Cmagbanua Aicbm Handout 2s 127p

Allergies, IBS, and Chronic Infection:
Acupuncture, Hara, and Herbs
By
Dr. Cole Magbanua

DACM, L.Ac.
Leading Acupuncture CE Provider

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LEARN THE SCIENCE
SCIENCE. PRACTICE THE ART. HEAL
HEAL..
Allergies, IBS, and Chronic Infection:
Acupuncture, Hara, and Herbs
Dr. Cole Magbanua

DACM, LAc
Lotus Institute Of Integrative Medicine

Tel: (626) 780-7182 Fax: (626) 363-9751
Website: www.eLotus.org Email: info@eLotus.org
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine
What is Bodymapping Acupuncture

Technique?
 Simplified distal point method
 Basic images
 Few channel relationships
 Specific channel location chart
 Anatomical correspondence of muscles
db
and bones
Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Tel: 626-780-7182 • Fax: 626-363-9751 • Website: www.eLotus.org • Email: info@eLotus.org
Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 1
Features
 Immediate relief of pain and dysfunction

 Ability to quickly diagnose and treat pain
anywhere in the body
 Most patients treated without disrobing
 Treat on chairs or tables mostly supine
Development of Bodymapping
• 20+ years of distal point clinical experience

• Master Tung family tradition
• Dr. Richard Tan
• Remapping channels – band theory
• Anatomical correspondence
• Treat organs like pain

Simple images
Channel pairs – name and clock opp

Acupuncture Band Theory
Human Anatomical Relationships
 Anatomy more effective than channel

 Joints and bones
 Soft tissue and muscles

Human skeletal relationships: Bones
and joints
Major muscle correlations

Example 1
• Ear ache - TW
• Head (eye level) and torso (neck level)
images – clock opposite pairs
• Eye level to knee, neck level to ankle
• TW-SP
• SP9,5
Example 2
• Liver pain
• Torso images – clock opposite pairs
• Chest level to forearm or lower leg
• LR-SI
• SI7-8 (Gan Men)

Example 3
• Heart pain
• Torso images – clock opposite pairs
• Chest level to forearm, upper arm, upper leg, or
lower leg
• ST-PC, KD-LI, PC-ST, ST-ST
• PC6,
PC6 LI6,
LI6 ST40,32
ST40 32
Hara diagnosis, abdominal pain

 Nan-Ching(Unschuld1986, pg499-509)
 56, 1st or 2nd century AD
Chapter 56
 LR below ribs – left side
 Commentary Chang Shih-hsien 1510AD –
same as the position of the LR
 Practitioners left / patients right
 HT above navel, below HT
 SP inside
i id the
th stomach
t h duct
d t (stomach
( t h is
i a duct)
d t)
 LU below the ribs - right side
 KD lower abdomen
 Japanese similar but more refined

 Specific zones with release points
 Diagnose internal organ problems
 Treat abdominal problems
 Palpate areas for tightness or tenderness
 Immediate effect

 HT area
 PC6, either side or bilateral
 LR area upper R quadrant
 LR4 ipsilateral
 ST area
 PC6, either side or bilateral
 SP area upper L quadrant

 SP9 ipsilateral
 Pancreatic problems
 LI area R of the navel
 ST36-37 ipsilateral

 SP area central
 SP9, either side or bilateral
 LI area L of the navel
 ST36-37 ipsilateral
 LU (immune) area lower R quadrant
 LI10 contralateral
 KD area
 KD6, either side or bilateral
 Abdominal menstrual cramps
 LR area lower L quadrant
 LR4 ipsilateral

Pulse diagnosis
 George Soulié de Morant, Andrea Alcici

 3 jiao
 Organs within jiao
 4 levels per position
 Superior, inferior, right and left sides of
each position
Pulse diagnosis
Right Left
LI SI
LU HT
ST GB
SP LR
TW – Endocrine/Adrenal BL
PC/CS - Hormone KD

Pulse diagnosis
For each finger position
Yang Channel
Yang Organ
Yin Channel
Yin Organ
Pulse diagnosis – Right Cun
LI Channel Wiry – tooth pain, face pain

Fl ti – EPI,
Floating EPI respiratory
i t
allergies
LI Organ Slippery - sinusitis
LU Channel Slippery - phlegm, infection
LU Organ Weak – asthma, low
immune

Pulse diagnosis – Right Guan
ST Channel Wiry – chest pain, breast

pain
i
ST Organ Hungry, acid reflux, recently
eaten
SP Channel Wiry – Rib pain
SP Organ Slippery – dampness
Weak – low intestinal
absorption, low energy
Pulse diagnosis – Right Chi

TW - Adrenal Wiry – chronic stress
Channel
TW - Adrenal Weak - lack of sleep, low
Organ energy reserves
Wiry – steroid use
PC - Hormone Wiry – pain in reproductive
Channel organs
Hesitant – fibroids, prostatitis
Pc - Hormone Fullness = position of mense
Organ Weak – low fertility

Pulse diagnosis – Left Cun
SI Channel Wiry - upper back, neck pain

SI Organ Wiry – small intestine problems
Hesitant – physical heart
conditions
HT Channel Wiry – subscap pain
HT Organ Sharp – heart attack
Hesitant - CVD
Pulse diagnosis – Left Guan

GB Channel Wiry - anxiety
Wiry – HTN
GB Organ Hard – stones
Xu - depression
LR Channel Wiry – knee pain
LR Organ Xu – blood xu
Hard or slippery -
inflammation

Pulse diagnosis – Left Chi
BL Channel Wiry – lumbar pain
BL Organ Hard or slippery – infection,

interstitial cystitis, stones
KD Channel Wiry - ankle pain
KD Organ Hesitant – stones
Hard or slippery –
inflammation, infection
15 Systems of Internal Medicine - Day1-2
Day 1
1. EENT
2. Respiratory
3. Cardiovascular
4. Gastrointestinal
Day 2
4. Gastrointestinal continued
5. Hepatic/GB
6. Genitourinary

15 Systems of Internal Medicine - Day3-4
Day 3
1. Immune
2. GYN
3. Endocrine
4. Psychological
5. Dermatological
Day 4
1. Neurological/Brain
2. Cancers
3. Iatrogenic
4. Musculoskeletal/rheumatic
Evidence based lifestyle and nutritional

science
 Nutritionfacts.org
– How Not to Die,, Michael Greger,g , MD.,, 2015 (HNTD)
( )
– https://nutritionfacts.org/introduction/
 PCRM.org
– Nutrition Guide for Clinicians, second edition, Neal
Barnard, MD., 2009 (NGFC)
 Nutritionstudies.org
– The China Study, T.Colin Cambell, 2005 (TCS)
• The most comprehensive study in nutrition ever
undertaken of the relationship between diet and the
risk of developing disease

EENT
 Eyes – cataracts, macular degeneration,
glaucoma
 Ears – otitis media
 Nose – allergic rhinitis, sinusitis
 Throat
 T th – chronic
Teeth h i iinfection
f ti
EENT – Eyes – cataract, macular

degeneration, glaucoma
 Etiology and Pathology(NGFC, pg86-102)
 Loss of transparency of the eye
 Degeneration of retina
 Increased pressure – damages nerve
 Diagnosis
 Allopathic: opthalmologist
 Pulse: tight, wiry or sharp in upper GB, ST or BL
channel; weak in upper LR channel and organ
 Hara: LR tight, painful or empty

 Allopathic treatment
 Cataract – surgical
 Macular degeneration – none or laser
 Glaucoma – beta blockers
 Acupuncture Treatment
 Channels/Images – BL, ST, GB, LR
 Points - GB43, ST44, BL66, LR2,3, KD4-3, TW2,3,
SI2,3, LI3, HT3, LU5, PC3

 Herbal Treatment
 Lycium support
 Ming mu di huang wan, qi ju di huang wan
 Lifestyle and Nutrition
 Serum lipids in normal ranges
 I
Increase 3 fruit,
omega3, f it veg, leafy
l f green
(lutein, zeaxanthin)
 Avoid dairy

https://nutritionfacts.org/topics/eye-disease/
 Prevent all with plant based diet
diet, reverse
diabetic retinopathy, help eye fatgue –
berries, greens
 Organ meats, sushi – parasites can invade
eye
EENT - Ears – Otitis Media

 Inflammation of middle ear
 Diagnosis
 Allopathic: Pneumatic otoscopy(air pressure to
drum)
 Pulse: upper TW and /or ST channel wiry, inflamed
or tight
 Antibiotics, nsaids, tympanostomy(tubes),
adenoidectomy

 Channels/Images – TW, GB, ST
 Points
 Opposite: SP5,9, LI4
 Same side: GB43,40, TW4, LI10(TW), SI5,8
 shi chang pu + xiao chai hu tang

 Bottle feeding may increase risk
 Allergic foods – IgG – dairy
 Food elimination – 86% improvement
 Dogs and cats as pets - protective
https://nutritionfacts.org/video/are-cats-or-dogs-
more protective for childrens health/
more-protective-for-childrens-health/

