Abdominal Pain

General

Clinical Manifestations	Abdominal pain
Treatment Principle
Herb Formulas	Xiao Chai Hu Tang Chai Hu Gui Zhi Tang During menstruation: Fu Ke Zhong Zi Wan Qing Chang Yin During pregnancy: Dang Gui Shao Yao San Postpartum: Yi Yi Ren Tang #1 Due to chills: Gui Zhi Jia Ge Gen Tang With dyspnea and asthma with sputum: Gui Zhi Jia Hou Po Xing Ren Tang Due to round worms: Dang Gui Long Hui Wan Due to Cold hernial disorders: Hei Xi Dan
Points	SP-4, SP-6, LIV-4, LIV-13, ST-22, ST-25, ST-37, REN-9, REN-12, LI-8, UB-57 LI-10, REN-12, ST-36 REN-12, REN-13 ST-36, REN-12,PC-6, SP-4 SP-4, PC-6, ST-36 SP-4, SP-12, PC-6, ST-36 Splinting pain: SP-8, SP-9, REN-10 With lumps: PC-6, KI-6 Ascending Colon: UB-26 Cecum: LIV-1, LIV-5, REN-5 Descending Colon: LI-4 Splenic angle: LI-10 Duodenum: GB-27 Hypogastrium: GB-26, GB-27, UB-30, SP-6, REN-5 Intestinal worms: UB-63, REN-13, REN-14 Tympanites: SP-9, LI-3 Spastic Colon: GB-20, UB-22 Transverse Colon: LI-10, UB-24 Umbilical: SI-8, ST-25, REN-7, REN-9 Small Intestine: SP-9, KI-1 Severe pain: ST-34 Flatulence: SP-4, SP-9, UB-47, UB-21, UB-20 Flatulence with tympanism: SP-3 Flatulence with pain: ST-36, LI-3, REN-9 Ear: Stomach, Sympathetic, Subcortex, Duodenum Cup: REN-12, ST-21, ST-36, KI-21, UB-18, UB-21, UB-22, PC-6 Acute: ST-34, UB-21

Tai Yang Zhong Feng

Clinical Manifestations	Aversion to Wind Mild, or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Headache Nausea Nasal irritation Nasal obstruction Tendency to snore Itchy throat Abdominal pain due to chills T: Normal C: Thin and white P: Superficial and slow or Moderate and maybe weak
Treatment Principle	Create sweat to relieve the Exterior and expel Wind Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas	Gui Zhi Tang With abdominal pain: Gui Zhi Jia Fu Zi Tang
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, Yintang With stiff neck and shoulders: + GB-21 With Dampness: + SP-6, SP-9 With dyspnea, asthma and sputum: Dingchuan, REN-22 With nocturnal emission, excess dreams, Cold lower extremities, dizziness and hair loss: + DU-4, KI-3, UB-23 With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: + REN-4 With sustained fever of long duration accompanied by severe chills: + DU-14

Tai Yang Shang Han With Qi Stagnation

Clinical Manifestations	Aversion to Cold Fever Headache Anhidrosis Anorexia Belching Aching shoulders Tinnitus Amenorrhea A gasping cough Focal distention in the chest and epigastrium A stifling sensation in the chest and epigastrium Vertigo Nausea T: Normal C: Thin and white P: Floating or Floating and sinking
Treatment Principle	Regulate Qi Release the Exterior
Herb Formulas	Xiang Su San
Points

Tai Yang Shang Han With Spleen And Stomach Deficiency

Clinical Manifestations	Chills and Fever Aversion to Cold Headache Anhidrosis Chest/gastric distension Gastric pain Nausea/vomiting Borborygmus Diarrhea (acute) Abdominal pain Thirst Dry throat T: Normal C:  Greasy, white P:  Floating, tight
Treatment Principle	Disperse Wind Relieve the Exterior Tonify the Spleen and Stomach
Herb Formulas	Huo Xiang Zheng Qi Tang
Points	DU-16, GB-20, UB-12 (Sedating technique) To Disperse the Lungs: UB-13 To strengthen the Spleen and Stomach: UB-20, REN-12, ST-36, LIV-13, SP-3 To promote sweat: LI-4, LU-7, SJ-5, KI-7

Yang Ming Jing

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability Restlessness Feverish body parts Red face Dry stools No constipation No aversion to Cold T:  Red, dry C:  Dry yellow P:  Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang With Qi and Body Fluid Deficiency: Bai Hu Jia Ren Shen Tang With diarrhea: Ge Gen Tang With vomiting but no diarrhea: Ge Gen Jia Ban Xia Tang With spontaneous perspiration without chills or an intensely ruddy complexion, rapid respiration, and cannot lie down: Gui Zhi Tang Chinese patent medicines: Niu Huang Qing Huo Wan Qing Fei Yi Huo Pian
Points	DU-14, LI-4, LI-11, ST-44, KI-3, KI-6, SP-6 With Qi and Body Fluid Deficiency: To nourish Yin and moisten: KI-3, KI-6, SP-6 To Tonify Qi: UB-20, REN-12, ST-36, REN-6, SP-3 To Clear Heat: DU-14, LI-11, ST-44 With diarrhea: To Expel Wind Cold: DU-16, GB-20, UB-12, LI-4, SJ-5 (Sedating technique) To Disperse the Lungs: LU-7, UB-13 To stop diarrhea:  Moxa ST-36, REN-8, REN-12, ST-25 With vomiting but no diarrhea: To Expel Wind Cold: DU-16, GB-20, UB-12, LI-4, SJ-5 (Sedating technique). To Disperse the Lungs: UB-7, UB-13 To stop vomiting: PC-6, SP-4

Yang Ming Fu

Clinical Manifestations	Abdominal pain (worse with pressure) The skin over the pain may feel warmer to the touch High fever (sometimes rises and falls) Great thirst A dry mouth Profuse perspiration Aversion to Heat Abdominal fullness and distension (worse with pressure) Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Concentrated urine Mental disturbances: Mentally unclear Delirious speech T: Red and dry, or black and moist C: Thick yellow or dry yellow P: Deep, strong and forceful
Treatment Principle	Purge
Herb Formulas	Da Cheng Qi Tang Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang With Qi and Blood Deficiency: Huang Long Tang Chinese Patent Medicines: Niu Huang Qing Huo Wan Qing Fei Yi Huo Pian
Points	DU-14, LI-4, LI-11, REN-12. ST-25, ST-34, ST-36, ST-37, ST-39, ST-44, SJ-5, SJ-6, UB-25 Ahshi points on the Bladder channel between UB-18 and UB-28, ST-25, ST-37, ST-39, ST-44, UB-25 With severe pain: + ST-34 With fever: + DU-14, LI-4, LI-11 With Shao Yang symptoms: + GB-34, GB-39, SJ-5 With constipation: +SJ-6 With diarrhea: + LI-11 Ear: Abdomen, Subcortex, Large Intestine, Small Intestine, Shenmen, Sympathetic

Shao Yang Fu With Tai Yang

Clinical Manifestations	Joint pain with a crackling sensation Epigastric pain Fatigue Gastrointestinal weakness Headache Heaviness in the head Fever Moderately severe chills Distension beneath the Heart Periumbilical or lower abdominal pain Tenseness around the pubic bone Subcostal pain Epigastric fullness Nausea Mild vomiting Mild thoraco-costal discomfort Costal distress Tension in the rectus abdominus Chest distension Abdominal pain Abdominal distension Constipation Irritability Insomnia Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Release the Exterior and muscle layer Harmonize and releases the Shao-Yang Harmonize the Liver, Spleen and Intestines
Herb Formulas	Chai Hu Gui Zhi Tang
Points	To treat the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 To Treat the Tai Yang: UB-12, GB-20

Shao Yang - Yang Ming

Clinical Manifestations	Abdominal pain Constipation Hypochondriac pain Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs T: Normal C: Greasy and white P: Deep, tight and wiry
Treatment Principle	Warm the Interior Disperse Cold Unblock the bowels Alleviate pain
Herb Formulas	Da Huang Fu Zi Tang
Points

Tai Yin Excess

Clinical Manifestations	Nausea Clear, frequent urination Lack of thirst Anorexia Vomit clear fluid Abdominal distension and pain (sharp) Diarrhea or loose stool Prefer warmth T:  Pale or pink C:  White P:  Slow, tight or soft
Treatment Principle	Regulate the Middle Warm the Middle Jiao Disperse Cold Relieve pain
Herb Formulas	Gui Zhi Jia Shao Yao Tang With Excess Cold: Fu Zi Li Zhong Tang With a need to purge: Fu Gui Li Zhong Tang
Points	To strengthen the Spleen and Stomach: ST-36, UB-20, UB-21, REN-10, LIV-13 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear Urination: Moxa REN-4, REN-6, UB-23 For diarrhea: Moxa REN-8

Tai Yin Deficiency

Clinical Manifestations	Clear, frequent urination Abdominal distension Anorexia Nausea Vomiting clear fluid Dull abdominal pain Diarrhea or loose stools Prefers warmth and pressure=Spleen and Kidney Yang Deficiency T:  Pale C:  White P:  Slow, sinking or soft and weak
Treatment Principle	Regulate the Middle Warm the Middle Jiao Disperse Cold
Herb Formulas	Li Zhong Tang With Excess Cold: Fu Zi Li Zhong Tang With a need to purge: Fu Gui Li Zhong Tang
Points	For pain and Cold: Moxa the abdomen To strengthen the Spleen and Stomach: ST-36, UB-20, UB-21, REN-10, LIV-13 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear Urination: Moxa REN-4, REN-6, UB-23 For diarrhea: Moxa REN-8

Extreme 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	Aversion to Cold Abdominal pain and Cold Curls up a lot Doesn't like to talk Tired Disoriented No spirit Dull Shen Cold extremities Diarrhea or loose stools or undigested food Clear, frequent urine Maybe nausea (wants to vomit but can't) No thirst Likes warm drinks Severe edema in chest T: Pale C: White P: Sinking and weak
Treatment Principle	Restore Yang Reverse inward energy Expel Cold
Herb Formulas	Si Ni Tang Shen Fu Tang If Cold is less severe: Wu Zhu Yu Tang
Points	Moxa REN-4, REN-6, REN-8, UB-15, UB-23, DU-4, ST-36, SP-6, LI-4, GB-20, needle DU-20 For loss of consciousness: KI-1, DU-26

Shao Yin Fluid Problems

Clinical Manifestations	Abdominal pain with Cold Aversion to Cold Curls up a lot Doesn't like to talk Tired No spirit Dull Shen Severe edema in the chest Cold extremities Diarrhea with loose stools No thirst Likes warm drinks Sluggish urination Vertigo Palpitations More water metabolism disturbance with excess fluid in the body: Abdomen = pain and Cold Lower Jiao = pain with difficult urination Intestines = watery stool Stomach = clear vomit      Lungs = cough, dyspnea, phlegm, and asthma      Extremities = edema, heaviness T: Pale with scallops C: White or greasy white P: Sinking, weak, may be soft or thready
Treatment Principle	Tonify Yang Strengthen water circulation
Herb Formulas	Zhen Wu Tang
Points	Moxa DU-20, DU-4, REN-4, REN-6, REN-8, UB-15, UB-23,ST-36 Needle REN-9, SP-6, SP-9, LI-4. UB-20, KI-3, KI-7

Jue Yin Cold

Clinical Manifestations	Abdominal pain Cold extremities Numb hands and feet Generalized body aches Paralysis of the extremities Induration and swelling of the scrotum Hypersalivation Limited movement of the joints Vomits clear fluid Vertex headache Body cold Diarrhea Abdominal pain referring to the testis Aversion to Cold A preference for Warmth Loose stools Chills and fever Complete exhaustion of Yan T: Normal OR Pale C: Thin and white P: Weak OR Tense and wiry
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity
Herb Formulas	Wu Tou Gui Zhi Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

Jue Yin Heat

Clinical Manifestations	Cold extremities Body hot and feverish due to lack of harmony of the Liver Qi Thirst Abdominal distention Fever Dark yellow urine T: Red P: Rapid and slippery
Treatment Principle	Clear Heat, Reverse reversals
Herb Formulas	Si Ni San For transmission of Heat from the Middle Jiao to the Large Intestine causing accumulation of Damp-Heat toxins: Bai Tou Weng Tang
Points	LIV-2, LIV-3, LIV-14, REN-12, PC-6, SP-6, DU-14, LI-4, LI-11

Jue Yin Cold And Heat

Clinical Manifestations	Recurrent abdominal pain Delirium Heat in upper body Cold in lower body Sensation of Qi rushing to the chest Vomits worms Persistent thirst Feverishness Anorexia (hungry but can't eat) Chronic diarrhea Cold extremities Maybe edema Vertex headache Vomits food Cardiac Heat with pain T: Red or pink or Pale and flabby C: Thick and greasy or thin P: Deep, thready and weak or wiry
Treatment Principle	Clear worms Clear Heat Revive Yang
Herb Formulas	Wu Mei Wan
Points	To clear worms: Moxa needle REN-4, REN-6, REN-8, ST-25 To clear Heat: DU-14, LI-11, LI-4, LIV-3 To revive Yang: Moxa REN-4, REN-6, REN-8, ST-36 To regulate the Qi of the chest: REN-17

Wen Bing - Wei Stage: Summerheat

Clinical Manifestations	Acute abdominal pain Fever and chills, fever more pronounced or Tidal fever Fever is unrelieved by sweating Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Foggy headaches Irritability Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Floating or Rapid and soft
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	Huang Lian Xiang Ru Yin Xing Ren Hua Shi Tang Superimposed with Wind-Cold: Xin Jia Xiang Ru Yin With Wind-Cold and Internal Dampness: Xiang Ru San With Damp Accumulation: Gui Ling Gan Lu Yin San Wu Xiang Ru Yin
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, LI-4, LI-11, REN-9, SJ-5, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20

Wen Bing - Wei Stage: Summerheat With Cold Complications

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 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	For Wind-Heat: GB-20, LI-4, LI-11, SJ-5, UB-12 For Headache: DU-23, DU-24, ST-8, Taiyang For Dampness: SP-6, SP-9, UB-20, REN-9, ST-28. For Cold: Moxa REN-4, REN-6, REN-12, ST-36

Wen Bing - Qi Stage Stomach Heat

Clinical Manifestations	High fever Profuse sweat Great thirst with desire to drink No chill Irritability Abdominal pain Dryness Restlessness Red face Dry stools No constipation No aversion to Cold Aversion to Heat Rough breathing Dark yellow urine T: Red C: Dry yellow P: Rolling, gigantic and rapid.
Treatment Principle	Clear Heat Reduce fever Moisten and replenish Body Fluids
Herb Formulas	Bai Hu Tang With Stomach Yin Deficiency:  Yi Wei Tang
Points	DU-14, LI 11, ST-37, ST-44

Wen Bing - Qi Stage Intestinal Dry Heat

Clinical Manifestations	High fever (sometimes rises and falls) Great thirst Profuse perspiration Aversion to Heat Abdominal pain (worse with pressure) Abdominal distension Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Mental disturbances: Mentally unclear Delirious speech T:  Red and dry, or black and moist C:  Thick yellow or dry yellow P:  Deep, strong and forceful
Treatment Principle	Purge
Herb Formulas	Da Cheng Qi Tang Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang
Points	DU-14, LI-4, LI-11, REN-12. ST-25, ST-34, ST-36, ST-37, ST-39, ST-44, SJ-5, SJ-6, UB-25

Wind-Damp Bi With Blood Deficiency And Blood Stagnation

Clinical Manifestations	Muscle aches Joint pain Radiating pain in the legs Low back pain Edema Numbness in the lower extremities Pain in the trunk and extremities Abdominal pain Sciatica Aversion to Wind and Cold Knee pain T: Pale or Pink with purple spots C: Normal P: Choppy or Taut
Treatment Principle	Unblock and relax the channels Activate the Blood Break up Blood Stasis Dispel Wind-Dampness Strengthen the tendons
Herb Formulas	Si Nu Jian Ren Shen Tang
Points

Lung And Spleen Qi Deficiency

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Warm and transform Phlegm-Dampness.
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang Bu Wei Fang Wu Ji San
Points	UB-13, UB-20, UB-43, LU-9, SP-3, ST-36, REN-17

Large Intestine Deficiency With Slippery Prolapse

Clinical Manifestations	Chronic dysentery or Chronic diarrhea or Rectal prolapse Dull abdominal pain with liking for warmth and pressure Borborygmus Cold limbs Poor appetite Mental fatigue T: Pale C: White P: Minute, thready and forceless
Treatment Principle	Benefit the Intestines Consolidate and constrict
Herb Formulas	Zhen Ren Yang Zang Tang
Points	Moxa or moxa needle ST-25, ST-37, UB-25, SJ-6, Moxa REN-8, REN-6 Moxa or moxa needle REN-12, REN-4, ST-25, ST-36, UB-25, SJ-6, SP-6

Large Intestine Excess Heat

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea (Heat knots or flows) Maybe fecal impaction with foul green spurious diarrhea (with a [palpable mass and pain in the left iliac fossa) Frequent flatulence A sensation of fullness in the chest and upper abdomen Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) Worse with pressure High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Irritability Scanty urination Delirium Pain in the left or right iliac fossa Maybe thick, malodorous vaginal discharge T: Pink, maybe prickles (swollen papillae on the tongue that look like thorns and are very sensitive to the touch) or Red C: Thick, yellow and dry P: Deep and Excess or Rapid and slippery
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Xiao Cheng Qi Tang Da Cheng Qi Tang With umbilical and right iliac fossa pain: Da Huang Mu Dan Tang
Points	LI-4, LI-11, LIV-2, REN-6, REN-12, SP-14, ST-37 With fever: + ST-44 With Yin Deficiency: + KI-6 With constipation: + SJ-6, ST-25 ST-25, ST-37, ST-44, UB-25, SJ-6, LI-4, LI-11 PC-6, ST-36, ST-43, ST-44 Ahshi points on the Bladder channel between UB-18 and UB-28, ST-25, ST-37, ST-39, ST-44, UB-25 With severe pain: + ST-34 With fever: + DU-14, LI-4, LI-11 With Shao Yang symptoms: + GB-34, GB-39, SJ-5 With constipation: +SJ-6 With diarrhea: + LI-11 Ear: Abdomen, Subcortex, Large Intestine, Small Intestine, Shenmen, Sympathetic

Large Intestine Damp-Heat

Clinical Manifestations	Diarrhea with tenesmus which intensifies after defecation Dysentery Frequent stools which are small in quantity Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and blood Burning hot sensation in anus Abdominal pain Severe lateral or central abdominal pain Urine short and red Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma Mouth dry but no desire to drink Body heavy Limbs tired Fullness in chest Lump in epigastrium Anorexia Vomiting T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate toxins Transform Dampness Stop dysentery
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang Chinese Patent Medicines: Huang Lian Jie Du Wan Huang Lian Su Pian Chuan Xin Lian Kang Yan Pian Long Dan Xie Gan Wan
Points	ST-25, ST-37, ST-44, UB-25, LI-4, LI-11, SP-9

Intestinal Abscess

Clinical Manifestations	Lower right quadrant pain Worse with pressure Pain is boring and fixed Pain may be not fixed Right foot wants to curl up May be fever May be nausea and vomiting T:Red C: Greasy yellow P: Rapid
Treatment Principle	Clear Heat Transform Dampness Invigorate the Blood circulation Conduct Stagnation
Herb Formulas	Da Huang Mu Dan Pi Tang Shen Ling Bai Zhu San San Wu Bei Ji Wan Da Cheng Qi Tang Chinese patent medicines: Huang Lian Jie Du Wan Huang Lian Su Pian Chuan Xin Lian Kang Yan Pian Long Dan Xie Gan Wan
Points	Lanweixue, ST-25, ST-36, ST-37 With fever: LI-4, LI-11 With nausea and vomiting: PC-6

Large Intestine Cold

Clinical Manifestations	Dull abdominal pain Cold abdomen Constipation Difficulty in passing stools 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	Ban Liu Wan Fu Zi Li Zhong Wan
Points	Moxa or moxa needle ST-25, ST-37, UB-25, SJ-6, Moxa REN-8, REN-6 Moxa or moxa needle REN-12, REN-4, ST-25, ST-36, UB-25, SJ-6, SP-6

Spleen Qi Deficiency

Clinical Manifestations	Slight, lingering abdominal pain that begins or worsens after eating a heavy meal or unusual foods Pain improves with rest and warm, light foods Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Belching Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Xiao Jian Zhong Tang Xiang Sha Liu Jun Zi Tang Bu Wei Fang Si Jun Zi Tang Yi Qi He Wei Jiao Nang Yi Qi Jian Pi With Blood Deficiency and Liver Cold: Dang Gui Sheng Jiang Yang Rou Tang With Qi Stagnation: Yi Gong San Chinese patent medicines: Si Jun Zi Pian Shen Ling Bai Zhu Wan
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 SP-3, SP-6, ST-36, UB-20 For chronic pain with Food Stagnation: + UB-25 For aggravation of the pain with stress: + LIV-3, UB-18 For chronic diarrhea: + SP-9

Spleen Deficiency Edema

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Maybe abdominal pain Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Wu Ling San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

Spleen Qi Deficiency With Phlegm-Damp Retention

Clinical Manifestations	Nausea and vomiting Emaciation Sallow complexion Anorexia with a full feeling after very little food Weak abdomen Belching Abdominal distention or pain (subtle) Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Chest fullness Acid regurgitation Epigastric distention or pain Muscle weakness in arms and legs Loose stools or diarrhea Maybe bleeding Thin muscles. Lethargy-fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe cold extremities Maybe borborygmus T: Pale and flabby - may have teeth marks C: Thin and white. P: Weak and Deficient
Treatment Principle	TonifY Qi Strengthen the Spleen Harmonize the Stomach Regulate Qi Stop pain
Herb Formulas	Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang Qing You Yi Wei Pian
Points	UB-20, LIV-13, SP-3, SP-5, SP-6, ST-36, ST-40, REN-12

Spleen Qi Sinking

Clinical Manifestations	Prolapse of one or more organs Sallow complexion Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Intermittent dull abdominal pain, better with warmth and pressure Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20, other points are selected according to the type of prolapse

Spleen Not Governing Blood

Clinical Manifestations	Abdominal pain Uterine bleeding (metrorrhagia) Excessive menstruation Menstruation with constant spotting Postpartum bleeding Bleeding during pregnancy The Blood is pale and thin without clots Weakness Sore lower back Post abortion bleeding Dull complexion Weakness and pain of the legs Light red, unelevated and indistinct eruptions T: Pale C: Thin and white or Whitish and moist P: Thready and weak
Treatment Principle	Nourish and warm the Blood Stop bleeding Regulate menstruation Calm the fetus Prevent miscarriage
Herb Formulas	Jiao Ai Tang Bu Wei Fang
Points	SP-1, SP-3, SP-10, UB-17, UB-20, ST-36, other points are selected according to signs and symptoms

Spleen Yang Deficiency

Clinical Manifestations	Abdominal pain with a Cold, cramping nature Pain worse after eating cold food A preference for warm drinks and food Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white or White and moist P: Deep and weak or Deep, slow and weak
Treatment Principle	Tonify Spleen Yang Warm the Center Dispel Cold Relieve pain
Herb Formulas	Fu Zi Li Zhong Tang Huang Qi Jian Zhong Tang Li Zhong Tang With Cold Accumulation in the Intestines: Wen Pi Tang With constipation: Wen Pi Tang With Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li Tang Chinese patent medicines: Fu Zi Li Zhong Wan
Points	Warm-needle UB-20, LIV-13, SP-3, SP-5, SP-6, ST-36, REN-12 Moxa or needle DU-4, KI-3, SP-3, SP-6, SP-9, UB-20, UB-23, UB-25 With severe abdominal pain: + moxa REN-6 With diarrhea in the elderly: + moxa REN-4, REN-8

Cold Accumulation In The Spleen And Stomach

Clinical Manifestations	Sudden, violent pain Pain responds to warmth Loose stools Diarrhea Nausea No thirst Clear urine T: Normal C: White or White and sticky P: Deep and tight or Deep, wiry and slow
Treatment Principle	Warm the abdomen Disperse Cold
Herb Formulas	Xiang Sha Liu Jun Zi Tang Fu Zi Li Zhong Wan Liang Fu Wan + Zheng Qi Tian Xiang San Chinese patent medicine: Chinese patent medicine: Liang Fu Wan
Points	GB-34, LI-4, REN-6, REN-12, SP-4, ST-36 For pain above the umbilicus: ST-24, REN-10 For pain below the umbilicus: ST-27 For pain associated with the sides of the abdomen: LIV-13 For around the umbilicus: REN-7, REN-9, ST-25 For pain in the lower abdomen: REN-14 For severe pain: moxa or moxa needle REN-6, SP-6 Above the umbilicus: SP-4, ST-24, REN-10 Around the umbilicus: KI-5, REN-6, ST-25 Lower abdomen: 1. SP-6, ST-29, REN-4, moxa REN-8 2. Moxa UB-20, UB-21, REN-6, REN-12, ST-21, ST-36, PC-6, SP-4 3. PC-6, ST-36, REN-11 4. REN-6, REN-10, REN-12, REN-13, PC-6, ST-21, ST-25, ST-34, ST-36 If chronic: Huatuojiaji

Cold-Dampness Invades The Spleen And Stomach

Clinical Manifestations	Sudden onset of abdominal pain Pain is alleviated by warmth Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Urgent diarrhea Borborygmus Maybe fever and chills Maybe headache Maybe nasal congestion No thirst or preference for hot drinks T: Pink C:Thick, white and greasy or sticky P: Deep and slow or Soft
Treatment Principle	Expel Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Huo Xiang Zheng Qi Tang Hou Po Wen Zhong Tang Chinese patent medicine: Huo Xiang Zheng Qi Wan
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 LI-4, SP-9, ST-25, ST-37, ST-38 For severe Cold: moxa REN-8 For severe pain above the navel: + REN-12, ST-36 For pain in the sides of the abdomen: + LIV-13 For pain in the lower abdomen: + moxa or moxa needle REN-4 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25

Spleen And Stomach Disharmony

Clinical Manifestations	Nausea/Vomiting Belching Chest fullness and distention Abdominal pain Indigestion T: Normal or Dark C: White P: Wiry
Treatment Principle	Harmonize the Middle Jiao Resolve Dampness Regulate Qi Reduce Food Stagnation
Herb Formulas	Xiang Sha Ping Wei Wan
Points

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Chronic, intermittent, dull abdominal pain which is better with warmth and pressure and ingesting warm fluids Waxy, pale or sallow lusterless complexion Anorexia (maybe with vomiting) Easily satiated Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations relieved by warmth Intolerance of Cold Cold limbs Feeling chilled Lethargy Fatigue Mental fatigue Depression Low spirits Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale maybe swollen C: White or Thin and white or White and greasy P: Deep, thready and forceless or Deep and weak or Thready and weak
Treatment Principle	Warm the Middle Jiao Strengthen the Spleen and Stomach
Herb Formulas	Huang Qi Jian Zhong Tang Li Zhong Tang Fu Zi Li Zhong Tan Wu Zhu Yu Tang Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Zhen Ren Yang Zang Tang Wen Wei Yin With abdominal distention: Zhi Shi Li Zhong Wan Leading to Blood Stagnation: Qi Fang Wei Tong Jiao Nang Chinese patent medicines: Fu Zi Li Zhong Wan Li Zhong Wan With Kidney Yang Deficiency: Jin Kui Shen Qi Wan With Qi and Blood Deficiency: Shi Quan Da Bu Wan
Points	Moxa or moxa needle KI-3, LI-11, REN-4, REN-6, REN-7, REN-12, SP-4, SP-6, ST-25, ST-30, ST-36 With nausea: + PC-6 With severe pain or diarrhea : + strong moxa REN-8 Ear: Abdomen, Large Intestine, Small Intestine, Stomach,Spleen, Shenmen, Adrenal, Sympathetic With abdominal distention: moxa or moxa needle DU-4, REN-4, REN-6, REN-12, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21, UB-23 With severe distention: + SP-1 With fluid retention and edema: + REN-9, SP-9 With Liver Qi Stagnation: + LIV-3, PC-6 Ear: Spleen. Stomach, Large Intestine, Abdomen, Adrenal

Spleen And Stomach Qi Deficiency With Phlegm-Damp Retention

Clinical Manifestations	Nausea and vomiting Emaciation Sallow complexion Anorexia with a full feeling after very little food Weak abdomen Belching Abdominal distention or pain (subtle) Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Chest fullness Acid regurgitation Epigastric distention or pain Muscle weakness in arms and legs Loose stools or diarrhea Maybe bleeding Thin muscles. Lethargy-fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe abundant clear urine Maybe cold extremities Maybe borborygmus T: Pale and flabby - may have teeth marks C: Thin and white. P: Weak and Deficient
Treatment Principle	Tonify Qi Strengthen the Spleen Harmonize the Stomach Regulate Qi Stop pain
Herb Formulas	Xiang Sha Liu Jun Zi Tang
Points

Damp Stagnation In The Spleen And Stomach

Clinical Manifestations	Indigestion A sensation of oppression in the chest Abdominal pain Nausea Vomiting Diarrhea Postpartum abdominal fullness and distention Abdominal fullness and distention with nausea and vomiting T: Pale and swollen C: Thick, white and greasy P: Slippery and even or Slow or Moderate
Treatment Principle	Strengthen Spleen and Stomach Harmonize the Middle Jiao Relieve Damp Stagnation
Herb Formulas	Jia Wei Ping Wei San
Points

Damp-Heat In The Spleen And Stomach

Clinical Manifestations	Headache Fever (maybe chills) Strong thirst with a desire to drink. Vomits immediately after drinking Urinary difficulty Edema General sensation of heaviness Diarrhea Irritability Simultaneous vomiting and diarrhea Throbbing sensations below umbilicus Vomits frothy saliva Abdominal pain and / or distention	Vertigo Dark urine Anxiety Jaundice Shortness of breath Cough Urinary retention Lower abdominal fullness Extreme thirst Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain Restlessness Slightly pale skin tone T: Normal C:Thick, yellow and greasy P: Soft and rapid
Treatment Principle	Clear Heat Resolve Dampness
Herb Formulas	Yin Chen Wu Ling Sanmodified Xiao Feng Sanmodified
Points	ST-36, ST-44, LI-11, SP-9, REN-12, UB-20 + Gall Bladder Damp Heat points

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Body cold 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
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Si Shen Wan Fu Zi Li Zhong Wan Dang Gui Shao Yao San With Water Flooding: Zhen Wu Tang
Points	UB-20, UB-23, ST-36, SP-6, SP-9, moxa REN-4. REN-12

Fluid Retention Due To Stomach Cold

Clinical Manifestations	Dull pain Pain relieved by warmth Succussion sound in epigastrium on Palpation
Treatment Principle	Warm Yang Strengthen the Spleen Promote Qi movement Promote urination
Herb Formulas	Shi Pi Yin
Points	PC-6, ST-36, ST-40, Moxa UB-20, UB-21, REN-4, REN-14, SP-9

Stomach Fire Blazing

Clinical Manifestations	Stomach pain Burning Heat and pain in the epigastrium Extreme Heat Irritating thirst: drinks copious fluids and prefers cold drinks Upper abdomen distension or tenderness Stomach fullness after meals Excessive appetite: hungry again quickly after eating (as if food vanishes) Belching Nausea Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Maybe vomiting right after eating Vomiting acid or undigested food Heartburn Chest pain Constipation Maybe scanty, red urine T:Red C: Thick, yellow and dry P: Slippery and rapid or Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San Mai Men Dong Tang modified
Points	REN-6, REN-10, REN-13, REN-14, ST-25, ST-36, ST-44 UB-21, ST-45, ST-44 , ST-43, ST-36, ST-34, ST-6, PC-6, PC-8, LI-4, LI-11

Stomach And Intestinal Damp Heat

Clinical Manifestations	Acute or subacute on set of abdominal pain Pain with diarrhea Diarrhea with tenesmus which intensifies after defecation Frequent stools which are small in quantity Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and blood Dysentery Patient feels heavy Patient feels worse after defecation Burning hot sensation in anus Fever Scanty dark urine or Urine short and red Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma Mouth dry but no desire to drink Limbs tired Fullness in chest Lump in epigastrium Anorexia Vomiting T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Detoxify Transform Dampness Stop dysentery.
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang modified Chinese patent medicine: Huang Lian Su Pian
Points	LI-4, LI-11, LIV-2, SP-9, SP-10, SP-15, ST-25, ST-37 During recovery stage: + ST-36 For severe pain: + REN-6 For high fever: + LI-1, SI-1, ST-44 For more mucus than Blood in the stool: + SP-3 For more Blood than mucus in the stool: + KI-6, SP-1 For tenesmus: + UB-29 For aggravation of abdominal pain by stress: + GB-20, UB-18 ST-25, ST-37, ST-44, UB-25, LI-4, LI-11, SP-9

Blood Stagnation In The Stomach

Clinical Manifestations	Fixed pain Sharp stabbing pain which connects to the sides Worse with pressure Palpable mass Hematemesis Hemafecia Black, tarry stool T: Purple or Purple spots C: White or Black P: Choppy
Treatment Principle	Activate Blood Remove Stagnation
Herb Formulas	Shi Xiao San Zhe Chong Yin Gui Zhi Fu Ling Wan Dan Shen Yin
Points	REN-4, REN-12, ST-36, PC-6, SP-4, SP-6, SP-10, UB-17, LIV-2 REN-6, REN-10, REN-12, REN-13, PC-6, ST-25, ST-36, UB-17, UB-18, UB-19, UB-20, UB-21

Food Stagnation In The Stomach

Clinical Manifestations	Epigastric fullness, distention and pain with dislike of pressure Abdominal pain and distention after overeating or eating fatty or greasy food which alleviated by defecation with a very strong foul odor Thirst Irritability Belching with rotten food smell Acid regurgitation Nausea Anorexia Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation Alleviate abdominal pain
Herb Formulas	Bao He Wan Zhi Shi Dao Zhi Wan Mu Xiang Bing Lan Wan
Points	LI-4, LI-11, REN-10, ST-21, ST-25 With thirst: + ST-44 With belching: + PC-6, SP-4 ST-36, ST-44, REN-12, PC-6, LIV-13 ST-21, ST-44, LIV-13 PC-6, ST-36, REN-11 REN-12, REN-10, PC-6, SP-4, ST-21, ST-36 ST-36, ST-44, REN-12, PC-6, SP-4, LIV-13 REN-6, REN-10, REN-12, REN-13, PC-6, ST-25, ST-36, ST-44 SP-4, PC-6, ST-25, ST-36, ST-44, REN-4, REN-12 Above the umbilicus: SP-4, ST-24, REN-10 Around the umbilicus: KI-5, REN-6, ST-25 Lower abdomen: SP-6, ST-29, REN-4 For vomiting: ST-25, ST-36, REN-12, PC-6, SP-4

Food Stagnation In The Stomach Transforming Into Damp-Heat With Intestinal Obstruction

Clinical Manifestations	Abdominal pain (worse with pressure) Abdominal and epigastric distention Dysentery Scanty dark urine Constipation T: Red C: Yellow and greasy or slippery P: Deep and Forceful
Treatment Principle	Reduce and guide out Stagnation and Accumulation Clear Heat Dispel Dampness
Herb Formulas	Zhi Shi Dao Zhi Wan
Points	ST-36, ST-44, REN-12, PC-6, LIV-13 ST-21, ST-44, LIV-13 PC-6, ST-36, REN-11 REN-12, REN-10, PC-6, SP-4, ST-21, ST-36 Lanweixue, ST-25, ST-36, ST-37 With fever: LI-4, LI-11 With nausea and vomiting: PC-6 For vomiting: ST-25, ST-36, REN-12, PC-6, SP-4

Stomach Qi Deficiency

Clinical Manifestations	Continuous pain in the Stomach Likes pressure Reduced appetite Pale face Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant T: Pale C: Thin and white P: Weak and Deficient or Empty, weak and slow
Treatment Principle	Strengthen Qi Invigorate the Spleen and Stomach
Herb Formulas	Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang Huang Qi Jian Zhong Tang
Points	UB-20, UB-21, ST-21, ST-36, SP-6, REN-6, REN-12 REN-6, REN-10, REN-12, REN-13, PC-6, ST-25, ST-36, UB-18, UB-20, UB-21 PC-6, REN-12, ST-36

Stomach Yin Deficiency

Clinical Manifestations	No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Yi Wei Tang
Points	KI-3, REN-12, SP-6, ST-36, UB-21

Heart Yang Not Vigorous: 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 or moxa-needle UB-15, UB-23, REN-4, REN-6, REN-9, REN-17, PC-5, PC-6, DU-4, KI-3, KI-7, SP-6, SP-9

Small Intestine Qi Pain

Clinical Manifestations	Vague lower abdominal pain Lower abdominal pain radiating to the testicles May be localized sensation of Cold Menstrual pain and hardness Hypochondriac pain Abdominal pain Mobile abdominal masses Swollen or distended testicles Flank pain Leukorrhea T: Pale C: White P: Deep and slow or Wiry and tight
Treatment Principle	Promote Qi movement Spread Liver Qi Scatter Cold Alleviate pain
Herb Formulas	Tian Tai Wu Yao Sanmodified
Points	ST-39, LIV-1, LIV-4, LIV-5, LIV-8, SP-6, REN-4

Small Intestine Deficiency Cold

Clinical Manifestations	Vague lower abdominal pain Desires Heat and pressure Loose stools Lethargy Borborygmus Feelings of Cold and heaviness Abdominal fullness intermittently Borborygmus Unformed, loose stools or Chronic, incessant diarrhea Urinary frequency T: Pale C: Thin and white P: Deep and even or Weak
Treatment Principle	Warm and Clear the Small Intestine
Herb Formulas	Li Zhong Tang
Points	Moxa LIV-13, REN-4, REN-12, SP-3, ST-25, ST-36, ST-37, ST-39, UB-20, UB-27

Liver Qi Stagnation

Clinical Manifestations	Abdominal pain, especially in stressful situations Lower abdominal pain Distention and pain in the sides or flanks Suffocating sensation in the chest A sense of fullness in the chest and hypochondrium Tendency to sigh Melancholy Depression Anorexia Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Irregular bowel movements Maybe diarrhea alternating with constipation T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe Liver Clear Stagnation Stop abdominal pain
Herb Formulas	Chai Hu Shu Gan Tang Chai Hu Shu Gan Tang + Liu Mo Tang Jie Gan Jian Chen Xiang San Huo Yu Tang Jian Wei Yu Yang Ke Li Turning to Heat with underlying Qi and Blood Deficiency: Jia Wei Xiao Yao San With Spleen Qi Stagnation with constipation: Liu Mo Tang With Spleen Dampness: Xiao Chai Hu Tang With pain and urgent diarrhea: Tong Xie Yao Fang With Qi and Blood Deficiency: Xiao Yao San Affecting the Liver channel and genitals: Tian Tai Wu Yao San During pregnancy: Xiao Yao San Jia Wei Xiao Yao San Chinese Patent Medicines: Chai Hu Shu Gan Wan With sluggish bowels and Food Stagnation: Mu Xiang Shun Qi Wan With constipation: Chen Xiang Hua Qi Wan For Qi Stagnation type pain: Shu Gan Wan With Qi and Blood Deficiency: Xiao Yao Wan
Points	LIV-3, LIV-13, LIV-14, PC-6, REN-12, REN-17, ST-25, ST-36 For pain above the navel: + REN-10 For pain below the navel: + REN-6 LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, UB-18, SP-6, GB-40, GB-41, PC-6, SJ-6 GB-34,  LIV-3, LIV-13, PC-6, REN-6, SJ-6, ST-21, ST-25, ST-36 With Blood or Yin Deficiency: + SP-6, UB-18, UB-23 With severe pain: + LIV-5, SP-8 With testicular pain: + LIV-5 With nervousness, anxiety or tension: + HT-7, Yintang Ear: Shenmen, Liver, Abdomen, Stomach, Large Intestine, Small Intestine, Subcortex, Endocrine, Sympathetic

Liver Qi Stagnation Attacks The Spleen

Clinical Manifestations	Sudden onset of abdominal pain in stressful situations Abdominal distention Gas Borborygmus Cramping which starts with an urge to defecate and subsides after completion Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white or White and greasy P: Slippery and wiry or Wiry and moderate
Treatment Principle	Soothe the Liver Invigorate the Spleen Stop abdominal pain
Herb Formulas	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San Si Ni San Chai Hu Shu Gan Tang Shao Yao Gan Cao Tang Chinese patent medicine: Chai Hu Shu Gan Wan
Points	LIV-3, LIV-14, PC-6, SP-3, SP-6, ST-36 With vomiting: + REN-12 With irritability: + LIV-2 With severe diarrhea: + SP-9, ST-25 LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Qi Stagnation Attacks The Stomach

Clinical Manifestations	Hypochondriac pain Headache Vertigo Bitter taste in the mouth Dizziness Frequent sighing Epigastric pain and distention Flatulence Dry mouth and throat Fatigue Anorexia Alternating chills and fever Irregular menstruation Breast distention Lassitude Insomnia Shoulder and back pain Rib pain Various types of menstrual discharges Premenstrual cramps	Excessive menstrual bleeding Tightness or fullness in the chest Cold extremities Pain in the arms and legs Heaviness of the head Night sweats Bloating and pain at the umbilicus and abdomen Diarrhea alternating with constipation Five sole heat Palpitations Malar flush Depression Irritability Increased desire to sleep Flatulence T: Pink C: Thin white or yellow P: Wiry and deficient or Wiry, and rapid
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Chai Hu Shu Gan Tang Zuo Jin Wan Xiao Yao San Hei Xiao Yao San Chen Xiang Jiang Qi Tang
Points	LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, UB-18, SP-6, GB-40, GB-41, PC-6, SJ-6 LIV-2, LIV-14, PC-6, REN-12

Liver Qi And Blood Stagnation

Clinical Manifestations	Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Dark purple (maybe purple spots on edge of tongue) C: Normal P: Wiry, choppy and slow
Treatment Principle	Activate Blood circulation Soften hardness
Herb Formulas	Ge Xia Zhu Yu Tang Shi Xiao San
Points	PC-6, ST-36, REN-17, LIV-3, LIV-14 LIV-3, LIV-14, LIV-13, SP-6, UB-17

Liver Fire Attacks The Stomach

Clinical Manifestations	Restlessness Easily angered Regurgitation of gastric acid Stomach pain Hungers easily Dry mouth Bitter taste in mouth T: Red C: Yellow P: Wiry and Rapid
Treatment Principle	Reduce Liver Fire
Herb Formulas	Hua Gan Jian
Points	ST-36, REN-12, SP-4, PC-6, LIV-2, LIV-14, LI-4, LI-11 PC-6, ST-36, REN-12, LIV-2, LIV-3

Liver And Gall Bladder Damp-Heat

Clinical Manifestations	Sore right upper quadrant Pain and fullness in ribs on both sides Maybe jaundice Yang jaundice (sclera and skin bright yellow) Bitter taste in mouth Nausea Vomiting sour and bitter fluids Food repulsion Anorexia Maybe alternating chills and fever Concentrated, dark urine Abdominal distention Yellow vaginal discharge with foul smell Pruritis vulvae Pain, swelling and burning sensations of testicles T: Pink C: Yellow and greasy or sticky. P: Wiry and rapid or Slippery and rapid
Treatment Principle	Clear Dampness Purge Heat from the Liver and Gall Bladder
Herb Formulas	Long Gan Xie Gan Tang
Points	DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48, Dannangxue

Cold Stagnation In The Liver Channel

Clinical Manifestations	Swelling and pain in scrotum as if testicles were being pulled downward or Swollen or distended testicles or Contractions and cold sensations of scrotum which are alleviated by warmth Pain, distention, fullness and cold sensation in lower abdomen Cold limbs Dislike of cold and preference for warmth Lower abdominal pain radiating to the testicles May be localized sensation of Cold Menstrual pain and hardness Hypochondriac pain Abdominal pain Mobile abdominal masses Flank pain Leukorrhea T: Pale C: White or White and greasy P: Deep and slow or Wiry and tight or Deep and wiry or Slow or Deep and Excess
Treatment Principle	Warm the Liver Dispel Cold.
Herb Formulas	Tian Tai Wu Yao San Nuan Gan Jian
Points	Moxa or moxa-needle REN-4. SP-6, LIV-1

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia 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 "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	You Gui Yin
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Yang Deficiency With Internal Cold

Clinical Manifestations	Extremely cold extremities Aversion to Cold Sleeping with knees drawn up Lethargy with a constant desire to sleep Vomiting Diarrhea with undigested food Abdominal pain and Cold Lack of thirst Coma Indigestion Edema Pale face Superficial fever Red face Cyanosis of the lips and nails T: Pale or Dark purple C: White and slippery P: Deep and thready or Deep and slow or Deep and faint
Treatment Principle	Rescue Yang Warm the Middle Jiao Disperse Internal Cold Stop diarrhea
Herb Formulas	Si Ni Tang During pregnancy: Jiao Ai Tang
Points

Yang Deficiency With Internal Cold-Damp

Clinical Manifestations	Lower abdominal pain and Cold Abdomen feels chilled Aching bones and joints Muscle ache Whole body pain Aversion to Cold, especially at the back Cold limbs No Thirst Lower abdominal pain and Cold Abdomen feels chilled Maybe fever No thirst T: Normal C: White and slippery P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle	Dispel Cold Warm the channels Assist Yang Dispel Dampness Relieve pain
Herb Formulas	Fu Zi Tang
Points

Abdominal Deficiency Cold

Clinical Manifestations	Pain not severe No thirst Clear urine Likes warmth Better with pressure T: Pale C: Normal P: Deep and Wiry
Treatment Principle	Nourish the Spleen Warm abdomen
Herb Formulas	Wu Zhu Yu Tang Ban Liu Wan
Points	Moxa SP-4, SP-6, ST-25, ST-36, REN-4, REN-12

Cold Obstructing The Abdomen

Clinical Manifestations	Sudden, urgent, severe pain Pain is relieved by warmth Pain is worse with cold No thirst Clear urine Maybe loose stools Diarrhea Nausea T: Pale C: White P: Deep and tight or Slow
Treatment Principle	Warm the abdomen
Herb Formulas	Wu Zhu Yu Tang San Wu Bei Ji Wan
Points	SP-4, PC-6. ST-25, ST-36, REN-4, REN-12 Above the umbilicus: SP-4, ST-24 Around the umbilicus: KI-5, ST-25, REN-6 Below the umbilicus: SP-6, ST-29, REN-4, moxa REN-8 Moxa UB-20, UB-21, REN-6, REN-12, ST-21, ST-36, PC-6, SP-4 PC-6, ST-36, REN-11 If chronic:add Huatuojiaji REN-6, REN-10, REN-12, REN-13, PC-6, ST-21, ST-25, ST-34, ST-36

Heat Obstructing The Abdomen

Clinical Manifestations	Painful, distended abdomen which is worse with pressure Warm body and abdomen High fever or Tidal fever Vomiting Constipation Yellow or red scanty urine Irritability Restlessness Sweating over the whole body or just the hands and feet Thirst Dry mouth Likes cold drinks With Heat in the Intestines: Pain in the left or right iliac fossa Constipation or Diarrhea or Constipation and diarrhea Maybe fecal impaction with foul, green, spurious diarrhea with a palpable mass and pain in the left iliac fossa Frequent flatulence With Heat in the Uterus: Lower abdominal pain Thick, yellow, malodorous vaginal discharge Maybe constipation Acute cases: Chills Rigors T: Normal or Red or Red spots C: Yellow or greasy yellow or Brown P: Rapid and full or Rapid and slippery or Bounding, rapid and slippery Deep and strong
Treatment Principle	Clear Heat Stop pain Purge Dry Damp Clear Damp-Heat Eliminate Toxic-Heat
Herb Formulas	Da Cheng Qi Tang With umbilical and right iliac fossa pain: Da Huang Mu Dan Pi Tang
Points	SP-4, PC-6, ST-25, ST-36, REN-4, REN-12, LI-4 ST-25, ST-37, ST-39, ST-44, UB-25, Ahshi points between UB-18 and UB-28 With severe pain: + ST-34 With fever: + DU-14, LI-4, LI-11 With Shao Yang symptoms: + GB-34, GB-39, SJ-5 With constipation: + SJ-6 With diarrhea: + LI-11 Ear: Abdomen, Stomach, Large Intestine, Small Intestine, Shenmen, Sympathetic

Qi And Blood Stagnation

Clinical Manifestations	Heart pain Stomach pain Abdominal pain Back pain Leg pain Arm pain Bruising and swelling due to traumatic injury Rheumatic pain Fixed abdominal masses Internal or external ulcerations Dark or echymosis spots Scrofula C: Normal P: Wiry or Choppy
Treatment Principle	Activate the Blood Dispel Blood Stasis Unblock the collaterals Alleviate pain
Herb Formulas	Huo Luo Xiao Ling Dan
Points

Qi , Blood And Phlegm Stagnation

Clinical Manifestations	Immobile masses below the hypochondrium or in the abdomen Abdominal pain Emaciation Poor appetite Alternating chills and fever Amenorrhea Hard abdominal masses that produce pain Aggravated by pressure Hypochondriac distention T: Purple with echymoses P: Choppy
Treatment Principle	Activate the Blood Remove Stasis Circulate Qi Resolve Phlegm Eliminate accumulations Soften and resolve hard masses
Herb Formulas	Bie Jia Jian Wan
Points

Qi Rebellion Damaging The Channels

Clinical Manifestations	Bleeding gums Spasmatic cough Radiating chest and lateral-costal pain Red tinged Phlegm A dry mouth Irritating Heat Epistaxis Abdominal glomus and pain Black colored stools Dizziness Tidal fever Short, red urination T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Calm the Shen Open the Channels Descend Qi Transform Stasis Clear Heat Cool the Blood Stop bleeding
Herb Formulas	Qi Rebellion #1
Points

Qi And Blood Deficiency

Clinical Manifestations	Irregular menstruation Reduced appetite Soreness in the lower back Red and white vaginal discharge Weak extremities Abdominal distention Pallid or sallow complexion Palpitations with anxiety that may be continuous Reduced appetite Shortness of breath Laconic speech Easily fatigued extremities Light-headedness and/or vertigo Dizziness Anorexia Thirst Course skin Headache Blurred vision Lassitude Severe chills and fever Midline pain in women Lower abdominal pain Lower abdominal distention Severe chills and fever Irregular menstruation Weight loss Abscesses that neither suppurate nor improve Continuous spotting from uterine bleeding Weakness of the limbs Itching Under weight T: Pale C: Thin and white P: Thin and frail or Large and Deficient without strength
Treatment Principle	Tonify and augment Qi and Blood
Herb Formulas	Ba Zhen Yi Mu Wan + Shen Fu Tang Gui Qi Jian Zhang
Points

Qi , Blood And Yang Deficiency

Clinical Manifestations	Fatigue Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods Chills Cold limbs Inability to get warm Loose stools Profuse clear urine Spontaneous sweating Lassitude T: Pale C: White or Thin, white and dry P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle	Tonify Qi and Blood Strengthen the Spleen Tonify Yang
Herb Formulas	Ren Shen Dang Shao San
Points

Blood Deficiency

Clinical Manifestations	Empty pain Abdominal pain in women Dark yellow face Palpitations Insomnia Dizziness Blurred vision Pale, lusterless complexion Pale nails Pale lips Generalized muscle tension Irregular menstruation with little flow Amenorrhea Periumbilical pain Lower abdominal pain Vertigo Tinnitus Blurred vision Spotting of pale Blood Postpartum uterine bleeding Maybe five sole heat Delayed menstruation Dry skin Maybe leukorrhea Maybe fever Firm, painful abdomen Sporadic fever and chills Menorrhagia Hard abdominal masses with recurrent pain Unstable fetus with bleeding Chills and fever T: Pale C: Normal P: Thready and wiry or Thready and choppy
Treatment Principle	Tonify the Blood
Herb Formulas	Si Wu Tang Dang Gui Jian Zhong Tang During pregnancy: Dang Gui Shao Yao San
Points	SP-6, SP-8

Blood Stagnation

Clinical Manifestations	Stabbing pain in the abdomen with a fixed location Aggravation of the pain at night Maybe a palpable mass in the abdomen Purple lips and nails A dark complexion T: Purple or Purple spots on the edges P: Choppy deep and wiry or Choppy, deep and tight
Treatment Principle	Activate the Blood Circulate Qi Eliminate Blood Stasis Alleviate the pain
Herb Formulas	Ge Xia Zhu Yu Tang Shao Fu Zhu Yu Tang Da Huang Zhe Chong Wan Huo Xue Hua Yu Shuang Bai San With Phlegm Stagnation: Gui Zhi Fu Ling Wan Due to a mild attack of Wind-Cold with Qi Deficiency: Huang Qi Gui Zhi Wu Wu Tang Chinese patent medicine: Yan Hu Suo Zhi Tong Pian
Points	UB-17, UB-18, UB-40, LIV-13, LIV-14, GB-40, PC-6 LIV-3, LIV-14, PC-6, REN-6, SP-6, UB-17

Blood Stagnation With Liver Fire

Clinical Manifestations	Extreme pain when pressed Painful whether pressed or not Pain continuous No swelling Disease mild during the day and worse at night P: Short and rough
Treatment Principle	Invigorate the Blood Dispel Stasis Calm the Liver Clear Heat
Herb Formulas	Long Dan Xie Gan Tang + Ge Xia Zhu Yu Tang
Points	UB-17, UB-18, UB-40, LIV-13, LIV-14, GB-40, PC-6

Blood Stagnation Due To Blood Deficiency

Clinical Manifestations	Abdominal pain in women Dizziness Blurred vision Pale, lusterless complexion Pale nails Pale lips Generalized muscle tension Irregular menstruation with little flow Amenorrhea Periumbilical pain Lower abdominal pain Vertigo Tinnitus Blurred vision Insomnia Spotting of pale Blood Postpartum uterine bleeding Maybe five sole Heat Delayed menstruation Palpitations Dizziness Dry skin Maybe leukorrhea Maybe fever Firm, painful abdomen Sporadic fever and chills Dysmenorrhea Breast distention and pain before and during menses Menorrhagia Hard abdominal masses with recurrent pain Unstable fetus with bleeding Chills and fever T: Pale C: Normal P: Thready and wiry or Thready and choppy
Treatment Principle	Nourish the Blood Invigorate the Blood Dispel Stasis
Herb Formulas	Si Wu Tang + Blood activators Tao Hong Si Wu Tang
Points

Blood Stagnation Due To Qi And Blood Deficiency

Clinical Manifestations	Abdominal pain Flank distention and fullness Dizziness Blurred vision Tinnitus Excessive loss of Blood Emotional instability Fullness and distention of the hypochondrium Epigastric pain Aversion to Cold Prolonged lochia Excessive postpartum bleeding Profuse bleeding Puerperal fever Spontaneous sweating Dry mouth Heart irritability Light headedness Delirium Irritability Nausea Vomiting Nervousness Anorexia T: Pale C: Slippery P: Weak and Deep
Treatment Principle	Tonify Qi and Blood Invigorate the Blood Regulate Qi Transform Stasis Harmonize the Liver and Spleen Regulate menstruation
Herb Formulas	Xiong Gui Tiao Xie Tang
Points

Blood Deficiency With Heat

Clinical Manifestations	Chronic, continuous uterine bleeding A pale complexion Stabbing pain in the abdomen Alternating chills and fever Irregular menstruation with profuse bleeding Abdominal pain Fever Thirst Itchy skin Heat in the upper body with Cold in the lower body Irritability and restlessness despite fatigue and exhaustion Mood swings A sallow complexion Emaciation T: Dry with a red tip C: Thin white P: Deep and rapid
Treatment Principle	Drain Fire Resolve toxicity Tonify the Blood Stop bleeding Warm the menses Cool the Blood
Herb Formulas	Wen Qing Yin
Points

Blood And Yin Deficiency

Clinical Manifestations	Tidal fever Unstable pregnancy Postpartum weakness Sore back Hysteria Thirst History of habitual miscarriage Difficult labor Postpartum anemia Abdominal pain Dryness T: Pale red C: Little of None P: Thready or Thready and rapid
Treatment Principle	Dispel Heat Nourish the Blood Strengthen the Spleen Prevent gynecological problems
Herb Formulas	Dang Gui San
Points

Cold And Blood Stagnation In The Channels

Clinical Manifestations	Abdominal pain with icy cold hands and feet Extremities are cyanotic and difficult to warm up P: Thready or Imperceptible
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the channels
Herb Formulas	Dang Gui Si Ni Tang
Points

Collapse Of Yang

Clinical Manifestations	Cold extremities Spontaneous perspiration Weak breathing Shortness of breath Dizziness An extremely pale face Intolerance of Cold Cold abdominal pain Loose stools Upset stomach T: Pale C: White P: Minute (almost imperceptible)
Treatment Principle	Restore Yang Strongly tonify Yuan Qi Rescue Qi from collapse due to Vanquished Yang
Herb Formulas	Shen Fu Tang
Points

Damp-Heat Sudden Turmoil Disorder

Clinical Manifestations	Vomiting Diarrhea Spasms Cramps Thirst Irritability Oliguria with reddish urine Restlessness Arthralgia with a burning sensation, redness and swelling Abdominal pain T: Pink C: Thick, dry and yellow or Yellow and greasy P: Soggy and rapid or Floating and rapid or Floating, soft and rapid
Treatment Principle	Clear Heat Resolve Dampness Separate the clear from the turbid
Herb Formulas	Can Shi Tang
Points

Phlegm-Damp (Tan Yin)

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Kai Yu Er Chen Tang
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Turbid Phlegm Obstructing The Channels And Collaterals

Clinical Manifestations	Sudden collapse Loss of consciousness Clenched jaws Fullness, extreme pain, and a cold sensation in the chest and abdomen Purple or blue lips Sudden loss of consciousness Coma An urge to vomit and defecate without doing either Abdominal pain with chest distention Mental upset Paraphasia Diarrhea Vomiting Excessive mucus and saliva Breath cold Pale complexion Cold extremities Staring eyes T Pale C: White and slippery or greasy P: Deep and slippery or Deep, excess and slow or Wiry, tight and Excess
Treatment Principle	Warm and Aromatically Open the Orifices Move Qi Expel dirt Transform turbidity
Herb Formulas	Su He Xiang Wan
Points

Turbid Dampness In The San Jiao

Clinical Manifestations	General edema of the body and extremities Dysuria Oliguria Orthopnea Pitting edema Dyspnea Anorexia Abdominal fullness and pain T: Thick C: White and thick P: Slow or Wiry
Treatment Principle	Dispel Stagnant Water Dry Dampness Eliminate water from the Lungs Harmonize the Spleen Relieve edema Move Qi
Herb Formulas	Dao Shui Fu Ling Tang
Points

San Jiao - Middle Jiao Cold-Damp

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 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 Acute gastritis Thirst Dry throat T: Normal C: Greasy and white P: Moderate and soggy or floating and forceful
Treatment Principle	Transforms Dampness Regulates Qi Warm and harmonizes the Middle Jiao
Herb Formulas	Huo Xiang Zheng Qi Tang
Points	Moxa REN-12, REN-6, ST-25, ST-36, SP-9

Damp-Heat In The Middle Jiao

Clinical Manifestations	Lethargy Anorexia Maybe jaundice No thirst or Thirst with no desire to drink Nausea Vomiting Afternoon fever Body aches A sallow complexion Scanty urination Diarrhea Chest discomfort Epigastric pain and distention Dull appearance Maybe disorientation Loose stools Maybe skin vesicles Heavy extremities Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Vomiting Borborygmus Diarrhea Anorexia Stomach pain Abdominal pain Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Nausea Ascites Gurgling sounds T: Normal or with a red tip C: Thin, yellow and greasy P: Soft and rapid or Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Clear Heat Resolve Damp and turbidity
Herb Formulas	Ban Xia Xie Xin Tang Lian Po Yin
Points	REN-6, REN-12, SP-9, ST-25, ST-36

Middle Jiao Yang Deficiency With Cold Retention

Clinical Manifestations	Excruciating epigastric and abdominal pain to the point of not being able to to be touched Gastric and Intestinal spasms May be borborygmus. Vomiting to the point of not being able to eat Superficial skin pulsations throughout the abdomen May be cold limbs Strong sensation of Cold in the chest and epigastrium. Severe pain in the head and feet T: Pale or Dark purple C: White and greasy or Slippery P: Thin and tight or slow and wiry or Deep and thready or Hidden
Treatment Principle	Warm and tonify Middle Jiao Yang Descend rebellious Qi Relieve pain
Herb Formulas	Da Jian Zhong Tang
Points

Middle Jiao Deficiency With Food Stagnation And Dampness

Clinical Manifestations	No desire to eat or drink Diarrhea Abdominal pain Nausea Vomiting Belching with a rotten or sour smell T: Pale and thick C: Greasy or Turbid P: Weak and soggy
Treatment Principle	Augment the Spleen Transform Dampness Harmonize the Stomach Dispel Food Stagnation Relieve diarrhea and vomiting
Herb Formulas	Qi Pi Wan Shuang Bai San
Points

Deficiency Cold In The Lower Jiao

Clinical Manifestations	Dull pain in the lower abdomen which comes and goes A cold, icy feeling in the lower abdomen Pain better with warmth and worse with Cold Cold body and limbs Long voidings of clear urination Dribbling urination Lassitude Maybe loose stools Maybe seminal emissions Maybe impotence T: Pale C: White P: Thready and deep
Treatment Principle	Warm and supplement the Lower Jiao
Herb Formulas	You Gui Wan  modified
Points	Moxa or moxa needle LIV-13, REN-3, REN-4, UB-20, UB-23 For impotence: + moxa or moxa needle DU-4 For diarrhea with undigested food: + SP-4, ST-25 For clear, thin vaginal discharge: + SP-9

Damp-Heat In The Lower Jiao

Clinical Manifestations	Acute abdominal pain Distention and diarrhea The pain is alleviated after defecation A burning sensation in the anus Thirst T: Red C: Yellow and greasy P: Moderate and rapid
Treatment Principle	Clear Heat Transform Dampness Promote urination Stop the diarrhea
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang Huang Qin Tang Chinese patent medicines: Ge Gen Qin Lian Pian
Points	LI-4, LI-11, REN-6, SP-6, ST-25, ST-39 With Exterior symptoms: + SJ-5 With a high fever: + DU-14, ST-44 With indigestion: + REN-12

Damp-Heat Obstructing The Membrane Source With Damp Predominant

Clinical Manifestations	Alternating fever and chills Increasing Cold Strong fever or fever and no Cold Anorexia Inability to differentiate flavors Headache A red face and eyes Soreness and heaviness of the limbs Torpid intake Chest and ductal glomus and oppression Hiccup or vomiting Abdominal fullness, distention, and pain Diarrhea or constipation Short, reddish urination T: Red C: White and slimy P: Soggy and slightly rapid
Treatment Principle	Open Damp Stagnation Vent the membrane source Aromatically transform turbidity
Herb Formulas	Da Yuan Yin Jia Jian
Points

Toxic Heat

Clinical Manifestations	Rapidly developing jaundice with a gold color High fever Restlessness Irritability Thirst Foul breath Vomiting Abdominal pain Constipation Scanty urine Skin rashes Epistaxis Bleeding gums Muscular spasms or Convulsions Hypochondriac and Stomach fullness and pain Unclear thinking Delirium Epistaxis Hematochezia Bleeding from the mouth Bruises easily T: Deep red C: Dry yellow P: Rapid
Treatment Principle	Clear Heat Resolves toxicity Cool the Blood Stop pain
Herb Formulas	Xi Jiao San With chronic Damp-Heat and Blood Stagnation: Qing Re Jie Du Hua Yu Tang
Points

Sudden Turmoil Disorder

Clinical Manifestations	Vomiting Abdominal distention, pain and fullness Fever and chills Diarrhea with mucus Headache Melaena T: Pink C: Thick, white and greasy P: Soft or Floating tight and soft or Weak
Treatment Principle	Activate Qi Dry Dampness Transform turbidity Descend Qi Harmonize the Stomach Stop vomiting and diarrhea
Herb Formulas	Xing Jun San
Points

Dry Sudden Turmoil Disorder

Clinical Manifestations	Sudden collapse Loss of consciousness Clenched jaws Fullness, extreme pain, and a cold sensation in the chest and abdomen Purple or blue lips Sudden loss of consciousness Coma An urge to vomit and defecate without doing either Abdominal pain with chest distention Mental upset Paraphasia Diarrhea Vomiting Excessive mucus and saliva Breath cold Pale complexion Cold extremities Staring eyes T Pale C: White and slippery or greasy P: Deep and slippery or Deep, excess and slow or Wiry, tight and Excess
Treatment Principle	Warms and Aromatically Opens the Orifices Moves Qi Expels dirt Transforms turbidity
Herb Formulas	Su He Xiang Wan
Points

Insufficiency Of The Chong And Ren Channels (With Cold)

Clinical Manifestations	Mild persistent uterine bleeding Irregular menstruation (either early or late) Prolonged menstruation Skipped period Metrorrhagia Extended or continuous menstrual flow Pain Lower abdominal distention Lower abdominal Cold Lower abdominal pain Infertility Dry lips Dry mouth Spermatorrhea Pale complexion Leukorrhea Amenorrhea Bleeding between periods Low grade fever at dusk Irritability Five sole Heat No desire to drink Distending breast pain Low back coldness and pain Loose stools Cold limbs Aversion to Cold T: Purple with petechiae P: Thready and choppy
Treatment Principle	Warm the menses Regulate menstruation Dispel Cold Warm the channels Nourish the Blood Dispel Blood Stasis
Herb Formulas	Wen Jing Tang Ai Fu Nuan Gan Wan
Points

Postpartum Cold And Blood Stagnation

Clinical Manifestations	Fixed lower abdominal pain in postpartum women Incomplete expression of the placenta Continual discharge of purple clotted lochia T: Pale-purple
Treatment Principle	Activate the Blood Break up Stasis Warm the Uterus Stop pain
Herb Formulas	Sheng Hua Tang
Points

Heat Above And Cold Below

Clinical Manifestations	Stifling sensation and irritability in the chest Nausea with an urge to vomit Abdominal pain Fever with slight chills Diarrhea Vexation Borborygmus Thirst T: Pink C: White and greasy P: Wiry
Treatment Principle	Regulate Cold and Heat Harmonize the Stomach Descend Rebellious Qi
Herb Formulas	Huang Lian Tang
Points

Worms

Clinical Manifestations	Intermittent pain with hunger Pain may be severe Pain often clusters around the navel or to the side Good appetite Emaciation Peculiar eating prejudices Bowel movements contain worms Vomiting worms White spots on lips Large belly with obvious veins Selective with foods
Treatment Principle	Soothe worms Neutralize accumulations
Herb Formulas	Wu Mei Wan Zhui Chong Wan
Points	Baichongwo (sedate), Zhiyin, K-7 (tonify before the new moon), Moxa REN-4, REN-14, ST-4