Palpitations

General

Clinical Manifestations
Treatment Principle
Herb Formulas	With sweating and/or night sweats: Mu Li San Due to inappropriate sweating: Fu Ling Gan Cao Tang If, after diaphoresis, there is profuse perspiration and rapid Heart palpitations causing the patient to clasp his hands over his heart and press firmly: Gui Zhi Gan Cao Tang For late-stage or in the aftermath of Ying or Xue Stage Heat: Bai He Di Huang Tang For late-stage or in the aftermath of Ying or Xue Stage Heat with improper purging damaging Stomach Qi: Bai He Zhi Mu Tang
Points	GB-20, HT-3, HT-7, KI-24, KI-25, LIV-13, PC-6, REN-12, UB-10, UB-15 GB-19, HT-5, HT-6, HT-7, HT-8, HT-9, KI-26, LU-5, REN-15, ST-23, UB-14 GB-20, GB-21, REN-6, REN-12, SJ-5, ST-36 PC-6, REN-6, REN-12, SP-6, UB-10, UB-11, UB-14, UB-16 PC-4, PC-6 With irritability: DU-15, HT-5, HT-7, PC-7, UB-15, UB-17 With cardiac weakness: HT-7, HT-9, LU-9

Tai Yang With Tai Yin

Clinical Manifestations	Fever Chills Headache Joint pains Severe diarrhea Epigastric distention Perspiration Cold body and extremities Weakness of the extremities Upper abdominal palpitations Cold feet Dysuria
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi Relieve distention
Herb Formulas	Gui Zhi Ren Shen Tang
Points

Shao Yang Jing

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Palpitations Chest and flank oppression and fullness Nausea Occasional vomiting Frequent retching Dry throat Vertigo A bitter taste in the mouth 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  modified
Points	DU-14, GB-41, LIV-14, PC-5, REN-14 For vomiting: + REN-13, ST-36 For irritability and nausea: + PC-6, PC-8 For abdominal pain: + REN-6, ST-25 For a low-grade fever: + LI-4, SJ-5 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 With Fluid Accumulation In The Interior

Clinical Manifestations	Alternating chills and fever Pronounced chills with light fever or Chills without fever Cold extremities Aversion to Wind Headache Thirst Sweating on the head Irritability Insomnia Dry cough Tuberculosis Diarrhea Palpitations Anxiety Loose stools Hypochondriac pain A feeling of fullness and clumping in the chest and hypochondrium Rapid Heart palpitations Dysuria Night sweats Gastric distention T: Moist C: White and slippery P: Wiry and tight on the left or Wiry and slow on the right or Thin and rapid or Irregular
Treatment Principle	Harmonize and release the Shao Yang Disperse clumping Warm the Interior Dispel Cold Dispel water accumulation Clear Heat Moisten the Lungs Astringe sweating Relieve flushing up
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang In the aftermath of Ying or Xue Stage Heat: Ba He Di Huang Tang
Points

Shao Yin Heat

Clinical Manifestations	Dry throat and/or mouth Chronic sore throat (not acute) Restlessness Malar flush Insomnia Disturbed speech Low grade fever, worse in afternoon Yellow urine Irritability with a sensation of Heat in the chest Palpitations with anxiety Sores in the mouth or on the tongue More Heat than in Yin Deficiency (chronic low grade fever) T: Red, deep red C: None P: Deep, thready and rapid
Treatment Principle	Nourish Yin Reduce Heat
Herb Formulas	Huang Lian E Jiao Tang
Points	DU-14, HT-5, HT-7, KI-3, KI-6, KI-7, LIV-3, SP-6, UB-10, UB-15, UB-23

Shao Yin Cold With Fluid Problems

Clinical Manifestations	Aversion to Cold Curls up a lot Doesn't like to talk Tired No spirit Dull Shen Severe edema in the chest Cold extremities Diarrhea with loose stools No thirst Likes warm drinks Sluggish urination Vertigo Palpitations More water metabolism disturbance with excess fluid in the body Abdomen: pain and cold Lower Jiao: pain with difficult urination Intestines: watery stools Stomach: clear vomit Lungs: cough, dyspnea, Phlegm and asthma Extremities: edema and heaviness T: Pale with scallops C:White or greasy white P: Sinking, weak and may be soft or thready
Treatment Principle	Tonify Yang Strengthen water circulation
Herb Formulas	Zhen Wu Tang If the edema is less severe: Si Ni Tang Wu Zhu Tang With Heat: Zhu Ling Tang
Points	Moxa DU-4, DU-20, KI-3, KI-7, LI-4. REN-4, REN-6, REN-8, REN-9, SP-6, SP-9, ST-36. UB-15, UB-20, UB23

Summerheat Disturbs The Heart

Clinical Manifestations	Anxiety Disturbing dreams Dysuria Insomnia Painful urinary calculus Scanty dark urine Thirst Palpitations Restless sleep T: Red C: Greasy and yellow P: Slippery and rapid
Treatment Principle	Calm the Mind Promote urination
Herb Formulas	Yi Yuan San
Points

Wind-Dampness With Qi And Blood Deficiency

Clinical Manifestations	Palpitations Numbness Bones and joints sore and painful Worse with movement Face is dull yellow Spasms or contractures of muscles and sinews Asthenia Shortness of breath Spontaneous sweating Weight loss Poor appetite Diarrhea T: Pale C: None or White P: Soggy and Weak or Thin and Faint
Treatment Principle	Activate the functions of the Liver and Kidneys Strengthen Qi Nourish the Blood Expel Wind and Dampness Stop numbness and pain
Herb Formulas	Ba Xian Tang Jia Wei Ba Xian Tang
Points

Phlegm-Damp Obstructs The Lungs

Clinical Manifestations	Cough with copious, thin, white, frothy sputum Chest congestion with full feeling Dyspnea which is worse when lying down Sometimes asthma T: Pink C: Thick, white and greasy or sticky P: Slippery
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs
Herb Formulas	Er Chen Tang Su Zi Jiang Qi Tang
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20

Lung Qi And Yin Deficiency

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle	Augment Qi Generate Fluids Clear Heat Preserve Yin Stop excess perspiration
Herb Formulas	Sheng Mai San Sheng Mai Yin Wan
Points

