Cholecystitis

General

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	GB-34, GB-38, GB-41, LIV-13, ST-31, UB-18, UB-19 GB-40, LI-4, LIV-3, SJ-5

Tai Yang With Tai Yin

Clinical Manifestations	Fever Chills Headache Joint pains Severe diarrhea Epigastric distention Perspiration Cold body and extremities Weakness of the extremities Upper abdominal palpitations Cold feet Dysuria Abdominal pain Numb hands and feet Generalized body aches Paralysis of the extremities Induration and swelling of the scrotum Hypersalivation Limited movement of the joints Abdominal pain referring to the testis Aversion to Cold A preference for Warmth Loose stools Chills and fever T: Normal C: Thin and white P: Tense and wiry
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi Relieve distention
Herb Formulas	Gui Zhi Ren Shen Tang Wu Ji San Wu Tou Gui Zhi Tang
Points

Yang Ming Jing With Qi And Body Fluid Deficiency

Clinical Manifestations	High fever Profuse sweat Generalized weakness Severe chills Aversion to Heat Red face Severe thirst Thirst may be unquenchable Irritability Anxiety Pruritis Headache Toothache Gum bleeding Epistaxis Dry lips Dry tongue Dry mouth May be sensitive to Cold in the upper back Polyuria Delusions Eye congestion Burning sensation on the skin Itching skin Abdominal fullness without resistance Dry, course skin Listlessness May be heavy labored breathing. Delirious speech (serious cases) Mania (serious cases) T: Red tip and sides C: Yellow, dry or white P: Large and forceless
Treatment Principle	Clear Heat Drain Stomach Fire Generate Fluids Alleviate thirst Nourish Qi
Herb Formulas	Bai Hu Jia Ren Shen Tang Xiao Chai Hu Tang
Points	Dannangxue, GB-34, PC-6, Huatuojiaji at T-8 and T-9 Dannangxue, GB-40, PC-6 Dannangxue, UB-19 GB-24, GB-34, LIV-14, SJ-6, SP-21, ST-18 To nourish Yin and moisten: KI-3, KI-6, SP-6 To Tonify Qi: UB-20, REN-12, ST-36, REN-6, SP-3 To Clear Heat: DU-14, LI-11, ST-44 For chest pain with excess saliva and inability to lie on one side: REN-13 For rib pain: GB-40, SJ-3

Yang Ming Fu

Clinical Manifestations	High fever (sometimes rises and falls) Great thirst Profuse perspiration Aversion to Heat Abdominal pain (worse with pressure) Abdominal distension Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Mental disturbances: Mentally unclear Delirious speech T:  Red and dry, or black and moist C:  Thick yellow or dry yellow P:  Deep, strong and forceful
Treatment Principle	Purge the Intestines
Herb Formulas	Da Cheng Qi Tang Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang Chinese Patent Medicines: Dao Chi Pian Qing Fei Yi Huo Pian
Points	LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44, UB-25 For Heat: DU-14, LI-4, LI-11, ST-44, SJ-5 For Stagnation: ST-34, ST-36, ST-37, ST-39, REN-12 For constipation: ST-25, SJ-6, UB-25

Shao Yang Jing

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Occasional vomiting Headaches (side of head) Hypochondriac pain Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on side C: Thin white P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Xiao Chai Hu Tang  modified
Points	GB-41, SJ-5 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 To stop nausea and vomiting: PC-6, SP-4, ST-36 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: SJ-6, ST-25 To treat fever: DU-13, DU-14 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: SP-10 Head: GB-8, SJ-20, Yintang Eyes: GB-14, GB-20, ST-1, UB-1, UB-2 Ear: GB-2, SJ-5, SJ-17, SJ-21 Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0

Shao Yang Fu With Tai Yang

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 releases the Shao-Yang Harmonize the Liver, Spleen and Intestines
Herb Formulas	Chai Hu Gui Zhi Tang
Points	To treat the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 To Treat the Tai Yang: UB-12, GB-20

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 Chai Ling Tang With Phlegm-Heat Stagnation in the chest: Chai Hu Xian Xiong 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 Stagnation

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
Points

Shao Yang - Yang Ming

Clinical Manifestations	Acute epigastric pain Alternating chills and fever Abdominal pain Constipation or Burning diarrhea Nausea Vomiting Hypochondriac pain Pounding temporal headaches Dizziness Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs T: Normal C: Greasy and white or Greasy and yellow P: Deep, tight and wiry or Wiry and rapid
Treatment Principle	Harmonize and Disperse the Shao Yang Drain Internal Heat Retention
Herb Formulas	Da Chai Hu Tang Chinese Patent Medicines: Qing Fei Yi Huo Pian
Points	Ahshi points along the Stomach channel between ST-36 and ST-39, GB-39, LI-4, PC-7, PC-8, REN-12, SJ-5, ST-21, ST-25, ST-34, ST-36, ST-44 With Yin Deficiency: + UB-21 , UB-23 With vomiting or spitting Blood: + PC-4 With fever: + LI-11 Ear: Stomach, Duodenum, Abdomen, Shenmen, Sympathetic

Jue Yin Cold

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San Si Ni San San Wu Bei Ji Wan With Cold Dampness: Yi Yi Fu Zi Bai Jiang San
Points	LIV-3, LIV-13, SP-6, ST-36, ST-25, ST-37