 Comments
 vertigo – Epley, better than Epley – Dr Carol Foster
 https://www.youtube.com/watch?v=mQR6b7C
Aiqk&feature=youtu.be
EENT – Nose – Allergic Rhinitis,

Sinusitis
 Allergens, weakened immunity, infant formula,
smoking exposure in first year of life, dental
infections, obstructions
 Diagnosis
 Allopathic: History and nasal discharge
 Hara: Immune, spleen tight/tender
 Pulse: upper LI and/or ST channel superficial,
windy, tight, wiry

Sinusitis
 Nasal irrigation, antihistamines, steroids,
decongestants, nsaids, antibiotics
 Channels/Images – ST, LI
 Points - ST36,43, SP9,3, KD4-3, LI3,4,10, PC3-4

Sinusitis
 Magnolia Clear Sinus
 Pueraria Clear Sinus
 Bi Yan Pian
 Pe Min Kan wan

Sinusitis
 Vit C, E – reduce rhinitis
 Boosting immunity with mushrooms(HNTD, pg89-
90)
 mushrooms and yeast boost IgA, but also
have an anti-inflammatory effect
 nutritional
t iti l yeast,
t bbeta-glucan
t l fib
fiber, 1
tsp/day
 Crohn's disease – no yeast
EENT – Throat
 Etiology and Pathology

 Tonsillitis, strep, pharyngitis
 Diagnosis
 Allopathic: History, visual, palpation
 Pulse: upper
pp LI and/or ST channel superficial,
p ,
windy, tight, wiry
 Antibiotics

EENT – Throat
 Points
 Opposite: KD4-3(neck lymph), LI5, PC7
 Same side: ST41
 Herbal ENT
 Ban lan gen tea - sore throat, swollen lymph
 Luo han guo tea - momordica
EENT – Throat
 Gargling – prevention of cc
(https://nutritionfacts.org/video/can-gargling-prevent-the-
common-cold/)
Dr. Michael Klaper MD, instructs, you take a glass of warm water; add a
pinch of salt. “…Hold the glass of salt water in your hand, open your
mouth, [and] take a deep breath. Tilt your head back, slide a
generous mouthful to the back of your throat; and, with your mouth
open gently breathe out through the water
still open, water. Continue until the
end of the breath, and then [spit it out] into the sink. Repeat until the
full glass of salt water is used.”
 Green tea may work better

EENT – Teeth – Chronic Infection

 Post root canal, antibiotic resistant
 Diagnosis
 Allopathic: history, dental exam
 Pulse: upper
pp LI and/or ST(SI)( ) channel superficial,
p ,
windy, tight, wiry
 Antibiotics, extraction, repeated root canal
 Channels/Images – LI, ST, SI
 Points – LI4,7, ST40, 43, PC5, LR3.5
 Alternate between tonify and clear, depending on
symptoms (always some of each): feeling good –
more tonify; feeling bad – more clearing
 Herbal ENT
 Herbal ABX, AVR
 Immune + (yu ping feng san)

https://nutritionfacts.org/topics/dental-health/
 Plant based diets may prevent oral cancer and gum
disease
 Amalgam fillings release mercury – 1 can of tuna a
week = 29 fillings
 Cow's milk linked with canker sores
 Poultryy workers – higher
g risk of oral and other
cancers – turmeric topical helps
 Watch out for oil pulling – lipoid pneumonia
https://nutritionfacts.org/video/the-risks-of-oil-pulling/
Respiratory
 Respiratory allergies
 Asthma
 COPD, bronchitis, pneumonia, cough
 Infections – see immune

Respiratory Allergies
 Allergens, weakened
Allergens eakened immunity,
imm nit infant formula,
form la
smoking exposure in first year of life, dental
infections, obstructions
 Diagnosis
 Allopathic: History and nasal discharge
 Hara: Immune,
Immune spleen tight/tender
 Pulse: upper LI and/or ST channel superficial,
windy, tight, wiry; LU organ and/or channel weak,
slippery, deep, thin
 Nasal irrigation – not tap water – brain eating parasite
 Antihistamines, decongestants
 Steroids
 Nsaids
 Antibiotics
 Points - ST36,43, SP9,3, KD4-3, LI3,4,10, PC3-4, LU5,7,9

 Magnolia Clear Sinus
 Pueraria Clear Sinus
 Bi Yan Pian
 Pe Min Kan wan
 Yu ping feng san
 Longer duration of breast feeding
 Avoidance of early introduction of allergenic foods
 More omega 3, less saturated fat
 Boosting immunity with mushrooms(HNTD, pg89-90)
 mushrooms and yeast boost IgA, but also have an
anti-inflammatory effect
 nutritional yeast, beta-glucan
beta glucan fiber, 1 tsp/day
 Crohn's disease – no yeast
 https://nutritionfacts.org/video/best-food-for-hay-
fever-seasonal-allergies/

Respiratory - Asthma
 Bronchial obstruction
obstr ction and spasm from inflammation
of airways
 60% allergen related (5% of population)
 Diagnosis
 Allopathic: history, SOB, wheezing, attacks
 H
Hara: IImmune, spleen
l
 Pulse: acute - LU channel wiry, tight; chronic – LU
organ deep, weak, thready, soft, slippery,
inflammation
 Beta agonists, steroids
 Channels/Images – LU, ST, PC, KD
 Points - ST36,38-40, SP6,9, KD7-8, LI6,10, LU5,7,
PC6

 Respitrol (Cold)
(Cold), Respitrol (Heat)
(Heat), Respitrol
(Deficiency)
 Cordyceps 3
 Formula: ASHMI – Japanese research
 Ku shen 4(28)
 Ling zhi 3(21)
 Gan cao 2(14)
 3g tid
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4596404/
 Lifestyle and Nutrition(HNTD, pg30-41, NGFC, pg311-
313))
 Exercise induced – low salt diet, carotenoids, C, E
 Allergenic foods – nuts, milk, eggs, soy, wheat,
beans, turkey
 Prevention
 Breast feed for 6 mo
 Infants avoid: dairy 1yr, eggs 2yrs, nuts and
fish 3yrs
 ROR – rest over roll to open chest, deep relaxed
breathing – 5 min+/day

Respiratory – COPD, bronchitis,
pneumonia, cough
 Etiology and Pathology(NGFC, pg316-323; HNTD, pg
30-41)
 Top 3 lung killers; cancer, COPD, asthma
 Cancer - see cancer section
 Smoking(90%)
 Diagnosis
 Allopathic: Pulmonary function test, chest x-ray
 H
Hara: IImmune, spleen
l
 Pulse: acute - LU channel wiry, tight; chronic – LU
organ deep, weak, thready, soft, slippery,
inflammation

pneumonia, cough
 Quit smoking,
smoking exercise
exercise, O2,
O2 bronchodilators,
bronchodilators
antibiotics
 Channels/Images – LU, ST, PC, KD
 Points - ST36,38-40, SP6,9, KD7-8, LI6,10, LU5,7,
PC6

pneumonia, cough
 COPD, bronchitis,
COPD bronchitis pneumonia
pneumonia, emphysema
 Qi Guan Yan Wan
 Herbal ABX, AVR
 Cough
 Respitrol (CF)
 Qing Qi Hua Tan Wan
 Pi Pa Ye syrup
 Lozenges (golden lotus)

pneumonia, cough
 COPD – emphysema, chronic bronchitis
 more fruits and veg, less nitrites(cured meats),
less western diets
 Omega 3
 Dietary vit e
 ROR – restt over rollll to
t open chest,
h t deep
d l d
relaxed
breathing – 5 min+/day

Cardiovascular
 Elevated cholesterol, triglycerides,

atherosclerosis
 CHD, angina, A-fib, tachycardia
 Hypertension
Cardiovascular – Elevated Cholesterol,

Triglycerides, Atherosclerosis
 Diets high in total fat
fat, saturated fat and cholesterol
 High: VLDL, LDL, cholesterol, triglycerides
 Low: HDL
 Saturated fats increase VLDL, triglycerides
 Found in: animal products(meat, dairy) and
tropical oils
 Hi
Highh ttotal,
t l LDL and d llow HDL predict
di t cardiovascular
di l
risk (also high triglycerides, >150)
 2% increase for every 1% rise in total
cholesterol

 Diagnosis
 Allopathic: Blood lipids - standards:
 Total chol <200 (<150 no risk)
 Triglycerides <150
 HDL >60 (happy)
 LDL <100 (lousy) (<40 no risk)
 Hara: LR, HT tight/tender
 Pulse: HT channel/organ tight, wiry, hesitant,
gravely, sharp; LR organ inflamed, slippery

 Diet and lifestyle
 Statins
 Channels/Images – LR, GB, ST, SP, KD
 Points - ST36,40,
, , SP9,, LR3,4,
, , LI4,6,
, , Gan Men(yin),
(y ),
PC6