Damp-Heat Injures The Spleen

Clinical Manifestations	Headache Fever (maybe chills) Strong thirst with a desire to drink. Vomits immediately after drinking Urinary difficulty Edema General sensation of heaviness Diarrhea Irritability Simultaneous vomiting and diarrhea Throbbing sensations below umbilicus Vomits frothy saliva Vertigo Abdominal pain and/or distention Dark urine Scanty urine Anxiety Jaundice Shortness of breath Cough Urinary retention Lower abdominal fullness Extreme thirst Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain Restlessness Slightly pale skin tone T: Normal C:Thick, yellow and greasy P: Soft and rapid
Treatment Principle	Promote urination Drain Dampness Strengthen the Spleen Warm Yang Promote the transforming functions of Qi Clear Damp-Heat
Herb Formulas	Yin Chen Wu Ling San
Points

Spleen Damp Disturbs The Lungs

Clinical Manifestations	Head feels heavy as if wrapped up Four limbs tired Lethargic Sensations of stuffiness and fullness in chest and epigastrium Decreased food intake or vomits immediately after eating Cough Asthma Abundant white watery phlegm, easily expectorated Cannot lie flat (due to breathing difficulties) T: Pink C: Thick and slimy P: Slippery and even
Treatment Principle	Warm and Reinforce the Spleen and Lungs
Herb Formulas	Ping Wei San + Er Chen Tang
Points	Dingchuan, LU-9, REN-17, REN-22, SP-3, ST-36, ST-40, UB-13, UB-20

Spleen 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 Bu Wei Fang
Points	SP-1, SP-3, ST-36, UB-20 For bleeding: LI-11, SP-10, UB-17 For Deficiency type uterine bleeding: DU-20, LI-11, REN-4, SP-4, SP-10, SP-14, UB-17

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Xiao Jian Zhong Tang Huang Qi Jian Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen Qi And Heart Blood Deficiency

Clinical Manifestations	Palpitations, usually worse at night Insomnia with difficulty falling asleep Much dreaming Easily startled Poor memory Poor concentration Phobias Panic attacks Anxiety Nervousness Fatigue Weakness Low spirits Positional dizziness Blurred vision Floaters Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow or pale, lusterless complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea Inability to get or maintain an erection Impotence, worse with fatigue Clammy palms Bruises easily T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen Tonify Qi and Blood Calm the Shen
Herb Formulas	Gui Pi Tang Zhi Gan Cao Tang Bai He Gan Mai Da Zao Tang Chinese Patent Medicines: Gui Pi Wan Bai Zi Yang Xin Wan Dang Gui Ji Jing Bu Nao Wan An Shen Bu Nao Wan
Points	HT-5, HT-7, SP-6, ST-36, UB-15, UB-17, UB-20, Yintang With forgetfulness: + DU-20, UB-52 With much dreaming: + UB-42 With anxiety: + DU-19, DU-24 HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20 DU-19, DU-24, HT-7, REN-4, REN-6, ST-36, UB-15, UB-20, UB-23, Yintang With insomnia: + Anmian With abdominal distention: + ST-25 HT-3, HT-5, HT-6, HT-7, PC-4, PC-6, REN-17, UB-15

Fluid Stagnation In The Stomach

Clinical Manifestations	Nausea Sudden vomiting of Thin Mucus or clear Fluids Absence of thirst May feel thirsty Palpitations Vertigo Dizziness Dysuria Focal distention of the epigastrium T: Normal C: White and Slippery P: Wiry
Treatment Principle	Harmonize the Stomach Stop vomiting Dispel Phlegm Regulate water circulation Disperse Stagnation
Herb Formulas	Xiao Ban Xia Jia Fu Ling Tang
Points

Phlegm-Damp In The Stomach

Clinical Manifestations	Anorexia or Reduced appetite Loss of the sense of taste Epigastric and abdominal distention and fullness Nausea/Vomiting often in the morning Acid reflux Belching Loose stools or Diarrhea Fatigue Lethargy Sluggishness A heavy body and limbs A frequent desire to sleep, after which the patient feels worse or more sluggish Poor concentration Heavy or foggy-headedness Stuffiness in the chest Maybe chronic mucus production fro the sinuses and Lungs Copious salivation Greasy skin A musky body odor Tendency toward obesity A pear shape T: Swollen or flabby C: Thick, greasy and white Slippery, wiry and moderate
Treatment Principle	Dry and transform Phlegm-Damp Stimulate digestion Circulate Qi and Fluids Harmonize the Stomach
Herb Formulas	Ping Wei San With Qi Stagnation: Xiang Sha Yang Wei Tang With obesity and Yang Deficiency: Shi Pi Yin With less Dampness: Dao Tan Tang Chinese Patent Medicines: Ping Wei San With Spleen Deficiency: Xiang Sha Liu Jun Zi Wan With Qi Stagnation: Xiang Sha Yang Wei Wan With Spleen Yang Deficiency: Fu Zi Li Zhong Wan With Food Stagnation: Bao Yang Dan
Points	PC-5, REN-12, SP-3, SP-5, ST-21, ST-36, ST-40 With Fluid Retention and edema: + REN-9, SP-6, SP-9, ST-28 With sluggish stools or constipation: + SJ-6, ST-37, ST-41 With Qi Stagnation: + LIV-3, PC-6 With foggy-headedness: + GB-20, UB-62 With Cold Phlegm: + moxa UB-20, UB-21 With somnolence: + KI-6, UB-62 Ear: Spleen, Stomach, Shenmen, Sympathetic

