Vertigo

General

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	Anmian, GB-20, KI-3, PC-6, REN-12, SI-19, SJ-17, ST-36 Thread DU-20 through to DU-23, GB-20, LI-4, LI-11, LU-7, SP-9, ST-36 , Taiyang, UB-40 DU-24, GB-13, GB-15, UB-3 DU-19, DU-23, GB-20, LI-4, PC-1, SI-3, SI-7, ST-40, UB-8, UB-16, UB-62, UB-66, UB-67 SI-5, UB-58 LIV-2, LIV-3 Severe - about to fall over: DU-13, UB-10, UB-60 For Heat: Electroacupuncture DU-20, DU-26, Shixuan for a long time Drug induced: DU-15,DU-20, GB-20, LI-4, SJ-9, Yiming High altitudes: GB-20, UB-10, UB-62 Yang vertigo: LI-4, UB-2, UB-65 Yin vertigo: GB-4, GB-20, GB-34, LI-4, REN-6, SJ-3, SJ-4, ST-36 , UB-10, UB-41 GB-20, GB-41, ST-40 Anmian, HT-7, ST-40 Scalp: Upper 1/5th of the CL Sensory area, Auditory area Ear: Forehead, Heart, Sympathetic, Shenmen, Internal Secretion, Adrenal, Back of Head

External Wind

Clinical Manifestations	Headache due to Wind attack Headache in any part of the head Fever and chills Dizziness Nasal congestion Stuffy nose Clear or white nasal discharge Sneezing Body aches Nasal obstruction Vertigo Aversion to Cold Copious sputum T: Normal C: Thin and white P: Superficial
Treatment Principle	Dispels Wind
Herb Formulas	Chuan Xiong Cha Tiao San
Points

Tai Yang Zhong Feng With Kidney Yang Deficiency

Clinical Manifestations	Aversion to Wind Mild, or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Headache Nausea Nasal irritation Nasal obstruction Tendency to snore Itchy throat Nocturnal emission Excess dreams Cold lower extremities Dizziness Vertigo Hair loss T: Normal C: Thin and white P: Superficial and slow or Moderate and maybe weak
Treatment Principle	Create sweat to relieve the Exterior and expel Wind Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas	Gui Zhi Jia Long Gu Mu Li Tang
Points	Bitong, DU-4, DU-16, GB-20, KI-7, KI-3, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, UB-23, Yintang With stiff neck and shoulders: + GB-21 SI-3, UB-62

Wind-Cold Attacks The Lungs With Qi Stagnation In The Interior

Clinical Manifestations	Aversion to Cold Fever Headache Anhidrosis Anorexia Belching Aching shoulders Tinnitus 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
Treatment Principle	Regulate Qi Release the Exterior
Herb Formulas	Xiang Su San Hua Gai San
Points	DU-16, GB-20, GB-40, LI-4 + LU-7 or LI-4 + KI-7, LIV-3, LIV-14, LU-5, PC-6, UB-12, UB-13, UB-18

Tai Yang - Yang Ming - Shao Yin Heat

Clinical Manifestations	Dizziness Red, sore eyes Difficulty swallowing Nasal congestion and infection Thick, sticky nasal discharge and saliva Bitter taste in the mouth Dry mouth Focal distention in the chest and diaphragm Stifling sensation in the chest and diaphragm Manic behavior Carbuncles Heat rash Headache Acne Chills High fever Restlessness Urticaria Sore throat Swelling of the throat Coughing Reddish urine Dyspnea Vertigo Severe aversion to Cold Skin rashes Skin ruptures or ulcers Tense abdomen Shoulder stiffness Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Fullness of the abdomen Fullness of the epigastrium Heaviness in the head T: Red C: White or Yellow and greasy P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San
Points

Shao Yang

Clinical Manifestations	Alternating chills and fever Dry throat Bitter or sour taste in the mouth Dizziness Sensation of fullness in the chest and hypochondrium Irritability Heartburn Chest distention Difficulty taking deep breaths Hardness beneath the Heart Hypochondriac pain with pressure Stress Being downcast with no desire to eat Anorexia Vertigo May be palpitations Dysphoria Retching Abdominal pain Stomach ache	Reduced appetite Subcostal bloating Depression Amenorrhea Tendency to diarrhea Nervousness Nausea Vomiting May be urinary dysfunction Restlessness Sometimes fatigue Nausea/vomiting (occasional) Headaches (side of head) Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Pink C: Thin and white P: Wiry
Treatment Principle	Harmonize and release Shao Yang Stage disorders Relieve the Liver Harmonize the Liver and Spleen
Herb Formulas	Xiao Chai Hu Tang For Shao Yang Fu: Chai Hu Jia Long Gu Mu Li Tang
Points	General points

