Pneumonia

General

Clinical Manifestations	Bronchial (Lobular) Pneumonia: This is the most common form of pneumonia seen in older people and children. It usually appears after an External Invasion or surgery. Symptoms: Sudden onset Rapidly rising temperature Vomiting Difficulty breathing Convulsions Flushed face, especially in the afternoon Rapid respiration Chest pain Maybe a feeble cough or no coughing Severe: Cyanotic lips Lobar (Pneumoccal) Pneumonia: This is usually associated with streptococcal bacteria and frequently invades one lobe of the Lung. Symptoms: Acute onset Chills and fever Coughing Chest pain Anorexia Sluggish bowels Flushed cheeks Blistered lips with small, watery vessicles A hacking cough Rust-colored sputum Severe: Clammy, cold extremities A drop in blood pressure Shallow breathing Maybe stupor P: Thready and rapid
Treatment Principle
Herb Formulas	With chest pain: Xiao Xian Xiong Tang With difficulty swallowing: + Ban Xia Hou Po Tang With difficulty digesting: + Bao He Wan
Points

Tai Yang Zhong Feng

Clinical Manifestations	Aversion to Wind Mild, or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Headache Nausea Nasal irritation Nasal obstruction Tendency to snore Itchy throat 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 With stiff neck and shoulders: Gui Zhi Jia Ge Gen Tang With Dampness: Ren Shen Bai Du San With dyspnea, asthma and sputum: Gui Zhi Jia Hou Po Xing Ren Tang With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: Gui Zhi Jia Fu Zi Tang With sustained fever of long duration accompanied by severe chills: Gui Zhi Er Yue Bi Yi 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 If no result after diaphoresis with recurring malaria-like (Shao Yang) symptoms (alternating chills and fever and anhidrosis): Gui Zhi Er Ma Huang Yi Tang If, after diaphoresis, there is still headache, stiff neck, persistent fever, anhidrosis, fullness beneath the Heart, mild aching, and dysuria: Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang If, after diaphoresis, there is gasping without severe fever: Ma Xing Shi Gan Tang With a persistent fever for six to seven days, anxiety, intense thirst and vomiting after drinking: Wu Ling San
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

Tai Yang Shang Han

Clinical Manifestations	Itching or tickling in the throat Cough with expectoration of thin, watery or frothy white sputum Shortness of breath Chills with low grade fever Anhidrosis No thirst Headache Aversion to Wind and Cold Blocked and / or runny nose with clear, watery nasal discharge Sneezing General body aches Maybe asthma T: Pink C: Thin, white and moist or White and slimy P: Floating and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Resolve Phlegm
Herb Formulas	Ma Huang Tang San Ao Tang  modified Tong Xuan Li Fei Wan Fu Fang Chuan Bei Jing Pian
Points	DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13 LI-4, SJ-5, UB-12, UB-13 For anhidrosis: + KI-7 For Phlegm: + PC-5, ST-40 For chest pain: + PC-6, REN-17 For a high fever: + DU-14

Tai Yang With Water Accumulation In The Lungs

Clinical Manifestations	Chills and fever or Fever with no thirst Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder Dyspnea Shortness of breath Mild or severe gasping Hiccups Fullness in chest Vomiting Heaviness of the body Edema Dysuria Maybe thirst Maybe diarrhea Maybe scanty urine Maybe lower abdominal fullness T: Normal C: Greasy and white P: Floating and slippery or tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma Expel water or Phlegm
Herb Formulas	Xiao Qing Long Tang Ma Huang Jia Zhu Tang With Internal Heat and irritability: Xiao Qing Long Jia Shi Gao Tang With a weak constitution: Shen Su Yin
Points	Moxa Dingchuan, DU-4, REN-4, REN-6, needle DU-16, GB-20, LI-4, LU-7, REN-17, REN-22, SP-6, SP-9, SJ-5, ST-40, UB-12, UB-13 With Internal Heat and irritability: - moxa + LI-11, ST-44

