ABDOMINAL FULLNESS AND DISTENTION (BLOATING)

GENERAL

Clinical Manifestations	Abdominal distention
Treatment Principle
Herb Formulas	For abdominal distention and nausea after vomiting or diaphoresis: Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang For abdominal distention and fullness after purgation, emesis or diaphoresis: Zhi Zi Hou Po Tang
Points	LU-9, LI-11, LIV-13, REN-3, REN-5, REN-10, REN-12 UB-28 GB-39, ST-44 REN-6 through to REN-3, Weishangxue UB-21, UB-23 ST-25, ST-36, PC-6, REN-4, REN-6 LI-4, ST-36, SP-15, SJ-6 SP-4, PC-6 LU-7, KI-6 With weak abdominal muscles: SP-13 Drum-like: LIV-4, KI-14 With flank fullness: LI-9, ST-36, GB-34 Lower abdominal distention: ST-44, GB-41

TAI YANG SHANG HAN WITH SPLEEN AND STOMACH DEFICIENCY

Clinical Manifestations	Chills and fever Aversion to Cold Headache Anhidrosis Chest and/or gastric distension Gastric pain Nausea Vomiting Borborygmus Diarrhea (acute) Abdominal pain Thirst Dry throat T: Normal C: Greasy and white P: Floating and tight
Treatment Principle	Disperse Wind Relieve the Exterior Tonify the Spleen and Stomach
Herb Formulas	Huo Xiang Zheng Qi Tang With Fluid Accumulation in the Interior: Shen Su Yin Xiao Qing Long Jia Shi Gao Tang
Points	DU-16, GB-20, KI-7, LI-4, LIV-13, LU-7, REN-12, SJ-5, SP-3, ST-36, UB-12, UB-13, UB-20

TAI YANG - YANG MING

Clinical Manifestations	Fever and chills with fever increasing and chills decreasing Headache Anhidrosis Stiffness and pain of the extremities Orbital pain Eye pain Shoulder and neck tension Dry nasal passages Irritability Insomnia Constipation Abdominal fullness Fever Tenesmus Vomiting Thirst Epistaxis T: Normal C: Thin and yellow P: Floating and slightly flooding
Treatment Principle	Dispel Wind Release the muscle layer Clear Interior Heat
Herb Formulas	Hou Po Qi Wu Tang
Points

YANG MING JING

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability Restlessness Feverish body parts Red face Abdominal fullness without resistance Dry stools No constipation No aversion to Cold T: Red, dry C: Dry yellow P: Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang Zhu Ling Tang With diarrhea: Ge Gen Tang With vomiting but no diarrhea: Ge Gen Jia Ban Xia Tang With spontaneous perspiration without chills or an intensely ruddy complexion, rapid respiration, and cannot lie down: Gui Zhi Tang
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44 With Qi and Body Fluid Deficiency: DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20 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	Clears Yang Ming Heat Drains Stomach Fire Generates Fluids Alleviates thirst Nourishes Qi
Herb Formulas	Bai Hu Jian Ren Shen Tang
Points

YANG MING FU (QI STAGE - INTESTINAL DRY HEAT)

Clinical Manifestations	High fever (sometimes rises and falls) Great thirst Profuse perspiration Aversion to Heat Abdominal pain (worse with pressure) Abdominal distension Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Mental disturbances: Mentally unclear Delirious speech T: Red and dry, or black and moist C: Thick yellow or dry yellow P: Deep, strong and forceful.
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	For constipation with abdominal distension and hard dry knots: Da Cheng Qi Tang For constipation with abdominal distension but without hard dry knots: Xiao Cheng Qi Tang For constipation without abdominal distention or hard dry knots: Tiao Wei Cheng Qi Tang
Points	For Heat: DU-14, LI-4, LI-11, ST-44, SJ-5 For Stagnation: ST-34, ST-36, ST-37, ST-39 , REN-12 For Constipation: ST-25, SJ-6, UB-25

YANG MING XU WITH CONSTIPATION

Clinical Manifestations	Constipation Dry stools that cannot easily be expelled, even with purgatives Thirst Distention and fullness of the epigastrium and abdomen Dry mouth Dry lips Previous history of Yin, Jin Ye, or Blood Deficiency Previous history of Yang Ming Fluid and Yin depleted Anhidrosis Numbness Weakness Dryness T: Red, dry and thin C: Little or None or thin and yellow or Burnt and yellow P: Thready and slightly rapid or weak and forceless
Treatment Principle	Generate Fluids Drain Heat Unblock the bowels Enrich Yin
Herb Formulas	Zeng Ye Cheng Qi Tang
Points

YANG MING - JUE NI

Clinical Manifestations	Hot skin on the chest and abdomen Thirst (prefers cold drinks) Fever Dark yellow urine Abdominal distension and hardness Maybe constipation Bad breath Bleeding gums T: Red C: Thick dry, yellow P: Slippery and rapid or Forceful and rapid
Treatment Principle
Herb Formulas	Bai Hu Tang
Points	To clear Heat: DU-14, LI-4, LI-11, ST-44, ST-45 To regulate Intestines: ST-25, ST-37, UB-25, SJ-6

SHAO YANG WITH CONGESTED FLUIDS

Clinical Manifestations	Alternating chills and fever (chills predominate) or Chills without fever Sensation of irritability in the chest Sweating from the head Fatigue Gastrointestinal weakness Heavy head Neuralgia Epigastric distension Lower abdominal pain Tension around pubic bone Periumbilical pain Urinary difficulty T: Moist C: White and slippery P: Superficial and wiry
Treatment Principle	Disperse Clumping Harmonize the Shao Yang Warm the Interior Dispel Cold
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

