What are the TCM guidelines for quitting smoking?

  Chinese Medicine Quit Smoking Guide
  Smoking is harmful to health, as we all know. Traditional medicine has long had the famous health advice “breathe the essence of …… life cover the sky and earth”. The key to quitting and relapsing into smoking is the pleasure of nicotine in tobacco and the pain of nicotine withdrawal syndrome, so effectively relieving the symptoms of withdrawal is an important part of successfully quitting.
  The characteristic therapies of Chinese medicine can promote smokers to quit effectively, and the various clinical manifestations of smoking withdrawal, combined with the smoker’s physique, lifestyle habits and other factors, using multi-method, multi-path overall treatment, can treat nicotine withdrawal reactions, reduce the pain of quitters, enhance confidence in quitting smoking, and ultimately achieve the purpose of quitting and promoting health.
  I. Chinese medicine smoking cessation method
  1.Auricular acupuncture points to quit smoking
  Pressure ear points to quit smoking method
  Select auricular points lung, stomach, Shen Men, mouth, trachea stimulation points 2-3, with 2% iodine, 75% alcohol strict disinfection of the selected pain points acupuncture points, with sterilized Wang Bu Liuxiang seeds pressed on the selected points, and then 0.6 × 0.6cm adhesive tape fixed pressure seeds, pressure of the local soreness and swelling can be. Press the seeds several times a day on your own or when you want to smoke, for 7 to 10 days for a course of treatment, and then replace the selected points for a second course of treatment.
  Auricular acupuncture method for smoking cessation
  In the case of desire and confidence to quit smoking, select auricular points lung, stomach, Shen Men, mouth stimulation points, after routine sterilization, with circular snap intracutaneous needle, auricular points buried needles for 5~7 days, daily pressure 3~5 times, when there is a smoking request immediately press the treatment points, inhibit smoking request can be. By changing the smoker’s taste when smoking, play a role in quitting smoking.
  2, body acupuncture points to quit smoking
  Acupuncture body points
  Needle acupuncture Lijiao point, Yingxiang, Hegu, foot Sanli, sweet taste (sweetness) points, each time to choose 1 ~ 2 points, direct acupuncture local numbness and swelling for the degree, stay acupuncture 30 minutes or 1 hour, during the line of needles once. Once a day, 5 times for a course of treatment, treatment for 4 courses, quit smoking effective.
  Chinese medicine acupuncture point paste
  Select aromatic and pungent Chinese medicine (clove, cinnamon, etc.), make a Chinese medicine patch and apply it to smoking cessation points (sweet points and smoking cessation points) to regulate the endogenous opioid system and the hypothalamic-pituitary-adrenal axis (HPA) to achieve the effect of quitting smoking. Method: Apply to both Sweetness points, changing once a day for 7 days as a course of treatment.
  Attachment.
  Ear point sites
  1, mouth: positioning: at the upper and posterior edges of the external ear canal opening.
  2, lung: positioning: on the upper, lower, and outer sides of the most depressed part of the center of the earnail cavity.
  3, Stomach: positioning: where the foot of the ear chakra disappears.
  4, Trachea: between the mouth and heart points (the heart point is at the most depressed point in the center of the earnail cavity).
  5, Shen Men: positioning: outer 1/3 of the triangular fossa, before the intersection of the upper and lower feet of the opposite ear chakra.
  Body point sites
  1.Legion: Above the radial tuberosity, 1.5 inches above the transverse wrist line. Acupuncture point: cross the two hands with the tiger’s mouth naturally flat, press the index finger of one hand on the radial styloid process of the other hand, and indent the point under the fingertip.
  2, Yingxiang in the outer edge of the nose at the midpoint, next to open 0.5 inch, when the nasolabial groove.
  3, hegu in the back of the hand between the first two metacarpals, about the midpoint of the flat second metacarpal. Acupuncture point: the thumb joint of one hand, placed on the edge of the webbing between the index finger of the thumb of the other hand, when the tip of the thumb is under the point.
  4, foot three miles in the calf palsy point 3 inches below the front tibia ridge outside – the transverse line.
