URTICARIA (HIVES), PAPULAR URTICARIA

Clinical Manifestations
  • Urticaria (hives) is a vascular reaction of the skin marked by the transient appearance of smooth, slightly elevated papules or plaques (wheals) that are erythematous and that are often attended by severe pruritis. Individual lesions resolve without scarring in several hours. Most cases of urticaria are self-limited and of short duration; the eruption rarely lasts more than several days, but it may be recurrent over weeks. Chronic urticaria is defined as urticaria with recurrent episodes lasting longer than 6 weeks).
    The development of urticaria is often an isolated event without systemic reaction. Rarely, it can be a prelude to the development of an anaphylactic reaction.
    If any features of anaphylaxis (eg, hypotension, respiratory distress, stridor, gastrointestinal distress, swallowing problems, joint swelling, joint pain) are present, immediate medical intervention should occur.
    Acute urticaria may be, in a short time, associated with life-threatening angioedema and/or anaphylactic shock, although it usually presents as rapid-onset shock without urticaria or angioedema.
    New-onset episodes of urticaria can be associated with identifiable causes, and the method of exposure (ie, direct contact, oral or intravenous [IV] routes) can be deduced by taking a careful history.
    Acute urticaria is generally diagnosed based on a detailed patient history and physical examination.
    Although clinically distinctive, urticaria may be confused with a variety of other dermatologic diseases that can be similar in appearance and are pruritic, including atopic dermatitis (eczema), maculopapular drug eruptions, contact dermatitis, insect bites, erythema multiforme, pityriasis rosea, and others. Usually, however, the experienced clinician is able to distinguish these conditions from urticaria because of the lesions' hallmark appearance, a lack of epidermal change, the intense pruritis, the presence of an advancing edge and a receding edge, the complete blanching of the lesions with pressure, and are the transient nature of the lesions.
  • Papular Urticaria: Primarily an allergic reaction to insects, most often found in infants.
    Red wheal-like lesions|
    Small vesicles
    Papular eruptions
    Severe itching
Treatment Principle
Herb Formulas
  • When accompanying hepatitis: Yin Chen Hao Tang
  • Topical:
    1. Wash with the juice of 120g Fol Perillae Zi Su Ye
    2. Apply a tincture made from 30g Rx. Stemonae Bai Bu and 60g rice wine that has been steeped for one week.
    3. Decoct together 2-3 of the following herbs Hb. Artemisiae Scopariae Yin Chen Hao, Rx. Sophorae Flavescentis Ku Shen, Lignum Sappan Su Mu, Fr. Xanthii Cang Er Zi, Hb. Spirodelae Fu Ping, Rx. Clematidis Wei Ling Xian and apply to the affected areas 3-5 tomes daily until the lesion disappears.
    Viral: Topical #2
Points
Clinical Manifestations
  • Urticaria
  • 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
Points
Clinical Manifestations
  • Pale red eruptions
  • Worse on exposure to Cold or cold water
  • Better with Heat
  • Urticaria
  • Eczema
  • Aversion to Wind
  • Aversion to Cold
  • T:  Normal
  • C:  Thin and white
  • P:  Superficial and slow
Treatment Principle
  • Create sweat to relieve the Exterior and expel Wind
  • Harmonize the Ying and Wei to protect digestion
Herb Formulas
Points
  • GB-31, LI-4, SP-6, ST-36, UB-12, UB-13
    With abdominal pain and distention: + LI-11, ST-25, UB-25
    With of Cold Dampness: + ST-37
    With laryngeal edema + LU-10
    With deficiency of Ying or Wei Qi: + moxa or moxa needle DU-12, REN-6
  • Ear: Lung, Spleen, Shenmen, Sympathetic, Adrenal, Subcortex, Urticaria, Ahshi points
    For difficulty breathing: + Trachea
    For abdominal pain: + Stomach, Intestines
Clinical Manifestations
  • Urticaria
  • The rash is itchy and pink or white
  • Worse with Cold
  • Better with warmth
  • 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 itching
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Difficult urination
  • May have upper body edema
  • T: Normal
  • C: White
  • P: Floating and slippery
Treatment Principle
  • Promote urination
  • Dispel Dampness
  • Expel Wind
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • 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
Points
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 releases the Shao-Yang
  • Harmonize the Liver, Spleen and Intestines
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Severe fever and chills without sweat
  • Intolerance of Cold
  • Irritability
  • Fidgeting
  • Headache
