Rising Lotus Wellness Center {The Standard in Acupuncture} Jason Laird, L.Ac.

Information

Patient Forms

Alzheimer's

Concept

A progressive disease that causes disruption in cognitive function. The most common form of this disease, mostly affects people over 60 years of age with increasing incidence as age progresses. Twice as common in women as men. Accounts for more than 65% of dementias. Survival rates average around 7 years.

Characteristics

Early Stage - Loss of recent memory, inability to learn and retain new information, language problems (can�t find the words), mood swings and personality changes
Middle stage - Patients are at risk for falls or accidents due to confusion, can�t learn or recall information. Loss of sense of time and place.
End Stage - Coma and death, usually from infection

* Organic problem (Blood stasis in brain) within months can go to extremes

* Non-organic problem can take years to go from stage to stage

TCM Etiology

Pre-heaven Essence Deficiency
Aging
External Pathogenic Factors
Poor Diet

TCM Mechanism

Due to pre-heaven essence deficiency and aging there may be insufficient yin blood to transform essence and fill the sea of marrow. Impaired memory and lack of spirit can also be due to heart blood deficiency. There is generally a heat or fire mechanism and a phlegm mechanism in place also.

Differentiation and Treatment

Alzheimer�s due to Liver Qi Stagnation mixed with phlegm retention

Symptoms

Heart vexation, easily angered, depression, oppression
No desire to speak, bilateral hypochondriac distention
Tongue body is dark with possible dark spots, slimy fur coating
Pulse is wiry/slippery

Treatment Principle

Soothe Liver Qi, move Blood, dispel Phlegm

Points for Alzheimer�s due to Liver Qi Stagnation mixed with Phlegm retention

Du 20, Si Shen Cong, Liv 3, SP 6, ST 40
For long term treatment, alternate above points with DU 19, 21, 24; BL 17, 18, 20, 47; Liv 2,13; GB 43; ST 36

Herbs for Alzheimer�s due to Liver Qi Stagnation mixed with Phlegm retention

Wu Shi Gan Yu Fang Jia Wei (Master Wu�s liver depression formula with added flavors)

15 grams each of Chuan Xiong and Dan Shen
12 grams each of Tao Ren, Hong Hua, Chi Shao & Xiang Fu
9 grams each of Ban Xia, Chai Hu, Chen Pi, Qing Pi & Shi Chang Pu

MODIFICATIONS

If there is more heat add 9 grams each of Zhi Zi & Mu Dan Pi
If there is more blood deficiency add 9 grams each of Dang Gui & Bai Shao
If there is more Spleen deficiency add 9 grams each of Bai Zhu & Fu Ling + 6 Gr of Gan Cao

Alzheimer�s due to Liver & Kidney Yin deficiency mixed with phlegm retention and stagnation

Symptoms

Long history of disease, dizziness, vertigo, numbness & tingling of the hands and feet
Loss of intelligence and coordination, decreased memory, lack of spirit in both eyes
Stagnant facial expression, malar flush, night sweats, dry, scaly skin, easily angered
Tongue body is dark red with possible dark spots, greasy or less coat
Pulse is wiry/thin, possibly rapid

Treatment Principle

Supplement Liver & Kidney, move Blood, dispel stagnation

Points for Alzheimer�s due to Liver & Kidney Yin deficiency mixed with Phlegm retention and stagnation

BL 18, 23, 52, Si Shen Cong, Du 20, SP 6, ST 40
For more Spleen deficiency add: ST 36
For more Yin deficienct Fire add: Kid 1
If there is dizziness and vertigo, add: GB 20
For dry mouth and constipation add: Kid 6, SJ 6
For night sweats add: He 6
For more anger add: Liv 2
For lack of Spirit in the eyes add: Yintang

Herbs for Alzheimer�s due to Liver & Kidney Yin deficiency mixed with phlegm retention and stagnation

Modified Liu Wei Di Huang Wan

15 grams each of Shu Di & Fu Ling
12 grams each of Shan Zhu Yu, Mu Dan Pi, Ze Xie, Chi Shao, Bai Shao, Chuan Xiong & Hong Hua
9 grams each of Tao Ren, Yuan Zhi, & Shi Chang Pu

