Night Sweats

General

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	LU-1 KI-2 SI-3 HT-7, REN-6, UB-15 KI-7, SI-3, SJ-5 Moxa HT-7, SI-3 Yin Deficiency: 1. DU-14, HT-6, REN-4, REN-6, REN-7, SI-3, SP-6, UB-13 2. HT-7, KI-2, KI-7, LU-1, REN-6, SI-3, SJ-5, UB-15 3. KI-6, LU-7

Shao Yang Jing

Clinical Manifestations	Night sweats Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Anorexia Occasional vomiting Frequent retching Headaches (side of head) Chest pain and fullness Hypochondriac pain and fullness Rib pain and fullness A bitter taste in the mouth Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders A dry throat Throat pain Heart vexation Hip pain Possible vertigo T: Normal with bumps or dots on side C: Thin white or Thin and yellow P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Xiao Chai Hu Tang  modified
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 For night sweats: GB-40, HT-6, LI-4, LIV-14, SJ-5 With deafness and vertigo: + GB-2, GB-25 With vomiting: + REN-12 With constipation: + SJ-6, ST-37

Shao Yang With Congested Fluids

Clinical Manifestations	Alternating chills and fever (chills predominate) or Chills without fever Sensation of irritability in the chest Sweating from the head Fatigue Gastrointestinal weakness Heavy head Neuralgia Epigastric distension Lower abdominal pain Tension around pubic bone Periumbilical pain Urinary difficulty T: Moist C: White and slippery P: Superficial and wiry
Treatment Principle	Disperse Clumping Harmonize the Shao Yang Warm the Interior Dispel Cold
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

Wei Stage: Damp-Heat

Clinical Manifestations	Frequent night sweats Headache (wrapping) Fever and chills, fever more pronounced or Chills with afternoon fever Heavy extremities Heavy sensations in the body Stifling sensation in the chest Poor appetite A sticky sensation in the mouth Nausea Dizziness Gastric and abdominal distension Sticky mouth No thirst T: Normal C: Greasy, white or Greasy, yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp-Heat
Herb Formulas	Huo Po Xia Ling Tang
Points	KI-7, SP-3, ST-22, ST-43, UB-20 For fever: DU-14, bleed UB-40 For Wind-Heat: GB-20, LI-4, or SJ-5, LI-11, UB-12 For headache: DU-23, DU-24, ST-8, Taiyang For Dampness: REN-9, SP-6, SP-9, ST-28, UB-20

Qi Stage: Lung And Stomach Heat

Clinical Manifestations	Lingering fever from a febrile disease Vomiting Irritability Thirst with a desire to drink Parched mouth, lips and throat Choking cough Restlessness Insomnia Nausea Anorexia Profuse perspiration A dry mouth Indigestion Listlessness Chest oppression Ulcerations of the mouth Coarse skin Cough Night sweats Stifling sensation in the chest or epigastrium T: Red C: Little or None P: Rapid and Deficient or Thready and rapid
Treatment Principle	Clear Heat Generate fluids Tonify Qi Harmonize the Stomach
Herb Formulas	Zhu Ye Shi Gao Tang
Points

Xue Stage: Yin Deficiency Leads To Collapse Of Yin

Clinical Manifestations	Night sweats every night (gets progressively drier) Low grade fever Purple skin rash Malar flush (deep red cheeks - dangerous) Restlessness Insomnia Hearing loss Dry mouth and throat Short, sunken, dry gums Thirst Five sole heat Emaciation Collapse of Yin:   A. Moist skin   B. Sticky with sweat   C. Extreme thirst   D. Tired spirit   E. Shortness of breath   F. Extreme disorientation or confusion T: Deep red and scorched C: Dry P: Thready and rapid
Treatment Principle	Nourish Yin and Jing Nourish the Liver and Kidney Tonify the Blood
Herb Formulas	Da Ding Feng Zhu Prior to Collapse of Yin: Zi Ye Qing Re Tang
Points	To Cool Blood: DU-14, LI-11, ST-44 To Nourish Yin and Essence: KI-3, LIV-3, SP-6, UB-23, UB-52 To Nourish Deficiency: UB-43 To Calm the Shen: HT-7

