40.    Congestive Fluid (Tan Yin)

Definition:
Retention of unmetabolized water in specific regions of body. 

Classification:
1. Phlegm-fluid (tan yin)
2. Suspended fluid (xuan yin)
3. Diffused  fluid (yi yin)
4. Propped fluid (zhi yin)

Relevant modern diseases:
1. Chronic Bronchitis
2. Bronchial Asthma
3. Pleurisy
4. Nephritis
5. Incompletely Pyloric Stenosis 
6. Intestinal Obstruction
7. Chronic Cor Pulmonale

Etiology & pathogenesis
1. Cold dampness
2. Improper diet
3. Exhaustion, fatigue and chronic illness
4. Obstruction of water passage in san jiao

Herbal treatment

1.   Phlegm-fluid (tan yin)

1.   Spleen yang deficiency
      Ling gui zhu gan tang + xiao ban xia tang
Fu ling, bai zhu---
Gui zhi, Gan cao---
Ban xia, Sheng jiang---

2.   Fluid retention in stomach and intestine
      Ji jiao li huang wan 
Da huang, ting li zi---
Fang ji, Jiao mu---

2.   Suspended fluid (xuan yin)

1. Shi zao tang 
Yuan hua, Gan shui, Da ji---
Da zhao---
      
3.   Diffused  fluid (yi yin)

1.   Xiao qing long tang
Ma huang, Gui zhi---
Gan jiang, Xi xin---
Ban xia---
Wu wei zi, Bai shao---

4.   Propped fluid (zhi yin)

1. Cold congested fluid hinden in lung
Ling gan wu wei jiang xin tang
Gan jiang, Xi xin---
Fu ling---
Wu wei zi---

2. Spleen and kidney yang deficiency
Jin gui shen qi wan + Ling gui zhu gan tang

Acupuncture treatment

1. Phlegm-Fluid (Tan Yin)
      RN 12, BL 20, ST 36, PC 6, ST 40, ST 36

2. Suspended Fluid (Xuan Yin)
BL 20, RN 9, KI 7, SP 4, GB 40, GB 38

3. Diffused  Fluid (Yi Yin)
LU 7, LI 4, LI 6, SP 9, BL 39, BL 13

4. Propped Fluid (Zhi Yin)
LU 7, BL 13, LU 5, LI 4, BL 12, Lu 9