Chronic Hepatitis, Hepatitis C

General

Clinical Manifestations	Primary Stage: (This is mostly applicable to hepatitis A, in the early stage of the disease.) Fatigue Occasional jaundice (Damp-Heat Stage affecting the Blood) If the disease is cured at this stage, there will be no further manifestations. If the disease is not cured at this stage: (This stage is not seen in hepatitis C.) Fever and chills Nausea Gas Hepatitis C: is a disease of the Blood rather than the Liver or Spleen. Symptoms happen once the Liver cells are damaged. The main symptom is extreme fatigue Middle Stage: This stage can last two to twenty years and is the most common. Spleen Qi and Yang Deficiency Yin Deficiency with Blood Stagnation Late Stage: Liver and Kidney Yin and Jing Deficiency Damp-Stagnation Blood Stagnation Phlegm Stagnation Liver Cancer Liver Cirrhosis
Treatment Principle
Herb Formulas	For early-stage cancerous tumors: Hepatitis C Carcinoma Decoction For post Liver transplant support: Yi Guan San + Shi Xiao San
Points	Needle and moxa needle Special points .75 cun lateral to the DU channel at the level of T-11 and T-12, GB-14, LI-4, LIV-3, LIV-14, UB-18, UB-19, UB-20, Yintang With Deficiency: + SP-6, ST-36

Shao Yang With Fluid Accumulation

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 Ling 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 Hu Xian Xiong Tang
Points

Shao Yang With Phlegm-Heat 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

Wen Bing: Wei Stage Damp-Heat

Clinical Manifestations	Headache (wrapping) Fever and chills, fever more pronounced or Chills with afternoon fever Heavy extremities Heavy sensations in the body Stifling sensation in the chest Nausea Dizziness Gastric and abdominal distension Sticky mouth No thirst T: Normal C: Greasy, white or Greasy, yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp-Heat
Herb Formulas	Huo Po Xia Ling Tang
Points	For fever: DU-14, bleed UB-40 For Wind-Heat: GB-20, LI-4, or SJ-5, LI-11, UB-12 For headache: DU-23, DU-24, ST-8, Taiyang For Dampness: REN-9, SP-6, SP-9, ST-28, UB-20

Lung And Spleen Qi Deficiency

Clinical Manifestations	Loose stools or watery diarrhea Weak extremities Weight loss Distention and a stifling sensation in chest and epigastrium Pale wan complexion Abdominal distention Indigestion Vomiting Fatigue Chills Maybe vomiting Leukorrhea Reduced appetite Borborygmus Edema Reduced appetite Diarrhea with onset of menstrual flow Cough with copious sputum Leukorrhea in obese women T: Pale or Pale red C: White - maybe greasy P: Thready and even or Even and Deficient
Treatment Principle	Augment Qi Strengthen the Spleen Resolve Dampness Stop diarrhea
Herb Formulas	Shen Ling Bai Zhu San
Points

Cold-Damp Distresses The Spleen

Clinical Manifestations	Right-sided costal pain and distention Distention and fullness of epigastrium and abdomen Aversion to Cold Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks A sticky, tasteless sensation in mouth Fatigue Weakness Borborygmus Lassitude Yin jaundice Heavy head Edema Ascites A pale, yellow facial complexion Maybe copious white vaginal discharge Cold limbs Feeling chilled No thirst T: Pale and fat with teethmarks C: Thick, white and greasy or sticky P: Deep and slow or Soft and moderate
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen Eliminate jaundice
Herb Formulas	Yin Chen Zhu Fu Tang modified Wei Ling Tang Yin Chen Si Ni Tang
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Moxa or moxa needle LIV-3, LIV-13, REN-12, ST-36 With marked fatigue and weakness: + SP-3 With severe jaundice: + UB-18, UB-20 With upper abdominal distention: + REN-13 With abdominal distention at the level of the waist: + ST-25 With nausea and vomiting: + PC-6 With diarrhea: + REN-8 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

Damp-Heat Injures The Spleen

Clinical Manifestations	Bright yellow face Abdominal pain and distention Dizziness Fatigue Weakness A sticky, slimy, unclean feeling in the mouth Maybe mouth ulcers Nausea Jaundice Fever Decreased appetite Loose stools or Diarrhea Pale, but bright-yellow stools Foul-smelling stools Maybe anal burning after defecation T: Red, maybe fat and enlarged C: Yellow and greasy or Greasy and white P: Slippery, soft and rapid
Treatment Principle	Clear Heat Transform Dampness Strengthen the Spleen Harmonize the Stomach
Herb Formulas	Hou Po Xia Ling Tang modified Yin Chen Wu Ling San
Points	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, LIV-3, LI-4, SP-6, SP-9, REN-12, LIV-13 GB-34, SP-9, ST-36, ST-44 For more pronounced Spleen Deficiency: + UB-20, UB-21 With Liver Qi Stagnation: + LIV-3 With Blood Deficiency and/or Blood Stasis: + SP-6, UB-17 With abdominal distention and pain: +REN-12 With abdominal distention and pain at the level of the waist: + ST-25 With nausea, vomiting and/or belching: + PC-6, REN-13 With a lack of appetite due to Food Stagnation: + ST-21

Spleen Qi Deficiency

Clinical Manifestations	Fatigue Abdominal tenderness Nausea/queasiness Lack of appetite Muscle weakness Loose stools T: Pale and swollen with toothmarks P: Deficient
Treatment Principle	Tonify the Spleen Tonify Qi
Herb Formulas	Gui Pi Tang Si Jun Zi Tang With Qi Stagnation: Zhi Zhu Wan
Points	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, UB-21, UB-23, LIV-3, LI-4, ST-36, Moxa: SP-6, SP-9, UB-20, REN-12

Central Qi Sinking

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

Spleen Deficiency Edema

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Shi Pi Yin
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

Spleen Qi And Yang Deficiency With Blood Stagnation

Etiology	Damp Accumulation Blocking the flow of Qi leading to Blood Stagnation
Clinical Manifestations	Fatigue Dizziness Anorexia Nausea Occasional vomiting Abdominal bloating Gas due to Cold-Dampness Emotional depression Pale and often puffy face Swollen hands, especially in the morning Sighing Hiccup T: Pale with teeth marks C: White or gray and moist P: Soft and soggy, especially in the Stomach and Spleen positions Over time Blood Stagnation with become more obvious with a darker tongue and face The following symptoms may be dominant after too much work or stress: Depression, sometimes to the point of suicide Anxiety Insomnia T: Dark C: Little or none P: Deep and soggy
Treatment Principle	Strengthen the Spleen Drain Dampness Dredge the Liver
Herb Formulas	Xiao Chai Hu Tang For sighing, depression or hiccup and belching : Chai Hu Shu Gan Tang For gas, bloating and constipation: Da Chai Hu Tang For poor appetite, gas and nausea: Xiao Chai Hu Tang + Ping We San For Qi Deficiency with Blood Stagnation manifested as a darker tongue or amenorrhea: Xiao Yao San For depression, anxiety and insomnia as the primary symptoms: Hepatitis C#1 With Spleen Dampness: Wu Ling San
Points

Spleen Qi And Blood Deficiency

Clinical Manifestations	Yin jaundice The face, eye and skin are a dull, lusterless yellow or very pale or sallow Fatigue Lethargy Weakness in the extremities Poor muscle tone Loose stools or Diarrhea Poor appetite Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Shortness of breath Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale and swollen or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy or Soft and thin
Treatment Principle	Strengthen the Spleen Warm the Middle Jiao Tonify Qi Nourish the Blood
Herb Formulas	Huang Qi Jian Zhong Tang Chinese patent medicines: Wu Ji Bai Feng Wan Shi Chuan Da Bu Wan Bu Zhong Yi Qi Wan
Points	DU-4, DU-9, REN-4, REN-6, REN-12, ST-36, UB-19 KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

Spleen Qi Deficiency With Liver Qi Stagnation And Dampness In The Lower Jiao

Clinical Manifestations	Profuse vaginal discharge that is white or pale-yellow The discharge is thin in consistency, not foul smelling and usually continuous Fatigue Lethargy A shiny, pale complexion Loose stools Diarrhea T: Pale C: White P: Soggy and frail or Moderate or Slow or Soft and floating
Treatment Principle	Strengthen the Spleen Drain Dampness Dredge the Liver
Herb Formulas	Wan Dai Tang
Points

Spleen Yang Deficiency

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Frequent, clear urination Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Huang Qi Jian Zhong Tang Fu Zi Li Zhong Wan
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

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	Wen Wei Yin Xiao Jian Zhong Tang Fu Zi Li Zhong Wan
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Abdominal distention Ductal glomus Fatigue Anorexia Body cold Weakness of the limbs Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Severe: Abdominal ascites T: Pale, moist and swollen with teethmarks 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	Li Zhong Tang + Si Shen Wan Fu Zi Li Zhong Wan Fu Zi Li Zhong Wan + Wu Ling San Ji Sheng Shen Qi Wan
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 SP-6, SP-9, moxa or moxa needle REN-4, REN-6, REN-9, ST-36, UB-20, UB-21, UB-23 Moxa or moxa needle DU-4, REN-4, REN-6, ST-36 With severe Spleen Deficiency: + UB-20 With severe Kidney Deficiency: + UB-23 With diarrhea: + ST-25 With low back and knee weakness and pain: + KI-7, SP-4

Blood Stagnation In The Stomach

Clinical Manifestations	Sharp, stabbing epigastric pain with fixed location Pain is severe after eating Dislike of pressure and heat on epigastrium Pain predominates over distention or Pain but no distention Epigastric rumbling Vomiting purple/black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses T: Dark purple with purple spots or dots P: Wiry and choppy
Treatment Principle	Invigorate the Blood Adjust Qi Transform Stagnation Stop pain
Herb Formulas	Dan Shen Yin modified Shi Xiao San modified
Points	SP-4, SP-6, SP-10, ST-21, ST-34, UB-17 PC-6, SP-4, SP-6, ST-36, UB-17

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 Zhi Shi Dao Zhi 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

Stomach Qi Deficiency With Turbid Phlegm Obstruction

Clinical Manifestations	Unremitting belching Unremitting Hiccup Unremitting regurgitation Unremitting nausea and vomiting of saliva and Phlegm Vomiting soon after eating Hard epigastric distention Abdominal firmness and distention Frequent salivation Frequent urination T: Normal C: White and Slippery or White and smooth P: Wiry and deficient or Wiry, taut and feeble
Treatment Principle	Descend Qi Transform Phlegm Augment Qi Harmonize the Stomach
Herb Formulas	Xuan Fu Dai Zhe Tang
Points

Stomach Qi Deficiency With Cold And Heat In The Interior

Clinical Manifestations	Epigastric distention, fullness and hardness Dry heaves Nausea/Vomiting Irritability Borborygmus Diarrhea with undigested food Hysteria Fatigue Erosions of the throat Insomnia with difficulty falling asleep Frequent waking Talking in one's sleep Sleepwalking Dream disturbed sleep T: Pink C: Yellowish P: Wiry and rapid
Treatment Principle	Benefit Qi Harmonize the Stomach Relieve epigastric distention Disperse lumps and hardness Stop diarrhea
Herb Formulas	Gan Cao Xie Xin Tang San Huang Xie Xin Tang modified
Points	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

Disharmony Between The Stomach And Intestines With Cold And Heat

Clinical Manifestations	Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Vomiting Borborygmus Diarrhea Anorexia Stomach pain Abdominal pain 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	Harmonize the Stomach Descend Rebellious Qi Disperse clumping Eliminate focal distention due to Cold and Heat factors
Herb Formulas	Ban Xia Xie Xin 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

Deficiency Cold Of The Stomach And Liver

Clinical Manifestations	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: Slow and weak or Sinking or slow and thin or Slow and wiry
Treatment Principle	Warm and tonify the Spleen, Stomach, Liver and Kidneys Descend Rebellious Qi Stop vomiting
Herb Formulas	Wu Zhu Yu Tang
Points

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Easily startled Severe cases: Incoherent speech Crying and laughing without reason Manic agitation with irrational behavior May physically attack or abuse others T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Huang Lian Wen Dan Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15

Toxic Heat Of The Heart And Stomach

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	Drain Fire Relieve toxicity Drain Dampness Dispel noxious Heat and toxins from the Heart and Stomach
Herb Formulas	San Huang Xie Xin Tang
Points

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Heart And Liver Blood Deficiency

Clinical Manifestations	Palpitations Insomnia with much dreaming Easily startled Eye dizziness Both eyes dry and rough Twitching of the eyes Pain in the ribs and flanks Numbness of the limbs Stiffness and spasms of the tendons Low grade fever Night sweats Irregular, scanty menses T: Pale and thin C: Little P: Thready, choppy and forceless
Treatment Principle	Nourish Yin Reinforce the Blood Conceal Yang Calm the Shen
Herb Formulas	Suan Zao Ren Tang Dang Gui Bu Xue Tang
Points	HT-7, LIV-3, REN-4, SP-6, ST-36, UB-15, UB-17, UB-18

Heart And Kidney Yin Deficiency

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Tian Wang Bu Xin Dan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

Liver Qi Stagnation

Clinical Manifestations	Fatigue Stomach, ductal and costal, distention and pain A tendency to sigh Chest oppression Emotional tension Depression Fatigue Abdominal fullness Nausea Flatulence Bloating Irritability Burping Belching Premenstrual syndrome Menstrual irregularities Increased Liver enzymes Hepatosplenomegaly T: Dark or Normal C: White P: Wiry
Treatment Principle	Regulate Liver Qi Stop pain
Herb Formulas	Chai Hu Shu Gan Tang Xuan Fu Hua Tang Zuo Jin Wan Yue Ju 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	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, LIV-3, LI-4, LIV-14, Dannangxue GB-34, LIV-3, UB-18, UB-19 With upper abdominal distention and pain: + REN-12 With abdominal distention and pain at the level of the waist: + ST-25 For Liver Stagnation Transforming into Heat: + LIV-2 For Liver Qi Invading the Stomach with nausea, vomiting and/or belching: + REN-13 With anorexia due to Food Stagnation: + ST-21 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 With hypochondriac pain: GB-34, GB-40, LIV-2, LIV-14, PC-6, SJ-6 Ear: Liver, Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