Lung Yin Deficiency

Clinical Manifestations	Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Shortness of breath Afternoon fever Night sweats Malar flush (especially in afternoon) Five Sole Heat Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Emaciation T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs
Herb Formulas	Bai He Gu Jin Tang modified Yang Yin Qing Fei Tang Mu Li San Gu Ben Wan Zi Yin Jiang Huo Tang
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43 KI-7, LU-5, UB-13, UB-43 For fatigue, poor appetite and lack of strength: + UB-20 For hemoptysis: +LU-6 For seminal emissions: + UB-52 For irritability and insomnia: + HT-7

Lung Qi And Yin Deficiency

Clinical Manifestations	Chronic cough or Dry cough Insomnia Night sweats Spontaneous perspiration Weakness Palpitations Shortness of breath Fever Irritability T: Red and dry or Red and swollen C: Little or None P: Thready and weak
Treatment Principle	Replenish Qi and Yin Generate Body Fluids
Herb Formulas	Sheng Mai Yin Wan
Points

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Bai He Gu Jin Tang Ba Xian Chang Shou Wan Yang Yin Qing Fei Tang + Da Bu Yin Wan Mu Li San Mai Wei Di Huang Wan Du Qi Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Lung And Kidney Qi And Yin Deficiency

Clinical Manifestations	Unproductive cough Scanty, sticky phlegm or Sometimes blood-streaked sputum Chronic wheezing which is severe and may be constant Wheezing may be worse at night Wheezing and panting which is worse on exertion The patient may develop a barrel chest and a thick neck Tightness and fullness in the chest Shortness of breath (difficult to inhale) Dyspnea exacerbated by exertion Asthma (inhalation difficult) Soft, weak voice Spontaneous perspiration Aversion to Wind Emaciated body Exhausted Shen Dispirited Limbs cold Face blue-green-colored Maybe superficial edema of limbs and body Maybe dysuria Maybe stress incontinence on coughing Dry mouth Dry throat Warm, dry skin Chronic sore throat Low back and knees sore and weak "Steaming Bone" tidal fever Fine sole Heat Tinnitus Night sweats Malar flush Maybe hoarse voice Aversion to Heat Finger clubbing Large, red skin reaction to needles or pressure Maybe kyphosis of the upper back Maybe pain in shin, foot, and heel Sterility Spermatorrhea Patients who used steroids as children may be small in stature T: Red and dry or Pale, moist and swollen C: None or Mirrored or White P: Thready and rapid, may be fuller if on steroids or Deep and thready or Weak
Treatment Principle	Tonify Qi Nourish Yin Clear Heat Cool the Blood
Herb Formulas	Zheng Yin Li Lao Tang Jia Wei
Points

Spleen Damp

Clinical Manifestations	Night sweats Heavy-headedness A wrapping headache Heavy limbs Maybe edema in limbs, especially lower limbs Maybe anasarca Abdominal distention Stomach oppression Poor appetite Nausea Sliminess in the mouth Inhibited urination Loose stools Physical and mental fatigue T: Pale C: White and moist or White and slimy P: Soft and even or Slippery or Moderate and slow
Treatment Principle	Harmonize the Middle Strengthen the Spleen Benefit Qi Eliminate Dampness
Herb Formulas	Huo Po Xia Ling Tang  modified
Points	REN-12, SP-3, SP-6, SP-9, UB-20 For loose stools: + ST-39 For severe heavy-headedness: + ST-40 For aversion to Cold and fatigue: + moxa or moxa needle REN-4 For somnolence: + LI-3 REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

Spleen Qi Deficiency Not Governing The Blood

Clinical Manifestations	Sallow or pale complexion Anorexia Four limbs feel tired and heavy Physical and mental exhaustion Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose or unformed stools Shortness of breath Dizziness Palpitations Functional Uterine Bleeding Purpura Epistaxis Hemafecia Hematuria Menorrhagia Metrorrhagia T: Pale and flabby - may have teethmarks C: White P: Thready and weak
Treatment Principle	Benefit Qi Conserve Blood
Herb Formulas	Gui Pi Tang Bu Zhong Yi Qi Tang modified Gui Pi Tang + Jiao Ai Tang
Points	SP-1, SP-3, ST-36, UB-20 For Deficiency type uterine bleeding: DU-20, LI-11, REN-4, SP-4, SP-10, SP-14, UB-17

