Indigestion, Dyspepsia

General

Clinical Manifestations	A persistent or recurrent pain or discomfort in the upper abdomen.
Treatment Principle
Herb Formulas
Points	REN-12, ST-25, ST-36, Sifeng, moxa or moxa needle REN-6, REN-12, ST-25 With vomiting: + PC-6 With chronic diarrhea: + SP-6, SP-9, UB-20 With disorientation: + DU-26 With spasms of the hands and feet: + GB-34, LI-4, LI-11, LIV-3 With cold limbs: + moxa or moxa needle REN-4, UB-23 With fever: + LU-5, LU-11, bleed UB-40 Moxa or moxa needle REN-4, REN-8, ST-25 LI-4, REN-4, ST-25, ST-36 SP-4, ST-36 For nervous dyspepsia: 1. REN-6, REN-11, REN-13, UB-10, UB-17, UB-20, UB-22 2. REN-12, REN-14, UB-11, UB-18, UB-21, UB-49 Cutaneous: DU-12, Huatuojiaji from T-6 to T-10, LI-4, REN-4, REN-6, REN-12, SP-6, ST-36, UB-20, UB-21, UB-22 Ear: Sympathetic, Shenmen, Stomach, Large Intestine, Small Intestine, Pancreas, Gallbladder For chronic diarrhea: moxa or moxa needle REN-3, REN-4, REN-12 With abdominal pain and cold extremities: moxa or moxa needle ST-25 For abdominal fullness: SP-6 With cold extremities: + REN-6 For infantile indigestion: LI-4, or ST-36, UB-25 With vomiting: + moxa PC-6 For infantile vomiting and diarrhea: moxa 50 cones below the umbilicus

Tai Yan Shang Han With Spleen And Stomach Deficiency

Clinical Manifestations	Fever and chills Headache Chest and gastric fullness and oppression Pain in the epigastrium and abdomen Nausea and vomiting Borborygmus Diarrhea Loss of taste Aversion to Cold Cough Indigestion No perspiration Chest discomfort Sore throat Disorientation Madness General lassitude Anorexia Delirious speech Maybe loss of voice Intermittent chills and fever Afternoon fever and tight Sudden turmoil disorder Malarial disorders Loose stools T: Normal C: Greasy and white P: Moderate and soggy or floating and forceful
Treatment Principle	Release the Exterior Transform Dampness Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Huo Xiang Zheng Qi Tang
Points

Tai Yang Shang Han With Qi Stagnation In The Interior

Clinical Manifestations	Aversion to Cold Fever Headache Anhidrosis Anorexia Belching Aching shoulders Tinnitus Focal distention in the chest and epigastrium A stifling sensation in the chest and epigastrium Vertigo Nausea T: Normal C: Thin and white P: Floating
Treatment Principle	Regulate Qi Release the Exterior
Herb Formulas	Xiang Su San
Points	DU-16, GB-20, GB-40, LI-4 + LU-7 or LI-4 + KI-7, LIV-3, LIV-14, LU-5, PC-6, UB-12, UB-13, UB-18

Tai Yang - 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
Points

Shao Yang Jing

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Occasional vomiting Headaches (side of head) Hypochondriac pain and fullness Dry throat Rib pain Achiness Ear infection Hearing difficulty Red eyes Blurred vision Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on side C: Thin white or White and slippery on one side only P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Xiao Chai Hu Tang With pronounced Dampness: Da Yuan Yin
Points	DU-14, SJ-5 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 With Fluid Accumulation In The Interior

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
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

Shao Yin Cold

Clinical Manifestations	Aversion to Cold Curls up a lot Doesn't like to talk Tired (disoriented) No spirit Dull Shen Cold extremities Diarrhea or loose stools or undigested food Clear, frequent urine Maybe nausea (wants to vomit but can't) No thirst Likes warm drinks Severe edema in chest T: Pale C: White P: Sinking and weak
Treatment Principle	Restore Yang Reverse inward energy Expel Cold
Herb Formulas	Si Ni Tang Shen Fu Tang If Cold is less severe: Wu Zhu Yu Tang
Points	Moxa DU-4, DU-20, KI-3, KI-7, LI-4, REN-4, REN-6, REN-8, SP-6, ST-36. UB-15, UB23 For loss of consciousness or shock: DU-26, KI-1

