oo o  wom wome e   lekohe em em from from he pleeY plee Y  whoe ore  ly foo foo  wer. The phyoogl fo of ekohe  orhg

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li of ieacupoin ieacupoin Acupucue a Miion hea

ad brcag e vaa e splec Q s resposbe for corolg s secreo  ormal lm  s case, e splec Q as oo asec o effecvely co e secreo of lekoea  e oal lm erefore ere as exra cosmg of Yd of body c as mafesed by e profse lekorrea Theapeu Theapeutic tic Piciple Piciple  vgorag splee ad beeg Q so as o corol e secreo of ekoea  e ormal lm Acupuct Acupuctue ue Teatet Teatet  S , TaBa of oe sde as seleced for for acpcre ad gger-paroed gger-paroed moxbso. A  rs a 1 0 c eede as vercally seed o e seeced acpo Te eedle as maplaed  md reforcg ad redcg ecq  so as o dce e eedlg sesao Faly  as reaed  e acpo for 30 mes  oa. O dra of e eedle eedle   as gey gey rled arod ad e e pled pled o rapdly ad e sered ole as mmedaely pressed y Afeards a pece of cosaped gger as se oo e acpo for beg baked by a bg moxa rol. We e pae fel very o  e moxa rol sod be ake aay for a e  peormg sc gger-paroed moxbso for 30 mes eac me Te above acpcre acpcre ad ggerparoed ggerparoed moxbso moxbso reame sod be perfoed oce a day Et Obevatio Obevatio  Uder 3 mes  sc reame e lekoea redced gradall gradallyy Aer 6 mes mes  reame e ekoea ekoea go oalzed oalzed Afer 10 days  reame  a e comforabe sesaos dsappeared. Te s ed 8. Dysfunctional Utene Hemohage 

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emale  ae 36 Pati Patie ett  D  female 3

yea yea  orker orker

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 Rod of Sing-A Sing-Aoint oint Auputu  Moxibtion

Che Che Comp Compi i  Connos colpohaga for 35 days  Hoy Hoy o Pee IUe IUe  hry-v days ago h pan s

mnsraon rcd agan. n h nx w  hr mnsraon was dar rd n color and owd o smoohly js  hr sa mnsraon. owvr  h bldng coldn   sop all ong. h nconrollabl colporrhaga connosly occrrd n drops h blood bcam lgh rd whl who blood clo n  hn sh had o go o h gyncolo dparmn of a local hospal for ramn. hrogh physcal xamnaon  was dagnosd as " Dysfncona Un Bldng  . Sh was rad wh oral ang som hmosas and nramsclar njcng a dg ( s nam was nnown )  Afr Afr mor han 20 days  ramn h pan sl sffrd from h connos colpohaga whch occd n dops and was accompand wh slgh dll pan n h lowr abdomn hn sh cam o hs hospal for ramn on ly 25  2002. Afr h llnss cam on hr app slpng rnaon and dfcaon wr all n normal hr was no ohr complan 7 Mnsal d Ocal Hsos 136;1-1-1 Phyc Phyc  Exmi Exmiio io  h

pan appard conscos wh a sallow  lsrlss complxon. Ashna of Q and dsnclnaon o al Pls hrady and sof  ong lgh rd wh a hn layr of wh fr. No vdn congson n pharyngal wal No abnormaly n har har  boh lngs and abdomn abdomn Rsl Rsl of gyncologcal xamnaon rvald h s and h boh sds of adnxa wr  noa  h vana was nobscd and hr was som dar rd blood n  No ohr abnormy prsn  goi : Dysfnconal Urn mohag.





lucition of of Sile Silec cuupoint cuncue c uncue n Moxition Tep

eretato eretato  his isease  in CM  ertains to the catego

of u -synrome  ( metrostais metrostais)) . It as cause cause by asthenia asthenia of slenic Qi Qi  hich as too wea wea to contro contro the the o of bloo bloo within the normal imit So that the mensruation oe out too much an became uncontrolle As for the ul ain in the loer abomen it as cause by he uncontroe menstruation menstruation  hich cause the eciency of boo an then the inteal organs coul not be aequately nourishe as no  theref therefor oree  there aeare aeare the ull ull ain in the lower abomen Therapeuc Therapeuc Prcple Prcple  Warming the meriian  aaening the sleen an invigorating the senic Qi in orer to contl the bleeing of menstruation ithin the normal limit Acupuctur Acupucturee Treat Treatet et  SP  YinBai of one sie as selecte for herb-cae moibustion he rescrition of the herb cae was as belo DangShen Pilose Asiabell Root 30g SanQi SanQi  Root of Notoginse Notoginseng ng 20g BingPian BingPian  Boeo 5 g A the above herbs ere to be groun into ne oer together together When use  a little o the ower as as mie ith some ater an our to mae out coinshae herb-cae One herbcae as set onto the seecte acuoint an then bae th a buing moa-roll moa-roll for for 30 minutes tota totaly ly  having such herb-cae herb-cae moibustion moibustion once a ay Eec E ectt Obervato Obervato   Uner once such moibustion the colohagia got less an less in amount the abominal ain isaeare isaeare at all ter ter 3 times times  herb-cae herb-cae moibusion moibusion  there there eren t colorrhagia any longer togeher togeher he treatment treatment  erforme for 8 times. ter 2 months follo-u the atient was in 36



e Reod Reod of SiAoin Atue  Moxibwion

good health all along, the ilness didn t relapse, then its end   P  D , female , age 26

yes yes , aountant Chi Compi Compi  Continuous olpohagia for 25 days Hioy Hioy o P P Dl  wentye days ago, the patient experiened aiial abortion beause of her eary pgnany Fom then on , she had been in the tuble of ontinuous olpohagia , whih was fresh red in olour, less in amount and ontinuously oued in drops But there was no no blood lot in it hen she she went to the neology depatment of a loal hospit for treatment treatment Thugh Thugh physial physial examination , it w diagnosed as " Uterine Hemohage ter Artiial Abotion   She was treated with oral taing and intmusu injeting some hemostats and antiinammation drgs ter more than 10 days treatment, the patient sti suered from the ontinuous olpohagia, whih still ontinuously oued in drops, sometimes aompanied with sligt dull pain in the lower abdomen hen she went to a heath entre for women and hildren and was also treated wth intraenous dipping some hemostats and antibiotis ter about 1 week's eatment the olporhagia wasn t relieed yet hen she ame to this hospital for treatment on Otober 25  22. Afte Afterr the illness ame on , her aetite  sleeping urination and defeation were all in noal here was not othe omplaint M O r 4 6 - 2J-919 -919 1-1

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'

Phyicl Phyicl Exmiatio  e patient appeared luid wih a pae

and lusterless omplexion, aompanied with asthenia of Qi and disinlination to spea Pulse thready and soggy , tonge light red 37



ltion of ileint ileint Atre a Moibtion rap

t a tin laye of wie fu, te edge of ongue swollen and eec pined No evdent congeston in pangea wal No abnoaty in ea, bot lungs and abdoen Results of gynecoogic enaton evealed e utes and te bo sides of adnea wee  noal , te vagina was unobstced and tee w soe fes ed bo m  No oe abnoaity pesent ag ago o   Ueine Heoage Afe Atcial Abotion eeatio eeatio  is dsee  in TC  petans to te catego of " usynde  ( esta estas s))  e aicial aicial aboion aboion,, e eidian of utes was injued teefoe, te Q and blood wee al eta consued  so at deciency of Q and blood was caused e   decien Q couldn  noaly conol te blood s owng and couldn  eectivey astnge te uteus ten te njued edan of utes couldn   be astinged ly, i eaned te injued utes becae oe abby an noal. But te abby and nued ueus ceainly esulted n continuous colpoagi Accoding to suc patogenesis  we can daw a conclusion at tis ilness was actuay caused by decency decency of gastosplenc gastosplenc Qi , w w too weak o contol te owing of bd wiin e noal li So ta te bood owed ou oo uc and becae uncontoable As fo te dull pain in te lowe abdoen, t was caused by te unconoed eoage  wic caused te dece decency ncy of bood and en te ineal ogans could not be adequaely nouised well as noal eefoe  te dul pan n e lowe abdoen was caused Theautic Theautic Piciple Piciple  Waing e eidian, awakening te speen and invgoaing te splenc Qi in ode o sop te eoage Acupuctu Acupuctuee Teatmet Teatmet  SP  YnBai of one sde was selected fo eb-cake obusion e pesciption of te eb 38

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e Red f f Sile-A Sile-Ain in Auue  Miin

ce ws s elow DngShen ilose Asiell Root 30g SnQi  Root of Notoginse Notoginseng ng 20g Bingin  Boeol 5 g All the ove hers were to e ground into ne powder together together When used   little of the powder ws mied with some wter nd our to me out coinshped her-ce One herce ws set on the selected cupoint nd then ed with  ring mo roll for 30 minutes totly  hving such her-ce moiustion 30 minutes minutes ech ech time  once  dy. Eec E ectt Obervatio : Under once such moiustion the colporrhg got less in mount oviously the dominl pin disppered t . ter 3 times  moiustion  her colpohgi dispered dispered too The tretment ws peoed for 5 times m totl Aer 4 months  followup the ptient ws in good helth  long the iness didn't relpse then it s end. Chapter Four Pediaric Disees 1 Hyperpyrec Convulsion 

1

Go  ml mlee  ge 3 yers. yers. Pati Patie ett  Go Ce Copait. High fever for

2 dys convulsion for

15

minutes. Hitory Hitory o o Preet Preet e  To

dys go the ptient hd  fever ecuse of ctching  cold t ws ccomped th cough nd diness His ody temperture rose up to 39 9°C. Then he ws led to  locl hospitl for tretment fter physicl emintion it ws  diosed s Common Cold ,he w then treted wth orl ting 329

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ton of Se Se te te a Moxton e

some antibiotic and anpytic dgs fo 2 days, bt his high feve emained unchanged, the body tempeatu si ctaed between 39. 5   and 39. 39 . 9 ° C Fif Fifeen een mntes mntes ago , the boy wa wass sdd sdden enyy attacked by abpt onset of convsion, he ost his consciosness and his foeams exed back, besides, hs hands sted my wi s neck , ockjaw ockjaw , psting eyes, eyes , mos mos chaac chaace eis isica icay y,, his body bent backwad and became the chaacteistic opisthotonos position en his mothe immediatey bght him to his hospita fo st aid on Febay 11 , 1999 e the iness came on, his seeping, appetie, unaion and bowe motions we a noma Thee was not othe compaint. Phyc Exm Exmo o  The paient w in unconsciosness, his foeas exed back and the hands sed my with sti neck, ockjaw, up-staing eyes and the chaaceistic opisthoons position His foehead, hands and feet wee scading when touched upon. Thee was not enogh time o examine the pse , he tonge , he ungs ungs , the he and he abdomen because of he emegency emegency.. o ohe abnoaiy pesent Hypeyeic Convusion. igoi  Hypeyeic eretto  This disease , in TCM , peains o the caegoy  " of JiJingFeng ( acue convsio convsionn )   wa wass cased by the attack attack of of windheat evi fom the exteio, fo which was not imey eadicaed , hen the exeme hea evi poced the endogenous wind evi As its chaace, he endogenous nd has a endency to diecy disb he fnctiona acivities of mentaiy, heefoe, he nconsciousness and convsion was cased Therpeuc Prcpe  Reieving the seconda aspect in the acute sage apiy sppessing he endogenos ind evi in oe o sop he convusion convusion , esto estoee the consciosness consciosness d anquiie anquiie the 0

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e Ro Ro of SingA SingAoi oint nt

Antre a Moxibtion

mnd Tatng te ma ect n te cnc stage  wen te convulson was leved, usng some eatcleang and oxn elmnatng ebs, sueceseleng d ungentavoed, cool cacteed ebs n ode to eectvely eadcae te ndeat evl. Acuucture Acuucture Treatme Treatmet t  Kl , YongQuan of one sde was adly selected fo acuunctue A 1 0 cun needle was nseted eendcul eendcul ly nto te selected acuon Te needle was contnuously manulated wt twlng and tatng tecnue tll te convulson w stoed Eec E ectt Obervatio Obervatio  te about 10 seconds suc acuunctue, te convulson was stoed edately tead, s mote was told to tae 5 doses of decocton of ube  and Cysantemum n ode o cleang away wndeat evl and elease e sueces comletely. te tang te decoctons , te atent s follow-u , te llness llness body temeatue fel to noa. te 1 wee s follow-u dd  elase, ten t s end.  

