Gastritis

General

Clinical Manifestations
Treatment Principle
Herb Formulas	Atrophic: Liu Wei Di Huang Wan
Points	PC-6, REN-12, ST-34 REN-12 through to REN-13, UB-20 through to UB-21 Acute: 1. LI-10, PC-6, REN-12, REN-22, SP-4, ST-36, UB-17, UB-19, UB-21 2. Moxa REN-8, needle PC-6, REN-13, ST-25, ST-36 3. LI-10, PC-6, REN-13, ST-36 Chronic: 1. PC-6, REN-11, REN-13, ST-19, ST-21, ST-36, UB-18, UB-21 2. REN-12, SP-4, ST-20, ST-23, ST-37, UB-20, UB-22 3. REN-12, ST-36, UB-20, UB-21

Tai Yang Shang Han With Spleen And Stomach Deficiency (Acute)

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 LI-4, ST-36, UB-21

Tai Yang With 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 Relieve distention
Herb Formulas	Gui Zhi Ren Shen Tang Atrophic gastritis: Xiao Qing Long Tang
Points

Yang Ming Jing

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability Restlessness Feverish body parts Red face Dry stools No constipation No aversion to Cold T: Red, dry C: Dry yellow P: Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang Zhu Ling 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 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

Shao Yang Jing

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

Shao Yang Fu With Underlying Liver Qi Stagnation

Clinical Manifestations	Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Liver and Gall Bladder Harmonize the Shao Yang Unblock the three Yang Stages Sedate and calms the Spirit Relieve the chest and subcardiac regions Alleviate spasms
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points	GB-41, SJ-5 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 To stop nausea and vomiting: PC-6, SP-4, ST-36 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: SJ-6, ST-25 To treat fever: DU-13, DU-14 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: SP-10 Head: GB-8, SJ-20, Yintang Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0

Shao Yang Fu With Congested Fluids

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

Shao Yang - Yang Ming

Clinical Manifestations	Acute epigastric pain Alternating chills and fever Abdominal pain Constipation or Burning diarrhea Nausea Vomiting Hypochondriac pain Pounding temporal headaches Dizziness Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs Intolerance of Cold Abdominal fullness and distention Cannot purge easily due to lack of Qi Dysentery Cold extremities Hernia T:  Normal C: Greasy and white or Greasy and yellow P: Deep, tight and wiry or Wiry and rapid or Rolling and forceful or Tight and wiry
Treatment Principle	Warm and Purge Cold retention Harmonize and Disperse the Shao Yang Drain Internal Heat Retention
Herb Formulas	Da Chai Hu Tang Chinese Patent Medicines: Qing Fei Yi Huo Pian
Points	Moxa or moxa needle GB-41, REN-6, REN-8, REN-12, SJ-5, SJ-6, ST-25, ST-36 Ahshi points along the Stomach channel between ST-36 and ST-39, GB-39, LI-4, PC-7, PC-8, REN-12, SJ-5, ST-21, ST-25, ST-34, ST-36, ST-44 With Yin Deficiency: + UB-21 , UB-23 With vomiting or spitting Blood: + PC-4 With fever: + LI-11 Ear: Stomach, Duodenum, Abdomen, Shenmen, Sympathetic

Tai Yin Excess

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

Tai Yin Deficiency

Clinical Manifestations	Clear, frequent urination Abdominal distension Anorexia Nausea Vomiting clear fluid Dull abdominal pain Diarrhea or loose stools Prefers warmth and pressure T: Pale C: White P: Slow and sinking or Soft and weak
Treatment Principle	Regulate the Middle Warm the Middle Jiao Disperse Cold
Herb Formulas	Li Zhong Tang With Excess Cold: Fu Zi Li Zhong Tang With a need to purge: Fu Gui Li Zhong Tang
Points	Moxa or moxa needle DU-4, LU-9, REN-4, REN-6, REN-12, SP-6, ST-36, UB-20 For pain and Cold: moxa the abdomen To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear urination: moxa REN-4, REN-6, UB-23 For diarrhea: moxa REN-8 Use few needles with deep insertion and moxa

Jue Yin Cold

Clinical Manifestations	Vomits clear fluid Vertex headache Body cold Diarrhea Complete exhaustion of Yang T: Pale C: White P: Weak.
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity
Herb Formulas	Da Jian Zhong Tang Wu Zhu Yu Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25 DU-20, LIV-3, PC-6, REN-12, ST-36

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: Summerheat With Damp

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Gastric disturbances: Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Rapid and soft
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	San Ren Tang Xin Jia Xiang Ru Yin
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 Ahshi points along the Stomach channel between ST-36 and ST-39, LI-4, PC-7, PC-8, REN-12, ST-21, ST-34, ST-36, ST-44 With Yin Deficiency: + UB-21 , UB-23 With vomiting or spitting Blood: + PC-4 With fever: + LI-11 Ear: Stomach, Duodenum, Abdomen, Shenmen, Sympathetic

Qi Stage Obstruction Of The Chest By Heat With Food Stagnation

Clinical Manifestations	Distention of the abdomen Distention of the epigastrium Fever Fullness of the abdomen Fullness of the epigastrium Indigestion Insomnia Irritability Resurgence of Heat signs Thirst T: Red C: Greasy-dirty-yellow P: Floating, slippery and rapid especially on the right position or Floating, full and rapid
Treatment Principle	Clear Heat Remove Obstructions Disperse Stagnation
Herb Formulas	Zhi Shi Zhi Zi Chi Tang
Points	DU-14, HT-7, LI-11, PC-6, REN-12, ST-44

Qi Stage: Spleen And Stomach Damp-Heat (Acute)

Clinical Manifestations	Fever Pressure headache - like a bandage Gastric distension Poor appetite Heaviness Body aches Chest distension Diarrhea Dysentery T: Red C: Greasy, 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 With congestion in the chest and epigastrium: Zhi Zi Chi Tang With vomiting: Zhi Zi Sheng Jiang Chi Tang With short, rapid breathing: Zhi Zi Gan Cao Chi Tang With Food Stagnation: Zhi Shi Zhi Zi Chi Tang
Points	LI-4, LI-11, SP-6, SP-9, ST-25, ST-36 LIV-3, REN-12, ST-21, ST-44

Qi Stage: Gall Bladder Damp Heat

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Relieve Gall Bladder =Damp-Heat Pacify the Liver and Gall Bladder
Herb Formulas	Huang Lian Wen Dan Tang
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

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	Si Sheng Wan
Points	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

Relatively Mild Large Intestine Excess Heat (Chronic)

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea (Heat knots or flows) Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles (swollen papillae on the tongue that look like thorns and are very sensitive to the touch) or Red C: Thick, yellow and dry P: Deep and Excess
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Xiao Cheng Qi Tang With Stomach Fire: Da Huang Gan Cao Tang
Points	For Heat: DU-14, LI-4, LI-11, ST-44, SJ-5 For Stagnation: ST-34, ST-36, ST-37, ST-39, REN-12 For constipation: ST-25, SJ-6, UB-25