Damp-Heat And Phlegm Invade The Shao Yang

Clinical Manifestations	Alternating chills and fever with fever more prominent A bitter taste in the mouth Nausea Dry heaves Hiccups A stifling sensation in the chest Chest and hypochondriac pain and distention Distending pain in the upper abdomen Vomiting bitter or sour fluids that are yellow and sticky Acid regurgitation Thirst T: Red C: Yellowish or White and greasy or Yellow and greasy P: Left: Wiry and rapid, Right: Slippery and rapid
Treatment Principle	Clear Gall Bladder Heat Dispel Dampness Harmonize the Stomach Resolve Phlegm
Herb Formulas	Hao Qin Qing Dan Tang
Points

Wind-Heat Attacks The Lungs

Clinical Manifestations	Cough with thick, sticky, yellow sputum Sore, red, swollen throat Thirst with a desire to drink cold liquids Runny or blocked nose with thick, yellow discharge Fever with perspiration Slight chills Aversion to Wind Headache Dizziness Vertigo Maybe dyspnea with flared nostrils Maybe chest pain T: Red tip C: Thin and yellow P: Superficial and rapid
Treatment Principle	Expel Wind Clear Heat Ventilate the Lungs
Herb Formulas	Mild cases: Sang Ju Yin Severe cases: Ma Xing Shi Gan Tang
Points	DU-14, DU-16, GB-20, LI-4 + LU-7 or LI-4 + SJ-5, LU-5, LU-10, LU-11, UB-12, UB-13

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	Mild cases: Cool the Liver Expel Wind Severe cases: Expel Wind-Heat Nourish Yin Clear Fire
Herb Formulas	Mild cases: Ling Yang Jiao San Bai Jiang Can San Severe cases: Sheng Yang Jiang Huo Tang Long Dan Xie Gan Tang
Points

Wei Stage: Damp-Heat

Clinical Manifestations	Headache (wrapping) Fever and chills, fever more pronounced or Chills with afternoon fever Heavy extremities Heavy sensations in the body Stifling sensation in the chest Nausea Dizziness Gastric and abdominal distension Sticky mouth No thirst T: Normal C: Greasy, white or Greasy, yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp-Heat
Herb Formulas	San Ren Tang
Points	For fever: DU-14, bleed UB-40 For Wind-Heat: GB-20, LI-4, or SJ-5, LI-11, UB-12 For headache: DU-23, DU-24, ST-8, Taiyang For Dampness: REN-9, SP-6, SP-9, ST-28, UB-20

Ying Stage: Heat Attacks The Pericardium

Clinical Manifestations	High fever worse at night Thirst Insomnia Major mental problems Dramatic change of personality Delirium Speech difficulty Aphasia Poor memory Dizziness Vertigo Maybe fainting Maybe coma Feverish extremities T:  Deep red P:  Thready and rapid
Treatment Principle	Clear Heat in Pericardium
Herb Formulas	An Gong Niu Huang Wan + Qing Ying Tang Zi Xue Dan Late-stage with Yin Deficiency: Qing Hao Bie Jia Tang
Points	HT-3, HT-5, HT-6, HT-7, KI-3, LI-11, PC-7, PC-8, Sifeng, SP-6, bleed Shixuan

Xue Stage: Blood Heat Generates Wind

Clinical Manifestations	High fever Confusion of mind Delirium Mania Dizziness Vertigo Dark yellow urine Excessive skin rashes all over body Hemorrhage: Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria Stiffness Convulsions:   Clenched jaws Clenched fists Shaking Opisthotonos Stiff neck Semi-consciousness T: Deep red and dry C: Yellow P: Wiry and rapid
Treatment Principle	Subdue Wind Clear Heat Nourish Yin Stop convulsions
Herb Formulas	Ling Jiao Gou Teng Tang
Points	To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

