Golden Chamber (Jin Kui Yao Lue)

1. Golden Chamber (Jin Kui Yao Lue) Dr. Kenneth Wang OMD, Ph.D., L.Ac. E-mail: acuhherbinfo@gmail.com acuherb.us

2. 1. On Pulse syndrome Complex and Transmission of the Disease of Viscera, Bowels, Channels and Collaterals (1) The disciples asked: “Why does a superior physician treat disease before its onset?” The master replied: “Because to treat a disease before its onset means that the liver disease eventually transmits to the spleen; therefore he takes care to maintain the strength of spleen. However, in the last month of a season when the spleen is vigorous and will not contract any ailment, it is unnecessary to supplement the spleen. A mediocre physician, not understanding transmission, treats only the liver without strengthening the spleen.”

3. In treating liver disorders sour herbs supplement the liver; charred and bitter herbs assist the heart; and sweet herbs harmonize the spleen. …… (2) Climate greatly influences the five organs with which the human being is endowed. Nature nourishes and destroys all creatures just as water both floats and overturn a ship. When the Yuan Qi of the five organs circulates smoothly, the body maintains healthy and well; but when the noxious Qi and evil winds attach, death ensues. Even though there are hundreds of thousands of diseases, the causes are three: 1)Internal evils spreading along the meridians to the viscera. 2)external evils breaking through the surface of the skin and invading the interior (eventually the evils cause blockage of the blood and qi in the four limbs and nine cavities). 3)sexual abuse, knife wounds, and animal or insect bites. All diseases fall into one of these categories. Disease can’t invade the Cou Li(interstices) if one lives circumspectly.

4. Disease should be treated immediately before the meridians are involved and the viscera harmed. The immediate practice of Qi guidance exercises, Tui-Na, acupuncture and moxibustion, or unguent massage prevents obstruction of the nine cavities and thus relieve feelings of heaviness and torpidity. One should behave so as not to violate the law or to incur injuries from animals. One should not exhaust oneself in sexual indulgence, and one should always wear proper clothing, so as not to be become too hot or too cold. Finally, one should cultivate proper eating habits and balance the eating of sweet, bitter, and sour foods.

5. (15) The master admonished: “When a patient who has been suffering from a chronic disease suddenly incurs an acute disease, it is mandatory to begin treating the acute disease before addressing the chronic condition.”

6. 3. On pulse Syndrome Complex and treatment of Bai He, Hu Huo, and Yin Yang Du Disease (1) The Classic states: Bai He is a disease characterized by general malaisea desire but inability to eat, talk, lie down, or walk. The often appears quiescent. Sometimes he has an appetite, sometimes not.

7. He feels cold but has no chill or else feels hot but has no fever. A bitter taste invades his mouth and his urine flows red. No drug can cure him because severe vomiting and dysentery occur upon ingestion of drugs. It seems as though a certain spirit has possessed him although he appears to be normal except for a minute and quick pulse. If his head aches when he urinates, it means he will recover in sixty days. If instead he feels chilled on urination, he will recover in forty days…..

8. (2) A patient with Bai He who has erroneously received treatment by the sweating method should be treated principally with Bai He Zhi Mu Tang. Bai He Zhi Mu Yin Deficiency Thirsty+: Tian Hua Fen +: Sheng Di Huang, Ji Zi Huang

9. (10) Hu Huo resembles Shang Han diseases in that the patient looks moribund and is somnolent and unable to close his eyes and so restless that he continually lies down and gets up. An ulcer in the larynx is Huo disease while an ulcer on the pudendum or the anus is Hu disease. The patient, repelled by the odor of food, will be anorexic, and his facial color will vary from red to dark to pale. If ulceration develops in the upper part of the body, hoarseness occurs. The condition should principally be treated with Gan Cao Xie Xin Tang. (Definitions of Behçet's disease on the Web: A condition characterized by sores in the mouth and on the genitals and by inflammation in parts of the eye. ... womenshealth.about.com/library/bl_autoimmune12.htm)

