Gangrene

General

Clinical Manifestations	Gangrene (or gangrenous necrosis) is a type of necrosis caused by a critically insufficient blood supply. This potentially life-threatening condition may occur after an injury or infection, or in people suffering from any chronic health problem affecting blood circulation. The primary cause of gangrene is reduced blood supply to the affected tissues, which results in cell death. Diabetes and long-term smoking increase the risk of suffering from gangrene.
Treatment Principle
Herb Formulas
Points

Tai Yang - Yang Ming

Clinical Manifestations	Pulmonary gangrene Severe fever and chills without sweat Intolerance of Cold Irritability Fidgeting Headache Cough Wheezing (asthma) Muscle aches General body aches Thirst Heaviness and aching of the entire body Shortness of breath Floating edema (severe) Restlessness Anhidrosis Fidgeting May be high fever Edema Dyspnea T: Normal C:Thin white or Yellow P: Floating and tight or Rapid or Tight and rapid or wiry and tight
Treatment Principle	Promote diaphoresis Release the Exterior Clear Interior Heat Relieve irritability
Herb Formulas	Da Qing Long Tang
Points

Wind-Cold-Dampness

Clinical Manifestations	Gangrene Fever Chills Anhidrosis Pain and stiffness of the head and neck Stuffy nose Blood shot eyes Sores that are red, swollen and painful Generalized body aches and pain Headache Swollen eyes Thirst or no thirst T: Normal C: Thin white P: Floating or Floating and rapid
Treatment Principle	Induce sweat Release the Exterior Dispel Wind Alleviate pain Treat skin and External diseases
Herb Formulas	Jing Fang Bai Du San
Points

Qi Stage: Lung And Stomach Heat Injuring The Qi And Fluids

Clinical Manifestations	Gangrene Lingering fever from a febrile disease Vomiting Irritability Thirst with a desire to drink Parched mouth, lips and throat Choking cough Restlessness Insomnia Nausea Anorexia Profuse perspiration A dry mouth Indigestion Listlessness Chest oppression Ulcerations of the mouth Coarse skin Cough Night sweats Stifling sensation in the chest or epigastrium T: Red C: Little or None P: Rapid and Deficient or Thready and rapid
Treatment Principle	Clear Heat Generate fluids Tonify Qi Harmonize the Stomach
Herb Formulas	Zhu Ye Shi Gao Tang
Points

Lung Abscess

Clinical Manifestations	Pulmonary gangrene Lung abscess Coughing Wheezing Fullness and distention in the chest Profuse Phlegm and saliva Dysuria Edema Nasal congestion Clear, watery rhinorrhea Oliguria Loss of taste and smell Dyspnea Edema of the face and eyes Insomnia T: Swollen C: White and greasy P: Slippery
Treatment Principle	Drain the Lungs Move Fluids Drive out Phlegm Stop cough Calm wheezing
Herb Formulas	Ting Li Da Zao Xie Fei Tang
Points

Spleen Qi Deficiency With Dampness Accumulation

Clinical Manifestations	Intermittent discharge of pus The sores either do not suppurate or only leak pus slowly and fail to heal Viscous, thin fluid Mental and physical fatigue Lassitude Lack of luster Poor appetite Loose stools Fever T: Pale C:Thin white P:Thready and weak or Rapid and weak
Treatment Principle	Strengthen the Spleen Tonify Qi and Blood Eliminate Dampness Expel pus Draw out toxicity Promote the generation of flesh
Herb Formulas	Tuo Li Xiao Du Yin
Points

Spleen Yang Deficiency

Clinical Manifestations	Spontaneous perspiration Shortness of breath Occasional fevers Dyspnea Abdominal pain and spasms due to Cold Pain is better with warmth and pressure Pale face or a sallow, dull complexion Fatigue Fidgeting Lethargy Dry mouth Aversion to Cold Frequent, clear urination Constipation Cold extremities Dry throat Hematemesis Irritability Carbuncles Palpitations Hemorrhoids Fever with a preference for hot drinks Dry skin Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Cold limbs Feeling chilled Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak or Minute, thready and weak or Deep and slow or Floating, large and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Huang Qi Jian Zhong Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Blood Stagnation

