Multiple Sclerosis

General

Clinical Manifestations	May show demylenation in the brain, spinal cord and optic nerves. Varied and individual symptomatology - including: Stress Depression Anxiety Weakness Tingling Numbness Spasms Tremors Gait disturbance Speech problems Visual problems Digestive disturbance Incontinence of urine
Treatment Principle
Herb Formulas
Points	Scalp Acupuncture: For motor problems (paralysis, weakness of limbs, tingling, numbness, pain in limbs, urine and bowel problems): Sensory and Foot motor areas unilaterally or bilaterally For dizziness: Dizziness area For balance problems: Balance area For limb spasms: Tremor area Rotate 200 times/minute for three minutes, rest 10 minutes and repeat 3 to 4 times. Lower Limbs: Electro-acupuncture or rotate 200 times/minute and moxa GB-34, LI-3, KI-3, Bafeng Upper Limbs: Electro-acupuncture or rotate 200 times/minute and moxa LI-11, LI-4, SJ-5, Baxie For older and weak patients: Moxa ST-36, SP-6, REN-4, KI-1, UB-23

Spleen And Stomach 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 Xu
Treatment Principle	Tonify the Spleen Augment Qi Eliminate Dampness
Herb Formulas	Multiple Sclerosis #4 Gui Pi Tang With Summerheat and Dampness: Huang Qi Ren Shen Tang
Points	LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21 Upper limb: LI-4, LI-5, LI-10, LI-11, SI-3, SJ-5 Lower limb: DU-3, GB-30, GB-31, GB-34, GB-39, GB-40, ST-31, ST-32, ST-36, ST-41, UB-32, UB-40, UB-60 Scalp Acupuncture: For motor problems (paralysis, weakness of limbs, tingling, numbness, pain in limbs, urine and bowel problems): Sensory and Foot motor areas unilaterally or bilaterally For dizziness: Dizziness area For balance problems: Balance area For limb spasms: Tremor area Rotate 200 times/minute for three minutes, rest 10 minutes and repeat 3 to 4 times. Lower Limbs: Electro-acupuncture or rotate 200 times/minute and moxa GB-34, LI-3, KI-3, Bafeng Upper Limbs: Electro-acupuncture or rotate 200 times/minute and moxa LI-11, LI-4, SJ-5, Baxie For older and weak patients: Moxa ST-36, SP-6, REN-4, KI-1, UB-23

Spleen And Stomach Damp-Heat

Clinical Manifestations	Flaccid or slightly swollen legs Legs a little hot to the touch Legs may sometimes feel cold Legs may be numb and swollen Feet feel hot with a desire to stretch them out General heaviness Sensation of fullness in the chest and epigastric region Painful joints, worse with Heat Maybe low grade fever Frequent, urgent, yellow urination Painful urination Hot, brownish urine T: Pink or Red C: Sticky and yellow or Greasy and yellow P: Soft and rapid or Slippery and rapid
Treatment Principle	Eliminate Damp-Heat Clear the channels
Herb Formulas	Multiple Sclerosis #6
Points	DU-14, LI-4, LI-11, SP-3, SP-6, SP-9, ST-36, UB-20 Upper limb: LI-4, LI-5, LI-10, LI-11, SI-3, SJ-5 Lower limb: DU-3, GB-30, GB-31, GB-34, GB-39, GB-40, ST-31, ST-32, ST-36, ST-41, UB-32, UB-40, UB-60 Lower Limbs: Electro-acupuncture or rotate 200 times/minute and moxa GB-34, LI-3, KI-3, Bafeng Upper Limbs: Electro-acupuncture or rotate 200 times/minute and moxa LI-11, LI-4, SJ-5, Baxie For older and weak patients: Moxa ST-36, SP-6, REN-4, KI-1, UB-23 Scalp Acupuncture: For motor problems (paralysis, weakness of limbs, tingling, numbness, pain in limbs, urine and bowel problems): Sensory and Foot motor areas unilaterally or bilaterally For dizziness: Dizziness area For balance problems: Balance area For limb spasms: Tremor area Rotate 200 times/minute for three minutes, rest 10 minutes and repeat 3 to 4 times.

Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind

Clinical Manifestations	Tic or tremor of hands and feet Weakness of the limbs Muscle stiffness Unsteady standing and movement Cramping Spasms Pale, dull complexion Pale lips Blurred or failing vision which is worse when tired Muscle stiffness Spastic cramping Weak eyesight Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale or Pale and dry C: Little P: Thready or Thready and choppy
Treatment Principle	Nourish the Liver Reinforce the Blood Subdue Yang Nourish Yin Extinguish Wind
Herb Formulas	Tian Ma Gou Teng Yin  modified
Points	LIV-8, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 Upper limb: LI-4, LI-5, LI-10, LI-11, SI-3, SJ-5 Lower limb: DU-3, GB-30, GB-31, GB-34, GB-39, GB-40, ST-31, ST-32, ST-36, ST-41, UB-32, UB-40, UB-60 DU-1, DU-4, DU-6, DU-10, DU-14, DU-16, DU-20, DU-24, UB-17, UB-18, UB-20, UB-23 For visual disturbances: + UB-1 or UB-2 and Taiyang For tremors or contractions of the limbs: + LI-4, LIV-3 For dizziness: + GB-20 For fatigue: + REN-6, ST-36 For plaques of demylenation of the spinal cord: + Huatuojiaji of the affected area For atrophy, wilting, weakness, numbness and/or insensitivity of the upper limbs: + select 2-3 points from LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 For atrophy, wilting, weakness, numbness and/or insensitivity of the lower limbs: + select 2-3 points from ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For weakness of the wrist: + LI-5, SJ-4 For weakness of the hand: + LI-4 through to SI-3 For weakness or numbness of the fingers: + Baxie For weakness of the knees: + LIV-8, UB-40 For weakness of the feet or numbness of the toes: + Bafeng For talipes equinus due to weakness of the Stomach, Gall Bladder and Liver sinew vessels: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the Bladder and Gall Bladder sinew vessels: + GB-39, GB-40, UB-60, UB-62 For talipes equinus due to weakness of the Spleen and Kidney sinew vessels: + KI-3, KI-6, SP-4, SP-6 For nausea and vomiting: + PC-6, REN-13 For head distention: +Taiyang For chest oppression: + PC-6 For tinnitus: + GB-2

Liver Blodd And Kidney Yin Deficiency

Clinical Manifestations	Dizziness Tinnitus Double vision Unsteady gait Low back and knee weakness and pain Emaciation Five Sole Heat Yellow urine Dry stools T:Pale C: White P: Thready and wiry
Treatment Principle	Nourish the Kidneys and Liver Nourish the Blood Nourish Yin
Herb Formulas	Zuo Gui Wan   modified
Points	DU-1, DU-4, DU-6, DU-10, DU-14, DU-16, DU-20, DU-24, KI-3, KI-7, UB-18, UB-23 For visual disturbances: + UB-1 or UB-2 and Taiyang For tremors or contractions of the limbs: + LI-4, LIV-3 For dizziness: + GB-20 For fatigue: + REN-6, ST-36 For plaques of demylenation of the spinal cord: + Huatuojiaji of the affected area For atrophy, wilting, weakness, numbness and/or insensitivity of the upper limbs: + select 2-3 points from LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 For atrophy, wilting, weakness, numbness and/or insensitivity of the lower limbs: + select 2-3 points from ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For weakness of the wrist: + LI-5, SJ-4 For weakness of the hand: + LI-4 through to SI-3 For weakness or numbness of the fingers: + Baxie For weakness of the knees: + LIV-8, UB-40 For weakness of the feet or numbness of the toes: + Bafeng For talipes equinus due to weakness of the Stomach, Gall Bladder and Liver sinew vessels: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the Bladder and Gall Bladder sinew vessels: + GB-39, GB-40, UB-60, UB-62 For talipes equinus due to weakness of the Spleen and Kidney sinew vessels: + KI-6, SP-4, SP-6 For nausea and vomiting: + PC-6, REN-13 For head distention: +Taiyang For chest oppression: + PC-6 For tinnitus: + GB-2

Kidney Yang Deficiency

Clinical Manifestations	Exhaustion from long-term illness Low energy Lethargy Aversion to Cold Coolness of the extremities Impotence Spermatorrhea Aching and weakness of the lower back and knees Cold extremities Infertility Premature ejaculation Seminal emission Loose stools (sometimes with undigested food) Diarrhea Maybe constipation Frequent urination Incontinence of urine Edema of the lower extremities Pale face Poor vision Spontaneous perspiration Dizziness Enuresis T: Pale P: Deep, slow and weak
Treatment Principle	Warm and tonify the Kidney Yang
Herb Formulas	You Gui Wan  modified Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) Chinese Patent Medicines: Jin Gui Shen Qi Wan He Che Da Zao Wan Ren Shen Yang Rong Wan
Points	HT-7, GB-12, Taiyang, UB-2, UB-23, UB-18, SP-6, KI-3 For paralysis of the upper extremities: + DU-14, LI-15, LI-14, LI-11, LI-4, SJ-5 For paralysis of the lower extremities: + GB-30, GB-31, GB-39, ST-31, ST-32, ST-36, UB-39, SP-9 For speech impairment: + DU-15, REN-23 For urinary incontinence or retention: + REN-3, REN-4, REN-6 DU-4, GB-39, KI-3, REN-4, UB-23, UB-32 For tinnitus: + GB-2 For vertigo: + GB-20, UB-2 For urinary incontinence: + LIV-5, REN-3, UB-28 For Lung Qi Deficiency: LU-9 For Phlegm in the Lungs: + REN-23, ST-40 For Heart Qi Deficiency: + HT-5 DU-1, DU-4, DU-6, DU-10, DU-14, DU-16, DU-20, DU-24, REN-4, UB-23 For visual disturbances: + UB-1 or UB-2 and Taiyang For tremors or contractions of the limbs: + LI-4, LIV-3 For dizziness: + GB-20 For fatigue: + REN-6, ST-36 For plaques of demylenation of the spinal cord: + Huatuojiaji of the affected area For atrophy, wilting, weakness, numbness and/or insensitivity of the upper limbs: + select 2-3 points from LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 For atrophy, wilting, weakness, numbness and/or insensitivity of the lower limbs: + select 2-3 points from ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For weakness of the wrist: + LI-5, SJ-4 For weakness of the hand: + LI-4 through to SI-3 For weakness or numbness of the fingers: + Baxie For weakness of the knees: + LIV-8, UB-40 For weakness of the feet or numbness of the toes: + Bafeng For talipes equinus due to weakness of the Stomach, Gall Bladder and Liver sinew vessels: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the Bladder and Gall Bladder sinew vessels: + GB-39, GB-40, UB-60, UB-62 For talipes equinus due to weakness of the Spleen and Kidney sinew vessels: + KI-6, SP-4, SP-6 For nausea and vomiting: + PC-6, REN-13 For head distention: +Taiyang For chest oppression: + PC-6 For tinnitus: + GB-2 Ear acupuncture: Kidney, Liver, Shenmen, Bladder, Eye, Adrenal

Kidney Jing, Yin And Yang Deficiency

Clinical Manifestations	Lumbago Low back feels cold, weak and aching Knees feel cold and aching Feeling chilled Withdrawn, subdued behavior Aversion to cold Tinnitus Cold limbs Impotence Spermatorrhea Premature ejaculation General debility Pale face Low libido Urinary frequency with abundant, clear urine or Female infertility ("uterus cold and infertile") Oliguria with edema Maybe nocturia Maybe anorexia Lassitude Maybe chronic diarrhea or "cock crow" diarrhea	Dizziness Maybe loose stools In adults: Hair loss Graying or whitening of hair Weak sexual function Atrophy and weakness of feet with Difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of fontanel Poor bone development, brittle bones T: Pale and swollen C: Thin and white P: Deep and thready maybe slow
Treatment Principle
Herb Formulas	Multiple Sclerosis #1
Points	GB-39, KI-3, KI-6, REN-4, UB-23, UB-32 For tinnitus: + GB-2 For vertigo: + GB-20, UB-2 For blurred vision: + GB-37, SJ-23, UB-1 For urinary incontinence: + LIV-5, REN-3, UB-28 For hesitant urination: + LU-7 For Lung Qi Deficiency: + LU-9 For Phlegm in the Lungs: + REN-23, ST-40 For Heart Qi Deficiency: + HT-5 For Liver Yin Deficiency: + GB-37, KI-6, LIV-3, SI-6, UB-1 Scalp Acupuncture: For motor problems (paralysis, weakness of limbs, tingling, numbness, pain in limbs, urine and bowel problems): Sensory and Foot motor areas unilaterally or bilaterally For dizziness: Dizziness area For balance problems: Balance area For limb spasms: Tremor area Rotate 200 times/minute for three minutes, rest 10 minutes and repeat 3 to 4 times. Lower Limbs: Electro-acupuncture or rotate 200 times/minute and moxa GB-34, LI-3, KI-3, Bafeng Upper Limbs: Electro-acupuncture or rotate 200 times/minute and moxa LI-11, LI-4, SJ-5, Baxie For older and weak patients: Moxa ST-36, SP-6, REN-4, KI-1, UB-23

