Cough

General

Etiology	A. Invasion of exogenous pathogenic factors Exogenous pathogenic factors such as Wind, Cold, Heat, Dryness, etc., attack the Lungs through the mouth, nose, or skin, which leads to dysfunction of the Lungs and adverse ascending of Lung Qi, thus causing cough. The pathogenic factors may change from one to another if the treatment is improper. For example, Wind-Cold may change to Heat, Wind-Heat to Dryness, thus inducing the production of sputum by heat retained in the Lungs. Moreover, when the cough of exogenous origin continues for a long period, other organs may be impaired, and the dysfunction of internal organs becomes the major cause of the cough instead of exogenous factors. B. Impairment of internal organs Cough can be caused by the dysfunction of internal organs which may originate from either the Lungs or other organs involving the Lungs. For example: (1) Emotional upset may impair the Liver, causing stagnation of Liver Qi with production of Fire; as a result, the Liver Fire Attacks the Lungs. (2) Immoderate diet and drinking impair the Spleen and lead to the disturbance of food digestion and fluid transportation, and sputum is produced and accumulates in the Lungs. (3) Lung disorders consume Yin and Qi rendering the Lungs incapable of keeping Lung Qi downward, and Deficiency and adverse ascending of Qi results. (4) Hypofunction of Kidneys which leads to accumulation of Fluid in the Lungs, or Deficiency of the Kidney Qi with inability to regulate inspiration may also cause adverse ascending of Lung Qi. In cases due to the impairment of internal organs, Phlegm and Fire are two agents closely related to the pathogenesis of cough. There are two kinds of sputum, i.e., cold sputum and hot sputum, and two kinds of Fire, i.e., Excess Fire and Deficiency Fire. Prolonged retention of sputum may produce Fire, and in turn, Fire can produce sputum by acting on the Body Fluids
Clinical Manifestations
Treatment Principle
Herb Formulas	Infantile: Huo Xiang Zheng Qi Tang Due to Heat: Dun Sou San Due to Heat and Dryness: Decoct 10g Fol. Perillae Sang Ye  with 15g Rx. Ophiopogonis Mai Men Dong and 10g Fol. Eriobotryae Pi Pa Ye. Take the decoction one dose per day for 15 consecutive days. Spasmodic: Shao Yao Gan Cao Tang Due to Spasm of the trachea: Gan Mai Da Zao Tang
Points	DU-12, HT-5, KI-19, KI-22, KI-26, KI-27, LI-10, LIV-8, LU-4, LU-8, LU-10, LU-11, PC-2, PC-8, REN-17, REN-23, SI-12, SP-14, ST-12, ST-14, ST-15, ST-19, ST-36, ST-41, UB-13, UB-18 REN-22, UB-13 LU-7, REN-22 LU-11, UB-10 REN-14, REN-17, ST-12 ST-14, ST-15, UB-43 Catarrhal: Sedate KI-27, LI-4, LU-7, LU-9, REN-17, UB-13 Continuous: + LI-2, LI-3, LU-5 Nervous: Sedate LU-5, LU-7, REN-12, REN-13, REN-22 Paroxysmal: Sedate GB-44, LU-7, REN-17, REN-22, SP-5, UB-13, UB-60 Consumptive: KI-1, REN-4, ST-40 With abundant Phlegm: ST-40 , UB-13 With wheezing and Phlegm: ST-18, KI-27 With excess Phlegm or unable to expectorate Phlegm: DU-28, GB-10, HT-9, KI-2, KI-5, PC-6, REN-12, REN-17, SI-1, SJ-16, SP-9, ST-4, UB-13, UB-43, UB-60 For wheezing induced by rheumatic Heart disease: KI-27, LU-1, REN-17, REN-22 Sounds flat, like a broken gong: LU-8 For Wind-Phlegm: LU-7, LU-9 For Wind-Cold Phlegm: moxa or moxa needle LU-7, LU-9 For chest oppression with pain on coughing: KI-3, LU-9, ST-12, UB-13 For vomiting and chest fullness: KI-24, KI-25, KI-27, REN-14 With hemoptysis: PC-4, PC-7

Early-Stage

Clinical Manifestations	Acute, hacking dry cough Cough with scant, sticky white or yellowish, difficult-to-expectorate sputum Acute fever and chills Dry mouth, throat, nose and lips Chest pain which is worse when coughing Painful or wheezing respiration Lethargy Malaise Weakness Anorexia T: Red tip C: Thin and yellow P: Floating and rapid or Slippery
Treatment Principle	Clear Lung Heat Disperse Wind-Heat Eliminate Phlegm Stop cough
Herb Formulas	Yin Qiao San Chinese patent medicines: Qing Fei Yi Huo Pian Ma Xing Zhi Ke Pian Niu Huang Jie Du Pian Chuan Ke Ling
Points	DU-14, LI-4, LI-11, LU-5, LU-7, LU-10, SJ-5, UB-13 DU-14, LI-4, LI-11, LU-5, SJ-5, UB-12, UB-13 For a very sore, swollen throat: + LU-11, SI-17 DU-14, LI-4, LI-11, LU-5, UB-13 LI-4, LU-5, LU-7, UB-13 LI-4, LU-7, SJ-5, UB-12, UB-13 DU-14, DU-16, GB-20, LU-5, LU-7, LU-10, LU-11, SJ-5, UB-12, UB-13 Bleed UB-40, needle Dingchuan, DU-14, DU-16, DU-23, DU-24, GB-20, LI-4, LI-11, LU-5, LU-7, LU-10, REN-22, SJ-5, ST-8, ST-40, Taiyang, UB-12, UB-13 For a mild case with cough, fever is not high, slight thirst: Bleed UB-40, needle DU-14, GB-20, LI-4, LI-11, LU-7, REN-22, SJ-5, UB-12, UB-13

Wind Edema

Clinical Manifestations	Aversion to wind Generalized edema that begins in the face Slight fever or no fever Slight but continuous sweating or no sweating Absence of thirst or Thirst Decreased urination Asthma Dysuria Coughing T: Normal C: White P: Floating or Floating and rapid
Treatment Principle	Induce sweating Release the Exterior Disseminate the Lung Qi Promote urination Eliminate water accumulation Eliminate Heat
Herb Formulas	Yue Bi Tang With Spleen Deficiency: Yue Bi Jia Zhu Tang With Lung distention: Yue Bi Jia Ban Xia Tang
Points

Tai Yang - Zhong Feng

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Fever and chills unrelieved by sweating Headache Spontaneous perspiration Decreased body resistance Aversion to Wind Nasal congestion No thirst Dry heaves Stiff neck T: Normal C: White and moist P: Floating and moderate or Floating and weak or slow
Treatment Principle	Dispel Wind Unblock the nose Release Wind-Cold from the muscle layer Regulate and harmonize the Ying and Wei
Herb Formulas	Gui Zhi Tang San Niu Tang With neck and shoulder stiffness and pain: Gui Zhi Jia Ge Gen Tang With cough and wheezing: Gui Zhi Jia Hou Po Xing Ren Tang
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 To expel Wind: SJ-5 + LI-4, , DU-14, DU-16 To clear the Lungs: UB-13, UB-12

Tai Yang Zhong Feng With Phlegm

Clinical Manifestations	Cough with a high husky sound Thick yellow sputum Fever Chilliness Headache General aching Sore throat Thirst Yellow nasal discharge T: red tip C: Thin yellow P: Floating and rapid or Smooth
Treatment Principle	Clear away Heat Disperse Wind Release stagnated Lung Qi Eliminate Phlegm
Herb Formulas	Zhi Sou San Sang Ju Yin modified
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, LU-9, PC-5, SJ-5, ST-40, UB-12, UB-13, Yintang With stiff neck and shoulders: + GB-21 With Dampness: + SP-6, SP-9 With dyspnea, asthma and sputum: Dingchuan, REN-22 With nocturnal emission, excess dreams, Cold lower extremities, dizziness and hair loss: + DU-4, KI-3, UB-23 With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: + REN-4 With sustained fever of long duration accompanied by severe chills: + DU-14

Tai Yang Shang Han (Wind-Cold Attacks The Lungs)

