HEMATURIA (BLOODY URINATION)

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	KI-7, LU-7, PC-7, REN-4, REN-6, UB-23, UB-27 REN-4, REN-6 PC-7, REN-4

SHAO YIN HEAT

Clinical Manifestations	Dry throat and/or mouth Chronic sore throat (not acute) Restlessness Malar flush Insomnia Disturbed speech Low grade fever, worse in afternoon Yellow urine Irritability with a sensation of Heat in the chest Palpitations with anxiety Sores in the mouth or on the tongue More Heat than in Yin Deficiency (chronic low grade fever) T: Red, deep red C: None P: Deep, thready and rapid
Treatment Principle	Nourish Yin Reduce Heat
Herb Formulas	Zhu Ling Tang Huang Lian E Jiao Tang
Points	DU-14, HT-5, HT-7, KI-3, KI-6, KI-7, LIV-3, SP-6, UB-10, UB-15, UB-23

WEI STAGE: SUMMERHEAT DAMAGES THE QI AND FLUIDS

Clinical Manifestations	Fever and chills or Tidal fever Abdominal distention Thirst with a desire to drink Sweat Stifling sensation in the chest Restlessness Vexation Agitation Headache Scanty, red urine T: Red and dry C: Yellow P: Rapid and surging
Treatment Principle	Clear Summerheat Drain Heat Tonify Qi Generate Fluids
Herb Formulas	Qing Shu Yi Qi Tang
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, LI-4, LI-11, SJ-5, ST-8, ST-28, Taiyang, UB-12, UB-20

WEN BING - XUE STAGE EXCESS HEAT CAUSES BLEEDING

Clinical Manifestations	High fever Confusion of mind Delirium (mania) Dark yellow urine Excessive skin rashes all over body Hemorrhage Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria T: Deep red, dry or Purple red C: None P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle	Cool the Blood Dispel Heat and Toxins from the Xue Stage Promote Blood Circulation
Herb Formulas	Xi Jiao Di Huang Tang
Points	To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

DAMP-HEAT IN THE LARGE INTESTINE

Clinical Manifestations	Diarrhea with tenesmus which intensifies after defecation Frequent stools which are small in quantity Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and Blood Burning hot sensation in anus Abdominal pain Urine short and red Sustained fever despite profuse perspiration or Raging fever in the afternoon Severe cases: High fever and coma Mouth dry but no desire to drink Body heavy Limbs tired Fullness in chest Lump in epigastrium Anorexia Vomiting T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness Stop dysentery
Herb Formulas	Shao Yao Tang
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25

SPLEEN NOT GOVERNING THE BLOOD

Clinical Manifestations	Repetitive voiding of urine with pale, red Blood Sallow or pale complexion Anorexia Fatigue Four limbs feel tired and heavy Physical and mental exhaustion Lack of strength Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose or unformed stools Shortness of breath Dizziness Palpitations Functional Uterine Bleeding Purpura Epistaxis Hemafecia Menorrhagia Metrorrhagia T: Pale and flabby - may have teethmarks C: White P: Thready and weak or Moderate
Treatment Principle	Tonify the Spleen Benefit Qi Conserve Blood
Herb Formulas	Gui Pi Tang modified With no signs of Blood Deficiency: Bu Zhong Yi Qi Tang modified Gui Pi Tang + Jiao Ai Tang Bu Wei Fang Shou Pi Jian
Points	KI-13, REN-3, REN-6, SP-6, SP-10 For palpitations due to concomitant Heart Blood Deficiency: + LU-9, PC-6 For impaired memory: + Sishencong For insomnia: + HT-7 For Qi Deficiency with a disinclination to speak: + REN-17 SP-1, SP-3, ST-36, UB-20 DU-20, REN-4, REN-11, SJ-4, SP-1, SP-3, SP-10, ST-36, UB-17, UB-20

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Frequent pale, red Blood in the urine Body cold Limbs icy Fatigue Lassitude Lack of strength White and shiny or sallow, yellow facial complexion Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Abdominal distention Dizziness Tinnitus Anorexia Loose stools containing undigested food or “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Bruises easily Bleeding hemorrhoids Melaena Uterine bleeding Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow or Soft and moderate
Treatment Principle	Warm and Reinforce the Spleen and Kidneys Stop bleeding
Herb Formulas	Bu Zhong Yi Qi Tang + Wu Bi Shan Yao Wan Gui Lu Er Xian Jiaomodified Once the bleeding has stopped: For Kidney Yang or Qi Deficiency: Jin Gui Shen Qi Wan For Spleen Yang Deficiency: Fu Zi Li Zhong Wan Chinese Patent Medicines: Jin Kui Shen Qi Wan Bu Zhong Yi Qi Wan Yun Nan Bai Yao
Points	Moxa or moxa needle SP-10 For abdominal cramping and aversion to Cold and a long, deep pulse: + moxa DU-4, KI-3, REN-4, REN-6, SP-9, For enduring diarrhea: + moxa REN-8 For abdominal distention: + ST-36 Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 Moxa or moxa needle SP-10 For abdominal cramping and aversion to Cold and a long, deep pulse: + moxa DU-4, REN-4, SP-1, SP-6, SP-10, ST-36, UB-17, UB-20, UB-23

STOMACH FIRE

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

HEART FIRE TRANSMITS TO THE SMALL INTESTINE

Clinical Manifestations	Ulceration, erosion, and pain of mouth and tongue A dry throat Thirst with a desire for cold drinks Irritability Irascibility Feeling of Heat and disturbance in the Heart Insomnia or restless sleep Flushed face Bitter taste in the mouth With Heat transmitting to the Small Intestine: Dark, concentrated urination Stabbing or burning pain on urination Hematuria with dark red Blood T: Red tip with ulcers especially on the tip C: Yellow P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Disinhibit urination Stop the bleeding Calm the Shen
Herb Formulas	Dao Chi San San Huang Xie Xin Tang Liang Ge San Xiao Ji Yin Zimodified With Heart and Kidney Yin Deficiency: Tian Wang Bu Xin Dan Chinese patent medicines: Te Xiao Pai Shi Wan Long Dan Xie Gan Wan Qian Lie Xian Wan Chuan Xin Lian Kang Yan Pian Yun Nan Bai Yao (should be take along with any of the above formulas)
Points	HT-7, HT-8, PC-7, PC-8, UB-15 HT-6, KI-6, LIV-2, PC-8, REN-3, SI-3, SP-10, UB-15 Reduce HT-7, PC-7, REN-3, tonify KI-3 For insomnia: + Anmian For vexation: + PC-6

SMALL INTESTINE EXCESS HEAT

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

LIVER FIRE

Clinical Manifestations	Scant, dark ,burning urination with fresh Blood Severe, splitting headaches with dizziness Temporal headaches Dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Hypochondriac tightness or pain Sore, bloodshot eyes Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe ulcerations on the genitals Maybe a tendency toward herpes genitalia Maybe eczema or rashes in the groin 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 with 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 modified Chinese Patent Medicines: Long Dan Xie Gan Wan Yun Nan Bai Yao (take along with the above formula)
Points	GB-34, LIV-1, LIV-2, LIV-8, REN-3, SJ-6, SP-6, SP-10, UB-28

DAMP-HEAT IN THE LIVER AND GALL BLADDER

Clinical Manifestations	Short, dark, urination with fresh Blood or purplish-red Blood Maybe painful urination Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth A dry throat Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Abdominal distention Thirst with no desire to drink Headache Red eyes Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles T: Pink wit red edges C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Clear Dampness Purge Heat from Liver and Gall Bladder Cool the Blood Stop bleeding
Herb Formulas	Long Dan Xie Gan Tangmodified With jaundice: Yin Chen Hao Tangmodified With a weak constitution or Qi Deficiency: Jia Wei Xiao Yao San modified
Points	GB-41, LIV-1, LIV-8, REN-3, UB-32 With fever: + LI-4 With dizziness and vertigo: + GB-20 With tinnitus: GB-2

