HICCUP

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	For recalcitrant hiccups: Wu Mei Wan
Points	PC-6, ST-36 For severely difficult breathing: + REN-22 Strongly stimulate DU-26, PC-6, REN-22, UB-17 If severe: moxa Moxa or moxa needle REN-4, REN-12, REN-17 If continuous: + UB-23 PC-6, REN-12, REN-22 Moxa LU-1, LU-5, REN-14, REN-17 + abdomen points REN-14, REN-17, REN-22, ST-36 KI-17, LI-5, LI-9, LIV-13, LIV-14, PC-8, SP-3, UB-17, UB-19, UB-43 REN-4, REN-14, REN-17, ST-10 PC-6, REN-12, REN-22, ST-36, UB-2, UB-17 PC-6, PC-8, UB-17 PC-6, REN-12, REN-17, REN-22 PC-6, LI-4, REN-14, REN-17, ST-36 With abdominal distention: + ST-20 With constipation: + ST-25 With weakness and anorexia: + REN-4 With chest and flank pain: + LIV-3, LIV-14 With Phlegm retention: + ST-40 Ear: 1. Shenmen, Diaphragm 2. Shenmen, Diaphragm, Subcortex 3. Shenmen, Mid Ear, Subcortex, Stomach, Liver, Spleen Cupping: REN-12, ST-18, UB-17, UB-18, UB-46 use medium cups for 10-15 minutes Scalp acupuncture: – Stomach Region, Chest Region Electro-acupuncture: REN-12, ST-36

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 Hiccups Aversion to Wind Blocked and / or runny nose with clear, watery nasal discharge Sneezing General body aches Maybe asthma T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Resolve Phlegm
Herb Formulas	Xiao Qing Long Tang
Points	DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13

PERVERSE 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 Hiccups Dry lips and mouth Thirst Dryness in nose Epistaxis Chills and fever Headache Anhidrosis Dry skin and hair Constipation T: Red tip C: Thin, yellow and dry P: Superficial, maybe rapid
Treatment Principle	Clear the Lungs Moisten Dryness
Herb Formulas	Qing Zao Jiu Fei Tang
Points	KI-3, LU-1, LU-6, SP-6, UB-13

LUNG QI AND YIN DEFICIENCY DUE TO HEAT AND DRYNESS

Clinical Manifestations	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 Headache 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	Eliminates Dryness Moistens the Lungs
Herb Formulas	Qing Zao Jiu Fei Tang
Points

SPLEEN AND STOMACH QI DEFICIENCY

Clinical Manifestations	Hiccups with a weak sound Shallow, rapid breathing Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy and maybe cold Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Weak condition T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Xiang Sha Liu Jun Zi Tang With Damp-Turbidity clumping in the Stomach: Fu Ling Yin
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 REN-6, REN-17, ST-36, UB-17, UB-43 PC-6, REN-22, UB-17 REN-4, REN-6, REN-12, REN-17, ST-36

SPLEEN AND STOMACH YANG DEFICIENCY

Clinical Manifestations	Deep, weak, hiccup with a low tone Sallow or pale complexion Anorexia (maybe with vomiting) Four limbs feel tired, cold and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Ding Xiang Shi Di Tang Wu Zhu Yu Tang Li Zhong Tang modified With severe Qi Deficiency: By Zhong Yi Qi Tang
Points	Moxa or moxa needle PC-6, REN-6, REN-12, REN-22, UB-17, UB-20, UB-21 For a cold lower back: + moxa or moxa needle REN-4, REN-8 Moxa or moxa needle REN-6, REN-12, ST-36, UB-20, UB-21

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Prolonged, continuous, weak hiccups Low sound The patient is exhausted by the hiccups, gradually growing weaker May have trouble catching the breath between hiccups Hypersalivation Vomiting of thin watery Fluids Epigastric and abdominal discomfort or pain made better by warmth and pressure Mental and physical exhaustion Depression Soft voice Reluctance to speak Aversion to Cold Body cold Limbs icy Complexion white and shiny or Pale, sallow complexion Low back, knees, legs and abdomen feel cold and painful Anorexia Frequent, clear urination or Nocturia Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Severe: Abdominal ascites T: Pale, moist and swollen or Pale, bluish and swollen with toothmarks C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys Harmonize the Stomach Descend Stomach Qi Stop hiccups
Herb Formulas	Xuan Fu Dai Zhe Tang Fu Zi Li Zhong Tang Chinese patent medicines: Fu Zi Li Zhong Wan Li Zhong Wan Jin Gui Shen Qi Wan
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 Moxa or moxa needle PC-6, REN-4, REN-6, ST-36, UB-17, UB-20 With severe Kidney Yang Deficiency: + DU-4, UB-23 Ear: Diaphragm, Stomach, Spleen, Sympathetic, Adrenal

STOMACH QI DEFICIENCY WITH TURBID PHLEGM OBSTRUCTION

Clinical Manifestations	Unremitting belching Hiccup Regurgitation Nausea Vomiting Hard epigastric distention Abdominal distention T: Normal C: White and Slippery or White and smooth P: Wiry and deficient or Wiry, taut and feeble
Treatment Principle	Descend Qi Transform Phlegm Augment Qi Harmonize the Stomach
Herb Formulas	Xuan Fu Dai Zhe Tang Er Chen Tang
Points	PC-5, REN-6, REN-12, SP-6, ST-21, ST-36, ST-40, UB-20, UB-21

STOMACH YIN DEFICIENCY

Clinical Manifestations	Hiccup The sound of the hiccup is short and discontinuous Shortness of breath Dry mouth and throat No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Restlessness Irritability with low grade fever Maybe dry retching or Thirst Anxiety T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Yi Wei Tang modified Yang Wei Tang Sha Shen Sha Shen Mai Men Dong Tang With anorexia: Ju Pi Zhu Ru Tang
Points	KI-3, REN-12, SP-6, ST-36, UB-21 KI-3, REN-12, REN-21, SP-6, ST-36, UB-17 KI-3, or KI-6, PC-6, REN-12, REN-22, UB-17, UB-21 For anorexia: + REN-10, SP-3 REN-12, SP-6, UB-17, UB-21 Ear:Diaphragm, Stomach. Spleen, Liver, Shenmen

BLOOD STAGNATION IN THE STOMACH

Clinical Manifestations	Chronic, persistent, intractable hiccups Sharp, stabbing epigastric pain with fixed location Fixed, sharp pains in the head and upper body Pain is severe after eating Dislike of pressure and heat on epigastrium The epigastrium is firm and resists palpation Irritability Short temper Depression Mood swings Insomnia Restlessness at night Feverishness at night Pain predominates over distention or Pain but no distention Low-grade fever at night Epigastric rumbling Dry, scaly skin Broken vessels or spider naevi on the face, trunk, inner knee and ankles Purplish lips Purple nails Purple sclera Purple conjunctiva Dark circles under the eyes Vomiting purple/black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses T: Dark purple with purple spots or dots, the sublingual veins are distended and dark C: Thin and white P: Wiry and choppy or Intermittent
Treatment Principle	Harmonize the Stomach Activate the Blood Transform Stagnation Stop pain Stop hiccups
Herb Formulas	Dan Shen Yin modified Xue Fu Zhu Yu Tangmodified Chinese patent medicine: Xue Fu Zhu Yu Wan
Points	SP-4, SP-6, SP-10, ST-21, ST-34, UB-17 PC-6, SP-4, SP-6, ST-36, UB-17 DU-8, LI-10, LIV-13, REN-12, SP-4, SP-6, SP-10, ST-21, ST-34, UB-17, UB-18, UB-21 With nausea and vomiting: + PC-6 With irritability and depression: + LIV-1 or LIV-3 With severe pain: + LI-4, LIV-5 Ear: Diaphragm, Liver, Sympathetic, Stomach, Shenmen

STOMACH HEAT WITH STOMACH QI DEFICIENCY

Clinical Manifestations	Hiccup Nausea Dry heaves Retching Vomiting T: Pale or Red and tender or Red and dry P: Weak and rapid or Thready and rapid
Treatment Principle	Descend Rebellious Qi Stop hiccup Augment Qi Clear Heat Strengthen the Spleen Stop vomiting
Herb Formulas	Ju Pi Zhu Ru Tang Without Qi Deficiency: Xin Zhi Ju Pi Zhu Ru Tang
Points	KI-3, REN-12, REN-21, SP-6, ST-36, UB-17 Without Qi Deficiency: LI-4, LIV-3, PC-6, REN-17, ST-36, ST-44, UB-17

STOMACH COLD

Clinical Manifestations	The Stomach is uncomfortable The hiccup is deep and slow but strong or Loud, strong and forceful, sometimes violent or Short and sharp Better with warmth Worse with Cold Epigastric discomfort Anorexia Loose stools No thirst Desire for warm drinks The esophagus is swollen and full Copious urination T: Normal C: Thin and white P: Deep and slow or Thready and slow or Moderate
Treatment Principle	Warm the Stomach Warm Cold Descend Qi
Herb Formulas	Ding Xiang San Liang Fu Wan modified Shi Di Tang Mild cases: Gan Jiang Ren Shen Ban Xia Wan Severe cases: Xiang Sha Liu Jun Zi Tang + Liang Fu Wan Chinese patent medicines: FU ZI Li Zhong Wan Li Zhong Wan
Points	Moxa or moxa needle PC-6, REN-6, SP-4, ST-21, ST-36, UB-20, UB-21 Moxa or moxa needle PC-6, REN-12, REN-13, REN-22, ST-36, UB-17, UB-21 Moxa or moxa needle REN-12, ST-25, ST-36, UB-20, UB-21 Moxa or moxa needle LIV-13, PC-6, REN-4, REN-12, ST-36, UB-17, UB-20, UB-21 For nausea,vomiting and acid reflux: + ST-21 Moxa or moxa needle PC-6, REN-12, REN-17, REN-22, ST-36, UB-17 PC-6, ST-36, UB-17, moxa ST-21 Ear: 1. Stomach 2. Shenmen, Diaphragm, Subcortex 3. Diaphragm, Sympathetic, Stomach, Liver Spleen Cupping over the upper thoracic Shu points and Ahshi points may be useful.

STOMACH FIRE

Clinical Manifestations	Hiccup sound high and forceful or Loud, strong and continuous Burning Heat and pain in the epigastrium Irritating thirst: drinks copious fluids and prefers cold drinks Dry mouth and lips Excessive appetite: hungry again quickly after eating (as if food vanishes) Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Heavy breathing Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, yellow or red urine Irritability Restlessness Concentrated urine T: Red C: Thick, yellow and dry or Yellow and greasy or Yellow-brown P: Rapid or Slippery, big, Excess and rapid or Slippery and rapid
Treatment Principle	Clear and Purge Stomach Fire Stop hiccups
Herb Formulas	Zhu Ye Shi Gao Tang modified With constipation: Xiao Cheng Qi Tang modified Tiao Wei Cheng Qi Tang Qing Wei San With a mixture of Heat and Cold: Sheng Jiang Xie Xin Tang modified With Phlegm-Heat: Ju Pi Zhu Ru Tangmodified Chinese patent medicines: Huang Lian Jie Du Wan Ming Mu Sheng Qing Pian Wen Dan Wan Niu Huang Qing Huo wan
Points	PC-6, REN-12, REN-17, ST-36, ST-44 , UB-17 With severe Heat: + LI-4, LI-11 With constipation: + SJ-6, ST-25 With Phlegm-Heat: + PC-5, ST-40 LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-36, ST-45, UB-21 LI-4, REN-12, REN-22, ST-36, ST-44, UB-17, UB-21 LU-7, PC-6, REN-12, ST-25, ST-36, ST-44 GB-20, LIV-13, REN-12, REN-16, REN-17, ST-19, ST-21, UB-17, UB-43 LI-4, PC-4, PC-6, REN-22, SP-4, SP-8. ST-25, ST-36, ST-44, UB-17 For a bitter taste or dry mouth: + ST-43 LI-4, PC-6, REN-12, ST-44, UB-17 Ear: Diaphragm, Sympathetic, Stomach, Liver, Spleen, Shenmen