SHAO YANG - YANG MING

Clinical Manifestations	Intolerance of Cold Abdominal fullness and distention Constipation Cannot purge easily due to lack of Qi Hypochondriac pain Fever Cold extremities Hernia Abdominal pain T: Normal P: Rolling and forceful or Tight and wiry.
Treatment Principle
Herb Formulas	Da Huang Fu Zi Tang Ma Zi Ren Wan
Points	To treat the Shao Yang: Moxa GB-41, SJ-5 To treat the Yang Ming: Moxa REN-12, REN-8, REN-6, ST-25, ST-36, SJ-6

TAI YIN EXCESS

Clinical Manifestations	Nausea Clear, frequent urination Lack of thirst Anorexia Vomit clear fluid Abdominal distension and pain (sharp) Diarrhea or loose stool Prefers warmth T: Pale or pink C: White P: Slow, tight or soft
Treatment Principle	Regulate the middle Warm the Middle Jiao Disperse Cold Relieve pain
Herb Formulas	Gui Zhi Jia Shao Yao Tang With Excess Cold: Fu Zi Li Zhong Wan With a need to purge: Fu Gui Li Zhong Tang
Points	For pain and Cold: Moxa the abdomen To strengthen the Spleen and Stomach: ST-36, UB-20, UB-21, REN-10, LIV-13 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear urination: Moxa REN-4, REN-6, UB-23 For diarrhea: Moxa REN-8 Use few needles with deep insertion and moxa

TAI YIN DEFICIENCY

Clinical Manifestations	Clear, frequent urination Abdominal distension Anorexia Nausea Vomiting clear fluid Dull abdominal pain Diarrhea or loose stools Prefers warmth and pressure T: Pale C: White P: Slow, sinking or Soft and weak
Treatment Principle
Herb Formulas	Li Zhong Tang With excess Cold: Fu Zi Li Zhong Tang Fu Gui Li Zhong Tang
Points	For pain and Cold: Moxa the abdomen To strengthen the Spleen and Stomach: ST-36, UB-20, UB-21, REN-10, LIV-13 (moxa if severe) For abdominal pain and nausea: PC-6, SP-4, ST-25 For frequent, clear urination: Moxa REN-4, REN-6, UB-23 For diarrhea: Moxa REN-8

JUE YIN COLD

Clinical Manifestations	Long standing cold hands and feet that are cold to the touch and feel cold to the patient Maybe lumbago and leg pain Abdominal pain and distention Midline pain Uterine pain Chills Diarrhea Menstrual abdominal pain Maybe chest pain Increased sweating, particularly of the feet Increased salivation Vomits clear fluid Vertex headache Body cold Diarrhea Complete exhaustion of Yang Spasm and pain of the limbs Scanty urination Pain at the waist, hips, legs and feet Sciatica Joint pain Irregular menstruation Abdominal Cold Migraine headache Vaginal discharge T: Pale C: White P: Deep and thready (may be almost imperceptible).
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity Warm the channels Disperse Cold Nourish the Blood Unblock the Blood vessels
Herb Formulas	Dang Gui Si Ni Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

JUE YIN HEAT

Clinical Manifestations	Cold extremities Body hot and feverish due to lack of harmony of Liver Qi Thirst Abdominal distention Fever Dark yellow urine T: Red C: Normal P: Rapid, slippery
Treatment Principle
Herb Formulas	Si Ni San
Points	To Harmonize the Liver and Stomach: LIV-3, LIV-14, REN-12, PC-6, SP-6 To clear Heat: DU-14, LI-4, LI-11, LIV-2

WEI STAGE - SUMMERHEAT WITH DAMP

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Gastric disturbances: Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Rapid and soft
Treatment Principle
Herb Formulas	Xing Ren Hua Shi Tang Gui Ling Gan Lu Yin San Ren Tang Huang Lian Xiang Ru Yin Gan Lu Xiao Du Dan With Qi Deficiency: Qing Shu Yi Qi Tang Jia Jian With Heat Flooding the San Jiao: San Shi Tang
Points	For fever: DU-14, Bleed UB-40 For Wind-Heat: GB-20, LI-4, LI-11, SJ-5, UB-12 For Headache: DU-23, DU-24, ST-8, Taiyang For Dampness: SP-6, SP-9, UB-20, REN-9, ST-28

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 yellow P: Soft and rapid or soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp-Heat
Herb Formulas	San Ren Tang Huo Po Xia Ling Tang
Points	For fever: DU-14, Bleed UB-40 For Wind-Heat: GB-20, LI-4, LI-11, SJ-5, UB-12 For Headache: DU-23, DU-24, ST-8, Taiyang For Dampness: SP-6, SP-9, UB-20, REN-9, ST-28

QI STAGE HEAT WITH FOOD STAGNATION

Clinical Manifestations	Distention of the abdomen Distention of the epigastrium Fever Fullness of the abdomen Fullness of the epigastrium Indigestion Insomnia Irritability Resurgence of Heat signs Thirst T: Red C: Greasy-dirty-yellow P: Floating, slippery and rapid especially on the right position or Floating, full and rapid
Treatment Principle	Calm restlessness and irritability Clear Heat Disperse Stagnation
Herb Formulas	Zhi Shi Zhi Zi Chi Tang
Points

WEN BING: QI STAGE HEAT WITH SPLEEN AND STOMACH DAMP-HEAT

Clinical Manifestations	Fever Pressure headache - like a bandage Gastric distension Poor appetite Heaviness Body aches Chest distension Diarrhea Dysentery T: Red C: Greasy and yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clean Damp-Heat and toxins
Herb Formulas	Gan Lu Xiao Du Dan Long Dan Xie Gan Tang
Points	LI-4, LI-11, SP-6, SP-9, ST-25, ST-36

WIND-DAMP ACCUMULATION WITH WEI QI DEFICIENCY

Clinical Manifestations	Abdominal distention Sweating with aversion to Wind Heavy sensation in body Superficial edema Difficult urination Edema in lower legs Fatigue. Edema in women with constitutional Deficiency Heavy limbs with numbness T: Pale C: White P: Floating and weak, or Soft and thready
Treatment Principle
Herb Formulas	Fang Ji Huang Qi Tang modified
Points

