Tinnitus

Wind-Cold With Qi Stagnation In The Interior

Clinical Manifestations	Aversion to Cold Fever Headache Anhidrosis Anorexia Belching Aching shoulders Tinnitus Amenorrhea A gasping cough Focal distention in the chest and epigastrium A stifling sensation in the chest and epigastrium Vertigo Nausea T: Normal C: Thin and white P: Floating or Floating and sinking
Treatment Principle	Regulate Qi Release the Exterior
Herb Formulas	Xiang Su San
Points

Shao Yang Fu

Clinical Manifestations	Alternating chills and fever (not so likely) Restlessness Irritability Continuous vomiting Headache (side of head) Hypochondriac pain Epigastric pain Bitter taste in mouth Tinnitus Digestive disruption Anorexia Nausea Acid regurgitation Burning diarrhea or Constipation Menstrual problems Dry throat Heart pain with vomiting Throat pain Hip pain T: Red C: Thin yellow P: Wiry, forceful
Treatment Principle	Harmonize the Liver and Gall Bladder Purge Internal Heat
Herb Formulas	Da Chai Hu Tang For Shao Yang Fu with underlying Liver Qi Stagnation manifesting as chest and hypochondriac distension, insomnia, headache and  possibly delirium: Chai Hu Jia Long Gu Mu Li Tang
Points	To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 For nausea and vomiting: PC-6, SP-4, ST-36 For headache: GB-1, GB-8, GB-14, Taiyang For constipation: SJ-6, ST-25 For fever: DU-13, DU-14 For Stomach Heat: LI-4, LI-11, ST-44 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: GB-41, SJ-5 , SP-10 To regulate menstruation: SP-6 For Shao Yang Fu with Tai Yang: For the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 For the Tai Yang: GB-20, UB-12 For Shao Yang Fu with underlying Liver Qi Stagnation: To harmonize the Shao Yang: GB-34, LIV-3, SJ-6 To clear Heat: LI-11, ST-44 To calm the Shen: HT-7, PC-6 Ear: Shenmen, Liver, Gall Bladder, bleed Heat points

Shao Yang Fu With Liver Qi Stagnation

Clinical Manifestations	Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Depression Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Shao Yang Unblock the three Yang Stages Sedate and calms the Spirit Relieve the chest and subcardiac regions Regulate Liver Qi
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points

Wind-Cold-Dampness

Clinical Manifestations	Fever Chills Anhidrosis Pain and stiffness of the head and neck Stuffy nose Blood shot eyes Sores that are red, swollen and painful Generalized body aches and pain Headache Swollen eyes Thirst or no thirst T: Normal C: Thin white P: Floating or Floating and rapid
Treatment Principle	Induces sweat Releases the Exterior Dispels Wind Alleviates pain Treats skin and External diseases
Herb Formulas	Jing Fang Bai Du San
Points

Wind-Cold-Dampness With Underlying Liver Qi Stagnation

Clinical Manifestations	Wandering joint pain, especially the wrists, elbows, knees and ankles Chills and fever Atrophy above and below the knees Limited movement Paralysis of knees One or both knees swollen, enlarged and painful Stiffness of knees Legs so weak and sore after dysentery that it is difficult to walk Generalized pain and numbness in the legs Hemiplegia Dizziness Neuralgia Paralysis, stiffness, swelling and pain of feet Atrophy of the leg muscles Chest oppression Lumbago Tinnitus T: Pink or Pale and swollen or Red C: Thin white or Greasy white P: Superficial and tense or tight or Deep and thin or Deep and weak or Deep, slow and weak
Treatment Principle	Dispel Wind Activate Qi and Blood Tonify Qi and Blood Eliminate Cold-Dampness Tonify Yang
Herb Formulas	Da Fang Feng Tang
Points

