Hyperthyroidism, Grave's-Basedow's Disease

General

Clinical Manifestations	Feeling of a lump in the throat The lump is soft and becomes larger or smaller according to the emotional situation The edges are indistinct Possible nodulations on the thyroid gland Possible exophthalmia Sensation of distention in the eyes Oppressive feeling in the chest and hypochondrium Difficulty swallowing
Herb Formulas	Yu Ping Feng San
Points	PC-5, SP-6, Qiying(Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 LI-4, LI-17, REN-22, SI-17, SJ-13, ST-36 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6

Yang Ming Xu With Constipation

Clinical Manifestations	Feeling of a lump in the throat The lump is soft and becomes larger or smaller according to the emotional situation The edges are indistinct Possible nodulations on the thyroid gland Possible exophthalmia Sensation of distention in the eyes Oppressive feeling in the chest and hypochondrium Difficulty swallowing Constipation Dry stools that cannot easily be expelled, even with purgatives Thirst Distention and fullness of the epigastrium and abdomen Dry mouth Dry lips T: Red, dry and thin C: Little or None or thin and yellow or Burnt and yellow P: Thready and slightly rapid or weak and forceless
Herb Formulas	Zeng Ye Cheng Qi Tang
Points	PC-5, SP-6, Qiying(Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6

Shao Yang Fu With Underlying Liver Qi Stagnation

Clinical Manifestations	Spasms Tics 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 Shao Yang Unblock the three Yang Stages Calm the Liver Transform Phlegm Sedate and calm the Spirit Alleviate spasms
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points	PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Lung And Kidney Yin Deficiency

Clinical Manifestations	Calcaneus pain May be bone spur 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 Spermatorrhea Irregular menses T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Lungs and Kidneys
Herb Formulas	Ba Xian Chang Shou Wan With Lung Heat: Er Dong Tang
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Spleen Qi Deficiency With Phlegm And Liver Qi Stagnation

Clinical Manifestations	Feeling of a lump in the throat The lump is soft and becomes larger or smaller according to the emotional situation The edges are indistinct Possible nodulations on the thyroid gland One or both sides may be involved Possible exophthalmia Sensation of distention in the eyes Oppressive feeling in the chest and hypochondrium Difficulty swallowing Depression Frequent suspicion Perspiration	Irritability Easily angered A tendency to taciturnity Chest oppression Chest pain and fullness Palpitations Frequent sighing Loose stools Irregular menstruation Pre-menstrual tension Nausea Vomiting Loose stools Weakness Tremors T: Pale or dusky C: White or Greasy white P: Wiry or Smooth and soft or Wiry and slippery or Wiry and thready
Treatment Principle	Soothe the Liver Move Qi Tonify Spleen Qi Soften masses Resolve Phlegm
Herb Formulas	Xiao Yao San + Liu Jun Zi Tang Goiter #2 Xiao Yao San + Er Chen Tang Hai Zao Yu Hu Tang Xia Ku Cao Gao San Zhong Kui Jian Tang Dao Tan Tang Hyperthyroid #1 Hyperthyroid #3 Wu Hai Wan Patent: Hai Zao Jing
Points	SJ-6, GB-34, LIV-3, PC-6, REN-12, REN-22, UB-20 Ah Shi points on goiter (4 needle technique) ST-9, ST-10, ST-11, REN-22, REN-23, LI-17, LI-18, Pingying (.7 cun lateral to the space between the 4th and 5th cervical vertebra), Shangtianzhu SI-17 LU-7, LI-4, LI-17, LI-18, REN-17, REN-22, ST-12, KI-27, Bleed Shixuan SJ-13, LU-3, ST-11 GB-10, ST-11 SJ-13, LI-4, 17, ST-36, SI-17, REN-22 LIV-3, ST-40, SJ-13, SI-16, SI-17, LI-17, REN-2 With severe Liver depression: GB-34, LIV-2 With Spleen Qi Deficiency with fatigue and loose stools: ST-36 With exophthalmos or a sense of distention in the eyes: UB-1, GB-20, Taiyang With marked irritability, easily angered and depression: PC-5, DU-24 With insomnia and palpitations: PC-6, HT-7 With increased appetite: REN-12, ST-44 With aversion to heat with sweating: LI-4, ST-44 With tremors of the hands or fingers: LI-4 For Phlegm-Dampness: ST-36, ST-40, PC-6 Ear: Endocrine, Thyroid, Shenmen, Neck Moxibustion: A. GB-20, DU-14, LI-14, Extra point (1.5 cun below DU-14) B. REN-22, REN-17, UB-7, LU-2, LU-3, LI-14, LIV-4, GB-20, DU-14, ST-11, ST-42 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Stomach Fire

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 With Stomach Fire: Yang Yin Qing Re Zhong Yao
Points	ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, LI-4, LI-11, PC-6, PC-8, UB-21 + general points To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Stomach And Lung Yin Deficiency

Clinical Manifestations	Dry throat Thirst Hacking cough with scanty sputum Low grade fever Epigastric pain T: Red C: Little, maybe dry P: Thready and rapid
Treatment Principle	Clear and Nourish the Lungs and Stomach Generate Fluids Moisten Dryness
Herb Formulas	Sha Shen Mai Dong Tang Gu Ben Wan
Points	To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

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

Heart Fire

Clinical Manifestations	Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability, irascibility Feeling of Heat and disturbance in Heart Insomnia Flushed face Bitter taste in mouth T: Red tip, ulcers especially on tip P: Shi and rapid
Treatment Principle	Clear Heart Cool Fire
Herb Formulas	Dao Chi (Re) San San Huang Xie Xin Tang Liang Ge San
Points	HT-7, HT-9, REN-3 PC-8, PC-7, UB-15, HT-7, HT-8 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

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

Clinical Manifestations	Neck enlargement Exophthalmos Dizziness Tremor of the hands Red face Anxiety Easily angered Palpitations Shortness of breath Insomnia Perspiration Excess appetite T: Red C: Yellow P: Thready and rapid
Treatment Principle	Nourish Yin Relieve Fire Resolve Phlegm Soften masses
Herb Formulas	Zeng Ye Tang modified
Points	SP-6, SP-10, KI-7, HT-7, PC-5, LIV-3 With overeating and hungering easily: + ST-44 With anxiety, tremors and a short temper: + GB-34 With enlarged thyroid: + ST-10 With exophthalmos: + UB-10, GB-20 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Heart Qi And Yin Deficiency

Clinical Manifestations	Palpitations Anxiety Apprehension Constant worry Poor concentration Irritability Restless sleep Insomnia Dizziness Emaciation Shortness of breath Constipation Dry mouth and throat Numbness Dry cough Cough with little or no sputum Cough with blood streaked sputum Spontaneous perspiration Night sweats Five Sole Heat due to stress Early menses Restlessness Dry tongue Pale copious menstrual flow Weakness Memory loss Excess dreams Fright Physical and mental fatigue Dry, hard stool Coarse skin Dry throat Weakness A skinny appearance A pale complexion T: Pale and shiny or Red C: Thin and white or None P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle	Augment Qi Nourish Yin and Blood Restores the Pulse Calm the Shen
Herb Formulas	Zhi Gan Cao Tang Chinese Patent Medicines: Jian Nao Wan Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nan Wan An Shen Bu Xin Wan
Points	DU-19, DU-24, HT-5, HT-6, HT-7, PC-5, PC-6, REN-14, ST-36, UB-15, Yintang For spontaneous sweating: + UB-43 Ear: Shenmen, Subcortex, Spleen, Heart, Sympathetic

Heart Yin Deficiency

Clinical Manifestations	Palpitations, easily brought on by fright Startles easily Irritability Insomnia Much dreaming Waking with palpitations or panic attacks and anxiety Poor memory Poor concentration Low grade fever Night sweats Five Sole Heat Restlessness A dry mouth and throat Thirst Dizziness Tinnitus Malar flush Low back pain Dry stools or Constipation Possible mouth or tongue ulcers T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Clear Heart Nourish Heart Yin
Herb Formulas	Ren Shen Mai Dong Tang Tian Wang Bu Xin Dan Qing Xin Lian Zi Yin Suan Zao Ren Tang Sheng Mai San modified Zhu Sha An Shen Wan modified Huang Lian E Jiao Tang modified With Kidney Yin Deficiency: Tian Wang Bu Xin Dan Chinese Patent Medicines: Tian Wang Bu Xin Dan Jian Nan Wan Zhu Sha An Shen Wan Ci Zhu Wan
Points	UB-15, HT-7, HT-6, HT-5, PC-7, PC-6, PC-5, REN-14, SP-6 HT-8, UB-15, UB-23, KI-10, KI-3, GB-20 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 HT-5, HT-7, KI-3, KI-6, LIV-3, PC-6, PC-7, REN-17, UB-15, UB-18, UB-23 With Heart Fire: + HT-8 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Heart And Liver Yin Deficiency

Clinical Manifestations	Palpitations Irritability Easily startled Insomnia Much dreaming Poor memory Low grade fever Night sweats Five sole heat Restlessness Dry mouth Thirst Dry throat Malar flush T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Clear Heart Regulate Liver Qi Nourish Yin
Herb Formulas	Yi Guan Jian + Tian Wang Bu Xin Dan
Points	UB-15, UB-18, UB-23, HT-7, HT-6, HT-5, PC-7, PC-6, PC-5, REN-14, SP-6, LIV-3, KI-3 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Disharmony Between The Heart And Kidneys

Clinical Manifestations	Heart palpitations Restlessness Insomnia with dream-disturbed sleep Dizziness Forgetfulness Depression Maybe grief with easy crying Maybe emotional disturbances Irregular menstruation T: Red tip C:Scanty P: Thready and rapid
Treatment Principle	Nourish Kidney Yin Reduce Heart Fire Calm the mind
Herb Formulas	Tian Wang Bu Xin Dan Ba Xian Chang Shou Wan Gui Zhi Jia Long Gu Mu Li Tang
Points	To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Heart And Kidney Yin Deficiency