Wang ng,, ma mae e,, age 6 monts monts.. Patiet  Wa fo 3 days  convulson fo 10 mnutes Ce Com Comai ait t : Feve fo Hitory o Prt Ds Tee days ao, te baby sueed om om feve and coug coug due to avng avng a cold cold Afte Afte ysc ysca a examnaton n a local ostal, t was dagnosed as " Common Cold  , e was eated wt oa tang some anbotc and anyetc dugs fo 2 days, bu e g feve emaned uncanged, s body temeau was stll g a 39 9 C oe tan 10 mnues ago, te baby was suddenly ataced by u onset of convulson , e os s conscousness and connuousy sat out a lot of ws fot  s foeams exed bac , at te same me  1

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lutn lutn of of Snlupont Snlupont Auntu Auntu an oon hap

the hands sted y wth sf neck lockaw, pstang eyes, moe chaactestcally, hs tnk bent backwad beng n the chaactestc chaactestc ops opsthotonos thotonos posto pos tonn Then hs hs mothe mmedately boght boght hm to ths hosptal fo fo teatment on Feba Feba 2 1  1998 19 98.. te the lness came on , hs seepng seepng appet appette te  nat naton on and defecaton wee a n noma. Thee was not othe complant. Phyica Exa Exaiat iato o : The patent was n nconscosness, hs foeams exed back and the hands sted mly wth st neck, pplecoloed pplecoloed lps , ockaw, ockaw , and psa psang ng eyes Moe Moe chaactestcay, hs tnk bent backwad beng n opsthotonos poston. Hs foehead  hands and feet wee scaldng when toched pon Thee was no enogh tme to examne the plse , the tonge , the lngs , the heat heat and the abdomen becase beca se of the emegenc emegencyy No othe abnoalty pesent. iago iagoi i : Hypepyetc Convlson rtiato : Ths dsease , n TCM , petans to the categoy of JJngFeng JJngFeng  act actee convson convson))  Og Ogn nal ally ly , t s st a syndome cased by exogenos wndheat ev. Neveheless, the physologcal tat of of nfant nfant ss manfested by hypea hypeacc tve sfcent sfcent YangQ angQ and hypoactve scace YnQ YnQ The Theef efo oee , the hypectve hypectve scent scent YangQ cold cold be easly ncted by the exogeno exogenos s wndheat evl evl , and then ted nto the exteme heatev, whch podced the endogenos wnd evl that always tends to decty attack the ceeba and dstb the fnctonal nctonal actv actvte tess of mentalty , theef theefoe oe , the nconscosness and convson was cased. Thrapu Thraputic tic Pricipl Pricipl : Openng the oce n ode to estoe conscosness conscosness , actvatng bood ow d nvgoatng Q n addton, becase the baby s blood and Q we al too tende to be h and the mscle was also vey msy, the technqe of 

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e Reord Reord of Si-Aoin Si-Aoin Aupuure  Moxibion

ut-psg ith  shoud  eoy inste  cupunctu  Acctr Acctr Tratmt Tratmt  One of he patent s hands was ped apa in ode to seect the acpont of  1 1  Shang ShangYang Yang fo st aid  Th The acpont of ll ,ShangYang was continuosy heavy pessed by the nai of my thumb ti the baby came to his senses  Ect E ct Obrvatio Obrvatio  Unde sevea seconds such teatment the convuson was immedatey sopped and then the baby began to c od Since his mothe wanted to teat he baby s ness wth intavenous dipping some antibi ic dgs, he was sent to the pedatc depament fo fthe teatmen. te 3 days  foow-up the convusion dd t eapse Then it s end 2 Enresis 

eng,, ma mae e,, age 5 yea. Patit eng Chi Com Comai aitt  Enuesis fo 2 yeas. Hitoy o Pt s The patent

had been n the toube of enuesis snce 3 yeas od He aways wet the bed wheneve t s dame o nighttme, sometmes he even wet the bed twce twce in a ngh In the ecent haf a yea , he began to go to kndeg kndegaten aten Unuckiy  he s had enuess as befo befoe e when he was aseep a noon Even when he was aw awake ake  his enuesis enuesis woud be easiy induced by emotiona tenson. Then hs mothe bought hm to me fo teatment on Augus 19  22 Afte the ness cae on  hs seeping, appeite and bowe moions wee  in noma Thee w no othe compan Phyica Phyica Examia Examiatio tio  The paten appeaed ucid wih a noma genea condton Tongue ight ed with a hn aye of whte fu The ngepn of nde nge was pe and bue n coou. The

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liton of Sle Sleon ontt Autue Autue a Moibton Te

singe nger pusefeeing ethod reveaed thready and soft puse No evident evident congestion in phangea wal wal Both tonsis sweing    Both ungs heart and abdoen a negative No other abnoraity present g  nfant Enuresis eretit eretiti i  This disease in TCM pertains to the category   of YiNi ( enesis) . t was caused by the deciency of rena Qi which coud not be eecivey responsibe for goveng urination as noa and then resuted in enuresis Thertc rce  Repenishing the decient priordia Qi and warng up the Conception Vesse, restraining excessie consuption of priordial Qi in order to restoe the unation goveing power to the idney and then stop the enuresis cucture Tre CV4  GuanYua was seected seected for Tre et et CV4 acupunctu and herb-cae oxibusion. At rst, a  . 5 cun neede was perpendicuary inseed into he seected acuint t was anipuated wth reinforcing technique so  to induce the needing sensation of aching and heaviness to spread a over the ower abdoen At ast, the neede was retned in the acupoint for 30 nutes altogether During the process of retaining, the neede was reguary anipuated with reinforcing technique once eve 0 inutes On withdrawa it wa� twirled aund d then pued out rapidy, the inseed hoe was iediatey pressed ry. Afte Aftea ard rd,, herbcae oxibustion oxibustion wa wass epoyed iediatey. The prescription of the herbcae was as beow: RouGui, Cnnaon Bar g WuYaoLindera Root 5g MaHuangEphedra 5g YiZhiR YiZhiRen en , Bitter Bitter Carda Cardao onn  5 g

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e Reord Reord of SikAoint SikAoint Auuture  Moxition

All the above heb wee to be gound into ne pwde togethe When ued  a litte of the powde wa wa mixed with ome ou and wate to make out coinhaped hebcake One hebcake wa et on the elected acupoint and then baked with a ing moxaoll fo 30 minute totally peoming uch acupunctue and hebcake moxibution once a day teatment nt  the patient Ec E c Obrtio Obrtio  Unde once uch teatme didn ' t have enuei any longe longe when he wa awake in the daytime. te 3 day day ' t teatm eatmen entt  he didn didn ' t e e fm enuei in the nighttime nighttime te 6 time  teatment  the infan infantt didn  t have enuei any moe te 1 wee week '  followup wup  the the ine ine  didn didn ' t elape  then it ' end Chapter Five Disees f Skin 1 Facial Cloasma 

Luo  femal femalee  age age 37 yea yea  nue nue Pti Pti   Luo C Compi Repeated elape of facial yea

chloma fo 1 2

Twelve yea ago the patient ueed fom faci homa afte he noal patuition At that time  he wa wa buy uckling he baby baby  o he didn  t pay much attention to it and ee a docto docto in time Unexpectedly  the facia facia chloama lowly diappeaed by ite ae lating fo about half a yea Then he took it fo ganted that the illne had been cued completely completely Ufotunately Ufotunately  he had had been involved in an endle touble ince then  fo the chloma kept elape on he fa£e again and again in the peachbloombloomng peiod te eve eal Hiory Hiory o o Pr Pr  

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liion of Sileupoin Sileupoin Acuncue a Moiion Teap

equinox equinox  whose shpe ws ust  ust like the buttey  s wngs stteng on he both heeks As usu  its evey eppene lwys lwys pesisted till utumn equinox of the ye While he fe beme bsolutely noml gin duing the peod fom the utumnl equinox of the ye to the vel equinox of the next ye In the pst 12 yes its elpse neve missed  spng When it lpsed he heeks tued to yellowsh-bown in olou nd beme lusteless e egonl sue of the eted eted skin beme dy nd desqumtive ompnied wth stong ithing senston Duing the pst 1 2 yes the ptient hd been to mny hospits fo tetment she ws teted by not only ol tking numeous weste medines nd Chinese hebs but lso extel pplying mny kinds of ointment nd fe em Unde the tetments the ith senstion nd desqumtion of the eted eted skin ould be elieved Howeve he fil hlosm emned its eppene in evey sping hen she sked sked me fo tetme tetment nt on Feb 8 , 1 994 She told me this sping would ome bk soon she w fid of its euene vey muh So she sked me to tet it in dvne te the illness me on he ppetite sleeping uinton nd defetion wee ll in nol hee ws not othe omplint Phyca Phyca Eiao Eiao : he ptient ppeed luid wth  noml genel ondtion. one deep ed with  thin lye of white fu Pse tut nd uneven Skin of he fe ws ust ddy nd luste. No evident ongestion in phngel wll Both tonsils swelling   Both lungs  le to usulttion No moist les nd honhi ould be hed No bnoml sign in het nd bdomen No othe bnolty pesent iag iago oi i : Fil Chlom iereatio  s dsese  in CM  peins to the tegoy 

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e Recd f Sle-Acnt Sle-Acnt Acuutue  Mxbwt

o MianCen, GanBan ( aci ec, atces on sin resulted rom eatic disease   I was caused by te staated eaic Qi and te stagnated ever in te liver According to e teo o ve elemens motion and six inds o weater, Jueyin wind-wood lays a leading ole duing te eiod eiod ae aerr veal equinox in e naure , corr corresonsiv esonsively ely , e eaic Qi oug o lay a leadng leadng role role during during tis eod n te body , or suc enomenon us reects reects te growng endency o eve ing in sing ie in is case, ere ad been e sagnaed eatic Qi and sagnated ever in te iver Because te eatic Qi was cam and te eatic ever was silent in autumn and winter, te aient  s ace could be nomal in autumn and winter evetless, te eaic Qi ays a leadng ole in sing wi te growing endency o eve ing in te natue , ereore, te sagnated eatic Qi and te sagnated eatic ever accordingly began o lay eir atologic eect , ey ed uwad o e ace along e Liver Meidian o FooJueyin As a esult o it, te acial cloasma was caused Tis is wy e sicness e relase in every sing ain and again Essenally , tis case was us e syndrome caused by e stagnaed eatic Qi and te stagnated ever in e liver Therapeuic Therapeuic Pricipe  Cleing away eat evil and cooling iver, disesng e stagnated eatic Qi and dredging te obstcted meiian and collatera , removing e blood stasis and exteinating te cloasma BL1 8 , Ganu Ganu was selected or Acupucure Acupucure Treame Treame  BL1 acuuncture and cuing eray A 1 5 cun needle w insered erendicully into e seleced acuoint Te de o inseion was 0 6 cun or so, te needle w maniulated wit reducing tecnique and retained in te acuoin or 30 minutes in 7

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lcitn of Sil Sileint eint cutue an Moibtion a

total Durn te te proes proesss of retann retann  t w reularly reularly manpated manpated wth te same redun tenque one every 10 mnutes n whdrawal of te needle  t was rotated around and ten puled out slwly n order orde r to to enlare enlare te ole Mter Mterw wdd  uppn upp n terapy terapy w employed mmedately  a up was qukly plaed onto te nseed aupont aupont wt re re twnkln twnkln metod  keepn te up on te aunt for 15 mnutes totally totally  peon peon su treatm treatment ent one every day Ec E ctt Obvti Obvti  Mter 1 2 days  rea reatme tment nt  t was vea vea equnox of te year peaes bean to bloom n the eld of ou  whle her faal faal loma ddn  t relapse. relapse. Te trea treatm tment ent was w as en peoed for 10 days  at tat tat tme  te eld ad a d been wdely wdely spreaded spreaded wt peablossom everywer everyweree  but her fae fae remaned smooth and ruddy as noal Ten se was told to stop te above treatment and take  Xaoyao ls " nstead for onsoldatn he urat uratve ve ee ee Mter 2 years  followup  te llness ddn  t rela relaps pse e Then t s end

2 er Dermas  Pti Pti tt  Ja Ja  male male  a ae 22 years years  aountant aountant Chi Cmplit Faa maulopapules for half a year afte nramusular netn amplln ao  the patent ad ad tr tr  P Ptt   Ten monts ao  bar neuona" wou any any obvou obvouss auses  en e was re reat ated ed by ntramsular ntramsular netn n etn amp amp n" n" At tat tat tme  tere tere appeare appearedd some dsomforts on m su as stron tn sensaton and maulopapules on e skns all over te body. So tat e was tated by some antaler antaler aents and and oone nder te treatment treatment  te tn sensaton sensaton dsappeared qukl q uklyy  most of te te maulopapules

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e Reod Reod of leAon leAon Autue a oxton

disappeared t oly soe aculopapues on his face reained  unchanged unchanged  which were were l dark dark red red in colour and patch-like patch-like in size. They scattered scattered on the suf sufac acee of he face face  especially on he h e skin of his forehead During he pt haf a year he patient had been tated by nuerous weste edicine and Chinese herbs in several hospitals But all the treatent could not reove the aculopapules on his face oreover, which w aways accopanied with itching sensation and desquaation Then he cae to e for treatent on Juy 2   994 99 4 thro throug ughh one of of y fiend fiendss te terr the ilness cae cae on on  his appetite sleeping uination and bowel otions were all in nora There was not other copaint. Phyic Phyical al Eiao Eiao   The patient appeared lucid with a noal general condition The coplexion w dak red in colour and lusterless There we soe pieces of aculopapues diffusedy distrbuting on the suace of the both cheeks lips and forehead The aculopapules wee a dark red in coour The aculosu were al varied in size ad shape the papules looked like illes or ung beans But here were not ceaion exudation and erosion etc on the suace suace of the affected regions regions  only soe desquaation desquaation could be found. Tongue deep red with a thin layer of white fur. Pulse taut and uneven No evident congestion in pharyngeal wall. Boh tonsils swelling    Both lungs al clea to ausculation. No rhonchi or oist raes could be heard Hea and abdoen al negative No othe abnoa sig present. iag iago oi i  Aergic Deratiis. iere iereia iaio io  his disease in TM  pertains to the category of  Yao aoZhen Zhen  Zhong ZhongYaoDu  ( dg ush or drug toxicosis) . It was caused by the alergc dug whose toxin was retained in he body and diused into he bood Athrough the toxin had been ostly 9

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liaion of Sileapoi Sileapoi Anre a MoibJion Teapy

elinated by e revious treatment , e toxic mateials were not comletely eliminated Furteore, te toxin diused into te bood and ten tued into re evil, wic ed into te meridians and collaerals so deey tat it could not be asily eliminated by common medicines suc as antiaergic agents and oone  or te eicacy o tose medicines couldnt get into e aected meidians and colaterals were te re evil w luring Actually, tis case is a tyical syndrome o te evils iding into te collaterals due to a long time s illness, ts is wy it could not be easily cud altoug e ad gotten numerous treatments. Trut Tr utic ic rcipl rcipl  Cearing away eat evil and dredging te meridian, drawing away e toxin and cooling blood, inducing te subsidence o swelling and extemnating te maculoaules Acupuc Acupucur ur Trtm Trtm  BL17  GeSu te inuential acuoint o blood was selected or acuuncture and cuing teray teray A 1.1 . 5 cun needle was inserted inserted erendicularl erendicularlyy into te selected acuoint. Te det o inseion was 0 6 cun or so , te needle w maniulated wit reducing tecniue and retained in te acuoint or 30 minutes in total Durng te rocess o retaining, it was regully maniulated wit reducing tecniue once eve 10 minutes On witdrawal o te needle , it was genty tated around and ten ued out slowly n order to enarge te ole ter erormng te acuuncture, cuing teray was emloyed immediately , a cu was uicly laced onto te selected acuoint wit re twinling metod, eeing e cu on e acuoint or 15 minutes totay, eoing suc teatment once every day Ec E c Orvti Orvtio o  ter 3 days  treatment , te coour o te aected sin became obviously ligter tan before Te da red macuas mosty disaeared d most o te aules got

