ENURESIS

GENERAL

Clinical Manifestations	Enuresis is a type of urinary incontinence, usually referring to involuntary discharge of urine during sleep at night (nocturnal enuresis or bed-wetting), such as in a child beyond the age when bladder control should have been achieved. It can occur as a result of such organic conditions as structural defects or infections of the urinary tract, neurological deficit and resultant loss of control, nocturnal epilepsy, diabetes mellitus and diabetes insipidus, which increase urine flow, and renal disorders that impair the kidney's ability to concentrate urine. If no organic basis can be found for bed-wetting, psychogenic factors are considered.
Treatment Principle
Herb Formulas
Points	Moxa or moxa needle DU-4, DU-20, REN-4, UB-33 HT-7, LIV-1, LIV-3, LU-10, REN-4 LIV-1, LIV-2, REN-4, REN-6, SP-9 HT-7, LU-1, REN-4 HT-7, KI-6, LIV-1, REN-3, REN-4, REN-6, SP-6, ST-36, UB-23, UB-28 DU-4, DU-20, REN-4, SP-6, UB-33 DU-4, DU-20, REN-4, UB-23 REN-3, SP-6, SP-9 REN-2, SP-6 LIV-2, LIV-3 REN-3, SP-6, UB-28 Nocturnal: KI-10 Cutaneous: Huatoujiaji from T-4 to L-2, KI- 3, REN-2, REN-3, REN-4, REN-6, SP-6, UB-23, UB-28, UB-32, UB-33 Ear: Sympathetic, Brain, Kidney, Bladder, Occiput, Urethra

TAI YANG SHANG HAN (PEDIATRIC)

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

TAI YANG ZHONG FENG (PEDIATRIC)

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 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	Gui Zhi Tang
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, Yintang With stiff neck and shoulders: + GB-21 With Dampness: + SP-6, SP-9 With dyspnea, asthma and sputum: Dingchuan, REN-22 With nocturnal emission, excess dreams, Cold lower extremities, dizziness and hair loss: + DU-4, KI-3, UB-23 With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: + REN-4 With sustained fever of long duration accompanied by severe chills: + DU-14

LUNG QI DEFICIENCY

Clinical Manifestations	Enuresis An enduring soft, weak cough with clear thin sputum Physical and mental exhaustion Soft, weak voice Reluctance to speak Shortness of breath Pale face Vomiting of foamy drool With Wei Qi Deficiency: Spontaneous perspiration (daytime) Low resistance to common cold Tendency to a blocked nose T: Pale C: Thin and white P: Weak
Treatment Principle	Reinforce the Lungs Strengthen Qi
Herb Formulas	Bu Fei Tang modified
Points	LU-7. LU-9, REN-4, REN-6, REN-17 For spontaneous perspiration: + moxa or moxa needle HT-6 For susceptibility to the common cold: + moxa or moxa needleST-36 For shortness of breath: + UB-13 LU-9, REN-17, ST-36, UB-13, UB-43

LUNG AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Four limbs tired Anorexia Borborygmus General lassitude Distention and pain of the epigastrium and abdomen Indigestion Loose stools Severe cases: Frightens easily T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Warm and transform Phlegm-Dampness
Herb Formulas	Bu Zhong Yi Qi Tang Si Jun Zi Tang Bu Fei Tang + Bu Zhong Yi Qi Tang modified
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43 LU-7, REN-4, SP-6, SP-9, ST-36, UB-20 LU-7, REN-6, SP-6, ST-36 For chest oppression: + REN-17 For weak limbs and lack of strength: + moxa UB-43 For abdominal distention: + SP-4 For spontaneous perspiration: + UB-13

DAMP-HEAT INJURES THE SPLEEN

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

SPLEEN QI DEFICIENCY

Clinical Manifestations	Enuresis when overworked or fatigued Disinclination to speak Somnolence 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 Possible prolapse of rectum or uterus T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi Secure the Bladder
Herb Formulas	Ju Yuan Jian modified Si Jun Zi Tang Xiang Sha Liu Jun Zi Tang
Points	DU-20, REN-4, REN-6, ST-36 For a prolapsed rectum: + DU-1 For a prolapsed uterus: + Zigong For a sagging sensation in the lower abdomen: + Tituo For loose stools: + SP-4 LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

