Hearing Loss

Shao Yang Fu With Underlying Liver Qi Stagnation

Clinical Manifestations	Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Depression Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Shao Yang Unblock the three Yang Stages Sedate and calm the Spirit Relieve the chest and subcardiac regions Adjust the Central Nervous System
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points

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	Induces sweat Releases the Exterior Dispels Wind Alleviates pain Treats skin and External diseases
Herb Formulas	Jing Fang Bai Du San
Points

Wei Stage : Wind-Heat

Clinical Manifestations	Unilateral tinnitus or hearing loss that is sudden and generally mild Fullness, distention blockage and persistent itching of the ear Inflammation of throat and/or tongue May be ear pain or pain in the mastoid area sometimes radiating to the jaw Maybe purulent or bloody exudate from the ear Fever and chills with more fever than chills Sweating or Absence of sweating Cough with sticky yellow sputum Aversion to Wind and Heat Yellow nasal discharge Thirst with desire for cold drinks Headache General bodily soreness and malaise Throat is red The tonsils are swollen and engorged but without any particular pus spots Red bumps around mouth and lips (herpes simplex) Nasal obstruction Sore, swollen throat Dyspnea Chest pain Dry mouth Rapid breathing Maybe constipation Maybe scanty urine T: Red tip C: Thin and yellow P: Floating and rapid
Treatment Principle	Release the Exterior Clear Heat Open the ears
Herb Formulas	Yin Qiao San Jing Jie Lian Qiao Tang With exudate: Man Jing Zi San With pre-existing Internal Heat: Fang Feng Tong Sheng San Chinese patent medicines: Yin Qiao Jie Du Pian Gan Mao Dan Huang Lian Shang Qing Pian Niu Huang Jie Du Pian
Points	Two or three of the following: DU-23, GB-20, GB-39, LI-4, LI-5, LI-11, SI-4, SJ-5, SJ-17 + one or two of the following: GB-2, SI-17, SI-19, SJ-21 With Internal Heat: + LIV-2, SJ-2

Lung And Spleen Qi Deficiency

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Warm and transform Phlegm-Dampness
Herb Formulas	Bu Zhong Yi Qi Tang With Dampness: Shen Ling Bai Zhu San
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Ba Xian Chong Shou Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Spleen Qi Deficiency With Phlegm-Dampness

Clinical Manifestations	Tinnitus and/or loss of hearing which is worse with fatigue and exertion or on rising from sitting or lying The sound is likened to cicadas or the sound of rushing water The sound has a relatively low pitch. Occasionally the ear feels cold, empty or wet There may be persistent sinus or eustachian tube congestion Sallow complexion Pale lips Fatigue Weakness Anorexia Picky eating Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient or Thready and weak
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Bu Zhong Yi Qi Tang modified
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Heart Fire Due To Kidney And Liver Yin Deficiency

Clinical Manifestations	Palpitations Insomnia Tinnitus Dizziness Diminished acuity of vision and hearing Seizures Headache Deafness Blurred vision
Treatment Principle	Heavily sedate and Calm the Shen Anchor Yang Improve vision and hearing
Herb Formulas	Ci Zhu Wan
Points

Heart And Kidney Yin Deficiency

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

Small Intestine Excess Heat

Clinical Manifestations	Irritability Ulceration and erosion of the mouth and tongue Sore throat Dry mouth Thirst Desire for cold drinks Maybe deafness Urination short, dark, difficult and painful or Hematuria or Pain in the urethra Fullness and distention of lower abdomen T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Excess Heat Promote diuresis
Herb Formulas	Dao Chi San
Points	HT-8, LIV-2, REN-3, SP-6, SP-10, UB-27 PC-7, REN-4

Liver Fire Flaring

Clinical Manifestations	Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain In severe cases: Mania Hemoptysis Hematemesis Epistaxis Liver Fire Attacks the Lungs: Hemoptysis Rib pain which is severe when coughing Liver Fire Attacks the Stomach: Hematemesis T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang Dang Gui Long Hui Wan Chai Hu Qing Gan Tang
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

Liver Wind Stirring Internally: Extreme Heat Generates Wind

Clinical Manifestations	High fever Contractures Spasms Neck stiffness Convulsions Oculogyric crises Opisthotonos Coma Possibly death T: Red or Deep red P: Wiry and rapid
Treatment Principle	Clear Heat Cool the Liver Subdue Wind
Herb Formulas	Ling (Yang) Jiao Gou Teng Tang
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-14, DU-16, DU-20, DU-26, LI-11, LIV-2, LIV-3