Liver Qi Stagnation Invading 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 Emotional tension Irritability Inappropriate anger Fatigue Weakness Cold hands and feet Maybe anorexia A bland taste in the mouth Loose stools Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses Premenstrual syndrome T: Pale or Dark, fat and swollen C: Thin and white or White and slippery P: Slippery and wiry or Thready and wiry
Treatment Principle	Soothe the Liver Strengthen the Spleen Tonify Qi
Herb Formulas	Xiao Yao San Chai Hu Gui Zhi Tang Dang Gui Shao Yao San Hei Xiao Yao San With diarrhea: Tong Xie Yao Fang
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37 GB-34, LIV-3, ST-36, UB-18 For more pronounced Qi Stagnation: + PC-6 For more pronounced Spleen Deficiency with fatigue: + UB-20, UB-21 For Phlegm-Dampness: + ST-40 For Liver Qi Stagnation Transforming into Heat: - LIV-3 + LIV-2 With Blood Deficiency: + SP-6, UB-17 With Blood Stasis: + SP-6, UB-17 For abdominal distention and pain: + REN-12 For abdominal distention and pain at the level of the waist: + ST-25 For Liver Qi Invading the Stomach with nausea, vomiting and/or belching: + PC-6, REN-13 For a lack of appetite due to Food stagnation: + ST-21

Liver Qi Stagnation Invading The Stomach

Clinical Manifestations	Hypochondriac and epigastric pain (worse when emotionally upset) Belching with acid regurgitation Abdominal distention Nausea Vomiting Anorexia Epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Slight fever Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Weak limbs Lassitude T: Pink or Pale C: Thin and white P: Wiry or Wiry and rapid
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Huo Yu Tang Yue Ju Wan Chai Hu Shu Gan Tang Xiao Yao San With Heat: Si Ni San modified
Points	LIV-3, LIV-14, PC-6, REN-12

Liver Qi Stagnation Transforming Into Heat

Clinical Manifestations	Intermittent chest, epigastric or hypogastric pain The pain is aggravated by ingestion of hot food or drink Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Anxiety Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation T:Red or Red edges C: Thin and yellow P: Wiry and rapid or Wiry and tight and rapid
Treatment Principle	Spread Liver Qi Soothe the Liver Drain Heat Activate the Blood Alleviate pain
Herb Formulas	Jin Ling Zi San With damage to Stomach Yin: Yi Guan Jian modified With Blood Deficiency: Ping Gan Liu Qi Yin
Points

Liver Qi And Blood Stagnation

Clinical Manifestations	Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Dark purple (maybe purple spots on edge of tongue) P: Wiry, choppy and slow
Treatment Principle	Activate Blood circulation Soften hardness
Herb Formulas	Ge Xia Zhu Yu Tang
Points	LIV-3, LIV-13, LIV-14, SP-6, UB-17

Liver Blood Stagnation

Clinical Manifestations	A dark complexion Piercing pain, oppression and distention in the lateral costal area A feeling of hardness, conglomeration, accumulation or a lump on palpation of the abdomen Distended and engorged vessels on the abdominal wall Scaly skin T: Static purple C: Thin and white P: Deep and wiry or Wiry and choppy
Treatment Principle	Invigorate the Blood Transform Stasis Soften hardness Unblock the channels
Herb Formulas	Chronic Hepatitis #3
Points

Liver Yin Deficiency

Clinical Manifestations	Dry eyes Dry nails Dry throat Dry mouth Fatigue Blurred vision Dizziness Muscle spasms Malar flush Red eyes Numb extremities Quick temper T: Red C: Thin or None P: Thin, Deficient, wiry and rapid
Treatment Principle	Enrich Yin Nourish the Liver and Kidneys Enrich Blood
Herb Formulas	Liu Wei Di Huang Wan Qi Ju Di Huang Tang modified
Points	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, LIV-3, LI-4

Liver Yin Deficiency With Internal Heat

Clinical Manifestations	Dizziness A feeling of oppression in the chest Low-grade fever Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Nervousness Insomnia with much dreaming Dry, sore throat Dry mouth A bitter taste in the mouth Thirst Five sole Heat Hypochondriac pain Possibly low back pain Night sweats Light menses or Late menses or Amenorrhea T: Red with prickles on the tip and edges, teethmarks chymoss spots C: None or Thin, yellow and greasy P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver
Herb Formulas	Yi Guan Jian
Points	KI-3, LIV-3, UB-18, UB-23

Liver Blood Deficiency With Yin Deficiency

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability A quick temper Poor memory Frightens easily Insomnia with difficulty falling asleep or frequent waking Much dreaming Restless sleep Maybe talking during sleep Severe: Sleep walking Tinnitus Waking with a dry throat or thirst Palpitations Numbness of the limbs Light menses or Amenorrhea Late menses T: Red and dry C: Little or None P: Wiry or Thready and rapid
Treatment Principle	Nourish the Liver Reinforce the Blood Nourish Yin Calm the Hun Clear Heat
Herb Formulas	Suan Zao Ren Tang With Liver Qi Stagnation: Yi Guan Jian Chinese Patent Medicines: An Shen Bu Niao Wan Suan Zao Ren Tang Pian
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 Anmian, GB-20, HT-7, LIV-3, PC-6, UB-15, UB-17, UB-18, UB-23, Yintang