Tai Yang - Yang Ming

Clinical Manifestations	High fever and severe chills Maybe fever only Achiness Anhidrosis Severe occipital headache Loud cough Sticky, yellow mucus Sore throat Generalized muscle aches Nasal obstruction Asthma Aversion to Cold Edema Thirst with a desire for cold liquids Restlessness Irritability Fidgeting Constipation or Dry stools Sometimes dry achy eyes T:  Normal or Red or Red tip C:  Yellow or White P:  Floating and tight or Floating and rapid
Treatment Principle	Expel Wind Disperse Cold Cool Heat
Herb Formulas	Da Qing Long Tang Ma Xing Shi Gan Tang modified Ding Chuan Tang Chai Ge Jie Ji Tang Shi Gao Tang With lingering Exterior symptoms: Ge Gen Huang Qin Huang Lian Tang Chinese Patent Medicines: Ma Xing Zhi Ke Pian Zhi Sou Ding Chuan Wan Chuan Ke Ling
Points	DU-14, DU-16, GB-20, LI-4, LI-11, ST-44, UB-13, sedate LU-7, LU-9, LU-10, SJ-5, UB-12, tonify SP-1, SP-2 Dingchuan, DU-14, LI-4, LI-11, LU-5, SJ-5, SJ-2, UB-12 For a severe, swollen, sore throat: + LU-11, SI-17 With Excess Internal Heat: + LU-10, SJ-2

Tai Yang - Shao Yang

Clinical Manifestations	Joint pain with a crackling sensation Epigastric pain Fatigue Gastrointestinal weakness Headache Heaviness in the head Fever Moderately severe chills Distension beneath the Heart Periumbilical or lower abdominal pain Tenseness around the pubic bone Subcostal pain Epigastric fullness Nausea Mild vomiting Mild thoraco-costal discomfort Costal distress Tension in the rectus abdominus Chest distension Abdominal pain Abdominal distension Constipation Irritability Insomnia Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Release the Exterior and muscle layer Harmonize and release the Shao-Yang Harmonize the Liver, Spleen and Intestines Dispel Water Accumulation
Herb Formulas	Chai Hu Gui Zhi Tang
Points

Tai Yang - Shao Yin

Clinical Manifestations	Sensation of extreme Cold Severe chills Chills are not relieved by clothing or covers Slight fever Anhidrosis Exhaustion Almost constant desire to sleep Pale face Cold extremities Cold feet Severe aversion to Cold Headache Shortness of breath Edema Cough Pain penetrating to the back Toothache Sore throat Raspy voice Edema due to Wei Qi Stagnation Weak extremities Chronic wheezing Severe pain and obstructed feeling over the throat T: Pale and swollen C: White and slippery P: Deep and weak
Treatment Principle	Disperse Wind-Cold Replenish Yang
Herb Formulas	Ma Huang Fu Zi Xi Xin 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 diarrhea: Ge Gen Tang With vomiting but no diarrhea: Ge Gen Jia Ban Xia Tang With spontaneous perspiration without chills or an intensely ruddy complexion, rapid respiration and cannot lie down: Gui Zhi 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

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	Da Cheng Qi Tang Tiao Wei Cheng Qi Tang Xiao 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

Shao Yang Jing

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Occasional vomiting 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
Points	GB-41, SJ-5 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 To stop nausea and vomiting: PC-6, SP-4, ST-36 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: SJ-6, ST-25 To treat fever: DU-13, DU-14 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: SP-10 Head: GB-8, SJ-20, Yintang Eyes: GB-14, GB-20, ST-1, UB-1, UB-2 Ear: GB-2, SJ-5, SJ-17, SJ-21 Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0

Shao Yang Fu With Congested Fluids

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

Shao Yang With Phlegm-Heat

Clinical Manifestations	Alternating chills and fever Fullness and focal distention in the chest and diaphragm Pain in the chest and diaphragm with pressure Thick, sticky, difficult-to-expectorate Phlegm Panting A bitter taste in the mouth Chest pain with coughing or on deep inhalation Anorexia T: Normal C: Yellow P: Wiry and rapid
Treatment Principle	Clear Heat Transform Phlegm Expand the chest Release the Shao Yang
Herb Formulas	Chai Hu Xian Xiong Tang
Points

Jue Yin Cold And Heat

Clinical Manifestations	Delirium Heat in upper body Cold in lower body Sensation of Qi rushing to the chest Vomits worms Persistent thirst Feverishness Anorexia (hungry but can't eat) Chronic diarrhea Cold extremities Maybe edema Vertex headache Vomits food Cardiac Heat with pain T: Red or pink or pale and flabby C: Thick and greasy or thin P: Deep, thready and weak or wiry
Treatment Principle	Clear worms Clear Heat (Do not purge, create diaphoresis, or create emesis) Revive Yang
Herb Formulas	Wu Mei Wan
Points	Moxa needle REN-4, REN-6, REN- 8, ST-25, ST-36, needle DU-14, LI-4, LI-11, LIV-3, REN-17

Wei Stage: Wind-Heat Attacks The Lungs (Lobar)

Clinical Manifestations	Early-stage: A slight aversion to Cold Inflammation of throat and/or tongue Fever and chills with more fever than chills Perspiration Cough with sticky white or 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 and flank pain Dry mouth with a desire to drink 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  modified Qing Zao Jiu Fei Tang With profuse Phlegm: Ning Sou Wan For a mild case with cough, fever is not high, slight thirst: Sang Ju Yin For neck and shoulder pain and stiffness: Yi Wu Chai Ge Jie Ji Tang For fear of Cold at the beginning stage: Gui Zhi Tang For a sore swollen throat and neck, swelling in front of and behind the ear, swollen cheek, a full red face or swelling without the sore throat, severe cases leading to deafness: Pu Ji Xiao Du Yin modified With underlying Yin Deficiency: Qin Jiao Bie Jia San Chinese Patent Medicines: Yin Qiao Jie Du Pian Qing Fei Yi Huo Pian With bleeding: Yunnan Bai Yao
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, LI-11, LU-5, SJ-5, UB-12, 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 With hemoptysis: LI-4, LI-16, LU-6, LU-10, SJ-5, UB-13 For a severe fever: + LI-11 For severe coughing: + LU-5 For a severe, swollen, sore throat: + LU-11, SI-17 LI-4, LI-11, LU-5, SJ-5 For Phlegm: + PC-5, ST-40 For chest pain: + PC-6, REN-17 For a high fever: + DU-14 For a severe cough: + LU-10

Wei Stage: Damp-Heat

Clinical Manifestations	Headache (wrapping) Fever and chills, fever more pronounced or Chills with afternoon fever Heavy extremities Heavy sensations in the body Stifling sensation in the chest Nausea Dizziness Gastric and abdominal distension Sticky mouth No thirst T: Normal C: Greasy, white or Greasy, yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp-Heat
Herb Formulas	San Ren Tang
Points	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 Damp

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	San Ren Tang With Qi and Yin Deficiency: Qing Shu Yi Qi Tang In children: Zi Jin Ding
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

Qi Stage: Lung Heat (Broncho)

Clinical Manifestations	High fever No chills Aversion to Heat Cough Asthma Restlessness Thirst Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm T: Red C: Thick and yellow, maybe dry and sticky P:  Rapid, maybe slippery, maybe forceful
Treatment Principle	Clear Heat in Lungs Strengthen when weak or elderly
Herb Formulas	Ma Xing Shi Gan Tang Qing Fei Jie Du Tang Zhi Sou Ding Chuan Wan With Heat lingering in the chest: Zhi Shi Zhi Zi Chi Tang Zhi Zi Chi Tang With shortness of breath: Zhi Zi Gan Cao Zhi Tang With vomiting: Zhi Zi Sheng Jiang Chi Tang
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44. UB-13 LU-1, LU-5, LU-6, LU-10, UB-13 DU-14, KI-6, LI-11, LU-1, LU-5, LU-9, ST-14, UB-12, UB-13, UB-23, UB-38, UB-54, UB-60

Qi Stage: Lung Heat Generating Lung Yin Deficiency (Broncho)

