Bronchitis

General

Clinical Manifestations
Treatment Principle
Herb Formulas	Due to Heat: Dun Sou San
Points	Dingchuan, DU-14, Huatoujiaji from C-7 to T-6, LI-4, LI-11, LU-5, LU-7, ST-40, UB-12, UB-13 DU-12, GB-12, GB-20, LI-4, PC-3, REN-22, UB-10, UB-11, UB-12, UB-13, UB-17, UB-19 LU-5, LU-8, REN-22, SJ-5, SP-6, UB-11, UB-13 Dingchuan, LI-11, REN-17, REN-22, ST-36, ST-40 HT-3, LI-4, LI-10, LIV-13, LU-7, REN-14, REN-20, ST-12, ST-36, UB-11, UB-12, UB-13, UB-14, UB-41, UB-43 Moxa DU-12, DU-14, UB-13 DU-14, Ganrexue, ST-40 Dingchuan, LI-4, UB-12, UB-13 PC-6, SI-15, ST-36, UB-13 Ear: Lung, Kidney, Stop Wheezing Plum Blossom: Tap the upper back until it is red Cup: DU-14, SI-13, UB-12, UB-13, UB-43 Acute: GB-20, LU-8, SJ-5, UB-10, UB-12 If there is a headache after the treatment: LI-4, LU-5, SJ-5, UB-12, UB-13 If there is a cough after the treatment: REN-22, SP-6 Chronic: 1. KI-7, LU-5, REN-12, REN-22, ST-36, UB-13 2. GB-21, LU-9, REN-6, ST-40, UB-10, UB-12 3. Moxa DU-10, REN-12, REN-17, REN-22, ST-36, ST-40, UB-10, UB-13, UB40 4. LU-1, LU-6, UB-13 5. DU-14, UB-13, UB-43 6. LU-5, REN-22, ST-36, UB-13, UB-43 7. DU-12, REN-6, ST-36, UB-13, UB-43 8. With a healthy constitution: LI-10, REN-6, UB-42, UB-43 9. Due to other diseases: DU-16, LU-7, SJ-5, UB-12, UB-13, moxa     ST-36, UB-43 For cough: 1. LU-7, LU-10, REN-14, REN-17, SI-1, ST-12, ST-14, UB-15 2. Moxa GB-21, KI-2, LI-18, LIV-14, LU-11, REN-22, REN-23, UB-13,     UB-18, needle PC-3, SI-2 3. Moxa REN-22, KI-27 (7 cones), REN-20, SI-7, SI-18 (3 cones),     UB-12 (7 cones), DU-9, DU-12, UB-13 (14 cones), tonify LU-7 Chronic cough: Tonify UB-43, moxa UB-13 Chronic cough which resists treatment: REN-17, ST-12, ST-18, ST-36, UB-12, UB-13 Cough with Phlegm: Moxa REN-22, UB-13 Hot cough with a flushed face: + SJ-6 For nausea: + ST-36

Early-Stage

Clinical Manifestations	Acute, hacking dry cough Cough with scant, sticky white or yellowish, difficult-to-expectorate sputum Acute fever and chills Dry mouth, throat, nose and lips Chest pain which is worse when coughing Painful or wheezing respiration Lethargy Malaise Weakness Anorexia T: Red tip C: Thin and yellow P: Floating and rapid or Slippery
Treatment Principle	Clear Lung Heat Disperse Wind-Heat Eliminate Phlegm Stop cough
Herb Formulas	Yin Qiao San Chinese Patent Medicines: Qing Fei Yi Huo Pian Ma Xing Zhi Ke Pian Niu Huang Jie Du Pian Chuan Ke Ling
Points	DU-14, LI-4, LI-11, LU-5, LU-7, LU-10, SJ-5, UB-13 DU-14, LI-4, LI-11, LU-5, SJ-5, UB-12, UB-13 For a very sore, swollen throat: + LU-11, SI-17 DU-14, LI-4, LI-11, LU-5, UB-13 LI-4, LU-5, LU-7, UB-13 LI-4, LU-7, SJ-5, UB-12, UB-13 DU-14, DU-16, GB-20, LU-5, LU-7, LU-10, LU-11, SJ-5, UB-12, UB-13 Bleed UB-40, needle Dingchuan, DU-14, DU-16, DU-23, DU-24, GB-20, LI-4, LI-11, LU-5, LU-7, LU-10, REN-22, SJ-5, ST-8, ST-40, Taiyang, UB-12, UB-13 For a mild case with cough, fever is not high, slight thirst: Bleed UB-40, needle DU-14, GB-20, LI-4, LI-11, LU-7, REN-22, SJ-5, UB-12, UB-13