Clinical Manifestations	Anxiety Panic attacks Easily startled or frightened Irritability Restlessness Palpitations Fatigue Insomnia often waking to anxiety or panic Very restless sleep Nightmares Inability to think or concentrate even for short periods Nocturnal emissions Forgetfulness Dry stools Dry mouth and throat Mouth sores Tongue sores Low grade afternoon fever Dream disturbed sleep Dizziness Light-headedness Night sweats Five Sole Heat Tinnitus Constipation Low back pain T: Red C: Little P: Rapid or Thready and rapid
Treatment Principle	Enrich the Yin Nourish the Blood TonifY the Heart Calm the Shen Clear Heat
Herb Formulas	Tian Wang Bu Xin Dan For severe Yin Deficiency Fire or as the result of a fever: Huang Lian E Jiao Tang For severe, continuous anxiety or panic attacks: Zhu Sha An Shen Wan For post-traumatic stress disorder (PTSD): Gui Zhi Jia Long Gu Mu Li Tang Chinese Patent Medicines: Tian Wang Bu Xin Dan Zhu Sha An Shen Wan An Shen Bu Xin Wan Jian Nao Wan Ci Zhu Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 DU-19, DU-24, HT-7, KI-3, PC-7, REN-14, UB-15, Yintang Anmian, HT-7, KI-3, LIV-3, PC-7, PC-8, SP-6, UB-14, UB-15, UB-23 With dizziness: + DU-20 With tinnitus: + SI-19, SJ-3 With arrhythmia: + HT-5 Ear: Shenmen, Kidney, Heart, Subcortex, Sympathetic

Heart And Kidney Yin Deficiency With Phlegm

Clinical Manifestations	Goiter The lump is small or large, relatively soft with a slow onset. Palpitations Restlessness Anxiety Fidgeting Hypochondriac pain Insomnia Afternoon fever Night sweats Hand tremors Dry eyes Dry mouth Blurred vision Tiredness T: Red C: Little or none P: Floating and empty, relatively overflowing on left cun or Thready and rapid
Treatment Principle	Nourish Yin Nourish the Heart and Liver Nourish Liver Blood Calm the mind Soften the Liver Resolve Phlegm Soften hardness Dissolve the goiter
Herb Formulas	Fu Fang Jia Kang Gao
Points	Ahshi points, PC-6, ST-36, LI-4, LI-17, HT-7, LIV-3, SP-6, REN-4, KI-6, LU-7 Ahshi points (4 needle technique) ST-9, ST-10, ST-11, REN-22, REN-23, LI-17, LI-18, Pingying (.7 cun lateral to the space between the 4th and 5th cervical vertebra), Shangtianzhu SI-17 LU-7, LI-4, LI-17, LI-18, REN-17, REN-22, ST-12, KI-27, Bleed Shixuan SJ-13, LU-3, ST-11. GB-10, SI-17 SJ-13, LI-4, LI-17, ST-36, SI-17, REN-22 Ear: Endocrine, Thyroid, Shenmen, Neck Moxibustion: 1. GB-20, DU-14, LI-14, Extra point (1.5 cun below DU-14) 2. REN-22, REN-17, UB-7, LU-2, LU-3, LI-14, LIV-4, GB-20, DU-1, ST-11, ST-42

Liver Qi Stagnation

Clinical Manifestations	Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Regulate Liver Qi
Herb Formulas	Chai Hu Shu Gan Tang Xiao Yao San Jia Wei Xiao Yao San Shu Gan Liu Qi Zhi Zhong Yao With more severe Blood Deficiency: Hei Xiao Yao San With Damp-Heat and Phlegm: San Zhong Kui Jian Tang  modified San Zhong Kui Jian Tang #1 San Zhong Kui Jian Tang #2
Points	LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, UB-18, PC-6, SP-6, SJ-6, GB-40, GB-41 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest and hypochondrium Tendency to sigh Melancholy Depression Irritability Inappropriate anger Hypochondriac pain Coughing with profuse phlegm Vomiting Difficulty swallowing A delicate constitution A tendency towards fatigue Palpitations Abdominal distention Muscular and skin flaccidity Fear Edema Asthma Insomnia Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Liver Fire

Clinical Manifestations	Marked goiter which is soft without pain Possible nodulations Possible exophthalmos Emotional tension Severe, splitting headaches with dizziness Head distention Sudden tinnitus or deafness Flushed face Red, swollen, painful eyes Irritability Fidgeting Impetuosity Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst with profuse drinking	Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain Aversion to heat Trembling hands Trembling tongue Palpitations Insomnia Aversion to Heat Profuse sweating Hungers easily with increased food intake T: Red or Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Shi and rapid
Treatment Principle	Clear the Liver Drain Fire Resolve Phlegm Scatter nodulation
Herb Formulas	Long Dan Xie Gan Tang Dang Gui Liu Huang Tang Yi Gan San Liver Fire #1 Hyperthyroid #4 Zhi Zi Qing Gan Tang Zhi Zi Qing Gan Tang #1
Points	LIV-2, UB-18, UB-19, GB-12, GB-34, GB-37 LIV-2, GB-34, SJ-13, SI-16, SI-17, LI-17, REN-22 With exophthalmos: + UB-1, GB-20, Taiyang With depression, irritability and easy to anger: + PC-5, DU-24 With insomnia and palpitations: + PC-6, HT-7 With loose stools and fatigue: + ST-36 With constipation: + SJ-6 With increased appetite: + REN-12, ST-44 With aversion to heat and sweating: + LI-4, ST-44 With tremors of the hands and fingers: + LI-4 With a sensation of throat obstruction: + REN-23, HT-5 With profuse sweating: + LI-4, KI-7 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: + HT-6, KI-7 With palpitations and insomnia: + HT-7, Anmian With sexual irritability and flushed face: + LIV-3, GB-20 With protruding eyes: + UB-20, ST-2, Shangtianzhu With tachycardia: + PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: + Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Liver Wind Stirring Internally: Liver Fire Generates Wind

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Numbness and tremor of limbs Twitching and involuntary writhing of hands and feet Dysphasia Unsteady gait Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Zhen Gan Xi Feng Tang Tian Ma Gou Teng Yin
Points	LIV-2, LIV-14, Ear Shenmen + general points Bleed the Jing-Well points of Six Hand Channels to reduce Heat (Shixuan), DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23 + general points

Liver Fire With Phlegm And Underlying Qi And Yin Deficiency

Clinical Manifestations	Low-grade fever Unilateral or bilateral swollen and bulging eyes Fatigue Weight loss Perspiration Increased blood pressure Marked goiter which is soft without pain Possible nodulations Possible exophthalmos Emotional tension Severe, splitting headaches with dizziness Head distention Sudden tinnitus or deafness Flushed face Red, swollen, painful eyes Irritability Fidgeting Irascibility with violent angry outbursts	Impetuosity Dry mouth Bitter taste in mouth Thirst with profuse drinking Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain Aversion to heat Trembling hands Trembling tongue Palpitations Insomnia Aversion to Heat Profuse sweating Hungers easily with increased food intake T: Red or Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Drain Fire Resolve Phlegm Scatter nodulation
Herb Formulas	Hyperthyroid #7
Points	LIV-2, UB-18, UB-19, GB-12, GB-34, GB-37 LIV-2, GB-34, SJ-13, SI-16, SI-17, LI-17, REN-22 With exophthalmos: UB-1, GB-20, Taiyang With depression, irritability and easy to anger: PC-5, DU-24 With insomnia and palpitations: PC-6, HT-7 With loose stools and fatigue: ST-36 With constipation: SJ-6 With increased appetite: REN-12, ST-44 With aversion to heat and sweating: LI-4, ST-44 With tremors of the hands and fingers: LI-4 With a sensation of throat obstruction: REN-23, HT-5 With profuse sweating: LI-4, KI-7 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Liver Yin Deficiency With Liver Yang Rising

Clinical Manifestations	Goiter Possible nodulations Possible exophthalmos Tension around the eyes Severe, splitting headaches Aversion to heat Restlessness Hot flashes Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome) Weakness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole heat Low-grade fever Night sweats Irritability Insomnia Palpitations	Excess dreams Stools difficult to pass Sudden tinnitus or deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Increased food intake Emaciation Constipation or dry stools Maybe rib pain Spermatorrhea Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red or Red tip and edges C: None or Thick, yellow, dry and rough P: Thready and rapid or Wiry, Shi and Rapid
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	San Jia Fu Mai Tang Da Bu Yin Wan Tian Ma Gou Teng Yin Qi Ju Di Huang Wan Long Dan Xie Gan Tang Zhen Gan Shi Feng Tang Zhi Bai Di Huang Wan Hyperthyroid #5
Points	GB-20, GB-34, GB-43, DU-20, LIV-2, LIV-3, UB-18, UB-23, KI-3 LIV-2, LIV-3, GB-20, DU-20 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Liver Yin Deficiency With Blood Deficiency

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability A quick temper Poor memory Frightens easily Insomnia with difficulty falling asleep or frequent waking Much dreaming Restless sleep Maybe talking during sleep Severe: Sleep walking Tinnitus Waking with a dry throat or thirst Palpitations Numbness of the limbs Light menses or Amenorrhea Late menses T: Red and dry C: Little or None P: Wiry or Thready and rapid
Treatment Principle	Nourish the Liver Reinforce the Blood Nourish Yin Calm the Hun Clear Heat
Herb Formulas	Suan Zao Ren Tang With Liver Qi Stagnation: Yi Guan Jian Chinese Patent Medicines: An Shen Bu Niao Wan Suan Zao Ren Tang Pian
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 Anmian, GB-20, HT-7, LIV-3, PC-6, UB-15, UB-17, UB-18, UB-23, Yintang