Heart Blood Stagnation

Clinical Manifestations	Palpitations Tachycardia Severe, stabbing, fixed, pain in the anterior region over the Heart Suffocating sensation in the chest Maybe drawing pain down the internal aspect of arm (especially the left arm) Pain (in chest and/or arm) tends to be severe and intermittent Dry mouth and throat Flank pain A dull, purple face and lips Severe cases: Sudden attack Lassitude after the attack Cold limbs Cyanosis of lips and nails Rashness Impatience Irritability T: Dark red with purple spots or Purple body or Blueish purple with purple spots C: Little P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle	Clear Yang Invigorate the Blood Transform Stagnation
Herb Formulas	Gua Lou Xie Bai Bai Jiu Tang Xue Fu Zhu Yu Tang Guan Xin Er Hao Guan Xin Dan Shen Pian With Qi Stagnation with stabbing chest and flank pain, chest oppression, frequent sighing, irascibility and a wiry pulse: Chen Xiang Jiang Qi Tang  modified
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 HT-5, PC-5, PC-6, REN-17, ST-36, Ear Shenmen, + point 2 cun above the nipples DU-4, PC-4, REN-4, REN-6, REN-17, UB-14 For frequent, copious urination: + UB-23 For enduring diarrhea: + moxa DU-20 For seminal emission: + moxa or moxa needle UB-52 For an irregularly interrupted pulse: + PC-6 For irritability, a dry mouth, a red tongue with a yellow coat and a slippery, rapid pulse: + REN-12 DU-4, HT-6, REN-4, REN-6, REN-14, UB-15 For frequent, copious urination: + UB-23 For enduring diarrhea: + moxa DU-20 For seminal emission: + moxa or moxa needle UB-52 For an irregularly interrupted pulse: + PC-6 For irritability, a dry mouth, a red tongue with a yellow coat and a slippery, rapid pulse: + REN-12 PC-6, REN-17, SP-6, UB-14, UB-17 For panting: + REN-22 For severe pain in the chest with a cold body and limbs: + REN-14 joined to REN-15 For chest and epigastric glomus and fullness: + REN-12, ST-36

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Intermittent palpitations with anxiety and nervousness Mental agitation Confused thinking Susceptibility to fright Restlessness Dizziness Vertigo Insomnia with waking in the early hours with inability to fall back asleep Much dreaming Easily startled Epistaxis Bleeding gums Mouth ulcers and pain Mania Irritability Fullness of the chest Bitter taste in mouth A dry throat Nausea Vomiting Maybe hematemesis Indeterminate, gnawing hunger Anorexia Belching Acid reflux Abdominal distention Dark urine T: Red or Red tip C: Yellow or Greasy and yellow P: Slippery, rapid and full and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm Clear Heat Harmonize the Stomach Calm the Shen
Herb Formulas	Wen Dan Tang modified Wen Dan Tang + Ding Zhi Wan modified Zhu Ru Wen Dan Tang Ci Zhu Wan Huang Lian Wen Dan Tang For very severe cases with continuous palpitations, vertigo, tinnitus, a very thick yellow tongue coat and constipation: Gun Tan Wan With Qi Stagnation and Heart and Liver Fire (palpitations that occur at rest, chest fullness, irritability, constipation, heaviness, difficulty twisting at the waist, a red tongue and a wiry, rapid pulse: Chai Hu Jia Long Gu Mu Li Tang Chinese Patent Medicines: Er Chen Wan An Mian Pian Suan Zao Ren Pian For robust individuals with Qi Stagnation and Heat or Fire: Chai Hu Jia Long Gu Mu Li Tang
Points	HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, ST-40, UB-15 GB-34, HT-5, HT-7, LU-5, PC-4, PC-5, ST-40, UB-13 With insomnia: + ST-45 With constipation: + ST-25 With anxiety: + DU-19, DU-24 HT-4, HT-7, LU-5, ST-40, UB-13 With constipation: + UB-25 With chest oppression: + REN-13 With epistaxis: + DU-23 With hemoptysis: + ST-34 With vomiting of Phlegm and saliva: + SP-5 or ST-44

Heart Yin Deficiency

Clinical Manifestations	Palpitations, easily brought on by fright Startles easily Arrhythmia Restlessness Vexation Agitation Malar flush Insomnia Profuse dreaming Waking with palpitations or panic attacks and anxiety Tidal fever Poor memory Poor concentration Tinnitus Five Sole Heat Night sweats A dry mouth and throat Dizziness Tinnitus Low back pain Dry stools or Constipation Possible mouth or tongue ulcers T: Red C: Little or None and often Dry P: Thin and hard and may be Rapid
Treatment Principle	Nourish Yin Nourish the Heart Sedate Fire Calm the Shen
Herb Formulas	Bu Yuan Yi Yin Tang Tian Wang Bu Xin Dan Zhi Gan Cao Tang Post febrile disease: Sheng Mai San With predominant Liver and Kidney Yin Deficiency: Yi Guan Jian + Suan Zao Ren Tang Chinese Patent Medicines: Tian Wang Bu Xin Dan Jian Nan Wan Zhu Sha An Shen Wan Ci Zhu Wan
Points	HT-5, HT-7, KI-3, KI-6, LIV-3, PC-6, PC-7, REN-17, UB-15, UB-18, UB-23 With Heart Fire: + HT-8 HT-5, PC-5, PC-6, SP-6, SP-9, ST-36 HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15 HT-3, HT-5, HT-6, HT-7, PC-4, PC-6, REN-17, UB-15 HT-7, KI-3, PC-6, SP-6, UB-15 With low back pain and weakness: + KI-2 With seminal emission: + UB-23, UB-52 With irritability and insomnia: + HT-6 With dry stools: + ST-36 With impaired memory: + Sishencong

Heart Yang Deficiency

Clinical Manifestations	Palpitations, initiated or aggravated by exertion Symptoms relieved by rest May be arrhythmia Chest pain or congestion Prefers warmth Aversion to Cold Cold extremities Cold body Spontaneous sweating Shortness of breath Severe: Dyspnea Orthopnea Diminished vocal power Copious, clear urine or Nocturia or Pitting edema with scanty urination Listlessness Fatigue A waxy, pale complexion Dark circles under the eyes Purple lips Cyanosis T: Pale and moist maybe clear bubbles on the surface or Light purple or Pale bluish or Pale, purple and swollen C: Smooth and white or Greasy and white P: Deep and feeble with a possible cotton-like sensation between the skin and wall of the vessel or Irregular missed beat or Deep, thready and forceless or Deep and thready
Treatment Principle	Warn and tonify Yang Calm the Shen
Herb Formulas	Gui Zhi Gan Cao Long Gu Mu Li Tang modified Yang Xin Tang #2 modified Bao Yuan Tang Gua Lou Xie Bai Bai Jiu Tang With generalized pulmonary edema, scanty urine, dyspnea, orthopnea and frothy sputum: Zhen Wu Tang With Kidney Yang Deficiency: Jin Gui Shen Qi Wan You Gui Wan For severe cases with collapse of Yang: Su He Xiang Wan Shen Fu Tang With Blood Deficiency: Zhi Gan Cao Tang modified Chinese Patent Medicine: Jin Gui Shen Qi Wan
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, UB-15 HT-5, HT-7, PC-6, REN-4, ST-36, UB-14, UB-15 HT-3, HT-5, HT-6, HT-7, PC-4, PC-6, REN-17, UB-15 DU-13, DU-14, UB-15, UB-44 With reduced food intake and loose stools: + ST-36 With dizziness and nausea: + REN-12 With Heart pain: + PC-6 With epigastric glomus: + REN-10 With Heart Qi Deficiency symptoms: + REN-17, ST-36 With inhibited urination and edema: + moxa or moxa needle REN-4 With dull purple or pale, dark lips and nails: + LI-4, SP-6

