Optic Atrophy

General

Clinical Manifestations	Progressive decrease in vision leading to blindness Abnormal visual field and color sensations Light color of optic papillae
Treatment Principle
Herb Formulas
Points	DU-14, UB-1, UB-18, UB-20, UB-23 GB-20 GB-37, LI-4, ST-36, UB-1 GB-20, LI-4, ST-1, ST-36, UB-18, UB-23 GB-20, GB-37, Jianming #1, Jianming #2, Shangming, ST-36 Inflammation: GB-20, GB-37, Qiuhou, SI-6, UB-1 Green blindness: 1. GB-1, GB-3, LI-1, ST-3, UB-6, UB-8 2. 7 cones of moxa on SI-6, UB-18, UB-19, UB-23, 5 cones of moxa on GB-37, LI-1 Sudden blindness: DU-20, DU-21, DU-22, DU-23, DU-24, UB-2, Prick to bleed UB-40

Spleen Qi Deficiency

Clinical Manifestations	Dizziness Tired vision Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Regulate the Stomach Benefit Qi Ascend Yang
Herb Formulas	Bu Zhong Yi Qi Tang Yi Qi Cong Ming Tang Xiang Sha Liu Jun Zi Tang Shen Ling Bai Zhu San
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 + general points

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Fear 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 Warm Yang
Herb Formulas	Jin Gui Shen Qi Wan You Gui Wan With Phlegm Stagnation: Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Heart Yang Not Vigorous: Water Qi Insults The Heart With Lung And Spleen Qi Deiciency

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection (reflux vomiting) Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

Liver Qi Stagnation

Clinical Manifestations	Dizziness Eye pain Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Anxiety Irritability Inappropriate anger Anorexia Irregular menses Dysmenorrhea Irregular menstruation Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Jia Wei Xiao Yao San Xiao Yao San With Qi and Blood Deficiency: Chai Hu Shen Zhu Tang
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

Liver Wind Stirring Internally: Liver Fire (Yang) Generates Wind

Clinical Manifestations	Commonly seen in children Both eyes affected Deviation of the eyes and mouth Enlarged pupils Anxiety Rigidity Dizziness and vertigo to the point of falling over Headache with a drawing sensation Numbness and tremor of limbs Twitching and involuntary writhing of hands and feet Dysphasia Unsteady gait With Wind-Stroke: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Maybe coma Sometimes death T: Red C: Little P: Strong and wiry
Treatment Principle	Clear Heat Detoxify Pacify the Liver Subdue Wind
Herb Formulas	Gou Ten Xi Feng Yin Zi Jin Ding If necessary: An Gong Niu Huang Wan
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

Liver And Kidney Yin Deficiency

Clinical Manifestations	Blindness Dryness in both eyes 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	Liu Wei Di Huang Wan Ming Mu Di Huang Wan Da Bu Yuan Jian Zuo Gui Wan Qi Ju Di Huang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23 + general points GB-20, GB-37, LI-4, Qiuhou, ST-1, ST-36, UB-1, UB-18, UB-23 GB-20, Qiuhou, Shangjingming, Yiming Electroacupuncture: GB-20, GB-37, LI-4, Qiuhou, Taiyang Optic neuritis: GB-20, LI-4, Qiuhou, ST-1, Taiyang

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 Heart Fire Flaring: Ci Zhu Wan
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 And Lung Yin Deficiency

Clinical Manifestations	Unable to smell Headache Deficient memory Strong odor inside nose May be able to squeeze out green or yellow chunky chunks from the nose 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 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	Eliminates Dryness Nourish Kidney and Lung Yin Moistens the Lungs
Herb Formulas	Mai Wei Di Huang Wan Ba Xian Chang Shou Wan
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

Qi And Blood Deficiency

Clinical Manifestations	Blindness Dizziness Blurred vision Eye pain Pale face Insomnia Forgetfulness Palpitations Anxiety T: Pale C: Thin and white P: Deep and Thready
Treatment Principle	Nourish Qi and Blood Benefit the eyes
Herb Formulas	Si Wu Tang Optic Atrophy #1 Ren Shen Yang Rong Tang modified Gui Pi Tang modified Tao Hong Si Wu Tang
Points	GB-20, GB-37, LI-4, Qiuhou, ST-1, ST-36, UB-1, UB-18, UB-23 GB-20, Qiuhou, Shangjingming, Yiming Electroacupuncture: GB-20, GB-37, LI-4, Qiuhou, Taiyang Optic neuritis: GB-20, LI-4, Qiuhou, ST-1, Taiyang

Qi And Blood Stagnation

Clinical Manifestations	Dark vision Eye pain Chest pain and fullness 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, conjunctivae 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	Invigorate the Blood Dispel Blood Stasis Spread Liver Qi Unblock the channels Stop pain
Herb Formulas	Xue Fu Zhu Yu Tang Hei Xiao Yao San
Points	General points