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e Reod o SAo SAo At  Moxbwon

 wthee. te 12 ay teatment, the maclopaple on the face appeae completely h complexon bece whte an lto t a noal noal Afte haf haf a yea yea '  folow- olow-pp , he lne lne     t elape. hen t  en 3 Sol s as 

malee , ag agee 66 yea yea , teache teache Pae Paen n : Sn  mal Cef Cmpan Cmpan  Itchng enaton of whole boy fo 15 ay Hsy Hsy f f Pesen Pesen Iness Iness  Ffteen ay ago, the patent ffee fom tchng enaon of whoe boy becae of beng n enche n the bolng mme, accompane wth h maca on the ace o face, nec an the ppe lmb A oon a he wa n nlght, the tchng enaton became moe neable, o that he e not go otoo te beng teate wth extea applyng Geen Ontment an PYanPng Onment  n a loca hoptal, the tchng enaton col not be eleve yet hen he came to th hoptal fo teatment on ly 1  1994 In the pat eveal yea the patent ha gotten mla oble n evey mme an t ha been agnoe a " Sola Sola Dematt   te the lne came on, h appette , leep leepng ng,, nat naton on an an bowel moton wee a noal hee w not othe complant Physca Physca Eamna Eamnan n : he patent appeae lc wth a nomal geneal conon. Ple tene an neven, tonge  e wth a thn laye of whte f hee wee many egla pece of h macae poacay catteng on the face of face, nec an ppe lmb Some ban of catche ma wee een on the aecte n No event congeton n phayngeal wall Both tonl weng ° he epatoy on n both lng wee all clea No 1

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liio of of Sil-acoi Acucu  Mibtio Ta

honch an most les coul be hea No abnom sgn n hea an abomen o othe abnomalty pesent ag ag    Solaus Dematts ereta Ths sease , n TCM , petans to the catego  of " FengD ( synome cause by wn e )  n summe, the skn an ntestces became moe loose than usu, heefoe ·, t  s ey easy fo the heat el to ectly get nto the bloo an cause the bloo-heat, ulteoly, the bloo-heat pouce the enogenous n el, whch annoye the patent wth the stong tchng sensaton a aoun the boy Therapeut ple  Cleang away heat el an coolng e bloo, actatng the bloo ong an awng the toxn out of the bloo n oe to expel the enogenous wn-el an elee the tchng sensaton Auputure Auputure Treaet Treaet  BL17 , GeShu the uental acupont of bloo, was selecte fo acupunctue  cuppng theap theapy.y. A 11 5 cun neele was pepenculal pepenculalyy nsee nto he selecte acunt, the epth of nseton was about 0 6 cun The neele was st manpulate wth eucng technque, t w etane n the acupont fo 30 mnutes totaly, manpulatng the neele th the same technque once ee 10 mnutes. On thawa thawa of the neele, neele , t was geny shake aoun aoun an pulle out owly n oe to enlage the hole tea, cuppng theapy as employe mmeately, a cup was quckly place onto the selecte acupont wth e-twnklng metho, keepng the cup on the acupont fo 15 mnutes altogethe, pefomng the aboe tatment once ee ay teatment , the tchng sensaton sensaton Ee E ett Obeat Obeat  e once teatment, sappeae mmeately He was teate by such epy 5 tmes n

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e eod eod of SiAoin At  oibion

total ad te tere were ot ay discofos ay ore e us aculae o te surace of face  eck and uer lis disaeared too ter  week  s followu te iness didn  t rela relas see  en it s ed 4. Cutaneous Pruritus  Paet   , feae  age 75 Chie Comlai  Itcig

years  ouse wfe sesatio of woe ody for ore

tan 10 years Hitory Hitory o Pree Pree e e  More ta 10 yea ago te atiet

suered f strog itcig sesatio of woe ody witout any ovious causes  accoaied it dryess of skis al around te ody Te syto syto occured aroxysaly ad aoyed er soeties ildly ad soeties seveely We it aoyed er sever severely ely se couldn t ear te stng itcig sensatio at a , so e ad to teorarily relieve it leanig uo itrauscular iectig " coreiraie aeate and dexaetoe   Over te ast 10 years  atoug se ad gotte nuerous treatets treatets  te iless il ess coud ot e cured al ong Te se cae to ts osital for treatet treatet o Marc 2  22. ter ter te illess cae o o  er er aetite  seei seeigg  uriatio ad defecatio defecatio were a oal all alog Tere was ot oter colaint Phyical Phyical Examiaio Examiaio   Te atiet aeared lucid w a ora general coditio Der ad ore desquaative skins al over te ody witout ulceratio exudatio ad erosio ulse oatig and ueven, togue d and roug wit dry layer of wite fur No evidet cogestion i aryngeal wal Bot tonsils sweg  o  Bot lugs a clear to auscultation No roci or oist



ton of Se Se Aute  Mbton 

ale No abomal g  hea ad abdome. No othe abomaly pee iag iag i i  Caeo  iereiai iereiai  Th deae   TCM  pea o the caegoy of " FegSaoYag  ( chg eao caed by wd evl) . I wa caed by dececy of Y ad exce of Yg eg fom coeecec coeecece.e. A al  whe a peo  ode  ag agee  coepodgly  Yag became copodgly exceve whle t Y became moe dece ch phyoogcal ae of oldaged peo wod cae he ydome chaacezed by exceve Q ad dece bood A a  of  he dece blood cold o eecvely oh he  ad mcle a o o tha he  ad mcle became wheed; evehle he exceve Q exa eaed eaed he he ogaly dece dece bood bood  heefo heefoe e he dece blood became moe ad moe dece. Fay he dece blood podced the edogeo d ev  whch caed he chg eao al ove he body Therapei Therapei Priipe Priipe  Veg he exceve Q ad omalzg he fcoal acve of Q egag Q ad blood  ode o ae he chg eao Becae he Tple Eegze Meda of Had-Shaoyag  chaacezed by exceve Q ad dece bood  moeove  coec wth Yag L Veel a he acpo of TE5  WaGa WaGa The Theef efo oee  we cold daw daw a coclo ha he Tpe Eegze Meda of HadShaoyag  acally epoble fo maag he omal fcoa acve of Q a ove he body So ha  hold be veed fo eog he balace bewee Q ad blood  h cae. TE5  WaGa of oe de wa Apre Apre Treamet Treamet  TE5 eeced fo acpce. A 1 5 c eedle w vecally eed



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 eod eod of of Sileoin

ue a Moiion

no he seleced cupon , he deph of nseron ws bou  0    cun he needle ws rs mnped wh rlng nd ng echnque so  o nduce he neeng senson er he needlng senson ppeed he needle ws hen mnped rpdl wh reducng echnque n order o nduce he needlng senson of chng chng  numbness numbness nd nd hevness hevness o spred spred upwrd o he lerl lerl spec of he upper rm hrough he lerl spec of elbow jon nd long he lerl spec of he forerm Fn  ws rened n he cupon for 30 mnues ol Durng he process of renng he needle ws mnpuled wh reducng echnque once ever 0 mnues. On whdrw of he needle  ws genl ed round nd hen pled ou rpdl nd he nsered hole ws mmedel pressed rm  Eec E ectt Obao Obao  Under  mnue s such cupuncure he  pen dd  fee chng  once er 1 monh  s followup she ws n good helh ll long nd he llness dd  relpse hen she w old o orl ke " lls of Chnese Angelc  for nursng herself well hen s end

 . aa  

emle  ge Patiet Zhou  femle Chie Complai Complaitt  Urce

ls for  ds

 9 er erss  hgh school suden. nd chng senson of boh lower

tory o Pret Pret De De : wo ds go he pen suddenl

sered ered from some lrge peces of re urce ou n obvous cuses ccompned wh chng senson of he eced eced regons Whe here were no eroson  ulceon nd exudon on he suce of he ffeced regons er she ws nnoed b he 

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lton lton of S-o Ate  Moxton Te

iess iess  se wet to a local ospital ad te w tated wit traveos ijectig " deametasoe calcim glcoate  Uder te treatmet , te itcig sesatio was temporarily reieved for a wile Neveteless, te large pieces of red icae o er ower limbs remaied caged, moreover, oy alf a day ater, te itc itcgg sesatio sesatio became mo more re ad mo more re iserab iserable le , eve scratced abot by erself, te itcig sesato cold ot be relieved yet. e se was led to me for tatmet by er moter for treatmet treatmet o Agst 30  22 te ter te illess came o, o , er appetite , sleepi sleepigg , atio ad bowel motos were al al orma. ere was ot oter complat. Pha Pha Examao : e patiet was impatiet ad restess. lse oatig ad tese, toge ligt red wit a ti layer of wte fr. No evidet cogestio i parygeal wal. Bot tosils swellig   e respirato sods i bot lgs were al clear No roci ad moist rles cold be eard Heart ad abdome  ormal May large peces of red rticae was preset o te srface of te etesive regos from te aterolateral aspect of te tigs to te te ale ale joits joi ts , wic wic were were al protrdet protrdet above above te te sace of of te te affeted s ad scattered sporadcaly Some scatced mrs were see o te sface too. No oter aboalty preset. ago ago  Acte Ucaia. TCM, perts to te category ereao ereao   Tis disease  i TCM,perts erptio o , rti rtica caririaa )  t was cased cased of  YiZ YiZe e , ega  ( idde erpti by eogeos wideat evi wic ivaded te spercies ad mscles from te eteior ad te resided i te iterspaces betwee te defesive ad costctive ierarcic As a reslt of it, te defesive Qi was stagated ad te cold ot freey sttle arod tg te sis as ormal; at te same time, some Yi 

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e Reod Reod of SileAoin Aue a Moibtion

tane h a lood were tagnated too and od not ret to lood irlation  noral. he tagnated deenive Qi old not eetively rei the atak o exogeno wind-hea evi, herey, he rong rong ithing ithing enation enation wa aed aed ; he tagna tagnated ted lood wa alated together nder the kin and then any large piee o red rtiae appeared on the rae o he aeted kin. Atly hi dieae i jt the yndroe aed y diorder o door-hinge o the ody and ialane eween he deenive and ontrtive ehan Terap Terapeuti euticc ricipe ricipe  etoring the alane etween the ontrtive mehani and deenive ehani normalizing the ntion ntiona a ativiti ativitie e o doorhinge doorhinge o the the ody ody Aordin Aordingg to Syndroediereniation o Six Meridi etalihed y Dr Zhang Zhoning, Shaoyang edian are jt he inhpin or dipering Qi and ood regating the ontrtive and deenive ehani o the whoe ody hereore we an draw a onlion that ripe Energizer and galladder are  he doorhinge organ o the ody Coepondingly Coepondingly aong aong the welve eglar Meridian Meridian  Shaoyang meridian o hd and oot e all haraterized y exeive Qi and deient lood  they e a the doorhinge to dipere he deenive Qi and reglate the onrtive and deenive ehani So ha the apoin in Shaoyang eridian hold e eleed or reatent Acupu Acupuure ure Treatme Treatmett  GB34  YangngQan o one ide wa eleted or apntre A 2 5 n needle wa veialy ineed into the eleted apoint the depth o inertion w ao 1 5 n e neede w rt anipated with twirling and rotating tehniqe o a o inde the needling enation er the neeling enation appeed  the neede wa then aniplaed rapidly wih 7

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t Slnt Acutu a Mxt ay

educing technique in ode to induce the needing enation to pead aound fm the atea apect of the nee oint and caf to the doum pedi aong the atea apect of the caf ina it wa etained in the acupoint fo 30 minute in tota. Dung the pce of etaining the neede wa manipuated with educing technique once eve 10 minute. On withdawa of the neede it wa gent haed aound and pued out ow in ode to enage the hoe  Eect Obervatio  Afte evea econd uch acupunctue teatment the itching enation of both owe extemitie diappeaed at once On afte 1  2 minute acupunctue, unde eve one  eeing the coou of the ed uicae got moe and moe faint and the ie of the uicae got me and mae eve one wa aonihed b the magc cuative ect te e than 10 minute  acupunctue  thee wee wee not ed uticae on the the uface uface of he extenive egion fom the anteoatea apect of the thigh to the ane oint an moe. e hf a month  foowup the ine didn t eape  then it  end.  

agee 29 ea ea  eache Patiet  Zhu  femae  ag Che Che Copait : Repeated ecuence of

ed papue on the uface of both owe imb and buttoc fo 6 ea  Hto o Preet e  Six ea ago  he patient ueed fm epeated ecuence of ed papue on the uace of both owe imb and buttoc without an obviou caue accompanied with tong itching enation of the aected in At the beginning it awa occued iegua Late on  it occuing became exeme egua gadua fo it each attac cetain eappeaed in eve evenng o when he wa in ience and uaua peited fo about

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 Rord Rord of Sngl-Aupont Auputur  Mobon

large pieces of red rice-sized rice-sized 5  6 hors Dng the period  many large

paples appeared on o n the aected skins  accompanied accompanied with strong strong itching sensation After the illness annoyed her she had been to seeral hospitals for for many times. times. Throg Throghh physcal eamination  t diagnosed as  Chronic Chronic Urcaria Urcaria   she was treate treatedd th oral oral ws diagnosed takng some some antibiotic antibiotic and ant ant -allergic drgs drgs  bt the treatments were not really eectie against the illness Then she had to be reated with oral taking some heat-clearng and speciesreleasing herbs while there was not ctie eect on her either Moreoer dng the past 2 years  the relapse of this ilness neer missed one eeing  the perod perod of ts occrring became more and an d ore ore long than than before. Sometimes the seere symptoms annoyed her so mch that she cold not get to sleep throghot night ony by intraenos inecting inecting  deamethasone  calcm calcm glconate "  cold the strong itching sensation be tempoarily relieed for a while  the night of October 3 22 the aboe symptoms symptoms relapsed relapsed again  the inserable tching sensaton of the skns of both lower lmbs and bttocks cased her restess ey mch Then she came to me for treamen treamentt in in the the night ter the the illness came came on  her her appetite  sleeping defecaton and rination were all no all aong There was not other complaint. Phyic Phyic Eao Eao  The patient was mpatient and restless. restless. Plse tat and tense  tonge tonge light red with a thin layer of white fr No edent congestion in phngea wall oth tonsils swelling   The respratory sonds in both lngs were a clear No rhonchi and moist rales cold be heard Heart and abdomen all normal. Many large pieces of red paples was seen on he srface of the etensie regions from the anterolateral aspect of the thighs to he ankle oins and the sace sace of both bttocks bttocks  which were all all 9

