Dimentia

2 types of Dimentia:

1.blood vessel disorder in the brain

2. Mixed with other disease(s)

A third that must be considered is Alzheimers.

With Dimentia you will see personality changes, and loss of cognitive skills.

In Traditional Chinese Medicine the basic patterns of Dimentia are:

Kidney deficiency (Qi, Yin, Yang, Essence, marrow) + Phlegm (invisible heart, kidney gallbladder)

- there may also be some Blood Stasis

Central Nervous System -  half heart/half kidney

Phlegm Herbs Physical HearTongue - Gua Lou (heat phlegm), Xie Bai (cold phlegm) Mental Heart Tongue - Shi Chang Pu (heart phlegm), Yuan Zhi (heart phlegm) Physical and Mental Heart Tongue - Seng Long Gu and Mu Li (heart phlegm) Kidney Phlegm  Tu Si Zi, Yi Zhi Ren, Bu Gu Zhi, Du Zhong, Jin Ying Zi, Fu Pen Zi Kidney Marrow  Lung Rong, Sea Horse, beef, animal

Herbal Formulas for Dimentia: Sang Piao Xiao San (heart kidney Essence deficiency and leakage) - Di Huang Yin Zi (marrow, Phlegm, Wind) - Jin Suo Gu Jin Wan (male Essence/sexual tonic) - Wu Zi Yuan Zhong Wan (Kidney Essence tonic) - Ban Long Wan (Kidney Essence tonic) - Tu Si Zi Wan (Kidney Essence tonic) - Quan Lung Wan (Kidney Essence tonic)

Herbal Formulas: Wen Dan Tang + tonics Dao Tan Tang + tonics, Di Tan Tang + tonics

Phlegm herbs: Shi Chang Pu, Yuan Zhi, Tian Zhu Huang, Yu Jin, Fu Shen, Long Gu (all herbs above are for Heart Phlegm)Gan Song, Pei Lan (Spleen), Bai Jie Zi (Gallbladder), Nu Li, Xia Ku Cao, Tian Tia (liver), Tu Si Zi, Yi Zhi Ren (Kidney)

Blood Stasis herbs: in Liver mostly  Dan Shen, Tao Ren, Hong Hua, Shan Zha, Da Huang, Si Wu Wen Dan Tang, Tao Hong Si Wu Tang (+ Xiang Pu, Ru Xiang, Zhi Ke), Xue Fu Zhu Yu Tang - Suan Zao Ren 15-30g + Mai Dong 9g + Wu Wei Zi 5g (Qi and Yin deficiency) - Suan Zao Ren 15-30g + Sheng Di 12g + Wu Wei Zi 5g (HT and Kidney disharmony) - Suan Zao Ren 15-30g + Ban Xia 9g + Wu Wei Zi 5g (HT Qi deficiency and Phlegm) - Wen Dan Tang + Huang Lian (heat) - Wen Dan Tang + Suan Zao Ren Tang (heat) - Gui Pi Tang + Huang Lian + Suan Zao Ren Tang (heat) - Dan Zhi Xiao Yao San (heat) - Hei Xiao Yao San (heat) - Tian Wang Bu Xin Dan (HT heat) - Xue Fu Zhu Yu Tang - Jiao Tai Wan (HT Kidney communication, Huang Lian/Rou Gui) Herbs: Bai He, Lian Zi, He Huan Hua, Ye Jiao Teng

*All stages of Dimentia with Kidney decline can lead to Phlegm and Wind In order: Kidney Qi  frequent urination Kidney Yang  coldness Kidney Yin  sleep during day, not at night Kidney Essence  memory Kidney Marrow  tremors

*When Kidney and Liver are deficient, there is not enough water to nourish wood, this may cause the Liver Qi to rise causing Wind.

*When tonifying the Kidneys, one should consider the need to keep the Spleen and Stomach strong

. Brain Disease -Marrow Parkinsons -Essence, Marrow, Yin deficiency with wind either wind or blood stasis.

We must clear wind to treat Senile Dementia

-Kidney deficiency with phlegm Alzheimers -Kidney deficiency with phlegm Vascular Dementia

-Kidney deficiency with blood stasis Dai Zheng = mental disease (memory)

Treatment and Prevention Tonify Kidney move the phlegm and stasis and detoxify

*DETOXIFY TOXIC HEAT - Huang Lian Jie Du Tang

Turbid Phlegm blocking Orifice - Wen Dan Tang

Blood stasis blocking orifice - Tong Xiao Hou xie Tang

Herbs - Xie Xiang, Chong Bai

Liver blood deficiency with Qi stagnation

Herbal Formulas: Xiao Yao San with Gan Mai Da Zao Tang

Heart and Spleen deficiency

Herbal Formula: Gui Pi Tang

Liver and Kidney deficiency

Herbal Formula: Liu Wei Di Huang Tang Headaches - nervous system disease

Animal herbs for chronic headaches - top 3 Scorpion  Quan Xie Centipede  Wu Gong Cockroach Tu Bei Chong

Wind Cold Headache - Xi Xin, Man Jing Zi

Wind Heat Headache - Gao Ben, Xuan Shen

Liver Fire or Wind Headache -Long Dan Xie Gan Tang, -Chai Hu Shi Gan Tang

Qi or Blood Deficiency - Bu Zhong Yi Qi Tang, -Xue Fu Zhu Yu Tang *Brain TUMOR  Tian Nan Xing

Acupuncture Treatment

Mania: sedate  Du 14,26, 16, Ren 15, Small Intestine 3, Pericardium 8 to Large Intestine 4, Pericardium 5 to SJ 6, Liver 3 to Kidney

Depression: Ren 16, 17, Du 24, Pericardium 7, Stomach 40, Pericardium 8, Kidney 1, Liver stagnation  Du 26, yintang (electro)

Delusion: Ren 12, 17, Heart 7, Spleen 6, Pericardium 6, tonify Spleen 4

Insomnia: self massage, coordinate Heart and Kidney  Heart 7, Kidney 1.