Stomach Yin Deficiency With Heat

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 Toothache Loose teeth Bleeding gums Frontal headache Irritability Fever Thirst with a desire to drink cold beverages Epistaxis Dysphoria Excess hunger Hemoptysis Dry throat Hematemesis Restlessness Night sweats Warm sensations T: Red and dry C: White or Yellow and dry P: Superficial, full, slippery, deficient and large or Gigantic and rapid or Rapid
Treatment Principle	Nourish Yin Nourish the Stomach Drain Heat from the Stomach
Herb Formulas	Yu Nu Jian
Points	KI-3, REN-12, SP-6, ST-36, UB-21

Stomach And Lung Yin Deficiency

Clinical Manifestations	Night sweats Dry throat Thirst Hacking cough with scanty sputum Low grade fever Epigastric pain T: Red C: Little, maybe dry P: Thready and rapid
Treatment Principle	Clear and Nourish the Lung and Stomach Generate Fluids Moisten Dryness
Herb Formulas	Sha Shen Mai Men Dong Tang
Points

Heart Fire With Blood And Yin Deficiency

Clinical Manifestations	Insomnia Continuous palpitations A sensation of Heat and irritability in the chest A desire to vomit without result Dream-disturbed sleep Anxiety Tongue ulcers Fidgeting Maybe a rancorous disposition Irritability Fear and fright Night sweats Shortness of breath Nausea T: Red or Red tip C: Normal P: Thin and rapid
Treatment Principle	Sedate the Heart Calm the Shen Drain Fire Nourish Yin Relieve palpitations
Herb Formulas
Points

Heart Yin Deficiency

Clinical Manifestations	Palpitations Irritability Easily startled Insomnia Much dreaming Poor memory Low grade fever Night sweats Five Sole Heat Restlessness Dry mouth Thirst Dry throat Malar flush T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce Heart Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan Mu Li San
Points	HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15 HT-6, SI-3, SP-6, UB-15, UB-23 For Qi Deficiency with fatigue: + REN-17 For a sallow, yellow complexion: + ST-36 For severe Yin Deficiency: + KI-7

Heart Qi And Yin Deficiency

Clinical Manifestations	Anxiety Night sweats Spontaneous perspiration Restless sleep
Treatment Principle	Tonify Qi Nourish the Heart Secure the Exterior Stop sweating
Herb Formulas	Bai Zi Ren Wan #1
Points

Heart Blood Deficiency

Clinical Manifestations	Palpitations Night sweats Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness Shortness of breath Fatigue Lassitude Pale face and lips T: Pale C: thin and white P: Thready and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen Tonify Heart Qi
Herb Formulas	Gui Pi Tang  modified Yang Xin Tang #1
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1 HT-6, UB-15, UB-17, UB-18, UB-20 HT-6, SI-3, ST-36, UB-15, UB-17, UB-43

Heart And Liver Blood Deficiency

Clinical Manifestations	Palpitations Insomnia with much dreaming Easily startled Eye dizziness Both eyes dry and rough Twitching of the eyes Pain in the ribs and flanks Numbness of the limbs Stiffness and spasms of the tendons Low grade fever Night sweats Irregular, scanty menses T: Pale and thin C: Little P: Thready, choppy and forceless
Treatment Principle	Nourish Yin Reinforce the Blood Conceal Yang Calm the Shen
Herb Formulas	Suan Zao Ren Tang
Points	HT-7, LIV-3, REN-4, SP-6, ST-36, UB-15, UB-17, UB-18

Heart And Gall Bladder Qi Deficiency

Clinical Manifestations	Palpitations Anxiety Apprehension Constant worry Poor concentration Timidity Shyness Easily startled Nervousness Irritability Restless sleep Insomnia Inability to get or maintain an erection Dizziness Emaciation Shortness of breath Constipation Dry mouth and throat Numbness Dry cough Cough with little or no sputum Cough with blood streaked sputum Spontaneous perspiration Night sweats Five Sole Heat due to stress Early menses Restlessness Dry tongue Pale copious menstrual flow Weakness Memory loss Excess dreams Fright Physical and mental fatigue Dry, hard stool Coarse skin Dry throat A skinny appearance A pale complexion T: Pale and shiny or Red C: Thin and white or None or Thin and greasy P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid or Wiry and thready
Treatment Principle	Benefit the Heart, Gall Bladder and Kidneys Support Yang Calm the Shen
Herb Formulas	Qi Yang Yu Xin Dan
Points

Heart And Kidney Yin Deficiency

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Jiao Tai Wan Tian Wang Bu Xin Dan Liu Wei Di Huang Wan Mu Li San Sheng Hui Tang
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Amnesia Palpitations Feverishness Anorexia Emaciation Pale face Insomnia Dyspnea on mild exertion Fatigue Shortness of breath Weight loss Dry skin Dry mouth Dry throat Dry lips Uterine bleeding Irregular menstruation May suddenly lose consciousness Slack jaw Restless at night Lassitude Tendency toward being frightened easily Weakness Sallow complexion Dizziness Tremors in the limbs Spontaneous perspiration Fever and severe chills General debility Mental instability Coughing and gasping Night sweats Amnesia Diarrhea Turbid urine Nocturnal emission Impotence Constipation Feeble breathing Tired limbs T: Pale C:White P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen
Herb Formulas	Gui Pi Tang Ren Shen Yang Rong Tang Bai He Gan Mai Da Zao Tang
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1

Liver Qi Stagnation Turning To Heat

Clinical Manifestations	Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain Somnolence Insomnia Aching shoulders Five Sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San With Blood Deficiency: Hei Xiao Yao San
Points

Liver Yin Deficiency

Clinical Manifestations	Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole Heat Night sweats Light menses or Late menses or Amenorrhea T: Red C: Little P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver
Herb Formulas	Yi Guan Jian Mu Li San
Points	KI-3, LIV-3, UB-18, UB-23

Liver Yin Defriciency With Liver Yang Rising

Clinical Manifestations	Dizziness Impaired vision Night blindness Tinnitus Irascibility Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	San Jia Fu Mai Tang Da Bu Yin Wan Tian Ma Gou Teng Yin Mu Li San
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23

Liver Yin Deficiency With Empty Fire Disturbing The Heart

Clinical Manifestations	Irritability Anxiety Palpitations Night sweats Dizziness Vertigo Dry throat and mouth no thirst Fidgeting Insomnia Insomnia due to stress Excessive dreams Lack of energy Weakness and fatigue Weak abdomen Restlessness Sleepiness Light-headedness Impatience T: Pale or Red and dry P: Wiry and rapid or Thready and rapid or Thready and weak or Thready and tight
Treatment Principle	Nourish Liver Blood Nourish the Heart Calm the Shen Clear Heat in Liver and Heart Eliminate irritability
Herb Formulas	Suan Zao Ren Tang
Points

Liver Blood Deficiency With Heat And Phlegm-Dampness

Clinical Manifestations	Neuropathy Stiff shoulders Irritability Anxiety Palpitations Night sweats Dizziness Vertigo Headache Fear Dry throat and mouth no thirst Fidgeting Insomnia Insomnia due to stress Excessive dreams Lack of energy Weakness and fatigue Weak abdomen Restlessness Sleepiness Light-headedness Impatience T: Pale or Red and dry P: Wiry and rapid or Thready and rapid or Thready and weak or Thready and tight
Treatment Principle	Calm the Liver Regulate the Liver Qi and Blood Relieve spasms Dispel Heat Strengthen the Spleen Relieve Dampness Resolve Phlegm
Herb Formulas	Yi Gan San Jia Chen Pi Ban Xia
Points

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	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan Mu Li San Dang Gui Yu Zhu San Qing Gu San With Fire Flaring: Zhi Bai Di Huang Wan With Damp-Heat and Blood Stagnation: Zi Shen Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Kidney Yin Deficiency