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 Tang With stiff neck and shoulders: Gui Zhi Jia Ge Gen Tang With Dampness: Ren Shen Bai Du San With dyspnea, asthma and sputum: Gui Zhi Jia Hou Po Xing Ren Tang With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: Gui Zhi Jia Fu Zi Tang With sustained fever of long duration accompanied by severe chills: Gui Zhi Er Yue Bi Yi Tang With slightly severe or severe chills after diaphoresis: Gui Zhi Qu Shao Yao Jia Fu Zi Tang If after diaphoresis, there is severe perspiration, marked distress, prolonged thirst, and a large pulse: Bai Hu Jia Ren Shen Tang If no result after diaphoresis with recurring malaria-like (Shao Yang) symptoms (alternating chills and fever and anhidrosis): Gui Zhi Er Ma Huang Yi Tang If, after diaphoresis, there is still headache, stiff neck, persistent fever, anhidrosis, fullness beneath the Heart, mild aching, and dysuria: Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang If, after diaphoresis, there is gasping without severe fever: Ma Xing Shi Gan Tang With a persistent fever for six to seven days, anxiety, intense thirst and vomiting after drinking: Wu Ling San
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, Yintang With stiff neck and shoulders: + GB-21 With Dampness: + SP-6, SP-9 With dyspnea, asthma and sputum: Dingchuan, REN-22 With nocturnal emission, excess dreams, Cold lower extremities, dizziness and hair loss: + DU-4, KI-3, UB-23 With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: + REN-4 With sustained fever of long duration accompanied by severe chills: + DU-14

Tai Yang 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

Clinical Manifestations	Severe chills Mild or no fever Cough Asthma Watery sputum The sputum rattles in the bronchi Dyspnea Headache Generalized discomfort Stiff neck and shoulders Body aches Joint ache Nausea Vomiting Hiccups Anhidrosis Gasping Stabbing joint pain Itchy throat Aversion to Wind and Cold Maybe low back pain Maybe frozen shoulder Maybe dyspnea Maybe epistaxis (severe) T: Normal C: Thin and white P: Floating and tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma
Herb Formulas	Ma Huang Tang San Ao Tang She Gan Ma Huang Tang Xing Su San Hua Gai San Jin Fei Cao San San Niu Tang Tong Xuan Li Fei Wan Fu Fang Chuan Bei Jing Pian With Dampness: Ma Huang Jia Zhu Tang Severe: Xiao Qing Long Tang For a stiff neck and shoulders or frozen shoulder: Ge Gen Tang For diarrhea: Ge Gen Tang For vomiting but no diarrhea: Ge Gen Jia Ban Xia Tang To stop cough and resolve Phlegm: Zhi Sou San If not relieved by diaphoretics: Gui Zhi Jia Hou Po Xing Ren Tang
Points	DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12, UB-13 DU-16, GB-20, KI-7, LI-4, LU-7, UB-12, UB-13 DU-16, GB-20, KI-7, LI-4, LU-7, SJ-5, REN-12, UB-12, UB-13 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 Flooding 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 With an underlying weak constitution: Shen Su Yin With Qi and Blood Deficiency: Xu Ming 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

Tai Yang Shang Han With Interior Heat

Clinical Manifestations	Fever and chills Maybe fever only Maybe a high fever with chills Achiness Anhidrosis Severe occipital headache Loud cough Sticky, yellow Phlegm Asthma Sore throat Aversion to Cold Muscle aches Edema Strong thirst with a desire for cold drinks Restlessness Irritability Fidgeting Dry stools Constipation Sometimes dry achy eyes T: Normal or red C: Yellow or white P: Floating and tight or rapid
Treatment Principle	Expel Wind Disperse Cold Cool Heat
Herb Formulas	Da Qing Long Tang Ding Chuan Tang Ma Xing Shi Gan Tang modified 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 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 Yan Shang Han Transforming Into Phlegm-Heat Obstructing 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 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