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Headache Dizziness Dry, rough eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), Weakness Fatigue Tinnitus Deafness Forgetfulness Low back and knees sore, weak and painful Throat dry and painful Five-sole Heat Low-grade fever Night sweats Dry skin Dry throat Thirst with a desire for cold drinks An odor or urine in the mouth A bitter taste in the mouth Irritability Agitation Insomnia Profuse dreams Stools difficult to pass Constipation Dry, bound stools Scanty, reddish urine Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid or Thready, wiry and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Zhi Bai Di Huangmodified Er Zhi Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23 KI-7, UB-18, UB-23, UB-64 For inhibited, rough urination: + REN-3 For edema: + REN-3, ST-28 For severe dizziness and tinnitus: + GB-20, SJ-17 For a painful throat: + KI-6 For insomnia and palpitations: + HT-7 For concomitant Liver Fire: + LIV-2 For Blood Stasis: +SP-6 For high blood pressure: + LI-11, ST-36

KIDNEY QI DEFICIENCY

Clinical Manifestations	Enduring hematuria which is worse with overwork Pale red Blood Frequent urination Copious amounts of clear urine Incontinence of urine Dribbling urination Enuresis Nocturia Either a tendency towards being too hot of too cold A bright white facial complexion Dizziness Shortness of breath Tinnitus Deafness Asthma Aversion to Cold Cold limbs Edema in the lower limbs Lassitude Lower back, spine and knees weak and painful Lingering tinnitus or deafness Seminal emission Impotence Sterility Fatigue Lack of strength Maybe lower abdominal pain which is better with warmth Maybe anorexia Maybe loose stools Maybe aversion to Cold 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 Stop bleeding
Herb Formulas	Wu Bi Shan Yao Wanmodified
Points	Moxa or moxa needle KI-3, REN-3, REN-4, REN-6, UB-23, UB-28 DU-20, moxa REN-4, REN-6 With tinnitus and deafness: + GB-2, SJ-17 Moxa needle DU-4, REN-6, REN-17, ST-36, UB-23 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 YIN DEFICIENCY

Clinical Manifestations	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 Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red 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
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Liu Wei Di Huang Wan
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23

KIDNEY YIN DEFICIENCY WITH EMPTY FIRE RISING

Clinical Manifestations	Episodic hematuria with fresh red Blood The urine may be concentrated Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Heel pain Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth and throat Irritability Restlessness Thirst Nightsweats Five sole Heat Malar flush Facial flushing Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Bone steaming fever 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
Treatment Principle	Nourish Kidney Yin Subdue Fire Cool the Blood Stop bleeding
Herb Formulas	Zhi Bai Di Huang Wanmodified Da Bu Yin Wanmodified Chinese patent medicines: Zhi Bai Di Huang Wan Da Bu yin Wan Yun Nan Bai Yao (take this formula along with either of the above formulas)
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 KI-2, KI-3, KI-6, LU-7, REN-4, UB-23, UB-28 KI-1, KI-3, REN-4, SP-6 For low back and knee weakness and pain: + UB-23, UB-28 For premature ejaculation: + UB-52 For a sore throat: + KI-6

KIDNEY YIN AND YANG DEFICIENCY

Clinical Manifestations	Extreme lack of strength Aversion to Cold Cold limbs Five-sole Heat A dry mouth with a desire to drink Does not drink a lot A taste of urine in the mouth Low back and knee soreness and pain Anorexia A tendency to loose stools with reddish yellow urine or Dry, bound stools with frequent, clear urine T: Pale and fat with teethmarks C: Thin and white P: Deep and thready or Deep and weak
Treatment Principle	Strengthen Yin and Yang
Herb Formulas	Jin Gui Shen Qi Wanmodified
Points	KI-3, KI-7, SP-6, UB-23 For marked Kidney Yang Deficiency: + moxa or moxa needle DU-4 For a dry mouth and parched throat or an enduring sore throat with a low-grade fever: + KI-6, HT-6 For anorexia and abdominal fullness, especially after eating: + PC-6, SP-4 For constipation: + SJ-6