 Red yeast rice
 Cholisma (general formula)
 Cholisma ES (same but in obese patients)

 Minimize saturated fat and cholesterol
 If eliminates cholesterol and animal fat
(veg, vegan), reduce LDL by 17-40%
 Better if combined with exercise
 Replace with poly/mono unsaturated?
 Oli oilil – 13% saturated
Olive t t d ffatt
 Fish oils – 15-30% saturated fat
 Reduce all fat – reduce weight

 Soluble fiber(8g/day) – reduces cholesterol
 Oats, barley, legumes, brussel sprouts,
avocados, flax
 Soy protein – lowers total chol, LDL, Trig
 Nuts – lowers chol (fiber or plant sterols)
 Avoid boiled coffee – elevates chol

 Lifestyle and Nutrition(HNTD,pg21-27)
 Korean war – 77% had atherosclerosis -
22yo
 10yo fatty streaks; in utero(high LDL
mothers)
 LDL <70 – reduce trans fats,, saturated fat,,
cholesterol

 Framingham heart study - total under 150 =
no deaths from CHD
 Reversible – Pritikin, Ornish, Esselstyn
 Rural Chinese diet, sub-sahara Africa
 Brazil nuts – 4/mo drop chol 20pts in 9 hrs!
Cardiovascular – CHD, Angina, A-fib,

Tachycardia
 Etiology and Pathology(NGFCpg250-264; HNTDpg17-
29)
 Number 1 killer in USA (1 death every

83sec)
 Begins in childhood
 Plaques form
 Rupturing causes MI
 Risk factors: DM, high lipids, smoking, HTN,
family history, obesity, inflammation - CRP

Tachycardia
https://nutritionfacts.org/video/how-not-to-die-from-heart-disease/

Tachycardia
 Diagnosis
g
 Allopathic: lipid profile, homocysteine, CRP,
EKG, stress tests, angiography
 Hara: HT tight/tender
 Pulse: HT channel/organ tight, wiry,
hesitant gravely
hesitant, gravely, sharp; LR organ inflamed
inflamed,
slippery

Tachycardia
 Prevention: HTN control, lipid control, stop
smoking, dietary change, exercise
 Drugs: Nitrates, beta blockers, Ca-channel
blockers...
 Surgeries
g
 Channels/Images – ST, PC, KD, HT

Tachycardia
 Points:
 Left side: Tongguan 88.01, Tongshan
88.02, Tongtian 88.03 (ST32-34) 2
needles 1.5-2” deep
 Left side: ST40, SP6-7, KD7-8
 Right side: SP6-7, PC5-6, LI6-7

Tachycardia
 Circulation
Ci l ti
 Circulation (SJ)
 Like Xue fu zhu yu tang, Ge xia zhu yu
tang, and shao fu zhu yu tang in one
1. Control blood lipids (LDL) – diet,
1 diet exercise,
exercise drugs
2. Increase antioxidants
3. Reduce inflammation

Tachycardia
 Decrease dietary saturated fat and chol
 Reversible with a low fat veg regimen –
Dr. Esselstyn
 Omega3 debate – fish oil 15-30%
saturated, chol rises with fish
consumption
consumption, wt gain(fat)
 Increase fiber
 Soluble fiber – oats, barley, beans

Tachycardia

Tachycardia
 Consume soy
 Lowers LDL, homocysteine, blood
pressure
 Reduce CHD risk
 Increase fruits and veg
 Carotenoids, flavonoids, folic acid

Tachycardia
 Whole grains
 Nuts
 Alcohol 1-2 drinks/day (liver, panc, cancer)
 Avoid unfiltered coffee – all for slow
metabolizers
 Comments
 https://nutritionfacts.org/video/how-not-to-die-from-
heart-disease/

Tachycardia

Cardiovascular – Hypertension

140)
 Risk factors: 2/3 of USA over age 65, family

history, obesity, lack of exercise, sodium,
KD disease, alcohol excess, meds
 Diagnosis
 Allopathic: >140/90 – leads to CHD, heart
failure, stroke, retinopathy, KD disease
 Diagnosis
 Hara: HT tight/tender
 Pulse: Bounding, wiry(superficial) all
positions
 Lifestyle modification – DASH diet, low
sodium/low fat diet (veg best),
best) ideal body wt
wt,
reduce alcohol, increase physical activity,
stress reduction (meditation, yoga)
 Drugs – 2-3 common

 Channels/Images – LR,LR GB
GB, HT
 Points - LR3,5, GB34,41, LI4,11, PC6, HT3,
Yintang, Ear Shenmen, bleed ear apex
 Strategies – 4 types
 LR yang rising/wind – add GB31
 Blood stagnation – add ST32
 Phlegm – add SP9,6
 Yin xu – add KD4-3, shen guan
 Herbal Treatment – based on diagnostic %

 Yang excess - Gentiana Complex, long dan
xie gan tang
 Blood stagnation – Circulation SJ, xue fu
zhu yu tang
 Phlegm – Cholisma, Cholisma ES, red rice
yeast, er chen tang, xiang sha liu jun zi tang
 Yin xu - Gastrodia Complex, tian ma gou
teng yin


 #1 risk factor for worldwide death; global
burden of disease study
 Reduce or eliminate meat – reduces blood
viscosity
 Wt loss
 Plant foods low in sodium

 Replace animal protein with soy, other plant
protein
 Salt <1500mg/day, sodium mg less than
calorie g per serving
 Flax seeds – 2 tbs pper day,
y, 7-15 ppt drop
p
 Hibiscus tea – 2-3c daily, 5-6 pt drop


 Nitric oxide – beets; green leaves better –
arugula – 8 pt drop
 Decrease meat, fat, increase veg and fruit
with vit C, potassium and magnesium
 Comments
 https://nutritionfacts.org/video/how-not-to-die-
from-high-blood-pressure/
Lifestyle and Nutrition
https://nutritionfacts org/video/how-not-to-die-from-high-blood-pressure/
https://nutritionfacts.org/video/how not to die from high blood pressure/
Le LT, Sabaté J. Beyond meatless, the health effects of vegan diets: findings
from the Adventist cohorts. Nutrients. 2014 May 27;6(6):2131-47.

Gastrointestinal
 Reflux – GERD, hiatal hernia
 Gastritis peptic ulcers
Gastritis,
 Diverticular disease
 Pancreatitis
 IBS, ulcerative colitis, crohn's
 Diarrhea
 Food poisoning
 Constipation
 Hemorrhoids
Gastrointestinal – Reflux(GERD), Hiatal

Hernia
77)
 Backflow of gastric acid into esophagus

 28% of USA (5% Asia)
 Caused by lower esophageal sphincter over
relaxation
 Alcohol smoking
Alcohol, smoking, fatty foods
foods, coffee
coffee,
chocolate, meds, hiatal hernia
 Symptoms: heartburn, dysphagia, hoarseness,
regurgitation, persistent cough

Hernia
77)
 Chronic reflux can result in scarring, Barrett's
esophagus, and cancer
 Risk factors
 Increased gastric pressure from: pregnancy
and obesity(50% greater risk)
 Refined carbohydrate
 Diabetes – prolonged gastric emptying
 Hiatal hernia – stomach herniating upward

Hernia
 Diagnosis
 Allopathic: History – rule out cardiac, upper
GI endoscopy
 Hara: ST, SP upper, HT, LR tight/tender
 Pulse: ST channel/organ wiry, hard, knotted,
hesitant, bounding; LR/ST organ wiry

Hernia
 Symptomatic relief: Antacids,
Antacids proton pump
inhibitors
 Side effects: nutrient deficiencies,
increased risk of: pneumonia, intestinal
infections, bone fractures, heart
disease, dementia, all cause mortality
 Surgery – fundoplication (wrapping the
distal end of the esophagus with the fundus
of the stomach)

Hernia
 Wt loss
 Elevate head of bed 6-8 in.
 Stress reduction techniques
 Channels/Images – ST, SP, KD, CV
 Points - ST36,37, SP9, LR4/SP5, TW5, PC6

Hernia
 GI Care
 LR/ST – Shu gan wan, mu xiang shun qi
wan
 Food stagnation – Culing pills, Bao he wan,
hou xiangg zheng gqqi wan
 ST fire – zuo jin wan – huang lian, wu zhu
yu 6:1

Hernia
 No clinical trials on food($) - observational
 Wt loss
 Increase fiber intake(30% lower risk)
 most deficient nutrient in USA
 1:10th of historical levels (100g/day)
 3% of USA get the RDA minimum(25g)
 Avoid irritating foods – fried, fatty, spicy

Hernia
 Eliminate coffee – relaxes lower esoph.
sphincter
 Avoid alcohol(2x risk)
 Smaller meals
 Avoid fat - relaxes sphincter
 Avoid bearing down

Hernia
 Hiatal hernia – ST physically rebelling
through diaphragm into chest, 1:5
Americans, 1:1000 plant based cultures;
rebellious ST Qi from food stag and
constipation; also causing diverticula – like a
b ll
balloon
https://nutritionfacts.org/video/diet-and-hiatal-hernia/

