Edema

General

Clinical Manifestations
Treatment Principle
Herb Formulas	For perimenstrual edema: Dang Gui Si Ni Tang
Points	DU-4, DU-26, GB-28, LIV-13, REN-9, ST-22, ST-25 Face and limbs: + LU-1 Legs: + KI-2, KI-5, KI-7, ST-32, ST-35, UB-65 Pulmonary: + SI-3 General subcutaneous: + ST-12 REN-9, SP-9 KI-6, LU-7 REN-9, SP-9, ST-28, UB-39 KI-7, SP-7 1 . Inflammatory: + GB-41, ST-36, UB-60  A. Axillary: + GB-40, PC-5   B. Breast: + GB-43, SI-1  C. Face: + GB-12, LU-1  D. Fingers and hands: + SJ-2, SJ-3, SJ-5  E. Feet: + UB-62  F. Knees: + LIV-2, LIV-4, ST-25, ST-35  G. Lips: + LI-10  H. Mouth: + DU-15, REN-23  I. Neck: + GB-40, ST-45  J. Popliteal fossa: + GB-38  K. Tongue: + LI-4, LU-7, ST-41  L. Vulva: + SP-6 2. Passive:  A. Cardiac: + Sedate KI-6, tonify HT-5, HT-9, KI-7  B. Renal: + Sedate KI-6, tonify KI-7, REN-3, REN-6, REN-9, UB-60, UB-64, UB-67 3. Venous Stasis: + SJ-21  A. Face: + LIV-8, UB-40  B. Feet and legs: + DU-20, GB-30, GB-31, SP-4, SP-5, SP-6, SP-9, UB-50, UB-60, UB-62  C. Hands: + LU-7  D. Orbit: + SI-3 Facial edema due to Lung Qi and Spleen Yang Deficiency: DU-23, DU-26, REN-24, SP-4, ST-40, ST-41, ST-44 Angio-neurotic: DU-12, LI-11, LI-15, SP-6, SP-10, UB-17, UB-18, UB-25 Facial: LI-4, LI-20 Deficient, floating, acid edema: DU-21, DU-26 Lower Jiao: SP-6, ST-28, UB-23, UB-28 Edema of feet and legs: 1. GB-39, SP-6, ST-36 2. SP-4, ST-42, moxa ST-36 Edema of feet and legs with Qi distention: KI-7, moxa REN-8 Edema of feet and legs due to Dampness with swollen feet, exhaustion, fatigue, lack of strength, flabby feet with numbness, knee swelling: GB-31, GB-34, GB-39, KI-3, LIV-2, SP-5, SP-6, ST-36, UB-60 (if there is Heat, no moxa) Edema of feet and legs due to aberrant Dampness with symptoms worse than above and weak, cold feet, muscular atrophy, cramping and pain: moxa or moxa needle moxa or moxa needle GB-31, GB-34, GB-39, KI-3, LIV-2, SP-5, SP-6, ST-36, UB-60

Tai Yang Biao Fu

Clinical Manifestations	Chills and fever Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder * The Tai Yang symptoms remain for 2-3 days Thirst with no desire to drink May have vomiting immediately after drinking Difficult urination May have upper body edema T: Normal C: White P: Floating and slippery
Treatment Principle	Promote urination Dispel Dampness Expel Wind
Herb Formulas	Wu Ling San With indigestion and diarrhea: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa or moxa needle KI-3, LI-4, LU-7, REN-3, SP-6, SP-9, UB-13, UB-28 With indigestion and diarrhea: moxa ST-25, ST-36 With jaundice and dysuria: DU-9

Tai Yang Shang Han With Fliuid Retention In The Lungs

Clinical Manifestations	Chills and fever or Fever with no thirst Swollen eyes, limbs abdomen or genitals Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder Dyspnea Vomiting, if the condition is tonified before the Wind is expelled Urinary retention if the condition is reduced before the Wind is expelled 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 Yue Bi Jia Ban Xia Tang With Internal Heat and irritability: Xiao Qing Long Jia Shi Gao Tang With indigestion leading to diarrhea: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San Severe: Wu Pi Yin modified
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 With Qi Deficiency: KI-7, REN-8, REN-9, SP-6, SP-9, ST-28 With Excess type swelling (severe swelling, oliguria, constipation): DU-2, DU-6, LI-4, LU-7, REN-9, SP-6, SP-9, ST-28, ST-36, ST-43, UB-27

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
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 - 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

Shao Yang With Water Accumulation

Clinical Manifestations	Alternating chills and fever Thirst A bitter taste in the mouth Anorexia Edema Vomiting and diarrhea with water intake Dysuria Fullness and oppression in the chest and hypochondrium Diarrhea T: Pink C: White P: Superficial and wiry
Treatment Principle	Harmonize the Exterior and the Interior Relieve the Shao Yang Dispel Water Accumulation Resolve Phlegm Accumulation
Herb Formulas	Chai Ling Tang
Points

Shao Yin Cold

Clinical Manifestations	Aversion to Cold Curls up a lot Doesn't like to talk Tired (disoriented) No spirit Dull Shen Cold extremities Diarrhea or loose stools or undigested food Clear, frequent urine Maybe nausea (wants to vomit but can't) No thirst Likes warm drinks Severe edema in chest T: Pale C: White P: Sinking and weak
Treatment Principle	Restore Yang Reverse inward energy Expel Cold
Herb Formulas	Si Ni Tang If Cold is less severe: Wu Zhu Yu Tang
Points	Moxa DU-4, DU-20, KI-3, KI-7, LI-4, REN-4, REN-6, REN-8, SP-6, ST-36. UB-15, UB23 For loss of consciousness or shock: DU-26, KI-1

Shao Yin Cold With Fluid Problems

Clinical Manifestations	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 Edema Likes warm drinks Sluggish urination Vertigo Palpitations More 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 and heaviness T: Pale with scallops C:White or greasy white P: Sinking, weak and may be soft or thready
Treatment Principle	Tonify Yang Strengthen water circulation
Herb Formulas	Zhen Wu Tang If the edema is less severe: Si Ni Tang Wu Zhu Tang With Heat: Zhu Ling Tang
Points	Moxa DU-4, DU-20, KI-3, KI-7, LI-4. REN-4, REN-6, REN-8, REN-9, SP-6, SP-9, ST-36. UB-15, UB-20, UB23

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

Wind-Damp

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 Tang Fang Ji Huang Qi Tang Qiang Huo Sheng Shi Tang Gui Zhi Jia Zhu Fu Tang Yi Yi Ren Tang Jia Jian With Spleen Qi Deficiency: Yue Bi Jia Zhu Tang With Phlegm: Xiao Xu Ming Tang With "leg Qi": Ji Ming San With slight edema: Gan Zao Fu Zi Tang
Points

Wind-Cold With Damp Accumulation

Clinical Manifestations	Abrupt onset Attacks the head first, then the face, then the lower extremities Lustrous skin Cough Asthma Chest fullness and discomfort Rapid respiration Inability to stretch Chills and fever Thirst Scanty urine Low back pain T: Normal C: White P: Floating, rolling and rapid
Treatment Principle	Dispel Wind-Cold Dispel Dampness
Herb Formulas	Ma Huang Jia Zhu Tang
Points	LI-4, LI-6, LU-7, SP-9, UB-28 Facial: + DU-26 Constipation with distention: + ST-40 Feet: + GB-41, SP-5 GB-41, LI-4, LI-6, SP-9, UB-13, UB-20, UB-23, UB-28, moxa or moxa needle REN-6, REN-9, SP-6, ST-36

Wind-Cold-Damp Bi With Dampness Predominant

Clinical Manifestations	Pulmonary edema Numbness and pain of the extremities Joint swelling and pain, especially hands and feet Heaviness of joints Numbness of the joints Stiffness of the joints Fever Heaviness of the body Coldness of the body Dizziness Likes pressure Fatigue Pale complexion Preference for warmth Swelling, pain, numbness and stiffness of the joints Skin cornification T: Pale C: Thick, white or Greasy white P: Thready and slippery
Treatment Principle	Dispel Wind and Dampness Benefit Qi Invigorate Blood circulation Reduce swelling Moisten dry Blood Tonify the Blood Warm the Channels Relieve spasms Relieve muscular tension
Herb Formulas	Yi Yi Ren Tang Han Shi Bi Tang With Heat: Gui Zhi Shao Yao Zhi Mu Tang
Points