Clinical Manifestations	Chronic, incessant cough Chronic hoarseness Throat lesions Itching throat Fever Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Five sole Heat Physical and mental overexertion Phlegm Dry mouth T: Reddish and dry C: Little or None P: Thready and rapid or Deep and rapid
Treatment Principle	Clear the Lungs Transform Phlegm Relieve coughing Drain Fire Moisten Dryness
Herb Formulas	Qing Fei Tang PCP1 With Stomach Heat Injuring the Qi and Fluids: Zhu Ye Shi Gao Tang With Phlegm: Ren Shen Xie Fei Tang
Points	DU-14, KI-6, LI-11, LU-1, LU-5, LU-9, ST-14, UB-12, UB-13, UB-23, UB-38, UB-54, UB-60

Qi Stage: Stomach Heat

Clinical Manifestations	High fever Profuse sweat Great thirst with desire to drink No chill Irritability Abdominal pain Dryness Restlessness Red face Dry stools No constipation No aversion to Cold Aversion to Heat Rough breathing Dark yellow urine T: Red C: Dry, yellow P: Rolling, gigantic and rapid
Treatment Principle	Clear Heat Reduce fever Moisten and replenish Body Fluids
Herb Formulas	Bai Hu Tang With Qi and Body Fluid Deficiency with a flooding and hollow pulse, copious sweating, slight dyspnea and in severe cases flaring and scorching of the nostrils: Bai Hu Jia Ren Shen Tang Note:  If the pulse is scattered, it is considered an emergency. Double the dose of Ren Shen. Note: If there is no sweat, a floating, tight and thready pulse or a deep pulse, do not use Bai Hu Jia Ren Shen Tang If Qi and Blood are both affected: Yu Nu Jian modified
Points	DU-14, LI 11, ST-37, ST-44 With Qi and Body Fluid Deficiency with a flooding and hollow pulse, copious sweating, slight dyspnea and in severe cases flaring and scorching of the nostrils: DU-14, KI-3, LI 11, REN-6, SP-6, ST-36, ST-37, ST-44

Qi Stage: Gall Bladder Heat

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gall Bladder Heat Pacify the Liver and Gall Bladder
Herb Formulas	Liang Ge San Wen Dan Tang
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

Qi Stage: Gall Bladder Damp-Heat

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Regulate Qi Transform Phlegm Clear the Gallbladder Harmonize the Stomach Clear Heat
Herb Formulas	Huang Lian Wen Dan Tang
Points

Ying Stage: Heat Attacks The Pericardium

Clinical Manifestations	High fever worse at night Thirst Insomnia Major mental problems Dramatic change of personality Delirium Speech difficulty Aphasia Poor memory Dizziness Maybe fainting Maybe coma Feverish extremities T: Deep red P: Thready and rapid
Treatment Principle	Clear Heat in Pericardium
Herb Formulas	An Gong Niu Huang Wan
Points	To Clear Heat from the Heart: HT-3, PC-8, Sifeng, bleed Shixuan For delirium: PC-7 To detoxify: LI-11 To Pacify Heart and calm the Shen: HT-5, HT-6, HT-7 To Nourish Yin: KI-3, SP-6

Ying Stage: Ying Re (Heat)

Clinical Manifestations	High fever, worse at night Insomnia Irritability Mild thirst with no desire to drink Mental disturbance Speech disturbance Red, dry, painful rashes T: Deep red C: Little or None P: Thready and rapid
Treatment Principle	Reduce Heat in the Ying Detoxify
Herb Formulas	Qing Ying Tang Qing Wen Bai Du Yin
Points	HT-3, HT-5, HT-6, HT-7, KI-3, LI-11, PC-7, PC-8, bleed Shixuan, Sifeng, SP-6

Xue Stage: Excess Heat Generating Wind

Clinical Manifestations	High fever Confusion of mind Delirium Mania Dark yellow urine Excessive skin rashes all over body Hemorrhage: Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria Stiffness Convulsions:   Clenched jaws Clenched fists Shaking Opisthotonis Stiff neck Semi-consciousness T: Deep red and dry C: Yellow P: Wiry and rapid
Treatment Principle	Subdue Wind Clear Heat Nourish Yin Stop convulsions
Herb Formulas	Ling Jiao Gou Teng Tang Qing Wen Bai Du Yin
Points	To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

Middle Stage (Suppuration Stage)

