Enteritis

General

Clinical Manifestations
Treatment Principle
Herb Formulas	One pill of fresh Da Huang single herb 3 times per day
Points	LI-4, LI-11, REN-6, REN-11, ST-25, ST-37, ST-44, UB-22, UB-24, UB-25 SP-6, ST-25, ST-36 SP-6, SP-9, ST-25, ST-36, ST-39, UB-20 ST-25, ST-37 Acute: 1. PC-6, REN-13, ST-25, ST-36, moxa REN-8 2. ST-25, ST-36, ST-37 Chronic: 1. REN-6, REN-12, ST-25, ST-28, ST-36, UB-22, UB-24, UB-25 2. LIV-13, ST-25, ST-36, UB-20, UB-25 3.UB-20, UB-23, UB-26 4. SP-6, SP-9, ST-25 5. Moxa REN-8, ST-25, UB-25

Wind-Cold Attacks The Lungs (Acute-Severe)

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

Tai Yang - Yang Ming

Clinical Manifestations	Fever or afternoon fever Sweating which comes in waves and is worse in the afternoon Thirst Acute or frequent, urgent, foul-smelling, hot diarrhea A burning sensation around the anus Gasping Ephidrosis Palpitations Tenesmus Maybe red tinged urine Restlessness Cramping abdominal pain Irritability and Heat in the chest and epigastrium Stiffness and spasms at the back of the neck Dry mouth Dyspnea with perspiration Maybe wheezing T: Red C: Yellow (Greasy) P: Rapid or Slippery and rapid
Treatment Principle	Release the Exterior Clear Internal Yang Ming Heat
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang Chinese patent medicines: Huang Lian Jie Du Wan Chuan Xin Lian Kang Yan Pian Bao Ji Wan Huang Lian Su Pian
Points	LI-11, SP-9, ST-25, ST-37, ST-44, Zhixie With high fever: + DU-14, LI-4 With nausea: + PC-6 With sudden, severe diarrhea, vomiting and fever: + bleed or needle PC-3, UB-40 Ear: Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic

Yang Ming Damp-Heat

Clinical Manifestations	Dysentery High fever Great thirst Anhidrosis Abdominal pain Irritability Restlessness Feverish body parts Red face No constipation No aversion to Cold Scanty urine Jaundice A greasy light colored stool A bitter taste in the mouth T:  Red C:  Greasy and yellow P:  Slippery, wiry and forceful
Treatment Principle	Clear Heat Remove Dampness Regulate Qi flow of the Liver and Gall Bladder to remove jaundice
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang Chinese patent medicines: Chuan Xin Lian Kang Yan Pian Yu Dai Wan Huang Lian Su Pian Jia Wei Xiang Lian Pian Niu Huang Qing Huo Wan Qing Fei Yi Huo Pian Huang Lian Jie Du Wan Bao Ji Wan
Points	LI-4, LI-11, ST-25, ST-37, ST-44, Zhixie DU-9, GB-34, LI-4, LI-11, LIV-3, SJ-6, SP-6, SP-9, ST-25, ST-37, ST-45, UB-19, UB-25 LI-11, SP-9, ST-25, ST-37, ST-44, Zhixie With high fever: + DU-14, LI-4 With nausea: + PC-6 With sudden, severe diarrhea, vomiting and fever: + bleed or needle PC-3, UB-40 Ear: Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic

Shao Yang Jing (Acute)

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gallbladder Heat Pacify the Liver and Gallbladder
Herb Formulas	With pronounced Dampness: Da Yuan Yin
Points	DU-14, SJ-5 GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

Shao Yang Fu With Congested Fluids

Clinical Manifestations	Alternating chills and fever (chills predominate) or Chills without fever Sensation of irritability in the chest Sweating from the head Fatigue Gastrointestinal weakness Heavy head Neuralgia Epigastric distension Lower abdominal pain Tension around pubic bone Periumbilical pain Urinary difficulty T: Moist C: White and slippery P: Superficial and wiry
Treatment Principle	Disperse Clumping Harmonize the Shao Yang Warm the Interior Dispel Cold
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang Chai Ling Tang
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

