Perspiration

General

Clinical Manifestations
Treatment Principle
Herb Formulas	Excessive postpartum sweating: Mu Li San
Points	DU-14, LI-4, LU-8, SJ-5 HT-6, KI-7, KI-8, LI-4, SI-3 Mild: + moxa or moxa needle HT-6, KI-7 Severe: + strong moxa or moxa needle on all points With weakness: + moxa or moxa needle ST-36, UB-43 Hands: + PC-7 Feet: + moxa or moxa needle KI-2, UB-40 With excess armpit odor: + moxa HT-1 DU-16, HT-7, LI-11, SJ-10, UB-13, UB-17, UB-62 Jianneiling, LI-15, SI-9, SJ-14 Spontaneous: HT-6, KI-7 Profuse: KI-7, LI-4 For Yin Deficiency with hot flashes and cold sweating: DU-21, GB-20, LI-4, UB-10, UB-31, UB-62 For Exterior Yin Deficiency from excess exertion or wearing too many clothes: DU-14, KI-7, LI-4, REN-4, ST-36, UB-23, UB-43 For Excess Yang with hot flashes and hot sweat or a red complexion: DU-11, GB-20, KI-27, UB-31, UB-62 During menopause: + UB-10

Tai Yang Zhong Feng

Clinical Manifestations	Aversion to Wind Mild, or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Hemilateral sweating Shivering Headache Nausea Nasal irritation Nasal obstruction Nasal discharge Tendency to snore Itchy throat Maybe aching limbs T: Normal C: Thin and white P: Superficial and slow or Moderate and maybe weak
Treatment Principle	Create sweat to relieve the Exterior and expel Wind Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas	Gui Zhi Tang   San Niu Tang With Congestion of Fluids in the Interior and an underlying weak constitution: Shen Su Yin With stiff neck and shoulders: Gui Zhi Jia Ge Gen Tang With dyspnea, asthma and sputum: Gui Zhi Jia Hou Po Xing Ren Tang With nocturnal emission, excess dreams, Cold lower extremities, dizziness and hair loss: Gui Zhi Jia Long Gu Mu Li Tang With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: Gui Zhi Jia Fu Zi Tang With sweating that does not reduce the fever: Zhen Wu Tang With slightly severe or severe chills after diaphoresis: Gui Zhi Qu Shao Yao Jia Fu Zi Tang If after diaphoresis, there is severe perspiration, marked distress, prolonged thirst, and a large pulse: Bai Hu Jia Ren Shen Tang
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, Yintang With stiff neck and shoulders: + GB-21 With Dampness: + SP-6, SP-9 With dyspnea, asthma and sputum: Dingchuan, REN-22 With nocturnal emission, excess dreams, Cold lower extremities, dizziness and hair loss: + DU-4, KI-3, UB-23 With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: + REN-4 With sustained fever of long duration accompanied by severe chills: + DU-14 DU-14, LI-4, PC-5, SJ-5, UB-12 For dry retching: + REN-12 For a headache: + GB-20 For shivering with sweating: LI-4, SJ-5, ST-36, UB-12 With a headache: + Taiyang For unabated fever: + DU-14 For a sore throat: + bleed LI-11 For hemilateral sweating: 1. HT-6, LI-4, SJ-5, ST-36, UB-12 With body aches: + DU-12 With rigidity of the nape of the neck: + GB-20 2. DU-14, LI-4, SJ-5, UB-12

Tai Yang - 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
Herb Formulas	Gui Zhi Ren Shen Tang
Points

Yang Ming Jing

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability Restlessness Feverish body parts Red face Dry stools No constipation No aversion to Cold T: Red, dry C: Dry yellow P: Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang With Qi and Body Fluid Deficiency: Bai Hu Jia Ren Shen Tang With Interior Dampness: Bai Hu Jia Cang Zhu Tang With spontaneous perspiration without chills or an intensely ruddy complexion, rapid respiration, and cannot lie down: Gui Zhi Tang With Wasting and Thirsting: Di Huang Yin Zi #2
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44 DU-14, LI-11, ST-41, ST-44 With severe pain in the forehead: + ST-8, Yintang With an enduring high fever: + SJ-6, ST-37, bleed UB-40 With Qi and Body Fluid Deficiency: DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20 With diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 With vomiting but no diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop vomiting:  PC-6, SP-4

