NEPHRITIS

GENERAL

Clinical Manifestations	Nephritis is inflammation of the Kidneys and may involve the glomeruli, tubules or interstitial tissue surrounding the glomeruli and tubules.
Treatment Principle
Herb Formulas
Points	GB-24, GB-25, KI-5, REN-3, SP-14, ST-36, UB-22, UB-23, UB-24, UB-40, UB-62 SP-6, ST-8, UB-23, UB-28 ST-36, UB-22, UB-24, UB-25 KI-7, REN-3, SP-6, UB-23, UB-58, Zigong SP-6, ST-25, UB-23, UB-26 KI-7, SP-9, ST-41, UB-23 KI-7, KI-9, SP-6, UB-23 ST-36, moxa REN-4, REN-6 Acute: LI-4, LIV-13, SJ-5, SP-6, SP-9, UB-10, UB-12, UB-23, UB-25, UB-31 Chronic: a. REN-6, SP-9, UB-22, UB-24, UB-25, UB-31 b. REN-4, SP-6, ST-25, UB-23, UB-26, UB-32

TAI YANG SHAN HAN

Clinical Manifestations	Severe chills Mild or no fever Headache Generalized discomfort Stiff neck and shoulders Body aches Joint ache Nausea Vomiting Hiccups Anhidrosis Gasping Stabbing joint pain Itchy throat Cough Asthma Aversion to Wind and Cold Maybe low back pain Maybe frozen shoulder Maybe dyspnea Maybe epistaxis (severe) T: Normal C: Thin and white P: Floating and tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma
Herb Formulas	Ma Huang Tang Severe: Xiao Qing Long Jia Shi Gao Tang With Internal Dampness: Ma Huang Jia Zhu Tang augmented
Points	DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12, UB-13 For a stiff neck: + GB-21, SI-3, Taiyang, UB-62 For diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 For vomiting but no diarrhea: + PC-6, SP-4 For Phlegm-Heat in the Lungs: + LU-5, LU-10, ST-40 To resolve Phlegm and stop cough: REN-22, ST-40

TAI YANG BIAO FU

Clinical Manifestations	Acute nephritis 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 Nausea with epigastric splash on palpation Difficult urination Dribbling urination or An interrupted urinary stream Scanty urination Urinary retention Edema May have upper body edema T: Normal C: White P: Floating and slippery
Treatment Principle	Promote urination Dispel Dampness Expel Wind Expel Cold fro the Tai yang Channels and Bladder
Herb Formulas	Wu Ling San With indigestion and diarrhea: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa or moxa needle KI-3, LI-4, LU-7, REN-3, SP-6, SP-9, UB-13, UB-28 KI-3, SJ-3, ST-28, UB-28, UB-39, UB-64, moxa REN-9 With indigestion and diarrhea: moxa ST-25, ST-36 With jaundice and dysuria: DU-9

TAI YANG SHANG HAN WITH FLIUID RETENTION IN THE LUNGS

Clinical Manifestations	Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Wei Ling Tang Wu Pi Yin modified
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Moxa or moxa needle REN-6, REN-12, SP-3, SP-5, SP-6, SP-9, ST-36, UB-20 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

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
Points	DU-14, DU-16, GB-20, LI-4, LI-11, LU-7, LU-9, LU-10, SJ-5, SP-1, SP-2, ST-44, UB-12, UB-13

TAI YANG - 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 Dispel Water Accumulation
Herb Formulas	Chai Hu Gui Zhi Tang
Points

TAI YANG - YANG MING - SHAO YIN HEAT

Clinical Manifestations	Dizziness Red, sore eyes Difficulty swallowing Nasal congestion and infection 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 Acne Chills High fever Restlessness Urticaria Sore throat Swelling of the throat Coughing Reddish urine Dyspnea Vertigo Severe aversion to Cold Skin rashes Skin ruptures or ulcers Tense abdomen Shoulder stiffness Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Fullness of the abdomen Fullness of the epigastrium Heaviness in the head T: Red C: White or Yellow and greasy P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San
Points

