ACID REFLUX (ACID REGURITATION, GERD, REFLUX ESOPHAGITIS, LARYNGOPHARYNGEAL REFLUX, LPR, HEARTBURN)

Clinical Manifestations
Treatment Principle
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
  • Distention of the abdomen
  • Distention of the epigastrium
  • Fever
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Indigestion
  • Insomnia
  • Irritability
  • Resurgence of Heat signs
  • Thirst
  • T: Red
  • C: Greasy-dirty-yellow
  • P: Floating, slippery and rapid especially on the right position or Floating, full and rapid
Treatment Principle
  • Clear Heat
  • Remove Obstructions
  • Disperse Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Severe, dry hacking cough
  • No sputum expectorated
  • Small amounts of difficult to expectorate sputum
  • Blood tinged sputum (when Yin Deficiency Fire is present)
  • Afternoon fever
  • Night sweats
  • Malar flush (especially in afternoon)
  • Five Sole Heat
  • Dry mouth and throat
  • Itching in throat
  • Hoarse voice, low voice or loss of voice
  • Emaciation
  • 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
  • T: Red
  • C: Little and dry
  • P: Thready and rapid
Treatment Principle
  • Clear and Nourish the Lungs and Stomach
  • Generate Fluids
  • Moisten Dryness
Herb Formulas
Points
Clinical Manifestations
  • Distention and fullness in epigastrium and abdomen
  • Loss of taste and appetite
  • Heavy sensation in the limbs and body
  • Loose stools or diarrhea after eating
  • Easily fatigued
  • Increased desire to sleep
  • Nausea
  • Vomiting
  • Belching
  • Feeling lazy with a preference for inactivity
  • Lethargy
  • Acid regurgitation
  • Cough with sputum
  • Borborygmus
  • Shortness of breath
  • Fullness in the chest
  • Persistent bitter taste in mouth
  • T: Pale and swollen
  • C: Thick, white and greasy
  • P: Slippery and even or Slow or Moderate
Treatment Principle
  • Dry Dampness
  • Strengthen Spleen's transporting function
  • Promote movement of Qi
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Recurrent acid reflux and heartburn
  • Anorexia
  • Epigastric and abdominal distention and discomfort
  • A dry mouth
  • Acne or
  • A tendency toward boils and sores
  • Greasy skin
  • Strong body odor
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • 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
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Abdominal fullness
  • Drum-like distention
  • Firm local distention in the epigastrium
  • Pitting edema
  • Ascites
  • Scanty urination
  • Anorexia
  • Decreased food intake
  • Acid regurgitation
  • A feeling of fullness, oppression and distention in the chest
  • Constipation
Treatment Principle
  • Promote urination
  • Promote the movement of Qi
  • Guide out Stagnation
  • Strengthen the Spleen
Herb Formulas
Points

Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • 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
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Nausea / vomiting
  • Distention of chest and epigastrium
  • Coughing up copious, thin, white sputum
  • Dyspnea
  • Sallow complexion
  • Anorexia
  • Rolled lips
  • Pale lips
  • Stiff tongue
  • Tired limbs
  • Heavy limbs
  • Abdominal and epigastric distention after meals
  • Maybe bleeding
  • Stifling sensation in the chest and epigastrium
  • Acid regurgitation
  • Shortness of breath
  • Loose stools or diarrhea
  • Lethargy
  • Thin muscles
  • Fatigue
  • Does not like to speak
  • Weak, soft voice
  • Maybe enuresis
  • Maybe borborygmus
  • Maybe cold extremities
  • Muscle weakness in arms and legs
  • Weak abdomen
  • T: Pale and flabby, may have teeth marks
  • C: White and greasy
  • P: Soft and weak
Treatment Principle
  • Tonify Qi
  • Strengthen the Spleen and Stomach
  • Transform Phlegm
  • Dry Dampness
  • Stop vomiting
  • Circulate Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • 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 or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Reinforce the Center
  • Invigorate Yang
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
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
  • Wu Ji San
  • Chinese Patent Medicines:
    Su Zi Jiang Qi Wan
    Jiu Fei Su He Wan
Points
Clinical Manifestations
  • Chest and abdominal distention
  • A stifling sensation in the chest and abdomen