Hernia
 Esophageal cancer associated with meat
and high fat meals
 Red meat – esophagus; Poultry –
stomach/esophageal border
 Most pprotective: red, orange,
g dark g green
leafy veg, berries, apples, citrus fruits
 Strawberries reverse precancerous
lesions
Gastrointestinal – Gastritis, Peptic

Ulcers
 50% of adults in westernized countries
 Mucosal layer erosion leads to ulcers
 Risk factors: H.pylori, nsaids, tobacco,
alcohol, family history, surgeries
 Diagnosis
 Allopathic: endoscopy, barium swallow with
x-ray

Ulcers
 Diagnosis
 Hara: ST/upper SP/LR/lower LR tight/tender
 Pulse: ST/SI channel/organ wiry, hard,
knotted, hesitant, bounding; LR/ST organ
wiry
 Avoid known agents: tobacco,
tobacco alcohol
alcohol,
nsaids, aspirin, steroids
 Antacid therapy

Ulcers
 Treat H.pylori infection
 Triple therapy: 2 weeks – omeprazole,
clarithromycin, amoxicillin
 Surgery
 Points - ST36,37, SP9, LR4/SP5, TW5,
PC6, GV8-6

Ulcers
 GI Care
 LR/ST – Shu gan wan
 Food stagnation – Culing pills, Bao he wan,
hou xiang zheng qi wan
 ST fire – zuo jin wan – huang lian
lian, wu zhu
yu 6:1

Ulcers
 Herbal Treatment - formula
 Huang lian
H li 12(7)
 Wu zhu yu 1
 Ban xia 8
 Huo xiang 9
 Bai zhu 9
 Zhi mu 9
 Mai men dong 15
 6g bid

Ulcers
 Common suggestions: avoid spicy, coffee,
alcohol; increase bland foods, milk
 Milk increases acid secretion, spices
have not been shown to contribute to
gastritis or ulcer

Ulcers
 H.pylori may interfere with vit c, folate, b12
absorption
 Reduced risk with: high fiber diets, diets
high in vit A, green tea, avoiding
alcohol/coffee
 Probiotics interfere with H.pylori adhesion
and growth, reduces side effects of
eradication

Ulcers
 Chinese Dietary - Ulcers
 Avoid all foods 1 week or longer except for:
 White rice porridge, banana, avocado
 1 tbs honey on empty stomach to clean
ulcer
 Herbs, probiotics
 Avoid long term:
 Alcohol, spices, coffee, fatty
Gastrointestinal – Diverticular Disease
 Etiology and Pathology(NGFC, pg 399-403)

 Herniations of the colonic mucosa through
the muscular layer
 Diverticulitis is an infection of the diverticula
and has fever, severe abdominal pain,
nausea, vomiting
 Associated with a low-fiber diet

 Diagnosis
 Allopathic:
All thi colonoscopy,
l CT scan, bbarium
i
enema
 Colonoscopy risks – bowel perforation,
infection
 Hara: LI, SP, upper SP, ST, LR, Lower LR,
I
Immune – tight/tender
ti ht/t d
 Pulse: LI/SI organ wiry, hesitant, knotted,
sharp, hard, bounding
 Increase fiber intake – food or psyllium
 Bowel rest
 Resection of involved colon
 Colostomy

 Channels/Images – ST,
ST SP,
SP LI,
LI SI
SI, KD,
KD CV
 Points - ST36, 37, GB34, SP9, LR4/SP5,
LI10(TW), TW5, PC6
 GI Harmony – SP qi xu, LR qi stag, damp heat
 Herbal ABX – infection
 Gentle Lax – deficient or excess
 GI Detox – toxic constipation

 Constipation
C ti ti iis a risk
i k ffactor
t
 Reduced risk from: high fiber diet, avoiding
meat
 Symptomatic periods: avoid solid foods
 Physical activity protective(intense)
 Comments
 https://nutritionfacts.org/video/diverticulosis-when-our-most-
common-gut-disorder-hardly-existed/

Gastrointestinal – Pancreatitis

 Inflammation of pancreas from inappropriate
activation of pancreatic enzymes(protease, lipase,
amylase) - causing autodigestion of tissue
 Acute: 80% alcohol; gallstones blocking flow; meds
 Risk factors: Alcohol, gallstones, genetics
 Di
Diagnosis
i
 Allopathic: CBC, liver function, radiography,
enzymes, CT scan, ultrasound
 Diagnosis
 Hara: Upper SP, ST, LR tight/tender
 Pulse: SP channel/organ wiry, tight, hesitant, hard;
LR/SP channel/organ wiry
 Supportive care: bowel rest, fluids, IV pain meds,
ICU
 Avoid alcohol, fatty foods, surgical stone removal

 Channels/Images – ST, SP, KD, CV, LR
 Points - ST36,37, SP8-9; Right - TW8-7, PC5-4,
Gan Men; Left – BL17-22
 Xiao chai hu tang
 GB – long dan xie gan tang
 Stones – Dissolve GS
 SP xu - Shen ling bai zhu san

 Acute
 Avoid alcohol
 Healthy body wt
 Low fat / high fiber diet – less gallstones
 Control hypertriglyceridemia – high fiber, low
glycemic index foods
 Chronic
 Antioxidant supplementation: selenium, Vit
A,C,E, carotenoids

 Avoid
A id alcohol
l h l
 Chronic leads to pancreatic cancer: one of most
aggressive cancers – 5yr survival, 3%
 Pancreatic cancer
 Protective:
 Plant based diet, nuts, curcumin, coffee
 Phytate – beans, grains, nuts, seeds
 Pancreatic cancer
 Associated:
 Nitrites(processed meat), bacon, chicken,
charred meat, deep-fried food, poultry
workers(viruses), animal fat and protein
 Treatment:Triphala (Amalaki - amla, haritaki,
bibhitaki)) – watch for heavyy metal toxicity
y
 Comments
 https://nutritionfacts.org/topics/pancreatic-cancer/
 https://nutritionfacts.org/topics/amla/

Gastrointestinal – Irritable Bowel
Syndrome, Ulcerative Colitis, Crohn's
 Irritable bowel – chronic abdominal pain and altered
bowel habits without an identifiable cause
 Cause unclear
 Risk factors: western societies; women 2x
 Inflammatory bowel(ulcerative colitis, Crohn
disease)
 Crohn affects any part of the GI tract
 Colitis affects the colon and rectum
 Cause unclear – believed to be abnormal
immune system activation

 Inflammatory bowel(ulcerative colitis, Crohn disease)
 Risk factors:
 Genetics
 Environment: developed countries, urban,
cold climates, high socioeconomic
 Onset 15-35yo
 Caucasian, Ashkenazi Jews 8x,
 Family history 10x-35x
 Nsaids
 Lack of breast feeding?

 Diagnosis – Allopathic:
 IBS – history, physical exam
 Foods, nutrients, additives, meds
 Rule out other diseases – cancer, parasites,
infections
 Colonoscopy
 Rome II criteria – 12 weeks
eeks pain,
pain abnormal
stool passage, mucus, bloating

 IBD – ulcerative colitis, Crohn
 Persistent diarrhea
 Abdominal pain – Crohn
 Loss of appetite – wt loss
 Children develop abnormally
 Fever
 Chronic inflammation – fissures, scarring,
strictures

 IBD – ulcerative colitis
colitis, Crohn
Crohn'ss
 Toxic megacolon
 Extraintestinal - arthritis – Crohn's, eye
inflammations, skin lesions, anemia, liver
disorders
 Endoscopic
 Radiologic CT scan
Radiologic,
 Blood tests – CBC - anemia, nutrient
concentrations – malabsorption, stool culture –
infections

 Diagnosis
 Hara: LI
LI, SP,
SP upper SP
SP, STST, LR
LR, Lower LR
LR, Immune –
tight/tender
 Pulse: LI/SI organ wiry, hesitant, knotted, sharp, hard,
bounding, slippery, soft, spongy, scattered
 IBS - no curative treatment
 Avoid food triggers
 Meds for symptoms
 Antibiotics
 Psych

 IBD - no curative treatment
 Treatment goal – reduce inflammation that
triggers symptoms and induce remission
 Meds – steroids, antibiotics,
immunomodulators, biologic therapy – block
immune system
 Fiber, iron, b12, exercise
 Surgery – colectomy, resection

 Channels/Images – ST, SP, LI, KD, CV
 Points - ST36,37, SP9, LR4/SP5, LI4,10(TW)x2, TW5,
LU5, PC6, GV20
 GI Care (UC)
 tang liu jun zi tang,
Si jun zi tang, tang xiang sha liu jun zi tang
 Bu zhong yi qi tang, Shen ling bai zhu san
 Culing pills
 Ginger tea

