TINNITUS

Clinical Manifestations
  • Aversion to Cold
  • Fever
  • Headache
  • Anhidrosis
  • Anorexia
  • Belching
  • Aching shoulders
  • Tinnitus
  • Amenorrhea
  • A gasping cough
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Vertigo
  • Nausea
  • T: Normal
  • C: Thin and white
  • P: Floating or Floating and sinking
Treatment Principle
  • Regulate Qi
  • Release the Exterior
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (not so likely)
  • Restlessness
  • Irritability
  • Continuous vomiting
  • Headache (side of head)
  • Hypochondriac pain
  • Epigastric pain
  • Bitter taste in mouth
  • Tinnitus
  • Digestive disruption
  • Anorexia
  • Nausea
  • Acid regurgitation
  • Burning diarrhea or
  • Constipation
  • Menstrual problems
  • Dry throat
  • Heart pain with vomiting
  • Throat pain
  • Hip pain
  • T: Red
  • C: Thin yellow
  • P: Wiry, forceful
Treatment Principle
  • Harmonize the Liver and Gall Bladder
  • Purge Internal Heat
Herb Formulas
Points
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
  • Depression
  • 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 Shao Yang
  • Unblock the three Yang Stages
  • Sedate and calms the Spirit
  • Relieve the chest and subcardiac regions
  • Regulate Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Wandering joint pain, especially the wrists, elbows, knees and ankles
  • Chills and fever
  • Atrophy above and below the knees
  • Limited movement
  • Paralysis of knees
  • One or both knees swollen, enlarged and painful
  • Stiffness of knees
  • Legs so weak and sore after dysentery that it is difficult to walk
  • Generalized pain and numbness in the legs
  • Hemiplegia
  • Dizziness
  • Neuralgia
  • Paralysis, stiffness, swelling and pain of feet
  • Atrophy of the leg muscles
  • Chest oppression
  • Lumbago
  • Tinnitus
  • T: Pink or Pale and swollen or Red
  • C: Thin white or Greasy white
  • P: Superficial and tense or tight or Deep and thin or Deep and weak or Deep, slow and weak
Treatment Principle
  • Dispel Wind
  • Activate Qi and Blood
  • Tonify Qi and Blood
  • Eliminate Cold-Dampness
  • Tonify Yang
Herb Formulas
Points
Clinical Manifestations
  • Unilateral tinnitus or hearing loss that is sudden and generally mild
  • Fullness, distention blockage and persistent itching of the ear
  • Inflammation of throat and/or tongue
  • May be ear pain or pain in the mastoid area sometimes radiating to the jaw
  • Maybe purulent or bloody exudate from the ear
  • Fever and chills with more fever than chills
  • Sweating or
  • Absence of sweating
  • Cough with sticky yellow sputum
  • Aversion to Wind and Heat
  • Yellow nasal discharge
  • Thirst with desire for cold drinks
  • Headache
  • General bodily soreness and malaise
  • Throat is red
  • The tonsils are swollen and engorged but without any particular pus spots
  • Red bumps around mouth and lips (herpes simplex)
  • Nasal obstruction
  • Sore, swollen throat
  • Dyspnea
  • Chest pain
  • Dry mouth
  • Rapid breathing
  • Maybe constipation
  • Maybe scanty urine
  • T: Red tip
  • C: Thin and yellow
  • P: Floating and rapid
Treatment Principle
  • Release the Exterior
  • Clear Heat
  • Open the ears
Herb Formulas
Points
Clinical Manifestations
  • Hot tears appear on exposure to Wind
  • Red eyes
  • Eyes feel gritty
  • Dry mouth
  • Dry nose
  • Dizziness
  • Vertigo
  • Tinnitus
  • T: Red
  • C: Thin white
  • P: Wiry or Thready and rapid