  • Cough
  • Wheezing (asthma)
  • Muscle aches
  • General body aches
  • Thirst
  • Heaviness and aching of the entire body
  • Shortness of breath
  • Floating edema (severe)
  • Restlessness
  • Anhidrosis
  • Fidgeting
  • May be high fever
  • Edema
  • Dyspnea
  • T: Normal
  • C:Thin white or Yellow
  • P: Floating and tight or Rapid or Tight and rapid or wiry and tight
Treatment Principle
  • Promote diaphoresis
  • Release the Exterior
  • Clear Interior Heat
  • Relieve irritability
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • High fever
  • Profuse sweat
  • Generalized weakness
  • Severe chills
  • Aversion to Heat
  • Red face
  • Severe thirst
  • Thirst may be unquenchable
  • Irritability
  • Anxiety
  • Pruritis
  • Headache
  • Toothache
  • Gum bleeding
  • Epistaxis
  • Dry lips
  • Dry tongue
  • Dry mouth
  • May be sensitive to Cold in the upper back
  • Polyuria
  • Delusions
  • Eye congestion
  • Burning sensation on the skin
  • Itching skin
  • Abdominal fullness without resistance
  • Dry, course skin
  • Listlessness
  • May be heavy labored breathing
  • Delirious speech (serious cases)
  • Mania (serious cases)
  • T: Red tip and sides
  • C: Yellow, dry or white
  • P: Large and forceless
Treatment Principle
  • Clear Qi-Stage Heat
  • Drain Stomach Fire
  • Generate Fluids
  • Alleviate thirst
  • Nourish Qi
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • 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
  • Severe itching
  • Red wheals
  • The wheals are warm to the touch
  • Worse with exposure to Heat
  • A burning sensation on the skin surface
  • Intense itching
  • Aversion to Wind
  • Headache
  • Slight fever
  • Sore throat
  • Restlessness
  • Thirst
  • Dry stools
  • T: Red tip
  • C: Thin and yellow
  • P: Floating and rapid or Floating, slippery and rapid
Treatment Principle
  • Dispel Wind
  • Clear Heat
  • Cool the Blood
  • Stop itching
Herb Formulas
Points
  • GB-20, LI-4, LI-11, SJ-5, SP-6, ST-36
    For a prolonged fever: + DU-14
    For bright red skin eruptions: + SP-10
    For severe itching: + HT-7
  • Ear: Lung, Spleen, Shenmen, Sympathetic, Adrenal, Subcortex, Urticaria, Ahshi points
    For difficulty breathing: + Trachea
    For abdominal pain: + Stomach, Intestines
Clinical Manifestations
  • Pimples
  • Dull-colored rash
  • Heavy feeling in the body
  • Weepy, itchy, red skin lesions
  • Lesions may range over a large portion of the body
  • Thirst
  • Lesions may be worse in hot weather
  • Severe itching
  • T: Pink
  • C: Yellow or White
  • P: Superficial, forceful and rapid or Soft and rapid
Treatment Principle
  • Clear Heat
  • Resolve toxicity
  • Expel Wind
  • Dispel Dampness
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Fever
  • Chills
  • Anhidrosis
  • Pain and stiffness of the head and neck
  • Stuffy nose
  • Blood shot eyes
  • Sores that are red, swollen and painful
  • Generalized body aches and pain
  • Headache
  • Swollen eyes
  • Thirst or no thirst
  • T: Normal
  • C: Thin white
  • P: Floating or Floating and rapid
Treatment Principle
  • Induce sweat
  • Release the Exterior
  • Dispel Wind
  • Alleviate pain
  • Treat skin and External diseases
Herb Formulas
Points
Clinical Manifestations
  • Itching lesions
  • Chills and fever (more chills than fever)
  • Anhidrosis
  • Headache
  • Stiff neck
  • Generalized aches and pains
  • Slight thirst
  • A bitter taste in the mouth
  • T: Normal
  • C: White
  • P: Floating
Treatment Principle
  • Induce sweating
  • Expel Wind-Cold
  • Dispel Dampness
  • Drain Interior Heat
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • High fever accompanied by severe chills and shivering
  • Aversion to Cold
  • Pain worse at night
  • Difficult movement
  • Local inflammation
  • Migratory pain
  • Soreness and pain of the extremities
  • Nasal congestion with sonorous breathing
  • Anhidrosis
  • Pain and stiffness of the head and neck
  • Focal distention and fullness of the chest and diaphragm
  • A productive cough
  • May have numbness and heaviness in the limbs
  • Body aches
  • Nasal obstruction
  • Cough with sputum
  • Stuffy nose
  • Joint pain
  • Pain worse with Cold and better with warmth
  • Pain aggravated by Wind
  • Pain aggravated by Dampness
  • Pain is stabbing
  • Muscle weakness
  • Pain alleviated by movement
  • Slight muscle edema
  • Heaviness of the joints
  • Cold joints
  • Headache
  • Dizziness
  • T: Pale or Slightly purple or Purple spots
  • C: White or thin, white, greasy
  • P: Slippery or Slightly superficial or Superficial and soft or Slightly rough or Slow and Soft or Wiry and tight or Superficial and rapid that is forceless under pressure
