Morning Sickness, Gravid Hyperemesis, Pernicious Vomiting

General

Clinical Manifestations	Vomiting Nausea Dizziness Anorexia Aversion to food Fatigue Prompt vomiting after eating All symptoms occur during pregnancy especially in the early stage
Treatment Principle
Herb Formulas	If the patient does not want to eat: soup from Nonglutinous rice Geng Mi.
Points	PC-6, REN-12, ST-36 PC-3, ST-36, moxa REN-12, SJ-4 PC-6, ST-36 KI-21, REN-11, REN-12, REN-14, UB-21 GB-20, GB-26, KI-15, REN-16, REN-17, ST-19, ST-20, UB-10, UB-18, UB-19, UB-25, UB-27, UB-32, UB-33 LU-5, PC-5, PC-6, PC-7, ST-36, UB-19 First five months: + KI-21, REN-11, REN-12 Severe: PC-6 through to SJ-5 With a poor appetite: + ST-36 Cutaneous: Huatuojiaji from T-5 to T-9, L-1 to L-4, LIV-3, PC-6, REN-12, REN-13, REN-17, SP-4, ST-34, ST-36, ST-44, Taiyang, UB-13, UB-18, UB-20, Yintang Ear: Liver, Stomach, Shenmen, Sympathetic * Do not puncture REN-12 after 5 months of pregnancy - typically recommended during the first 3 months – evaluate on a per patient basis. * Forbidden Points:    LI- 4, SP-6, GB-21    Points on lower abdomen and low back (below the umbilicus    and L1 ( these low points are ok in the first trimester)    Jing Well points (do not use after the 3rd month)

Wind-Cold With Water Retention Due To Spleen Deficiency

Clinical Manifestations	Fever and chills (chills predominant) Anhidrosis Cough Wheezing (asthma) Copious, white, stringy, difficult to expectorate sputum Stifling sensation in the chest Lacrimation General heaviness (especially upper body) General body aches No thirst Floating edema (severe) Considerable difficulty breathing while lying down (severe) Intolerance of Cold Periorbital edema Dyspnea Vomiting of frothy saliva during pregnancy Chest distention Stiff neck Dry heaves Decreased urine Subcardiac edema Stridor Occasional chills on the back Hiccups Retching Dysphagia Diarrhea Dysuria Decreased urination Flushed face Dizziness Headache Inflammation of the tear ducts T: Pink C: Moist or White and greasy P: Superficial and tight
Treatment Principle	Release the Exterior Transform congested Fluids (Thin Mucus) Transform Phlegm Warm the Lungs Descend Qi Relieve wheezing and coughing
Herb Formulas	Xiao Qing Long Tang Xiao Qing Long Jia Shi Gao Tang
Points

Tai Yang Zhong Feng (Wind-Cold With Exterior Deficiency)

Clinical Manifestations	Fever and chills unrelieved by sweating Headache Spontaneous perspiration Decreased body resistance Aversion to Wind Nasal congestion No thirst Dry heaves Stiff neck T: Normal C: White and moist P: Floating and moderate or Floating and weak or slow
Treatment Principle	Dispel Wind Unblock the nose Release Wind-Cold from the muscle layer Regulate and harmonize the Ying and Wei
Herb Formulas	Gui Zhi Tang With a stiff neck and shoulders: Gui Zhi Jia Ge Gen Tang With cough and wheezing: Gui Zhi Jia Hou Po Xing Ren Tang
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 + Moxa and/or needle LIV-13, PC-6, SP-4, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 To expel Wind: SJ-5 + LI-4, , DU-14, DU-16 To clear Heat: LU-11, LU-10, LU-5 To clear the Lungs: UB-13, UB-12

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

Jue Yin Cold And Heat

Clinical Manifestations	Delirium Heat in upper body Cold in lower body Sensation of Qi rushing to the chest Vomits worms Persistent thirst Feverishness Anorexia (hungry but can't eat) Chronic diarrhea Cold extremities Maybe edema Vertex headache Vomits food Cardiac Heat with pain T: Red or pink or Pale and flabby C: Thick and greasy or thin P: Deep, thready and weak or wiry
Treatment Principle	Clear worms Clear Heat Revive Yang
Herb Formulas	Wu Mei Wan
Points	To clear worms: Moxa needle REN-4, REN-6, REN-8, ST-25 To clear Heat: DU-14, LI-11, LI-4, LIV-3 To revive Yang: Moxa REN-4, REN-6, REN-8, ST-36 To regulate the Qi of the chest: REN-17

