Neuralgia

General

Clinical Manifestations	Pain in the distribution of a nerve or nerves.
Treatment Principle
Herb Formulas
Points

Tai Yang Zhong Feng

Clinical Manifestations	Aversion to Wind Mild, or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Headache Nausea Nasal irritation Nasal obstruction Tendency to snore Itchy throat T: Normal C: Thin and white P: Superficial and slow or Moderate and maybe weak
Treatment Principle	Create sweat to relieve the Exterior and expel Wind Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas	Gui Zhi Tang With stiff neck and shoulders: Gui Zhi Jia Ge Gen Tang With Dampness: Ren Shen Bai Du San With dyspnea, asthma and sputum: Gui Zhi Jia Hou Po Xing Ren Tang With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: Gui Zhi Jia Fu Zi Tang
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, Yintang With stiff neck and shoulders: + GB-21 With Dampness: + SP-6, SP-9 With dyspnea, asthma and sputum: Dingchuan, REN-22 With nocturnal emission, excess dreams, Cold lower extremities, dizziness and hair loss: + DU-4, KI-3, UB-23 With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: + REN-4 With sustained fever of long duration accompanied by severe chills: + DU-14

Tai Yang Shang Han With Neck And Shoulder Stiffness

Clinical Manifestations	Chills and fever Anhidrosis Stiff and rigid neck, shoulders and upper back Intolerance of Wind Dislike of Cold Inflammation Diarrhea Muscle spasms Mucosal swelling Nasal congestion Sensitivity to dust Headache Wind-Cold Bi (few joints affected, inflammation intense but short lived, changes over days or weeks) T: Normal C: Thin and white P: Floating and tight
Treatment Principle	Release Wind-Cold in the Exterior and muscle layer Generate Fluids Relieve muscle-ache of the neck
Herb Formulas	Ge Gen Tang
Points

Wind-Cold Invasion With Underlying Blood Stagnation

Clinical Manifestations	Acute lower abdominal pain Incontinence of urine Night fevers Delirious speech Irritability Restlessness Thirst May be mania (severe) Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet Afternoon fever Tremors Excruciating abdominal pain with cold Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis Severe wheezing Distention of the chest T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Activate the Blood Break up Blood Stasis
Herb Formulas	Tao He Cheng Qi Tang
Points

Wind-Cold Invasion With Underlying Qi And Blood Deficiency

Clinical Manifestations	Generalized pains Convulsions Edema Flaccid hemiplegia The patient is unable to recognize friends or identify the source of pain Stiffness with inability to rotate the trunk Confusion Muscular numbness and pain Cough Flushed face Fever Aphasia Dry stools Low-grade fever T: Normal C: Thin and yellow or Yellow and greasy P: Slippery and rapid
Treatment Principle	Support the Normal Qi Clear Heat Relax muscle tension Nourish Blood Disperse Wind Dispel Wind-Damp
Herb Formulas	Xu Ming Tang
Points

Wind-Cold Invasion With Underlying Internal Cold

Clinical Manifestations	Fever and chills without sweat Headache Body aches Stiff neck and back Abdominal pain and Cold Diarrhea with borborygmus A sensation of fullness in the chest and abdomen May be Cold in the lower body with Heat in the upper body Aching at the waist Anhidrosis Loose stools Nausea Abdominal distention Borborygmus An aversion to food Vomiting Women: Cold-type epigastric and abdominal pain Menstrual irregularity Dysmenorrhea T: Normal C: White and greasy P: Deep and wiry or Superficial and slow
Treatment Principle	Release the Exterior Warm the Interior Smooth the flow of Qi Transform Phlegm Activate the Blood Reduce Accumulations
Herb Formulas	Wu Ji San
Points

