Fever

General

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	DU-13, UB-13 DU-14, LI-4, LI-11 DU-23, GB-40, ST-43 PC-4, UB-11 For chronic fever: GB-40, LI-1, SJ-3 For high fever: 1. DU-14, Erjian, Shixuan 2. DU-14, LI-11, Shixuan For intermittent fever (every third day): 1. DU-13, DU-14, PC-5, SI-3 2. SP-10, UB-45 With chills: + LIV-3, LIV-8 3. LI-11, ST-36 4. DU-13, DU-14, PC-5, SI-3, SJ-6 5. SI-3, UB-62 For fever and chills with random recurrences: For intermittent fever (every third day): 1. DU-13, DU-14, PC-5, SI-3 2. SP-10, UB-45 With chills: + LIV-3, LIV-8 3. KI-3, UB-62 4. GB-41, SJ-5

External Wind

Clinical Manifestations	Headache due to Wind attack Headache in any part of the head Fever and chills Dizziness Nasal congestion Stuffy nose Clear or white nasal discharge Sneezing Body aches Nasal obstruction Vertigo Aversion to Cold Copious sputum T: Normal C: Thin and white P: Superficial
Treatment Principle	Dispel Wind Alleviate pain
Herb Formulas	Chuan Xiong Cha Tiao Wan Xiao Feng Dao Chi Tang
Points

Tai Yang Zhong Feng - (Wind Cold With Internal Deficiency)

Clinical Manifestations	Aversion to Wind Mild, or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Headache Nausea Nasal irritation Nasal obstruction Tendency to snore Itchy throat T: Normal C: Thin and white P: Superficial and slow or Moderate and maybe weak
Treatment Principle	Create sweat to relieve the Exterior and expel Wind Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas	Gui Zhi Tang With stiff neck and shoulders: Gui Zhi Jia Ge Gen Tang With Dampness: Ren Shen Bai Du San With dyspnea, asthma and sputum: Gui Zhi Jia Hou Po Xing Ren Tang With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: Gui Zhi Jia Fu Zi Tang With sustained fever of long duration accompanied by severe chills: Gui Zhi Er Yue Bi Yi Tang With slightly severe or severe chills after diaphoresis: Gui Zhi Qu Shao Yao Jia Fu Zi Tang If after diaphoresis, there is severe perspiration, marked distress, prolonged thirst, and a large pulse: Bai Hu Jia Ren Shen Tang If no result after diaphoresis with recurring malaria-like (Shao Yang) symptoms (alternating chills and fever and anhidrosis): Gui Zhi Er Ma Huang Yi Tang If, after diaphoresis, there is still headache, stiff neck, persistent fever, anhidrosis, fullness beneath the Heart, mild aching, and dysuria: Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang If, after diaphoresis, there is gasping without severe fever: Ma Xing Shi Gan Tang With a persistent fever for six to seven days, anxiety, intense thirst and vomiting after drinking: Wu Ling San With underlying Yin or Blood Deficiency: Cong Bai Qi Wei Yin
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, 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 Zhong Feng With Phlegm (Wind-Cold With Internal Deficiency And 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 - (Wind-Cold)

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 Jing Fang Bai Du San Xiao Qing Long Tang For unproductive perspiration: San Niu Tang Gui Zhi Tang With Dryness: Xing Su San For unproductive perspiration and a stiff neck and shoulders: Gui Zhi Jia Ge Gen Tang For arthritis: Ma Huang Jia Zhu Tang For a stiff neck and shoulders or frozen shoulder: Ge Gen Tang For Phlegm-Heat in the Lungs: Ding Chuan Tang For unproductive perspiration with nocturnal emissions, excess dreams, Cold lower limbs, dizziness and hair loss: Gui Zhi Jia Long Gu Mu Li Tang If not relieved by diaphoretics: To relieve Tai Yang: Gui Zhi Tang If the Tai Yang Shan Han condition lasts eight or nine days with fever, anxiety, dizziness, and in severe cases, epistaxis: Ma Huang Tang If a strong patient (one who has fever but no severe chills after diaphoresis) has a gastric reaction (constipation)(a weak patient has severe chills after diaphoresis): Tiao Wei Cheng Qi Tang For a superficial, rapid pulse, dysuria, mild fever, distress and thirst after diaphoresis: Wu Ling San For perspiration with thirst: Wu Ling San If, after diaphoresis followed by purgation, there is chest stagnation due to anxiety and fever: Zhi Zi Chi Tang If, five to six days after strong purgation, there is lingering fever, and chest stagnation with aching: Zhi Zi Chi Tang With Qi Stagnation in the Interior: Xiang Su San Shi Shen Tang With Congestion of Fluids in the Interior and an underlying weak constitution: Shen Su Yin
Points	DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12, UB-13 DU-13, DU-14, PC-5, SI-3 DU-16, GB-20, LI-4, LI-20, LU-9, SJ-5, Taiyang, UB-12, SP-10, UB-45 For chills: + LIV-3, LIV-8 For dyspnea: + LI-3 For emaciation: + GB-39, REN-6 For shivering: + sedate LU-10 For Lung symptoms: + LI-4, LU-5, LU-7, UB-13 SI-3, UB-62 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 Late-stage: KI-6, KI-7, SP-6 With Yin Deficiency: + UB-23, UB-52

Tai Yang Shang Han With Water 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 Wu Ling San With Internal Heat and irritability: Xiao Qing Long Jia Shi Gao Tang With jaundice and dyspnea: Yin Chen Wu Ling San
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 Shi Gao Tang With Internal Heat in the muscles: Cang Er Zi 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 Shang Han With Spleen And Stomach Deficiency

Clinical Manifestations	Chills and fever Aversion to Cold Headache Anhidrosis Chest and/or gastric distension Gastric pain Nausea Vomiting Borborygmus Diarrhea (acute) Abdominal pain Thirst Dry throat T: Normal C: Greasy and white P: Floating and tight
Treatment Principle	Disperse Wind Relieve the Exterior Tonify the Spleen and Stomach
Herb Formulas	Huo Xiang Zheng Qi Tang
Points	DU-16, GB-20, KI-7, LI-4, LIV-13, LU-7, REN-12, SJ-5, SP-3, ST-36, UB-12, UB-13, UB-20

Tai Yang Shang Han With Qi And Yang Deficiency

Clinical Manifestations	Slight fever Strong chills Anhidrosis Headache Cold extremities Fatigue with a constant desire to lie down Drowsiness Pale face Lassitude Low voice Weak voice T: Pale C: White P: Floating, big and forceless or Deep and forceless
Treatment Principle	Tonify Yang Augment Qi Release the Exterior Induce sweating
Herb Formulas	Zai Zao San
Points

Tai Yang - Yang Ming

Clinical Manifestations	Fever and chills with fever increasing and chills decreasing Headache Anhidrosis Stiffness and pain of the extremities Orbital pain Eye pain Shoulder and neck tension Dry nasal passages Irritability Insomnia Constipation Abdominal fullness Tenesmus Vomiting Thirst Epistaxis T: Normal C: Thin and yellow P: Floating and slightly flooding
Treatment Principle	Dispel Wind Release the muscle layer Clear Interior Heat
Herb Formulas	Hou Po Qi Wu Tang Ge Gen Huang Qi Huang Lian Tang Chai Ge Jie Ji Tang
Points

Tai Yang - Yang Ming - Shao Yin Heat

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

Tai Yang - Tai Yin

Clinical Manifestations	Fever Chills Headache Joint pains Severe diarrhea Epigastric distention Perspiration Cold body and extremities Weakness of the extremities Upper abdominal palpitations Cold feet Dysuria
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi
Herb Formulas	Gui Zhi Ren Shen Tang
Points

Yang Ming Jing

Clinical Manifestations	High fever Aversion to Heat Profuse perspiration Great thirst with a desire to drink Dry mouth Abdominal pain and distention Dryness Irritability Restlessness Anxiety Feverish body parts Red face Reddish eyes Coughing fits with chest pain Dry stools No constipation No aversion to Cold T: Red, dry C: Dry yellow P: Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Expel pathogens Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang With Qi and Body Fluid Deficiency: Bai Hu Jia Ren Shen Tang With diarrhea: Ge Gen Tang With vomiting but no diarrhea: Ge Gen Jia Ban Xia Tang With spontaneous perspiration without chills or an intensely ruddy complexion, rapid respiration, and cannot lie down: Gui Zhi Tang
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44 DU-14, LI-1, LI-11, LU-7, ST-44 DU-14, LI-4, LI-11, LU-11, ST-44, UB-21 With thirst without profuse drinking and an aching, fatigued body: + SP-9 With hoarseness and panting: + UB-13 With cold limbs: + UB-22, bleed Shixuan With Qi and Body Fluid Deficiency: DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20 With diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 With vomiting but no diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop vomiting:  PC-6, SP-4