Wei Stage : Wind-Heat

Clinical Manifestations	Unilateral tinnitus or hearing loss that is sudden and generally mild Fullness, distention blockage and persistent itching of the ear Inflammation of throat and/or tongue May be ear pain or pain in the mastoid area sometimes radiating to the jaw Maybe purulent or bloody exudate from the ear Fever and chills with more fever than chills Sweating or Absence of sweating Cough with sticky yellow sputum Aversion to Wind and Heat Yellow nasal discharge Thirst with desire for cold drinks Headache General bodily soreness and malaise Throat is red The tonsils are swollen and engorged but without any particular pus spots Red bumps around mouth and lips (herpes simplex) Nasal obstruction Sore, swollen throat Dyspnea Chest pain Dry mouth Rapid breathing Maybe constipation Maybe scanty urine T: Red tip C: Thin and yellow P: Floating and rapid
Treatment Principle	Release the Exterior Clear Heat Open the ears
Herb Formulas	Yin Qiao San Jing Jie Lian Qiao Tang With exudate: Man Jing Zi San With pre-existing Internal Heat: Fang Feng Tong Sheng San Chinese patent medicines: Yin Qiao Jie Du Pian Gan Mao Dan Huang Lian Shang Qing Pian Niu Huang Jie Du Pian
Points	Two or three of the following: DU-23, GB-20, GB-39, LI-4, LI-5, LI-11, SI-4, SJ-5, SJ-17 + one or two of the following: GB-2, SI-17, SI-19, SJ-21 With Internal Heat: + LIV-2, SJ-2

Wind-Heat Attacks The Liver Channel

Clinical Manifestations	Hot tears appear on exposure to Wind Red eyes Eyes feel gritty Dry mouth Dry nose Dizziness Vertigo Tinnitus T: Red C: Thin white P: Wiry or Thready and rapid
Treatment Principle	Cool the Liver Expel Wind
Herb Formulas	Bai Jian Can San Ling Yang Jiao San
Points

Toxic Wind-Heat

Clinical Manifestations	Headache Red eyes Pain and swelling of the throat and gums Ulcerations of the mouth and tongue Dizziness Tinnitus Constipation Toothache T: Red and prickly C: Yellow P: Floating and Rapid or Rapid
Treatment Principle	Clear Heat Relieve toxicity Release Wind-Heat from the Exterior
Herb Formulas	Niu Huang Shan Qing Wan
Points

Qi Stage: Lung Heat Generating Lung Yin Deficiency

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 cough Drain Fire Moisten Dryness
Herb Formulas	Qing Fei Tang
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44. UB-13

Phlegm-Damp Obstructs The Lungs With Kidney Yang Deficiency

Clinical Manifestations	Coughing and wheezing with copious, dilute, white, frothy or lumpy sputum Chest and epigastric congestion Cold legs Pain and full feeling in the chest Dizziness Vertigo Palpitations Dyspnea - worse lying down Sometimes asthma Throat rattle Nausea Vomiting Shortness of breath with labored inhalation and smooth exhalation Acute attack of panting with a high pitched wheezing sound and rapid exhalation Leg Qi Acute cramping Muscle wasting Diarrhea in response to cold or hot weather Maybe anorexia Insensitivity in the lower abdomen Headache Facial edema Palpitations Lumbar pain Weakness in the body and feet Numbness, weakness and aching of the feet and legs Edema of the extremities Fever Dysuria Weakness below the umbilicus Fatigue with a desire to curl up Epigastric distention Disorientation Disordered speech Tinnitus T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Disperse and Descend Lung Qi Stop wheezing Stop coughing Warm and transform Phlegm-Cold Strengthen the Stomach Strengthen the Kidneys
Herb Formulas	Su Zi Jiang Qi Tang
Points

Lung And Spleen Qi Deficiency

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Warm and transform Phlegm-Dampness
Herb Formulas	Bu Zhong Yi Qi Tang With Dampness: Shen Ling Bai Zhu San
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

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	Bai He Gu Jin Tang Ba Xian Chang Shou Wan Yang Yin Qing Fei Tang + Da Bu Yin Wan Mai Wei Di Huang Wan Du Qi Wan Qiong Yu Gao
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Spleen Qi Deficiency With Liver Qi Stagnation And Dampness In The Lower Jiao

