ABDOMINAL PAIN

Clinical Manifestations
  • Abdominal pain
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Wind
  • Mild, or severe chills
  • Fever which may be persistent
  • Uneasiness from fever
  • Spontaneous perspiration
  • Headache
  • Nausea
  • Nasal irritation
  • Nasal obstruction
  • Tendency to snore
  • Itchy throat
  • Abdominal pain due to chills
  • T: Normal
  • C: Thin and white
  • P: Superficial and slow or Moderate and maybe weak
Treatment Principle
  • Create sweat to relieve the Exterior and expel Wind
  • Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Fever
  • Headache
  • Anhidrosis
  • Anorexia
  • Belching
  • Aching shoulders
  • Tinnitus
  • Amenorrhea
  • A gasping cough
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Vertigo
  • Nausea
  • T: Normal
  • C: Thin and white
  • P: Floating or Floating and sinking
Treatment Principle
  • Regulate Qi
  • Release the Exterior
Herb Formulas
Points
Clinical Manifestations
  • Chills and Fever
  • Aversion to Cold
  • Headache
  • Anhidrosis
  • Chest/gastric distension
  • Gastric pain
  • Nausea/vomiting
  • Borborygmus
  • Diarrhea (acute)
  • Abdominal pain
  • Thirst
  • Dry throat
  • T: Normal
  • C:  Greasy, white
  • P:  Floating, tight
Treatment Principle
  • Disperse Wind
  • Relieve the Exterior
  • Tonify the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Profuse perspiration
  • Great thirst with a desire to drink
  • Abdominal pain
  • Dryness
  • Irritability
  • Restlessness
  • Feverish body parts
  • Red face
  • 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
Points
Clinical Manifestations
  • Abdominal pain (worse with pressure)
  • The skin over the pain may feel warmer to the touch
  • High fever (sometimes rises and falls)
  • Great thirst
  • A dry mouth
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal fullness and distension (worse with pressure)
  • Dryness
  • Constipation (hard dry knots)
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Concentrated urine
  • 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
  • Purge
Herb Formulas
Points
Clinical Manifestations
  • Joint pain with a crackling sensation
  • Epigastric pain
  • Fatigue
  • Gastrointestinal weakness
  • Headache
  • Heaviness in the head
  • Fever
  • Moderately severe chills
  • Distension beneath the Heart
  • Periumbilical or lower abdominal pain
  • Tenseness around the pubic bone
  • Subcostal pain
  • Epigastric fullness
  • Nausea
  • Mild vomiting
  • Mild thoraco-costal discomfort
  • Costal distress
  • Tension in the rectus abdominus
  • Chest distension
  • Abdominal pain
  • Abdominal distension
  • Constipation
  • Irritability
  • Insomnia
  • Repeated loss of spinal alignment due to muscular tension
  • P: Floating and weak
Treatment Principle
  • Release the Exterior and muscle layer
  • Harmonize and releases the Shao-Yang
  • Harmonize the Liver, Spleen and Intestines
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Constipation
  • Hypochondriac pain
  • Chills
  • Low-grade fever
  • Cold hands and feet
  • Intolerance of Cold
  • Pain in the armpits
  • Unilateral pain in the abdomen and hypochondrium
  • Stiffness and spasms beside and below the umbilicus
  • Pain in the waist and legs
  • T: Normal
  • C: Greasy and white
  • P: Deep, tight and wiry
Treatment Principle
  • Warm the Interior
  • Disperse Cold
  • Unblock the bowels
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Nausea
  • Clear, frequent urination
  • Lack of thirst
  • Anorexia
  • Vomit clear fluid
  • Abdominal distension and pain (sharp)
  • Diarrhea or loose stool
  • Prefer 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
Points
Clinical Manifestations
  • Clear, frequent urination
  • Abdominal distension
  • Anorexia
  • Nausea
  • Vomiting clear fluid
  • Dull abdominal pain
  • Diarrhea or loose stools
  • Prefers warmth and pressure=Spleen and Kidney Yang Deficiency
  • T:  Pale
  • C:  White
  • P:  Slow, sinking or soft and weak
Treatment Principle
  • Regulate the Middle
  • Warm the Middle Jiao
  • Disperse Cold
Herb Formulas
Points
Clinical Manifestations
  • Severe aversion to Cold
  • Body curled up
  • Icy cold extremities
  • Vomiting
  • Diarrhea
  • Absence of thirst
  • Abdominal pain
  • Lack of energy
  • A constant desire to sleep
  • Shivering
  • Foaming at the mouth
  • Lips and nails purplish
  • T: Pale
  • C: White
  • P: Deep and thready or Impalpable
Treatment Principle
  • Rescue Yang (emergency)
  • Strengthen Qi
  • Generate the pulse
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Abdominal pain and Cold
  • Curls up a lot
  • Doesn't like to talk
  • Tired
  • Disoriented
  • No spirit
  • Dull Shen
  • Cold extremities
  • Diarrhea or loose stools or undigested food
  • Clear, frequent urine