Liver And Kidney Yin Deficiency

Clinical Manifestations	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 Ba Xian Chong Shou Wan With Fire Flaring: Zhi Bai Di Huang Wan Er Long Zuo Ci Wan With Internal Wind: Shi Hu Ye Guang Wan With Blood Deficiency: Gui Shao Di Huang Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Kidney Yang Deficiency

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Bu Gu Zhi Wan Da Tu Si Zi Wan Jia Jian Chinese Patent Medicines: Jin Kui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan
Points	DU-4, GB-2, KI-3, REN-4, SI-3, SI-4, SJ-17, ST-36, UB-23, UB-62 Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Yang Deficiency: Kidney Qi Not Consolidated

Clinical Manifestations	Low back and knees aching and weak Hearing deficit Jing Gate Not Consolidated: Spermatorrhea Premature ejaculation Vaginal discharge Infertility Urinary disorder: Frequent, clear, abundant urination Dribbling after urination Incontinence of urine T: Pale and swollen with teethmarks C: Thin white P: Deep and thready
Treatment Principle	Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Suo Gu Jing Wan Suo Quan Wan
Points	For spermatorrhea due to Kidney Qi Not Consolidated: 1. Jinggong, KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-52 2. REN-4, SP-6, UB-23 3. Jinggong, KI-3, KI-12, REN-4, ST-36 4. KI-12, REN-4, REN-6, SP-6, UB-23 For urinary incontinence and enuresis: 1. REN-3, SP-6, UB-22, UB-23, UB-28, UB-39 2. REN-3, SP-6, UB-22, UB-23, UB-28

Kidney Yin Deficiency

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Loss of libido Aching in bones Aching in leg and heel T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan Mai Wei Di Huang Wan Ba Xian Chong Shou Wan
Points	GB-2, KI-3, KI-6, KI-7, LU-7, SI-19, UB-23 KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

Kidney Yin Deficiency With Fire Flaring

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the 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 If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red and dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan Er Long Zuo Ci Wan Zhu Sheng Teng Er Tang Zi Shen Tong Qi Tang
Points	GB-2, KI-3, KI-6, KI-7, LU-7, SI-19, UB-23 KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

Kidney Yin And Liver Blood Deficiency With Liver Fire Rising

Clinical Manifestations	Deafness Tinnitus that worsen at night Dizziness Hypoacusis (elderly people) Blurred vision Fever Insomnia Irritability Hard of hearing Ocular pain Red eyes Thirst Auditory depression Poor hearing T: Red C: Yellow P: Weak, thready and rapid
Treatment Principle	Nourish Yin and Blood of the Liver and Kidneys Improve hearing Clear Heat
Herb Formulas	Zi Shen Tong Er Tang
Points

Kidney Jing Deficiency

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear Dizziness Tinnitus Low back and knees weak and aching In adults: Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of the fontanel Poor bone development Brittle bones
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Bu Gu Zhi Wan Zuo Gui Wan Bu Nao Wan Da Bu Yuan Jian Chinese Patent Medicines: Jin Kui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan
Points	DU-4, GB-2, KI-3, REN-4, SI-3, SI-4, SJ-17, ST-36, UB-23, UB-62 DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Kidney Qi Deficiency

Clinical Manifestations	Frequent urination Copious amounts of clear urine Incontinence of urine Enuresis Either a tendency towards being too hot of too cold Shortness of breath Asthma Aversion to Cold Cold limbs Weak lower back and knees Lingering tinnitus or deafness Seminal emission Impotence Fatigue Lack of strength Maybe anorexia Maybe loose stools T: Pale C: White P: Deep, weak possibly tight or Thready and weak
Treatment Principle	Tonify and warm Kidney Qi
Herb Formulas	Cong Rong Wan
Points

Qi And Blood Deficiency

Clinical Manifestations	Chronic tinnitus and/or hearing loss that tend to be intermittent and worse with fatigue In some cases the tinnitus may be loud enough to impair hearing Fatigue Weakness Anorexia Shortness of breath Palpitations with anxiety and insomnia Loose stools Poor appetite Light headedness or Postural dizziness Pale or sallow face Spots before the eyes Weak voice Reluctance to speak Sweating with little or no exertion Dry skin Dry hair Easily fatigued limbs Poor memory Pale lips and nails Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy or Thready and weak
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Shi Quan Da Bu Tang Ba Zhen Tang Chinese Patent Medicines: Gui Pi Wan Bu Nao Wan Ren Shen Yang Ying Wan Bu Zhen Wan
Points	GB-2, REN-4, SJ-17, SP-6, ST-36, UB-15, UB-17, UB-20, UB-23 KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

