Vaginal Discharge, Leukorrhea

General

Clinical Manifestations	White: Cold Damp Deficiency Yellow: Heat Red: Blood
Treatment Principle
Herb Formulas	Da Huang Mu Dan Pi Tang For vulvar itch: Ta Yang Tang She Chuang Zi San Vulvar Itch Powder #1 For black vaginal discharge: Li Huo Tang Topical: For ulcerations and erosions: Vaginal Wash #2 For killing microbes, stopping itching and generating new tissue: Vaginal Powder #1
Points	GB-26, REN-6, SP-6 For Spleen Qi Deficiency: + ST-36, UB-20 For Spleen Yang Deficiency: + moxa or moxa needle REN-12, ST-36, UB-20 For Spleen Dampness: + GB-34, SP-5 For Phlegm Dampness: + REN-12, ST-36, ST-40 For Liver Qi Stagnation: + LIV-3, LIV-5 For Liver Fire: + LIV-2, LIV-6, LIV-8 For Kidney Yang Deficiency: + DU-4, REN-4, UB-23 For External Damp-Heat: + REN-3, SP-9, SP-10 For Internal Damp-Heat: + REN-3, SP-9, LIV-5 For Yin Deficiency vulvar pruritis: + KI-3, KI-10, KI-11, LIV-3 DU-1, DU-2, DU-4, GB-26, KI-12, LIV-3, LIV-11, REN-2, REN-3, SP-10, ST-25, UB-31, UB-32, UB-33, UB-34 GB-34, REN-3, REN-4, SP-6, SP-9, ST-36, UB-20, UB-21 With white discharge: + moxa REN-6, ST-25 LIV-13, LIV-14, REN-4, REN-6, SP-6 KI-12, LIV-4, REN-3, SP-6, UB-31, UB-32, UB-34 GB-26, SP-6, SP-9, UB-30 REN-3, SP-9, Zigong REN-3, SP-6, SP-10, ST-39, moxa REN-4, SP-6, UB-23 DU-4, GB-26, GB-30, HT-7, LIV-2, PC-5, PC-6, REN-4, REN-6, SP-6, SP-9, ST-36, UB-17, UB-18, UB-23, UB-52 REN-4, SP-8 With Spleen Deficiency: + SP-6, UB-20 With Kidney Deficiency: + KI-3, UB-23 With Damp-Heat: + LIV-2, - REN-4 + REN-3, SP-9 Ear: uterus, Ovary, Inside Heart Secret, Liver, Kidneys GB-26, REN-2, REN-3, REN-4, REN-6, SP-6, UB-27 GB-26, REN-4, REN-6, SP-6, SP-9 For yellow discharge: + LIV-2, SP-1, ST-36 For red discharge: + PC-5 Rotate groups: A. REN-4, SP-6 B. KI-7, REN-6, ST-29 C. REN-3, Zigong For lumps in the abdomen: REN-4 For lumps in discharge: REN-4, REN-6, UB-27 For irregular periods: UB-37 For red and white discharge: A. GB-26, REN-2 B. GB-35, REN-3, REN-6, SP-6, UB-23, UB-30 C. DU-4, REN-3, moxa REN-8 To clear Heat, drain Dampness and stop discharge: GB-26, LIV-2, REN-6, SP-9, UB-30 With palpitations and insomnia: + HT-7, KI-3 With dry stools: + LIV-1, ST-25 To boost the Middle, strengthen the Spleen and drain Dampness: GB-26, REN-4, SP-6, ST-36 With anorexia: + LIV-13, REN-12, UB-20 With loose stools or diarrhea: + ST-25, UB-25 For red and white discharge: 1. GB-26, PC-5, REN-4, REN-6, SP-6, UB-30 2. DU-4, REN-3, moxa REN-8 3. GB-35, REN-3, REN-6, SP-6, UB-23 For white discharge: 1. GB-26, REN-3, SP-6, UB-18, UB-20, UB-23 2. GB-26, LIV-2, REN-4, REN-6, SP-6, SP-9, ST-36 3. KI-7, REN-3, REN-4, REN-6, SP-6, ST-29 For red discharge: GB-26, REN-3, REN-6, SP-6, SP-10, UB-18, UB-20, UB-22 Moxa: DU-4, REN-3, REN-8 for five minutes every other day Ear: Uterus, Bladder Cupping: REN-4, REN-6, SP-6

Jue Yin Cold

Clinical Manifestations	Vomits clear fluid Vertex headache Body cold Diarrhea Complete exhaustion of Yang T: Pale C: White P: Weak.
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity
Herb Formulas	Dang Gui Si Ni Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

Wei Stage: Summerheat With Dampness

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Gastric disturbances: Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Rapid and soft
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	Gui Ling Gan Lu Yin
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, LI-4, LI-11, REN-9, SJ-5, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20