Kidney Jing Insufficiency With Qi And Blood Deficiency

Clinical Manifestations	Qi Deficiency: Lethargy Severe weakness Fatigue Symptoms worse with exertion Symptoms better with rest Shortness of breath with little exertion Laconic speech Shiny, pale complexion Reduced appetite Maybe loose stools Prolapse Bleeding Incontinence Maybe soft voice Maybe chronic cough with generalized weakness Profuse sweating T: Pale C: Thin white P: Deep and Weak Blood Deficiency: Pale face, lips & nails Dizziness Palpitations Scanty menses Numbness of extremities Amenorrhea	Insomnia T: Pale C: White P: Thready and weak Kidney Jing Insufficiency: Dizziness Tinnitus Low back and knees weak and aching In adults: Hair loss Graying or whitening of hair Weak sexual function Atrophy and weakness of feet with difficulty Poor memory walking Senility (premature or mature) Brittle bones Gradual deterioration of hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of fontanel Poor bone development (brittle bones)
Treatment Principle
Herb Formulas	Multiple Sclerosis #2
Points	Scalp Acupuncture: For motor problems (paralysis, weakness of limbs, tingling, numbness, pain in limbs, urine and bowel problems): Sensory and Foot motor areas unilaterally or bilaterally For dizziness: Dizziness area For balance problems: Balance area For limb spasms: Tremor area Rotate 200 times/minute for three minutes, rest 10 minutes and repeat 3 to 4 times. Lower Limbs: Electro-acupuncture or rotate 200 times/minute and moxa GB-34, LI-3, KI-3, Bafeng Upper Limbs: Electro-acupuncture or rotate 200 times/minute and moxa LI-11, LI-4, SJ-5, Baxie For older and weak patients: Moxa ST-36, SP-6, REN-4, KI-1, UB-23

Kidney And Liver Yin Deficiency

Clinical Manifestations	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 Stools difficult to pass Insomnia Constipation Irritability T: Red C: None P: Thready and rapid Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge Men: Spermatorrhea
Treatment Principle	Strengthen the Kidneys and Liver Nourish Yin
Herb Formulas	Multiple Sclerosis #3
Points	GB-39, KI-3, KI-6, REN-4, UB-23, UB-32 For tinnitus: + GB-2 For vertigo: + GB-20, UB-2 For urinary incontinence: + LIV-5, REN-3, UB-28 For Lung Qi Deficiency: LU-9 For Phlegm in the Lungs: + REN-23, ST-40 For Heart Qi Deficiency: + HT-5 Scalp Acupuncture: For motor problems (paralysis, weakness of limbs, tingling, numbness, pain in limbs, urine and bowel problems): Sensory and Foot motor areas unilaterally or bilaterally For dizziness: Dizziness area For balance problems: Balance area For limb spasms: Tremor area Rotate 200 times/minute for three minutes, rest 10 minutes and repeat 3 to 4 times. Lower Limbs: Electro-acupuncture or rotate 200 times/minute and moxa GB-34, LI-3, KI-3, Bafeng Upper Limbs: Electro-acupuncture or rotate 200 times/minute and moxa LI-11, LI-4, SJ-5, Baxie For older and weak patients: Moxa ST-36, SP-6, REN-4, KI-1, UB-23

Kidney And Liver Yin Deficiency With Qi And Blood Deficiency

Clinical Manifestations	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 Stools difficult to pass Insomnia Constipation Irritability T: Red C: None P: Thready and rapid Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge Men: Spermatorrhea	Qi Deficiency: Lethargy Fatigue Symptoms worse with exertion Symptoms better with rest Shortness of breath with little exertion Laconic speech Shiny, pale complexion Reduced appetite Maybe loose stools Prolapse Bleeding Incontinence Maybe soft voice Maybe chronic cough with generalized weakness Profuse sweating T: Pale C: Thin white P: Deep and Weak Blood Deficiency: Pale face, lips & nails Dizziness Palpitations Scanty menses Numbness of extremities Amenorrhea Insomnia T: Pale C: White P: Thready and weak
Treatment Principle	Nourish the Kidneys and Liver Tonify Qi Nourish the Blood
Herb Formulas	Multiple Sclerosis #7 Chinese Patent Medicines: Qi Ju Di Huang Wan Zhi Bai Di Huang Wan He Che Da Zao Wan Ren Shen Yang Rong Wan
Points	HT-7, GB-12, Taiyang, UB-2, UB-23, UB-18, SP-6, KI-3 For paralysis of the upper extremities: + DU-14, LI-15, LI-14, LI-11, LI-4, SJ-5 For paralysis of the lower extremities: + GB-30, GB-31, GB-39, ST-31, ST-32, ST-36, UB-39, SP-9 For speech impairment: + DU-15, REN-23 For urinary incontinence or retention: + REN-3, REN-4, REN-6 Ear acupuncture: Kidney, Liver, Shenmen, Bladder, Eye, Adrenal

