Term: Su 13 Clinician: Dr.

Prasad Clinical Case Study

Name: Heather Howe Intern: Sp 2

A 24 yr old male arrives at clinic because, after recent loss in family, he has been experiencing fright, palpitations, restlessness, insomnia due to excessive dreams, poor memory, suspiciousness and paranoia. Tongue & coating: A pale tongue with a thin, white coating Pulse image: A fine pulse Pathology: Insufficiency of Heart Blood Treatment principles: Supplement the heart and nourish blood Acupuncture: San Yin Jiao (Sp 6), Guan Yuan (CV 4), Yin Ling Quan (Sp 9), Qi Hai (CV 6), Xue Hai (Sp 10), Ju Que (CV 14), Shen Men (Ht 7).

Rx: Si Wu Tang (Four Materials Decoction) Ingredients: (Dang Gui) (Bai Shao) (Chuan Xiong) (Shu Gan Di Huang)

Term: Su 13 Clinician: Dr. Prasad Clinical Case Study

Name: Heather Howe Intern: Sp 2

A 35 year old female comes to clinic for treatment of extreme heat in the five centers along with insomnia from restless sleep, tidal fever, flushed cheeks in the afternoon, a dry mouth at night, night sweats, blurred vision or night blindness, dizziness, tremors and contraction of the sinews and muscles, numbness of the limbs, fragile nails, lateral costal pain, early menstruation, scanty menstruation, as well as painful menstruation during the first few days. Tongue: A red tongue with scanty coating or a pale tongue with a red tip Pulse: A fine, wiry, perhaps even fast pulse Pathology: Liver Blood, Kidney Yin Vacuity Treatment principles: Nourish the liver and supplement yin Acupuncture point: Gan Shu (Bl 18), San Yin Jiao (Sp 6), Ge Shu (Bl 17), Guan Yuan (CV 4) Qu Quan (Liv 8),

Rx: Qi Ju Di Huang Wan (Lycium & Chrysanthemum Rehmannia Pills) (Gou Qi Zi) (Shan Zhu Yu) (Ze Xie) (Mu Dan Pi) (Ju Hua) (Gan Shan Yao) (Fu Ling) (Shu Di Huang)

Term: Su 133362593 Heather Howe Clinician: Dr. Prasad Clinical Case Study

Name: Intern: Sp2

A 54 year old female comes in complaining of periumbilical palpitations followed by an upsurging of qi from the abdomen to the sternum, cold limbs and body (especially when nervous) but restoration of the heat in the limbs when relaxed and at ease, and heart palpitations. Tongue : A white, slimy tongue coating. Pulse: A wiry pulse that tends to be hooked. This means that pulses in the inch or cun positions lack root. Pathology: Liver Qi Counterflowing Upward Treatment principles: Soothe the liver and downbear upward counterflow Acupuncture: Tai Chong (Liv 3), Shan Zhong (CV 17), Nei Guan (Per 6), Gong Sun (Sp 4)

Rx: Ben Tun Wan (Running Piglet Pill) (Chuan Lian Zi) (Li Zhi He) (Mu Xiang) (Fu Ling) (Xiao Hui Xiang)

Term: Su 13 Clinician: Dr. Prasad Clinical Case Study

Name: Heather Howe Intern: Sp 2

A female patient age 26 has recently noticed relatively small rashes on her arms and legs that are red in color, burning hot, and itch. After scratching the skin with one's fingernails raised rashes appear. This is accompanied by heart vexation, scanty sleep, and a dry mouth but no thirst. Tongue & coating: A red tongue with a red tip and a thin, yellow coating Pulse image: A fine and rapid or wiry, rapid pulse Pathology: Deficient Heat in the Heart Channel Western Condition: Commonly, such patients are prone to allergies and suffer from polysystemic chronic candidiasis (pscc). Treatment principles: Cool the blood, clear the heart, and stop itching Acupuncture Points: Qu Chi (LI 11), Xue Hai (Sp 10), He Gu (LI 4), San Yin Jiao (Sp 6), Wei Zhong (Bl 40), Shao Fu (Ht 8)

Rx: Liang Xue Xiao Feng San (Cool the Blood & Disperse Wind Powder) (Sheng Di) (Jing Jie) (Ku Shen) (Zhi Mu) (Gan Cao) *Dietary therapy is as important as stress reduction in treating this kind of pattern. (Dang Gui) (Chan Tui) (Bai Ji Li) (Shi Gao)

Term: Su 13 Clinician: Dr. Prasad Clinical Case Study

Name: Heather Howe Intern: Sp 2

Mother brings her son age 10 in because since yesterday he had been complaining of stomach and epigastric distension and pain, bad breath, acid regurgitation, nausea, loss of appetite, loose stool with frequent, foul-smelling flatulence Tongue & coating: A thick, slimy tongue coating Pulse image: A slippery pulse Pathology: Food Stagnation in the Stomach and Epigastrium Treatment principles: Harmonize the stomach and disperse accumulations Acupuncture: Tian Shu (St 25), Zu San Li (St 36), Zhong Wan (CV 12), Nei Ting (St 44) Liang Men (St 21),

[Additional points: If there is headache, add He Gu (LI 4). If there is burping and belching, add Nei Guan (Per 6), if there is transformative heat, add Qu Chi (LI 11).]

Rx: Bao He Wan (Protect Harmony Pills) (Shen Qu) (Lai Fu Zi) (Ban Xia) (Lian Qiao) (Shan Zha) (Chen Pi) (Fu Ling)

Term: Su 13 Clinician: Dr. Prasad Clinical Case Study

Name: Heather Howe Intern: Sp 2

Man, age 60 comes in coughing, with excessive phlegm, the sound of the cough heavy and turbid. He claims cough is due to phlegm because coughing stops after the phlegm is discharged. The phlegm is thick, sticky phlegm and white in color. The coughing with excessive phlegm becomes worse after meals and worse after eating sweet, oily, slimy foods. All this is accompanied by chest oppression, nausea, bodily fatigue andoccasional loose stools Tongue & coating: A white, thick, slimy tongue coating Pulse image: Soggy and slippery Pathology: Phlegm Turbidity Obstructing the Lungs Treatment principles: Fortify the spleen and dry dampness, transform phlegm and stop coughing Acupuncture: Fei Shu (Bl 13), Zu San Li (St 36), Pi Shu (Bl 20), Feng Long (St 40) Shan Zhong (CV 17),

Rx: Er Chen Tang (Two Aged [Ingredients] Decoction plus San Zi Yang Qin Tang (Three Seeds Nourish [One's]Parents Decoction) (Chen Pi) (Ban Xia) (Gan Cao) (Su Zi) (Fu Ling) (Bai Jie Zi) (Lai Fu Zi)