Eczema

General

Clinical Manifestations	Redness Swelling Vesicles Weeping Crusting Scaling Itching Burning Acute: Lesions appear abruptly on the interior aspects of the four extremities (cubital and popliteal creases) They may affect the face and neck They can appear on the dorsal aspect of the hands and feet and scrotum There is erythema They may appear as bright red and swollen plaques with papules or pustules, vesicles or watery blisters There is suppuration which eventually form scabs Two or three types of lesions may present simultaneously The border is always indistinct They are intensely itchy Acute lesions are often confused with contact dermatitis Chronic: Red, scaly, rough, thickened skin (lichenification) which is dry and sometimes fissured Desquamation Pigment sedimentation Distinct borders Frequent severe itching Frequent acute flare ups Lesions frequently appear on the face, behind the auricles of the ears, shanks or on the scrotum Lesions may appear anywhere
Treatment Principle	Acute: Clear Heat Eliminate Dampness Chronic: Nourish the Blood Dispel Wind
Herb Formulas	Acute: Bei Xie Shen Shi Tang + Er Miao San Da Cheng Qi Tang Chronic: Si Wu Tang + Xiao Feng San Di Huang Yin To inhibit dermatitis and the associated inflammatory changes and correct the immunological imbalances seen in patients with eczema: Shi Quan Da Bu Tang Bu Zhong Yi Qi Tang Huang Lian Jie Du Tang To prevent the elevation of serum IgE levels: Shi Quan Da Bu Tang Bu Zhong Yi Qi Tang Topical: Topical #2 Qing Dai Gao San Huang Xi Ji Wet Dressing Formula Lu Lu Tong Shui Xi Ji BE Lotion Fungus #1 Shi Zhen San Zhi Yang Fen Zao Shi Xi Yao Zi Yun Gao Acute: Acute Eczema Compress #1 Chronic: Chronic Eczema Wash #1 Hei Dou Liu You Ruan Gao
Points	LI-4, LI-11, SP-6, SP-9, SP-10, ST-36, ST-40, HT-7 Extreme itching: + GB-31, HT-8 Blood deficiency: + UB-17 For weeping eczema: UB-60, UB-40, LI-11, SJ-5, SI-3, SP-10 Ear Acupuncture: Lung, Heart, Spleen, Adrenal, Shenmen Lung, Shenmen, Adrenal, Bleed retroauricular vein, Liver, Subcortex

Tai Yang Zhong Feng

Clinical Manifestations	Eczema Aversion to Wind Mild or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Stiff neck and shoulders Nausea 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 the Ying and Wei to protect digestion Nourish Deficiency
Herb Formulas	Gui Zhi Tang Ma Gui Ge Ban Tang  modified With neck and shoulder stiffness and pain: Gui Zhi Jia Ge Gen Tang With cough and wheezing: Gui Zhi Jia Hou Po Xing Ren Tang With Dampness: Ren Shen Bai Du San
Points	To Disperse Wind: GB-20, DU-16, UB-12 To Tonify the Lungs: UB-13 For nasal obstruction: LI-20, Bitong, Yintang To promote sweat: LI-4, KI-7, LU-7, SJ-5 For Dampness: ST-36, SP-6, SP-8, REN-12

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
Points

Shang Han-Tai Yang Level (Wind-Cold Attacks The Lungs)

Clinical Manifestations	Acute nasal congestion Continuous or sustained nasal congestion Transient, declining sense of smell or loss of sense of smell Clear, watery nasal discharge Sneezing Itching eyes and nose Pale, baggy mucus membranes Red, swollen conjunctiva Edema and vasodilation of the nasal mucus membrane Maybe nasal polyps Maybe nasal obstruction Severe chills Mild or no fever Aversion to Cold Generalized discomfort Stiff neck and shoulders	Generally severe frontal or occipital headache Body aches Joint ache Nausea Vomiting Hiccups Anhidrosis Gasping Stabbing joint pain Itchy throat Cough Asthma Aversion to Wind and Cold Maybe low back pain Maybe frozen shoulder Maybe dyspnea Maybe epistaxis (severe) T: Normal C: Thin, white P: Superficial or Superficial and tight
Treatment Principle	Relieve Exterior Expel Cold Disperse the Lungs Unblocks the nasal passages
Herb Formulas	Ma Huang Tang Jing Fang Bai Du San Xing Su San Xiao Qing Long Tang Gui Zhi Tang Ma Huang Jia Zhu Tang Xin Yi San modified Shi Shen Tang Hua Gai San For pain in the nasal cavity: Jia Wei Xin Yi San With neck and shoulder stiffness: Ge Gen Tang With vomiting but no diarrhea: Ge Gen Jia Ban Xia Tang Ear: Inner nose, Forehead, Tip of the nose, Lung Patent Medicines:   Bi Min Gan Wan (Pe Min Kan Wan)   Gan Mao Ling   For prominent headache: Chuan Xiong Cha Tiao Wan
Points	LI-4, LI-20, LI-19, UB-7, LU-7, ST-36 GB-20, GB-11, LI-20, LI-11, LI-4 UB-12, UB-13, GB-20, LU-7, LU-5, LI-4, KI-7, DU-16 UB-6, UB-2, SI-3 LU-7, LI-4, LI-11, Yintang, LI-20, DU-23, UB-2, Bitong DU-23, LI-20, LI-4, LU-7, SJ-5 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 To Expel Wind Cold: GB-20, DU-16, UB-12 To Disperse the Lung: UB-13 To clear nasal obstruction: LI-20, Bitong, Yintang To Promote Sweat: LI-4, KI-7, LU-7, SJ-5 DU-14, UB-12, GB-20, LI-4, KI-7 For headache: ST-8 For cough: UB-13 Ear: Inner nose, Forehead, Tip of the nose, Lung

Wind-Cold Invasion With Damp Accumulation

Clinical Manifestations	Itching or tickling in the throat Wheezing Sneezing Gasping Cough with expectoration of thin, watery or frothy white sputum General body aches No thirst Dyspnea Headache Body aches A sensation of heaviness Chills with low grade fever Maybe asthma Intolerance of Cold Anhidrosis Blocked and/or runny nose with watery nasal discharge Chest discomfort Neck stiffness Irritability T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Disperse Wind-Cold Induce diaphoresis Dispel Dampness
Herb Formulas	Ma Huang Jia Zhu Tang Yue Bi Tang Jing Fang Bai Du San With Qi Deficiency: Cang Lin San
Points	DU-16, GB-20, UB-12, LI-4, SJ-5 (Sedating technique), UB-13, LU-7, REN-17, SP-6, SP-9, Moxa REN-4, REN-6, DU-4

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
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points	General points

Shao Yang Jing

Clinical Manifestations	Periaural eczema Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Occasional vomiting Headaches (side of head) Hypochondriac pain Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on side C: Thin white P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Xiao Chai Hu Tang
Points	GB-41, SJ-5 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 To stop nausea and vomiting: PC-6, SP-4, ST-36 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: SJ-6, ST-25 To treat fever: DU-13, DU-14 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: SP-10 Head: GB-8, SJ-20, Yintang Eyes: GB-14, GB-20, ST-1, UB-1, UB-2 Ear: GB-2, SJ-5, SJ-17, SJ-21 Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0

Wind-Heat

Clinical Manifestations	Flushed skin Papules spreading all over the body Principally in the face and upper body Mild erosion Oozing of fluid after scratching T: Red tip C: Thin and yellow P: Superficial and rapid
Treatment Principle	Dispel Wind Clear Heat Dispel Dampness
Herb Formulas	Eczema #1 Xiao Feng San modified Qing Shang Fang Feng Tang Topical: Qu Feng Xi Yao
Points	SJ-5 + LI-4. DU-14, DU-16, GB-20, LU-5, LU-10, LU-11, UB-12, UB-13 UB-12, UB-13, LI-4, DU-16, LU-7

