Diarrhea

General

Clinical Manifestations
Treatment Principle
Herb Formulas	For infantile diarrhea: Qi Li San Bai Zhu Fu Zi Tang
Points

Tai Yang Shang Han

Clinical Manifestations	Chills and fever Anhidrosis Stiff and rigid neck, shoulders and upper back Intolerance of Wind Dislike of Cold Inflammation Diarrhea Muscle spasms Mucosal swelling Nasal congestion Sensitivity to dust Headache Wind-Cold Bi (few joints affected, inflammation intense but short lived, changes over days or weeks) T: Normal C: Thin and white P: Floating and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Resolve Phlegm
Herb Formulas	Ge Gen Tang
Points	DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13

Tai Yang Shang Han With Spleen And Stomach Deficiency

Clinical Manifestations	Chills and fever Aversion to Cold Headache Anhidrosis Chest and/or gastric distension Gastric pain Nausea Vomiting Borborygmus Diarrhea (acute) Abdominal pain Thirst Dry throat T: Normal C: Greasy and white P: Floating and tight
Treatment Principle	Disperse Wind Relieve the Exterior Tonify the Spleen and Stomach
Herb Formulas	Huo Xiang Zheng Qi Tang
Points	DU-16, GB-20, KI-7, LI-4, LIV-13, LU-7, REN-12, SJ-5, SP-3, ST-36, UB-12, UB-13, UB-20

Tai Yang - Yang Ming

Clinical Manifestations	Acute or recurrent, frequent, urgent, foul smelling, hot diarrhea A burning sensation in the anus and/or Tenesmus Fever or Afternoon fever Unproductive sweating which tends to come in waves and is worse in the afternoon Thirst Restlessness Irritability Gasping Palpitations Tenesmus Cramping abdominal pain Maybe red tinged urine Irritability and Heat in the chest and epigastrium Stiffness and spasms at the back of the neck Dry mouth Dyspnea with perspiration Maybe wheezing Concentrated scanty urine T: Red C: Yellow and greasy P: Rapid or Slippery and rapid
Treatment Principle	Release the Exterior Clear Internal Yang Ming Heat Raise Yang to stop diarrhea
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang Chinese patent medicines: Huang Lian Jie Du Wan Chuan Xin Lian Kang Yan Pian Bao Ji Wan Huang Lian Su Pian
Points	LI-11, SP-9, ST-25, ST-37, ST-44, Zhixie With high fever: + DU-14, LI-4 With nausea: + PC-6 With sudden, severe diarrhea, vomiting and fever: + bleed or needle PC-3, UB-40 Ear: Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic

Tai Yang - Tai Yin

Clinical Manifestations	Fever Chills Headache Joint pains Severe diarrhea Epigastric distention Perspiration Cold body and extremities Weakness of the extremities Upper abdominal palpitations Cold feet Dysuria
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi
Herb Formulas	Gui Zhi Ren Shen Tang
Points

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, forceful
Treatment Principle	Harmonize the Liver and Gall Bladder Purge Internal Heat
Herb Formulas	Da Chai Hu Tang
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 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 Congested Fluids

Clinical Manifestations	Alternating chills and fever (chills predominate) or Chills without fever Sensation of irritability in the chest Sweating from the head Fatigue Gastrointestinal weakness Heavy head Neuralgia Epigastric distension Lower abdominal pain Tension around pubic bone Periumbilical pain Urinary difficulty T: Moist C: White and slippery P: Superficial and wiry
Treatment Principle	Disperse Clumping Harmonize the Shao Yang Warm the Interior Dispel Cold
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

Tai Yin Excess

Clinical Manifestations	Nausea Clear, frequent urination Lack of thirst Anorexia Vomiting of clear fluid Abdominal distension and pain (sharp) Diarrhea or loose stool Prefers warmth T: Pale or pink C: White P: Slow and tight or Soft
Treatment Principle	Regulate the middle Warm the Middle Jiao Disperse Cold Relieve pain
Herb Formulas	Gui Zhi Jia Shao Yao Tang With Excess Cold: Fu Zi Li Zhong Tang With a need to purge: Fu Gui Li Zhong Tang
Points	Moxa or moxa needle DU-4, LU-9, REN-4, REN-6, REN-12, SP-6, ST-36, UB-20 For pain and Cold: moxa the abdomen To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear urination: moxa REN-4, REN-6, UB-23 For diarrhea: moxa REN-8 Use few needles with deep insertion and moxa

