Prostatitis

General

Clinical Manifestations	Prostatitis can be chronic and acute or chronic with acute flare ups.
Treatment Principle
Herb Formulas	For chronic prostatitis: Fu Fang Di Hu Tang Qing Hua Tang Xue Fu Zhu Yu Tang Ding Chuan Tang + Zhi Sou San Bu Yang Huan Wu Tang modified To stop pain: Directly insert Rx. Glycyrrhizae Gan Cao into the penis.
Points	KI-3, KI-7, REN-2, REN-3, REN-4, ST-28, ST-29, ST-30, UB-25, UB-28, UB-63 UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course. UIB-32, REN-3 needle in the direction of the genitals to produce De Qi. UB-54, SP-6 needle towards ST-39 to produce De Qi UB-35, UB-23 UB-35, REN-4 UB-64, KI-4 UB-23, UB-28, REN-2, SP-6 For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36 For problems affecting the penis: UB-28, UB-25 For chronic prostatitis: DU-2, DU-20, REN-3, KI-12, SP-6

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	With Food Stagnation: Zhi Shi Zhi Zi Chi Tang With congestion in the chest and epigastrium: Zhi Zi Chi Tang With vomiting: Zhi Zi Sheng Jiang Chi Tang With short, rapid breathing: Zhi Zi Gan Cao Chi Tang
Points	To Pacify the Liver and Gall Bladder: LIV-3, LIV-4, LIV-13, LIV-14. To Relieve Gall Bladder Heat: Lanweixue, LI-11, LIV-2, GB-34

Spleen Qi Deficiency

Clinical Manifestations	Chronic prostatitis Terminal dribbling, worse with fatigue Frequent, urgent urination A desire to urinate but without success White deposits in the urine Possible long, clear urination Possible slight hematuria Sagging pain in the perineal area Fatigue Lassitude of the Spirit Lack of strength A lusterless complexion T: Pale and fat C: White P: Fine and soft
Treatment Principle	Supplement the center Tonify Qi
Herb Formulas	Bu Zhong Yi Qi Tang
Points	REN-1, REN-4, REN-6, DU-20, ST-36, SP-6 For sagging pain in the genitals: + moxa LIV-1 For lower abdominal, groin and genital distention and pain: + LIV-8 For hematuria:+ moxa LIV-1 For frequent urination: + REN-3 For difficult urination: + SP-9 For susceptibility to the common cold: + LI-4, DU-14 For Food Stagnation: + ST-21 For Kidney Qi Deficiency: + KI-3 For Kidney Yin Deficiency: + KI-7 For Heart and Spleen Deficiency: + HT-7 For Severe Qi Deficiency: + SP-3

Spleen And Kidney Qi Deficiency

Clinical Manifestations	Milky, turbid spermatorrhea Listlessness Fatigue A shiny, white complexion Anorexia or Increased food intake Restlessness Vaginal discharge Diarrhea Dryness of the external ears Dizziness Enuresis Copious urination Thirst Premature ejaculation Lumbago T: Pale C: White P: Deep and frail
Treatment Principle	TonifY the Kidneys Stabilize Jing Stop leakage Strengthen the Spleen Drain Dampness Benefit the Heart Calm the Shen
Herb Formulas	Fu Tu Dan
Points

Heart Fire Transferred To The Small Intestine

Clinical Manifestations	Burning, painful, concentrated, urgent and frequent urination A red complexion Mouth and tongue ulcers, particularly on the tip of the tongue Thirst with a desire for cold drinks A sensation of Heat in the chest Irritability Restlessness Agitation Anxiety Palpitations Insomnia Dream-disturbed sleep T: Red with a redder tip, may have ulcers on the tip C: Dry and yellow P: Rapid and big, especially in the distal position
Treatment Principle	Clear Heat from the Heart Promote urination
Herb Formulas	Dao Chi San modified With hematuria: Xiao Ji Yin Zi  modified Chinese patent medicines: Te Xiao Pai Shi Wan Long Dan Xie Gan Wan Qian Lie Xian Wan Chuan Xin Lian Kang Yan Pian Yun Nan Bai Yao (should be take along with any of the above formulas)
Points	REN-3, ST-28, SP-6, SP-9, HT-8, PC-6, PC-8. KI-6, Yintang For hematuria: HT-6, KI-6, LIV-2, PC-8, REN-3, SI-3, SP-10, UB-15