Wind-Damp Invasion With Spleen Qi Deficiency

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	General points

Wind-Damp - Heat Invasion - Damp Predominant (Acute)

Clinical Manifestations	Rash worse on the upper body Manifests as red papules and a small number of vesicles Mild exudation Incessant itching T: Red C: Thin white P: Wiry and slippery
Treatment Principle	Dispel Wind Eliminate Dampness
Herb Formulas	Xiao Feng San modified San Miao Wan Topical: Mi Tuo Seng San
Points	General points

Wind-Damp Heat Invasion - Heat Predominant (Acute)

Clinical Manifestations	Acute onset Inflammation Numerous red 1-2 mm papules and a few vesicles A sensation of scorching Heat Irritability Thirst Itching Short voiding of reddish urine Constipation T: Red C: Thin yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness
Herb Formulas	Liang Xue Chu Shi Tang+ Liu Yi San
Points	General points

Wind-Damp-Heat Invasion With Blood Deficiency (Chronic)

Clinical Manifestations	Thickened skin with lichenoid changes Localized skin eruptions with clear borders Small amount of desquamation Itching Erosion
Treatment Principle	Nourish the Blood Eliminate Wind Clear Heat Dispel Damp
Herb Formulas	Si Wu Xiao Feng Tang
Points	General points

Yang Ming Jing - Qi Stage Heat

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability Restlessness Feverish body parts Red face Dry stools T:  Red, dry C:  Dry yellow P:  Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang
Points	General points

Yang Ming Jing With Qi And Body Fluid Deficiency

Clinical Manifestations	High fever Profuse sweat Generalized weakness Severe chills Aversion to Heat Red face Severe thirst Thirst may be unquenchable Irritability Anxiety Pruritis Headache Toothache Gum bleeding Epistaxis Dry lips Dry tongue Dry mouth May be sensitive to Cold in the upper back Polyuria Delusions Eye congestion Burning sensation on the skin Itching skin Abdominal fullness without resistance Dry, course skin Listlessness May be heavy labored breathing. Delirious speech (serious cases) Mania (serious cases) T: Red tip and sides C: Yellow, dry or white P: Large and forceless
Treatment Principle	Clear Heat Drain Stomach Fire Generate Fluids Alleviate thirst Nourish Qi
Herb Formulas	Bai Hu Jia Ren Shen Tang
Points	To nourish Yin and moisten: KI-3, KI-6, SP-6 To Tonify Qi: UB-20, REN-12, ST-36, REN-6, SP-3 To Clear Heat: DU-14, LI-11, ST-44

Shao Yin With The Urinary Bladder Affected

Clinical Manifestations	Chronic eczema Scrotal eczema Aversion to Cold Curls up a lot Doesn't like to talk Tired No spirit Dull Shen Severe edema in the chest Cold extremities Diarrhea with loose stools No thirst Likes warm drinks Sluggish urination Vertigo Palpitations Water metabolism disturbance with excess fluid in the body: Abdomen: pain and Cold Lower Jiao: pain with difficult urination Intestines: watery stools Stomach: clear vomit Lungs: cough, dyspnea, phlegm, and asthma Extremities: edema, heaviness T:  Pale with scallops C:  White or greasy white P:  Sinking, weak, may be soft or thready
Treatment Principle	Tonify Yang Strengthen water circulation
Herb Formulas	Zhen Wu Tang Zhu Ling Tang
Points	General points

Wind-Dryness Generates Blood And Yin Deficiency

Clinical Manifestations	Chronic itching Rough, thickened skin (lichenification) Desquamation Pigment sedimentation Distinct borders Frequent severe itching Frequent acute flare ups Lesions frequently appear on the face, behind the auricles of the ears, shanks or on the scrotum Lesions may appear anywhere
Treatment Principle	Nourish the Blood Moisten Dryness Dispel Wind
Herb Formulas	Di Huang Yin
Points	For weeping eczema: UB-60, UB-40, LI-11, SJ-5, SI-3, SP-10