Shao Yang - Yang Ming

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

Tai Yin Excess

Clinical Manifestations	Nausea Clear, frequent urination Lack of thirst Anorexia Vomiting of clear fluid Abdominal distension and pain (sharp) Diarrhea or loose stool Prefers warmth T: Pale or pink C: White P: Slow and tight or Soft
Treatment Principle	Regulate the middle Warm the Middle Jiao Disperse Cold Relieve pain
Herb Formulas	Gui Zhi Jia Shao Yao Tang With Excess Cold: Fu Zi Li Zhong Tang With a need to purge: Fu Gui Li Zhong Tang
Points	For pain and Cold: moxa the abdomen To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear urination: moxa REN-4, REN-6, UB-23 For diarrhea: moxa REN-8 Use few needles with deep insertion and moxa

Tai Yin Heat

Clinical Manifestations	Urinary difficulty Thirst with a desire to drink Fever worse at night Cough Nausea/vomiting Irritability Insomnia Restlessness Diarrhea Anxiety Edema Lower abdominal distention and pain Maybe hematuria Painful urination with Yin Deficiency Urinary dribbling Decreased urination Dry skin Sunken eyes Dry throat and/or mouth Chronic sore throat (not acute) Restlessness Malar flush Insomnia Disturbed speech Low grade fever, worse in afternoon Yellow urine Irritability with a sensation of Heat in the chest Palpitations with anxiety Sores in the mouth or on the tongue More Heat than in Yin Deficiency (chronic low grade fever) T: Red or Dark red and dry C: None or Thin and yellow P: Deep, thready and rapid or Thready and rapid or forceful and rapid
Treatment Principle	Promote urination Clear Heat Nourish Yin
Herb Formulas	Zhu Ling Tang
Points	DU-14, HT-5, HT-7, KI-3, KI-6, KI-7, LIV-3, SP-6, UB-10, UB-15, UB-23

Shao Yin Cold

Clinical Manifestations	Aversion to Cold Curls up a lot Doesn't like to talk Tired (disoriented) Fatigue Constant somnolence Sleeping with the knees drawn up to the chest Generalized edema No spirit Dull Shen Cold extremities Aching and heaviness in the extremities Diarrhea or loose stools or undigested food Clear, frequent urine Nocturia Oliguria Lower back pain Maybe nausea (wants to vomit but can't) Abdominal pain which is relieved by warmth and pressure No thirst Cough with thin, watery mucus Likes warm drinks Severe edema in chest Palpitations Dizziness T: Pale, swollen and moist C: White and greasy P: Deep and weak or Slow, deep and weak
Treatment Principle	Restore Yang Reverse inward energy Expel Cold
Herb Formulas	Si Ni Tang Zhen Wu Tang Jin Gui Shen Qi Wan If Cold is less severe: Wu Zhu Yu Tang Chinese Patent Medicines: Jin Gui Shen Qi Wan
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 KI-3, KI-7, SP-6, SP-9, moxa or moxa needle REN-6, REN-9, ST-36, UB-20, B23

Wei Stage: Summerheat With Damp

Clinical Manifestations	Acute abdominal pain Fever and chills, fever more pronounced or Tidal fever Fever is unrelieved by sweating Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Foggy headaches Irritability Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Floating or Rapid and soft
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	San Wu Xiang Ru Yin Huo Xiang Zheng Qi Tang modified Huang Lian Xiang Ru Yin Ge Gen Huang Qin Huang Lian Tang Chai Ling Tang Xiang Ru San With Internal Stagnation of water and Dampness: Gui Ling Gan Lu Yin With Damp-Heat: San Ren Tang modified Chinese patent medicines: Huang Lian Jie Du Wan Chuan Xin Lian Kang Yan Pian Bao Ji Wan Huang Lian Su Pian
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, LI-4, LI-11, REN-9, SJ-5, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20 LI-11, SP-9, ST-25, ST-37, ST-44, Zhixie With high fever: + DU-14, LI-4 With nausea: + PC-6 With sudden, severe diarrhea, vomiting and fever: + bleed or needle PC-3, UB-40 Ear: Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic

Qi Stage: Gallbladder Heat (Acute)

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gallbladder Heat Pacify the Liver and Gallbladder
Herb Formulas	Hao Qin Qing Dan Tang With pronounced Dampness: Da Yuan Yin
Points	DU-14, SJ-5 GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

Large Intestine Deficiency With Slippery Prolapse

Clinical Manifestations	Chronic dysentery or Chronic diarrhea or Rectal prolapse Dull abdominal pain with liking for warmth and pressure Borborygmus Cold limbs Poor appetite Mental fatigue T: Pale C: White P: Minute, thready and forceless
Treatment Principle	Benefit the Intestines Consolidate and constrict
Herb Formulas	Zhen Ren Yang Zang Tang
Points	LI-4, ST-25, ST-37, UB-20, UB-21 DU-4, DU-20, KI-3, REN-4, moxa REN-8, SP-6, ST-25, ST-36, UB-20, UB-23, UB-25 Chronic diarrhea: 1. LIV-13, REN-12, ST-25, ST-36, UB-20 2. LIV-13, REN-12, SP-3, UB-20 Chronic dysentery: 1. LI-4, ST-25, ST-37, UB-20, UB-21 Kidney Yang Deficiency: 1. REN-4, UB-23 2. REN-12, ST-36, UB-20, UB-21 Rectal prolapse: 1. DU-1, DU-20, UB-25 2. DU-1, DU-20, UB-30, UB-57 Ear: Kidney, Spleen, Stomach, Large Intestine, Prolapse, Anus, San Jiao, Shenmen, Adrenal

Damp-Heat In The Large Intestine

Clinical Manifestations	Diarrhea with tenesmus which intensifies after defecation Frequent stools which are small in quantity Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and blood Burning hot sensation in anus Colicky abdominal pain Abdominal distention Urine short and red Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma Mouth dry or thirst but no desire to drink Body heavy Red complexion Red eyes Limbs tired Fullness in chest Lump in the epigastrium Anorexia Vomiting Scanty, dark urine Maybe fever and chills, headache and a floating pulse (first few days) T: Red C: Yellow and greasy or Yellow and sticky or Yellow and dry (more Heat) P: Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness Regulate Qi and Blood Stop dysentery Stop pain
Herb Formulas	Shao Yao Tang modified Bai Tou Weng Tang Wu Hua Tang Ge Gen Huang Qin Huang Lian Tang Huang Qin Tang For chronic Damp-Heat damaging Yin and Yang: Zhu Che Wan With abdominal and leg spasms and cramps: Can Shi Tang Retention enemas: For ulceration of the bowel wall: Retention Enema #3 For dominant Damp-Heat: Retention Enema #4 With persistent bleeding: Retention Enema #5 Postpartum: Bai Tou Weng Tang Chinese patent medicines: Qing Fei Yi Huo Pian Lian Qiao Bai Du Pian Huang Lian Jie Du Wan Huang Lian Su Pian Chuan Xin Lian Kang Yan Pian (Toxic-Heat) Fu Fang Na Ban Lan Gen Pian (Toxic-Heat) Huang Lian Su Pian Chuan Xin Lian Kang Yan Pian Long Dan Xie Gan Wan Bao Ji Wan
Points	LI-4, LI-11, ST-25, ST-37, ST-44, Zhixie, Ahshi points between ST-36 and ST-39 (one or two treatments daily for severe cases) For nausea: + PC-6, REN-12 For high fever: DU-14 For prominent Dampness: + SP-9 For tenesmus: + DU-1, REN-4, UB-30 LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25 LI-4, ST-25, ST-37 LI-11, SP-9, ST-44 REN-4, REN-11, SP-9, ST-25, ST-36, ST-37, ST-44 ST-25, ST-36, ST-37 For nausea and vomiting: + PC-6 For tenesmus: REN-4 For fever: + LI-11 For frequent bowel movements: + Zhixie LI-11, SP-9, ST-25, ST-37, ST-44, Zhixie With high fever: + DU-14, LI-4 With nausea: + PC-6 With sudden, severe diarrhea, vomiting and fever: + bleed or needle PC-3, UB-40 For tenesmus: UB-29 For rectal prolapse: UB-20 For Blood and pus in children: Moxa Huatoujiaji Ear: 1. Large Intestine, Small Intestine, Subcortex, Sympathetic, Shenmen 2. Large Intestine, Small Intestine, Subcortex, Sympathetic, Shenmen, Lower Portion of the Rectum 3. Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic

Spleen Qi Deficiency (Chronic)

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	Li Zhong Tang Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang With Food Stagnation: Jian Pi Wan
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

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 Wu Ling San Leading to Dampness in the Bladder: Si Ling San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

Spleen Yang Deficiency

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang Fu Zi Li Zhong Wan
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Cold-Damp Distresses The Spleen (Acute)

Clinical Manifestations	Abdominal fullness Heavy head and body Edema of the face and eyes Watery diarrhea Short, scanty urination Epigastric distention and pain Anorexia Maybe loose stools with undigested food Edema of the lower extremities Thirst Joint pain Dysuria T: Pink or Pale C: White and greasy P: Soft and thready or Relaxed
Treatment Principle	Dispel Dampness in the Spleen Regulate the flow of Qi in the Spleen and Stomach
Herb Formulas	Wei Ling Tang Yin Chen Si Ni Tang Hou Po Wen Zhong Tang
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, ST-25, ST-37

Damp-Heat Injures The Spleen (Acute)

Clinical Manifestations	Abdomen extremely painful when pressed Headache Fever (maybe chills) Strong thirst with a desire to drink. Vomits immediately after drinking Urinary difficulty Edema General sensation of heaviness Diarrhea Irritability Simultaneous vomiting and diarrhea Throbbing sensations below umbilicus Vomits frothy saliva Vertigo Abdominal pain and / or distention Dark urine Anxiety Jaundice Shortness of breath Cough Urinary retention Lower abdominal fullness Extreme thirst Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain Restlessness Slightly pale skin tone T: Normal C:Thick, yellow and greasy P: Soft and rapid or Slow or Tight
Treatment Principle	Promote urination Drain Dampness Strengthen the Spleen Promote the transforming functions of Qi Clear Damp-Heat
Herb Formulas	Yin Chen Wu Ling San Zhu Ling Tang
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 LIV-3, REN-12, ST-21, ST-44 Lanweixue, LI-11, ST-36

Spleen And Lung Qi Deficiency

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Spontaneous sweating Weak voice Reluctance to speak A general air of sadness or melancholy A waxy, pale complexion Rounded or hunched shoulders Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale with a thin crack C: White or White and greasy P: Thready and weak or Floating and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Descend Lung Qi Disperse accumulation
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang Wu Ji San Chinese Patent Medicines: Su Zi Jiang Qi Wan Jiu Fei Su He Wan
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43 DU-12, DU-14, LU-5, LU-7, LU-9, PC-6, REN-6, ST-25, ST-36, UB-13, UB-20 Ear: Lung, Spleen, Stomach Intestines, Abdomen

Spleen And Stomach Deficiency Cold (Chronic)

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 Tao Hua Tang Wen Wei Yin Wei Feng Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Cold Accumulation In The Spleen And Stomach

