Fatigue

Tai Yang Zhong Feng With Kidney Yang Deficiency

Clinical Manifestations	Chills Mild fever Aversion to Wind Continuous perspiration (like leaking water) Difficult urination Muscle spasms Difficulty with flexing and extending the legs Cold limbs Chest pain referring to the back A feeling of oppression over the chest Stiff extremities Painful urination Generalized aches and pains Difficulty rotating the trunk Headache Fatigue Somnolence T: Normal C: White and greasy P: Superficial, big and forceless or Superficial, rough and Deficient or Deep and slow
Treatment Principle	Expel Wind-Cold Harmonize the Ying and Wei Restore Yang Disperse Cold Stop perspiration
Herb Formulas	Gui Zhi Jia Fu Zi Tang
Points

Tai Yang Shang Han With Congested Fluids In The Interior

Clinical Manifestations	Fever and chills Aversion to Cold Headache Stuffy nose Cough with profuse sputum Chest fullness Fatigue Lethargy Abdominal fullness Loose Stools Shortness of breath Nasal obstruction No desire to speak Fullness and distention in the chest and diaphragm Gastric distention Nausea and vomiting Anorexia T: Pale and thick C: White or White and greasy P: Superficial or Weak
Treatment Principle	Tonify Qi Release the Exterior Harmonize the Stomach Transform Phlegm
Herb Formulas	Shen Su Yin
Points

Tai Yang Shang Han With 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

Tai Yang - Shao Yang

Clinical Manifestations	Joint pain with a crackling sensation Epigastric pain Fatigue Gastrointestinal weakness Headache Heaviness in the head Fever Moderately severe chills Distension beneath the Heart Periumbilical or lower abdominal pain Tenseness around the pubic bone Subcostal pain Epigastric fullness Nausea Mild vomiting Mild thoraco-costal discomfort Costal distress Tension in the rectus abdominus Chest distension Abdominal pain Abdominal distension Constipation Irritability Insomnia Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Release the Exterior and muscle layer Harmonize and release the Shao-Yang Harmonize the Liver, Spleen and Intestines Dispel Water Accumulation
Herb Formulas	Chai Hu Gui Zhi Tang
Points

Tai Yang - Shao Yang - Shao Yin Heat

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

Shao Yang Jing

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

Shao Yang Fu With Congeted 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
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 Fu With Underlying Liver Qi Stagnation

Clinical Manifestations	Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Depression Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Shao Yang Unblock the three Yang Stages Sedate and calm the Spirit Relieve the chest and subcardiac regions Alleviate spasms
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points

Tai Yin Accumulation Of Cold Damp

Clinical Manifestations	Fatigue Aversion to Cold Diarrhea or loose stools MJ distension and fullness May be abdominal pain No thirst Jaundice Grayish white stools Anorexia Cold extremities Dull yellow skin T:  Pale C: Greasy white P:  Deep weak and slow
Treatment Principle	Warm Yang Disperse Cold Dispel Damp accumulation
Herb Formulas	Yin Chen Zhu Fu Tang Yin Chen Si Ni Tang
Points	To Regulate the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, UB-19, To Resolve Dampness: SP-6, SP-9 To Warm the Middle Jiao: moxa REN-10

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
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

Wei Stage: Summerheat With Exterior Cold And Interior Dampness

Clinical Manifestations	Chills Skin that is warm to the touch Anhidrosis A heavy sensation in the head and body Headache Abdominal pain A stifling sensation in the chest Fatigued extremities Anorexia Lethargy Aversion to Cold Nausea Vomiting Diarrhea T: Pink C: White and greasy P: Floating
Treatment Principle	Release the Exterior Scatter Cold Transform Dampness Harmonize the Middle Jiao
Herb Formulas	Xiang Ru San Without Interior Dampness: Xin Jia Xiang Ru Yin
Points

Wei Stage: Summerheat With Qi Deficiency

Clinical Manifestations	Tidal fever or A low-grade fever that appears mostly after exertion or A normally low temperature but is occasionally high Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Heaviness Nausea Scanty urine Fatigue Loose stools Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion T: Pale or Red tip and edges C: Greasy white or yellow P: Empty or Rapid and soft
Treatment Principle	Clear Summerheat and Dampness Tonify Qi
Herb Formulas	Qing Shu Yi Qi Tang Jia Jiang
Points