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liio of of ioi Acuure a Moibtio rapy

potudent above te uface of te ected ected kin and catteed poadically. Soe catced ak wee een on te uce too No ote abnoity peent. iago iagoi i Conic Uicaia iereiaio  i dieae , in CM  peain to te categoy of  YinZ YinZe enn  ( idden idden eption eption ) . It wa wa caued by wind-eat wind-eat evil evil  wic ad peviouly gotten into te kin and intetice intetice  futeoe eided in e intepace between te defenive and conctive ieaci fo a long tie A a eult of it te defenive Qi wa tagnated and then could not feely uttle aound toug te kin a noral at te ae tie , oe nouiing ubtance uc a blood wee tagnated too and could not etu to blood ciculaton a noal e tagnated defenive Qi wa incited by te luking wind-eat evil teeby te tong itcing enation wa caued  te tagnated blood wa accuu acc uulated lated togete unde te kin and ten any lage piece of ed papule appeaed on te uace of te aected kin Actually ti dieae i jut te yndoe caued by diode of doo-inge of te body and ibalance between te defenive and contructive ecani erauic Priciple  Retoing te balance between te contctive ecani and defenive ecani noaliing te functional activitie activitie of doo-inge of te body. Accoding Accoding to Syndroe-dieentiation of Si Meidian etablied by D Zang Zoning Saoyang eidian  jut te lincpin fo dipeing Qi and blood, eguating te contuctive and defenive ecani of te wole body. eefoe we c daw a concluion tat ple Enegie and gbladde bladde ae l e dooinge ogan of te body Coepondingly Coepondingly  aong aong te welve Regula Regula Median Median 

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 Rcord of Singl SinglAcoi Acoi Acunctu  Moibtion

Shayang medans f hand and ft e all chaactezed by excessve Q and decent bld they ae al the dhnges t dspese the defensve Q and eglate the cnstctve and defensve mechansm S hat the acpnts n Shayang medans shd be selected f teatment angngQan f ne sde Acpnce Acpnce eamen eamen  GB34  YangngQan ws selected  acpnce  each sde f the selected acnt was teatvely sed n eve the day ) A 2 5 cn needle was vetcay nseed nt the selected acpnt the depth  nsen was 1  5 cn  s. The neede was st manpated wth twng and tatng technqe s  t ndce the nedng sensatn te the needng sensatn appeaed the needle was then mpated pdly wth edcng technqe n de t ndce the needlng sensatn t spead m the lateal aspect f the nee jnt and calf t the dsm peds alng the lateal aspect f the caf. Fny  t was etaned n the acpnt f 30 mntes ttay Dng the pcess f etanng the neede was manplated wth edcng technqe nce evey 10 mntes On wthdawal f the needle  t was gently shaed and and plled t slwly n de t enlage the he. In addtn  geasy  ht and fat fd was fbdden dng he eatment  Eec Eec Obaion  Afte 3 5 mntes sch acpncte the tchng sensatn f bth lwe etemtes and bth bttcs dsappeaed dsappeaed a nce nce  thse smal paples n he sace sace f the affected egns dsappeaed mmedately t At that nt the patent had a deep and steady sleepng the lness ddn  t elapse thght he nght te 7 tmes ' acpncte teatment  the paten patentt g g est ested ed cmpetely cmpetely te te haf haf a yea ' s fl flw wp p  the lness ddn 't eapse eapse  then  s end. 1

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iion of Si Sie- e-i i Aute a Moxibtion ra

  Patiet Patiet   , femae  age 8 year  teacer Che Che Comat Comat  Repeaed recence f

red pape n te rfa rface f b pper imb im b , ce ce and back fr af a year  accmpanied wit trng itcing enatin ag  te patient Hitoy o Peet De  Haf a year ag ered frm me red pape n e ace f e b pper imb  ce and and back wit any bvi cae  accmpanied accmpanied wit rng icing enatin f e ected ected kin kin arace aracei ica cayy  e ympm tended t ccr in eve evening r wen e wa in ience Wen We n te ympm ympm wa ccing ccing  ere ere were were many many c-ized r neede-aped red pape catering n te rface f affeced eced regin , accmpani accmpanied ed wit wit trng itc itcing ing enatin enatin Afte Afterr te ine bed er e wen  a ca pita fr reamen Tg Tg pyica pyica examinain  i wa diagned   r rnic Ur Uricaria , e wa treaed wit extea appying ever kind f intmen and ra aking aniergic dg a we a bcan bcane e injeci injecing ng  inerfen inerfen   Aer Aer evera mn  c reatmmen reatmmen  te ympm ympm were nt reieved ye Smeime te evere ympm annyed er  mc tat e cd n bear i ny by inaven inaven  in i njecing jecin g  dexame dexamea ane ne , cacim gcnae gcnae   cd te tng itcing enain be tempraiy reieved fr a wie In te pa af af a year , e recence recence f e ine never never mied a evening Ten e came  me fr reamen n Nvember  ,   r rg g meb mebdy dy Ater Ater te ine ine came came n  er appette appette eeping , deecatin and rinatin were a nrma a ang Tere wa n er cmpain Phyca Phyca Examatio Examatio  Te patien wa cnc w a 2

C

e Reord Reord of i-Aoi i-Aoi  Auputue  oition

nomal geneal condton Tongue lght ed wth a thn laye of whte fu Pue tau and heady. No evdent congetion n phayngeal wal Both tonl wellng   . No anoalty n hea oth lung and adomen ee wee many lage pece of da ed needle ed and coed papule on the uace of the oth uppe exemt exemte e  chet chet and ac  whch wee wee al ptdent ptdent aove aove the uace of the ected ected n d cateed poadcaly Thee wee not ulceato exudaton and eoon etc on he aeced n No othe anoalty peent iag iago oi i  Chonc Ucaa ere ereiai iaio o  Th deae, n TCM  pean to the categoy of " YnZhen  ( hdden hdden eupt eupton on))  ItIt wa wa cau caued ed y wndheat wndheat evl evl  whch had pevouly goten nto the n and ntetce futheoe eded n he nteace etween the defenve and contuctve hechc fo a long tme A a eut of t the defenve Q wa tagnated and then coud not feely hutte aound though the n n a nomal  at he ame tme  ome nouhng nouhng utance uch a lood wee tagnated too and could no etu to lood cculaton a nomal The tagnated defenve Q w ncted y the lung wnd-heat ev ev  thee theeyy  the tng t ng tchng enao enaonn wa caued  the tagnaed ood wa accmulated ogehe unde the n and hen hee appeaed my lage ece of ed apule on the uace of the aected n Acualy h deae  ut the yndome caued y dode of doohnge of the ody and maance eween he defenve and contuctve mechanm Therapeuc Pricipe Pricipe  Retong the aance eween the contucve mechanm and defenve mechanm nomalng the functonal actvie actvie of doohnge of he ody Accodng Accodng to Syndome-deentiaton of Sx Medan elhed y D. Zhang

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lo of -o -o Acuue a Mbo Tea

Zonng Saoyang mdans a us  lnpns fo dspsng Q and bood gulang  onsuv and dfnsv mansm of  wol body. fo w  daw a onluson a pl En and gallbadd a al  doongs ogans of  body Cospondngly Cospondngly , among   wlv Rgula Mdans , Saoyan Saoyangg mdans mdans of and and foo foo   aad aad by xssv Q and dn bld y a all  dngs o dsps  dfnsv Q and gua  onsv and dfnsv mansm  a  aupons n Saoyang mdans sould b sld fo amn. Acupuct Acupucture ure Treaet Treaet   , Zou of on sd was sld fo aupunu ( Ea sd of  sld aupon was aavly usd n v o day.  A 1 . 5 un nd nd was vay nsd no  sd aupon ,  dp of nson w abou abou 1  0  1  2 un.  nd nd was   ma manp npula ulad d w wng and oang nu so as o ndu  ndng snsaon   ndng snsaon appad   ndl wa n manpulad apdly w dung nu n od o ndu  ndlng snsaon o spad upwad fom  la asp of  fo o  aal asp of  upp m oug  laa asp of bow on. Fnaly  was and n  aupon fo 30 mnus oly Dung  poss of anng,  nd was mapuad w dung nu on vy 10 mnus n dawal of  ndl  was gnly wd aound and n puld ou apdy and  nsd o was mmdaly ssd my n addon gasy, o and fa food was fobddn dung  amn Eec E ectt Oervato  nd on su aupunu  pan fl ony slg ng snsaon of bo upp xms s and

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e cod of SileAcin SileAcin Acuue a Moxiion

bac n the nght Unde tce acuunctue, the llness dd  t elase n the next nght te 10 tmes  acuunctue teatment, the  atent gt ested cmletel te hal a ea s llw-u the llness dd t ela elase se  then then t s end Cater S Otalmic Disees 1 Acute Conjuncvitis  Pt Ptnt nt : Chen  eme  ge 28

es, es , accuntant accuntant Chf Chf Copl Coplnt nt  Redness, swellng, tch and an  dext ee  5 das, accmed th hthba d lacmatn to of Pnt In  ve das , the atent s dextal ee bece ed and swlen wthut  bvus causes The ee seveel sueed m tchng sensatn and an, accmaned wth hthba , lacmatn and much secetn  the ee  she went t the lcal lclnc and then was teated wth " ee ds  t nammat and Guttae Cehamandle  and al tang " Amxcln   5 das Hweve thee was n evdent cuatve eect eect n he Mst Mst tublesmel  the llness sted he m m wng and studng Then she came t ths hstal  teatment n Mch 0  22 te the llness came n , he sleeng  aette unatn and bwel mtns wee all nmal Thee was nt the cmlant Phsca Exia Exiati ti  : The atent aeaed cnscus wth a nal gene cndtn N abnmal sgn n heatth ungs and abdmen. ulse atng and ad tngue esh ed wth a thn lae  whte u u The cnjunctva cnjunctva  dexta ee w seveel cngestve  the tasuses  the ee wee cngestve and swllen accmaned 355

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lition of of Silei Silei Aute  Moxibtion er

with constant acrimaton No other abnormaty present ia iai i  Acte Conjnctivts iereati  Ths dsease , n TCM  pens to he category of  TanngChY TanngC hYan an  Baoen BaoengKe gKeRe Re "  epdemic conjnctivts conjnctivts  acte conjnctvts cased by abrpt atck of exogenos wnd-heat ev  It was jst the Tayang speca syndrome cased by exogenos wndheat ev , whch attacked the body om the exteror exteror and t aected aected the Tayang Meridan Meridan  As a est of of t  bood stass and and Q-stagnancy -stagnancy were were cased n the Hand-Tayang Hand-Tayang Meridan  whch were promnenly manfested by the sweng and pan n the aected eye ; besdes  the exogenos exogenos wndheat wndheat ev aected aected the Hand Ha nd Tayang Tayang Merdan  as a rest of t  stagnancy stagnancy of meridan-Q meridan-Q was was also also cased n Tayang Meridan , whch was was reectd by the the tchng , photophoba and and acrima acrimaton ton Therap Therapeuti euticc ricipe ricipe  Dredging the dseased meridan and cearng away heat ev , reeasng the Tayang spercal syndrome and expeng the exogenos wind-heat ev ng we) acpont of Sma Intesine Meridan of Han-Tayang shod be seected for stmatng the Tayang Meridan and promoting ong of meridan Q  as we as expeng he exogenos wndhea wndheatt ev Acupuctu Acupuctuee Teatet Teatet S , ShaoZe of dextra sde was seected for bood-ettng herapy wth a hree-edged neede and garcparttoned moxbston The seected acpont was pnctred wh a three-edged neede n order to beed more than 1 0 drops ter the dk red bood was dropped down  the color of the bood wod become fresh red gradaly gradaly  at that time , the hole shod be pressed rmly th a cotton ball n order to stop beedng n tme ter terar ards ds  a pece of con-shaped garc was apped apped onto the acpont for beng baked by a bng moxa ro hen the tte 6

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e ord ord of Si-Aot Si-Aot Auputure a oitio

nge fe ve   e mxa r sd be aken awa fr a we , permng suc grc-parned mxbusn fr 30 mnues eac me , wce a da d a Durng e prcess prcess f eve gacpar gacparned ned mxbusn  a new pece f cnsaped grc sud be apped. er nce reamen reamen e cng cng and pan f Orv Orvat ati i  er f dexra ee dsappeared dsappeared a nce , dness and sweng wee gea gea reev reeved ed  ppba and acrman dsappea dsappeared red . Fure Furere re se was d  pe garc-pned mxbusn gan a We cck abu 13 :  15 ) n er me  f wen s e wng wng ped f f e Sma Inesne Merdan f Hd-Taan Hd-Taangg , e Q Q and bd n Sma Inesne Medan f Hand-Taang   us f d de and  s ms suabe me  cear awa e bd ss and Qsagnanc fm e Taang Medan n e maxmum deee er e reaen , e redness d sweng f er dex ee dsap a  e ness ws cured cmpee cmpee  en  's end. 2 Hordeolum  

Wang,, mae mae  age age 3 ears ears , wrker wrker.. Pa Pat t  Wang Redness  sweng and hie hie mplai mplait t  Redness

prckngpan prckngpan f

snser ee fr 3 das

ree das ag , e paen I sue suere redd frm redness redness , swen swengg and prck prckngpa ngpan n n n e sns snser er ee wu wu an bus causes , accmpaned accmpaned w muc secren f e ee , s a  was dcu fr m m  sm sm r e sns snser er eeba eeba as n , fr fr  seemed a e eeba eeba was suck b a sarp wmbe wen e eeba was ng arund er e ness came n , e wen  e  e pamc pamc depmen depmen f a ca spa spa , rug rug psc p sca a examnan ,  was dagnsed as  Hrdeum f try  Prt  