Phlegm-Damp Obstructs The Lungs

Clinical Manifestations	Cough with copious, thin, white, frothy sputum Chest congestion with full feeling Dyspnea which is worse when lying down Sometimes asthma T: Pink C: Thick, white and greasy or sticky P: Slippery
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Purge the Lungs
Herb Formulas	Er Chen Tang Su Zi Jiang Qi Tang
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, 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 Dizziness 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 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

Large Intestine Fluid Deficiency

Clinical Manifestations	Dry stools Knotted constipation or bowel movements once a day Difficulty passing stools Dizziness Bad breath Mouth and throat dry T: Red C: Little P: Thready and rapid
Treatment Principle	Lubricate the Intestines Relieve constipation
Herb Formulas	Zeng Ye Tang Ma Zi Ren Wan Wu Ren Wan
Points	KI-1, KI-3, KI-6, SJ-6, SP-15, ST-25, ST-37, UB-25

Spleen Not Governing Blood

Clinical Manifestations	Sallow or pale complexion Anorexia Four limbs feel tired and heavy Physical and mental exhaustion Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose or unformed stools Shortness of breath Dizziness Palpitations Functional Uterine Bleeding Purpura Epistaxis Hemafecia Hematuria Menorrhagia Metrorrhagia T: Pale and flabby - may have teethmarks C: White P: Thready and weak
Treatment Principle	Benefit Qi Conserve Blood
Herb Formulas	Gui Pi Tang Bu Zhong Yi Qi Tang modified Gui Pi Tang + Jiao Ai Tang
Points	SP-1, SP-3, ST-36, UB-20

Central Qi Sinking

Clinical Manifestations	Prolapse of one or more organs Sallow complexion Anorexia 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 or Soft and thready
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20, other points are selected according to the type of prolapse

Spleen Yang Deficiency

Clinical Manifestations	Dizziness Fullness in the chest and abdomen Palpitations 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 Coughing with thin sputum 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 or Pale and swollen C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold Transform Phlegm Dispel Fluids Strengthen the Spleen
Herb Formulas	Ling Gui Zhu Gan Tang modified
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Fluid Accumulation In The Stomach

Clinical Manifestations	Nausea Sudden vomiting of Thin Mucus or clear Fluids Absence of thirst May feel thirsty Palpitations Vertigo Dizziness Dysuria Focal distention of the epigastrium T: Normal C: White and Slippery P: Wiry
Treatment Principle	Harmonize the Stomach Stop vomiting Dispel Phlegm Regulate water circulation Disperse Stagnation
Herb Formulas	Xiao Ban Xia Jia Fu Ling Tang Ze Xie Tang
Points

Stomach Qi Deficiency With Heat

Clinical Manifestations	Vertigo Hiccup Nausea Dry heaves Retching Vomiting T: Pale or Red and tender or Red and dry P: Weak and rapid or Thready and rapid
Treatment Principle	Descend Rebellious Qi Augment Qi Clear Heat Strengthen the Spleen
Herb Formulas	Ju Pi Zhu Ru Tang
Points

Stomach Qi Deficiency With Turbid Phlegm Obstruction

Clinical Manifestations	Unremitting belching Hiccup Regurgitation Nausea Vomiting Hard epigastric distention Abdominal distention T: Normal C: White and Slippery or White and smooth P: Wiry and deficient or Wiry, taut and feeble
Treatment Principle	Descend Qi Transform Phlegm Augment Qi Harmonize the Stomach
Herb Formulas	Xuan Fu Dai Zhe Tang
Points

Stomach And Liver Deficiency Cold

Clinical Manifestations	Vomiting immediately after eating Vertigo with vomiting Indeterminate gnawing hunger Acid regurgitation Belching May be epigastric pain Dry heaves or spitting of clear fluids with vertex headache Vomiting and diarrhea with cold hands and feet Restlessness Severe fidgeting Irritability So agitated, the patient wants to die Habitual headache Subcardiac distention A feeling of fullness and distention in the chest and diaphragm T: Pale C: White and slippery P: Slow and weak or Sinking or slow and thin or Slow and wiry
Treatment Principle	Warm and tonify the Spleen, Stomach, Liver and Kidneys Descend Rebellious Qi Stop vomiting
Herb Formulas	Wu Zhu Yu Tang
Points

