Hyperglycemia

Yang Ming Jing With Qi And Body Fluid Deficiency

Clinical Manifestations	High fever Profuse sweat Generalized weakness Severe chills Aversion to Heat Red face Severe thirst Thirst may be unquenchable Irritability Anxiety Pruritis Headache Toothache Gum bleeding Epistaxis Dry lips Dry tongue Dry mouth May be sensitive to Cold in the upper back Polyuria Delusions Eye congestion Burning sensation on the skin Itching skin Abdominal fullness without resistance Dry, course skin Listlessness May be heavy labored breathing. Delirious speech (serious cases) Mania (serious cases) T: Red tip and sides C: Yellow, dry or white P: Large and forceless
Treatment Principle	Drain Stomach Fire Generate Fluids Alleviate thirst Nourish Qi
Herb Formulas	Bai Hu Jia Ren Shen Tang
Points

Yang Ming Fu

Clinical Manifestations	Excessive thirst that is not quenched by substantial intake of fluids Frequent, copious urination Turbid urination Lassitude Shortness of breath Epigastric pain T: Pink, Pale or Red C: White or Little or None P: Deficient, weak and thready
Treatment Principle	Augment Qi Nourish Yin Generate Fluids Moisten Dryness Alleviate thirst
Herb Formulas	Yu Ye Tang With Heat: Yu Quan Wan
Points

Yang Ming Fu With Blood Stagnation

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

Qi Stage: Lung And Stomach Heat

Clinical Manifestations	High fever No chills Aversion to Heat Profuse sweat Great thirst with desire to drink No chill Cough Asthma Restlessness Thirst Irritability Abdominal pain Dryness Red face Dry stools Rough breathing Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm T: Red C: Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful or Rolling, gigantic and rapid
Treatment Principle	Clear Heat in Lungs and Stomach Reduce fever Moisten and replenish Body Fluids
Herb Formulas	Zhu Ye Shi Gao Tang
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-37, ST-44. UB-13

Lung And Kidney Yin Deficiency

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel * Dry mouth * Thirst * Night sweats * Five sole heat * Malar flush * Low grade fever in the afternoon * Dry throat, maybe recurrent sore throat * Dry stools and / or constipation * Urine short and red * Heightened libido T: Red C: Little or None P: Thready and rapid *All signs and symptoms marked with an asterisk (*) are due to Deficiency Fire
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

Stomach Fire With Yin Deficiency

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

Stomach And Lung Yin Deficiency

Clinical Manifestations	High fever (sometimes rises and falls) Great thirst Profuse perspiration Aversion to Heat Abdominal pain (worse with pressure) Abdominal distension Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Mental disturbance: Mentally unclear Delirious speech Sharp, stabbing epigastric pain with fixed location Pain is severe after eating Dislike of pressure and heat on epigastrium Pain predominates over distention or Pain but no distention Epigastric rumbling Vomiting purple/black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses T: Red and dry, or black and moist or Dark purple with purple spots or dots C: Thick yellow or dry yellow P: Wiry and choppy or Deep, strong and forceful
Treatment Principle	Drains Heat Breaks up Blood Stasis Purge
Herb Formulas	Tao He Cheng Qi Tang
Points	For Blood Stagnation: SP-4, SP-6, SP-10, ST-21, ST-34, UB-17 For Heat: DU-14, LI-4, LI-11, SJ-5, ST-44 For Stagnation: REN-12, ST-34, ST-36, ST-37, ST-39 For Constipation: SJ-6, ST-25, UB-25

Heart Fire With Kidney Yin Deficiency And Damp Heat In The Lower Jiao

Clinical Manifestations	High fever No chills Aversion to Heat Profuse sweat Great thirst with desire to drink No chill Cough Asthma Restlessness Thirst Irritability Abdominal pain Dryness Red face Dry stools Rough breathing Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm T: Red C: Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful or Rolling, gigantic and rapid
Treatment Principle	Clear Heat in Lungs and Stomach Reduce fever Moisten and replenish Body Fluids
Herb Formulas	Zhu Ye Shi Gao Tang
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-37, ST-44. UB-13

Liver And Kidney Yin Deficiency

Clinical Manifestations	Toothache Loose teeth Bleeding gums Frontal headache Irritability Fever Thirst with a desire to drink cold beverages Epistaxis Dysphoria Excess hunger Hemoptysis Dry throat Hematemesis Restlessness Warm sensations T: Red and dry C: White or Yellow and dry P: Superficial, full, slippery, deficient and large or Gigantic and rapid or Rapid
Treatment Principle	Drain Heat from the Stomach Replenish Yin
Herb Formulas	Yu Nu Jian
Points

Kidney Yang Deficiency With Water Flooding

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Mai Wei Di Huang Wan Bai He Gu Jin Tang Ba Xian Chang Shou Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Kidney Yin Deficiency

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

Qi And Yin Deficiency

Clinical Manifestations	Cough with little yellow sputum Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Coughing up difficult-to-extectorate Phlegm Nausea Scanty urination Hoarseness Thirst Asthma Flushed face Five sole Heat Vomiting T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Benefit the Stomach and Lungs Generate Fluids Descend Qi Harmonize the Middle Jiao
Herb Formulas	Mai Men Dong Tang
Points

Qi And Yin Deficiency With Heat

Clinical Manifestations	Excessive thirst that is not quenched by substantial intake of fluids Frequent, copious urination Turbid urination Lassitude Shortness of breath Epigastric pain Irritability with thirst Dry mouth Increased appetite Weight loss T: Red and dry C: None P: Large and rapid
Treatment Principle	Augment Qi Nourish Yin Generate Fluids Moisten Dryness Clear Heat Alleviate thirst
Herb Formulas	Yu Quan Wan
Points

Dry Heat With Blood And Phlegm Stagnation (Metabolic Syndrome)

Clinical Manifestations	Early-Stage: Food Stagnation + Qi and Blood Stagnation with Heat Alternating fever and chills Fullness in the chest and hypochondrium (with or without pain) Bitter taste in mouth Nausea Continuous vomiting Hard focal distension in the epigastrium Fullness and pain in the epigastrium Burning diarrhea or no bowel movement Despondency Slight fidgeting Slight irritability Headache Constipation or discharge of fluids rectally Tinnitus Diminished hearing Diminished vision Red eyes Manic behavior Asthma Mental instability T: Normal or red C: Yellow or Thick and yellow P: Wiry and forceful or Wiry tight and forceful Middle-Stage: Both Excess and Deficiency + Qi and Blood or Qi and Yin Deficiency of multiple organs + External Excess or Phlegm Stagnation or Blood stagnation Lassitude Fatigue Shortness of breath Dizziness Tinnitus Palpitations Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and Weakness Low grade fever Five sole heat Possible sweating Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	Early-Stage: Relive Stagnation Clear Heat Middle-Stage: Reduce Excess Tonify Deficiency Resolve Phlegm Invigorate the Blood Dispel Stasis
Herb Formulas	Early-Stage: Da Chai Hu Tang Metabolic Syndrome #1       Huo Xue Hua Yu Shu Gan Li Dan Middle-Stage: Yi Qi Yang Yin Huo Xue Fang Qi Deficiency: Si Jun Zi Tang Qi and Yin Deficiency: Shen Qi Di Huang Tang Kidney and Liver Yin Deficiency: Qi Ju Di Huang Tang Liu Wei Di Huang Wan Kidney Yang Deficiency: Jin Gui Shen Qi Wan Kidney Yin and Yang Deficiency: Di Huang Yin Zi Blood Stagnation with Heat: Di Dang Tang
Points