Heart Yang Deficiency Exhaustion: Fainting With Cold Limbs

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor All four limbs cold Watery stools with undigested food Maybe loss of consciousness T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Return Yang Relieve contravection
Herb Formulas	Si Ni Tang
Points	Moxa or moxa needle DU-25, DU-26, KI-1, PC-6, PC-9, REN-4, REN-6, REN-8, ST-36

Heart Yang Deficiency Exhaustion: Vanquished Yang

Clinical Manifestations	Palpitations Chest pain Chest oppression Aversion to Cold Shortness of breath Drenched with perspiration Above symptoms worse on exertion or when tired Four limbs cold Cyanosis of mouth and lips Faint, weak respiration T: Swollen with teethmarks P: Minute (on the point of collapse) or Deep and slow or Tight and irregularly interrupted
Treatment Principle	Return Yang Consolidate Exhaustion
Herb Formulas	Shen Fu Tang  modified Shen Fu Long Mu Tang Shen Fu Long Mu Tang Jia Wei
Points	Moxa or moxa needle DU-25, DU-26, KI-1, PC-6, PC-9, REN-4, REN-6, REN-8, ST-36

Heart Yang Not Vigorous: Water Qi Insults The Heart

Clinical Manifestations	Palpitations Arrhythmia Symptoms are worse during menstruation T: Pale, dry and possibly dusky C: Normal P: Thready
Treatment Principle	Nourish Blood
Herb Formulas	Xiong Gui Tiao Xue Yin
Points

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

Clinical Manifestations	Palpitations Shortness of breath Dizziness Lassitude Fullness of the chest Epigastric fullness and contravection Nausea Borborygmus Reflux vomiting Vomiting of clear, thin Phlegm and saliva Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm Thirst with no desire to drink Reduced food intake Cold body and limbs Scanty urination Loose stools T: Pale or Pale and moist C: White and smooth or Glossy P: Deep or Deep and wiry or Slippery and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang  modified Zhen Wu Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43 Moxa or moxa needle HT-5, PC-5, PC-6, REN-9, REN-12, ST-36, UB-20 Moxa or moxa needle PC-6, REN-4, REN-12, REN-14, SP-9, UB-15 With coughing: + UB-13 With panting: + Dingchuan With profuse Phlegm: + ST-40 With counterflow fullness below the Heart: + REN-13

Heart Yang Not Vigorous: Water Qi Insults The Heart With Kidney Yang Deficiency

Clinical Manifestations	Palpitations Dysuria Shortness of breath Dyspnea Dizziness Lassitude Cyanotic lips Thirst with no desire to drink Muscular twitching Whole body edema Cold body Icy limbs Cold abdomen with watery stools Edema of limbs Scanty urination Cough Pale complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Abdominal pain Diarrhea Occasional coughing or panting T: Pale or Purple (Lavender) C: White and greasy or Glossy P: Deep or Deep and minute or Wiry and slippery or Deep, thready and slippery
Treatment Principle	Support Yang Expel Cold Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	Moxa needle DU-4, KI-3, KI-7, PC-5, PC-6, REN-4, REN-6, REN-9, REN-17, SP-6, SP-9, UB-15, UB-23 REN-9, SP-9, moxa needle UB-13, UB-15, UB-20, UB-23 With nausea: + PC-6 With edema in the lower limbs: + ST-28 With inhibited urination: + REN-3 With abdominal pain and diarrhea: + moxa DU-4 With coughing of thin, white Phlegm: + moxa REN-4 With fullness below the Heart: + REN-13 With panting: + Dingchuan

Heart Qi Deficiency

Clinical Manifestations	Palpitations, initiated by exercise Symptoms worse after exertion or when tired Symptoms relieved by rest Restless sleep Low voice Insomnia May be arrhythmia Dizziness Shortness of breath Diminished vocal power No desire to speak Physical and mental fatigue worse after exertion Excessive perspiration (in daytime), worse after exertion Facial pallor Pale, white lips Weakness Dull chest pain Suffocating sensation in the chest Cold extremities Yawning or sighing T: Pale, tender and swollen C: White P: Weak or Big and weak or Intermittent or Thready, empty and large
Treatment Principle	Reinforce and Strengthen Heart Qi
Herb Formulas	Wu Wei Zi Tang Si Jun Zi Tang Bao Yuan Tang Zhi Gan Cao Tang Yang Xin Tang  modified Yang Xin Tang #2 Yang Xin Tang Jia Jian Zhu Sha An Shen Wan modified Gui Zhi Gan Cao Tang Bu Xin Wan Miao Xiang San For post febrile disease: Sheng Mai San modified Huang Lian E Jiao Tangmodified For neurotic palpitations: Chai Hu Jia Long Gu Mu Li Tang Chinese Patent Medicine: Bai Zi Yang Xin Wan Ding Xie Wan
Points	UB-15, HT-7, PC-6, REN-14, REN-17, REN-6, ST-36 HT-5, HT-6, PC-5, PC-6, ST-36 HT-5, HT-7, PC-5, REN-6, REN-14, ST-36, UB-15 With spontaneous sweating: + DU-14 HT-3, HT-5, HT-6, HT-7, PC-4, PC-6, REN-17, UB-15 HT-6, PC-4, REN-4, REN-6, REN-14, REN-17, ST-36, UB-14, UB-15 With dizziness and vertigo: + moxa or moxa needle DU-20 With severe palpitations: + PC-6 With symptoms of Blood stasis: + PC-6, SP-6 PC-6, REN-17, ST-36, UB-15 With restless sleep: + HT-7 With dizziness: + DU-20 With Blood Stasis: + LI-4, SP-6 With chest pain: + REN-18 With susceptibility to fright: + PC-7 With profuse sweating: + UB-43