Jue Yin Heat

Clinical Manifestations	Cold extremities. Body hot and feverish due to lack of harmony of the Liver Qi Thirst Abdominal distention Fever Dark yellow urine T:  Red C: Yellow or white P:  Rapid and slippery.
Treatment Principle	Clear Heat Reverse reversals
Herb Formulas	Si Ni San
Points	DU-14, LI-4, LI-11, LIV-2, LIV-3, LIV-14, PC-6, REN-12, SP-6

Jue Yin Level - Cold And Heat

Clinical Manifestations	Intermittent attacks of abdominal pain Stifling sensation in the chest and epigastrium A sensation of warmth in the chest and epigastrium Irritability in the chest and epigastrium Vomiting after eating Extremely Cold extremities Vomiting of roundworms Incessant diarrhea Hunger with no desire to eat Vomiting immediately after eating Heat in the Stomach with Cold in the Intestines Bitter taste in the mouth Frequent urination Anxiety Abdominal pain (better with warmth and pressure) Pain beneath the Heart Borborygmus Unquenchable thirst Running piglet Qi Pain and Heat in the Stomach Discharge of small amounts of pus Irritability Recurrent nausea and vomiting Diarrhea Dry throat Turbid urine Polydipsia T: Red or geographic or pale C: White P: Hidden or Wiry and tight
Treatment Principle	Warm the Internal organs Warm the Middle Jiao Warms the Intestines Drains Heat Replenishes Qi Dispels parasites Calms roundworms Drains the Liver Calms the Stomach Promotes Blood circulation Relieves pain
Herb Formulas	Wu Mei Wan
Points

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 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	DU-14, DU-23, DU-24, GB-20, LI-4, or SJ-5, LI-11, REN-9, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20, UB-40 (bleed).

Wei Stage: Summerheat With Damp

Clinical Manifestations	Acute epigastric pain Alternating chills and fever Abdominal pain Constipation or Burning diarrhea Nausea Vomiting Hypochondriac pain Pounding temporal headaches Dizziness Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs T: Normal C: Greasy and white or Greasy and yellow P: Deep, tight and wiry or Wiry and rapid
Treatment Principle	Harmonize and Disperse the Shao Yang Drain Internal Heat Retention
Herb Formulas	Da Chai Hu Tang Chinese Patent Medicines: Qing Fei Yi Huo Pian
Points	Ahshi points along the Stomach channel between ST-36 and ST-39, GB-39, LI-4, PC-7, PC-8, REN-12, SJ-5, ST-21, ST-25, ST-34, ST-36, ST-44 With Yin Deficiency: + UB-21 , UB-23 With vomiting or spitting Blood: + PC-4 With fever: + LI-11 Ear: Stomach, Duodenum, Abdomen, Shenmen, Sympathetic

Qi Stage Spleen And Stomach Damp-Heat

Clinical Manifestations	Fever (may be unremitting) Achy limbs A stifling sensation in the chest Abdominal distention Nausea and vomiting Dark, scanty, turbid or red urine Diarrhea or constipation Malaise Sore throat Jaundice Thirst with no desire to drink No perspiration Chest discomfort Swollen throat Pressure headache Anorexia Vomiting and diarrhea Unremitting fever Swelling of the lower cheeks Lumbago Heaviness Sweat Orange-yellow body Jaundice Fatigue Lethargy Low back pain Headache Oliguria Irritability Persistent low grade fever Dysentery Simultaneous bitter and sweet tastes in mouth Bowel dysfunction T: Red or normal or Pale white C: Thick greasy and white or Dry and yellow P: Soft and rapid
Treatment Principle	Clear Damp-Heat and toxins
Herb Formulas	Gan Lu Xiao Du Dan With congestion in the chest and epigastrium: Zhi Zi Chi Tang   With vomiting: Zhi Zi Sheng Jiang Chi Tang With short, rapid breathing: Zhi Zi Gan Cao Chi Tang With Food Stagnation: Zhi Shi Zhi Zi Chi Tang
Points	LI-4, LI-11,  SP-6, SP-9, ST-25. ST-36

Qi Stage Gall Bladder Heat

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea/vomiting Hypogastric pain and distension T:  Red C:  Yellow P:  Rapid and wiry
Treatment Principle	Relieve Gall Bladder Heat Pacify The Liver and Gall Bladder
Herb Formulas	Liang Ge San With congestion in the chest and epigastrium: Zhi Zi Chi Tang With vomiting: Zhi Zi Sheng Jiang Chi Tang With short, rapid breathing: Zhi Zi Gan Cao Chi Tang With Food Stagnation: Zhi Shi Zhi Zi Chi Tang
Points	To Pacify the Liver and Gall Bladder: LIV-3, LIV-4, LIV-13, LIV-14. To Relieve Gall Bladder Heat: Lanweixue, LI-11, LIV-2, GB-34

Large Intestine Excess Heat (Acute)

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea (Heat knots or flows) Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles (swollen papillae on the tongue that look like thorns and are very sensitive to the touch) or Red C: Thick, yellow and dry P: Deep and Excess
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang
Points	For Heat: DU-14, LI-4, LI-11, ST-44, SJ-5 For Stagnation: ST-34, ST-36, ST-37, ST-39 , REN-12 For Constipation: ST-25, SJ-6, UB-25