Wind-Cold-Damp With Qi And Blood Deficiency

Clinical Manifestations	Bones and joints sore and painful Worse with movement Face is dull yellow Spasms or contractures of muscles and sinews Palpitations Asthenia Shortness of breath Spontaneous sweating Weight loss Poor appetite Diarrhea T: Pale C: None or White P: Soggy and Weak or Thin and faint
Treatment Principle	Harmonize and Tonify Qi and Blood Expel Wind-Cold Dampness Disperse Internal Dampness
Herb Formulas	Sheng Yang Sheng Shi Tang
Points

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
Herb Formulas	Dang Gui Nian Tong 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 Leukorrhea 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	Shen Ling Bai Zhu San
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

Lung And Kidney Qi Deficiency

Clinical Manifestations	Shortness of breath (difficult to inhale) Dyspnea exacerbated by exertion Asthma (inhalation difficult) Soft, weak voice Spontaneous perspiration Aversion to Wind Emaciated body Exhausted Shen Dispirited Limbs cold Face blue-green-colored Maybe superficial edema of limbs and body Maybe dysuria Maybe stress incontinence on coughing T: Pale, moist and swollen C: White P: Deep and thready or Weak
Treatment Principle	Nourish the Lungs Soothe asthma Reinforce the Kidneys to Grasp Qi
Herb Formulas	Huang Qi Jian Zhong Tang
Points	DU-4, KI 3, LU 9, REN-4, REN-6, REN-17, REN-22, ST-36, UB-13, UB-23

Cold-Damp Distresses The Spleen

Clinical Manifestations	Copious white vaginal discharge The discharge is like saliva or mucus Usually occurs in middle age Severe: Foul smelling Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe cold limbs Fear of Cold or feeling chilled T: Pink C: Thick, white and greasy or sticky P: Deep and slow or Slow and slippery
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Wei Ling Tang Yin Chen Si Ni Tang Qian Jin Zhi Dai Wan Hou Po Wen Zhong Tang
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-20 Moxa or moxa needle GB-26, REN-3, SP-6, SP-9, UB-20, UB-23 Moxa or moxa needle REN-12, SP-3, SP-5, SP-6, SP-9, ST-36, UB-20

Damp-Heat Injures The Spleen

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth Yellow vaginal discharge T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

Spleen Qi Deficiency

Clinical Manifestations	The discharge is copious and persistent Less repulsive or no odor The color is white or pale yellow The texture is viscid Lustrous white or sallow complexion Cold limbs Weak limbs Fatigue Somnolence Lassitude Dizziness Anorexi Abdominal distention Loose stools Edema in the feet Clear, abundant urination T: Pale C: White or Greasy white P: Even and Feeble
Treatment Principle	Tonify Spleen Qi Remove Dampness Raise Yang
Herb Formulas	Wan Dai Tang Li Zhong Tang Leukorrhea #1 Liu Jun Zi Tang Yi Huang Tang  modified With Dampness: Shen Ling Bai Zhu San Xiang Sha Liu Jun Zi Tang Yi Zhi Tang Wen Shen Zhi Dai Tang For white turbidity: Fen Qing Yin With Damp-Heat in the Lower Jiao: Sheng Yang Yi Wei Tang With Cold: Fu Zi Li Zhong Tang With weak limbs or Collapse of Qi: Bu Zhong Yi Qi Tang With Blood Stagnation and Heat: Jiang Zhi Jian Fei Yin With Food, Qi and Blood Stagnation and Damp Heat: Jiang Zhi Jian Fei Wan Jiang Zhi Jian Fei Yin #2 Jiang Zhi Jian Fei Yin #3 Jiang Zhi Jian Fei Yin #4 With Blood Deficiency and Liver Cold: Dang Gui Sheng Jiang Yang Rou Tang For long-time loose discharge without Fire or pain: Mi Yuan Jian With Liver Qi Stagnation: Qing Gan Zhi Ling Tang With Dampness: Si Ling San For Spleen and Stomach Qi Deficiency with Phlegm-Heat and Dampness: Shou Dai Liu He Wan
Points	GB-26, GB-27, REN-4, REN-6, SP-6, SP-9, UB-23, UB-30, UB-32, moxa REN-3, REN-8 GB-26, REN-6, REN-12, SP-6, ST-25, ST-36, UB-20, UB-21 GB-26, REN-6, SP-6, ST-36, UB-20 GB-26, REN-6, SP-6, ST-36, UB-20, UB-21 GB-26, REN-4, REN-6, SP-6, ST-36 REN-2, SP-6, SP-9, ST-29, ST-36, UB-20 GB-26, REN-4, SP-6, SP-9, UB-31 Ear: Uterus