FOOD STAGNATION

Clinical Manifestations	Loud, acute hiccups which may be initiated or aggravated by eating or drinking The hiccups may be ameliorated by vomiting Heartburn Water brash Epigastric and abdominal fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation Nausea Detests food or Vomits after eating Distention is reduced after vomiting Flatulence Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation Harmonize the Stomach Descend Qi
Herb Formulas	Bao He Wan modified Zhi Shi Dao Zhi Wan For resistant cases: Tiao Wei Cheng Qi Tang (a few doses) Chinese patent medicines: Bai He Wan Liu He Bao He Wan Jian Pi Wan Chen Xiang Hua Qi Wan Ma Xing Shun Qi Wan
Points	LI-10, PC-6, REN-12, REN-14, REN-17, ST-36, ST-40, ST-44 With constipation: + SJ-6, SP-14, ST-25 With Spleen Deficiency: + SP-4, UB-20 With severe abdominal bloating: + REN-6, ST-25 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 Ear: Diaphragm, Stomach, Sympathetic, Liver, Spleen

FOOD STAGNATION WITH LIVER QI STAGNATION

Clinical Manifestations	Hiccups Epigastric and abdominal distention Maybe distending chest and epigastric pain Irritability T: Normal or Red edges C: Sticky and yellow P: Slippery and forceful or and forceful
Treatment Principle	Eliminate Food Stagnation Move Qi
Herb Formulas	Bao He Wan + Chai Hu Shu Gan Tang
Points	LIV-3, PC-6, REN-12, REN-14, REN-22, ST-36, ST-44, UB-17

PHLEGM AND FLUID STAGNATION 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 Hiccups T: Normal C: White and Slippery P: Wiry
Treatment Principle	Harmonize the Stomach Stop vomiting Dispel Phlegm Regulate water circulation Disperse Stagnation
Herb Formulas	Xiao Ban Xia Jia Fu Ling Tang
Points

STOMACH AND LUNG YIN DEFICIENCY

Clinical Manifestations	Hiccup The sound of the hiccup is short and discontinuous Shortness of breath Cough with little yellow sputum Spitting saliva Wheezing Dry, uncomfortable sensation in throat Hiccups Coughing up difficult-to-extectorate Phlegm Hoarseness Flushed face Five sole Heat Vomiting Nausea Dry mouth No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Restlessness Irritability with low grade fever Maybe dry retching or Thirst Anxiety T: Red or Red and dry C: Little and dry or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Nourish Yin Nourish the Stomach and Lungs
Herb Formulas	Mai Men Dong Tang
Points	KI-3, REN-12, SP-6, ST-36, UB-21 KI-3, REN-12, REN-21, SP-6, ST-36, UB-17

LIVER QI STAGNATION INVADES THE STOMACH

Clinical Manifestations	Paroxysmal or continuous hiccups that have a clear emotional component Epigastric pain (worse when emotionally upset) Epigastric, abdominal or hypochondriac fullness, distention or discomfort Belching with acid regurgitation Borborygmus Flatulence Nausea Vomiting Anorexia Epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink or Red edges C: Thin and white or Greasy P: Wiry or Wiry and slippery or Wiry and rapid
Treatment Principle	Soothe the Liver Regulate Liver Qi Harmonize the Stomach Descend Stomach Qi Stop hiccups
Herb Formulas	Xuan Fu Dai Zhe Tang modified Chai Hu Shu Gan Tang Zuo Jin Wan Shao Yao Gan Cao Tang Xiao Yao San For more severe Phlegm and Qi Stagnation: + Er Chen Tang Chinese patent medicines: Ma Xing Shun Qi Wan Chai HU Shu Gan Wan Chen Xiang Hua Qi Wan Shu Gan Wan Jia Wei Xiao Yao Wan
Points	LIV-3, LIV-14, PC-6, REN-12, REN-17, ST-36, UB-17 With Heat: + LIV-2 With hypochondriac distention and pain: + GB-34, SJ-6 With Phlegm: + SP-3, ST-40 With Plum-pit Qi Stagnation: + PC-5, ST-40 With abdominal distention: + REN-6, ST-25 LIV-3, LIV-14, PC-6, REN-12 With Phlegm: LIV-3, LIV-14, ST-40, UB-18 Ear: Diaphragm, Liver, Sympathetic, Stomach, Spleen