QI REBELLION DAMAGING THE CHANNELS

Clinical Manifestations	Bleeding gums Spasmatic cough Radiating chest and lateral-costal pain Red tinged Phlegm A dry mouth Irritating Heat Epistaxis Abdominal glomus and pain Black colored stools Dizziness Tidal fever Short, red urination T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Calm the Shen Open the Channels Descend Qi Transform Stasis Clear Heat Cool the Blood Stop bleeding
Herb Formulas	Qi Rebellion #1
Points

DAMP-HEAT IN THE URINARY BLADDER (BLOOD LIN)

Clinical Manifestations	Scanty, concentrated, strong-smelling urine with fresh or darkish purple Blood Mild burning when urinating A feeling of incomplete Bladder emptying Clots in the urine If the clots are massed, the Blood comes from the Bladder If the clots are thready, the Blood comes from the Kidney Lower abdominal fullness distention and pain Urinary frequency Urinary urgency Painful urination Suprapubic fullness and discomfort Lumbo-sacral pain Fullness or discomfort in the chest and epigastrium Heart vexation Parched mouth A bitter taste in the mouth Thirst with little desire to drink Anorexia Nausea Bitter taste in the mouth A tendency toward constipation or Alternating loose and sluggish stools Maybe afternoon fever or Alternating fever and chills T: Red C: Sticky and yellow or Thin and yellow P: Rapid or Deep and rough or Slippery and rapid or Soft and rapid or Rapid and forceful
Treatment Principle	Clear Heat Resolve Dampness Cool the Blood Stop bleeding
Herb Formulas	Xiao Ji Yin Zi Zhu Ling Tangmodified San Jin Tang Shi Wei San Ba Zheng San Dang Gui Nian Tong Tang With Kidney Yin Deficiency: + Zhi Bai Di Huang Wan With severe Heat: Huang Lian Jie Du Tang For short voidings of red urine: San Ren Tang Chinese patent medicines: Dao Chi Pian + Yunnan Bai Yao
Points	GB-26, GB-28, GB-41, LI-11, LIV-5, REN-3, REN-5, SJ-5, SP-6, SP-9 KI-7, UB-23, UB-27, alternate LIV-3, SP-10 with KI-1, UB-17 KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 KI-7, REN-3, REN-4, SP-6, SP-9, SP-10, UB-23, UB-27, UB-40 KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 HT-6, REN-3, UB-28, UB-63, UB-66 For fever: + DU-14 For constipation: + ST-37 For painful urination: + LIV-4 To adjust the urinary Bladder: REN-3, UB-28 To clear Heat: LI-4, LI-11, ST-44 To disperse Damp: SP-6, SP-9 For edema: KI-3, REN-9 For Phlegm: ST-40

BLOOD STAGNATION

Clinical Manifestations	Intermittent hematuria with dark or brownish red Blood Maybe bleeding with clots Maybe difficult urination or Maybe periodic obstruction to the passage of urine Maybe painful genitals or scrotum Lower back pain Suprapubic tension and pain which is worse at night Pain that is fixed, stabbing and /or severe Pan is worse with pressure Dark complexion Dark rings under the eyes Fixed, palpable abdominal masses Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins on the inner ankle and knee Cold hands and feet Tendency to hemorrhage dark blood or clots 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 or Tight and wiry
Treatment Principle	Invigorate the Blood Break up Stagnation Stop bleeding
Herb Formulas	Shao Fu Zhu Yu Tangmodified Tao Hong Si Wu Tangmodified Cancer #3 For mild cases with Yin Deficiency, Heat and Phlegm: Qian Gen San modified For the elderly and other Qi deficient patients: Bu Zhong Yi Qi Tangmodified Chinese patent medicines: Yun Nan Bai Yao (to be taken along with the following formulas) Qi Li San For trauma: Jin Gu Die Shang Wan Tao He Cheng Qi San
Points	LI-4, REN-3, SP-6, SP-10, UB-28 For fatigue, lack of strength and disinclination to speak: + REN-6 For chest and flank oppression and distention and a choppy pulse: + LIV-3 For abdominal pain with Cold: + moxa DU-4 For uterine bleeding: + ST-29 SP-6, SP-10, ST-36, UB-17, UB-40 LIV-3, SI-4, SJ-6, SP-10, ST-29, ST-30, ST-40, UB-28, UB-34

