MORNING SICKNESS - GRAVID HYPEREMESIS- PERNICIOUS VOMITING

Clinical Manifestations
  • Vomiting
  • Nausea
  • Dizziness
  • Anorexia
  • Prompt vomiting after eating
  • All symptoms occur during pregnancy especially in the early stage
Treatment Principle
Herb Formulas
  • If the patient does not want to eat: soup from Nonglutinous rice Geng Mi.
Points
Clinical Manifestations
  • Fever and chills unrelieved by sweating
  • Headache
  • Spontaneous perspiration
  • Decreased body resistance
  • Aversion to Wind
  • Nasal congestion
  • No thirst
  • Dry heaves
  • Stiff neck
  • T: Normal
  • C: White and moist
  • P: Floating and moderate or Floating and weak or slow
Treatment Principle
  • Dispel Wind
  • Unblock the nose
  • Release Wind-Cold from the muscle layer
  • Regulate and harmonize the Ying and Wei
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Restlessness
  • Irritability
  • Anorexia
  • Sometimes fatigue
  • Nausea
  • Occasional vomiting
  • 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 the Liver and Gall Bladder
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Pregnancy
  • Nausea/Vomiting, worse in the morning and after eating or smelling food
  • Fullness of the chest
  • Acid regurgitation
  • Off and on fatigue
  • Decreased or poor appetite
  • Drowsy/sleepy
  • Pale face
  • Gas and bloating
  • Vomiting out stomach contents or sour fluid (vomiting of undigested food right after eating when severe)
  • Loose stool or diarrhea
  • May have prolapsed sensation in lower abdomen
  • Poor memory
  • Palpitations
  • Dizziness
  • Lassitude
  • Maybe blurred vision
  • Poor concentration
  • Dream disturbed sleep
  • T: Pale, may be thin
  • C: Thin and white; or Thin, white and greasy
  • P: Deep, thin and weak; or Slippery without strength (especially in right middle position) or Wiry and slippery
Treatment Principle
  • Tonify Spleen Qi
  • Descend Rebellious Stomach Qi
  • Regulate the Middle Jiao
  • Stop nausea and vomiting
Herb Formulas
Points
Clinical Manifestations
  • Chronic, intermittent nausea or vomiting after eating food
  • Nausea may be better with warmth and easily digestible foods
  • Nausea may be worse with raw or cold foods and dairy products
  • Nausea may be worse in the morning
  • Sallow, waxy or pale complexion
  • Anorexia (maybe with vomiting)
  • Sweet cravings which may make the nausea worse after eating
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Abdominal pain is better with warmth
  • 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
  • Frequent, clear urination
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe edema in the eyelids and fingers
  • Maybe clear, watery vaginal discharge
  • T: Pale and swollen with toothmarks
  • C: Thin and white
  • P: Deep and weak or Weak and thready
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Nausea in the morning
  • Sudden vomiting of Thin Mucus or clear Fluids
  • Aversion to strong smells
  • Fullness and discomfort in the chest
  • Absence of thirst
  • May feel thirsty
  • Palpitations
  • Dizziness
  • Dysuria
  • Focal distention of the epigastrium
  • T: Normal
  • C: White and Slippery
  • P: Wiry or Slippery
Treatment Principle
  • Harmonize the Stomach
  • Stop vomiting
  • Dispel Phlegm
  • Regulate water circulation
  • Disperse Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Continuous pain in the Stomach
  • Epigastric fullness and distention
  • Likes pressure
  • Reduced appetite
  • Frequent belching
  • Loss of sensation of taste
  • Borborygmus
  • Pale face
  • Stools not solid
  • Urine clear and abundant
  • T: Pale
  • C: Thin and white
  • P: Empty, Weak an Slow or Weak and Deficient
Treatment Principle
  • Warm and tonify the Spleen and Stomach
  • Replenish Qi
  • Harmonize the Interior
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Nausea and vomiting
  • Emaciation
  • Sallow complexion
  • Anorexia with a full feeling after very little food
  • Weak abdomen
  • Belching
  • Abdominal distention or pain (subtle)
  • Rolled lips
  • Pale lips
  • Stiff tongue
  • Tired limbs
  • Heavy limbs
  • Chest fullness
  • Acid regurgitation
  • Epigastric distention or pain
  • Muscle weakness in arms and legs
  • Loose stools or diarrhea
  • Maybe bleeding
  • Thin muscles.