Tai Yin, Shao Yin And Jue Yin Cold

Clinical Manifestations	Severe aversion to Cold Body curled up Icy cold extremities Vomiting Diarrhea Absence of thirst Abdominal pain Lack of energy A constant desire to sleep Shivering Foaming at the mouth Lips and nails purplish T: Pale C: White P: Deep and thready or Impalpable
Treatment Principle	Rescues Yang (emergency) Strengthens Qi Generates the pulse
Herb Formulas	Hui Yang Jiu Ji Tang
Points

Shao Yin Cold

Clinical Manifestations	Aversion to Cold Curls up a lot Doesn't like to talk Tired (disoriented) Fatigue Constant somnolence Sleeping with the knees drawn up to the chest Generalized edema No spirit Dull Shen Cold extremities Aching and heaviness in the extremities Diarrhea or loose stools or undigested food Clear, frequent urine Nocturia Oliguria Lower back pain Maybe nausea (wants to vomit but can't) Abdominal pain which is relieved by warmth and pressure No thirst Cough with thin, watery mucus Likes warm drinks Severe edema in chest Palpitations Dizziness T: Pale, swollen and moist C: White and greasy P: Deep and weak or Slow, deep and weak
Treatment Principle	Restore Yang Reverse inward energy Expel Cold
Herb Formulas	Si Ni Tang Zhen Wu Tang Jin Gui Shen Qi Wan Fu Zi Li Zhong Wan If Cold is less severe: Wu Zhu Yu Tang Chinese Patent Medicines: Jin Gui Shen Qi Wan
Points	Moxa DU-4, DU-20, KI-3, KI-7, LI-4, REN-4, REN-6, REN-8, SP-6, ST-36. UB-15, UB23 For loss of consciousness or shock: DU-26, KI-1

Jue Yin Cold

Clinical Manifestations	Vomits clear fluid Vertex headache Body cold Diarrhea Complete exhaustion of Yang T: Pale C: White P: Weak.
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity
Herb Formulas	Wu Zhu Yu Tang Dang Gui Si Ni Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

Jue Yin Cold And Heat

Clinical Manifestations	Delirium Heat in upper body Cold in lower body Sensation of Qi rushing to the chest Vomits worms Persistent thirst Feverishness Anorexia (hungry but can't eat) Chronic diarrhea Cold extremities Maybe edema Vertex headache Vomits food Cardiac Heat with pain T: Red or pink or pale and flabby C: Thick and greasy or thin P: Deep, thready and weak or wiry
Treatment Principle	Clear worms Clear Heat (Do not purge, create diaphoresis, or create emesis) Revive Yang
Herb Formulas	Wu Mei Wan
Points	Moxa needle REN-4, REN-6, REN- 8, ST-25, ST-36, needle DU-14, LI-4, LI-11, LIV-3, REN-17

Wei Level: Summerheat With Dampness

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

Wei Level: Summerheat With Cold Complications

Clinical Manifestations	Severe acute diarrhea possibly watery and urgent Mild fever and chills or Tidal fever Abdominal distention Thirst Anhidrosis Generalized muscle aches Heaviness in the head and body Nausea and vomiting Borborygmus Indigestion Scanty urine Generalized headache or A dull occipital headache Foggy-headedness Chest and gastric fullness and oppression Pain and cramping in the epigastrium and abdomen Loss of taste Aversion to Cold Lethargy Malaise Cough No perspiration Sore throat T: Normal C: Thin and white or Greasy and white P: Floating and soft or Slippery and possibly tight
Treatment Principle	Disperse Wind Clear Summerdamp Dispel Cold Transform and eliminate Dampness
Herb Formulas	Huo Xiang Zheng Qi Tang Xin Jia Xiang Ru Yin Chinese Patent Medicines: Xing Jun San Huo Xiang Zheng Qi Pian Zhui Feng Su He Wan Shen Qu Cha
Points	LI-4, LI-11, SP-9, ST-25, ST-37, UB-25, Zhixie With a high fever: + DU-14, SJ-5 With chills and an occipital headache: + DU-14, UB-13 With nausea: + PC-6 With myalgia: + SP-21 With foggy-headedness: + DU-20, Yintang With sudden, severe diarrhea, vomiting and a fever: + bleed PC-3, UB-40 With severe, gripping pain that precedes the diarrhea: + Moxa the abdomen Ear: Lungs, Large Intestine, Small Intestine, Spleen, Abdomen, Sympathetic

