Colitis, Ulcerative Colitis

General

Clinical Manifestations	Passage of watery stool and pus Abdominal pain or tenderness Colic Intermittent or irregular fever May be hemorrhage May be perforation
Treatment Principle
Herb Formulas	Acute: Chai Hu Gui Zhi Tang Nonspecific acute: Huo Xiang Zheng Qi Tang Chronic: Bu Zhong Yi Qi Tang Colitis #1 Colitis #2
Points	ST-25, ST-37, UB-25 KI-2, KI-5, KI-7, KI-14, LI-11, LIV-2, LIV-8, LIV-11, LU-9, REN-4, REN-9, REN-12, SP-1, SP-3, SP-4, SP-9, SP-14, ST-25, ST-27, ST-36, ST-44, UB-23, UB-35, UB-40, UB-65 LI-4, LI-10, ST-25, ST-36, ST-37, ST-44, UB-22, UB-24, UB-25, UB-27 Chronic: REN-6, REN-12, ST-25, ST-28, ST-36, UB-23, UB-24, UB-25 Spastic: REN-6, ST-25, ST-27, ST-28, ST-37, UB-24, UB-25, UB-31 Ulcerative: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, With a high fever: + DU-14 or bleed Shixuan With tenesmus: + UB-29 With anorexia and stuffiness in the epigastrium: + PC-6, REN-12 With a emotionally generated diarrhea or painful chest distention: + LIV-2, UB-18 For a long duration with lassitude and weakness: + UB-20, UB21 For repeated occurrence, weakness, chills, and "cock-crow" diarrhea: moxa or moxa needle DU-4, UB-23, UB-26 Ear: Large Intestine, Small Intestine, Stomach, Spleen, Kidney, Shenmen, Lower Rectum, Lung

Tai Yang-Yang Ming (Acute)

Clinical Manifestations	Fever Sweating Thirst Dysenteric diarrhea Foul-smelling stools A burning sensation around the anus Gasping Ephidrosis Palpitations Tenesmus Maybe red tinged urine Irritability and Heat in the chest and epigastrium Stiffness and spasms at the back of the neck Dry mouth Dyspnea with perspiration Maybe wheezing T: Red C: Yellow (Greasy) P: Rapid
Treatment Principle	Release the Exterior Clear Internal Yang Ming Heat Stop diarrhea
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points	General points

Tai Yang - 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 T: Pale or pink C: White P: Slow and tight or Soft
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi Relieves distention
Herb Formulas	Gui Zhi Ren Shen Tang
Points	General points

Yang Ming Fu

Clinical Manifestations	Abdominal pain (worse with pressure) The skin over the pain may feel warmer to the touch High fever (sometimes rises and falls) Great thirst A dry mouth Profuse perspiration Aversion to Heat Abdominal fullness and distension (worse with pressure) Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Concentrated urine 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
Herb Formulas	Da Cheng Qi Tang Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang With Qi and Blood Deficiency: Huang Long Tang Chinese Patent Medicines: Niu Huang Qing Huo Wan Qing Fei Yi Huo Pian
Points	DU-14, LI-4, LI-11, REN-12. ST-25, ST-34, ST-36, ST-37, ST-39, ST-44, SJ-5, SJ-6, UB-25 Ahshi points on the Bladder channel between UB-18 and UB-28, ST-25, ST-37, ST-39, ST-44, UB-25 With severe pain: + ST-34 With fever: + DU-14, LI-4, LI-11 With Shao Yang symptoms: + GB-34, GB-39, SJ-5 With constipation: +SJ-6 With diarrhea: + LI-11 Ear: Abdomen, Subcortex, Large Intestine, Small Intestine, Shenmen, Sympathetic

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
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

