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Bi Syndromes. Bi Syndromesby Alon Marcus DOMPainful Obstruction Bi (rheumatological) Syndromes are said to be due. Exterior/Interior pathogenic Wind, Cold, Damp and/or Heat which obstruct. Qi and Blood. circulation. Bi syndromes manifest as pain, soreness, aches, numbness. In general, Painful Obstruction can be divided into four main. Exterior attack of pathogenic Wind- Cold and Dampness. Exterior attack of pathogenic Wind- Heat and Dampness, or transformation. Exterior Wind- Damp- Cold into Wind- Damp- Heat. Obstruction by endogenous Wind- Damp- Heat or Wind- Damp- Cold. Chronic Bi syndromes with complicating factors./li> Herbal and acupuncture medicine can be very helpful in the treatment. The following. are basic patterns seen clinically. The treatment of pain in TCM is. In general, therapies. Qi and Blood may also. Blood moving. Qi regulating. Spicy Exterior releasing. Wind extinguishing. Warming. Damp resolving. ![]() Which include herbs that clear Heat and Dry Dampness, spicy Exterior. Dampness draining, Wind- Damp dispelling, aromatically. Dampness, Phlegm transforming as well as Qi moving. The. following is a general discussion on the treatment of Blood stasis as. Sprain/Strains as well as other musculoskeletal Painful. Obstruction disorders. Blood stasis is in the opinion of this author. Painful Obstruction (especially. In clinical practice there are generally three. Blood stasis. If too strong a. Blood, Yin and fluids. The first level. is activating the Blood, regulating Qi and transforming stasis. This type of pain is. Some of these herbs move the Blood by activating. Qi within the Blood (Yan Hu Suo and Yu Jin). This is the least. In this case, the stasis. Blood circulation—often. Blood can penetrate and dispel stasis as well as nourish. Radix Rubrus Paeoniae Lactiflorae (Chi. Shao), Radix Salviae Miltiorrhizae. Dan Shen), Flos Carthami Tinctorii (Hong. Hua), Fasciculus Vascularis. Luffae (Si Gua Lao), Gummi Olibanum (Ru Xiang), Myrrha (Mo Yao). Fructus Liquidambaris (Lu Lu Tong), Sanguis Draconis (Xue Jie). Lignum Sappan and (Su Mu) are representative herbs for this purpose. The patient often complains of his back. The third level. is braking stasis and dispersing mass. This is the strongest method. Blood stasis and is used for cases of substantial. Blood such as seen in the stabilization phase (often with. Phlegm herbs). In this case there usually is palpable masses, or. X- rays—the pain may independent of motion and is more related. Semen Pruni Persicae (Tao. Ren), Hirudo seu Whitmania. Shui Zhi), Eupolyphaga seu Oposthoplatia (Tu Bie Chong), (E Zhu). O Zhu) (although the last two are not commonly used in musculoskeletal. Care must be applied when using this method as it can damage Yin. Blood and Qi. A fourth method. Blood stasis herbs are used is known as dispelling stasis. This method is used in cases where Blood. Blood and also during. Blood stasis impedes. Blood. These. herbs often have a vitalizing and tonifying effects on Blood. In. the treatment of musculoskeletal disorders, this method is used. Blood . They are used often. Bleeding. in musculoskeletal disorders are generally associated with trauma. Trauma. and stasis of Blood can result in transformative Heat. It is therefore. common to add some cooling herbs when treating acute traumatic injuries. Clear Heat from. the Blood division/depth (cool Blood). Eliminate stasis. Tonify Qi/Spleen. Blood in the vessels. Astringent method. Blood. Hemestatics. Carbonizing. (charring) an herb strengthens its hemestatic function. Care must be. used when using hemestatics as they may cause Blood stasis. In. musculoskeletal disorders: To cool the. Blood herbs such as: Cortex Mountan Radicis (Mu Dan Pi), Radix Rehmanniae. Sang Di Huang), Cortex Lycii Radicis (Di Gu Pi), Rhizoma Imperatae. Bai Mao Gen), Fructus Gardeniae (Zhi Zi) and Radix Paeoniae Rubra. Chi Shao) are often used. To vitalize. the Blood and stop bleeding herbs such as: Radix Pseudoginseng (San. Qi), Rhizoma Rhei (Da Huang), Pollen Typhae (Pu Huang), Lignum Sappan. Su Mu) and Faeces Trogopterorum (Wu Ling Zhi) are very commonly. To tonify Qi/Spleen. Radix Ginseng (Ren Shen) and Radix. Astragali (Huang Qi) are mainly used. Astringent herbs. Hai Piao Xiao), Stamen Nelumbinis Nucifera. Lian Xu), Semen Euryales Ferocia (Qian Shi), Galla Rhois Chinensis. Wu Bei Zi) and Pericarpium Papaveris Somniferi (Ying Su Ke) are. Warm hemestatics. Folium Artemisiae Argyi (Ai Ye), and Lignum Dalergiae Odiforae. Jiang Xiang) are sometimes used. Cold hemestatics. Cacumen Biotae (Ce Bai Ye) and Rumiae Radix (Qian Cao Gen). Neutral hemestatics. Ophicalcitum (Hua Rui Shi), Pollen Typhae (Pu Huang), and. Herba Agrimoniae (Xian He Cao) are sometimes used. As. Qi and Blood are interdependent and the body’s resistance to strains. True Qi and Blood, therefore. Blood stasis may, and often does effect Qi and Organ functions. Loss. of harmony of Qi and Blood may manifest with Organ symptoms and signs. Organ). When the Liver is affected the patient’s. When the Heart is affected there may be exaggeration