  • Maybe nausea (wants to vomit but can't)
  • No thirst
  • Likes warm drinks
  • Severe edema in chest
  • T: Pale
  • C: White
  • P: Sinking and weak
Treatment Principle
  • Restore Yang
  • Reverse inward energy
  • Expel Cold
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain with Cold
  • Aversion to Cold
  • Curls up a lot
  • Doesn't like to talk
  • Tired
  • No spirit
  • Dull Shen
  • Severe edema in the chest
  • Cold extremities
  • Diarrhea with loose stools
  • No thirst
  • Likes warm drinks
  • Sluggish urination
  • Vertigo
  • Palpitations
  • More water metabolism disturbance with excess fluid in the body:
    Abdomen = pain and Cold
    Lower Jiao = pain with difficult urination
    Intestines = watery stool
    Stomach = clear vomit
         Lungs = cough, dyspnea, phlegm, and asthma
         Extremities = edema, heaviness
  • T: Pale with scallops
  • C: White or greasy white
  • P: Sinking, weak, may be soft or thready
Treatment Principle
  • Tonify Yang
  • Strengthen water circulation
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Cold extremities
  • Numb hands and feet
  • Generalized body aches
  • Paralysis of the extremities
  • Induration and swelling of the scrotum
  • Hypersalivation
  • Limited movement of the joints
  • Vomits clear fluid
  • Vertex headache
  • Body cold
  • Diarrhea
  • Abdominal pain referring to the testis
  • Aversion to Cold
  • A preference for Warmth
  • Loose stools
  • Chills and fever
  • Complete exhaustion of Yan
  • T: Normal OR Pale
  • C: Thin and white
  • P: Weak OR Tense and wiry
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Cold extremities
  • Body hot and feverish due to lack of harmony of the Liver Qi
  • Thirst
  • Abdominal distention
  • Fever
  • Dark yellow urine
  • T: Red
  • P: Rapid and slippery
Treatment Principle
  • Clear Heat,
  • Reverse reversals
Herb Formulas
  • Si Ni San
  • For transmission of Heat from the Middle Jiao to the Large Intestine causing accumulation of Damp-Heat toxins:
    Bai Tou Weng Tang
Points
Clinical Manifestations
  • Recurrent abdominal pain
  • Delirium
  • Heat in upper body
  • Cold in lower body
  • Sensation of Qi rushing to the chest
  • Vomits worms
  • Persistent thirst
  • Feverishness
  • Anorexia (hungry but can't eat)
  • Chronic diarrhea
  • Cold extremities
  • Maybe edema
  • Vertex headache
  • Vomits food
  • Cardiac Heat with pain
  • T: Red or pink or Pale and flabby
  • C: Thick and greasy or thin
  • P: Deep, thready and weak or wiry
Treatment Principle
  • Clear worms
  • Clear Heat
  • Revive Yang
Herb Formulas
Points
Clinical Manifestations
  • Acute abdominal pain
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Fever is unrelieved by sweating
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Foggy headaches
  • Irritability
  • Heaviness
  • Nausea
  • Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy white or yellow
  • P: Floating or Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills
  • Headache
  • Chest and gastric fullness and oppression
  • Pain in the epigastrium and abdomen
  • Nausea and vomiting
  • Borborygmus
  • Diarrhea
  • Loss of taste
  • Aversion to Cold
  • Cough
  • Indigestion
  • No perspiration
  • Chest discomfort
  • Sore throat
  • Disorientation
  • Madness
  • General lassitude
  • Anorexia
  • Delirious speech
  • Maybe loss of voice
  • Intermittent chills and fever
  • Afternoon fever and tight
  • Sudden turmoil disorder
  • Malarial disorders
  • Loose stools
  • T: Normal
  • C: Greasy and white
  • P: Moderate and soggy or floating and forceful
Treatment Principle
  • Release the Exterior
  • Transform Dampness
  • Regulate Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Profuse sweat
  • Great thirst with desire to drink
  • No chill
  • Irritability
  • Abdominal pain
  • Dryness
  • Restlessness
  • Red face
  • Dry stools
  • No constipation
  • No aversion to Cold
  • Aversion to Heat
  • Rough breathing
  • Dark yellow urine
  • T: Red
  • C: Dry yellow
  • P: Rolling, gigantic and rapid.
Treatment Principle
  • Clear Heat
  • Reduce fever
  • Moisten and replenish Body Fluids
Herb Formulas
Points
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
  • Purge
Herb Formulas
Points
Clinical Manifestations
  • Muscle aches
  • Joint pain
  • Radiating pain in the legs
  • Low back pain
  • Edema
  • Numbness in the lower extremities
  • Pain in the trunk and extremities
  • Abdominal pain
  • Sciatica
  • Aversion to Wind and Cold
  • Knee pain
  • T: Pale or Pink with purple spots
  • C: Normal
  • P: Choppy or Taut
Treatment Principle
  • Unblock and relax the channels
  • Activate the Blood
  • Break up Blood Stasis
  • Dispel Wind-Dampness
  • Strengthen the tendons
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness.
Herb Formulas
Points
Clinical Manifestations
  • Chronic dysentery or
  • Chronic diarrhea or
  • Rectal prolapse
  • Dull abdominal pain with liking for warmth and pressure
  • Borborygmus
  • Cold limbs
  • Poor appetite
  • Mental fatigue
  • T: Pale
  • C: White
  • P: Minute, thready and forceless
Treatment Principle
  • Benefit the Intestines
  • Consolidate and constrict
Herb Formulas
Points
Clinical Manifestations
  • Knotted constipation or
  • Watery, thin diarrhea (Heat knots or flows)
  • Maybe fecal impaction with foul green spurious diarrhea (with a [palpable mass and pain in the left iliac fossa)
  • Frequent flatulence
  • A sensation of fullness in the chest and upper abdomen
  • Burning hot sensation in the anus
  • Abdominal distention and pain (dislikes pressure)
  • Worse with pressure
  • High fever or infantile tidal fever
  • Hands and feet dripping with perspiration
  • Vomiting
  • Irritating thirst
  • Irritability
  • Scanty urination
  • Delirium
  • Pain in the left or right iliac fossa
  • Maybe thick, malodorous vaginal discharge
  • 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 or Rapid and slippery
Treatment Principle
  • Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas
Points
Clinical Manifestations
  • Diarrhea with tenesmus which intensifies after defecation
  • Dysentery
  • Frequent stools which are small in quantity
  • Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and blood
  • Burning hot sensation in anus
  • Abdominal pain
  • Severe lateral or central abdominal pain
  • Urine short and red
  • Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma
  • Mouth dry but no desire to drink
  • Body heavy
  • Limbs tired
  • Fullness in chest
  • Lump in epigastrium
  • Anorexia
  • Vomiting
  • T: Red
  • C: Yellow and greasy
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Eliminate toxins
  • Transform Dampness
  • Stop dysentery
Herb Formulas
Points
Clinical Manifestations
  • Lower right quadrant pain
  • Worse with pressure
  • Pain is boring and fixed
  • Pain may be not fixed
  • Right foot wants to curl up
  • May be fever
  • May be nausea and vomiting
  • T:Red
  • C: Greasy yellow
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Invigorate the Blood circulation
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Dull abdominal pain
  • Cold abdomen
  • Constipation
  • Difficulty in passing stools
  • 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
Points
Clinical Manifestations
  • Slight, lingering abdominal pain that begins or worsens after eating a heavy meal or unusual foods
  • Pain improves with rest and warm, light foods
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Belching
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and Deficient
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Edema in limbs, especially lower limbs
  • Maybe anasarca
  • Maybe abdominal distention
  • Maybe abdominal pain
  • 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
Points
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
Points
Clinical Manifestations
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Intermittent dull abdominal pain, better with warmth and pressure
  • 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
Points
  • DU-20, other points are selected according to the type of prolapse
Clinical Manifestations
  • Abdominal pain
  • Uterine bleeding (metrorrhagia)
  • Excessive menstruation
  • Menstruation with constant spotting
  • Postpartum bleeding
  • Bleeding during pregnancy
  • The Blood is pale and thin without clots
  • Weakness
  • Sore lower back
  • Post abortion bleeding
  • Dull complexion
  • Weakness and pain of the legs
  • Light red, unelevated and indistinct eruptions
  • T: Pale
  • C: Thin and white or Whitish and moist
  • P: Thready and weak
Treatment Principle
  • Nourish and warm the Blood
  • Stop bleeding
  • Regulate menstruation
  • Calm the fetus
  • Prevent miscarriage
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain with a Cold, cramping nature
  • Pain worse after eating cold food
  • A preference for warm drinks and food
  • 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
  • C: Thin and white or White and moist
  • P: Deep and weak or Deep, slow and weak
Treatment Principle
  • Tonify Spleen Yang
  • Warm the Center
  • Dispel Cold
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Sudden, violent pain
  • Pain responds to warmth
  • Loose stools
  • Diarrhea
  • Nausea
  • No thirst
  • Clear urine
  • T: Normal
  • C: White or White and sticky
  • P: Deep and tight or Deep, wiry and slow
Treatment Principle
  • Warm the abdomen
  • Disperse Cold
Herb Formulas
Points
Clinical Manifestations
  • Sudden onset of abdominal pain
  • Pain is alleviated by warmth
  • Distention and fullness of epigastrium and abdomen
  • Nausea
  • Vomiting
  • Anorexia
  • Loose stools
  • Urgent diarrhea
  • Borborygmus
  • Maybe fever and chills
  • Maybe headache
  • Maybe nasal congestion
  • No thirst or preference for hot drinks
  • T: Pink
  • C:Thick, white and greasy or sticky
  • P: Deep and slow or Soft
Treatment Principle
  • Expel Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Nausea/Vomiting
  • Belching
  • Chest fullness and distention
  • Abdominal pain
  • Indigestion
  • T: Normal or Dark
  • C: White
  • P: Wiry
Treatment Principle
  • Harmonize the Middle Jiao
  • Resolve Dampness
  • Regulate Qi
  • Reduce Food Stagnation
Herb Formulas
Points

Clinical Manifestations
  • Chronic, intermittent, dull abdominal pain which is better with warmth and pressure and ingesting warm fluids
  • Waxy, pale or sallow lusterless complexion
  • Anorexia (maybe with vomiting)
  • Easily satiated
  • 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 relieved by warmth
  • Intolerance of Cold
  • Cold limbs
  • Feeling chilled
  • Lethargy
  • Fatigue
  • Mental fatigue
  • Depression
  • Low spirits
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale maybe swollen
  • C: White or Thin and white or White and greasy
  • P: Deep, thready and forceless or Deep and weak or Thready and weak
Treatment Principle
  • Warm the Middle Jiao
  • Strengthen the Spleen and Stomach
Herb Formulas
Points
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 abundant clear urine
  • 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
Points
Clinical Manifestations
  • Indigestion
  • A sensation of oppression in the chest
  • Abdominal pain
  • Nausea
  • Vomiting
  • Diarrhea
  • Postpartum abdominal fullness and distention
  • Abdominal fullness and distention with nausea and vomiting
  • T: Pale and swollen
  • C: Thick, white and greasy
  • P: Slippery and even or Slow or Moderate
Treatment Principle
  • Strengthen Spleen and Stomach
  • Harmonize the Middle Jiao
  • Relieve Damp Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Fever (maybe chills)
  • Strong thirst with a desire to drink.