Phlegm Confuses The Heart Orifice

Clinical Manifestations	Mental confusion Clouding of consciousness Talking to oneself Acting as if no one else is present Dull expression with blank stare Odd behavior Maybe loss of consciousness Maybe falling to the ground Sound of phlegm in throat with gurgling T: Pink C: White and greasy P: Deep and slippery; maybe wiry
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Dao Tan Tang
Points	DU-16, DU-26, HT-7, PC-5, ST-40, UB-15, UB-18, UB-20, UB-62

Phlegm Obstructs The Heart Orifice: Yang Obstruction

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Retention of urine Constipation Stiffness and spasm of limbs Red face Body feels hot Coarse breathing Bad breath Restlessness Involuntary movements Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: Yellow and greasy P: Slippery, wiry and rapid
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Ling (Yang) Jiao Gou Teng Tangmodified
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, ST-40

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Easily startled Severe cases: Incoherent speech Crying and laughing without reason Manic agitation with irrational behavior May physically attack or abuse others 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 Mild cases: 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 Yang Not Vigorous: Water Qi Insults The Heart With Lung And Spleen Qi Deficicency

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 Zhen Wu Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

Heart Yang Not Vigorous: Water Qi Insults The Heart With Kidney Yang Deficiency

Clinical Manifestations	Palpitations Dysuria Shortness of breath Dyspnea Dizziness Muscular twitching Whole body edema Cold body Icy limbs Cold abdomen with watery stools Edema of limbs Cough Pale complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Abdominal pain Diarrhea T: Pale or Purple (Lavender) C: White and greasy P: Deep or Deep and minute
Treatment Principle	Support Yang Expel Cold Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	Moxa needle DU-4, KI-3, KI-7, PC-5, PC-6, REN-4, REN-6, REN-9, REN-17, SP-6, SP-9, UB-15, UB-23

Heart Blood Deficiency

Clinical Manifestations	Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness Pale face and lips T: Pale P: Thready and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen
Herb Formulas	Suan Zao Ren Tang Dang Gui Bu Xue Tang With Blood Stagnation: Tao Hong Si Wu Tang
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1

Heart And Liver Blood Deficiency

Clinical Manifestations	Palpitations Insomnia with much dreaming Easily startled Eye dizziness Both eyes dry and rough Twitching of the eyes Pain in the ribs and flanks Numbness of the limbs Stiffness and spasms of the tendons Low grade fever Night sweats Irregular, scanty menses T: Pale and thin C: Little P: Thready, choppy and forceless
Treatment Principle	Nourish Yin Reinforce the Blood Conceal Yang Calm the Shen
Herb Formulas	Suan Zao Ren Tang
Points	HT-7, LIV-3, REN-4, SP-6, ST-36, UB-15, UB-17, UB-18

Heart And Liver Yin And Blood Deficiency With Liver Yang Rising

Clinical Manifestations	Irritability Restless sleep Occasional palpitations Anxiety Dizziness Fright Insomnia Vertigo T: Red or Pale or Pink C: Little or None P: Thready and wiry
Treatment Principle	Enrich Yin Nourish the blood Sedate the Heart Calm the Shen Calm the Liver Anchor Yang
Herb Formulas	Zhen Zhu Mu Wan
Points

Liver Qi Stagnation Phlegm And Qi Stagnant And Blocked

Clinical Manifestations	A feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed. 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: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm.
Herb Formulas	Ban Xia Hou Po Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

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 Hei Xiao Yao San With dizziness: Dang Gui Shao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Qi Stagnation With Blood Deficiency

Clinical Manifestations	Dizziness that is worse with stress and generally not related to postural changes Hypochondriac tightness, discomfort or pain Headache or Head distention Vertigo Bitter taste in the mouth Frequent sighing Epigastric pain and distention Flatulence Alternating constipation and diarrhea Dry mouth and throat Fatigue, may feel better with activity Anorexia Alternating chills and fever Irregular menstruation Breast distention Premenstrual syndrome Lassitude Insomnia Shoulder and back pain Rib pain Tightness or fullness in the chest Cold extremities Pain in the arms and legs Heaviness of the head Night sweats Bloating and pain at the umbilicus and abdomen Diarrhea alternating with constipation Five Sole Heat Palpitations Malar flush Depression Irritability Increased desire to sleep All symptoms are worse with stress T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood Harmonize the Liver and Spleen
Herb Formulas	Xiao Yao San Hei Xiao Yao San Chinese patent Medicines: Xiao Yao Wan Chen Xiang Hua Qi Wan
Points	GB-20, GB-34, GB-43, LIV-3, PC-6, UB-18, Ahshi points on the upper back, neck and sternocleidomastoid muscle GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, SP-10, UB-17, UB-18