Wei Stage: Wind Heat Attacks The Lungs (Severe)

Clinical Manifestations	Facial edema Cough with thick sticky, yellow sputum Sore, red, swollen throat Thirst, with desire to drink cold liquids Runny or blocked nose with thick yellow discharge Vertigo Dry throat Dizziness Fever with or without perspiration Slight chills Aversion to Wind Headache Dyspnea with flared nostrils and pain Fidgeting Labored breathing Asthma Shortness of breath Spontaneous perspiration Flushed face Wheezing Chest pain Restlessness T: Red C: Yellow or White P: Superficial and rapid or Slippery and rapid
Treatment Principle	Disperse Wind-Heat Stop Asthma Clear the Lungs Descend Qi
Herb Formulas	Ma Xing Shi Gan Tang With congested Fluids in the chest: Yue Bi Jia Ban Xia Tang
Points

External Wind Invading The Channels With Qi And Blood Deficiency

Clinical Manifestations	Generalized pains Convulsions Edema Flaccid hemiplegia The patient is unable to recognize friends or identify the source of pain Stiffness with inability to rotate the trunk Confusion Muscular numbness and pain Cough Flushed face Fever Aphasia Dry stools Low-grade fever T: Normal C: Thin and yellow or Yellow and greasy P: Slippery and rapid
Treatment Principle	Support the Normal Qi Clear Heat Relax muscle tension Nourish Blood Disperse Wind Dispel Wind-Damp
Herb Formulas	Xu Ming Tang
Points

Phlegm Accumulation In The Lungs

Clinical Manifestations	Lung abscess Coughing Wheezing Fullness and distention in the chest Profuse Phlegm and saliva Dysuria Edema Nasal congestion Clear, watery rhinorrhea Oliguria Loss of taste and smell Dyspnea Edema of the face and eyes Insomnia T: Swollen C: White and greasy P: Slippery
Treatment Principle	Drain the Lungs Move Fluids Drive out Phlegm Stop cough Calm wheezing
Herb Formulas	Ting Li Da Zao Xie Fei Tang Su Zi Jiang Qi Tang
Points

Phlegm Damp Obstructs The Lungs

Clinical Manifestations	Facial edema Cough with copious, thin, white, frothy sputum Chest congestion with full feeling Dyspnea which is worse when lying down 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
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20

Phlegm Damp Obstructs The Lungs With Kidney Yang Deficiency

Clinical Manifestations	Coughing and wheezing with copious, dilute, white, frothy or lumpy sputum Chest and epigastric congestion Cold legs Pain and full feeling in the chest Dizziness Vertigo Palpitations Dyspnea - worse lying down Sometimes asthma Throat rattle Nausea Vomiting Shortness of breath with labored inhalation and smooth exhalation Acute attack of panting with a high pitched wheezing sound and rapid exhalation Leg Qi Acute cramping Muscle wasting Diarrhea in response to cold or hot weather Maybe anorexia Insensitivity in the lower abdomen Headache Facial edema Lumbar pain Weakness in the body and feet Numbness, weakness and aching of the feet and legs Edema of the extremities Fever Dysuria Weakness below the umbilicus Fatigue with a desire to curl up Epigastric distention Disorientation Disordered speech Tinnitus T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Disperse and Descend Lung Qi Stop wheezing Stop coughing Warm and transform Phlegm-Cold Strengthen the Stomach
Herb Formulas	Su Zi Jiang QI Tang
Points

Lung Qi Deficiency With Heat In The Lungs

Clinical Manifestations	Chronic cough Wheezing Thick, yellow sputum Sensation of Heat and irritability in the chest Gradual emaciation Facial edema Chronic Lung atrophy Coughing of pus and Blood Dyspnea T: Purple C: Thin and white or Thin, yellow and greasy P: Superficial and Deficient especially in the first position
Treatment Principle	Tonify Qi Replenish Jing Strengthen the Kidneys Clear the Lungs Clear Heat Transform Phlegm Stop cough Arrest wheezing
Herb Formulas	Ren Shen Ge Jie San
Points