  • Vomits immediately after drinking
  • Urinary difficulty
  • Edema
  • General sensation of heaviness
  • Diarrhea
  • Irritability
  • Simultaneous vomiting and diarrhea
  • Throbbing sensations below umbilicus
  • Vomits frothy saliva
  • Abdominal pain and / or distention
  • Vertigo
  • Dark urine
  • Anxiety
  • Jaundice
  • Shortness of breath
  • Cough
  • Urinary retention
  • Lower abdominal fullness
  • Extreme thirst
  • Palpitations
  • Lower abdominal distention
  • Lower abdominal palpitations
  • Dizziness
  • Abdominal pain
  • Restlessness
  • Slightly pale skin tone
  • T: Normal
  • C:Thick, yellow and greasy
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Resolve Dampness
Herb Formulas
Points
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
  • 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
Points
Clinical Manifestations
  • Dull pain
  • Pain relieved by warmth
  • Succussion sound in epigastrium on
  • Palpation
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Promote Qi movement
  • Promote urination
Herb Formulas
Points
Clinical Manifestations
  • Stomach pain
  • Burning Heat and pain in the epigastrium
  • Extreme Heat
  • Irritating thirst: drinks copious fluids and prefers cold drinks
  • Upper abdomen distension or tenderness
  • Stomach fullness after meals
  • Excessive appetite: hungry again quickly after eating (as if food vanishes)
  • Belching
  • Nausea
  • Swelling, pain, ulceration and bleeding of gums
  • Foul breath
  • Toothache
  • Maybe vomiting right after eating
  • Vomiting acid or undigested food
  • Heartburn
  • Chest pain
  • Constipation
  • Maybe scanty, red urine
  • T:Red
  • C: Thick, yellow and dry
  • P: Slippery and rapid or Slippery, big, Excess and rapid
Treatment Principle
  • Clear and Purge Stomach Fire
Herb Formulas
Points
Clinical Manifestations
  • Acute or subacute on set of abdominal pain
  • Pain with diarrhea
  • Diarrhea with tenesmus which intensifies after defecation
  • Frequent stools which are small in quantity
  • Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and blood
  • Dysentery
  • Patient feels heavy
  • Patient feels worse after defecation
  • Burning hot sensation in anus
  • Fever
  • Scanty dark urine or
  • Urine short and red
  • Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma
  • Mouth dry but no desire to drink
  • Limbs tired
  • Fullness in chest
  • Lump in epigastrium
  • Anorexia
  • Vomiting
  • T: Red
  • C: Yellow and greasy
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Detoxify
  • Transform Dampness
  • Stop dysentery.