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 Tinnitus 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
Herb Formulas	Wan Dai Tang
Points

Spleen Qi Deficiency With Damp-Heat In The Lower Jiao

Clinical Manifestations	Loss of taste Anorexia Abdominal fullness and distention Irregular bowel movements Fatigue Lethargy A sensation of heaviness in the body Joint pain Chills Aversion to Wind A stuffy nose with mucus Sweating Sore limbs Dizziness Tinnitus Scanty, dark urination Frequent urination Leukorrhea
Treatment Principle	Strengthen the Spleen Tonify Qi Raises Yang Leach out Dampness Dispel Wind and Dampness
Herb Formulas	Sheng Yang Yi Wei Tang
Points

Spleen Qi Deificiency With Phlegm-Dampness

Clinical Manifestations	Tinnitus and/or loss of hearing which is worse with fatigue and exertion or on rising from sitting or lying The sound is likened to cicadas or the sound of rushing water The sound has a relatively low pitch. Occasionally the ear feels cold, empty or wet There may be persistent sinus or eustachian tube congestion Sallow complexion Pale lips Fatigue Weakness Anorexia Picky eating Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient or Thready and weak
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Bu Zhong Yi Qi Tang modified Liu Jun Zi Tang modified With Yang Deficiency: Fu Zi Li Zhong Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen Qi Deficiency With Blood Deficiency And Liver Cold

Clinical Manifestations	Tinnitus and/or loss of hearing which is worse with fatigue and exertion or on rising from sitting or lying The sound is likened to cicadas or the sound of rushing water The sound has a relatively low pitch. Occasionally the ear feels cold, empty or wet There may be persistent sinus or eustachian tube congestion Sallow complexion Pale lips Fatigue Weakness Anorexia Picky eating Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient or Thready and weak
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Bu Zhong Yi Qi Tang modified Liu Jun Zi Tangmodified With Yang Deficiency: Fu Zi Li Zhong Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Stomach Yin Deficiency With Heat

Clinical Manifestations	Tinnitus Dizziness Blurred vision Poor memory Malar or facial flushing Night sweats Five Sole Heat Atrophy and retraction of the gums, revealing the roots of the teeth Gum bleeding and ulceration Maybe loose , chipped or broken teeth Maybe pain on chewing No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups Lower back ache T: Red and dry C: Little and dry P: Thready and rapid or Wiry and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Yu Nu Jian With Kidney Yin Deficiency: Liu Wei Di Huang Wan modified
Points	KI-3, LI-4, LU-7, REN-4, REN-12, SP-6, ST-36, UB-20, UB-21 KI-3, REN-12, SP-6, ST-36, UB-21

Phlegm Obstructs The Heart Orifice: Yin Obstruction

Clinical Manifestations	Postpartum abdominal pain Cold abdominal hernial pain Hypochondriac pain Spasmodic pain in the flanks Sallow complexion Fatigue Dizziness Tinnitus The pain is better with warmth and pressure Swollen, indurated scrotum T: Pale C: White P: Deep, wiry and forceless or Deep, wiry and choppy or Soft and feeble
Treatment Principle	Warm the Interior Nourish the Blood Regulate the Liver function
Herb Formulas	Dang Gui Sheng Jiang Yang Rou Tang
Points

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Easily startled Tinnitus Dizziness Diminished acuity of vision and hearing Seizures Headache Deafness Blurred vision T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	(Meng Shi) Gun Tan Wan Ci Zhu Wan Huang Lian Wen Dan Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15

Heart Fire With Kidney Yin Deficiency And Damp-Heat

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
Points

Heart And Stomach Fire

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Easily startled Restlessness Anxiety Flushed face Constipation Abdominal distention Delirious speech Epigastric distention Jaundice Gastric distention Dysenteric disorders Hematemesis Epistaxis Red, swollen, painful eyes Chest oppression Red, swollen ears Restlessness Insomnia Thirst Dark, concentrated urine Tinnitus Hemoptysis Vomiting Shoulder stiffness Bleeding Diarrhea Suppurative skin infection Tongue and mouth ulcerations T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Drain Fire Relieve toxicity Drain Dampness Dispel noxious Heat and toxins from the Heart and Stomach
Herb Formulas	San Huang Xie Xin Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15

