Coronary Heart (Artery) Disease, Coronary Artery Disease

General

Clinical Manifestations	It may feel heavy or like someone is squeezing the heart. It is felt under the breast bone (sternum), but also in the neck, arms, stomach, or upper back The pain usually occurs with activity or emotion, and goes away with rest or a medicine called nitroglycerin Other symptoms include shortness of breath and fatigue with activity (exertion) Women, elderly people, and people with diabetes are more likely to have symptoms other than chest pain, such as: Fatigue Shortness of breath Weakness
Treatment Principle
Herb Formulas	Ma Zi Ren Wan For abdominal pain and cramping and muscle spasms in the calves: Shao Yao Gan Cao Tang For the elderly with Qi, Blood, Yin, and Yang Deficiency with Blood stagnation: Jin Shen Tang
Points	PC-6, LIV-4, UB-15 PC-6, REN-17 REN-17, UB-17 PC-6, UB-15 PC-6, UB-14 PC-6, SP-4 PC-4, PC-6 DU-27, PC-6

Exogenous Wind-Cold With Spleen And Stomach Deficiency (External/ Internal Damp)

Clinical Manifestations	Fever and chills Headache Chest and gastric fullness and oppression Pain in the epigastrium and abdomen Nausea and vomiting Borborygmus Diarrhea Loss of taste Aversion to Cold Cough Indigestion No perspiration Chest discomfort Sore throat Disorientation Madness General lassitude Anorexia Delirious speech Maybe loss of voice Intermittent chills and fever Afternoon fever and tight Sudden turmoil disorder Malarial disorders Loose stools T: Normal C: Greasy and white P: Moderate and soggy or floating and forceful
Treatment Principle	Release the Exterior Transform Dampness Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Huo Xiang Zheng Qi Tang
Points	DU-16, GB-20, KI-7, LI-4, LIV-13, LU-7, REN-12, SJ-5, SP-3, ST-36, UB-12, UB-13, UB-20 General points

Tai Yang - Yang Ming

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
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points	DU-9, DU-16, GB-20, GB-34, LI-4, LI-11, LIV-3, LU-7, SJ-5, SJ-6, SP-6, SP-9, ST-25, ST-37, ST-45, UB-12, UB-13, UB-19, UB-25

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 T: Normal C: Thin and white P: Superficial and slow or Moderate and maybe weak or Slow and sinking or Soft and weak
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi Relieve distention
Herb Formulas	Gui Zhi Ren Shen Tang
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, Yintang, moxa or moxa needle LIV-13, P-6, REN-4, REN-6, REN-8, REN-10, SP-4, ST-36, UB-20, UB-21, UB-23

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	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

Cold-Damp Distresses The Spleen

Clinical Manifestations	Abdominal fullness Heavy head and body Edema of the face and eyes Watery diarrhea Short, scanty urination Epigastric distention and pain Anorexia Maybe loose stools with undigested food Edema of the lower extremities Thirst Joint pain Dysuria T: Pink or Pale C: White and greasy P: Soft and thready or Relaxed
Treatment Principle	Dispels Dampness in the Spleen. Regulates flow of Qi in the Spleen and Stomach.
Herb Formulas	Ping Wei San
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20

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	Wu Ling San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

Spleen And Kidney Yang Deficiency

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	Reinforce the Spleen and Kidney Resolve Dampness
Herb Formulas	Dang Gui Shao Yao San
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

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	Xiao Xian Xiong Tang + Dan Shen Yin modified Chinese Patent Medicines: Da Huang Pian Fu Fang Dan Shen Pian
Points	LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 PC-6, REN-12, REN-17, 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 Ear: Spleen, Stomach, Heart, Sympathetic, Shenmen

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

Heart Blood Stagnation

Clinical Manifestations	Chronic fixed, stabbing or piercing pain in the chest which may radiate to the upper back The pain is worse at night Pain in the hypochondrium Bilateral flank distention and fullness Chronic, stubborn headache with a fixed, piercing quality Palpitations Shortness of breath Heart vexation Chronic incessant hiccups Five sole Heat Restlessness Choking sensation when drinking Dry heaves Depression or low spirits with a sensation of warmth in the chest Chest distention Dry, scaly skin Dark rings under the eyes Spider naevi on the cheeks, nose, trunk, inner knee and ankle Dizziness Chronic tinnitus Dark purplish lips and facial complexion Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums Loose teeth Painful receding gums Frequently bleeding gums Vomiting after intake of water Persistent daytime drowsiness Insomnia (persistent with much dreaming) Restless sleep Forgetfulness Irritability Fidgeting A bad temper Extreme mood swings Evening tidal fever Dark or purplish lips, conjunctiva or nail beds Dark complexion Dark sclera Hair loss on the head and body T: Dark-red with purple spots on the edges and/or Purple, engorged and tortuous sublingual veins P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry or Wiry and choppy and regularly interrupted or Bound
Treatment Principle	Move Qi Invigorate the Blood Transform Stagnation Free the collaterals
Herb Formulas	Xue Fu Zhu Yu Tang Guan Xin Er Hao Guan Xin Dan Shen Pian Shui Xiang Guan Xin Pian Guan Ning Zhu She Yi Coronary Heart Disease #3 Huo Luo Xiao Ling Dan Dan Shen Yin + Tao Hong Si Wu Tang With Heat: Kang Xin Gen He Ji With Qi Deficiency: Bu Yang Huan Wu Tang With Blood Deficiency: Tao Hong Si Wu Tang
Points	HT-5, HT-6, HT-7, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, UB-17 PC-4, PC-6, REN-17, UB-17 after ten treatments, alternate PC-4 and PC-6 with HT-4 and PC-5 and REN-17 and UB-17 with REN-14 and UB-15 For cold hands or a Cold sensation in the cardiac area: + moxa REN-17, UB-17 For Qi Deficiency: + ST-36 For Liver Yang Rising with hypertension: + GB-20, LIV-3 For more pronounced Qi Stagnation: + LI-4 For more severe Blood Stagnation: + SP-6 For hypolipoproteinemia: + ST-36, ST-40 Huatuojiaji at T-4 and T-5, LIV-3 , LU-9, PC-6, REN-17, SP-6 For pain with palpitations: + HT-3, PC-3 For purplish lips and nails: + HT-9, PC-9 For severe chest pain: + HT-5

Phlegm Obstructs The Heart Orifices - Yin Obstruction

Clinical Manifestations	Fullness in the chest and hypochondrium Paroxysmal chest pain Palpitations Chest oppression Shortness of breath Coughing up profuse, clear, watery sputum A fat body Bodily heaviness Dizziness Vertigo (when standing) Dyspnea A tendency to hypersomnia or somnolence Anxiety Tinnitus Difficult urination Mild edema Cold feet A heavy head Headache Migraine Nausea Anorexia Poor memory A sticky, slimy feeling in the mouth Weak abdomen T: Pale and swollen C: White and slippery or greasy P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle	Resolve Phlegm Eliminate Dampness Dispel Stasis Eliminate turbidity Tonify Yang Stop pain
Herb Formulas	Gua Lou Xie Bai Ban Xia Tang modified Ling Gui Zhu Gan Tang Su He Xiang Wan Wen Dan Tang modified Su He Xiang Wan + Wen Dan Tang With Heart Yang Deficiency: Er Chen Tang modified
Points	PC-6, REN-17, ST-36, ST-40 For piercing chest pain: HT-4 or PC-3 For Phlegm-Heat: + LI-4, ST-44 For Cold Phlegm: Moxa REN-17, ST-36 For Spleen Qi Deficiency: + SP-3 For severe bodily heaviness: + SP-9 For palpitations: + HT-7 HT-5, PC-4, PC-5, REN-14, REN-17, ST-36, ST-40 For severe chest pain with cold extremities: + moxa REN-4, REN-6 For Spleen Qi Deficiency: + UB-20, UB-21

