Abdominal Cold

General

Herb Formulas
Points	Moxa needle UB-21, UB-23   Upper: Moxa needle  PC-6, ST-36, REN-12, REN-16   Lower: Moxa needle SP-6, ST-25, REN-4

Tai Yang Shang Han With Spleen And Stomach Deficiency

Clinical Manifestations	Fever and chills Headache Chest and gastric fullness and oppression Pain in the epigastrium and abdomen Nausea and vomiting Borborygmus Diarrhea Loss of taste Aversion to Cold Abdominal Cold Cough Indigestion No perspiration Chest discomfort Sore throat Disorientation Madness General lassitude Anorexia Delirious speech Maybe loss of voice Intermittent chills and fever Afternoon fever and tight Sudden turmoil disorder Malarial disorders Loose stools T: Normal C: Greasy and white P: Moderate and soggy or floating and forceful
Treatment Principle	Release the Exterior Transform Dampness Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Huo Xiang Zheng Qi Tang
Points

Tai Yang - Tai Yin

Clinical Manifestations	Fever Chills Headache Joint pains Severe diarrhea Epigastric distention Perspiration Cold body and extremities Weakness of the extremities Upper abdominal palpitations Cold feet Dysuria T: Pale or pink C: White P: Slow and tight or Soft
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi Relieves distention
Herb Formulas	Gui Zhi Ren Shen Tang
Points	General points

Extrteme Yang Deficiency In The Tai Yin, Shao Yin And Jue Yin

Clinical Manifestations	Severe aversion to Cold Body curled up Icy cold extremities Vomiting Diarrhea Absence of thirst Abdominal pain Lack of energy A constant desire to sleep Shivering Foaming at the mouth Lips and nails purplish T: Pale C: White P: Deep and thready or Impalpable
Treatment Principle	Rescue Yang (emergency) Strengthen Qi Generate the pulse
Herb Formulas	Hui Yang Jiu Ji Tang
Points

Shao Yin Cold

Clinical Manifestations	Palpitations Shortness of breath Faint, weak respiration Drenched with perspiration Dizziness Above symptoms worse on exertion or when tired Four limbs cold Intolerance of Cold Cold abdominal pain An extremely pale face Cyanosis of mouth and lips Upset stomach Loose stools T: Pale P: Minute (on the point of collapse)
Treatment Principle	Return Yang Consolidate Exhaustion
Herb Formulas	Shen Fu Tang
Points	Moxa REN-8, REN-4, REN-6, ST-36, DU-25 For shock:  PC-6 In combination with DU-25,  DU-26, PC-9, KI-1

Jue Yin Cold

Clinical Manifestations	Abdominal Cold Vomits clear fluid Vertex headache Body cold Diarrhea Complete exhaustion of Yang T: Pale C: White P: Weak.
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity
Herb Formulas	Dang Gui Si Ni Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

Large Intestine Cold

Clinical Manifestations	Constipation Difficulty in passing stools Dull pains and cold sensations in abdomen Preference for warmth; dislike of Cold Cold hands and feet Abundant clear urine T: Pale C: Thick, white and moist P: Deep and slow
Treatment Principle	Warm the Cold Relieve constipation
Herb Formulas	Fu Zi Li Zhong Wan
Points	ST-25, ST-37, UB-25, SJ-6, Moxa REN-8, REN-6 REN-12, REN-4, ST-25, ST-36, UB-25, SJ-6, SP-6