Liver Qi Stagnation

Clinical Manifestations	Hypochondriac pain Headache Vertigo Bitter taste in the mouth Dizziness Frequent sighing Epigastric pain and distention Flatulence Dry mouth and throat Fatigue Anorexia Alternating chills and fever Lassitude Insomnia Shoulder and back pain Rib pain Tightness or fullness in the chest Cold extremities Pain in the arms and legs Heaviness of the head Night sweats Bloating and pain at the umbilicus and abdomen Diarrhea alternating with constipation Five sole heat Palpitations Malar flush Depression Irritability Increased desire to sleep T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood Harmonize the Liver and Spleen
Herb Formulas	Xiao Yao San
Points	REN-1, REN-4, REN-6, DU-20, ST-36, SP-6 For sagging pain in the genitals: + moxa LIV-1 For lower abdominal, groin and genital distention and pain: + LIV-8 For hematuria:+ moxa LIV-1 For frequent urination: + REN-3 For difficult urination: + SP-9 For susceptibility to the common cold: + LI-4, DU-14 For Food Stagnation: + ST-21 For Kidney Qi Deficiency: + KI-3 For Kidney Yin Deficiency: + KI-7 For Heart and Spleen Deficiency: + HT-7 For Severe Qi Deficiency: + SP-3

Liver Fire

Clinical Manifestations	Burning, painful, concentrated, urgent and/or frequent urination Extreme irritability Angry outbursts Dizziness Tinnitus Bloodshot, painful eyes Temporal headache Thirst A dry throat Constipation Hypochondriac, tension, discomfort and pain Ulcerations A tendency toward herpes genitalia Eczema on the groin and genitals T: Red or Red edges C; Thick yellow and dry P: Wiry, rapid and strong
Treatment Principle	Drain Liver Fire Promote urination
Herb Formulas	Long Dan Xie Gan Tang modified Chinese Patent Medicines: Long Dan Xie Gan Wan Qian Lie Xian Wan Chuan Xin Lian Kang Yan Pian Te Xiao Pai Shi Wan With hematuria: Yun Nan Bai Yao (take along with any of the above formulas)
Points	UB-28, REN-3, SJ-6, LIV-5, LIV-3, LIV-2 UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course. UIB-32, REN-3 needle in the direction of the genitals to produce De Qi. UB-54, SP-6 needle towards ST-29 to produce De Qi UB-35, UB-23 UB-35, REN-4 UB-64, KI-4 UB-23, UB-28, REN-2, SP-6 For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36 For problems affecting the penis: UB-28, UB-25 For chronic prostatitis: DU-2, DU-20, REN-3, KI-12, SP-6 With hematuria: LIV-1, LIV-2 , LIV-8, SP-6, SP-10, UB-28, REN-3, GB-34, SJ-6

Cold Stagnation In The Liver Channel

Clinical Manifestations	Swelling and pain in scrotum as if testicles were being pulled downward or Contractions and Cold sensations of scrotum which are alleviated by warmth Distention, Fullness, Pain Cold sensation in lower abdomen Cold limbs Dislike of Cold and preference for warmth T: Pale C: White and greasy P: Deep and wiry or Slow or Deep and Excess
Treatment Principle	Warm the Liver Dispel Cold
Herb Formulas	Nuan Gan Jian Tian Tai Wu Yao San
Points	Moxa REN-4, SP-6, LIV-1

Kidney Yin Deficiency

Clinical Manifestations	The disease lasts quite a long term without recovering The patient is enfeebled due to the chronic course of the illness , or he has once indulged in excessive sexual activities or masturbation White or sticky excretion from the mouth of the urethra usually or at the end of the urination Frequent, scanty urination Dribbling urination which is worse with taxation Frequent nocturia Yellow urine Low back pain Soft legs Dizziness Tinnitus Impotence Seminal emission Premature ejaculation Hypofunction of the sexual ability Insomnia Profuse dreaming Night sweats Five sole Heat Possible feverish sensation or low grade fever in the afternoon Constipation T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish the Kidneys Nourish Yin Drain Fire Drain Dampness Resolve the turbid
Herb Formulas	Liu Wei Di Huang Wan + Er Zhi Wan  modified Zhi Bai Di Huang Wan  modified For chronic prostatitis: Liu Wei Di Huang Wan
Points	REN-2, REN-1 KI-7, UB-23, UB-35 For genital pain: + LIV-1 For itchy, Damp scrotum: + LIV-5 For severe distention in the perineum: + UB-33, UB-35 For pain and distention in the lower abdomen: + ST-29 For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6 For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54 For turbid or milky white urine: + SP-6 For constipation or dry stools: + SJ-6 For dry mouth: + KI-7 For nausea and Stomach and abdominal distention: + REN-12, ST-25 For fever: + LI-4, SJ-5, LI-11 For hematuria: + SP-10 For insomnia and restlessness: + HT-5 For stabbing pain in the genitals: + LIV-1 For stabbing pain on urination: + ST-28 For lower abdominal, groin and genital distention and pain: + LIV-8 For nodulations on the prostate gland: + UB-33, UB-35 For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5 For spermatorrhea or hematuria: + moxa LIV-1 For a Cold sensation in the lower abdomen and/or scrotal area: + Moxa REN-4 For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45 For difficult urination: + SP-9 For Kidney Yin Deficiency: + KI-3 For Kidney Yang Deficiency: + KI-7 For Qi Deficiency: + SP-3 For constipation or dry stools: + SJ-6

Kidney Yin Deficiency With Empty Fire Rising

Clinical Manifestations	Discharge of a clear, thin fluid from the urethra Frequent, scanty urination Dribbling urination which is worse with taxation Frequent nocturia Yellow urine Low back pain Dizziness Tinnitus Impotence Seminal emission Insomnia Night sweats Five sole Heat Possible feverish sensation or low grade fever in the afternoon Constipation Increased sexual desire Easy erection Hyperactive sexuality but without ejaculation or Ejaculation stopping suddenly during coitus Slight distention and pain in the scrotum and perineal area which is better after ejaculation Frequent, urgent and painful urination Seminal emission while dreaming Dry Mouth and throat T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish the Kidneys Nourish Yin Reduce Deficiency Fire Drain Dampness Resolve the turbid
Herb Formulas	Zhi Bai Di Huang Tang Zhi Bai Di Huang Tang + Bei Xie Fen Qing Yin  modified
Points	UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course. For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36 For problems affecting the penis: UB-28, UB-25 REN-2, REN-1 KI-7, UB-23, UB-35 For genital pain: + LIV-1 For itchy, Damp scrotum: + LIV-5 For severe distention in the perineum: + UB-33, UB-35 For pain and distention in the lower abdomen: + ST-29 For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6 For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54 For turbid or milky white urine: + SP-6 For constipation or dry stools: + SJ-6 For dry mouth: + KI-7 For nausea and Stomach and abdominal distention: + REN-12, ST-25 For fever: + LI-4, SJ-5, LI-11 For hematuria: + SP-10 For insomnia and restlessness: + HT-5 For stabbing pain in the genitals: + LIV-1 For stabbing pain on urination: + ST-28 For lower abdominal, groin and genital distention and pain: + LIV-8 For nodulations on the prostate gland: + UB-33, UB-35 For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5 For spermatorrhea or hematuria: + moxa LIV-1 For a Cold sensation in the lower abdomen and/or scrotal area: + Moxa REN-4 For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45 For difficult urination: + SP-9 For Kidney Yin Deficiency: + KI-3 For Kidney Yang Deficiency: + KI-7 For Qi Deficiency: + SP-3 For constipation or dry stools: + SJ-6

Kidney Yang Deficiency

Clinical Manifestations	Aversion to Cold Cold extremities Scanty urination Abdominal distention Edema of the legs Cold sensations in the lower body Sensory numbness Low back pain Severe pitting edema Fatigue Urinary difficulties T: Pale and swollen with teeth marks C: White and slippery P: Deep and wiry
Treatment Principle	Warm Yang Tonify the Kidneys Aid water transformation Promote urination Reduce edema
Herb Formulas	Jing Gui Shen Qi Wan With Wind-Cold: Ma Hua Fu Zi Xi Xin Tang  modified For severely deficient Kidney Yang with "Water Toxin" (very scanty urination, or anuria, dizziness, vomiting of clear Fluids, anorexia, restlessness): Fu Zi Li Zhong Wan + Wu Zhu Yu Tang  modified Chinese patent medicines: Jin Gui Shen Qi Wan
Points	Moxa KI-3, REN-3, UB-23, UB-28 DU-26, KI-7, REN-3, SP-6, moxa or moxa needle DU-4, REN-6, REN-9, UB-23, UB-53 Electro GB-28 - REN-2 Ear: Shenmen, Bladder, Kidney, Subcortex, Urethra, Heel

Kidney Yang Deficiency With Internal Cold

Clinical Manifestations	Extremely cold extremities Aversion to Cold Sleeping with knees drawn up Lethargy with a constant desire to sleep Vomiting Diarrhea with undigested food Abdominal pain and Cold Lack of thirst Coma Indigestion Edema Pale face Superficial fever Red face Cyanosis of the lips and nails T: Pale or Dark purple C: White and slippery P: Deep and thready or Deep and slow or Deep and faint
Treatment Principle	Rescue Yang Warm the Middle Jiao Disperse Internal Cold Stop diarrhea
Herb Formulas	Si Ni Tang
Points	UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course. For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36 For problems affecting the penis: UB-28, UB-25 REN-2, REN-1 KI-7, UB-23, UB-35 For genital pain: + LIV-1 For itchy, Damp scrotum: + LIV-5 For severe distention in the perineum: + UB-33, UB-35 For pain and distention in the lower abdomen: + ST-29 For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6 For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54 For turbid or milky white urine: + SP-6 For constipation or dry stools: + SJ-6 For dry mouth: + KI-7 For nausea and Stomach and abdominal distention: + REN-12, ST-25 For fever: + LI-4, SJ-5, LI-11 For hematuria: + SP-10 For insomnia and restlessness: + HT-5 For stabbing pain in the genitals: + LIV-1 For stabbing pain on urination: + ST-28 For lower abdominal, groin and genital distention and pain: + LIV-8 For nodulations on the prostate gland: + UB-33, UB-35 For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5 For spermatorrhea or hematuria: + moxa LIV-1 For a Cold sensation in the lower abdomen and/or scrotal area: + Moxa REN-4 For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45 For difficult urination: + SP-9 For Kidney Yin Deficiency: + KI-3 For Kidney Yang Deficiency: + KI-7 For Qi Deficiency: + SP-3 For constipation or dry stools: + SJ-6