LIVER QI STAGNATION: LIVER QI INVADES THE STOMACH WITH HEAT

Clinical Manifestations	Hypochondriac pain and distention Indeterminate gnawing hunger Epigastric distention and pain Vomiting Acid regurgitation Belching Bitter taste Dry mouth Nausea Dry lips Hiccups T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Clears Liver Heat Descends Rebellious Qi Stops vomiting
Herb Formulas	Zuo Jin Wan
Points	LIV-2, PC-6, REN-14, REN-17, REN-22, ST-25, ST-44, UB-17

LIVER FIRE

Clinical Manifestations	Hiccups The sound is loud, short and sharp Chest and abdominal fullness and distention Maybe abdominal lumps Belching Putrid gas Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Constipation or dry stools Maybe rib pain 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 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
Points	GB-34, LIV-2, PC-6, ST-36, UB-19 LIV-2, PC-6, REN-14, REN-17, REN-22, ST-25, ST-44, UB-17

LIVER WIND STIRRING INTERNALLY: LIVER FIRE (YANG) GENERATES 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 Dysphasia Unsteady gait With Wind-Stroke: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Maybe coma Sometimes death T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Zhen Gan Xi Feng Tang
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

GALL BLADDER DAMP-HEAT

Clinical Manifestations	Alternating chills and fever with fever more prominent A bitter taste in the mouth Nausea Dry heaves Hiccups A stifling sensation in the chest Chest and hypochondriac pain and distention Distending pain in the upper abdomen Vomiting bitter or sour fluids that are yellow and sticky Acid regurgitation Thirst T: Red C: Yellowish or White and greasy or Yellow and greasy P: Left: Wiry and rapid, Right: Slippery and rapid
Treatment Principle	Clear Gall Bladder Heat Dispel Dampness Harmonize the Stomach Resolve Phlegm
Herb Formulas	Hao Qin Qing Dan Tang
Points

KIDNEY AND SPLEEN YANG DEFICIENCY

Clinical Manifestations	The sound of the hiccup is low and weak Body cold Limbs icy Anorexia Lassitude Complexion white and shiny Low back, knees and abdomen feel weak, cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Severe: Abdominal ascites T: Pale, moist and swollen with teethmarks C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys Descend Stomach Qi
Herb Formulas	Xuan Fu Dai Zhe Tang
Points	Moxa or moxa needle KI-3, REN-12, REN-22, SP-4, ST-36, UB-17, UB-20, UB-21, UB-23 Moxa or moxa needle REN-6, REN-17, ST-36, UB-17, UB-43

PHLEGM-DAMP (TAN YIN)