Damp-Heat Injures The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San Si Ni San San Huang Xie Xin Tang modified Nei Shu Huang Lian Tang With Cold Dampness: Yi Yi Fu Zi Bai Jiang San
Points	LIV-3, LIV-13, SP-6, ST-36, ST-25, ST-37 LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

Spleen Qi Deficiency

Clinical Manifestations	Slight, lingering abdominal pain that begins or worsens after eating a heavy meal or unusual foods Pain improves with rest and warm, light foods Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Belching Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Xiao Jian Zhong Tang Xiang Sha Liu Jun Zi Tang With Damp-Heat: Sheng Yang Yi Wei Tang With Liver Qi Stagnation with Cold and Heat: Zhi Shi Xiao Pi Wan Chinese patent medicines: Si Jun Zi Pian Shen Ling Bai Zhu Wan
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 SP-3, SP-6, ST-36, UB-20 For chronic pain with Food Stagnation: + UB-25 For aggravation of the pain with stress: + LIV-3, UB-18 For chronic diarrhea: + SP-9

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Chronic cholecystitis Late menstruation Scanty, light red Blood or Heavy non-stop bleeding Dull pain in the lower abdomen Pain alleviated by warmth Lower back pain Pale face Cold limbs Leg pain T: Pale C: Thin and white P: Deep and thready or Deep and weak
Treatment Principle	Warm the channels Disperse Cold Regulate Qi Pacify the Stomach
Herb Formulas	Wen Jing Tang
Points	Moxa or moxa needle REN-6, SP-6, ST-25, ST-29 Moxa or moxa needle DU-12, REN-6, SP-6, SP-10, UIB-43 Moxa or moxa needle REN-4, SP-6, ST-25, ST-36, UB-20

Stomach Fire

Clinical Manifestations	Burning Heat and pain in the epigastrium The pain is worse with pressure and or spicy hot foods Irritating thirst: drinks copious fluids and prefers cold drinks Epigastric distention Excessive appetite: hungry again quickly after eating (as if food vanishes) Thirst with a desire for cold drinks Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Maybe vomiting right after eating Vomiting acid or undigested food Heartburn Constipation or maybe diarrhea Restlessness Irritability Maybe scanty, red urine T: Red C: Thick, yellow and dry or Peeled or A wide, shallow crack P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San modified With Damp-Heat: Huang Lian Jie Du Tang With Yin Deficiency: Yu Nu Jian Chinese Patent Medicines: With mouth ulcers: Niu Huang Jie Du Pian With constipation: Niu Huang Qing Huo Wan
Points	Ahshi points along the Stomach channel between ST-36 and ST-39, LI-4, PC-7, PC-8, REN-12, ST-21, ST-34, ST-36, ST-44 With Yin Deficiency: + UB-21 , UB-23 With vomiting or spitting Blood: + PC-4 With fever: + LI-11 LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21 Ear: Stomach, Duodenum, Abdomen, Shenmen, Sympathetic

Blood Stagnation In The Stomach

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San Si Ni San Dan Shen Yin With Cold Dampness: Yi Yi Fu Zi Bai Jiang San
Points	LIV-3, LIV-13, SP-6, ST-36, ST-25, ST-37

Food Stagnation In The Stomach Due To Excess Cold (Acute)

Clinical Manifestations	Sudden epigastric and abdominal pain and distention The pain is so intense that it feels like an awl is piercing the abdomen Rough, uneven breathing Stabbing pain in the chest Lockjaw A cyanotic complexion Asthma Dyspnea Oliguria A pale face No bowel movements Rapid breathing Constipation Cold limbs Possible loss of consciousness (severe cases) T: Bluish-purple C: White or White and slippery P: Deep and tight or Deep and slow
Treatment Principle	Purge Cold Accumulation Alleviate pain
Herb Formulas	San Wu Bei Ji Wan
Points

Stomach Yin Deficiency

Clinical Manifestations	Intermittent attacks of abdominal pain Stifling sensation in the chest and epigastrium A sensation of warmth in the chest and epigastrium Irritability in the chest and epigastrium Vomiting after eating Extremely Cold extremities Vomiting of roundworms Incessant diarrhea Hunger with no desire to eat Vomiting immediately after eating Heat in the Stomach with Cold in the Intestines Bitter taste in the mouth Frequent urination Anxiety Abdominal pain (better with warmth and pressure) Pain beneath the Heart Borborygmus Unquenchable thirst Running piglet Qi Pain and Heat in the Stomach Discharge of small amounts of pus Irritability Recurrent nausea and vomiting Diarrhea Dry throat Turbid urine Polydipsia T: Red or geographic or pale C: White P: Hidden or Wiry and tight
Treatment Principle	Warm the Internal organs Warm the Middle Jiao Warms the Intestines Drains Heat Replenishes Qi Dispels parasites Calms roundworms Drains the Liver Calms the Stomach Promotes Blood circulation Relieves pain
Herb Formulas	Wu Mei Wan With vomiting: Ju Pi Zhu Ru Tang
Points