Spleen And Stomach Qi Deficiency

Clinical Manifestations	Pregnancy Nausea/Vomiting, worse in the morning and after eating or smelling food Fullness of the chest Acid regurgitation Off and on fatigue Decreased or poor appetite Drowsy/sleepy Pale face Gas and bloating Vomiting out stomach contents or sour fluid (vomiting of undigested food right after eating when severe) Loose stool or diarrhea May have prolapsed sensation in lower abdomen Poor memory Palpitations Dizziness Lassitude Drowsiness Maybe blurred vision Poor concentration Dream disturbed sleep T: Pale, may be thin C: Thin and white; or Thin, white and greasy P: Deep, thin and weak; or Slippery without strength (especially in right middle position) or Wiry and slippery
Treatment Principle	Tonify Spleen Qi Descend Rebellious Stomach Qi Regulate the Middle Jiao Stop nausea and vomiting
Herb Formulas	Jia Wei Su Ye Huang Lian Tang Xiang Sha Liu Jin Zi Tang  modified Xiang Sha Yang Wei Tang Ju Pi Zhu Ru Tang Xiang Sha Liu Jin Zi Tang + Er Chen Tang With Phlegm-Damp Retention: Liu Jun Zi Tang With Coldness: Wu Zhu Yu Tang Chinese Patent Medicines: Er Chen Wan Xiang Sha Liu Jun Zi Wan
Points	General points + UB-20, UB-21, SP-9, SP-3, SP-4 Moxa and/or needle LIV-13, PC-6, SP-4, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 PC-5, PC-6, REN-12. SP-3, ST-40 With Spleen Deficiency: + LIV-13, ST-36 With foggy-headedness: + GB-20, UB-62 With Liver Qi Stagnation: + GB-34, LIV-3 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Wind-Phlegm: + GB-40, ST-8, ST-41 With Cold Phlegm: + moxa UB-20, UB-23 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 PC-6, REN-13, ST-36 PC-6, REN-12, SP-4, ST-36, UB-20, UB-21 PC-6, REN-12, SP-4, ST-36 Ear: Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen

Spleen Yang Deficiency

Clinical Manifestations	Chronic, intermittent nausea or vomiting after eating food Nausea may be better with warmth and easily digestible foods Nausea may be worse with raw or cold foods and dairy products Nausea may be worse in the morning Sallow, waxy or pale complexion Anorexia (maybe with vomiting) Sweet cravings which may make the nausea worse after eating Four limbs feel tired and heavy Abdominal and epigastric distention after eating Abdominal pain is better with warmth 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 edema in the eyelids and fingers Maybe clear, watery vaginal discharge T: Pale and swollen with toothmarks C: Thin and white P: Deep and weak or Weak and thready
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang With Phlegm-Damp: Ling Gui Zhu Gan Tang modified Chinese Patent Medicines: Li Zhong Wan
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 PC-5, PC-6, REN-12. SP-3, ST-40 With Spleen Deficiency: + LIV-13, ST-36 With foggy-headedness: + GB-20, UB-62 With Liver Qi Stagnation: + GB-34, LIV-3 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Wind-Phlegm: + GB-40, ST-8, ST-41 With Cold Phlegm: + moxa UB-20, UB-23 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 Ear: Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen

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	Gan Jiang Ren Shen Ban Xia Wan Ding Xiang Shi Di Tang With Thin Mucus: Ling Gui Zhu Gan Tang With Blood Stagnation: An Zhong San
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Stomach Fire Blazing

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	Mai Men Dong Tang With Heat in the Intestines: Da Huang Gan Cao Tang
Points	REN-6, REN-10, REN-13, REN-14, ST-25, ST-36, ST-44 PC-6, REN-12, ST-36, ST-44

Phlegm And Fluid Stagnation In The Stomach

Clinical Manifestations	Nausea in the morning Sudden vomiting of Thin Mucus or clear Fluids Aversion to strong smells Fullness and discomfort in the chest Absence of thirst May feel thirsty Palpitations Dizziness Dysuria Focal distention of the epigastrium T: Normal C: White and Slippery P: Wiry or Slippery
Treatment Principle	Harmonize the Stomach Stop vomiting Dispel Phlegm Regulate water circulation Disperse Stagnation
Herb Formulas	Xiao Ban Xia Jia Fu Ling Tang
Points