Wind-Cold Invasion With Underlying Cold-Dampness

Clinical Manifestations	Abdominal pain Cold extremities Numb hands and feet Generalized body aches Paralysis of the extremities Induration and swelling of the scrotum Hypersalivation Limited movement of the joints Abdominal pain referring to the testis Aversion to Cold A preference for Warmth Loose stools Chills and fever T: Normal C: Thin and white P: Tense and wiry
Treatment Principle	Warm the Interior Reinforce Yang Release the Exterior Regulate the Ying and Wei
Herb Formulas	Wu Tou Gui Zhi Tang
Points

Wind-Cold Invasion With Underlying Yang Deficiency

Clinical Manifestations	Chills Mild fever Aversion to Wind Continuous perspiration (like leaking water) Difficult urination Muscle spasms Difficulty with flexing and extending the legs Cold limbs Chest pain referring to the back A feeling of oppression over the chest Stiff extremities Painful urination Generalized aches and pains Difficulty rotating the trunk Headache Fatigue Somnolence T: Normal C: White and greasy P: Superficial, big and forceless or Superficial, rough and Deficient or Deep and slow
Treatment Principle	Expel Wind-Cold Restore Yang Disperse Cold
Herb Formulas	Gui Zhi Jia Fu Zi Tang
Points

Tai Yang - Shao Yang

Clinical Manifestations	Joint pain with a crackling sensation Epigastric pain Fatigue Gastrointestinal weakness Headache Heaviness in the head Fever Moderately severe chills Distension beneath the Heart Periumbilical or lower abdominal pain Tenseness around the pubic bone Subcostal pain Epigastric fullness Nausea Mild vomiting Mild thoraco-costal discomfort Costal distress Tension in the rectus abdominus Chest distension Abdominal pain Abdominal distension Constipation Irritability Insomnia Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Release the Exterior and muscle layer Harmonize and releases the Shao-Yang Harmonize the Liver, Spleen and Intestines Dispel Water Accumulation
Herb Formulas	Chai Hu Gui Zhi Tang
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

Shao Yang Fu

Clinical Manifestations	Alternating chills and fever (not so likely) Restlessness Irritability Continuous vomiting Headache (side of head) Hypochondriac pain Epigastric pain Bitter taste in mouth Digestive disruption Anorexia Nausea Acid regurgitation Burning diarrhea or Constipation Menstrual problems Dry throat Heart pain with vomiting Throat pain Hip pain T: Red C: Thin yellow P: Wiry, forceful
Treatment Principle	Harmonize the Liver and Gall Bladder Purge Internal Heat
Herb Formulas	Da Chai Hu Tang For Shao Yang Fu with Tai Yang manifesting as joint pain with a crackling sensation (symptoms are more external): Chai Hu Gui Zhi Tang For Shao Yang Fu with underlying Liver Qi Stagnation manifesting as chest and hypochondriac distension, insomnia, headache and  possibly delirium: Chai Hu Jia Long Gu Mu Li Tang
Points	To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 For nausea and vomiting: PC-6, SP-4, ST-36 For headache: GB-1, GB-8, GB-14, Taiyang For constipation: SJ-6, ST-25 For fever: DU-13, DU-14 For Stomach Heat: LI-4, LI-11, ST-44 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: GB-41, SJ-5 , SP-10 To regulate menstruation: SP-6 For Shao Yang Fu with Tai Yang: For the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 For the Tai Yang: GB-20, UB-12 For Shao Yang Fu with underlying Liver Qi Stagnation: To harmonize the Shao Yang: GB-34, LIV-3, SJ-6 To clear Heat: LI-11, ST-44 To calm the Shen: HT-7, PC-6 Ear: Shenmen, Liver, Gall Bladder, bleed Heat points

Shao Yang - Yang Ming

Clinical Manifestations	Abdominal pain Constipation Hypochondriac pain Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs T: Normal C: Greasy and white P: Deep, tight and wiry
Treatment Principle	Warm the Interior Disperse Cold Unblock the bowels Alleviate pain
Herb Formulas	Da Huang Fu Zi Tang
Points