Liver And Kidney Yin Deficiency With Liver Yang Rising

Clinical Manifestations	Goiter Possible nodulations Possible exophthalmos Tension around the eyes Severe, splitting headaches Aversion to heat Restlessness Hot flashes Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), Weakness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole heat Low-grade fever Night sweats Irritability Insomnia Palpitations	Excess dreams Stools difficult to pass Sudden tinnitus or deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Increased food intake Emaciation Constipation or dry stools Maybe rib pain Spermatorrhea Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red or Red tip and edges C: None or Thick, yellow, dry and rough P: Thready and rapid or Wiry, Shi and Rapid
Treatment Principle	Nourish Yin Subdue Yang Transform Phlegm Scatter nodulation
Herb Formulas	San Jia Fu Mai Tang Da Bu Yin Wan Tian Ma Gou Teng Yin   Qi Ju Di Huang Wan Long Dan Xie Gan Tang Zhen Gan Shi Feng Tang Zhi Bai Di Huang Wan Hyperthyroid #5 Da Ding Feng Zhu With Blood Deficiency: Dang Gui Liu Huang Wan With tremors: Da Bu Yin Wan + Liu Wei Di Huang Wan modified For stubborn cases or muscle spasms: Da Ding Feng Zhu If due to substance abuse: Tian Wang Bu Xin Dan Chinese Patent Medicines: He Che Da Zao Wan Qi Ju Di Huang Wan Zhi Bai Ba Wei Wan
Points	GB-20, GB-34, GB-43, DU-20, LIV-2, LIV-3, UB-18, UB-23, KI-3 LIV-3, HT-7, KI-7, SJ-13, SI-16, SI-17, LI-17, ST-9 With dizziness: GB-20 With rough eyes and blurred vision: + GB-37 With hot flashes: + HT-6, DU-14 With tinnitus: + GB-2 With low back pain and sore and weak knees: + UB-23 With exophthalmos and distention in the eyes: + UB-1, GB-20, Taiyang With marked heart palpitations: + PC-6 With lack of strength and loose stools due to Spleen Deficiency: + ST-36 With constipation: + SJ-6 With aversion to heat with sweating: + LI-4, ST-44 With tremors of the hands and fingers: + LI-4 With a sensation of throat obstruction: + REN-23, HT-5 With profuse sweating: + LI-4 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: + HT-6, KI-7 With palpitations and insomnia: + HT-7, Anmian With sexual irritability and flushed face: + LIV-3, GB-20 With protruding eyes: + UB-20, ST-2, Shangtianzhu With tachycardia: + PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: + Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 With Fire Rising: SP-6, SP-10, KI-7, HT-7, PC-5, LIV-3 With overeating and hungering easily: + ST-44 With anxiety, tremors and a short temper: + GB-34 With enlarged thyroid: + ST-10 With exophthalmos: + UB-10, GB-20 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9 With tremors: HT-7, KI-3, KI-6, LIV-3, LIV-8, LU-7, REN-4, UB-18, UB-23 With anxiety: + PC-6, Yintang

Liver Blood Deficiency With Heat

Clinical Manifestations	Muscle spasms Feverishness Bruxism Palpitations Anxiety Fever and chills Alternating chills and fever Spitting of sputum or saliva Abdominal distention Reduced appetite Restless sleep Nervousness Rigidity and pain of the neck and head Opisthotonos Numbness of the limbs Vertigo Dizziness Hemiplegia Irritability Insomnia Clenching or grinding of teeth Easily frightened Restlessness
Treatment Principle	Calm the Liver Regulate the Liver Qi and Blood Dispel Heat
Herb Formulas	Yi Gan San
Points	GB-20, GB-34, GB-43, DU-20, LIV-2, LIV-3, UB-18, UB-23, KI-3 LIV-3, HT-7, KI-7, SJ-13, SI-16, SI-17, LI-17, ST-9 With dizziness: GB-20 With rough eyes and blurred vision: GB-37 With hot flashes: HT-6, DU-14 With tinnitus: GB-2 With low back pain and sore and weak knees: UB-23 With exophthalmos and distention in the eyes: UB-1, GB-20, Taiyang With marked heart palpitations: PC-6 With lack of strength and loose stools due to Spleen Deficiency: ST-36 With constipation: SJ-6 With aversion to heat with sweating: LI-4, ST-44 With tremors of the hands and fingers: LI-4 With a sensation of throat obstruction: REN-23, HT-5 With profuse sweating: LI-4 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 With Fire Rising: SP-6, SP-10, KI-7, HT-7, PC-5, LIV-3 With overeating and hungering easily: + ST-44 With anxiety, tremors and a short temper: + GB-34 With enlarged thyroid: + ST-10 With exophthalmos: + UB-10, GB-20 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

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
Treatment Principle	Nourish Kidney Yin
Herb Formulas	Liu Wei Di Huang Wan Zuo Gui Wan  modified Chinese Patent Medicines: Liu Wei Di Huang Wan He Che Da Zao Wan With Deficient Heat: Zhi Bai Di Huang Wan With tinnitus: Er Ming Zuo Ci Wan With visual disturbances: Ming Mu Di Huang Wan With Liver and Kidney Yin Deficiency: Qi Ju Di Huang Wan
Points	KI-1, KI-3, KI-6, UB-23, SP-6, REN-4 KI-1, KI-2, KI-3, KI-6, UB-23, REN-4, SP-6, LIV-3, GB-20, LI-11, ST-36 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Kidney Yin Deficiency With Fire Flaring