Tai Yin Excess

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

Tai Yin Deficiency

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

Shao Yin Cold

Clinical Manifestations	Aversion to Cold Curls up a lot Doesn't like to talk Tired (disoriented) No spirit Dull Shen Cold extremities Diarrhea or loose stools or undigested food Clear, frequent urine Maybe nausea (wants to vomit but can't) No thirst Likes warm drinks Severe edema in chest T: Pale C: White P: Sinking and weak
Treatment Principle	Restore Yang Reverse inward energy Expel Cold
Herb Formulas	Si Ni Tang If Cold is less severe: Wu Zhu Yu Tang
Points	Moxa DU-4, DU-20, KI-3, KI-7, LI-4. REN-4, REN-6, REN-8, SP-6, ST-36. UB-15, UB23 For loss of consciousness or shock: DU-26, KI-1

Wei Stage: Summerheat

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Gastric disturbances: Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Rapid and soft
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	Xing Ren Hua Shi Tang Qing Shu Yi Qi Tang San Ren Tang Xin Jia Xiang Ru Yin Huang Lian Xiang Ru Yin With Cold complications: Huo Xiang Zheng Qi Tang
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, LI-4, LI-11, REN-9, SJ-5, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20 LI-4, LI-11, SP-9, ST-25, ST-37, UB-25, Zhixie With a high fever: + DU-14, SJ-5 With chills and an occipital headache: + DU-14, LI-4, UB-13 With myalgia: + SP-21 With foggy headedness: + DU-20, Yintang With sudden, sever diarrhea, fever and vomiting: + bleed PC-3, UB-40 Ear: Lungs, Large Intestine, Small Intestine,, Spleen, Abdomen, sympathetic

Large Intestine Heat

Clinical Manifestations	Dry stools Knotted constipation Mouth parched Sensation of burning heat, swelling and pain of anus Urine short and dark T: Pink C: Yellow and dry P: Slippery and rapid
Treatment Principle	Clear Heat Purge constipation
Herb Formulas	Ma Zi Ren Wan
Points	LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44, UB-25

Large Intestine Damp-Heat

Clinical Manifestations	Diarrhea with tenesmus which intensifies after defecation Frequent stools which are small in quantity Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and Blood Burning hot sensation in anus Abdominal pain Urine short and red Sustained fever despite profuse perspiration or Raging fever in the afternoon Belching Flatulence Heartburn Sacral pain Dry, itchy eyes Maybe weakness Maybe dizziness Severe cases: High fever and coma Mouth dry but no desire to drink Body heavy Limbs tired Fullness in chest Lump in epigastrium Anorexia Vomiting T: Red or Pale with red edges C: Yellow and greasy P: Slippery and rapid or Rapid and deep or Thin and soggy
Treatment Principle	Clear Heat Transform Dampness Stop dysentery
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang Huang Qin Tang Huai Hua San Zhu Ling Tang Chinese Patent Medicines: Huang Lian Jie Du Wan Huang Lian Su Pian Chuan Xin Lian Kang Yan Pian Long Dan Xie Gan Wan
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25 DU-20, LI-4, REN-12, SP-6, SP-9, ST-25, ST-36, ST-37, UB-25 To stop bleeding: 1. moxa SP-1, needle REN-6, SP-9, ST-25, ST-36, UB-17, UB-20, UB-24 2. Moxa needle REN-6, UB-24

Intestinal Wind (Wind-Heat In The Stomach And Intestines)

Clinical Manifestations	Bleeding of fresh Blood from the bowel which often precedes the bowel movement The bleeding may follow the passage of stool The bleeding may be alarmingly copious Abdominal pain or Absence of pain, itching, swelling or distention or A burning sensation in the rectum and anus Dry mouth Tendency toward constipation Dry or difficult stools T: Red C: Yellow P: Slippery and rapid or Thready and rapid
Treatment Principle	Clear Heat from the Intestines Cool the Blood Stop bleeding
Herb Formulas	Huai Jiao Wan modified Huai Hua San modified Topical: Mix 3g Alumen Ming Fan in a little water, dissolve 30g petroleum jelly and mix in the Ming Fan. Place on sterile gauze and insert into the anal canal. Chinese Patent Medicines: Yi Zi Tang Zheng Gan Zhi Gen Duan To stop bleeding: Yun Nan Bai Yao Shen Tian Qi Pian For Intestinal bleeding with Heat: Zhong Gan Zhi Gen Dan For Damp-Heat: Huang Lian Jie Du Wan With Spleen and Stomach Deficiency: Xiang Sha Yang Wei Wan
Points	Ahshi points, DU-1, Erbai, SP-1, ST-25, ST-37, UB-30, UB-32, UB-57 With pain in the rectum or lower Intestine: + UB-2, UB-52 With severe bleeding: + PC-4, SP-10 Ear: 1. Large Intestine, Small Intestine, Distal Segment Rectum, Subcortex, Shenmen 2. Hemorrhoids, Large Intestine, Distal Segment Rectum, Shenmen