SHAO YANG JING

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	Xiao Chai Hu Tang
Points	GB-41, SJ-5 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 To stop nausea and vomiting: PC-6, SP-4, ST-36 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: SJ-6, ST-25 To treat fever: DU-13, DU-14 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: SP-10 Head: GB-8, SJ-20, Yintang Eyes: GB-14, GB-20, ST-1, UB-1, UB-2 Ear: GB-2, SJ-5, SJ-17, SJ-21 Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0

SHAO YANG WITH WATER ACCUMULATION

Clinical Manifestations	Alternating chills and fever Thirst A bitter taste in the mouth Anorexia Edema Vomiting and diarrhea with water intake Dysuria Fullness and oppression in the chest and hypochondrium Diarrhea T: Pink C: White P: Superficial and wiry
Treatment Principle	Harmonize the Exterior and the Interior Relieve the Shao Yang Dispel Water Accumulation Resolve Phlegm Accumulation
Herb Formulas	Chai Ling Tang
Points

SHAO YIN COLD

Clinical Manifestations	Aversion to Cold Curls up a lot Doesn't like to talk Tired (disoriented) Fatigue Constant somnolence Sleeping with the knees drawn up to the chest Generalized edema No spirit Dull Shen Cold extremities Aching and heaviness in the extremities Diarrhea or loose stools or undigested food Clear, frequent urine Nocturia Oliguria Lower back pain Maybe nausea (wants to vomit but can't) Abdominal pain which is relieved by warmth and pressure No thirst Cough with thin, watery mucus Likes warm drinks Severe edema in chest Palpitations Dizziness T: Pale, swollen and moist C: White and greasy P: Deep and weak or Slow, deep and weak
Treatment Principle	Restore Yang Reverse inward energy Expel Cold
Herb Formulas	Si Ni Tang Zhen Wu Tang Jin Gui Shen Qi Wan If Cold is less severe: Wu Zhu Yu Tang Chinese Patent Medicines: Jin Gui Shen Qi Wan
Points	Moxa DU-4, DU-20, KI-3, KI-7, LI-4, REN-4, REN-6, REN-8, SP-6, ST-36. UB-15, UB23 For loss of consciousness or shock: DU-26, KI-1 KI-3, KI-7, SP-6, SP-9, moxa or moxa needle REN-6, REN-9, ST-36, UB-20, B23

SHAO YIN HEAT

Clinical Manifestations	Urinary difficulty Thirst with a desire to drink Fever worse at night Cough Nausea/vomiting Irritability Insomnia Restlessness Diarrhea Anxiety Edema Lower abdominal distention and pain Maybe hematuria Painful urination with Yin Deficiency Urinary dribbling Decreased urination Dry skin Sunken eyes 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 or Dark red and dry C: None or Thin and yellow P: Deep, thready and rapid or Thready and rapid or forceful and rapid
Treatment Principle	Promote urination Clear Heat Nourish Yin
Herb Formulas	Zhu Ling Tang
Points	DU-14, HT-5, HT-7, KI-3, KI-6, KI-7, LIV-3, SP-6, UB-10, UB-15, UB-23

JUE YIN COLD

Clinical Manifestations	Long standing cold hands and feet that are cold to the touch and feel cold to the patient Maybe lumbago and leg pain Abdominal pain and distention Midline pain Uterine pain Chills Diarrhea Menstrual abdominal pain Maybe chest pain Increased sweating, particularly of the feet Increased salivation Spasm and pain of the limbs Scanty urination Pain at the waist, hips, legs and feet Sciatica Joint pain Irregular menstruation Abdominal Cold Migraine headache Vaginal discharge T: Pale C: White P: Deep and thready (may be almost imperceptible).
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the Blood vessels
Herb Formulas	Dang Gui Si Ni Tang
Points

QI STAGE HEAT INJURING THE YIN AND FLUIDS

Clinical Manifestations	Lingering fever from a febrile disease Vomiting Irritability Thirst with a desire to drink Parched mouth, lips and throat Choking cough Restlessness Insomnia Nausea Anorexia Profuse perspiration A dry mouth Indigestion Listlessness Chest oppression Ulcerations of the mouth Coarse skin Cough Night sweats Stifling sensation in the chest or epigastrium T: Red C: Little or None P: Rapid and Deficient or Thready and rapid
Treatment Principle	Clear Heat Generate fluids Tonify Qi Harmonize the Stomach
Herb Formulas	Zhu Ye Shi Gao Tang
Points