Spleen Qi Deficiency And Liver Qi Stagnation With 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 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 Disperse Liver Qi Stagnation Transform Dampness Stop vaginal discharge
Herb Formulas	Wan Dai Tang
Points

Spleen Yang Deficiency

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Frequent, clear urination Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang Fu Zi Li Zhong Wan Huang Qi Jian Zhong Tang + You Gui Wan
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Late menstruation Scanty, light red Blood or Heavy non-stop bleeding Dull pain in the lower abdomen Pain alleviated by warmth Lower back pain Pale face Cold limbs Leg pain White vaginal discharge T: Pale C: Thin and white P: Deep and thready or Deep and weak
Treatment Principle	Warm the channels Disperse Cold Regulate Qi Pacify the Stomach
Herb Formulas	Wen Jing Tang Fu Zi Li Zhong Tang Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Wen Wei Yin For leukorrhagia: Tao Hua Tang
Points	Moxa or moxa needle REN-6, SP-6, ST-25, ST-29 Moxa or moxa needle DU-12, REN-6, SP-6, SP-10, UIB-43 Moxa or moxa needle REN-4, SP-6, ST-25, ST-36, UB-20 Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen-Damp With Liver Heat

Clinical Manifestations	Yellowish vaginal discharge Looks like pus, a rotten melon or strong tea Repulsive odor Swelling, pain, clots or burning Heat in the vagina Difficult, painful or scant urination T: Red C: Yellow and sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Tonify the Spleen Eliminate Dampness Clear Heat
Herb Formulas	Yi Huang Tang Jian Pi Chu Shi Tang
Points	GB-26, LIV-2, LIV-5, REN-3, REN-6, SP-6, SP-9

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

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Continuous cramping pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Fatigue Heaviness of head Lassitude Lower abdominal pain Dizziness Tinnitus Lumbago Edema Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation Oliguria	Palpitations Cold feet Extreme coldness of the hands and feet Vertigo Weakness and numbness of lower back and legs during pregnancy or postpartum Mal position of the fetus Dysmenorrhea Irregular menstruation Right upper quadrant pain Hepatomegaly Anemia Lack of energy Sore back Thirst with no desire to drink T: Pale or pink maybe petechiae on margin C: Thin or Greasy white P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle	Strengthen the Spleen and Kidneys Resolve Dampness
Herb Formulas	Dang Gui Shao Yao San Ba Wei Di Huang Wan  modified With Water Flooding: Zhen Wu Tang
Points

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

Heart Blood And Spleen Qi Deficiency

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea Leukorrhea T: Pale C: Thin and white or None P: Thready and weak
Treatment Principle	Reinforce and Benefit the heart and Spleen
Herb Formulas	Gui Pi Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, 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 Maybe leukorrhea T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Si Wu Tang For menstrual disorders: Hei Xiao Yao San
Points	LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Liver Qi Stagnatiion

Clinical Manifestations	Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Leukorrhea T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Xiao Yao San Long Dan Xie Gan Tang With Spleen Qi Deficiency: Qing Gan Zhi Ling Tang
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

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 Leukorrhea T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Hei Xiao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Qi Stagnation With Blood Deficiency

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 Irregular menstruation Breast distention Lassitude Insomnia Shoulder and back pain Rib pain Various types of menstrual discharges Premenstrual cramps	Excessive menstrual bleeding Tightness or fullness in the chest and abdomen 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 Flatulence T: Pink C: Thin white or yellow P: Wiry and deficient or Wiry, and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood Harmonize the Liver and Spleen Clear Heat
Herb Formulas	Hei Xiao Yao San Si Wu Tang Jia Wei Miao Xiang San Qing Gan Zhi Ling Tang modified Miao Xiang San + Qing Gan Zhi Ling Tang With coughing due to Cold and Heat and irregular menstruation: Vaginal Discharge #1
Points	GB-26, REN-4, REN-6, SP-6, UB-17, UB-20, UB-23

Liver Qi Stagnation With Heat

Clinical Manifestations	Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Anxiety	Spontaneous sweating or night sweats with fever Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San Long Dan Xie Gan Tang
Points

Liver Fire

Clinical Manifestations	Pale red or white vaginal discharge Discharge is thick with a foul odor Irregular menstruation Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Cloudy mind Flushed face or Yellow face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth and throat Bitter taste in mouth Thirst Chest or breast distention Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Yellow urine Maybe rib pain Tightness in the flanks In severe cases: Mania Hemoptysis Hematemesis Epistaxis T: Red tip and edges or Red C: Thick, yellow, dry and rough P: Wiry, Excess and rapid or Slippery
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang Leukorrhea #3 With a reddish color: Leukorrhea #2
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

Liver And Gall Bladder Damp-Heat

Clinical Manifestations	Yellow vaginal discharge with foul smell Pruritis vulvae 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 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	Long Dan Xie Gan Tang Yin Chen Hao Tang For greenish discharge due to Damp-Heat with Liver Qi Stagnation: Xiao Yao San  modified
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

