Celiac Disease

General

Clinical Manifestations	An autoimmune disease that damages the villi of the Small Intestine and interferes with the absorption of food with an Intolerance of gluten in wheat, barley, rye and oats. It is a genetic that tends to affect people of European descent. It may be triggered by surgery, pregnancy, childbirth, infection or severe stress. Symptoms include: Diarrhea Weight loss Recurring abdominal distention and pain Pale, foul-smelling stools Unexplained anemia Flatulence Joint and bone pain Muscle cramps Behavioral changes Fatigue Possible seizures Tingling and numbness due to peripheral neuropathy Pale-colored sores inside the mouth Painful skin rashes Tooth discoloration Delayed menstruation Menorrhagia Amenorrhea
Treatment Principle
Herb Formulas
Points

Tai Yin Excess

Clinical Manifestations	Nausea Clear, frequent urination Lack of thirst Anorexia Vomiting of clear fluid Abdominal distension and pain (sharp) Diarrhea or loose stool Prefers warmth T: Pale or pink C: White P: Slow and tight or Soft
Treatment Principle	Regulate the middle Warm the Middle Jiao Disperse Cold Relieve pain
Herb Formulas	Gui Zhi Jia Shao Yao Tang With Excess Cold: Fu Zi Li Zhong Tang With a need to purge: Fu Gui Li Zhong Tang
Points	Moxa or moxa needle DU-4, LU-9, REN-4, REN-6, REN-12, SP-6, ST-36, UB-20 For pain and Cold: moxa the abdomen To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear urination: moxa REN-4, REN-6, UB-23 For diarrhea: moxa REN-8 Use few needles with deep insertion and moxa

Tai Yin Deficiency

Clinical Manifestations	Clear, frequent urination Abdominal distension Anorexia Nausea Vomiting clear fluid Dull abdominal pain Diarrhea or loose stools Prefers warmth and pressure T: Pale C: White P: Slow and sinking or Soft and weak
Treatment Principle	Regulate the Middle Warm the Middle Jiao Disperse Cold
Herb Formulas	Li Zhong Tang With Excess Cold: Fu Zi Li Zhong Tang With a need to purge: Fu Gui Li Zhong Tang
Points	Moxa or moxa needle DU-4, LU-9, REN-4, REN-6, REN-12, SP-6, ST-36, UB-20 For pain and Cold: moxa the abdomen To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear urination: moxa REN-4, REN-6, UB-23 For diarrhea: moxa REN-8 Use few needles with deep insertion and moxa

Spleen And Stomach Qi Deficiency With Food Stagnation

Clinical Manifestations	Reduced appetite Difficulty digesting Abdominal and epigastric bloating Watery diarrhea Loose stools T: Normal C: Slightly yellow, greasy P: Deficient and frail
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Reduce Food Stagnation Stop diarrhea
Herb Formulas	Jian Pi Wan For severe Food Stagnation with nausea, belching, vomiting, and abdominal swelling: Ba He Wan
Points

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Tao Hua Tang Zhen Ren Yang Zang Tang Zhi Shi Li Zhong Wang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21 Moxa or moxa needle DU-4, REN-4, REN-6, REN-12, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21, UB-23 With severe distention: + SP-1 With fluid retention and edema: + REN-9, SP-9 With Liver Qi Stagnation: + LIV-3, PC-6 Ear: Spleen. Stomach, Large Intestine, Abdomen, Adrenal

Spleen And Kidney Yang Deficiency

Clinical Manifestations	“Cock-crow” diarrhea (occurs at about 5 am) The diarrhea is often watery with undigested food Borborygmus and/or periumbilical pain may precede the diarrhea and ease after defecation The patient may be exhausted Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful, better with warmth and pressure Intolerance of Cold Anorexia Poor digestion Abdominal distention Copious, clear urine Nocturia Fatigue Exhaustion General disinterest Increased desire to sleep Loose stools containing undigested food Edema of face and limbs Dysuria Severe: Abdominal ascites Fecal incontinence T: Pale, moist and swollen with toothmarks C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Fu Zi Li Zhong Wan + Si Shen Wan With Water Flooding: Zhen Wu Tang Chinese patent medicines: Fu Zi Li Zhong Wan Li Zhong Tang Bu Zhong Yi Qi Tang Jin Kui Shen Qi Wan Ba Ji Yin Yang Wan
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 Moxa or moxa needle DU-4, DU-20, KI-3, REN-4, REN-8, SP-6, ST-36, UB-20, UB-23, UB-25