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

Kidney Yin Deficiency With Excess Stomach Fire

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 re	Heightened libido Toothache Loose teeth Bleeding gums Frontal headache Irritability Fever Thirst with a desire to drink cold beverages Epistaxis Hemoptysis Dry throat Hematemesis Restlessness 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 For Stomach Fire: Bai Hu Tang With insomnia: Wu Mei Wan
Points	KI-1, KI-3, KI-6, UB-23, SP-6, REN-4 KI-1, KI-2, KI-3, KI-6, UB-23, REN-4, SP-6, LIV-3, GB-20, LI-11, ST-36 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6  With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 For Stomach Fire: ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21, PC-6, PC-8, LI-4, LI-11 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Kidney Yin And Yang Deficiency

Clinical Manifestations	Over excitement Restlessness Aversion to heat Profuse sweat Polyphagia Weight loss Severe palpitations Exophthalmos Irritability Hectic fever Progressive emaciation Thyroid enlargement Dream disturbed sleep Pantalgia, aggravated at night Congestive Heart failure Paroxysmal arrhythmia Weight loss Chronic diarrhea Long-standing low grade fever T: Deep red, thin C: Scanty P: Thready and rapid
Treatment Principle	Nourish the Kidneys and Liver Purge Fire Calm the Shen
Herb Formulas	Liu Wei Di Huang Wan + Long Dan Xie Gan Tang Zi Shui Qing Gan Yin Da Bu Yin Wan Er Xian Tang Chronic hyperthyroidism: He Che Da Zao Wan
Points	REN-4, UB-13, UB-23, DU-4, KI-1, ST-28, LU-5, LIV-2 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Kidney And Liver Yin Deficiency

Clinical Manifestations	Low back, knees and legs painful and weak Foot pain Light-headedness Vertigo Tinnitus Diminished hearing Five sole Heat Chronic dry, sore throat Toothache Wasting and thirsting disorder (Xiao Ke) Dizziness Muscular weakness Dry skin Deafness Steaming bones Tidal fevers Loose teeth Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Heel pain Dry mouth Blurred vision Hemoptysis Asthma Hot flashes Nocturnal emissions Urinary incontinence Spontaneous and nocturnal emissions Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Enrich Yin Astringe and Nourish the Essence of the Liver and Kidneys
Herb Formulas	Mai Wei Di Huang Wan With Fire Flaring and Blood Deficiency: Dang Gui Liu Huang Wan
Points	UB-18, UB-23, SP-6, LIV-3, KI-3 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Kidney And Liver Yin Deficiency With Heart And Liver Deficiency Heat

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 Dry mouth Irritability	Insomnia or Light sleep Tremors Emaciation Stools difficult to pass Constipation Spermatorrhea Irregular menses or Scanty menses or Amenorrhea Vaginal discharge Insomnia with much dreaming Premature ejaculation Palpitations Legs weak Tidal fever Dry mouth Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat from the Heart, Liver and Stomach
Herb Formulas	Hyperthyroid #2 With Liver Qi Stagnation: Liver Qi Stagnation #1 With Liver Fire: Liver Fire #1 Qi Ju Di Huang Wan Tian Wang Bu Xin Dan Zhi Bai Di Huang Wan
Points	KI-10, KI-7, KI-3, SP-6, HT-7, PC-5, PC-7, PC-8 For goiter: ST-10, Pingying (7 fen lateral to the space between C-4 and C-5), Shangtianzhu, LI-4, ST-40 PC -6, PC-5, ST-36, SP-6, Ahshi points around goiter PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Qi And Yin Deficiency

Clinical Manifestations	Neck enlargement Exophthalmia 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 Hand tremors	Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and Weakness Low grade fever Five sole heat Maybe profuse perspiration Possible tremors of the hands and tongue Scanty fluid intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	Strengthen Qi Nourish Yin Relieve perspiration
Herb Formulas	Jia Kang Zhong Fang Zhi Gan Cao Tang modified Hyperthyroid #6 Yi Guan Jian Sheng Mai San Yi Qi Yang Yin Zhong Yao With Phlegm nodulation: Jia Kang Ping With Liver Qi Stagnation Transforming into Heat and Phlegm nodulation: Jia Kang Jian Tang
Points	UB-15, UB-18, UB-20, UB-23, SJ-13, SI-16, SI-17, LI-17 With marked Heart Yin Deficiency: + HT-7 With marked Liver and Kidney Yin Deficiency: + KI-7 With marked Spleen Qi Deficiency: + ST-36 With lassitude fatigue and poor memory: + Sishencong With dizziness: + GB-20 With rough eyes and/or blurred vision: + GB-37 With facial hot flashes: + HT-6, DU-14 With tinnitus: + GB-2 With low back and knee soreness and weakness: + UB-52 With exophthalmos and distention in the eyes: + UB-1, GB-20, Taiyang With marked heart palpitations: + PC-6 With increased appetite: + REN-12, ST-44 With tremors of the hands or fingers: + + LI-4, LIV-3 With a sensation of throat obstruction: REN-23, HT-5 With profuse sweating: + LI-4, KI-7 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: + HT-6, KI-7 With palpitations and insomnia: + HT-7, Anmian With sexual irritability and flushed face: + LIV-3, GB-20 With protruding eyes: + UB-20, ST-2, Shangtianzhu With tachycardia: + PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 ST-36, SP-4, SP-6, KI-3, PC-6, REN-6 With Spleen Qi Deficiency: + UB-20, UB-23, REN-6 With Liver Fire: + LIV-2 With insomnia: + KI-7 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Qi And Blood Deficiency

