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ABDOMINAL COLD

GENERAL

Points

Moxa needle UB-21, UB-23
Upper: Moxa needle PC-6, ST-36, REN-12, REN-16
Lower: Moxa needle SP-6, ST-25, REN-4

LARGE INTESTINE COLD

Clinical Manifestations	Constipation Difficulty in passing stools Dull pains and cold sensations in abdomen Preference for warmth; dislike of Cold Cold hands and feet Abundant clear urine T: Pale C: Thick, white and moist P: Deep and slow
Treatment Principle	Warm the Cold Relieve constipation.
Herb Formulas	Fu Zi Li Zhong Wan
Points	ST-25, ST-37, UB-25, SJ-6, Moxa REN-8, REN-6 REN-12, REN-4, ST-25, ST-36, UB-25, SJ-6, SP-6

SPLEEN YANG DEFICIENCY

Clinical Manifestations	A feeling of Cold in the stomach and abdomen Maybe pain in the stomach and abdomen Sallow complexion Aversion to Cold with a preference for warmth Anorexia (maybe with vomiting) Four limbs feel tired and heavy Cold extremities Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting of clear watery fluid Loose stools or watery stools containing undigested food Maybe occasional constipation Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Mental fatigue Tired extremities Copious, clear urine Maybe scanty urine with edema (Spleen Deficiency Edema) Maybe clear, watery vaginal discharge T: Pale or Pale and swollen C: Thin and white P: Deep and weak or Deep, slow and thready
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang Xiao Jian Zhong Tang modified Fu Zi Li Zhong Wan With constipation: Wen Pi Tang
Points	Moxa needle REN-12, UB-20, LIV-13, SP-3, SP-6, SP-5, ST-36 Moxa needle REN-10, REN-5, ST-25, ST-36, SP-4 With abdominal fullness: SP-7 With reduced food intake: REN-12 With pain in the Stomach and abdomen: SP-3 With loose stools: Moxa REN-8 With uterine prolapse: Moxa Zigong With rectal prolapse: DU-20 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 DU-20, Moxa needle REN-4, REN-6, REN-12 Moxa abdomen Ear points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic

SPLEEN AND STOMACH DEFICIENCY COLD

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure or Chronic , intermittent, spasmodic, dull abdominal pain, relieved by warmth and pressure Aversion to Cold Anorexia Easily satiated Abdominal pain and fullness after meals Nausea / vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Fatigue Depression Shortness of breath Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale, maybe swollen C: White and greasy P: Deep, thready and forceless
Treatment Principle	Warm Yang Strengthen the Spleen Warm the Center Dispel Cold Stop pain
Herb Formulas	Xiao Jian Zhong Tang
Points	Moxa needle UB-20, UB-21, LIV-13, REN-12, SP-3, SP-6, ST-36 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen Ear points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic

SPLEEN AND STOMACH DEFICIENCY COLD WITH KIDNEY YANG DEFICIENCY WITH EDEMA

Clinical Manifestations	Abdominal pain that is worse with Cold Dizziness Scanty urination Edema of the lower limbs Watery cough Heaviness and aching of the head and limbs Palpitations P: Deep and weal or Imperceptible Extreme cases: Abdominal ascites
Treatment Principle	Warm the Yang Promote urination
Herb Formulas	Zhen Wu Tang Shi Pi Yin
Points	UB-20, UB-23, ST-36, SP-6, SP-9, moxa needle REN-4 and REN-12 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen

SPLEEN AND STOMACH DEFICIENCY COLD WITH BLOOD DEFICIENCY, INTERNAL COLD AND BLOOD STAGNATION IN THE CHANNELS

Clinical Manifestations	Cold-type abdominal pain Icy cold hands and feet that are bluish or purplish and difficult to warm up P: Thready or Imperceptible
Treatment Principle	Warm the channels Disperse Cold Nourish the channels Unblock the vessels
Herb Formulas	Dang Gui Si Ni Tang
Points	REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa needle LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen REN-6, REN-12, St-36, SP-4, GB-34, LI-4 With pain above the navel: REN-10, ST-24 With pain below the navel: ST-27 With pain along the sides of the abdomen: LIV-13 With pain around the navel: ST-25, REN-9, REN-7 With lower abdominal pain: REN-14 With severe pain: SP-6, REN-6 With abdominal distention: SP-4 REN-6, REN-12, UB-20, UB-21, ST- 21, ST-36, PC-6, SP-4 REN-12, REN-6, ST-25, ST-34, ST-36, ST-37, SP-4, SP-6 With vomiting: PC-6 With severe pain or diarrhea: Strongly moxa REN-8 Ear Points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Sympathetic