SPLEEN AND KIDNEY QI DEFICIENCY

Clinical Manifestations	Milky, turbid spermatorrhea Listlessness Fatigue A shiny, white complexion Anorexia or Increased food intake Restlessness Vaginal discharge Diarrhea Dryness of the external ears Dizziness Enuresis Copious urination Thirst Premature ejaculation Lumbago T: Pale C: White P: Deep and frail
Treatment Principle	Tonify the Kidneys Stabilize Jing Stop leakage Strengthen the Spleen Drain Dampness
Herb Formulas	Fu Tu Dan
Points

SPLEEN AND KIDNEY YANG DEFICIENCY

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

SPLEEN AND STOMACH DEFICIENCY COLD (PEDIATRIC)

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Xiao Jian Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

HEART FIRE WITH KIDNEY YIN DEFICIENCY AND DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Dry mouth Dry Tongue Five Sole Heat Fever Physical and mental overexertion T: Red C: Little or None P: Deep and rapid
Treatment Principle	Clear Heart Fire Disperse Damp-Heat Benefit Qi and Yin Promote urination
Herb Formulas	Qing Xin Lian Zi Yin
Points

HEART BLOOD DEFICIENCY WITH LIVER QI STAGNATION

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

HEART AND KIDNEY DEFICIENCY

Clinical Manifestations	Frequent urination Cloudy urine that resembles rice-water Seminal emissions Enuresis Disorientation Constipation Forgetfulness Fatigue Anorexia T: Pale or Light pink C: Thin and white P: Thin, slow and frail or Deep and weak
Treatment Principle	Regulate and tonify the Heart and Kidneys Stabilize Jing Stop enuresis
Herb Formulas	Sang Piao Xiao San
Points

LACK OF COMMUNICATION BETWEEN THE HEART AND KIDNEYS

Clinical Manifestations	Palpitations Anxiety Insomnia Dream disturbed sleep Nightmares Hair loss Spontaneous perspiration Amnesia Infantile night crying Dreams of sexual intercourse in women A cold sensation on the tip of the penis Loss of appetite Dizziness Depression Lack of motivation Night sweats Spermatorrhea Nocturnal emissions Lower abdominal contraction and pain Occasional watery diarrhea T: Slightly pale P: Hollow and slow or Hollow and slightly tight
Treatment Principle	Tonify Yin and Yang Harmonize the Ying and Wei Astringe Jing and urine
Herb Formulas	Gui Zhi Jia Long Gu Mu Li Tang
Points

LIVER QI STAGNATION

Clinical Manifestations	Enuresis which gets worse with emotional stress Possible dribbling and dripping Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Vertigo Belching Headache 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 Clear Stagnation
Herb Formulas	Chai Hu Shu Gan Tang modified
Points	LIV-1, LIV-3, REN-2, REN-3 For a headache: + GB-8 For a bitter taste in the mouth and a dry throat: + GB-34 For irascibility: + LIV-14 GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

LIVER FIRE

Clinical Manifestations	Enuresis in nervous, anxious, hyperactive or excitable children Frequent urination in an energetic child with a ruddy complexion Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness at night Nightmares Constipation or dry stools Maybe rib pain Yellow urine Maybe a sore or inflamed urinary tract In severe cases: Mania Hemoptysis Hematemesis Epistaxis Liver Fire Attacks the Lungs: Hemoptysis Rib pain which is severe when coughing Liver Fire Attacks the Stomach: Hematemesis T: Red or Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang Chai Hu Jia Long Gu Mu Li Tang
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

KIDNEY YIN DEFICIENCY WITH FIRE FLARING

Clinical Manifestations	Enuresis Frequent short, dark and hot urination Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five Sole Heat Malar flush Red lips Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Heightened libido If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid or Floating and large
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan modified
Points	KI-3, SP-6, UB-23, UB-28 For a sore throat: + KI-6 If insomnia and profuse dreams: + HT-7 KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: + HT-7, PC-7, UB-15 If Liver Yang also Rises: + LIV-3, UB-18