Yang Ming Fu

Clinical Manifestations	High fever (sometimes rises and falls) Great thirst Profuse perspiration Aversion to Heat Abdominal pain (worse with pressure) Abdominal distension Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Mental disturbance: Mentally unclear Delirious speech T: Red and dry, or black and moist C: Thick yellow or dry yellow P: Deep, strong and forceful
Treatment Principle	Purge
Herb Formulas	For constipation with abdominal distension and hard dry knots: Da Cheng Qi Tang For constipation with abdominal distension but without hard dry knots: Xiao Cheng Qi Tang For constipation without abdominal distension or hard dry knots: Tiao Wei Cheng Qi Tang
Points	For Heat: DU-14, LI-4, LI-11, SJ-5, ST-44 For Stagnation: REN-12, ST-34, ST-36, ST-37, ST-39 For Constipation: SJ-6, ST-25, UB-25

Yang Ming Han

Clinical Manifestations	History of Yang Ming Jing or Fu No appetite Perspiration on extremities (cold center) Sluggish or difficult urination Constipation moving to long stringy stools moving to diarrhea T: Normal C: Slightly yellow and moist P: Deep and forceful
Treatment Principle	Restore Yang Warm the center
Herb Formulas	Si Ni Tang
Points	Moxa needle REN-4, REN-6, REN-12, ST-25, ST-36

Wei Stage Wind-Heat

Clinical Manifestations	Inflammation of throat and/or tongue Fever and chills with more fever than chills Perspiration Cough with sticky yellow sputum Aversion to Wind and Heat Yellow nasal discharge Thirst with desire for cold drinks Red bumps around mouth and lips (herpes simplex) Headache Nasal obstruction Sore, swollen throat Dyspnea Chest pain Dry mouth Rapid breathing Maybe constipation Maybe scanty urine T: Red tip C: Thin and yellow P: Floating and rapid
Treatment Principle	Disperse Wind Clear Heat Clear the Lungs
Herb Formulas	Yin Qiao San Ma Xing Shi Gan Tang Sang Ju Yin modified For a mild case with cough, fever is not high, slight thirst: Sang Ju Yin For fear of Cold at the beginning stage: Gui Zhi Tang With eye inflammation: Xiong Ju Shang Qing Wan
Points	Bleed UB-40, needle Dingchuan, DU-14, DU-16, DU-23, DU-24, GB-20, LI-4, LI-11, LU-5, LU-7, LU-10, REN-22, SJ-5, ST-8, ST-40, Taiyang, UB-12, UB-13 DU-14, LI-4, LU-5, SJ-5 For a high fever: + LI-11 For thirst: + KI-7 For a sore throat: + bleed LU-11 For symptoms of Toxic Heat: + Shixuan For coughing with profuse Phlegm: + UB-13 For a mild case with cough, fever is not high, slight thirst: Bleed UB-40, needle DU-14, GB-20, LI-4, LI-11, LU-7, REN-22, SJ-5, UB-12, UB-13 For fear of Cold at the beginning stage: Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, Yintang

Wei Stage: Damp-Heat

Clinical Manifestations	Headache (wrapping) Fever and chills, fever more pronounced or Chills with afternoon fever Slight, sticky perspiration Thirst with a lack of desire for Fluids Heavy extremities Heavy sensations in the body Maybe painful joints Maybe edema Stifling sensation in the chest Stomach glomus Nausea Dizziness Gastric and abdominal distension Loose stools which are difficult to defecate Sticky mouth No thirst Short, red urination T: Normal C: Greasy, white or Greasy, yellow P: Soft and rapid or Soft and slow or Wiry, thin and soft or Wiry, slippery and rapid
Treatment Principle	Clear Damp-Heat
Herb Formulas	San Ren Tang Huo Po Xia Ling Tang
Points	GB-34, REN-12, SP-6, SP-9, ST-44 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

Wei Stage: Summerheat With Dampness

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Gastric disturbances: Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Rapid and soft
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	Bai Hu Jia Cang Zhu Tang Xing Ren Hua Shi Tang Lei Shi Qing Liang Di Shu Fa Without Dampness: Bai Hu Jia Ren Shen Tang
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, LI-4, LI-11, REN-9, SJ-5, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20

