Depression

General

Clinical Manifestations	Depressed mood for at least two consecutive weeks Sleep disturbance Lack of interest Feelings of guilt Decreased energy Decreased concentration Decreased appetite Psychomotor agitation/retardation Suicidal ideation
Treatment Principle
Herb Formulas
Points	Mild depression: PC-7, PC-8

Shao Yang Jing

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue May be depression Occasional nausea and vomiting Parietal headaches Hypochondriac pain Rib pain Achiness Ear infections Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on the sides C; Thin and white P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Xiao Chai Hu Tang
Points	GB-34, LIV-3, SJ-6 SJ-5, LIV-3, LIV-14, GB-34 SJ-5, GB-41

Shao Yang Fu

Clinical Manifestations	Alternating chills and fever (not so likely) Restlessness Irritability Continuous vomiting Headache (side of head) Hypochondriac pain Epigastric pain Bitter taste in mouth Digestive disruption Anorexia Nausea Acid regurgitation Burning diarrhea or Constipation Menstrual problems Dry throat Heart pain with vomiting Throat pain Hip pain T: Red C: Thin yellow P: Wiry and forceful
Treatment Principle	Harmonize the Liver and Gall Bladder Purge Internal Heat
Herb Formulas	Da Chai Hu Tang With Phlegm: Ning Shen Ling Fang
Points	To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 For nausea and vomiting: PC-6, SP-4, ST-36 For headache: GB-1, GB-8, GB-14, Taiyang For constipation: SJ-6, ST-25 For fever: DU-13, DU-14 For Stomach Heat: LI-4, LI-11, ST-44 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: GB-41, SJ-5 , SP-10 To regulate menstruation: SP-6 For Shao Yang Fu with Tai Yang: For the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 For the Tai Yang: GB-20, UB-12 For Shao Yang Fu with underlying Liver Qi Stagnation: To harmonize the Shao Yang: GB-34, LIV-3, SJ-6 To clear Heat: LI-11, ST-44 To calm the Shen: HT-7, PC-6 Ear: Shenmen, Liver, Gall Bladder, bleed Heat points

Shao Yang Fu With Underlying Liver Qi Stagnation

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue May be depression Occasional nausea and vomiting Parietal headaches Hypochondriac pain Rib pain Achiness Ear infections Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on the sides C; Thin and white P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Depression #1 For Shao Yang Fu with Tai Yang manifesting as joint pain with a crackling sensation (symptoms are more external): Chai Hu Gui Zhi Tang For Shao Yang Fu with underlying Liver Qi Stagnation manifesting as chest and hypochondriac distension, insomnia, headache and possibly delirium: Chai Hu Jia Long Gu Mu Li Tang
Points	GB-34, LIV-3, SJ-6 SJ-5, LIV-3, LIV-14, GB-34 SJ-5, GB-41

Bai He Bing (Lily Syndrome)

Clinical Manifestations	Mental disorientation Irritability Insomnia Palpitations Depression Restlessness Hopelessness Sudden mood swings Erratic behavior Feels cold then not cold Feels hot then not hot Aversion to life Dry mouth Dry stools Dry throat Fatigue Irregular stools Lethargy Mental instability Obsessions Craves food the hates food Does not like to talk Does not know what he/she wants Dark urine A bitter taste in the mouth Dizziness Muddled thinking T: Red C: Little or None P: Slightly rapid or Weak and rapid or Thready and rapid
Treatment Principle	Moisten the Lungs and Heart Nourish Fluids Nourish Yin Clear Deficiency Heat Cool the Blood
Herb Formulas	Bai He Di Huang Tang Bai He Zhi Mu Tang
Points

Spleen Qi Deficiency

Clinical Manifestations	Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath May be depression T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Gan Mai Da Zao Tang With Phlegm-Damp Retention: Liu Jun Zi Tang
Points	UB-20, SP-3, SP-6, SP- 5, LIV-13, ST-36, REN-12

