Asthma, Wheezing

General

Clinical Manifestations
Treatment Principle
Herb Formulas	Cardiac asthma: Su Zi Jiang Qi Tang Ma Xing Shi Gan Tang
Points	Acute attack: LU-6, PC-6, REN-17 With Phlegm: + REN-22, ST-40 With Fever: + LU-5 With Qi Deficiency: + LU-9 With cough ad cardiac pain: + LU-6 With shortness of breath: + moxa needle REN-17 Cupping: ST-36, UB-12, UB-13 Remission stage: Dingchuan, KI-3, LU-9, ST-36, UB-13, UB-20, UB-23, UB-34, UB-43 For shortness of breath and tachypnea: + PC-6, REN-4, REN-17 For spontaneous sweating: + HT-6, SI-3 To tonify Lung Qi: + REN-4 For failure to grasp Qi: + moxa or moxa needle REN-4 For Heart Yang Deficiency: + PC-6, REN-17 For a feeling of oppression in the chest: + KI-27, REN-21 To tonify the Spleen: + SP-5, SP-6

Cold Xiao (Wheezing) - Acute

Clinical Manifestations	Asthma (wheezing) Dyspnea A feeling of fullness and distress in the chest Coughing with clear, white, watery sputum No thirst Recurs in wither or cold weather T: Pale C: Thin and white or Whitish, moist and glossy P: Deep and tight or Wiry
Treatment Principle	Clear the Lungs Disperse Cold Expel Phlegm Sooth asthma
Herb Formulas	San Ao Tang San Zi Yang Qin Tang She Gan Ma Huang Tang modified
Points	Dingchuan, REN-17, REN-22, For Phlegm: + ST-40 For chills: + GB-20, UB-12 Tonify LU-8, REN-12, REN-17, UB-11, reduce LU-5, ST-40, UB-12, UB-13 LU-7, REN-12, REN-17, REN-22, moxa ST-36, UB-13 Dingchuan, REN-22, UB-13 , UB-17 For excess sputum: + LU-7, ST-40 For palpitations and dyspnea: + PC-6, REN-6 For abdominal distention and lumbago: + ST-25, UB-23 Reduce GB-10, GB-38, HT-9, LIV-13, LU-7, UB-10, UB-12, UB-13, UB-48, tonify GB-20, REN-15, REN-16, REN-17, REN-18, REN-19 DU-16, GB-20, KI-7, LI-4, LU-7, SJ-5, UB-12, UB-13 KI-6, LU-7 Ear: 1. Adrenal, Lung 2 2. Lung, Kidney, Adrenal, Sympathetic, Dingchuan, Lung 3 (strong stimulation)

Heat Xiao (Wheezing) - Acute

Clinical Manifestations	Wheezing Dyspnea Coarse breathing An irritable, oppressed sensation in the chest Yellow sputum Sputum maybe thick and difficult to expectorate Maybe gasping Thirst with a desire to drink Asthma occurs during the summer or during hot weather T: Red C: Sticky and yellow P: Slippery and rapid
Treatment Principle	Disperse Heat Expel Phlegm Stop wheezing
Herb Formulas	Ding Chuan Tang Ma Xing Shi Gan Tang + San Zi Yang Qin Tang  modified Ma Xing Shi Gan Tang modified Qian Jin Wei Jing Tang modified With cough and wheezing: Gui Zhi Jia Hou Po Xing Ren Tang
Points	Dingchuan, LI-4, LI-11, REN-22 REN-17, REN-22, ST-40, UB-12 Dingchuan, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13 Dingchuan, LU-5, REN-22, ST-40 DU-14, GB-20, LI-4, LI-11, LU-7, LU-11, SJ-5 KI-6, LU-7 Prophylaxis: moxa ST-36, UB-13, UB-20 prior to the season Ear: Adrenal, Lung

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 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 Jia Hou Po Xing Ren Tang With Kidney Jing Deficiency: Gui Zhi Jia Long Gu Mu Li Tang
Points	Bitong, Dingchuan, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, REN-22, SJ-5, UB-12, UB-13, Yintang With stiff neck and shoulders: + GB-21 With Dampness: + SP-6, SP-9

Tai Yang Zhong Feng With Phlegm

Clinical Manifestations	Aversion to Wind Chills and fever Spontaneous perspiration Headache Nasal obstruction Itchy throat Cough with expectoration of clear, or white sputum. Asthma Shortness of breath Sore throat with phlegm T: Normal C: Thick and greasy or Sticky white P: Floating and weak or Floating and slippery
Treatment Principle	Disperse Wind Stop cough Resolve Phlegm Relieve the Lungs
Herb Formulas	Zhi Sou San
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, LU-9, PC-5, SJ-5,   ST-40, 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 (Wind-Cold Attacks The Lungs)

Clinical Manifestations	Acute wheezing when exposed to Cold or cold drinks Tightness in the chest when exposed to Cold or cold drinks Panting with rales in the throat, especially when exposed to Cold or cold drinks Cough with thin, watery sputum Worse when lying flat Dyspnea Fullness and oppression of the chest and diaphragm Severe chills Mild or no fever Anhidrosis Occipital or frontal headache Itchy throat Muscle aches Stiff neck and shoulders A greenish blue, dull, stagnant facial complexion Sneezing Runny nose with clear, watery sputum Nasal obstruction Body aches Joint ache Nausea Vomiting Hiccups Anhidrosis Gasping Stabbing joint pain Itchy throat Cough with white, watery sputum Asthma Aversion to Wind and Cold Prefers warm drinks Maybe itching Maybe a cold upper back Maybe a low back pain Maybe a frozen shoulder Maybe epistaxis (severe) T: Normal C: Thin and white or White and glossy P: Floating and tight or Floating and wiry
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Transform Phlegm Stop asthma
Herb Formulas	For early-stage asthma: San You Tang Hua Gai San Ma Huang Tang Xing Su San Ma Xing Yi Gan Tang Shen Mi Tang Jin Fei Cao San Tong Xuan Li Fei Wan Fu Fang Chuan Bei Jing Pian Severe or with profuse Phlegm: Xiao Qing Long Tang If not relieved by diaphoretics: Gui Zhi Jia Hou Po Xing Ren Tang To relieve Tai Yang: Gui Zhi Tang To stop cough and resolve Phlegm: Zhi Sou San With Qi Deficiency: Shen Su Yin With Dampness: Ma Huang Jia Zhu Tang Chinese Patent Medicines: Qi Guan Yan Ke Sou Tan Chuan Wan Xiao Ke Chuan
Points	Dingchuan, GB-20, LI-4, LU-5, LU-7, REN-17, REN-22, UB-12, UB-13 For nasal congestion and a runny nose: + DU-23 DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12, UB-13 GB-20, LI-4, LU-5, LU-7, REN-17, UB-12, UB-13 DU-16, GB-20, KI-7, LU-5, LU-7, UB-12, UB-13 LI-4, LU-7, UB-13 KI-7, LI-4, LU-7, LU-10, REN-12, SJ-5, UB-12, UB-13 KI-6, LU-7 REN-6, REN-12, ST-36, UB-12, UB-13 DU-14, LI-4, LU-5, LU-9, REN-22, UB-12 LI-4, LU-5, LU-7, UB-12, UB-13 DU-14, LU-7, REN-22, UB-12, UB-13 For severe panting: + Dingchuan For a headache, nasal congestion and a runny nose: + LI-20, Yintang For a fever: + LI-4 For fever and chills: + SJ-5 For profuse Phlegm: + REN-12, ST-36, ST-40 For a severe cough: + LU-5, For chest oppression : + PC-6, REN-17 For children with Food Stagnation: + bleed Sifeng For a stiff neck: + GB-21, SI-3, Taiyang, UB-62 For diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 For vomiting but no diarrhea: + PC-6, SP-4 For Phlegm-Heat in the Lungs: + LU-5, LU-10, ST-40 To resolve Phlegm and stop cough: REN-22, ST-40

