Dysentery

General

Etiology	Dysentery is an inflammatory disease of the intestine, especially of the colon, which always results in severe diarrhea and abdominal pains. Other symptoms may include fever and a feeling of incomplete defecation. The disease is caused by External Invasion, Improper diet or food consumption which include several types of infectious pathogens such as bacteria, viruses and parasites. Bacillary dysentery is an intestinal infection and is a severe form of shigellosis. Bacillary dysentery is associated with a species of bacteria from the Enterobacteriaceae family. The term is usually restricted to Shigella infections. Shigellosis is caused by one of several types of Shigella bacteria. Acute bacillary dysentery: A history of eating contaminated food or A close incouter with a dysentery patient Abrupt onset Chills and fever Whole body pain Abdominal cramoing and diarrhea, mainly around the umbilicus or the left lower quadrant Maybe ten or more bowel movements per day Initially, the stools are soft and yellow Subsequently, they are filled with purulent mucus and Blood Tenesmus The may be loss of consciousness in the elderly Chronic bacillary dysentery: A past history of acute bacillary dysentery Recurrent or persistent abdominal pain Diarrhea or Alternating diarrhea and constipation Intermittent appearance of purulent mucus and Blood in the stools Long-term patients may appear weak, emaciate and malnourished
Clinical Manifestations
Treatment Principle
Herb Formulas	Recurrent: Shen Qi Wan In children: Ge Gen Huang Qin Huang Lian Tang(rectal enema)
Points	DU-12, DU-14, LI-4, ST-37, UB-25, UB-29 ST-25, ST-36, ST-37 KI-7, LI-4, LI-11, REN-6, REN-12, SP-2, SP-4, ST-25, ST-36, UB-21, UB-25 DU-1, GB-26, KI-7, KI-21, LI-4, LIV-2, LIV-6, PC-6, REN-6, REN-12, SJ-5, SP-6, ST-11, ST-28, ST-36, ST-39, UB-62 KI-3, REN-4, REN-11, REN-12, ST-25, UB-20, UB-21, UB-25 REN-4, REN-6, ST-25, ST-36, ST-37, bleed UB-40 With Heat: + LI-11 Acute: ST-25, ST-37 Red and white: Moxa DU-1, DU-4 With cramps: + REN-10, ST-25 With chronic diarrhea: + REN-12, SP-6, ST-25, UB-20, UB-22, UB-25 Yang - Red: Sedate DU-1, LI-4, LI-11, REN-12, SP-10, ST-36 Yin - white: Moxa REN-6, REN-10, SP-4, ST-25, ST-36, UB-22

Tai Yang Zhong Feng With Dampness

Clinical Manifestations	Aversion to Wind Mild, or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Headache Nausea Dysentery Nasal irritation Nasal obstruction Tendency to snore Itchy throat T:  Normal C:  Thin and white P:  Superficial and slow or Moderate and maybe weak
Treatment Principle	Create sweat to relieve the Exterior and expel Wind Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas	Ren Shen Bai Du San
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, SP-6, SP-9, UB-12, UB-13, Yintang

Tai Yang Shang Han (Acute)

Clinical Manifestations	Fever and chills (chills predominant) Anhidrosis Cough Wheezing (asthma) Copious, white, stringy, difficult to expectorate sputum Stifling sensation in the chest Lacrimation General heaviness (especially upper body) General body aches No thirst Floating edema (severe) Considerable difficulty breathing while lying down (severe) Intolerance of Cold Periorbital edema Dyspnea Vomiting of frothy saliva during pregnancy Chest distention Dry heaves Decreased urine Subcardiac edema Stridor Occasional chills on the back Hiccups Retching Dysphagia Diarrhea Dysuria Flushed face Dizziness Headache Inflammation of the tear ducts T: Pink C: Moist or White and greasy P: Superficial and tight
Treatment Principle	Release the Exterior Transform congested Fluids (Thin Mucus) Transform Phlegm Warm the Lungs Descend Qi Relieve wheezing and cough
Herb Formulas	Ge Gen Tang Xiao Qing Long Tang
Points	LU-7 + LI-4, LI-4 + KI-7, DU-16, GB-20, LU-5, UB-12, UB-13

Tai Yang Shang Han With Water Accumulation Due To Spleen Deficiency With Internal Heat

Clinical Manifestations	Fever and chills (chills predominant) Irritability Anhidrosis Cough Wheezing (asthma) Copious, white, stringy, difficult to expectorate sputum Stifling sensation in the chest Lacrimation General heaviness (especially upper body) General body aches No thirst Floating edema (severe) Considerable difficulty breathing while lying down (severe) Intolerance of Cold Periorbital edema Dyspnea Vomiting of frothy saliva during pregnancy Chest and abdominal distention Dry heaves Decreased urine Subcardiac edema Stridor Occasional chills on the back Hiccups Retching Dysphagia Diarrhea Dysuria Flushed face Dizziness Headache Inflammation of the tear ducts T: Pink C: Moist or White and greasy or Yellow and greasy P: Superficial, tight and rapid
Treatment Principle	Release the Exterior Transform congested Fluids Transform Phlegm Warm the Lungs Descend Qi Relieve wheezing and cough Clear Heat
Herb Formulas	Xiao Qing Long Jia Shi Gao Tang
Points	General points

Tai Yang - Yang Ming

Clinical Manifestations	Fever or afternoon fever Sweating which comes in waves and is worse in the afternoon Thirst Acute or frequent, urgent, foul-smelling, hot diarrhea A burning sensation around the anus Gasping Ephidrosis Palpitations Tenesmus Maybe red tinged urine Restlessness Cramping abdominal pain 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 or Slippery and rapid
Treatment Principle	Release the Exterior Clear Internal Yang Ming Heat
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

Yang Ming Damp-Heat

Clinical Manifestations	Dysentery High fever Great thirst Anhidrosis Abdominal pain Irritability Restlessness Feverish body parts Red face No constipation No aversion to Cold Scanty urine Jaundice A greasy light colored stool A bitter taste in the mouth T:  Red C:  Greasy and yellow P:  Slippery, wiry and forceful
Treatment Principle	Clear Heat Remove Dampness Regulate Qi flow of the Liver and Gall Bladder to remove jaundice
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang Dysentery #1 Dysentery #3 Chinese patent medicines: Chuan Xin Lian Kang Yan Pian Yu Dai Wan Huang Lian Su Pian Jia Wei Xiang Lian Pian Niu Huang Qing Huo Wan Qing Fei Yi Huo Pian Huang Lian Jie Du Wan Bao Ji Wan
Points	LI-4, LI-11, ST-25, ST-37, ST-44, Zhixie DU-9, GB-34, LI-4, LI-11, LIV-3, SJ-6, SP-6, SP-9, ST-25, ST-37, ST-45, UB-19, UB-25 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

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

Shao Yang - Yang Ming

Clinical Manifestations	Intolerance of Cold Abdominal fullness and distention Constipation Cannot purge easily due to lack of Qi Dysentery Diarrhea Hypochondriac pain Fever Cold extremities Hernia Abdominal pain T:  Normal P:  Rolling and forceful or Tight and wiry
Treatment Principle	Warm and Purge Cold retention
Herb Formulas	Da Huang Fu Zi Tang Da Chai Hu Tang
Points	Moxa or moxa needle GB-41, REN-6, REN-8, REN-12, SJ-5, SJ-6, ST-25, ST-36 For Shao Yang - Yang Ming: + GB-39, SJ-5, ST-25

Wind-Cold-Damp

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 Dysentery Generalized body aches and pain Headache Swollen eyes Thirst or no thirst T: Normal C: Thin white P: Floating or Floating and rapid
Treatment Principle	Induce sweat Release the Exterior Dispel Wind Alleviate pain
Herb Formulas	Jing Fang Bai Du San
Points

Jue Yin Cold (Chronic)

Clinical Manifestations	Vomits clear fluid Vertex headache Body cold Diarrhea Chronic dysentery 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
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 Stage: Summerheat With Damp

Clinical Manifestations	Acute abdominal pain Fever and chills, fever more pronounced or Tidal fever Fever is unrelieved by sweating Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Foggy headaches Irritability Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Floating or Rapid and soft
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	San Wu Xiang Ru Yin Huo Xiang Zheng Qi Tangmodified Huang Lian Xiang Ru Yin Ge Gen Huang Qin Huang Lian Tang Zhi Bao Dan With Internal Stagnation of water and Dampness: Gui Ling Gan Lu Yin With Damp-Heat: San Ren Tangmodified With less Dampness: Huo Yu Tang modified Chinese patent medicines: Huang Lian Jie Du Wan Chuan Xin Lian Kang Yan Pian Bao Ji Wan Huang Lian Su Pian
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-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

Wei Stage: Summerheat With Damp And Superimposed Wind-Cold

Clinical Manifestations	Fever and chills Anhidrosis Headache Thirst Flushed face Tightness in the chest Aversion to Cold Fatigue Aching body Nausea Reduced, dark urination T: Red C: White and greasy P: Floating and rapid or Flooding on the right and Small on the left
Treatment Principle	Release Exterior Summerheat Release External Cold Clear Heat Resolve Dampness
Herb Formulas	Xin Jia Xiang Ru Yin
Points	Bleed UB-40, needle DU-14, DU-16, DU-23, DU-24, GB-20, LI-4, LI-11, LU-7, REN-9, SJ-5, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-13, UB-20

Summerheat With Exterior Cold And Interior Dampness

Clinical Manifestations	Chills Skin that is warm to the touch Anhidrosis A heavy sensation in the head and body Headache Abdominal pain A stifling sensation in the chest Fatigued extremities Anorexia Lethargy Aversion to Cold Nausea Vomiting Diarrhea T: Pink C: White and greasy P: Floating
Treatment Principle	Release the Exterior Scatter Cold Transform Dampness Harmonize the Middle Jiao
Herb Formulas	Xiang Ru San
Points

Qi Stage: Spleen And Stomach Damp-Heat

Clinical Manifestations	Fever Pressure headache - like a bandage Gastric distension Poor appetite Heaviness Body aches Chest distension Diarrhea Dysentery T: Red C: Greasy, yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clean Damp-Heat and toxins
Herb Formulas	Gan Lu Xiao Du Dan Long Dan Xie Gan Tang Dysentery #1 Dysentery #3 Huai Hua San
Points	LI-4, LI-11, SP-6, SP-9, ST-25, ST-36 SP-6, SP-9, ST-36, UB-20

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 constrict
Herb Formulas	Zhen Ren Yang Zang Tang
Points	LI-4, ST-25, ST-37, UB-20, UB-21 DU-4, DU-20, KI-3, REN-4, moxa REN-8, SP-6, ST-25, ST-36, UB-20, UB-23, UB-25 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 Ear: Kidney, Spleen, Stomach, Large Intestine, Prolapse, Anus, San Jiao, Shenmen, Adrenal

Dryness In The Large Intestine With Yin Deficiency

Clinical Manifestations	Diarrhea with pus and thick Blood Difficult evacuation Abdominal pain Burning anus Scanty urination Dry mouth and tongue Fever Irritability T: Dry C: Little or None P: Flooding and rapid or Thready and rapid
Treatment Principle	Moisten Dryness Clear Heat Guide out Stagnation
Herb Formulas	He Jian Shao Yao Huang Lian Tang modified
Points

Blood Stagnation In The Large Intestine

Clinical Manifestations	Chronic diarrhea with a feeling of incomplete evacuation or tenesmus The diarrhea may be purple or black It may be sticky or tarry It will contain mucus or clots of Blood Fixed and localized, sharp or stabbing abdominal pain The pain is usually in the lower left quadrant The pain is worse with pressure There may be palpable masses Dark complexion Dark lips Dark rings around the eyes Spider naevi or vascular abnormalities over the abdomen, face and legs, particularly around the inner knees and ankles T: Purplish or with purple/brown petechial spots C: Little or none P: Wiry or Choppy or Thready
Treatment Principle	Regulate Qi and Blood Eliminate stagnant Blood from the Intestine
Herb Formulas	Shao Fu Zhu Yu Tang modified Chinese patent medicines: With Qi and Blood Stagnation: Xue Fu Zhu Yu Wan With Deficiency Cold: Fu Zi Wu Jin Wan With severe bleeding: Sheng Tian Qi Pian For severe Blood Stagnation with pain: Tong Jing Wan Retention enema: Retention Enema #1
Points	LI-4, LIV-3, REN-6, SP-6, SP-8, SP-10, ST-25, ST-29, ST-37, UB-17, UB-25, Ahshi points over the sites of pain on the abdomen, Ahshi points on the Stomach channel between ST-36 and ST-39, Ahshi points on the Urinary Bladder channel Between UB-18 and UB-28 For bleeding: UB-31, UB-32, UB-33, UB-34 For Cold: + moxa Ear: Distal Segment Rectum, Large Intestine, Small Intestine, Appendix, Sympathetic

Large Intestine Excess Heat

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea (Heat knots or flows) 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 (swollen papillae on the tongue that look like thorns and are very sensitive to the touch) 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 Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tan An Gong Niu Huang Wan With Qi and Blood Deficiency: Huang Long Tang
Points	For Heat: DU-14, LI-4, LI-11, ST-44, SJ-5 For Stagnation: ST-34, ST-36, ST-37, ST-39 , REN-12 For Constipation: ST-25, SJ-6, UB-25

Large Intestine Damp-Heat (Bacterial)

Clinical Manifestations	Acute bacillary dysentery 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 Colicky abdominal pain Abdominal distention Urine short and red Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma Mouth dry or thirst but no desire to drink or Prefers cold drinks Body heavy Red complexion Red eyes Limbs tired Fullness in chest Lump in the epigastrium Anorexia Vomiting Scanty, dark urine Maybe fever and chills, headache and a floating pulse (first few days) T: Red C: Yellow and greasy or Yellow and sticky or Yellow and dry (more Heat) P: Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness Regulate Qi and Blood Stop dysentery Stop pain
Herb Formulas	Shao Yao Tang modified Bai Tou Weng Tang Wu Hua Tang Ge Gen Huang Qin Huang Lian Tang Dysentery #1 Dysentery #3 Dysentery #6 Dysentery #7 Nei Shu Huang Lian Tang Ku Shen (15g) For chronic Damp-Heat damaging Yin and Yang: Zhu Che Wan With abdominal and leg spasms and cramps: Can Shi Tang Retention enemas: For ulceration of the bowel wall: Retention Enema #3 For dominant Damp-Heat: Retention Enema #4 With persistent bleeding: Retention Enema #5 Enema: Diarrhea Enema #1 Chinese patent medicines: Qing Fei Yi Huo Pian Lian Qiao Bai Du Pian Huang Lian Jie Du Wan Huang Lian Su Pian Chuan Xin Lian Kang Yan Pian (Toxic-Heat) Fu Fang Na Ban Lan Gen Pian (Toxic-Heat) Huang Lian Su Pian Chuan Xin Lian Kang Yan Pian Long Dan Xie Gan Wan Bao Ji Wan
Points	LI-4, LI-11, ST-25, ST-37, ST-44, Zhixie, Ahshi points between ST-36 and ST-39 (one or two treatments daily for severe cases) For nausea: + PC-6, REN-12 For high fever: DU-14 For prominent Dampness: + SP-9 For tenesmus: + DU-1, REN-4, UB-30 LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25 LI-4, ST-25, ST-37 LI-11, SP-9, ST-44 REN-4, REN-11, SP-9, ST-25, ST-36, ST-37, ST-44 ST-25, ST-36, ST-37 For nausea and vomiting: + PC-6 For tenesmus: REN-4 For fever: + LI-11 For frequent bowel movements: + Zhixie 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 For tenesmus: UB-29 For rectal prolapse: UB-20 For Blood and pus in children: Moxa Huatoujiaji Ear: 1. Large Intestine, Small Intestine, Subcortex, Sympathetic, Shenmen 2. Large Intestine, Small Intestine, Subcortex, Sympathetic, Shenmen, Lower Portion of the Rectum 3. Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic

Cold-Damp Distresses The Spleen

Clinical Manifestations	Abdominal and epigastric fullness Heavy head and body Edema of the face and eyes Watery diarrhea Short, scanty urination Scanty defecation Epigastric distention and pain Lingering abdominal pain Aversion to Cold Responds to warmth Anorexia Mucus in the stool Maybe loose stools with undigested food Edema of the lower extremities Joint pain Dysuria Nausea Vomiting Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of cold, feeling chilled T: Pink or Pale C: Thick, white and greasy or sticky P: Soft and thready or Relaxed or Deep and slow With remnants of External pathogens: Chills Mild fever Muscle aches Anhidrosis P: Floating
Treatment Principle	Regulate the flow of Qi in the Spleen and Stomach Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen Tonify the Large Intestine Stop dysentery
Herb Formulas	Wei Ling Tang modified With remnants of External Wind-Cold: + Jing Fang Bai Du San With remnants of External Summerdamp: + Huo Xiang Zheng Qi Tan Yin Chen Si Ni Tang Chinese Patent Medicines: Ping Wei San Xiang Xia 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 LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Moxa needle REN-4, REN-6, REN-12, SP-6, SP-9, ST-25, ST-36, SST-37, UB-20 REN-6, REN-12, ST-25, ST-37 REN-12, SJ-5, SP-1, ST-25 SP-6, SP-9, ST-25, ST-36, ST-37, UB-20 Moxa or moxa needle SP-3, SP-6, SP-9, ST-25, ST-36, ST-37, ST-40, UB-25, UB-27, Zhixie With nausea: + PC-6 Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Ear: Spleen, Large Intestine, Small Intestine, Sympathetic, Distal Segment Rectum

Spleen Qi Deficiency (Chronic)

Clinical Manifestations	Loose stools with mucus The dysentery comes and goes or is persistent Lassitude Sallow complexion Abdominal distention and pain Tenesmus Chilliness Anorexia T: Pale C: Sticky and white P: Deficient or Deep and thready or Thready, rapid and intermittent or Thready and weak
Treatment Principle	Tonify the Spleen Warm Spleen Yang Excrete Damp
Herb Formulas	Wen Pi Tang Si Jun Zi Tang  modified Xiang Xia Liu Jun Zi Tang Li Zhong Tang Bu Zhong Yi Qi Tang With Qi Stagnation: Dysentery #5
Points	LI-4, REN-12, ST-25, ST-36, ST-37, UB-20, UB-21 LIV-13, REN-4, SP-3, SP-5, SP-6, ST-36, UB-20 Moxa REN-4, ST-36, needle DU-4, REN-12, SP-4, UB-18, UB-20, UB-21, UB-23 Moxa REN-4, REN-6, SP-6, ST-36, UB-20, UB-23, UB-25 REN-4, ST-25, ST-36, UB-20, UB-23

Spleen Qi Deficiency With Wind (Periodic)

Clinical Manifestations	Fever Anhidrosis Whole body painful Diarrhea Vomiting Painful abdomen Heaviness in the Intestines T: Pale C: Normal P: Floating and slippery
Treatment Principle	Eliminate Wind Strengthen the Spleen Tonify Qi
Herb Formulas
Points	LI-4, REN-12, SJ-5, ST-36, UB-12

Spleen Yang Deficiency (Chronic)

Clinical Manifestations	Long-term diarrhea 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 Protracted dysentery Pus and Blood in the stool Shortness of breath Pain in the abdomen and epigastrium with Cold sensations The pain is relieved by warmth and pressure Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak or Thready and wiry
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Fu Zi Li Zhong Tang Li Zhong Tang  modified Dysentery #2
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 Moxa DU-4, REN-4, REN-12, SP-4, ST-36, UB-20, UB-21

Damp-Heat In The Spleen And Stomach

Clinical Manifestations	Anorexia Intermittent abdominal fullness, distention and discomfort The distention is generally worse in the afternoon or after eating The abdomen feels firm and may appear swollen Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Greasy skin Red complexion Maybe strong body odor Nausea and vomiting Lassitude Heavy sensation in the body Scanty, dark urine Maybe thirst or thirst with no desire to drink Dry mouth Diarrhea with foul smell or Constipation Fever or afternoon fever Restlessness Irritability Sweet sticky taste or bitter taste in mouth T: Normal or Thick C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid or Slippery and rapid
Treatment Principle	Clear Heat Benefit Dampness Strengthen the Spleen and Stomach Regulate Qi
Herb Formulas	Yin Chen Wu Ling San Lian Po Yin Zhong Man Fen Xiao Wan Dysentery #1 Dysentery #3 Huang Qin Tang Chinese patent medicines: Bi Xie Sheng Shi Wan Huang Lian Jie Du Wan + Ping Wei San Mu Xiang Shen Qi Wan Li Dan Pian With Liver involvement: Long Dan Xie Gan Wan
Points	LI-11, ST-44, ST-36, SP-9, UB-20, REN-11, REN-12 + Liver and Gall Bladder points LI-11, REN-6, REN-10, REN-12, ST-25, ST-36, ST-37 With prominent Heat: + LI-4, ST-44 With prominent Damp: + SP-6, SP-9 With nausea: + PC-6 With constipation: + SJ-6 With scanty urination: + KI-7, REN-9 With tenesmus : + REN-4, UB-30 With Shao Yang symptoms: + GB-34, GB-39, SJ-5 With Lingering fever: + DU-13 For Damp-Heat Diarrhea: ST-25, ST-36, UB-25, ST-44, SP-9, LI-4 For Damp-Heat Dysentery: ST-25, ST-37, ST-44, SP-9, LI-11, LI-4 Ear: Spleen, Stomach, Large Intestine, Small Intestine, Liver, Abdomen

Spleen And Stomach Deficiency Cold (Chronic)

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure                                                      Or Chronic , intermittent, spasmodic, dull abdominal pain, relieved by warmth and pressure Aversion to Cold Anorexia Easily satiated Abdominal pain and fullness after meals Nausea / vomiting Loose, unformed stools Dysentery Excessive salivation Cold limbs Lassitude Fatigue Depression Shortness of breath Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale, maybe swollen C: White and greasy P: Deep, thready and forceless
Treatment Principle	Warm Yang Strengthen the Spleen Warm the Center Dispel Cold Stop pain
Herb Formulas	Xiao Jian Zhong Tang Fu Zi Li Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Zhen Ren Yang Zang Tang Wen Wei Yin Wei Feng Tang With Cold-Damp Obstruction: Tao Hua Tang With Liver Qi Stagnation and Dampness: Wan Dai Tang
Points	Moxa needle UB-20, UB-21, LIV-13, REN-12, SP-3, SP-6, ST-36 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen Ear points:  Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic

Spleen And Kidney Yang Deficiency (Chronic)

Clinical Manifestations	Chronic, relentless dysenteric diarrhea which is thin, watery and mucoid “Cock-crow” diarrhea (occurs at about 5 am) which is watery and may have undigested food Diarrhea may contain pus and Blood Diarrhea is worse with exposure to Cold and cold foods Borborygmus or periumbilical pain may precede diarrhea Body cold Limbs icy (especially the legs) Complexion white and shiny or sallow Aversion to Cold Watery cough Dizziness Anorexia Fatigue Listlessness Depression Exhaustion Low back, knees and abdomen feel cold, weak and painful Mild, persistent abdominal pain worse with Cold and better with warmth and pressure Abdominal distention Lower abdomen feels cold and painful Mild tenesmus or A dragging sensation in the lower abdomen which is relieved by the diarrhea Loose stools containing undigested food Edema of face and limbs Heaviness and aching of the limbs and head Palpitations Dysuria Copious, clear urine or Scanty urination Severe: Abdominal 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
Herb Formulas	Fu Zi Li Zhong Wanmodified Si Shen Wan Si Shen Wan + Li Zhong Tang Zhen Ren Yang Zang Tang + Tao Hua Tang With edema: 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 Retention enema: Retention Enema #2
Points	UB-20, UB-23, ST-36, SP-6, SP-9, moxa, REN-4 and REN-12 Moxa needle UB-20, UB-21, UB-23 LIV-13, REN-12, SP-3, SP-6, ST-36 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa or moxa needle DU-4, DU-20, KI-3, REN-4, REN-8, SP-6, ST-36, UB-20, UB-23, UB-25 Moxa abdomen Ear points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic, Distal Segment Rectum

Stomach Yin Deficiency With Heat

Clinical Manifestations	No appetite or Famished but with no desire to eat or Indeterminate gnawing hunger Persistent, dull, nagging epigastric pain Heartburn Morning nausea Abdominal distention after meals Black, sticky or tarry, dry stools Irritability with low grade fever Maybe dry retching or Hiccups Thirst Dry skin, hair and mucous membranes Tendency toward constipation or pellet-like stools Facial flushing Malar flush Nightsweats Five-sole-Heat With Kidney Yin Deficiency: Dizziness Tinnitus Low back and knee weakness and pain T: Red or Slightly red with a peeled center or Red and dry C: Little and dry or Peeled in the center or Shiny P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Nourish the Stomach Cool the Blood Stop bleeding
Herb Formulas	Yu Nu Jianmodified
Points	KI-3, REN-12, SP-6, ST-36, UB-21 With hemafecia: KI-3, KI-6, REN-4, REN-12, SP-6, ST-25, ST-36, UB-20, UB-21, UB-23, UB-25 Ear: Stomach, Kidney, Large Intestine, Distal Segment Rectum, Shenmen, Sympathetic

Food Stagnation In The Stomach

Clinical Manifestations	Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation
Herb Formulas	Zhi Shi Dao Zhi Wan Mu Xiang Bing Lang Wanmodified
Points	LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36

Damp-Heat In The Stomach And Intestines

Clinical Manifestations	Acute or subacute on set of abdominal pain Pain with diarrhea 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 Dysentery Patient feels heavy Patient feels worse after defecation Burning hot sensation in anus Fever Scanty dark urine or Urine short and red Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma Mouth dry but no desire to drink Limbs tired Fullness in chest Lump in epigastrium Anorexia Vomiting T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Detoxify Transform Dampness Stop dysentery.
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang modified Dysentery #1 Dysentery #3 Chinese patent medicine: Huang Lian Su Pian
Points	LI-4, LI-11, LIV-2, SP-9, SP-10, SP-15, ST-25, ST-37 During recovery stage: + ST-36 For severe pain: + REN-6 For high fever: + LI-1, SI-1, ST-44 For more mucus than Blood in the stool: + SP-3 For more Blood than mucus in the stool: + KI-6, SP-1 For tenesmus: + UB-29 For aggravation of abdominal pain by stress: + GB-20, UB-18 ST-25, ST-37, ST-44, UB-25, LI-4, LI-11, SP-9

Stomach Fire

Clinical Manifestations	Dark, purple Blood in the stools or Black, tarry, sticky stools Burning Heat and pain in the epigastrium Epigastric or abdominal distention Dry mouth Irritating thirst: drinks copious fluids and prefers cold drinks Excessive appetite: hungry again quickly after eating (as if food vanishes) Swelling, pain, ulceration and bleeding of gums Foul breath Bitter taste in the mouth Acid reflux Heartburn Belching Toothache Irritability Restlessness Maybe vomiting right after eating Vomiting acid or undigested food Constipation or Maybe dysentery Maybe scanty, red urine T: Red C: Thick, yellow and dry P: P: Slippery, big, Excess and rapid or Wiry and rapid or Slippery and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	San Huang Xie Xin Tang + Shi Hui Sanmodified With Yin Deficiency: Huang Lian E Jiao Tangmodified With severe bleeding precipitating collapse of Yang: Shen Fu Tang With a mixture of Heat and Cold: Sheng Jiang Xie Xin Tangmodified
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21 LI-4, LI-11, PC-8, REN-12 SP-10, ST-37, ST-44, ST-45 With epigastric pain: + ST-34 With Yin Deficiency: + UB-21, UB-23 With hematemesis: + PC-4 With Phlegm-Heat: + ST-40 Ear: Stomach, Duodenum, Large Intestine, Liver, Subcortex, Shenmen

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	Moxa needle 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	Abdominal distention and pain Gas Borborygmus Diarrhea Dysentery 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	Tong Xie Yao Fang
Points	LIV-3, LIV-13, SP-6, ST-36, ST-37, ST-25

Liver Qi Stagnation Invades The Spleen With Stagnant Heat, Damp-Heat Or Fire

Clinical Manifestations	Chronic or recurrent diarrhea with Blood and mucus The diarrhea usually occurs in cycles from weeks to months with an obvious emotional component The diarrhea may alternate with constipation Abdominal distention and pain preceding an incident Gas Borborygmus Dysentery Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Mood swings Temporal or tension headaches Red, sore, dry eyes Facial flushing Nightsweats Bitter or metallic taste in the mouth Dry mouth Anorexia Nausea Acid reflux The patient generally feels hot Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Red or Red edges or Red spots on the edges C: Yellow P:Strong, wiry and rapid
Treatment Principle	Regulate the Liver Harmonize the Liver and Spleen Clear Stagnant Heat or Damp-Heat from the Liver and Intestines Cool the Blood Stop bleeding
Herb Formulas	Jia Wei Xiao Yao Sanmodified With Damp-Heat: Tong Xie Yao Fang If pain is the main symptom: Shao Yao Tang If abdominal distention is the main symptom: Zhong Man Fen Xiao Wan To regulate Qi between episodes: Tong Xie Yao Fang + Xiao Yao San Tong Xie Yao Fang + Jia Wei Xiao Yao San Tong Xie Yao Fang + Chai Hu Shu Gan Tang For Liver Yin Deficiency with Qi Stagnation: Yi Guan Jian For Liver and Kidney Yin Deficiency: Qi Ju Di Huang Wan For Yin Deficiency with Deficient Fire: Zhi Bai Di Huang Wan Chinese patent medicines: During the active phase: Jia Wei Xiao Yao Wan Lian Qiao Bai Du Pian Long Dan Xie Gan Wan During the inactive phase: Shu Gan Wan Mu Xiang Shun Qi Wan Xiao Yao Wan Chai Hu Shu Gan Wan Retention enema: Retention Enema #6
Points	LI-4, LIV-2, LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37, Ahshi points along the Stomach channel between ST-36 and ST-39, Ahshi points along the Urinary Bladder channel between UB-18 and UB-28 With severe bleeding: + LIV-1, SP-10 With nausea: + PC-6 With mucus: + SP-3, ST-40 With hypochondriac pain: + LIV-14 With tension, stress, insomnia and temporal headaches: + DU-24, GB-39, SJ-5 With grief or sadness: + LU-1, LU-7 With Spleen Deficiency: + UB-20 Ear: Liver, Large Intestine, Distal Segment of the Rectum, Shenmen, Subcortex, Sympathetic

Liver Qi Stagnation Invades The Stomach

Clinical Manifestations	Epigastric pain (worse when emotionally upset) Belching with acid regurgitation Nausea Vomiting Anorexia Epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Zuo Jin Wan Shao Yao Gan Cao Tang
Points	LIV-3, LIV-14, PC-6, REN-12

Qi , Blood And Yang Deficiency With Cold

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

Yin Deficiency With Residual Damp-Heat

Clinical Manifestations	Chronic diarrhea with small quantities of sticky mucus and Blood Frequent urge to defecate, often in vain Mild lower abdominal pain Tenesmus Anorexia Nausea Dry mouth and lips Thirst, worse at night Five sole Heat Night sweats Flushing Weight loss Emaciation T: Red or Scarlet and dry C: Peeled or Greasy P: Thready and rapid
Treatment Principle	Nourish Yin Clear residual Damp-Heat Nourish the Blood Regulate the Blood Stop dysentery
Herb Formulas	Huang Lian E Jiao Tangmodified Chinese patent medicines: Zhi Bai Ba Wei Wan With tenesmus: Xiang Lian Wan Retention enema: Retention Enema #7
Points	KI-3, REN-4, REN-12, SP-6, SP-9, ST-25, ST-36, ST-37, UB-20, UB-23, UB-25 Ear: Spleen, Stomach, Kidney, Large Intestine, Small Intestine Sympathetic, Distal Segment of the Rectum, Shenmen

Heat

Clinical Manifestations	Fever Prefers Cold drinks Painful abdomen Constant diarrhea Small quantities of red urine Heavy, painful bowel movements' T: Red C: Thick and yellow P: Rapid
Treatment Principle	Clear Heat
Herb Formulas	With Blood Deficiency: Wen Qing Yin
Points	LI-4, REN-12, SP-2, ST-25, ST-44

Damp-Heat (Acute Bacillary)

