Fibromyalgia

General

Clinical Manifestations	Central nervous system : Fatigue Irritability Nervousness Depression Apathy Anxiety Insomnia Suicidal thoughts Frequent awakening Impaired memory Musculoskeletal: Severe muscle pain Shoulder joint pain Neck pain Upper back pain Lower back pain Knee pain Elbow pain Wrist pain Hip joint pain Chest pain TMJ pain Gastrointestinal: Nausea Indigestion Gas Bloating Cramping Constipation Diarrhea Mucus in the stools Irritable bowels Genitourinary: Painful urination Frequent urination Bladder spasm Dysuria Vulvar pain syndrome Vaginal spasm Vulvitis Vestibulitis Dyspareunia Yeast infection Dermatological: Skin rash Itching Increased skin sensitivity Prickling sensations or Heat in the palms and soles of the feet Miscellaneous symptoms: Headache Dizziness Vertigo Imbalance Blurred vision Dry eyes Itchy eyes Numbness and tingling of the hands and feet or face Epistaxis Post nasal drip Abnormal taste in the mouth Tongue irritation Leg or foot cramp Weight gain Brittle nails Hair loss Low grade fever Sensitivity to sound, lights, odors or chemicals Swelling of eyelids and hands in the morning Hypoglycemia symptoms e.g.   Sugar cravings   Salt cravings
Treatment Principle
Herb Formulas	For abdominal pain and cramping and muscle spasms in the calve: Shao Yao Gan Cao Tang
Points

Wind-Cold-Damp With Internal Heat

Clinical Manifestations	Chills and fever (more chills than fever) Anhidrosis Headache Stiff neck Generalized ache 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 Bi

Clinical Manifestations	Migrating pain in the joints especially the : Shoulders Elbows Wrists Fingers Upper back and neck 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 Sore throat General body aches Maybe perspiration T: Pink C: Thin and white P: Superficial and moderate
Treatment Principle	Relieve Wind Dredge the channels Relieve Cold Resolve Dampness
Herb Formulas	Fang Feng Tangmodified Qu Feng Tang Juan Bi Tang Da Fang Feng Tang Da Qin Jiao Tang With Qi and Blood Deficiency: Juan Bi Tang #1
Points	GB-34, SP-10, ST-34, ST-35, UB-17 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-30

Wind-Damp-Heat

Clinical Manifestations	Generalized body aches and pains Irritability Heavy sensation in the shoulder and back Discomfort or a constricted sensation in the area of the chest and diaphragm Multiple sores, carbuncles furuncles or abscesses Redness Itching Persistent swelling Chest pain Fever Thirst Aching and painful extremities Aching and painful joints Unbearable swelling and pain of the lower extremities Shoulder stiffness T: Normal C: Greasy and slightly yellow P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle	Resolve Dampness Clear Heat Disperse Wind Stop pain Activate the Blood Tonify Qi and Blood
Herb Formulas	Dang Gui Nian Tong Tang Sang Zhi Shi Gao Zhi Mu Tang
Points	General pain: GB-30, GB-34, GB-39, LI-4, LI-11, LI-15, SJ-4, SP-21, ST-41, UB-17, UB-62 Pain in the shoulder joint: LI-15, SI-10, SJ-14, SJ-15, SJ-19, Jianneiling Pain in the scapula: LI-11, UB-43, SI-12, SI-14, UB-13 Pain in the elbow: LI-4, LI-11, LI-10, LU-5, PC-3, SJ-5, SJ-6, SJ-10 Pain in the wrist: SJ-4, SJ-5, LI-4, LI-5, LI-11, LU-8, LU-9, SI-3, SI-5 Stiffness of the fingers: SI-5, SI-3, LI-4 Numbness and pain in the fingers: SI-3, SI-4, LI-3, Bafeng, Baxie, Shixuan Pain in the back: DU-3, DU-12, DU-26 Pain in the spine: DU-2, DU-14, DU-16, GB-30, UB-13, UB-14, UB-40, UB-60 Lumbar pain: DU-2, DU-3, DU-12, DU-26, UB-23, UB-25, UB-31, UB-32, UB-33, UB-34 Hip joint pain: GB-29, GB-30, GB-39, ST-32, UB-54 Thigh pain: GB-31, GB-34, ST-33, UB-36, UB-54 Knee joint pain: GB-34, SP-9, ST-32, ST-35 (lateral), ST-35 (medial). UB-40, Heding Numbness and pain in the legs: GB-39, ST-36, UB-57, UB-58 Ankle pain: GB-40, KI-2, KI-3, KI-6, LIV-4, SP-5, SP-21, UB-60 Numbness and pain in the toes: GB-44, LIV-2, SP-4, ST-44, UB-65, Bafeng To calm the mind and ease pain: DU-20, HT-3, HT-7, LI-4, LIV-3, PC-6, Taiyang