Tai Yang Shang Han With Water Accumulation In The Lungs

Clinical Manifestations	Chills and fever or Fever with no thirst Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder Dyspnea Shortness of breath Mild or severe gasping Hiccups Fullness in chest Vomiting Heaviness of the body Edema Dysuria Maybe thirst Maybe diarrhea Maybe scanty urine Maybe lower abdominal fullness T: Normal C: Greasy and white P: Floating and slippery or tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma Expel water or Phlegm
Herb Formulas	Xiao Qing Long Tang Wu Ling San With Internal Heat and irritability: Xiao Qing Long Jia Shi Gao Tang Chinese patent medicines: Xiao Qing Long Wan
Points	Moxa Dingchuan, DU-4, REN-4, REN-6, needle DU-16, GB-20, LI-4, LU-7, REN-17, REN-22, SP-6, SP-9, SJ-5, ST-40, UB-12, UB-13 With Internal Heat and irritability: - moxa + LI-11, ST-44 SJ-5, SP-3, ST-40, UB-12, UB-13

Tai Yang Shang Han With Phlegm-Fluids

Clinical Manifestations	Cough with a heavy sound Choking cough Stuffy and runny nose Copious thin, watery nasal discharge Excessive lacrimation Wheezing with expectoration of copious thin watery or string mucus Orthopnea Thin white sputum Chills and fever Headache Nasal obstruction Itching larynx Aching of limbs Muscle soreness Chilliness Anhidrosis T: Normal C:Thin and white P: Floating or Floating and tense
Treatment Principle	Disperse Wind and Cold Warm the Lungs Warm and transform Phlegm Fluids Stop wheezing
Herb Formulas	Xiao Qing Long Tang Jin Fei Cao San #2 Jin Fei Cao Tang Jia Jian To strengthen Spleen and Kidney Yang and transform Fluids: Ling Gui Zhu Gan Tang Liu Jun Zi Tang Jin Gui Shen Qi Wan Chinese patent medicines: Qi Guan Yan Ke Suo Tan Chuan Wan Xiao Ke Chuan Xiao Qing Long Wan
Points	Dingchuan, LU-6, LU-7, PC-6, REN-17, SP-3, ST-40, UB-12, UB-13 SJ-5, SP-3, ST-40, UB-12, UB-13 DU-10, LU-9, REN-17, REN-22, SP-6, ST-40, UB-13, UB-20

Tai Yang Shang Han With Interior Heat

Clinical Manifestations	Acute episodes of wheezing and pain Chest oppression A loud cough Thick, difficult-to-extectorate Phlegm or Profuse yellow Phlegm Fever and chills Maybe fever only A sore throat Achiness Anhidrosis or Mild perspiration Occipital headache Nasal obstruction Aversion to Cold Edema Thirst with a desire for cold drinks Restlessness Irritability Fidgeting Constipation or Dry stools Sometimes dry achy eyes T: Normal or Red or A red tip and edges C: Yellow or White P: Floating and tight or rapid
Treatment Principle	Expel Wind Open the Lungs Clear Heat Disperse Cold Transform Phlegm Stop asthma
Herb Formulas	Da Qing Long Tang Ding Chuan Tang Ma Xing Shi Gan Tangmodified Chinese Patent Medicines: Ma Xing Zhi Ke Pian Zhi Sou Ding Chuan Wan Chuan Ke Ling
Points	DU-14, DU-16, GB-20, LI-4, LI-11, LU-7, LU-9, LU-10, SJ-5, SP-1, SP-2, ST-44, UB-12, UB-13 DU-14, LI-4, REN-22, ST-44, UB-13 For severe panting: + Dingchuan, LI-18 For a headache, nasal congestion and a runny nose: + LI-20, Yintang For Lung Heat : + LI-10 For fever: + LI-11 For fever and chills: + SJ-5 For profuse Phlegm: + REN-12, ST- 36, ST-40 For severe coughing: + LU-5 For children: + bleed Sifeng Dingchuan, DU-14, LI-4, LI-11, LU-5, REN-17, SJ-5, UB-12 For severe sore throat: + LU-11, SI-17 For severe Internal Heat: + LU-10, SJ-2

Tai Yang Shang Han Transforming Into Phlegm-Heat Obstructs The Lungs

Clinical Manifestations	Coughing and wheezing Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess) Dyspnea Asthma Aversion to Cold Fever or fever and chills Spontaneous sweat Headache Rapid breathing Dark, yellow urine Thirst with a preference for cold beverages Fidgeting Restlessness Pain in the ribs T: Normal C: Greasy, yellow P: Slippery, rapid - slightly floating
Treatment Principle	Disseminate and descend Lung Qi Stop asthma (wheezing) Stop cough Clear Heat Transform Phlegm
Herb Formulas	Ding Chuan Tang
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13

Tai Yang Shang Han With Liver Qi Stagnation

Clinical Manifestations	Non-productive cough An uncomfortable sensation in the chest and hypochondria Difficult breathing Worse when lying down A rough sound in the throat T: normal or Dark C: Thin and white P: Floating and tight or Wiry or Floating, wiry and tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Soften the Liver Promote the circulation of Qi Stop asthma
Herb Formulas	Ding Chuan Tang
Points

Tai Yang With Underlying Kidney Yang Deficiency

Clinical Manifestations	Severe chills May have mild fever No sweat Aversion to Cold Cold extremities Cold sensation on back Pale face Extreme fatigue Muscle aching T: Pale with scallop C: White P: Deep, weak and thready
Treatment Principle	Warm Yang Expel Cold from the Exterior Dispel Cold from the Interior
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang
Points	Moxa DU-4, DU-16, DU-20, UB-12, UB-15, UB-23

Tai Yang - Yang Ming

Clinical Manifestations	Fever Sweating Thirst Dysenteric diarrhea Foul-smelling stools A burning sensation around the anus Gasping Ephidrosis Palpitations Tenesmus Maybe red tinged urine Irritability and Heat in the chest and epigastrium Stiffness and spasms at the back of the neck Dry mouth Dyspnea with perspiration Maybe wheezing T: Red C: Yellow (Greasy) P: Rapid
Treatment Principle	Release the Exterior Clear Internal Yang Ming Heat
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points

Tai Yang - Yang Ming - Shao Yin

Clinical Manifestations	Dizziness Red, sore eyes Difficulty swallowing Nasal congestion and infection Thick, sticky nasal discharge and saliva Bitter taste in the mouth Dry mouth Focal distention in the chest and diaphragm Stifling sensation in the chest and diaphragm Manic behavior Carbuncles Heat rash Headache Acne Chills High fever Restlessness Urticaria Sore throat Swelling of the throat Coughing Reddish urine Dyspnea Vertigo Severe aversion to Cold Skin rashes Skin ruptures or ulcers Tense abdomen Shoulder stiffness Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Fullness of the abdomen Fullness of the epigastrium Heaviness in the head T: Red C: White or Yellow and greasy P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San
Points

Yang Ming Jing With Qi Body Fluid Deficiency

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink May be heavy labored breathing 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 Jia Ren Shen Tang
Points	DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20

Yang Ming Fu

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 disturbance: 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
Points	For Heat: DU-14, LI-4, LI-11, SJ-5, ST-44 For Stagnation: REN-12, ST-34, ST-36, ST-37, ST-39 For Constipation: SJ-6, ST-25, UB-25

Shao Yang With Phlegm-Heat Accumulation In The Chest

Clinical Manifestations	Alternating chills and fever Fullness and focal distention in the chest and diaphragm Pain in the chest and diaphragm with pressure Thick, sticky, difficult-to-expectorate Phlegm Panting A bitter taste in the mouth Chest pain with coughing or on deep inhalation Anorexia T: Normal C: Yellow P: Wiry and rapid
Treatment Principle	Clear Heat Transform Phlegm Expand the chest Release the Shao Yang
Herb Formulas	Chai Xian Tang Xiao Chai Hu Tang modified Chai Hu Xian Xiong Tang
Points

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

Wind-Cold Or Wind-Heat With Congested Fluids In The Lungs

Clinical Manifestations	Lung-distension Wheezing with a productive cough Dyspnea Panting Yellow or white mucus which is difficult to expectorate Thick phlegm A dry mouth with a desire to drink Maybe no thirst A choking sensation in the chest A sense of fullness in the chest and diaphragm The eyes look like they are popping out of their sockets Facial edema Chills Oliguria A mild to moderate fever Dry stools Maybe headache Maybe the sound of sputum rattling in the throat Maybe nervousness Maybe anxiety T: Red C: Yellow and may be greasy P: Floating, large and slippery or Slippery and rapid
Treatment Principle	Disseminate Lung Qi Calm wheezing Dispel Thin Mucus Clear Heat Relieve cough and dyspnea
Herb Formulas	Yue Bi Jia Ban Xia Tang Bronchial Asthma #1
Points