Herb Formulas
Points
Clinical Manifestations
  • Fixed pain
  • Sharp stabbing pain which connects to the sides
  • Worse with pressure
  • Palpable mass
  • Hematemesis
  • Hemafecia
  • Black, tarry stool
  • T: Purple or Purple spots
  • C: White or Black
  • P: Choppy
Treatment Principle
  • Activate Blood
  • Remove Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Abdominal pain and distention after overeating or eating fatty or greasy food which alleviated by defecation with a very strong foul odor
  • Thirst
  • Irritability
  • Belching with rotten food smell
  • Acid regurgitation
  • Nausea
  • Anorexia
  • 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
  • Alleviate abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain (worse with pressure)
  • Abdominal and epigastric distention
  • Dysentery
  • Scanty dark urine
  • Constipation
  • T: Red
  • C: Yellow and greasy or slippery
  • P: Deep and Forceful
Treatment Principle
  • Reduce and guide out Stagnation and Accumulation
  • Clear Heat
  • Dispel Dampness
Herb Formulas
Points
Clinical Manifestations
  • Continuous pain in the Stomach
  • Likes pressure
  • Reduced appetite
  • Pale face
  • 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 or Empty, weak and slow
Treatment Principle
  • Strengthen Qi
  • Invigorate the Spleen and Stomach
Herb Formulas
Points
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
Points
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
Points
Clinical Manifestations
  • Vague lower abdominal pain
  • Lower abdominal pain radiating to the testicles
  • May be localized sensation of Cold
  • Menstrual pain and hardness
  • Hypochondriac pain
  • Abdominal pain
  • Mobile abdominal masses
  • Swollen or distended testicles
  • Flank pain
  • Leukorrhea
  • T: Pale
  • C: White
  • P: Deep and slow or Wiry and tight
Treatment Principle
  • Promote Qi movement
  • Spread Liver Qi
  • Scatter Cold
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Vague lower abdominal pain
  • Desires Heat and pressure
  • Loose stools
  • Lethargy
  • Borborygmus
  • Feelings of Cold and heaviness
  • Abdominal fullness intermittently
  • Borborygmus
  • Unformed, loose stools or
  • Chronic, incessant diarrhea
  • Urinary frequency
  • T: Pale
  • C: Thin and white
  • P: Deep and even or Weak
Treatment Principle
  • Warm and Clear the Small Intestine
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain, especially in stressful situations
  • Lower abdominal pain
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • A sense of fullness in the chest and hypochondrium
  • Tendency to sigh
  • Melancholy
  • Depression
  • Anorexia
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Irregular bowel movements
  • Maybe diarrhea alternating with constipation
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe Liver
  • Clear Stagnation
  • Stop abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • Sudden onset of abdominal pain in stressful situations
  • Abdominal distention
  • Gas
  • Borborygmus
  • Cramping which starts with an urge to defecate and subsides after completion
  • Diarrhea
  • 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 or White and greasy
  • P: Slippery and wiry or Wiry and moderate
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
  • Stop abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Various types of menstrual discharges
  • Premenstrual cramps
  • Excessive menstrual bleeding
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • Flatulence
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and deficient or Wiry, and rapid
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of 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
  • T: Dark purple (maybe purple spots on edge of tongue)
  • C: Normal
  • P: Wiry, choppy and slow
Treatment Principle
  • Activate Blood circulation
  • Soften hardness
Herb Formulas
Points
Clinical Manifestations
  • Restlessness
  • Easily angered
  • Regurgitation of gastric acid
  • Stomach pain
  • Hungers easily
  • Dry mouth
  • Bitter taste in mouth
  • T: Red
  • C: Yellow
  • P: Wiry and Rapid
Treatment Principle
  • Reduce Liver Fire
Herb Formulas
Points
Clinical Manifestations
  • Sore right upper quadrant
  • Pain and fullness in ribs on both sides
  • Maybe jaundice
  • Yang jaundice (sclera and skin bright yellow)
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Food repulsion
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Yellow vaginal discharge with foul smell
  • Pruritis vulvae
  • Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky.
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from the Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Swelling and pain in scrotum as if testicles were being pulled downward or
  • Swollen or distended testicles 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
  • Lower abdominal pain radiating to the testicles
  • May be localized sensation of Cold
  • Menstrual pain and hardness
  • Hypochondriac pain
  • Abdominal pain
  • Mobile abdominal masses
  • Flank pain
  • Leukorrhea
  • T: Pale
  • C: White or White and greasy
  • P: Deep and slow or Wiry and tight or Deep and wiry or Slow or Deep and Excess
Treatment Principle
  • Warm the Liver
  • Dispel Cold.