Spleen Yang Deficiency

Clinical Manifestations	A feeling of Cold in the stomach and abdomen Maybe pain in the stomach and abdomen Sallow complexion Aversion to Cold with a preference for warmth Anorexia (maybe with vomiting) Four limbs feel tired and heavy Cold extremities Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting of clear watery fluid Loose stools or watery stools containing undigested food Maybe occasional constipation Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Mental fatigue Tired extremities Copious, clear urine Maybe scanty urine with edema (Spleen Deficiency Edema) Maybe clear, watery vaginal discharge T: Pale or Pale and swollen C: Thin and white P: Deep and weak or Deep, slow and thready
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang Xiao Jian Zhong Tangmodified Fu Zi Li Zhong Wan With constipation: Wen Pi Tang
Points	Moxa needle REN-12, UB-20, LIV-13, SP-3, SP-6, SP-5, ST-36 Moxa needle REN-10, REN-5, ST-25, ST-36, SP-4 With abdominal fullness: SP-7 With reduced food intake: REN-12 With pain in the Stomach and abdomen: SP-3 With loose stools: Moxa REN-8 With uterine prolapse: Moxa Zigong With rectal prolapse: DU-20 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 DU-20, Moxa needle REN-4, REN-6, REN-12 Moxa abdomen Ear points:  Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure                                                      Or Chronic , intermittent, spasmodic, dull abdominal pain, relieved by warmth and pressure Aversion to Cold Anorexia Easily satiated Abdominal pain and fullness after meals Nausea / vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Fatigue Depression Shortness of breath Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale, maybe swollen C: White and greasy P: Deep, thready and forceless
Treatment Principle	Warm Yang Strengthen the Spleen Warm the Center Dispel Cold Stop pain
Herb Formulas	Xiao Jian Zhong Tang Fu Zi Li Zhong Wan With Dampness: Ge Hua Jie Cheng San
Points	Moxa needle UB-20, UB-21, LIV-13, REN-12, SP-3, SP-6, ST-36 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen Ear points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic

Spleen And Stomach Deficiency Cold With Kidney Yang Deficiency And Edema

Clinical Manifestations	Abdominal pain that is worse with Cold   Dizziness   Scanty urination   Edema of the lower limbs   Watery cough   Heaviness and aching of the head and limbs   Palpitations   P: Deep and weal or Imperceptible Extreme cases:    Abdominal ascites
Treatment Principle	Warm the Yang Promote urination
Herb Formulas	Zhen Wu Tang Shi Pi Yin With Jing and Blood Deficiency: Huan Shao Dan
Points	UB-20, UB-23, ST-36, SP-6, SP-9, moxa needle REN-4 and REN-12 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen

Spleen And Stomach Deficiency Cold With Blood Deficiency, Internal Cold And Blood Stagnation In The Channels

Clinical Manifestations	Cold-type abdominal pain Icy cold hands and feet that are bluish or purplish and difficult to warm up P: Thready or Imperceptible
Treatment Principle	Warm the channels Disperse Cold Nourish the channels Unblock the vessels
Herb Formulas	Dang Gui Si Ni Tang
Points	REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa needle LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen REN-6, REN-12, St-36, SP-4, GB-34, LI-4 With pain above the navel: REN-10, ST-24 With pain below the navel: ST-27 With pain along the sides of the abdomen: LIV-13 With pain around the navel: ST-25, REN-9, REN-7 With lower abdominal pain: REN-14 With severe pain: SP-6, REN-6 With abdominal distention: SP-4 REN-6, REN-12, UB-20, UB-21, ST- 21, ST-36, PC-6, SP-4 REN-12, REN-6, ST-25, ST-34, ST-36, ST-37, SP-4, SP-6 With vomiting: PC-6 With severe pain or diarrhea: Strongly moxa REN-8 Ear Points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Sympathetic

Spleen And Stomach Deficiency Cold With Cold Accumulation In The Uterus

Clinical Manifestations	Lower abdominal pain alleviated by warmth and pressure Irregular and/or painful menstruation Infertility or pain during the second or third trimester od pregnancy
Treatment Principle	Warm the uterus Nourish the Blood Calm the fetus
Herb Formulas	Ai Fu Nuan Gong Wan
Points	REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa needle LI-11 With nausea:  PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen

Spleen And Stomach Deficiency Cold With Postpartum Cold And Blood Stagnation

Clinical Manifestations	Fixed lower abdominal pain and Coldness in a postpartum woman Incomplete expulsion of the placenta Continual discharge of purple clotted lochia T: Pale, purple
Treatment Principle	Warm the uterus Stop pain
Herb Formulas	Sheng Hua Tang
Points	REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa needle LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen

Spleen And Stomach Qi And Yang Deficiency

Clinical Manifestations	Intermittent abdominal and gastric fullness and distention after eating Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort The vomitus is relatively inoffensivewith clearly identifiable food and possibly watery mucus-like material Waxy, pale complexion Anorexia Weight loss Emaciation Loose stools or Diarrhea Fatigue Weakness Listlessness Increased desire to sleep Cold abdomen Cold extremities Intolerance of Cold T: Pale and swollen C: White P: Thready, deep and weak
Treatment Principle	Warm and strengthen the Spleen and Stomach Harmonize the Stomach Descend Qi
Herb Formulas	Ding Kou Li Zhong Wan modified With Qi Stagnation: Ding Xiang Tou Ge San With Kidney Yang Deficiency: Fu Zi Li Zhong Wan  modified For severe, resistant or unresponsive cases with Phlegm Accumulation: Xuan Fu Dai Zhe Tang Chinese Patent Medicines: For Spleen Yang Deficiency with Cold: Fu Zi Li Zhong Wan For Spleen Yang Deficiency: Li Zhong Wan For Spleen Qi Deficiency: Xiang Sha Liu Jun Zi Wan For Kidney Yang Deficiency: Jin Gui Shen Qi Wan combined with one of the above formulas
Points	LIV-13, REN-9, REN-12, REN-14, REN-17, ST-36, UB20, UB-21 With Qi Stagnation: + LIV-3, PC-6 With Kidney Yang Deficiency: + KI-3, moxa or moxa needle DU-4, REN-4, UB-23 With gastroptosis: + moxa or moxa needle DU-20 Ear: Esophagus, Pylorus, Spleen, Stomach, Kidney, Adrenal, Sympathetic, Shenmen

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Cold body Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow Extreme cases: Abdominal ascites
Treatment Principle	Warm and Reinforce the Spleen and Kidney
Herb Formulas	Fu Zi Li Zhong Wan With diarrhea: Zhen Wu Tang Si Shen Wan
Points	UB-20, UB-23, ST-36, SP-6, SP-9, moxa, REN-4 and REN-12 Moxa needle UB-20, UB-21, UB-23 LIV-13, REN-12, SP-3, SP-6, ST-36 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen Ear points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic

Invasion Of The Stomach By Exogenous Cold

Clinical Manifestations	Sudden onset of Cold-type abdominal pain The pain typically focuses around or lateral to the umbilical region or lower abdomen Epigastrium cold with pain Cramping The pain is alleviated by warmth and aggravated by pressure Chilliness Aversion to Cold Cold extremities Lack of thirst Clear urine Normal or soft stools Mild cases:   Constant pain Severe cases:   Sudden bouts of sharp pain   Pain is aggravated by Cold and   Relieved by warmth and hot   drinks   Cold hands and feet   T: Normal C: White and sticky P: Deep, wiry and slow	Cold Penetrates the Stomach and Intestines:   Pain is sudden and sharp   Pain relieved by warmth   Nausea   Vomiting   Diarrhea, loose stools   May be constipation   T: Pink   C: White   P: Deep and tight Retention of Fluid in the Stomach due to Cold:   Pain is dull   Pain relieved by warmth   Succussion sound in epigastrium   on palpation   Vomiting of clear, watery fluid   T: Pink   C: White and sticky   P: Thready or Thready and slow Stomach Deficiency with Stagnation of Cold:   Pain is dull   Pain is relieved by warmth and pressure   Vomiting clear, watery fluid   T: Pale   C: Thin and white   P: Deep and slow or Deep and       thready
Treatment Principle	Warm the Interior Dispel the Cold Support the Yang Stop pain
Herb Formulas	Liang Fu Wan with modifications Liang Fu Wan + Zheng Qi Tian Xiang San Mild cases: Gan Jiang Ren Shen Ban Xia Wan Severe cases:   Xiang Sha Liu Jun Zi Tang + Liang Fu Wan   Si Ni Tang External Cold Attack:   Li Zhong Tang   Fu Z i Li Zhong Wan With Constipation: Da Huang Fu Zi Tang With severe pain:  Da Jian Zhong Tang
Points	REN-6, REN-12, St-36, SP-4, GB-34, LI-4 With pain above the navel: REN-10, ST-24 With pain below the navel: ST-27 With pain along the sides of the abdomen: LIV-13 With pain around the navel: ST-25, REN-9, REN-7 With lower abdominal pain: REN-14 With severe pain:  SP-6, REN-6 With abdominal distention:  SP-4 REN-6, REN-12, UB-20, UB-21, ST- 21, ST-36, PC-6, SP-4 REN-12, REN-6, ST-25, ST-34, ST-36, ST-37, SP-4, SP-6 With vomiting:  PC-6 With severe pain or diarrhea: Strongly moxa REN-8 Ear Points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Sympathetic