Clinical Manifestations	Numbness and weakness of the extremities Feeling of a lump in the throat The lump is soft and becomes larger or smaller according to the emotional situation 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

Qi And Phlegm Stagnaiton

Clinical Manifestations	Goiter in the front of the neck which is soft and not painful Enlarged thyroid gland Maybe nodulations on the thyroid gland Irritability Depression Frequent suspicion Frequent sighing A quick temper A tendency toward taciturnity Feeling of oppression in the chest Rib and flank pain Plum-seed Qi Stagnation Maybe exophthalmia or A sense of distention in the eyes T: Red or Pale red C: Thin and greasy P: Wiry and Slippery-wiry
Treatment Principle	Resolve phlegm Regulate Qi circulation Soothe the Liver Resolve nodulations
Herb Formulas	Chai Hu Shu Gan Tang Ban Xia Hou Po Tang Xiao Chai Hu Tang + Xiao Yao San  modified
Points	UB-15, UB-18, UB-20, UB-23, SJ-13, SI-16, SI-17, LI-17 With marked Heart Yin Deficiency: + HT-7 With marked Liver and Kidney Yin Deficiency: + KI-7 With marked Spleen Qi Deficiency: + ST-36 With lassitude fatigue and poor memory: + Sishencong With dizziness: + GB-20 With rough eyes and/or blurred vision: + GB-37 With facial hot flashes: + HT-6, DU-14 With tinnitus: + GB-2 With low back and knee soreness and weakness: + UB-52 With exophthalmos and distention in the eyes: + UB-1, GB-20, Taiyang With marked heart palpitations: + PC-6 With increased appetite: + REN-12, ST-44 With tremors of the hands or fingers: + LI-4, LIV-3 With a sensation of throat obstruction: + REN-23, HT-5 With profuse sweating: + LI-4, KI-7 PC-5, SP-6, Qiying (Do not retain) With Excess sweat: + HT-6, KI-7 With palpitations and insomnia: + HT-7, Anmian With sexual irritability and flushed face: + LIV-3, GB-20 With protruding eyes: + UB-20, ST-2, Shangtianzhu With tachycardia: + PC-6 LI-17, LIV-3, REN-22, SI-16, SI-17, SJ-13, ST-40 With Liver Qi Stagnation: + GB-34 With depressive Heat: + GB-34, - LIV-3, + LIV-2 For Spleen Qi Deficiency with loose stools and fatigue: + ST-36 With exophthalmia or a sensation of distention in the eyes: + GB-20, Taiyang, UB-1 With marked irritability, a quick temper and depression: + PC-5, REN-24 With insomnia and palpitations: + HT-7, PC-6 With an increased appetite: + REN-12, ST-44 With aversion to Heat with sweating: + LI-4, ST-44 With tremors of the hands and fingers: + LI-4 Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between:    A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3    B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6    With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 ST-36, SP-4, SP-6, KI-3, PC-6, REN-6 With Spleen Qi Deficiency: + UB-20, UB-23, REN-6 With Liver Fire: + LIV-2 With insomnia: + KI-7 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung

Yin Deficiency Due To Fire

Clinical Manifestations	Neck enlargement Exophthalmos Dizziness Tremor of the hands Red face Anxiety Easily angered Palpitations Shortness of breath Insomnia Perspiration Excess appetite T: Red C: Yellow P: Thready and rapid
Treatment Principle	Nourish Yin Relieve Fire Resolve Phlegm Soften masses
Herb Formulas	Zeng Ye Tang modified
Points	SP-6, SP-10, KI-7, HT-7, PC-5, LIV-3 With overeating and hungering easily: + ST-44 With anxiety, tremors and a short temper: + GB-34 With enlarged thyroid: + ST-10 With exophthalmos: + UB-10, GB-20 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Yin And Blood Deficiency With Qi And Blood Stagnation And Nodulation

Clinical Manifestations	The lump is small or large and relatively soft with a slow onset Palpitations Insomnia Afternoon fever Night sweats Hand tremors Constipation Urine short and red Heightened libido Blurred vision Pain that is fixed, stabbing and /or severe or Dry eyes Blurred vision Tiredness T: Red C: Little or none P: Floating and empty, relatively overflowing on left cun
Treatment Principle	Nourish Yin and Blood Circulate Qi Invigorate the Blood Resolve Phlegm Eliminate nodulations
Herb Formulas	Ping Ying Fu Fang
Points

