Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

Liver Cancer #46

General

Clinical Manifestations	Liver cancer is cancer that begins in the cells of the liver. The liver is a football-sized organ that sits in the upper right portion of the abdomen, beneath the diaphragm and above the stomach. Several types of cancer can form in the liver. The most common type of liver cancer is hepatocellular carcinoma, which begins in the main type of liver cell (hepatocyte). Other types of liver cancer, such as intrahepatic cholangiocarcinoma and hepatoblastoma, are much less common. Not all cancers that affect the liver are considered liver cancer. Cancer that begins in another area of the body — such as the colon, lung or breast — and then spreads to the liver is called metastatic cancer rather than liver cancer. And this type of cancer is named after the organ in which it began — such as metastatic colon cancer to describe cancer that begins in the colon and spreads to the liver. Cancer that spreads to the liver is more common than cancer that begins in the liver cells
Treatment Principle
Herb Formulas	Early-Stage: Xuan Fu Dai Zhe Tang modified Take 60ml water solution of Rx. Wikstroemiae Pu Yin daily. Decoct 120g Hb. et Rx. Gei Lu Bian Qing and 30g Hb. Pteris Feng Wei Cao and take daily. Decoct 60g Hb. Solani Nigri Long Kui and 30g Fol. Ilicis Ku Ding Cha and take daily. Decoct 30g Hb. Lobeliae Chinensis, Ban Bian Lian, 30g Hb. Scutellariae Barbatae Ban Zhi Lian and 30g Hb. Salviae Chinensis Shi Jian Chuan and take daily. Decoct 60g Hb. Scutellariae Barbatae Ban Zhi Lian and 60g Hb. Hedyotis Diffusae Bai Hua She She Cao and take daily. Decoct 250g Alumen Ming Fan in 500ml vinegar water down to 250ml. Take 10ml twice daily. Decoct 60g Hb. Solani Nigri Long Kui, 15g Spica Prunellae Xia Ku Cao and 15g Flos Lonicerae Jin Yin Hua and take as a tea. Decoct 30g of Hb. Scutellariae Barbatae Ban Zhi Lian, 30g Hb. Lobeliae Chinensis Ban Bian Lian, 30g Hb. Salviae Chinensis Shi Jian Chuan and 30g Sm. Coicis Yi Yi Ren and take daily as a tea. Take a decoction of 150g Hb. Hedyotis Diffusae Bai Hua She She Cao, 120g Rz. Imperatae Bai Mao Gen and 120g cane sugar once a day along with radiotherapy. Take a decoction of 120g Hb. Adinae Shui Yang Mei and 30g Hb. Pteris Feng Wei Cao. For fever during late-stage: Yi Guan Jian For pain: Liu Jun Zi Tang For pain in the area of the Liver: Pound 6g Alumen Ming Fan, 6g Fr. Crotonis Ba Dou and 6pcs. Fr. Jujube Da Zao into a mash and spread on PC-8 and KI-1. End-stage: Shao Yao Gan Cao Tang For ascites due to Liver Cancer: Liver Cancer #17 Ba Dou Wu Wu Tang For jaundice, ascites and fever: Hao Qin Qing Dan Tang For swelling of the tumor: Xian Fang Huo Ming Yin Topical: 1. Xiao Pi Gao 2. Pound Fresh Hb. Lobeliae Chinensis Ban Bian Lian into a paste and apply as a poultice to the Liver area. With ascites: Apply a powder made from 1.5g Rx. Kansui Gan Sui and 0.5g Moschus She Xiang to the naval. 3. Liver Cancer #35
Points

Shao Yang Jing

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Occasional vomiting Headaches (side of head) Hypochondriac pain Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on side C: Thin white P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Xiao Chai Hu Tang
Points	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

Cold-Damp Distresses The Spleen ( Yin Jaundice)

Clinical Manifestations	Distention and fullness of epigastrium and abdomen A dim, lusterless, yellow complexion Aversion to Cold Nausea Vomiting Anorexia Emaciation Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Listlessness Maybe edema Maybe copious white vaginal discharge Maybe cold limbs Weak limbs Aversion to Cold or feeling chilled Maybe scanty urine T: Pink or Pale C: Thick, white and greasy or sticky P: Deep and slow or Deep and moderate or Deep, thready and forceless
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen Induce diuresis
Herb Formulas	Shi Pi Yin modified Yin Chen Zhu Fu Tang modified
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

Spleen Qi Deficiency With Liver Qi Stagnation

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 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 or Pale and flabby - may have teethmarks C: Thin and white P: Wiry or Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Tonify Qi Regulate the Liver
Herb Formulas	Liver Cancer #28 With Blood Stagnation: Liver Cancer #40 With Phlegm Heat and Dampness: Liver Cancer #42
Points