Wei Stage: Summerheat With Exterior Cold And Internal Dampness

Clinical Manifestations	Chills Skin that is warm to the touch Anhidrosis A heavy sensation in the head and body Headache Abdominal pain A stifling sensation in the chest Fatigued extremities Anorexia Lethargy Aversion to Cold Nausea Vomiting Diarrhea T: Pink C: White and greasy P: Floating
Treatment Principle	Release the Exterior Scatter Cold Transform Dampness Harmonize the Middle Jiao
Herb Formulas	Xiang Ru San
Points

Qi Stage: Lung And Stomach Heat Injuring The Qi And Fluids

Clinical Manifestations	Lingering fever from a febrile disease Vomiting Irritability Thirst with a desire to drink Parched mouth, lips and throat Choking cough Restlessness Insomnia Nausea Anorexia Profuse perspiration A dry mouth Indigestion Listlessness Chest oppression Ulcerations of the mouth Coarse skin Cough Night sweats Stifling sensation in the chest or epigastrium T: Red C: Little or None P: Rapid and Deficient or Thready and rapid
Treatment Principle	Clear Heat Generate fluids Tonify Qi Harmonize the Stomach
Herb Formulas	Zhu Ye Shi Gao Tang
Points

Qi Stage Gallbladder Heat

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gallbladder Heat Pacify the Liver and Gallbladder
Herb Formulas	Hao Qin Qing Dan Tang With pronounced Dampness: Da Yuan Yin
Points	DU-14, SJ-5 GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

Qi Stage 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	Calm restlessness and irritability Clear Heat Disperse Stagnation
Herb Formulas	Zhi Shi Zhi Zi Chi Tang
Points

Lung And Spleen Qi Deficiency

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Warm and transform Phlegm-Dampness
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

Cold-Damp Distresses The Spleen

Clinical Manifestations	Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled Infantile indigestion T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Wei Ling Tang Yin Chen Si Ni Tang Hou Po Wen Zhong Tang For infantile indigestion: Ping Wei San
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

Damp-Heat Injures The Spleen

Clinical Manifestations	Anorexia Abdominal distention and discomfort 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
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San Ge Hua Jie Cheng San Huang Qin Tang
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

Spleen Qi Deficiency

Clinical Manifestations	Chronic indigestion Easily sated Loss of the sense of taste Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting A waxy, pale, lusterless complexion Loose stools Shortness of breath Reluctance to speak Soft voice Nervous indigestion Puffiness around the eyes or in the fingers Rapid weight fluctuations With Cold: Cold intolerance Cold extremities Undigested food in the stools Dull abdominal pain T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient or Weak and thready or Deficient or Big and weak
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Si Jun Zi Tang Xiang Sha Liu Jun Zi Tang In children: Zhi Zhu Wan With Food Stagnation: Jian Pi Wan With Liver Qi Stagnation, Cold and Heat: Zhi Shi Xiao Pi Wan Chinese Patent Medicines: Xiang Sha Liu Jun Zi Wan With Qi Stagnation: Xiang Sha Yang Wei Wan With Food Stagnation: Jun Pi Wan With Spleen Yang Deficiency: Li Zhong Wan With severe Cold: Fu Zi Li Zhong Wan
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 REN-12, SP-3, SP-6, ST-36, UB-20, UB-21 With Fluid Retention and edema: + SP-9, ST-28 With Liver Qi Stagnation: + LIV-3, PC-6 Ear: Spleen, Stomach, Adrenal, Sympathetic

Spleen Deficiency Edema

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Shi Pi Yin Wu Ling San Leading to Dampness in the Bladder: Si Ling San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

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 (pain is relieved by warmth) Cold limbs Feeling chilled Frequent, clear urination 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	Li Zhong Tang Fu Zi Li Zhong Wan Da Jian Zhong Tang With Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen And Stomach Qi Stagnation

