Weakness

General

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	Due to prolonged illness: 1. REN-4, ST-36, UB-43 2. REN-6, ST-36

Wind-Cold Attacks The Lungs

Clinical Manifestations	Itching or tickling in the throat Cough with expectoration of thin, watery or frothy white sputum Chills with low grade fever Anhidrosis No thirst Headache Aversion to Wind Blocked and / or runny nose with clear, watery nasal discharge Sneezing General body aches Abdominal weakness Maybe asthma T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Resolve Phlegm
Herb Formulas	Shen Mi Tang
Points	DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13

Tai Yang - Tai Yin

Clinical Manifestations	Fever Chills Headache Joint pains Severe diarrhea Epigastric distention Perspiration Cold body and extremities Weakness of the extremities Upper abdominal palpitations Cold feet Dysuria
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi
Herb Formulas	Gui Zhi Ren Shen Tang
Points

Yang Ming Jing

Clinical Manifestations	High fever Profuse sweat Generalized weakness Severe chills Aversion to Heat Red face Severe thirst with a strong desire to drink Irritability Anxiety Pruritis Headache Toothache Gum bleeding Epistaxis Dry lips Dry tongue Dry mouth May be sensitive to Cold in the upper back Polyuria Delusions Eye congestion Burning sensation on the skin Abdominal fullness without resistance Dry, course skin May be heavy labored breathing Delirious speech (serious cases) T: Red tip and sides C: Yellow, dry or white P:Flooding and forceful or Large and forceless or Slippery and rapid
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44 With diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 With vomiting but no diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop vomiting:  PC-6, SP-4

Yang Ming Jing With Qi And Body Fluid Deficiency

Clinical Manifestations	High fever Profuse sweat Generalized weakness Severe chills Aversion to Heat Red face Severe thirst Thirst may be unquenchable Irritability Anxiety Pruritis Headache Toothache Gum bleeding Epistaxis Dry lips Dry tongue Dry mouth May be sensitive to Cold in the upper back Polyuria Delusions Eye congestion Burning sensation on the skin Itching skin Abdominal fullness without resistance Dry, course skin Listlessness May be heavy labored breathing Delirious speech (serious cases) Mania (serious cases) T: Red tip and sides C: Yellow, dry or white P: Large and forceless
Treatment Principle	Clear Yang Ming Heat Drain Stomach Fire Generate Fluids Alleviate thirst Tonify Qi
Herb Formulas	Bai Hu Jia Ren Shen Tang
Points	DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20

Yang Ming Fluid Deficiency

Clinical Manifestations	Previous history of Yin, Jin Ye or Blood Deficiency Previous history of Yang Ming Fluid and Yin depleted Anhidrosis Numbness Weakness Dryness Constipation T:  Red C:  Yellow and Dry P:  Weak and thready
Treatment Principle	Moisten and Lubricate Tonify
Herb Formulas	Ma Zi Ren Tang Zeng Ye Cheng Qi Tang
Points	KI-6, LI-11, SJ-6, ST-25, ST-37, ST-45, UB-25

Wei Stage: Summerheat With Qi And Yin Deficiency

Clinical Manifestations	High fever Profuse sweating Irritability Thirst Scanty, dark urine Restlessness Fatigue Fatigued limbs Shortness of breath Apathy T: Pale or Red P: Deficient and rapid
Treatment Principle	Clear Summerheat Tonify Qi Nourish Yin Generate Fluids
Herb Formulas	Qing Shu Yi Qi Tang
Points

Qi Stage Lung Heat With Yin Deficiency

Clinical Manifestations	Chronic cough Excess Phlegm Fever Lung abscess Hemoptysis Weakness Caseous lesion in the Lungs Dyspnea T: Red and dry C: Little or none or Thin and yellow P: Weak and rapid or Rapid and empty
Treatment Principle	Clear Heat Dissolve Phlegm Relieve cough Protect the Lungs Nourish Yin
Herb Formulas	Zi Wan Tang
Points