Liver Qi Stagnation

Clinical Manifestations	Distention and pain in the costl region Abdominal distention Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses A bitter taste in the mouth Poor appetite Hepatomegaly without pain T: Pink C: Thin and white or Thin and yellowish P: Wiry or Wiry and rapid
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Chai Hu Shu Gan Tang modified Liver Cancer #19 Liver Cancer #23 With Heat: Xiao Yao San modified With ascites: Shu Qi Li Dan Pian Topical: Liver Cancer #18
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

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 Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Tong Xie Yao Fang Hei Xiao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Qi And Blood Stagnation

Clinical Manifestations	Facial color dark and dull Emaciation Sides and ribs distended on both sides Staggering pain in the right hypochondrium or both hypochondria Enlargement of the Liver and Spleen A palpable, hard mass below the hypochondrium Suffocating sensation in chest Spider naevi or vascular nevus on the neck, face or chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Abdominal fullness and rigidity A dim, lusterless complexion Engorgement and varicose veins of the abdominal wall 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 or Wiry thready and choppy
Treatment Principle	Activate Blood circulation Regulate Qi Soften hardness
Herb Formulas	Ge Xia Zhu Yu Tang Shi Xiao San Er Jia Hua Yu San Jia Jian Gan Ai Quan Xie San Topical: Xiao Pi Gao
Points	LIV-3, LIV-13, LIV-14, SP-6, UB-17

Damp-Heat In The Liver And Gallbladder

Clinical Manifestations	Ascites 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 and fullness Restlessness Feverishness Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles T: Pink with red tip and edges C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid More Heat than Dampness: Bright yellow eyes and skin Fever Thirst Restless Nausea Dark, scanty urine T: Pink with red tip and edges C: Thick P: Wiry and rapid More Dampness than Heat: Light yellow coloration Heaviness of the head and body Epigastric and abdominal fullness and distention Anorexia Thirst with no desire to drink Loose stools T: Pink with red tip and edges C: Whitish-gray P: Soft or slippery Acute jaundice: Sudden onset Rapid aggravation of yellow pigmentation High fever Thirst Restlessness Deep yellow urine Coma Delirium Epistaxis Gum bleeding Drowsiness T: Red C: Yellow and curdy or Yellow and dry P: Wiry and rapid or Thready and rapid
Treatment Principle	Clear Dampness Purge Heat from Liver and Gallbladder
Herb Formulas	Long Dan Xie Gan Tang modified Zhong Man Fen Xiao Wan modified Liver Cancer #22 Liver Cancer #24 With Qi, Blood and Phlegm Stagnation (infection with biliary tract obstruction): Liver Cancer #11 For ascites with Exterior symptoms: Shu Zao Yin Zi For ascites without Heat symptoms: Fu Ling Dao Shui Tang For more Heat than Dampness: Yin Chen Hao Tang modified For more Dampness than Heat: Yin Chen Si Ling San For acute jaundice: Xi Jiao San For acute jaundice with a high fever, coma, drowsiness (Phlegm-Fire or Liver Wind): Ling Jiao Gou Teng Tang + 3g Zhi Bao Dan An Gong Niu Huang Wan modified
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Liver Yin Deficiency With Liver Heat

Clinical Manifestations	Dizziness Impaired vision Night blindness Tinnitus Irascibility Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang Clear Heat
Herb Formulas	Zi Yin Qing Gan Tang
Points

Liver And Kidney Yin Dficiency

Clinical Manifestations	Abdominal distention, swelling and hardness Obvious distended blue-green veins radiating out from the umbilicus Emaciation Dry mouth Facial complexion pale and sallow or dark Red-purple lips Both cheeks slightly red Restlessness Irritability 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 Dry stools Stools difficult to pass Constipation Scanty urination Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red or Scarlet or Crimson C: Little or None P: Thready and rapid or Thready, wiry and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Yi Guan Jian + Xiao Yu Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23 KI-3, LIV-3, REN-9, SP-6, UB-18, UB-22, UB-23

Yin Deficiency With Dampness Obstruction

Clinical Manifestations	Abdominal distention and fullness Dry lips and mouth Five Sole Heat Bleeding gums Epistaxis T: Red or Crimson C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Eliminate Dampness
Herb Formulas	Liver Cancer #6
Points

Qi Deficiency With Qi And Blood Stagnation

Clinical Manifestations	Fatigue Loose stools Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Pale purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Empty or Choppy or Wiry and choppy
Treatment Principle	Tonify Qi Regulate Qi Invigorate the Blood Break up Stasis Inhibit the growth of cancer cells
Herb Formulas	Liver Cancer #16
Points