Stomach And Liver Heat

Clinical Manifestations	Recurrent or relentless acid reflux and heartburn, aggravated by coffee, chocolate and alcohol or stress The patient may wake in the middle of the night (1-2 am) with discomfort and reflux Sour or bitter belching Epigastric discomfort or burning sensation Indeterminate, gnawing hunger Foul stools Dry mouth Thirst Irritability Quick temper T: Red with red edges C: Yellow P: Wiry and/or slippery, maybe rapid
Treatment Principle	Clear Heat from the Stomach and Liver Harmonize the Stomach Descend Stomach Qi
Herb Formulas	Hua Gan Jian Jia Wei Severe cases: Zuo Jin Wan modified When Stomach Heat is primary: Qing Wei San modified Chinese Patent Medicines: Jia Wei Xiao Yao San Wen Dan Wan Wei Te Ling Xiang Lian Wan
Points	GB-34, LI-11, LIV-2, PC-8, REN-12, REN-13, REN-17, ST-36, ST-44 With severe Heat: + SJ-2, ST-45 With constipation: + SJ-6, ST-25 With Lung and Stomach Heat: + LU-5 With nausea: + PC-6 Ear: Esophagus, Pylorus, Liver, Spleen, Stomach, Shenmen, Subcortex, Sympathetic

Disharmony Between The Stomach And Intestines

Clinical Manifestations	Genital warts Anal warts Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Vomiting Borborygmus D Diarrhea Anorexia Stomach pain Abdominal pain Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Nausea Ascites Gurgling sounds T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Harmonizes the Stomach Descends Rebellious Qi Disperses clumping Eliminates focal distention due to Cold and Heat factors
Herb Formulas	Ban Xia Xie Xin Tang modified
Points

Liver Qi Stagnation

Clinical Manifestations	Hypochondriac pain and distention Dull pain in the right upper quadrant Pain may radiate to the upper back and right shoulder Chest oppression Sometimes chills and fever or Alternating fever and chills Depression Easily angered Emotional tension Nausea Vomiting Dry mouth Irregular bowel movements or Constipation Anorexia Aversion to oily, slimy foods Belching Slight abdominal tenderness Murphy's sign positive Bitter taste in mouth Fidgeting Maybe a slight fever Abdominal pain and cramps Breast distention and pain Irritability Dysmenorrhea Irregular menstruation Amenorrhea T: Pink or maybe Red C: Thin and white or yellow P: Wiry or Tight or Wiry and rapid
Treatment Principle	Spread Liver Qi Promote Qi circulation Harmonize the Blood Open the Gall Bladder Alleviate pain
Herb Formulas	Chai Hu Shu Gan Tang Xiao Chai Hu Tang Da Chai Hu Tang modified Yue Ju Wan Chai Hu Shu Gan Tang + Liu Mo Tang Cholecystitis #1 With Spleen Qi Deficiency: Zhi Zhu Wan With chronic sluggish stools or constipation: Liu Mo Tang With Food Stagnation and sluggish bowels: Mu Xiang Shun Qi Wan With Phlegm: Ban Xia Hou Po Tang With Damp-Heat: Xiao Chai Hu Tang With constipation: Da Chai Hu Tang With lurking Damp-Heat: Hao Qin Qing Dan Tang With persistent or severe vomiting: Xuan Fu Dai Zhi Tang Chinese Patent medicines: Shu Gan Wan Chai Hu Shu Gan Wan With significant heartburn: + Wei Te Ling With sluggish or incomplete bowel movements: Mu Xiang Shun Qi Wan With constipation: Chen Xiang Hua Qi Wan With Spleen Deficiency and dampness: Xiao Yao Wan With stagnant Heat: Jia Wei Xiao Yao Wan
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18 Dannangxue, GB-24, GB-34, SJ-6, UB-19 For severe pain: + LI-4, LIV-14 For jaundice: + ST-36 For nausea and vomiting: + PC-6 For fever and chills: + LI-4, LI-11 GB-34, LIV-3, LIV-5, LIV-13, PC-6, REN-6, REN-12, ST-25 To calm the Shen: + DU-19, DU-24, Yintang With Blood or Yin Deficiency: + SP-6, ST-36, UB-18, UB-23 With Phlegm or plum-pit throat: + PC-5, SP-3, ST-40 With fat intolerance, pale or pasty stools, and right sided hypochondriac pain and distention: + Dannangxue, GB-24, GB-40 GB-34, LIV-3, LIV-13, PC-6, REN-12, ST-21, ST-34, ST-36, UB-18, UB-20, UB-21 For severe pain: + LIV-5, SP-4, SP-8 With hypochondriac pain or tenderness: + LIV-14 For Liver and Stomach Heat: + LIV-2 For calming the Shen: + DU-19, DU-24, Yintang Ear: Liver, Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

Liver Qi Stagnation Attacking The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San Si Ni San During remissions: Xiao Yao San modified Chronic with Qi Deficiency and Yin Deficiency Heat: Sheng Yang Yi Wei Tang
Points	LIV-3, LIV-13, SP-6, ST-36, ST-25, ST-37