Wind-Heat Attacks The Lungs (Acute)

Clinical Manifestations	An acute episode of wheezing and panting Maybe itching Maybe sneezing Cough with thick, sticky, yellow sputum Sore, red, dry swollen or itchy throat Nasal obstruction with thick yellow of green discharge Thirst with a desire to drink cold liquids Dry mouth Red face Runny or blocked nose with thick, yellow discharge Dyspnea with flared nostrils Mouth agape Chest fullness and tightness Chest pain Raised shoulders Mild fever or High fever with perspiration Slight chills Aversion to Wind Frontal headache Restlessness T: Red tip C: Thin and yellow P: Floating and rapid
Treatment Principle	Expel Wind Clear Heat Ventilate the Lungs Transform Phlegm Stop asthma
Herb Formulas	Ma Xing Shi Gan Tang modified Qing Zao Jiu Fei Tang Sang Ju Yin modified Mild cases: Sang Ju Yin With cough and Phlegm: Ning Sou Wan Jin Fei Cao Tang Jia Jian For Lung Heat with hemoptysis: Sang Xing Tang modified Chinese Patent Medicines: San She Dan Chen Pi Mo Ma Xing Zhi Ke Pian
Points	DU-14, DU-16, GB-20, LI-4 + LU-7 or LI-4 + SJ-5, LU-5, LU-10, LU-11, UB-12, UB-13 Dingchuan, LI-4, LI-11, LU-5, LU-9, ST-40 LU-1, LU-5, LU-9, LU-10, PC-6, SI-4, UB-13, UB-15 KI-6, LU-7 LU-7, REN-17, REN-22, ST-40, UB-12, UB-13 Dingchuan, DU-14, LI-4, LI-11, LU-1, LU-5, SJ-5, UB-12 For a very severe, swollen throat: + LU-11, SI-17 DU-14, LI-4, LU-5, REN-22, UB-13 For severe panting, flared nostrils, gaping mouth and raised shoulders: + Dingchuan, LI-18 For a headache, nasal congestion and a runny nose: + LI-20, Yintang For fever: + LI-11 For fever and chills: + SJ-5 For bloody Phlegm: + LU-6 For profuse Phlegm: + REN-12, ST- 36, ST-40 For severe coughing: + LU-10 For chest oppression: + PC-6, REN-17 For constipation: + SJ-6, ST-25 For children: + bleed Sifeng Ear: Adrenal

Wei Stage: Summerheat And Dampness

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Irritability Gastric disturbances: Heaviness Nausea with fever Acute onset of vomiting of vomiting Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Rapid and soft or Rapid and wiry
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	Yu Shu Dan
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

Wind-Dampness

Clinical Manifestations	Numbness and heaviness of the extremities Soreness and fixed pain of joints Stiffness or numbness of the muscles or skin Pain worse on cloudy or rainy days Maybe peripheral or systemic edema Pain is alleviated by pressure and warmth Pain lingers and is recalcitrant to treatment Worse during cloudy or wet weather Limited movement Edema Maybe stifling sensation in chest Maybe anorexia or indigestion Maybe abdominal distention Maybe loose or semi-liquid stools T: Pink or Pale C: Greasy and white P: Slow, moderate and soft
Treatment Principle	Expel Damp Clear the channels
Herb Formulas	Yue Bi Tang With Phlegm: Xiao Xu Ming Tang
Points	When affected by weather changes: 1. SJ-5, UB-35, ST-36, SP-5 2. SP-5, ST-38, ST-36 3. LI-13, ST-32, UB-38, GB-30, GB-34, SJ-8, DU-1

Perverse Dryness Attacks The Lungs

Clinical Manifestations	Dry cough with little or no sputum Sputum is difficult to expectorate Maybe hemoptysis Cough may cause chest pain Dry or sore throat Hoarse voice Dry lips and mouth Thirst Dryness in nose Epistaxis Chills and fever Headache Anhidrosis Dry skin and hair Constipation T: Red tip C: Thin, yellow and dry P: Superficial, maybe rapid
Treatment Principle	Clear the Lungs Moisten Dryness
Herb Formulas	Qing Zao Jiu Fei Tang If symptoms persist for a long time: Yang Yin Qing Fei Tang With cough and Phlegm: Ning Sou Wan
Points	KI-3, LU-1, LU-6, SP-6, UB-13

Qi Stage: Lung Heat

Clinical Manifestations	High fever No chills Aversion to Heat Cough Asthma Restlessness Thirst Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm T: Red C: Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful
Treatment Principle	Clear Heat in Lungs Strengthen when weak or elderly
Herb Formulas	Ma Xing Shi Gan Tang modified Zhi Sou Ding Chuan Wan With Lung Yin Deficiency: Qing Fei Tang Zi Wan Tang With Phlegm: Ren Shen Xie Fei Tang
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44. UB-13

Qi Stage: Lung And Stomach Heat

Clinical Manifestations	High fever No chills Aversion to Heat Profuse sweat Great thirst with desire to drink No chill Cough Asthma Restlessness Thirst Irritability Abdominal pain Dryness Red face Dry stools Rough breathing Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm T: Red C: Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful or Rolling, gigantic and rapid
Treatment Principle	Clear Heat in Lungs and Stomach Reduce fever Moisten and replenish Body Fluids
Herb Formulas	Zhu Ye Shi Gao Tang
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-37, ST-44. UB-13

Summerheat With Qi , And Yin Deficiency

Clinical Manifestations	High fever Profuse sweating Irritability Thirst Scanty, dark urine Restlessness Fatigue Fatigued limbs Shortness of breath Apathy T: Pale or Red P: Deficient and rapid
Treatment Principle	Clear Summerheat Tonify Qi Nourish Yin Generate Fluids
Herb Formulas	Qing Shu Yi Qi Tang
Points

Phlegm Congests The Lungs

Clinical Manifestations	Wheezing Panting Dyspnea with lots of sputum The sputum is difficult to expectorate The sputum rattles in the throat Chest and diaphragm blocked Inability to sleep Fullness of the chest Anorexia Nausea T: Normal or Pale C: Sticky and white P: Slippery or Slippery and large
Treatment Principle	Expel Phlegm Descend Qi Stop asthma
Herb Formulas	San Zi Yang Qin Tang San Zi Yang Qin Tang + Er Chen Tangmodified Er Chen Tang + Ping We San
Points	LU-1, LU-5, LU-7, ST-40, UB-13 LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 Dingchuan, LU-5, REN-22, UB-13 LI-4, LU-9, ST-40, UB-12, UB-13 With Heat: + DU-14, LI-11, LU-11 With Cold: + moxa UB-20, UB-23 With nausea: + PC-6, REN-12, SP-4 LU-5, PC-6, REN-12, REN-22, ST-40 LIV-13, LU-5, PC-6, REN-12, ST-36, UB-20 DU-14, PC-6, REN-22, ST-36, UB-13 For severe panting: + Dingchuan For a headache, nasal congestion and a runny nose: + LI-20, Yintang For a fever: + LI-4 For fever and chills: + SJ-5 For profuse Phlegm: + REN-12, ST-36, ST-40 For a severe cough: + LU-5, For chest oppression : + PC-6, REN-17 For children with Food Stagnation: + bleed Sifeng

Phlegm-Damp Congests The Lungs (Tan Yin)