Heart Qi And Yang Deficiency With Blood Stagantion

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue, weakness Suffocating sensation in chest Irregular Heart beat Cold limbs Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor Maybe stabbing pain in the anterior region over heart Maybe drawing pain down internal aspect of arm (especially left arm) Maybe pain (in chest and/or arm) T: Pale and swollen C: White P: Weak or Big and weak or Intermittent or Thready and weak or Knotted
Treatment Principle	Tonify Qi and Blood Strengthen the Spleen Tonify the Lungs, Assist the Heart Yang Warm and facilitate the flow of Yang Qi in the chest Tonify the Kidneys Strengthen Yang Invigorate the Blood
Herb Formulas	Yi Qi Wang Yang Huo Xue Fa
Points

Heart Blood Deficiency

Clinical Manifestations	Palpitations Maybe arrhythmia A racing Heart Facial pallor Pale nails Pale lips Pale inner surface of the eyelids Lassitude Restlessness Heart vexation Insomnia Poor memory Dizziness Vertigo Numbness Weakness of the hands and feet T: Pale and dry and maybe thin C: Thin and white P: Thin or Thready and weak
Treatment Principle	Nourish the Blood Calm the Shen
Herb Formulas	He Che Da Zao Wan #2 Yang Xin Tang Yang Xin Tang #1 Dang Gui Bu Xue Tang Gui Pi Tang Suan Zao Ren Tang   Si Wu Tang  modified
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1 PC-6, ST-36, UB-15, UB-17, UB-20 With impaired memory: + Sishencong With reduced food intake: + REN-12 With dizziness: + UB-18 With a red tongue and a sore throat: + PC-7 With profuse dreaming: + HT-7 With Heart Yin Deficiency: HT-5, HT-7, PC-6, PC-7, REN-4, REN-7, ST-36, 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

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	Bao Yuan Tang Si Jun Zi Tang Sheng Mai San Bu Fei Tang Zhi Gan Cao Tang
Points	HT-7, LU-9, REN-17, UB-13, UB-15 HT-7, LU-9, PC-6, REN-6, REN-14, REN-17, REN-22, ST-36, UB-13, UB-15, UB-43

Heart And Liver Yin And Blood Deficiency With Liver Yang Rising

Clinical Manifestations	Irritability Restless sleep Occasional palpitations Anxiety Dizziness Fright Insomnia Vertigo T: Red or Pale or Pink C: Little or None P: Thready and wiry
Treatment Principle	Enrich Yin Nourish the blood Sedate the Heart Calm the Shen Calm the Liver Anchor Yang
Herb Formulas	Zhen Zhu Mu Wan
Points

Heart And Liver Blood Deficiency

Clinical Manifestations	Palpitations Impaired memory Insomnia Profuse dreaming 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 A white, lusterless facial complexion Lusterless nails Blurred vision Low grade fever Night sweats Vertigo Tinnitus Irregular, scanty menses T: Pale and thin C: Thin and white P: Thready, choppy and forceless or Thready and weak
Treatment Principle	Nourish Yin Reinforce the Blood Conceal Yang Calm the Shen
Herb Formulas	Suan Zao Ren Tang  modified Dang Gui Bu Xue Tang
Points	HT-7, LIV-3, REN-4, SP-6, ST-36, UB-15, UB-17, UB-18 PC-6, ST-36, UB-15, UB-17, UB-18, UB-20 With Deficiency irritability and insomnia: + HT-7 With tremors: + LIV-3, SP-6 With scanty, pale menstruation: +SP-6 With amenorrhea: + REN-3, ST-29 With night sweats and seminal emissions: + KI-7

Heart And Gall Bladder Qi Deficiency

Clinical Manifestations	Palpitations which tend to be initiated by anxiety or fright Insomnia or frequent waking, often early in the morning Waking feeling anxious Unable to fall back to sleep Dream disturbed sleep Easily frightened or startled Tends to wake up in fright Easily unsettled by seeming trivial events Fidgeting Apprehension Anxiety Indecisiveness Timidity Shortness of breath Lethargy Fatigue Depression Spontaneous sweating T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip C: Thin and white P: Wiry and thready or Empty and wiry
Treatment Principle	Strengthen Qi Calm the Shen Nourish and tranquilize the Heart Alleviate fearfulness
Herb Formulas	Ding Zhi Wan An Shen Ding Zhi Wan  modified Gui Zhi Jia Long Gu Mu Li Tang Qi Yang Yu Xin Dan Chinese Patent Medicines: Bu Nao Wan Ding Xin Wan Yang Xin Ning Shen Wan
Points	GB-40, HT-7, LIV-3, LIV-5, PC-7, REN-15 DU-19, DU-20, DU-24, GB-40, HT-5, HT-7, HT-9, PC-6, REN-14, UB-7, UB-15 HT-7, PC-6, UB-15, UB-19 For nightmares: + PC-5 For Deficiency irritability and insomnia: + HT-5 For blurred vision: + GB-37, KI-3 For reduced food intake and nausea: + ST-36 For dizziness and nausea: + GB-20

Heart And Kidney Yang Deficiency Due To Lung Qi Deficiency

Clinical Manifestations	Shallow, rapid respiration Palpitations Cold limbs and body Facial and ankle edema Scanty urine Sometimes cyanosis T: Pale, moist and swollen C: White P: Deep and minute
Treatment Principle	Augment Qi Stabilize the exterior Resolve Phlegm
Herb Formulas	Bu Fei Tang Gui Zhi Gan Cao Tang Gui Zhi Gan Cao Long Gu Mu Li Tang Jin Gui Shen Qi Wan
Points	DU-4, HT-7, KI-3, LU-9, PC-6, REN-6, REN-14, REN-17, ST-36, UB-13, UB-15, UB-23, UB-43