Yin Deficiency With Yang Excess

Clinical Manifestations	Steaming bone disorder Afternoon fever Night sweats Spontaneous seminal emissions Irritability Heat and pain in the knees (maybe with weakness) Red face Restless fever Hematemesis Sore knees Sore lower back Maybe hemoptysis May be constant hunger Hot flashes Restless Insomnia Productive bloody cough Easily angered Nightmares Sore feet with flaccidity Tinnitus Burning sensation over Kidneys Dizziness or vertigo Five sole Heat T: Red C: Little or None P: Thready, Excess and rapid in the Chi position
Treatment Principle	Nourish Yin Regulate Yang Nourish the Blood
Herb Formulas	Da Bu Yin Wan modified Chinese Patent Medicines: Qi Ju Di Huang Wan Zhi Bai Di Huang Wan He Che Da Zao Wan Ren Shen Yang Rong Wan
Points	HT-7, GB-12, Taiyang, UB-2, UB-23, UB-18, SP-6, KI-3 For paralysis of the upper extremities: + DU-14, LI-15, LI-14, LI-11, LI-4, SJ-5 For paralysis of the lower extremities: + GB-30, GB-31, GB-39, ST-31, ST-32, ST-36, UB-39, SP-9 For speech impairment: + DU-15, REN-23 For urinary incontinence or retention: + REN-3, REN-4, REN-6 Ear acupuncture: Kidney, Liver, Shenmen, Bladder, Eye, Adrenal

Qi And Yin Deficiency

Clinical Manifestations	Fatigue Weakness in the extremities Poor appetite with scanty eating Maybe abdominal distention Maybe easy bruising Orthostatic hypotension Scanty menstruation or Profuse menstruation Loose stools or Diarrhea Tinnitus Dizziness Low back and knee pain and weakness Maybe emaciation Night sweats Tidal malar flushing T: Pale and swollen with a red tip or Swollen with a red tip or Swollen and red C: Dry or scanty yellow P: Thready, wiry and rapid
Treatment Principle	Strengthen the Spleen Tonify Qi Boost the Kidneys Nourish Yin
Herb Formulas	Multiple Sclerosis #8
Points	DU-1, DU-4, DU-6, DU-10, DU-14, DU-16, DU-20, DU-24, KI-7, ST-36, UB-20, UB-23 For visual disturbances: + UB-1 or UB-2 and Taiyang For tremors or contractions of the limbs: + LI-4, LIV-3 For dizziness: + GB-20 For fatigue: + REN-6, For plaques of demylenation of the spinal cord: + Huatuojiaji of the affected area For atrophy, wilting, weakness, numbness and/or insensitivity of the upper limbs: + select 2-3 points from LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 For atrophy, wilting, weakness, numbness and/or insensitivity of the lower limbs: + select 2-3 points from ST-31, ST-32, ST-34, ST-37, ST-41 For weakness of the wrist: + LI-5, SJ-4 For weakness of the hand: + LI-4 through to SI-3 For weakness or numbness of the fingers: + Baxie For weakness of the knees: + LIV-8, UB-40 For weakness of the feet or numbness of the toes: + Bafeng For talipes equinus due to weakness of the Stomach, Gall Bladder and Liver sinew vessels: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the Bladder and Gall Bladder sinew vessels: + GB-39, GB-40, UB-60, UB-62 For talipes equinus due to weakness of the Spleen and Kidney sinew vessels: + KI-6, SP-4, SP-6 For nausea and vomiting: + PC-6, REN-13 For head distention: +Taiyang For chest oppression: + PC-6 For tinnitus: + GB-2

Qi And Blood Deficiency

Clinical Manifestations	Numbness and weakness of the extremities Spasms and contractures of the extremities Mild trembling of the limbs Shaking of the head Usually long term Slow to initiate movement A slow, shuffling gait A somber, pale, white or sallow and lusterless facial complexion Pale lips and nails Fatigue Lassitude Weakness Aversion to Cold Disinclination to speak Stiffness of the neck and back Difficulty moving Spontaneous cool perspiration Dizziness Insomnia Blurred vision Loose stools Maybe edema T: Thick and pale or Thick and dark with teethmarks or petechiae C: Thin P: Thready or Thready and weak
Treatment Principle	Tonify Qi Nourish the Blood Extinguish Wind Unblock the channels
Herb Formulas	Ba Zhen Tangmodified With Liver Qi Stagnation: Xiao Yao Sanmodified Chinese Patent Medicines: Ba Zhen Wan Tian Ma Mi Huan Su An Shen Bu Nao Wan
Points	LI-4, LIV-3, UB-17, UB-18, UB-20, UB-21 For Spleen Yang Deficiency: + REN-4 For Kidney Yang Deficiency: + DU-4, UB-23 For more severe Blood Deficiency: + UB-15 For Blood Stagnation: + SP-6, SP-10 For severe fatigue and weakness: + ST-36 For edema: + REN-9, SP-9 For twitching or severe tremors: + GB-20, GB-34 With inhibited bending and stretching: + DU-14, DU-26, REN-24 With pain and numbness in the upper limbs: + SJ-5 With pain and numbness in the lower limbs: + UB-57 With generalized joint pain: + LI-11, SP-9, Ahshi points With instability when walking: + KI-6, UB-62 LI-10, LIV-3, REN-4 , REN-12, SP-6, ST-36, UB-20, UB-23