Wei Stage: Summerheat With Qi And Yin Deficiency

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

Qi Stage: Spleen And Stomach Damp-Heat

Clinical Manifestations	Fever Pressure headache - like a bandage Gastric distension Poor appetite Heaviness Body aches Chest distension Diarrhea Dysentery T: Red C: Greasy and yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clean Damp-Heat and toxins
Herb Formulas	Gan Lu Xiao Du Dan
Points	LI-4, LI-11, SP-6, SP-9, ST-25, ST-36

Qi Stage: Gall Bladder Heat

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Weakness and fatigue after vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gall Bladder Heat Pacify the Liver and Gall Bladder
Herb Formulas	Zhi Zi Chi Tang
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

Late-Stage Aftermath Of Ying Or Xue Stage Heat

Clinical Manifestations	Mental disorientation Irritability Insomnia Palpitations Depression Restlessness Hopelessness Sudden mood swings Erratic behavior Feels cold then not cold Feels hot then not hot Aversion to life Dry mouth Dry stools Dry throat Fatigue Irregular stools Lethargy Mental instability Obsessions Craves food then hates food Does not like to talk Does not know what he/she wants Dark urine A bitter taste in the mouth Dizziness Muddled thinking T: Red C: Little or None P: Slightly rapid or Weak and rapid or Thready and rapid
Treatment Principle	Moisten the Lungs and Heart Nourish Fluids Nourish Yin Clear Deficiency Heat Cool the Blood
Herb Formulas	Bai He Di Huang Tang With improper purging Damaging Stomach Qi: Bai He Zhi Mu Tang
Points

Wind-Damp Edema

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

Wind-Damp Accumulation With Wei Qi Deficiency

Clinical Manifestations	Sweating Aversion to Wind Heavy sensation in the body Superficial edema Urinary difficulty Knee pain Abdominal bloating Edema in lower legs Fatigue Edema in women with constitutional Deficiency T: Pale C: White or Swollen and moist P: Floating and weak, or soft and thready
Treatment Principle	Augment Qi Strengthen the Spleen Release the Exterior Promote urination Reduce edema Regulate water circulation
Herb Formulas	Fang Ji Huang Qi Tang
Points

Wind-Cold-Damp Bid With Damp Predominant

Clinical Manifestations	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 Moistens dry Blood Tonify Blood Warm the Channels Relieve spasms Relieve muscular tension
Herb Formulas	Yi Yi Ren Tang
Points

Lung Yin Deficiency

Clinical Manifestations	Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Afternoon fever Night sweats Malar flush (especially in afternoon) Five Sole Heat Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Weakness 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 Er Dong Er Mu Tang
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43

Lung Qi Deficiency

Clinical Manifestations	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	Bu Fei Tang Si Jun Zi Tang Bu Zhong Yi Qi Tang Bu Wei Fang Yu Ping Feng San
Points	LU-9, REN-17, ST-36, UB-13, UB-43

Lung Qi And Yin Deficiency

Clinical Manifestations	Dry cough with little sputum Dry throat Hemoptysis Muscle wasting Shortness of breath Emaciation Dizziness Tinnitus Fatigue Weakness Shortness of breath Malar flush Spontaneous sweating Weak lower extremities T: Red or Crimson and dry C: Little P: Thready and rapid or Small and weak
Treatment Principle	Enrich Yin Moisten the Lungs Augment Qi Tonify the Spleen
Herb Formulas	Qiong Yu Gao Sheng Mai Yin Wan
Points

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 Wei Fang
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

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 Abdominal pain Urine short and red Sustained fever despite profuse perspiration or Raging fever in the afternoon Severe cases: High fever and coma Mouth dry but no desire to drink Body heavy Limbs tired Fullness in chest Lump in epigastrium Anorexia Vomiting T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness Stop dysentery
Herb Formulas	Shao Yao Tang
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25

Large Intestine Qi Deficiency

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 astringe
Herb Formulas	Zhen Ren Yang Zang Tang
Points	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

