Myasthenia Gravis

General

Clinical Manifestations	Myasthenia gravis is a chronic neuromuscular transmission disturbance disorder It is considered an autoimmune disorder Easy fatigue of affected striated muscles, relieved after rest Ptosis of the eyelids Difficulty chewing and swallowing Flaccidity of the muscles and limbs Severe cases: Death
Treatment Principle	Treat Wei Syndrome
Herb Formulas	For abdominal and calf spasms: Shao Yao Gan Cao Tang
Points	Local Points: For upper arm weakness: DU-14, Huatoujiaji(T-1-T-8) (select 2 or 3 points) For forearm weakness: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 (select 2 or 3 points) For weakness of the buttocks and thighs: DU-3, Huatoujiaji(T-10-L-5), UB-32, UB-34 (select 2 or 3 points) For weakness of the lower legs: ST-31, ST-32, ST-34, ST-36,  ST-37, ST-41 (select 2 or 3 points) Symptomatic Points: For drooping eyelids: SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao For drooping eyelids and double vision: GB-14 through to Yuyao, LI-4, SI-6, SJ-23, ST-36, UB-2 For difficulty swallowing, an inability to speak clearly with a strong nasal sound and an inability to chew: GB-20, HT-5, LI-18, REN-22, ST-6, ST-7, ST-36 For weakness of the wrist: LI-5, SJ-4 For weakness of the hands: LI-4 through to SJ-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 sinew vessels of the Foot Yang Ming, foot Shao Yang and Foot Shao Yin: GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the sinew vessels of the Foot Tai Yang and foot Shao Yang: GB-39, GB-40, UB-60, UB-62 Foot Tai Yin and foot Shao Yin: KI-3, KI-6, SP-4, SP-6

Wind-Cold-Damp With Damp Predominant

Clinical Manifestations	Chronic fever with swelling of the extremities Numbness and heaviness of the extremities Soreness and fixed pain of joints Stiffness or numbness of the muscles or skin Pain worse on cloudy or rainy days Maybe peripheral or systemic edema Pain is alleviated by pressure and warmth Pain lingers and is recalcitrant to treatment Worse during cloudy or wet weather Limited movement Edema Maybe a stifling sensation in chest Maybe anorexia or indigestion Maybe abdominal distention Maybe loose or semi-liquid stools T: Pink or Pale C: Greasy and white P: Slow, moderate and soft
Treatment Principle	Expel Damp Clear the channels
Herb Formulas	Yi Yi Ren Tang
Points	SP-6, SP-9 To eliminate Dampness and ease sinews: 1. SJ-6, GB-34, SP-5, SP-6, SP-9, LI-10, ST-36, ST-40 2. UB-20, SP-9 When affected by weather changes: 1. SJ-5, UB-35, ST-36, SP-5 2. SP-5, ST-38, ST-36 3. LI-13, ST-32, UB-38, GB-30, GB-34, SJ-8, DU-1 Lower back pain: moxa DU-2 Legs: GB-29, GB-30, UB-40

Wind-Damp-Heat Bi

Clinical Manifestations	Generalized body aches and pains Irritability Heavy sensation in the shoulder and back Discomfort or a constricted sensation in the area of the chest and diaphragm Multiple sores, carbuncles furuncles or abscesses Redness Itching Persistent swelling Chest pain Fever Thirst Aching and painful extremities Aching and painful joints Unbearable swelling and pain of the lower extremities Shoulder stiffness T: Normal C: Greasy and slightly yellow P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle	Resolve Dampness Clear Heat Disperse Wind Stop pain Activate the Blood Tonify Qi and Blood
Herb Formulas	Dang Gui Nian Tong Tang
Points

Central Qi Sinking

Clinical Manifestations	Drooping eyelids Double vision Sallow complexion or A bright, white, lusterless complexion Fatigue Lassitude Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Disinclination to speak A weak voice Symptoms better in the morning and worse in the evening T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang modified Sheng Xian Tang With Blood Deficiency and Qi and Blood Stagnation: Bu Qi Zeng Li Tang
Points	DU-20, other points are selected according to the type of prolapse Local Points: For upper arm weakness: DU-14, Huatoujiaji(T-1-T-8) (select 2 or 3 points) For forearm weakness: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 (select 2 or 3 points) For weakness of the buttocks and thighs: DU-3, Huatoujiaji(T-10-L-5), UB-32, UB-34 (select 2 or 3 points) For weakness of the lower legs: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 (select 2 or 3 points) Distant Points: DU-20, REN-3, ST-36 Symptomatic Points: For drooping eyelids: + SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao For weakness of the wrist: + LI-5, SJ-4 For weakness of the hands: + LI-4 through to SJ-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 sinew vessels of the Foot Yang Ming, foot Shao Yang and Foot Shao Yin: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the sinew vessels of the Foot Tai Yang and foot Shao Yang: + GB-39, GB-40, UB-60, UB-62 Foot Tai Yin and foot Shao Yin: + KI-3, KI-6, SP-4, SP-6

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Drooping eyelids Restricted ocular movement Double vision Lack of strength in the extremities Aversion to Cold Spontaneous perspiration Aphasia Difficulty swallowing 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	Li Zhong Tang modified
Points	Local Points: For upper arm weakness: DU-14, Huatoujiaji(T-1-T-8) (select 2 or 3 points) For forearm weakness: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 (select 2 or 3 points) For weakness of the buttocks and thighs: DU-3, Huatoujiaji(T-10-L-5), UB-32, UB-34 (select 2 or 3 points) For weakness of the lower legs: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 (select 2 or 3 points) Distant Points: KI-3, SP-6, moxa or moxa needle REN-4, UB-23 Symptomatic Points: For drooping eyelids: + SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao For double vision: + GB-20, GB-37, alternate SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao with Taiyang, UB-1, Yiming For weakness of the wrist: + LI-5, SJ-4 For weakness of the hands: + LI-4 through to SJ-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 sinew vessels of the Foot Yang Ming, foot Shao Yang and Foot Shao Yin: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the sinew vessels of the Foot Tai Yang and foot Shao Yang: + GB-39, GB-40, UB-60, UB-62 Foot Tai Yin and foot Shao Yin: + KI-3, KI-6, SP-4, SP-6

Stomach Yin Deficiency

Clinical Manifestations	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	Yi Wei Tang modified
Points	KI-3, REN-12, SP-6, ST-36, UB-21

Heart And Lung Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath Asthma Soft weak cough Prolonged bouts of coughing with dyspnea Expectoration of clear, watery Phlegm Suffocating sensation in the chest Spontaneous, weak perspiration All of the above manifestations are exacerbated by exertion Shiny white complexion Weak voice Catches colds easily T: Pale C: Thin and white P: Weak or Thready and weak
Treatment Principle	Reinforce and Benefit Heart and Lung Qi
Herb Formulas	Sheng Mai San
Points	HT-7, LU-9, REN-17, UB-13, UB-15

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the heart and Spleen
Herb Formulas	Gui Pi Tang Sheng Yu Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan)
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Yang Deficiency: Kidney Qi Not Consolidated

Clinical Manifestations	Low back and knees aching and weak Hearing deficit Jing Gate Not Consolidated: Spermatorrhea Premature ejaculation Vaginal discharge Infertility Urinary disorder: Frequent, clear, abundant urination Dribbling after urination Incontinence of urine T: Pale and swollen with teethmarks C: Thin white P: Deep and thready
Treatment Principle	Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Suo Gu Jing Wan You Gui Wan
Points

