Emphysema

General

Clinical Manifestations	Emphysema is a chronic disease makes normal breaking difficult. The disease weakens and breaks down the walls between the tiny air sacs in the lungs. The causes air to collect in larger spaces, instead of many small ones. The air contacts less lung tissue this way, and less oxygen is passed into the bloodstream. Air travels to the lungs by two major passageways called bronchi. These large airways further divide into tens of thousands of smaller airway routes called bronchioles. At the end of the bronchioles are groups of air sacs, or alveoli. There are about 300 million of these sacs in each lung. These tiny air sacs stretch like balloons when you breathe in, then move oxygen through their thin walls into the blood. The sacs also move carbon dioxide out of the body when you breathe out. Emphysema patients have weakened air sacs. The thin air sac walls can no longer stretch and contract properly, causing them to break. Air becomes trapped in spaces where sacs have broken, and cannot be released. This makes it harder to breathe. Exertional dyspnea A prolonged expiratory phase Wheezing A productive cough A barrel chest
Treatment Principle
Herb Formulas	Emphysema complicated by pulmonary infection: Jin Fei Cao Tang Jia Jian
Points	Tonify DU-15, LU-9, REN-17, reduce LU-7, ST-12, ST-13, UB-13 HT-3, KI-3, LI-1, LU-1, LU-2, LU-7, LU-11, REN-13, REN-16, REN-20, REN-21, UB-17, UB-18, UB-22 LU-5, REN-12, SP-6, ST-36, UB-13, UB-15, UB42 LI-11, LU-9, REN-6, ST-40, UB-12, UB-16, UB-43 Moxa GB-33, UB-13, UB-16, UB-23, UB42, UB-43

Tai Yang Zhong Feng With Phlegm

Clinical Manifestations	Aversion to Wind Chills and fever Spontaneous perspiration Headache Nasal obstruction Itchy throat Cough with expectoration of clear, or white sputum. Asthma Shortness of breath Sore throat with phlegm T: Normal C: Thick and greasy or Sticky white P: Floating and weak or Floating and slippery
Treatment Principle	Disperse Wind Stop cough Resolve Phlegm Relieve the Lungs
Herb Formulas	Zhi Sou San
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, LU-9, PC-5, SJ-5, ST-40, UB-12, UB-13, Yintang With stiff neck and shoulders: + GB-21 With Dampness: + SP-6, SP-9 With dyspnea, asthma and sputum: Dingchuan, REN-22 With nocturnal emission, excess dreams, Cold lower extremities, dizziness and hair loss: + DU-4, KI-3, UB-23 With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: + REN-4 With sustained fever of long duration accompanied by severe chills: + DU-14

Tai Yang Shang Han

Clinical Manifestations	Severe chills Mild or no fever Headache Generalized discomfort Stiff neck and shoulders 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 and white P: Floating and tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma
Herb Formulas	Ma Huang Tang She Gan Ma Huang Tang Xing Su San Shen Mi Tang Jin Fei Cao San Tong Xuan Li Fei Wan Fu Fang Chuan Bei Jing Pian Severe: Xiao Qing Long Tang For a stiff neck and shoulders or frozen shoulder: Ge Gen Tang For diarrhea: Ge Gen Tang For vomiting but no diarrhea: Ge Gen Jia Ban Xia Tang To stop cough and resolve Phlegm: Zhi Sou San
Points	DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12, UB-13 DU-16, GB-20, KI-7, LI-4, LU-5, LU-7, UB-12, UB-13 For a stiff neck: + GB-21, SI-3, Taiyang, UB-62 For diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 For vomiting but no diarrhea: + PC-6, SP-4 For Phlegm-Heat in the Lungs: + LU-5, LU-10, ST-40 To resolve Phlegm and stop cough: REN-22, ST-40

Tai Yang Shang Han With Fluid Retention 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 With Internal Heat and irritability: Xiao Qing Long Jia Shi Gao Tang
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 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 Shag Han Transforming Into Phlegm-Heat Obstructing The Lungs

Clinical Manifestations	Coughing and wheezing Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess) Dyspnea Asthma Aversion to Cold Fever or fever and chills Spontaneous sweat Headache Rapid breathing Dark, yellow urine Thirst with a preference for cold beverages Fidgeting Restlessness Pain in the ribs T: Normal C: Greasy, yellow P: Slippery, rapid - slightly floating
Treatment Principle	Disseminate and descend Lung Qi Stop asthma (wheezing) Stop cough Clear Heat Transform Phlegm
Herb Formulas	Ding Chuan Tang
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13

Tai Yang With Underlying Kidney Yang Deficiency

Clinical Manifestations	Severe chills May have mild fever No sweat Aversion to Cold Cold extremities Cold sensation on back Pale face Extreme fatigue Muscle aching T: Pale with scallop C: White P: Deep, weak and thready
Treatment Principle	Warm Yang Expel Cold from the Exterior Dispel Cold from the Interior
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang
Points	Moxa DU-4, DU-16, DU-20, UB-12, UB-15, UB-23

Wind-Cold Or Wind-Heat With Congested Fluids In The Lungs

Clinical Manifestations	Lung-distension Wheezing with a productive cough Dyspnea Panting Yellow or white mucus which is difficult to expectorate Thick phlegm A dry mouth with a desire to drink Maybe no thirst A choking sensation in the chest A sense of fullness in the chest and diaphragm The eyes look like they are popping out of their sockets Facial edema Chills Oliguria A mild to moderate fever Dry stools Maybe headache Maybe the sound of sputum rattling in the throat Maybe nervousness Maybe anxiety T: Red C: Yellow and may be greasy P: Floating, large and slippery or Slippery and rapid
Treatment Principle	Disseminate Lung Qi Calm wheezing Dispel Thin Mucus Clear Heat Relieve cough and dyspnea
Herb Formulas	Yue Bi Jia Ban Xia Tang
Points

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 With cough and Phlegm: Ning Sou Wan If symptoms persist for a long time: Yang Yin Qing Fei Tang
Points	Jinjin-Yuye, KI-3, LU-1, LU-6, SP-6, UB-13

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 Zhi Sou Ding Chuan Wan
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44. UB-13

Qi Stage: Lung Heat With Yin Deficiency

Clinical Manifestations	Chronic cough Excess Phlegm Fever Lung abscess Hemoptysis Weakness Caseous lesion in the Lungs Dyspnea T: Red and dry C: Little or none or Thin and yellow P: Weak and rapid or Rapid and empty
Treatment Principle	Clear Heat Dissolve Phlegm Relieve Cough Protect the Lungs Nourish Yin
Herb Formulas	Zi Wan Tang
Points

Qi Stage: Lung And Stomach Heat

Clinical Manifestations	High fever No chills Aversion to Heat Profuse sweat Great thirst with desire to drink No chill Cough Asthma Restlessness Thirst Irritability Abdominal pain Dryness Red face Dry stools Rough breathing 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 or Rolling, gigantic and rapid
Treatment Principle	Clear Heat in Lungs and Stomach Reduce fever Moisten and replenish Body Fluids
Herb Formulas	Zhu Ye Shi Gao Tang
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-37, ST-44. UB-13

Wind-Dampness

Clinical Manifestations	Heavy, painful head Generalized sensation of heaviness Back pain Generalized pain or muscle ache Difficulty bending or rotating trunk Mild fever Slight aversion to Wind and Cold Dizziness Anorexia Anhidrosis Stiffness of the neck Chest oppression Chills No perspiration No thirst Aversion to Cold Lassitude Swollen, painful joints Back pain T: Pink C:White or Greasy and white P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight or Superficial and weak
Treatment Principle	Dispel Wind Eliminate Dampness Relieve the exterior Alleviate pain
Herb Formulas	Yue Bi Jia Zhu Tang
Points	DU-14, DU-16, GB-20, GB-34, LI-4, LI-11, SJ-5, UB-11, UB-12

Phlegm-Damp Disturbs The Lungs (Tan Yin)