Jue Yin Cold

Clinical Manifestations	Long standing cold hands and feet that are cold to the touch and feel cold to the patient Maybe lumbago and leg pain Abdominal pain and distention Midline pain Uterine pain Chills Diarrhea Menstrual abdominal pain Maybe chest pain Increased sweating, particularly of the feet Increased salivation Spasm and pain of the limbs Scanty urination Pain at the waist, hips, legs and feet Sciatica Joint pain Irregular menstruation Abdominal Cold Migraine headache Vaginal discharge T: Pale C: White P: Deep and thready (may be almost imperceptible).
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the Blood vessels
Herb Formulas	Dang Gui Si Ni Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

Spleen And Kidney Deficiency

Clinical Manifestations	Weak constitution Muscular atrophy Joint deformity Joint swelling Insomnia Depression Anxiety Nervousness Dry eyes Blurred vision Constipation T: Red or pale and puffy with teethmarks C: Scanty and dry or Thin white P: Slightly weak or Deep, thin and rapid
Treatment Principle	Tonify the Spleen Nourish Kidney Yin
Herb Formulas	Qi Ju Di Huang Wan + Zuo Gui Wan + Shi Pi Yin Ming Mu Di Huang Wan or Ming Mu Di Huang Tang #2 + Shen Ling Bai Zhu San + Xue Fu Zhu Yu Tang Zi Shen Ming Mu Tang + Liu Wei Di Huang Wan (tonify Kidney, disperse cold)
Points	HT-7, SI-3, Wanshun #2 (Master Tung's point), SP-9, REN-4, Yintang

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Muscular atrophy Deformity and pain of the joints No strength in the extremities Cold hands and feet Abnormal tiredness Lack of strength to speak Dullness of the eyes Heaviness and numbness of the body T: Pale and puffy with tooth-marks C: Thin white or Slippery P: Deep thin and weak - both third positions weak
Treatment Principle	Tonify the Spleen Tonify Qi Warm and tonify Kidney Yang
Herb Formulas	Fu Zi Li Zhong Tang+ Shen Qi Wan Shi Quan Da Bu Tang
Points	SI-3, Wanshun #2 (Master Tung's point), SP-9, Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), Shenguan, (1.5 cun below SP- 9), (Master Tung's points)

Spleen And Kidney Yang Deficiency With Liver Qi Stagnation

Clinical Manifestations	Fatigue Lack of strength Disinclination to speak Spontaneous perspiration Daybreak diarrhea Loose stools Low back soreness Knee soreness and limpness Decreased sexual desire Frequent urination Nocturia Cold extremities - especially feet Chest, flank and breast distention, fullness and pain Abdominal distention, fullness and pain Menstrual irregularities, especially a shortened luteal phase Dysmenorrhea Irritability Depression T: Pale, thick and swollen C: Thin and white or Slimy P: Wiry, fine, possibly deep and forceless
Treatment Principle	Fortify the Spleen Boost the Qi Supplement the Kidneys Invigorate the Yang Course the Liver Rectify Qi
Herb Formulas
Points	SP-6, ST-36, REN-4, LIV-3, SP-21 With severe fatigue: SP-3 With daybreak diarrhea: DU-4 With decreased sexual desire: DU-4, UB-52 With chest, abdominal, breast, and flank oppression, distention, fullness and pain: PC-6, SJ-5 With menstrual irregularities, dysmenorrhea, and PMS: PC-5, ST-29 With spontaneous perspiration: LI-4, KI-7 With low back and soreness and limpness: SP-4, KI-7 With cold hands: LI-4 With cold legs and feet: UB-57 With concomitant Blood Deficiency: UB-17, UB-18 With more serious Yang Deficiency: moxa UB-23

Spleen Qi Deficiency With Yin And Yang Deficiency With Deficiency Heat And Liver Qi Stagnation