Mild Wind-Cold With Cool Dryness

Clinical Manifestations	Itching or tickling in the throat Blocked or stuffy nose Sneezing General body aches Cough with little or no mucus or Cough with expectoration of thin, watery or frothy white sputum Dry nasal passages Dry lips Mild headache Chills with low grade fever Slight headache Nasal obstruction Dry throat No thirst Intolerance of Cold Anhidrosis Maybe asthma Nasal congestion Cough Sore throat T: Pink C: Thin, white and dry P: Superficial and wiry or Tight or Wiry
Treatment Principle	Mildly Disperse Cool Dryness Disperse and descend Lung Qi Resolve Phlegm Transform thin mucus Soothe the Lungs
Herb Formulas	Xing Su San Chinese patent medicines: Chuan Bei Pi Pa Gao
Points	KI-6, KI-7, LU-5, LU-7, LU-9, UB-12, UB-13

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
Points

Tai Yang - Yang Ming

Clinical Manifestations	Fever and chills with fever increasing and chills decreasing Headache Anhidrosis Stiffness and pain of the extremities Orbital pain Eye pain Shoulder and neck tension Dry nasal passages Irritability Insomnia Thirst Epistaxis T: Normal C: Thin and yellow P: Floating and slightly flooding
Treatment Principle	Dispel Wind Release the muscle layer Clear Interior Heat
Herb Formulas	Ge Gen Jian Ban Xia Tang
Points

Tai Yang - Shao Yang (Allergic Asthmatic Bronchitis)

Clinical Manifestations	Joint pain with a crackling sensation Epigastric pain Fatigue Gastrointestinal weakness Headache Heaviness in the head Fever Moderately severe chills Distension beneath the Heart Periumbilical or lower abdominal pain Tenseness around the pubic bone Subcostal pain Epigastric fullness Nausea Mild vomiting Mild thoraco-costal discomfort Costal distress Tension in the rectus abdominus Chest distension Abdominal pain Abdominal distension Constipation Irritability Insomnia Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Release the Exterior and muscle layer Harmonize and release the Shao-Yang Harmonize the Liver, Spleen and Intestines
Herb Formulas	Chai Hu Gui Zi Tang Gui Zhi Er Ma Huang Yi 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	Xiao Chai Hu Tang + Ma Xing Shi Gan Tang  modified
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

Shao Yang Fu With Congested Fluids

Clinical Manifestations	Alternating chills and fever (chills predominate) or Chills without fever Sensation of irritability in the chest Sweating from the head Fatigue Gastrointestinal weakness Heavy head Neuralgia Epigastric distension Lower abdominal pain Tension around pubic bone Periumbilical pain Urinary difficulty T: Moist C: White and slippery P: Superficial and wiry
Treatment Principle	Disperse Clumping Harmonize the Shao Yang Warm the Interior Dispel Cold
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

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

Shao Yin Cold

Clinical Manifestations	Aversion to Cold Curls up a lot Doesn't like to talk Tired (disoriented) Fatigue Constant somnolence Sleeping with the knees drawn up to the chest Generalized edema No spirit Dull Shen Cold extremities Aching and heaviness in the extremities Diarrhea or loose stools or undigested food Clear, frequent urine Nocturia Oliguria Lower back pain Maybe nausea (wants to vomit but can't) Abdominal pain which is relieved by warmth and pressure No thirst Cough with thin, watery mucus Likes warm drinks Severe edema in chest Palpitations Dizziness T: Pale, swollen and moist C: White and greasy P: Deep and weak or Slow, deep and weak
Treatment Principle	Restore Yang Reverse inward energy Expel Cold
Herb Formulas	Si Ni Tang Zhen Wu Tang Jin Gui Shen Qi Wan If Cold is less severe: Wu Zhu Yu Tang Chinese Patent Medicines: Jin Gui Shen Qi Wan
Points	Moxa DU-4, DU-20, KI-3, KI-7, LI-4, REN-4, REN-6, REN-8, SP-6, ST-36. UB-15, UB23 For loss of consciousness or shock: DU-26, KI-1 KI-3, KI-7, SP-6, SP-9, moxa or moxa needle REN-6, REN-9, ST-36, UB-20, B23

Wind-Heat Attacks The Lungs (Acute)