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Chest pain with a sense of fullness in the chest Cough with expectoration of yellow Phlegm Irritability Palpitations Bitter taste in mouth Insomnia Dizziness Constipation 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 Promote Qi circulation Invigorate the Blood
Herb Formulas	Xiao Xian Xiong Tang + Gun Tan Wan Mild cases: Wen Dan Tang Chinese Patent Medicine: Qing Fei Yi Huo Pian
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 HT-5, LU-7, PC-6, REN-12, REN-14, SP-10, ST-40 For severe pain: + UB-14, UB-17 For shortness of breath: + REN-17 For anxiety and restlessness: + PC-7, PC-8

Heart Qi Deficiency

Clinical Manifestations	Palpitations Dull pain in the chest An empty sensation in the Heart region Easily frightened Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue Weakness Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Weak and tight or Big and weak or Intermittent
Treatment Principle	Nourish the Qi
Herb Formulas	Bu Xin Wan Zhi Gan Cao Tang Sheng Mai San Si Jun Zi Tang Yang Xin Tang Jia Jian With Blood Stagnation : Bu Yang Huan Wu Tang
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15

Heart Qi And Blood Deficiency

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Pale face and lips Irritability Easily startled Fatigue, weakness Anxiety Insomnia Suffocating sensation in chest Much dreaming Poor memory Dizziness T: Pale and swollen C: White P: Weak or Big and weak or Intermittent or Thready and weak
Treatment Principle	Tonify and augment Qi and Blood
Herb Formulas	Ba Zhen Tang
Points	HT-7, PC-6, REN-4, REN-6, REN-14, REN-17, SP-6, ST-36, UB-15 UB-17, UB-20, Rice-grain moxa SP-1

Heart Yin Deficiency

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations which are worse at night Fearful throbbing Heart and chest pain, sometimes with a hot, burning sensation Restlessness Insomnia Five sole Heat Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red Maybe easily angered Maybe a red face Maybe aversion to Heat T: Red C: Little or None P: Thready or Thready and rapid
Treatment Principle	Nourish Heart and Kidney Yin
Herb Formulas	Coronary Heart Disease #2 Tian Wang Bu Xin Dan modified Sheng Mai San modified Zhu Sha An Shen Wan modified Huang Lian E Jiao Tang modified With Heart Blood Stagnation: Gu Ben Hua Xue Tang I Hao Gu Ben Hua Xue Tang II Hao Gu Ben Huo Xue Wan With predominant Liver and Kidney Yin Deficiency: Yi Guan Jian + Suan Zao Ren Tang Chinese Patent Medicines: Tian Wang Bu Xin Dan Jian Nan Wan Zhu Sha An Shen Wan Ci Zhu Wan
Points	UB-15, UB-23, HT-7, KI-3, PC-6, PC-7 HT-7, KI-7, PC-6, SP-6, UB-15 For severe palpitations: + REN-14, REN-17 For dizziness, tinnitus and high blood pressure: + GB-20, LIV-2 For low back pain and weakness of the lower extremities: + KI-3, UB-23 For easy anger, a red face, severe restlessness and aversion to Heat: + GB-43, LIV-2 For night sweats and hot flashes in the face: + DU-14, HT-6 For Phlegm-Heat: + REN-12, ST-40, ST-44

Heart Yin And Yang Deficiency

Clinical Manifestations	Cold limbs Palpitations Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor Irritability Easily startled Insomnia Much dreaming Poor memory Low grade fever Night sweats Five sole Heat Restlessness Dry mouth Thirst Dry throat Malar flush T: Pale and swollen or Red and dry C: White or Little or None P: Thready and weak or Knotted or Intermittent or Thready and rapid
Treatment Principle	Nourish Heart Yin and Yang
Herb Formulas	Tian Ma Gou Teng Yin Gui Zhi Gan Cao Long Gu Mu Li Tang With Heart Blood Stagnation: Gu Ben Hua Xue Tang I Hao Gu Ben Hua Xue Tang II Hao Gu Ben Huo Xue Wan
Points	Moxa or moxa needle DU-25, HT-8, PC-3, PC-4, REN-17, SP-6, ST-36, + needle HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15