Damp-Heat In The Liver Channel

Clinical Manifestations	Green or yellow, thick, glutinous and foul smelling vaginal discharge The vagina may be burning hot or Pain and itching both inside and outside the vagina Irritable, vexatious Heart Heat A bitter taste in the mouth A dry mouth and throat Thirst with a desire for Cold Fluids Knotted constipation Short, red urination T: Red C: Yellow P: Wiry, slippery and rapid or Wiry, slippery and weak or Floating and slow
Treatment Principle	Clear Damp-Heat from the Liver Channel
Herb Formulas	Long Dan Xie Gan Tang  modified Topical: Vaginal Wash #1 Vaginal Powder #1
Points	LIV-2, LIV-13, REN-3, SP-6, UB-18

Kidney Yang Deficiency

Clinical Manifestations	Profuse white vaginal discharge which is not thick ( looks similar to that of a egg white) and dribbles all day long Clear, silvery discharge No odor Dizziness Tiredness Low back soreness and weakness Leg pain and weakness The waist aches as though broken There may be a sensation of coldness in the lower abdomen Abdominal pain which is relieved by warmth Frequent pale urination especially at night General feeling of Cold Cold hands Cold feet Cold lower back Loose stools T: Pale and moist C: White P: Deep and weak or Deep and slow or Deep, thready and weak
Treatment Principle	Warm the Kidneys Support Yang Astringe Jing Stop discharge
Herb Formulas	Nei Bu Wan Ba Wei Di Huang Wan Fu Fang Ba Wei Wan Jia Jian With Milky Lin: Bei Xie Fen Qing Yin For astringing white discharge: Jin Ying Gao
Points	Moxa or moxa needle DU-4, DU-20, KI-3, REN-4, REN-8, UB-23 Moxa or moxa needle GB-26, KI-6, REN-4, UB-23, UB-32 With heavy discharge: + KI-12, KI-13 With loose stools: + ST-36

Kidney Yang Deficiency: Kidneys Not Grasping Qi

Clinical Manifestations	Dyspnea which is worse on exertion Difficult to inhale but not to exhale Shortness of breath, shallow breathing Soft voice Perspiration In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type T: Pale and swollen C: Thin and white P: Superficial and Deficient or Deep and thready Dyspnea which is worse on exertion Difficult to inhale but not to exhale Shortness of breath, shallow breathing Soft voice Perspiration In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type T: Pale and swollen C: Thin and white P: Superficial and Deficient or Deep and thready
Treatment Principle	Reinforce the Kidneys to Grasp Qi
Herb Formulas	Hei Xi Dan
Points	DU-4, KI-3, LU-9, REN-6, ST-36, UB-13, UB-23, UB-43

Kidney Yang Deficiency: Kidney Qi Not Consolidated

Clinical Manifestations	Profuse white vaginal discharge which is not thick ( looks similar to that of a egg white)and dribbles all day long. No odor Dizziness Tiredness Backache The waist aches as though broken There may be a sensation of coldness in the lower abdomen Frequent pale urination especially at night General feeling of Cold Loose stools Spermatorrhea Premature ejaculation Vaginal discharge Infertility Dribbling after urination Incontinence of urine T: Pale and moist C: White P: Deep and weak or Deep and slow
Treatment Principle	Warm the Kidneys Support Yang Astringe Jing Stop discharge
Herb Formulas	Suo Quan Wan Shui Lu Er Xian Dan Jin Suo Gu Jing Wan
Points	Moxa or moxa needle KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-52 REN-4, SP-6, UB-23 KI-12, REN-4, REN-6, SP-6, UB-23 KI-3, KI-12, REN-4, ST-36, UB-52

Kidney Yang Deficiency With Water Flooding

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness Leukorrhea In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

Kidney Yin Deficiency

Clinical Manifestations	Small, sticky, yellow discharge or The vaginal discharge is red and white, slightly viscid and without foul odor There is a burning sensation in the vulva Dizziness Blurred vision Flushed face Five Sole Heat Insomnia with dream-filled fitful sleep Constipation Dark urine T: Red C: Little or none P: Thready and rapid
Treatment Principle	Nourish Kidney Yin Clear Heat Stop discharge
Herb Formulas	Zhi Bai Di Huang Wan modified Bu Gan Yi Shen Tang Liu Wei Di Huang Wan For red vaginal discharge: Yin Liang Xue Zhi Dai Tang For Yin Deficiency with Excess Fire: Gu Jing Wan
Points	GB-26, KI-6, SP-6, UB-23, UB-32 For irritability: + PC-5 For insomnia: + HT-7

