Pyelonephritis

General

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Tai Yang Shang Han

Clinical Manifestations	Severe chills Mild or no fever Headache Generalized discomfort Stiff neck and shoulders Body aches Joint ache Nausea Vomiting Hiccups Anhidrosis Gasping Stabbing joint pain Itchy throat Cough Asthma Aversion to Wind and Cold Maybe low back pain Maybe frozen shoulder Maybe dyspnea Maybe epistaxis (severe) T: Normal C: Thin and white P: Floating and tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma
Herb Formulas	Ma Huang Tang
Points	DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12, UB-13 For a stiff neck: + GB-21, SI-3, Taiyang, UB-62 For diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 For vomiting but no diarrhea: + PC-6, SP-4 For Phlegm-Heat in the Lungs: + LU-5, LU-10, ST-40 To resolve Phlegm and stop cough: REN-22, ST-40

Tai Yang Biao Fu

Clinical Manifestations	Chills and fever Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder * The Tai Yang symptoms remain for 2-3 days Thirst with no desire to drink May have vomiting immediately after drinking Difficult urination May have upper body edema T: Normal C: White P: Floating and slippery
Treatment Principle	Promote urination Dispel Dampness Expel Wind
Herb Formulas	Wu Ling San With indigestion and diarrhea: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa or moxa needle KI-3, LI-4, LU-7, REN-3, SP-6, SP-9, UB-13, UB-28 With indigestion and diarrhea: moxa ST-25, ST-36 With jaundice and dysuria: DU-9

Tai Yang - Shao Yang

Clinical Manifestations	Cough Asthma Shortness of breath which is worse when lying down Abdominal distention with water retention Edema in the lower extremities Facial edema T: White bubbles C: Thick, greasy and white P: Thready
Treatment Principle	Regulate the Lungs Purge Yin
Herb Formulas	Wu Ling San Xiao Qing Long Tang
Points	LU-7, SP-6, SP-9, UB-13

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 With Water Accumulation

Clinical Manifestations	Alternating chills and fever Thirst A bitter taste in the mouth Anorexia Edema Vomiting and diarrhea with water intake Dysuria Fullness and oppression in the chest and hypochondrium Diarrhea T: Pink C: White P: Superficial and wiry
Treatment Principle	Harmonize the Exterior and the Interior Relieve the Shao Yang Dispel Water Accumulation Resolve Phlegm Accumulation
Herb Formulas	Chai Ling Tang
Points

Shao Yang - Yang Ming

Clinical Manifestations	Abdominal pain Constipation Hypochondriac pain Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs T: Normal C: Greasy and white P: Deep, tight and wiry
Treatment Principle	Warm the Interior Disperse Cold Unblock the bowels Alleviate pain
Herb Formulas	Da Huang Fu Zi Tang
Points

Shao Yin Heat

Clinical Manifestations	Urinary difficulty Thirst with a desire to drink Fever worse at night 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 Dry throat and/or mouth Chronic sore throat (not acute) Restlessness Malar flush Insomnia Disturbed speech Low grade fever, worse in afternoon Yellow urine Irritability with a sensation of Heat in the chest Palpitations with anxiety Sores in the mouth or on the tongue More Heat than in Yin Deficiency (chronic low grade fever) T: Red or Dark red and dry C: None or Thin and yellow P: Deep, thready and rapid or Thready and rapid or forceful and rapid
Treatment Principle	Promote urination Clear Heat Nourish Yin
Herb Formulas	Zhu Ling Tang
Points	DU-14, HT-5, HT-7, KI-3, KI-6, KI-7, LIV-3, SP-6, UB-10, UB-15, UB-23

Wind-Damp-Heat

Clinical Manifestations	Generalized body aches and pains Irritability Heavy sensation in the shoulder and back Discomfort or a constricted sensation in the area of the chest and diaphragm Multiple sores, carbuncles furuncles or abscesses Redness Itching Persistent swelling Chest pain Fever Thirst Aching and painful extremities Aching and painful joints Unbearable swelling and pain of the lower extremities Shoulder stiffness T: Normal C: Greasy and slightly yellow P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle	Resolve Dampness Clear Heat Disperse Wind Stop pain Invigorate the Blood Tonify Qi and Blood
Herb Formulas	Dang Gui Nian Tong Tang
Points

Lung And Stomach Heat

Clinical Manifestations	High fever Profuse sweat Generalized weakness Severe chills Aversion to Heat Sore throat Productive cough Red face Severe thirst with a strong desire to drink Irritability Anxiety Pruritis Headache Toothache Gum bleeding Epistaxis Dry lips Dry tongue Dry mouth May be sensitive to Cold in the upper back Polyuria Delusions Eye congestion Burning sensation on the skin Abdominal fullness without resistance Dry, course skin May be heavy labored breathing Delirious speech (serious cases) T: Red tip and sides C: Yellow, dry or white P:Flooding and forceful or Large and forceless or Slippery and rapid
Treatment Principle	Clear Qi Stage Heat Drain Stomach Fire Generate Fluids Alleviate thirst Transform Phlegm Disseminate Lung Qi Relieve coughing
Herb Formulas	Bai Hu Tang + Qing Fei Yin
Points

Spleen Deficiency Edema

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Si Ling San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