Liver Qi Stagnation Invades The Stomach

Clinical Manifestations	Chest and abdominal distention A stifling sensation in the chest and abdomen Fixed pain in the hypochondria Belching with a fetid odor Nausea Vomiting Headache Epigastric and abdominal fullness and pain Acid reflux Mild coughing with copious sputum Reduced appetite Indigestion T: Normal C: Thin and white or Greasy or Slippery, P: Wiry and taut or Running
Treatment Principle	Regulate Qi Release Stagnation
Herb Formulas	Yue Ju Wan Chai Hu Shu Gan Tang Yue Ju Wan For chronic sluggish bowels or constipation: Liu Mo Tang For Qi and Food Stagnation: Mu Xiang Shun Qi Wan With Heat: Si Ni San modified With Stomach Heat: Zuo Jin Wan With persistent or severe vomiting: Xuan Fu Dai Zhe Tang During remissions: Xiao Yao San modified Chinese Patent medicines: Chai Hu Shu Gan Wan Xiao Yao Wan Xiang Xia Yang Wei Wan For chronic sluggish bowels or constipation: Mu Xiang Shun Qi Wan For constipation: Chen Xiang Hua Qi Wan For Spleen Deficiency and Dampness: Xiang Sha Yang Wei Wan With pain: Shu Gan Wan For robust patients: Chai Hu Shu Gan Wan With Stagnant Heat: Jia Wei Xiao Yao Wan With severe Damp-Heat in the Stomach: Huang Lian Jie Du Wan
Points	LIV-3, LIV-14, PC-6, REN-12 + general points GB-34, LIV-3, LIV-5, LIV-13, PC-6, REN-6, REN-12, ST-25 For calming the Shen: + DU-19, DU-24, Yintang For Blood or Yin Deficiency: + SP-6, ST-36, UB-18, UB-23 For Phlegm or plum pit Qi Stagnation: + PC-5, SP-3, ST-40 For fat intolerance, pale or pasty stools, and right side hypochondriac pain and distention: + Dannangxue, GB-24, GB-40 GB-34, LIV-3, PC-5, PC-6, REN-12, SP-3, ST-40 With Spleen Deficiency: + LIV-13, ST-36 With foggy-headedness: + GB-20, UB-62 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Wind-Phlegm: + GB-40, ST-8, ST-41 With Cold Phlegm: + moxa UB-20, UB-23 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 Ear: Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen

Liver Qi Stagnation Transforms Into Heat

Clinical Manifestations	Intermittent chest, epigastric or hypogastric pain Hernia pain The pain is aggravated by ingestion of hot food or drink Dysmenorrhea Irritability A bitter taste in the mouth T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Spread Liver Qi Soothe the Liver Drain Heat Invigorate the Blood Alleviate pain
Herb Formulas	Jin Ling Zi San Zuo Jin Wan With damage to Stomach Yin: Yi Guan Jian modified With Blood Deficiency: Ping Gan Liu Qi Yin
Points	GB-12, GB-34, GB-37, LIV-2, LIV-3, LIV-14, PC-6, REN-12, UB-18, UB-19

Liver Fire

Clinical Manifestations	Alternating fever and chills Fullness in the chest and hypochondrium (with or without pain) Bitter taste in mouth Nausea Continuous vomiting Hard focal distension in the epigastrium Fullness and pain in the epigastrium Burning diarrhea or no bowel movement Despondency Slight fidgeting Slight irritability Headache Constipation or discharge of fluids rectally Tinnitus Diminished hearing Diminished vision Red eyes Manic behavior Asthma Mental instability T: Normal or red C: Yellow or Thick and yellow P: Wiry and forceful or Wiry tight and forceful
Treatment Principle	Harmonizes and Disperses the Shao Yang Drains Internal Heat Retention
Herb Formulas	Da Chai Hu Tang Dang Gui Long Hui Wan
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

Cold In The Liver Channel

Clinical Manifestations	Vomits clear fluid Body cold Diarrhea Complete exhaustion of Yang Vomiting immediately after eating Indeterminate gnawing hunger Acid regurgitation Belching May be epigastric pain Dry heaves or spitting of clear fluids with vertex headache Vomiting and diarrhea with cold hands and feet Restlessness Severe fidgeting Irritability So agitated, the patient wants to die Habitual headache Subcardiac distention A feeling of fullness and distention in the chest and diaphragm T: Pale C: White and slippery P: Weak or Slow and weak or Sinking or slow and thin or Slow and wiry
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity
Herb Formulas	Wu Zhu Yu Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25 Moxa  REN-4, SP-6, LIV-1