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Extremely cold extremities
  • Aversion to Cold
  • Sleeping with knees drawn up
  • Lethargy with a constant desire to sleep
  • Vomiting
  • Diarrhea with undigested food
  • Abdominal pain and Cold
  • Lack of thirst
  • Coma
  • Indigestion
  • Edema
  • Pale face
  • Superficial fever
  • Red face
  • Cyanosis of the lips and nails
  • T: Pale or Dark purple
  • C: White and slippery
  • P: Deep and thready or Deep and slow or Deep and faint
Treatment Principle
  • Rescue Yang
  • Warm the Middle Jiao
  • Disperse Internal Cold
  • Stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Aching bones and joints
  • Muscle ache
  • Whole body pain
  • Aversion to Cold, especially at the back
  • Cold limbs
  • No Thirst
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Maybe fever
  • No thirst
  • T: Normal
  • C: White and slippery
  • P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle
  • Dispel Cold
  • Warm the channels
  • Assist Yang
  • Dispel Dampness
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Pain not severe
  • No thirst
  • Clear urine
  • Likes warmth
  • Better with pressure
  • T: Pale
  • C: Normal
  • P: Deep and Wiry
Treatment Principle
  • Nourish the Spleen
  • Warm abdomen
Herb Formulas
Points
Clinical Manifestations
  • Sudden, urgent, severe pain
  • Pain is relieved by warmth
  • Pain is worse with cold
  • No thirst
  • Clear urine
  • Maybe loose stools
  • Diarrhea
  • Nausea
  • T: Pale
  • C: White
  • P: Deep and tight or Slow
Treatment Principle
  • Warm the abdomen
Herb Formulas
Points
Clinical Manifestations
  • Painful, distended abdomen which is worse with pressure
  • Warm body and abdomen
  • High fever or
  • Tidal fever
  • Vomiting
  • Constipation
  • Yellow or red scanty urine
  • Irritability
  • Restlessness
  • Sweating over the whole body or just the hands and feet
  • Thirst
  • Dry mouth
  • Likes cold drinks
  • With Heat in the Intestines:
    Pain in the left or right iliac fossa
    Constipation or
    Diarrhea or
    Constipation and diarrhea
    Maybe fecal impaction with foul, green, spurious diarrhea with a palpable mass and pain in the left iliac fossa
    Frequent flatulence
  • With Heat in the Uterus:
    Lower abdominal pain
    Thick, yellow, malodorous vaginal discharge
    Maybe constipation
    Acute cases:
    Chills
    Rigors
  • T: Normal or Red or Red spots
  • C: Yellow or greasy yellow or Brown
  • P: Rapid and full or Rapid and slippery or Bounding, rapid and slippery Deep and strong
Treatment Principle
  • Clear Heat
  • Stop pain
  • Purge
  • Dry Damp
  • Clear Damp-Heat
  • Eliminate Toxic-Heat
Herb Formulas
Points
Clinical Manifestations
  • Heart pain
  • Stomach pain
  • Abdominal pain
  • Back pain
  • Leg pain
  • Arm pain
  • Bruising and swelling due to traumatic injury
  • Rheumatic pain
  • Fixed abdominal masses
  • Internal or external ulcerations
  • Dark or echymosis spots
  • Scrofula
  • C: Normal
  • P: Wiry or Choppy
Treatment Principle
  • Activate the Blood
  • Dispel Blood Stasis
  • Unblock the collaterals
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Reduced appetite
  • Soreness in the lower back
  • Red and white vaginal discharge
  • Weak extremities
  • Abdominal distention
  • Pallid or sallow complexion
  • Palpitations with anxiety that may be continuous
  • Reduced appetite
  • Shortness of breath
  • Laconic speech
  • Easily fatigued extremities
  • Light-headedness and/or vertigo
  • Dizziness
  • Anorexia
  • Thirst
  • Course skin
  • Headache
  • Blurred vision
  • Lassitude
  • Severe chills and fever
  • Midline pain in women
  • Lower abdominal pain
  • Lower abdominal distention
  • Severe chills and fever
  • Irregular menstruation
  • Weight loss
  • Abscesses that neither suppurate nor improve
  • Continuous spotting from uterine bleeding
  • Weakness of the limbs
  • Itching
  • Under weight
  • T: Pale
  • C: Thin and white
  • P: Thin and frail or Large and Deficient without strength
Treatment Principle
  • Tonify and augment Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Immobile masses below the hypochondrium or in the abdomen
  • Abdominal pain
  • Emaciation
  • Poor appetite
  • Alternating chills and fever
  • Amenorrhea
  • Hard abdominal masses that produce pain
  • Aggravated by pressure
  • Hypochondriac distention
  • T: Purple with echymoses
  • P: Choppy
Treatment Principle
  • Activate the Blood
  • Remove Stasis
  • Circulate Qi
  • Resolve Phlegm
  • Eliminate accumulations
  • Soften and resolve hard masses
Herb Formulas
Points
Clinical Manifestations
  • Empty pain
  • Abdominal pain in women
  • Dark yellow face
  • Palpitations
  • Insomnia
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Maybe five sole heat
  • Delayed menstruation
  • Dry skin
  • Maybe leukorrhea
  • Maybe fever
  • Firm, painful abdomen
  • Sporadic fever and chills
  • Menorrhagia
  • Hard abdominal masses with recurrent pain
  • Unstable fetus with bleeding
  • Chills and fever
  • T: Pale
  • C: Normal
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Tonify the Blood
Herb Formulas
Points
Clinical Manifestations
  • Stabbing pain in the abdomen with a fixed location
  • Aggravation of the pain at night
  • Maybe a palpable mass in the abdomen
  • Purple lips and nails
  • A dark complexion
  • T: Purple or Purple spots on the edges
  • P: Choppy deep and wiry or Choppy, deep and tight
Treatment Principle
  • Activate the Blood
  • Circulate Qi
  • Eliminate Blood Stasis
  • Alleviate the pain
Herb Formulas
Points
Clinical Manifestations
  • Extreme pain when pressed