Clinical Manifestations	Sudden, violent pain Pain responds to warmth Loose stools Diarrhea Nausea No thirst Clear urine T: Normal C: White or White and sticky P: Deep and tight or Deep, wiry and slow
Treatment Principle	Warm the abdomen Disperse Cold
Herb Formulas	Fu Zi Li Zhong Wan Liang Fu Wan + Zheng Qi Tian Xiang San Chinese patent medicine: Liang Fu Wan
Points	GB-34, LI-4, REN-6, REN-12, SP-4, ST-36 For pain above the umbilicus: ST-24, REN-10 For pain below the umbilicus: ST-27 For pain associated with the sides of the abdomen: LIV-13 For around the umbilicus: REN-7, REN-9, ST-25 For pain in the lower abdomen: REN-14 For severe pain: moxa or moxa needle REN-6, SP-6 Above the umbilicus: SP-4, ST-24, REN-10 Around the umbilicus: KI-5, REN-6, ST-25 Lower abdomen: 1. SP-6, ST-29, REN-4, moxa REN-8 2. Moxa UB-20, UB-21, REN-6, REN-12, ST-21, ST-36, PC-6, SP-4 3. PC-6, ST-36, REN-11 4. REN-6, REN-10, REN-12, REN-13, PC-6, ST-21, ST-25, ST-34, ST-36 If chronic: Huatuojiaji

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	For diarrhea: Fu Zi Li Zhong Wan Si Shen Wan For edema: Zhen Wu Tang Shi Pi Yin
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Spleen And Kidney Yang Deficiency With Water Flooding

Clinical Manifestations	Abdominal pain aggravated by Cold Urinary difficulty Deep, aching heaviness in the extremities Generalized edema Loose stools Dizziness Heavy sensation in the head Palpitations Cough Epigastric palpitations Aversion to Cold Watery diarrhea No thirst Leukorrhea Hiccup Profuse perspiration Cold limbs Headaches A husky voice Hair loss Asthma Generalized twitching Tidal flushing of the genitals by Dampness Water buildup leading to hernia Impotence Prone to infections Prone to allergies Prone to Wind erysipelas Diarrhea Constipation Chest pain Mental and emotional disorders Light-headedness Nasal obstruction with clear mucus Impaired visual acuity Prone to dormant papules A sensation of something being stuck in the throat Incessant sneezing Swelling and pain of the teeth or gums Feeling of unsteadiness as if one were about to fall Distended or heavy sensation of the head Palpitations Gradual weight gain Dyspnea Abdominal distention and fullness Pitting edema Scanty urination Chills Weak knees Seminal emissions Flaccid abdomen Muscular aching Chronic lower back pain Nausea Cyclic vomiting Fever, perspiration does not reduce fever Vertigo Impaired memory Shivering and trembling Catches cold easily Severe fatigue Aches and pains in the body or extremities Flank pain Wheezing T: Pale or Dark purple and swollen with teeth marks C: White and slippery P: Deep, thready and forceless or Deep and thready
Treatment Principle	Warm Yang Promote urination
Herb Formulas	Zhen Wu Tang Shi Pi Yin
Points	UB-23, UB-20, KI-7, SP-6, REN-6, ST-36

Disharmony Between The Stomach And Intestines With Heat And Cold

Clinical Manifestations	Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Vomiting Borborygmus Diarrhea Anorexia Stomach pain Abdominal pain Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Nausea Ascites Gurgling sounds T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Harmonize the Stomach Descend Rebellious Qi Disperse clumping Eliminate focal distention due to Cold and Heat factors
Herb Formulas	Ban Xia Xie Xin Tang Sheng Jiang Xie Xin Tangmodified
Points

Small Intestine Deficiency Cold

Clinical Manifestations	Vague lower abdominal pain Feelings of cold and heaviness Fond of warmth and pressure Abdominal fullness intermittently Borborygmus Unformed, loose stools or Chronic, incessant diarrhea Urinary frequency T: Pale C: Thin and white P: Deep and even
Treatment Principle	Warm and Clear the Small Intestine
Herb Formulas	Li Zhong Tang
Points	LIV-13, REN-4, REN-12, SP-3, ST-25, ST-36, ST-37, ST-39, UB-20, UB-27

