Transcript Golden Chamber 5

Golden Chamber 5
Violet Song
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• Chapter 20 On Pulse Syndrome
Complex and Treatment of Gynopathy
During Pregnancy
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• 1. Differentiation between fetus and tumor
in abdomen (Zhen Disease) and treatment
【2】
– Differentiation of Pregnancy and Zheng disease
• Zheng disease patient 
– No period less than three month  Bloody vaginal
discharge palpate around and above umbilicus
• Pregnant 
– Three month Normal period  before pregnant
– Six month  feel palpate
– Cinnamon Twig and Poria Pill 桂枝茯苓丸gui zhi fu
ling wan
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桂枝gui zhi (Ramulus Cinnamomi Cassiae)
茯苓fu ling (Sclerotium Poriae Cocos)
牡丹皮mu dan pi (Cortex Moutan Radicis)
白芍bai shao (Radix Paeoniae Lactiflorae)
桃仁tao ren (Semen Persicae)
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• 2. Morning sickness
– Mild syndrome
• Normal pulse  weak in Chi region
• No fever chills
– Cinnamon Twig Decoction 桂枝汤 (Gui Zhi
Tang) 【1】
– If Dr. do wrong treatment
• Vomiting
• Diarrhea
• Worse
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• 2. Morning sickness
– Severe syndrome
• Vomiting
– 干姜人参半夏丸 gan jian ren shen ban xia
wan 【6】
• 干姜gan jiang (Rhizoma Zingiberis Officinalis)
• 人参ren shen (Radix Ginseng)
• 半夏ban xia (Rhizoma Pinelliae Ternatae)
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• 3. Abdominal Pain
– Cold due to yang deficiency
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Pregnant six to seven month 
Wiry pulse
Fever
Abdominal pain with cold
Chills in the lower abdomen  like being fanned
– 附子汤 fu zi tang 【3】
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附子fu zi (Radix Lateralis Aconiti Carmichaeli Praeparata)
茯苓fu ling (Sclerotium Poriae Cocos)
白芍bai shao (Radix Paeoniae Lactiflorae)
白术bai zhu (Rhizoma Atractylodis Macrocephalae)
人参ren shen (Radix Ginseng)
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• 3. Abdominal Pain
– Disharmony between liver and spleen
• Pregnant
• Abdominal dull chronic pain
– 当归芍药散dang gui shao yao san 【5】
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当归dang gui (Radix Angelicae Sinensis)
白芍bai shao (Radix Paeoniae Lactiflorae)
川芎chuan xiong (Radix Ligustici Chuanxiong)
茯苓fu ling (Sclerotium Poriae Cocos)
白术bai zhu (Rhizoma Atractylodis Macrocephalae)
泽泻ze xie (Rhizoma Alismatis Orientalis)
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4. Bao Zu: vaginal bleeding and abdominal pain during
pregnancy
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漏下Chronic bleeding
半产Miscarriage  bleeding
妊娠下血Bleeding when pregnant
胶艾汤 Jiao Ai Tang 【4】
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阿胶e jiao (Gelatinum Corii Asini)
甘草gan cao (Radix Glycyrrhizae Uralensis)
艾叶ai ye (Folium Artemisiae Argyi)
川芎chuan xiong (Radix Ligustici Chuanxiong)
当归dang gui (Radix Angelicae Sinensis)
白芍bai shao (Radix Paeoniae Lactiflorae)
熟地黄shu di huang (Radix Rehmanniae Glutinosae Conquitae)
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• 5. Urine difficulty
– Treatment for difficult urination during pregnancy
because of blood deficiency with heat retention
• Difficult urine
• Normal appetite
– 当归贝母苦参丸 dang gui bei mu ku shen wan 【7】
• 当归dang gui (Radix Angelicae Sinensis)
• 贝母 bei mu (Bulbus Fritillariae)
• 苦参ku shen (Radix Sophorae Flavescentis)
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• 6. Pregnant Edema
– Heavy sensation over the body
– Difficult urine
– Chills
– Dizzy
– 葵子茯苓散kui zi fu ling san 【8】
• 冬葵子dong kui zi (Semen Abutili seu Malvae)
• 茯苓fu ling (Sclerotium Poriae Cocos)
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• 7. Abnormal fetal movement
– blood deficiency and damp-heat
– 当归散 dang gui san 【9】
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当归dang gui (Radix Angelicae Sinensis)
白芍bai shao (Radix Paeoniae Lactiflorae)
川芎chuan xiong (Radix Ligustici Chuanxiong)
白术bai zhu (Rhizoma Atractylodis Macrocephalae)
黄芩huang qin (Radix Scutellariae Baicalensis)
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• 7. Abnormal fetal movement
– Spleen deficiency and damp-cold
– 白术散 bai zhu san【10】
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白术bai zhu (Rhizoma Atractylodis Macrocephalae)
川芎chuan xiong (Radix Ligustici Chuanxiong)
川椒chuan jiao (Pericarpium Zanthoxyli Bungeani)
牡蛎mu li (Concha Ostreae)
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• Chapter 21 On Pulse Syndrome
Complex and Treatment of Postpartum
Diseases
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• 3 principal Postpartum diseases【1】:
– convulsive disease
– syncope
– Constipation
• Etiology
– Blood loss blood deficiency, body fluid
injured
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• Treatment for syncope
– Sweating only in head
– Dizzy