10. (11) Ulceration on the pudendum is preceded by pharyngeal dryness. The pudendum should be washed with Ku Shen Tang. Ulceration on the anus should be treated with Xiong Huang fumigation. Ku Shen: (12) Yang Du manifests silky red macules on the face, a sore throat, and expectoration of purulent blood; it is curable if treated within five days, but incurable beyond seven days of onset. Treatment calls Sheng Ma Bie Jia Tang. ……

11. 5 On Pulse Syndrome Complex and treatment of Zhong Feng (Apoplexy) and Li Jie (1) Disease brought on by pathogenic Wind will cause hemiplegia. When a patient can’t move one or both arms freely, it is a case of Bi syndrome with feeble-speedy pulse caused by pathogenic wind, know in Chinese as Zhong feng (Windstroke or apoplexy).

12. (2) A floating and tense pulse at cun site, “floating” signifying weakness and tense “tense” chills, means that chills and weakness are in interaction with each other and the evil has lodged in the skin. A floating pulse portends blood weakness and meridian emptiness attributable to accumulated wind evil and its subsequent stagnation in either the left or the right side of the body. Thus unbalanced qi slows and normal qi accelerates drawing the unbalanced qi. Skewing of the mouth and paralysis result.

13. Evils lodged in the superficial meridians (luo) causes skin numbness; evil in the inner meridians (jing) causes heaviness and impaired movement of the extremities. evil in the hollow viscera causes insanity while evil in the solid viscera makes the tongue unable to articulate and causes slobbering. ……

14. (4) Pulse at Cunkou is deep-weak. Deep pulse indicates the diseases affecting the bone, and is also manifestation of a kidney disease. Weak pulse indicates disease in tendons, and is also a manifestation of a liver disease. When the patient is immersed in water when sweating all over, the pathogenic water will affect his heart. Li Jie will occur with yellowish sweat. The condition is know as Li Jie.

15. (5) Joint pain in the extremeties, emaciation, foot edema that is so severe the feet feel detached, vertigo, gasping, and nausea require the principal treatment of Gui Zhi Shao Yao Zhi Mu Tang. (9) …… A condition in which blood and qi are not circulating and Wei fails. With blood and Wei weakened, Primordial qi fails to reach the three warmers, the circulation of qi and blood in the arms and legs is interrupted, the body becomes emaciated, the feet swell, and yellow sweat and tibial chills occur. In the presence of fever, the condition is called Li Jie.

16. (10) If a patient suffers from Li Jie, his joints are so painful that he couldn’t flex or extend his joints. Using Wu Tou Tang. Wu Tou Tang: Ma Huang Bai Shao Huang Qi Chuan Wu Gan Cao

17. 6 On Pulse Syndrome Complex and Treatment of Blood Paralysis and Xu Lao (Vacuity-taxation) (1) The disciples asked: “What is the cause of blood paralysis?” the Master said: “persons who live lives of leisure generally have weak bones and rich flesh and muscle. After working for a short period of time, they will feel tired and begin to sweat. When they lie in bed, they will toss and turn frequently. If they are exposed to a breeze at this time, they will suffer from arthralgia due to stagnation of blood. The pulse will be feeble and hesitant and slender-tense at Cun and Guan site. Acupuncture can be adopted to stimulate yang. When the tense pulse disappears and the pulse returns to normal, the patient is recovering.”

