HEADACHE

GENERAL

Clinical Manifestations	Tension headache: Dull pain as if there were a tight band around the head
Treatment Principle
Herb Formulas	Post-concussion: Zhen Wu Tang
Points	DU-15, LI-4, SJ-5 DU-15, LI-4, SJ-5, Yintang GB-20, LI-4, UB-11, UB-62 DU-20, LI-4, Taiyang, Yintang DU-20, DU-23, LI-4 GB-1, GB-20, GB-33, UB-2 GB-20, GB-41, ST-40 GB-20, LI-4, Taiyang, UB-7 LI-4, Taiyang, Yintang SJ-21, SJ-23 Left GB-20 through to Right GB-20, GB-8 through to Taiyang GB-20, SJ-8 Occipital: 1. GB-20, SI-3, UB-60 2. GB-20, Taiyang, UB-67 3. DU-19, GB-20, UB-11, UB-60 4. GB-20, LI-4,Taiyang, UB-7 5. DU-15, UB-10, UB-60 6. SI-3, UB-10 Scalp: Upper one-fifth of the sensory line Front all: DU-23, LI-4, ST-8, ST-44, Yintang 1. GB-14, LI-4, Yintang 2. DU-23, GB-14, ST-40, ST-44 3. GB-14 through to UB-2, LI-4 4. DU-23, GB-14, LI-4, ST-8, UB-2, Yintang 5. UB-2 Parietal: 1. GB-8, GB-41, SJ-5, Taiyang 2. GB-8, GB-14, GB-41, LI-4, SJ-5 3. DU-20, LIV-3, SI-3, UB-67 4. GB-8, GB-43, SJ-3, SJ-20, Taiyang 5. GB-41, SJ-5 6. GB-4, GB-5, GB-41, ST-8, Taiyang 7. Moxa GB-19, GB-20, LI-4, LU-7, LU-9, ST-41 Parietal with eyes and teeth aching: Moxa GB-16, GB-19 (for left sided pain moxa the right side and vice versa) Temporal: 1. GB-8, SJ-3, Taiyang 2. GB-20, Taiyang Vertical: 1. DU-20, UB-7, UB-60, UB-67 2. DU-19, DU-20, DU-21, SI-3 3. DU-20, LI-4 4. DU-20, LIV-2, UB-60 5. DU-19, DU-20, LI-4 Midline: Moxa GB-19, GB-20, LI-4, LU-7, LU-9, ST-41 Supraorbital: GB-14, Taiyang, UB-2 Taiyang channels: DU-14, DU-19, SI-3, UB-10, UB-11 Yangming channels: DU-23, GB-14 through to Yuyao, LI-4, ST-8, ST-36, ST-44 Jueyin channels: DU-20, GB-2, LIV-2, LIV-3, SI-3, UB-7, UB-67 Shaoyang channels: GB-5, GB-6, GB-8, GB-9, GB-14, GB-41, SJ-5 Eye and eyebrows: UB-2 Head Wind: DU-20, DU-21, DU-23, GB-43, LI-4, SI-5, SJ-1, UB-60 Severe: UB-62, UB-63 With dizziness: GB-17, REN-4, SJ-1, UB-12 , UB-60 Hot or Cold with anhidrosis: DU-14, SJ-4, UB-10, UB-12 Ear: Subcortex, Forehead, Occiput, Kidney, Pancreas/Gall Bladder Cutaneous: L-1 to S-4, GB-14, GB-20, Taiyang Scalp acupuncture : Frontal: Facial area, Sensory area, (ipsolateral or bilateral) Occipital: Lower limb, Hand, Trunk, Sensory area

EXTERNAL WIND

Clinical Manifestations	Headache due to Wind attack Headache in any part of the head The pain is alternately severe and mild It may occur on either side of the head Fever and chills Dizziness Nasal congestion Stuffy nose Clear or white nasal discharge Sneezing Body aches Nasal obstruction Vertigo Aversion to Wind Copious sputum T: Normal C: Thin and white P: Floating
Treatment Principle	Dispel Wind Alleviate pain
Herb Formulas	Chuan Xiong Cha Tiao San Cang Er Zi San
Points	DU-16, GB-20, LU-5, LU-7 + LI-4, KI-7, UB-12, UB-13 GB-4, GB-5, GB-20, GB-34, SJ-5, UB-40 DU-16, DU-23, LI-4, LI-20, SJ-5, ST-8, UB-12 SI-3, UB-62

WIND-COLD ATTACKS THE LUNGS

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 that refers to the to the nape of the neck and upper back Sudden, tight headache Aversion to Wind Blocked and / or runny nose with clear, watery nasal discharge Sneezing General body aches Body fatigue Sudden, tight headache 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 Xiao Qing Long Tang Hua Gai San Jin Fei Cao San Liu Wei Tang Chuan Xiong Cha Tiao San For a mild condition with Dryness: Xing Su San For neck and shoulder stiffness and pain: Ge Gen Tang With sinusitis or nasal congestion: Xin Yi San Jia Wei Xin Yi San With Qi Deficiency: Ren Shen Bai Du San With Qi Stagnation in the Interior: Xiang Su San Shi Shen Tang With Phlegm: Jin Fei Cao San #2 With Heat and Phlegm: Jin Fei Cao San Jia Jian
Points	LU-7 + LI-4 or LI-4 + KI-7, DU-16, GB-20, LU-5, UB-12, UB-13 Moxa LI-4, LU-7, ST-36, reduce DU-16, GB-20, SJ-5, Taiyang, Ahshi DU-16, DU-23, LI-4, SJ-5, ST-8, UB-12 DU-16, DU-20, GB-4, GB-20, LIV-3, LU-7, SJ-3, SJ-5, Taiyang SI-3, UB-62 GB-20, LI-4, LU-7 For severe aversion to Wind and Cold: + DU-14, UB-12 For a frontal headache: + DU-23, GB-14 For occipital headaches: + UB-9, UB-10 For temporal headaches: + GB-6, Taiyang DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12

TAI YANG ZHONG FENG

Clinical Manifestations	Aversion to Wind Mild or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Headache Stiff neck and shoulders Nausea Nasal irritation Nasal obstruction Tendency to snore Itchy throat T: Normal C: Thin and white P: Superficial, slow or moderate, and maybe weak
Treatment Principle	Create sweat to relieve the Exterior and expel Wind Harmonize Ying and Wei
Herb Formulas	Gui Zhi Tang San Ao Tang San Niu Tang With a stiff neck and shoulders: Gui Zhi Jia Ge Gen Tang With dyspnea and asthma with sputum: Gui Zhi Jia Hou Po Xing Ren Tang If, after administration of Gui Zhi Tang, there is still headache, stiff neck, persistent fever, anhidrosis, fullness beneath the Heart, mild aching, and dysuria: Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang
Points	DU-16, GB-20, KI-7, LI-4, LI-20, SJ-5, UB-12. UB-13, Yintang SI-3, UB-62 GB-20, LI-4, SJ-5, UB-12 With an itchy throat: + bleed LU-11 With nasal discharge and congestion: + LI-20

TAI YANG ZHONG FENG WITH PHLEGM

Clinical Manifestations	Aversion to Wind Chills and fever Spontaneous perspiration Headache Nasal obstruction Itchy throat Cough with expectoration of clear, or white sputum Asthma Shortness of breath Sore throat with phlegm T: Normal C: Thick greasy or sticky white P: Floating and weak or slippery
Treatment Principle	Disperse Wind Stop cough Resolve Phlegm Relieve the Lungs
Herb Formulas	Zhi Sou San
Points	DU-16, GB-20, KI-7, LI-4, LU-7, LU-9, PC-5, SJ-5, ST-40, UB-12. UB-13

TAI YANG SHANG HAN WITH WATER ACCUMULATION IN THE LUNGS

Clinical Manifestations	Chills and fever or Fever with no thirst Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder. Dyspnea Shortness of breath Mild or severe gasping Hiccups Fullness in chest Vomiting Heaviness of body Edema Dysuria Maybe thirst Maybe diarrhea Maybe scanty urine Maybe lower abdominal fullness T: Normal C: Greasy, white. P: Floating and slippery or tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma Expel water or Phlegm
Herb Formulas	Xiao Qing Long Tang With Qi Deficiency: Shen Su Yin With Qi and Yang Deficiency: Zai Zao San With underlying Yin or Blood Deficiency: Cong Bai Qi Wei Yin
Points	Dingchuan, moxa DU-4, needle DU-16, GB-20, LI-4, LU-7, moxa REN-4, REN-6, needle REN-17, REN-22, SJ-5, SP-6, SP-9, ST-40, UB-12, UB-13

TAI YANG SHANG HAN BIAO FU

Clinical Manifestations	Chills and fever Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to cold Maybe frozen shoulder The Tai Yang symptoms remain for 2-3 days Thirst with no desire to drink May have vomiting immediately after drinking Difficult urination May have upper body edema T: Normal C: White P: Floating and slippery
Treatment Principle	Promote urination Dispel Dampness Expel Wind
Herb Formulas	Wu Ling San
Points	KI-3, LI-4, LU-7, REN-3, SP-6, SP-9, UB-13, UB-28 UB-62, SI-3

TAI YANG SHANG HAN WITH BLOOD STAGNATION

Clinical Manifestations	Chills and fever or Afternoon fever Lower Abdominal distension Excruciating abdominal pain Mania Delirious speech from extreme pain Restlessness Thirst with desire to drink Amenorrhea Dysmenorrhea Headache Black stools Hard stools Neurosis Sometimes hematuria Sometimes excessive or scanty urination T: Red, dry C: Dry, white or yellow P: Sinking and choppy or sinking and forceful
Treatment Principle	Expel Wind Relieve the Exterior Invigorate the Blood Break up coagulation Clear Heat Stop pain
Herb Formulas	Tao He Cheng Qi Tang
Points	DU-16, GB-20, LIV-14, REN-3, SP-6, SP-10, UB-12, UB-17, UB-28

TAI YANG SHANG HAN WITH INTERIOR HEAT

Clinical Manifestations	Fever and chills Maybe fever only Achiness Anhidrosis Headache Cough Asthma Aversion to Cold Edema Thirst Restlessness Irritability Fidgeting Constipation Sometimes dry achy eyes T: Normal or red C: Yellow or white P: Floating and tight or rapid
Treatment Principle	Expel Wind Disperse Cold Cool Heat
Herb Formulas	Da Qing Long Tang Ding Chuan Tang
Points	DU-14, DU-16, GB-20, LI-4, LI-11, LU-7, LU-9, sedate LU-10, SJ-5, tonify SP-1, SP-2, ST-44, UB-12, UB-13 SI-3, UB-62

TAI YANG SHANG HAN WITH SPLEEN AND STOMACH DEFICIENCY

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 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 Phlegm-Damp Obstruction: Bu Huan Jin Zheng Qi 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 SI-3, UB-62

TAI YANG SHANG HAN WITH INTERNAL COLD

Clinical Manifestations	Fever and chills without sweat Headache Body aches Stiff neck and back Abdominal pain and Cold Diarrhea with borborygmus A sensation of fullness in the chest and abdomen May be Cold in the lower body with Heat in the upper body Aching at the waist Anhidrosis Loose stools Nausea Abdominal distention Borborygmus An aversion to food Vomiting Women: Cold-type epigastric and abdominal pain Menstrual irregularity Dysmenorrhea T: Normal C: White and greasy P: Deep and wiry or Superficial and slow
Treatment Principle	Release the Exterior Warm the Interior Smooth the flow of Qi Transform Phlegm Invigorate the Blood Reduce Accumulations Regulate Qi and Blood
Herb Formulas	Wu Ji San
Points

TAI YAN SHANG HAN WITH KIDNEY YANG DEFICIENCY

Clinical Manifestations	Severe chills May have mild fever No sweat Aversion to Cold Headache Cold extremities Cold sensation on back Pale face Extreme fatigue Muscle aching T: Pale with scallop C: White P: Deep, weak and thready
Treatment Principle	Warm Yang Expel Cold from the Exterior Dispel Cold from the Interior
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang
Points	Moxa DU-4, DU-16, DU-20, UB-12, UB-15, UB-23

TAI YANG - YANG MING

Clinical Manifestations	Nasal obstruction caused by Damp-Heat Stuffy nose Yellow and sticky nasal discharge Sneezing Headache Tendency to constipation May be fever Facial flushing Itchy nose and throat Decreased sense of smell Decreased energy Fatigue T: Tends to red C: May be yellow P: Full and rapid
Treatment Principle	Release the Exterior Clear Heat Resolve toxicity Unblock the nasal passages Dry Dampness in the head Dispel pus
Herb Formulas	Qing Bi Tang Chai Ge Jie Ji Tang
Points

TAI YANG WITH SHAO YANG

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 release the Shao-Yang Harmonize the Liver, Spleen and Intestines
Herb Formulas	Chai Hu Gui Zhi Tang
Points	DU-16, GB-20, UB-12, LI-4, SJ-5, UB-13, LU-7 To harmonize the Liver and Gall Bladder: SJ-5, LIV-14, GB-34 LIV-3 To treat headache: GB-1, GB-8, GB-14, Taiyang

TAI YANG WITH TAI YIN

Clinical Manifestations	Fever Chills Headache Joint pains Severe diarrhea Epigastric distention Perspiration Cold body and extremities Weakness of the extremities Upper abdominal palpitations Cold feet Dysuria
Treatment Principle	Release the Exterior Warm the Interior Tonify Qi Relieve distention
Herb Formulas	Gui Zhi Ren Shen Tang
Points

YANG MING JING

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Headache 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	Bai Hu Tang
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44

YANG MING FLUIID DEFICIENCY

Clinical Manifestations	Previous history of Yin, Jin Ye, or Blood Deficiency Previous history of Yang Ming Fluid and Yin depleted Headache Anhidrosis Numbness Weakness Dryness Constipation T: Red C: Yellow and dry P: Weak and thready
Treatment Principle	Moisten and Lubricate Nourish Yin and Fluids
Herb Formulas	Zeng Ye Cheng Qi Tang
Points	K-6, LI-11, SJ-6, ST-25, ST-37, ST-45, UB-25

SHAO YANG JING

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea/vomiting (occasional) Headaches (side of head) Hypochondriac pain Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on side C: Thin white P: Wiry
Treatment Principle	Harmonize and release Shao Yang Stage disorders Relieve the Liver Harmonize the Liver and Spleen
Herb Formulas	Xiao Chai Hu Tang
Points	DU-13, DU-14, GB-1, GB-8, GB-14, GB-34, GB-41, KI-7, LIV-3, LIV-14, PC-5, PC-6, SJ-5, SJ-20, Taiyang, Yintang, SP-4, SP-10, ST-36

SHAO YANG FU - DISHARMONY BETWEEN THE LIVER AND GALL BLADDER

Clinical Manifestations	Alternating chills and fever (not as likely) Restlessness Irritability Continuous vomiting Headaches (side of head) Hypochondriac pain Epigastric pain Bitter taste in mouth Digestive disruption Anorexia Nausea Acid regurgitation Burning diarrhea or Constipation Menstrual problems Dry throat Heart pain with vomiting Throat pain Hip pain T: Red C: Thin and yellow P: Wiry and forceful
Treatment Principle	Harmonize the Liver and Gall bladder Purge Internal Heat
Herb Formulas	Da Chai Hu Tang
Points	DU-13, DU-14, GB-1, GB-8, GB-14, GB-34, GB-41, KI-7, LI-4, LI-11, LIV-3, LIV-14, PC-5, PC-6, SJ-5, SJ-6, SP-4, SP-10, ST-25, ST-36, ST-44, Taiyang

SHAO YANG FU WITH UNDERLYING LIVER QI STAGNATION

Clinical Manifestations	Chest and hypochondriac distention Insomnia Headache Possibly delirium Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Shao Yang Sedates and calms the Spirit Relieves chest and subcardiac regions Regulate Qi
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang Chai Hu Zhi Jie Tang
Points	GB-34, HT-7, LI-11, LIV-3, PC-6, SJ-6, ST-44 Ear: Shenmen, Liver, Gall Bladder, Bleed Heat points

JUE YIN COLD

Clinical Manifestations	Vomits clear fluid Vertex headache Body cold Diarrhea Complete exhaustion of Yang T: Pale C: White P: Weak.
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity
Herb Formulas	Da Jian Zhong Tang Dang Gui Si Ni Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

JUE YIN COLD AND HEAT

Clinical Manifestations	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	Wu Mei Wan
Points	To clear worms: Moxa needle REN-4, REN-6, REN-8, ST-25 To clear Heat: DU-14, LI-11, LI-4, LIV-3 To revive Yang: Moxa REN-4, REN-6, REN-8, ST-36 To regulate the Qi of the chest: REN-17

JUE YIN COLD IN THE LIVER

Clinical Manifestations	Vomits clear fluid Vertex headache Body cold Diarrhea Complete exhaustion of Yang T: Pale C: White P: Weak
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity
Herb Formulas	Wu Zhu Yu Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

WIND-HEAT ATTACKS THE LUNGS

Clinical Manifestations	Headache with distention Splitting headache Cough with thick sticky, yellow sputum Sore, red, swollen throat Thirst, with a desire to drink cold liquids Runny or blocked nose with thick yellow discharge Red face Red eyes Slight aversion to Cold Fever with perspiration Slight chills Aversion to Wind Sudden, splitting headache Maybe dyspnea with flared nostrils Maybe chest pain Pain in the bones Constipation Dark urine T: Red tip C: Thin and yellow P: Superficial and rapid
Treatment Principle	Clear the Lungs Clear Heat Expel Wind.
Herb Formulas	Sang Ju Yin modified Ma Xing Shi Gan Tang Yin Qiao San Qing Shang Jian Tong Tang Sheng Ma Ge Gen Tang Xiong Zhi Shi Gao Tang Jing Jie Lian Qiao Tang Qing Shang Fang Feng Tang Xin Yi Qing Fei Yin Liu Wei Tang Shu Feng Qing Re Tang Xiong Ju Shang Qing Wan With Yin Deficiency: Jia Jian Wei Rui Tang Early-stage: Cong Chi Jie Geng Tang
Points	DU-14, DU-16, GB-20, LU-5, LU-10, LU-11, SJ-5 + LI-4, UB-12, UB-13 DU-14, GB-20, LI-4, LU-7, SJ-5, ST-36, Taiyang, Ahshi DU-14, DU-16, GB-20, LU-5, LU-7, LU-10, LU-11, SJ-5, UB-12, UB-13 SI-3, UB-62 DU-14, GB-20, LI-4, UB-12 For a severe fever: + LI-11 DU-14, GB-20, LI-11, LU-10, SJ-5 For a sore throat: + bleed LU-11 For toxic Heat: + bleed Shixuan For a cough with profuse Phlegm: + UB-13 For a high fever: + bleed UB-40 DU-14, DU-16, GB-20, LI-4, LI-11, SJ-5, Taiyang, UB-12

DRYNESS ATTACKS THE LUNGS

Clinical Manifestations	Dry cough with little or no sputum Sputum is difficult to expectorate Maybe hemoptysis Cough may cause chest pain Dry or sore throat Hoarse voice Dry lips and mouth Thirst Dryness in nose Blocked nose Epistaxis Chills and fever Aversion to Wind Headache Anhidrosis Dry skin and hair Constipation T: Red tip C: Thin, yellow and dry P: Superficial, maybe rapid
Treatment Principle	Cleanse the Lungs Moisten Dryness.
Herb Formulas	Qing Zao Jiu Fei Tang Yang Yin Qing Fei Tang Sang Xing Tang
Points	KI-3, LU-1, LU-6, SP-6, UB-13 KI-3, LU-1, LU-6, SP-6, UB-13, Jinjin-Yuye DU-16, DU-23, LI-4, LI-20, SJ-5, ST-8, UB-12 SI-3, UB-62 GB-20, LI-4, LU-5, LU-7, UB-12, UB-13 For Warm-Dryness with prominent fever: - GB-20, UB-12, + DU-14, LI-11, SP-6

WEI STAGE: SUMMERHEAT WITH SUPERIMPOSED WIND-COLD INVASION

Clinical Manifestations	Fever and chills Anhidrosis Headache Thirst Flushed face Tightness in the chest Aversion to Cold Fatigue Aching body Nausea Reduced, dark urination T: Red C: White and greasy P: Floating and rapid or Flooding on the right and Small on the left
Treatment Principle	Release Exterior Summerheat Release External Cold Clear Heat Resolve Dampness
Herb Formulas	Xin Jia Xiang Ru Yin
Points

WEI STAGE: SUMMERHEAT WITH INTERNAL DAMPNESS STAGNATION

Clinical Manifestations	Fever Headache Irritability Extreme thirst Dysuria with reduced urine Oliguria with reddish urine Foul smelling vaginal discharge Yellow urine Dirty complexion Severe: simultaneous vomiting and diarrhea Abdominal fullness, pain or stifling sensation All symptoms and signs occur during the summer T: Red C: White and smooth P: Rapid
Treatment Principle	Expel Summerheat Clear Heat Regulate Qi Resolve Dampness
Herb Formulas	Gui Ling Gan Lu Yin
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, LI-4, LI-11, REN-9, SJ-5, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20

WEI STAGE: SUMMERHEAT WITH EXTERIOR COLD AND INTERIOR DAMPNESS

Clinical Manifestations	Chills Skin that is warm to the touch Anhidrosis A heavy sensation in the head and body Headache Abdominal pain A stifling sensation in the chest Fatigued extremities Anorexia Lethargy Aversion to Cold Nausea Vomiting Diarrhea T: Pink C: White and greasy P: Floating
Treatment Principle	Release the Exterior Scatter Cold Transform Dampness Harmonize the Middle Jiao
Herb Formulas	Xiang Ru San
Points

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
Points	DU-14, DU-23, DU-24, GB-20, LI-4, or SJ-5, LI-11, REN-9, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20, UB-40 (bleed).

QI STAGE 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

QI AND XUE STAGE FIRE

Clinical Manifestations	Intense fever Strong thirst Dry heaves Severe, stabbing headache Extreme irritability Delirious speech (severe) Rash (severe) Epistaxis (severe) Maculae Mania Convulsions Lips chapped, dark and scorched Coma Hematemesis Extreme coldness of the extremities Restlessness Spasms or convulsions Blurred vision T: Dark red C: Dry or prickly P: Deep, thin and rapid or Floating, large and rapid
Treatment Principle	Clear Heat Relieve toxicity Cool the Blood Drain Fire Stop bleeding
Herb Formulas	Qing Wen Bai Du Yin
Points

XUE STAGE BLOOD HEAT GENERATES WIND

Clinical Manifestations	High fever Hypertension Dizziness Headache Confusion of mind Delirium (mania) Dark yellow urine Excessive skin rashes all over body Hemorrhage Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria Stiffness Convulsions Clenched jaws Clenched fists Shaking Opisthotonos Stiff neck Semi-consciousness T: Deep red and dry C: Yellow and dry P: Wiry and rapid.
Treatment Principle	Subdue Wind Cleanse Heat Nourish Yin Stop convulsion
Herb Formulas	Ling Jiao Gou Teng Tang
Points	To clear Heat and Toxins: Bleed the Jing-Well points, DU-14, LI-11, ST-44 To extinguish Wind: GB-20, DU-16 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: ST-25, ST-37, SP-1 To restore consciousness: DU-26, K-1 To nourish Yin: SP-6, KI-3 To calm the Shen: HT-7

TOXIC WIND-HEAT

Clinical Manifestations	Red eyes Yellow thick eye discharge Suppuration with severe chills Dry, itchy eyes Aggravated by Heat Photophobia Headache Inflammation Swelling Pain Congestion Fever Sore throat Nasal discharge T: Red tip or C: Thin and yellow or white or P: Superficial and rapid or
Treatment Principle	Expel Wind Clear Heat Detoxify
Herb Formulas	Niu Huang Shang Qing Wan Huang Lian Shang Qing Wan
Points	GB-8, GB-20, LI-4, Taiyang, UB-1

WIND-DAMPNESS

Clinical Manifestations	Headache Heavy, painful head and limbs A sensation of a tight band wrapped around the head Generalized sensation of heaviness Back pain Generalized pain or muscle ache Difficulty bending or rotating trunk Mild fever which comes and goes Slight aversion to Wind and Cold Cough with mucus Sticky taste Dizziness Anorexia Anhidrosis Stiffness of the neck Stiff joints Chest oppression Epigastric fullness Heavy, weak limbs Chills No thirst Lassitude Scanty urination Loose stools Symptoms worse in damp or wet weather T: Pink C:White or Greasy and white P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight or Soft and slippery
Treatment Principle	Dispel Wind Eliminate Dampness Relieve the Exterior Alleviate pain
Herb Formulas	Qiang Huo Sheng Shi Tang modified Qing Shang Jian Tong Tang Jing Fang Bai Du San With Qi Deficiency: Wang Qiang Huo Sheng Shi Tang In the Channels: Xiao Feng San
Points	DU-16, LI-4, LU-7, SJ-5, SP-9, ST-36, Taiyang, Ah Shi GB-6, GB-20, LI-4, SP-9, ST-36 GB-20, LI-4, LU-7, SJ-6, SP-9 DU-20, GB-20, LI-4, LU-7, REN-12, SJ-5, SP-6, SP-9, ST-8, ST-40 To Expel Wind Cold: DU-16, GB-20, UB-12, LI-4, SJ-5 (Sedating technique) To Disperse the Lungs: UB-13, LU-7, REN-17 To Expel water: SP-6, SP-9, Moxa REN-4, REN-6, DU-4 To Resolve Phlegm: ST-40