Clinical Manifestations	Cough with a heavy sound Choking cough Stuffy and runny nose Thin white sputum Aversion to Wind and Cold Chills and fever Headache Nasal obstruction Itching larynx A heavy voice Aching joints Aching of limbs Muscle soreness Chilliness Anhidrosis T: Normal C:Thin and white P: Floating or Floating and tense or Floating and slow
Treatment Principle	Disperse Wind and Cold Release Lung Qi Relieve cough
Herb Formulas	Cough #1 San Ao Tang Xing Su San San Ao Tang + Xing Su San Ma Huang Tang Jin Fei Cao San Zhi Sou San Hua Gai San Shen Mi Tang Tong Xuan Li Fei Wan Fu Fang Chuan Bei Jing Pian With congested Fluids: Xiao Qing Long Tang With Phlegm: Jin Fei Cao San #2 For a stiff neck and shoulders or frozen shoulder: Ge Gen Tang With Thin Mucus: Shen Su Yin With Cold Thin Mucus: She Gan Ma Huang Tang With Phlegm-Heat in the Lungs: Ding Chuan Tang Chinese patent medicines: Gan Mao Ling Chuan Xiang Cha Tiao Wan
Points	LI-4, LU-9, UB-11, UB-12, UB-13 GB-20, LU-7, SJ-5, UB-12, UB-13 DU-16, GB-20, KI-7, LI-4, LU-5, LU-7, UB-12, UB-13 GB-20, LI-4, LU-5, LU-7, REN-17, REN-22, UB-12, UB-13 With wheezing: + Dingchuan With nasal congestion or runny nose: + DU-23 DU-16, LI-4, LU-1, LU-7, SJ-5, UB-13 With an itchy throat: + LI-10 For occipital headaches: + GB-20 For frontal headaches: + ST-8 With a high fever: + DU-14 LI-4, LU-1, LU-6, LU-7, UB-12, UB-13 With a high fever: + DU-14, LI-11 With a headache: +GB-20, Taiyang, Yintang With shortness of breath and an itchy throat: + REN-22 With Dampness (heavy head, fogginess, loss of the sense of taste, a sticky sensation in the mouth and a greasy white tongue coat): + SP-2, SP-3 With Internal Phlegm (profuse, frothy or thick Phlegm): + LU-9, ST-40 With Phlegm-Heat in the Lungs: DU-16, GB-20, LI-4, LU-5, LU-7, LU-10, SJ-5, ST-40, UB-12, UB-13 With chest oppression: LI-4, REN-17, SJ-5, UB-12, UB-13 With panting: + Dingchuan With predominant body aches: + UB-10 With a headache: + GB-20 With a runny nose: + DU-23

Mild Wind-Cold With Dryness

Clinical Manifestations	Itching or tickling in the throat Blocked or stuffy nose Sneezing General body aches Cough with little or no mucus or Cough with expectoration of thin, watery or frothy white sputum Dry nasal passages Dry lips Mild headache Chills with low grade fever Slight headache Nasal obstruction Dry throat No thirst Intolerance of Cold Anhidrosis Maybe asthma Nasal congestion Cough Sore throat T: Pink C: Thin, white and dry P: Superficial and wiry or Tight or Wiry
Treatment Principle	Mildly Disperse Cool Dryness Disperse and descend Lung Qi Resolve Phlegm Transform thin mucus Soothe the Lungs Stop cough
Herb Formulas	Xing Su San Chinese patent medicines: Chuan Bei Pi Pa Gao
Points	KI-6, KI-7, LU-5, LU-7, LU-9, UB-12, UB-13

Tai Yang Shang Han With Water Accumulation In The Lungs

Clinical Manifestations	Chills and fever or Fever with no thirst Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder Dyspnea Shortness of breath Mild or severe gasping Hiccups Fullness in chest Vomiting Heaviness of the body Edema Dysuria Maybe thirst Maybe diarrhea Maybe scanty urine Maybe lower abdominal fullness T: Normal C: Greasy and white P: Floating and slippery or tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma Expel water or Phlegm
Herb Formulas	Xiao Qing Long Tang Wu Ling San With Internal Heat and irritability: Xiao Qing Long Jia Shi Gao Tang
Points	Moxa Dingchuan, DU-4, REN-4, REN-6, needle DU-16, GB-20, LI-4, LU-7, REN-17, REN-22, SP-6, SP-9, SJ-5, ST-40, UB-12, UB-13 With Internal Heat and irritability: - moxa + LI-11, ST-44

Tai Yang Shang Han With Phlegm-Fluids

Clinical Manifestations	Cough with a heavy sound Choking cough Stuffy and runny nose Copious thin, watery nasal discharge Excessive lacrimation Wheezing with expectoration of copious thin watery or string mucus Orthopnea Thin white sputum Chills and fever Headache Nasal obstruction Itching larynx Aching of limbs Muscle soreness Chilliness Anhidrosis T: Normal C:Thin and white P: Floating or Floating and tense
Treatment Principle	Disperse Wind and Cold Warm the Lungs Warm and transform Phlegm Fluids Stop wheezing
Herb Formulas	Xiao Qing Long Tang To strengthen Spleen and Kidney Yang and transform Fluids: Ling Gui Zhu Gan Tang Liu Jun Zi Tang Jin Gui Shen Qi Wan Chinese patent medicines: Qi Guan Yan Ke Suo Tan Chuan Wan Xiao Ke Chuan
Points	Dingchuan, LU-6, LU-7, PC-6, REN-17, SP-3, ST-40, UB-12, UB-13

Tai Yang Biao Fu

Clinical Manifestations	Chills and fever Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder * The Tai Yang symptoms remain for 2-3 days Thirst with no desire to drink May have vomiting immediately after drinking Difficult urination May have upper body edema T: Normal C: White P: Floating and slippery
Treatment Principle	Promote urination Dispel Dampness Expel Wind
Herb Formulas	Wu Ling San
Points	Moxa or moxa needle KI-3, REN-9, SJ-3, ST-28, UB-28, UB-39, UB-64 Moxa or moxa needle KI-3, LI-4, LU-7, REN-3, SP-6, SP-9, UB-13, UB-28

Tai Yang Shang Han With Qi Stagnation

Clinical Manifestations	Aversion to Cold Fever Headache Anhidrosis Anorexia Belching Aching shoulders Tinnitus Amenorrhea A gasping cough Focal distention in the chest and epigastrium A stifling sensation in the chest and epigastrium Vertigo Nausea T: Normal C: Thin and white P: Floating or Floating and sinking
Treatment Principle	Regulate Qi Release the Exterior
Herb Formulas	Xiang Su San
Points

Tai Yang Shang Han With Kidney Yang Deficiency

Clinical Manifestations	Severe chills May have mild fever No sweat Aversion to Cold Cold extremities Cold sensation on back Pale face Extreme fatigue Muscle aching T: Pale with scallop C: White P: Deep, weak and thready
Treatment Principle	Warm Yang Expel Cold from the Exterior Dispel Cold from the Interior
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang
Points	Moxa DU-4, DU-16, DU-20, UB-12, UB-15, UB-23

Wind-Cold With Interior Heat

Clinical Manifestations	Cough with a husky sound Thick sputum Dyspnea Fever and chills Maybe high fever Maybe fever only Achiness Anhidrosis Headache Cough Asthma Aversion to cold Edema Thirst Restlessness Irritability Fidgeting Constipation Sometimes dry achy eyes T: Normal or red or Red tip C: Yellow or white P: Floating and tight or rapid or Rapid and smooth
Treatment Principle	Expel Wind Disperse Cold Cool Heat
Herb Formulas	Ma Xing Shi Gan Tangmodified Da Qing Long Tang
Points	DU-14, DU-16, GB-20, LI-4, LI-11, LU-7, LU-9, LU-10, SJ-5, SP-1, SP-2, ST-44, UB-12, UB-13

Wind-Cold-Dampness

Clinical Manifestations	Fever Chills Anhidrosis Pain and stiffness of the head and neck Stuffy nose Blood shot eyes Sores that are red, swollen and painful Generalized body aches and pain Headache Swollen eyes Thirst or no thirst T: Normal C: Thin white P: Floating or Floating and rapid
Treatment Principle	Induce sweat Release the Exterior Dispel Wind Alleviate pain
Herb Formulas	Jing Fang Bai Du San With Qi Deficiency: Ren Shen Bai Du San
Points