Clinical Manifestations	Abdominal pain and cramping Diarrhea The stool is soft bloody and mucous-filled The stool is moved in small amounts ten or more times per day Tenesmus A burning sensation in the anusScanty, dark urine or Chills and fever T: Normal or Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Damoness Regulate Qi
Herb Formulas	Shao Yao Tang modified
Points

Phlegm-Heat

Clinical Manifestations	Persistent high fever Irritability Restlessness Dizziness Vertigo Twitching Spasms of the extremities Insomnia Tinnitus Bitter taste in the mouth Deafness Dry throat Stiff neck with convulsions Severe headache Loss of consciousness Maybe opisthotonos Maybe expectoration of thick, yellow sputum T: Deep red, dry or burnt with prickles C: Yellow and dry P: Wiry and rapid or Wiry and smooth
Treatment Principle	Cool the Liver Extinguish Wind Increase Fluids Relax the sinews Stop convulsions
Herb Formulas	Ling (Yang) Jiao Gou Teng Tang
Points

Toxic Heat

Clinical Manifestations	Sudden onset of frequent, explosive diarrhea with copious fresh red, dark red or purple Blood The Blood may contain mucus and pus There may be diarrhea like bloody water High fever (abrupt onset) Thirst Dryness Dehydration Pounding headache Restlessness Irritability Severe abdominal pain Tenesmus Red, purple Blood and pus in the stool Malaise Red lips Diarrhea without eating Prefers cold drinks Trismus Nausea Vomiting Severe: Delirium Confusion Muscular spasms Convulsions Cold limbs Skin rashes Respiratory problems T: Deep red C: Yellow and dry P: Forceful and rapid (if shock, weakens or disappears) or Slippery and rapid
Treatment Principle	Disperse Heat Detoxify Cool the Blood Stop dysentery
Herb Formulas	Bai Tou Weng Tang modified Huang Lian Jie Du Tang San Huang Xie Xin Tang Dysentery #4 Huang Lian E Jiao Tang Zhen Ren Huo Ming Yin With Qi, Blood and Phlegm Stagnation: Xian Fang Huo Ming Yin For loss of consciousness due to Heat entering the Ying or Xue Stages: Chinese patent medicines: (force the pill into the nose or mouth) Zi Xue Dan Zhi Bao Dan Once the patient is able to take herbs orally: Bai Tou Weng Tangmodified + Xi Jiao Di Huang Tang With collapse of Yang: Shen Fu Tang If Toxic Heat gets locked in, purge: Da Cheng Qi Tang If rectal prolapse occurs: Bu Zhong Yi Qi Tang Retention enemas: For ulceration of the bowel wall: Retention Enema #3 For dominant Damp-Heat: Retention Enema #4 With persistent bleeding: Retention Enema #5 With chronic Damp-Heat and Blood Stagnation: Qing Re Jie Du Hua Yu Tang Chinese patent medicines: Qing Fei Yi Huo Pian Lian Qiao Bai Du Pian Huang Lian Jie Du Pian Huang Lian Su Pian Fu Fang Nan Ban Lan Gen Pian (may be added to the above formulas to enhance clearing Toxic-Heat) Chuan Xin Lian Kang Yan Pian
Points	LI-4, LI-11, ST-25, ST-37, ST-44 With high fever: + DU-14 With Dampness prominent: + SP-9 With nausea: + PC-6, REN-12 With tenesmus : + DU-1, REN-4, UB-30 For shock: DU-24, DU-26, UB-29 KI-7, REN-12, SP-4, ST-25, UB-20, UB-21 Ear: Large Intestine, Small Intestine, Subcortex, Sympathetic, Lower Portion of the Rectum

Cold (Excess With Deficiency)

Clinical Manifestations	Cold body Face and lips blue-green of white Prefers warm drinks Painful abdomen Borborygmus Diarrhea Dysentery Cold extremities Eyes red and prominent T: Normal or Pale C: None P: Deep
Treatment Principle
Herb Formulas
Points	Moxa REN-6, ST-25, UB-25, UB-29

Middle Jiao Damp Stagnation

Clinical Manifestations	Heaviness Anorexia Abdominal distention Uncomfortable bowel movements Nausea Vomiting
Treatment Principle	Resolve Dampness Disperse Stagnation
Herb Formulas	Bu Huan Jin Zheng Qi San Long Dan Xie Gan Tang Gan Lu Xiao Du Dan
Points	REN-6, REN-12, SP-9, ST-25, ST-36

Middle Jiao Damp-Heat

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 Long Dan Xie Gan Tang Lian Po Yin Huang Qin Tang San Huang Xie Xin Tang Zhu Che Wan Dysentery #1 Dysentery #3
Points	REN-6, REN-12, SP-9, ST-25, ST-36

Five-Color Due To Improper Herbal Therapy At The Onset

Clinical Manifestations	Dysentery Stools of various colors Bloody, purulent stools Headache Vomiting Inability to eat or drink T: Pink C: Thin and white P: Thready
Treatment Principle
Herb Formulas
Points	KI-3, REN-4, REN-11, REN-12, ST-25, UB-20, UB-21, UB-25 ST-25, ST-36, UB-25, UB-27

Food Stagnation Transforms Into Damp-Heat

Clinical Manifestations	Abdominal pain (worse with pressure) Abdominal and epigastric distention Diarrhea Dysentery Scanty dark urine Constipation Heaviness of the Intestines T: Red C: Yellow and greasy or slippery P: Deep and Forceful
Treatment Principle	Reduce and guide out Stagnation and Accumulation Clear Heat Dispel Dampness
Herb Formulas	Zhi Shi Dao Zhi Wan
Points	KI-2, REN-4, SP-4, UB-20, UB-23

