Anorexia

General

Clinical Manifestations	Strictly speaking, anorexia means lack of appetite. Lack of appetite is an extension of a poor appetite or reduced food intake and is treated in the same way. Therefore anorexia, poor appetite and reduced food intake are included under this heading.
Treatment Principle
Herb Formulas	After a serious illness: Wen Dan Tang
Points

Wind-Cold With Qi Stagnation In The Interior

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

Wind-Cold With Congestion Of Fluids And An Underlying Weak Constitution

Clinical Manifestations	Fever and chills Aversion to Cold Headache Stuffy nose Cough with profuse sputum Chest fullness Fatigue Lethargy Abdominal fullness Loose Stools Shortness of breath Nasal obstruction No desire to speak Fullness and distention in the chest and diaphragm Gastric distention Nausea and vomiting Anorexia T: Pale and thick C: White or White and greasy P: Superficial or Weak
Treatment Principle	Tonify Qi Release the Exterior Harmonize the Stomach Transform Phlegm
Herb Formulas	Shen Su Yin
Points

Yang Ming Han

Clinical Manifestations	History of Yang Ming Jing or Fu No appetite Perspiration on extremities (cold center) Sluggish or difficult urination Constipation moving to long stringy stools moving to diarrhea T: Normal C: Slightly yellow and moist P: Deep and forceful
Treatment Principle	Restore Yang Warm the center
Herb Formulas	Si Ni Tang With diarrhea: Ge Gen Tang
Points	Moxa needle REN-4, REN-6, REN-12, ST-25, ST-36

Shao Yang Jing

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Fullness in the chest Dizziness Irritability Nausea Occasional vomiting Headaches (side of head) Hypochondriac pain, distention or tenderness A bitter taste in the mouth Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on side C: Thin white P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Xiao Chai Hu Tang modified With Phlegm-Heat Stagnation in the chest: Chai Hu Xian Xiong Tang Chai Xian Tang Chinese Patent Medicines: Xiao Chai Hu Wan
Points	GB-34, GB-39, GB-41, SJ-5, UB-19, UB-21, UB-22 With Spleen Qi Deficiency: + LIV-13, ST-36 GB-41, SJ-5 GB-39, GB-41, SJ-5, UB-19 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 To stop nausea and vomiting: PC-6, SP-4, ST-36 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: SJ-6, ST-25 To treat fever: DU-13, DU-14 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: SP-10 Head: GB-8, SJ-20, Yintang Eyes: GB-14, GB-20, ST-1, UB-1, UB-2 Ear: GB-2, SJ-5, SJ-17, SJ-21 Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0 Ear: Liver, Sanjiao, Spleen, Stomach, Shenmen, Sympathetic

Shao Yang Jing With Water Accumulation

Clinical Manifestations	Alternating chills and fever Thirst A bitter taste in the mouth Anorexia Edema Vomiting and diarrhea with water intake Dysuria Fullness and oppression in the chest and hypochondrium Diarrhea T: Pink C: White P: Superficial and wiry
Treatment Principle	Harmonize the Exterior and the Interior Relieve the Shao Yang Dispel Water Accumulation Resolve Phlegm Accumulation
Herb Formulas	Chai Ling Tang
Points

Shao Yang Fu

Clinical Manifestations	Alternating chills and fever (not so likely) Restlessness Irritability Continuous vomiting Headache (side of head) Hypochondriac pain Epigastric pain Bitter taste in mouth Digestive disruption Anorexia Nausea Acid regurgitation Burning diarrhea or Constipation Menstrual problems Dry throat Heart pain with vomiting Throat pain Hip pain T: Red C: Thin yellow P: Wiry, forceful
Treatment Principle	Harmonize the Liver and Gall Bladder Purge Internal Heat
Herb Formulas	Da Chai Hu Tang For Shao Yang Fu with Tai Yang manifesting as joint pain with a crackling sensation (symptoms are more external): Chai Hu Gui Zhi Tang For Shao Yang Fu with underlying Liver Qi Stagnation manifesting as chest and hypochondriac distension, insomnia, headache and  possibly delirium: Chai Hu Jia Long Gu Mu Li Tang
Points	To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 For nausea and vomiting: PC-6, SP-4, ST-36 For headache: GB-1, GB-8, GB-14, Taiyang For constipation: SJ-6, ST-25 For fever: DU-13, DU-14 For Stomach Heat: LI-4, LI-11, ST-44 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: GB-41, SJ-5 , SP-10 To regulate menstruation: SP-6 For Shao Yang Fu with Tai Yang: For the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 For the Tai Yang: GB-20, UB-12 For Shao Yang Fu with underlying Liver Qi Stagnation: To harmonize the Shao Yang: GB-34, LIV-3, SJ-6 To clear Heat: LI-11, ST-44 To calm the Shen: HT-7, PC-6 Ear: Shenmen, Liver, Gall Bladder, bleed Heat points