Qi Stage Stomach Heat

Clinical Manifestations	High fever Profuse sweat Generalized weakness Severe chills Aversion to Heat Red face Severe thirst with a strong desire to drink Irritability Anxiety Pruritis Headache Toothache Gum bleeding Epistaxis Dry lips Dry tongue Dry mouth May be sensitive to Cold in the upper back Polyuria Delusions Eye congestion Burning sensation on the skin Abdominal fullness without resistance Dry, course skin May be heavy labored breathing Delirious speech (serious cases) T: Red tip and sides C: Yellow, dry or white P:Flooding and forceful or Large and forceless or Slippery and rapid
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44 With diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 With vomiting but no diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop vomiting:  PC-6, SP-4

Qi Stage: Gall Bladder Heat

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Weakness and fatigue after vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gall Bladder Heat Pacify the Liver and Gall Bladder
Herb Formulas	Zhi Zi Chi Tang
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

Qi Stage Heat Lingering In The Chest And Muscles

Clinical Manifestations	Shortness of breath Fever Irritability Insomnia with tossing and turning A stifling sensation in the chest A general feeling of weakness and Deficiency A soft epigastrium Hunger with no desire to eat Anorexia T: Normal C: Slightly yellow P: Slightly rapid or Strong and floating at the distal position
Treatment Principle	Clear Heat Eliminate restlessness and irritability Relieve congestion in the chest and epigastrium
Herb Formulas	Zhi Zi Gan Cao Chi Tang With vomiting: Zhi Zi Sheng Jiang Chi Tang
Points

Phlegm-Damp Obstructs The Lungs With Kidney Yang Deficiency

Clinical Manifestations	Cough with copious, thin, white, frothy sputum Chest congestion with full feeling Dyspnea which is worse when lying down Sometimes asthma Coughing and wheezing with copious, dilute, white, frothy or lumpy sputum Chest and epigastric congestion Cold legs Pain and full feeling in the chest Dizziness Vertigo Palpitations Dyspnea - worse lying down Sometimes asthma Throat rattle Nausea Vomiting Shortness of breath with labored inhalation and smooth exhalation Acute attack of panting with a high pitched wheezing sound and rapid exhalation Leg Qi Acute cramping Muscle wasting Diarrhea in response to cold or hot weather Maybe anorexia Insensitivity in the lower abdomen Headache Facial edema Lumbar pain Weakness in the body and feet Numbness, weakness and aching of the feet and legs Edema of the extremities Fever Dysuria Weakness below the umbilicus Fatigue with a desire to curl up Epigastric distention Disorientation Disordered speech Tinnitus T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Activate the Spleen Dry Dampness Expel Phlegm Disperse and descend Lung Qi Stop wheezing Stop coughing Warm and transform Phlegm-Cold Strengthen the Stomach
Herb Formulas	Su Zi Jiang Qi Tang
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20

Lung Yin Deficiency

Clinical Manifestations	Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Afternoon fever Night sweats Malar flush (especially in afternoon) Five Sole Heat Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Weakness Emaciation T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs
Herb Formulas	Bai He Gu Jin Tang Yang Yin Qing Fei Tang Qing Zao Jiu Fei Tang With Lung or Spleen Qi Deficiency: Qiong Yu Gao Sheng Mai Yin Wan
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43

Lung Qi Deficiency

Clinical Manifestations	Soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath Pale face With Wei Qi Deficiency: Spontaneous perspiration (daytime) Low resistance to common cold Tendency to a blocked nose T: Pale C: Thin and white P: Weak
Treatment Principle	Reinforce the Lungs Strengthen Qi
Herb Formulas	Bu Fei Tang Si Jun Zi Tang Bu Zhong Yi Qi Tang With Lung Yin Deficiency: Qiong Yu Gao Sheng Mai Yin Wan
Points	LU-9, REN-17, ST-36, UB-13, UB-43

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Bai He Gu Jin Tang Ba Xian Chang Shou Wan Yang Yin Qing Fei Tang + Da Bu Yin Wan Du Qi Wan Mai Wei Di Huang Wan Qiong Yu Gao
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

Cold-Damp Distresses The Spleen

Clinical Manifestations	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 copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Ping Wei San
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