Liver Qi Stagnation Invades The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San With Phlegm Stagnation: Ban Xia Hou Po Tang
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Kidney Yang Deficiency With Water Flooding

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

Heat And Blood Stagnation

Clinical Manifestations	Lower abdominal distention and pain (usually on right) Pain increases on pressure with rebound tenderness Guarding of the abdominal musculature Groin pain resembling urinary dysfunction without urinary difficulty Groin pain relieved by flexing hip and knee Groin pain intensified by extending hip Perspiration Irregular or intermittent fever followed by chills and perspiration May be mass in lower right quadrant of abdomen Aversion to Cold Hard lumps T: Pink C: Thin, white or yellow and greasy P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle	Drain Heat Break up Blood Stasis Invigorate the Blood Reduce swelling
Herb Formulas	Da Huang Mu Dan Pi Tang
Points

Toxic Heat (Acute)

Clinical Manifestations	High fever Irritability Fidgeting Dry mouth Dry throat Incoherent speech Insomnia Dark urine Maculae Carbuncles Hematemesis Hemoptysis Palpitations Furuncles Tinnitus Purpura Red face Rashes Deep-rooted boils Red eyes Itchy skin Fidgeting Dry lips Delirium Dysentery with fever Jaundice Epistaxis Hematuria Cloudy mind Diarrhea T: Red C: Yellow P: Rapid and forceful
Treatment Principle	Clear Heat Drain Fire Relieve toxicity Relieve inflammation Stop bleeding
Herb Formulas	Huang Lian Jie Du Tang
Points

Phlegm-Stagnation (Acute)

Clinical Manifestations	May vomit Phlegm and Fluids Rebellious Qi Shortness of breath Palpitations Chest distension
Treatment Principle	Eliminate Phlegm Harmonize and descend Stomach Qi
Herb Formulas	Xiao Ban Xia Jia Fu Ling Tang
Points

Damp-Heat In The Middle Jiao

Clinical Manifestations	Lethargy Anorexia Maybe jaundice No thirst or Thirst with no desire to drink Nausea Vomiting Afternoon fever Body aches A sallow complexion Scanty urination Diarrhea Chest discomfort Epigastric pain and distention Dull appearance Maybe disorientation Loose stools Maybe skin vesicles Heavy extremities T: Pink C: Greasy and yellow P: Soft and rapid
Treatment Principle	Clear Heat Resolve Damp and turbidity
Herb Formulas	Lian Po Yin San Jiao #1
Points	REN-6, REN-12, SP-9, ST-25, ST-36

Blood Stagnation In The Lower Jiao

Clinical Manifestations	Palpable masses that may or may not be painful Lower abdominal pain without palpable masses Lower abdominal distention Lower back pain Lower abdominal distention during menstruation Frequent menstruation (3-5 timer per month) Spotting Dark purple menstrual Blood (usually with clots) Abnormal uterine bleeding with abdominal soreness and pain Aversion to Cold Depression Cold extremities White vaginal discharge T: Pale C: White P: Choppy
Treatment Principle	Invigorate the Blood Promote the movement of Qi Dispel Blood Stasis Warm and regulate menstruation Alleviates pain
Herb Formulas	Shao Fu Zhu Yu Tang
Points

Lower Jiao Damp-Heat In The Large Intestine

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	Purge the Intestines
Herb Formulas	Da Cheng Qi Tang With lingering Exterior symptoms: Ge Gen Huang Qin Huang Lian Tang
Points	LI-11, SP-6, SP-9, ST-25, UB-25

Heat Above And Cold Below (Acute)

Clinical Manifestations	Stifling sensation and irritability in the chest Nausea with an urge to vomit Abdominal pain Fever with slight chills Diarrhea Vexation Borborygmus Thirst T: Pink C: White and greasy P: Wiry
Treatment Principle	Regulate Cold and Heat Harmonize the Stomach Descend Rebellious Qi
Herb Formulas	Huang Lian Tang
Points