Kidney Yin Deficiency With Empty Fire Rising

Clinical Manifestations	Early menstrual period (short cycle) Discharge of a small amount of thick, bright red Blood Heavy flow Mid cycle bleeding (spotting) Bloody vaginal discharge Discharge begins with scant light-colored Blood Dizziness Blurred vision Hectic fever Flaccidity of the lower limbs Flushed cheeks Sore throat Tinnitus Heartburn Thirst Five sole Heat Night sweats Lack of skin luster T: Red or Crimson C: Little or None P: Thready and rapid or Deep, small and weak
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Liang Di Tang Gu Jing Wan 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	Heavy discharge The discharge may be white, yellow, red or red and white Itching of the genital area Restlessness Easily angered Dizziness Tinnitus Insomnia Night sweats Lower back pain Cold lower abdomen Frequent, clear abundant urination Nocturia A gray face Soft stools T: Pale or Red C: Little or None or Thin and white P: Thready and rapid or Wiry and rapid or Deep and slow
Treatment Principle	Tonify Kidney Yang Nourish Kidney Yin
Herb Formulas	Bai Dai Wan Bai Dai Wan #1 Zhi Dai Tang Gu Yin Jian With Empty Fire Rising: Qing Xin Lian Zi Yin For excess sex leading to discharge: Jin Suo Gu Jing Wan For Cold complications: Nei Bu Wan Chinese patent medicines: Wu Chi Pai Feng Wan
Points	GB-26, LIV-2, REN-4, SP-6 GB-26, KI-2, REN-6, SP-6, ST-36, UB-20, UB-23 Ear: Uterus

Kidney Qi Deficiency

Clinical Manifestations	A dirty, turbid vaginal discharge, like clotted Blood which is continuous and does not stop Low back ache Weak legs A chilly or cold abdomen Cold extremities Polyuria Loose stools Dizziness A poor memory A gloomy, dull facial color T: Pale and moist P: Deep and weak
Treatment Principle	Tonify the Kidneys Strengthen the Spleen Eliminate Dampness
Herb Formulas	Jia Jian Bu Shen Gu Jing Wan
Points

Kidney Jing Insufficiency

Clinical Manifestations	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 Stop discharge
Herb Formulas	Jin Suo Gu Jing Wan Suo Quan Wan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23 Jinggong, KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-15

Kidney Overacting On The Lung

Clinical Manifestations	White vaginal discharge Great pain in the vagina radiating to the Heart Soot Black complexion Testicular contraction sending pain to the cardiac or abdominal region Lower back pain Upper back pain Chest pain Frequent sneezing Drooling Lacrimation Incessant runny nose with turbid mucus Nasal polyps with inability to smell Cough with Phlegm and foam Fire-like Heat above and icy Cold below Intermittent headache Fire in the eyes Blurred vision Tinnitus Deafness Aversion to Wind-Cold Likes the sun Troubled sleep Constant sensation of choking Obstructed diaphragm and throat Loss of sense of taste	Acute contraction and pain of the flanks Loose teeth with inability to chew Genital sweating and Cold Eyes awry Difficulty attending to daily activities Cold palms Wind Bi insensitivity Frequent urination with copious discharge in the morning Scant urination at night Shortness of breath Asthmatic wheezing Sudden bowel movements Reddish-brown complexion Anorexia Abnormal urination and defecation Heart vexation Sudden turmoil Counter flow Qi Rectal pressure White abdominal skin Flatulence Inability to exert abdomen Borborygmus Hypertonicity of the sinew below the knee Great scapular pain
Treatment Principle	Warm Yang Expel Cold Strengthen the Lungs Tonify the Kidneys Clear Heat Expel Dampness Activate the Blood Circulate Qi
Herb Formulas	Shen Sheng Fu Zi Tang
Points

Kidney And Liver 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	Tiao Gan Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Qi And Blood Deficiency

Clinical Manifestations	Unchecked discharge over a long period of time Fatigue Listlessness Loose stools Poor appetite Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness 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	Ba Zhen Yi Mu Wan Bu Zhong Yi Qi Tang Ba Zhen Tang Jia Wei Ba Wu Tang With red and white vaginal discharge and aching and pin in the Navel and abdomen: Bai Shao Yao San Chinese patent medicine: Yin Dai Wan
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17 GB-26, REN-4, REN-6, SP-6, UB-17, UB-20, UB-23

Qi And Blood Deficiency Leading To Blood Stagnation

Clinical Manifestations	Irregular menstruation Reduced appetite Soreness in the lower back Red and white vaginal discharge Weak extremities Abdominal distention Cold extremities Spontaneous perspiration Weak breathing Shortness of breath Dizziness An extremely pale face Intolerance of Cold Cold abdominal pain Loose stools Upset stomach T: Pale P: Minute (almost imperceptible)
Treatment Principle	Tonifies Deficiency Invigorates the Blood
Herb Formulas	Ba Zhen Yi Mu Wan
Points	General points

