Neuritis

General

Clinical Manifestations	Inflammation of nerves.
Treatment Principle
Herb Formulas
Points

Tai Yang - Yang Ming

Clinical Manifestations	Fever and chills with fever increasing and chills decreasing Headache Anhidrosis Stiffness and pain of the extremities Orbital pain Eye pain Shoulder and neck tension Dry nasal passages Irritability Insomnia Constipation Abdominal fullness Fever Tenesmus Vomiting Thirst Epistaxis T: Normal C: Thin and yellow P: Floating and slightly flooding
Treatment Principle	Dispel Wind Release the muscle layer Clear Interior Heat
Herb Formulas	Ge Gen Jian Ban Xian 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 release the Shao-Yang Harmonize the Liver, Spleen and Intestines Dispel Water Accumulation
Herb Formulas	Chai Hu Gui Zhi Tang
Points

Wind-Heat Bi

Clinical Manifestations	Whole body numbness Deviation of mouth and eyes Numbness of skin Dysphagia due to stiffness of the tongue Hemiplegia Rigidity of the extremities Spasms of the extremities Aversion to Cold Fever Chills Aching joints Tingling of the skin Paralysis of the extremities Numbness and lack of sensation in the hands and feet Common cold (with above symptoms) Inability to walk Wandering joints pain T: Pink or Red C: White or Thin yellow P: Superficial or Superficial and wiry or superficial and tight or Wiry and thin
Treatment Principle	Dispel Wind Clear Heat Circulate Qi Dredge the channels Nourish and activate the Blood Harmonize the Ying and Wei
Herb Formulas	Da Qin Jiao Tang
Points

Wind-Damp

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
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-Cold-Damp With Dampness Predominant

Clinical Manifestations	Numbness and pain of the extremities Joint swelling and pain, especially hands and feet Heaviness of joints Numbness of the joints Stiffness of the joints Fever Heaviness of the body Coldness of the body Dizziness Likes pressure Fatigue Pale complexion Preference for warmth Swelling, pain, numbness and stiffness of the joints Skin cornification T: Pale C: Thick, white or Greasy white P: Thready and slippery
Treatment Principle	Dispel Wind and Dampness Benefit Qi Activates Blood circulation Tonify the Blood Warm the Channels Relieves muscular tension
Herb Formulas	Yi Yi Ren 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

Wind-Phlegm Obstructing The Channels

Clinical Manifestations	Deviation of the eyes and mouth Paralysis of the skin Continuous, uncontrolled salivation Fever Sore, painful joints Facial paralysis Difficulty speaking Intolerance of Cold Spasms of the limbs T: Normal C: Thin and white P: Wiry or Taut and thready or Floating and rapid
Treatment Principle	Dispel Wind Resolve Phlegm Stop spasms
Herb Formulas	Qian Zheng San Vestibular: Ban Xia Bai Zhu Tian Ma Tang Polyneuritis: Bu Yang Huan Wu Tang
Points

Lung Heat With Fluid Deficiency

Clinical Manifestations	Dry, hacking cough with little or no sputum Flushed face Sputum is difficult to expectorate Restlessness Maybe hemoptysis Hiccups Cough may cause chest pain Dyspnea Dry or sore throat Upper respiratory tract infection Hoarse voice Asthma Dry lips and mouth Fever Shortness of breath Hemoptysis Decreased urination Constipation Thirst Dry skin and hair Dryness in nose Sensation of fullness in chest Epistaxis Hypochondriac pain Chills and fever Headache Anhidrosis Irritability Itching T: Red tip, dry C: Thin, yellow, or White and dry, or None P: Superficial, maybe rapid or Big and weak or Deficient, big and rapid
Treatment Principle	Eliminate Dryness Moisten the Lungs
Herb Formulas	Qing Zao Jiu Fei Tang Sha Shen Mai Men Dong Tang Sheng Mai San Yi Wei Tang
Points

Spleen And Stomach Qi Deficiency

Clinical Manifestations	Nausea Vomiting Distention of chest and epigastrium Coughing up copious, thin, white sputum Dyspnea Sallow complexion Anorexia Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Abdominal and epigastric distention after meals Maybe bleeding Stifling sensation in the chest and epigastrium Acid regurgitation Shortness of breath Loose stools or diarrhea Lethargy Thin muscles Fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe borborygmus Maybe cold extremities Maybe abundant clear urine Muscle weakness in arms and legs Weak abdomen T: Pale and flabby, may have teeth marks C: White and greasy P: Soft and weak
Treatment Principle	Tonify Qi Strengthen the Spleen and Stomach Transform Phlegm Dry Dampness Circulate Qi
Herb Formulas	Liu Jun Zi Tang Shen Ling Bai Zhu San
Points