MODIFICATIONS

If there is more Spleen deficiency add 9 grams each of: Ban Xia & Shan Yao + 6 grams of Chen Pi
If there is more Yin deficienct fire add 9 grams each of: Zhi Mu & Huang Bai
For more dizziness/vertigo add: 12 grams of Ci Shi and 9 grams each of Tian Ma, Gou Teng & Nu Zhen Zi
For dry mouth and constipation add: 9 grams of Sang Shen, Tian Hua Fen & Bai Zi Ren
For vexation, agitation and stiff tongue add: 12 grams each of Zhen Zhu Mu & Bai He
For hemiplegia and numbness add: 15 grams each of Ji Xue Teng, Dan Shen + 9 grams of Dang Gui & E Jiao

Alzheimer�s due to Spleen & Kidney Yang deficiency mixed with Phlegm retention and stagnation

Symptoms

Slow movement, dull affect, scanty speech, can have aphasia, difficult thinking
Decreased memory, numbness in the limbs, loss of mental and physical sharpness
Tongue body is pale but dark w/possible dark spots, greasy or less coat
Pulse is deep, slow and weak or soggy and hesitant, could also be slippery, fine and choppy

Treatment Principle

Supplement and warm Spleen & Kidney, move Blood, dispel stagnation

Points for Alzheimer�s due to Spleen & Kidney Yang deficiency mixed with Phlegm retention and stagnation

BL 20, 23, 52, Si Shen Cong, Du 20, SP 6, ST 40
For more tinnitus add: GB 2, SJ 21
For marked fatigue and lack of strength add: ST 36
If there is dizziness and vertigo, add: GB 20
For lack of Spirit in the eyes add: Yintang
For more anger add: Liv 2

Herbs for Alzheimer�s due to Spleen & Kidney Yang deficiency mixed with Phlegm retention and stagnation

Modified Fu Zi Nan Xing You Jin Tang

12 grams each of Shan Zhu Yu, Yu Jin, Chuan Xiong, Chi Shao & Tao Ren
9 grams each of Zhi Qiao, Dan Nan Xing & Hong Hua
6 grams each of Rou Gui & Fu Zi

MODIFICATIONS

Fatigue and lack of strength add: 15 grams of Huang Qi, 9gr - Dang Shen & Bai Zhu, 6gr - Gan Cao
For more dizziness/tinnitus add: 12 grams of Sang Ji Sheng, Gou Qi Zi, Tian Ma & Xu Duan

Alzheimer�s due to Spleen & Heart deficiency

Symptoms

Confused, chaotic thinking, tendency towards sorrow and crying easily
Scanty speech, slow movement, introverted, lassitude of spirit, spontaneous sweat
Lack of strength, palpitations, easily frightened, shortness of breath, lack of taste
Tongue body is pale and swollen w/thin white coat
Pulse is thin and weak

Treatment Principle

Supplement Spleen & Heart, Calm spirit

Points for Alzheimer�s due to Spleen & Heart deficiency

BL 15, 17, 20, 52, Si Shen Cong, Du 20
For more Heart deficiency add: He 7, For more xue yu add: SP 6
For more phlegm, add: ST 40
For no strength or digestive weakness add: ST 36
For easily frightened add: P 7
For immense sorrow add: SP 1

Herbs for Alzheimer�s due to Spleen & Heart deficiency

Modified Yang Xin Tang

12 grams each of Ren Shen, Mai Dong & Suan Zao Ren
9 grams each of Shu Di, Sheng Di, Dang Gui & Fu Ling
6 grams each of Bai Zi Ren & Wu Wei Zi + 3 gr Gan Cao

MODIFICATIONS

For chaotic speech add 9 grams each of: Shi Chang Pu, Long Gu & Yu Jin
For more Heat add: 9 grams of Huang Lian
For Blood stagnation add: 9 grams of Dan Shen and 3 grams Hu Po
For stagnant Phlegm add: 9 grams each of Shi Chang Pu, Yuan Zhi, Ban Xia & Chen Pi
For Damp stagnation in the middle add 9 grams each of: Huo Xiang, Pei Lan, Shi Chang Pu & Bai Dou Kou
Eliminate: Dang Gui, Bai Zi Ren, Suan Zao Ren & Wu Wei Zi

Alzheimer�s due to Liver Yang Rising

Symptoms

Headache, dizzy, red face and eyes, irritable, restless, frantic activity, lack of sleep, profuse dreams
Stiff tongue, slurred speech, numbness and tingling of the limbs
Possible deviation of mouth and eyes
Tongue body is red with white or yellow coat
Pulse is thin and rapid