 Ren shen 12  Shan yao 6
 Bai zhu 9  Bai shao 6
 Fu ling 6  Shu di huang 6
 Zhi gan cao 6  Zhi shi 6
 Sheng jiang 6  DCXC 9
 Huang qi 12  Yi yi ren 9

 IBS
 Increase insoluble fiber
 Elimination diets – common antibodies: milk,
eggs, wheat, beef, pork, lamb
 Probiotic therapy
 Peppermint oil caps les
capsules

 IBD
 Associations: western diets – high in animal
protein and fat, low in fruit, veg, and fiber
 Absence of breast feeding – breast fed: UC-
25% lower, Crohn's-35% lower
 Bakers – highest rates of Crohn's
Crohn s, mortality

https://nutritionfacts.org/video/is-nutritional-yeast-healthy-for-
everyone/

https://nutritionfacts.org/video/is-nutritional-yeast-healthy-for-
everyone/

 IBD - Animal protein - 3x rate of relapse
 Traditional diets – westernized = more risk
 Colonic sulfur pool – hydrogen sulfide – may
interfere with butyrate oxidation,
antiinflammatory from fiber
 Diet of restricted animal protein and other
sources of sulfur = no IBD relapse (22%-26%
with medication alone)

 Lifestyle and Nutrition – ulcerative colitis
htt // t iti f t /t i / l ti liti /
https://nutritionfacts.org/topics/ulcerative-colitis/

 IBD - Dairy
 Antibodies to cow milk protein
 Increases intestinal permeability (leaky gut)
 Increases proinflammatory cytokines
 Mycobacterium avium paratuberculosis (MAP)
ca ses Crohn like Johne disease
–causes

 IBD
 High fat diet – omega 6 – proinflammatory
 Margarine = rise in Crohn's
 Fast food 2x/wk = 3x Crohn's, 4x UC
 Low fiber diet
 >15g/day
15 /d = ½ risk i k off C
Crohn's
h '
 High fiber = more remission, fewer
hospitalizations, less surgery

 IBD
 High sugar intake associated with IBD – lifestyle?
 Malabsorption of nutrients lead to deficiencies
 Oral iron irritating, IV not
 Vit B, K(veg), omega 3 may be helpful
 No nutritional yeast - rectum prick test – yeast
most reactive
• https://nutritionfacts.org/video/is-nutritional-
yeast-healthy-for-everyone/

https://nutritionfacts.org/video/is-nutritional-yeast-healthy-for-everyone/

 Crohn's
C h '
 Leaky gut – diet causes breakdown of intestinal
walls, immune system attacks bacteria, causing
inflammation
 Fiber inhibits bacteria – plantains, broccoli
 Processed food helps invasion – polysorbate 80,
maltodextrin, dishwashing liquid, carrageenan?not
xanthan gum, titanium dioxide?
 https://nutritionfacts.org/video/achieving-remission-
of-crohns-disease/

 Comments
 Key herbs in GI Care UC
 yiyiren, dongguazi, stop bleeding
 Plus GI Tonic or Liu Jun Zi Tang
 Probiotics (25-500 bil) plus prebiotic foods
 Culing
g wan as needed
 White rice porridge
 Plant based diet, avoid cold, raw, animal foods
Gastrointestinal – Diarrhea

 Unknown, see food poisoning
 Chronic loose stools, can be IBS, IBD
 SP xu, cold, sinking
 Diagnosis
 Allopathic: History, stool test
 Hara: LI, ST, SP, Immune, lower LR, tight/tender
 Pulse: SP organ weak, deep, thin, soft; LI/SI organ
wiry, hesitant, rapid

 See IBS/IBD
 Points - ST36,43, SP3,9, LI4,10, LU5,7
 GI Tonic
 Si/Liu jun zi tang
 Bu zhong yi qi tang

 Look for food sensitivities (elimination diet)
 Medication side effects (metformin, antibiotics)
 High fiber
 Probiotics
 Chamomile tea
 Comments
 Treat like IBS/IBD
 https://nutritionfacts.org/topics/diarrhea/

Gastrointestinal – Food Poisoning
 Food borne and waterborne
aterborne illness – 76mil/yr
76mil/ r
 Acute diarrhea – anemia, shock, liver, heart,
lung diseases, hemolytic-uremic syndrome
(destruction of red blood cells clog the kidney)
 Risk factors
 Young g and old
 Medications - antibiotic use, H2 blockers
 Undercooked meat
 Hygiene, travel

 Diagnosis
 Allopathic: history, self limiting or needs treatment?
 Antibiotics – test for C.diff
 Watery BM 6x/day+
 Norovirus – most cases
 Severe/persistent – rehydration or pathogen
specific antibiotics
 Salmonellosis – antibiotics may cause chronic
carrier state in gallbladder
 Check for: IBS, IBD, celiac, food intolerance,
hyperthyroid

 Diagnosis – Allopathic
 Viral – norovirus – #1,
#1 vomiting
vomiting, explosive diarrhea
 Cruise ships, daycares
 Air transmission! Fecal-oral
 Salmonella – typhoid, nontyphoidal
 Typhoid – fever, hepatomegaly, splenomegaly,
tender abdomen, rash, diarrhea, constipation
 N t h id l – nausea, vomiting,
Nontyphoidal iti di
diarrhea,
h ffever –
undercooked poultry, cross-contamination, eggs,
fecal contamination – meat/produce, pet reptiles,
carriers – typhoid mary

 Campylobacter - #2
 Undercooked poultry, cross contamination
 Retail poultry: worldwide 60%, USA 88%
 Bloody diarrhea
 Shigella - #3
 Highly infectious – nursing homes
homes, daycares
 Bloody diarrhea

 Cryptosporidium – ingested parasite eggs
 Cows and manure
 Water, produce, unpasteurized milk
 Mostly self limiting
 Escherichia coli – E coli
 Undercooked hamburger
 U
Unpasteurized
t i d jjuice,
i produce
d contaminated
t i t d
with manure
 Bloody diarrhea
 Mostly summer and fall

 Yersinia
 Undercooked pork, unpasteurized milk, water
 Pharangitis, diarrhea
 Vibrio cholerae – secretory diarrhea
 Gulf coast – water
 Cyclospora cayetanensis - parasite
 Contaminated produce, person-person
 Prolonged diarrhea, upper GI, fatigue

 Bacillus ceres
 Underheated foods: rice, gravies, heat lamps
 Rapid onset, self limiting vomiting
 Staphylococcus aureau
 Room temp salad, eggs, meat, dairy
 Rapid onset,
onset self limiting vomiting
 Clostridium perfringens – meat and poultry

 Giardia lamblia – parasite
 Mountain streams, food, person-person
 Upper GI, diarrhea, foul-smelling flatulence
 Entamoeba histolytica – tropical amoeba
 Painful diarrhea with blood and mucus
 Ulcers on anus
 Liver, lung, heart and brain abscesses
 Water, sex

 Diagnosis
 Hara: LI, ST, SP, Immune, lower LR, tight/tender
 Pulse: ST,LI, and/or SI organ tight, wiry, hesitant,
inflamed
 Prevention – clean water, restaurant and meat
p , temp
inspections, p monitoring,
g, sewage
g pprocessing,
g,
proper hygiene, food handling
 Vaccines – hep A, typhoid fever
 Handwashing if suspected
 Mostly self limited – rehydration
 Antibiotics, antimotility drugs
 Points - ST36,37, SP9, LR4/SP5, LI10 (TW)x2,
TW5, PC6, GV20

 GI Care II
 Culing wan after each meal 1-2 packs
 Bao he wan
 Huo xiang zheng qi san
 Anti-parasitics? Leads to hiding?

 Animal foods – meat and eggs, most implicated
 Resistant salmonella common in ground meats
 Antibiotic dairy farms house multi-drug resistant
salmonella, E coli, yersinia
 Food-service handling poor
 P
Proper ki and
cooking dh dli
handling, id animal
avoid i l ffoods
d
 Comments
 Plants don't have intestines, cross contamination

Gastrointestinal – Constipation
 Etiology and Pathology (NGFC, pg391-399)
 Fewer than 3 spontaneous,
p , complete
p BM pper week
 15-20% of population
 Slow transit, pelvic floor dysfunction, medications,
nicotine withdrawal, low fiber diet
 Diagnosis
 Allopathic: history, bowel habit diary, lab tests, imaging,
colonoscopypy
 Hara: LI, ST, SP, lower LR, immune tight/tender
 Pulse: LI, SI, (ST,SP) tight, wiry, hard, hesitant, weak,
thready
 Treat cause before meds
 Increase fiber intake and fluids
 Biofeedback, behavioral
 Manual disimpaction
 Drugs
 Laxatives – many problems – GI, malabsorption,
reliance on meds
 Bulk forming: psyllium, methylcellulose – hold water
 Emolients

 Channels/Images – ST,
ST SP,
SP KD,
KD CV,
CV LI,
LI Belt
 Points - ST36,37, SP9, LR4/SP5, LI10(TW)x2,
TW5-7, LU6-7
 Gentle Lax (Excess) or (Deficient)
 P
Peachh kkernall pills
ill – run chang
h wan
 Da cheng qi tang
 Tong shun wan

 Low fiber diets associated
 Fiber found only in plant foods – beans, veg, fruits,
whole grains
 Increase high-fiber foods, fiber supplements
 Increase fluid intake
 A id cow's
Avoid ' milk(especially
ilk( i ll children)
hild )
 Comments
 https://nutritionfacts.org/topics/constipation/

Gastrointestinal – Hemorrhoids

 Constipation and pressure
 Diagnosis
 Allopathic: history, exams
 Hara: LI, KD
 Pulse: LI tight,
g , hard,, hesitant;; SP weak,, thin,, deep
p
 Surgical, drugs - laxatives
 Channels/Images – LI, KD, GV, BL
 Points - GV20x3, SI9/10x3, LI4,10(TW), ST36,37,
BL58, SP9, Bleed ear apex – GV20
 GI Care (HMR)
 Sophora pills

 Constipation
C ti ti lleads
d tto bbearing
i d down and
d pressure iin
the abdomen causing:
 Hiatal hernia, diverticula, hemorrhoids,
varicose veins
 Increase fiber
 Plank exercise and squeeze
q
 Comments
 https://nutritionfacts.org/topics/hemorrhoids/
Hepatic/Biliary
 Hepatitis
 Cirrhosis
 Fatty liver disease
 Gallstones

Hepatic/Biliary - Hepatitis

 Alcohol abuse or viral - usa
 Acute or chronic >6mo
 Liver failure, cirrhosis, cancer
 Viral – hep A,B,C,D,E, herpes-
cytomegalovirus, epstein-barr, varicella-zoster,
herpes simplex
 Most subclinical, asymptomatic
 Symptoms: fever, nausea, vomiting, fatigue,
jaundice, abdominal pain, dark urine, pale stool

 Risk factors
 Body fluid exposure – IV drug, sex, tattoos,
piercings, needlestick, (transfusions)
 Contact with infected person – hep A
 Poor hygiene/sanitation – hep A, E
 Underlying LR disease – autoimmune hep,
hemochromatosis – increased risk forf
symptomatic hep
 Alcohol use, smoking, HIV, fatty liver –
progression of hep

 Diagnosis
 Allopathic: Abnormal LR function tests – AST, ALT,
bilirubin, alkaline phosphatase elevated
 Hep A,B,C,D,E testing
 Biopsy may be indicated for staging of disease
 Ultrasound of LR to rule out stones and
obstruction
 Xray, CT scan, MRI to rule out other pathology
 Diagnosis
 Hara: LR,
LR LR crossing
 Pulse: LR organ wiry, hard, knotted, hesitant, empty
 Supportive fluids, nutritional status
 Avoidance of hepatotoxins – alcohol,
acetamiophen, statins
 Targeted treatment of hepatitis virus
 Vaccines for hep A,B
 Liver transplant

 Channels/Images – LR, KD, GB, ST, SP
 Points – LR3,5, LR4/SP5, GB34,41, Gan Men (yin,
yang), LI4,11, PC3-4,6, TW7-8
 Liver DTX
 If trouble holding herbs down with vomiting – bite
lemon wedge as needed

 Hygiene and sanitation – hep A
 Contaminated shellfish – hep A, E
 Hep C - abstain from alcohol; smoking x10 risk
cancer
 Hep E – zoonotic - pork contamination(10%) –
found in pork LR, blood
– https://nutritionfacts.org/video/hepatitis-e-virus-in-pork/
 Handwashing – deli 2-10%, fast food 0%!
https://nutritionfacts.org/video/handwashing-compliance-of-
retail-deli-workers/

Hepatic/Biliary - Cirrhosis

 Prolonged hepatocellular injury leads to fibrosis
 Chronic alcohol use or viral hep mostly
 Initially asymptomatic; nausea, wt loss, vomiting,
abd pain; progresses to jaundice, spider angiomata,
bruising, hypocoagulation
 Advanced disease fatal
 Risk factors; alcohol abuse (women >2 drinks,
men>4 drinks daily; x2 for cirrhosis), sex, IV drug
use, inherited liver disease, toxins
 Diagnosis
 Allopathic: History, CT scan, ultrasound, biopsy, LR
function tests
 Hara: LR, LR crossing
 Pulse: LR organ wiry, hard, knotted, hesitant,
empty, inflamed-slippery

 Slowing or reversing progression
 Avoid alcohol and hepatotoxic meds
 Treat viral hep with antivirals – interferon,
ribavirin
 Treat autoimmune hep or alcoholic hep with
steroids immunosuppressive agents
steroids,
 Preventing and treating complications
 Eosophageal varices/bleeding – beta blocker,
rubber banding, sclerotherapy
 Ascites – sodium restriction, duretics
 Cure by liver transplant
 C t i di t d in
Contraindicated i patients
ti t whoh continue
ti t
to
use alcohol or drugs, cardiopulmonary disease

 Points – LR3,5, LR4/SP5, GB34,41, Gan Men (yin,
yang), LI4,11, PC3-4,6, TW7-8
 Liver DTX
 Dan Shen large dose(4-5g granules/day, 10-20g
bulk)
 Seven forests dan shen tabs

 Low-fat diets reduce cirrhosis progression,
especially in fatty liver (obesity) caused cirrhosis
 Coffee – 1-4+ cups/day = 30-80% drop in alcoholic
cirrhosis
 Vit D – 400-800IU/day – American
Gastroenterological Association
 Probiotics to reduce blood ammonia and endotoxin

Hepatic/Biliary – Fatty Liver Disease

 NAFLD – liver fat accumulation, 10% of liver tissue
 Increased triglycerides – insulin resistance key in
development; increases uptake/oxidation of fats
 Leads to: fibrosis, inflammation, necrosis, cirrhosis
 Risk factors
 Latin Americans highest
 Obesity, hyperlipidemia
 Drugs – glucocorticoids, estrogens, pesticides
 Insulin resistance
 Diagnosis
 Allopathic:
 Labs – cbc, liver function
 Ultrasound, CT, MRI
 Biopsy
 Hara: LR, LR crossing
 Pulse: LR organ wiry, hard, knotted, hesitant,
empty, inflamed-slippery

 Wt loss for overweight patients – 5% has a big
effect
 Exercise with or without wt loss
 Gastric bypass for morbidly obese patients
 DM treatment
 R
Rare liliver ttransplant
l t
 Points – LR3,5, LR4/SP5, GB34,41, Gan Men R-L
(yin, yang), LI4,11, PC3-4,6, TW7-8
 Cholisma ES – high cholesterol, obesity
 Liver DTX


 Obesity, diabetes, insulin resistance implicated
 Low fat, high fiber diet; plant based
 Wt loss – rapid loss >3.5lb/wk can increase
markers – slow and steady
 Alcohol will raise triglycerides - avoidance
 Lifestyle and Nutrition(HNTD, pg141-153)

 Fatty liver – NAFLD – most common cause of liver
disease
 Oatmeal (whole grains protective)
 Coffee; 2c+/day, ½ risk for chronic illness(cancer)
 Supersize me documentary; avoid cholesterol,
saturated fat
fat, sugar
sugar, excess calories

Lifestyle and Nutrition
Hepatic/Biliary – Gallstones
 Cholelithiasis – cholesterol or bile - 20% women,
8% men worldwide
 80% cholesterol; bile = balance of cholesterol and
bile salts
 When concentration of cholesterol is too high,
it crystallizes into sludge then stones
 M tl asymptomatic
Mostly t ti
 Biliary colic from blockage of GB neck or bile duct –
upper right quadrant pain


 Chronic blockage – cholecystitis – infection and
inflammation of GB; can lead to sepsis or death
 Symptoms
 Upper right quad pain after large meal, can
radiate pain to back or right scapula/shoulder
 Nausea vomiting,
Nausea, vomiting dyspepsia
dyspepsia, burping
burping, food
intolerance(fatty, greasy, fried, meats, cheese)
 Infection – fever and jaundice

 Risk factors
 Family history, Increasing age, Female
 Elevated estrogen or progesterone
 Obesity, Rapid wt loss
 GB stasis – DM, parenteral nutrition
 Cirrhosis
 Ileal disease or resection
 Meds
 Physical inactivity

 Diagnosis
 Allopathic: Ultrasound, scans, CBC, liver function
 Hara: LR, LR crossing, ST
 Pulse: GB/LR organ wiry, hard, knotted, hesitant,
inflamed-slippery
 Asymptomatic – not treated
 Symptomatic
 Cholecystectomy(removal of GB)
 Lithotripsy – breaks up stones – solitary stone
<2cm
 O l bile
Oral bil acids
id – dissolves
di l smallll stones
t d
and
fragments; ursodiol <2cm, 2yrs, 30% complete
dissolution
 Avoid large meals