Clinical Manifestations	Shortness of Breath Cough with copious, thin, white, frothy sputum The sputum rattles in the throat Chest congestion with full feeling Dyspnea which is worse when lying down Sometimes asthma Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Unable to eat Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Loose stools Lethargy Weakness T: Pink or Pale with toothmarks C: Thick, white and greasy or sticky P: Slippery or Slippery, full and maybe wiry or Soft and slippery
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs Warm and Dissolve Tan Yin Stop asthma
Herb Formulas	Er Chen Tang modified Su Zi Jiang Qi Tang Ling Gui Zhu Gan Tang She Gan Ma Huang Tang San Zi Yang Qin Tang Wu Ling San San Zi Yang Qin Tang + Er Chen Tang modified In the elderly: Qi Guan Yan Pian With Spleen Qi Deficiency prominent: Liu Jun Zi Tang modified With Spleen Qi Deficiency and Heat: Qing Fei Yin For the elderly and children: Su Zi Jiang Qi Tang Chinese Patent Medicines: Su Zi Jiang Qi Wan Er Chen Wan Qi Guan Yin Ke Sou Tan Chuan Wan San She Dan Chuan Bei Yi
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23 REN-12, REN-22, ST-40, UB-13 PC-6, SP-4 LIV-13, LU-5, LU-7, LU-9, SP-3, SP-6, ST-36, ST-40, moxa UB-13, UB-20, UB-43 With wheezing: + Dingchuan With fullness in the chest: + PC-5 Dingchuan, LU-1, LU-7, LU-9, REN-12, REN-17, REN-22, SP-3, ST-40, UB-13, UB-20 With fullness in the chest: + PC-5

Phlegm-Dryness Obstructs The Lungs

Clinical Manifestations	Cough with deep-seated sputum Sputum is difficult to expectorate Wheezing A dry, sore throat Dyspnea Shortness of breath Polydipsia Polyuria T: Red and dry C: Little P: Rapid, thready and strong
Treatment Principle	Moisten the Lungs Clear Heat Regulate Qi Transform Phlegm Stop cough
Herb Formulas	Bei Mu Gua Lou San
Points

Cold-Phlegm Obstructs The Lungs (Han Tan)

Clinical Manifestations	Cough with copious, thin, white, frothy sputum Chest and diaphragm congestion with full feeling Dyspnea which is worse when lying down Panting with rales in the throat which usually occurs when exposed to Cold Sometimes asthma Maybe cold upper back A greenish-blue, stagnant facial complexion No thirst or A preference for warm drinks Aversion to Cold Maybe a slight fever Headache Itchy throat Sneezing Runny nose Body aches Maybe itchy skin at the beginning of the acute stage T: Pink C: Thick, white and greasy or sticky P: Slippery or Floating and tight
Treatment Principle	Warm the Lungs Expel Cold Transform Phlegm Stop asthma
Herb Formulas	Liang Xiao Wan She Gan Ma Huang Tang San Zi Yang Qin Tang For Wind-Cold symptoms or acute wheezing: Xiao Qing Long Tangmodified (temporarily) With Kidney Deficiency or Qi Stagnation: Su Zi Jiang Qi Tangmodified For severe panting wheezing: Make small discs 2cm in diameter of 10% Rx. Aconiti Lateralis Preparata Zhi Ban Xia, 20% Sm. Sinapis Bai Jie Zi, 20% Hb. cum Rx. Asari Xi Xin, 20% Rz. Zingiberis Gan Jiang and 20% Fr. Zanthoxyli Chuan Jiao and ginger juice. Place them on REN-17, UB-13 and UB-43 with adhesive tape each night.
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 LU-5, LU-9, REN-17, REN-22, UB-13 For a headache, nasal congestion and a runny nose: + LI-20, Yintang For fever: + LI-4 For severe panting: + Dingchuan

Phlegm-Heat Congests The Lungs

Clinical Manifestations	Cough with expectoration of copious, thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess) Phlegm is difficult to expectorate Wheezing Panting Hoarse panting with loud rales Worse at night and in the early morning Worse with Heat Dyspnea Thirst with a desire for cold drinks Asthma A bitter taste in the mouth A dry mouth A dry throat Maybe a sore, congested throat A red face Focal distention and fullness in the chest and diaphragm Tightness in the chest A burning sensation in the chest Nausea Pain in the ribs Maybe chills and fever Maybe flaring nostrils Heart vexation Lethargy Weakness Disturbed Spirit Dark colored urine Constipation or Loose stools T: Red or Scarlet C: Yellow and smooth or Yellow and greasy P: Slippery and rapid or Soft and slippery
Treatment Principle	Clear Heat Transform Stasis Resolve Phlegm Descend Qi Soothe asthma Stop panting
Herb Formulas	Yue Bi Jia Ban Xia Tang modified Qing Qi Hua Tan Wan Xiao Xian Xiong Tang Gua Lou Zhi Shi Tang Liu Shen Wan Sang Bai Pi Tang modified Ma Xing Shi Gan Tang modified With cough and Phlegm: Ning Sou Wan For mild cases: Er Chen Tang modified For mild Heat wheezing: Ding Chuan Tang For severe Heat Accumulation transforming into Fire: Bai Hu Tang With Food Stagnation: Bao He Wan modified Chinese Patent Medicines: Qing Qi Hua Tan Wan Qing Fei Yi Huo Pian Chuan Ke Ling San She Dan Chen Pi Mo Zhi Ke Pi Pa Chong Ji Ke Chuan Pian Ke Chuan Chong Ji Xiao Ke Chuan
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13 DU-14, LU-5, REN-17, ST-40, UB-13 LU-5, REN-22, ST-40, UB-13, UB-20 DU-14, LI-4, LU-6, REN-17, ST-40 For severe panting: + needle then cup Dingchuan, UB-13 For headache: + GB-20 For aversion to Cold: + UB-12 DU-14, LU-10, REN-22, ST-36, ST-40, UB-13 For severe panting, flared nostrils, gaping mouth and raised shoulders: + Dingchuan, LI-18 For a headache, nasal congestion and a runny nose: + LI-20, Yintang For fever: + LI-11 For fever and chills: + SJ-5 For bloody Phlegm: + LU-6 For profuse Phlegm: + REN-12, ST- 36, ST-40 For severe coughing: + LU-10 For chest oppression: + PC-6, LU-1, LU-5, LU-6, LU-10, For constipation: + SJ-6, ST-25 For children: + bleed Sifeng Dingchuan, LI-11, LU-1, LU-5, LU-6, LU-10, REN-17, ST-40, UB-13 For fullness in the chest: + PC-5

Lung Heat

Clinical Manifestations	Choking sensation Coughing spells Intercostal distention Wheezing Crackling or moist rales A roaring sound in the throat Copious sputum that is thick and difficult to expectorate Sputum is usually yellow but may be white in some cases where Heat is not as prominent It is common for patients to raise their shoulders to help breathing Fever Irritability Perspiration Headache Thirst with desire to drink Flushed face Possible fever with aversion to cold T: Red C: Yellow and greasy P: Superficial rapid or wiry
Treatment Principle	Clear Lung Heat Dissolve Phlegm Relieve asthma
Herb Formulas	Asthma #2
Points	DU-14, LI-4, LU-6, REN-17, ST-40, UB-13 With severe dyspnea: + Dingchuan, REN 22 With irritability and chest fullness: + LU-10, PC-7 For thirst with a desire for cold drinks: + KI-3, KI-6

Lung And Stomach Heat

Clinical Manifestations	Cough Yellow Phlegm Dry mouth Thirst with a desire to drink Constipation Sore throat Hematemesis Hemoptysis T: Red and dry C: Yellow P: Rapid
Treatment Principle	Clear and purge Lung Heat Transform Phlegm Stop cough and asthma
Herb Formulas	Qing Fei Yi Huo Hua Tan Wan Qing Qi Hua Tan Wan
Points

Cold In The Lungs

Clinical Manifestations	Hyperventilation Shortness of breath Tachypnea Tightness and a suffocating feeling of the chest Audible wheezing in the throat High-pitched rhonchi Thin, white foamy sputum or Tenacious, white sputum that is difficult to expectorate; amount can vary from scanty to profuse Chills Intolerance to Cold (cold temperature, cold food, drinks) Absence of perspiration Headache Body aches and pain Grayish, and cyanotic complexion T: Pink C: White and greasy P: Wiry and tight
Treatment Principle	Dispel Cold Warm up the Interior Eliminate Phlegm Relieve bronchial spasms
Herb Formulas	Asthma #1
Points	LU-5, LU-7, REN-17, UB-12, UB 13 For a headache and body ache: DU-12, DU-14 For a stuffy nose and runny nose: DU-23, LI-20

Cold In The Lungs With Food Stagnation

Clinical Manifestations	Cough with copious sputum Focal distention in the chest Shortness of breath Anorexia Difficult digestion Hiccup T: Normal C: Greasy and white P: Slippery and rapid
Treatment Principle	Descend Qi Relax the diaphragm Reduce Food Stagnation Resolve Phlegm
Herb Formulas	San Zi Yang Qin Tang
Points