  • Fixed pain in the hypochondria
  • Belching with a fetid odor
  • Nausea
  • Vomiting
  • Epigastric and abdominal fullness and pain
  • Acid reflux
  • Mild coughing with copious sputum
  • Reduced appetite
  • Indigestion
  • T: Normal
  • C: Thin and white or Greasy or Slippery,
  • P: Wiry and taut or Running
Treatment Principle
  • Regulates Qi in the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Intermittent or continuous abdominal distention, fullness and discomfort
  • Distention is improved by warmth and pressure and worse when eating raw or cold foods
  • Intermittent, chronic acid reflux and heartburn which are worse with hard to digest or raw foods, bending or any increase in abdominal pressure
  • May wake during the night with heartburn
  • Mild epigastric pain or discomfort which is better with warmth and pressure
  • Hypersalivation
  • Drooling
  • Sour belching
  • Poor appetite
  • Easily satiated
  • Fatigue
  • Weak, tired limbs
  • Loose stools or
  • Diarrhea or
  • A tendency toward sluggish bowel movements
  • Puffiness around the eyes or in the fingers
  • Rapid weight fluctuations
  • A pale, sallow face and lips
  • Shortness of breath
  • Reluctance to speak
  • A weak, soft voice
  • Intolerance of Cold
  • Cold extremities
  • T: Pale or Pale and swollen with teeth marks
  • C: White
  • P:Weak and thready or Deficient or Big and weak
Treatment Principle
  • Tonify Qi
  • Strengthen the Spleen
  • Facilitate the Raising of Qi and the descent of the turbid
Herb Formulas
  • Bu Zhong Yi Qi Tang modified
  • Xiang Sha Liu Jun Zi Tang  modified
  • Chinese Patent Medicines:
    Bu Zhong Yi Qi Wan
    Xiang Sha Liu Jun Zi Wan
    Jian Pi Wan
    With Qi Stagnation: Xiang Sha Yang Wei Wan
    With Yang Deficiency: Li Zhong Wan
    With Excess acid: Wei Te Ling (combine with any of the above)
    For symptomatic relief: Xiang Lian Wan (combine with any of the above)
Points
Clinical Manifestations
  • Acid reflux
  • A sallow facial complexion
  • Fatigue
  • Poor muscle tone
  • A flabby abdomen
  • 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
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Moist
  • C: White
  • P: Large and faint
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
  • Regulate Qi and Blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Focal distention in the chest and epigastrium with or without nodules which is painful when pressed
  • Coughing up yellow, viscous sputum
  • Constipation
  • A bitter taste in the mouth
  • T: Normal
  • C: Yellow and greasy
  • P: Slippery and floating or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Dissipate Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Scleroderma
  • Intermittent epigastric and abdominal distention and fullness after eating followed 12 hours later by vomiting of partially digested food, which relieves the distention
  • Vomitus may be sour and offensive
  • Irritability
  • Restlessness
  • Red complexion and lips
  • Halitosis
  • Thirst
  • Dry mouth and lips
  • Tendency toward constipation and rarely, diarrhea
  • Concentrated urine
  • T: Red and dry
  • C: Thick and yellow or Thick, greasy and yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat from the Stomach
  • Harmonize the Stomach
  • Descend Qi
Herb Formulas
  • Zhu Ru Tang
  • With damage to Qi and Yin: Da Ban Xia Tang
  • With excessive alcohol consumption creating Damp-Heat: Ge Hua Jie Cheng San
  • For Heat, Cold and Deficiency with a sensation of blockage, distention, fullness and discomfort in the epigastrium: Ban Xia Xie Xin Tang
  • Chinese Patent Medicine:
    With Damp-Heat: Huang Lian Jie Du Wan
    With Phlegm-Heat: Wen Dan Wan
    With constipation: Niu Huang Qing Huo Wan
Points
Clinical Manifestations
  • 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
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Thick and greasy
  • P: Slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Indigestion
  • Epigastric focal distention which is soft and not tender to the touch
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Subcardiac distention
  • Heartburn
  • Resistance below the Heart
  • Soft epigastrium
  • Mild nausea in the morning
  • Ascites
  • Gurgling sounds
  • A tendency toward diarrhea or loose stools
  • T: Normal or with a red tip