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Enuresis or Urinary incontinence 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	Ba Wei Di Huang Wan You Gui Wan + Suo Quan Wan Enuresis #1 Da Tu Si Zi Wan Jia Jian Niu Che Shen Qi Wan For aversion to Cold with cold limbs: Ji Sheng Tu Si Zi Wan Jia Jian
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 KI-3, REN-3, REN-4, UB-23, UB-28 For aversion to Cold with cold limbs: + moxa needle Moxa needle DU-4, KI-7, REN-4, REN-6, SP-6 For seminal efflux: + moxa REN-2 For turbid vaginal discharge: + SP-9 For loose stools: + ST-36 For reduced food intake, vomiting and acid regurgitation: + REN-13 For abdominal pain: + moxa REN-8 Moxa or moxa needle KI-6, REN-4, REN-6, UB-23, UB-28 For dizziness: + moxa DU-20 For impotence: + moxa DU-4 For aversion to Cold, fatigue and lassitude: + moxa UB-43 For enduring diarrhea: + moxa REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

KIDNEY YANG DEFICIENCY: KIDNEY QI NOT CONSOLIDATED

Clinical Manifestations	Low back and knees aching and weak Hearing deficit Jing Gate Not Consolidated: Spermatorrhea Premature ejaculation Vaginal discharge Infertility Urinary disorder: Frequent, clear, abundant urination Dribbling after urination Incontinence of urine T: Pale and swollen with teethmarks C: Thin white P: Deep and thready
Treatment Principle	Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Suo Gu Jing Wan Suo Quan Wan
Points	REN-3, SP-6, UB-22, UB-23, UB-28, UB-39 REN-3, SP-6, UB-22, UB-23, UB-28 LIV-1, REN-3, SP-6, UB-22, UB-23, UB-28

KIDNEY YIN AND YANG DEFICIENCY

Clinical Manifestations	Amenorrhea Irregular menstruation Hot flashes Dizziness Tinnitus Night sweats Perspiration Nervousness Muscular flaccidity Fatigue Mood swings Cold feet Lassitude Frequent, clear urine Irritability Headache Palpitations Insomnia T: Pale C: Thin and white P: Thready and rapid
Treatment Principle	Replenish Kidney Yin and Yang Tonify Kidney Jing Purge Deficiency Fire Regulate the Chong and Ren
Herb Formulas	Er Xian Tang
Points	Moxa or moxa needle REN-3, REN-4, REN-6, SP-6, UB-20, UB-24, UB-25, UB-28 Moxa needle DU-4, KI-1, LIV-1, REN-3, REN-4, REN-6, SP-6, UB-23 REN-4, SP-6, ST-36 UB-23, UB-28, UB-32 With dreams: + HT-7 With anorexia: +ST-36, UB-20 LIV-1, SP-6, UB-23, UB-28 With dreams: + HT-7 Moxa or moxa needle DU-4, DU-20, REN-4, REN-12 LIV-1, REN-3, SP-6, UB-22, UB-23, UB-28 DU-20, REN-3, REN-4, REN-6, SP-6, SP-9, UB-22 In the elderly: 1. Moxa DU-4, REN-4, REN-6, UB-23 2. Reduce KI-6, UB-23, UB-28, tonify REN-3, REN-6, SP-5, SP-6, SP-9, ST-36, UB-23, UB-28, UB-62 Ear: 1. Sympathetic, Brain Stem, Kidney, Bladder, Back of the Head, Urethra 2. Kidney, Bladder, Brain, Subcortex