Yang Ming Fu

Clinical Manifestations	High fever (sometimes rises and falls, worse in the afternoon) Great thirst Profuse perspiration Aversion to Heat Dyspnea Red face Red eyes Abdominal pain (worse with pressure) Abdominal distension and fullness Dryness Constipation (hard dry knots) or Liquid, foul-smelling diarrhea Dislikes pressure Restlessness Irritability Mental disturbance: Mentally unclear Delirious speech T: Red and dry, or black and moist C: Thick yellow or dry yellow P: Deep, strong, forceful and rapid
Treatment Principle	Purge
Herb Formulas	For constipation with abdominal distension and hard dry knots: Da Cheng Qi Tang For constipation with abdominal distension but without hard dry knots: Xiao Cheng Qi Tang For constipation without abdominal distension or hard dry knots: Tiao Wei Cheng Qi Tang For fever, constipation panting, chest oppression, profuse Phlegm, and a yellow slimy tongue coat: Bai Hu Tang For a mild condition with thirst and very dry stools: Zeng Ye Cheng Qi Tang
Points	LI-4, SJ-5, SP-6, ST-25, ST-37, bleed Shixuan LI-1, LI-4, SJ-6, ST-37, ST-44, ST-45 For vexation: + PC-6 For vomiting: + REN-12 For mania with a desire to climb to high places and sing: + PC-5, bleed DU-26 For Heat: DU-14, LI-4, LI-11, SJ-5, ST-44 For Stagnation: REN-12, ST-34, ST-36, ST-37, ST-39 For Constipation: SJ-6, ST-25, UB-25

Yang Ming Jue Ni

Clinical Manifestations	History of Yang Ming Jing or Fu Cold extremities Hot skin on the chest and abdomen Thirst (prefers cold drinks) Fever Dark yellow urine Abdominal distension and hardness Maybe constipation Bad breath Bleeding gums T: Red C: Thick, dry and yellow P: Slippery and rapid or Forceful and rapid
Treatment Principle	Clear Heat Drain Stomach Fire
Herb Formulas	Bai Hu Tang
Points	DU-14, LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44, ST-45, UB-25

Shao Yang Jing

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Occasional vomiting Headaches (side of head) Hypochondriac pain A bitter taste in the mouth Rib pain Achiness Ear infection Hearing difficulty Red eyes Blurred vision Dizziness 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 With Fluid accumulating in the Interior: Chai Hu Gui Zhi Gan Jiang Tang Chai Ling Tang For unresolved pathogens with a high fever followed by shivering: Chai Hu Qing Zao Tang
Points	DU-13, DU-14, PC-5, SI-3, ST-43 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

Clinical Manifestations	Alternating chills and fever (not so likely) Restlessness Irritability Continuous vomiting Headache (side of head) Hypochondriac pain Epigastric pain Bitter taste in mouth Digestive disruption Anorexia Nausea Acid regurgitation Burning diarrhea or Constipation Menstrual problems Dry throat Heart pain with vomiting Throat pain Hip pain T: Red C: Thin yellow P: Wiry, forceful
Treatment Principle	Harmonize the Liver and Gall Bladder Purge Internal Heat
Herb Formulas	Da Chai Hu Tang For Shao Yang Fu with Tai Yang manifesting as joint pain with a crackling sensation (symptoms are more external): Chai Hu Gui Zhi Tang
Points	DU-13, DU-14, LI-4, LI-11, PC-5, SI-3, SJ-6, ST-36 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 For nausea and vomiting: PC-6, SP-4, ST-36 For headache: GB-1, GB-8, GB-14, Taiyang For constipation: SJ-6, ST-25 For fever: DU-13, DU-14 For Stomach Heat: LI-4, LI-11, ST-44 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: GB-41, SJ-5 , SP-10 To regulate menstruation: SP-6 For Shao Yang Fu with Tai Yang: For the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 For the Tai Yang: GB-20, UB-12 For Shao Yang Fu with underlying Liver Qi Stagnation: To harmonize the Shao Yang: GB-34, LIV-3, SJ-6 To clear Heat: LI-11, ST-44 To calm the Shen: HT-7, PC-6 Ear: Shenmen, Liver, Gall Bladder, bleed Heat points

Shao Yang With Phlegm Stagnation

Clinical Manifestations	Alternating chills and fever Fullness and focal distention in the chest and diaphragm Pain in the chest and diaphragm with pressure Thick, sticky, difficult-to-expectorate Phlegm Panting A bitter taste in the mouth Chest pain with coughing or on deep inhalation Anorexia T: Normal C: Yellow P: Wiry and rapid
Treatment Principle	Clear Heat Transform Phlegm Expand the chest Release the Shao Yang
Herb Formulas	Chai Hu Xian Xiong Tang
Points

Shao Yang With Phlegm-Heat Accumulation In The Chest

Clinical Manifestations	Alternating chills and fever Fullness and focal distention in the chest and diaphragm Pain in the chest and diaphragm with pressure Thick, sticky, difficult-to-expectorate Phlegm Panting A bitter taste in the mouth Chest pain with coughing or on deep inhalation Anorexia T: Normal C: Yellow P: Wiry and rapid
Treatment Principle	Clear Heat Transform Phlegm Expand the chest Release the Shao Yang
Herb Formulas	Chai Xian Tang Xiao Chai Hu Tang modified Chai Hu Xian Xiong Tang
Points

Shao Yang-Tai 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	GB-41, SJ-5

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

Shao Yin Heat

Clinical Manifestations	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, deep red C: None P: Deep, thready and rapid
Treatment Principle	Nourish Yin Reduce Heat
Herb Formulas	Huang Lian E Jiao Tang 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

Jue Yin Cold And Heat

Clinical Manifestations	Delirium Heat in upper body Cold in lower body Sensation of Qi rushing to the chest Vomits worms Persistent thirst Feverishness Anorexia (hungry but can't eat) Chronic diarrhea Cold extremities Maybe edema Vertex headache Vomits food Cardiac Heat with pain T: Red or pink or pale and flabby C: Thick and greasy or thin P: Deep, thready and weak or wiry
Treatment Principle	Clear worms Clear Heat (Do not purge, create diaphoresis, or create emesis) Revive Yang
Herb Formulas	Wu Mei Wan
Points	Moxa needle REN-4, REN-6, REN- 8, ST-25, ST-36, needle DU-14, LI-4, LI-11, LIV-3, REN-17

Jue Yin Heat

Clinical Manifestations	Cold extremities Body hot and feverish due to lack of harmony of Liver Qi Thirst Abdominal distention Fever Dark yellow urine T: Red C: Yellow P: Rapid and slippery
Treatment Principle	Clear Heat Reverse reversals
Herb Formulas	Si Ni San
Points	DU-14, LI-4, LI-11, LIV-2, LIV-3, LIV-14, PC-6, REN-12, P-6

Wei Stage: Wind Heat Attacks The Lungs

Clinical Manifestations	Inflammation of throat and/or tongue Fever and chills with more fever than chills or High fever Perspiration Cough with sticky yellow sputum Aversion to Wind and Heat Yellow nasal discharge Thirst with desire for cold drinks Red bumps around mouth and lips (herpes simplex) Headache Nasal obstruction Sore, swollen throat Dyspnea Chest pain Dry mouth Rapid breathing Maybe constipation Maybe scanty urine T: Red tip C: Thin and yellow P: Floating and rapid
Treatment Principle	Disperse Wind Clear Heat Clear the Lungs
Herb Formulas	Yin Qiao San modified Ma Xing Shi Gan Tang Early-stage: Sheng Ma Ge Gen Tang With Dryness: Sang Xing Tang For a mild case with cough, fever is not high, slight thirst: Sang Ju Yin For neck and shoulder pain and stiffness: Yi Wu Chai Ge Jie Ji Tang For fear of Cold at the beginning stage: Gui Zhi Tang For a sore swollen throat and neck, swelling in front of and behind the ear, swollen cheek, a full red face or swelling without the sore throat, severe cases leading to deafness: Pu Ji Xiao Du Yin modified Chinese Patent Medicines: Yin Qiao Jie Du Wan Xi Ling Jie Du Pian Qing Li Yin Qiao Pian
Points	Bleed UB-40, needle Dingchuan, DU-14, DU-16, DU-23, DU-24, GB-20, LI-4, LI-11, LU-5, LU-7, LU-10, REN-22, SJ-5, ST-8, ST-40, Taiyang, UB-12, UB-13 LI-4, LI-11, PC-3, SJ-5 With Excess Heat: + DU-14, ST-43 With hoarseness: + LU-10, LU-11 DU-14, LI-4, LI-11, LU-10, SJ-5 For a sore, swollen throat: + bleed LU-11 For pronounced thirst: + LU-7 For a mild case with cough, fever is not high, slight thirst: Bleed UB-40, needle DU-14, GB-20, LI-4, LI-11, LU-7, REN-22, SJ-5, UB-12, UB-13 For fear of Cold at the beginning stage: Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, Yintang