Cold-Damp Distresses The Spleen

Clinical Manifestations	Abdominal fullness Heavy head and body Edema of the face and eyes Watery diarrhea Short, scanty urination Epigastric distention and pain Anorexia Maybe loose stools with undigested food Edema of the lower extremities Thirst Joint pain Dysuria T: Pink or Pale C: White and greasy P: Soft and thready or Relaxed
Treatment Principle	Dispels Dampness in the Spleen. Regulates flow of Qi in the Spleen and Stomach.
Herb Formulas	Wei Ling Tang Ping Wei San Hou Po Wen Zhong Tang Yin Chen Si Ni Tang With Cold-Damp Retention: Xiang Sha Liu Jun Zi Tang With Phlegm-Damp Retention: Xiang Sha Liu Jun Zi Tang Liu Jun Zi Tang With Spleen Yang Deficiency: Li Zhong Tang Chinese Patent Medicines: Ping Wei San With Spleen Qi Deficiency: Xiang Sha Liu Ju Zi Wan With Spleen Yang Deficiency: Fu Zi Li Zhong Wan For recalcitrant cases: Xing Jun San
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Moxa or moxa needle REN-6, REN-12, ST-25, ST-37 LI-4, ST-36, UB-21 Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 SP-3, SP-6, SP-9, ST-25, ST-36, ST-37, UB-25, Zhixie With nausea: + PC-6 Ear: Large Intestine, Small Intestine, Spleen, Abdomen, Distal Segment Rectum, Sympathetic

Spleen Qi Deficiency (Chronic)

Clinical Manifestations	Pale, sallow complexion and lips Fatigue Weakness Fatigue may increase after eating Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Maybe diarrhea with mucus The diarrhea may be may be constant or intermittent and aggravated by fatigue, over exertion or food sensitivity Maybe alternating diarrhea and constipation Easy satiety Decreased sense of taste The bowels move soon after eating Nausea Shortness of breath Puffiness around the eyes and fingers T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient or Weak, thready, deficient and moderate
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Si Jun Zi Tang Shen Ling Bai Zhu San Bu Zhong Yi Qi Tang With Cold and Dampness: Xiang Sha Liu Jun Zi Tang With Liver Qi Stagnation and Dampness in the Lower Jiao: Wan Dai Tang With Damp-Turbidity clumping in the Stomach: Fu Ling Yin With Damp-Heat: Sheng Yang Yi Wei Tang With Cold and Heat in the Interior: Gan Cao Xie Xin Tang With Phlegm-Damp: Er Chen Tang modified With Food Stagnation: Jian Pi Wan With Qi and Food Stagnation: Zheng Zhu Wan With Liver Qi Stagnation with Cold and Heat: Zhi Shi Xiao Pi Wan Chinese patent medicines: Children: Shen Ling Bai Zhu Wan With Phlegm-Damp: Xiang Sha Liu Jun Zi Wan With Food Stagnation: Jian Pi Wan With Spleen Yang Deficiency: Fu Zi Li Zhong Wan For Deep-lying Dampness: Xing Jun San Huo Xiang Zhen Qing Pian
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 REN-12, SP-5, SP-6, SP-9, ST-25, ST-36, UB-20, UB-21, UB-25, Zhixie With abdominal pain: SP-4 With severe diarrhea: strongly moxa DU-20 With severe abdominal distention: SP-3, SP-15 REN-12, ST-36, UB-20 With Phlegm: LIV-13, PC-5, PC-6, REN-12, SP-3, ST-36, ST-40 With foggy-headedness: + GB-20, UB-62 With Liver Qi Stagnation: + GB-34, LIV-3 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Wind-Phlegm: + GB-40, ST-8, ST-41 With Cold Phlegm: + moxa UB-20, UB-23 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 Atrophic: LI-4, PC-6, SP-6, ST-36 Ear: 1. Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen 2. Spleen, Stomach, Large Intestine, Small Intestine, Abdomen, Sympathetic

Spleen Dampness (Chronic)

Clinical Manifestations	Loose stools or watery diarrhea Weak extremities Weight loss Distention and a stifling sensation in chest and epigastrium Pale wan complexion Abdominal distention Indigestion Vomiting Fatigue Chills Maybe vomiting Leukorrhea Reduced appetite Borborygmus Edema Reduced appetite Diarrhea with onset of menstrual flow Cough with copious sputum Leukorrhea in obese women T: Pale or Pale red C: White - maybe greasy P: Thready and even or Even and Deficient
Treatment Principle	Augment Qi Strengthen the Spleen Resolve Dampness Stop diarrhea
Herb Formulas	Shen Ling Bai Zhu San
Points	UB-20, UB-22, UB-23, LIV-13, SP-3, SP-5, SP-6, SP-9, ST-28, ST-36, REN-6, REN-9, REN-12

Spleen Yang Deficiency

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with Cold sensations The pain is relieved by warmth Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Fu Zi Li Zhong Tang Li Zhong Tang With Phlegm-Damp: Ling Gui Zhu Gan Tang modified With Stomach Deficiency Cold: Ding Xiang Shi Di Tang Chinese Patent Medicines: With Phlegm: Fu Zi Li Zhong Wan With Spleen and Stomach Qi Deficiency and Phlegm-Damp: Xiang Sha Liu Jun Zi Tang With Food Stagnation: Zi Sheng Wan
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 PC-5, PC-6, REN-12. SP-3, ST-40 With Spleen Deficiency: + LIV-13, ST-36 With foggy-headedness: + GB-20, UB-62 With Liver Qi Stagnation: + GB-34, LIV-3 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Wind-Phlegm: + GB-40, ST-8, ST-41 With Cold Phlegm: + moxa UB-20, UB-23 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 Ear: Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen

Spleen And Lung Qi Deficiency (Chronic)

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

Spleen And Stomach Disharmony

Clinical Manifestations	Anorexia Loss of the sense of taste Inability to eat more than a little at a time Bloating after eating Focal distention Epigastric discomfort Generalized weakness T: Pale C: White P: Deep and soft
Treatment Principle	Strengthen and harmonize the Spleen and Stomach Resolve Dampness Improve the appetite
Herb Formulas	Xiang Sha Yang Wei Tang
Points

Damp-Heat In The Spleen And Stomach

Clinical Manifestations	Recurrent acid reflux and heartburn Anorexia Epigastric and abdominal distention and discomfort A dry mouth Acne or A tendency toward boils and sores Greasy skin Strong body odor 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 or Slippery and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	San Huang Xie Xin Tang modified
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

Cold Accumulation In The Spleen And Stomach

Clinical Manifestations	General signs and symptoms: Epigastrium cold with pain Mild cases: Constant pain Severe cases: Sudden bouts of sharp pain Pain is aggravated by Cold and relieved by warmth and hot drinks Cold hands and feet Cold Penetrates the Stomach and Intestines: Pain is sudden and sharp Pain is relieved by warmth Nausea Diarrhea Loose stools T: Pink C: White P: Deep and tight Retention of Fluid in the Stomach due to Cold: Pain is dull Pain is relieved by warmth Succussion sound in the epigastrium on palpation Vomiting of clear, watery fluid T: Pink C: White and sticky P: Thready or Thready and slow Stomach Deficiency with Stagnation of Cold: Pain is dull Pain is relieved by warmth and pressure Vomiting clear, watery fluid T: Pale C: Thin and white P: Deep and slow or Deep and thready
Treatment Principle	Warm the Stomach Warm Cold
Herb Formulas	Liang Fu Wan modified Mild cases: Gan Jiang Ren Shen Ban Xia Wan Severe cases: Xiang Sha Liu Jun Zi Tang + Liang Fu Wan
Points	Moxa or moxa needle PC-6, REN-6, REN-12, SP-4, ST-21, ST-36, UB-20, UB-21