Central Qi Sinking

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

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 Tangmodified
Points

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Limbs icy Complexion white and shiny Intolerance of Cold Cold extremities Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful which is better with warmth and pressure Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) May be chronic dysenteric diarrhea which is thin, watery and mucoid The diarrhea may contain pus and Blood The diarrhea is worse with exposure to Cold and cold foods Mild tenesmus or A dragging sensation in the lower abdomen which is not relieved by the diarrhea Edema of face and limbs Anorexia Listlessness Fatigue Exhaustion Depression Dysuria Extreme cases: Ascites Incontinence of stools Rectal prolapse T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidney Yang Disperse cold Transform Dampness Astringe diarrhea Raise Qi
Herb Formulas	Fu Zi Li Zhong Wan Shen Qi Wan Xiao Jian Zhong Tang
Points	UB-20, UB-23, ST-36, SP-6, SP-9, Moxa REN-4, REN-12

Heart Blood Stagnation

Clinical Manifestations	Palpitations Stabbing or crushing pain in the anterior region over the Heart (may be chronic and relatively severe) The pain is in a fixed location The pain is worse at night or with sudden excitement, anger, emotion or exertion May be a sensation of missed beats during an episode Suffocating sensation or fullness in the chest Maybe drawing pain down internal aspect of arm (especially left arm) Pain (in chest and/or arm) tends to be severe and intermittent Irritability Restlessness Easy to anger Depression Persistent insomnia with much dreaming Dry, scaly skin Broken vessels or spider naevi on the chest, face, inner knee and ankles Dark rings under the eyes T: Dark red with purple spots or Purple body - sublingual veins are dark and distended C: Little P: Minute (scarcely perceptible) and thready or Knotted or Choppy or Wiry In severe cases: Cold limbs Cyanosis of lips, sclera conjunctiva and nails
Treatment Principle	Clear Yang Transform Stagnation Invigorate Blood Open Heart vessels Stop pain
Herb Formulas	Gua Lou Xie Bai Bai Jiu Tang Xue Fu Zhu Yu Tang
Points	UB-15, UB-17, REN-14, REN-17, PC-4, PC-6, HT-6, HT-7 May add: PC-3, PC-5, PC-7, HT-5 UB-14, UB-15, UB-17, PC-4, PC-5, PC-6, SP-6, SP-10, LI-4, HT-5 UB-17, UB-15, SP-6, SP-10, LI-4, LIV-3 With insomnia: Anmian, Yintang, HT-7 Ahshi points on the head, UB-15, UB-17, LI-4, LIV-3, SP-6, SP-10 With hypersomnia: GB-20, UB-62, SI-3, KI-6, Sishencong With shock: DU-26

Heart Fire

Clinical Manifestations	Insomnia Restlessness Agitation Anxiety Difficulty falling asleep Dream disturbed sleep Frequent waking with nightmares Palpitations Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Restlessness Irritability Irascibility Feeling of Heat and disturbance in the Heart Flushed face Bitter taste in the mouth Scanty, dark urine A red complexion Maybe painful urination Maybe hematuria T: Red tip, ulcers especially on tip or Red with a redder tip C: Normal or Yellow P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	San Huang Xie Xin Tang Qing Xin Lian Zi Yin Huang Lian Jie Du Tang For a chronic condition with Yin Deficiency or dysuria: Dao Chi San For Heart Yin Deficiency following a Shao Yin Heat condition: Huang Lian E Jiao Tang For residual Heat following a Summerheat condition: Zhu Ye Shi Gao Tang With severe palpitations and anxiety:Zhu Sha An Shen Wan With Blood and Yin Deficiency: Zhu Sha An Shen Wan Chinese Patent Medicines: Niu Huang Shang Qing Wan Niu Huang Jie Du Pian Dao Chi Pian Xiao Er Qi Xing Cha
Points	PC-8, PC-7, UB-15, HT-7, HT-8

Phlegm Confuses The Heart Orifice: Yin (Depressive) Psychosis

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 Gradual onset Depression Dullness Paraphasia Paraphonia Muteness Hypersomnia Anorexia 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-23, DU-26, LI-11, LU-11, PC-7, PC-8, REN-24, SP-1, ST-6 HT-7, ST-40, UB-15, UB-18, UB-20 DU-15, DU-20, DU-26, HT-5, PC-6, Sishencong, ST-40, Yiming To Open the Heart Orifice and Restore mental clarity: UB-15, UB-62, HT-7, DU-16, DU-26 To Resolve Phlegm: PC-5, ST-40, UB-20 To Spread Liver Qi: UB-18 Depressive Psychosis: UB 20, UB-15, ST-40, HT-7 Ear: Heart, Liver, Stomach, Sympathetic, Shenmen, Subcortex, Endocrine, Occiput