Clinical Manifestations	High fever with or without chills A hacking, painful cough with copious, purulent, malodorous mucus The mucus may be Blood-streaked Restricted movement of the chest Labored breathing Sweating Dry mouth and throat Irritability Restlessness Lethargy Malaise T: Red C: Greasy and yellow P: Slippery and rapid or Flooding and rapid
Treatment Principle	Clear Heat and toxins Disperse pus accumulation Disperse Blood Stasis
Herb Formulas	Wei Jing Tangmodified Chinese patent medicines: Niu Huang Xiao Yan Wan Wan Shi Niu Huang Qing Xin Wan Xi Ling Jie Du Pian Chuan Ke Ling
Points	DU-12, DU-14, LU-1, LU-6, PC-7, REN-17, SJ-6, ST-40, UB-13 With severe Heat: bleed LI-1, LU-11

Perverse Dryness Attacks The Lungs

Clinical Manifestations	Dry cough with little or no sputum Sputum is difficult to expectorate Maybe hemoptysis Cough may cause chest pain Dry or sore throat Hoarse voice Dry lips and mouth Thirst Dryness in nose Epistaxis Chills and fever Headache Anhidrosis Dry skin and hair Constipation T: Red tip C: Thin, yellow and dry P: Superficial, maybe rapid
Treatment Principle	Clear the Lungs Moisten Dryness
Herb Formulas	Qing Zao Jiu Fei Tang If symptoms persist for a long time: Yang Yin Qing Fei Tang Chinese patent medicines: Ling Bei Qu Li Gan Li Fei Yang Yin Qing Fei Tang Jiang Yun Nan Bai Yao
Points	KI-3, LU-1, LU-6, SP-6, UB-13 KI-6, LI-4, LI-16, LU-6, LU-7, LU-10, SJ-5, UB-13 With fever: + LI-11 With severe cough: + LU-5

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 In the elderly: Qi Guan Yan Pian
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20

Phlegm-Heat Congests The Lungs (Lobar)

Clinical Manifestations	Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess) Fever, possibly high Possible incessant sweating Thirst Chest pain Flaring nostrils Dyspnea Asthma Pain in the ribs Maybe aversion to Cold Yellow urine T: Scarlet and dry C: Yellow and smooth P: Slippery and rapid or Surging and large
Treatment Principle	Clear Heat Counteract toxin Transform Stasis Drain Pus Resolve Phlegm Clear the Lungs (The use of Clear Heat / Counteract Toxin herbs and the principle of "Draining Pus" are only relevant when foul-smelling pus is being expectorated such as in pulmonary abscess) Soothe asthma in case of asthma
Herb Formulas	Wei Jing Tang Qing Qi Hua Tang Wan Gua Lou Zhi Shi Tang Xiao Xian Xiong Tang Ma Xing Shi Gan Tang  modified Qing Jin Hua Tan Wan For mild cases: Er Chen Tang modified With Dryness: Bei Mu Gua Lou San Chinese Patent Medicines: Qing Qi Hua Tan Wan Qing Fei Yi Hua Pian Chuan Ke Ling San She Dan Chen Pi Mo Zhi Ke Pi Pa Chong Ji Ke Chuan Pian Ke Chuan Chong Ji Xiao Ke Chuan With hemoptysis: Yunnan Bai Yao
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13 Dingchuan, LI-11, LU-1, LU-5, LU-6, LU-10, REN-17, ST-40, UB-13 For fullness in the chest: + PC-5 LI-4, LU-5, LU-100, ST-40, ST-44 For difficult-to-expectorte Phlegm: +PC-5 For chest pain: + PC-6, REN-17 For high fever: + DU-14

Lung And Stomach Heat

Clinical Manifestations	Cough Yellow Phlegm Dry mouth Thirst with a desire to drink Constipation Sore throat Hematemesis Hemoptysis T: Red and dry C: Yellow P: Rapid
Treatment Principle	Clear and purge Lung Heat Transform Phlegm Stop cough and asthma
Herb Formulas	Qing Fei Yi Huo Hua Tan Wan Qing Qi Hua Tan Wan
Points