Treatment Principle

Soothe the Liver, Settle Yang, Open orifices

Points for Alzheimer�s due to Liver Yang Rising

GB 20, Si Shen Cong, Du 20, SP 6, GB 39
For constipation add: Kid 6 & SJ 6
For blood in urine, add: SP 9
For hypochondriac pain add: Liv 3
For restlessness, scanty sleep and profuse dreams add: P 7
For red eyes and face add: Liv 2

Herbs for Alzheimer�s due to Liver Yang Rising

Modified Tian Ma Gou Teng Yin

12 grams each of Sang Ji Sheng & Suan Zao Ren
9 grams each of Shi Chang Pu, Bai Shao, Gou Qi Zi, Tian Ma, Gou Teng, Du Zhong, Niu Xi, Ye Jiao Teng, Huang Qin & Yi Mu Cao
6 grams each of Shi Jue Ming, Zhi Zi, Fu Ling

MODIFICATIONS

For constipation and red urine add 6 grams each of: Da Huang & Mang Xiao
For hypochondriac pain add 9 grams of: Qing Pi and 12 gr of Yan Hu Suo
For more agitation and restlessness add: 12 grams of Long Gu & Mu Li

Alzheimer�s due to Heart Fire

Symptoms

Headache, palpitations, red face & lips, scanty sleep, profuse dreams, chaotic speech
Laughing and crying without consistency, unregulated thinking and anxiety
Rash behavior, red urine, dry stools
Tongue body is red especially on tip with thin yellow coat
Pulse is wiry and rapid

Treatment Principle

Clear Heart Fire, Calm Spirit

Points for Alzheimer�s due to Heart Fire

He 5, Si Shen Cong, Du 20, Per 7
For headache add: ST 8, Taiyang, Yintang, BL 7
For palpitations, scanty sleep & dreams, Bleed Per 8 & He 9
For unregulated thinking and anxiety: Bleed SP 1
For blood in urine add: Ren 3
For dry throat & mouth add: Kid 6

Herbs for Alzheimer�s due to Heart Fire

Modified Xie Xin Tang & Dao Chi San

30 grams of Sheng Di
15 grams each of Ci Shi & Xuan Shen
12 grams of Long Gu
9 grams each of Huang Qin, Zhi Zi, Mu Dan Pi & Yu Jin
6 grams each of Da Huang, Dan Zhu Ye & Mu Tong
3 grams of Huang Lian & Gan Cao Shao

MODIFICATIONS

For dry mouth and throat add 12 grams each of: Mai Dong, Tian Dong & Bai He + 9gr Shi Hu
For insomnia & dreams add 12 grams each of: Suan Zao Ren, Ye Jiao Teng & Fu Shen

Alzheimer�s due to Dampness & Phlegm misting the orifices

Symptoms

Heavy head, yellow complexion, superficial edema, fatigue, lack of strength
Profuse sleeping, rattle in chest and throat, scanty or confused speech, alternating sorrow & joy
No discrimination between good and bad, poor hygiene, drooling, abdominal distention
Tongue body is pale and swollen with thick white coat
Pulse is soggy & slippery

Treatment Principle

Fortify Spleen, transform Phlegm, arouse the brain, open orifices

Points for Alzheimer�s due to Phlegm & dampness misting the orifices

GB 20, Si Shen Cong, Du 20, ST 36, 40, SP 9
For drooling add: Ren 12
For abdominal distention, add: Ren 12 & ST 21
For lack of strength add: ST 36
For excess sleep add: LI 3
For confused speech add: He 5
For alternating joy & sorrow add: He 7 & SP 1

Herbs for Alzheimer�s due to Heart Fire

Modified Xi Xin Tang

12 grams each of Ren Shen, Suan Zao Ren & Fu Shen
9 grams each of Ban Xia & Shi Chang Pu
6 grams each of Chen Pi, Shen Qu & Gan Cao
3 grams of Fu Zi

MODIFICATIONS

For drooling add 9 grams each of:
Zhe Bei Mu, Yuan Zhi & Dan Nan Xing
For abdominal distention delete Ren Shen, Fu Zi & Suan Zao Ren & add: 9 grams each of Huo Xiang, Pei Lan, Hou Po, Lai Fu Zi, Zhi Qiao & Mu Xiang
Root cause or at least complicates everything is Blood stagnation blocking the orifices

Sheng Hui Tang - (Boost the intelligence decoction)

30 grams of Shu Di
15 grams each of Suan Zao Ren & Bai Zi Ren
12 grams each of Shan Zhu Yu, Shi Chang Pu & Fu Shen
9 grams of Ren Shen
6 grams each of Yuan Zhi & Bai Jie Zi
You can also add Dan Shen