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ABDOMINAL TENSION

WIND-HEAT

Clinical Manifestations	Redness, pain and swelling of the eyes Dizziness Right hypochondriac pain and tension Headache Abdominal tension P: Rapid and floating
Treatment Principle	Dispel Wind Clear Heat Release pathogens from the Exterior Reduce swelling and pain
Herb Formulas	Xi Gan Ming Mu Tang
Points	SJ-5 + LI-4, GB-20, DU-14, DU-16, LU-11, LU-10, LU-5, UB-13, UB-12

LARGE INTESTINE EXCESS HEAT

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea (Heat knots or flows) Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles (swollen papillae on the tongue that look like thorns and are very sensitive to the touch) or Red C: Thick, yellow and dry P: Deep and Shi
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Da Cheng Qi Tang
Points	UB-25, ST-25, ST-37, ST-44, SJ-6, LI-11

INTESTINAL ABSCESS

Clinical Manifestations	Pain in the lower right abdomen; refuses pressure Pain may be severe, boring, and in a fixed position or without fixed location Constipation or Mild diarrhea Maybe fever Maybe nausea and vomiting Anorexia T: Red C:Thick, yellow and greasy or sticky P: Rapid
Treatment Principle	Clear Heat Transform Dampness Invigorate Blood Circulation Conduct Stagnation
Herb Formulas	Da Cheng Qi Tang
Points	Lanweixue, ST-37, ST-36, ST-25, LI-11, LI-4, PC-6, SP-4

BLOOD STAGNATION

Clinical Manifestations	Decreased urination or Interrupted urination or Constant urination or Anuria Maybe fixed, stabbing pain on urination Lower abdominal fullness Lower abdominal pain which may radiate to the genitals Maybe hematuria Tumor formation Purple urine with blood clots Abdominal spasms and tension Suprapubic fullness, distention and pain Maybe lower abdominal masses Pain in the iliac fossa on palpation Soider naevi on the abdomen, inner ankle and inner knee Headache Sinus congestion Constipation Lower back ache Nervousness Fatigue Skin eruptions Scaly, dry skin Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Wiry or Tense, deep and slow or Thin or Deep and choppy or Slow and choppy
Treatment Principle	Expel Blood Stagnation and Obstruction
Herb Formulas	Dai Di Dang Wan Gui Zhi Fu Ling Wan Huo Xue Hua Yu
Points

BLOOD HEAT

Clinical Manifestations	Head sores with secretion of pus and scabs Red pimples on face, neck, armpits and external genitalia Earache Swelling, inflammation and infection of the ears and nose Abdominal rigidity Constipation Dark brown discoloration of the skin Perspiration and an oiling feeling on the palms and soles Abdominal tension Rhinitis T: Deep red, dry or purple red C: None P: Rapid or thready and rapid or thready and feeble or Tight
Treatment Principle	Dispel Wind Disperse Stagnation Clear Heat Remove Toxins
Herb Formulas	Jing Jie Lian Qiao Tang
Points	DU-14, LI-11, ST-44, SP-10, UB-17

HEAT EXCESS IN THE EXTERIOR AND INTERIOR

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 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

LIVER AND GALL BLADDER CHANNEL HEAT

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	Drains Fire Relieves toxicity Spreads the Liver Qi Strengthens the Spleen
Herb Formulas	Chai Hu Qing Gan Tang
Points