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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 • 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

• 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 】• 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 】• 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

– 漏下 Chronic bleeding – 半产 Miscarriage bleeding– 妊娠下血 Bleeding when pregnant – 胶艾汤 Jiao Ai Tang 【 4 】

• 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 beca

use 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 】

• 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 Macrocephala

e) • 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 】

• 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

• 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

• 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

• Fever• Red complexion• Wheezing• headache

– Zhu Ye Tang 【 9 】• 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 】

• 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 【 1

1 】• 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 】

• 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

– 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 】– 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 】