Lung And Spleen Qi Deficiency

Clinical Manifestations	Low energy Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Warm and transform Phlegm-Dampness
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

Lung And Kidney Qi Deficiency

Clinical Manifestations	Shortness of breath (difficult to inhale) Dyspnea exacerbated by exertion Asthma (inhalation difficult) Soft, weak voice Spontaneous perspiration Aversion to Wind Emaciated body Exhausted Shen Dispirited Limbs cold Face blue-green-colored Maybe superficial edema of limbs and body Maybe dysuria Maybe stress incontinence on coughing T: Pale, moist and swollen C: White P: Deep and thready or Weak
Treatment Principle	Nourish the Lungs Soothe asthma Reinforce the Kidneys to Grasp Qi
Herb Formulas	Hei Xi Dan Sheng Mai San +  Ji Sheng Shen Qi Wan With Phlegm-Heat:  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

Cold-Damp Distresses The Spleen

Clinical Manifestations	Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea 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 or 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	Wei Ling Tang Wu Pi Yin  modified
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Moxa or moxa needle REN-6, REN-12, SP-3, SP-5, SP-6, SP-9, ST-36, UB-20 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

Damp-Heat Injures The Spleen

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

Spleen Qi Deficiency

Clinical Manifestations	Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Si Jun Zi Tang Xiang Sha Liu Jun Zi Tang Yi Qi He Wei Jiao Nang Yi Qi Jian Pi Chuan Si Jun Zi Tang
Points	REN-12, REN-13, SP-3, SP-5, SP-6, ST-36, UB-20 LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen Qi Deficiency With Dampness And Qi Stagnation

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 Shen Ling Bai Zhu San Wu Pi San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

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 Shen Ling Bai Zhu San Wu Pi Yin  modified Wu Ling San Bu Qi Jian Zhong Tang With Qi Stagnation: Fen Xiao Tang
Points	REN-6, ST-28, ST-36, UB-20, UB-22, UB-23 REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23 During pregnancy: KI-3, KI-7, SP-4. SP-7, ST-36, UB-20 Ear: Heart, Spleen, Endocrine, Brain

Spleen Yang Deficiency

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Frequent, clear urination Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang Fu Zi Li Zhong Wan With Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li Tang With Interior Cold: Yin Chen Zhu Fu 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	Fu Zi Li Zhong Wan Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Si Ni Tang  modified Li Zhong Tang  modified Wu Pi Yin  modified Ding Xiang Shi Di Tang Zhi Shi Li Zhong Wan
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen And Kidney Yang Deficiency

Clinical Manifestations	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	Zhen Wu Tang Si Ni Tang  modified With Water Flooding: Shi Pi Yin
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 REN-6, REN-9, SP-6, ST-36, UB-20, UB-23, UB-39 GB-41, LI-4, LI-6, SP-9, UB-13, UB-20, UB-23, UB-28, moxa or moxa needle REN-6, REN-9, SP-6, ST-36

Stomach Cold In Children

Clinical Manifestations	Diarrhea with watery stools Nausea and vomiting No thirst Anorexia Abdominal and/or epigastric fullness (likes pressure) Abdominal pain Gastrointestinal weakness Pale face Frequent urination Tends toward fatigue May have cold limbs May have headache with fever Body aches Epistaxis Hematemesis Shortness of breath Lassitude Epigastric pain All Blood from bleeding is pale Maybe scanty urine with edema Edema Insomnia Hemoptysis Intestinal bleeding Chronic bleeding Hemafecia Uterine bleeding Rectal bleeding Profuse menstrual flow Chest fullness and pain Hypochondriac pain that shoots toward the Heart Intolerance of Cold Rigid focal distention in the Heart region Excessive production or drooling of foamy saliva Emaciation T: Pale, may be moist C: White or None P: Deep, weak and slow or Deep and thready or Big and weak
Treatment Principle	Warm the Middle Jiao Dispel Cold Strengthen the Spleen and Stomach Tonify Qi
Herb Formulas	Ding Yu Li Zhong Tang
Points