Invasion Of The Stomach By Cold-Dampness

Clinical Manifestations	Sudden onset of Cold-type abdominal pain The pain typically focuses around or lateral to the umbilical region or lower abdomen Epigastrium cold with pain Cramping The pain is alleviated by warmth and aggravated by pressure Chilliness Aversion to Cold Cold extremities Lack of thirst Clear urine Normal or soft stools Mild cases:   Constant pain Severe cases:   Sudden bouts of sharp   pain   Pain is aggravated by Cold   and relieved by warmth   And hot drinks   Cold hands and feet   T: Normal C: White and sticky P: Deep, wiry and slow	Cold Penetrates the Stomach and Intestines:   Pain is sudden and sharp   Pain relieved by warmth   Nausea   Vomiting   Diarrhea, loose stools   May be constipation   T: Pink   C: White   P: Deep and tight Retention of Fluid in the Stomach due to Cold:   Pain is dull   Pain relieved by warmth   Succussion sound in the   epigastrium on palpation   Vomiting of clear, watery   Fluid   T: Pink   C: White and sticky   P: Thready or Thready and       Slow Stomach Deficiency with Stagnation of Cold:   Pain is dull   Pain is relieved by warmth   And pressure   Vomiting clear, watery fluid   T: Pale   C: Thin and white   P: Deep and slow or Deep       And thready
Treatment Principle	Warm the Interior Dispel the Cold Support the Yang Stop pain
Herb Formulas	Liang Fu Wan with modifications Liang Fu Wan + Zheng Qi Tian Xiang San Mild cases: Gan Jiang Ren Shen Ban Xia Wan Severe cases:   Xiang Sha Liu Jun Zi Tang + Liang Fu Wan   Si Ni Tang External Cold Attack:   Li Zhong Tang   Fu Z i Li Zhong Wan With Constipation: Da Huang Fu Zi Tang With severe pain:  Da Jian Zhong Tang
Points	REN-6, REN-12, St-36, SP-4, GB-34, LI-4 With pain above the navel: REN-10, ST-24 With pain below the navel: ST-27 With pain along the sides of the abdomen: LIV-13 With pain around the navel: ST-25, REN-9, REN-7 With lower abdominal pain: REN-14 With severe pain:  SP-6, REN-6 With abdominal distention:  SP-4 REN-6, REN-12, UB-20, UB-21, ST- 21, ST-36, PC-6, SP-4 REN-12, REN-6, ST-25, ST-34, ST-36, ST-37, SP-4, SP-6 With vomiting:  PC-6 With severe pain or diarrhea: Strongly moxa REN-8 Ear Points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Sympathetic

Phlegm Obstructs The Heart Orifice: Yin Obstruction

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Cold extremities Retention of urine Constipation or diarrhea Fullness, pain, and a cold sensation in the chest and abdomen Abdominal pain with chest distention Vomiting An urge to vomit and defecate without doing either Excessive mucus and saliva Stiffness and spasm of limbs Pale face with bluish or purple lips Breath cold Limbs cold, pale and still Lying peacefully Coma Maybe hemiplegia Maybe aphasia Maybe facial paralysis T: Pale or Pink C: White and slippery or greasy P: Deep, slippery and even or Deep, Excess and slow or Wiry, tight and Excess
Treatment Principle	Open the Heart Orifice with Pungent Warming Herbs Eliminate Phlegm Subdue Wind
Herb Formulas	Su He Xiang Wan Di Tan Tang
Points	Bleed the Jing-Well points of the six hand channels DU-26, DU-20, KI-3, LIV-3, ST-40, PC-5, UB-20

Heart Yang Deficiency Exhaustion: Collapse Of Yang

Clinical Manifestations	Palpitations Shortness of breath Faint, weak respiration Drenched with perspiration Dizziness Above symptoms worse on exertion or when tired Four limbs cold Intolerance of Cold Cold abdominal pain An extremely pale face Cyanosis of mouth and lips Upset stomach Loose stools T: Pale P: Minute (on the point of collapse)
Treatment Principle	Return Yang Consolidate Exhaustion
Herb Formulas	Shen Fu Tang
Points	Moxa REN-8 Moxa-needle REN-4, REN-6, ST-36, DU-25 Shock: PC-6 In combination with DU-25 DU-26 PC-9 KI-1