Heart Yang Not Vigorous: Water Qi Insults The Heart With Lung And Spleen Deficiency

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

Heart Yin Deficiency

Clinical Manifestations	Palpitations Irritability Easily startled Insomnia Much dreaming Poor memory Low grade fever Night sweats Five sole Heat Restlessness Dry mouth Thirst Dry throat Malar flush T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce Heart Calm the Shen
Herb Formulas	Bu Yuan Yi Yin Tang
Points	HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15

Heart And Kidney Yin Deficiency

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Jiao Tai Wan Tian Wang Bu Xin Dan Liu Wei Di Huang Wan Mai Wei Di Huang Wan With Fire Rising: Dao Chi San
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

Liver Qi Stagnation

Clinical Manifestations	Mild, intermittent tinnitus that is aggravated by emotional stress and improved with rest and relaxation In women the tinnitus may appear premenstrually There may be a sensation of pressure over the ears, but generally no pain or discharge Distention and pain in the sides or flanks Suffocating sensation in the chest Tension or discomfort beneath the ribs and in the neck or jaw Tendency to sigh Headaches Grinding of the teeth Mild dizziness Melancholy Depression Irritability Occasional fatigue which is better with exercise Alternating constipation and diarrhea Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Premenstrual syndrome T: Pink or Dark C: Thin and white P: Wiry, Wiry and thready or Wiry and strong
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Xiao Yao San modified Chinese Patent Medicines: Shu Gan Wan Xiao Yao Wan Ci Zhu Wan
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18 Choose one or two of the following depending on tenderness: GB-2, SI-19, SJ-6, SJ-17, SJ-21 + two or three from the following: GB-20, LIV-4, LIV-3, PC-6, UB-18, Yintang

Liver Qi Stagnation Invades The Spleen

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Fire

Clinical Manifestations	Severe, splitting headaches with dizziness The headaches are usually temporal Sudden tinnitus or deafness of short duration related to emotional stress, alcohol, tobacco or diet The tinnitus is usually high pitched There may be ear pain and discharge Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth and throat Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Hypochondriac pain Constipation or dry stools Maybe rib pain Constipation Concentrated urine In severe cases: Mania Hemoptysis Hematemesis Epistaxis Liver Fire Attacks the Lungs: Hemoptysis Rib pain which is severe when coughing Liver Fire Attacks the Stomach: Hematemesis T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang modified Dang Gui Long Hui Wan For chronic cases: Tian Ma Gou Teng Yin Zhen Gan Xi Feng Tang Chinese Patent Medicines: Long Dan Xie Gan Wan Ji Gu Cao Wan Niu Huang Jie Du Pian Ci Zhu Wan
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19 GB-20, GB-34, GB-40, LI-5, LIV-2, LIV-3, SJ-3, SJ-5, SJ-17 With Yin Deficiency and Yang Rising: + KI-1, KI-3, UB-18, UB-23

Liver Wind Stirring Internally: Liver Yang (Fire) Generates Wind

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Numbness and tremor of limbs Twitching and involuntary writhing of hands and feet Dysphagia Unsteady gait Dizziness Vertigo A feeling of distention in the eyes Tinnitus Feverish sensation in the head Headache Irritability Flushed face as if intoxicated Frequent belching Progressive motor dysfunction occurring over hours to days Development of facial asymmetry Sudden loss of consciousness Spasms Heat and pain of the brain Mental confusion with moments of lucidity Inability to fully recover after loss of consciousness Hiccups Irritable Heat in the Heart Deviation of mouth and eyes Tremors Limited mobility of the limbs Maybe coma Sometimes death T: Red C: Little P: Thready and wiry or Wiry, Excess and long
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Zhen Gan Xi Feng Tang Tian Ma Gou Teng Yin Ling Jiao Gou Teng Tang
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish the Blood Subdue Wind
Herb Formulas	Si Wu Tang Bu Gan Tang For late stage fevers: San Jia Fu Mai Tang
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Liver Blood Deficiency