Qi And Blood Stagnation

Clinical Manifestations	Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pain is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation Move Qi
Herb Formulas	Liver Cancer #29 With Food Stagnation: Chen Ren Hua Tie Tang
Points	GB-40, GB-41, LIV-3, LIV-14, PC-6, SJ-6, SP-6, SP-10, ST-36, UB-17, UB-18, UB-40

Qi Stagnation With Dampness

Clinical Manifestations	Abdominal fullness and distention Abdominal mass Tightly-stretched abdominal skin Drum-beating sound on percussion Sub-costal distention and pain Anorexia Abdominal distention after eating Rough urination T: Normal C: Greasy and white P: Wiry and slippery
Treatment Principle	Relieve Liver Qi Stagnation Eliminate Dampness Relieve abdominal distention
Herb Formulas	Liver Cancer #5 For severe Spleen Deficiency with lassitude, and a wan, withered complexion: Xiang Sha Liu Jun Zi Tang modified For a hard, enlarged Liver in a strong patient: Da Huang Tu Bie Chong Wan
Points

Qi And Blood Stagnation With Early-Stage Damp-Heat

Clinical Manifestations	Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pain is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots Abdominal distention and fullness Restlessness Fever Bitter taste in mouth Dark-yellow urine Constipation or foul smelling diarrhea Thirst with no desire to drink T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Soothe the Liver Regulate Liver Qi Invigorate the Blood Promote the function of the Gallbladder Clear Heat Resolve Dampness
Herb Formulas	Liver Cancer #8 Liver Cancer #10
Points

Qi , Blood And Phlegm Stagnation

Clinical Manifestations	Immobile masses below the hypochondrium or in the abdomen Abdominal pain Emaciation Poor appetite Alternating chills and fever Amenorrhea Hard abdominal masses that produce pain Aggravated by pressure Hypochondriac distention T: Purple with echymoses P: Choppy
Treatment Principle	Invigorate the Blood Remove Stasis Circulate Qi Resolve Phlegm Eliminate accumulations Soften and resolve hard masses
Herb Formulas	Bie Jia Jian Wan Liver Cancer #30 Gan Ai Hua Yu Huo Xue Zhu Yu Tong San
Points

Qi And Yin Deficiency (Late Stage)

Clinical Manifestations	Poor appetite Abdominal distention Fatigue Abdominal mass Ascites Shortness of breath Bleeds easily Tidal fever Night sweats T: Pale or Red C: Little or None or Thin and white P Thready and weak
Treatment Principle	Strengthen Qi and Yin
Herb Formulas	Yin Qi Yang Rong Tang
Points

Qi And Blood Deficiency With Qi And Blood Stagnation And Toxic Heat

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Scanty periods Jaundice Hypochondriac pain A lump under the ribs Fever Thirst Epistaxis Spots on the skin Constipation Scanty, red urine Hemorrhaging Weakness Bleeds easily Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots or Pale or Pale, thin and dry or Red C: White or Yellow P: Choppy or Wiry and choppy or Weak or Thin and choppy or Tight or Thready and rapid
Treatment Principle	Clear Heat Eliminate toxins Invigorate the Blood Circulate Qi Tonify Qi Nourish the Blood Inhibit the growth of cancer cells
Herb Formulas	Xiao Ji Ruan Jian Pian
Points

Blood Heat

Clinical Manifestations	High fever Confusion of mind Delirium Mania Dark yellow urine Excessive skin rashes all over body Hemorrhage: Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria T: Deep red, dry or Purple red C: None P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle	Clear s Heat Cool the Blood Invigorate Blood circulation Relieve Fire toxins Reduce abscesses Dissipate nodules and Inhibit the growth of cancer cells.
Herb Formulas	Liver Cancer #43
Points

Blood Stagnation

Clinical Manifestations	Hypochondriac pain Chest distention Abdominal pain Poor appetite Fatigue Pain that is fixed, stabbing and /or severe Pain is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots Maybe jaundice T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation
Herb Formulas	Da Huang Zhe Chong Wan Xue Fu Zhu Yu Tang Ge Xia Zhu Yu Tang Liver Cancer #13 Hua Yu Tang Rou Gan Hua Yu Wan Liver Cancer #38 For severe pain: Liver Cancer #20 With Toxic Heat: Liver Cancer #46 Topical: Xiao Pi Gao
Points

