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Chronic fright wind

慢惊风 〔慢驚風〕màn jīn fēng

A disease of infants and children characterized by intermittent mild convulsions associated with pale yellow facial complexion or mixed blue-green and white facial complexion and in most cases the absence of heat effusion. Most chronic fright wind patients exhibit signs such as clouding sleep, either with the eyes fully closed or with the eyeballs exposed, as well as fatigue and laziness to speak. Stool may be slightly green-blue in color or there may be clear-grain diarrhea. The pulse is sunken and moderate or sunken, slow, and forceless. Chronic fright wind is attributed to insufficiency of qì and blood and exuberance of the liver with vacuity of the spleen, and often occurs in the advanced stages of severe chronic disease when right qì is greatly weakened.

Medicinal therapy: Treatment should focus on supporting right and rectifying the liver and spleen, supported by clearing the heart and flushing phlegm. Formulas that can be used include Center-Rectifying Decoction (理中汤 lǐ zhōng tāng), Clever Powder (惺惺散 xīng xīng sǎn), Spleen-Arousing Pill (醒脾丸 xǐng pí wán), and Cinnabar Spirit-Quieting Pill (朱砂安神丸 zhū shā ān shén wán).

Acumoxatherapy: Base treatment mainly on CV, ST, and LR, needling with supplementation and moxa at CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), LR-13 (Camphorwood Gate, 章门 zhāng mén), CV-6 (Sea of Qì, 气海 qì hǎi), ST-25 (Celestial Pivot, 天枢 tiān shū), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and needling with even supplementation and drainage without moxa at GB-20 (Wind Pool, 风池 fēng chí), LR-3 (Supreme Surge, 太冲 tài chōng), and LR-2 (Moving Between, 行间 xíng jiān).

Point selection according to signs: For no thought of food and drink, add BL-20 (Spleen Transport, 脾俞 pí shù) and Four Creases (四缝 sì fèng), applying moxa at the former. For clear-grain diarrhea, add BL-25 (Large Intestine Transport, 大肠俞 dà cháng shù) and Five Pillar Points (五柱穴 wǔ zhù xué), applying moxa at all the points. For rigidity of the nape and neck, add GV-14 (Great Hammer, 大椎 dà zhuī) and GV-12 (Body Pillar, 身柱 shēn zhù). For convulsions, add LI-11 (Pool at the Bend, 曲池 qū chí), SI-3 (Back Ravine, 后溪 hòu xī), GB-34 (Yáng Mound Spring, 阳陵泉 yáng líng quán), and BL-57 (Mountain Support, 承山 chéng shān).

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