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Si Wu Tang Bu Gan Tang Si Wu Tang Jia Wei For head and eye signs and symptoms: Qi Ju Di Huang Wan
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Liver Yin Deficiency

Clinical Manifestations	Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole Heat Night sweats Light menses or Late menses or Amenorrhea T: Red C: Little P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver
Herb Formulas	Yi Guan Jian
Points	KI-3, LIV-3, UB-18, UB-23

Liver Yin Defriciency With Liver Yang Rising

Clinical Manifestations	Dizziness Impaired vision Night blindness Tinnitus Irascibility Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	San Jia Fu Mai Tang Da Bu Yin Wan Tian Ma Gou Teng Yin Jian Ling Tang
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23

Liver And Kidney Yin Deficiency

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan Mai Wei Di Huang Wan Yi Wei Tang With Fire Flaring: Zhi Bai Di Huang Wan Er Long Zuo Ci Wan Da Bu Yin Wan With Blood Deficiency: Gui Shao Di Huang Tang With Internal Wind: Shi Hu Ye Guang Wan Following a febrile disease: Zeng Ye Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Liver And Kidney Deficiency

Clinical Manifestations	Blurred vision Dizziness Tinnitus Profuse dreaming Low back and knee pain and weakness Impotence Seminal emissions Dribbling urination T: Pale C: White P: Thready and weak
Treatment Principle	Enrich and supplement the Liver and Kidneys Tonify Jing Brighten the eyes
Herb Formulas	Bu Shen Ci Shi Wan Jia Wei
Points

Kidney Yang Deficiency

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear 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	Bu Gu Zhi Wan Da Tu Si Zi Tang Jia Jian Chinese Patent Medicines: Jin Kui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan
Points	DU-4, GB-2, KI-3, REN-4, SI-3, SI-4, SJ-17, ST-36, UB-23, UB-62 Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Yang Deficiency: Kidney Qi Not Consolidated

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear Low back and knees aching and weak Hearing deficit Jing Gate Not Consolidated: Spermatorrhea Premature ejaculation Vaginal discharge Infertility Urinary disorder: Frequent, clear, abundant urination Dribbling after urination Incontinence of urine T: Pale and swollen with teethmarks C: Thin white P: Deep and thready
Treatment Principle	Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Suo Gu Jing Wan Suo Quan Wan
Points	For spermatorrhea due to Kidney Qi Not Consolidated: 1. Jinggong, KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-52 2. REN-4, SP-6, UB-23 3. Jinggong, KI-3, KI-12, REN-4, ST-36 4. KI-12, REN-4, REN-6, SP-6, UB-23 For urinary incontinence and enuresis: 1. REN-3, SP-6, UB-22, UB-23, UB-28, UB-39 2. REN-3, SP-6, UB-22, UB-23, UB-28

Kidney Yin Deficiency

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Loss of libido Aching in bones Aching in leg and heel T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan Mai Wei Di Huang Wan
Points	GB-2, KI-3, KI-6, KI-7, LU-7, SI-19, UB-23 KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

Kidney Yin Deficiency With Fire Flaring

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear 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 and dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan Er Long Zuo Ci Wan Zhu Sheng Teng Er Tang Zi Shen Tong Qi Tang Chinese Patent Medicines: Er Ming Zuo Ci Wan Liu Wei Di Huang Wan Jian Nao Wan
Points	GB-2, KI-3, KI-6, KI-7, LU-7, SI-19, UB-23 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	Dizziness Tinnitus Weak legs Lower back ache Low-grade fever in the afternoon Fatigue Red cheeks Hot flushed face Spermatorrhea due to Deficient Yin Nocturnal emissions Fever with thirst Burning soles of feet Hot flashes Night sweating Dry cough Headache Restlessness Early periods Pale dilute menstrual Blood Nocturia General feeling of being Cold Restless insomnia Vertigo, T: Pale and swollen or Red C: Thin and white or Little or None P: Deep and weak or Thready and rapid
Treatment Principle	TonifY Kidney Yang Regulate the Chong and Ren vessels Nourish the Liver and Kidneys TonifY Deficient Yin Nourish Blood, Qi and Jing Relieve Empty Fire due to Deficiency of Yin
Herb Formulas	He Che Da Zao Wan
Points