Tai Yin Excess

Clinical Manifestations	Nausea Clear, frequent urination Lack of thirst Anorexia Vomiting of clear fluid Abdominal distension and pain (sharp) Diarrhea or loose stool Prefers warmth T: Pale or pink C: White P: Slow and 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	Moxa or moxa needle DU-4, LU-9, REN-4, REN-6, REN-12, SP-6, ST-36, UB-20 For pain and Cold: moxa the abdomen To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (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 Use few needles with deep insertion and moxa

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 T: Pale C: White P: Slow and 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	Moxa or moxa needle DU-4, LU-9, REN-4, REN-6, REN-12, SP-6, ST-36, UB-20 For pain and Cold: moxa the abdomen To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (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 Use few needles with deep insertion and moxa

Tai Yin Accumulation Of Cold And Damp

Clinical Manifestations	Fatigue Aversion to Cold Diarrhea or loose stools MJ distension and fullness May be abdominal pain No thirst Jaundice Grayish white stools Anorexia Cold extremities Dull yellow skin T:  Pale C: Greasy white P:  Deep weak and slow
Treatment Principle	Warm Yang Disperse Cold Dispel Damp accumulation
Herb Formulas	Yin Chen Zhu Fu Tang Yin Chen Si Ni Tang
Points	To Regulate the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, UB-19, To Resolve Dampness: SP-6, SP-9 To Warm the Middle Jiao: moxa REN-10

Jue Yin Cold And Heat

Clinical Manifestations	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 (Do not purge, create diaphoresis, or create emesis) Revive Yang
Herb Formulas	Wu Mei Wan
Points	Moxa needle REN-4, REN-6, REN- 8, ST-25, ST-36, needle DU-14, LI-4, LI-11, LIV-3, REN-17

Wei Stage: Damp-Heat

Clinical Manifestations	Headache (wrapping) Fever and chills, fever more pronounced or Chills with afternoon fever Heavy extremities Heavy sensations in the body Stifling sensation in the chest Nausea Anorexia Dizziness Gastric and abdominal distension Sticky mouth No thirst T: Normal C: Greasy, white or Greasy, yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp-Heat
Herb Formulas	San Ren Tang Early-Stage: Huo Po Xia Ling Tang
Points	For fever: DU-14, bleed UB-40 For Wind-Heat: GB-20, LI-4, or SJ-5, LI-11, UB-12 For headache: DU-23, DU-24, ST-8, Taiyang For Dampness: REN-9, SP-6, SP-9, ST-28, UB-20

Wei Stage: Summerheat With Damp

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Gastric disturbances: Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Rapid and soft
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	Chai Ling Tang Huang Lian Xiang Ru Yin With Exterior Cold and Interior Dampness: Xiang Ru San With Qi and Yin Deficiency with Fluid Damage: Qing Shu Yi Qi Tang With Qi Deficiency: Qing Shu Yi Qi Tang Jia Jian
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

Qi Stage: Obstructin Of The Chest By Heat

Clinical Manifestations	High fever or Fever Aversion to Heat Irritability Restlessness (neither activity nor resting brings relief) Heat sensation in the chest Thirst Has urge to vomit but cannot May have dark yellow urine T: Red C: Yellow P: Rapid or Forceful and rapid
Treatment Principle	Clear Heat Remove Obstructions
Herb Formulas	Zhi Zi Chi Tang Zhi Zi Gan Cao Chi Tang With vomiting: Zhi Zi Sheng Jian Chi Tang If after 2-3 days the patient displays restlessness with accumulation of Phlegm and sputum, chest distension and nausea, but no other Middle Jiao symptoms: Gua Di San
Points	DU-14, HT-7, LI-11, PC-6, ST-44

Qi Stage: Lung And Stomach Heat Damaging The Fluids

Clinical Manifestations	Lingering fever from a febrile disease Vomiting Irritability Thirst with a desire to drink Parched mouth, lips and throat Choking cough Restlessness Insomnia Nausea Anorexia Profuse perspiration A dry mouth Indigestion Listlessness Chest oppression Ulcerations of the mouth Coarse skin Cough Night sweats Stifling sensation in the chest or epigastrium T: Red C: Little or None P: Rapid and Deficient or Thready and rapid
Treatment Principle	Clear Heat Generate fluids Tonify Qi Harmonize the Stomach
Herb Formulas	Zhu Ye Shi Gao Tang
Points