Treatment Principle
  • Cool the Liver
  • Expel Wind
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Red eyes
  • Pain and swelling of the throat and gums
  • Ulcerations of the mouth and tongue
  • Dizziness
  • Tinnitus
  • Constipation
  • Toothache
  • T: Red and prickly
  • C: Yellow
  • P: Floating and Rapid or Rapid
Treatment Principle
  • Clear Heat
  • Relieve toxicity
  • Release Wind-Heat from the Exterior
Herb Formulas
Points
Clinical Manifestations
  • Chronic, incessant cough
  • Chronic hoarseness
  • Throat lesions
  • Itching throat
  • Fever
  • 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
  • Five sole Heat
  • Physical and mental overexertion
  • Phlegm
  • Dry mouth
  • T: Reddish and dry
  • C: Little or None
  • P: Thready and rapid or Deep and rapid
Treatment Principle
  • Clear the Lungs
  • Transform Phlegm
  • Relieve cough
  • Drain Fire
  • Moisten Dryness
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
  • Diarrhea in response to cold or hot weather
  • Maybe anorexia
  • 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
  • Epigastric distention
  • Disorientation
  • Disordered speech
  • Tinnitus
  • T: Pale
  • C: Thick, white and greasy or sticky
  • P: Slippery or Soft
Treatment Principle
  • Disperse and Descend Lung Qi
  • Stop wheezing
  • Stop coughing
  • Warm and transform Phlegm-Cold
  • Strengthen the Stomach
  • Strengthen the Kidneys
Herb Formulas
Points
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
Points
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
Points
Clinical Manifestations
  • Profuse vaginal discharge that is white or pale-yellow
  • The discharge is thin in consistency, not foul smelling and usually continuous
  • Fatigue
  • Lethargy
  • Tinnitus
  • A shiny, pale complexion
  • Loose stools
  • Diarrhea
  • T: Pale
  • C: White
  • P: Soggy and frail or Moderate or Slow or Soft and floating
Treatment Principle
  • Tonify the Spleen
  • Tonify the Middle Jiao
  • Disperse Liver Qi Stagnation
  • Transform Dampness
Herb Formulas
Points
Clinical Manifestations
  • Loss of taste
  • Anorexia
  • Abdominal fullness and distention
  • Irregular bowel movements
  • Fatigue
  • Lethargy
  • A sensation of heaviness in the body
  • Joint pain
  • Chills
  • Aversion to Wind
  • A stuffy nose with mucus
  • Sweating
  • Sore limbs
  • Dizziness
  • Tinnitus
  • Scanty, dark urination
  • Frequent urination
  • Leukorrhea
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi
  • Raises Yang
  • Leach out Dampness
  • Dispel Wind and Dampness
Herb Formulas
Points
Clinical Manifestations
  • Tinnitus and/or loss of hearing which is worse with fatigue and exertion or on rising from sitting or lying
  • The sound is likened to cicadas or the sound of rushing water
  • the sound has a relatively low pitch.
  • Occasionally the ear feels cold, empty or wet
  • There may be persistent sinus or eustachian tube congestion
  • Sallow complexion
  • Pale lips
  • Fatigue
  • Weakness
  • Anorexia
  • Picky eating
  • Four limbs feel tired and heavy
  • 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, forceless and deficient or Thready and weak
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Tinnitus and/or loss of hearing which is worse with fatigue and exertion or on rising from sitting or lying
  • The sound is likened to cicadas or the sound of rushing water
  • the sound has a relatively low pitch.