WEI STAGE WITH UNDERLYING SPLEEN AND STOMACH HEAT

Clinical Manifestations	Severe sore and swollen throat High fever with convulsions in infants Difficulty swallowing Carbuncles Acute localized infection Lymphangitis Furuncles Boils Abscesses T: Red C: Greasy and yellow P: Rapid
Treatment Principle	Relieve Toxic Heat Reduce swelling Alleviate pain
Herb Formulas	Liu Shen Wan
Points	DU-14, DU-16, GB-20, LI-4 + LU-7 or LI-4 + SJ-5, LU-5, LU-10, LU-11, ST-44, UB-12, UB-13

SEVERE FIRE IN THE QI AND XUE STAGES

Clinical Manifestations	Severe sore and swollen throat High fever with convulsions in infants Difficulty swallowing Carbuncles Acute localized infection Lymphangitis Furuncles Boils Abscesses T: Red C: Greasy and yellow P: Rapid
Treatment Principle	Relieve Toxic Heat Reduce swelling Alleviate pain
Herb Formulas	Liu Shen Wan
Points

WIND-DAMP

Clinical Manifestations	Aversion to Wind and Cold Facial edema moving to generalized edema Slight fever or fever and chills Thirst Slight but continuous perspiration Sore, heavy limbs Decreased urination Headache Edematous orbits A red, swollen sore throat Weak abdomen Belching Cough Asthma Dyspnea Bulging eyes Severe cough Weak, aching feet Skin problems T: Normal C: White or Thin white P: Floating or Floating and big
Treatment Principle	Promote perspiration Disseminate Lung Qi Clear Heat Move water Suppress asthma
Herb Formulas	Yue Bi Tang modified Fang Ji Huang Qi Tang Yi Yi Ren Tang Jia Jian With Spleen Qi Deficiency: Yue Bi Jia Zhu Tang
Points

WIND-COLD-DAMP ACCUMULATION

Clinical Manifestations	Abrupt onset Attacks the head first, then the face, then the lower extremities Lustrous skin Cough Asthma Chest fullness and discomfort Rapid respiration Inability to stretch Chills and fever Thirst Scanty urine Low back pain T: Normal C: White P: Floating, rolling and rapid
Treatment Principle	Dispel Wind-Cold Dispel Dampness
Herb Formulas	Ma Huang Jia Zhu Tang
Points	LI-4, LI-6, LU-7, SP-9, UB-28 Facial: + DU-26 Constipation with distention: + ST-40 Feet: + GB-41, SP-5 GB-41, LI-4, LI-6, SP-9, UB-13, UB-20, UB-23, UB-28, moxa or moxa needle REN-6, REN-9, SP-6, ST-36

WIND-COLD-DAMP BI WITH DAMPNESS PREDOMINANT

Clinical Manifestations	Numbness and pain of the extremities Joint swelling and pain, especially hands and feet Heaviness of joints Numbness of the joints Stiffness of the joints Fever Heaviness of the body Coldness of the body Dizziness Likes pressure Fatigue Pale complexion Preference for warmth Swelling, pain, numbness and stiffness of the joints Skin cornification T: Pale C: Thick, white or Greasy white P: Thready and slippery
Treatment Principle	Dispel Wind and Dampness Benefit Qi Invigorate Blood circulation Reduce swelling Moisten dry Blood Tonify the Blood Warm the Channels Relieve spasms Relieve muscular tension
Herb Formulas	Yi Yi Ren Tang
Points

WIND-DAMP-HEAT

Clinical Manifestations	Generalized body aches and pains Irritability Heavy sensation in the shoulder and back Discomfort or a constricted sensation in the area of the chest and diaphragm Multiple sores, carbuncles furuncles or abscesses Redness Itching Persistent swelling Chest pain Fever Thirst Aching and painful extremities Aching and painful joints Unbearable swelling and pain of the lower extremities Shoulder stiffness T: Normal C: Greasy and slightly yellow P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle	Resolve Dampness Clear Heat Disperse Wind Stop pain Invigorate the Blood Tonify Qi and Blood
Herb Formulas	Dang Gui Nian Tong Tang
Points