Central Qi Sinking

Clinical Manifestations	Prolapse of one or more organs Sallow complexion 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 or Soft and thready
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20, other points are selected according to the type of prolapse

Phlegm-Fire Disturbs The Heart (Vestibular)

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Easily startled Severe cases: Incoherent speech Crying and laughing without reason Manic agitation with irrational behavior May physically attack or abuse others T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, 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
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

Liver And Kidney Yin Deficiency

Clinical Manifestations	Steaming bone disorder Afternoon fever Tidal fever Night sweats Spontaneous seminal emissions Irritability Heat and pain in the knees (maybe with weakness) Atrophy and weakness of the knees and legs Red face Restless fever Hematemesis Sore knees Sore lower back Maybe hemoptysis May be constant hunger Maybe constipation Hot flashes Restlessness Fidgeting Insomnia with frequent dreams Productive bloody cough Easily angered Nightmares Sore feet with flaccidity Tinnitus Burning sensation over Kidneys Dizziness or vertigo Five Sole Heat Cough T: Red C: Little or None P: Thready, Excess and rapid in the Chi position
Treatment Principle	Nourish Yin Descend Fire
Herb Formulas	Zuo Gui Wan Hu Qian Wan Liu Wei Di Huang Wan With Liver Qi Stagnation: Yi Guan Jian
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 With Liver Qi Stagnation: Zi Shui Qing Gan Yin
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

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) You Gui Yin
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 Yin And Yang Deficiency

Clinical Manifestations	Dizziness Tinnitus Weak legs Lower back ache Low-grade fever in the afternoon Fatigue Red cheeks Hot flushed face Spermatorrhea due to Deficient Yin Nocturnal emissions Fever with thirst Burning soles of feet Hot flashes Night sweating Dry cough Headache Restlessness Early periods Pale dilute menstrual Blood Nocturia General feeling of being Cold Restless insomnia Vertigo, T: Pale and swollen or Red C: Thin and white or Little or None P: Deep and weak or Thready and rapid
Treatment Principle	Tonify Kidney Yang Nourish the Liver and Kidneys Nourish Yin Relieve Empty Fire due to Deficiency of Yin
Herb Formulas	He Che Da Zao Wan
Points

Kidney Qi And 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 Infertility Premature ejaculation Seminal emission Loose stools (sometimes with undigested food) Incontinence of urine Edema of the lower extremities Pale face Spontaneous perspiration Dizziness Enuresis T: Pale P: Deep, slow and weak
Treatment Principle	Warm and tonify Kidney Yang Replenish Jing Tonify the Blood
Herb Formulas	You Gui Wan
Points

Qi And Blood Stagnation With Water Accumulation In The Legs

Clinical Manifestations	Pitting edema Numbness Fatigue Weakness in the legs Palpitations Distention beneath the Heart Constipation Dyspnea T: Blue purple maybe with purple or red spots C: White P: Choppy or Wiry and choppy
Treatment Principle	Dispel water accumulation Disperse Qi and Blood Stagnation
Herb Formulas	Jiu Wei Bing Lang Jia Wu Fu Tang
Points

Qi And Yang 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 And Blood Deficiency

Clinical Manifestations	Pallid or sallow complexion Palpitations with anxiety that may be continuous Reduced appetite Shortness of breath Laconic speech Easily fatigued extremities Light-headedness and/or vertigo Dizziness Anorexia Thirst Course skin Headache Blurred vision Lassitude Severe chills and fever Midline pain in women Lower abdominal pain Lower abdominal distention Severe chills and fever Irregular menstruation Weight loss Abscesses that neither suppurate nor improve Continuous spotting from uterine bleeding Weakness of the limbs Itching Under weight T: Pale C: Thin and white P: Thin and frail or Large and Deficient without strength
Treatment Principle	TonifY and augment Qi and Blood
Herb Formulas	Ba Zhen Tang
Points