Lack Of Communication Between The Heart And Kidneys

Clinical Manifestations	Palpitations Amenorrhea Insomnia with much dreaming Irritability Easily startled Restlessness Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth and throat Red cheeks Urine short and red Seminal emissions Five Sole Heat T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make the Hear and Kidneys communicate.
Herb Formulas	Jiao Tai Wan #1 Tian Wang Bu Xin Dan Liu Wei Di Huang Wan Zhi Bai Di Huang Wan  modified With Kidney Yang Deficiency: Jiao Tai Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23 HT-7, KI-3, UB-15, UB-23 With night sweats: + HT-6, KI-7 With low back pain: + UB-27 With profuse dreaming: + UB-44 With tongue sores: +PC-7

Liver Qi Stagnation With Chest Pain

Clinical Manifestations	Chest pain Epigastric and abdominal distention and pain Closed type coma (lockjaw and clenched fists) Cold extremities Wandering pain Asthma Irritability in the throat Palpitations Insomnia T: Normal C: Thin and white P: Wiry
Treatment Principle	Promote the movement of Qi Descend Rebellious Qi Relieve Stagnant Liver Qi in the Lung and chest
Herb Formulas	Wu Mo Yin Zi  modified
Points

Liver Qi Stagnation With Qi And Blood Deficiency

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
Points

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked

Clinical Manifestations	A feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed. Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm.
Herb Formulas	Ban Xia Hou Po Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

Liver Qi Stagnation Invades The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Hei Xiao Yao San Dang Gui Shao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver And Gall Bladder Fire

Clinical Manifestations	Restlessness Anxiety Anger Dark, rough urine Red or yellow urine Excruciating headache Constipation Rashness Impatience Irascibility Tinnitus Abdominal fullness Fright palpitations Hypertension Throat blockage with difficulty swallowing Sore throat Semi-unconsciousness Dry throat Vertigo Delirium Mania Dizziness Red face Red eyes Irritability Bitter taste in the mouth Abdominal pain Clonic spasm Fright Wind in children Dysuria Pain with swelling and inflammation T: Red C: Yellow P: Wiry or Taut and rapid
Treatment Principle	Purge Liver and Gall Bladder Fire Clear the bowels
Herb Formulas	Dang Gui Long Hui Wan Gou Teng Yin
Points

Liver Fire Attacking The Heart

Clinical Manifestations	Palpitations Chest pain and oppression A racing Heart Irascibility Insomnia Profuse dreaming A bitter taste in the mouth Dry throat T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Clear the Liver Drain Fire Nourish the Heart Calm the Shen
Herb Formulas	Zhen Zhu Mu Wan  modified Dang Gui Long Hui Wan
Points	LIV-2, PC-6, PC-7, UB-15, UB-18 For flank pain: + LIV-14 For a bitter taste in the mouth: + GB-14

Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish the Blood Subdue Wind
Herb Formulas	San Jia Fu Mai Tang
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Liver Yin Deficiency 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 Irritability Thirst Five sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea With Stomach Fire: Constipation 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	Jian Ling Tang San Jia Fu Mai Tang Tian Ma Gou Teng Yin Qi Ju Di Huang Wan Long Dan Xie Gan Tang
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23

Phlegm In The Liver And Gall Bladder

Clinical Manifestations	Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Depression Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Shao Yang Unblock the three Yang Stages Sedate and calm the Spirit Relieve the chest and subcardiac regions
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points

Liver Blood Deficiency

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Palpitations Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Si Wu Tang Si Wu Tang Jia Wei With Liver Heat in children: Yi Gan San With Heat and Phlegm-Dampness: Yin Gan San Jia Chen Pi Ban Xia
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Gall Bladder Deficiency Heat

Clinical Manifestations	Dizziness Blurred vision Bitter taste in the mouth Nausea Vomiting Agitation Restlessness Irritability Indecision Suspiciousness Palpitations with anxiety Insomnia Frequent sighing Suffocating sensation in the chest T: Pink C: Yellow and greasy or Thin and white P: Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle	Clear Heat Transform Phlegm Descend Contravecting Qi Harmonize the Stomach
Herb Formulas	Wen Dan Tang modified
Points	GB-34, HT-7, PC-5, PC-6, ST-40, UB-19 GB-34, HT-5, HT-7, PC-5, PC-6, REN-14, ST-40, UB-15, UB-19

Gall Bladder-Heart Syndrome

Clinical Manifestations	Pericardial pain Arrhythmia Palpitations Paroxysmal chest pain that may refer to the hypochondrium, back and shoulder Epigastric fullness Restlessness Impaired appetite Bitter taste in the mouth Dry throat Symptoms are aggravated by anger or emotional upset Slight relief after belching T: Reddish C: Greasy white or yellowish P:Taut-tense, pounding and slippery in the Gall Bladder position
Treatment Principle	Spread Liver Qi Relieve Stagnation Activate the Blood Circulates Qi Removes Blood Stagnation
Herb Formulas	Gall Bladder-Heart Syndrome #1
Points

Kidney Yang Deficiency: Kidney Qi Not Consolidated

Clinical Manifestations	Low back and knees aching and weak Hearing deficit Palpitations 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	Gui Fu Du Jin Zan Yu Dan
Points

Kidney Yang Deficiency With Water Flooding

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm the Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

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 Regulate the Chong and Ren
Herb Formulas	Er Xian Tang
Points

Kidney Yin Deficiency With Heart Fire Flaring

Clinical Manifestations	Palpitations Continuous discomfort, both awake and asleep Dizziness Chest pain and oppression Reduced food intake 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 and throat Thirst Night sweats Irritability Five Sole Heat Malar flush Emaciation Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido Insomnia Frequent dreams Seminal emission Irregular menstruation T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan
Points	HT-7, KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, PC-7, REN-4, SP-6, UB-15 UB-23 GB-35, HT-5, HT-7, PC-6, PC-7, ST-36, ST-41, UB-15 UB-23 HT-7, KI-1, KI-2, KI-3, KI-6, REN-4, PC-7, SP-6, UB-15 UB-23

Kidney And Heart Yin Deficiency

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Restlessness Palpitations Anxiety Panic attacks Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth and throat Red cheeks Five Sole Heat Urine short and red T: Red C: Little or None
Treatment Principle	Nourish Kidney and Heart Yin Calm the Shen
Herb Formulas	Sheng Hui Tang With Fire Rising: Zi Xue Qing Huo Tang
Points

