PARASITES

Clinical Manifestations
  • The following symptoms which are unresponsive to normal treatment should lead to a suspicion of parasitosis:
    Altered bowel habits
    Loose, watery stools or
    Constipation
    Rectal itching and burning especially at night
    Excessive appetite
    Food allergies
    Symptoms improve after eating
    Epigastric pain
    Heartburn
    Swelling around the umbilicus
    Respiratory symptoms with hepatomegaly
    Hepatobiliary symptoms
    Depression
    Foul intestinal gas
    Weight loss
    Breast swelling and tenderness unrelated to menstruation
  • Parasites can be asymptomatic in up to 50% of the infected population.
  • Lab tests may often show a false negative.
Treatment Principle
  • Kill parasites
Herb Formulas
Points
Clinical Manifestations
  • Generally found in areas where human feces is used as fertilizer
  • Pulmonary phase:
    Cough
    Dyspnea
    Allergies
    Urticaria
    Asthma
    Eosinophilia
  • Intestinal phase:
    Abdominal discomfort
    Abdominal pain
    Occasional vomiting
Treatment Principle
  • Expel roundworms
Herb Formulas
Points
Clinical Manifestations
  • Found in tropical and subtropical regions
  • Early stage:
    Dermatitis with a pruritic erythematous papulovesicular lesion at the site of the larval invasion
    Episodic coughing
    Asthma
    Fever
    Eosinophilia
    Blood tinged sputum
  • Later stage:
    Diarrhea
    Abdominal discomfort
    Anorexia
    Anemia with fatigue
    Pallor
    Deformed nails
    Dyspnea on exertion
    Palpitations
    Peripheral edema
    Heart failure
Treatment Principle
  • Expel hookworms
Herb Formulas
Points
Clinical Manifestations
  • Found in tropical, subtropical and temperate areas
  • Pruritic dermatitis at the site of larval penetration
  • Epigastric pain
  • Nausea
  • Diarrhea
  • Cough
  • Rales
  • Eosinophilia
Treatment Principle
  • Expel threadworms
Herb Formulas
Points
Clinical Manifestations
  • Found worldwide
  • Nocturnal perianal and vulvular itching
  • Insomnia
  • Restlessness
  • Irritability
  • Vague gastrointestinal symptoms
Treatment Principle
  • Expel pinworms
Herb Formulas
Points
Clinical Manifestations
  • Found where pork is eaten
  • Diarrhea
  • Cramps
  • Malaise
  • Muscle pain and tenderness
  • Fever
  • Facial edema
  • Conjunctivitis
Treatment Principle
  • Kill parasites
Herb Formulas
Points
Clinical Manifestations
  • Found worldwide, particularly tropical and subtropical areas
  • Usually asymptomatic
  • Heavy infection:
    Diarrhea
    Lower abdominal cramps
    Flatulence
    Tenesmus
    Rectal prolapse
    Bloody stool
Treatment Principle
  • Expel whipworms
Herb Formulas
Points
Clinical Manifestations
  • This includes:
    Beef Tapeworm (Taenia Saginata)
    Fish Tapeworm (Dyphllobothrium Latum)
    Pork Tapeworm (Taenia Solum)
  • Found worldwide
  • There are actually six types of tapeworm including rat, dog and human in addition to the three listed above. Fish and pork tapeworm find more limited distribution than the others
  • Usually asymptomatic
    There may be vague gastrointestinal symptoms such as:
    Diarrhea
    Nausea
    Abdominal pain
    Anorexia
    Fatigue
    Hunger
    Dizziness
Treatment Principle
  • Expel Tapeworms
Herb Formulas
Points
Clinical Manifestations
  • Vomits clear fluid
  • Vertex headache
  • Body cold
  • Diarrhea
  • Complete exhaustion of Yang
  • Roundworms
  • Biliary ascariasis
  • T: Pale
  • C: White
  • P: Weak.
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Delirium
  • Heat in upper body
  • Cold in lower body
  • Sensation of Qi rushing to the chest
  • Vomits worms
  • Persistent thirst
  • Feverishness
  • Anorexia (hungry but can't eat)
  • Chronic diarrhea
  • Cold extremities
  • Maybe edema
  • Vertex headache
  • Vomits food
  • Cardiac Heat with pain
  • T: Red or pink or pale and flabby
  • C: Thick and greasy or thin
  • P: Deep, thready and weak or wiry
Treatment Principle
  • Clear worms
  • Clear Heat (Do not purge, create diaphoresis, or create emesis)
  • Revive Yang
Herb Formulas
Points
Clinical Manifestations
  • Distention and fullness of epigastrium and abdomen
  • Nausea
  • Vomiting
  • Anorexia
  • Loose stools
  • Diarrhea
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Borborygmus
  • Lassitude
  • Yin jaundice
  • Heavy head
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of Cold or feeling chilled
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Deep and slow
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Excruciating epigastric and abdominal pain to the point of not being able to to be touched
  • May be borborygmus.
  • Vomiting to the point of not being able to eat
  • Superficial skin pulsations throughout the abdomen
  • May be fluid sounds
  • May be fluid sounds
  • May be cold limbs
  • Strong sensation of Cold in the chest and epigastrium.
  • Severe pain in the head and feet
  • Roundworms
  • Biliary ascariasis
  • T: Pale or Dark purple
  • C: White and greasy or Slippery
  • P: Thin and tight or slow and wiry or Deep and thready or Hidden
Treatment Principle
  • Warm and tonify Middle Jiao Yang
  • Direct rebellious Qi downward
  • Relieve pain
  • Eliminate parasites
Herb Formulas
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • Quickly developing jaundice
  • Severe, colicky, recurrent right-sided hypochondriac pain
  • Pain may radiate to the shoulder and upper back
  • Fever and chills or
  • Alternating fever and chills
  • Bitter taste in the mouth
  • Dry throat and mouth
  • Nausea
  • Anorexia
  • Aversion to fats and oils
  • Abdominal distention
  • Pale, sticky stools
  • Scanty, concentrated urine
  • Dysuria
  • T: Red
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Soothe the Liver
  • Drain the Gall Bladder
  • Clear Heat
  • Relieve fullness
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Anorexia
  • Vomiting of worms after eating
  • Red face
  • Fever
  • Irritability
  • Dry mouth
  • Maybe inversion
  • T: Red
  • C: Yellow
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Calm Roundworms
Herb Formulas
Points
Clinical Manifestations
  • Parasites
  • Intermittent abdominal pain
  • Indigestion
  • Emaciation
  • Loose stools
  • Feverishness
  • Foul breath
  • A sallow complexion
  • A large, distended abdomen
  • Anorexia
  • Decreased intake of food
  • Weak constitution
  • Constant fatigue
  • Maybe nausea and vomiting
  • Dry mouth
  • Thirst
Treatment Principle
  • Kill parasites
  • Reduce accumulations
  • Strengthen the Spleen
  • Clear Heat
Herb Formulas
Points