OBSTRUCTION OF LUNG QI

Clinical Manifestations	Difficult urination Scanty, pale urination Often follows an acute febrile disease Orbital and facial edema, followed by Edema of the limbs or Whole body edema Fever and chills Dry, sore throat Coughing Dyspnea Heaviness in the limbs Aching joints and muscles T: Pink C: Thin and white P: Floating and tight or Floating, slippery and rapid
Treatment Principle	Descend Lung Qi Open the water passages
Herb Formulas	Yue Bi Jia Zhu Tang With Internal Heat affecting the Lungs: Qing Fei Yin Er Hao If neither of the above treatments is successful after a few days, or the patient exhibits marked Qi Deficiency manifestations: Fang Ji Huang Qi Tang modified Chinese Patent Medicines: Ma Xing Zhi Ke Pian Zhi Sou Ding Chuan Wan
Points	LU-7, REN-3, REN-9, SP-6, SP-9, UB-13, UB-24, UB-32 For Wind-Cold: + LI-4 For Wind-Heat: + LU-5, LU-10

LUNG AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Warm and transform Phlegm-Dampness
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43

LUNG AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Bai He Gu Jin Tang Ba Xian Chang Shou Wan Yang Yin Qing Fei Tang + Da Bu Yin Wan Gu Ben Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

LARGE INTESTINE HEAT

Clinical Manifestations	Dry stools Knotted constipation Mouth parched Sensation of burning heat, swelling and pain of anus Urine short and dark T: Pink C: Yellow and dry P: Slippery and rapid
Treatment Principle	Clear Heat Purge constipation
Herb Formulas	Liang Ge San
Points	LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44, UB-25

COLD-DAMP DISTRESSES THE SPLEEN

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang Ji Sheng Shen Qi Wan Wei Ling Tang
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

DAMP-HEAT INJURES THE SPLEEN

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

SPLEEN QI DEFICIENCY WITH DAMPNESS AND QI STAGNATION

Clinical Manifestations	Generalized edema Sensation of heaviness, distention and fullness in the epigastrium and abdomen Labored, heavy breathing Urinary difficulty Asthma Chest distention General edema in summer Gasping Rapid breathing T: Normal C: White and slippery P: Thready and moderate or slipper
Treatment Principle	Resolve Dampness Reduce edema Regulate Qi Strengthen the Kidneys Reduce swelling
Herb Formulas	Wu Pi Yin Wu Pi San Fen Xiao Tang
Points

SPLEEN DEFICIENCY EDEMA

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Shi Pi Yin Shen Ling Bai Zhu San Wu Ling San modified Wu Pi Yin With Qi Stagnation: Fen Xiao Tang
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

CENTRAL QI SINKING

Clinical Manifestations	Suprapubic pain, fullness or discomfort The pain is dull and dragging and is relieved by warmth and pressure over the Bladder area Urinary dribbling or mild incontinence Frequent, clear urination with dull or empty pain over the Bladder area All symptoms are worse with overexertion or when fatigued Chronic, recurrent cloudy urine that is like rice-water A dragging or sinking feeling in the lower abdomen Prolapse of one or more organs May be a history of lower abdominal surgery A pale or sallow complexion Puffy eyelids Edema of the extremities, especially the fingers which is worse in the morning Anorexia Four limbs feel tired and heavy Lethargy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready or Deficient, thready and weak
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang With Kidney Qi Deficiency: + Wu Bi Shan Yao Wan With Heart Qi Deficiency and no Dampness signs: Gui Pi Tang Chinese Patent Medicines: Bu Zhong Yi Qi Wan Ge Jie Da Bu Wan Ren Shen Yang Ying Wan
Points	KI-6, LI-4, LU-7, REN-6, SP-6, ST-36, UB-32, moxa or moxa needle DU-20, REN-4 DU-20, other points are selected according to the type of prolapse