Clinical Manifestations	Cough with thick, sticky, yellow sputum Sore, red, swollen throat Thirst with a desire to drink cold liquids Runny or blocked nose with thick, yellow discharge Fever with perspiration Slight chills Aversion to Wind Headache Maybe dyspnea with flared nostrils Maybe chest pain Red face and lips T: Red tip C: Thin and yellow P: Superficial and rapid
Treatment Principle	Expel Wind Clear Heat Ventilate the Lungs
Herb Formulas	Ma Xing Shi Gan Tang Yin Qiao San Acute Laryngitis Gargle #1 Qing Zao Jiu Fei Tang Sang Ju Yin modified Qing Yan Li Ge Tang Shu Feng Qing Re Tang 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 With epistaxis: Sang Ju Yin modified With Yin Deficiency: Jia Jian Wei Rui Tang With low back pain: Xiao Chai Hu Tang modified Chinese Patent Medicines: Yin Qiao Jie Du Pian Gan Mao Ling Ban Lan Gen Chong Ji San She Dan Chen Pi Mo Ma Xing Zhi Ke Pian With epistaxis:: Qing Fei Yi Huo Pian Ma Xing Zhi Ke Pian Yunnan Bai Yao (can be blown into the nose)
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 DU-14, LI-4, LI-11, LU-7, LU-11, SJ-5, UB-12, UB-13 Moxa REN-17, needle LU-7, 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, LI-11, SJ-5, UB-12 For a very sore, swollen throat: + LU-11, SI-17 With coughing: + LU-5 With epistaxis: GB-20, LI-4, LI-20, LU-11, SJ-5, UB-13 With severe fever: + LI-11 With severe cough: + LU-5 LI-4, LI-16, LU-6, LU-10, SJ-5, UB-13 For a severe fever: + LI-11 For severe coughing: + LU-5 For a severe, swollen, sore throat: + LU-11, SI-17 DU-14, LI-4, LU-7, UB-12, UB-13 For chest pain: + LU-9, REN-17 For pain and Dryness in the throat: + LU-5, REN-12 For excessive Phlegm: +ST-40 For a high fever: + LI-11 For a dry cough: + LU-11

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 For hemoptysis: Qing Zao Jiu Fei Tang modified With tinnitus, red eyes, swollen gums and a sore throat: Qiao He Tang With intestinal Heat and hemoptysis: E Jiao Huang Qin Tang Chinese patent medicines: With hemoptysis: Ling Bei Qu Li Gan Li Fei Yang Yin Qing Fei Tang Jiang Yun Nan Bai Yao
Points	Jinjin-Yuye, KI-3, LU-1, LU-6, SP-6, UB-13

Wei Stage: Summerheat With Dampness

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	Liu He Tang In children: Zi Jin Ding
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

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 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
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

Wind Consumption (With Yin Deficiency)

Clinical Manifestations	Cough with sticky yellow or blood tinged sputum Steaming bones sensation Night sweats Tidal fever Warm sensation in the afternoon Red lips Red cheeks Lethargy Alternating chills and fever Five-sole-Heat Dry mouth Dry throat Emaciation Weak limbs T: Red C: Little or None P: Faint and rapid
Treatment Principle	Nourish Yin and Blood Clear Deficiency Heat Reduce steaming bones sensation Dispel Wind-Dampness
Herb Formulas	Qin Jiao Bie Jia San
Points