Shao Yang With Phlegm-Heat Accumulation In The Chest

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 Xiao Chai Hu Tang modified
Points

Shao Yin Cold With Fluid Problems

Clinical Manifestations	Aversion to Cold Curls up a lot Doesn't like to talk Tired No spirit Dull Shen Severe edema in the chest Cold extremities Diarrhea with loose stools No thirst Likes warm drinks Sluggish urination Vertigo Palpitations More water metabolism disturbance with excess fluid in the body Abdomen: pain and cold Lower Jiao: pain with difficult urination Intestines: watery stools Stomach: clear vomit Lungs: cough, dyspnea, Phlegm and asthma Extremities: edema and heaviness T: Pale with scallops C:White or greasy white P: Sinking, weak and may be soft or thready
Treatment Principle	Tonify Yang Strengthen water circulation
Herb Formulas	Zhen Wu Tang If the edema is less severe: Si Ni Tang Wu Zhu Yu Tang With Heat: Zhu Ling Tang
Points	Moxa DU-4, DU-20, KI-3, KI-7, LI-4. REN-4, REN-6, REN-8, REN-9, SP-6, SP-9, ST-36. UB-15, UB-20, UB23

Wind-Heat Attacks The Lungs

Clinical Manifestations	Acute, frequent hacking dry cough Cough with a high husky sound The cough may be painful Thick, yellow, difficult-to-expectorate sputum Maybe Blood flecked sputum Coarse breathing Mild fever Little or no chills Hot body Mild sweat Dry mouth Nasal obstruction Chilliness Headache, usually frontal General aching Sore throat Dry, scratchy throat Thirst Thick, yellow or green nasal discharge T: Red tip C: Thin and yellow or Thin and white P: Floating and rapid or Smooth
Treatment Principle	Clear away Heat Disperse Wind Release stagnated Lung Qi Descend Lung Qi Eliminate Phlegm Stop cough
Herb Formulas	Yin Qiao San Ma Xing Shi Gan Tang Sheng Ma Ge Gen Tang Shu Feng Qing Re Tang Xiong Zhi Shi Gao Tang For a mild case with cough, fever is not high and slight thirst: Sang Ju Yin modified With cough and Phlegm: Ning Sou Wan With a persistent cough after resolution of the External factors: Zhi Sou San For neck and shoulder pain and stiffness: Yi Wu Chai Ge Jie Ji Tang With Yin Deficiency: Jia Jian Wei Rui Tang For a paroxysmal or dry cough following resolution of acute symptoms: Xiao Chai Hu Tang modified With epistaxis: Sang Ju Yin modified Chinese patent medicines: Yin Qiao Jie Du Pian Gan Mao Ling Ban Lan Gen Chong Ji With epistaxis: Qing Fei Yi Huo Pian Ma Xing Zhi Ke Pian Yunnan Bai Yao (can be blown into the nose)
Points	DU-14, LI-4, LI-11, LU-5, SJ-5, UB-12, UB-13 For a very sore, swollen throat: + LU-11, SI-17 DU-14, LI-4, LI-11, LU-5, UB-13 DU-14, LI-11, LU-5, REN-17, REN-22, UB-13 With a high fever: + LI-4 With Summerheat: + REN-12 With a sore throat and a hoarse voice: + bleed LU-11 With enduring fever and profuse perspiration: + KI-7, ST-43 LI-4, LU-5, LU-7, UB-13 LI-4, LU-7, SJ-5, UB-12, UB-13 DU-14, DU-16, GB-20, LU-5, LU-7, LU-10, LU-11, SJ-5, UB-12, UB-13 DU-14, LI-4, LU-5, LU-6, LU-7, SJ-5, UB-12, UB-13 With a sore throat: + bleed LU-11 With a tight chest and shortness of breath: + REN-17, REN-22 With a high fever: + LI-11 With hemoptysis: + LU-10 Bleed UB-40, needle Dingchuan, DU-14, DU-16, DU-23, DU-24, GB-20, LI-4, LI-11, LU-5, LU-7, LU-10, REN-22, SJ-5, ST-8, ST-40, Taiyang, UB-12, UB-13 For a mild case with cough, fever is not high, slight thirst: Bleed UB-40, needle DU-14, GB-20, LI-4, LI-11, LU-7, REN-22, SJ-5, UB-12, UB-13 With epistaxis: GB-20, LI-4, LI-20, LU-11, SJ-5, UB-13 With severe fever: + LI-11 With severe cough: + LU-5

Wind-Heat-Dampness With Interior Heat Toxins

Clinical Manifestations	Fever Anhidrosis Aversion to Cold Headache Muscle aches Nasal congestion Cough with sputum Suppurative infection Carbuncles Stiffness of the muscles T: Red White and greasy or Yellow and greasy P: Floating and feeble or Floating and rapid or Deep and rapid
Treatment Principle	Dispel External Wind Heat and Dampness Relieve toxicity
Herb Formulas	Yin Qiao Bai Du San
Points

Perverse Dryness Attacks The Lungs

Clinical Manifestations	Dry choking cough with a husky sound Cough with thick, sticky, hard to expectorate sputum Cough may cause chest pain Dry skin Dryness of nose, mouth and lips Little or no sweat Itching and dryness of throat Sore throat Headache Stuffy nose Aversion to Wind Cool Dryness: Chills and fever with more chills than fever Maybe watery sputum T: Dry C: White or Thin P: Wiry Warm Dryness: Fever and chills with more fever than chills Thick, scanty or blood-tinged sputum Dry, itchy, painful throat Thirst T: Red tip and Dry or Red and dry C: Thin and yellow or yellow and dry P: Floating and rapid or Thready and rapid
Treatment Principle	Disperse Wind Clear Heat Moisten Dryness Descend Lung Qi Relieve cough
Herb Formulas	Sang Xing Tang modified Qing Zao Jiu Fei Tang Yang Yin Qing Fei Tang Yin Qiao San Sang Ju Yin For damage to Lung Yin: Qing Zao Jiu Fei Tang If symptoms persist for a long time: Yang Yin Qing Fei Tang For hemoptysis: Qing Zao Jiu Fei Tang modified For cool Dryness: Xing Su San For predominantly cool Dryness with an itchy throat: Zhi Sou San Chinese Patent Medicines: Yin Qiao JIe Du Pian Gan Mao Lin Sang Ju Yin Pian Chuan Bei Pi Pa Gao With hemoptysis: Ling Bei Qu Li Gan Li Fei Yang Yin Qing Fei Tang Jiang Yun Nan Bai Yao
Points	KI-6, KI-7, LU-5, LU-7, LU-9, UB-12, UB-13 Jinjin-Yuye, KI-3, LU-1, SP-6, UB-13 LI-4, LU-5, LU-7, UB-13 For hemoptysis: + LU-6, UB-17 LI-4, LU-11, REN-22, UB-12, UB-13 LI-4,LU-5, LU-6, LU-7, UB-12, UB-13 For an itchy, sore throat: + LU-10 For fever: + SJ-5 For constipation: + SP-6, ST-37 Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, KI-3, KI-6, LI-4, LI-11, LU-5, LU-6, LU-7, LU-10, REN-22, SJ-5, SP-6, ST-8, Taiyang, UB-12, UB-13 DU-14, LI-4, LU-5, LU-7, LU-9, UB-12, UB-13

Wei Stage: Summerheat With Dampness Invades The Lungs

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Fever is not abated by profuse sweating Slight aversion to Cold Coughing of thick phlegm Stifling sensation in the chest Headache Head distention A red facial complexion Abdominal distention Thirst with no desire to drink Sweat Restlessness Vexation Gastric disturbances: Heaviness Nausea Severe diarrhea Scanty, dark urine T: Red or Red tip and edges C: Greasy white or yellow P: Rapid and soft
Treatment Principle	Disperse Wind Clear Summerheat Resolve Damp Disperse the Lungs Harmonize the Middle
Herb Formulas	Xin Jia Xiang Ru Yin modified Lei Shi Qing Liang Di Shu Fa
Points	LU-5, LU-7, SP-9, UB-13, UB-22 For coughing with a clear, high sound and no Phlegm: - SP-9, + LI-4, PC-3