Wei Stage: Summerheat Damaging Qi And Body Fluids

Clinical Manifestations	High fever Profuse, incessant sweating Irritability Great thirst with a desire for lots of Fluids Chest and diaphragmatic glomus and oppression Scanty, dark urine Restlessness Fatigue Fatigued limbs Heart vexation Shortness of breath Apathy T: Pale or Red C: Dry yellow P: Deficient and rapid or Floating, large and forceless
Treatment Principle	Clear Summerheat Tonify Qi Nourish Yin Generate Fluids
Herb Formulas	Qing Shu Yi Qi Tang modified Wang Shi Qing Shu Yi Qi Tang Severe with non-stop sweating: Sheng Mai San
Points	DU-14, KI-7, LI-4, LI-11, ST-44 For Heart vexation: + PC-6 For nausea and Stomach glomus: + REN-12 For heavy-headedness and pain and distention of the head: + DU-20, GB-20

Wei Stage: Toxic Summerheat

Clinical Manifestations	Sudden chest and stomach fullness and oppression Vexation Agitation Nausea Vomiting Hot skin with sweating Maybe clouded Spirit Maybe deafness Headaches with distention T: Red tip and edges C: Greasy white or yellow P: Rapid and soft
Treatment Principle	Expel the impurities and transform turbidity with aromatic herbs
Herb Formulas	Huo Xiang Zheng Qi Tang Yu Shu Dan
Points

Qi Stage Stomach Heat

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability Restlessness Feverish body parts Red face Dry stools No constipation No aversion to Cold T: Red, dry C: Dry yellow P: Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang Huang Qin Tang With Qi and Body Fluid Deficiency: Bai Hu Jia Ren Shen Tang With spontaneous perspiration without chills or an intensely ruddy complexion, rapid respiration, and cannot lie down: Gui Zhi Tang For unresolved pathogens with a high fever followed by shivering: Chai Hu Qing Zao Tang
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44 With Qi and Body Fluid Deficiency: DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20 With diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 With vomiting but no diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop vomiting:  PC-6, SP-4 For unresolved pathogens with a high fever followed by perspiration and shivering: DU-14, LI-4, LI-11, SJ-5, SP-6, ST-36 With coughing: + LU-5 With constipation: + ST-25 With a sore throat: + bleed LI-11

Qi Stage Intestinal Dry Heat

Clinical Manifestations	High fever - sometimes tidal Profuse sweat Great thirst with desire to drink Acute constant abdominal pain Worse with pressure Distension and fullness in the Stomach and abdomen Aversion to Heat Dryness Restlessness Excess symptoms Constipation with dry knots Sweat Mental disturbance Delirium T:  Red or Dark red Severe: Gray or Black C: Thick, yellow or Dry, yellow P:  Forceful and deep or Deep and slow
Treatment Principle	Purge
Herb Formulas	For constipation with abdominal distension and hard dry knots: Da Cheng Qi Tang For constipation with abdominal distension but without hard dry knots: Xiao Cheng Qi Tang For constipation without abdominal distension or hard dry knots: Tiao Wei Cheng Qi Tang
Points	DU-14, LI-4, LI-11, REN-12, SJ-5, SJ-6, ST-25, ST-34, ST-36, ST-37, ST-39, ST-44

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

Qi And Ying Stage Heat

Clinical Manifestations	High fever Profuse perspiration Thirst Restlessness T: Deep red C: Yellow P: Rapid
Treatment Principle	Clear Heat from the Qi and Ying Stages
Herb Formulas	Yu Nu Jian  modified
Points

Qi And Xue Stage Heat

Clinical Manifestations	High fever Profuse perspiration Thirst Maculopapular rash Hematemesis Epistaxis T: Deep red C: Yellow P: Rapid
Treatment Principle	Clear Heat from the Qi and Xue Stages
Herb Formulas	Hua Ban Tang Qing Wen Bai Du Yin
Points

Dampness Hindering The Qi And Wei Stages

Clinical Manifestations	Fever which is worse in the afternoon Chills Aversion to Cold Headaches Heaviness of the head and body Slight sweating Epigastric distention T: Normal C: Greasy and white P: Moderate and soft
Treatment Principle	Disperse, transform and leech out dampness in the Exterior and Interior
Herb Formulas	San Ren Tang Huo Po Xia Ling Tang
Points

