Class 12: Emergency Diseases;
syncope, sunstroke, malaria,
convulsions, high fever, collapse,
drowning, coma
Xianhui Li
Syncope
• Syncope is manifested by sudden fainting,
pallor, cold limbs and loss of
consciousness.
Etiology and pathology
• Debilitation and overstraining, profuse
bleeding or emotional disturbance results
in exhaustion of qi or rebellious qi disturb
the mind.
Deficient syndrome
• Manifestations:
– Feeble breathing, spontaneous sweating, pallor, cold limbs,
deep and thready pulse.
• Treatment principle
– Reinforce qi, invigorate yang and promote resuscitation
• Acupuncture Treatment DU26, DU20, PC6, Ren6, ST36
– DU20 and DU26 are selected to regulate qi of the governor
vessel, effecting resuscitation
– PC6 is the point for resuscitation
– Ren6 and ST36 are good for reinforcing qi and invigorating yang
• Herbal treatment: du shen tang or shen fu tang
Excess syndrome
• Manifestations:
– Coarse breathing, rigid limbs, clench jaws, deep and tight pulse.
• Treatment principle
– Regulate the flow of qi and promote resuscitation
• Acupuncture Treatment: DU26, LI4, PC9 zhong chong,
PC8 lao gong, LIV3, KID1
– DU26 and PC9 are used to promote resuscitation
– LI4 and LV3 are the points for regulating the circulation of qi and
blood
– PC8 and KI1 promote a clear mind and smooth flow of qi and
blood
• Herbal treatment: si mo tang
Sunstroke
• Sunstroke is an acute case occurring in
summer, manifested by high fever,
irritability, nausea, or even followed by
collapse and loss of consciousness.
Etiology and pathology
• Invasion of summer heat consumes
primary qi and the body fluids, penetrates
the pericardium and disturbs the mind.
Mild type
• Manifestations
– Headache, dizziness, profuse sweating, hot skin, coarse
breathing, dry mouth and tongue, dire thirst, superficial, large
and rapid pulse.
• Treatment principle
– Eliminate summer heat
• Acupuncture Treatment DU14, PC6, LI11, BL40
– Du14 the meeting point of the governor vessel and all yang
meridians, BL40 and LI11 are important point for eliminating
heat, are used to dispel the summer heat
– PC6, luo point of hand jue yin, is chosen to reduce the fire and to
protect the heart
• Herbal treatment: bai hu jia ren shen tang
Severe type
• Manifestations
– Headache, dizziness, profuse sweating, dire thirst, shortness of breath
at first, and then collapse, loss of consciousness, sweating, deep and
forceless pulse.
• Treatment principle
– Eliminate summer heat and promote resuscitation
• Acupuncture Treatment DU26, DU20, Shixuan, PC3, BL40
– Summer heat is a pathogenic factor of yang nature, which is apt to
attack the pericardium and disturb the mind.
– Du26 and DU20 are selected to promote resuscitation.
– PC3, the He sea point of hand jue yin, BL40, the He-sea point of foot tai
yang, remove the heat from the blood
– Blood letting at shixuan can reduce heat and promote resuscitation
• Herbal treatment: qing shu yi qi tang, an gong niu huang wan
Malaria
• Malaria is a disease characterized by
paroxysms of shivering chills and high
fever occurring at regular intervals, mostly
found in late summer and early autumn.
Etiology and pathology
• Invasion of malarial parasite
• Pathogenic factors resides in the portion
between the exterior and interior and moves
outward and inward between Ying and Wei.
When it moves inward to struggle with yin, there
are chills, and when they move outward to fight
with yang, there is fever. Struggle between and
antipathogenic factors and pathogenic factors
causes paroxysmal chills and fever.
Differentiation and treatment
•
Manifestations
–
•
Treatment principle
–
•
Regulate Du mai and harmonize the Shaoyang meridian
Acupuncture Treatment DU14, DU13, SI3, PC5, TE2, GB41, LI11, LR13, Pigen
Twelve jing-well points
–
–
–
–
–
–
–
•
Paroxysms of shivering chills and high fever with general hot sensation, preceded by
yawning and lassitude. Intolerable headache, flushed face and red lips, stifling feeling in the
chest and hypochondriac region, bitter taste and dry mouth, dire thirst, profuse sweating,
deep and forceless pulse. Sticky and yellow tongue coating, wiry and rapid pulse.
Splenomegaly.
DU14, the meeting point of the three yang meridans and the governor vessel, can promote
the circulation of qi in the yang meridians and help to eliminate pathogenic factors, in
combination with DU13, which can remove obstruction from the governor vessel and regulate
yin and yang, they are the chief points for the malaria
TE2 and GB41 are two points along the shao yang meridians can harmonize qi of the shao
yang meridians.
SI3, a point of taiyang meridians of hand, can activate the circulation of qi in the taiyang
meridian and the governor vessel and drive pathogenic factors out.
PC5, a point of jue yin meridian of hand, is an empirical point for malaria.
LI11, a point of yangming meridian of hand, combined with DU14 can dispel heat
LR13, the influential point dominating zang organs, can regulate qi in the zang organs
Pigen, an extra point, treats the mass in the hypochondriac region
Herbal treatment: chai hu jie nue yin
Collapse
• Collapse is a critical condition
characterized by pale complexion, coma,
cold limbs, perspiration, and dropping of
blood pressure.
Etiology
• Profuse of loss of blood, severe vomiting
or diarrhea, emotional disturbance and
chronic disease consume Qi and blood,
Yin and Yang, giving rise to separation of
Yin and Yang.
Differentiation and Treatment
•
Yang depletion
– Weak breath, cyanosis, cold limbs, pale swollen tongue, thin weak pulse
•
Yin depletion
– Irritability, thirst, dry and red lip and tongue, thin rapid pulse.
•
Treatment principle
– Rescue Yang and consolidate collapse
•
Acupuncture points DU25, DU26, PC6, Moxibustion at DU20, Ren8, Ren4,
Ren6
– DU25, DU26 and DU20 are selected to regulate qi of governor vessel, effecting
resuscitation.
– PC6, luo point of hand jue yin, is chosen to reduce the fire and to protect the
heart and calm the spirit
– Ren8, Ren6 and Ren4 are located on the lower abdomen along the Ren vessel
and are the main points effective for collapse. Moxa can strengthen the primary
qi, and restore yang from collapse
– Moxa DU20 can restore yang from collapse
•
Herbal treatment: du shen tang, shen fu tang
High Fever
• High fever refers to the body temperature
above 39℃.
Etiology
• Internal heat or external heat
Acupuncture points
• Du14, Twelve jing-well points, Shi xuan,
LI11, LI4
• Lung heat: LU7 lie que, LU5 chi ze, LI11
shao shang,
• Stomach Heat: ST44, ST45
• Delirium: PC6