LUNG AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Spontaneous sweating Weak voice Reluctance to speak A general air of sadness or melancholy A waxy, pale complexion Rounded or hunched shoulders Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale with a thin crack C: White or White and greasy P: Thready and weak or Floating and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Descend Lung Qi Disperse accumulation
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang Wu Ji San Bu Wei Fang Chinese Patent Medicines: Su Zi Jiang Qi Wan Jiu Fei Su He Wan
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43 DU-12, DU-14, LU-5, LU-7, LU-9, PC-6, REN-6, ST-25, ST-36, UB-13, UB-20 Ear: Lung, Spleen, Stomach Intestines, Abdomen

LARGE INTESTINE EXCESS HEAT

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea (Heat knots or flows) Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles (swollen papillae on the tongue that look like thorns and are very sensitive to the touch) or Red C: Thick, yellow and dry P: Deep and Excess
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	For constipation with abdominal distension and hard dry knots: Da Cheng Qi Tang For constipation with abdominal distension but without hard dry knots: Xiao Cheng Qi Tang For constipation without abdominal distention or hard dry knots: Tiao Wei Cheng Qi Tang With Stomach Fire: Da Huang Gan Cao Tang
Points	For Heat: DU-14, LI-4, LI-11, ST-44, SJ-5 For Stagnation: ST-34, ST-36, ST-37, ST-39 , REN-12 For Constipation: ST-25, SJ-6, UB-25

SPLEEN QI DEFICIENCY

Clinical Manifestations	Sallow complexion Fatigue 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 teeth marks C: White P: Even, forceless and Deficient
Treatment Principle	Tonify The Spleen Augment Qi
Herb Formulas	Si Jun Zi Tang Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang Obesity #4 Dao Gong San Jia Wei With constipation: Huang Qi Tang With Qi Stagnation: Yi Gong San With Food, Qi and Blood Stagnation and Damp Heat: Jiang Zhi Jian Fei Wan Jiang Zhi Jian Fei Yin #2 Jiang Zhi Jian Fei Yin #3 With Food, Qi and Blood Stagnation and Liver Heat: Jiang Zhi Jian Fei Yin #4 With Blood Stagnation and Heat: Jiang Zhi Jian Yin With Damp-Heat in the Lower Jiao: Shen Yang Yi Wei Tang
Points	SP-3, SP-5, SP-6, ST-36, UB-20, LIV-13, REN-12 REN-6, REN-11, REN-12, SP-4, ST-36 For loose stools: + ST-25 For dizziness and vertigo: + DU-20 For somnolence: + UB-62 For rectal prolapse: + UB-57 For uterine prolapse: + Zigong With Damp-Heat in the Lower Jiao causing abdominal swelling and emptiness. If patient eats in the morning, he/she cannot eat in the evening with a Floating and large pulse in mild cases or an Empty and small pulse in severe cases. If the navel protrudes with dark veins and the skin is oily the condition severe and incurable: REN-12, REN-9, REN-6, UB-20, UB-22, UB-23, LIV-13, PC-6, KI-7, SP-4, SP-6, ST-36

SPLEEN DEFICIENCY EDEMA

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Shi Pi Yin Wu Pi Yin With Qi Stagnation: Fen Xiao Tang
Points	Moxa ST-28, ST-36, SP-6, SP-9, UB-20, UB-22, UB-23, REN-6, REN-9

SPLEEN (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 Reinforce the Center Invigorate Yang Benefit Qi
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20 Other points are selected according to the type of prolapse

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 T: Pale and flabby - may have teethmarks C: White P: Thready and weak The above symptoms occur with bleeding: Functional Uterine Bleeding Purpura Epistaxis Hemafecia Hematuria Menorrhagia Metrorrhagia
Treatment Principle	Benefit Qi Conserve Blood
Herb Formulas	Gui Pi Tang modified Bu Zhong Yi Qi Tang modified With Damp Accumulation: Wu Pi Yin
Points

SPLEEN QI DEFICIENCY WITH LIVER QI STAGNATION

Clinical Manifestations	Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath 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 or Pale and flabby - may have teeth marks C: Thin and White P: Even, forceless and Deficient or Wiry
Treatment Principle	Strengthen the Spleen, Tonify Qi Regulate Liver Qi
Herb Formulas	Yi Gong San + Xiao Yao San
Points	SP-3, SP-5, SP-6, ST-36, UB-18, UB-20, REN-12, PC-6, SJ-6, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, GB-40, GB-41

SPLEEN QI DEFICIENCY WITH PHLEGM-DAMP RETENTION

Clinical Manifestations	Nausea and vomiting Emaciation Sallow complexion Anorexia with a full feeling after very little food Weak abdomen Belching Abdominal distention or pain (subtle) Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Chest fullness Acid regurgitation Epigastric distention or pain Muscle weakness in arms and legs Loose stools or diarrhea Maybe bleeding Thin muscles. Lethargy-fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe cold extremities Maybe borborygmus T: Pale and flabby - may have teeth marks C: Thin and white. P: Weak and Deficient
Treatment Principle	Tonify Qi Strengthen the Spleen Harmonize the Stomach Regulate Qi Stop pain
Herb Formulas	Xiang Sha Liu Jun Zi Tang Bao Jian Mei Jian Fei Cha Qing You Yi Wei Pian Bu Huan Jin Zheng Qi 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 Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale and flabby - may have ethers C: Thin and white P: Even or Soft and thready or Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang Fu Zi Li Zhong Wan Bu Zhong Yi Qi Tang Huang Qi Jian Zhong Tang With Qi Stagnation: Chen Xiang Tang
Points	Moxa SP-3, SP-5, SP-6, ST-36, UB-20, LIV-13, REN-12, DU-20