Heart Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue, weakness Depression Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Big and weak or Intermittent
Treatment Principle	Reinforce and strengthen Heart Qi
Herb Formulas	Si Jun Zi Tang Bao Yuan Tang Zhi Gan Cao Tang
Points	UB-15, HT-7, PC-6, REN-14, REN-17, REN-6, ST-36

Heart Blood Deficiency

Clinical Manifestations	Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness May be depression Pale face and lips T: Pale P: Thready and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen
Herb Formulas	Dang Gui Bu Xue Tang Gui Pi Tang Suan Zao Ren Tang Yang Xin Tang Yang Xin Tang #1
Points	HT-7, PC-6, UB-20, UB-17, REN-14, REN-4, ST-36, SP-6, SP-1

Heart Blood Deficiency With Liver Qi Stagnation (Restless Organ Disorder)

Clinical Manifestations	Absent-mindedness Frequent feelings of extreme sadness with an urge to cry Inability to control one's emotions Depression Restless sleep Abnormal speech or behavior Disorientation Frequent yawning T: Red C: Scanty P: Small and rapid
Treatment Principle	Nourish the Heart Calm the Shen Harmonize the Middle Jiao Relieve acute conditions Tonify Spleen Qi
Herb Formulas	Gan Mai Da Zao Tang
Points	HT-7, PC-6, UB-20, UB-18, UB-17, REN-14, REN-4, ST-36, SP-6, SP-1, LIV-2, LIV- 3, LIV-4, LIV-5, LIV-13, LIV-14, SJ-6, GB-40, GB-41

Heart Yin Deficiency

Clinical Manifestations	Palpitations Irritability Easily startled Insomnia Much dreaming Poor memory Low grade fever Night sweats Five sole heat Restlessness Dry mouth Thirst Dry throat Malar flush May be depression T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce the Heart Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan
Points	UB-15, HT-7, HT-6, HT-5, REN-14, PC-7, PC-6, PC-5, SP-6

Heart Yang Deficiency

Clinical Manifestations	Cold limbs Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Warm and clear Heart Yang
Herb Formulas	Gui Zhi Gan Cao Tang Gui Zhi Gan Cao Long Gu Mu Li Tang Bao Yuan Dan Gua Lou Xie Bai Bai Jiu Tang Severe cases: Gua Lou Xie Bai Ban Xia Tang modified
Points	UB-15, REN-17, REN-14, HT-7, HT-8, HT-5, PC-7, PC-6, PC-5, PC-4, PC-3, SP-6, ST-36, DU-25 UB-15, UB-17, REN-14, PC-6 With severe chest oppression: REN-17 or after ten sessions with no results alternate with SP-4, PC-6 With cold hands or a cold sensation in the cardiac area: Moxa UB-15, UB-17, REN-14 With profuse Phlegm or a slimy tongue coat: ST-40 With concurrent Qi Deficiency: ST-36 With concurrent Liver Yang Rising with hypertension: LIV-3, GB-20

Heart Yang Deficiency Exhaustion: Fainting With Cold Limbs ( Yang Xu Jue Ni)

Clinical Manifestations	Palpitations 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 Cold limbs Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor Gradual onset Depression and dullness Paraphasia Muteness Hypersomnia Anorexia All four limbs cold Watery stools with undigested food Maybe loss of consciousness T: Pale and swollen C: Thin P: Thready and wiry
Clinical Manifestations	These clinical manifestations indicate a Yang Deficiency condition which involves Kidney Yang Deficiency and Spleen Yang Deficiency in addition to Heart Yang Deficiency; therefore, the Yang of the whole body is very weak. Jue Ni literally is "collapse" and "contravection" and refers to fainting and / or cold limbs due to disturbance of the circulation of Qi and Blood
Treatment Principle	Return Yang Relieve contravection
Herb Formulas	Si Ni Tang Dao Tan Tang
Points	UB-18, UB-20, ST-40, HT-7, UB-15 DU-26, DU-16, LU-11, SP-1, PC-7, PC-8, UB-23, UB 62, ST-6, REN-24, LI-11 DU-26, DU-20, DU-15, Sishencong, Yiming, HT-5, PC-6, ST-40 DU-25, DU-26, PC-6, PC-9, KI-1, Moxa REN-8, REN-4, REN-6, ST-36 Ear: Sympathetic, Shenmen, Heart, Liver, Subcortex, Endocrine, Stomach, Occiput

