Anemia

General

Clinical Manifestations	Aplastic: Failure of the bone marrow to produce Blood Weakness Fatigue Fever Petechiae Bleeding Waxy pallor of the skin and mucous membranes Brown skin pigmentation Thrombocytopenia with bleeding into the skin
Treatment Principle
Herb Formulas	AIDS/HIV #11 With Blood Stagnation (use before tonifying): AIDS/HIV #12
Points	REN-4, ST-36, UB-17, UB-20, UB-22, UB-25 With tinnitus: + SI-19, SJ-17 With vertigo and a headache: + GB-20, SJ-23, ST-8, Taiyang With palpitations: + REN-11, UB-15 With nausea and vomiting: + REN-12, REN-13 LU-9, SP-5, ST-36, UB-43 DU-14, SP-10, ST-36, UB-17, UB-21 Chlorosis anemia: DU-9, DU-12, DU-20, REN-4, SP-6, ST-36, UB-10, UB-20, UB-22 Iron deficiency anemia: + DU-4, DU-14, LI-11, ST-36, UB-17

Jue Yin Cold

Clinical Manifestations	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

Ying Stage Heat (Ying Re) (Aplastic)

Clinical Manifestations	Acute onset High fever, worse at night or Recurrent low-grade fever Non-productive sweating Dizziness Shortness of breath Insomnia Irritability Mild thirst with no desire to drink Lack of strength Difficulty walking A somber, white facial complexion Vexation Agitation A dry throat Blood blisters in the mouth and on the tongue Red, dry, painful rashes Heart palpitations T: Deep red C: Little or None P: Thready and rapid Severe: Mental disturbance Speech disturbance Multiple sites of spontaneous ejection of Blood Dry stools Red urine T: Pale with possible static spots C: Dry and yellow or Black P: Thready and rapid or Empty, large, and forceless
Treatment Principle	Reduce Heat in the Ying Detoxify Clear Blood Heat Stop bleeding
Herb Formulas	Qing Ying Tang modified With Damp-Heat jaundice: Yin Zhi Hu Qin Tang
Points	HT-3, HT-5, HT-6, HT-7, KI-3, LI-11, PC-7, PC-8, bleed Shixuan, Sifeng, SP-6 LI-4, SJ-6, UB-40, bleed Shixuan For severe Heat: + DU-14, LI-11 For severe depletion of Fluids: + KI-7 For tremors and convulsions: + GB-20, LlV-3 For severe bleeding due to Heat: + PC-4, SJ-6, UB-17 For Qi Deficiency : + SP-6, ST-36 For Blood Deficiency: + UB-43 For constipation: + ST-25

Xue Stage Heat

Clinical Manifestations	High fever Confusion of mind Delirium Mania Dark yellow urine Excessive skin rashes all over body Hemorrhage: Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria T: Deep red, dry or Purple red C: None P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle	Cool the Blood Dispel Heat and Toxins from the Xue Stage Promote Blood Circulation
Herb Formulas	Xi Jiao Di Huang Tang
Points	To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

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 Severe cases: Frightens easily 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
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

Spleen Qi Deficiency

Clinical Manifestations	Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting 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	Si Jun Zi Tang Xiang Sha Liu Jun Zi Tang With Phlegm-Damp Retention: Liu Jun Zi Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 REN-12, ST-36, UB-20

Spleen Not Governing The Blood

Clinical Manifestations	Sallow or pale complexion Anorexia Four limbs feel tired and heavy Physical and mental exhaustion Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose or unformed stools Shortness of breath Dizziness Palpitations Functional Uterine Bleeding Purpura Epistaxis Hemafecia Hematuria Menorrhagia Metrorrhagia T: Pale and flabby - may have teethmarks C: White P: Thready and weak
Treatment Principle	Benefit Qi Conserve Blood
Herb Formulas	Gui Pi Tang modified Bu Zhong Yi Qi Tang modified Gui Pi Tang + Jiao Ai Tang Dang Gui Bu Xue Tang Jiao Ai Tang With Cold: Li Zhong Tang
Points	SP-1, SP-3, ST-36, UB-20 For Deficiency type uterine bleeding: DU-20, LI-11, REN-4, SP-4, SP-10, SP-14, UB-17 With epistaxis: DU-20, REN-6, SP-1, SP-6, ST-36, UB-20