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lon of Sle-n Sle-n Aue an Mobon Tea

Snte Eye  e docto he aked uggeted teatng the llne wth an opeaton  ut he w ve aad o the opeaton Then he came to th hoptal o teatment on Ap 25 , 22 te the llne came on  h eepng eepng  appette appette  unato unatonn and and deecat deecaton on wee a nomal Thee wa not othe compant Phyc Exanaon: The patent wa ucd wh a noal genea genea condton condton Pue Pue oatng and tene  tone lght ed wth a thn aye o whte u The mucou memane o the phayngeal wall wn t congetve Both tonl wellng    o anoal n hea  oh oh lung and a nd adomen adomen The Th e tau taue e o he nte eye we ovouy congetve and eveely wolen  they wee calet  n colou The medan pat o the nte uppe eyeld wa ed and wolen wolen  whee thee w a ttceou node  whch wa ptudent upwd ut lke a volcanc top o othe anoalty pen     Hodeolum eenaon   deae  n TC  pean to the categoy o  YanD YanDan  ZhenYan  uCY uCYan ang g ( edne edne o eye  ulceat ulceaton on o canthu)  Accodng to the theo o medan  the canhu  the oot o Tayang edan  he medan canthu  the oot o the Badde Medan o FootTayang whee the medanQ o Bladde Medan o FootTayang FootTayang ognate ognate  whle the latea canthu  he end o he Small Intetne o HandTayang whe he medanQ o Small Intetne edan o HandTayang HandTayang convee Folowng the pncpum pncpum o o Medan Syndome-d Syndome-d eentaton eentaton  we could daw a concluon that h ce wa jut he upeca yndome o Tayang Tayang caued y the exogenou wndheat evl  whch attacked attacked the ody om the eteo and ected ected the Tayang edan  hee heeo o  thee wee Q-tagnancy and lood ta m the Tayang edan A a eut o t  the ttceou ttceou node and and wellng wellng pan p an

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e Reord Reord of SiAoint SiAoint Apt a Moibtion

appeared i the media cathu Thraputic Thraputic Pricipl Pricipl  Dredgig the meridia ad clearig away heat evil expellig the exogeou wid-heat evil ad releaig the Taiyag upecial ydrome ig  well ) -acupoit of Bladder Meidia of FootTaiyag hould be elected for vetig the tagat heat i the Bladder Meridia of FootTaiyag ad promotig owig of meridia Qi Qi  a well a a expellig the exogeou wid widheat heat evil i Taiyag upecie iiter ide wa wa Acupuctur Acupuctur Trat : B7 , hiYi of iiter elected for bloodlettig therapy h a threeedged eede ad garic-partitioed moxibutio The elected acupoit wa puctured th a threeedged eedle i order to bleed more ha 10 dop ter the dark red blood wa dropped do the colour of the blood would become freh ed lowly, at that time, the hole hould be preed rmy with a coo bal i order to top bleedig i time teard, a piece of coihaped garlic wa applied oto the acupoit for beig baked by a buig moxa ll. Whe he patiet felt vey hot , the moxa ll hould be take away for a while , pefoig uch garlic-partitioed moxibutio for 30 miute each time, twice a day Duig the proce of evey garlicpaitioed moxibutio a ew piece of coihaped garlic hod be applied Ec E ctt Obrvao : ter oce treatmet the pricklig-pai of iiter eye diappeed at oce  whe he wa rollig the eyeball  he did t uer from the picklig-pai ay more Fuheore he wa told to pef pefom om gar garlic-paitioed lic-paitioed moxibutio moxibutio agai at She o clock  ab about15 out1 5    17  ) i hi home  for whe i the og period period of the Bladder Meridia of Foot-Taiyag the Qi ad blood of Bladder Meidia of FootTaiyag  all ut of ood tide ad it i mot uitable time to cle away the blood tai ad Qi-taacy 9

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uciation uciation of Si-acuit Si-acuit Autu a Mibtion Ta

from the meridin in the mimm deee ter he peormed the tretment in his home  he redness nd swelling o his sinister eye dsppered completely n the eoon of the net dy he cme to me fo reemintion , physicl emintion eveed he triceos node in the median p of the sinister pper eyelid edy disppeed A these signs signs indicted indicted the illness ws cred complet completey ey , then it s end   Paet  W , femle , ge 18 yers , college stdent hie mpa mpait it  Swellingpin of detr ppe

eyelid for

hlf  month

Hitr Hitry y  Preet Preet e  H

 monh go the ptient sered from sweingpin in her der pper eyelid wthot y evident cses At he eginning, it ws limited to open the detr eye while withot sweling-pin , sever dys lter she hd  sevee swellingpin in the detr pper eyelid so tht she coldn  t open the detr eye t  Then she went to  oc policinic nd ws treted y sing " Gtte Gtte Knmycini Sft Sftisis  eye drops of ni immtory  nd chlorotetrcycoine eye ointment   After 6 dys of the ove tretment  there ws no eect on he  freore there ppered  severe swelling egion on the detr pper eyelid  in which there ws  co-shped triticeos node  toched pon, there w shrp shrp tendeess Then she cme to this this hospit hospit for for tretment on My 29  1996 Phyica Phyica Examiati Examiati : The ptient ws conscios with  norm generl condition. The lterl p of the detr pper eyeid ws red nd swollen swollen , there w  coshped coshped tticeos tticeos node in the ffected pr with shrp tendeess The trss nd he conjnctiv

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e eod of iAcoin iAcoin Acpe  Moiwion

wee a seeely cogestie Pse oaig ad tese Toge ed with a thi laye of white f No othe aboity pese iag iagoi oi  Hodeom. ieretiatio ieretiatio  This disease , i TC  petais o the categoy of " YaDa, a , Zhe ZheYa  CiYag CiYag  ( edess of eye lceatio of caths) This case was jst he special sydome of Taiyag cased by the exogeos widhea el, which attacked the body fom the exteio ad aected the Sma testie eidia of Had Taiyag Taiyag theef theefoe, oe , thee thee wee wee Qi -stagacy ad blood sasis i he he Small testie eidia of adTaiyag As a eslt of it, the tticeos ode ad swelig pai appeaed i the lae caths Thera Theraui uicc Prici Pricie e  Expelig exogeos dhea eil ad eleasig the Taiyag specia sydme The acpoit i the Sma Itestie eidia of HadTaiyag shold be selected fo stimatig the meidia-Qi ad pomotig the meidia-Qi s og as wel as expeig the exogeos eil i he specia Acuucu Acuucure re Treatet Treatet She was od to ake a hadfl of moxa gales ad b them ito peaike moxa coes, ad the she shod pt a moxa coe oto he acpoit of SI3  HoXi of dexta side o hae diec moxibstio, 10 its of moxa coes wee bt o each time ,3 times a day  Eec E ectt Obervatio Obervatio  te 1 day s teame the sweigpai was elieed geaty aft 3 days  eamet he swelig-pai ad he hodeolm disappeaed te 1 week  s folowp he iless did t elapse The i s ed 3  aa of Eye 

male ale age 29 Pati Patie ett  D , m

yeas  fa ae e 1

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lition of of ile ileoin ointt e a Moition Tea

Che Che Cplait Cplait  njury of he dextral eye for 1 hour. itry  Preet s One hour ago , the patent ' detral

eye wa uddenly beaten by a yng tone when he wa workng mmedaely he w ezed wh a ha pan of the dexa eye hen he wa et n ret at once and quckly treated wth droppng " eye drop of ant-anaory   Whle the harp pan of the eye codn 't be alevated eectvely, he  heaily uered from from the nu nuerable erable pan o that he he daren ' t oll around e eyebal hereby , he had to be ent to the ophthalmc deparment of a loca hopta, hrough phycal examnaton no organc njury wa found So tha he tll got he mlar reatment , but the reatment wa not effecve agant he ha pan He ered from the pan o much that he coldn 't be n ttng and tandng a ee hen he came to th th hopta for reatment on March 1 1 ,   er the llne came on, h appette, urnaon and bowel moton were all normal. here wa no other complan Phyic Phyical al Exaia Exaia  he patent wa n erou paf atu whle h concoune remaned noal. Pule oatng and tene , ongue lgh red with a thn thn layer of whte whte fur he dextral tar were everely congetve and characterzed by redne and welng welng , the conj conj uncva were alo everely congetve congetve and carle carle n colo here were many ecreton of the dextral eye , accompaned wih contant lacrmaton he dextral eye wa unpreable due to entve tendee iag iag i i : rauma of Eye ieretiati ieretiati : h deae , n CM , peran to he caego of " FeWZhuangng  ( eye beng beng bump bumped ed by a yng yng object object )   wa caued by he udden bumpng of the ng tone, whch abptly affected he owing of the merdan-Q and blood und 

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e Reord Reord of SAi SAi Atre  Mibt

te eye so tat bood stass and stagnancy o medan-Q wee accdentay caused n the aected eon ten te patent ad te sap pan n te eye As o te med o atea cantus t s just te ot o te end o te Tayang edan. Accodng to te teo o medans the oot o a medan means wee te medan-Q ognates coespondngy te end o a medan means wee te medan-Q conveges Te oot and end o a meda ae o sgncance o a medan o tey ae cosey eatve eac ote and togete mantan te noa owng o Q and bo o te woe medan Unde noma status tey coodnate wth eac ote m aa  we beng n dsease  stena stena o one consequenay eads to stena o ote; astena o one consequentay eads to tena o anote too n ths case  te end o the Sma ntestne edan o Had-Tayang was nvoved n te sue sueng ng wc mst  eected by ts t.t. Thea Theat t Pnpl Pnplee  Accodng to te above compeenson on te t and end o a medan based on te teoy o medans  te t o te Sma ntestne edan o Hand-TayangS  SaoZe sod be seected o bood-ettng theapy n ode to apdy vent te sudden accumuaton o bood stass and Q stagnacy om te Sma ntestne med o Hand-ayangas we as actvate bood ow and emove bood stass dedge te obstcted medan and eeve te pan nduce te subsdence o sweng and bgten te eye. pnte pnte Ttment Ttment  S  SaoZe o deta sde was seected o boodettng tepy wt teeedged neede and gacpattoned mobuston e seected acupont was punctued wt a teeedged neede n oe to beed mo t 10 dops te te dak ed bood was dopped down  te coou o te 

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lton lton of of Sle-a Sle-a  Autu Autuee an Mbton ea

blood blood wold bco bco frsh frsh rd rd slowly slowly  t tht tht ti  th hol shold shold b prssd ly with  cotton bll in ordr to stop blding in ti trds  pic of coin-shpd grlc ws st ont th cpoint for bing bkd by  bing ox roll. Whn th littl ngr flt vry hot  th ox ro shold b tkn wy for  whil  prforing sch grlic-pitiond oxibstion for 25 ints ch ti c  dy Drng th procss of v glic-pitiond oxibustion   nw pic of coin-shpd grlic shoud b sd. Obsrvation tion:: Aftr onc trtnt th svr pin of E Obsrva dxtrl y dispprd t onc  rdnss nd swlling of th y w grtly rlvd H did t sur fro th constt lcrtion ny or or Frthro Frthror r h w told to prf prfo o grlic grlicprtitiond prtitiond oxibst oxibstion ion gin gin t Wi o  clock ( bot3    15    in his ho for whn is th owng priod of th ll Intstin Mdin of Hd-Tyng th Qi nd blood of ll Intstin Mridin of HndTiyng r st of ood tid nd it is ost suitbl ti to clr wy th blood stsis d Qistgnncy fro th ridin in th i dgr tr h pord th trtnt onc or in his ho th rdnss nd swlling of his dxl y dispprd copltly copltly A ths signs indictd th illnss ws curd copltly thn t's nd Chapte Seven Diseases of Otohinolayngology  Acute Lgphags

 1 Gn     g g 26 y y  post postd dt t Pant: Gn Cif Comla Comlaint int or throt nd odynophgi for 1 wk. History History o Prsnt Prsnt ns  On wk go th ptint surd

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e Recor of SAco Actre  Mobton

f so that and feve ased by having a old te physial exaination exaination in the loa hospital , it w diaosed as  Ate Phntis   te 3 days of intvenos dripping  Bezylpeniillin, Rbaizin  , the feve disappeaed, bt he soe throat was slightly relieved hen he was teated teated with oal taking soe oon antibioti antibiotiss  bt the sore sore thoat oldn  t be ed al along along He felt felt thee was dry and neven sensaton and pain in hs thoat , espeially when he was swallong food, it beae oe potrdent hen he ae to this hospital fo teatent on April 3 , 1995 te the illness ae on, his appetite bee poo whe his sleeping, rination and bowel oions wen t distbed hee w not othe oplant Phyic Exmi Exmiti ti   he paent was ld with a noral geneal geneal ondio ondionn onge onge ligh lightt ed with a thin laye of white f Plse neven and oating he os ebane of the pharyngeal wall was obviosly ongestive and beae fresh ed in olo Both tonsils swelling o wthot plent seetions attahed Both lngs all lea to asltaton  no honh and ost aes old be heard No othe abnoralty pesent i ii i  Ate Phangitis  irtiti irtiti  his disease was ategorized as " R ( tonsiitis) in CM t was ased by the attak of wndheat evil fo fo the eteo  whih whih attaked attaked the throat throat pward and ased ased stagnaon of Qi and blood stasis in the egional eridian of hoat So the paient seed fo the soe thoat Thrpc Pricip  Dedging he obstrted erdian and ativatng the stnant eridian Qi in orde to ease he thoat and alleviate the soeness Acpctur Acpctur Trtmt Trtmt 2  YeMen of one side was seleted seleted fo fo apntre A 1  5 n needle needle was inserted into the