Spleen Qi Deficiency

Clinical Manifestations	Sallow complexion Fatigue Weariness Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath A weak voice T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Si Jun Zi Tang Xiang Sha Liu Jun Zi Tang Bu Zhong Yi Qi Tang Liu Jun Zi Tang Da Jian Zhong Tang Yi Qi He Wei Jiao Nang Yi Qi Jian Pi With Food Stagnation and Dampness: Qi Pi Wan With Stagnation of Dampness or Phlegm: Bao Jian Mei Jian Fei Cha With Blood Deficiency and Liver Cold: Dang Gui Sheng Jiang Yang Rou Tang With Damp turbidity clumping in the Stomach: Fu Ling Yin With Liver Qi Stagnation, Cold and Heat: Zhi Shi Xiao Pi Wan
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 REN-12, ST-36, UB-20 REN-4, REN-6, SP-6, ST-36, UB-20, UB-43

Spleen Not Governing The 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 For Deficiency type uterine bleeding: DU-20, LI-11, REN-4, SP-4, SP-10, SP-14, UB-17

Central Qi Sinking

Clinical Manifestations	All Spleen Qi and Spleen Yang Deficiency manifestations plus 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

Disharmony Between The Spleen And Stomach With Dampness

Clinical Manifestations	Anorexia Loss of the sense of taste Inability to eat more than a little at a time Bloating after eating Focal distention Diarrhea Nausea/Vomiting Indigestion Epigastric discomfort Generalized weakness Maybe chest distention T: Pale C: White P: Deep and soft
Treatment Principle	Strengthen and harmonize the Spleen and Stomach Resolve Dampness Improve the appetite
Herb Formulas	Xiang Sha Yang Wei 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 With Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Fu Zi Li Zhong Wan Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Wen Wei Yin Zhi Shi Li Zhong Wan Leading to Blood Stagnation: Qi Fang Wei Tong Jiao Nang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

Spleen And Stomach Qi And Yang Deficiency

Clinical Manifestations	Intermittent abdominal and gastric fullness and distention after eating Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort The vomitus is relatively inoffensivewith clearly identifiable food and possibly watery mucus-like material Waxy, pale complexion Anorexia Weight loss Emaciation Loose stools or Diarrhea Fatigue Weakness Listlessness Increased desire to sleep Cold abdomen Cold extremities Intolerance of Cold T: Pale and swollen C: White P: Thready, deep and weak
Treatment Principle	Warm and strengthen the Spleen and Stomach Harmonize the Stomach Descend Qi
Herb Formulas	Ding Kou Li Zhong Wan modified With Qi Stagnation: Ding Xiang Tou Ge San With Kidney Yang Deficiency: Fu Zi Li Zhong Wan  modified For severe, resistant or unresponsive cases with Phlegm Accumulation: Xuan Fu Dai Zhe Tang Chinese Patent Medicines: For Spleen Yang Deficiency with Cold: Fu Zi Li Zhong Wan For Spleen Yang Deficiency: Li Zhong Wan For Spleen Qi Deficiency: Xiang Sha Liu Jun Zi Wan For Kidney Yang Deficiency: Jin Gui Shen Qi Wan combined with one of the above formulas
Points	LIV-13, REN-9, REN-12, REN-14, REN-17, ST-36, UB20, UB-21 With Qi Stagnation: + LIV-3, PC-6 With Kidney Yang Deficiency: + KI-3, moxa or moxa needle DU-4, REN-4, UB-23 With gastroptosis: + moxa or moxa needle DU-20 Ear: Esophagus, Pylorus, Spleen, Stomach, Kidney, Adrenal, Sympathetic, Shenmen

Spleen Qi And Heart Blood 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 T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang Bai He Gan Mai Da Zao Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

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	Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Fu Zi Li Zhong Wan Zhen Wu Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Stomach Cold