Blood Stagnation

Clinical Manifestations	Fixed, sharp pain Tumor formation If Blood Stagnation combines with Qi Deficiency: Fatigue Shortness of breath If Blood Stagnation combines with Cold: Cold extremities Distension & pain Aversion to Cold Preference for warmth T: Purple or Pale with purple spots P: Choppy or Choppy and Weak
Treatment Principle
Herb Formulas	Multiple Sclerosis #5
Points	Scalp Acupuncture: For motor problems (paralysis, weakness of limbs, tingling, numbness, pain in limbs, urine and bowel problems): Sensory and Foot motor areas unilaterally or bilaterally For dizziness: Dizziness area For balance problems: Balance area For limb spasms: Tremor area Rotate 200 times/minute for three minutes, rest 10 minutes and repeat 3 to 4 times. Lower Limbs: Electro-acupuncture or rotate 200 times/minute and moxa GB-34, LI-3, KI-3, Bafeng Upper Limbs: Electro-acupuncture or rotate 200 times/minute and moxa LI-11, LI-4, SJ-5, Baxie For older and weak patients: Moxa ST-36, SP-6, REN-4, KI-1, UB-23

Wind-Phlegm (Feng Tan)

Clinical Manifestations	Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Di Tan Tang
Points	HT-5, LI-4, LI-11, REN-23, Shanglianquan, SJ-6, SP-6, ST-40

Phlegm-Damp Invades The Channels

Clinical Manifestations	Weakness Heaviness Numbness Tingling of the extremities Cold limbs Achy back and shoulders Numbness of the back Vertigo Blurred vision Double vision T: Pink C: Greasy and white P: Slippery and maybe thready or Slippery and maybe empty
Treatment Principle	Resolve Phlegm-Damp Raise the Yang Clear the channels
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San
Points	REN-12, SP-6, SP-9, ST-36, ST-40, UB-20 For vertigo: + DU-20, ST-8 For blurred vision: + SJ-23, ST-8, Taiyang, UB-2 Upper limb: LI-4, LI-5, LI-10, LI-11, SI-3, SJ-5 Lower limb: DU-3, GB-30, GB-31, GB-34, GB-39, GB-40, ST-31, ST-32, ST-36, ST-41, UB-32, UB-40, UB-60

Phlegm-Heat (Re Tan)

Clinical Manifestations	Atrophy, wilting and weakness of the extremities Accompanies the onset of fever or is a sequela to fever Possible numbness and insensitivity of the limbs Tends toward paralysis Head distention Chest oppression Tinnitus Possible decreased visual acuity Nausea Vomiting Thirst with no desire to drink Profuse yellow, sticky Phlegm T: Red C: Yellow or Slimy and yellow P: Wiry and slippery or Slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Open the Orifices Unblock the channels
Herb Formulas	Di Tan Tang  modified
Points	DU-1, DU-4, DU-6, DU-10, DU-14, DU-16, DU-20, DU-24, SP-9, ST-40, ST-44 For visual disturbances: + UB-1 or UB-2 and Taiyang For tremors or contractions of the limbs: + LI-4, LIV-3 For dizziness: + GB-20 For fatigue: + REN-6, ST-36 For plaques of demylenation of the spinal cord: + Huatuojiaji of the affected area For atrophy, wilting, weakness, numbness and/or insensitivity of the upper limbs: + select 2-3 points from LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 For atrophy, wilting, weakness, numbness and/or insensitivity of the lower limbs: + select 2-3 points from ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For weakness of the wrist: + LI-5, SJ-4 For weakness of the hand: + LI-4 through to SI-3 For weakness or numbness of the fingers: + Baxie For weakness of the knees: + LIV-8, UB-40 For weakness of the feet or numbness of the toes: + Bafeng For talipes equinus due to weakness of the Stomach, Gall Bladder and Liver sinew vessels: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the Bladder and Gall Bladder sinew vessels: + GB-39, GB-40, UB-60, UB-62 For talipes equinus due to weakness of the Spleen and Kidney sinew vessels: + KI-3, KI-6, SP-4, SP-6 For nausea and vomiting: + PC-6, REN-13 For head distention: +Taiyang For chest oppression: + PC-6 For tinnitus: + GB-2