BLOOD HEAT

Clinical Manifestations	High fever Vexation Agitation Confusion of mind Insomnia Delirium (mania) Dark yellow urine Excessive skin rashes all over body Hemorrhage Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria T: Deep red, dry or Purple red C: None P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle	Cool the Blood Dispel Heat and Toxins from the Xue Stage Promote Blood Circulation
Herb Formulas	Xi Jiao Di Huang Tang Oliguria #2 Qing Ying Tang modified Da Huang Zhi Xue Nao Nang
Points	HT-8, KI-1, LI-11, PC-8, UB-40 If there is no bleeding, prick to bleed HT-9, LI-1, LI-11, PC-9, SI-1, SJ-1, UB-40 To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

SAN JIAO DAMP-HEAT

Clinical Manifestations	Fever Irritability Restlessness Anxiety Flushed face Constipation Abdominal distention Delirious speech Epigastric distention Jaundice Gastric distention Dysenteric disorders Hematemesis Epistaxis Red, swollen, painful eyes Chest oppression Red, swollen ears Restlessness Insomnia Thirst Dark, concentrated urine Tinnitus Hemoptysis Vomiting Shoulder stiffness Bleeding Diarrhea Suppurative skin infection Tongue and mouth ulcerations T: Red tip C: Yellow and greasy P: Rapid
Treatment Principle	Drain Fire Relieve toxicity Drain Dampness
Herb Formulas	San Huang Xie Xin Tang
Points

SAN JIAO TOXIC HEAT

Clinical Manifestations	Hematuria Fresh red Blood initially Aversion to Cold Fever moving to high fever Maybe epistaxis Maybe hematochezia Maybe purplish maculae on the skin Headache vexation Agitation Dry mouth and lips Sore throat Maybe painful joints T: Red C: Yellow P: Rapid and forceful
Treatment Principle	Clear Heat Drain Fire from the San Jiao Cool the Blood Stop bleeding
Herb Formulas	Huang Lian Jie Du Tangmodified With Ying or Xue Stage Heat: Xi Jiao Di Huang Tang modified
Points	SP-6, SP-10, ST-44, bleed Shixuan For fever and chills: + LI-4, LI-11 For persistent high fever: + DU-14, UB-40 For a sore throat: + LI-4 For painful joints : + LI-11, SP-9

LOWER JIAO DEFICIENCY COLD

Clinical Manifestations	Hematochezia Hematemesis Hemoptysis Epistaxis Metrorrhagia Cold extremities A wan or sallow complexion Dark red or pale Blood General fatigue Hematuria A lack of taste No thirst Pale face T: Pale or Dull red C: White P: Deep, thready and weak
Treatment Principle	Warm Yang Strengthen the Spleen Nourish the Blood Stops bleeding
Herb Formulas	Huang Tu Tang
Points

INSUFFICIENCY OF THE CHONG AND REN CHANNELS

Clinical Manifestations	Abdominal pain Uterine bleeding (metrorrhagia) Excessive menstruation Menstruation with constant spotting Postpartum bleeding Bleeding during pregnancy The Blood is pale and thin without clots Weakness Dizziness Sore lower back Post abortion bleeding Dull complexion Weakness and pain of the legs Light red, unelevated and indistinct eruptions Hematuria T: Pale C: Thin and white or Whitish and moist P: Thready and weak
Treatment Principle	Nourish and warm the Blood Stop bleeding
Herb Formulas	Jiao Ai Tang
Points

HEMATURIA (BLOODY URINATION)

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas