CHRONIC LEUKEMIA

Clinical Manifestations
  • Chronic lymphocytic leukemia (CLL) is the most common chronic leukemia in the United States. In people with CLL, too many white blood cells (known as lymphocytes) build up in the blood, bone marrow, spleen, and lymph nodes. Over time, these cells may crowd healthy cells, resulting in fewer normal blood cells and platelets.
  • Large granular lymphocytic (LGL) leukemia is a chronic lymphoproliferative disorder that exhibits an unexplained, chronic (> 6 months) elevation in large granular lymphocytes (LGLs) in the peripheral blood.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Headache
  • 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: Thready, wiry and even or Thready and weak
Treatment Principle
  • Warm and tonifY the Middle Jiao
  • Replenish Qi
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia with much dreaming
  • Easily startled
  • Eye dizziness
  • Both eyes dry and rough
  • Twitching of the eyes
  • Pain in the ribs and flanks
  • Numbness of the limbs
  • Stiffness and spasms of the tendons
  • Low grade fever
  • Night sweats
  • Irregular, scanty menses
  • T: Pale and thin
  • C: Little
  • P: Thready, choppy and forceless
Treatment Principle
  • Nourish Yin
  • Reinforce the Blood
  • Conceal Yang
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Low-grade fever in the evening or
  • Nightly fever or
  • Afternoon tidal fever
  • Five Sole Heat
  • Malar flush
  • Steaming bone fever
  • Anxiety
  • Restlessness
  • Night sweats
  • Irritability
  • Insomnia
  • Excessive dreams
  • Dry mouth and throat with a desire to drink
  • Scanty, yellow urine
  • Emaciation
  • Lethargy
  • Red lips
  • Thirst
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Clear Deficiency Heat
  • Reduce tidal fever
Herb Formulas
Points
Clinical Manifestations
  • Intermittent nosebleeds, usually with only small amounts of Blood.
  • Fever
  • Night sweats
  • Red face
  • Dry mouth
  • Loose teeth
  • Atrophy of the gums
  • Dizziness
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Poor memory
  • Constipation
  • Dark, scanty urine
  • Irritability
  • Fidgeting
  • Insomnia
  • Five Sole Heat
  • Night sweats
  • Malar flush
  • Low back pain
  • A thin physique
  • Nocturnal emissions
  • Parched lips
  • Irritability
  • Dry stools
  • T: Red and dry
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • cool the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Memory loss
  • Forgetfulness
  • Absent-mindedness
  • Lack of concentration
  • Menorrhagia
  • Palpitations with or without anxiety
  • Insomnia (difficulty falling asleep)
  • Nightmares
  • Reduced appetite
  • Pale, wan complexion
  • Pale lips and nails
  • Early menstruation with copious pale blood
  • Continuous flow with little blood (spotting)
  • Excess perspiration
  • Night sweats
  • Irregular menstruation
  • Leukorrhea
  • Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued)
  • Blurred vision
  • Spots before the eyes
  • Low spirits
  • Depression
  • Bruising easily
  • Dream disturbed sleep
  • Short attention span
  • Anxiety
  • Phobias
  • Panic attacks
  • Fear
  • Low grade fever
  • Withdrawal
  • Fatigue and lethargy
  • Weakness
  • Genital itch
  • Impotence
  • Nocturnal emissions
  • Weak abdomen
  • Abdominal distention after eating
  • Premenstrual spotting
  • Dry skin and hair
  • T: Pale, maybe swollen
  • C: White
  • P: Thready and weak or Thready and moderate
Treatment Principle
  • Augment the Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Spontaneous sweating
  • A pale face
  • Poor appetite
  • Loose stools
  • Dizziness
  • Weak voice/reluctance to speak
  • Five Sole Heat
  • Malar flush
  • Night sweats
  • Anxiety
  • Hot flashes
  • T: Pale, Pale red or Red
  • C: Thin white, Little or None
  • P: Deep and weak or Thready and rapid
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Deficiency fever
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Enlarge Liver
  • Enlarged Spleen
  • Depression
  • Irritability
  • Inappropriate anger
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Pain that is fixed, stabbing and /or severe
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Activate the Blood
  • Break up Stagnation
Herb Formulas
Points
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
  • Relieve spasmodic pain
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Dizziness
  • Red sore eyes
  • Hearing loss
  • Swelling in the ears
  • Bitter taste in the mouth
  • Irritability
  • Short temper
  • Difficult and painful urination with a heat sensation in the urethra
  • Swollen and itchy genitalia
  • Yellow, foul smelling leukorrhea
  • Short menstrual cycle with reddish-purple blood
  • Ear discharge
  • Yellow urine
  • Chest pain
  • Constipation
  • Turbid urine
  • Dry throat
  • Hematuria
  • Pain in the armpits
  • Sweating in the groin
  • T: Red or Red edges
  • C: Yellow or Yellow and greasy
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clears Damp-Heat from the San Jiao
Herb Formulas
Points