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 Fatigue 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 Yin Chen Si Ni Tang Ping Wei San
Points	Moxa or moxa needle REN-6, REN-12, 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 Fatigue 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 Ban Xia Xie Xin Tang Ge Hua Jie Cheng 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 Bu Zhong Yi Qi Tang Shen Ling Bai Zhu San Liu Jun Zi Tang Da Jian Zhong Tang Bu Wei Fang Huang Qi Tang Qi Wei Bai Zhu San Dao Gong San Jia Wei With Food Stagnation and Dampness: Qi Pi Wan With Damp or Phlegm Stagnation: Bao Jian Mei Jian Fei Cha With Blood Deficiency and Heat: Jiang Zhi Jian Fei Yin With Blood Deficiency and Liver Cold: Dang Gui Sheng Jiang Yang Rou Tang With Food, Qi and Blood Stagnation and Damp Heat: Jiang Zhi Jian Fei Wan Jiang Zhi Jian Fei Wan #2 Jiang Zhi Jian Fei Wan #3 With Food, Qi and Blood Stagnation and Liver Heat: Jiang Zhi Jian Fei Wan #4 With Yang Deficiency and severe Blood loss: Ju Yuan Jian With Damp-Heat in the Lower Jiao: Shen Yang Yi Wei Tang With Liver Qi Stagnation, Cold and Heat: Zhi Shi Xiao Pi Wan
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 REN-6, REN-11, REN-12, SP-4, ST-36 For loose stools: + ST-25 For dizziness and vertigo: + DU-20 For somnolence: + UB-62 For rectal prolapse: + UB-57 For uterine prolapse: + Zigong

Central Qi Sinking

Clinical Manifestations	Prolapse of one or more organs Sallow complexion Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20, other points are selected according to the type of prolapse

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
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-22, moxa needle UB-20, UB-23

Spleen Not Governing Blood

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

Spleen 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 Huang Qi Jian Zhong Tang Huang Tu Tang With Dampness in the Lower Jiao and Dryness in the Lower 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 Li Zhong Tang Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Ding Xiang Shi Di Tang Huang Tu Tang With Retention of Dampness: Ge Hua Jie Cheng San With Cold-Damp Retention: Xiang Sha Liu Jun Zi Tang With Phlegm-Damp Retention: Xiang Sha Liu Jun Zi Tang Liu Jun Zi Tang With Qi and Blood Stagnation: An Zhong San
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen And Stomach Qi And Yang Deficiency

Clinical Manifestations	Intermittent abdominal and gastric fullness and distention after eating Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort The vomitus is relatively inoffensivewith clearly identifiable food and possibly watery mucus-like material Waxy, pale complexion Anorexia Weight loss Emaciation Loose stools or Diarrhea Fatigue Weakness Listlessness Increased desire to sleep Cold abdomen Cold extremities Intolerance of Cold T: Pale and swollen C: White P: Thready, deep and weak
Treatment Principle	Warm and strengthen the Spleen and Stomach Harmonize the Stomach Descend Qi
Herb Formulas	Ding Kou Li Zhong Wan modified With Qi Stagnation: Ding Xiang Tou Ge San With Kidney Yang Deficiency: Fu Zi Li Zhong Wan  modified For severe, resistant or unresponsive cases with Phlegm Accumulation: Xuan Fu Dai Zhe Tang Chinese Patent Medicines: For Spleen Yang Deficiency with Cold: Fu Zi Li Zhong Wan For Spleen Yang Deficiency: Li Zhong Wan For Spleen Qi Deficiency: Xiang Sha Liu Jun Zi Wan For Kidney Yang Deficiency: Jin Gui Shen Qi Wan combined with one of the above formulas
Points	LIV-13, REN-9, REN-12, REN-14, REN-17, ST-36, UB20, UB-21 With Qi Stagnation: + LIV-3, PC-6 With Kidney Yang Deficiency: + KI-3, moxa or moxa needle DU-4, REN-4, UB-23 With gastroptosis: + moxa or moxa needle DU-20 Ear: Esophagus, Pylorus, Spleen, Stomach, Kidney, Adrenal, Sympathetic, Shenmen

Spleen And Stomach Yin Deficiency

Clinical Manifestations	No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups Emaciation Fatigue and physical weakness T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Shen Qi Di Huang Tang
Points	KI-3, REN-12, SP-6, ST-36, UB-21

Spleen And Kidney Qi Deficiency

Clinical Manifestations	Milky, turbid spermatorrhea Listlessness Fatigue A shiny, white complexion Anorexia or Increased food intake Restlessness Vaginal discharge Diarrhea Dryness of the external ears Dizziness Enuresis Copious urination Thirst Premature ejaculation Lumbago T: Pale C: White P: Deep and frail
Treatment Principle	Tonify the Kidneys Stabilize Jing Stop leakage Strengthen the Spleen Drain Dampness Benefit the Heart Calm the Shen
Herb Formulas	Fu Tu Dan
Points