Clinical Manifestations	Firmness and distention in the lower abdomen which is painful and gives resistance on pressure Smooth urination Manic behavior Forgetfulness Black stools that are easy to expel Delayed menstruation Amenorrhea Irregular menstruation Coagulated blood Thirst Dry mouth Polyuria Liver spots indicating stagnant blood found on the face, lips, tongue, limbs and finger nails T: Purplish C: Normal P: Deep, slow and irregular
Treatment Principle	Break up and dispel Blood Stasis Clear Heat
Herb Formulas	Di Dang Tang
Points

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 Tonify the Blood
Herb Formulas	Dang Gui Jian Zhong Tang
Points

Blood And Yang Deficiency With Cold

Clinical Manifestations	Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin The swellings are not hot to the touch No thirst Swollen and painful joints Wasting of the muscles of the thigh and calf T: Very pale or Pale-pink C: White P: Thready and forceless or Deep and slow
Treatment Principle	Warm the Yang Tonify the Blood Disperse Cold Eliminate Stagnation
Herb Formulas	Yang He Tang
Points

Retention Of Cold-Dampness In The Interior With Wind-Cold Invasion

Clinical Manifestations	Gangrene Abdominal pain Cold extremities Numb hands and feet Generalized body aches Paralysis of the extremities Induration and swelling of the scrotum Hypersalivation Limited movement of the joints Abdominal pain referring to the testis Aversion to Cold A preference for Warmth Loose stools Chills and fever T: Normal C: Thin and white P: Tense and wiry
Treatment Principle	Warm the Interior Reinforce Yang Release the Exterior Regulate the Ying and Wei
Herb Formulas	Wu Tou Gui Zhi Tang
Points

Toxic Heat

Clinical Manifestations	Gangrene Carbuncles Furuncles Sore throat Suppuration Cellulitis Boils Abdominal masses that are solid on Palpation Acne Pustules on an erythematous base Local inflammation with pus Deep-rooted, hard and painful boils Larger, more inflamed, angrier and more pus-filled lesions Erythema Swelling Lesions on the chest and upper back Heat Fever and chills Pain T: Red C: Yellow or Yellow and greasy P: Rapid or Wiry, slippery and rapid
Treatment Principle	Dispel pus Eliminate toxins Reduce nodules Disperse Stagnation
Herb Formulas	Pai Nong San
Points

Heat Toxin Affecting The Lungs And Skin

Clinical Manifestations	Swelling Slight suppuration Muscle tension Sore throat
Treatment Principle	Resolve Phlegm Detoxify Clear Heat
Herb Formulas	Bai Nung San
Points

Toxic Heat In The Blood

Clinical Manifestations	Chronic, stubborn skin lesions Sores Enlarged lymph nodes Nodules Malignant abscesses and sores Syphilitic sores Red itching skin Hardness T: Pale with red spots P: Rapid and pecking
Treatment Principle	Clear Blood Heat Resolve toxicity Dissipate swellings Dispel noxious sores Disperse nodules and hardness Tonify Qi and Blood
Herb Formulas	Zi Gen Mu Li Tang
Points

Fire Toxin Leading To Blood Stasis In The Sinews And Blood Vessels

Clinical Manifestations	Ulcerated sores that do not heal on a limb that is dark red Slightly swollen and warm to the touch There may me a rotten smell to the lesion Gangrene of the extremities, especially the fingers and toes with purulent abscess Extreme pain Local inflammation and swelling There may be copious discharge of pus from the ulcers A burning sensation Fever Thirst T: Red C: Normal P: Rapid
Treatment Principle	Clear Heat Resolve toxicity Nourish Yin Invigorate the Blood Alleviate pain
Herb Formulas	Si Miao Yong An Tang
Points

Phlegm Stagnation In The Chest With Deficiency Fire Rising

Clinical Manifestations	Gangrene of the Lungs Coughing Swelling and pain of the throat Thick, salty sputum with mucus and Blood Chills Aversion to Cold Fullness and congestion in the chest Dry mouth No thirst Foul-smelling sputum
Treatment Principle	Eliminate Phlegm and pus Clear Deficiency Fire Clear Toxins
Herb Formulas	Jie Geng Tang
Points