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ALZHEIMER'S DISEASE

LUNG AND KIDNEY QI DEFICIENCY

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle	Augment Qi Clear Heat
Herb Formulas	Sheng Mai San
Points

SPLEEN DEFICIENCY WITH PHLEGM STASIS

Clinical Manifestations	Memory loss Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient
Treatment Principle	Nourish Qi Strengthen the Spleen Resolve Phlegm Induce resuscitation
Herb Formulas	Ban Xia Xie Xin Tang modified
Points	Group 1: DU-15, PC-8, ST-36, UB-23 Group 2: DU-14, REN-15, SP-6, KI-1 Group 3: DU-15,, Shixuan, LI-10, KI-3 Use the three groups alternately day for 1 minutes for three days. Rest 5-7 days. Repeat Use ginger and 3-5 moxa cones every other day on the above points for ten treatments. Rest 5 days and repeat as needed. Moxibustion: Use ginger and 3-5 moxa cones every other day on the above points for ten treatments. Rest 5 days and repeat as needed.

SPLEEN AND KIDNEY DEFICIENCY

Clinical Manifestations	Memory loss Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food Cock-crow diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow Extreme cases: Abdominal ascites
Treatment Principle	Nourish Spleen and Kidney Nourish the Brain and Marrow
Herb Formulas	Fu Zi Li Zhong Wan Si Shen Wan
Points	Group 1: DU-15, PC-8, ST-36, UB-23 Group 2: DU-14, REN-15, SP-6, KI-1 Group 3: DU-15,, Shixuan, LI-10, KI-3 Use the three groups alternately day for 1 minutes for three days. Rest 5-7 days. Repeat Use ginger and 3-5 moxa cones every other day on the above points for ten treatments. Rest 5 days and repeat as needed. Moxibustion: Use ginger and 3-5 moxa cones every other day on the above points for ten treatments. Rest 5 days and repeat as needed.

SPLEEN AND KIDNEY YANG DEFICIENCY WITH PHLEGM-STAGNATION

Clinical Manifestations	Slow movement A torpid, dull affect Relatively scanty speech Severe: aphasia Difficulty thinking Chaotic speech Decreased memory Numbness of the limbs Loss of mental and physical sharpness and coordination T: Pale and dark maybe with Stasis maculae C: White and slimy P: Slippery or Thready and choppy
Treatment Principle	Warm the Kidneys Tonify the Spleen Dispel Phlegm Transform Stasis
Herb Formulas	Fu Zi Nan Xing Yu Jin Tang
Points	DU-20, Sishencong, SP-6, ST-40, UB-20, UB-23, UB-52 With dizziness: + GB-20 With tinnitus: + GB-2 With marked fatigue and lack of strength: + ST-36 With lack of Spirit in both eyes: + Yintang With anger: + LIV-2

HEART FIRE FLARING UP

Clinical Manifestations	A predilection toward rash behavior Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Headache Irritability Irascibility Insomnia Profuse dreams Anxiety Chaotic, confused speech Inconsistently laughing and crying Feeling of Heat and disturbance in the Heart Insomnia Flushed face Red lips Bitter taste in the mouth Frequent reddish urination Dry stools T: Red tip with ulcers especially on the tip C: Thin and yellow P: Excess and rapid or Wiry and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Dao Chi San + San Huang Xie Xin Tang modified
Points	DU-20, HT-5, PC-7, Sishencong With a headache: + ST-8, Taiyang, Yintang and/or UB-7 With Heart vexation, insomnia and profuse dreams: + bleed HT-8, HT-9 With a predilection toward rash behavior: + bleed PC-8, HT-9 With chaotic thinking and anxiety: + bleed SP-1 With reddish urine: + REN-5 With a dry mouth and throat: + KI-6 HT-7, HT-8, PC-7, PC-8, UB-15