Heat Obstructing The Abdomen

Clinical Manifestations	Painful, distended abdomen which is worse with pressure Warm body and abdomen High fever or Tidal fever Vomiting Constipation Yellow or red scanty urine Irritability Restlessness Sweating over the whole body or just the hands and feet Thirst Dry mouth Likes cold drinks With Heat in the Intestines: Pain in the left or right iliac fossa Constipation or Diarrhea or Constipation and diarrhea Maybe fecal impaction with foul, green, spurious diarrhea with a palpable mass and pain in the left iliac fossa Frequent flatulence Acute cases: Chills Rigors T: Normal or Red or Red spots C: Yellow or greasy yellow or Brown P: Rapid and full or Rapid and slippery or Bounding, rapid and slippery Deep and strong
Treatment Principle	Clear Heat Stop pain Purge Dry Damp Clear Damp-Heat Eliminate Toxic-Heat
Herb Formulas	Da Cheng Qi Tang With umbilical and right iliac fossa pain: Da Huang Mu Dan Pi Tang
Points	SP-4, PC-6, ST-25, ST-36, REN-4, REN-12, LI-4 ST-25, ST-37, ST-39, ST-44, UB-25, Ahshi points between UB-18 and UB-28 With severe pain: + ST-34 With fever: + DU-14, LI-4, LI-11 With Shao Yang symptoms: + GB-34, GB-39, SJ-5 With constipation: + SJ-6 With diarrhea: + LI-11 Ear: Abdomen, Stomach, Large Intestine, Small Intestine, Shenmen, Sympathetic

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

Mixed Excess And Deficiency

Clinical Manifestations	Chronic intermittent diarrhea with variable mixtures of pus and Blood Triggered or aggravated by overexertion, colds fatigue and stress or May be no obvious trigger Active phase: Diarrhea may occur many times daily Fatigue Tiredness Tenesmus Abdominal distention Mild abdominal pain which is better with warmth and maybe pressure Anorexia Loss of sense of taste Long-standing cases: Emaciation Sallow or pale complexion Listlessness Lethargy Increased desire to sleep Intolerance of Cold Cold extremities T: Normal or Pale or Red C: Greasy P: Thready and choppy or Soft and weak
Treatment Principle	Strengthen the Spleen Tonify Qi Regulate Qi Clear Damp-Heat or Clear Cold-Damp or Clear Toxic Heat
Herb Formulas	Zi Sheng Wanmodified Wu Mei Wan With Liver Qi Stagnation: Jia Wei Xiao Yao San With Damp-Heat: Shao Yao Tang With Damp-Heat and abdominal distention: Zhong Man Fen Xiao Wan For treatment between episodes: With Phlegm-Damp: + Xiang Sha Liu Jun Zi Tang With anxiety, worry phobias, panic attacks and insomnia: + Gui Pi Tang With Liver Attacking the Spleen and Intestines: + Tong Xie Yao Fang + Xiao Yao San + Jia Wei Xiao Yao San + Chai Hu Shu Gan Tang With Spleen Yang Deficiency: + Wen Dan Tang Chinese patent medicines: Zi Sheng Wan Xiang Lian Wan
Points	LIV-13, REN-12, SP-6, ST-25, ST-36, ST-37, ST-39, UB-20, UB-21, UB-25 + Ahshi points + moxa if no Heat With bleeding: + LIV-1, SP-1 With mucus: + SP-3, ST-40 With Qi Stagnation: + GB-34, LIV-3 With Stagnant Heat: + LIV-2 With hypochondriac pain: + LIV-14 With tension, stress insomnia and a lateral headaches: DU-24, GB-39, SJ-5 Ear: Spleen, Large Intestine, Small Intestine, Subcortex, Sympathetic, Distal segment rectum

Fasting Dysentery Due To Spleen And Stomach Deficiency

Clinical Manifestations	Dysentery Anorexia (inability to eat) Vomiting upon eating or drinking T: Normal C: Whitish and slimy P: Soft and floating
Treatment Principle	Release the Exterior Tonify Qi Eliminate toxins Stop vomiting
Herb Formulas	Cang Lin San
Points

Anorectic Dysentery Due To Mistreatment

Etiology	Unresolved or poorly treated Damp-Heat or Cold-Damp dysentery Follows an acute illness Maybe Excess or Deficiency This is a serious and potentially dangerous dysenteric disorder and should be managed in the hospital.
Clinical Manifestations	Short history of dysentery Inability to take in any food or fluid without nausea and vomiting A small or decreasing amount of diarrhea with mucus There may or may not be small amounts of Blood in the stool Severe anorexia Refusal to eat For Excess residual Heat prominent: A red complexion Thirst Dryness Fullness in the chest A foul taste in the mouth Restlessness T: Normal C: Greasy and yellow P: Slippery and rapid For Deficiency prominent: Emaciation Continually nauseous Vomits upon eating No thirst T: Pale C: Little P: Thready and weak
Treatment Principle	Excess: Clear residual Heat Harmonize the Stomach Stop vomiting Descend Qi Deficiency: Strengthen the Spleen Harmonize the Stomach Stop vomiting Descend Qi
Herb Formulas	Excess: Kai Jin San Deficiency: Xiang Sha Liu Jun Zi Tangmodified Shen Ling Bai Zhu Sanmodified If the patient is unable to take any medication 1g of Yu Shu Dan is held in the mouth until the Stomach settles enough to take the main formula.
Points	LI-4, PC-6, REN-12, SP-4, SP-6, ST-25, ST-36, ST-37, UB-20 Ear: Shenmen, Spleen, Stomach, Sympathetic