Liver And Gallbladder Heat With Stomach Cold

Clinical Manifestations	Alternating chills and fever Pronounced chills with light fever or Chills without fever Cold extremities Aversion to Wind Headache Thirst Sweating on the head Irritability Insomnia Dry cough Tuberculosis Diarrhea Palpitations Loose stools Hypochondriac pain A feeling of fullness and clumping in the chest and hypochondrium Rapid Heart palpitations Dysuria Night sweats Gastric distention T: Moist C: White and slippery P: Wiry and tight on the left or Wiry and slow on the right or Thin and rapid or Irregular
Treatment Principle	Harmonize and release the Shao Yang Disperse clumping Warm the Interior Dispel Cold Dispel water accumulation Clear Heat
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang
Points

Liver And Gallbladder Damp-Heat

Clinical Manifestations	Bright yellow face and eyes Low-grade fever or Alternating fever and chills Costal pain Red eyes Headache A bitter taste in the mouth Maybe jaundice Nausea Anorexia Aversion to greasy, fatty foods Sticky and smelly stool Incomplete passing of the stool A feeling of incomplete evacuation Reddish-yellow urine T: Red C: Yellow and greasy P: Wiry, slippery and rapid
Treatment Principle	Dredge the Liver Clear the Gallbladder Clear Heat Eliminate Dampness
Herb Formulas	Long Dan Xie Gan Tang modified With Heat greater than Dampness: Yin Chen Hao Tang modified
Points	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, LIV-3, LI-4, LIV-14, Dannangxue, GB-24, GB-34, REN-12, SP-6, Ear: Liver GB-34, LIV-3, UB-18, UB-19 For weakness and fatigue: + ST-36 For jaundice: + DU-9, GB-40 For abdominal distention or pain: + REN-12 For abdominal distention or pain at the level of the waist: + ST-25 For nausea, vomiting and/or belching: + PC-6, REN-13 For aversion to greasy or fatty foods and/or anorexia due to Food Stagnation: + ST-24

Disharmony Between The Gallbladder And Stomach With Phlegm-Heat

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness 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	Dredge the Liver Clear the Gallbladder Clear Heat Eliminate Dampness Transform Phlegm
Herb Formulas	Wen Dan Tang
Points

Kidney And Liver Yin Deficiency

Clinical Manifestations	Right-sided costal pain Anxiety Easily agitated Thin, cracked and dry hair Low back and pain and weakness Dry mouth Parched throat Five Sole Heat Dizziness Tinnitus Dry, rough eyes Scanty or late menstruation Low sexual desire in men Dark and dry complexion like snake skin or tree bark Night sweats Hot flashes Bone steaming fever Blurred vision Spermatorrhea Maybe insomnia with profuse dreams This type easily moves into Liver cirrhosis T: Dark red gradually becoming darker, may become dry and cracked and may have purple spots on the edge or enlarged vessels on the bottom. C: Little or none P: Thready and rapid or Soggy and choppy or Sticky
Treatment Principle	Nourish Blood, Yin and Jing Nourish the Kidneys and Liver Clear Heat Drain Damp
Herb Formulas	Yi Guan Jian Ba Xian Chang Shou Wan Mai Wei Di Huang Wan Qi Ju Di Huang Wan Middle Stage: Hepatitis C #2 Late Stage: Zhi Gan Cao Tang modified With Blood Deficiency: Dang Gui Liu HUang Wan With Fire Flaring: Zhi Bai Di Huang Wan For night sweats as the main symptom: Dang Gui Liu Huang Tang modified (for three to five days) For insomnia and irritability due to Liver Yin Deficiency as the main symptoms: Huang Lian E Jiao Tang For insomnia and irritability due to high fever as the main symptoms: Bai Hu Tang
Points	LIV-3, SP-6, UB-18, UB-23 With lingering Damp-Heat: + GB-40 With a bitter taste in the mouth: + GB-43 With dizziness: + GB-20 With blurred or dim vision: + GB-37 With constipation: + SJ-6 With Phlegm: + ST-40 With hypochondriac lumps: + LIV-13, LIV-14 With severe abdominal pain: + ST-25 With Spleen Qi Deficiency: + ST-36

Kidney Jing And Liver Blood Deficiency

Clinical Manifestations	Premature graying of the hair Hair loss Loose teeth Spontaneous emissions Nocturnal emissions Weak and sore low back and knees T: Pale C: White P: Empty
Treatment Principle	Enrich the Kidney Jing Nourish the Liver Blood
Herb Formulas	Qi Bao Mei Ran Dan Sheng Fa Yin
Points