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luc f f S-acup S-acup Acuu Acuu a Mbus hap

leted auit  the depth of isertio w ut 0 6  0 7u After eedlig sesatio appeared appeared  the the eedle was maipulaed with with eve eve reif reifoig ad duig duig tehique  ad the the eedlig sesatio was idued to spread upward alog he gap betwee the third ad the little ger through the bak of the had ad to the lateral foa e eedle was aed aed i the auit for  miutes ltogether dug he pe of retiig the eedle w maipulated with reduig tehique oe eve 10 miutes  withdwl of the eedle it was gely shaked aud ad pulled out slowly i order to elarge the hole ad bleed a little Uder oe the above above auputure auputure  the E Obevio Obevio  Uder sore throat ad odyophagia disappeared immediaely After 3 days  folo olow-up w-up  the illess did t relaps relapse e The it s ed  

female le  age age 5 3 years years  peasat peasat Pie Cai  fema Chie Compli Compli Soreess of that ad days.

hoaeess for 3

Three Three days ago  the patiet suered from sore that hoaseess fever ad hill wihout ay evidet auses The she wet to a loal hospital for treatmet it was diagosed as  Aute Aute rygoph rygopharygitis arygitis " . After After 2 days of irave iraveous ous drppig  Geamyii Geamyii  Dexameh Dexamehasoe asoe ad ad Ribarizi Ribarizi  he fever ad hill disappeared  but he sore throat ad hoarseess were 't relieved yet yet Furheore Furheore the patiet patiet suffe suffere redd fom dyspea dyspea  whih aused she ould o speak as ormal The she ame to his hospital fo for treatmet o he he igh of July 8  8  1 990. Afte Afterr the illess illess ame o  her appetite beame poor poor  her sleepig sleepig  uriatio uriatio ad ad defeatio defeatio were were t disturbed. There was ot other other omplait Hoy o Pee Dle 

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e Record of SgleAcpot Actre a Moxbto

Pysia Exami Examiati ation on :

The patient was conscios with a saow compexion Pse oating and neven neven , tonge rich ed wih a thin aye ay e of yeow f. f. The mcos mcos membane of the angopharyngea wa was congestive and became dak ed in coo. Boh tonsis sweing  The beathing sonds in ngs wee harsh harsh , some honchi cod be heard occasionay occasionay No othe abnoaity pesent Dianoss  Acte gophayngitis Dirnation This disease  in TCM , peains to the catego  " of FengReHoBi ( ang angop opha hary ryng ngitis itis cased cased by wind-heat wind-heat evi evi))  t was cased by the attack of wind-heat evi fom the exterio which attacked the that pwa and cased bood stasis in the eona meidian of angophngea wa As fo the phanx and aynx , they are a appendan ogans of he ngs accoding o basic theoy of TCM When bood stais was foed in the meidian of the pha and anx, the Lng Meridian of Hand-Taiyin was invoved certainy. eefoe , in fact , this case w st the syndme of bood stasis in the Lng Meidian of Hand-Taiyin Tra Tra Prini Prini : Removing bood stss fm the Lng Meridian of Hand-Taiyin and cooing the ngs, dedging the obstcted meridian and normaiing the owing of meridian-Qi ntr ntr Tratm Tratmnt nt : Accoding to NaZi method of ebb-ow ow,, Yin o  cock ( abot 3   o  cock  5   Midnit-noon ebbo cock ) is the owing owing peod of of the Lng Meridian Meridian of of Hand-Taiyin Hand-Taiyin,, when the Qi and bood of Lng Merdian ae st of ood tide and it is most sitabe time to cea away the heat-evi fom the Lng Meidian in the maximm deee So hat Yin o cock was seected as acpnctng time Foowing this pncipe eiminating the pathogenic facto in the excess sdome LU  ShaoShang of one 7

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liion of of Siint Siint Ate an Moibtion ra

side ws uncued wit  thee-edged needle in ode to bleed  lile te some dk ed blood w doed down  he colou of the blood would become fesh esh ed ed slowly slowly  t tht th t time tim e  he hole should should be essed mly wih  coton b in ode to sto bleeding in ime Eec E ectt Obervatio Obervatio  Unde once the etment he soeness of ho diseed immeditely In he next moing he en low-u  he could hve  tk wh my mothe feely e 3 dys  folow-u illness did 't else Then it s end 2 Coc Phs  

Wng  fem femle le ge  yes yes teche teche Pae Paet t  Wng Dness  itch nd soeness Chie Compait  Dness bout 1 0 ye

tory o ret s Abou

of ho fo

10 yes yes go go  the ient

hd dness dness  itch nd soe soeness ness o tho cused by oveoking. Peviousy it ws moe induced by oveoking o seking Finlly it occued s usul She often suffeed fom d nd itch senson in he tho ccomnied h soe thot In the st 10 yes she ws eetedly teed by using vious nibioics nd ol contining ills A the beginning the tetments wee eective e ective ginst he sickness sickness  while the cutive eect eect becme becme mo moe e nd moe fint s time going long Sometimes the sevee occuence of he bove symtoms ws foowed by dy cough Then she cme to is hosil fo tement on June 7  995  Afe he illness cme on  he eite  sleein sleein uintion uintion nd bowel motions ween   distubed Thee ws not oe comlint Phy Phy  Emiatio Emiatio : The tient ws lucid nd in noml

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e Reord Reord of SleAon SleAon Aupunu a Mobon

na coniion Pus thay an unvn  tonu iht  wth a thin ay of wht fu Th mucous mmban of th pha wa was constiv an k  in coou Both onsis swin  an bcam k  in coou som constiv boo vsss scatt on th sufacs Th bathin souns in boh uns w a ca, no honchi an moist as cou b ha No oth abnoaity psnt go  Chronic Phaynitis ereto  This isas , in TCM , pains to th catoy of  YinXuHouBi YinXuHouB i  inammation inammation of h thoat thoat u to cincy cin cy of Yin)  It was caus by onous winhat vi attackin th miians of thoat an cssiv spakin fo a on im Thn th ca ui of th throat bcam  up an th aynophana mians mians cou not b noush noush  ff ffctvy ctvy as noa  th isas is as mriians thn i up too h ynophna Qi n boo cou not ow smoothy as nom So th patint suff fom ynss  itch snsation an sonss of thoa Theutic Theutic Priciple Priciple  Inucin th upamin  to o ownwa ownwa  nouishin Yin an pomoin pomoin pouction of ca ca ui , tonifyin th aynophana miians Bcaus th Yin H Vss an th Kiny Mrian of Foot-Shaoyin a h souc to pouc Yin-substanc an boy ui , thy ak cha cha of vopmnt of Yin an boy ui un noma conitions So that th cossin acupoint of th wo mriians shou b a as h ky acupoint to cu this inss Acupucur Acupucuree Tretmet Tretmet    ZhaoHai was sct fo tatmn Foowin th princip of infocin infocin th ci  cin n Hathy-Q Hathy-Qii in th insucint insucint cas of NaZi mtho mtho  of MinihtMiniht-noon noon bb-o bb-ow w , Xu o 'cock ( about about 19   o 'co ' cock ck - 21   o 'cock) was 9

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tion tion of of Siint Siint Auue Auue a Moibtion er

he he  thepeut thepeut pe  f he the Q  bl e e thugh thugh the Key Key e f Ft-Shy ut    the Q  bl f the Key e  t uet t Xu  lk   tht   the t utble te te t ef efee the Q  bl f the Key Key e    the u u egee egee Se NuX Nu X  Ahythe Ahythe  BgP  Bel ee gu  e pe  the xe tgethe h  lttle f u. Whe ue  he  tl t tke e xe pe  x the pe th e te t ke ut the -hpe heb-ke Oe heb-ke  et t the upt f 6  Zh  e t hve heb-ke heb-ke but but  30 ute eh te  e  y t Xu  lk O a aon on : Mte 2 y y  e e e et t  te ye ye  th f O  ee f tht ee l eleve gely Mte 0 y y ' tetet  thee  t f f he tht y e The he  tl t tue the tetet by heelf  e t fe the thepeut thepeut eet eet peet peetly ly Mte Mte 1 ye   fll-u ll-upp  the lle lle  t elpe  elpe  the t  t  e

  Pa Pa n n :   l lee  ge ge 52 ye ye  ke ke Ci Comlain  e  th  ee f tht f but 6 ye. Hisory o Prsn s Abut 6 ye  , the ptet uee f e  th  ee f tht tht thut y bvu bvu ue F the   he h bee epetely te te by ug vu tbt   tg pll t leve the ypt ypt  ue ue the tet tetet et  the the ypt ypt gt ete l ete evee evee Reely  t gvt gvt   ue ue by  ete vekg The e h htt   eve tht th t t  ult ult f h

370

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e Recod of ileAcpoit .4cpUte .4cpUte a oibt

to speak and chew as normal Then he came to me fo teatment on Octobe 10 1995 Since the illness came on his appetite sleepng ination and bowe motons wee all noa al aong There was not othe complaint Pc E e patient was conscios with a noma genera condition use tat and neven  tongue lig ed wth a thn laye laye of white f he mos membane membane of the phngea wa was congestive and became dk red in colo Both tonsis sweng    lngs  clea clea to scl scltat tation ion  some honchi cod be heard occasionally No othe nomality present. g g    Chonic hayngitis eet eett t   This disease in TCM , petans to the catego of YinXHoBi  ( inammation of the thoat de to deciency of Yin)  t was cased by exogenos wind-heat evil attacking the meidians of thoat d excessive speakng fo a ong time en the cea id of the that became dy p d the langophaynge meridians cold not be noshed eectively as noal the diseased medians then dried p too  the lngophayngeal Qi and blood cold not ow smoothly as noma So the patient got dess itch and soeness of throat Theut Theutc c Pc Pcpe pe  Indcing the p-amng re to go downward noishing Yin and pomoting podcton of cea id tonifying the langophayngeal meidians TaiXi of one one sidethe Sh Acupuct Acupuctue ue Tetet Tetet  K3  TaiXi Acpoint of the Kdney Meridi of Foot-Sh Foot-Shaoyin aoyin  was selected for acpnctre. acpnctre. A 11  5 cn needle needle  wth is tip pwa pwad d  was inseed inseed nto the selected acpoint acpoint  twiing the neede ightly til he needing sensation appeed The needle was then maniplated with reinforcing techniqe and retained in the acpoint for 30 mintes 371

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ltn ltn of Slea uture a Mobwton ra

oy On whdrw of of he need neede e   ws ws tre tredd rond nd hen hen ed o qck q cky y  he hoe ws rmy ressed Merd erd  drec moxbson ws ws mmedey mmed ey ed ed  he ncred hoe  1 0 nes of mox cones were b o ech tme Eect Oervao  Under once he tremen he soreness of hro hro dseed dseed mme mmed dey ey  dness nd ch of hro ws ws eed grey Mer 5 dys  re remen men here here ws no no dscom dsc omfo for r ny mor more e The Thenn  s end

3 Tiitus ad Deess 

1

feme  ge 22 yers yers  coege coege sden Patiet  He  feme Ce Ce Copla Coplatt  Tnns o dexr er or 2 monhs nd  h ccomned wh dsendng n of dexr er for 1 week Two monhs nd  h go go  he tory tory o Preet Preet e  Two en ree reedd o home by trn trn  n her tr   nerb nerbyy wndow ws ke oen oen  hrogh whch he cod wnd wnd drecty bew her  ong There Thereo ore re  she se sere redd fm tnns of dextr er er   seemed h here ws  ccd c cd sngng n he er er  besdes   so csed   o don Theref Therefor oree  she sh e codn   cery cery her her wh wh he h e echer echer sd sd s hng cses Then she wen o    hos or or men Mer Mer some hysc hysc exmnons exmnons   ws ws dgnosed dgnosed s  Neos Tnn T nns s   she she ws reed reed wth wth os mns mns nd nbotcs nbotcs B he symom symom codn codn  be eed 1 week go go  she norney hd dsendng n n he dexr er whch csed her don go r rher her worse  she cod hrdy hrdy her wh he echer sd when hng csses Then she cme o hs hos or tmen on December 10  1995 Mer Mer the ness ness cme on  her ee  seeng were  no  bowe moons nd non were

3

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e Reord of SileAcoin SileAcoin Auure  oxib�ion

noal oo. Tr wasn  or complan Phyica Exaatio   pan was lucd and n noal gnra gnra ondon ondon Ton g g rd w a n ayr ayr of w fur Puls ns and oang  pangal wall wasn  obvousy congs congsv v  bo onsls onsls swllng swllng  0• Bo ars all noal n sap and scur T dxa dxall anrum aurs was unobsruc unobsrucd d   ympanc mmbran was na nacc and normnorm-sapd sapd Rsprao sounds n bo ungs wr al clar no ronc and mos ras could b ard No or abnormy prsn iago iagoi i  Nous Tnnus iratio  Ts dsas  n TCM  pans o  cagory of " ErMng  ( nnus  . I  s causd causd by xog xogno nous us wndcold v v  wc aackd  oc mrdan from  xror and n obscd  ar So a   mrd mrdan an Q couldn   smoly ow around  rsd n nnus and dsndng pan n  ar. Thrautic Thrautic Pricipl Pricipl  Drdgng  obscd Saoyang mdan xplng  suprcal wnd-cold vl opnng  oc orc and noalng  audon on sd was Acupuctu Acupuctu Trat  2  YMn of on slcd for acupuncu. A 1. 5 cun ndl was nsrd no  slcd acupon. T dp of nson was 6  7 fn or so. r  ndng snsaon appard  nd was manpulad w mld rforcng and rducng cnqu so as o nduc  ndng snsaon o sprad upwad along  gap bwn  3rd ngr and  ll ngr roug  bac of  and and o  lara forarm. T ndl was nay rand n  acupon for 30 mnus alogr On wdrawa of  ndl   ws gnly sakd around and puld ou slowy n ordr o nlarg  ol Ec E ctt Orvatio  Undr onc acupuncur  dsndng 373

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t t o S-t ct ct a Moxto 

pain diappeared immediately immediately  the the tinnit tinnit wa wa relieved atly hroh 3 time  treatment the ditendin pain and tinnit al diappeared ompletely her adition wa reatly impved too he old tdy a noal ter 3 month  ollowp the illne did t relape then it  end  

