Dyspnea, Shortness of Breath

General

Clinical Manifestations	Difficult or labored breathing.
Treatment Principle
Herb Formulas
Points	LU-5, SI-7 Paroxysmal Stage: Dingchuan, DU-14, LU-9, REN-22, ST-40, UB-23 Remission Stage: DU-14, LU-9, REN-4, REN-6, ST-40, UB-13, UB-20, UB-23

Wind-Cold Attacks The Lungs

Clinical Manifestations	Itching or tickling in the throat Cough with expectoration of thin, watery or frothy white sputum Dyspnea Chills with low grade fever Anhidrosis No thirst Headache Aversion to Wind Blocked and / or runny nose with clear, watery nasal discharge Sneezing General body aches Maybe asthma T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Resolve Phlegm
Herb Formulas	Xing Su San Ma Huang Tang Shen Mi Tang Jin Fei Cao San Hua Gai San San You Tang Severe cases: Xiao Qing Long Tang With sweating: Gui Zhi Jia Hou Po Xing Ren Tang With Internal Qi Stagnation: Shi Shen Tang With Damp-Accumulation: Ma Huang Jia Zhu Tang With Cold Thin Mucus: She Gan Ma Huang Tang With congested Fluids: Yue Bi Jia Ban Xia Tang With Phlegm Retention: Jin Fei Cao Tang Jia Jian Zhi Sou San
Points	DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13 KI-7, LI-4, LU-7, LU-10, REN-12, SJ-5, UB-12, UB-13 REN-6, REN-12, ST-36, UB-12, UB-13 Chronic due to Wind-Cold: DU-16, LU-7, SJ-5, UB-12, UB-13, moxa or moxa needle ST-36, UB-43

Tai Yang Shang Han With Interior Heat

Clinical Manifestations	Fever and chills Maybe fever only Achiness Anhidrosis Headache Cough Asthma Aversion to Cold Edema Thirst Restlessness Irritability Fidgeting Constipation Sometimes dry achy eyes T: Normal or red C: Yellow or white P: Floating and tight or rapid
Treatment Principle	Expel Wind Disperse Cold Cool Heat
Herb Formulas	Da Qing Long Tang With Phlegm-Heat: Ding Chuan Tang
Points	DU-14, DU-16, GB-20, LI-4, LI-11, LU-7, LU-9, LU-10, SJ-5, SP-1, SP-2, ST-44, UB-12, UB-13

Tai Yang Shang Han With Water Accumulation In The Lungs

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

Tai Yang - Yang Ming

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 Qin Huang Lian Tang
Points

Tai Yang - Yang Ming - Shao Yin Heat

Clinical Manifestations	Dizziness Red, sore eyes Difficulty swallowing Nasal congestion and infection Thick, sticky nasal discharge and saliva Bitter taste in the mouth Dry mouth Focal distention in the chest and diaphragm Stifling sensation in the chest and diaphragm Manic behavior Carbuncles Heat rash Headache Acne Chills High fever Restlessness Urticaria Sore throat Swelling of the throat Coughing Reddish urine Dyspnea Vertigo Severe aversion to Cold Skin rashes Skin ruptures or ulcers Tense abdomen Shoulder stiffness Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Fullness of the abdomen Fullness of the epigastrium Heaviness in the head T: Red C: White or Yellow and greasy P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San Shuang Jie Tong Sheng San
Points

Tai Yang - Tai Yin

Clinical Manifestations	Sensation of extreme Cold Severe chills Chills are not relieved by clothing or covers Slight fever Anhidrosis Exhaustion Almost constant desire to sleep Pale face Cold extremities Cold feet Severe aversion to Cold Headache Shortness of breath Fatigue Joint pain Edema Cough Pain penetrating to the back Toothache Sore throat Raspy voice Edema due to Wei Qi Stagnation Weak extremities Chronic wheezing Severe pain and obstructed feeling over the throat T: Pale and swollen C: White and slippery P: Deep and weak
Treatment Principle	Disperse Wind-Cold Replenish Yang
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang For a milder condition: Ma Huang Fu Zi Gan Cao Tang
Points

Wind-Heat Attacks The Lungs

Clinical Manifestations	Cough with thick, sticky, yellow sputum Sore, red, swollen throat Thirst with a desire to drink cold liquids Runny or blocked nose with thick, yellow discharge Fever with perspiration Slight chills Aversion to Wind Headache Maybe dyspnea with flared nostrils Maybe chest pain Red face Red lips T: Red tip C: Thin and yellow P: Superficial and rapid
Treatment Principle	Expel Wind Clear Heat Ventilate the Lungs
Herb Formulas	Mild cases: Sang Ju Yin Man Jing Zi San Severe cases: Ma Xing Shi Gan Tang Yin Qiao San With coughing: Ning Sou Wan With underlying yin Deficiency: Wei Rui Tang With congested Fluids: Yue Bi Jia Ban Xia Tang
Points	DU-14, DU-16, GB-20, LI-4 + LU-7 or LI-4 + SJ-5, LU-5, LU-10, LU-11, UB-12, UB-13 LU-7, moxa REN-17, REN-22, ST-40, UB-12, UB-13

Perverse Dryness Attacks The Lungs

Clinical Manifestations	Dry cough with little or no sputum Sputum is difficult to expectorate Maybe hemoptysis Cough may cause chest pain Dry or sore throat Hoarse voice Dry lips and mouth Thirst Dryness in nose Epistaxis Chills and fever Headache Anhidrosis Dry skin and hair Constipation T: Red tip C: Thin, yellow and dry P: Superficial, maybe rapid
Treatment Principle	Clear the Lungs Moisten Dryness
Herb Formulas	Qing Zao Jiu Fei Tang If symptoms persist for a long time: Yang Yin Qing Fei Tang
Points	KI-3, LU-1, LU-6, SP-6, UB-13

Wei Stage: Summerheat With Qi And Yin Deficiency

Clinical Manifestations	High fever Profuse sweating Irritability Thirst Scanty, dark urine Restlessness Fatigue Fatigued limbs Shortness of breath Apathy T: Pale or Red P: Deficient and rapid
Treatment Principle	Clear Summerheat Tonify Qi Nourish Yin Generate Fluids
Herb Formulas	Qing Shu Yi Qi Tang Wang Shi Qing Shu Yi Qi Tang
Points

Qi Stage: Lung Heat

Clinical Manifestations	High fever No chills Aversion to Heat Cough Asthma Restlessness Thirst Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm T: Red C: Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful
Treatment Principle	Clear Heat in Lungs Strengthen when weak or elderly
Herb Formulas	Ma Xing Shi Gan Tang Qing Fei Jie Du Tang With Phlegm: Ren Shen Xie Fei Tang With Yin Deficiency: Zi Wan Tang With Heat lingering in the chest: Zhi Zi Gan Cao Chi Tang
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44. UB-13

Phlegm-Fire Attacks The Pericardium

Clinical Manifestations	Fever Impaired consciousness Childhood convulsions Irritability Restlessness Wheezing Nausea Night crying Vomiting milk Diarrhea Abdominal pain Excessive secretion of mucus and saliva Sounds of mucus in the throat Fidgeting Delirium Dyspnea Coughing with sputum
Treatment Principle	Open the Sensory Orifices Arrest spasms and convulsions Clear Heat Transform Phlegm
Herb Formulas	Hui Chun Dan Xiao Er Hui Chun Dan
Points

Xue Stage: Yin Deficiency Leads To Collapse Of Yin

Clinical Manifestations	Low grade fever Purple skin rash Malar flush (deep red cheeks - dangerous) Night sweats every night (gets progressively drier) Restlessness Insomnia Hearing loss Dry mouth and throat Short, sunken, dry gums Thirst Five Sole heat Emaciation Collapse of Yin:   A. Moist skin   B. Sticky with sweat   C. Extreme thirst   D. Tired spirit   E. Shortness of breath   F. Extreme disorientation or confusion T: Deep red and scorched C: Dry P: Thready and rapid
Treatment Principle	Nourish Yin and Jing Nourish the Liver and Kidney Tonify the Blood
Herb Formulas	Da Ding Feng Zhu Zi Ye Qing Re Tang
Points	To Cool Blood: DU-14, LI-11, ST-44 To Nourish Yin and Essence: KI-3, LIV-3, SP-6, UB-23, UB-52 To Nourish Deficiency: UB-43 To Calm the Shen: HT-7

Wind-Damp Edema

Clinical Manifestations	Aversion to Wind and Cold Facial edema moving to generalized edema Slight fever or fever and chills Thirst Slight but continuous perspiration Sore, heavy limbs Decreased urination Headache Edematous orbits A red, swollen sore throat Weak abdomen Belching Cough Asthma Dyspnea Bulging eyes Severe cough Weak, aching feet Skin problems T: Normal C: White or Thin white P: Floating or Floating and big
Treatment Principle	Promote perspiration Disseminate Lung Qi Clear Heat Move water Suppress asthma
Herb Formulas	Yue Bi Jia Zhu Tang
Points

Phlegm-Damp Obstructs The Lungs

Clinical Manifestations	Cough with copious, thin, white, frothy sputum Chest congestion with full feeling Dyspnea which is worse when lying down Sputum rattles in the throat Dyspnea Unable to rest Sometimes asthma T: Pink C: Thick, white and greasy or sticky P: Slippery
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs
Herb Formulas	Er Chen Tang Su Zi Jiang Qi Tang Er Chen Tang + Ping Wei San Ping Chen Tang With Lung abscess: Ting Li Da Zao Xie Fei Tang
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 REN-12, REN-22, ST-40, UB-13 LU-5, PC-6, REN-12, REN-22, ST-40 With Phlegm in the bronchi attacking upward: LIV-13, LU-5, PC-6, REN-12, ST-36, UB-20

Cold-Phlegm Obstructs The Lungs

Clinical Manifestations	Cough with copious, thin, white, frothy sputum Chest and diaphragm congestion with full feeling Dyspnea which is worse when lying down Panting with rales in the throat which usually occurs when exposed to Cold Sometimes asthma Maybe cold upper back A greenish-blue, stagnant facial complexion No thirst or A preference for warm drinks Aversion to Cold Maybe a slight fever Headache Itchy throat Sneezing Runny nose Body aches Maybe itchy skin at the beginning of the acute stage T: Pink C: Thick, white and greasy or sticky P: Slippery or Floating and tight
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs
Herb Formulas	Liang Xiao Wan
Points

Phlegm-Heat Congests The Lungs

Clinical Manifestations	Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess) Dyspnea Asthma Pain in the ribs Maybe chills and fever T: Scarlet C: Yellow and smooth P: Slippery and rapid
Treatment Principle	Clear Heat Counteract Toxin Transform Stasis Drain Pus Resolve Phlegm (The use of Clear Heat / Counteract Toxin herbs and the principle of "Draining Pus" are only relevant when foul-smelling pus is being expectorated such as in pulmonary abscess) Soothe asthma in case of asthma
Herb Formulas	Wei Jing Tang Qian Jin Wei Jing Tang Gua Lou Zhi Shi Tang Qing Jin Hua Tan Wan With Dryness: Bei Mu Gua Lou San With congested Fluids: Yue Bi Jia Ban Xia Tang
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13 LU-1, LU-5, LU-9, LU-10, PC-6, SI-4, UB-13, UB-15

Lung Yin Deficiency

Clinical Manifestations	Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Afternoon fever Night sweats Malar flush (especially in afternoon) Five Sole Heat Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Emaciation T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs
Herb Formulas	Bai He Gu Jin Tang Yang Yin Qing Fei Tang With Deficiency Fire Scorching the throat: Zi Yin Jiang Huo Tang With Heat: Bu Fei E Jiao Tang
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43

Lung Qi Deficiency

Clinical Manifestations	Dyspnea Soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath Unable to rest Spontaneous sweating Pale face With Wei Qi Deficiency: Spontaneous perspiration (daytime) Low resistance to common cold Tendency to a blocked nose T: Pale C: Thin and white P: Weak or Empty
Treatment Principle	Reinforce the Lungs Strengthen Qi
Herb Formulas	Bu Fei Tang   Yu Ping Feng San Bu Wei Fang Wen Fei Zhi Liu Dan With Kidney Deficiency: Ren Shen Hu Tao Tang  modified With acute Cold Accumulation: Wen Fei Tang  + Ling Gan Wu Wei Jiang Xin Tang  modified
Points	LU-9, REN-17, ST-36, UB-13, UB-43 REN-6, REN-17, UB-42, UB-43, moxa or moxa needle ST-36 LU-9, REN-17, UB-13, UB-20, UB-21 With a susceptibility to the common cold: + ST-36 For coughing with white Phlegm: + LU-1 With Yin Deficiency: + LU-5, REN-6 With spontaneous perspiration: + LI-4 LU-9, REN-6, REN-17, ST-36, UB-13 For a cold body with chilled limbs: + moxa or moxa needle REN-4 For Cold in the back: + moxa or moxa needle DU-14 For frequent urination: + DU-4 For dizziness: + DU-20 Due to prolonged illness: LI-10, REN-6, UB-42, UB-43

Lung Qi And Yin Deficiency

Clinical Manifestations	Dyspnea Soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath Unable to rest Spontaneous sweating Pale face Low resistance to common cold Tendency to a blocked nose Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Afternoon fever Night sweats Malar flush (especially in afternoon) Five Sole Heat Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Emaciation T: Pale or Red and dry C: Thin and white or None P: Weak or Empty or Thready and rapid
Treatment Principle	Reinforce the Lungs Strengthen Qi Nourish Yin Moisten the Lungs
Herb Formulas	Qiong Yu Gao Yu Ye Tang Sheng Mai Yin Wan An Fei Jie Geng Tang Jiu Xian San Bao Zhen Tang Jia Wei Sheng Mai San
Points	KI-3, LU-1, LU-5, SP-6, UB-13 With palpitations: + PC-6 With Heart pain: + REN-17, UB-14 With hemoptysis: + LU-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 Qiong Yu Gao Bu Wei Fang
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

Lung Qi Deficiency With Kidneys Not Grasping Qi

Clinical Manifestations	Dyspnea which is worse on exertion Difficult to inhale but not to exhale Soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath Pale face Shortness of breath, shallow breathing Soft voice Perspiration With Wei Qi Deficiency: Spontaneous perspiration (daytime) Low resistance to common cold Tendency to a blocked nose In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type T: Pale and swollen C: Thin and white P: Superficial and Deficient or Deep and thready
Treatment Principle	Reinforce the Lungs Strengthen Qi Reinforce the Kidneys to Grasp Qi
Herb Formulas	Bu Fei Tang Ren Shen Ge Jie Tang
Points	DU-4, KI-3, LU-9, REN-17, UB-13, UB-23, 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 Sheng Mai San + Ji Sheng Shen Qi Wan Ren Shen Ge Jie San
Points	DU-4, KI 3, LU 9, REN-4, REN-6, REN-17, REN-22, ST-36, UB-13, UB-23