Wei Stage: Dry Heat

Clinical Manifestations	Dry, hacking cough or Cough with thick, sticky, hard to expectorate sputum Dry skin Dry nose Dry painful throat Thirst Little or no sweat Fever and chills with more fever than chills T: Red and dry C: Thin white P: Floating and rapid
Treatment Principle	Disperse Wind Clear Heat Moisten Dryness
Herb Formulas	Sang Xing Tang Yin Qiao San Sang Ju Yin
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, KI-3, KI-6, LI-4, LI-11, LU-5, LU-6, LU-7, LU-10, REN-22, SJ-5, SP-6, ST-8, Taiyang, UB-12, UB-13

Wei Stage: Summerheat With Damp

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Cold extremities Abdominal distention Thirst Sweat Anxiety Stifling sensation of Heat in the chest Restlessness Disturbed speech Gastric disturbances: Heaviness Nausea Severe diarrhea Dark, scanty urine Maybe loss of consciousness Maybe convulsions T: Red tip and edges or Dark red and dry C: Greasy white or yellow P: Rapid and soft or Flooding and rapid or Thready and rapid or Slippery and rapid
Treatment Principle	Disperse Wind Clear Heat Resolve Damp Open the Orifices
Herb Formulas	Xing Ren Hua Shi Tang Gan Lu Xiao Du Dan Qing Gong Tang An Gong Niu Huang Wan Liu Yi San Gui Ling Gan Lu Yin Qing Luo Yin Chai Ling Tang Lian Po Yin Superimposed with Wind-Cold: Xin Jia Xiang Ru Yin With Exterior Cold and Interior Dampness: Xiang Ru San With Yin Deficiency or Qi and Yin Deficiency: Qing Shu Yi Qi Tang
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 DU-14, LI-11, PC-3, the Jing-Well points oft the Yang Channels, Bleed Shixuan With loss of consciousness and convulsions: + DU-20, DU-25, DU-26 With extreme thirst: + Jinjin-Yuye

Wei Stage: Summerheat Damaging The Qi

Clinical Manifestations	Tidal fever in the morning or evening which is mainly seen in summertime diseases in children Fever No aversion to Cold Headache A red facial complexion Coarse breathing Chest oppression Vexation Agitation Anorexia Thirst with a desire to drink Profuse sweating Fatigue Weakness Short voiding of red urine T: Red C: Dry and yellow or Slimy P: Surging and rapid or Soggy and rapid
Treatment Principle	Clear Summerheat Drain Heat Augment Qi Generate Fluids
Herb Formulas	Qing Shu Yi Qi Tang modified
Points	HT-8, LI-1, LI-2, ST-36, ST-44, UB-21 For severe vexatious thirst, profuse sweating and a large, empty, scallion-stalk pulse: + PC-5, REN-6 For constipation: + ST-25 For a high fever, headache, a rigid, arched back and a scallion-stalk pulse: + KI-1, REN-4, REN-20 KI-3, LI-4, REN-12, SP-6, ST-36, ST-44

Wei Stage: Summerheat Damaginf The Yin And Fluids

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

Wei Stage: Damp-Heat

Clinical Manifestations	Headache (wrapping) Fever and chills, fever more pronounced or Chills with afternoon fever or No chills Heavy extremities Heavy or painful sensations in the body Stifling sensation in the chest Nausea Dizziness Gastric and abdominal distension Sticky mouth No thirst or Thirst with no desire to drink Stomach glomus Anorexia Short voidings of red urine Loose stools which are difficult to pass T: Normal or Red C: Greasy and white or Greasy and yellow P: Soft and rapid or Soft and slow or Wiry thin and soft or Wiry, slippery and rapid
Treatment Principle	Clear Damp-Heat
Herb Formulas	San Ren Tang
Points	GB-34, GB-43, REN-12, SJ-1, SJ-6, ST-44 For jaundice: + DU-9 For constipation: ST-25 For bloody diarrhea, pussy stools, tenesmus and abdominal pain: + UB-57 For fever: DU-14, bleed UB-40 For Wind-Heat: GB-20, LI-4, or SJ-5, LI-11, UB-12 For headache: DU-23, DU-24, ST-8, Taiyang For Dampness: REN-9, SP-6, SP-9, ST-28, UB-20

Wei Stage: Wind-Heat Transfers To The Pericardium

Clinical Manifestations	A history of Wei Stage invasion (fever and chills for the first few days) High fever Delirium Maybe coma Maybe convulsions Maybe hemorrhage anywhere T: Dark red C: Yellow P: Rapid maybe forceful
Treatment Principle	Expel Heat from the Pericardium Resuscitate
Herb Formulas	An Gong Niu Huang Wan
Points	DU-26, KI-1, LIV-2, LIV-3, bleed the 12 Jing-Well Points

Qi Stage: Lung Heat

Clinical Manifestations	High fever No chills Aversion to Heat Cough Asthma Restlessness Thirst A sore throat Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm Flaring nostrils Coarse breathing T: Red C: Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful or Slippery and rapid
Treatment Principle	Clear Heat in Lungs Strengthen when weak or elderly
Herb Formulas	Ma Xing Shi Gan Tang modified Qing Wen Bai Du Yin With Lung Yin Deficiency: Zi Wan Tang Chinese Patent Medicines: Gan Mao Tui Re Chong Ji
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44. UB-13 LI-4, LU-5, LU-7, LU-11 LI-4, LI-11, LU-5, LU-11, ST-45, UB-13 For panting: + LU-1 For chest and diaphragmatic glomus and fullness: + REN-13 For vexation: + PC-6 For constipation: + ST-25 For coughing up fishy, foul-smelling pus and Phlegm: + LU-10

Qi Stage: Obstruction Of The Chest By Heat

Clinical Manifestations	High fever or Fever Aversion to Heat Irritability Restlessness (neither activity nor resting brings relief) Heat sensation in the chest Thirst Has urge to vomit but cannot May have dark yellow urine T: Red C: Yellow P: Rapid or Forceful and rapid
Treatment Principle	Clear Heat Remove Obstructions
Herb Formulas	Zhi Zi Chi Tang If after 2-3 days the patient displays restlessness with accumulation of Phlegm and sputum, chest distension and nausea, but no other Middle Jiao symptoms: Gua Di San
Points	DU-14, HT-7, LI-11, PC-6, ST-44

Qi Stage: Stomach Heat

Clinical Manifestations	High fever Aversion to Heat Profuse sweat Dry mouth Great thirst with desire to drink Painful swelling of the gums with erosion and bleeding No chills Irritability Coughing fits with chest pain Distending abdominal pain, worse with pressure Dryness Restlessness Anxiety Red face and eyes Dry stools No constipation No aversion to Cold Rough breathing Dark yellow urine T: Red C: Dry, yellow P: Rolling, gigantic and rapid or Flooding, rapid and big
Treatment Principle	Clear Heat Reduce fever Moisten and replenish Body Fluids
Herb Formulas	Bai Hu Tang modified With Qi and Body Fluid Deficiency with a flooding and hollow pulse, copious sweating, slight dyspnea and in severe cases flaring and scorching of the nostrils: Bai Hu Jia Ren Shen Tan Zhu Ye Shi Gao Tang Note:  If the pulse is scattered, it is considered an emergency. Double the dose of Ren Shen. Note: If there is no sweat, a floating, tight and thready pulse or a deep pulse, do not use Bai Hu Jia Ren Shen Tang If Qi and Blood are both affected: Yu Nu Jian modified Chinese Patent Medicine: Zi Xue San
Points	DU-14, LI 11, ST-37, ST-44 DU-14, LI-4, ST-43 For coma: + DU-26, Shixuan DU-14, KI-7, LI-1, LI 11, ST-44 With Qi and Body Fluid Deficiency with a flooding and hollow pulse, copious sweating, slight dyspnea and in severe cases flaring and scorching of the nostrils: DU-14, KI-3, LI 11, REN-6, SP-6, ST-36, ST-37, ST-44

Qi Stage: Intestinal Dry-Heat

Clinical Manifestations	High fever - sometimes tidal Profuse sweat Great thirst with desire to drink Acute constant abdominal pain Worse with pressure Distension and fullness in the Stomach and abdomen Aversion to Heat Red face and eyes Dryness Restlessness Excess symptoms Constipation with dry knots Sweat Mental disturbance Delirium T:  Red or Dark red Severe: Gray or Black C: Thick, yellow or Dry, yellow P:  Forceful and deep or Deep and slow or Deep, rapid and strong
Treatment Principle	Purge
Herb Formulas	For constipation with abdominal distension and hard dry knots: Da Cheng Qi Tang For constipation with abdominal distension but without hard dry knots: Xiao Cheng Qi Tang For constipation without abdominal distension or hard dry knots: Tiao Wei Cheng Qi Tang
Points	DU-14, LI-4, LI-11, REN-12, SJ-5, SJ-6, ST-25, ST-34, ST-36, ST-37, ST-39, ST-44 LI-4, Shixuan, SJ-6, SP-6, ST-25, ST-37

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 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	Liang Ge San Zhi Shi Zhi Zi Chi Tang
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14 GB-41, SJ-5

Qi Stage: Summerheat Entering The Blood Aspect

Clinical Manifestations	High fever with agitation Purple-black rashes Hemoptysis Epistaxis Clouded Spirit Delirious raving Severe: Convulsions of the four limbs Opisthotonis Phlegm gurgling in the throat T: Crimson C: Charred P: Forceful and rapid
Treatment Principle	Cool the Blood Resolve toxicity Clear the Heart Open the Orifices
Herb Formulas	Shen Xi Dan
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 Long Dan Xie Gan Tang
Points	LI-4, LI-11, SP-6, SP-9, ST-25, ST-36

Qi And Xue Stages Injured By Fire

Clinical Manifestations	High fever Sweating Anxiety Restlessness Wide-spread rash T: Dark red C: Yellow P:Rapid
Treatment Principle	Clear Heat Cool the Blood
Herb Formulas	Xi Jiao Di Huang Tang  modified Yu Nu Jian  modified For parotitis or erysipelas: Pu Ji Xiao Du Yin  modified
Points	LI-4, LI-11, PC-3, SP-6, SP-10, UB-40 For parotitis: LI-4, LI-11, SJ-5, SJ-17, ST-6 For erysipelas: LI-4, LI-11, PC-3, UB-40

Ying Stage: Ying Re (Heat)

Clinical Manifestations	High fever, worse at night Maybe no fever during the day Anxiety Restlessness Agitation Dry mouth with no desire to drink Insomnia Irritability Mild thirst Mental disturbance Dysphoria Maybe delirium Maybe mania Maybe loss of consciousness Speech disturbance Red, dry, painful rashes T: Deep red or Purplish red C: Little or None or Peeled P: Thready and rapid
Treatment Principle	Reduce Heat in the Ying Detoxify
Herb Formulas	Qing Ying Tang modified Qing Gong Tang modified With rashes: Hua Ban Tang With maculae: Yin Qiao San modified For mental confusion: Qing Ying Tang An Gong Niu Huang Wan Zi Xue Dan Zhi Bao Dan Niu Huang Qing Xin Wan Chinese Patent Medicines: Zhi Bao Dan Zi Xue Dan
Points	HT-3, HT-5, HT-6, HT-7, KI-3, LI-11, PC-7, PC-8, bleed Shixuan, Sifeng, SP-6 PC-3, SP-6, SP-10, UB-40, bleed Shixuan, HT-9, LI-11, PC-3, PC-9 With delirium and/or loss of consciousness: DU-26, bleed Shixuan HT-9, LI-11, PC-3, PC-9, UB-40 With delirium: + DU-26 With skin rashes: + SP-10 DU-14, DU-20, LI-4, LI-11, Bleed Shixuan With cloudy consciousness due to Phlegm Stagnation: + GB-34, PC-8, ST-40 DU-14, DU-20, LI-4, LI-11, Yintang, bleed Shixuan With mental confusion due to Phlegm: + GB-34, PC-8, ST-40 With Toxic Heat: + PC-3, bleed UB-40 PC-3, SP-6, SP-10, bleed Shixuan, UB-40 With clouding or loss of consciousness: + DU-26 With convulsions: + DU-15, DU-16 With hematuria : + REN-3 With hematochezia : + moxa UB-17 With hematemesis: + ST-44

Ying Stage: Heat Attacks The Pericardium

Clinical Manifestations	High fever worse at night Thirst Insomnia Major mental problems Dramatic change of personality Delirium Speech difficulty Aphasia Poor memory Dizziness Maybe fainting Maybe coma Feverish extremities T: Deep red P: Thready and rapid
Treatment Principle	Clear Heat in Pericardium
Herb Formulas	An Gong Niu Huang Wan Qing Gong Tang Zi Xue Dan
Points	To Clear Heat from the Heart: HT-3, PC-8, Sifeng, bleed Shixuan For delirium: PC-7 To detoxify: LI-11 To Pacify Heart and calm the Shen: HT-5, HT-6, HT-7 To Nourish Yin: KI-3, SP-6 DU-14, LI-11, PC-3, the Jing-Well points oft the Yang Channels, Bleed Shixuan With loss of consciousness and convulsions: + DU-20, DU-25, DU-26 With extreme thirst: + Jinjin-Yuye

Xue Stage: Excess Heat Causes Bleeding

Clinical Manifestations	High fever Confusion of mind Delirium Mania Dark yellow urine Excessive skin rashes all over body Hemorrhage: Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria T: Deep red, dry or Purple red C: None P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle	Cool the Blood Dispel Heat and Toxins from the Xue Stage Promote Blood Circulation
Herb Formulas	Xi Jiao Di Huang Tang Da Huang Zhi Xue Nao Nang Qing Wen Bai Du Yin With eruptions and hemorrhage: Qing Ying Tang modified
Points	HT-9, LI-11, PC-3, PC-9, UB-40 With delirium and loss of consciousness: + DU-26, bleed Shixuan With eruptions and hemorrhage: + SP-10 To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

Xue Stage: Blood Heat Generates Wind

Clinical Manifestations	High fever Confusion of mind Delirium Mania Dark yellow urine Excessive skin rashes all over body Hemorrhage: Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria Stiffness Convulsions:   Clenched jaws Clenched fists Shaking Opisthotonis Stiff neck Semi-consciousness T: Deep red and dry C: Yellow P: Wiry and rapid
Treatment Principle	Subdue Wind Clear Heat Nourish Yin Stop convulsions
Herb Formulas	Ling Jiao Gou Teng Tang
Points	Bleed the Jing Well points, DU-14, DU-16, DU-20, GB-20, LIV-2, LIV-3, REN-11 DU-14, DU-16, GB-20, LI-4, LIV-3, bleed Shixuan To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

Xue Stage: Extreme Weakness (Kidney And Liver Yin Deficiency) Leads To Wind

Clinical Manifestations	Low grade fever Purple skin rash Malar flush Night sweats every night (gets progressively drier) Restlessness Insomnia Dry mouth and throat Short, sunken, dry gums Thirst Hearing loss Five Sole Heat Disturbed speech Emaciation Red face Tired spirit Tendon problems A. Twitching B. Jumping T: Red and dry C: Dry P: Empty and rapid
Treatment Principle	Cool the Blood Extinguish Wind Nourish Yin and Jing
Herb Formulas	Da Ding Feng Zhu Ling Jiao Gou Teng Tang modified
Points	To Cool Blood: DU-14, LI-11, ST-44 To Nourish Yin and Essence: KI-3, LIV-3, SP-6, UB-23, UB-52 To Nourish Deficiency: UB-43 To Calm the Shen: HT-7

Xue Stage: Yin Deficiency Leads To Collapse Of Yin (Critical)

Clinical Manifestations	Low grade fever Purple skin rash Malar flush (deep red cheeks - dangerous) Night sweats every night (gets progressively drier) Restlessness Insomnia Hearing loss Dry mouth and throat Short, sunken, dry gums Thirst Five sole heat Emaciation Collapse of Yin:   A. Moist skin   B. Sticky with sweat   C. Extreme thirst   D. Tired spirit   E. Shortness of breath   F. Extreme disorientation or confusion T: Deep red and scorched C: Dry P: Thready and rapid
Treatment Principle	Nourish Yin and Jing Nourish the Liver and Kidney Tonify the Blood
Herb Formulas	Da Ding Feng Zhu
Points	To Cool Blood: DU-14, LI-11, ST-44 To Nourish Yin and Essence: KI-3, LIV-3, SP-6, UB-23, UB-52 To Nourish Deficiency: UB-43 To Calm the Shen: HT-7

Xue Stage: Internal Blood Masses

Clinical Manifestations	Low grade fever in the evening or night Thirst with no desire to drink Localized pain or swellings on the limbs and/or the body Sandpaper-like, dark colored nails (severe) Blackish or dull complexion Bluish lips and nails or Petechiae Red and dry C: Dry P: Thready and choppy
Treatment Principle	Invigorate the Blood Expel Blood masses
Herb Formulas	Xue Fu Zhu Yu Tang
Points	PC-3, SP-10, UB-17, UB-40 + local points

Wind-Cold-Damp, Wind Predominant

Clinical Manifestations	Migrating pain in the joints especially the : Shoulders Elbows Knees Wrists Fingers Upper back and neck Multiple joints Pain quality changes May move from soreness to numbness to aching Sensitivity varies Pain often appears abruptly, acutely or paroxysmal and then disappears Limited range of motion Chills and fever Aversion to Wind Symptoms are worse in windy weather Sore throat General body aches Maybe perspiration T: Pink C: Thin and white or Sticky and yellow P: Superficial and moderate
Treatment Principle	Eliminate Wind Warm Cold Expel Damp Clear the Channels
Herb Formulas	Fang Feng Tang Fang Feng Tang Jia Jian Da Fang Feng Tang Da Qin Jiao Tang Arthritis #1 For Wind Invasion With Underlying Yang Deficiency: Xiao Xu Ming Tang modified
Points	To disperse Qi and relieve external symptoms: LI-4, UB-12, SJ-5, GB-31 GB-20 Or GB-41, DU-1, LI-11, ST-36, UB-40 Or UB-17, SI-12, DU-16, GB-20, UB-12, SJ-17, SP-10, GB-31 Or DU-20, GB-20, GB-3