Wen Bing Qi Stage: Lung Heat

Clinical Manifestations	Cough with sticky yellow Phlegm The cough is dry, hacking and painful Phlegm may be bloody (brown) Dyspnea Shortness of breath Labored breathing Wheezing Chest tightness and pain Aversion to Heat Sensation of Heat in the chest Fever Asthma Restlessness Nasal obstruction Dry mouth and larynx Bitter taste in the mouth Continuous or sustained nasal congestion Thick, sticky, yellow nasal discharge Transient, declining sense of smell or loss of sense of smell Generally severe frontal, maxillary or temporal headache Distention in the head Sore throat Thirst Dark yellow urine Reduced memory Sometimes flared nostrils Sometimes fever or high fever Constipation T: Red or Red tip C: Yellow or White or Thick and yellow, maybe dry and sticky P: Rapid or Wiry and rapid or Slippery and rapid or Rapid, maybe slippery, maybe forceful or Flooding and rapid
Treatment Principle	Dispel Lung Heat Disseminate Lung Qi Descend Qi Stop cough Drain pus Unblock the Orifices (especially the nose)
Herb Formulas	Xin Yi Qing Fei Yin Cang Er Zi San modified Xie Bai San Ma Xing Shi Gan Tang Zhi Sou Ding Chuan Wan With epistaxis: Ma Xing Shi Gan Tang modified With Phlegm-Accumulation: Ren Shen Xie Fei Tang For severe Heat and Lung Fire with a loud barking cough, constipation, severe thirst, malaise and restlessness: Liang Ge Sanmodified Chinese patent medicines: Ma Xing Zhi Ke Pian Zhi Sou Ding Chuan Wan With epistaxis:: Qing Fei Yi Huo Pian Ma Xing Zhi Ke Pian Yunnan Bai Yao (can be blown into the nose)
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, SJ-5, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6,  ST-9 To Clear Heat (reduce fever): LI-11, DU-14, ST-44 To soothe and clear Heat from the Lungs: LU-5, LU-10 To regulate Lung Qi and stop cough and asthma: UB-13, DU-13, Dingchuan To strengthen weak or elderly patients: ST-36, UB-20, REN-6 Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44. UB-13 LI-20, LI-4, Yintang, LU-1, UB-13 DU-23, Yintang, LI-20, LI-4, GB-20, UB-12, LU-7 DU-14, LI-4, LI-11, LU-5, LU-7, ST-40 LI-4, LU-7, REN-22, UB-12, UB-13 DU-14, LI-4, LU-1, LU-5, LU-6, LU-10, REN-17, UB-13 With epistaxis: GB-20, LI-4, LI-20, LU-11, SJ-5, UB-13 With severe fever: + LI-11 With severe cough: + LU-5 With chest pain:  LI-11, LU-1, LU-10, LU-11, SJ-6 For hemoptysis: + reduce LU-5, tonify KI-7 For constipation: + ST-25 For coughing and panting: + UB-13 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20, Ear: Inner nose, Forehead, Tip of the nose, Lung

Qi Stage: Lung Heat With Yin Deficiency

Clinical Manifestations	Chronic, incessant cough Chronic hoarseness Throat lesions Itching throat Fever Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Five sole Heat Physical and mental overexertion Phlegm Dry mouth T: Reddish and dry C: Little or None P: Thready and rapid or Deep and rapid
Treatment Principle	Clear the Lungs Transform Phlegm Relieve cough Drain Fire Moisten Dryness
Herb Formulas	Qing Fei Tang Zi Wan Tang
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, SJ-5, GB-20 For Yin Deficiency: KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43 For severe sinus congestion: UB-2 For sore throat: PC-6,  ST-9 To Clear Heat (reduce fever): LI-11, DU-14, ST-44 To soothe and clear Heat from the Lungs: LU-5, LU-10 To regulate Lung Qi and stop cough and asthma: UB-13, DU-13, Dingchuan To strengthen weak or elderly patients: ST-36, UB-20, REN-6  Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44. UB-13 LI-20, LI-4, Yintang, LU-1, UB-13 DU-23, Yintang, LI-20, LI-4, GB-20, UB-12, LU-7 DU-14, LI-4, LI-11, LU-5, LU-7, ST-40 LI-4, LU-7, REN-22, UB-12, UB-13 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20, Ear: Inner nose, Forehead, Tip of the nose, Lung

Qi Stage: Gallbladder Heat

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Cough Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gall Bladder Heat Pacify the Liver and Gall Bladder
Herb Formulas	Liang Ge San
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

Middle-Stage (Suppuration Stage)

Clinical Manifestations	High fever with or without chills A hacking, painful cough with copious, purulent, malodorous mucus The mucus may be Blood-streaked Restricted movement of the chest Labored breathing Sweating Dry mouth and throat Irritability Restlessness Lethargy Malaise T: Red C: Greasy and yellow P: Slippery and rapid or Flooding and rapid
Treatment Principle	Clear Heat and toxins Disperse pus accumulation Disperse Blood Stasis
Herb Formulas	Wei Jing Tangmodified Chinese patent medicines: Niu Huang Xiao Yan Wan Wan Shi Niu Huang Qing Xin Wan Xi Ling Jie Du Pian Chuan Ke Ling
Points	DU-12, DU-14, LU-1, LU-6, PC-7, REN-17, SJ-6, ST-40, UB-13 With severe Heat: bleed LI-1, LU-11

Phlegm Congests The Lungs

Clinical Manifestations	Cough with profuse or sticky white Phlegm Dyspnea with lots of sputum Shortness of breath Panting The sputum is difficult to expectorate The sputum rattles in the throat Chest and diaphragm blocked Chest pain The pain may radiate to the back with inability to lie flat Inability to sleep Fullness of the chest Anorexia Nausea T: Normal or Pale C: Sticky and white P: Slippery or Slippery and large
Treatment Principle	Expel Phlegm Stop asthma
Herb Formulas	Gua Lou Xie Bai Ban Xia Tangmodified + Er Chen Tang
Points	LU-1, LU-5, LU-7, ST-40, UB-13 LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 Dingchuan, LU-5, REN-22, UB-13 LI-4, LU-9, ST-40,, UB-12, UB-13 With Heat: + DU-14, LI-11, LU-11 With Cold: + moxa UB-20, UB-23 With nausea: + PC-6, REN-12, SP-4 LU-5, PC-6, REN-12, REN-22, ST-40 LIV-13, LU-5, PC-6, REN-12, ST-36, UB-20 For chest pain: 1. PC-4, REN-17, UB-14, ST-40, UB-20 2. HT-6, REN-14, UB-15, ST-40, UB-20 For chest oppression with abdominal distention: + PC-6, REN-12 For coughing with profuse Phlegm: + LU-1

Phlegm-Dampness Disturbs The Lungs (Tan Yin)

Clinical Manifestations	Chronic or recurrent cough Cough with a heavy sound Profuse thick or thin white or clear and watery sputum Fullness and oppressive sensation over the chest and epigastrium A noticeable rattle in the chest with coughing which is worse in the morning and after eating Maybe facial edema Fatigue Poor appetite Nausea Vomiting Diarrhea Facial edema Loose stools T: Normal C: White and greasy P: Soft, or Slippery or Soft, floating and smooth or Deep and slow (Spleen Yang Deficiency)
Treatment Principle	Tonify the Spleen Dry Dampness Eliminate Phlegm Relieve cough
Herb Formulas	Er Chen Tangmodified Er Chen Tangmodified + San Zi Yang Qi Tang modified Su Zi Jiang Qi Tang Dao Tan Tang modified In the elderly: Qi Guan Yan Pian With Spleen Qi Deficiency prominent: Liu Jun Zi Tang With Heat and Spleen Qi Deficiency: Qing Fei Yin With Spleen Yang Deficiency: Er Chen Tang + Ping Wei San Ling Gui Zhu Gan Tang modified Chinese Patent medicines: Su Zi Jiang Qi Wan Er Chen Wan Qi Guan Yin Ke Sou Tan Chuan Wan
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43 LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-13 LIV-13, LU-5, LU-7, LU-9, SP-3, SP-6, ST-36, ST-40, moxa UB-13, UB-13, UB-43 With wheezing: + Dingchuan With fullness in the chest: + PC-5 LU-9, REN-12, ST-36, ST-40, UB-13, UB-20 With thick, yellow Phlegm, a slimy, yellow tongue coat and a slippery, rapid pulse: + LI-11 With clear, white Phlegm and abdominal and epigastric fullness and distention: + LU-1 With constipation: + ST-25 For thirst with a desire for cold drinks: + LI-4, LU-5 For chest oppression: LU-5, REN-17, REN-22, SP-9, ST-40, UB-13 With severe pain: + UB-17 With abdominal distention and coughing up profuse Phlegm: + REN-10