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure                                                      Or Chronic , intermittent, spasmodic, dull abdominal pain, relieved by warmth and pressure Aversion to Cold Symptoms worse with Cold Anorexia Easily satiated Abdominal pain and fullness after meals Nausea/vomiting Vomiting of watery Fluid Loose, unformed stools Excessive salivation Cold limbs Lassitude Fatigue Mental fatigue Depression Shortness of breath Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale, maybe swollen C: White and greasy P: Deep, thready and forceless
Treatment Principle	Warm Yang Strengthen the Spleen Warm the Center Dispel Cold Stop pain
Herb Formulas	Xiao Jian Zhong Tang Fu Zi Li Zhong Tang Shen Ling Bai Zhu San Si Jun Zi Tang Huang Qi Jian Zhong Tang  modified Gan Cao Gan Jiang Tang With Blood Stagnation: An Zhong San With severe Cold: Da Jian Zhong Tang (short-term) With a complex of Heat, Cold and Deficiency: Ban Xia Xie Xin Tang Chinese Patent Medicines: Li Zhong Wan With severe Cold: Fu Zi Li Zhong Wan With Food Stagnation: Zi Sheng Wan
Points	Moxa needle UB-20, UB-21, LIV-13, REN-12, SP-3, SP-6, ST-36 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa or moxa needle LI-11, LU-9, REN-122, REN-13, SP-6, ST-36, UB-20, UB-21 With obvious bleeding or occult blood in the stool: + moxa SP-1 With loose stools or diarrhea: + Zhixie With Fluid Retention and edema: + REN-9, SP-9 With heaviness: + SP-3, ST-40 With nausea: + PC-6 With Phlegm-Damp: + SP-3, PC-5 Moxa abdomen Ear points:  Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic

Spleen And Stomach Qi/Yang Deficiency (Chronic)

Clinical Manifestations	Intermittent or continuous abdominal distention, fullness and discomfort Distention is improved by warmth and pressure and worse when eating raw or cold foods Intermittent, chronic acid reflux and heartburn which are worse with hard to digest or raw foods, bending or any increase in abdominal pressure May wake during the night with heartburn Mild epigastric pain or discomfort which is better with warmth and pressure Hypersalivation Drooling Sour belching Poor appetite Easily satiated Fatigue Weak, tired limbs Loose stools or Diarrhea or A tendency toward sluggish bowel movements Puffiness around the eyes or in the fingers Rapid weight fluctuations A pale, sallow face and lips Shortness of breath Reluctance to speak A weak, soft voice Intolerance of Cold Cold extremities T: Pale or Pale and swollen with teeth marks C: White P:Weak and thready or Deficient or Big and Weak
Treatment Principle	Warm Zong Qi Strengthen the Spleen and Stomach
Herb Formulas	Xiang Sha Liu Jun Zi Tang  modified Huang Qi Jian Zhong Tang Ding Kou Li Zhong Wan modified With Liver Qi Stagnation and Dampness: Wan Dai Tang Ding Xiang Tou Ge San With Deficiency Cold: Wen Wei Yin With Kidney Yang Deficiency: Fu Zi Li Zhong Wan  modified For severe, resistant or unresponsive cases with Phlegm Accumulation: Xuan Fu Dai Zhe Tang Chinese Patent Medicines: Bu Zhong Yi Qi Wan Xiang Sha Liu Jun Zi Wan Jian Pi Wan With Qi Stagnation: Xiang Sha Yang Wei Wan With Excess acid: Wei Te Ling (combine with any of the above) For symptomatic relief: Xiang Lian Wan (combine with any of the above) For Spleen Yang Deficiency with Cold: Fu Zi Li Zhong Wan For Spleen Yang Deficiency: Li Zhong Wan For Spleen Qi Deficiency: Xiang Sha Liu Jun Zi Wan For Kidney Yang Deficiency: Jin Gui Shen Qi Wan c(combine with any of the above)
Points	UB-20, UB-21, REN-6, REN-12, ST-21, ST-36, SP-3, SP-5, SP-6, LIV-13 PC-6, REN-12, REN-13, REN-17, SP-6, ST-36, UB-20, UB-21 With Phlegm-Damp: + PC-5, SP-3, ST-40 LIV-13, REN-9, REN-12, REN-14, REN-17, ST-36, UB20, UB-21 With Qi Stagnation: + LIV-3, PC-6 With Kidney Yang Deficiency: + KI-3, moxa or moxa needle DU-4, REN-4, UB-23 With gastroptosis: + moxa or moxa needle DU-20 Ear: 1. Spleen, Stomach, Large Intestine, Small Intestine, Abdomen 2. Spleen, Stomach, Esophagus, Pylorus, Shenmen, Adrenal, Subcortex, Sympathetic 3. Esophagus, Pylorus, Spleen, Stomach, Kidney, Adrenal, Sympathetic, Shenmen

Spleen And Stomach Qi And Yin Deficiency (Chronic)

Clinical Manifestations	Chronic cough or Dry cough Insomnia Night sweats Spontaneous perspiration Weakness Palpitations Shortness of breath Fever Irritability T: Red and dry or Red and swollen C: Little or None P: Thready and weak
Treatment Principle	Tonify Qi Nourish Yin
Herb Formulas	Sheng Mai Yin Wan
Points

Spleen, Stomach And Kidney Yang Deficiency With Accumulation Of Cold

Clinical Manifestations	Diarrhea with undigested food Aversion to Cold or Daybreak (Cock Crow) diarrhea Cold and stiff extremities Back pain Reduced appetite Fullness in the epigastrium and abdomen (likes pressure) Lack of thirst Vomiting Loose stools Trismus T: Pale, may be moist C: White P: Deep, slow and weak
Treatment Principle	Warm and Tonify the Spleen, Stomach and Kidneys Dispel Cold Replenish Yang
Herb Formulas	Fu Gui Li Zhong Tang
Points

Phlegm And Heat Stagnation In The Epigastrium

Clinical Manifestations	Focal distention in the chest and epigastrium with or without nodules which is painful when pressed Coughing up yellow, viscous sputum Constipation A bitter taste in the mouth T: Normal C: Yellow and greasy P: Slippery and floating or Slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Expand the chest Dissipate Stagnation
Herb Formulas	Xiao Xian Xiong Tang
Points

Stomach Qi Stagnation (Chronic)

Clinical Manifestations	Epigasstric fullness and distention Epigastric pain Anorexia Indigestion Diarrhea T: Normal C: White P: Slippery
Treatment Principle	Regulate Stomach Qi Relieve fullness and distention
Herb Formulas	Ban Xia Xie Xin Tang
Points

Blood Stagnation In The Stomach (Chronic)

Clinical Manifestations	Abdominal or epigastric pain which may radiate upwards to the back or scapula Poor appetite Shortness of breath Nausea Hypochondriac pain Heart pain Stomach pain Hiccups Stuffiness in chest Constipation Epigastric pain Anorexia T: Purple with purple spots C: Normal P: Choppy or Wiry and tight
Treatment Principle	Invigorate the Blood Relieve Stasis Stop pain
Herb Formulas	For epigastric pain: Shi Xiao San + Dan Shen Yin modified Ge Xia Zhu Yu Tang For Heat: Shi Xiao San Dan Shen Yin For Deficiency Cold: Huang Tu Tang For Blood Deficiency: Tiao Ying Jian Gan Ying With indeterminate gnawing hunger: Dang Gui Si Ni Tang modified
Points	ST-22, ST-34, SP-4, SP-6, SP-10, UB-17 For epigastric pain due to Blood Stagnation: 1. PC-6, SP-4, SP-6, ST-36, UB-17 2. Ahshi, DU-8, REN-12, SP-4, SP-6, SP-10, ST-21, ST-34, ST-36, UB-17, UB-18, UB-21 With nausea and vomiting: + PC-6 With Liver Qi Invading the Stomach: + LIV-13 With irritability or depression: + LIV-1 or LIV-3 With severe pain: LI-4, LIV-5 Ear: Shenmen, Stomach, Duodenum, Liver, Sympathetic For indeterminate gnawing hunger: REN-12, SP-6, SP-10, ST-21, ST-36, UB-17, UB-18, UB-21 With nausea and vomiting: + PC-6 With Liver Qi Invading the Stomach: + LIV-13 With irritability or depression: + LIV-1, Taiyang or LIV-3 Ear: Stomach, Liver, Sympathetic, Subcortex, Shenmen