Central 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 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 Yang Deficiency

Clinical Manifestations	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 Frequent, clear urination Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang Fu Zi Li Zhong Wan Huang Qi Jian Zhong Tang With Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li Tang With epistaxis: You Gui Wan modified Jin Gui Shen Qi Wan modified
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Fu Zi Li Zhong Wan Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Huang Qi Jian Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen And Kidney Yang Deficiency

Clinical Manifestations	A prolonged disease course A weak voice or Insufficient strength to speak Spontaneous sweating Shortness of breath Aversion to Cold Body cold Limbs icy Complexion white and shiny or Sallow Somber white lips and nails Low back ands knees sore and weak Low back, knees and abdomen feel cold and painful Lack of strength in the extremities Fatigue Tinnitus Lower abdomen feels cold and painful Anorexia Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Clear, long, frequent urination Impotence Seminal emissions Irregular menstruation Maybe spontaneous perspiration Maybe gum bleeding Maybe subdermal bleeding Maybe uterine bleeding 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	You Gui Wan Aplastic: You Gui Wan + Si Jun Zi Tang Aplastic Anemia #1
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 First treatment: DU-14, PC-6, ST-36, UB-18 Second treatment: DU-4, DU-14, ST-36, UB-17 Third treatment: GB-39, SP-9 DU-4, DU-14, UB-20, UB-21, UB-23 With loose stools: + SP-9 With a faint, thready pulse, great sweating and reversal counter flow of the four extremities: + REN-4, REN-6 With marked Kidney Jing Deficiency: + SP-6 With bleeding: + SP-6, UB-17 With Stomach and abdominal fullness and loose stools: + PC-6, SP-4 With anorexia: + ST-21 With edema: + SP-6, SP-9

Stomach Qi Deficiency

Clinical Manifestations	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
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	REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21

Heart Yin Deficiency

Clinical Manifestations	Palpitations Irritability Easily startled Insomnia Much dreaming Poor memory Low grade fever Night sweats Five sole Heat Restlessness Dry mouth Thirst Dry throat Malar flush T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce Heart Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan
Points	HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15

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

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

Heart Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue Weakness Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Big and weak or Intermittent
Treatment Principle	Reinforce and Strengthen Heart Qi
Herb Formulas	Si Jun Zi Tang Bao Yuan Dan Zhi Gan Cao Tang Miao Xiang San Wu Wei Zi Tang Chinese Patent Medicines: Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nan Wan
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15 DU-19, DU-24, HT-7, PC-5, PC-6, REN-14, ST-36, UB-15, Yintang For spontaneous sweating: + UB-43 Ear: Shenmen, Heart, Subcortex, Sympathetic

Heart Blood Deficiency

Clinical Manifestations	Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness Pale face and lips T: Pale P: Thready and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen
Herb Formulas	Dang Gui Bu Xue Tang Gui Pi Tang Suan Zao Ren Tang Zhi Gan Cao Tang Yang Xin Tang #1
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1 Anmian, HT-7, SP-6, UB-15, UB-20, Yintang

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the heart and Spleen
Herb Formulas	Gui Pi Tang Dang Gui Bu Xue Tang + Si Wu Tang Dang Gui Bu Xue Tang + Bu Gan Tang Chinese Patent medicines: Gui Pi Wan Bai Zi Yang Xin Wan Dang Gui Ji Jing Bu Nao Wan An Shen Bu Nao Wan
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20 DU-19, DU-24, HT-7, REN-12, SP-6, ST-36, UB-15, UB-17, UB-20, Yintang DU-19, DU-24, HT-7, REN-4, REN-6, ST-36, UB-15, UB-20, UB-23, Yintang With insomnia: + Anmian With abdominal distention: + ST-25 DU-20, HT-3, HT-7, REN-4, SP-6, ST-36, UB-15, UB-17, UB-20, UB-52, Yintang With much dreaming: UB-42 Ear: Spleen, Heart, Subcortex, Sympathetic