Clinical Manifestations	General signs and symptoms: Epigastrium Cold with pain Mild cases: Constant pain Severe cases: Sudden bouts of sharp pain Pain is aggravated by Cold and relieved by warmth and hot drinks Cold hands and feet Cold Penetrates the Stomach and Intestines: Pain is sudden and sharp Pain is relieved by warmth Nausea Diarrhea Loose stools T: Pink C: White P: Deep and tight Retention of Fluid in the Stomach due to Cold: Pain is dull Pain is relieved by warmth Succussion sound in the epigastrium on palpation Vomiting of clear, watery fluid T: Pink C: White and sticky P: Thready or Thready and slow Stomach Deficiency with Stagnation of Cold: Pain is dull Pain is relieved by warmth and pressure Vomiting clear, watery fluid T: Pale C: Thin and white P: Deep and slow or Deep and thready
Treatment Principle	Warm the Stomach Warm Cold
Herb Formulas	Yan Nian Ban Xia Tang Mild cases: Gan Jiang Ren Shen Ban Xia Wan Severe cases: Xiang Sha Liu Jun Zi Tang + Liang Fu Wan In children: Ding Yu Li Zhong Tang
Points	Moxa or moxa needle PC-6, REN-6, REN-12, SP-4, ST-21, ST-36, UB-20, UB-21

Stomach Yin Deficiency

Clinical Manifestations	No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Mai Men Dong Tang
Points	KI-3, REN-12, SP-6, ST-36, UB-21

Stomach Qi Deficiency

Clinical Manifestations	Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant T: Pale C: Thin and white P: Weak and Deficient
Treatment Principle	Strengthen Qi Invigorate the Spleen and Stomach
Herb Formulas	Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang Huang Qi Jian Zhong Tang With Stagnation and rebellion: Da Ban Xia Tang
Points	REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21

Heart Yin Deficiency

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

Heart Yang Deficiency

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Cold limbs Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Warm and Clear Heart Yang
Herb Formulas	Bao Yuan Tang Gui Zhi Gan Cao Long Gu Mu Li Tang
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, UB-15 Moxa or moxa needle HT-5, HT-7, HT-8, PC-5, PC-6, REN-4, REN-6, REN-17, UB-15

Heart Yang Deficiency Exhaustion: Fainting With Cold Limbs

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor All four limbs cold Watery stools with undigested food Maybe loss of consciousness T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Return Yang Relieve contravection
Herb Formulas	Si Ni Tang
Points	Moxa or moxa needle DU-25, DU-26, KI-1, PC-6, PC-9, REN-4, REN-6, REN-8, ST-36

Heart Yang Not Vigorous: Water Qi Insults The Heart With Lung And Spleen Qi 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	Gui Pi Tang Suan Zao Ren Tang Ren Shen Yang Rong 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 Yang Not Vigorous: Water Qi Insults The Heart With Kidney Yang Deficiency

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

Heart Qi Deficiency

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue Weakness Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Big and weak or Intermittent
Treatment Principle	Reinforce and Strengthen Heart Qi
Herb Formulas	Si Jun Zi Tang Bao Yuan Dan Zhi Gan Cao Tang
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15

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	Dang Gui Bu Xue Tang Suan Zao Ren Tang Zhi Gan Cao 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 Gall Bladder Qi Deficiency

Clinical Manifestations	Palpitations Anxiety Apprehension Constant worry Poor concentration Timidity Shyness Easily startled Nervousness Irritability Restless sleep Insomnia Inability to get or maintain an erection Dizziness Emaciation Shortness of breath Constipation Dry mouth and throat Numbness Dry cough Cough with little or no sputum Cough with blood streaked sputum Spontaneous perspiration Night sweats Five Sole Heat due to stress Early menses Restlessness Dry tongue Pale copious menstrual flow Weakness Memory loss Excess dreams Fright Physical and mental fatigue Dry, hard stool Coarse skin Dry throat Weakness A skinny appearance A pale complexion T: Pale and shiny or Red C: Thin and white or None or Thin and greasy P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid or Wiry and thready
Treatment Principle	Benefit the Heart, Gall Bladder and Kidneys Support Yang Calm the Shen
Herb Formulas	Qi Yang Yu Xin Dan
Points

Heart And Kidney Yin Deficiency

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

Small Intestine Deficiency Cold

Clinical Manifestations	Vague lower abdominal pain Feelings of cold and heaviness Fond of warmth and pressure Abdominal fullness intermittently Borborygmus Unformed, loose stools or Chronic, incessant diarrhea Urinary frequency T: Pale C: Thin and white P: Deep and even
Treatment Principle	Warm and Clear the Small Intestine
Herb Formulas	Li Zhong Tang
Points	LIV-13, REN-4, REN-12, SP-3, ST-25, ST-36, ST-37, ST-39, UB-20, UB-27