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

Stomach Qi Deficiency With Cold And Heat In The Interior

Clinical Manifestations	Epigastric distention, fullness and hardness Dry heaves Nausea/Vomiting Irritability Borborygmus Diarrhea with undigested food Hysteria Fatigue Erosions of the throat Insomnia with difficulty falling asleep Frequent waking Talking in one's sleep Sleepwalking Dream disturbed sleep T: Pink C: Yellowish P: Wiry and rapid
Treatment Principle	Benefit Qi Harmonize the Stomach Relieve epigastric distention Disperse lumps and hardness Stop diarrhea
Herb Formulas	Gan Cao Xie Xin Tang
Points

Heart Fire Flaring Up

Clinical Manifestations	Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability Irascibility Feeling of Heat and disturbance in the Heart Insomnia Flushed face Fatigue Bitter taste in the mouth T: Red tip with ulcers especially on the tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Dao Chi San
Points	HT-7, HT-8, PC-7, PC-8, UB-15

Heart Fire With Kidney Yin Deficiency And Damp-Heat Pouring Downward

Clinical Manifestations	Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Dry mouth Dry Tongue Five Sole Heat Fever Physical and mental overexertion T: Red C: Little or None P: Deep and rapid
Treatment Principle	Clear Heart Fire Disperse Damp-Heat Benefit Qi and Yin Promote urination
Herb Formulas	Qing Xin Lian Zi Yin
Points

Phlegm Obstructs The Heart Orifice: Yin Obstruction

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Retention of urine Constipation Stiffness and spasm of limbs Pale face with bluish lips Limbs cold, pale and still Lying peacefully Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: White and greasy P: Deep, slippery and even
Treatment Principle	Open the Heart Orifices with Pungent Warming Herbs Eliminate Phlegm Subdue Wind
Herb Formulas	Di Tan Tang
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, PC-5, ST-40, UB-20

Heart Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue Weakness Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Big and weak or Intermittent
Treatment Principle	Reinforce and Strengthen Heart Qi
Herb Formulas	Si Jun Zi Tang Bao Yuan Dan Zhi Gan Cao Tang With Blood Deficiency and Liver Qi Stagnation: Bu Gan Yi Qi Tang
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15 HT-5, HT-7, HT-8, PC-5, PC-6, REN-14, REN-17, ST-36, UB-15

Heart Yang Deficiency

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Cold limbs Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Warm and Clear Heart Yang
Herb Formulas	Bao Yuan Tang Gui Zhi Gan Cao Long Gu Mu Li Tang Jin Gui Shen Qi Wan
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, UB-15

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

Clinical Manifestations	Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness Pale face and lips T: Pale P: Thready and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen
Herb Formulas	Gui Pi Tang Suan Zao Ren Tang Ren Shen Yang Rong Tang
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1

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

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

Heart Yang Deficiency Exhaustion: Fainting With Cold Limbs

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

Heart Blood Deficiency

Clinical Manifestations	Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness Pale face and lips T: Pale P: Thready and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen
Herb Formulas	Dang Gui Bu Xue Tang Gui Pi Tang Suan Zao Ren Tang Zhi Gan Cao Tang
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1

Heart And Lung Qi Deficiency

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

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang Bai He Gan Mai Da Zao Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Heart And Liver Blood Deficiency

Clinical Manifestations	Palpitations Insomnia with much dreaming Easily startled Eye dizziness Both eyes dry and rough Twitching of the eyes Pain in the ribs and flanks Numbness of the limbs Stiffness and spasms of the tendons Low grade fever Night sweats Irregular, scanty menses T: Pale and thin C: Little P: Thready, choppy and forceless
Treatment Principle	Nourish Yin Reinforce the Blood Conceal Yang Calm the Shen
Herb Formulas	Suan Zao Ren Tang Dang Gui Bu Xue Tang
Points	HT-7, LIV-3, REN-4, SP-6, ST-36, UB-15, UB-17, UB-18

Heart And Gall Bladder Qi Deficiency

Clinical Manifestations	Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Easily frightened or startled Easily unsettled by seeming trivial events Anxiety Palpitations Shortness of breath Lethargy Fatigue Depression Spontaneous sweating T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip C: Thin and white P: wiry and thready
Treatment Principle	Strengthen Qi Calm the Shen Alleviate fearfulness Calm the mind
Herb Formulas	An Shen Ding Zhi Wan Ding Zhi Wan Qi Yang Yu Xin Dan
Points