Food Stagnation In The Stomach

Clinical Manifestations	Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation
Herb Formulas	Bao He Wan
Points	LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36

Liver Qi Stagnation Attacks The Spleen

Clinical Manifestations	Recurrent diarrhea which may be preceded by cramping abdominal pain The pain is relieved by defecation Diarrhea may alternate with constipation The diarrhea may be explosive and initiated by stress or tension or eating There may be mucus or Blood in the stool Abdominal distention Flatulence or belching may relieve the abdominal discomfort Gas Borborygmus Anorexia Nausea Heartburn Indigestion Distention and pain in the sides or flanks Hypochondriac ache, discomfort or tightness, usually worse on the right side Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Moodiness Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Shoulder and neck tension Temporal or tension headaches T: Darkish pink or Pale or Slightly red edges C: White and greasy P: Wiry or Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen Alleviate pain Stop diarrhea
Herb Formulas	Tong Xie Yao Fang With Spleen Qi Deficiency: Si Jun Zi Tangmodified Chinese Patent Medicines: Chai Hu Shu Gan Wan Xiao Yao Wan Mu Xiang Shen Qi Wan Shu Gan Wan Jian Wei Xiao Yao Wan Xiang Sha Yang Wei Wan
Points	LI-4, LIV-3, LIV-13, PC-6, REN-12, ST-25, ST-36, UB-18, UB-25, Yintang + Ahshi points along the Stomach channel With significant Spleen Deficiency: + UB-20, UB-21 With signs of Heat: + LIV-2 With insomnia, a lateral headache or extreme nervousness: + DU-24, GB-39, SJ-5 LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37 Ear: Shenmen, Liver, Stomach, Spleen, Large Intestine, Subcortex, Sympathetic

Liver Qi Stagnation Attacking The Spleen With Damp-Heat

Clinical Manifestations	Enduring diarrhea Pale colored, foul smelling stools The stools may be mustard colored Maybe explosive diarrhea Maybe burning around the anus after defecation Abdominal distention Painful diarrhea Pale colored mouth sores Fatigue Lack of strength Emaciation T: Pale, dark and swollen C: Slimy and white or Slimy and yellow Slippery, wiry and maybe rapid
Treatment Principle	Harmonize the Liver and Spleen Clear Heat Eliminate Dampness Stop diarrhea
Herb Formulas	Ban Xia Xie Xin Tangmodified
Points	LIV-3, REN-10, REN-11, ST-25, ST-36 For a pale colored stool and cold limbs: + moxa REN-8 For foul-smelling stools and a slimy, yellow tongue coat: + ST-44 For severe Spleen Deficiency: + SP-3 For severe Liver Stagnation: + PC-6 For mouth sores: + PC-7 For Food Stagnation: + ST-21 For abdominal distention: + REN-12

Qi And Yin Deficiency With Damp-Heat

Clinical Manifestations	Enduring diarrhea or loose stools Fatigue Lack of Strength Emaciation Numbness and tingling A pale face Malar flushing Cold extremities Five Sole Heat Dizziness Tinnitus Palpitations Insomnia Night sweats A dry mouth and throat Mouth and/or tongue sores Scanty menstruation Delayed menstruation Amenorrhea T: Tender, red or pale and fat with a red tip C: Little P: Soft and maybe rapid
Treatment Principle	Tonify Qi Nourish Yin Clear Heat Eliminate Dampness Stop diarrhea
Herb Formulas	Celiac #1
Points	KI-7, REN-10, REN-11, ST-25, ST-36 For pale colored stools and cold limbs: + moxa REN-8 For foul smelling stools and a slimy, yellow tongue coat: + ST-44 For severe Yin Deficiency: + SP-6, UB-21 For severe Spleen Deficiency: + SP-3 For Liver Qi Stagnation: + PC-6 For mouth sores: + PC-7 For Food Stagnation: + ST-21 For abdominal distention: + REN-12

Dry Organ Disorder

Clinical Manifestations	Absent-mindedness Frequent feelings of extreme sadness with an urge to cry Inability to control one's emotions Irritability Depression Restless sleep May be night sweats Lack of mental focus Tight abdominal muscles Abnormal speech or behavior Disorientation Frequent yawning Sadness Overly sensitive or self-conscious Insomnia T: Red or pale red C: Scanty P: Thready and rapid
Treatment Principle	Nourish Heart Blood Calm the Shen Harmonize the Middle Jiao Relax tension Tonify Spleen Qi
Herb Formulas	Gan Mai Da Zao Tang
Points