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Palpitations with or without anxiety Insomnia (difficulty falling asleep) Much dreaming Easily startled Anxiety Phobias Panic attacks Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued) Forgetfulness Absent-mindedness Short attention span Poor memory Blurred vision Spots before the eyes Insomnia Four limbs tired and lethargic	Fatigue Low spirits Depression Weakness Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow or pale complexion Pale lips and nails Dry skin and hair Bruises easily Easily bruised Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale, may be swollen C: Thin and white P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen/Stomach Tonify Qi and Blood Calm the Shen
Herb Formulas	Gui Pi Tang Ren Shen Yang Rong Tang Gan Mai Da Zao Tang Yang Xin Tang Chinese Patent Medicines: Gui Pi Wan Bai Zi Yang Xin Wan Bu Nao Wan An Shen Bu Nao Wan
Points	UB-15, UB-20, HT-7, ST-36, REN-4, SP-6, SP-1 DU-20, UB-15, UB-17, UB-20, UB-52, HT-3, HT-7, Yintang, SP-6, ST-36, REN-4 With much dreaming: UB-42 SP-6, UB-20, ST-36. REN-6, DU-20 With palpitations: PC-6, UB-15 With insomnia: HT-7, Anmian DU-20, HT-3, HT-7, REN-4, SP-6, ST-36, UB-15, UB-17, UB-20, UB-52, Yintang With much dreaming: UB-42

Heart And Gall Bladder Qi Deficiency

Clinical Manifestations	Fear Paranoia There are often no physical symptoms at all Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Nightmares Waking terrified Easily frightened or startled Easily unsettled by seeming trivial events Apprehension Restlessness Inappropriate worry Timidity Phobias Anxiety (frequent and severe) Feeling disheartened Forgetfulness Frequent panic attacks Palpitations Shortness of breath Incessant laughter and glee Lethargy Fatigue Depression Postnatal depression Spontaneous sweating Worry Dizziness T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip C: Thin and white P: Wiry and thready or Weak, thready and rapid
Treatment Principle	Calm the Shen Tonify the Heart Qi Pacify timidity
Herb Formulas	Ding Zhi Wan An Shen Ding Zhi Wan Gui Zhi Jia Long Gu Mu Li Tang With Yin Deficiency: Tian Wang Bu Xin Dan Chinese Patent Medicines: Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nan Wan Jian Nao Wan
Points	DU-19, DU-20, DU-24, GB-40, HT-5, HT-7, HT-9, PC-6, REN-14, UB-7, UB-15 Anmian, DU-20, GB-40, HT-7, PC-7, ST-36, UB-7, UB-23, UB-47, UB-52, Yintang

Heart And Gallbladder Qi Deficiency Due To Shock Or Fright

Clinical Manifestations	Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Nightmares Waking terrified Easily frightened or startled Easily unsettled by seeming trivial events Apprehension Restlessness Fearfulness Inappropriate worry Timidity Phobias Anxiety (frequent and severe) Frequent panic attacks Palpitations Shortness of breath Lethargy Fatigue Depression Postnatal depression Spontaneous sweating T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip C: Thin and white P: Wiry and thready or Weak, thready and rapid
Treatment Principle	Strengthen Qi Calm the Shen Alleviate fearfulness Calm the mind Nourish and tranquilize the Heart
Herb Formulas	An Shen Ding Zhi Wan Ding Zhi Wan With Yin Deficiency: Tian Wang Bu Xin Dan
Points	DU-20, PC-7, HT-7, GB-40, UB-7, UB-23, UB-47, UB-52, ST-36, Anmian, Yintang GB-39, SJ-5, UB-15, PC-6, HT-7, HT-9, REN-14, DU-19, DU-24 Ear: Liver, Gallbladder, Heart, Subcortex, Sympathetic