Liver Qi Stagnation Transforming Into Heat With Qi And Blood Deficiency

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 Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain 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	Pacifies the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San
Points

Liver Wind Stirring Internally: Extreme Heat Generates Wind

Clinical Manifestations	High fever Contractures Spasms Neck stiffness Convulsions Oculogyric crises Opisthotonos Coma Possibly death T: Red or Deep red P: Wiry and rapid
Treatment Principle	Clear Heat Cool the Liver Subdue Wind
Herb Formulas	Ling (Yang) Jiao Gou Teng Tang
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-14, DU-16, DU-20, DU-26, LI-11, LIV-2, LIV-3

Liver Wind Stirring Internally: Liver Fire ( Yang) 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 With Wind-Stroke: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Maybe coma Sometimes death T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Zhen Gan Xi Feng Tang Tian Ma Gou Teng Yin
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 DU-20, GB-20, LIV-2, REN-12, ST-36, UB-18 SI-3, UB-62 DU-16, DU-20, GB-20, LIV-3

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 San Jia Fu Mai Tang Bu Gan Tang E Jiao Ji Zi Huang Tang
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 DU-20, GB-20, LIV-2, REN-12, ST-36, UB-18 SI-3, UB-62 DU-16, DU-20, GB-20, LIV-3 GB-20, GB-34, SP-6, ST-36, UB-18, UB-20

Liver Fire Flaring Up

Clinical Manifestations	Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Dizziness Vertigo Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain 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 Dang Gui Long Hui Wan Liver Fire #3 With Wind: Ling Yang Jiao Tang Tian Ma Gou Teng Yin Chinese Patent Medicines: Tian Ma Mi Huan Su Jiang Ya Ping Pian Jiang Ya Wan Long Dan Xie Gan Wan Niu Huang Jian Ya Wan
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19 DU-20, GB-20, GB-34, HT-7, KI-1, KI-6, LI-4, LIV-3, UB-18 DU-20, LIV-2, Taiyang GB-20, GB-43, LI-4, LI-11, LIV-2, LIV-3, ST-8, UB-18, UB-23, Yintang With hypochondriac pain: + GB-34, SJ-6

Liver Yin Deficiency With Liver Yang Rising

Clinical Manifestations	Dizziness, worse with stress or emotional upset Vertigo Impaired vision Night blindness Tinnitus Irritability Irascibility Throbbing headache with distended feeling Flushed face Malar flush Blurred vision Pressure behind the eyes Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache, often temporal Nervousness Insomnia with much dreaming Restlessness Fatigue Weakness Dry throat Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea Lower backache Spasms 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 or Thready, wiry and rapid
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 Qi Ju Di Huang Wan Long Dan Xie Gan Tang Zhi Bai Di Huang Wan Er Long Zuo Ci Wan Jian Ling Tang Zhen Gan Xi Feng Tang With Wind: Ling Yang Jiao Tang Chinese Patent Medicines: Qi Ju Di Huang Wan Zhi Bai Di Huang Wan Er Ming Zao Ci Wan Tian Ma Wan
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23 GB-20, KI-3, LIV-2, UB-18, UB-23 GB-20, GB-34, LIV-2, LIV-3, PC-6, UB-18 DU-20, GB-20, LIV-2, LIV-3 GB-20, KI-3, LIV-2, UB-18, UB-23 KI-6, REN-4, ST-36, UB-23 KI-1, KI-2, KI-3, KI-6, LIV-3, REN-4, SP-6, UB-18, UB-23 With Heart Fire: + HT-7, PC-7, UB-15 GB-2, KI-1, KI-3, LIV-3, PC-6, SP-6, UB-18, UB-23 SI-3, UB-62 Plum Blossom: DU-20, Huatuojiaji, Taiyang Ear: Forehead, Heart, Sympathetic, Shenmen, Kidney, Endocrine, Adrenal, Occiput