Lung Qi Deficiency - Chronic

Clinical Manifestations	A history of acute stage asthma Continuous wheezing Shortness of breath with rapid, feeble respiration Soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Fatigue Reluctance to speak Shortness of breath Palpitations Pale face Maybe cold limbs With Wei Qi Deficiency: Spontaneous perspiration (daytime) Aversion to Wind Profuse, cold sweat on the head Low resistance to common cold Tendency to a blocked nose T: Pale C: Thin and white P: Weak or Deep, thready and weak Relief Stage: Catches Cold easily Asthma returns with Wind-Heat or Wind-Cold Sweats easily Aversion to Wind and Cold Frequent sneezing Runny nose Nasal obstruction Chest oppression with is relieved by inhaling Shortness of breath Clear, thin white Phlegm Slight, dull-sounding, enduring wheezing A pale face T: Pale C: Thin and white P: Empty and weak
Treatment Principle	Reinforce the Lungs Strengthen Qi
Herb Formulas	Ren Shen Ge Jie San Yu Ping Feng San Bu Fei Tang Sheng Mai San With Heat in the Lungs: Ren Shen Ge Jie San Relief Stage: Yu Ping Feng San modified With Spleen Qi Deficiency: Liu Jun Zi Tangmodified With Lung Qi and Yin Deficiency: Bu Fei Tang modified Chinese Patent Medicines: Bu Zhong Yi Qi Wan Ge Jie Da Bu Wan Ren Shen Yang Ying Wan Ping Chuan Wan
Points	LU-9, REN-17, ST-36, UB-13, UB-43 Dingchuan, LU-9, ST-36, UB-13, UB-43 Dingchuan, DU-4, KI-3, LU-1, REN-17, UB-13, UB-23 Moxa KI-27, REN-4, UB-23, UB-43, needle DU-12, KI-24, ST-36, ST-40 Moxa DU-14, UB-11, tonify PC-6, REN-4, REN-6, ST-36, UB-13, UB-21, UB-23, moxa LI-4 during the attack LI-4, LU-9, ST-40, UB-12, UB-13 LU-7, LU-9, REN-12, SP-6, moxa or moxa needle DU-14, ST-36, UB-13, UB-20, UB-43 Relief Stage: 1. LU-1, REN-17, REN-22, ST-36 2. KI-6, LU-7 3. LI-4, LU-9, ST-36, UB-13 4.Dingchuan, KI-3, LU-9, ST-36, UB-13, UB-20, UB-23, UB-24, UB-43 For shortness of breath and tachypnea: + PC-6, REN-4, REN-17 For patients who perspire easily after movement or light exercise: + H-6, SI-3 To tonify Lung Qi: + REN-4 For Kidney unable to grasp Qi: + moxa or moxa needle REN-4 For Heart Yang Deficiency: + PC-6, REN-17 For a feeling of oppression in the chest: + KI-27, REN-21 To tonify the Spleen: + SP-5, SP-6 5. Summer moxibustion: apply 3-5 cones on a thin slice of Ginger at DU-14, ST-36, UB-20, UB-23, UB-43 once a day for 10 days each month for 3 months before the asthma season 6. Sliding cupping: from UB-13 to UB-43 until the skin becomes dark red, once a week for two months before the asthma season 7. Ear: Dingchuan, Adrenal, Lung, Trachea, Subcortex, Endocrine, Sympathetic

Lung Yin Deficiency

Clinical Manifestations	Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Afternoon fever Night sweats Malar flush (especially in afternoon) Five sole Heat Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Emaciation T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs
Herb Formulas	Bai He Gu Jin Tang Yang Yin Qing Fei Tang Yue Hua Wan With Heat: Bu Fei E Jiao Tang With Phlegm-Fire: Bei Mu Gua Lou San With Heart Yin Deficiency: Xuan Miao San Chinese Patent Medicines: Yang Yin Qing Fei Tang Jiang Mai Wei Di Huang Wan Li Fei Chuan Bei Pi Pa Gao
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43

Lung Qi And Yin Deficiency

Clinical Manifestations	Wheezing which changes with the weather Panting Shortness of breath, worse on exertion Above symptoms are worse with exertion Weak cough Little or no mucus A soft or weak voice with little desire to talk Spontaneous sweating Aversion to Wind Frequent colds and flu A dry mouth Occasional dry, sore throat Malar flush Afternoon fever Insomnia Heart vexation T: Pale red, dry, swollen often with extensive cracks or Pale with a red tip C: Little or None P: Weak and soft, possibly extending up the thenar eminence
Treatment Principle	Tonify and nourish Lung Qi and Yin Descend Lung Qi Stop wheezing and panting
Herb Formulas	Sheng Mai Sanmodified Jiu Xian San Bu Fei Tangmodified Chinese patent medicines: Li Fei Mai Wei Di Huang Wan Ping Chuan Wan
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 In children with underlying Food Stagnation: bleed Sifeng

Lung And Spleen Qi Deficiency

Clinical Manifestations	Protracted, incessant, weak cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma and panting which is worse with exertion Aversion to Wind Catches cold easily Spontaneous sweating Weak voice Lethargy Easily fatigued A soft voice Reluctance to speak A general air of sadness or melancholy A waxy, pale complexion Rounded or hunched shoulders Four limbs tired Anorexia Maybe copious mucus Food allergies General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily Spleen Deficiency predominant: Worse with dietary irregularities Lung Deficiency predominant: Worse with weather changes Frequent sneezing Runny nose T: Pale with a thin crack C: White or White and greasy P: Thready and weak or Floating and weak or Soft
Treatment Principle	Reinforce the Spleen Benefit the Lungs Descend Lung Qi Transform Phlegm Disperse accumulation
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang Wu Ji San Bu Zhong Yi Qi Tang Liu Jun Zi Tang + Yu Ping Feng San For obvious Spleen Deficiency symptoms: Liu Jun Zi Tang modified For postpartum, post-menstrual or post-hemorrhage dyspnea and shortness of breath: Shi Quan Da Bu Tang Dang Gui Bu Xue Tang Chinese Patent Medicines: Su Zi Jiang Qi Wan Jiu Fei Su He Wan Bu Zhong Yi Qi Wan Ge Jie Da Bu Wan Ren Shen Yang Rong Wan
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43 DU-12, DU-14, LU-5, LU-7, LU-9, PC-6, REN-6, ST-25, ST-36, UB-13, UB-20 DU-14, ST-36, ST-40, UB-13 With severe panting: + Dingchuan or LI-18 With chest oppression: + PC-6, REN-17 In children with underlying Food Stagnation: bleed Sifeng LU-9, REN-6, REN-12, SP-6, ST-36, UB-13, UB-20, UB-43 Ear: Lung, Spleen, Stomach Intestines, Abdomen Cupping: Upper back points Scarring plaster: Place a plaster of Bul. Allii Sativi Da Suan or Hb. cum Rx. Asari Xi Xin on DU-14 and/or UB-43 for two to three days to strengthen Wei Qi.