Clinical Manifestations	Fatigue Lack of strength Disinclination to speak Spontaneous perspiration Night sweats Loose stools Constipation Low back and knee pain and limpness Decreased sexual desire Frequent urination Nocturia Cold hands and feet alternating with five sole Heat Tidal fever Pale face	Malar flush Chest, flank and breast distention, fullness and pain Abdominal distention, fullness and pain Menstrual irregularities, especially a shortened luteal phase Dysmenorrhea Irritability Depression T: Tender, swollen and red with teethmarks C: Scanty and yellow P: Wiry, fine and rapid or Deep and forceless
Treatment Principle	Fortify the Spleen Boost the Qi Supplement the Kidneys Invigorate the Yang Enrich Yin Clear Heat Course the Liver Rectify Qi
Herb Formulas
Points	SP-6, ST-36, REN-4, LIV-3, SP-21 With severe fatigue: SP-3 With daybreak diarrhea: DU-4 With decreased sexual desire: DU-4, UB-52 With chest, abdominal, breast, and flank oppression, distention, fullness and pain: PC-6, SJ-5 With menstrual irregularities, dysmenorrhea, and PMS: PC-5, ST-29 With spontaneous perspiration: LI-4, KI-7 With low back and soreness and limpness: SP-4, KI-7 With cold hands: LI-4 With cold legs and feet: UB-57 With concomitant Blood Deficiency: UB-17, UB-18 With more serious Yang Deficiency: moxa UB-23 With five sole Heat, tidal fever, and malar flush: HT-6, DU-14 With irritability and depression: PC-6

Liver/Spleen Disharmony

Clinical Manifestations	Irritability Depression Constipation with ribbon-like or small round stools Constipation alternating with diarrhea Belching Chest, flank and abdominal distention or pain Pre-menstrual breast distention and pain Painful menstruation Fatigue Loss of strength in the extremities Anorexia Stomach and epigastric Distention and fullness after meals Superficial edema Cold hands and feet Easy bruising Profuse menstruation Abnormal uterine bleeding Dizziness on standing Pale face T: Thick and dark C: Thin, white P: Wiry and fine maybe soft at right bar
Treatment Principle	Tonify the Spleen Course the Liver Rectify Qi Tonify Qi
Herb Formulas	Xiao Yao San modified
Points	PC-6, SJ-5, LIV-3, ST-36, SP-21 With fatigue, lack of strength or Wei Qi Deficiency: SP-3, LI-4 With excess Dampness in the Middle Jiao or edema of the extremities: SP-9 With Phlegm-Dampness: ST-40 With Blood Deficiency with malnourishment of the sinews: SP-6 With Blood Heat: Eliminate LIV-3, add SP-10, LIV-2 With Heat in the Liver and Gall Bladder, Lungs, Stomach and Intestines: GB-34, LI-4 With Heat in the Liver and Gall Bladder, Heart, Stomach and Intestines: GB-34, HT-5, LI-4 With Heat damaging Stomach and Lung Fluids: KI-7 With Blood Stasis: LI-4, SP-6 With painful diarrhea: ST-25 With pain & weakness in the lower limbs: LI-11 For pain on palpation near GB-20: GB-20, or Ahshi

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	Ming Mu Di Huang Wan #2
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Qi Deficiency

Clinical Manifestations	Shortness of breath Wheezing Fatigue Myalgia of the back Aversion to Cold Low grade fever Muscle pain of the UB channel T: Pale C: Thin white or Thin and slippery P: Thready and weak or Deep and weak
Treatment Principle	Augment Qi Open the channels Tonify the Middle
Herb Formulas	Bu Zhong Yi Qi Tang + Ma Xing Yi Gan Tang + Shen Tong Zhu Yu Tang Ge Gen Tang + Yi Qi Cong Ming Tong + Shen Qi Wan
Points	Tonify: Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), join SJ-2 to SJ-3, SP-6, SP-9, Shenguan (1.5 cun below SP- 9), (Master Tung's point) ST-36, GB-34, KI-3, KI-7, REN-4, REN-6, Sedate: UB-57, Zhengshi (2.5 cun below UB-57) (Master Tung's point), Moxa REN-8

Qi And Yin Deficiency With Liver Fire

Clinical Manifestations	Fatigue Lack of strength Disinclination to speak Low back pain Knee soreness Nocturnal urination Frequent, scanty, dark urination Loose stools Dizziness Tinnitus Matitudinal insomnia Night sweats Tidal fever Pale face Malar flush Cold hands and feet alternating with five sole heat T: Thick, pale with red edges C: Scanty, dry and/or yellowish P: Thin, rapid and surging or Floating, surging and rapid
Treatment Principle	Tonify Qi Nourish Yin Calm Liver Fire
Herb Formulas	Tian Wang Bu Xin Dan modified
Points	SP-6, KI-7, ST-36, LIV-3, SP-21 With insomnia: DU-20, HT-7 With Blood Deficiency , and disturbed Shen: HT-7 With low back and knee pain: SP-4, UB-23 With nocturia: UB-52 With scanty darkish urine: REN-3, SP-9 With loose stools: SP-9 With dizziness: GB-20, DU-20 With night sweats: HT-6 With severe Spleen Deficiency: SP-3