Clinical Manifestations	Shortness of Breath Cough with copious, thin, white, frothy sputum Chest congestion with full feeling Dyspnea which is worse when lying down Sometimes asthma Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations T: Pink C: Thick, white and greasy or sticky P: Slippery or Slippery, full and maybe wiry
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs Warm and Dissolve Tan Yin
Herb Formulas	Er Chen Tang modified Su Zi Jiang Qi Tang Ling Gui Zhu Gan Tang She Gan Ma Huang Tang San Zi Yang Qin Tang San Zi Yang Qin Tang + Er Chen Tang modified In the elderly: Qi Guan Yan Pian With Spleen Qi Deficiency prominent: Liu Jun Zi Tang modified For the elderly and children: Su Zi Jiang Qi Tang With Liver Qi Stagnation: Ban Xia Hou Po Tang Chinese Patent Medicines: Su Zi Jiang Qi Wan Er Chen Wan Qi Guan Yin Ke Sou Tan Chuan Wan San She Dan Chuan Bei Yi
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23 LIV-13, LU-5, LU-7, LU-9, SP-3, SP-6, ST-36, ST-40, moxa UB-13, UB-20, UB-43 With wheezing: + Dingchuan With fullness in the chest: + PC-5 Dingchuan, LU-1, LU-7, LU-9, REN-12, REN-17, REN-22, SP-3, ST-40, UB-13, UB-20 With fullness in the chest: + PC-5

Phlegm-Heat Congests The Lungs (Re Tan)

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 Fever or Maybe chills and fever Likes Cold 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	Yue Bi Jia Ban Xia Tang Er Chen Tang modified Qing Qi Hua Tan Wan Ma Xing Shi Gan Tang + Qing Qi Hua Tan Wan Gua Lou Zhi Shi Tang With cough and Phlegm: Ning Sou Wan Chinese Patent Medicines: Zhi Ke Pi Pa Chong Ji Ke Chuan Pian Ke Chuan Chong Ji Xiao Ke Chuan
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13 DU-14, LI-4, LU-6, REN-17, ST-40 For severe panting: + needle then cup Dingchuan, UB-13 For headache: + GB-20 For aversion to Cold: + UB-12 DU-16, LU-1, LU-7, LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-12, UB-13, UB-43

Cold-Phlegm Obstructs The Lungs (Han Tan)

Clinical Manifestations	Usually occurs in winter 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 Cold limbs 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 or Slippery and hurried
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs
Herb Formulas	Liang Xiao Wan She Gan Ma Huang Tang San Zi Yang Qin Tang Er Chen Tang modified For Wind-Cold symptoms or acute wheezing: Xiao Qing Long Tang modified (temporarily) For severe panting wheezing: Make small discs 2cm in diameter of 10% Rx. Aconiti Lateralis Preparata Zhi Ban Xia, 20% Sm. Sinapis Bai Jie Zi, 20% Hb. cum Rx. Asari Xi Xin, 20% Rz. Zingiberis Gan Jiang and 20% Fr. Zanthoxyli Chuan Jiao and ginger juice. Place them on REN-17, UB-13 and UB-43 with adhesive tape each night. With Kidney Deficiency: Su Zi Jiang Qi Tang
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 LU-5, LU-9, REN-17, REN-22, UB-13 For a headache, nasal congestion and a runny nose: + LI-20, Yintang For fever: + LI-4 For severe panting: + Dingchuan

Lung And Stomach Heat

Clinical Manifestations	Cough Yellow Phlegm Dry mouth Thirst with a desire to drink Constipation Sore throat Hematemesis Hemoptysis T: Red and dry C: Yellow P: Rapid
Treatment Principle	Clear and purge Lung Heat Transform Phlegm Stop cough and asthma
Herb Formulas	Qing Fei Yi Huo Hua Tan Wan Qing Qi Hua Tan Wan
Points

Lung Qi Deficiency

Clinical Manifestations	Soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath 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
Treatment Principle	Reinforce the Lungs Strengthen Qi
Herb Formulas	Ren Shen Ge Jie San Yu Ping Feng San Bu Fei Tang With Spleen Qi Deficiency: Liu Jun Zi Tang modified Chinese Patent Medicines: Bu Zhong Yi Qi Wan Ge Jie Da Bu Wan Ren Shen Yang Ying Wan Ping Chuan Wan
Points	LU-9, REN-17, ST-36, UB-13, UB-43 LU-9, REN-17, UB-13, UB-43 LI-4, LU-9, ST-40, UB-12, UB-13 LU-7, LU-9, REN-12, SP-6, moxa or moxa needle DU-14, ST-36, UB-13, UB-20, UB-43

Lung Qi Deficiency With Lung Heat

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: Red or Purple C: Thin, yellow and greasy P: Rapid
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 Yin Deficiency