  • C: Thin, yellow and greasy or mixed white and yellow
  • P:Soft, slippery, slightly wiry and rapid or Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Harmonize the Stomach
  • Descend Rebellious Qi
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors
Herb Formulas
Points
Clinical Manifestations
  • 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
  • T: Red
  • C: Little and dry
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Stomach
Herb Formulas
Points
Clinical Manifestations
  • No appetite or
  • Famished but with no desire to eat or
  • Indeterminate gnawing hunger
  • Persistent, dull, nagging epigastric pain
  • Heartburn
  • Morning nausea
  • Abdominal distention after meals
  • Black, sticky or tarry, dry stools
  • Irritability with low grade fever
  • Maybe dry retching or
  • Hiccups
  • Thirst
  • Dry skin, hair and mucous membranes
  • Tendency toward constipation or pellet-like stools
  • Facial flushing
  • Malar flush
  • Night sweats
  • Five-sole-Heat
  • With Kidney Yin Deficiency:
    Dizziness
    Tinnitus
    Low back and knee weakness and pain
  • T: Red or Slightly red with a peeled center or Red and dry
  • C: Little and dry or Peeled in the center or Shiny
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Nourish the Stomach
  • Cool the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness and distention
  • No desire for food and drink
  • Frequent belching
  • Acid regurgitation
  • Borborygmus
  • Loss of sensation of taste
  • Stools not solid
  • Urine clear and abundant
  • T: Pale
  • C: Thin and white
  • P: Weak and Deficient
Treatment Principle
  • Strengthen Qi
  • Invigorate the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Recurrent or relentless acid reflux and heartburn, aggravated by coffee, chocolate and alcohol or stress
  • The patient may wake in the middle of the night (1-2 am) with discomfort and reflux
  • Sour or bitter belching
  • Epigastric discomfort or burning sensation
  • Indeterminate, gnawing hunger
  • Foul stools
  • Dry mouth
  • Thirst
  • Irritability
  • Quick temper
  • T: Red with red edges
  • C: Yellow
  • P: Wiry and/or slippery, maybe rapid
Treatment Principle
  • Clear Heat from the Stomach and Liver
  • Harmonize the Stomach
  • Descend Stomach Qi
Herb Formulas
Points
Clinical Manifestations
  • Cough with little yellow sputum
  • Spitting saliva
  • Wheezing
  • Shortness of breath
  • Dry, uncomfortable sensation in throat
  • Hiccups
  • Dry mouth
  • Coughing up difficult-to-expectorate Phlegm
  • Nausea
  • Hoarseness
  • Thirst
  • Asthma
  • Flushed face
  • Five sole Heat
  • Vomiting
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid or Deficient and rapid
Treatment Principle
  • Benefit the Stomach
  • Generate Fluids
  • Descend Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Chronic acid reflux, hyperacidity and heartburn
  • Symptoms may be worse in the evening and with stress
  • The patient may wake with symptoms during the night which may be temporarily relieved by eating
  • Mild, dull epigastric or hypochondriac pain or discomfort
  • Anorexia or
  • Intermittent gnawing hunger
  • Dry mouth and throat
  • Dry stools or
  • Constipation
  • T: Red and dry
  • C: Little or None
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish and supplement Liver and Stomach Yin
  • Regulate Qi
  • Descend Qi
  • Harmonize the Stomach
Herb Formulas
  • Yi Guan Jian  modified
  • Chinese Patent Medicines:
    Gu Ben Wan
    With Excess acid: Wei Te Ling (combine with any of the above)
    For symptomatic relief: Xiang Lian Wan (combine with any of the above)
Points
Clinical Manifestations
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea / vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Subcardiac distention
  • Heartburn
  • Resistance below the Heart
  • Soft epigastrium
  • Nausea
  • Ascites
  • Gurgling sounds
  • T: Normal or with a red tip
  • C: Thin, yellow and greasy
  • P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Harmonize the Stomach
  • Descend Rebellious Qi
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors
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 (Yin)
Herb Formulas
Points
Clinical Manifestations
  • Chronic epigastric and abdominal distention, fullness and discomfort which is worse with emotional upset.