COLD-DAMP DISTRESSES THE SPLEEN

Clinical Manifestations	Distention and fullness of the epigastrium and abdomen Nausea and vomiting Anorexia Loose stools 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, 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	Wei Ling Tang Yin Chen Si Ni Tang Ping Wei San
Points	Moxa or moxa needle SP-3, SP-5, SP-6, SP-9, ST-36, UB-20, REN-12 To Regulate Qi and Disperse Dampness: REN-6 For Cold-Damp Dysentery: Moxa or moxa needle ST-25, ST-37, LI-4, REN-12, REN-6, SP-6 For Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, UB-30, REN-6, SP-6, REN-4, ST-36 For Cold-Damp Diarrhea: Moxa or moxa needle ST-25, ST-37, ST-36, REN-12, REN-6, UB-25 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle SP-9, ST-36, GB-24, UB-19, UB-20, UB-48, DU-9, LIV-13

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

DAMP-HEAT IN THE SPLEEN AND STOMACH

Clinical Manifestations	Anorexia Intermittent abdominal fullness, distention and discomfort The distention is generally worse in the afternoon or after eating The abdomen feels firm and may appear swollen Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Greasy skin Red complexion Maybe strong body odor Nausea and vomiting Lassitude Heavy sensation in the body Scanty, dark urine Maybe thirst or thirst with no desire to drink Dry mouth Diarrhea with foul smell or Constipation Fever or afternoon fever Restlessness Irritability Sweet sticky taste or bitter taste in mouth T: Normal or Thick C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid or Slippery and rapid
Treatment Principle	Clear Heat Benefit Dampness Strengthen the Spleen and Stomach Regulate Qi
Herb Formulas	Yin Chen Wu Ling San Lian Po Yin Zhong Man Fen Xiao Wan Chinese patent medicines: Bi Xie Sheng Shi Wan Huang Lian Jie Du Wan + Ping Wei San Mu Xiang Shen Qi Wan Li Dan Pian With Liver involvement: Long Dan Xie Gan Wan
Points	LI-11, ST-44, ST-36, SP-9, UB-20, REN-11, REN-12 + Liver and Gall Bladder points LI-11, REN-6, REN-10, REN-12, ST-25, ST-36, ST-37 With prominent Heat: + LI-4, ST-44 With prominent Damp: + SP-6, SP-9 With nausea: + PC-6 With constipation: + SJ-6 With scanty urination: + KI-7, REN-9 With tenesmus : + REN-4, UB-30 With Shao Yang symptoms: + GB-34, GB-39, SJ-5 With Lingering fever: + DU-13 For Damp-Heat Diarrhea: ST-25, ST-36, UB-25, ST-44, SP-9, LI-4 For Damp-Heat Dysentery: ST-25, ST-37, ST-44, SP-9, LI-11, LI-4 Ear: Spleen, Stomach, Large Intestine, Small Intestine, Liver, Abdomen

SPLEEN AND STOMACH QI DEFICIENCY

Clinical Manifestations	Intermittent or continuous abdominal distention, fullness and discomfort Distention is improved by warmth and pressure and worse when eating raw or cold foods Poor appetite Easily satiated Fatigue Weak, tired limbs Loose stools or A tendency toward sluggish bowel movements Puffiness around the eyes or in the fingers Rapid weight fluctuations A pale, sallow face and lips Shortness of breath Reluctance to speak A weak, soft voice T: Pale or Pale and swollen with teeth marks C: White P:Weak and thready or Deficient or Big and Weak
Treatment Principle	Tonify Qi Strengthen the Spleen Facilitate the Raising of Qi and the descent of the turbid
Herb Formulas	Bu Zhong Yi Qi Tang modified Chinese Patent Medicines: Bu Zhong Yi Qi Wan Xiang Sha Liu Jun Zi Wan Jian Pi Wan Xiang Sha Yang Wei Wan
Points	LIV-13, REN-6, REN-12, SP-3, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21 For severe distention: + SP-1 With Fluid retention and edema: + SP-9, ST-28 With Liver Qi Stagnation: + LIV-3, PC-6 Ear: Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

SPLEEN AND STOMACH QI DEFICIENCY WITH PHLEGM-DAMP AND LIVER QI STAGNATION

Clinical Manifestations	Focal distention and discomfort in the epigastrium and upper abdomen Distention worse after eating Anorexia Decreased sense of taste Only able to eat a little at a time Generalized weakness T: Pale C: Thick and white P: Slippery, deep and wiry
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Dry Dampness Transform Phlegm Relieve distention
Herb Formulas	Xiang Sha Liu Jun Zi Tang modified
Points	LIV-13, REN-6, REN-12, SP-3, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21 For severe distention: + SP-1 With Fluid retention and edema: + SP-9, ST-28 With Liver Qi Stagnation: + LIV-3, PC-6 Ear: Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

SPLEEN AND STOMACH QI DEFICIENCY WITH HEAT AND COLD

Clinical Manifestations	A sensation of blockage, distention, fullness and discomfort in the epigastrium When palpated, feels soft and without pain Nausea Vomiting or Dry retching Borborygmus with diarrhea Poor appetite T: Normal C: Greasy and yellow P: Soft, slippery, slightly wiry and maybe rapid
Treatment Principle	Harmonize the Stomach Descend Qi Disperse Accumulation
Herb Formulas	Ban Xia Xie Xin Tang
Points	LIV-13, REN-6, REN-12, SP-3, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21 For severe distention: + SP-1 With Fluid retention and edema: + SP-9, ST-28 With Liver Qi Stagnation: + LIV-3, PC-6 Ear: Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