Clinical Manifestations	Severe, dry hacking cough or Longstanding weak, dry cough with a little amount of white mucous or bloody sputum If mucus is present, it is thick and hard to expectorate or No sputum expectorated or 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 Fatigue 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 Yue Hua Wan With Phlegm-Fire: Bei Mu Gua Lou San With Heat: Bu Fei E Jiao Tang With Heart Yin Deficiency: Xuan Miao San Chinese Patent Medicines: Yang Yin Qing Fei Tang Jiang Mai Wei Di Huang Wan Li Fei Chuan Bei Pi Pa Gao
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 KI-3, KI-6, LU-5, LU-7, LU-9, UB-13, UB-23 With severe Heat: + LU-10

Lung Qi And Yin Deficiency

Clinical Manifestations	Wheezing Panting Shortness of breath Above symptoms are worse with exertion Weak cough Little or no mucus Soft voice with little desire to talk Spontaneous sweating Aversion to Wind Frequent cols and flu Occasional dry, sore throat T: Pale red, dry, swollen often with extensive cracks C: Little or None P: Weak and soft, possibly extending up the thenar eminence
Treatment Principle	Tonify and nourish Lung Qi and Yin Descend Lung Qi Stop wheezing
Herb Formulas	Sheng Mai San modified Jiu Xian San Chinese patent medicines: Li Fei Mai Wei Di Huang Wan Ping Chuan Wan
Points	KI-3, KI-6, LU-5, LU-7, LU-9, ST-36, UB-13, UB-23, UB-43 With severe Heat: + LU-10

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 Bu Zhong Yi Qi Tang For postpartum, post-menstrual or post-hemorrhage dyspnea and shortness of breath: Shi Quan Da Bu Tang Dang Gui Bu Xue Tang With Wind-Dampness: Sheng Yang Yi Wei Tang Chinese Patent Medicines: Su Zi Jiang Qi Wan Jiu Fei Su He Wan Bu Zhong Yi Qi Wan Ge Jie Da Bu Wan Ren Shen Yang Rong Wan
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43 LU-9, REN-6, REN-12, SP-6, ST-36, UB-13, UB-20, UB-43 Ear: Lung, Spleen, Stomach Intestines, Abdomen Cupping: Upper back points Scarring plaster: Place a plaster of Bul. Allii Sativi Da Suan or Hb. cum Rx. Asari Xi Xin on DU-14 and/or UB-43 for two to three days to strengthen Wei Qi.

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	Mai Wei Di Huang Wan Bai He Gu Jin Tang Ba Xian Chang Shou Wan Du Qi Wan Si Jun Zi Tang + Du Qi Wan Qi Wei Du Qi Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Spleen Qi Deficiency

Clinical Manifestations	Pale face Sallow complexion Anorexia Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Abdominal and epigastric distention after meals Maybe bleeding Maybe nausea and vomiting Maybe acid regurgitation Shortness of breath Loose stools or diarrhea Fatigue Lethargy Thin muscles Low, soft voice Does not like to speak Muscle weakness in arms and legs Maybe enuresis Weak abdomen Maybe borborygmus Epigastric or abdominal pain T: Pale and flabby - may have teeth marks C: White P: Even, forceless and deficient
Treatment Principle	Tonify Qi Strengthen the Spleen and Stomach
Herb Formulas	Chuan Si Jun Zi Tang
Points

Phlegm Confuses The Heart Orifice

Clinical Manifestations	Fainting 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 Dizziness Nausea Restlessness when sitting or lying down Coughing and wheezing Copious sputum Thick, gummy nasal discharge and saliva Difficult breathing 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

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang Huang Lian Wen Dan Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15

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	Zhi Gan Cao Tang
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15

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 Dan Si Jun Zi Tang Sheng Mai San
Points	HT-7, LU-9, REN-17, UB-13, UB-15

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) With Internal Cold: Yang He Tang
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Yang Deficiency With Water Flooding The Lungs

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 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 Zhen Wu Tang + Wu Ling San
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

Kidney Yang Deficiency: Kidney 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 Ren Shen Ge Jie San + Bu Fei Tang Hei Xi Dan Sheng Mai San + Ji Sheng Shen Qi Wan Ren Shen Hu Tao Tang
Points	DU-4, KI-3, LU-9, REN-6, ST-36, UB-13, UB-23, UB-43 Moxa DU-4, KI-3, REN-4, REN-6, REN-17, REN-21, REN-22, UB-23