Ying Level: Heat Attacks The Pericardium

Clinical Manifestations	High fever worse at night Thirst Insomnia Major mental problems Dramatic change of personality Delirium Speech difficulty Aphasia Poor memory Dizziness Maybe fainting Maybe coma Maybe diarrhea Feverish extremities T: Deep red P: Thready and rapid
Treatment Principle	Clear Heat in Pericardium
Herb Formulas	An Gong Niu Huang Wan
Points	To Clear Heat from the Heart: HT-3, PC-8, Sifeng, bleed Shixuan For delirium: PC-7 To detoxify: LI-11 To Pacify Heart and calm the Shen: HT-5, HT-6, HT-7 To Nourish Yin: KI-3, SP-6

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	Shen Ling Bai Zhu San Si Jun Zi Tang
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

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	Hei Xi Dan
Points	DU-4, KI 3, LU 9, REN-4, REN-6, REN-17, REN-22, ST-36, UB-13, UB-23

Large Intestine Excess Heat

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles or Red C: Thick, yellow and dry P: Deep and Excess
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Da Cheng Qi Tang Liang Ge San
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

Damp-Heat In The Large Intestine

Clinical Manifestations	Diarrhea with tenesmus which intensifies after defecation Frequent stools which are small in quantity Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and Blood Burning hot sensation in anus Abdominal pain Urine short and red Sustained fever despite profuse perspiration or Raging fever in the afternoon Severe cases: High fever and coma Mouth dry but no desire to drink Body heavy Limbs tired Fullness in chest Lump in epigastrium Anorexia Vomiting T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness Stop dysentery
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang Huang Qin Tang
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25

Toxic Heat In The Large Intestine

Clinical Manifestations	Pain in the lower right abdomen; refuses pressure Pain may be severe, boring, and in a fixed position or without fixed location Constipation or Mild diarrhea Maybe fever Maybe nausea and vomiting Anorexia T: Red C:Thick, yellow and greasy or sticky P: Rapid
Treatment Principle	Clear Heat Transform Dampness Invigorate Blood circulation Conduct Stagnation
Herb Formulas	Da Huang Mu Dan Pi Tang Da Cheng Qi Tang
Points	Lanweixue, ST-36, ST-37 For high fever: + LI-4, LI-11 For abdominal pain: + ST-25 For nausea and vomiting: + PC-6, SP-4

Large Intestine Deficiency With Slippery Prolapse

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

Cold-Damp Distresses The Spleen

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

Damp-Heat Injures The Spleen

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest 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, REN-12, SP-9, ST-36, ST-44, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

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 T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Si Jun Zi Tang Xiang Sha Liu Jun Zi Tang With Dampness: Shen Ling Bai Zhu San With Liver Qi Stagnation and Dampness in the Lower Jiao: Wan Dai Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

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

Spleen Yang Deficiency

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Frequent, clear urination Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang Fu Zi Li Zhong Wan Huang Qi Jian Zhong Tang With Cold Accumulation in the Intestines: Wen Pi Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Damp Stagnation In The Spleen And Stomach

Clinical Manifestations	Indigestion A sensation of oppression in the chest Abdominal pain Nausea Vomiting Diarrhea Postpartum abdominal fullness and distention Abdominal fullness and distention with nausea and vomiting T: Pale and swollen C: Thick, white and greasy P: Slippery and even or Slow or Moderate
Treatment Principle	Strengthen the Spleen and Stomach Harmonize the Middle Jiao
Herb Formulas	Jia Wei Ping Wei San
Points