SPLEEN AND STOMACH DEFICIENCY COLD WITH COLD ACCUMULATION IN THE UTERUS

Clinical Manifestations	Lower abdominal pain alleviated by warmth and pressure Irregular and/or painful menstruation Infertility or pain during the second or third trimester od pregnancy
Treatment Principle	Warm the uterus Nourish the Blood Calm the fetus
Herb Formulas	Ai Fu Nuan Gong Wan
Points	REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa needle LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen

SPLEEN AND STOMACH DEFICIENCY COLD WITH POSTPARTUM COLD AND BLOOD STAGNATION

Clinical Manifestations	Fixed lower abdominal pain and Coldness in a postpartum woman Incomplete expulsion of the placenta Continual discharge of purple clotted lochia T: Pale, purple
Treatment Principle	Warm the uterus Stop pain
Herb Formulas	Sheng Hua Tang
Points	REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa needle LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen

INVASION OF THE STOMACH BY EXOGENOUS COLD

Clinical Manifestations	Sudden onset of Cold-type abdominal pain The pain typically focuses around or lateral to the umbilical region or lower abdomen Epigastrium cold with pain Cramping The pain is alleviated by warmth and aggravated by pressure Chilliness Aversion to Cold Cold extremities Lack of thirst Clear urine Normal or soft stools 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 T: Normal C: White and sticky P: Deep, wiry and slow	Cold Penetrates the Stomach and Intestines: Pain is sudden and sharp Pain relieved by warmth Nausea Vomiting Diarrhea, loose stools May be constipation T: Pink C: White P: Deep and tight Retention of Fluid in the Stomach due to Cold: Pain is dull Pain relieved by warmth Succussion sound in 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 Interior Dispel the Cold Support the Yang Stop pain
Herb Formulas	Liang Fu Wan with modifications Liang Fu Wan + Zheng Qi Tian Xiang San Mild cases: Gan Jiang Ren Shen Ban Xia Wan Severe cases: Xiang Sha Liu Jun Zi Tang + Liang Fu Wan Si Ni Tang External Cold Attack: Li Zhong Tang Fu Z i Li Zhong Wan With Constipation: Da Huang Fu Zi Tang With severe pain: Da Jian Zhong Tang
Points	REN-6, REN-12, St-36, SP-4, GB-34, LI-4 With pain above the navel: REN-10, ST-24 With pain below the navel: ST-27 With pain along the sides of the abdomen: LIV-13 With pain around the navel: ST-25, REN-9, REN-7 With lower abdominal pain: REN-14 With severe pain: SP-6, REN-6 With abdominal distention: SP-4 REN-6, REN-12, UB-20, UB-21, ST- 21, ST-36, PC-6, SP-4 REN-12, REN-6, ST-25, ST-34, ST-36, ST-37, SP-4, SP-6 With vomiting: PC-6 With severe pain or diarrhea: Strongly moxa REN-8 Ear Points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Sympathetic

INVASION OF THE STOMACH BY COLD-DAMPNESS

Clinical Manifestations	Sudden onset of Cold-type abdominal pain The pain typically focuses around or lateral to the umbilical region or lower abdomen Epigastrium cold with pain Cramping The pain is alleviated by warmth and aggravated by pressure Chilliness Aversion to Cold Cold extremities Lack of thirst Clear urine Normal or soft stools 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 T: Normal C: White and sticky P: Deep, wiry and slow	Cold Penetrates the Stomach and Intestines: Pain is sudden and sharp Pain relieved by warmth Nausea Vomiting Diarrhea, loose stools May be constipation T: Pink C: White P: Deep and tight Retention of Fluid in the Stomach due to Cold: Pain is dull Pain relieved by warmth Succussion sound in 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 Interior Dispel the Cold Support the Yang Stop pain
Herb Formulas	Liang Fu Wan with modifications Liang Fu Wan + Zheng Qi Tian Xiang San Mild cases: Gan Jiang Ren Shen Ban Xia Wan Severe cases: Xiang Sha Liu Jun Zi Tang + Liang Fu Wan Si Ni Tang External Cold Attack: Li Zhong Tang Fu Z i Li Zhong Wan With Constipation: Da Huang Fu Zi Tang With severe pain: Da Jian Zhong Tang
Points	REN-6, REN-12, St-36, SP-4, GB-34, LI-4 With pain above the navel: REN-10, ST-24 With pain below the navel: ST-27 With pain along the sides of the abdomen: LIV-13 With pain around the navel: ST-25, REN-9, REN-7 With lower abdominal pain: REN-14 With severe pain: SP-6, REN-6 With abdominal distention: SP-4 REN-6, REN-12, UB-20, UB-21, ST- 21, ST-36, PC-6, SP-4 REN-12, REN-6, ST-25, ST-34, ST-36, ST-37, SP-4, SP-6 With vomiting: PC-6 With severe pain or diarrhea: Strongly moxa REN-8 Ear Points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Sympathetic