Kraee  ma male le ae 48 4 8 yea yea tne tner.r. Pt Pte ett  Kra Chie Cmp Cmpi itt  innit o both ea and all o adition or 3 day Hit  Pet s hree

day ao the patient ame to iyin rom Geany by air When he rived he had a enation o bein obtted in hi ea it eemed tat omethin obtted hi ear heore it aed a low tone tinnit whh rther tobled hi with ll o aditon and prevented him rom worin a noa. So he had to o to ome hopita in Jianyin or treatment ter phyi phyial al examination examination  it w diaoed diaoed a " obliteraton o adito tbe   and he w eted to treat the lne by pntrin the tympan membrane Bt he reed the etion rmly and ame to me throh omebody or treatment on Jly Jly 3  1 ter the lln llne e ame ame on on  hi hi appe appetit titee  leepin leepin  rination and bowel motion were all nonal here wan  t other omplnt Phyi Phyi Exami Exami   he patent wa d and n ood eneral ondition. one liht red wit a thi layer o white r e tat and tene he mo membrane o the phanel wall wa lihtly onetive Both tonil wellin   • Both ear were all noa n appee and trtre  the meat tbe were nobtted  the tympani membrane were al intat  the mbiil 374

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e Recor Recor of Si-Ait Ate  Mbwtion

eon bded nde Repatoy ond n both ng we  clea clea  no honch and mot le co codd be head head No othe noalty peen    Nonnfectve Nonnfectve Tympant Dirnation Th dee , n TCM , petan to the categoy of Mng ( tnnt) and Long  ( deafne)  It  caed by mbalance of atmophec pee n both ea between the nteo and the eteo de to loweng of atmophec pee dng the hgh-alttde yng It caed the ea wee obtcted and then the patet epeenced the tnnt and dene entaly, t   the yndome caed by dode of the fnctonal actvte of Q n Tple negze and mbaance of Q between the nteo and the eteo Trati Trati Prini Prini  Regatng the fnctona actvte of Q n Tple negze, etong the baance of atmophec pee between the nteo and eteo, openng the otc oce and nomalzng the adton n ntr tr Tratm Tratmnt nt:: T2  YeMen of one de wa eected fo acpncte. A 1  5 cn needle wa neted nto the elected acpont The deph of neton wa abot  0 cn o a to tmlate the acpont of T3 , ZhongZh togethe te the needlng enaton appeed, the needle wa manplated wth mld enfocng and edcng technqe n ode to ndce the needng enaton to pead pwad aong the gap between the 3d and the ttle nge thogh the bac of the hand and to the late  oeam At at the needle w etaned n the acpont fo 30 mnte mnte totaly totaly , dn d ngg the pce pce of etanng etanng  the the needle wa wa manplated wh mld enfocng and edcng technqe once eve 10 mnte On thdawal of the neede t w otated ond 375

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ldaon of Silupon Silupon Acuu Acuu and Moxbo apy

and plled ot apdly, te nseed oe was nedately pessed nly. Eect E ect Obervatio Obervatio  nde once sc acpncte, tnnts of eas dsappeaed edately  s adton got nomal too Afte 3 monts monts  folow-p olow-p , te patent ept wong as nomal nomal al along along , te llness ddn't elapse, en t s end  Toothache  

Sen  fema female le  age 46 yea yeass  wo wo e e Pati Patie ett  Sen Chie Complait Complait ootace fo 6 days Hitory Hitory o o Preet Preet Dle  Sx days ago te

patent seed fom tootace of te detal sde de to eatng some wbees It was a contnos acng pan and cased se daen t bte anytng wt te dseased teet  fo even tocng food food wt te teet o speang and cewng cold agavate te acng pan te te llness came on  se went to te stomatology depment of a local osptal, tg pysc examnaton t w aosed as  eo eoss oota ootac cee   se was teated wt oal ang some anodyne and antbotc dgs Afte 6 days  teatment , te pan dd not abate. At tat tme, se met wt me and ased me fo teatment on Octobe Octobe 30  1 992 992  Afte Afte te lness lness came on  e appette , sleepng  naton and bowel motons wee all noal ee was not ote complant. Phyica Phyica Exaao Exaao : e patent w conscos w a nomal geneal condton onge gt ed wt a tn laye of wte f se oatng and tense. o evdent congeston n pangeal wa. Bot tonsls swellng    Examnaton of stomatoo evealed tat all all te te teet wee all noal n sape and stcte  no 376

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e Recor Recor of SieAcoin SieAcoin Acuuure  Moxibion

congestion , eroson and so on cold e fond in the gm. Both lngs, heart and adomen were all noal. No other anoity presen iago iagoi i  Neos oothache. iereaio  his disease , in CM , pertains to the catego of Yaong  ( toothache). t was cased y ostrction of Shaoyang meridi Qi , which cased the owng of meridian Qi Q i cod not smoothly pass throgh the aected regions sch as the teeth and the gm as nol , therefore , the patient had the toothache Therap Therapei eicc Pricipe Pricipe  Dredging the ostcted meridian and collateral, activating the stagnant meridian Qi and removing the lood stsis in order to stop the pan Acpcr Acpcree Tream Treame e  E2 , YeMen of dextra side was selected for acpnctre A 1 5 cn needle was inserted into the selected acpoint. he depth of nserton was aot 1 0 cn so as to stimate the acpont of E3 , ZhongZh together. After the needling sensation appeared, the neede was maniplated with ying ski in order to indce the needling sensation to spread pward aong the gap etween the 3rd and the little nger, throgh the ack of the hand and wrst to the lateral aspect of pper a At last, the needle was retained n the acpoint for 30 mintes totlly, drng the process of retaining, the neede was manipated wth mid reinforcng and redcng techniqe once eery 10 mintes. On withdrawal of the neee , t was gently trled arond and then plled ot rapdly and the nserted hoe w mmediately pressed rmly. acpnctre , the Eec E ec Oervaio Oervaio  Under once sch acpnctre toothache disappeared immedately  an hor later,  saw the patient patient was happily happily eating an orange orange , then tt s end 3

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ao of Seaco Seaco Acuue Acuue a oxbo ea

 

ml  g 19 rs  psnt Patet  Y  ml Che Cmp Cmpa at t  oothch or  ds. H H  Pre Pre e   ptnt origin hd  Dntl rs r s or mn rs  whos rcunc ws on on inducd b mpropr dit  ds go  s k som hot d  n s surd rom th th rlps o hr toothch gn gn It ws  connuous distnding pin nd cusd sh dr not t nd chw nthing th th dxr dxrll lowr lowr tth s norml  morovr  vn hr hr spking spking bcm unclr. r th illnss rpsd  sh wnt to  hospit in Nning o or trtmnt trtmnt  hrough phsic xmintion xmintion  it ws still dignosd s  Dnt ris nd sh ws suggstd to xtrct th dissd toot Howvr  sh sould gt ntiinmmtion trtmnt bor bor tooth xtrction hn sh sh hd to b trtd with som nodns nd ntibiotics Atr 4 d dss ' trtmn trtmntt  hr tooth toothch ch rmind unchngd  th svr pin md hr rslss l d nd night n th nih o August 12 1992 sh surd rom hr tooth toothch ch so much tht tht sh couldn couldn t stnd stnd iti t t ll , thn sh skd skd hr bo bond nd to riv hr toothch toothch with cupunctur cupunctur Hr boind sctd   HGu o th dtr sd or or cupunctur  but th toothch w not rlivd t tr 20 minuts' cupunctur So hr borind hurrdl cm to m or trtmnt t onc. tr th inss inss cm cm on  hr pptit pptit  spng spng  urinti urintion on nd bow motions wr  no hr ws not othr complint Phy Phyal al Exaat Exaat    ptin ws conscious with n cut cut pnu compl complon on Sh ws gonng n ndd mo mong ng contnuous ongu scrt with  thin lr o ow ur Pus otng nd tns No vidnt congston in phng wll. Both 378

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 Rco of SAcont SAcont Actu a oxbton

tnsls swelling    he espit sunds in bth lungs wee ll cle N hnchi nd mst les culd be hed N bnml sign in het nd bdmen e secnd ml tth in the dextl lwe gum ws seveey decyed nd cme d n clu te dcent gm ws cngestve d swllen A 1  5 cun neede hd been inseed in the cupin f 4  eGu f e dextl side  bu nly  itle chg sesn ws thee N he bnmlity pesent s: Dent Ces iereatio  his dsese  in CM  peins t the cteg f " Yng  tthche   t ws cused by the txin f the decyed tth  which ted the eginl meidn nd clltel nd bstcted he medin pssge f ge ntestine Meidin f nd-Yning theeby the meidin Qi culd nt smthy pss thugh the ected egin egin  nml nml  s tht the pten pten expeienced the insueble tthche As f why the tetment f needlng L4 egu gined n eect  ws ust ested fm the imppe mnputin technque f i ws celess nd unt f the ilness n nd cudn cudn 't eeectively stimulte stimulte the the stgnnt meidin Qi f ge nestne Medn f dYngming t pss hugh he ected ected egin  s ht the thche thche emined unchnged lhugh he seected  ppe cupin; suh upsht ws nt esulted f his syndmedieenitn nd the selected cupin f they wee l cect nd suitble f the illness ny fm his impeec mnpuin technque erapeu erapeucc Pricipe Pricipe  Simulting he meidn Q f ge ntesine Medn f ndYnging ndYnging in de t dedge the bsucted meidin pssge nd ctivte the stgnnt meidin Qi  ce wy het evi fm the Lge ntestine Medn f nd yngming nd eleve the thche qucy nd effectively 379

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liion of Sile- Sile-oin ointt Ate a Mibtion er

Acupucu Acupucure re Treae Treae  Smlly, U4 , eG f th etl

e w electe f cpcte e 1 5 c eee tht h bee ee ee t the cpt cpt w gely lfte lfte p  lte ,  the t w blqely ee t the cpt g wth he ect f  tp pw The epth f e w 1 2 c c    the eele w mplte wth twg  ttg techqe   t ce the eeg et Mte eelg eelg et ppee , the eele w mplte wth ml efcg  ecg techqe  e t ce the evee eelg et f chg chg  mbe  heve t pe pw t the te pect f the etl fem  the etl ppe m thgh the etl etl wt Mte Mte  , the eele w mpte wth ecg  ecg techqe Flly Flly  the the eee w ete   he cpt f 30 mte ttly ttly Dg the pce f g , t w mplte wth ecg techqe ce evey 10 mte O wthwl f the eee , t w lwly he     plle t lwly  e t elge the hle      : Ue 1  2 mte mte  ch cpc cpct tee , Eec  the tthche ppee t ce ce The the ptet ptet w tl t cte the tmmt tetmet f tth etct Afte 1 wee wee   flw-p lw-p , the tth tthche che   t elp elpe e 10 y lte, the ecye ecye tt tthh w etcte etcte by the t he ct f tmtl tmtl The t  e e

.

Meniere 's Disease

 Feg  ml mlee  ge ge 76 ye , ete teche Pae Pae   Feg Che Che Copa Copa  Repete e e  , vetg vetg  tt f f me h 20 ye ye , elpe elpe   ggvt f 2 y

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 R R f S- S-  p  xb

Hitory Hitory o Preet le le  More ha 2 years ago the patiet

sueed from dzziess vertigo ad tiitus without ay obvious causes At that tme he separately wet to severa hosptals for treatmet it was dagosed as " Meiere 's Disease  though some relatve examatios Over the pat years he maitaied it with oa takg may kids kids of weste weste medici medicies es ad Chiese Chiese hebs  therefore the symptoms became sometimes mld ad sometimes severe 2 days ago the sydomes lapsed seveely because of weather chagig. He himself fel his head got much heavy ad his mid got ve dull accompaied wth seious dizziess frequet ausea ad titus of both ears So that he dare ot ope his eyes  otheise he would mmediately fall ito the isueable vetigo it seemed seemed that e house  the eath was revolvi revolvigg ud himself himself te terr the recuece he was quickly set to a local hospita for teatmet he was treated with iaveous drippg " ecto of red sage oot eergy  ad ora takg " Oryzaol pills for elievig vertigo   But he symptoms coud ot be eieved at al The patiet was stl supie o bed ad dare ot ope his eyes it caused he coud ot drik water d eat aythig e hs wfe came to this hospta ad requested me to go to the home fo treatmet o November 21  1 997. 997 . Afte the lless came o  his sleepig  uriatio ad bowe motios motios wee al oma. But he ost his his appetite competely There was ot oe complait. Phyic Phyical al Exaiat Exaiatio io : The patiet was coscious ad eous with a pae d lusteess compeio. He was supie o bed ad tght closed his eyes with harsh beathig Pulse taut tese ad rapd togue ight red with a thick layer of whte fur No evdet cogesto cogesto i pharygel wll Both tosls swellig    The respratory souds  both lugs were al harsh. No rhoch ad 1

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lio of Sile Sileint int Ate a Moxtio ry

ost raes coud  heard Hea and adoen a no No other anoraty present g go o   Meneres Dsee.  ee  Ths dsee  n CM  perains o the caeo caeo of  uanYun "  vertio vertio )  t was was caused y the preous urd sustances such s phe ev and dapness ev n the ody hose turd sustances confused the funcona activtes of Q and caused the turd Q coud not descend don fro the cerera and the cean YanQ YanQ coud not aend up nto he cerera. Therefore , there was the evera of cean Q and turd Q  whch was anfested anfested y he paroxys paroxys dzzne dzzness ss  veo ve o and ttus Thepeuc Pcipe  Enatn the turd susances and reversn the reversa of cean Q and urd Q  cendn the cean Yan Q up to the cerera and descend the turd Q down fro he ceera can the ood and Q n order o ann the noa functona actvtes actvtes of the the cerera cerera  restor restoree the sprt and tranquze the nd K   YonQu YonQuan an of one sde w Acupucu Acupucue e Tee Tee K seected fo acupuncture and hercake oxuston At rst a 1 0 cun neede was rapdy nserted nto he seected acupont  was contnuousy anpuated wth twn and rotan technque so as to nduce he severe needn sensaton to spread a over he soe and edan aeous ter aout 3   nutes of the ove acupuncture  the paten had nausea sensaton suddeny sud deny and ean o vot vo t severey  he voed voed out a ot of watery ptyaoud ptyaoud te ter votn  the dzzness veo and nnus dsappeed edatey and then he fet ve refreshn He coud open hs eyes and speak to oher as