Kidney Yang Deficiency With Damp Turbidity

Clinical Manifestations	Enduring, insidious perineal pain Generalized pain radiating to the groin and lower abdomen White deposits in the urine Nocturia Possible spermatorrhea Decreased sexual desire Impotence Possible sterility Low back pain Aversion to Cold Chronic urinary frequency, urgency and pain Terminal dribbling which will not stop A sticky, white discharge at the end of urination Fatigue Lassitude of the spirit A somber, white complexion Puffy edema of the lower extremities Loose stools T: Pale and fat C: Moist or Thick and white P: Deep, slow and forceless or Deep, soggy and wiry
Treatment Principle	Warm Yang Nourish the Kidneys Transform Dampness Separate the clear from the turbid
Herb Formulas	Shen Qi Wan modified + Wu Zi Yan Zong Wan Da Bu Yuan Jian Shen Qi Wan modified + Bei Xie Fen Qing Yin
Points	UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course. For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36 For problems affecting the penis: UB-28, UB-25 REN-1, REN-4, UB-23, UB-35 For terminal dribbling which will not stop and nocturia: + UB-52 For low back pain: + KI-7 For Fatigue and lassitude of the spirit: + SP-6 For severe Kidney Yang Deficiency: + DU-4 For decreased desire or impotence: + DU-4 For loose stools: + SP-4 REN-1, UB-23 do not retain the needles REN-1, REN-4, REN-3, LIV-3, KI-3 Moxa: REN-1, REN-4, REN-3, KI-3 Ear: Prostate, Bladder, External Genitalia, Adrenals

Kidney Qi Deficiency

Clinical Manifestations	Difficult urination No power in urination Dribbling urine Frequent nocturnal urination Pale face Lack of spirit Lower back pain Knee pain Maybe a dull pain on urination Urge to urinate when tired or after exertion T: Pale C: Little or none P: Deep and rapid For pronounced Kidney Yang Deficiency: Pallor Pale urine Chilliness T: Pale and maybe swollen For pronounced Kidney Yin Deficiency: Scant, yellow urine Urgent urination Maybe hematuria Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Warm Yang Nourish Yin Nourish the Kidneys Promote urination
Herb Formulas	Jing Gui Shen Qi Wan  modified Liu Wei Di Huang Wan  modified With Damp Turbidity: Prostatitis #2
Points	KI-3, KI-7, REN-4, REN-6, UB-25, UB-28 For pronounced Kidney Yang Deficiency: + moxa or moxa needle For pronounced Kidney Yin Deficiency: + KI-2, KI-6

Damp-Heat In The Urinary Bladder

Clinical Manifestations	Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to urinary stream There may be a feeling of incomplete voiding The pain is burning or like passing glass The pain may radiate to the umbilical area The pain is worse with pressure Suprapubic pain and discomfort Fullness and pain in the chest and epigastrium Nausea Anorexia Bitter taste in the mouth A tendency to constipation or Alternating loose and sluggish stools	Maybe afternoon fever Maybe alternating fever and chills Dark, concentrated and strong-smelling urine Turbid urine or Pus and blood in urine or Sand and stones in urine In Damp-Heat Pouring Down-ward there may also be: Fever Thirst with little desire to drink Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder, there may also be: Colicky pain in low back, possibly radiating to the groin T: Red C: Yellow and greasy P: Slippery and rapid or Soft and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Ba Zheng San Qing Xin Lian Zi Yin Zhi Zhuo Gu Ben Wan Cheng Shi Bei Xie Fen Qing Yin  modified Yi Huang Tang For Damp-Heat Obstructing the Shao Yang with alternating fever and chills, nausea and dizziness: Chai Ling Tang modified For mild Yin Deficiency: Zhu Ling Tang For those with Blood Deficiency: Wu Lin San modified With severe systemic Heat: Huang Lian Jie Du Tang + Wu Wei Xiao Du Yin Chinese patent medicines: Te Xiao Pai Shi Wan Long Dan Xie Gan Wan Qian Lie Xian Wan Quan Xin Lian Kang Yan Pian For cloudy, painful urination: Chao Jin Zhi Dai Wan
Points	LIV-8, REN-3, REN-12, SP-6, SP-9, ST-36, UB-20, UB-22, UB-28, UB-39, UB-63 UB-23, UB-28, REN-3, SP-6, SP-9 UB-23, UB-28, UB-39, REN-3, SP-6, SP-9, KI-7, LIV-2 UB-23, UB-28, REN-4, SP-6 ST-29, Zigong, REN-4, KI-9, SP-6 GB-41, GB-26, GB-28, SJ-5, REN-3, REN-5, LIV-5, SP-6, SP-9, LI-11 REN-3, LIV-5, HT-8, SP-9, SP-6, UB-28, LIV-2 For alternating chills and fever: SJ-5, GB-39 Acute: REN-6, REN-9, SP-10, SP-6, SP-9, KI-3, KI-6 Chronic: DU-2, DU-20, REN-3, KI-12, SP-6 Cutaneous: SP-6, LIV-8, REN-4, REN-2, ST-29, ST-28 For cloudy, painful urination: UB-28, UB-22, REN-3, SP-9, SP-6, ST-28, GB-34, ST-40, KI-7 Ear: Kidney, Bladder, Urethra, Pelvic Cavity

