Hypotension

Spleen Qi Deficiency

Clinical Manifestations	A pale, lusterless or sallow complexion Fatigue, often worse after large meals Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath A weak voice Disinclination to speak Aversion to Cold Dizziness Often, a craving for sweets T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient or Thready, forceless, moderate or sometime slow
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Sheng Ya Tang
Points	DU-20, REN-6, SP-6, ST-36 For Heart Yang Deficiency with palpitations, an empty feeling in the Heart area, cold hand, and purple nails and lips: + PC-6, UB-15, UB-17 With Blood Deficiency: + UB-17, UB-20 With Yin Deficiency Fire: + KI-6 For loose stools and fatigue which are worse after large meals: + SP-3 With Liver Qi Stagnation: + UB-18, UB-47 LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Central Qi Sinking

Clinical Manifestations	Prolapse of one or more organs Sallow complexion Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20, other points are selected according to the type of prolapse

Spleen Deficiency With Dampness

Clinical Manifestations	Dizziness Headache Chest oppression Nausea Reduced food intake Short, scanty urination Slight edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue T: Pale and maybe swollen C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Shen Zhu Yi Qi Shen Shi Tang
Points	DU-20, REN-12, SP-5, ST-36 For more marked Spleen Deficiency: + UB-21 With Blood Deficiency: + UB-17, UB-18, UB-20 With Liver Qi Stagnation: + LIV-3, PC-6 With Heart palpitations: + HT-7, PC-6 REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Fu Zi Li Zhong Wan Xiao Jian Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Dizziness Impaired memory Fatigue Aversion to Cold Body cold Limbs icy Complexion white and shiny Palpitations Shortness of breath Reduced food intake Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Decreased sexual desire Infertility Irregular menstruation Severe: Abdominal ascites T: Pale, moist and swollen with teethmarks C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow or Deep and moderate
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Jin Gui Shen Qi Wan  modified
Points	Moxa or moxa needle DU-20, REN-4, REN-6, ST-36 For Heart Yang Deficiency with palpitations, an empty feeling in the Heart area, cold hand, and purple nails and lips: + PC-6, UB-15, UB-17 With Blood Deficiency: + UB-17, UB-20 With Yin Deficiency Fire: + KI-6 For loose stools and fatigue which are worse after large meals: + SP-3 With Liver Qi Stagnation: + UB-18, UB-47 or PC-5 For impaired memory: + Sishencong For severe fatigue: + SP-3 With severe Heart palpitations: + PC-6 Loose stools with reduced food intake: + SP-9, ST-21 For low back weakness and pain: + KI-7 Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Heart Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue Weakness Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Big and weak or Intermittent
Treatment Principle	Reinforce and Strengthen Heart Qi
Herb Formulas	Si Jun Zi Tang Bao Yuan Dan Zhi Gan Cao Tang
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15

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

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Liver Blood Deficiency

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Si Wu Tang Bu Gan Tang For head and eye signs and symptoms: Qi Ju Di Huang Wan For menstrual disorders: Hei Xiao Yao San
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Kidney Yang Deficiency

Clinical Manifestations	Poor memory Mental and physical fatigue Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness, worse with exertion Tinnitus Loss of hearing Impotence Spermatorrhea Premature ejaculation Low libido Fluid retention Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) You Gui Wan Zhen Wu Tang Niu Che Shen Qi Wan Chinese Patent Medicines: Jin Kui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan Quan Lu Wan
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 Moxa or moxa needle DU-20, DU-4, KI-3, REN-4, SI-3, UB-23, UB-62 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Yin, Yang, Jing And Blood Deficiency

Clinical Manifestations	Emaciation Weakness Spermatorrhea Blurred vision Aching and weak low back and knees Daybreak diarrhea Weight loss Dizziness Nocturnal emissions T: Pink or Pale C: White or None P: Thready and frail or Deep, slow and weak
Treatment Principle	Nourish and replenish Yin Tonify Jing Augment Qi Tonify and strengthen Yang Nourish the Blood
Herb Formulas	Gui Lu Er Xian Jiao
Points