Liver And Gall Bladder Damp-Heat

Clinical Manifestations	Right-sided rib distention and pain Abdominal distention and fullness Palpable pain in the Gall Bladder region Pain at SI-11 and Dannangxue Nausea Vomiting Sluggish intake Dry mouth with a bitter taste Thirst with no desire to drink Alternating chills and fever Aversion to Cold Emits Heat Maybe jaundice Dry stools Yellow urine T: Normal C: Greasy and yellow P: Wiry, slippery and rapid Heat greater than Dampness: Maybe Yang jaundice (sclera, mucosal membranes and skin bright orange-yellow) Fever or Alternating fever and chills Thirst with a desire to drink cold fluids An uncomfortable, burning sensation in the chest and epigastrium Concentrated, scanty urination Constipation or Loose stools Nausea Vomiting Aversion to cigarette smoke T: Pink C: Greasy and yellow or Dry and yellow P: Wiry and rapid or Wiry, slippery and rapid
Treatment Principle	Clear Heat Drain Dampness Clear the Gall Bladder Expel stones
Herb Formulas	San Huang Xie Xin Tang Long Dan Xie Gan Tang Huang Lian Wen Dan Tang Chai Hu Gui Zhi Tang Xiao Chai Hu Tang Da Chai Hu Tang Hao Qi Qing Dan Tang For Heat greater than Dampness: Yin Chen Hao Tang modified Yin Chen Hao Tang + Long Dan Xie Gan Tang modified For Liver and Spleen Damp-Heat with Blood Stasis: Liu Jun Zi Tang + Ge Xia Zhu Yu Tang For Damp-Heat Damaging Qi and Yin: Yi Qi Ruan Gan Tang With jaundice: Zhong Man Fen Xiao Wan Chinese Patent Medicines: Li Dan Pian Long Dan Xie Gan Wan Ji Gu Gan Cao Wan Ji Gu Cao Chong Ji
Points	GB-24 (right side), GB-34, SJ-6, UB-19, Dannangxue For severe pain: + LI-4, LIV-14 For jaundice: + DU-9 For abdominal distention and pain: + ST-36 For nausea and vomiting: + PC-6, REN-12 For fever and chills: + LI-11, LI-4 DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48 GB-38, GB-39, GB-41, LIV-13, ST-31, UB-18, UB-19 Dannangxue, GB-24, GB-34, PC-6, SP-6, SP-9, ST-36 GB-24, GB-34, (right side), PC-6, ST-36, Huatuojiaji at T-8 and T-9 GB-24, GB-34, GB-43, LIV-3, LIV-14, SJ-6, UB-18, UB-19 With severe fever: + DU-14, LI-11 With alternating chills and fever: + GB-39, SJ-5 With nausea: + PC-6 With jaundice: + DU-9 For Heat greater than Dampness: DU-9, GB-34, LIV-3, SI-4, SP-9, UB-19 With severe fever: + DU-14, LI-11 With nausea: + PC-6 With hypochondriac pain: + LIV-13, LIV-14, SJ-6

Liver And Gall Bladder Stagnant Heat (Bile Duct Obstruction With Heat)

Clinical Manifestations	Quickly developing jaundice Severe, colicky, recurrent right-sided hypochondriac pain Pain may radiate to the shoulder and upper back Fever and chills or Alternating fever and chills Bitter taste in the mouth Dry throat and mouth Nausea Anorexia Aversion to fats and oils Abdominal distention Pale, sticky stools Scanty, concentrated urine Dysuria T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Soothe the Liver Drain the Gall Bladder Clear Heat Relieve fullness
Herb Formulas	Qing Dan Xie Huo Tangmodified Chinese patent medicines: Ji Gu Cao Wan Li Dan Pian Long Dan Xie Gan Wan
Points	DU-9. GB-24, GB-34, LIV-3, LIV-14, SI-4, UB-19 With worms in the bile duct: + LI-20 through to ST-2 With fever : + DU-14, LI-11 With alternating fever and chills: + GB-41, SJ-5 With nausea : + PC-6

Liver And Spleen Deficiency With Blood Stagnation Due To Dampness

Clinical Manifestations	Continuous cramping pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Fatigue Heaviness of head Lassitude Lower abdominal pain Dizziness Tinnitus Lumbago Edema Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation Oliguria	Palpitations Cold feet Extreme coldness of the hands and feet Vertigo Weakness and numbness of lower back and legs during pregnancy or postpartum Mal position of the fetus Dysmenorrhea Irregular menstruation Right upper quadrant pain Hepatomegaly Anemia Lack of energy Sore back Thirst with no desire to drink T: Pale or pink maybe petechiae on margin C: Thin or Greasy white P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle	Nourish Liver Blood Soften the Liver Spread Liver Qi Strengthen the Spleen Resolve Dampness
Herb Formulas	Dang Gui Shao Yao San
Points

Heat In The Liver And Stomach

Clinical Manifestations	Morning sickness or Vomiting during pregnancy Nausea with sour regurgitation or Vomiting of sour material Hypochondriac discomfort Belching Sighing Moodiness Dizziness Depression Concentrated urine A tendency toward constipation T: Red edges C: Yellow P: Wiry and rapid
Treatment Principle	Clear Liver and Stomach Heat Descend Qi
Herb Formulas	Su Ye Huang Lian Tang
Points	General points

Liver And Kidney Yin Deficiency With Liver Qi Stagnation

Clinical Manifestations	Hypochondriac and chest pain Dry, parched mouth and throat Bitter taste in mouth Acid regurgitation Epigastric and abdominal distention T: Red and dry P: Thready and weak or Wiry and Deficient
Treatment Principle	Enriches Kidney and Liver Yin Spreads Liver Qi
Herb Formulas	Shi Xiao San
Points

Disharmony Between The Gallbladder And Stomach With Phlegm-Heat

Clinical Manifestations	Acid reflux or Heartburn Nausea Vomiting Indeterminate gnawing hunger Insomnia Anxiety T: Normal C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Resolve Phlegm-Heat Descend Qi Stop reflux
Herb Formulas	Wen Dan Tang modified
Points

Kidney And Liver Yin Deficiency With Empty Fire Rising And Blood Deficiency

Clinical Manifestations	Fever Night sweats Red face Dry mouth Leukorrhagia with yellow, thick, foul discharge Constipation Dark, scanty urine Irritation Fidgeting Insomnia Five sole Heat Irregular menstruation A thin physique Nocturnal emissions Parched lips Irritability Dry stools T: Dark red and dry C: Dry and yellow or None P: Flooding and rapid or Thin and rapid
Treatment Principle	Nourish Yin Clear Heat Nourish the Blood
Herb Formulas	Dang Gui Liu Huang Wan
Points