Qi Stagnation

Clinical Manifestations	Urinary retention Discomfort before urination Distention and pain in the lower abdomen, relieved by urination and made worse by stress Urine color is normal T: Normal C: White P: Wiry and deep
Treatment Principle	Circulate Qi
Herb Formulas
Points	GB-34, LI-4, LIV-3, LIV-5, REN-3, REN-6, ST-36

Qi And Blood Stagnation

Clinical Manifestations	Enduring prostatitis that does not heal Marked, possibly lancinating perineal area pain Pain radiates to the testes, penis, lower abdomen or low back Dark circles around the eyes Possible penile induration Urinary dribbling White discharge excreting from the urethra at the end of the urinating Rough, painful, astringent urination Painful sexual intercourse Painful ejaculation Possible spermatorrhea Strangury when urinating, or Visible bloody urine A hard prostate Palpable nodules and tenderness Distension in the chest, epigastrium or abdomen Distending pain that moves from place to place Abdominal masses that appear and disappear or Abdominal masses that do not move Abdominal distension and pain that is not relieved by a bowel movement Mood swings Depression Frequent sighing Headache Irritability Insomnia Restlessness Constipation with small round stools Dull/dark complexion Purple lips Purple nails Pain that has the quality of boring in, fixed and stabbing and may be worse at night Bleeding with dark blood and dark clots T: Dark purple or Purple petechiae or Purple veinules C: White P: Choppy or Wiry, choppy and tight
Treatment Principle	Invigorate the Blood Dispel Stasis Promote the circulation of Qi Alleviate pain
Herb Formulas	Qian Li Xian Tang Huo Xue San Yu Tang #2 Fu Yuan Huo Xue Tang modified
Points	UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course. For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36 For problems affecting the penis: UB-28, UB-25 REN-2, REN-1, SP-10, SP-6, UB-54 For stabbing pain in the genitals: + LIV-1 For stabbing pain on urination: + ST-28 For lower abdominal, groin and genital distention and pain: + LIV-8 For severe distention in the perineal area: + UB-33, UB-35 For nodulations on the prostate gland: + UB-33, UB-35 For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5 For spermatorrhea or hematuria: + moxa LIV-1 For a Cold sensation in the lower abdomen and/or scrotal area: + Moxa REN-4 For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45 For difficult urination: + SP-9 For Kidney Yin Deficiency: + KI-3 For Kidney Yang Deficiency: + KI-7 For Qi Deficiency: + SP-3 For constipation or dry stools: + SJ-6

Qi And Blood Stagnation Due To Cold

Clinical Manifestations	Pain with a cool sensation in the perineum, scrotum and lower abdomen Frequent, urgent painful , dribbling urination A milky white discharge from the urethra Aversion to Cold Normal or loose stools T: Pale purple C: Thin and white P: Wiry and rough
Treatment Principle	Invigorate the Blood Dispel Stasis Promote the circulation of Qi Warm the Cold Alleviate pain
Herb Formulas	Prostatitis #1
Points	REN-2, REN-1, SP-10, SP-6, UB-54 For stabbing pain in the genitals: + LIV-1 For stabbing pain on urination: + ST-28 For lower abdominal, groin and genital distention and pain: + LIV-8 For severe distention in the perineal area: + UB-33, UB-35 For nodulations on the prostate gland: + UB-33, UB-35 For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5 For spermatorrhea or hematuria: + moxa LIV-1 For a Cold sensation in the lower abdomen and/or scrotal area: + Moxa REN-4 For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45 For difficult urination: + SP-9 For Kidney Yin Deficiency: + KI-3 For Kidney Yang Deficiency: + KI-7 For Qi Deficiency: + SP-3 For constipation or dry stools: + SJ-6