Wind Damp-Heat

Clinical Manifestations	The condition is chronic Worse in the summer Excessive secretions Crustiness Lesions in the genital area Generalized body aches and pains Irritability Heavy sensation in the shoulder and back Discomfort or a constricted sensation in the area of the chest and diaphragm Multiple sores, carbuncles furuncles or abscesses Redness Itching Persistent swelling Chest pain Fever Thirst Aching and painful extremities Aching and painful joints Unbearable swelling and pain of the lower extremities Shoulder stiffness T: Normal C: Greasy and slightly yellow P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle	Resolve Dampness Clear Heat Disperse Wind Stop pain Activate the Blood Tonify Qi and Blood
Herb Formulas	Dang Gui Nian Tong Tang Xiao Feng San Shi Wei Bai Du San Huang Lian Jie Du Tang Topical: San Huang Xi Ji
Points	DU-14, LI-11, SP-6, SP-10, HT-7, ST-36 Cutaneous: Tap area to bleed - may add cups Ear: Lung, Adrenal, Liver, Subcortex Moxa area

Spleen Qi Deficiency With Blood Dryness

Clinical Manifestations	Extremely itchy patches with scales Thickened skin with scratch lines Hyperpigmentation T: Pale C: White P: Thready and weak
Treatment Principle	Strengthen the Spleen Moisten the skin
Herb Formulas	Jian Pi Run Fu Tang Bu Zhong Yi Qi Tang + Ba Zhen Tang Run Fu Tang
Points	General points

Spleen Qi Deficiency With Damp Accumulation - Chronic

Clinical Manifestations	Long-lasting itchy patches with scales or thickened skin Hyperpigmentation Lesions are less red and more pale with a thin fluid discharge Eruptions with small vesicles Slight erosion and crusting Abdominal distention Poor appetite Loose stools T: Pale and puffy with tooth marks C: White thick and greasy P: Weak
Treatment Principle	Strengthen the Spleen Dry Dampness
Herb Formulas	Chu Shi Wei Ling Tang modified Si Ling San Wu Ling San
Points	REN-12, SP-3, SP-6, SP-9, ST-8

Damp-Heat Accumulation In The Spleen And Stomach

Clinical Manifestations	Erythematous eruptions around the mouth, eyes, nose, scalp, and behind the ears Papulovesicles Vesicles Weeping Erosion Yellow crust Itching Thirst Bitter taste Bad breath Dark urine T: Red C: Yellow P: Rapid
Treatment Principle	Clear the Spleen Purge Fire
Herb Formulas	Xie Huang San modified
Points	General points

Cold-Damp Distresses The Spleen

Clinical Manifestations	Distention and fullness of the epigastrium and abdomen Nausea and vomiting Anorexia Loose stools Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of cold, feeling chilled T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Ping Wei San
Points	Moxa or moxa needle SP-3, SP-5, SP-6, SP-9, ST-36, UB-20, REN-12 UB-20, SP-9, ST-36, SP-2, LI-11, REN-12, ST-25 To Regulate Qi and Disperse Dampness: REN-6 For Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, UB-30, REN-6, SP-6, REN-4, ST-36

Liver Qi Stagnation With Dampness

Clinical Manifestations	Skin lesions located along the Liver meridian (e.g., the nipple, scrotum, vulva, etc.) Erythematous eruptions Papulovesicles Small amount of discharge Yellow crust Itching, A bitter taste Dry throat Dizziness Irritability Restlessness Dark urine T: Red C: Thin yellow or Dry P: Wiry and rapid
Treatment Principle	Soothe the Liver Remove Dampness
Herb Formulas	Jia Wei Xiao Yao San modified
Points	General points

Damp-Heat In The Liver And Gall Bladder

Clinical Manifestations	Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine Abdominal distention Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles Scrotal eczema T: Pink C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Clear Dampness Purge Heat from Liver and Gall Bladder
Herb Formulas	Long Dan Xie Gan Tang Yin Chen Hao Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Liver And Spleen Deficiency With Blood Stagnation Due To Dampness