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	Chai Hu Gui Zhi Tang Dang Gui Shao Yao San With Spleen Dampness: Xiao Chai Hu Tang
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

Liver Yin Deficiency

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

Liver Blood Deficiency

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Si Wu Tang Shao Yao Gan Cao Tang Jiao Ai Tang Ren Shen Yang Rong Tang Postpartum: Si Wu Tang Jia Wei
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind

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

Liver And Kidney Yin Deficiency

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan Ba Xian Chang Shou Wan Mai Wei Di Huang Wan With Fire Flaring: Zhi Bai Di Huang Wan Deficient Bi #1 Deficient Bi #2 With Blood Deficiency: Gui Shao Di Huang Tang With Liver Yang Rising and Wind: Ling Yang Jiao Tang With Liver Yang Rising, Blood Deficiency and Wind: Shi Hu Ye Guang Wan With Damp-Heat and Blood Stagnation: Zi Shen Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Kidney Yin Deficiency

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation 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 Qi Ju Di Huang Tang Ming Mu Di Huang Tang Ming Mu Di Huang Tang #2 Ba Xian Chang Shou Wan Mai Wei Di Huang Wan
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

Kidney Yin Deficiency With Fire Rising

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 Zi Shen Tong Er Tang
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 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 (Ba Wei Di Huang Wan)
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

Kidney Yang Deficiency: Kidney Qi Not Consolidated

Clinical Manifestations	Low back and knees aching and weak Hearing deficit Jing Gate Not Consolidated: Spermatorrhea Premature ejaculation Vaginal discharge Infertility Urinary disorder: Frequent, clear, abundant urination Dribbling after urination Incontinence of urine T: Pale and swollen with teethmarks C: Thin white P: Deep and thready
Treatment Principle	Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Suo Gu Jing Wan
Points	For spermatorrhea due to Kidney Qi Not Consolidated: 1. Jinggong, KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-52 2. REN-4, SP-6, UB-23 3. Jinggong, KI-3, KI-12, REN-4, ST-36 4. KI-12, REN-4, REN-6, SP-6, UB-23 For urinary incontinence and enuresis: 1. REN-3, SP-6, UB-22, UB-23, UB-28, UB-39 2. REN-3, SP-6, UB-22, UB-23, UB-28

Kidney Yang Deficiency With Water Flooding

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

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 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	Ren Shen Ge Jie San Hei Xi Dan
Points	DU-4, KI-3, LU-9, REN-6, ST-36, UB-13, UB-23, UB-43 Moxa or moxa needle DU-4, KI-3, REN-4, REN-6, REN-17, REN-21, REN-22, ST-36, UB-23

Kidney Yang, Qi And Jing Deficiency

Clinical Manifestations	General weakness Sexual dysfunction Impotence Premature ejaculation Male infertility Frequent urination Dribbling of urine Lumbar pain or weakness Depression Fatigue and poor memory following ejaculation Weak bladder Low sperm count
Treatment Principle	Tonify the Kidneys Nourish and astringe Jing Tonify Kidney Yang Tonify the Blood
Herb Formulas	Wu Zi Yan Zong Wan
Points

Kidney Yin And Yang Deficiency

Clinical Manifestations	Dizziness Tinnitus Night sweats Perspiration Nervousness Muscular flaccidity Fatigue Mood swings Amenorrhea Irregular menstruation Hot flashes Cold feet Lassitude Frequent, clear urine Irritability Headache Palpitations Insomnia T: Pale C: Thin and white P: Thready and rapid
Treatment Principle	Replenish Kidney Yin and Yang
Herb Formulas	Er Xian Tang With Jing and Blood Deficiency: Gui Lu Er Xian Jiao
Points

Kidney Jing Deficiency

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
Herb Formulas	Zuo Gui Wan You Gui Wan Da Bu Yuan Jian Gui Shen Wan He Che Wan With Wind-Cold Damp and Blood Stagnation: Yao Tong Ling
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Yin Deficiency

