Addison's Disease, Adrenocortical Insufficiency

General

Clinical Manifestations	Decreased Blood volume Low Blood pressure Anemia Hypoglycemia General muscular weakness Gastrointestinal upset Pigmentation changes Electrolytic imbalance
Treatment Principle
Herb Formulas
Points	DU-5, DU-6, SP-14, ST-25, UB-22, UB-23

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Da Bu Yin Wan Mai Wei Di Huang Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

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 Severe: Abdominal ascites 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	Fu Zi Li Zhong Wan You Gui Wan
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Liver Yin Deficiency With Yang Rising

Clinical Manifestations	Dizziness Impaired vision Night blindness Tinnitus Irascibility Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	Da Bu Yin Wan
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23

Liver Blood And Yin Deficiency

Clinical Manifestations	Dry eyes Diminished visual acuity Photophobia Tearing when exposed to Wind Painful eyes Blurred vision Lower back pain Weakness of the lower back, knees and extremities Spontaneous and nocturnal emissions Light-headedness Vertigo Tinnitus Diminished hearing Five sole heat Chronic dry, sore throat Toothache Wasting and thirsting disorder / Xiao Ke Decreased libido Dizziness Muscular weakness Dry skin Deafness Steaming bones Tidal fevers Loose teeth Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Urinary incontinence Heel pain Knee pain Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Nourishes the Liver and Kidneys Tonify and nourish the Blood
Herb Formulas	Qi Ju Di Huang Wan
Points

Liver And Kidney Yin Deficiency

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Liu Wei Di Huang Wan Zuo Gui Wan Mai Wei Di Huang Wan Ba Xian Chang Shou Wan With Fire Flaring: Zhi Bai Di Huang Wan Da Bu Yin Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Liver And Kidney Yin Deficiency With Liver Qi Stagnation

Clinical Manifestations	Hypochondriac and chest pain Dry, parched mouth and throat Bitter taste in mouth Acid regurgitation Dizziness Epigastric and abdominal distention T: Red and dry C: Little or None P: Thready and weak or Wiry and Deficient
Treatment Principle	Nourish Kidney and Liver Yin Spread Liver Qi
Herb Formulas	Yi Guan Jian
Points

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	Jin Gui Shen Qi Wan
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 Qi And Yang Deficiency

Clinical Manifestations	Feebleness Exhaustion Abdominal pain Lower back pain Low energy Lethargy Impotence Cold and pain of the knees Cold extremities Shortness of breath Fatigue Nocturnal emission Separation of Yang T: Pale C: White P: Thin
Treatment Principle	Warm Kidney Yang Replenish Jing
Herb Formulas	You Gui Yin
Points

Kidney Yin Deficiency

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Kidneys With Fire Flaring: Subdue Fire
Herb Formulas	Liu Wei Di Huang Wan Mai Wei Di Huang Wan With Fire Flaring: Zhi Bai Di Huang Wan With Jing Deficiency: Zuo Gui Yin
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

Qi, Blood And Yang Deficiency

Clinical Manifestations	Anemia Uterine bleeding Cold extremities Pale or sallow face Dizziness General fatigue Coarse skin Nocturnal emissions Weak knees Fatigue Dyspnea Night sweats Irregular menstruation Insomnia Intolerance of Cold Decreased eyesight after a prolonged illness Anxiety Intermittent fever Jaundice Deficient cough Shortness of breath Palpitations Anorexia Listlessness Lassitude Spontaneous sweating Spermatorrhea Continuous spotting Leukorrhea Weak legs and knees T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Replenishes Yang Warms and tonifies Qi and Blood
Herb Formulas	Shi Quan Da Bu Tang
Points

Blood Deficiency

Clinical Manifestations	Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods T: Pale C: Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Si Wu Tang
Points	LIV 3, SP-6, ST-36, UB 11, UB-17