Heart Yang Not Vigorous: Water Qi Insults The Heart With Kidney Yang Deficiency

Clinical Manifestations	Palpitations Dysuria Shortness of breath Panting Chest oppression Inability to lie down comfortably Aversion to Cold Maybe cold sweats Dyspnea Dizziness Muscular twitching Whole body edema Cold body Icy limbs Cold abdomen with watery stools Generalized edema Thoracic edema Edema of limbs Cough Pale or cyanotic complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Low back pain Scanty urination Abdominal pain Maybe abdominal distention Anorexia Diarrhea Nausea T: Pale or Purple (Lavender) with teethmarks C: White and greasy P: Deep or Deep and minute or Deep, thin and tight or Regularly interrupted
Treatment Principle	Support Yang Expel Cold Promote diuresis
Herb Formulas	Zhen Wu Tang modified
Points	Moxa needle DU-4, KI-3, KI-7, PC-5, PC-6, REN-4, REN-6, REN-9, REN-17, SP-6, SP-9, UB-15, UB-23 Moxa needle DU-4, PC-6, REN-14, SP-9, ST-40, UB-15 With marked Qi Deficiency: + UB-20, UB-21 With constant Blood Deficiency and/or Stasis: + SP-6, UB-17 With panting due to Kidney failing to grasp Qi: + KI-3 With scanty urination: + REN-4 With incessant sweating: + KI-7, LI-4

Heart Yang Not Vigorous: Vanquished Yang

Clinical Manifestations	Palpitations Shortness of breath Drenched with perspiration Above symptoms worse on exertion or when tired Four limbs cold Cyanosis of mouth and lips Faint, weak respiration P: Minute (on the point of collapse)
Treatment Principle	Return Yang Consolidate Exhaustion
Herb Formulas	Shen Fu Tang  modified
Points	Moxa or moxa needle DU-25, DU-26, KI-1, PC-6, PC-9, REN-4, REN-6, REN-8, ST-36

Heart Yang Deficiency With Water Pathogens Damaging The Upper Jiao

Clinical Manifestations	Panting Cough Dyspnea which prevents lying down White, foamy Phlegm Palpitations Fearful throbbing Rapid breathing Restlessness Sweating Aversion to Cold Dark purple lips T: Dark purple C: Glossy P: Rapid and racing
Treatment Principle	Support Yang Expel Cold Promote diuresis
Herb Formulas	Ting Li Da Zao Xie Fei Tang+ Wu Ling San modified
Points	Moxa needle DU-4, LU-9, PC-6, REN-14, REN-17. SP-9, ST-40, UB-13, UB-15 With marked Qi Deficiency: + UB-20, UB-21 With constant Blood Deficiency and/or Stasis: + SP-6, UB-17 With panting due to Kidney failing to grasp Qi: + KI-3 With scanty urination: + REN-4 With incessant sweating: + KI-7, LI-4

Heart Qi And Blood Stagnation

Clinical Manifestations	Severe chest pain, twisting and stabbing Pain on the left side of the chest with a sharp or pressing sensation The pain may occur due to fatigue, overwork, stress, poor diet or emotional upset In severe cases the pain radiates to the left scapula and arm Distention and fullness in the hypochondrium Oppressive sensation in the chest Palpitations Stiffness of the chest Dyspnea Contracture of the limbs Irritability Profuse sweating T: Deep red or Purplish or Purple spots on the sides C: Thin and white or Dry P: Rapid and taut or Wiry and choppy
Treatment Principle	Regulate Qi and Blood Stop the pain
Herb Formulas	Xue Fu Zhu Yu Tang + Shi Xiao San modified With Liver Qi Stagnation: + Xiao Yao San Shi Xiao San Chai Hu Shu Gan Tang modified Dan Shen Yin + Tao Hong Si Wu Tang Chinese Patent Medicines: Shu Gan He Wei Wan Huo Xin Dan Fu Fang Dan Shen Pian Guan Xin Su he Wan
Points	LIV-2, PC-6, REN-17, UB-18 HT-6, LIV-3, LU-7, PC-6, REN-14, REN-17, UB-15, UB-17 For nervousness: + LIV-2 For headache: + GB-20 For pain worse at night: + HT-5 For an extremely purple tongue: + SP-6 Ear: Heart, Liver, Sympathetic