Lack Of Communication Between The Heart And Kidneys

Clinical Manifestations	Palpitations Anxiety Insomnia Dream disturbed sleep Nightmares Hair loss Spontaneous perspiration Loss of appetite Dizziness Depression Lack of motivation T: Slightly pale P: Hollow and slow
Treatment Principle	Settle the Mind Calm the Shen Nourish and tranquilize the Heart
Herb Formulas	Gui Zhi Jia Long Gu Mu Li Tang
Points	UB-15, UB-7, PC-6, HT-9 , HT-7, HT-5, REN-14, DU-24, DU-20, DU-19, GB-40

Liver Qi Stagnation

Clinical Manifestations	Distention and pain in the sides or flanks Suffocating sensation in the chest Hypochondriac discomfort or tightness Headache or head distention Tendency to sigh Melancholy Depression Occasional fatigue Irritability Inappropriate anger Dizziness which is worse with stress and not posture related Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink or Dark C: Thin and white or thin and yellow P: Wiry
Treatment Principle	Soothe Liver Clear Stagnation
Herb Formulas	Chai Hu Shu Gan Tang Shu Gan Tang Yue Ju Wan Xiao Yao San
Points	LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, SP-6. PC-6, SJ-6, UB-18, GB-40, GB-41

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked

Clinical Manifestations	A 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 Women: 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 Ban Xia Hou Po Tang + Xiao Yao San With Phlegm-Heat: Wen Dan Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

Liver Qi Stagnation With Blood Blockage

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

Liver Qi Stagnation: Liver Qi Invades The Stomach

Clinical Manifestations	Epigastric pain (worse when emotionally upset) Belching with acid regurgitation Recurrent or chronic nausea , vomiting, sour belching and acid reflux, worse with stress and better when calm Anorexia Indigestion Heartburn Epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Fullness, tightness or discomfort in the chest, epigastrium and hypochondrium Tendency to sigh	Melancholy Depression Irritability Inappropriate anger Frustration Anxiety Moodiness Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses Premenstrual syndrome T: Pink or Darkish with slightly red edges - chronic cases may be pale on the edges C: Thin and white, possibly greasy P: Wiry or Wiry and slippery
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Chai Hu Shu Gan Tang Zuo Jin Wan Xiao Yao San Hei Xiao Yao San Mu Xiang Cheng Qi Wan Yue Ju Wan With Heat: Si Ni San With Phlegm: Ban Xia Hou Po Tang
Points	LIV-3, LIV-14, PC-6, REN-12

Liver Qi Stagnation: Liver Qi Invades The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: 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	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San Si Ni San
Points	LIV-3, LIV-13, SP-6, ST-36, ST-37, ST-25

Liver Qi Stagnation With Stagnant Fire

Clinical Manifestations	Insomnia Difficulty falling asleep Dream disturbed sleep Waking in the early hours Symptoms worse with stress Depression Frustration Irritability Moodiness Frontal or temporal headaches Shoulder and neck tension Teeth grinding at night Hypochondriac tension or discomfort Frequent sighing Dizziness Sensation of something lodged in the throat Irregular menstruation Premenstrual syndrome Breast tenderness Poor appetite Alternating diarrhea or constipation T: Normal or Dark or with red edges C:Thin white or Thin yellow or Thick yellow P: Wiry
Treatment Principle	Soothe the Liver Calm the Shen
Herb Formulas	Xiao Yao San modified Jia Wei Xiao Yao San modified Long Dan Xie Gan Tang modified Yi Gan San
Points	LIV-3, PC-6, UB-18, UB-15, GB-20, HT-7, Anmian, Yintang With lateral headaches: SJ-5, GB-39 With teeth grinding or aching jaws: ST-6 With digestive weakness: SP-6 With a sensation of something stuck in the throat: PC-5 With Heat or Fire: LIV-2, GB-44 HT-8, GB-43, SJ-3, SJ-6, LIV-2 With insomnia: HT-7 With bad breath: PC-8 With fever, flank pain and a thin, rapid pulse: LIV-14, SP-6 With constipation: ST-37:

Liver Qi Stagnation With Phlegm Heat

Clinical Manifestations	Distention and pain in the sides or flanks Suffocating sensation in the chest Hypochondriac discomfort or tightness Headache or head distention Tendency to sigh Melancholy Depression Occasional fatigue Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses Early menstruation with moderate or excessive Blood flow	Irritability Inappropriate anger Dizziness which is worse with stress and not posture related May be coughing of thick, yellow sputum Chest and diaphragm fullness and distention May be difficulty breathing Nausea Overweight A puffy, edematous, yellowish face Fullness in the head Heaviness of the limbs T: Pink or Dark or Red C: Thick, yellow and greasy P: Wiry, slippery and rapid
Treatment Principle	Soothe the Liver Clear Stagnation Strengthen the Spleen Resolve Dampness Clear Heat Resolve Phlegm
Herb Formulas
Points	PC-5, LIV-2, LIV-3, SJ-6, LI-18, SI-17, ST-40, ST-44, LI-11

Liver Fire Rising

Clinical Manifestations	Severe, splitting headaches with dizziness Sudden tinnitus or 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 May be depression Constipation or dry stools Maybe rib pain T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Shi and rapid In severe cases: Mania Bleeding of Excess Heat type: · Hemoptysis · Hematemesis · Epistaxis
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Jia Wei Xiao Yan San Zuo Jin Wan Long Dan Xie Gan Tang Yi Gan San
Points	LIV-2, UB-18, UB-19, GB-12, GB-37, GB-34

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 or spasms of limbs Flaccid paralysis (Wei syndrome), weakness May be long term tremors of the hand, leg, jaw or tongue Tinnitus, deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole heat Low-grade fever Night sweats	Irritability Insomnia Dream disturbed sleep Stools difficult to pass Constipation Poor memory Depression Emaciation Dry skin Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red or Red an dry C: Little or none P: Thready and rapid or Thready, wiry , rapid and deep
Treatment Principle	Nourish Yin 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
Points	UB-18, UB-23, LIV-3, KI-3 UB-23, UB-18, REN-4, KI-3, KI-6, LIV-3, LIV-8, LU-7, HT-7 With anxiety: PC-6, Yintang

Gallbladder Deficiency Heat

Clinical Manifestations	Dizziness Blurred vision Bitter taste in mouth Nausea Vomiting Agitation Restlessness Irritability Indecision Suspiciousness Palpitations with anxiety Insomnia Frequent sighing Suffocating sensation in chest May be depression T: Pink C: Yellow and greasy or Thin and white P: Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle	Clear Heat Transform Phlegm Descend Contravecting Qi Harmonize the Stomach
Herb Formulas	Wen Dan Tang modified
Points	UB-19, GB-34, ST-40, PC-5, PC-6, HT-7 With palpitations: UB-15, REN-14, HT-5

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Depression Knees feel cold and aching	Dizziness Tinnitus Impotence, spermatorrhea, premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang.
Herb Formulas	Jin Gui Shen Qi Wan
Points	KI-3, moxa needle UB-23, REN-4, DU-4

Qi , Blood, Phlegm And Food Stagnation

Clinical Manifestations	Depression Melancholy Anxiety Obsession Irritability Pain that is fixed, stabbing and/or severe or Pains that move around Distention Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Inappropriate anger Irregular menses	Breast distention and pain before and during menses 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 Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Pink or Purple, possible purple or red spots or Thick C: White or Greasy and white or Greasy and yellow P:Wiry or Choppy or Wiry and choppy or Slippery
Treatment Principle	Regulate Qi Activate the Blood Clear Heat Relieve toxicity Cool the Blood Transform Phlegm Relieve Food Stagnation Open the Orifices
Herb Formulas	Jie Yu San Dian Kuang Meng Xing Tang
Points

Qi And Phlegm Stagnaiton

Clinical Manifestations	Depression Irritability Feeling of oppression in the chest Plum-seed Qi Stagnation Enlarged thyroid gland T: Red C: Thin and greasy P: Wiry or Slippery-wiry
Treatment Principle	Resolve phlegm Regulate Qi circulation Soothe the Liver
Herb Formulas	Ban Xia Hou Po Tang Wen Dan Tang modified Gua Di San
Points

Blood Deficiency

Clinical Manifestations	Postpartum emaciation and weakness Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath Dyspnea Pale face Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five sole Heat	Debilitated constitution in children Enuresis in children Insomnia Fatigue Anemia Bleeding Abdominal weakness Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White. P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Spleen and Stomach Relieve spasmodic pain
Herb Formulas	Dang Gui Jian Zhong Tang
Points