Heart And Kidney Deficiency

Clinical Manifestations	Frequent urination Cloudy urine that resembles rice-water Seminal emissions Enuresis Disorientation Constipation Forgetfulness Fatigue Anorexia T: Pale or Light pink C: Thin and white P: Thin, slow and frail or Deep and weak
Treatment Principle	Regulate and tonify the Heart and Kidney Stabilize Jing Stop seminal emissions
Herb Formulas	Sang Piao Xiao San
Points

Heart And Kidney Yin Deficiency With Heart Blood Deficiency

Clinical Manifestations	Irritability Palpitations Anxiety Fatigue Insomnia Very restless sleep Inability to think or concentrate even for short periods Nocturnal emissions Forgetfulness Dry stools Mouth sores Tongue sores Low grade afternoon fever Dream disturbed sleep Night sweats Constipation T: Red C: Little P: Rapid or Thready and rapid
Treatment Principle	Enrich Yin Nourish the Blood Tonify the Heart and Kidneys Calm the Shen Clear Heat
Herb Formulas	Tian Wang Bu Xin Dan
Points

Liver Qi Stagnation Turning To Heat With Qi And Blood Deficiency

Clinical Manifestations	Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San
Points

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 A tendency toward fatigue Irritability Inappropriate anger Irregular menses Dysmenorrhea 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

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 Fatigue 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 Hei Xiao Yao San Dang Gui Shao Yao San With Spleen Dampness: Xiao Chai Hu Tang
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish the Blood Subdue Wind
Herb Formulas	San Jia Fu Mai Tang
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Liver Wind Stirring Internally Due To Kidney And Liver Yin Deficiency

Clinical Manifestations	Fatigue Muscle spasms with alternating flexion and extension of the extremities Prostration Clonic convulsions Dizziness - worse with stress or anger Insomnia Dream-disturbed sleep Sore low back and knees Nocturnal emissions Often the patient is on the verge of shock Low-grade fever T: Deep red C: Thin or Peeled P: Weak and faint
Treatment Principle	Nourish Yin Extinguish Endogenous Wind
Herb Formulas	Da Ding Feng Zhu
Points

Liver Yin And Blood Deficiency

Clinical Manifestations	Headache Dizziness Tinnitus Dry eyes Photophobia Blurred vision Irritability Numbness Bad temper Muscle twitches Malar flush Fatigue T: Pale or Red and dry C: Little P: Thready and rapid or Thready wiry and rapid or Wiry
Treatment Principle	Tonify and Regulate Blood Nourish Liver Yin
Herb Formulas	Bu Gan Tang
Points

Liver Blood Deficiency

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Jiao Ai Tang
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

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) Gui Lu Bu Shen Tang Jie Rong San You Gui Yin With Cold Phlegm: Su Zi Jiang Qi 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: Kidney Qi Not Consolidated

Clinical Manifestations	Low back and knees aching and weak Hearing deficit Jing Gate Not Consolidated: Spermatorrhea Premature ejaculation Vaginal discharge Infertility Urinary disorder: Frequent, clear, abundant urination Dribbling after urination Incontinence of urine T: Pale and swollen with teethmarks C: Thin white P: Deep and thready
Treatment Principle	Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Suo Gu Jing Wan
Points	For spermatorrhea due to Kidney Qi Not Consolidated: 1. Jinggong, KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-52 2. REN-4, SP-6, UB-23 3. Jinggong, KI-3, KI-12, REN-4, ST-36 4. KI-12, REN-4, REN-6, SP-6, UB-23 For urinary incontinence and enuresis: 1. REN-3, SP-6, UB-22, UB-23, UB-28, UB-39 2. REN-3, SP-6, UB-22, UB-23, UB-28

Kidney Yang Deficiency With Water Flooding

Clinical Manifestations	Palpitations Dysuria Shortness of breath Dyspnea Dizziness Muscular twitching Whole body edema Cold body Icy limbs Cold abdomen with watery stools Edema of limbs Cough Pale complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Abdominal pain Diarrhea T: Pale or Purple (Lavender) C: White and greasy P: Deep or Deep and minute
Treatment Principle	Support Yang Expel Cold Promote diuresis
Herb Formulas	Zhen Wu Tang Jia Wei Shen Qi Wan Ji Sheng Shen Qi Wan
Points	Moxa needle DU-4, KI-3, KI-7, PC-5, PC-6, REN-4, REN-6, REN-9, REN-17, SP-6, SP-9, UB-15, UB-23 Moxa or moxa needle REN-9, UB-20, UB-23, needle KI-7, REN-6, SP-6, SP-9, ST-28, ST-36, UB-22, UB-39