Qi Stage Spleen And Stomach Damp-Heat

Clinical Manifestations	Loss of appetite Fever Pressure headache - like a bandage Gastric distension Chest distension A sensation of heaviness in the body Lethargy Listlessness Muscle aches Foggy-headedness Fullness and discomfort in the chest Tendency toward loose stools or Diarrhea Dysentery A sallow complexion No thirst Low-grade afternoon fever All symptoms are worse around mid-afternoon T: Red C: Greasy and yellow P: Soft and thready or Soft and wiry or Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp Heat in the Qi Stage Descend Lung Qi Promote urination
Herb Formulas	San Ren Tang An Ho Tea Chinese Patent Medicines: Xing Jun San Huo Xiang Zheng Qi Pian
Points	LI-4, LU-6, REN-12, SP-5, SP-9, ST-36 Ear: Spleen, Stomach, Lung, Shenmen, Sympathetic

Superficial Wind-Dampness

Clinical Manifestations	Heavy, painful head Generalized sensation of heaviness Back pain Generalized pain or muscle ache Difficulty bending or rotating trunk Mild fever Slight aversion to Wind and Cold Dizziness Anorexia Anhidrosis Stiffness of the neck Chest oppression Chills No perspiration Aversion to Cold Lassitude Scanty urination T: Pink C:White or Greasy and white P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight
Treatment Principle	Dispel Wind Eliminate Dampness Relieve the exterior Alleviate pain
Herb Formulas	Qiang Huo Sheng Shi Tang With Qi Deficiency: Wang Qiang Huo Shen Shi Tang
Points

Wind-Cold -Damp

Clinical Manifestations	Chills and fever Aches in the limbs Dysentery Anorexia (inability to eat) Itching Headache Vomiting upon eating or drinking Cough T: Normal C: Whitish and slimy P: Soft and floating
Treatment Principle	Release the Exterior Tonify Qi Eliminate toxins Stop vomiting
Herb Formulas	Cang Lin San
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 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

Large Intestine Cold

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

Damp-Heat In The Large Intestine

Clinical Manifestations	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 Burning hot sensation in anus Abdominal pain Urine short and red Sustained fever despite profuse perspiration or Raging fever in the afternoon 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 Transform Dampness Stop dysentery
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25

Toxic Heat In The Large Intestine

Clinical Manifestations	Pain in the lower right abdomen; refuses pressure Pain may be severe, boring, and in a fixed position or without fixed location Constipation or Mild diarrhea Maybe fever Maybe nausea and vomiting Anorexia T: Red C:Thick, yellow and greasy or sticky P: Rapid
Treatment Principle	Clear Heat Transform Dampness Activate Blood circulation Conduct Stagnation
Herb Formulas	Da Huang Mu Dan Pi Tang Da Cheng Qi Tang
Points	Lanweixue, ST-36, ST-37 For high fever: + LI-4, LI-11 For abdominal pain: + ST-25 For nausea and vomiting: + PC-6, SP-4

Large Intestine Deficiency

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 astringe
Herb Formulas	Zhen Ren Yang Zang Tang
Points	Chronic diarrhea: 1. LIV-13, REN-12, ST-25, ST-36, UB-20 2. LIV-13, REN-12, SP-3, UB-20 Chronic dysentery: 1. LI-4, ST-25, ST-37, UB-20, UB-21 Kidney Yang Deficiency: 1. REN-4, UB-23 2. REN-12, ST-36, UB-20, UB-21 Rectal prolapse: 1. DU-1, DU-20, UB-25 2. DU-1, DU-20, UB-30, UB-57

Cold-Damp Distresses The Spleen

Clinical Manifestations	Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Wei Ling Tang Yin Chen Si Ni Tang Hou Po Wen Zhong Tang Yan Nian Ban Xia Tang
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

Damp-Heat Injures The Spleen

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San Ge Hua Jie Cheng San
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

Phlegm-Damp In The Spleen

Clinical Manifestations	Vomiting Abdominal distention 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	Regulate Qi Dry Dampness Transform turbidity Descend Qi Harmonize the Stomach Stop vomiting
Herb Formulas	Bu Huan Jin Zheng Qi Tang
Points