Clinical Manifestations	Weakness Afternoon fever Mouth parched Tongue burning T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin
Herb Formulas
Points	LI-4, PC-7, REN-3, REN-4, SP-6, SP-9

Yang Deficiency

Clinical Manifestations	Weakness Dislike of Cold T: pale C: White P: Empty and thready
Treatment Principle	Warm Yang
Herb Formulas
Points	Moxa or moxa needle REN-4, SP-6, ST-36, UB-20, UB-23

Qi And Blood Stagnation With Water Accumulation In The Legs

Clinical Manifestations	Pitting edema Numbness Fatigue Weakness in the legs Palpitations Distention beneath the Heart Constipation Dyspnea T: Blue purple maybe with purple or red spots C: White P: Choppy or Wiry and choppy
Treatment Principle	Dispel water accumulation Disperse Qi and Blood Stagnation Relieve constipation
Herb Formulas	Jiu Wei Bing Lang Jia Wu Fu Tang
Points

Qi And Yin Deficiency

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

Qi And Yang Deficiency Causing Blood Stagnation

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Normal C: White P: Moderate
Treatment Principle	Tonify Qi Invigorate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang
Points

Qi And Blood Deficiency

Clinical Manifestations	Fatigue 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
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang During pregnancy: Bao Chan Wu You Fang Leading to Blood Stasis: Ba Zhen Yi Mu Wan During pregnancy: Tai Shan Pan Shi San Postpartum: Xiong Gui Tiao Xue Yin
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

Qi, Yang And Blood Deficiency

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

Qi , Blood And Yin Deficiency With Blood Stagnation And Heat

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

Qi , Blood And Jing Deficiency With Damp-Heat

Clinical Manifestations	Weakness of the knees Soreness of the lower back Lumbago Atrophy of the leg muscles Lower back weakness Knee pain Difficulty walking Emaciation Impotence Poor memory Dizziness Night sweats Five Sole Heat Aggravation of the pain by Damp weather Pale complexion Profuse urination at night Tinnitus Hair loss Sensation of warmth Thirst Dry skin T: Red or Pale and flabby with teethmarks C: Little or Thin and white P: Thready and weak, especially in the Kidney positions
Treatment Principle	Tonify the Liver and Kidneys Strengthen the tendons and bones Eliminate Damp-Heat Tonify Kidney Jing Relieve rheumatic pain
Herb Formulas	Deficient Bi #3
Points

Blood Stagnation Due To Qi Deficiency

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Normal C: White P: Moderate
Treatment Principle	TonifY Qi Invigorate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan 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: Thready and rapid or Weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Abdominal weakness: Shou Wu Sheng Fa Yin
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

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

Clinical Manifestations	Cold abdomen 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 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 Supplement Jing
Herb Formulas	Huan Shao Dan
Points

Heat

Clinical Manifestations	Weakness A hot feeling in the abdomen Hard stools T: Normal C: Yellow P: Deep and full
Treatment Principle
Herb Formulas
Points	KI-1, LIV-8, REN-3, REN-4, SP-6, SP-9, UB-22, UB-23, UB-28

Damp-Heat In The Lower Jiao

Clinical Manifestations	Pain in low back and knees Aches and pains in the bones and sinews Weakness or atrophy of lower extremities Scanty yellow urine Red, hot, swollen and painful feet or knees Edema in lower legs Leukorrhea (thick, yellow, foul-smelling) Sores on lower extremities due to Damp Redness, swelling and pain of the knees with burning sensations Oliguria Eczema T: Normal C: Yellow and greasy P: Soft and and rapid
Treatment Principle	Eliminate Heat and Dampness
Herb Formulas	Er Miao San
Points

Wind-Phlegm (Feng Tan)

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

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 Weak extremities: Ping Chen Tang With Dampness: Wu Yao Shun Qi San
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-Cold-Damp Bi

