Chronic Obstructive Pulmonary Disease, COPD

General

Clinical Manifestations	Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing. It's caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke. People with COPD are at increased risk of developing heart disease, lung cancer and a variety of other conditions. Emphysema and chronic bronchitis are the two most common conditions that contribute to COPD. Chronic bronchitis is inflammation of the lining of the bronchial tubes, which carry air to and from the air sacs (alveoli) of the lungs. It's characterized by daily cough and mucus (sputum) production.
Treatment Principle
Herb Formulas
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 KI-7, LU-5, REN-12, REN-22, ST-36, UB-13 GB-21, LU-9, REN-6, ST-40, UB-10, UB-12 Moxa DU-10, REN-12, REN-17, REN-22, ST-36, ST-40, UB-10, UB-13, UB40 LU-1, LU-6, UB-13 DU-14, UB-13, UB-43 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 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

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 Headache Generalized discomfort Stiff neck and shoulders Body aches Joint ache Nausea Vomiting Hiccups Anhidrosis Gasping Stabbing joint pain Itchy throat Cough Asthma 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	Early-stage: San You Tang Hua Gai San Ma Huang Tang San Ao Tang She Gan Ma Huang Tang Xing Su San Shen Mi Tang Jin Fei Cao San 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
Points	DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12, UB-13 DU-16, GB-20, KI-7, LI-4, LU-5, LU-7, 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
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

Tai Yang Shang Han With Interior Heat

Clinical Manifestations	Fever and chills Maybe fever only Achiness Anhidrosis Headache Cough Asthma Aversion to cold Edema Thirst Restlessness Irritability Fidgeting 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
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

Tai Yang 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

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
Points

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

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

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	Fever No chills Aversion to Heat Cough Asthma Restlessness Thirst Dry mouth Red face Worse in the afternoon Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm which is difficult to expectorate 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 Sang Xing Tang modified Zhi Sou Ding Chuan Wan With Lung Yin Deficiency: Qing Fei Tang With Phlegm: Ren Shen Xie Fei Tang
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

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

Phlegm Congests The Lungs

Clinical Manifestations	Dyspnea with lots of sputum The sputum is difficult to expectorate The sputum rattles in the throat Chest and diaphragm blocked Fullness of the chest Anorexia Nausea T: Normal or Pale C: Sticky and white P: Slippery or Slippery and large
Treatment Principle	Expel Phlegm Stop asthma
Herb Formulas	San Zi Yang Qin Tang 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

Phlegm-Damp Disturbd 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 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 Tang modified Er Chen Tang + Ping We San Ling Gui Zhu Gan Tang She Gan Ma Huang Tang San Zi Yang Qin Tang In the elderly: Qi Guan Yan Pian With Spleen Qi Deficiency prominent: Liu Jun Zi Tang Chinese Patent medicines: Su Zi Jiang Qi Wan Er Chen Wan Qi Guan Yin Ke Sou Tan Chuan Wan
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 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 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	She Gan Ma Huang Tang San Zi Yang Qin Tang Er Chen Tang modified For Wind-Cold symptoms or acute wheezing: Xiao Qing Long Tang modified (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. With Kidney Deficiency: Su Zi Jiang Qi Tang
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 DU-16, LU-1, LU-7, LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-12, UB-13, UB-43

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 Asthma Pain in the ribs Maybe chills and fever T: Scarlet C: Yellow and smooth P: Slippery and rapid
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 Gua Lou Zhi Shi Tang Qian Jin Wei Jing Tang + clear Heat and counteract toxin herbs Er Chen Tang+ clear Heat and counteract toxin herbs With cough and Phlegm: Ning Sou Wan Chinese Patent Medicines: 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, 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

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 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 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	Longstanding weak, dry cough with a little amount of white mucous or bloody sputum If mucus is present, it is thick and hard to expectorate Dry mouth Dry throat Hoarseness Flushed cheeks Afternoon fever Five sole Heat Insomnia Night sweating Fatigue Emaciation T: Red or Red and dry C: Little or None or Peeled 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 Yue Hua Wan Sha Shen Mai Men Dong Tang 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 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 San modified Jiu Xian San 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 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-expectorate 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 Spleen Qi Deficiency

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Spontaneous sweating Weak voice Reluctance to speak A general air of sadness or melancholy A waxy, pale complexion Rounded or hunched shoulders Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale with a thin crack C: White or White and greasy P: Thready and weak or Floating and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Descend Lung Qi Disperse accumulation
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang Wu Ji San Bu Zhong Yi Qi 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 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 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 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 Si Jun Zi Tang + 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

Spleen Qi Deficiency

Clinical Manifestations	Pale face Sallow complexion Anorexia Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Abdominal and epigastric distention after meals Maybe bleeding Maybe nausea and vomiting Maybe acid regurgitation Shortness of breath Loose stools or diarrhea Fatigue Lethargy Thin muscles Low, soft voice Does not like to speak Muscle weakness in arms and legs Maybe enuresis Weak abdomen Maybe borborygmus Epigastric or abdominal pain T: Pale and flabby - may have teeth marks C: White P: Even, forceless and deficient
Treatment Principle	Tonify Qi Strengthen the Spleen and Stomach
Herb Formulas	Chuan Si Jun Zi 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 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-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
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 Deficiency

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Cold limbs Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Warm and Clear Heart Yang
Herb Formulas	Gua Lou Xie Bai Bai Jiu Tang
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, 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: 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
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
Points	LIV-2, LU-5, LU-6, LU-10, PC-6, 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 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)
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 + Wu Ling San
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 Perspiration 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
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
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

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 Tang modified 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

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 Tang modified
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

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