Lung And Stomach Yin Deficiency

Clinical Manifestations	Cough with little yellow sputum Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Coughing up difficult-to-extectorate Phlegm Nausea Scanty urination Hoarseness Thirst Asthma Flushed face Five sole Heat Vomiting T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Benefit the Stomach and Lungs Generate Fluids Descend Qi Harmonize the Middle Jiao
Herb Formulas	Mai Men Dong Tang
Points

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough Scanty, sticky phlegm or Sometimes blood-streaked sputum Chronic wheezing which is severe and may be constant Wheezing may be worse at night Wheezing and panting which is worse on exertion The patient may develop a barrel chest and a thick neck Tightness and fullness in the chest Dry mouth Dry throat Warm, dry skin Chronic sore throat Low back and knees sore and weak "Steaming Bone" tidal fever Fine sole Heat Tinnitus Night sweats Malar flush Maybe hoarse voice Aversion to Heat Finger clubbing Large, red skin reaction to needles or pressure Maybe kyphosis of the upper back Maybe pain in shin, foot, and heel Sterility Spermatorrhea Patients who used steroids as children may be small in stature T: Red and dry C: None or Mirrored P: Thready and rapid, may be fuller if on steroids
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	If Kidney Yin Deficiency predominates: Mai Wei Di Huang Wan If Lung Yin Deficiency predominates: Bai He Gu Jin Tang The effect of the above formulas may be enhanced by adding the Chinese patent medicines He Che Da Zao Wan or Ge Jie San Ba Xian Chang Shou Wan Du Qi Wan modified Si Jun Zi Tang + Du Qi Wan Yang Yin Qing Fei Tang Qi Wei Du Qi Wan With Phlegm: Jin Xue Liu Jun Jian Chinese patent medicines: He Che Da Zao Wan Mai Wei Di Huang Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23 KI-1, KI-3, KI-6, LU-1, LU-5, LU-7, LU-9, UB-13, UB-23, UB-43 With Heat: + LU-10 DU-14, KI-3, LU-9, UB-13 With Spleen Deficiency: + ST-36 With Phlegm: + ST-36, ST-40 With severe panting: + Dingchuan, LI-18 With chest oppression: + REN-17, PC-6 For children with Food Stagnation: + bleed Sifeng

Large Intestine Heat

Clinical Manifestations	Dry stools Knotted constipation Mouth parched Sensation of burning heat, swelling and pain of anus Urine short and dark T: Pink C: Yellow and dry P: Slippery and rapid
Treatment Principle	Clear Heat Purge constipation
Herb Formulas	Ma Zi Ren Wan
Points	LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44, UB-25

Large Intestine Excess Heat

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles or Red C: Thick, yellow and dry P: Deep and Excess
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Da Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

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
Points	Dingchuan, LU-9, REN-17, REN-22, SP-3, ST-36, ST-40, UB-13, UB-20

Spleen Qi Deficiency (Relief Stage)

Clinical Manifestations	Wheezing appears and worsens with dietary irregularities and especially excessive consumption of uncooked, chilled foods, iced drinks, sweet or fatty foods, dairy products and sea food Anorexia Abdominal fullness Fatigue Loose stools or Diarrhea Shortness of breath White Phlegm A sallow facial complexion T: Pale and thick with teeth marks C: White P: Empty, forceless and maybe slippery
Treatment Principle	Strengthen the Spleen Tonify Qi Transform Phlegm
Herb Formulas	Liu Jun Zi Tang modified Bu Zhong Yi Qi Tang Chuan Si Jun Zi Tang With Lung Qi and Yin Deficiency: Jin Shui Liu Jun Jian modified With Spleen-Damp and Qi Stagnation: Wu Pi San
Points	REN-12, SP-3, ST-36, ST-40 1. Summer moxibustion: apply 3-5 cones on a thin slice of Ginger at DU-14, ST-36, UB-20, UB-23, UB-43 once a day for 10 days each month for 3 months before the asthma season 2. Sliding cupping: from UB-13 to UB-43 until the skin becomes dark red, once a week for two months before the asthma season

Spleen Yang Deficiency (Relief Stage)

Clinical Manifestations	Asthma recurs in cold weather and winter Copious white sputum 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) Weakness Fatigue 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 or Deep and soft
Treatment Principle	Tonify the Spleen Warm the Center Dispel Cold Excrete Damp
Herb Formulas	Li Zhong Tang+ Ling Gui Zhu Gan Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 Moxa LIV-13, REN-17, SP-4, ST-36, UB-20 Moxa KI-6, LU-7, PC-6, SP-4 Moxa or moxa needle DU-4, DU-14, LI-4, ST-36

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	Xiao 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 chronic, recurrent cough Worse with exertion Thin, watery mucus Wheezing Dyspnea Spontaneous sweating Dizziness Palpitations Body cold Intolerance of Cold Limbs icy and heavy 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 Pitting edema Dysuria Nocturia Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow or Deep and slippery
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Zhen Wu Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Stomach Qi Deficiency With Turbid Phlegm Obstruction

Clinical Manifestations	Epigastric and abdominal fullness and distention No desire for food and drink Frequent belching Borborygmus Hiccup Regurgitation Nausea Vomiting Hard epigastric distention Loss of sensation of taste Stools not solid Urine clear and abundant T: Normal or Pale C: Thin and white or White and Slippery or White and smooth P: Weak and Deficient or Wiry and deficient or Wiry, taut and feeble
Treatment Principle	Descends Qi Transforms Phlegm Augments Qi Harmonizes the Stomach
Herb Formulas	Xuan Fu Dai Zhe Tang
Points	PC-5, REN-6, REN-12, SP-6, ST-21, ST-36, ST-40, UB-20, UB-21

Fluid Accumulation In The Stomach And Intestines With Qi Stagnation

Clinical Manifestations	Abdominal distention Borborygmus A dry mouth and tongue Constipation Reduced urination Diarrhea Dyspnea T: Normal C: Yellow and greasy P: Wiry and slippery or Deep, full and slightly rapid
Treatment Principle	Dry Dampness Scour out Thin Mucus Move Qi Reduce distention
Herb Formulas	Ji Jiao Li Huang Tang
Points

Heart Qi Stagnation With Phlegm

Clinical Manifestations	Pain in the chest which often radiates to the upper back Pain may radiate to upper shoulders, neck and epigastrium Asthma Wheezing Cough Shortness of breath Spitting saliva Wheezing cough with copious sputum T: Pale or Pink C: Thick and greasy P: Deep and wiry or Tight
Treatment Principle	Unblock Yang Promote movement of Qi Expel Phlegm
Herb Formulas	Gua Lou Xie Bai Bai Jiu Tang
Points

Phlegm Obstructs The Heart Orifice: Yin Obstruction

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Retention of urine Constipation Stiffness and spasm of limbs Pale face with bluish lips Limbs cold, pale and still Lying peacefully Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: White and greasy P: Deep, slippery and even
Treatment Principle	Open the Heart Orifices with Pungent Warming Herbs Eliminate Phlegm Subdue Wind
Herb Formulas	Di Tan Tang
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, PC-5, ST-40, UB-20

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang Meng Shi Gun Tan Wan Huang Lian Wen Dan Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15

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 Yang Not Vigorous: Water Qi Insults The Heart With Lung 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 Zhen Wu Tangmodified
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43 PC-6, REN-17, moxa or moxa needle REN-14, UB-15

Heart And Lung Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath Asthma Soft weak cough Prolonged bouts of coughing with dyspnea Expectoration of clear, watery Phlegm Suffocating sensation in the chest Spontaneous, weak perspiration All of the above manifestations are exacerbated by exertion Shiny white complexion Weak voice Catches colds easily T: Pale C: Thin and white P: Weak or Thready and weak
Treatment Principle	Reinforce and Benefit Heart and Lung Qi
Herb Formulas	Bao Yuan Dan Si Jun Zi Tang Sheng Mai San
Points	HT-7, LU-9, REN-17, UB-13, UB-15

Liver Qi Stagnation Damages The Lungs

Clinical Manifestations	Tightness in the chest Dyspnea Wheezing Shortness of breath Difficulty getting a deep and satisfying breath Little or no mucus Related to emotions During the episode, the patient is panicky or emotional Frequent sighing "Plum-pit" throat Anorexia Insomnia Palpitations Vague chest pain Premenstrual syndrome Irregular menstruation Breast tenderness T: Normal or with brown or purple stasis spots on the edges C: Thin and white P: Wiry
Treatment Principle	Circulate Liver Qi Descend Lung Qi Stop asthma
Herb Formulas	Wu Mo Yin Zi Xiao Yao San For Liver Qi Stagnation Transforming into Fire: Long Dan Xie Gan Tang For milder cases of Liver Qi Stagnation Transforming into Fire: Jia Wei Xiao Yao San For fullness and tightness in the chest associated with "plum-pit" Qi Stagnation: Ban Xia Hou Po Tang Chinese Patent Medicines: Xiao Yao Wan Cheng Xiang Hua Qi Wan Shu Gan Wan
Points	LI-4, LV-3, LIV-5, LIV-14, PC-5, PC-6, REN-11, REN-17, UB-13, UB-15, UB-18, Yintang

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed 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: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang Without Phlegm: Si Mo Tang With Cold attacking the chest and axilla: Wu Yao Shun Qi Wan
Points	LI-18, LIV-3, PC-5, SI-17, SJ-6