Clinical Manifestations	Continuous cramping pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Fatigue Heaviness of head Lassitude Lower abdominal pain Dizziness Tinnitus Lumbago Edema Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation Oliguria	Palpitations Cold feet Extreme coldness of the hands and feet Vertigo Weakness and numbness of lower back and legs during pregnancy or postpartum Mal position of the fetus Dysmenorrhea Irregular menstruation Right upper quadrant pain Hepatomegaly Anemia Lack of energy Sore back Thirst with no desire to drink T: Pale or pink maybe petechiae on margin C: Thin or Greasy white P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle	Nourish Liver Blood Soften the Liver Spread Liver Qi Strengthen the Spleen Resolve Dampness
Herb Formulas	Dang Gui Shao Yao San
Points	General points

Kidney Yang Deficiency

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

Yang Deficiency With Internal Cold-Damp

Clinical Manifestations	Lower abdominal pain and Cold Abdomen feels chilled Aching bones and joints Muscle ache Whole body pain Aversion to Cold, especially at the back Cold limbs No Thirst Lower abdominal pain and Cold Abdomen feels chilled Maybe fever No thirst T: Normal C: White and slippery P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle	Dispel Cold Warm the channels Assist Yang Dispel Dampness Relieve pain
Herb Formulas	Fu Zi Tang
Points

Blood Deficiency With External Wind

Clinical Manifestations	Chronic eczema with thick, dry, dark flaky skin Anemia Itching Swelling Abscesses Ulceration
Treatment Principle	Tonify the Blood Moisten Dryness Dispel Wind Relieve itching
Herb Formulas	Dang Gui Yin Zi modified Si Wu Xiao Feng Yin modified
Points	ST-36, SP-6, SP-10, LI-11, UB-17 Bleed affected areas with a 3 edge needle (unless the rash is on the scrotum)

Blood Stagnation

Clinical Manifestations	Eczema Mild, persistent uterine bleeding of purple and black blood during pregnancy Abdominal pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness Fatigue Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face Protruding abdomen T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense and deep and slow
Treatment Principle	Invigorate Blood Transform Blood Stasis
Herb Formulas	Gui Zhi Fu Ling Wan Tao Hong Si Wu Tang
Points	General points

Heat In The Blood

Clinical Manifestations	Red, itchy eyes Red rashes on face, neck, armpits and external genitalia Suppuration Earache Swelling, inflammation and infection of the ears and nose Abdominal rigidity Constipation Dark brown discoloration of the skin Perspiration and an oiling feeling on the palms and soles Abdominal tension Maybe otitis Rhinitis T: Deep red, dry or Purple red C: None P:  Rapid or Thready and rapid or Thready and feeble or Tight
Treatment Principle	Dispel Wind Disperse Stagnation Clear Heat Remove Toxins
Herb Formulas	Da Huang Mu Dan Pi Tang Yin Hua Jie Du Tang Wu Hua Tang Topical: Qing Dai Gao
Points	DU-14, LI-11, ST-44, SP-10, UB-17 GB-34, GB-41, GB-43, LIV-2

Heat In The Blood Generating Wind

Clinical Manifestations	Suppuration with severe chills Fever Headache Muscle spasms Inflammation Swelling Pain Constipation
Treatment Principle
Herb Formulas	Ma Xiong Yi Gan Tang Shi Wei Bai Du San Jing Fang Bai Du San Xiao Feng San Chinese Patent Medicines: Chan Shan Jia Qu Shi Qing Du Wan Huang Lian Shang Qing Pian Hua She Jie Yang Wan Lian Qiao Bai Du Pian Margarita Acne Pill
Points	General points

Blood Dryness Due To Yin Deficiency With Dampness

Clinical Manifestations	Long-lasting and recurrent itchy patches with small vesicles The lesions are dull red or dirty gray The skin is rough, infiltrated or lichenified with scratch marks Red eruptions around the edge of patches Erosion and oozing Crusting or scaling, or small amounts of exudation Easily flares-up Skin lesions spread out all over the body Mental exhaustion Dry throat Thirst Five sole Heat Dark and scanty urine Difficulty in falling asleep because of the intense itching T: Red and dry C: Little or none P: Thready and rapid or Thready and slippery or Wiry and thready
Treatment Principle	Nourish Yin Dry Dampness Nourish the Blood Alleviate itching
Herb Formulas	Zi Yin Chu Shi Tang Zi Yin Chu Shi Tang Jia Jian Yang Xue Run Fu Yin #2
Points	General points

Dampness Accumuation With Blood Stasis

Clinical Manifestations	Swelling in one or both lower legs Leg pain Thickened skin with gray or dark color Lichenoid skin Intensely itchy Painful sores T: Dark red C: Thin and white P: Deep and hesitate
Treatment Principle	Remove Stasis Dry Dampness
Herb Formulas	Zhu Yu Tang #1 Yi Yi Fu Zi Bai Jiang San
Points	General points

Dryness Due To Body Fluid Deficiency

Clinical Manifestations	Eczema (allergic type) Little secretion or No exudate Prominent itch May be hardening of the skin Dryness of the skin Leathery color change Amenorrhea Dry hair Low energy T: Pale C: Normal P: Deep and weak Chronic: Localized Heat Mostly on the neck and joints of the limbs Cold conformation: Anemia Anxiety Insomnia With Yin Deficiency: Thirst Nocturnal emissions Five sole Heat Elderly patients T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin and Blood Moisten Dryness Dispel Wind Generate Body Fluids
Herb Formulas	Shi Wei Bai Du San Si Wu Xiao Feng Yin modified Run Fu Tang Chronic: Wen Qing Yin Cold conformation: Jia Wei Xiao Yao San + Si Wu Tang With Yin Deficiency: Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Topical: Topical #1 Qing Dai Gao
Points	PC-4, ST-36, SP-6, LIV-1 With Blood Deficiency: UB-17, SP-10, SP-6, ST-36, PC-4, HT-7, LI-1

Damp-Heat

Clinical Manifestations	Skin lesions with profuse fluid discharge The lesions are acute, red and itchy Papules Rashes weeping with fishy smell Yellow crust Ulcerations Scratching leads to lasting scars Fever Thirst Dry mouth with no desire to drink Anorexia Body heavy Limbs tired Fullness in chest Lump in epigastrium Leukorrhagia with thick, yellowish, foul discharge Frequent, scanty, reddish urination Dry stools T: Red, may be somewhat flabby C: Yellow and greasy P: Slippery and rapid or Soft, rolling and rapid With Heat predominant: Sudden onset Skin lesions may spread over the whole body Flushed and burning sensation Discharge of suppurative fluid Lingering pruritis Feverish sensation in the body Vexation Thirst Dry stools Scanty, dark urine With Damp predominant: Rashes Papulovesicles Small vesicles Slightly red erythema Erosion with much weeping after scratching Poor appetite Lassitude, Soft or loose stools Clear copious urine T: Pale red C: White and/or greasy P: Slippery With Damp-Heat in the Large Intestine: Loose stools Candida Much gas With Liver and Spleen imbalance: P: Wiry or Slippery With Dryness in the Stomach: C: Dry With Liver Heat: T: Red edges With Wind: Sudden onset Severe itching Erythema Vesicles A bitter taste with stickiness in the mouth Yellow crust Erosion with oozing Constipation Scanty, deep yellow urine T: Red C: Yellow and sticky P: Soft and rolling or Soft and rapid With Wind Dryness: Thickened skin Dryness Desquamation of the skin Pronounced itching Scratching creates oozing
Treatment Principle	Clear Heat Invigorate the Blood Resolve Dampness Eliminate toxins Tonify the Spleen
Herb Formulas	Bei Xie Shen Shi Tang Shi Wei Bai Du San Dao Chi San + Huang Lian Jie Du Pian modified Si Miao Wan Bei Xie Shen Shi Tang + Er Miao San modified Chuan Shan Jia Qu Shi Qing Du Wan Wu Hua Tang With more Heat: Fang Feng Tang Sheng San Long Dan Xie Gan Tang modified With more Dampness: Long Dan Xie Gan Tang modified Chu Shi Zhi Yang Tang Jian Pi Chu Shi Tang Chu Shi Wei Ling Tang For Damp-Heat in the Lower Jiao: Jia Wei Er Miao San Topical: San Huang Xi Ji Zhi Yang Xi Yao Huang Bai San Huang Lian Su Gao For dryness and fissuring: Run Ji Gao
Points	LI-11, SP-9, SP-10, DU-14 or DU-13, REN-9 REN-3, SP-10, SP-6, LIV-5, LIV-1 UB-13, LI-11, bleed UB-40, SP-9, HT-7 With Wind: LI-11, SJ-5, SP-9, UB-25 With a fever: + DU-14 With severe itching: + HT-7 With Wind Dryness: SP-6, SP-10, ST-36, UB-17 With pronounced itching: + PC-7 Seven-star needle followed by cupping Moxa areas of thickened skin For more Heat than Dampness: DU-13, UB-13, SP-9, SP-10, LI-11, HT-7 With fever: + DU-14, LI-4 For more Dampness than Heat: UB-20, LI-11, ST-36, HT-7, SP-9, SP-10, REN-9 Ear: Shenmen, Subcortex, Adrenal, Heart, Diaphragm