Qi Stage: Lung Heat

Clinical Manifestations	Cough with much bright red Blood and no sputum Fever with or without sweating Dry nostrils Red swelling or erosion in the nostrils Dry mouth Dry throat Thirst Burning pain in the nose Slight itching in the nose Shortness of breath Dyspnea or Wheezing Chest tightness and pain High fever Sore throat No chills Aversion to Heat Asthma Headache General malaise Restlessness Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm Constipation Dry stools Dark-colored, scanty urine T: Red or Red tip C: Thin and yellow or Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful or Wiry or Rapid or Flooding and rapid or Wiry and rapid
Treatment Principle	Clear Heat in Lungs Strengthen when weak or elderly
Herb Formulas	Ma Xing Shi Gan Tang Qing Fei Jie Du Tang Xin Yi Qing Fei Yin Zhi Sou Ding Chuan Wan With Lung Yin Deficiency: Qing Fei Tang With Phlegm: Ren Shen Xie Fei Tang With epistaxis: Ma Xing Shi Gan Tang modified With constipation: Liang Ge San Chinese Patent Medicines: Ma Xing Zhi Ke Pian Qing Fei Yi Huo Pin Niu Huang Jie Du Pian With epistaxis:: Qing Fei Yi Huo Pian Ma Xing Zhi Ke Pian Yunnan Bai Yao (can be blown into the nose)
Points	Early-stage: LI-2, LU-10 Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44, UB-13 LU-1, LU-5, LU-9, LU-10, PC-6, SI-4, UB-13, UB-15 LU-1, LU-5, LU-6, LU-10, UB-13 DU-14, LI-4, LU-1, LU-5, LU-6, LU-10, REN-17, UB-13 With epistaxis: GB-20, LI-4, LI-20, LU-11, SJ-5, UB-13 With severe fever: + LI-11 With severe cough: + LU-5 With hemoptysis: LI-4, LU-5, LU-6, LU-10, REN-17, UB-13 With a fever: + LI-11 With a severe, sore, swollen throat: + LU-9, SI-17

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

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 No thirst Aversion to Cold Lassitude Swollen, painful joints Back pain T: Pink C:White or Greasy and white P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight or Superficial and weak
Treatment Principle	Dispel Wind Eliminate Dampness Relieve the exterior Alleviate pain
Herb Formulas	Yue Bi Jia Zhu Tang
Points	DU-14, DU-16, GB-20, GB-34, LI-4, LI-11, SJ-5, UB-11, UB-12

Middle Stage (Suppuration, Rupture Stage)

Clinical Manifestations	High fever with or without chills A hacking, painful cough with copious, purulent, malodorous mucus The mucus may be Blood-streaked Restricted movement of the chest Labored breathing Sweating Dry mouth and throat Irritability Restlessness Lethargy Malaise T: Red C: Greasy and yellow P: Slippery and rapid or Flooding and rapid
Treatment Principle	Clear Heat and toxins Disperse pus accumulation Disperse Blood Stasis
Herb Formulas	Wei Jing Tang modified Chinese patent medicines: Niu Huang Xiao Yan Wan Wan Shi Niu Huang Qing Xin Wan Xi Ling Jie Du Pian Chuan Ke Ling
Points	DU-12, DU-14, LU-1, LU-6, PC-7, REN-17, SJ-6, ST-40, UB-13 With severe Heat: bleed LI-1, LU-11

Phlegm-Damp Congets The Lungs (Tan Yin)

Clinical Manifestations	Shortness of Breath Cough with copious, thin, white, frothy sputum Chest congestion with full feeling Dyspnea which is worse when lying down Sometimes asthma Sputum rattling in the throat Dyspnea Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations T: Pink C: Thick, white and greasy or sticky P: Slippery or Slippery, full and maybe wiry
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs Warm and Dissolve Tan Yin
Herb Formulas	Er Chen Tangmodified Er Chen Tang + Ping We San Er Chen Tang + San Zi Yang Qin Tang Su Zi Jiang Qi Tang Ling Gui Zhu Gan Tang She Gan Ma Huang Tang San Zi Yang Qin Tang San Zi Yang Qin Tang + Er Chen Tang modified In the elderly: Qi Guan Yan Pian For severe Spleen Dampness: Ping Wei San + Su Zi Jiang Qi Tang With Spleen Qi Deficiency prominent: Liu Jun Zi Tang modified 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 LI-4, LU-9, ST-40, UB-12, UB-13 For Heat: + DU-14, LI-11, LU-11 For Cold: + moxa UB-20, UB-23 For nausea: + PC-6, REN-12, SP-4 REN-12, REN-13, ST-40, UB-13 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

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	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs
Herb Formulas	Liang Xiao Wan She Gan Ma Huang Tang San Zi Yang Qin Tang With Kidney Deficiency: Su Zi Jiang Qi Tang For Wind-Cold symptoms or acute wheezing: Xiao Qing Long Tangmodified (temporarily) 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 (Re Tan)