Spleen And Stomach Qi Deficiency

Clinical Manifestations	Frequent loose stools or diarrhea There may be mucus in the stool The diarrhea may be constant or intermittent The diarrhea is aggravated by fatigue, overexertion and certain foods The bowels move soon after eating There may be alternating diarrhea and constipation Abdominal distention Dull abdominal pain, which is better with warmth Anorexia Easily satiated Ad decreased sense of taste Nausea Weakness Fatigue which may increase after eating Weak, tired limbs A pale, sallow complexion Pale lips Puffiness around the eyes Puffiness in the fingers Weight loss T: Pale with toothmarks C: White P: Weak, thready, deficient and moderate
Treatment Principle	Strengthen the Spleen Supplement Qi Dry Dampness Stop diarrhea
Herb Formulas	Shen Ling Bai Zhu San Qi Wei Bai Zhu San  modified Chinese Patent Medicines: Shen Ling Bai Zhu Wan Huo Xiang Zheng Qi Pian With Phlegm-Damp: Xiang Sha Liu Jun Zi Wan With Food Stagnation: Jian Pi Wan With Yang Deficiency: Fu Zi Li Zhong Wan For difficult or recalcitrant cases: Xing Jun San
Points	REN-12, SP-5, SP-6, SP-9, ST-25, ST-36, UB-20, UB-21, UB-25, Zhixie With abdominal pain: + SP-4 With severe diarrhea: + Strongly moxa DU-20 With severe abdominal distention: + SP-3, SP-15 Ear: Spleen, Stomach, Large Intestine, Small Intestine, Abdomen Sympathetic

Spleen And Stomach Qi Deficiency With Food Stagnation

Clinical Manifestations	Reduced appetite Difficulty digesting Abdominal and epigastric bloating Watery diarrhea Loose stools T: Normal C: Slightly yellow, greasy P: Deficient and frail
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Reduce Food Stagnation Stop diarrhea
Herb Formulas	Jian Pi Wan
Points

Spleen And Stomach Qi Deficiency With Phlegm-Damp Retention

Clinical Manifestations	Nausea and vomiting Emaciation Sallow complexion Anorexia with a full feeling after very little food Weak abdomen Belching Abdominal distention or pain (subtle) Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Chest fullness Acid regurgitation Epigastric distention or pain Muscle weakness in arms and legs Loose stools or diarrhea Maybe bleeding Thin muscles. Lethargy-fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe abundant clear urine Maybe cold extremities Maybe borborygmus T: Pale and flabby - may have teeth marks C: Thin and white. P: Weak and Deficient
Treatment Principle	Tonify Qi Strengthen the Spleen Harmonize the Stomach Regulate Qi Stop pain
Herb Formulas	Xiang Sha Liu Jun Zi Tang Liu Jun Zi Tang
Points

Spleen And Stomach Qi And Yang Deficiency

Clinical Manifestations	Intermittent abdominal and gastric fullness and distention after eating Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort The vomitus is relatively inoffensivewith clearly identifiable food and possibly watery mucus-like material Waxy, pale complexion Anorexia Weight loss Emaciation Loose stools or Diarrhea Fatigue Weakness Listlessness Increased desire to sleep Cold abdomen Cold extremities Intolerance of Cold T: Pale and swollen C: White P: Thready, deep and weak
Treatment Principle	Warm and strengthen the Spleen and Stomach Harmonize the Stomach Descend Qi
Herb Formulas	Ding Kou Li Zhong Wan modified With Qi Stagnation: Ding Xiang Tou Ge San With Kidney Yang Deficiency: Fu Zi Li Zhong Wan  modified For severe, resistant or unresponsive cases with Phlegm Accumulation: Xuan Fu Dai Zhe Tang Chinese Patent Medicines: For Spleen Yang Deficiency with Cold: Fu Zi Li Zhong Wan For Spleen Yang Deficiency: Li Zhong Wan For Spleen Qi Deficiency: Xiang Sha Liu Jun Zi Wan For Kidney Yang Deficiency: Jin Gui Shen Qi Wan combined with one of the above formulas
Points	LIV-13, REN-9, REN-12, REN-14, REN-17, ST-36, UB20, UB-21 With Qi Stagnation: + LIV-3, PC-6 With Kidney Yang Deficiency: + KI-3, moxa or moxa needle DU-4, REN-4, UB-23 With gastroptosis: + moxa or moxa needle DU-20 Ear: Esophagus, Pylorus, Spleen, Stomach, Kidney, Adrenal, Sympathetic, Shenmen

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Fu Zi Li Zhong Wan Li Zhong Tang Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Zhen Ren Yang Zang Tang Wei Feng Tang With Kidney Yang Deficiency: Li Zhong Tangmodified
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen And Kidney Yang Deficiency