SPLEEN YANG DEFICIENCY

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired 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 Frequent, clear urination 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	Shi Pi Yin With little or no edema Cold or no obvious symptoms: Bu Zhong Yi Qi Tang Chinese Patent Medicines: Fu Zi Li Zhong Wan Bu Zhong Yi Qi Wan
Points	DU-26, KI-7, LI-4, LU-7, REN-3, SP-6, ST-29, UB-22, moxa or moxa needle DU-20, REN-6, REN-9, UB-20, UB-23 Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Zhen Wu Tang Dang Gui Shao Yao San Fu Zi Li Zhong Wan + Wu Ling San Ji Sheng Shen Qi Wan Fu Zi Li Zhong Wan modified With Water Flooding: Shi Pi Yin With mild edema: Fang Ji Huang Qi Tang modified
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 SP-6, SP-9, moxa or moxa needle REN-4, REN-6, REN-9, ST-36, UB-20, UB-21, UB-23

SPLEEN AND STOMACH DEFICIENCY COLD

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

FOOD STAGATION IN THE STOMACH

Clinical Manifestations	Focal and generalized distention Fullness, distention and pain in the epigastrium and abdomen with constipation or Red and white dysenteric diarrhea with tenesmus Pus-like bloody stool Difficult defecation Difficult urination T: Normal C: Yellow and greasy P: Deep and Excess
Treatment Principle	Promote the movement of Qi Guide out Stagnation Purge accumulations Drain Heat
Herb Formulas	Mu Xiang Bing Lang Wan
Points

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

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

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

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART WITH KIDNEY YANG DEFICIENCY

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

HEART AND KIDNEY DEFICIENCY

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

DAMP-HEAT IN THE LIVER AND GALL BLADDER

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	Long Dan Xie Gan Tang modified Yin Chen Hao Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

LIVER QI STAGNATION INVADES THE SPLEEN WITH DAMPNESS

Clinical Manifestations	Continuous cramping pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Fatigue Heaviness of head Lassitude Lower abdominal pain Dizziness Tinnitus Lumbago Edema Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation Oliguria Palpitations Cold feet Extreme coldness of the hands and feet Vertigo Weakness and numbness of lower back and legs during pregnancy or postpartum Mal position of the fetus Dysmenorrhea Irregular menstruation Right upper quadrant pain Hepatomegaly Anemia Lack of energy Sore back Thirst with no desire to drink T: Pale or pink maybe petechiae on margin C: Thin or Greasy white P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle	Nourish Liver Blood Soften the Liver Spread Liver Qi Strengthen the Spleen Resolve Dampness Reinforce the Spleen and Kidney
Herb Formulas	Dang Gui Shao Yao San With Dampness in the Lower Jiao: Wan Dai Tang
Points

LIVER BLOOD DEFICIENCY

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Si Wu Tang + Wu Ling San Si Wu Tang Jia Wei
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Da Bu Yin Wan Liu Wei Di Huang Wan Er Zhi Wan Run Chang Tang With Fire Flaring: Zhi Bai Di Huang Wan With Blood Deficiency: Dang Gui Liu Huang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Chronic, or recurrent cloudy or opaque urination that is frequent and copious Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Waxy, pale complexion with dark rings under the eyes Oliguria with edema Edema below the waist and in the ankles Cold extremities Maybe nocturia Lassitude Listlessness Lethargy Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Difficult urination 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	Jin Gui Shen Qi Wan You Gui Wan Lu Rong Bu Se Wan Ji Sheng Shen Qi Wan You Gui Yin Niu Che Shen Qi Wan For frequent urination: Sang Piao Xiao San modified With turbid urine: Bei Xie Fen Qing Yin With less or no Cold and evidence of Heart involvement (frequent and cloudy urination, forgetfulness and disorientation: Sang Piao Xiao San With Wind-Cold: Ma Hua Fu Zi Xi Xin Tang modified For severely deficient Kidney Yang with "Water Toxin" (very scanty urination, or anuria, dizziness, vomiting of clear Fluids, anorexia, restlessness): Fu Zi Li Zhong Wan + Wu Zhu Yu Tang modified Chinese Patent medicines: Jin Gui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan Jin Suo Gu Jing Wan * The last formula is usually taken with one of the first three.
Points	DU-26, KI-7, REN-3, SP-6, moxa or moxa needle DU-4, REN-6, REN-9, UB-23, UB-53 DU-26, KI-3, KI-11, SI-3, SP-6, moxa or moxa needle DU-4, REN-4, UB-23 Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