Liver Fire Scorches The Lungs

Clinical Manifestations	Coughing fits with hemoptysis Burning pain in chest and sides Dizziness Face and eyes red Bitter taste in mouth Dry lips Short-tempered Irascibility Restlessness Maybe dark urine Maybe constipation T: Red C: Thin, yellow and dry P: Wiry and rapid
Treatment Principle	Clear Liver Fire Purge the Lungs
Herb Formulas	Bronchial Asthma #1 Xie Bai San Dai Ge San Da Chai Hu Tang Jia Wei Xiao Yao San
Points	LIV-2, LU-5, LU-6, LU-10, PC-6, UB-13, UB-18 DU-10, LU-1, REN-17, REN-22, ST-36, UB-13 KI-6, LU-7

Disharmony Between The Liver And Spleen

Clinical Manifestations	Abdominal pain Irritability Slight chills Spasms of the calf muscles Cramps in the hands Weak legs Hypertonicity of the extremities characterized by difficult flexion and extension Wheezing Coughing Hiccup Constipation Vomiting Diarrhea Sciatic pain Severe and painful muscle spasms in the Stomach, bronchi, Gallbladder and uterus. Intestines Shoulder pain Pain in the head, body or limbs due to arterial spasms characterized by a severe pulling pain T: Normal or Reddish C: None or Yellowish P: Wiry and rapid or Thready and rapid
Treatment Principle	Soften the Liver Nourish the Blood Nourish Yin Relieve pain Harmonize the Middle Jiao Replenish Body Fluids
Herb Formulas	Shao Yao Gan Cao Tang
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 With Fire Flaring: Zhi Bai Di Huang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Kidney Yang Deficiency

Clinical Manifestations	Chronic wheezing Inhalation more difficult than exhalation Worse with exertion, fatigue or Cold Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale or cyanotic face Dark rings under the eyes Facial puffiness Spontaneous sweating Frequent colds Urinary frequency with abundant, clear urine or Oliguria with pitting edema Maybe nocturia Lethargy Listlessness 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 or Purplish/bluish C: Thin and white P: Deep and thready - maybe slow or Imperceptible or Large, deficient and rootless Relief Stage: Constitutional shortness of breath Rough respiration with difficult inhalation which is worse with exertion Any stress causes a crisis of wheezing and panting Coughing of thin, foamy mucus Heart palpitations Low back and knee pain and weakness A pale facial complexion Cold limbs Maybe spontaneous perspiration T: Pale C: White P: Deep and thready
Treatment Principle	Warm and Reinforce Kidney Yang Support Wei Qi
Herb Formulas	You Gui Wan Jin Gui Shen Qi Wan modified Ba Wei Di Huang Wan Asthma #3 With Phlegm Accumulation: Su Zi Jiang Qi Tang With Heart Yang Deficiency: Zhen Wu Tang With Heart Yang Collapse: Si Ni Jia Ren Shen Tang Hei Xi Dan Shen Fu Tang With Internal Cold: Yang He Tang Relief Stage: Jin Gui Shen Qi Wan modified Chinese Patent Medicines: Jin Gui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan
Points	KI-3, LU-9, REN-4, REN-6, UB-13, UB-23 With congested Fluids: + KI-7, REN-9, SP-6, SP-9, ST-28 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 KI-3, moxa needle DU-4, REN-6, UB-23 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 In children with underlying Food Stagnation: bleed Sifeng Moxa DU-4, needle KI-3, UB-13, UB-23 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 Scarring plaster: Place a plaster of Bul. Allii Sativi Da Suan or Hb. cum Rx. Asari Xi Xin on DU-14 and/or UB-43 for two to three days to strengthen Wei Qi. Summer moxibustion: apply 3-5 cones on a thin slice of Ginger at DU-14, ST-36, UB-20, UB-23, UB-43 once a day for 10 days each month for 3 months before the asthma season Sliding cupping: from UB-13 to UB-43 until the skin becomes dark red, once a week for two months before the asthma season

Kidney Yang Deficiency With Water Flooding The Lungs

Clinical Manifestations	Wheezing, panting and rapid breathing Inability to lie flat Aversion to Cold Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm Kidneys Promote diuresis Stop asthma
Herb Formulas	Zhen Wu Tang modified
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

Kidney Yang Deficiency: Kidney Not Grasping Qi

Clinical Manifestations	Enduring wheezing and panting Dyspnea which is worse on exertion Difficult to inhale but not to exhale Shortness of breath, shallow breathing Soft voice Perspiration Low back and knee soreness and weakness In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type T: Pale and swollen C: Thin and white P: Superficial and Deficient or Deep and thready
Treatment Principle	Reinforce the Kidneys to Grasp Qi
Herb Formulas	Ren Shen Ge Jie San Hei Xi Dan Sheng Mai San + Ji Sheng Shen Qi Wan Ren Shen Hu Tao Tang  modified
Points	DU-4, KI-3, LU-9, REN-6, ST-36, UB-13, UB-23, UB-43 Moxa DU-4, KI-3, REN-4, REN-6, REN-17, REN-21, REN-22, UB-23

Kidney Yin Deficiency

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in 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 T: Red C: Little or None P: Thready and rapid *All signs and symptoms marked with an asterisk (*) are due to Deficiency Fire Relief Stage: Constitutional shortness of breath Rough respiration Difficult inhalation which is worse on exertion Stress causes a crisis of panting and wheezing Low back and knee pain and weakness Five-sole-Heat Heart palpitations Night sweats T: Red C: Little or None P Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan Relief Stage: Mai Wei Di Huang Wan modified Sliding cupping: from UB-13 to UB-43 until the skin becomes dark red, once a week for two months before the asthma season
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23 Relief Stage: KI-7, SP-6, UB-13, UB-23

Kidney Deficiency

Clinical Manifestations	Dizziness Tinnitus Weak legs Lower back ache Low-grade fever in the afternoon Fatigue Red cheeks Hot flushed face Spermatorrhea due to Deficient Yin Nocturnal emissions Fever with thirst Burning soles of feet Hot flashes Night sweating Dry cough Headache Restlessness Early periods Pale dilute menstrual Blood Nocturia General feeling of being Cold Restless insomnia Vertigo, T: Pale and swollen or Red C: Thin and white or Little or None P: Deep and weak or Thready and rapid or Thready, deep and slightly rapid
Treatment Principle	Tonify the Kidneys Clear the Lungs
Herb Formulas	He Che Da Zao Wan Shi Quan Da Bu Tang With Cold Phlegm: Su Zi Jiang Qi Tang
Points	DU-4, KI-3, REN-17, REN-22, UB-23 Moxa DU-4, KI-3, REN-4, REN-6, REN-17, REN-21, REN-22, ST-36 Moxa DU-4, KI-6, KI-25, LU-7, REN-4, REN-6, REN-17, UB-23

Yang Deficiency With Phlegm

Clinical Manifestations	Panting with rales in the throat Shortness of breath which is worse on exertion A white facial complexion Sweating Cold limbs T: Fat and tender or Pale purple C: White P: Deep, weak and forceless
Treatment Principle	Warm Yang Tonify Qi Descend Qi Transform Phlegm
Herb Formulas	Jin Gui Shen Qi Wan + San Zi Yang Qi Tang modified
Points	Dingchuan, moxa needle REN-4, ST-36, UB-13, UB-43 For loose stools: + SP-4 For Heart palpitations: + UB-15 For aversion to Cold and clear urination: + UB-23

Yin Deficiency With Phlegm Obstruction

Clinical Manifestations	Panting with rales in the throat Scant, sticky Phlegm Thin body A dry throat and mouth Deficiency vexation Night sweats T: Red C: Thin and yellow P: Thready and rapid
Treatment Principle	Tonify Qi Nourish Yin Transform Phlegm
Herb Formulas	Mai Men Dong Tang modified
Points	KI-3, LU-9, REN-4, SP-6, UB-13, UB-23 For dizziness: + GB-20 For tinnitus: + GB-2 For seminal emission: + UB-52 For Heart palpitations and dark purple lips: + UB-17

