Acupuncture Continuing Education

Case Histories #1


Case Histories



Excerpt of course material:

Guillain-Barre´ Syndrome

A 22 year old female was suffering from weakness and lack of strength in her four extremities. She is unable to stand, walk or hold objects. The symptoms started one week ago after a common cold. She had been given a western diagnosis of Guillian-Barré Syndrome and was placed on hormone and vitamin therapy with no effect. She was also experiencing dizziness, headache, five palms heat, excessive sweating during both day and night, a bitter taste in the mouth, lack of thirst, constipation with a bowel movement every 2 days, dark and scanty urination, and a feeling of heaviness in the lower abdomen. Her tongue is purple with a greasy yellow coating and her pulse is slippery and rapid.

Kidney and Liver Yin deficiency, heat in the blood, damp heat in the Middle Jiao and Spleen Qi deficiency.

Lubricate Yin and eliminate heat in the blood, clear damp heat and promote blood circulation.


Si Miao San and Tao Hong Si Wu Tang modification:

Huang Bai      Cortex Phellodendri             12g
Cang Zhu       Rhizoma Actractylodis            9g

Niu Xi         Radix Achyranthis Bidentatae    15g
Yi Yi Ren      Semen Coicis Lachryma-jobi      30g

These are the herbs found in the formula Si Miao San. Si Miao San treats Wei Syndrome (atrophy disorder) due to damp heat in the lower jiao. Huang Bai clears damp heat and Kidney deficiency heat. Cang Zhu dries dampness in the Middle Jiao to lift Spleen Qi. Yi Yi Ren promotes urination to guide out the heat. Niu Xi strengthens sinews and bones and promotes blood flow. Yi Yi Ren mildly leaches out dampness.

Ze Xie         Alismatis Rhizoma                12g
Han Fang Ji    Radix Stephaniae Tetrandrae       9g

Ze Xie and Fang Ji promote urination to drain excess. Ze Xie sedates Kidney fire. Fang Ji eliminates wind damp bi pain.

Ji Xue Teng    Radix et Caulis Jixueteng        30g

Ji Xue Teng promotes blood circulation to clear wind damp bi pain and nourishes blood.

Zhi Mu         Rhizoma Anemarrhenae Asphodeloidis    12g  
Shi Hu         Herba Dendrobii                       15g
Sha Shen       Radis Adenophorae seu Glehniae        15g

Zhi Mu, Shi Hu and (Bei) Sha Shen cool heat and nourish Yin. Zhi Mu cools Qi level and Kidney deficiency heat. Shi Hu clears Stomach heat. Sha Shen nourishes the Lung and Stomach to stop thirst and dry throat.

Tao Ren        Semen Persicae                     9g
Hong Hua       Flos Carthami Tinctorii            9g
Chi Shao       Radix Paeoniae Rubrae             12g
Mu Dan Pi      Cortex Moutan Radicis             12g

Tao Ren and Hong Hua promote blood circulation and break congealed blood. Tao Ren moistens dryness and stays in the bloodstream longer. Hong Hua is faster moving and stronger at penetrating through stagnation.
Chi Shao and Mu Dan Pi cool heat in the blood and promote blood circulation. Chi Shao is stronger at promoting blood circulation. Mu Dan Pi is stronger at cooling heat.

Xi Yang Shen  Radix Panacis Quincquefolii        12g

Xi Yang Shen strengthens Qi, lubricates Yin and clears heat.

Gan Cao       Radix Glycyrrhizae Uralensis        3g

Gan Cao harmonizes the ingredients in the formula.

She took seven bags for seven days, had acupuncture treatments, and took Vitamin B1 and B12 daily. Her extremities were stronger as was her energy. Her temperature fluctuations and sweating decreased. She was asked to remain on the formula for another thirty days. When she returned, she reported that she was able to walk slowly and to walk up stairs unassisted. However, she is still experiencing night sweats, hot flashes and five palms heat. She has a bitter taste in her mouth and has a desire to drink but is only able to take small sips. Her tongue was red with less coating and her pulse was small and rapid.

Kidney and Liver Yin deficiency with deficiency heat and damp heat in the Middle Jiao.

Lubricate Kidney and Liver Yin and strengthen Spleen and Kidney Qi and Yang.

Hu Qian Wan and Zhi Bai Di Huang Wan modification

Huang Bai    Cortex Phellodendri                      12g
Gui Ban      Plastrum testudinis                      30g
Zhi Mu       Rhizoma Anemarrhenae Asphodeloidis       12g
Shu Di Huang Radix Rehmanniae Glutinosae Conquitae    30g
Zhu Ji Shui  Pig spine                                60g

Huang Bai and Zhi Mu sedate Kidney deficiency heat. Huang Bai is stronger at clearing heat. Zhi Mu moistens dryness. Gui Ban and Zhu Ji Shui nourish Kidney Yin and Jing. Gui Ban sedates Kidney deficiency heat and stabilizes the Liver and Kidney. Zhu Ji Shui is stronger at nourishing Kidney and Liver Jing and blood. Shu Di Huang also nourishes Kidney and Liver blood and Jing.

Chen Pi        Pericarpium Citri Reticulatae          3g
Bai Zhu        Rhizoma Atractylodis Macrocephalae    12g
Huang Qi       Radix Astragali Membranaceus          12g

Chen Pi and Bai Zhu are warm which helps dry the Spleen. Chen Pi regulates Qi. Bai Zhu is strong and stable which dries dampness in the Middle Jiao. Huang Qi lifts the Qi upwards and strengthens the Wei Qi to stop excessive sweating.

Bai Shao         Radix Peoniae Lactiflorae            12g

Bai Shao harmonizes the Ying and Wei which reestablishes communication between the interior and exterior. This stability reestablishes order in the immune system and stops the body from attacking itself in the form of an autoimmune response.

Bai Ji Tian      Radix Morindae Officinalis             9g
Rou Cong Rong    Herba Cistanches Deserticolae          9g
Suo Yang         Herba Cynomorii Songarici             12g  
Gan Jiang        Rhizoma Zingiberis Officinalis        12g

Bai Ji Tian, Rou Cong Rong, Suo Yang and Gan Jiang are warming and strengthen Kidney Yang. Bai Ji Tian expels wind damp bi pain. Rou Cong Rong and Suo Yang moisten dryness and move the bowels. Rou Cong Rong is stronger at moistening dryness. Suo Yang strongly warms the Kidney Yang. Gan Jiang warms the Spleen and Stomach.

Ji Xue Teng         Radix et Caulis Jixueteng            30g

Ji Xue Teng promotes blood circulation, nourishes blood, and expels wind damp bi pain.

Gan Cao         Radix Glycyrrhizae Uralensis            3g

Gan Cao harmonizes the ingredients of the formula.

She took twenty bags for twenty days. She reported that she was able to walk slowly for up to one hour without any discomfort and her Kidney Yin deficiency symptoms reduced by 90%.

This sample is from the acupuncture continuing education course. Learn more in the Acupuncture CEU course material....




About Prof. Liao:
Professor Liao, L.Ac., Dipl.Ac., has served as professor of herbology and acupuncture theory at the Academy of Chinese Culture & Health Sciences in Oakland, CA. Prof. Liao has also served as faculty at Five Branches University in Santa Cruz, CA. His many years of teaching experience bring the highest quality of interesting and useful courses to HealthCMI continuing education online.



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