Treatment Principle
  • Release the Exterior
  • Augment Qi
  • Remove Wind-Cold-Damp
  • Eliminate Painful Obstruction
  • Circulate Qi and Blood
  • Stop itching
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Low back, knees and legs painful and weak
  • Foot pain
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five Sole Heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Dry skin
  • Deafness
  • Steaming bones
  • Tidal fevers
  • Loose teeth
  • Cough
  • Cough with Blood
  • Impotence
  • Shortness of breath
  • Frequent urination
  • Weakness in the lower body
  • Hemoptysis
  • Dripping urine
  • Thirst
  • Dry tongue
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Dry mouth
  • Blurred vision
  • Asthma
  • Hot flashes
  • Nocturnal emissions
  • Urinary incontinence
  • Spontaneous and nocturnal emissions
  • Spermatorrhea
  • Night sweats
  • Lusterless complexion
  • Wan complexion
  • Generalized weakness and fatigue
  • Lack of appetite
  • Phlegm
  • Maybe decreased urination
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Enriches Yin
  • Nourish the Essence of the Kidneys and Lungs
  • Nourish Liver Yin
  • Astringe Lung Qi
  • Resolve Phlegm
  • Stop itching
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • 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
  • Borborygmus
  • A shiny, pale complexion
  • A dry mouth and tongue
  • A bitter taste in the mouth
  • T: Pale
  • C: Thin and white
  • P: Floating, large and slow or Slippery and empty
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi
  • Raise Yang
  • Leach out Dampness
  • Dispel Wind and Dampness
Herb Formulas
Points
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
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Burning Heat and pain in the epigastrium
  • Irritating thirst: drinks copious fluids and prefers cold drinks
  • Excessive appetite: hungry again quickly after eating (as if food vanishes)
  • Swelling, pain, ulceration and bleeding of gums
  • Foul breath
  • Toothache
  • Maybe vomiting right after eating
  • Vomiting acid or undigested food
  • Constipation
  • Maybe scanty, red urine
  • T: Red
  • C: Thick, yellow and dry
  • P: Slippery, big, Excess and rapid
Treatment Principle
  • Clear and Purge Stomach Fire
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Irritability
  • Irascibility
  • Feeling of Heat and disturbance in the Heart
  • Insomnia
  • Flushed face
  • Bitter taste in the mouth
  • T: Red tip with ulcers especially on the tip
  • P: Excess and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Calm the Shen
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
  • Chronic urticaria
  • Insomnia with much dreaming
  • Spermatorrhea with erotic dreams
  • Premature ejaculation
  • Irritability
  • Easily startled
  • Palpitations
  • Anxiety
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • Palpitations
  • Anxiety
  • Hair loss
  • Infantile night crying
  • A cold sensation on the tip of the penis
  • Loss of appetite
  • Depression
  • Lack of motivation
  • Lower abdominal contraction and pain
  • Occasional watery diarrhea
  • T: Red or Slightly pale
  • C: Little or None
  • P: Thready and rapid or Hollow and slow or Hollow and slightly tight
Treatment Principle
  • Nourish Yin
  • Reduce Fire
  • Make Heart and Kidney communicate
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • 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
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Coughing fits with hemoptysis
  • Burning pain in chest and sides
  • Dizziness
  • Face and eyes red
  • Bitter taste in mouth
  • Dry lips
  • Short-tempered
  • Irascibility
  • Restlessness
  • Maybe dark urine
  • Maybe constipation
  • T: Red
  • C: Thin, yellow and dry
  • P: Wiry and rapid
Treatment Principle
  • Clear Liver Fire
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • 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
  • Itchy nose, mouth, eyes, throat, skin, or any area
  • Problems with smell
  • Runny nose
  • Sneezing
  • Tearing eyes
  • Stuffy nose (nasal congestion)
  • Coughing
  • Clogged ears and decreased sense of smell
  • Sore throat
  • Dark circles under the eyes
  • Puffiness under the eyes
  • Fatigue and irritability
  • Headache
  • Memory problems and slowed thinking
  • Pale, lusterless complexion
  • Pale nails
  • Pale lips
  • Generalized muscle tension
  • Irregular menstruation with little flow
  • Amenorrhea
  • Periumbilical pain
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