SPLEEN AND STOMACH DEFICIENCY COLD

Clinical Manifestations	Severe, unrelenting or intermittent abdominal distention that is progressively worse as the day goes on which may be difficult to bear in the evening The abdomen may appear swollen or the patient may feel that the clothing is tight The distention is worse with eating, exposure to Cold and when fatigued Mild constant epigastric or abdominal pain which is relieved by warmth and pressure Cold intolerance Anorexia Easily satiated Abdominal pain and fullness after meals Nausea / vomiting Loose, unformed stools or Diarrhea with undigested food in the stools or Sluggish bowel movements with no urge to defecate Excessive salivation Cold limbs Fatigue Lassitude Weakness Exhaustion Sallow or pale, dull complexion Puffiness around the eyes or in the fingers Quick weight fluctuations Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale or Pale and swollen with teethmarks C: White and greasy P: Deep, thready and forceless or Deep, weak and slow
Treatment Principle	Warm Yang Strengthen the Spleen Warm the Center Dispel Cold
Herb Formulas	Fu Zi Li Zhong Wan Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan Zhi Shi Li Zhong Wan Ding Xiang Shi Di Tang Tiao Zhong Yi Qi Tang For Stomach Disharmony with vomiting of clear Fluids: Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang modified For predominant Deficiency Cold: Li Zhong Tang Chinese Patent Medicines: Fu Zi Li Zhong Wan Li Zhong Wan
Points	Moxa or moxa needle DU-4, REN-4, REN-6, REN-12, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21, UB-23 With severe distention: + SP-1 With fluid retention and edema: + REN-9, SP-9 With Liver Qi Stagnation: + LIV-3, PC-6 Moxa needle LIV-13, REN-4, REN-12, ST-36, UB-20, UB-21 For Cold pain in the Stomach and abdomen: + moxa REN-8 For clear diarrhea: + SP-4 For dizziness: + moxa DU-20 For loose stools: + SP-9 Ear: Spleen. Stomach, Large Intestine, Abdomen, Adrenal

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Abdominal distention Lower abdomen feels cold and painful Mild tenesmus or Chronic, relentless dysenteric diarrhea which is thin, watery and mucoid A dragging sensation in the lower abdomen which is relieved by the diarrhea “Cock-crow” diarrhea (occurs at about 5 am) which is watery and may have undigested food Diarrhea may contain pus and Blood Diarrhea is worse with exposure to Cold and cold foods Borborygmus or periumbilical pain may precede diarrhea Body cold Limbs icy (especially the legs) Complexion white and shiny or sallow Aversion to Cold Watery cough Dizziness Anorexia Fatigue Listlessness Depression Exhaustion Low back, knees and abdomen feel cold, weak and painful Mild, persistent abdominal pain worse with Cold and better with warmth and pressure Loose stools containing undigested food Edema of face and limbs Heaviness and aching of the limbs and head Palpitations Dysuria Copious, clear urine or Scanty urination Severe: Abdominal ascites Incontinence of stools Rectal prolapse 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 Kidney
Herb Formulas	Fu Zi Li Zhong Wan modified Si Shen Wan Si Shen Wan + Li Zhong Tang Zhen Ren Yang Zang Tang + Tao Hua Tang With edema: Zhen Wu Tang Chinese patent medicines: Fu Zi Li Zhong Wan Bu Zhong Yi Qi Tang Jin Kui Shen Qi 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 or moxa needle DU-4, DU-20, KI-3, REN-4, REN-8, SP-6, ST-36, UB-20, UB-23, UB-25 Moxa abdomen Ear points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic, Distal Segment Rectum

STOMACH YIN DEFICIENCY

Clinical Manifestations	No appetite or Famished but with no desire to eat or A desire for Cold, bland foods or A liquid diet Chronic epigastric and abdominal distention after meals Worse in the evening General Dryness of the mucus membranes Dry skin Dry mouth Dry lips Dry throat Dry, pellet-like stools Maybe constipation Irritability with low grade fever Mild nausea or Maybe dry retching or Hiccups Thirst Malar flush Night sweats Five Sole Heat T: Red or Slightly red and peeled in the center or Red and dry or Mirrored or Numerous surface cracks C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Sha Shen Mai Men Dong Tang Yi Wei Tang modified Chinese Patent Medicines: Luo Han Guo Chang Ji For Stomach Qi and Yin Deficiency: Gu Ben Wan Ren Shen Ku Pen Wan Sheng Ma San Wan With an abundance of Deficiency Heat: Zhi Bai Di Huang Wan With Kidney Yin Deficiency: Mai Wei Di Huang Wan Liu Wei Di Huang Wan Ba Xian Chang Shou Wan
Points	REN-4, REN-12, SP-6, ST-25, ST-36, UB-20, UB-21 With Heat: + KI-2, ST-44 With Kidney Yin Deficiency: + KI-3, KI-6 KI-3, REN-12, SP-6, ST-36, UB-21

STOMACH QI DEFICIENCY

Clinical Manifestations	Continuous pain in the Stomach Epigastric fullness and distention Likes pressure Reduced appetite Frequent belching Loss of sensation of taste Borborygmus Pale face Stools not solid Urine clear and abundant T: Pale C: Thin and white P: Empty, Weak an Slow or Weak and Deficient
Treatment Principle	Warm and tonify the Spleen and Stomach Replenish Qi Harmonize the Interior Alleviate pain
Herb Formulas	Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang With turbid Phlegm: Xuan Fu Dai Zhe Tang Xiao Ban Xia Tang
Points	UB-18, UB-20, UB-21 PC-6, REN-12, ST-36

STOMACH FIRE

Clinical Manifestations	Burning Heat and pain in the epigastrium Irritating thirst: drinks copious fluids and prefers cold drinks Excessive appetite: hungry again quickly after eating (as if food vanishes) Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	San Huang Xie Xin Tang
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

FOOD STAGNATION IN THE STOMACH

Clinical Manifestations	Fixed pain Swelling Abdominal distention with occasional pain Pain worse with pressure Acrid belching Chest discomfort Scanty urine Dry heaves (serious) Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation
Herb Formulas	Bao He Wan Zhi Shi Dao Zhi Wan Jia Wei Ping Wei San Mu Xiang Bing Lang Wan With Damp-Heat and Intestinal Obstruction: Zhi Shi Dao Zhi Wan With Qi and Phlegm Stagnation: Kai Yu Zheng Yuan San
Points	ST-44, ST-36, ST-21, LIV-13, LIV-14, PC-6, SP-4, REN-12, REN-11, REN-10 Periumbilical: REN-6, REN-10, ST-25, ST-36, ST-40 Lower abdominal: REN-4, ST-29, SP-6, LIV-2

