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Damp Heat Invasion & Excessiveness Pattern

MAIN SYMPTOMS: Soreness, heaviness, and lack of strength of the four extremities or two lower extremities, possible progressive paralysis or atrophy, insensitivity, numbness, and tingling of the four extremities, limb aching and pain, burning heat which is ameliorated by coolness, generalized fever which is not easily emitted, possible deviation of the face, mouth, and eyes, ductal oppression, torpid intake, thirst but no desire to drink, nausea and vomiting, abnormal vaginal discharge in females, red, hot, rough, painful urination, loose stools, a red tongue with slimy, yellow fur, and a rapid or slippery and rapid pulse

TREATMENT PRINCIPLES: Clear heat and disinhibit dampness

Rx: Si Miao San Jia Wei (Four Wonders Powder with Added Flavors)

Ingredients:
Dan Shen (Radix Salviae Miltiorrhizae) 30g
Ji Xue Teng (Caulis Spatholobi) 30g
SangZhi (Ramulus Mori) 30g
Fu Ling (Poria) 15g
Niu Xi (Radix Achyranthis Bidentatae) 15g
Cang Zhu (Rhizoma Atractylodis) 12g
Yi Yi Ren (Semen Coicis) 12g
Du Huo (Radix Angelicae Pubescentis) 12g
Mu Gua (Fructus Chaenomelis) 12g
Wei Ling Xian (Radix Clematidis) 12g
Huang Bai (Cortex Phellodendri) 9g
Bei Xie (Rhizoma Dioscoreae Hypoglaucae) 9g

Analysis OF FORMULA: Bei Xie, Huang Bai, Yi Yi Ren, Fu Ling, and Cang Zhu together clear heat and dry or seep dampness. Sang Zhi, Mu Gua, Du Huo, Wei Ling Xian and also Cang Zhu, Yi Yi Ren, and Bei Xie disinhibit dampness and free the flow of impediment. Dan Shen, Niu Xi, and Ji Xue Teng quicken the blood and transform stasis.

ADDITIONS & SUBTRACTIONS: For muscle and flesh aching and pain, add nine grams each of Ru Xiang (Olibanum) and Mo Yao (Myrrha). For chest fullness, glomus, and oppression, add 12 grams each of Hou Po (Cortex Magnoliae Officinalis) and Zhi Ke (Fructus Aurantii) and nine grams of Qing Pi (Pericarpium Citri Reticulatae Viride). For deviation of the face, mouth, or eyes, add 15 grams of Jiang Can (Bombyx Batryticatus), 12 grams of Zhi Bai Fu Zi (Rhizoma Praeparata Typhonii), and six grams of Quan Xie (Scorpio). For severe heaviness and swelling of the limbs, add nine grams of Ze Xie (Rhizoma Alismatis).

Acupuncture & moxibustion: Xue Hai (Sp 10), Yin Ling Quan (Sp 9), San Yin Jiao (Sp 6), Zu San Li (St 36), local points depending on the area of pain or discomfort

Analysis OF FORMULA: Xue Hai is the meeting point of the blood. Draining it quickens the blood and dispels stasis. Draining Yin Ling Quan clears heat and eliminates dampness, especially from the lower half of the body. When San Yin Jiao is combined with Yin Ling Quan, it strengthens the function of clearing and eliminating dampness and heat from the lower limbs. Zu San Li is a main point for treating all diseases of the lower limbs.

ADDITIONS & SUBTRACTIONS: If there is pain in the heel, needle Kun Lun (Bl 60). If there is tingling or burning on the sole of the foot, add Yong Quan (Ki 1). If there is pain, tingling, or numbness of the toes, needle the Ba Feng (M-LE-8).

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