PHLEGM-DAMP MISTS THE HEART ORIFICES

Clinical Manifestations	Mental confusion Heavy headedness A yellow, stagnant facial complexion Superficial edema Fatigue Lack of strength Hypersomnia Sound of phlegm in throat with gurgling Scanty or confused speech Alternating sorrow and joy for no reason Lack of discrimination between good and bad No care for appearance Profuse Phlegm-drool from the mouth Ductal oppression abdominal distention Severe: Lack of sensitivity Inability to manage ones activities T: Pale and fat C: White and greasy P: Soggy and slippery
Treatment Principle	Strengthen the Spleen Clear Phlegm Arouse the brain Open the Orifices
Herb Formulas	Xi Xin Tang
Points	DU-20, GB-20, Sishencong, SP-9, ST-36, ST-40 With profuse Phlegm-drool: + REN-12 With abdominal distention and anorexia: + REN-12, ST-21 With hypersomnia: + LI-3 With scanty, confused or chaotic speech: + HT-5 With alternating sorrow and joy: + HT-7, SP-1 DU-16, DU-26, HT-7, PC-5, ST-40, UB-15, UB-18, UB-20, UB-62

HEART AND SPLEEN DEFICIENCY

Clinical Manifestations	Confused, chaotic thinking A predilection to sorrow A desire to cry Excessive stillness Scanty speech Slow movements A lack of involvement in the outside world Lassitude Spontaneous perspiration Lack of strength' Emaciation Palpitations Susceptibility to fright Shortness of breath on light exertion Torpid intake Lack of taste T: Pale and enlarged C: Thin and white P: Thready and weak
Treatment Principle	Tonify the Heart and Spleen Quiet the Spirit Stabilize the mind
Herb Formulas	Yang Xin Tang
Points	DU-20, Sishencong, UB-15, UB-17, UB-20, UB-52 For marked palpitations, confused thinking and insomnia: + HT-7 For Blood Stasis: + SP-6 For severe Blood Deficiency: + SP-6 For Phlegm: + ST-40 For marked digestive symptoms or weakness and fatigue: + ST-36 For a predilection to sorrow and a desire to cry: + SP-1 For susceptibility to fright: + PC-7

LIVER QI AND BLOOD STAGNATION WITH PHLEGM

Clinical Manifestations	Blurred vision A quick temper Depression Oppression Emotional dysphoria No desire to speak Rib and flank distention and pain T: Dark with possible Stasis maculae C: Slimy P: Slippery and wiry
Treatment Principle	Spread the Liver Regulate Qi Invigorate the Blood Dispel Phlegm
Herb Formulas	Wu Shi Gan Yu Fang Jia Wei
Points	DU-20, LIV-3, Sishencong, SP-6, ST-40 alternating with DU-19, DU-21, DU-24, UB-17, UB-18, UB-20, UB-47 For stagnant Heat: - LIV-3, + GB-43, LIV-2 For Blood Deficiency: + UB-17, UB-18 For Spleen Deficiency: + ST-36 For bilateral flank distention and pain: + LIV-13

LIVER AND KIDNEY YIN DEFICIENCY WITH LIVER YANG RISING GENERATES WIND

Clinical Manifestations	Dizziness Impaired vision Night blindness Tinnitus Agitation Restlessness Tends toward frenetic activity Irascibility Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea A stiff tongue Slurred speech Numbness and tingling of the limbs Maybe deviation of the mouth and eyes Hemiplegia T: Red and dry C: Thin and yellow or Thin and white P: Thready and wiry or Wiry and rapid or Wiry and slippery or Thready, wiry and rapid
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang Arouse the Spirit Open the Orifices
Herb Formulas	Tian Ma Gou Teng Yin modified
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23 DU-20, GB-20, GB-39, Sishencong, SP-6 With constipation: + KI-6, SJ-6 With reddish urine: + SP-9 With bilateral flank distention and pain: + LIV-3 With agitation, restlessness, insomnia and profuse dreams: + PC-7 With red face and eyes, agitation, restlessness and frenetic activity: + LIV-2