Qi , Blood And Yang Deficiency

Clinical Manifestations	Fatigue Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods Chills Cold limbs Inability to get warm Loose stools Profuse clear urine Spontaneous sweating Lassitude T: Pale C: White or Thin, white and dry P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle	Tonify Qi and Blood Strengthen the Spleen Tonify Yang
Herb Formulas	Ren Shen Dang Shao San Er Chen Tang  modified Qian Jin Zhi Dai Wan  modified
Points

Qi , Blood And Yang Deficiency With Cold

Clinical Manifestations	Anemia Uterine bleeding Cold extremities Pale or sallow face Dizziness General fatigue Coarse skin Nocturnal emissions Weak knees Fatigue Dyspnea Night sweats Irregular menstruation Insomnia Intolerance of Cold Decreased eyesight after a prolonged illness Anxiety Intermittent fever Jaundice Deficient cough Shortness of breath Palpitations Anorexia Listlessness Lassitude Spontaneous sweating Spermatorrhea Continuous spotting Leukorrhea Weak legs and knees T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Replenish Yang Warm and tonify Qi and Blood
Herb Formulas	Shi Quan Da Bu Tan Fu Ke Zhong Zi Wan
Points	Moxa SP-6, REN-4, REN-6, ST-36, UB-17, UB-20, UB-23

Blood Deficiency

Clinical Manifestations	Scant, reddish vaginal discharge Repulsive odor Dizziness Palpitations Heartburn Thirst Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods Five sole Heat Dry stool T: Pale C: Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Si Wu Tang
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

Blood Deficiency With Heat

Clinical Manifestations	Chronic, continuous uterine bleeding A pale complexion Stabbing pain in the abdomen Alternating chills and fever Irregular menstruation with profuse bleeding Abdominal pain Fever Thirst Itchy skin Heat in the upper body with Cold in the lower body Irritability and restlessness despite fatigue and exhaustion Mood swings A sallow complexion Emaciation T: Dry with a red tip C: Thin white P: Deep and rapid
Treatment Principle	Drain Fire Resolve toxicity Tonify the Blood Stop Bleeding Warm the menses Cool the Blood
Herb Formulas	Wen Qing Yin Qin Lian Si Wu Tang Bao Yin Jian Gu Jing Wan
Points	General points

Blood Stagnation

Clinical Manifestations	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 Blue, dark or purplish discoloration of skin in small or large areas, 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
Herb Formulas	Gui Zhi Fu Ling Wan
Points	SP-6, SP-10, ST-36, UB-17, UB-40

Blood And Heat Stagnation

Clinical Manifestations	Pain in the lower right abdomen; refuses pressure Pain may be severe, boring, and in a fixed position or without fixed location Constipation or Mild diarrhea Maybe fever Maybe nausea and vomiting Anorexia Yellow vaginal discharge T: Red C:Thick, yellow and greasy or sticky P: Rapid
Treatment Principle	Clear Heat Transform Dampness Invigorate Blood circulation Conduct Stagnation
Herb Formulas	Da Huang Mu Dan Pi Tang With Qi Deficiency: Jiang Zhi Jian Fei Yin
Points	Lanweixue, ST-37, ST-36 For high fever: + LI-11, LI-4 For abdominal pain: + ST-25 For nausea and vomiting: PC-6, SP-4

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

Clinical Manifestations	Fatigue Heavy and painful lower back Dream-disturbed sleep General weakness Lack of interest in food or drink Fever Night sweats Seminal emission Forgetfulness Toothache Dizziness Gum swelling General pitted edema which is worse in the lower body Vaginal discharge Discharge of rice-water like urination without dysuria Aversion to Cold Impotence Decreased libido Emaciation Loose teeth Signs of premature aging Abdominal Cold Easily frightened T: Pale or Pale and thick C: Smooth and white P: Moderate and weak or Deep and weak
Treatment Principle	Tonify the Spleen and Kidneys Nourish the Heart Enrich Yin Nourish the Blood and Yang Augment Qi
Herb Formulas	Huan Shao Dan
Points

Fire

Clinical Manifestations	Black, foul smelling vaginal discharge Lower abdominal pain Sharp, painful urination Swollen vagina Red face P: Slippery and rapid or Deep and rapid
Treatment Principle	Clear Fire
Herb Formulas	Li Huo Tang
Points	GB-26, KI-6, REN-3, SP-6, UB-23