Yin Deficiency

Clinical Manifestations	Fatigue Malar flush Night sweats Afternoon fevers Hot flashes Restlessness Waking up during the night T: Red C: Little or None P: Thready, Deficient , and rapid
Treatment Principle
Herb Formulas	Liu Wei Di Huang Wan With Deficiency Fire Rising: Zhi Bai Di Huang Tang
Points	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, LIV-3, LI-4

Qi And Blood Stagnation

Clinical Manifestations	Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Activate the Blood Break up Stagnation
Herb Formulas	Qi Li San Qi and Blood Stagnation #1
Points	GB-40, GB-41, LIV-3, LIV-14, PC-6, SJ-6, SP-6, SP-10, ST-36, UB-17, UB-18, UB-40

Qi , Blood And Phlegm Stagnation

Clinical Manifestations	Immobile masses below the hypochondrium or in the abdomen Abdominal pain Emaciation Poor appetite Alternating chills and fever Amenorrhea Hard abdominal masses that produce pain Aggravated by pressure Hypochondriac distention T: Purple with echymoses P: Choppy
Treatment Principle	Activate the Blood Remove Stasis Circulate Qi Resolve Phlegm Eliminate accumulations Soften and resolve hard masses
Herb Formulas	Bie Jia Jian Wan
Points

Qi And Blood Deficiency

Clinical Manifestations	Amnesia Palpitations Feverishness Anorexia Emaciation Pale face Insomnia Dyspnea on mild exertion Fatigue Shortness of breath. Weight loss Dry skin Dry mouth Dry throat Dry lips Uterine bleeding Irregular menstruation May suddenly lose consciousness Slack jaw Restless at night Lassitude Tendency toward being frightened easily	Weakness Sallow complexion Dizziness Tremors in the limbs Spontaneous perspiration Fever and severe chills General debility Mental instability Coughing and gasping. Night sweats Amnesia. Diarrhea Turbid urine Nocturnal emission Impotence Constipation Feeble breathing. Tired limbs. T: Pale C:White P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle	Tonify Qi Nourish the Blood Strengthen the Spleen and Lungs Nourish the Heart Calm the Shen
Herb Formulas	Ren Shen Yang Rong Tang With Blood Stagnation: Ba Zhen Tang modified
Points	DU-4, UB-23, REN-4, ST-36, KI-12 With Blood Stagnation: LIV-13, UB-17, UB-18, UB-19 With marked Liver Stagnation: + LIV-3 With severe Blood Stasis: + LI-4, SP-6 With costal pain: + SJ-6 With Blood Deficiency: + SP-6 With Qi Deficiency: +ST-36

Qi Deficiency Leading To Blood Stagnation

Clinical Manifestations	Insidious, lingering pain in the chest, flank, epigastric and abdominal areas Pain worse with exertion Shortness of breath Weakness Possible hemiplegia T: Purplish pale C:Thin and white P: Forceless and choppy
Treatment Principle	Tonify Qi Transform Stasis
Herb Formulas	Qi Xu Xue Yu Tang Bu Yang Huan Wu Tang Yi Xin Tang
Points

Qi Deficiency With Blood Stasis

Clinical Manifestations	A somber, yellow complexion Insidious pain in the lateral costal region Upper abdominal fullness and distention which is worse at night Spiritual fatigue Weakness Superficial edema of the lower limbs Short, scanty urination T: Thick, and dark with teethmarks C: Thin and white P: Deep, wiry and forceless
Treatment Principle	Tonify Qi Transform Blood Stasis Promote urination Unblock the channels
Herb Formulas	Chronic Hepatitis #4
Points

Qi And Damp Stagnation

Clinical Manifestations	Ascites Anorexia Fullness, distention and pain in the hypochondrium Epigastric and abdominal distention which is worse after eating Belching Flatulence Irritability Scanty urine Sluggish stools T: Pink C: Greasy and white P: Wiry
Treatment Principle	Soothe the Liver Regulate Qi Drain Dampness Reduce Fluid Accumulation
Herb Formulas	Chai Hu Shu Gan Tang + Ping Wei San modified Chinese Patent Medicines: Ma Xing Shun Qi Wan Wu Ling San Wu Pi Wan
Points	GB-34, LIV-3, LIV-13, LIV-14, PC-6, REN-6, REN-9, ST-36