Heart And Lung Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath Prolonged bouts of coughing with dyspnea Expectoration of clear, watery Phlegm Suffocating sensation in the chest Spontaneous, weak perspiration All of the above manifestations are exacerbated by exertion Shiny white complexion Weak voice Catches colds easily T: Pale P: Thready and weak
Treatment Principle	Augment Heart and Lung Qi
Herb Formulas	Sheng Mai San Si Jun Zi Tang
Points	HT-7, LU-9, REN-17, UB-13, UB-15

Heart And Kidney Yin Deficiency

Clinical Manifestations	Chest pain with a stabbing sensation Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back and knee weakness and pain Legs weak Tidal fever Night sweats Dry mouth Dry eyes Red cheeks Urine short and red T: Red with purple spots C: Little or None P: Thready and rapid or Thready, choppy and irregular
Treatment Principle	Nourish Heart and Kidney Yin Clear Deficient heat Invigorate the Blood Stop pain
Herb Formulas	Coronary Heart Disease #2 Liu Wei Di Huang Wan Da Ding Feng Zhu Yi Guan Jian + Er Zhi Wan With Heart Blood Deficiency: Tian Wang Bu Xin Dan With Heart Blood Stagnation: Gu Ben Hua Xue Tang I Hao Chinese Patent Medicine: Qi Ju Di Huang Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23 HT-7, KI-3, LIV-3, PC-6, PC-7, PC-8, REN-17, SP-6, UB-15 For dizziness and irritability due to Liver Yang Rising: + GB-20, LIV-2 For night sweats: + HT-6, SI-3 For insomnia, restlessness and palpitations: + UB-44, UB-47, UB-49

Heart And Kidney Yin Deficiency With Empty Fire Rising

Clinical Manifestations	Sudden hot pain in the chest Insomnia with much dreaming Dysphoria with five sole Heat Spermatorrhea with erotic dreams Premature ejaculation Irritability Restlessness Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red Constipation T: Deep red C: Little or None P: Thready, taut and rapid
Treatment Principle	Nourish Heart and Kidney Yin Generate Fluids Invigorate blood Circulation
Herb Formulas	Zi Xue Qing Huo Tang modified Chinese Patent Medicine: Zhi Bai Di Huang Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23 KI-1, LIV-2, PC-8, UB-15, UB-18, UB-23 Ear: Heart, Kidney Shenmen, Sympathetic

Heart And Kidney Yang Deficiency

Clinical Manifestations	Cold limbs Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor 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 or Thready and weak or Knotted or Intermittent
Treatment Principle	Warm the Kidney and Heart Yang
Herb Formulas	Coronary Heart Disease #1 Jin Gui Shen Qi Wan For severe cases: Si Ni Tang
Points	Moxa or moxa needle DU-4, DU-25, HT-5, HT-7, HT-8, KI-3, PC-3, PC-4, PC-5, PC-6, PC-7, REN-4, REN-14, REN-17, SP-6, ST-36, UB-15, UB-23

Liver Qi Stagnation Attacks The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Belching Tendency to sigh Melancholy Depression Irritability Inappropriate anger 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	Si Ni San  modified
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, 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
Points	LIV-3, LIV-14, PC-6, REN-12

Liver Qi Stagnation With Counterflow Cold

Clinical Manifestations	Dull Heart pain with chest oppression which comes in waves and is worse with emotional stress Shortness of breath Emotional tension or Depression Restlessness Maybe frequent sighing Bilateral flank discomfort Cold hands as a reaction to stress T: Normal or Slightly dark C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Rectify Qi Invigorate the Blood Transform Stasis
Herb Formulas	Coronary Heart Disease #4
Points	LIV-3, PC-6, REN-14, UB-17 For persistent, dull chest pain: + REN-17 For insomnia: + HT-7 For occasional, piercing chest pain: + HT-4 or PC-3 For severe emotional tension or depression: + UB-18, UB-47 For Qi Deficiency : + ST-36 For hypertension with Liver Yang Rising: + GB-20, GB-39 For Blood Deficiency: + HT-7, UB-17 For depression transforming into Heat: + GB-39, - LIV-3, + LIV-2