Xue Stage: Yin Dficiency Leads To Collapse Of Yin

Clinical Manifestations	Low grade fever Purple skin rash Malar flush (deep red cheeks - dangerous) Night sweats every night (gets progressively drier) 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
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

Toxic Heat In The Qi, Ying And Xue Stages

Clinical Manifestations	High fever Profuse sweating Thirst with a desire for cold drinks Irritability Restlessness Severe red, swollen, painful and ulcerated throat Maybe partial blockage of the respiratory tract Shortness of breath Labored breathing Dense patches of macules all over the body T: Deep red with prickles C: Yellow P: Forceful and rapid
Treatment Principle	Clear Heat from the Qi Stage Resolve toxicity in the Ying and Xue Stages Cool the Blood
Herb Formulas	Liang Ying Qing Qi Tang
Points

Wind-Damp

Clinical Manifestations	Aversion to Wind Generalized edema that begins in the face Slight fever or no fever Slight but continuous sweating or no sweating Absence of thirst or Thirst Decreased urination Asthma Dysuria Coughing T: Normal C: White P: Floating or Floating and rapid
Treatment Principle	Release the Exterior Induce sweating Disseminate Lung Qi Promote urination Eliminate water accumulation Eliminate Heat
Herb Formulas	Yue Bi Tang With Spleen Deficiency: Yue Bi Jia Zhu Tang With Wei Qi Deficiency: Fang Ji Huang Qi Tang
Points	LI-4, SJ-5, ST-36, UB-12 With a wrapping headache: + GB-20 With chest oppression: + REN-17, SP-9

Wind-Damp-Heat Bi

Clinical Manifestations	Fever maybe high Maybe slight chills Perspiration Nervousness Thirst Irritability Arthralgia involving one or several joints Dry mouth and tongue Localized redness and Heat Swelling of the joints with burning pain Severe limitation of movement Aversion to Heat Restlessness Flushed face Desire for cold drinks Pain worse at night Pain relieved by Cold Occasional vomiting T: Pink or Red C: White or Yellow P: Wiry and rapid or Slippery and rapid or Big and forceful
Treatment Principle	Clears Heat Generates Fluids Stops pain Stop perspiration
Herb Formulas	Bai Hu Jia Gui Zhi Tang Bai Hu Jia Gui Zhi Tang Jia Jian
Points

Lung Qi Deficiency

Clinical Manifestations	Soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath Pale face With Wei Qi Deficiency: Spontaneous perspiration (daytime) Low resistance to common cold Tendency to a blocked nose T: Pale C: Thin and white P: Weak
Treatment Principle	Reinforce the Lungs Strengthen Qi
Herb Formulas	Yu Ping Feng San Bu Fei Tang Hei Xi Dan
Points	DU-14, LI-4, REN-4, ST-44 LU-9, REN-17, ST-36, UB-13, UB-43

Lung Qi Deficiency With Kidneys Not Grasping Qi

Clinical Manifestations	Dyspnea on exertion Asthma (inhalation difficult) Dispirited Soft, weak voice Spontaneous perspiration Cold limbs T: Pale, moist and swollen C: White P: Weak
Treatment Principle	Tonify Lung Qi Tonify the Kidneys
Herb Formulas	Bu Fei Tang Si Jun Zi Tang Bao Yuan Tang Zhi Gan Cao Tang
Points	HT-7, LU-9, PC-6, REN-6, REN-14, REN-17, ST-36, UB-13, UB-15, UB-43

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 Qi Deficiency

Clinical Manifestations	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 T: Pale, moist and swollen C: White P: Deep and thready or Weak
Treatment Principle	Nourish the Lungs Soothe asthma Reinforce the Kidneys to Grasp Qi
Herb Formulas	Hei Xi Dan Sheng Mai San + Ji Sheng Shen Qi Wan Ren Shen Ge Jie San
Points	DU-4, KI 3, LU 9, REN-4, REN-6, REN-17, REN-22, ST-36, 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

Large Intestine Excess Heat

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles or Red C: Thick, yellow and dry P: Deep and Excess
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Tiao Wei Cheng Qi Tang Xiao Cheng Qi Tang Da Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

Damp-Heat In The Large Intestine

Clinical Manifestations	Diarrhea with tenesmus which intensifies after defecation Frequent stools which are small in quantity Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and Blood Burning hot sensation in anus Abdominal pain Urine short and red Sustained fever despite profuse perspiration or Raging fever in the afternoon Severe cases: High fever and coma Mouth dry but no desire to drink Body heavy Limbs tired Fullness in chest Lump in epigastrium Anorexia Vomiting T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness Stop dysentery
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25

Damp-Heat In The Spleen And Stomach

Clinical Manifestations	Sweating from the head Sweating from the hands and feet Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Maybe yellow sweat Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Yellow perspiration Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San For sweating from the hands and feet: Lian Po Yin + Wei Ling Tang
Points	DU-9, DU-14, GB-34, KI-7, SP-6, SP-9, UB-19 LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 PC-8, SP-3, P-6, SP-9, ST-41, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44 For yellow sweat: LI-4, LI-11, SP-9, ST-36, UB-20, UB-22 With Heart vexation: + PC-6 With abdominal fullness and distention: + REN-12 With constipation: + ST-44

Spleen Qi Deficiency With Dampness

Clinical Manifestations	Sweating from the hands and feet Loose stools or watery diarrhea Weak extremities Weight loss Distention and a stifling sensation in chest and epigastrium Pale wan complexion Abdominal distention Indigestion Vomiting Fatigue Chills Maybe vomiting Leukorrhea Reduced appetite Borborygmus Edema Reduced appetite Diarrhea with onset of menstrual flow Cough with copious sputum Leukorrhea in obese women T: Pale or Pale red C: White - maybe greasy P: Thready and even or Even and Deficient
Treatment Principle	Augment Qi Strengthen the Spleen Resolve Dampness Stop sweating
Herb Formulas	Shen Ling Bai Zhu San
Points	LI-4, REN-12, SP-3, ST-36, ST-41, UB-20

Central Qi Sinking

Clinical Manifestations	Frequent spontaneous perspiration, worse on exertion Fatigue Prolapse of one or more organs Sallow complexion Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Disinclination to speak Possible low-grade fever Thirst with a desire for warm drinks A bright white facial complexion Susceptibility to Wind-Cold invasion T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready or Moderate and forceless
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang For Heart Blood Deficiency with palpitations, a pale face, pale lips and fingernails: Ren Shen Yang Rong Tang
Points	LI-4, REN-6, REN-17, ST-36 For palpitations: + UB-15 For weakness, tired limbs, abdominal fullness and loose stools: + UB-20 For coughing with clear, thin Phlegm: + UB-13

Spleen Yang Deficiency

Clinical Manifestations	Spontaneous perspiration Shortness of breath Occasional fevers Dyspnea Abdominal pain and spasms due to Cold Pain is better with warmth and pressure Pale face or a sallow, dull complexion Fatigue Fidgeting Lethargy Dry mouth Aversion to Cold Frequent, clear urination Constipation Cold extremities Dry throat Hematemesis Irritability Carbuncles Palpitations Hemorrhoids Fever with a preference for hot drinks Dry skin T: Pale C: White P: Minute, thready and weak or Deep and slow or Floating, large and weak
Treatment Principle	Warm and tonify the Spleen and Stomach Replenish Qi Harmonize the Interior
Herb Formulas	Huang Qi Jian Zhong Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Stomach Yin Deficeincy

Clinical Manifestations	Sweating from the hands and feet 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 T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Sha Shen Mai Men Dong Tang
Points	KI-1, KI-21, PC-8, REN-12, REN-23, ST-36 KI-3, REN-12, SP-6, ST-36, UB-21

Phlegm Obstructs The Heart Orifice: Exhaustion Syndrome

Clinical Manifestations	Sudden collapse with loss of consciousness Mouth open and hands relaxed Eyes closed Limbs cold Snoring Perspiration ("flows like oil") Incontinence of urine and feces T: Not described P: Minute and thready - about to collapse or Superficial and big but with no root (with a red face)
Treatment Principle	Support Zheng Qi Consolidate Exhaustion Strengthen Qi Return Yang
Herb Formulas	Shen Fu Tang Du Shen Tang Huang Tu Tang
Points	Moxa REN-4, REN-6, REN-8, ST-36