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
  • Urticaria
  • Low back, knees and legs painful and weak
  • Foot pain
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole Heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Dry skin
  • Deafness
  • Steaming bones
  • Delayed closing or unclosed fontanel in infants
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Dry tongue
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Dry mouth
  • Dry throat
  • Blurred vision
  • Urinary incontinence
  • Spontaneous and nocturnal emissions
  • Night sweats
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Enrich Yin
  • Nourish the Essence of the Liver and Kidney
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Urticaria
  • Slightly red, sparse wheals
  • Onset usually at night
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • If Heart Fire also Flares:
    Insomnia
    Frequent dreams
    Palpitations
  • If Liver Yang also Rises:
    Dizziness
    Blurred vision
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Itching
  • 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
  • Stop itching
Herb Formulas
Points
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
Points
Clinical Manifestations
  • The patient has a weak constitution or has suffered from a protracted illness
  • Wheals relapse frequently
  • Lesions are usually intensified when the patient is tired or suffering from a cold
  • Listlessness
  • A pale face
  • T: Pale
  • C: White
  • P: Weak and deep
Treatment Principle
  • Nourish the Blood
  • Strengthen Qi
  • Expel Wind
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Anemia
  • Uterine bleeding
  • Cold extremities
  • Pale or sallow face
  • Dizziness
  • General fatigue
  • Coarse skin
  • Nocturnal emissions
  • Weak knees
  • Fatigue
  • Dyspnea
  • Night sweats
  • Irregular menstruation
  • Insomnia
  • Intolerance of Cold
  • Decreased eyesight after a prolonged illness
  • Anxiety
  • Intermittent fever
  • Jaundice
  • Deficient cough
  • Shortness of breath
  • Palpitations
  • Anorexia
  • Listlessness
  • Lassitude
  • Spontaneous sweating
  • Spermatorrhea
  • Continuous spotting
  • Leukorrhea
  • Weak legs and knees
  • T: Pale
  • C: Thin and white
  • P: Thready and weak
Treatment Principle
  • Replenish Yang
  • Warm and tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Clusters of red, flat pimples
  • Severe itching
  • T: Pale
  • C: Yellowish or Thin and white
  • P: Floating and rapid
Treatment Principle
  • Nourish the Blood
  • Invigorate the Blood
  • Dispel Wind
  • Stop itching
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense, deep and slow
Treatment Principle
  • Invigorate the Blood
  • Transform Blood Stasis
  • Soften lumps
Herb Formulas
Points
Clinical Manifestations
  • Abrupt onset
  • Itching wheals which vary in size
  • Rash is bright red
  • Chronic: frequent recurrence
  • Constipation
  • Suppuration with severe chills
  • Fever
  • Headache
  • Muscle spasms
  • Pain
  • Congestion
  • Inflammation
  • T: Red
  • C: Yellow
  • P: Rapid
Treatment Principle
  • Clear Heat in the Blood
  • Disperse Wind
Herb Formulas
Points
Clinical Manifestations
  • Slightly red skin eruptions
  • Itching worse at night
  • A pale complexion
  • Dry skin
  • A new attack most likely occurs before or after menstruation
  • T: Slightly red
  • C: Thin or Peeled
  • P: Thin or Thready and soft
Treatment Principle
  • Nourish the Blood
  • Tonify the Spleen
Herb Formulas
Points
  • SP-3, SP-6, ST-36, UB-17, UB-20
    For severe itching at night: + HT-7
    For difficult breathing: + Dingchuan
    For recurrent attacks: + UB-13, UB-15
  • Ear: Diaphragm, Spleen, Small Intestine, Lung, Shenmen, Adrenal, Subcortex, Urticaria
Clinical Manifestations
  • Urticaria
  • Chronic eczema with thick, dry, dark flaky skin
  • Anemia
  • Itching which is worse at night
  • Swelling
  • Abscesses
  • Ulceration
  • T: Pale
  • C: Thin and white
  • P: Thready, floating and rapid or Thin and wiry
Treatment Principle
  • Nourish the Blood
  • Moisten Dryness
  • Clear Heat
  • Dispel Wind
  • Relieve itching
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Copious bleeding of dark purple blood
  • The blood is sticky during menstruation
  • May or may not have clots
  • Menstrual cycle is shortened (early menstruation)
  • Palpitations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Abdominal pain
  • Irregular menstruation with little flow
  • Fixed lower abdominal pain
  • Vertigo
  • Tinnitus
  • Pale lips
  • May be amenorrhea
  • Insomnia
  • Menstruation may also be accompanied by distention and pain
