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THROMBOPHLEBITIS, BLOOD CLOT, DEEP VEIN THROMBOPHLEBITIS (DVT)

GENERAL

Clinical Manifestations	Thrombophlebitis is an inflammatory process that causes a blood clot to form and block one or more veins, usually in the legs. The affected vein might be near the surface of the skin (superficial thrombophlebitis) or deep within a muscle (deep vein thrombosis, or DVT). Causes include trauma, surgery or prolonged inactivity. Superficial thrombophlebitis signs and symptoms include: Warmth, tenderness and pain in the affected area Redness and swelling Deep vein thrombosis signs and symptoms include: Pain Swelling When a vein close to the surface of the skin is affected, one might see a red, hard cord just under the surface of the skin that is tender to the touch. When a deep vein in the leg is affected, the leg may become swollen, tender and painful. Early and middle (dystrophic) stages: Cold in the affected limbs Paresthesia Pain Intermittent limping End (necrotic) stage: Sloughing ulcers
Treatment Principle
Herb Formulas
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Thrombophlebitis #3 Shi Quan Da Bu Tang Ren Shen Yang Rong Tang Da Huang Zhe Chuan Wan With Blood Stagnation Obstructing the Channels: Bu Yang Huan Wu Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

YANG DEFICIENCY (ISCHEMIC PHASE)

Clinical Manifestations	Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin The swellings are not hot to the touch No thirst Swollen and painful joints Wasting of the muscles of the thigh and calf T: Very pale or Pale-pink C: White P: Thready and forceless or Deep and slow
Treatment Principle	Warm Yang Tonify the Blood Disperse Cold Eliminate Stagnation
Herb Formulas	Thrombophlebitis #2 Yang He Tang
Points

BLOOD STAGNATION

Clinical Manifestations	Pain that is fixed, stabbing and /or severe Pain 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	Invigorate the Blood Break up Stagnation
Herb Formulas	Thrombophlebitis #4 Thrombophlebitis #5
Points	SP-6, SP-10, ST-36, UB-17, UB-40

BLOOD STAGNATION IN THE LOWER JIAO DUE TO BLOOD HEAT

Clinical Manifestations	Firmness and distention in the lower abdomen which is painful and gives resistance on pressure Smooth urination Manic behavior Forgetfulness Black stools that are easy to expel Delayed menstruation Amenorrhea Irregular menstruation Coagulated blood Thirst Dry mouth Polyuria Liver spots indicating stagnant blood found on the face, lips, tongue, limbs and finger nails T: Purplish C: Normal P: Deep, slow and irregular
Treatment Principle	Break up and dispels Blood Stasis Clear Heat
Herb Formulas	Di Dang Tang
Points

COLD-DAMP

Clinical Manifestations	Abdominal pain aggravated by Cold Urinary difficulty Deep, aching heaviness in the extremities Generalized edema Loose stools Dizziness Heavy sensation in the head Palpitations Cough Epigastric palpitations Aversion to Cold Watery diarrhea No thirst Leukorrhea Hiccup Profuse perspiration Cold limbs Headaches A husky voice Hair loss Asthma Generalized twitching Tidal flushing of the genitals by Dampness Water buildup leading to hernia Impotence Prone to infections Prone to allergies Prone to Wind erysipelas Diarrhea Constipation Chest pain Mental and emotional disorders Light-headedness Nasal obstruction with clear mucus Impaired visual acuity Prone to dormant papules A sensation of something being stuck in the throat Incessant sneezing Swelling and pain of the teeth or gums Feeling of unsteadiness as if one were about to fall Distended or heavy sensation of the head Gradual weight gain Dyspnea Abdominal distention and fullness Pitting edema Scanty urination or Frequent, clear, abundant urination at night Chills Weak knees Seminal emissions Flaccid abdomen Muscular aching Chronic lower back pain Nausea Cyclic vomiting Fever, perspiration does not reduce fever Vertigo Impaired memory Shivering and trembling Catches cold easily Severe fatigue Aches and pains in the body or extremities Flank pain Wheezing T: Pale or Dark purple and swollen with teeth marks C: White and slippery P: Deep, thready and forceless or Deep and thready
Treatment Principle	Disperse Cold Eliminate Dampness Unblock the channels Alleviate pain
Herb Formulas	Dang Gui Si Ni Tang + Zhen Wu Tang modified
Points

TOXIC HEAT WITH YIN DEFICIENCY (ULCERATION PHASE)

Clinical Manifestations	Pain, swelling and obvious tenderness in the superficial veins along the limbs or the thoracoepigastric walls Aching of the body Preference for cold drinks Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five Sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido T: Red C: Little or None or Yellowish P: Thready and rapid or Wiry and thready or Slippery and thready
Treatment Principle	Clear Heat Resolve toxicity Nourish Yin
Herb Formulas	Thrombophlebitis #1 Si Miao Yong An Tang Si Miao Yong An Tang + Zhi Bai Di Huang Wan
Points

TOXIC HEAT WITH QI AND BLOOD STAGANTION

Clinical Manifestations	Local redness Swelling and pain Maybe fever and chills T: Normal C: Thin white or yellow P: Rapid and forceful
Treatment Principle	Clear Heat Eliminate toxins Reduce swelling Soften hardness Invigorate Blood circulation Stop pain
Herb Formulas	Xian Fang Huo Ming Yin Zhen Ren Huo Ming Yin
Points