Clinical Manifestations	Indigestion Chest and abdominal distention A stifling sensation in the chest and abdomen Fixed pain in the hypochondria Belching with a fetid odor Nausea Vomiting Epigastric and abdominal fullness and pain Acid reflux Mild coughing with copious sputum Reduced appetite T: Normal C: Thin and white or Greasy or Slippery, P: Wiry and taut or Running
Treatment Principle	Regulate Qi Release Stagnation
Herb Formulas	Yue Ju Wan With Phlegm: Jie Gan Jian With Stagnant Heat: Jia Wei Xiao Yao San With Qi Deficiency: Si Mo Tang Chinese Patent Medicines: Chai Hu Shu Gan Wan Xiao Yao Wan With sluggish stools: Mu Xiang Sun Qi Wan With Stagnant Heat: Jia Wei Xiao Yao Wan With constipation: Chen Xiang Hua Qi Wan
Points	GB-34, LIV-3, 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 Qi Stagnation: + PC-5, SP-3, ST-40 With fat intolerance, pale or pasty stools and right hypochondriac pain or distention: + GB-24, GB-40, Dannangxue Ear: Shenmen, Liver, Stomach, Spleen, Sympathetic

Phlegm-Damp In The Spleen And Stomach

Clinical Manifestations	Indigestion Vomiting Abdominal and epigastric distention, discomfort and fullness Belching Acid reflux Nausea Poor appetite Los of the sense of taste Poor concentration Heavy or foggy headedness Fatigue Lethargy Heaviness of the body and limbs Somnolence (after sleeping, the patient often feels worse) Sluggishness Copious salivation Stuffiness in the chest Maybe chronic mucus in the sinuses and Lungs Diarrhea with mucus Headache Melaena Greasy skin A musty body odor Tendency to obesity T: Pink, maybe flabby or swollen C: Thick, white and greasy P: Soft or Floating, tight and soft or Weak or Slippery, wiry and moderate
Treatment Principle	Activate Qi Dry Dampness Transform s Phlegm Descend Qi Harmonize the Stomach Stop vomiting
Herb Formulas	Bu Huan Jin Zheng Qi Tang Wen Dan Tang Ping Chen Tang Er Chen Tangmodified With Spleen Yang Deficiency: Ling Gui Zhu Gang Tang With Exterior Wind-Cold: Xiang Su San With Wind-Phlegm: Ban Xia Xie Xin Tang For Phlegm with Rebellious Stomach Qi: Xuan Fu Dai Zhi Tang With Shao Yang Syndrome: Chai Hu Zhi Jie Tang Chinese Patent Medicines: Ping Wei San With Spleen Deficiency: Xiang Sha Liu Jun Zi Wan With Qi and Damp Stagnation: Xiang Sha Yang Wei Wan
Points	LIV-13, REN-12, SP-3, SP-5, SP-15, ST-25, ST-40 With Spleen Deficiency: + ST-36 With Fluid Retention and edema: + SP-6, SP-9, ST-28, With Sluggish stools or constipation: + SJ-6, ST-37, ST-41 With Liver Qi Stagnation: + LIV-3, PC-6 With Plum-Pit Qi Stagnation: + PC-5 With foggy-headedness: + GB-20, UB-62 With Wind-Phlegm: + GB-40, ST-8, ST-41 With Cold Phlegm: + moxa or moxa needle UB-20, UB-21 With muscle aches and heaviness: + SP-21 With somnolence: + KI-6 Ear: Spleen, Stomach, Sympathetic

Disharmony Between The Spleen And Stomach

Clinical Manifestations	Nausea/Vomiting Belching Chest fullness and distention Abdominal pain Indigestion Epigastric discomfort Generalized weakness Maybe chest distention T: Pale C: White P: Deep and soft
Treatment Principle	Harmonize the Middle Jiao Resolve Dampness Regulate Qi Reduce Food Stagnation
Herb Formulas	Xiang Sha Ping Wei Wan With Dampness: Xiang Xia Yang Wei Wan
Points

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 Li Zhong Tang Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan With Cold-Damp Retention: Xiang Sha Liu Jun Zi Tang Ge Hua Jie Cheng San With Phlegm-Damp Retention: Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen And Stomach Deficiency Cold With Blood Stagnation

Clinical Manifestations	Acid reflux A sallow facial complexion Fatigue Poor muscle tone A flabby abdomen 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 Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Moist C: White P: Large and faint
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold Regulate Qi and Blood Stop pain
Herb Formulas	An Zhong San Wu Zhu Yu Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, SP-10, ST-36, UB-17, UB-20, UB-21