Blood Stagnation

Clinical Manifestations	Dizziness Stubborn, fixed, boring headache Forgetfulness Insomnia (persistent with much dreaming) Restless sleep Palpitations Depression Low spirits Low grade fever at night Irritability Short temper Mood swings Dark or purplish lips, conjunctiva and nails Dark complexion Dark sclera	Dark circle under the eyes Dry, scaly skin Hair loss on the head and body Spider naevi on the cheeks, nose, trunk, inner knee and ankle Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums Loose teeth Painful receding gums Frequently bleeding gums T: Purplish or Dark with brown or purple spots P: Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle	Invigorate the Blood Eliminate Blood Stasis Regulate the Qi Clear the channels
Herb Formulas	Xue Fu Zhu Yu Tang Postpartum: Qing Hun San modified Chinese Patent Medicines: Fu Fang Dan Shen Pian Sheng Tian Qi Pian
Points	Ahshi points on the head, UB-17, SP-6, LI-4, LIV-3, SI-6 Ahshi points on the head, LI-4, LIV-3, LIV-4, UB-17

Wind-Phlegm (Feng Tan)

Clinical Manifestations	Dizziness Chest fullness and oppression General malaise Maybe nausea Sudden fall and loss of consciousness Convulsions Incontinence of urine and stool Maybe a transient loss of consciousness or falling into a trance without convulsions Spitting up frothy saliva Worsens with cold weather or when the patient has a cold T: Pink C: Thick, sticky and white or White and slimy P: Slippery or Taut and slippery
Treatment Principle	Tonify Spleen Yang Eliminate Phlegm Extinguish Wind Stop convulsions
Herb Formulas	Xing Xiang Er Chen Tang Ban Xia Bai Zhu Tian Ma Tang Ding Xian Wan With Qi and Blood Stagnation: Bu Yang Huan Wu Tang Chinese patent medicines: Ding Xiang Wan Wu Xian Zai Sheng
Points	GB-20, LI-11, LIV-3, PC-6, SP-9, ST-36, ST-40 General points

Phlegm-Heat

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Regulate Qi Transform Phlegm Clear the Gallbladder Harmonize the Stomach Clear Heat
Herb Formulas	Huang Lian Wen Dan Tang
Points	LIV-3, LIV-8, LIV-14, PC-6, PC-7, UB-18, SP-6, GB-26, GB-41, REN-3, ST-25 For depression and weeping: HT-5, HT-7, UB-15, LU-3 For breast pain: REN-17, ST-18, ST-34, LIV-14, GB-21 For Shao Yang headache: Taiyang, GB-8, GB38, SJ-5 For stiff neck: GB-20, GB-21, GB-39 For lower abdominal distention: REN-6 For irregular menstruation: GB-26, SP-10, LIV-5 For dream-disturbed sleep and insomnia: HT-7, UB-19, GB-12, GB-44 For constipation: SJ-6, SP-15

Gu Syndrome

General	Gu Syndrome describes a state of chronic infection by fungi, bacteria, or viruses. It is a complex of systemic infection involving a host with a weakened constitution. Treatment is lengthy. It is quite complicated with most patients presenting with a triad of pathological syndromes including: Liver Qi Stagnation, Spleen and Stomach Qi Deficiency and Damp-Heat. It also may include Food Stagnation, Blood and Yin Deficiency, Shen disturbance and Phlegm.
Clinical Manifestations	Abdominal pain Abdominal fullness and/or distention Chronic diarrhea or Alternation diarrhea and constipation Nausea and vomiting Loss of appetite Nervous hunger or Odd food cravings Muscle soreness, heaviness or weakness Wandering pains Physical and mental exhaustion Depression Mood swings Easily angered Confusion Restlessness Disordered thought patterns Fluid retention T: Variable including dark or pale with teethmarks or with reddish edges C: Variable including thick white or yellow P: Variable
Treatment Principle	Strengthen the Spleen and Stomach Tonify Qi Clear Damp or Damp-Heat or Stagnant Heat Regulate Liver Qi Fragrantly disperse Gu patterns
Herb Formulas	Xiao Chai Hu Tang Xiao Yao San Jia Wei Xiao Yao San Ban Xia Xie Xin Tang Shao Yao Tang Zhong Man Fen Xiao Wan Xiang Sha Liu Jun Zi Tang Bu Zhong Yi Qi Tang Huang Lian Jie Du Tang Si Ni San Si Jun Zi Tang Wu Mei Wan
Points	REN-12, REN-6, ST-25, ST-36, ST-40, SP-15, SP-3, SP-6, UB-20, UB-21 With nausea: PC-6 With abdominal bloating: SP-4, or SP-5