Blood Stagnation

Clinical Manifestations	Drooping eyelids Weak muscles Lack of strength in the lower limbs Chest and diaphragm fullness and oppression Rapid breathing Pain that is fixed, stabbing and/or severe 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 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 Unblock the channels
Herb Formulas	Xiong Long Tang
Points	Local Points: For upper arm weakness: DU-14, Huatoujiaji(T-1-T-8) (select 2 or 3 points) For forearm weakness:, LI-10, LI-11, LI-14, LI-15, SJ-5 (select 2 or 3 points) For weakness of the buttocks and thighs: DU-3, Huatoujiaji(T-10-L-5), UB-32, UB-34 (select 2 or 3 points) For weakness of the lower legs: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 (select 2 or 3 points) Distant Points: LI-4, REN-3, SP-6 Symptomatic Points: For drooping eyelids: + SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao For double vision: + GB-20, GB-37, alternate SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao with Taiyang, UB-1, Yiming For weakness of the wrist: + LI-5, SJ-4 For weakness of the hands: + LI-4 through to SJ-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 sinew vessels of the Foot Yang Ming, foot Shao Yang and Foot Shao Yin: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the sinew vessels of the Foot Tai Yang and foot Shao Yang: + GB-39, GB-40, UB-60, UB-62 Foot Tai Yin and foot Shao Yin: + KI-3, KI-6, SP-4, SP-6

Qi And Yin Deficiency

Clinical Manifestations	Drooping eyelids Double vision Lack of strength in the four limbs Disinclination to speak Spontaneous perspiration or Night sweats A Dry mouth A parched throat Heart vexation Dry stools T: Red C: Little or None P: wiry and thready or Thready and rapid
Treatment Principle	Tonify Qi Nourish Yin
Herb Formulas	Liu Wei Di Huang Wan + Sheng Mai San modified
Points	Local Points: For upper arm weakness: DU-14, Huatoujiaji(T-1-T-8) (select 2 or 3 points) For forearm weakness: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 (select 2 or 3 points) For weakness of the buttocks and thighs: DU-3, Huatoujiaji(T-10-L-5), UB-32, UB-34 (select 2 or 3 points) For weakness of the lower legs: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 (select 2 or 3 points) Distant Points: KI-7, SP-6 , ST-36 Symptomatic Points: For drooping eyelids: + SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao For double vision: + GB-20, GB-37, alternate SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao with Taiyang, UB-1, Yiming For weakness of the wrist: + LI-5, SJ-4 For weakness of the hands: + LI-4 through to SJ-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 sinew vessels of the Foot Yang Ming, foot Shao Yang and Foot Shao Yin: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the sinew vessels of the Foot Tai Yang and foot Shao Yang: + GB-39, GB-40, UB-60, UB-62 Foot Tai Yin and foot Shao Yin: + KI-3, KI-6, SP-4, SP-6

Qi , Blood And Yang Deficiency

Clinical Manifestations	Anemia Uterine bleeding Cold extremities Pale or sallow face Dizziness General fatigue Coarse skin Nocturnal emissions Weak knees Fatigue Dyspnea Night sweats Irregular menstruation Insomnia Intolerance of Cold Decreased eyesight after a prolonged illness Anxiety Intermittent fever Jaundice Deficient cough Shortness of breath Palpitations Anorexia Listlessness Lassitude Spontaneous sweating Spermatorrhea Continuous spotting Leukorrhea Weak legs and knees T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Replenish Yang Warm and tonify Qi and Blood
Herb Formulas	Shi Quan Da Bu Tang
Points

Qi , Blood And Jing Deficiency With Damp-Heat

Clinical Manifestations	Weakness of the knees Soreness of the lower back Lumbago Atrophy of the leg muscles Lower back weakness Knee pain Difficulty walking Emaciation Impotence Poor memory Dizziness Night sweats Five-sole Heat Aggravation of the pain by Damp weather Pale complexion Profuse urination at night Tinnitus Hair loss Sensation of warmth Thirst Dry skin T: Red or Pale and flabby with teethmarks C: Little or Thin and white P: Thready and weak, especially in the Kidney positions
Treatment Principle	Tonify the Liver and Kidneys Strengthen the tendons and bones Eliminate Damp-Heat Tonify Kidney Jing Relieve rheumatic pain
Herb Formulas	Deficient Bi #3
Points