Large Intestine Deficiency With Slippery Prolapse

Clinical Manifestations	Chronic dysentery or Chronic diarrhea or Rectal prolapse Dull abdominal pain with liking for warmth and pressure Borborygmus Cold limbs Poor appetite Mental fatigue T: Pale C: White P: Minute, thready and forceless
Treatment Principle	Benefit the Intestines Consolidate and astringe
Herb Formulas	Zhen Ren Yang Zang Tang
Points	Chronic diarrhea: 1. LIV-13, REN-12, ST-25, ST-36, UB-20 2. LIV-13, REN-12, SP-3, UB-20 Chronic dysentery: 1. LI-4, ST-25, ST-37, UB-20, UB-21 Kidney Yang Deficiency: 1. REN-4, UB-23 2. REN-12, ST-36, UB-20, UB-21 Rectal prolapse: 1. DU-1, DU-20, UB-25 2. DU-1, DU-20, UB-30, UB-57

Cold-Damp Distresses The Spleen

Clinical Manifestations	Acute or chronic, recurrent diarrhea which can range from loose to watery and urgent The patient may double up in an attempt to warm up the abdomen Worse with pressure Distention and fullness of epigastrium and abdomen Colicky or cramping abdominal pain Borborygmus Nausea Vomiting Anorexia A reduced sense of taste Loose stools Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Lassitude An increased desire to sleep Yin jaundice Heavy head and body Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled Clear urine T: Pink C: Thick, white and greasy or sticky P: Deep and slow or Moderate and slippery or Soft
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen Stop diarrhea
Herb Formulas	Wei Ling Tang Ping Wei San Ping Wei San + Wu Ling San With underlying Yang Deficiency: + Li Zhong Tang Chinese Patent Medicines: Ping Wei San Xiang Sha Liu Jun Zi Wan Fu Zi Li Zhong Wan Xing Jun San
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Moxa or moxa needle SP-3, SP-6, SP-9, ST-25, ST-36, ST-37, UB-25, Zhixie With nausea: + PC-6 With cramping abdominal pain: Moxa the abdomen Ear: Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic

Spleen Qi Deficiency

Clinical Manifestations	Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Borborygmus 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	Si Jun Zi Tang Xiang Sha Liu Jun Zi Tang With Dampness: Chu Shi Wei Ling Tang With Food Stagnation: Jian Pi Wan Ulcerative: Zi Sheng Wan With Qi and Food Stagnation: Zheng Zhu Wan
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 REN-12, ST-25, ST-36, ST-37, UB-20, UB-21

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 + general points

Spleen Not Governing Blood

Clinical Manifestations	Sallow or pale complexion Anorexia Four limbs feel tired and heavy Physical and mental exhaustion Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose or unformed stools Shortness of breath Dizziness Palpitations Functional Uterine Bleeding Purpura Epistaxis Hemafecia Hematuria Menorrhagia Metrorrhagia T: Pale and flabby - may have teethmarks C: White P: Thready and weak
Treatment Principle	Benefit Qi Conserve Blood
Herb Formulas	Bu Zhong Yi Qi Tang modified Dang Gui Bu Xue Tang Gui Pi Tang Gui Pi Tang + Jiao Ai Tang For persistent bleeding: Gu Chong Tangmodified Chinese Patent Medicines: Bu Zhong Yi Qi Wan Sheng Tan Qi Yun Nan Bai Yao
Points	SP-1, SP-3, ST-36, UB-20 For Deficiency type uterine bleeding: DU-20, LI-11, REN-4, SP-4, SP-10, SP-14, UB-17