Kidney Jing Deficiency

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear Dizziness Tinnitus Low back and knees weak and aching In adults: Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of the fontanel Poor bone development Brittle bones
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Bu Gu Zhi Wan Da Bu Yuan Jian Bu Nao Wan Zuo Gui Wan Chinese Patent Medicines: Jin Kui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan
Points	DU-4, GB-2, KI-3, REN-4, SI-3, SI-4, SJ-17, ST-36, UB-23, UB-62 DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Kidney Qi Deficiency

Clinical Manifestations	Frequent urination Copious amounts of clear urine Incontinence of urine Enuresis Either a tendency towards being too hot of too cold Shortness of breath Asthma Aversion to Cold Cold limbs Weak lower back and knees Lingering tinnitus or deafness Seminal emission Impotence Fatigue Lack of strength Maybe anorexia Maybe loose stools T: Pale C: White P: Deep, weak possibly tight or Thready and weak
Treatment Principle	Tonify and warm Kidney Qi
Herb Formulas	Cong Rong Wan
Points

Kidney And Liver Yin And Blood Deficiency With Liver Fire

Clinical Manifestations	Gradual and progressive onset of tinnitus or hearing loss The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear Deafness Tinnitus that worsen at night Dizziness Hypoacusis (elderly people) Blurred vision Fever Insomnia Irritability Hard of hearing Ocular pain Red eyes Thirst Auditory depression Poor hearing T: Red C: Yellow P: Weak, thready and rapid
Treatment Principle	Nourish Yin and Blood of the Liver and Kidneys Improve hearing Clear Heat
Herb Formulas	Zi Shen Tong Er Tang
Points

Qi And Yin Deficiency

Clinical Manifestations	Lassitude Fatigue Shortness of breath Dizziness Tinnitus Palpitations Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Scanty, yellow urination or Profuse, clear urination Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and Weakness Low grade fever Five sole heat Possible sweating Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	Tonify the Spleen Augment Qi Supplement the Kidneys Nourish Yin
Herb Formulas	Shen Qi Di Huang Tang
Points

Qi And Blood Deficiency

Clinical Manifestations	Chronic tinnitus and/or hearing loss that tend to be intermittent and worse with fatigue In some cases the tinnitus may be loud enough to impair hearing Fatigue Weakness Anorexia Shortness of breath Palpitations with anxiety and insomnia Loose stools Poor appetite Light headedness or Postural dizziness Pale or sallow face Spots before the eyes Weak voice Reluctance to speak Sweating with little or no exertion Dry skin Dry hair Easily fatigued limbs Poor memory Pale lips and nails Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy or Thready and weak
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Shi Quan Da Bu Tang Ba Zhen Tang For postpartum or menstrual disorders: Xiong Gui Tiao Xue Yin Chinese Patent Medicines: Gui Pi Wan Bu Nao Wan Ren Shen Yang Ying Wan Bu Zhen Wan
Points	GB-2, REN-4, SJ-17, SP-6, ST-36, UB-15, UB-17, UB-20, UB-23 KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

Qi And Blood Deficiency With Qi Stagnation And Heat

Clinical Manifestations	Constipation Facial flushing Melancholy Restlessness Headache Vertigo Tinnitus Abdominal distention Acid regurgitation Vertigo Stiff shoulders Neurosis Fever Palpitations Lower back pain Hot flashes Belching
Treatment Principle	Tonify Qi Nourish the Blood Regulate Qi Clear Heat
Herb Formulas	Nu Shen San
Points