Qi Stagnatin In The Liver Channel Affecting The Lungs

Clinical Manifestations	A sensation of fullness, distention and pain in the chest which is improved with massage Cough Prefers warm drinks P: Wiry and large
Treatment Principle	Unblock Yang Expand the chest Dredge Stasis Transform clumps
Herb Formulas	Xuan Fu Hua Tang
Points

Damp-Heat In The Liver And Gall Bladder

Clinical Manifestations	Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine Abdominal distention Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles T: Pink C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Clear Dampness Purge Heat from Liver and Gall Bladder
Herb Formulas	Hao Qi Qing Dan Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Liver Yin Deficiency With Liver Yang Rising

Clinical Manifestations	Dizziness Impaired vision Night blindness Tinnitus Irascibility Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	Tian Ma Gou Teng Yin
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23

Yin And Yang Deficiency

Clinical Manifestations	Heart palpitations Fearful throbbing Heart pain Shortness of breath Lassitude Chest oppression which is worse at night and may awaken the patient A white complexion Malar flush Aversion to Cold Exacerbation of Heart pain when exposed to Cold Cold extremities alternating with Five sole Heat Dizziness Vertigo Low back and knee soreness and weakness Nocturnal polyuria T: Pale with a red or dark purplish tip C: Normal P: Deep and thready or Bound and regularly interrupted
Treatment Principle	Warm Yang Nourish Yin Supplement the Kidneys Invigorate the Blood
Herb Formulas	Jing Gui Shen Qi Wan modified For arrhythmia and palpitations: Zhi Gan Cao Tang modified
Points	HT-7, KI-7, PC-6, REN-4, moxa ST-36, UB-15 For night sweats: + HT-6 For severe chest oppression: + REN-17 For cold hands or a cold sensation in the cardiac area: moxa UB-15 For piercing chest pain: + HT-4 or PC-3 For marked Spleen Deficiency:+ SP-3 For Liver Yang Rising: + GB-39, LIV-3 For Blood or Yin Deficiency: + UB-18

Yang Obstruction Of The Chest (Cold, Phlegm And Qi And Blood Stagnation)

Clinical Manifestations	Heart pain often induced by Cold Shortness of breath Suffocating sensation Productive cough Restlessness Chest oppression Palpitations Sweating Cold extremities Severe: Heart pain radiating to the back Maybe loss of consciousness T: Normal C: Slimy and white P: Wiry, slippery and regularly interrupted or Bound or Deep, slippery and thready
Treatment Principle	Unbind the chest Free the Yang Resolve Phlegm Resuscitate
Herb Formulas	Gua Lou Xie Bai Ban Xia Tang modified Chinese Patent Medicines: She Xiang Bao Xin Dan Xin Su He Wan
Points	PC-6, REN-14, UB-15, UB-17 For severe chest oppression: + REN-17 If no results after 10 treatments: + REN-17, SP-4 For Cold sensations in the extremities and cardiac area: + moxa REN-14, UB-15, UB-17 For profuse Phlegm: + ST-40 For Qi Deficiency: + ST-36 For Liver Yang Rising: + GB-20, LIV-3 Moxa REN-4, REN-17, UB-15, reduce PC-6, REN-12, ST-40

Yang Deficiency On The Verge Of Collapse

Clinical Manifestations	Heart pain Shortness of breath Great perspiration with dibbling and dripping Reversal Cold of the four limbs Bluish-purple nail beds A somber, white facial complexion T: Dark C: White P: Thin, on the verge of expiring
Treatment Principle	Return Yang Secure desertion Invigorate the blood Stem counter flow
Herb Formulas	Shen Fu Long Mu Tang Jia Wei For a mild case: Coronary Heart Disease #5
Points	PC-6, REN-4, REN-6, UB-15 For night sweats: + HT-6 For severe chest oppression: + REN-17 For cold hands or a cold sensation in the cardiac area: moxa UB-15 For piercing chest pain: + HT-4 or PC-3 For marked Spleen Deficiency: + SP-3 For Liver Yang Rising: + GB-39, LIV-3 For Blood or Yin Deficiency: + UB-18