Spleen Yang Deficiency

Clinical Manifestations	Chronic loose stools or diarrhea which may contain undigested food The stools may be urgent Early morning diarrhea Dark, purplish or pale Blood preceding, following or Black, tarry or Blood-streaked loose stools (the bleeding may also be occult) Dull, persistent abdominal or epigastric cold-pain which improves with warmth and pressure Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Intolerance to Cold Shortness of breath Cold abdomen Cold limbs Feeling chilled Frequent, clear urination Mental fatigue Weakness Exhaustion Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale, wet and swollen with toothmarks C: Thin and white
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Wen Pi Tang Huang Qi Jian Tang With relatively severe bleeding: Huang Tu Tang modified With relatively mild bleeding: Fu Zi Li Zhong Wan modified When the bleeding has stopped: Bu Zhong Yi Qi Tang Si Jun Zi Tang Chinese Patent Medicines: For Spleen Yang Deficiency with severe Cold: Fu Zi Li Zhong Wan For Spleen Yang Deficiency: Li Zhong Wan For bleeding: Yun Nan Bai Yao Sheng Tian Qi Pian
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 Moxa or moxa needle DU-20, REN-6, REN-12, SP-1, SP-6, ST-25, ST-36, UB-20, UB-25, needle SP-4 With Kidney Yang Deficiency: + moxa or moxa needle REN-4, UB-23 Moxa box REN-8 Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 Ear: Spleen, Stomach, Large Intestine, Small Intestine, Adrenal, Subcortex, Shenmen

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	Li Zhong Tang Zhen Ren Yang Zang Tang Tao Hua Tang Zhi Shi Li Zhong Wang Wei Feng Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen-Damp

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 Bu Zhong Yi Qi Tang
Points	General points

Spleen And Kidney Yang Deficiency

Clinical Manifestations	“Cock-crow” diarrhea (occurs at about 5 am) The diarrhea is often watery with undigested food Borborygmus and/or periumbilical pain may precede the diarrhea and ease after defecation The patient may be exhausted Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful, better with warmth and pressure Intolerance of Cold Anorexia Poor digestion Abdominal distention Copious, clear urine Nocturia Fatigue Exhaustion General disinterest Increased desire to sleep Loose stools containing undigested food Edema of face and limbs Dysuria Severe: Abdominal ascites Fecal incontinence T: Pale, moist and swollen with toothmarks C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Fu Zi Li Zhong Wan Si Shen Wan Enema: Retention Enema #2 Chinese patent medicines: Fu Zi Li Zhong Wan Li Zhong Tang Bu Zhong Yi Qi Tang Jin Kui Shen Qi Wan Ba Ji Yin Yang Wan
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 Moxa or moxa needle DU-4, DU-20, KI-3, REN-4, REN-8, SP-6, ST-36, UB-20, UB-23, UB-25

Cold-Damp Distresses The Spleen

Clinical Manifestations	Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Wei Ling Tang Hou Po Wen Zhong Tang Ping Wei San
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 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

Disharmony Between The Stomach And Intestines With Cold And Heat Factors

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

Stomach Heat With Kidney 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 Cold extremities 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 Intestines Drain Heat Calm the Stomach Relieve pain
Herb Formulas	Wu Mei Wan With Stomach Yin Deficiency: Yu Nu Jian
Points	General 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 modified Chinese Patent Medicines: Gui Pi Wan With Cold or Spleen Yang Deficiency: Li Zhong Wan
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Liver Qi Stagnation