Wind-Cold-Dampness With Interior Heat

Clinical Manifestations	Chills and fever (more chills than fever) Anhidrosis Headache Stiff neck Generalized aches and pains Slight thirst A bitter taste in the mouth T: Normal C: White P: Floating
Treatment Principle	Induce sweating Expel Wind-Cold Dispel Dampness Drain Interior Heat
Herb Formulas	Jiu Wei Qiang Huo Tang
Points

Wind-Cold-Damp Bi With Liver And Kidney Deficiency

Clinical Manifestations	Wandering joint pain, especially the wrists, elbows, knees and ankles Chills and fever Atrophy above and below the knees Limited movement Paralysis of knees One or both knees swollen, enlarged and painful Stiffness of knees Legs so weak and sore after dysentery that it is difficult to walk Generalized pain and numbness in the legs Hemiplegia Dizziness Neuralgia Paralysis, stiffness, swelling and pain of feet Atrophy of the leg muscles Chest oppression Lumbago Tinnitus T: Pink or Pale and swollen or Red C: Thin white or Greasy white P: Superficial and tense or tight or Deep and thin or Deep and weak or Deep, slow and weak
Treatment Principle	Dispel Wind Activate Qi and Blood Tonify Qi and Blood Eliminate Cold-Dampness Tonify Yang Strengthen the muscles, tendons and bones
Herb Formulas	Da Fang Feng Tang
Points

Wind-Damp Bi

Clinical Manifestations	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 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	Shu Jin Li An San Gan Cao Fu Zi Tang Ma Xing Yi Gan 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 Bi With Blood Deficiency And Blood Stasis

Clinical Manifestations	Muscle aches Joint pain Radiating pain in the legs Low back pain Edema Numbness in the lower extremities Pain in the trunk and extremities Abdominal pain Sciatica Aversion to Wind and Cold Knee pain T: Pale or Pink with purple spots C: Normal P: Choppy or Taut
Treatment Principle	Unblock and relax the channels Activate the Blood Break up Blood Stasis Dispel Wind-Dampness Strengthen the tendons
Herb Formulas	Shu Jing Huo Xue Tang
Points

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

Wind-Damp-Phlegm With Qi Deficiency

Clinical Manifestations	Hemiplegia Asymmetry of the face Slow and slurred speech Fever and chills Semi-consciousness Convulsions Neck rigidity Limited movement of the joints Loss of consciousness Muscle spasms Low back pain Numbness of the muscles and skin T: Pale C: Thin and white P: Floating and Deficient or Tense or Wiry and tense
Treatment Principle	Warm the channels Unblock Yang Dispel Wind Support the Normal Qi Relax spasms
Herb Formulas	Xiao Xu Ming Tang
Points

Phlegm-Heat Congests The Lungs (Intercostal)

Clinical Manifestations	Rapid breathing with a harsh voice Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus The sputum is difficult to expectorate Maybe chills and fever Dyspnea Fullness and distention in the chest and diaphragm Nausea Fever Aversion to Cold Asthma Chest pain Pain in the ribs Dry mouth Constipation Scanty, dark urine Difficulty rotating the trunk due to chest pain Maybe delirious speech T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Counteract Toxin Transform Stasis Drain Pus Resolve Phlegm (The use of Clear Heat / Counteract Toxin herbs and the principle of "Draining Pus" are only relevant when foul-smelling pus is being expectorated such as in pulmonary abscess) Soothe asthma in case of asthma
Herb Formulas	Gua Lou Zhi Shi Tang
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13

Cold-Damp Distresses The Spleen

Clinical Manifestations	Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Wei Ling Tang
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

Food Stagnation In The Stomach

Clinical Manifestations	Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation
Herb Formulas	Wu Ji San
Points

Heart Blood Stagnation (Intercostal)

Clinical Manifestations	Chronic stabbing pain in the chest Pain in the hypochondrium Chronic, stubborn headache with a fixed, piercing quality Palpitations Chronic incessant hiccups Five Sole Heat Choking sensation when drinking Dry heaves Depression or low spirits with a sensation of warmth in the chest Chest distention Dry, scaly skin Dark rings under the eyes Spider naevi on the cheeks, nose, trunk, inner knee and ankle Dizziness Chronic tinnitus Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums Loose teeth Painful receding gums Frequently bleeding gums Vomiting after intake of water Palpitations Persistent daytime drowsiness Insomnia (persistent with much dreaming) Restless sleep Forgetfulness Irritability Fidgeting A bad temper Extreme mood swings Evening tidal fever Dark or purplish lips, conjunctiva or nail beds Dark complexion Dark sclera Hair loss on the head and body T: Dark-red with purple spots on the edges P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle	Clear Yang Activate the Blood Transform Stagnation
Herb Formulas	Gua Lou Xie Bai Bai Zhu Tang Xue Fu Zhu Yu Tang
Points	HT-5, HT-6, HT-7, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, UB-15, UB-17

Liver Qi Stagnation Invading The Spleen (Gastric, Intercostal)

Clinical Manifestations	Cold fingers and toes with Heat in the Interior Irregular fever Hypochondriac fullness and distention Distention, pain or a stuck feeling in the Stomach, lower abdomen or intercostal regions Abdominal pain Severe diarrhea Dysentery Costal pain Menstrual complaints Depression Cough A slight sensation of warmth in the body Body hot and feverish due to lack of harmony of the Liver Qi Thirst Mild constipation A sense of irritability and fullness in the chest and epigastrium Mild obstruction and hardening beneath the Heart A visible white line running from the navel to the tip of the breastbone Mild abdominal distention Abdominal spasms Dry, swollen eyes Tenesmus Dysuria Diarrhea Dark yellow urine T: Red or pale C: Thin yellow or white or Greasy yellow or white P: Wiry or Wiry and tight or Wiry and slippery
Treatment Principle	Release the Exterior Regulate Liver and Spleen Relieve Stagnation Spread Liver Qi Eliminate Heat in the Interior
Herb Formulas	Si Ni San Shao Yao Gan Cao Tang
Points

Liver Qi Stagnation Invading The Stomach (Intercostal)

Clinical Manifestations	Epigastric pain (worse when emotionally upset) Belching with acid regurgitation Nausea Vomiting Anorexia Epigastric distention 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 C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Yue Ju Wan
Points	LIV-3, LIV-14, PC-6, REN-12

Liver Fire Flaring Up (Intercostal)

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

Damp-Heat In The Liver And Gall Bladder (Intercostal)

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	Long Dan Xie Gan Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Liver And Kidney Yin Deficiency With Liver Qi Stagnation (Hypochondriac)

Clinical Manifestations	Hypochondriac and chest pain Dry, parched mouth and throat Bitter taste in mouth Acid regurgitation Dizziness Epigastric and abdominal distention Maybe constipation T: Red and dry C: Little or None P: Thready and weak or Wiry and deficient
Treatment Principle	Enrich Kidney and Liver Yin Spread Liver Qi
Herb Formulas	Yi Guan Jian
Points

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

Yang Deficiency With Internal Cold-Damp

Clinical Manifestations	Lower abdominal pain and Cold Abdomen feels chilled Aching bones and joints Muscle ache Whole body pain Aversion to Cold, especially at the back Cold limbs No Thirst Lower abdominal pain and Cold Abdomen feels chilled Maybe fever No thirst T: Normal C: White and slippery P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle	Dispel Cold Warm the channels Assist Yang Dispel Dampness Relieve pain
Herb Formulas	Fu Zi Tang
Points

Qi Stagnation

Clinical Manifestations
Treatment Principle
Herb Formulas	Wu Ji San Wu Yao Shun Qi San
Points

Qi And Blood Stagnation (Intercostal)