Cold Phlegm Obstructs The Lungs

Clinical Manifestations	Cough Wheezing Copious sputum Chest distention Anorexia Indigestion Hiccup Shortness of breath T: Normal C: Greasy, white P: Slippery
Treatment Principle	Warm the Lungs Descend Qi Relax the diaphragm Reduce Food Stagnation Resolve Phlegm
Herb Formulas	San Zi Yang Qin Tang With Kidney Deficiency or Qi Stagnation: Su Zi Jiang Qi Tangmodified
Points

Phlegm-Heat Congests The Lungs

Clinical Manifestations	Rapid breathing with a harsh voice Hacking cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess) The sputum is difficult to expectorate Painful chest on coughing Distention and fullness in the chest Hot air is expelled from the nose and mouth Maybe chills and fever Dyspnea Asthma Maybe sore or congested throat Bitter taste in the mouth Wheezing that tends to be worse in the afternoon and first thing in the morning Fullness and distention in the chest and diaphragm Fever with sweating Pain in the ribs Dry mouth Bitter taste in the mouth Thirst Dry or sore throat Anorexia Nausea Dry stools or Constipation or Loose stools Lethargy Weakness Scanty, dark urine T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid or Rapid, full and slippery
Treatment Principle	Clear Heat Eliminate Phlegm Descend Lung Qi Relieve cough Counteract Toxin Transform Stasis Drain Pus
Herb Formulas	Cough #2 Qing Qi Hua Tan Wan Qing Jin Hua Tan Wan modified Gua Lou Zhi Shi Tang Xiao Xian Xiong Tang Ma Xing Shi Gan Tang Ding Chuan Tang For yellow or green mucus: Wei Jing Tang modified Chinese patent medicines: Qing Qi Hua Tan Wan Qing Fei Yi Hua Pian Chuan Ke Ling San She Dan Chen Pi Mo Zhi Ke Pi Pa Chong Ji Ke Chuan Pian Ke Chuan Chong Ji Xiao Ke Chuan
Points	LI-11, LU-1, LU-5, LU-6, LU-7, LU-10, REN-17, ST-40, UB-13 With wheezing: + Dingchuan With fullness in the chest: + PC-5 Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13 LI-4, LU-5, LU-10, ST-40, UB-13 With dry stools: + SP-6 With chest pain: + PC-6 With a sore throat: + bleed LI-11 Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-15, REN-17, ST-40

Lung And Stomach Heat

Clinical Manifestations	Cough Yellow Phlegm Dry mouth Thirst with a desire to drink Constipation Sore throat Hematemesis Hemoptysis T: Red and dry C: Yellow P: Rapid
Treatment Principle	Clear and purge Lung Heat Transform Phlegm Stop cough and asthma
Herb Formulas	Qing Fei Yi Huo Hua Tan Wan Qing Qi Hua Tan Wan
Points

Lung Qi Deficiency

Clinical Manifestations	Chronic, weak cough Coughing fatigues the patient Continuous cough Cough is aggravated by fatigue, exertion or exposure to Wind Aversion to Wind Aversion to Cold Frequent colds Shortness of breath Clear thin or white mucus Chest oppression which is relieved by inhaling Wheezing Spontaneous perspiration Weary Spirit Catches cold easily Weak, low voice or Reluctance to speak Dry, white face Dry throat Dyspnea on movement Parched mouth T: Pale C: Thin and white P: Forceless and weak
Treatment Principle	Tonify Lung Qi Transform Phlegm Stop cough
Herb Formulas	Bu Fei Tang Bu Fei Tang + Yu Ping Feng San Ren Shen Yang Rong Tang Bu Zhong Yi Qi Tang Bu Wei Fang With Heat in the Lungs: Ren Shen Ge Jie San With Spleen Qi Deficiency: Liu Jun Zi Tang modified Chinese Patent Medicines: Bu Zhong Yi Qi Wan Ge Jie Da Bu Wan Ren Shen Yang Ying Wan Ping Chuan Wan
Points	LU-1, REN-6, REN-17, ST-36, UB-13 REN-6, REN-12, ST-36, UB-42, UB-43 LU-9, REN-17, ST-36, UB-13, UB-42 or UB-43 With Spleen Qi Deficiency: + SP-3, UB-20 With copious, thin sputum: + ST-40 With abdominal distention: + REN-6, REN-12 With wheezing: + REN-22 LU-7, LU-9, REN-12, SP-6, moxa or moxa needle DU-14, ST-36, UB-13, UB-20, UB-43

Lung Yin Deficiency

Clinical Manifestations	Longstanding weak, dry cough with a little amount of white mucous or blood-tinged sputum If mucus is present, it is thick and hard to expectorate Dry mouth Dry throat Hoarseness Flushed cheeks Afternoon fever Five Sole Heat Insomnia Night sweating Fatigue Emaciation T: Red or Red and dry C: Little or None or Peeled P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Eliminate Phlegm Relieve cough
Herb Formulas	Cough #4 Bai He Gu Jin Tang Sha Shen Mai Men Dong Tang Yang Yin Qing Fei Tang Yue Hua Wan Gu Ben Wan Er Dong Er Mu Tang With Phlegm-Fire: Bei Mu Gua Lou San With Heat: Bu Fei E Jiao Tang With Heart Yin Deficiency: Xuan Miao San With copious, white, salty, difficult to expectorate sputum; wheezing; nausea and a parched throat with a red, peeled Tongue: Jin Shui Liu Jun Jian Chinese Patent Medicines: Yang Yin Qing Fei Tang Jiang Mai Wei Di Huang Wan Li Fei Chuan Bei Pi Pa Gao
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43 KI-6, LU-1, LU-7, UB-13, UB-17 With copious Blood: + LU-6 KI-3, LU-1, LU-5, LU-10, ST-36, UB-13 KI-6, LU-1, LU-7, UB-13 With hemoptysis: + LU-6, UB-17 KI-3, KI-6, LU-5, LU-7, LU-9, UB-13, UB-23 With severe Heat: + LU-10 DU-14, KI-3, LI-11, LU-1, LU-9, REN-17. ST-36, UB-13 With severe night sweats: + HT-6, SI-3 With irritability: + HT-7, LIV-8 KI-3, KI-4, KI-6, LU-7, LU-9, UB-13, UB-23, UB-43 With severe Lung Heat: + LU-5 With bloody sputum: + LU-6, LU-10 With night sweats: + HT-6, KI-7 With afternoon fever: + DU-14, PC-5

Lung Dryness

Clinical Manifestations	A dry cough Difficult expectoration which often causes chest pain A hoarse voice A dry nose and throat An itchy throat T: Red C: Dry P: Thready and slightly rapid
Treatment Principle	Clear Dryness Moisten the Lungs Stop coughing
Herb Formulas	Qing Zao Jiu Fei Tang
Points	KI-3, LU-5, LU-7, SP-6, UB-13 With a headache and fever: + GB-20 With bloody Phlegm: + LU-6

Lung Qi And Yin Deficiency

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Drenching night sweats Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Weakness Anorexia Mild chest pain Irritability Restlessness Thirst Dry throat and mouth Lingering low-grade fever which is worse in the afternoon Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry or Thin and yellow P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular or Thready, rapid and weak
Treatment Principle	Augment Qi Clear Heat Nourish Yin Clear lingering toxins
Herb Formulas	Sha Shen Mai Men Dong Tangmodified Sheng Mai San Qiong Yu Gao Jiu Xian San Due to Heat and Dryness of the Lungs: Qing Zao Jiu Fei Tang Chinese patent medicines: Li Fei Yang Yin Qing Fei Tang Jiang With Phlegm-Heat: + Qing Qi Hua Tan Wan
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43 DU-14, KI-3, LI-11, LU-1, LU-9, REN-17, ST-36, UB-13 With severe night sweats: + HT-6, SI-3 With irritability: + HT-7, LIV-8

Lung And Spleen Qi Deficiency

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Spontaneous sweating Weak voice Reluctance to speak A general air of sadness or melancholy A waxy, pale complexion Rounded or hunched shoulders Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale with a thin crack C: White or White and greasy P: Thready and weak or Floating and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Descend Lung Qi Disperse accumulation
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang Wu Ji San Bu Zhong Yi Qi Tang For postpartum, post-menstrual or post-hemorrhage dyspnea and shortness of breath: Shi Quan Da Bu Tang Dang Gui Bu Xue Tang Chinese Patent Medicines: Su Zi Jiang Qi Wan Jiu Fei Su He Wan Bu Zhong Yi Qi Wan Ge Jie Da Bu Wan Ren Shen Yang Rong Wan
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43 DU-12, DU-14, LU-5, LU-7, LU-9, PC-6, REN-6, ST-25, ST-36, UB-13, UB-20 LU-9, REN-6, REN-12, SP-6, ST-36, UB-13, UB-20, UB-43 Ear: Lung, Spleen, Stomach Intestines, Abdomen Cupping: Upper back points Scarring plaster: Place a plaster of Bul. Allii Sativi Da Suan or Hb. cum Rx. Asari Xi Xin on DU-14 and/or UB-43 for two to three days to strengthen Wei Qi.