Clinical Manifestations	The condition is initiated or aggravated by anger, stress or emotional upset and alleviated by relaxation Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Headache Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Chai Hu Shu Gan Tang Tian Tai Wu Yao San modified For Spleen Qi Stagnation with constipation: Liu Mo Tang With pain and urgent diarrhea: Tong Xie Yao Fang With Qi and Blood Deficiency: Xiao Yao San Affecting the Liver channel and genitals: Tian Tai Wu Yao San Chinese Patent Medicines: Chai Hu Shu Gan Wan With sluggish bowels and Food Stagnation: Mu Xiang Shun Qi Wan With constipation: Chen Xiang Hua Qi Wan For Qi Stagnation type pain: Shu Gan Wan With Qi and Blood Deficiency: 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 GB-41, LIV-2, LIV-3, REN-6, SP-6 GB-34,  LIV-3, LIV-13, PC-6, REN-6, SJ-6, ST-21, ST-25, ST-36 With Blood or Yin Deficiency: + SP-6, UB-18, UB-23 With severe pain: + LIV-5, SP-8 With testicular pain: + LIV-5 With nervousness, anxiety or tension: + HT-7, Yintang Ear: Shenmen, Liver, Abdomen, Stomach, Large Intestine, Small Intestine, Subcortex, Endocrine, Sympathetic

Liver Qi Stagnation Invades The Spleen

Clinical Manifestations	Recurrent diarrhea which may be preceded by cramping abdominal pain The pain is relieved by defecation Diarrhea may alternate with constipation The diarrhea may be explosive and initiated by stress or tension or eating There may be mucus or Blood in the stool Abdominal distention Flatulence or belching may relieve the abdominal discomfort Gas Borborygmus Anorexia Nausea Heartburn Indigestion Distention and pain in the sides or flanks Hypochondriac ache, discomfort or tightness, usually worse on the right side Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Moodiness Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Shoulder and neck tension Temporal or tension headaches T: Darkish pink or Pale or Slightly red edges C: White and greasy P: Wiry or Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen Alleviate pain Stop diarrhea
Herb Formulas	Tong Xie Yao Fang Shao Yao Gan Cao Tang Si Ni San With Dampness and turbidity in the Lower Jiao: Wan Dai Tang With Spleen Qi Deficiency: Si Jun Zi Tang modified Chinese Patent Medicines: Chai Hu Shu Gan Wan Xiao Yao Wan Mu Xiang Shen Qi Wan Shu Gan Wan Jian Wei Xiao Yao Wan Xiang Sha Yang Wei Wan
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37 LIV-2, REN-12, ST-25, ST-37, UB-18, UB-20, UB-26 LI-4, LIV-3, LIV-13, PC-6, REN-12, ST-25, ST-36, UB-18, UB-25, Yintang + Ahshi points along the Stomach channel With significant Spleen Deficiency: + UB-20, UB-21 With signs of Heat: + LIV-2 With insomnia, a lateral headache or extreme nervousness: + DU-24, GB-39, SJ-5 Ear: Shenmen, Liver, Stomach, Spleen, Large Intestine, Subcortex, Sympathetic

Liver Qi Stagnation Invades The Stomach With Heat

Clinical Manifestations	Hypochondriac pain and distention Indeterminate gnawing hunger Epigastric distention and pain Vomiting Acid regurgitation Belching Bitter taste Dry mouth Nausea Dry lips Hiccups T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Soothe the Liver Harmonize the Stomach Clear Heat
Herb Formulas	Zuo Jin Wan
Points	LIV-3, LIV-14, PC-6, REN-12

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

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) With Internal Cold: Yang He Tang
Points	Moxa or moxa needle DU-4, REN-12, ST-25, ST-37, UB-20, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Blood Stagnation

Clinical Manifestations	Pain that is fixed, stabbing and /or severe 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	Invigorate the Blood Dispel Blood Stasis Spread Liver Qi Unblock the channels Stop pain
Herb Formulas	Ge Xia Zhu Yu Tang Shao Fu Zhu Yu Tang With Heat: Da Huang Mu Dan Tang
Points	SP-6, SP-10, ST-36, UB-17, UB-40

Internal Cold

Clinical Manifestations	Abdominal pain Constipation Hypochondriac pain 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 P: Deep, tight and wiry
Treatment Principle	Warm the Interior Disperse Cold Unblock the bowels Alleviate pain
Herb Formulas	Da Huang Fu Zi Tang
Points	General points

