Intestinal Tuberculosis

Tai Yang - Yang Ming

Clinical Manifestations	Fever and chills Maybe fever only Achiness Anhidrosis Headache Cough Asthma Aversion to Cold Edema Thirst Restlessness Irritability Fidgeting Constipation Sometimes dry achy eyes T: Normal or red C: Yellow or white P: Floating and tight or rapid
Treatment Principle	Expel Wind Disperse Cold Cool Heat
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points	DU-14, DU-16, GB-20, LI-4, LI-11, LU-7, LU-9, LU-10, SJ-5, SP-1, SP-2, ST-44, UB-12, UB-13

Yang Ming Fu With Qi And Blood Deficiency

Clinical Manifestations	Constipation characterized by only clear, watery fluids upon defecation or Green, watery foul-smelling diarrhea Altered consciousness Delirium Severe cases: Carphology Hallucinations Grabbing the air Loss of consciousness with frigid, contracted extremities Epigastric and abdominal hardness and pain Abdominal pain that is worse with pressure Thirst Fever A dry mouth and tongue Shortness of breath Low energy A weak voice T: Variable C: Dry and yellow or Dry and black P: Deficient
Treatment Principle	Clear Heat Promote defecation Tonify Qi and Blood
Herb Formulas	Huang Long 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

Deficiency Of Fluid In The Large Intestine

Clinical Manifestations	Dry stools Knotted constipation or bowel movements once a day Difficulty passing stools Dizziness Bad breath Mouth and throat dry T: Red C: Little P: Thready and rapid
Treatment Principle	Lubricate the Intestines Relieve constipation
Herb Formulas	Zeng Ye Tang
Points	KI-1, KI-3, KI-6, SJ-6, SP-15, ST-25, ST-37, UB-25

Spleen Qi Deficiency

Clinical Manifestations	Sallow complexion Fatigue 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, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Si Jun Zi Tang Xiang Sha Liu Jun Zi Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

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
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

Spleen Yang Deficiency With Cold Accumulation In The Intestines

Clinical Manifestations	Constipation or Chronic red and white dysentery or chronic diarrhea with pus and Blood in the stool Abdominal pain which is relieved by warmth Epigastric rigidity Cold extremities T: Pale C: White P: Deep and wiry
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Wen Pi Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen And Kidney Qi Deficiency

Clinical Manifestations	Milky, turbid spermatorrhea Listlessness Fatigue A shiny, white complexion Anorexia or Increased food intake Restlessness Vaginal discharge Diarrhea Dryness of the external ears Dizziness Enuresis Copious urination Thirst Premature ejaculation Lumbago T: Pale C: White P: Deep and frail
Treatment Principle	Tonify the Kidneys Stabilize Jing Stop leakage Strengthen the Spleen Drain Dampness Benefit the Heart Calm the Shen
Herb Formulas	Fu Tu Dan
Points

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	Si Shen Wan Fu Zi Li Zhong Wan + Wu Ling San Ji Sheng Shen Qi Wan With edema: Zhen Wu Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 SP-6, SP-9, moxa or moxa needle REN-4, REN-6, REN-9, ST-36, UB-20, UB-21, UB-23

Kidney And Liver Yin Deficiency

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

Blood Stagnation With Blood Deficiency And Heat

Clinical Manifestations	Vomiting immediately after eating Vomiting of saliva and undigested food Vomiting with constipation (severe) Chest pain (severe) Emaciation with dry skin (severe) Loss of appetite, especially for meat Stomach distention A sensation of obstruction in the throat Diminished saliva Maybe fever due to pulmonary infection Maybe aortic erosion Liquids or semi-solids are sustained Dizziness Dry muscles and skin Definite obstruction between the pharynx and diaphragm Hard stools Dull pain Burning pain A rancid taste in the mouth Precordial discomfort Constipation A pale complexion Pale nails Pale lips Maybe severe coughing Maybe aspiration of Fluids T: Normal or Cyanotic or Red or Pale C: Little or Non P: Weak and choppy or Thready and rapid
Treatment Principle	Nourish the Blood Invigorate the Blood Dispel Blood Stasis Clear Heat Cool the Blood
Herb Formulas	Tong You Tang
Points	PC-6, REN-12, REN-17, SP-10. ST-36

Cold Damp

Clinical Manifestations	Ascites Heaviness in the body and head Aversion to Cold Warming the abdomen makes it better Edema of the extremities (usually not pitting) Scanty urination Loose stools or Diarrhea T: Normal C: Greasy and white P: Soft and moderate or Wiry and slow
Treatment Principle	Transform Dampness Drain Fluids Warm Yang Disperse Cold
Herb Formulas	Shi Pi Yin modified Chinese Patent Medicines: Fu Zi Li Zhong Wan
Points	Moxa or moxa needle REN-9, SP-6, SP-9, UB-20, UB-22, UB-23, UB-39

Middle Jiao Deficiency With Food Stagnation 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 Food Stagnation Relieve diarrhea and vomiting
Herb Formulas	Qi Pi Wan
Points

Blood Stagnation In The Lower Jiao

Clinical Manifestations	Palpable masses that may or may not be painful Lower abdominal pain without palpable masses Lower abdominal distention Lower back pain Lower abdominal distention during menstruation Frequent menstruation (3-5 timer per month) Spotting Dark purple menstrual Blood (usually with clots) Abnormal uterine bleeding with abdominal soreness and pain Aversion to Cold Depression Cold extremities White vaginal discharge T: Pale C: White P: Choppy
Treatment Principle	Activate the Blood Promote the movement of Qi Dispel Blood Stasis Unblock the collaterals Unblock painful obstruction Alleviate pain
Herb Formulas	Shao Fu Zhu Yu Tang
Points