HEART YANG DEFICIENCY EXHAUSTION: COLLAPSE OF YANG

Clinical Manifestations	Palpitations Shortness of breath Faint, weak respiration Drenched with perspiration Dizziness Above symptoms worse on exertion or when tired Four limbs cold Intolerance of Cold Cold abdominal pain An extremely pale face Cyanosis of mouth and lips Upset stomach Loose stools T: Pale P: Minute (on the point of collapse)
Treatment Principle	Return Yang Consolidate Exhaustion
Herb Formulas	Shen Fu Tang
Points	Moxa REN-8 Moxa-needle REN-4, REN-6, ST-36, DU-25 Shock: PC-6 In combination with DU-25 DU-26 PC-9 KI-1

HEART YANG DEFICIENCY: 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 (Kidney and Spleen Yang Deficiency 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 SP-6, SP-9, KI-3, KI-7, UB-15, UB-23, PC-5, PC-6, REN-17, REN-9, REN-6, REN-4 With Heart Yang Deficiency: UB-15, REN-17, PC-6, PC-5 With Kidney Yang Deficiency: UB-23, DU-4, REN-4, KI-3 For diuresis: KI-7, REN-4, REN-6, SP-6, SP-9

PHLEGM OBSTRUCTS THE HEART ORIFICE: YIN OBSTRUCTION

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Cold extremities Retention of urine Constipation or diarrhea Fullness, pain, and a cold sensation in the chest and abdomen Abdominal pain with chest distention Vomiting An urge to vomit and defecate without doing either Excessive mucus and saliva Stiffness and spasm of limbs Pale face with bluish or purple lips Breath cold Limbs cold, pale and still Lying peacefully Coma Maybe hemiplegia Maybe aphasia Maybe facial paralysis T: Pale or Pink C: White and slippery or greasy P: Deep, slippery and even or Deep, Excess and slow or Wiry, tight and Excess
Treatment Principle	Open the Heart Orifice with Pungent Warming Herbs Eliminate Phlegm Subdue Wind
Herb Formulas	Su He Xiang Wan Di Tan Tang
Points	Bleed the Jing-Well points of the six hand channels DU-26, DU-20, KI-3, LIV-3, ST-40, PC-5, UB-20

COLD STAGNATION IN THE LIVER CHANNEL

Clinical Manifestations	Lower abdominal coldness and pain Lower abdominal spasms Swelling and pain in scrotum as if testicles were being pulled downward or Contractions and cold sensations of scrotum which are alleviated by warmth Penile retraction with a cold scrotum Pain, distention, fullness and cold sensation in lower abdomen Cold limbs Dislike of cold and preference for warmth Menstrual pain and hardness Hypochondriac pain Flank pain A bright white complexion T: Pale C: White, greasy or glossy P: Deep and wiry or Slow or Deep and Excess or Wiry and tight or Deep and tight
Treatment Principle	Warm the Liver channel Dispel Cold Stop pain
Herb Formulas	Nuan Ga n Jian Tian Tai Wu Yao San Si Ni Tang + Wu Zhu Yu Tang Nuan Gan Jian + Er Chen Tang Dang Gui Si Ni Tang Shao Fu Zhu Yu Tang
Points	Moxa-needle REN-4, SP-6, LIV-1 Moxa SP-6, SP-12, Moxa-needle LIV-12, LIV-8, LIV-1 For painful menstruation: SP-8, Moxa REN-3, For severe lower abdominal pain involving the periumbilical region: LIV-6 For clear, thin vaginal discharge: GB-26