Clinical Manifestations	Painful joints Heavy and painful sensations at fixed locations in lower back and extremities with weakness and stiffness or hypertonicity and immobility Aversion to Cold Attraction to warmth Palpitations Pain in the midline and back during pregnancy Pain worse at night General coldness Sallow complexion Wandering pain Pale complexion Shortness of breath May be Paresthesia and numbness Cold pain in the low back and knees Limited movement Soreness, weakness and numbness of the joints Tinnitus Muscle spasms Dizziness T: Pale C: Thin and white or White and moist P: Thin, weak and slow or Deep, thready and weak or slippery
Treatment Principle	Alleviate Wind-Cold-Damp
Herb Formulas	Astragalus and Drynaria Combination Juan Bi Tang Ren Shen Bai Du San With Blood Stagnation and Phlegm: Xiao Huo Luo Dan
Points

Bi Syndrome With Qi And Blood Deficiency

Clinical Manifestations	Excruciating sharp, stabbing joint pain Pain alleviated by warmth and aggravated by Cold Pain with fixed location Few joints are involved The joints cannot be flexed or extended No local redness or Heat Painful area often feels cold to the touch Pain worse at night and better during the day Pain mostly affects low back and lower extremities Pain intense but short lived Pain changes over days or weeks Ankylosis (stiffness) of joint Aversion to Cold Maybe chills with a slight fever Anhidrosis Frequent nocturnal urination T: Pink or Pale C: Thin and white (thicker than for Wind-Bi) P: Superficial and tight or Wiry and tight - maybe slow
Treatment Principle	Warm the channels Activate Qi and Blood.
Herb Formulas	Da Fang Feng Tang Du Huo Ji Sheng Tang
Points	To warm and circulate channels and collaterals: LIV-3, moxa LI-4, ST-36, GB-34, GB-31, SJ-5, SJ-4, UB-23, REN-4 Or Moxa UB-23, REN-4, GB-39 Arm pain: moxa needle GB-21, LI-8, LI-9, LI-10, LI-11, LI-13, LU-9

Bi Syndrome With Kidney And Liver Yin Deficiency

Clinical Manifestations	Excruciating sharp, stabbing joint pain Pain alleviated by warmth and aggravated by Cold Pain with fixed location Few joints are involved The joints cannot be flexed or extended No local redness or Heat Painful area often feels cold to the touch Pain worse at night and better during the day Pain mostly affects low back and lower extremities Pain intense but short lived Pain changes over days or weeks Ankylosis (stiffness) of joint Aversion to Cold Maybe chills with a slight fever Anhidrosis Frequent nocturnal urination T: Pink or Pale C: Thin and white (thicker than for Wind-Bi) P: Superficial and tight or Wiry and tight - maybe slow
Treatment Principle	Warm the channels Activate Qi and Blood.
Herb Formulas	Du Huo Ji Sheng Tang
Points	To warm and circulate channels and collaterals: LIV-3, moxa LI-4, ST-36, GB-34, GB-31, SJ-5, SJ-4, UB-23, REN-4 Or Moxa UB-23, REN-4, GB-39 Arm pain: moxa needle GB-21, LI-8, LI-9, LI-10, LI-11, LI-13, LU-9

Bi Syndrome Of The Blood

Clinical Manifestations	Relatively superficial numbness without pain Paresthesia and numbness of the skin and flesh Paresthesia of the shoulders Neck and shoulder stiffness and pain Abdominal pain alleviated by warmth and pressure Pale complexion Hemiplegia Stiff tongue Flaccidity if the extremities Migratory pain Pain, weakness, tightness or spasms of the extremities Spontaneous sweating Shortness of breath Aphasia Excess salivation Aversion to Wind T: Normal or Thick C: White or Smooth and white or White and greasy P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle	Tonify Qi and Blood Warm and harmonizes the channels and collaterals Harmonize the Ying and Wei Unblock painful obstruction Warm the Middle Jiao Dispel Cold Alleviate pain Harmonize Yin and Yang
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang
Points

Muscle Bi

Clinical Manifestations	Muscle weakness and numbness Pale complexion Muscle softness and atrophy Emaciation Difficulty swallowing Aversion to Cold T: Pale C: White P: Deep and thready
Treatment Principle	Warm the Spleen and Kidneys Tonify Qi and Blood
Herb Formulas	Muscle Bi #1
Points