  • Occasionally the ear feels cold, empty or wet
  • There may be persistent sinus or eustachian tube congestion
  • Sallow complexion
  • Pale lips
  • Fatigue
  • Weakness
  • Anorexia
  • Picky eating
  • Four limbs feel tired and heavy
  • 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, forceless and deficient or Thready and weak
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Tinnitus
  • Dizziness
  • Blurred vision
  • Poor memory
  • Malar or facial flushing
  • Night sweats
  • Five Sole Heat
  • Atrophy and retraction of the gums, revealing the roots of the teeth
  • Gum bleeding and ulceration
  • Maybe loose , chipped or broken teeth
  • Maybe pain on chewing
  • 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
  • Lower back ache
  • T: Red and dry
  • C: Little and dry
  • P: Thready and rapid or Wiry and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Postpartum abdominal pain
  • Cold abdominal hernial pain
  • Hypochondriac pain
  • Spasmodic pain in the flanks
  • Sallow complexion
  • Fatigue
  • Dizziness
  • Tinnitus
  • The pain is better with warmth and pressure
  • Swollen, indurated scrotum
  • T: Pale
  • C: White
  • P: Deep, wiry and forceless or Deep, wiry and choppy or Soft and feeble
Treatment Principle
  • Warm the Interior
  • Nourish the Blood
  • Regulate the Liver function
Herb Formulas
Points

Clinical Manifestations
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Easily startled
  • Tinnitus
  • Dizziness
  • Diminished acuity of vision and hearing
  • Seizures
  • Headache
  • Deafness
  • Blurred vision
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
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
Points

Clinical Manifestations
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Easily startled
  • Restlessness
  • Anxiety
  • Flushed face
  • Constipation
  • Abdominal distention
  • Delirious speech
  • Epigastric distention
  • Jaundice
  • Gastric distention
  • Dysenteric disorders
  • Hematemesis
  • Epistaxis
  • Red, swollen, painful eyes
  • Chest oppression
  • Red, swollen ears
  • Restlessness
  • Insomnia
  • Thirst
  • Dark, concentrated urine
  • Tinnitus
  • Hemoptysis
  • Vomiting
  • Shoulder stiffness
  • Bleeding
  • Diarrhea
  • Suppurative skin infection
  • Tongue and mouth ulcerations
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Drain Fire
  • Relieve toxicity
  • Drain Dampness
  • Dispel noxious Heat and toxins from the Heart and Stomach
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Low grade fever
  • Night sweats
  • Five sole Heat
  • Restlessness
  • Dry mouth
  • Thirst
  • Dry throat
  • Malar flush
  • T: Red, dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Reinforce Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Insomnia with much dreaming
  • Spermatorrhea with erotic dreams
  • Premature ejaculation
  • Irritability
  • Easily startled
  • Palpitations
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reduce Fire
  • Make Heart and Kidney communicate
Herb Formulas
Points
Clinical Manifestations
  • Mild, intermittent tinnitus that is aggravated by emotional stress and improved with rest and relaxation
  • In women the tinnitus may appear premenstrually
  • There may be a sensation of pressure over the ears, but generally no pain or discharge
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tension or discomfort beneath the ribs and in the neck or jaw
  • Tendency to sigh
  • Headaches
  • Grinding of the teeth
  • Mild dizziness
  • Melancholy
  • Depression
  • Irritability
  • Occasional fatigue which is better with exercise
  • Alternating constipation and diarrhea
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Premenstrual syndrome
  • T: Pink or Dark
  • C: Thin and white
  • P: Wiry, Wiry and thready or Wiry and strong
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
  • Xiao Yao San modified
  • Chinese Patent Medicines:
    Shu Gan Wan
    Xiao Yao Wan
    Ci Zhu Wan
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Severe, splitting headaches with dizziness
  • The headaches are usually temporal
  • Sudden tinnitus or deafness of short duration related to emotional stress, alcohol, tobacco or diet
  • The tinnitus is usually high pitched
  • There may be ear pain and discharge
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth and throat