KIDNEY YANG DEFICIENY WITH WATER FLOODING

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm Kidneys Promote diuresis
Herb Formulas	Zhen Wu Tang Ji Sheng Shen Qi Wan Jia Wei Shen Qi Wan For Water Flooding the Lungs: Zhen Wu Tang With Heart Deficiency: Sang Piao Xiao San modified
Points	Moxa REN-9, UB-20, UB-23, needle KI-7, REN-6, SP-6, SP-9, ST-36, UB-22, UB-28, UB-39 KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39 Moxa needle DU-4, KI-3, LU-7, REN-4, REN-6, REN-9, SP-6, SP-9, UB-13, UB-15, UB-20, UB-23

KIDNEY YANG DEFICIENCY: KIDNEY QI NOT CONSOLIDATED

Clinical Manifestations	Low back and knees aching and weak Hearing deficit Jing Gate Not Consolidated: Spermatorrhea Premature ejaculation Vaginal discharge Infertility Urinary disorder: Frequent, clear, abundant urination Dribbling after urination Incontinence of urine T: Pale and swollen with teethmarks C: Thin white P: Deep and thready
Treatment Principle	Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Suo Gu Jing Wan
Points	For spermatorrhea due to Kidney Qi Not Consolidated: 1. Jinggong, KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-52 2. REN-4, SP-6, UB-23 3. Jinggong, KI-3, KI-12, REN-4, ST-36 4. KI-12, REN-4, REN-6, SP-6, UB-23 For urinary incontinence and enuresis: 1. REN-3, SP-6, UB-22, UB-23, UB-28, UB-39 2. REN-3, SP-6, UB-22, UB-23, UB-28

KIDNEY YIN DEFICIENCY

Clinical Manifestations	Scanty, concentrated urine Dry mouth and throat Restlessness Irritability Insomnia Malar flush Night sweats Dizziness Five Sole Heat Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel A tendency toward dry stools or constipation T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Mai Wei Di Huang Wan Run Chang Tang Chinese patent medicines: Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Da Bu Yin Wan
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23 KI-2, KI-3, KI-6, REN-4, SP-6, UB-23, UB-53

KIDNEY YIN DEFICIENCY WITH FIRE FLARING

Clinical Manifestations	Chronic cloudy, scanty, yellow urine or Opaque urine like rice-water 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	Zhi Bai Di Huang Wan Da Bu Yin Wan Qi Ju Di Huang Wan modified Chinese Patent Medicines: Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Da Bu Yin Wan
Points	KI-2, KI-6, REN-4, ST-28, UB-23 KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

KIDNEY YIN AND YANG DEFICIENCY

Clinical Manifestations	Amenorrhea Irregular menstruation Hot flashes Dizziness Tinnitus Night sweats Perspiration Nervousness Muscular flaccidity Fatigue Mood swings Cold feet Lassitude Frequent, clear urine Irritability Headache Palpitations Insomnia T: Pale C: Thin and white P: Thready and rapid
Treatment Principle	Replenish Kidney Yin and Yang Tonify Kidney Jing Purge Deficiency Fire Regulate the Chong and Ren
Herb Formulas	Er Xian Tang He Che Da Zao Wan Huang Qi Gui Zhi Wu Wu Tang
Points

KIDNEY JING DEFICIENCY

Clinical Manifestations	Light-headedness Vertigo Tinnitus Soreness and weakness in low back and legs Spontaneous and nocturnal emissions Night sweats Dry mouth and throat Thirst with a desire to drink Dizziness Forgetfulness Deafness Rhinitis Dribbling of urine Malar flush Five Sole Heat Insomnia Hair loss Loss of teeth Infertility Amenorrhea Uterine bleeding Spontaneous perspiration Spermatorrhea Poor vision T: Red and shiny C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Tonify the Kidneys Supplement Jing Benefit the Marrow
Herb Formulas	Zuo Gui Wan
Points