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Bai He Gu Jin Tang Ba Xian Chang Shou Wan Yang Yin Qing Fei Tang + Da Bu Yin Wan Di Qi Wan Mai Wei Di Huang Wan Qiong Yu Gao Yue Hua Wan With Lung and Kidney Qi Deficiency: Zheng Yin Li Lao Tang Jia Wei
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Spleen-Damp Disturbs The Lungs

Clinical Manifestations	Head feels heavy as if wrapped up Four limbs tired Lethargic Sensations of stuffiness and fullness in chest and epigastrium Decreased food intake or vomits immediately after eating Cough Asthma Abundant white watery phlegm, easily expectorated Cannot lie flat (due to breathing difficulties) T: Pink C: Thick and slimy P: Slippery and even
Treatment Principle	Warm and Reinforce the Spleen and Lungs
Herb Formulas	Ping Wei San + Er Chen Tang
Points	Dingchuan, LU-9, REN-17, REN-22, SP-3, ST-36, ST-40, UB-13, UB-20

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

Horse Spleen Wind (Cold Changes To Heat)

Clinical Manifestations	Dyspnea Withered chest The ribs on both sides collapse and become concave Confused Shen Depression Haggard and confused appearance T: Normal C: White P: Floating and rapid
Treatment Principle
Herb Formulas
Points	DU-12, LI-10, REN-17, SJ-2

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 Mu Li San Dao Gong San Jia Wei Bu Wei Fang Yi Qi He Wei Jiao Nang With Phlegm-Damp Obstruction: Liu Jun Zi Tang For an elderly person with Phlegm due to Food Stagnation: San Zi Yang Qin Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 REN-6, REN-11, REN-12, SP-4, ST-36 For loose stools: + ST-25 For dizziness and vertigo: + DU-20 For somnolence: + UB-62 For rectal prolapse: + UB-57 For uterine prolapse: + Zigong For chronic dyspnea: LU-5, REN-22, ST-36, UB-13. UB-43 With inconsolidation of Lung Qi: DU-12, REN-6, ST-36, UB-13. UB-43

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 Shen Ling Bai Zhu San
Points	DU-20, other points are selected according to the type of prolapse LU-9, REN-6, REN-12, REN-17, ST-36 With dizziness and blurred vision: + moxa or moxa needle DU-20 With sagging distention in the abdomen: + SP-3 With vaginal protrusion: + DU-20 With rectal prolapse: + UB-57

Spleen Not Governing Blood

Clinical Manifestations	Sallow or pale complexion Anorexia Four limbs feel tired and heavy Physical and mental exhaustion Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose or unformed stools Shortness of breath Dizziness Palpitations Functional Uterine Bleeding Purpura Epistaxis Hemafecia Hematuria Menorrhagia Metrorrhagia T: Pale and flabby - may have teethmarks C: White P: Thready and weak
Treatment Principle	Benefit Qi Conserve Blood
Herb Formulas	Gui Pi Tang Bu Zhong Yi Qi Tang modified Gui Pi Tang + Jiao Ai Tang Bu Wei Fang
Points	SP-1, SP-3, ST-36, UB-20 For Deficiency type uterine bleeding: DU-20, LI-11, REN-4, SP-4, SP-10, SP-14, UB-17

Spleen Deficiency Edema

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Shi Pi Yin With Qi Stagnation: Wu Pi San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

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 (dyspnea) 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	Huang Qi Jian Zhong Tang Li Zhong Tang With Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

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	Tiao Zhong Yi Qi Tang Ding Xiang Shi Di Tang In Children: Ding Yu Li Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21 Moxa needle LIV-13, REN-4, REN-12, ST-36, UB-20, UB-21 For Cold pain in the Stomach and abdomen: + moxa REN-8 For clear diarrhea: + SP-4 For dizziness: + moxa DU-20 For loose stools: + SP-9

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Shortness of breath Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Severe: Abdominal ascites 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 Kidneys
Herb Formulas	Fu Zi Li Zhong Wan
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Blood Stagnation In The Stomach

Clinical Manifestations	Sharp, stabbing epigastric pain with fixed location Pain is severe after eating Dislike of pressure and heat on epigastrium Pain predominates over distention or Pain but no distention Shortness of breath Epigastric rumbling Vomiting purple/black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses T: Dark purple with purple spots or dots P: Wiry and choppy
Treatment Principle	Invigorate the Blood Adjust Qi Transform Stagnation Stop pain
Herb Formulas	Dan Shen Yin modified Shi Xiao San modified
Points	SP-4, SP-6, SP-10, ST-21, ST-34, UB-17 PC-6, SP-4, SP-6, ST-36, UB-17

Stomach Fire Attacking The Lungs

Clinical Manifestations	Dyspnea Coughing Glutinous sputum Red lips Parched mouth Heart troubled Red face Burning Heat and pain in the epigastrium 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 Toothache Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San modified Mai Men Dong Tang modified
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21 LIV-3, PC-6, REN-12, ST-40

Stomach And Lung Yin Deficiency

Clinical Manifestations	Coughing with little yellow sputum Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Coughing up difficult-to-extectorate Phlegm Nausea Scanty urination Hoarseness Thirst Asthma Flushed face Five sole Heat Vomiting T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Benefit the Stomach and Lungs Nourish Yin Generate Fluids Descend Qi Harmonize the Middle Jiao
Herb Formulas	Mai Men Dong Tang
Points

