ME Chinese Medicine Treatment.pptVIP

ME  Chinese Medicine Treatment Huijun Shen Senior lecturer Acupuncture Programme University of Lincoln hshen@lincoln.ac.uk ME:TCM Understanding TCM Name: Xu Lao Xu: Deficiency Lao: Fatigue Core Etiology pathogenesis: Damp retention, and Qi deficiency What is damp retention An abnormal accumulation of body fluids, which affect the physical functions of organs (most commonly spleen), tissues (muscles etc) and cells, leading to dysfunction of cellular metabolism. Damp: intercellular accumulation of body fluids? Where does damp retention come from? Damp retention leading to Spleen dysfunction Spleen has the function in transformation and transportation of food essence to produce Qi What is Qi Deficiency? Qi: life force, vital energy Qi deficiency: Qi becomes weaker than normal leading to lessened energy level in the body, manifesting as fatigue/lethargy, weak muscles, poor appetite, weak voice, pale tongue and weak pulse. Where does Qi Deficiency come from? Damp Retention vs Spleen Qi Deficiencymutually causativemutually consequent A. Early stage: predominantly excess patterns Damp accumulated in the interior 1. Damp heat accumulated in the interior Main symptoms: feeling slightly hot but no fever, sweating, thirst but no desire for drinking; distension/fullness in abdomen, with dull pain, poor appetite, erratic bowel movement or diarrhoea, nausea, vomiting; red tongue with yellow greasy coating, rapid soft pulse. Treatment principles: Clear damp heat Herbal formulae: San Ren Tang Herbal prescription: Xing Ren, Sha Ren, Yi Yi Ren, Huan Qin, Zhi Zi, Bai Zhu, Chen Pi, Gan Cao Point selection: GB34, SP9, ST38, ST25, LI11 2. Damp cold accumulated in the interior Main symptoms: feeling cold, no or little sweating, no desire for drinking, distension/fullness in abdomen, poor appetite, nausea, erratic bowel movement or diarrhoea, pale tongue with white greasy coating, slow soft (soggy) pulse Treatment principles: expel cold and remove damp Point selection: