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Edema of the Extremities

Accumulation of Heat and Damp ("Heat Bi")

Clinical Manifestations

  • Edema in small joints
  • Acute, achy, swollen arthritis
  • Combined with fever, thirst and irritability
  • T: Red body with yellow greasy coat
  • P: Slippery and rapid

Formula

  • Bai Hu Tang + Gui Zhi and Cang Zhu

Accumulation of Cold and Damp ("Cold Bi")

Clinical Manifestations

  • Cold, achy arthritis with edema
  • T: Greasy white coat
  • P: Slow

Formula

  • Wu Tou Tang

Qi Stagnation

Clinical Manifestations

  • Pitting edema
  • Chest constriction and hypochondriac distending pain
  • T: Pale with white coating
  • P: Wiry

Etiology

  • Because this a channel pathology, the etiology is often an external pathogen associated with Wind.

Treatment Principle

  • Harmonize Ying and Wei Qi

Formula

  • Xiang Ru San
  • Xiang Fu activates Qi
  • Su Ye expells wind

Qi and Blood Stagnation (Post stroke sequellae, paralysis, hemiplegia)

Clinical Manifestations

  • Edema (mostly lower extremities), weakness, numbness
  • Color of the skin at affected site is purple
  • T: Pale with purple spots
  • P: Wiry, choppy

Etiology

  • Phlegm remaining in channels after stroke

Formula

  • Huang Qi Gui Zhi Tang

 


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