IDENTIFICATION OF PATTERNS ACCORDING TO THE EIGHT EXTRAORDINARY VESSELS

IDENTIFICATION OF PATTERNS ACCORDING TO THE EIGHT EXTRAORDINARY VESSELS

Chapter contents

GOVERNING VESSEL (DU MAI)

DIRECTING VESSEL (REN MAI)

PENETRATING VESSEL (CHONG MAI)

COMBINED DIRECTING AND PENETRATING VESSEL PATTERNS

Directing and Penetrating Vessels Empty

Directing and Penetrating Vessels unstable

Directing and Penetrating Vessels deficient and cold

Blood stasis in the Directing and Penetrating Vessels

Blood stasis and Dampness in the Directing and Penetrating Vessels

Full-Heat in the Directing and Penetrating Vessels

Empty-Heat in the Directing and Penetrating Vessels

Damp-Heat in the Directing and Penetrating Vessels

Stagnant Heat in the Directing and Penetrating Vessels

Full-Cold in the Directing and Penetrating Vessels

Uterus deficient and cold

Dampness and Phlegm in the Uterus

Stagnant Cold in the Uterus

Blood rebelling upwards after childbirth

GIRDLE VESSEL (DAI MAI)

YIN HEEL VESSEL (YIN QIAO MAI)

YANG HEEL VESSEL (YANG QIAO MAI)

YIN LINKING VESSEL (YIN WEI MAI)

YANG LINKING VESSEL (YANG WEI MAI)

INTRODUCTION

For each extraordinary vessel, the applicable prescriptions will be listed: the formulae indicated are general ones from Li Shi Zhen’s ‘Study of the Extraordinary Vessels’¹ while the ones for the combined patterns of the Directing and Penetrating Vessels are formulae specific to each pattern and are taken from ‘Diagnosis, Patterns and Treatment in Chinese Medicine’.² As for acupuncture, given the wide variety of symptoms pertaining to each extraordinary vessel, only the opening points for each will be mentioned. The herbs and prescriptions are from a Qing dynasty book called ‘The Materia Medica of Proper Combinations’.³

GOVERNING VESSEL (DU MAI)

Clinical manifestations

Stiffness and pain of the spine, backache, weak back, arching of the back, headache, tremors, convulsions, epilepsy, prolapse of the anus, blood in the stools, incontinence of urine, painful urination, nocturnal emissions, impotence, irregular periods, infertility, dry throat, poor memory, dizziness, tinnitus, depression, chills and fever, manic behaviour.

Pulse Floating and Long on all three positions of the left side.

Connecting channel

Stiffness of the back, a feeling of heaviness of the head, tremor of the head.

Acupuncture

SI-3 Houxi and BL-62 Shenmai.

Herbs

Spine, Marrow, Brain

Lu Rong Cornu Cervi parvum

Lu Jiao Cornu Cervi

Lu Jiao Shuang Cornu Cervi degelatinatum

Marrow of beef and goat

Yang channels, Bladder, Gall-Bladder

Fu Zi Radix Aconiti carmichaeli praeparata

Qiang Huo Rhizoma seu Radix Notopterygii

Rou Gui Cortex Cinnamomi cassiae

Du Huo Radix Angelicae pubescentis

Fang Feng Radix Ledebouriellae sesloidis

Jing Jie Herba seu Flos Schizonepetae tenuifoliae

Xi Xin Herba Asari cum radice

Gao Ben Rhizoma et Radix Ligustici sinensis

Cang Er Zi Fructus Xanthii

Gan Jiang Rhizoma Zingiberis officinalis

Chuan Jiao Pericarpium Zanthoxyli bungeani

Gui Zhi Ramulus Cinnamomi cassiae

Wu Tou Radix Aconiti carmichaeli

Prescription

None given, but any Kidney-Yang tonic prescription containing the above herbs will strengthen the Governing Vessel.

DIRECTING VESSEL (REN MAI)

Clinical manifestations

Nocturnal emissions, incontinence of urine, retention of urine, vaginal discharge, irregular periods, infertility, pain in the genital region, epigastric and abdominal pain, abdominal masses, menopausal symptoms (night sweating, hot flushes), problems during pregnancy, amenorrhoea, oedema.

Pulse Fine-Tight-Long on both Front positions.

Connecting channel

Pain and itching of the abdomen.

Acupuncture

LU-7 Lieque and KI-6 Zhaohai.

Herbs

Uterus and Blood tonics

Gui Ban Plastrum Testudinis

Gui Ban Jiao Colla Plastri Testudinis

Bie Jia Carapacis Amydae sinensis

E Jiao Gelatinum Corii Asini

Zi He Che Placenta hominis

Zi Shi Ying Fluoritum

Ai Ye Folium Artemisiae Argyi

Nourishing Yin and clearing Empty-Heat

Zhi Mu Radix Anemarrhenae

Huang Bo Cortex Phellodendri

Xuan Shen Radix Scrophulariae ningpoensis

Sheng Di Huang Radix Rehmanniae glutinosae

Gou Qi Zi Fructus Lycii.