– vomiting
– No appetite
– constipation
– Xiao Chai Hu Tang 【2】
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• Treatment for constipation
– Syncope solved
– Fever again in 7-8 days
– ST excess
– Da Cheng Qi Tang 【3】
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• Postpartum Abdominal pain
– Interior cold with blood deficiency
• Abdominal pain
• Prefer warmth, pressure
– Dang Gui Sheng Jiang Yang Rou Tang 【4】
• Dang Gui
• Sheng Jiang
• Mutton
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• Postpartum Abdominal pain
– Qi and blood stagnation
• Abdominal pain with fullness
• restlessness
– Zhi Shi Shao Yao San 【5】
• Zhi Shi
• Shao Yao
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• Postpartum Abdominal pain
– Blood stasis
• Abdominal pain
– Xia Yu Xue Tang 【6】
• Da Huang
• Tao Ren
• Zhe Chong
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• Postpartum Abdominal pain
– Blood stasis with Yangming interior excess
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No Taiyang syndrome
Lower abdominal hardness and pain
w/o defecation
Fever
Slightly excessive pulse
delirium
– Da Cheng Qi Tang 【7】
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• Postpartum exterior wind invading
– Taiyang wind invading
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Slightly headache
Aversion to cold
Fever
Nausea
Sweating
Oppressed chest
– Yang Dan Tang 【8】
• Gui Zhi Tang?
• Gui Zhi Tang + Fu Zi?
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• Postpartum exterior wind invading
– Wind invading with yang deficiency
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Fever
Red complexion
Wheezing
headache
– Zhu Ye Tang 【9】
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Zhu Ye
Ge Gen
Fang Feng
Jie Geng
Gui Zhi
Ren Shen
Gan Cao
Fu ZI
Da Zao
Sheng Jiang
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• Vomiting and restlessness
– Restlessness
– Nausea, vomiting
– Zhu Pi Da Wan 【10】
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Zhu Ru
Shi Gao
Gui Zhi
Gan Cao
Bai Wei
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• Yin injury due to heat-diarrhea
– Bai Tou Wen Jia Gan Cao E Jiao Tang 【11】
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Bai Tou Weng
Gan Cao
E Jiao
Qin Pi
Huang Lian
Huang Bai
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• Chapter 22 On Pulse Syndrome
Complex and Treatment of
Miscellaneous Gynecological Diseases
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• 1. Plum-pit
– Feels meat in throat
– Ban Xia Hou Po Tang 【5】
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Ban Xia
Hou Po
Fu Ling
Sheng Jiang
Zi Su Ye
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• 2. Zang Zao
– Sad, about to cry
– Emotinal
– fatigue
– Gan Mai Da Zao Tang 【6】
• Gan Cao
• Xiao Mai
• Da Zao
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• 3. Menstruation diseases
– Ben Lou (Sudden excessive vaginal bleeding
or persistent dripping of blood )
• Deficient cold with blood stasis
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Fever in the evening
Lower abdominal pain, fullness
Fever in palms
Dry mouth
Wen Jing Tang 【9】
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• 3. Menstruation diseases
– Ben Lou (Sudden excessive vaginal bleeding
or persistent dripping of blood )
• Deficient cold in Chong and Ren meridians
– Black blood
– Jiao Jiang Tang 【12】
» Jiao Ai Tang
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• 3. Menstruation diseases
– Irregular period:
• Blood stagnation
– Abdominal pain
– Twice period in one month
• Tu Gua Gen San 【10】
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Tu Gua Gen
Shao Yao
Gui Zhi
Zhe Chong
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• 3. Menstruation diseases
– Irregular period:
• Blood stasis with heat
– Di Dang Tang 【14】
» Shui Zhi
» Meng Chong
» Tao Ren
» Da Huang
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• 3. Menstruation diseases
– water retention and blood stasis in uterus
• Fullness in abdomen
• Difficulty urination
• No thirst
– Da Huang Gan Sui Tang 【13】
• Da Huang
• Gan Sui
• E Jiao
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• 4. Leucorrhea diseases
– Damp-heat
– Fan Shi Wan 【15】
• Fan Shi
• Xing Ren
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• 4. Leucorrhea diseases
– Damp-cold
– She Chuang Zi San 【20】
• She Chuang Zi
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• 5. Abdominal pain
– Blood stagnation
– Hong Lan Hua Jiu 【16】
• Hong Hua
• Liquor
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• 5. Abdominal pain
– Disharmony between liver and spleen
– Dang Gui Shao Yao San 【17】
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• 5. Abdominal pain
– Deficient cold of spleen and stomach
– Xiao Jian Zhong Tang 【18】
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