Kidney Jing Deficiency

Clinical Manifestations	Dizziness Tinnitus Low back and knees weak and aching In adults: Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of the fontanel Poor bone development Brittle bones
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Zuo Gui Wan You Gui Wan Huan Shao Dan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Kidney Yin And Yang Deficiency

Clinical Manifestations	Amenorrhea Irregular menstruation Hot flashes Dizziness Tinnitus Night sweats Perspiration Nervousness Muscular flaccidity Fatigue Mood swings Cold feet Lassitude Frequent, clear urine Irritability Headache Palpitations Insomnia T: Pale C: Thin and white P: Thready and rapid
Treatment Principle	Replenish Kidney Yin and Yang Tonify Kidney Jing Purge Deficiency Fire
Herb Formulas	Er Xian Tang He Che Da Zao Wan
Points

Kidney Qi Deficiency

Clinical Manifestations	Frequent urination Copious amounts of clear urine Incontinence of urine Enuresis Either a tendency towards being too hot of too cold Shortness of breath Asthma Aversion to Cold Cold limbs Weak lower back and knees Lingering tinnitus or deafness Seminal emission Impotence Fatigue Lack of strength Maybe anorexia Maybe loose stools T: Pale C: White P: Deep, weak possibly tight or Thready and weak
Treatment Principle	Tonify and warm Kidney Qi
Herb Formulas	Cong Rong Wan
Points

Damp-Heat In The Urinary Bladder

Clinical Manifestations	Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine In Damp-Heat Pouring Downward there may also be: Fever Thirst Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	For Blood Lin: Wu Lin San
Points	KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

Yin And Blood Deficiency

Clinical Manifestations	Anxiety Dull complexion Fatigue Nervousness Red cheeks T: Pale with a red tip C: Little or none P: Thready and Rapid
Treatment Principle	Clear Empty-Heat Regulate menstruation
Herb Formulas	Bai Zi Ren Wan Liu Wei Di Huang Wan
Points

Qi And Blood Stagnation With Edema

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 Tang
Points

Qi And Blood Deficiency

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang Nu Ke Ba Zhen Wan Qi and Blood Deficiency #1 Qi Xue Xu Tang With abdominal pain: Ba Zhen Yi Mu Wan
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

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 , Blood And Yin Deficiency With Blood Stagnation And Heat

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

Blood Stagnation Due To Qi Deficiency

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Normal C: White P: Moderate
Treatment Principle	Tonify Qi Invigorate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang Postpartum: Qing Hun San
Points

Blood Deficiency

Clinical Manifestations	Fatigue Shortness of breath Dyspnea Pale face Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five sole Heat Debilitated constitution in children Postpartum emaciation and weakness Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Enuresis in children Insomnia Anemia Bleeding Abdominal weakness Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Spleen and Stomach
Herb Formulas	Dang Gui Jian Zhong Tang
Points

Phlegm And Blood Stagnation

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

Water Accumulation

Clinical Manifestations	Edema Generalized swelling Heaviness or sluggishness of the body Fatigue Hypersomnia
Treatment Principle	Strengthen the Spleen Resolve Dampness Promote urination Reduce edema
Herb Formulas	Fu Ling Tang
Points

Wind Phlegm (Feng Tan)

Clinical Manifestations	Dizziness Vertigo (possibly severe) Headaches (may be recurrent) Chest fullness and distention Epigastric fullness and distention Nausea Vomiting Copious sputum Spots before the eyes Heaviness of the head Lockjaw Sinus congestion Cold feet Fatigue Abdominal distention Weakness of hands and feet May be edema Sudden loss of consciousness Excess salivation Compulsive sleeping after eating Paralysis of the limbs Weakness of the limbs Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Tinnitus Sputum in the throat Hypertension Stroke T: Normal C: White and greasy P: Wiry and slippery or Soft and slipper
Treatment Principle	Calm Wind Open the orifices Promote circulation in the channels Transform Phlegm
Herb Formulas	Jie Yu Dan
Points