Heart Yang Not Vigorous: Water Qi Insults The Heart With Kidney Yang Deficiency

Clinical Manifestations	Edema during pregnancy Generalized edema Edema of the limbs Sensation of heaviness, distention and fullness in the epigastrium and abdomen Labored, heavy breathing Urinary difficulty Asthma Chest distention General edema in summer Gasping Rapid breathing T: Normal C: White and slippery P: Thready and moderate or slipper
Treatment Principle	Resolve Dampness Reduce edema Regulate Qi Strengthen the Kidneys Reduce swelling
Herb Formulas	Wu Pi Yin Zhen Wu Tang
Points	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 And Kidney Yang Deficiency Due To Lung Qi Deficiency

Clinical Manifestations	Facial and ankle edema Shallow, rapid respiration Palpitations Cold limbs and body Scanty urine Sometimes cyanosis T: Pale, moist and swollen C: White P: Deep and minute
Treatment Principle	Strengthen the Heart, Kidney and Lungs Warm Yang Dispel Dampness
Herb Formulas	Bu Fei Tang Gui Zhi Gan Cao Tang Gui Zhi Gan Cao Long Gu Mu Li Tang Jin Gui Shen Qi Wan
Points	DU-4, HT-5, HT-7, HT-8, KI-3, LU-9, PC-6, REN-4, REN-6, REN-14, REN-17, UB-13, UB-15, UB-23, UB-43

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Edema Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang
Points	LI-18, LIV-3, PC-5, SI-17, SJ-6

Liver Qi Stagnation Invades The Spleen With 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 Reinforce the Spleen and Kidney
Herb Formulas	Dang Gui Shao Yao San
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 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	Yin Chen Hao Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Ba Wei Di Huang Wan Wu Pi Yin + Wu Ling San Bu Gu Zhi Wan Gui Lu Bu Shan Tang Jie Rong San Yang Chuan Yao You Gui Wan With Internal Cold: Si Ni Tang
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23 During pregnancy: DU-4, DU-6, KI-3, KI-7, UB-20, UB-23 Ear: Heart, Spleen, Endocrine, Brain, Bladder, Shenmen

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 Ji Sheng Shen Qi Wan Jia Wei Shen Qi Wan For Water Flooding the Lungs: Zhen Wu Tang
Points	Moxa REN-9, UB-20, UB-23, needle KI-7, REN-6, SP-6, SP-9, ST-36, UB-22, UB-28, UB-39 KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39 Moxa needle DU-4, KI-3, LU-7, REN-4, REN-6, REN-9, SP-6, SP-9, UB-13, UB-15, UB-20, UB-23

Kidney Yang Deficiency: Kidneys Unable To Grasp Qi

Clinical Manifestations	Facial edema of Deficiency type 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 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
Points	DU-4, KI-3, LU-9, REN-6, ST-36, UB-13, UB-23, UB-43 Moxa or moxa needle DU-4, DU-20, KI-3, REN-4, REN-6, SP-6, UB-23

Kidney Jing Deficiency

Clinical Manifestations	Variable and intermittent nasal congestion Variable and transient sense of smell or permanent loss of sense of smell Dull or thick headache with dizziness Chronic nasal discharge which is worse with exposure to Cold Dizziness Tinnitus Deafness Forgetfulness Poor memory Muddle headedness Slow to learn Soreness and weakness of the back and spine Graying, lifeless hair Pale, lusterless complexion Edema of the lower extremities In adults:   Hair loss   Graying or whitening of hair   Weak sexual function   Atrophy and weakness of feet with   difficulty   walking   Poor memory   Senility (premature or mature)   Brittle bones   Gradual deterioration of hearing In children:   Retardation in mental and / or physical   development   Failure to thrive   Late or incomplete closing of fontanel   Poor bone development, brittle bones T: Pale and swollen C: White P: Deep and slow
Treatment Principle	Tonify the Kidneys Astringe Jing Tonify Qi Astringe Lung Qi Stop cough
Herb Formulas	Bu Nao Wan
Points

