Yawning, Frequent

General

Clinical Manifestations	In general, yawning is not pathological, however constant or frequent yawning can point to pathology.
Treatment Principle
Herb Formulas
Points	With frequent, abundant urination: LI-4, LU-7

Heart Blood Deficiency With Liver Qi Stagnation

Clinical Manifestations	Absent-mindedness Frequent feelings of extreme sadness with an urge to cry Inability to control one's emotions Depression Restless sleep May be night sweats Lack of mental focus Tight abdominal muscles Irritability Abnormal speech or behavior Disorientation Frequent yawning Sadness Overly sensitive or self-conscious Insomnia T: Red or pale red C: Scanty P: Thready and rapid
Treatment Principle	Nourish the Heart Calm the Shen Harmonize the Middle Jiao Relax tension Tonify Spleen Qi
Herb Formulas	Gan Mai Da Zao Tang
Points

Stomach Qi Stagnation

Clinical Manifestations	Yawning Vomiting after eating Frequent epigastric and abdominal distention and fullness which is worse after eating Vomiting of partially digested food about twelve hours after eating Vomiting relieves the abdominal discomfort The vomitus may have thick or thin frothy mucus Maybe epigastric masses and/or splash on palpation Stuffiness in the chest General weakness Mild constant epigastric pain; relieved by warmth and pressure Acid regurgitation Anorexia Nausea 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	Promotes movement of Qi Descends Qi Tonifies Spleen and Stomach Qi
Herb Formulas	Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang
Points

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General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and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

Qi Deficiency

Clinical Manifestations	Fatigue Loose stools Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion T: Pale C: White P: Empty
Treatment Principle	Tonify Qi
Herb Formulas	Si Jun Zi Tang Liu Jun Zi Tang
Points	KI-3, LU-9, SP-6, ST-36