Damp-Phlegm (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 Er Chen Tang Ban Xia Fu Ling Tang Ping Chen 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

San Jiao Damp-Heat

Clinical Manifestations	A poor appetite Fullness and distention in the abdomen Loose stools or Diarrhea or Constipation Nausea Aching, heaviness and stiffness in the limbs and back A weary feeling in the whole body Lack of energy Fatigue Scanty urine Leukorrhea A dull, blank complexion Dull responses T: Red C: Yellow and greasy P: Slippery
Treatment Principle	Expel Heat Drain Dampness Clear the water passages of the San Jiao
Herb Formulas	Chang Pu Yu Jin Tang Jia Wei Long Dan Xie Gan Tang Xing Ren Hua Shi Tang
Points

San Jiao Toxic Heat

Clinical Manifestations	High fever Irritability Fidgeting Dry mouth Dry throat Incoherent speech Insomnia Dark urine Deep-rooted boils 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 from all three Jiaos Relieve inflammation Stop bleeding Purge Damp-Heat Purge the Gallbladder
Herb Formulas	Huang Lian Jie Du Tang
Points

Damp-Heat In The Upper Jiao

Clinical Manifestations	Headache Chills Afternoon fever Heavy sensation in the body Generalized pain Pale yellow (sallow) complexion Stifling sensation in chest Loss of appetite Feverishness and pain of the body Fatigue Lack of thirst or thirst with no desire to drink Chest and abdominal fullness Maybe aversion to Cold Nausea Heaviness of the head T: Normal C: White or Greasy and white P: Wiry, thin and soggy or soft or Superficial and soft
Treatment Principle	Spread Qi Facilitate Qi Clear Damp-Heat
Herb Formulas	San Ren Tang
Points

Damp-Heat In The Middle Jiao

Clinical Manifestations	Simultaneous vomiting and diarrhea Focal distention in the chest and epigastrium A stifling sensation in the chest and epigastrium Irritability Acid regurgitation Anorexia Restlessness Fatigue Abdominal pain A bitter taste in the mouth Dark, scanty, possibly reddish urine T: Normal C: Yellow and greasy P: Slippery and rapid or Smooth and wiry
Treatment Principle	Clear Heat Transform Dampness Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Lian Po Yin
Points

Internal Cold With Phlegm

Clinical Manifestations	Chest pain Shoulder stiffness Abdominal distention and pain Constipation Cold feet An aversion to Cold Pale face Fatigue Headaches with heavy headedness Abdominal weakness Anorexia T: Pale C: Greasy, white P: Weak or Weak and wiry
Treatment Principle	Tonify Qi Break up Stagnant Qi Reduce accumulation Descend Qi Warm the Middle Jiao Disperse Cold Transform Phlegm
Herb Formulas	Yan Nian Ban Xia Tang
Points

Deficiency Cold Of The Chong And Ren

Clinical Manifestations	Cold in the Womb Thin vaginal discharge A sallow and wan complexion Achy limbs Fatigue Lack of strength Lethargy Irregular menstruation Reduced appetite Low energy Occasional abdominal or lower abdominal pain Cold, painful sensations in the lower abdomen Abdominal distention Infertility T: Pale C: White
Treatment Principle	Warm the vessels Comfort the Womb Nourish and invigorate the Blood
Herb Formulas	Ai Fu Nuan Gong Wan
Points

Sudden Turmoil Disorder

Clinical Manifestations	Vomiting Chest distention Diarrhea Thirst Chills and fever Anhidrosis Headache Wheezing from Phlegm Cough Lack of strength in the extremities No desire for food or drink Dark, scanty urine Fullness and distention in the diaphragm Fatigue T: Normal C: Slippery and white
Treatment Principle	Strengthen the Spleen Transform Dampness Cause the pure to ascend and the turbid to descend Harmonize the functions of the six Yang organs Disperse Summerheat
Herb Formulas	Liu He Tang
Points

Childhood Nutritional Impairment Due To Parasitic Infestataion

Clinical Manifestations	Intermittent abdominal pain Indigestion Emaciation Loose stools Feverishness Foul breath A sallow complexion A large, distended abdomen Anorexia Decreased intake of food Weak constitution Constant fatigue Maybe nausea and vomiting Dry mouth Thirst
Treatment Principle	Kill parasites Reduce accumulations Strengthen the Spleen Clear Heat
Herb Formulas	Fei Er Wan
Points