Heart Yang Deficiency: Water Qi Insults The Heart With Kidney Yang Deficiency

Clinical Manifestations	Palpitations Dysuria Shortness of breath Dyspnea Dizziness Muscular twitching Whole body edema Cold body Icy limbs Cold abdomen with watery stools (Kidney and Spleen Yang Deficiency Edema of limbs Cough Pale complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Abdominal pain Diarrhea T: Pale or Purple (Lavender) C: White and greasy P: Deep or Deep and minute
Treatment Principle	Support Yang Expel Cold Promote Diuresis
Herb Formulas	Zhen Wu Tang
Points	Moxa needle SP-6, SP-9, KI-3, KI-7, UB-15, UB-23, PC-5, PC-6, REN-17, REN-9, REN-6, REN-4 With Heart Yang Deficiency:  UB-15, REN-17, PC-6, PC-5 With Kidney Yang Deficiency:  UB-23, DU-4, REN-4, KI-3 For diuresis: KI-7, REN-4, REN-6, SP-6, SP-9

Heart Yang Not Vigorous: Water Qi Insults The Heart With Kidney And Spleen Yang Deficiency

Clinical Manifestations	Palpitations Dysuria Shortness of breath Dyspnea Dizziness Muscular twitching Whole body edema Cold body Icy limbs Cold abdomen with watery stools Edema of limbs Cough Pale complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Abdominal pain Diarrhea T: Pale or Purple (Lavender) C: White and greasy P: Deep or Deep and minute
Treatment Principle	Support Yang Expel Cold Promote Diuresis
Herb Formulas	Zhen Wu Tang
Points	Moxa needle UB-15, UB-23, REN-17, REN-4, PC-6, PC-5, DU-4, KI-3 For diuresis: Moxa needle KI-7, REN-9, REN-6, SP-6, SP-9

Cold Stagnation In The Liver Channel

Clinical Manifestations	Lower abdominal coldness and pain Lower abdominal spasms Swelling and pain in scrotum as if testicles were being pulled downward                                                     Or Contractions and cold sensations of scrotum which are alleviated by warmth Penile retraction with a cold scrotum Pain, distention, fullness and cold sensation in lower abdomen Cold limbs Dislike of cold and preference for warmth Menstrual pain and hardness Hypochondriac pain Flank pain A bright white complexion T: Pale C: White, greasy or glossy P: Deep and wiry or Slow or Deep and Excess or Wiry and tight or Deep and tight
Treatment Principle	Warm the Liver channel Dispel Cold Stop pain
Herb Formulas	Nuan Gan Jian Tian Tai Wu Yao San Si Ni Tang + Wu Zhu Yu Tang Nuan Gan Jian + Er Chen Tang Dang Gui Si Ni Tang Shao Fu Zhu Yu Tang
Points	Moxa-needle REN-4, SP-6, LIV-1 Moxa SP-6, SP-12, Moxa-needle LIV-12, LIV-8, LIV-1 For painful menstruation:  SP-8,  Moxa REN-3, For severe lower abdominal pain involving the periumbilical region: LIV-6 For clear, thin vaginal discharge: GB-26

Kidney Yang Deficiency

Clinical Manifestations	Cold abdomen Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs Fatigue General debility Pale or bright white face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Maybe dribbling urination Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence, spermatorrhea, premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or daybreak diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang Scatter Cold
Herb Formulas	Jin Gui Shen Qi Wan Si Shen Wan
Points	KI-3, Moxa UB-23, DU-4, REN-4, For retention of urine, chronic diarrhea and rectal prolapse: Moxa DU-20 For severe and incessant diarrhea:  Moxa REN-8 For spermatorrhea:   KI-3, Moxa REN-4, DU-4, UB-23, DU-20 For daybreak diarrhea: DU-20, Moxa UB-23, DU-4, REN-4, Moxa REN-11, REN-8, REN-4, Moxa-needle UB-20, UB-21, UB-23 For impotence:  Moxa REN-4 For clear, cold vaginal discharge: SP-9 For dizziness: Moxa DU-20 For sleepiness: UB-62

Jing And Blood Deficiency Due To Heart, Spleen And Kidney Deficiency

Clinical Manifestations	Cold abdomen Fatigue Heavy and painful lower back Dream-disturbed sleep General weakness Lack of interest in food or drink Fever Night sweats Seminal emission Forgetfulness Toothache Dizziness Gum swelling General pitted edema which is worse in the lower body Vaginal discharge Discharge of rice-water like urination without dysuria Aversion to Cold Impotence Decreased libido Emaciation Loose teeth Signs of premature aging Easily frightened T: Pale or Pale and thick C: Smooth and white P: Moderate and weak or Deep and weak
Treatment Principle	Tonify the Spleen and Kidneys Nourish the Heart Enrich Yin Nourish the Blood and Yang Augment Qi Supplement Jing
Herb Formulas	Huan Shao Dan
Points

Deficiency Cold Of The Chong And Ren Channels

Clinical Manifestations	Lower abdominal Cold, distention and pain Sporadic abdominal pain which is better with warmth pressure Irregular menstruation (usually long and heavy or scant with clots) Delayed menstruation with a small amount of pale Blood Mild, persistent uterine bleeding Lumbar and sacral pain which are worse following menstruation or when tired Profuse, clear, watery leukorrhea Maybe infertility Maybe dark rings around the eyes Palpitations Shortness of breath Faint, weak respiration Drenched with perspiration Dizziness Above symptoms worse on exertion or when tired Four limbs cold Intolerance of Cold Cold abdominal pain An extremely pale face Cyanosis of mouth and lips Reduced appetite Fatigue Upset stomach Loose stools T: Pale and thick with teeth marks C: White and greasy P: Minute (on the point of collapse) or Deep and slow
Treatment Principle	Return Yang Scatter Cold Consolidate Exhaustion
Herb Formulas	Shen Fu Tang Wen Jing Tang Ai Fu Nuan Gong Wan
Points	Moxa REN-8, Moxa-needle REN-4, REN-6, ST-36, DU-25 For shock:  PC-6 In combination with DU-25,  DU-26, PC-9, KI-1 Moxa REN-4, REN-8, Moxa-needle UB-23, UB-26, DU-4 For menstruation with clots: SP-10, SP-6 For infertility: Bao Men Zi Hu (3 cun below the umbilicus and 2 cun lateral to the umbilicus) For clear, thin vaginal discharge: UB-52, GB-26 For lower abdominal pain: SP-8 For dysmenorrhea: SP-10, ST-29

Blood Stagnation In The Lower Jiao Due To Cold

Clinical Manifestations	Cold abdomen and testicles Bloody semen Cold limbs A pale face P: Slow
Treatment Principle	Invigorate the Blood Promote the movement of Qi Dispel Blood Stasis Warm and regulate menstruation Unblock the collaterals Unblock painful obstruction Alleviate pain
Herb Formulas	Shao Fu Zhu Yu Tang
Points	Moxa REN-8, REN-4, REN-6, ST-36, SP-10, SP-6, UB-17

Deficiency Cold In The Uterus

Clinical Manifestations
Treatment Principle	Reinforces the Kidney and Liver Supports Yang Eliminates Cold Warms the uterus to help conception Regulates menstruation Nourishes the Blood Activates the Blood Thin and profuse leukorrhea Sallow complexion or Dark and gloomy complexion Pain of lower limbs Lassitude Lack of vitality Weakness Irregular circulation of channels Failure to conceive for a long time Intolerance of Cold Cold limbs Soreness of waist Pain in the lower back Long-term or heavy menstrual bleeding Painful menstruation which gets increasing worse Pelvic pain during intercourse Fullness and stuffiness in the hypochondriac region Dizziness Tinnitus Shortness of breath Difficult speech Delayed menstrual cycle Abdominal pain during menstruation Abdominal Cold pain which can be relieved by warmth Scanty menstruation Dark in color Blood masses or Amenorrhea Distending pain in the lower abdomen prior to or during menstruation which can be relieved by warmth T: Pale C: White or White and greasy fur P: Weak or Deep and tense pulse or Thready and weak or Deep and slow
Herb Formulas	Fu Ke Zhong Zi Wan
Points