Qi, Yang And Blood Deficiency

Clinical Manifestations	Amnesia Palpitations Feverishness Anorexia Emaciation Pale face Insomnia Dyspnea on mild exertion Fatigue Shortness of breath. Weight loss Dry skin Dry mouth Dry throat Dry lips Uterine bleeding Irregular menstruation May suddenly lose consciousness Slack jaw Restless at night Lassitude Tendency toward being frightened easily Weakness Sallow complexion Dizziness Tinnitus Tremors in the limbs Spontaneous perspiration Fever and severe chills General debility Mental instability Coughing and gasping. Night sweats Amnesia. Diarrhea Turbid urine Nocturnal emission Impotence Constipation Feeble breathing. Tired limbs T: Pale C:White P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle	Tonify Qi Nourish the Blood Strengthen the Spleen and Lungs Nourish the Heart Calm the Shen
Herb Formulas	Ren Shen Yang Rong Tang
Points

Qi , Blood And Yin Deficiency With Heat

Clinical Manifestations	Lassitude Fatigue Shortness of breath Dizziness Tinnitus Palpitations Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and weakness Low grade fever Five sole heat Possible sweating Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	Tonify Qi and Blood Promote urination Activate the Blood Dispel Blood Stasis Nourish Yin Generate fluids Clear Heat Drain Kidney Fire Cool the Blood
Herb Formulas	Yi Qi Yang Yin Huo Xue Fang
Points

Blood Stagnation

Clinical Manifestations	Persistent tinnitus or Hearing loss There may be black or dark discharge from the ear or Dark matter mixed in with the ear wax Maybe an earache or pain Chronic headaches Spider navii on the face, neck and trunk Vertigo Chronic tinnitus Hair loss Dark purple complexion or Blue or green facial complexion with or without rosacea or vitiligo Darkness around the eyes Brandy nose Progressive emaciation Abdominal distention Purplish discoloration of the sinews Tidal fever Dizziness Deafness Pale face Cyanosis Phthisis Muscle weakness Sudden loss of vision Pain that is fixed, stabbing and /or severe Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Activate the Blood Break up Stagnation Clear and open the ears
Herb Formulas	Tong Qiao Huo Xue Tang Xue Fu Zhu Yu Tang With Blood Deficiency: Tao Hong Si Wu Tang With Food Stagnation and Dampness Accumulation: Huo Xue Hua Yu Shu Gan Li Dan Chinese Patent Medicines: Fu Fang Dan Shen Pian Sheng Tian Qi Pian
Points	SP-6, SP-10, ST-36, UB-17, UB-40 Choose two or three of the following: GB-2, GB-20, GB-39, KI-3, SI-19, SJ-17, SJ-21, SP-6, SP-10, UB-17

Intense Heat Attacking The Liver Or Stomach

Clinical Manifestations	Headache Dizziness Red eyes Tinnitus Oral ulcers Bleeding gums Constipation
Treatment Principle	Purge Fire Detoxify
Herb Formulas	Niu Huang Jie Du Pian
Points

Toxic Heat In The San Jiao

Clinical Manifestations	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
Treatment Principle	Clear Heat Drain Fire Relieve toxicity from all three Jiaos Relieve inflammation Purge Damp-Heat Purge the Gallbladder
Herb Formulas	Huang Lian Jie Du Tang
Points

Middle Jiao Qi Deficiency

Clinical Manifestations	Pterygium Tinnitus Hearing loss Diminished visual and aural acuity Blurred vision Abdominal pain Dizziness Light headedness Anorexia Spontaneous sweating Chronic diarrhea T: Pale C: White P: Empty
Treatment Principle	Strengthen and raise the Qi of the Middle Jiao Improve visual and aural acuity
Herb Formulas	Yi Qi Cong Ming Tang
Points

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 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
Points

Wind-Phlegm (Feng Tan)