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

Blood Stagnation Due To A Mild Attack Of Wind Cold

Clinical Manifestations	Relatively superficial numbness without pain Paresthesia and numbness of the skin and flesh Paresthesia of the shoulders Neck and shoulder stiffness and pain Abdominal pain alleviated by warmth and pressure Pale complexion Hemiplegia Stiff tongue Flaccidity if the extremities Migratory pain Pain, weakness, tightness or spasms of the extremities Spontaneous sweating Shortness of breath Aphasia Excess salivation Aversion to Wind T: Normal or Thick C: White or Smooth and white or White and greasy P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle	Tonify Qi and Blood Warm and harmonize the channels and collaterals Harmonize the Ying and Wei Unblock painful obstruction Warm the Middle Jiao Dispel Cold Alleviate pain
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang
Points

Blood Stagnation Due To Blood Deficiency

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 Regulate Blood circulation Break up Blood Stagnation Regulate menstruation Alleviate pain
Herb Formulas	Tao Hong Si Wu Tang
Points

Blood And Yang Deficiency With Cold

Clinical Manifestations	Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin The swellings are not hot to the touch No thirst Swollen and painful joints Wasting of the muscles of the thigh and calf T: Very pale or Pale-pink C: White P: Thready and forceless or Deep and slow
Treatment Principle	Warm the Yang Tonify the Blood Disperse Cold Eliminate Stagnation
Herb Formulas	Yang He Tang
Points

Cold And Blood Stagnation In The Channels

Clinical Manifestations	Abdominal pain with icy cold hands and feet Extremities are cyanotic and difficult to warm up P: Thready or Imperceptible
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the channels
Herb Formulas	Dang Gui Si Ni Tang
Points

Damp-Phlegm

Clinical Manifestations	Dizziness Vertigo Mental cloudiness Heavy head Heavy sensation in the body Cough with Excess sputum Chest and epigastric distention Suffocating sensation in the chest and epigastrium Nausea Profuse sputum Vomiting Anorexia Fatigue Borborygmus Tinnitus Mouth glutinous No thirst Likes to sleep Maybe palpitations T: Thick C: White and greasy or Sticky and white P: Rolling or Wiry and slippery
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Eliminate Dampness Resolve Phlegm
Herb Formulas	Vestibular: Ban Xia Bai Zhu Tian Ma Tang
Points	GB-34, LIV-13, REN-12, ST-36, ST-40 PC-6, REN-12, ST-8, ST-40, UB-20 DU-20, DU-23, GB-20, GB-34, LI-4, REN-12, ST-36, ST-40, ST-41 REN-12, PC-6, ST-41

Damp-Heat

Clinical Manifestations	Heaviness of the limbs Weak and flaccid extremities Occasional numbness Slight swelling in the affected extremities Most often affects the lower extremities Possibly fever Stifling sensation in the chest and epigastrium Obesity Lower back pain with a burning sensation Yellow, foul-smelling vaginal discharge Edema Skin problems A dry mouth Irritability A sensation of Heat that begins at the dorsum of the foot and slowly progresses up the leg to the waist Dark, scanty, painful and difficult urination Reddish urine T: Red C: Yellow and greasy P: Soft and rapid and possibly slippery
Treatment Principle	Clear Heat Resolve Dampness Activate the Blood in the channels and collaterals
Herb Formulas	Jia Wei Er Miao Wan Wu Wei Xiao Du Yin
Points

Damp-Heat In The Lower Jiao

Clinical Manifestations	Pain in low back and knees Weakness or atrophy of lower extremities Scanty yellow urine Red, hot, swollen and painful feet or knees Edema in lower legs Eczema Painful and swollen feet Pain and swelling of the joints Leukorrhea (thick, yellow and foul-smelling) Sores on lower extremities due to Damp Severe numbness and weakness in lower extremities T: Normal C: Yellow and greasy P: Soft and rapid
Treatment Principle	Eliminate Heat Resolve Dampness
Herb Formulas	Si Miao Wan
Points

Wei Syndrome Due To Liver And Kidney Yin Deficiency

Clinical Manifestations	Facial complexion pale and sallow 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 Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Da Bu Yin Wan Yi Sui Tang Zi Shui Qing Gan Yin Zuo Gui Yin
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Wei Syndrome Due To Qi And Blood Deficiency

Clinical Manifestations	A constant ache in the lower abdomen that occurs during or just after menstruation The pain responds favorably to pressure Scanty and pale menstrual flow Pale complexion Palpitations Thirst Listlessness Menstrual bleeding that is light in color Lethargy Weak limbs Withdrawn behavior Restlessness Insomnia Sensation of Heat Maybe irritability T: Pale C: Thin P: Thin and frail
Treatment Principle	Augment Qi Tonify the Blood Preserve the Blood Tonify Yin
Herb Formulas	Sheng Yu Tang
Points