Lung Qi And Heart Yang Deficiency

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Spontaneous sweating Weak voice Reluctance to speak A general air of sadness or melancholy A waxy, pale complexion Rounded or hunched shoulders Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Chest pain and distention Pain stretches through to the back or Heart Spitting Panting T: Pale C: White P: Deep and wiry
Treatment Principle	Tonify Lung Qi Warm Heart Yang
Herb Formulas	Gua Lou Xie Bai Bai Jiu Tang modified
Points	Moxa needle DU-4, REN-4, REN-6 For frequent, profuse, clear urination: + moxa needle UB-23 For enduring diarrhea: + moxa DU-20 For seminal emission: + moxa needle UB-52 For an irregularly interrupted pulse: + PC-6

Lung And Kidney Qi Deficiency

Clinical Manifestations	Shortness of breath (difficult to inhale) Dyspnea exacerbated by exertion Asthma (inhalation difficult) Soft, weak voice Spontaneous perspiration Aversion to Wind Emaciated body Exhausted Shen Dispirited Limbs cold Face blue-green-colored Maybe superficial edema of limbs and body Maybe dysuria Maybe stress incontinence on coughing T: Pale, moist and swollen C: White P: Deep and thready or Weak
Treatment Principle	Nourish the Lungs Soothe asthma Reinforce the Kidneys to Grasp Qi
Herb Formulas	Sheng Mai San + Ji Sheng Shen Qi Wan Hei Xi Dan Ren Shen Ge Jie San
Points	DU-4, KI 3, LU 9, REN-4, REN-6, REN-17, REN-22, ST-36, UB-13, UB-23

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unable to smell Headache Deficient memory Strong odor inside nose May be able to squeeze out green or yellow chunky chunks from the nose Dry, hacking cough with little or no sputum Flushed face Sputum is difficult to expectorate Restlessness Maybe hemoptysis Hiccups Cough may cause chest pain Dyspnea Dry or sore throat Upper respiratory tract infection Hoarse voice Asthma	Dry lips and mouth Fever Shortness of breath Hemoptysis Constipation Thirst Dry skin and hair Dryness in nose Sensation of fullness in chest Epistaxis Hypochondriac pain Chills and fever Headache Anhidrosis Irritability Itching T: Red tip, dry C: Thin, yellow, or White and dry, or None P: Superficial, maybe rapid or Big and weak or Deficient, big and rapid
Treatment Principle	Eliminates Dryness Nourish Kidney and Lung Yin Moistens the Lungs
Herb Formulas	Bai He Gu Jin Tang Liu Wei Di Huang Wan Yang Yin Qing Fei Tang Yue Hua Wan Mai Wei Di Huang Wan Qi Wei Du Qi Wan With Phlegm: Jin Xue Liu Jun Jian
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43

Lung And Kidney Yin Deficiency With Heat

Clinical Manifestations	Cough with blood streaked sputum Wheezing Chest oppression and pain Expectoration of small amounts of thick, sticky sputum Dry mouth Dry, sore throat Five sole Heat Afternoon fever Low grade fever Night sweats Malar flush Irritability Insomnia Shortness of breath Nocturnal emission Steaming bones Vivid dreaming Fatigue Anorexia Tinnitus Dizziness Dyspnea Dysphoria Hoarseness Restlessness Emaciation Irregular menstruation Dry stools T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Transform Phlegm Stop Cough Clear Heat Nourish the Blood Stop bleeding
Herb Formulas	Bai He Gu Jin Tang Yang Yin Qing Fei Tang Ba Xian Chang Shou Wan + Da Bu Yin Wan With chest pain: Yue Hua Wan modified
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23 KI-2, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23 KI-3, LU-1, LU-5, SP-6, UB-13 With hemoptysis: + LU-6 With palpitations: + PC-6 With Heart pain: + REN-17, UB-14

Lung Exhaustion Due To Grief And Worry

Clinical Manifestations	Continuous cough Loss of body hair Haggard appearance Shivering Aversion to Cold Hemoptysis Malar flush Emaciation Hot body P: Thready and rapid
Treatment Principle
Herb Formulas
Points	DU-12, REN-6, ST-25, ST-36, UB-42, UB43

Spleen Qi Deficiency With Phlegm-Damp Retention

Clinical Manifestations	Coughing up copious, thin, white sputum Dyspnea Sallow complexion A slightly puffy face Distention of chest and epigastrium Aversion to Cold A bland taste in the mouth Anorexia Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Abdominal and epigastric distention after meals Nausea Vomiting Maybe bleeding Stifling sensation in the chest and epigastrium Acid regurgitation Shortness of breath Loose stools or diarrhea Lethargy Thin muscles Fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe borborygmus Maybe cold extremities Muscle weakness in arms and legs Weak abdomen T: Pale and flabby, may have teeth marks C: White and greasy P: Soft and weak
Treatment Principle	Tonify Qi Strengthen the Spleen and Stomach Transform Phlegm Dry Dampness Circulate Qi Harmonize the Middle Jiao
Herb Formulas	Liu Jun Zi Tang modified Er Chen Tang
Points	REN-4, ST-36, UB-13, UB-20, UB-21 For loose stools: + SP-4 For lassitude: + DU-9 For rapid breathing: + KI-7 or UB-23

Spleen Qi Deficiency With Phlegm In The Elderly Due To Food Stagnation

Clinical Manifestations	Cough Wheezing Copious sputum Chest distention Anorexia Indigestion Hiccup Shortness of breath T: Normal C: Greasy, white P: Slippery
Treatment Principle	Descend Qi Relax the diaphragm Reduce Food Stagnation Resolve Phlegm
Herb Formulas	San Zi Yang Qin Tang
Points

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 Cough 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

Damp-Heat Injures The Spleen

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Maybe cough Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San
Points	LI-11, LU-9, REN-12, SP-9, ST-36, ST-44, UB-20

Spleen And Kidney Yang Deficiency

Clinical Manifestations	A chronic, recurrent cough Worse with exertion Thin, watery mucus Wheezing Dyspnea Spontaneous sweating Dizziness Palpitations Body cold Intolerance of Cold Limbs icy and heavy 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 Pitting edema Dysuria Nocturia Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow or Deep and slippery
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Zhen Wu Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Stomach And Lung Yin Deficiency

Clinical Manifestations	Hacking cough with little yellow sputum or No sputum Blood tinged sputum (when Yin Deficient Fire is present) Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Dry mouth and throat Itching in throat Coughing up difficult-to-extectorate Phlegm Nausea Hoarse voice, low voice or loss of voice Thirst Asthma Flushed face Five sole Heat Afternoon fever Night sweats Malar flush (especially in afternoon) Emaciation Vomiting No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Clear and Nourish the Lungs and Stomach Generate Fluids Moisten Dryness
Herb Formulas	Sha Shen Mai Men Dong Tang Mai Men Dong Tang
Points	UB-13, UB-17, UB-21, UB-43, ST-36, SP-6, REN-12, LU-1, LU-5, LU-, LU-7 + KI-6, LU-9, LU-10, KI-3