Prescription

Da Bu Yin Wan Great Tonifying the Yin Pill.

PENETRATING VESSEL (CHONG MAI)

Clinical manifestations

Irregular periods, infertility, painful periods, vomiting and nausea, ‘internal urgency’ (Li Ji, feeling of anxiety), breathlessness, abdominal pain and distension, a feeling of energy rising from the abdomen to the chest, a feeling of tightness and pain of the epigastrium and chest, palpitations, anxiety, a feeling of obstruction in the throat, a feeling of heat in the face, cold and numb feet with purple colour, umbilical pain, premenstrual tension, breast distension, breast nodules, menopausal symptoms (hot flushes, anxiety, palpitations), morning sickness, spontaneous bruising, nosebleed, fungal infections of the big toe.

Pulse Deep and Firm on all three positions of either side, or Deep and Firm on both Middle positions, or Wiry on both Middle positions.

Acupuncture

SP-4 Gongsun and P-6 Neiguan.

Herbs

Uterus tonics

Gui Ban Plastrum Testudinis

Bie Jia Carapacis Amydae sinensis

E Jiao Gelatinum Corii Asini

Zi He Che Placenta hominis.

Rebellious Qi

Yan Hu Suo Rhizoma Corydalis Yanhusuo

Chuan Lian Zi Fructus Meliae toosendan

Xiang Fu Rhizoma Cyperi rotundi

Yu Jin Tuber Curcumae

Chen Xiang Lignum Aquilariae

Tao Ren Semen Persicae

Dang Gui Radix Angelicae sinensis

Qing Pi Pericarpium Citri reticulatae viridae

Wu Zhu Yu Fructus Evodiae rutaecarpae

Cong Bai Herba Allii fistulosi

Xiao Hui Xiang Fructus Foeniculi vulgaris

Chong Wei Zi Semen Leonurus heterophylli

Wu Yao Radix Linderae Strychnifoliae.

Prescription

COMBINED DIRECTING AND PENETRATING VESSEL PATTERNS

Directing and Penetrating Vessels Empty

Clinical manifestations

Gynaecological manifestations

Delayed cycle, scanty periods, amenorrhoea, infertility.

Other manifestations

Dull, pale complexion, dizziness, blurred vision, tiredness, depression, backache, weakness of the back and knees, decreased libido.

Tongue Pale.

Pulse Deep and Weak, especially on both Rear positions.

Acupuncture

LU-7 Lieque on the right and KI-6 Zhaohai on the right, Ren-4 Guanyuan, KI-13 Qixue, BL-23 Shenshu. Moxa is applicable.

Prescription

Da Bu Yuan Jian Great Tonifying the Origin Decoction

Gui Shen Wan Tonifying the Kidneys Pill

Shou Tai Wan Fetus Longevity Pill.

Directing and Penetrating Vessels unstable

Clinical manifestations

Gynaecological manifestations

Early periods, shortened cycle, heavy periods, irregular periods, persistent, chronic vaginal discharge, miscarriage, persistent lochial discharge after childbirth.

Other manifestations

Dull-pale complexion, depression, backache, weak knees, a bearing-down feeling, frequent urination, incontinence of urine, urination at night.

Tongue Pale.

Pulse Deep and Weak especially on both Rear positions.

Acupuncture

LU-7 Lieque on the right and KI-6 Zhaohai on the right, Ren-4 Guanyuan, KI-13 Qixue, BL-23 Shenshu, Du-20 Baihui, Ren-6 Qihai, extra point Zigong. Moxa is applicable.

Prescription

Gu Chong Tang Consolidating the Penetrating Vessel Decoction

An Chong Tang Calming the Penetrating Vessel Decoction

Yi Qi Gu Chong Tang Benefiting Qi and Consolidating the Penetrating Vessel Decoction

Bu Shen Gu Chong Wan Tonifying the Kidneys and Consolidating the Penetrating Vessel Pill

Lu Jiao Tu Si Zi Wan Cornus Cervi-Cuscuta Pill.

Directing and Penetrating Vessels deficient and cold

Clinical manifestations

Gynaecological manifestations

Early or late periods, abdominal pain, amenorrhoea, infertility, dull abdominal pain after childbirth, prolonged trickling after the period, pale and dilute menstrual blood.

Other manifestations

Dull abdominal pain alleviated by pressure and the application of heat, cold limbs, a feeling of cold, a pronounced feeling of cold during the period, decreased libido.

Tongue Pale and wet.

Pulse Deep, Weak and Slow.

Acupuncture

LU-7 Lieque on the right and KI-6 Zhaohai on the right, Ren-4 Guanyuan, KI-13 Qixue, BL-23 Shenshu, extra point Zigong. Moxa must be used.

Prescription

Wen Jing Tan Warming the Menses Decoction

Dang Gui Jian Zhong Tang Angelica Warming the Centre Decoction

Wen Shen Tiao Qi Tang Warming the Kidneys and Regulating Qi Decoction

Yu Yun Tang Promoting Pregnancy Decoction

Bu Shen Yang Xue Tang Tonifying the Kidneys and Nourishing Blood Decoction.

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Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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