KIDNEY QI DEFICIENCY

Clinical Manifestations	Cloudy or oily urination The cloudiness may be intermittent Difficult urination Painful urination Uncomfortable urination Frequent urination Maybe urinary incontinence Low back pain Weak, sore knees Dizziness Weakness Fatigue Emaciation Pallor T: Pale C: Greasy P: Thready and weak
Treatment Principle	Tonify and consolidate Kidney Qi Leach out residual Dampness
Herb Formulas	Liu Wei Di Huang Wan + Jin Suo Gu Jing Wan modified Chinese Patent Medicines: Jin Gui Shen Qi Wan Jin Suo Gu Jing Wan
Points	KI-3, REN-3, REN-4, Sifeng, SP-9, ST-40, UB-28. moxa or moxa needle DU-20, REN-6

KIDNEY QI, YANG AND JING DEFICIENCY

Clinical Manifestations	General weakness Sexual dysfunction Impotence Premature ejaculation Male infertility Frequent urination Dribbling of urine Lumbar pain or weakness Depression Fatigue and poor memory following ejaculation Weak bladder Low sperm count
Treatment Principle	Tonify the Kidneys Nourish and astringe Jing Benefit the eyes Tonify Kidney Yang Tonify the Blood
Herb Formulas	Wu Zi Yang Zong Wan
Points

DAMP-HEAT IN THE URINARY BLADDER (LOWER JIAO)

Clinical Manifestations	Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine In Damp-Heat Pouring Downward there may also be: Fever Thirst Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Ba Zheng San Qing Xin Lian Zi Yin Shi Wei San Fu Ling Pi Tang Jia Wei Er Miao Wan Er Miao San modified
Points	KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

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

YIN DEFICIENCY FIRE

Clinical Manifestations	Fever Cough which may be productive or non-productive Dyspnea Night sweats Hemoptysis Sore throat Throat sores Facial flushing Constipation A dry mouth and throat Wheezing Steaming bones Hoarseness Thirst T: Red, dry and cracked C: Little or None P: Thready and rapid or Thready, rapid and weak
Treatment Principle	Nourish Yin Descend Fire Tonify Qi and Blood
Herb Formulas	Zi Yin Jiang Huo Tang
Points

QI DEFICIENCY

Clinical Manifestations	Aversion to Wind and Cold Spontaneous sweat Recurrent colds Shiny, pale complexion Increased susceptibility to external invasion T: Pale or pink C: White P: Floating, Deficient and soft
Treatment Principle	Tonify Qi Stabilize the exterior Stop sweat
Herb Formulas	Yu Ping Feng San
Points

QI AND YANG DEFICIENCY

Clinical Manifestations	Pitting edema, worse in the extremities A sensation of heaviness in the body and extremities Fibrillations in the skin and muscles of the extremities Dysuria T: Normal C: White and slippery P: Floating
Treatment Principle	Augment Qi Unblock Yang Promote urination Reduce edema
Herb Formulas	Fang Ji Fu Ling Tang
Points

QI, YANG AND BLOOD DEFICIENCY

Clinical Manifestations	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 DEFICIENCY

Clinical Manifestations	Postpartum emaciation and weakness Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath Dyspnea Pale face Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion 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 Fatigue Anemia Bleeding Abdominal weakness 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: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Spleen and Stomach Relieve spasmodic pain
Herb Formulas	Dang Gui Jian Zhong Tang
Points

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

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

TOXIC HEAT EDEMA

Clinical Manifestations	Boils and carbuncles on the skin Edema of the body and limbs Dry mouth Dysphoria Scanty dark urine Dry stools T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Resolve toxicity Promote urination Reduce edema
Herb Formulas	Wu Wei Xiao Du Yin modified
Points

COLD DAMP

Clinical Manifestations	Ascites Heaviness in the body and head Aversion to Cold Warming the abdomen makes it better Edema of the extremities (usually not pitting) Scanty urination Loose stools or Diarrhea T: Normal C: Greasy and white P: Soft and moderate or Wiry and slow
Treatment Principle	Transform Dampness Drain Fluids Warm Yang Disperse Cold
Herb Formulas	Shi Pi Yin modified Chinese Patent Medicines: Fu Zi Li Zhong Wan
Points	Moxa or moxa needle REN-9, SP-6, SP-9, UB-20, UB-22, UB-23, UB-39