Wind-Cold-Damp, Damp Predominant

Clinical Manifestations	Chronic fever with swelling of the extremities Numbness and heaviness of the extremities Soreness and fixed pain of joints Stiffness or numbness of the muscles or skin Pain worse on cloudy or rainy days Maybe peripheral or systemic edema Pain is alleviated by pressure and warmth Pain lingers and is recalcitrant to treatment Worse during cloudy or wet weather Limited movement Edema Maybe a stifling sensation in chest Maybe anorexia or indigestion Maybe abdominal distention Maybe loose or semi-liquid stools T: Pink or Pale C: Greasy and white P: Slow, moderate and soft
Treatment Principle	Expel Damp Clear the channels
Herb Formulas	Yi Yi Ren Tang
Points	SP-6, SP-9 To eliminate Dampness and ease sinews: 1. SJ-6, GB-34, SP-5, SP-6, SP-9, LI-10, ST-36, ST-40 2. UB-20, SP-9 When affected by weather changes: 1. SJ-5, UB-35, ST-36, SP-5 2. SP-5, ST-38, ST-36 3. LI-13, ST-32, UB-38, GB-30, GB-34, SJ-8, DU-1 Lower back pain: moxa DU-2 Legs: GB-29, GB-30, UB-40

Wind-Cold-Damp With Interior Heat

Clinical Manifestations	Chills and fever (more chills than fever) Anhidrosis Headache Stiff neck Generalized aches and pains Slight thirst A bitter taste in the mouth T: Normal C: White P: Floating
Treatment Principle	Induce sweating Expel Wind-Cold Dispel Dampness Drain Interior Heat
Herb Formulas	Jiu Wei Qiang Huo Tang
Points

Wind-Damp-Heat

Clinical Manifestations	Arthralgia involving one or several joints of the extremities Knee swelling is frequent Local redness and Heat Swelling with excruciating pain Severe limitation of movement Pain better during the day and worse at night The pain is relieved by Cold Fever Sometimes slight chills and fever Thirst Dryness of the mouth and tongue Irritability Nervousness Restlessness Aversion to Heat Desire for Cold drinks Dark urine T: Pink or Red C: Thin and yellow or Dry yellow P: Rolling and rapid maybe slippery
Treatment Principle	Clear Heat Relieve toxicity Activate the Blood Clear the channels For Wind-Damp-Heat Bi: Eliminate Dampness
Herb Formulas	Bai Hu Jia Gui Zhi Tang Jia Jian Jia Wei Xuan Bi Tang Shi Re Bi Tang Heat Bi #1 Dang Gui Nian Tong Tang Yue Bi Tang Jia Wei Er Miao Sanmodified Early stage: Ma Xing Shi Gan Tang Liu Shen Wan With unremittingly high fever: Ma Xing Shi Gan Tang modified + Zi Xue Dan With red, swollen excruciatingly painful joints: Bai Hu Tang plus Xi Jiao Tangmodified With marked Deficiency Heat: Zeng Ye Tang modified With combined Wind-Cold and Wind-Heat: Ma Huang Lian Qiao Chi Shao Dou Tang modified With combined Damp and pathogenic Heat: Xuan Bi Tang With Spleen Deficiency: Yue Bi Jia Zhu Tang
Points	To clear Heat and remove toxins: 1. LI-4, LI-11, SJ-5, UB-17, ST-44, GB-20, LIV-2 2. DU-14, LI-11 3. LI-4, LI-11, DU-14, DU-8, DU-9, DU-11, DU-12 4. DU-9, SI-4, LIV-2, LIV-13 Nourish Fluids by tonifying Spleen, Lung and / or Kidneys according to symptomatology. For severe cases, cool Blood and eliminate toxins: SP-10, LIV-2

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 If symptoms persist for a long time: Yang Yin Qing Fei Tang
Points	KI-3, LU-1, LU-6, SP-6, UB-13, Jinjin-Yuye

Phlegm-Heat Congests The Lungs

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 Maybe chills and fever 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	Wei Jing Tang
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13

Lung Qi Deficiency

Clinical Manifestations	Soft, weak cough with clear thin sputum Physical and mental exhaustion Occasional chills and fever 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
Points	LU-9, REN-17, ST-36, UB-13, UB-43

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 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 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 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	Bai He Gu Jin Tang Ba Xian Chang Shou Wan Yang Yin Qing Fei Tang + Da Bu Yin Wan Chronic Laryngitis Gargle
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23 KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, UB-13, UB-17, UB-23, UB-43

Large Intestine Excess Heat

Clinical Manifestations	High fever or infantile tidal fever in the afternoon Knotted constipation or Watery, thin diarrhea Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) The abdomen is hard and Excess Hands and feet dripping with perspiration Constipation Dry stools Vomiting Irritating thirst Vexation Agitation Delirium T: Pink, maybe prickles or Red C: Thick, yellow and dry or Black P: Deep and Excess or Deep, Excess and forceful
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Tiao Wei Cheng Qi Tang Xiao Cheng Qi Tang Da Cheng Qi Tang
Points	LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44 LI-1, LI-4, SJ-6, ST-37, ST-44, ST-45

Damp-Heat In The Large Intetine

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 Mouth dry but no desire to drink Body heavy Limbs tired Fullness in chest Lump in epigastrium Anorexia Nausea Vomiting Loose stools Severe cases: High fever and coma T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness Stop dysentery
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25

Toxic Heat In The Large Intestine (Intestinal Abscess)

Clinical Manifestations	Pain in the lower right abdomen; refuses pressure Pain may be severe, boring, and in a fixed position or without fixed location Constipation or Mild diarrhea Maybe fever Maybe nausea and vomiting Anorexia T: Red C:Thick, yellow and greasy or sticky P: Rapid
Treatment Principle	Clear Heat Transform Dampness Invigorate Blood circulation Conduct Stagnation
Herb Formulas	Da Huang Mu Dan Pi Tang Da Cheng Qi Tang
Points	Lanweixue, ST-36, ST-37 For high fever: + LI-4, LI-11 For abdominal pain: + ST-25 For nausea and vomiting: + PC-6, SP-4

Damp-Heat Injures The Spleen And Stomach

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

Spleen And Stomach Qi Deficiency

Clinical Manifestations	Tidal fever in the morning or Low-grade fever which is worse in the morning or with exertion No desire to speak 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 No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant T: Pale and flabby - may have teethmarks C: White P: Empty, thready and weak
Treatment Principle	Strengthen the Spleen and Stomach Benefit Qi
Herb Formulas	Bu Zhong Yi Qi Tang modified Si Jun Zi Tang Shen Ling Bai Zhu Sanmodified
Points	LIV-13, REN-6, REN-12, SP-3, SP-5, SP-6, ST-21, ST-36, UB-20, UB-21 DU-20, LI-11, REN-6, REN-12, ST-36 For reduced food intake: + REN-11 For loose stools: + ST-27 For a headache with aversion to Wind and Cold: + LU-7 For chest oppression and abdominal glomus: + ST-40

Central Qi Sinking

Clinical Manifestations	Intermittent fever, worse with exertion Fatigue Prolapse of one or more organs Sallow complexion Anorexia Weakness Four limbs feel tired and heavy Cold limbs 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 DU-20, LI-4, REN-6, ST-36

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 Intermittent fever, worse with exertion 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
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 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	Xiao Jian Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Stomach Fire

Clinical Manifestations	Burning Heat and pain in the epigastrium Irritating thirst: drinks copious fluids and prefers cold drinks Excessive appetite: hungry again quickly after eating (as if food vanishes) Fever Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San modified Mai Men Dong Tang modified
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

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 T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Sha Shen Mai Men Dong Tang Yi Wei Tang modified
Points	KI-3, REN-12, SP-6, ST-36, UB-21

Stomach And Lung Yin Deficiency

Clinical Manifestations	Dry throat Thirst Hacking cough with scanty sputum Low grade fever Epigastric pain T: Red C: Little, maybe dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach and Lungs
Herb Formulas	Sha Shen Mai Men Dong Tang
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, REN-12, SP-6, ST-36, UB-13, UB-17, UB-21, UB-23, UB-43

Heart Blood Stagnation

Clinical Manifestations	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in the chest Maybe drawing pain down the internal aspect of arm (especially the left arm) Pain (in chest and/or arm) tends to be severe and intermittent Severe cases: Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle	Clear Yang Invigorate the Blood Transform Stagnation
Herb Formulas	Xue Fu Zhu Yu Tang
Points	HT-5, HT-6, HT-7, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, UB-15, UB-17

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Easily startled Severe cases: Incoherent speech Crying and laughing without reason Manic agitation with irrational behavior May physically attack or abuse others T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Gun Tan Wan Zhu Ru Wen Dan Tang 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