Heart Qi Deficiency

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 T: Pale and swollen C: White P: Weak or Big and weak or Intermittent
Treatment Principle	Reinforce and Strengthen Heart Qi
Herb Formulas	Si Jun Zi Tang Bao Yuan Tang Zhi Gan Cao Tang Bu Xin Wan
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15

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 Yang Deficiency

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Cold limbs Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Warm and Clear Heart Yang
Herb Formulas	Bao Yuan Tang Gui Zhi Gan Cao Long Gu Mu Li Tan Gua Lou Xie Bai Bai Jiu Tang
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

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 Shortness of breath Drenched with perspiration Perspiration is bead-like, clear, thin and cold Above symptoms worse on exertion or when tired Aversion to Cold Four limbs cold Cyanosis of mouth and lips A somber, white facial complexion Faint, weak respiration Lying curled up Listlessness Thirst with a desire for hot drinks T: Moist P: Minute (on the point of collapse) or Floating, rapid and scallion-like
Treatment Principle	Return Yang Consolidate Exhaustion
Herb Formulas	Shen Fu Tang  modified
Points	Moxa or moxa needle DU-25, DU-26, KI-1, PC-6, PC-9, REN-4, REN-6, REN-8, ST-36 Moxa or moxa needle DU-25, REN-4, REN-6, REN-8

Heart Yang Not Vigorous: Water Qi Insults The Heart

Clinical Manifestations	Spontaneous perspiration, usually in small amounts Palpitations Shortness of breath Dizziness Chest and epigastric fullness, glomus and contravection Nausea Poor appetite Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Lassitude Expectorating watery white Phlegm Maybe cold body and limbs Loose stools T: Pale C: White and greasy P: Deep and wiry or Wiry and slippery
Treatment Principle	Clear Yang Transform Harmful Fluid Transform Phlegm Calm the Heart
Herb Formulas	Shi Wei Wen Dan Tang
Points	PC-6, SP-9, ST-36, ST-40, UB-15 For Lung Qi Deficiency: + UB-13 For Kidney Deficiency: + UB-23 For abdominal pain. borborygmus and diarrhea: + moxa DU-4 For frequent Heart palpitations: + REN-14 For severe dizziness: + LI-11 For high blood pressure: + LI-11, ST-36 Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

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

Clinical Manifestations	Palpitations Dysuria Shortness of breath Dyspnea Dizziness Muscular twitching Whole body edema Cold body Profuse perspiration Icy limbs Cold abdomen with watery stools Edema of limbs Cough Pale complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Abdominal pain Diarrhea T: Pale or Purple (Lavender) C: White and greasy P: Deep or Deep and minute
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

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
Points	HT-7, LU-9, REN-17, UB-13, UB-15 HT-7, LU-9, PC-6, REN-6, REN-14, REN-17, ST-36, UB-13, UB-15, UB-43

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Sweating from the chest 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  modified 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 HT-6, LU-9, REN-17, UB-15, UB-20, UB-43

Heart And Gallbladder Qi Deficiency Due To Shock Or Fright

Clinical Manifestations	Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Nightmares Waking terrified Easily frightened or startled Easily unsettled by seeming trivial events Apprehension Restlessness Fearfulness Inappropriate worry Timidity Phobias Anxiety (frequent and severe) Frequent panic attacks Palpitations Shortness of breath Lethargy Fatigue Depression Postnatal 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 Weak, thready and rapid
Treatment Principle	Strengthen Qi Calm the Shen Alleviate fearfulness Calm the mind Nourish and tranquilize the Heart
Herb Formulas	An Shen Ding Zhi Wan Ding Zhi Wan Gui Zhi Jia Long Gu Mu Li Tang Qi Yang Yu Xin Dan Chinese Patent Medicines: Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nan Wan Jian Nao Wan
Points	Anmian, DU-20, PC-7, HT-7, GB-40, UB-7, UB-23, UB-47, UB-52, ST-36, Yintang GB-39, SJ-5, UB-15, PC-6, HT-7, HT-9, REN-14, DU-19, DU-24 DU-19, DU-20, DU-24, GB-40, HT-5, HT-7, HT-9, PC-6, REN-14, UB-7, UB-15 Ear: Liver, Gallbladder, Heart, Subcortex, Sympathetic