 Points – LR4/SP5 (R), GB34x3 (R), Gan Men
(Yang)(L)x2, PC3-4(L), HT3-4(L)
 Dissolve (GS)
 San jin tang – 3 gold
 Jinqiancao, Haijinsha, Jineijin
 Jin qian cao 27  Huang qin 9

 Hai jin sha 27  Da huang 6
 (Ji nei jin 9)  Chai hu 9
 Yu jin 9  Gan cao 9
 Yi h h
Yin chen hao 9  5 tid – 7 d
5g days

 Related to high fat, low fiber
 Vegetarian women have lower risk of gallstones
 Avoid overweight, refined carbs(no fiber), animal fat
and protein
 Turmeric – ¼ tsp empties ½ GB – good prevention, but
may cause pain if gallstones get stuck(HNTDpg356)
 Comments
 Careful on herbal dose if pain after taking herbs
 Slowly shrink stones and pass gradually >1cm
 Add bile salts 300-1000mg/meal
Genitourinary
 Chronic kidney disease(CKD)

 Kidney/bladder stones
 Urinary tract infection(UTI)
 Prostate
 Interstitial cystitis
 Bladder prolapse

Genitourinary – Chronic Kidney Disease

 CKD – or chronic renal failure; loss of ability of KD
to filter blood, concentrate urine, excrete waste
 75% DM and/or HTN
 Asymptomatic until 75% function lost
 Fluid retention
 HTN
 Anemia
 Electrolyte imbalance

 Risk factors
 African Americans – higher rates of HTN
 Older age
 Family history
 Urinary tract disorders – UTI, stones
 DM, HTN, lupus, infections
 Nephrotoxic meds – nsaids, contrast dye
 Tobacco smoking

 Diagnosis
 Allopathic: GFR – glomerular filtration rate – 5
stages
1. Normal GFR >90 with albuminuria(blood protein)
2. GFR 60-89 with albuminuria
3. GFR 30-59
4. GFR 15-29
5. End stage renal failure GFR <15
 Urinalysis, imaging, biopsy
 Electrolyte and acid/base imbalances in blood
 Diagnosis
 Hara: KD (LU, SP, LR crossing)
 Pulse: KD organ wiry, hard, knotted, hesitant,
inflamed-slippery, weak, deep
 Reduce cardiovascular mortality rate
 Slow disease progression
 Treat underlying etiology; DM, HTN

 Sodium and phosphorus restriction
 Additives in foods(chicken 90%) - industry
regulates itself(not FDA)
 Diuretics
 Anemia – iron, synthetic erythropoietin(hormone
that stimulates RBC production)
 Exercise
 Dialysis – 3yr survival rate
 Transplant
 Channels/Images – KD, BL; level of T12-L2
 Points – LK, DB, SI3,4, LU5,6, GB41, BL40, 58x3,
Shen Guan(SP9/KD)
 KD detox
 Dang gui bu xue tang – dang gui, huang qi –
stimulates erythropoietin and RBC
– https://www.ncbi.nlm.nih.gov/pubmed/20723591


 Lower animal/total protein 35% lower risk of renal
failure
 Sodium restriction – lowers GFR, HTN – ½ rate of
decline
 Vit D supplementation
 High fiber,
fiber low saturated fat/cholesterol –
cardiovascular risk reduction
 High calorie diet - many have loss of appetite

 Omega 3 supplement – more study required
 Avoid star fruit toxins
 1:3 Americans >65yo – CKD
 ½ Americans 35-64yo expected to get CKD
 Why are millions not on dialysis?
 KD is so important for HT function, most die of
cardiovascular disease


 Harvard women's study: 3 associations with
declining KD function
 Animal protein, animal fat, cholesterol – all only
found in animal products
 Plant sources of protein and fat – no
association
 Avoid meat,
meat sugar,
sugar high fat; drink 10c water/day;
 Watch out for oxalates; nutritional yeast,
turmeric(1 tsp/day), beets
– https://nutritionfacts.org/topics/kidney-disease/

https://nutritionfacts.org/video/how-not-to-die-from-kidney-disease/

Genitourinary – Kidney/Bladder Stones

 Nephrolithiasis – kidney stones anywhere along
urinary tract
 USA 10% will develop symptomatic stones; 50%
recurrence
 75% calcium based
 Increased excretion or decreased urinary flow
 Risk factors
 Caucasian, male, developed countries, obesity,
DM, diet, family history, UTI, urinary stasis
 Diagnosis
 Allopathic: CT scan, x-ray, ultrasound, urinalysis,
chemistry panel
 Hara: KD (LU, LR crossing, SP)
 Pulse: KD organ wiry, hard, knotted, hesitant,
inflamed-slippery
 Allopathic
p treatment
 <5mm stones pass spontaneously – increase fluids
 Steroids, alpha-blockers, calcium channel blockers,
nsaids

 Lithotripsy
 Surgical removal
 Channels/Images – KD, BL, GV
 Points – p
pain in the back
 Opposite: Linggu, DaBai, SI3,4, (Ganmen -
yang), LU5,6x2
 Same side: BL40, 57-58x3, (GB41), KD3,6
 Points - pain in internal
 Opposite: Linggu, DaBai, SI3,4, (Ganmen –
yang), TW5-8, LI6-8,10, LU5,6x2
 Same side: BL40, 57-58x3, GB41, KD6,
LR4/SP5
 Pain in bladder
 BL63,65, GB41, KD6, LR4/SP5, LI10(TW)
 Dissolve (KS)

Modified KD stone formula
 Jin qian cao 9  Hua shi 3

 Hai jin sha 9  Che qian zi 3
 (Ji nei jin 9)  Zhi zi 3
 Shi wei 3  Da huang 3
 Ze xie 3  Zhi gan cao 3
 Bai mao gen 3  5g tid / 3days
 Lifestyle and Nutrition(HNTD pg169-172)(NGFC, pg347-

354)
 Increased with all animal protein, obesity,
decreased fluids – uric acid can “seed”,
calcium/oxalates
 Low calcium diets? Better - low animal protein and
sodium(inhibits acid secretion)
 Urinary oxalate – limit rhubarb, spinach,
strawberries, chocolate (dark), wheat bran, nuts,
seeds
 Boil better than steam


 Calcium supplements increase risk, at mealtime
reduces risk
 Limit colas, coffee and tea
 Vegetarian diets protective (alkalizing)
 Avoid high dose vit C, >1000mg/day
 I
Increase magnesium
i foods;
f d wine i = lower
l risk
i k

https://nutritionfacts.org/video/how-not-to-die-from-kidney-disease/

Genitourinary – Urinary Tract Infection

 Bacterial infection or inflammation of urethra,
bladder (cystitis), or kidney (pyelonephritis)
 Fecal origin – E Coli 85%
 Risk factors:
 Female; sex – frequency, new partners
 Bladder catheterization
 Urinary tract obstruction – BPH, stones
 Menopause
 DM
 Diagnosis
 Allopathic: History, urinalysis
 Complicated and recurrent infections - urine
culture, blood culture, ultrasound, CT
 Hara: KD
 Pulse: BL, KD organ - wiry, hard, hesitant, inflamed

 No treatment
 3-7 day course of antibiotics; chronic – 6mo +
prophylactic
 Resistant bacteria – stronger antibiotics
 Cranberry
 V idi after
Voiding ft iintercourse
t
 Channels/Images – BL, KD, CV, belt channel,
inguinal lymph, genitals
 Points - BL65, GB41, KD6, LR4/SP5, SP5.5, LU2-
KD27x2 Linggu, LI11, Yintang, GV20
 Gentiana complex
 V-support
 Ba zheng tang


 E.colili in
E i th
the gutt causes the
th iinfections,
f ti many resistant
i t t to
t
antibiotics
 Zoonosis – animal to human disease
 Chicken fecal contamination – just from handling!
 Handling and kitchens – cant get it clean enough
 Breast feeding – protective gut bacteria
 Flavonoid juices prophylactic – cranberry, lingonberry
 Probiotics – lactobacilli
 High fiber to reduce constipation
Genitourinary – Prostate

 Most common benign neoplasm in men
 Risk factors:
 Aging – more common with advancing age
 Family history – genetic
 Androgen – higher androgen cocentration
 Obesity
 Physical inactivity

 Diagnosis
 Allopathic: DRE – digital rectal exam, biopsy,
ultrasound, PSA, bladder/urethral function
 Hara: KD
 Pulse: BL, KD, PC/hormone organ - wiry, hard,
hesitant, inflamed
 All
Allopathic
thi ttreatment
t t
 BPH treatment to improve quality of life
 Watchful waiting if mild symptoms
 Alpha-adrenergic antagonists – relax smooth
muscle
 Moderate or greater enlargement – block
testosterone conversion – 5-alpha-reductase
inhibitors
 Saw palmetto
 Surgical
 Incision, removal, ablation