Stomach Qi Deficiency

Clinical Manifestations	Continuous pain in the Stomach Epigastric fullness and distention Likes pressure Reduced appetite Frequent belching Loss of sensation of taste Borborygmus Pale face Stools not solid Urine clear and abundant T: Pale C: Thin and white P: Empty, Weak an Slow or Weak and Deficient
Treatment Principle	Warm and tonify the Spleen and Stomach Replenish Qi Harmonize the Interior Alleviate pain
Herb Formulas	Xiang Sha Liu Jun Zi Tang With turbid Phlegm: Xuan Fu Dai Zhe Tang
Points	UB-18, UB-20, UB-21 PC-6, REN-12, ST-36

Stomach Qi Deficiency With Defciency Cold

Clinical Manifestations	Nausea and vomiting Emaciation Sallow complexion Anorexia with a full feeling after very little food Weak abdomen Belching Abdominal distention or pain (subtle) Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Chest fullness Acid regurgitation Epigastric distention or pain Muscle weakness in arms and legs Loose stools or diarrhea Maybe bleeding Thin muscles. Lethargy-fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe cold extremities Maybe borborygmus T: Pale and flabby - may have teeth marks C: Thin and white. P: Weak and Deficient
Treatment Principle	TonifY Qi Strengthen the Spleen Harmonize the Stomach Regulate Qi
Herb Formulas	Xiang Sha Liu Jun Zi Tang Wu Zhu Yu Tang
Points	General points

Stomach Yin Deficiency

Clinical Manifestations	Vague epigastric pain Mouth and throat dry but with no desire to drink Above symptoms especially evident on waking No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Sheng Mai San Zeng Ye Tang With anorexia: Ju Pi Zhu Ru Tang
Points	General points KI-3, REN-12, ST-36, UB-21

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

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

Liver Qi Stagnation Attacks The Spleen

Clinical Manifestations	Pregnancy Gas Bloating Emotional swings Irritability Easy to anger Stress Depression Breast tenderness Hypochondriac pain Morning vomiting Acid regurgitation Belching Hiccup Vomiting sour fluids Decreased appetite Fatigue Craves sour and sweet Blurred vision Floaters T: Normal or Pale body or Red tip with red spots on sides C: Thin and white P: Wiry without strength or Slippery
Treatment Principle	Soothe Liver Qi Strengthen the Middle Jiao Regulate the Spleen and Stomach
Herb Formulas	Su Ye Huang Qi Tang  modified Jia Wei Su Ye Huang Lian Tang Xiao Chai Hu Tang
Points	General points + GB-34, LIV-13, UB-18, UB-20, UB-21 May add: LIV-3, LIV-8; UB-17 Do not use the Four Gates!