of. If the Kidneys are affected there may be low back soreness/weakness. If the Lungs are affected then one may see. Kidneys with of shortness of breath, cough, phlegm, and. Therefore. for optimal treatment of sprains, strains and Painful Obstruction one. Representing. clinical approaches and formulas to the treatment Blood stasis and its. Transforming. Blood stasis opening and regulating channels and collaterals/vessels. Jia Wei. Shi Wei Wen Dang Tang (Augmented Ten- Ingredient Decoction. Warm the Gallbladder)Jia Wei. Ban Xia Bai Zhu Tian Ma Tang (Augmented Pinellia, Atractylodis. Macrocephalae, and Gastrodia Decoction)Xiao. Huo Luo Dan(Minor Invigorate the Collaterals Special. Pill)Da Huo. Luo Dan (Major Invigorate the Collaterals Special Pill)Regulating Qi. Liver disorders. and Heart diseases. Xue Fu. Zhu Yu Tang (Drive Out Blood Stasis in the Mansion of Blood. Decoction),Ge Xia. Zhu Yu Tang (Drive Out Blood Stasis Below Diaphragm Decoction),Fu Yuan. Huo Xue Tang (Revive Health By Invigorating the Blood Decoction). Warming Yang. and vitalizing Blood is used for patients with Interior Cold and. Blood stasis with symptoms of cold extremities, sensitivity to cold. Clearing Heat. transforming stasis is used in disorders of burning pain, inflammation. Xi Jiao. Di Huang Tang (Rhinoceros Horn and Rhemannia Decoction)(Jia Wei Tao Hong Si Wu Tang (Augmented. Four- Substance Decoction with Safflower and Peach Pit). Dissipating. nodules and transforming stasis is used in patients with nodules. Xiao Luo Wan. Jia Wei (Augmented Reduce Scrofula Pill)Kang Gu Zeng. Sheng Pian (Against Bony Hyperplasia Tablet)Ren Shen Bie. Jia Qian Wan (Ginseng and Carapax Amydae Pill)Da Huang Zhe. Chong Wan (Rhubarb and Eupolyphaga Pill). Stoping bleeding. Blood stasis is used in patients with acute sprain/strains. Shi. Hui San (Ten Partially- Charred Substances Powder)Shi. Xiao San (Sudden Smile Powder)Yunan Bai. Yao (Yunan White Medicine). Tonifying Qi. and Blood transforming Blood stasis is used in patients with chronic. Pain aggravated. by activity or in afternoon, fatigue, shortness of breath, paleness. Bu Yang Huan. Wu Tang (Tonify the Yang to Restore Five . Seen. frequently in patients with concomitant internal diseases such as. Symptoms may present with burning. The affected area and face are. Da Bu Yin. Wan Jia Jie (Argument Great Tonify Yin Pill)Yi. Guan Jian (Linking Decoction)Hu Qian Wan. Hidden Tiger Pill)Si Miao Yang. An Tang (Four- Valiant Decoction for Well Being). Purging cracking. Da Huang Zhe. Chong Wan (Rhubarab and Eupolyphaga Pill)Xie Yu Xue. Tang (Drain Static Blood Decoction). The. above formulas are often modified using herbs for Qi stagnation, spicy. Wind dispaling, warming, and dampness resulving. Qi. Stagnation. Qi. For. retrograde flow of Qi with nausea/vomiting/hiccups/ belching and sometimes. Haematitum (Dai Zhe Shi), Pericarpium Citri Reticulatae. Qing Pi), Fructus Immaturus Citri Aurantii (Zhi Shi), and Calyx Diospyri. Kaki (Shi Di) can be used. Spicy. Exterior Releasing. Spicy. Exterior releasing herbs are used mainly for Exterior syndromes. Commonly. used Spicy warm. Exterior releasing herbs for musculoskeletal pain are: Ramulus Cinnamomi. Cassiae (Gui Zhi), Radix Ledeboriella (Fang Feng), Rhizoma et Radix. Notopterygii (Qiang Huo), Radix Angelicae Dahuricae (Bai Zhi), and Herba. Radix Asari (Xi Xin). Spicy. cool. Exterior releasing herbs for musculoskeletal pain are: Fructus Viticis. Man Jing Zi), and Radix Puerariae (Ge Gen). The. spicy character of these herbs also moves Qi and are used often to warm. Qi Blood and stopping pain. Wind. can be due to Exterior or Interior causes. Interior Wind can arise from. Yin/Blood or excess stagnation transformative Heat. Commonly. used Wind extinguishing herbs for musculoskeletal pain are: Rhizoma. Gastrodiae Elatae (Tian Ma), Lumbricus (Di Long), Buthus Martensi (Quan. Xie), Scolopendra (Wu Gong), and Bombys Batryticatus (Jiang Can). They. are used often in patients with muscle spasms, headaches and deep seated. Warming. Channels. To. warm the channels, joints and sinews: Radix Lateralis Aconiti (Fu. Zi), Radix Aconiti Carmichaeli (Chuan Wu), Radix Aconiti Kusnezoffii. Cao Wu), and Cortex Cinnamomi Cassiae (Rou Gui) are used in patients. Dampness. As. noted above there are many types of herbs that deal with Dampness. Dampness. is considered the central pathogenic factor in Painful Obstruction. Bi Syndromes (although in this authors experience as stated above. Blood vitalizing is often more important). As Dampness is a viscous. Pathogenic factors, as well as the body, Bi syndromes are. When treating Dampness, one. Dampness is predominant. The condition may be predominately Hot, Cold or it. When mixed, the degree of the involved Pathogenic factors. Another aspect is the location of Dampness and. Therefore, when treating. Damp syndromes, complex treatment principles may be warranted. The. root of Dampness, which is ether exogenous or endogenous, is said. Spleen deficiency. Other common causes of Dampness are. Kingdom in the Valley Christian Church.
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