Phlegm And Blood Stagnation

Clinical Manifestations	Neck swelling The lump is a hard nodular mass that is immovable and grows rapidly The lumps have an irregular surface The lump may move slightly when swallowing The skin over the mass is dark and painful A feeling of chest oppression Palpitations Shortness of breath Exophthalmos Irascibility Insomnia Anxiety Hoarse voice T: Swollen and purple C: Sticky P: Wiry and/or choppy or Wiry and Rolling
Treatment Principle	Regulate Qi Invigorate Blood Eliminate Stasis Resolve Phlegm Soften hardness Dissolve goiter
Herb Formulas	Jia Shi Jia Kang Fang
Points	SJ-6, GB-34, LIV-3, PC-6, SP-4, REN-12, REN-22, SP-10, UB-17, UB-18, ST-40, LI-17

Phlegm Fire

Clinical Manifestations	Cervical nodules Dry throat Dry mouth Bitter taste in mouth T: Red C: Dry and yellow P: Rapid and Wiry or Slippery
Treatment Principle	Clear Fire Resolve Phlegm
Herb Formulas	Xiao Luo Wan With insomnia: Huang Lian Wen Dan Tang
Points	PC-5, SP-6, Qiying (Do not retain) With Excess sweat: HT-6, KI-7 With palpitations and insomnia: HT-7, Anmian With sexual irritability and flushed face: LIV-3, GB-20 With protruding eyes: UB-20, ST-2, Shangtianzhu With tachycardia: PC-6 Ear: Shenmen, Subcortex, Endocrine, Stop wheezing, Heart, Lung Moxa: 50 cones @ LIV-3 and Ahshi points around goiter Cutaneous: tap from T-5-T-10, UB-18, LIV-3, SP-3, REN-22, ST-36, LI-11, LI-4, SJ-17, LI-18, LI-4, REN-17, REN-22, SI-16, ST-12, KI-27, LU-1, LU-7, bleed Shixuan With goiter and swollen throat: LU-3, SJ-13, ST-11 Alternate between: A. GB-20, DU-4, DU-14, UB-11, REN-22, ST-10, SJ-3 B. UB-10, UB-12, DU-3, DU-12, REN-23, ST-9, GB-22 ST-9 through goiter, REN-22, LI-4, ST-36, Zeqian, KI-3, SP-6, PC-6 With insomnia: Anmian, Taiyang, GB-20 DU-14, UB-13, UB-15, UB-23, GB-21, LI-11, ST-36, SP-6, REN-22, SI-14, HT-7 + indirect moxa for 5 min. PC-4, Qiying, SP-6 For Phlegm Fire: ST-40, St-44, LI-11, PC-5 To transform Phlegm, open the vessels and remove stasis: SJ-10, LI-11, ST-40, SP-10, UB-7 To clear the Liver and drain the Fire: GB 34, LIV-2 through to LIV-3, UB-18, SP-6, SP-9

Wind-Phlegm (Feng Tan) With Qi And Yin Deficiency

Clinical Manifestations	Marked emotional changes and behavior Irritability A feeling of Qi rushing upward Red eyes Headache - lasts all day Tinnitus Palpitations Insomnia Hot flushes Anorexia A feeling of distention and oppression below the Heart Abdominal bloating Muscle spasms in the shoulders, neck and back Dizziness Vertigo T: Red edges C: Greasy P: Soft and wiry and maybe rapid
Treatment Principle	Clear Heat from the Liver channel Descend Liver Yang Extinguish Liver Wind Transform Phlegm Strengthen the Spleen Enrich fluids
Herb Formulas	Gou Teng San
Points

Phlegm-Heat Generates Wind (Re Tan)

Clinical Manifestations	Mild or severe tremors of the head and extremities Sometimes the tremors can be stopped by conscious effort Fullness and stiffness of the chest and epigastrium A dry mouth Dizziness Vertigo Sweating Yellow Phlegm A tendency toward obesity T: Normal or Red C: Greasy and yellow P: Wiry, slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Extinguish Wind
Herb Formulas	Dao Tan Tangmodified With severe Phlegm, Heat and tremors: Cui Gan Wan Chinese Patent Medicines: An Gong Niu Huang Wan Wan Shi Niu Huang Qing Xin Wan Hu Po Bao Long Wan
Points	DU-12, GB-13, LIV-3, PC-5, REN-15, ST-25, ST-40 If worse at night: + KI-6 If worse during the day: + UB-62

Tan Yin

Clinical Manifestations	Abdominal distension Poor appetite Edema Chest and hypochondriac distension Dizziness Nausea and vomiting Thirst but doesn't wish to drink Maybe no thirst Palpitations Shortness of breath T: Pink C: Thick, slippery P: Slippery and full and maybe wiry
Treatment Principle	Eliminate Dampness Resolve Phlegm
Herb Formulas	Ling Gui Zhu Gan Tang
Points	ST-40, SP-6, SP-9, SJ-6, PC-6, UB-13, UB-20, UB-23