Clinical Manifestations	Continuous hiccups Anorexia Edema Epigastric and abdominal fullness, distention and stuffiness Chest and hypochondriac distention Rattling sputum in the chest or sinuses Borborygmus Dizziness Vertigo Foggy-headedness Nausea Vomiting Sticky sensation in the mouth or Dry mouth with no desire to drink Thirst with no desire to drink Maybe no thirst Palpitations Shortness of breath Greasy skin Musty body odor Tendency to obesity - pear shape T: Normal C: Thick, white and slippery P: Slippery, full and maybe wiry or Slippery, wiry and moderate
Treatment Principle	Warm and Dissolve Tan Yin Descend Qi Stop hiccups
Herb Formulas	Er Chen Tangmodified Chinese patent medicines: Er Chen Wan With Spleen Qi Deficiency: Xiang Sha Liu Ju Zi Wan With Phlegm-Heat: Wen Dan Tang With Spleen Yang Deficiency: Fu Zi Li Zhong Wan With Qi Stagnation: Xiang Sha Yang Wei Wan
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23 PC-5, PC-6, REN-12, SP-3, ST-40, UB-17 With Spleen Deficiency: + LIV-13, ST-36 With Liver Qi Stagnation: + LIV-3 With foggy-headedness: + GB-20, UB-62 With Cold-Phlegm: + moxa or moxa needle UB-20, UB-21 With muscle aches and heaviness: + SP-21 With Fluid Retention and edema: + SP-6, SP-9 With somnolence: + KI-6, UB-62 With abdominal distention: + SP-15, ST-25 Ear: Diaphragm, Stomach, Spleen, Liver, Sympathetic

WIND PHLEGM (FENG TAN)

Clinical Manifestations	Paralysis Numbness Slurred speech Hiccups Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang
Points	Pre-stroke: ST-40, UB-40 Stroke (emergency): DU-26, KI-1, PC-9, Ting Points Post-stroke: Arm: LI-4, LI-11, LI-15, SI-3, SJ-5 Leg: GB-34, GB-35, UB-40, UB-60 Scalp: Motor area (contralateral - upper one-fifth)

DAMP-PHLEGM (SHI TAN)

Clinical Manifestations	Dizziness Vertigo Mental cloudiness Heavy head Heavy sensation in the body Cough with Excess sputum Chest and epigastric distention Suffocating sensation in the chest and epigastrium Nausea Profuse sputum Vomiting Anorexia Fatigue Borborygmus Tinnitus Mouth glutinous No thirst Likes to sleep Maybe palpitations T: Thick C: White and greasy or Sticky and white P: Rolling or Wiry and slippery
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Eliminate Dampness Resolve Phlegm
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang
Points	GB-34, LIV-13, REN-12, ST-36, ST-40 PC-6, REN-12, ST-8, ST-40, UB-20 DU-20, DU-23, GB-20, GB-34, LI-4, REN-12, ST-36, ST-40, ST-41 REN-12, PC-6, ST-41

COLD-PHLEGM (HAN TAN)

Clinical Manifestations	Chills Chest fullness Aversion to Cold Stabbing pain in the bones and joints Cough with sputum Cough Wheezing Copious sputum Chest distention Anorexia Indigestion Hiccup Shortness of breath T: Pale C: Thick, white P: Sinking and slow
Treatment Principle	Warm Cold Disperse Phlegm Descend Qi
Herb Formulas	San Zi Yang Qin Tang Er Chen Tang modified With Kidney Yang Deficiency: Su Zi Jiang Qi Tang
Points	Moxa or moxa needle LU-7, UB-13

PHLEGM-HEAT

Clinical Manifestations	Loud paroxysmal or weak and intermittent hiccups Nausea Dry retching Palpitations Anorexia Irritability Restlessness Dizziness Vertigo Twitching Spasms of the extremities Insomnia Tinnitus Bitter taste in the mouth Deafness Dry throat Severe headache Maybe expectoration of thick, yellow sputum T: Red and tender C: Yellow and greasy P: Rapid and slippery or Rapid and soft or Rapid and thready
Treatment Principle	Clear and transform Phlegm-Heat Descend Stomach Qi Stop hiccups
Herb Formulas	Ju Pi Zhu Ru Tangmodified
Points	PC-5, PC-6, REN-12, REN-17, ST-36, ST-40 , ST-44, UB-17

HEAT ABOVE AND COLD BELOW

Clinical Manifestations	Stifling sensation and irritability in the chest Nausea with an urge to vomit Abdominal pain Fever with slight chills Diarrhea Vexation Borborygmus Thirst T: Pink C: White and greasy P: Wiry
Treatment Principle	Regulate Cold and Heat Harmonize the Stomach Descend Rebellious Qi
Herb Formulas	Huang Lian Tang
Points

HICCUP

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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