Heart Blood Stagnation

Clinical Manifestations	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in the chest Maybe drawing pain down the internal aspect of arm (especially the left arm) Pain (in chest and/or arm) tends to be severe and intermittent Severe cases: Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle	Clear Yang Invigorate the Blood Transform Stagnation
Herb Formulas	Gua Lou Xie Bai Bai Jiu Tang Xue Fu Zhu Yu Tang
Points	HT-5, HT-6, HT-7, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, UB-15, UB-17

Phlegm Obstructs The Heart Orifice: Yang Obstruction

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Retention of urine Constipation Stiffness and spasm of limbs Red face Body feels hot Coarse breathing Bad breath Restlessness Involuntary movements Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: Yellow and greasy P: Slippery, wiry and rapid
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Zhi Bao Dan Gua Lou Xie Bai Ban Xia Tang
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, ST-40 PC-4, REN-17, ST-40, UB-14, UB-20 With chest oppression and abdominal distention: + PC-6, REN-12 For coughing with profuse Phlegm: + LU-1 HT-6, REN-14, ST-40, UB-15, UB-20 With chest oppression and abdominal distention: + PC-6, REN-12 For coughing with profuse Phlegm: + LU-1

Phlegm Confuses The Heart Orifice

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 Maybe loss of consciousness Maybe falling to the ground Sound of phlegm in throat with gurgling Dyspnea Vertigo Headache Accumulation of congested Fluids that won't dissipate Vomiting Stifling sensation of chest and diaphragm Distention of chest and diaphragm Distention and fullness of hypochondria and flanks Nausea Restlessness when sitting or lying down Coughing and wheezing Copious sputum Thick, gummy nasal discharge and saliva Reduced appetite T: Pink C: White and greasy P: Slippery
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Dao Tan Tang
Points	DU-16, DU-26, HT-7, PC-5, ST-40, UB-15, UB-18, UB-20, UB-62

Heart 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 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 Bu Xin Wan Gui Zhi Gan Cao Tang Wu Wei Zi Tang
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15 HT-6, PC-4, REN-14, REN-17, UB-15 For dizziness and vertigo: + DU-20 For severe palpitations: + PC-6 With Blood Stasis: + PC-6, SP-6

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 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 Dan Gui Zhi Gan Cao Long Gu Mu Li Tan Gua Lou Xie Bai Bai Jiu Tang
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, UB-15

Heart Yang Deficiency Exhaustion: Fainting With Cold Limbs

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor All four limbs cold Watery stools with undigested food Maybe loss of consciousness T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Return Yang Relieve contravection
Herb Formulas	Si Ni Tan Si Ni Jia Ren Shen Tang
Points	Moxa or moxa needle DU-25, DU-26, KI-1, PC-6, PC-9, REN-4, REN-6, REN-8, ST-36

Heart Yang Deficiency Exhaustion: Vanquished Yang

Clinical Manifestations	Palpitations Shortness of breath Drenched with perspiration Above symptoms worse on exertion or when tired Four limbs cold Cyanosis of mouth and lips Faint, weak respiration P: Minute (on the point of collapse)
Treatment Principle	Return Yang Consolidate Exhaustion
Herb Formulas	Shen Fu Tang Shen Fu Long Mu Tang Shen Fu Long Mu Jue Ni Tang
Points	Moxa or moxa needle DU-25, DU-26, KI-1, PC-6, PC-9, REN-4, REN-6, REN-8, ST-36

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

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang Zhen Wu Tang Shi Wei Wen Dan Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

Heart Yang Not Vogorous: 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

Heart Qi And Blood Deficiency With Liver Qi Stagnation

Clinical Manifestations	A long period of extreme fatigue Depression Impaired memory Insomnia Sighing Shortness of breath A faint, weak voice Disinclination to speak Fatigue Palpitations Anorexia A lack of strength Flabby muscles Possible joint soreness and pain T: Pale red and fat C: White P: Thready and wiry
Treatment Principle	Supplement Heart Qi and Blood Strengthen the Spleen Tonify Qi Regulate Liver Qi Resolve depression Calm the Shen
Herb Formulas	Bu Gan Yi Qi Tang
Points

Heart And Lung Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath Asthma Soft weak cough Prolonged bouts of coughing with dyspnea Expectoration of clear, watery Phlegm Suffocating sensation in the chest Spontaneous, weak perspiration All of the above manifestations are exacerbated by exertion Shiny white complexion Weak voice Catches colds easily T: Pale C: Thin and white P: Weak or Thready and weak
Treatment Principle	Reinforce and Benefit Heart and Lung Qi
Herb Formulas	Bao Yuan Tang Bu Fei Tang Si Jun Zi Tang Sheng Mai San Zhi Gan Cao Tang
Points	HT-7, LU-9, REN-17, UB-13, UB-15