Damp-Heat

Clinical Manifestations	Profuse, yellow, green or red sticky discharge with a foul odor In some patients the discharge is white but like bean curd Foul odor Vulvar itch or A burning sensation in the vagina Scanty dark urine Urine may be bright red A heavy head Chest tightness Palpitations Sticky mouth Dry mouth A bitter taste in the mouth Thirst with no desire to drink Anxiety Insomnia Reduced appetite Vague pains in the lower abdomen Lower back pain Abnormal stools Dizziness Lassitude Fatigue Low-grade fever T: Red C: Yellow and greasy or Thick and yellow or Greasy and white P: Soft and mildly rapid or Slippery and rapid or Floating, small and rapid
Treatment Principle	Strengthen the Spleen Eliminate Dampness Clear Heat Stop the discharge
Herb Formulas	Long Dan Xie Gan Tang Yi Huang Tang Zhi Dai Tang Mie Di Zhi Yang Tang Qing Xin Lian Zi Yin Leukorrhea #2 She Chuang Zi San Er Miao San Qing Gan Zhi Ling Tang Jia Wei Er Chan Tang For a mild condition: Ba Wei Dai Xia Fang With much Heat: Ba Zheng San For Damp-Heat in the Lower Jiao: Jia Wei Er Miao San As a douche for severe Damp-Heat: She Chuang Zi Chong Xi Ji
Points	GB-26, LI-4, LI-11, REN-4, SP-6, SP-9, ST-36 GB-26, REN-6, SP-4, SP-6, SP-9, SP-10, ST-36, UB-20 DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19 GB-26, LIV-2, REN-6, SP-6, SP-9 GB-26, REN-6, SP-6, ST-36, UB-30 GB-26, GB-34, LIV-2, REN-6, UB-30 GB-26, REN-3, SP-6, SP-9, UB-32 With severe Heat: + LI-11 With severe vaginal itch: + LIV-2, LIV-5 With reddish discharge: + SP-10 GB-26, KI-7, REN-6, SP-6, SP-9, UB-32 For continuous discharge: GB-26, REN-3, REN-6, SP-6, ST-30, ST-36, UB-30 With anorexia: + REN-12, ST-25 Ear: Uterus

Damp-Heat Injures The Blood

Clinical Manifestations	Red discharge (not Blood) Continuous spotting P: Deep and slippery
Treatment Principle	Clear Damp-Heat Regulate the Blood
Herb Formulas	Qing Gan Zhi Ling Tang
Points	REN-3, SP-6, SP-10, UB-15, UB-17, UB-18

Toxic Damp-Heat

Clinical Manifestations	The vaginal discharge is copious The color is either mixed red and white or multi-colored The texture is viscid, sometimes pus-like The odor is foul, sometimes putrid foul Lower abdominal pain Restlessness Dry mouth Dizziness especially in the afternoon Foul-smelling, dry feces Scanty dark urine T: Red C: Dry and yellow P: Rapid
Treatment Principle	Cool Heat Detoxify Eliminate Dampness
Herb Formulas	Wu Wei Xiao Du Yin Bai Tou Weng Tang Jie Di Zhi Dai Tang
Points

Toxic Heat

Clinical Manifestations	Profuse yellow blood streaked (stained) leukorrhea (vaginal discharge) Sticky with a strong odor Thirst General feeling of Heat Dark urine T: Red body C: Sticky yellow (possibly brown) P: Slippery and rapid
Treatment Principle	Clear Toxic Heat in the Lower Jiao
Herb Formulas	Zhi Mei Jing Yin Sai Ji Yin Qiao Hong Jiang Jie Du Tang
Points

Cold Dampness With Blood Stagnation

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 Lower abdominal cramps 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	Warms Yang Disperses Phlegm
Herb Formulas	Yi Yi Fu Zi Bai Jiang San
Points

Phlegm-Dampness

Clinical Manifestations	Delayed menstruation or Amenorrhea Thick, sticky discharge Abundant mucus Menses are decreased, light in color and viscid Scanty periods Palpitations of the Heart Shortness of breath or Strong, rapid respiration Epigastric fullness Lassitude of limbs Profuse sputum in the throat Loose stools Fatigue Drowsiness Obesity Infertility Leukorrhea Dizziness A heavy sensation in the head Chest oppression Abdominal swelling Nausea Increased vaginal discharge Body fat and stout Inability to taste food T: Pale and plump or Pale and moist C: White and greasy P: Slippery
Treatment Principle	Resolve Phlegm Eliminate Dampness Regulate Qi Regulate menstruation
Herb Formulas	Cang Sha Dao Tan Tang Er Chen Tang Wen Dan Tang Wu Ling San Cang Fu Dao Tan Tang Xiong Gui Er Chen Tang Chinese patent medicines: Po Chai Pills Pill Curing
Points	GB-26, REN-6, SP-6, ST-36, ST-40, UB-20 GB-26, REN-6, REN-12, SP-6, ST-25, ST-40