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

Qi And Blood Stagnation With Water Accumulation In The Legs

Clinical Manifestations	Pitting edema Numbness Fatigue Weakness in the legs Palpitations Distention beneath the Heart Constipation Dyspnea T: Blue purple maybe with purple or red spots C: White P: Choppy or Wiry and choppy
Treatment Principle	Dispel water accumulation Disperse Qi and Blood Stagnation Relieve constipation
Herb Formulas	Jiu Wei Bing Lang Jia Wu Fu Tang
Points

Qi , Blood And Yang Deficiency

Clinical Manifestations	Fatigue Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods Chills Cold limbs Inability to get warm Loose stools Profuse clear urine Spontaneous sweating Lassitude T: Pale C: White or Thin, white and dry P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle	Tonify Qi and Blood Strengthen the Spleen Tonify Yang
Herb Formulas	Ren Shen Dang Shao San
Points

Qi And Yang Deficiency

Clinical Manifestations	Pitting edema, worse in the extremities A sensation of heaviness in the body and extremities Fibrillations in the skin and muscles of the extremities Dysuria T: Normal C: White and slippery P: Floating
Treatment Principle	Augment Qi Unblock Yang Promote urination Reduce edema
Herb Formulas	Fang Ji Fu Ling Tang
Points

Yang Deficiency With Dampness

Clinical Manifestations	Chills Diarrhea Vomiting Abdominal distention Cold limbs Palpitations Anxiety due to stress Edema T: Pale and swollen C: White or White and moist P: Soft and slow
Treatment Principle	Dispel Dampness Warm Yang Restore Yang from collapse Relieve restlessness
Herb Formulas	Fu Ling Si Ni Tang
Points

Jing And Blood Deficiency Due To Kidney, Heart, And Spleen Deficiency

Clinical Manifestations	Fatigue Heavy and painful lower back Dream-disturbed sleep General weakness Lack of interest in food or drink Fever Night sweats Seminal emission Forgetfulness Toothache Dizziness Gum swelling General pitted edema which is worse in the lower body Vaginal discharge Discharge of rice-water like urination without dysuria Aversion to Cold Impotence Decreased libido Emaciation Loose teeth Signs of premature aging Abdominal Cold Easily frightened T: Pale or Pale and thick C: Smooth and white P: Moderate and weak or Deep and weak
Treatment Principle	Tonify the Spleen and Kidneys Nourish the Heart Enrich Yin Nourish the Blood and Yang Augment Qi
Herb Formulas	Huan Shao Dan
Points

Turbid Dampness In The San Jiao

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 Harmonizes the Spleen Relieve edema Move Qi
Herb Formulas	Dao Shui Fu Ling Tang
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

Phlegm Stagnation In The Middle Jiao

Clinical Manifestations	Pain in both arms Inability to lift the hands Symptoms more pronounced on one side Numbness in both hands Superficial edema in all four extremities Palpitations with vomiting Coughing T: Normal C: White and greasy P: Deep and thready or Wiry and slippery
Treatment Principle	Dry Dampness Move Qi Soften hardness Transform Phlegm
Herb Formulas	Fu Ling Wan
Points

Cold-Dampness In The Lower Jiao

Clinical Manifestations	Swelling of the feet and calves Heavy, weak feet and calves Difficulty walking Numbness, cold and/or pain in the the feet and calves Spasms and up-rushing that reaches the chest (running piglet) Aversion to Cold Severe: A stifling sensation in the chest An overwhelming sense of nausea T: Normal C: White and greasy P: Deep and slow or Floating
Treatment Principle	Promote the movement of Qi Descend turbidity Disseminate Cold Transform Dampness
Herb Formulas	Ji Ming San
Points

Damp-Heat In The Lower Jiao

Clinical Manifestations	Painful urination Difficult, scanty urination Heavy headache Thirst with no desire to drink Oliguria Maybe constipation Lower abdominal fullness and distention Dizziness Maybe urolithiasis T: Normal or Red C: White or Yellow P: Soft and maybe rapid
Treatment Principle	Promote diuresis
Herb Formulas	Wu Lin San Ba Zheng San Er Miao San Fu Ling Pi Tang Jia Wei Er Miao Wan
Points	REN-3, SP-6, SP-9, ST-25, ST-28, UB-25