Heart And Kidney Yin Deficiency

Clinical Manifestations	Sweating from the chest 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	Bu Xin Wan + Liu Wei Di Huang Wan With Fire Rising: Dao Chi San
Points	HT-6, KI-6, KI-7, KI-24, UB-15, UB-23 HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

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
Points

Damp-Heat In The Liver And Gall Bladder

Clinical Manifestations	Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine Abdominal distention Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles T: Pink C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Clear Dampness Purge Heat from Liver and Gall Bladder
Herb Formulas	Yin Chen Hao Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Spontaneous perspiration Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan)
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Yang Deficiency: Kidney Not Grasping Qi

Clinical Manifestations	Dyspnea which is worse on exertion Difficult to inhale but not to exhale Shortness of breath, shallow breathing Soft voice Perspiration In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type T: Pale and swollen C: Thin and white P: Superficial and Deficient or Deep and thready Dyspnea which is worse on exertion Difficult to inhale but not to exhale Shortness of breath, shallow breathing Soft voice Perspiration In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type T: Pale and swollen C: Thin and white P: Superficial and Deficient or Deep and thready
Treatment Principle	Reinforce the Kidneys to Grasp Qi
Herb Formulas	Ren Shen Ge Jie San
Points	DU-4, KI-3, LU-9, REN-6, ST-36, UB-13, UB-23, UB-43

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 Spontaneous perspiration 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
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 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

Kidney Jing Deficiency

Clinical Manifestations	Dizziness Tinnitus Low back and knees weak and aching Spontaneous perspiration 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 You Gui Wan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Qi Deficiency

Clinical Manifestations	Fatigue Loose stools Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion T: Pale C: White P: Empty
Treatment Principle	Tonify Qi
Herb Formulas	Si Jun Zi Tang Liu Jun Zi Tang Mu Li San
Points	KI-3, LU-9, SP-6, ST-36

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	Maybe one-sided sweating 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 For hemilateral sweating: Ren Shen Yang Rong Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17 For hemilateral sweating: 1. LI-4, SP-6, SP-10, ST-36, UB-20, UB-21 With palpitations: + PC-6 With insomnia: + HT-7 or UB-15 With incessant uterine bleeding: + REN-4 With a poor appetite: + REN-11 2. LI-4, LI-11, REN-6, ST-36, ST-43, UB-17, UB-18

Qi , Blood And Yang Deficiency

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

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

Yang Deficiency

Clinical Manifestations	Spontaneous perspiration which is worse on exertion Profuse sweating from the head and face Pale or bright white facial complexion Shortness of breath Cold body and limbs Aversion to Cold Poor appetite Abdominal distention Prefers warm drinks Loose stools Lassitude T: Pale C: White P: Empty and weak
Treatment Principle	Warm Yang Constrain Yin
Herb Formulas	Qi Fu Tang For Spleen Yang Deficiency: Zheng Yuan Tang Jia Jian For Kidney Yang Deficiency: You Gui Wan  modified For enduring Yang Deficiency with enduring spontaneous perspiration leading to Yin Deficiency: Zuo Gui Wan modified
Points	KI-2, KI-7, REN-4, REN-6, ST-36 Moxa or moxa needle LI-4, REN-4, REN-6, ST-36 For cold sweating, Heart palpitations, and cold limbs: + PC-6, REN-14 For panting: + REN-22 For chest pain: + REN-15 For daybreak diarrhea: + moxa or moxa needle DU-4 For lower abdominal pain: + moxa or moxa needle REN-3

Yang Deficiency With External Wind-Cold

Clinical Manifestations	Strong chills or shivering Possible mild fever Chronic aversion to Cold A desire to curl up Exhaustion Headaches General muscle pain Aching in the bones Anhidrosis or Spontaneous sweating When there is sweating, the aversion to Cold is more pronounced A low, soft voice Reluctance to speak Waxy, pale complexion Cold body and limbs There may be an exposure to Wind or Cold prior to the aggravation of the symptoms T: Pale and swollen C: White P: Deep and weak
Treatment Principle	Support Yang Clear the Exterior
Herb Formulas	Shen Fu Zai Zao Wan modified
Points	DU-14, GB-20, LI-4, LU-7, REN-4, ST-36