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 Da Bu Yin Wan Liu Wei Di Huang Wan With Fire Flaring: Zhi Bai Di Huang Wan With Liver Yang Rising: Er Long Zuo Ci Wan Generating Wind: Da Ding Feng Zhu With Blood Deficiency and Fire Flaring: Shi Hu Ye Guang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence, spermatorrhea, premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan With Cold-Phlegm: Su Zi Jiang Qi Tang With constipation: Ji Chuan Jian
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 Moxa or moxa needle REN-4, UB-23, tonify ST-36, UB-20

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 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	Mild dizziness which is worse with sex, overexertion and late nights Tinnitus or deafness Poor memory Forgetfulness Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Low grade fever or Afternoon fevers Five Sole Heat Fatigue Insomnia Tendency toward constipation Malar or facial flushing 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 Zuo Gui Wan  modified Chinese Patent Medicines: Liu Wei Di Huang Wan He Che Da Zao Wan With Deficient Heat: Zhi Bai Di Huang Wan With tinnitus: Er Ming Zuo Ci Wan With visual disturbances: Ming Mu Di Huang Wan With Liver and Kidney Yin Deficiency:
Points	KI-3, KI-6, LU-7, REN-4, Taiyang, UB-15, UB-23, KI-1, KI-3, KI-6, REN-4, SP-6, UB-23 DU-16, DU-20, GB-20, KI-3, LIV-3, LIV-8

Kidney Yin Deficiency With Fire Flaring

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan Er Long Zuo Ci 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 Jing Deficiecy

Clinical Manifestations	Dizziness Vertigo 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	Zuo Gui Wan You Gui Wan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23 DU-4, KI-3, REN-4, UB-23, moxa UB-11 For poor memory: + HT-7, UB-15 SI-3, UB-62

Kidney And Liver Yin And Blood Deficiency With Liver Fire

Clinical Manifestations	Deafness Tinnitus that worsens 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 Blood Deficiency

Clinical Manifestations	Dizziness that is usually mild and postural and worse with fatigue Vertigo Poor memory Fatigue Lethargy Low spirits Depression Loose stools Poor appetite Pale face Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Anxiety Phobias Panic attacks Blurred vision Spots before the eyes Insomnia Dry skin Dry hair Forgetfulness Pale face, lips and nails Scanty periods or Bruises easily T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Gui Pi Tang Ba Zhen Tang With Cold symptoms: Shi Quan Da Bu Tang With Spleen Yang Deficiency: Fu Zi Li Zhong Wan With spontaneous sweating: Bu Zhong Yi Qi Tang Post hemorrhage: Dang Gui Bu Xue Tang  modified Chinese Patent Medicines: Ba Zhen Wan Dang Gui Ji Jing With Cold symptoms: Shi Quan Da Bu Wan With Spleen Qi Sinking: Bu Zhong Yi Qi Wan
Points	DU-20, REN-6, SP-6, ST-36, UB-20 With palpitations: + PC-6, UB-15 With insomnia: + Anmian, HT-7 KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17 LIV-13, REN-11, REN-12, ST-36, UB-17, UB-20, UB-23, UB-43 REN-4, SP-6, ST-36, UB-20

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 , 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 Tang Due To Blood Deficiency: Tao Hong Si Wu Tang
Points

Blood Deficiency

Clinical Manifestations	Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods T: Pale C: Thin, white and dry P: Choppy or Wiry and choppy
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Si Wu Tang Ren Shen Zi Xue Tang
Points	LIV 3, SP-6, ST-36, UB 11, UB-17 KI-6, LU-7, PC-6, SP-4