Stomach Heat

Clinical Manifestations	Scleroderma Intermittent epigastric and abdominal distention and fullness after eating followed 12 hours later by vomiting of partially digested food, which relieves the distention Vomitus may be sour and offensive Irritability Restlessness Red complexion and lips Halitosis Thirst Dry mouth and lips Tendency toward constipation and rarely, diarrhea Concentrated urine T: Red and dry C: Thick and yellow or Thick, greasy and yellow P: Slippery and rapid
Treatment Principle	Clear Heat from the Stomach Harmonize the Stomach Descend Qi
Herb Formulas	Zhu Ru Tang With damage to Qi and Yin: Da Ban Xia Tang  modified With excessive alcohol consumption creating Damp-Heat: Ge Hua Jie Cheng San For Heat, Cold and Deficiency with a sensation of blockage, distention, fullness and discomfort in the epigastrium: Ban Xia Xie Xin Tang Chinese Patent Medicine: With Damp-Heat: Huang Lian Jie Du Wan With Phlegm-Heat: Wen Dan Wan With constipation: Niu Huang Qing Huo Wan
Points	PC-6, PC-8, REN-12, REN-14, REN-17, ST-36, ST-44 With severe Heat: + LI-4, LI-11 or SJ-2, ST-45 With constipation: + SJ-6, ST-25 With Phlegm-Heat: + PC-5, ST-40 Ear: Esophagus, Pylorus, Stomach Duodenum, Spleen, Sympathetic, Shenmen

Stomach Fire Blazing

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) 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, Shi and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Mai Men Dong Tang San Huang Xie Xin Tang Qing Wei San modified Shi Hui San San Huang Xie Xin Tang  modified + Shi Hui San Yu Nu Jian  modified With Damp-Heat: Huang Lian Jie Du Tang With Yin Deficiency: Yu Nu Jian With halitosis: Xie Huang San With a mixture of Heat and Cold: Sheng Jiang Xie Xin Tang modified Chinese Patent Medicines: With mouth ulcers: Niu Huang Jie Du Pian With constipation: Niu Huang Qing Huo Wan With epistaxis: Qing Fei Yi Huo Pian Niu Huang Jie Du Pian Yun Nan Bai Yao
Points	REN-6, REN-10, REN-13, REN-14, ST-25, ST-36, ST-44 LI-4, PC-4, PC-8, REN-12, SP-4, ST-44, ST-45 With epigastric pain: + ST-21, ST-34 With nausea: + PC-6 With constipation: + ST-25, ST-37 With Yin Deficiency: + UB-21 , UB-23 With Shao Yang Fu: + GB-39, SJ-5, ST-25 LIV-13, PC-6, REN-12, SP-4 For Heat: + LI-4, LI-11 For Fire: + ST-44 For bleeding: + UB-17 LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21 With epistaxis: DU-23, LI-2, LI-4, LI-11, ST-3, ST-44, ST-45 Ear: Stomach, Duodenum, Liver, Large Intestine, Adrenal, Subcortex Shenmen

Fluid Stagnation In The Stomach

Clinical Manifestations	Nausea Sudden vomiting of Thin Mucus or clear Fluids Absence of thirst May feel thirsty Palpitations Vertigo Dizziness Dysuria Focal distention of the epigastrium T: Normal C: White and Slippery P: Wiry
Treatment Principle	Harmonize the Stomach Stop vomiting Dispel Phlegm Regulate water circulation Disperse Stagnation
Herb Formulas	Xiao Ban Xia Jia Fu Ling Tang
Points

Stomach Cold

Clinical Manifestations	General signs and symptoms: Epigastrium cold with pain No thirst Mild cases: Constant pain Severe cases: Sudden bouts of sharp pain Pain is aggravated by Cold and pressure and relieved by warmth and hot drinks Cold hands and feet Cold Penetrates the Stomach and Intestines: Pain is sudden and sharp Pain is relieved by warmth Nausea Diarrhea Loose stools T: Pink C: White P: Deep and tight or Wiry or Tight and slow Retention of Fluid in the Stomach due to Cold: Pain is dull Pain is relieved by warmth Succussion sound in the epigastrium on palpation Vomiting of clear, watery fluid Hypersalivation T: Pink C: White and sticky P: Thready or Thready and slow Stomach Deficiency with Stagnation of Cold: Pain is dull Pain is relieved by warmth and pressure Vomiting clear, watery fluid T: Pale C: Thin and white P: Deep and slow or Deep and thready If accompanied by Wind-Cold Damp: Fever and chills Myalgia Headache P: Floating and tight
Treatment Principle	Warm the Stomach Warm Cold Stop pain
Herb Formulas	Liang Fu Wan modified Liang Fu Wan + Zheng Qi Tian Xiang San Li Zhong Tang Fu Zi Li Zhong Wan Wu Zhu Yu Tang Gui Zhi Sheng Jiang Zhi Shi Tang Mild cases: Gan Jiang Ren Shen Ban Xia Wan Severe cases: Xiang Sha Liu Jun Zi Tang + Liang Fu Wan Chinese Patent Medicines: Li Zhong Wan For severe Cold and severe pain: Fu Zi Li Zhong Wan For pain associated with Wind-Cold-Damp: Xing Jun San Huo Xiang Zheng Qi Pian
Points	Moxa or moxa needle PC-6, REN-6, REN-12, SP-4, ST-21, ST-36, UB-20, UB-21 Moxa or moxa needle REN-12, SP-4, ST-21, ST-34, ST-36, UB-20 For nausea: + PC-6 For Dampness: + SP-3 For abdominal distention: + SP-3, SP-15 Ear: Stomach, Spleen, Abdomen, Shenmen, Sympathetic

Stomach Cold Transforming Into Heat

Clinical Manifestations	Chronic epigastric discomfort A sensation of blockage and distention in the epigastrium Anorexia Nausea Vomiting or Dry retching Borborygmus Diarrhea T: Normal C: Thin, yellow and greasy P: Soft and/or rapid
Treatment Principle	Harmonize the Stomach Regulate Qi Descend Qi
Herb Formulas	Ban Xia Xie Xin Tang
Points

Food Stagnation In The Stomach (Atrophic)

Clinical Manifestations	Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation
Herb Formulas	Bao He Wan Gua Di San
Points	ST-36, ST-44, REN-12, PC-6, LIV-13 ST-21, ST-44, LIV-13 PC-6, ST-36, REN-11 REN-12, REN-10, PC-6, SP-4, ST-21, ST-36 For vomiting: ST-25, ST-36, REN-12, PC-6, SP-4

Disharmony Between The Stomach And Intestines With Heat And Cold

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

Stomach Yin Deficiency (Chronic)

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	Yi Guan Jian Shao Yao Gan Cao Tang Sha Shen Mai Men Dong Tang Yi Wei Tang modified With Lung Yin Deficiency: Mai Men Dong Tang With anorexia: Ju Pi Zhu Ru Tang
Points	UB-21, REN-12, KI-3, ST-36 UB-21, REN-12, KI-3, SP-6, ST-36 For epigastric pain: KI-3, KI-6, REN-4, REN-12, SP-6, ST-36, UB-20, UB-21, UB-23 With deficient Heat: + KI-2, ST-43 With sharp pain: + KI-2 With nausea: + PC-6 Ear: Stomach, Spleen, Abdomen, Kidney, Shenmen, Sympathetic