Clinical Manifestations	Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess) Dyspnea Sputum rattles in the throat Wheezing Chest and diaphragm blocked Pain in the ribs Maybe chills and fever T: Scarlet C: Yellow and smooth or Greasy and yellow P: Slippery and rapid or Large and slippery
Treatment Principle	Clear Heat Counteract Toxin Transform Stasis Drain Pus Resolve Phlegm (The use of Clear Heat / Counteract Toxin herbs and the principle of "Draining Pus" are only relevant when foul-smelling pus is being expectorated such as in pulmonary abscess) Soothe asthma in case of asthma
Herb Formulas	Wei Jing Tang Yue Bi Jia Ban Xia Tang Qing Qi Hua Tan Wan Xiao Xian Xiong Tang Gu Lou Zhi Shi Tang Xie Bai San Liu Shen Wan Qing Jin Hua Tan Wan modified Huang Lian Wen Dan Tang modified Qian Jin Wei Jing Tang+ clear Heat and counteract toxin herbs Chronic Bronchitis #1 For mild cases: Er Chen Tang modified With cough and Phlegm: Ning Sou Wan With epistaxis: Ma Xing Shi Gan Tang modified With Food Stagnation: Bao He Wan modified With hoarseness: Qing Yan Ning Fei Tang Chinese patent medicines: Qing Qi Hua Tan Wan Qing Fei Yi Hua 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 With epistaxis: Qing Fei Yi Huo Pian Ma Xing Zhi Ke Pian Yunnan Bai Yao (can be blown into the nose) With hoarseness: Qing Qi Hua Tan Wan Qing Yin Wan
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13 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 LI-11, LU-1, LU-5, LU-6, LU-7, LU-10, REN-17, ST-40, UB-13 With wheezing: + Dingchuan With fullness in the chest: + PC-5 Dingchuan, LI-11, LU-1, LU-5, LU-6, LU-10, REN-17, ST-40, UB-13 For fullness in the chest: + PC-5

Dry Phlegm Obstructs The Lungs (Zao Tan)

Clinical Manifestations	Cough with sticky phlegm Maybe bloody Dry, hacking cough with little or no sputum Flushed face Sputum is difficult to expectorate Restlessness Maybe hemoptysis Hiccups Cough may cause chest pain Dyspnea Dry or sore throat Upper respiratory tract infection Hoarse voice Asthma Dry lips and mouth Fever Shortness of breath Hemoptysis Constipation Thirst Dry skin and hair Dryness in nose Sensation of fullness in chest Epistaxis Hypochondriac pain Headache Anhidrosis Irritability Itching T: Red tip, dry C: Thin, yellow, or White and dry, or None P: Big and weak or Deficient, big and rapid
Treatment Principle	Moisten Dryness Resolve Phlegm
Herb Formulas	Qing Zao Jiu Fei Tang
Points	KI-6, LI-11, LU-5, ST-40, UB-13

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

Lung Qi Deficiency

Clinical Manifestations	Soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath Dyspnea Unable to rest Pale face With Wei Qi Deficiency: Spontaneous perspiration (daytime) Low resistance to common cold Tendency to a blocked nose T: Pale C: Thin and white P: Weak
Treatment Principle	Reinforce the Lungs Strengthen Qi
Herb Formulas	Ren Shen Ge Jie San Yu Ping Feng San Bu Fei Tang With Spleen Qi Deficiency: Liu Jun Zi Tangmodified 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 LI-4, LU-9, ST-40, UB-12, UB-13 Moxa DU-14, UB-12, UB-13, UB-43 REN-6, REN-17, UB-42, UB-43, moxa ST-36 LU-7, LU-9, REN-12, SP-6, moxa or moxa needle DU-14, ST-36, UB-13, UB-20, UB-43 Cup DU-14, SI-3, UB-12, UB-13, UB-43

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 Zi Yin Jiang Huo Tang Sha Shen Mai Men Dong Tang Yue Hua Wan Qiong Yu Gao With Phlegm-Fire: Bei Mu Gua Lou San With Heat: Bu Fei E Jiao Tang 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-6, LU-1, LU-7, LU-9, ST-36, UB-13, UB-17, UB-43 With Empty Fire: + KI-3, LU-5, LU-6, LU-10, UB-23 DU-14, HT-6, HT-7, KI-3, LU-1, LU-6, SP-6, UB-13, UB-17 DU-14, KI-3, LI-11, LU-1, LU-9, REN-17. ST-36, UB-13 With severe night sweats: + HT-6, SI-3 With irritability: + HT-7, LIV-8 KI-3, KI-6, LU-5, LU-7, LU-9, UB-13, UB-23 With severe Heat: + LU-10