  • Painful whether pressed or not
  • Pain continuous
  • No swelling
  • Disease mild during the day and worse at night
  • P: Short and rough
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
  • Calm the Liver
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain in women
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Insomnia
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Maybe five sole Heat
  • Delayed menstruation
  • Palpitations
  • Dizziness
  • Dry skin
  • Maybe leukorrhea
  • Maybe fever
  • Firm, painful abdomen
  • Sporadic fever and chills
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Menorrhagia
  • Hard abdominal masses with recurrent pain
  • Unstable fetus with bleeding
  • Chills and fever
  • T: Pale
  • C: Normal
  • P: Thready and wiry or Thready and choppy
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Flank distention and fullness
  • Dizziness
  • Blurred vision
  • Tinnitus
  • Excessive loss of Blood
  • Emotional instability
  • Fullness and distention of the hypochondrium
  • Epigastric pain
  • Aversion to Cold
  • Prolonged lochia
  • Excessive postpartum bleeding
  • Profuse bleeding
  • Puerperal fever
  • Spontaneous sweating
  • Dry mouth
  • Heart irritability
  • Light headedness
  • Delirium
  • Irritability
  • Nausea
  • Vomiting
  • Nervousness
  • Anorexia
  • T: Pale
  • C: Slippery
  • P: Weak and Deep
Treatment Principle
  • Tonify Qi and Blood
  • Invigorate the Blood
  • Regulate Qi
  • Transform Stasis
  • Harmonize the Liver and Spleen
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Chronic, continuous uterine bleeding
  • A pale complexion
  • Stabbing pain in the abdomen
  • Alternating chills and fever
  • Irregular menstruation with profuse bleeding
  • Abdominal pain
  • Fever
  • Thirst
  • Itchy skin
  • Heat in the upper body with Cold in the lower body
  • Irritability and restlessness despite fatigue and exhaustion
  • Mood swings
  • A sallow complexion
  • Emaciation
  • T: Dry with a red tip
  • C: Thin white
  • P: Deep and rapid
Treatment Principle
  • Drain Fire
  • Resolve toxicity
  • Tonify the Blood
  • Stop bleeding
  • Warm the menses
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Tidal fever
  • Unstable pregnancy
  • Postpartum weakness
  • Sore back
  • Hysteria
  • Thirst
  • History of habitual miscarriage
  • Difficult labor
  • Postpartum anemia
  • Abdominal pain
  • Dryness
  • T: Pale red
  • C: Little of None
  • P: Thready or Thready and rapid
Treatment Principle
  • Dispel Heat
  • Nourish the Blood
  • Strengthen the Spleen
  • Prevent gynecological problems
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain with icy cold hands and feet
  • Extremities are cyanotic and difficult to warm up
  • P: Thready or Imperceptible
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Nourish the Blood
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Cold extremities
  • Spontaneous perspiration
  • Weak breathing
  • Shortness of breath
  • Dizziness
  • An extremely pale face
  • Intolerance of Cold
  • Cold abdominal pain
  • Loose stools
  • Upset stomach
  • T: Pale
  • C: White
  • P: Minute (almost imperceptible)
Treatment Principle
  • Restore Yang
  • Strongly tonify Yuan Qi
  • Rescue Qi from collapse due to Vanquished Yang
Herb Formulas
Points
Clinical Manifestations
  • Vomiting
  • Diarrhea
  • Spasms
  • Cramps
  • Thirst
  • Irritability
  • Oliguria with reddish urine
  • Restlessness
  • Arthralgia with a burning sensation, redness and swelling
  • Abdominal pain
  • T: Pink
  • C: Thick, dry and yellow or Yellow and greasy
  • P: Soggy and rapid or Floating and rapid or Floating, soft and rapid
Treatment Principle
  • Clear Heat
  • Resolve Dampness
  • Separate the clear from the turbid
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of Breath
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
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
  • Warm and Aromatically Open the Orifices
  • Move Qi
  • Expel dirt
  • Transform turbidity
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Fever and chills
  • Headache
  • Chest and gastric fullness and oppression
  • Pain in the epigastrium and abdomen
  • Nausea and vomiting
  • Borborygmus
  • Diarrhea
  • Loss of taste
  • Aversion to Cold
  • Cough
  • Indigestion
  • No perspiration
  • Chest discomfort
  • Sore throat
  • Disorientation
  • Madness
  • General lassitude
  • Anorexia
  • Delirious speech
  • Maybe loss of voice
  • Intermittent chills and fever
  • Afternoon fever and tight
  • Sudden turmoil disorder
  • Malarial disorders
  • Loose stools
  • Acute gastritis
  • Thirst
  • Dry throat
  • T: Normal
  • C: Greasy and white
  • P: Moderate and soggy or floating and forceful
Treatment Principle
  • Transforms Dampness
  • Regulates Qi
  • Warm and harmonizes the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Lethargy
  • Anorexia
  • Maybe jaundice
  • No thirst or
  • Thirst with no desire to drink
  • Nausea
  • Vomiting
  • Afternoon fever
  • Body aches
  • A sallow complexion
  • Scanty urination
  • Diarrhea
  • Chest discomfort
  • Epigastric pain and distention
  • Dull appearance
  • Maybe disorientation
  • Loose stools
  • Maybe skin vesicles
  • Heavy extremities
  • 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: Soft and rapid or Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Clear Heat
  • Resolve Damp and turbidity
Herb Formulas
Points
Clinical Manifestations
  • Excruciating epigastric and abdominal pain to the point of not being able to to be touched
  • Gastric and Intestinal spasms
  • May be borborygmus.
