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PARKINSON'S DISEASE

GENERAL

Clinical Manifestations	Trembling feet, hands and neck Tremor worse with emotional disturbances Tremors disappear during sleep Pill rolling tremor of the thumb and index finger or wrist Maybe to and fro tremor of the head Fixed facial expression like crying or smiling Staring, unblinking eyes Mouth slightly open often with drooling Greasy facial skin Seborrheic scaling Muscular rigidity Impaired movement Stooping posture Maybe oculogyric crisis Gout Speech difficulties
Treatment Principle
Herb Formulas
Points	DU-4, DU-12, GB-20, LU-5, REN-4, REN-12, SI-3 DU-9, LU-6, REN-6, REN-13, UB-10, UB-11, UB-62

SHAO YANG FU WITH UNDERLYING LIVER QI STAGNATION

Clinical Manifestations	Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Liver and Gall Bladder Harmonize the Shao Yang Unblock the three Yang Stages Sedate and calms the Spirit Relieve the chest and subcardiac regions Alleviate spasms
Herb Formulas	Chai Hu Jia Long Gu Mu Li 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 Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0

SPLEEN DEFICIENCY DAMPNESS WITH PHLEGM-HEAT GENERATING WIND

Clinical Manifestations	A heavy head Aversion to Cold Cold Limbs Five sole Heat Anorexia Loose stools Inhibited movement of the hands and feet Restless shaking T: Thick with a red tip C: Greasy white P: Wiry and slippery
Treatment Principle	Extinguish Wind Subdue Yang Dispel Dampness Transform Phlegm Unblock the channels and collaterals
Herb Formulas	Tian Ma Gou Teng Yin modified For more marked Spleen Qi Deficiency: Dao Tan Tang modified
Points	GB-20, LI-4, LIV-3, ST-40 For more marked Spleen Deficiency: + SP-9, ST-36 For twitching or severe tremors: + GB-34 With inhibited bending and stretching: + DU-14, DU-26, REN-24 With pain and numbness in the upper limbs: + SJ-5 With pain and numbness in the lower limbs: + UB-57 With generalized joint pain: + LI-11, SP-9, Ahshi points With instability when walking: + KI-6, UB-62

HEART BLOOD DEFICIENCY WITH LIVER QI STAGNATION

Clinical Manifestations	Absent-mindedness Frequent feelings of extreme sadness with an urge to cry Inability to control one's emotions Depression Restless sleep May be night sweats Abnormal speech or behavior Disorientation Frequent yawning Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Dizziness Pale face and lips T: Pale or Red C: Scanty P: Thready and weak or Small and rapid
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen Regulate Liver Qi
Herb Formulas	Gan Mai Da Zao Tang
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1

LIVER YIN DEFICIENCY WITH YANG RISING GENERATES WIND

Clinical Manifestations	Fatigue Muscle spasms with alternating flexion and extension of the extremities Tremors of the hands and feet or lower jaw Muscular stiffness Aching pain and numbness of the four extremities The pain is worse with rest and better with movement Instability walking Possible difficulty swallowing Prostration Clonic convulsions Dizziness - worse with stress or anger Impaired vision Night blindness Dark circles under the eyes Tinnitus Irascibility Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea Constipation T: Red and dry or Deep red or Red and quivering C: Little or None or Thin or Peeled P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful or Thready and rapid when Yang is not prominent) or Weak and faint
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang Extinguish Wind
Herb Formulas	Da Ding Feng Zhu Tian Ma Gou Teng Yin Parkinson's #2
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23 KI-3, LI-4, LIV-3, SP-6 With stiff muscles: + DU-14, GB-34 With severe trembling: + GB-20 With numbness of the extremities: + SJ-5, UB-57 With unstable walking: + KI-6, UB-62 With spiritless eyes, memory loss and mental slowness: + Sishencong With blurred vision: + GB-37 With difficulty swallowing: + REN-23 With constipation: + SJ-6 With headaches: + Taiyang, UB-7 With dizziness: + DU-20, GB-20 With tinnitus: + GB-2 With insomnia, excessive dreaming and restlessness: + PC-7 With Liver Qi Stagnation: + PC-6 With Kidney Deficiency: + REN-4 With a quick temper and irritability due to Stagnant Heat: + GB-34, SJ-6 With profuse urination: + UB-52

LIVER QI AND BLOOD STAGNATION

Clinical Manifestations	Head, lower jaw, hands and feet shaking Worse at night and at rest Inhibited bending and stretching Fixed pain and numbness in the body and/or limbs Irritability T: Purplish or dark with petechiae C: White P: Thready, wiry and choppy
Treatment Principle	Calm the Liver Extinguish Wind Invigorate the blood Unblock the channels
Herb Formulas	Parkinson's #3
Points	GB-34, LI-4, LIV-3, SP-6 With Blood Deficiency: + UB-17, UB-20 With Liver and Spleen Disharmony: + ST-36 With Liver and Stomach Disharmony: + REN-12 With Kidney Yang Deficiency: + REN-4 With Kidney and Liver Yin Deficiency: + UB-18, UB-23 With twitching or severe trembling: + DU-14, GB-20 With inhibited bending and stretching: + DU-14, DU-26, REN-24 With pain and numbness in the upper limbs: + SJ-5 With pain and numbness in the lower limbs: + UB-57 With generalized joint pain: + LI-11, SP-9, Ahshi points With instability when walking: + KI-6, UB-62 With a headache: + Taiyang, UB-7 With dizziness: + DU-20, GB-20 With irritability and a quick temper: + UB-47