Heart And Liver Blood Deficiency

Clinical Manifestations	Palpitations Insomnia with much dreaming Easily startled Eye dizziness Both eyes dry and rough Twitching of the eyes Pain in the ribs and flanks Numbness of the limbs Stiffness and spasms of the tendons Low grade fever Night sweats Irregular, scanty menses T: Pale and thin C: Little P: Thready, choppy and forceless
Treatment Principle	Nourish Yin Reinforce the Blood Conceal Yang Calm the Shen
Herb Formulas	Suan Zao Ren Tang Dang Gui Bu Xue Tang
Points	HT-7, LIV-3, REN-4, SP-6, ST-36, UB-15, UB-17, UB-18

Heart And Kidney Yin Deficiency

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Jiao Tai Wan Tian Wang Bu Xin Dan Liu Wei Di Huang Wan With Heart Blood Deficiency: Tian Wang Bu Xin Dan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

Liver Blood Deficiency

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Si Wu Tang Bu Gan Tang Dang Gui Bu Xue Tang Si Wu Tang Jia Wei For head and eye signs and symptoms: Qi Ju Di Huang Wan For menstrual disorders: Hei Xiao Yao San
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 GB-37, KI-6, LIV-3, SP-6, ST-36, UB-18, UB-20

Liver Qi Stagnation With Blood Deficiency

Clinical Manifestations	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 Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready or Wiry
Treatment Principle	Nourish Liver Blood Soothe the Liver Clear Stagnation
Herb Formulas	Xiao Yao San Hei Xiao Yao San With Qi Deficiency and Heat: Jia Wei Xiao Yao San Chinese patent Medicines: Xiao Yao Wan Chen Xiang Hua Qi Wan
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

Liver Qi Stagnation Invades The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San Dang Gui Shao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Qi Stagnation Invades The Spleen With Dampness

Clinical Manifestations	Continuous cramping pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Fatigue Heaviness of head Lassitude Lower abdominal pain Dizziness Tinnitus Lumbago Edema Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation Oliguria Palpitations Cold feet Extreme coldness of the hands and feet Vertigo Weakness and numbness of lower back and legs during pregnancy or postpartum Mal position of the fetus Dysmenorrhea Irregular menstruation Right upper quadrant pain Hepatomegaly Anemia Lack of energy Sore back Thirst with no desire to drink T: Pale or pink maybe petechiae on margin C: Thin or Greasy white P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle	Nourish Liver Blood Soften the Liver Spread Liver Qi Strengthen the Spleen Resolve Dampness Reinforce the Spleen and Kidney
Herb Formulas	Dang Gui Shao Yao San
Points

Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish the Blood Subdue Wind
Herb Formulas	Si Wu Tang Bu Gan Tang For late stage fevers: San Jia Fu Mai Tang
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Damp-Heat In The Liver And Gall Bladder

Clinical Manifestations	Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine Abdominal distention Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: 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 Liver and Gall Bladder
Herb Formulas	Yin Chen Hao Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

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 Pale lips and nails Headache Dry throat Numbness of limbs Flaccid paralysis (Wei syndrome) Weakness Tinnitus Deafness Forgetfulness Heart vexation Palpitations 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 Maybe epistaxis Maybe gum bleeding Maybe subdermal bleeding Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge Severe cases: Hemafecia Hematemesis Metrorrhagia T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys Nourish Yin
Herb Formulas	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan Er Zhi Wan modified Zuo Gui Wan Aplastic anemia: Aplastic Anemia #2 With Fire Flaring: Zhi Bai Di Huang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23 KI-3, SP-6, UB-18, UB-23 With fever: + DU-14, HT-6 With marked bleeding: + SP-10, UB-17 With Qi Deficiency: + ST-36