Qi And Blood Stagnation

Clinical Manifestations	Lower abdominal pain and distention Distention is more pronounced than pain Lower back pain Cold feet Swollen, painful breasts Depression Swelling and pain of the scrotum T: Normal or Pale C: White P: Wiry and tight or Wiry and choppy or Deep and slow
Treatment Principle	Promote the movement of Qi Invigorate the The Blood Regulate menstruation Alleviate pain
Herb Formulas	Jia Wei Wu Yao Tang
Points

Qi And Yin Deficiency

Clinical Manifestations	Insidious flank pain Fatigue Weakness Anorexia Abdominal distention after meals Patients usually over forty years of age Dry mouth Bitter taste in the mouth Constipation T: Fat or Swollen with teethmarks and a red tip with cracks in the center C: Scanty or Peeled P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Tonify Qi Clear Heat Eliminate Dampness Move the Qi
Herb Formulas	Yi Qi Ruan Gan Tang For Liver Blood and Kidney Yin Deficiency with Qi Stagnation but no Qi Deficiency: Yi Guan Jian modified
Points	GB-24, GB-34, UB-17, UB-18, UB-20 For severe Yin Deficiency: + KI-7 For severe Qi Deficiency: + ST-36 For suspected stones in the bile duct: + Dannangxue For yellow eyes or skin: + DU-9, ST-36 For abdominal distention and pain: + REN-12 For nausea and vomiting: + PC-6

Qi And Blood Deficiency With Phlegm Stagnation

Clinical Manifestations	Yellowing of the eyes and body which is sometimes worse and sometimes better Dizziness Vertigo A shiny greenish blue facial complexion Fatigue Lassitude Weakness Disinclination to speak Flank fullness, oppression, distention and discomfort or Insidious pain which comes and goes Anorexia Severe: Phlegm lumps below the flanks T: Pale and dark with possible Maculae or spots     Engorged, distended, tortuous sublingual veins C: White P: Thready and wiry or Wiry and choppy
Treatment Principle	Tonify the Spleen Dispel Dampness Tonify Qi Harmonize the Blood
Herb Formulas	Si Jun Zi Tang + Ge Xia Zhu Yu Tang
Points	GB-24, LIV-3, ST-36, UB-19 For suspected gallstones: + Dannangxue, GB-34 For concretion lumps below the flanks: + GB-34, LIV-14 For severe jaundice: + DU-9 For abdominal distention and pain: + REN-12 For nausea and vomiting: + PC-6

Internal Heat

Clinical Manifestations	Lower abdominal distention and pain (usually on right) Pain increases on pressure with rebound tenderness Guarding of the abdominal musculature Groin pain resembling urinary dysfunction without urinary difficulty Groin pain relieved by flexing hip and knee Groin pain intensified by extending hip Perspiration Irregular or intermittent fever followed by chills and perspiration May be mass in lower right quadrant of abdomen Aversion to Cold Hard lumps T: Pink C: Thin, white or yellow and greasy P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle	Drain Heat Break up Blood Stasis Invigorate the Blood Disperse nodules Reduce swelling
Herb Formulas	Da Huang Mu Dan Pi Tang
Points	REN-6, SP-6, SP-9, SP-10, LU-9, KI-3 UB-28, UB-23, REN-2, SP-6

Heat And Water Accumulation In The Chest And Epigastrium

Clinical Manifestations	Fullness and hardness of the epigastrium and/or abdomen Lower abdominal pain Severe pain that becomes unbearable with the slightest pressure Tidal fever at dusk Shortness of breath Severe constipation Thirst Irritability Restlessness T: Normal C: Very dry P: Deep, tight and forceful
Treatment Principle	Drains Heat Purge Water Accumulation
Herb Formulas	Da Xian Xiong Tang
Points

Toxic Heat

Clinical Manifestations	Severe, right-sided upper abdominal pain Glomus lumps below the flanks Hardness and fullness in the abdominal area which is worse with pressure Alternating chills and fever Colic Abdominal pain Severe jaundice Nausea Vomiting Reddish urine Constipation Clouded Spirit Deranged speech Toxic shock (acute obstructive suppurative cholecystitis) Exhausted Yang: Shortness of breath Profuse perspiration Cold skin Peritonitis: Tenderness Guarding Blumberg's sign Extremely severe: Reversal Cold of the four extremities Great sweating with dribbling and dripping Listless Spirit T: Deep red (Crimson) C: Dry and yellow or Yellowish black P: Thready and rapid or Wiry and rapid or Disappearing (low Blood pressure) Extremely severe: Faint, on the verge of expiring or Deep, thready and forceless
Treatment Principle	Clear Heat Purge Fire Relieve toxicity Cool the Blood Clear the Ying Secure Yang Stem desertion
Herb Formulas	Wu Wei Xiao Du Yin Huang Lian Jie Du Tang Qing Ying Tang Xi Jiao Di Huang Tangmodified For Yang Desertion: Shen Fu Tang + Sheng Mai San
Points	DU-14, DU-26, GB-24, GB-34, KI-1, LI-11, PC-6, ST-36, UB-19, UB-48 Dannangxue, GB-24, GB-34, SJ-6, UB-19 For severe pain: + LI-4, LIV-14 For jaundice: + ST-36 For nausea and vomiting: + PC-6 For fever and chills: + LI-4, LI-11