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e er er f iAci iAci Act a Mibtin

al Theby I he hedd he acupucu acupucue e a ce e e whdawg he eedle he hebce mxbu w emplyed mmedaely The pcp f he hebcae w u a belw BaXa BaXa Pella Pella Tube 20g Nu  Achhe Achhe R R 20g BgP BgPa a  Bel 6g Al he abve heb wee  be ud  e pwde gehe. e ued a ltle f he pwde wa mxed wh me u ad wae  mae chaped hebcake Oe hebcae wa e  he eeced acup ad he baed wh a g mxa ll f 30 mue tally pefmg uch hebcae mxbu ce a day Eec E ectt Obeati Obeati  de 8 me f he ve eame he pae g ecveed cmpleely Afe half a yea   fllwup he le dd  elape he   ed 6 Pharglargeal Neursis 

emale  age 69 6 9 yea yea hue fe fe Pae Paet t  Y  female Cie Cmpait Aceby ad chg ea

f ha f

5 yea eed try try  Preet e e  Fve yea ag he pae eed fm de aceby ad chg ea f he ha whu ay bvu caue. She fel ha hee wa mehg ha had bee atachg he ha bu he cd  wallw  dw  expecae  u. Whle hee wee  he ympm uch  e ha  auea ad   The he we  he lcal hptal hptal  hugh me elave exama  hee we  ay abmal dg She wa meely eaed wh al cag " CaShaHu 

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on of SgSg-po po Acp a Moxbo Thra

Ps Ps  and akng some anbocs anboc s Bu Bu he dyness dyness  aceby aceby and and chng sensaon of he hoa coud no be eecvey evaed a aong Then she cme o hs hospa fo eamen on Novembe 2 appee  una unaon on and and 2. Afe he ness came on  he seepng  appee defecaon wee a noma Thee was no ohe compan Phyic Phyic Exitio Exitio   The paen was conscous wh a noma noma gene genea a condon condon Puse oang and scaeed scaeed  ongue gh ed wh a thn aye of whe fu The mucous membane of he phangea wa was a b congesve Boh onss sweng  o The angea cavy and voca fods wee  noma The espoy sounds n boh ungs wee a cea No honch and mos aes cou coudn dn  t be head Hea and abdomen a noma No ohe abnomay pesen ig igo o   Phayngoangea Neuoss iereitio iereitio  Ths dsease  n TM  peans o he caego of  MeHeQ MeHeQ   gobus gobus hysec hysecus us  I was caused caused by pathogen pathogenc c e and phegm phegm  whch go enanged enanged each ohe n  n he phayngoa phayngoangea ngea cavy The Theef efo oee  he enangemen of he pahogenc e and phegm dsubed he funcona acves of Q n he medans and coaeas of he phayngongea cavy  hen he paen had he aceby and chng sesaon of he hoa As fo he phnx phnx and an d a a  hey ae a a appendan ogans ogans of he ungs accodng o he he basc heoes of TM Ths case  acua acuay y  peaned o he syndome caused by enangemen of pahogenc e and phegm n he ungs medan Therpeutic Pric Pricipl iplee  Reeasng he suppessed pumonay Q ad ad dspesng dspesng he depesson  dedgng dedgng he medan and coaea n ode o ease he hoa Acupuctur Acupucturee Tretet  LU7  LeQue of one sde was

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e Recor Recor of S-A S-Aco coint int Acuture a Mbton

selected for acupunctue A 1 5 cun needle needle , wth ts tp tp upwar upwardd , was nseed nto the seected seecte d acupont , twrlng twrlng the the needle need le gentl gentlyy t he needlng sensaton appeared. The depth of nserton was about 1. 0  1. 2 cun The needle was then manpulated wth reducng echnque so  to nduce the needle sensaton to spread upward along the laeral border of te forearm Wth ha , te needle was etaned n the acupont for 30 mnutes n total Durng he process of retanng retanng , e needle was manpulated wth ducng technque once every 10 mnutes On wthdrawa wthdrawall of he he needle , t was genly genly shaked aound and pulled out slowly n order to enlage he hole E Ett Obsrvation Obsrvation : Under once he treatment treatment  dness and acerbty as well as tchng sensaton of the throa were a releved grealy. Mer 5 days  reatment , here were no dscomf dsc omforts orts any mo more e Then t s end

7 . aua of Auce  Pati Pa tin ntt : Wa Wang ng , male male , age age 9 years years,, pupl pupl Ci Comaint Comaint : Pan of he dextral ear for 3 hours History o Prsnt n  Three hours ago , the the paen ' s dexral ear was heavly tweaked by hs teacher because he was too naughty and made trouble n hs class It caused hs dextral ear got severely red and swollen  accompaned wth nsue nsuerabl rablee pan. Then hs teacher led hm to ths hosptal fo treatment on arch 1 1 , 22 Mter the llness came on , here were not tnnitus tnnitus , dzzness dzzness , fa of audto aud tonn and so on on , hs appette , unaton unaton  bowel bowel motons were all norm There was not oher compant. Pysial Pysial Eamination Eamination:: The patent appeared e wth a norma norma genera genera condton condt on Pulse oatng oatng and an d tense , tongue tongue lght lg ht red

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lon of e-aon e-aon Acuncue and Moxon ea

wit a tin layer of wite fur The dextal auicle was pominently caacterized by sevee congestion and swelling , it was scaet in clou and unpressabe due to sensitive tendeess Te dextral antm auis was unobstcted  no bleeding bleeding o exudaion was foun e tpana membe was intact o ote abnoaity pesent    auma of Aucle isease  in C  petains to e catego catego ere  is isease of  E  ong  ( pan of ea ea   It was caused caused by te exteo exteo force , wic rambunctiously bbed te auricle and ten aected te owing of median-Qi and blood in the aurce eefoe, tee appeared appeared a syndome syndome of blood stasis and Qi -stagnancy -stagnancy in te auicle  wic was maneste manestedd by te te eona swelling and te pain As fo te aurce it 's ust te end of te ple Enegzer eidian of Hand-Saoyang were te merdian-Qi of Tripe Enegize eridia of andSaoyang conveges togeter According to te theo of meridians te root of a meridi means wee te meidian-Qi orignates correspondingly te end of a meridian means wee te meridian-Qi converges. e oot and te end of a merdian are of signicance fo a merdian fo tey  closely elative eac ote and togete maintain the noal owing of Qi and blood of te merdian Under noa noa status status  tey coodinte wit eac oter fom afar, stenia of one consequentialy leads to stenia of anote anote;; astenia of ne consequentialy eads to astenia of anote too In tis case  te end of te Tipe Energze eridian of Hand-Saoyang was involved in te suffering wic must be reected by its oot erapeuc Pricipe  According to te above compreension on te ot and end based on te teory of meidians  te rt of te

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e Recor of Sng-A Sng-Aco co  cutu  Mobton

Tple Eeze e of oyTE , G GC Co o  ol be elete fo bloolett tepy  oe to ply vet te e mto of bloo t  Qty fom te Tple Eeze e of oy  we  tvte bloo ow  emove bl t  ee te obtte me  eeve te p Acupuctu Acupuctuee Teatme Teatmett  TE   GCo of etl e w elete fo blett tepy wt teeee eele  lptoe mobto e elete pot w pte wth  teeee eele  oe to blee moe t  0 op Mte Mte te k e boo w oppe ow , te olo olo of te te bl wo beome beome f f e lowly , te te te ole ole ol ol be pee my wth  otto bll  oe to top blee  tme. Mt Mte e   pee of ope   w et oto te pot fo be be  bke by  b mo ol We te ptet fet fet ve ot  te mo ll ol be tke y y fo fo  wle , pefom pefom    l l pttoe pttoe mobto fo 25 mte e e tme , tw twee  y We We eve  lp l ptto ttoe e mobto mobto w peome peome   ew pee pee of ope    ol ol be pple Eect Obvati  e oe o e tetme tetmet t  te  p of  etl etl   le le ppee ppe e t oe  te wel  wel  w leve et etyy , fteoe teoe , we toe po , tee w ot teee y moe Mte Mte twe  tetme tetmett , te boy ' et et le ot oml ompetey Te t  e

8 Croc rc rc s  me , e Patiet  Ce , me

 9 ye ye , ollee te 7

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ition ition of Si Siint int Atur n Moxibtion rpy

Ch Ch Cmpa Cmpatt  Naa

for mor than 5 ya

obtructon rhnorrha an nzn

t  Pt s Mor

th 5 y ao th patnt ur from naa obtcton  rhnoha an nzn thout any obvou cau At th bnnn  th ymptom appar ony whn h cauht a co tr on  th occurrnc bcam contnuou A uua uua  h naa cavt m to b obtruct obtruct wth omthn omthn t cau cau h h  coun cou n t brath brath mooth moothyy  at th am tm  h awa away y nz nz frqunty frqunty  mor charactrtcay  a ot of nasa nasa char ow out contany  whch wa omtm omtm  wht n coour an thn thn n txtur wh omtm yow n coour an tcy n txtur n th pat 5 yar yar  h wa  to many hopta hopta n Nanjn Nanjn  Sh Shan anh ha a  Jann fo for tratmnt  hro hrou uhh om ratv ratv xamnaton xamnaton  t was ano a  Chronc Arc Rhnt  H ha bn trat by ant ant -nammat -nammatory ory   oc oc frn   ta t ar rcc ru Unr th tratmnt thr w protrunt curatv ct at rt  nvrth  th curatv curatv ff ffct ct bcam mor an mor fant fant aua auay y  at at  th ymptom bcam b cam  am a bfo bfor r Somtm Somtm whn whn h was buy buy n h h tuy  th naa naa obtcton obtcton  rhnoha an nzn annoy hm o much that h vn an tuyn tuyn  wr a act Thn h ca to th th  hopta hopta  for for tratmnt on Dcmbr 10 2001 tr th n n  cam on  h urnaton urnaton  bow bow moton moton  wr wr a a noa noa But h app a ppt t was poo poorr a aon Thr was not othr compant Phyca Phyca Examia Examiat t  : Th patnt wa concou wth a norma norma nra nra conton con ton Pu Pu oatn oatn an tn  tonu ht r wth a thn ayr of wht fur Myctrc mucoa of both  wr  par an thnnr Som cattr contv pot wr prnt n th myctc muco  whch wr a ar r r n coo coou u In

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e Reco Reco of SAco SAco  Acutue a Moxb!ton

addition  tere were ome yelowi ticky ecretion attaced Te mucou memrane of te pangeal wl wan ' t congetie Bot tonil welling  0• Te repirato ound n lung were a ce no ronci and moit rae could e eard No oter abnoality preen iag iagi i  Cronic Alergic Riniti i itia tia  Ti dieae in TCM , pean to te catego of " BiYuan ( inuiti or riniti   According to te teo of meridian , te later ide of ala nai i te root of Stomac Meridian of Fooangming were te Qi d lood of tomac meridian originate , it i jut te fountaiead of te tomac meridian n ti cae , te ymptom uc a naal naal otruction , rinoea and neezing were all located in te later ide of ala nai , tey we al regional ymptom , not accompanied wt oter ymptom uc a coug d atma tat were related to te lung. Altoug te noe, panx and lanx are all te appendant organ of te lung according to aic teory on icera of TCM , all te ymptom in ti cae weren ' t related to te lung in fact A for te patog patogene enei i , it   jut te deciency of meridianQi of Stomac Meridian of Foot-Y angming , wic wic wa too decient to conolidate t fountainead d effectiely reit te attack of exogenou eil Terey , te exogeno  eil tayed tere for a long time and reuted in te aoe ymptom ymptom Ti cae , actually , pertained to te yndrome of deciency of gatric Qi rac rac Prici Prici  Strengtening te Middle Energzer and inigorating te gatric Qi, dredging te otructed meridian and freeing eeing te orice Following te principle of reinfo reinforcing rcing e decient ety Qi in te inucient cae of Ni metod of Midnig Midnigt tnoon noon ee-ow ow,, Si o ' clock clock ( aout 9 9  o  clock   1 : 

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iation of of Sie-aoin Aue an Mibtion Tea

o 'lok 'lok ) was hosen hosen as therapeut therapeut perod  for whe whe the Q and ld ld owed owed throuh he Stomah Stomah Mrdan Mrdan of oot-Yamn ust now  the Q and  ld of te stomah merdan s most suent a S o  lok  so that t ' s the most sutale tme to renfore the Q and lood f the Stomah Merdan n the maxmum deree By needle-warmn herapy on e aupont of he somah merdan a hat tme  the astr Q oud e renfoed eouh to onsoldate ts oot so as to eetvely resst the attak of the exoenous evls ZuSaL of one sde was Acupuct Acupuctur ur Trat  S6  ZuSaL seleted for aupunture Aord o NaZ method of Mdnht noo e-o e- ow w  needewa needewann nn method was employed at S o 'lok ( 9   - 1 1   ) . A 1 5 un needle was serted peendularly to the seleted aupont e dept of sero was 1 . 0 - 1. 2 un or so  wrln the needle ely tll e eed sensaon sensa on appeed he needle was then manpulaed w mld renfon and dun tehque so as to ndue e need sensaton o spread dowwads alo the ateror pet of he a he neede was retaned  the aupont for 30 mnues mnues n tot  durn durn he proess of retann he needle was peanently aked wih a u moxa-ro moxa-rollll  somemes somemes  the wan wan sensaton ould spread spread  over the anteror aspet of he le and e dorsum of he foot O wtdraw wtdrawal al of of the needle  the un un moxa-ll was rst extnsed extnsed  afer afer the eedle ee ool  t was enly twired twired aund and the puled ou rapdly and the nsered hole ws mmedately pressed ly peormn suh auputure oe a day Ect Orv Orvat atio io  After 3 days su auputure reament reament  the nal ostrto and sneez dsappeared 

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e Reco Reco of SnAco SnAco Acupuue a Moxbon

hiohea was eieved geaty te 10 days days  tea team me ett  a a the comfo comfotab tabe e sesatio disappead Futhemo Futhemoee  his appetite got bete too. Afte Afte haf a yea  s o owup wup  the iess iess did t eapse  the its ed.

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