Stomach Qi Deficiency

Clinical Manifestations	Continuous pain in the Stomach Epigastric fullness and distention Likes pressure Reduced appetite Frequent belching Loss of sensation of taste Borborygmus Pale face Stools not solid Urine clear and abundant T: Pale C: Thin and white P: Empty, Weak an Slow or Weak and Deficient
Treatment Principle	Warm and tonify the Spleen and Stomach Replenish Qi Harmonize the Interior Alleviate pain
Herb Formulas	Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang Huang Qi Jian Zhong Tang With turbid Phlegm: Xuan Fu Dai Zhe Tang
Points	UB-18, UB-20, UB-21 PC-6, REN-12, ST-36

Stomach Yin Deficiency With Heat

Clinical Manifestations	No appetite or Famished but with no desire to eat or Indeterminate gnawing hunger Persistent, dull, nagging epigastric pain Heartburn Morning nausea Abdominal distention after meals Black, sticky or tarry, dry stools Irritability with low grade fever Maybe dry retching or Hiccups Thirst Dry skin, hair and mucous membranes Tendency toward constipation or pellet-like stools Facial flushing Malar flush Night sweats Five-sole-Heat With Kidney Yin Deficiency: Dizziness Tinnitus Low back and knee weakness and pain T: Red or Slightly red with a peeled center or Red and dry C: Little and dry or Peeled in the center or Shiny P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Nourish the Stomach Cool the Blood Stop bleeding
Herb Formulas	Yu Nu Jian modified
Points	KI-3, REN-12, SP-6, ST-36, UB-21 With hemafecia: KI-3, KI-6, REN-4, REN-12, SP-6, ST-25, ST-36, UB-20, UB-21, UB-23, UB-25 Ear: Stomach, Kidney, Large Intestine, Distal Segment Rectum, Shenmen, Sympathetic With hematemesis: KI-3, KI-6, REN-4, REN-12, SP-6, ST-36, UB-20, UB-21, UB-23 Ear: Stomach, Duodenum, Adrenal, Esophagus , Shenmen, Subcortex

Stomach Deficiency Cold (Chronic)

Clinical Manifestations	Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant Epigastric pain relieved by warmth Cold limbs Vomiting clear fluid T: Pale C: Thin and white P: Deep
Treatment Principle	Strengthen Qi Invigorate the Spleen and Stomach Warm Cold
Herb Formulas	Wu Zhu Yu Tang
Points	Moxa or moxa needle REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21

Stomach And Liver Heat

Clinical Manifestations	Recurrent or relentless acid reflux and heartburn, aggravated by coffee, chocolate and alcohol or stress The patient may wake in the middle of the night (1-2 am) with discomfort and reflux Sour or bitter belching Epigastric discomfort or burning sensation Indeterminate, gnawing hunger Foul stools Dry mouth Thirst Irritability Quick temper T: Red with red edges C: Yellow P: Wiry and/or slippery, maybe rapid
Treatment Principle	Clear Heat from the Stomach and Liver Harmonize the Stomach Descend Stomach Qi
Herb Formulas	Hua Gan Jian Jia Wei Severe cases: Zuo Jin Wan modified When Stomach Heat is primary: Qing Wei San modified Chinese Patent Medicines: Jia Wei Xiao Yao San Wen Dan Wan Wei Te Ling Xiang Lian Wan
Points	GB-34, LI-11, LIV-2, PC-8, REN-12, REN-13, REN-17, ST-36, ST-44 With severe Heat: + SJ-2, ST-45 With constipation: + SJ-6, ST-25 With Lung and Stomach Heat: + LU-5 With nausea: + PC-6 Ear: Esophagus, Pylorus, Liver, Spleen, Stomach, Shenmen, Subcortex, Sympathetic

Stomach And Intestinal Heat

Clinical Manifestations	Dry stools Abdominal tenderness, fullness and distention Maybe pain on palpation of the abdomen Hard stools Thirst Foul breath Lip ulcers Red eyes A flushed face A bitter taste in the mouth T: Red C: Yellow and dry P: Rapid or Slippery or Slippery and rapid
Treatment Principle	Clear Heat Moisten the Intestines
Herb Formulas	Ma Zi Ren Wan
Points

Stomach And Liver Yin Deficiency

Clinical Manifestations	Chronic acid reflux, hyperacidity and heartburn Symptoms may be worse in the evening and with stress The patient may wake with symptoms during the night which may be temporarily relieved by eating Mild, dull epigastric or hypochondriac pain or discomfort Anorexia or Intermittent gnawing hunger Dry mouth and throat Dry stools or Constipation T: Red and dry C: Little or None P: Thready, wiry and rapid
Treatment Principle	Nourish and supplement Liver and Stomach Yin Regulate Qi Descend Qi Harmonize the Stomach
Herb Formulas	Yi Guan Jian  modified Chinese Patent Medicines: Gu Ben Wan With Excess acid: Wei Te Ling (combine with any of the above) For symptomatic relief: Xiang Lian Wan (combine with any of the above)
Points	KI-9, LIV-13, PC-6, REN-12, ST-36, UB-20, UB-21 Ear: Esophagus, Pylorus, Spleen, Liver, Stomach, Shenmen, Subcortex, Sympathetic

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Insomnia Dream-disturbed sleep with unusual dreams Wakes easily Palpitations Anxiety Nervousness Dizziness Vertigo Heavy or foggy headedness Profuse white foamy sputum Nausea/Vomiting Restlessness Easily startled Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia Belching Acid reflux Unsatisfying bowel movements T: Pink or Red tip or Red C: Yellow and greasy P: Slippery and rapid or Wiry and rapid or Rolling and rapid
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang modified For recalcitrant cases: Qing Huo Di Tan Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15

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

Clinical Manifestations	Fullness in the chest and hypochondrium Palpitations Shortness of breath Coughing up clear, watery sputum Dizziness Vertigo (when standing) Dyspnea Anxiety Tinnitus Difficult urination Mild edema Cold feet Headache Migraine Weak abdomen T: Pale and swollen C: White and slippery or greasy P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle	Warm and transform Phlegm and congested Fluids Strengthen the Spleen Resolve Dampness
Herb Formulas	Ling Gui Zhu Gan Tang Shen Ling Bai Zhu San
Points	Moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

Small Intestine Qi Pain

Clinical Manifestations	Vague pain in the lower abdomen involving the low back Pain radiates down into the testicle Abdominal distention Borborygmus Relief after passing wind Hernia pain in the scrotum T: Pale C: Thin and white P: Deep and wiry or Wiry and tight
Treatment Principle	Move Qi Expel knotting
Herb Formulas	Tian Tai Wu Yao San
Points	LIV-1, LIV-4, LIV-5, LIV-8, REN-4, SP-6, ST-39