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Cold abdomen Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs Fatigue General debility Pale or bright white face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Maybe dribbling urination 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 daybreak diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang Scatter Cold
Herb Formulas	Jin Gui Shen Qi Wan Si Shen Wan
Points	KI-3, Moxa UB-23, DU-4, REN-4, For retention of urine, chronic diarrhea and rectal prolapse: Moxa DU-20 For severe and incessant diarrhea: Moxa REN-8 For spermatorrhea: KI-3, Moxa REN-4, DU-4, UB-23, DU-20 For daybreak diarrhea: DU-20, Moxa UB-23, DU-4, REN-4, Moxa REN-11, REN-8, REN-4, Moxa-needle UB-20, UB-21, UB-23 For impotence: Moxa REN-4 For clear, cold vaginal discharge: SP-9 For dizziness: Moxa DU-20 For sleepiness: UB-62

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Cold body 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 T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow Extreme cases: Abdominal ascites
Treatment Principle	Warm and Reinforce the Spleen and Kidney
Herb Formulas	With diarrhea: Zhen Wu Tang Si Shen Wan
Points	UB-20, UB-23, ST-36, SP-6, SP-9, moxa, REN-4 and REN-12 Moxa needle UB-20, UB-21, UB-23 LIV-13, REN-12, SP-3, SP-6, ST-36 REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11 With nausea: PC-6 With severe pain or diarrhea: Moxa REN-8 Moxa abdomen Ear points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic

DEFICIENCY COLD OF THE CHONG AND REN CHANNELS

Clinical Manifestations	Lower abdominal Cold, distention and pain Sporadic abdominal pain which is better with warmth pressure Irregular menstruation (usually long and heavy or scant with clots) Delayed menstruation with a small amount of pale Blood Mild, persistent uterine bleeding Lumbar and sacral pain which are worse following menstruation or when tired Profuse, clear, watery leukorrhea Maybe infertility Maybe dark rings around the eyes Palpitations Shortness of breath Faint, weak respiration Drenched with perspiration Dizziness Above symptoms worse on exertion or when tired Four limbs cold Intolerance of Cold Cold abdominal pain An extremely pale face Cyanosis of mouth and lips Reduced appetite Fatigue Upset stomach Loose stools T: Pale and thick with teeth marks C: White and greasy P: Minute (on the point of collapse) or Deep and slow
Treatment Principle	Return Yang Scatter Cold Consolidate Exhaustion
Herb Formulas	Shen Fu Tang Wen Jing Tang Ai Fu Nuan Gong Wan
Points	Moxa REN-8, Moxa-needle REN-4, REN-6, ST-36, DU-25 For shock: PC-6 In combination with DU-25, DU-26, PC-9, KI-1 Moxa REN-4, REN-8, Moxa-needle UB-23, UB-26, DU-4 For menstruation with clots: SP-10, SP-6 For infertility: Bao Men Zi Hu (3 cun below the umbilicus and 2 cun lateral to the umbilicus) For clear, thin vaginal discharge: UB-52, GB-26 For lower abdominal pain: SP-8 For dysmenorrhea: SP-10, ST-29

BLOOD STAGNATION IN THE LOWER JIAO DUE TO COLD

Clinical Manifestations	Cold abdomen and testicles Bloody semen Cold limbs A pale face P: Slow
Treatment Principle	Invigorate the Blood Promote the movement of Qi Dispel Blood Stasis Warm and regulate menstruation Unblock the collaterals Unblock painful obstruction Alleviate pain
Herb Formulas	Shao Fu Zhu Yu Tang
Points	Moxa REN-8, REN-4, REN-6, ST-36, SP-10, SP-6, UB-17

SHAO YIN COLD

Clinical Manifestations	Palpitations Shortness of breath Faint, weak respiration Drenched with perspiration Dizziness Above symptoms worse on exertion or when tired Four limbs cold Intolerance of Cold Cold abdominal pain An extremely pale face Cyanosis of mouth and lips Upset stomach Loose stools T: Pale P: Minute (on the point of collapse)
Treatment Principle	Return Yang Consolidate Exhaustion
Herb Formulas	Shen Fu Tang
Points	Moxa REN-8, REN-4, REN-6, ST-36, DU-25 For shock: PC-6 In combination with DU-25, DU-26, PC-9, KI-1