Damp-Heat

Clinical Manifestations	Anorexia Intermittent abdominal fullness, distention and discomfort The distention is generally worse in the afternoon or after eating The abdomen feels firm and may appear swollen Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Greasy skin Red complexion Maybe strong body odor Nausea and vomiting Lassitude Heavy sensation in the body Scanty, dark urine Maybe thirst or thirst with no desire to drink Dry mouth Diarrhea with foul smell or Constipation Fever or afternoon fever Restlessness Irritability Sweet sticky taste or bitter taste in mouth T: Normal or Thick C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid or Slippery and rapid
Treatment Principle	Clear Heat Benefit Dampness Strengthen the Spleen and Stomach Regulate Qi
Herb Formulas	Yin Chen Wu Ling San Lian Po Yin Zhong Man Fen Xiao Wan Dysentery #1 Dysentery #3 Huang Qin Tang Chinese patent medicines: Bi Xie Sheng Shi Wan Huang Lian Jie Du Wan + Ping Wei San Mu Xiang Shen Qi Wan Li Dan Pian With Liver involvement: Long Dan Xie Gan Wan
Points	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

Toxic Heat

Clinical Manifestations	Sudden onset of frequent, explosive diarrhea with copious fresh red, dark red or purple Blood The Blood may contain mucus and pus There may be diarrhea like bloody water High fever (abrupt onset) Thirst Dryness Dehydration Pounding headache Restlessness Irritability Severe abdominal pain Tenesmus Red, purple Blood and pus in the stool Malaise Red lips Diarrhea without eating Prefers cold drinks Trismus Nausea Vomiting Severe: Delirium Confusion Muscular spasms Convulsions Cold limbs Skin rashes Respiratory problems T: Deep red C: Yellow and dry P: Forceful and rapid (if shock, weakens or disappears) or Slippery and rapid
Treatment Principle	Disperse Heat Detoxify Cool the Blood Stop dysentery
Herb Formulas	Xian Fang Huo Ming Yin Wu Wei Xiao Du Yin Xiao Cheng Qi Tang Xi Huang Wan Xing Xiao Wan Ulcerative: Zhen Ren Huo Ming Yin With chronic Damp-Heat and Blood Stagnation: Qing Re Jie Du Hua Yu Tang
Points	LI-4, LI-11, ST-25, ST-37, ST-44 With high fever: + DU-14 With Dampness prominent: + SP-9 With nausea: + PC-6, REN-12 With tenesmus : + DU-1, REN-4, UB-30 For shock: DU-24, DU-26, UB-29 KI-7, REN-12, SP-4, ST-25, UB-20, UB-21 Ear: Large Intestine, Small Intestine, Subcortex, Sympathetic, Lower Portion of the Rectum

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

Middle Jiao Damp-Heat

Clinical Manifestations	Lethargy Anorexia Maybe jaundice No thirst or Thirst with no desire to drink Nausea Vomiting Afternoon fever Body aches A sallow complexion Scanty urination Diarrhea Chest discomfort Epigastric pain and distention Dull appearance Maybe disorientation Abdominal pain Loose stools Diarrhea Mucus and bloody pus in the stools Maybe skin vesicles Heavy extremities T: Pink C: Greasy and yellow P: Soft and rapid or Slippery and rapid
Treatment Principle	Clear Heat Resolve Damp and turbidity
Herb Formulas	Ban Xia Xie Xin Tang San Jiao #1
Points	REN-6, REN-12, SP-9, ST-25, ST-36 LI-4, LI-11, REN-6, REN-12, SP-9, ST-25, ST-37, ST-44

Long-Term Middle Jiao Qi Deficiency

Clinical Manifestations	Pterygium Tinnitus Hearing loss Diminished visual and aural acuity Blurred vision Abdominal pain Dizziness Light headedness Anorexia Spontaneous sweating Chronic diarrhea
Treatment Principle	Strengthens and raises the Qi of the Middle Jiao Improves visual and aural acuity Stop vertigo
Herb Formulas	Yi Qi Cong Ming Tang
Points	General points

Lower Jiao Blood Stagnation With 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 Reduce swelling
Herb Formulas	Da Huang Mu Dan Tang Tao He Cheng Qi Tang Di Dang Tang
Points	General points