Liver Qi Stagnation

Clinical Manifestations	Fatigue Stomach, ductal and costal, distention and pain A tendency to sigh Chest oppression Emotional tension Depression Fatigue Abdominal fullness Nausea Flatulence Bloating Irritability Burping Belching Premenstrual syndrome Menstrual irregularities Increased Liver enzymes Hepatosplenomegaly T: Dark or Normal C: White P: Wiry
Treatment Principle	Regulate Liver Qi Stop pain
Herb Formulas	Yue Ju Wan Chai Hu Shu Gan Tang Chai Hu Shu Gan Tang + Liu Mo Tang With chronic sluggish stools or constipation: Liu Mo Tang With Food Stagnation and sluggish bowels: Mu Xiang Cheng Qi Wan Chinese Patent medicines: Shu Gan Wan Chai Hu Shu Gan Wan With significant heartburn: + Wei Te Ling With sluggish or incomplete bowel movements: Mu Xiang Shun Qi Wan With constipation: Chen Xiang Hua Qi Wan With Spleen Deficiency and Dampness: Xiao Yao Wan With stagnant Heat: Jia Wei Xiao Yao Wan
Points	Special points .75 cun from the DU channel at the level of T-10, T-11 and T-12, UB-18, UB-19, UB-20, LIV-3, LI-4, LIV-14, Dannangxue GB-34, LIV-3, UB-18, UB-19 With upper abdominal distention and pain: + REN-12 With abdominal distention and pain at the level of the waist: + ST-25 For Liver Stagnation Transforming into Heat: + LIV-2 For Liver Qi Invading the Stomach with nausea, vomiting and/or belching: + REN-13 With anorexia due to Food Stagnation: + ST-21 GB-34, LIV-3, LIV-5, LIV-13, PC-6, REN-6, REN-12, ST-25 To calm the Shen: + DU-19, DU-24, Yintang With Blood or Yin Deficiency: + SP-6, ST-36, UB-18, UB-23 With Phlegm or plum-pit throat: + PC-5, SP-3, ST-40 With fat intolerance, pale or pasty stools, and right sided hypochondriac pain and distention: + Dannangxue, GB-24, GB-40 GB-34, LIV-3, LIV-13, PC-6, REN-12, ST-21, ST-34, ST-36, UB-18, UB-20, UB-21 For severe pain: + LIV-5, SP-4, SP-8 With hypochondriac pain or tenderness: + LIV-14 For Liver and Stomach Heat: + LIV-2 For calming the Shen: + DU-19, DU-24, Yintang With hypochondriac pain: GB-34, GB-40, LIV-2, LIV-14, PC-6, SJ-6Ear: Liver, Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

Liver Qi Stagnation Invades The Spleen (Chronic)

Clinical Manifestations	Abdominal and epigastric distention, fullness, discomfort and pain worse with stress or emotional upset Hypochondriac discomfort, ache or tightness, generally worse on the right side Gas Belching Frequent sighing Borborygmus Anorexia Indigestion Acid reflux Heartburn Painful diarrhea worse with stress or emotional upset Alternating constipation and diarrhea Distention and pain in the chest, sides or flanks Suffocating sensation in the chest Melancholy Depression Irritability Moodiness Fatigue Lack of strength Cold hands and feet Orthostatic hypotension Easy bruising Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink or Pale, dark and maybe swollen C: White and greasy or Thin and white P: Slippery and wiry or Thready and wiry or Wiry
Treatment Principle	Soothe the Liver Regulate Qi Strengthen the Spleen Tonify Qi Disperse accumulation Ease distention
Herb Formulas	Yue Ju Wan Xiao Yao San Hei Xiao Yao San Chai Hu Shu Gan Tang Si Ni San Dang Gui Shao Yao San Tong Xie Yao Fang Jie Gan Jian With Spleen Qi Deficiency: Si Jun Zi Tang modified For chronic sluggish bowels or constipation: Liu Mo Tang For Qi and Food Stagnation: Mu Xiang Shun Qi Wan Chinese Patent Medicines: Chai Hu Shu Gan Wan Xiao Yao Wan Shu Gan Wan Jian Wei Xiao Yao Wan For chronic sluggish bowels or constipation: Mu Xiang Shun Qi Wan For constipation: Chen Xiang Hua Qi Wan For Spleen Deficiency and Dampness: Xiang Sha Yang Wei Wan
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37 GB-34, LIV-3, LIV-5, LIV-13, PC-6, REN-6, REN-12, ST-25 For calming the Shen: + DU-19, DU-24, Yintang For Blood or Yin Deficiency: + SP-6, ST-36, UB-18, UB-23 For Phlegm or plum pit Qi Stagnation: + PC-5, SP-3, ST-40 For fat intolerance, pale or pasty stools, and right side hypochondriac pain and distention: + Dannangxue, GB-24, GB-40 LIV-3, PC-6, REN-6, REN-9, Sishencong, ST-25, ST-36 For diarrhea: + SP-9 For constipation: + SJ-6 For Cold: moxa REN-6, REN-9, ST-25, ST-36 For Heat: - REN-6, ST-36 + ST-37, ST-44 For Damp-Heat: - REN-6 + SP-9, ST-44 For severe spleen Qi Deficiency: + SP-3 For Food Stagnation: + REN-21, ST-21 For Kidney Qi or Yang Deficiency: + moxa DU-4 For Kidney Yin Deficiency: + KI-7 For Liver Qi Stagnation Transforming into Fire: - LIV-3, PC-6 + GB-34, LIV-2 For severe emotional tension and a tendency toward depression: + DU-24, HT-7 LI-4, LIV-3, LIV-13, PC-6, REN-12, ST-25, ST-36, UB-18, UB-25, Yintang + Ahshi points along the Stomach channel With significant Spleen Deficiency: + UB-20, UB-21 With signs of Heat: + LIV-2 With insomnia, a lateral headache or extreme nervousness: + DU-24, GB-39, SJ-5 Ear: 1. Liver, Spleen, Stomach, Large Intestine, Small Intestine, Abdomen 2. Shenmen, Liver, Stomach, Spleen, Large Intestine, Subcortex, Sympathetic

Liver Qi Stagnation Attacks 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 or Deep and tight
Treatment Principle	Regulate Qi Relieve pain
Herb Formulas	Hei Xiao Yao San Xiao Yao San Chai Hu Shu Gan Tang  modified Yue Ju Wan modified With Heat: Si Ni San With Stomach Heat: Zuo Jin Wan Jia Wei Xiao Yao San  modified With persistent or severe vomiting: Xuan Fu Dai Zhe Tang Chronic: Chen Xiang San For complex or confusing patterns with multiple pathology: Yue Ju Wan + Zuo Jin Wan Ear: Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen Chinese Patent Medicines: Xiang Xia Yang Wei Wan Xia Yao Wan With pain: Shu Gan Wan For robust patients: Chai Hu Shu Gan Wan With constipation: Chen Xiang Hua Qi Wan With Stagnant Heat: Jia Wei Xiao Yao Wan With Spleen and Stomach Deficiency: Xiang Sha Yang Wei Wan With severe Damp-Heat in the Stomach: Huang Lian Jie Du Wan
Points	ST-36, REN-12, SP-4, PC-6, LIV-2, LIV-14 Moxa REN-6, REN-8, ST-25 LIV-3, LIV-14, PC-6, REN-12, ST-36, ST-44 PC-6, ST-36, REN-12, LIV-3 REN-6, REN-10, REN-12, REN-13, ST-25, ST-36, UB-18, LIV-13 ST-36, ST-41, REN-12, SP-4, PC-6, LIV-2, LIV-3, LIV-14 LIV-3, LIV-13, SP-4 GB-34, LIV-3, LIV-13, REN-12, SP-4 With severe vomiting: + ST-40 With Gall Bladder involvement or vomiting bile: + Dannangxue, GB-40 With Spleen Deficiency: + ST-36, UB-20 With Phlegm or Plum-Pit throat: + PC-5, SP-3, ST-40 With alternating chills and fever: + GB-39, SJ-5 With dizziness: + GB-39 To calm the Shen: + DU-19, DU-24, HT-7, Yintang LI-10, LIV-3, PC-6, REN-12, REN-13, REN-17, ST-36, UB-18, UB-19, UB-21 With lateral headaches and neck tension: +GB-34 With hypochondriac pain: + LIV-14 With Gall Bladder involvement: + Dannangxue, GB-24, GB-40   With Heat in the Liver: + LIV-2 With Spleen Deficiency: + UB-20 With Phlegm or Plum-Pit Qi Stagnation: + PC-5, SP-3, ST-40 With dizziness: + GB-20 With Shen disturbance: + one or two of the following: DU-19, DU-24, HT-7, Yintang Ear: Esophagus, Pylorus, Liver, Spleen, Stomach, Shenmen, Subcortex, Sympathetic