  • T: Pale
  • C: Normal
  • P: Thin and weak or Thin and choppy
Treatment Principle
  • Tonify and invigorate the Blood
  • Break up Blood Stagnation
  • Regulate menstruation
  • Alleviate itching
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin
  • The swellings are not hot to the touch
  • No thirst
  • Swollen and painful joints
  • Wasting of the muscles of the thigh and calf
  • T: Very pale or Pale-pink
  • C: White
  • P: Thready and forceless or Deep and slow
Treatment Principle
  • Warm Yang
  • Tonify the Blood
  • Disperse Cold
  • Eliminate Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Abdominal pain
  • Constipation
  • Hypochondriac pain
  • Chills
  • Low-grade fever
  • Cold hands and feet
  • Intolerance of Cold
  • Pain in the armpits
  • Unilateral pain in the abdomen and hypochondrium
  • Stiffness and spasms beside and below the umbilicus
  • Pain in the waist and legs
  • T: Normal
  • C: Greasy and white
  • P: Deep, tight and wiry
Treatment Principle
  • Warm the Interior
  • Disperse Cold
  • Unblock the bowels
  • Alleviate pain and itching
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Papular urticaria
  • Mainly appears on the limbs in various sizes
  • Erosion
  • Exudate
  • Scabs
  • Rupture of the vesicles
  • Intense itching
  • Abdominal pain
  • Nausea
  • Vomiting
  • Dry stools
  • Excessive or frequent defecation
  • T: Swollen or Red
  • C: Yellow and sticky
  • P: Floating and rapid
Treatment Principle
  • Expel External Wind
  • Relieve the Exterior
  • Clear Heat and Dampness from the Stomach and Intestines
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Dark red wheals
  • May be distributed over the entire body
  • Fever
  • Restlessness
  • Constipation
  • Dark, yellow urine
  • T: Red
  • C: Thick and yellow
  • P:Rapid
Treatment Principle
  • Clear Heat
  • Disperse Stagnation
  • Stop itching
Herb Formulas
Points
Clinical Manifestations
  • Acute red eyes
  • Sore throat
  • Mouth or tongue sores
  • Dark, rough urination
  • Reddish urine
  • Restlessness and Heat in the Heart and diaphragm
  • Constipation
  • Gum bleeding
  • Pimples
  • Burning urination
  • Dizziness
  • T: Red
  • C: Yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve toxicity
  • Drain Fire
  • Unblock the bowels
  • Expel Wind
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Fever
  • Irritability
  • 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: Rapid
Treatment Principle
  • Drain Fire
  • Relieve toxicity
  • Drain Dampness
  • Dispel noxious Heat and toxins from the San Jiao
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • The lesions appear 2-3 days prior to menstruation and disappear after the flow stops
  • Affected areas are usually the lower abdomen, lower back and inner thighs
  • Menstrual cramping
  • 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 or Purple
  • C: Thin and white or None
  • P: Thready and rapid or Thready and wiry
Treatment Principle
  • Harmonize the Chong and Ren
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Red rashes
  • Lower abdominal Cold, distention and pain
  • Sporadic abdominal pain which is better with warmth pressure
  • Irregular menstruation (usually long and heavy or scant with clots)
  • Delayed menstruation with a small amount of pale Blood
  • Mild, persistent uterine bleeding
  • Lumbar and sacral pain which are worse following menstruation or when tired
  • Profuse, clear, watery leukorrhea
  • Maybe infertility
  • Maybe dark rings around the eyes
  • Palpitations
  • Shortness of breath
  • Faint, weak respiration
  • Drenched with perspiration
  • Dizziness
  • Above symptoms worse on exertion or when tired
  • Four limbs cold
  • Intolerance of Cold
  • Cold abdominal pain
  • An extremely pale face
  • Cyanosis of mouth and lips
  • Reduced appetite
  • Fatigue
  • Upset stomach
  • Loose stools
  • T: Pale and thick with teeth marks
  • C: White and greasy
  • P: Minute (on the point of collapse) or Deep and slow
Treatment Principle
  • Return Yang
  • Scatter Cold
  • Consolidate Exhaustion
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • 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
Points
Clinical Manifestations
  • Pulmonary phase:
    Cough
    Dyspnea
    Allergies
    Urticaria
    Asthma
    Eosinophilia
  • Intestinal phase:
    Abdominal discomfort
    Occasional vomiting
Treatment Principle
  • Kill parasites
  • Stop itching
Herb Formulas
Points
Clinical Manifestations
  • Urticaria
  • Thirst
  • Chest congestion
  • Scanty urination
  • Constipation
Treatment Principle
  • Clear Food Poisoning
Herb Formulas
Points