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

Cold Penetrates The Stomach And Intestines

Clinical Manifestations	General signs and symptoms: Epigastrium Cold with pain Mild cases: Constant pain Severe cases: Sudden bouts of sharp pain Pain is aggravated by Cold and relieved by warmth and hot drinks Cold hands and feet Cold Penetrates the Stomach and Intestines: Pain is sudden and sharp Pain is relieved by warmth Nausea Diarrhea Loose stools T: Pink C: White P: Deep and tight Retention of Fluid in the Stomach due to Cold: Pain is dull Pain is relieved by warmth Succussion sound in the epigastrium on palpation Vomiting of clear, watery fluid T: Pink C: White and sticky P: Thready or Thready and slow Stomach Deficiency with Stagnation of Cold: Pain is dull Pain is relieved by warmth and pressure Vomiting clear, watery fluid T: Pale C: Thin and white P: Deep and slow or Deep and thready
Treatment Principle	Warm the Stomach Warm Cold
Herb Formulas	Liang Fu Wan modified Fu Zi Li Zhong Wan Li Zhong Tang Severe cases: Xiang Sha Liu Jun Zi Tang + Liang Fu Wan
Points	Moxa or moxa needle PC-6, REN-6, REN-12, SP-4, ST-21, ST-36, UB-20, UB-21

Food Stagnation In The Stomach

Clinical Manifestations	Acute or chronic diarrhea with a foul smell and possibly undigested food Epigastric fullness, distention and pain with dislike of pressure Borborygmus Belching with rotten food smell Acid regurgitation Foul flatulence Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation Symptoms reduced after diarrhea T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation Harmonize the Stomach Clear Damp-Heat Transform Phlegm or Phlegm-Heat Warm the Stomach Strengthen the Spleen
Herb Formulas	Bao He Wan Jia Wei Ping Wei San Xiang Sha Ping Wei San For chronic diarrhea: Zhi Shi Dao Zhi Wan With Spleen Deficiency: Jian Pi Wan Chinese Patent Medicines: Bao He Wan Shen Qu Chi Liu He Bao He Wan Jian Pi Wan
Points	LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 LI-10, REN-12, ST-25, ST-36, ST-37, ST-40, ST-44 With nausea: + PC-6 With abdominal bloating: + SP-4 or SP-5 With Spleen Deficiency: + SP-6 With abdominal pain: + LIV-5, SP-8 Ear: Stomach, Spleen, Abdomen, Large Intestine Small Intestine, Sympathetic Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36

Stomach Qi Deficiency

Clinical Manifestations	Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant T: Pale C: Thin and white P: Weak and Deficient
Treatment Principle	Strengthen Qi Invigorate the Spleen and Stomach
Herb Formulas	Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang Huang Qi Jian Zhong Tang With Cold and Heat in the Interior: Gan Cao Xie Xin Tang With Food Stagnation and Suspended Thin Mucus (Xuan Yin): Sheng Jiang Xie Xin Tang
Points	REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21

Disharmony Between The Stomach And Intestines

Clinical Manifestations	Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Vomiting Borborygmus Diarrhea Anorexia Stomach pain Abdominal pain Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Nausea Ascites Gurgling sounds T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Harmonizes the Spleen and Stomach
Herb Formulas	Ban Xia Xie Xin Tang
Points

Heart Yang Deficiency

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Cold limbs Fatigue Weakness Maybe chills Maybe diarrhea 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	Bao Yuan 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 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 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

Small Intestine Deficiency Cold

Clinical Manifestations	Vague lower abdominal pain Feelings of cold and heaviness Fond of warmth and pressure Abdominal fullness intermittently Borborygmus Unformed, loose stools or Chronic, incessant diarrhea Urinary frequency T: Pale C: Thin and white P: Deep and even
Treatment Principle	Warm and Clear the Small Intestine
Herb Formulas	Li Zhong Tang
Points	LIV-13, REN-4, REN-12, SP-3, ST-25, ST-36, ST-37, ST-39, UB-20, UB-27

Liver Qi Stagnation Invades The Spleen

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

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) Si Shen Wan Ban Liu Wan With Internal Cold: Si Ni Tang
Points	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 With Water Flooding

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: 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 Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

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
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 And Yang Deficiency With Insufficiency Of Jing In The Du , Chong And Ren Channels