DISHARMONY BETWEEN THE STOMACH AND INTESTINES WITH COLD AND HEAT FACTORS

Clinical Manifestations	Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Vomiting Borborygmus Diarrhea Anorexia Stomach pain Abdominal pain Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Nausea Ascites Gurgling sounds T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Harmonize the Stomach Descend Rebellious Qi Disperse clumping Eliminate focal distention due to Cold and Heat factors
Herb Formulas	Ban Xia Xie Xin Tang
Points

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Easily startled Dizziness Vertigo Nausea and vomiting Insomnia Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang Huang Lian 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 BLOOD AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang
Points	UB-15, UB-20, HT-7, ST-36, REN-4, SP-6, SP-1

SMALL INTESTINE EXCESS HEAT

Clinical Manifestations	Fullness and distention of the lower abdomen Irritability Ulceration and erosion of mouth and tongue Sore throat Dry mouth Desire for cold drinks Maybe deafness Urination short, dark, difficult and painful or Hematuria or Pain in urethra T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Excess Heat Promote diuresis
Herb Formulas	Dao Chi (Re) Tang San Huang Xie Xin Tang
Points	SP-6, SP-10, HT-8, UB-27, LIV-2, REN-3 PC-7, REN-4

SMALL INTESTINE QI PAIN

Clinical Manifestations	Vague pain in lower abdomen involving low back Pain radiates down into testicle Abdominal distention Borborygmus Relief after passing wind Hernia pain in scrotum T: Pale C: Thin and white P: Deep and wiry or Wiry and tight
Treatment Principle	Move Qi Expel Knotting
Herb Formulas	Tian Tai Wu Yao San
Points	ST-39, SP-6, LIV-1, LIV-4, LIV-5, LIV-8, REN-4

SMALL INTESTINE DEFICIENCY COLD

Clinical Manifestations	Intermittent abdominal fullness and distention Vague lower abdominal pain Feelings of cold and heaviness Fond of warmth and pressure 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	ST-25, ST-36, ST-37, ST-39, SP-3, LIV-13, UB-20, UB-27, REN-3, REN-12

LIVER QI STAGNATION

Clinical Manifestations	Chronic epigastric and abdominal distention, fullness and discomfort which is worse with emotional upset. Distention and pain in the sides or flanks, which is generally worse at night Suffocating sensation in the chest Tendency to sigh Belching Flatulence Borborygmus Anorexia Melancholy Depression Irritability Moodiness Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Alternating constipation and diarrhea T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Yue Ju Wan With chronic sluggish stools or constipation: Liu Mo Tang With Food Stagnation and sluggish bowels: Mu Xiang Shun Qi Wan Chinese Patent medicines: Chai Hu Shu Gan Wan With sluggish or incomplete bowel movements: Mu Xiang Shun Qi Wan With constipation: Chen Xiang Hua Qi Wan With Spleen Deficiency and dampness: Xiao Yao Wan
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18 GB-34, LIV-3, LIV-5, LIV-13, PC-6, REN-6, REN-12, ST-25 To calm the Shen: + DU-19, DU-24, Yintang With Blood or Yin Deficiency: + SP-6, ST-36, UB-18, UB-23 With Phlegm or plum-pit throat: + PC-5, SP-3, ST-40 With fat intolerance, pale or pasty stools, and right sided hypochondriac pain and distention: + Dannangxue, GB-24, GB-40 Ear: Liver, Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

LIVER QI STAGNATION TURNS TO 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 Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San
Points

LIVER QI STAGNATION ATTACKS 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 T: Normal C: White and greasy P: Slippery and wiry Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Tong Xie Yao Feng Jie Gan Jian Wu Mo Yin Zi Liu Mo Tang Chai Hu Shu Gan Tang
Points	ST-25, ST-36, ST-37, SP-6, LIV-3, LIV-13 With Liver Fire: REN-12, REN-6, UB-18, LIV-13, LIV-14, SP-4, PC-6, ST-36 With Spleen Qi Deficiency: REN-12, REN-9, REN-6, LIV-13, UB-22, UB-20, UB-18, ST-36, SP-6, SP-9

LIVER QI STAGNATION ATTACKS THE STOMACH

Clinical Manifestations	Epigastric pain (worse when emotionally upset) Belching with acid regurgitation Nausea Vomiting Anorexia Abdominal and epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Jia Wei Su Ye Huang Lian Tang Chen Xiang Jiang Qi Tang
Points	LIV-3, LIV-14, PC-6, REN-12

LIVER QI STAGNATION: PHLEGM AND QI STAGNANT AND BLOCKED

Clinical Manifestations	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 and hypochondrium Tendency to sigh Melancholy Depression Irritability Inappropriate anger Hypochondriac pain Coughing with profuse phlegm Vomiting Difficulty swallowing A delicate constitution A tendency towards fatigue Palpitations Abdominal distention Muscular and skin flaccidity Fear Edema Asthma Insomnia 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

DAMP-HEAT IN THE LIVER AND GALL BLADDER

Clinical Manifestations	Abdominal distention Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine T: Normal C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles
Treatment Principle	Clear Dampness Purge Heat from the Liver and Gall Bladder
Herb Formulas	Long Dan Xie Gan Tang Yin Chen Hao Tang
Points	SP-9, LIV-14, GB-24, GB-34, UB-18, UB-19, UB-48, DU-9, Dannangxue

COLD STAGNATION IN THE LIVER CHANNEL

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

LIVER AND KIDNEY YIN DEFICIENCY WITH LIVER QI STAGNATION

Clinical Manifestations	Hypochondriac and chest pain Dry, parched mouth and throat Bitter taste in mouth Acid regurgitation Epigastric and abdominal distention T: Red and dry P: Thready and weak or Wiry and Deficient
Treatment Principle	Enriches Kidney and Liver Yin Spreads Liver Qi
Herb Formulas	Yi Guan Jian
Points