Heart Yang Deficiency

Clinical Manifestations	Cold limbs Maybe chills Cyanosis Suffocating sensation in chest Asthma Wheezing Cough Depression Facial pallor Shortness of breath T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Warm and Clear Heart Yang
Herb Formulas	Gua Lou Xie Bai Bai Jiu Tang
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, UB-15

Heart Yang Not Vigorous: Water Qi Insults The Heart With Lung And Spleen Qi Deficiency

Clinical Manifestations	Expectoration of white, watery Phlegm Palpitations Shortness of breath Dizziness Epigastric fullness and contravection (reflux vomiting) Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang Zhen Wu Tang
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, LU-9, PC-3, PC-4, PC-5, PC-6, PC-7, REN-12, REN-14, REN-17, SP-6, ST-36, ST-40, UB-13, UB-15, UB-20, UB-43

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

Clinical Manifestations	Palpitations Dysuria Shortness of breath Dyspnea Dizziness Muscular twitching Whole body edema Cold body Icy limbs Cold abdomen with watery stools Edema of limbs Cough Pale complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Abdominal pain Diarrhea T: Pale or Purple (Lavender) C: White and greasy P: Deep or Deep and minute
Treatment Principle	Support Yang Expel Cold Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	Moxa or 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

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Cough with sticky, yellow sputum 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, Shi, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	(Meng Shi) Gun Tan Wan
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

Phlegm Confuses The Heart Orifices

Clinical Manifestations	Mental confusion Clouding of consciousness Talking to oneself Acting as if no one else is present Dull expression with blank stare Odd behavior Cough and wheezing with copious sputum Maybe loss of consciousness Maybe falling to the ground Sound of phlegm in throat with gurgling T: Pink C: White and greasy P: Deep and slippery; maybe wiry
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Dao Tan Tang
Points	DU-16, DU-26, HT-7, PC-5, ST-40, UB-15, UB-18, UB-20, UB-62

Heart And Lung Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath Asthma Soft weak cough Spontaneous perspiration T: Pale C: Thin and white P: Weak
Treatment Principle	Reinforce the Lungs and Heart Strengthen Qi
Herb Formulas	Bu Fei Tang Si Jun Zi Tang Bao Yuan Tang Zhi Gan Cao Tan Sheng Mai San
Points	HT-7, LU-9, PC-6, REN-6, REN-14, REN-17, ST-36, UB-13, UB-15, UB-43 HT-7, LU-9, REN-17, UB-13, UB-15

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang With Phlegm-Dampness: Xiao Chai Hu Tangmodified
Points	LI-18, LIV-3, PC-5, SI-17, SJ-6

Liver Qi Stagnation Attacks The Lungs

Clinical Manifestations	Upper respiratory cough Chest pain Alternating chills and fever' Sweating Joint pain with a crackling sensation Epigastric pain Fatigue Gastrointestinal weakness Headache Heaviness in the head Distension beneath the Heart Periumbilical or lower abdominal pain Tenseness around the pubic bone Subcostal pain Epigastric fullness Nausea Mild vomiting Mild thoraco-costal discomfort Costal distress Tension in the rectus abdominus Chest distension Abdominal pain Abdominal distension Constipation Irritability Insomnia Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Release the Exterior and muscle layer Harmonize and releases the Shao-Yang Harmonize the Liver and Lungs
Herb Formulas	Chai Hu Gui Zhi Tang
Points

Stagnation Of Qi In The Liver Channel Affectiong 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

Liver Fire Scorches The Lungs

Clinical Manifestations	Severe, dry and paroxysmal cough Cough with sputtering Worse with emotional turmoil or anger Difficult to cough up sputum Scanty, sticky Phlegm Maybe Blood-streaked sputum The cough may drag on or may recur regularly Pain over the chest and hypochondrium aggravated by coughing During the coughing, the patient may get hot, flushed and upset Redness of eyes and face Red face during coughing Bitter taste in the mouth Dry mouth and throat Angers easily Irritability Restlessness Depression Dizziness Headaches T: Red edges and tip or Red and dry C: Thin and yellow or Thick and yellow P: Rapid and wiry or Rapid and slippery
Treatment Principle	Clear Lung Heat Calm the Liver Descend Qi Suppress Fire Moisten the Lungs Expel Phlegm
Herb Formulas	Cough #3 Xiao Yao San + Ban Xia Hou Po Tang Dai Ge San Xie Bai San Ke Xue Fang Long Dan Xie Gan Tang Jia Wei Xiao Yao San For a chronic condition: Sang Dan Xie Bai Tang  modified Xiao Yao San Si Ni San Yue Ju Wan Chai Hu Shu Gan Tang For mild cases: Sang Dan Xie Bai Tang With Phlegm-Heat: Dai Ge San + Qing Jin Hua Tan Wan Chinese patent medicines: Qing Qi Hua Tan Wan Long Dan Xie Gan Wan Qing Fei Yi Huo Pian
Points	LIV-2, LU-5, LU-7, UB-18, UB-43 GB-34, LIV-2, LIV-3, LIV-14, LU-5, PC-6, UB-13, UB-18 With hemoptysis: + LU-6 DU-9, LIV-2, LIV-14, LU-3, LU-5, UB-13, UB-18 With distending pain in the chest and hypochondrium: + GB-40, SJ-6 With hemoptysis: + LU-6 With Dryness and itching of the throat: + KI-6

Liver And Kidney Yin Deficiency With Empty Fire Rising

Clinical Manifestations	Cough Hemoptysis Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus, deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan Zhi Bai Di Huang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Kidney Yang Deficiency: Kidneys Unable To Grasp Qi

Clinical Manifestations	A history of illness Cough with frothy, maybe salty sputum Dyspnea which is worse on exertion Difficult to inhale but not to exhale Shortness of breath, shallow breathing Soft voice Perspiration Asthma Low back pain Aversion to Cold Dark complexion All symptoms worse on exertion Dizziness Vertigo Aversion to Cold In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type In severe cases: a sensation of Qi rising from the umbilicus T: Pale and swollen or Pale, swollen and moist C: Thin and white P: Superficial and Deficient or Deep and thready or Weak
Treatment Principle	Reinforce the Kidneys to grasp Qi
Herb Formulas	Ren Shen Ge Jie San Hei Xi Dan With Cold Phlegm: Su Zi Jiang Qi Tang With pronounced edema: Zhen Wu Tang  modified
Points	DU-4, KI-3, LU-9, REN-6, ST-36, UB-13, UB-23, UB-43 DU-4, KI-7, KI-24, KI-25, LU-9, REN-4, UB-13, UB-23

Kidney Deficiency With Water Flooding The Lungs

Clinical Manifestations	Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm the Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang Ting Li Da Zao Xie Fei Tang
Points	Moxa KI-7, LU-7, LU-9, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

Kidney Yin Deficiency With Empty Fire Rising

Clinical Manifestations	Dry cough Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel Dry mouth Thirst Night sweats Five sole heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and / or constipation Urine short and red Heightened libido T: Red C: Little or None P: Thready and rapid
Treatment Principle	Moisten the Yin Restrain the Fire
Herb Formulas	Zhi Bai Di Huang Wan Zi Yin Jiang Huo Tang
Points	KI-1, KI-2, KI-3, KI-6, KI-9, REN-4, SP-6, UB-23

Yin Deficiency, Dried Blood And Wind-Dampness

Clinical Manifestations	Dizziness Blurred vision Chronic cough Constipation with very dry stools Dry, flaky skin Numbness Painful obstruction
Treatment Principle	Nourish the Liver and Kidneys Clear the Head and Eyes Expel Wind-Dampness
Herb Formulas	Sang Ma Wan
Points

Qi Rebellion Damaging The Channels

Clinical Manifestations	Bleeding gums Spasmatic cough Radiating chest and lateral-costal pain Red tinged Phlegm A dry mouth Irritating Heat Epistaxis Abdominal glomus and pain Black colored stools Dizziness Tidal fever Short, red urination T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Calm the Shen Open the Channels Descend Qi Transform Stasis Clear Heat Cool the Blood Stop bleeding
Herb Formulas	Qi Rebellion #1
Points