Wei Syndrome Due To Liver And Kidney Yin Deficiency

Clinical Manifestations	Steaming bone disorder Afternoon fever Tidal fever Night sweats Spontaneous seminal emissions Irritability Heat and pain in the knees (maybe with weakness) Atrophy and weakness of the knees and legs Red face Restless fever Hematemesis Sore knees Sore lower back Maybe hemoptysis May be constant hunger Maybe constipation Hot flashes Restlessness Fidgeting Insomnia with frequent dreams Productive bloody cough Easily angered Nightmares Sore feet with flaccidity Tinnitus Burning sensation over Kidneys Dizziness or vertigo Five Sole Heat Cough T: Red C: Little or None P: Thready, Excess and rapid in the Chi position
Treatment Principle	Nourish Yin Descend Fire
Herb Formulas	Da Bu Yin Wan Hu Qian Wan Yi Sui Tang Zi Shui Qing Gan Yin
Points	Reducing method for heat patterns, reinforcing for deficient patterns, puncture on the affected side Upper limbs: Huatuojiaji, LI-4, LI-11, LI-15, SJ-5, ST-31 to ST-41 Lower limbs: Huatuojiaji, GB-30, GB-34, GB-39, SP-10, ST-31 to ST-41 Needle the major points along the Du Mai and Ren Mai alternating between the two channels from treatment to treatment (DU-3, DU-4, DU-14, DU-16, DU-20, DU-26; REN-3, REN-4, REN-6, REN-12, REN-17, REN-23, REN-24) Korean Sa-Am protocol - Lung tonification: Tonify LU-9, SP-3, Reduce LU-10, HT-8 Superficial threading along the Du Mai and Ren Mai with long needles, alternating between the two channels from treatment to treatment Plum Blossom: needling along the Du Mai and Ren Mai , alternating between the two channels from treatment to treatment Moxa: along the Du Mai and Ren Mai , alternating between the two channels from treatment to treatment

Wei Syndrome Due To Kidney Qi And Yang Deficiency

Clinical Manifestations	Weak and Cold lower back Difficulty rising T: Pale and swollen P: Very deep and weak
Treatment Principle	Tonify the Kidneys Warm Yang
Herb Formulas	You Gui Wan You Gui Yin
Points	DU-3, DU-4, KI-7, UB-23

Wei Syndrome Due To Qi Deficiency With Blood Stasis

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Normal C: White P: Moderate
Treatment Principle	Tonify Qi Invigorate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang
Points

Wei Syndrome Due To Blood Stagnation

Clinical Manifestations	Chronic flaccidity and weakness of the limbs Muscular atrophy Weakness and numbness of the limbs Dark-colored skin or Dry, scaled, fish-like skin Possible muscular pain Possible spasm leading to paralysis Blood vessels may be visible on the skin surface T: /purple tongue P: Choppy/uneven, thready T: Dusky, purple C: Thin and white P: Choppy or Choppy and thready
Treatment Principle	Circulate Qi Activate the Blood Eliminate Stasis Open the channels and collaterals
Herb Formulas	Tao Hong Si Wu Tang Tong Qiao Huo Xue Tang
Points	General points + REN-6, SP-6, SP-10, UB-40 Huatuojiaji, REN-6, SP-6, SP-10, UB-17, bleed UB-40

Wei Syndrome Due To Damp-Heat In The Lower Jiao

Clinical Manifestations	Heaviness of the limbs Weak and flaccid extremities Occasional numbness Slight swelling in the affected extremities Most often affects the lower extremities Possibly fever Stifling sensation in the chest and epigastrium Obesity Edema Skin problems Dark, scanty, painful and difficult urination A sensation of Heat that begins at the dorsum of the foot and slowly progresses up the leg to the waist T: Red C: Yellow and greasy P: Soft and rapid and possibly slippery
Treatment Principle	Clear Heat Dry Dampness Open the channels
Herb Formulas	Jia Wei Er Miao San modified Si Miao Wan modified Wu Wei Xiao Du Yin Yi Yi Ren Tang Dang Gui Nian Tong Tang
Points	General points + SP-9, UB-20 DU-8, DU-14, GB-34, LI-4, LI-11, SP-9 Huatuojiaji, LI-4, LI-11, SP-9, ST-31 to ST-41 With digestive problems: + REN-12, ST-44 DU-14, GB-31, LI-4, LI-11, SP-9 , ST-32, ST-36