Lung Qi And Yin Deficiency

Clinical Manifestations	Wheezing Panting Shortness of breath Above symptoms are worse with exertion Weak cough Little or no mucus Soft voice with little desire to talk Spontaneous sweating Aversion to Wind Frequent cols and flu Occasional dry, sore throat T: Pale red, dry, swollen often with extensive cracks 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
Herb Formulas	Sheng Mai Sanmodified Jiu Xian San Qing Zao Jiu Fei Tang 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

Lung And Heart 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

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	Bu Fei Tang modified Shen Ling Bai Zhu San Si Jun Zi Tang Wu Ji San Bu Zhong Yi Qi Tang Liu Jun Zi Tang 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 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 Sha Shen Mai Men Dong Tang
Points

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Aversion to Heat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Insomnia Frequent, burning urination Dark, yellow urine Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Mai Wei Di Huang Wan Bai He Gu Jin Tang Ba Xian Chang Shou Wan Si Jun Zi Tang + Du Qi Wan Qing Zao Jiu Fei Tang Chronic Laryngitis Gargle With Phlegm: Jin Xue Liu Jun Jian With copious Phlegm: Mai Men Dong Tang + Er Chen Tang
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23 KI-3, KI-6, LU-7, LU-9, UB-13, UB-23 With Heat: LU-10

Lung And Kidney Yin Deficiency With Heat

Clinical Manifestations	Dry, weak, chronic cough with blood streaked sputum Wheezing Chest oppression and pain Expectoration of small amounts of thick, sticky sputum Dry mouth Dry, sore throat Dry, burning sensation on the skin Five sole Heat Afternoon fever Low grade fever Night sweats Malar flush Irritability Insomnia Shortness of breath Nocturnal emission Steaming bones Vivid dreaming Fatigue Anorexia Tinnitus Dizziness Dyspnea Dysphoria Hoarseness Restlessness Emaciation Irregular menstruation Dry stools Low back pain T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Transform Phlegm Stop Cough Clear Heat Nourish the Blood Stop bleeding
Herb Formulas	Bai He Gu Jin Tang Yang Yin Qing Fei Tang Ba Xian Chang Shou Wan + Da Bu Yin Wan With chest pain: Yue Hua Wan modified With mild Heat and Qi Deficiency: Zheng Yin Li Lao Tang With laryngitis or hoarseness: Mai Wei Di Huang Wan Chinese Patent Medicines: Yang Yin Qing Fei Tang Jiang Da Bu Yin Wan Mai Wei Di Huang Wan Li Fei Yun Nan Bai Yao (may be added to any of the above formulas)
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23 KI-2, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23 KI-3, LU-1, LU-5, LU-6, SP-6, UB-13 With palpitations: + PC-6 With Heart pain: + REN-17, UB-14 KI-2, KI-3, LU-1, LU-5, LU-9, UB-13, UB-23, UB-43 With severe hemoptysis: + LU-6 With severe Heat: + LU-10

Spleen Qi Deficiency With Dampness

Clinical Manifestations	Nausea and vomiting Emaciation Sallow complexion Anorexia with a full feeling after very little food Weak abdomen Belching Abdominal distention or pain (subtle) Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Chest fullness Epigastric distention or pain Muscle weakness in arms and legs Loose stools or diarrhea Maybe bleeding Thin muscles. Lethargy-fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe abundant clear urine Maybe cold extremities Maybe borborygmus T: Pale and flabby - may have teeth marks C: Thin and white. P: Weak and Deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Xiang Sha Liu Jun Zi Tang Cang Lin San With Phlegm-Damp: Xiang Sha Liu Jun Zi Tang Liu Jun Zi Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, SP-9. ST-36, UB-20

Central Qi Sinking

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

Spleen Yang Deficiency

Clinical Manifestations	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 With Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li 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 Kidney Yang Deficiency

Clinical Manifestations	A chronic, recurrent cough Worse with exertion Thin, watery mucus Wheezing Dyspnea Chest oppression Spontaneous sweating Dizziness Palpitations Body cold Intolerance of Cold Limbs icy and heavy Abdominal distention Anorexia 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 Frequent, clear urination 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 Initial treatment: Xiang Sha Liu Jun Zi Tang With improvement: Jin Gui Shen Qi Wan With palpitations: Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