LIVER QI AND PHLEGM STAGNATION

Clinical Manifestations	Trembling of the limbs which does not improve with movement Stiffness of both hands Ataxia Difficult or impossible writing Headache Insomnia Difficult swallowing Chest and flank oppression and fullness A bitter taste in the mouth T: Dark C: Slimy P: Wiry and slippery
Treatment Principle	Calm the Liver Promote the movement of Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tangmodified
Points	GB-34, LI-4, LIV-3, PC-5, SP-6, ST-40 With Blood Deficiency: + UB-17, UB-20 With Liver and Spleen Disharmony: + ST-36 With Liver and Stomach Disharmony: + REN-12 With Kidney Yang Deficiency: + REN-4 With Kidney and Liver Yin Deficiency: + UB-18, UB-23 With twitching or severe trembling: + DU-14, GB-20 With inhibited bending and stretching: + DU-14, DU-26, REN-24 With pain and numbness in the upper limbs: + SJ-5 With pain and numbness in the lower limbs: + UB-57 With generalized joint pain: + LI-11, SP-9, Ahshi points With instability when walking: + KI-6, UB-62 With a headache: + Taiyang, UB-7 With dizziness: + DU-20, GB-20 With irritability and a quick temper: + UB-47

LIVER WIND STIRRING INTERNALLY: LIVER BLOOD DEFICIENCY GENERATES WIND

Clinical Manifestations	Tremor, spasms or involuntary movements (chorea) Trembling, tingling and numbness of the feet and hands Involuntary shaking of head Tremor worse with emotional disturbances Tremors disappear during sleep Pill rolling tremor of the thumb and index finger or wrist Maybe to and fro tremor of the head Fixed facial expression like crying or smiling Staring, unblinking eyes Mouth slightly open often with drooling Greasy facial skin Seborrheic scaling Muscular rigidity Impaired movement Stooping posture Maybe oculogyric crisis Gout Speech difficulties Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Palpitations Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Light menses or amenorrhea Late menses Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish the Blood Subdue Wind
Herb Formulas	Si Wu Tang+ Zhi Jing San Bu Gan Tang Parkinson's #1 E Jiao Ji Zi Huang Tang With Heat: San Jia Fu Mai Tang With severe Blood and Yin Deficiency and infrequent tremors: Gui Shao Di Huang Tangmodified
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 Moxa HT-3, ST-33 Arms: LI-4, LI-11, LI-15, LU-5, PC-3 Legs: GB-30, GB-31, GB-34, GB-39, KI-6, SP-6, UB-40, UB-60 DU-4, DU-12, GB-20, LU-5, REN-4, REN-12, SI-3 DU-9, LU-6, REN-6, REN-13, UB-10, UB-11, UB-62 GB-34, GB-39, contralaterally first, then ipsolaterally GB-34, SP-6, ST-36, UB-18, UB-20 For dizziness and vertigo: + GB-20 For trembling hands: + LI-4 For pruritis: + LI-11, SP-10 For amenorrhea: + ST-29

DISHARMONY BETWEEN THE LIVER AND SPLEEN

Clinical Manifestations	Abdominal pain Irritability Slight chills Spasms of the calf muscles Cramps in the hands Weak legs Hypertonicity of the extremities characterized by difficult flexion and extension Wheezing Coughing Hiccup Constipation Vomiting Diarrhea Sciatic pain Severe and painful muscle spasms in the Stomach, bronchi, Gallbladder and uterus. Intestines Shoulder pain Pain in the head, body or limbs due to arterial spasms characterized by a severe pulling pain T: Normal or Reddish C: None or Yellowish P: Wiry and rapid or Thready and rapid
Treatment Principle	Soften the Liver Nourish the Blood Nourish Yin Relieve pain Harmonize the Middle Jiao Replenish Body Fluids
Herb Formulas	Shao Yao Gan Cao Tang
Points

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Incessant tremors To and fro tremor of the head Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Stiffness and rigidity of the body or 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 Dry stools 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 or Thready, wiry and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Da Bu Yin Wan + Liu Wei Di Huang Wan modified Parkinson's #1 For stubborn cases, tremors or muscle spasms: Da Ding Feng Zhu If due to substance abuse: Tian Wang Bu Xin Dan Chinese Patent Medicines: He Che Da Zao Wan Qi Ju Di Huang Wan Zhi Bai Ba Wei Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23 HT-7, KI-3, KI-6, LIV-3, LIV-8, LU-7, REN-4, UB-18, UB-23 With anxiety: + PC-6, Yintang

KIDNEY JING DEFICIENCY

Clinical Manifestations	Dizziness Tinnitus Tremors Low back and knees weak and aching In adults: Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of the fontanel Poor bone development Brittle bones
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Zuo Gui Wan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

QI AND BLOOD STAGNATION

Clinical Manifestations	Trembling of the head and limbs Rigid or trembling neck Incessant fixed pain or Numbness of the body Gloomy, dull facial complexion T: Dark red or Purple C: White P: Thread and irregular
Treatment Principle	Invigorate the blood Disperse Stasis Tonify the Liver and Kidneys
Herb Formulas	Parkinson's #1
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Numbness and weakness of the extremities Spasms and contractures of the extremities Mild trembling of the limbs Shaking of the head Usually long term Slow to initiate movement A slow, shuffling gait A somber, pale, white or sallow and lusterless facial complexion Pale lips and nails Fatigue Lassitude Weakness Aversion to Cold Disinclination to speak Stiffness of the neck and back Difficulty moving Spontaneous, cool perspiration Dizziness Insomnia Blurred vision Decreased appetite Loose stools Maybe edema T: Thick and pale or Thick and dark with teethmarks or petechiae C: Thin P: Thready or Thready and weak or Thready and deep
Treatment Principle	Tonify Qi Nourish the Blood Extinguish Wind Unblock the channels
Herb Formulas	Parkinson's #4 Ba Zhen Tangmodified With Liver Qi Stagnation: Xiao Yao Sanmodified Chinese Patent Medicines: Ba Zhen Wan Tian Ma Mi Huan Su An Shen Bu Nao Wan
Points	LI-4, LIV-3, UB-17, UB-18, UB-20, UB-21 For Spleen Yang Deficiency: + REN-4 For Kidney Yang Deficiency: + DU-4, UB-23 For more severe Blood Deficiency: + UB-15 For Blood Stagnation: + SP-6, SP-10 For severe fatigue and weakness: + ST-36 For edema: + REN-9, SP-9 For twitching or severe tremors: + GB-20, GB-34 With inhibited bending and stretching: + DU-14, DU-26, REN-24 With pain and numbness in the upper limbs: + SJ-5 With pain and numbness in the lower limbs: + UB-57 With generalized joint pain: + LI-11, SP-9, Ahshi points With instability when walking: + KI-6, UB-62 LI-10, LIV-3, REN-4 , REN-12, SP-6, ST-36, UB-20, UB-23

BLOOD STAGNATION IN THE HEAD

Clinical Manifestations	Tremors Headache Vertigo Chronic tinnitus Hair loss Dark purple complexion or Blue or green facial complexion with or without rosacea or Vitiligo Darkness around the eyes Brandy nose Progressive emaciation Abdominal distention Purplish discoloration of the sinews Tidal fever Dizziness Deafness Pale face Cyanosis Phthisis Muscle weakness Sudden loss of vision T: Dark or with petechiae C: Normal P: Choppy
Treatment Principle	Invigorate the Blood Dispel Blood Stasis Open the orifices
Herb Formulas	Tong Qiao Huo Xue Tang
Points

PHLEGM OBSTRUCTION GENERATES WIND (WIND-PHLEGM - FENG TAN)

Clinical Manifestations	Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Fainting Vertigo Tremors Headache Accumulation of congested Fluids that won't dissipate Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Vomiting Stifling sensation of chest and diaphragm Distention of chest and diaphragm Distention and fullness of hypochondria and flanks Nausea Restlessness when sitting or lying down Coughing and wheezing Copious sputum Thick, gummy nasal discharge and saliva Difficult breathing Reduced appetite T: Pink, maybe deviated and trembling C: White and greasy P: Dizziness
Treatment Principle	Dry Dampness Resolve Phlegm Promote Qi movement Relieve Stagnation Subdue Wind
Herb Formulas	Dao Tan Tang Ban Xia Bai Zhu Tian Ma Tang Ban Xia Hou Po Tang With Phlegm blocking the channels: Ban Xia Bai Zhu Tian Ma Tang + Qian Zheng San
Points

PHLEGM-HEAT GENERATES WIND (RE TAN)

Clinical Manifestations	Mild or severe tremors of the head and extremities Sometimes the tremors can be stopped by conscious effort Fullness and stiffness of the chest and epigastrium A dry mouth Dizziness Vertigo Sweating Yellow Phlegm A tendency toward obesity T: Normal or Red C: Greasy and yellow P: Wiry, slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Extinguish Wind
Herb Formulas	Dao Tan Tangmodified With severe Phlegm, Heat and tremors: Cui Gan Wan Chinese Patent Medicines: An Gong Niu Huang Wan Wan Shi Niu Huang Qing Xin Wan Hu Po Bao Long Wan
Points	DU-12, GB-13, LIV-3, PC-5, REN-15, ST-25, ST-40 If worse at night: + KI-6 If worse during the day: + UB-62