  • Lethargy-fatigue
  • Does not like to speak
  • Weak, soft voice
  • Maybe enuresis
  • Maybe cold extremities
  • Maybe borborygmus
  • T: Pale and flabby - may have teeth marks
  • C: Thin and white.
  • P: Weak and Deficient
Treatment Principle
  • TonifY Qi
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Regulate Qi
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Vague epigastric pain
  • Mouth and throat dry but with no desire to drink
  • Above symptoms especially evident on waking
  • No appetite or
  • Famished but with no desire to eat
  • Abdominal distention after meals
  • Dry stools
  • Irritability with low grade fever
  • Maybe dry retching or
  • Hiccups
  • T: Red
  • C: Little and dry
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Subcardiac distention
  • Heartburn
  • Resistance below the Heart
  • Soft epigastrium
  • Nausea
  • Ascites
  • Gurgling sounds
  • T: Normal or with a red tip
  • C: Thin, yellow and greasy
  • P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Harmonize the Stomach
  • Descend Rebellious Qi
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down.
  • This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest and hypochondrium
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Hypochondriac pain
  • Coughing with profuse phlegm
  • Vomiting
  • Difficulty swallowing
  • A delicate constitution
  • A tendency towards fatigue
  • Palpitations
  • Abdominal distention
  • Muscular and skin flaccidity
  • Fear
  • Edema
  • Asthma
  • Insomnia
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Pregnancy
  • Gas
  • Bloating
  • Emotional swings
  • Irritability
  • Easy to anger
  • Stress
  • Depression
  • Breast tenderness
  • Hypochondriac pain
  • Morning vomiting
  • Acid regurgitation
  • Belching
  • Hiccup
  • Vomiting sour fluids
  • Decreased appetite
  • Fatigue
  • Craves sour and sweet
  • Blurred vision
  • Floaters
  • T: Normal or Pale body or Red tip with red spots on sides
  • C: Thin and white
  • P: Wiry without strength or Slippery
Treatment Principle
  • Soothe Liver Qi
  • Strengthen the Middle Jiao
  • Regulate the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Morning sickness
  • Epigastric pain
  • Belching with acid regurgitation
  • Recurrent or chronic nausea
  • Vomiting
  • Vomiting immediately after meals
  • Sour belching
  • Acid reflux
  • Retching
  • Heartburn
  • Indigestion
  • All symptoms are worse when emotionally upset
  • Abdominal and epigastric distension
  • Stress
  • 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 Slippery (due to pregnancy) and wiry or Taut   
  • With Heat:
    Hot, foul vomit
    Aversion to Heat
    Thirst
    T: Normal
    C: Yellow
    P: Slippery and wiry
  • With Cold:
    Vomiting large amounts of clear fluid
    No thirst
    Aversion to Cold
    Prefers warmth
    T: Normal or red edges
    C: White or slightly yellow
    P: Thready
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
  • Descend Stomach Qi
  • Stop nausea and vomiting
Herb Formulas
Points
Clinical Manifestations
  • 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
Points
Clinical Manifestations
  • 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
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Morning sickness or
  • Vomiting during pregnancy
  • Nausea with sour regurgitation or
  • Vomiting of sour material
  • Hypochondriac discomfort
  • Belching
  • Sighing
  • Moodiness
  • Dizziness
  • Depression
  • Concentrated urine
  • A tendency toward constipation
  • T: Red edges
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Liver and Stomach Heat
    Descend Qi
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Palpitations
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Timidity
  • Indecisiveness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Flushing up