Clinical Manifestations	Emaciation Weakness Spermatorrhea Blurred vision Aching and weak low back and knees Daybreak diarrhea Weight loss Dizziness Nocturnal emissions T: Pink or Pale C: White or None P: Thready and frail or Deep, slow and weak
Treatment Principle	Nourish and replenish Yin Tonify Jing Augment Qi Tonify and strengthen Yang Nourish the Blood
Herb Formulas	Gui Lu Er Xian Jiao
Points

Blood Stagnation

Clinical Manifestations	Chronic diarrhea with a feeling of incomplete evacuation or tenesmus Purple or black stools which are sticky or tarry Fixed or localized sharp or stabbing abdominal pain (usually in the lower left quadrant) which is worse with pressure A dark complexion Dark rings around the eyes Purple nails Spider naevi or vesicular abnormalities over the abdomen, face and legs (inner knee and ankle) T: Purple or Brown or Purple stasis spots, maybe dark, distended sublingual veins C: White P: Wiry or Choppy or Thready
Treatment Principle	Transform and eliminate Blood Stagnation from the Intestines
Herb Formulas	Shao Fu Zhu Yu Tang Chinese Patent Medicines: Xue Fu Zhu Yu Wan Fu Ke Wu Jin Wan With bleeding: add Sheng Tian Qi Pian to either of the above formulas
Points	Ahshi points over the abdomen, Ahshi points along the Stomach channel between ST-36 to ST-39, LI-4, LIV-3, REN-6, SP-6, SP-8, SP-10, ST-25, UB-17, UB-25 With Bleeding: + Ahshi points over the Ba Liao on the sacrum With Cold: + Moxa Ear: Large Intestine, Distal Segment Rectum, Abdomen, Sanjiao, Shenmen, Adrenal

Blood Stagnation With Damp-Heat In The Intestine

Clinical Manifestations	Chronic diarrhea with a feeling of incomplete evacuation or tenesmus Purple or black stools which are sticky or tarry Bloody or pussy diarrhea Heat Fever Fixed or localized sharp or stabbing abdominal pain (usually in the lower left quadrant) which is worse with pressure Abdominal pain with rigidity Burning around the anus A dark complexion Dark rings around the eyes Purple nails Spider naevi or vesicular abnormalities over the abdomen, face and legs (inner knee and ankle) T: Purple or Brown or Purple stasis spots, maybe dark, distended sublingual veins C: Greasy and yellow P: Wiry or Choppy or Thready
Treatment Principle	Transform and eliminate Blood Stagnation from the Intestines Clear Heat
Herb Formulas	Shao Yao Tang
Points

Fluid Retention In The Intestines

Clinical Manifestations	Clear, watery, frothy diarrhea More water than diarrhea Borborygmus with the sound of water sloshing in the abdomen on palpation Emaciation Nausea and/or Vomiting of clear fluids Abdominal distention Scanty urination A dry mouth Dizziness T: Pale C: Greasy and white P: Slippery or Soggy
Treatment Principle	Warm and strengthen the Spleen Warm and strengthen Fluid metabolism Drain Dampness through the urine or bowel
Herb Formulas	Ling Gui Zhu Gan Tang + Ji Jiao Li Huang Tang With more severe Spleen Deficiency and pitting edema: Shi Pi Yin Chinese Patent Medicines: Fu Zi Li Zhong Wan Jin Gui Shen Qi Wan
Points	KI-7, REN-4, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-23, UB-28, UB-39 Ear: Kidney, Spleen, Lung, Stomach, Large Intestine, Sanjiao, Shenmen, Adrenal

San Jiao Damp-Heat

Clinical Manifestations	Tidal fever Sweating Thirst Stifling sensation in the chest Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy and white or yellow P: Rapid and soft
Treatment Principle	Clear Heat Resolve Dampness
Herb Formulas	Xing Ren Hua Shi Tang
Points

Toxic-Heat In The San Jiao

Clinical Manifestations	High fever Irritability Fidgeting Dry mouth Dry throat Incoherent speech Insomnia Dark urine Deep-rooted boils Maculae Carbuncles Hematemesis Hemoptysis Palpitations Furuncles Tinnitus Purpura Red face Rashes Deep-rooted boils Red eyes Itchy skin Fidgeting Dry lips Delirium Dysentery with fever Jaundice Epistaxis Hematuria Cloudy mind Diarrhea T: Red C: Yellow P: Rapid and forceful
Treatment Principle	Clear Heat Drain Fire Relieve toxicity from all three Jiaos Relieve inflammation Stop bleeding Purge Damp-Heat
Herb Formulas	Huang Lian Jie Du Tang With Phlegm: Yu Shu Dan
Points