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

Heart Fire With Qi And Yin Deficiency And Damp-Heat In The Lower Jiao

Clinical Manifestations	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 Dry mouth Dry Tongue Five Sole Heat Fever Physical and mental overexertion T: Red C: Little or None P: Deep and rapid
Treatment Principle	Clear Heart Fire Disperse Damp-Heat Benefit Qi and Yin Promote urination
Herb Formulas	Qing Xin Lian Zi Yin modified
Points

Liver Qi Stagnation Invades The Spleen With Turbid Dampness In The Lower Jiao

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	Ling Gui Zhu Gan Tang Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

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

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 Long Dan Xie Gan Tang Hao Qin Qing Dan 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 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	Ba Wei Di Huang Wan Wu Pi Yin + Wu Ling San With Internal Cold: Si Ni Tang With turbid urine: Bei Xie Fen Qing 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

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 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 Regulate the Chong and Ren
Herb Formulas	Er Xian Tang
Points

Damp-Heat In The Urinary Bladder

Clinical Manifestations	Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine In Damp-Heat Pouring Downward there may also be: Fever Thirst Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Ba Zheng San 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 For bleeding: Xiao Ji Yin Zi 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	REN-3, LIV-5, HT-8, SP-9, SP-6, UB-28, LIV-2 For alternating chills and fever: SJ-5, GB-39 KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

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 Post febrile disease: Qing Hao Bie Jia Tang
Points

Blood Stagnation Due To 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 Tang
Points

Damp-Heat With Unexpelled Wind-Heat

Clinical Manifestations	Generalized yellowing Aversion to Cold Fever Anhidrosis Body aches Aversion to Wind Thirst Nasal congestion Sore throat Edema Constipation Sneezing with clear watery nasal discharge Itchy throat Irritability A stifling sensation in the chest Heat in the joints with pain and swelling Itching Dysuria Expectoration of yellow Phlegm Dark, scanty urination or bloody urination T: Red C: Yellow P: Floating or Slippery and rapid
Treatment Principle	Resolve the Exterior Dissipate Toxins Clear Heat Eliminate Dampness
Herb Formulas	Ma Huang Lian Qiao Chi Xiao Dou Tang
Points

San Jiao Damp-Heat

Clinical Manifestations	Headache Chills Afternoon fever Heavy sensation in the body Generalized pain Pale yellow (sallow) complexion Stifling sensation in chest Loss of appetite Feverishness and pain of the body Fatigue Lack of thirst or thirst with no desire to drink Chest and abdominal fullness Maybe aversion to Cold Nausea Heaviness of the head T: Normal C: White or Greasy and white P: Wiry, thin and soggy or soft or Superficial and soft
Treatment Principle	Spread Qi Facilitate Qi Clear Damp-Heat
Herb Formulas	San Ren Tang
Points

Middle Jiao Damp Heat

Clinical Manifestations	Profuse vaginal discharge that is white or pale-yellow The discharge is thin in consistency, not foul smelling and usually continuous Fatigue Lethargy A shiny, pale complexion Loose stools Diarrhea T: Pale C: White P: Soggy and frail or Moderate or Slow or Soft and floating
Treatment Principle	Tonify the Spleen Tonify the Middle Jiao Disperse Liver Qi Stagnation Transform Dampness Stop vaginal discharge
Herb Formulas	Wan Dai Tang
Points

Middle Jiao Damp Stagnation

Clinical Manifestations	Heaviness Swollen extremities Pain in the extremities Sluggish urination Aversion to Cold Fever Anhidrosis Cough Asthma with Phlegm T: Swollen C: Greasy and white P: Tight and wiry
Treatment Principle	Warm Yang Benefit water Dispel exogenous pathogens
Herb Formulas	Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa only PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Middle Jiao Phlegm-Heat

Clinical Manifestations	More Heat symptoms than Damp symptoms Thicker Fluid Feverish Chest discomfort Cough Nausea Vomiting T: Normal C: Greasy and white or Greasy and yellow P: Slippery and maybe rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Gan Lu Xiao Du Dan
Points	REN- 6, REN-12, SP-9, ST-25, ST-36, ST-40

Blood Stagnation In The Lower Jiao With Heat

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

Damp-Heat In The Lower Jiao

Clinical Manifestations	Painful urination Difficult, scanty urination Heavy headache Thirst with no desire to drink Oliguria Maybe constipation Lower abdominal fullness and distention Dizziness Maybe urolithiasis T: Normal or Red C: White or Yellow P: Soft and maybe rapid
Treatment Principle	Promote diuresis
Herb Formulas	Wu Lin San Zi Shen Tong Guan Wan
Points	REN-3, SP-6, SP-9, ST-25, ST-28, UB-25

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	Ling Gui Zhu Gan Tang Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Yi Yin

Clinical Manifestations	Heaviness Swollen extremities Pain in the extremities Pitting edema Chest edema Hypochondriac edema Sluggish urination Aversion to Cold Fever Anhidrosis Cough Asthma with Phlegm T: Swollen C: Greasy and white P: Tight and wiry
Treatment Principle	Warm Yang Benefit water Dispel exogenous pathogens
Herb Formulas	Wu Ling San Shi Zao Tang With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa only PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Zhi Yin

Clinical Manifestations	Cough Asthma Shortness of breath which is worse when lying down Abdominal distention with water retention Edema in the lower extremities Facial edema T: White bubbles C: Thick, greasy and white P: Thready
Treatment Principle	Regulate the Lungs Purge Yin
Herb Formulas	Wu Ling San Xiao Qing Long Tang
Points	LU-7, SP-6, SP-9, UB-13