Lung Yin Deficiency With Heat

Clinical Manifestations	Longstanding dry cough with a little amount of white mucous or bloody sputum Wheezing Dry mouth Shortness of breath Scanty sputum Blood-tinged sputum Hoarseness Flushed cheeks Afternoon fever Dry throat Five Sole Heat Insomnia Night sweating Fatigue Emaciation T: Red C: Little or None P: Floating, thready and rapid
Treatment Principle	Nourish Yin Tonify the Lungs Clear Lung Heat Stop coughing Stop bleeding
Herb Formulas	Bu Fei E Jiao Tang
Points	DU-14, KI-6, LI-11, LU-1, LU-5, LU-9, ST-14, UB-12, UB-13, UB-23, UB-38, UB-54, UB-60

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
Points	LU-9, REN-17, ST-36, UB-13, UB-43

Lung And Stomach Yin Deficiency

Clinical Manifestations	Cough with little yellow sputum Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Coughing up difficult-to-extectorate Phlegm Nausea Scanty urination Hoarseness Thirst Asthma Flushed face Five sole Heat Vomiting T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Benefit the Stomach and Lungs Generate Fluids Descend Qi Harmonize the Middle Jiao
Herb Formulas	Mai Men Dong Tang Sha Shen Mai Men Dong Tang
Points

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Yue Hua Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Large Intestine Damp-Heat

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	Bai Tou Weng Tang
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25

Liver Fire Scorches The Lungs

Clinical Manifestations	Coughing fits with hemoptysis Burning pain in chest and sides Dizziness Face and eyes red Bitter taste in mouth Dry lips Short-tempered Irascibility Restlessness Maybe dark urine Maybe constipation T: Red C: Thin, yellow and dry P: Wiry and rapid
Treatment Principle	Clear Liver Fire Purge the Lungs
Herb Formulas	Xie Bai San Dai Ge San Xie Bai San + Dai Ge San modified For mild cases: Sang Dan Xie Bai Tang With Phlegm-Heat: Dai Ge San + Qing Jin Hua Tan Wan With hemoptysis: Ke Xue Fang modified For Shen Disturbances due to Blood Heat: An Gong Niu Huang Wan Zi Xue Dan Zhi Bao Dan Xi Jiao Di Huang Tang Qing Ying Tang For febrile convulsions in children: Hui Chun Dan Xiao Er Hui Chun Dan Chinese Patent Medicines: Qing Qi Hua Tan Wan Long Dan Xie Gan Wan Qing Fei Yi Huo Pian With hemoptysis: Yunnan Bai Yao
Points	LIV-2, LU-5, LU-6, LU-10, PC-6, UB-13, UB-18 GB-34, LIV-2, LIV-3, LIV-14, LU-5, PC-6, UB-13, UB-18 With hemoptysis: LU-6 GB-34, LIV-2, LIV-3, LU-5, LU-6, SP-10, UB-13, UB-18

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 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

Yin Deficiency Fire

Clinical Manifestations	Fever Cough which may be productive or non-productive Dyspnea Night sweats Hemoptysis Sore throat Throat sores Facial flushing Constipation A dry mouth and throat Wheezing Steaming bones Hoarseness Thirst T: Red, dry and cracked C: Little or None P: Thready and rapid or Thready, rapid and weak
Treatment Principle	Nourish Yin Descend Fire Tonify Qi and Blood
Herb Formulas	Zi Yin Jiang Huo Tang Huang Lian E Jiao Tang
Points

Yin And Yang Deficiency

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

Qi And Yin Deficiency With Phlegm-Heat

Clinical Manifestations	Coughing Low-grade fever Lassitude Poor appetite Spontaneous perspiration Heart vexation T: Red, fat and tender C: Thin P: Thready and rapid
Treatment Principle	Tonify Qi Nourish Yin Clear Heat Transform Phlegm Dispel Stasis
Herb Formulas	Sha Shen Mai Men Dong Tang  modified
Points	LI-4, LU-5, UB-13, UB-43 For Phlegm: + PC-5, ST-40 For chest pain: + PC-6, REN-17 For high fever: + DU-14