Spleen Qi Deficiency

Clinical Manifestations	Diminished appetite Sallow complexion Fatigue Lethargy Nausea/Vomiting, often in the morning Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath A soft voice 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 Bu Wei Fang Zi Sheng Wan Huang Qi Tang Dao Gong San Jia Wei With a tendency toward Food Stagnation: Zhi Zhu Wan With Phlegm-Damp Retention: Liu Jun Zi Tang With Damp Turbidity Blocking the Stomach: Fu Ling Yin With Qi Stagnation: Yi Gong San For Liver Qi Stagnation with Cold and Heat: Zhi Shi Xiao Pi Wan With Kidney Deficiency: Fu Tu Dan With Damp-Heat flowing into the Lower Jiao: Sheng Yang Yi Wei Tang With Stagnation of Dampness or Phlegm: Bao Jian Mei Jian Fei Cha With Food Stagnation: Jian Pi Wan With Food, Qi and Blood Stagnation and Damp Heat: Jiang Zhi Jian Fei Wan Jiang Zhi Jian Fei Yin #2 Jiang Zhi Jian Fei Yin #3 With Food, Qi and Blood Stagnation and Liver Heat: Jiang Zhi Jian Fei Yin #4 With Blood Stagnation and Heat: Jiang Zhi Jian Fei Yin With Qi and Blood Deficiency: Shi Quan Da Bu Tang Chinese Patent Medicines: Dang Gui Ji Jing Wu Ji Bai Feng Wan Shi Quan Da Bu Wan Chinese Patent Medicines: With Phlegm-Damp: Xiang Sha Liu Jun Zi Wan With Qi Stagnation: Xiang Sha Yang Wei Wan Post-chemotherapy: Chong Cao Ji Jing With Food Stagnation: Jian Pi Wan
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 LI-11, REN-12, SP-6, ST-36, UB-20, UB-21 With Phlegm-Damp: + PC-6, SP-3 With diarrhea: + ST-25, ST-37 With abdominal distention: + SP-3, SP-15 REN-6, REN-11, REN-12, SP-4, ST-36 For loose stools: + ST-25 For dizziness and vertigo: + DU-20 For somnolence: + UB-62 For rectal prolapse: + UB-57 For uterine prolapse: + Zigong Ear: Spleen, Stomach, Lung, Adrenal, Pancreas, Shenmen, Sympathetic

Spleen Deficiency Edema

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention 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	Shi Pi Yin With Qi Stagnation: Fen Xiao Tang
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

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 Not Governing 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 Bu Zhong Yi Qi Tang modified
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

Spleen Yang Deficiency

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy A waxy, pale or lusterless complexion Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Reluctance to speak Soft voice 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 Diarrhea 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 With Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li Tang Chinese Patent Medicines: Fu Zi Li Zhong Wan Li Zhong Wan
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Disharmony Between The Spleen And Stomach With Dampness

Clinical Manifestations	Anorexia Loss of the sense of taste Inability to eat more than a little at a time Bloating after eating Focal distention Diarrhea Nausea/Vomiting Indigestion Epigastric discomfort Generalized weakness Maybe chest distention T: Pale C: White P: Deep and soft
Treatment Principle	Strengthen and harmonize the Spleen and Stomach Resolve Dampness Improve the appetite
Herb Formulas	Xiang Sha Yang Wei Tang Without Dampness: Xiang Sha Ping Wei Wan
Points

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 Li Zhong Tang Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Zhen Ren Yang Zang Tang Ding Xiang Shi Di Tang Zhi Shi Li Zhong Wan With Heart Yang Deficiency: Fu Ling Gui Zhi Gan Cao Da Zao Tang With Blood Stagnation: Qi Fang Wei Tong Jiao Fang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen And Stomach Qi And Yang Deficiency

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

Spleen-Damp Disturbs The Lungs

Clinical Manifestations	Head feels heavy as if wrapped up Four limbs tired Lethargic Sensations of stuffiness and fullness in chest and epigastrium Decreased food intake or vomits immediately after eating Cough Asthma Abundant white watery phlegm, easily expectorated Cannot lie flat (due to breathing difficulties) T: Pink C: Thick and slimy P: Slippery and even
Treatment Principle	Warm and Reinforce the Spleen and Lungs
Herb Formulas	Ping Wei San + Er Chen Tang Si Jun Zi Tang
Points	Dingchuan, LU-9, REN-17, REN-22, SP-3, ST-36, ST-40, UB-13, UB-20