WIND-COLD-DAMPNESS

Clinical Manifestations	Aversion to Cold Stuffy nose Neck and back spasms Joint pain Headache Anhidrosis Muscular pain Joint swelling Slight fever Slight expectoration of white Phlegm Heaviness of the body and joints Cold feeling in the joints Cough Heaviness of the head Preference of the joints for warmth Limited movement of the joints T: Normal C: Thin and white or Thin, white and greasy P: Superficial and tight
Treatment Principle	Warm the channels Activate Qi and Blood.
Herb Formulas	Jing Fang Bai Du San With Internal Heat: Jiu Wei Qiang Huo Tang
Points	Moxa LU-7 + LI-4 or LI-4 + KI-7, DU-16, GB-20, LU-5, SP-6, SP-9 UB-12, UB-13 + general points

PHLEGM-DAMP OBSTRUCTS THE LUNG

Clinical Manifestations	Cough with copious, dilute, white frothy or lumpy sputum Chest and epigastric congestion Palpitations Headache Pain and full feeling in chest Dyspnea - worse lying down Asthma Throat rattle Maybe anorexia Lassitude Nausea / vomiting Dizziness / vertigo Shortness of breath Wheezing Acute attack of panting with high pitched sound and rapid exhalation Facial edema Weak extremities T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Dry Dampness Transform Phlegm Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Er Chen Tang Su Zi Jiang Qi Tang
Points	LU-9, REN-12, REN-17, REN-22, ST-36, ST-40, UB-13, UB-20

LARGE INTESTINE EXCESS HEAT

Clinical Manifestations	Constipation without focal distention Epistaxis Tidal fevers Delirious speech Profuse perspiration from the palms and soles Aversion to Heat Dry mouth and tongue Irritability Heavy body Fever Thirst Fever Maculae Vomiting Swollen gums Swollen throat Red eyes Nausea Headache Petechiae due to Heat in the Stomach and Intestines Steaming sensations of the whole body T Toothache T: Pink and dry with prickles C: Yellow or Black P: Deep, Excess and rapid or Slippery and rapid or Deep and forceful
Treatment Principle	Mildly purge Heat accumulation
Herb Formulas	Tiao Wei Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44, UB-25

SPLEEN QI DEFICIENCY

Clinical Manifestations	Slight Headache, worse after physical exertion Loose stools A shiny, white face Fatigue Aversion to Cold Spontaneous sweat Anorexia Dyspepsia Cold hands Shortness of breath Loose stools Low voice T: Pale with teethmarks C: White P: Empty and large or Slow and deep
Treatment Principle	Tonify Qi Strengthen the Spleen Relieve headache
Herb Formulas	Si Jun Zi Tang Bu Zhong Yi Qi Tang modified Chinese Patent Medicine: Bu Zhong Yi Qi Wan
Points	SP-3, SP-6, ST-3, UB-20, UB-21 With aversion to Cold, cold hands and feet and a slow pulse: + moxa or moxa needle DU-4, SP-3, ST-36 With aggravation of the headache by stress: + UB-18 With a poor appetite: + SP-9 With nausea: + SP-4 With abdominal pain due to Food Stagnation: + UB-25 With chronic diarrhea: + ST-36 DU-20, DU-24, DU-25, REN-6, ST-36, UB-10, Yintang

SPLEEN DEFICIENCY EDEMA

Clinical Manifestations	Headache Loose stools Urinary difficulty Scanty urination T: Normal C: Slippery and white P: Floating and rapid
Treatment Principle	Regulate water circulation Drain Dampness Strengthen the Spleen
Herb Formulas	Si Ling San Wu Ling San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

CENTRAL QI SINKING

Clinical Manifestations	Aversion to Cold Bleeding Borborygmus Bloating Catches cold easily Chronic low grade fever Clouded vision Cold extremities Constipation Deafness Depression Desire for warm beverages Diarrhea or dysentery, may be chronic Dizziness Drooping upper eyelids Dry itching nose Dry lungs Dyspnea Dysuria Edema with prolapse Enuresis Epilepsy Eye fatigue after extended use Eye sores Fatigue Fecal incontinence Fever without Cold which alternates between low and high Fever with vexation Frequent bowel movements Frequent urination Fever or Heat in the flesh in cool or cold weather Genital sores Goiter Headache Hemafecia Hematemesis Hematuria Hemorrhoids Hiccup Hoarseness Incessant thirst Intermittent dull abdominal pain, better with warmth and pressure Intermittent fever (worse on exertion) Laconic speech Leukorrhea Limbs may become emaciated Lingering, dull tooth pain Loose and watery stools or diarrhea Loss of voice Maybe chronic weak cough Maybe cloudy urine Maybe cold body Maybe cough Maybe low back pain due to Dampness Maybe scabs on the nasal mucosa Narrow visual field	Menstrual flooding or spotting Nasal congestion Nausea and vomiting Night blindness Night sweats Obstinate sores on the tongue with the opening of the sore falling downward Obstructed urination Oral sores Painful urination Pale complexion Premature ejaculation Prolapse of any organ Prolonged runny nose may be malodorous Protracted, soft, tender, numb tongue Runny nose with clear, watery discharge may be precipitated by Cold or allergen Sagging and distention of the lower abdomen Sallow complexion Seizures Sensitivity of back to Cold and Wind Shiny, pale complexion Shortness of breath Slight thirst with desire for warm drinks Soft voice Somnolence Spontaneous perspiration Suppuration Susceptibility to Wind and Cold Tendency to curl up Terminal dribbling Thirst with a desire for warm drinks Tidal fever which is worse on exertion Tinnitus Urinary obstruction Urinary incontinence Vaginal itching Vertigo Visual disturbances Warmness of the body Waxy, pale complexion Weak eyelids Weakness of the extremities T: Pale, swollen with tooth marks, maybe tender or Slightly Red C: White P: Rootless at right - middle position or Weak and forceless or Big or Large and Surging or Weak, thready, Deficiency and moderate or Deficient and soggy or Deficient and large or Slow and weak
Treatment Principle	Benefit Qi Regulate Qi Raise Sunken Yang Lift prolapsed organs
Herb Formulas	Bu Zhong Yi Qi Tang
Points	DU-20, LIV-13, SP-3, SP-5, SP-6, REN-12, ST-36, UB-20

SPLEEN YANG DEFICIENCY

Clinical Manifestations	Diarrhea with watery stools Nausea and vomiting No thirst Anorexia Abdominal and/or epigastric fullness (likes pressure) Abdominal pain Gastrointestinal weakness Pale face Frequent urination Tends toward fatigue May have cold limbs May have headache with fever Body aches Epistaxis Hematemesis Shortness of breath Lassitude Epigastric pain All Blood from bleeding is pale Edema Insomnia Hemoptysis Intestinal bleeding Chronic bleeding Hemafecia Uterine bleeding Rectal bleeding Profuse menstrual flow Chest fullness and pain Hypochondriac pain that shoots toward the Heart Intolerance of Cold Rigid focal distention in the Heart region Excessive production or drooling of foamy saliva Emaciation T: Pale, may be moist C: White or None P: Deep, weak and slow or Deep and thready or Big and weak
Treatment Principle	Warm the Middle Jiao Dispel Cold Strengthen the Spleen and Stomach Tonify Qi
Herb Formulas	Li Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

DAMP-HEAT INJURES THE SPLEEN

Clinical Manifestations	Headache, maybe with ringing in the brain A heavy sensation in the head with distention and a headache which is worse in the afternoon 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 Vertigo Abdominal pain and / or distention Dark urine Anxiety Jaundice Shortness of breath Cough Chest oppression Urinary retention Lower abdominal fullness Extreme thirst A red face Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain Anorexia Restlessness Slightly pale skin tone T: Normal C:Thick, yellow and greasy P: Soft and rapid or Slippery and rapid
Treatment Principle	Promote urination Drain Dampness Strengthen the Spleen Promote the transforming functions of Qi Clear Damp-Heat
Herb Formulas	Yin Chen Wu Ling San Ge Hua Jie Cheng San Nei Shu Huang Lian Tang Qing Qiao Tang
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 GB-41, SJ-6, SP-6, SP-9, ST-44 DU-14, GB-20, REN-12, SP-9, ST-36, ST-40

SPLEEN AND STOMACH DEFICIENCY COLD

Clinical Manifestations	Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Headache Parietal headache Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five sole heat Debilitated constitution in children Enuresis in children Insomnia Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White P: Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Middle Jiao Replenish Qi Dispel Cold
Herb Formulas	Xiao Jian Zhong Tang Wu Zhu Yu Tang
Points

STOMACH FIRE BLAZING

Clinical Manifestations	Headache mainly in the forehead Extremely painful head which is worse on exposure to warmth Better with Cold or cold drinks Burning fever Bloodshot eyes Red face Profuse sweating thirst sore throat Rib pain Constipation Vomiting Bumps in the upper abdomen or chest 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 Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire Regulate Qi Stop the headache
Herb Formulas	Qing Wei San + Mai Men Dong Tang (modified) Yu Nu Jian modified With Yin Deficiency: Yu Nu Jian Chinese Patent Medicine: Wei Te Ling
Points	GB-20, LI-2, LI-4, REN-12, SJ-6, ST-8, ST-44 With a severe headache on the forehead: + ST-42 With a toothache: + ST-6, ST-7 With pain and swelling in the throat: + LU-10, REN-23 With thirst: + KI-6, LU-7 With constipation: + ST-25