LIVER AND GALL BLADDER FIRE

Clinical Manifestations	Restlessness Anxiety Anger Dark, rough urine Red or yellow urine Excruciating headache Constipation Rashness Impatience Irascibility Tinnitus Abdominal fullness Fright palpitations Hypertension Throat blockage with difficulty swallowing Sore throat Semi-unconsciousness Dry throat Vertigo Delirium Mania Dizziness Red face Red eyes Irritability Bitter taste in the mouth Abdominal pain Clonic spasm Fright Wind in children Dysuria Pain with swelling and inflammation T: Red C: Yellow P: Wiry or Taut and rapid
Treatment Principle	Purge Liver and Gall Bladder Fire Clear the bowels
Herb Formulas	Dang Gui Long Hui Wan Attacks the Stomach: Hua Gan Jian
Points

DISHARMONY BETWEEN THE GALL BLADDER AND STOMACH WITH PHLEGM-HEAT

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Regulate Qi Transform Phlegm Clear the Gall Bladder Harmonize the Stomach Dry Dampness Dispel Heat
Herb Formulas	Wen Dan Tang
Points

KIDNEY YANG DEFICIENCY WITH WATER FLOODING

Clinical Manifestations	Abdominal distention with full sensations Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness T: Pale and swollen C: Thin or Thick, white and sticky P: Deep and thready In severe cases: Ascites Edema of the scrotum
Treatment Principle	Warm the Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang Ji Sheng Shen Qi Wan Fu Ling Si Ni Tang
Points	Moxa SP-6, SP-9, ST-36, UB-20, UB-22, UB-23, UB-28, UB-39, KI-7, REN-6

QI, BLOOD AND PHLEGM STAGNATION WITH PHLEGM STAGNATION PREDOMINANT

Clinical Manifestations	Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Varies from Normal to Dark purple (maybe purple spots on edge of tongue) C: Thick and slippery P: Wiry, choppy and slow or Slippery, full and maybe wiry
Treatment Principle	Circulate Qi Activate the Blood Break up Stasis Eliminate Phlegm Warm Cold
Herb Formulas	Xiang Leng Wan
Points

QI AND BLOOD DEFICIENCY LEADING TO BLOOD STAGNATION

Clinical Manifestations	Irregular menstruation Reduced appetite Soreness in the lower back Red and white vaginal discharge Weak extremities Abdominal distention
Treatment Principle	Tonify Deficiency Activate the Blood
Herb Formulas	Ba Zhen Yi Mu Wan
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 Activate 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

BLOOD STAGNATION WITH CONSUMPTION

Clinical Manifestations	Emaciation Abdominal fullness Anorexia Rough, dry and scaly skin May be localized abdominal pain and tenderness Amenorrhea A dull, dark appearance of the eyes Tidal fever May be dry stools T: Petechiae or Purplish or Reddish P: Wiry and choppy or Wiry, small and smooth
Treatment Principle	Invigorate the Blood Break up Stagnation Nourish the Blood
Herb Formulas	Da Huang Zhe Chong Wan
Points	SP-6, SP-10, ST-36, UB-17, UB-40

INTERNAL COLD LEADING TO FLUID STAGNATION AND GENERATING PHLEGM

Clinical Manifestations	Chest pain Shoulder stiffness Abdominal distention and pain Constipation Cold feet An aversion to Cold Pale face Fatigue Headaches with heavy headedness Abdominal weakness Anorexia T: Pale C: Greasy and white P: Weak or Weak and wiry
Treatment Principle	Tonify Qi Break up Stagnant Qi Reduce accumulation Descend Qi Warm the Middle Jiao Disperse Cold Transform Phlegm
Herb Formulas	Yan Nian Ban Xia Tang
Points

PHLEGM ACCUMULATION

Clinical Manifestations	Chronic constipation or Sluggish stool which may contain mucus Maybe tenesmus After evacuation, the patient feels lighter and more clear-headed Abdominal distention and discomfort Foggy-headedness Poor concentration Poor memory Tendency toward sleepiness Lethargy Heaviness of the body Maybe chronic mucus production from the sinuses and Lungs Greasy skin A musty body odor Dizziness Headaches that can be triggered by strong smells A tendency toward obesity A pear shaped body T: Flabby and swollen C: Greasy and white, thicker at the root P: Deep and slippery or Wiry
Treatment Principle	Transform and eliminate Phlegm Open the bowels Elevate Yang to facilitate the descent of turbid Yin Regulate Liver Qi Strengthen the Spleen
Herb Formulas	Tan Pi Tang
Points

PHLEGM-DAMP ACCUMUATION IN THE CHANNELS

Clinical Manifestations	Fullness in the chest and abdomen Swelling of the skin with tightness and thickness Heaviness of the head and body Loose stools T: Flabby C: Thick and greasy P: Deep and slow
Treatment Principle	Resolve Dampness Eliminate Phlegm Invigorate the Blood Harmonize the Collaterals
Herb Formulas	Ling Gui Zhu Gan Tang modified
Points

DRY SUDDEN TURMOIL DISORDER

Clinical Manifestations	Sudden collapse Loss of consciousness Clenched jaws Fullness, extreme pain, and a cold sensation in the chest and abdomen Purple or blue lips Sudden loss of consciousness Coma An urge to vomit and defecate without doing either Abdominal pain with chest distention Mental upset Paraphasia Diarrhea Vomiting Excessive mucus and saliva Breath cold Pale complexion Cold extremities Staring eyes T Pale C: White and slippery or greasy P: Deep and slippery or Deep, excess and slow or Wiry, tight and Excess
Treatment Principle	Warms and Aromatically Opens the Orifices Moves Qi Expels dirt Transforms turbidity
Herb Formulas	Su He Xiang Wan
Points