Damp-Heat In The Lower Jiao

Clinical Manifestations	Distension and pain before or during menses Burning abdominal pain which precedes or follows the menstrual flow with guarding Soreness and distention of the lower back Pressure makes the pain worse There may be constant lower abdominal pain that worsens with menstruation Hot sensations A feeling of Heat in the abdomen Aversion to Heat Yellow smelly vaginal discharge between periods Dark-red or purple thick Blood with clots Maybe heavy bleeding Maybe dark, scanty, concentrated urine May be a mild fever T: Red C: Yellow and greasy P: Wiry and rapid or slippery and rapid or soft and rapid
Treatment Principle	Resolve Dampness Clear Heat
Herb Formulas	Si Miao Wan
Points

Phlegm-Damp (Tan Yin)

Clinical Manifestations	Drooping eyelids Lack of strength in the extremities The symptoms are better in the morning and worse in the afternoon Fatigue Anorexia Edema Abdominal distention Chest and hypochondriac distention and oppression Coughing with profuse Phlegm Dizziness Nausea Palpitations Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Pale or Normal C: Thick and slippery P: Slippery or Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Dao Tan Tang modified
Points	Local Points: For upper arm weakness: DU-14, Huatoujiaji(T-1-T-8) (select 2 or 3 points) For forearm weakness: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 (select 2 or 3 points) For weakness of the buttocks and thighs: DU-3, Huatoujiaji(T-10-L-5), UB-32, UB-34 (select 2 or 3 points) For weakness of the lower legs: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 (select 2 or 3 points) Distant Points: SP-9, ST-36, ST-40 Symptomatic Points: For drooping eyelids: + SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao For double vision: + GB-20, GB-37, alternate SJ-23, UB-2, Yuyao or Yuyao through to SJ-23 or SJ-4 through to Yuyao with Taiyang, UB-1, Yiming For weakness of the wrist: + LI-5, SJ-4 For weakness of the hands: + LI-4 through to SJ-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 sinew vessels of the Foot Yang Ming, foot Shao Yang and Foot Shao Yin: + GB-34, GB-40, LIV-4, ST-37, ST-41 For talipes equinus due to weakness of the sinew vessels of the Foot Tai Yang and foot Shao Yang: + GB-39, GB-40, UB-60, UB-62 Foot Tai Yin and foot Shao Yin: + KI-3, KI-6, SP-4, SP-6

Damp-Heat Afefecting The Channels

Clinical Manifestations	Heat and pain in the joints and muscles Severe limitation of movement Fever and shaking chills Lusterless yellow complexion Scanty, dark urine Pain worse on cloudy or rainy days Arthralgia involving one or several joints Local redness and Heat of the extremities Swelling with excruciating pain Pain better during the day and worse at night Numbness of the muscles Thirst Dryness of the mouth Irritability Muscular atrophy Restlessness Anorexia Desire for Cold drinks Loose stools Aversion to Heat Fullness of the chest Pain improved with Cold and worse with Heat Muscular swelling Muscle redness General heaviness T:Red, maybe flabby C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness Invigorate the collaterals Stop pain
Herb Formulas	Jia Wei Xuan Bi Tang
Points

Wei Syndrome Due To Spleen And Stomach Qi Deficiency

Clinical Manifestations	Loose stools or watery diarrhea Weak extremities Weight loss Distention and a stifling sensation in chest and epigastrium Pale wan complexion Abdominal distention Indigestion Vomiting Fatigue Chills Maybe vomiting Leukorrhea Reduced appetite Borborygmus Edema Reduced appetite Diarrhea with onset of menstrual flow Cough with copious sputum Leukorrhea in obese women T: Pale or Pale red C: White - maybe greasy P: Thready and even or Even and Deficient
Treatment Principle	Augment Qi Strengthen the Spleen Resolve Dampness Stop diarrhea
Herb Formulas	Shen Ling Bai Du San Liu Jun Zi Tang
Points

