Polyneuritis

General

Clinical Manifestations	A non-traumatic generalized disorder of the peripheral nerves, affecting the distal fibers most severely, with proximal shading (for example, the feet are affected sooner or more severely than the hands), and typically symmetrically; most often affects motor and sensory fibers almost equally, but can involve either one, either solely or very disproportionately; classified as axon degenerating (axonal), or demyelinating; many causes, particularly metabolic and toxic; familial or sporadic. Symptoms: Hand paresthesia Hand numbness Hand pain Hand tingling Pain of the fingers A sensation that one is wearing a glove Wrist drop Foot paresthesia Foot numbness Foot pain Foot tingling Toe pain A sensation that one is wearing slippers Abnormal gait or deformity Loss of muscular force Muscular atrophy Cold limbs Dry, cracked skin Heart symptoms Severe: Quadriplegia Urinary retention Urinary incontinence Breathing difficulty Difficulty speaking Difficulty swallowing
Treatment Principle
Herb Formulas
Points	Ahshi points, DU-9, DU-12, DU-14, GB-34, LI-11, UB-14, UB-16, UB-60 LI-4, LIV-3 Hand: LI-4, PC-7, SI-3, SJ-5 + knuckles Feet: KI-6, ST-41, UB-60 + toe knuckles

Wind-Cold-Damp Bi

Clinical Manifestations	Numbness of the limbs with shooting pain Cold limbs Symptoms are worse with Cold and better with Heat Limping gait Pale or purple skin T: Pale C: Thin and white P: Wiry or Tight
Treatment Principle	Expel Wind Dispel Cold Warm the channels Dredge the collaterals
Herb Formulas	Qiang Huo Sheng Shi Tang  modified
Points

Wind-Cold-Damp Bi With Dampness Predominant

Clinical Manifestations	Numbness and pain of the extremities Joint swelling and pain, especially hands and feet Heaviness of joints Numbness of the joints Stiffness of the joints Fever Heaviness of the body Coldness of the body Dizziness Likes pressure Fatigue Pale complexion Preference for warmth Swelling, pain, numbness and stiffness of the joints Skin cornification T: Pale C: Thick, white or Greasy white P: Thready and slippery
Treatment Principle	Dispel Wind and Dampness Benefit Qi Activates Blood circulation Tonify the Blood Warm the Channels Relieves muscular tension
Herb Formulas	Yi Yi Ren Tang
Points

Spleen And Stomach Qi Deficiency

Clinical Manifestations	Gradual onset of flaccidity and weakness of the extremities aggravated by exertion Gradual loss of muscle mass Sallow complexion Facial puffiness Fatigue Lassitude Anorexia No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Urine clear and abundant T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient or Thready and forceless
Treatment Principle	Tonify and Strengthen the Spleen and Stomach Augment Qi
Herb Formulas	Bu Zhong Yi Qi Tang Liu Jun Zi Tang Shen Ling Bai Zhu San
Points	General points + REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 REN-12, SP-6, UB-20 DU-5, DU-6, LI-10, ST-36, UB-20, UB-21 LIV-13, REN-6, REN-12, SP-3, SP-5, SP-6, ST-21, ST-36, UB-20, UB-21 Huatuojiaji, REN-6, SP-6, SP-9, ST-31 to ST-41 For vertigo: + DU-20, GB-20 DU-3, LIV-13, REN-12, SP-3, ST-31, ST-36, UB-20, UB-21

Liver And Kidney Yin Deficiency

Clinical Manifestations	Muscular atrophy Paralysis of the limbs Numbness of the limbs Pale or purple skin Lower back pain Dizziness Fatigue Slight fever or Afternoon fever Heat sensations in the body Night sweats T: Red C: Little or None or Peeled P: Thready, forceless and rapid
Treatment Principle	Nourish the Liver and Kidneys Clear Deficiency Heat
Herb Formulas	Hu Qian Wan  modified
Points	Needle or moxa needle if indicated DU-20, KI-6, KI-7, REN-4, REN-6, SP-3, SP-6, ST-36

Kidney Qi And Yang Deficiency

Clinical Manifestations	Exhaustion from long-term illness Low energy Lethargy Aversion to Cold Coolness of the extremities Impotence Spermatorrhea Aching and weakness of the lower back and knees Infertility Premature ejaculation Seminal emission Loose stools (sometimes with undigested food) Incontinence of urine Edema of the lower extremities Pale face Spontaneous perspiration Dizziness Enuresis T: Pale P: Deep, slow and weak
Treatment Principle	Warm and tonify Kidney Yang Replenish Jing Tonify the Blood
Herb Formulas	You Gui Wan
Points

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility 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	You Gui Yin
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

Qi 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	Tonify Qi
Herb Formulas	Shi Quan Da Bu Tang
Points

Qi And Blood Deficiency

Clinical Manifestations	Numbness of the four limbs Weakness Muscular atrophy or Muscular paralysis Reduced appetite Abdominal distention Diarrhea T: Pale C: White P: Thready and forceless
Treatment Principle	Activate the Spleen and Stomach Tonify Qi Nourish the Blood
Herb Formulas	Shi Quan Da Bu Tang
Points	GB-39, KI-3, REN-6, SP-3, SP-6, SP-10, UB-11