TURBID DAMPNESS IN THE SAN JIAO

Clinical Manifestations	General edema of the body and extremities Dysuria Oliguria Orthopnea Pitting edema Dyspnea Gasping Anorexia Abdominal fullness and pain T: Thick C: White and thick P: Slow or Wiry
Treatment Principle	Dispel Stagnant Water Dry Dampness Eliminate water from the Lungs Harmonizes the Spleen Relieve edema Move Qi
Herb Formulas	Dao Shui Fu Ling Tang
Points

OBSTRUCTION OF THE SAN JIAO BY FIRE

Clinical Manifestations	High fever Irritability Fidgeting Dry mouth Dry throat Incoherent speech Insomnia Dark urine Deep-rooted boils Maculae Carbuncles Hematemesis Hemoptysis Palpitations Furuncles Tinnitus Purpura Red face Rashes Deep-rooted boils Red eyes Itchy skin Fidgeting Dry lips Delirium Dysentery with fever Jaundice Epistaxis Hematuria Cloudy mind Diarrhea T: Red C: Yellow P: Rapid and forceful
Treatment Principle	Clear Heat Drain Fire Relieve toxicity from all three Jiaos Relieve inflammation Stop bleeding Purge Damp-Heat Purge the Gallbladder
Herb Formulas	Huang Lian Jie Du Tang
Points

WATER ACCUMULATION IN THE UPPER JIAO

Clinical Manifestations	Shortness of breath Increased dyspnea when lying down Asthma Abdominal pain Chest and epigastric fullness and distention A dark facial complexion Scanty urination Edema P: Deep and tight
Treatment Principle	Activate Water circulation to eliminate Stagnation Descend Qi
Herb Formulas	Mu Fang Ji Tang
Points

FENG TAN WITH QI AND YIN DEFICIENCY

Clinical Manifestations	Marked emotional changes and behavior Irritability A feeling of Qi rushing upward Red eyes Headache - lasts all day Tinnitus Palpitations Insomnia Hot flushes Anorexia A feeling of distention and oppression below the Heart Abdominal bloating Muscle spasms in the shoulders, neck and back Dizziness Vertigo T: Red edges C: Greasy P: Soft and wiry and maybe rapid
Treatment Principle	Clear Heat from the Liver channel Descend Liver Yang Extinguish Liver Wind Transform Phlegm Strengthen the Spleen Enrich Fluids
Herb Formulas	Gou Teng San
Points

FENG TAN WITH QI AND BLOOD STAGNATION

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Normal C: White P: Moderate
Treatment Principle	Tonify Qi Invigorate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang
Points

TAN YIN

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting 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	Ling Gui Zhu Gan Tang Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

YI YIN

Clinical Manifestations	Heaviness Swollen extremities Pain in the extremities Sluggish urination Aversion to Cold Fever Anhidrosis Cough Asthma with Phlegm T: Swollen C: Greasy and white P: Tight and wiry
Treatment Principle	Warm Yang Benefit water Dispel exogenous pathogens
Herb Formulas	Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa only PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

XUAN YIN

Clinical Manifestations	Cough with sharp pain in the chest and hypochondrium Hypochondriac distention and pain 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 Asthma Rapid breathing Generalized edema which is worse in the lower body Difficult urination and defecation T: Normal or Dark C: Thick, greasy and white P: Deep and wiry
Treatment Principle	Attack and Dispel water
Herb Formulas	Shi Zao Tang
Points	KI-3, LI-4, LI-11, PC-6, REN-11, REN-12, ST-36, UB-13, UB-20, UB-23

ZHI YIN

Clinical Manifestations	Cough Asthma Shortness of breath which is worse when lying down Abdominal distention with water retention Edema in the lower extremities Facial edema T: White bubbles C: Thick, greasy and white P: Thready
Treatment Principle	Regulate the Lungs Purge Yin
Herb Formulas	Wu Ling San Xiao Qing Long Tang
Points	LU-7, SP-6, SP-9, UB-13

YANG EDEMA

Clinical Manifestations	Generalized edema Wheezing Dyspnea Restlessness Anuria Irritability Thirst Constipation Urinary obstruction
Treatment Principle	Drain downward Drive out water Expel Wind Release the Exterior
Herb Formulas	Shu Zao Yin Zi
Points

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