Qi , Blood And Yang Deficiency With Cold

Clinical Manifestations	Anemia Uterine bleeding Cold extremities Pale or sallow face Dizziness General fatigue Coarse skin Nocturnal emissions Weak knees Fatigue Dyspnea Night sweats Irregular menstruation Insomnia Intolerance of Cold Decreased eyesight after a prolonged illness Anxiety Intermittent fever Jaundice Deficient cough Shortness of breath Palpitations Anorexia Listlessness Lassitude Spontaneous sweating Spermatorrhea Continuous spotting Leukorrhea Weak legs and knees T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Replenish Yang Warm and tonify Qi and Blood
Herb Formulas	Shi Quan Da Bu Tang
Points

Blood Stagnation

Etiology	Usually follows some sort of trauma to the chest May be the result of late-stage Lung disease such as Lung cancer
Clinical Manifestations	Recurrent irritating cough with a history of trauma to the chest or other chronic Lung disease Cough is worse at night Scanty or Blood streaked mucus Mucus may have dark patches of clotted Blood Pain around the site of the injury during bouts of coughing Maybe cold extremities T: Pale or Purplish with brown or purple petechiae C: Normal P: Wiry or Choppy or Thready and weak
Treatment Principle	Resolve Stagnant Blood in the Lungs Stop cough
Herb Formulas	Xue Fu Zhu Yu Tangmodified Chinese patent medicines: Xue Fu Zhu Yu Wan Sheng Tian Qi Pian Jin Gu Die Shang Wan Yan Hu Suo Zhi Tong Pian Fu Ke Wu Jin Wan For traumatic injury: Qi Li San
Points	LI-4, LIV-3, LU-5, PC-6, SP-10, UB-13, UB-17, Ahshi points With hemoptysis: + LU-6

Cold Thin Mucus Due To Yang Deficiency (Han Yin)

Clinical Manifestations	Cough with profuse sputum Sputum is thin, watery and white Wheezing Discomfort in the chest and diaphragm T: Normal or Pale C: White and slippery P: Wiry and slippery
Treatment Principle	Warm the Lungs Transform congested Fluids
Herb Formulas	Ling Gan Wu Wei Jiang Xin Tang
Points

Phlegm Stagnation In The Chest With Deficiency Fire Rising

Clinical Manifestations	Coughing Swelling and pain of the throat Thick, salty sputum with mucus and Blood Chills Aversion to Cold Fullness and congestion in the chest Dry mouth No thirst Foul-smelling sputum P: Slippery and maybe rapid
Treatment Principle	Eliminate Phlegm and pus Clear Deficiency Fire Clear Toxins
Herb Formulas	Jie Geng Tang
Points

Phlegm-Damp With Cold Excess And Kidney Deficiency

Clinical Manifestations	Occurs in children and the elderly with chronic wheezing Recurs every winter Repeated attacks of productive cough Thin, watery mucus There may be scanty, tenacious mucus Triggered by a Cold Invasion during winter Wheezing Shortness of breath Tightness in the chest Usually occurs at night or in the early morning Severe cases: Orthopnea Weakness and pain of the lower back and legs Fatigue Edema of the extremities T: Pale and swollen with toothmarks C: Moist, greasy and white P: soft and slippery
Treatment Principle	Warm and transform Clod Phlegm Descend Rebellious Qi Stop cough and wheezing
Herb Formulas	Su Zi Jiang Qi Tangmodified
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43 LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 LIV-13, LU-5, LU-7, LU-9, SP-3, SP-6, ST-36, ST-40, moxa UB-13, UB-20, UB-43 With wheezing: + Dingchuan With fullness in the chest: + PC-5 With Kidney Deficiency: + moxa UB-23

Phlegm-Damp Obstrructs The Membrane Source

Clinical Manifestations	Fullness in the chest and hypochondrium Restlessness Irritability Heartburn Dizziness Vertigo A greasy mouth cavity Coughing with sputum Difficulty expectorating Alternating chills and fever as that in malaria every other day T: Normal C: Thick and rough P: Taut and slippery or Wiry and slippery
Treatment Principle	Dispel Dampness Dissolve Phlegm Eliminate pathogenic factors from pleurodiaphragmatic interspace (membrane source)
Herb Formulas	Chai Hu Da Yuan Yin
Points

Wind Consumption (With Yin Deficiency)

Clinical Manifestations	Cough with sticky yellow or blood tinged sputum Steaming bones sensation Night sweats Tidal fever Warm sensation in the afternoon Red lips Red cheeks Lethargy Alternating chills and fever Five-sole-Heat Dry mouth Dry throat Emaciation Weak limbs T: Red C: Little or None P: Faint and rapid
Treatment Principle	Nourish Yin and Blood Clear Deficiency Heat Reduce steaming bones sensation Dispel Wind-Dampness
Herb Formulas	Qin Jiao Bie Jia San
Points

Tan Yin

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Cough Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Qing Shi Hua Tan Tang
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Han Tan

Clinical Manifestations	Cough with sputum Cough Wheezing Copious sputum Chest distention Anorexia Indigestion Hiccup Shortness of breath T: Normal C: Greasy, white P: Slippery
Treatment Principle	Warm Cold Descend Qi
Herb Formulas	San Zi Yang Qin Tang
Points

Damp-Phlegm (Shi Tan)

Clinical Manifestations	Dizziness Vertigo Mental cloudiness Heavy head Facial puffiness Heavy sensation in the body Cough with Excess sputum Chest and epigastric distention Suffocating sensation in the chest and epigastrium Nausea Profuse, sticky sputum , more pronounced in the morning and worse after meals Vomiting Anorexia Fatigue Borborygmus Tinnitus Mouth glutinous No thirst Likes to sleep Maybe palpitations Weak limbs T: Thick C: White and greasy or Sticky and white P: Rolling or Wiry and slippery
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Eliminate Dampness Resolve Phlegm
Herb Formulas	Er Chen Tang Ping Chen Tang Er Chen Tang + San Zi Yang Qin Tangmodified She Gan Ma Huang Tang With Qi Deficiency: Jin Shui Liu Jun Jian
Points	GB-34, LIV-13, REN-12, ST-36, ST-40 PC-6, REN-12, ST-8, ST-40, UB-20 DU-20, DU-23, GB-20, GB-34, LI-4, REN-12, ST-36, ST-40, ST-41 REN-12, PC-6, ST-41 LU-1, LU-9, PC-1, SP-3, ST-40, UB-13, UB-20 With a suffocating sensation in the epigastrium: + PC-6, REN-17 With a poor appetite: + REN-12, ST-36

San Jiao : Upper Jiao Cold-Damp

Clinical Manifestations	Aversion to Cold Heavy pressure headache Anorexia Mental dullness Cough with white Phlegm Severe chills Slight fever Maybe no fever or Afternoon fever Heavy head and extremities Anhidrosis Chest distention A sluggish feeling A sticky mouth Diarrhea or Loose stools Borborygmus Sticky saliva No thirst Epigastric distention T: Pale C: White or Greasy and white P: Soft or Floating and slow
Treatment Principle	Dry Damp Warm the body
Herb Formulas	Huo Xiang Zheng Qi Tang
Points	Moxa REN-8, REN-9, REN-12, UB-13, UB-39 GB-20, LU-1, REN-17, SP-9, ST-36

Turbid Dampness In The San Jiao

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

Phlegm Stagnation In The Middle Jiao

Clinical Manifestations	Pain in both arms Inability to lift the hands Symptoms more pronounced on one side Numbness in both hands Superficial edema in all four extremities Palpitations with vomiting Coughing T: Normal C: White and greasy P: Deep and thready or Wiry and slippery
Treatment Principle	Dry Dampness Move Qi Soften hardness Transform Phlegm
Herb Formulas	Fu Ling Wan
Points

San Jiao : Middle Jiao Phlegm-Heat

Clinical Manifestations	More Heat symptoms than Damp symptoms Thicker Fluid Feverish Chest discomfort Cough Nausea Vomiting T: Normal C: Greasy and white or Greasy and yellow P: Slippery and maybe rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	San Jiao #1 Gan Lu Xiao Du Dan
Points	REN- 6, REN-12, SP-9, ST-25, ST-36, ST-40

Transverse Luo Of The Gall Bladder

Clinical Manifestations	Cough Perspiration Cannot breathe due to pain in the ribs Pain at GB-30 Cannot raise the thigh
Treatment Principle
Herb Formulas
Points	GB-37, LIV-1 GB-37, LIV-3