Cold-Dampness In The Upper Jiao

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

Damp-Heat In The Middle Jiao

Clinical Manifestations	Lethargy Anorexia Maybe jaundice No thirst or Thirst with no desire to drink Nausea Vomiting Afternoon fever Body aches A sallow complexion Scanty urination Diarrhea Chest discomfort Epigastric pain and distention Dull appearance Maybe disorientation Loose stools Maybe skin vesicles Heavy extremities T: Pink C: Greasy and yellow P: Soft and rapid
Treatment Principle	Clear Heat Resolve Damp and turbidity
Herb Formulas	Gan Lu Xiao Du Dan San Jiao #1 Lian Po Yin
Points	REN-6, REN-12, SP-9, ST-25, ST-36

Middle Jiao Deficiency Cold

Clinical Manifestations	Dysentery with dark blood and pus in the stool Abdominal pain which is better with warmth and pressure Dysuria T: Pale C: Normal P: Slow and frail or Faint and thin
Treatment Principle	Warm the Middle Dispel Cold Astringe the Intestines Stop dysenteric disorders
Herb Formulas	Tao Hua Tang
Points

Middle Jiao Deficiency With Food Stagnation And Dampness

Clinical Manifestations	No desire to eat or drink Diarrhea Abdominal pain Nausea Vomiting Belching with a rotten or sour smell T: Pale and thick C: Greasy or Turbid P: Weak and soggy
Treatment Principle	Augment the Spleen Transform Dampness Harmonize the Stomach Dispel Food Stagnation Relieve diarrhea and vomiting
Herb Formulas	Qi Pi Wan
Points

Cold-Dampness In The Lower Jiao

Clinical Manifestations	Cold pain in the lower back and body Sciatica Copious urination Extreme heavy sensation in the lower back Absence of thirst T: Pale C: White P: Deep, thready and moderate
Treatment Principle	Warm Yang Strengthen the Spleen Dispel Cold Eliminate Dampness
Herb Formulas	Gan Cao Gan Jiang Fu Ling Bai Zhu Tang
Points

Lower Jiao Damp-Heat With Lingering Exterior Symptoms

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

Deficiency Cold Of The Chong And Ren Channels

Clinical Manifestations	Continuous menstrual bleeding The flow is either gushing or spotting The Blood is purplish red or purplish black in color Bleeding with or without clots Abdominal pain which is worse with pressure The pain is relieved by passing clots Dizziness Low back pain Leukorrhea Night sweats Chronic diarrhea T: Dark purplish C: Normal P: Deep, fine and wiry
Treatment Principle	Stop bleeding Stop vaginal discharge Dissolve Blood Stasis
Herb Formulas	Zhen Ling Dan
Points

Sudden Turmoil Disorder

Clinical Manifestations	Vomiting Abdominal distention and fullness Fever and chills Diarrhea with mucus Headache Melaena T: Pink C: Thick, white and greasy P: Soft or Floating tight and soft or Weak
Treatment Principle	Activate Qi Dry Dampness Transform turbidity Descend Qi Harmonize the Stomach Stop vomiting and diarrhea
Herb Formulas	Bu Huan Jin Zheng Qi Tang Liu He Tang Xing Jun San
Points

Heat Above And Cold Below

Clinical Manifestations	Stifling sensation and irritability in the chest Nausea with an urge to vomit Abdominal pain Fever with slight chills Diarrhea Vexation Borborygmus Thirst T: Pink C: White and greasy P: Wiry
Treatment Principle	Regulate Cold and Heat Harmonize the Stomach Descend Rebellious Qi
Herb Formulas	Huang Lian Tang
Points

False (Spurious) Diarrhea

Clinical Manifestations	Green, watery foul-smelling, diarrhea-like fluids are forced around an impacted stool in the descending or sigmoid colon It occurs mostly in the elderly or bedridden A mass can be palpated in the left iliac fossa
Treatment Principle	Clear Heat Promote defecation Tonify Qi and Blood
Herb Formulas	Huang Long Tang
Points