Heart And Gallbladder Qi Deficiency

Clinical Manifestations	Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Easily frightened or startled Easily unsettled by seeming trivial events Anxiety Palpitations Shortness of breath Lethargy Fatigue 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
Treatment Principle	Strengthen Qi Calm the Shen Alleviate fearfulness
Herb Formulas	Ding Zhi Wan Qi Yang Yu Xin Dan Due to shock or fright: An Shen Ding Zhi Wan
Points

Heart And Kidney Yang Deficiency Due To Lung Qi Deficiency

Clinical Manifestations	Shallow, rapid respiration Palpitations Cold limbs and body Facial and ankle edema Scanty urine Sometimes cyanosis T: Pale, moist and swollen C: White P: Deep and minute
Treatment Principle	Tonify Heart and Yang Tonify Lung Qi
Herb Formulas	Bu Fei Tang Si Jun Zi Tang Bao Yuan Tang Zhi Gan Cao Tang Jin Gui Shen Qi Wan
Points

Liver Qi Stagnation Attacking The Lungs

Clinical Manifestations	Dyspnea No sputum Chest and rib distention Depression T: Normal C: White P: Deep and large
Treatment Principle
Herb Formulas
Points	DU-10, LU-1, REN-17, REN-22, ST-36, UB-13

Liver Fire Scorches The Lungs

Clinical Manifestations	Coughing fits with hemoptysis Burning pain in chest and sides Dizziness Face and eyes red Bitter taste in mouth Dry lips Short-tempered Irascibility Restlessness Maybe dark urine Maybe constipation T: Red C: Thin, yellow and dry P: Wiry and rapid
Treatment Principle	Clear Liver Fire Purge the Lungs
Herb Formulas	Xie Bai San Dai Ge San Da Bu Yin Wan Bronchial Asthma #1
Points	LIV-2, LU-5, LU-6, LU-10, PC-6, UB-13, UB-18

Kidney Yang Deficiency

Clinical Manifestations	Constitutional shortness of breath Chronic wheezing Inhalation more difficult than exhalation Worse with exertion, fatigue or Cold Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale or cyanotic face Dark rings under the eyes Facial puffiness Spontaneous sweating Frequent colds Urinary frequency with abundant, clear urine or Oliguria with pitting edema Maybe nocturia Lethargy Listlessness 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 or Purplish/bluish C: Thin and white P: Deep and thready - maybe slow or Imperceptible or Large, deficient and rootless
Treatment Principle	Warm and Reinforce Kidney Yang Support Wei Qi
Herb Formulas	Jin Gui Shen Qi Wan modified You Gui Yin
Points	KI-3, LU-9, REN-4, REN-6, UB-13, UB-23 With congested Fluids: + KI-7, REN-9, SP-6, SP-9, ST-28 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 KI-3, moxa needle DU-4, REN-6, UB-23 With severe Qi Deficiency: + ST-36 With Phlegm: + ST-36, ST-40 With severe panting: + Dingchuan or LI-18 With chest oppression: + PC-6, REN-17 In children with underlying Food Stagnation: bleed Sifeng Moxa DU-4, needle KI-3, UB-13, UB-23

Kidney Yang Deficiency: Kidneys Not Grasping Qi

Clinical Manifestations	Dyspnea which is worse on exertion Difficult to inhale but not to exhale Shortness of breath, shallow breathing Soft voice Perspiration In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type T: Pale and swollen C: Thin and white P: Superficial and Deficient or Deep and thready
Treatment Principle	Reinforce the Kidneys to Grasp Qi
Herb Formulas	Ren Shen Ge Jie San Hei Xi Dan Ren Shen Hu Tao Tang  modified With more severe Kidney Yang Deficiency: Shen Qi Wan  modified
Points	DU-4, KI-3, LU-9, REN-6, ST-36, UB-13, UB-23, UB-43

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	Moxa or moxa needle 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 With Phlegm Accumulation

Clinical Manifestations	Shortness of breath Hasty panting with better exhalation than inhalation Coughing with profuse white Phlegm Chest and diaphragm oppression and fullness Low back pain Cold limbs Frequent urination T: Pale C: White P: Deep and thready or Soft, slippery and forceless
Treatment Principle	Descend Qi Transform Phlegm Stop panting
Herb Formulas	Su Zi Jiang Qi Tang  modified
Points	Dingchuan, REN-4, SP-9, UB-13, UB-15, UB-23 With cyanotic face, lips and nails: + PC-6 For daybreak diarrhea: + moxa or moxa needle DU-4

Kidney Yin Deficiency

Clinical Manifestations	Constitutional shortness of breath Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel * Dry mouth * Thirst * Night sweats * Five sole heat * Malar flush * Low grade fever in the afternoon * Dry throat, maybe recurrent sore throat * Dry stools and / or constipation * Urine short and red * Heightened libido T: Red C: Little or None P: Thready and rapid *All signs and symptoms marked with an asterisk (*) are due to Deficiency Fire
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Mai Wei Di Huang Wan modified
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23 Relief Stage: KI-7, SP-6, UB-13, UB-23