Blood Stagnation Due To Cold

Clinical Manifestations	Mild persistent uterine bleeding Irregular menstruation (either early or late) Prolonged menstruation Skipped period Metrorrhagia Extended or continuous menstrual flow Pain Lower abdominal distention Lower abdominal Cold Lower abdominal pain Infertility Dry lips Dry mouth Spermatorrhea Pale complexion Leukorrhea Amenorrhea Bleeding between periods Low grade fever at dusk Irritability Five Sole Heat No desire to drink Distending breast pain Low back coldness and pain Loose stools Cold limbs Aversion to Cold T: Purple with petechiae P: Thready and choppy
Treatment Principle	Invigorate the Blood Warm Cold Soften hard masses Inhibit the growth of cancer cells
Herb Formulas	Liver Cancer #34
Points

Blood Stagnation With Toxic Heat And Phlegm

Clinical Manifestations	Stabbing pain in the epigastrium which is worse with pressure Substantial or insubstantial mass beneath the Heart which is painful on palpation Vomiting food mixed with Blood Dry, black stools Melaena Dry skin Local redness, swelling and pain Maybe fever and chills T: Normal or Purple or Purple spots C: Thin white or yellow P: Rapid and forceful or Deep and thready or Choppy
Treatment Principle	Invigorate the Blood Break up Stasis Clear Heat Resolve toxicity Resolve Phlegm
Herb Formulas	Liver Cancer #1 Liver Cancer #15 Liver Cancer #25 Liver Cancer #27 Yan Zhong Wan Yi Hao Liver Cancer #39 Liver Cancer #45 With Qi Stagnation causing biliary obstruction: Liver Cancer #21 Topical: Xiao Pi Gao
Points

Food Stagnation Due To Excess Cold

Clinical Manifestations	Sudden epigastric and abdominal pain and distention The pain is so intense that it feels like an awl is piercing the abdomen Rough, uneven breathing Stabbing pain in the chest Lockjaw A cyanotic complexion Asthma Dyspnea Oliguria A pale face No bowel movements Rapid breathing Constipation Cold limbs Possible loss of consciousness (severe cases) T: Bluish-purple C: White or White and slippery P: Deep and tight or Deep and slow
Treatment Principle	Purge Cold Accumulation Alleviate pain
Herb Formulas	San Wu Bei Ji Wan
Points

Damp-Heat

Clinical Manifestations	Abdominal distention and fullness Irritability Restlessness Firmness with a sensation of fullness and bursting pain in the epigastrium and abdomen. Fever Bitter taste in mouth Dark-yellow urine Oliguria with reddish urine Constipation or foul smelling diarrhea Thirst with no desire to drink T: Red tip and edges C: Yellow and greasy or Brown P: Wiry and rapid
Treatment Principle	Drain Heat Resolve Dampness Strengthen the Spleen Regulate Qi
Herb Formulas	Zhong Men Fen Xiao Wan modified
Points

Toxic Heat

Clinical Manifestations	Deep jaundice Hypochondriac pain A lump under the ribs High fever Thirst Epistaxis Spots on the skin Constipation Scanty, red urine Hemorrhaging Loss of consciousness May be ascites (late stage) Weakness Bleeds easily T: Red C: Yellow P: Tight or Thready and rapid
Treatment Principle	Disperse Heat Relieve toxicity
Herb Formulas	Liver Cancer #3 Huang Lian Jie Du Tang modified Liver Cancer #12 Liver Cancer #37 With Blood Stagnation: Liver Cancer #26 Liver Cancer #31 Liver Cancer #44 For sharp pain due to Blood Stagnation: Cancer #35 With Blood Stagnation and Phlegm: Fu Gan Pian With Qi Deficiency and Blood Stagnation: Shu Gan Hua Yu Tang With Qi and Blood Deficiency and Phlegm: Liver Cancer #41
Points

Toxic Damp-Heat

Clinical Manifestations	Hepatomegaly Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth A yellowish sclera Yellowish skin Puffiness of the lower extremities Heartburn Bad breath Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine Local redness, swelling and pain Maybe fever and chills Abdominal distention and discomfort Suffocating sensation in the chest Dislike of oily foods Lassitude Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation or Loose stools Fever Sweet sticky taste or bitter taste in mouth Dizziness Tinnitus or deafness Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles Spermatorrhea or premature ejaculation T: Pink C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Promote urination Dispel Dampness Clear Heat Relieve Fire toxins Tonify the Liver and Kidneys
Herb Formulas	Liver Cancer #2 Liver Cancer #7 Liver Cancer #33 Yin Chen Hao Tang modified With jaundice and ascites: Liver Cancer #36 With Blood Stagnation: Cancer #7 With Phlegm: Liver Cancer #4 With Pancreatic cancer and jaundice: Liver Cancer #9 With Liver Qi Stagnation: Liver Cancer #14 With Qi Deficiency and Qi and Blood Stagnation: Liver Cancer #32
Points

For educational reference only; not a substitute for care from a qualified practitioner.