Phlegm Obstructs The Heart Orifice: Yang Obstruction

Clinical Manifestations	Sudden collapse with loss of consciousness Fever Lockjaw (trismus) Eyes open Both fists clenched Retention of urine Constipation Stiffness and spasm of limbs Red face Body feels hot Coarse breathing Bad breath Restlessness Involuntary movements Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: Yellow and greasy P: Slippery, wiry and rapid
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	(Ju Fang) Zhi Bao Dan An Gong Niu Huang Wan Ling (Yang) Jiao Gou Teng Tang modified
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, ST-40

Heart Yin Deficiency

Clinical Manifestations	Palpitations, easily brought on by fright Startles easily Irritability Insomnia Much dreaming Waking with palpitations or panic attacks and anxiety Poor memory Poor concentration Low grade fever Night sweats Five Sole Heat Restlessness A dry mouth and throat Thirst Dizziness Tinnitus Malar flush Low back pain Dry stools or Constipation Possible mouth or tongue ulcers T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce Heart Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan Zhu Sha An Shen Wan modified Post febrile disease: Sheng Mai San modified Huang Lian E Jiao Tang modified With predominant Liver and Kidney Yin Deficiency: Yi Guan Jian + Suan Zao Ren Tang Chinese Patent Medicines: Tian Wang Bu Xin Dan Jian Nan Wan Zhu Sha An Shen Wan Ci Zhu Wan
Points	HT-5, HT-7, KI-3, KI-6, LIV-3, PC-6, PC-7, REN-17, UB-15, UB-18, UB-23 With Heart Fire: + HT-8 HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15

Heart And Stomach Fire

Clinical Manifestations	Fever Irritability Restlessness Anxiety Flushed face Constipation Abdominal distention Delirious speech Epigastric distention Jaundice Gastric distention Dysenteric disorders Hematemesis Epistaxis Red, swollen, painful eyes Chest oppression Red, swollen ears Restlessness Insomnia Thirst Dark, concentrated urine Tinnitus Hemoptysis Vomiting Shoulder stiffness Bleeding Diarrhea Suppurative skin infection Tongue and mouth ulcerations T: Red tip C: Yellow and greasy P: Rapid
Treatment Principle	Drain Fire Relieve toxicity Dispel noxious Heat and toxins from the Heart and Stomach
Herb Formulas	San Huang Xie Xin Tang
Points

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 Kidney Yin Deficiency

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Jiao Tai Wan Tian Wang Bu Xin Dan Liu Wei Di Huang Wan With Fire Rising: Dao Chi San With Heart Blood Deficiency: Dang Gui Bu Xue Tang
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Low-grade fever Warm skin when touched Malar flush 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
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Liver Qi Stagnation

Clinical Manifestations	Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Alternating chills and fever Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Chai Hu Shu Gan Tang
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

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 Alternating chills and fever 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
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Qi Stagnation Invades The Stomach

Clinical Manifestations	Epigastric pain (worse when emotionally upset) Belching with acid regurgitation Nausea Vomiting Anorexia Epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Chai Hu Shu Gan Tang Zuo Jin Wan Xiao Yao San Hei Xiao Yao San
Points	LIV-3, LIV-14, PC-6, REN-12

Liver Qi Stagnation With Blood Deficiency

Clinical Manifestations	Hypochondriac pain Headache Vertigo Bitter taste in the mouth Dizziness Frequent sighing Epigastric pain and distention Flatulence Dry mouth and throat Fatigue Anorexia Alternating chills and fever Irregular menstruation Breast distention Lassitude Insomnia Shoulder and back pain Rib pain Tightness or fullness in the chest Cold extremities Pain in the arms and legs Heaviness of the head Night sweats Bloating and pain at the umbilicus and abdomen Diarrhea alternating with constipation Five sole heat Palpitations Malar flush Depression Irritability Increased desire to sleep T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Fire

Clinical Manifestations	Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain Maybe fever In severe cases: Mania Hemoptysis Hematemesis Epistaxis Liver Fire Attacks the Lungs: Hemoptysis Rib pain which is severe when coughing Liver Fire Attacks the Stomach: Hematemesis T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

Liver Wind Stirring Internally: Extreme Heat Generates Wind

Clinical Manifestations	High fever Contractures Spasms Neck stiffness Convulsions Oculogyric crises Opisthotonos Coma Possibly death T: Red or Deep red P: Wiry and rapid
Treatment Principle	Clear Heat Cool the Liver Subdue Wind
Herb Formulas	Ling (Yang) Jiao Gou Teng Tang
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-14, DU-16, DU-20, DU-26, LI-11, LIV-2, LIV-3

Liver Wind Stirring Internally: Liver Yang (Fire) Generates Wind

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Numbness and tremor of limbs Twitching and involuntary writhing of hands and feet Dysphagia Unsteady gait With Wind-Stroke: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Maybe coma Sometimes death T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Zhen Gan Xi Feng Tang
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

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	Si Wu Tang For late stage fevers: 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 Blood Deficiency

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Sporadic fever and chills 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	Si Wu Tang
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Damp-Heat In The Liver And Gall Bladder

Clinical Manifestations	Fever Thirst Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Nausea Epigastric fullness Abdominal distention Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine Abdominal distention Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles T: Pink or Red C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Clear Dampness Purge Heat from Liver and Gall Bladder
Herb Formulas	Hao Qin Qing Dan Tang Long Dan Xie Gan Tang Chinese Patent Medicine: Long Dan Xie Gan Wan
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48 GB-24, GB-34, LIV-3, LIV-14, REN-11, UB-18, UB-19

Liver Fire Scorches The Lungs

Clinical Manifestations	Coughing fits with hemoptysis Burning pain in chest and sides Dizziness Face and eyes red Bitter taste in mouth Dry lips Short-tempered Irascibility Restlessness Maybe dark urine Maybe constipation T: Red C: Thin, yellow and dry P: Wiry and rapid
Treatment Principle	Clear Liver Fire Purge the Lungs
Herb Formulas	Xie Bai San Dai Ge San Da Bu Yin Wan
Points	LIV-2, LU-5, LU-6, LU-10, PC-6, UB-13, UB-18

Liver And Kidney Yin Deficiency

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Da Bu Yin Wan Liu Wei Di Huang Wan Yi Guan Jian With Fire Flaring: Zhi Bai Di Huang Wan With Yang Rising: Tian Ma Gou Teng Yin With Yang Rising and Wind: Ling Yang Jiao Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Kidney Yin Deficiency With Empty Fire Rising

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan Qin Jiao Bie Jia San
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 HT-6, KI-7, LI-4, ST-44 With Fluid damage: + UB-20, UB-21 With vexation and agitation: + HT-7 With low back pain: + UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

Kidney And Liver Yin And Blood Deficienxy With Liver Fire

Clinical Manifestations	Deafness Tinnitus that worsen at night Dizziness Hypoacusis (elderly people) Blurred vision Fever Insomnia Irritability Hard of hearing Ocular pain Red eyes Thirst Auditory depression Poor hearing T: Red C: Yellow P: Weak, thready and rapid
Treatment Principle	Nourish Yin and Blood of the Liver and Kidneys Improve hearing Clear Heat
Herb Formulas	Zi Shen Tong Er Tang
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	Ba Zheng San
Points	KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39

Yin Deficiency With Empty Fire

Clinical Manifestations	Low-grade fever in the evening or Nightly fever Five Sole Heat Malar flush Steaming bone fever Anxiety Restlessness Night sweats Insomnia Excessive dreams Dry mouth and throat with a desire to drink Scanty, yellow urine Constipation Dizziness Tinnitus T: Red and dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat
Herb Formulas	Qing Gu San modified Qin Jiao Bie Jia San Zi Yin Jiang Huo Tang With anxiety, malar flush, a dry mouth and a red tongue: Da Bu Yin Wan With Blood Deficiency: Dang Gui Liu Huang Wan Late-stage febrile disease: Qing Hao Bie Jia Tang Chinese Patent Medicine: Zhi Bai Di Huang Wan
Points	DU-14, KI-7, PC-6, SP-6, UB-13, UB-23 With severely deficient Yin: + KI-3 With severe insomnia: + HT-7 With severe night sweats: + HT-5 With anxiety, malar flush, a dry mouth and a red tongue: + DU-14, HT-5, KI-3 With shortness of breath, vertigo or weakness: + KI-3, REN-4, UB-20

Yin And Blood Deficiency

Clinical Manifestations	Tidal fever in the afternoon or at night Five Sole Heat Bone steaming Amenorrhea with gradual onset Soreness of the lower back Abdominal pain Emaciation Achy and uncomfortable flesh and bones of the hands and feet Anxiety Insomnia Irritability Palpitations Night sweats Dizziness Light headedness General disquietude Gradually worsening afternoon fevers T: Red C: Scanty P: Thready and rapid
Treatment Principle	Nourish Yin and Blood
Herb Formulas	Nu Ke Bai Zi Ren Wan Qing Gu San With Fire Rising: Zhi Bai Di Huang Wan modified
Points	HT-6, KI-3, UB-15, UB-18, UB-20 With dizziness and flowery vision: + GB-20 With profuse dreams: + ST-45 With seminal emission: + SP-6 With a sore throat: + KI-6 For coughing with little or no Phlegm: + LU-5 With delayed menstruating: + SP-10