Bai He Bing (Lily Syndrome)

General	Bai He Syndrome – “Lily Disease,” named for the major herb that treats it, is a form of mental depression with depressed emotions, anxiety, taciturnity, a desire to sleep without being able to, a desire to walk without being able to and a subjective feeling of Cold or Heat. It follows either a warm disease, in which case it is of sudden and recent onset, or emotional problems which have damaged Heart Yin, in which case it is enduring and progressive in nature. The name Bai He has two meanings: 1. Bai means ‘hundred’ and He means meeting/communicating’. There is a saying “All the hundred branches (i.e. the channels and collaterals) originate in the Heart and meet in the Lung”. Thus the syndrome mainly relates to the Lung; 2. Bai He is the name of the herb (Bulbus Lilii) in the Chinese pharmacopoeia which nourishes Lung Yin and Heart Yin and pacifies Heart-Fire, and is used to treat this syndrome. The main symptoms of Bai He syndrome are: Absentmindedness (being in a ‘trance’) An abnormal appetite and behavior A bitter taste in the mouth A slightly rapid pulse The main Zang involved are: Lung Heart Spleen It is generally caused by injury due to excess of the seven emotions, and often begins with depression which damages the Heart and Lung Yin. Sometimes Bai He Syndrome develops after a febrile disease that damages the Yin of the Heart and Lung leading to emotional problems. The Heart stores the Shen; when the Heart is injured, the Shen is disturbed. The ‘intellectual function’ of the Lung is to store the Po. When the Po is disturbed, the patient is usually absent-minded and, because the Po belongs to the Lungs, easily suffers from sadness and grief; when the Po is uneasy the patient suffers from hallucinations. The general treatment principle for Bai He Syndrome is to treat the Heart and Lung, concentrating on whichever of these two Zang most predominates.
Clinical Manifestations	See Lily Syndrome The main symptoms of Bai He syndrome are: Absentmindedness (being in a ‘trance’) An abnormal appetite and behavior A bitter taste in the mouth A slightly rapid pulse The main Zang involved are: Lung Heart Spleen
Treatment Principle	See Lily Syndrome
Herb Formulas	See Lily Syndrome
Points	See Lily Syndrome

Essential Oils

Oils whose functions, indications or applications include this condition. Open an oil to see how it is used.

Angelica Atlas Cedar Basil Bay Laurel Bergamot Cistus Clary Sage Coriander Frankincense Geranium Lime Neroli Rosemary Styrax Sweet Marjoram White Camphor

Five Elements Perspective

Despair and darkness: The person lives in the dark: no joy, unable to see that there is light or to come out, having given up hope, perhaps feeling suicidal. A person cannot thrive in the sun alone, and part of healing may mean going into the darkness. KI-21 Dark Gate works either way: it takes a person into the darkness they are avoiding, or brings light into the darkness they live in. UB-47 Spiritual Soul Gate is for hopelessness and depression, DU-20 One Hundred Meetings is for deep depression, and DU points can be combined (DU-20 with DU-19) for deep depression. Points: KI-21, UB-47, DU-20, DU-19

From Class

German Medical Acupuncture Assoc. palliative protocol (JAMS 2017): Palliative protocol for anxiety, depression, dyspnea, pruritus, hypersalivation and xerostomia; at the bedside start with core points only rather than 10-12 needles. (Lewis)
Postnatal depression — Heart-Blood deficiency points: HT-5, HT-7, Ren-14, Ren-15, BL-15, LV-8, Du-20, Ren-4, ST-36, SP-6, Du-19, PC-6; reinforcing (Du-19 even); moxa applicable. (Maciocia)