Yuan Qi Deficiency With Yin And Yang Not Communicating

Clinical Manifestations	A somber, white facial complexion Cyanotic lips Great perspiration with dribbling and dripping Inversion Cold of the four limbs P: Thready and minute or Regularly intermittent
Treatment Principle	Secure Yang Stem counterflow Invigorate the blood Transform Stasis
Herb Formulas	Shen Fu Tang  modified
Points	LI-4, PC-6, REN-4, REN-6

Heat And Water Accumulation In The Chest

Clinical Manifestations	Fullness and hardness of the epigastrium and/or abdomen Lower abdominal pain Severe pain that becomes unbearable with the slightest pressure Tidal fever at dusk Shortness of breath Severe constipation Thirst Irritability Restlessness T: Normal C: Very dry P: Deep, tight and forceful
Treatment Principle	Drains Heat Purge Water Accumulation
Herb Formulas	Da Xian Xiong Tang
Points

Toxic Heat

Clinical Manifestations	Profuse epistaxis with bright red Blood High fever Acute red eyes Dry mouth and throat Thirst Insomnia Sore throat Mouth or tongue sores Dark, rough urination Reddish urine Restlessness and Heat in the Heart and diaphragm Constipation Gum bleeding Pimples Dark, concentrated urine Burning urination Dizziness Malaise Irritability Restlessness Severe: Delirium T: Red C: Yellow P: Slippery and rapid or Forceful and rapid
Treatment Principle	Clear Heat Resolve toxicity Drain Fire Unblock the bowels Expel Wind Cool the Blood Stop bleeding
Herb Formulas	Huang Lian Shang Qing Wan Huang Lian Jie Du Tang modified With Qi and Blood Stagnation or Phlegm-Fire: Xian Fang Huo Ming Yin Zhen Ren Huo Ming Yin With Shen disturbance: Xi Jiao Di Huang Tang Qing Ying Tang With delirium: An Gong Niu Huang Wan Zhi Bao Dan Zi Xue Dan Chinese Patent Medicines: Xi Ling Jie Du Pian Qing Fei Yi Huo Pian An Gong Niu Huang Wan Yunnan Bai Yao
Points	DU-26, LI-11, LU-11, PC-3, UB-40 With a coma: PC-9, Shixuan

San Jiao : Upper Jiao Damp-Heat

Clinical Manifestations	Heaviness of head and extremities Dry mouth Thirst - cannot drink Afternoon fever Slight fever T: Normal C: Greasy white or yellow P: Soft, maybe rapid
Treatment Principle	Clear Heat Disperse Damp
Herb Formulas	San Ren Tang
Points	GB-20, LU-1, REN-17, SP-9, ST-36

Damp-Heat And Phlegm In The Shao Yang Channels Obstructing The Ying And Wei

Clinical Manifestations	Alternating chills and fever with fever more prominent A bitter taste in the mouth Nausea Dry heaves Hiccups A stifling sensation in the chest Chest and hypochondriac pain and distention Distending pain in the upper abdomen Vomiting bitter or sour fluids that are yellow and sticky Acid regurgitation Thirst T: Red C: Yellowish or White and greasy or Yellow and greasy P: Left: Wiry and rapid, Right: Slippery and rapid
Treatment Principle	Clear Gall Bladder Heat Dispel Dampness Harmonize the Stomach Resolve Phlegm
Herb Formulas	Hao Qin Qing Dan Tang
Points

Tan Yin

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	She Gan Ma Huang Tang
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Xuan Yin

Clinical Manifestations	Cough with sharp pain in the chest and hypochondrium Hypochondriac distention and pain Hard focal distention in the epigastrium Dry heaves Shortness of breath Headache Abdominal distention Wheezing Fullness in the chest Dyspnea caused by extreme chest and back pain Dizziness Vertigo Asthma Rapid breathing Generalized edema which is worse in the lower body Difficult urination and defecation T: Normal or Dark C: Thick, greasy and white P: Deep and wiry
Treatment Principle	Attack and Dispel water
Herb Formulas	Shi Zao Tang
Points	KI-3, LI-4, LI-11, PC-6, REN-11, REN-12, ST-36, UB-13, UB-20, UB-23