Yin Desertion

Clinical Manifestations	Great, persistent sweating which is hot and sticky or oily Maybe fever Warm limbs Thirst with a desire for cold drinks Rough breathing Fatigue Lassitude Red, dry lips T: Dry C: None P: Empty and rapid or Forceless and rapid
Treatment Principle	Nourish Yin Generate Fluids Tonify Qi Stem desertion
Herb Formulas	Sheng Mai San  modified
Points	DU-26, KI-1, KI-3, REN-4, ST-36 With Heart vexation: + PC-6 With shortness of breath: + REN-17 With a coma: + DU-20

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
Points

Cold-Dampness

Clinical Manifestations	Hemilateral sweating Painful hypertonicity of the sinews Inhibited bending and stretching of the hands and feet Heavy limbs Severe: Difficulty turning over T: Normal C: Greasy and white P: Soft or Slow
Treatment Principle	Warm and scatter Cold and Dampness Invigorate the Blood Unblock the channels
Herb Formulas	Juan Bi Tang  modified For a stubborn condition: Xiao Huo Luo Dan modified
Points	REN-6, affected side LI-4, LI-10, LI-14, ST-36 For a heavy head and body: + bilateral SJ-6, SP-9 For fatigue and aversion to Cold: + moxa DU-4 For a Stomach ache: + REN-12 For clear vaginal discharge: + bilateral SP-6

Wind-Phlegm (Feng Tan)

Clinical Manifestations	Paralysis One-sided perspiration Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang
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)

Damp-Heat In The San Jiao

Clinical Manifestations	Tidal fever Sweating Thirst Irritability Stifling sensation in the chest Chest distention Epigastric distention Nausea Vomiting Severe diarrhea Scanty, dark urine T: Red tip and edges C: Greasy and white or yellow P: Rapid and soft
Treatment Principle	Clear Heat in the San Jiao Resolve Dampness
Herb Formulas	Xing Ren Hua Shi Tang
Points

Damp-Heat In The Middle Jiao

Clinical Manifestations	Lethargy Anorexia Maybe jaundice No thirst or Thirst with no desire to drink Nausea Vomiting Afternoon fever Body aches A sallow complexion Scanty urination Diarrhea Chest discomfort Epigastric pain and distention Dull appearance Maybe disorientation Loose stools Maybe skin vesicles Heavy extremities T: Pink C: Greasy and yellow P: Soft and rapid
Treatment Principle	Clear Heat Resolve Damp and turbidity
Herb Formulas	Gan Lu Xiao Du Dan Lian Po Yin
Points	REN-6, REN-12, SP-9, ST-25, ST-36

Damp-Heat In The Lower Jiao With Lingering Exterior Symptoms

Clinical Manifestations	Fever Sweating Thirst Dysenteric diarrhea Foul-smelling stools A burning sensation around the anus Gasping Ephidrosis Palpitations Tenesmus Maybe red tinged urine Irritability and Heat in the chest and epigastrium Stiffness and spasms at the back of the neck Dry mouth Dyspnea with perspiration Maybe wheezing T: Red C: Yellow (Greasy) P: Rapid
Treatment Principle	Release the Exterior Clear Internal Yang Ming Heat
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points

Damp-Heat Bi

Clinical Manifestations	Fever with sweating or Fever with shivering Heavy, painful limbs Swollen and painful joints T:Normal C: Gray, yellow P:Soft and rapid
Treatment Principle	Clear Heat Transform Dampness Move Qi Invigorate the Blood Relieve pain
Herb Formulas	Xuan Bi Tang
Points

Obstruction Of The Ying And Wei

Clinical Manifestations	Yellow sweat after having been caught in the rain or taking a cold shower while sweating Fever Thirst Heavy body Edema A sensation of insects crawling under the skin Thirst Inhibited urination T: Normal C: White P: Deep
Treatment Principle	Unblock Stagnation Harmonize the Ying and Wei
Herb Formulas	Huang Qi Shao Yao Gui Zhi Ku Jiu Tang
Points	LI-4, LI-11, SJ-5, SJ-6, UB-22 For body aches: + DU-12 For headaches: + GB-20 For a high fever: + DU-14 LI-4, LI-11, LI-15, SP-6, ST-31, ST-36, ST-41