Extreme Yang Deficiency In Tai Yin, Shao Yin And Jue Yin

Clinical Manifestations	Severe aversion to Cold Body curled up Icy cold extremities Vomiting Diarrhea Absence of thirst Abdominal pain Lack of energy A constant desire to sleep Shivering Foaming at the mouth Lips and nails purplish T: Pale C: White P: Deep and thready or Impalpable
Treatment Principle	Rescue Yang (emergency) Strengthen Qi Generate the pulse
Herb Formulas	Hui Yang Jiu Ji Tang
Points

Qi Deficiency

Clinical Manifestations	Fatigue Loose stools Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion T: Pale C: White P: Empty
Treatment Principle	Tonify Qi
Herb Formulas	Si Jun Zi Tang Liu Jun Zi Tang
Points	KI-3, LU-9, SP-6, ST-36

Qi And Yin Deficiency

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle	Augment Qi Generate Fluids Clear Heat Preserve Yin Stop Excess perspiration
Herb Formulas	Sheng Mai San Jia Wei Sheng Mai San For predominant Liver and Kidney Yin Deficiency: Liu Wei Di Huang Wan  modified
Points	DU-20, KI-7, SP-6, ST-36 With Yang Deficiency: + moxa REN-6 With spontaneous perspiration: + LI-4 With night sweats: + HT-6 With a dry mouth and throat: + KI-6 With Heart palpitations: + HT-7, PC-6 With marked Kidney Yin Deficiency: + UB-23 With marked Liver Blood Deficiency: + UB-18 With marked Heart Yin Deficiency: + HT-7 With Yin Deficiency Fire: + KI-2 With dizziness: + GB-20

Qi And Blood Deficiency

Clinical Manifestations	Dizziness that is usually mild and postural and worse with fatigue Vertigo Poor memory Fatigue Lethargy Low spirits Depression Loose stools Poor appetite Pale face Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Anxiety Phobias Panic attacks Blurred vision Spots before the eyes Insomnia Dry skin Dry hair Forgetfulness Pale face, lips and nails Scanty periods or Bruises easily T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Gui Pi Tang Ba Zhen Tang Ren Shen Yang Rong Tang With Cold symptoms: Shi Quan Da Bu Tang With Spleen Yang Deficiency: Fu Zi Li Zhong Wan With spontaneous sweating: Bu Zhong Yi Qi Tang Post hemorrhage: Dang Gui Bu Xue Tang  modified Chinese Patent Medicines: Ba Zhen Wan Dang Gui Ji Jing With Cold symptoms: Shi Quan Da Bu Wan With Spleen Qi Sinking: Bu Zhong Yi Qi Wan
Points	DU-20, REN-6, SP-6, ST-36, UB-20 With palpitations: + PC-6, UB-15 With insomnia: + Anmian, HT-7 KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17 LIV-13, REN-11, REN-12, ST-36, UB-17, UB-20, UB-23, UB-43 REN-4, SP-6, ST-36, UB-20

Qi Deficiency With Blood Stasis And Phlegm Turbidity

Clinical Manifestations	Either low Blood pressure or Blood pressure that is sometimes low and sometimes high Relatively high Blood lipids Dizziness Headache Chest oppression Piercing pain Heart flutter Shortness of breath Lassitude Lack of strength T: Dark with possible static spots or macules C: White P: Wiry, moderate and choppy
Treatment Principle	Transform Phlegm Descend turbidity Tonify Qi Invigorate the Blood
Herb Formulas	Huang Jing Dang Shen Sheng Ya Tang
Points	DU-20, SP-6, ST-36, UB-17 For marked Spleen Deficiency: + SP-3, UB-20 For Heart flutter and chest oppression: + HT-7, PC-6 For more marked Phlegm Turbidity: + REN-12, ST-40 With Blood Deficiency: + UB-18, UB-20 With Liver Qi Stagnation: + LIV-3, PC-6

Blood Deficiency

Clinical Manifestations	Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods T: Pale C: Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Si Wu Tang Dang Gui Shao Yao San Dang Gui Jian Zhong Tang
Points	LIV 3, SP-6, ST-36, UB 11, UB-17