18. (2) The patient suffering from “blood paralysis” with a minute pulse palpable both superficially and deeply on the Cun and Guan sites, a thin and tense pulse on the Chi site, and an external conformation exhibiting generalized numbness like that of wind paralysis should be principally treated with Huang qi gui zhi wu wu tang. Huang Qi Gui Zhi Bai Shao Sheng Jiang Da Zao

19. (8) A man who loses semen without orgasm will have a tense and urgent sensation in the lower abdomen, chills in the glans of the penis, dizziness, loss of hair, and an extremely weak, hollow, and slow pulse. These symptoms accompany lientery, loss of blood, or spermatorrhea. In such cases the pulse is hollow, fluttering, minute, and tense. The man who has spermatorrhea and the women who dreams of sexual intercourse need Gui zhi long gu mu li tang. (14) Weakness fatigue, internal cramps, and deficiencies of various types should be treated primarily with Huang qi jian zhong tang.  (15) A patient with weakness fatigue disease, lower back abdominal cramping, and oliguria should primarily take Ba wei shen qi wan.  (17) Weakness fatigue, and annoyance due to weakness which causes insomnia. Suan zao ren tang. 

20. 7 On Pulse Syndrome Complex and Treatment of Fei Wei (pulmonary asthenia), Fei Yong (pulmonary abscess) and Cough with Qi Adversity (1) The disciples asked: “When pathogenic heat is in upper Jiao, Fei Wei is caused by coughing. What is the cause of pulmonary asthenia?” The master said: “it occurs as a consequence of excessive sweating, excessive vomiting, diabetes with polyuria, or constipation that has been treated with strong purgatives which have exhausted the body fluids.” The disciples further queried: “Pulse is speedly at Cun. The patient coughs with sputum and saliva in his mouth. Why is this?”

21. The master answered: “This is a case of pulmonary asthenia. If the patient’s mouth is parched and dry, if he experiences pain in his chest when coughing, and if pulse is slippery-speedy, it is a case of pulmonary abscess. Pulmonary asthenia always has symptoms of coughing with bloody pus and speedy-deficiency pulse; whereas pulse of a patient suffering pulmonary abscess is always speedly-excessive.” (2) Coughing with flushing of Qi and a croaking sound in the throat should be treated principally with She gan ma huang tang.

22. (11) A patient with a pulmonary abscess who coughs so severely that he can’t lie down should be treated with Ting li da zao xie fei tang. (12) Symptoms such as cough with chest distention, shivering, a quick pulse, dry throat, absence of thirst, and frequent experctoration of thick and fishy sputum, eventually experctoration of pus like rice congee, are evidences of pulmonary abscess. A pulmonary abscess requires Jie geng tang. (14) …… Wei jing tang helps a cough with mild fever, annoying distention, and coarse and scaly skin on the chest-symptoms of pulmonary abscess.

23. VIII On pulse Syndrome Complex and Treatment of the Qi Disease Ben Tun  2. The master Said: “Ben Tun (Running Pig) syndrome originates in the lower abdomen and rushes upward to the throat. An attack of the syndrome causes the patient unbearable suffering, which gradually reduces and subsides. The cause of the disease is fright and terror.”  3. Ben Tun Qi rushing toward the chest, abdomen aching, and alternating chills and fever essentially treatment with Ben Tun Tang.  Ben Tun Tang: Ban Xia, Chuan Xiong Huang Qin, Dang Gui Ge Gen Bai Shao Shen Jiang Da Zao Li Gen Pi

24. IX On pulse Syndrome Complex and Treatment of Chest Bi & Shortness of Breath 3. Chest Bi has the symptoms and signs of panting, coughing, spitting, shortness of breath and pain in the chest and back. The pulse is deep and slow in the Cun and slight tight in the Guan. Gua Lou Xie Bai Bai Jiu Tang. 4. Chest Bi so painful that the patient can not lie flat principle because of dragging pain that penetrates the back should be treated with Gua Lou Xie Bai Ban Xia Tang. +Gui Zhi Ren Shen Yi Yi Ren Wu Tou

25. XII On pulse Syndrome Complex and Treatment of Phlegm Rheum And Cough 1. The disciple asked: “Are there four types of phlegm rheum?” The master said: “phlegm rheum, suspended rheum, spillage rheum,and propping rheum.” 15. Warm drugs treat phlegm rheum.

26. Thank you !