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Body cold Limbs icy Complexion white and shiny 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 Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	For diarrhea: Fu Zi Li Zhong Wan Si Shen Wan For edema: Zhen Wu Tang Shi Pi Yin
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Stomach Cold

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

Stomach Fire

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, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San modified Mai Men Dong Tang modified With acute pain from Summerheat Invasion: Xin Jia Xiang Ru Yin With Shao Yang-Yang Ming Syndrome: Da Chai Hu Tang With Phlegm-Heat: Xiao Xian Xiong Tang With Damp-Heat: Huang Lian Jie Du Tang With Yin Deficiency: Yu Nu Jian With Kidney Deficiency: Wu Mei Wan
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

Food Stagnation In The Stomach

Clinical Manifestations	Indigestion Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Halitosis Acid regurgitation Heartburn Nausea Detests food or Vomits after eating Distention is reduced after vomiting Foul flatulence Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery or slippery and rapid
Treatment Principle	Clear Food Conduct Stagnation
Herb Formulas	Bao He Wan Jia Wei Ping Wei San Xiang Sha Ping Wei San Mu Xiang Bing Lang Wan Xiang Sha Ping Wei San With Damp-Heat: Zhi Shi Dao Zhi Wan With Spleen Deficiency: Zhi Zhu Wan Lodging in the epigastrium: Gua Di San Chinese Patent Medicines: Bao He Wan Zi Sheng Wan With sluggish stools: Mu Xiang Shun Qi Wan With Spleen Deficiency: Jian Pi Wan With Qi Stagnation: Xiang Sha Yang Wei Wan Added as an antacid formula: Wei Te Ling Added for heartburn: Xiang Lian Wan
Points	LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 LI-10, REN-6, REN-12, ST-25, ST-36, ST-40, ST-44 With nausea: + PC-6 With Spleen Deficiency: + SP-6 With abdominal pain: + SP-4, SP-8 With borborygmus: + SP-5 With constipation: + SJ-6, ST-37 Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36 Ear: Stomach, Spleen, Sympathetic

Stomach Qi Deficiency

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 T: Pale C: Thin and white P: Weak and Deficient
Treatment Principle	Strengthen Qi Invigorate the Spleen and Stomach
Herb Formulas	Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang Huang Qi Jian Zhong Tang With Food Stagnation: Jian Pi Wan With Stagnation and Qi Rebellion: Da Ban Xia Tang With Cold and Heat in the Interior: Gan Cao Xie Xin Tang With Food Stagnation and Suspended Thin Mucus: Sheng Jiang Xie Xin Tang
Points	REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21 LI-4, LI-6, PC-6, ST-36

Stomach And Lung 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

Disharmony Between The Stomach And Intestines With Cold And Heat Factors

Clinical Manifestations	Indigestion Epigastric focal distention which is soft and not tender to the touch 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 Mild nausea in the morning Ascites Gurgling sounds A tendency toward diarrhea or loose stools T: Normal or with a red tip C: Thin, yellow and greasy or mixed white and yellow P:Soft, slippery, slightly wiry and rapid or 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 Chinese Patent Medicines: Chen Xiang Hua Qi Wan
Points	LI-11, LIV-13, PC-6, REN-6, REN-12, ST-25, ST-36, ST-37 For excessive Stomach Heat: + LI-4, ST-44 With Dampness: + SP-6, SP-9 With Phlegm or Plum-Pit Qi Stagnation: + PC-5, SP-3, ST-40 With fat intolerance, pale or pasty stools and right hypochondriac pain or distention: + GB-24, GB-40, Dannangxue With Shao Yang symptoms: + GB-34, GB-39, SJ-5 Ear: Spleen, Stomach, Liver, Large Intestine, Small Intestine Sympathetic

Heart Yang Deficiency Exhaustion: Yin Flourishing Masked By Yang

Clinical Manifestations	Body hot but desires warm bedclothes Feeling of thirst with no desire to drink Vomiting immediately after drinking Agitation Face and cheeks flushed Watery stools with undigested food P: Minute (on the point of collapse)
Treatment Principle	Warm Cold Return Yang Clear Communication between the Inside and Outside
Herb Formulas	Tong Mai Si Ni Tang
Points	Moxa or moxa needle DU-25, DU-26, KI-1, PC-6, PC-9, REN-4, REN-6, REN-8, ST-36