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	Ji Chuan Jian
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23

Kidney Yin And Yang Deficiency

Clinical Manifestations	Dizziness Tinnitus Night sweats Perspiration Nervousness Muscular flaccidity Fatigue Mood swings Amenorrhea Irregular menstruation Hot flashes Cold feet Lassitude Frequent, clear urine Irritability Headache Palpitations Insomnia T: Pale C: Thin and white P: Thready and rapid
Treatment Principle	Replenish Kidney Yin and Yang
Herb Formulas	Er Xian Tang With Jing and Blood Deficiency: Gui Lu Er Xian Jiao
Points

Kidney Jing And Liver Blood Deficiency

Clinical Manifestations	Dizziness Tinnitus Low back and knees weak and aching In adults: Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of the fontanel Poor bone development Brittle bones Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Reinforce the Kidneys Benefit Jing Nourish the Liver Reinforce the Blood
Herb Formulas	Qi Bao Mei Ran Dan Sheng Fa Yin
Points	DU-4, HT-7, KI-3, LIV-3, REN-4, SP-6, ST-36, UB-11, UB-15, UB-17, UB-18, UB-20, UB-23

Yin Deficiency Heat (Aplastic)

Clinical Manifestations	Fever Restlessness Five-sole-Heat A dry throat and mouth A tendency to develop Blood-Heat hemorrhages T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat
Herb Formulas	Qin Jiao Bie Jia San+ Qi Ju Di Huang Wan
Points	First treatment: DU-14, PC-6, ST-36, UB-18 Second treatment: DU-4, DU-14, ST-36, UB-17 Third treatment: GB-39, SP-9

Yin And Yang Deficiency (Aplastic)

Clinical Manifestations	A somber, white facial complexion Dizziness Lack of strength Low back and lower leg soreness and weakness Seminal emission Decreased sexual desire Sometimes hot, sometimes cold Spontaneous perspiration Night sweats Tinnitus Heart palpitations T: Pale C: White or Little P:Deep, thready and forceless or Deep, thready and rapid
Treatment Principle	Nourish Yin Tonify Yang
Herb Formulas	Hei Long Bu Shen Zhu Yang Fang
Points	SP-6, UB-18, UB-20, UB-21, UB-23 For marked Kidney Yang Deficiency: + DU-4 For marked Kidney Yin Deficiency: + KI-7 For dizziness: + DU-20 For lack of strength: + ST-36 For low back and lower leg soreness and weakness: + KI-7 For Yin Deficiency Fire: + KI-6 For decreased libido: + DU-4 For seminal emission: + UB-52 For spontaneous perspiration: + DU-14 For night sweats : + HT-6 For Blood Stagnation or bleeding: + UB-17

Qi And Yin Deficiency

Clinical Manifestations	Fatigue Lack of energy Shortness of breath Soft, weak voice Reluctance to speak Spontaneous perspiration Five sole Heat Dry throat Persistent thirst Afternoon fever Dry stools Constipation Scanty, dark-colored urine Night sweats T: Red or Swollen and scalloped C: Little or None or White P: Thready and rapid or Deep, weak, soft and small or Floating
Treatment Principle	Tonify Qi Nourish Yin
Herb Formulas	Er Zhi Wan modified For aplastic anemia with Heat Toxins: Sheng Xue Tang San Hao
Points	KI-3, KI-6, LU-5, LU-7, LU-9, ST-36, UB-13, UB-23, UB-43 With severe Heat: + LU-10 DU-14, KI-7, LI-4, LU-9, UB-13 With severe Qi Deficiency: + ST-36 With Phlegm: + ST-36, ST-40 With severe panting: + Dingchuan or LI-18 With chest oppression: + PC-6, REN-17 KI-3, SP-6, ST-36, UB-18, UB-23 With fever: + DU-14, HT-6 With marked bleeding: + SP-10, UB-17