KIDNEY QI INSUFFICIENCY

Clinical Manifestations	Frequent urination Copious amounts of clear urine Incontinence of urine Enuresis Nocturia Either a tendency towards being too hot of too cold A bright white facial complexion Dizziness Shortness of breath Asthma Aversion to Cold Cold limbs Edema in the lower limbs Lassitude Lower back and knees weak and painful Lingering tinnitus or deafness Seminal emission Impotence Sterility Fatigue Lack of strength Maybe anorexia Maybe loose stools T: Pale C: White P: Deep, weak and possibly tight or Thready and weak or Deep, weak and slow or Deep, thready and weak
Treatment Principle	Tonify Kidney Qi Warm Kidney Yang Nourish Jing and Blood
Herb Formulas	You Gui Wan modified With disquietude of Spirit: Sang Piao Xiao San modified
Points	Moxa or moxa needle REN-4, REN-6, tonify UB-23, UB-52 With panting: + KI-2 With dribbling urination: + UB-28 With frequent nocturia: + KI-6 With clear, thin vaginal discharge: + GB-26 With premature ejaculation: + KI-12

KIDNEY DEFICIENCY WITH COLD IN THE URINARY BLADDER

Clinical Manifestations	Dribbling urination Enuresis Frequent, long clear urination Fatigue Lassitude Upper and lower back pain and aching Cold limbs T: Pale C: White P: Deep and thready
Treatment Principle	Warm the Kidneys Secure the Bladder
Herb Formulas	Jin Gui Shen Qi Wan modified For scanty urination and edema in the lower limbs: Ji Sheng Shen Qi Wan
Points	Moxa or moxa needle REN-4, REN-6, UB-28, UB-34 With an aversion to Cold: + moxa DU-4 With loose stools: + ST-36 With clear, thin vaginal discharge: + GB-26 With impotence: + REN-2 With dizziness: + moxa DU-20

URINARY BLADDER DAMP-HEAT

Clinical Manifestations	Occasional enuresis Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine In Damp-Heat Pouring Downward there may also be: Fever Thirst Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Ba Zheng San
Points	REN-3, SP-6, SP-9, UB-28 For lower abdominal pain: + LIV-8 For a poor appetite: + ST-36 or REN-12 For stool irregularities: + ST-25 KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

BLOOD STAGNATION IN THE LOWER JIAO

Clinical Manifestations	Mild, persistent uterine bleeding of purple and black blood during pregnancy Abdominal pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness Fatigue Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face Protruding abdomen T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense, deep and slow
Treatment Principle	Invigorate the Blood Transform Blood Stasis Soften lumps Reduce fixed abdominal pain
Herb Formulas	Gui Zhi Fu Ling Wan Pediatric: Shao Fu Zhu Yu Tang With Heat: Tao He Cheng Qi Tang Da Huang Mu Dan Tang
Points

COLD-DAMPNESS IN THE LOWER JIAO

Clinical Manifestations	Cold pain in the lower back and body Sciatica Copious urination Extreme heavy sensation in the lower back Absence of thirst T: Pale C: White P: Deep, thready and moderate
Treatment Principle	Warm Yang Strengthen the Spleen Dispel Cold Eliminate Dampness
Herb Formulas	Gan Cao Gan Jiang Fu Ling Bai Zhu Tang
Points

JING AND BLOOD DEFICIENCY DUE TO KIDNEY, HEART AND SPLEEN DEFICIENCY

Clinical Manifestations	Enuresis Fatigue Heavy and painful lower back Dream-disturbed sleep General weakness Lack of interest in food or drink Fever Night sweats Seminal emission Forgetfulness Toothache Dizziness Gum swelling General pitted edema which is worse in the lower body Vaginal discharge Discharge of rice-water like urination without dysuria Aversion to Cold Impotence Decreased libido Emaciation Loose teeth Signs of premature aging Abdominal Cold Easily frightened T: Pale or Pale and thick C: Smooth and white P: Moderate and weak or Deep and weak
Treatment Principle	Tonify the Spleen and Kidneys Nourish the Heart Enrich Yin Nourish the Blood and Yang Augment Qi
Herb Formulas	Huan Shao Dan
Points

PARASITES

Clinical Manifestations	Enuresis Recurrent anal itching especially in children Itching is worse at night Pinworms in the anus and stools during attack Restless sleep Poor appetite Nausea Vomiting Loose stools Emaciation Abdominal pain A tendency toward nail biting Agitation Vexation Night fright
Treatment Principle	Kill the worms Stop itching
Herb Formulas	Zhui Chong Wan
Points	Baichongwo, LI-4, ST-25, ST-36

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