LIVER AND KIDNEY YIN DEFICIENCY WITH PHLEGM STAGNATION

Clinical Manifestations	A relatively long disease course Dizziness Vertigo Numbness and tingling of the hands and feet Loss of intelligence Loss of coordination Decreased memory Lack of Spirit in both eyes A stagnant, torpid facial expression Malar flush Night sweats Possible emaciation Dry, scaly skin A quick temper Trembling Spasms or contractions Severe: Difficult, encumbered movement Possible hemiplegia Aphasia T: Dark red with possible static maculae C: Scanty P: Thready, wiry and maybe rapid
Treatment Principle	Nourish and tonify the Liver and Kidneys Invigorate the Blood Dispel Phlegm
Herb Formulas	Liu Wei Di Huang Wan modified
Points	DU-20, Sishencong, SP-6, ST-40, UB-18, UB-23, UB-52 With Qi Deficiency: + ST-36 With Yin Deficiency with Empty Fire Rising: + KI-1 With dizziness and vertigo: + GB-20 With a dry mouth and constipation: + KI-6, SJ-6 With lack of Spirit in both eyes: + Yintang With night sweats : + HT-6 With a quick temper: + LIV-2

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Memory loss Lumbago: low back feels cold, weak and aching. Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence, spermatorrhea, premature ejaculation Low libido Female infertility (“uterus cold and infertile”) Maybe anorexia Maybe loose stools Maybe chronic diarrhea or “cock crow” diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Tonify and Warm the Kidneys
Herb Formulas	Jing Gui Shen Qi Wan
Points	Moxa UB-23, DU-4, KI-3, KI-7

KIDNEY JING DEFICIENCY

Clinical Manifestations	Memory loss Severe cases: Loss of recognition of close relations Forgetting events instantly Dulled sensation Generalized weakness Dizziness Tinnitus Low back and knees weak and aching Hair loss Graying or whitening of hair Dull, lifeless hair Weak sexual function Impotence Infertility Atrophy and weakness of feet with difficulty walking Senility (premature or mature) Brittle bones Gradual deterioration of hearing Emaciation Frequent urination Nocturia Loss of visual acuity T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Nourishes Yin Tonifies the Kidneys Nourish Jing
Herb Formulas	Zuo Gui Wan You Gui Wan Ren Shen Yang Rong Tang Chinese Patent Medicines: Gui Ling Ji Ge Jie Da Bu Wan Ren Shen Lu Rong Wan Gui Lu Er Xian Jian
Points	UB-23, UB-15, Moxa UB-11, DU-4, REN-4, HT-7, KI-3 UB-23, moxa UB-11, REN-4, DU-4, ST-36, GB-34 DU-4, DU-20, HT-7, KI-1, KI-3, KI-6, SI-3, UB-15, UB-23, UB-52, UB-62

BLOOD AND PHLEGM STAGNATION

Clinical Manifestations	Forgetfulness Poor memory Absent mindedness Short attention span Inability to concentrate Slow speech Dull senses A blank expression T: Dark or pale purple with echymoses and dark sublingual veins C: Greasy and white P: Slippery and choppy or Thready and choppy
Treatment Principle	Transform Phlegm Invigorate the Blood Eliminate Stasis
Herb Formulas	Shou Xing Wan Chinese Patent Medicines: Fu Fang Dan Shen Pian Sheng Tian Pian Jing Gu Du Sheng Wan Fu Ke Wu Jiao Wan
Points	DU-20, LI-4, PC-4, Sishencong, SP-3, SP-6, ST-40, UB-15, UB-17, UB-23, UB-52

FENG TAN (WIND PHLEGM)

Clinical Manifestations	Dizziness Vertigo (possibly severe) Headaches (may be recurrent) A stifling sensation in the chest Nausea Vomiting Copious sputum Spots before the eyes Heaviness of the head Lockjaw Sinus congestion Cold feet Fatigue Abdominal distention Weakness of hands and feet May be edema Sudden loss of consciousness Excess salivation Compulsive sleeping after eating T: Normal C: White and greasy P: Wiry and slippery or Soft and slippery
Treatment Principle	Strengthen the Spleen Dispel Dampness Transform Phlegm Soothe the Liver Extinguish Wind
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang With Qi and YIn Deficiency: Gou Teng San
Points	GB-34, LIV-13, REN-12, ST-36, ST-40