TURBID DAMPNESS IN THE SAN JIAO

Clinical Manifestations	General edema of the body and extremities Dysuria Oliguria Orthopnea Pitting edema Dyspnea Anorexia Abdominal fullness and pain T: Thick C: White and thick P: Slow or Wiry
Treatment Principle	Dispel Stagnant Water Dry Dampness Eliminate water from the Lungs Harmonize the Spleen Relieve edema Move Qi
Herb Formulas	Dao Shui Fu Ling Tang
Points

DAMP-HEAT IN THE SAN JIAO

Clinical Manifestations	Scanty or no urine Dysuria Thirst with no desire to drink Constipation Abdominal fullness and distention Heavy head Headache General aching General edema beginning from the eyelids Dizziness May have fever or fever and chills T: Normal or red C: Greasy and white P: Soft and rapid or Slippery and rapid or Floating and slow
Treatment Principle	Dispel Dampness Regulate Qi flow to the Urinary Bladder and Large Intestine Clear Heat
Herb Formulas	Fu Ling Pi Tang
Points

SAN JIAO MIDDLE JIAO DAMP STAGNATION

Clinical Manifestations	Abdominal distension Heaviness More damp symptoms than heat symptoms Anorexia Uncomfortable bowel movements Nausea/vomiting T: Pink C: Greasy and white P: Soft
Treatment Principle
Herb Formulas	San Jiao #1 Gan Lu Xiao Du Dan Long Dan Xie Gan Tang
Points	SP-6, SP-9, ST-25, ST-28, REN-6, REN-9, REN-12

SAN JIAO LOWER JIAO LARGE INTESTINE DAMP-HEAT

Clinical Manifestations	Abdominal distention Dry, scaly skin Tightness A mass-like appearance Softness on palpation Absence of thirst Maybe an aversion to drinks Tenderness and soreness of the lower abdomen Lower abdominal cramps Lower Jiao pain Constipation or diarrhea Heaviness Headache Dull spirit Mental fuzziness No fever Condition fails to improve A right-sided abdominal swelling that is soft when touched and not very painful Cold extremities A gray or pale complexion T: Normal C: Greasy, yellowish white P: Soft or slippery and maybe rapid
Treatment Principle	Clear Heat Resolve Dampness
Herb Formulas	Da Cheng Qi Tang With Intestinal abscess: Yi Yi Fu Zi Bai Jiang San With Blood Stagnation: Teng Long Tang
Points

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 Headaches (may be recurrent) Spots before the eyes 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 or Thick C: White and greasy or Sticky and white P: Rolling or Wiry and slippery or Soft and slippery
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Eliminate Dampness Resolve Phlegm
Herb Formulas	Ban Xia Bai Zhu Tian Ma 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

TAN YIN

Clinical Manifestations	Abdominal distension Poor appetite Edema Chest and hypochondriac distension Dizziness Nausea and vomiting Thirst but doesn't wish to drink Maybe no thirst Palpitations Shortness of breath T: Pink C: Thick, slippery P: Slippery and full and maybe wiry
Treatment Principle	Eliminate Dampness Resolve Phlegm
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San Ban Xia Fu Ling Tang Wu Ji San Qing Shi Hua Tan Tang With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San With Qi and Blood Stagnation: Kai Yu Er Chen Tang For severe Phlegm-Damp with relentless distention, belching hiccup, acid reflux, nausea and vomiting: + Xuan Fu Dai Zhe Tang
Points	ST-40, SP-6, SP-9, SJ-6, PC-6, UB-13, UB-20, UB-23

XUAN YIN

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

Clinical Manifestations	Cough Asthma Shortness of breath especially while lying down Abdominal distension with water retention Edema in lower extremities Edema in face T: White bubbles C: Thick, greasy, white P: Thready
Treatment Principle
Herb Formulas	Xiao Qing Long Tang Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	LU-7, SP-6, SP-9, UB-13

CHONG CHANNEL

Clinical Manifestations	Hard abdominal distention Flatulence Urethra problems Prostate problems
Treatment Principle
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Points	PC-6, SP-4

TRANSVERSE LUO CHANNEL OF THE KIDNEYS

Clinical Manifestations	Abdominal distention Heart pain Chest and flank pain Throat pain Cannot swallow Throat swelling Cannot spit
Treatment Principle
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Points	UB-67, KI-4 UB-64, KI-4 Bleed UB-40 If the Blood is black, it indicates cholera or para cholera If the Blood is red, it indicates Blood Stagnation If there is no vomiting and diarrhea, it indicates Qi Stagnation If there is vomiting with diarrhea, it indicates Heat or Cold Stagnation If there is only vomiting, it indicates Fire If there is only diarrhea, it indicates Cold

COLLAPSE DUE TO QI DEFICIENCY LEADING TO BLOOD LOSS AND DEVASTATED YANG

Clinical Manifestations	Pale, watery Blood Palpitations Shortness of breath Laconic speech A sinking sensation in the lower abdomen Fatigue A shiny, pale complexion Abdominal fullness Lower back pain T: Pale C: Moist and thin P: Deficient and frail or Weak and smooth
Treatment Principle	Tonify Qi in order to tonify the Blood Raise Yang Qi
Herb Formulas	Ju Yuan Jian
Points

CHILDHOOD NUTRITIONAL IMPAIRMENT

Clinical Manifestations	Headache Vertigo Chronic tinnitus Hair loss Dark purple complexion or Blue or green facial complexion with or without rosacea or vitiligo Darkness around the eyes Brandy nose Progressive emaciation Abdominal distention Purplish discoloration of the sinews Tidal fever Dizziness Deafness Pale face Cyanosis Phthisis Muscle weakness Sudden loss of vision T: Dark or with petechiae C: Normal P: Choppy
Treatment Principle	Invigorate the Blood Dispel Blood Stasis Open the orifices
Herb Formulas	Tong Qiao Huo Xue Tang
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