Wei Syndrome Due To Spleen And Kidney Deficienncy

Clinical Manifestations	Flaccid limbs Low back weakness and pain Easily fatigued Diplopia Dysphagia Anorexia Loose stools A dull facial complexion Blurred vision Alopecia A dry throat Tinnitus Maybe inability to walk Gradual muscular atrophy T: Pink C: White P: Thready and weak
Treatment Principle	Replenish the Spleen and Kidneys Strengthen the muscles and bones
Herb Formulas	Bu Zhong Yi Qi Tang modified Chinese Patent Medicines: Bu Zhong Yi Qi Tang + Fu Zi Li Zhong Wan Hu Qian Wan + Long Ma Zi Lai Dan Jin Suo Gu Jing Wan + Ren Shen Jian Pi Wan
Points	GB-30, GB-34, LI-4, LI-10, LI-11, LI-15, LU-7, ST-36, ST-41, UB-15, UB-18, UB-20, UB-23

Wei Syndrome Due To Kidney Qi And Yang Deficiency

Clinical Manifestations	Feebleness Exhaustion Abdominal pain Lower back pain Low energy Lethargy Impotence Cold and pain of the knees Cold extremities Shortness of breath Fatigue Nocturnal emission Separation of Yang T: Pale C: White P: Thin
Treatment Principle	Warm Kidney Yang Replenish Jing
Herb Formulas	You Gui Yin
Points

Wei Syndrome Due To Kidney And Liver Yin 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 Deficiency With Blood Stagnation

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Normal C: White P: Moderate
Treatment Principle	Tonify Qi Invigorate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang
Points

Wei Syndrome Due To Blood Stagnation

Clinical Manifestations	Copious bleeding of dark purple blood The blood is sticky during menstruation May or may not have clots Menstrual cycle is shortened (early menstruation) Palpitations Dizziness Blurred vision Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Fixed lower abdominal pain Vertigo Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale C: Normal P: Thin and weak or Thin and choppy
Treatment Principle	Tonify and activate the Blood Break up Blood Stagnation Alleviate pain
Herb Formulas	Tao He Cheng Qi Tang
Points

Wei Syndrome Due To Damp-Heat Accumulation

Clinical Manifestations	Usually a fever at the onset Aversion to Heat Flaccidity of the four limbs Muscular atrophy Red, painful, swollen joints with limited movement Hot sensations in the joints and muscles Numbness of the muscles Red, painful muscles Pain alleviated by Cold and made worse with Heat Lassitude General heaviness Ptosis of the eyelids, worse in the afternoon Coughing Yellow Phlegm A dry mouth and throat Chest and epigastric oppression Anorexia Loose stools Short, dark urination Restlessness T: Red or Flabby C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness Activate the channels and collaterals
Herb Formulas	Xuan Bi Tang modified Wu Wei Xiao Du Yin
Points	Upper limbs: LI-11, LI-14, LI-15, SJ-14 Lower limbs: GB-31, GB-34, ST-36, ST-40, ST-41 Back: Huatoujiaji, SI-9, SI-11

Wei Sydrome Due To Damp-Heat In The Lungs And Spleen With Qi And Blood Deficiency

Clinical Manifestations	Usually a fever at the onset Flaccidity of the four limbs Lassitude Ptosis of the eyelids, worse in the afternoon Coughing Yellow Phlegm A dry mouth and throat Epigastric oppression Anorexia Short, dark urination T: Red C: Yellow and slimy P: Thready and rapid
Treatment Principle	Clear Heat Eliminate Dampness Moisten the sinews and channels
Herb Formulas	Er Miao San modified Jia Wei Er Miao Wan modified Chinese Patent Medicines: Long Dan Xie Gan Wan Yang Yin Qing Fei Wan
Points	GB-30, GB-34, LI-4, LI-10, LI-11, LI-15, LU-7, ST-36, ST-41