Qi And Blood Stagnation

Clinical Manifestations	Pains that move around Distention Depression Irritability Pain 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 Hemiplegia Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots C: White P: Choppy or Wiry and choppy
Treatment Principle	Move Qi Invigorate the Blood
Herb Formulas	Qi and Blood Stagnation #1 Qi Li San
Points

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	Yi Xin Tang
Points

Qi And Yin Deficiency

Clinical Manifestations	Insidious Heart pain Long standing Heart illness Chest oppression Chronic cough or Dry cough Dry mouth Dry throat Chronic dyspnea Dizziness Insomnia Restlessness Thirst with a preference for hot drinks Hungers easily with no desire for food Night sweats Spontaneous perspiration Weakness Lassitude Generalized fatigue Palpitations Shortness of breath Fever Irritability T: Red and dry or Red and swollen C: Little or None or White and dry P: Thready and weak or Thready and rapid or Bound or Regularly interrupted or Slow and Choppy or Tight and weak
Treatment Principle	Tonify Qi Nourish Yin Invigorate the Blood Calm the Shen
Herb Formulas	Sheng Mai Yin Wan Coronary Heart Disease #6 Sheng Mai San modified If there is no Heat and Dryness and a pale face, lips and tongue: Bu Xin Wan modified If there is Heart Yin and Blood Deficiency without Qi Deficiency: Tian Wang Bu Xin Dan modified For Liver and Kidney Yin Deficiency with Blood Stagnation and chest oppression, insomnia and chest pain at night: Yang Yin Tong Bi Tang modified With severe Yang Deficiency: Shen Fu Long Mu Tang  modified Chinese Patent Medicine: Bu Xin Dan + Gui Pi Wan 1 bolus of each three times/day
Points	HT-7, KI-7, PC-6, ST-36, UB-15 For night sweats: + HT-6 For severe chest oppression: + REN-17 For cold hands or a cold sensation in the cardiac area: moxa UB-15 For piercing chest pain: + HT-4 or PC-3 For marked Spleen Deficiency:+ SP-3 For Liver Yang Rising: + GB-39, LIV-3 For Blood or Yin Deficiency: + UB-18 Reinforce REN-6, SP-6, SP-10, ST-36, UB-15

Blood Stagnation

Clinical Manifestations	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in chest or oppressed sensation in the sternum Maybe drawing pain down internal aspect of arm or back (especially the left arm) Pain (in chest and/or arm) tends to be severe and intermittent Pain that is fixed, stabbing and /or severe Pain 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 In severe cases: Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted or Uneven and slow or Knotted and intermittent
Treatment Principle	Invigorate the Blood Break up Stagnation
Herb Formulas	Guan Xin Er Hao Tang
Points	SP-6, SP-10, ST-36, UB-17, UB-40

Blood Stagnation Due To A Mild Attack Of Wind-Cold

Clinical Manifestations	Relatively superficial numbness without pain Paresthesia and numbness of the skin and flesh Paresthesia of the shoulders Neck and shoulder stiffness and pain Abdominal pain alleviated by warmth and pressure Pale complexion Hemiplegia Stiff tongue Flaccidity if the extremities Migratory pain Pain, weakness, tightness or spasms of the extremities Spontaneous sweating Shortness of breath Aphasia Excess salivation Aversion to wind T: Normal or Thick C: White or Smooth and white or White and greasy P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle	Tonify Qi and Blood Warm and harmonize the channels and collaterals Harmonize the Ying and Wei Unblock painful obstruction Warm the Middle Jiao Dispel Cold Alleviate pain Harmonize Yin and Yang
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang
Points	Moxa or moxa needle DU-16, GB-20, LI-4, LU-7, REN-8, SJ-5, UB-12, UB-13 + needle REN-4, REN-6, ST-36

Blood Stagnation Due To Qi Deficiency

Clinical Manifestations	Chest pain Shortness of breath Lassitude Fatigue Listlessness Severe palpitations Worse with movement T: Dark with echymosis C: Normal P: Thready and choppy
Treatment Principle	Tonify Qi Invigorate the Blood Eliminate Stagnation
Herb Formulas	Bu Yang Huan Wu Tang Chinese Patent Medicines: Bu Zhong Yi Qi Tang (1 bolus 3 times/ day) + Fu Fang Dan Shen Pian (4 tablets 3 times/day) Bu Zhong Yi Qi Tang (1 bolus 3 times/ day) + Xin Ling Wan (1 bolus 3 times/ day)
Points	Moxa REN-6, ST-36, UB-15, needle HT-5, PC-5, REN-17 Ear: Heart, Shenmen, Sympathetic

