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Treatment Principles C o r related to Pattern s

Qi vacuity: Supplement the qi

Blood vacuity: Either supplement or nourish the blood Yin vacuity: Either supplement, nourish, or enrich yin Yang vacuity: Either supplement, warm, or invigorate yang Yang desertion: Rescue yang and stem desertion

Yin desertion: Nourish qi and yin, stem desertion

Qi desertion: Greatly supplement the qi, return yang, and stem desertion

Blood desertion: Supplement the qi and stem desertion Blood vacuity: Nourish or supplement and regulate the blood

Blood stasis: Quicken the blood and transform or dispel stasis

Blood stasis in the network vessels: Quicken the blood and free the flow or open the network vessels

Blood heat: Clear heat, cool the blood, and stop bleeding Phlegm rheum: Warm and transform phlegm rheum, forti-fy the spleen and disinhibit dampness

Phlegm dampness: Transform phlegm and dry dampness, rectify the qi and harmonize the center

Phlegm nodulation or binding: Transform phlegm, scat-ter nodulation or binding, and/or soften the hard

Damp heat: Clear heat and eliminate dampness Heat toxins: Clear heat and resolve toxins

Wind striking the channels and network vessels:

Dispel wind and free the flow of the channels

Dampness striking the channels and network vessels:

Eliminate dampness and free the flow of the channels

Cold striking the channels and network vessels: Warm the channels and scatter cold

Wind damp impediment: Dispel wind and eliminate dampness, free the flow of impediment and stop pain

Damp heat impediment: Clear heat and eliminate damp-ness, free the flow of impediment and stop pain

Cough: Stop coughing

Panting: Stop, level, or stabilize panting Diarrhea: Stop diarrhea

Dysentery: Stop dysentery Bleeding: Stop bleeding Vomiting: Stop vomiting Sweating: Stop sweating Pain: Stop or stabilize pain Tetany: Stop tetany

Irregular menstruation: Regulate the menses Restless fetal stirring: Quiet the fetus

Constipation: Free the flow of the stools Strangury: Free the flow of strangury

Disquieted spirit: Quiet, calm, still, and/or settle the spirit Insomnia: Quiet the sleep

Syncope: Arouse the spirit

Summerheat: Clear summerheat

Summerheat heat: Clear summerheat and drain fire Summerheat dampness: Clear summerheat and eliminate dampness

Dampness: Eliminate, transform, dry, seep, or disinhibit dampness

Dryness: Moisten dryness and/or engender fluids Exterior contraction: Resolve the exterior Interior repletion: Drain the interior

Interior cold: Warm the interior

Externally contracted wind: Course or dispel wind Internally engendered wind: Extinguish or track down wind

Liver depression qi stagnation: Course the liver and rec-tify the qi

Liver-spleen disharmony: Harmonize the liver and spleen Liver-stomach disharmony: Harmonize the liver and stomach

Liver depression-depressive or transformative heat:

Course the liver and rectify the qi, resolve depression and clear heat

Liver-stomach depressive heat: Clear the liver and stom-ach, resolve depression and downbear counterflow or harmo-nize the stomach

Liver depression and blood vacuity: Harmonize the liver Ascendant liver yang hyperactivity: Clear the liver and subdue yang or subdue yang and downbear counterflow Upward flaming of liver fire: Clear the liver and drain fire

Internal stirring of liver wind: Settle the liver and extin-guish wind

Liver blood insufficiency or vacuity: Relax or emolliate the liver and nourish the blood

Liver blood-kidney yin vacuity: Nourish the liver and enrich the kidneys

Liver blood-kidney yang vacuity: Nourish the liver and supplement the kidneys, warm and invigorate yang

Yin vacuity-yang hyperactivity: Enrich yin and subdue yang

Liver-gallbladder damp heat: Clear heat and eliminate dampness from the liver and gallbladder

Cold stagnating in the liver vessels: Warm the liver and scatter cold, rectify the qi and stop pain

Heart qi vacuity: Supplement the heart qi Heart blood vacuity: Supplement heart blood

Heart yin vacuity: Supplement heart yin

Heart yang vacuity: Supplement the heart and warm yang Heart-spleen dual vacuity: Fortify the spleen and nourish the heart, supplement the qi and blood

Heart-gallbladder qi vacuity: Fortify the spleen and nourish the heart, transform phlegm and rectify the qi Heart fire effulgence: Clear the heart and drain fire Phlegm confounding the heart orifices: Transform phlegm and open the orifices

Phlegm fire harassing the heart: Transform phlegm and drain fire, clear the liver and settle the heart

Heart blood stasis: Quicken the blood and dispel stasis Heart and kidneys not interacting (with yang vacu-ity below): Clear the heart and lead yang to move down-ward

Heart and kidneys not interacting (with yin vacuity below): Clear the heart and enrich the kidneys, promote the interaction of above and below