Yang Deficiency

Clinical Manifestations	Chills Slightly warm limbs or Cold limbs Cold body Pale complexion Vertigo Desire to lie down Inability to get warm Loose stools Profuse clear urine Fever in head and extremities Spontaneous sweating Lassitude Sore and painful low back and knees T: Pale, swollen and tender with teethmarks C: Moist and white P:Floating, big and weak or Deep, thready and weak
Treatment Principle	Warm and reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan modified
Points	Moxa or moxa needle DU-4, REN-4, SP-6, UB-23

Severe Yang Deficiency ( Yin Flourishing Masked By Yang )

Clinical Manifestations	Body hot but desires warm bedclothes Aversion to Heat Sore throat Feeling of thirst with no desire to drink Vomiting immediately after drinking Agitation Face and cheeks flushed Watery stools with undigested food Cold limbs P: Minute (on the point of collapse)
Treatment Principle	Warm Cold Return Yang Clear Communication between the Inside and Outside
Herb Formulas	Si Ni Tang modified
Points	Moxa or moxa needle DU-14, REN-4, REN-6, ST-36 For insomnia and palpitations: + HT-7, KI-7, SP-6

Qi Rebellion Damaging The Channels

Clinical Manifestations	Bleeding gums Spasmatic cough Radiating chest and lateral-costal pain Red tinged Phlegm A dry mouth Irritating Heat Epistaxis Abdominal glomus and pain Black colored stools Dizziness Tidal fever Short, red urination T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Calm the Shen Open the Channels Descend Qi Transform Stasis Clear Heat Cool the Blood Stop bleeding
Herb Formulas	Qi Rebellion #1
Points

Fire Injures The Qi And Xue Stages

Clinical Manifestations	High fever Perspiration Anxiety Restlessness Thirst Exanthema T: Red C: Yellow P: Rapid
Treatment Principle	Clear Heat in the Qi and Xue Stages
Herb Formulas	Bai Hu Tang + Xi Jiao Di Huang Tang Yu Nu Jian With parotitis or erysipelas: Pu Ji Xiao Du Yin Jia Jian
Points

Qi Deficiency

Clinical Manifestations	Fatigue Fever, worse with fatigue Loose stools Anorexia Dizziness Malaise Pale face Shortness of breath Weak voice Reluctance to speak Sweating with little or no exertion Catches cold easily T: Pale C: White P: Empty
Treatment Principle	Strengthen the Spleen Tonify Qi
Herb Formulas	Bu Zhong Yi Qi Tang modified
Points	Moxa REN-4, REN-6, ST-36, UB-13, UB-20

Qi And Blood Deficiency

Clinical Manifestations	A low-grade fever that appears mostly after exertion or A normally low temperature but is occasionally high and accompanied by Vertigo Weakness Spontaneous sweating Catches cold easily Shortness of breath that makes speech difficult Anorexia Soft stools 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 Maybe chills and fever or Low grade fever T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy or Thready and weak
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang Qi Xue Xu Tang For low-grade fever after exertion: Bu Zhong Yi Qi Tangmodified For predominant Blood Deficiency: Qi and Blood Deficiency #1 With Dampness: Sheng Yang Yi Wei Tang modified For Summer-Dampness with Qi Deficiency: Qing Shu Yi Qi Tang Jia Jian
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17 For low-grade fever after exertion: LI-4, LI-11, REN-6, REN-12, ST-28, ST-36 With profuse spontaneous perspiration: + DU-14 With perspiration with aversion to Cold: + DU-14, ST-36, UB-13 With Dampness: + SP-9 For predominant Blood Deficiency: HT-7, PC-6, SP-6, UB-15, UB-18, UB-20 With profuse spontaneous perspiration: + DU-14, LI-4 With perspiration with aversion to Cold: + DU-14, LI-4, ST-36, UB-13 With Dampness: + SP-9 For Summer-Dampness with Qi Deficiency: REN-12, SP-9, ST-25, ST-36

Blood Stagnation

Clinical Manifestations	Chronic low-grade fever or Tidal fever in the afternoon or at night No thirst or Thirst with no desire to drink A dry mouth and throat Pain that is fixed, stabbing and/or severe Stabbing pain in the head or chest Pain is worse with pressure Dark complexion Fixed, palpable masses Lumps in the abdomen Bleeding with clots Purple lips Purple nails Dry, scaly skin Blue, dark or purplish discoloration of skin in small or large areas Dark rings around the eyes Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat C: White P: Choppy or Wiry and choppy or Thready and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation Clear Heat
Herb Formulas	Xue Fu Zhu Yu Tang Due to Cold: Wen Jing Tang
Points	SP-6, SP-10, ST-36, UB-17, UB-40 LI-4, LI-11, SP-6, SP-10 For a high fever: bleed DU-14

Blood Deficiency

Clinical Manifestations	Low-grade fever Warm skin when touched Malar flush Bright white face Dizziness Palpitations Insomnia Dry skin Dry hair Thirst or A dry mouth Pale lips and nails Weakness Anorexia Poor memory Paleness Fatigue Scanty periods T: Pale C: Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Dang Gui San Si Wu Tang Dang Gui Jian Zhong Tang Yang Xin Tang Dang Gui Bu Xue Tang With Heat: Wen Qing Yin
Points	LIV 3, SP-6, ST-36, UB 11, UB-17 REN-6, SP-6, ST-36, UB-17

Internal Heat

Clinical Manifestations	Acute high fever Chills Flushed face Dry nose and mouth Extreme thirst Listlessness Insomnia Dryness of the teeth Irritability Oliguria with reddish urine Anhidrosis Severe headache Delirium Skin eruptions Epistaxis Hemorrhage T: Red and dry C: Yellow P: Large and rapid or Smooth and rapid or Wiry and rapid
Treatment Principle	Cool Heat Relieve inflammation
Herb Formulas	San Huang Shi Gao Tang
Points	DU-12, DU-13, GB-20, LI-1, LI-11, REN-10, REN-13, ST-25, ST-36, ST-45, UB-10

Damp-Heat

Clinical Manifestations	Tidal hectic fever in the afternoon which does not abate with sweating Thirst with no desire to drink Chest oppression Stomach glomus Nausea A heavy, painful body Anorexia Short, reddish urine Loose stools which are difficult to defecate T: Red C: Yellow and slimy P: Wiry, slippery and rapid
Treatment Principle	Regulate Qi Eliminate Dampness Clear Heat Expel pathogenic factors
Herb Formulas	San Ren Tang Xiao Feng Dao Chi Tang
Points	GB-34, SJ-1, SJ-6, SP-9, ST-44

Toxic Heat

Clinical Manifestations	Aversion to Wind and Cold Shivering in severe cases Fever Swelling Heat and pain in the affected area Dark urine Constipation T: Normal C: Yellow P: Wiry and rapid or Surging and rapid
Treatment Principle	Clear Heat Drain Fire Resolve toxicity
Herb Formulas	Huang Lian Jie Du Tang modified
Points	LI-4, PC-3, ST-44, bleed Shixuan, UB-40

Upper Jiao Cold-Damp

Clinical Manifestations	Aversion to Cold Heavy pressure headache Anorexia Mental dullness Cough with white Phlegm Severe chills Slight fever Maybe no fever or Afternoon fever Heavy head and extremities Anhidrosis Chest distention A sluggish feeling A sticky mouth Diarrhea or Loose stools Borborygmus Sticky saliva No thirst Epigastric distention T: Pale C: White or Greasy and white P: Soft or Floating and slow
Treatment Principle	Dry Damp Warm the body
Herb Formulas	Huo Xiang Zheng Qi Tang
Points	Moxa REN-8, REN-9, REN-12, UB-13, UB-39 GB-20, LU-1, REN-17, SP-9, ST-36

Upper Jiao Damp-Heat

Clinical Manifestations	Heaviness of head and extremities Dry mouth Thirst - cannot drink Afternoon fever Slight fever T: Normal C: Greasy white or yellow P: Soft, maybe rapid
Treatment Principle	Clear Heat Disperse Damp
Herb Formulas	San Jiao #1 San Ren Tang For Damp-Heat dysentery: Huang Qin Tang
Points	GB-20, LU-1, REN-17, SP-9, ST-36

Middle Jiao Damp-Heat

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	Gan Lu Xiao Du Dan San Jiao #1 Long Dan Xie Gan Tang
Points	REN-6, REN-12, SP-9, ST-25, ST-36

Middle Jiao Phlegm-Heat

Clinical Manifestations	More Heat symptoms than Damp symptoms Thicker Fluid Feverish Chest discomfort Cough Nausea Vomiting T: Normal C: Greasy and white or Greasy and yellow P: Slippery and maybe rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	San Jiao #1 Gan Lu Xiao Du Dan
Points	REN- 6, REN-12, SP-9, ST-25, ST-36, ST-40