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia after serious illness
  • T: Pink or Red tip
  • C: Yellow and greasy
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Regulate Qi
  • Transform Phlegm
  • Clear the Gall Bladder
  • Harmonize the Stomach
  • Dry Dampness
  • Dispel Heat
Herb Formulas
Points
  • General points
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
Points
Clinical Manifestations
  • Headache
  • Chills
  • Afternoon fever
  • Heavy sensation in the body
  • Generalized pain
  • Pale yellow (sallow) complexion
  • Stifling sensation in chest
  • Loss of appetite
  • Feverishness and pain of the body
  • Lack of thirst or thirst with no desire to drink
  • Chest and abdominal fullness
  • Maybe aversion to Cold
  • Nausea
  • Heaviness of the head
  • T: Normal
  • C: White or Greasy and white
  • P: Wiry, thin and soggy or soft or Superficial and soft
Treatment Principle
  • Spread Qi
  • Facilitate Qi
  • Clear Damp-Heat
Herb Formulas
Points
  • General points
Clinical Manifestations
  • No desire to eat or drink
  • Diarrhea
  • Abdominal pain
  • Nausea
  • Vomiting
  • Belching with a rotten or sour smell
  • T: Pale and thick
  • C: Greasy or Turbid
  • P: Weak and soggy
Treatment Principle
  • Augment the Spleen
  • Transform Dampness
  • Harmonize the Stomach
  • Dispel Food Stagnation
  • Relieve diarrhea and vomiting
Herb Formulas
Points
Clinical Manifestations
  • May vomit Phlegm and Fluids
  • Rebellious Qi
  • Shortness of breath
  • Palpitations
  • Chest distension
  • Nausea
  • Vomiting
  • Dizziness
  • Anorexia
  • Overweight
  • T: Pale and flabby - may have teethmarks
  • C: Greasy
  • P: Slippery   
Treatment Principle
  • Eliminate Phlegm
  • Harmonize and descend Stomach Qi
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Restless fever
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Tasteless food
  • Dizziness
  • Depression
  • Nausea/Vomiting
  • Vomiting of a watery substance
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of breath
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
Clinical Manifestations
  • Coughing and wheezing with copious, dilute, white, frothy or lumpy sputum
  • Chest and epigastric congestion
  • Cold legs
  • Pain and full feeling in the chest
  • Dizziness
  • Vertigo
  • Palpitations
  • Dyspnea - worse lying down
  • Sometimes asthma
  • Throat rattle
  • Nausea
  • Vomiting
  • Shortness of breath with labored inhalation and smooth exhalation
  • Acute attack of panting with a high pitched wheezing sound and rapid exhalation
  • Leg Qi
  • Acute cramping
  • Muscle wasting
  • Maybe anorexia
  • Epigastric distention
  • Diarrhea in response to cold or hot weather
  • Insensitivity in the lower abdomen
  • Headache
  • Facial edema
  • Palpitations
  • Lumbar pain
  • Weakness in the body and feet
  • Numbness, weakness and aching of the feet and legs
  • Edema of the extremities
  • Fever
  • Dysuria
  • Weakness below the umbilicus
  • Fatigue with a desire to curl up
  • Disorientation
  • Disordered speech
  • Tinnitus
  • T: Pale
  • C: Thick, white and greasy or sticky
  • P: Slippery or Soft
Treatment Principle
  • Disperse and Descend Lung Qi
  • Warm and transform Phlegm-Cold
  • Strengthen the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Restless fetus
  • Miscarriage
  • Nausea
  • Vomiting
  • Soreness and pain of the lower back
  • Light colored vaginal bleeding
  • Shortness of breath
  • Malpositioned fetus
  • Difficult delivery
  • Morning sickness
  • General weakness
  • Abdominal pain
  • Palpitations
  • Pale complexion
  • T: Pale
  • C: White
  • P: Small and smooth
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Regulate Qi
  • Strengthen the Kidneys
  • Calm the fetus
Herb Formulas
Points
  • General points