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Qì vacuity with blood stasis

气虚血瘀 〔氣虛血瘀〕 qì xū xuè yū

A disease pattern chiefly characterized by lassitude of spirit, lack of strength, and shortness of breath with localized hard swellings, stabbing pain or paralysis, and tongue purple in color or bearing stasis speckles.

Description: Lassitude of spirit and lack of strength; scantness of breath and laziness to speak; spontaneous sweating; stabbing pain in the chest or rib-side that is of fixed location and refuses pressure; in some cases, glomus lump under the ribs; in some cases, numbness and tingling of the limbs or paralysis. The tongue is pale purple or bearing stasis speckles. The pulse is fine and rough.

Pathogenesis: Insufficiency of qì in which qì fails to propel the blood adequately, giving rise to blood stasis. The resulting pattern is a case of root vacuity and tip repletion. In clinical practice, the heart and liver are most commonly affected.

Analysis of signs

Treatment

Medicinal therapy: Supplement qì and quicken the blood using Yáng-Supplementing Five-Returning Decoction (补阳还五汤 bǔ yáng huán wǔ tāng).

Acumoxatherapy: GV-20 (bǎi huì), ST-36 (zú sān lǐ), LI-4 (hé gǔ), CV-6 (qì hǎi), SP-10 (xuè hǎi).

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