Blood Stagnation

Clinical Manifestations	Dizziness Vertigo Palpitations Amenorrhea with distention and pain Dysmenorrhea A stubborn headache that is fixed and boring Forgetfulness Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness 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 Fatigue Depression Low spirits Irritability Mood swings Dar or purplish lips Spider naevi on the face and nose Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Insomnia Restless sleep Shoulder stiffness 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, deep and slow or Wiry or Thready
Treatment Principle	Activate the Blood Break up Stasis
Herb Formulas	Gui Zhi Fu Ling Wan Tong Qiao Huo Xue Tang Xue Fu Zhu Yu Tang With Blood Deficiency: Tao Hong Si Wu Tang Postpartum: Qing Hun San  modified Chinese Patent Medicines: Fu Fang Dan Shen Pian Sheng Tian Qi Pian
Points	Ahshi points on the head, LI-4, LIV-3, LIV-4, UB-17

Phlegm Stagantioon

Clinical Manifestations	Spasms, cramps and stiffness in the limbs, neck and back Convulsions Diffuse headache Heaviness Fogginess or fullness in the head Visual disturbances Double vision Loss of sight Dizziness Vertigo Fullness and discomfort in the chest and epigastrium Nausea Vomiting T: Normal C: Greasy and white P: Soft, slippery and/or wiry
Treatment Principle	Expel Wind Disperse Phlegm Move Qi Stop spasms
Herb Formulas	Qu Feng Dao Tan Tang
Points	DU-8, DU-14, DU-16, DU-20, GB-20, SI-3, SP-3, ST-40, UB-62

Phlegm-Heat (Re Tan)

Clinical Manifestations	Dizziness with flushing Anxiety Nausea Palpitations Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Chest and/or epigastric fullness Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Wen Dan Tang  modified
Points	LI-11, LU-5, ST-40, UB-13

Phlegm-Heat In The Upper Jiao

Clinical Manifestations	Head and eyes dizzy T: Deep red edges C: Thick and yellow P: Empty and large
Treatment Principle
Herb Formulas
Points	DU-20, GB-20, LI-4, LIV-3, PC-7, ST-8, Taiyang

Phelgm-Damp Obstructs The Membrane Source

Clinical Manifestations	Fullness in the chest and hypochondrium Restlessness Irritability Heartburn Dizziness Vertigo A greasy mouth cavity Coughing with sputum Difficulty expectorating Alternating chills and fever as that in malaria every other day T: Normal C: Thick and rough P: Taut and slippery or Wiry and slippery
Treatment Principle	Dispel Dampness Dissolve Phlegm Eliminate pathogenic factors from pleurodiaphragmatic interspace (membrane source)
Herb Formulas	Chai Hu Da Yuan Yin
Points

Long-Term 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
Treatment Principle	Strengthens and raises the Qi of the Middle Jiao Improves visual and aural acuity Stop vertigo
Herb Formulas	Yi Qi Cong Ming Tang
Points

Damp-Phlegm (Shi Tan)

Clinical Manifestations	Dizziness Vertigo Mental cloudiness Heavy head Heavy sensation in the body Cough with Excess sputum Chest and epigastric distention Suffocating sensation in the chest and epigastrium Nausea Profuse sputum Vomiting Anorexia Fatigue Borborygmus Tinnitus Mouth glutinous No thirst Likes to sleep Maybe palpitations T: Thick C: White and greasy or Sticky and white P: Rolling or Wiry and slippery
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Eliminate Dampness Resolve Phlegm
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang Er Chen Tang
Points	GB-34, LIV-13, REN-12, ST-36, ST-40 PC-6, REN-12, ST-8, ST-40, UB-20 DU-20, DU-23, GB-20, GB-34, LI-4, REN-12, ST-36, ST-40, ST-41 REN-12, PC-6, ST-41

Wind-Phlegm (Feng Tan)

Clinical Manifestations	Dizziness Vertigo (possibly severe) Headaches (may be recurrent) A stifling sensation in the chest Nausea Vomiting Copious sputum Spots before the eyes Heaviness of the head Lockjaw Sinus congestion Cold feet Fatigue Abdominal distention Weakness of hands and feet May be edema Sudden loss of consciousness Excess salivation Compulsive sleeping after eating T: Normal C: White and greasy P: Wiry and slippery or Soft and slippery
Treatment Principle	Strengthens the Spleen Dispels Dampness Transforms Phlegm Soothes the Liver Extinguishes Wind
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang Ding Xuan Tang With Qi and Yin Deficiency: Gou Teng San
Points	GB-34, LIV-13, REN-12, ST-36, ST-40

Phlegm-Heat Generates Wind (Re Tan)