  • Vomiting to the point of not being able to eat
  • Superficial skin pulsations throughout the abdomen
  • May be cold limbs
  • Strong sensation of Cold in the chest and epigastrium.
  • Severe pain in the head and feet
  • T: Pale or Dark purple
  • C: White and greasy or Slippery
  • P: Thin and tight or slow and wiry or Deep and thready or Hidden
Treatment Principle
  • Warm and tonify Middle Jiao Yang
  • Descend rebellious Qi
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • No desire to eat or drink
  • Diarrhea
  • Abdominal pain
  • Nausea
  • Vomiting
  • Belching with a rotten or sour smell
  • T: Pale and thick
  • C: Greasy or Turbid
  • P: Weak and soggy
Treatment Principle
  • Augment the Spleen
  • Transform Dampness
  • Harmonize the Stomach
  • Dispel Food Stagnation
  • Relieve diarrhea and vomiting
Herb Formulas
Points
Clinical Manifestations
  • Acute abdominal pain
  • Distention and diarrhea
  • The pain is alleviated after defecation
  • A burning sensation in the anus
  • Thirst
  • T: Red
  • C: Yellow and greasy
  • P: Moderate and rapid
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Promote urination
  • Stop the diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Alternating fever and chills
  • Increasing Cold
  • Strong fever or fever and no Cold
  • Anorexia
  • Inability to differentiate flavors
  • Headache
  • A red face and eyes
  • Soreness and heaviness of the limbs
  • Torpid intake
  • Chest and ductal glomus and oppression
  • Hiccup or vomiting
  • Abdominal fullness, distention, and pain
  • Diarrhea or constipation
  • Short, reddish urination
  • T: Red
  • C: White and slimy
  • P: Soggy and slightly rapid
Treatment Principle
  • Open Damp Stagnation
  • Vent the membrane source
  • Aromatically transform turbidity
Herb Formulas
Points
Clinical Manifestations
  • Rapidly developing jaundice with a gold color
  • High fever
  • Restlessness
  • Irritability
  • Thirst
  • Foul breath
  • Vomiting
  • Abdominal pain
  • Constipation
  • Scanty urine
  • Skin rashes
  • Epistaxis
  • Bleeding gums
  • Muscular spasms or
  • Convulsions
  • Hypochondriac and Stomach fullness and pain
  • Unclear thinking
  • Delirium
  • Epistaxis
  • Hematochezia
  • Bleeding from the mouth
  • Bruises easily
  • T: Deep red
  • C: Dry yellow
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Resolves toxicity
  • Cool the Blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Vomiting
  • Abdominal distention, pain and fullness
  • Fever and chills
  • Diarrhea with mucus
  • Headache
  • Melaena
  • T: Pink
  • C: Thick, white and greasy
  • P: Soft or Floating tight and soft or Weak
Treatment Principle
  • Activate Qi
  • Dry Dampness
  • Transform turbidity
  • Descend Qi
  • Harmonize the Stomach
  • Stop vomiting and diarrhea
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Prolonged menstruation
  • Skipped period
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Pain
  • Lower abdominal distention
  • Lower abdominal Cold
  • Lower abdominal pain
  • Infertility
  • Dry lips
  • Dry mouth
  • Spermatorrhea
  • Pale complexion
  • Leukorrhea
  • Amenorrhea
  • Bleeding between periods
  • Low grade fever at dusk
  • Irritability
  • Five sole Heat
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • T: Purple with petechiae
  • P: Thready and choppy
Treatment Principle
  • Warm the menses
  • Regulate menstruation
  • Dispel Cold
  • Warm the channels
  • Nourish the Blood
  • Dispel Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Fixed lower abdominal pain in postpartum women
  • Incomplete expression of the placenta
  • Continual discharge of purple clotted lochia
  • T: Pale-purple
Treatment Principle
  • Activate the Blood
  • Break up Stasis
  • Warm the Uterus
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Stifling sensation and irritability in the chest
  • Nausea with an urge to vomit
  • Abdominal pain
  • Fever with slight chills
  • Diarrhea
  • Vexation
  • Borborygmus
  • Thirst
  • T: Pink
  • C: White and greasy
  • P: Wiry
Treatment Principle
  • Regulate Cold and Heat
  • Harmonize the Stomach
  • Descend Rebellious Qi
Herb Formulas
Points
Clinical Manifestations
  • Intermittent pain with hunger
  • Pain may be severe
  • Pain often clusters around the navel or to the side
  • Good appetite
  • Emaciation
  • Peculiar eating prejudices
  • Bowel movements contain worms
  • Vomiting worms
  • White spots on lips
  • Large belly with obvious veins
  • Selective with foods
Treatment Principle
  • Soothe worms
  • Neutralize accumulations
Herb Formulas
Points