Blood Deficiency

Clinical Manifestations	Dizziness Blurred vision Dry skin Insomnia Anxiety Fear Palpitations Bi-lateral muscle pain Lack of energy Constipation Dullness of lips and nails T: Pale and slightly puffy C: Thin and white P: Thready, deep and weak If severe: Deep, minute and hollow
Treatment Principle	Nourish Blood and Yin Open the channels
Herb Formulas	Shi Quan Da Bu Tang + Shen Tong Zhu Yu Tang + Ge Gen Tang Dang Gui Bu Xue Tang + Xue Fu Zhu Yu Tang + Run Chang Wan or Run Chang Wan #1 or Run Chang Wan #2 Gui Pi Tang + Ma Xing Yi Gan Tang + Xue Fu Zhu Yu Tang With constipation: Tiao Wei Cheng Qi Tang
Points	LI-11, Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), SP-4, SP-6, SP-9, SP-10, GB-34, GB-39, Shenguan (1.5 cun below SP-9) (Master Tung's point), ST-36, KI-3, KI-7, UB-65, HT-7

Qi And Blood Stagnation

Clinical Manifestations	Whole body muscle and joint pain Pain is sometimes dull and sometimes severe Shortness of breath Lack of energy Lethargy Inability to stand or walk for a long period of time due to joint pain Insomnia T: Pale with purple spots or Pale purple C: Thin, white and slippery or White, moist and slippery P: Deep and uneven or Wiry and slippery
Treatment Principle	Circulate Qi Open the channels Disperse Stagnation Move Blood
Herb Formulas	Dang Gui Nian Tong Tang + Da Feng Fang Tang + Ma Xing Yi Gan Tang Da Feng Fang Tang + Gui Zhi Shao Yao Zhi Mu Tang + Ma Xing Yi Gan Tang Bu Yang Huan Wu Tang + Shen Tong Zhu Yu Tang + Shao Yao Gan Cao Tang
Points	Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), join SJ-2 to SJ-3, SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), SP-6, SP-9, SP-10, ST-36, Shenguan (1.5 cun below SP-9) (Master Tung's point), GB-34, GB-39, REN-4, REN-6, Moxa REN-8

Internal Cold Causing Phlegm And Fluid Stagnation

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

Cold Stagnation Blocking The Channels

Clinical Manifestations	Stiffness of the muscles around the joints Better with warmth Worse with cold Fatigue Melancholy Indigestion Bloating Frequent waking at night T: Pale and puffy C: White, slippery and moist or Thin and greasy P: Right middle is deep, slippery and wiry
Treatment Principle	Disperse cold Circulate the channels
Herb Formulas	Wu Tou Gui Zhi Tang + Yan Nian Ban Xia Tang + Shen Tong Zhu Yu Tang Ma Huang Fu Zi Xi Xin Tang + Yan Nian Ban Xia Tang + Shi Pi Yin Ma Huang Fu Zi Xi Xin Tang + Xue Fu Zhu Yu Tang + Yan Nian Ban Xia Tang Shi Quan Da Bu Tang
Points	Tonify: SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), Shenguan (1.5 cun below SP-9) (Master Tung's point), ST-36, SP-6, SP-7, SP-9, KI-3, KI-7, REN-4, REN-6, Moxa REN-8

Damp Stagnation Blocking The Channels

Clinical Manifestations	Numbness of the muscles Swelling and pain of the joints Tendino-muscular spasm Limited mobility Loose stools Edema of the lower limbs Diarrhea Bloating Lack of appetite Lethargy T: Pale white or red, swollen with teethmarks C: White and greasy or White and rotten P: Slippery or Deep and slippery
Treatment Principle	Drain Dampness Open channels Circulate Qi Move Blood
Herb Formulas	Fu Zi Li Zhong Tang + Ma Xing Yi Gan Tang + Bu Yang Huan Wu Tang Shen Ling Bai Zhu San + Yan Nian Ban Xia Tang + San Bi Tang Wei Ling Tang + San Bi Tang + Bu Yang Huan Wu Tang
Points	Tonify: SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), Shenguan (1.5 cun below SP-9) (Master Tung's point), ST-36, ST-38, SP-4, SP-6, SP-9, KI-3, KI-7, GB-34, REN-4, REN-6, Moxa REN-8

Phlegm Stagnation Blocking The Channels

Clinical Manifestations	Numbness, pain and stiffness of the muscles Difficult to stretch out limbs Swelling of the joints Cough with phlegm Dizziness Vertigo Post nasal drip Weight gain T: Pale, thin white or red, puffy C: White, slippery and greasy or White, thick and greasy P: Slippery or Slippery and wiry 1```````````````````````
Treatment Principle	Dissolve Phlegm Open the channels
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang + Xiao Qing Long Tang Bian Fang + Dang Gui Nian Tong Tang Fu Zi Li Zhong Tang or Shi Pi Yin + Ge Gen Tang modified + San Bi Tang Bu Qi Jian Zhong Tang + Qing Fei Yin + Shen Tong Zhu Yu Tang
Points	Tonify: SI-3, Wanshun #2 (on the lateral side of the 5th metacarpal, 1.5 cun distal to the wrist joint) (Master Tung's point), Linggu (on the dorsum at the joint of the 1st and 2nd metacarpals), Dabai (on the dorsum in the shallow area between the 1st and 2nd metacarpals), (Master Tung's points), ST-36, ST-44, Shenguan (1.5 cun below SP-9) (Master Tung's point), SP-4, SP-6, SP-9, KI-3, KI-7, LIV-3, REN-4, REN-6, Sedate: ST-40

Damp-Heat

Clinical Manifestations	Loose stools Diarrhea Light-yellow, mustard color stools Burning or acid feeling around the anus during or after defecation Foul smelling stools Hot, Possibly red, swollen, painful limbs Red, hot swollen, wet or weeping skin lesions Hot, frequent, burning and/or painful urination Red, hot, swollen, wet or weeping external genitalia Thick, white curdy or creamy yellow vaginal discharge Yellow-green nasal mucus T: Normal C: Slimy, yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness
Herb Formulas	Damp Heat in the Stomach and Intestines: Ban Xia Xie Xin Tang Damp Heat Impediment: Si Miao Wan modified Damp-Heat in the Bladder: Ba Zheng San + Xiao Chai Hu Tangmodified Damp-Heat in the external genitalia with itching: Yi Huang Tangmodified Damp-Heat in the Yang Ming causing acne: Fibromyalgia #1 Damp Heat in the uterus with abnormal vaginal discharge: Er Huang San Bei Wan modified
Points	Damp Heat in the Stomach and Intestines: REN-12, ST-25, SP-9, ST-44, SP-21 Damp Heat Impediment: SP-9, LI-11, SP-21 Damp-Heat in the Bladder: SP-9, SP-21, REN-3, LIV-2, ST-36 Damp-Heat in the external genitalia with itching: REN-2, SP-9, LIV-5, ST-36, SP-21 Damp-Heat in the Yang Ming causing acne: DU-10, SP-9, UB-40, LI-4, ST-44, SP-21 Damp Heat in the uterus with abnormal vaginal discharge: REN-2, SP-9, GB-26, LIV-2, ST-36, SP-21 For all of the above add: With fatigue, lack of strength or Wei Qi Deficiency: SP-3, LI-4 With excess Dampness in the Middle Jiao or edema of the extremities: SP-9 With Phlegm-Dampness: ST-40 With Blood Heat: Eliminate LIV-3, add SP-10, LIV-2 With Blood Xu with malnourishment of the sinews: SP-6 With Heat in the Liver and Gall Bladder, Lungs, Stomach and Intestines: GB-34, LI-4 With Heat in the Liver and Gall Bladder, Heart, Stomach and Intestines: GB-34, HT-5, LI-4 With Heat damaging Stomach and Lung Fluids: KI-7 With Blood Stasis: LI-4, SP-6 With painful diarrhea: ST-25 With pain and weakness in the lower limbs: LI-11 For pain on palpation near GB-20: GB-20, or Ahshi

Cold-Damp In The Lower Jiao

Clinical Manifestations	Cold pain in the lower back and body The lower back region feels Cold to the touch The pain is a deep, unremitting ache The pain may be occasionally be severe Twisting and bending are difficult The pain is aggravated by cold weather Lying down provides no improvement Sciatica Copious urination Extreme heavy sensation in the lower back Absence of thirst T: Pale C: White or Greasy and white at the root P: Deep, thready and moderate or Deep and slow or Moderate
Treatment Principle	Warm Yang Strengthen the Spleen Support the Kidneys Dispel Cold Eliminate Dampness
Herb Formulas	Lumbago #1 Chinese Patent Medicines: Du Huo Ji Sheng Wan Feng Shi Pian Zhui Feng Huo Xue Pian Feng Shi Xiao Teng Wan For severe Cold: Xiao Huo Luo Dan Plaster: Die Da Zhi Tong Gao
Points

 

Phlegm-Damp In The Lower Jiao

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath Lower back pain T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Dry Dampness Transform Phlegm
Herb Formulas	Shen Shi Tang
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23