Clinical Manifestations	Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Jie Yu Dan Ban Xia Bai Zhu Tain Ma Tang
Points	Pre-stroke: ST-40, UB-40 Stroke (emergency): DU-26, KI-1, PC-9, Ting Points Post-stroke: Arm: LI-4, LI-11, LI-15, SI-3, SJ-5 Leg: GB-34, GB-35, UB-40, UB-60 Scalp: Motor area (contralateral - upper one-fifth)

Wind-Phlegm (Feng Tan) With Qi And Yin Deficiency

Clinical Manifestations	Marked emotional changes and behavior Irritability A feeling of Qi rushing upward Red eyes Headache - lasts all day Palpitations Tinnitus A feeling of distention and oppression below the Heart Abdominal bloating Muscle spasms in the shoulders, neck and back Dizziness Vertigo Insomnia Hot flushes Anorexia Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling, maybe red edges C: Thick or Greasy P: Slippery and maybe wiry or Soft and wiry and maybe rapid
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Gou Teng San
Points

Phlegm-Heat (Re Tan)

Clinical Manifestations	Tinnitus in both ears like the sound of cicadas There may be a feeling of blockage or pressure in the ears This condition often is long term with gradual loss of hearing Maybe yellow, purulent discharge from one ear associated with an earache Fullness and heaviness of the head Foggy-headedness Recurrent clearing of the throat Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Maybe restless fever Sore throat Fullness in the chest and epigastrium Loose or sluggish stools or Constipation Dry stools Shortness of breath Anorexia A poor sense of taste or A bitter taste in the mouth Dyspnea Nausea Vomiting Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid or Wiry and slippery
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Wen Dan Tang modified For severe cases or cases with vertigo, a thick, yellow tongue coat, impairment of consciousness or constipation: Gun Tan Wan Following resolution of the Heat signs or between episodes: Er Chen Tang modified With dizziness and a headache of foggy-headedness: Ban Xia Bai Zhu Tian Ma Tang With Spleen Qi Deficiency: Liu Jun Zi Tang Chinese Patent Medicines: Qing Qi Hua Tan Wan Huang Lian Jie Du Tang Chuan Xin Lian Kang Yan Pian
Points	LI-11, LU-5, ST-40, UB-13 Choose one or two of the following: GB-2, SI-19, SJ-17, SJ-21 + two or three of the following: GB-20. LI-4, LU-7, PC-5, SJ-3, SP-4, SP-9, ST-40

Heat In The Liver And Gall Bladder Channels

Clinical Manifestations	Fever Chills Severe headache Flushed cheeks Bad breath Tinnitus Hearing loss Irritability Insomnia Coughing up viscous, thick sputum Dark urine Swollen lymph nodes Abdominal tension and itching Darkened skin Epistaxis Itching Formation of cellulitis T: Red C: Normal or Yellow P: Wiry and rapid
Treatment Principle	Drain Fire Relieve toxicity Spread Liver Qi Strengthen the Spleen Disperse Wind-Heat
Herb Formulas	Chai Hu Qing Gan Tang
Points

Disharmony Between The Chong And Ren Channels

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

Wei Syndrome Due To Liver And Kidney Deficiency

Clinical Manifestations	Slow and gradual onset Weak and flaccid lower limbs Muscle twitching Soreness and weakness of the lower back and spine Inability to stand for a long time Total loss of mobility and severe loss of muscle mass can result with exacerbation Dizziness Vertigo Hair loss Dry throat Tinnitus Fatigue Nocturnal emissions Enuresis Fecal and urinary incontinence Irregular menstruation Dysmenorrhea T: Red C: Little or None P: Thready and rapid
Treatment Principle	Tonify the Liver and Kidneys Nourish Yin Clear Heat
Herb Formulas	Hu Qian Wan modified
Points	General points + KI-3, LIV-3, REN-4, SP-6, UB-18, UB-23 Huatuojiaji, KI-3, LIV-3, LIV-8, REN-4, SP-6, ST-31 to ST-41, UB-23 DU-4, GB-34, KI-3, REN-4, UB-18, UB-23 For tinnitus: + GB-2 For dizziness and vertigo: + GB-20, UB-2