Phlegm-Damp Obstruction

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Phlegm-Heat

Clinical Manifestations	Prolonged, nagging epigastric pain and distention Patient tends to be overweight Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Thirst with no desire to drink Dry stools Alternating constipation and diarrhea Variable appetite Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness A heavy sensation in the body Lethargy Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Resolve Phlegm Soothe the Liver Harmonize the Stomach
Herb Formulas	Xiao Xian Xiong Tang  modified Chinese Patent Medicines: Qing Qi Hua Tan Wan Wen Dan Wan
Points	Ahshi points along the Stomach channel between ST-36 and ST-39, LI-4, PC-7, PC-8, REN-12, ST-21, ST-34, ST-36, ST-40, ST-44 With Yin Deficiency: + UB-21 , UB-23 With vomiting or spitting Blood: + PC-4 With fever: + LI-11 LI-11, LU-5, ST-40, UB-13 Ear: Stomach, Duodenum, Abdomen, Shenmen, Sympathetic

Phlegm-Fire

Clinical Manifestations	Simultaneous vomiting and diarrhea Focal distention in the chest and epigastrium A stifling sensation in the chest and epigastrium Irritability Acid regurgitation Anorexia Restlessness Fatigue Abdominal pain A bitter taste in the mouth Dark, scanty, possibly reddish urine T: Normal C: Yellow and greasy P: Slippery and rapid or Smooth and wiry
Treatment Principle	Clear Heat Transform Dampness Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Lian Po Yin
Points

Food Stagnation

Clinical Manifestations	Fixed pain Swelling Pain worse with pressure Acrid belching Chest discomfort Scanty urine Dry heaves (serious) Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation
Herb Formulas	Bao He Wan Zhi Shi Dao Zhi Wan
Points	ST-44, ST-36, ST-21, LIV-13, LIV-14, PC-6, SP-4, REN-12, REN-11, REN-10 Periumbilical: REN-6, REN-10, ST-25, ST-36, ST-40 Lower abdominal: REN-4, ST-29, SP-6, LIV-2

Turbid Dampness In The San Jiao

Clinical Manifestations	General edema of the body and extremities Dysuria Oliguria Orthopnea Pitting edema Dyspnea Anorexia Abdominal fullness and pain T: Thick C: White and thick P: Slow or Wiry
Treatment Principle	Dispel Stagnant Water Dry Dampness Eliminate water from the Lungs Harmonize the Spleen Relieve edema Move Qi
Herb Formulas	Dao Shui Fu Ling Tang
Points

Middle Jiao Yang Deficiency With Cold Retention

Clinical Manifestations	Excruciating epigastric and abdominal pain to the point of not being able to to be touched Gastric and Intestinal spasms May be borborygmus. Vomiting to the point of not being able to eat Superficial skin pulsations throughout the abdomen May be cold limbs Strong sensation of Cold in the chest and epigastrium. Severe pain in the head and feet T: Pale or Dark purple C: White and greasy or Slippery P: Thin and tight or slow and wiry or Deep and thready or Hidden
Treatment Principle	Warm and tonify Middle Jiao Yang Descend rebellious Qi Relieve pain
Herb Formulas	Da Jian Zhong Tang
Points

Lower Jiao Blood Stagnation With Heat

Clinical Manifestations	Acute lower abdominal pain Incontinence of urine Night fevers Delirious speech Irritability Restlessness Thirst May be mania (severe) Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet Tremors Excruciating abdominal pain with cold Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis Severe wheezing Distention of the chest T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Drain Heat Break up Blood Stasis
Herb Formulas	Tao He Cheng Qi Tang
Points

Heat Above And Cold Below

Clinical Manifestations	Stifling sensation and irritability in the chest Nausea with an urge to vomit Abdominal pain Fever with slight chills Diarrhea Vexation Borborygmus Thirst T: Pink C: White and greasy P: Wiry
Treatment Principle	Regulate Cold and Heat Harmonize the Stomach Descend Rebellious Qi
Herb Formulas	Huang Lian Tang
Points

Roundworms In The Bile Duct

Clinical Manifestations	Intermittent attacks of Stomach, ductal and flank pain Chest oppression Irritability Vexatious Heat Vomiting after eating and/or Vomiting of roundworms Cold hands and feet T: Red C: Slimy and white P: Slippery and wiry or Deep, thready and wiry
Treatment Principle	Warm the viscera Clear Heat Drain pathogens Quiet roundworms
Herb Formulas	Wu Mei Wan modified
Points	GB-34, LI-20, REN-12, REN-13, ST-4, UB-19 For nausea: + PC-6 For severe pain: + electroacupuncture all points except LI-20 For fatigue and loose stools: + ST-36, UB-20 For children: + prick to bleed Sifeng

Chest Bi

Clinical Manifestations	Fullness and pain in the chest or Stabbing pain that radiates from the chest to the back Wheezing Coughing with sputum Drooling Shortness of breath Focal distention in the chest that feels like a flow of Qi proceeding from the flanks to the area around the Heart T: Normal C: White and greasy P: Deep and wiry or Deep and tight
Treatment Principle	Unblock Yang Dissipate clumps Expel Phlegm Descend Qi
Herb Formulas	Zhi Shi Xie Bai Gui Zhi Tang
Points