Blood Stagnation

Clinical Manifestations	Sharp, stabbing costal and hypochondria pain which is worse at night Abdomen hurts with movement Hypochondriac lumps A dark, stagnant facial complexion Dark, purplish lips, head chest and neck region with spots and red threads Maybe spider naevi and/or palmar erythema T: Purple or Purple edges or Static macules or Spots C: White P: Choppy or Wiry (with pain) or Wiry and choppy
Treatment Principle	Activate the Blood Transform Stasis Unblock the Channels Disperse Accumulation
Herb Formulas	Ge Xia Zhu Yu Tang modified Da Huang Zhe Chong Wan Xue Fu Zhu Yu Tang modified For Qi and Blood Deficiency: Ba Zhen Tang + Hua Ji Wan modified For severe distention with scanty urination: Zhou Che Wan Shi Zao Tang Chinese patent medicines: Mu Xiang Shen Qi Wan Chen Xiang Hua Qi Wan Fu Zi Li Zhong Wan
Points	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, LIV-3, LI-4, SP-10, LI-11 Moxa or moxa needle DU-9, REN-12, SP-6, SP-9, ST-36, UB-19, UB-20 LIV-2, Pigen, REN-3, SP-10, UB-20, UB-21, moxa or moxa needle LIV-13, LIV-14

Blood Deficiency

Clinical Manifestations	Pale and lusterless face General dryness Normalized enzymes Shrunken liver T: Pale P: Deficient and thready/hollow (with blood loss)
Treatment Principle	Tonify the Spleen Nourish the Blood
Herb Formulas	Dang Gui Jian Zhong Tang Shao Yao Gan Cao Tang
Points	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, LIV-3, LI-4, SP-6, ST-36, UB-20, UB-21, UB-23

Cold-Damp

Clinical Manifestations	Ascites Heaviness in the body and head Aversion to Cold Warming the abdomen makes it better Edema of the extremities (usually not pitting) Scanty urination Loose stools or Diarrhea T: Normal C: Greasy and white P: Soft and moderate or Wiry and slow
Treatment Principle	Transform Dampness Drain Fluids Warm Yang Disperse Cold
Herb Formulas	Shi Pi Yin modified Chinese Patent Medicines: Fu Zi Li Zhong Wan
Points	Moxa or moxa needle REN-9, SP-6, SP-9, UB-20, UB-22, UB-23, UB-39

Dampness Causing Blood Stagnation

Clinical Manifestations	Bilateral, insidious pain in the lateral costal region, made worse with pressure Epigastric and abdominal distention and oppression Poor appetite Loose stools Short, scanty urination T: Pale purple C: Greasy P: Wiry and choppy
Treatment Principle	Strengthen the Spleen Dispel Dampmness Invigorate the Blood Transform Stasis
Herb Formulas	Chronic Hepatitis #1
Points

Damp-Heat

Clinical Manifestations	A swollen, distended, firm abdomen Epigastric and abdominal pain and distention that is worse with pressure Feverishness Flushing A bitter taste in the mouth Thirst or a dry mouth with with little desire to drink Scanty, concentrated urine Constipation and/or Diarrhea Maybe jaundice T: Red tip and edges C: Greasy and yellow or Grayish black P: Wiry and rapid
Treatment Principle	Clear Heat Dry Dampness Purge Fluid accumulation
Herb Formulas	Zhong Man Fen Xiao Wan modified Lian Po Yin San Ren Tang With very scanty urine or anuria, severe ascites and distention: Zhou Che Wan In severe cases with bleeding: Xi Jiao San modified Chinese Patent Medicines: Bi Xie Sheng Shi Wan Long Dan Xie Gan Wan Huang Lian Jie Du Wan + Ping We San Mu Xiang Shun Qi Wan Li Dan Pian An Gong Niu Huang Wan Zi Xue Dan Wan Shi Niu Huang Qing Xin Wan
Points	GB-34, GB-40, LI-11, LIV-3, LIV-13, LIV-14, Pigen, UB-18, UB-19, UB-20, UB-21, UB-40 With impaired consciousness: + DU-26, Shixuan LI-11, ST-44, ST-36, SP-9, UB-20, REN-11, REN-12 + Liver and Gall Bladder points LI-11, REN-6, REN-10, REN-12, ST-25, ST-36, ST-37 With prominent Heat: + LI-4, ST-44 With prominent Damp: + SP-6, SP-9 With nausea: + PC-6 With constipation: + SJ-6 With scanty urination: + KI-7, REN-9 With tenesmus : + REN-4, UB-30 With Shao Yang symptoms: + GB-34, GB-39, SJ-5 With Lingering fever: + DU-13 For Damp-Heat Diarrhea: ST-25, ST-36, UB-25, ST-44, SP-9, LI-4 For Damp-Heat Dysentery: ST-25, ST-37, ST-44, SP-9, LI-11, LI-4 Ear: Spleen, Stomach, Large Intestine, Small Intestine, Liver, Abdomen

Damp-Heat With Blood Stagnation

Clinical Manifestations	Burning Heat, aching and pain in the lateral costal area Chest and epigastric bitterness and fullness Enlarged, distended abdomen Vexatious heat Thirst with no desire to drink Red, astringent urination Constipation or Loose stools like rotten soy sauce T: Purple-red C: Grayish yellow P: Wiry and rapid
Treatment Principle	Clear Heat Disperse Dampness Cool and invigorate the Blood
Herb Formulas	Chronic Hepatitis #2
Points

