Chronic Leukemia

General

Clinical Manifestations	Chronic lymphocytic leukemia (CLL) is the most common chronic leukemia in the United States. In people with CLL, too many white blood cells (known as lymphocytes) build up in the blood, bone marrow, spleen, and lymph nodes. Over time, these cells may crowd healthy cells, resulting in fewer normal blood cells and platelets. Large granular lymphocytic (LGL) leukemia is a chronic lymphoproliferative disorder that exhibits an unexplained, chronic (> 6 months) elevation in large granular lymphocytes (LGLs) in the peripheral blood.
Treatment Principle
Herb Formulas	Take a liquid extract of Hb. Erodii/Geranii Lao Guan Cao daily. Take 1.5-3g of powder of Rx. or Hb. Sophorae Alopecuroides or 1g Sm. Sophorae Alopecuroides Ku Dou Zi  daily. For chronic granular leukemia: Dang Gui Lu Hui Wan
Points

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five sole heat Debilitated constitution in children Enuresis in children Insomnia Epistaxis Habitual constipation Maybe warm extremities Headache Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White P: Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Middle Jiao Replenish Qi Dispel Cold
Herb Formulas	Xiao Jian Zhong Tang Huang Qi Jian Zhong Tang
Points

Central Qi Sinking

Clinical Manifestations	Prolapse of one or more organs Sallow complexion Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20, other points are selected according to the type of prolapse

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the heart and Spleen
Herb Formulas	Gui Pi Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Heart And Liver Blood Deficiency

Clinical Manifestations	Palpitations Insomnia with much dreaming Easily startled Eye dizziness Both eyes dry and rough Twitching of the eyes Pain in the ribs and flanks Numbness of the limbs Stiffness and spasms of the tendons Low grade fever Night sweats Irregular, scanty menses T: Pale and thin C: Little P: Thready, choppy and forceless
Treatment Principle	Nourish Yin Reinforce the Blood Conceal Yang Calm the Shen
Herb Formulas	Dang Gui Bu Xue Tang
Points	HT-7, LIV-3, REN-4, SP-6, ST-36, UB-15, UB-17, UB-18

Liver And Kidney Yin Deficiency

Clinical Manifestations	Low-grade fever in the evening or Nightly fever or Afternoon tidal fever Five Sole Heat Malar flush Steaming bone fever Anxiety Restlessness Night sweats Irritability Insomnia Excessive dreams Dry mouth and throat with a desire to drink Scanty, yellow urine Emaciation Lethargy Red lips Thirst T: Red and dry C: Little or None P: Thready and rapid
Treatment Principle	Clear Deficiency Heat Reduce tidal fever
Herb Formulas	Qing Gu San With Blood Deficiency: Dang Gui Liu Huang Wan
Points	DU-14, KI-7, PC-6, SP-6, UB-13, UB-23 With severely deficient Yin: + KI-3 With severe insomnia: + HT-7 With severe night sweats: + HT-5 With anxiety, malar flush, a dry mouth and a red tongue: + DU-14, HT-5, KI-3 With shortness of breath, vertigo or weakness: + KI-3, REN-4, UB-20

Liver And Kidney Yin Deficiency With Yang Rising

Clinical Manifestations	Intermittent nosebleeds, usually with only small amounts of Blood. Fever Night sweats Red face Dry mouth Loose teeth Atrophy of the gums Dizziness Vertigo Tinnitus Blurred vision Poor memory Constipation Dark, scanty urine Irritability Fidgeting Insomnia Five Sole Heat Night sweats Malar flush Low back pain A thin physique Nocturnal emissions Parched lips Irritability Dry stools T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Cool the Blood Stop bleeding
Herb Formulas	Zhi Bai Di Huang Wan With Yang Rising predominant: Zhen Gan Xi Feng Tang For chronic cases with Blood Deficiency: Jiao Ai Tang Chinese Patent Medicines: Zhi Bai Di Huang Wan Qi Ju Di Huang Wan He Che Da Zao Wan To stop bleeding: Yun Nan Bai Yao
Points	DU-23, KI-3, LI-4, LI-11, ST-44 KI-1, KI-3, LIV-3, SP-1, SP-6, UB-7, UB-23 Ear: Internal Nose, Sympathetic, Shenmen