Qi And Blood Stagnation

Clinical Manifestations	Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots 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: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation
Herb Formulas	Xue Fu Zhu Yu Tang: With Water Accumulation in the legs: Jiu Wei Bing Lang Jia Wu Fu Tang
Points	GB-40, GB-41, LIV-3, LIV-14, PC-6, SJ-6, SP-6, SP-10, ST-36, UB-17, UB-18, UB-40 LI-4, PC-6, REN-17, SP-6, UB-17 For vexation: + HT-7, UB-15 For amenorrhea: + SP-10, ST-29 For dysmenorrhea: + REN-3, SP-8

Yang Deficiency With Phlegm

Clinical Manifestations	Panting with rales in the throat Shortness of breath which is worse on exertion A white facial complexion Sweating Cold limbs T: Fat and tender or Pale purple C: White P: Deep, weak and forceless
Treatment Principle	Warm Yang Tonify Qi Descend Qi Transform Phlegm
Herb Formulas	Jin Gui Shen Qi Wan + San Zi Yang Qi Tang modified
Points	Dingchuan, moxa needle REN-4, ST-36, UB-13, UB-43 For loose stools: + SP-4 For Heart palpitations: + UB-15 For aversion to Cold and clear urination: + UB-23

Qi And Yang Deficiency

Clinical Manifestations	Shortness of breath Frequent spitting of saliva and gastric fluids Weight loss Severe fatigue Pale sallow complexion Cold intolerance Cold extremities Hyper-salivation Edema of the face Abdominal distension Chronic difficulty swallowing food and fluid Pale-white face Tiredness Excessive phlegm Frequent belching with clear mucus Cold body Face and ankle swelling Sometimes abdominal swelling T: Pale and swollen C: White P:Thready, weak and imperceptible
Treatment Principle	Tonify Qi Strengthen the Spleen Harmonize the Stomach Clear Damp
Herb Formulas	Bu Qi Yun Pi Tang With predominant Yang Deficiency: Li Zhong Tang With predominant Kidney Yang Deficiency: You Gui Wan
Points	PC-6, REN-12, REN-17, ST-36, UB-17, moxa or moxa needle DU-4, REN-4 With vomiting from Stomach Qi Deficiency: + UB-20, UB-21 For Qi and Yin Deficiency: + SP-6 With tired limbs, panting on exertion and a large, forceless pulse: + REN-6 With palpitations, insomnia, and a withered, yellow facial complexion: + UB-15, UB-20

Qi And Yin Deficiency With Heat And Dryness Of The Lungs

Clinical Manifestations	Dyspnea Dry, hacking cough with little or no sputum Flushed face Sputum is difficult to expectorate Restlessness Maybe hemoptysis Hiccups Cough may cause chest pain Dry or sore throat Upper respiratory tract infection Hoarse voice Asthma Dry lips and mouth Fever Shortness of breath Hemoptysis Decreased urination Constipation Thirst Dry skin and hair Dryness in nose Sensation of fullness in chest Epistaxis Hypochondriac pain Chills and fever Headache Anhidrosis Irritability Itching T: Red tip, dry C: Thin, yellow, or White and dry, or None P: Superficial, maybe rapid or Big and weak or Deficient, big and rapid
Treatment Principle	Eliminate Dryness Moisten the Lungs Nourish Lung Yin Clear Heat
Herb Formulas	Qing Zao Jiu Fei Tang Without Heat and Dryness: Shen Qi Di Huang Tang
Points	KI-3, PC-4, REN-17, SP-6, ST-36, UB-14, With predominant Qi deficiency: + REN-6 With dizziness: + DU-20 With scanty menstruation: + SP-10 KI-3, KI-3 HT-6, REN-14, SP-6, ST-36, UB-20 With predominant Qi deficiency: + REN-6 With dizziness: + DU-20 With scanty menstruation: + SP-10

Qi And Blood Deficiency

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang Ba Zhen Yi Mu Wan Zhi Gan Cao Tang With emaciation, severe dysphagia, fatigued limbs and shortness of breath: Ba Zhen Tang  modified
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17 PC-4, REN-17, SP-6, ST-36, UB-14, With Yin Deficiency: +KI-3 With predominant Qi deficiency: + REN-6 With dizziness: + DU-20 With scanty menstruation: + SP-10 HT-6, REN-14, SP-6, ST-36, UB-20 With Yin Deficiency: +KI-3 With predominant Qi deficiency: + REN-6 With dizziness: + DU-20 With scanty menstruation: + SP-10

Qi , Blood And Yin Deficiency With Blood Stagnation And Heat

Clinical Manifestations	Lassitude Fatigue Shortness of breath Dizziness Tinnitus Palpitations Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and weakness Low grade fever Five Sole heat Possible sweating Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	Tonify Qi and Blood Promote urination Invigorate the Blood Dispel Blood Stasis Nourish Yin Generate fluids Clear Heat Drain Kidney Fire Cool the Blood
Herb Formulas	Yi Qi Yang Yin Huo Xue Fang
Points

Qi, Yang And Blood Deficiency

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

Blood Stagnation With Heat

Clinical Manifestations	Dyspnea Severe wheezing Distention of the chest Purpura Incontinence of urine Night fevers Irritability Restlessness Thirst Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet Afternoon fever Tremors Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Drive out Blood Stasis Drain Heat
Herb Formulas	Xia Yu Xue Tang
Points