Clinical Manifestations	Low back, knees and legs painful and weak Foot pain Light-headedness Vertigo Tinnitus Diminished hearing Five sole Heat Chronic dry, sore throat Toothache Wasting and thirsting disorder (Xiao Ke) Dizziness Muscular weakness Dry skin Deafness Steaming bones Delayed closing or unclosed fontanel in infants Tidal fevers Loose teeth Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Heel pain Dry mouth Dry throat Blurred vision Urinary incontinence Spontaneous and nocturnal emissions Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Enrich Yin Nourish the Essence of the Liver and Kidney
Herb Formulas	Liu Wei Di Huang Wan Mu Li San Zhi Bai Di Huang Wan modified For Fire Rising with a fever, mouth and lip sores, a red face and constipation: Dang Gui Liu Huang Wan  modified For a fever damaging Yin Fluids with bone steaming, emaciation and red lips: Qin Jiao Bie Jia San With Jing Deficiency: Zuo Gui Yin
Points	KI-1, KI-7, SP-6, UB-23 For dizziness and vertigo: + REN-4 For insomnia and profuse dreams: + HT-7 For an easy erection: + REN-3 For seminal emissions: + UB-52 For scanty menstruation: + SP-10, ST-29 For a sore throat: + KI-6

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 Hemilateral sweating in the afternoon or evening 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 Mu Li San Liang Di Tang Zhu Sheng Teng Er Tang With Blood Deficiency: Dang Gui Liu Huang Wan For hemilateral sweating: Zhi Bai Di Huang Wan modified
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 For hemilateral sweating: HT-6, KI-7, LI-4, SP-6, UB-18, UB-23 With palpitations: + PC-6 With a dry sore throat: + KI-6 With insomnia: + HT-7 With Deficiency Heat Damaging the Fluids: + UB-20, UB-21

Kidney Jing Insufficiency

Clinical Manifestations	Dizziness Tinnitus Low back and knees weak and aching Night sweats Nocturnal emissions In adults: Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of the fontanel Poor bone development Brittle bones
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Zuo Gui Wan Huan Shao Dan Jin Suo Gu Jing Wan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Kidney Yin And Yang Deficiency

Clinical Manifestations	Amenorrhea Irregular menstruation Hot flashes Dizziness Tinnitus Night sweats Perspiration Nervousness Muscular flaccidity Fatigue Mood swings Cold feet Lassitude Frequent, clear urine Irritability Headache Palpitations Insomnia T: Pale C: Thin and white P: Thready and rapid
Treatment Principle	Replenish Kidney Yin and Yang Tonify Kidney Jing Purge Deficiency Fire
Herb Formulas	Er Xian Tang
Points

Qi And Yin Deficiency

Clinical Manifestations	Fatigue Spontaneous sweating A pale face Poor appetite Loose stools Dizziness Weak voice/reluctance to speak Five Sole Heat Malar flush Night sweats Anxiety Hot flashes T: Pale, Pale red or Red C: Thin white, Little or None P: Deep and weak or Thready and rapid
Treatment Principle	Tonify Qi Nourish Yin Nourish the Blood Restrain Yang Astringe sweat
Herb Formulas	Mu Li San Jia Wei Sheng Mai San
Points

Qi And Blood Deficiency

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Night sweats Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang Ba Zhen Yi Mu Wan Gui Qi Jian Zhong Tang With Cold: Huang Qi Jiang Zhong Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

Qi , Blood And Yang Deficiency With Cold

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 Yin Deficiency

Clinical Manifestations	Palpitations Fatigue Anxiety Irritability Insomnia Emaciation Shortness of breath Constipation Dry mouth and throat Numbness Dry cough Cough with little or no sputum Cough with blood streaked sputum Spontaneous perspiration Night sweats Five sole Heat due to stress Early menses Restlessness Dry tongue Pale copious menstrual flow Weakness Memory loss Excess dreams Fright Tired body Dry, hard stool Coarse skin Dry throat A skinny appearance T: Pale and shiny or Red C: Thin and white or None P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle	Augment Qi Nourish Blood Enrich Yin Restore the Pulse
Herb Formulas	Zhi Gan Cao Tang
Points