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	For diarrhea: Fu Zi Li Zhong Wan Si Shen Wan For edema: Zhen Wu Tang Shi Pi Yin
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Stomach Cold

Clinical Manifestations	General signs and symptoms: Epigastrium Cold with pain Mild cases: Constant pain Severe cases: Sudden bouts of sharp pain Pain is aggravated by Cold and relieved by warmth and hot drinks Cold hands and feet Cold Penetrates the Stomach and Intestines: Pain is sudden and sharp Pain is relieved by warmth Nausea Diarrhea Loose stools T: Pink C: White P: Deep and tight Retention of Fluid in the Stomach due to Cold: Pain is dull Pain is relieved by warmth Succussion sound in the epigastrium on palpation Vomiting of clear, watery fluid T: Pink C: White and sticky P: Thready or Thready and slow Stomach Deficiency with Stagnation of Cold: Pain is dull Pain is relieved by warmth and pressure Vomiting clear, watery fluid T: Pale C: Thin and white P: Deep and slow or Deep and thready
Treatment Principle	Warm the Stomach Warm Cold
Herb Formulas	Liang Fu Wan modified Mild cases: Gan Jiang Ren Shen Ban Xia Wan Severe cases: Xiang Sha Liu Jun Zi Tang + Liang Fu Wan In children: Ding Yu Li Zhong Tang
Points	Moxa or moxa needle PC-6, REN-6, REN-12, SP-4, ST-21, ST-36, UB-20, UB-21

Food Stagnation In The Stomach

Clinical Manifestations	Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation 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
Herb Formulas	Bao He Wan Zhi Shi Dao Zhi Wan Xiang Sha Ping Wei San
Points	LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36

Blood Stagnation In The Stomach

Clinical Manifestations	Sharp, stabbing epigastric pain with fixed location Pain is severe after eating Dislike of pressure and heat on epigastrium Pain predominates over distention or Pain but no distention Epigastric rumbling Vomiting purple/black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses T: Dark purple with purple spots or dots P: Wiry and choppy
Treatment Principle	Activate the Blood Adjust Qi Transform Stagnation Stop pain
Herb Formulas	Dan Shen Yin modified
Points	SP-4, SP-6, SP-10, ST-21, ST-34, UB-17 PC-6, SP-4, SP-6, ST-36, UB-17

Phlegm-Damp In The Stomach

Clinical Manifestations	Anorexia or Reduced appetite Loss of the sense of taste Epigastric and abdominal distention and fullness Nausea/Vomiting often in the morning Acid reflux Belching Loose stools or Diarrhea Fatigue Lethargy Sluggishness A heavy body and limbs A frequent desire to sleep, after which the patient feels worse or more sluggish Poor concentration Heavy or foggy-headedness Stuffiness in the chest Maybe chronic mucus production fro the sinuses and Lungs Copious salivation Greasy skin A musky body odor Tendency toward obesity A pear shape T: Swollen or flabby C: Thick, greasy and white Slippery, wiry and moderate
Treatment Principle	Dry and transform Phlegm-Damp Stimulate digestion Circulate Qi and Fluids Harmonize the Stomach
Herb Formulas	Ping Wei San With Qi Stagnation: Xiang Sha Yang Wei Tang With obesity and Yang Deficiency: Shi Pi Yin Chinese Patent Medicines: Ping Wei San With Spleen Deficiency: Xiang Sha Liu Jun Zi Wan With Qi Stagnation: Xiang Sha Yang Wei Wan With Spleen Yang Deficiency: Fu Zi Li Zhong Wan With Food Stagnation: Bao Yang Dan
Points	PC-5, REN-12, SP-3, SP-5, ST-21, ST-36, ST-40 With Fluid Retention and edema: + REN-9, SP-6, SP-9, ST-28 With sluggish stools or constipation: + SJ-6, ST-37, ST-41 With Qi Stagnation: + LIV-3, PC-6 With foggy-headedness: + GB-20, UB-62 With Cold Phlegm: + moxa UB-20, UB-21 With somnolence: + KI-6, UB-62 Ear: Spleen, Stomach, Shenmen, Sympathetic

Disharmony Between The Stomach And Intestines With Cold And Heat

Clinical Manifestations	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: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Harmonize the Stomach Descend Rebellious Qi Disperse clumping Eliminate focal distention due to Cold and Heat factors
Herb Formulas	Ban Xia Xie Xin Tang
Points

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 With Phlegm or congested Fluids: Xiao Ban Xia Tang
Points	REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21