Feng Tan

Clinical Manifestations	Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang Jie Yu Dan
Points	Pre-stroke: ST-40, UB-40 Stroke (emergency): DU-26, KI-1, PC-9, Ting Points Post-stroke: Arm: LI-4, LI-11, LI-15, SI-3, SJ-5 Leg: GB-34, GB-35, UB-40, UB-60 Scalp: Motor area (contralateral - upper one-fifth)

Shi Tan

Clinical Manifestations	Dizziness Vertigo Mental cloudiness Heavy head Heavy sensation in the body Cough with Excess sputum Chest and epigastric distention Suffocating sensation in the chest and epigastrium Nausea Profuse sputum Vomiting Anorexia Fatigue Borborygmus Tinnitus Mouth glutinous No thirst Likes to sleep Maybe palpitations T: Thick C: White and greasy or Sticky and white P: Rolling or Wiry and slippery
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Eliminate Dampness Resolve Phlegm
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang
Points	GB-34, LIV-13, REN-12, ST-36, ST-40 PC-6, REN-12, ST-8, ST-40, UB-20 DU-20, DU-23, GB-20, GB-34, LI-4, REN-12, ST-36, ST-40, ST-41 REN-12, PC-6, ST-41

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 Li Ge Tang Ping Chen 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

Yi Yin

Clinical Manifestations	Heaviness Swollen extremities Pain in the extremities Pitting edema Chest edema Hypochondriac edema Sluggish urination Aversion to Cold Fever Anhidrosis Cough Asthma with Phlegm T: Swollen C: Greasy and white P: Tight and wiry
Treatment Principle	Warm Yang Benefit water Dispel exogenous pathogens
Herb Formulas	Wu Ling San Shi Zao Tang With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa only PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

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
Points	LU-7, SP-6, SP-9, UB-13

Yang Edema

Clinical Manifestations	Generalized edema Wheezing Dyspnea Restlessness Anuria Irritability Thirst Constipation Urinary obstruction
Treatment Principle	Drain downward Drive out water Expel Wind Release the Exterior
Herb Formulas	Shu Zao Yin Zi
Points

Water Accumulation

Clinical Manifestations	Edema Generalized swelling Heaviness or sluggishness of the body Fatigue on the slightest exertion Puffy face Hypersomnia Pressure headache Dizziness Depression Hopelessness Poor sleep Not rested after sleep Pale skin Stiff fingers Increased sensitivity to pain Marked oliguria T: Pale and swollen C: White P: Soft, slippery and very rapid
Treatment Principle	Strengthen the Spleen Resolve Dampness Promote urination Reduce edema
Herb Formulas	Fu Ling Tang
Points	During pregnancy: KI-6, KI-7, REN-6, REN-9, REN-11, SP-9, ST-36 Ear: Kidney, Heart, Shenmen, Hypophysis

Water Retention In The Chest And Diaphragm

Clinical Manifestations	Sudden, excruciating and migrating pain in the thorax, neck, lower back and inguinal region A tightening sensation in the sinews and bones that evolves into a burning, piercing pain Cold and painful extremities Unrelenting, severe headache Lethargy with a desire to sleep Anorexia A temporary loss of taste in the mouth Coughing up thick, greasy sputum A rattling sound in the throat at night Excessive salivation Abdominal distention Edema T: Normal C: Sticky and greasy P: Wiry and slippery
Treatment Principle	Dispel Phlegm and thin mucus
Herb Formulas	Kong Xian Dan
Points

Water And Heat Accumulation With Qi Stagnation

Clinical Manifestations	Ascites in a robust person Thirst Labored breathing A hard, distended abdomen Anuria Dysuria Constipation Edema Scanty urine T: Red C: Slippery P: Deep, rapid and forceful
Treatment Principle	Move Qi Harshly drive out water and Heat Accumulation
Herb Formulas	Zhou Che Wan
Points

Parasites

Clinical Manifestations	A sallow facial complexion Edema Palpitations Hurried respiration Fatigue A lack of energy
Treatment Principle	Reduce accumulation Dry Dampness Drain the Liver Expel parasites
Herb Formulas	Fa Mu Wan
Points