Liver Qi Stagnation Attacks The Stomach

Clinical Manifestations	Morning sickness Epigastric pain Belching with acid regurgitation Recurrent or chronic nausea Vomiting Vomiting immediately after meals Sour belching Acid reflux Retching Heartburn Indigestion All symptoms are worse when emotionally upset Abdominal and epigastric distension Stress Fullness of the chest Hypochondriac pain Continual belching Anorexia Epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Bitter taste in the mouth Dry mouth Irritability Inappropriate anger Frustration Anxiety Moodiness Irregular menses Dysmenorrhea Breast distention and pain before and during menses Head and nape painful or swollen T: Pink or Dark with slightly red edges C: Thin and white or Thin and sticky yellow P: Wiry or Thready and wiry or Slippery (due to pregnancy) and wiry or Taut    With Heat: Hot, foul vomit Aversion to Heat Thirst T: Normal C: Yellow P: Slippery and wiry With Cold: Vomiting large amounts of clear fluid No thirst Aversion to Cold Prefers warmth T: Normal or red edges C: White or slightly yellow P: Thready
Treatment Principle	Soothe the Liver Harmonize the Stomach Descend Stomach Qi Stop nausea and vomiting
Herb Formulas	Chai Hu Shu Gan Tang Xiao Yao San Hei Xiao Yao San Yue Ju Wan modified Jia Wei Su Ye Huang Lian Tang Zuo Jin Wan modified With Heat: Si Ni San With Stomach Heat: Zuo Jin Wan With persistent or severe vomiting: Xuan Fu Dai Zhe Tang Chinese Patent Medicines: Xiang Xia Yang Wei Wan Xia Yao Wan With pain: Shu Gan Wan For robust patients: Chai Hu Shu Gan Wan With constipation: Chen Xiang Hua Qi Wan With Stagnant Heat: Jia Wei Xiao Yao Wan With Spleen and Stomach Deficiency: Xiang Sha Yang Wei Wan With severe Damp-Heat in the Stomach: Huang Lian Jie Du Wan
Points	LIV-3, LIV-14, PC-6, REN-12, ST-36, ST-44 GB-34, LIV-3, LIV-13, REN-12, SP-4 With severe vomiting: + ST-40 With Gall Bladder involvement or vomiting bile: + Dannangxue, GB-40 With Spleen Deficiency: + ST-36, UB-20 With Phlegm or Plum-Pit throat: + PC-5, SP-3, ST-40 With alternating chills and fever: + GB-39, SJ-5 With dizziness: +GB-39 To calm the Shen: + DU-19, DU-24, HT-7, Yintang With Heat: GB-34, Jinjin-Yuye, LI-4, LIV-2, PC-6, REN-12, ST-36, ST-41 With Cold: Moxa or moxa needle LIV-13, REN-12, ST-36, UB-17, needle LIV-2, PC-6, ST-44, UB-18, UB-20, UB-21 GB-34, LIV-3, PC-5, PC-6, REN-12, SP-3, ST-40 With Spleen Deficiency: + LIV-13, ST-36 With foggy-headedness: + GB-20, UB-62 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Wind-Phlegm: + GB-40, ST-8, ST-41 With Cold Phlegm: + moxa UB-20, UB-23 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 Ear: Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen

Liver Fire

Clinical Manifestations	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 In severe cases: Mania Hemoptysis Hematemesis Epistaxis Liver Fire Attacks the Lungs: Hemoptysis Rib pain which is severe when coughing Liver Fire Attacks the Stomach: Hematemesis T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19 GB-34, LIV-2, PC-6, ST-36, ST-44

Damp-Heat In The Liver And Gall Bladder

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	Xiao Chai Hu Tang Da Chai Hu Tang Hao Qi Qing Dan Tang Chinese Patent Medicines: Li Dan Pian Long Dan Xie Gan Wan
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Heat In The Liver And Stomach

Clinical Manifestations	Morning sickness or Vomiting during pregnancy Nausea with sour regurgitation or Vomiting of sour material Hypochondriac discomfort Belching Sighing Moodiness Dizziness Depression Concentrated urine A tendency toward constipation T: Red edges C: Yellow P: Wiry and rapid
Treatment Principle	Clear Liver and Stomach Heat Descend Qi
Herb Formulas	Su Ye Huang Lian Tang
Points	LIV-2, PC-6, REN-12, SP-4, ST-44 + general points

Disharmony Between The Gall Bladder And Stomach With Phlegm-Heat

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Regulate Qi Transform Phlegm Clear the Gall Bladder Harmonize the Stomach Dry Dampness Dispel Heat
Herb Formulas	Wen Dan Tang
Points	General points

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  modified
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, UB-23 KI-1, KI-3, PC-6, REN-12, ST-36 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

Qi And Blood Deficiency

Clinical Manifestations	Pernicious vomiting Fatigue Anorexia Restless fetus General weakness Light red Blood Constant lower abdominal pain Insomnia A pale or sallow complexion Lassitude Palpitations Dizziness Low back pain T: Pale C: Slippery or Thin and white P: Slippery and forceless or Deep and weak
Treatment Principle	Tonify Qi Strengthen the Spleen Nourish the Blood Calm the fetus
Herb Formulas	Tai Shan Pan Shi San
Points	General points

Blood Deficiency

Clinical Manifestations	Threatened miscarriage in the early stages of pregnancy Sudden pain in the waist and abdomen Hemorrhage Heaviness in the head Pernicious vomiting Vertigo Watery sputum Anxiety due to stress T:Pale C: Normal P: Weak and deep
Treatment Principle	Tonify the Blood Stabilize pregnancy
Herb Formulas	An Tai Yin An Tai Yin #3
Points