Damp-Heat Injuring The Ying And Xue

Clinical Manifestations	Spontaneous bleeding (epistaxis, bleeding gums, erysipelas, subdermal bleeding) Costal pain Abdominal distention Glomus Fullness A bitter taste in the mouth Bad breath Parched lips Maybe red eyes Headache Vexation Agitation Easily angered Insomnia Frightens easily Red, turbid urination Loose stools with a foul odor T: Red C: Slimy and yellow P: Surging, slippery and rapid
Treatment Principle	Clear Heat Resolve Dampness Clear the Ying Cool the blood
Herb Formulas	Yin Chen Hao Tang modified Xi Jiao San modified With delirium, impaired consciousness or convulsions: An Gong Niu Huang Wan Zhi Bao Dan
Points	GB-34, GB-43, UB-17, UB-18, UB-19 For epistaxis: + PC-4 For hematuria: + SP-6 For hematemesis: + PC-4, ST-44 For bleeding gums: + LI-4, ST-44

Toxic Heat

Clinical Manifestations	Itching Sensations of Heat Agitation T: Red with red spots P: Rapid
Treatment Principle	Clear Heat Eliminate toxins
Herb Formulas	Si Miao Yong An Tang Liu Shen Wan With Blood Stagnation: Si Miao Yong An Tang
Points	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, LIV-3, LI-4

Toxic Damp-Heat

Clinical Manifestations	Costal pain Abdominal distention Glomus Fullness A bitter taste in the mouth Bad breath Parched lips Maybe red eyes Headache Vexation Agitation Easily angered Insomnia Frightens easily Red, turbid urination Loose stools with a foul odor T: Red C: Slimy and yellow P: Surging, slippery and rapid
Treatment Principle	Clear Heat Resolve toxins Dredge the Liver Clear the Gallbladder
Herb Formulas	Yin Chen Hao Tang modified
Points	GB-34, GB-40, LIV-3, UB-18, UB-19 For weakness and fatigue: + ST-36 For jaundice: + DU-9 For abdominal distention or pain: + REN-12 For abdominal distention or pain at the level of the waist: + ST-25 For nausea, vomiting and/or belching: + PC-6, REN-13 For aversion to greasy or fatty foods and/or anorexia due to Food Stagnation: + ST-24 For susceptibility to fright: + PC-7 For vexation and agitation: + DU-24 For easy anger: + LIV-2

Phlegm Stagnation

Clinical Manifestations	Profuse Phlegm Plum-Pit Qi stagnation Chest and abdominal glomus and fullness Fatigue Weakness Lassitude Anorexia Maybe nausea and vomiting Loose stools Mucus in the stools Subdermal nodulation Hypochondriac accumulation lumps T: Pink or Pale C: Slimy P: Slippery and wiry or Wiry and soft
Treatment Principle	Tonify the Spleen Transform Phlegm Scatter nodulation Disperse accumulation
Herb Formulas	Liu Jun Zi Tang modified
Points	LIV-3, SP-9, ST-36, ST-40 With Damp-Heat: + GB-34 With Food Stagnation: + ST-21 With hypochondriac lumps: + LIV-14, SP-6, UB-17 With nausea and vomiting: + PC-6 With Stomach and abdominal fullness: + REN-12 With severe Qi Deficiency: + SP-3

Phlegm-Heat

Clinical Manifestations	Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness 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
Herb Formulas	Xiao Xian Xiong Tang
Points	LI-11, LU-5, ST-40, UB-13

Damp-Heat In The Lower Jiao

Clinical Manifestations	Painful urination Difficult, scanty urination Heavy headache Thirst with no desire to drink Oliguria Maybe constipation Lower abdominal fullness and distention Dizziness Maybe urolithiasis T: Normal or Red C: White or Yellow P: Soft and maybe rapid
Treatment Principle	Promote diuresis
Herb Formulas	Da Cheng Qi Tang Ba Zheng San
Points	REN-3, SP-6, SP-9, ST-25, ST-28, UB-25

Blood Stagnation In The Lower Jiao

Clinical Manifestations	Palpable masses that may or may not be painful Lower abdominal pain without palpable masses Lower abdominal distention Lower back pain Lower abdominal distention during menstruation Frequent menstruation (3-5 timer per month) Spotting Dark purple menstrual Blood (usually with clots) Abnormal uterine bleeding with abdominal soreness and pain Aversion to Cold Depression Cold extremities White vaginal discharge Lower Jiao pain Constipation or Diarrhea Heaviness Headache Dull Spirit Abdominal distention Mental fuzziness T: Normal or Pale C: White or Yellowish white and greasy P: Choppy or Soft or maybe Slippery and rapid
Treatment Principle	Activate the Blood Promote the movement of Qi Dispel Blood Stasis
Herb Formulas	Zhong Man Fen Xiao Wan
Points