FOOD STAGNATION IN THE STOMACH

Clinical Manifestations	Headache 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	Xiang Sha Zhi Zhu Wan
Points	LI-4, LIV-13, PC-6, REN-12, ST-44 For acid regurgitation: + GB-34 For grain Food Stagnation: + ST-21 For meat Food Stagnation: + ST-24 LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36

FLUID ACCUMULATION IN THE STOMACH

Clinical Manifestations	Nausea Sudden vomiting of Thin Mucus or clear Fluids Absence of thirst May feel thirsty Palpitations Vertigo Dizziness Dysuria Focal distention of the epigastrium T: Normal C: White and Slippery P: Wiry
Treatment Principle	Harmonize the Stomach Stop vomiting Dispel Phlegm Regulate water circulation Disperse Stagnation
Herb Formulas	Ze Xie Tang
Points

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART WITH LUNG AND SPLEEN DEFICIENCY

Clinical Manifestations	Fullness in the chest and hypochondrium Palpitations Shortness of breath Coughing up clear, watery sputum Dizziness Vertigo (when standing) Dyspnea Anxiety Tinnitus Difficult urination Mild edema Cold feet Headache Migraine Weak abdomen T: Pale and swollen C: White and slippery or greasy P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle	Warm and transform Phlegm and congested Fluids Strengthen the Spleen Resolve Dampness Improve metabolic function
Herb Formulas	Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, UB-15 For Lung Qi Deficiency: LU-9, REN-17, UB-13, UB-43 For Spleen Qi Deficiency: REN-12, ST-36, UB-20 For Phlegm-Damp: ST-40

HEART FIRE FLARING UP WITH LIVER FIRE FLARING

Clinical Manifestations	Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability, irascibility Feeling of Heat and disturbance in HT Insomnia Flushed face Bitter taste in mouth Headache Red eyes Irascibility T: Red tip, ulcers especially on tip P: Excess and rapid
Treatment Principle	Clear Heat Clear the Liver Purge Fire Calm the Shen
Herb Formulas	Dao Chi San + Long Dan Xie Gan Tang San Huang Xie Xin Tang + Long Dan Xie Gan Tang Liang Ge San + Long Dan Xie Gan Tang
Points	GB-12, GB-34, GB-37, HT-7, HT-8, LIV-2, PC-7, PC-8, UB-15, UB-18, UB-19 GB-34, HT-7, HT-8, LIV-2, PC-7, PC-8, SP-6, UB-15, UB-18

HEART BLOOD AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Headache 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	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20 HT-7, KI-9, PC-6, REN-14, REN-15, SP-4, SP-6, UB-15, UB-20

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Palpitations Insomnia Tinnitus Dizziness Diminished acuity of vision and hearing Seizures Headache Lateral headache Deafness Blurred vision Irritability Bitter taste in mouth Much dreaming Easily startled T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm.
Herb Formulas	Ci Zhu Wan Sheng Tie Luo Yin Huang Lian Wen Dan Tang
Points	DU-14, DU-16, DU-20, DU-26, Dingshen, Anmian, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15 GB-20, LU-7, REN-12, ST-8, ST-40, Taiyang

PHLEGM CONFUSES THE HEART ORIFICE

Clinical Manifestations	Fainting Vertigo Headache Accumulation of congested Fluids that won't dissipate Vomiting Stifling sensation of chest and diaphragm Distention of chest and diaphragm Distention and fullness of hypochondria and flanks Dizziness Nausea Restlessness when sitting or lying down Coughing and wheezing Copious sputum Thick, gummy nasal discharge and saliva Difficult breathing Reduced appetite T: Pink C: White and greasy P: Slippery
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Dao Tan Tang
Points	DU-16, DU-26, HT-7, PC-5, ST-40, UB-15, UB-18, UB-20, UB-62

LIVER QI STAGNATION

Clinical Manifestations	Headache with a sensation of pressure and tension which starts or gets worse with stress or emotional disturbance 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 Clear Stagnation
Herb Formulas	Xiao Yao San modified Chinese Patent Medicines: Xiao Yao Wan Shu Gan Wan
Points	DU-20, LI-4, LIV-3, PC-6, SP-6, Sishencong With dizziness: + GB-8 With depression: + HT-3, UB-18 With insomnia: + HT-3, HT-7 With hypochondriac pain: + LIV-14 With a poor appetite: + REN-12 With loose stools: + LIV-13, SP-3 With irregular menstruation: + KI-10, ST-28 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 QI STAGNATION WITH BLOOD DEFICIENCY

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 Cold extremities	Tightness or fullness in the chest 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 T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood
Herb Formulas	Xiao Yao San
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, REN-4, SJ-6, SP-6, ST-36, UB-17, UB-18, UB-20

LIVER QI STAGNATION INVADES THE SPLEEN

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tension or temporal headaches Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San Hei Xiao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

LIVER QI STAGNATION INVADES THE SPLEEN WITH STAGNANT HEAT OR FIRE

Clinical Manifestations	Headache 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 Red eyes Dry mouth Anorexia Infertility Abdominal pain Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain 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 the Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San
Points

LIVER QI STAGNATION INVADES THE STOMACH

Clinical Manifestations	Headache Epigastric pain Belching with acid regurgitation Recurrent or chronic nausea Vomiting Vomiting immediately after meals Sour belching Acid reflux Heartburn Indigestion All symptoms are worse when emotionally upset Fullness of the chest Hypochondriac pain Continual belching Anorexia Epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Bitter taste in the mouth Dry mouth Irritability Inappropriate anger Frustration Anxiety Moodiness Irregular menses Dysmenorrhea Breast distention and pain before and during menses Head and nape painful or swollen T: Pink or Dark with slightly red edges C: Thin and white or Thin and sticky yellow P: Wiry or Thready and wiry or Wiry and slippery
Treatment Principle	Soothe the Liver Harmonize the Stomach Descend Stomach Q
Herb Formulas	Si Ni San Chai Hu Shu Gan Tang
Points	LIV-3, LIV-14, PC-6, REN-12, ST-36, ST-44 + general points

LIVER BLOOD STAGNATION WITH BLOOD DEFICIENCY

Clinical Manifestations	Headache 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	Si Wu Tang Jian Wei
Points

LIVER FIRE FLARING UP

Clinical Manifestations	Severe, splitting headaches with dizziness A distended feeling in the head Eye pain Maybe one-sided headache that connects to the vertex Teeth very painful Sudden tinnitus or deafness Violent burning pain Vertigo Tinnitus Irritability Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Suffocating feeling in the chest Thirst Dry mouth Bitter taste in mouth Thirst Nausea Vomiting sour or bitter liquid Hypochondriac pain Insomnia Restlessness Constipation or dry stools Vomiting Lumps in the upper abdomen or chest Maybe rib pain and Heat Dark urine T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
	Clear Liver Purge Fire Calm the Shen Reduce pain
Herb Formulas	Long Dan Xie Gan Tang modified Jia Wei Xiao Yao San Xie Qing Wan Shi Gan Ming Mu Tang
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19 + general points LIV-2, GB-34 + general points DU-14, DU-20, GB-20, KI-7, LI-4, LU-7, ST-8, ST-44, Taiyang Yang Ming: REN-12, ST-25, ST-40, UB-20, UB-21 Shao Yang: GB-34, GB-43, UB-19 GB-3, GB-7, GB-12, GB-34, LIV-2, UB-18, UB-19 GB-20, LIV-2, LI-4, bleed Taiyang DU-20, GB-8, GB-20, GB-40, LIV-3, SJ-3, ST-8, ST-43, Taiyang DU-20, GB-43, LIV-2, Taiyang GB-20, GB-34, LIV-2, LIV-3 GB-20, GB-40, GB-43, LIV-2, LIV-3, Taiyang With Stomach Fire: + PC-6, ST-43, ST-44 DU-20, GB-8, GB-43, LIV-2, SJ-6, SP-6 With neck pain and stiffness: + GB-21, SJ-5 With red eyes: + GB-1 With irritability: + Sishencong With insomnia: + HT-8 With a poor appetite: + REN-12 With a bitter taste in the mouth: + GB-40 With loose stools when nervous and abdominal pain with cramping: + LIV-13, SP-3 With constipation: + ST-25 With irregular menstruation: + SP-10, ST-28 Cutaneous and cupping: L-1 to S-4, GB-20, GB-14, Taiyang Ear: Subcortex, Forehead, Occiput, Kidney, Gall Bladder

LIVER WIND STIRRING INTERNALLY: EXTREME HEAT GENERATES WIND

Clinical Manifestations	High fever Contractures Spasms Neck stiffness Convulsions Oculogyric crises Opisthotonos Coma Possibly death T: Red or Deep red P: Wiry and rapid
Treatment Principle	Clear Heat Cool the Liver Subdue Wind
Herb Formulas	Zhi Jing San
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-14, DU-16, DU-20, DU-26, LI-11, LIV-2, LIV-3

LIVER WIND STIRRING INTERNALLY: LIVER FIRE TRANSFORMS INTO WIND

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Numbness and tremor of limbs Twitching and involuntary writhing of hands and feet Dysphagia Unsteady gait All symptoms exacerbated by anger Vexation Agitation Irascibility A red face Tinnitus Dream-disturbed sleep A bitter taste in the mouth Severe: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia T: Red C: Yellow P: Wiry and rapid or Thready and wiry
Treatment Principle	Clear the Liver Purge Fire Extinguish Wind
Herb Formulas	Zhen Gan Xi Feng Tang Xiong Zhi Shi Gao Tang For predominant Yang Rising: Tian Ma Gou Teng Yin modified For predominant Liver Fire: Long Dan Xie Gan Tang modified
Points	For predominant Yang Rising: GB-20, KI-3, LIV-3, SJ-5, SP-6 For predominant Liver Fire: GB-20, GB-44, KI-2, LIV-2, SP-6 Bleed the Jing-Well points of Six Hand channels, DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23 + general points DU-16, DU-20, GB-20, LIV-3

LIVER WIND STIRRING INTERNALLY: LIVER BLOOD DEFICIENCY GENERATES WIND

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Headache Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Tonify and Regulate Blood Nourishes Liver Yin
Herb Formulas	Bu Gan Tang Si Wu Tang
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 + general points

DAMP-HEAT IN THE LIVER AND GALL BLADDER

Clinical Manifestations	Severe, splitting headaches with dizziness Sudden tinnitus or deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Vomiting sour or bitter liquid Insomnia Restlessness Maybe rib pain Maybe Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Nausea Anorexia Maybe alternating chills and fever Concentrated, dark urine Abdominal distention T: Pink C: Yellow and greasy or sticky. P: Wiry and rapid or Slippery and rapid
Treatment Principle	Drain Excess Fire from the Liver and Gallbladder Clear Damp-Heat from the San Jiao
Herb Formulas	Long Dan Xie Gan Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48 + general points Sedate GB-4, GB-39, GB-40, LIV-1, LIV-2, SP-5, SP-9

LIVER BLOOD DEFICIENCY

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Headache Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Light menses or amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Tonify and Regulate Blood Nourishes Liver Yin
Herb Formulas	Bu Gan Tang Si Wu Tang Irregular Menstruation #3
Points	LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 + general points

LIVER BLOOD DEFICIENCY WITH LIVER QI STAGNATION

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Headache Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Light menses or amenorrhea Late menses Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Inappropriate anger T: Pale C: Little or Thin and white P: Thready and wiry
Treatment Principle	Tonify and Regulate Blood Nourishes Liver Yin
Herb Formulas	Hei Xiao Yao San
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 + general points

LIVER YIN DEFICIENCY

Clinical Manifestations	Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Empty headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red C: Little P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver.
Herb Formulas	Yi Guan Jian
Points	KI-3, LIV-3, UB-18, UB-23 + general points

LIVER YIN DEFICIENCY WITH LIVER YANG RISING

Clinical Manifestations	Severe, frequent throbbing one-sided headache with distended feeling Headache usually at the temples or vertex Pain often at the eye Dizziness Vertigo Tinnitus Blurred vision Rubbing of the eyes Sensation of Heat rushing to the head Hypochondriac pain or a sensation of distention Insomnia Dream disturbed sleep Numbness Irascibility Flushed face Red, dry eyes with feeling of grit in eye Vexation Agitation Irritability Restless sleep Dry mouth and throat with bitter taste in mouth Palpitations Maybe lateral costal pain T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, the pulse is forceful) P: Thready and rapid when Yang is not prominent
Treatment Principle	Nourish Yin Pacify the Liver. Subdue Yang
Herb Formulas	Tian Ma Gou Teng Yin modified Long Dan Xie Gan Tang Qi Ju Di Huang Wan Jian Ling Tang Shi Gan Ming Mu Tang Zi Yin Qian Yang Fang Jia Jian Chinese Patent Medicine: Jiang Ya Ping Pian
Points	GB-8, GB-20, KI-3, LIV-3, SJ-3, SJ-5, SJ-20, Taiyang, UB-65 DU-20, GB-20, GB-34, GB-43 KI-3, LIV-2, LIV-3, UB-18, UB-23 + general points GB-5, GB-20, KI-3, LI-4, LIV-3 With severe pain at the vertex: + UB-7 DU-20, GB-20, GB-38, GB-41, GB-43, KI-1, KI-3, LIV-3, LIV-8, SJ-5, SP-6, Taiyang For Liver Qi Stagnation and Shen disturbance: + HT-7, LI-4, PC-6, PC-7 For photophobia and visual disturbances: + Taiyang For nausea and vomiting: + PC-6, REN-12 For a tight neck and shoulders: + GB-21 DU-20, GB-20, GB-43, KI-2, LI-4, LIV-2, LIV-8, SP-6, Taiyang With irritability: + HT-3, PC-4 With a red face and eyes: + GB-1, ST-44 With hypochondriac pain: + LIV-14 With irritability: + HT-8 With a bitter taste in the mouth: + GB-40

KIDNEY YANG DEFICIENCY

Clinical Manifestations	A dull headache Sometimes cold sensations in the head Pain Worsened by Cold 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	You Gui Wan modified
Points	Moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23

KIDNEY YIN DEFICIENCY

Clinical Manifestations	Headache characterized by an empty sensation in the head Vexatious Heat A dry throat Dizziness Tinnitus or deafness Poor memory Lassitude Aching, soreness or weakness of low back and knees Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel Loss of sleep T: Red C: Little or None P: Thready, forceless and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys Stop pain
Herb Formulas	Da Bu Yuan Jian modified
Points	GB-20, KI-3, SP-6, ST-36, UB-52

KIDNEY JING DEFICIENCY

Clinical Manifestations	Headache with a hollow sensation Dizziness Listlessness Tinnitus Low back and knees weak and aching Hair loss Graying or whitening of the hair Weak sexual function Seminal emissions Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Loose teeth Gradual deterioration of the hearing Insomnia Irregular menstruation or Amenorrhea In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of the fontanel Poor bone development Brittle bones T: Pale C: Thin P: Thready and weak
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Gui Shen Wan Chinese Patent Medicine: Ge Jie Da Bu Wan
Points	GB-39, KI-3, LIV-3, ST-36, UB-11, UB-23 With dizziness, a poor memory and poor concentration: + DU-20, GB-20 With low back and knee pain and weakness: + KI-10, REN-4 With fatigue, cold hands and feet and shortness of breath: + moxa or moxa needle REN-4, REN-6 With night sweats, Five-Sole-Heat, thirst, and a dry mouth and throat: + KI-2, KI-6 DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

KIDNEY QI DEFICIENCY

Clinical Manifestations	Headache Pale complexion General debility with a desire for sleep Aversion to Cold Fatigue Lowered voice Frequent urination at night (with profuse proteinuria) T: Pale and swollen with teeth marks C: Whitish P: Deep and slow
Treatment Principle	Strengthen the Kidneys
Herb Formulas	Jin Gui Shen Qi Wan
Points	Moxa or moxa needle DU-20, GB-8, GB-20, LIV-3, REN-4, REN-6, SJ-3, ST-36, Taiyang DU-4, DU-20, GB-39, KI-1, KI-3, KI-6, KI-7, LU-7, REN-4, ST-36, UB-23, UB-62

KIDNEY AND LIVER YIN DEFICIENCY

Clinical Manifestations	Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus or deafness Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole heat Night sweats Light or late menses or Amenorrhea Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Malar flush Low grade fever in the afternoon Maybe recurrent sore throat Dry stools and / or constipation Urine short and red Heightened libido T: Red C: Little P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Liu Wei Di Huang Wan With Internal Wind: Shi Hu Ye Guang Wan With Yang Rising and Wind: Ling Yang Jiao Tang With Fire Rising: Zhi Bai Di Huang Wan Zi Shen Ming Mu Tang
Points	KI-1, KI-3, KI-6, LIV-3, REN-4, SP-6, UB-18, UB-23 + general points Tonify KI-3, UB-23, sedate GB-40, LIV-2