Qi And Blood Stagnation

Clinical Manifestations	Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation
Herb Formulas	Xue Fu Zhu Yu Tang Qi and Blood Deficiency #1
Points	GB-40, GB-41, LIV-3, LIV-14, PC-6, SJ-6, SP-6, SP-10, ST-36, UB-17, UB-18, UB-40

Qi And Blood Deficiency (Aplastic)

Clinical Manifestations	The onset is usually slow and insidious and the disease progression short Blurred vision Fatigue Lack of strength A somber white or yellow facial complexion Shortness of breath Loose stools Poor appetite Dizziness Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Deep and thready or Thin and choppy or Soft, floating and thready
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang modified Sheng Yu Tang Gui Pi Tang Nu Ke Ba Zhen Wan Aplastic: Ren Shen Yang Rong Tang Dang Gui Bu Xue Tang Ba Zhen Tang modified With Blood Stagnation: Ba Zhen Yi Mu Wan With Cold symptoms: Shi Quan Da Bu Tang With Spleen Yang Deficiency: Fu Zi Li Zhong Wan With spontaneous sweating: Bu Zhong Yi Qi Tang Post hemorrhage: Dang Gui Bu Xue Tang modified
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17 First treatment: DU-14, PC-6, ST-36, UB-18 Second treatment: DU-4, DU-14, ST-36, UB-17 Third treatment: GB-39, SP-9 SP-3, SP-6, ST-36, UB-17, UB-43 With bleeding: + SP-10 With fever: + LI-4, SJ-5 With Liver Qi Stagnation: + LIV-3 With dizziness: + moxa DU-20 With blurred vision: + GB-37 or UB-18 With palpitations: + HT-7 DU-20, REN-6, SP-6, ST-36, UB-20 With palpitations: + PC-6, UB-15 With insomnia: + Anmian, HT-7

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 With fever: Bai Zi Ren Wan With a weak constitution: Yang Xin Tang Aplastic: Dang Gui Jian Zhong Tang
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

Blood Stagnation Due To Blood Deficiency

Clinical Manifestations	Copious bleeding of dark purple blood The blood is sticky during menstruation May or may not have clots Menstrual cycle is shortened (early menstruation) Palpitations Dizziness Blurred vision Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Fixed lower abdominal pain Vertigo Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale C: Normal P: Thin and weak or Thin and choppy
Treatment Principle	Tonify and invigorate the Blood Break up Blood Stagnation Regulate menstruation Alleviate pain
Herb Formulas	Tao Hong Si Wu Tang Xiong Gui Tiao Xue Yin
Points	LIV 3, SP-6, ST-36, SP-6, SP-10, UB 11, UB-17, UB-40

Essential Oils

Oils whose functions, indications or applications include this condition. Open an oil to see how it is used.

Roman Chamomile

From Class

Anemia from cold in the stomach: Raw cold food damages spleen yang so food isn't 'ripened and rotted'; blood production relates to stomach fire/gastric acid postnatally and marrow constitutionally. (Yuen)
Heat in the blood with anemia — bleed first: Low RBC plus raised sed rate, CO2 or total protein = heat in blood; treat by bleeding luo points to clear heat before it causes hemorrhage. (Yuen)
Hematocrit, MCV, MCH in TCM terms: Low hematocrit = weak spleen qi (tonify spleen, blood, Chong, moxa); high = dryness, yin or qi deficiency, blood stasis/phlegm; low MCH/MCV = spleen not banking blood (Gui Pi Tang). (Lewis)
Iron-deficiency anemia in pregnancy: Associated with Liver blood and qi deficiency; iron-rich foods (shellfish, spinach, liver, legumes, pumpkin seeds) plus sour foods. (Lewis)
Low hemoglobin = San Jiao: Hemoglobin reflects kidney supporting spleen and spleen supporting lungs, so low hemoglobin points to the triple heater. (Yuen)
Low RBC/WBC = treat both Qi and Blood: Red and white cells come from marrow (Jing), so low counts need herbs tonifying both qi and blood, not just one. (Yuen)