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THROMBOANGITIS OBLITERANS (BUERGER'S DISEASE)

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	Dang Gui Tang
Points

JUE YIN COLD

Clinical Manifestations	Long standing cold hands and feet that are cold to the touch and feel cold to the patient Maybe lumbago and leg pain Abdominal pain and distention Midline pain Uterine pain Chills Diarrhea Menstrual abdominal pain Maybe chest pain Increased sweating, particularly of the feet Increased salivation Spasm and pain of the limbs Scanty urination Pain at the waist, hips, legs and feet Sciatica Joint pain Irregular menstruation Abdominal Cold Migraine headache Vaginal discharge T: Pale C: White P: Deep and thready (may be almost imperceptible).
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the Blood vessels
Herb Formulas	Dang Gui Si Ni Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

HEART QI DEFICIENCY

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue Weakness Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Big and weak or Intermittent
Treatment Principle	Strengthen the Heart Benefit Qi
Herb Formulas	Si Jun Zi Tang Bao Yuan Dan Zhi Gan Cao Tang With Blood Stagnation: Bu Yang Huan Wu Tang
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15

HEART YANG DEFICIENCY

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Cold limbs Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Warm and Clear Heart Yang
Herb Formulas	Bao Yuan Dan Gui Zhi Gan Cao Long Gu Mu Li Tan Gua Lou Xie Bai Bai Jiu Tang
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, UB-15

HEART YIN DEFICIENCY

Clinical Manifestations	Palpitations Irritability Easily startled Insomnia Much dreaming Poor memory Low grade fever Night sweats Five sole Heat Restlessness Dry mouth Thirst Dry throat Malar flush T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce Heart Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan
Points	HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15

HEART BLOOD STAGNATION

Clinical Manifestations	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in the chest Maybe drawing pain down the internal aspect of arm (especially the left arm) Pain (in chest and/or arm) tends to be severe and intermittent Severe cases: Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle	Clear Yang Invigorate the Blood Transform Stagnation
Herb Formulas	Huo Luo Xiao Ling Dan
Points	HT-5, HT-6, HT-7, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, UB-15, UB-17

BLOOD STAGNATION DUE TO A MILD ATTACK OF WIND COLD

Clinical Manifestations	Relatively superficial numbness without pain Paresthesias and numbness of the skin and flesh Paresthesias of the shoulders Neck and shoulder stiffness and pain Abdominal pain alleviated by warmth and pressure Pale complexion Hemiplegia Stiff tongue Flaccidity if the extremities Migratory pain Pain, weakness, tightness or spasms of the extremities Spontaneous sweating Shortness of breath Aphasia Excess salivation Aversion to Wind T: Normal or Thick C: White or Smooth and white or White and greasy P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle	TonifY Qi and Blood Warm and harmonize the channels and collaterals Harmonize the Ying and Wei Unblock painful obstruction Warm the Middle Jiao Dispel Cold Alleviate pain
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang
Points

YANG DEFICIENCY WITH INTERIOR COLD STAGNATION

Clinical Manifestations	Swollen and painful joints The swellings are not hot to the touch No thirst Wasting of the muscles of the thigh and calf T: Very pale or Pale-pink C: White P: Thready and forceless or Deep and slow
Treatment Principle	Warm the Yang Disperse Cold Eliminate Stagnation
Herb Formulas	Yang He Tang
Points

HEAT EXCESS

Clinical Manifestations	Ulcerated sores that do not heal on a limb that is dark red Slightly swollen and warm to the touch There may me a rotten smell to the lesion Gangrene of the extremities, especially the fingers and toes with purulent abscess Extreme pain Local inflammation and swelling There may be copious discharge of pus from the ulcers A burning sensation Fever Thirst T: Red C: Normal P: Rapid
Treatment Principle	Clear Heat Resolve toxicity Nourish Yin Invigorate the Blood Alleviate pain
Herb Formulas	Si Miao Yong An Tang
Points