Kidney And Liver Yin Deficiency

Clinical Manifestations	Weak and sore lower back and knees Weakness and atrophy of the legs Dry, parched mouth and throat Dizziness Blurred vision Palpitations Insomnia Dream disturbed sleep Spermatorrhea Prematurely gray hair Premature hair loss A bitter taste in the mouth Nocturnal emissions Hypermenorrhea T: Red and dry
Treatment Principle	Nourishes Kidney and Liver Yin and Blood
Herb Formulas	Er Zhi Wan With Wind-Cold-Damp: Du Huo Ji Sheng Tang With Qi Deficiency and Blood stagnation: Yang Yin Tong Bi Tang
Points

Yang Deficiency With Dampness

Clinical Manifestations	Chills Diarrhea Vomiting Abdominal distention Cold limbs Palpitations Anxiety due to stress Edema T: Pale and swollen C: White or White and moist P: Soft and slow
Treatment Principle	Dispel Dampness Warm Yang Restore Yang from collapse Relieve restlessness
Herb Formulas	Fu Ling Si Ni Tang
Points

Yin And Yang Deficiency

Clinical Manifestations	A somber, white facial complexion Dizziness Lack of strength Low back and lower leg soreness and weakness Seminal emission Decreased sexual desire Sometimes hot, sometimes cold Spontaneous perspiration Night sweats Tinnitus Heart palpitations T: Pale C: White or Little P:Deep, thready and forceless or Deep, thready and rapid
Treatment Principle	Nourish Yin Strengthen Yang
Herb Formulas	Hei Long Shen Zhu Yang Fang With Blood Stagnation: Wang Tong Xue Mei Fa Yi Qi Huo Xue Fa
Points

Yin, Yang, Qi And Blood Deficiency With Blood Stagnation

Clinical Manifestations	Palpitations Fatigue Spontaneous sweat Weakness Blurred vision Pale face Malar flush Night sweats Low back pain Weak low back and knees Cold extremities Chest pain T: Variable C: Little or None or White P: Weak or Weak and thready or Weak and choppy
Treatment Principle	Tonify Yin, Yang, Qi and Blood Invigorate the Blood Break up Stagnation
Herb Formulas	Jin Shen Tang
Points

Qi And Yin Deficiency

Clinical Manifestations	Palpitations A racing Heart Fatigue Shortness of breath Dizziness Tinnitus A dry mouth with a desire to drink Lassitude Chest oppression Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Scanty, yellow urination or Profuse, clear urination Dry, parched throat Possible coughing of bloody Phlegm Tasteless feeling in the mouth Low back and knee soreness and Weakness Low grade fever Five Sole Heat Possible sweating Night sweats Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red or Pale red C: Thin or Peeled P: Empty and rapid or Thready and rapid or Thready
Treatment Principle	Tonify the Spleen Augment Qi Supplement the Kidneys Nourish Yin
Herb Formulas	Shen Qi Di Huang Tang Sheng Mai Yin Wan  modified Jia Wei Sheng Mai San
Points	PC-6, SP-6, ST-36, UB-15, UB-17, UB-20 With severe Deficiency: + UB-43 For night sweats: + KI-3 or KI-7 For tinnitus: + GB-2 For reduced food intake: + REN-11 PC-4, PC-6, SP-6, ST-36, UB-15 For reduced food intake: + REN-12 For coughing up bloody Phlegm: + LU-6 For night sweats: + KI-7 For sweating, aversion to Cold, and a tight, irregularly interrupted pulse: + moxa or moxa needle REN-4 For Blood Stasis symptoms: +UB-17

Qi And Blood Stagnation With Water Accumulation

Clinical Manifestations	Numbness and pain that is fixed, stabbing and /or severe or Pains that move around Maybe swelling Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Palpitations 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	Jiu Wei Bing Lang Jia Wu Fu Tang
Points	GB-41, SJ-5 GB-40, GB-41, LIV-3, LIV-14, PC-6, SJ-6, SP-6, SP-10, ST-36, UB-17, UB-18, UB-40

Qi And Blood Deficiency

Clinical Manifestations	Fatigue Dull, continuous chest pain of varying intensity Loose stools Poor appetite Dizziness Blurred vision Low-grade fever Pale face Shortness of breath Possible panting, worse on exertion Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Disquieted Spirit Insomnia Profuse dreaming Dry skin Dry hair Poor memory Paleness Scanty periods Yellowish, red urination T: Pale or Pale, thin and dry or Pale and flabby with teethmarks C: Thin and white P: Weak or Thin and choppy or Thready and forceless
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang Nu Ke Ban Zhen Wan Qi and Blood Deficiency #1 Qi Xue Xu Tang Zhi Gan Cao Tang  modified With Qi Stagnation and Heat: Nu Shen San With lower abdominal aching: Sheng Yu Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17 HT-7, REN-6, REN-14, UB-12, UB-20, UB-21 PC-4, REN-17, SP-6, ST-36, UB-14 With Yin Deficiency: + KI-3 With predominant Qi Deficiency: + REN-6 With dizziness: + DU-20 With scanty menstruation: + SP-10 HT-6, REN-14, SP-6, ST-36, UB-15 With Yin Deficiency: + KI-3 With predominant Qi Deficiency: + REN-6 With dizziness: + DU-20 With scanty menstruation: + SP-10

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 Ren Shen Yang Rong Tang Ren Shen Dang Shao San
Points

Qi , Blood And Yin Deficiency With Heat

Clinical Manifestations	Lassitude Fatigue Shortness of breath Dizziness Tinnitus Palpitations Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and weakness Low grade fever Five Sole heat Possible sweating Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	Tonify Qi and Blood Promote urination Invigorate the Blood Dispel Blood Stasis Nourish Yin Generate fluids Clear Heat Drain Kidney Fire Cool the Blood
Herb Formulas	Yi Qi Yang Yin Huo Xue Fang
Points

Blood Stagnation

Clinical Manifestations	Poor memory Palpitations worse at night Occasional chest pain, worse at night Dizziness Chronic, prolonged vertex headache Heaviness or tightness in the chest Boring pain under the ribs Pain that is fixed, stabbing and /or severe Pan is worse with pressure Dark complexion Irritability Restlessness Easily angered Depression Fixed, palpable masses Bleeding with clots Purple lips Purple nails Purple sclera Purple conjunctiva 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	Invigorates the Blood Breaks up Stagnation Nourishes the Blood
Herb Formulas	Dai Di Dan Tang Guan Ning Zhu She Yi Shui Xiang Guan Xin Pian Xue Fu Zhu Yu Tang With Heat: Kang Xin Gen He Ji Qing Hua Zhu She Yi Postpartum: Qing Hun San Chinese Patent Medicines: Fu Fang Dan Shen Pian Sheng Tian Qi Pian
Points	HT-5, LI-4, PC-4, PC-5, PC-6, SP-6, SP-10, UB-14, UB-15, UB-17

Blood Stagnation Due To Qi And Blood Deficiency

Clinical Manifestations	Palpitations Prolonged lochia Excessive postpartum bleeding Profuse bleeding Puerperal fever Spontaneous sweating Dry mouth Heart irritability Light headedness Delirium Irritability Nausea Vomiting Nervousness Anorexia Abdominal pain Flank distention and fullness Dizziness Blurred vision Tinnitus Excessive loss of Blood Emotional instability Fullness and distention of the hypochondrium Epigastric pain Aversion to Cold T: Pale C: Slippery P: Weak and Deep
Treatment Principle	Tonify Qi and Blood Invigorate the Blood Regulate Qi Transform Stasis Harmonize the Liver and Spleen Regulate menstruation
Herb Formulas	Xiong Gui Tao Xue Yin
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 invigorate the Blood Regulate Blood circulation Break up Blood Stagnation Regulate menstruation Alleviate pain
Herb Formulas	Tao Hong Si Wu Tang
Points

Blood Deficiency

Clinical Manifestations	Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods T: Pale C: Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Si Wu Tang Dang Gui Jian Zhong Tang Ren Shen Zi Xue Tang Shou Wu Sheng Fa Yin Yang Xue Sheng Feng Tang With Blood Stagnation: Gu Ben Huo Xue Tang Gu Ben Hua Xue Tang Yi Hao Gu Ben Hua Xue Tang Er Hao With constipation: Run Chang Wan
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

Blood Deficiency Due To Uterine Network Vessels (Bao Luo) Failing To Communicate With The Heart

Clinical Manifestations	High fever Irritability Fidgeting Dry mouth Dry throat Incoherent speech Insomnia Dark urine Deep-rooted boils Maculae Carbuncles Hematemesis Hemoptysis Palpitations Furuncles Tinnitus Purpura	Red face Rashes Deep-rooted boils Red eyes Itchy skin Fidgeting Dry lips Delirium Dysentery with fever Jaundice Epistaxis Hematuria Cloudy mind Diarrhea T: Red C: Yellow P: Rapid and forceful
Treatment Principle	Clear Heat Drain Fire Relieve toxicity
Herb Formulas	Huang Lian Jie Du Tang
Points

Toxic Heat

Clinical Manifestations	High fever Irritability Fidgeting Dry mouth Dry throat Incoherent speech Insomnia Dark urine Deep-rooted boils Maculae Carbuncles Hematemesis Hemoptysis Palpitations Furuncles Tinnitus Purpura	Red face Rashes Deep-rooted boils Red eyes Itchy skin Fidgeting Dry lips Delirium Dysentery with fever Jaundice Epistaxis Hematuria Cloudy mind Diarrhea T: Red C: Yellow P: Rapid and forceful
Treatment Principle	Clear Heat Drain Fire Relieve toxicity
Herb Formulas	Huang Lian Jie Du Tang
Points

Wind Phlegm (Feng Tan) With Qi And Yin Deficiency

Clinical Manifestations	Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Marked emotional changes and behavior Irritability A feeling of Qi rushing upward Red eyes Headache - lasts all day Palpitations Insomnia Hot flushes Anorexia A feeling of distention and oppression below the Heart Abdominal bloating Muscle spasms in the shoulders, neck and back Vertigo T: Red edges C: Greasy P: Soft and wiry and maybe rapid
Treatment Principle	Clear Heat from the Liver channel Descend Liver Yang Extinguish Liver Wind Transform Phlegm Strengthen the Spleen Enrich Fluids
Herb Formulas	Gou Teng San
Points	Pre-stroke: ST-40, UB-40 Stroke (emergency): DU-26, KI-1, PC-9, Ting Points Post-stroke: Arm: LI-4, LI-11, LI-15, SI-3, SJ-5 Leg: GB-34, GB-35, UB-40, UB-60 Scalp: Motor area (contralateral - upper one-fifth)

Phlegm-Fire (Re Tan)

Clinical Manifestations	Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Qing Qi Hua Tan Wan Er Chen Tang modified Qing Huo Di Tang Tang
Points	LI-11, LU-5, ST-40, UB-13

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Damp-Phlegm (Shi Tan)

Clinical Manifestations	Palpitations 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	Ban Xia Bai Zhu Tian Ma Tang Er Chen Tang With Qi Deficiency: Jin Shui Liu Jun Jian
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

Phlegm-Damp (Tan Yin)

Clinical Manifestations	Palpitations Palpitations beneath the umbilicus Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San Ping Chen Tang With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Retention Of Fluid

Clinical Manifestations	Expectoration of viscous sputum Fullness of the chest and epigastrium Lassitude T: Normal C: White P: Wiry and rolling
Treatment Principle	Calm the Heart Calm the Shen
Herb Formulas	Wu Ling San
Points	HT-7, PC-4, PC-6, REN-17, ST-36, UB-12, UB-22

Lower Jiao Blood Stagnation With Heat

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	Drain Heat Break up Blood Stasis
Herb Formulas	Tao He Cheng Qi Tang
Points

Yin Wei Channel Pathology

Clinical Manifestations	Palpitations generally affecting women who are experiencing: Sadness Depression Headaches Chest oppression P: Thready and choppy
Treatment Principle
Herb Formulas
Points	KI-6, LU-7

Parasites

Clinical Manifestations	A sallow facial complexion Edema Palpitations Hurried respiration Fatigue A lack of energy
Treatment Principle	Reduce accumulation Dry Dampness Drain the Liver Expel parasites
Herb Formulas	Fa Mu Wan
Points