  5, Sweetness (sweetness) point At a thumb’s width from the edge of the stem of the anatomical snuff bottle, at a soft small concavity near the levator point. After the needle is pricked into this point, twist the needle appropriately, leave the needle for 5 minutes, and make the patient breathe in and hold his breath until the needle is finished before breathing, and have a heavy numbness in both hands after the needle, or a feeling of euphoria, or an odor or metallic taste in the mouth.
  Second, Chinese medicine treatment of smoking cessation syndrome
  (A) the main points of the diagnosis of withdrawal syndrome
  Long-term smoking history; clinical symptoms immediately after stopping smoking. Mental depression, restlessness, fatigue, poor taste in the mouth, abdominal pain and diarrhea, insomnia, constipation, etc. are common. Mental depression, light and tasteless mouth, vomiting and salivation, not thinking about eating and drinking, sweating and tearing, muscle trembling, fatigue and weakness, or restlessness, convulsion delirium, insomnia and tremor, abdominal pain and diarrhea, or even deficiency, etc. And the conventional symptomatic drugs, it is difficult to work.
  (B) Treatment of withdrawal syndrome
  1.Insomnia
  Identification and treatment
  Phlegm and fire disturbing the heart and mind
  Symptoms: sleeplessness at night, heavy head and dizziness, phlegm, chest tightness, belching, irritability, bitter mouth and dry stool, red tongue with yellowish coating, string or slippery pulse.
  Treatment: To resolve phlegm and clear fire, harmonize the middle and calm the mind.
  Remedy: Warm gallbladder soup with addition and subtraction, Han Xia 9g Chen Pi 10g Zhu Ru 12g Hovenia 10g Huang Lian 9g Gardenia 10g Poria 20g mother of pearl
   2, Heart deficiency and timidity, deficiency fire disturbing the mind
  Symptoms: disturbed heart, palpitations, dizziness, forgetfulness, tiredness, tasteless diet, dry mouth with little fluid, small tongue with little coating, thin pulse.
  Treatment: Nourishing the heart and strengthening the spleen, nourishing Yin and calming the mind.
  Recipe: Ginseng 10g, Atractylodes Macrocephala 9g, Astragalus membranaceus 9g, Glycyrrhiza glabra 6g, Yuan Zhi 9g, Zao Ren 20g, Fu Shen 15g, Yuan Shen 10g, Zhi Mu 12g, Long Dong
  Acupuncture treatment
  Prescription: Shen Men, Sanyinjiao. Points with evidence: Heart and spleen deficiency: Heart Yu, Juyin Yu, Spleen Yu; Heart and kidney disconnection: Heart Yu, Kidney Yu, Tai Xi; Heart and gall bladder deficiency: Heart Yu, Gall Bladder Yu, Daling, Qiu Hui; Liver and Yang hyperactivity: Liver Yu, Materia Medica, Tai Chong; Spleen and stomach disharmony: Stomach Yu, Foot San Li.
  Acupuncture: use milli-needle tonic method or flat tonic and flat diarrhea, or use acupuncture and moxibustion.
  3.Auricular acupuncture treatment
  Prescription: Shen Men, heart, spleen, kidney, brain, lower foot end
  Needle method: take 2-3 points each time, twist for medium and strong stimulation, and keep the needle for 20 minutes.
  Depression
  identification and treatment
  4. Liver depression, spleen deficiency, phlegm and qi stagnation
  Symptoms: mental depression, distension and fullness in the chest, suspiciousness and apprehension, like to rest, sluggishness, emaciation, feeling tired after a little activity, abdominal abdominal froth and belching, dry and sometimes loose stools, or discomfort in the throat as if there is a foreign body obstruction, thin white tongue coating, thin or smooth pulse.
  Treatment: Diversify the liver and strengthen the spleen, resolve phlegm and disperse knots.