Qi , Blood And Phlegm Stagnation

Clinical Manifestations	Noxious swellings Abscesses Flat abscesses Red face Chest pain Ulceration of the tumor Maybe a bloody secretion Foul odor Short urine T: Reddish purple C: Little or Yellow P: Wiry and rapid or Flooding or Tight or Thin
Treatment Principle	Move Qi Invigorate the Blood Break up Stasis Clear Heat Resolve toxicity
Herb Formulas	Shi Liu Wei Liu Tang
Points

Deficiency Cold

Clinical Manifestations	Cold extremities No thirst Dry throat Excessive salivation with spitting up of clear Fluids No coughing Spontaneous sweating A bland taste in the mouth Cold breath Frequent, clear urination Irritability Dizziness Frequent urination Cold limbs A pale complexion Abdominal pain which is alleviated by warmth and pressure and aggravated by Cold T: Pale and moist C: None P: Frail or Deep and slow or Wiry and tight
Treatment Principle	Warm the Lungs Strengthen the Stomach
Herb Formulas	Gan Cao Gan Jiang Tang
Points

Blood Stagnation

Etiology	Usually follows some sort of trauma to the chest May be the result of late-stage Lung disease such as Lung cancer
Clinical Manifestations	Recurrent irritating cough with a history of trauma to the chest or other chronic Lung disease Cough is worse at night Scanty or Blood streaked mucus Mucus may have dark patches of clotted Blood Pain around the site of the injury during bouts of coughing Maybe cold extremities T: Pale or Purplish with brown or purple petechiae C: Normal P: Wiry or Choppy or Thready and weak
Treatment Principle	Resolve Stagnant Blood in the Lungs Stop cough
Herb Formulas	Xue Fu Zhu Yu Tang modified Chinese patent medicines: Xue Fu Zhu Yu Wan Sheng Tian Qi Pian Jin Gu Die Shang Wan Yan Hu Suo Zhi Tong Pian Fu Ke Wu Jin Wan For traumatic injury: Qi Li San
Points	LI-4, LIV-3, LU-5, PC-6, SP-10, UB-13, UB-17, Ahshi points With hemoptysis: + LU-6

Blood Stagnation With Phlegm

Clinical Manifestations	Palpitations Dizziness Blurred vision Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow 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 Fixed lower abdominal pain Vertigo Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale or Swollen C: Normal or White and greasy P: Slippery or Thin and weak or Thin and choppy
Treatment Principle	Drain the Lungs Move Fluids Drive out Phlegm Stop cough Calm wheezing Invigorate the Blood Break up Stagnation Alleviate pain
Herb Formulas	Ting Ling Da Zao Xie Fei Tang + Tao Hong Si Wu Tang
Points

Phlegm-Damp With Cold Excess And Kidney Deficiency

Clinical Manifestations	Occurs in children and the elderly with chronic wheezing Recurs every winter Repeated attacks of productive cough Thin, watery mucus There may be scanty, tenacious mucus Triggered by a Cold Invasion during winter Wheezing Shortness of breath Tightness in the chest Usually occurs at night or in the early morning Severe cases: Orthopnea Weakness and pain of the lower back and legs Fatigue Edema of the extremities T: Pale and swollen with toothmarks C: Moist, greasy and white P: soft and slippery
Treatment Principle	Warm and transform Clod Phlegm Descend Rebellious Qi Stop cough and wheezing
Herb Formulas	Su Zi Jiang Qi Tang modified
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43 LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20 LIV-13, LU-5, LU-7, LU-9, SP-3, SP-6, ST-36, ST-40, moxa UB-13, UB-20, UB-43 With wheezing: + Dingchuan With fullness in the chest: + PC-5 With Kidney Deficiency: + moxa UB-23

Upper Jiao Qi Stagnation With Clumping In The Chest And Rebellious Qi

Clinical Manifestations	An irritable, stifling sensation in the chest and diaphragm Labored breathing Wheezing Epigastric distention and fullness Belching Constipation Anorexia Hurried breathing Abdominal distention and pain T: Normal C: White P: Wiry
Treatment Principle	Promote the movement of Qi Descend Rebellious Qi Expand the chest Disperse Stagnation Purge accumulations
Herb Formulas	Liu Mo Tang Si Mo Tang
Points