Blood Deficiency

Clinical Manifestations	Dyspnea Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath 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
Herb Formulas	Dang Gui Jian Zhong Tang Shou Wu Sheng Fa Yin Tuo Fa Zai Sheng San An Tai Yin #3
Points

Water Accumulation In The Upper Jiao

Clinical Manifestations	Shortness of breath Increased dyspnea when lying down Asthma Abdominal pain Chest and epigastric fullness and distention A dark facial complexion Scanty urination Edema P: Deep and tight
Treatment Principle	Activate Water circulation to eliminate Stagnation Descend Qi
Herb Formulas	Mu Fang Ji Tang
Points

Severe Fluid Accumulation

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

Phlegm Stasis And Obstruction

Clinical Manifestations	Chest fullness and pain Dyspnea Shortness of breath Severe pain radiating to the back Severe wheezing Chest oppression Severe cough Disturbed sleep T: Normal C: White and greasy P: Deep and wiry or Tight
Treatment Principle	Unblock the Yang Disperse Stagnation Dispel Phlegm Relieve chest fullness
Herb Formulas	Gua Lou Xie Bai Ban Xia Tang
Points	PC-6, REN-12, REN-17, ST-40, UB-15, UB-17 With severe Heart pain: + HT-6 With a cyanotic facial complexion and counterflow chilling of the limbs: + moxa or moxa needle REN-4, REN-6

Tan Yin

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San She Gan Ma Huang Tang Xiang Fu Xuan Fu Hua Tang With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23 LIV-13, REN-12, SP-9, ST-36 With hypochondriac and chest fullness and oppression and a slimy tongue coat: + GB-40, SP-4 With hypochondriac and chest fullness and oppression a weak constitution and reduced food intake: + LIV-14

Xuan Yin

Clinical Manifestations	Cough with sharp pain in the chest and hypochondrium Hypochondriac distention and pain Hard focal distention in the epigastrium Dry heaves Shortness of breath Headache Abdominal distention Wheezing Fullness in the chest Dyspnea caused by extreme chest and back pain Dizziness Vertigo Asthma Rapid breathing Generalized edema which is worse in the lower body Difficult urination and defecation T: Normal or Dark C: Thick, greasy and white P: Deep and wiry
Treatment Principle	Attack and Dispel water
Herb Formulas	Shi Zao Tang
Points	KI-3, LI-4, LI-11, PC-6, REN-11, REN-12, ST-36, UB-13, UB-20, UB-23

Zhi Yin

Clinical Manifestations	Cough Asthma Shortness of breath which is worse when lying down Abdominal distention with water retention Edema in the lower extremities Facial edema T: White bubbles C: Thick, greasy and white P: Thready
Treatment Principle	Regulate the Lungs Purge Yin
Herb Formulas	Wu Ling San Xiao Qing Long Tang Xiang Fu Xuan Fu Hua Tang
Points	LU-7, SP-6, SP-9, UB-13

Re Tan

Clinical Manifestations	Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Qing Qi Hua Tan Wan Er Chen Tang modified Huang Lian Wen Dan Tang Shi Yi Wei Wen Dan Tang
Points	LI-11, LU-5, ST-40, UB-13

Han Tan

Clinical Manifestations	Chills Chest fullness Aversion to Cold Stabbing pain in the bones and joints Cough with sputum Cough Wheezing Copious sputum Chest distention Anorexia Indigestion Hiccup Shortness of breath T: Pale C: Thick, white P: Sinking and slow
Treatment Principle	Warm Cold Disperse Phlegm
Herb Formulas	San Zi Yang Qin Tang Er Chen Tang modified With Kidney Yang Deficiency: Su Zi Jiang Qi Tang
Points	Moxa or moxa needle LU-7, UB-13

Chest Bi

Clinical Manifestations	Fullness and pain in the chest or Stabbing pain that radiates from the chest to the back Wheezing Coughing with sputum Drooling Shortness of breath Focal distention in the chest that feels like a flow of Qi proceeding from the flanks to the area around the Heart T: Normal C: White and greasy P: Deep and wiry or Deep and tight
Treatment Principle	Unblock Yang Dissipate clumps Expel Phlegm Descend Qi
Herb Formulas	Zhi Shi Xie Bai Gui Zhi Tang
Points

Collapse Of Yin And Yang

Clinical Manifestations	Epistaxis with incessant, profuse bleeding Severe: bleeding of the mouth, teeth, ears and skin Profuse perspiration A drained, whiter facial complexion An open mouth with closed eyes Counterflow frigidity of the limbs Open hands Enuresis Clouded Shen Dyspnea T: Pale C: Little or None P: Faint, on the verge of expiring
Treatment Principle	Return Yang Stem counterflow Tonify Qi Stop bleeding
Herb Formulas	Shen Fu Tang  modified + Sheng Mai San
Points	Strong moxibustion on: LIV-1, REN-4, REN-8

Imbalance Of The Transverse Luo Of The Large Intestine

Clinical Manifestations	Dyspnea Fullness in the chest Flank oppression
Treatment Principle
Herb Formulas
Points	LI-6, LI-11 LI-6, LU-9