Heart Yang Deficiency Exhaustion: Vanquished Yang

Clinical Manifestations	Palpitations Shortness of breath Drenched with perspiration Above symptoms worse on exertion or when tired Four limbs cold Cyanosis of mouth and lips Faint, weak respiration P: Minute (on the point of collapse)
Treatment Principle	Return Yang Consolidate Exhaustion
Herb Formulas	Shen Fu Tang
Points	Moxa or moxa needle DU-25, DU-26, KI-1, PC-6, PC-9, REN-4, REN-6, REN-8, ST-36

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

Small Intestine Deficiency Cold

Clinical Manifestations	Vague lower abdominal pain Feelings of cold and heaviness Fond of warmth and pressure Abdominal fullness intermittently Borborygmus Unformed, loose stools or Chronic, incessant diarrhea Urinary frequency T: Pale C: Thin and white P: Deep and even
Treatment Principle	Warm and Clear the Small Intestine
Herb Formulas	Li Zhong Tang
Points	LIV-13, REN-4, REN-12, SP-3, ST-25, ST-36, ST-37, ST-39, UB-20, UB-27

Liver Qi Stagnation Invades The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Nausea Vomiting Flatulence Anorexia Loose stools Tendency to sigh Melancholy Depression Irritability Moodiness Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink or Dark C: White or White and greasy P: Wiry or Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San Shao Yao Gan Cao Tang Shu Gan Tang Chai Hu Shu Gan Tang
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Qi Stagnation Attacks The Stomach

Clinical Manifestations	Recurrent indigestion closely related to stress Epigastric pain (worse when emotionally upset) Hypochondriac, discomfort, ache or tightness Belching with acid regurgitation Heartburn Nausea Vomiting Anorexia Epigastric distention Mild r vague nausea worse in the morning Borborygmus Flatulence Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Moodiness Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Tendency toward loose stools or Alternating constipation and diarrhea T: Pink, may be red edges C: Thin and white or thick and greasy P: Wiry or Wiry and slippery
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Chai Hu Shu Gan Tang Zuo Jin Wan Xiao Yao San Hei Xiao Yao San Yi Gan San Yue Ju Wan Mu Xiang Shun Qi Wan Si Ni San With Phlegm: Jie Gan Jian Ban Xia Hou Po Tang With Stagnant Heat: Jia Wei Xiao Yao San With Qi Deficiency: Si Mo Tang Chinese Patent Medicines: Chai Hu Shu Gan Wan Xiao Yao Wan With sluggish stools: Mu Xiang Sun Qi Wan With Stagnant Heat: Jia Wei Xiao Yao Wan With constipation: Chen Xiang Hua Qi Wan
Points	GB-34, LIV-3, 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 Qi Stagnation: + PC-5, SP-3, ST-40 With fat intolerance, pale or pasty stools and right hypochondriac pain or distention: + GB-24, GB-40, Dannangxue LIV-3, LIV-14, PC-6, REN-12 Ear: Shenmen, Liver, Stomach, Spleen, Sympathetic

Liver Qi Stagnation Transforms Into Heat With Spleen And Stomach Deficiency

Clinical Manifestations	Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain Somnolence Insomnia Aching shoulders Five Sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San
Points

Liver Qi And Blood Stagnation

Clinical Manifestations	Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Dark purple (maybe purple spots on edge of tongue) P: Wiry, choppy and slow
Treatment Principle	Activate Blood circulation Soften hardness
Herb Formulas	Ge Xia Zhu Yu Tang
Points	LIV-3, LIV-13, LIV-14, SP-6, UB-17

Liver Qi Stagnation With Spleen Dampness

Clinical Manifestations	Alternating chills and fever Dry throat Bitter or sour taste in the mouth Dizziness Sensation of fullness in the chest and hypochondrium Irritability Heartburn Chest distention Difficulty taking deep breaths Hardness beneath the Heart Hypochondriac pain with pressure Stress Being downcast with no desire to eat Anorexia Vertigo May be palpitations Dysphoria Retching Abdominal pain Stomach ache Reduced appetite Subcostal bloating Depression Amenorrhea Tendency to diarrhea Nervousness Nausea Vomiting May be urinary dysfunction Restlessness Sometimes fatigue Headaches (side of head) Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Pink C: Thin and white P: Wiry
Treatment Principle	Relieve the Liver Harmonize the Liver and Spleen
Herb Formulas	Xiao Chai Hu Tang With constipation or sluggish stools: Da Chai Hu Tang With lurking Damp-Heat: Hao Qin Qing Dan Tang
Points