  • Distention and pain in the sides or flanks, which is generally worse at night
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Belching
  • Flatulence
  • Borborygmus
  • Anorexia
  • Melancholy
  • Depression
  • Irritability
  • Moodiness
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Alternating constipation and diarrhea
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
  • Yue Ju Wan
  • With chronic sluggish stools or constipation: Liu Mo Tang
  • With Food Stagnation and sluggish bowels: Mu Xiang Shun Qi Wan
  • Chinese Patent medicines:
    Chai Hu Shu Gan Wan
    With sluggish or incomplete bowel movements: Mu Xiang Shun Qi Wan
    With constipation: Chen Xiang Hua Qi Wan
    With Spleen Deficiency and dampness: Xiao Yao Wan
Points
Clinical Manifestations
  • Recurrent acid reflux (worse when emotionally upset)
  • Epigastric pain (worse when emotionally upset)
  • Frequent belching with acid regurgitation
  • Nausea in the morning
  • Vomiting
  • Anorexia
  • Hypochondriac or epigastric distention, pain, tenderness ache or discomfort
  • Epigastric or abdominal bloating
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Moodiness
  • Anxiety
  • Frequent worrying
  • Inappropriate anger
  • Dizziness
  • Tension headaches
  • Shoulder and neck tension
  • Cold fingers and toes
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Alternating constipation and loose stools
  • T: Pink or Darkish
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
  • Descend Stomach Qi
Herb Formulas
Points
Clinical Manifestations
  • Stomach duct distention and fullness
  • Borborygmus
  • Watery, loose stools
  • Dull pain in the Stomach, relieved by warmth and pressure
  • Moderate pain when eating
  • Occasional vomiting of bitter water
  • A dry mouth with no desire to drink
  • T: Pale
  • C: White
  • P: Deep, thready and wiry
Treatment Principle
  • Dredge and regulate the Liver
  • Unblock Qi
Herb Formulas
Points
Clinical Manifestations
  • Burning pain
  • A clamoring Stomach
  • Bitter tasting vomit
  • Acid regurgitation
  • Vexation
  • Agitation
  • Irritability
  • A bitter taste in the mouth
  • A dry mouth
  • Thirst with a desire for cold drinks
  • T: Red
  • C: Yellow
  • P:Wiry and rapid
Treatment Principle
  • Dredge the Liver
  • Clear Heat
  • Regulate Qi
  • Harmonize upbearing and downbearing
Herb Formulas
Points
Clinical Manifestations
  • Stomach duct pain which is tolerable and lessens with eating
  • Poor appetite
  • Abdominal distention after meals
  • Reduced food intake
  • Fatigue
  • Lassitude
  • Weakness
  • Clear, watery vomit
  • T: Pale and fat with teethmarks
  • C: White
  • P: Thready and wiry or Soft and wiry
Treatment Principle
  • Dredge the Liver
  • Tonify the Spleen
  • Regulate Qi
  • Harmonize upbearing and downbearing
Herb Formulas
Points
Clinical Manifestations
  • Stomach duct distention and fullness
  • Severe pain
  • Retching
  • Bitter, flooding vomiting worsened by rating
  • A bitter taste in the mouth
  • Bad breath
  • Dry, bound stools
  • T: Red
  • C: Yellow
  • P: Wiry, rapid, slippery and forceful
Treatment Principle
  • Clear Heat
  • Eliminate Stagnation
  • Regulate Qi
  • Harmonize upbearing and downbearing
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Recurrent acid reflux, heartburn or regurgitation
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest and epigastrium
  • Belching
  • Nausea
  • Vomiting
  • Dry mouth and throat
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white or Greasy and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac and chest pain
  • Dry, parched mouth and throat