  Formula: Prosperity San and Hanxia Houpu Tang: Chai Hu 15g Radix Angelicae Sinensis 12g Radix Paeoniae Alba 12g Atractylodes Macrocephala 12g Radix Glycyrrhiza Uralensis 6g Radix Panax Notoginseng 12g Houpu 12g Poria 15g Ginger 6g Perilla Leaf
  5, the heart and kidneys do not intersect, the mind confusion
  Symptoms: depressed mood, sentimental, sleeplessness, palpitations, forgetfulness, dizziness and tinnitus, soreness and weakness of the waist and knees, heat in the hands and feet, dry mouth and little fluid, or night sweats, red tongue with thin coating, thin or fine pulse.
  Treatment: Nourishing Yin and clearing fire, nourishing the heart and calming the mind.
  Prescription: Huanglian Agaricus Tang with Jiaotai Pill, 6g Huanglian, 10g Agaricus (melted), 10g Scutellaria, 10g Radix Scutellariae, 12g Radix Paeoniae Alba, 6g Cinnamon, 9g Phellodendron, 10g Atractylodes, 10g Lily, 12g Phellodendron
  Acupuncture Treatment
  Prescription: Renzhong, Neiguan, Shenmen, Fenglong, Yongquan
  Acupuncture method: The main method is to calm the mind and open the orifice, accompanied by matching acupuncture points with the evidence.
  Ear acupuncture treatment
  Prescription: Shen Men, Occipital, Heart, Stomach, Brain
  Needle method: twisting medium and strong stimulation, stay for 20-30 minutes.
  6.Constipation
  Identify and treat
  Dryness of the lung and Yin injury, astringency of the intestines
  Symptoms: disturbed heart and thirst, dry throat and nose, dry stool, or body heat, red face, red tongue with little fluid, thin pulse.
  Treatment: Nourishing lung yin, moistening the bowels and relaxing the stool.
  Prescription: Sha Shen Mai Dong Tang with Ma Zi Ren Wan, Sha Shen 12g Mai Dong 12g Fire Ma Ren 15g Citrus aurantium 10g Hou Pu 6g Almond 10g Citrus aurantium 10g Paeonia lactiflora 12g Da Huang (later down)
  Acupuncture Treatment
  Prescription: Yu of the Large Intestine, Tianshu, Zhigou, Shang Juxu
  Points with evidence: heat knot: hegu, quchi; qi stagnation: zhong cavity, xing interval; qi and blood weakness: spleen yu, stomach yu,; cold constipation: moxibustion Shenqu, qihai
  Acupuncture: actual constipation acupuncture with laxative method, deficiency constipation acupuncture with tonic method, cold constipation can add moxibustion method.
  Ear acupuncture treatment
  Prescription: lower rectum, large intestine, brain
  Needle method: twisting medium and strong stimulation, stay for 20-30 minutes.
  7, functional indigestion
  Identify and treat
  Liver and stomach disharmony
  Symptoms: fullness or pain in the stomach, stuffiness, less nasal and generalized evil, irritability, distension of the two hypochondrium, good breath, thin white tongue, string pulse.
  Treatment: Relieving depression in the liver, regulating Qi and harmonizing the stomach.
  Formula: Chai Hu Shu Liver San, Chai Hu 12g, Radix et Rhizoma Pinelliae 6g, Radix Paeoniae 12g, Citrus Aurantium 12g, Radix et Rhizoma 9g, Rhizoma Chuanxiong 10g, Glycyrrhiza Uralensis
  Spleen deficiency and food stagnation
  Symptoms: vomiting and acidity, distention and fullness of the abdomen, belching and anorexia, yellowish complexion, tiredness and fatigue, loose stools or foul smell or constipation, thick and greasy tongue coating, smooth and solid pulse.
  Treatment: Strengthening the spleen and stomach, eliminating food and stagnation.
  Formula: Si Jun Zi Tang with Bao He Wan, Ginseng 10g, Atractylodes Macrocephala 10g, Shen Qu 12g, Shan Zha 12g, Lycopodium 10g, Fu Ling 12g, Chen Pi 9g, Semen 9g, Forsythia 9g, Licorice
  Acupuncture Treatment
  Prescription: Zhongyu, Shusanli, Gongsun, Neiguan, Spleen Yu, Stomach Yu, Shimen, Taichong
  Acupuncture: Select 3~5 acupuncture points using milli-needle tonic method or flat tonic and flat diarrhea method.