Damp-Heat In The Liver And Gallbladder

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	Long Dan Xie Gan Tang Yin Chen Hao Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Kidney Yang Deficiency With Internal Cold And Qi And Yang Deficiency

Clinical Manifestations	Severe breathlessness Rapid breathing Extremely cold extremities Aversion to Cold Sleeping with knees drawn up Lethargy with a constant desire to sleep Vomiting Abdominal pain and Cold Lack of thirst Coma Diarrhea Indigestion Edema Pale face Superficial fever Red face Cyanosis of the lips and nails T: Pale or Dark purple C: White and slippery P: Deep and thready or Deep and slow or Deep and faint
Treatment Principle	Rescue Yang Warm the Middle Jiao Disperse Internal Cold Stop diarrhea
Herb Formulas	Si Ni Jia Ren Shen Tang
Points

Kidney And Liver Yin Deficiency With Fire Flaring

Clinical Manifestations	Fever Night sweats Red face Dry mouth Leukorrhagia with yellow, thick, foul discharge Constipation Dark, scanty urine Irritation Fidgeting Insomnia Five Sole Heat Irregular menstruation A thin physique Nocturnal emissions Parched lips Irritability Dry stools T: Dark red and dry C: Dry and yellow or None P: Flooding and rapid or Thin and rapid
Treatment Principle	Nourishes Yin Clears Heat
Herb Formulas	Dang Gui Liu Huang Wan
Points

Heat In The Chest And Cold In The Stomach

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

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 Yan Nian Ban Xia Tang With Kidney Yang Deficiency: Su Zi Jiang Qi Tang
Points	Moxa or moxa needle LU-7, UB-13

Yang Deficiency With Dampness

Clinical Manifestations	Chills Diarrhea Vomiting Abdominal distention Cold limbs Palpitations Anxiety due to stress Edema T: Pale and swollen C: White or White and moist P: Soft and slow
Treatment Principle	Dispel Dampness Warm Yang Restore Yang from collapse
Herb Formulas	Fu Ling Si Ni Tang
Points

Middle Jiao Deficiency With Food Stagnaiton And Dampness

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 s Food Stagnation Relieve diarrhea and vomiting
Herb Formulas	Qi Pi Wan
Points

Lower Jiao Damp Heat With Lingering Exterior Symptoms

Clinical Manifestations	Fever Sweating Thirst Dysenteric diarrhea Foul-smelling stools A burning sensation around the anus Gasping Ephidrosis Palpitations Tenesmus Maybe red tinged urine Irritability and Heat in the chest and epigastrium Stiffness and spasms at the back of the neck Dry mouth Dyspnea with perspiration Maybe wheezing T: Red C: Yellow (Greasy) P: Rapid
Treatment Principle	Release the Exterior Clear Internal Yang Ming Heat Raise Yang to stop diarrhea
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points

Damp-Heat Sudden Turmoil Disorder

Clinical Manifestations	Vomiting Diarrhea Spasms Cramps Thirst Irritability Oliguria with reddish urine Restlessness Arthralgia with a burning sensation, redness and swelling Abdominal pain T: Pink C: Thick, dry and yellow or Yellow and greasy P: Soggy and rapid or Floating and rapid or Floating, soft and rapid
Treatment Principle	Clear Heat Resolve Dampness Separate the clear from the turbid
Herb Formulas	Can Shi Tang
Points

Childhood Nutritional Impairment Due To Parasites

Clinical Manifestations	Intermittent abdominal pain Indigestion Emaciation Loose stools Feverishness Foul breath A sallow complexion A large, distended abdomen Anorexia Decreased intake of food Weak constitution Constant fatigue Maybe nausea and vomiting Dry mouth Thirst
Treatment Principle	Kill parasites Reduce accumulations Strengthen the Spleen Clear Heat
Herb Formulas	Fei Er Wan
Points