Heart fire transmitted to the small intestine: Clear heat and enrich yin, disinhibit water and free the flow of strangury

Spleen qi vacuity: Fortify the spleen and supplement or boost the qi

Spleen qi downward fall: Fortify the spleen, boost the qi, and lift the fallen

Spleen vacuity with stomach heat: Fortify the spleen and clear the stomach and/or harmonize the center

Spleen yang vacuity: Warm the spleen and supplement the qi

Spleen-kidney yang vacuity: Fortify the spleen and boost the qi, supplement the kidneys and invigorate yang

Spleen vacuity with damp encumbrance: Fortify the spleen and eliminate dampness

Damp heat smoldering in the spleen: Clear heat and disinhibit dampness

Food stagnation in the stomach duct: Disperse accumu-lation and/or abduct stagnation

Stomach qi counterflowing upward: Harmonize the stomach and/or downbear counterflow

Stomach fire effulgence: Clear the stomach and drain fire Stomach heat and yin vacuity: Clear the stomach and nourish yin or engender fluids

Stomach yin vacuity with damp heat: Clear heat and eliminate dampness, nourish the stomach and rectify the qi Stomach yin vacuity: Nourish the yin and stomach, rectify the qi and engender fluids

Stomach blood stasis: Quicken the blood and transform stasis

Wind cold raiding the lungs: Course wind and scatter cold, diffuse the lungs and stop coughing

Wind heat attacking the lungs: Course wind and clear heat, diffuse the lungs and transform phlegm

Wind dryness damaging the lungs: Course wind and clear the lungs, moisten dryness and stop coughing

Summerheat damaging the lungs network vessels:

Clear heat and resolve toxins, cool the blood and stop bleed-ing

Phlegm heat depressing the lungs: Transform phlegm and clear heat, loosen the chest and resolve depression Lung heat smoldering and exuberance: Clear the lungs and drain fire

Damp heat smoldering in the lungs: Clear the lungs and eliminate dampness, dispel stasis and discharge pus

Phlegm turbidity obstructing the lungs: Transform phlegm and dry dampness, fortify the spleen and stop cough-ing

Lung qi vacuity: Supplement the lungs and boost the qi Lung-spleen dual vacuity: Fortify the spleen and boost the qi, supplement earth to engender metal

Cold rheum hidden in the lungs: Warm and transform cold rheum

Lung qi vacuity with simultaneous heat: Supplement the qi and clear heat, transform phlegm and stop coughing

Lung dryness with simultaneous phlegm: Moisten the lungs and clear heat, rectify the qi and transform phlegm Lung yin vacuity: Enrich yin and moisten the lungs Lung qi and yin dual vacuity: Clear heat and moisten dryness, supplement the qi and nourish yin

Lung qi and yin dual vacuity with phlegm heat:

Moisten the lungs and supplement the qi, clear heat and transform phlegm

Lung-kidney yin vacuity: Supplement the kidneys and moisten the lungs, transform phlegm and stop coughing Lung-kidney yang vacuity: Supplement the lungs and promote the absorption of the qi, downbear the qi and stabi-lize panting

Lung network vessel stasis and obstruction: Quicken the blood and transform stasis, free the flow of the network vessels and stop bleeding

Large intestine heat accumulation: Precipitate and dis-charge heat and accumulation from the large intestine, free the flow of the stools

Large intestine damp heat: Clear heat, transform damp-ness, and free the flow of the stools

Large intestine fluid dryness: Nourish the blood, mois-ten dryness, and free the flow of the stools

Large intestine heat stasis: Clear heat and disinhibit dampness, quicken the blood and dispel stasis

Kidney qi vacuity: Supplement the kidneys and boost the qi

Kidneys not securing the essence: Supplement the kid-neys and secure the essence

Kidneys not securing and astringing the intestines:

Warm and supplement the kidneys, astringe the intestines and stop diarrhea

Kidneys not absorbing the qi: Supplement the kidneys to absorb the qi

Kidney yang vacuity: Supplement the kidneys and warm or invigorate yang

Kidney vacuity with water spilling over: Supplement the kidneys, warm yang, and seep water

Kidney yin vacuity: Supplement the kidneys and enrich or nourish yin

Yin vacuity-fire effulgence: Supplement the kidneys, enrich yin, and drain fire

Kidney essence insufficiency: Supplement the kidneys and fill, foster, or boost the essence

Urinary bladder damp heat: Clear heat, disinhibit damp-ness, and free the flow of strangury

Because most Western patients are not experienced taking Chinese herbal medicinals, it is important to provide them with clear, simple, written instructions on how to take their Chinese herbal medications. For pills and powders, this is easy and straightforward. For decocted Chinese medicinals, this can be a bit more complicated. However, even if one pre-scribes bulk-dispensed decocted formulas, one can design a preprinted form that can be quickly and easily personalized for each patient. Below is a sample of one such form.