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Hypochondriac pain
  • Constipation or dry stools
  • Maybe rib pain
  • Constipation
  • Concentrated urine
  • 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
  • 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
  • Dysphagia
  • Unsteady gait
  • Dizziness
  • Vertigo
  • A feeling of distention in the eyes
  • Tinnitus
  • Feverish sensation in the head
  • Headache
  • Irritability
  • Flushed face as if intoxicated
  • Frequent belching
  • Progressive motor dysfunction occurring over hours to days
  • Development of facial asymmetry
  • Sudden loss of consciousness
  • Spasms
  • Heat and pain of the brain
  • Mental confusion with moments of lucidity
  • Inability to fully recover after loss of consciousness
  • Hiccups
  • Irritable Heat in the Heart
  • Deviation of mouth and eyes
  • Tremors
  • Limited mobility of the limbs
  • Maybe coma
  • Sometimes death
  • T: Red
  • C: Little
  • P: Thready and wiry or Wiry, Excess and long
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish the Blood
  • Subdue Wind
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Tinnitus
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five sole Heat
  • Night sweats
  • Light menses or
  • Late menses or
  • Amenorrhea
  • T: Red
  • C: Little
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Liver
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Impaired vision
  • Night blindness
  • 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
  • T: Red and dry
  • C: Little or None
  • 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
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Yang
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Gradual and progressive onset of tinnitus or hearing loss
  • The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation
  • The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • 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
Points
Clinical Manifestations
  • Gradual and progressive onset of tinnitus or hearing loss
  • The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation
  • The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear
  • 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
Points
Clinical Manifestations
  • Gradual and progressive onset of tinnitus or hearing loss
  • The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation
  • The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Loss of libido
  • Aching in bones
  • Aching in leg and heel
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reinforce the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Gradual and progressive onset of tinnitus or hearing loss
  • The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation
  • The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear
  • 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 and dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus
  • Weak legs
  • Lower back ache
  • Low-grade fever in the afternoon
  • Fatigue
  • Red cheeks
  • Hot flushed face
  • Spermatorrhea due to Deficient Yin
  • Nocturnal emissions
  • Fever with thirst
  • Burning soles of feet
  • Hot flashes
  • Night sweating
  • Dry cough
  • Headache
  • Restlessness
  • Early periods
  • Pale dilute menstrual Blood
  • Nocturia
  • General feeling of being Cold
  • Restless insomnia
  • Vertigo,
  • T: Pale and swollen or Red
  • C: Thin and white or Little or None
  • P: Deep and weak or Thready and rapid
Treatment Principle
  • TonifY Kidney Yang
  • Regulate the Chong and Ren vessels
  • Nourish the Liver and Kidneys
  • TonifY Deficient Yin
  • Nourish Blood, Qi and Jing
  • Relieve Empty Fire due to Deficiency of Yin
Herb Formulas
Points

Clinical Manifestations
  • Gradual and progressive onset of tinnitus or hearing loss
  • The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation
  • The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear
  • Dizziness
  • Tinnitus
  • 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
Points
Clinical Manifestations
  • Frequent urination
  • Copious amounts of clear urine
  • Incontinence of urine
  • Enuresis
  • Either a tendency towards being too hot of too cold
  • Shortness of breath
  • Asthma
  • Aversion to Cold
  • Cold limbs
  • Weak lower back and knees