Liver Qi Stagnation Transforms Into Heat (Chronic)

Clinical Manifestations	Intermittent chest, epigastric or hypogastric pain Hernia pain The pain is aggravated by ingestion of hot food or drink Dysmenorrhea Irritability A bitter taste in the mouth T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Spread Liver Qi Soothe the Liver Drain Heat Invigorate the Blood Alleviate pain
Herb Formulas	Jin Ling Zi San Si Ni San With Blood Deficiency: Ping Gan Liu Qi Yin
Points	LIV-2, GB-12, GB-34, GB-37, UB-18, UB-19

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked (Chronic)

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang Qi Ge San  modified
Points	LI-18, LIV-3, PC-5, SI-17, SJ-6

Damp-Heat In The Liver And Gall Bladder

Clinical Manifestations	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 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 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 Qi Qing Dan Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Damp-Heat In The Liver And Stomach (Chronic)

Clinical Manifestations	Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Anxiety Restlessness Indeterminate gnawing hunger Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Wiry and rapid
Treatment Principle	Clear Heat in the Liver and Stomach
Herb Formulas	Wen Dan Tang Zuo Jin Wan Xiao Chai Hu Tang Da Chai Hu Tang Hao Qi Qing Dan Tang Chinese Patent Medicines: Li Dan Pian Long Dan Xie Gan Wan
Points	LIV-14, GB-24, GB-34, UB-18, UB-21, SP-6, SP-9, SI-4, REN-12

Heat In The Liver And Stomach

Clinical Manifestations	Morning sickness or Vomiting during pregnancy Nausea with sour regurgitation or Vomiting of sour material Hypochondriac discomfort Belching Sighing Moodiness Dizziness Depression Concentrated urine A tendency toward constipation T: Red edges C: Yellow P: Wiry and rapid
Treatment Principle	Clear Liver and Stomach Heat Descend Qi
Herb Formulas	Su Ye Huang Lian Tang
Points

Cold In The Liver Channel

Clinical Manifestations	Swelling and pain in scrotum as if the testicles were being pulled downward or Contractions and Cold sensations of scrotum which are alleviated by warmth Pain, distention, fullness and Cold sensation in lower abdomen Cold limbs Dislike of Cold and a preference for warmth T: Pale C: White, greasy P: Deep and wiry or Slow or Deep and Excess
Treatment Principle	Warm the Liver Dispel Cold
Herb Formulas	Tian Tai Wu Yao San
Points	Moxa needle LIV-1, REN-4, SP-6

Disharmony Between The Liver And Stomach (Chronic)

Clinical Manifestations	Abdominal pain, distention and cramps Flank pain and distention Epigastric pain and distention Hypochondriac pain and distention Maybe hematemesis Maybe hemoptysis Chest distention Regurgitation of sour fluids Alternating fever and chills Depression Easily angered Chest fullness Bitter taste in mouth Fidgeting Breast distention and pain Irritability Dysmenorrhea Irregular menstruation Amenorrhea T: Pink C: Thin and white P: Wiry or Tight
Treatment Principle	Dredge the Liver Regulate Qi Benefit the Stomach
Herb Formulas	Chai Hu Shu Gan Tang Chen Xiang Jiang Qi Tang
Points	LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, KI-3, SJ-6, SP-6, GB-40, GB-41, REN-12, ST-36, PC-6, UB-18, UB-21

Disharmony Between The Gallbladder And Stomach With Phlegm-Heat

Clinical Manifestations	Acid reflux or Heartburn Nausea Vomiting Indeterminate gnawing hunger Insomnia Anxiety T: Normal C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Resolve Phlegm-Heat Descend Qi Stop reflux
Herb Formulas	Wen Dan Tang modified
Points

Yin And Yang Deficiency (Chronic)

Clinical Manifestations	Palpitations Anxiety Insomnia Dream disturbed sleep Nightmares Hair loss Spontaneous perspiration Amnesia Infantile night crying Dreams of sexual intercourse in women A cold sensation on the tip of the penis Loss of appetite Dizziness Depression Lack of motivation Night sweats Spermatorrhea Nocturnal emissions Lower abdominal contraction and pain Occasional watery diarrhea T: Slightly pale P: Hollow and slow or Hollow and slightly tight
Treatment Principle	Tonify Yin and Yang Harmonize the Ying and Wei Restrain the Jing Suppress rebellion
Herb Formulas	Gui Zhi Jia Long Gu Mu Li Tang
Points

Qi And Yin Deficiency

Clinical Manifestations	Epigastric pain Chronic cough or Dry cough Insomnia Night sweats Spontaneous perspiration Weakness Palpitations Shortness of breath Fever Irritability T: Red and dry or Red and swollen C: Little or None P: Thready and weak
Treatment Principle	Tonify Qi Nourish Yin
Herb Formulas	Yu Ye Tang
Points

Qi And Blood Deficiency

Clinical Manifestations	Lower abdominal pain A somber, pale, white or sallow and lusterless facial complexion Pale lips and nails Fatigue Lassitude Weakness Aversion to Cold Disinclination to speak Stiffness of the neck and back Difficulty moving Spontaneous cool perspiration Dizziness Insomnia Blurred vision Loose stools Maybe edema T: Thick and pale or Thick and dark with teethmarks or petechiae C: Thin P: Thready or Thready and weak
Treatment Principle	Tonify Qi Nourish the Blood Extinguish Wind Unblock the channels
Herb Formulas	Ba Zhen Tang modified
Points	LI-4, LIV-3, UB-17, UB-18, UB-20, UB-21 For Spleen Yang Deficiency: + REN-4 For Kidney Yang Deficiency: + DU-4, UB-23 For more severe Blood Deficiency: + UB-15 For Blood Stagnation: + SP-6, SP-10 For severe fatigue and weakness: + ST-36 For edema: + REN-9, SP-9 For twitching or severe tremors: + GB-20, GB-34 With inhibited bending and stretching: + DU-14, DU-26, REN-24 With pain and numbness in the upper limbs: + SJ-5 With pain and numbness in the lower limbs: + UB-57 With generalized joint pain: + LI-11, SP-9, Ahshi points With instability when walking: + KI-6, UB-62

Qi , Blood And Yang Deficiency

Clinical Manifestations	Lower abdominal pain A somber, pale, white or sallow and lusterless facial complexion Pale lips and nails Fatigue Lassitude Weakness Aversion to Cold Disinclination to speak Stiffness of the neck and back Difficulty moving Spontaneous cool perspiration Dizziness Insomnia Blurred vision Loose stools Maybe edema T: Thick and pale or Thick and dark with teethmarks or petechiae C: Thin P: Thready or Thready and weak
Treatment Principle	Tonify Qi Nourish the Blood Extinguish Wind Unblock the channels
Herb Formulas	Ba Zhen Tangmodified
Points	LI-4, LIV-3, UB-17, UB-18, UB-20, UB-21 For Spleen Yang Deficiency: + REN-4 For Kidney Yang Deficiency: + DU-4, UB-23 For more severe Blood Deficiency: + UB-15 For Blood Stagnation: + SP-6, SP-10 For severe fatigue and weakness: + ST-36 For edema: + REN-9, SP-9 For twitching or severe tremors: + GB-20, GB-34 With inhibited bending and stretching: + DU-14, DU-26, REN-24 With pain and numbness in the upper limbs: + SJ-5 With pain and numbness in the lower limbs: + UB-57 With generalized joint pain: + LI-11, SP-9, Ahshi points With instability when walking: + KI-6, UB-62

Blood Deficiency

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

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

Phlegm-Dampness (Tan Yin)

Clinical Manifestations	Fullness in the chest and hypochondrium Palpitations Shortness of breath Coughing up clear, watery sputum Dizziness Vertigo (when standing) Dyspnea Anxiety Tinnitus Difficult urination Mild edema Cold feet Headache Migraine Weak abdomen T: Pale and swollen C: White and slippery or greasy P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle	Resolve Phlegm Eliminate Dampness
Herb Formulas	Er Chen Tang modified Ping Wei San Wu Ling San With Heat: Wen Dan Tang With Rebellious Stomach Qi: Xuan Fu Dai Zhe Tang Chinese Patent Medicines: With Spleen and Stomach Qi Deficiency and Phlegm-Damp: Xiang Sha Liu Jun Zi Tang With Food Stagnation: Zi Sheng Wan
Points	PC-5, PC-6, REN-12, SP-3, ST-40 With Spleen Deficiency: + LIV-13, ST-36 With foggy-headedness: + GB-20, UB-62 With Liver Qi Stagnation: + GB-34, LIV-3 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Wind-Phlegm: + GB-40, ST-8, ST-41 With Cold Phlegm: + moxa UB-20, UB-23 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 LIV-13, LU-5, PC-6, REN-12, ST-36, UB-20, UB-21

Fluid Overflow (Yi Yin)

Clinical Manifestations	Heaviness and pain 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 or Floating and wiry
Treatment Principle	Warm Yang Benefit water Dispel exogenous pathogens
Herb Formulas	Wu Ling San With indigestion, diarrhea and decreased urination: Si 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 KI-7, LIV-3, SJ-5, ST-36, UB-20, UB-23

Suspended Fluid (Xuan Yin)

Clinical Manifestations	Fluid is suspended below the ribs Cough with sharp pain in the chest and hypochondrium Hypochondriac distention and pain Hard focal distention in the epigastrium Dry heaves Shortness of breath Headache Abdominal distention Wheezing Fullness in the chest Dyspnea caused by extreme chest and back pain Dizziness Vertigo Asthma Rapid breathing Generalized edema which is worse in the lower body Difficult urination and defecation T: Normal or Dark C: Thick, greasy and white P: Deep and wiry
Treatment Principle	Attack and Dispel water
Herb Formulas	Shi Zao Tang
Points	KI-3, LI-4, LI-11, PC-6, REN-11, REN-12, ST-36, UB-13, UB-20, UB-23 LIV-13, LU-5, REN-12, ST-24, ST-28 LIV-13, REN-12, REN-21, SP-9, ST-28, UB-17

Wind-Phlegm ( Feng Tan )

Clinical Manifestations	Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang Er Chen Tang modified
Points	GB-40, PC-5, PC-6, REN-12. SP-3, ST-8, ST-40, ST-41 With Spleen Deficiency: + LIV-13, ST-36 With foggy-headedness: + GB-20, UB-62 With Liver Qi Stagnation: + GB-34, LIV-3 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Cold Phlegm: + moxa UB-20, UB-23 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 Ear: Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen

Cold-Phlegm ( Han Tan )

Clinical Manifestations	Chills Chest fullness Aversion to Cold Stabbing pain in the bones and joints Cough with sputum Cough Wheezing Copious sputum Chest distention Anorexia Indigestion Hiccup Shortness of breath T: Pale C: Thick, white P: Sinking and slow
Treatment Principle	Warm Cold Disperse Phlegm
Herb Formulas	San Zi Yang Qin Tang Er Chen Tang modified With Kidney Yang Deficiency: Su Zi Jiang Qi Tang
Points	PC-5, PC-6, REN-12. SP-3, ST-40, + moxa UB-20, UB-23 With Spleen Deficiency: + LIV-13, ST-36 With foggy-headedness: + GB-20, UB-62 With Liver Qi Stagnation: + GB-34, LIV-3 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Wind-Phlegm: + GB-40, ST-8, ST-41 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 Ear: Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen

Phlegm-Fire

Clinical Manifestations	Simultaneous vomiting and diarrhea Focal distention in the chest and epigastrium A stifling sensation in the chest and epigastrium Irritability Acid regurgitation Anorexia Restlessness Fatigue Abdominal pain A bitter taste in the mouth Dark, scanty, possibly reddish urine T: Normal C: Yellow and greasy P: Slippery and rapid or Smooth and wiry
Treatment Principle	Clear Heat Transform Dampness Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Lian Po Yin Gun Tan Wan Xiao Xian Xiong Tang  modified Chinese Patent Medicines: Qing Qi Hua Tan Wan Wen Dan Wan
Points	Ahshi points along the Stomach channel between ST-36 and ST-39, LI-4, PC-7, PC-8, REN-12, ST-21, ST-34, ST-36, ST-40, ST-44 With Yin Deficiency: + UB-21 , UB-23 With vomiting or spitting Blood: + PC-4 With fever: + LI-11 LI-11, LU-5, ST-40, UB-13 Ear: Stomach, Duodenum, Abdomen, Shenmen, Sympathetic

Phlegm Accumulation Above The Diaphragm And Below The Heart

Clinical Manifestations	Violent nausea and vomiting Severe vomiting of Phlegm and/or thin fluids Severe pain Migrating and shooting pain throughout the upper and lower back Chest pain Precordial pain T: Pale C: Greasy and white P: Deep and wiry
Treatment Principle	Dry Dampness Dissolve Phlegm Regulate Qi Subdue Rebellious Qi Relieve pain
Herb Formulas	Zhi Suo Er Chen Tang
Points

Fire Toxin Leading To Blood Stasis In The Sinews And Blood Vessels

Clinical Manifestations	Ulcerated sores that do not heal on a limb that is dark red Slightly swollen and warm to the touch There may me a rotten smell to the lesion Gangrene of the extremities, especially the fingers and toes with purulent abscess Extreme pain Local inflammation and swelling There may be copious discharge of pus from the ulcers A burning sensation Fever Thirst T: Red C: Normal P: Rapid
Treatment Principle	Clear Heat Resolve toxicity Nourish Yin Invigorate the Blood Alleviate pain
Herb Formulas	Si Miao Yong An Tang
Points

Toxic Heat In The San Jiao

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

Upper Jiao Qi Stagnation With Rebellious Qi

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

Middle Jiao Qi Stagnation

Clinical Manifestations	No desire to eat or drink Diarrhea Abdominal pain Nausea Vomiting Belching with a rotten or sour smell T: Pale and thick C: Greasy or Turbid P: Weak and soggy
Treatment Principle	Augment the Spleen Transform Dampness Harmonize the Stomach Dispel Food Stagnation Relieve diarrhea and vomiting
Herb Formulas	Qi Pi Wan
Points

Damp-Heat In The Middle Jiao

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

Cold-Dampness In The Lower Jiao

Clinical Manifestations	Cold pain in the lower back and body Sciatica Copious urination Extreme heavy sensation in the lower back Absence of thirst T: Pale C: White P: Deep, thready and moderate
Treatment Principle	Warm Yang Strengthen the Spleen Dispel Cold Eliminate Dampness
Herb Formulas	Gan Cao Gan Jiang Fu Ling Bai Zhu Tang
Points

Heat Above And Cold Below (Acute)

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