Yin Deficiency With Heat

Clinical Manifestations	Steaming bones sensation Night sweats Tidal fever Warm sensation in the afternoon Red lips Red cheeks Cough with sticky yellow or blood tinged sputum Exhaustion Brittle hair Insomnia Lethargy Alternating chills and fever Five-Sole-Heat Dry mouth Dry throat Emaciation Weak limbs T: Red C: Little or None P: Faint and rapid
Treatment Principle	Nourishes Yin and Blood Clears Deficiency Heat Reduces steaming bones sensation
Herb Formulas	Qin Jiao Bie Jia San Mu Li San
Points

Yin And Yang Deficiency

Clinical Manifestations	Palpitations Anxiety Insomnia Dream disturbed sleep Nightmares Hair loss Spontaneous perspiration Amnesia Infantile night crying Dreams of sexual intercourse in women A cold sensation on the tip of the penis Loss of appetite Dizziness Depression Lack of motivation Night sweats Spermatorrhea Nocturnal emissions Lower abdominal contraction and pain Occasional watery diarrhea T: Slightly pale P: Hollow and slow or Hollow and slightly tight
Treatment Principle	Tonify Yin and Yang Harmonize the Ying and Wei Astringe Jing Suppress rebellion
Herb Formulas	Gui Zhi Jia Long Gu Mu Li Tang Hei Long Bu Shen Zhu Yang Fang Xiao Jian Zhong Tang
Points

Yin And Blood Deficiency

Clinical Manifestations	Fever Night sweats Red face Dry mouth Leukorrhagia with yellow, thick, foul discharge Constipation Dark, scanty urine Irritation Fidgeting Insomnia Five Sole Heat Irregular menstruation A thin physique Nocturnal emissions Parched lips Irritability Dry stools T: Dark red and dry C: Dry and yellow or None P: Flooding and rapid or Thin and rapid
Treatment Principle	Nourish Yin Clear Heat Stabilize the Exterior Stop sweating
Herb Formulas	Dang Gui Liu Huang Wan
Points

Blood Deficiency

Clinical Manifestations	Dry hair Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath Dyspnea Pale face Epigastric pain Lusterless complexion Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five Sole Heat Dizziness Insomnia Dry skin Poor memory Paleness Fatigue Scanty periods Hair loss Insomnia Fatigue Anemia Bleeding Abdominal weakness Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Hernia pain in children Chronic constipation Purpura Asthma P: Weak and slow or Thready, wiry and even or Thready and weak T: Pale C: Thin, white and dry P: Thready and rapid or Weak or Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Shou Wu Sheng Fa Yin Tuo Fa Zai Sheng San With fatigue: Xiao Yao San
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

Jing And Blood Deficiency Due To Kidney, Heart And Spleen Deficiency

Clinical Manifestations	Fatigue Heavy and painful lower back Dream-disturbed sleep General weakness Lack of interest in food or drink Fever Night sweats Seminal emission Forgetfulness Toothache Dizziness Gum swelling General pitted edema which is worse in the lower body Vaginal discharge Discharge of rice-water like urination without dysuria Aversion to Cold Impotence Decreased libido Emaciation Loose teeth Signs of premature aging Abdominal Cold Easily frightened T: Pale or Pale and thick C: Smooth and white P: Moderate and weak or Deep and weak
Treatment Principle	Tonify the Spleen and Kidneys Nourish the Heart Enrich the Yin Nourish the Blood and Yang Augment Qi
Herb Formulas	Huan Shao Dan
Points

Damp-Heat In The Middle Jiao

Clinical Manifestations	Night sweats Tidal fever Heavy limbs Stomach oppression Poor appetite Heavy-headedness Dryness and stickiness in the mouth A bitter taste in the mouth Dark colored urine T: Red C: Greasy and yellow P: Soft and rapid or Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness
Herb Formulas	Lian Po Yin  modified
Points	GB-34, SJ-6, SP-9, ST-44