  • Lingering tinnitus or deafness
  • Seminal emission
  • Impotence
  • Fatigue
  • Lack of strength
  • Maybe anorexia
  • Maybe loose stools
  • T: Pale
  • C: White
  • P: Deep, weak possibly tight or Thready and weak
Treatment Principle
  • Tonify and warm Kidney Qi
Herb Formulas
Points
Clinical Manifestations
  • Gradual and progressive onset of tinnitus or hearing loss
  • The tinnitus is general mild and constant and worse at night or when fatigued or after exertion and ejaculation
  • The sound of the tinnitus is variable, sometimes high-pitched and sometimes like holding a shell over the ear
  • Deafness
  • Tinnitus that worsen at night
  • Dizziness
  • Hypoacusis (elderly people)
  • Blurred vision
  • Fever
  • Insomnia
  • Irritability
  • Hard of hearing
  • Ocular pain
  • Red eyes
  • Thirst
  • Auditory depression
  • Poor hearing
  • T: Red
  • C: Yellow
  • P: Weak, thready and rapid
Treatment Principle
  • Nourish Yin and Blood of the Liver and Kidneys
  • Improve hearing
  • Clear Heat 
Herb Formulas
Points

Clinical Manifestations
  • Lassitude
  • Fatigue
  • Shortness of breath
  • Dizziness
  • Tinnitus
  • Palpitations
  • Emaciation
  • Lack of strength
  • Dry, rough eyes
  • Possible distended feeling in eyes
  • A pale, lusterless face
  • Possible malar flush
  • Restless
  • Insomnia
  • Poor memory
  • Scanty, yellow urination or
  • Profuse, clear urination
  • Dry, parched throat
  • Tasteless feeling in the mouth
  • Low back and knee soreness and
  • Weakness
  • Low grade fever
  • Five sole heat
  • Possible sweating
  • Possible tremors of the hands and tongue
  • Scanty intake
  • Abdominal distention after meal
  • Loose stools
  • T: Red
  • C: Thin or Peeled
  • P: Empty and rapid or Thready and rapid
Treatment Principle
  • Tonify the Spleen
  • Augment Qi
  • Supplement the Kidneys
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Chronic tinnitus and/or hearing loss that tend to be intermittent and worse with fatigue
  • In some cases the tinnitus may be loud enough to impair hearing
  • Fatigue
  • Weakness
  • Anorexia
  • Shortness of breath
  • Palpitations with anxiety and insomnia
  • Loose stools
  • Poor appetite
  • Light headedness or
  • Postural dizziness
  • Pale or sallow face
  • Spots before the eyes
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Dry skin
  • Dry hair
  • Easily fatigued limbs
  • Poor memory
  • Pale lips and nails
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy or Thready and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Constipation
  • Facial flushing
  • Melancholy
  • Restlessness
  • Headache
  • Vertigo
  • Tinnitus
  • Abdominal distention
  • Acid regurgitation
  • Vertigo
  • Stiff shoulders
  • Neurosis
  • Fever
  • Palpitations
  • Lower back pain
  • Hot flashes
  • Belching
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Regulate Qi
  • Clear Heat
Herb Formulas
Points
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
  • Tinnitus
  • 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
Points
Clinical Manifestations
  • Lassitude
  • Fatigue
  • Shortness of breath
  • Dizziness
  • Tinnitus
  • Palpitations
  • Emaciation
  • Lack of strength
  • Dry, rough eyes
  • Possible distended feeling in eyes
  • A pale, lusterless face
  • Possible malar flush
  • Restless
  • Insomnia
  • Poor memory
  • Dry, parched throat
  • Tasteless feeling in the mouth
  • Low back and knee soreness and weakness
  • Low grade fever
  • Five sole heat
  • Possible sweating
  • Possible tremors of the hands and tongue
  • Scanty intake
  • Abdominal distention after meal
  • Loose stools
  • T: Red
  • C: Thin or Peeled
  • P: Empty and rapid or Thready and rapid
Treatment Principle
  • Tonify Qi and Blood
  • Promote urination
  • Activate the Blood
  • Dispel Blood Stasis
  • Nourish Yin
  • Generate fluids
  • Clear Heat
  • Drain Kidney Fire
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Persistent tinnitus or
  • Hearing loss
  • There may be black or dark discharge from the ear or
  • Dark matter mixed in with the ear wax
  • Maybe an earache or pain
  • Chronic headaches
  • Spider navii on the face, neck and trunk
  • 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
  • Pain that is fixed, stabbing and /or severe
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Activate the Blood