Qi And Yin Deficiency

Clinical Manifestations	Enduring low back and sacral soreness and pain Perineal pain Testicular sagging and distention Symptoms worse with fatigue Dizziness Insomnia Heart palpitations T: Red C: Little or None Thready, wiry and rapid Note* This pattern includes Damp-Heat consuming Yin and Qi with Blood stagnation.
Treatment Principle	Strengthen the Spleen Tonify Qi Enrich Yin Drain Heat
Herb Formulas	Shen Ling Liu Huang Tang
Points	REN-1, UB-54, KI-7, SP-6, ST-36 For genital pain: + LIV-1 For itchy, Damp scrotum: + LIV-5 For severe distention in the perineum: + UB-33, UB-35 For pain and distention in the lower abdomen: + ST-29 For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6 For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54 For turbid or milky white urine: + SP-6 For constipation or dry stools: + SJ-6 For dry mouth: + KI-7 For nausea and Stomach and abdominal distention: + REN-12, ST-25 For fever: + LI-4, SJ-5, LI-11 For sagging pain in the genitals: + moxa LIV-1 For lower abdominal, groin and genital distention and pain: + LIV-8 For hematuria:+ moxa LIV-1 For frequent urination: + REN-3 For difficult urination: + SP-9 For susceptibility to the common cold: + LI-4, DU-14 For Food Stagnation: + ST-21 For Kidney Qi Deficiency: + KI-3 For Kidney Yin Deficiency: + KI-7 For Heart and Spleen Deficiency: + HT-7 For Severe Qi Deficiency: + SP-3 For nodulations on the prostate gland: + UB-33, UB-35 For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5 For spermatorrhea or hematuria: + moxa LIV-1 For a Cold sensation in the lower abdomen and/or scrotal area: + Moxa REN-4 For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45 For constipation or dry stools: + SJ-6

Blood Stagnation

Clinical Manifestations	Decreased urination or Interrupted urination or Constant urination or Anuria Lower abdominal fullness Lower abdominal pain which may radiate to the genitals Maybe hematuria Tumor formation Purple urine with blood clots Abdominal spasms and tension Headache Sinus congestion Constipation Lower back ache Nervousness Fatigue Skin eruptions Scaly, dry skin Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense, deep and slow or Thin or Deep and choppy or Slow and choppy
Treatment Principle	Invigorate the Blood Transform Blood Stasis Soften lumps Reduce fixed abdominal pain
Herb Formulas	Gui Zhi Fu Ling Wan Di Dang Tang With Qi Deficiency: Bu Yang Huan Wu Tang With Heat: Xia Yu Xue Tang
Points	LIV-3, SP-6, SP-10

Blood Stagnation Due To A Mild Attack Of Wind-Cold With Qi Deficiency

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
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang
Points

Jing And Blood Deficiency Due To Kidney, Spleen And Heart Deficiency

Clinical Manifestations	Pain with a cool sensation in the perineum, scrotum and lower abdomen Frequent, urgent painful , dribbling urination A milky white discharge from the urethra Aversion to Cold Normal or loose stools T: Pale purple C: Thin and white P: Wiry and rough
Treatment Principle	Invigorate the Blood Dispel Stasis Promote the circulation of Qi Warm the Cold Alleviate pain
Herb Formulas	Prostatitis #1 Huan Shao Dan
Points	REN-2, REN-1, SP-10, SP-6, UB-54 For stabbing pain in the genitals: + LIV-1 For stabbing pain on urination: + ST-28 For lower abdominal, groin and genital distention and pain: + LIV-8 For severe distention in the perineal area: + UB-33, UB-35 For nodulations on the prostate gland: + UB-33, UB-35 For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5 For spermatorrhea or hematuria: + moxa LIV-1 For a Cold sensation in the lower abdomen and/or scrotal area: + Moxa REN-4 For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45 For difficult urination: + SP-9 For Kidney Yin Deficiency: + KI-3 For Kidney Yang Deficiency: + KI-7 For Qi Deficiency: + SP-3 For constipation or dry stools: + SJ-6

Internal Damp Stagnation

Clinical Manifestations	Headache Fever (maybe chills) Strong thirst with a desire to drink. Vomits immediately after drinking Urinary difficulty Edema General sensation of heaviness Diarrhea Irritability Simultaneous vomiting and diarrhea Throbbing sensations below umbilicus Vomits frothy saliva Vertigo Loose stools Shortness of breath Cough Urinary retention Lower abdominal fullness Extreme thirst Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain T: Normal C: Slippery, white P: Floating and rapid
Treatment Principle	Promote urination Drain Dampness Strengthen the Spleen Disperse water accumulation Warm the Yang Promote the transforming functions of Qi
Herb Formulas	Wu Ling San With Blood Stagnation: Yi Yi Fu Zi Bai Jiang San
Points	REN-6, SP-6, SP-9, SP-10, LU-9, KI-3