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 Confuses The Heart Orifice

Clinical Manifestations	Fainting Vertigo Headache Accumulation of congested Fluids that won't dissipate Vomiting Stifling sensation of chest and diaphragm Distention of chest and diaphragm Distention and fullness of hypochondria and flanks Dizziness Nausea Restlessness when sitting or lying down Coughing and wheezing Copious sputum Thick, gummy nasal discharge and saliva Difficult breathing Reduced appetite T: Pink C: White and greasy P: Slippery
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

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

Heart Yang Not Vigorous: Water Qi Insults The Heart With Lung And Spleen 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 Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

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
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	Xie Bai San Dai Ge San Sang Dan Xie Bai Tang Xie Bai San + Dai Ge San modified For a chronic condition: Xiao Yao San Si Ni San Yue Ju Wan Chai Hu Shu Gan Tang For Shen Disturbances due to Blood Heat: An Gong Niu Huang Wan Zi Xue Dan Zhi Bao Dan Xi Jiao Di Huang Tang Qing Ying Tang Chinese Patent Medicines: Qing Qi Hua Tan Wan Long Dan Xie Gan Wan Qing Fei Yi Huo Pian With hemoptysis: Yunnan Bai Yao
Points	LIV-2, LU-5, LU-6, LU-10, PC-6, UB-13, UB-18 GB-34, LIV-2, LIV-3, LU-5, LU-6, SP-10, UB-13, UB-18

Liver And Kidney Yin Deficiency

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

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) With Internal Cold: Yang He Tang
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Yang Deficiency With Water Flooding The Lungs

Clinical Manifestations	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
Herb Formulas	Zhen Wu Tang
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	Dyspnea which is worse on exertion Difficult to inhale but not to exhale Shortness of breath, shallow breathing Soft voice Dry mouth with no desire to drink Perspiration Clear, frequent urination In chronic cases: Thin physique A haggard, emaciated appearance 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 Du Qi Wan
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 KI-6, REN-4, ST-36, 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
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

Kidney Yin And Yang Deficeincy

Clinical Manifestations	Cough Shortness of breath Difficult inhalation 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	He Che Da Zao Wan
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Qi And Yang Deficiency

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

Yang Deficiency With Internal Cold-Damp

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

Rebellious Qi Attack Upward

Clinical Manifestations	Dyspnea No sputum Chest and ribs swollen and depressed T: Normal C: Thin and white P: Deep and large
Treatment Principle
Herb Formulas
Points	DU-10, LU-1, REN-17, REN-22, ST-36, UB-13

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

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

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

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

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

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	Er 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 Stagnation In The Chest With Deficiency Fire Rising

Clinical Manifestations	Coughing Swelling and pain of the throat Thick, salty sputum with mucus and Blood Chills Aversion to Cold Fullness and congestion in the chest Dry mouth No thirst Foul-smelling sputum P: Slippery and maybe rapid
Treatment Principle	Eliminate Phlegm and pus Clear Deficiency Fire Clear Toxins
Herb Formulas	Jie Geng 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
Points

Phlegm Stagnation In The Middle Jiao

Clinical Manifestations	Pain in both arms Inability to lift the hands Symptoms more pronounced on one side Numbness in both hands Superficial edema in all four extremities Palpitations with vomiting Coughing T: Normal C: White and greasy P: Deep and thready or Wiry and slippery
Treatment Principle	Dry Dampness Move Qi Soften hardness Transform Phlegm
Herb Formulas	Fu Ling Wan
Points

Cold-Dampness In The Lower Jiao

Clinical Manifestations	Cold pain in the lower back and body Sciatica Copious urination Extreme heavy sensation in the lower back Absence of thirst T: Pale C: White P: Deep, thready and moderate
Treatment Principle	Warm Yang Strengthen the Spleen Dispel Cold Eliminate Dampness
Herb Formulas	Gan Cao Gan Jiang Fu Ling Bai Zhu Tang
Points

Bronchial Phlegm Attacks Upward

Clinical Manifestations	Inability to sleep due to a cough Difficult breathing Thick sputum causes the blockage T: Pink C: Thick white P: Deep and wiry
Treatment Principle
Herb Formulas
Points	LIV-13, LU-5, PC-6, REN-12, ST-36, UB-20