  • Break up Stagnation
  • Clear and open the ears
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Dizziness
  • Red eyes
  • Tinnitus
  • Oral ulcers
  • Bleeding gums
  • Constipation
Treatment Principle
  • Purge Fire
  • Detoxify
Herb Formulas
Points
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
  • Purge Damp-Heat
  • Purge the Gallbladder
Herb Formulas
Points
Clinical Manifestations
  • Pterygium
  • Tinnitus
  • Hearing loss
  • Diminished visual and aural acuity
  • Blurred vision
  • Abdominal pain
  • Dizziness
  • Light headedness
  • Anorexia
  • Spontaneous sweating
  • Chronic diarrhea
  • T: Pale
  • C: White
  • P: Empty
Treatment Principle
  • Strengthen and raise the Qi of the Middle Jiao
  • Improve visual and aural acuity
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Afternoon fever
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry
  • C: Yellow
  • P: Deep and forceful or Choppy
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Paralysis
  • Numbness
  • Slurred speech
  • 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
Points
Clinical Manifestations
  • Marked emotional changes and behavior
  • Irritability
  • A feeling of Qi rushing upward
  • Red eyes
  • Headache - lasts all day
  • Palpitations
  • Tinnitus
  • A feeling of distention and oppression below the Heart
  • Abdominal bloating
  • Muscle spasms in the shoulders, neck and back
  • Dizziness
  • Vertigo
  • Insomnia
  • Hot flushes
  • Anorexia
  • Paralysis
  • Numbness
  • Slurred speech
  • Deviated eyes
  • Deviated mouth (wry mouth)
  • Sputum in the throat
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Hypertension
  • Stroke
  • T: Deviated and trembling, maybe red edges
  • C: Thick or Greasy
  • P: Slippery and maybe wiry or Soft and wiry and maybe rapid
Treatment Principle
  • Resolve Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Tinnitus in both ears like the sound of cicadas
  • There may be a feeling of blockage or pressure in the ears
  • This condition often is long term with gradual loss of hearing
  • Maybe yellow, purulent discharge from one ear associated with an earache
  • Fullness and heaviness of the head
  • Foggy-headedness
  • Recurrent clearing of the throat
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Maybe restless fever
  • Sore throat
  • Fullness in the chest and epigastrium
  • Loose or sluggish stools or
  • Constipation
  • Dry stools
  • Shortness of breath
  • Anorexia
  • A poor sense of taste or
  • A bitter taste in the mouth
  • Dyspnea
  • Nausea
  • Vomiting
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid or Wiry and slippery
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
  • Wen Dan Tang modified
  • For severe cases or cases with vertigo, a thick, yellow tongue coat, impairment of consciousness or constipation: Gun Tan Wan
  • Following resolution of the Heat signs or between episodes: Er Chen Tang modified
  • With dizziness and a headache of foggy-headedness: Ban Xia Bai Zhu Tian Ma Tang
  • With Spleen Qi Deficiency: Liu Jun Zi Tang
  • Chinese Patent Medicines:
    Qing Qi Hua Tan Wan
    Huang Lian Jie Du Tang
    Chuan Xin Lian Kang Yan Pian
Points
Clinical Manifestations
  • Fever
  • Chills
  • Severe headache
  • Flushed cheeks
  • Bad breath
  • Tinnitus
  • Hearing loss
  • Irritability
  • Insomnia
  • Coughing up viscous, thick sputum
  • Dark urine
  • Swollen lymph nodes
  • Abdominal tension and itching
  • Darkened skin
  • Epistaxis
  • Itching
  • Formation of cellulitis
  • T: Red
  • C: Normal or Yellow
  • P: Wiry and rapid
Treatment Principle
  • Drain Fire
  • Relieve toxicity
  • Spread Liver Qi
  • Strengthen the Spleen
  • Disperse Wind-Heat
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Slow and gradual onset
  • Weak and flaccid lower limbs
  • Muscle twitching
  • Soreness and weakness of the lower back and spine
  • Inability to stand for a long time
  • Total loss of mobility and severe loss of muscle mass can result with exacerbation
  • Dizziness
  • Vertigo
  • Hair loss
  • Dry throat
  • Tinnitus
  • Fatigue
  • Nocturnal emissions
  • Enuresis
  • Fecal and urinary incontinence
  • Irregular menstruation
  • Dysmenorrhea
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Tonify the Liver and Kidneys
  • Nourish Yin
  • Clear Heat
Herb Formulas
Points