Cold-Damp Retention

Clinical Manifestations	Turbid, pale urine Urination stops and starts Terminal dribbling Symptoms are better with Heat and worse with Cold Dragging down sensation in the lower abdomen Lower abdominal ache Fatigue T: Normal C: Sticky or Greasy at the root P: Slippery
Treatment Principle	Warm Cold Eliminate Dampness
Herb Formulas
Points	Moxa or moxa needle REN-3, REN-12, SP-6, SP-9, ST-36, UB-20, UB-22, UB-25, UB-28

Damp-Heat Stagnation

Clinical Manifestations	At first, intermittent fevers and chills with rapid progress Recurrent bouts of urinary pain, frequency and urgency Inhibited voidings Burring sensation and stinging pains in the urethra Pain in the genitals radiating to the groin, lower abdomen, navel and perineum Falling-like distension or pains of the perineum Distension and pains in the lower abdomen Scanty yellow, brown or turbid urine The urine may have fresh red or purplish red Blood in it It may contain clotted threads or small Blood clots Terminal dribbling or Whitish turbid dripping of urine Possible constipation or dry stools or, rarely, uneasy defecation of loose stools with a burning sensation in the anus Effort to defecate causing a milky white, turbid discharge from the urethra Possible Dryness, bitterness or sliminess in the mouth Restlessness Possible itchy and/or Damp scrotum Perineum pain Hard prostate Possible fever or alternating fever and chills Possible aversion to Cold Possible body aches when severe Headache Low back pain Nausea Vomiting A bitter taste in the mouth Thirst with no desire to drink Chronic prostatitis: Short disease history Scanty and yellowish urine Frequent micturition Urinary urgency Painful urination Stinging pains or burning sensation in the urethra Distention and pains of the perineum and lower abdomen Intermittent white and profuse excretion from the mouth of the urethra Dry mouth A bitter taste in the sticky mouth T: Red or A red tip C: Slimy, thick and yellow P: Slippery, wiry and rapid or Soggy and rapid or Rapid, slippery and soggy or Soft, rapid and strong
Treatment Principle	Clear Heat Detoxify Clear Damp-Heat Invigorate the Blood Transform stasis Promote urination Stop bleeding
Herb Formulas	Ba Zheng San modified Long Dan Xie Gan Tang Huang Bai Jiang Cao Tang Bei Xie Shen Tang Fu Ling Pi Tang Bei Xie Tang For bleeding: Xiao Ji Yin Zi For chronic prostatitis: Cheng Shi Bei Xie Fen Qing Yin  modified Er Miao San modified For chronic Damp-Heat Injuring Yin: Zi Shen Tong Guan Wan  modified For chronic Damp-Heat Injuring Yin with Stasis and Stagnation: Xuan Shen Sheng Di Tan: Chinese Patent Medicines: Kai Kit Wan Te Xiao Pai Shi Wan Long Dan Xie Gan Wan Qian Lie Xian Wan Quan Xin Lian Kang Yan Pian Yun Nan Bai Yao
Points	LIV-8, REN-3, REN-12, SP-6, SP-9, ST-36, UB-20, UB-22, UB-28, UB-39, UB-63 REN-3, SP-6, SP-10, UB-17, UB-28, HT-8 UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course. REN-4, REN-6, SP-6, LIV-4 REN-2, REN-1, SP-9, UB-54 For genital pain: + LIV-1 For itchy, Damp scrotum: + LIV-5 For severe distention in the perineum: + UB-33, UB-35 For pain and distention in the lower abdomen: + ST-29 For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6 For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54 For turbid or milky white urine: + SP-6 For constipation or dry stools: + SJ-6 For dry mouth: + KI-7 For nausea and Stomach and abdominal distention: + REN-12, ST-25 For fever: + LI-4, SJ-5, LI-11 For hematuria: + SP-10 For insomnia and restlessness: + HT-5 For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36 For problems affecting the penis: UB-28, UB-25 For hematuria: HT-8, REN-3, SP-6, SP-10, UB-17, UB-28 Ear: Kidney, Bladder, Urethra, Pelvis