  • Bitter taste in mouth
  • Acid regurgitation
  • Epigastric and abdominal distention
  • T: Red and dry
  • P: Thready and weak or Wiry and Deficient
Treatment Principle
  • Enriches Kidney and Liver Yin
  • Spreads Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever with fever more prominent
  • A bitter taste in the mouth
  • Nausea
  • Dry heaves
  • Hiccups
  • A stifling sensation in the chest
  • Chest and hypochondriac pain and distention
  • Distending pain in the upper abdomen
  • Vomiting bitter or sour fluids that are yellow and sticky
  • Acid regurgitation
  • Thirst
  • T: Red
  • C: Yellowish or White and greasy or Yellow and greasy
  • P: Left: Wiry and rapid, Right: Slippery and rapid
Treatment Principle
  • Clear Gall Bladder Heat
  • Dispel Dampness
  • Harmonize the Stomach
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Acid reflux or
  • Heartburn
  • Nausea
  • Vomiting
  • Indeterminate gnawing hunger
  • Insomnia
  • Anxiety
  • T: Normal
  • C: Yellow and greasy
  • P: Slippery and rapid
Treatment Principle
  • Resolve Phlegm-Heat
  • Descend Qi
  • Stop reflux
Herb Formulas
Points
Clinical Manifestations
  • Difficulty swallowing maybe with a burning of painful sensation
  • Food is difficult to swallow but Fluids are easy
  • After eating, the bulk of the ingested food may be vomited up, possibly mixed with mucus
  • Gradual weight loss
  • Dryness oft the mouth and throat
  • Dry skin
  • Thirst
  • Pain in the chest and upper back
  • An uncomfortable burning sensation in the epigastrium
  • A hoarse or croaky voice
  • Five-Sole-Heat
  • Low-grade afternoon fever
  • Night sweats
  • Facial flushing
  • A tendency toward constipation
  • T: Red and dry with multiple surface cracks
  • C: Maybe yellow
  • P: Wiry, thready and rapid
Treatment Principle
  • Nourish and moisten Yin and Fluids
  • Clear Heat
  • Disperse accumulations
Herb Formulas
  • Wu Zhi An Zhong Yin
    With severe Dryness, constipation and lack of saliva: + Zeng Ye Tang  modified
  • Chinese Patent Medicines:
    Lan Han Guo Chong Ji
    With Kidney Yin Deficiency: Liu Wei Di Huang Wan
    With Stomach Qi and Yin Deficiency: Gu Ben Wan
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Abdominal distension
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • Heaviness
  • Anorexia
  • Feverish
  • Chest discomfort
  • Coughing up Phlegm
  • Uncomfortable bowel movements
  • Nausea and /vomiting
  • Lower abdominal distension
  • Excruciating abdominal pain
  • Mania
  • Delirious speech from extreme pain
  • Afternoon fever
  • Amenorrhea
  • Dysmenorrhea
  • Irregular menstruation
  • Chills and fever
  • Headache
  • Hard stool
  • Sharp, stabbing epigastric pain with fixed location
  • Pain is severe after eating
  • Dislike of pressure and heat on epigastrium
  • Pain predominates over distention or
  • Pain but no distention
  • Epigastric rumbling
  • Vomiting purple / black blood
  • Stools with blood like tar (melaena)
  • May be abdominal or epigastric lumps or masses
  • T: Pink or Dark purple with purple spots or dots
  • C: Thick and greasy white or yellow
  • P: Slippery, maybe rapid or Wiry and choppy
Treatment Principle
  • Tonify the Spleen
  • Augment Qi
  • Dry Dampness
  • Regulate Qi
  • Adjust the Middle
  • Transform Phlegm
  • Descend Qi
  • Dissipate accumulations
  • Reduce Food Stagnation
  • Activate the Blood
  • Stop pain
Herb Formulas
Points

Clinical Manifestations
  • Food stagnation
  • Firm epigastric focal distention
  • Dry heaves with a foul odor
  • The sound of Fluids in the hypochondria
  • Diarrhea
  • Very loud borborygmus
  • Nausea
  • Vomiting