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	Sha Shen Mai Men Dong Tang Yi Wei Tang modified
Points	KI-3, REN-12, SP-6, ST-36, UB-21

Heart Fire With Kidney Yin Deficiency And Damp-Heat Pouring Downward

Clinical Manifestations	Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Dry mouth Dry Tongue Five Sole Heat Fever Physical and mental overexertion T: Red C: Little or None P: Deep and rapid
Treatment Principle	Clear Heart Fire Disperse Damp-Heat Benefit Qi and Yin Promote urination Treat Milky Lin
Herb Formulas	Qing Xin Lian Zi Yin
Points

Phlegm Confuses The Heart Orifice

Clinical Manifestations	Mental confusion Clouding of consciousness Talking to oneself Acting as if no one else is present Dull expression with blank stare Odd behavior Maybe loss of consciousness Maybe falling to the ground Sound of phlegm in throat with gurgling T: Pink C: White and greasy P: Deep and slippery; maybe wiry
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Dao Tan Tang
Points	DU-16, DU-26, HT-7, PC-5, ST-40, UB-15, UB-18, UB-20, UB-62

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
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Small Intestine Deficiency Cold

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

Liver Qi Stagnation: Liver Qi Invades The Spleen

Clinical Manifestations	Reduced appetite which is related to the person's emotional state Epigastric and 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 With Phlegm: Plum pit Qi Stagnation T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Hei Xiao Yao San With Phlegm-Damp: Xiang Sha Yang Wei Tang With Heat: Jia Wei Xiao Yao San Chinese Patent Medicines: Chai Hu Shu Gan Wan With Blood Deficiency: Xiao Yao San With Heat: Jia Wei Xiao Yao San With Spleen and Stomach Deficiency: Xiang Sha Yang Wei Wan
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37 GB-34, LIV-3, LIV-13, PC-6, REN-12, SP-4, ST-36 To calm the Shen: + DU-19, DU-24, Yintang With Blood or Yin Deficiency: + SP-6, UB-18, UB-23 With Phlegm or Yin Plum pit Qi Stagnation: + PC-5, SP-3, ST-40 Ear: Liver, Stomach, Spleen, Endocrine, Sympathetic, Shenmen

Liver Qi Stagnation: Liver Qi Invades The Stomach

Clinical Manifestations	Epigastric pain (worse when emotionally upset) Belching with acid regurgitation Nausea Vomiting Anorexia Epigastric distention 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 P: Wiry
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Xiao Yao San Hei Xiao Yao San Yue Ju Wan
Points	LIV-3, LIV-14, PC-6, REN-12 GB-34, LIV-3, LIV-13, PC-6, REN-12, SP-4, ST-36 To calm the Shen: + DU-19, DU-24, Yintang With Blood or Yin Deficiency: + SP-6, UB-18, UB-23 With Phlegm or Yin Plum pit Qi Stagnation: + PC-5, SP-3, ST-40 Ear: Liver, Stomach, Spleen, Endocrine, Sympathetic, Shenmen

Liver Fire Attacks The Stomach

Clinical Manifestations	Vexatious Heat Rib-side pain Distention and fullness Stomach pain Extreme Heat Upper abdomen distension or tenderness Stomach fullness after meals Appetite decrease Belching Nausea Vomiting Heartburn Chest pain Likes cold drinks Thirst T:Red C: Normal P: Slippery and rapid
Treatment Principle	Resolve Liver Qi Stagnation Descend Rebellious Qi Scatter Depressive Fire
Herb Formulas	Hua Gan Jian
Points

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	Long Dan Xie Gan Tang Yin Chen Hao Tang Chinese Patent Medicines: Ji Gu Gan Cao Wan Ji Gu Cao Chong Ji Li Dan Pian Long Dan Xie Gan Wan
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48 GB-24, GB-34, GB-43, LIV-3, LIV-14, SJ-6, UB-18, UB-19 With severe fever: + DU-14, LI-11 With alternating chills and fever: + GB-39, SJ-5 With nausea: + PC-6 With jaundice: + DU-9 Ear: Liver, Heart, Shenmen, Adrenal, Spleen

Cold Stagnation In The Liver Channel

Clinical Manifestations	Swelling and pain in scrotum as if the testicles were being pulled downward 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 a preference for warmth T: Pale C: White, greasy P: Deep and wiry or Slow or Deep and Excess
Treatment Principle	Warm the Liver Dispel Cold
Herb Formulas	Nuan Gan Jian
Points	Moxa needle LIV-1, REN-4, SP-6