Qi , Blood And Yin Deficiency

Clinical Manifestations	Palpitations Anxiety Irritability Insomnia Emaciation Shortness of breath Constipation Dry mouth and throat Numbness Dry cough Cough with little or no sputum Cough with blood streaked sputum Spontaneous perspiration Night sweats Five sole Heat due to stress Early menses Restlessness Dry tongue Pale copious menstrual flow Weakness Memory loss Excess dreams Fright Tired body Dry, hard stool Coarse skin Dry throat Fatigue Weakness A skinny appearance T: Pale and shiny or Red C: Thin and white or None P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle	Augment Qi Nourish Blood Enrich Yin
Herb Formulas	Zhi Gan Cao Tang
Points

Blood Stagnation

Etiology	Usually follows some sort of trauma to the chest May be the result of late-stage Lung disease such as Lung cancer
Clinical Manifestations	Recurrent irritating cough with a history of trauma to the chest or other chronic Lung disease Cough is worse at night Scanty or Blood streaked mucus Mucus may have dark patches of clotted Blood Pain around the site of the injury during bouts of coughing Maybe cold extremities T: Pale or Purplish with brown or purple petechiae C: Normal P: Wiry or Choppy or Thready and weak
Treatment Principle	Resolve Stagnant Blood in the Lungs Stop cough
Herb Formulas	Xue Fu Zhu Yu Tangmodified Chinese patent medicines: Xue Fu Zhu Yu Wan Sheng Tian Qi Pian Jin Gu Die Shang Wan Yan Hu Suo Zhi Tong Pian Fu Ke Wu Jin Wan For traumatic injury: Qi Li San
Points	LI-4, LIV-3, LU-5, PC-6, SP-10, UB-13, UB-17, Ahshi points With hemoptysis: + LU-6

Blood Stagnation With Phlegm

Clinical Manifestations	Palpitations Dizziness Blurred vision Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Lung abscess Coughing Wheezing Fullness and distention in the chest Profuse Phlegm and saliva Dysuria Edema Nasal congestion Clear, watery rhinorrhea Oliguria Loss of taste and smell Dyspnea Edema of the face and eyes Insomnia Fixed lower abdominal pain Vertigo Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale or Swollen C: Normal or White and greasy P: Slippery or Thin and weak or Thin and choppy
Treatment Principle	Drain the Lungs Move Fluids Drive out Phlegm Stop cough Calm wheezing Invigorate the Blood Break up Stagnation Alleviate pain
Herb Formulas	Ting Ling Da Zao Xie Fei Tang + Tao Hong Si Wu Tang
Points

Blood Deficiency

Clinical Manifestations	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 Reduced appetite 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 tonifies the Spleen and Stomach Relieve spasmodic pain
Herb Formulas	Dang Gui Jian Zhong Tang
Points

Internal Cold Transforms Into Heat (Horse Spleen Wind)

Clinical Manifestations	Dyspnea Chest withered Rales on both sides Depressed and confused Shen Haggard, fierce appearance T: Normal C: Yellow P: Floating and rapid
Treatment Principle
Herb Formulas
Points	DU-12, LU-10, REN-17, SJ-2

Mixed Cold And Heat

Clinical Manifestations	Panting with rales in the throat Coughing of thick, sticky, yellow Phlegm or Difficult-to- expectorate, sticky white Phlegm Heart vexation Chest oppression Fever Chills Headache Anhidrosis Body aches T: Variable C: Yellowish white P: Floating, tight and rapid
Treatment Principle	Open the Lungs Warm Cold Clear Heat Transform Phlegm
Herb Formulas	Ma Xing Shi Gan Tangmodified
Points	DU-14, REN-17, SJ-5, ST-40, UB-12, UB-13 For a high fever: + LI-11 For severe panting: + Dingchuan For a headache and body aches + UB-10

Internal Heat Due To Food Stagnation

Clinical Manifestations	Cough with sticky sputum Face and lips red Mouth parched Heart troubled 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	Zhi Shi Dao Zhi Wan
Points	LIV-3, PC-6, REN-12, ST-40, ST-44 PC-6, SP-4

Cold Thin Mucus Due To Kidney Yang Deficiency With Water Flooding (Han Yin)

Clinical Manifestations	Cough with profuse sputum Sputum is thin, watery and white Wheezing Discomfort in the chest and diaphragm T: Normal or Pale C: White and slippery P: Wiry and slippery
Treatment Principle	Warm the Lungs Transform congested Fluids
Herb Formulas	Ling Gan Wu Wei Jiang Xin Tang
Points	Moxa or moxa needle LU-7, UB-13

Phlegm And Qi Stagnation

Clinical Manifestations	Sudden onset of wheezing and panting Chest oppression A possible feeling of something stuck in the throat which cannot be swallowed nor spit up Flank distention and pain Depression Impatience Irritability Insomnia Palpitations T: Pink C: Thin and white P: Wiry
Treatment Principle	Transform Phlegm Regulate and descend Qi Relieve wheezing and panting
Herb Formulas	Wu Mo Yin Zi + Er Chen Tang modified For Qi Stagnation Transforming into Fire: Jia Wei Xiao Yao San modified
Points	DU-14 , LIV-3, PC-3, ST-36, ST-40, UB-13 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

Damp-Phlegm (Shi Tan)

Clinical Manifestations	Dizziness Vertigo Mental cloudiness Heavy head Heavy sensation in the body Cough with Excess sputum Chest and epigastric distention Suffocating sensation in the chest and epigastrium Nausea Profuse sputum Vomiting Anorexia Fatigue Borborygmus Tinnitus Mouth glutinous No thirst Likes to sleep Maybe palpitations T: Thick C: White and greasy or Sticky and white P: Rolling or Wiry and slippery
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Eliminate Dampness Resolve Phlegm
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang Er Chen Tang Ping Chen Tang With Qi Deficiency: Jin Shui Liu Jun Jian
Points	GB-34, LIV-13, REN-12, ST-36, ST-40 PC-6, REN-12, ST-8, ST-40, UB-20 DU-20, DU-23, GB-20, GB-34, LI-4, REN-12, ST-36, ST-40, ST-41 REN-12, PC-6, ST-41

Phlegm-Damp With Cold Excess And Kidney Deficiency

Clinical Manifestations	Occurs in children and the elderly with chronic wheezing Recurs every winter Repeated attacks of productive cough Thin, watery mucus There may be scanty, tenacious mucus Triggered by a Cold Invasion during winter Wheezing Shortness of breath Tightness in the chest Usually occurs at night or in the early morning Severe cases: Orthopnea Weakness and pain of the lower back and legs Fatigue Edema of the extremities T: Pale and swollen with toothmarks C: Moist, greasy and white P: soft and slippery
Treatment Principle	Warm and transform Clod Phlegm Descend Rebellious Qi Stop cough and wheezing
Herb Formulas	Su Zi Jiang Qi Tangmodified
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43 LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 LIV-13, LU-5, LU-7, LU-9, SP-3, SP-6, ST-36, ST-40, moxa UB-13, UB-20, UB-43 With wheezing: + Dingchuan With fullness in the chest: + PC-5 With Kidney Deficiency: + moxa UB-23

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
Points	REN-6, REN-12, SP-9, ST-25, ST-36

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	Ban Xia Xie Xin Tang
Points	REN-6, REN-12, SP-9, ST-25, ST-36

San Jiao Damp-Heat

Clinical Manifestations	Fever Irritability Restlessness Anxiety Flushed face Constipation Abdominal distention Delirious speech Epigastric distention Jaundice Gastric distention Dysenteric disorders Hematemesis Epistaxis Red, swollen, painful eyes Chest oppression Red, swollen ears Restlessness Insomnia Thirst Dark, concentrated urine Tinnitus Hemoptysis Vomiting Shoulder stiffness Bleeding Diarrhea Suppurative skin infection Tongue and mouth ulcerations T: Red tip C: Yellow and greasy P: Rapid
Treatment Principle	Drains Fire Relieves toxicity Drains Dampness
Herb Formulas	San Huang Xie Xin Tang
Points

Upper Jiao Qi Stagnation With Clumping In The Chest And Rebellious Qi

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

Water Accumulation In The Upper Jiao

Clinical Manifestations	Shortness of breath Increased dyspnea when lying down Asthma Abdominal pain Chest and epigastric fullness and distention A dark facial complexion Scanty urination Edema P: Deep and tight
Treatment Principle	Activate Water circulation to eliminate Stagnation Descend Qi
Herb Formulas	Mu Fang Ji Tang
Points