Damp-Heat With Blood Stagnation In The Lower Jiao

Clinical Manifestations	Abdominal distention Dry, scaly skin Tightness A mass-like appearance Softness on palpation Absence of thirst Maybe an aversion to drinks Tenderness and soreness of the lower abdomen No fever Condition fails to improve A right-sided abdominal swelling that is soft when touched and not very painful Cold extremities A gray or pale complexion T: Pale C: Thin and white P: Rapid or Rapid, empty and weak
Treatment Principle	Reduce swelling Clear Heat Warm Yang Dispel Dampness Disperses Phlegm
Herb Formulas	Teng Long Tang
Points

Internal Heat

Clinical Manifestations	Lower abdominal distention and pain (usually on right) Pain increases on pressure with rebound tenderness Guarding of the abdominal musculature Groin pain resembling urinary dysfunction without urinary difficulty Groin pain relieved by flexing hip and knee Groin pain intensified by extending hip Perspiration Irregular or intermittent fever followed by chills and perspiration May be mass in lower right quadrant of abdomen Aversion to Cold Hard lumps T: Pink C: Thin, white or yellow and greasy P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle	Drain Heat Break up Blood Stasis Invigorate the Blood Disperse nodules Reduce swelling
Herb Formulas	Da Huang Mu Dan Pi Tang
Points	REN-6, SP-6, SP-9, SP-10, LU-9, KI-3 UB-28, UB-23, REN-2, SP-6

Heat Stagnation With Water Retention

Clinical Manifestations	Urinary difficulty Thirst with a desire to drink Fever Cough Nausea/vomiting Irritability Insomnia Restlessness Diarrhea Anxiety Edema Lower abdominal distention and pain Maybe hematuria Painful urination with Yin Deficiency Urinary dribbling Decreased urination Dry skin Sunken eyes Fever worse at night T: Red or Dark red and dry C: Yellow, thin or none P: Thready and rapid or forceful and rapid
Treatment Principle	Promote urination Clear Heat Nourish the Yin
Herb Formulas	Zhu Ling Tang
Points	REN-3, SP-6, SP-10, UB-17, UB-28, HT-8 UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course. REN-4, REN-6, SP-6, LIV-4 For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36 For problems affecting the penis: UB-28, UB-25 REN-2, REN-1, SP-9, UB-54 For genital pain: + LIV-1 For itchy, Damp scrotum: + LIV-5 For severe distention in the perineum: + UB-33, UB-35 For pain and distention in the lower abdomen: + ST-29 For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6 For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54 For turbid or milky white urine: + SP-6 For constipation or dry stools: + SJ-6 For dry mouth: + KI-7 For nausea and Stomach and abdominal distention: + REN-12, ST-25 For fever: + LI-4, SJ-5, LI-11 For hematuria: + SP-10 For insomnia and restlessness: + HT-5 Ear: Kidney, Bladder, Urethra, Pelvis

Toxic Dampness

Clinical Manifestations	Difficult urination or Anuria Darkish complexion Anorexia Lethargy Listlessness Fullness in the chest Irritability Nausea Vomiting Bad breath that smells like urine Severe cases: Delirium Confusion
Treatment Principle	Clear turbidity Harmonize the Stomach Clear Damp-Heat Open the bowels
Herb Formulas	Huang Lian Wen Dan Tang modified
Points	GB-41, SJ-5, REN-3, SP-6, SP-9, KI-6, KI-7, UB-28, UB-22, ST-28

Toxic Heat

Clinical Manifestations	Sudden onset Persistent high fever Vexation Unrest Thirst Liking drinks Redness, swelling, heat and pain of the perineum Scanty urine Obstructed urination or Urine with visible pus and Blood Burning sensation and pains in the urethra Constipation High fever Irritability Fidgeting Dry mouth Dry throat Incoherent speech Insomnia Dark urine Deep-rooted boils Maculae	Carbuncles Hematemesis Hemoptysis Palpitations Furuncles Tinnitus Purpura Red face Rashes Deep-rooted boils Red eyes Itchy skin Fidgeting Dry lips Delirium Dysentery with fever Jaundice Epistaxis Hematuria Cloudy mind Diarrhea T: Red C: Yellow P: Rapid and forceful or Rapid and wiry
Treatment Principle	Discharge Heat Resolve toxin
Herb Formulas	Long Dan Xie Gan Tangmodified Ba Zheng San With hematuria: Xiao Ji Yin Zi Huang Lian Jie Du Tang With urinary calculi: Shi Wei San With turbid urination: Bei Xie Fen Qing Yin
Points	GB-41, GB-26, GB-28, SJ-5, REN-3, REN-5, LIV-5, SP-6, SP-9, LI-11

Lower Jiao Blood Stagnation With Heat

Clinical Manifestations	Acute lower abdominal pain Incontinence of urine Night fevers Delirious speech Irritability Restlessness Thirst May be mania (severe) Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet Tremors Excruciating abdominal pain with cold Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis Severe wheezing Distention of the chest T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Drain Heat Break up Blood Stasis
Herb Formulas	Tao He Cheng Qi Tang
Points