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 (Ba Wei Di Huang 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

Yin And Yang Deficiency

Clinical Manifestations	Palpitations Anxiety Insomnia Dream disturbed sleep Nightmares Hair loss Spontaneous perspiration Amnesia Infantile night crying Dreams of sexual intercourse in women A cold sensation on the tip of the penis Loss of appetite Dizziness Depression Lack of motivation Night sweats Spermatorrhea Nocturnal emissions Lower abdominal contraction and pain Occasional watery diarrhea T: Slightly pale P: Hollow and slow or Hollow and slightly tight
Treatment Principle	Tonify Yin and Yang Harmonize the Ying and Wei Astringe Jing
Herb Formulas	Gui Zhi Jia Long Gu Mu Li Tang
Points

Qi And Blood Deficiency

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face 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 Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang Nu Ke Ban Zhen Wan Leading to Blood Stasis: Ba Zhen Yi Mu Wan Xiong Gui Tiao Xue Yin Ba Zhen Yi Mu Wan
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

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

Qi , Blood And Yang Deficiency With Cold

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	Replenish Yang Warm and tonify Qi and Blood
Herb Formulas	Shi Quan Da Bu Tang Without Cold: Ren Shen Yang Rong Tang
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 , Food And Phlegm Stagnation

Clinical Manifestations	Epigastric fullness, distention and pain with dislike of pressure Abdominal distension Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation Heaviness Anorexia Feverish Chest discomfort Coughing up Phlegm Uncomfortable bowel movements Nausea and vomiting Lower abdominal distension Excruciating abdominal pain Mania Delirious speech from extreme pain Afternoon fever Amenorrhea Dysmenorrhea Irregular menstruation Chills and fever Headache Hard stool Sharp, stabbing epigastric pain with fixed location Pain is severe after eating Dislike of pressure and heat on epigastrium Pain predominates over distention or Pain but no distention Epigastric rumbling Vomiting purple/black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses T: Pink or Dark purple with purple spots or dots C: Thick and greasy white or yellow P: Slippery, maybe rapid or Wiry and choppy
Treatment Principle	Tonify the Spleen Augment Qi Dry Dampness Regulate Qi Adjust the Middle Transform Phlegm Descend Qi Dissipate accumulations Reduce Food Stagnation Activate the Blood Stop pain
Herb Formulas	Kai Yu Zheng Yuan San
Points

Blood Deficiency

Clinical Manifestations	Reduced appetite Postpartum emaciation and weakness Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath Dyspnea Pale face Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Fidgeting Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five sole Heat Debilitated constitution in children Enuresis in children Insomnia Fatigue Anemia Bleeding Abdominal weakness Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Spleen and Stomach
Herb Formulas	Ba Zhen Tang With spasmodic pain: Dang Gui Jian Zhong Tang With Blood Stagnation: Tiao Ying Jian Gan Ying With a headache: Yang Xue Sheng Feng Tang
Points

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

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

Phlegm-Damp

Clinical Manifestations	Abdominal distension Poor appetite Edema Chest and hypochondriac distension Dizziness Nausea and vomiting Thirst but doesn't wish to drink Maybe no thirst Palpitations Shortness of breath T: Pink C: Thick, slippery P: Slippery and full and maybe wiry
Treatment Principle	Eliminate Dampness Resolve Phlegm
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San Ban Xia Fu Ling Tang Wu Ji San Ping Chen Tang With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San With Qi and Blood Stagnation: Kai Yu Er Chen Tang
Points	ST-40, SP-6, SP-9, SJ-6, PC-6, UB-13, UB-20, UB-23

Phlegm-Heat

Clinical Manifestations	Anorexia or Appetite yet to return after a febrile disease Nausea Vomiting Belching Acid reflux A bitter taste in the mouth Insomnia or Fitful sleep with much dreaming or Waking in the early hours and unable to fall back to sleep Cough with sticky, yellow, difficult to expectorate sputum Palpitations with anxiety and nervousness Irritability Restlessness Dizziness Vertigo Heavy or foggy-headedness Cough with Phlegm Chest and/or epigastric fullness Pain in the ribs T: Red C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid or Slippery, wiry and rapid
Treatment Principle	Clear Heat Resolve Phlegm Harmonize the Stomach Calm the Shen
Herb Formulas	Wen Dan Tang Qing Huo Di Tan Tang Shi Yi Wei Wen Dan Tang Chinese Patent Medicines: Wen Dan Wan
Points	PC-6, REN-12, ST-36, ST-40, ST-43 With severe Heat: + PC-8, ST-45 With Stomach discomfort: + ST-34 With dizziness: + GB-43 With anxiety: + DU-19, DU-24 With foggy-headedness: + DU-20, PC-5 Ear: Spleen, Stomach, Heart, Shenmen, Sympathetic

Cold-Phlegm

Clinical Manifestations	Chills Chest fullness Aversion to Cold Stabbing pain in the bones and joints Cough with sputum Cough Wheezing Copious sputum Chest distention Anorexia Indigestion Hiccup Shortness of breath T: Pale C: Thick, white P: Sinking and slow
Treatment Principle	Warm Cold Disperse Phlegm
Herb Formulas	San Zi Yang Qin Tang Er Chen Tang modified With Kidney Yang Deficiency: Su Zi Jiang Qi Tang
Points	Moxa or moxa needle LU-7, UB-13

San Jiao Damp-Heat

Clinical Manifestations	A poor appetite Fullness and distention in the abdomen Loose stools or Diarrhea or Constipation Nausea Aching, heaviness and stiffness in the limbs and back A weary feeling in the whole body Scanty urine Leukorrhea A dull, blank complexion Dull responses T: Red C: Yellow and greasy P: Slippery
Treatment Principle	Expel Heat Drain Dampness Clear the water passages of the San Jiao
Herb Formulas	Chang Pu Yu Jin Tang Jia Wei
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

Upper Jiao Cold-Damp

Clinical Manifestations	Aversion to Cold Heavy pressure headache Anorexia Mental dullness Cough with white Phlegm Severe chills Slight fever Maybe no fever or Afternoon fever Heavy head and extremities Anhidrosis Chest distention A sluggish feeling A sticky mouth Diarrhea or Loose stools Borborygmus Sticky saliva No thirst Epigastric distention T: Pale C: White or Greasy and white P: Soft or Floating and slow
Treatment Principle	Dry Damp Warm the body
Herb Formulas	Huo Xiang Zheng Qi Tang
Points	Moxa REN-8, REN-9, REN-12, UB-13, UB-39 GB-20, LU-1, REN-17, SP-9, ST-36

Upper Jiao Qi Stagnation

Clinical Manifestations	An irritable, stifling sensation in the chest and diaphragm Labored breathing Wheezing Epigastric distention and fullness Anorexia Hurried breathing T: Normal C: White P: Wiry
Treatment Principle	Promote the movement of Qi Descend Rebellious Qi Expand the chest Disperse Stagnation
Herb Formulas	Si Mo Tang Liu Mo Tang
Points

Middle Jiao Blood Stagnation

Clinical Manifestations	Emaciation Abdominal fullness Anorexia Rough, dry and scaly skin May be localized abdominal pain and tenderness Amenorrhea A dull, dark appearance of the eyes Tidal fever May be dry stools T: Petechiae or Purplish or Reddish P: Wiry and choppy or Wiry, small and smooth
Treatment Principle	Activate the Blood Break up Blood Stasis Nourish the Blood
Herb Formulas	Da Huang Zhe Chong Wan
Points

Middle Jiao Damp-Heat

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 T: Pink C: Greasy and yellow P: Soft and rapid
Treatment Principle	Clear Heat Resolve Damp and turbidity
Herb Formulas	Gan Lu Xiao Du Dan San Jiao #1 Long Dan Xie Gan Tang Lian Po Yin
Points	REN-6, REN-12, SP-9, ST-25, ST-36

Middle Jiao Damp Stagnation

Clinical Manifestations	Heaviness Anorexia Abdominal distention Uncomfortable bowel movements Nausea Vomiting
Treatment Principle	Resolve Dampness Disperse Stagnation
Herb Formulas	San Jiao #1 Long Dan Xie Gan Tang Gan Lu Xiao Du Dan With visual and audio disturbances: Yi Qi Cong Ming Tang
Points	REN-6, REN-12, SP-9, ST-25, ST-36

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
Points

Parasites

Clinical Manifestations	Intermittent abdominal pain Indigestion Emaciation Loose stools Feverishness Foul breath A sallow complexion A large, distended abdomen Anorexia Decreased intake of food Weak constitution Constant fatigue Maybe nausea and vomiting Dry mouth Thirst
Treatment Principle	Kill parasites Reduce accumulations Strengthen the Spleen Clear Heat
Herb Formulas	Lian Mei An Hui Tang Li Zhong An Hui Tang Ren Shen Chuan Jiao Tang In children: Fei Er Wan
Points