YANG DEFICIENCY WITH INTERNAL COLD-DAMP

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	Fu Zi Tang
Points

QI DEFICIENCY

Clinical Manifestations	A dull headache with an empty sensation in the head Headache worsened by overtaxation Fatigue Loose stools Anorexia Dizziness Pale face Lassitude Shortness of breath Catches cold easily Weak voice Reluctance to speak Sweating with little or no exertion T: Pale C: White P: Empty
Treatment Principle	Tonify Qi Stop pain
Herb Formulas	Bu Zhong Yi Qi Tang modified
Points	Moxa or moxa needle DU-20, REN-6, SP-6, ST-36 To nourish the Blood between headaches: UB-17, UB-18, UB-20

QI AND BLOOD STAGNATION

Clinical Manifestations	Heart pain Headache 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 T: Dark or Purple with purple spots C: Normal P: Wiry or Choppy
Treatment Principle	Activate the Blood Dispel Blood Stasis Regulate Qi Unblock the collaterals Alleviate pain
Herb Formulas	Huo Luo Xiao Ling Dan
Points

QI AND BLOOD DEFICIENCY

Etiology	Stress and strain
Clinical Manifestations	Headache Insidious pain May be agitating or mild Responds to warmth and pressure Lassitude Palpitations Insomnia Emotional fatigue Blurred vision T: Normal C: White P: Weak
Treatment Principle	Regulate Qi and Blood
Herb Formulas	Ba Zhen Tang
Points	REN-6, ST-36 + general points Moxa UB-15, UB-17 DU-20, REN-4, REN-6, ST-36, Taiyang, UB-23 DU-20, LIV-2, Taiyang LIV-2, LIV-3 DU-20, GB-8, GB-20, KI-3, LIV-3, PC-5, SJ-3 DU-20, LIV-3, LIV-8, PC-6, REN-4, REN-6, SP-6, ST-36, UB-17, UB-18, UB-20, UB-23 Cutaneous and cupping: L-1 to S-4, GB-20, GB-14, Taiyang Ear: Subcortex, Forehead, Occiput, Kidney, Gall Bladder

QI AND BLOOD DEFICIENCY WITH QI STAGNATION AND HEAT

Clinical Manifestations	Constipation Facial flushing Melancholy Restlessness Headache Vertigo Tinnitus Abdominal distention Acid regurgitation Vertigo Stiff shoulders Neurosis Fever Palpitations Lower back pain Hot flashes Belching
Treatment Principle	Tonify Qi Nourish the Blood Regulate Qi Clear Heat
Herb Formulas	Nu Shen San
Points

QI AND YIN DEFICIENCY WITH HEAT AND LUNG DRYNESS

Clinical Manifestations	Headache Dry, hacking cough with little or no sputum Flushed face Sputum is difficult to expectorate Restlessness Maybe hemoptysis Hiccups Cough may cause chest pain Dyspnea Dry or sore throat Upper respiratory tract infection Hoarse voice Asthma Dry lips and mouth Fever Shortness of breath Hemoptysis Constipation Thirst Dry skin and hair Dryness in nose Sensation of fullness in chest Epistaxis Hypochondriac pain Chills and fever Anhidrosis Irritability Itching T: Red tip, dry C: Thin, yellow, or White and dry, or None P: Superficial, maybe rapid or Big and weak or Deficient, big and rapid
Treatment Principle	Eliminate Dryness Moisten the Lungs Clear Lung Heat
Herb Formulas	Qing Zao Jiu Fei Tang
Points

QI, YANG AND BLOOD DEFICIENCY

Clinical Manifestations	Headache Amnesia Palpitations Feverishness Anorexia Emaciation Pale face Insomnia Dyspnea on mild exertion Fatigue Shortness of breath Weight loss Dry skin Dry mouth Dry throat Dry lips Uterine bleeding Irregular menstruation May suddenly lose consciousness Slack jaw Restless at night Lassitude Tendency toward being frightened easily Weakness Sallow complexion Dizziness Tremors in the limbs Spontaneous perspiration Fever and severe chills General debility Mental instability Coughing and gasping Night sweats Amnesia Diarrhea Turbid urine Nocturnal emission Impotence Constipation Feeble breathing Tired limbs T: Pale C:White P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle	Tonify Qi Nourish the Blood Strengthen the Spleen and Lungs Nourish the Heart Calm the Shen
Herb Formulas	Ren Shen Yang Rong Tang
Points

BLOOD STAGNATION

Clinical Manifestations	A prolonged headache with pain that is fixed, stabbing and/or severe Pan is worse with pressure Pain is worse at night Pain is worse before or during menstruation Dark, purple menstrual Blood with clots Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots A history of cerebral trauma or disease Insomnia T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation Relieve the headache
Herb Formulas	Xue Fu Zhu Yu Tang Gui Zhi Fu Ling Wan Tong Qiao Huo Xue Tang modified Fu Yuan Huo Xue Tang Chinese Patent Medicine: Yan Hu Suo Zhi Tong Pian
Points	Ahshi Points, GB-20, LI-4, LIV-3, LIV-5, PC-6, SP-6, UB-17 For a severe headache at night: + SI-3 With painful spots on the head: + Ahshi Points For dysmenorrhea with clots: + ST-28 With neck pain: + UB-10 With a poor memory: + DU-20, Sishencong GB-8, LI-4, SJ-3 or SJ-5, SP-6, Taiyang, UB-65 SP-6, SP-10, ST-36, UB-17, UB-40

BLOOD STAGNATION WITH HEAT

Clinical Manifestations	Chronic, intractable , fixed stabbing pain affecting the head Acute lower abdominal pain Incontinence of urine Night fevers Delirious speech Poor memory Irritability Restlessness Thirst Dizziness May be mania (severe) Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation	Frequent urination Emotional instability Chills in the waist and feet Tremors Excruciating abdominal pain with cold Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis Severe wheezing Distention of the chest Dark complexion T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Drain Heat Break up Blood Stasis
Herb Formulas	Tao He Cheng Qi Tang Xue Fu Zhu Yu Tang Fu Yuan Huo Xue Tang Xia Yu Xue Tang In the Upper Jiao: Tong Qiao Huo Xue Tang
Points	General points

BLOOD STAGNATION WITH BLOOD DEFICIENCY

Clinical Manifestations	Copious bleeding of dark purple blood The blood is sticky during menstruation May or may not have clots Menstrual cycle is shortened (early menstruation) Palpitations Dizziness Blurred vision Headache Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Fixed lower abdominal pain Vertigo Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale C: Normal P: Thin and weak or Thin and choppy
Treatment Principle	Tonify and Invigorate the Blood Regulate Blood Circulation Break up Stagnation Eliminate Blood Stagnation Alleviate pain
Herb Formulas	Tao Hong Si Wu Tang
Points	General points

BLOOD DEFICIENCY

Clinical Manifestations	Slight on again and off again headache with a hollow sensation or Continuous dull headache with dizziness Headache worse after physical exertion Headache alleviated by rest Rubbing of the eyes Lusterless, pale white face Pale lips Pale nails Palpitations Blurred vision Dizziness Hair loss Poor appetite Insomnia Lassitude Dry stools T: Pale C: Thin and white P: Hollow or Thready and weak
Treatment Principle	Nourish the Blood Stop pain
Herb Formulas	Si Wu Tang modified Yang Xue Sheng Feng Tang Chinese Patent Medicines: Ren Shen Shou Wu Jing Gui Pi Wan
Points	DU-20, GB-39, HT-5, KI-3, PC-6, SP-6, ST-36 With dizziness: + LIV-3 With a poor appetite: + REN-12 With palpitations: + HT-3 With insomnia: + Anmian, HT-7 With dry stools: + ST-37 DU-23, SP-6, SP-10, ST-36 SJ-23, ST-36, UB-15, UB-17, UB-18, Taiyang

BLOOD LOSS

Clinical Manifestations	Hot sensations in the muscles and skin Red face Irritability Thirst with a preference for warm beverages or does not wish to drink Fatigue Fever Headache Slight perspiration Hypermenorrhea during menstruation or after labor Purulent abscesses Red eyes Dry, feverish skin Postpartum fever Distress Postpartum headache Postpartum irregular menstruation Slow healing of wounds Excessive Blood loss after labor T: Pale P: Flooding, big, forceless and Deficient when pressed hard or Big and weak
Treatment Principle	Tonify Qi Generate Blood
Herb Formulas	Dang Gui Bu Xue Tang Dan Shen Yin
Points

ACCUMULATION of COLD THIN MUCUS

Clinical Manifestations	One-sided headache Dizziness Heavy-headedness Chest oppression Epigastric fullness Nausea Vomiting Spitting drool Stomach pain relieved by warmth Poor appetite T: Normal C: Slimy and white P: Wiry and slippery
Treatment Principle	Warm the Center Raise Clear Yang Descend counterflow
Herb Formulas	Wu Zhu Yu Tang modified
Points	GB-8, REN-12, SJ-3 or SJ-5, ST-40, Taiyang, UB-65