Qi, Yang And Blood Deficiency

Clinical Manifestations	Amnesia Palpitations Feverishness Anorexia Emaciation Pale face Insomnia Dyspnea on mild exertion Fatigue Shortness of breath. Weight loss Dry skin Dry mouth Dry throat Dry lips Uterine bleeding Irregular menstruation May suddenly lose consciousness Slack jaw Restless at night Lassitude Tendency toward being frightened easily Weakness Sallow complexion Dizziness Tinnitus Tremors in the limbs Spontaneous perspiration Fever and severe chills General debility Mental instability Coughing and gasping. Night sweats Amnesia. Diarrhea Turbid urine Nocturnal emission Impotence Constipation Feeble breathing. Tired limbs T: Pale C:White P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle	Tonify Qi Nourish the Blood Strengthen the Spleen and Lungs Nourish the Heart Calm the Shen
Herb Formulas	Ren Shen Yang Rong Tang
Points

Blood Stagnation

Clinical Manifestations	Persistent tinnitus or Hearing loss There may be black or dark discharge from the ear or Dark matter mixed in with the ear wax Maybe an earache or pain Chronic headaches Spider navii on the face, neck and trunk Vertigo Chronic tinnitus Hair loss Dark purple complexion or Blue or green facial complexion with or without rosacea or vitiligo Darkness around the eyes Brandy nose Progressive emaciation Abdominal distention Purplish discoloration of the sinews Tidal fever Dizziness Deafness Pale face Cyanosis Phthisis Muscle weakness Sudden loss of vision Pain that is fixed, stabbing and /or severe Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Activate the Blood Break up Stagnation Clear and open the ears
Herb Formulas	Tong Qiao Huo Xue Tang Xue Fu Zhu Yu Tang Chinese Patent Medicines: Fu Fang Dan Shen Pian Sheng Tian Qi Pian
Points	SP-6, SP-10, ST-36, UB-17, UB-40 Choose two or three of the following: GB-2, GB-20, GB-39, KI-3, SI-19, SJ-17, SJ-21, SP-6, SP-10, UB-17

Middle Jiao Qi Deficiency With Visual And Auditory Disturbances

Clinical Manifestations	Pterygium Tinnitus Hearing loss Diminished visual and aural acuity Blurred vision Abdominal pain Dizziness Light headedness Anorexia Spontaneous sweating Chronic diarrhea
Treatment Principle	Strengthen and raise the Qi of the Middle Jiao Improve visual and aural acuity
Herb Formulas	Yi Qi Cong Ming Tang
Points

Wind-Phlegm (Feng Tan)

Clinical Manifestations	Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Jie Yu Dan Ban Xia Bai Zhu Tain Ma Tang
Points	Pre-stroke: ST-40, UB-40 Stroke (emergency): DU-26, KI-1, PC-9, Ting Points Post-stroke: Arm: LI-4, LI-11, LI-15, SI-3, SJ-5 Leg: GB-34, GB-35, UB-40, UB-60 Scalp: Motor area (contralateral - upper one-fifth)

Wind-Phlegm (Feng Tan) With Qi And Yin Deficiency

Clinical Manifestations	Marked emotional changes and behavior Irritability A feeling of Qi rushing upward Red eyes Headache - lasts all day Palpitations Tinnitus A feeling of distention and oppression below the Heart Abdominal bloating Muscle spasms in the shoulders, neck and back Dizziness Vertigo Insomnia Hot flushes Anorexia Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling, maybe red edges C: Thick or Greasy P: Slippery and maybe wiry or Soft and wiry and maybe rapid
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Gou Teng San
Points

Phlegm Heat (Re Tan)

Clinical Manifestations	Tinnitus in both ears like the sound of cicadas There may be a feeling of blockage or pressure in the ears This condition often is long term with gradual loss of hearing Maybe yellow, purulent discharge from one ear associated with an earache Fullness and heaviness of the head Foggy-headedness Recurrent clearing of the throat Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Maybe restless fever Sore throat Fullness in the chest and epigastrium Loose or sluggish stools or Constipation Dry stools Shortness of breath Anorexia A poor sense of taste or A bitter taste in the mouth Dyspnea Nausea Vomiting Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid or Wiry and slippery
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Wen Dan Tang modified Er Chen Tang
Points	LI-11, LU-5, ST-40, UB-13 Choose one or two of the following: GB-2, SI-19, SJ-17, SJ-21 + two or three of the following: GB-20. LI-4, LU-7, PC-5, SJ-3, SP-4, SP-9, ST-40