Blood Stagnation Due To Cold

Clinical Manifestations	Palpitations Pain in the lower abdomen and pelvic region Heavy and/or irregular periods Abdominal swelling Painful bowel movements Low back pain Painful urination Abdominal tenderness Pressure and pain before or during periods A preference for warmth An aversion to Cold Blood clots with periods The pain relieved after the periods Pale complexion Nausea or vomiting with severe menstrual pain Headaches Low grade fevers Depression Anxiety T: Pale and purplish with spots C: White P: Wiry and tight
Treatment Principle	Dispel Cold Warm the channels Nourish the Blood Dispel Blood Stasis
Herb Formulas	Wen Jing Tang Ping We San
Points	Moxa or moxa needle HT-5, HT-6, HT-7, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, UB-17

Shi Tan (Phlegm-Dampness)

Clinical Manifestations	Fullness in the chest and hypochondrium Palpitations Shortness of breath Coughing up clear, watery sputum Dizziness Vertigo (when standing) Dyspnea Anxiety Tinnitus Difficult urination Mild edema Cold feet Headache Migraine Weak abdomen T: Pale and swollen C: White and slippery or greasy P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle	Resolve Phlegm Eliminate Dampness Tonify Yang
Herb Formulas	Gua Lou Xie Bai Ban Xia Tang modified Ling Gui Zhu Gan Tang In the Middle Jiao: Coronary Heart Disease #7
Points	DU-16, DU-26, HT-7, PC-5, ST-40, UB-15, UB-18, UB-20, UB-62

Dry Heat With Blood And Phlegm Stagnation (Metabolic Syndrome)

Clinical Manifestations	Early-Stage: Food Stagnation + Qi and Blood Stagnation with Heat 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 Middle-Stage: Both Excess and Deficiency + Qi and Blood or Qi and Yin Deficiency of multiple organs + External Excess or Phlegm Stagnation or Blood stagnation Lassitude Fatigue Shortness of breath Dizziness Tinnitus Palpitations Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and Weakness Low grade fever Five sole heat Possible sweating Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	Early-Stage: Relive Stagnation Clear Heat Middle-Stage: Reduce Excess Tonify Deficiency Resolve Phlegm Invigorate the Blood Dispel Stasis
Herb Formulas	Early-Stage: Da Chai Hu Tang Metabolic Syndrome #1       Huo Xue Hua Yu Shu Gan Li Dan Middle-Stage: Yi Qi Yang Yin Huo Xue Fang Qi Deficiency: Si Jun Zi Tang Qi and Yin Deficiency: Shen Qi Di Huang Tang Kidney and Liver Yin Deficiency: Qi Ju Di Huang Tang Liu Wei Di Huang Wan Kidney Yang Deficiency: Jin Gui Shen Qi Wan Kidney Yin and Yang Deficiency: Di Huang Yin Zi Blood Stagnation with Heat: Di Dang Tang
Points

Upper Jiao Qi Stagnation

Clinical Manifestations	Chest pain of a cramping or compressing nature Pain comes with emotional disturbance or stress Fullness in the chest and hypochondriac regions Irritability A bitter taste in the mouth Dream-disturbed sleep T. Pink C: Thin white and dry P: Wiry
Treatment Principle	Promote Qi Circulation in the chest Stop pain
Herb Formulas	Jin Ling Zi San + Dan Shen Yin modified Chinese Patent Medicines: Shu Gan Wan Xiao Yao Wan
Points	GB-34, LIV-3, LIV-14, LU-7, PC-6, REN-17, SP-6, UB-18 For insomnia: + HT-3 For shortness of breath and oppression over the chest: + PC-6 and SP-4 For pain radiating to the arm: + HT-5 For an extremely purple tongue: + UB-17