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 activate 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	A constant ache in the lower abdomen that occurs during or just after menstruation The pain responds favorably to pressure Scanty and pale menstrual flow Pale complexion Palpitations Thirst Listlessness Menstrual bleeding that is light in color Lethargy Weak limbs Withdrawn behavior Restlessness Insomnia Sensation of Heat Maybe irritability T: Pale C: Thin P: Thin and frail
Treatment Principle	Augment Qi Tonify the Blood Preserve the Blood Nourish Yin
Herb Formulas	Sheng Yu Tang
Points

Damp-Heat

Clinical Manifestations	Numbness Slight swelling of the distal extremities, especially the lower limbs Myalgia Itching Steadily increasing weakness Heaviness of the body Maybe dyspnea Maybe difficulty speaking or swallowing Retention of urine or Urinary incontinence T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness Dredge the collaterals
Herb Formulas	Si Miao Wan  modified Wu Wei Xiao Du Yin
Points	LI-4, LI-11, LIV-3, SJ-6, SP-3, SP-6, SP-9, ST-40

Wei Syndrome Due To Qi Deficiency With Blood Stasis

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Normal C: White P: Moderate
Treatment Principle	Tonify Qi Activate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang
Points	Upper limbs: Huatuojiaji, LI-4, LI-11, LI-15, SJ-5 Lower limbs: Huatuojiaji, GB-30, GB-34, GB-39, SP-10, ST-31 to ST-41

Wei Syndrome Due To Kidney And Liver Yin Deficiency

Clinical Manifestations	Steaming bone disorder Afternoon fever Tidal fever Night sweats Spontaneous seminal emissions Irritability Heat and pain in the knees (maybe with weakness) Atrophy and weakness of the knees and legs Red face Restless fever Hematemesis Sore knees Sore lower back Maybe hemoptysis May be constant hunger Maybe constipation Hot flashes Restlessness Fidgeting Insomnia with frequent dreams Productive bloody cough Easily angered Nightmares Sore feet with flaccidity Tinnitus Burning sensation over Kidneys Dizziness or vertigo Five Sole Heat Cough T: Red C: Little or None P: Thready, Excess and rapid in the Chi position
Treatment Principle	Nourish Yin Descend Fire
Herb Formulas	Da Bu Yin Wan Zuo Gui Wan He Che Da Zao Wan Hu Qian Wan Liu Wei Di Huang Wan Zuo Gui Yin Zi Xue Qing Gan Yin For Yang Deficiency: Jing Gui Shen Qi Wan
Points	Upper limbs: Huatuojiaji, LI-4, LI-11, LI-15, SJ-5 Lower limbs: Huatuojiaji, GB-30, GB-34, GB-39, SP-10, ST-31 to ST-41

Wei Syndrome Due To Damp-Heat

Clinical Manifestations	Heat and pain in the joints and muscles Severe limitation of movement Fever and shaking chills Lusterless yellow complexion Scanty, dark urine Pain worse on cloudy or rainy days Arthralgia involving one or several joints Local redness and Heat of the extremities Swelling with excruciating pain Pain better during the day and worse at night Numbness of the muscles Thirst Dryness of the mouth Irritability Muscular atrophy Restlessness Anorexia Desire for Cold drinks Loose stools Aversion to Heat Fullness of the chest Pain improved with Cold and worse with Heat Muscular swelling Muscle redness General heaviness T:Red, maybe flabby C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness Activate the collaterals Stop pain
Herb Formulas	Jia Wei Xuan Bi Tang Dang Gui Nian Tong Tang Jia Wei Er Miao Wan
Points	Upper limbs: Huatuojiaji, LI-4, LI-11, LI-15, SJ-5 Lower limbs: Huatuojiaji, GB-30, GB-34, GB-39, SP-10, ST-31 to ST-41

Bi Syndrome Of The Blood

Clinical Manifestations	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 Spontaneous sweating Shortness of breath Aphasia Excess salivation Aversion to Wind 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

Wei Syndrome Due To Lung Heat With Fluid Deficiecncy

Clinical Manifestations	Flaccidity Atrophy Fever during the initial stage of an illness or Fever followed by weakness, rapidly developing flaccidity and immobility of the extremities with muscular atrophy, and dry skin Low grade fever and Yin impairment Usually lower extremities Dry skin Restlessness Irritability Thirst Cough A dry throat Scanty sputum Scanty, yellow urine Dry stool T: Red C: Yellow and scanty P: Thready and rapid
Treatment Principle	Clear Heat from the Lungs Moisten the Lungs Nourish the tendons and bones
Herb Formulas	Qing Zao Jiu Fei Tang  modified Sha Shen Mai Men Dong Tang Sheng Mai San Yi Wei Tang In cases where fever is abated with loss of appetite and severe dry mouth and throat due to Lung and Stomach Yin Deficiency: Yi Wei Tang
Points	General points + LU-5, UB-13 KID-3, KID-6, LU-5, LU-7, REN-4, REN-6, SP-6, ST-36 Huatuojiaji, LI-11, LU-7, LU-9, ST-37 For Lung Dryness: KID-6, LU-7, UB-23 DU-14, KI-3, LU-5, SP-6, ST-34, ST-36, ST-45 Arm: LI-4, LI-11, LI-15, SJ-5 Leg: GB-30, GB-34, GB-39, LU-5, ST-31, ST-36, ST-41, UB-13