HEAT EXCESS IN THE EXTERIOR AND INTERIOR

Clinical Manifestations	Dizziness Red, sore eyes Difficulty swallowing Nasal congestion Thick, sticky nasal discharge and saliva Bitter taste in the mouth Dry mouth Focal distention in the chest and diaphragm Stifling sensation in the chest and diaphragm Manic behavior Carbuncles Heat rash Headache Sore throat Skin ruptures or ulcers Tense abdomen Shoulder stiffness Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Heaviness in the head T: Red C: White or yellow, greasy P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San
Points	PC-6, ST-25, ST-40, REN-4, SP-6, LU-7

PHLEGM STAGNATION

Clinical Manifestations	Spasms, cramps and stiffness in the limbs, neck and back Convulsions Diffuse headache Heaviness Fogginess or fullness in the head Visual disturbances Double vision Loss of sight Dizziness Vertigo Fullness and discomfort in the chest and epigastrium Nausea Vomiting T: Normal C: Greasy and white P: Soft, slippery and/or wiry
Treatment Principle	Expel Wind Disperse Phlegm Move Qi Stop spasms
Herb Formulas	Qu Feng Dao Tan Tang
Points	DU-8, DU-14, DU-16, DU-20, GB-20, SI-3, SP-3, ST-40, UB-62

PHLEGM HEAT BLOCKING THE NOSE

Clinical Manifestations	Copious sticky, continuous yellow or green nasal discharge or Severe, continuous or sustained nasal congestion Transient, declining sense of smell or loss of sense of smell Generally severe frontal headache Inflamed and swollen mucus membranes Vertigo Dizziness Heavy woolly-headedness Heaviness and aches in the body Lethargy Fatigue Epigastric and abdominal distention Anorexia Loose or sluggish stools T: Red C: Greasy and yellow P: Soft and rapid or Slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Expel Wind and Damp Open the nose
Herb Formulas	Dan Xi Bi Yuan Fang Jia Jian
Points	DU-20, LI-11, PC-6, REN-12, Sishencong, SP-4, SP-6, ST-36, ST-40, ST-44, Yintang

PHLEGM-DAMP RETENTION

Clinical Manifestations	Heavy-headedness Headache Cough with copious, dilute, white frothy or lumpy sputum Chest and epigastric congestion Maybe lumps in the abdomen and/or chest Vomiting frothy fluid Palpitations Pain and full feeling in chest Dyspnea - worse lying down Asthma Throat rattle Maybe anorexia Lassitude Somnolence Nausea / vomiting Dizziness / vertigo Shortness of breath Wheezing Acute attack of panting with high pitched sound and rapid exhalation Facial edema Vertigo Tinnitus Weak extremities Symptoms worse in the morning T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Dry Dampness Transform Phlegm Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Er Chen Tang Ban Xia Bai Zhu Tian Ma Tang Triggered by strong smells: Ping Wei San Tan Pi Tang Ping Chen Tang Chinese Patent Medicines: Ban Xia Bai Zhu Tian Ma Pian Xiang Sha Liu Jun Zi Wan
Points	REN-12, REN-17, REN-22, ST-36, ST-40, UB-20 Moxa or moxa needle DU-20, GB-8, GB-20, LIV-3, REN-4, REN-6, SJ-3, ST-36, Taiyang GB-20, REN-12, SP-6, SP-9, ST-40 DU-20, PC-6, REN-12, Sishencong, SP-4, SP-6, ST-36, ST-40, Yintang Ahshi Points, GB-20, LI-4, REN-12, SP-6, SP-9, ST-8, ST-40 With dizziness: + GB-8 With a headache on the forehead, a runny nose, white discharge and loss of the sense of smell: + UB-2, Yintang With loss of the sense of smell: + DU-23 With Phlegm: + LU-5 With a poor appetite: + PC-6 With a sensation of fullness in the Stomach: + LIV-13 With nausea or vomiting: + SP-4

WIND-PHLEGM (FENG TAN)

Clinical Manifestations	Dizziness Vertigo (possibly severe) Headaches (may be recurrent) A stifling sensation in the chest Nausea Vomiting Copious sputum Spots before the eyes Heaviness of the head Lockjaw Sinus congestion Cold feet Fatigue Abdominal distention Weakness of hands and feet May be edema Sudden loss of consciousness Excess salivation Vomiting saliva Compulsive sleeping after eating T: Normal C: White and greasy P: Wiry and slippery or Soft and slippery or Wiry and slow
Treatment Principle	Strengthen the Spleen Dispel Dampness Transform Phlegm Soothe the Liver Extinguish Wind
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang With Qi and Yin Deficiency: Gou Teng San
Points	Sedate REN-12, ST-8, ST-40, Taiyang DU-20, GB-20, PC-6, ST-8, ST-36, ST-40

XUAN YIN

Clinical Manifestations	Cough with sharp pain in the chest and hypochondrium 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 Generalized edema which is worse in the lower body Difficult urination and defecation T: Normal C: White and slippery P: Deep and wiry
Treatment Principle	Purge and drives out thin mucus Drastically purge water accumulation
Herb Formulas	Shi Zao Tang
Points

SAN JIAO - UPPER JIAO COLD-DAMP

Clinical Manifestations	Aversion to Cold Heavy pressure headache Anorexia Mental dullness Cough with white Phlegm Slight fever Heavy head and extremities Anhidrosis Chest distension Sluggish feeling Sticky mouth Diarrhea or loose stools Borborygmus Severe chills Maybe no fever or afternoon fever Sticky saliva No thirst Epigastric distension T: Pale C: White or Greasy white P: Soft or Floating and slow
Treatment Principle	Dry Damp Warm the body
Herb Formulas	Huo Xiang Zheng Qi Tang
Points	Moxa REN-8, REN-9, REN-12, UB-13, UB-39 GB-20, LU-1, REN-17, SP-9, ST-36

SAN JIAO - MIDDLE JIAO COLD DAMP

Clinical Manifestations	Fever Aversion to Cold Headache Chest and gastric distension Gastric pain Nausea Vomiting Acute diarrhea Abdominal pain Acute gastritis Thirst Dry throat T: Normal C: Greasy and whit P: Floating, forceful and tight
Treatment Principle	Dry Damp Warm the body
Herb Formulas	Huo Xiang Zheng Qi Tang
Points

SAN JIAO - MIDDLE JIAO YANG DEFICIENCY WITH COLD

Clinical Manifestations	Excruciating epigastric and abdominal pain to the point of not being able to to be touched May be borborygmus. Vomiting to the point of not being able to eat Superficial skin pulsations throughout the abdomen May be fluid sounds 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 Direct rebellious Qi downward Relieve pain
Herb Formulas	Da Jian Zhong Tang
Points

SAN JIAO - LOWER JIAO URINARY BLADDER DAMP-HEAT

Clinical Manifestations	Painful urination Difficult, scanty urination Heavy headache Thirst, cannot drink Oliguria Sometimes constipation Lower abdominal fullness and distension Dizziness Maybe urinary calculi T:Normal or red C: White or yellow P:Soft, maybe rapid
Treatment Principle	Promote diuresis
Herb Formulas	Ba Zheng San Fu Ling Pi Tang San Ren Tang
Points	REN-3, SP-6, SP-9, ST-25, ST-28, UB-25

SAN JIAO LOWER JIAO BLOOD STAGNATION WITH HEAT

Clinical Manifestations	Lower abdominal distension Excruciating abdominal pain Mania Delirious speech from extreme pain Afternoon fever Restlessness Thirst - likes to drink Amenorrhea Dysmenorrhea Irregular menstruation Chills and fever Headache Black stool Neurosis Hard stool Acute pelvic inflammatory disease Retention of lochia Intestinal obstruction T: Red and dry C: Normal, or yellow P: Sinking and choppy or Sinking and forceful
Treatment Principle	Break up stagnant Blood Activate the Blood
Herb Formulas	Tao He Cheng Qi Tang
Points

LONGITUDINAL LUO OF THE LARGE INTESTINE

Clinical Manifestations	Headache Cold teeth and gums Chest pain Dizziness Blurred vision
Treatment Principle
Herb Formulas
Points	LI-6, LI-15 LI-6, LU-9 LI-6, LU-11

LONGITUDINAL LUO OF THE URINARY BLADDER

Clinical Manifestations	Headache Back pain Nasal obstruction
Treatment Principle
Herb Formulas
Points	UB-58, KI-3 UB-58, KI-1

TRANSVERSE LUO OF THE URINARY BLADDER

Clinical Manifestations	Headache Neck pain Stiff neck that radiates to the side of the body
Treatment Principle
Herb Formulas
Points	UB-58, KI-3 UB-58, KI-1

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