  • Fullness and oppression in the chest and abdomen
  • Heartburn
  • Acid regurgitation
  • Ascites
  • T: Normal
  • C: Thin, yellow and greasy
  • P: Wiry, taut and rapid
Treatment Principle
  • Harmonize the Stomach
  • Reduce focal distention
  • Disperse clumping
  • Expel water
  • Descend Qi
Herb Formulas
Points
Clinical Manifestations
  • Simultaneous vomiting and diarrhea
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Irritability
  • Acid regurgitation
  • Anorexia
  • Restlessness
  • Fatigue
  • Abdominal pain
  • A bitter taste in the mouth
  • Dark, scanty, possibly reddish urine
  • T: Normal
  • C: Yellow and greasy
  • P: Slippery and rapid or Smooth and wiry
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Regulate Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Difficult to swallow food (often with an emotional component)
  • Swallowing with a choking sensation
  • Swallowing eventually becomes impossible
  • Dull or burning pain
  • Distention with indistinct pain that is relieved by belching, dry retching or spitting up of Phlegm or mucus
  • A feeling of esophageal constriction
  • Dry mouth and throat
  • Focal distention of the chest and diaphragm or
  • Dull chest pain
  • Hiccups
  • Acid reflux
  • Vomiting of a mucus-like material of food streaked with mucus
  • Dry mouth and throat
  • Difficult bowel movements
  • Severe weight loss
  • Gradual emaciation
  • Sometimes acute pain
  • Maybe severe coughing
  • Maybe aspiration of fluids
  • Maybe fever
  • Maybe aortic erosion
  • T: Normal or Red or Red with red edges
  • C: White or Greasy and white or Greasy and yellow
  • P: Thready and wiry or Wiry and slippery or Thready and rapid
Treatment Principle
  • Regulate Qi
  • Soothe and soften the Liver
  • Moisten Dryness
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Violent nausea and vomiting
  • Severe vomiting of Phlegm and/or thin fluids
  • Severe pain
  • Migrating and shooting pain throughout the upper and lower back
  • Chest pain
  • Precordial pain
  • T: Pale
  • C: Greasy and white
  • P: Deep and wiry
Treatment Principle
  • Dry Dampness
  • Dissolve Phlegm
  • Regulate Qi
  • Subdue Rebellious Qi
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Vomiting
  • Abdominal distention and fullness
  • Fever and chills
  • Diarrhea and vomiting
  • T: Pink
  • C: Thick, white and greasy
  • P: Soft or Floating tight and soft
Treatment Principle
  • Activate Qi
  • Dry Dampness
  • Transform turbidity
  • Descend Qi
  • Harmonize the Stomach
  • Stop vomiting
Herb Formulas
Points

Clinical Manifestations
  • Cough with sharp pain in the chest and hypochondrium
  • Hypochondriac distention and pain
  • Hard focal distention in the epigastrium
  • Dry heaves
  • Shortness of breath
  • Headache
  • Abdominal distention
  • Wheezing
  • Fullness in the chest
  • Dyspnea caused by extreme chest and back pain
  • Dizziness
  • Vertigo
  • Asthma
  • Rapid breathing
  • Generalized edema which is worse in the lower body
  • Difficult urination and defecation
  • T: Normal or Dark
  • C: Thick, greasy and white
  • P: Deep and wiry
Treatment Principle
  • Attack and Dispel water
Herb Formulas
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
  • Relieve inflammation
Herb Formulas
Points
Clinical Manifestations
  • Stifling sensation and irritability in the chest
  • Nausea with an urge to vomit
  • Abdominal pain
  • Fever with slight chills
  • Diarrhea
  • Vexation
  • Borborygmus
  • Thirst
  • T: Pink
  • C: White and greasy
  • P: Wiry
Treatment Principle
  • Regulate Cold and Heat
  • Harmonize the Stomach
  • Descend Rebellious Qi
Herb Formulas
Points