Clinical Manifestations	Mild or severe tremors of the head and extremities Sometimes the tremors can be stopped by conscious effort Fullness and stiffness of the chest and epigastrium A dry mouth Dizziness Vertigo Sweating Yellow Phlegm A tendency toward obesity 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 or Wiry, slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Extinguish Wind
Herb Formulas	Dao Tan Tang modified Wen Dan Tang modified With severe Phlegm, Heat and tremors: Cui Gan Wan 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: An Gong Niu Huang Wan Wan Shi Niu Huang Qing Xin Wan Hu Po Bao Long Wan Qing Qi Hua Tan Wan Huang Lian Jie Du Tang Chuan Xin Lian Kang Yan Pian
Points	DU-12, GB-13, LIV-3, PC-5, REN-15, ST-25, ST-40 If worse at night: + KI-6 If worse during the day: + UB-62

Tan Yin (Phlegm Damp)

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Heaviness of the body Dizziness, sometimes enough to make the patient fall over The dizziness may be triggered by, movement of the head,m strong smells or no obvious trigger The feeling may like sea sickness or spinning around Tinnitus during the dizziness Nausea Vomiting Vertigo Lethargy Somnolence Thirst with no desire to drink Maybe no thirst Palpitations Shortness of breath Poor concentration Foggy-headedness A sensation of the head being wrapped in a wet cloth Frontal headaches T: Pale and swollen C: Thick and slippery P: Slippery, full and maybe wiry or Soft
Treatment Principle	Warm and Dissolve Tan Yin Dry Dampness Transform Phlegm Strengthen the Spleen Harmonize the Stomach
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San Ban Xia Bai Zhu Tian Ma Tang Ping Chen Tang With Spleen Deficiency: Liu Jun Zi Tang  modified Chinese Patent Medicines: Er Chen Wan Fu Zi Li Zhong Wan
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23 GB-20, LIV-3, PC-6, REN-12, SI-19, SJ-17, ST-36 GB-40, PC-5, PC-6, REN-12, SP-5, ST-8, ST-40, ST-41 With Spleen Deficiency:+ UB-20, UB-21

Yi Yin (Overflow)

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

Xuan Yin (Hanging)

Clinical Manifestations	Cough with sharp pain in the chest and hypochondrium Hypochondriac distention and pain Hard focal distention in the epigastrium Dry heaves Shortness of breath Headache Abdominal distention Wheezing Fullness in the chest Dyspnea caused by extreme chest and back pain Dizziness Vertigo Asthma Rapid breathing Generalized edema which is worse in the lower body Difficult urination and defecation T: Normal or Dark C: Thick, greasy and white P: Deep and wiry
Treatment Principle	Attack and Dispel water
Herb Formulas	Shi Zao Tang
Points	KI-3, LI-4, LI-11, PC-6, REN-11, REN-12, ST-36, UB-13, UB-20, UB-23

Zhi Yin (Stasis)

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

Jin Ye (Body Fluid) Deficiency

Etiology	Excess urination Excess perspiration Excess diarrhea Excess vomiting Sudden Blood loss Heat Yin Deficiency
Clinical Manifestations	Dry mouth Dry lips Dry throat Thirst Dizziness Vertigo Dry stool Constipation Decreased urination T: Red, dry and cracked C: None P:Thready and rapid
Treatment Principle	Replenish Jin Ye (Body Fluid)
Herb Formulas	Zeng Ye Tang With severe constipation: Zeng Ye Cheng Qi Tang With Stomach and Intestinal Heat: Ma Zi Ren Tang
Points	Exogenous: Heat: DU-14, LI-4, LU-7 Dryness: LU-5, LU-10, UB-13 Endogenous: Heart and Kidney Yin Deficiency: KI-3, KI-7, LU-9, SP-6, SP-9, ST-36 Emotional irritation: KI-3, LI-11, LIV-3 Stress: Excess: GB-21 + affected organ points Deficiency: ST-36 + affected organ points

Wei Syndrome Due To Kidney And Liver Yin And Blood 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 Zi Shui Qing Gan Yin He Che Da Cao Wan Da Bu Yin Wan Liu Wei Di Huang Wan Zuo Gui Wan Zuo Gui Yin With Yang Deficiency: Ba Wei Di Huang Wan
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