Toxic Heat Due To External Heat Lodged In The Channels

Clinical Manifestations	Local inflammation with pus Deep-rooted, hard and painful boils Erythema Swelling Heat Carbuncles Furuncles Fever and chills Pain T: Red C: Yellow and greasy P: Rapid
Treatment Principle	Clear Heat Purge Fire Relieve toxicity Cool the Blood Reduce swelling
Herb Formulas	Wu Wei Xiao Du Yin
Points	General points

Toxic Heat

Clinical Manifestations	Fever Chills Severe headache Flushed cheeks Bad breath Tinnitus Hearing loss Irritability Insomnia Coughing up viscous, thick sputum Dark urine Swollen lymph nodes Abdominal tension and itching Darkened skin Epistaxis Itching Formation of cellulitis T: Red P: Wiry and rapid
Treatment Principle	Drains Fire Relieves toxicity Spreads the Liver Qi Strengthens the Spleen Disperses Wind-Heat
Herb Formulas	Chai Hu Qing Gan Tang Huang Lian Jie Du Tang Topical: Qing Dai Gao Zhi Yang Ding Huang Lian Su Gao
Points	General points

Internal Cold

Clinical Manifestations	Abdominal pain Constipation Hypochondriac pain Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs T: Normal C: Greasy and white P: Deep, tight and wiry
Treatment Principle	Warm the Interior Disperse Cold Unblock the bowels Alleviate pain
Herb Formulas	Da Huang Fu Zi Tang
Points	General points

Phlegm-Damp (Infantile)