Phlegm-Heat Generates Wind

Clinical Manifestations	Mild or severe tremors of the head and extremities Sometimes the tremors can be stopped by conscious effort Fullness and stiffness of the chest and epigastrium A dry mouth Dizziness Vertigo Sweating Yellow Phlegm A tendency toward obesity T: Normal or Red C: Greasy and yellow P: Wiry, slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Extinguish Wind
Herb Formulas	Dao Tan Tangmodified With severe Phlegm, Heat and tremors: Cui Gan Wan Chinese Patent Medicines: An Gong Niu Huang Wan Wan Shi Niu Huang Qing Xin Wan Hu Po Bao Long Wan
Points	DU-12, GB-13, LIV-3, PC-5, REN-15, ST-25, ST-40 If worse at night: + KI-6 If worse during the day: + UB-62

Wei Syndrome Due To Lung Heat With Fluid Deficiency

Clinical Manifestations	Fever during the initial stage of an illness or Fever followed by weakness, rapidly developing flaccidity and immobility of the extremities with muscular atrophy, and dry skin Low grade fever and Yin impairment Usually lower extremities Irritability Thirst Cough Scanty sputum Scanty urine Dry stool T: Red C: Yellow and scanty P: Thready and rapid
Treatment Principle	Clear Heat from the Lungs Moisten the Lungs Nourish the tendons and bones
Herb Formulas	Qing Zao Jiu Fei Tangmodified Sha Shen Mai Men Dong Tang Sheng Mai San In cases where fever is abated with loss of appetite and severe dry mouth and throat due to Lung and Stomach Yin Deficiency: Yi Wei Tang
Points	General points + LU-5, UB-13 KID-3, KID-6, LU-5, LU-7, REN-4, REN-6, SP-6, ST-36 Huatuojiaji, LI-11, LU-7, LU-9, ST-37 For Lung Dryness: KID-6, LU-7, UB-23

Wei Syndrome Due To Damp-Heat In The Spleen And Stomach With Qi And Blood Deficiency

Clinical Manifestations	Early stage: Abnormal sensitivity or numbness of the limbs Heaviness of the limbs Weak and flaccid extremities Drooping of the hands and feet Slight swelling in the affected extremities Loss of use of the limbs Most often affects the lower extremities Possibly fever or low-grade fever Stifling sensation in the chest and epigastrium Body feels heavy Obesity Edema Skin problems Sticky, foul-smelling, dark colored or yellow stools Burning sensation in the anus Dark, scanty, urgent, painful and difficult urination Sensation of Heat that begins at the dorsum of the foot and slowly progresses up the leg to the waist Maybe painful joints Symptoms worse with Heat T: Red C: Yellow and greasy P: Soft and rapid and possibly slippery
Treatment Principle	Clear Heat Dry Dampness Open the channels
Herb Formulas	Jia Wei Er Miao San modified Si Miao Wan modified Wu Wei Xiao Du Yin Yi Yi Ren Tang Dang Gui Nian Tong Tang
Points	REN-3, REN-12, DU-1, DU-4, DU-6, DU-10, DU-14, DU-16, DU-20, DU-24, SP-9 For visual disturbances: + UB-1 or UB-2 and Taiyang For tremors or contractions of the limbs: + LI-4, LIV-3 For dizziness: + GB-20 For fatigue: + REN-6, ST-36 For plaques of demylenation of the spinal cord: + Huatuojiaji of the affected area For atrophy, wilting, weakness, numbness and/or insensitivity of the upper limbs: + select 2-3 points from LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 For atrophy, wilting, weakness, numbness and/or insensitivity of the lower limbs: + select 2-3 points from ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For weakness of the wrist: + LI-5, SJ-4 For weakness of the hand: + LI-4 through to SI-3 For weakness or numbness of the fingers: + Baxie For weakness of the knees: + LIV-8, UB-40 For weakness of the feet or numbness of the toes: + Bafeng For talipes equinus due to weakness of the Stomach, Gall Bladder and Liver sinew vessels: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the Bladder and Gall Bladder sinew vessels: + GB-39, GB-40, UB-60, UB-62 For talipes equinus due to weakness of the Spleen and Kidney sinew vessels: + KI-3, KI-6, SP-4, SP-6 For nausea and vomiting: + PC-6, REN-13 For head distention: +Taiyang For chest oppression: + PC-6 For tinnitus: + GB-2 General points + SP-9, UB-20 DU-8, DU-14, GB-34, LI-4, LI-11, SP-9 Huatuojiaji, LI-4, LI-11, SP-9, ST-31 to ST-41 With digestive problems: + REN-12, ST-44 DU-14, LI-4, LI-11, SP-3, SP-6, SP-9, ST-36, UB-20