Clinical Manifestations	Pain beneath the left side of the rib cage Rib pain from trauma Alternating chills and fever Hypochondriac fullness and pain P: Wiry
Treatment Principle	Dredge the Liver Regulate the Qi Dispel Stasis Open the channels and collaterals Relieve pain Activate the Blood Clear Heat
Herb Formulas	Shu Gan Tang Shen Tong Zhu Yu Tang With toxic Heat (post-herpetic): Xian Fang Huo Ming Yin
Points

Qi And Blood Deficiency With Blood Stasis Obstructing The Channels

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 Activate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang
Points

Qi , Blood And Yang Deficiency

Clinical Manifestations	Fatigue Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods Chills Cold limbs Inability to get warm Loose stools Profuse clear urine Spontaneous sweating Lassitude T: Pale C: White or Thin, white and dry P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle	Tonify Qi and Blood Strengthen the Spleen Tonify Yang
Herb Formulas	Ren Shen Dang Shao San
Points

Blood Stagnation

Clinical Manifestations	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	Activate the Blood Break up Stagnation
Herb Formulas	Wu Ji San Fu Yuan Huo Xue Tang Zhu Yu Tang With Blood Deficiency (post-herpetic): Tao Hong Si Wu Tang
Points	SP-6, SP-10, ST-36, UB-17, UB-40

Cold Stagnation

Clinical Manifestations	Chest pain Shoulder stiffness Abdominal distention and pain Constipation Cold feet An aversion to Cold Pale face Fatigue Headaches with heavy headedness Abdominal weakness Anorexia T: Pale C: Greasy, white P: Weak or Weak and wiry
Treatment Principle	Tonify Qi Break up Stagnant Qi Descend Qi Warm the Middle Jiao Disperse Cold Transform Phlegm
Herb Formulas	Yan Nian Ban Xia Tang Wu Ji San
Points

Phlegm Stagnation

Clinical Manifestations	Dizziness Stiff tongue Deviation of the eyes and mouth Hemiplegia Fullness of the chest or Masses or Distended abdomen Heavy limbs Nausea Vomiting T: Pink C: Sticky and yellow P: Slippery
Treatment Principle	Eliminate Phlegm Remove Stasis
Herb Formulas	Wu Ji San
Points

Phlegm And Blood Stagnation

Clinical Manifestations	Mild, persistent uterine bleeding of purple and black blood during pregnancy Abdominal pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness Fatigue Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face Protruding abdomen T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense, deep and slow
Treatment Principle	Activate the Blood Transform Blood Stasis Soften lumps Reduce fixed abdominal pain
Herb Formulas	Gui Zhi Fu Ling Wan
Points

Phlegm-Heat Stagnation In The Chest

Clinical Manifestations	Focal distention in the chest and epigastrium with or without nodules which is painful when pressed Coughing up yellow, viscous sputum Constipation A bitter taste in the mouth T: Normal C: Yellow and greasy P: Slippery and floating or Slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Expand the chest Dissipate Stagnation
Herb Formulas	Xiao Xian Xiong Tang
Points

Phlegm-Damp Retention

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting 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 Phlegm-Damp
Herb Formulas	Wu Ji San
Points

Phlegm-Dampness In The Upper Jiao Obstructing The Channels

Clinical Manifestations	Pain in the upper arm Aches and pains in the wrist, forearm and elbow T: Pink C: Slippery P: Slippery
Treatment Principle	Dry Dampness Transform Phlegm Dispel Wind Dredge the Channels Relieve pain
Herb Formulas	Er Zhu Tang
Points

Sexually Transmitted Damp-Heat In The Lower Jiao

Clinical Manifestations	Syphilitic sores Chancre Inguinal bubo Syphilitic eruptions
Treatment Principle	Clear Heat Relieve toxicity Eliminate Dampness Activate the Blood Dispel Blood Stasis
Herb Formulas	Xiang Chuan Jie Du Ji
Points