Qi And Yin Deficiency

Clinical Manifestations	Fatigue Spontaneous sweating A pale face Poor appetite Loose stools Dizziness Weak voice/reluctance to speak Five Sole Heat Malar flush Night sweats Anxiety Hot flashes T: Pale, Pale red or Red C: Thin white, Little or None P: Deep and weak or Thready and rapid
Treatment Principle
Herb Formulas	Chronic Leukemia #2
Points

Qi And Blood Deficiency

Clinical Manifestations	Memory loss Forgetfulness Absent-mindedness Lack of concentration Menorrhagia Palpitations with or without anxiety Insomnia (difficulty falling asleep) Nightmares Reduced appetite Pale, wan complexion Pale lips and nails Early menstruation with copious pale blood Continuous flow with little blood (spotting) Excess perspiration Night sweats Irregular menstruation Leukorrhea Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued) Blurred vision Spots before the eyes	Low spirits Depression Bruising easily Dream disturbed sleep Short attention span Anxiety Phobias Panic attacks Fear Low grade fever Withdrawal Fatigue and lethargy Weakness Genital itch Impotence Nocturnal emissions Weak abdomen Abdominal distention after eating Premenstrual spotting Dry skin and hair T: Pale, maybe swollen C: White P: Thready and weak or Thready and moderate
Treatment Principle	Augment the Qi Nourish the Blood
Herb Formulas	With Cold: Shi Quan Da Bu Tang
Points	SP-6, REN-4, REN-6, ST-36, UB-17, UB-20, UB-23

Qi , Blood And Yang Deficiency With Toxic Heat

Clinical Manifestations	Long-standing illness Pain Redness Fatigue Fever Anxiety Dry mouth Thirst Dark urine Bitter taste Red eyes Insomnia Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Palpitations	Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods Chills Cold limbs Inability to get warm Loose stools Profuse clear urine Spontaneous sweating Lassitude T: Red or Pale or Pale, thin and dry C: Thin and white or White or Yellow and greasy or Thick, sticky, dry and yellow P: Weak or Thin and choppy or Wiry or Rolling and rapid or Wiry, overflowing and rapid
Treatment Principle	Clear Heat Resolve toxicity Nourish Yin Tonify Qi Nourish the Blood Invigorate the Blood Tonify Yang
Herb Formulas	Chronic Leukemia #3
Points

Qi Stagnation With Liver And Spleen Enlargement

Clinical Manifestations	Deficiency fever Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Enlarge Liver Enlarged Spleen Depression Irritability Inappropriate anger T: Pink C: Thin and white P: Wiry
Treatment Principle
Herb Formulas	Chronic Leukemia #1
Points

Blood Stagnation

Clinical Manifestations	Pain that is fixed, stabbing and /or severe Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Activate the Blood Break up Stagnation
Herb Formulas	Da Huang Zhe Chong Wan
Points	SP-6, SP-10, ST-36, UB-17, UB-40

Blood Deficiency

Clinical Manifestations	Postpartum emaciation and weakness Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath Dyspnea Pale face Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five sole Heat	Debilitated constitution in children Enuresis in children Insomnia Fatigue Anemia Bleeding Abdominal weakness Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White. P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Spleen and Stomach Relieve spasmodic pain
Herb Formulas	Dang Gui Jian Zhong Tang
Points

Damp-Heat

Clinical Manifestations	Hypochondriac pain Headache Dizziness Red sore eyes Hearing loss Swelling in the ears Bitter taste in the mouth Irritability Short temper Difficult and painful urination with a heat sensation in the urethra Swollen and itchy genitalia Yellow, foul smelling leukorrhea Short menstrual cycle with reddish-purple blood Ear discharge Yellow urine Chest pain Constipation Turbid urine Dry throat Hematuria Pain in the armpits Sweating in the groin T: Red or Red edges C: Yellow or Yellow and greasy P: Wiry, Excess and rapid
Treatment Principle	Clears Damp-Heat from the San Jiao
Herb Formulas	Long Dan Xie Gan Tang
Points