Wei Syndrome Due To Spleen And Stomach Qi Deficiency

Clinical Manifestations	Gradual onset of flaccidity and weakness of the extremities aggravated by exertion Gradual loss of muscle mass Sallow complexion Facial puffiness Fatigue Lassitude Anorexia No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Urine clear and abundant T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient or Thready and forceless
Treatment Principle	Tonify and Strengthen the Spleen and Stomach Augment Qi
Herb Formulas	Shen Ling Bai Zhu San modified Shi Quan Da Bu Tang Gui Pi Tang With Blood Stasis: Bu Yang Huan Wu Tang For obesity with excessive Phlegm: Liu Jun Zi Tang For significant Qi Deficiency or Qi Sinking: Bu Zhong Yi Qi Tang Chinese patent medicine: Ba Xian Tang
Points	General points + REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 REN-12, SP-6, UB-20 DU-5, DU-6, LI-10, ST-36, UB-20, UB-21 LIV-13, REN-6, REN-12, SP-3, SP-5, SP-6, ST-21, ST-36, UB-20, UB-21 Huatuojiaji, REN-6, SP-6, SP-9, ST-31 to ST-41 For vertigo: + DU-20, GB-20 LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Wei Syndrome Due To Kidney Qi And Yang Deficiency

Clinical Manifestations	Weak and Cold lower back Difficulty rising T: Pale and swollen P: Very deep and weak
Treatment Principle	Tonify the Kidneys Warm Yang
Herb Formulas	You Gui Wan You Gui Yin
Points	DU-3, DU-4, KI-7, UB-23

Wei Syndrome Due To Kidney And Liver Yin And Blood Deficiency

Clinical Manifestations	Slow and gradual onset Weak and flaccid lower limbs Muscle twitching Soreness and weakness of the lower back and spine Inability to stand for a long time Total loss of mobility and severe loss of muscle mass can result with exacerbation Dizziness Vertigo Hair loss Dry throat Tinnitus Fatigue Nocturnal emissions Enuresis Fecal and urinary incontinence Irregular menstruation Dysmenorrhea T: Red C: Little or None P: Thready and rapid
Treatment Principle	Tonify the Liver and Kidneys Nourish Yin Clear Heat
Herb Formulas	Hu Qian Wan modified Zi Shui Qing Gan Yin He Che Da Zao Wan Da Bu Yin Wan Liu Wei Di Huang Wan Zuo Gui Wan Zuo Gui Yin Yi Sui Tang With Yang Deficiency: Ba Wei Di Huang Wan
Points	General points + KI-3, LIV-3, REN-4, SP-6, UB-18, UB-23 Huatuojiaji, KI-3, LIV-3, LIV-8, REN-4, SP-6, ST-31 to ST-41, UB-23

Wei Syndrome Due To Qi And Yin Deficiency

Clinical Manifestations	Emaciation Weak low back Dry skin T: Pale or Red and dry C: White or Little or None P: Weak and thin
Treatment Principle	Tonify Qi Nourish Yin
Herb Formulas	Shen Ling Bai Zhu San modified + Da Bu Yin Wan
Points	DU-3, LU-9, REN-4, SP-3, UB-23

Wei Syndrome Due To Qi And Blood Stagnation

Clinical Manifestations	Chronic flaccidity and weakness of the limbs Muscular atrophy Weakness and numbness of the limbs Dark-colored skin or Dry, scaled, fish-like skin Possible muscular pain Possible spasm leading to paralysis Blood vessels may be visible on the skin surface T: /purple tongue P: Choppy/uneven, thready T: Dusky, purple C: Thin and white P: Choppy or Choppy and thready
Treatment Principle	Circulate Qi Activate the Blood Eliminate Stasis Open the channels and collaterals
Herb Formulas	Sheng Yu Tang modified Tao Hong Si Wu Tang
Points	General points + REN-6, SP-6, SP-10, UB-40 Huatuojiaji, REN-6, SP-6, SP-10, UB-17, bleed UB-40