Lower Jiao Blood Stagnation With Heat

Clinical Manifestations	Lower abdominal distension Excruciating abdominal pain Mania Delirious speech from extreme pain Afternoon fever Restlessness Thirst - likes to drink Amenorrhea Dysmenorrhea Irregular menstruation Chills and fever Headache Black stools Neurosis Hard stools Acute pelvic inflammatory disease Retention of lochia Intestinal obstruction T: Red and dry C: Normal or Yellow P: Sinking and choppy or Sinking and forceful
Treatment Principle	Invigorate the Blood Dispel Blood stasis
Herb Formulas	Tao He Cheng Qi Tang
Points

Yi Yin (Overflow Thin Mucus)

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

Re Tan (Phlegm-Heat)

Clinical Manifestations	Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Qing Qi Hua Tan Wan Er Chen Tang modified Qing Ying Tang
Points	LI-11, LU-5, ST-40, UB-13

Zao Tan (Dry Phlegm)

Clinical Manifestations	Cough with sticky phlegm Maybe bloody Dry, hacking cough with little or no sputum Flushed face Sputum is difficult to expectorate Restlessness Maybe hemoptysis Hiccups Cough may cause chest pain Dyspnea Dry or sore throat Upper respiratory tract infection Hoarse voice Asthma Dry lips and mouth Fever Shortness of breath Hemoptysis Constipation Thirst Dry skin and hair Dryness in nose Sensation of fullness in chest Epistaxis Hypochondriac pain Headache Anhidrosis Irritability Itching T: Red tip, dry C: Thin, yellow, or White and dry, or None P: Big and weak or Deficient, big and rapid
Treatment Principle	Moisten Dryness Resolve Phlegm
Herb Formulas	Qing Zao Jiu Fei Tang
Points	KI-6, LI-11, LU-5, ST-40, UB-13

Heat Obstructs The Liver Channel

Clinical Manifestations	A sensation of Heat in the body Anxious restlessness Unstable fever which varies with the emotional state of the patient Nervousness Irritability A quick temper A sensation of distention and fullness in the chest and flanks Frequent sighing A bitter taste in the mouth Menstrual disorders Dysmenorrhea Painful breast distention linked to menstruation T: Normal C: Yellow P: Wiry and rapid
Treatment Principle	Regulate Liver Qi Undo the knots Clear Heat
Herb Formulas	Jia Wei Xiao Yao San modified
Points	GB-34, LIV-2, LIV-14, PC-6 With a dry mouth and constipation: + DU-14, KI-7, REN-12, ST-25With severe flank and rib pain: + LIV-3, PC-5, prick Ahshi points or GB-41, SJ-5

Heat Obstructs The Liver Channel With Stagnant Qi And Phlegm-Damp-Heat

Clinical Manifestations	A sensation of Heat in the body Anxious restlessness Unstable fever which varies with the emotional state of the patient Nervousness Irritability A quick temper Anorexia Fullness and masses in the chest and abdomen A sensation of distention and fullness in the chest and flanks Frequent sighing A bitter taste in the mouth Menstrual disorders Dysmenorrhea Painful breast distention linked to menstruation T: Normal C: Yellow, thick, slimy and greasy P: Wiry and rapid
Treatment Principle	Regulate Liver Qi Undo the knots Clear Heat Resolve Dampness Eliminate Phlegm
Herb Formulas	Yue Ju Wan modified
Points	GB-34, LIV-2, LIV-14, PC-6, REN-12, SP-9

Heat Obstructs The Liver Channel With Damaged Yin

Clinical Manifestations	A sensation of Heat in the body Anxious restlessness Unstable fever which varies with the emotional state of the patient Nervousness Irritability A quick temper Low grade fever at night Five-Sole-Heat Low back pain Painful thighs A sensation of distention and fullness in the chest and flanks Frequent sighing A bitter taste in the mouth A dry mouth and throat Menstrual disorders Dysmenorrhea Painful breast distention linked to menstruation T: Red C: Little or None P: Wiry, thready and rapid
Treatment Principle	Regulate Liver Qi Undo the knots Clear Heat Nourish Yin
Herb Formulas	Zi Shui Qing Gan Yin modified
Points	DU-14, KI-3, SP-6, UB-18, UB-23

Heat Obstructs The Liver Channel Turning To Fire

Clinical Manifestations	A sensation of Heat in the body Anxious restlessness Unstable fever which varies with the emotional state of the patient Nervousness A red face and eyes Irritability A quick temper A sensation of distention and fullness in the chest and flanks Frequent sighing A bitter taste in the mouth Menstrual disorders Dysmenorrhea Painful breast distention linked to menstruation Red, burning urination T: Crimson C: Yellow P: Rapid
Treatment Principle	Regulate Liver Qi Undo the knots Clear Heat
Herb Formulas	Long Dan Xie Gan Tang With less Fire: Chai Hu Qing Gan Tang
Points	GB-20, GB-40, LIV-2, SP-9, UB-2, bleed Taiyang

Phlegm-Damp Obstructing The Membrane Source

Clinical Manifestations	Fullness in the chest and hypochondrium Restlessness Irritability Heartburn Dizziness Vertigo A greasy mouth cavity Coughing with sputum Difficulty expectorating Alternating chills and fever as that in malaria every other day T: Normal C: Thick and rough P: Taut and slippery or Wiry and slippery
Treatment Principle	Dispel Dampness Dissolve Phlegm Eliminate pathogenic factors from pleurodiaphragmatic interspace (membrane source)
Herb Formulas	Chai Hu Da Yuan Yin
Points

Deficiency Cold Of The Chong And Ren Channels

Clinical Manifestations	Irregular menstruation Habitual miscarriage Afternoon fever Five sole heat Dry mouth Thirst Cold abdominal pain Infertility Dysmenorrhea Uterine bleeding Chronic pelvic inflammation Menopause
Treatment Principle	Warms the vessels Comforts the Womb Nourishes and invigorates the Blood
Herb Formulas	Wen Jing Tang
Points

Wei Syndrome Due To Kidney Yin And Liver Blood Deficiency

Clinical Manifestations	Consumptive fever Slow and gradual onset Weak and flaccid lower limbs Muscle twitching Soreness and weakness of the lower back and spine Emaciation of the muscles and flesh Inability to stand for a long time Total loss of mobility and severe loss of muscle mass can result with exacerbation Dizziness Vertigo Hair loss Dry throat Tinnitus Fatigue Heart vexation Five-Sole-Heat Nocturnal emissions Enuresis Fecal and urinary incontinence Irregular menstruation Dysmenorrhea Maybe night sweats With Liver Wind: Pronounced muscle spasms Spasms and contractures of the four limbs T: Red C: Little or None P: Thready and rapid or Wiry, thready and rapid
Treatment Principle	Tonify the Liver and Kidneys Nourish Yin Nourish Jing Clear Heat Nourish the Blood Boost the marrow Settle and extinguish Liver Wind Nourish the sinews and bones
Herb Formulas	Hu Qian Wan modified Zuo Gui Wan Hu Qian Wan + Zuo Gui Wan modified Yi Sui Tang For the regeneration of the damaged nerves and bones: ALS#1
Points	KI-3, LIV-3, REN-4, SP-6, UB-18, UB-23 Huatuojiaji, KI-3, LIV-3, LIV-8, REN-4, SP-6, ST-31 to ST-41, UB-23

Infection

Clinical Manifestations	High fever Red, painful warm swelling of the face and head Painful edema of the throat Appearance of dense eruptions on the body Restlessness Anxiety Sensation of Heat and fullness in the chest and epigastrium T: Red C: Yellow P: Rapid
Treatment Principle	Clear Heat Resolve toxins
Herb Formulas	Huang Lian Jie Du Tang modified Xi Huang Wan
Points	LI-4, LI-11, SJ-5, bleed PC-3, ST-43, UB-40 With jaundice: + DU-9, PC-5, REN-12, SI-4, ST-36 With dysentery : + ST-25 With urinary problems: + KI-10, REN-3, SP-9, UB-28, UB-39

Dormant Pathogenic Qi Exposed To Summerheat

Clinical Manifestations	Fever Bones and joints painful Occasional vomiting Continually hot, never cold Muscles and flesh waste away Parched mouth T: Variable C: Yellow P: Overflowing
Treatment Principle
Herb Formulas
Points	DU-13, DU-14, KI-6, PC-5, SI-3, SJ-6, UB-11

Starvation Or Immoderate Eating And Drinking

Clinical Manifestations	Fever at regular intervals Hot and Cold simultaneously Stomach obstructed and full Dislikes food Putrid breath T: Normal C: Greasy and yellow P: Slippery, wiry and full
Treatment Principle
Herb Formulas
Points	DU-13, DU-14, LIV-1, LU-8, PC-5, Pigen, SI-3, SJ-6, UB-20

Exhaustion

Clinical Manifestations	Fever all day long Weak Spleen and Stomach Qi Hot and Cold simultaneously at regular intervals Tired limbs Slight fluctuation in temperature Perspiration Dyspnea T: Pale C: White P: Empty
Treatment Principle
Herb Formulas
Points	DU-13, DU-14, KI-6, PC-5, REN-12, SP-4, ST-44