Phlegm And Blood Stagnation

Clinical Manifestations	Mild, persistent uterine bleeding of purple and black blood during pregnancy Abdominal pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness Fatigue Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face Protruding abdomen T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense and deep and slow
Treatment Principle	Invigorate Blood Transform Blood Stasis Soften lumps Reduces fixed abdominal pain
Herb Formulas	Gui Zhi Fu Ling Wan
Points

Excess Heat In The Lower Jiao

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 In The Lower Jiao

Clinical Manifestations	Red hot swollen painful joints Leg numbness and pain Burning sensations in the feet Weak low back Weak lower limbs Atrophy of the lower limbs Scanty, yellow urine Lower back pain Thick, yellow, foul smelling vaginal discharge Lower limb sores due to Dampness T: Pink and maybe swollen C: Yellow and greasy P: Rapid
Treatment Principle	Clear Heat Dry Dampness
Herb Formulas	San Miao Wan Wu Ling San Hua Shi San Ba Wei Dai Xia Fang For Damp-Heat in the Uterus: Da Cheng Qi Tang For Damp-Heat with Blood Stagnation in the Uterus: Qing Re Jie Du Hua Yu Tang Medicinal wine: Ku Shen Wei Pi Jiu
Points

Blood Stagnation In The Lower Jiao

Clinical Manifestations	Lower abdominal distension Excruciating abdominal pain Mania Delirious speech from extreme pain Afternoon fever Restlessness Thirst - likes to drink Amenorrhea Dysmenorrhea Irregular menstruation Chills and fever Headache Black stools Neurosis Hard stools Acute pelvic inflammatory disease Retention of lochia Intestinal obstruction T: Red and dry C: Normal or Yellow P: Sinking and choppy or Sinking and forceful
Treatment Principle	Invigorate the Blood Dispel Blood stasis
Herb Formulas	Shao Fu Zhu Yu Tang
Points

Cold Stagnation In The Liver Channel

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

Damp-Heat In The Ren Channel

Clinical Manifestations	Yellow discharge Facial swelling P: Wiry and slow or Floating and weak
Treatment Principle	Clear Damp-Heat Clear the Ren channel
Herb Formulas
Points	GB-26, REN-4, SP-4, SP-6, UB-20, UB-23

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
Herb Formulas	Huang Lian Jie Du Tang
Points

Toxic Damp-Heat

Clinical Manifestations	Thick yellow or green vaginal discharge Discharge may be mixed with Blood May have a fishy stench Vaginal ulceration Itch Short, red urine Bitter taste in the mouth Dry throat T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Resolve Toxins Resolve Dampness Stop discharge
Herb Formulas	Jia Wei Dai Xia Tang Qing Gong Li Dai Tang Douche: Dai Xia Quan Xi Qi
Points

Insufficiency Of The Chong And Ren Channels

Clinical Manifestations	Red or white vaginal discharge Lower abdominal Cold, distention and pain The vagina feels cold and distended inside Sporadic abdominal pain which is better with warmth pressure Irregular menstruation (usually long and heavy or scant with clots) Delayed menstruation with a small amount of pale Blood Mild, persistent uterine bleeding Lumbar and sacral pain which are worse following menstruation or when tired Profuse, clear, watery leukorrhea Maybe infertility Maybe dark rings around the eyes Palpitations Shortness of breath Faint, weak respiration Drenched with perspiration Dizziness Symptoms worse on exertion or when tired Four limbs Cold or Limb temperature may change abruptly form Cold to Hot Intolerance of Cold Cold abdominal pain An extremely pale face Cyanosis of mouth and lips Reduced appetite Fatigue Facial color is dull and stagnant Upset stomach Loose stools Maybe late menstruation T: Pale and thick with teeth marks C: White and greasy P: Minute (on the point of collapse) or Deep and slow or Wiry and choppy
Treatment Principle	Return Yang Scatter Cold Warm the menses Consolidate Exhaustion
Herb Formulas	Wen Jing Tang Ai Fu Nuan Gong Wan With red and white vaginal discharge (underlying Damp-Heat): Yu Qi Si Wu Zhi Dai Tang With Blood Stasis in the uterus: Zhen Ling Dan
Points	Moxa REN-8, Moxa-needle REN-4, REN-6, ST-36, DU-25 Moxa REN-4, REN-8, Moxa-needle UB-23, UB-26, DU-4 For menstruation with clots: SP-10, SP-6 For infertility: Bao Men Zi Hu (3 cun below the umbilicus and 2 cun lateral to the umbilicus) For clear, thin vaginal discharge: UB-52, GB-26 For lower abdominal pain: SP-8 For dysmenorrhea: SP-10, ST-29

Yuan Qi Deficiency

Clinical Manifestations	Alopecia Premature graying of the hair Vaginal discharge
Treatment Principle	Tonify Yang Nourish the Blood Tonify Jing
Herb Formulas	Shou Wu Pian
Points