Clinical Manifestations	Wet type: 1. Rash appears in raised mounds with small, watery pustules     That ooze a bright, transparent fluid 2. In severe cases, the fluid becomes purulent 3. After drying, a yellow crust scab forms 4. Much itching 5. Child clings to its mother's clothes 6. Child often moans 7. Restless sleep Dry type: 1. Pools of red rash on the skin surface 2. Rash is not particularly bright colored 3. Rash may be raised in mounds or scattered dots or     concentrated in one place 4. Rash sheds white scales 5. Little or no exudate Lingering pathogenic factor: 1. Pale or white face 2. Skin appears thin and translucent (wet type) or gray (dry type) 3. Often shadows around the eyes 4. The glands in the neck are swollen:     Wet type: glands under the ears are wet and soft     Dry type: glands under the ears are smaller and harder                    Often small hard lumps on the side of the neck,                    around LI-18 5. History of repeated infections 6. Maybe a poor appetite 7. Maybe slightly loose stools 8. Often a white, clear nasal discharge 9. P: Deep and soft (wet type), Slippery or Thready (dry type) Accumulation disorder: 1. Child is strong 2. Red cheeks 3. Greenish around the mouth 4. Swollen abdomen 5. Constipation one day and diarrhea the next 6. Foul-smelling stools or stools that smell of fermenting apples 7. Yellow complexion 8. With Lung Deficiency a yellow face and a white forehead 9. P: Full and slippery and maybe Deep (water accumulation) 10. With greed:       Child often has a large mouth       Whole face may be red       May perspire on the forehead after meals
Treatment Principle
Herb Formulas
Points	Lingering pathogenic factor: LI-11, LU-5, LU-9, ST-40 With Heat: + HT-8, LI-4, LIV-3 With extreme weakness: + UB-13, UB-20, UB-23 Accumulation disorder: LI-11, REN-12, ST-36 With greed: + ST-44 To soften hard nodules: Bailiao, UB-18, UB-20 For weeping:SP-6, SP-9, SP-10 For itching: HT-7, SP-6, SP-10, ST-40 For raised papules: LIV-8, SP-9 For maculae: DU-10, LIV-3, UB-18

Middle Jiao Damp Stagnation

Clinical Manifestations	Heaviness in the head and extremities Dry mouth Thirst with no desire to drink Afternoon fever Anorexia Lethargy Jaundice Maybe no thirst Body aches Sallow complexion Scanty urine Diarrhea Chest discomfort Dull appearance Sometimes disorientation Loose stool Sometimes skin vesicles Abdominal distention Uncomfortable bowel movements Nausea and vomiting Cough T: Normal C: Greasy white or yellow P: Soft and rapid
Treatment Principle	Eliminate Dampness
Herb Formulas	San Jiao #1
Points	REN-6, REN-12, SP-9, ST-25, ST-36

Cold-Dampness In The Lower Jiao

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

Damp-Heat In The Lower Jiao

Clinical Manifestations	Lower Jiao pain Constipation or Diarrhea Heaviness Headache Dull Spirit Abdominal distention Mental fuzziness T: Normal C: Yellowish white and greasy P: Soft or maybe Slippery and rapid
Treatment Principle	Clear Damp-Heat from the Lower Jiao
Herb Formulas	Er Miao San With Blood Stagnation: Yi Yi Fu Zi Bai Jiang San
Points	LI-11, SP-6, SP-9, ST-25, UB-25

Lower Jiao Blood Stagnation With Heat

Clinical Manifestations	Swelling in one or both lower legs Leg pain Thickened skin with gray or dark color Lichenoid skin Intensely itchy Painful sores T: Dark red C: Thin and white P: Deep and hesitate
Treatment Principle	Remove Stasis Dry Dampness
Herb Formulas	Zhu Yu Tang #1 Yi Yi Fu Zi Bai Jiang San
Points	General points

Deficiency Cold Of The Chong And Ren Channels

Clinical Manifestations	Eczema Mild persistent uterine bleeding Irregular menstruation (either early or late) Prolonged menstruation Skipped period Metrorrhagia Extended or continuous menstrual flow Pain Lower abdominal distention Lower abdominal Cold Lower abdominal pain Infertility Dry lips Dry mouth Spermatorrhea Pale complexion Leukorrhea Amenorrhea Bleeding between periods Low grade fever at dusk Irritability Five sole Heat No desire to drink Distending breast pain Low back coldness and pain Loose stools Cold limbs Aversion to Cold T: Purple with petechiae P: Thready and choppy
Treatment Principle	Warm the menses Regulate menstruation Dispel Cold Warm the channels Nourish the Blood Dispel Blood Stasis
Herb Formulas	Wen Jing Tang Jin Gui Shen Qi Wan
Points	General points

Du Channel Irregularities

Clinical Manifestations	Occurs primarily in young women Eczema Headaches Cystitis Menorrhagia P: Full, especially the Liver
Treatment Principle
Herb Formulas
Points	General points