 Channels/Images – KD, GV, CV
 Points - BL65, GB41, KD6, LR4/SP5, SP5.5, LU2-
KD27x2 Linggu, LI10(TW), Yintang, GV20
 P-Support
 Kai kit wan
 Lifestyle and Nutrition(HNTD, pg221-223)

 BPH, enlarged prostate – 50% of men in their 50's,
80% of men in their 80's
 China in the 20's and 30's – only 8 cases in 15yrs
 Plant based diet – limit or avoid animal products
 Flax seeds – 3 tbs a day = flomax
 S may inhibit
Soy i hibit estrogen's
t ' effect
ff t on proliferation
lif ti
 Fruit and veg – beta-carotene, lutein, vit C


 Prostate cancer
 50% of men over 80
 Cow dairy increases prostate cancer risk
 < 1 egg a day = 2x risk of progression (bones)
 choline
 Chicken and turkey = 4x risk
 Dr. Ornish – reversed with a plant-based diet
and exercise

 Prostate cancer
 1 serving a day of cruciferous veggies cuts
progression more than ½
 Flax seeds – lignans, 3 tbs a day slows or
stops progression
 IGF-1, more = increased risk for cancer growth
 Triggered by animal protein, decreases quickly
with dietary changes
 Lycopene, allium veg, selenium, decrease
alcohol

https://nutritionfacts.org/video/how-not-to-die-from-cancer/
p g
Ornish D, Weidner G, Fair WR, et al. Intensive lifestyle changes may affect the
progression of prostate cancer. J Urol. 2005;174(3):1065-9.
https://nutritionfacts.org/video/how-not-to-die-from-cancer/
p g
Ornish D, Weidner G, Fair WR, et al. Intensive lifestyle changes may affect the
progression of prostate cancer. J Urol. 2005;174(3):1065-9.

Genitourinary – Interstitial Cystitis

(htt //
(https://www.mayoclinic.org/diseases-conditions/interstitial-
li i /di diti /i t titi l
cystitis/symptoms-causes/syc-20354357)
 Painful bladder syndrome – pressure, pain
 Like UTI without the infection
 Cause unknown – many factors?
 Bladder epithelium
p defect
 Autoimmune
 Infection
 Allergy

(https://www.mayoclinic.org/diseases-conditions/interstitial-
cystitis/symptoms-causes/syc-20354357)
 Risk factors: women, fair skin/red hair, >30yrs old,
chronic pain disorder(fibro, IBS)
 Diagnosis
 Allopathic: history, bladder diary, pelvic exam, urine
test, biopsy, cystoscopy
 Hara: KD
 Pulse: Pulse: BL, KD, PC/hormone organ - wiry,
hard, hesitant, inflamed

 No simple treatment, no cure
 PT for pelvic floor, muscle pain
 Meds: Nsaids, antihistamines, antidepressants,
Elmiron(2-4mo for pain relief)
 Nerve stimulation
 Bladder distension
 Medications instilled into bladder
 Surgery
 Channels/Images – KD, BL, CV
 Points – LU9, BL60,63,65, GB41, KD6, LR4/SP5-
left, LI10(TW)-left, GV20, Yintang, (baliao)

 Herbal Treatment - Formula

 Bai mao gen 10  Chi shao yao 10
 Ze xie 10  Mu dan pi 10
 Che qian zi 10  Da qing ye 5
 Shi wei 10  Pu gong ying 5
 Huang bai 10  Huang lian 5
 F ling
Fu li 10  Bai hua she she cao 5
 Sheng di 10  Gan cao 5
 Long dan cao 10
 5g tid

 Dietary: bladder irritants – 4C
4C's
s
 Carbonated drinks
 Caffeine, chocolate
 Citrus
 Vitamin C – foods
 Alcohol, spices, tomatoes, pickled, artificial
sweeteners
 Bladder training, loose clothing, reduce stress, stop
smoking, exercise

https://www.mayoclinic.org/diseases-conditions/interstitial-
https://www mayoclinic org/diseases-conditions/interstitial-
cystitis/diagnosis-treatment/drc-20354362
 Acupuncture. During an acupuncture session, a
practitioner places numerous thin needles in your skin at
specific points on your body. According to traditional
Chinese medicine, precisely placed acupuncture
needles relieve pain and other symptoms by rebalancing
the flow of life energy. Western medical practitioners
tend to believe that acupuncture boosts the activity of
your body's natural painkillers.
Genitourinary – Bladder Prolapse


https://www.mayoclinic.org/diseases-conditions/cystocele/symptoms-
causes/syc-20369452
 Anterior prolapse – cystocele; supportive structure
between bladder and vagina weaken and stretch
 Straining muscles may lead to prolapse
 Childbirth, constipation, severe coughing, heavy
lifti
lifting, llow estrogen(menopause),
t ( ) obesity
b it
 Symptoms: bladder fullness, pressure, pain, repeat
infections, pain with intercourse, bulging sensation in
vagina
 Diagnosis
 Allopathic: pelvic exam, bladder and urine test,
questionnaire
 Hara: KD
 Pulse: BL, (KD, PC/hormone) organ – weak, soft,
spongy, deep (wiry, hard, hesitant, inflamed)

 Mild – wait and see, kegels
 Supportive device – pessary
 Estrogen therapy
 Surgery - lifts
 Channels/Images – BL, KD, CV
 Points - Points – LU9, BL60,63,65, GB41, ST36,
SP9, KD4-3,6, LR4/SP5-left, LI10(TW)-left, GV20,
Yintang, (baliao)
 Bu zhong yi qi tang
 Shen ling bai zhu san

Dr. Cole Magbanua,
g , DACM,, LAc
10235 NE Holladay St
Portland, OR 97220
503-252-1731
Acupuncture-portland
Acupuncture portland.com
com
Fb group: Coles bodymapping acupuncture forum
To read articles by today’s speaker, watch

online videos, or to see his/her complete
seminar/webinar schedule for this year,
please visit www.elotus.org

More information on the classic single herbs mentioned in
this seminar/webinar can be found in the Chinese
Medical Herbology and Pharmacology
More information on the classic formulas can be found in

the Chinese Herbal Formulas and Applications
Collection formulas can be found in the Lotus Clinical

Manual of Oriental Medicine
All the above texts are available through www.elotus.org
Herbs mentioned in this seminar/webinar, are

available through our sponsor Evergreen
Herbs & Medical Supplies. Please contact
them for a catalog and pricing information.

eLotus Acupuncture Group
WhatsApp Group Invite
Dear Attendee,
Say "What's Up!" to our WhatsApp group eLotus Acupuncture Group!
This group was set up, especially for you, to connect with your colleagues,
ask questions about acupuncture, and for patient referral. Enjoy and we’ll
chat with you soon!!
To join, follow this link:

https://chat.whatsapp.com/FEEZlcGYTVO9NkyZ3mb7b6
P.S. If you are unable to access the above link, please try using your
mobile phone or another internet browser such as Chrome.
eLotus Team
Evergreen Herbs is not just an Herbal company, we are an
environmentally friendly, health conscious contributor to the health-
care community at large. Evergreen was founded by Dr. John Chen
and Tina Chen, siblings and coauthors of the Chinese Medical
Herbology and Pharmacology, and the Chinese Herbal Formulas
and Applications books.
Evergreen is a family business that is run by professionals like you
who care about Chinese medicine. And as a family business, we
have the well-being and satisfaction of our customers at the top
of our list. We care about the quality of our herbs, because we
care about our consumers, and have your best interest at heart.
Our goal is to support you in improving your clinical skills, and
enhancing the well-being of your patients.
To learn more about Evergreen Herbs and our products, please

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Allergies, IBS, and Chronic Infection:

Acupuncture, Hara, and Herbs

Dr. Cole Magbanua

Leading Acupuncture CE Provider

Lotus Institute of Integrative Medicine

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Dr. Cole Magbanua

Lotus Institute Of Integrative Medicine

© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

What is Bodymapping Acupuncture

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

 Immediate relief of pain and dysfunction

• 20+ years of distal point clinical experience

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Channel pairs – name and clock opp

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Human Anatomical Relationships

 Anatomy more effective than channel

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Major muscle correlations

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Hara diagnosis, abdominal pain

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Hara diagnosis, abdominal pain

 Japanese similar but more refined

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Hara diagnosis, abdominal pain

 SP area upper L quadrant

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Hara diagnosis, abdominal pain

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

 George Soulié de Morant, Andrea Alcici

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

For each finger position

Pulse diagnosis – Right Cun

LI Channel Wiry – tooth pain, face pain

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

ST Channel Wiry – chest pain, breast

Pulse diagnosis – Right Chi

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

SI Channel Wiry - upper back, neck pain

Pulse diagnosis – Left Guan

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

BL Organ Hard or slippery – infection,

15 Systems of Internal Medicine - Day1-2

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

Evidence based lifestyle and nutritional

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

EENT – Eyes – cataract, macular

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

EENT – Eyes – cataract, macular

Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

EENT - Ears – Otitis Media

 Etiology and Pathology(NGFC, pg108-112)

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