Damp-Heat (Early-Stage)

Clinical Manifestations	Headache Chills Afternoon fever Heavy sensation in the body Generalized pain Pale yellow (sallow) complexion Stifling sensation in chest Loss of appetite Feverishness and pain of the body Lack of thirst or thirst with no desire to drink Chest and abdominal fullness Maybe aversion to Cold Nausea Heaviness of the head T: Normal C: White or Greasy and white P: Wiry, thin and soggy or soft or Superficial and soft
Treatment Principle	Spread Qi Facilitate Qi Clear Damp-Heat
Herb Formulas	San Ren Tang
Points	General points

Middle Jiao Qi Stagnation

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

Phlegm Blocking The Middle Jiao

Clinical Manifestations	May vomit Phlegm and Fluids Rebellious Qi Shortness of breath Palpitations Chest distension Nausea Vomiting Dizziness Anorexia Overweight T: Pale and flabby - may have teethmarks C: Greasy P: Slippery
Treatment Principle	Eliminate Phlegm Harmonize and descend Stomach Qi
Herb Formulas	Xiao Ban Xia Jia Fu Ling Tang Ban Xia Fu Ling Tang Huang Lian Wen Dan Tang With Dampness: Er Chen Tang
Points	General points

Phlegm-Heat Blocking The Middle Jiao

Clinical Manifestations	Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Qing Qi Hua Tan Wan Er Chen Tangmodified Wen Dan Tang Chinese Patent Medicines: Wen Dan Wan
Points	LI-11, LU-5, ST-40, UB-13 PC-5, PC-6, REN-12. SP-3, ST-40 With Spleen Deficiency: + LIV-13, ST-36 With foggy-headedness: + GB-20, UB-62 With Liver Qi Stagnation: + GB-34, LIV-3 With vomiting of bile: + Dannangxue, GB-24, GB-34 With Wind-Phlegm: + GB-40, ST-8, ST-41 With muscle aches and heaviness: + UB-21 With Fluid retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With severe abdominal distention : + SP-15, ST-25 Ear: Stomach, Spleen, Liver, Subcortex, Sympathetic, Shenmen

Phlegm Damp (Tan Yin)

Clinical Manifestations	Vomiting mucus-filled fluid in the morning Anorexia Edema Abdominal distention Chest and hypochondriac distention Tasteless food Dizziness Depression Lassitude Nausea/Vomiting Vomiting of a watery substance Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San Ban Xia Fu Ling Tang With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23 PC-6, ST-36, ST-44, moxa or moxa needle REN-17, ST-40 PC-6, REN-12, SP-4, ST-40 KI-3, PC-6, REN-12, SP-4, ST-40

Phlegm-Damp Retention With Kidney Yang Deficiency

Clinical Manifestations	Coughing and wheezing with copious, dilute, white, frothy or lumpy sputum Chest and epigastric congestion Cold legs Pain and full feeling in the chest Dizziness Vertigo Palpitations Dyspnea - worse lying down Sometimes asthma Throat rattle Nausea Vomiting Shortness of breath with labored inhalation and smooth exhalation Acute attack of panting with a high pitched wheezing sound and rapid exhalation Leg Qi Acute cramping Muscle wasting Maybe anorexia Epigastric distention	Diarrhea in response to cold or hot weather Insensitivity in the lower abdomen Headache Facial edema Palpitations Lumbar pain Weakness in the body and feet Numbness, weakness and aching of the feet and legs Edema of the extremities Fever Dysuria Weakness below the umbilicus Fatigue with a desire to curl up Disorientation Disordered speech Tinnitus T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Disperse and Descend Lung Qi Warm and transform Phlegm-Cold Strengthen the Stomach
Herb Formulas	Su Zi Jiang Qi Tang
Points

Disharmony Between The Chong And Ren Due To Qi And Blood Deficiency

Clinical Manifestations	Restless fetus Miscarriage Nausea Vomiting Soreness and pain of the lower back Light colored vaginal bleeding Shortness of breath Malpositioned fetus Difficult delivery Morning sickness General weakness Abdominal pain Palpitations Pale complexion T: Pale C: White P: Small and smooth
Treatment Principle	Tonify Qi Nourish the Blood Regulate Qi Strengthen the Kidneys Calm the fetus
Herb Formulas	Bao Chan Wu You Fang
Points	General points